The Scottish HIV Clinical Leads identified the need to minimise the budget impact of prescribing and dispensing of HIV treatment, whilst simultaneously maintaining excellent clinical outcomes.

The British HIV Association (BHIVA) already produces evidence-based guidelines on antiretroviral therapy (ART) for the treatment of adult HIV infection. This document is aimed at experienced HIV prescribers who are familiar with the content of the BHIVA guidelines and the wider issues relating to HIV prescribing. The BHIVA guidelines note that ‘there are limited cost-effectiveness data in the UK comparing different antiretroviral drugs and for this reason we did not include cost-effectiveness as an outcome in ART comparisons’.

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