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Table 2 Final list of criteria with scoring functions

From: A multi-criteria decision analysis (MCDA) tool for purchasing off-patent oncology medicines in Egypt

Criterion name

Possible scoring elements

Score (%)

Use in reference countries

Pharmaceutical has an FDA or EMA certificate

100%

Pharmaceutical is used in any of the reference countries

70%

Pharmaceutical is not used in any reference country and doesn't have FDA or EMA certificate

20%

Pharmaceutical is not marketed in its country of origin

EXCLUSION

Equivalence with the reference product

Bioequivalence is proven through clinical trials or real-world evidence OR reference product

100%

Intravenous dosage form OR bioequivalence proven through FDA or EMA

80%

Local bioequivalence certificate (Only for non-intravenous dosage forms)

50%

Pharmaceutical equivalence certificate only

20%

Manufacturing quality

WHO or PIC/s GMP certificate for both API and finished product

100%

WHO or PIC/s GMP certificate for API or finished product and the other certificate from another source

70%

GMP certificate for both API and final product from another source than WHO or PIC/s

40%

No GMP certificates

EXCLUSION

Pharmacovigilance

A percent of pharmacovigilance measures fulfillment to be provided for each product based on the pharmacovigilance unit report

(0%–100%)

Supply reliability

No supply reliability issues during the previous 2 years

100%

Supplier has 75% or more reliable supplies during the previous 2 years

80%

Supplier has 50%—< 75% reliable supplies during the previous 2 years

60%

Supplier has 25%—< 50% reliable supplies during the previous 2 years

30%

No previous supply

20%

Less than 25% supply reliability during the previous 2 years

EXCLUSION

Previous use in local settings

Pharmaceutical is in the local market for 5 or more years, and has won 4 or more governmental tenders during the last 3 years

100%

Pharmaceutical is in the local market for less than 5 years, and has won 4 or more governmental tenders during the last 3 years

80%

Pharmaceutical is in the local market for 5 or more years, and has won less than 4 governmental tenders during the last 3 years

60%

Pharmaceutical is in the local market for less than 5 years, and has won less than 4 governmental tenders during the last 3 years

20%

Pharmaceutical is in the local market for less than 3 years, and has not won any governmental tender during the last 3 years

0%

Macroeconomic benefit

The company has full manufacturing in Egypt

100%

The company has only a packaging factory in Egypt

70%

The company has no factory in Egypt

30%

  1. FDA Food and Drug Administration, EMA European Medicines Agency, WHO World Health Organization, GMP Good Manufacturing Practice, PIC/s Pharmaceutical Inspection Co-operation Scheme, API active pharmaceutical ingredient
  2. The final list included seven criteria used in the MCDA tool with a scoring function for each criterion. Each product is assessed based on these criteria, and it receives a score for each based on its performance in the criterion