Republican state leaders in Oklahoma and Utah are facing scrutiny for spending millions of dollars combined to purchase malaria drugs promoted by President Trump to treat COVID-19 patients that many other states obtained for free and that doctors warned shouldn't be used without more testing.
While governments in at least 20 other states obtained more than 30 million doses of the drug through donations from the federal reserve or private companies, Oklahoma and Utah instead bought them from private pharmaceutical companies.
Oklahoma Gov. Kevin Stitt on Tuesday defended the state's $2 million purchase, saying the drug was showing some promise. His health secretary attributed buying the 1.2 million hydroxychloroquine pills to something that happens in the "fog of war."
Utah Gov. Gary Herbert at first defended the state's $800,000 purchase of 20,000 packets of hydroxychloroquine compounded with zinc but has since ordered an investigation of a no-bid contract with a local company that had been promoting the drugs. Herbert, a Republican, also canceled an additional plan to spend $8 million more to buy 200,000 additional treatments from the same company.
A left-leaning nonprofit group in Utah filed a price gouging complaint Tuesday with state regulators, arguing the $40 per pack drug was grossly overpriced.
Drug unproven
Doctors can already prescribe the malaria drug to patients with COVID-19, a practice known as off-label prescribing, and many do. But the U.S. Food and Drug Administration on Friday warned doctors against prescribing hydroxychloroquine for treating the coronavirus outside of hospitals or research settings because of reports of serious side effects, including irregular heart rhythms and death among patients.
Preliminary results from a recent study done on coronavirus patients at U.S. veterans hospitals showed no benefit, casting more doubt on the drug's efficacy during the pandemic.
Those were the latest admonitions against the drug that Trump has regularly promoted in public appearances, touting its potential despite his own health advisors telling him it is unproven.
Oklahoma
Oklahoma acquired 1.2 million pills, or about 100,000 doses, on April 4 from FFF Enterprises, a California-based medical supply wholesaler, according to the Oklahoma State Department of Health.
Oklahoma state Rep. Melissa Provenzano, a Democrat from Tulsa, said the state's purchase shows that Gov. Stitt's actions don't follow his claim that he relies on data to drive his decisions.
"Two million dollars is a lot of money to waste, especially when we have unemployment claims approved yet going unpaid, health care professionals without proper protective equipment, and diagnosed cases and deaths continuing to rise," Provenzano said.
Stitt, a first-term Republican, said hydroxychloroquine was showing some promise as a treatment in early March, and he didn't want Oklahoma to miss out on an opportunity to acquire it.
"Now there's some evidence the chloroquine may not be as effective, but I was being proactive to try and protect Oklahomans," Stitt said Tuesday when asked about the purchase. "That's always going to be my first instinct, to get the equipment and things we need that I'm seeing in the future would help Oklahomans."
Oklahoma's Secretary of Health Jerome Loughridge said several physicians, including some in Oklahoma, were previously optimistic about the drug's promise in treating COVID-19. He added that the drug is also useful for treating lupus and some other auto-immune diseases, so the state's supply "will not have gone to waste."
"When we were battling sort of the fog of war at that point, we certainly acquired it on the potential that it would have utility," Loughridge said.
Doctors in Oklahoma have been using the drug to treat patients with COVID-19, often in conjunction with a second drug, azithromiocin, but the results "just are not that promising," said Dr. Douglas Drevets, chief of infectious diseases at University of Oklahoma Medicine.
FFE Enterprises didn't immediately respond to an email seeking comment.
Utah
Utah gave a local company called Meds in Motion the $800,000 contract without taking bids from other companies under emergency procurement rules, said Christopher Hughes, director of Utah's division of purchasing. State officials haven't explained why they didn't seek to get the drugs for free.
The Federal Emergency Management Agency said Saturday it has sent out 28.6 million tablets of hydroxychloroquine sulfate free of cost to states around the country. Several states including New York, Connecticut and Texas received donations of the medication from a private company based in New Jersey called Amneal Pharmaceutical, according to information compiled by The Associated Press.
Utah taxpayers deserve to know what happened to allow a purchase that seems like a company taking advantage of the early, chaotic days of the pandemic, said Chase Thomas, executive director of the group called Alliance for a Better Utah, which submitted the price gouging complaint. The complaint alleges Utah paid at least double the common price for the medication.
"Whether they were buying drugs we didn't need or paying too much for it when they could have gotten them for free, there just needed to be a lot more thought going into this," Thomas said.
Meds in Motion didn't answer an email seeking comment about the allegations.
Herbert declined to provide an update Tuesday about the investigation of the purchase. He said Friday the state's legal counsel would aim to find out what, how and why it happened. He said he believed state officials acted in good faith as they scrambled to slow the spread of coronavirus but acknowledged a mistake may have been made.
"I have some questions about how it came about," Herbert said Friday. "Bottom line is, we're not purchasing any more of this drug."
