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Medicine price transparency and confidential managed-entry agreements in Europe

Findings from the Euripid survey

Bibliographic Data

ID21467482
AuthorsPierluigi Russo (0000-0003-4881-5703, Italian Medicines Agency, corresponding author), Angelica Carletto (0000-0002-2094-1946, Italian Medicines Agency), Gergely Németh (0000-0002-1590-2133), Claudia Habl (0000-0002-0999-6401, Gesundheit Österreich)
Year2021
Volume125
Issue9
Pages1140-1145
Publication date2021-09-01
Open AccessYes
TypeARTICLE
VenueHealth Policy (JOURNAL)
Journal identifiersISSN: 0168-8510 • E-ISSN: 1872-6054
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.healthpol.2021.06.008
PMID34253396
OpenAlexW3177361552
LanguageEN
Citations received3
References cited18

Pricing of pharmaceuticals is an all-time challenge for healthcare systems. Often public payers agree with companies on confidential managed-entry agreements (MEAs) that, e.g. foresee discounts under specific circumstances. The EURIPID Executive Committee surveyed 22 European countries, who all reported the use of confidential agreements between pharmaceutical companies and public payers, confirming that the actual prices paid are typically lower than the published list price. In 68% of the countries, the confidentiality of MEAs is required by non-disclosure clauses between companies and public payers. In some countries (27%) this is even backed up by a specific law. Our study identified legal constraints for the sharing of information on actual prices and confidential agreements among European countries and consequently restrictions in transparency. In conclusion, the EURIPID survey findings suggest that the current possibility to improve the medicines' price transparency across countries is limited and the issue probably requires international institutional engagement, at least to coordinate initiatives toward a greater collaboration among member states

Business · Confidentiality · Economics · Political science · Public disclosure · Public economics · Health Systems, Economic Evaluations, Quality of Life · Law · Pharmaceutical Economics and Policy · Pharmaceutical industry and healthcare · Accounting

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Citations per year1.5
Citation span2024 - 2026 (3)
Highly citedNo

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