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Reimbursment principles:

Cost for the drug to
be reasonable from the
medical, humanitarian and
economic perspectives
Should drugs that help people quit
smoking be reimbursed?
Kristoffer Illergård
The high cost of smoking
KOL
Passive smoking
kills

500
every year
Quit smoking gives
better health
Less cardiovascular diseases

Less risk of cancer
Less chest diseases
Longer life
$

But also effects
on economy
26

Series 1

Expenses due to smoking
(billion SEK)

7,5

Incomes
(billion SEK)
Category 1

Category 2
Employing a smoker costs

+30 000
SEK/year
still
11 %
smokes on daily basis
Smoking among grown ups
decreases in Sweden
But increases among
the young
Social status
Should smoking-cessation drugs be reimbursed?
TLV
Tandvårds- och
läkemedelsförmånsverket
”

Best possible health for the
tax money that goes to
the reimbursement of
drugs and supplies
TLV
Three types
1

Nicotine replacement

2

Bupropion

2

Vareniklin
Bupropion and vareniklin already
included combined with counceling
The first-hand choice, nicotine
replacement, is not included
today
Easily available
No tax when prescribed
Why not reimburse nicotine
replacement theraphy?
<<
Parallels: alcoholists
TLV
15 § lagen (2002:160) om
läkemedelsförmåner
Cost for the drug to
be reasonable from the
medical, humanitarian and
economic perspectives
Need and solidarity principle:

The one with greatest medical
need is to have more of the
resources spent on health care.
Case: Nicorette depotplåster
Stopped by Need and
solidarity principle in 2006
NRT = self-care
Lagen om detaljhandel med
nikotinläkemedel (2007:1455)
Case: Nicorette depåplåster
Support initiatives

Social media
Is the society doing
enough?
”

Unacceptably high
costs, especially given that they
could be prevented
Gunnar Ågren, Statens folkhälsoinstitut
Reimbursment of smokingcessetive drugs are
humanitarian and economically
motivated
Kristoffer Illergård
kristoffer.illergard@gmail.com

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Thank you for smoking