Pricing has never really been an issue for rare disease drugs, given the low exposure payers have to the therapies and the significant benefits usually offered. But with ultra-orphan price tags ticking higher and higher and drug pricing a simmering political controversy in the US, it is worth checking on the experience of recent launches as BioMarin Pharmaceutical Inc. introduces its Batten disease therapy Brineura (cerliponase alfa) at just over $700,000.
Few Clouds On High-Priced, Ultra-Orphan Drug Horizon
With BioMarin's Brineura hitting the market with a $702,000 annual price tag, recent experience for other high-priced rare disease drugs supports the theory that payers will accept high costs for ultra-rare pediatric disease therapies.

More from New Products
The company’s FcRn inhibitor nipocalimab was approved by the US FDA for generalized myasthenia gravis (gMG), where it will join a competitive market.
Pipeline Watch is a weekly snapshot of selected late-stage clinical trial events and approvals announced by pharmaceutical and biotech companies at medical and industry conferences, in financial and company presentations, and in company releases and statements.
The German group is paying $3.9bn to get hold of the US firm and its two approved products.
Akeso’s penpulimab will be the second to hit the US market for nasopharyngeal carcinoma, but the first to win FDA approval for the indication based on clinical findings in US patients.
More from Scrip
MariTide could give Amgen a big boost if successful in obesity, but the drug just entered Phase III. Even so, Q1 revenue rose 9% to $8.15bn and more growth is expected in 2025.
On its Q1 earnings call, Moderna avoided criticizing policy changes affecting vaccines but de-emphasized its flu/COVID-19 vaccine for under-50 and prioritized cancer programs.
Lilly executives told the company’s Q1 call they were not surprised at the Wegovy deal, but some analysts said it could cut into prescription growth for Zepbound.