TAILIEUCHUNG - Medicine Prices in the state of Rajasthan, India - Report of a survey of medicine prices, availability, affordability and price components in Rajasthan, India

The WHO/HAI methodology for measuring medicine prices relies on data that are collected through visits to medicines outlets in the public sector, the private sector and any other sectors that serve as important medicine dispensing points (. NGOs, mission hospitals). For each medicine included in the survey (a standard “basket” of 50 medicines is recommended), information on the final price of both the originator brand and the lowest-priced generic equivalent found at each medicine outlet is sought. Data on government procurement prices are also collected, as are data on add-on costs (. the incremental charges that added to medicines as. | Medicine Prices in the state of Rajasthan India Report of a survey of medicine prices availability affordability and price components in Rajasthan India Survey conducted April - June 2003 Principal Investigator Dr. Anita Kotwani Department of Pharmacology Vallabhbhai Patel Chest Institute University of Delhi Delhi 110007 INDIA Delhi Society for Promotion of Rational Use of Drugs Advisor Prof. Ranjit Roy Chaudhury C o-Investigators Dr. Nirmal Gurbani Dr. Sangeeta Sharma 1 CONTENTS List of Tables 3 List of Figures 3 Acknowledgements 4 Funding and Conflict of interest statement 5 Executive summary 6 1 Introduction 9 Background 9 Objectives 10 Country and state data 10 2 Methods 13 Sampling of health facilities 13 Medicines surveyed 13 Medicine Price Data Collection Form 14 Affordability 14 Medicine price components 15 Data collection 15 International reference prices and median price ratios 16 Data entry and analysis 16 3 Results 18 Comparison of medicine prices with international reference prices 18 . a Procurement prices in the public sector 18 . b Patient prices in the private sector 19 . c Patient prices in the co-operative sector 22 . d Comparative median price ratios across sectors for 22 a selection of interesting medicines Availability 24 Affordability 27 Price components and cumulative mark-ups 28 4 Discussion 30 5 Conclusions 33 6 Recommendations 34 7 References 35 8 Annexure 37 Annexure 1 List of core and supplementary medicines surveyed 37 Annexure 2 Availability of individual medicines 38 Annexure 3 Median price ratios of individual medicines 39 Annexure 4 Affordability of standard treatment regimens 40 2 List of Tables Table 1 MPRs for a selection of medicines in the public sector procurement prices 18 Table 2 Median MPRs all medicines in the private sector 20 Table 3 Median MPRs in the co-operative sector 22 Table 4 Median percentage availability all medicines across 3 sectors 24 Table

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