Term: Reference Based Pricing Policies

Glossary Definition

Last Updated: 2005-11-24

Definition:

Reimburse patients using any of the products within a class of close-substitutes according to the price of the lowest cost product within that class. Reference pricing policies typically involve special authority exemptions for patients that have clinical reasons for using a particular product within that class.

Related terms 

• Drug Benefits Management
• Special Authority Policies
• Therapeutic Interchange Policy

References 

• Morgan SG, Kozyrskyj A, Metge C, Roos NP. Pharmaceuticals: Therapeutic interchange and pricing policies. Winnipeg, MB: Manitoba Centre for Health Policy, 2003. [Report] [Summary] (View)