RE: ATC/DDD cost comparison

[Guest guest]

Hi, Can cost comparison be done in the form of ratio like- Drug price : Affordability (per capita income) ? AnupamaVijay <drvijaythawani@...> wrote: HiFurther to Kunda's comment on medicine pricing and affordability, yes in India medicines are low as compared to international prices but at the same time the affordability is also low because the incomes are low. Hence mere comparison of mere medicine prices will not give the

correct picture. The DDD is a research tool. Now that the moderator has explained it so well, our young members will do well to read her post once again to get the understanding of the issue.Vijay

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[Guest guest]

Hello Anupama,

We did the exercise of cost verses affordability and we did find that the medicines were affordable in our country. But there were some aspects which were not taken into consideration . like, lowest paid worker was a govt. employee for our stdy design. where as we have self employed people whose income is far less.We did not take into consideration the fact that simultaneously more than one member of the family could be affected increasing the cost burden.So mere cost comparisons do not give us the real picture . what you have suggested, can be used within the country comparison.

kunda

HiFurther to Kunda's comment on medicine pricing and affordability, yes in India medicines are low as compared to international prices but at the same time the affordability is also low because the incomes are low. Hence mere comparison of mere medicine prices will not give the correct picture. The DDD is a research tool. Now that the moderator has explained it so well, our young members will do well to read her post once again to get the understanding of the issue.Vijay

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[Guest guest]

Hi

,Yes, it has been done. Please search HAI site.

Even Dr Anita Kotwani has done it.

Vijay

> Hi

>

> Further to Kunda's comment on medicine pricing and affordability,

yes

> in India medicines are low as compared to international prices but

at

> the same time the affordability is also low because the incomes are

> low. Hence mere comparison of mere medicine prices will not give

the

> correct picture.

>

> The DDD is a research tool. Now that the moderator has explained it

so

> well, our young members will do well to read her post once again to

get

> the understanding of the issue.

>

> Vijay

>

>

>

>

>

>

> ---------------------------------

> Get the freedom to save as many mails as you wish. Click here to

know how.

>

[Guest guest]

Hi

The lowest paid government worker was considered for international

comparisons.

Vijay

[Guest guest]

Dear Madam, Thanks. I get it that affordability is not so easy to calculate. After going through Dr Sarang's posting, we have answers to most of the questions of DDD. Anupamakunda gharpure <gharpurekunda@...> wrote: Hello Anupama, We did the exercise of cost verses affordability and we did find that the medicines were affordable in our country. But there were some aspects which were not taken into

consideration . like, lowest paid worker was a govt. employee for our stdy design. where as we have self employed people whose income is far less.We did not take into consideration the fact that simultaneously more than one member of the family could be affected increasing the cost burden.So mere cost comparisons do not give us the real picture . what you have suggested, can be used within the country comparison. kunda HiFurther to Kunda's comment on medicine pricing and affordability, yes in India medicines are low as compared to international prices but at the same time the affordability is also low because the incomes are low. Hence mere comparison of mere medicine prices will not give the correct picture. The DDD is a research tool. Now that the moderator has explained it so well, our young members will do well to read her post once again to get the understanding of the issue.Vijay Get the freedom to save as many mails as you wish. Click here to know how. Forgot the famous last words? Access your message archive online. Click here.

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[Guest guest]

Thank you Sir. I will search for it. In our country since very few people are in govt jobs, can we do it by taking an average of daily labour costs of different states? Eg for Rajasthan it is 100 Rs per day, for Kerala it is nearly Rs200 and so on... Anupama.Vijay <drvijaythawani@...> wrote: Hi,Yes, it has been done. Please search HAI site.Even Dr Anita Kotwani has done it.Vijay> Hi> > Further to Kunda's comment on medicine pricing and affordability, yes > in India medicines are low as compared to international prices but at > the same time the affordability is also low because the incomes are > low. Hence mere comparison of mere medicine prices will not give the > correct picture. > > The DDD is a research tool. Now that the moderator has explained it so > well, our young members will do well to read her post once again to get > the understanding of the issue.> > Vijay> > > > > > >

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[Guest guest]

We should not deviate much from the ongoing topic - ATC/DDD

netrum From: dicgoa@...Date: Mon, 7 Jan 2008 12:38:53 +0200Subject: Re: Re: ATC/DDD cost comparison

The actual costs of drugs in India is very low, but the prices bloat up because of huge marketing costs. Second problem is that majority of drugs and FDCs in India are irrational or really not wanted. but, it is these which are most often prescribed. So many of the drugs listed in the Essential drugs List are not available in the market today. Instead, we have FDCs, with increased costs. Simple example is that a Fe SO4 tablet costs around 10 paise, but nobody markets it in the private sector. Instead, marketing emphasis is laid up Fe(III) Hydroxide polymaltose, and Ferrous Ascorbate tablets, which cost anywhere between Rs 5 to 7 per tab !

Can ANYONE in the middle calss really afford it ? What happens if this is prescribed in the Govt sector (because of marketing pressures) (it is quite often done!!!), for a pregnant women below the poverty line ? will her family able to afford to take it throughout her pregnancy ?

Raj VAidya

Community Pharmacist

Goa

On 1/5/08, anupama sukhlecha <anupama_acad (DOT) co.in> wrote:

Hi,

Can cost comparison be done in the form of ratio like-

Drug price : Affordability (per capita income) ?

