
CALISYM LLC
Setting a price and having a discount strategy for each of the major payers is critical for launch success, understanding your net sales forecast, and tracking potential deviations. CALISYM knows the key steps:
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Refine the prescriber/plan data so that it better reflects current payer and PBM relationships
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Leverage MMIT, Fingertip Formulary, or your team's knowledge to understand the competitive copays for the key managed care plans
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Determine the copay elasticity for the competitive set or an analog
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Develop an optimal discount level and an estimate of the timing of the contract for each key plan
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Incorporate the gross to net estimate and contract dates into your product uptake assumptions
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Track the assumptions vs. actual discounts to understand possible deviations from the forecast
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