Given that we are a matrix organization it will be hard to actually put a finger on this but I think it is fair to ask this question. If we truly care about patients and payers and employers and value propositions, then why did we put this at such an extreme premium. Why not offer the best product at a discount to all available therapies. The best for the best price. Any reason not to add us to formulary? I think not. Shame on us.
Who had final say on the pricing decision?
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Silly boy. AZ is in a very bad way, especially starting in 2012. No pipeline. Major patent loses. A sales force that has no idea how to sell anymore and even if they did, the obstacles created by the company, would prevent any real selling from taking place. Brilinta will flop for obvious reasons. AZ is greatly expanding the contracts it has with Publicis. Remember when Zahir was on stage lying like a dog about our new found help called CSA's? The lying sack-of-shit! Patients health first my ass!
This had to go as high as Fante. It's not like he has any other decisions to make.
The competition! We will not be oversold, OK? Take the most expensive therapy and add 25%, and that's AZ's price. Because AZ is better.
Ex (long time ago) very senior AZ exec here - came across this site looking for something else - but the definitive answer to the question is that product pricing at AZ is a Reserved Power of the group CEO - so that would be DB. My advice - get the hell out of there!
Wrong - it was Keith Powell who made the call. Once we figured out how fucked it was, they demoted him.
Brand team set the price. They are a god. They can do no wrong.
That is what they would like you to believe. Brand team is a euphemism for a collection of spoiled and arrogant sycophants who kowtow to like minded narcissists while desperately clinging to vainglorious ideals that will soon be shattered on the altar of reality. They suck and so does the person who made this call.
iF YOU ARE WORRYING about price you are an idiot.
The price is fine and a non-issue.
Pharmacy will only have a real fuss if it was super expensive relative to plavix and 25% premium is not huge. Keep in mind we would not be taking plavix off formulary but competing and so pharmacy budget would not be hit hard relatively speaking. Of course pharmacy would take plavix off formulary if the price was closer to free which would also be stupid. Sell the benefits and get the drs on board. Pharmacy will always complain about a higher price but for this they will complain but it will not be what does or does not get it on formulary. Seriously you have not really been even working for four years. Stop complaining just because you have to now do your job and get on formulary.
The price is fine and a non-issue.
Pharmacy will only have a real fuss if it was super expensive relative to plavix and 25% premium is not huge. Keep in mind we would not be taking plavix off formulary but competing and so pharmacy budget would not be hit hard relatively speaking. Of course pharmacy would take plavix off formulary if the price was closer to free which would also be stupid. Sell the benefits and get the drs on board. Pharmacy will always complain about a higher price but for this they will complain but it will not be what does or does not get it on formulary. Seriously you have not really been even working for four years. Stop complaining just because you have to now do your job and get on formulary.
Think you may be talking about hospital pharmacy. Most hospitals formularies prefer to have a sole and exclusive cost effective drug within a class if at all possible. If they do not perceive the therapeutic benefit for a new drug to be great enough, then they will not add it. If the cost of a new product is less and it has similar efficacy to an existing formulary product, they will frequently replace the existing one. If the new products cost is greater, then it must show superior efficacy, or fill a need that an existing product does not. If hospital views a new product as interchangeable with an existing product, but the cost is similar or greater... well... good luck with that. Brilinta is in the bucket where you will have to show it is better.
Often hospitals have a therapeutic subcommittee level review of a new product. If it passes the muster and the hospital is interested (or gets requests) they often move to a P&T review. This could be a class or single product review. If it passes this review it could be added to formulary immediately, although many hospitals also have an executive committee review following P&T. All of this stuff takes time. Once in awhile you might find a hospital willing to stock a product to trial it without all the hoopla, but this is becoming rarer these days. Add to this hospitals waiting to see what managed care does in their community, or even managed formulary coverage for their own employees etc... well, you get the picture.
I am absolutely certain that there will be hospitals where Brilinta does or does not get on formulary due to cost. Been there done that.
Go order a cup of coffee ($1.25 at 7-11, $3.50 at Starbucks) and take a whiff. Then wake up. The game is almost over.
The hospital RSDs got together and decided what should happen. We know. Let's price it really high for life but disocunt it really low for four days and that way we can trick everybody and tell our story about saving money
You give those folks too much credit. The hospital RSDs are way below the level of command for that kind of decision. Not to mention that market research would be necessary and cost would be a marketing, as opposed to selling, implementation. Or perhaps someone flipped a coin
No seriously. It was Larry and that good looking chick that made the call. I saw the email.
You give those folks too much credit. The hospital RSDs are way below the level of command for that kind of decision. Not to mention that market research would be necessary and cost would be a marketing, as opposed to selling, implementation. Or perhaps someone flipped a coin
We did that with Transderm Nitro. a penny a hundred to the hospital, and a dollar a day retail. "today's products, tomorrows prices"
So what yu are sying is that when generic plavix comes out every hospital will pull effient and brilinta frm the formulary. I love the mentality of failing before you even started.
That is the problem at Az and the hospital team. Paid big money to complain and pretend they know how to get things on formulary. If its not the cheapest you guys can't get it done unless its and anti pyscotic which every hospital adds. You do realize that almost none of the az hospital sales rep actually get true formulary wins. The ones that do are not reading cafe pharma.
That is the problem at Az and the hospital team. Paid big money to complain and pretend they know how to get things on formulary. If its not the cheapest you guys can't get it done unless its and anti pyscotic which every hospital adds. You do realize that almost none of the az hospital sales rep actually get true formulary wins. The ones that do are not reading cafe pharma.