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ABSTRACT: Background
Despite the introduction of biosimilar insulins to improve affordability and enhance patient access, their adoption remains limited in Europe.Objectives
This study aims to (i) provide an up-to-date overview of EMA-approved insulin products and their reimbursement status across selected European countries, and (ii) explore the key factors influencing physicians' prescribing decisions regarding biosimilar and originator insulin.Methods
A mixed-method design was applied, comprising (i) a quantitative analysis of EMA-approved insulin products and their reimbursement status in nine European countries, and (ii) semi-structured interviews with physicians (N = 20).Results
Between 1996 and 2022, 43 insulin products received EMA approval, including six bios
SUBMITTER: Car E
PROVIDER: S-EPMC12515786 | biostudies-literature | 2025 Nov
REPOSITORIES: biostudies-literature