CRITICAL APPRAISAL OF THE FINANCIAL IMPACT OF IMPLEMENTING THE RULES OF RESOLUTION OF BRAZILIAN CHAMBER OF ECONOMIC REGULATION OF PHARMACEUTICALS (CMED) N° 2/2004 ON THE PRICES OF NEW MEDICINES IN BRAZIL

Author(s)

Fernandes MDO*;Wehner MVR;Garcia GC;Caldeira TR;Ronchini MAK, Troncoso GCBCEC Brazilian Health Surveillance Agency (Anvisa), Brasília, Brazil

OBJECTIVES: Resolution nº 2/2004 dictates the criteria to establish the entry prices of new medicines in Brazil. According to it, products are divided into: new products and new presentations. This research will focus in new products, which are classified in: Category I - new product (patented molecule) with scientific evidences of benefit when compared to others of same therapeutic indication (greater efficacy; same efficacy with decreased side effects or same efficacy with lower global cost). Category II - new products not classified as I. Price analysis follows a model of price cap, including two constraints: lowest international price (based on a list of nine countries plus where the product is produced) and cost of treatment, based on an elected comparator. Price for Category I is based on the lowest international price only and, for Category II, the cost of treatment with the chosen comparator and international prices, the lowest of them. The goal of this research is to evaluate the application of price regulation since Resolution nº 2/2004 publication and its consequences regarding to decreasing the costs of medicines for the society. METHODS: Data of price analysis (new products) performed by Office of Economic Assessment of New Technologies of Brazilian Health Surveillance Agency (Anvisa), which supports CMED decisions, were evaluated (2004 – 2011). RESULTS: In * years, 209 new molecules (563 presentations) were analyzed. The mean difference found between the price pleaded by laboratories and the price determined after analysis was: Category I 21%; Category II 39%. Only 7% of new products proved to be innovative, while 93% of the new products were classified as II (either not under patent or without proven benefit). CONCLUSIONS:  Resolution n° 2/2004 has led to lower entry prices and, consequently, decreased the cost to the private and public sector, improving the efficiency of health care.

Conference/Value in Health Info

2013-05, ISPOR 2013, New Orleans, LA, USA

Value in Health, Vol. 16, No. 3 (May 2013)

Code

PHP56

Topic

Health Policy & Regulatory

Topic Subcategory

Health Disparities & Equity

Disease

Multiple Diseases

Explore Related HEOR by Topic


Your browser is out-of-date

ISPOR recommends that you update your browser for more security, speed and the best experience on ispor.org. Update my browser now

×