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. 2013 Apr;33(3):333–342. doi: 10.1177/0272989X12452341

Table 2.

Reimbursement Situations Requiring Different Applications of the Assessment Framework

Reimbursement Situation Biomarkera Test Drug
Prototype situation (see Additional file 1) Probable new marker New reimbursement application New reimbursement application
Situation I Valid marker Currently reimbursed New reimbursement application
Situation II Valid marker New reimbursement application Currently reimbursed
Situation III Valid marker New reimbursement application New reimbursement application
Situation IV Group of markers Currently reimbursed ± new reimbursement application Currently reimbursed ± new reimbursement application
a.

The Food and Drug Administration FDA categorizes biomarkers according to “probable” and “valid.”24,25