South-Carolina
What to know about January's annual drug price hikes
Drug companies often increase prices at the start of the new year, and 2024 seems to be no exception.There have been about 600 price hikes so far in January, according to the drug price nonprofit 46Brooklyn Research.
But the increases haven’t been as steep as they were in some previous years. In the 2010s, drug price hikes were typically much bigger — up to 10% on average
“Since 2016, the pedal to the metal has been kind of pulled back a little bit, where we typically see the weighted average impact of a price increase and the median price increase hovering at around 5%,” says 46Brooklyn’s CEO, Anthony Ciaccia.
That’s roughly what he’s seeing this year.
Ciaccia expects another couple hundred more drug price increases before the end of the month — and that will account for most brand name price hikes this year.
Net prices are different
Even if a drug’s sticker price is going up, that doesn’t mean the drugmaker is taking all that money home. That’s because there’s another kind of price to think about called a net price. That’s what the drugmaker takes home after rebates it has to pay back to third parties and other discounts.
And on the whole, those rebates have been going up, so the net prices have been going down for about six years now.
Richard Evans, a pharmaceutical industry veteran who runs SSR Health, a drug pricing data and analytics firm, says net prices went down a little faster in 2023 than in previous years.
“As of September 30 last year, the average discount in the marketplace was about 52%,” he said. That means drugmakers take home a lot less than list price. “Some manufacturers are getting about $0.48 on the dollar.”
Record decreases driven by penalties
For the first time, there were also huge list price decreases this January, according to 46Brooklyn. These were for insulins and inhalers, and they were 70% or 80% reductions.
Drugmaker GSK says it plans to cut Advair’s list price by up to 70%, for example. Advair is an inhaler for asthma and asthma and chronic obstructive pulmonary disease.
The cuts are so significant that when you look at the prices of drugs overall, they actually cancel out the increases. That’s if you’re doing weighted averages of price changes based on how much a drug is used, Ciaccia of 46Brooklyn says.
The big factor is legislation passed in 2021 under President Biden called the American Rescue Plan Act. It was mostly a COVID-era stimulus bill, but it also included a part that affects Medicaid.
Prior to that law, drugmakers had to pay penalties for increasing prices faster than inflation, but there was a cap on those penalties.The American Rescue Plan lifted the cap in 2024. Now, drugmakers would have to pay such huge penalties for raising prices faster than inflation that they’d owe the government more than the value of the drugs.
Put another way, they would make negative money for selling their products!
“The end result is drug manufacturers crushing the prices of many of these old products or pulling those products from the marketplace altogether to avoid having to pay the steep penalties to Medicaid programs,” Ciaccia says.
What it means for consumers
Usually what someone pays at the pharmacy counter is related to the list price– the ones the drug companies set rather than the net prices they ultimately take home.
That means that if a list price goes up, the copay will probably be more.
But a price cut doesn’t necessarily mean savings at the pharmacy counter. The copay could wind up being more because it causes the drug to move to a different tier of your insurer’s drug formulary — that’s the menu of drugs your insurance provides. This has a lot to do with the behind-the-scenes payments that happen between the drugmaker and your insurance’s middleman called a pharmacy benefit manager.
Copay changes will vary depending on the drug and your insurance plan.
Copyright 2024 NPR. To see more, visit https://www.npr.org.
STARKVILLE — Mississippi State baseball landed a potential starting infielder from the transfer portal.
Will Craddock, who played one season at South Carolina, committed to the Bulldogs on June 26.
“Hail State,” Craddock wrote on Instagram.
The freshman batted .260, leading the Gamecocks in home runs (10) and runs (36) while ranking third with 29 RBIs. In SEC play, his average dipped to .172 with two home runs, six RBIs and 14 runs.
Craddock primarily played first base, but also made starts at second base, third base and designated hitter. He started all three games against Mississippi State in April, batting 3-for-14 with a walk, no RBIs but two runs.
He was a standout player for T.L. Hanna in Anderson, South Carolina, and was the state’s 5A Player of the year in 2025. He hit .442 that season with eight doubles, 10 home runs and 10 stolen bases while ranked as the No. 26 player in South Carolina.
Mississippi State’s starting first baseman, Reed Stallman, is out of eligibility.
The transfer portal opened June 1 and closes June 30.
Mississippi State baseball transfer portal class
Craddock is the 10th transfer to commit to Mississippi State and the second South Carolina player, joining relief pitcher Zach Russell.
Other position players who are transferring to MSU include Georgia Southern catcher/outfielder Brady Christman, Samford outfielder Jake Souders, Army utility player Josiah Overbeek, South Dakota State third baseman Nolan Grawe, Oregon catcher Burke-Lee Mabeus and North Florida outfielder Carter White.
Twelve Mississippi State players have entered the transfer portal as of June 26, including relief pitcher Tyler Pitzer who committed to South Carolina.
Sam Sklar is the Mississippi State beat reporter for The Clarion Ledger. Email him at ssklar@usatodayco.com and follow him on X @sklarsam_.
USA TODAY 250th anniversary travel guides and American stories
USA TODAY marks America’s 250th with travel guides, culture, history, and local stories.
As the nation prepares for its 250th anniversary, one of the efforts underway is America’s Time Capsule.
The time capsule project is led by America250 and meant to bring together carefully selected artifacts and documents from all 50 states, five U.S. territories, the District of Columbia, and each branch of the federal government.
This national project is designed to capture the story of the United States at this historic 250th birthday, according to America250.
Here’s what South Carolina contributed to the national project.
What did South Carolina put in the America250 time capsule?
South Carolina is marking the nation’s 250th anniversary by contributing two historic items to the national America’s Time Capsule project, according to America250.
