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Healthy Skepticism Library item: 19239

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Hawkes N
Companies that want to charge a higher than basic price for a new drug will have to give evidence that it’s worth it
BMJ 2010 Dec 20; 341:
http://www.bmj.com/content/341/bmj.c7296.extract


Abstract:

A clearer picture of the UK government’s plans for value based pricing of drugs has emerged from a consultation paper published this week.

The new system, to be introduced at the beginning of 2014, aims to price drugs according to the value they deliver to patients. It will apply only to new branded drugs, not to generics or drugs already on the market, and will provide a series of maximum prices that depend on the burden of illness treated, the wider social impacts of a new treatment, and whether the product breaks new ground.

The basic price (confusingly called a “threshold” in the paper) of all new drugs will be calculated on the basis of other services that will be displaced elsewhere in the NHS if the new treatment is to be paid for—but the paper does not specify how costs will be compared. It does …

 

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...to influence multinational corporations effectively, the efforts of governments will have to be complemented by others, notably the many voluntary organisations that have shown they can effectively represent society’s public-health interests…
A small group known as Healthy Skepticism; formerly the Medical Lobby for Appropriate Marketing) has consistently and insistently drawn the attention of producers to promotional malpractice, calling for (and often securing) correction. These organisations [Healthy Skepticism, Médecins Sans Frontières and Health Action International] are small, but they are capable; they bear malice towards no one, and they are inscrutably honest. If industry is indeed persuaded to face up to its social responsibilities in the coming years it may well be because of these associations and others like them.
- Dukes MN. Accountability of the pharmaceutical industry. Lancet. 2002 Nov 23; 360(9346)1682-4.