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Copyright 1999 Gannett Company, Inc.  
USA TODAY

November 26, 1999, Friday, FINAL EDITION

SECTION: MONEY; Pg. 4B

LENGTH: 1289 words

HEADLINE: Drugmakers fight back as patents near expiration Brand-name companies try to stall generics

BYLINE: Julie Appleby

BODY:
Ulcer medication Zantac flew off pharmacy shelves in 1997, racking
up about $ 125 million in sales every month for maker Glaxo Wellcome.


The best-selling medication's heyday ended in July that year,
however, when Glaxo's patent on Zantac expired.


Within a year, Glaxo had lost 80% of the market for Zantac as
consumers switched to generic versions that cost far less than
Glaxo's drug.


Glaxo's experience is typical of what happens when a brand-name
drug's patent expires and generic companies get competing products
on pharmacy shelves.


Consumers benefit because of the lower prices -- many generics
cost 20% to 75% less than brand drugs -- but the brand manufacturers
lose.


As an increasing number of popular drugs head for the end of their
patent lives, brand-name companies are eyeing those potential
losses. And they're fighting back.


The latest battle is over Claritin, the widely advertised allergy
medicine. Claritin's maker, Schering-Plough, has run a multimillion-dollar
lobbying campaign for more than two years trying to persuade Congress
to extend the drug's patent beyond 2002.


And it won't be the last patent fight.


Patents on dozens of drugs will run out in the next few years,
including such blockbusters as Astra Merck's ulcer drug Prilosec
and Eli Lilly's antidepressant Prozac.


"Manufacturers of the billion-dollar-plus products will fight
really hard," PaineWebber analyst Angela Larson says. "Those
products are very meaningful to the companies."


Expiring patents

Prilosec and Prozac have annual sales topping $ 5.5 billion. Prozac,
in fact, represents 25% of Lilly's revenue, Larson says. In all,
analysts estimate that drugs coming off patent in the next 10
years now bring in $ 50 billion to the brand-name companies.


Although the patents on Claritin, Prozac and Prilosec all expire
during the next three years, don't count on quickly getting generic
versions. Critics say delay tactics by brand companies can preserve
their market share or keep generics off the market for months,
if not years. Some tactics:


* Lobbying Congress to pass patent extensions, either through
direct legislation or through last-minute additions to unrelated
bills.


* Getting multiple patents on a drug, not only for the
active ingredient but also for such things as the shape of the
pill. The more patents, the more potential hurdles for a generic
version. Litigation over patents can take years to settle, and
generics cannot enter the market during that time.


* Filing what are called "citizen's petitions" with the
Food & Drug Administration, questioning the safety of the
generic version, which can delay generic approvals for months.
The National Pharmaceutical Alliance, a generic industry lobbying
group, says the FDA has upheld only four petitions out of 51 since
1990.


* Paying generic companies to drop patent challenges. Bayer,
for example, paid generic maker Barr Labs $ 29.6 million to drop
a patent suit over an antibiotic called Cipro.


Under the 1977 deal, Bayer can either provide Barr with Cipro
to sell as a generic or pay the company $ 6 million to $ 8 million
a quarter. So far, it has chosen to make payments.


"Roadblocks are being thrown up by the brand-name companies,"
says Sidney Wolfe of the advocacy group Public Citizen. "Every
day brings another trick."


Brand-name companies say they do nothing wrong in trying to protect
the enormous investment they make to research and develop drugs.
Without strong patent protection, they say, investors would not
want to take risks on developing new products.


Developing a drug takes a decade and about $ 500 million, says
Judy Bello of the Pharmaceutical Research and Manufacturers of
America, the industry trade group.


On average, only three out of 10 approved drugs have sales that
exceed development costs, she says.


"The average patent life for a breakthrough medicine is 11 1/2
years," she says. "That's very little patent time."


And a patent is not a monopoly, Bello says.


"Look at the number of cholesterol-lowering medicines out there
or allergy medicines," she says. "Increasingly, the brand-name
companies are racing against each other to provide valuable new
treatments."


The Claritin fight

But the drug companies are also fighting hard to hang on to their
blockbuster drugs, the ones that helped push the industry to net
profit margins last year of 20% on average.


In the Claritin fight, maker Schering-Plough has spent millions
urging Congress to set up a special patent review board to consider
whether Claritin and several other drugs were unfairly delayed
during the FDA approval process and thus deserve more patent time.


Critics say Claritin and other drugs already won longer patent
lives as a result of world trade talks -- and further extensions
of the allergy drug's patent will cost consumers millions.


The bills became controversial and stalled in Congress but are
expected to be picked up again early next year.


Competition was what Congress had in mind when it made it easier
for generic companies to get their products on the market, approving
what became known as the Hatch-Waxman Act in 1984.


Named after its authors, Sen. Orrin Hatch, R-Utah, and Rep. Henry
Waxman, D-Calif., the law made it easier to get generic drugs
approved, and it also guaranteed brand-name drug companies 20
years of patent life, minus the time they spend getting FDA approval.


The year the act passed, generic drugs accounted for only 19%
of all prescriptions. Now, more than 40% of prescriptions are
filled with generic products, saving purchasers more than $ 10
billion a year, according to a 1998 Congressional Budget Office
report.


Waxman says the law has been successful in "saving consumers
millions of dollars, because generic drugs offer a lower price."


But he's concerned about the increasing battles over patent extensions.


"Unfortunately, many in the pharmaceutical industry have worked
hard to undermine what we've tried to accomplish and, in some
cases, have succeeded."




Drug prices by prescription

The average price of various brand-name drugs and the price of
their generic equivalents:
 
 Type of drug                   Name brand         Price          Generic drug             Price
 Ulcer treatment                  Zantac           $96.75         Ranitidine HCI           $42.19
 Ulcer treatment                  Tagamet          $93.47         Cimetidine               $31.36
 Anti-anxiety                     Xanax            $58.70         Alprazolam               $17.23
 Antibiotic                       Koflex           $80.32         Cephalexin               $16.38
 High blood pressure              Inderal          $44.07         Propranolol HCI           $8.87
 High blood pressure              Tenormin         $46.74         Atenolol                 $12
 Diuretic                        Lasix Oral        $15.13         Furosemide Oral           $6.49
 Diabetes treatment              Glucotrol         $55.88         Glipizide                $22.43


Sources: Source Prescription Audit (SPA), November 1998-October
1999, Scott-Levin


LOAD-DATE: November 26, 1999




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