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.