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All of the volunteers are thanked for making BMS a memorable conference. We hope you, in the midst of your hard work, gained valuable experience as well as enjoyable mo- ments. The Scientific and Organizing committees provided laudable effort in preparing for this conference. We thank you deeply for your contribution. We thank also the International Steering Group of BMS for providing expert advice and for providing the continuity which has made 40 years of BMS possible. Finally we wish to honor The Norwegian School of Sport Science and its Rector, Prof. Sigmund Loland, for making BMS in Oslo possible. In. | REPORT Medicine prices and affordability in West Bengal Page 1 Medicine Prices and Affordability in the State of West Bengal India Authors Prof. Santanu Kumar Tripathi Chairperson Pharmaceutical Committee Community Development Medicinal Unit CDMU West Bengal and Medical Superintendent cum Vice Principal Institute of Postgraduate Medical Education Research IPGME R and SSKM Hospitals Kolkata. Ms. Dalia Dey Programme Officer Consumer Unity Trust Society Calcutta Resource Centre Kolkata Dr. Avijit Hazra Honorary Unit Coordinator CDMU West Bengal and Lecturer in Pharmacology IPGME R Kolkata. Report of a survey supported by World Health Organization and Health Action International The material in this publication may be reproduced in whole or in part and in any form for education or non-profit uses without special permission from the copyright holders provided acknowledgement of the source is made. The publishers would appreciate receiving a copy of any publication which uses this publication as a source. No use of this publication may be made for resale and other commercial purposes without prior written permission of CUTS CDMU. REPORT Medicine prices and affordability in West Bengal Page 2 Contents List of Tables . 3 List of Figures . 3 Acknowledgements. 4 Conflict of Interest Statement. 4 Project Execution Team. 5 List of Abbreviations Used in the Report. 6 Executive Summary. 7 1. Introduction and Objectives. 9 1.1 Background to the Study. 9 1.2 West Bengal Demography Health System and Access to Medicines Situation. 9 1.3 Objectives . 11 2. Methods . 12 2.1 Survey Planning and Preparation. 12 2.2 Sampling . 13 2.3 Selection of Indicator Medicines . 13 2.4 Reference Price Lists and the Median Price Ratio. 16 2.5 Most Sold Generic Equivalent. 16 2.6 Affordability . 17 2.7 Price Components and Cumulative Mark-up. 18 2.8 Data Collection. 19 2.9 Data Analysis . 19 3. Results . 20 3.1 Availability of Medicines in the Public and Private Sectors. 20 3.2 Comparison of Medicine