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Policy
Original for Parkinson's dz tx released are withdrawn
by
Lee, Tak-Sun
Jul 21, 2023 05:41am
Decisions are being made to withdraw from Korea one after another, citing the weakening profitability of Parkinson's disease original treatment drugs, for which generics have appeared. Early this year, following Roche Korea's Madopar, Boehringer Ingelheim Korea's Mirapex ER also decided to stop supplying. The problem is that existing patients have a distrust of generic drugs, so there is a concern about a treatment gap if the supply of the original drug is discontinued. According to the industry on the 19th, Boehringer Ingelheim Korea recently informed the retailer that it would stop supplying Mirapex ER. Accordingly, Mirapex ER 0.375mg is expected to be sold out by July 31 next year, Mirapex ER 1.5mg by February 28 next year, and Mirapex ER 0.75mg by July 31 next year. However, Boehringer Ingelheim decided to maintain the supply of Mirapex. Mirapex is taken three times a day and Mirapex ER is taken once a day. Discontinuation of the supply of Mirapex ER, which is highly convenient, seems to be related to the entry of generics. Mirapex ER started with Hyundai Pharm's Mirap ER in 2014, followed by Samil Pharm's Prapexole ER and Myeongin Pharm's PD-Pexol ER. As three generic companies compete fiercely to preoccupy the market, drug prices are also falling. Each generic company is widening the gap with the original drug by voluntarily lowering the drug price. The profitability of original drugs has fallen due to drug price cuts following the introduction of generics, and market share is also in an emergency due to the generic offensive. In the case of Pramipexole ER 0.75mg, a component of Mirapex ER, the lowest price for generics has fallen from 740 won to 707 won. There is a difference of 74 won from the original price of 781 won. Due to the price reduction of Mirapex ER, Mirapex taken three times a day is better than Mirapex ER in terms of profitability. For this reason, some analyze that Behringer withdrew Mirapex ER and left Mirapex in the market. Roche Korea's Madopar also decided to discontinue supply in January of this year after the drug price was reduced when the generic was first released in August 2021. However, patients are requesting the resupply of Madopar through national petitions because generic drugs have side effects. Accordingly, Roche Korea and the Ministry of Health and Welfare are seeking a way out of the controversy by extending the insurance deletion grace period from July 31 to December 31. Roche has yet to make an official statement about resupply. CNS drugs such as Parkinson's disease drugs are highly dependent on drugs, so there is a high preference for existing prescribed original drugs. In this situation, patients' dissatisfaction is growing as original drugs are withdrawn from Korea due to profitability problems. Accordingly, while some argue that drug price hikes should be considered to maintain the supply of original drugs, others oppose that the government should step forward and implement policies to increase the reliability of generic drugs.
Policy
How Scemblix received reimb without negotiations
by
Lee, Tak-Sun
Jul 21, 2023 05:40am
The chronic myeloid leukemia treatment Scemblix (asciminib, Novartis) was passed the Drug Reimbursement Evaluation Committee review for costing the same as another 3rd generation CML treatment, Iclusig (ponatinib, Otsuka), The company agreed to set its price at 100% or below the weighted average price of its therapeutic alternative to waive the drug pricing negotiation process and succeeded in being listed within one year since it applied for reimbursement on July 27 last year. According to industry sources on the 20th, the DREC’s evaluation results on Scemblix were recently disclosed by the Health Insurance Review and Assessment Service showed that the cost of Scemblix, which was the same as that of Iclusig, was the decisive factor that prompted the committee to accept the adequacy of Scemblix’s reimbursement. Scemblix is a treatment for adult patients with Philadelphia chromosome-positive chronic myeloid leukemia (Ph+ CML) in the chronic phase previously treated with two or more tyrosine kinase inhibitors (TKIs). For Scemblix’s review, DREC selected Iclusig as the therapeutic alternative in consideration of the drug’s label, literature, academic opinion, and reimbursement standards. The committee explained, “The NCCN guidelines recommend the drug that submitted the application at the same level as ponatinib (Iclusig generic name), and as the drug’s improvement in effect over its therapeutic alternative is unclear in various variables, the two drugs are appropriate comparators in terms of drug administration cost.” In other words, the committee determined that Iclusig’s price will be the key factor that determines the adequacy of Scemblix’s reimbursement. In response, Novartis accepted a price that is 100% or lower than the weighted average price of its alternative. Accordingly, DREC determined Scemblix’s reimbursement appropriate and cost-effective because its effect was similar to its alternative, and the cost was the same. In particular, the company was able to waive the NHIS drug pricing negotiations as it accepted a price below the set standard. The drug price negotiation waiver system is applied to drugs that are deemed to have reimbursement adequacy, have similar effects to their