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Availability and Pricing of New
Pharmaceuticals in the Top 5
European Pharmaceutical Markets
Reinaud F, Ando G (IHS, London, United Kingdom)



Objectives                                                                                    Among the innovative medicinal products available in each of the
                                                                                              top-five European pharmaceutical markets, manufacturer prices of
Pharmacoeconomics and cost-effectiveness assessments are                                      10 drugs were compared. For each drug, the ranking of the
increasingly taken into account in pricing and/or reimbursement                               markets studied from the highest manufacture price (1) to the
decisions. In an attempt to measure the impact those                                          lowest (5) is summarised in the following table.
assessments have on time to pricing and price levels of innovative
                                                                                              Table 3: Ranking of the top-five European pharmaceutical markets
drugs, we surveyed market availability and drug prices for a
                                                                                              according to manufacturer price levels
basket of 125 innovative medicinal products in the top-five
European pharmaceutical markets.                                                               Brand name                        Germany             Italy          Spain    UK    France

                                                                                               Gilenya                           1                   3              5        2     4
Methods                                                                                        Vpriv
                                                                                               Ozurdex
                                                                                                                                 1
                                                                                                                                 1
                                                                                                                                                     5
                                                                                                                                                     5
                                                                                                                                                                    3
                                                                                                                                                                    4
                                                                                                                                                                             2
                                                                                                                                                                             2
                                                                                                                                                                                   5
                                                                                                                                                                                   3
The price availability of 125 innovative medicinal products—                                   Revolade                          2                   1              3        5     4
approved between July 2009 and April 2012 by the EMA—in                                        Onbrez Breezhaler                 1                   5              2        3     4
France, Germany, Italy, Spain, and the United-Kingdom was                                      Ilaris                            4                   5              3        1     2
analysed.                                                                                      Cimzia                            1                   3              2        4     5
                                                                                               Onglyza                           1                   2              3        5     4
Manufacturer prices of 10 innovative drugs available in each of the                            Mozobil                           3                   1              4        5     2
markets studied were then compared. In order to do so, VAT,                                    Eporatio                          2                   1              3        5     4
pharmacists’ margins, and wholesalers’ margins were removed                                    Ranking Average                   1.7                 3.1            3.2      3.4   3.7
from retail prices provided by sources.
                                                                                              Source: IHS PharmOnline International; exchange rate UK: 1 GBP = 1.25367 EUR




Results                                                                                       Data indicate that prices of drugs are usually the highest in
                                                                                              Germany (they were the highest in 6 out of the 10 case studies). It
Table 1: Market availability of drugs in the top-five European pharmaceutical markets         comes as no surprise considering that most drugs for which
out of the 125 innovative drugs approved by EMA between July 2009 and April 2012              prices were compared had been approved before the AMNOG
                                                                                              pricing reform, and none of them belongs to the 27 drugs that
                   Number of drugs available out of the
                   125 innovative drugs approved by     Percentage                            completed the early benefit assessment.
                   EMA between July 2009 and April 2012
                                                                                              Prices of innovative drugs tend to be the lowest in France. This
 Germany                                            74                                  59%   result is unexpected given the fact that French legislation specifies
 UK                                                 67                                  54%   that prices of drugs deemed innovative (ASMR ratings from I to III)
 Spain                                              49                                  39%   cannot be lower than the lowest price in Germany, Italy, Spain,
 France                                             41                                  33%   and the UK. However, the French National Authority for Health
 Italy                                              40                                  32%
                                                                                              (HAS) is increasingly stringent when granting ASMR ratings, as
Source: IHS PharmOnline International
                                                                                              demonstrated by the annual activity reports: 18 ASMR from I to III
                                                                                              were granted in 2009. This figure dropped to 13 in 2010 and only
A limited number of the innovative drugs (17) included in the
                                                                                              1 in 2011.
sample analysed are available in each of the top-five European
pharmaceutical markets, although most of them were approved
by EMA at least year years ago.                                                               Conclusions
Table 2: Listing of the innovative medicinal products approved by EMA between                 As summarised in the following chart, Germany is where the most
July 2009 and April 2012 available in each of the top-five European pharmaceutical markets
                                                                                              innovative drugs are available and prices are the highest.
 Brand name                                      Marketing approval date                      Conversely, France has fewer innovative drugs available—due to
                                                                                              longer pricing procedures—and the lowest prices—due to the
 Gilenya                                         17/03/2011
                                                                                              increasingly stringent assessment of drug innovation provided by
 Jevtana                                         17/03/2011
                                                                                              the HAS. In Italy, Spain, and the UK, price levels differ on a case-
 Vpriv                                           26/08/2010
                                                                                              by-case basis. In the UK, more drugs are available, while in Italy,
 Ozurdex                                         27/07/2010
                                                                                              prices of orphan drugs tend to be higher.
 Votrient                                        14/06/2010
 Nivestim                                        08/06/2010
 Menveo                                          15/03/2010
 Revolade                                        11/03/2010
 Prevenar 13                                     09/12/2009
 Onbrez Breezhaler                               30/11/2009
 Multaq                                          26/11/2009
 Eporatio                                        29/10/2009
 Ilaris                                          23/10/2009
 Resolor                                         15/10/2009
 Cimzia                                          01/10/2009
 Onglyza                                         01/10/2009
 Mozobil                                         31/07/2009
Source: European Medicines Agency (EMA) and IHS PharmOnline International




