Dáil Éireann Debate, Wednesday - 25 June 2014
160. Deputy Patrick O'Donovan asked the Minister for Health if he has considered the continued use of Fampyra within the community drugs scheme to treat multiple sclerosis; and if he will make a statement on the matter. [27476/14]
View answer198. Deputy Caoimhghín Ó Caoláin asked the Minister for Health if he will include Fampyra in the GMS and DPS schemes; and if he will make a statement on the matter. [27587/14]
View answerI propose to take Questions Nos. 160 and 198 together.
The Health Service Executive (HSE) has statutory responsibility for decisions on pricing and reimbursement of medicinal products under the community drug schemes in accordance with the provisions of the Health (Pricing and Supply of Medical Goods) Act 2013. The HSE received an application for the inclusion of Fampridine (Fampyra®) in the GMS and community drugs schemes. The application was considered in line with the procedures and timescales agreed by the Department of Health and the HSE with the Irish Pharmaceutical Healthcare Association (IPHA) for the assessment of new medicines. In accordance with these procedures, the National Centre for Pharmacoeconomics (NCPE) conducted a pharmacoeconomic evaluation of Fampridine and concluded that, as the manufacturer was unable to demonstrate the cost effectiveness of Fampridine in the Irish healthcare setting, it was unable to recommend the reimbursement of the product. The report is available on the NCPE's website (www.ncpe.ie).
The HSE assessment process is intended to arrive at a decision on the funding of new medicines that is clinically appropriate, fair, consistent and sustainable. Due to the very difficult and challenging economic environment in which the Government targeted additional savings in health expenditure of €619 million in 2014, which must be achieved while protecting front line services to the most vulnerable to the greatest extent possible, the HSE decided it was not in a position to add the drug to the List of Reimbursable Items supplied under the GMS and other community drug schemes.
It is open to the supplier, at any time, to submit a new application to the HSE incorporating new evidence which demonstrates the cost effectiveness of Fampridine. The HSE will then re-consider the application to add this product to the List of Reimbursable Items, in line with the agreed procedures and timescales for the assessment of new medicines. In this context, I understand the manufacturer has indicated to the HSE that it intends to submit a revised application for Fampridine. The HSE will consider the application on receipt in line with the agreed procedures and timescales for the assessment of new medicines.
