Pricing Analysis of Value-Added Medicines (VAMs) in Europe: A Call for Recognition of Patient-Centric Innovation

Author(s)

Srishti Gupta, PhD1, Carina Almeida, PhD2, Adrija Dutta, BPharm3, Laura Massey, MPhil, MA4, Marta Andreykiv, MSc5, Geraldine Cotton-Mazure, MD6.
1IQVIA, London, United Kingdom, 2Viatris, Zug, Switzerland, 3IQVIA, Bangalore, India, 4IQVIA, Bottisham, United Kingdom, 5Viatris, Amsterdam, Netherlands, 6Viatris, Lyon, France.
OBJECTIVES: Evaluate the pricing and reimbursement (P&R) landscape for value-added medicines (VAMs) across key European markets and to identify actionable insights for improving payer engagement, pricing predictability, and patient access to VAMs that offer enhanced outcomes or convenience to patients.
METHODS: IQVIA and Viatris conducted a landscape review of 10 VAM analogues, focusing on reformulations and fixed-dose combinations (FDCs), across EU4, UK and Sweden. HTA outcomes, pricing trends, and value drivers were identified for the ten VAM analogues.
RESULTS: Reformulated VAMs demonstrated greater potential for price premiums (up to +1000%) compared to FDCs, which often faced discounts versus loose combinations. Key value drivers included:
  • Narrower target populations
  • Clinical or safety benefits
  • Patient-reported outcomes (PROs) and quality-of-life (QoL) improvements
  • Cost-offsets (e.g., reduced adverse events, improved storage)
However, inconsistent evidence requirements and lack of clarity on price setting/negotiations (except France, Sweden, and Scotland) hindered predictable pricing outcomes. Payers often struggled to recognize the value of VAMs when benefits were linked to convenience or adherence without robust clinical evidence.
CONCLUSIONS: Despite the potential of VAMs to improve patient outcomes and healthcare efficiency, they face significant P&R challenges due to fragmented assessment frameworks and limited recognition of patient-centric innovation. There is an urgent need for payers to establish clear, transparent guidelines for evaluating/price negotiation of VAMs, including criteria for pricing premiums and evidence expectations. Additionally, manufacturers should be encouraged to develop VAMs that address unmet needs through patient-centric value claims that translate into a payer relevant benefit. We urge European payers and HTA bodies to collaborate with industry stakeholders to define consistent, VAM-specific assessment frameworks that reward meaningful innovation and facilitate access to therapies that enhance patient care.

Conference/Value in Health Info

2025-11, ISPOR Europe 2025, Glasgow, Scotland

Value in Health, Volume 28, Issue S2

Code

HTA274

Topic

Clinical Outcomes, Health Technology Assessment, Patient-Centered Research

Topic Subcategory

Systems & Structure

Disease

Generics, No Additional Disease & Conditions/Specialized Treatment Areas

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