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TLV's decision on the brake medicine Leqembi - "Not even cost-effective if the medicine were free."

In December 2025, TLV published a health economic assessment of Leqembi (lekanemab) on behalf of the NT Council (nationally organized introduction). The TLV report is not a "benefit decision" in the traditional sense (such as when a drug is included in the high-cost protection scheme), but rather a basis for decision-making for the regions via the NT Council. Although lecanemab has been described as a breakthrough in early Alzheimer's, the TLV assesses that the treatment is not worth its price for the Swedish healthcare system. How can a drug that actually slows down the disease still fall at the finish line? And what does this mean in practice for the future of dementia care in Sweden?

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