Canada: Finalize amendments to drug pricing regulations


Canada: Finalize amendments to drug pricing regulations

(Source: RAPS 2019-08-13)

The government of Canada announced Friday final amendments to drug-pricing regulations that aim to better protect Canadians from patented drugs’ excessive prices with new regulatory tools.

The final amendments to Canada’s Patented Medicines Regulations crack down on excessive prices by building on the federal drug price regulator’s controls to make patented drugs more affordable. The move will have a ripple effect across other countries and has already been met with mixed reactions. The amended regulations, which lay the foundation for National Pharmacare, will reportedly create C$13.2 billion ($10 billion) in cost savings over a decade.

Health Canada notes that the list of countries Canada uses for drawing comparisons to set drug prices will change as a result of the amendments. The two countries with the highest prices—US and Switzerland—will no longer be comparison countries under the regulations. This change aims to better reflect Canada's population, economy and health care approach in prices.

The amendments will mark a shift away from sticker prices for the Patented Medicine Prices Review Board (PMPRB) to better assess whether a price for a patent drug is reasonable or excessive when determining ceiling prices. Patentees will be required to disclose to the PMPRB information provided to third-party payers about confidential price discounts and rebates on domestic prices. The PMPRB can also now take into consideration whether the price for a patent drug is excessive relative to the value the drug brings to the intended patient population.

“The PMPRB now has the tools and information needed to meaningfully protect Canadian consumers from excessive prices today and into the future,” said PMPRB chair Mitchell Levine.

The amendments were proposed in 2017, with a target date for the amended regulations to come into force in January. Pushback led to their entry into force being delayed to 1 July 2020.

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