RT Journal Article T1 Budget impact analysis of bevacizumab biosimilars for cancer treatment in adult patients in Spain A1 Angel Calleja, Miguel A1 Albanell, Joan A1 Aranda, Enrique A1 Garcia-Foncillas, Jesus A1 Feliu, Anna A1 Rivera, Fernando A1 Oyaguez, Itziar A1 Salinas-Ortega, Laura A1 Soto Alvarez, Javier K1 economics K1 pharmaceutical K1 public health K1 medical oncology K1 antineoplastic agents K1 health care economics and organizations K1 Lung-cancer K1 Recurrent AB Objective To assess the economic impact of introducing biosimilars of bevacizumab for the management of cancer patients receiving systemic bevacizumab in the National Health System (SNHS) of Spain. Methods A 3-year budget impact analysis model was adapted to estimate the cost of introducing biosimilars of bevacizumab in the SNHS for the adult population who were candidates to receive treatment with bevacizumab. Values for the estimation of the population were obtained from the literature and were validated by an expert panel. In this analysis only pharmaceutical costs (euro, year 2021) obtained from official databases were considered. A sensitivity analysis was performed to examine the robustness of the model. Results The introduction of bevacizumab biosimilars would generate an annual cost saving of euro11 558 268 (-5.1%) for the first year with a penetration share of biosimilars from 30.0%, euro29 126 373 (-8.5%) for the second year with a share of 50.0% and euro52 361 778 (-13.6%) for the third year with a share of 80.0%. The total pharmaceutical costs of the scenario without biosimilars are euro227 033 352 for the first year, euro342 663 209 for the second year and euro385 013 076 for the third year. In contrast, the pharmaceutical costs of the scenario with bevacizumab biosimilars are euro215 475 084, euro313 536 836 and euro332 651 297 for years 1, 2 and 3, respectively. Conclusions The introduction of biosimilars in the Spanish Health System would generate saving costs in the pharmacological budget to boost biological drugs from the first year. PB Bmj publishing group SN 2047-9956 YR 2021 FD 2021-11-21 LK https://hdl.handle.net/10668/25589 UL https://hdl.handle.net/10668/25589 LA en DS RISalud RD Apr 17, 2025