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Pharmaceutical cost control in Canada: does it work?

D Menon1

  • 1Institute of Health Economics, and University of Alberta, Edmonton.

Health Affairs (Project Hope)
|October 5, 2001
PubMed
Summary
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Canadian governments use price controls to manage drug costs, showing some success. However, total drug spending still increases, indicating a need for new cost-management strategies beyond price regulation.

Area of Science:

  • Health economics
  • Pharmaceutical policy

Background:

  • Governments in Canada have implemented various drug price control mechanisms.
  • These include federal factory-gate price controls and provincial strategies like formulary management and generic use.

Purpose of the Study:

  • To evaluate the effectiveness of existing drug price control mechanisms in Canada.
  • To identify the need for additional drug spending management strategies.

Main Methods:

  • Analysis of government policies for drug price control at federal and provincial levels.
  • Review of implemented measures including formulary management, generic prescribing, reference-based pricing, price freezes, and markup limits.

Main Results:

  • Existing price control mechanisms have largely been effective in controlling drug prices.

Related Experiment Videos

  • Despite price controls, total drug spending in Canada continues to escalate.
  • Conclusions:

    • Current price control measures demonstrate partial success but are insufficient for comprehensive drug spending management.
    • Development of novel strategies beyond price regulation is essential for better management of national drug expenditures.