Article History
Received: 1 May 2025
Accepted: 9 December 2025
First Online: 8 January 2026
Declarations
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: Not applicable.
: Not applicable.
: Not applicable.
: Not applicable.
: MK is an employee of Sanofi, a publicly traded company that markets (orphan) pharmaceuticals. JW is an employee of the Dutch Ministry of Health, in a role that involves managed entry agreements for (orphan) pharmaceuticals. CUdG does not have any competing interests.