Exam 11: Pharmaceuticals

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What is the average time period for the introduction of a new drug into market?

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One of the common tasks for pharmacoeconomists employed by large pharmaceutical companies is performing a cost effectiveness study of a new drug.

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Costs structure in the pharmaceutical industry is largely characterized by fixed expenses which are proportional to output levels.

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Explain why R&D by surgeons in hospitals can be expected to lead to more process innovations than product innovations. Compare the regulation of surgeons' use of new surgical skills with the regulation of new drugs.

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Phase I of FDA testing involves human testing for efficacy of an Investigational New Drug (IND).

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On average, government-funded expenditures on prescription drugs are about $200 per person per year.

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What does the term "detailing" mean in the pharmaceutical industry?

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Economies of scale are a common feature of R&D in the pharmaceutical industry.

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Many mail-order pharmacies these days are owned by PBMs. Addressing the concerns that such ownership might lead to a conflict of interest, the Federal Trade Commission (FTC) launched an investigation into this practice and published its report "Pharmacy Benefits Managers: Ownership of Mail-Order Pharmacies" in 2005. The report found, however, that there were no significant differences between the practices of the two types of mail-order pharmacies, including no significant differences in the use of generics between PBM-owned (35% of all dispensed drugs) vs. non-PBM owned (36% of all dispensed drugs) mail-order pharmacies. Discuss what could be a valid explanation behind this finding.

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The proportion of expenditures paid out of pocket for pharmaceuticals today is greater than the fraction of expenditures paid out of pocket for physician or hospital services.

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