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Cost of Drugs

Community Veteran
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Registered: 02-08-2007

Cost of Drugs

Seems we are paying far more for some essential drugs used to treat cancer than many other countries including some countries that are in the EU.
The first question is why ?
The second question is why we cannot purchase these drugs abroad and then use them here ?
15 REPLIES
nanotm
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Re: Cost of Drugs

simple answer, no joined up supply chain.
in the past the country paid less as it ordered in bulk via the MSA and then distributed to locations where it was required, now individual trusts order what they need and bill that order to the budget authority (cancer drugs fund) making each order small and thus expensive, otoh hospital chains in other countries utilise centralised contract negotiations and thus gain discounts.
the street price of the drugs is irrelevant as we cant walk into a shop and buy them here, in other countries that's the only way to get them and as such they are priced based on what the local economy can afford to pay, but if we could chances are we would pay exorbitant prices to offset the losses in overseas regions being as we are apparently the most affluent western nation (despite that not being true) .....
as to the second question,
licensing restrictions, shipping restrictions and higher standards of carriage control than some other places.
just because your paranoid doesn't mean they aren't out to get you
Community Veteran
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Re: Cost of Drugs

So a Doctor working for a health trust in this country cannot go to a EU country, purchase these drugs and bring these drugs back here ?
nanotm
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Re: Cost of Drugs

not unless he gets a prescription for it personally in that country or has a special licence to do so issued by the relevant authority in both countries, it comes under  he heading of "illegal" even for standard over the counter non prescription medications shipping it is not legal in most places (either in or out) and people frequently get reminded of that with the customs forms when traveling, which i'm sure you know
just because your paranoid doesn't mean they aren't out to get you
Community Veteran
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Re: Cost of Drugs

Quote from: gleneagles
Seems we are paying far more for some essential drugs used to treat cancer than many other countries including some countries that are in the EU.
The first question is why ?
The second question is why we cannot purchase these drugs abroad and then use them here ?

Where did you read this?
Community Veteran
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Registered: 12-08-2007

Re: Cost of Drugs

When people look at the cost of drugs they sometimes forget that a drug can take 5-10 years to develop and bring to the market. This research has to be paid for.
Additionally, a drug company could spend millions of pounds working on a drug that never comes to market. This also has to be paid for. This is done by spreading the cost over successful drugs a company launches.
Quote from: nanotm
simple answer, no joined up supply chain.

Wrong. NICE negotiate the price of new drugs on behalf of the NHS. There is an ongoing case this week where NICE is negotiating the cost of a new cancer drug with the manufacturer.
nanotm
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Re: Cost of Drugs

nice negotiates a per unit price not a bulk order price, there is no single purchasing unit with market power in the UK and the drug companies know the CDF will purchase the drugs regardless of the price and they base the asking price for their products accordingly.
just because your paranoid doesn't mean they aren't out to get you
Community Veteran
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Re: Cost of Drugs

Quote from: AndyH
Quote from: gleneagles
Seems we are paying far more for some essential drugs used to treat cancer than many other countries including some countries that are in the EU.
The first question is why ?
The second question is why we cannot purchase these drugs abroad and then use them here ?

Where did you read this?
REF:  Page 45 today's Daily Mail
Community Veteran
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Registered: 15-06-2007

Re: Cost of Drugs

probably this http://www.dailymail.co.uk/health/article-3321121/Sickening-rip-Smaller-matchstick-year-s-dose-life-...
Quote
In one particularly glaring example, we've found that the fund has been paying £115,000 a year for the blood cancer treatment Imnovid, which in Spain costs £90,000, while the cost of manufacturing the drug is a mere £100.
Community Veteran
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Re: Cost of Drugs

Usually the price is what people are willing to pay.
Now Zen, but a +Net residue.
Community Veteran
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Re: Cost of Drugs

Quote from: artmo
When people look at the cost of drugs they sometimes forget that a drug can take 5-10 years to develop and bring to the market. This research has to be paid for.
Additionally, a drug company could spend millions of pounds working on a drug that never comes to market. This also has to be paid for. This is done by spreading the cost over successful drugs a company launches.
Quote from: nanotm
simple answer, no joined up supply chain.

Wrong. NICE negotiate the price of new drugs on behalf of the NHS. There is an ongoing case this week where NICE is negotiating the cost of a new cancer drug with the manufacturer.
I agree the research has to be paid for but the point I was making is that many of these drugs cost us far more than they cost in other countries, the price difference is not just a few pounds it can be hundreds or even thousands, the outcome is NICE will not approve these drugs so why should someone die of cancer in this country whereas in other countries where the drug is cheaper they will get treated.
VileReynard
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Re: Cost of Drugs

Additionally, many drugs are developed, only to discover that the side effects in humans make them unusable.

Community Veteran
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Re: Cost of Drugs

Quote from: AlaricAdair
Usually the price is what people are willing to pay.
Except we are not willing to pay or rather NICE is not willing to pay.
@OJ,
Thanks for the link but the article in the paper listed specific drugs and compared the cost in different countries, cheapest was in India which I do not have a problem with but many EU countries there was a large price difference between what they paid and what we pay.
These are the issues the EU should be addressing
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Re: Cost of Drugs

Quote from: vilefox
Additionally, many drugs are developed, only to discover that the side effects in humans make them unusable.
I am not clear how that explains why we pay more than other countries or to be more accurate why we are expected to pay more ?
VileReynard
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Re: Cost of Drugs

Drug development is expensive, you do lots of animal tests then you try tests on humans.
If that fails, you've spent a lot of money for no return.