Medicine Prices in Kuwait

Medicine Prices in KuwaitDept of Pharmacy PracticeFaculty of PharmacyKuwait UniversityDouglas Ball

IntroductionMedicine prices increasing more rapidly than prices of other consumer goods. Unaffordable medicines a major barrier to adequate health care for 1/3 of population. Little is known about the prices that people pay for medicines and how prices are set. Reliable pricing information needed by health care providers and policy-makers.

BackgroundThe World Health Organization (WHO) and Health Action International (HAI) initiated an international project to survey prices of widely used medicines in 2003. The WHO/HAI methodology allows international comparisons of prices of brand and generic medicines, affordability of common treatments.

AimPublic concern has been growing in Kuwait about medicine prices.

How efficient is the public sector medicine procurement system in terms of obtaining medicines at low cost for the country? How do the prices of retail brand and generic products compare locally and internationally?

KuwaitPopulation 2.3 million 45% expatriatesOil, oil, oil GDP $16,240 (PPP) p.c.Public health system with national health insurancePrivate retail pharmacies and health centresMedicine price regulations

Methodwww.haiweb.org/medicinepricesA total of 35 defined medicines selected - 21 core and 14 supplementary to the WHO/HAI method. Clustered, random sampling was used to select a total 25 retail pharmacies.Availability and price of brand and generic versions recorded on the day. Procurement prices from Central Medical Stores, medicines free in public sector.

Medicine listEach of defined dose, dosage form and preferred pack size*Only available to GCC citizens in public sector at time of study

Acetylsalicylic acidCiprofloxacin Indapamide *Aciclovir Co-trimoxazole Lisinopril *Amitriptyline Diazepam LoratadineAmoxicillin Diclofenac Metformin Atenolol Fluconazole *Nifedipine Retard Beclometasone Fluoxetine *Omeprazole *Captopril Gemfibrozil *ParacetamolCarbamazepine Glibenclamide Phenytoin Carvedilol *Gliclazide *Ranitidine Ceftriaxone Human insulin neutralSalbutamol Cephalexin Hydrochlorothiazide Simvastatin *ChlorpromazineIbuprofen

AnalysisUnit price per tab/cap/ml/dose calculatedInternational reference prices: MSH (international tender prices); PBS (Australia)Median price ratios (MPR) determined:MPR = Median unit price / Reference unit priceMPR = 2 indicates a price twice that of the reference priceAffordability of model treatments calculated based on lowest paid unskilled government worker.

Public procurement pricesGeneric medicines purchase prices were similar to MSH prices (MPR=1.2) Brand medicines cost about 5 times more than MSH prices (MPR=5)Efficient public procurementSome unnecessary brandsSome high price generics

MedicineMPRRanitidine0.1Ciprofloxacin0.8Omeprazole1.2ASA9.1Diazepam22.2HCT (brand)32.9

Private retail pricesCompared to PBS prices:Generic MPR = 1.9 (0.5 3.8) [n=13]Brand MPR = 1.7 (0.6 5.0) [n=28]In general procured at 10 x public sector priceMedian availability = 84%; generic 0%Generic/brand price = 87%Prices higher than necessaryLow generic penetrationSmall generic price differential

MedicineBrandGenericLoratadine0.570.51Metformin0.840.77Ciprofloxacin1.191.08Ceftriaxone inj.2.652.32Omeprazole2.932.57Diclofenac3.952.65

International comparison private retail prices of selected generic medicines

Chart4

5.854.916

819.79.847.4

843.5650.8

8.97.929.3100.1

MPR (MSH ref. price)

Ghana

Peru

Lebanon

Kuwait

MSH IB

3.7

5.3

6.2

6.8

7.9

8.7

9.8

14.6

15.3

15.6

17

17.9

18.7

26.2

28.7

29

29.4

50.2

55.5

90.5

93.6

110.2

Median price ratio (MSH ref. prices)

MSH generic

4.84.8

5.65.6

8.68.6

16.114.1

14.614.6

14.914.9

15.715.7

1616

18.7318.6

47.447.4

50.7650.8

83.960.7

100.1100.1

Most sold generic

Lowest priced generic


PBS IB MPR

0.568730863

0.6457614529

0.828308568

0.8364382632

0.8426775036

0.9039938685

0.9489388426

1.1119247134

1.1165143939

1.1596806784

1.1866603378

1.2724661172

1.5673478968

1.6292736265

1.7302015267

1.7731262714

1.8172116948

1.8282611634

2.2373885264

2.2752588195

2.6458876277

2.7093062723

2.8424580539

2.8933158749

2.9313700946

3.7137011101

3.9507585784

5.0041091975

IB

Median price ratio (PBS ref. prices)

PBS MPR

0.51039949240.51039949240.568730863

0.76725915880.76725915880.8364382632

0.79551460430.79551460430.9039938685

1.02783584591.02783584590

1.07720115151.07720115151.1866603378

1.63186223071.63186223071.7302015267

1.87920414681.89611544680

1.91759490181.91759490181.8282611634

2.32218860942.32218860942.6458876277

2.56900183322.56900183322.9313700946

3.39982150323.39982150323.7137011101

2.65220933343.66142665113.9507585784

3.75150032134.30188906995.0041091975


Most sold generic

Innovator brand


MPRs

Medicine median price ratios (MSH reference prices)PBS reference prices

BrandPrivateIBMSGLPG

Medicine NamePrivateMedicine NamePrivatePrivatePrivate

Medicine NameMost sold genericLowest priced genericIBMost sold genericLowest priced genericNameIBNameMost sold genericLowest priced genericNameInnovator brandMost sold genericLowest priced genericNameInnovator brandMost sold genericLowest priced generic

Beclometasone inh.3.7Metformin4.84.8Ciprofloxacin110.2100.1100.1Loratadine0.568730863Loratadine0.51039949240.5103994924Loratadine0.5687308630.51039949240.5103994924Loratadine0.5687308630.51039949240.5103994924

Metformin5.3Loratadine5.65.6Fluoxetine93.6--Carvedilol0.6457614529Metformin0.76725915880.7672591588Metformin0.83643826320.76725915880.7672591588Metformin0.83643826320.76725915880.7672591588

Loratadine6.2Ceftriaxone injection8.68.6Diclofenac90.583.960.7Phenytoin0.828308568Paracetamol0.79551460430.7955146043Paracetamol0.90399386850.79551460430.7955146043Paracetamol0.90399386850.79551460430.7955146043

Lisinopril6.8Ranitidine16.114.1Glibenclamide55.550.7650.8Metformin0.8364382632Ciprofloxacin1.07720115151.0772011515Co-trimoxazole susp.1.02783584591.0278358459Co-trimoxazole suspension1.02783584591.0278358459

Salbutamol inh.7.9Co-trimoxazole susp.14.614.6Atenolol50.247.447.4Acetylsalicylic acid0.8426775036Atenolol1.63186223071.6318622307Ciprofloxacin1.18666033781.07720115151.0772011515Ciprofloxacin1.18666033781.07720115151.0772011515

Phenytoin8.7Paracetamol14.914.9Amoxicillin29.4--Paracetamol0.9039938685Captopril1.91759490181.9175949018Atenolol1.73020152671.63186223071.6318622307Atenolol1.73020152671.63186223071.6318622307

Ceftriaxone inj.9.8Omeprazole15.715.7Aciclovir29--Beclometasone inh.0.9489388426Ceftriaxone inj.2.32218860942.3221886094Ibuprofen1.89611544681.8792041468Ibuprofen1.89611544681.8792041468

Amitriptyline14.6Captopril1616Acetylsalicylic acid28.7--Amitriptyline1.1119247134Omeprazole2.56900183322.5690018332Captopril1.82826116341.91759490181.9175949018Captopril1.82826116341.91759490181.9175949018

Captopril15.3Ibuprofen18.7318.6Nifedipine Retard26.2--Nifedipine Retard1.1165143939Glibenclamide3.39982150323.3998215032Ceftriaxone inj.2.64588762772.32218860942.3221886094Ceftriaxone injection2.64588762772.32218860942.3221886094

Carbamazepine15.6Atenolol47.447.4Ranitidine18.716.114.1Gemfibrozil1.1596806784Diclofenac3.66142665112.6522093334Omeprazole2.93137009462.56900183322.5690018332Omeprazole2.93137009462.56900183322.5690018332

Paracetamol17Glibenclamide50.7650.8Omeprazole17.915.715.7Ciprofloxacin1.1866603378Ranitidine4.30188906993.7515003213Glibenclamide3.71370111013.39982150323.3998215032Glibenclamide3.71370111013.39982150323.3998215032

Omeprazole17.9Diclofenac83.960.7Paracetamol1714.914.9Fluconazole1.2724661172Diclofenac3.95075857843.66142665112.6522093334Diclofenac3.95075857843.66142665112.6522093334

Ranitidine18.7Ciprofloxacin100.1100.1Carbamazepine15.6--Simvastatin1.5673478968Ranitidine5.00410919754.30188906993.7515003213Ranitidine5.00410919754.30188906993.7515003213

