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Table 3 Total savings from patent expiration during 2020–2024 for various scenarios

From: Use of budget savings from patent expiration of cancer drugs to improve affordability and accessibility

Scenario

Budget savings

Changes from base case savings

Korea (₩): million

US ($): million

% of expendituresa

Korea (₩): million

US ($): million

(%)

Base case

₩234,429

$203

20%

   

Based on group B cancer drugs

₩157,633

$136

14%

- ₩76,795

-$66

−33%

Based on group C cancer drugs

₩434,523

$376

38%

₩200,095

$173

+ 85%

Generic entrance: 6 months delay

₩165,904

$144

14%

- ₩68,524

-$59

−29%

Risk-sharing scheme rebate of 25%

₩221,465

$192

19%

-₩12,963

-$11

−6%

Adjustment for reimbursement

₩210,985

$183

18%

- ₩23,443

-$20

−10%

Growth of off-patent market

₩255,316

$221

22%

₩20,888

$18

+ 9%

Price level of originators

₩206,929

$179

18%

-₩27,499

-$24

−12%

Price levels of generics/biosimilars

₩234,771

$203

20%

₩343

$0

0%

New pricing policy (July 2020)

₩246,082

$213

21%

₩11,654

$10

+ 5%

  1. a The proportion of budget savings was calculated by dividing budget savings for each scenario by the 5-year total expenditure for the base case (₩1,145,470 million)