Are alternative access pathways the key to success for small pharma in European markets?

Authors: Katrin Falk, Karlien Van den Eynde, and Anna-Karin Bostrom

Recognizing this challenge, our team of Market Access and Healthcare Consulting experts embarked on a research project to identify alternative access routes that could provide viable options for small pharma companies. The results of our study, presented at the ISPOR Europe 2023 conference by Katrin Falk, Anna-Karin Bostrom and Karlien Van den Eynde, shed light on the availability and potential benefits of these alternative pathways.

To address the resource-intensive nature of standard HTA processes for reimbursement, some countries have implemented alternative/abbreviated access pathways (AAPs). These AAPs aim to ensure local patient access to important therapeutic options while alleviating the burden on small pharma companies.
Our team of experts initiated research to assess 13 European markets for existing AAPs, summarizing their differences and similarities.
AAPs exist in most European markets, particularly benefiting small and mid-sized companies with flexible data requirements. However, it was observed that smaller markets tend to exhibit greater flexibility in implementing them compared to their larger counterparts. Unfortunately, the potential benefits offered by these alternative pathways are often overlooked or underestimated.
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