        FOR MORE INFORMATION ABOUT IHS GLOBAL INSIGHT HEALTHCARE & PHARMACEUTICAL SERVICES
                        www.ihs.com/healthcare and www.ihs.com/healthcareblog
                Please email: gustav.ando@ihs.com for any questions related to this poster

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Availability and pricing of innovative pharmaceuticals in the top 5 european pharmaceutical markets

  • 1. Availability and Pricing of New Pharmaceuticals in the Top 5 European Pharmaceutical Markets Reinaud F, Ando G (IHS, London, United Kingdom) Objectives Among the innovative medicinal products available in each of the top-five European pharmaceutical markets, manufacturer prices of Pharmacoeconomics and cost-effectiveness assessments are 10 drugs were compared. For each drug, the ranking of the increasingly taken into account in pricing and/or reimbursement markets studied from the highest manufacture price (1) to the decisions. In an attempt to measure the impact those lowest (5) is summarised in the following table. assessments have on time to pricing and price levels of innovative Table 3: Ranking of the top-five European pharmaceutical markets drugs, we surveyed market availability and drug prices for a according to manufacturer price levels basket of 125 innovative medicinal products in the top-five European pharmaceutical markets. Brand name Germany Italy Spain UK France Gilenya 1 3 5 2 4 Methods Vpriv Ozurdex 1 1 5 5 3 4 2 2 5 3 The price availability of 125 innovative medicinal products— Revolade 2 1 3 5 4 approved between July 2009 and April 2012 by the EMA—in Onbrez Breezhaler 1 5 2 3 4 France, Germany, Italy, Spain, and the United-Kingdom was Ilaris 4 5 3 1 2 analysed. Cimzia 1 3 2 4 5 Onglyza 1 2 3 5 4 Manufacturer prices of 10 innovative drugs available in each of the Mozobil 3 1 4 5 2 markets studied were then compared. In order to do so, VAT, Eporatio 2 1 3 5 4 pharmacists’ margins, and wholesalers’ margins were removed Ranking Average 1.7 3.1 3.2 3.4 3.7 from retail prices provided by sources. Source: IHS PharmOnline International; exchange rate UK: 1 GBP = 1.25367 EUR Results Data indicate that prices of drugs are usually the highest in Germany (they were the highest in 6 out of the 10 case studies). It Table 1: Market availability of drugs in the top-five European pharmaceutical markets comes as no surprise considering that most drugs for which out of the 125 innovative drugs approved by EMA between July 2009 and April 2012 prices were compared had been approved before the AMNOG pricing reform, and none of them belongs to the 27 drugs that Number of drugs available out of the 125 innovative drugs approved by Percentage completed the early benefit assessment. EMA between July 2009 and April 2012 Prices of innovative drugs tend to be the lowest in France. This Germany 74 59% result is unexpected given the fact that French legislation specifies UK 67 54% that prices of drugs deemed innovative (ASMR ratings from I to III) Spain 49 39% cannot be lower than the lowest price in Germany, Italy, Spain, France 41 33% and the UK. However, the French National Authority for Health Italy 40 32% (HAS) is increasingly stringent when granting ASMR ratings, as Source: IHS PharmOnline International demonstrated by the annual activity reports: 18 ASMR from I to III were granted in 2009. This figure dropped to 13 in 2010 and only A limited number of the innovative drugs (17) included in the 1 in 2011. sample analysed are available in each of the top-five European pharmaceutical markets, although most of them were approved by EMA at least year years ago. Conclusions Table 2: Listing of the innovative medicinal products approved by EMA between As summarised in the following chart, Germany is where the most July 2009 and April 2012 available in each of the top-five European pharmaceutical markets innovative drugs are available and prices are the highest. Brand name Marketing approval date Conversely, France has fewer innovative drugs available—due to longer pricing procedures—and the lowest prices—due to the Gilenya 17/03/2011 increasingly stringent assessment of drug innovation provided by Jevtana 17/03/2011 the HAS. In Italy, Spain, and the UK, price levels differ on a case- Vpriv 26/08/2010 by-case basis. In the UK, more drugs are available, while in Italy, Ozurdex 27/07/2010 prices of orphan drugs tend to be higher. Votrient 14/06/2010 Nivestim 08/06/2010 Menveo 15/03/2010 Revolade 11/03/2010 Prevenar 13 09/12/2009 Onbrez Breezhaler 30/11/2009 Multaq 26/11/2009 Eporatio 29/10/2009 Ilaris 23/10/2009 Resolor 15/10/2009 Cimzia 01/10/2009 Onglyza 01/10/2009 Mozobil 31/07/2009 Source: European Medicines Agency (EMA) and IHS PharmOnline International FOR MORE INFORMATION ABOUT IHS GLOBAL INSIGHT HEALTHCARE & PHARMACEUTICAL SERVICES www.ihs.com/healthcare and www.ihs.com/healthcareblog Please email: gustav.ando@ihs.com for any questions related to this poster