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As the price for BUCCOLAM in Switzerland has not yet been determined, the price used in the model is the maximum price allowable under the price referencing rules in Switzerland and is based on the agreed prices in the reference countries.
For the scope of external price referencing, Drug Price Control Committee uses one expensive, two medium and one cheap EU countries.
External price referencing is a common pricing procedure applied in 22 EU Member States [ 8].
Austria, which, as described, applies external price referencing, also established a national price survey system.
Currently, Cyprus applies external price referencing (EPR), the dominant pricing policy within European Union.
Several cost containment approaches such as price reductions, internal price referencing, tendering and risk-sharing have been applied extensively.
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As expected, price sensitivity is generally higher for price changes above a price reference point than below.
Price references the Pelvic and Sexual Health Institute as a resource.
In terms of financial accessibility, the generic price reference system in Belgium seems to work well.
This is in line with differential price concept and in contrast to external price reference, this allows affordability of each country to contribute to prices of pharmaceuticals.
With respect to this price reference, health care providers and insurance companies negotiate the real costs that they will finally apply.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com