PExI
HEOR
Pricing
Field
Patient Access Strategy
100

This core metric managed closely by PSP reflects the extent to which patients take their medication as prescribed

What is Adherence?

100

These key tools used by the HEOR team help develop a compelling Value story for Access.

What are economic models and budget impact analyses?

100

This authority governs and enforces compliance for our list prices

What is the PMPRB?

100

This Field Access activity begins before HTA review starts and helps shape early strategic planning for new products.

What is NPP Support?

100

These main external stakeholders that the Patient Access Leads engages with and what role does each plan in access decisions

Who are HCPs and PAGs?

200

This Novartis Canada platform serves as the single, standardized entry point that guides teams through evaluating, approving, and implementing innovation projects.

What is Innovation Front Door?

200

This process does not allow for a Reconsideration when a Recommendation is issued

What is INESSS submission?

200

The name of the system‑integration project we are currently working on

What is LDC?

200

This document captures the outcome of national price negotiations, guides subsequent provincial deal execution - the field access team also tracks to time field activation!

What is pCPA LOI?

200

These are the cross-functional product teams the patient access strategy team interfaces with to optimize the launch of a new product

Who is Everyone? Commerical team, PSP, medical, gov affairs, and patient advocacy/comms, and closely with HEOR, Pricing, and Field Access

300

The name of the oversight Oversight Committee that gathers cross functional departments to review various aspects of a NVS PSP (from launch/initial approval, changes and ongoing annual for a Periodic Review).

What is PSPOC?

300

CDA and INESSS typically cite these cost effectiveness willingness to pay thresholds

What are 50k and 100k/QALY?

300

The four core activities our pricing team performs daily

What is invoice validation, contract management, adherence to pricing regulations, and access analytics?

300

This documentation required by many plans confirms clinical criteria before coverage - materials that the field access team helps clarify and circulate to internal stakeholders.

What is prior authorization?

300

This is how Market Access balances speed to access while preserving value (price potential)

What is assessing the competitive landscape, early market shaping, engaging stakeholder early while articulating the value proposition, differentiating the asset meaningfully?

400

This major private payer does not permit back dating SAs and thus limits retro billing opportunities.

What is Sunlife?

400

At time of HTA submission we often have clinical trials which meet our regulatory needs (clinical efficacy), how do we overcome the need for comparative clinical information

What are indirect treatment comparisons?

400

These key financial and strategy factors are assessed by Pricing team when evaluating a proposed contract or tender

What is net price implications, contract profitability, payer behavior, and portfolio interactions?

400

This performance indicator is a key measure to ensure appropriate inventory levels at wholesalers and avoid peaks and valleys in sales

What is Stock in Trade?

400

The two activities Patient Access Strategy conducts when negotiations stall.

What is exploring innovative agreements and external advocacy?

500

The approximate total amount of copay investment in 2025

What is $83.6M CAD? 

500

This early strategic HEOR activity identifies the clinical and economic data that will be missing by the time of HTA submissions, enabling the team to "start early" in closing these gaps with initiatives such as RWE studies.

What is HTA gap analysis? 

500

These governance steps must be ensured before a pricing or contracting decision can be approved

What is alignment with international pricing policy through PricePro, completion of compliance checks, proper documentation, integration with approval workflows, and review of financial modeling assumptions?

500

To confirm private payer systems have been updated to list a new DIN/strength of a drug the Field access team often partners with PSP to run real-world claims through plan systems.

What is test billing?

500

The average wait time for Canadian patients to obtain public access to these therapies.

What is an average of 500 days?