Pricing & the Patented Medicine Prices Review Board Joan M c Cormick Price Regulatory Consulting Brogan Inc.
Factors Affecting Drug Pricing Value Provincial buying power Competition US PMPRB
New Chemical First to address a new indication Intern’l Median Median of 6 European & US
New Chemical First to address a new indication About the same as existing –Efficacy & Safety Intern’l Median Therapeuti c Class Median of 6 European & US Highest price in therapeutic class
Substantially better/safer than existing First to address a new indication About the same as existing New Chemical Intern’l Median Therapeuti c Class
Modified Timeline Pre-ClinicalClinicalNOCFirst Sale Trials
Trials Define indication Demonstrate superiority over existing Identify appropriate (high priced) comparators Quantify comparable dosage regimens e.g. Fosamax vs Calcitonin e.g. Prevnar
Modified Timeline Pre-ClinicalClinicalNOCFirst Sale Trials Monograph
Monograph Wording of indication: –Primary indication –Breakthrough indication –Class for comparison Wording of dosage regimen –Critical in therapeutic class comparison –Maximum normal recommended dosage 2 indications or 1 at first sale?
Modified Timeline Pre-ClinicalClinicalNOCFirst Sale Trials Monograph Intern’l Prices
International Prices International Median –Substantial improvement –Breakthrough –Unofficial tests for Board International Maximum –Price cap for ALL drugs –Throughout patent life e.g. Starnoc Viread
2003 PMPRB Annual Report
Pricing Advanced planning pays off –International prices –Monograph –Trials Requires interdepartmental co- operation ….PMPRB is only one factor