Skip to main content

How DTCA Influences Prescription Pharmaceutical Markets

  • Chapter
  • First Online:
Innovation and Marketing in the Pharmaceutical Industry

Part of the book series: International Series in Quantitative Marketing ((ISQM,volume 20))

Abstract

This chapter focuses on the potential influence of direct-to-consumer advertising (DTCA) on firm strategy, patients, physicians, and policy change. Particularly, we identify the chain of DTCA influence through which public policy actions, such as DTCA (de)regulation, prompt firm decisions as to whether or not to engage in DTCA, which drugs to pick for direct-to-consumer communication, and how much to allocate to DTCA versus the marketing-mix direct-to-physician (DTP). We highlight the importance of disentangling DTCA effects on the two main stakeholders, patient and the physician, to unravel the intricacies of prescription decisions. With this aim, we analyze a data set for three top-selling classes in the USA, namely, proton-pump inhibitors (PPIs), selective serotonin reuptake inhibitors (SSRIs), and HMG-CoA reductase inhibitors (Statins). The results confirm extant research and suggest that DTCA exhibits oversaturation effects later in the life cycle of a therapeutic class and is unlikely to be the major driver of pharmaceutical sales. On the other hand, DTP spending appears to be more influential and resistant to life cycle effects.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    Interestingly, Lyles (2002), in his historical perspective on DTCA, notes that prior to 1930 direct-to-consumer communication was rather the norm in the USA.

  2. 2.

    The meta-analysis by Kremer et al. (2008) examines 156 DTCA elasticities from 17 studies. Of those, two analyze data before the 1997 clarification and three were working papers at the time of the publication. Since then relatively few econometric studies have been published, most notably Fischer and Albers (2010) and Kolsarici and Vakratsas (2010).

References

  • Amaldoss W, He C (2009) Direct-to-consumer advertising of prescription drugs: a strategic analysis. Mark Sci 28(3):472–487

    Article  Google Scholar 

  • Bala R, Bhardwaj P (2010) Detailing vs direct-to-consumer advertising in the prescription pharmaceutical industry. Manage Sci 56(1):148–60

    Article  Google Scholar 

  • Berndt ER (2005) To inform or persuade? Direct-to-consumer advertising of prescription drugs. N Engl J Med 352(4):325–328

    Article  Google Scholar 

  • Bradford WD, Kleit AN, Nietert PJ, Ornstein S (2010) The effect of direct to consumer television advertising on the timing of the treatment. Econ Inq 48(2):306–322

    Article  Google Scholar 

  • Calfee J, Winston C, Stempski R (2002) Direct-to-consumer advertising and the demand for cholesterol-reducing drugs. J Law Econ 45(2):673–690

    Article  Google Scholar 

  • Capella ML, Taylor CR, Campbell RC, Longwell LS (2009) Do pharmaceutical marketing activities raise prices? Evidence from five major therapeutic classes. J Public Policy Mark 28(2):146–161

    Article  Google Scholar 

  • Chandukala SR, Dotson JP, Brazell JD, Allenby GM (2011) Bayesian analysis of hierarchical effects. Mark Sci 30(1):123–133

    Article  Google Scholar 

  • Cox AD, Cox D, Mantel SP (2010) Consumer response to drug risk information: the role of positive affect. J Mark 74(4):31–44

    Article  Google Scholar 

  • Donohue JM, Berndt ER (2004) Effects of direct-to-consumer advertising on medication choice: the case of antidepressants. J Public Policy Mark 23(2):115–127

    Article  Google Scholar 

  • Donohue JM, Cevasco M, Rosenthal MB (2007) A decade of direct-to-consumer advertising of prescription drugs. N Engl J Med 357(7):673–681

    Article  Google Scholar 

  • Fischer M, Albers S (2010) Patient- or physician-oriented marketing: what drives primary demand for prescription drugs? J Mark Res (JMR) 47(1):103–121

    Article  Google Scholar 

  • Frosch DL, Krueger PM, Hornik RC, Cronholm PF, Barg FK (2007) Creating demand for prescription drugs: a content analysis of television direct-to-consumer advertising. Ann Fam Med 5(1):6–13

    Article  Google Scholar 

  • Gellad ZF, Lyles KW (2007) Direct-to-consumer advertising of pharmaceuticals. Am J Med 120(6):475–480

    Article  Google Scholar 

  • General Accounting Office (2002) Prescription drugs: FDA oversight of direct-to-consumer advertising has limitations. United States General Accounting Office, Washington, DC

    Google Scholar 

  • IMS Health (2011) 2010 U.S. spending and prescription information. http://www.imshealth.com/portal/site/imshealth/menuitem.a46c6d4df3db4b3d88f611019418c22a/?vgnextoid=ed2e5a6b5895f210VgnVCM100000ed152ca2RCRD&cpsextcurrchannel=1. Accessed 15 May 2011

  • Health Canada (January, 1996) The distinction between advertising and other activities. http://www.hc-sc.gc.ca/dhp-mps/advert-publicit/pol/actv_promo_vs_info-eng.php. Accessed 15 May 2011

