Payers play a significant role in determining the commercial success of biosimilars—as well as their reference brands—as they decide which products are granted formulary access and preferential reimbursement. Although biosimilars such as Pfizer’s Inflectra and Retacrit are available both in Europe and the United States, the level of their success may vary due to regional differences in the drivers of and barriers to biosimilar uptake. As such, it is necessary for biosimilar developers and manufacturers of branded biologics to understand which factors influence payer decisions regarding biosimilars.

Questions answered:

  • What are payers’ perspectives on the drivers of and barriers to biosimilar uptake?
  • What factors influence which biosimilars are preferred on formularies in the United States?
  • How do payers choose among multiple biosimilars of the same brand in the EU?
  • What strategies do payers use to manage biosimilars?
  • What expectations do payers have for biosimilar discounts?
  • How would the availability of biosimilars influence the pricing of emerging agents?
  • Will payer strategies for biosimilars differ between therapeutic specialties?

Key markets covered:

  • France
  • Germany
  • Italy
  • Spain
  • United Kingdom
  • United States

Key companies mentioned:

  • Amgen
  • Boehringer Ingelheim
  • Celltrion
  • Eli Lilly
  • Janssen
  • Johnson & Johnson
  • Merck & Co.
  • Mundipharma
  • Mylan
  • Novartis
  • Pfizer
  • Roche
  • Samsung Bioepis
  • Sandoz
  • Sanofi
  • Teva

Key drugs mentioned:

  • Admelog/Insulin Lispro Sanofi
  • Aranesp
  • Avastin
  • Basaglar/Abasaglar
  • Benepali
  • Binocrit
  • Enbrel
  • Evosyal
  • Flixabi
  • Herceptin
  • Herzuma
  • Humalog
  • Humira
  • Inflectra
  • Kanjinti
  • Lantus
  • Levemir
  • Mvasi
  • Neulasta
  • Neupogen
  • Nivestim/Nivestym
  • NovoLog/NovoRapid
  • Ogivri
  • Procrit/Epogen
  • Remicade
  • Remsima
  • Rituxan/MabThera
  • Truxima
  • Udenyca
  • Zarzio/Zarxio
  • Ziextenzo
  • Zirabev

Table of contents

  • Payer Insights Landscape (US-EU5)
    • A&R Biosimilars U.S. Payer Insights 2020
    • A&R Biosimilars EU5 Payer Insights 2020

Author(s): Marta Delgado, PhD; Yashu Malhotra, M.Pharm

Marta Delgado, is a Business Insight Analyst in the Biosimilars Research team, responsible for the analysis of the biosimilars market across four main therapeutic areas – oncology, endocrinology, immunology and nephrology. Marta holds a in Molecular Neuroscience from University College of London (UCL) and a in Biomedicine from University Pompeu Fabra (UPF), Barcelona. Prior to joining the Biosimilars Research team, Marta worked as a Research Analyst at SKIM, specialising in advanced quantitative studies assessing the potential market opportunities to support life sciences companies in their business decision making.

Yashu Malhotra is an associate analyst on the Biosimilars team at Decision Resources Group. Prior to joining DRG, she was a senior analyst in the life sciences at Course5 Intelligence. She also worked in competitive intelligence at WNS Global Services. Ms. Malhotra earned her master’s degree in pharmacy (quality assurance) from the Delhi Institute of Pharmaceutical Sciences and Research.