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Table 3 Identified patient access schemes in the Asian-Pacific region (excluding Australian examples)

From: Patient access schemes in Asia-pacific markets: current experience and future potential

Country

Drug

Indication

Company

Payer

Type

Details

Source

South Korea

Migraine medications

Migraine headaches

Not specified

National health insurance

Financially-based

Pharmaceutical companies maintained their PLS status via voluntary price cuts

Lee et al. 2012 [22]

Hypertension medications

Hypertension

Not specified

National health insurance

Financially-based

285 of the 1226 hypertension drugs instituted price reductions following reassessment of clinical usefulness & price. Drugs were delisted if they failed to show a level of clinical usefulness or if their prices were higher than 80 percentile of the highest price among drugs containing the same ingredients. If the company accepted price cuts, the price was to be lowered to the level of the 80 percentile within 3 years

Lee et al. 2012 [22]

Hyperlipidemia medications - therapeutic class

Hyperlipidemia

Not specified

National health insurance

Financially-based

Pharmaceutical companies maintained their PLS status via voluntary price cuts

Lee et al. 2012 [22]

New Zealand

Beta-interferon products, glatiramer acetate

Multiple sclerosis

Bayer

PHARMAC

Financially-based

Extended coverage for a specified number of patients

Raftery 2008 [23]

Trastuzumab

Breast cancer

Roche

PHARMAC

Financially-based

Established separate hospital program to fund distribution of cancer drugs

Raftery 2008 [23]

Imatinib

Chronic myeloid leukemia

Novartis

PHARMAC

Financially-based

Offered overall price reduction

Raftery 2008 [23]

Atorvastatin

Hypertension

Pfizer

PHARMAC

Financially-based

Price volume agreements; manufacturer committed to pay for the drug if the sales exceed a fixed threshold

Antonanzas et al. 2011 [24]

 

Adalimumab

Arthritis

Abbott Laboratories NZ Ltd

PHARMAC

Financially-based

Adalimumab spending is probably overstated due to a risk sharing agreement between the sponsor and PHARMAC, which involves rebates paid by the sponsor once Government spending reaches a certain level

Access Economics report for Arthritis New Zealand 2010 [25]

  1. HIRA = Health Insurance Review & Assessment Service; PLS = positive list system; PHARMAC = The Pharmaceutical Management Agency.