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Related Experiment Videos

Coverage of drug costs: reference-based pricing

M McGregor1

  • 1Department of Medicine, Royal Victoria Hospital and McGill University, Montreal, Quebec.

The Canadian Journal of Cardiology
|June 17, 1998
PubMed
Summary
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British Columbia's reference-based pricing (RBP) for drug reimbursement is effective and equitable. This policy, despite criticism, demonstrates a reasonable approach to controlling healthcare expenses and warrants continued monitoring for comprehensive evidence.

Area of Science:

  • Health Economics
  • Pharmaceutical Policy
  • Public Health

Background:

  • British Columbia has implemented reference-based pricing (RBP) since 1985 for drug reimbursement.
  • RBP reimburses drugs based on the cost of the lowest-priced equivalent-efficacy drug in a category.
  • This policy has faced criticism from the Canadian Cardiovascular Society.

Purpose of the Study:

  • To evaluate the validity of criticisms against British Columbia's reference-based pricing (RBP) policy.
  • To assess the evidence-based nature, cost-effectiveness, and equity of RBP.
  • To determine the suitability of continuing and monitoring the RBP policy.

Main Methods:

  • Analysis of claims regarding RBP's evidence base.
  • Evaluation of RBP's impact on healthcare costs.

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  • Assessment of RBP's adherence to principles of equity and accessibility.
  • Main Results:

    • Criticisms that RBP is not evidence-based were found to be unfounded.
    • Claims of RBP's ineffectiveness in lowering healthcare costs were refuted.
    • Concerns regarding RBP contravening equity and accessibility principles were determined to be ill-founded.

    Conclusions:

    • British Columbia's reference-based pricing (RBP) policy is a sound strategy for drug cost containment.
    • The policy is deemed effective and equitable, contrary to recent criticisms.
    • Continued monitoring of RBP is recommended to gather robust evidence on its impact within the Canadian healthcare system.