I don't understand. Angiomax is a replacement for the combination of heparin plus a glycoprotein IIb/IIIa inhibitor. Patients undergoing PCI do not get heparin alone.
So what is the premium price you're referring to? The cost of Angiomax is roughly equal (actually a little less) than heparin plus a GP IIb/IIIa. All of the GP IIb/IIIa's are branded.