The chronic obstructive pulmonary disease (COPD) market is experiencing increased competition as newer combination therapies vie with long-marketed stalwarts Spiriva, Advair, and Symbicort. Current treatment includes several distinct drug classes with emerging therapies in the pipeline. Because of the age of patients with COPD, market access is driven by Medicare-related payers such as Medicare Advantage and Part D plans that leverage competition to extract rebates from industry in exchange for preferred coverage. By 2021, additional therapies for COPD will increase options and competition, but generic erosion of blockbuster agents will influence reimbursement decisions.


  • What actions can marketers of COPD therapies take to succeed in terms of market access and thus increase overall sales? How do physicians, payers, patients, and industry interact to influence treatment decisions?
  • What factors, including those tied to market access, influence physician prescribing of select COPD therapies, and what therapies are succeeding and stumbling based on these factors?
  • How do Medicare Advantage payers reimburse and restrict access to select COPD therapies, and what factors are driving their reimbursement decisions? How are pharmacoeconomic models being used in reimbursement decisions for COPD therapies and what is the impact on industry?
  • What factors will have the most sway in determining the success of emerging therapies like revefancin and glycopyrrolate? How do payers intend to reimburse emerging agents, and how will those decisions affect prescribing?

Table of contents

  • Chronic Obstructive Pulmonary Disease - Access & Reimbursement - Detailed, Expanded Analysis (US)
    • Access and Reimbursement (US) Chronic Obstructive Pulmonary Disease 2018

Author(s): Emily Schriner, MPH

Emily is an Business Insights Analyst with the Immune and Inflammatory Disorders team at Decision Resources Group. She has authored several content pieces for immune market research reports and keeps the team up-to-date on the immune markets through research on patent life, pricing, and pipeline information.

Emily earned her Master of Public Health in Nutrition at West Chester University, focusing on research, analysis, and program development. She completed an internship at Nemours Health Network in Wilmington, Delaware where she did nutrition education development and primary research on program evaluation before initially joining DRG as a data analyst on the Research Analytics Team.

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