Abstract
Generic substitution by pharmacists was introduced in April 2003 in Finnish pharmaceutical markets. This article examines the impact of generic substitution on price development. This study examined all of the 2,100 substitutable drugs in Finland. The impact of generic substitution on price competition was significant. The average price of substitutable drugs decreased by more than 10%. However, the price development was uneven; some prices increased whereas others decreased by more than 50%. The most important factors that influenced the price development were the number of competitors, whether the drug was originator or generic and the width of the price band.
Similar content being viewed by others
Notes
Typically, substitutable drugs are sold only with prescription. However, it is possible to buy some drugs, for example, quite mild dosages of some active ingredients like ibuprofen and ranitidine, without prescription.
References
Aronsson, T., Bergman, M.A., Rudholm, N.: The impact of generic drug competition on brand name market shares—evidence from micro data. Rev. Ind. Organ. 19(4), 425–435 (2001)
Berndt, E.R.: The U.S. pharmaceutical industry: why major growth in times of cost containment? Health Aff. 20(2), 100–114 (2001)
Boersma, C., Klok, R.M., Bos, J.M., Naunton, M., van den Berg, P.B., de Jong-van den Berg, L.T.W., Postma, M.J.: Drug costs developments after patent expiry of Enalapril, Fluoxetine and Ranitidine: a study conducted for the Netherlands. Appl. Health Econ. Health Policy 4(3), 191–196 (2005)
Congressional Budget Office. How increased competition from generic drugs has affected prices and returns in the pharmaceutical industry. US Government Printing Office, Washington (DC) (1998)
Dalen, D.M., Strom, S., Haabeth, T.: Price regulation and generic competition in the pharmaceutical market. Eur. J. Health Econ. 7(3), 208–214 (2006)
de Joncheere, K., Rietveld, A.H., Huttin, C.: Experience with generics. Int. J. Risk Saf. Med. 15, 101–109 (2002)
Ellison, S.F., Cockburn, I., Grilliches, Z., Hausman, J.: Characteristics of demand for pharmaceutical products: an examination of four cephalosporins. RAND J. Econ. 28(3), 426–446 (1997)
Ess, S.M., Schneeweiss, S., Szucs, T.D.: European healthcare policies for controlling drug expenditure. Pharmacoeconomics 21(2), 89–103 (2003)
Frank, R.G., Salkever, D.S.: Generic entry and the pricing of pharmaceuticals. J. Econ. Manage. Strategy 6(1), 75–90 (1997)
Garattini, L., Ghislandi, S.: Off-patent drugs in Italy. A short-sighted view?. Eur. J. Health Econ. 7(1), 79–83 (2006)
Lexchin, J.: The effect of generic competition on the price of brand-name drugs. Health Policy 68(1), 47–54 (2004)
Paldan, M., Martikainen, J.: Lääkevaihdon ensimmäinen vuosi tilastoina. In: Riitta, A., Jaana, M. (eds.) Lääkevaihdon ensimmäinen vuosi. Social Insurance Institution, Finland (2005)
Poutiainen, T., Aalto-Setälä, V.: Demand for substitutable drugs. University of Helsinki, Mimeo (2006)
Simoens, S., De Bruyn, K., Bogaert, M., Laekeman, G.: Pharmaceutical policy regarding generic drugs in Belgium. Pharmacoeconomics 23(8), 755–766 (2005)
Werkö, L.: The rapidly increasing cost of medicines threatens the core of healthcare. Scand. Cardiovasc. J. 38(3), 130–131 (2004)
Acknowledgements
This study was conducted while the author worked as Head of Research for the National Consumer Research Centre (Finland) and Professor of Pharmacoeconomics at the University of Helsinki (Finland). The research did not receive external funding. The author thanks Alan Lyles and Simon Bell for their helpful comments and Paavo Saarinen for data assistance. The author is grateful to the Association of Finnish Pharmacies and the National Agency of Medicines (Finland) for providing the data sets for the research. The author has no conflicts of interest directly relevant to the content of the study.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Aalto-Setälä, V. The impact of generic substitution on price competition in Finland. Eur J Health Econ 9, 185–191 (2008). https://doi.org/10.1007/s10198-007-0059-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10198-007-0059-0