Michael Law - Generic Drug Pricing and Availability
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Michael Law - Generic Drug Pricing and Availability
- 1. http://www.flickr.com/photos/sparktography/388889060/in/photostream/ Generic drug pricing in Canada Michael Law University of British Columbia
- 3. simvastatin (20mg) 62.5¢ 6.9¢ 2.4¢
- 4. 60-70% 50% 25% 20% (pre-2006) (2006) (2010) (2014) Brand Generic Equivalent
- 5. 62.5¢ 45.1¢ 33.3¢ 25.3¢ 8.4¢ 5.9¢ 6.9¢ 5.0¢ 5.7¢ 3.6¢ 4.3¢ 3.2¢ 2.4¢ 1.2¢ ramipril metformin citalopram simvastatin paroxetine (10mg) (500mg) (20mg) (20mg) (20mg) Ontario US New Zealand
- 6. > 15 Number of times more expensive in Canada 14 to 15 13 to 14 More expensive in Canada 12 to 13 11 to 12 10 to 11 9 to 10 8 to 9 7 to 8 6 to 7 5 to 6 4 to 5 3 to 4 2 to 3 1 to 2 1 to 2 2 to 3 Number of times more expensive elsewhere 3 to 4 4 to 5 Less expensive in Canada 5 to 6 6 to 7 7 to 8 8 to 9 9 to 10 10 to 11 11 to 12 12 to 13 13 to 14 14 to 15 > 15 8 6 4 2 0 16 14 12 10 Number of generic products (n=82)
- 7. Canadians pay too much for generic drugs
- 8. $245,000,000 http://www.flickr.com/photos/sparktography/388889060/in/photostream/
- 10. atorvastatin (10mg) 32.0¢ 7.9¢ 2.4¢
- 11. Canadians still pay too much for generic drugs
- 14. Apotex: at home, and abroad Ingredient Ontario (¢) New Zealand (¢) amlodipine (10mg) 50.3 3.4 clopidogrel (75mg) 65.8 14.9 gliclazide (80mg) 9.3 2.9 metformin (500mg) 5.9 1.0 risperidone (1mg) 30.4 8.2
- 19. Acknowledgement s Collaborators: Steve Morgan, Jillian Kratzer, Alison Ystma, Anna Dijkstra, Jay Douillard, Deborah Heard Funding and data access: CIHR IMS Brogan Salary support: CIHR Michael Smith Foundation for Health Research Peter Wall Institute for Advanced Studies http://www.flickr.com/photos/sparktography/389824828/
- 20. Michael Law mlaw@chspr.ubc.c a @Michael_R_Law http://www.flickr.com/photos/19779889@N00/4334955095/
Editor's Notes
- Since we did our research, these have dropped to 3.1 and 1.9 cents
- Massive overlap in the service areas for community pharmacies44% -- nearly half – of Ontario residents live within 800m of 2 or more community pharmacies.40% more per capita than the United States
- In the first year after Ontario went to 25%52 closed, 159 openedThe year after that, there was a net increase of 24 pharmacies, even when you account for Target temporarily closing 95 stores for renovationsNot opposed to finding different ways to compensate a pharmacist
- The system is broken. We are paying more than we should, in a context of scarce resources and millions of Canadians being unable to afford their prescription drugs.There are serious cracks in the road.Right now, we’re trying to patch over the cracks with duct tape, when what we should be doing is rebuilding the road.We need to stop fiddling with arbitrary percentages and get on with leveraging competition getting Canadians access to the generic drugs they need at competitive prices.http://www.istockphoto.com/stock-photo-4946529-quick-fix.php?st=7955c3c