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The Guide to Pharmaceutical Pricing & Reimbursement Systems: Western Europe

Published by: Urch Publishing

Published: Nov. 1, 2005 - 245 Pages


Table of Contents


Austria

Belgium

Denmark

Finland

France

Germany

Greece

Ireland

Italy

Netherlands

Norway

Portugal

Spain

Sweden

Switzerland

United Kingdom




List of Figures

Austrian healthcare financing by category in 2002 (€m)

Austrian pharmaceutical market 2001-2003 (€m at consumer price level)*

Health spending in Austria

Increase in pharmaceutical sales of reimbursed drugs Austria

Pharmaceutical price regulation classification in Austria

Number of medicinal products according to classification (1 January 2005)

The registration to reimbursement structure for pharmaceuticals in Austria

Pharmaceutical hospital sales in Austria

Austrian OTC sales

Patient co-payments 2001-2005 (€)

Growth of generics market in Austria (2000-2005)

Wholesale pharmacy margins (2005)

Pharmacy margins for purchasers who receive preferential treatment

Pharmacy margins for private customers

Price structure of medicines in Austria in 2003

Price build-up of pharmaceuticals in Austria - 2005

Changes to the pharmaceutical pricing and reimbursement system in Austria (1995-2005)

Summary of pharmaceutical cost-containment measures in Austria

Healthcare budget in Belgium

Administrative procedures for pharmaceutical pricing and reimbursement

Reimbursement rates by drug category in Belgium

Drug pricing and reimbursement timeline

Healthcare expenditure by drug category

NCE reimbursement premiums in Belgium (2000)

Refused registrations in Chapter I

Summary of patient co-payment criteria in Belgium

The Maximum A Facturer Cap

Price breakdown of pharmaceuticals according to consumer price

Average price build-up of pharmaceuticals

Changes to the drug price and reimbursement system in Belgium (1992-2006)

Summary of pharmaceutical cost-containment measures in Belgium

Danish pharmaceutical market 2002-2004 (€m at consumer price level)*

Sales pharmaceutical specialties, 2001-2005 (pharmacy purchase prices; DKKm)

Number of active substances, medicinal products and packs, on the Danish market 2000-2004

Price development of pharmaceuticals

Reimbursement, co-payment and turnover of pharmaceuticals sold to individuals divided by reimbursement types in the third quarter of 2004

Ongoing medicine reimbursement re-assessment procedure

Sales of medicinal products in the hospital sector 2000-2004 (DKKm)

Annual patient reimbursement levels for prescription medicines

Permitted price variation for generic substitution in Denmark

Pharmacy margins in Denmark - 2002

Price build-up of pharmaceuticals in Denmark - 2005

Price build up of pharmaceuticals, EU average vs. Denmark

Parallel imports in Denmark

Changes to the drug price and reimbursement system in Denmark (1991-2005)

Summary of pharmaceutical cost-containment measures in Denmark

Danish pharmaceutical market 2002-2004 (€m at consumer price level)*

Sales pharmaceutical specialties, 2001-2005 (pharmacy purchase prices; DKKm)

Number of active substances, medicinal products and packs, on the Danish market 2000-2004

Price development of pharmaceuticals

Reimbursement, co-payment and turnover of pharmaceuticals sold to individuals divided by reimbursement types in the third quarter of 2004

Ongoing medicine reimbursement re-assessment procedure

Sales of medicinal products in the hospital sector 2000-2004 (DKKm)

Annual patient reimbursement levels for prescription medicines

Permitted price variation for generic substitution in Denmark

Pharmacy margins in Denmark - 2002

Price build-up of pharmaceuticals in Denmark - 2005

Price build up of pharmaceuticals, EU average vs. Denmark

Parallel imports in Denmark

Changes to the drug price and reimbursement system in Denmark (1991-2005)

Summary of pharmaceutical cost-containment measures in Denmark

Pharmaceutical sales at consumer prices in Finland, 2004

Breakdown of drug sales in 2003

Wholesale price index for all medicines, prescription medicines and self-care medicines compared to the consumer price index, 1998-2003

Wholesale price and special reimbursement status application process

Medicine reimbursement paid by the SII, 2003

Most significant diseases entitling the patient to special reimbursement of medicine costs, 2003

Most significant diseases entitling the patient to special refunds and average cost per recipient, 2004

Drugs granted special reimbursement status in 2004

First year of generic substitution in Finland (April 2003-March 2004)

Pharmacy price bands in Finland - 2003

State-imposed pharmacy fees in Finland - 2003

Figure.12 Price build-up of pharmaceuticals in Finland, 2004

Changes to the drug price and reimbursement system in Finland (1990-2005)

