Challenges of biosimilar medicines in France

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After reviewing the key figures [1] and the incentive measures [2] to promote the use of biosimilars in France, Nadia Amer, speaker at BIOS 22 and Health Economics Analyst at Health Product Department of CNAM, presented the challenges that are faced and that leave still much room for improvement for biosimilar uptake in France [3].

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These challenges are:
– The high savings potential that can be achieved and the key to a sustainable health budget.
– To that end, they should focus more on information towards patients and prescribers specially in the community-based ones.
– Furthermore, the main focus is to be on the switch between the reference and the biosimilars as new treatments are more and more initiated with the biosimilars.
– Heterogeneous practices between hospital prescribers and non-hospital prescribers: an interesting study on the use of biosimilars in the treatment of rheumatoid arthritis was made and one of the main outcomes was that the share of patients with biosimilar, treated with adalimumab, was very different according to the prescribers. It went from 86% during the hospitalisation, to only 41% when prescribed by hospital for out-patient use and it dropped to 30% when prescribed by community-based practitioners.

This presentation of existing examples and experiences in France and the other ones displayed at BIOS 22, having delivered more value for health thanks to biosimilar medicines, allowed for a debate on key features and enablers to be considered in advancing public health and biosimilar policies.

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References
1. GaBI Online - Generics and Biosimilars Initiative. Key figures of biosimilar medicines in France [www.gabionline.net]. Mol, Belgium: Pro Pharma Communications International; [cited 2022 Oct 14]. Available from: www.gabionline.net/reports/key-figures-of-biosimilar-medicines-in-france
2. GaBI Online - Generics and Biosimilars Initiative. Incentives promoting use of biosimilar medicines in France [www.gabionline.net]. Mol, Belgium: Pro Pharma Communications International; [cited 2022 Oct 14]. Available from: www.gabionline.net/reports/incentives-promoting-use-of-biosimilar-medicines-in-france
3. Biosimilar medicines: changing patient care pathways, changing outcomes. Webinar BIOS 22. 28 April 2022, Thursday. Speaker: Nadia Amer, Health Economics Analyst, Health Product Department, Caisse Nationale d’Assurance Maladie (CNAM), France.

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