alternative, and are cost-effective as they cost less or are equivalent to their therapeutic alternative. Scemblix is one example of how a company accepted a price at 100% or below the weighted average price and only underwent negotiations for the estimated claims amount. However, Scemblix had to overcome its share of obstacles to reimbursement listing. Most of all, the fact the approval can increase NHI financial spending as switching between Iclusig and Scemblix is allowed served as a major obstacle. This was why the Cancer Disease Deliberation Committee failed to set Scemblix’s reimbursement standards at its meeting last December. Reflecting this, Novartis applied for reimbursement again on January 12 this year. The DREC also acknowledged the adequacy of Scemblix’s reimbursement but added the condition that it would be necessary to consider the fiscal impact of switching. Accordingly, the company would have dealt with the switching issue during negotiations with the NHIS on the expected claims amount. Meanwhile, Scemblix 20mg’s reimbursement ceiling price was set at KRW 50,914, and Scemblix 40mg at KRW 76,371. Iclusig 15mg’s reimbursement ceiling price is KRW 60,400, and Iclusig 45mg is KRW 152,742. When considering how the recommended dose of Scemblix is 80mg, and Iclusig 45mg, the price of the two drugs are comparable.
Policy
Evrysdi also subject to prior authorization for reimb
by
Lee, Tak-Sun
Jul 20, 2023 05:35am
Pic of SMA treatments (from the left) Spinraza, Evrysdi, Zolgensma The Health Insurance Review and Assessment Service is expected to require the oral SMA (spinal muscular atrophy) treatment ‘Evrysdi Dry Syrup (risdiplam, Roche)’ to receive prior authorization for reimbursement. Also, HIRA is planning to reflect the prior authorization experience it has accumulated from Spinraza for Evrysdi. HIRA’s Healthcare Review and Assessment Committee announced so at a special press corps meeting with industry reporters on the 18th. Jin-Su Lee, Chair of the Healthcare Review and Assessment Committee, said, ”After literature review and reflection of overseas cases, we have prepared an announcement on the revised measures for prior authorization drugs based on the RWD (Real World Data) data we obtained from the prior authorization for Spinraza. The revised standards will be applied to the prior authorization review of the oral SMA treatment Evrysdi that was recently granted reimbursement. Jin-Su Lee, Chair of HIRA’s Healthcare Review and Assessment Committee is answering questions at a special press corp meeting on the 18th Currently, Roche is having pricing negotiations with the National Health Insurance Service for Evrysdi, after which reimbursement listing is expected. Also, the company for Spinraza Inj, a drug already listed for reimbursement, is negotiating to expand the use age for the drug with NHIS. The reimbursement standards for the two drugs are prepared after completing pricing negotiations, and the measure HIRA presented on the 18th will be reflected then. Lee said, “We expect the new measure to contribute to saving finances unnecessarily spent on SMA patients who are judged to have no effect with Spinraza Inj.” Based on the comment, it is likely that the Healthcare Review and Assessment Committee will be disapproving reimbursement of the drug to patients who are judged to have no effect. Spinraza is a high-priced drug that costs KRW 554 million per patient in the first year, then KRW 277 million every year thereafter. A HIRA official explained, "We cannot conclusively say that Evrysdi will be subject to prior authorizations as its reimbursement standards have not been announced yet. However, as the other existing SMA treatments are also required to receive prior authorizations, it is true that the drug’s chances of being subject to the same conditions are high.” Currently, the SMA treatments Spinraza and Zolgensma are subject to prior authorizations for reimbursement. Lee also added that just as in Spinraza's reimbursement standards, the committee will be reflecting the experience accumulated from other prior authorizations in the reimbursement review process as well. Lee stressed, “We will continue to sequentially analyze the data of other prior authorization drugs in addition to Spinraza inj. Although the purpose and content analyzed may differ by item, we will be assessing the possibility and need for the subject drugs to switch to general review drugs and identify whether there is a need to improve the reimbursement standards for others.” He added, "If the committee judges that it is necessary to improve the reimbursement standard based on data analysis, and there is valid evidence to support the change, we will closely work with relevant departments to make the necessary improvements." SMA is a rare condition in which the SMN1 gene is innately deficient or mutated to result in progressive muscle atrophy. In the case of SMA Type 1, the most common and severe form of SMA, if left untreated, over 95% of the motor neurons are damaged within 6 months, and 90% die before the age of 2 or require permanent respiratory support devices. Also, 30% of SMA Type 2 patients can die before the age of 25 and requires lifelong treatment. The reimbursement decision for the SMA treatment Spinraza has been subject to prior authorization ever since it was listed for reimbursement in April 2019. Also, ‘Zolgensma Inj,’ better known as the one-shot treatment for SMA, has been added as a prior authorization drug.