Summary of pharmaceutical cost-containment measures in Finland

Pharmaceutical sales at consumer prices in Finland, 2004

Breakdown of drug sales in 2003

Wholesale price index for all medicines, prescription medicines and self-care medicines compared to the consumer price index, 1998-2003

Wholesale price and special reimbursement status application process

Medicine reimbursement paid by the SII, 2003

Most significant diseases entitling the patient to special reimbursement of medicine costs, 2003

Most significant diseases entitling the patient to special refunds and average cost per recipient, 2004

Drugs granted special reimbursement status in 2004

First year of generic substitution in Finland (April 2003-March 2004)

Pharmacy price bands in Finland - 2003

State-imposed pharmacy fees in Finland - 2003

Price build-up of pharmaceuticals in Finland, 2004

hanges to the drug price and reimbursement system in Finland (1990-2005)

Summary of pharmaceutical cost-containment measures in Finland

European average prices in relation to France

Payback system for companies that have not signed conventions with the CEPS

Fee exemptions per pharmaco-therapeutic aggregate

Tax on promotional spend of pharmaceuticals

Share of generics as a percentage of all medicines sold 1999-2003

Directory of generics as percentage of the market for reimbursable products

Wholesaler and pharmacy margins 2005

Price build-up for an average €10 non-reimbursable and reimbursable medicinal

Changes to the drug price and reimbursement system in France (1990-2004)

Summary of pharmaceutical cost-containment measures in France

Pharmaceutical industry in Germany (2003): figures and facts

Pharmaceutical sales per capita (2002 in US$ adjusted for purchasing power)

Expenditures in statutory health insurance system (2003)

Sales and packages sold through pharmacies (2003)

Pharmaceutical prices: an international comparison (2003)

Regulatory measures and attractiveness of German generics market (2001)

Pharmacy margins in Germany

Price build-up of lower priced pharmaceuticals in Germany - 2004

Price build-up of higher priced pharmaceuticals in Germany - 2004

Price structure of prescription medicines in Germany vs. Europe - 2001

Parallel Imports in the pharmacy market (at manufacturer's prices)

Changes to the drug price and reimbursement system in Germany (1993-2004)

Summary of pharmaceutical cost-containment measures in Germany

Pharmaceutical industry in Germany (2003): figures and facts

Pharmaceutical sales per capita (2002 in US$ adjusted for purchasing power)

Expenditures in statutory health insurance system (2003)

Sales and packages sold through pharmacies (2003)

Pharmaceutical prices: an international comparison (2003)

Regulatory measures and attractiveness of German generics market (2001)

Pharmacy margins in Germany

Price build-up of lower priced pharmaceuticals in Germany - 2004

Price build-up of higher priced pharmaceuticals in Germany - 2004

Price structure of prescription medicines in Germany vs. Europe - 2001

Parallel Imports in the pharmacy market (at manufacturer's prices)

Changes to the drug price and reimbursement system in Germany (1993-2004)

Summary of pharmaceutical cost-containment measures in Germany

Healthcare expenditure as proportion of GDP in Greece

Healthcare spending in Greece

Healthcare expenditure in Greece

Pharmaceutical sales in Greece

Pharmaceutical spending in Greece

Generic and innovative sales in Greece at wholesale price

Price build-up for imports of most EU medicinal products in Greece

Price structure of some imported EU medicinal products in Greece

Parallel trade at consumer prices in Greece

Summary of pharmaceutical cost-containment measures in Greece

Publicly funded, privately funded and total health expenditure (percentage of GDP)

Ireland compared to the OECD member countries average, 2002

Public Expenditure on Health in Ireland, 1998-2004

Growth in state expenditure on medicines in Ireland, 1998-2003

GMS scheme expenditure in Ireland, 1997-2003

Payments by the General Medical Services (Payments) Board (€m)

Long term illness scheme expenditure 1997-2003

Drug payment scheme expenditure in Ireland, 1997-2003

High tech drugs scheme expenditure in Ireland, 1997-2003

Price composition for oral medicinal products in Ireland, 2005

Price composition for non-oral medicinal products in Ireland, 2005

Summary of pharmaceutical cost-containment measures in Ireland

SSN pharmaceutical expenditure: comparison between 2003 and 2004

Pharmaceutical expenditure; first 9 months of 2004

Territorial pharmaceutical expenditure and consumption volume: comparison between 2002 and 2003

Retail sales of OTC healthcare by sector: value 2001-2003

Market of SSN reimbursed products (net expenditure)

Generics market evolution

Price build-up for medicinal products in Italy - up to June 2004

A decade of changes to the drug price and reimbursement system in Italy (1994 onwards)

Summary of pharmaceutical cost-containment measures in Italy

Useful contacts

Pharmaceutical market in the Netherlands (€m consumer price level)

