The Australian government offers its citizens subsidies on a select list of
pharmaceuticals. For a drug to qualify for inclusion on this list, its man
ufacturer must demonstrate that the drug is both clinically effective and c
ost-effective. In part, this measure, along with others, was introduced to
improve clinical and economic outcomes. Although this evidence-based system
has provided transparency and consistency in decision making about which d
rugs will be covered, it may not have contained the rate of increase in dru
g costs.