Understanding Pharma Market Access in the US
With Dr. Nick Proctor & Louisa Oliver Byrne
Course Details
The United States is the largest national pharmaceutical market, making up over 40% of total pharmaceutical spending worldwide. Understanding the managed care ecosystems and stakeholders in the US is thus critical knowledge for all managers involved in the global launch of any pharmaceutical.
The US pharmaceutical market is just as complex and diverse as European health systems, with unique payer drivers and pricing and access decision-making differing significantly across market segments. As a set of highly dynamic systems, it is also important to understand the impact of events like the Inflation Reduction Act and Pharmacy Benefit Manager Transparency on commercialisation in this major market.
So, to ensure you are ready to navigate your company/brands towards successful commercial launch in the US, a first step is to grasp the fundamental structure and dynamics of US market access. Secondly, you need to foresee the potential routes to successful market access and how to deal with the most common market access challenges.
This course will give you all of that in just 1 day! You will have the unique opportunity to ask your specific questions to 2 outstanding market access experts, and also learn a lot from your international peers in the course.
I can highly recommend this course! Nick and Louisa gave a very clear presentation of the US Market Access systems.
GSK
Florian Toussaint, Market Access and Public Affairs Manager - France - September 2024
The structure and key players of US Managed Care systems, and how they compare with other global systems.
The scope of medical benefit and how to navigate the pricing and access control mechanisms in this system.
The role and significance of Pharmacy Benefit Managers (PBMs) and how to navigate the pricing and access control mechanisms in the pharmacy benefit system.
The potential future impact of reforms such as the Inflation Reduction Act and increased PBM transparency.
Strategies for navigating towards successful market access and how to deal with the most common challenges along the way.
Special thanks to Louisa and Nick for their ability to explain complex subjects in a comprehensive manner. I also really appreciate the quality of the provided materials.
Medincell
Bérengère Duhamel, Business Insight and Market Access Leader - France - September 2024
To see the detailed agenda, please submit your details in the form below the table.
| Welcome & Introductions (~30 min) |
| Understanding US Managed Care Systems (~1 h) |
| Navigating the Medical Benefits System (~2 h) |
| Lunch Break |
| Navigating the Pharmacy Benefit System (~1 h 45 min) |
| Future Outlook (~45 min) |
| Market Access Dynamics in the US (~1 h) |
| Final Q&A (~15 min) |
To see the detailed agenda, please submit your details in the form below:
Dr. Nick Proctor, Partner with Access Infinity, has 20+ years of experience leading pricing, reimbursement, and access projects for the majority of the world’s top pharmaceutical brands and manufacturers.
He has a strong background in pricing, evidence synthesis, health economics and outcomes research, as well as experience of working with payers and providers from all segments of the US managed care environment. Nick lived and worked in the US for 4 years where he supported the US and global launch planning of multiple retail and specialty products across several indications.
CELforPharma faculty member since 2015, Nick is a very passionate trainer. He actively engages participants in discussions and is very experienced in leading interactive sessions.
Louisa Oliver Byrne leads Access Infinity’s US managed care centre of excellence team which brings advanced understanding and strategic impact of updates to the consulting team through training and advisory sessions.
She is a highly experienced global pricing and market access consultant with over 7 years’ experience, having led numerous US managed care focused engagements to support brands of all sizes with their evidence generation plans, payer value stories and pricing for US commercial success.
Louisa is an author of multiple peer-reviewed market access publications establishing burden, health utilities and treatment management approaches using approaches including TTO and Delphi.
All in-country market access executives moving to a global role should take this course.
In addition, executives in functions that contribute to market access optimisation in the US will also greatly benefit:
Medical Affairs
Marketing
Clinical Development
Health Outcomes
If you are a consultant, please contact Annelies Swaan, who will check with the faculty whether you can attend.
The average Recommendation Score from participants of the last session was
9,6/10!
Read this selection of testimonials from recent participants:
I can highly recommend this course! Nick and Louisa gave a very clear presentation of the US Market Access systems.
GSK
Florian Toussaint, Market Access and Public Affairs Manager - France - September 2024
Special thanks to Louisa and Nick for their ability to explain complex subjects in a comprehensive manner. I also really appreciate the quality of the provided materials.
