Eli Lilly’s direct drug sales alone may not upend the industry, but others could follow suit

Biotech
Friday, January 5th, 2024 8:30 pm EDT

Key Points

  • Eli Lilly’s Disruptive Move in the Pharmaceutical Industry: Eli Lilly is making significant changes in the pharmaceutical industry by introducing a new website, LillyDirect, offering telehealth prescriptions and direct home delivery of specific drugs, including the popular weight loss treatment Zepbound. This marks the first direct-to-consumer push by a major drugmaker, signifying a potential shift in the industry’s traditional distribution and prescription drug supply chain.
  • Potential Industry Impact and Pressure on Traditional Drug Supply Chain: While analysts suggest that Eli Lilly’s direct-to-consumer model may not immediately revolutionize the pharmaceutical industry, there is anticipation that other drugmakers could follow suit. The article underscores the possibility of added pressure on the existing complex system of drug distribution, pricing, and prescribing in the U.S., which has been criticized for leading to higher prices and limited choices for patients. Legislative actions targeting drug supply chain middlemen and the Biden administration’s efforts to control medication prices contribute to the evolving landscape.
  • LillyDirect’s Approach and Potential Challenges to Traditional Models: Eli Lilly’s LillyDirect aims to increase access to medicines for chronic diseases, particularly emphasizing the demand for weight loss drugs like Zepbound. The platform eliminates the need for patients to visit a doctor’s office for prescriptions and, in some cases, for pharmacies to fill them. While experts acknowledge that Eli Lilly’s site might not significantly disrupt the traditional drug distribution system, the transparent pricing and direct-to-consumer model could be a precursor for other pharmaceutical companies. The article highlights the potential impact on pharmacy benefit managers (PBMs) and the broader drug supply chain, as well as the challenges that may arise with smaller, specialized drugs requiring specific administration methods.

Eli Lilly is making waves in the pharmaceutical industry with the introduction of a groundbreaking website, LillyDirect, offering telehealth prescriptions and direct home delivery of certain drugs, including the popular weight loss treatment Zepbound. This move, a first-of-its-kind for a major drugmaker, aims to enhance patient access and address issues such as supply constraints and long waitlists for obesity medicine specialists. While some analysts believe this direct-to-consumer approach may not single-handedly revolutionize the pharmaceutical industry and drug supply chain, it could set a precedent for other companies to follow suit, potentially adding pressure to a system criticized for its complexity, leading to higher prices and limited choices for patients.

As Eli Lilly takes this step towards disruption, it aligns with a broader trend of companies exploring ways to reform the drug system under mounting political pressure to reduce consumer costs and increase pricing transparency. Legislative actions targeting drug supply chain middlemen and the Biden administration’s efforts to control medication prices further contribute to this evolving landscape.

Eli Lilly’s LillyDirect eliminates the need for patients to visit a doctor’s office for prescriptions and, in some cases, for pharmacies to fill them. The platform connects patients with an independent telehealth provider who can prescribe FDA-approved medications, facilitating direct home delivery through a third-party online pharmacy. Notably, patients may also benefit from Eli Lilly’s discount programs, potentially signaling a challenge to pharmacy benefit managers (PBMs) accused of not passing along savings to patients.

Despite these advancements, some analysts argue that Eli Lilly’s site alone may not pose a significant threat to the traditional drug distribution system, which involves a complex network of manufacturers, wholesalers, pharmacies, and PBMs. However, the transparent pricing and direct-to-consumer model could prompt other pharmaceutical companies to explore similar approaches, particularly for high-selling drugs, potentially exerting more pressure on the conventional drug supply chain.

The article suggests that while larger drugs may find success with a direct-to-consumer model, smaller, more specialized drugs for complex, chronic, or rare conditions may face challenges, especially if specialized training is required for administration. Other recent industry moves, such as CVS Health’s plans to overhaul its business model and Cigna’s adoption of a pricing model akin to a direct-to-consumer pharmacy, indicate a broader trend towards simplifying the drug supply chain. As various companies navigate these shifts, Eli Lilly’s innovative approach with LillyDirect may serve as a catalyst for further changes in the pharmaceutical landscape.

For the full original article on CNBC, please click here: https://www.cnbc.com/2024/01/05/eli-lilly-weight-loss-drug-site-may-not-upend-industry.html