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To: Anthony Wong who wrote (438)6/30/1998 12:16:00 PM
From: Anthony Wong  Respond to of 1722
 
Pfizer Applies for Viagra to Qualify for Swiss Insurance Refund

Bloomberg News
June 30, 1998, 6:04 a.m. ET

Pfizer Applies for Viagra to Qualify for Swiss Insurance Refund

Zurich, June 30 (Bloomberg) -- Pfizer (Schweiz) AG, a unit
of New York-based drugmaker Pfizer Inc., said it asked the Swiss
Social Security office to add its impotence pill Viagra to a
list of drugs covered by health insurance in Switzerland.

Pfizer said men suffering from ''acute'' erection problems
should be able to claim insurance for Viagra, the only pill
available that treats impotence. Reports have suggested the cost
of subsidizing sales of the drug may be as much as 200 million
Swiss francs ($131 million) a year -- an amount Pfizer has said
is exaggerated.

Swiss pharmacies began selling Viagra yesterday.
Switzerland is the first European country and the third nation
in the world to approve the sale of the drug. More than 1.5
million Viagra prescriptions were written in the U.S. within
weeks of its launch in April.

Swiss Interior Minister Ruth Dreifuss told SonntagsBlick
that users of Viagra should pay for the drug themselves.
Dreifuss said the government will apply ''strict criteria'' when
it decides whether to subsidize the drug.

The government decides which treatments should entitle
users to recoup their costs from their health insurer in
Switzerland. It also contributes to the cost of buying health
insurance.

In the U.S., Clinton administration officials are
considering whether to require state Medicaid programs to cover
the cost of prescribing Viagra, as private insurers wrestle with
the problem of paying for the impotence pill.

Medicaid is the health insurance program for the poor,
jointly financed by state and the federal government. The
federal government sets certain benefit and coverage
requirements and the states administer the Medicaid programs.

An estimate shows the cost of requiring all states to cover
Viagra would cost the health insurance program more than $100
million a year, Florida Democratic Gov. Lawton Chiles and Utah
Republican Gov. Mike Leavitt wrote in a letter to U.S. Health
and Human Services Secretary Donna Shalala.

Last week Aetna Inc.'s Aetna/U.S. Healthcare managed-care
unit said it won't pay for Pfizer's Viagra under its regular
prescription-drug coverage, the Wall Street Journal reported,
citing an Aetna spokeswoman. Kaiser Permanente Group, the
largest U.S. health-maintenance organization, said this month it
would stop paying for Viagra because continuing to meet the cost
of prescribing the drug would force Kaiser to raise rates.

Pfizer (Schweiz) shares were unchanged at 167.75 Swiss
francs on the Swiss Exchange. Pfizer stock fell 2 to 109 15/16
in New York yesterday, as the Wall Street Journal reported that
U.S. regulators received about 100 reports of men suffering
serious adverse reactions or dying after taking Viagra.

--Sarah Knight in the Zurich newsroom (41-1) 224 4111/ab



To: Anthony Wong who wrote (438)6/30/1998 12:21:00 PM
From: Anthony Wong  Respond to of 1722
 
Merck Wins FDA Approval to Sell Migraine Drug Maxalt in U.S.

Bloomberg News
June 30, 1998, 10:07 a.m. ET

Merck Wins FDA Approval to Sell Migraine Drug Maxalt in U.S.

Washington, June 30 (Bloomberg) -- Merck & Co., the largest
U.S. drugmaker, said it won U.S. Food and Drug Administration
approval to sell the first treatment for migraines in quick-
dissolving tablet form.

The FDA cleared a standard tablet and a disintegrating
tablet form of the drug Maxalt, which is expected to eventually
generate sales of $300 million a year. The disintegrating tablet
means people suffering from the debilitating headaches can take
the pills without liquids -- allowing it to dissolve on the
tongue.

