US FDA ‘Public Health’ Approach To Opioids May Open Up Pricing Debates

Latest effort by FDA to re-set reviews for novel opioid analgesics is off to a rocky start after three advisory committee reviews. One unintended consequences may already be apparent: by taking a broad, public health perspective on new formulations, the agency may be inviting arguments based on price.

Large US American flag on sailboat off the coast of California

The US Food & Drug Administration’s new “public health” framework for considering opioid analgesic applications made its debut in a series of advisory committee meetings in mid-January – and it did not go well for the sponsors.

Two of the three opioid formulations reviewed – Nektar Therapeutics’s new molecular entity oxycodegol and Intellipharmaceutics International Inc.’ proposed abuse-deterrent formulation of oxycodone – were overwhelmingly rejected. In Nektar’s case, the 27-0 “no” vote was so clear that the company didn’t let the day end without announcing the withdrawal of the application and abandonment of the project

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MFN policy would would apply to all single source drugs in all insurance markets, according to HHS release. Secretary Robert F. Kennedy Jr. said the department is discussing the plan with drug sponsors.

‘Tectonic’ Arkansas PBM Legislation May Upend Industry

 
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Will International Prices Influence Medicare Price Negotiation?

 
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A former CMS official suggested the most likely way it could happen is through a Center for Medicare and Medicaid Innovation demonstration.

Industry Leaders Grapple With Trump’s Most Favored Nation Pricing Plan

 

At the Bank of America health care conference, pharma leaders speculated on the impact of Trump’s most favored nation pricing executive order on US and European markets.

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Will International Prices Influence Medicare Price Negotiation?

 
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A former CMS official suggested the most likely way it could happen is through a Center for Medicare and Medicaid Innovation demonstration.

Managed Access Agreement Fails To Help BioMarin’s Brineura Secure Routine Reimbursement In England

 

BioMarin’s ultra-rare disease drug Brineura has breached cost-effectiveness thresholds for highly specialized treatments in England and looks set to be denied routine funding on the National Health Service.

Industry Leaders Grapple With Trump’s Most Favored Nation Pricing Plan

 

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