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Recommendations for PMPRB
Guideline from Oncology Groups
Presented February 14th, 2020
Recommendations 1 and 2
Recommendation #1
The Guidelines be amended to adopt explicitly the CADTH pCODR deliberative framework for
oncology health technology assessment and remove any specific reference to an ICER.
Recommendation #2
The Guidelines be amended to provide that PMPRB’s public decision will provide information
that the analysis has either met the PMPRB threshold and is not excessive or that it has not
met the PMPRB threshold or other CADTH analysis and is excessive. No specific economic
data or numbers supporting this decision will be made public by PMPRB. This will ensure that
the public Canadian price will not put at risk the U.S. market such that companies will decline
to enter, or delay, the Canadian market for that reason.
Recommendation 3
Recommendation #3
The Guidelines be amended to provide for ongoing monitoring and evaluation by a multi-
stakeholder Committee and a publicly issued annual report of findings of this Committee.
At least two patient group representatives chosen by the patient community, with one
from the cancer community, will be included.
Recommendations 4 and 5
Recommendation #4
No Guideline finalization should take place until a full consultation is undertaken with Quebec
stakeholders including patient groups and patients with all documents and consultations
taking place in both Official languages.
Recommendation #5
No Guideline finalization should take place until a full consultation is undertaken with
Indigenous stakeholders i.e. First Nations, Metis and Inuit including patient groups and
patients following a process of their choosing.

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4 pmprb webinar recommendations louise binder april 7 2020

  • 1. Recommendations for PMPRB Guideline from Oncology Groups Presented February 14th, 2020
  • 2. Recommendations 1 and 2 Recommendation #1 The Guidelines be amended to adopt explicitly the CADTH pCODR deliberative framework for oncology health technology assessment and remove any specific reference to an ICER. Recommendation #2 The Guidelines be amended to provide that PMPRB’s public decision will provide information that the analysis has either met the PMPRB threshold and is not excessive or that it has not met the PMPRB threshold or other CADTH analysis and is excessive. No specific economic data or numbers supporting this decision will be made public by PMPRB. This will ensure that the public Canadian price will not put at risk the U.S. market such that companies will decline to enter, or delay, the Canadian market for that reason.
  • 3. Recommendation 3 Recommendation #3 The Guidelines be amended to provide for ongoing monitoring and evaluation by a multi- stakeholder Committee and a publicly issued annual report of findings of this Committee. At least two patient group representatives chosen by the patient community, with one from the cancer community, will be included.
  • 4. Recommendations 4 and 5 Recommendation #4 No Guideline finalization should take place until a full consultation is undertaken with Quebec stakeholders including patient groups and patients with all documents and consultations taking place in both Official languages. Recommendation #5 No Guideline finalization should take place until a full consultation is undertaken with Indigenous stakeholders i.e. First Nations, Metis and Inuit including patient groups and patients following a process of their choosing.