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Industry price guarantees for publicly funded medicines: learning from Project NextGen for pandemics and beyond.
Lynch, Holly Fernandez; Conti, Rena M; Contreras, Jorge L.
Afiliación
  • Lynch HF; University of Pennsylvania, Perelman School of Medicine and Carey Law School, Philadelphia, PA, United States.
  • Conti RM; Boston University, Questrom School of Business, Boston, MA, United States.
  • Contreras JL; University of Utah, SJ Quinney College of Law, Salt Lake City, UT, United States.
J Law Biosci ; 11(2): lsae019, 2024.
Article en En | MEDLINE | ID: mdl-39281965
ABSTRACT
The affordability of publicly funded medicines has been a longstanding concern. In 2023, the Biden administration took several steps on this front, including incorporation of a price constraint in an agreement between the US Biomedical Advanced Research and Development Authority (BARDA) and Regeneron Pharmaceuticals, Inc. to develop a new COVID-19 monoclonal antibody. The agreement included a 'Most Favored Nation' (MFN) clause in which Regeneron agreed that the US commercial list price of certain products developed using BARDA funding would not exceed their retail price in comparable global markets. The Administration for Strategic Preparedness and Response (ASPR) included similar language in subsequent agreements, with a promise that this would become a new standard. Even beyond the preparedness context, government funders and purchasers might consider incorporating similar clauses in future contracts, especially given that the Regeneron agreement and its progeny have been praised as 'groundbreaking.' Yet a closer look reveals cause for skepticism. Regeneron's MFN clause includes several loopholes related to covered purchasers and reference countries, prices, and conditions. We describe agreement terms that can make the difference between legally meaningful price constraints and mere window dressing. Our critical analysis offers important lessons for future efforts to improve the affordability of medical technology developed with public funds.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Law Biosci Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Law Biosci Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido