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Healthy Skepticism Library item: 13966

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: news

Taylor L.
Australia: over 800 drug prices to fall 25% next month
Pharma Times 2008 Jul 5
http://www.pharmatimes.com/WorldNews/article.aspx?id=13848&src=EWorldNews


Full text:

The prices paid by the Australian government for over 800 widely-used prescription drugs will drop 25% on August 1. The one-off price cut will affect almost half of all drugs supplied through the Pharmaceutical Benefits Scheme (PBS), with the prices of 400 products falling below A$31.30, the fee paid by general patients for PBS medicines, thus enabling pharmacists to offer further discounts. The lower prices will not however be available to pensioners, who pay only A$5 per prescription.

The 25% price cut will affect the majority of medicines included in the PBS F2T category of drugs, which includes products where price competition between brands is high. The prices of a further 427 medicines are expected to be reduced through reductions to premium charges and other contributions.

Also on August 1, the first of three annual price cuts, of 2% each, will be imposed on F2A medicines, defined as products where price competition between brands is low.

The F2A and F2T groups are subdivisions of the PBS’s F2 formulary, which covers multiple-brand medicines and any single-brand products which are interchangeable with multiple brands operating in a competitive market. There will be no price cuts for products listed on the F1 formulary, which consists of single-brand medicines which are not subject to market competition in the market, but when a new brand of an F1 medicine is PBS-listed, it will be transferred to the F2 formulary and become subject to its pricing arrangements.

Meantime, 237 million prescriptions were filled in Australia in 2006, and prescription drugs and over-the-counter (OTC) medicines together accounted for around A$3 billion, or 14% of the nation’s health spending during the year, according to Australia’s Health 2008, the latest report from the Australian Institute of Health and Welfare (AIHW).

168 million community prescriptions were issued through the PBS in 2006 – 26 million for general patients and 142 million for concessional patients – a similar figure to 2005, it says. 15 million prescriptions were also written under the Repatriation Pharmaceutical Benefits Scheme (RPBS), which covers eligible war veterans and their dependents.

The top five prescribed therapeutic classes in 2006-7 were antibiotics, simple analgesics, antihypertensives, hormonal contraceptives and proton pump inhibitors, either alone or in combination, says the AIHW.

It also reports that Australians’ life expectancy is now 81.4 years – 83 for men and 86 for women – which is the second-highest worldwide after Japan. The nation’s health spending reached A$86.9 billion in 2005-6, equal to 9% of Gross Domestic Product (GDP), which is more than the UK (8.3%), similar to Italy (8.9%) and much less than the USA (15.3%), it adds.

Legislators probe PBS’s effects on patients, industry

- In the Australian Parliament, the Senate’s Community Affairs Committee is currently investigating the impact of the PBS’s cost recovery process on: patients’ timely and affordable access to medicines; the Australian pharmaceutical industry; new products and innovation; and the independence of the Pharmaceutical Benefits Advisory Committee (PBAC). The Committee will not report its findings before August 18, says the Senate.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909