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Pricing:
What to Consider in Specialty Care
and Biotech Markets?
Avantika Daing
Director, Market Research and Franchise Development
Eyetech Pharmaceuticals, Inc.
2
The development of Pricing needs to take into account:The development of Pricing needs to take into account:
• The decision maker and influencer
• Market utilization
• How it is represented
• The reimbursement environment
• The competitive framework
Can we justify the value proposition to the payer and patient by
improving the quality and/or extending the length of the patient’s life ?
Pricing in a Vacuum…
BottomBottom
Line…Line…
3
What Drives Price Sensitivity?
Price Points Tested ($)
~ 70% increase in price
P1
$
0%
10%
20%
30%
40%
50%
60%
P3 P5
Share
Highest price
point tested
• Is this product really price insensitive?
• A high price will not impact market share and revenue?
• What is really driving this?
• Reimbursement
4
Price Points Tested ($)
~ 150% increase in price
P1
0%
10%
20%
30%
40%
50%
60%
P3 P5
Share
NEWNEW Highest price
point tested
PX1 PX2 PX3
• How high is too high?
• Need to identify the “hot price points” – the $0.99 effect !!
Price Sensitivity vs. “Hot Price Points” and Ceilings
5
Audience Low Reasonable
High Price,
but Worth It
Anticipated
Tx/Year
Physician:
Opinion Leaders vs.
Community
Payers:
Public vs. Private
Patient:
Co-pay vs. need
Who to Consider – The Key Players….
• Is the physician the appropriate segment to conduct price
sensitivity studies?
• Impact to use vs. frequency of use.
6
Consider the Big Picture…
Six Months One Year Two Years
Revenue/Usage
% Patient Share
Backlash
High efficacy in clinical practice
Low efficacy in clinical practice
HIGH PRICE
MED PRICE
LOW PRICE
Scenarios: Risk Tolerance vs. Revenue Maximization
• Unmet market need and competitive environment
• Political environment and advocacy group impact
• Reimbursement and pool depletion and floor vs. ceiling
• Comparable products and markets – novice agent, biologic v. Primary
7
Maximize
Profitability
Product
Attributes
International
Issues
Reimbursement
Issues
Product
Supply
Key Market
Segments
Competitive
Environment
Marketing Mix &
JV Management
Treatment
Standards
Optimal Pricing and Reimbursement Strategy
Variables: Avoid Pricing in a Vacuum…
8
• Pricing and reimbursement is an integral part of commercializing a
product with direct links to brand positioning and forecasting
Implications of Pricing and Reimbursement
ProductProduct
Brand PositioningPhysician Dynamics
Pricing/ReimbursementCopy Strategy
Competitive Intelligence
Forecasting/Modeling
9
Excellent Very Good Fair/Poor
Value
for Price
P1 P2
Build the Product Value Story…
• Typical price sensitivity may be different vs. product value perceptions
P3
To: (Audience)
Pdt X Is: The FirstFirst….
That: (Benefit)
Because: (Reason to believe)
So That I can help….(Emotional end benefit)
Exciting NEW class
Differentiating benefits
Foundation therapy –
capture it all !!
Exciting NEW class
Differentiating benefits
Foundation therapy –
capture it all !!
Focus on the end benefit
that matters – Patients
Focus on the end benefit
that matters – Patients
ProductValuebyPricePoints
10
Benchmarking Biologics: The Oncology (R)evolution
First Wave: New branded chemotherapeutics and biologics
Chemotherapeutic (Paraplatin, Taxol) priced under $10,000/year
Biologics across tumor types priced above $20,000 (except Gemzar)
Gemzar (pancreatic) $15K
Gleevec (CML) $22K
Herceptin (breast) $75K
Rituxan (NHL) $32K
Camptosar (CRC) $22K
New Wave: Erbitux and Avastin priced at 3-5x higher vs. standard of care
Avastin at $71,500/year (1st line) – 223% higher
Erbitux at $119,808/year (refractory) – 442% higher
11
Qualitative
Interviews
Quantitative Study
(Price Sensitivity
Studies)
Final decision
Price Modeling
Qualitative
Interviews
Analogue
Assessment
Final decision
Forecasting:
- Price
- Product Share
- Utilization
Utilize Appropriate Approach…Not Methodology….
