Abstract

Purpose The purpose of this paper is to investigate pharmaceutical market access (MA) and the interaction between the pharmaceutical company and other business and non-business actors (NBAs) involved in the MA of ethical drugs, to identify the main categories of actors, their role for MA and the content of the interaction, adopting an industrial marketing approach. Design/methodology/approach A qualitative interpretivist approach is adopted, with interviews as the primary data collection method: 36 interviews have been conducted with 16 key informants from the pharmaceutical industry. Findings The findings of this study reveal that (i) MA can be seen as a relational-driven activity with specific features owing to the highly regulated nature of the pharmaceutical industry, (ii) there is a multiplicity of business, and NBAs involved in the MA activities with whom pharmaceutical companies interact to acquire knowledge, legitimacy and make MA timely and effective, and (iii) the interaction with each category of actors has specific content. Originality/value This paper advances the debate on the marketing and management of pharmaceutical companies by emphasizing the importance of MA and the need to conceptualize it according to an industrial marketing perspective, revealing the interdependencies among actors for MA and the content of the interaction. It also contributes to the industrial marketing literature that has recently stressed the importance of NBAs as part of the extended business network of a company by identifying different categories of actors, their role in terms of knowledge and legitimization and the features and the trade-off of the extended business network in highly regulated markets.

Highlights

  • Pharmaceutical companies’ role in the global economy and global health is more evident than ever owing to the COVID-19 pandemic

  • 4.1 Market access in a highly regulated market The first issue that emerged from the interviews concerns a perspective on market access (MA) that goes beyond negotiation and is relational-driven: “the relational dimension is the main one, as the pharmaceutical company interacts with a multiplicity of political and non-institutional actors” (R5)

  • The findings of this study reveal that MA can be seen as a relational-driven activity with specific features owing to the highly regulated nature of the pharmaceutical industry; there is a multiplicity of business and non-business actors (NBAs) involved in the MA activities with whom pharmaceutical companies interact to acquire knowledge, legitimacy and make MA timely and effective; and the interaction with each category of actors has specific content

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Summary

Introduction

Pharmaceutical companies’ role in the global economy and global health is more evident than ever owing to the COVID-19 pandemic. Pharmaceutical companies are currently the object of a worldwide daily debate, as the COVID-19 pandemic has clarified the importance of scientific research and the need for the availability of new drugs, such as vaccines (Rome and Avorn, 2020). MA of new drugs refers to the pharmaceutical company’s activities to obtain the authorization and negotiate the price/reimbursement mechanism to launch a new ethical drug (a drug that requires a medical prescription). MA represents a strategic moment for the possibility of diffusion of the new ethical drug. It benefits pharmaceutical companies (the launch of a new drug and profitability), patients and the health-care system (availability of a new drug). As MA implies negotiating with the regulatory authorities on price and reimbursement, both the profitability

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