NICE, the health technology assessment institute for England and Wales, is gearing up to advise the NHS that Roche's breast cancer drug Perjeta (pertuzumab) should not be routinely used as it is not value for money. The Swiss pharma company has responded with strong criticism of the Department of Health (DH), which has delayed a review of the company's proposed patient access scheme, accusing it of letting patients down and pointing to flaws in the UK's "creaking system."
NICE's advice has not yet been finalized. The institute delivered its opinion in draft guidance on 6 August and is...