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Unlocking the broader value of biologic therapies through biosimilar-enabled access and repositioning

Mikel Berdud, Paul Oyalo, Libby Tungate, Lou Garrison and Amanda Cole

Contract Research from Office of Health Economics

Abstract: Biologic medicines account for over 40% of global pharmaceutical spend. When originator patents expire, biosimilar competition should drive prices down, generating cost-savings, broadening access, and improving outcomes, yet that promise remains largely unrealised. From the first US launch in 2015 up to 2025, biosimilars saved the US health system an estimated $56.2 billion in drug costs, but one analysis estimates that $124.5 billion in savings could be achieved: a $68 billion gap. Supply- and demand-side barriers as well as contracting structures produce low penetration, recurring shortage risk, and a growing ‘biosimilar void’. The dominant policy response has been narrow, focusing…

JEL-codes: I1 (search for similar items in EconPapers)
Date: 2026-09-23
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