Healthcare Economic Info Communication Guidance Out
FDA will publish 1/19 a draft guidance, Drug and Device Manufacturer Communications with Payors, Formulary Committees, and Similar Entities—Questions and Answers, to provide the agency’s answers to common questions about the communication of healthcare economic information (HCEI) about approved prescription drugs by medical product manufacturers, packers, distributors, and their representatives to payors, formulary committees, or other similar entities with knowledge and expertise in the area of healthcare economic analysis. The draft also is said to provide answers to common questions about firms’ communications about investigational drugs and medical devices to payors before FDA approval or clearance of the products.
“FDA is aware that payors seek a range of information on effectiveness, safety, and cost-effectiveness of approved drugs, including information from firms, to help support their drug selection, formulary management, and/or coverage and reimbursement decisions on a population basis,” the document says. “Because coverage and reimbursement decisions by payors impact a large number of patients, FDA believes it is essential that HCEI provided by firms to payors about their approved drugs be truthful and non-misleading.”
The guidance implements a portion of the 21st Century Cures Act that say that HCEI provided to payors shall not be considered false or misleading if it relates to an FDA-approved indication for the drug, is based on competent and reliable scientific evidence, and includes, where applicable, a conspicuous and prominent statement describing any material differences between the HCEI and the FDA-approved labeling for the drug.
It also says that FDA does not intend to use HCEI about approved drugs disseminated consistent with the draft guidance, as finalized, as providing evidence of a new intended use.