Pharmacoeconomic Guidelines Around The World

Country: United States of America, Region: Northern America

PE guidelines
The AMCP Format for Formulary Submissions (Version 2.1, April 2005)

PE guidelines Source:

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PE guidelines Key Features:
Key Features:  
Title and year of the DocumentThe AMCP Format for Formulary Submissions (Version 2.1, April 2005) 
Affiliation of authorsFMCP staff and the Format Executive Committee 
Main policy objectiveFirst, it is intended to improve the timeliness, scope, quality and relevance of information available to a health system’s evaluators and ultimately to its P&T Committees. Second, the AMCP Format streamlines the data acquisition and review process for health system staff pharmacists. 
Standard reporting format includedYes, with the design of reference case. 
DisclosureNo 
Target audience of funding/ author’s interestsHealth systems and those within the health systems who have responsibility for managing their formularies and analyzing data submitted by manufacturers in advance of coverage and reimbursement considerations. 
PerspectiveThe payer perspective is recommended for the primary analysis. AMCP Format welcomes a societal perspective analysis as a secondary evaluation. 
IndicationYes 
Target populationYes, need to be indicated 
Subgroup analysisYes 
Choice of comparatorExisting best available, viable or a do-nothing alternative 
Time horizonSuggested time horizons include 1-year, 5-year and over the course of the disease. The exact time horizon used will depend on the natural course of the disease. In some cases, multiple time horizons might be appropriate. 
Assumptions requiredYes 
Preferred analytical techniqueCEA or CUA 
Costs to be includedAll resources used that are relevant to the analysis and which are nontrivial in magnitude should be included in the reference case 
Source of costsAll costs should be valued at opportunity costs 
ModelingYes, where direct primary or secondary empirical evaluation of effectiveness is not available 
Systematic review of evidencesYes, from best designed and least biased sources relevant to the question and population under study 
Preference for effectiveness over efficacyYes, evidences may be drawn from RCTs, observational data, uncontrolled experiments, descriptive series and expert opinion and should include both benefits and harms of alternatives 
Preferred outcome measureQALYs 
Preferred method to derive utilityPreference measures used should be generic, however, not endorsing any particular generic preference-weighted instrument 
Equity issues statedYes 
Discounting costsWhen appropriate, adjustment for the time preference should be incorporated and should follow US PHS Panel recommendations. 
Discounting outcomesWhen appropriate, adjustment for the time preference should be incorporated and should follow US PHS Panel recommendations. 
Sensitivity analysis-parameters and rangeAll uncertain parameters, high/low value, best/worst scenario, 95% CI, variable distribution. 
Sensitivity analysis-methodsComprehensive (all variables) one-way sensitivity analysis is highly recommended. 
Presenting results1. Provide a figure displaying the structure of the model; 2. Provide a table listing all of the model inputs; 3. Provide an explicit list of model assumptions; 4. Present the disaggregated results in a table; 
Incremental analysisYes 
Total C/EYes 
Portability of results (Generalizability)Yes 
Financial impact analysisNo 
Mandatory or recommended or voluntaryVoluntary 

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