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Objectives • New drug approval process • Pricing of new drugs • Off ...

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3/15/13%<br />

High Visibility & Political Pressure<br />

Average Cost <strong>of</strong> Drug Development<br />

INTERVAL<br />

Spending<br />

($m)<br />

Time to<br />

Core<br />

Launch<br />

Capitalized<br />

Spend/<br />

Successful Med<br />

($m)<br />

1- Pre-1 tox dose 76.5 9.6 207.4<br />

2- 1 st tox dose to 1 st human dose 86.8 7.2 184.1<br />

3- 1 st human dose to 1 st patient<br />

dose<br />

4- 1 st patient dose to 1 st pivotal<br />

dose<br />

5 – 1 st pivotal dose to 1 st core<br />

submission<br />

149.5 6.2 284.0<br />

316.9 4.4 501.6<br />

235.9 2.1 293.8<br />

6 – 1 st core submission to 1 st core 33.3 0.5 34.9<br />

launch<br />

TOTAL<br />

Mestre-Ferrandiz J: The R&D Cost <strong>of</strong> a <strong>New</strong> Medicine . Dec 2012.<br />

<strong>Off</strong>ice <strong>of</strong> Health Economics based 899 on Center for Medicines 1,506 Research<br />

US Growth in Health Expenditures<br />

$5,000,000<br />

$4,500,000<br />

Projection<br />

15.00%<br />

$4,000,000<br />

$3,500,000<br />

Millions<br />

$3,000,000<br />

$2,500,000<br />

$2,000,000<br />

$1,500,000<br />

$1,000,000<br />

Source: CMS, <strong>Off</strong>ice <strong>of</strong> the Actuary, National Health Statistics Group.<br />

10.00%<br />

5.00%<br />

% <strong>of</strong> Total Health Expenditure<br />

$500,000<br />

$0<br />

0.00%<br />

1982<br />

1983<br />

1984<br />

1985<br />

1986<br />

1987<br />

1988<br />

1989<br />

1990<br />

1991<br />

1992<br />

1993<br />

1994<br />

1995<br />

1996<br />

1997<br />

1998<br />

1999<br />

2000<br />

2001<br />

2002<br />

2003<br />

2004<br />

2005<br />

2006<br />

2007<br />

2008<br />

2009<br />

2010<br />

2011<br />

2012<br />

2013<br />

2014<br />

2015<br />

2016<br />

2017<br />

2018<br />

2019<br />

2020<br />

Health Expenditures<br />

Prescription Drugs<br />

14%

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