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Pharma Pricing and Reimbursement Outlook: Optimizing price and market access in a recessionary climate
Date:10/27/2011

ccess issues in Japan 94

Biennial price cuts 94

Generic pricing and substitution 96

Innovative drug pricing 97

Future trends in Japanese pricing and reimbursement 98

Most likely scenario 100

Best case scenario 101

Worst case scenario 101

High growth emerging pharmaceutical markets 102

Pricing and reimbursement in Brazil 104

Pricing and reimbursement in Russia 104

Pricing and reimbursement in India 105

Pricing and reimbursement in China 105

Chapter 5 Global pricing and market access strategies 108

Summary 108

Introduction 109

Local optimization 109

Price differentials 109

Market access differentials 111

Global coordination 113

Launch sequence 113

Price differentials 115

Balancing local optimization and global coordination 119

Chapter 6 Pricing and market access planning 122

Summary 122

Introduction 123

Pricing research and modeling 123

Research methodology 123

Pricing models 126

Pharmacoeconomic models 131

Pricing across the lifecycle 136

Pricing in early stage R&D 137

Pricing in late stage R&D 137

Pricing for lifecycle management 138

Pricing for pharmacoeconomic planning 138

List of Figures

Figure 1.1: Trends in healthcare spend as a proportion of GDP, 1990-2007 21

Figure 1.2: Pharmaceutical expenditure as a share of total healthcare expenditure, 1990-2007 22

Figure 1.3: R&D productivity levels, 1999-2008 25

Figure 1.4: The rising cost of new drug development, 1975-2006 27

Figure 1.5: Impact of US patent expiries for leading drugs, 2008-2013 28

Figure 1.6: Generics market share by sales value, 2003-2007 29

Figure 1.7: Quarterly GDP growth, Q4 2007 – Q2 2009 31

Figure 2.8: Projections of total Medicare Part D spending, FY2007-2016 50

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