Abstract
Pharmaceutical research and development (R&D) competition in the 1980s and 1990s was characterised by rising R&D expenditures, favourable returns to innovators and the introduction of many new classes of drugs with high social benefits. However, in the past 3 years, the number of new drug introductions has been well below the historical trend, while the cost per new drug continues to increase. In addition to lagging R&D productivity, the industry has been characterised by other economic and policy uncertainties. These include a wave of early patent challenges and growing political pressure to contain pharmaceutical expenditures. This paper examines the consequences of these developments.
Similar content being viewed by others
Notes
The use of trade names is for product identification purposes only and does not imply endorsement.
References
Grabowski HG, Vernon J, DiMasi JA. Returns on research and development for 1990s new drug introductions. Pharmcoeconomics 2002; 20 Suppl. 3: 11–29
Scherer FM. The link between gross profitability and pharmaceutical R&D spending. Health Aff 2001; 20 (5): 136–40
DiMasi JA, Hansen RW, Grabowski HG. The price of innovation: new estimates of drug development costs. J Health Econ, 2003; 22: 141–85
Med Ad News, April issue, various years
Baily MN. Research and development costs and returns: the U.S. pharmaceutical industry. J Pol Econ, 1972; 80: 70–85
Scherer FM. Technological maturity and waning economic growth. Arts and Sciences, Fall 1978; 1: 7–11
Tollman P, Guy P, Altschuler J, et al. A revolution in R&D: the impact of genomics. Boston: The Boston Consulting Group, June 2001
Landers P. Drug industry’s big push into technology falls short. Wall Street Journal, Feb 24, 2004
Congress of the United States, Congressional Budget Office. How increased competition from generic drugs has affected prices and returns in the pharmaceutical industry. Washington: U.S. Government Printing Office, July 1998
Pharmaceutical Research and Manufacturers of America [PhRMA]. Pharmaceutical industry profile 2003. Washington, DC: PhRMA, 2003. p. 62
Schulman S, Healy EM, Lasagna L, editors. PBMs: reshaping the pharmaceutical distribution network. New York: Haworth Press, 1998
Grabowski HG, Vernon JM. Longer patents for increased generic competition: The Waxman-Hatch Act after one decade. PharmcoEconomics 1996; 10 Suppl2: 110–123
Federal Trade Commission. Generic entry prior to patent expiration: an FTC study. Washington, DC: FTC, July 2002
Bulow J. The gaming of pharmaceutical patents, forthcoming in Jaffe AB, Stern S, and Lerner J, eds. Innovation policy and the economy, Volume 4, Cambridge, MA: MIT Press, 2003
Bear Stearns. Attack of the clones: 18 years post Waxman-Hatch, New York; Bear Stearns, October 2, 2002
Emmons W, Nimgade A. Burroughs Wellcome and AZT, Case 9-792-004. Cambridge, MA: Harvard Business School, 1991
Grabowski H. Comment, in Triplett JE, ed. Measuring the Prices of Medical Treatment, Washington: Brookings Institution, 1999, 190–195
Pauly MV. Medicare drug coverage and moral hazard. HealthAffairs, 2004, 22 No. 1: 113–122
Office of the Actuary, Centers for Medicare and Medicaid Services (CMS). Fiscal year 2002 mid session Review of Medicaid spending projections. Washington, DC: CMS, 2002
Smith, et al. Medicaid spending growth: a 50 state update for FY 2003. Kaiser Commission on Medicaid and the Uninsured, Washington, DC, January 2003
Wang YR, Pauly MV and Lin YA. Impact of Maine’s Medicaid drug formulary change on non-Medicaid markets: spillover effects of a restrictive drug formulary. Am J of Managed Care, 2003; 9 [10]: 686–696
Bernasek C, Harringtone C, Ramchand R, et al. Florida’s Medicaid Prescription Drug Benefit: A Case Study. Washington: Kaiser Commission on Medicaid and the Uninsured. February 2002
Mendelson D. State medicaid Rx cost containment, Washington, Health Strategies Consulting, May 2, 2002
Danzon PM, Ketcham JD. Reference pricing of pharmaceuticals and Medicare: Evidence from Germany, the Netherlands, and New Zealand. National Bureau of Economic Research [NBER] Working Paper No. W10007, Cambridge, MA, October 2003
Bernasek C, et al. Case study: Michigan’s Medicaid Prescription Drug Benefit. Kaiser Commission on Medicaid and the Uninsured, Washington, DC, January 2003
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Grabowski, H. Are the economics of pharmaceutical research and development changing?. Pharmacoeconomic 22 (Suppl 2), 15–24 (2004). https://doi.org/10.2165/00019053-200422002-00003
Published:
Issue Date:
DOI: https://doi.org/10.2165/00019053-200422002-00003