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. 2013 Aug 6;1:10.3402/jmahp.v1i0.20891. doi: 10.3402/jmahp.v1i0.20891

Table III.

Five levels of ASMR

Level of ASMR Criteria
I Major innovation: innovative product with substantial therapeutic benefit
II Important improvement in terms of therapeutic efficacy and/or reducing side effects
III Moderate improvement in terms of therapeutic efficacy and/or utility
IV Minor improvement in terms of therapeutic efficacy and/or reducing side effects
V No improvement over existing options but still can be recommended for reimbursement (e.g., generic drugs and me-too drugs)