Tendering and biosimilars: what role for value-added services?

Background: Access to biologic medicines (including biosimilars) across Europe is largely governed by a process of tendering conducted by health authorities. Over-reliance on treatment costs in awarding tenders has the potential to hinder competition and undermine the long-term sustainability of bio...

Full description

Bibliographic Details
Main Authors: Steven Simoens, Raymond Cheung
Format: Article
Language:English
Published: MDPI AG 2020-01-01
Series:Journal of Market Access & Health Policy
Subjects:
Online Access:http://dx.doi.org/10.1080/20016689.2019.1705120
_version_ 1797227108307566592
author Steven Simoens
Raymond Cheung
author_facet Steven Simoens
Raymond Cheung
author_sort Steven Simoens
collection DOAJ
description Background: Access to biologic medicines (including biosimilars) across Europe is largely governed by a process of tendering conducted by health authorities. Over-reliance on treatment costs in awarding tenders has the potential to hinder competition and undermine the long-term sustainability of biosimilars. Objective: To assess the extent and impact of consideration of ‘value-added services’ (VAS) in tendering for biosimilars, we conducted a narrative review of published literature. Results: Findings from survey-based publications indicated that tendering practices for biosimilars are widely used, with cost being the main determinant of success and little detail being available on other criteria where these apply. Criteria (of therapeutic and technical interest) beyond price were included in one tendering specification for infliximab (originator and biosimilars), while a separate tender for the same product included VAS in the form of therapeutic drug monitoring, measurement of antibodies and calprotectin. Conclusions: Published evidence concerning inclusion of VAS in tendering for biosimilars is lacking. Development and implementation of standardized criteria and methods of assessment for tenders may avoid manufacturers facing segmented markets, encourage competition and the longer-term sustainability of biosimilars, and realize the healthcare system and patient benefits these treatments can bring.
first_indexed 2024-04-24T14:35:33Z
format Article
id doaj.art-957cc3769f72488897cfda5f6189ba9f
institution Directory Open Access Journal
issn 2001-6689
language English
last_indexed 2024-04-24T14:35:33Z
publishDate 2020-01-01
publisher MDPI AG
record_format Article
series Journal of Market Access & Health Policy
spelling doaj.art-957cc3769f72488897cfda5f6189ba9f2024-04-03T00:55:18ZengMDPI AGJournal of Market Access & Health Policy2001-66892020-01-018110.1080/20016689.2019.17051201705120Tendering and biosimilars: what role for value-added services?Steven Simoens0Raymond Cheung1KU LeuvenInnovative Medicines Business, Pfizer IncBackground: Access to biologic medicines (including biosimilars) across Europe is largely governed by a process of tendering conducted by health authorities. Over-reliance on treatment costs in awarding tenders has the potential to hinder competition and undermine the long-term sustainability of biosimilars. Objective: To assess the extent and impact of consideration of ‘value-added services’ (VAS) in tendering for biosimilars, we conducted a narrative review of published literature. Results: Findings from survey-based publications indicated that tendering practices for biosimilars are widely used, with cost being the main determinant of success and little detail being available on other criteria where these apply. Criteria (of therapeutic and technical interest) beyond price were included in one tendering specification for infliximab (originator and biosimilars), while a separate tender for the same product included VAS in the form of therapeutic drug monitoring, measurement of antibodies and calprotectin. Conclusions: Published evidence concerning inclusion of VAS in tendering for biosimilars is lacking. Development and implementation of standardized criteria and methods of assessment for tenders may avoid manufacturers facing segmented markets, encourage competition and the longer-term sustainability of biosimilars, and realize the healthcare system and patient benefits these treatments can bring.http://dx.doi.org/10.1080/20016689.2019.1705120biosimilartenderingvalue-added servicessustainabilityinfliximab
spellingShingle Steven Simoens
Raymond Cheung
Tendering and biosimilars: what role for value-added services?
Journal of Market Access & Health Policy
biosimilar
tendering
value-added services
sustainability
infliximab
title Tendering and biosimilars: what role for value-added services?
title_full Tendering and biosimilars: what role for value-added services?
title_fullStr Tendering and biosimilars: what role for value-added services?
title_full_unstemmed Tendering and biosimilars: what role for value-added services?
title_short Tendering and biosimilars: what role for value-added services?
title_sort tendering and biosimilars what role for value added services
topic biosimilar
tendering
value-added services
sustainability
infliximab
url http://dx.doi.org/10.1080/20016689.2019.1705120
work_keys_str_mv AT stevensimoens tenderingandbiosimilarswhatroleforvalueaddedservices
AT raymondcheung tenderingandbiosimilarswhatroleforvalueaddedservices