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Competition in the dialysis market is inevitable - even though Amgen won its current patent case against Roche, there are many other products on the horizon that could take significant market share and many operate well outside of Amgen's patents - such as hematide, made by Affymax.
On July 7th, FMS announced it was purchasing APP pharmaceuticals, a key manufacturer of generic injectable oncology drugs. Amgen sells FMS ~ $1 Billion / year in EPO - a key injectable drug whose patents will expire in the next few years. Once EPO goes generic, FMS will probably just make it internally and cut Amgen out.
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