Avoiding Medicare: Lilly, Icos and Limiting Part D Exposure

Lilly's acquisition of Icos is a big bet on the future of private pay medicines. Lilly is paying $2.1 billion for sole rights to Cialis, in part because the company is happy to have a brand that operates outside of the influence of managed care gatekeepers in the US.

Count Eli Lilly & Co. as a believer in the future of private-pay in the pharma market: prescription-only medicines that fall outside the control of managed care gatekeepers in the US.

Lilly is paying $2.1 billion to buy out Icos Corp. , its joint venture partner in the erectile dysfunction category,...

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