Nifedipine Retard26.2Captopril15.31616Aciclovir1.6292736265

Acetylsalicylic acid28.7Amitriptyline14.6--Atenolol1.7302015267

Aciclovir29Ceftriaxone injection9.88.68.6Lisinopril1.7731262714

Amoxicillin29.4Phenytoin8.7--Amoxicillin1.8172116948

Atenolol50.2Salbutamol inhaler7.9--Captopril1.8282611634

Glibenclamide55.5Lisinopril6.8--Salbutamol inh.2.2373885264

Diclofenac90.5Loratadine6.25.65.6Carbamazepine2.2752588195

Fluoxetine93.6Metformin5.34.84.8Ceftriaxone inj.2.6458876277

Ciprofloxacin110.2Beclometasone inhaler3.7--Indapamide2.7093062723

Carvedilol-Co-trimoxazole suspension-14.614.6Gliclazide2.8424580539

Cephalexin-Ibuprofen-18.7318.6Fluoxetine2.8933158749

Chlorpromazine-Carvedilol---Omeprazole2.9313700946

Co-trimoxazole suspension-Cephalexin---Glibenclamide3.7137011101

Diazepam-Chlorpromazine---Diclofenac3.9507585784

Fluconazole-Diazepam---Ranitidine5.0041091975

Gemfibrozil-Fluconazole---

Gliclazide-Gemfibrozil---

Hydrochlorothiazide-Gliclazide---

Ibuprofen-Hydrochlorothiazide---

Indapamide-Indapamide---

Insulin neutral-Insulin neutral---

Simvastatin-Simvastatin---

Int. IB

13.215.98.19.8

016.912.715.3

5.9017.617.9

4419.612.718.7

071.347.850.2

39.98929.355.5

085.964.193.6

094.1104.1110.2

Ghana

Peru

Lebanon

Kuwait


Int. LPG

5.13.65.58.6

115.51.914.1

0.61.15.415.7

5.854.916

819.79.847.4

020.729.20

843.5650.8

8.97.929.3100.1

Ghana

Peru

Lebanon

Kuwait


International

KuwaitSurvey: Ghana, May 2002Survey: Peru, May 2002Survey: South Africa, KwaZulu Natal State, Sep 2001Survey: Sri Lanka, Oct 2001

BMSGLPGBMSGLPGBMSGLPGBMSGLPGBMSGLPG

Atenolol50.247.447.48.28.071.320.419.7

Ceftriaxone injection9.88.68.613.25.115.92.43.618.4

Ciprofloxacin110.2100.1100.18.08.994.163.27.999.25.91.2

Glibenclamide55.550.850.839.96.68.089.069.343.5

Omeprazole17.915.715.75.90.70.61.11.16.45.13.20.1

Ranitidine18.716.114.144.011.019.616.45.530.722.85.62.2

BrandKuwaitGhanaPeruLebanonSouth Africa

Ciprofloxacin110.294.1104.199.2

Glibenclamide55.539.989.029.3

Atenolol50.271.347.8

Ranitidine18.744.019.612.730.7

Omeprazole17.95.917.66.4

Ceftriaxone inj.9.813.215.98.118.4

MSGKuwaitGhanaPeruLebanonSouth Africa



Atenolol47.48.019.79.8

Omeprazole15.70.61.17.65.1

Ranitidine14.111.05.56.522.8

Ceftriaxone inj.8.65.13.65.5

IB

Medicine nameKuwaitGhanaPeruLebanon

Ceftriaxone inj9.813.215.98.1

Captopril15.3-16.912.7

Omeprazole17.95.9-17.6

Ranitidine18.74419.612.7

Atenolol50.2-71.347.8

Glibenclamide55.539.98929.3

Fluoxetine93.6-85.964.1

Ciprofloxacin110.2-94.1104.1

LPG




Omeprazole15.70.61.15.4Medicine nameGhanaPeruLebanonKuwait

Captopril165.854.9Captopril5.854.916

Atenolol47.4819.79.8Atenolol819.79.847.4

Fluoxetine--20.729.2Glibenclamide843.5650.8

Glibenclamide50.8843.56Ciprofloxacin8.97.929.3100.1


International

0000

0000

0000

0000


Ghana

Peru

Lebanon

Kuwait

International1

1.71.82.3

1.731.922.73

Sri Lanka1.25.6

3.44.510.4

5.14.713.7

4.72.513.9

78.214

Cameroun20.715

Brazil16.516.2

15.916.118.3

1115.521.6

South Africa723.7

7.120.424.9

Lowest price generic

Most sold generic

Innovator brand

Median price ratio (MSH ref.prices)

International2

CountryInnovator brandMost sold genericLowest price genericCountryInnovator brandGeneric

India2.31.81.7India2.31.8

Egypt2.731.921.73Egypt2.731.92

Sri Lanka5.61.2Sri Lanka5.61.2

Armenia10.44.53.4Lebanon148.2

Ghana13.74.75.1KUWAIT18.316.1

Kenya13.92.54.7Philippines21.615.5

Lebanon148.27

Cameroun1520.7

Brazil16.216.5

KUWAIT18.316.115.9

Philippines21.615.511

South Africa23.77

Peru24.920.47.1

International2

000

000

000

000

000

000

000

000

000

000

000

000

000


Most sold generic

Innovator brand

GCC

00

00

00

00

00

00

Innovator brand

Generic

CIF costs

CountryPopPharm spending pcTotal

KSA2275165058.4898971996

KWT2.4152364.812.9315845445

QTR0.6912082.82.9351293867

UAE3.815558920.8791208791

BAH0.677449.581.7575327898

OMN2.534853.0131159163

2821.18

Brand premium

pack sizeWholesaleRetailCIF (calc.)W profitR profitR on WCIF/pack sizePublic CIFPVt/PubPVt/Pub IBPvt/Pub G

Acetylsalicylic acidBrand300.30.380.2222222222135171126.66666666670.0074074074

MSG0.004

AciclovirBrand2514.4118.2610.6740740741135171.0687022901126.71755725190.426962963

MSG0.041

AmitriptylineBrand300.710.90.5259259259135171.1267605634126.76056338030.0175308642

MSG0.007

AmoxicillinBrand202.443.091.8074074074135170.9631147541126.63934426230.0903703704

MSG0.006

AtenololBrand282.683.41.9851851852135171.2686567164126.86567164180.0708994709

MSG201.812.291.3407407407135170.8011049724126.51933701660.0670370370.00611.172839506211.1728395062

Beclometasone inhalerBrand2002.823.572.0888888889135170.9042553191126.59574468090.0104444444

MSG2001.531.941.1333333333135171.1764705882126.79738562090.00566666670.0025052.26214238192.2621423819

CaptoprilBrand302.813.562.0814814815135171.0320284698126.69039145910.069382716

MSG201.972.491.4592592593135170.6345177665126.39593908630.0729629630.00236.481481481536.4814814815

CarbamazepineBrand503.494.432.5851851852135171.3610315186126.93409742120.05170370370.0242.1543209877

MSG

CarvedilolBrand304.145.253.0666666667135171.1956521739126.81159420290.10222222220.0971.05383734251.0538373425

MSG

Ceftriaxone injectionBrand17.429.45.4962962963135171.0242587601126.68463611865.4962962963

MSG16.518.254.8222222222135171.0829493088126.72811059914.82222222221.3633.53794733843.5379473384

CephalexinBrand202.633.331.9481481481135170.9315589354126.61596958170.0974074074

MSG0.006

ChlorpromazineBrand

MSG

CiprofloxacinBrand109.1511.66.7777777778135171.1475409836126.77595628420.6777777778

MSG108.3110.536.1555555556135171.0649819495126.7148014440.61555555560.00876.944444444476.9444444444

Co-trimoxazole suspensionBrand1001.692.151.2518518519135171.7455621302127.21893491120.0125185185

MSG1001.431.811.0592592593135170.8741258741126.57342657340.01059259260.0006516.296296296316.2962962963

DiazepamBrand251.161.480.8592592593135172.2413793103127.58620689660.0343703704

MSG0.019

DiclofenacBrand302.723.442.0148148148135170.7352941176126.47058823530.0671604938

MSG302.523.191.8666666667135170.8928571429126.58730158730.06222222220.00162.222222222262.2222222222

FluconazoleBrand79.6312.217.1333333333135171.1682242991126.79127725861.019047619

MSG0.001

FluoxetineBrand2816.5120.9212.2296296296135171.0599636584126.71108419140.4367724868

MSG3015.3619.4711.3777777778135171.123046875126.75781250.37925925930.0655.83475783485.8347578348

GemfibrozilBrand303.934.982.9111111111135171.0687022901126.71755725190.0970370370.0671.44831398561.4483139856

MSG

GlibenclamideBrand1006.328.014.6814814815135171.0996835443126.74050632910.0468148148

MSG1005.597.084.1407407407135170.9838998211126.65474060820.04140740740.0066.90123456796.9012345679

GliclazideBrand604.475.663.3111111111135170.9395973154126.62192393740.0551851852

MSG603.414.322.5259259259135171.0263929619126.68621700880.0420987654

HydrochlorothiazideBrand201.131.430.837037037135170.8407079646126.54867256640.04185185190.0331.26823793491.2682379349

MSG

IbuprofenBrand250.590.750.437037037135171.6101694915127.11864406780.0174814815

MSG200.580.740.4296296296135172.2413793103127.58620689660.02148148150.0037.16049382727.1604938272

IndapamideBrand302.973.762.2135170.9090909091126.59932659930.0733333333

MSG

Insulin neutralBrand103.934.982.9111111111135171.0687022901126.71755725190.29111111110.19671.47997514551.4799751455

MSG

LisinoprilBrand286.98.755.1111111111135171.1956521739126.81159420290.18253968250.0276.7607289836.760728983