Policy
The more applications for pre-screening drugs, the higher
by
Lee, Tak-Sun
Jul 20, 2023 05:34am
.. Lee Jin-soo, chairman of the Medical Review and Evaluation Committee, "If the number of applications increases, the understanding of the benefit standards also increases." It was found that the higher the number of applications for pre-screening drugs, the higher the approval rate. It is an interpretation that the approval rate increases as the understanding of the salary standards accumulates. However, there is an interpretation that the salary standard is strict in the first place, so there is a high probability of disapproval of the salary in the pre-screening. Among pre-screening drugs, Soliris, which treats 'atypical hemolytic uremic syndrome (aHUS)', has a meager initial approval rate. The Health Insurance Review and Assessment Service presented an interpretation at the Korea Special Press Association meeting on the 18th that the understanding of the benefit standard was poor. In response to a question about the cause of Soliris' aHUS initial review approval rate and improvement plans, Chairman Lee Jin-soo explained, "I think the approval rate will increase if the clinical site fully understands the benefit standard and applies for it." He explained, “When we analyzed the status of approvals by the institution by 2022, we confirmed that the more cumulative applications there are, the more often they are approved.” According to the table released by the Clinical Review and Evaluation Committee, a total of 47 institutions applied for prior approval of Soliris in aHUS disease, and 51 cases (20.3%) out of 251 cases were approved. However, agency A, which applied the most, was approved for 10 out of 35 cases, with an approval rate of 28.6%, higher than the average. On the other hand, all 15 institutions that applied for prior approval were rejected. Regarding this, Chairman Lee explained, "As the number of applications for Solily increases, the understanding of the salary standard increases." Even so, it is pointed out that the approval rate of Soliris aHUS is too low compared to other drugs with an initial approval rate of more than 50%. In response, the Medical Review and Assessment Committee also said, "The expansion of the Soliris reimbursement standard was discussed at a recent advisory meeting, and the review results have been reported to the Ministry of Health and Welfare." In fact, it is pointed out that the Soliris aHUS salary standard is more difficult than overseas. In Korea, the benefit is approved only when all four criteria are satisfied: platelet count, mitotic red blood cell count, hemoglobin, and LDH, but the medical community says that the standard is higher than overseas. The Korean Society of Nephrology also submitted an opinion asking for relief standards to be relaxed. In March, Yoo Mi-young, head of the drug management office at HIRA, said, "A number of academic societies, including the Society for Nephrology, have submitted proposals for revising the reimbursement standards (for Soliris aHUS), including discontinuation of administration, administration standards, and evaluation methods." "We are currently reviewing the salary standards by identifying the reasons for pre-approval and disapproval and referring to expert opinions," she explained. It is noteworthy whether the pre-examination approval rate of Soliris will increase through the improvement of the benefit standard.
Policy
MFDS organizes a Clinical Trial Consultative Body
by
Lee, Tak-Sun
Jul 19, 2023 05:20am
The Ministry of Food and Drug Safety announced on the 17th that it has organized and is operating a ‘Clinical Trial Consultative Body’ with the industry to hold an ear out to the domestic clinical trial industry’s opinion and facilitate the smooth operation of the systems that are being newly introduced. The consultative body will consist of 14 members, experts in the bio-industry, including pharmaceuticals, vaccines, and cell therapies recommended by associations (Korea Pharmaceutical and Bio-Pharma Manufacturers Association, Korean Research-based Pharmaceutical Industry Association, Korea Biomedicine Industry Association), and the 1st meeting of the body was held on the 13th (Thurs) at the KRPIA head office. At the meeting, the MFDS discussed ▲the main improvements required for the factual survey on Good Clinical Practice and disclosure of the main results of the factual survey ▲ mandatory up-to-date Development Safety Update Reporting, and also ▲ shared and guided the system for the therapeutic use of investigational drugs overseas and discussed related standards, producers, and subjects in depth. In addition, the committee members proposed the ▲activation of a central IRB, ▲simplification of data reported to MFDS, etc. An MFDS official said, “The 'Clinical Trial Consultative Body' requested that we continue to propose reasonable system improvements in all areas related to clinical trials. Also, the members asked for the MFDS’s active support and utilization of the body so that it can play its role in developing regulations for clinical trials in Korea.’ The MFDS will continue to support the rapid development of safe and effective new products and the expansion of patient treatment opportunities through active communication between the public and private sectors based on the 'Clinical Trial Consultative Body'.
