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Abstract

Background

Malaysian government has currently no drug pricing regulation. Therefore, drug prices are determined by the market force. In Malaysia, dispensing doctors have dual roles in prescribing and dispensing medicines to patients. General practitioners in private clinics are legally permitted to dispense prescription drugs to their patients. Consequently, general practitioners and community pharmacists play a similar functional role in dispensing medicines to patients because system of dispensing separation is still lacking. This study aims to evaluate the perceptions of general practitioners toward issues of pharmaceutical price war, different bonus schemes provided by pharmaceutical companies, and to assess the selling prices of some prescription drugs.

Method

This study is a cross-sectional questionnaire-based study. Mail survey methodology was adopted in this study to elicit the information of perceptions of general practitioner toward pharmaceutical price war and the selling prices of the top 5 most common Group B prescription drugs in Malaysia. The development of the questionnaire was informed by previous studies Hassali et al. and Tan. All statistical analysis had been performed using Statistical Package for the Social Sciences version 17.0.

Results

Of the 40 responses, (68%) were male participants. Forty percent of the respondents prescribed more than 40 prescriptions per day. Majority of the respondents (60%) strongly agreed that community pharmacies have created the phenomenon of pharmaceutical price war. And almost half of the respondents (45%) agreed that it is reasonable to have different bonus schemes based on the quantities ordered for pharmaceutical products. The price of Plavix® (Clopidogrel) has the highest variation among the prescription drugs (Ringgit Malaysia 94.0 ± 20.3). Lipitor® (Atorvastatin) has the least variation among the innovator drugs (Ringgit Malaysia 40.0 ± 1.6).

Conclusion

In order to preserve the viability of community pharmacies and general practitioners in the country, the authorities should monitor medicine prices especially at the private sector to ensure affordability and to ensure pricing of medicines are appropriate.

Keywords

Pharmaceuticals strategy marketing communication pricing generics market access

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References

Fuchs VR. The growing demand for medical care. Growing Demand Med Care: NBER 1968; 2: 1–8.

Ewen M and Dey D. Medicines: too costly and too scarce. Health Action Int, http://www. haiweb. org/medicineprices (2005, accessed 24 January 2007).

Management Sciences for Health, Euro Health Group. Managing Drug Supply: The Selection, Procurement, Distribution, and Use of Pharmaceuticals, 2nd ed. Sterling, VA: Kumarian Press, Inc, 1997.

Director General of Health Malaysia. Essential drugs concept—an international perspective, http://www.prn.usm.my/old_website/isdb/speech.html (1997, accessed 26th November 2013).

Hassali

Tan

Saleem

. A qualitative exploration of perceptions toward pharmaceutical price war among community pharmacists in the state of Penang, Malaysia. J Med Market: Device, Diagnos Pharmaceut Market 2013; 13: 44–53.

Shafie

Hassali

. Price comparison between innovator and generic medicines sold by community pharmacies in the state of Penang, Malaysia. J Gener Med: Bus J Gener Med Sect 2008; 6: 35–42.

Hassali

Shafie

Babar

ZUD

. A study comparing the retail drug prices between Northern Malaysia and Australia. J Pharmaceut Health Serv Res 2012; 3: 103–107.

Kolassa

. Prices politic, and problems—a pricing philosophy. J Pharm Mark Pract 1997; 1: 21–27.

Mahmood

Bukhari

. Pharmaceutical management and marketing. Faisacbad (Pakistan): Tariq Acad 2002, pp. 115–144.

10.

Babar ZUD, Izham MIM, Singh H, et al. A survey on medicine prices availability, affordability and price components in Malaysia using the WHO/HAI methodology, http://apps.who.int/medicinedocs/documents/s18599en/s18599en.pdf (2005, accessed 5 December 2012).

11.

Babar

ZUD

Ibrahim

MIM

Singh

. Evaluating drug prices, availability, affordability, and price components: implications for access to drugs in Malaysia. PLoS Med 2007; 4: e82–e82.

12.

Shafie

Hassali

. Community pharmacy dispensing costs in the state of Penang, Malaysia. J Appl Pharmaceut Sci 2011; 1: 143–145.

13.

Alabid

AHMA

Ibrahim

MIM

Hassali

MAA

. Dispensing practices of general practitioners and community pharmacists in Malaysia—a pilot study. J Pharm Prac Res 2013; 43: 187–187.

14.

Tan CS. Thesis: Assessment of Medicines Price Variation among Community Pharmacy in the State of Penang, Malaysia. Thesis. Universiti Sains Malaysia, 2014.

15.

O’toole

Battitutta

Long

. A comparison of costs and data quality of three health survey methods: mail, telephone and personal home interview. Am J Epidemiol 1986; 124: 317–328.

16.

Blair J, Czaja RF and Blair EA. Designing Surveys: A Guide to Decisions and Procedures. Thousand Oaks, CA: SAGE Publications, Incorporated, 2013.

17.

Fowler FJ. Survey Research Methods, vol 1. Newbury Park: Sage Publications, 2014.

18.

Dominowski P. Advantages and disadvantages of mail and telephone surveys, http://www.wksu.org/toolkit/chapter4/section1.html (1997, accessed 20 August 2014).

19.

Pharmaceutical Service Division Ministry of Health Malaysia. Private Sector Medicines Wholesale Price List 2011---Controlled Medicines, 2011 [cited 2014 10th October ]. Available from: http://www.cornerstone.my/pharmacy_intranet/aeimages//File/hargaubat/2012/Private_Sector_Cont_1.pdf.

20.

