Berndt, Ernst R. and Dubois, Pierre (2012) Impacts of Patent Expiry and Regulatory Policies on Daily Cost of Pharmaceutical Treatments: OECD Countries, 2004-2010. TSE Working Paper, n. 12-283

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Abstract

Cross-country variability in regulatory frameworks, industrial policy, physician/pharmacy autonomy, brand/generic distinctions, and in the practice of medicine contributes to ambiguous interpretations of pharmaceutical cost comparisons. Here we report cross-country comparisons that: (i) focus on 11 therapeutic classes experiencing patent expiration and loss of exclusivity 2004-2010 in eight industrialized countries; (ii) convert revenues and unit sales to cost per day of treatment and number patient days treated using the World Health Organizations’ Defined Daily Dosage metrics; (iii) compare patterns in costs per day of treatment with price index measures based on average price per day of treatment for each molecule computed over all molecule versions; (iv) utilizing econometric methods, model and quantify various factors affecting variations in daily treatment price indexes such as national regulatory and reimbursement policy changes, physician/pharmacy autonomy, and other factors; and (v) simulate changes in expenditures by country and therapeutic class had counterfactual policies been implemented.

Item Type: Monograph (Working Paper)
Language: English
Date: March 2012
JEL Classification: D4 - Market Structure and Pricing
I11 - Analysis of Health Care Markets
I18 - Government Policy; Regulation; Public Health
L11 - Production, Pricing, and Market Structure; Size Distribution of Firms
L65 - Chemicals; Rubber; Drugs; Biotechnology
O34 - Intellectual Property Rights - National and International Issues
Subjects: B- ECONOMIE ET FINANCE
Divisions: TSE-R (Toulouse)
Institution: Université Toulouse Capitole
Site: UT1
Date Deposited: 09 Jul 2014 17:24
Last Modified: 02 Apr 2021 15:47
OAI Identifier: oai:tse-fr.eu:25744
URI: https://publications.ut-capitole.fr/id/eprint/15242

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