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OFT's value-based pricing scheme is well-founded, but could increase overall NHS drug spend

tant or could increase. An increase in overall costs would, however, worry the Treasury.

Claxtons proposal is that there should be an agreement to monitor total NHS spend, and link this monitoring to a rebate agreement in which any underspend created by the new system is shared by the industry. Equally, higher than expected spend would lead to a transfer from industry to the NHS. "This would reassure the Treasury and Department of Health that the introduction of VBP will not lead to uncontrolled rises in spending, and industry that there will not be dramatic cuts," says Claxton.

"The OFT report provides a clear and coherent rationale for a move to VBP The OFT has put down an important marker which will inevitably shape the scope of future policy debates about value, guidance, price and innovation," says Claxton.


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Contact: Jennifer Beal
jbeal@wiley.co.uk
44-012-437-70633
John Wiley & Sons, Inc.
29-May-2007


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