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. 2016 Nov 3;4(4):310–319. doi: 10.14218/JCTH.2016.00027

Table 8. Incremental cost-effectiveness ratio (ICER) per quality-adjusted life year (QALY) based on HCV genotype.

Hepatitis C virus (HCV) genotype ICERs per QALY1
1 Treatment-naïve: less than $0 to $31,4522
Interferon-experienced patients: $84,744 to $178,295
2 US$ 35,500 to US$238,0002,3
3 US$ 410,5182
4 US$ 34,349 to US$ 80,7932
1

When the ICER is determined, it is compared to the willingness to pay threshold, which is typically considered $50,000 to $100,000/QALY;

2

Depending on presence or absence of cirrhosis;

3

In treatment-naïve patients without cirrhosis, the manufactures price for sofosbuvir led to ICERs above the willingness to pay threshold. Negotiating lower cost can lead to ICERs dropping to acceptable levels.