Acknowledgments |
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xvii | |
Introduction |
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xix | |
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PART A LIFECYCLE MANAGEMENT BUSINESS ENVIRONMENT |
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1 | (54) |
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1 Challenges Facing the Branded Drug Industry |
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3 | (27) |
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1.1 Depleted NME Pipelines/Lower R&D Efficiency |
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4 | (4) |
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1.2 Higher Development Costs |
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8 | (1) |
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9 | (3) |
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1.4 Tougher Environment for Pricing, Reimbursement, and Listing |
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12 | (4) |
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1.5 Increased Competition |
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16 | (1) |
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1.6 Earlier Genericization |
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17 | (1) |
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1.7 Faster Sales Erosion Following Patent Expiry |
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18 | (2) |
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1.8 Poor Image of Branded Drug Industry |
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20 | (6) |
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1.8.1 Prosperity of the Branded Drug Industry |
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21 | (1) |
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22 | (1) |
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1.8.3 Marketing Spend and Tactics |
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22 | (1) |
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23 | (1) |
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1.8.5 Keeping Generics Off the Market |
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24 | (2) |
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26 | (4) |
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2 The Life Cycle of Industries, Technologies, and Brands |
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30 | (8) |
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2.1 Diffusion of Innovations |
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30 | (2) |
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32 | (2) |
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34 | (4) |
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34 | (1) |
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35 | (1) |
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35 | (1) |
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36 | (1) |
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36 | (2) |
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3 The Life Cycle of a Pharmaceutical Brand |
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38 | (17) |
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3.1 Lifecycle Curve of Pharmaceuticals |
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41 | (3) |
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3.1.1 Slow Rate of Growth during the Growth Phase |
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42 | (1) |
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3.1.2 Lack of a True Maturity Phase |
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43 | (1) |
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3.1.3 Precipitous Decline Phase |
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43 | (1) |
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3.2 Factors Affecting Rate of Conversion to Generics |
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44 | (2) |
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44 | (1) |
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44 | (1) |
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45 | (1) |
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3.2.4 Hospital versus Nonhospital Drug Usage |
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45 | (1) |
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3.2.5 Active Substance and Other Barriers to Entry |
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46 | (1) |
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3.3 The Life Cycle of a Pharmaceutical Brand |
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46 | (9) |
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PART B LIFECYCLE MANAGEMENT REGULATORY AND LEGAL ENVIRONMENT |
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55 | (22) |
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4 The Generic Approval Process |
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57 | (5) |
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57 | (2) |
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59 | (2) |
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61 | (1) |
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5 Hatch-Waxman Legislation and Its Effects on LCM |
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62 | (7) |
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5.1 Hatch-Waxman Act of 1984 |
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62 | (2) |
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5.2 Medicare Modernization Act of 2003 |
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64 | (1) |
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5.3 FDA Amendments Act of 2007 |
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65 | (1) |
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5.4 Q1 Program Supplemental Funding Act of 2008 |
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66 | (1) |
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5.5 Discussion of Hatch-Waxman Legislation |
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66 | (3) |
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6 U.S. Health-Care Reform 2010 |
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69 | (3) |
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7 European Sector Inquiry |
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72 | (5) |
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PART C PATENTS AND EXCLUSIVITIES |
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77 | (36) |
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8 Patents and Other Intellectual Property Rights |
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79 | (20) |
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8.1 Nonpatent Intellectual Property Rights |
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79 | (2) |
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81 | (2) |
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83 | (4) |
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8.3.1 Patentable Subject Matter |
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83 | (1) |
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84 | (1) |
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85 | (1) |
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86 | (1) |
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86 | (1) |
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8.4 How Long Does a Patent Last? |
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87 | (1) |
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8.5 Patent Term Restoration in the United States |
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87 | (1) |
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8.6 Supplementary Protection Certificates in Europe |
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88 | (1) |
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8.7 Patent Term Extension in Japan |
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89 | (1) |
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8.8 How Are Patents Obtained? |
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89 | (2) |
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91 | (1) |
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92 | (2) |
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8.10.1 Composition of Matter Patent |
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93 | (1) |
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8.10.2 Medical Use Patent |
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93 | (1) |
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8.10.3 Formulation Patent |
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94 | (1) |
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8.11 KSR versus Teleflex---Raising the Nonobviousness Bar |
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94 | (2) |
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96 | (3) |
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9 Nonpatent Exclusivities |
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99 | (8) |
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9.1 NCE Exclusivity (United States) |
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99 | (1) |
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9.2 New Clinical Study Exclusivity (United States) |
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100 | (1) |
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9.3 Data and Marketing Exclusivity (Europe) |
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100 | (1) |
