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To: BDR who wrote (770)9/11/1998 7:17:00 AM
From: Anthony Wong  Respond to of 1722
 
U.K. Health Service Has Yet to Decide on Viagra Price, Policy

Bloomberg News
September 11, 1998, 3:09 a.m. ET

London, Sept. 11 (Bloomberg) -- Britain's National Health
Service has yet to agree how much it will pay for Viagra, the
pill for increasing male potency produced by Pfizer Inc., or
whether general practitioners will be allowed to prescribe it,
the Financial Times reported, citing an unnamed Health
Department spokesman. Pfizer has proposed a price of 4 pounds
and 84 pence for a 50-milligram tablet, in line with U.S.
wholesale prices. The ministry spokesman said Viagra ''has the
potential to be a great burden on the National Health Service,''
but Ken Moran, the chairman and managing director of Pfizer UK,
described as ''ludicrous'' reports that Viagra could add 1
billion pounds ($1.7 billion) to the drugs bill paid by the U.K.
taxpayer, saying: ''A realistic assessment would suggest that
the cost of treatment could reach around 50 million pounds after
five years.''

Pfizer said yesterday that it completed the sales of its
Schneider Worldwide and American Medical Systems units for a
total of $2.23 billion, as part of its plan to get out of
medical-technology businesses to focus on drugs, including
Viagra.

(Financial Times 9/11 20; www.FT.com)

--Philip Hampsheir in the London newsroom (44 171) 330 7699 / ap



To: BDR who wrote (770)9/11/1998 8:56:00 AM
From: Anthony Wong  Read Replies (1) | Respond to of 1722
 
The Times: Impotence drug available next week at œ4.84 a pill, writes
Ian Murray

Viagra will cost the NHS œ50m a year

September 11 1998

VIAGRA is to be sold to the NHS at œ4.84 a tablet when
it is licensed next week. Pfizer, the manufacturer, said
yesterday that this would make it one of the cheapest
treatments for impotence and that the total bill to the NHS
was unlikely to be more than about œ50 million a year.

At the same time doctors' leaders said they were alarmed
and angry that the Department of Health has yet to
produce guidelines for prescribing the drug. Many fear
Viagra could make a serious dent in their budgets if the
Government keeps its promise to make it available on the
NHS for patients with a clinical need.

"We have a Government that goes on at great length
about the need for horizon scanning, and yet Viagra has
been on the horizon now for two years," said Derek
Machin, one of the 400 specialist urologists in Britain who
are preparing to cope with a huge demand for the drug if,
as expected, the European Commission licenses it for sale
throughout the EU on Tuesday.

"They have known it was coming for a long time, yet here
we are within a few days of it being available and we have
heard nothing. We have heard rumours that they are
thinking of banning its use or only making it available after
a patient has seen a specialist, but that would be dreadful.

"We cannot have the message to go out to men that they
are not deserving of treatment by the health service.
Impotence is a subject that causes embarrassment but the
Viagra discussion has made it acceptable. We can't have
a situation where men summon up the courage at last to
come and seek treatment and we tell them to go away
because there is no money for it."

Mr Machin gave warning at the British Medical
Association annual meeting in July that if the estimated 2.5
million impotent men in Britain were all prescribed Viagra
it could cost the NHS up to œ1 billion a year. In fact only
one in ten of those men was likely to present himself for
treatment. "And probably no more than 60 per cent of
them would benefit from Viagra. I think that about œ100
million a year is therefore a realistic estimate of the cost.
However, if the word goes out that the drug really works
then many more men might come forward. The patients I
have prescribed it for so far have all been delighted. I
haven't had a failure yet and I think we are going to see an
awful lot of people, including those who have tried other
treatments like injections which they have not been able to
get on with.

"We just cannot know at this stage what the demand will
be and we urgently need the Government to give us
national guidelines. We cannot as a profession be
expected to take the responsibility for rationing a drug that
we know works so well."

Pfizer said it was announcing the price of the drug "to
shatter the prevalent myth" that it would cost œ1 billion.
Only about 1 per cent of those who were impotent were
likely to seek treatment and Viagra would work in at best
seven out of ten cases, Andy Burroughs, a spokesman
said.

Patients with heart conditions would not be able to take
the drug and since many of those who were impotent
were elderly and taking medication to control heart
conditions, Viagra would not be suitable for them.

"In addition some of the men might prefer to use injections
or vacuum pumps. We do not expect that those who do
take Viagra will want more than four pills a month."

the-times.co.uk