MSG

LoratadineBrand303.975.032.9407407407135171.0453400504126.70025188920.0980246914

MSG202.373.011.7555555556135171.4556962025127.00421940930.08777777780.0342.58169934642.5816993464

MetforminBrand1001.461.851.0814814815135171.0616438356126.71232876710.0108148148

MSG1001.431.811.0592592593135170.8741258741126.57342657340.01059259260.00195.57504873295.5750487329

Nifedipine RetardBrand304.375.543.237037037135171.1441647597126.77345537760.10790123460.0353.08289241623.0828924162

MSG

OmeprazoleBrand1410.26137.6135171.0526315789126.70565302140.5428571429

MSG149.7912.47.2518518519135170.9908069459126.65985699690.5179894180.0657.96906796917.9690679691

ParacetamolBrand961.130.837037037135000.0087191358

MSG961.181.50.8740740741135171.6101694915127.11864406780.00910493830.00127.5874485597

PhenytoinBrand1001.421.81.0518518519135171.1267605634126.76056338030.01051851850.0110.95622895620.9562289562

MSG

RanitidineBrand6016.3820.7512.1333333333135171.0164835165126.67887667890.2022222222

MSG205.056.43.7407407407135171.0891089109126.73267326730.1870370370.00362.345679012362.3456790123

Salbutamol inhalerBrand2003.113.942.3037037037135171.0289389068126.68810289390.01151851850.0029153.95146432883.9514643288

MSG

SimvastatinBrand3011.3414.378.4135171.0714285714126.71957671960.280.1661.6867469881.686746988

MSG

median1.47997514557.5647808981

mean2.409825120121.9489539258

min0.95622895622.2621423819

max6.76072898376.9444444444

q251.26823793495.6399760084

q753.082892416231.4351851852

914

Official

Field Data Consolidation:

Private Sector Retail Prices

Sort by:

Data for Individual Medicines Outlets (Enter Medicine Unit Prices in Local Currency)

Medicines Outlet Study IDP1P2P3P4P5P6P7P8P9P10P11P12P13P14P15P16P17P18P19P20P21P22P23P24P25

RegionAhmadiAhmadiAhmadiAhmadiAhmadiCapitalCapitalCapitalCapitalCapitalFarwaniyaFarwaniyaFarwaniyaFarwaniyaFarwaniyaHawallyHawallyHawallyHawallyHawallyJahraJahraJahraJahraJahra

Distance From Population Centre0000000000000000000000000

Include outlet in analysis (1=yes,0=no)?1111111111111111111111111

No.Medicine NameMedicine Type12345678910111213141516171819202122232425Ave priceLPG/brandLPG/brand# genericsavailabilityPBS MPRbrand availability

5AtenololBrand0.12140.12140.12140.098210.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12043375951561.7356

5AtenololMost Sold0.11450.11450.11450.11450.11450.11450.11450.11750.11450.11450.11450.11450.11450.11450.114714285754140.9592

5AtenololLowest Price0.11450.11450.11450.11450.11450.11450.11450.11750.11450.11450.11450.11450.11450.11450.11471428570.95250945611.04985834371182161.8384

6Beclometasone inhalerBrand0.017850.017850.017850.017850.017850.017850.017850.01830.017850.01830.017850.017850.017850.017850.0179142857881642.6596

6Beclometasone inhalerMost Sold0.00970.0097797801.1988

6Beclometasone inhalerLowest Price0.00970.00970.54146730461.8468335788733803.9596

7CaptoprilBrand0.085330.11870.11870.11870.11870.11870.11870.11870.11870.11870.11870.21670.11870.11870.11870.11870.11870.11870.11870.11870.11870.11870.121637727386142.8948

7CaptoprilMost Sold0.12450.12450.20.12450.143375913443.7192

7CaptoprilLowest Price0.12450.12450.20.12450.1433751.1787050220.848388681987182.8484

10Ceftriaxone injectionBrand9.49.49.49.3958.689.49.49.49.49.399.49.49.3959.49.399.399.399.3969.3969.349.49.3600952381905880.5772

10Ceftriaxone injectionMost Sold8.258.258.258.258.258.258.258.258.258.258.258.258.258.458.258.258.2625891280.8496

10Ceftriaxone injectionLowest Price8.258.258.258.258.258.258.258.258.258.258.258.258.258.458.258.258.26250.88273674461.13284057347961002.93100

13CiprofloxacinBrand1.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.16933920.996

13CiprofloxacinMost Sold1.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.05363688596

13CiprofloxacinLowest Price1.0530.8231.0531.0530.6591.0531.0531.0531.0531.0530.8231.0530.4731.0530.5371.0531.0530.8230.4731.0530.9150.78879310341.2677595628781122.2488

16DiclofenacBrand0.11470.11430.11470.11470.1140.11470.11470.11470.11470.11470.11470.11470.11470.11470.11430.1150.11470.11470.11470.11470.1150.1146571429872562.2492

16DiclofenacMost Sold0.10630.10630.10630.10630.12930.10630.10630.10630.10630.10630.10630.10630.10630.10630.10630.10630.10630.10630.1075777778-0.2166327239

16DiclofenacLowest Price0.10630.0770.0770.10630.12930.0320.0770.0770.10630.0770.03650.0770.0770.10630.0770.0770.10630.0770.0770.10630.084130.73375280341.3628568032

18FluoxetineBrand0.76140.76140.76140.74710.76140.76140.74710.76140.76140.74710.76140.76140.757825

18FluoxetineMost Sold0.6490.649

18FluoxetineLowest Price0.6490.6490.8563982451.1676810478

20GlibenclamideBrand0.08010.0940.08010.08010.08010.08010.08010.08010.0940.0940.08010.097330.08010.0940.08010.08010.08010.08010.08010.0940.08010.08010.08010.08010.08010.0835692

20GlibenclamideMost Sold0.073330.073330.073330.073330.073330.07333

20GlibenclamideLowest Price0.073330.073330.073330.073330.0750.073330.0750.0870.0750.0870.073330.07627090910.91266769441.095689051

21GliclazideBrand0.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.09433

21GliclazideMost Sold0.082170.082170.08217

21GliclazideLowest Price0.082170.082170.082170.87109085131.1479858829

27LoratadineBrand0.16770.16770.16770.16770.1950.1950.16770.16770.16770.16770.1950.16770.1950.16770.16770.16770.17170.16770.16770.16770.16770.16770.16770.16770.1724166667

27LoratadineMost Sold0.15050.1880.15050.1930.1880.1880.15050.16650.1930.15050.1880.16650.15050.1950.15050.15050.15050.15050.15050.15050.166075

27LoratadineLowest Price0.15050.1560.15050.1660.1880.15050.15050.16650.1660.1560.15050.15050.16650.15050.1950.15050.08250.15050.15050.15050.15050.1660.15520454550.90017136081.1108995949

28MetforminBrand0.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.0266

28MetforminMost Sold0.02440.02440.02440.02440.02440.020.02440.0237714286

28MetforminLowest Price0.02440.02440.02440.02440.02440.020.02440.02377142860.89366272821.1189903846

30OmeprazoleBrand0.97640.92070.97640.92070.97640.97640.92070.97640.92070.97640.92070.9207110.97710.97640.97640.97640.97641.20640.97640.97640.9738409091

30OmeprazoleMost Sold0.88570.88570.85570.85570.88570.85570.88570.85570.85570.85570.85570.88570.88570.85570.85570.8050.94710.85570.85570.85570.88570.88570.85570.85570.8673958333

30OmeprazoleLowest Price0.88570.69710.88570.85570.85570.88570.85570.88570.53930.85570.78460.51290.88570.69710.80360.53930.8050.75360.85570.51290.85570.88570.88570.53930.78460.7721360.792876941.2612297692

31ParacetamolBrand0.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.015310.0150.0150.0150.0150.0150.0150.0150129167

31ParacetamolMost Sold0.01320.01320.01320.0150.0150.0150.015630.01320.01220.01320.01320.01320.020.01320.0150.01320.01320.01320.01330.01320.01320.01320.0139059091

31ParacetamolLowest Price0.015630.01320.01320.01320.0150.0150.0150.015630.01320.01220.01320.01320.01320.018750.01320.0150.01320.01320.01320.01330.01320.01320.01320.01392652170.9276359851.0780090641

33RanitidineBrand0.39550.39550.39550.39550.39550.39550.39550.39550.39550.39550.39550.39550.39550.39550.39550.4050.39550.39550.39550.39550.39550.39550.39550.3959130435

33RanitidineMost Sold0.340.340.340.340.320.340.340.340.340.5650.3605

33RanitidineLowest Price0.1430.340.340.340.320.340.320.1430.340.1430.30.24750.30.1430.30.2550.340.1430.1430.1430.1430.2930.25088636360.63369057361.5780572437

34Salbutamol inhalerBrand0.01970.01980.01970.01970.01970.01970.01970.01970.01970.01970.01970.01970.01970.01970.01970.01970.01990.01970.01970.01970.01970.01970.01970.01970.0197125

34Salbutamol inhalerMost Sold

34Salbutamol inhalerLowest Price0.01540.01540.01540.01540.78123018391.2800324675

0.87109085131.1479858829

0.78501164371.1032943229

0.90641952761.2738960152

Comparisons

Correct priceWrong priceCommentsMark-upCorrect priceWrong priceCommentsCorrect priceWrong priceComments

Acetylsalicylic acidBrand210027Acetylsalicylic acidBrand210Acetylsalicylic acidMSG00

