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Perspective
Volume 355:1297-1300 September 28, 2006 Number 13
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Delaying Generic Competition — Corporate Payoffs and the Future of Plavix
Miriam Shuchman, M.D.

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In August, pharmacies began selling a cheaper, generic version of the blockbuster antiplatelet agent Plavix (clopidogrel). This was good news for patients with cardiac disease or stroke who cannot afford to buy the medication at more than $4 a day. But to Bristol-Myers Squibb and Sanofi-Aventis, who produce and market the drug, it was a financial disaster. Plavix is the world's second-best-selling drug — 48 million Americans use it on a daily basis — and with sales of more than $6 billion last year, it accounts for about 30 percent of Bristol-Myers's total earnings. In an effort to keep the . . . [Full Text of this Article]


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Dr. Shuchman is in the Department of Psychiatry at the University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY.



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