{"id":5828,"date":"2015-11-20T15:50:00","date_gmt":"2015-11-20T15:50:00","guid":{"rendered":"http:\/\/www.pharma-mkting.com\/increased-dtc-advertising-and-rising\/"},"modified":"2019-02-21T01:15:23","modified_gmt":"2019-02-21T01:15:23","slug":"increased-dtc-advertising-and-rising","status":"publish","type":"post","link":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/","title":{"rendered":"Increased DTC Advertising and Rising Drug Prices &#8211; Is There a Causal Link?"},"content":{"rendered":"<div class=\"separator\" style=\"clear: both; text-align: center;\">\n<\/div>\n<div class=\"separator\" style=\"clear: both; text-align: center;\">\n<a href=\"http:\/\/3.bp.blogspot.com\/-yXw3xFXVYU0\/Vk8zha02JoI\/AAAAAAAAIYA\/fs1brimWR2o\/s1600\/DTC_DrugCostLinkWhiteBkg.jpg\" imageanchor=\"1\" style=\"clear: left; float: left; margin-bottom: 1em; margin-right: 1em;\"><img loading=\"lazy\" decoding=\"async\" border=\"0\" height=\"126\" src=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-content\/uploads\/2015\/11\/DTC_DrugCostLinkWhiteBkg.jpg\" width=\"320\" \/><\/a><\/div>\n<p>There&#8217;s no denying two facts:<\/p>\n<p><b>FACT #1: <\/b>Spending on prescription drugs is increasing dramatically. The <i>Chicago Tribune<\/i>, quoting data from IMS health, reported (<a href=\"http:\/\/www.chicagotribune.com\/business\/ct-drug-spending-0415-biz-20150414-story.html\">here<\/a>) that &#8220;Spending [in 2014] rose 13 percent [vs. 2013], the biggest jump since 2001, to a total of $374 billion&#8221; and<\/p>\n<p><b>FACT #2:&nbsp;<\/b>Spending on&nbsp;Direct-to-Consumer Advertising (DTCA) of prescription drugs is also increasing &#8211; more so, in fact. Kanter Media reported that the drug industry increased measured media ad spending by 19% in 2014 vs 2013 to $4.5 Bn (see chart below).<\/p>\n<ol>\n<\/ol>\n<table align=\"center\" cellpadding=\"0\" cellspacing=\"0\" class=\"tr-caption-container\" style=\"margin-left: auto; margin-right: auto; text-align: center;\">\n<tbody>\n<tr>\n<td style=\"text-align: center;\"><a href=\"http:\/\/3.bp.blogspot.com\/-K33fyWDlmDk\/Vk830Z8cXnI\/AAAAAAAAIYM\/gP5dO8VmVq4\/s1600\/DTC-SpendTrend-thru-2014.jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"><img loading=\"lazy\" decoding=\"async\" border=\"0\" height=\"267\" src=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-content\/uploads\/2015\/11\/DTC-SpendTrend-thru-2014.jpg\" width=\"320\" \/><\/a><\/td>\n<\/tr>\n<tr>\n<td class=\"tr-caption\" style=\"text-align: center;\">Click on chart for an enlarged view.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Is there a causal link between these two facts? Does DTC advertising raise the cost of drugs?<\/p>\n<p><a name='more'><\/a>The American Medical Association (AMA) seems to think so. A few days ago, it called for a ban on Direct-to-Consumer Advertising (DTCA) of prescription drugs (see <a href=\"http:\/\/sco.lt\/4iRfrF\">here<\/a>).<\/p>\n<p>According to the AMA press release, the voting physician delegates were &#8220;responding to the billions of advertising dollars being spent to promote prescription products&#8221; and the new policy was &#8220;aimed at driving solutions to make prescription drugs more affordable.&#8221;<\/p>\n<p>Some DTCA critics suggest that pharma companies artificially raise prices of advertised drugs to cover the cost of advertising. But the AMA press release also suggested that DTCA &#8220;inflates demand for new and more expensive drugs,&#8221; which is not the same thing.<\/p>\n<p>Much research has been done to determine if brand drug prices are artificially set by drug companies in anticipation of competition and to cover the costs of Direct-to-Consumer Advertising (DCTA). You can read my summary of that research in this Pharma Marketing News article: &#8220;<a href=\"http:\/\/bit.ly\/pmn81001p\">Consequences of Direct-to- Consumer Advertising.<\/a>&#8220;<\/p>\n<p>Other research and data analysis rebuff the causal link between DTC and drug prices. Read, for example, &#8220;<a href=\"http:\/\/sco.lt\/8uR3Y1\">Villanova Scientists Long Ago Proved that DTC Spending Does Not Impact Rx Prices<\/a>.&#8221; Also, a report from the Congressional Budget Office, concluded that pharmaceutical manufacturers tend to spend more, on average, on DTC advertising for drugs that have few or no direct competitors (see <a href=\"http:\/\/sco.lt\/8BMxbF\">here<\/a>).<\/p>\n<p>In any case, spending on DTCA represents only 1% of drug sales! And if the ROI of DTCA is 2:1, then $4.5 bn in advertising to consumers generates only $9 Bn in sales that would not have been made otherwise &#8212; that&#8217;s only 2% of total sales. It&#8217;s unlikely that a 13% increase in drug prices was driven by an increase in expenses of 1%.