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Medicinal Products

Dáil Éireann Debate, Tuesday - 13 October 2020

Tuesday, 13 October 2020

Questions (472)

Jackie Cahill

Question:

472. Deputy Jackie Cahill asked the Minister for Health the status of a drug (details supplied); if it is reimbursed; and if he will make a statement on the matter. [29759/20]

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Written answers

The HSE has statutory responsibility for decisions on pricing and reimbursement of medicines under the community drugs schemes, in accordance with the Health (Pricing and Supply of Medical Goods) Act 2013.

In line with the 2013 Act and the national framework agreed with industry, a company must submit an application to the HSE to have a new medicine added to the reimbursement list.

Reimbursement is for licenced indications which have been granted market authorisation by the European Medicines Agency or the Health Products Regulatory Authority.

In making a relevant reimbursement decision, the HSE is required under the Act to have regard to a number of criteria including efficacy, the health needs of the public, cost effectiveness and potential or actual budget impact.

HSE decisions on which medicines are reimbursed by the taxpayer are made on objective, scientific and economic grounds, on the advice of the National Centre for Pharmacoeconomics (NCPE).

I am advised by the HSE that it has received two applications for the reimbursement of cannabidiol (Epidyolex®):

1. for use as adjunctive therapy of seizures associated with Lennox-Gastaut Syndrome in conjunction with clobazam, for patients two years of age and older.

In February 2020, the HSE commissioned the NCPE to complete a rapid review with respect to this indication. The NCPE recommended a full health technology assessment (HTA) to assess the clinical effectiveness and cost effectiveness of cannabidiol compared with the current standard of care. On 16 March 2020, the HSE commissioned a full pharmacoeconomic assessment for this indication.

2. for use as adjunctive therapy of seizures associated with Dravet Syndrome in conjunction with clobazam, for patients two years of age and older.

In February 2020, the HSE commissioned the NCPE to complete a rapid review with respect to this indication. The NCPE recommended a full HTA to assess the clinical effectiveness and cost effectiveness of cannabidiol compared with the current standard of care. On 16 March 2020, the HSE commissioned a full pharmacoeconomic assessment for this indication.

In July 2020, applicant submissions were received by the NCPE for both of the above indications. These applications will be assessed by the HSE in line with the 2013 Health Act.

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