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Drug With a 30-Year Monopoly Is Target of State-Level Push to Curb Prices

By Eric October 25, 2025

Enbrel, a groundbreaking medication for autoimmune diseases, has been a pivotal treatment option since its introduction nearly three decades ago. Approved by the FDA in 1998, Enbrel (etanercept) has transformed the lives of millions suffering from conditions such as rheumatoid arthritis, psoriasis, and ankylosing spondylitis. As a biologic drug that functions by inhibiting tumor necrosis factor (TNF), a substance in the body that leads to inflammation, Enbrel has provided significant relief for patients who previously had limited options. The once-weekly injection format has made it a convenient choice for those managing chronic conditions, allowing for better adherence to treatment regimens.

Over the years, Enbrel has not only demonstrated efficacy in reducing symptoms and improving quality of life but has also sparked discussions around the high costs associated with biologic therapies. Despite its effectiveness, the price of Enbrel has been a contentious issue, with annual costs exceeding $80,000 for some patients. This has led to calls for greater transparency and affordability in the pharmaceutical industry, as many patients struggle to access necessary treatments. As the patent for Enbrel nears expiration, the potential for biosimilars—more affordable alternatives to brand-name biologics—has emerged, promising to reshape the landscape of treatment for autoimmune diseases. The introduction of these biosimilars could provide patients with more accessible options, potentially alleviating the financial burden that has long been associated with Enbrel and similar medications.

In summary, Enbrel’s nearly 30-year journey highlights both the incredible advancements in the treatment of autoimmune diseases and the ongoing challenges regarding drug pricing and accessibility. As the medical community anticipates the arrival of biosimilars, it is hopeful that they will not only maintain the therapeutic benefits of Enbrel but also make such essential treatments available to a broader range of patients, ensuring that effective care is within reach for all who need it.

Related articles:
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Enbrel, a once-a-week injection used to treat a variety of autoimmune conditions, first arrived on the market nearly 30 years ago.

E

Eric

Eric is a seasoned journalist covering Health news.

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