MSG00**

AciclovirBrand962x0.200; 3x0.400(old price); 1x20tab pack instead of 254027AciclovirBrand962x0.200; 3x0.400(old price); 1x20tab pack instead of 25AciclovirMSG00

MSG00**

AmitriptylineBrand221x0.010; 1x0.0205027AmitriptylineBrand221x0.010; 1x0.020AmitriptylineMSG00

MSG00**

AmoxicillinBrand811x0.900 (typo)1127AmoxicillinBrand811x0.900 (typo)AmoxicillinMSG00

MSG00**

AtenololBrand02423x0.720(wrong price?); 1x0.070100AtenololBrand02423x0.720(wrong price?); 1x0.070AtenololMSG01413x0.480(wrong price?); 1x0.540

MSG01413x0.480(wrong price?); 1x0.540100

Beclometasone inhalerBrand1222x0.0901427Beclometasone inhalerBrand1222x0.090Beclometasone inhalerMSG10

MSG10027

CaptoprilBrand2021x-1.000(typo); 1x2.940927CaptoprilBrand2021x-1.000(typo); 1x2.940CaptoprilMSG311x1.510(price for 50mg tab)

MSG311x1.510(price for 50mg tab)2526

CarbamazepineBrand1911x-0.110527CarbamazepineBrand1911x-0.110CarbamazepineMSG00

MSG00**

CarvedilolBrand1311x0.010727CarvedilolBrand1311x0.010CarvedilolMSG00

MSG00**

Ceftriaxone injectionBrand219No price for single vial; price for 5; 2 exact, 11 more, 8 less; 1x-0.054; 1x-0.7169027Ceftriaxone injectionBrand219No price for single vial; price for 5; 2 exact, 11 more, 8 less; 1x-0.054; 1x-0.716Ceftriaxone injectionMSG1511x0.200

MSG1511x0.200627

CephalexinBrand111x1.750(500mg price)5027CephalexinBrand111x1.750(500mg price)CephalexinMSG00

MSG00**

ChlorpromazineBrand00**ChlorpromazineBrand00ChlorpromazineMSG00

MSG00**

CiprofloxacinBrand230027CiprofloxacinBrand230CiprofloxacinMSG180

MSG180027

Co-trimoxazole suspensionBrand00**Co-trimoxazole suspensionBrand00Co-trimoxazole suspensionMSG711x0.040

MSG711x0.04013

DiazepamBrand00*DiazepamBrand00DiazepamMSG00

MSG00*

DiclofenacBrand1652x-0.010; 2x0.010; 1x-0.02024DiclofenacBrand1652x-0.010; 2x0.010; 1x-0.020DiclofenacMSG1711x0.690

MSG1711x0.69061x0.690

FluconazoleBrand500FluconazoleBrand50FluconazoleMSG00

MSG00*

FluoxetineBrand1200FluoxetineBrand120FluoxetineMSG10

MSG100

GemfibrozilBrand1811x-0.2905GemfibrozilBrand1811x-0.290GemfibrozilMSG00

MSG00*

GlibenclamideBrand2411x0.1004GlibenclamideBrand2411x0.100GlibenclamideMSG055x-0.050

MSG055x-0.050100

GliclazideBrand2300GliclazideBrand230GliclazideMSG00

MSG00*

HydrochlorothiazideBrand00*HydrochlorothiazideBrand00HydrochlorothiazideMSG00

MSG00*

IbuprofenBrand00*IbuprofenBrand00IbuprofenMSG2011x-0.040

MSG2011x-0.0405

IndapamideBrand2321x-0.010; 1x0.0908IndapamideBrand2321x-0.010; 1x0.090IndapamideMSG00

MSG00*

Insulin neutralBrand211x0.12033Insulin neutralBrand211x0.120Insulin neutralMSG00

MSG00*

LisinoprilBrand2031x0.210; 1x2.000; 1x-0.02013LisinoprilBrand2031x0.210; 1x2.000; 1x-0.020LisinoprilMSG00

MSG00*

LoratadineBrand2311x0.1204LoratadineBrand2311x0.120LoratadineMSG1552x0.050; 1x0.070; 2x0.320

MSG1552x0.050; 1x0.070; 2x0.32025

MetforminBrand1800MetforminBrand180MetforminMSG611x0.030

MSG611x0.03014

Nifedipine RetardBrand2400Nifedipine RetardBrand240Nifedipine RetardMSG00

MSG00*

OmeprazoleBrand1931x4.000; 2x1.11014OmeprazoleBrand1931x4.000; 2x1.110OmeprazoleMSG2311x-1.130

MSG2311x-1.1304

ParacetamolBrand2311x0.0304ParacetamolBrand2311x0.030ParacetamolMSG1931x0.010; 1x-0.100; 1x48tab not 50

MSG1931x0.010; 1x-0.100; 1x48tab not 5014

PhenytoinBrand1833x0.30014PhenytoinBrand1833x0.300PhenytoinMSG00

MSG00*

RanitidineBrand2211x0.1904RanitidineBrand2211x0.190RanitidineMSG911x2.250(price for 300mg)

MSG911x2.250(price for 300mg)10

Salbutamol inhalerBrand2221x0.020; 1x0.0408Salbutamol inhalerBrand2221x0.020; 1x0.040Salbutamol inhalerMSG30

MSG300

SimvastatinBrand2121x-1.590; 1x0.2609SimvastatinBrand2121x-1.590; 1x0.260SimvastatinMSG00

MSG00*Total prices192

Total prices740Total prices548total no. of errors3518.2

total no. of errors12016.2total no. of errors8515.5no. of lower prices822.8571428571

no. of lower prices2520.8333333333no. of lower prices1922.3529411765no. of higher prices27

no. of higher prices95no. of higher prices66

0.20.20.20.2

0.20.20.20.2

0.40.40.40.4

0.40.40.40.4

0.40.40.40.4

0.010.010.010.01

0.020.020.020.02

0.90.90.90.9

0.7223x0.720(wrong price?); 1x0.0700.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.070.070.070.07

0.090.090.090.09

0.090.090.090.09

-1No price for single vial; price for 5; 2 exact, 11 more, 8 less; 1x-0.054; 1x-0.716-1

2.942.942.94

-0.11-0.11

0.010.010.010.01

1.751.751.75

-0.01-0.01

-0.01-0.01

0.010.010.010.01

0.010.010.010.01

-0.02-0.02

0.690.690.690.69

-0.29-0.29

0.10.10.10.1

-0.01-0.01

0.090.090.090.09

0.120.120.120.12

0.210.210.210.21

222

-0.02-0.02

0.120.120.120.12

4444

1.111.111.11

1.111.111.11

0.030.030.030.03

0.30.30.30.3

0.30.30.30.3

0.30.30.30.3

0.190.190.190.19

0.020.020.020.02

0.040.040.040.04

-1.59-1.59

0.260.260.260.26

median0.40.10.720.545

All-atenololonly highhigh-extreme

LPGs

1.71.82.3

1.731.922.73

Sri Lanka1.25.6

3.44.510.4

5.14.713.7

4.72.513.9

78.214

Cameroun20.715

Brazil16.516.2

15.916.118.3

1115.521.6

South Africa723.7

7.120.424.9


Most sold generic

Innovator brand

Median MPR (MSH reference prices)

MSGs

Number of LPGs available

Acetylsalicylic acid

Aciclovir

Amitriptyline

Amoxicillin

Atenolol

Beclometasone inhaler

Captopril

Carbamazepine

Carvedilol

Ceftriaxone injection

Cephalexin

Chlorpromazine

Ciprofloxacin5

Co-trimoxazole suspension2

Diazepam

Diclofenac13

Fluconazole

Fluoxetine

Gemfibrozil

Glibenclamide5

Gliclazide

Hydrochlorothiazide

Ibuprofen13

Indapamide

Insulin neutral

Lisinopril

Loratadine8

Metformin

Nifedipine Retard

Omeprazole11

Paracetamol2

Phenytoin

Ranitidine15

Salbutamol inhaler

Simvastatin

74

Med. No.Medicine NameCore List (yes/no)Name12345678910111213141516171819202122232425COUNT%preMSGpostMSG

