Key Takeaways
- Copying a traditional pharmaceutical org chart is a common rare disease mistake.
- Size the organization to the treating universe, institutional concentration and access complexity.
- Leadership, Medical Affairs, access and patient services often matter more than broad field coverage.
- Build versus outsource decisions should protect strategic knowledge without unnecessary fixed cost.
Rare disease commercial organizations should be designed around the market rather than copied from another company.
Emerging biotechnology companies frequently feel pressure to “look commercial” by adding headcount. The better question is what capabilities must exist for patients to be identified, diagnosed, authorized and started on therapy.
See also commercial organization strategy and what it costs to build a commercial organization.
Executive opinion paper
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