ISPOR 17th Annual International Meeting, 2-6 June 2012, Washington, DC, USA, Washington, Amerika Birleşik Devletleri, 2 - 06 Haziran 2012, ss.21
taken into account during reference piricing, these price are still relativley high
according to our country’s purchasing power. The price of a certain medication is
considered normal in a developed country whereas that price for the same product
presents itself higher than the purchasing power of developing country.Development
of a new reference pricing system estimated in accordance with Turkey’s
GDPC is proposed. METHODS: The most essential requirement for reference pricing
is to reach a new reference price based on the molecule significance coefficient-
(MSC) - obtained through an assessment and GDPC no higher than the lowest
reference country price. A committe of 5 academicians convened from different
universities has evaluated bevacizumab, erlotinib and rituximab, using the assessment
form prepared on grounds of 5 questions for the calculation of the coefficient.
New public pricesof the products were calculated by the use of the MSC. The pharmaceutical
product pricing calculation is suggested as below: Product Price
(Country GDPC/Ref. Country GDPC Ref. Country Price) Molecule Significance
Coefficient; Mol. Sig. Coeff. Average Score/Total Score 3. RESULTS: The MSC
values for bevacizumab, erlotinib and rituximab were 1.09, 1.21 and 1.29, respectively.
The probable the new calculated public prices depending the formulas were
decreased from the public price, 37%, 40% and 21%, respectively. CONCLUSIONS:
GDPC-based reference pricing sample may provide a new perspective in pharmaeutical
pricing control in countries like Turkey. On the other hand, this can also
provide an opinion for countries with insufficient facilities for approaching MSC
and HTA, during reimbursement decision making. For instance, an MSC value
under 1 is not included in reimbursement whereas one falling in between 2 and 3 is
suggested for reimbursement.This can be similarly used for determining the MSC
reimbursement levels independent from reference pricing.