1Acetylsalicylic acidnoAspirin

Jusprin0010

2AcicloviryesZovirax

Aviral0010

Wariviron0000

Virpes0000

3AmitriptylineyesTriptizol

4AmoxicillinyesAmoxil

Julphamox0010

5AtenololyesTenormin

Tenol-5011111111111111145611

6Beclometasone inhaleryesBecotide

Viarex11411

7CaptoprilyesCapoten

Acetab111141611

Capril0000

8CarbamazepineyesTegretol

9CarvedilolnoDilatrend

10Ceftriaxone injectionyesRocephin

Mesporin1111111111111111166411

Triaxone0000

11CephalexinnoKeflex

Cefrin0010

12ChlorpromazinenoLargactil

13CiprofloxacinyesCiprobay

Bactiflox111111111111111111187211

Sarf111141600

Quinox112800

Cipromax0000

Cifran 500112800

Ciproxen11400

Ciprodar0000

14Co-trimoxazole suspensionyesBactrim

Theraprim11410

Septrin1111111183201

Nopil11400

Trimol0000

15DiazepamyesValium

16DiclofenacyesVoltaren

Olfen111111111111111111187211

Clofen11111111111114400

Diclogesic112800

17FluconazolenoDiflucan

18FluoxetineyesProzac

Salipax11411

19GemfibrozilnoLopid

20GlibenclamideyesDaonil

Glynase111141610

Doabetic1111152001

Euglucon112800

21GliclazidenoDiamicron

Glyzide112801

22HydrochlorothiazideyesEsidrex

23IbuprofennoBrufen

Profinal111111111111111111111218411

Advil1111111183200

I-Profen1111152000

Ibu20011400

24IndapamidenoNatrilix

25Insulin neutralnoActrapid

26LisinoprilnoZestril

27LoratadinenoClaratine

Lorine11111111111111111111208011

Loraday1111111183200

Loratan11131200

Loratin11131200

Lorano11400

28MetforminyesGlucophage

Metaphage111111172811

29Nifedipine RetardyesAdalat Retard

30OmeprazoleyesLosec

Gasec-20111111111111111111111111249611

Risek11111111111111145600

Omiz111141600

Epirazole11131200

Minisec-201111152000

Omedar112800

31ParacetamolnoPanadol

Adol11111111111111111111111239211

Tylenol11111162400

Panacetamol1111111183200

32PhenytoinyesEpanutin

33RanitidineyesZantac

Ranimax11410

Rantag1111111111104001

Ranidine11111162400

Histac-150111111172800

Navidine11400

Ranid1111152000

APO-ranitidine11400

34Salbutamol inhaleryesVentolin Evohaler

Butalin11131211

35SimvastatinnoZocor

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

International comparison private retail prices: summary MPR

Chart1

2.31.8

2.731.92

5.61.2

148.2

18.316.1

21.615.5

Innovator brand

Generic


MSH IB

3.7

5.3

6.2

6.8

7.9

8.7

9.8

14.6

15.3

15.6

17

17.9

18.7

26.2

28.7

29

29.4

50.2

55.5

90.5

93.6

110.2


MSH generic

4.84.8

5.65.6

8.68.6

16.114.1

14.614.6

14.914.9

15.715.7

1616

18.7318.6

47.447.4

50.7650.8

83.960.7

100.1100.1

Most sold generic



PBS IB MPR

0.568730863

0.6457614529

0.828308568

0.8364382632

0.8426775036

0.9039938685

0.9489388426

1.1119247134

1.1165143939

1.1596806784

1.1866603378

1.2724661172

1.5673478968

1.6292736265

1.7302015267

1.7731262714

1.8172116948

1.8282611634

2.2373885264

2.2752588195

2.6458876277

2.7093062723

2.8424580539

2.8933158749

2.9313700946

3.7137011101

3.9507585784

5.0041091975

IB


PBS MPR

0.51039949240.51039949240.568730863

0.76725915880.76725915880.8364382632

0.79551460430.79551460430.9039938685

1.02783584591.02783584590

1.07720115151.07720115151.1866603378

1.63186223071.63186223071.7302015267

1.87920414681.89611544680

1.91759490181.91759490181.8282611634

2.32218860942.32218860942.6458876277

2.56900183322.56900183322.9313700946

3.39982150323.39982150323.7137011101

2.65220933343.66142665113.9507585784

3.75150032134.30188906995.0041091975


Most sold generic

Innovator brand


MPRs

Medicine median price ratios (MSH reference prices)PBS reference prices

BrandPrivateIBMSGLPG

Medicine NamePrivateMedicine NamePrivatePrivatePrivate

Medicine NameMost sold genericLowest priced genericIBMost sold genericLowest priced genericNameIBNameMost sold genericLowest priced genericNameInnovator brandMost sold genericLowest priced genericNameInnovator brandMost sold genericLowest priced generic

Beclometasone inh.3.7Metformin4.84.8Ciprofloxacin110.2100.1100.1Loratadine0.568730863Loratadine0.51039949240.5103994924Loratadine0.5687308630.51039949240.5103994924Loratadine0.5687308630.51039949240.5103994924

Metformin5.3Loratadine5.65.6Fluoxetine93.6--Carvedilol0.6457614529Metformin0.76725915880.7672591588Metformin0.83643826320.76725915880.7672591588Metformin0.83643826320.76725915880.7672591588

Loratadine6.2Ceftriaxone injection8.68.6Diclofenac90.583.960.7Phenytoin0.828308568Paracetamol0.79551460430.7955146043Paracetamol0.90399386850.79551460430.7955146043Paracetamol0.90399386850.79551460430.7955146043

Lisinopril6.8Ranitidine16.114.1Glibenclamide55.550.7650.8Metformin0.8364382632Ciprofloxacin1.07720115151.0772011515Co-trimoxazole susp.1.02783584591.0278358459Co-trimoxazole suspension1.02783584591.0278358459

Salbutamol inh.7.9Co-trimoxazole susp.14.614.6Atenolol50.247.447.4Acetylsalicylic acid0.8426775036Atenolol1.63186223071.6318622307Ciprofloxacin1.18666033781.07720115151.0772011515Ciprofloxacin1.18666033781.07720115151.0772011515

Phenytoin8.7Paracetamol14.914.9Amoxicillin29.4--Paracetamol0.9039938685Captopril1.91759490181.9175949018Atenolol1.73020152671.63186223071.6318622307Atenolol1.73020152671.63186223071.6318622307

Ceftriaxone inj.9.8Omeprazole15.715.7Aciclovir29--Beclometasone inh.0.9489388426Ceftriaxone inj.2.32218860942.3221886094Ibuprofen1.89611544681.8792041468Ibuprofen1.89611544681.8792041468

Amitriptyline14.6Captopril1616Acetylsalicylic acid28.7--Amitriptyline1.1119247134Omeprazole2.56900183322.5690018332Captopril1.82826116341.91759490181.9175949018Captopril1.82826116341.91759490181.9175949018

Captopril15.3Ibuprofen18.7318.6Nifedipine Retard26.2--Nifedipine Retard1.1165143939Glibenclamide3.39982150323.3998215032Ceftriaxone inj.2.64588762772.32218860942.3221886094Ceftriaxone injection2.64588762772.32218860942.3221886094

Carbamazepine15.6Atenolol47.447.4Ranitidine18.716.114.1Gemfibrozil1.1596806784Diclofenac3.66142665112.6522093334Omeprazole2.93137009462.56900183322.5690018332Omeprazole2.93137009462.56900183322.5690018332

Paracetamol17Glibenclamide50.7650.8Omeprazole17.915.715.7Ciprofloxacin1.1866603378Ranitidine4.30188906993.7515003213Glibenclamide3.71370111013.39982150323.3998215032Glibenclamide3.71370111013.39982150323.3998215032

Omeprazole17.9Diclofenac83.960.7Paracetamol1714.914.9Fluconazole1.2724661172Diclofenac3.95075857843.66142665112.6522093334Diclofenac3.95075857843.66142665112.6522093334

Ranitidine18.7Ciprofloxacin100.1100.1Carbamazepine15.6--Simvastatin1.5673478968Ranitidine5.00410919754.30188906993.7515003213Ranitidine5.00410919754.30188906993.7515003213

Nifedipine Retard26.2Captopril15.31616Aciclovir1.6292736265

Acetylsalicylic acid28.7Amitriptyline14.6--Atenolol1.7302015267

Aciclovir29Ceftriaxone injection9.88.68.6Lisinopril1.7731262714

Amoxicillin29.4Phenytoin8.7--Amoxicillin1.8172116948

Atenolol50.2Salbutamol inhaler7.9--Captopril1.8282611634

Glibenclamide55.5Lisinopril6.8--Salbutamol inh.2.2373885264

Diclofenac90.5Loratadine6.25.65.6Carbamazepine2.2752588195

Fluoxetine93.6Metformin5.34.84.8Ceftriaxone inj.2.6458876277

Ciprofloxacin110.2Beclometasone inhaler3.7--Indapamide2.7093062723

Carvedilol-Co-trimoxazole suspension-14.614.6Gliclazide2.8424580539

Cephalexin-Ibuprofen-18.7318.6Fluoxetine2.8933158749

Chlorpromazine-Carvedilol---Omeprazole2.9313700946

Co-trimoxazole suspension-Cephalexin---Glibenclamide3.7137011101

Diazepam-Chlorpromazine---Diclofenac3.9507585784

Fluconazole-Diazepam---Ranitidine5.0041091975

Gemfibrozil-Fluconazole---

Gliclazide-Gemfibrozil---

Hydrochlorothiazide-Gliclazide---

Ibuprofen-Hydrochlorothiazide---

Indapamide-Indapamide---

Insulin neutral-Insulin neutral---

Simvastatin-Simvastatin---

Int. IB

13.215.98.19.8

016.912.715.3

5.9017.617.9

4419.612.718.7

071.347.850.2

39.98929.355.5

085.964.193.6

094.1104.1110.2

Ghana

Peru

Lebanon

Kuwait


Int. LPG

5.13.65.58.6

115.51.914.1

0.61.15.415.7

5.854.916

819.79.847.4

020.729.20

843.5650.8

8.97.929.3100.1

Ghana

Peru

Lebanon

Kuwait


International

KuwaitSurvey: Ghana, May 2002Survey: Peru, May 2002Survey: South Africa, KwaZulu Natal State, Sep 2001Survey: Sri Lanka, Oct 2001

