약학회지
YAKHAK HOEJI
ISSN 0377-9556 (PRINT)
ISSN 2383-9457 (ONLINE)

Table. 4.

Table. 4.

Pharmaceutical cost-containment policies in a selection of OECD countries

Policies Examples Extent of implementation
Pricing policies One-off cut in ex-factory prices of on-patent medicinesImplementation of external price referencing or change in the method or basket of countriesChange of value-added tax (VAT) rates (+/-)Reduction of mark-ups for distributorsIncrease of rebates paid by manufacturers or distributorsExtra-ordinary price reviewsPressure on prices of branded medicines (e.g. group purchasing or negotiation) AUS, AUT, BEL, CZE, FRA, DEU, GRC, IRL, ITA, PRT, ESP, CHE, GRBGRC, PRT, SVK, ESP, CHEAUT(-), CZE(-), ESP(+), EST(+), GRC(-), PRT(+)AUS, CAN, CZE, EST, GRC, HUN, IRE, ITA, PRT, ESPGBRGRC, IRL, PRT, SVK, ESP, CHECAN

Reimbursement policies Change in the reference price system (max. reimbursement price by cluster)Delisting of productsIncrease in cost-sharingIntroduction of health-technology assessment (HTA) to inform coverage/pricing decisionsManaged Entry agreement EST, GRC, IRL, PRT, SVK, ESPCZE, GRC, IRL, KOR, PRT, ESPAUT, CZE, EST, FRA, GRC, IRE, ITA, PRT, SVN, SVK, ESP, SWEDEU, KORBEL, GBR, ITA, KOR

Policies to exploit the potential of off-patent medicines Implementation of voluntary or mandatory International Non-proprietary Name (INN) prescribingIncentives for physicians to prescribe genericsIncentives for pharmacists to dispense genericsIncentives and information for patients to purchase genericsPressure on generic prices (e.g. tendering, price cuts) EST, FRA, ITA, LUX, PRT, SVK, ESPBEL, FRA, GRC, HUN, JPN, KORBEL, FRA, IRE, JPN, KORAUT, EST, FRA, ICE, IRL, LUX, PRT, ESPCAN, FRA, GRC, PRT

Ref. OECD. Pharmaceutical Expenditure And Policies: Past Trends And Future Challenges. 2016.

1) AUS: Australia, AUT: Austria, BEL: Belgium, CAN: Canada, CHE: Chile, CZE: Czech Republic, DEU: Germany, ESP: Spain, EST: Estonia, FRA: France, GBR: United Kingdom, GRC: Greece, HUN: Hungary, ICE: Iceland, IRE: Ireland: ISR: Israel, ITA: Italy, JPN: Japan, KOR: Korea, LUX: Luxemburg, PRT: Portugal, SVK: Slovak Republic, SVN: Slovenia, SWE: Sweden,

2) CHE: Switzerland, DNK: Denmark, FIN: Finland, MEX: Mexico, NLD: Netherlands, NZL: New Zealand, NOR: Norway, POL: Poland, TUR: Turkey, USA: United States are not included

Yakhak Hoeji 2021;65:121-31 https://doi.org/10.17480/psk.2021.65.2.121
© 2021 Yakhak Hoeji