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Emerging Trends in Pharmaceutical Marketing. Pricing Strategy Workshop. Some History…. The ODB froze the 1993/94 formulary prices Québec and Saskatchewan have policies where they need to have the best available price Resulted in almost no drug price inflation until 2003. But….
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Emerging Trends in Pharmaceutical Marketing Pricing Strategy Workshop
Some History… • The ODB froze the 1993/94 formulary prices • Québec and Saskatchewan have policies where they need to have the best available price • Resulted in almost no drug price inflation until 2003
But… • Price difference between U.S. is increasing • Cross-border shopping has become a sizeable problem • Manufacturers are looking for solutions
PricesCanada vs. International Canadian prices are lower Prices at par Canadian prices are higher Source: Annual Report, CEPMB, 1999-2004
PricesCanada vs. International Canadian prices are lower Prices at par Canadian prices are higher Source: Annual Report, PMPRB, 1999-2004
PricesCanada vs. International Canadian prices are lower Stronger currencies Prices at par Canadian prices are higher Source: Annual Report, PMPRB, 1999-2004
PricesCanada vs. International Canadian prices are lower Weaker USD Prices at par Canadian prices are higher Source: Annual Report, PMPRB, 1999-2004
PricesCanada vs. International • When compared to the U.S., U.K. and Switzerland, Canadian prices (patented drugs) are lower • Affected by exchange rates – lower Canadian dollar since 2002 (36-month average) is reversing trends • The difference with the U.S. is increasing Increasing Internet sales Pressures to reduce the difference
PricesCanada vs. International New Products Launched: • Prices “at par” internationally Existing Products: • Price increases • Restricted by the PMPRB – bending the rules • Restricted by the provinces ?
Formulary Increases and TimingBy provinces, BOTOX (UNIT DOSE VIAL) April 2004
Are formularies the last answer? • Private Drug Plans are ±40% of the National drug market • Only few have managed formularies • Most are price takers, even with adjudication system
Price Increases – Private Data2003-2004 • Sample of 1200 DINs (72% of all Ontario private drug plan claims – July 2005) • Approximately 200 price increases on brand products form Jan. 2002 to July 2005 • Approximately 25 price increases on generic products form Jan. 2002 to July 2005 • 30 manufacturers • Most increases • 3%-6% (brand products) • 2% to 300% (generic products)
Brogan Price IndexPrivate Drug Plans January 2002 = 1
Brogan Price IndexVersus Inflation June 2003 = 1
Price Increases – Conclusions • Depends on who is paying • Timing is everything – especially when the PMPRB is concerned • What is the reaction of all stakeholders?