Budget Impact of Secukinumab in Psoriatic Arthritis Patients with Contraindication to TNF-Alpha Inhibitors

Introducing secukinumab for PsA patients contraindicated to TNFi is associated with a moderate increase in healthcare expenditure. These findings suggest that inclusion of secukinumab in the National List of Essential Medicines for this specific population may be feasible, conditional on successful price negotiation and/or managed entry arrangements to ensure budgetary sustainability and equitable access.