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    Spectrum Pharmaceuticals - Chancen und Risiken? (Seite 169)

    eröffnet am 31.08.08 11:55:05 von
    neuester Beitrag 10.08.23 11:06:43 von
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     Ja Nein
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      schrieb am 02.11.09 20:09:54
      Beitrag Nr. 2.549 ()
      Damit wäre Rajesh CC Aussage von 100 - 300 Mio mit Zevalin "easy" erreichbar mehr als bestätigt.
      Avatar
      schrieb am 02.11.09 20:00:08
      Beitrag Nr. 2.548 ()
      ZAHLT DIE US-REGIERUNG EINE BEHANDLUNG MIT ZEVALIN?!? :eek:

      Submission of OPPS ASP Data for Nonpass-Through Separately Payable Therapeutic
      Radiopharmaceuticals and Radiopharmaceuticals with Pass-Through Status

      Overview

      Beginning in CY 2010, CMS provides payment for separately payable therapeutic
      radiopharmaceuticals and pass-through radiopharmaceuticals using OPPS ASP data, if data are
      submitted by all manufacturers of the radiopharmaceutical for a given calendar quarter. For
      radiopharmaceuticals paid based on ASP data under the OPPS, we expect that OPPS ASP data
      reported in a “patient-specific dose” or “patient ready form” would represent the sales price of all
      of the component materials of the finished radiopharmaceutical product sold by the manufacturer
      in terms that reflect the applicable HCPCS code descriptor. Manufacturers should report OPPS
      ASP data in units that are compatible with the long code descriptor of the applicable HCPCS
      code, such as “treatment dose” or “millicurie,” representing the manufacturer’s sales price for all
      component materials. Component materials may include a “cold kit” (nonradioactive compound
      or complex that is combined with a radioisotope and results in a radiopharmaceutical) and the
      associated radioisotope. Manufacturers of radiopharmaceuticals may include in their calculation
      of ASP for OPPS payment purposes, in addition to the prices for the component materials, the
      portion of the sales price attributable to the production of the manufactured product as it is sold
      by the manufacturer reporting OPPS ASP data, taking into account “bona fide service fees” for
      radiolabeling or other services, as discussed in more detail in the examples.

      Data Collection

      ASP data submission procedures for therapeutic radiopharmaceuticals for payment purposes
      under the OPPS are parallel to existing ASP data submission procedures for drugs and
      biologicals for payment in the physician’s office setting under section 1847A of the Act and its
      implementing regulations at §414.804. Information regarding timeframes and the instructions
      and format for ASP reporting are available on the CMS ASP web site at:
      http://www.cms.hhs.gov/McrPartBDrugAvgSalesPrice/.

      For therapeutic radiopharmaceutical payment under the OPPS, manufacturers may submit ASP
      data for OPPS payment in any given calendar quarter on a quarter-by-quarter basis. For those
      quarters where OPPS ASP data are not available for a therapeutic radiopharmaceutical (if a
      manufacturer does not submit ASP data), CMS will pay for a therapeutic radiopharmaceutical
      under the OPPS at the therapeutic radiopharmaceutical’s most recent mean unit cost derived
      from hospital claims data.




      In light of the imminent deadline for submitting ASP data for OPPS payment
      beginning on January 1, 2010, we encourage manufacturers wishing to submit ASP
      data for the January 2010 OPPS update to contact us immediately through the OPPS
      mailbox at OutpatientPPS@cms.hhs.gov so we can facilitate the submission process.
      October 30, 2010
      2
      Considerations Specific to OPPS ASP Reporting for Radiopharmaceutical Payment

      1. As noted above, we expect manufacturers of therapeutic radiopharmaceuticals to report the
      sales price of all of the component materials for the radiopharmaceutical as a “patient-
      specific dose” or “patient ready form” in units that are compatible with the applicable
      HCPCS code descriptor for OPPS ASP payment purposes. The submission should be
      reported on the ASP Data Form (Addendum A) that may be downloaded from the CMS ASP
      web site provided above.

