Money and Medicine The rationale for ERP is straightforward — to ensure that the maximum price paid for a drug is not excessive relative to its price in comparable countries. (Photo: Shutterstock)

External reference pricing that ties U.S. prescription drug costs to those in other countries may save money in the short term, but these savings would be difficult to sustain. The Commonwealth Fund reviewed published literature and technical reports to determine the viability of external reference pricing, or ERP.

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