Pagina 1 van 1 Zorginstituut Nederland Pakket Eekholt 4 1112 XH Diemen Postbus 320 1110 AH Diemen www.zorginstituutnederland.nl info@zinl.nl T +31 (0)20 797 89 59 Contactpersoon mw. drs. A.J. Link T +31 (0)20 797 86 47 Onze referentie 2014081136 0530.2014081136
> Retouradres Postbus 320, 1110 AH Diemen
Aan de minister van Volksgezondheid, Welzijn en Sport
Postbus 20350 2500 EJ DEN HAAG
Datum 26 juni 2014
Betreft Aanbiedingsbrief minister uitstroomadvies Contralum Ultra
Geachte mevrouw Schippers,
In zijn vergadering van 23 juni 2014 heeft Zorginstituut Nederland het rapport ‘Contralum Ultra: uitstroomadvies’ besproken en vastgesteld.
In dit rapport concluderen wij dat Contralum Ultra® niet voldoet aan de
pakketprincipes ‘noodzakelijkheid’ en ‘effectiviteit’ en daarom niet langer deel uit zou moeten maken van de basisverzekering. Wij adviseren u Contralum Ultra® bij de eerstvolgende gelegenheid uit het Geneesmiddelen Vergoedingensysteem te verwijderen. Indien u dit uitstroomadvies overneemt, zal dit tot een jaarlijkse besparing van twee miljoen euro leiden.
Het doet ons genoegen u dit rapport aan te bieden.
Hoogachtend,
Arnold Moerkamp
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Ons kenmerk: FARM 14-02/uit/MV/az
Uw kenmerk: Referentie reactie consultatie Contralum Ulta
Onderwerp: Consulatie Contralum Ultra
Geachte mevrouw Link,
Bijgaand stuur ik u onze reactie op uw vraag omtrent commentaar op uw concept uitstroomadvies van
het geneesmiddel Contralum Ultra. In de tweede bijlage hebben wij onze suggesties en opmerkingen
bij het rapport toegevoegd.
Het valt ons op dat u wel de Farmacotherapeutische Richtlijn (FTR) Chloasma noemt in uw rapport,
maar niet onze FTR Dermatitis Solaris (zie 3
ebijlage). In de FTR Dermatitis Solaris wordt
Contralum ultra wel genoemd als enig geregistreerd geneesmiddel, maar niet aanbevolen. Ook het
NHG beveelt gebruik van zonnebrandmiddel met een hogere beschermingsfactor aan.
Bij uw argumentatie waarom Contralum Ultra ondanks de relatief lage beschermingsfactor ten
opzichte van de nieuwere zonnebrandmiddelen toch nog voorgeschreven en afgeleverd wordt,
vermeldt u niet de opvatting dat als een geneesmiddel in Nederland geregistreerd is, men er van
uitgaat dat dat middel dan wel bewezen effectief moet zijn, waar dat bewijs voor cosmetica minder
onderbouwd en bewezen hoeft te zijn. Graag zouden we dit argument toegevoegd zien en u vragen om
deze opvatting ook met het CBG te delen.
Samenvattend kunnen wij uw uitstroomadvies inhoudelijk onderschrijven.
Met vriendelijke groet,
Monique Verduijn, senior-wetenschappelijk medewerker Farmacotherapie
Afdeling Richtlijnontwikkeling en wetenschap
Met vriendelijke groet, Anneloes Sonneveldt Beleidsadviseur zorg Zorgverzekeraars Nederland (ZN) Sparrenheuvel 16 Postbus 520 3700 AM Zeist T: 030 69 88 385 F: 030 69 88 333 M: 06 46718836 E a.sonneveldt@zn.nl I www.zn.nl en www.zorgverzekeraars.nl