AnupamaVijay <drvijaythawani (DOT) co.in> wrote:

HiFurther to Kunda's comment on medicine pricing and affordability, yes in India medicines are low as compared to international prices but at the same time the affordability is also low because the incomes are low. Hence mere comparison of mere medicine prices will not give the correct picture. The DDD is a research tool. Now that the moderator has explained it so well, our young members will do well to read her post once again to get the understanding of the issue.Vijay

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[Guest guest]

Hi Anita,

No problems. We are an open forum and you are expert in medicine

pricing. It shows your alertness and responsiveness to the issue.

Appreciated.

Vijay

> Hi> > Further

to Kunda's comment on medicine pricing and affordability, yes > in

India medicines are low as compared to international prices but at >

the same time the affordability is also low because the incomes are >

low. Hence mere comparison of mere medicine prices will not give the

> correct picture. > > The DDD is a research tool. Now that the

moderator has explained it so > well, our young members will do well

to read her post once again to get > the understanding of the issue.>

> Vijay> > > > > > > ---------------------------------> Get the

freedom to save as many mails as you wish. Click here to know how.>

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[Guest guest]

Hi,

During our project for WHO-HAI coordinated by Dr Anita Kotwani, we

failed to find the rationale of mark ups on medicines. Where ever we

went, we met dead walls. None wanted to divulge how they calculated

the mark ups. There was absolutely nontransparency. All said that it

is confidential, industry secret, and they would not like to talk

about it.

My logical reasoning is that the high mark ups on medicines in India

may be there becuase mark up is not dictated by law (?), is not

monitored (?), consumers (patients) are not organised to create

pressure group, medical activists in this area are very few, DRA

cares two hoots about the demand for bringing in transparency in

medicine pricing, drug industry is very powerful, grease ensures that

the indstry practice continues unhindered, reforms are far too slow,

public apathy is there etc;

The very fact that Indian medicines have high markups, in some cases

the retail margins are >1000% (no error in zeros here) goes on to

show the state of affairs of The State.

Vijay

> >

> > Hi

> >

> > Further to Kunda's comment on medicine pricing and affordability,

yes

> > in India medicines are low as compared to international prices

but at

> > the same time the affordability is also low because the incomes

are

> > low. Hence mere comparison of mere medicine prices will not give

the

> > correct picture.

> >

> > The DDD is a research tool. Now that the moderator has explained

it so

> > well, our young members will do well to read her post once again

to get

> > the understanding of the issue.

> >

> > Vijay

> >

> >

> >

> >

> > ------------------------------

> > Get the freedom to save as many mails as you wish. Click here to

know

how.<http://in.rd./tagline_mail_5/*http://help./l/in

//mail/mail/tools/tools-08.html/>

> >

> >

> >

>

[Guest guest]

Hi Anita,

Accepted that we do not like the discussion to deviate.Usually other

issues (not relting to the topic under discussion) are supposed to be

discussed during the breaks between the two topics.

But this was the first post from the member so I thought of replying

to him.

Vijay

>

>

> HiFurther to Kunda's comment on medicine pricing and affordability,

yes in India medicines are low as compared to international prices

but at the same time the affordability is also low because the

incomes are low. Hence mere comparison of mere medicine prices will

not give the correct picture. The DDD is a research tool. Now that

the moderator has explained it so well, our young members will do

well to read her post once again to get the understanding of the

issue.Vijay

>

>

> Get the freedom to save as many mails as you wish. Click here to

know how.

>

>

>

>

>

>

>

>

>

>

>

> _________________________________________________________________

> Post free property ads on Yello Classifieds now! www.yello.in

> http://ss1.richmedia.in/recurl.asp?pid=221

>

[Guest guest]

Dear Anita Madam, Thanks for guiding us. I got to know from unofficial source in the train about the daily wage in kerala. Our Netrumians from Kerala would be able to explain better. Please pardon me for diverting the discussion. -Anupama.anita kotwani <anitakotwani@...> wrote: Hello, Sorry Dr. Thawani, I am replying to a question put for you. But I wanted to know that is it really true that in Kerala daily wage of a labour is Rs.200/? Yes,

Anupama we can do affordability calculation by any value for different countries, states, different type of employment...... Anita netrum From: anupama_acad (DOT) co.inDate: Mon, 7 Jan 2008 05:42:41 +0000Subject: Re: ATC/DDD cost comparison Thank you Sir. I will search for it. In our country since very few people are in govt jobs, can we do it by taking an average of daily labour costs of different states? Eg for Rajasthan it is 100 Rs per day, for Kerala it is nearly Rs200 and so on... Anupama.Vijay <drvijaythawani (DOT) co.in> wrote: Hi,Yes, it has been done. Please search HAI

site.Even Dr Anita Kotwani has done it.Vijay> Hi> > Further to Kunda's comment on medicine pricing and affordability, yes > in India medicines are low as compared to international prices but at > the same time the affordability is also low because the incomes are > low. Hence mere comparison of mere medicine prices will not give the > correct picture. > > The DDD is a research tool. Now that the moderator has explained it so > well, our young members will do well to read her post once again to get >

the understanding of the issue.> > Vijay> > > > > > > ---------------------------------> Get the freedom to save as many mails as you wish. Click here to know how.> Unlimited freedom, unlimited storage. Get it now Detailed profiles 4 marriage! Only at Shaadi.com Try it!

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