COMMERCIAL BULLETIN. Inside this issue. Anticoagulants recommended over Aspirin

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1 COMMERCIAL BULLETIN Monthly service July 2015 Anticoagulants recommended over Aspirin Patients who suffer from atrial fibrillation (AF) should be prescribed Anticoagulants and not Aspirin says National Institute for health and Care Excellence (NICE). The risks of taking Aspirin (which has been used for years) now outweigh the benefits. Aspirin can cause stomach bleeds. People with AF who have a CHA2DS2-VASC stroke risk score of two or above are offered newer anticoagulants, such as apixaban, dabigatran etexilate, rivaroxaban or a vitamin K antagonist like warfarin. Special points of interest This bulletin is free to Interested people in Pharma & Healthcare Please send names of new subscribers to Jackie@wavedata.co.uk If you have articles, comments or story ideas, please send them to the above Inside this issue Anticoagulants recommended over Aspirin UPDATE on Controlled Drug prescribing PRICE WATCH... UK Bargains offered among recent launches Videos for Pricing Managers New Product-Specific BE Guidance s Forthcoming events Breath test for infection The design of tablets and capsules WaveData Top ten searched products where the focus was to June 2015

2 Page 2 COMMERCIAL BULLETIN UPDATE on Controlled Drug prescribing From July 1 st schedule 2 and 3 CDs can be prescribed [and dispensed] via the Electronic Prescription Service All items on the prescription EXCEPT for the signature can be computer generated EPS release 2 prescriptions for Schedule 2 and 3 controlled drugs will need to satisfy the usual prescription writing requirements including the need to express the total quantity in words and figures. Prescriptions for Schedule 2, 3 and 4 CDs are only valid for 28 days. Schedule 2 and 3 CDs cannot be prescribed on repeat dispensing prescriptions. In the case of owings, the owing balance of prescriptions for Schedule 2, 3 or 4 CDs cannot be dispensed later than 28 days after the appropriate date on the prescription.. To be valid, on top of the normal prescription requirements for prescription only medicines, prescriptions for Schedule 2 and 3 Controlled Drugs must meet certain prescription writing requirements. In summary, these prescriptions must contain the dose, form, strength (where appropriate) and a total quantity of the preparation in both words and figures. NOTE - Although the legislation came in from July 1, actual EPS CD dispensing has to wait until pharmacies using the EPS have had the relevant software upgrade Information provided by Dispex who provide classroom training courses for dispensing doctor practices on all aspects of Controlled Drugs. Sponsorship slots are available contact Dispex on and ask for Greg or gbull@dispex.net for more details. PRICE WATCH... UK Bargains offered among recent launches Half a dozen of our basket of recently-launched products were available at bargain prices last month, after double-digit price falls in their lowest prices. Each bargain, however, was mainly only available from a single source. Just for 56-tablet packs of cilostazol 100mg was the 33% price drop for the lowest price reflected in an average price fall of 15%, suggesting that other suppliers were also cutting their prices (see Figure 1). To see more go to and view our article from this month s Generics Bulletin. WaveData Subscribe to the industry's comprehensive source of news and analysis.

3 Page 3 Videos for Pricing Managers Our managing director Charles Joynson has recently created five more short videos about using pricing plastically using the bppi.co.uk 10 year pricing website. The videos which all start BPPI can be found at: The other videos in the same folder cover: 1. Prescription data (ScriptMap) 2. Patent expiry /loss of exclusivity 3. Analysis of UK retail pricing Wavedata New Product-Specific BE Guidance s New product-specific draft guidance has been released by the FDA The guidance offers recommendations on the design of bioequivalence studies to support ANDAs The documents cover 43 drug products, including some that are still protected from generic competition. The design of tablets and capsules The design of generic tablets and capsules are to be similar in size and shape to their reference listed drug to ensure patient acceptance and compliance, by the FDA. Parameters have been set on how much a generic can vary from its brand counterpart, sized and weights are both factors to be considered.

4 Page 4 Forthcoming events Organizer Date Venue Link or Drug Repurposing Networking Event 20th August 2015 Baroosh, Cambridge EMIG Quarterly Meeting 7th September 2015 London sarah.rogers (at) emig.org.uk EMIG Summit - Biomarkers and Companion Diagnostics for Targeted 9th September 2015 South Kensington Campus sarah.rogers (at) emig.org.uk 18th Annual IGPA Conference Conference on the future of the NHS - with keynote contributions from NHS England, CQC, NHS Alliance, Mind, ADASS and Nuffield Trust Conference on life sciences in the UK - Next steps for UK health life sciences September 2015 Tuesday 20th October nd October GPhA Fall Technical Conference 2-4 November 2015 Toronto, Canada Central London fid=westminster_health_forum Central London North Bethesda, Maryland, US EMIG Parliamentary Dinner 9th November 2015 Westminster How can pressures on the NHS be relieved? 11th November 2015 The Mermaid Theatre, London Chris Sheridan - Digital Sales managher - Tel: +44 (0) EMIG Specialised Commissioning Conference 24th Novemeber 2015 London Conference on next steps for NICE, pharmaceutical industry priorities, and the Accelerated Access Review - Westminster Health Forum Thursday, 14th January 2016 Central London fid=westminster_health_forum The Medical and Scientific group meetings for 2015 Biomarkers and Companion Diagnostics for Targeted Treatments an all-day multi-stakeholder summit at Pinsent Masons Health Economics for the non-health Economist an allday practical workshop with MAP Biopharma and Roboleo 9tth September 2015 London 17th November 2015 London Breath test for infection A breath test has been developed by UK scientists to identify if someone has a bacterial infection. By chemically analysing breath specimens the test can quickly reveal bacterial infection in the lower respiratory tract of ventilated patients in intensive care. The work is still in its early stages, but those involved believe it could have a huge impact on clinical practice.

5 WaveData Top ten searched products where the focus was to June 2015 According to WaveData, these were the most commonly investigated products in searches of the online pricing data Wavedata Live at Both uk and pi prices were viewed for each product, giving some indication of where the focus was to June 2015 WaveData prices in the top 10 article are averages. Product Apr-15 May-15 Jun-15 Seretide Evohaler CFC Free 250mcg 1 (120 Doses) Hydrocortisone Tabs 10mg Metformin Tabs 500mg Lyrica Caps 75mg Mebeverine Tabs 135mg Carbimazole Tabs 5mg Pregabalin Caps 150mg Eplerenone Tabs 25mg Aripiprazole Tabs 10mg Duloxetine E/C Caps 30mg We re on the web! This bulletin now goes out to 3900 plus people. If you would like to add or suggest any articles/comments, please let me know by the 12th August 2015, as I will be issuing the next bulletin on the 19th August 2015 If you have any colleagues who would like to receive this, please let them know about it. You can view all copies of the Bulletin at Jackie Moss WaveData Ltd Jackie@wavedata.co.uk