Policy
22 items that exploded in use during COVID-19,
by
Lee, Tak-Sun
Jul 19, 2023 05:20am
While negotiations are underway for PVA Type Da items, 22 items are said to have undergone correction due to increased usage due to Corona 19 last year. The NHIS plans to finalize the negotiations by this month, including these items, and report the results of the negotiations to the Health Insurance Policy Deliberation Committee of the Ministry of Health and Welfare next month. According to the industry on the 17th, the government is negotiating by correcting the number of drugs that have increased usage due to Corona 19 last year and selecting a target for negotiation. Items subject to PVA Type Da are drugs that have not been negotiated at the time of initial registration, and if the billing amount increases by 60% or more compared to the previous year, by 10% or more, or by 5 billion won or more, the upper limit is reached through negotiation from the 4th year of registration. adjust the amount. The problem is that the demand for respiratory medicines such as cold medicine has increased significantly as the number of Corona 19 patients exploded last year. Drugs whose bills have increased significantly from the previous year are likely to have their upper limit reduced according to PVA, so the pharmaceutical industry suggested making an exception for drugs used for Corona 19. It is difficult for NHIS to exclude all drugs used for COVID-19 from the negotiation target, and instead decided to negotiate only those drugs that meet the standard by correcting the amount used. This is in accordance with Article 10 (2) of the PVA Negotiation Guidelines, which stipulates an exception to the application of PVA in the case of drugs used to support the treatment of infectious diseases. It is known that the NHIS, which has monitored about 2,600 items, including cold medicines and antibiotics that the Ministry of Food and Drug Safety has encouraged to produce since the beginning of this year, selected 22 items among them and proceeded with negotiations. The total number of Type Da negotiation items is known to be 60 items and 138 items in the same product group. The NHIS plans to complete the negotiations this month and submit the results of the negotiations to the Health Policy Deliberation Committee to be held next month to reflect the drug price adjustments in the reimbursement list in September. The NHIS explained that it lowered the upper limit on a total of 175 items according to the Type Da negotiations last year, resulting in a total of 44.7 billion won in financial savings.
Policy
No need to fear for the lack of Sabril after recall
by
Lee, Hye-Kyung
Jul 19, 2023 05:20am
The supply of Handok’s ‘Sabril Tab’ that was recalled by the company is expected to smoothen up soon. Its recall was issued by the health authorities due to the discovery of a small amount of an active pharmaceutical ingredient for a different drug, ‘tiapride,’ in its main active pharmaceutical ingredient, ‘vigabatrin.’ The Ministry of Food and Drug Safety (Minister Yu-Kyung Oh) said on the 18th, “We are aware of the concerns over the lack of epilepsy and infantile spasm treatment Sabril being raised by the industry. We have been discussing measures with Korea’s Children's Hospital Association, seeking expert advice, and meeting with the industry to closely understand the need and supply status in the field, and encouraged Handok, its domestic manufacturer, to promptly supply Sabril.” As a result, Handok decided to import 980,000 tablets (an amount that can be used for 5 months) of active ingredient (bulk tablets) that was scheduled to be imported in December in July, and its customs clearance is scheduled for July 21. Handok is known to be hastening its overseas import as there is no drug that can replace Sabril in Korea. The MFDS explained, “We have acquired information overseas on the discovery of another drug’s active pharmaceutical ingredient tiapride in some batches of Sabril’s active pharmaceutical ingredient, vigabatrin. Although the possibility of side effects is low, considering the fact that the safety of the detected ingredient for children has not been established, the MFDS recommended that the company recall a product with a specific lot number manufactured using the raw material on July 14 as a precautionary measure." Tiapride is an active pharmacuetical ingredient used to treat a variety of neurological and psychiatric disorders including movement disorders, neuromuscular pain, aggression, agitation, etc. The MFDS said, “ We have issued the recall recommendation as a preemptive measure for patient safety in comprehensive consideration of the potential distribution amount owned by the company (92,000 tablets that are not subject to recall) and the additional amount set to be supplied within July (980,000 tablets).”
