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Taking the competitor´s pill: when combination therapies enter pharmaceutical markets

Kurt Brekke (), Odd Rune Straume and Dag Morten Dalen ()
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Dag Morten Dalen: BI Norwegian Business School

No 12/2023, NIPE Working Papers from NIPE - Universidade do Minho

Abstract: We study the competitive effects of combination therapies in pharmaceutical markets, which crucially hinge on the additional therapeutic value of combinatory use of drugs and the therapeutic substitutability with the most relevant monotherapy. With large additional therapeutic value, the introduction of combination therapies leads to higher prices and, somewhat paradoxically, may reduce the health plan´s surplus. Although combination therapies imply that drugs become both substitutes and complements, we show that drug prices increase if the firms are allowed to coordinate their prices. Allowing for price discrimination might increase allocational effciency, but only at the expense of higher purchasing costs.

Keywords: Pharmaceutical markets; Combination therapies; Therapeutic competition (search for similar items in EconPapers)
JEL-codes: I11 I18 L13 L65 (search for similar items in EconPapers)
Date: 2023
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