July 10, 2025

‘340B program helpful to NMI patients’

Cancer patient Louise Concepcion is hoping the 340B Drug Pricing Program would finally be implemented in the CNMI. (Jon Perez)

Cancer patient Louise Concepcion is hoping the 340B Drug Pricing Program would finally be implemented in the CNMI. (Jon Perez)
Cancer patient Louise Concepcion is hoping the 340B Drug Pricing Program would finally be implemented in the CNMI. (Jon Perez)

Louise Concepcion has Stage 4 colorectal cancer, with cell growth already spreading to her lungs. She accepts that she’s dying but before that happens, she hopes that she and other patients would still get the chance to obtain affordable medication.

That’s why she supports the plan of the Commonwealth Healthcare Corp. to apply for the 340B Drug Pricing Program since it would help CNMI patients, especially the middle class, to afford the medicines they need.

CHCC chief executive officer Esther Muna, in a report on the Saipan Tribune, said the hospital could enjoy low-cost medicine, improved quality care, and possible profit generation if the hospital controls the outpatient pharmacy.

The 340B program under the federal government was created in 1992, requiring drug manufacturers and pharmaceutical companies to provide outpatient medicines to eligible healthcare groups and other entities at a much-reduced cost.

Concepcion, who is now 58 years old, is a retired procurement officer of the CNMI Public School System and lives solely on her monthly pension. She believes the hospital could qualify for the program, but politics gets in the way.

“The 340B is a good program, that’s why I don’t understand some people. It is a drug-pricing program that provides 20 to 50 percent discount on manufactured medicines. Why is the program not implemented here when it was in 1992 when the program started?” Concepcion told Saipan Tribune.

“The program began in 1992. Why not implement it here? It is worth trying but they are not trying at all. The hospital could have qualified but there are some political issues. Something is wrong.”

She added that she’s trying to start a petition but her declining health prevents her. “The territories are included, for those who would qualify. But if I don’t get my medication in a timely manner, everyday [cancer cells] would multiply.”

Concepcion also reacted to the statement of Sen. Teresita Santos (R-Rota), who does not support CHCC’s plan to take over the pharmacy’s operations from PHI Pharmacy, whose lease at the Commonwealth Health Center would expire in August this year.

“It broke my heart what Sen. Santos said. It really hurts me when Sen. Santos said that [the hospital’s] funds should be focused on toilet tissues, pillowcases, and bed sheets. What good is that when people are dying,” she added.

She pointed out that cancer is not a cheap disease and she could have save a lot if 340B is implemented here. The doctor has put her on Stivarga, an oral chemotherapy pill that costs $6,000 for a supply that lasts only 21 days.

“In 2015, the cost of chemotherapy per treatment, one cycle, is $20,000 and sometimes I need to have six cycles. I don’t make $120,000 a year. You see how expensive it is? People don’t want to get cancer and that’s the reason why 340B needs to come in,” said Concepcion.

She said healthcare is supposed to either prevent diseases or save and extend lives. “It really hurts me when people or public officials are saying that. My life now is too short. How many deaths or people like me would be sacrificed for this? The 340B program is not only for poor people, it is for all, even for people who fall between the cracks.”

“I’m not wealthy but I’m not poor. I’m from a middle income earning family. I’m retired, living on pension. You tell me my life is not important? That’s why I’m asking [government officials], please support the hospital. Is the private sector more important than people’s lives?”

Concepcion believes she could have gotten the medicines she needs at a cheaper price if the 340B program was implemented years ago. “I’m dying and I have nothing to lose. If 340B could have come here, I could have afforded my medicines at a cheaper price. I don’t qualify for Medicaid.”

“Allow CHCC to apply. Things have changed and people made mistakes before. But please allow them to make the changes and to improve. Allow me and other patients to have affordable medication.”
 

4 thoughts on “‘340B program helpful to NMI patients’

  1. Your story is a true reflection of what many of us go through because individuals who have been entrusted to care for people and our islands are not doing their jobs diligently. I hope and pray for your continued strength to see your mission accomplished. Let us ask Saipan Tribune to start an online petition on this matter and if not, maybe the Cancer Association can help in one way or the other.

  2. Out of the mouths of those that see the benefits. So really, why is the Governor and Senator Santos against CHC on this? Shirley Sablan is the sister-in-law of the Governor who is married to a Joeten family, a large shareholder of PHI. Juan Santiago Tenorio, the other shareholder, is a big donor of the Republican campaign. A connection? Meanwhile, our people suffer? You should ask who does the Governor and Senator Santos work for? The shareholders of PHI or the people? Senator Santos, especially, should be advocating for the people of Rota. Shame on her.

  3. Teresita, will you kindly disclose PHI’s campaign contribution? Or, perhaps, from the shareholders. Shame on you!!!

  4. This drug, Stivarga is manufactured by Bayer. It is manufactured in India, Germany, VietNam and also some other of their plants. It is a popular drug in the Phil. for also treating Liver Cancer.
    Unfortunately for this patient, she should have been transferred to the Phil. to Sacred Heart Medical Center, to their Cancer clinic.at Angeles City, Papanga.
    There is NBO chance for survival with this horrible disease if being treated in the CNMI. I know I am a survivor and was misdiagnosed in Saipan, when I went on my own to the Phil. I already had stage 4-A, terminal Cancer and was not expected to survive. Gong on 8 years now Cancer free.

    BTW maybe Contact Bayer and take a chance that maybe this lady can get into a free “assisted” program.
    On the price from below, I do not know what is considered a “course of treatment”, how many days or doses, maybe this may help.
    Maybe look online for a cheaper supply as most of this drug comes to the Phil from India. Good luck.

    The wholesale price of Stivarga, also known as regorafenib, is $14,881 for one course of treatment. Bayer said it has a number of assistance programs to provide free medication “to eligible Nexavar and Stivarga patients.”

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