Out of Patients with Matthew Zachary

Out of Patients with Matthew Zachary

Visualize Your Goal (Or Not)

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Matthew Zachary
Sep 29, 2025
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PhRMA just announced it will launch a direct-to-consumer drug site in January. Novartis will be the first up, offering Cosentyx at a 55 percent markdown off its own list price. On paper it looks like progress. A cleaner storefront, fewer middlemen, maybe lower out-of-pocket bills.

But the real story isn’t about Pharma playing hero. It’s about how the in…

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