BMSGLPGBMSGLPGBMSGLPGBMSGLPGBMSGLPG

Atenolol50.247.447.48.28.071.320.419.7

Ceftriaxone injection9.88.68.613.25.115.92.43.618.4

Ciprofloxacin110.2100.1100.18.08.994.163.27.999.25.91.2

Glibenclamide55.550.850.839.96.68.089.069.343.5

Omeprazole17.915.715.75.90.70.61.11.16.45.13.20.1

Ranitidine18.716.114.144.011.019.616.45.530.722.85.62.2

BrandKuwaitGhanaPeruLebanonSouth Africa




Ranitidine18.744.019.612.730.7


Ceftriaxone inj.9.813.215.98.118.4

MSGKuwaitGhanaPeruLebanonSouth Africa



Atenolol47.48.019.79.8

Omeprazole15.70.61.17.65.1

Ranitidine14.111.05.56.522.8

Ceftriaxone inj.8.65.13.65.5

IB



Captopril15.3-16.912.7

Omeprazole17.95.9-17.6


Atenolol50.2-71.347.8

Glibenclamide55.539.98929.3

Fluoxetine93.6-85.964.1

Ciprofloxacin110.2-94.1104.1

LPG





Captopril165.854.9


Fluoxetine--20.729.2

Glibenclamide50.8843.56


International1

1.71.82.3

1.731.922.73

Sri Lanka1.25.6

3.44.510.4

5.14.713.7

4.72.513.9

78.214

Cameroun20.715

Brazil16.516.2

15.916.118.3

1115.521.6

South Africa723.7

7.120.424.9


Most sold generic

Innovator brand

Median price ratio (MSH ref.prices)

International2

CountryInnovator brandMost sold genericLowest price genericCountryInnovator brandGeneric

India2.31.81.7India2.31.8

Egypt2.731.921.73Egypt2.731.92

Sri Lanka5.61.2Sri Lanka5.61.2

Armenia10.44.53.4Lebanon148.2

Ghana13.74.75.1KUWAIT18.316.1

Kenya13.92.54.7Philippines21.615.5

Lebanon148.27

Cameroun1520.7

Brazil16.216.5

KUWAIT18.316.115.9

Philippines21.615.511

South Africa23.77

Peru24.920.47.1

International2

000

000

000

000

000

000

000

000

000

000

000

000

000


Most sold generic

Innovator brand

GCC

00

00

00

00

00

00

Innovator brand

Generic

CIF costs

CountryPopPharm spending pcTotal

KSA2275165058.4898971996

KWT2.4152364.812.9315845445

QTR0.6912082.82.9351293867

UAE3.815558920.8791208791

BAH0.677449.581.7575327898

OMN2.534853.0131159163

2821.18

Brand premium

pack sizeWholesaleRetailCIF (calc.)W profitR profitR on WCIF/pack sizePublic CIFPVt/PubPVt/Pub IBPvt/Pub G

Acetylsalicylic acidBrand300.30.380.2222222222135171126.66666666670.0074074074

MSG0.004

AciclovirBrand2514.4118.2610.6740740741135171.0687022901126.71755725190.426962963

MSG0.041

AmitriptylineBrand300.710.90.5259259259135171.1267605634126.76056338030.0175308642

MSG0.007

AmoxicillinBrand202.443.091.8074074074135170.9631147541126.63934426230.0903703704

MSG0.006

AtenololBrand282.683.41.9851851852135171.2686567164126.86567164180.0708994709

MSG201.812.291.3407407407135170.8011049724126.51933701660.0670370370.00611.172839506211.1728395062

Beclometasone inhalerBrand2002.823.572.0888888889135170.9042553191126.59574468090.0104444444

MSG2001.531.941.1333333333135171.1764705882126.79738562090.00566666670.0025052.26214238192.2621423819

CaptoprilBrand302.813.562.0814814815135171.0320284698126.69039145910.069382716

MSG201.972.491.4592592593135170.6345177665126.39593908630.0729629630.00236.481481481536.4814814815

CarbamazepineBrand503.494.432.5851851852135171.3610315186126.93409742120.05170370370.0242.1543209877

MSG

CarvedilolBrand304.145.253.0666666667135171.1956521739126.81159420290.10222222220.0971.05383734251.0538373425

MSG

Ceftriaxone injectionBrand17.429.45.4962962963135171.0242587601126.68463611865.4962962963

MSG16.518.254.8222222222135171.0829493088126.72811059914.82222222221.3633.53794733843.5379473384

CephalexinBrand202.633.331.9481481481135170.9315589354126.61596958170.0974074074

MSG0.006

ChlorpromazineBrand

MSG

CiprofloxacinBrand109.1511.66.7777777778135171.1475409836126.77595628420.6777777778

MSG108.3110.536.1555555556135171.0649819495126.7148014440.61555555560.00876.944444444476.9444444444

Co-trimoxazole suspensionBrand1001.692.151.2518518519135171.7455621302127.21893491120.0125185185

MSG1001.431.811.0592592593135170.8741258741126.57342657340.01059259260.0006516.296296296316.2962962963

DiazepamBrand251.161.480.8592592593135172.2413793103127.58620689660.0343703704

MSG0.019

DiclofenacBrand302.723.442.0148148148135170.7352941176126.47058823530.0671604938

MSG302.523.191.8666666667135170.8928571429126.58730158730.06222222220.00162.222222222262.2222222222

FluconazoleBrand79.6312.217.1333333333135171.1682242991126.79127725861.019047619

MSG0.001

FluoxetineBrand2816.5120.9212.2296296296135171.0599636584126.71108419140.4367724868

MSG3015.3619.4711.3777777778135171.123046875126.75781250.37925925930.0655.83475783485.8347578348

GemfibrozilBrand303.934.982.9111111111135171.0687022901126.71755725190.0970370370.0671.44831398561.4483139856

MSG

GlibenclamideBrand1006.328.014.6814814815135171.0996835443126.74050632910.0468148148

MSG1005.597.084.1407407407135170.9838998211126.65474060820.04140740740.0066.90123456796.9012345679

GliclazideBrand604.475.663.3111111111135170.9395973154126.62192393740.0551851852

MSG603.414.322.5259259259135171.0263929619126.68621700880.0420987654

HydrochlorothiazideBrand201.131.430.837037037135170.8407079646126.54867256640.04185185190.0331.26823793491.2682379349

MSG

IbuprofenBrand250.590.750.437037037135171.6101694915127.11864406780.0174814815

MSG200.580.740.4296296296135172.2413793103127.58620689660.02148148150.0037.16049382727.1604938272

IndapamideBrand302.973.762.2135170.9090909091126.59932659930.0733333333

MSG

Insulin neutralBrand103.934.982.9111111111135171.0687022901126.71755725190.29111111110.19671.47997514551.4799751455

MSG

LisinoprilBrand286.98.755.1111111111135171.1956521739126.81159420290.18253968250.0276.7607289836.760728983

MSG

LoratadineBrand303.975.032.9407407407135171.0453400504126.70025188920.0980246914

MSG202.373.011.7555555556135171.4556962025127.00421940930.08777777780.0342.58169934642.5816993464

MetforminBrand1001.461.851.0814814815135171.0616438356126.71232876710.0108148148

MSG1001.431.811.0592592593135170.8741258741126.57342657340.01059259260.00195.57504873295.5750487329

Nifedipine RetardBrand304.375.543.237037037135171.1441647597126.77345537760.10790123460.0353.08289241623.0828924162

MSG

OmeprazoleBrand1410.26137.6135171.0526315789126.70565302140.5428571429

MSG149.7912.47.2518518519135170.9908069459126.65985699690.5179894180.0657.96906796917.9690679691

ParacetamolBrand961.130.837037037135000.0087191358

MSG961.181.50.8740740741135171.6101694915127.11864406780.00910493830.00127.5874485597

PhenytoinBrand1001.421.81.0518518519135171.1267605634126.76056338030.01051851850.0110.95622895620.9562289562

MSG

RanitidineBrand6016.3820.7512.1333333333135171.0164835165126.67887667890.2022222222

MSG205.056.43.7407407407135171.0891089109126.73267326730.1870370370.00362.345679012362.3456790123

Salbutamol inhalerBrand2003.113.942.3037037037135171.0289389068126.68810289390.01151851850.0029153.95146432883.9514643288

MSG

SimvastatinBrand3011.3414.378.4135171.0714285714126.71957671960.280.1661.6867469881.686746988

MSG

median1.47997514557.5647808981

mean2.409825120121.9489539258

min0.95622895622.2621423819

max6.76072898376.9444444444

q251.26823793495.6399760084

q753.082892416231.4351851852

914

Official

Field Data Consolidation:

Private Sector Retail Prices

Sort by:

Data for Individual Medicines Outlets (Enter Medicine Unit Prices in Local Currency)

Medicines Outlet Study IDP1P2P3P4P5P6P7P8P9P10P11P12P13P14P15P16P17P18P19P20P21P22P23P24P25

RegionAhmadiAhmadiAhmadiAhmadiAhmadiCapitalCapitalCapitalCapitalCapitalFarwaniyaFarwaniyaFarwaniyaFarwaniyaFarwaniyaHawallyHawallyHawallyHawallyHawallyJahraJahraJahraJahraJahra

Distance From Population Centre0000000000000000000000000

Include outlet in analysis (1=yes,0=no)?1111111111111111111111111

No.Medicine NameMedicine Type12345678910111213141516171819202122232425Ave priceLPG/brandLPG/brand# genericsavailabilityPBS MPRbrand availability

5AtenololBrand0.12140.12140.12140.098210.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12140.12043375951561.7356

5AtenololMost Sold0.11450.11450.11450.11450.11450.11450.11450.11750.11450.11450.11450.11450.11450.11450.114714285754140.9592

