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Fig. 3
The NDA review and approval process.
are affordable. The result is a focus on fewer projects per company and pressure to focus on truly important drugs, e.g., AIDS or cancer.
A. The Political and Regulatory Environment
In 1994, most pharmaceutical companies showed weak-to-modest results, reflecting intense price competition, discounts to managed care organizations, patent expiration for major drugs (e.g., Tagamet, Naprosyn), and a weak European market [55].
In addition to intensified competitive rivalry and profit pressures, pharmaceutical companies will continue to face further government scrutiny and in-

 
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