  • Health Canada (November, 2000) Advertising campaigns for branded and unbranded messages. http://www.hc-sc.gc.ca/dhp-mps/advert-publicit/pol/advert-pub_camp-eng.php. Accessed 15 May 2011

  • Hollon MF (2005) Direct-to-consumer advertising. JAMA 293(16):2030–2033

    Article  Google Scholar 

  • Holmer AF (2002) Direct-to-consumer advertising—strengthening our health care system. N Engl J Med 346(7):526–528

    Article  Google Scholar 

  • Iizuka T (2004) What explains the use of direct-to-consumer advertising of prescription drugs? J Ind Econ 52(3):349–379

    Article  Google Scholar 

  • Iizuka T, Jin GZ (2005) The effect of prescription drug advertising on doctor visits. J Econ Manag Strat 14(3):701–727

    Article  Google Scholar 

  • Iizuka T, Jin GZ (2007) Direct-to-consumer advertising and prescription choice. J Ind Econ 55(4):771

    Article  Google Scholar 

  • Kolsarici C, Vakratsas D (2010) Category- versus brand-level advertising messages in a highly regulated environment. J Mark Res 47(6):1078–1089

    Article  Google Scholar 

  • Kremer STM, Bijmolt THA, Wieringa JE, Leeflang PSH (2008) Generalizations on the effectiveness of pharmaceutical promotional expenditures. Int J Res Mark 25(4):234–246

    Article  Google Scholar 

  • Leeflang PSH, Wittink DR, Wedel M, Naert PA (2000) Building models for marketing decisions. Kluwer Academic, Boston

    Book  Google Scholar 

  • Lee-Wingate SN, Xie Y (2010) Consumer perceptions of product-claim versus help-seeking direct-to-consumer advertising. Int J Pharm Healthcare Mark 4(3):232–246

    Article  Google Scholar 

  • Lexchin J, Mintzes B (2002) Direct-to-consumer advertising of prescription drugs: the evidence says no. J Public Policy Mark 21(2):194–201

    Article  Google Scholar 

  • Liu Q, Gupta S (2011) The impact of direct-to-consumer advertising of prescription drugs on physician visits and drug requests: empirical findings and public policy implications. Int J Res Mark 28(3):205–217

    Article  Google Scholar 

  • Narayanan S, Desiraju R, Chintagunta PK (2004) Return on investment implications for pharmaceutical promotional expenditures: the role of marketing-mix interactions. J Mark 68(4):90–105

    Article  Google Scholar 

  • Narayanan S, Manchanda P, Chintagunta PK (2005) Temporal differences in the role of marketing communication in new product categories. J Mark Res 42(3):278–290

    Article  Google Scholar 

  • Osinga EC, Leeflang PSH, Srinivasan S, Wieringa JE (2011) Why do firms invest in consumer advertising with limited sales response? A shareholder perspective. J Mark 75(1):109–124

    Article  Google Scholar 

  • Peppin P (2006) Directing consumption: direct-to-consumer advertising and global health. In: Bennett B, Tomossy GF (eds) Globalization and health. Springer, Dordrecht

    Google Scholar 

  • Pines WL (1999) A history and perspective on direct-to-consumer promotion. Food Drug Law J 54:489–518

    Google Scholar 

  • Rosenthal M, Berndt ER, Donohue JM, Epstein AM, Frank RG (2003) Demand effects of recent changes in prescription drug promotion. Forum Health Econ Policy 6(2):1–6

    Google Scholar 

  • Simon JL, Arndt J (1980) The shape of the advertising response function. J Advert Res 20(4):11–28

    Google Scholar 

  • Stremersch S, Landsman V, Venkataraman S (2012) The relationship between DTCA, drug requests and prescriptions: uncovering variation across specialty and space. Working paper

    Google Scholar 

  • Vakratsas D, Ambler T (1999) How advertising works: what do we really know? J Mark 63(1):26–43

    Article  Google Scholar 

  • Vakratsas D, Kolsarici C (2008) Dual-market diffusion for a new prescription pharmaceutical. Int J Res Mark 25(4):282–293

    Article  Google Scholar 

  • Vakratsas D, Feinberg FM, Bass FM, Kalyanaram G (2004) The shape of advertising response functions revisited: a model of dynamic probabilistic thresholds. Mark Sci 23(1):109–119

    Article  Google Scholar 

  • Wolfe SM (2002) Editorial: direct-to-consumer advertising—education or emotion promotion? N Engl J Med 346(7):524–526

    Article  Google Scholar 

  • Wosinska M (2002) Just what the patient ordered? Direct-to-consumer advertising and the demand for pharmaceutical products. Unpublished manuscript

    Google Scholar 

  • Wosinska M (2005) Direct-to-consumer advertising and drug therapy compliance. J Mark Res 42(3):323–332

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Demetrios Vakratsas .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Vakratsas, D., Kolsarici, C. (2014). How DTCA Influences Prescription Pharmaceutical Markets. In: Ding, M., Eliashberg, J., Stremersch, S. (eds) Innovation and Marketing in the Pharmaceutical Industry. International Series in Quantitative Marketing, vol 20. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7801-0_22

Download citation

Publish with us

Policies and ethics