As part of the SouthCarolina250, which is the state’s initiative for the U.S.’s 250th celebration, commemoration effort, the state has provided a commemorative challenge coin and an official SC250 lapel pin.
Both will be buried inside the capsule on July 4, along with items from other states. And it is set to be reopened 250 years later in 2276.
Where will the Americ250 time capsule be buried?
The ceremonial burial of America’s Time Capsule is set to take place at Independence National Historical Park, located at 599 Market Street in Philadelphia, Pennsylvania, on July 4, according to america250.org.
What else is in America’s 250th anniversary time capsule
As America’s 250th anniversary approaches, the national time capsule has been filled with items meant to capture the character and diversity of the country in this moment.
The collection spans a range of items, from archival letters and state proclamations to student work from the America’s Field Trip contest, uncirculated currency, and even pieces of national sports memorabilia.
Time capsule engineered to last centuries
As planners work to ensure America’s Time Capsule endures for the next two and a half centuries, engineers and archivists have focused heavily on long‑term preservation.
The capsule itself is a cylinder‑shaped stainless‑steel vessel, precision‑designed by the National Institute of Standards and Technology in partnership with archival scientists at the Library of Congress, according to the Institute.
Travis Jacque Rose is the trending news reporter for the Greenville News, part of the USA TODAY Network. Reach him at trose@gannett.com.
In Laurens County, a dual-sided historic marker stands next to a mailbox off the side of the road. The name Jonathan Downs was commemorated on one side, while the other side was signed with the story of Lindley’s Fort in the American Revolution.
The Battle of Fort Lindley took place July 15, 1776, some 1,800 feet away from the modern-day historic marker. Private farmland now sits where the battle ensued, but physical pieces of history and oral retellings of the battle have continued to propel the story in Laurens County lore.
Loyalists to the British crown and Cherokee citizens planned an attack on a group stationed at the fort. The Little River Regiment used the fort as their base. Loyalist Capt. David Fanning described the scene as a “fort built with logs” in his autobiographical retelling of the Revolutionary War.
Cherokee land had continually been encroached on, which pushed members of the tribe to retaliate.
The loyalists who joined in the attack were dressed as Native Americans. They – along with other South Carolina backcountry loyalists – were referred to as Scopholites. The group took action at midnight for what became a two-hour fight in one of the first conflicts of the Cherokee War of 1776.
Historian Durant Ashmore said the crux of the battle was a clash of culture and a fundamental lack of understanding among the groups.
“One thing that has been very important to understand is the conflicts between cultures – the misunderstandings between cultures – and the deadly consequences that can result from that,” he said.
Luis-Alfredo Garcia
/
South Carolina Public Radio
Troops at the fort had at first not believed word of the upcoming attack when informed by a group of soldiers, according to a pension application of Matthew Brown, who was a 16-year-old boy stationed at a fort about 20 miles away from Fort Lindley. The men were drunk from a night of indulging in rum, which Ashmore said was a common occurrence during the war.
“The Little River Regiment did not believe them. They actually even leveled their guns at them, saying, ‘Who’s telling you such lies as this?’” he said.
Maj. Downs, however, prepped the troops for defense. Downs was a previous member of the First Provincial Congress, Second Provincial Congress, and South Carolina General Assembly.
A sizable chunk of the Patriot troops had already experienced fighting Cherokee citizens during the Anglo-Cherokee War that lasted from about 1758-1761. Soldiers at Fort Lindley responded to the attack by sending out troops in lines of 10. Eventually, the loyalists and Cherokee citizens retreated.
The patriot victory boosted local morale and belief in their cause, but for some unscathed loyalists and Cherokee citizens, the aftermath’s impact trumped the actual battle loss in consequences.
The morning after the battle, troops from the fort found about 30 horses at a campsite. One saddlebag contained the commission papers of Capt. James Lindley. Lindley was a staunch loyalist and the eponymous owner of Fort Lindley.
Six months prior to the battle, he had been captured at the Battle of Great Cane Break. Lindley had promised to not take up arms against patriot forces again, or he would face death. Although he was not captured in the midnight battle, he did succumb to patriot troops at the Battle of Kettle Creek and was hanged for breaking his parole.
As for the Cherokee citizens, their land was further encroached upon and people killed; about 2,000 were killed during the Cherokee War of 1776.
Ashmore said the consequences from escalating conflict were terrible.
“Patriots gathered together with the idea of a plan, the goal of eliminating the Cherokees. Genocide,” he said. “That’s what was preached to the backcountry settlers along with the ability to make their own decisions. A primary motivating factor in the American Revolution is the right of self-determination.”
Luis-Alfredo Garcia
/
South Carolina Public Radio
Now, private land with cows and sheep sits on the area where the fort once stood. Ashmore said he gives tours just during the winter to avoid the risk of ticks. The area where trenches once helped shield soldiers are still visible.
Some remnants from the fort now reside at the Laurens County Museum in the city of Laurens’ downtown area. The objects, although not individually labeled, will be part of an upcoming opening collection.
Luis-Alfredo Garcia
/
South Carolina Public Radio
Museum docent Julia Sermons said being informed of local history helps shape modern decisions.
“You have to know where you’re coming from to know where you’re going,” she said.
Ashmore, too, saw the same value.
“We are all in the middle of this,” he said. “This history – the important role that South Carolina played in the Revolution.”
An estimated 14 battles took place in Laurens County, according to Ashmore. He has been keeping track of local history for about 6 years. He said the county has set a 50-year plan to help with future record keeping.
Luis-Alfredo Garcia
/
South Carolina Public Radio
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