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NHS medicines 'cost millions too much'

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Published Date: 21 February 2007
THE NHS is paying drugs companies hundreds of millions of pounds too much for some branded medicines, a report warned yesterday.
The Office of Fair Trading called for the UK-wide drugs purchasing system - the Pharmaceutical Price Regulation Scheme (PPRS) - to be overhauled.

Under the PPRS companies are free to set the initial prices of drugs but have a maximum level of pro
fits they can earn.

But the OFT recommends that the system is replaced with a "patient-focused, value-based pricing scheme" to ensure that the price of drugs reflects their clinical and therapeutic value to patients.

The study identified several branded drugs where prices were "significantly out of line with patient benefits".

They suggested that some drugs currently prescribed in large volumes are up to ten times more expensive than substitute treatments that deliver very similar benefits.

But the pharmaceutical industry insisted the PPRS had done a "good job" of providing value for money in health-care and said companies needed to be encouraged to invest in research and development.

John Fingleton, the chief executive of the OFT, said: "Focusing prices on the needs of patients rather than on the costs of drug companies would be good for patients and business."

A Scottish Executive spokeswoman said: "It is important that we have fair prices which give value for money and we are continually looking at ways to achieve this.

"We recognise the importance of the pharmaceutical industry to healthcare and the development of medical advances, and it is in all our interests to encourage research and reward innovation," the spokeswoman said.



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1

Mev Brown,

Edinburgh 21/02/2007 02:16:59

You would think that when you have such a large buyer [the NHS is the third biggest employer in the world], they would have the gumption to negotiate a good deal with suppliers...

Watch this space: www.nhsfirst.org.uk

2

Pete39,

Tassy 21/02/2007 05:14:48

If they have pharmaceutical companies manufacturing in the country I would think that they would have to strike a balance between generic and proprietary drugs. It is always a good idea to measure the ability of the negotiators.

3

Jim C,

21/02/2007 14:50:10

See what happened to the price of one drug in Denmark when a patient organisation got the healt minister to agree that copy medicines should be allowed

http://www.migraeniker.dk/english/index_eng.htm

4

lisa,

perth 21/02/2007 20:14:50

I am reading into this an undercurrent which suggest that prescribing powers whould be taken from doctors and given to accountants.

5

S.Macleod,

In bed. 22/02/2007 03:16:00

One that some of the USA manufacturers like to pull is to make drugs available in different sizes, like they should do; 5,10,15,20,50mg etc. But when checking the prices you find that 100mg of 5mg tablets may cost 50 pounds and 100mg of 10mg tablets may cost 30 pounds. Then you go to you chemist for your 15mg dose and he says "sorry, no 10mg" so he supplies you with 3 x 5mg / day instead of a 5mg and 10mg. That should be illegal. But there again, since the company I am talking about has been trying to get UK GPs to give antipsychotics to people with dementia without prescription and since this company witheld the info that their "medication" can cause diabetes I have started to wonder if they can get away with even trying that, what is realy going on.

I am talking about Zyprexa.

Here is some light reading about it, checkout who is involved :

http://zmagsite.zmag.org/May2004/levine0504.html


 

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