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Sustaining Generic Medicines Markets in Europe

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<strong>Susta<strong>in</strong><strong>in</strong>g</strong> generic medic<strong>in</strong>es markets 64medic<strong>in</strong>es. The generic medic<strong>in</strong>es policy failed to support generic medic<strong>in</strong>es consumption, apartfrom regulation govern<strong>in</strong>g generic substitution by pharmacists, which tends to favour theconsumption of generic medic<strong>in</strong>es. Pharmacists are now f<strong>in</strong>ancially penalised for dispens<strong>in</strong>ggeneric medic<strong>in</strong>es. Few <strong>in</strong>centives for physicians to prescribe generic medic<strong>in</strong>es have beenimplemented. As a result, the Spanish generic medic<strong>in</strong>es market tends to be a low-price, lowvolumemarket, thus h<strong>in</strong>der<strong>in</strong>g the economic viability of generic medic<strong>in</strong>es to enter and rema<strong>in</strong> onthe market.Key factors h<strong>in</strong>der<strong>in</strong>g the development of the generic medic<strong>in</strong>es market:• Historically, the Spanish generic medic<strong>in</strong>es market has been small due to the existence of adeveloped market of copies and low medic<strong>in</strong>e prices• Competition created by the 2000 generic medic<strong>in</strong>es policy benefited pharmacists rather thanpatients, thus <strong>in</strong>hibit<strong>in</strong>g demand for generic medic<strong>in</strong>es• The 2003 generic medic<strong>in</strong>es policy <strong>in</strong>cited companies to reduce prices of orig<strong>in</strong>atormedic<strong>in</strong>es to RPs that are set close to marg<strong>in</strong>al costs, thus limit<strong>in</strong>g the profitability of anddemand for generic medic<strong>in</strong>es• Few <strong>in</strong>centives exist for physicians to prescribe generic medic<strong>in</strong>es• Pharmacists are f<strong>in</strong>ancially penalised for dispens<strong>in</strong>g generic medic<strong>in</strong>es

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