Negotiation Timeline
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Initiation
A drug is identified and brought into a pCPA process (see standard negotiation process or expedited negotiation pathways).
Letter of acknowledgement sent to manufacturer
This lets the manufacturer know that we’re aware a health technology assessment (HTA) recommendation has been issued, or that one of our expedited negotiation processes has been initiated.
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Consideration
The pCPA considers the evidence (including HTA reimbursement recommendations) and gathers other data to inform the negotiation approach, in alignment with the needs of public drug plans. This phase concludes when the pCPA sends a letter of engagement to the manufacturer.
Letter of engagement sent to manufacturer
This lets the manufacturer know the pCPA is ready to start negotiating.
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Negotiation
The pCPA negotiation team reaches out to the manufacturer to outline next steps, then we exchange offers to try to reach an agreement on terms and funding conditions.
Negotiations initiated
Terms reached
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Completion
The pCPA creates a letter of intent outlining negotiated terms. If the negotiation ended without an agreement, the pCPA sends a letter letting the manufacturer know that the negotiation is closed.
Negotiation process concluded