Savings in the Health System due to the Direct Regulation of the Sale Prices of Biotechnological Medicines in Colombia
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Keywords

biotechnology
cost control
health economy
economic analysis
product marketing
medical savings

How to Cite

Savings in the Health System due to the Direct Regulation of the Sale Prices of Biotechnological Medicines in Colombia. (2017). Gerencia Y Políticas De Salud, 15(31). https://doi.org/10.11144/Javeriana.rgyps15-31.assr
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Abstract

We developed a retrospective analysis on the sales of thirteen biotechnological regulated medi­cines between June, 2010, and June, 2014, in two scenarios: amounts billed after the price and assumed value regulation, calculated based on the average sale price during the six months prior to the regulation, plus the health consumer price index. The difference between both scenarios entails a saving for the system. The biotechnological medicines analyzed generated savings for US $95 Million in said period; 10.2% during the first year, 17.2% during the second, and 30.5% during the third. The biotechnological medicine that generated the most savings was rituximab (40.9%), equivalent to US $38,510,787. The direct regulation of biotechnological medicines has generated significant savings for the healthcare system, as seen from the sales registered by Audifarma. Probably, the economic savings generated by this policy are above the initial government estimates.

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1. Ortún V. Patentes, regulación de precios e innovación en la industria farmacéutica. Cuadernos Económicos de ICE. 2004; 67:191-207.

2. Figuera A. Análisis del mercado de la salud (el caso argentino). Económica. 1991; XXVII(2):3-29.

3. Lee YC, Yang MC, Huang YT, Liu CH, Chen SB. Impacts of cost containment strategies on pharmaceutical
expenditures of the National Health Insurance in Taiwan, 1996-2003. Pharmacoeconomics. 2006; 24(9):891-902.

4. Cabrales A. Pharmaceutical generics, vertical product differentiation, and public policy. Working Paper. 2003; 662:1-23.

5. Puig-Junoy J. Impacto de la regulación de los precios de los medicamentos en el mercado de genéricos: valoración de los efectos y necesidad de reforma. Barcelona: Autoritat Catalana de la Competència (ACCO); 2009.

6. Departamento Nacional de Planeación. Política Nacional Farmacéutica (Conpes). Bogotá: DPN; 2012.

7. Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo. Circular 03 de 2013. Bogotá: Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo; 2013.

8. Observatorio del Medicamento, Federación Médica Colombiana. Informe preliminar sobre borrador
de Circular 04 de 2013 de la CNPM y DM. Bogotá: Observatorio del Medicamento, Federación Médica Colombiana; 2013.

9. Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo. Circular 004 de 2010. Bogotá: Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo; 2010.

10. Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo. Circular 001 de
2011. Bogotá: Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo;
2011.

11. Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo. Circular 1 de
2012. Bogotá: Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo; 2012.

12. Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo. Circular 3 de 2012. Bogotá: Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo; 2012.

13. Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo. Circular 4 de 2012. Bogotá: Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo; 2012.

14. Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo. Circular 04 de 2013. Bogotá: Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo; 2013.

15. Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo. Circular 07 de 2013. Bogotá: Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo; 2013.

16. Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo. Circular 01 de 2014. Biogotá: Ministerio de Salud y Protección Social, Ministerio de Comercio, Industria y Turismo; 2014.

17. Banco de la República. Índice de precios al consumidor (IPC) [Internet]. Bogotá: Banco de la República; 2015. Diponible en: http://www.banrep. gov.co/es/ipc

18. Banco de la República de Colombia. Tasa de cambio del peso colombiano (TRM) [Internet]. Bogotá:
Banco de la República; 2015. Disponible en: http://www.banrep.gov.co/es/trm

19. Ministerio de la Protección Socia. Resolución 1020 de 2011. Bogotá: Ministerio de la Protección
Social; 2011.

20. Ministerio de Salud y Protección Social. Resolución 2569 de 2012. Bogotá: Ministerio de Salud y Protección Social; 2012.

21. Brekke KR, Holmas TH, Straume OR. Reference pricing, competition, and pharmaceutical expenditures: Theory and evidence from a natural experiment. Journal of Public Economics. 2011; 95:624-38.

22. Morgan SG, Barer ML, Agnew JD. Whither senior’s pharmacare: Lessons from (and for) Canada. Health Affairs. 2003; 22:49-59.

23. Elías MA. Regulación y competencia en el mercado de medicamentos: experiencias relevantes para
América Latina. Mexico: Cepal; 2010.

24. Roviera J, Gómez P, Del Llano J. La regulación del precio de los medicamentos en base al valor. Madrid: Fundación Gaspar Casal; 2012.

25. Aaserud M, Dahlgren AT, Kösters JP, Oxman AD, Ramsay C, Sturm H. Pharmaceutical policies: effects of reference pricing, other pricing, and purchasing policies. Cochrane Database Syst Rev. 2006; 19(2):CD005979.

26. McGuire A, Raikou M, Kanavos P. Pricing pharmaceuticals: Value based pricing in what sense? Eurohealth. 2008; 14(2):3-6.

27. Finance and NHS/Medicines, Pharmacy and Industry Group/17080. The pharmaceutical price regulation scheme 2014. Londres: Finance and NHS/Medicines, Pharmacy and Industry Group/17080; 2013.

28. Andia T, Gaviria A, Gómez C, Jaramillo L, Márquez S, Rodríguez I, et al. First evaluation of Colombia’s external reference pricing system for drugs. Value in Health. 2014; 17(3):A15. Document presented as poster in the ISPOR XIX International Meeting en Montreal, Canada.

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