Preview

The Medicines Company

Good Essays
Open Document
Open Document
702 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
The Medicines Company
Javikorn Chantanasuksilp
EGRMGMT 510.03
10/19/2014

The Medicines Company held a policy of rescuing abandoned drugs. It believed that there was still value in drugs that failed to meet a developer’s initial expectations. Its first product was Angiomax, a blood thinning drug or “anticoagulant”. The company had to compete with the existing drug named Heparin which it believed that there were lots of disadvantages of using Heparin compared to Angiomax in terms of unpredictability, high risk of bleeding and adverse reaction
Here is the analysis.
Risk of Complication
Type of Drug

Heparin

Angiomax

Difference

Very High Risk (10%)

21.4 %

7.8 %

13.6 %

High Risk
(40%)

16.5 %

9.5 %

7%

Low Risk
(50%)

3.5 %

Hospital will have additional $8,000 if there is any complication or death
We can calculate cost saving divided by risk of complication
Very High Risk : cost saving = 8000 x 13.6% = 1088
High Risk : cost saving = 8000 x 7% = 560
Low Risk : cost saving = 8000 x 3.5& = 280
If we consider cost of Heparin and Angiomax, we can calculate the value in use for High Risk patients
Average Dosage of Heparin for 1 patient = 4 doses
Average Dosage of Angiomax for 1 patient = 0.7 x 1 + 0.3 x 2.5 = 1.45 doses
Cost of Heparin per dose = 2
Therefore, average cost saving for changing to Angiomax considering High Risk = 560 + (4 x 2) = 568
With the average of 1.45 doses per patient, the value in use = 568/1.45 = $ 391.72 per dose

We can calculate the break even price
According to the information given, 700,000 angioplasties were performed in 1999 and the company focused on 92% of all angioplasty procedures. Therefore, we consider only 92% of
700,000 angioplasties.
I assume that we can turn cardiologists who scaled 3 -5 points on Heparin into Angiomax
Hence, there are 22% of cardiologists that we can sell the drug.
Fixed cost

Amount

Quantity = 700,000 x 1.45 x 92% x 22% = 205,436 doses / year

Upfront fee

2

You May Also Find These Documents Helpful

  • Better Essays

    Looking at Construstit of the average utilization of services they are group by age they are from 26 to 45. The inpatient services are 3% for Standard and 6% for the Enhanced this is an annual rate and for surgery it is 6% for Standard and 8% for Enhanced. The annual utilization for emergences is 6% and is the same for the Standard plan and Enhanced plan is also 6%, but the average is 8%. The utilization in standard is to be expected can be anywhere from 3% to 10%, but overall the annual average is 6% for…

    • 1122 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Medicines Co Case

    • 625 Words
    • 3 Pages

    For drug administrators, their incentive for using the drug is that the drug’s got to make economic sense. Data showed that for more than 4,300 patients, Angiomax was a more superior alternative to Heparin. Also shown in tables b and c that it effectively reduced the incidences of death by 30% , heart attack by 26%, need for a repeat angioplasty by 14% and major bleeding by 65% (sum of weighted average between high risk and very high risk). Given the average cost per death, heart attack, repeat angioplasty and major bleeding is $8,000 to the hospital, a drug administrator should consider this drug as a cost saver. Product also works much faster, instead of 2-3 hours, it took 30minutes, that might save nurse cost.…

    • 625 Words
    • 3 Pages
    Powerful Essays
  • Powerful Essays

    The Medicines Company

    • 868 Words
    • 5 Pages

    The Medicines Company Case Write-Up: Terence Cho, Felipe Duarte, Aleks Loiko, Robert Shaw, and James Wang…

    • 868 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    Medcalfe

    • 984 Words
    • 4 Pages

    Other medical expenses (prescriptions, medicines, costs of treatment etc) ($50 per week for 20 years) = $52,000…

    • 984 Words
    • 4 Pages
    Good Essays
  • Good Essays

    As indicated in the question, Private insurance and Self-Pay pay full charge, so we need to make a price list for these two types of payers and calculate the special price for NHS.…

    • 3811 Words
    • 16 Pages
    Good Essays
  • Powerful Essays

    In 1991, the Center for Medicare and Medicaid Services (CMS) convened a series of Technical Expert Panels (TEP) to refine Hsaio’s initial estimates of work for selected procedures. One of these was percutaneous transluminal coronary angioplasty (PTCA). A representative of the SCAI/ACC convinced the TEP to increase reimbursement for PTCA from Hsaio’s estimate of 9.5 RVU’s to 10.5 RVU’s. The 20 million or so coronary angioplasty and stenting procedures performed in the US…

