Crucial differences exist between traditional and orphan commercial markets, such as:

• Limited data from small patient groups
• Insufficient knowledge base for the rare condition
• Higher prices due to specialized technology and longer research and development
• The lack of dedicated approaches to evaluating rare disease drugs

These differences translate to challenges in developing economic models and HTA submissions that meet conventional standards for health technology submissions. Additionally, as new programs are implemented to formalize the assessment of rare disease therapies, it is important to align with a team that has a deep understanding and years of experience with market access for rare diseases.

Effective regional strategy for rare diseases requires a high level of adaptation. Developing a comprehensive market access strategy will ensure the long-term launch plan is positioned for success. Country-specific strategies are needed for pricing (including strategic rebates and discounts), reimbursement thresholds, health technology assessments (HTA), public vs private payer dynamics, and the acceptance of real-world evidence (RWE)-based modeling.

IMAC has considerable expertise in market access strategy for rare diseases. We understand the nuances in approach from pre- and post-launch evidence generation, to developing a rigorous and innovative economic model structure for rare disease and implementing the best strategy for the support and successful reimbursement of these critically important treatments. IMAC has an unparalleled track record of success assisting clients with global launches for rare disease treatments.