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Table 4 Incremental cost-effectiveness ratio of 5 medicines from NLEM compare with budget and QALYs loss

From: Expanding access to high-cost medicines under the Universal Health Coverage scheme in Thailand: review of current practices and recommendations

Medicines (of the 43 medicines that had economic evaluation)

Indication

ICER

Budget (THB/year)

QALYs gained

(A)

QALYs gained at WTP

(B)

QALYs lost

(A-B)

Leuprorelin

Prostate cancer with intermediate risk

137,613

351,000,000

2551

2194

357

Sorafenib

Metastatic clear cell renal cell carcinoma

1,650,000

18,576,000

11

116

− 105

Bortezomib

Multiple myeloma

9,908,461

119,200,000

12

745

− 733

Thalidomide

Multiple myeloma

10,706,411

94,400,000

9

590

− 581

Lenalidomide

Multiple myeloma

12,009,328

167,200,000

14

1045

− 1031

  1. ICER incremental cost-effectiveness ratio, QALY Quality-Adjusted Life Year, WTP willingness to pay
  2. 1 USD = 34.97 THB as of July, 2023