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Affordable and flexible pricing
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Flexible pricing

Pricing is one factor that impacts on access to medicines and vaccines. We are adopting a range of flexible pricing models that reflect our commitment to work with governments and other stakeholders to deliver our medicines and vaccines to as many needy people as possible. In the Least Developed Countries (LDCs) we offer substantially reduced pricing for patented medicines. In these countries and beyond in sub-Saharan Africa we offer not-for-profit prices for HIV/AIDS medicines. We offer tiered pricing for GSK vaccines worldwide.

Many of the poorer communities within middle-income countries also need assistance. However, our ability to offer not-for-profit or highly preferential prices in the world’s poorest countries is only sustainable if we can continue to make an adequate return on our medicines and vaccines in better off markets. Many middle-income countries are also growing commercial markets for GSK and represent an important source of future business for our industry. We are exploring a range of pricing approaches that balance our commercial objectives with the need to increase access to medicines for those who cannot afford to pay in these markets. These include: flexible, tiered and preferential pricing models; tailored products; and local sourcing and manufacturing arrangements.

Even in developed countries, some patients lack access to medicines. This is a particular problem for uninsured patients in the US. We seek to price medicines fairly in these countries and at a level that reflects their value to patients and payers. Our US Patient Assistance Programs and discount savings cards provide access to GSK medicines for uninsured patients at no or minimal cost. We also offer discount cards in Lithuania and Ukraine

Vaccines – our tiered pricing model

Vaccines make a significant contribution to public health, helping to prevent many potentially fatal infectious diseases. Immunization is acknowledged by the World Health Organization (WHO) as being ‘among the most cost-effective of health investments’. For over 20 years we have made our vaccine portfolio available at preferential prices to developing countries, including LDCs, using a tiered pricing system. Prices are linked to gross national incomes as defined by the World Bank, as well as the size of an order and the length of a particular supply contract. By selling our vaccines in large volumes through longer-term contracts we are able to significantly reduce the price of each individual dose. For the developing world, prices can be as little as a tenth of those for developed countries. This model works for vaccines because the demand is relatively predictable, because centralized bulk procurement by groups such as UNICEF, GAVI and PAHO is possible
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We work with these multinational organizations to provide appropriate and affordable vaccines for developing countries. Tiered pricing applies across our vaccine range from our basic polio vaccines to our specially developed combination vaccines that target several diseases. In addition to tiered pricing, we are looking for innovative ways to increase access to vaccines in poorer countries. One option being pursued for Cervarix, our vaccine against human papillomavirus, is to partner with a major international non-governmental organization to leverage its distribution network to create sustainable expansion of access to our vaccine in the developing world, where most cervical cancer deaths occur. Results from a pilot programmed launched in South America in 2009 are encouraging.
Our malaria vaccine

We hope that our malaria vaccine will be ready to file with regulatory authorities in 2012 for young African children aged five to 17 months. So far GSK has invested $300 million in R&D for this vaccine and our partner, PATH Malaria Vaccine Initiative (MVI), has invested a further $200 million. The dilemma we face is that, unlike virtually every other vaccine, there is no wealthy market for this vaccine, so tiered pricing is not appropriate.

In a speech at the Council on Foreign Relations in January 2010, GSK’s CEO Andrew Witty laid out the principles we will pursue when setting a responsible price for this vaccine.

First, we must set a price that is sustainable, which covers our costs and allows for investment in high quality manufacture and continued investment in follow on R&D.

Secondly, we do not want to price in a way that will discourage others from continuing to invest in R&D in this area. We believe, therefore, that it would not be helpful to launch the first vaccine at a not-for-profit price as it could create an expectation that all following products would have to be similarly priced. This could be a major disincentive to investment for some organizations.

We will therefore set a price which covers our costs and makes a small return. We will reinvest this return in R&D for second generation malaria vaccines or for other vaccines for diseases of the developing world.

Vaccine production is very sensitive to economies of scale, so until we have a better idea of our own cost structure and of the likely demand for the vaccine we will not be able to provide guidance on what the actual price will be.

In addition to the price commitment, GSK has pledged to donate at least 12.5 million doses of vaccine to the PATH Malaria Vaccine Initiative.

 
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