    • 2223 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    This year, about 580,350 US residents are expected to die of cancer – that’s nearly 1,600 people a day. Cancer is the second most common cause of death in the United States, exceeded only by heart disease. Cancer accounts for nearly 1 out of every 4 deaths in the United States. Drug prices are becoming a developing issue for every disease, especially for people who are uninsured. But the cost of cancer has shown an alarming increase and is steadily growing. As a list of more advanced biotech drugs become available the cost for treatment rounds costing $100,000, or even more, are no longer a rarity. With each new drug means more research which in turn means more money. Patients’ living longer is great news but also means they need treatment for longer periods which also increases cost. Prices reflect manufacturers’ years of research and development investment. Also, many drug companies donate a certain amount of medication to prescription-assistance programs that provide them for free to patients who otherwise couldn’t pay. This is a great program but is also extremely costly and directly contributes to the cost.…

    • 498 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Escape Fire Analysis

    • 952 Words
    • 4 Pages

    Many times, doctors order medical procedures and drugs without thinking twice about the need. For example, Yvonne Osborn complained of severe chest pain which led to a heart attack. In a few years, she underwent twenty-seven cardiac catheterizations and over seven heart stents. When Yvonne turned to Cleveland Clinic as her last resort, Dr. Leslie Cho concluded that prior control of Yvonne’s diabetes, blood pressure, and cholesterol would have eliminated many catheterizations and stents. Lack of communication between the physician and the patient permitted financial gains for the doctor(s) who performed the surgical procedures for Yvonne. The physical and emotional distress Yvonne endured is far more important than the combined cost of care over the years of $1.5 million. Dr. Cho states, “But it’s more than the costs. It’s just so much more than the money. The psychological trauma of every one of those multiple cardiac catheterizations…every time she had a chest pain coming into the ER…And unfortunately, there are lots of Yvonnes out there” (Escape Fire). Dr. Cho is absolutely right. The body can only handle so much strain, and if unnecessary procedures are preventable, then financial incentives should not drive potential harm to the…

    • 952 Words
    • 4 Pages
    Good Essays
  • Good Essays

    This allows us to gather more clinical data with its use. I would continue to monitor the patients’ recovery status and length of stay in the hospital. If the pharmacy budget permits and the results on healing time are positive and significant, I would allow the blood fraction to be stocked for subsequent years. If the results on healing time is insignificant, I would not continue stocking the blood fraction after one year. One may argue that it may have other benefits such as, the ability to boost the immune system. I would not stock this product for its ability to boost the patients’ immune system because there are better, more cost effective alternatives such as Immune Globulin.2 In contrast, if the budget is not enough for the pharmacy to stock the blood fraction but the healing time in patients have shown to be slightly positive, I would not add this medication to our formulary because this would require the pharmacy to destock other medications. Most of the formulary medications in hospitals have significant clinical data to support their use. Therefore, I would deny the surgeon’s request on the basis of low budget and insignificant clinical trials of specialized blood…

    • 416 Words
    • 2 Pages
    Good Essays
  • Good Essays

    The drug was a maintenance medication for painful conditions such as arthritis. Maintenance drugs became highly desired by pharmaceutical companies due too long term profitability resulting from no cure CITATION Law14 \l 1033 (Lawerence & Weber, 2014). Vioxx was prescribed to over twenty million people in the United States. Merck posted a seven billion dollar profit in a single year from Vioxx CITATION Law14 \l 1033 (Lawerence & Weber, 2014). Within six years from its release, Vioxx was recalled from the market due to adverse health defects. Merck voluntarily recalled the product resulting from post marketing safety…

    • 1192 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    Questions 6

    • 535 Words
    • 2 Pages

    References: Williams, S.J, Torrens, P.R., (2008). Chapter 11: The Pharmaceutical Industry. Introduction to Health Services (7th ed).…

    • 535 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    The physicians are compensated for each procedure that they do, regardless of whether it is necessary or beneficial, so they want to do more procedures to make more money (Weisberg, 2012). The other driving factors of delivery of care include commission on certain drugs, such as chemotherapy. Makary explained that most chemotherapy medications are only sold at hospitals, so the doctor and the hospital make “thousands more in income” if a patient chooses that drug. This is incentive for the hospital and the doctor to push the drug on patients who may have other options. Lastly, some doctors are given incentives if they increase their number of procedures. The book gave one example of a surgeon who was told by his department head to try and do more operations, as his “productivity” would be used to determine his bonus (Makary, 2012). All of these factors switch the focus of delivery of care away from safe and good quality care for patients to whatever will increase…

    • 922 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Currently the clinic sees about 45 patients per day and they have capacity to handle 85. If they continue how they are operating the clinic is looking at a loss of $3,173. At this rate the clinic will not be able to make a profit in spite of inflation over the next couple years.…

    • 964 Words
    • 4 Pages
    Satisfactory Essays
  • Good Essays

    Inelastic demand

    • 630 Words
    • 3 Pages

    respect to product failures ; or why the market for quack medicines flourished for more…

    • 630 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Adverse Drug Reactions

    • 883 Words
    • 4 Pages

    7. Use of sub-standard medications whose composition and ingredients do not meet the correct scientific requirements, and can be ineffective or dangerous.…

    • 883 Words
    • 4 Pages
    Satisfactory Essays