Primary Care Rebates are becoming increasingly common in England, with more and more pharmaceutical companies using rebates to maintain and grow the access to their products. In England there are almost 500 Primary Care Rebate Scheme (PCRS) contracts in place with the NHS.
Rebates are a contractual agreement (initiated by pharmaceutical companies, directly or via third party companies), which offer financial reimbursements on particular branded medicines. The rebate does not affect the published list price of the medicine, which will also be used as a reference in other countries. Once a rebate has been agreed, it becomes a contractual agreement between the manufacturer and an NHS legal entity, usually a CCG.
Our rebate optimisation service is not only beneficial to your business, but also to the NHS. We reduce the administrative burden on the NHS, as the need to run data internally is removed, whilst providing you with monthly insights of the Primary Care Rebate Scheme (PCRS) performance, both commercially and technically. Following this, any representatives you may have promoting the PCRS have a direct contact regarding logistics with a same-day turnaround, whilst providing the NHS with their own contact for any enquiries, such as invoices, contracts or freedom of information requests.
So is a rebate right for you? Here are a few things we can do to help you decide:
Review the market including competition analysis, product type and product lifecycle
Segment the market against rebates and forecast viability of a rebate, and analysis of the optimal discount level
If a rebate is a viable option, we will design the right scheme for you and work with our sister company, NeoNavitas to:
Utilise our prolific access expertise to engage regional bodies and co-ordinate successful reviews of the rebate scheme, removing barriers to implementation
Present the rebate scheme to CCGs across the UK and facilitate scheme participation
Build a bespoke tracking and monitoring system to generate a score to access the value of the scheme to CCGs on a monthly basis, with full clarity and visibility of the scheme management
This is why we are the UK rebate experts. We have created and delivered 8/10 of the largest value rebates in the NHS to date and our team have over 100 Critical Conversations™ with Clinical Commissioning Groups (CCGs) about rebates every month. With over 28 years of combined experience in managing rebates, we understand the commercial, logistical and governance requirements. We provide a fully managed and bespoke service and can answer any questions you may have on rebate schemes in England. We remove the burden of rebate application and management and can lead the process for you from conception through to delivery.
If the continuity of care for your patients is under threat, your brand is coming off or already off-patent, or you have a competitor launching a branded generic into the market, a rebate may be the right solution for you. Get in touch to see how we can help you.
Graph reference: All information gathered from CCG focused freedom of information requests. The latest FOI request was sent in April 2021.