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Drug Pricing in South Korea

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Abstract

Between 2000 and 2013, spending on medicines in Korea increased by 275.3%. In order to curb this trend, several pricing policies and measures were introduced. This study reviews these policies and their implications based on pricing regulations as well as a literature review. New medicines now undergo both a reimbursement assessment and price negotiations. The reimbursement of new medicines is based on their cost effectiveness. The prices of new medicines are subsequently fixed through negotiations between the payer, the National Health Insurance Service, and the relevant manufacturer. Generic drugs are automatically priced via a new standard methodology. Repricing mechanisms were complicated and now redundant. Simple and efficient measures rather than complex and inefficient measures are needed to maintain the value-for-money principle for new medicines as well as achieve financial efficiency through price competition among generic drugs.

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References

  1. Ministry of Health and Welfare. Statistics for National Health Insurance and Health Policy. Seoul 2014.

  2. Ministry of Health and Welfare. Drug expenditure rationalization plan (DERP). Press release May 03, 2006. Available at: http://www.mw.go.kr/front/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=37687&page=1&SEARCHKEY=TITLE&SEARCHVALUE. Accessed 17 May 2016.

  3. Kwon HY, Kim HM, Godman B, Reich M. The impact of South Korea’s new drug-pricing policy on market competition among outpatient drugs. Expert Rev Pharmacoecon Outcomes Res. 2015;15(6):1007–14.

    Article  PubMed  Google Scholar 

  4. National Health Insurance Service. History of the Korean national health insurance. Available at http://www.nhis.or.kr/menu/retriveMenuSet.xx?menuId=B2160 (accessed on 28 July 2016). Accessed 17 June 2016.

  5. Jeong HS, Sin JW. Debates on the national health insurance coverage and international comparison. HIRA policy brief 2011; March 17–27.

  6. OECD. Pharmaceutical expenditure. Health: Key tables from OECD, No. 7. doi:10.1787/pharmexptable-2014-1-en. Accessed 17 June 2016.

  7. Bae EY, Hong JM, Kwon HY, et al. Eight-year experience of using HTA in drug reimbursement: South Korea. Health Policy. 2016;120(6):612–20.

    Article  PubMed  Google Scholar 

  8. Ministry of Health and Welfare. Enforcement regulations of national health insurance. Raw article 10-2. Application of drug reimbursement decision no. 404; June 03, 2014.

  9. Adamski J, Godman B, Ofierska-Sujkowska G, Osinska B, Herholz H, Wendykowska K, et al. Risk sharing arrangements for pharmaceuticals: potential considerations and recommendations for European payers. BMC Health Serv Res. 2010;10:153.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Ferrario A, Kanavos P. Managed entry agreements for pharmaceuticals: The European experience: LSE; 2013 [cited]. http://ec.europa.eu/enterprise/sectors/healthcare/files/docs/mea_report_en.pdf.

  11. Kim JH, Lee TJ, Kim Eugene, Bae H, Kim SJ. Strengthening Transparency of Drug Pricing Negotiation. Seoul National University and NHIS. 2013.

  12. Godman B, Shrank W, Wettermark B, Andersen M, Bishop I, Burkhardt T, et al. Use of generics—a critical cost containment measure for all healthcare professionals in Europe. Pharmaceuticals. 2010;3(8):2470–94.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Sermet C, Andrieu V, Godman B, Van Ganse E, Haycox A, Reynier JP. Ongoing pharmaceutical reforms in France: implications for key stakeholder groups. Appl Health Econ Health Policy. 2010;8(1):7–24.

    Article  PubMed  Google Scholar 

  14. Ministry of Health and Welfare. New drug price policy will be implemented in April 2012. Press release 2012. Available from: http://www.mw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=183&CONT_SEQ=267283.

  15. Simoens S. A review of generic medicine pricing in Europe. GaBI. 2012;1(1):8–12.

    Article  Google Scholar 

  16. Godman B, Bishop I, Finlayson AE, Campbell S, Kwon HY, Bennie M. Reforms and initiatives in Scotland in recent years to encourage the prescribing of generic drugs, their influence and implications for other countries. Expert Rev Pharmacoecon Outcomes Research. 2013;13(4):469–82.

    Article  Google Scholar 

  17. Godman B, Wettermark B, Hoffmann M, Andersson K, Haycox A, Gustafsson LL. Multifaceted national and regional drug reforms and initiatives in ambulatory care in Sweden: global relevance. Expert Rev Pharmacoecon Outcomes Research. 2009;9(1):65–83.

