The Institute for Clinical and Economic Review (ICER) will work with the Department of Veterans Affairs (VA) Pharmacy Benefits Management Services office (PBM) to facilitate their integration of ICER reports into VA’s formulary management process of evaluating the comparative clinical effectiveness and value of drugs.
“This process evaluates the comparative clinical effectiveness and value of drugs. ICER will also work with VA staff to develop options for using ‘value-based price benchmarks’ suggested in ICER reports to support negotiations with pharmaceutical companies—with the goal of maintaining excellent access to important treatments while ensuring prudent use of VA resources,” Ndidi Mojay, VA spokesperson, tells Managed Healthcare Executive. “As it has in the past, VA will continue to use ICER reports as part of its drug formulary management processes. VA’s overarching goal is to incorporate as much high-quality information as possible, such as that found in ICER reports, into VA’s drug review and decision-making processes.”
ICER’s drug assessment reports include a full analysis of each therapy’s comparative clinical effectiveness, cost-effectiveness, and potential budget impact. Patient input is used to inform these analyses and to identify other potential benefits and broader contextual considerations that should be considered in judgments of overall value. ICER uses transparent methods to calculate for each new drug a value-based price benchmark anchored to the benefit the drug brings to patients. For its drug assessment reports, ICER works with the patient community and clinical experts, and invites a broader public engagement by convening public meetings at which independent committees debate the report findings with the input of all stakeholders.
VA uses drug reviews from a variety of sources, therefore using ICER reports in and of itself is not necessarily unique, according to Mojay. However, “from VA’s perspective, what is unique about the collaboration arrangement is that VA and ICER staff can engage each other on issues of mutual interest,” she says.
ICER itself will determine the products it will consider for review. VA reviews all new molecular entities and prioritizes those reviews based on the needs of the Veteran population.