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A new entity for the negotiation of public procurement prices for patented medicines in Mexico

Bulletin of the World Health Organization, 2012-10, Vol.90 (10), p.788-792 [Peer Reviewed Journal]

2015 INIST-CNRS ;Copyright World Health Organization Oct 2012 ;(c) World Health Organization (WHO) 2012. All rights reserved. 2012 ;This work is licensed under a Creative Commons Attribution 3.0 International License. ;ISSN: 0042-9686 ;EISSN: 1564-0604 ;DOI: 10.2471/BLT.12.106633 ;PMID: 23109747 ;CODEN: BWHOA6

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Title:
A new entity for the negotiation of public procurement prices for patented medicines in Mexico
Author: GOMEZ-DANTES, Octavio ; WIRTZ, Veronika J ; REICH, Michael R ; TERRAZAS, Paulina ; ORTIZ, Maki
Subjects: Annual reports ; Biological and medical sciences ; Committees ; Cost control ; Cost Control - methods ; Drug Costs - standards ; Drug Costs - trends ; Expenditures ; General aspects ; Generic drugs ; Government purchasing ; Government spending ; Governments ; Health ; Health insurance ; Health Policy & Services ; Health services ; Humans ; Insurance ; Insurance coverage ; Insurance, Pharmaceutical Services - economics ; Insurance, Pharmaceutical Services - trends ; Intellectual property ; Lessons from the Field ; Lists ; Low income groups ; Medical sciences ; Medicine ; Mexico ; Miscellaneous ; Negotiating ; Negotiations ; Pharmaceutical industry ; Pharmaceutical Preparations - economics ; Prices ; Procurement ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Public sector ; Universal Health Insurance - economics ; Universal Health Insurance - trends
Is Part Of: Bulletin of the World Health Organization, 2012-10, Vol.90 (10), p.788-792
Description: As countries expand health insurance coverage, their expenditures on medicines increase. To address this problem, WHO has recommended that every country draw up a list of essential medicines. Although most medicines on the list are generics, in many countries patented medicines represent a substantial portion of pharmaceutical expenditure. To help control expenditure on patented medicines, in 2008 the Mexican Government created the Coordinating Commission for Negotiating the Price of Medicines and other Health Inputs (CCPNM), whose role, as the name suggests, is to enter into price negotiations with drug manufacturers for patented drugs on Mexico's list of essential medicines. Mexico's public expenditure on pharmaceuticals has increased substantially in the past decade owing to government efforts to achieve universal health-care coverage through Seguro Popular, an insurance programme introduced in 2004 that guarantees access to a comprehensive package of health services and medicines. Since 2008, the CCPNM has improved procurement practices in Mexico's public health institutions and has achieved significant price reductions resulting in substantial savings in public pharmaceutical expenditure. The CCPNM has successfully changed the landscape of price negotiation for patented medicines in Mexico. However, it is also facing challenges, including a lack of explicit indicators to assess CCPNM performance; a shortage of permanent staff with sufficient technical expertise; poor coordination among institutions in preparing background materials for the annual negotiation process in a timely manner; insufficient communication among committees and institutions; and a lack of political support to ensure the sustainability of the CCPNM.
Publisher: Genève: Organisation mondiale de la santé
Language: English;Portuguese
Identifier: ISSN: 0042-9686
EISSN: 1564-0604
DOI: 10.2471/BLT.12.106633
PMID: 23109747
CODEN: BWHOA6
Source: PubMed (Medline)
SciELO
Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
ProQuest Central
DOAJ Directory of Open Access Journals

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A new entity for the negotiation of public procurement prices for patented medicines in Mexico

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