Expedited Programs Updated January 14, 2026

What is a Priority Review Voucher?

Priority Review Vouchers are transferable FDA incentives worth $100-350M that grant 6-month review for any drug. Learn about PRV programs and sales.

Definition

Priority Review Voucher (PRV) is a transferable incentive awarded by FDA upon approval of drugs for neglected tropical diseases, rare pediatric diseases, or medical countermeasures. The voucher entitles the holder to Priority Review (6 months) for any subsequent NDA or BLA.

How PRV Works

Sponsors earn a PRV by successfully developing and gaining approval for drugs treating specified diseases. The voucher can then be used by the sponsor or sold to another company for use on any drug application.

Voucher-Granting Programs

  • Neglected Tropical Disease PRV (since 2007)
  • Rare Pediatric Disease PRV (since 2012)
  • Medical Countermeasure PRV (since 2016)

PRV Transaction History

TransactionYearPriceNotes
BioMarin to Sarepta2014$67.5MFirst public sale
United Therapeutics to AbbVie2015$350MRecord high
Sarepta to Gilead2016$125MPediatric PRV
Multiple2020-2025$100-200MStabilized pricing

PRV Value Drivers

FactorImpact on Value
Supply (PRVs available)More supply = lower price
Demand (pending NDAs)More blockbusters = higher price
Time sensitivityUrgent approvals pay premium
Negotiation leverageSeller’s market historically

Why BD Teams Track PRV

For business development professionals, PRVs represent tangible value:

  • Deal Implication: PRV can add $100M+ to approval value; factor into asset valuation
  • Due Diligence Focus: Track PRV eligibility status and program qualification
  • Opportunity Signal: Companies with PRV-eligible programs may seek buyers before approval

Frequently Asked Questions

What is a Priority Review Voucher?

A PRV is a transferable incentive that grants Priority Review (6 months vs 10) for any FDA application, earned by approving drugs for neglected or rare pediatric diseases.

How much is a PRV worth?

PRVs have sold for $100-350 million, with value fluctuating based on supply, demand, and anticipated use.

How do you earn a PRV?

Approve a drug for neglected tropical disease, rare pediatric disease, or other qualifying programs. The voucher is awarded at approval.

Can a PRV be sold?

Yes, PRVs are freely transferable and have been sold between pharmaceutical companies in deals worth over $100 million.

What programs award PRVs?

Neglected Tropical Disease, Rare Pediatric Disease, and Medical Countermeasure programs award PRVs upon drug approval.

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