This document uses a dance metaphor to illustrate best practices for budgeting and negotiating clinical trials. Sponsors must first establish their “style” by identifying priorities and cost frameworks aligned with Fair Market Value (FMV) requirements under the Sunshine Act. IQVIA recommends structured planning, accurate FMV cost modeling, and selection of reliable partners or tools, such as its GrantPlan platform, to forecast and negotiate costs. Key steps include forecasting trial costs, creating FMV-based frameworks, refining budgets, and adjusting during negotiations. By practicing and staying adaptable, sponsors can reduce delays, maintain site relationships, and ensure budget compliance.

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