Quantitative Study
Executive
Discussion
Past Present

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Pricing_Seminar_5_11_05

  • 1. Pricing: What to Consider in Specialty Care and Biotech Markets? Avantika Daing Director, Market Research and Franchise Development Eyetech Pharmaceuticals, Inc.
  • 2. 2 The development of Pricing needs to take into account:The development of Pricing needs to take into account: • The decision maker and influencer • Market utilization • How it is represented • The reimbursement environment • The competitive framework Can we justify the value proposition to the payer and patient by improving the quality and/or extending the length of the patient’s life ? Pricing in a Vacuum… BottomBottom Line…Line…
  • 3. 3 What Drives Price Sensitivity? Price Points Tested ($) ~ 70% increase in price P1 $ 0% 10% 20% 30% 40% 50% 60% P3 P5 Share Highest price point tested • Is this product really price insensitive? • A high price will not impact market share and revenue? • What is really driving this? • Reimbursement
  • 4. 4 Price Points Tested ($) ~ 150% increase in price P1 0% 10% 20% 30% 40% 50% 60% P3 P5 Share NEWNEW Highest price point tested PX1 PX2 PX3 • How high is too high? • Need to identify the “hot price points” – the $0.99 effect !! Price Sensitivity vs. “Hot Price Points” and Ceilings
  • 5. 5 Audience Low Reasonable High Price, but Worth It Anticipated Tx/Year Physician: Opinion Leaders vs. Community Payers: Public vs. Private Patient: Co-pay vs. need Who to Consider – The Key Players…. • Is the physician the appropriate segment to conduct price sensitivity studies? • Impact to use vs. frequency of use.
  • 6. 6 Consider the Big Picture… Six Months One Year Two Years Revenue/Usage % Patient Share Backlash High efficacy in clinical practice Low efficacy in clinical practice HIGH PRICE MED PRICE LOW PRICE Scenarios: Risk Tolerance vs. Revenue Maximization • Unmet market need and competitive environment • Political environment and advocacy group impact • Reimbursement and pool depletion and floor vs. ceiling • Comparable products and markets – novice agent, biologic v. Primary
  • 7. 7 Maximize Profitability Product Attributes International Issues Reimbursement Issues Product Supply Key Market Segments Competitive Environment Marketing Mix & JV Management Treatment Standards Optimal Pricing and Reimbursement Strategy Variables: Avoid Pricing in a Vacuum…
  • 8. 8 • Pricing and reimbursement is an integral part of commercializing a product with direct links to brand positioning and forecasting Implications of Pricing and Reimbursement ProductProduct Brand PositioningPhysician Dynamics Pricing/ReimbursementCopy Strategy Competitive Intelligence Forecasting/Modeling
  • 9. 9 Excellent Very Good Fair/Poor Value for Price P1 P2 Build the Product Value Story… • Typical price sensitivity may be different vs. product value perceptions P3 To: (Audience) Pdt X Is: The FirstFirst…. That: (Benefit) Because: (Reason to believe) So That I can help….(Emotional end benefit) Exciting NEW class Differentiating benefits Foundation therapy – capture it all !! Exciting NEW class Differentiating benefits Foundation therapy – capture it all !! Focus on the end benefit that matters – Patients Focus on the end benefit that matters – Patients ProductValuebyPricePoints
  • 10. 10 Benchmarking Biologics: The Oncology (R)evolution First Wave: New branded chemotherapeutics and biologics Chemotherapeutic (Paraplatin, Taxol) priced under $10,000/year Biologics across tumor types priced above $20,000 (except Gemzar) Gemzar (pancreatic) $15K Gleevec (CML) $22K Herceptin (breast) $75K Rituxan (NHL) $32K Camptosar (CRC) $22K New Wave: Erbitux and Avastin priced at 3-5x higher vs. standard of care Avastin at $71,500/year (1st line) – 223% higher Erbitux at $119,808/year (refractory) – 442% higher
  • 11. 11 Qualitative Interviews Quantitative Study (Price Sensitivity Studies) Final decision Price Modeling Qualitative Interviews Analogue Assessment Final decision Forecasting: - Price - Product Share - Utilization Utilize Appropriate Approach…Not Methodology…. Quantitative Study Executive Discussion Past Present