Economic information and modeling reportBudget impact model
Budget impact model discussion
3 evidence topics · 6 sources
Summary
The only budget impact analysis of tavapadon identified is the ICER potential budget impact analysis in the evidence report of 16 September 2026, which used a placeholder price of $15,000 per year because tavapadon had not yet received regulatory approval. AbbVie has published no price statement; a William Blair analyst, as reported by Benzinga on 28 September 2026, and ICER's public meeting slides of 1 October 2026 give a list price of $58,800 per year, and ICER's published budget impact results use the $15,000 placeholder. It sized an eligible United States population of 944,927 (436,786 first-line and 508,141 add-on to levodopa) and assumed that 20% would initiate treatment in each of five years. At the placeholder price, 46% of the first-line population and 59% of the add-on population could be treated before annual spending reached ICER's threshold of $821 million; at the add-on threshold prices ($4,501 to $7,123 per year), 100% could be treated. The analysis takes a health care cost perspective over five years without discounting and does not model a health plan membership. AbbVie's comments on the draft report stated that tavapadon is unlikely to displace levodopa as first-line therapy, which would reduce the first-line population the analysis includes, and that the budget-impact calculations are not presented in enough detail for independent verification. AbbVie expects a modest initial uptake because tavapadon will not be added to Medicare formularies immediately after approval. The actual budget impact will depend on the launch price and on how often tavapadon displaces generic dopamine agonists and levodopa, whose acquisition costs were $3,588 and $289 per year in the ICER models.