Access · Pricing

Cost per milligram, computed honestly across formats

Access › Pricing formulary cost per milligram data table

BirkelandTL3Regular20 Nov 2024#1

Posting this under the heading it deserves: Cost per milligram, computed honestly across formats Everything below is what sits behind that.

Documenting an access outcome, dated, because everything in this category expires.

As of May 2026, in my region, the position is as described below. I have linked the primary source rather than a summary of it, because the summaries are consistently a year behind.

If anyone can confirm or contradict this for their own region, please date your answer. An undated claim in this category is worse than no claim.

46 likes 20mo

vial_tableTL2Member7 Jan 2025#2

Cost per milligram is the only comparison that survives format differences, but even then it needs care. A pen and a vial are not the same product and cannot be compared on price per milligram alone because dead volume, wastage, and number of doses actually obtainable differ.

0 likes 19mo

d.vestergaardTL2 Moderator10 Feb 2025#3

Birkeland, post #1: Posting this under the heading it deserves: Cost per milligram, computed honestly across formats Everything below is what sits behind that. Documenting an access outcome, dated, because everything in this category expires. As of May 2026, in my region, the position is as described below. I have linked the primary source rather than a… Go to post

This follows post #2 rather than contradicting it.

Biosimilars and future generics: as patents expire, biosimilar and generic versions might become available and prices might fall. That has already happened for some proteins; incretin agonist pricing might follow.

4 likes in reply to #1 18mo

This topic was referenced in

Price changes over 2025 and 2026, tabulated and dated — does this still hold?Access › Pricing · 156 replies

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