Swiss Public Price (USD)
$85,680
76,500 CHF (@ 1.1200)
US Medicare Net Price Cap
$85,680
IRP Indexed Ceiling
Baseline Spillover Impact
-$18.20M
US Medicare Revenue Erosion
Optimal Strategy
Delayed Filing
+$18.20M Delta
D3.js Benchmark Spillover Linkage
Dynamic Reference Graph
Multi-Year Net Revenue (US + Swiss)
| Strategy | Delay | Swiss Price | US Spillover Loss | Global 5-Yr Net | Status |
|---|
Explore how shifting from public list-price concessions to confidential off-invoice rebates protects US benchmark exposure while securing Swiss market reimbursement.
Public List Price Concession Pathway
A 10% public discount in Switzerland lowers list price to 76,500 CHF ($85,680). Under US IRP rules, this immediately resets the US Medicare cap, causing -$18.20M in US revenue destruction.
Confidential Off-Invoice Rebate Pathway
Maintaining public target list price at 85,000 CHF with an off-invoice secret rebate insulates the published benchmark ($95,200). US Medicare cap remains intact, preserving +$18.20M in US margin.