After reviewing the data presented by the pharmaceutical company, we recommend that the HSE consider not providing omaveloxolone. This is because we are unsure based on the available clinical evidence that omaveloxolone leads to meaningful improvements in Friedreich’s ataxia symptoms. The current price of the medicine is too high, and there is no price at which omaveloxolone can be cost effective. We believe that the medicine is very poor value for money.