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Evaluating the centralized purchasing policy for the treatment of hepatitis C: The Colombian CASE

Angela V Pérez1, Antonio J Trujillo2, Aurelio E Mejia3

  • 1Johns Hopkins Bloomberg School of Public Health 101 North Wolfe Street Apt 415 Baltimore MD USA.

Pharmacology Research & Perspectives
|December 21, 2019
PubMed

Insights

Colombia

Area of Science:

  • Public Health
  • Health Policy
  • Pharmacoeconomics

Background:

  • High drug costs for hepatitis C impede treatment access and adherence.
  • The Colombian health care system implemented a strategy in 2017 to address this issue.

Purpose of the Study:

  • To assess the effectiveness of Colombia's centralized purchasing strategy for hepatitis C drugs.
  • Evaluate changes in drug prices, clinical outcomes, and stakeholder perspectives.

Main Methods:

  • Policy implementation assessment utilizing data from the Ministry of Health and Colombian Fund for High-Cost Diseases.
  • Analysis included price changes, clinical outcomes (cure rates), and stakeholder interviews.
  • Follow-up period: October 2017 to October 2018, with 1069 patients.

Main Results:

  • Drug prices decreased by over 90%, reducing total direct costs from $100,102,171.75 to $8,378,747.
  • A 96% cure rate was achieved among treated patients.
  • 53% of patients completed treatment and were cured within the study period.

Conclusions:

  • Colombia's centralized purchasing strategy significantly reduced hepatitis C drug costs.
  • The strategy demonstrated high effectiveness in achieving patient cures and improving cost-efficiency.
  • This model offers a scalable solution for improving access to high-cost medications.

Keywords:
Developing countriesHealth policyHigh‐cost drugsPharmacoepidemiologyPolicy designPricing policyRegulatory guidelineStrategic purchasing

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