Generic Drug
Industry
Doctors in all Delhi government-owned
hospitals and clinics will have to prescribe medicines by their generic
name (chemical name) and
not by the costlier brands
of a particular company.
“The officers of the drugs
control department have been instructed to monitor the prescriptions issued
by doctors in hospitals and dispensaries under Delhi government,” a directive
of the state government issued earlier this month said. According to the
Delhi government’s website, it runs about 30 hospitals in the city state.
Prices of generic drugs
which have the same therapeutic qualities are significantly lower than
their branded versions. For example, popular brands of paracetamol, used
to treat headache, cost Rs 10 for a strip of 10 tablets (500 mg). Its non-branded
generic equivalent cost as less as Rs 2.45 for the same batch of tablets.
Unlike other consumer
products, patients cannot choose from different brands or do not know their
generic equivalent. They buy only the particular brand their doctor prescribes.
Drug companies spend huge amount of money to promote their brands and convince
doctors to prescribe their product over others.
In return, doctors are
given lucrative gifts and incentives, an unethical practice the government
is trying to address separately.
The Delhi government move
follows similar steps by the union health ministry and the Rajasthan government.
Last month, the union health ministry asked all central government hospitals
and autonomous institutions to mandatorily mention the generic name of
a drug when they prescribe a medicine.
“This will curb the often
observed practice of prescribing specific brands of medicine with a rider
that no substitute should be supplied,” a union health ministry statement
said.
The Delhi government directive
has also asked state-run hospitals and dispensaries to open more generic
drug stores under the union government’s Jan Aushadhi programme. Under
the initiative, launched last year, medicine outlets in the hospitals will
sell lowcost version of drugs.
The move is a step towards
the government’s plan to reduce the cost of healthcare. At present, about
Rs 8,000 crore worth of medicines are sold in hospitals and institutes
in India compared with Rs 42,000 crore in retail outlets through chemists.
Of these institutional sales, a large chunk are in private hospitals.
Common medical exam on
the cards
The board of governors
of the Medical Council have set the ball rolling for doing away with multiple
entrance examination for undergraduate and graduate medical programmes,
reports Our Political Bureau from New Delhi. The board has already approached
CBSE and asked it to begin work on the common entrance exams. The new system
is expected to be launched in 2011.
Generic drug industry
tries desperately to protect an indefensible business model in Quebec
OTTAWA, June 30 /CNW
Telbec/ - Canada's Research-Based Pharmaceutical Companies (Rx&D) responded
today to assertions by the Canadian Generic Pharmaceutical Association
(CGPA) that the Government of Quebec's support for the brand-name drug
industry is detrimental, given the importance and inestimable value of
innovation to Quebec's health and prosperity.
"By requiring the generic
drug industry to reduce its excessive prices, the government is doing its
job to ensure the sustainability of Quebec's Prescription Drug Insurance
Plan," stated Rx&D president Russell Williams, noting that the generic
drugs sold in Canada are among the most expensive in the world. The Fraser
Institute and the Competition Bureau of Canada corroborate this, while
the Bureau goes even further by maintaining that if generic drugs were
sold at a competitive price in Canada, patients and drug insurance plans
would save over $800 million a year.
Brand-name medicine prices,
which are controlled by the Patented Medicine Prices Review Board (PMPRB),
are below the international median. "We shouldn't let ourselves be distracted
from the real issue here - that generic drugs cost too much. Quebec is
exercising its right to reimburse the lowest price in the country and as
such is aligning its reimbursement policy with that of other provinces,
like Ontario," added Mr. Williams.
The 15 Year Rule - heavily
criticized by the CGPA - is a provision specific to Quebec that acknowledges
the risk tied to innovation by providing reimbursement for new medicines
for a period of 15 years from their listing on Quebec's drug formulary,
regardless if the patent expires or a generic equivalent exists. While
this measure carries costs for Quebec's Prescription Drug Insurance Plan,
a study by Quebec Ministry of Finance(1) indicates that the benefits largely
outweigh the costs: abolishing the rule would lead to a recurring loss
of $340 million per year in Quebec's gross domestic product (GDP) due to
reduced investments and job losses in the life sciences sector.
The research-based pharmaceutical
industry has a special relationship with Quebec thanks to its historic
decision to develop a strong knowledge-based economy that will create wealth
and usher in a bright future. This societal choice has been a profitable
one, as Quebec garners 45% of all pharmaceutical research investment in
Canada, even though it represents less than 25% of Canada's population,
is home to 28 international pharmaceutical companies, and boasts the largest
concentration of pharmaceutical headquarters in Canada, as well as the
production and research activities of 12 of the 15 largest pharmaceutical
groups in the world.
Over the years Rx&D
member companies have forged partnerships with many Quebec universities
and hospitals with a view to promoting pharmaceutical research. This has
led to a variety of clinical trials, new research chairs like those on
obesity at Université Laval and cardiovascular disease at McGill
University, and a nurse practitioners program at the latter institution.
"In addition, since the
Drug Policy came into effect in 2007, these same companies have invested
several hundred million dollars in the construction, expansion, and renovation
of various research facilities. These funds would probably have been channeled
elsewhere if not for the long tradition of partnership between the research-based
pharmaceutical industry and the Quebec government, and the importance of
Quebec for our industry," said Mr. Williams. He concluded by stating that
"all the partnerships we have formed with healthcare stakeholders - including
physicians, nurses, and pharmacists - are aimed at ensuring an efficient
healthcare system that benefits patients, who must remain a priority for
all."
About Rx&D
Rx&D is the association
of leading research-based pharmaceutical companies dedicated to improving
the health of Canadians through the discovery and development of new medicines
and vaccines. Our community represents 15,000 men and women working for
50 member companies and invests more than $1 billion in research and development
each year to fuel Canada's knowledge-based economy. Guided by our Code
of Ethical Practices, our membership is committed to working in partnership
with governments, healthcare professionals and stakeholders in a highly
ethical manner.
|