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Japan’s CEA Scheme: How It Works And Impact So Far

Average 2.7% Cut

 
• By Lisa Takagi

Japan has announced the latest evaluation results under its cost effectiveness assessment scheme. But how does it work and how much have prices been revised so far under the four-year-old program following discussions between pharma firms and authorities?

Japan's HTA Scheme Entered Fourth Year With 14 Drugs Under Its Evaluation.
Japan's CEA Scheme Enters Fourth Year With 14 Drugs Under Evaluation • Source: Shutterstock

Japan’s Economic Effectiveness Price Cut Scheme (費用対効果評価制度), a system of cost effectiveness assessment (CEA) for drug reimbursement under the country’s national health insurance (NHI) program, has now entered its fourth year with a new list of drugs coming under evaluation. 

The program has resulted mostly in price cuts on already launched products every year since 2019, in addition to those imposed as part of Japan’s regular price revisions with the...

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