Question: Pharmaceutical Benefits Managers ( PBMs ) are intermediaries between upstream drug manufacturers and downstream insurance companies. They design formularies ( lists of drugs that insurance

Pharmaceutical Benefits Managers (PBMs) are intermediaries between upstream drug manufacturers and downstream insurance companies. They design formularies (lists of drugs that insurance will cover) and negotiate prices with drug companies. PBMs want a wider variety of drugs available to their insured populations, but at low prices. Suppose that a PBM is negotiating with the makers of two nondrowsy allergy drugs, Claritin and Allegra, for inclusion on the formulary. The value or surplus created by including one nondrowsy allergy drug on the formulary is $228 million, but the value of adding a second drug is only $68 million.
Assume the PBM bargains by telling each drug company that it's going to reach an agreement with the other drug company.
Under the non-strategic view of bargaining, the PBM would earn a surplus of
million, while each drug company would earn a surplus of
million.
Now suppose the two drug companies merge. What is the likely postmerger bargaining outcome?
Under the nonstrategic view of bargaining, the PBM would earn a surplus of
million, while the merged drug company would earn a surplus of
million.
In Egypt, you calculate that the annual value created by one distributor is $420 million per year, but would be $560 million if two distributors carried your product line.
Assuming a nonstrategic view of bargaining, you would expect to capture
million of this deal. (Hint: The two distributors are independent of each other; therefore, you conduct separate negotiations with each.)
Argentina also has two distributors that add value equivalent to the value added by the two distributors in Egypt, but both are run by the government.
Assuming a nonstrategic view of bargaining, you would expect to capture
million of this deal.
In Argentina, if you do not reach an agreement with the government distributors, you can set up a less efficient Internet-based distribution system that would generate $140 million in value to you.
Assuming a nonstrategic view of bargaining, you would expect to capture
million of this deal.

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