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9.4 Data Exclusivity (Japan) |
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101 | (1) |
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9.5 Orphan Drug Exclusivity |
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101 | (2) |
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9.6 Pediatric Exclusivity |
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103 | (2) |
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9.7 180-Day Generic Product Exclusivity |
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105 | (2) |
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107 | (6) |
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113 | (54) |
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11 Strategic Principles of Developmental LCM |
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115 | (8) |
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11.1 Developmental LCM Goal 1: Provide a Meaningful Improvement in Clinical Profile |
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116 | (2) |
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11.2 Developmental LCM Goal 2: Increase the Potential Real-World Patient Potential for the Brand |
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118 | (2) |
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11.3 Developmental LCM Goal 3: The Ability to Generate an ROI |
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120 | (1) |
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11.4 Developmental LCM Goal 4: The Ability to Enhance Market Exclusivity of the Brand Franchise |
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121 | (2) |
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12 Indication Expansion and Sequencing |
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123 | (8) |
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12.1 Categories of Indication Expansion |
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123 | (8) |
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13 Patient Subpopulations and Personalized Medicine |
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131 | (9) |
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13.1 What Does a Good Patient Selection Strategy Look Like? |
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135 | (3) |
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13.2 Patient Selection without Predictive Criteria: Post Hoc Approaches |
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138 | (1) |
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13.3 What about the Patients Who Are Not Selected? |
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139 | (1) |
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14 New Dosage Strengths, New Dosage Regimens |
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140 | (3) |
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14.1 New Dosage Strengths |
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140 | (1) |
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141 | (2) |
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15 Reformulation, New Routes of Administration, and Drug Delivery |
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143 | (9) |
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15.1 Reformulation and New Routes of Administration |
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143 | (6) |
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15.1.1 Switch and Grow Strategy |
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143 | (2) |
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15.1.2 Expand and Grow Strategy |
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145 | (1) |
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145 | (4) |
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15.2 Drug Delivery Devices |
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149 | (3) |
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16 Fixed-Dose Combinations (FDCs) and Co-Packaging |
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152 | (7) |
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17 Second-Generation Products and Modified Chemistry |
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159 | (6) |
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160 | (1) |
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161 | (1) |
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17.3 Salts, Ethers, and Esters |
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162 | (1) |
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17.4 Prodrugs and Metabolites |
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163 | (2) |
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18 Other Developmental LCM Strategies |
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165 | (2) |
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18.1 Manufacturing Strategies |
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165 | (1) |
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18.2 White Papers and Citizen Petitions |
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166 | (1) |
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167 | (40) |
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19 Strategic Principles of Commercial LCM |
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169 | (3) |
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19.1 Commercial LCM Goal 1: The Ability to Drive Widespread and Preferential Patient Access to the Brand |
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170 | (1) |
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19.2 Commercial LCM Goal 2: The Ability to Defend Market Access and Formulary Position |
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170 | (1) |
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19.3 Commercial LCM Goal 3: The Ability to Optimize Profitability of the Brand Franchise |
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171 | (1) |
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20 Geographical Expansion and Optimization |
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172 | (6) |
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20.1 Geographic Expansion |
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174 | (1) |
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20.2 Harmonization and Rationalization |
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175 | (3) |
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178 | (8) |
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21.1 What to Switch: Choosing the Best Approach |
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179 | (2) |
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21.2 Where to Switch: Dealing with Intermarket Variability |
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181 | (2) |
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21.3 When to Switch: Balancing the Product Life Cycle? |
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183 | (1) |
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21.4 How to Make the Switch Successful: What Corporate Support Is Required? |
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184 | (2) |
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22 Brand Loyalty and Service Programs |
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186 | (4) |
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23 Strategic Pricing Strategies |
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190 | (8) |
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23.1 Pricing Strategy and Tactics in the Launch and Growth Phases |
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190 | (3) |
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23.2 Pricing Strategy and Tactics Following Patent Expiry |
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193 | (5) |
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24 Generic Strategies and Tactics |
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198 | (6) |
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Building a Generic Portfolio: Old versus New Thinking |
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202 | (2) |
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204 | (3) |
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Executing the Exit Strategy |
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206 | (1) |
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PART F BIOLOGICS AND BIOSIMILARS |
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207 | (26) |
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209 | (8) |
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26.1 Emergence of Biotech |
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209 | (1) |
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210 | (1) |
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210 | (1) |
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26.3 Uptake and Value of Biologics |
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211 | (2) |
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213 | (4) |
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26.4.1 Next-Generation Biologics |
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213 | (1) |
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214 | (1) |
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26.4.3 Indication Expansion |
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215 | (1) |
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26.4.4 Self-Injection Devices |
