Some Makers Of Coated Heart Stents Report Lowering US Prices
April 22 2009 - 4:56PM
Dow Jones News
Increased competition in the $2 billion U.S. market for
drug-coated heart stents has coincided with price declines among
older devices sold by Boston Scientific Corp. (BSX) and Johnson
& Johnson (JNJ).
The companies, which were early adopters in the market for the
tiny heart devices, have noted price declines in recent quarterly
reports. The domestic market became more crowded last year when
both Medtronic Inc. (MDT) and Abbott Laboratories (ABT) entered the
fray.
The highly profitable tools, which prop open clogged heart
arteries and use medication to fight renarrowing, generally cost
around $2,100 each. J&J brought the first coated stent to the
U.S. in 2003 and Boston Scientific followed suit in 2004.
Samuel Leno, Boston Scientific's chief financial officer, noted
on a call with analysts Tuesday that U.S. prices for the company's
Taxus stents were down 7% from a year ago, which is in-line with
the company's estimates and doesn't mean it's cheaper than other
devices. Boston Scientific has two different coated-stent lines
now, and the Taxus line is the older one, although it was recently
refreshed with an updated version.
Meantime, Johnson & Johnson said last week that the
estimated U.S. price for its Cypher stents declined 5% in the first
quarter compared with the year-earlier period. That follows a 6%
year-over-year decline in the fourth quarter.
Though Taxus has maintained a relatively strong market position
- Boston Scientific believes the device is tied with an Abbott
stent for the domestic lead - its estimated 27% U.S. market share
is down sharply from the days it commanded more than half the
market. J&J's Cypher has also seen its U.S. market share
plummet due to fresher competition.
Abbott's Xience stent has been the main culprit, as Medtronic's
Endeavor device has staked out a much smaller market position. John
Thomas, the vice president of investor relations at Abbott,
indicated last week that Xience prices haven't recently
changed.
There is "a little bit of pricing pressure" in the market,
Thomas said on Abbott's first-quarter earnings call, while noting
J&J's comments. Some products "have to compete on price," he
said.
Medtronic, which is on an unusual fiscal calendar and will next
report quarterly results in May, didn't have figures immediately
available on its stent prices.
While Taxus prices may be lower, James Tobin, Boston
Scientific's chief executive, noted on Tuesday that prices for
Taxus and the company's newer Promus stents are still $100 above
the competition.
Tobin cited data from research firm Millennium Research Group,
and said Boston Scientific's broad offering of products including
two stents "lets us not have to compete on price as directly as the
guy that has one."
Millennium declined to share its data on stent prices from the
most recent quarter. According its "Interventional Cardiology
Marketrack data", coated stents in the U.S. sold for an average
$2,091 in the fourth quarter.
The firm also declined to say whether, on average, overall
prices have been heading up or down, although Boston Scientific
said in January that for the fourth quarter, average selling prices
in the U.S. were down 8% for the entire industry compared with the
year-earlier period.
Boston Scientific shares the profits from Promus stents with
Abbott, which makes them under an agreement tied to the 2006
purchase of Guidant Corp. Promus and Xience are the same devices
sold under different names.
-By Jon Kamp, Dow Jones Newswires; 617-654-6728;
jon.kamp@dowjones.com