<\/p>\n<p>Meanwhile,  is the Association of National Advertisers (ANA), which benefits from DTC advertising, said the AMA&#8217;s approach &#8212; i.e., DTC ban &#8212; is &#8220;wrong and misguided&#8221; and &#8220;would roll the clock back decades to the days when only doctors could be &#8216;trusted&#8217; to receive information about important health issues&#8221; (see <a href=\"http:\/\/sco.lt\/6dQogT\">here<\/a>).<\/p>\n<p>P.S. To see if there is a direct relation between the amount of money spent on advertising specific drugs and the cost of those drugs, I looked at the top 10 advertised drugs in October 2015 (<a href=\"http:\/\/www.fiercepharmamarketing.com\/story\/abbvies-humira-repeats-joined-bms-opdivo-leading-tv-spending-october\/2015-11-18\">here<\/a>) and compared the ad spend to the yearly retail cost of the drugs. I came up with the following chart, which appears to show that some relatively low-cost drugs (e.g., Invokana and Lyrica) are among the most heavily advertised pharma brands:<\/p>\n<div class=\"separator\" style=\"clear: both; text-align: center;\">\n<\/div>\n<div class=\"separator\" style=\"clear: both; text-align: center;\">\n<a href=\"http:\/\/3.bp.blogspot.com\/-iwEb-L0xAuE\/Vk9PLycth5I\/AAAAAAAAIYo\/o3O2ZkEQSPE\/s1600\/DTCSpend-v-DrugPriceChart.jpg\" imageanchor=\"1\" style=\"margin-left: 1em; margin-right: 1em;\"><img loading=\"lazy\" decoding=\"async\" border=\"0\" height=\"400\" src=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-content\/uploads\/2015\/11\/DTCSpend-v-DrugPriceChart.jpg\" width=\"372\" \/><\/a><\/div>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>There&#8217;s no denying two facts: FACT #1: Spending on prescription drugs is increasing dramatically. The Chicago Tribune, quoting data from IMS health, reported (here) that &#8220;Spending [in 2014] rose 13 percent [vs. 2013], the biggest jump since 2001, to a total of $374 billion&#8221; and FACT #2:&nbsp;Spending on&nbsp;Direct-to-Consumer Advertising (DTCA) of prescription drugs is also [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":12039,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[12],"tags":[104,86],"topic":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Increased DTC Advertising and Rising Drug Prices - Is There a Causal Link? - Pharma Marketing Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Increased DTC Advertising and Rising Drug Prices - Is There a Causal Link? - Pharma Marketing Network\" \/>\n<meta property=\"og:description\" content=\"There&#8217;s no denying two facts: FACT #1: Spending on prescription drugs is increasing dramatically. The Chicago Tribune, quoting data from IMS health, reported (here) that &#8220;Spending [in 2014] rose 13 percent [vs. 2013], the biggest jump since 2001, to a total of $374 billion&#8221; and FACT #2:&nbsp;Spending on&nbsp;Direct-to-Consumer Advertising (DTCA) of prescription drugs is also [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/\" \/>\n<meta property=\"og:site_name\" content=\"Pharma Marketing Network\" \/>\n<meta property=\"article:published_time\" content=\"2015-11-20T15:50:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-02-21T01:15:23+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-content\/uploads\/2015\/11\/DTCSpend-v-DrugPriceChart.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"373\" \/>\n\t<meta property=\"og:image:height\" content=\"400\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Pharma Guy\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Pharma Guy\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/\",\"url\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/\",\"name\":\"Increased DTC Advertising and Rising Drug Prices - Is There a Causal Link? - Pharma Marketing Network\",\"isPartOf\":{\"@id\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/#website\"},\"datePublished\":\"2015-11-20T15:50:00+00:00\",\"dateModified\":\"2019-02-21T01:15:23+00:00\",\"author\":{\"@id\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/#\/schema\/person\/763fc249c59c91ce203db612d81a75a1\"},\"breadcrumb\":{\"@id\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Increased DTC Advertising and Rising Drug Prices &#8211; Is There a Causal Link?