In May 2026, the Medicines Patent Pool (MPP) and Roche signed a voluntary licensing agreement to expand access to baloxavir marboxil, a single-dose antiviral treatment for influenza recommended by the World Health Organization (WHO), in low- and middle-income countries (LMICs). 

Through this agreement, selected generic manufacturers can develop, manufacture and supply affordable generic versions of baloxavir in 129 countries, subject to local regulatory authorisation. The selected manufacturers will also benefit from access to a technical data package, reference products for bioequivalence studies, and other assistance to facilitate regulatory approval and accelerate availability. 

The agreement supports pandemic preparedness, with provisions for rapid scale-up, collaboration to address global supply needs, and the possibility to expand sublicensing in response to a health emergency. 

This licence aims to strengthen equitable access to influenza treatment and support more resilient, geographically diversified manufacturing. 

Key Features

Key Features 

Area  Agreed terms 
Field of use  Any indication that has been approved by either the US Food & Drug Administration or the European Medicines Agency. 
Manufacturing territory  Worldwide. 
Licensed territory  129 countries are listed in the Territory, representing almost all low- and middle-income countries (per World Bank classification). 

Plus, MPP’s standard ‘non-infringement’ carve-outs: if there are no patent barriers in a given country, sublicensees are free to sell or supply in that country (whether or not it is within Territory). 

Selecting sublicensees  MPP may grant sublicences to any entity with demonstrated willingness and capacity to (i) manufacture baloxavir products to the required quality standards, and (ii) make them widely available on terms that will promote access in the Territory, subject to compliance requirements (e.g. sanctions and export control clearances). 

Additional considerations: 

  1. In the case of local and regional manufacturers, MPP may consider not only ‘demonstrated’ capacity, but ‘potential’ capacity.   
  1. MPP is expressly empowered to take into account “the importance of sustainable and geographically-diversified local production of pandemic-related health products” in selecting sublicensees. 

Roche must approve the sublicensees selected by MPP, but may not unreasonably withhold or delay its approval, based only on its review of the criteria set out above. 

Royalties  The licence is royalty-free for all low-income countries (per World Bank classification). The licence is royalty-bearing for middle-income countries, according to the following tiers (also based on World Bank classifications):  

  • Lower-middle income: 5% of net sales value 
  • Upper-middle income: 10% of net sales value 

If a high-income country comes to be included in the Territory (e.g. a licensed country is reclassified by the World Bank as a high-income country; MPP & Roche expand the Territory in response to a pandemic, etc.), royalties will be calculated as 40% of net sales value. 

Notwithstanding the above, royalties are only payable on supplies in a particular country until the expiry of the last applicable patent in that countryLikewise, if there were never any applicable patents granted in that country the first place—or if the sublicensee would not infringe any relevant patents granted and in force—there is no royalty obligation. 

Know-how  On request, sublicensees will receive a data package from Roche to expedite development and regulatory filing. At minimum, the package shall include the following information to fully enable sublicensees to manufacture API and finished product at commercial-scale quantities and in compliance with required quality standards: 

  • formula and composition;  
  • manufacturing process descriptions, specifications and methods;  
  • stability data;  
  • analytical method validation; and  
  • discussion of impurities. 
Quality standards & regulatory approvals 
  1. Sublicensees must manufacture in a manner consistent with the standards of a Stringent Regulatory Authority, the WHO Prequalification Programme, or a WHO-Listed Authority (or an MPP Board-approved alternative). 
  1. Sublicensees must submit their first complete file for regulatory approval within 36 months (however, this can be varied or waived by MPP as necessary, e.g., for local or regional manufacturers). 
  1. Sublicensees cannot sell or supply licensed products prior to regulatory approval. However, the licence allows for emergency use authorisations, abbreviated regulatory approval pathways, etc. 
  1. Roche will waive any regulatory exclusivities in the Territory. 
Pandemics and health emergencies  If WHO declares a Public Health Emergency of International Concern in relation to an influenza virus (or a regional body makes an equivalent declaration, e.g., Africa CDC), or at any time Roche & MPP decide that there is a relevant pandemic risk.  

  1. Roche & MPP must assess: (i) the need for pandemic-related health products containing baloxavir, both within and outside of the Territory, in consultation with WHO as appropriate; and (ii) the manufacturing capacities of both Roche and the existing sublicensees. 
  2. MPP and Roche must work together with the intention of removing any access barriers including supply constraints, territory restrictions, and royalties. Roche must negotiate in good faith with MPP to respond to the health emergency and promote access to pandemic-related health products.  
  3. MPP can execute additional sublicences and, in doing so, may take into account criteria other than the normal selection criteria (such criteria to be agreed with Roche) to respond effectively to the health emergency.  

Separately, all sublicensees are required to confer with WHO’s Pandemic Influenza Preparedness (PIP) Framework Secretariat within 3 months of first regulatory filing to discuss possible commitments or pandemic preparedness contributions.    

 

 

Country List
Afghanistan, Albania, Algeria, Angola, Argentina, Armenia, Azerbaijan, Bangladesh, Belarus, Belize, Benin, Bosnia and Herzegovina, Botswana, Brazil, Burkina Faso, Burundi, Cabo Verde, Cambodia, Cameroon, Central African Republic, Chad, Colombia, Comoros, Congo, Congo, democratic Republic of the, Côte d'Ivoire, Cuba, Djibouti, Dominica, Dominican Republic, Ecuador, Egypt, El Salvador, Equatorial Guinea, Eritrea, Eswatini, Ethiopia, Fiji, Gabon, Gambia (the), Georgia, Ghana, Grenada, Guatemala, Guinea, Guinea-Bissau, Haiti, Honduras, India, Indonesia, Iran (Islamic Republic of), Iraq, Jamaica, Jordan, Kazakhstan, Kenya, Kiribati, Kosovo, Kyrgyzstan, Lao People's Democratic Republic (the), Lebanon, Lesotho, Liberia, Libya, Madagascar, Malawi, Malaysia, Maldives, Mali, Marshall Islands, Mauritania, Mauritius, Mexico, Micronesia (Federated States of), Moldova, Republic of, Mongolia, Montenegro, Morocco, Mozambique, Myanmar, Namibia, Nepal, Nicaragua, Niger, Nigeria, North Macedonia, Pakistan, Papua New Guinea, Paraguay, Peru, Philippines, Rwanda, Samoa, Saint Lucia, Saint Vincent and the Grenadines, Sao Tome and Principe, Senegal, Serbia, Sierra Leone, Solomon Islands, Somalia, South Africa, South Sudan, Sri Lanka, Sudan, Suriname, Syrian Arab Republic, Tajikistan, Tanzania, United Republic of, Thailand, Timor-Leste, Togo, Tonga, Tunisia, Turkey, Turkmenistan, Tuvalu, Uganda, Ukraine, Uzbekistan, Vanuatu, Venezuela (Bolivarian Republic of), Viet Nam, West Bank and Gaza, Yemen, Zambia, Zimbabwe