Kymriah/CAR-T outcomes-based pricing (from NVS PR): https://globenewswire.com/news-release/2017/08/30/1104337/0/en/Novartis-receives-first-ever-FDA-approval-for-a-CAR-T-cell-therapy-Kymriah-TM-CTL019-for-children-and-young-adults-with-B-cell-ALL-that-is-refractory-or-has-relapsed-at-least-twice.html Novartis…announced a novel collaboration with the United States Centers for Medicare and Medicaid Services (CMS) focused on improving efficiencies in current regulatory requirements in order to deliver value-based care and ensure access for this specific patient population. This approach is intended to include indication-based pricing for medicines and supports payments for a medicine, such as Kymriah for its initial indication, based on the clinical outcomes achieved, which would eliminate inefficiencies from the healthcare system. Other value-based approaches related to future indications for Kymriah and CAR-T cell therapies are under discussion. Furthermore, Novartis is collaborating with CMS to make an outcomes-based approach available to allow for payment only when pediatric and young adult ALL patients respond to Kymriah by the end of the first month. Future potential indications would be reviewed for the most relevant outcomes-based approach. [In other words, the pricing is likely to vary based on the indication.] The actual price (for pediatric ALL) has not yet been disclosed, as far as I know.