3601. Deputy Niamh Smyth asked the Minister for Health if she will review correspondence (details supplied); the consideration being given to the introduction of free MART inhalers for children aged 12 to 17 years-of-age; and if she will make a statement on the matter. [61858/26]

3753. Deputy John Lahart asked the Minister for Health if she is considering the call from an organisation (details supplied) in the context of Budget 2027, for the phased introduction of free MART inhalers for children aged 12–17 years of age; and if she will make a statement on the matter. [62492/26]

3863. Deputy Cormac Devlin asked the Minister for Health whether the Health Service Executive Medicines Management Programme or the National Clinical Programme for Respiratory has examined the extent to which reimbursement arrangements under the community drug schemes support the use of maintenance and reliever therapy as the preferred treatment for asthma in persons aged 12 years and over, as recommended in clinical guidelines; and if she will make a statement on the matter. [63197/26]

3865. Deputy Cormac Devlin asked the Minister for Health if her Department or the Health Service Executive has costed the provision of maintenance and reliever therapy inhalers free of charge to children with asthma aged 12 to 17 years-of-age; the estimated annual cost; the assumptions on which that estimate is based; whether the measure has been assessed as part of the estimates process for Budget 2027; and if she will make a statement on the matter. [63195/26]

I propose to take Questions Nos. 3601, 3753, 3863 and 3865 together.

Affordable access to medicines is a priority for the Government. Supported by €158 million of funding in Budgets 2021-2025, the State delivered access to 250 new medicines. Budget 2026 allocated €217 million additional investment in medicines, including €30 million in funding for new medicines. This has, as of June 2026, delivered access to 30 new medicines.

The Year 1 cost of a new drug comes from the allocation for new medicines, but it should be noted that once these medicines are approved for reimbursement the full cost of providing them can reach multiples of this initial cost as their uptake increases.

There are a range of health supports available for patients with asthma under the GMS Scheme (Medical Cards) and the Drugs Payment Scheme (DPS) which reduce the cost of asthma medicines, including Maintenance and Reliever Therapy (MART) combination inhalers.

The HSE has statutory responsibility for medicine pricing and reimbursement decisions under the Health (Pricing and Supply of Medical Goods) Act 2013. The HSE has added the following medicines combining inhaled corticosteroids (ICS) and long-acting beta-2 agonists to the reimbursement list for eligible patients in Ireland:

• Symbicort Turbohaler (Formoterol/Budesonide)

• Airbufo Forspiro (Formoterol/Budesonide)

• Duoresp Spiromax (Formoterol/Budesonide)

• Trixeo Aerosphere (Formoterol/Budesonide/Glycopyrronium Bromide)

Medicines on the reimbursement list for medical card holders are available free from a pharmacist on payment of the statutory prescription charge, while under the Drug Payment Scheme (DPS), no individual or family pays more than €80 a month towards the cost of approved prescribed medicines.

In addition, individuals may also be able to claim tax relief on their medicines expenditure at the standard rate of 20%.

Consideration of any future changes to the eligibility for medicines will be made in the context of current healthcare priorities and the budget available.

The State continues to invest in making asthma medicines affordable for patients with over €100m in expenditure per annum within the community, new and innovative treatments continuously being added to the reimbursement list, and a suite of measures in the new Framework Agreements on the Supply and Pricing of Medicines to strengthen affordability and availability across the coming years.