    Article  Google Scholar 

  18. Woerkom M, Piepenbrink H, Godman B, Metz J, Campbell S, Bennie M, et al. Ongoing measures to enhance the efficiency of prescribing of proton pump inhibitors and statins in The Netherlands: influence and future implications. J Comp Eff Res. 2012;1(6):527–38.

    Article  PubMed  Google Scholar 

  19. Ministry of Health and Welfare. Pricing and re-pricing standards for reimbursable pharmaceuticals. Notification No. 2015–80. May 29, 2015.

  20. Lee HY, Kim JH. Delisting policy reform in South Korea: failed or policy change? Value Health. 2012;15(1):204–12.

    Article  PubMed  Google Scholar 

  21. National Health Insurance Service. Handbook of Drug Expenditure Management Policy of 2014, Seoul, 2014.

  22. Yu SY, Yang BM, Kim JH. New anti-rebate legislation in South Korea. Appl Health Econ Health Policy. 2013;11(4):311–8.

    Article  PubMed  Google Scholar 

  23. Law of Pharmaceutical Affairs. Article 76: marketing approval cancellation and suspension of business. No. 25583. September 01, 2014.

  24. Presidential Decree of National Health Insurance. Article 18-2: suspension and exclusion of drug reimbursement service. No. 25583. August 20, 2014.

  25. Ministry of Health and Welfare (MOHW). Six months after the massive price cuts, drug expenditure savings of 909 billion Korean won. Press Release February 07, 2013. Accessed 17 May 2016.

  26. Ministry of Health and Welfare. Certification of innovative pharmaceutical companies and pricing policy: follow-up of the 10th trade investment promotion. Press release July 07, 2016.

  27. Phelan M, Cook C. A treatment revolution for those who can afford it? Hepatitis C treatment: new medications, profits and patients. BMC Infect Dis. 2014;14(Suppl 6):S5.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Brennan T, Shrank W. New expensive treatments for hepatitis C infection. JAMA. 2014;312(6):593–4.

    Article  CAS  PubMed  Google Scholar 

  29. de Bruijn W, Ibanez C, Frisk P, Bak Pedersen H, Alkan A, Vella Bonanno P, et al. Introduction and utilization of high priced HCV medicines across Europe; implications for the future. Front Pharmacol. 2016;7:197.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Godman B, Malmstrom RE, Diogene E, Gray A, Jayathissa S, Timoney A, et al. Are new models needed to optimize the utilization of new medicines to sustain healthcare systems? Expert Rev Clin Pharmacol. 2015;8(1):77–94.

    Article  PubMed  Google Scholar 

  31. Experts in Chronic Myeloid Leukemia. The price of drugs for chronic myeloid leukemia (CML) is a reflection of the unsustainable prices of cancer drugs: from the perspective of a large group of CML experts. Blood. 2013;121(22):4439–42.14.

  32. Kantarjian HM, Fojo T, Mathisen M, Zwelling LA. Cancer drugs in the United States: Justum Pretium–the just price. J Clin Oncol. 2013;31(28):3600–4.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Tefferi A, Kantarjian H, Rajkumar SV, Baker LH, Abkowitz JL, Adamson JW, et al. In support of a patient-driven initiative and petition to lower the high price of cancer drugs. Mayo Clin Proc. 2015;90(8):996–1000.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Godman B, Abuelkhair M, Vitry A, Abdu S, Bennie M, Bishop I, et al. Payers endorse generics to enhance prescribing efficiency; impact and future implications, a case history approach. GaBI. 2012;1(2):69–83.

    Article  Google Scholar 

  35. Parkinson B, Sermet C, Clement F, Crausaz S, Godman B, Garner S, et al. Disinvestment and value-based purchasing strategies for pharmaceuticals: an international review. PharmacoEconomics. 2015;33(9):905–24.

    Article  PubMed  Google Scholar 

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Author contributions

HYK jointly conceived the study with BG. HYK designed and collected data. HYK and BG prepared the first and successive manuscripts.

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Correspondence to Hye-Young Kwon Ph.D.

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This study is self-funded. Hye-Young Kwon and Brian Godman declared no conflicts of interest. The authors would like to express their deepest appreciation to Professor Bong-Min Yang from Seoul National University for his advice when developing the draft manuscript.

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Kwon, HY., Godman, B. Drug Pricing in South Korea. Appl Health Econ Health Policy 15, 447–453 (2017). https://doi.org/10.1007/s40258-017-0307-0

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