Skip to main content

Table 2 Drug plan listings for 33 unique rare disorder drugs with successful price negotiations

From: Health technology assessment and price negotiation alignment for rare disorder drugs in Canada: Who benefits?

Generic (brand) names

Clinical indication

Date most recent price negotiation completed

Drug plan listingsa

No

%

Riociguat (Adempas)

Pulmonary hypertension

1/2015

9

81.8

Stiripentol (Diacomit)

Dravet syndrome

5/2015

10

90.9

Icatibant (Firazyr)

Hereditary angioedema

8/2015

11

100.0

Nintedanib (Ofev)

Idiopathic pulmonary fibrosis

8/2016

11

100.0

Pirfenidone (Esbriet)

Idiopathic pulmonary fibrosis

9/2016

11

100.0

Sodium phenylbutyrate (Pheburane)

Urea cycle disorders

11/2017

8

72.7

Selexipag (Uptravi)

Pulmonary arterial hypertension

12/2017

10

90.9

Glycerol phenylbutyrate (Ravicti)

Urea cycle disorders

12/2017

10

90.9

Asfotase alfa (Strensiq)

Hypophosphatasia

1/2018b

5

45.4

Taliglucerase alfa (Elelyso)

Gaucher disease

5/2018

4

36.4

Obeticholic acid (Ocaliva)

Primary biliary cholangitis

6/2018

11

100.0

Cysteamine (Procysbi)

Nephropathic cystinosis

7/2018

7

63.6

Migalastat (Galafold)

Fabry disease

8/2018

5

45.4

Nitisinone (Orfadin and generics)

Tyrosinemia type 1

11/2018

6

54.5

Elosulfase alfa (Vimizim)

Mucopolysaccharidosis IVA

11/2018c

3

27.3

Tocilizumab (Actemra)

Giant cell arteritis

12/2018

8

72.7

Nusinersen (Spinraza)

Spinal muscular atrophy

6/2019

7

63.6

Ivacaftor (Kalydeco)

Cystic fibrosis gating mutations

7/2019b

8

72.7

Mercaptamine (Cystadrops)

Cystinosis

8/2019

6

54.5

Cerliponase alfa (Brineura)

Neuronal ceroid lipofuscinosis type 2

1/2020

4

36.4

Sapropterin (Kuvan)

Phenylketonuria

2/2020

5

45.4

Edaravone (Radicava)

Amyotrophic lateral sclerosis

4/2020

10

90.9

Inotersen (Tegsedi)

Transthyretin amyloidosis

4/2020

7

63.6

Teduglutide (Revestive)

Short bowel syndrome

10/2020

7

63.6

Lanadelumab (Takhzyro)

Hereditary angioedema

10/2020

7

63.6

Sebelipase alfa (Kanuma)

Lysosomal acid lipase deficiency

10/2020

6

54.5

Patisiran (Onpattro)

Transthyretin amyloidosis

11/2020

8

72.7

Macitentan (Opsumit)

Pulmonary arterial hypertension

12/2020c

6

54.5

Tafamidis (Vyndaqel)

Transthyretin amyloidosis

2/2021

8

72.7

Lumacaftor/ivacaftor (Orkambi)

Cystic fibrosis, F508del mutation

6/2021d

6

54.5

Elexacaftor/tezacaftor/ ivacaftor (Trikafta)

Cystic fibrosis, F508del mutation

9/2021

9

81.8

Burosumab (Crysvita)

Hypophosphatemia (X-linked)

9/2021

3

27.3

Onasemnogene abeparvovec (Zolgensma)

Spinal muscular atrophy

10/2021

2

18.2

  1. aAt December 31, 2021
  2. bNegotiation in 2017 closed with no agreement
  3. cNegotiation in 2015 closed with no agreement
  4. dDecision not to pursue negotiations in 2016 and 2019