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Part I: For this discussion, every student will be emailed a role to play on the board of directors. Read the attached case, "The Panalba Decision." As a member of the board, you must help to reach a decision at today's meeting (in this discussion). The Chairperson of the Board, Dr. UpJohn, has provided the case background information to each board member. Your task is to select one of the five alternatives from the "Panalba Decision" for: (1) The U.S. market; and (2) assuming the FDA does ultimately ban Panala in the U.S., the foreign market (which will not be affected by the ban). You will be assigned a role on UpJohn's Board. Read your role and act as if you were actually in that role. The roles all differ, so do not directly discuss vour role with other board members until you post your discussion when you can then identify who you are. Based on your role, write a 400-500 word argument for the alternative you will choose for (1) the U.S. market, and (2) the foreign market (you can choose the same or different alternatives for (1) and (2)).
### Background - 2

The following possible solutions are being considered by the Board:

1. **Recall Panalba immediately and destroy all inventories.**
2. **Stop production of Panalba immediately, but allow the sale of existing inventories.**
3. **Stop all advertising and promotion of the drug to physicians, but still provide it to those doctors who request it.**
4. **Continue efforts to most effectively market Panalba until sale is actually banned.**
5. **Continue efforts to most effectively market Panalba and take legal, political and other necessary steps to prevent the FDA from banning Panalba.**

As part of the information provided to each Board member, the following table summarizes the estimated costs (in millions of dollars) for each of the above alternatives.

| **ALTERNATIVE**       | **SHAREHOLDERS** | **CUSTOMERS** | **EMPLOYEES** | **TOTAL COSTS** |
|-----------------------|------------------|---------------|---------------|-----------------|
| **1-Recall**          | 120              | 0             | 10            | 130             |
| **2-Stop Production** | 80               | 70            | 8             | 158             |
| **3-Stop Promotion**  | 75               | 90            | 6             | 171             |
| **4-Continue until Ban** | 70              | 110           | 5             | 185             |
| **5-Prevent Ban**     | 20               | 160           | 0.5           | 180.5           |

**NOTE:** These estimates represent estimated losses (in millions of dollars) to each stakeholder affected by the related decision. The losses to customers represent death and illness caused by Panalba for which no compensation is received; losses to employees represent lost wages due to layoffs and expenses not covered by severance pay.

### Instructions for In-Class Role Play

As a member of the Board, you must help to reach a decision at today’s meeting. The Chairperson of the Board, Dr. Upjohn, has provided this background information to each Board member. Your task as a group is to select one of these five alternatives for:

1. The U.S. market; and
2. Assuming the FDA does ultimately ban Panalba in the U.S., the foreign market (which will not be affected by the ban).

You will
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Transcribed Image Text:### Background - 2 The following possible solutions are being considered by the Board: 1. **Recall Panalba immediately and destroy all inventories.** 2. **Stop production of Panalba immediately, but allow the sale of existing inventories.** 3. **Stop all advertising and promotion of the drug to physicians, but still provide it to those doctors who request it.** 4. **Continue efforts to most effectively market Panalba until sale is actually banned.** 5. **Continue efforts to most effectively market Panalba and take legal, political and other necessary steps to prevent the FDA from banning Panalba.** As part of the information provided to each Board member, the following table summarizes the estimated costs (in millions of dollars) for each of the above alternatives. | **ALTERNATIVE** | **SHAREHOLDERS** | **CUSTOMERS** | **EMPLOYEES** | **TOTAL COSTS** | |-----------------------|------------------|---------------|---------------|-----------------| | **1-Recall** | 120 | 0 | 10 | 130 | | **2-Stop Production** | 80 | 70 | 8 | 158 | | **3-Stop Promotion** | 75 | 90 | 6 | 171 | | **4-Continue until Ban** | 70 | 110 | 5 | 185 | | **5-Prevent Ban** | 20 | 160 | 0.5 | 180.5 | **NOTE:** These estimates represent estimated losses (in millions of dollars) to each stakeholder affected by the related decision. The losses to customers represent death and illness caused by Panalba for which no compensation is received; losses to employees represent lost wages due to layoffs and expenses not covered by severance pay. ### Instructions for In-Class Role Play As a member of the Board, you must help to reach a decision at today’s meeting. The Chairperson of the Board, Dr. Upjohn, has provided this background information to each Board member. Your task as a group is to select one of these five alternatives for: 1. The U.S. market; and 2. Assuming the FDA does ultimately ban Panalba in the U.S., the foreign market (which will not be affected by the ban). You will
### The Panalba Decision

#### Background

You are a member of the Board of Directors of the Upjohn Corporation. The company has called a Special Meeting of the Board to provide some guidance as to what should be done with one of the company’s products, a drug named “Panalba.”