''Patients can take the Maxalt-MLT easily and discreetly,
even in the middle of a movie or a meeting,'' said Stephen
Silberstein, director of Philadelphia's Jefferson Headache Clinic
and a researcher on Merck's studies. That's important, he said,
because a migraine ''attacks fast, usually without warning, and
wreaks havoc regardless of what's going on in your life at the
moment.''

Whitehouse Station, New Jersey-based Merck announced the
approval before the market opened. Company shares rose 1 5/16 to
134 1/16 in recent trading.

Maxalt enters a multibillion dollar market for prescription
migraine treatments currently dominated by Glaxo Wellcome Plc's
blockbuster drug Imitrex. U.K.-based Glaxo also won approval for
another migraine drug this year, and Pfizer Inc. and SmithKline
Beecham Plc are among other companies looking to get a piece of
the market that now includes about 24 million Americans.

New York-based Bristol-Myers Squibb Co., meanwhile, earlier
this year won FDA approval to sell its Excedrin as the first over-
the-counter treatment for migraines.

In studies, Merck found that Maxalt, also known as
rizatriptan benzoate, could relieve migraine pain in as much as
77 percent of patients within two hours. It also reduced nausea
and other migraine symptoms, the company said.

Migraines are severe headaches that affect one in every 10
people, striking women more often than men. They can affect
children as young as three years old and most often begin to
strike before the age of 20, with attacks lasting from two hours
to two days.

The migraines can be triggered for a variety of reasons,
including menstruation, stress, and as a side effect of a drug. A
tendency toward migraines often runs in a family.

Merck said it expects Maxalt to sell for between $14.06 and
$14.63 a tablet after pharmacy markups. The company said it will
offer the drug at a wholesale price of $11.25 per tablet.

--Kristin Jensen in Washington (202) 624-1843/bd



To: Anthony Wong who wrote (438)6/30/1998 12:23:00 PM
From: Anthony Wong  Read Replies (1) | Respond to of 1722
 
Japanese Health Officials Investigate Magazine's Access To Viagra
June 30, 1998 10:45 AM


TOKYO -(Dow Jones)- A Japanese weekly magazine
is being investigated for offering to take orders from
readers for the impotency drug Viagra, which hasn't yet
received marketing approval in Japan, a government
official said Tuesday.

According to the Associated Press, the magazine,
Shukan Gendai, is suspected of breaking Japanese
pharmaceutical laws. Viagra, sold by Pfizer Inc. (PFE),
hasn't yet been approved by the Health and Welfare
Ministry and sales in Japan are banned. "If there's been
any violation, we will take appropriate measures,"
Ministry official Toru Yamamoto said.

The investigation comes as the ministry is moving to
speed up the approval of the drug by using U.S.
scientific data rather than relying on tests in Japan,
officials said Tuesday.

Shukan Gendai's July 11 edition includes postcard-sized
order forms that readers can fill out and send to the
publisher, Kodansha Ltd. The magazine offers to
forward the orders to a company that could get 10 pills
for $190. An article in the same issue details the
booming black market for the drug in Japan, where a
single Viagra pill reportedly can sell for 50,000 yen
($352.95).

The magazine also describes the various ways Japanese
can buy the drug via mail-order companies, the Internet
or special Viagra shopping trips to the U.S. arranged by
a Japanese travel agency. "We're happy to help our
readers obtain Viagra at the proper price, and find a
solution to a problem they've had for a long time," the
magazine said in the article.

Viagra, which came on the U.S. market in April, is
supposed to be prescribed by urologists and family
physicians to treat impotent men, but the hot-selling sex
pill is turning up on the street, on the Internet and in
discos, where it is gobbled up by healthy men. But Pfizer
has said that the impotency drug won't turn healthy men
into "super-studs."

There have been 30 reports of men dying after taking
Viagra, although most of them were elderly, with other
health problems. Pfizer said Viagra users shouldn't
combine the drug with nitrates, commonly taken by heart
patients, because nitrates and Viagra dilate blood
vessels by acting on the same chemical mechanism,
causing serious cardiovascular side effects.

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