印度国产药与同类仿制药价格比较

M. H. Motevalli, Amirreza Dowlati Beirami, A. Salimi, N. Yousefi
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摘要

背景:通过假设其对增加可及性的影响来支持国内生产,已被认为是主要的制药政策之一,从市场上更好地提供药物和通过降低价格提高负担能力两个方面来看。因此,预计国内工业生产的药品除了增加药品的可及性和可持续供应外,与竞争对手的进口产品相比,价格具有竞争力,并减少对患者和卫生系统施加的医疗费用。本研究将国产药品的价格与印度同类仿制药的价格进行了比较。方法:在本研究中,首先选择印度进行比较,因为印度价格低,质量好,尽管受到制裁,但仍有可能进行贸易。然后,从伊朗的医药统计数字来看,研究中包括了只在伊朗生产并且就销售数量而言消费量很大的药物。伊朗和印度药品价格摘自相关有效网站。最后,对110种药物的价格进行比较,以确定在没有国外竞争对手的情况下,国内生产行业提供合理价格的成功率。结果:根据57%的研究药物的发现,这些药物在印度的消费者价格中位数低于伊朗的消费者价格。如果与印度药品的最低价格进行比较,这一比例将达到88%。结论:根据上述发现,并不是所有国内生产的情况下都出现了降低药品价格和成本的情况,仅凭这一点不能成为完全支持国内生产药品的良好理由;但是,应当指出,降低成本并不是支持国内生产这些产品的唯一理由,决策者可根据支持政策考虑到其他因素;因此,应该为卫生系统明确界定每个病例的原因。
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Comparison of Price regarding the Domesticly Produced Medicine with the Price of the Similar Generic Medicine in India
Background: Supporting domestic production, by assuming its effect on the increase of accessibility, has been acknowledged as one of the main pharmaceutical policies from two dimensions of better provision of the drugs in the market and the increase of affordability by reducing prices. Therefore, it is expected from the domestic industries to produce pharmaceutical products that, in addition to increasing access and a sustainable supply of drugs, have competitive prices compared to the rival imported products, and reduce the medical costs imposed on patients and the health system. In this study the price of domestically produced drugs were compared with the price of the similar generic ones in India. Methods: In this study, first, India was selected for comparison due to reasons such as low price, good quality, and the possibility of commerce despite sanctions. Then, from the Iranian pharmaceutical statistics, drugs which were only produced in Iran and were highly consumed with respect to the number of sales were included in the study. Prices of Iranian and Indian medicines were extracted from related valid websites. Finally, the price of 110 drugs were compared to determine the success rate of the domestic production industry in offering a reasonable price in the absence of foreign competitors. Results: According to the findings from 57 % of the drugs under study, the median consumer price of these drugs in India was lower than the Iranian consumer price. If this comparison was made with the minimum price of the Indian medicine, this percentage would reach 88. Conclusion: According to the findings mentioned above, it can be concluded that reducing the drugs prices and costs does not occur in all cases of domestic production, and this alone cannot be a good justification for a complete support of the domestic production of drugs; however, it should be noted that reducing costs is not the only reason to support domestic production of these products, and policy makers may act with regard to other factors in line with supportive policies; thus,  the reasons regarding each case should be clearly defined for the health system.
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