ShortageSim: Simulating Drug Shortages under Information Asymmetry

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Main Authors: Cui, Mingxuan, Jiang, Yilan, Zhou, Duo, Qian, Cheng, Zhang, Yuji, Wang, Qiong
Format: Preprint
Published: 2025
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author Cui, Mingxuan
Jiang, Yilan
Zhou, Duo
Qian, Cheng
Zhang, Yuji
Wang, Qiong
author_facet Cui, Mingxuan
Jiang, Yilan
Zhou, Duo
Qian, Cheng
Zhang, Yuji
Wang, Qiong
contents Drug shortages pose critical risks to patient care and healthcare systems worldwide, yet the effectiveness of regulatory interventions remains poorly understood due to information asymmetries in pharmaceutical supply chains. We propose \textbf{ShortageSim}, addresses this challenge by providing the first simulation framework that evaluates the impact of regulatory interventions on competition dynamics under information asymmetry. Using Large Language Model (LLM)-based agents, the framework models the strategic decisions of drug manufacturers and institutional buyers, in response to shortage alerts given by the regulatory agency. Unlike traditional game theory models that assume perfect rationality and complete information, ShortageSim simulates heterogeneous interpretations on regulatory announcements and the resulting decisions. Experiments on self-processed dataset of historical shortage events show that ShortageSim reduces the resolution lag for production disruption cases by up to 84\%, achieving closer alignment to real-world trajectories than the zero-shot baseline. Our framework confirms the effect of regulatory alert in addressing shortages and introduces a new method for understanding competition in multi-stage environments under uncertainty. We open-source ShortageSim and a dataset of 2,925 FDA shortage events, providing a novel framework for future research on policy design and testing in supply chains under information asymmetry.
format Preprint
id arxiv_https___arxiv_org_abs_2509_01813
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle ShortageSim: Simulating Drug Shortages under Information Asymmetry
Cui, Mingxuan
Jiang, Yilan
Zhou, Duo
Qian, Cheng
Zhang, Yuji
Wang, Qiong
Multiagent Systems
Computation and Language
Computer Science and Game Theory
Drug shortages pose critical risks to patient care and healthcare systems worldwide, yet the effectiveness of regulatory interventions remains poorly understood due to information asymmetries in pharmaceutical supply chains. We propose \textbf{ShortageSim}, addresses this challenge by providing the first simulation framework that evaluates the impact of regulatory interventions on competition dynamics under information asymmetry. Using Large Language Model (LLM)-based agents, the framework models the strategic decisions of drug manufacturers and institutional buyers, in response to shortage alerts given by the regulatory agency. Unlike traditional game theory models that assume perfect rationality and complete information, ShortageSim simulates heterogeneous interpretations on regulatory announcements and the resulting decisions. Experiments on self-processed dataset of historical shortage events show that ShortageSim reduces the resolution lag for production disruption cases by up to 84\%, achieving closer alignment to real-world trajectories than the zero-shot baseline. Our framework confirms the effect of regulatory alert in addressing shortages and introduces a new method for understanding competition in multi-stage environments under uncertainty. We open-source ShortageSim and a dataset of 2,925 FDA shortage events, providing a novel framework for future research on policy design and testing in supply chains under information asymmetry.
title ShortageSim: Simulating Drug Shortages under Information Asymmetry
topic Multiagent Systems
Computation and Language
Computer Science and Game Theory
url https://arxiv.org/abs/2509.01813