Each of our expert panels has a deliberative framework that tells the committee how to consider its review process in making funding recommendations. Cost-effectiveness and clinical impact are central to that discussion. In fact, cost-effectiveness is an assessment that equalizes how we assess those drugs and technologies across the system to ensure value for Canadians.
When the cost-effectiveness ratio is exceedingly different from what would normally be funded, the expert review committee provides guidance that would help pCPA understand what would make that therapy come in line with other therapies that are being approved in the Canadian system. It's guidance to pCPA—