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Mark Cuban slams the pharma business: Nobody says "wow, that’s well run"
Fortune
Follow
1/7/2025
Mark Cuban says the idea for his Cost Plus Drugs startup originated from a cold email.
Category
🤖
Tech
Transcript
Display full video transcript
00:00
Everybody thinks it's f***ed up, you know, and they're right.
00:03
There's nobody who looks at the healthcare system or the pharmaceutical industry and says,
00:08
wow, that's well run. That's just the way we want it. It's great for us.
00:12
And so it originated because I got a cold email from a Dr. Alex Oshmayansky.
00:17
He wanted to create a pharmacy in Denver that manufactured generic drugs that were on shortage.
00:24
We started talking and I think I said, that's interesting. I didn't know generic drugs went
00:27
on shortage. Didn't seem to make sense. But it was right around the time that the
00:31
pharma bro was going to jail. And I started digging in and looking at, you know, what he
00:36
had done. And this guy just basically bought, you know, a whole year's worth of manufacturing
00:43
for a drug called Daraprim, a generic drug, and then just jacked up the price.
00:46
And then as I started digging up, digging more, it was obvious there, this was not an
00:51
efficient market. It was very inefficient. It was very opaque. You know, if you think
00:55
about what happens when you get a prescription from your doctor, they say, hey, you need this
00:59
medication. And the next thing that comes out of the mouth is what pharmacy do you use?
01:04
There's absolutely no understanding or no interest in whether or not you can afford it,
01:08
whether, you know, whether your insurance, how it impacts your insurance, your deductible,
01:11
your coinsurance, whatever. And so the more I dug in, I was like, okay, nobody knows what the
01:18
price of anything is. If we create a company and we, A, limited our margins and B, published
01:26
all of our pricing in our price list, then maybe we can have an impact.
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