**Panalba** is a fixed-ratio (containing a combination of drugs) antibiotic drug sold by prescription. It has been on the market for over 12 years and has been highly successful for the company. It now accounts for over 250 million dollars per year, which is 14 percent of Upjohn’s gross profit in the United States. Profits from foreign markets, where Panalba is marketed under a different name, are roughly comparable to those in the U.S.

Over the past 25 years, there have been numerous medical researchers (e.g., the AMA’s Council on Drugs) that have objected to the sale of the vast majority of fixed-ratio drugs. The basic argument against these drugs is: 
1. There is no evidence that fixed-ratio drugs provide improved benefits over single drugs, and 
2. The possibility of detrimental side effects, including death, is at least doubled. 

These researchers, for example, have estimated that Panalba is contributing to approximately 22 to as many as 50 unnecessary deaths per year, deaths that could have been prevented if the patients had used a substitute, single drug made by one of Upjohn’s competitors. Due to the difficulties of proving a definitive cause-effect relationship, however, Panalba (as well as other fixed-ratio drugs) have remained on the market and many doctors continue to use them. These drugs offer a type of “shotgun” approach for the doctor who is unsure of his or her diagnosis.

Recently, based on their review of the situation, a National Academy of Science-National Research Council Panel, a group of highly-respected, impartial scientists, recommended unanimously that the Food and Drug Administration (FDA) ban the sale of Panalba. One of the members of the panel was quoted in the press noting, “There are few instances in medicine when so many experts have agreed unanimously and without reservation (about banning Panalba).” These experts were clear that while any drug has the possibility of dangerous side effects, the costs associated with the fixed-ratio Panalba drug clearly outweighed the possible benefits.

This Special Board Meeting was called due to an emergency situation
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Transcribed Image Text:### The Panalba Decision #### Background You are a member of the Board of Directors of the Upjohn Corporation. The company has called a Special Meeting of the Board to provide some guidance as to what should be done with one of the company’s products, a drug named “Panalba.” **Panalba** is a fixed-ratio (containing a combination of drugs) antibiotic drug sold by prescription. It has been on the market for over 12 years and has been highly successful for the company. It now accounts for over 250 million dollars per year, which is 14 percent of Upjohn’s gross profit in the United States. Profits from foreign markets, where Panalba is marketed under a different name, are roughly comparable to those in the U.S. Over the past 25 years, there have been numerous medical researchers (e.g., the AMA’s Council on Drugs) that have objected to the sale of the vast majority of fixed-ratio drugs. The basic argument against these drugs is: 1. There is no evidence that fixed-ratio drugs provide improved benefits over single drugs, and 2. The possibility of detrimental side effects, including death, is at least doubled. These researchers, for example, have estimated that Panalba is contributing to approximately 22 to as many as 50 unnecessary deaths per year, deaths that could have been prevented if the patients had used a substitute, single drug made by one of Upjohn’s competitors. Due to the difficulties of proving a definitive cause-effect relationship, however, Panalba (as well as other fixed-ratio drugs) have remained on the market and many doctors continue to use them. These drugs offer a type of “shotgun” approach for the doctor who is unsure of his or her diagnosis. Recently, based on their review of the situation, a National Academy of Science-National Research Council Panel, a group of highly-respected, impartial scientists, recommended unanimously that the Food and Drug Administration (FDA) ban the sale of Panalba. One of the members of the panel was quoted in the press noting, “There are few instances in medicine when so many experts have agreed unanimously and without reservation (about banning Panalba).” These experts were clear that while any drug has the possibility of dangerous side effects, the costs associated with the fixed-ratio Panalba drug clearly outweighed the possible benefits. This Special Board Meeting was called due to an emergency situation
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