Medincell
Bérengère Duhamel, Business Insight and Market Access Leader - France - September 2024
I highly appreciate the structured and business-focused approach in explaining complex healthcare issues with a clear and simple-to-understand story.
Olpha
Elena Bushberg, Executive Director - Latvia - September 2024
1 April 2025, Live online
Early bird € 1 470
(Full fee € 1 670)
(until 28/02/2025)
22 October 2025, Live online
Early bird € 1 470
(Full fee € 1 670)
(until 19/09/2025)
Important information:
Our courses typically take place between 9 AM and 5 PM CET (Brussels, Amsterdam, Paris).
Live online sessions will be hosted in Zoom.
Face-to-face courses will take place at a four-star business hotel close to the airport.
You will receive all practical details after your registration.
For any questions related to the above, please do not hesitate to email Margherita Mutto or contact her by phone at +32 472 03 11 38 .
How to Register
Click the green "Register" button on the course session of your preference.
The registration wizard will guide you through the personal and company data that we need to process your registration.
You have the choice between 2 payment options:
Payment by credit card. You will not be required to pay immediately, but you will receive a secured payment link together with the invoice.
Payment via bank transfer
Click "Register Now". You will be sent an automatic email confirming your registration followed by a personal email containing an invoice and further payment instructions.
For assistance with your registration, please email Annelies Swaan or contact her by phone at +32 486 98 52 49.
Included in the Registration Fee:
For live online courses:
Access to a virtual small-class (max 20 participants), expert led course in real-time, using an interactive platform for break-out rooms, whiteboard exercises, polling, plenary discussions and chats.
Course material will be provided to you in both digital format (by email) and in hard copy (by post, so you can make notes during the course).
Certificate of attendance signed by the experts and CELforPharma.
VAT Information
The prices on our website are excluding VAT. Depending on the format of the course (face-to-face in Brussels or live online or self-study programme) and your location, we are obliged by Belgian law to apply VAT.
We are obliged by Belgian law to apply VAT in the following cases:
Face-to-Face public course organised in Belgium
Article 53 of the European Union VAT Directive 2006/112 states that : “The place of supply of services in respect of admission to cultural, artistic, sporting, scientific, educational, entertainment or similar events, such as fairs and exhibitions, and of ancillary services related to the admission, supplied to a taxable person, shall be the place where those events actually take place.”
If the course that you register for takes place in Belgium, we are obliged to charge 21% Belgian VAT.
However, you can recover this Belgian VAT through the refund procedure. Note that this procedure differs depending on the country where you are located. It is best to contact your local VAT administration for this.
Online Public courses - live webinar
Webinars where the participants can communicate among themselves or ask questions to the speaker(s) (be it verbally, via a chat function or similar), are considered as ‘online interactive webinars’ by the Belgian VAT administration.
According to Article 53 of the European Union VAT Directive 2006/112, these online interactive webinars take place where the organisation of the seminar takes place, which in this case is Belgium.
So, if you register for one of our live online courses (organised from our offices in Belgium), we are obliged to charge 21% Belgian VAT.
However, you can recover this Belgian VAT through the refund procedure. Note that this procedure differs depending on the country where you are located. It is best to contact your local VAT administration for this.
Self-Study Programme:
A self-study programme is a service provided electronically. It is the period of self-study that is the most important in our self-study Basics of Health Economics and not the kickoff and closing webinars. As a result, this self-study program follows a different VAT application and the place of the service is where the customer is established. Therefore, we follow the VAT rules applicable to the country of your invoicing address.
Group Discounts
Team discounts can be offered to 2 or more delegates from the same company.
Email Annelies Swaan, Director Business Operations, for more details.
Transfer & Cancellation Policy
Flexible Transfer
If a registrant cannot attend the scheduled course, he/she can avoid any cancellation charge by sending a suitable replacement participant.
Alternatively, the registrant can transfer once on a “space available” basis at no extra cost, until 3 weeks prior to the event, to another course of the same value held within one year of the original course date.
Registration Cancellation
Less than 14 days prior to the course date: registrant liable to pay the full invoiced registration fee.
Between 15 and 30 days prior to the course date: registrant liable to pay 50% of the invoiced registration fee.
