Meet the experts behind your projects

International Market Access Consulting (IMAC), consists of a global team of passionate individuals with decades of industry and consulting experience. Our team provides custom, high-impact, market access strategies and specialized, evidence‑based tools to effectively communicate the value of your product to key stakeholders in the payer landscape. As a specialist market access consulting company with a proven track record of success, we possess a high level of technical and scientific expertise to help our clients achieve their goals of optimized patient access for their products.

Nicole Tunstall

Vice President

As Vice President of International Market Access Consulting (IMAC), Nicole brings over 20 years of experience in market access, medical communications, and global launch strategy. She supports pharmaceutical and biotech companies in navigating complex reimbursement and access pathways to help accelerate patient access to innovative therapies.

Nicole is recognized for developing persuasive, evidence-based value communications and reimbursement strategies across a broad range of therapeutic areas, including rare diseases and orphan products. Her expertise spans early access programs, HTA strategy, evidence generation, and global reimbursement submissions, with successful projects involving agencies and frameworks such as AMCP, NICE, CDA, INESSS, PBAC, MSAC, and TLV.

Known for her collaborative leadership style and strategic insight, Nicole works closely with clients and cross-functional teams to deliver practical, high-impact solutions that support successful market access and long-term commercial objectives.


Where expertise drives strategy

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