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Feasible: Ontario had a system for several years in which price was 70% if one generic; and 63% if two or more generics.
This system merely extends that.
Easy to try: The proposal can be assessed on one or two drugs, and then expanded if successful.
Best if provinces collaborate, since otherwise provincial policies that require drug manufacturers to offer them the lowest price in the country (like in Quebec, Manitoba and NFD) will undermine the approach.
Financial impact: some examples Brand Generic ON ON Amlodipine 10mg 2.01 0.50 Venlafaxine hcl 75mg 1.76 0.44 Ramipril 10mg 1.01 0.25 Furosemide 40mg 0.13 0.06
25% of the brand price is not the cost of supply! The effect on roughly $5bn a year in generic spending could be large. Brand Generic ON ON FSS Amlodipine 10mg 2.01 0.50 0.02 Venlafaxine 75mg 1.76 0.44 0.19 Ramipril 10mg 1.01 0.25 0.06 Furosemide 40mg 0.13 0.06 0.02