Market Access & Pricing

Optimizing The Realization of Value

The trial approved the drug. Payers are going to meet to determine access. Multiple price negotiations will take place. Stakeholders are ready—are you? We make sure you can prove the value of your drug to those who matter most, and we do it globally.

40%+

typical gross-to-net erosion on major US brands

Half

to two-thirds of launches fail to meet expectations

3 audiences

payers, providers, and patients: value must resonate with all three

Value Leaks Between The Evidence and the Check

The leak is quiet and expensive. The dossier focuses on endpoints and clinical value, while payers ask about budget impact and providers ask about net cost recovery. Contracts offered discounts for desired access and restriction positions, but formulary decision-makers thought otherwise. Rebates and/or discounts stack. The field never follows up on where access was achieved, so wins that were bought never get pulled through.

Pricing compounds it. Launch prices are set on thin competitive intelligence. Gross to net grows while access does not improve. Indegene prepares for all of this, so pricing is set purposefully, taking into account manufacturers' goals, and the value is maximized.

What the Leak Costs

Gross-to-net erosion, major US brands40%+
Access wins never pulled through by fieldCommon
Revenue impact of one quarter's coverage delayMaterial
Where the leak landsNet revenue, silently

Four Shifts Shaping Value and Access

  1. Value dossiers built on trial endpoints alone are losing to budget-impact and real-world outcome evidence designed around what committees actually weigh. HEOR moves upstream into development.

  2. Contracting needs to support outcome-based agreements and indication-specific pricing. Value-based constructs are moving from press release to practice. Teams that can model and negotiate secure access that flat rebates cannot buy.

  3. The price set today must understand tomorrow's policy environment. IRA negotiations and MFP, PBM FTC/CAA reform, MFN, GENEROUS, GUARD/GLOBE and international reference pricing, and 340B rebate pilots take center stage.

  4. Access wins realize value only when field, marketing, and patient services activate them. The organizations connecting coverage data to engagement in days collect what others leave on the table.

Every shift rewards the same thing: access run as a continuous value-realization system. We run it from evidence planning and generation to communication. We run it from evidence planning, generation to communication.

The Value Realization Engine

Four stages, one loop. What negotiations teach feeds the evidence plan. What pull-through reveals feeds the next contract.

Evidence

Payer and provider-related value demonstration: HEOR, RWE, and budget-impact modeling built around what committees weigh, sequenced ahead of the asks.

Insights from this stage can then inform the next cycle of evidence planning and negotiation.

Featured Insights

Everything The Engine Runs On

Years of Pricing, Contracting, and Market Access Experience across Sites of Care and Channels

HEOR and value evidence


Budget-impact models, RWE studies, and payer-relevant value dossiers.

Pricing strategy and governance


Launch pricing, international sequencing, and continuous gross-to-net management.

Payer engagement


Account strategy, negotiation support, and value communication.

Innovative contracting


Outcome-based agreement design, modeling, and operations.

Access analytics


Live coverage tracking, restriction analysis, and opportunity mapping on Komodo patient-level claims.

Pull-through activation


Coverage wins pushed to field, marketing, and patient services in days.

Frequently Asked Questions

Value realization is the full chain from evidence to collected net revenue: payer-relevant proof, pricing, contracting, and pull-through.

Indegene runs it as one continuous system, ending the era of the launch-time dossier.

Erosion slows when pricing is governed continuously, contracts are modeled before they are signed, and every rebate has an owner and a return.

Indegene runs gross-to-net as a live discipline.

Payers weigh budget impact, real-world outcomes, and comparative value in their populations.

Indegene builds HEOR and RWE programs around those questions, sequenced ahead of negotiations.

Consultancies deliver the strategy and depart.

Indegene runs the system: evidence, pricing governance, contracting operations, and pull-through activation, with fees tied to realized outcomes.

Collect the Value Your Science Earned.

Bring us your access plan and gross-to-net picture. Within 3 weeks, you will have a value leak analysis, a realization roadmap, and committed access milestones.

Get the value leak diagnostic.