Judicialization of cinacalcet in Rio de Janeiro estate

Abstract

Objective: Analyze the judicialization of cinacalcet in Rio de Janeiro and estimate its impact on the budget of Rio de Janeiro State in 2015. Methods: It is a cross sectional study that analyzed the technical reports issued by the Technical Advisory Core of the Court of Justice in Rio de Janeiro between 2009 and 2016. It was realized a search in the bids database of Health Secretary of Rio de Janeiro state to define the value spent for this drug in 2015. Results: Between 2009 and 2015, the Core Technical Advisory prepared 23,852 reports, 1,553 of them related to cinacalcet, 359 in 2015. Among the authors, 88% were living in the capital of Rio de Janeiro, 50.4% were women, 46% with income between 1 and 3 minimum wages. The court decision was favorable to the author in 100% of the processes. Conclusion: In 2015, about R$ 3.7 million were spent, which is equivalent to 2.5% of the resources destined to pharmaceutical assistance in Rio de Janeiro at that year, causing a high impact in the health’s budget.