I think that it can make contributions to that. One of the things that the prices review board does is it looks at the evidence that there is a therapeutic advantage in newer insulin products, just like it does for any other drug. If the guidelines are implemented and they are able to access better information and more information, which will allow it to assess whether the introductory price is a fair price, I think that will be good.
Will the manufacturers say, “Sorry, we're not going to therefore introduce this drug”?
Sanofi did that with insulin glargine, brand name Lantus. They were in a huge tug-of-war with the prices review board because the board looked at the evidence and said that the evidence showed that this is not—I can't remember the name of the category—a drug that offers an increased therapeutic benefit. Sanofi got into a wrestling match. They did that in Germany, and they did that in the United Kingdom. It wasn't only in Canada that they were having this fight with regulators about what the fair and reasonable price was for that insulin.
The prices review board basically caved in and relied on the assessment of the fairness based on what was going on in comparator countries. Of course, they're all higher-priced comparator countries. I think that with a change in the comparator countries that's a very positive move. I also think that what needs to also happen is that the prices review board needs to rely more on the evidence. The comparator countries are important, but I also think the evidence really should have greater weight in their decisions.
I hope I answered your question.