Wednesday, June 20, 2007

PAH Drug Pricing

Recently WSJ had an interesting article regarding the pricing of Gilead's new drug Letaris for Pulmonary Arterial Hypertension (PAH).

It is estimated that 75,000 to 90,000 people in the US have PAH (half of them undiagnosed). The annual costs for various FDA approved drugs for the treatment of PAH is provided below.Interesting that there is such a huge range. Gilead claims that their drug has lower liver toxicity than rivals. Revatio (which actually is just re-branded Viagra) is the cheapest option. Given that the other drugs are priced much higher, Pharmalyst is guessing that it probably is not as effective - let me know if that is not the case because then then this sort of range in pricing can not be easily explained.


PS: Of late, several visitors have found Pharmalyst by typing phrases like "rivaroxaban sales forecast" or "apixaban peak sales" in their Google searches. Pharmalyst has been researching these products and guesstimates of sales will be the subject of a forthcoming post. Stay tuned.

6 comments:

Anonymous said...

I don't think that Revatio is any less effective (althogh I am not a clinician). The manufacturer got stuck in a pricing dilemma. Revatio is dosed in 20mg tablets; Viagra is available in 25mg, 50mg, and 100mg doses that are flat prices at roughly $10. Revatio is priced every so slightly lower. The manufacturer knew that if it priced Revatio at a premium to Viagra, doctors would simply prescribe 25mg of Viagra.

Anonymous said...

Revatio is the cheapest if used at 20 mg three times daily. However, half of the patients on it use much higher doses, and so the price is similar to Tracleer.

Anonymous said...

Not true. Based in industry data, more than 85% of Revatio scripts are for 20mg 3x per day. In fact, the studies used for approval show that doses above 20mg are no more effective.

Pharmalyst said...

Thanks for all your comments. The pricing of Revatio given that it is Viagra is understandable. However if it is as effective as Letaris, it is still unclear why Gilead would price it it in thr 40K range.

Viagra Online said...

so this is the new that everyone is talking about, really are soo good? I mean it no have a side effect like other drugs use to treat this illness?

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