How Big Pharma spends $20 billion a year on marketing their drugs to you

Pharmaceutical companies spend about twice as much on marketing their drugs every year as they do on research and development of new medications.  And it’s a pretty impressive marketing budget. The Wall Street Journal recently reported how marketing numbers broke down last year. The figures don’t include the value of free drug samples that companies distribute – the largest single marketing expense.

The other major categories include:

  • $12 billion for “detailing,” the industry term for sending sales reps to talk to doctors, nurses and other providers. Spending on detailing was highest for statins (such as Pfizer’s Lipitor), antidepressants (like Forest’s Lexapro) and antipsychotics (like Bristol-Myers Squibb’s Abilify). In each of those categories, branded drugs are competing against generics for a big market.
  • $4.7 billion for Direct-To-Consumer (“Ask your doctor”) advertising, and an additional $400 million on advertising in professional journals. TV ads accounted for almost 62% of drug company ad spending, print ads made up 35% and online ads 4%.
  • $3.4 billion for sponsoring professional meetings and events. This includes sponsoring courses and talks that doctors can attend (or watch online) in order to satisfy requirements for continuing medical education (known as CME). Industry-funding of CME has been getting some negative attention lately, with some physicians and academics calling for public disclosure of who pays for what.

And speaking of doctors, New Hampshire physician Dr. Kevin Pho writes in his always-enlightening blog KevinMD, about a type of pharmaceutical sales rep whose actions remain completely unregulated.

“These reps have unfettered access to the top academics of all fields of medicine, are invited by medical societies to give keynote addresses, routinely publish articles in the best journals, and offer advice about medications that is accepted as gospel by doctors everywhere. These reps have medical degrees, and some have become millionaires by taking fat payments from drug companies. The are “the hired guns of medicine”.

A revealing study presented at the American College of Preventive Medicine annual meeting by Dr. Mohammed Hassan Murad of Mayo Clinic reviewed 202 published medical journal articles that addressed the known association between heart attack risk and the GlaxoSmithKline diabetes drug, Avandia.  Among journal article authors who concluded Avandia does NOT increase the risk, 86% had financial relationships with GlaxoSmithKline. Among authors of articles offering unfavorable reviews, only 18% had relationships with GSK.

Read the entire Wall Street Journal article on drug marketing numbers.

See also:

 

“We never imagined people would think of osteopenia as a disease”

Here’s a drug marketing plan that is dazzling in its brilliant effectiveness. I’m thinking of including it in any future PR workshops I do on marketing communications. It’s a plan to sell pills to treat something called osteopenia, a condition that only recently started to be thought of as a problem that even needs treatment.

It’s a plan to convince consumers and their physicians that these pills should be in the medicine cabinets of millions of women worldwide.

But more broadly, it’s a plan to change the definition of what a disease is, and the role that drug companies can play in that change.  Continue reading

My drug’s bigger than your drug

 

  • 1. Hydrocodone with acetaminophen, generic painkiller, 124 million scrips in 2008, up from 119 million in 2007.
  • 2. Lisinopril, generic blood pressure medication, 75.5 million, up from 70.5 million in 2007
  • 3. Simvastatin, generic cholesterol remedy, 66.7 million, up from 47.7 million in 2007
  • 4. Levothyroxine sodium, generic thyroid hormone, 61.4 million, up from 55 million in 2007
  • 5. Lipitor, Pfizer’s branded cholesterol medication, 57.9 million, down from 65.1 million in 2007

Now for the dollar figures. As you might guess, all of the top-dollar meds are brand-name drugs, simply because branded meds are so much more expensive to purchase. Here are the top five, listed with their manufacturer, purpose and previous year’s sales:

  • Lipitor, Pfizer, cholesterol: $7.8 billion, down from $8.1 billion in 2007
  • Nexium, AstraZeneca, heartburn/gastric reflux: $5.9 billion, up from $5.5 billion in 2007
  • Plavix, Bristol-Myers Squibb, blood thinner: $4.9 billion, up from $3.9 billion in 2007
  • Advair Diskus, GlaxoSmithKline, asthma/COPD: $4.4 billion, up from $4.3 billion in 2007
  • Seroquel, AstraZeneca, atypical antipsychotic: $3.9 billion, up from $3.5 billion in 2007

Read more on these lists.

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