emerging trends in pharmaceutical marketing
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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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some history
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
slide3
But…
  • Price difference between U.S. is increasing
  • Cross-border shopping has become a sizeable problem
  • Manufacturers are looking for solutions
prices canada vs international
PricesCanada vs. International

Canadian prices are lower

Prices at par

Canadian prices are higher

Source: Annual Report, CEPMB, 1999-2004

prices canada vs international1
PricesCanada vs. International

Canadian prices are lower

Prices at par

Canadian prices are higher

Source: Annual Report, PMPRB, 1999-2004

prices canada vs international2
PricesCanada vs. International

Canadian prices are lower

Stronger currencies

Prices at par

Canadian prices are higher

Source: Annual Report, PMPRB, 1999-2004

prices canada vs international3
PricesCanada vs. International

Canadian prices are lower

Weaker USD

Prices at par

Canadian prices are higher

Source: Annual Report, PMPRB, 1999-2004

prices canada vs international4
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

prices canada vs international5
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

?

are formularies the last answer
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 data 2003 2004
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)
price increases conclusions
Price Increases – Conclusions
  • Depends on who is paying
  • Timing is everything – especially when the PMPRB is concerned
  • What is the reaction of all stakeholders?
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