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Financial Feasibility of BPaL(M) Under Pretomanid Price Scenarios - China, 2023-2024
Jingjuan Ren1, Ni Wang1, He Zhu2
1National Key Laboratory of Intelligent Tracking and Forecasting for Infectious Diseases, National Center for Tuberculosis Control and Prevention, Chinese Center for Disease Control and Prevention & Chinese Academy of Preventive Medicine, Beijing, China.
What Is Already Known About This Topic?:
The BPaL(M) regimen is a World Health Organization (WHO)-endorsed, all-oral, shorter treatment for multidrug- or rifampicin-resistant tuberculosis (MDR/RR-TB) recently approved in China; however, its large-scale implementation depends on affordability and sustainability within the national health insurance system.
What Is Added By This Report?:
This study identifies 26,000 Chinese Yuan (CNY) per course as an approximate break-even pretomanid price for health insurance reimbursement in China. Lower prices can generate savings for both insurers and patients.
What Are The Implications For Public Health Practice?:
Pretomanid price negotiations should be combined with reimbursement and financial protection policies to support equitable scale-up of BPaL(M).
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