More than 30 days prior to the course date: registrant liable to pay a cancellation fee of € 450 per registrant.
If a registrant postpones his/her participation to a future course, and cancels again, no refund can be claimed for registration fees.
Benefits of CELforPharma’s face-to-face courses:
You have the unique opportunity to interact 1:1 with the expert(s).
Plenty of opportunity for informal 1:1 and group conversations with your international peers to exchange experiences and ideas, to discuss issues and to network.
Face-to-face interactions allow for more depth during Q&As and group work.
You can step away from your daily routine in the office and enjoy a more focused learning experience in a comfortable business hotel environment.
Benefits of CELforPharma’s live online courses:
The formal programme is as impactful as a face-to-face course thanks to the highly interactive format (using breakouts, polls, quizzes …).
No travel & accommodation expenses
You can attend the course from the comfort of your own office or home.
We send you the course materials by post so that you can take notes and fully engage with the course content.
No, if you choose credit card payment, we will send you a secure payment link together with the invoice.
Team discounts can be offered for 2 or more registrations confirmed at the same time. The level of discount will depend on the number of registrations and the availability of seats.
Email Annelies Swaan, Director Business Operations, for more details.
Depending on the format of the course (face-to-face in Brussels or live online or self-study programme) and your location, we are obliged by Belgian law to apply VAT in the following cases:
Face-to-Face public course organised in Belgium
Article 53 of the European Union VAT Directive 2006/112 states that : “The place of supply of services in respect of admission to cultural, artistic, sporting, scientific, educational, entertainment or similar events, such as fairs and exhibitions, and of ancillary services related to the admission, supplied to a taxable person, shall be the place where those events actually take place.”
If the course that you register for takes place in Belgium, we are obliged to charge 21% Belgian VAT.
However, you can recover this Belgian VAT through the refund procedure. Note that this procedure differs depending on the country where you are located. It is best to contact your local VAT administration for this.
Online Public courses - live webinar
Webinars where the participants can communicate among themselves or ask questions to the speaker(s) (be it verbally, via a chat function or similar), are considered as ‘online interactive webinars’ by the Belgian VAT administration.
According to Article 53 of the European Union VAT Directive 2006/112, these online interactive webinars take place where the organisation of the seminar takes place, which in this case is Belgium.
So, if you register for one of our live online courses (organised from our offices in Belgium), we are obliged to charge 21% Belgian VAT.
However, you can recover this Belgian VAT through the refund procedure. Note that this procedure differs depending on the country where you are located. It is best to contact your local VAT administration for this.
Self-Study Programme:
A self-study programme is a service provided electronically. It is the period of self-study that is the most important in our self-study Basics of Health Economics and not the kickoff and closing webinars. As a result, this self-study program follows a different VAT application and the place of the service is where the customer is established. Therefore, we follow the VAT rules applicable to the country of your invoicing address.
Our face-to-face courses in Brussels take place in four-star business hotels close to the airport. As part of our strong relationship with these hotels, CELforPharma has secured a discount on the daily room rate for our delegates who book their accommodation via us.
Upon your registration, we will assist you to make your hotel booking. For any assistance in this matter please do not hesitate to email Margherita Mutto, Course Coordinator, or contact her by phone at +32 472 03 11 38.
We do not record our live online public courses as we want to offer a safe environment for all attendees to share their experiences and freely ask questions.
This way, by participating in our courses, you do not only learn from our expert faculty but also from your international peers in the room.
No, we don't sell the course materials as a stand-alone.
Without the expert's explanation, the exercises and the discussions with other course participants, there is very little value in the slides.
Email Inge Cornelis, partner with CELforPharma, to help you choose the course that is best suited.
Yes!
We have helped many managers with setting up an in-house training programme for their team.
Email Inge Cornelis, partner with CELforPharma, to discuss your team training needs.
Do you have any other questions?
Email Annelies Swaan or call +32 486 98 52 49.
People interested in this course are typically also interested in:
By clicking the below button, you will save this course to MY COURSES in the upper right corner of the website. This allows you to quickly retrieve it later.
Don’t forget to make a personal account using the Login button in the upper right corner of the website to keep your list of saved courses for your next visit.
