Impact of changes in the methodology of external price referencing on medicine prices: discrete-event simulation.

ABSTRACT:

Background

Several governments apply the policy of external price referencing (EPR), which considers the prices of a medicine in one or more other countries for the purpose of setting the price in the own country. Different methodological choices can be taken to design EPR. The study aimed to analyse whether, or not, and how changes in the methodology of EPR can impact medicine prices.

Methods

The real-life EPR methodology as of Q1/2015 was surveyed in all European Union Member States (where applicable), Iceland, Norway and Switzerland through a questionnaire responded by national pricing authorities. Different scenarios were developed related to the parameters of the EPR methodology. Discrete-event simulations of fictitious prices in the 28 countries of the study that had E

SUBMITTER: Vogler S 

PROVIDER: S-EPMC7670789 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature