
Key takeaway
Europe's new pharma rules reward fast development and filing, while patients still wait a median 532 days for new medicines. Launch teams that build their evidence and access plans before approval launch faster and wider.
Short answer: Plan for Europe as a sequence, not a single launch. The new EU Pharma Package ties part of your exclusivity to how fast you develop and file, joint EU health technology assessments are expanding, and patients still wait a median 532 days for new medicines. Teams that build their evidence and access plans before approval launch faster and wider.
The Council adopted the Pharma Package in autumn 2026, and the European Parliament must still formally adopt it before publication (ECA Academy, October 2026). The new Regulation is expected to apply about two years after publication (Taylor Wessing).
Source: Taylor Wessing (March 2026).
Approval is European, but pricing and reimbursement remain national. EFPIA's 2026 W.A.I.T. survey of 168 medicines across 36 countries found a median 532 days from EU approval to availability, with an 88% gap in access between countries (LexisNexis summary of the EFPIA report). A medicine can be prescribable in Germany within two months and wait more than three years in Romania.
Under the EU HTA Regulation, a joint clinical assessment now reviews the clinical evidence for new cancer medicines and advanced therapy medicinal products, applying since 12 January 2025. Orphan medicines join in January 2028 and all new medicines in January 2030 (Regulation (EU) 2021/2282). Countries still decide on value and price, but the clinical comparisons are set once, at EU level, early. That makes comparator choice and trial design a commercial decision years before launch.
Header photo: Myriam Zilles on Unsplash.
The EU Pharma Package is a new Regulation and Directive replacing EU medicines legislation. It changes regulatory protection periods, orphan exclusivity, the Bolar exemption and incentives for antimicrobials. The Council adopted it in autumn 2026, and formal adoption by the European Parliament is pending.
The baseline is 8 years of data protection plus 1 year of market protection. One more year is possible for a new indication with significant clinical benefit, and another for development criteria such as comparative trials, the so-called 8+1(+1+1) model.
EFPIA's 2026 W.A.I.T. report found a median of 532 days from EU approval to availability for medicines authorised in 2021–24, ranging from 56 days in Germany to 1,201 days in Romania.
It is a single EU-level review of the clinical evidence for a new medicine under the HTA Regulation. It has applied to cancer medicines and advanced therapies since January 2025, and extends to orphan medicines in 2028 and all new medicines in 2030.
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