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April 2026

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United StatesLegislative Update25/04/2026

CMS announces Medicare negotiation prices for 2027 cohort

15 additional Part D drugs selected for IRA price negotiation effective January 2027.

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United KingdomPathway Change22/04/2026

MHRA expands International Recognition Procedure

MHRA adds new reference regulators eligible for IRP submissions, broadening reliance scope.

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European UnionLegislative Update19/04/2026

EU Joint Clinical Assessment expands to ATMPs

Joint Clinical Assessment under EU HTA Regulation now applies to advanced therapies.

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Saudi ArabiaFee Change15/04/2026

SFDA revises annual product renewal fees

Annual MA renewal fee schedule updated effective Q3 2026.

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BrazilNew Guidance10/04/2026

ANVISA issues optimised analysis guidance update

RDC 205/2017 supplementary guidance clarifies AREE-based reliance dossier requirements.

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