Pricing & Market Access

Terms for how medicine prices are set and negotiated and how patients gain access to new treatments.

  • Topic: Pricing & Market Access
  • 40 terms
  • Editor reviewed

6 terms

Patent ExpiryPatent Expiration, Loss of Exclusivity

The date on which a patent's legal protection ends, after which competitors are generally free to market equivalent products without infringement.

Patient Access SchemePAS, Confidential Access Scheme

A managed entry agreement, most associated with the UK, offering a discount to improve a treatment's cost-effectiveness enough to secure reimbursement.

Positive ListReimbursement List, Inclusion List

A list explicitly specifying which medications or services are covered under a health plan, unlike a negative list specifying exclusions.

Price NegotiationPrice Bargaining, Payer-Manufacturer Bargaining

The process through which a manufacturer and payer discuss and agree a drug's price, informed by health economic evidence and negotiating leverage.

Price-Volume AgreementPVA, Volume-Linked Pricing Deal

An arrangement linking a treatment's price to its total utilisation volume, giving payers a mechanism to manage budget exposure as use expands.

Prior AuthorizationPre-Approval Requirement, Prior Auth, Preauthorization, Prior Authorization Process, Prior Authorization Requirement

A health plan’s advance review of a patient-specific service, medicine or item against coverage criteria before it is provided.