Joseph P. Cook
NERA Economic Consulting
50 Main Street, 14th Floor
White Plains, NY 10606
NBER Working Papers and Publications
|February 2010||Generic Utilization Rates, Real Pharmaceutical Prices, and Research and Development Expenditures|
with Graeme Hunter, John A. Vernon: w15723
Generic utilization rates have risen substantially since the enactment of The Drug Price Competition and Patent Term Restoration Act (Hatch-Waxman) in 1984. In the year Hatch-Waxman was enacted, generic utilization rates were 19 percent; in contrast, today, the generic utilization rate is approximately 70 percent. Striking a balance between access to existing medicines and access to yet-to-be-discovered (and developed) drugs, through research incentives, was the principal objective of this landmark legislation. However, given the current rate of generic utilization, it seems plausible, if not likely, that any balance achieved by the 1984 Act has since shifted away from research incentives and towards improved access, ceteris paribus. Among other factors, recent mandatory substitution laws ...