Abstract
The National Institute for Health and Care Excellence (NICE) offers a fast-track appraisal cost-comparison pathway (FTA) for health technologies that exhibit similar or greater health benefits at a similar or reduced cost to technologies already approved for the same clinical indication. The Scottish Medicines Consortium (SMC) provides two pathways, a full submission using a cost-comparison model or an abbreviated submission requiring a simpler comparison of acquisition costs for interventions and comparators within the same therapeutic class. Recent submissions to NICE and the SMC were reviewed to investigate the use of the SMC pathways and their success rates.
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