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Medicines pricing

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1. How should medicine price be based?
A. Manufacturing cost + distribution margin
B. R&D cost + manufacturing cost + distribution margin
C. Based on the value of medicines (e.g. Higher cost for lifesaving medicines)
D. High income countries pay higher cost for medicines and low income countries what they can afford
2. What could be solutions for high cost medicines?
A. Companies agree to lower their asking price or offer access programs to low and middle income countries
B. Government introduce stronger pricing regulation
C. Government issue compulsory license on patented medicine and pay royalty to patent holders
D. Governments and payers cooperate to increase their bargaining power
3. What are the challenges in getting better prices?
A. Lack of information on the production cost, what other countries are paying etc
B. Small volume /demand from the domestic market
C. Lack of capacity on HTA and pricing regulation to determine the value of medicines
4. How could payers better control medicines prices?
A. Building capacity on price negotiations
B. Price information exchange on real prices
C. Countries coming together for group negotiation of prices
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