From: Comparison of pharmaceutical pricing and reimbursement systems in Turkey and certain EU countries
Country | Turkey | France | Greece | Spain | Italy | Portugal | UK | |||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Pricing policy | Statutory pricing | Price negotiation | Statutory pricing | Statutory pricing | Price negotiation | Statutory pricing | Margine control | |||||||
Direct price controls | Org | Gen | Org | Gen | Org | Gen | Org | Gen | Org | Gen | Org | Gen | Org | Gen |
Yes | Yes | Yes | No | Yes | Yes | Yes | No | Yes | No | Yes | No | No | Yes | |
Reference pricing | Yes | Yes | Yes | Yes | Yes | Yes | Only for PPRS-excluded medicines | |||||||
External reference pricing | Yes | Yes | Yes | Yes | Yes | Yes | No | |||||||
Internal reference pricing | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |||||||
Different pricing for generics | Yes | Yes | Yes | Yes | Yes | Yes | Yes | |||||||
Price control | All medicines | Only for reimbursed medicines | All medicines | Only for reimbursed medicines | Only for reimbursed medicines | All prescription medicines | Only for medicines in NHS list | |||||||
Level of price control | Manufacturer price | Manufacturer price | Manufacturer price | Manufacturer price | Manufacturer price | Manufacturer price | NHS list price | |||||||
Reimbursement catagories | In general 41% and 28% discount. 18% and 10% available for 20 year old medicines and generics generally | Major (65%), moderate (35%), weak (0%) | 0, 10 and 25% | 100, 90, 60 and 0% | Class A and class H 100%, Clas C and class C-bis 0% | Class A 95%, B 69%, C 37%, D 15% | After PPRS price negotiation 100% | |||||||
Differences for originals and generics on reimbursement level | Yes | No | No | Yes | No | No | Yes | |||||||
Negative positive list | Yes | Yes | No | Yes | No | Yes | Yes | |||||||
Decision taking committees | Reimbursement commission of social security institution (SSI) | Committee of transparancy and economics | Transparancy committee | Inter-ministerial pricing committee | Technical committee under italian medicines agency (AIFA) | Portugal medicines agency | Health department of PPRS |