Increase Competition & Access — Support CREATES Act | Association for Accessible Medicines
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Anti-Competitive Practices are Costing Patients Billions - Support CREATES Act

Increase Competition & Access — Support CREATES Act

Certain brand pharmaceutical companies prevent competition by blocking the ability of manufacturers to make more affordable generic and biosimilar alternatives. Generic companies need access to samples to conduct drug product development and bioequivalence studies necessary for FDA approval. Access delays to affordable medicines cost patients and taxpayers more than $5 billion each year.

This Conduct Undermines The Careful Balance Created By The Hatch-Waxman Act To Encourage Generic Entry, And May Violate The Antitrust Laws.

Edith Ramirez, Chairwoman, FTC Testimony, Subcommittee Hearing, March 9, 2016

Key Points

  • Certain brand pharmaceutical companies prevent competition by blocking the ability of manufacturers to make more affordable, generic alternatives.
  • This anti-competitive practice (“REMS and restricted access abuse”) costs patients more than $5 billion each year and puts medication out of reach for millions.
  • Independent agencies (the FDA and FTC) call this abuse “a problem” that “delays the availability of generics.
  • It’s time for Congress to end this abusive practice and increase prescription drug competition.

Restricted Access Impedes Competition

Bipartisan legislation in the House and Senate, called the CREATES Act (S. 974/H.R. 2212) and the FAST Generics Act (H.R. 2051), prohibits companies from using restricted access programs as a way to avoid generic competition.

Share your voice.

Contact your state or federal lawmaker and raise their awareness about this issue:

Take Action

Letters and Statements Supporting Congressional Action

View AAM letter to President Donald Trump asking him to support the CREATES Act.

Interested parties - generic drug manufactures and a diversity of industry stakeholders and allies - are all urging Congress to pass legislation to stop the anti-competitive practices of some brand companies. View their letters and statements of support below:

National Health Council Letter of Support for CREATES Act (February 2, 2018)
Momenta Pharmaceuticals, Inc. (July 10, 2017)
Pfenex, Inc. (July 10, 2017)
Johnson Matthey (July 11, 2017)
Campaign for Sustainable Rx Pricing (July 19, 2017)
Amneal Pharmaceuticals (July 20, 2017)
CVS Health (July 24, 2017)
Coalition to Reduce Spending (July 25, 2017)
Healthcare Supply Chain Association (July 25, 2017)
FreedomWorks (July 25, 2017)
Mylan, N.V. (July 26, 2017)
BlueCross BlueShield Association (July 26, 2017)
Apotex Corporation (July 27, 2017)
American Society of Health-System Pharmacists (July 27, 2017)
Express Scripts (July 27, 2017)
Academy of Managed Care Pharmacy (July 27, 2017)
America’s Health Insurance Plans (July 27, 2017)
The Pew Charitable Trusts (July 27, 2017)


Thank You to Congressional Supporters

Find a lawmaker in your state and call or send an email to thank them for supporting the CREATES Act (S. 974/H.R. 2212) and the FAST Generics Act (H.R. 2051).


Leahy, Patrick (VT)
Grassley, Chuck (IA)
Klobuchar, Amy (MN)
Lee, Mike (UT)
Feinstein, Dianne (CA)
McCaskill, Claire (MO)
Collins, Susan (ME)
McCain, John (AZ)
Blumenthal, Richard (CT)
Whitehouse, Sheldon (RI)
Cotton, Tom (AR)
Durbin, Richard (IL)
Cruz, Ted (TX)
Paul, Rand (KY)
Hassan, Margaret Wood (NH)
Kennedy, John (LA)
Smith, Tina (MN)


McKinley, David (WV)
Welch, Peter (VT-AL)
Marino, Tom (PA)
Cicilline, David (RI)
Stivers, Steve (OH)
Schrader, Kurt (OR)
DeGette, Diana (CO)
Lipinski, Daniel (IL)
Schakowsky, Janice (IL)
Fortenberry, Jeff (NE)
Renacci, James (OH)
Cartwright, Matt (PA)
Meadows, Mark (NC)
Rokita, Todd (IN)
Cohen, Steve (TN)

PDFJun 08, 2017Rebecca Rodrigues
Background on REMS Sample Access
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PDFJun 08, 2017Rebecca Rodrigues
Myths and Facts Regarding REMS and CREATES Act
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PDFFeb 01, 2018Erica Klinger
AAM CEO Drug Pricing Letter to President Donald Trump
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PDFSep 06, 2017Erica Klinger
REMS CREATES Act Infographic - PDF
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Press Release Jul 18, 2017 Erica Klinger
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Bill to Lower Drug Prices Gains Bipartisan Momentum in the House and Senate