Bristol Myers Squibb will offer oral psoriasis drug Sotyktu at an 86% discount via direct-to-consumer (DTC) sales, bypassing insurers and PBMs.
Why It Matters To Oncology
▪ DTC models could disrupt specialty drug access, including future oncology therapies.
▪ Bypassing payers may accelerate patient access and influence formulary positioning for novel agents.
The Financials
▪ Sotyktu will cost $950/month (down from $6,828) starting January 2026 for eligible US patients.
▪ Eliquis DTC program already offers >40% discount; Eliquis 2023 global revenue: $13.3B, Sotyktu: $246M.
What They're Saying
▪ CEO Christopher Boerner: BMS is "removing barriers" and "lowering out-of-pocket costs" for patients nationwide.
▪ White House pressures pharma to lower prices through alternative distribution; other drugmakers (Novo Nordisk, Eli Lilly) have adopted similar DTC strategies.
What's Next
▪ BMS's DTC expansion could prompt wider adoption for specialty and oncology drugs, with Roche exploring DTC for cancer therapies.
▪ Ongoing policy shifts and industry moves may reshape drug distribution and pricing models.