Modified versions of existing drugs can substantially increase costs for patients and the health care system if the new version does not offer meaningful clinical improvement.
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Acknowledgements
The authors thank N. Patel for comments on an earlier draft. This work was supported by Arnold Ventures and the Commonwealth Fund.
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A.S.K. reports serving as an expert witness for a class of individual plaintiffs in a case against Gilead related to introduction of a new formulation of tenofovir disoproxil fumarate.
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Gowda, V., Beall, R.F., Kesselheim, A.S. et al. Identifying potential prescription drug product hopping. Nat Biotechnol 39, 414–417 (2021). https://doi.org/10.1038/s41587-021-00877-9
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DOI: https://doi.org/10.1038/s41587-021-00877-9
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