Does external reference pricing deliver what it promises? Evidence on its impact at national level

BackgroundExternal reference pricing (ERP) is widely used to regulate pharmaceutical prices and help determine reimbursement. Its implementation varies substantially across countries, making it difficult to study and understand its impact on keypolicy objectives.ObjectivesTo assess the evidence on ERP in different settings and its impact on key healthpolicy objectives, notably, cost-containment, pharmaceuticalprice levels, drug use, equity, efficiency, availability, affordability and industrial policy; and second, to critically assess the quality of evidence on ERP.MethodsPrimary and secondary data collection through a survey of leading experts and a systematic literature review, respectively, over the 2000-2017 period.ResultsForty five studies were included in the systematic review(January 2000-December 2016). Primary evidence was gathered via survey distribution to experts in 21 countries(January-July 2017). ERP contributes to cost-containment, but this is a short-term effect highly dependent on the way ERP is designed and implemented. Low prices, as a result of ERP, can undermine the availability of medicines and lead to launch delays or product withdrawals. Downward price convergence can hamper investment in innovation. ERP does not seem to promote efficiency in achieving health system goals. As evidence is weak, results need to be interpreted with caution.ConclusionsERP has not regulated prices efficiently and has unintended consequences that reduce the benefits arising from it. If ERP is carefully designed with minimal price revisions, prudent selection of basket size and countries, and consideration of transaction prices, it could be a more effective mechanism enhancing welfare, equitable access to medicines within countries and helppromote industry innovation.