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Service 06 · value dossier

Pharmacoeconomics / HEOR

The economic case that sustains your price with the payer. Cost-effectiveness, cost-utility and budget impact models built to ISPOR standards, with the structure the evaluator expects to find.

Duration
12–20 wks
Standard
ISPOR
Perspective
Public and private payer
Deliverable
Value dossier

When to use it

When the decision is no longer the physician's, it is the payer's

Formulary inclusion, institutional negotiation or price defence against an incoming generic: in all three the argument has to be in the evaluator's language, with outcomes, costs and time horizon made explicit.

  • Is my product cost-effective against the current standard of care in Mexico?

  • What is the ICER, and how does it compare against the reference threshold?

  • What is the impact on the institutional budget over five years?

  • Which assumption is the weakest part of my case, and how do I shield it?

Methodology

From model to a value dossier

  1. Stage 01

    Evidence

    Systematic review of efficacy, safety and utilities, with quality appraisal and extraction of the parameters feeding the model.

  2. Stage 02

    Costing

    Local micro-costing of resources with current institutional tariffs: drug, administration, adverse-event management and cost of treatment failure.

  3. Stage 03

    Model

    Decision tree or Markov model according to the natural history of the disease, with justified horizon and discount rate.

  4. Stage 04

    Sensitivity

    Deterministic and probabilistic analysis, acceptability curve and cost-effectiveness plane to bound the uncertainty of the result.

The model is delivered functional and documented, with the structure and level of detail an institutional submission requires. No black box.

Deliverables

What you receive

  • Value dossier

    Complete file with clinical, economic and epidemiological evidence in the format the evaluator expects to receive.

  • Functional model

    Model delivered in Excel®, with editable parameters and executable sensitivity analysis.

  • Budget impact analysis

    Five-year projection of the effect on institutional spend, with uptake scenarios.

  • Executive summary

    Two-page version with the core argument, for negotiation and for committee.

Frequently asked

What clients usually ask

What cost-effectiveness threshold applies in Mexico?
There is no single official threshold. We report the ICER against GDP per capita references and against comparable prior decisions, and explain the limitation of both criteria.
Can it be done without our own clinical trial?
Yes, using published evidence for the therapeutic set and indirect comparison where applicable. The limitation is declared and subjected to sensitivity analysis.
Does it include support during the submission?
We can take part in preparing the response to evaluator observations. We do not replace your access team, we back it technically.
Do I need the epidemiological model first?
It helps considerably. Budget impact depends on the eligible universe; if none exists, we build it as part of the scope.

Request a proposal

Tell us the indication, the physician audience and the date you need the result. We respond with design, sample, timing and price.