Daily overview

Selection from Decision-Making Practice - 6/2026

Pharmeca a.s. 01. 04. 2026

The Ministry of Health (MoH) assessed whether the medicinal product under review met the criteria for being designated as a highly innovative medicinal product (VILP). In the proceedings on the determination of the amount and conditions of price and reimbursement, the Institute for Drug Control (SÚKL) had refused to grant initial temporary reimbursement, as it concluded that the product did not meet the VILP criteria.

The main reasons cited were:

  1. Insufficient therapeutic benefit
  2. Issues related to the selection and positioning of comparators
  3. Failure to meet VILP criteria across all proposed indications
  4. Insufficient evidence on survival outcomes
  5. Methodological concerns in comparative analyses

According to the SÚKL, unless the VILP criteria are met against all relevant comparators under assessment, the product cannot be granted temporary reimbursement, even under modified conditions.

The MoH upheld the SÚKL’s decision and additionally highlighted the inappropriateness of relying on abstracts, which are condensed summaries and do not provide sufficient detail on the underlying data. On this basis, the administrative authority cannot responsibly assess the presented evidence.
Furthermore, the MoH recommends not submitting key scientific data under confidentiality restrictions if a detailed evaluation is expected, as any public assessment of such protected data can only remain of a general nature.



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Articles on decision-making practice are based on publicly available texts from the decisions of the Ministry of Health of the Czech Republic and the State Institute for Drug Control (SÚKL).

A continuously updated overview of decisions issued by SÚKL and the Ministry of Health in the field of pricing and reimbursement is available on the Pharmeca a.s. website.

The text was translated using ChatGPT 5.3. 

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