Course Details
Upcoming Session
1 April 2025, Live online
Early bird € 1 470
(Full fee € 1 670)
(until 28/02/2025)
The United States is the largest national pharmaceutical market, making up over 40% of total pharmaceutical spending worldwide. Understanding the managed care ecosystems and stakeholders in the US is thus critical knowledge for all managers involved in the global launch of any pharmaceutical.
The US pharmaceutical market is just as complex and diverse as European health systems, with unique payer drivers and pricing and access decision-making differing significantly across market segments. As a set of highly dynamic systems, it is also important to understand the impact of events like the Inflation Reduction Act and Pharmacy Benefit Manager Transparency on commercialisation in this major market.
So, to ensure you are ready to navigate your company/brands towards successful commercial launch in the US, a first step is to grasp the fundamental structure and dynamics of US market access. Secondly, you need to foresee the potential routes to successful market access and how to deal with the most common market access challenges.
This course will give you all of that in just 1 day! You will have the unique opportunity to ask your specific questions to 2 outstanding market access experts, and also learn a lot from your international peers in the course.
I can highly recommend this course! Nick and Louisa gave a very clear presentation of the US Market Access systems.
GSK
Florian Toussaint, Market Access and Public Affairs Manager - France - September 2024
The structure and key players of US Managed Care systems, and how they compare with other global systems.
The scope of medical benefit and how to navigate the pricing and access control mechanisms in this system.
The role and significance of Pharmacy Benefit Managers (PBMs) and how to navigate the pricing and access control mechanisms in the pharmacy benefit system.
The potential future impact of reforms such as the Inflation Reduction Act and increased PBM transparency.
Strategies for navigating towards successful market access and how to deal with the most common challenges along the way.
Special thanks to Louisa and Nick for their ability to explain complex subjects in a comprehensive manner. I also really appreciate the quality of the provided materials.
Medincell
Bérengère Duhamel, Business Insight and Market Access Leader - France - September 2024
To see the detailed agenda, please submit your details in the form below the table.
| Welcome & Introductions (~30 min) |
| Understanding US Managed Care Systems (~1 h) |
| Navigating the Medical Benefits System (~2 h) |
| Lunch Break |
| Navigating the Pharmacy Benefit System (~1 h 45 min) |
| Future Outlook (~45 min) |
| Market Access Dynamics in the US (~1 h) |
| Final Q&A (~15 min) |
To see the detailed agenda, please submit your details in the form below:
Dr. Nick Proctor, Partner with Access Infinity, has 20+ years of experience leading pricing, reimbursement, and access projects for the majority of the world’s top pharmaceutical brands and manufacturers.
He has a strong background in pricing, evidence synthesis, health economics and outcomes research, as well as experience of working with payers and providers from all segments of the US managed care environment. Nick lived and worked in the US for 4 years where he supported the US and global launch planning of multiple retail and specialty products across several indications.
CELforPharma faculty member since 2015, Nick is a very passionate trainer. He actively engages participants in discussions and is very experienced in leading interactive sessions.
Louisa Oliver Byrne leads Access Infinity’s US managed care centre of excellence team which brings advanced understanding and strategic impact of updates to the consulting team through training and advisory sessions.
She is a highly experienced global pricing and market access consultant with over 7 years’ experience, having led numerous US managed care focused engagements to support brands of all sizes with their evidence generation plans, payer value stories and pricing for US commercial success.
Louisa is an author of multiple peer-reviewed market access publications establishing burden, health utilities and treatment management approaches using approaches including TTO and Delphi.
All in-country market access executives moving to a global role should take this course.
In addition, executives in functions that contribute to market access optimisation in the US will also greatly benefit:
Medical Affairs
Marketing
Clinical Development
Health Outcomes
If you are a consultant, please contact Annelies Swaan, who will check with the faculty whether you can attend.
The average Recommendation Score from participants of the last session was
9,6/10!
Read this selection of testimonials from recent participants:
I can highly recommend this course! Nick and Louisa gave a very clear presentation of the US Market Access systems.
GSK
Florian Toussaint, Market Access and Public Affairs Manager - France - September 2024
Special thanks to Louisa and Nick for their ability to explain complex subjects in a comprehensive manner. I also really appreciate the quality of the provided materials.
