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. 2021 Sep 22;11(9):1625–1634. doi: 10.34172/ijhpm.2021.138

Table 2. Sub-themes of Financing Strategies by Country Income Level .

Country Basic Pharmaceutical Reimbursement and Pricing Policies Funding Strategies Specific to High-Cost Drugs Financial assistance for individual patients
WHO-EML National Health Technology Assessment Reference Pricing Systems MEA Dedicated Funds for High-Cost Drugs Orphan Drug Reimbursement Adjusted Cost-Effectiveness Threshold Use of Compulsory Licensing Health Insurance Scheme for the Poor Patient Cost-Sharing Reduction/Exemption PAP Assistance Foundations
No. % No. % No. % No. % No. % No. % No. % No. % No. % No. % No. % No. %
High (n = 53) 24 45 40 75 26 49 31 58 18 34 16 30 6 11 1 2 1 2 4 8 13 25 2 4
Upper middle (n = 50) 45 90 20 40 5 10 7 14 7 14 3 6 0 0 1 2 3 6 2 4 30 60 0 0
Lower middle (n = 47) 43 91 4 9 2 4 0 0 0 0 0 0 0 0 1 2 1 2 0 0 37 79 0 0
Low (n = 26) 24 92 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 65 0 0
All (n = 176) 136 77 64 36 33 19 38 22 25 14 19 11 6 3 3 2 5 3 6 3 97 55 2 1

Abbreviations: PAPs, patient assistance programs; MEA, managed entry agreement; WHO-EML, World Health Organization Model Lists of Essential Medicines.