SAN FRANCISCO — At a Walgreens in this city’s bustling Japantown neighborhood, pharmacist Margaret On stocks two boxes of long-acting insulin pens from California’s new prescription drug label, CalRx, emblazoned with the state’s iconic grizzly bear.
Although she hasn’t dispensed any, On plans to keep them on hand. “It’s good to have if a patient comes in and doesn’t have health insurance,” she said. “Or just in case of emergencies.”
Seven months after the launch of its own low-cost insulin brand, state health officials said California has distributed more than 120,000 five-pen packs of insulin glargine priced at $55 each, significantly less than the $89 to $411 that the state says most popular brand names charge before any retail markups or consumer discounts.
While it represents a tiny amount of the state’s insulin pipeline, it marks the first time a state is competing against the three biggest insulin drugmakers — Eli Lilly, Sanofi, and Novo Nordisk — under its own prescription drug label. CalRx, Gov. Gavin Newsom’s experimental initiative, has dual aims: to act as an emergency supplier for people who are uninsured or can’t afford their prescriptions, and to disrupt the nation’s deep-pocketed pharmaceutical industry, which cost the U.S. $467 billion in 2024, the federal government reported in June.
Newsom, a Democrat considering a presidential run in 2028, is expected to make healthcare a central pillar of his national platform as he concludes his second and final term as governor. To create the state brand of generic drugs, California inked a $50 million contract with Civica, a Utah-based nonprofit drugmaker, to develop the CalRx insulin, known as a biosimilar. Though major distributors make the drug available in pharmacies around the state, uptake has been limited.
Newsom’s goal is to saturate the insulin market and offer generic versions of drugs either high in cost or low in supply, or that can improve public health. The state is also distributing free naloxone, used in a nasal spray to reverse opioid overdoses, and trying to bring albuterol inhalers to public schools for students with asthma emergencies. In the next two years, the state plans to launch epinephrine injectables, commonly known by the brand name EpiPen, which are used to treat severe allergic reactions, as well as a state-branded medication to treat tuberculosis.
Before he leaves office in January, Newsom said, he wants to add generic GLP-1 medications to compete with brand-name drugs such as Ozempic and Wegovy. The drugs have exploded in popularity, but employers have raised concerns about their cost.
Thousands of California families are facing abrupt cancellations of coverage for assisted living as insurer Health Net adjusts the benefits it provides. (Hwang, 8/17)
Citing longtime delays, officials are mulling their legal options to force progress on Kaiser Permanente’s vacant 25-acre site long planned for a regional hospital. (Elsmore, 8/17)
The district received a $500,000 grant from Sutter Health to expand training opportunities for EMTs, nursing assistants, and emergency room technicians. (McBride, 8/17)
Cal State Fullerton offers one of the only midwife training programs in the state, and the only master's program for nurse-midwives on the West Coast. (Fobar, 8/14)
“To the person that did this: we can fix a window but you will always be broken,” wrote Erik Daniells, owner of the Corner Drug Co. Pharmacy. (Heeden, 8/17)
The Democratic legislators are asking for a review of the conditions on the aircraft carrier as well as information about the sailors' access to mental health support. (Lunetta, 8/17)
Senate Bill 995, known as the Masuma Khan Justice Act, would have mandated adherence to occupational safety and health regulations in an effort to address reported deficiencies in access to mental health and medical care. (Williams, 8/17)
Starting as soon as next summer, providers will drive through neighborhoods, reaching out to and treating unhoused individuals in those communities from vans outfitted with medical equipment. (Wang, 8/18)
Palo Alto City Manager Ed Shikada wants to expand a program that allows the homeless to sleep in more city-owned buildings, churches or nonprofit spaces during storms and also when it’s hot. (Cartwright, 8/17)
The High School Wellness Center faces a significant threat due to school district budget cuts that have eliminated the full-time intake coordinator position. This role is essential for keeping the center open during school hours to meet the needs of Healdsburg students. (8/12)
The Human Services program offers pathways in general human services, as well as drug and alcohol studies to prepare students for careers in behavioral health, social services, addiction treatment, child welfare and other fields. (Gillette, 8/14)
State testing shows no sign that classroom air is polluted with a carcinogenic dry-cleaning solvent found in soil beneath the Richmond campus. (Ali-Ahmad, 8/17)
This fall, 15-year-old New Roads School sophomore Kyleigh Belle Butler will launch the Belle's Moments program at two senior living communities — Ivy Park Santa Monica and Westmont Culver City — pairing student volunteers with residents in an effort to reduce loneliness among older adults. (Alin, 8/17)
In a neighborhood home to many elderly residents, the absence of ADA-compliant ramps has turned routine trips to nearby Zapata Park or medical appointments into hazardous obstacle courses. (Bojorquez, 8/15)
California will keep its childhood vaccine recommendations, school rules and insurance coverage despite Trump’s order calling for fewer shots. (Ho, 8/13)
California’s COVID activity is again peaking higher in summer than winter, prompting officials to urge some residents not to wait for the fall vaccine update. (Ho, 8/13)
A Ventura County resident and a Santa Barbara County resident who each tested positive for measles were on the same international flight, state officials confirmed. (Kisken, 8/18)
The first person who died locally this year from the West Nile virus, confirmed by Butte County Public Health, was between 80 and 90. (Hutchison, 8/13)
There were 34 accidental overdose deaths recorded in July — 34.6% fewer than in the same month last year — bringing this year’s total so far to 296. (Gurevich, 8/14)
Studies have shown that methamphetamine use significantly increases the risk of HIV infection, especially among men who have unprotected sex with other men. (Sisson, 8/17)
Operating for more than 50 years, the program is the city's single largest source of funds for local nonprofits and underwrites a social safety net serving residents from infancy to old age. (Alin, 8/17)
Ripon Consolidated Fire District will be doubling its frontline firefighting personnel and be able to reduce response times to many emergency calls starting as early as February. (Wyatt, 8/15)
A new independent audit on contracts linked to ex-Orange County Supervisor Andrew Do called out former OC Health Care Agency Director Dr. Clayton Chau and former CEO Frank Kim for doing little to investigate staff concerns over potential conflicts with an organization employing Do’s daughter. (Saavedra and Wang, 8/12)
States want the company to remove allegedly addictive features, limit minors’ use and delete data collected from children under 13. (Baron, 8/18)
This Week's 'KFF Health News Minute'
Many people with disabilities fear that a new Justice Department legal opinion could roll back protections that have given them access to in-home care. Plus, some cities are using 911 to respond to mental health distress calls with mobile crisis teams instead of police.
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