Legal Research Board. Malaysian Laws on Poisons and Sale of Drugs, Petaling Jaya, Malaysia: International Law Book Series, 2001.

21.

Pharmaceutical Society of Australia. Dispensing by other health professionals, http://www.psa.org.au/download/policies/dispensing-by-other-health-professionals.pdf (2006, accessed 9th October 2013).

22.

Hassali

Awaisu

Shafie

. Professional training and roles of community pharmacists in Malaysia: views from general medical practitioners. Malaysian Family Phys 2009; 4: 71–76.

23.

Pharmaceutical Services Division. Poison Act 1952, http://www.pharmacy.gov.my/v2/sites/default/files/document-upload/poisons-act-1952-act-366.pdf (2013, Accessed 23 October 2013).

24.

Bahari

Ling

. Factors contributing to customer satisfaction with community pharmacies in Malaysia. J Publ Heal 2010; 18: 35–41.

25.

Van Heerde H, Gijsbrechts E and Pauwels K. Price war: What is it good for? Store incidence and basket size response to the price war in Dutch grocery retailing. INFORMS Marketing Science Conference, 16–18 June 2005, Atlanta, Georgia, USA, 2005: 512–520.

26.

Chou

Yip

Lee

C-H

. Impact of separating drug prescribing and dispensing on provider behaviour: Taiwan’s experience. Health Policy Plan 2003; 18: 316–329.

27.

Shakoor

Taylor

Behrens

. Assessment of the incidence of substandard drugs in developing countries. Trop Med Int Heal 2003; 2: 839–845.

28.

Kasim

Whitehouse

Ramachandran

. Molecular properties of WHO essential drugs and provisional biopharmaceutical classification. Mol Pharmaceut 2004; 1: 85–96.

29.

World Health Organization. Counterfeit and substandard drugs in Myanmar and Vietnam, http://apps.who.int/medicinedocs/pdf/s2276e/s2276e.pdf (1999, accessed 12 December 2012).

30.

Malaysian Pharmaceutical Society. Drugs on the side—choose our medicines with care, http://www.mps.org.my/newsmaster.cfm?&menuid=36&action=view&retrieveid=98 (2000, accessed 18 December, 2012).

31.

Low

Tan

. Management of erectile dysfunction: barriers faced by general practitioners. Asian J Androl 2004; 6: 99–104.

32.

Pecoul

Chirac

Trouiller

. Access to essential drugs in poor countries. J Am Med Assoc 1999; 281: 361–367.

33.

Access To Medicine Index. Access to Medicine Outlook, http://www.accesstomedicineindex.org/sites/www.accesstomedicineindex.org/files/company/downloads/company_profile_access_to_medicine_index_2012_03122012_final_gsk.pdf (2012, accessed 13 August 2014).

34.

Medical Practitioners Coalition Association of Malaysia. In reference to the article “docs making a fast bucks-2nd of january 2013”….a very damaging blanket statement that paints all the doctors in malaysia, http://www.mpcam.org/blog/category/press%20the%20suneb68ec2cd8 (2013, accessed 13 August 2014).

35.

Gan BZ. Say No to Inducement to Medical Prescribers, https://www.facebook.com/groups/147352308715470/permalink/428227587294606/ (2013, accessed 25th November 2013).

36.

Liljas P. GSK first pharma company to stop paying doctors to endorse its products, http://business.time.com/2013/12/17/gsk-first-pharma-company-to-stop-paying-doctors-to-endorse-its-products/ (2013, accessed 13 August 2014).

37.

Razak DA. Perspective: say ‘no’ to inducement, http://www2.nst.com.my/channels/learning-curve/perspective-say-no-to-inducement-1.604268 (2014, accessed 4th August, 2014).

38.

Malaysia Competition Commission. Competition Act 2010, http://www.mycc.gov.my/files/announcement/06c727d2-d538-43ba-99fe-40df475d0a8d.pdf (2010, accessed 20 December 2012).

39.

Ferdinand D and Yates J. Clinical Ethics Dilemmas: How Does the Doctor Decide Between Cost and Care?, https://cbhd.org/content/clinical-ethics-dilemmas-how-does-doctor-decide-between-cost-and-care (2012, accessed 13 August, 2014).

40.

World Health Organization (WHO). Glossary of globalization, trade and health terms [Online], http://www.who.int/trade/glossary/story034/en/ (2012, accessed 10th September 2014).

41.

Dutfield G. Intellectual Property Rights and the Life Science Industries: Past, Present and Future. Aldershot, Ashgate: World Scientific, 2009.

42.

Ministry of Health Malaysia. Malaysian National Medicines Policy, http://www.pharmacy.gov.my/aeimages//File/MNMP_DUNAS.pdf (2007, accessed 24 April 2014).

43.

Chua

Hassali

Shafie

. A survey exploring knowledge and perceptions of general practitioners towards the use of generic medicines in the northern state of Malaysia. Health Policy 2010; 95: 229–235.

44.

Lian

Marnoch

. Knowledge and attitudes of Malaysian private medical practitioners toward guidelines-based medicine. J Manag Med 1999; 13: 178–190.

45.

Masood I, Hassali M, Ibrahim M, et al. Doctors and Pharmaceutical Industry: Insight from Malaysian Scenario. Penang, Malaysia: Penerbit Universiti Sains Malaysia, 2012.

Perceptions of general practitioners towards pharmaceutical price war and assessment medicines price variation among general practitioners’ clinics in the state of Penang,Malaysia

Abstract

Background

Method

Results

Conclusion

Keywords

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References