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`Why is Novartis' Copaxone copy lagging? It's all about coverage, analyst explains - FiercePharma
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`NEWS TOPICS ANALYSIS FEATURES LIBRARY EVENTS JOBS MARKETPLACE
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`Why is Novartis' Copaxone copy lagging? It's all
`about coverage, analyst explains
`September 11, 2015 | By Carly Helfand
`
`Typically, the first generics for
`blockbuster meds get off to a running
`start. Not so with Novartis' ($NVS)
`generic of Teva's ($TEVA) multiple
`sclerosis standout Copaxone, though­­
`and Bernstein analyst Ronny Gal thinks
`he can explain why.
`
`The Swiss pharma giant's knockoff, dubbed Glatopa, right now has market share
`of only about 20%­­as opposed to the roughly 50% some industry­watchers say
`it's capable of snagging. And that could be because coverage of the copy is
`"considerably behind that of Copaxone," he wrote in a Friday note to clients.
`
`Copaxone reaches the "best available coverage" tier for 59% of covered lives,
`he pointed out, while Glatopa can only boast that level for 31%. Many payers
`have kept Teva's original as either preferred or equally accessible thanks to
`discounting, he noted, and on top of that, Glatopa­­likely thanks to its high price­­
`is treated by many plans as a branded product.
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`Optimizing Your Clinical Supply Chain Strategy
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`Novartis' Sandoz unit, though, appears to be taking that tack deliberately. It "can
`considerations that should be taken into
`always lower its price and capture share," Gal noted, but right now, it "appears to
`account when developing a clinical supply
`be interested in building share cautiously in order to protect market price." The
`strategy and why there is no substitute for on­
`http://www.fiercepharma.com/story/why-novartis-copaxone-copy-lagging-its-all-about-coverage-analyst-explains/2015-09-11
`
`"It appears that the lower penetration is, for the most part, factual and simply
`reflects current formulary status coverage," Gal wrote. Teva is offering more
`discount to payers, and those payers are preferring its brand over equally or
`slightly more expensive Glatopa."
`
`1/3
`
`MYLAN PHARMS. INC. EXHIBIT 1105 PAGE 1
`
`

`
`12/28/2015
`
`Why is Novartis' Copaxone copy lagging? It's all about coverage, analyst explains - FiercePharma
`way he sees it, Sandoz is holding the reins, and as it gradually brings its price
`the ground local expertise. Reserve Your Spot
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`down, "share will shift," he wrote.
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`
`There's another question on the minds of industry­watchers, though, and that's
`how Glatopa will affect payer coverage on Teva's next­gen version of Copaxone.
`In July, Gal predicted Glatopa's presence would lead payers to restrict the
`newcomer version as they work to manage costs. And that could be bad news
`for Teva, which managed to convert patients over to the long­acting version at a
`rate that had analysts impressed.
`
`Special Report: The top 10 best­selling multiple sclerosis drugs of 2013 ­
`Copaxone ­ Tecfidera | Top 15 drug launch superstars ­ Tecfidera ­ Biogen
`
`Related Articles:  
`Novartis off to scorching start with Copaxone generic Glatopa 
`Roche's MS hopeful will amp up payer pricing pressure, analyst says 
`U.S. court nixes Teva's Copaxone patent­­again 
`Teva's years of Copaxone brand­building pay off in new formula's launch 
`What price MS therapy? Thanks to price hikes, $50K­plus, even for decades­old
`meds 
`Bad news, Teva­­Sandoz has an FDA nod for generic Copaxone. But when will
`it launch? 
`Can Teva persuade payers that pricey long­acting Copaxone beats cheap
`generics?
`
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`PRESS RELEASES
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`significant efficacy of Cosentyx in ankylosing spondylitis patients
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`2/3
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`MYLAN PHARMS. INC. EXHIBIT 1105 PAGE 2
`
`

`
`Why is Novartis' Copaxone copy lagging? It's all about coverage, analyst explains - FiercePharma
`12/28/2015
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`MYLAN PHARMS. INC. EXHIBIT 1105 PAGE 3

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