[Health [XHS1] [YHS1] [XHS1 YHS1] [|XHS1 YHS1|] [|XHS1 YHS1| – – – state 1 / absolute (HS1)] increment)] [Health [XHS2] [YHS2] [XHS2 YHS2] [|XHS2 YHS2|] [|XHS2 YHS2| – – – state 2] / (Total absolute increment)] [Add more rows as needed] Total [XTotal] [YTotal] [XTotal YTotal] absolute 100% – increment HS1, health state 1; HS2, health state 2 Adapted from Pharmaceutical Benefits Advisory Committee (2008) Guidelines for preparing submissions to the Pharmaceutical Benefits Advisory Committee (Version 4.3). Canberra: Pharmaceutical Benefits Advisory Committee Table X Summary of predicted resource use by category of cost Item Cost Cost Increment Absolute % absolute intervention comparator increment increment (X) (Y) [Technology [Xtech] [Ytech] [Xtech [|Xtech Ytech| – – – cost] / (Total absolute increment)] [Mean total [Xtreat] [Ytreat] [Xtreat [|Xtreat [|Xtreat Ytreat| – – – treatment cost] / (Total absolute increment)] [Administration [Xadmin] [Yadmin] [Xadmin [|Xadmin [|Xadmin – – – cost] / (Total absolute increment)] [Monitoring cost] [Xmon] [Ymon] [Xmon [|Xmon [|Xmon Ymon| – – – / absolute increment)] [Xtests] [Ytests] [Xtests [|Xtests [|Xtests – – – / absolute increment)] [Add more rows as needed] Total [XTotal] [YTotal] [XTotal Total 100% – absolute increment Tech, technology; treat, treatment; admin, administration; mon, monitoring
[Health state 1 (HS1)] [XHS1] [YHS1] [XHS1 – YHS1] [|XHS1 – YHS1|] [|XHS1 – YHS1| / absolute increment)] [Health state 2] [XHS2] [YHS2] [XHS2 – YHS2] [|XHS2 – YHS2|] [|XHS2 – YHS2| / (Total absolute increment)] [Add more rows as needed] Total [XTotal] [YTotal] [XTotal – YTotal] absolute increment 100% HS1, health state 1; HS2, health state 2 Adapted from Pharmaceutical Benefits Advisory Committee (2008) Guidelines for preparing submissions to the Pharmaceutical Benefits Advisory Committee (Version 4.3). Canberra: Pharmaceutical Benefits Advisory Committee Table X Summary of predicted resource use by category of cost Item Cost intervention (X) Cost comparator (Y) Increment Absolute increment % absolute increment [Technology cost] [Xtech] [Ytech] [Xtech – – [|Xtech – Ytech| / (Total absolute increment)] [Mean total treatment cost] [Xtreat] [Ytreat] [Xtreat – [|Xtreat – [|Xtreat – Ytreat| / (Total absolute increment)] [Administration cost] [Xadmin] [Yadmin] [Xadmin – [|Xadmin – [|Xadmin – / (Total absolute increment)] [Monitoring cost] [Xmon] [Ymon] [Xmon – [|Xmon – [|Xmon – Ymon| / absolute increment)] [Xtests] [Ytests] [Xtests – [|Xtests – [|Xtests – / absolute increment)] [Add more rows as needed] Total [XTotal] [YTotal] [XTotal – Total absolute increment 100% Tech, technology; treat, treatment; admin, administration; mon, monitoring
specification-for-company-submission-of-evidence-2015-version.docx