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Lilly's Effient: Cheap Enough, for Now

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Eli Lilly (NYSE: LLY  ) is late to the party, but it's getting gussied up anyway in the hopes of attracting at least a few new friends before the party winds down.

The company's blood thinner, Effient, was approved by the Food and Drug Administration last July. Its competition, Plavix from sanofi-aventis (NYSE: SNY  ) and Bristol-Myers Squibb (NYSE: BMY  ) , was first approved in 1997. That's a mighty large head start for attracting patients.

In order to justify the use of Effient, Eli Lilly is touting a study published in today's Circulation demonstrating the cost effectiveness of Effient over Plavix. Even including the increased bleeding seen in patients on Effient, the drug still resulted in $530 less hospital charges per patient. Effient costs more than Plavix, but even when you factor in the cost of the drug, the medical costs were still $221 cheaper per patient.

There's just one problem: This party is about to get crashed by generic-drug makers. Plavix loses patent protection in a few years and the drug will certainly be available for cheaper. Based on a hypothetical $1 per day price for the generic, the study's authors calculated that Effient would still result in a lower cost in the first 30 days of treatment, but not after that.

The $1-per-day price is 22% of the branded-drug price, but it's possible that the price could be even lower. In an FDA study, drugs that had 14 or more manufacturers selling generic versions had a relative price of 16% or lower. Considering that Plavix is the second-best-selling drug behind Pfizer's (NYSE: PFE  ) Lipitor, I imagine there will be a lot of generic competition looking for a piece of the action.

We've reached an era where it's no longer good enough to just throw another drug in the same class out there and hope it sticks -- a la Wyeth's Pristiq and Johnson & Johnson's (NYSE: JNJ  ) Invega. Companies actually have to justify their drug's existence in order to get meaningful sales. While Eli Lilly may have trouble justifying Effient as a cost saver in a few years, it's still a better drug resulting in less hospitalizations, which patients may be willing to pay extra for.

Speaking of worth paying for, Shannon Zimmerman says this stock is up 100%, but still a bargain.

Johnson & Johnson is an Income Investor recommendation. To see how dividend-paying stocks can offer both secure income and the opportunity for growth, take a free look at this newsletter with a 30-day free trial. Fool contributor Brian Orelli, Ph.D., doesn't own shares of any company mentioned in this article. Pfizer is a recommendation of the Inside Value newsletter. The Fool has a disclosure policy.


Read/Post Comments (2) | Recommend This Article (5)

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Help us keep this a respectfully Foolish area! This is a place for our readers to discuss, debate, and learn more about the Foolish investing topic you read about above. Help us keep it clean and safe. If you believe a comment is abusive or otherwise violates our Fool's Rules, please report it via the Report this Comment Report this Comment icon found on every comment.

  • Report this Comment On January 05, 2010, at 7:22 PM, laghg wrote:

    Brian,

    You are a PhD not an MD. Your last remark in your comments, stating Effient is a better drug is incorrect and irresponsible. It is a dangerous drug and is not being used in the cardiology market except sparingly, it is a failure. The Circulation article is a sham contrived and funded by Lilly to try and create some reason to expose patients to unconscionable risks. Do your research or consult someone who is qualified to make a sweeping generalization with no training and expertise, that is erroneous!!

  • Report this Comment On January 06, 2010, at 10:45 PM, larryg45 wrote:

    Can you prove what your saying? If you are making an accusation about a company that is deceiving the public and it's shareholders you had better have proof.

    Are you a doctor, or a pharmacist, or a chemist? What are your credentials?

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