Policy
Multiple Rxs for newly reimbursed drugs
by
Lee, Tak-Sun
Jul 17, 2023 05:30am
Pfizer Korea’s atopic dermatitis drug New drugs such as Cibinqo Tab (Pfizer Korea), a treatment for atopic dermatitis, and Newmaco S, a treatment for high triglycerides, which were listed in July, were included in the list of cost-effective, high-dose oral drugs. If multiple prescriptions are made for low content, the cost of claiming benefits can be reduced by exceeding the upper limit for high-content products. Cibinqo Tab, a treatment for atopic dermatitis in adolescents and adults that inhibits JAK1, was listed as reimbursement through NHIS negotiations on July 1. As for the JAK1 inhibitor, it is the second drug to be covered after AbbVie's Rinvoq ER 15mg for the treatment of atopic dermatitis in adolescents aged 12 years and older. Three doses of 50mg, 100mg, and 200mg are listed for this drug, but you should pay attention to multiple prescriptions for 50mg and 100mg products. In the case of Cibinqo 50mg, the upper limit is 11,087 won, which exceeds the upper limit of 100mg (17,739 won) and 200mg (25,942 won) when prescribed twice or 4 times. If 100mg is prescribed twice, it exceeds the upper limit of 200mg and is subject to reduction. Yuyu Pharmaceutical's 500mg product 'Newmaco S 500mg', which was first introduced among omega-3 preparations, should also be careful of multiple prescriptions. This is because multiple prescriptions exceed the upper limit of the previously listed 1000mg product Newmaco S. The upper limit of Newmaco S Soft Cap 500mg is 198 won, and the upper limit of Newmaco Soft Cap is 297 won. These items are reviewed and adjusted by the difference in drug price that occurs when they are replaced with the upper limit price for high content. Along with this, Gabape Capsule 100mg of Hanpoong, Kuhnletal SR Cap 100mg (Cilostazol) of Kunil Biopharmaceuticals, Prelin 25mg of Myungmoon, and Tamsu SR of Youngpoong are also added to the target items for cost-effective oral medications, so multiple prescriptions should be taken into consideration.
Policy
Will Koselugo’s reimb listing pick up speed in Korea?
by
Lee, Tak-Sun
Jul 17, 2023 05:30am
AstraZeneca is bracing up its battle to receive reimbursement approval for its Koselugo (selumetinib, AZ) within the year. The company’s new neurofibromatosis drug was unable to pass review by the Health Insurance Review and Assessment Service’s Drug Reimbursement Evaluation Committee last year. AstraZeneca submitted its 3rd supplementary material and RSA proposal recently. Whether the agenda will be reviewed at HIRA’s DREC meeting and determined adequate for reimbursement is receiving attention. According to industry sources on the 16th, AZ withdrew its previous drug listing and reimbursement price application for Koselugo in January and submitted a new application in February. Koselugo received a non-reimbursement decision from DREC last March. It was the only drug that received a non-reimbursement decision among all drugs that were reviewed by DREC last year. Unwaivered, the company continued its attempt to pass HIRA’s gates. Due to a lack of treatment options for neurofibromatosis, the demand for treatment in the area from the HCPs and patients has been high. Neurofibromatosis is a rare disease that presents abnormalities of the skin, nervous system, bones, and soft tissues. Around 4,900 patients are known to be ailing from the disease in Korea. The only available treatment option for neurofibromatosis until now had been surgical removal. However, as complete excision of these tumors is difficult, the possibility of relapse always remains even after surgery. The Phase II SPRINT study that became the basis for Koselugo’s approval showed that Koselugo reduced tumor size by over 20% in 68% of the patients that received the drug, and achieved its primary endpoint of ORR. Also, 82% of the patients that showed a partial response had sustained responses lasting at least 12 months. The issue is Koselugo’s price. It is an expensive drug that costs 200 million won a year. Therefore, industry prospects were that its reimbursement listing would only be possible if the company submits a solid RSA plan in addition to its proof of effect. Determined to receive reimbursement, the company had continuously submitted supplementary data even after the non-reimbursement decision last year and is continuing on its attempt this year by submitting a new reimbursement application. In April, the company changed its application drug price and applied for expedited listing. Since then, the company has submitted supplementary data three times and has persistently knocked on the DREC’s door. More recently, the company had also prepared a risk-sharing agreement plan as a reimbursement failsafe for the government. Starting this year, the insurance authorities have been applying the expedited listing process to treatments for diseases that threaten the quality of life of children. In this aspect, there is a higher chance that Koselugo will get listed faster if the pharmaceutical company submits a solid plan on how it would share the burden of high prices. Therefore, attention is focusing on whether Koselugo can overcome last year’s non-reimbursement decision and expedite its listing this year.
