20252034 horizon (10y)
Module 4

Strategy Simulator

Pick a scenario, then see which strategy plays hold up. The forecast engine is unchanged — lever choices annotate access and risk, not the core math.

CV Label Expansion: SELECT drives cardiology adoption, Medicare opens limited coverage, employers maintain coverage.
Strategy levers
Net price posture
Contracting model
Patient support investmentrecommended
Evidence generation
Channel focus
Supply allocation
CV Label Expansion · peak net revenue
$43.23B
34.3%
Base $32.19B · Y2034
Strategy fit
91%
1/6 levers match recommended play
Execution risk
40%
Risk-neutral or risk-reducing
Directional strategy matrix

How each lever option moves the model under CV Label Expansion. ↑ improves, ↓ erodes, ↔ neutral.

Lever / optionAccessGTNRiskSelected
Net price posture
Hold WAC, deepen rebates
Net price posture
WAC cut 10%
Net price posture
Hold WAC, flat rebaterec
Contracting model
Traditional rebate
Contracting model
Outcomes-based (HbA1c/MACE)
Contracting model
Indication-based pricingrec
Patient support investment
Maintain current
Patient support investment
Expand bridge programrec
Patient support investment
Income-tested copay assistance
Evidence generation
Maintain current
Evidence generation
RWE for employer ROI
Evidence generation
Pragmatic trial in CV subgrouprec
Channel focus
Broad commercial
Channel focus
Cardiology liftrec
Channel focus
Employer direct
Supply allocation
Pro-rata across channels
Supply allocation
Prioritize commercial
Supply allocation
Prioritize Medicare-eligiblerec
Portability across scenarios

Same strategy mix, re-scored against every scenario. A robust play stays positive across all three.

Base Case
43.9%risk -17
Access Compression
67.4%risk -17
CV Label Expansion
34.3%risk -17
AI narrative · CV Label Expansion
Under CV Label Expansion, the current mix produces 34.3% lift vs the scenario base and matches 1 of 6 recommended plays.
Click Generate for a grounded AI narrative. The model receives only the structured numbers and selections shown on this page.