Why a medicine approved abroad is not automatically available in Indonesia
Regulatory approval applies to the jurisdiction that issued it. A medicine approved in one country may not have marketing authorization, availability, or payment coverage in Indonesia.
Updated 2026-09-11. For: Patients and families reading about a medicine approval
This is not news and not a medical review
Medical review status
Approval is local
Each country has its own regulator and review process. Approval in one country means that regulator approved use in that territory, not that the medicine is automatically available elsewhere.
Three separate questions
Approval, availability, and coverage are separate.
- Approval: a regulator decision in one jurisdiction.
- Availability: whether the medicine can actually be obtained at a facility.
- Coverage: whether payment is covered by a payer or paid out of pocket.
Penjelasan visual
The EGFR journey after targeted therapy stops working
The sequence usually discussed when EGFR-targeted therapy no longer controls the disease. It covers tests and questions, not drug recommendations.
This diagram explains the sequence of assessment and discussion. It is not treatment advice or an eligibility decision.
An EGFR alteration is found
Recorded in the molecular report, not only in its conclusion.
Targeted therapy is given
Including the start date, dose, and reason for changing treatment when relevant.
The disease progresses
Assessed from imaging and the clinical condition by the treating doctor.
Possible resistance mechanisms
For example C797S, MET, or another alteration that may be found on repeat testing.
Repeat testing or NGS
Determines which changes are actually present in this case.
Discuss the next step
Reviewed with the doctor according to the patient's condition and available options.
When targeted therapy stops working, it does not automatically mean there are no further options to discuss.
What to confirm
When reading approval news abroad, confirm whether the medicine has Indonesian authorization, whether the destination facility can provide it, and how payment coverage works.
Note about this explainer
This is a standing explainer for understanding a term, not news about a specific product or event.
Langkah berikutnya
If this question relates to your condition, build a structured case summary so your questions and documents are ready to discuss with a doctor.