Xtandi Still Faces Likely US Price Cut Even As It Avoids ‘March In’ Proceeding

The Biden administration decision not to pursue ‘march in’ proceedings for Pfizer/Astellas’ Xtandi sounds like good news. The reality is that the prostate cancer therapy is likely to face a more certain federal pricing intervention in the first year of the new Medicare ‘negotiation’ process.

frying pan
Xtandi may have moved out of the frying pan and out of the fire on pricing. • Source: Shutterstock

The headlines about the US government’s decisions on price interventions for Pfizer Inc./Astellas Pharma, Inc.’s Xtandi brings to mind the old phrase about getting out of the frying pan and into the fire.

The headlines are about a decision not to take on Xtandi’s price, when the Department of Health & Human Services announced that it is denying a petition calling for the National Institutes of Health to invoke “march in” rights on patents associated with the cancer therapy enzalutamide

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