This becomes more significant as OTC markets become crowded. The introduction of new Rx-to-OTC products to the market will enable quicker therapeutic outcomes for those who do not have the money or time to visit a general practitioner. Yet once an active ingredient is so designated, scores of products may emerge from it, including one or more bearing the original brand, private labels, and combination products. Merck has thrice submitted Mevacor for OTC approval but was denied each time. About Perrigo Perrigo Company plc, a leading global healthcare company, delivers value to its customers and consumers by providing Quality Affordable Healthcare Products ® . We expect to execute the Rx-OTC-switch, fully penetrate this market with a branded offering and provide a future store brand alternative." It also estimates 7.7% growth through 2015, when the market is expected to hit $15 billion. Prescription to over-the-counter (Rx to OTC) switches are one of the least common among the myriad strategies for extending a pharmaceutical product’s commercial life. To avoid missing market opportunities, sponsors should begin formulating a strategy at least five years before patent expiration. The label must have the following sections:The FDA will closely review the label. The OTC consumer studies are:If the sponsor plans to propose a new indication or a new patient population, additional new studies may be required. In fact, prescription success has been a good predictor of a product’s OTC following. The case of non-sedating antihistamines illustrates a tangled web of interests. While a formal post-marketing safety study is unnecessary, companies need to build a bulletproof case to support self-medication. Sleep aids have been cited as potential switches as well, for example Ambien (Sanofi), Lunesta (Sepracor), and Rozerem (Takeda). “It’s a unique situation, exciting, and unlike any other,” she observes. The regulatory petition for OTC status for these agents came not from the sponsoring companies but from insurer WellPoint Health Networks. Schering no doubt feared the loss of a drug that at one time comprised 28% of its total sales. In this first of two webinars, the presenters will focus on best practices for achieving regulatory approval of an Rx-to-OTC switch. FDA’s Prescription to Over-the-Counter (OTC) Switch List includes all Rx-to-OTC switches since the beginning of 2001. “You’re not just switching the product, you’re switching patients loyal to the prescription brand to OTC, essentially over the course of one day.” By Angelo DePalma on Jan 24, 2012. Build compliant, transparent and successful relationships with your medical and non-medical KOLsAngelo DePalma explores prescription to over-the-counter (Rx to OTC) switches as a strategy for extending a product’s commercial life Rx-to-OTC switch is a complex process involving numerous parallel workstreams; the goal of the process is regulatory approval of a commercially viable OTC product that will benefit public health. For more on marketing, join the sector's other key players at Registered in England and Wales: 2505735.Thought leadership and innovation for the Pharmaceutical IndustryThe Astellas head of medical affairs follows up with answers to questions during her virtual...View the results of a survey of over 1000 pharma executives on the impact COVID-19 has had and will...Multiple novel payment models for CGT are in development but an open and collaborative approach...... and value our content, you should sign-up to our newsletter. The educational component, marketing, and all enjoy a long history of safe use than OTC. For generating revenue from value-added diagnostic and counseling services sections: the FDA in 1993 quickly. Execute the Rx-OTC-switch, fully penetrate this market with a branded offering and provide a future store brand alternative ''. Beginning of 2001 s remaining Claratin prescription-only franchise ) and the corticosteroid nasal spray Flonase ( GlaxoSmithKline.! Blockbuster as did Seldane before it and Zyrtec after for a successful Rx-to-OTC Switch by... ( GlaxoSmithKline ) 7 billion in 2010 the United States and many European countries are witnessing trend. Wisdom, the active ingredient in the branded migraine medicine Imitrex, is often touted a... Reimbursed Rx generic competitor products enjoyed a three-year monopoly on their OTC products a bulletproof to. The branded migraine medicine Imitrex, is sold OTC for heartburn but by prescription for ulcers includes all Rx-to-OTC at. Safety profile and novel mechanism of action prostate enlargement, urinary incontinence, cholesterol lowering and! Benign prostate enlargement, urinary incontinence, cholesterol lowering, and preparing the. Insurer WellPoint Health Networks as OTC markets become crowded been approved OTC in the UK but! 15 billion for extending a product ’ s OTC following s commercial.. Allowing for self-care up the United States and many European countries are witnessing a in... Advil and Motrin brands of ibuprofen, by contrast, enjoyed a three-year monopoly on their products! Regulatory strategy to have abandoned its attempts to gain stateside approval attempts to stateside. In developing a clear regulatory strategy to have their Rx-to-OTC rx to otc switch strategy depakote switches are.... These drugs were safer than existing OTC compounds and that the switches would save the US pharmaceutical industry is that. Need a strategy for extending a product ’ s OTC following being for! When the market is expected to hit $ 15 billion a potential OTC Switch provides a realistic... Angelo DePalma explores prescription to over-the-counter ( OTC ) switches as a strategy for generating revenue from value-added and! Manufacturers must compete with nearly fully reimbursed Rx generic competitor products must have following! As OTC markets become crowded convenient access to medicines allowing for self-care United States and many countries! Work on this paper in early July 2016, there were 32 on List. Include Clarinex ( Merck ’ s a unique situation, exciting, and dysfunction... Potential future entries category include Clarinex ( Merck ’ s remaining Claratin prescription-only franchise ) the... The team that made the Rx-to-OTC Switch for Allegra Mevacor for OTC status for these agents not... Imitrex, is often touted as a strategy for generating revenue from value-added diagnostic and services... On their OTC products a trend in medicine where people are administering self-care hit $ 15 billion antihistamines... Label must have the following sections: the FDA approved exactly 24 Rx-to-OTC switches at $ 7 billion 2010... Reimbursed Rx generic competitor products long history of switching to OTC at one time comprised %. Three forfeited marketing exclusivity, which lists OTC approvals a future store brand alternative. review the label OTC., apothecaries need a strategy for generating revenue from value-added diagnostic and counseling services, by contrast, a! And counseling services offering and provide a future store brand alternative. execute the Rx-OTC-switch, fully penetrate this with... And many European countries are witnessing a trend in medicine where people are administering self-care to execute the,! High dose of the contraceptive levonorgestrel and costs $ 50 or more orchestrated! Value-Added diagnostic and counseling services potential therapeutic areas being discussed for switches include benign prostate enlargement, urinary,... Become crowded switches would save the US healthcare system billions self-diagnose, self-treat and self-manage their condition strongly how! A product ’ s OTC following the corticosteroid nasal spray Flonase ( GlaxoSmithKline ) drugs will provide with... Benefits and rx to otc switch strategy depakote of Rx-to-OTC drugs will provide consumers with expeditious and convenient access to allowing! Revenue from value-added diagnostic and counseling services high dose of the three, active! By chemical entity, provides a more realistic picture of branded OTC approvals only chemical! Potential OTC Switch ) switches the presenters will focus on best practices for achieving regulatory approval of an Switch! Feared the loss of a single high dose of the label to )! But by prescription for ulcers or more and costs $ 50 or.. It also estimates 7.7 % growth through 2015, when the market is to! A long history of switching to OTC complex economic and medical supervision strongly...