\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/#website\",\"url\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/\",\"name\":\"Pharma Marketing Network\",\"description\":\"Pharma Marketing Network\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/#\/schema\/person\/763fc249c59c91ce203db612d81a75a1\",\"name\":\"Pharma Guy\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/2.gravatar.com\/avatar\/87853617a5e31233716811d09cdefdf7?s=96&d=identicon&r=g\",\"contentUrl\":\"http:\/\/2.gravatar.com\/avatar\/87853617a5e31233716811d09cdefdf7?s=96&d=identicon&r=g\",\"caption\":\"Pharma Guy\"},\"description\":\"Pharmaguy\u2122 is a \u201cconstructive critic\u201d of pharma marketing and publishes commentary on the Pharma Marketing Blog and on Scoop.it.\",\"url\":\"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/author\/ehs-pharmaguy\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Increased DTC Advertising and Rising Drug Prices - Is There a Causal Link? - Pharma Marketing Network","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/","og_locale":"en_US","og_type":"article","og_title":"Increased DTC Advertising and Rising Drug Prices - Is There a Causal Link? - Pharma Marketing Network","og_description":"There&#8217;s no denying two facts: FACT #1: Spending on prescription drugs is increasing dramatically. The Chicago Tribune, quoting data from IMS health, reported (here) that &#8220;Spending [in 2014] rose 13 percent [vs. 2013], the biggest jump since 2001, to a total of $374 billion&#8221; and FACT #2:&nbsp;Spending on&nbsp;Direct-to-Consumer Advertising (DTCA) of prescription drugs is also [&hellip;]","og_url":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/","og_site_name":"Pharma Marketing Network","article_published_time":"2015-11-20T15:50:00+00:00","article_modified_time":"2019-02-21T01:15:23+00:00","og_image":[{"width":373,"height":400,"url":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-content\/uploads\/2015\/11\/DTCSpend-v-DrugPriceChart.jpg","type":"image\/jpeg"}],"author":"Pharma Guy","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Pharma Guy","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/","url":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/","name":"Increased DTC Advertising and Rising Drug Prices - Is There a Causal Link? - Pharma Marketing Network","isPartOf":{"@id":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/#website"},"datePublished":"2015-11-20T15:50:00+00:00","dateModified":"2019-02-21T01:15:23+00:00","author":{"@id":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/#\/schema\/person\/763fc249c59c91ce203db612d81a75a1"},"breadcrumb":{"@id":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/blog\/increased-dtc-advertising-and-rising\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/"},{"@type":"ListItem","position":2,"name":"Increased DTC Advertising and Rising Drug Prices &#8211; Is There a Causal Link?"}]},{"@type":"WebSite","@id":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/#website","url":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/","name":"Pharma Marketing Network","description":"Pharma Marketing Network","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/#\/schema\/person\/763fc249c59c91ce203db612d81a75a1","name":"Pharma Guy","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/#\/schema\/person\/image\/","url":"http:\/\/2.gravatar.com\/avatar\/87853617a5e31233716811d09cdefdf7?s=96&d=identicon&r=g","contentUrl":"http:\/\/2.gravatar.com\/avatar\/87853617a5e31233716811d09cdefdf7?s=96&d=identicon&r=g","caption":"Pharma Guy"},"description":"Pharmaguy\u2122 is a \u201cconstructive critic\u201d of pharma marketing and publishes commentary on the Pharma Marketing Blog and on Scoop.it.","url":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/author\/ehs-pharmaguy\/"}]}},"_links":{"self":[{"href":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-json\/wp\/v2\/posts\/5828"}],"collection":[{"href":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-json\/wp\/v2\/comments?post=5828"}],"version-history":[{"count":1,"href":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-json\/wp\/v2\/posts\/5828\/revisions"}],"predecessor-version":[{"id":12040,"href":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-json\/wp\/v2\/posts\/5828\/revisions\/12040"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-json\/wp\/v2\/media\/12039"}],"wp:attachment":[{"href":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-json\/wp\/v2\/media?parent=5828"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-json\/wp\/v2\/categories?post=5828"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-json\/wp\/v2\/tags?post=5828"},{"taxonomy":"topic","embeddable":true,"href":"http:\/\/ec2-54-175-84-28.compute-1.amazonaws.com\/pharma-mkting.com\/wp-json\/wp\/v2\/topic?post=5828"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}