5AtenololLowest Price0.11450.11450.11450.11450.11450.11450.11450.11750.11450.11450.11450.11450.11450.11450.11471428570.95250945611.04985834371182161.8384

6Beclometasone inhalerBrand0.017850.017850.017850.017850.017850.017850.017850.01830.017850.01830.017850.017850.017850.017850.0179142857881642.6596

6Beclometasone inhalerMost Sold0.00970.0097797801.1988

6Beclometasone inhalerLowest Price0.00970.00970.54146730461.8468335788733803.9596

7CaptoprilBrand0.085330.11870.11870.11870.11870.11870.11870.11870.11870.11870.11870.21670.11870.11870.11870.11870.11870.11870.11870.11870.11870.11870.121637727386142.8948

7CaptoprilMost Sold0.12450.12450.20.12450.143375913443.7192

7CaptoprilLowest Price0.12450.12450.20.12450.1433751.1787050220.848388681987182.8484

10Ceftriaxone injectionBrand9.49.49.49.3958.689.49.49.49.49.399.49.49.3959.49.399.399.399.3969.3969.349.49.3600952381905880.5772

10Ceftriaxone injectionMost Sold8.258.258.258.258.258.258.258.258.258.258.258.258.258.458.258.258.2625891280.8496

10Ceftriaxone injectionLowest Price8.258.258.258.258.258.258.258.258.258.258.258.258.258.458.258.258.26250.88273674461.13284057347961002.93100

13CiprofloxacinBrand1.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.161.16933920.996

13CiprofloxacinMost Sold1.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.0531.05363688596

13CiprofloxacinLowest Price1.0530.8231.0531.0530.6591.0531.0531.0531.0531.0530.8231.0530.4731.0530.5371.0531.0530.8230.4731.0530.9150.78879310341.2677595628781122.2488

16DiclofenacBrand0.11470.11430.11470.11470.1140.11470.11470.11470.11470.11470.11470.11470.11470.11470.11430.1150.11470.11470.11470.11470.1150.1146571429872562.2492

16DiclofenacMost Sold0.10630.10630.10630.10630.12930.10630.10630.10630.10630.10630.10630.10630.10630.10630.10630.10630.10630.10630.1075777778-0.2166327239

16DiclofenacLowest Price0.10630.0770.0770.10630.12930.0320.0770.0770.10630.0770.03650.0770.0770.10630.0770.0770.10630.0770.0770.10630.084130.73375280341.3628568032

18FluoxetineBrand0.76140.76140.76140.74710.76140.76140.74710.76140.76140.74710.76140.76140.757825

18FluoxetineMost Sold0.6490.649

18FluoxetineLowest Price0.6490.6490.8563982451.1676810478

20GlibenclamideBrand0.08010.0940.08010.08010.08010.08010.08010.08010.0940.0940.08010.097330.08010.0940.08010.08010.08010.08010.08010.0940.08010.08010.08010.08010.08010.0835692

20GlibenclamideMost Sold0.073330.073330.073330.073330.073330.07333

20GlibenclamideLowest Price0.073330.073330.073330.073330.0750.073330.0750.0870.0750.0870.073330.07627090910.91266769441.095689051

21GliclazideBrand0.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.094330.09433

21GliclazideMost Sold0.082170.082170.08217

21GliclazideLowest Price0.082170.082170.082170.87109085131.1479858829

27LoratadineBrand0.16770.16770.16770.16770.1950.1950.16770.16770.16770.16770.1950.16770.1950.16770.16770.16770.17170.16770.16770.16770.16770.16770.16770.16770.1724166667

27LoratadineMost Sold0.15050.1880.15050.1930.1880.1880.15050.16650.1930.15050.1880.16650.15050.1950.15050.15050.15050.15050.15050.15050.166075

27LoratadineLowest Price0.15050.1560.15050.1660.1880.15050.15050.16650.1660.1560.15050.15050.16650.15050.1950.15050.08250.15050.15050.15050.15050.1660.15520454550.90017136081.1108995949

28MetforminBrand0.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.02660.0266

28MetforminMost Sold0.02440.02440.02440.02440.02440.020.02440.0237714286

28MetforminLowest Price0.02440.02440.02440.02440.02440.020.02440.02377142860.89366272821.1189903846

30OmeprazoleBrand0.97640.92070.97640.92070.97640.97640.92070.97640.92070.97640.92070.9207110.97710.97640.97640.97640.97641.20640.97640.97640.9738409091

30OmeprazoleMost Sold0.88570.88570.85570.85570.88570.85570.88570.85570.85570.85570.85570.88570.88570.85570.85570.8050.94710.85570.85570.85570.88570.88570.85570.85570.8673958333

30OmeprazoleLowest Price0.88570.69710.88570.85570.85570.88570.85570.88570.53930.85570.78460.51290.88570.69710.80360.53930.8050.75360.85570.51290.85570.88570.88570.53930.78460.7721360.792876941.2612297692

31ParacetamolBrand0.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.0150.015310.0150.0150.0150.0150.0150.0150.0150129167

31ParacetamolMost Sold0.01320.01320.01320.0150.0150.0150.015630.01320.01220.01320.01320.01320.020.01320.0150.01320.01320.01320.01330.01320.01320.01320.0139059091

31ParacetamolLowest Price0.015630.01320.01320.01320.0150.0150.0150.015630.01320.01220.01320.01320.01320.018750.01320.0150.01320.01320.01320.01330.01320.01320.01320.01392652170.9276359851.0780090641

33RanitidineBrand0.39550.39550.39550.39550.39550.39550.39550.39550.39550.39550.39550.39550.39550.39550.39550.4050.39550.39550.39550.39550.39550.39550.39550.3959130435

33RanitidineMost Sold0.340.340.340.340.320.340.340.340.340.5650.3605

33RanitidineLowest Price0.1430.340.340.340.320.340.320.1430.340.1430.30.24750.30.1430.30.2550.340.1430.1430.1430.1430.2930.25088636360.63369057361.5780572437

34Salbutamol inhalerBrand0.01970.01980.01970.01970.01970.01970.01970.01970.01970.01970.01970.01970.01970.01970.01970.01970.01990.01970.01970.01970.01970.01970.01970.01970.0197125

34Salbutamol inhalerMost Sold

34Salbutamol inhalerLowest Price0.01540.01540.01540.01540.78123018391.2800324675

0.87109085131.1479858829

0.78501164371.1032943229

0.90641952761.2738960152

Comparisons

Correct priceWrong priceCommentsMark-upCorrect priceWrong priceCommentsCorrect priceWrong priceComments

Acetylsalicylic acidBrand210027Acetylsalicylic acidBrand210Acetylsalicylic acidMSG00

MSG00**

AciclovirBrand962x0.200; 3x0.400(old price); 1x20tab pack instead of 254027AciclovirBrand962x0.200; 3x0.400(old price); 1x20tab pack instead of 25AciclovirMSG00

MSG00**

AmitriptylineBrand221x0.010; 1x0.0205027AmitriptylineBrand221x0.010; 1x0.020AmitriptylineMSG00

MSG00**

AmoxicillinBrand811x0.900 (typo)1127AmoxicillinBrand811x0.900 (typo)AmoxicillinMSG00

MSG00**

AtenololBrand02423x0.720(wrong price?); 1x0.070100AtenololBrand02423x0.720(wrong price?); 1x0.070AtenololMSG01413x0.480(wrong price?); 1x0.540

MSG01413x0.480(wrong price?); 1x0.540100

Beclometasone inhalerBrand1222x0.0901427Beclometasone inhalerBrand1222x0.090Beclometasone inhalerMSG10

MSG10027

CaptoprilBrand2021x-1.000(typo); 1x2.940927CaptoprilBrand2021x-1.000(typo); 1x2.940CaptoprilMSG311x1.510(price for 50mg tab)

MSG311x1.510(price for 50mg tab)2526

CarbamazepineBrand1911x-0.110527CarbamazepineBrand1911x-0.110CarbamazepineMSG00

MSG00**

CarvedilolBrand1311x0.010727CarvedilolBrand1311x0.010CarvedilolMSG00

MSG00**

Ceftriaxone injectionBrand219No price for single vial; price for 5; 2 exact, 11 more, 8 less; 1x-0.054; 1x-0.7169027Ceftriaxone injectionBrand219No price for single vial; price for 5; 2 exact, 11 more, 8 less; 1x-0.054; 1x-0.716Ceftriaxone injectionMSG1511x0.200

MSG1511x0.200627

CephalexinBrand111x1.750(500mg price)5027CephalexinBrand111x1.750(500mg price)CephalexinMSG00

MSG00**

ChlorpromazineBrand00**ChlorpromazineBrand00ChlorpromazineMSG00

MSG00**

CiprofloxacinBrand230027CiprofloxacinBrand230CiprofloxacinMSG180

MSG180027

Co-trimoxazole suspensionBrand00**Co-trimoxazole suspensionBrand00Co-trimoxazole suspensionMSG711x0.040

MSG711x0.04013

DiazepamBrand00*DiazepamBrand00DiazepamMSG00

MSG00*

DiclofenacBrand1652x-0.010; 2x0.010; 1x-0.02024DiclofenacBrand1652x-0.010; 2x0.010; 1x-0.020DiclofenacMSG1711x0.690

