The National Institutes of Health (HHS) has been asked by four prostate cancer patients to end the monopoly on enzalutamide (Xtandi), over its high price in the USA (3 to 5 times more expensive in the USA than in any other country). The NIH says it will make an initial determination within a month. The NIH is accepting evidence in the case here: Tara A. Schwetz, Ph.D., Acting Principal Deputy Director, NIH, email: NIHExecSec@nih.gov. The petition to HHS on this by Robert Sachs and my brother Clare Love is here: https://www.keionline.org/37142, and a Stat News story about the case is here: https://www.statnews.com/2022/01/03/march-in-rights-protect-prostate-cancer-patients-from-excessive-drug-prices/. I am keen to hear from anyone about the co-payments for this drug or challenges getting insurance to pay, which will be relevant for the case. There are two generic companies approved by the FDA to sell low cost versions, but the patent issues have to be resolved (hence, the march-in case). james.love@keionline.org