Highly Innovative Drug Program in the Czech Republic: Description and Pharmacoeconomic Results-Cost-Effectiveness and Budget Impact Analyses.
Value Health Reg Issues
; 16: 92-98, 2018 Sep.
Article
en En
| MEDLINE
| ID: mdl-30316030
ABSTRACT
BACKGROUND:
Highly innovative drugs (HIDs) can be granted 2 to 3 years of temporary reimbursement (TR) to provide timely patient access and to collect real-world evidence through registries in the Czech Republic. A TR applicant does not need to comply with cost-effectiveness (CE) requirements and the willingness-to-pay threshold. It is only when mandatory transition to permanent reimbursement (PR) status occurs does the drug need to comply with CE and willingness-to-pay requirements.OBJECTIVES:
To describe and evaluate the HID program in the Czech Republic by analyzing the pharmacoeconomic results when a drug starts with TR status and transitions to PR status.METHODS:
The study was a retrospective analysis of reimbursement decisions of HIDs. All drugs approved for TR (valid from January 2008 to January 2018) were identified. A description of the HIDs and their pharmacoeconomic results were analyzed.RESULTS:
Fifty TR drugs were identified. Most (68%) were oncology drugs and 44% were orphan drugs. After the expiration of their TR status, 83% were successfully transitioned to PR status. Cost-utility analysis was used to support CE results in 42% of the TR drugs. The mean incremental cost-effectiveness ratio (cost/quality-adjusted life-year) of drugs that entered TR status was 97,868. When the time came for transition to PR status, the mean incremental cost-effectiveness ratio was 34,086 (lower by 65%). Net budget impact increased by 3% and decreased by 25% in the first and fifth years, respectively, after applying for PR.CONCLUSIONS:
This analysis provides better insight into the HID program for costly innovative drugs over a 10-year follow-up. A successful transition to PR status was observed for most of the HIDs (83%).Palabras clave
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Mecanismo de Reembolso
/
Preparaciones Farmacéuticas
/
Costos de los Medicamentos
/
Análisis Costo-Beneficio
/
Economía Farmacéutica
Tipo de estudio:
Evaluation_studies
/
Health_economic_evaluation
/
Observational_studies
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Value Health Reg Issues
Año:
2018
Tipo del documento:
Article
País de afiliación:
República Checa