      2. Fees paid by the manufacturer under contract for the radioisotope and/or for the radiolabeling
      process may be considered “bona fide service fees.” Under the ASP regulations, “bona fide
      service fees” are fees paid by a manufacturer to an entity that represent fair market value for
      a bona fide, itemized service actually performed on behalf of the manufacturer that the
      manufacturer would otherwise perform (or contract for) in the absence of the service
      arrangement, and that are not passed on in whole or in part to a client or customer of an entity
      whether or not the entity takes title to the drug. “Bona fide service fees” are not deducted
      from ASP (that is, they are not netted against the radiopharmaceutical price for purposes of
      calculating ASP used for OPPS payment). Therefore, for purposes of the OPPS, if the
      manufacturer pays a “bona fide service fee” for the services of a freestanding radiopharmacy,
      hospital pharmacy, or other entity, and reflects that fee in its sales price for the
      radiopharmaceutical, the amount of the “bona fide service fee” would be taken into account
      in the reported OPPS ASP data. However, manufacturers are not required to pay for the
      preparation of a radiopharmaceutical in a freestanding radiopharmacy, hospital pharmacy, or
      other entity, and in that case, the cost of those services would not be taken into account in the
      OPPS ASP data submitted to CMS.

      3. When submitting OPPS ASP data for radiopharmaceuticals, manufacturers should provide
      their submissions under the most appropriate NDC number(s) for the radiopharmaceutical,
      even if the NDC number(s) only represents the unique product-defining component material
      for the final radiopharmaceutical product (such as the cold kit). As is standard with any ASP
      submission, manufacturers should note any assumptions in their OPPS ASP submission to
      CMS.

      Examples

      Scenario 1 A manufacturer sells a radiopharmaceutical with all component materials except the
      radioisotope. The radioisotope is not provided by the manufacturer, but instead is furnished by
      a freestanding radiopharmacy, hospital pharmacy, or other entity that goes on to prepare the
      final product by radiolabeling the component materials provided by the manufacturer.

      Result 1A If the manufacturer sells only a portion of the component materials to a
      freestanding radiopharmacy, hospital pharmacy, or other entity that then proceeds
      to prepare the radiopharmaceutical itself (as described by the HCPCS code)
      through the addition of a radioisotope purchased from another source, the
      manufacturer would be unable to report OPPS ASP data that reflect the sales of
      all component materials necessary for the radiopharmaceutical. Therefore, the October 30, 2010
      3
      OPPS would not pay for this radiopharmaceutical based on ASP and would base
      payment on mean unit cost.

      Result 1B If the manufacturer pays “bona fide service fees” to a freestanding
      radiopharmacy, hospital pharmacy, or other entity to obtain the radioisotope and
      combine all of the component materials, the manufacturer would be able to report
      OPPS ASP data for the radiopharmaceutical. OPPS ASP data submitted to CMS
      would reflect the sales of all component materials necessary for the product
      described by the HCPCS code, taking into account the “bona fide service fees”
      incurred by the manufacturer to purchase the radioisotope and radiolabeling
      services.

      Scenario 2 A separately payable radiopharmaceutical is sold by the manufacturer with all
      component materials included but not combined together in preparation for patient
      administration. Therefore, the sale of all of the component materials (including the
      radioisotope) could be included in the reported OPPS ASP data. However, further processing at
      a freestanding radiopharmacy, hospital pharmacy, or other entity must occur to prepare the
      radiopharmaceutical for ultimate patient administration in the hospital outpatient department.

      Result 2 Manufacturers are not required to pay for the preparation of a
      radiopharmaceutical at a freestanding radiopharmacy, hospital pharmacy, or other
      entity after sale of the component materials and, in that case, the cost of those
      services would not be reflected in the OPPS ASP data submitted to CMS. We
      consider radiopharmaceutical processing services performed at a freestanding
      radiopharmacy, hospital pharmacy, or other entity to be similar to pharmacy
      overhead and handling services for other drugs and nonimplantable biologicals
      paid under the OPPS. Payment for these costs would be made through the single
      OPPS ASP-based payment for both the acquisition cost and associated pharmacy
      overhead cost of the radiopharmaceutical.

      Scenario 3 The manufacturer sells a radiopharmaceutical with all component materials
      combined together to constitute the final radiopharmaceutical product (as described by the
      HCPCS code) and this product is packaged into a single use vial that is shipped by the
      manufacturer to a hospital. Upon receipt of the single use vial, the hospital draws up the
      radiopharmaceutical into a syringe for administration and calibrates the radiopharmaceutical
      immediately prior to patient administration.

      Result 3 The OPPS ASP data submitted by the manufacturer would be reflective of the
      sales of the component materials in the form provided (i.e., the single use vial),
      but not the drawing up of the product into a syringe for administration and the
      calibration performed by the hospital. In this case, the OPPS ASP data would
      take into account the processing activities performed by the manufacturer but
      would not take into account the hospital’s costs for the final preparation of the
      dose for administration to the patient. Payment for the hospital preparation costs
      would be made through the single OPPS ASP-based payment for both the
      acquisition cost and associated pharmacy overhead cost of the
      radiopharmaceutical.