Medincell
Bérengère Duhamel, Business Insight and Market Access Leader - France - September 2024
I highly appreciate the structured and business-focused approach in explaining complex healthcare issues with a clear and simple-to-understand story.
Olpha
Elena Bushberg, Executive Director - Latvia - September 2024
1 April 2025, Live online
Early bird € 1 470
(Full fee € 1 670)
(until 28/02/2025)
22 October 2025, Live online
Early bird € 1 470
(Full fee € 1 670)
(until 19/09/2025)
Important information:
Our courses typically take place between 9 AM and 5 PM CET (Brussels, Amsterdam, Paris).
Live online sessions will be hosted in Zoom.
Face-to-face courses will take place at a four-star business hotel close to the airport.
You will receive all practical details after your registration.
For any questions related to the above, please do not hesitate to email Margherita Mutto or contact her by phone at +32 472 03 11 38 .
How to Register
Click the green "Register" button on the course session of your preference.
The registration wizard will guide you through the personal and company data that we need to process your registration.
You have the choice between 2 payment options:
Payment by credit card. You will not be required to pay immediately, but you will receive a secured payment link together with the invoice.
Payment via bank transfer
Click "Register Now". You will be sent an automatic email confirming your registration followed by a personal email containing an invoice and further payment instructions.
For assistance with your registration, please email Annelies Swaan or contact her by phone at +32 486 98 52 49.
Included in the Registration Fee:
For live online courses:
Access to a virtual small-class (max 20 participants), expert led course in real-time, using an interactive platform for break-out rooms, whiteboard exercises, polling, plenary discussions and chats.
Course material will be provided to you in both digital format (by email) and in hard copy (by post, so you can make notes during the course).
Certificate of attendance signed by the experts and CELforPharma.
VAT Information
The prices on our website are excluding VAT. Depending on the format of the course (face-to-face in Brussels or live online or self-study programme) and your location, we are obliged by Belgian law to apply VAT.
We are obliged by Belgian law to apply VAT in the following cases:
Face-to-Face public course organised in Belgium
Article 53 of the European Union VAT Directive 2006/112 states that : “The place of supply of services in respect of admission to cultural, artistic, sporting, scientific, educational, entertainment or similar events, such as fairs and exhibitions, and of ancillary services related to the admission, supplied to a taxable person, shall be the place where those events actually take place.”
If the course that you register for takes place in Belgium, we are obliged to charge 21% Belgian VAT.
However, you can recover this Belgian VAT through the refund procedure. Note that this procedure differs depending on the country where you are located. It is best to contact your local VAT administration for this.
Online Public courses - live webinar
Webinars where the participants can communicate among themselves or ask questions to the speaker(s) (be it verbally, via a chat function or similar), are considered as ‘online interactive webinars’ by the Belgian VAT administration.
According to Article 53 of the European Union VAT Directive 2006/112, these online interactive webinars take place where the organisation of the seminar takes place, which in this case is Belgium.
So, if you register for one of our live online courses (organised from our offices in Belgium), we are obliged to charge 21% Belgian VAT.
However, you can recover this Belgian VAT through the refund procedure. Note that this procedure differs depending on the country where you are located. It is best to contact your local VAT administration for this.
Self-Study Programme:
A self-study programme is a service provided electronically. It is the period of self-study that is the most important in our self-study Basics of Health Economics and not the kickoff and closing webinars. As a result, this self-study program follows a different VAT application and the place of the service is where the customer is established. Therefore, we follow the VAT rules applicable to the country of your invoicing address.
Group Discounts
Team discounts can be offered to 2 or more delegates from the same company.
Email Annelies Swaan, Director Business Operations, for more details.
Transfer & Cancellation Policy
Flexible Transfer
If a registrant cannot attend the scheduled course, he/she can avoid any cancellation charge by sending a suitable replacement participant.
Alternatively, the registrant can transfer once on a “space available” basis at no extra cost, until 3 weeks prior to the event, to another course of the same value held within one year of the original course date.
Registration Cancellation
Less than 14 days prior to the course date: registrant liable to pay the full invoiced registration fee.
Between 15 and 30 days prior to the course date: registrant liable to pay 50% of the invoiced registration fee.
