PharmaMar also points to the bigger picture .
The company employs more than 450 people .
It invests in clinical trials and exports up to 95% of its production .
That brings tax revenue and foreign currency into Spain .
“If you look at the fiscal balance, it is worth it if our value is recognized,” Mora said .
He praised Spain’s strong clinical trial and hospital network .
But approval does not always mean access .
The Haute Autorité de Santé in France has denied early access or reimbursement for ZEPZELCA in combination with atezolizumab for patients without CNS metastases .

