The relationship between pediatric combination vaccines and market effects

B. Behzad, S.H. Jacobson, J.A. Jokela and E.C. Sewell

American Journal of Public Health, 2014, vol. 104, issue 6, 998-1004

Abstract: We explored market factors that affect pediatric combination vaccine uptake in the US public-sector pediatric vaccine market. We specifically examined how Pediarix and Pentacel earned a place in the 2009-2012 lowest overall cost formulary. Direct competition between Pediarix and Pentacel is driven by the indirect presence of the Merck Haemophilus influenzae type b vaccine and the Recommended Childhood Immunization Schedule requirement for a hepatitis B birth dose. The resulting analysis suggests that Pentacel would never have earned a place in the lowest overall cost formulary for 2009-2012 federal contract prices for any cost of an injection unless the Merck H influenzae type b advantage was ignored and the hepatitis B birth dose administration cost was recognized by health care providers in designing the lowest overall cost formularies.

Keywords: diphtheria pertussis poliomyelitis tetanus Haemophilus influenzae type b vaccine; diphtheria pertussis poliomyelitis tetanus hepatitis B vaccine; diphtheria pertussis tetanus vaccine; Haemophilus vaccine; hepatitis B vaccine; poliomyelitis vaccine; vaccine, article; child; drug cost; drug industry; economics; human; infant; newborn; preschool child; preventive health service; United States, Child; Child, Preschool; Diphtheria-Tetanus-Pertussis Vaccine; Drug Costs; Drug Industry; Haemophilus Vaccines; Hepatitis B Vaccines; Humans; Immunization Programs; Infant; Infant, Newborn; Poliovirus Vaccine, Inactivated; United States; Vaccines, Combined (search for similar items in EconPapers)
Date: 2014
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Citations: View citations in EconPapers (2)

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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301780_9

DOI: 10.2105/AJPH.2013.301780

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