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215 | (2) |
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27 Biosimilars and Their Impact on Biologic LCM |
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217 | (16) |
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27.1 Changing Terminology: Biogenerics, Biosimilars, and FOBs |
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217 | (2) |
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27.2 Why Are Biosimilars a Big Deal? |
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219 | (1) |
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27.3 How Are Biosimilars Different? |
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220 | (1) |
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27.4 Biosimilar Approval Pathways |
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220 | (3) |
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27.4.1 Biosimilars in Europe |
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220 | (1) |
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27.4.2 Biosimilars in the United States |
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221 | (1) |
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27.4.3 Biosimilars around the World |
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222 | (1) |
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27.5 Substitution of Biosimilars |
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223 | (2) |
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27.5.1 Automatic Substitution |
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223 | (1) |
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27.5.2 Therapeutic Substitution |
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224 | (1) |
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27.6 Innovator Responses to Biosimilar Threats |
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225 | (1) |
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27.7 The Future for Biologics LCM |
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226 | (3) |
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27.7.1 Legal Strategies in the United States |
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227 | (1) |
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27.7.2 Indication Expansion in Europe |
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228 | (1) |
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27.7.3 Brand Loyalty Programs and Services |
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229 | (1) |
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27.8 The Emergence of the "Innovasimilar" Biopharma Company |
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229 | (2) |
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231 | (2) |
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PART G THE INTEGRATED BRAND LCM STRATEGY AND ITS IMPLEMENTATION |
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233 | (44) |
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28 Strategic Goals of LCM Brand Plans |
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235 | (3) |
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235 | (2) |
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28.2 Comparative Clinical Profile versus Gold Standard |
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237 | (1) |
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28.3 Level of Market Unmet Need |
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237 | (1) |
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29 Ten Keys to Successful LCM |
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238 | (16) |
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29.1 Excellent Functional Expertise |
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238 | (6) |
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239 | (1) |
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29.1.2 Regulatory Affairs |
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240 | (1) |
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29.1.3 Clinical Development |
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240 | (1) |
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29.1.4 Formulation Scientists |
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241 | (1) |
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29.1.5 Marketing and Sales |
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242 | (1) |
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243 | (1) |
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29.2 Visible Management Support |
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244 | (1) |
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29.3 Unambiguous Ownership |
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245 | (1) |
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246 | (2) |
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29.5 A Robust "Broad to Bespoke" Process |
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248 | (1) |
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29.6 Focus on "High LCM Value Brands" |
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249 | (1) |
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250 | (1) |
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29.8 Measurements and Rewards |
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250 | (2) |
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29.9 Training and Support |
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252 | (1) |
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252 | (2) |
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30 Organizational Structures and Systems for Ensuring Successful LCM |
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254 | (14) |
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30.1 Organization of Project and Brand Management |
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254 | (5) |
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30.1.1 Functional Structure |
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255 | (1) |
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255 | (2) |
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257 | (2) |
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30.2 Project and Brand LCM Structures |
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259 | (4) |
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30.3 LCM Center of Excellence |
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263 | (3) |
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30.4 Composition of the LCM CoE |
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266 | (2) |
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31 The LCM Process: Description, Timing, and Participants |
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268 | (9) |
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31.1 Purpose of the LCM Process |
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268 | (1) |
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31.2 Timing of the LCM Process |
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269 | (2) |
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31.3 Description of the LCM Process |
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271 | (6) |
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PART H INTEGRATING LCM WITH PORTFOLIO MANAGEMENT |
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277 | (14) |
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32 Principles of Portfolio Management |
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279 | (5) |
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33 LCM Projects in the Development Portfolio |
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284 | (2) |
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34 Managing Established Brand Portfolios |
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286 | (5) |
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34.1 What Do You Do with a Priority Established Brand? |
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288 | (1) |
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34.2 What about the Nonpriority Brands? |
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289 | (1) |
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34.3 Building the Ideal Established Brands Portfolio |
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290 | (1) |
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291 | (3) |
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294 | (77) |
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A.1 Market and Product-Shaping Dynamics in Action |
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294 | (4) |
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Alzheimer's Disease Therapies: Aricept®, Exelon®, and Reminyl®/Razadyne® |
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294 | (3) |
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297 | (1) |
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A.2 Optimizing Clinical Profile versus Gold Standards |
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298 | (1) |
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Angiotensin II Receptor Blockers (ARBs): Cozaar®, Micardis®, and Benicar® |
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298 | (1) |
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299 | (1) |
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A.3 Partnering to Ensure Reimbursement and Collection of Cost-Effectiveness Data |
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299 | (2) |
