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Pharmaceutical Pricing and Reimbursement News in the Second Quarter of 2008
Decision Resources, Inc., July 2008, Pages: 40
Executive Summary 5 Strategic Considerations 5 Stakeholder Implications 5 Overview 6
United States 7 Pharmacy Benefit Management Trends 7 Recent Spending Trends 7 Pricing 8 Increasing Use of Generics 8 Specialty Pharmacy 11 Outlook 12 Medicare Reforms 13 Approval of New Active Surveillance System 15
European Union 16 Expansion of European Commission’s Antitrust Investigation 16 France 17 Impact of New Patient Charge 17 Call for a Review of the Prescription, Consumption, and Taxation of Medicines 17 Rollout of Personal Medical Dossiers Extended 18 Government Plan for a Major New Cost-Containment Strategy 18 Germany 19 Rapid Growth of Rebate Contracts 19 Impact of Reference Price Cuts 21 Clarifi cation of Second Opinion Process 22 Italy 23 Prescribing Trends in 2007 23 Spain 23 New Government Health Plan 23 Strongest Sales Growth for High-Priced Drugs 28 Steady Growth in the Prescription Drug Market 29 United Kingdom 29 Tentative Agreement on Price Cuts in Negotiations for New Drug Pricing System 29 Promise of Improved Market Access for Innovative Medicines 30 Growing Industry Disillusionment with the U K Market 32 Initiative to Increase the Use of Statins 32 Eisai’s Legal Victory over NICE 33
Japan 34 Industry Proposal for a New Drug Pricing System 34 Unprecedented Focus on Expanding the Generics Market 34 Outlook and Implications for the Pharmaceutical Industry 36
List of Figures:
1 Leading PBMs’ Growth Rates for Per Member Per Month Spending on Specialty Pharmaceuticals and Prescription Drugs Overall, 2007 7 2 Leading PBMs’ Reported Changes in Drug Prices, 2007 8 3 Express Scripts’ Reported Changes in Average Prices of Select Drug Classes, 2007 9 4 Leading PBMs’ Generics Dispensing Rates, 2006-2007 10 5 Express Scripts’ Calculations of Actual and Potential Generics Dispensing Rates and Potential Savings, 2007 11 6 Express Scripts’ Projected Growth Rates for Per Member Per Month Spending on Specialty and Nonspecialty Drugs, 2008-2011 13 7 Distribution of Rebate Contracts in Germany, April 2008 20 8 Pharmaceutical Consumption in Italy, 2003-2007 24 9 Pharmaceutical Spending in Italy, 2003-2007 25 10 Contribution of Changes in Prescribing Volume, Drug Price, and Product Mix to Overall Spending Trends for Fully Reimbursed Drugs in Italy, 2003-2007 26 11 Generics’ and Off-Patent Branded Drugs’ Share of Spending on Fully Reimbursed Drugs in Italy, 2003-2007 27 12 Spanish Pharmaceutical Market Trends by Product Price Range, 2001-2006 28 13 Generics’ Share of the Japanese Pharmaceutical Market, 2002-2006 35
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