Policy
Gov’t starts researching generic drug pricing policy in 2H
by
Lee, Jeong-Hwan
Jul 14, 2023 05:39am
The Ministry of Health and Welfare has started research to improve the generic drug price system in the second half of this year. The industry expects that the authorities will likely prepare and implement a system to reduce the price of generic drugs as soon as the research is complete. The research will mainly investigate the need to change the ’20 listed drugs’ standard used to differentiate the drug price of same-ingredient drugs and the 53.55% generic drug price discount rate that is applied after the expiry of the original drug’s patent. Recently, the Ministry of Health and Welfare signed a private contract with Professor Dong-sook Kim’s research team at Kongju National University for the project, ‘Preparing measures to improve the drug price system for generic drugs'. KRW 50 million won was invested into the research service. The MOHW presented creating a healthy competitive market for generic drugs as its research purpose and claimed that too many generics are still being introduced to the market despite the implementation of a stepped drug pricing system that discounts the price of drugs depending on whether or not the standard requirements are met. The main purpose of the study is to compare the drug pricing system and price level of Korea’s generic drugs with those of 8 overseas countries (Japan, France, Germany, Italy, Switzerland, the United Kingdom, the United States, and Canada) and to establish a rational generic drug management plan. More specifically, the research will compare the number of pharmaceutical companies and the total number of generic drug items listed in Korea and abroad. Also, Korea’s generic drug price level will be compared with those abroad, and the team will investigate the current status of the generic drug contol systems abroad and analyzed premium pricing systems implemented overseas for generic drugs. To devise measures used to manage generic drugs, the team will also analyze the current generic drug pricing system in Korea. Also, the team will investigate whether the ’20 product’ limit applied to differentiate the drug price discount rate from 53.55% to 38.69% is adequate, and whether it is appropriate to maintain the 53.55% standard for calculating the price of generics compared to the price before the original’s patent expires, and whether it is necessary to differentiate the price between patent expired original drugs and generic drugs. An analysis of the average percentage of claims filed for each generic drug according to their order of listing and the appropriate number of generics per ingredient will also follow. Also, the team will seek ways to improve the drug price premium system by studying cases where multiple generics were simultaneously listed after the patent expiry of a blockbuster new drug. In other words, the authorities are determined to prevent the recurrence of cases in which more than 100 generics are listed in the health insurance, as in the case of the SGLT-2 inhibitor diabetes drug Forxiga (dapagliflozin) generics. The Ministry of Health and Welfare plans to come up with a plan to improve the current drug pricing system based on the appropriate number of generic drugs and level of drug price compared to the original analyzed by the research team. In addition, the research will also look over the systemic improvements that should follow the new drug pricing policy in terms of drug demand and prescriptions. After a literature review to search for prior studies conducted in the area, the research team will collect the opinions from experts and the pharmaceutical industry, and then investigate the current status of the pharmaceutical industry and drug price levels in other countries through data such as IQVIA. The research schedule is, after signing the agreement within this month (July), the team will provide an investigator’s interim report in October, based on which the Ministry of Health and Welfare, Health Insurance Review and Assessment Service, and National Health Insurance Service will conduct advisory meetings and finalize the report by December. The MOHW said, "This study will improve the soundness of Korea’s pharmaceutical industry by maintaining price competition at an appropriate level between pharmaceutical companies and preventing the proliferation of generic drugs. The study is also expected to strengthen the sustainability of health insurance finances by allowing efficient expenditure of medicines. This will help Korea establish a generic drug pricing system that induces research and development for new drugs." “We also expected the measure to strengthen the sustainability of health insurance finances by allowing efficient drug expenditures.”
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