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Price Volume Agreements PPRI Project Christine Leopold Gesundheit Österreich GmbH PPRI Conference Warsaw, 29 October 2007. Terminology regarding pricing. Pricing policies Price control (statutory pricing, price negotiation, public procurement) Free pricing Pricing procedures - PowerPoint PPT Presentation
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Warsaw 29 October 2007 1
Pharmaceutical Pricing & Reimbursement Information ÖBIG
Price Volume AgreementsPPRI Project
Christine LeopoldGesundheit Österreich GmbH
PPRI ConferenceWarsaw, 29 October 2007
Warsaw 29 October 2007 2
Pharmaceutical Pricing & Reimbursement Information ÖBIG
Pricing policies
Price control (statutory pricing, price negotiation,public procurement)
Free pricing
Pricing procedures External price referencing
Internal price referencing
Cost-plus
Others (e.g. indirect price control)
Terminology regarding pricing
Warsaw 29 October 2007 3
Pharmaceutical Pricing & Reimbursement Information ÖBIG
For all pharmaceuticals (BE, BG, CY, CZ, EL, LU; TR)
For POM (NL, PT; NO)
For reimbursable pharmaceuticals
Most common pricing policy
No price control DK - however linkage to reimbursement
MT
Pricing policiesPrice control (at price setting level)
Warsaw 29 October 2007 4
Pharmaceutical Pricing & Reimbursement Information ÖBIG
Statutory pricing e.g. BE, BG, CY, CZ, EL, ES, LT, LU, PT, SE; NO, TR
Negotiations (FR, IT)
Mixture
Statutory pricing after negotiations (EE, LV, PL)
Price Volume Agreements (e.g. EE)
Public procurement in the hospital sector
Pricing policiesWay of price control
Warsaw 29 October 2007 5
Pharmaceutical Pricing & Reimbursement Information ÖBIG
Claw-back A system allowing third party payers to recoup (part of the)
discounts/rebates granted in a reimbursement system between various stakeholders, e.g. wholesalers and pharmacists
Examples are NL and UK
Pay-back A financial mechanism that requires manufacturers to refund a
part of their revenue to a payer (i.g. social health insurance / national health service) if sales exceed a previously determined or agreed target-budget.
Example FR
Other ways of control costs