Championing Smarter Medicine
The Value Added Medicines Alliance (VAM Alliance) is the unified voice advocating for regulatory and market reforms that improve patient access to innovative, enhanced medicines. We engage with U.S. regulators, payers, and policymakers to ensure the value of 505(b)(2) and biosimilar products is fully recognized and rewarded. Our mission is to eliminate barriers and advance a policy landscape that prioritizes patient-centric innovation and cost-effective care.
Our Core Advocacy Priorities
Our policy agenda is focused on creating clear, efficient pathways that incentivize VAM innovation and ensure fair market access.
1. Regulatory Clarity and Efficiency
We advocate for modernizing the drug approval process to properly reflect the unique nature of VAM development.
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Objective: Establish streamlined, predictable, and distinct regulatory pathways that recognize the efficiency of the 505(b)(2) pathway and its ability to build upon existing safety data.
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Key Action: Working with the FDA to develop explicit guidance that clarifies data requirements and reduces application review times for reformulated, repurposed, combination, and other projects.
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Targeted Outcome: Faster patient access to enhanced therapies, encouraging greater investment in the VAM sector.
2. Market Access and Value Recognition
We challenge payer and provider policies that treat VAMs as simple generics, which undermines the investment needed for quality improvements.
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Objective: Ensure VAMs and biosimilars receive reimbursement and formulary placement that reflects their clinical and economic value—such as improved adherence, reduced side effects, and lower overall healthcare costs.
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Key Action: Engaging with the Centers for Medicare & Medicaid Services (CMS) and private payers to establish specific coding and payment policies for VAMs that acknowledge their superior patient utility.
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Targeted Outcome: Policy mechanisms that distinguish VAMs from generics, rewarding innovations that directly improve adherence and patient outcomes.

Regulatory Tracker (Members Only)
Stay ahead of the curve. VAMA Members receive exclusive, real-time tracking and expert analysis of pending legislation, new FDA guidance, and payer policy changes that impact VAM development and market strategy.
