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处方药转非处方药转换、市场独占性与消费者福利:美国抗溃疡药物市场研究

Rx‐to‐OTC Switch, Market Exclusivity, and Consumer Welfare: A Study of the US Anti‐Ulcer Drug Markets
The RAND Journal of Economics · 2025 · Debi Prasad Mohapatra、Yang Zhang

中文摘要

本文研究美国抗溃疡药物市场,在该市场中,首个非处方(OTC)药物可独立于处方药专利到期而获得市场独占权。我们表明,由于处方药市场与非处方药市场中的激励相互作用,与不存在市场独占政策的情形相比,现行设计使消费者福利减少16亿美元,因为它导致许多企业将进入非处方药市场的时间推迟至处方药专利到期之后。一种将非处方药独占权的授予与处方药专利到期日相挂钩的替代政策改善了药物可及性,并使消费者福利增加34亿美元。

Abstract

ABSTRACT We study the US Anti‐Ulcer Drug market, where market exclusivity is granted to the first over‐the‐counter (OTC) drug independent of prescription drugs' patent expiry. We show that due to the interplay of incentives in the prescription and OTC drug markets, compared to a world with no market exclusivity policy, the status quo design reduces consumer welfare by 1.6 billion USD, as it causes many firms to delay entry into the OTC drug market until prescription drug patents expire. An alternative policy linking OTC exclusivity provision to prescription drug patent expiry dates improves drug access and increases consumer welfare by 3.4 billion USD.
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