MSG1711x0.69061x0.690

FluconazoleBrand500FluconazoleBrand50FluconazoleMSG00

MSG00*

FluoxetineBrand1200FluoxetineBrand120FluoxetineMSG10

MSG100

GemfibrozilBrand1811x-0.2905GemfibrozilBrand1811x-0.290GemfibrozilMSG00

MSG00*

GlibenclamideBrand2411x0.1004GlibenclamideBrand2411x0.100GlibenclamideMSG055x-0.050

MSG055x-0.050100

GliclazideBrand2300GliclazideBrand230GliclazideMSG00

MSG00*

HydrochlorothiazideBrand00*HydrochlorothiazideBrand00HydrochlorothiazideMSG00

MSG00*

IbuprofenBrand00*IbuprofenBrand00IbuprofenMSG2011x-0.040

MSG2011x-0.0405

IndapamideBrand2321x-0.010; 1x0.0908IndapamideBrand2321x-0.010; 1x0.090IndapamideMSG00

MSG00*

Insulin neutralBrand211x0.12033Insulin neutralBrand211x0.120Insulin neutralMSG00

MSG00*

LisinoprilBrand2031x0.210; 1x2.000; 1x-0.02013LisinoprilBrand2031x0.210; 1x2.000; 1x-0.020LisinoprilMSG00

MSG00*

LoratadineBrand2311x0.1204LoratadineBrand2311x0.120LoratadineMSG1552x0.050; 1x0.070; 2x0.320

MSG1552x0.050; 1x0.070; 2x0.32025

MetforminBrand1800MetforminBrand180MetforminMSG611x0.030

MSG611x0.03014

Nifedipine RetardBrand2400Nifedipine RetardBrand240Nifedipine RetardMSG00

MSG00*

OmeprazoleBrand1931x4.000; 2x1.11014OmeprazoleBrand1931x4.000; 2x1.110OmeprazoleMSG2311x-1.130

MSG2311x-1.1304

ParacetamolBrand2311x0.0304ParacetamolBrand2311x0.030ParacetamolMSG1931x0.010; 1x-0.100; 1x48tab not 50

MSG1931x0.010; 1x-0.100; 1x48tab not 5014

PhenytoinBrand1833x0.30014PhenytoinBrand1833x0.300PhenytoinMSG00

MSG00*

RanitidineBrand2211x0.1904RanitidineBrand2211x0.190RanitidineMSG911x2.250(price for 300mg)

MSG911x2.250(price for 300mg)10

Salbutamol inhalerBrand2221x0.020; 1x0.0408Salbutamol inhalerBrand2221x0.020; 1x0.040Salbutamol inhalerMSG30

MSG300

SimvastatinBrand2121x-1.590; 1x0.2609SimvastatinBrand2121x-1.590; 1x0.260SimvastatinMSG00

MSG00*Total prices192

Total prices740Total prices548total no. of errors3518.2

total no. of errors12016.2total no. of errors8515.5no. of lower prices822.8571428571

no. of lower prices2520.8333333333no. of lower prices1922.3529411765no. of higher prices27

no. of higher prices95no. of higher prices66

0.20.20.20.2

0.20.20.20.2

0.40.40.40.4

0.40.40.40.4

0.40.40.40.4

0.010.010.010.01

0.020.020.020.02

0.90.90.90.9

0.7223x0.720(wrong price?); 1x0.0700.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.720.720.72

0.070.070.070.07

0.090.090.090.09

0.090.090.090.09

-1No price for single vial; price for 5; 2 exact, 11 more, 8 less; 1x-0.054; 1x-0.716-1

2.942.942.94

-0.11-0.11

0.010.010.010.01

1.751.751.75

-0.01-0.01

-0.01-0.01

0.010.010.010.01

0.010.010.010.01

-0.02-0.02

0.690.690.690.69

-0.29-0.29

0.10.10.10.1

-0.01-0.01

0.090.090.090.09

0.120.120.120.12

0.210.210.210.21

222

-0.02-0.02

0.120.120.120.12

4444

1.111.111.11

1.111.111.11

0.030.030.030.03

0.30.30.30.3

0.30.30.30.3

0.30.30.30.3

0.190.190.190.19

0.020.020.020.02

0.040.040.040.04

-1.59-1.59

0.260.260.260.26

median0.40.10.720.545

All-atenololonly highhigh-extreme

LPGs

1.71.82.3

1.731.922.73

Sri Lanka1.25.6

3.44.510.4

5.14.713.7

4.72.513.9

78.214

Cameroun20.715

Brazil16.516.2

15.916.118.3

1115.521.6

South Africa723.7

7.120.424.9


Most sold generic

Innovator brand

Median MPR (MSH reference prices)

MSGs

Number of LPGs available

Acetylsalicylic acid

Aciclovir

Amitriptyline

Amoxicillin

Atenolol

Beclometasone inhaler

Captopril

Carbamazepine

Carvedilol

Ceftriaxone injection

Cephalexin

Chlorpromazine

Ciprofloxacin5

Co-trimoxazole suspension2

Diazepam

Diclofenac13

Fluconazole

Fluoxetine

Gemfibrozil

Glibenclamide5

Gliclazide

Hydrochlorothiazide

Ibuprofen13

Indapamide

Insulin neutral

Lisinopril

Loratadine8

Metformin

Nifedipine Retard

Omeprazole11

Paracetamol2

Phenytoin

Ranitidine15

Salbutamol inhaler

Simvastatin

74

Med. No.Medicine NameCore List (yes/no)Name12345678910111213141516171819202122232425COUNT%preMSGpostMSG

1Acetylsalicylic acidnoAspirin

Jusprin0010

2AcicloviryesZovirax

Aviral0010

Wariviron0000

Virpes0000

3AmitriptylineyesTriptizol

4AmoxicillinyesAmoxil

Julphamox0010

5AtenololyesTenormin

Tenol-5011111111111111145611

6Beclometasone inhaleryesBecotide

Viarex11411

7CaptoprilyesCapoten

Acetab111141611

Capril0000

8CarbamazepineyesTegretol

9CarvedilolnoDilatrend

10Ceftriaxone injectionyesRocephin

Mesporin1111111111111111166411

Triaxone0000

11CephalexinnoKeflex

Cefrin0010

12ChlorpromazinenoLargactil

13CiprofloxacinyesCiprobay

Bactiflox111111111111111111187211

Sarf111141600

Quinox112800

Cipromax0000

Cifran 500112800

Ciproxen11400

Ciprodar0000

14Co-trimoxazole suspensionyesBactrim

Theraprim11410

Septrin1111111183201

Nopil11400

Trimol0000

15DiazepamyesValium

16DiclofenacyesVoltaren

Olfen111111111111111111187211

Clofen11111111111114400

Diclogesic112800

17FluconazolenoDiflucan

18FluoxetineyesProzac

Salipax11411

19GemfibrozilnoLopid

20GlibenclamideyesDaonil

Glynase111141610

Doabetic1111152001

Euglucon112800

21GliclazidenoDiamicron

Glyzide112801

22HydrochlorothiazideyesEsidrex

23IbuprofennoBrufen

Profinal111111111111111111111218411

Advil1111111183200

I-Profen1111152000

Ibu20011400

24IndapamidenoNatrilix

25Insulin neutralnoActrapid

26LisinoprilnoZestril

27LoratadinenoClaratine

Lorine11111111111111111111208011

Loraday1111111183200

Loratan11131200

Loratin11131200

Lorano11400

28MetforminyesGlucophage

Metaphage111111172811

29Nifedipine RetardyesAdalat Retard

30OmeprazoleyesLosec

Gasec-20111111111111111111111111249611

Risek11111111111111145600

Omiz111141600

Epirazole11131200

Minisec-201111152000

Omedar112800

31ParacetamolnoPanadol

Adol11111111111111111111111239211

Tylenol11111162400

Panacetamol1111111183200

32PhenytoinyesEpanutin

33RanitidineyesZantac

Ranimax11410

Rantag1111111111104001

Ranidine11111162400

Histac-150111111172800

Navidine11400

Ranid1111152000

APO-ranitidine11400

34Salbutamol inhaleryesVentolin Evohaler

Butalin11131211

35SimvastatinnoZocor

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

Affordability lowest paid non-Kuwaiti government workerCalculated as no. of days wages needed to purchase model treatment>1 day = unaffordableNote: Kuwait has free public health services

ConditionMedicineRxBrandGenericArthritisDiclofenac 25mg bid x 30 d5.23.5HyperlipidemiaSimvastatin*10mg d x 30 d10.8-ARI (adult)Amoxicillin 250mg tid x 7 d2.4-Ulcer (peptic)Ranitidine 150mg bid x 30 d17.813.3Ulcer ( duodenal)Omeprazole*20mg d x 30 d22.019.3

ConclusionsPublic sector procurement is efficientwider use of generics advocated Limited generic penetration of retail market some medicines unaffordable to low-paid workersGeneric price 10-15% below brand pricelack of competition and pricing regulation systemIf CMS purchases made available to private pharmacies could dramatically reduce prices.

Acknowledgements

Klara Tisocki, Nabeel Al-SaffarMinistry of Health of the State of KuwaitDr. Ahmad Al-Duaij, Ph. Qadriya Al-Awadi, Ph. Yaqoub Salem, Ph. Mohammed Motar Al-BloushiHAI and WHOMs. Margaret Ewen (HAI)Andrew Creese (WHO)Richard Laing (WHO)Jean Madden (Harvard)Kyrsten Myhr (HAI)Dept. of Pharmacy Practice, KU Philip CappsIvan EdafioghoMaha FodehLloyd Matowe Eman Abahussain.

Documents

Medicine Prices in Kuwait