Generic drug pricing in Canada

Michael LawUniversity of British Columbia

http://www.flickr.com/photos/sparktography/388889060/in/photostream/

NOW ONLY

$59.99!

62.5¢ 2.4¢6.9¢

simvastatin (20mg)

60-70%(pre-2006)

Brand Generic Equivalent

50%(2006)

25%(2010)

20%(2014)

ramipril (10mg)

metformin (500mg)

citalopram (20mg)

simvastatin (20mg)

paroxetine (20mg)

25.3¢

5.9¢

33.3¢

62.5¢

45.1¢

5.0¢3.6¢ 4.3¢

6.9¢8.4¢

1.2¢3.2¢ 2.4¢

5.7¢

Ontario US New Zealand

> 15

14 to 15

13 to 14

12 to 13

11 to 12

10 to 11

9 to 10

8 to 9

7 to 8

6 to 7

5 to 6

4 to 5

3 to 4

2 to 3

1 to 2

1 to 2

2 to 3

3 to 4

4 to 5

5 to 6

6 to 7

7 to 8

8 to 9

9 to 10

10 to 11

11 to 12

12 to 13

13 to 14

14 to 15

> 15

0

2

4

6

8

10

12

14

16N

um

be

r o

f g

en

eri

c p

rod

uc

ts (

n=

82

) Less expensive in Canada More expensive in Canada

Number of times more expensive elsewhere Number of times more expensive in Canada

Canadians pay too much for generic

drugs

$245,000,000

http://www.flickr.com/photos/sparktography/388889060/in/photostream/

32.0¢ 2.4¢7.9¢

atorvastatin (10mg)

Canadians still pay too much for generic drugs

Apotex: at home, and abroad

Ingredient Ontario (¢) New Zealand (¢)

amlodipine (10mg) 50.3 3.4

clopidogrel (75mg) 65.8 14.9

gliclazide (80mg) 9.3 2.9

metformin (500mg) 5.9 1.0

risperidone (1mg) 30.4 8.2

Acknowledgements

Collaborators:Steve Morgan, Jillian Kratzer,Alison Ystma, Anna Dijkstra,Jay Douillard, Deborah Heard

Funding and data access:CIHRIMS Brogan

Salary support:CIHRMichael Smith Foundation for Health ResearchPeter Wall Institute for Advanced Studies

http://www.flickr.com/photos/sparktography/389824828/

Michael Lawmlaw@chspr.ubc.ca@Michael_R_Law

http://www.flickr.com/photos/19779889@N00/4334955095/