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Having Your Cake and Eating It: Office of Fair Trading Proposal for Funding New Drugs to Benefit Patients and Innovative Companies

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Author Info

  • Brian Godman

    (Pharmacology Research Institute `Mario Negri', Milan, Italy)

  • Alan Haycox

    (Management School, University of Liverpool, Liverpool, UK)

  • Ulrich Schwabe

    (Institute of Pharmacology, University of Heidelberg, Heidelberg, Germany)

  • Roberta Joppi

    (Pharmacology Research Institute `Mario Negri', Milan, Italy, Pharmaceutical Drug Department, Azienda Sanitaria Locale of Verona, Verona, Italy)

  • Silvio Garattini

    (Pharmacology Research Institute `Mario Negri', Milan, Italy)

Registered author(s):

    Abstract

    There are insufficient resources in the UK to fund all new technologies and new indications approved by the National Institute for Health and Clinical Excellence (NICE). Diverting funding from existing sources will have a detrimental effect on the provision of other priority services. The UK Office of Fair Trading (OFT) recently suggested a value-based pricing approach that appears workable but has generated considerable debate. Their proposal of a 25% premium for the originator product once generics are available is more generous than seen in a number of other European countries, where typically only the lowest priced product is reimbursed. The OFT proposal for a maximum 50% premium for patent-protected products, versus the prices of generics in a class or related classes, is also more generous than the proposed reforms for the pricing of proton pump inhibitors in Sweden or current reforms in Germany. In our opinion, the OFT proposals are persuasive and in accordance with the reforms seen in other European countries, and therefore should be adopted. The alternatives to fully funding new drugs or new indications as approved by NICE are either tightening the cost per QALY threshold, giving NICE an annual notional budget to fund its advice alongside suggested areas for disinvestment, proactively switching patients from high-cost brand-name drugs to generics, or further delaying funding for new drugs and new indications approved by NICE. The majority of these suggestions are not in the best interests of patients or innovative pharmaceutical companies seeking to reap the rewards of their efforts.

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    Bibliographic Info

    Article provided by Springer Healthcare | Adis in its journal PharmacoEconomics.

    Volume (Year): 26 (2008)
    Issue (Month): 2 ()
    Pages: 91-98
    Download reference. The following formats are available: HTML (with abstract), plain text (with abstract), BibTeX, RIS (EndNote, RefMan, ProCite), ReDIF
    Handle: RePEc:wkh:phecon:v:26:y:2008:i:2:p:91-98

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    Web page: http://pharmacoeconomics.adisonline.com/

    For corrections or technical questions regarding this item, or to correct its listing, contact: (Dave Dustin).

    Related research

    Keywords: Formularies; Health-policy; Health-services-accessibility; Pricing; Reimbursement;

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