http://www.nytimes.com/2001/11/08/business/08VACC.html
November 8, 2001
|
|
|
|
|
|
|
|
|
![]()
The dispute over vaccine pricing reflects a split in the pharmaceutical
industry. Some small biological research companies that have done considerable
work on smallpox vaccines over the last two years say that they have the viral
seed stock to produce the vaccines and could do so quickly and cheaply by
renting space at larger laboratories.
Two of the three finalists in the bidding for the vaccine contract, Merck (news/quote)
and GlaxoSmithKline (news/quote),
have done little work in recent decades on smallpox vaccines, but have their
own big laboratories. The third finalist is a partnership between Acambis (news/quote),
a small British biological research company, and Baxter International (news/quote),
a large pharmaceutical company with many labs.
Tommy G. Thompson, the secretary of health and human services, told
reporters on Tuesday evening that the three finalists' bids were "much
higher than I had anticipated." He added that he had just warned the
Office of Management and Budget that the contract could cost more than the $509
million he had previously predicted.
Mr. Thompson said this evening that the government was not just looking for
the lowest bidder, but for the company or companies that could provide the
safest, most effective vaccine earliest. "As far as the price is going, I
hope it's going to go down," he said.
|
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Louis Potash, the director of vaccine technologies at Novavax (news/quote),
one of seven companies that sought the vaccine contract and were eliminated in
a first round of bidding a week ago, said his company could have met the
government's target price of about $2 a dose for 250 million doses. "Our
price was around $2 a dose, and when I look at this, I'm sick," he said.
An official at Dynport, a company developing a smallpox vaccine under an
Army contract, was equally critical. "We've already produced some, so we
know how to do it, we can do it under the budget, under the $509 million,"
said the official, who insisted on anonymity.
The big drug companies "are going to have to spend a couple months
figuring out what to do," the official said, adding that Dynport had just
been told by the Army to hand over to Merck the viral seed stock it had
developed.
Bavarian Nordic, based in Copenhagen, said that it could have provided a
different, European kind of smallpox vaccine for $2 or less a dose. But Peter
Wulff, the company's chief executive, said that he thought it was
"reasonable that the U.S. would like to take one of the larger
pharmaceutical companies."
The controversy over the price coincides with a partisan rift in Congress
over drug makers' liability for the smallpox vaccines. The vaccines had a high
rate of side effects before their civilian use ended in 1972. Doctors predict
that inoculating every American now would kill hundreds of people and leave
another 1,000 or more with brain damage. Drug makers want complete immunity
from liability, with any lawsuits directed at the federal government instead.
Representative Billy Tauzin, the Louisiana Republican who is the chairman of
the Energy and Commerce Committee, endorsed the drug makers' position in an
interview today. Shifting any and all liability to the federal government is
the fastest and simplest approach, at least in the short term, he said.
Two Congressional Democrats who have played a leading role for decades in
vaccine legislation, Senator Edward M. Kennedy of Massachusetts and
Representative Henry A. Waxman of California, are drafting bills to create a
federal fund to compensate victims of bioterrorism vaccines. The fund would be
modeled on an existing fund to help children hurt by childhood vaccines. As is
the case with the childhood vaccines fund, people harmed by bioterrorism
vaccines could still sue vaccine makers, but only in cases of gross negligence or
fraud.
But Mr. Tauzin said he doubted "whether in the middle of a bioterrorism
crisis we can have a tort reform debate."
ALL
INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR
GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE
KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED
AS PROVIDING MEDICAL OR LEGAL ADVICE. THE DECISION WHETHER OR NOT TO
VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU
ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.