Abstract

Beginning in late 2015, health technology assessment (HTA) has taken the lead as the essential tool for governing how new pharmaceuticals are introduced and used in Bulgaria. Since 2017, the National Health Insurance Fund (NHIF) has reimbursed for all oncology medications included on the positive drug list (PDL) following a positive HTA recommendation. The purpose of this study is to describe the evolution of total annual cancer treatments expenditures from 2017 to 2021 following the introduction of HTA as a tool for healthcare decision-making.

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