Top ten drugs by expenditure in The Netherlands, 2003

Price composition for medicinal products in The Netherlands - 2004

Price build-up of medicines, Netherlands vs. EU average

Summary of Pharmaceutical Cost-Containment Measures in The Netherlands

Who pays for pharmaceuticals in Norway

Price build up of non-prescription medicines - 2003

Co-payment conditions and calculations for generic substitution - 2004

Price build-up for non-prescription medicines in Norway - 2003

Changes to the drug price and reimbursement system in Norway (1990-2002)

Summary of pharmaceutical cost-containment measures in Norway

Pharmaceutical Market in Portugal 2002-2003 - €m

Annual prices revision of medicinal products 1995-2002

Reimbursement criteria in Portugal

Price build-up for non-prescription medicines in Portugal - 2004

Patient co-payment system

Generic market 2000-2004

Portuguese generic market 2000-2004

Price structure of prescription medicines in Portugal vs. Europe - 2001

Changes to the drug price and reimbursement system in Portugal (1992-2005)

Summary of pharmaceutical cost-containment measures in Portugal

Weighted average price of pharmaceuticals in main European Union countries 2000 & 2001 (Retail price, inc. VAT)

Pharmacy margins according to monthly public reimbursed totals

Price structure of prescription medicines in Spain vs. Europe - 2001

Price build-up for medicines costing €89.62 or less - 2005

Pharmaceutical distribution margins 2005

New measures introduced in 2005 through the RD 2.402/2004 and the new strategic pharmaceutical policy plan

Summary of pharmaceutical cost-containment measures in Spain

Sweden, Pharmaceutical market in €m at pharmacy purchasing price* - 2001 to 2003

Co-payment and reimbursement levels for prescribed medicines in Sweden

Pharmacy mark-ups for dispensing in Sweden (SEK)

Price build-up for medicines in Sweden in 2004

Changes to the drug price and reimbursement system in Sweden (1990-2003)

Summary of pharmaceutical cost-containment measures in Sweden

Pharmaceutical market by type (by manufacturers' prices) in Switzerland - 2002

Pharmaceutical market in Switzerland (by sales of medicines) in 2003

Healthcare expenditure by categories (as % of total expenditure on healthcare)

Breakdown of the pharmaceutical market in Switzerland

Healthcare resources (per 1000 Population) - Switzerland vs. EU (2002)

Price build-up for medicines in Switzerland, List C and D products - 2004

Price structure of prescription medicines in Switzerland vs. Europe - 2001

Pharmaceutical margins in Switzerland

Sales of non-prescription drugs in Switzerland by distribution channel - 1999

A decade of changes to the drug price and reimbursement system in Switzerland (1994 onwards)

Summary of pharmaceutical cost-containment measures in Switzerland

NHS expenditure on medicines per person in the UK

Definitions of prescribing costs

PPA payments to contractors

Reimbursement of items on an FP10 Prescription Form

Example of timing of reimbursement by PPA to pharmacists

The UK drug tariff for generic medicines

Practice payments to pharmacies dispensing at least 1,100 items per month in the community pharmacy contract for 2005-2006

Summary of pharmaceutical cost-containment measures in the UK

Abstract

National pharmaceutical pricing and reimbursement is a complex and ever-changing area. In a rapidly globalising market it is essential that executives are briefed on the regulatory systems that determine the way in which your company operates and sells its products.

The Guide to Pharmaceutical Pricing and Reimbursement Systems: Western Europe is a straightforward guide to the pricing and reimbursement mechanisms in the major European markets.

The Guide will:
  • save you time by concisely explaining the key elements of pricing and reimbursement regulation
  • offer insight into latest policies and the political environment
  • increase your knowledge of the ways in which governments influence and control the pharmaceutical industry
Each country section has the following headings:
  • Summary
  • How is the healthcare system structured?
  • What size is the pharmaceutical market?
  • Are pharmaceuticals taxed?
  • How are drug prices set?
  • How are prices changed?
  • How are drugs reimbursed?
  • Is there a payback arrangement?
  • Are hospital sales controlled?
  • Are OTC prices regulated?
  • How are pharmaceutical costs controlled?
  • How are generic drugs priced?
  • What are wholesale/pharmacy margins?
  • Is parallel trade influential?
  • What to look out for
  • Abbreviations
  • Useful Contacts
Key features of this unique book
  • Easy to use
    • Standardised headings and full indexing allow you to access the relevant information quickly
  • Well researched
    • Extensive use of primary and secondary sources makes the book extremely comprehensive
  • Up to date
    • Impending developments are clearly indicated, allowing you to anticipate the changes that will affect you business
  • Clearly presented
    • Using a question and answer format, the information is easily digestible


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