More than 30 days prior to the course date: registrant liable to pay a cancellation fee of € 450 per registrant.
If a registrant postpones his/her participation to a future course, and cancels again, no refund can be claimed for registration fees.
Benefits of CELforPharma’s face-to-face courses:
You have the unique opportunity to interact 1:1 with the expert(s).
Plenty of opportunity for informal 1:1 and group conversations with your international peers to exchange experiences and ideas, to discuss issues and to network.
Face-to-face interactions allow for more depth during Q&As and group work.
You can step away from your daily routine in the office and enjoy a more focused learning experience in a comfortable business hotel environment.
Benefits of CELforPharma’s live online courses:
The formal programme is as impactful as a face-to-face course thanks to the highly interactive format (using breakouts, polls, quizzes …).
No travel & accommodation expenses
You can attend the course from the comfort of your own office or home.
We send you the course materials by post so that you can take notes and fully engage with the course content.
No, if you choose credit card payment, we will send you a secure payment link together with the invoice.
Team discounts can be offered for 2 or more registrations confirmed at the same time. The level of discount will depend on the number of registrations and the availability of seats.
Email Annelies Swaan, Director Business Operations, for more details.
Depending on the format of the course (face-to-face in Brussels or live online or self-study programme) and your location, we are obliged by Belgian law to apply VAT in the following cases:
Face-to-Face public course organised in Belgium
Article 53 of the European Union VAT Directive 2006/112 states that : “The place of supply of services in respect of admission to cultural, artistic, sporting, scientific, educational, entertainment or similar events, such as fairs and exhibitions, and of ancillary services related to the admission, supplied to a taxable person, shall be the place where those events actually take place.”
If the course that you register for takes place in Belgium, we are obliged to charge 21% Belgian VAT.
However, you can recover this Belgian VAT through the refund procedure. Note that this procedure differs depending on the country where you are located. It is best to contact your local VAT administration for this.
Online Public courses - live webinar
Webinars where the participants can communicate among themselves or ask questions to the speaker(s) (be it verbally, via a chat function or similar), are considered as ‘online interactive webinars’ by the Belgian VAT administration.
According to Article 53 of the European Union VAT Directive 2006/112, these online interactive webinars take place where the organisation of the seminar takes place, which in this case is Belgium.
So, if you register for one of our live online courses (organised from our offices in Belgium), we are obliged to charge 21% Belgian VAT.
However, you can recover this Belgian VAT through the refund procedure. Note that this procedure differs depending on the country where you are located. It is best to contact your local VAT administration for this.
Self-Study Programme:
A self-study programme is a service provided electronically. It is the period of self-study that is the most important in our self-study Basics of Health Economics and not the kickoff and closing webinars. As a result, this self-study program follows a different VAT application and the place of the service is where the customer is established. Therefore, we follow the VAT rules applicable to the country of your invoicing address.
Our face-to-face courses in Brussels take place in four-star business hotels close to the airport. As part of our strong relationship with these hotels, CELforPharma has secured a discount on the daily room rate for our delegates who book their accommodation via us.
Upon your registration, we will assist you to make your hotel booking. For any assistance in this matter please do not hesitate to email Margherita Mutto, Course Coordinator, or contact her by phone at +32 472 03 11 38.
We do not record our live online public courses as we want to offer a safe environment for all attendees to share their experiences and freely ask questions.
This way, by participating in our courses, you do not only learn from our expert faculty but also from your international peers in the room.
No, we don't sell the course materials as a stand-alone.
Without the expert's explanation, the exercises and the discussions with other course participants, there is very little value in the slides.
Email Inge Cornelis, partner with CELforPharma, to help you choose the course that is best suited.
Yes!
We have helped many managers with setting up an in-house training programme for their team.
Email Inge Cornelis, partner with CELforPharma, to discuss your team training needs.
Do you have any other questions?
Email Annelies Swaan or call +32 486 98 52 49.
People interested in this course are typically also interested in:
By clicking the below button, you will save this course to MY COURSES in the upper right corner of the website. This allows you to quickly retrieve it later.
Don’t forget to make a personal account using the Login button in the upper right corner of the website to keep your list of saved courses for your next visit.