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. 2008 Jan;4(1):2–7. doi: 10.1200/JOP.0812001

Table A1.

Decision Clarification Module

Decision Model Decision Scenario Decision Type Comparator Costing Intended Use Stratification*
Tier 1 Tier 2
A Single technology/drug under review, de-listing of previously approved candidate drugs not an option Appropriateness only (ie, does not involve a funding decision or recommendation) Benchmark against credible alternative(s) Cost models not required
B Single technology/drug under review, de-listing of previously approved candidate drugs not an option Appropriateness and funding Benchmark against credible alternative(s) At least one cost model required Curalib (A)
C Several competing new drugs under review, de-listing of previously approved candidate drugs not an option Appropriateness only Rank against one another Cost model not required
D Several competing new drugs under review, de-listing of previously approved drugs not an option Appropriateness and funding Rank against one another At least one cost model required Pallialib (B)
E Single drug only, de-listing of prior approved drugs is an option Appropriateness only Benchmark against a prior approved candidate drug or rank against several prior drugs Cost model not required
F Single drug only, de-listing of prior approved drugs is an option Appropriateness and funding Benchmark against prior approved drug or rank against several prior drugs At least one cost model required
G Several competing drugs, de-listing of prior approved drugs is an option Appropriateness only Rank against currently competing drugs and against prior approvals Cost model not required
H Several competing drugs, de-listing of prior approved drugs is an option Appropriateness and funding Rank against currently competing drugs and against prior approvals At least one cost model required

NOTE. Tier 1 indicates adjuvant or curative treatment; tier 2, palliative treatment for advanced metastatic disease.