      Ne Menge zu lesen...
      Avatar
      schrieb am 29.10.09 10:52:52
      Beitrag Nr. 2.547 ()
      Zum 2. Quartal haben die Zevalin Umsätze im Vergleich zum Vorjahr um 25% angezogen. Ich bin gespannt was im November bei den Zahlen zum 3. Quartal herauskommt. Ich hoffe mal das dann die 4 Dollar endgültig der Vergangenheit angehören ;)
      Avatar
      schrieb am 28.10.09 19:47:17
      Beitrag Nr. 2.546 ()
      Sollte Spectrum in ein paar Jahren wirklich in den Bereich von 100 bis 300 Mio USD Zevalinverkäufe "easy" vorstoßen können, wie Raj es gestern prognostiziert hat, so sind 4 USD Kurs definitiv ein super Einstieg.

      Wir werden quartalsweise sehen, was diese Ansage wert war und ob sie aus der Bedrängung der Fusilev Ablehnung heraus recht unbedarft gesagt wurde oder ob da wirklich Hand und Fuß dahinter ist. Logisch erklären kann man es ja, das Medikament ist ohne Zweifel sehr wirksam und sicher.

      Klar muss einem werden, dass auch die Kosten wegen der mit 50-70 Mann nochmal verdoppelten Salesforce das nächste Quartal massiv nach oben gehen werden.
      Avatar
      schrieb am 28.10.09 19:11:07
      Beitrag Nr. 2.545 ()
      Ich habe heute angefangen meine Pos weiter zu verstärken.

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      Avatar
      schrieb am 28.10.09 18:05:51
      Beitrag Nr. 2.544 ()
      Gut, so neg. ist der Artikel auch nicht. Für mittelfristig bis langfristig sicher nun gute Einkaufskurse um die 4 Dollar.
      Avatar
      schrieb am 28.10.09 16:35:13
      Beitrag Nr. 2.543 ()
      Antwort auf Beitrag Nr.: 38.266.003 von walk_on am 27.10.09 23:09:45Super - und heute gehts wieder runter (aktuell 4,05 Dollar)

      Vielleicht deswegen??
      http://community.smallcapnetwork.com/Speculating-on-Spectrum…
      Avatar
      schrieb am 27.10.09 23:09:45
      Beitrag Nr. 2.542 ()
      Hallo ,

      nur noch Jammer hier ?

      Also ich habe heute gekauft (4,10 US$). Ole.

      Die USA habe nicht mehr viel.
      Biotec, Militär, ihr Ego und die Flexibilität sind die letzten Pluspunkte.
      Der nächste Hype wird hier kommen.
      Finanzplatz USA ist nach meiner Meinung 90 % Psychologie und Geld ist dort wirklich nur ein Rechenfaktor.

      Gruß
      w_o
      Avatar
      schrieb am 27.10.09 22:50:36
      Beitrag Nr. 2.541 ()
      WoW! Da ist er wieder unser Rajesh

      Zevalin ist der Hammer und Spectrum bekommt das gebacken, wo Biogen und Cell Therapeutics gnadenlos gescheitert sind.

      Wer braucht da noch Fusilev?!

      Fazit: KAUFEN!!!!

      :D
      Avatar
      schrieb am 27.10.09 22:47:55
      Beitrag Nr. 2.540 ()
      Antwort auf Beitrag Nr.: 38.264.761 von Ville7 am 27.10.09 20:01:09und auf dem board wurde weiter ergänzt:

      Raj stated 1400 patients now enrolled for phase 3 clinical trials of Eoquin and enrollment w/b completed end of 2009
      2) Partner Allergen pays 65% of trial costs.
      3)primary endpoint as agreed upon with fda consultation, is "Relapse rate of bladder cancer at end of 2 years"
      4) Eoquin for bladder cancer is an unmet medical need.
      5) 2.7 million bladder patients worldwide.... up to 85% of bladder cancer patients are eligible for Eoquin use, if fda approval is issued.
      6) Raj stated $500 Million in USA ALONE, for Eoquin, if fda approved.
      7) Sppi to obtain Row partner for ex usa (china,india,japan) sppi retains 100 % rights to Asia and sppi shares equal USA rights with Allergen...
      8) Eoquin is a one dose treatment (4mg) . It is injected into the bladder to prevent cancer regrowth/relapse....because during surgery, if bladder is punctured, some cancer cells or other toxins can get iside the bladder and fester, so as to perhaps let cancer grow anew/relapse..... and the Eoquin injection into bladder at time of surgery is to prevent such from happening.
      9) Bladder cancer is most expensive bladder cancer of all cancers to treat, said Raj
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      Spectrum Pharmaceuticals - Chancen und Risiken?