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299 | (2) |
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301 | (1) |
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A.4 Active Metabolites and Late-Listed Patents |
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301 | (2) |
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301 | (2) |
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303 | (1) |
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A.5 A Fixed-Dose Combination (FDC) That Could Not Fail, or Could It? |
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303 | (2) |
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303 | (1) |
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304 | (1) |
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305 | (2) |
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Certican®/Zortress® and Afinitor® |
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305 | (1) |
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306 | (1) |
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A.7 Killing a Franchise through Over-the-Counter (OTC) Switching |
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307 | (1) |
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307 | (1) |
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308 | (1) |
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A.8 Moving FDCs to the Fore in Diabetes |
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308 | (2) |
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Diabetes Therapies: Glucophage®, Avandia®, Actos®, and Januvia® |
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308 | (2) |
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310 | (1) |
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A.9 FDCs and Multiple Dosage Strengths |
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310 | (2) |
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Diovan® and Tekturna®/Rasilez® |
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310 | (2) |
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312 | (1) |
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A.10 Building a Compliance Support Program |
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312 | (2) |
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312 | (2) |
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314 | (1) |
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A.11 Targeting Responders with High-Price Cancer Agents |
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314 | (1) |
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314 | (1) |
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315 | (1) |
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A.12 Failure of a "No-Brainer" LCM Strategy |
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315 | (5) |
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315 | (4) |
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319 | (1) |
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A.13 At-Risk Launches and Prodrug Patents |
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320 | (2) |
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320 | (1) |
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321 | (1) |
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A.14 New Dosages, FDC, and Patent Litigation |
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322 | (3) |
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322 | (2) |
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324 | (1) |
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A.15 High Regulatory Hurdles for Lifestyle Drugs |
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325 | (2) |
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325 | (2) |
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327 | (1) |
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A.16 Big Money from Orphan Indications |
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327 | (3) |
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327 | (2) |
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329 | (1) |
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A.17 Not Giving Up on a Controversial Brand |
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330 | (2) |
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330 | (2) |
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332 | (1) |
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A.18 Expanding a Medical Aesthetics Franchise with an Ophthalmic Drug |
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332 | (3) |
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332 | (2) |
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334 | (1) |
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A.19 Patent Expiry of the Biggest Drug Brand Ever |
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335 | (1) |
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335 | (1) |
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336 | (1) |
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A.20 Early Out-Licensing by Biotech: Take the Money and Run |
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336 | (2) |
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336 | (2) |
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338 | (1) |
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A.21 Codevelopment and Comarketing Deals End in a Megamerger |
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338 | (6) |
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Merck and Schering-Plough: Zetia®/Vytorin® and Claritin/Singulair® |
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338 | (1) |
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339 | (3) |
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342 | (1) |
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343 | (1) |
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A.22 A Hugely Successful LLCM Switch Strategy: Business Needs and Reputational Issues Collide |
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344 | (5) |
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344 | (1) |
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344 | (1) |
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345 | (2) |
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347 | (2) |
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A.23 Combining Production Outsourcing with Settlement with a Generic Competitor |
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349 | (2) |
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349 | (2) |
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351 | (1) |
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A.24 Reformulating for Success in Osteoporosis |
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351 | (3) |
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Osteoporosis Drugs: Fosamax, Actonel®, Boniva®, and Aclasta® |
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351 | (2) |
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353 | (1) |
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A.25 Isomerism, Polymorphism, and Settlements |
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354 | (2) |
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354 | (1) |
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355 | (1) |
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A.26 Payers versus Brand for Patient Selection |
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356 | (2) |
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356 | (1) |
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357 | (1) |
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A.27 Litigation Can Delay Generic Entry in the OTC Field Too |
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358 | (2) |
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358 | (1) |
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359 | (1) |
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A.28 Inconsistent Court Decisions Can Hurt Both Brand and Generic Companies |
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360 | (2) |
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360 | (1) |
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361 | (1) |
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A.29 Holding on to an Antipsychotic Franchise |
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362 | (2) |
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362 | (1) |
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363 | (1) |
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A.30 LCM Creates an Almost Immortal Brand |
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364 | (2) |
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364 | (1) |
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365 | (1) |
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A.31 LCM of a Women's Health Franchise |
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366 | (3) |
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366 | (2) |
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368 | (1) |
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A.32 Indication Expansion/New Dosage Strength |
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369 | (2) |
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Zometa/Reclast® (Aclasta) |
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369 | (1) |
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370 | (1) |
Index |
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371 | |