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Access to Medicines: Case Studies from Russia and Kyrgyzstan

  • Liliya Eugenevna Ziganshina
  • Chinara M. Razzakova
  • Syed Shahzad Hasan
  • Zaheer-Ud-Din Babar
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Abstract

We report medicine prices, availability and affordability in Russia and Kyrgyzstan using the WHO/HAI methodology. In Kyrgyzstan, median prices of cardiovascular medicines were 6 times higher than in Russia, whilst their affordability was 9 times lower than in Russia for lowest-priced generics and 11 times lower for originator brands. Antihypertensive pharmacotherapy was affordable in Russia, but not in Kyrgyzstan (2015). We monitored patient and procurement prices in Russia (2010–2017) and documented success of government interventions in reduction of essential and cardiovascular patient prices from 2010 onwards to recommended values for generics in public sector and the need for continued price monitoring.

Keywords

Medicine prices WHO/HAI pricing methodology Lowest-priced generic Originator brand Availability Affordability Access to medicines 

Notes

Acknowledgements

We would like to thank Dr. Margaret A. Ewen (HAI) for the support and expert advice at all levels of the Russian/Tatarstan pricing project, Ms. Ekaterina Ivacheva for providing data on drug prices for 2010 and Professor Hans V. Hogerzeil for all the support and inspiration through many happy years with essential medicines.

Copyright information

© The Author(s) 2020

Authors and Affiliations

  • Liliya Eugenevna Ziganshina
    • 1
    • 2
  • Chinara M. Razzakova
    • 1
    • 2
  • Syed Shahzad Hasan
    • 3
  • Zaheer-Ud-Din Babar
    • 4
  1. 1.Cochrane RussiaKazan Federal UniversityKazanRussia
  2. 2.Department of PharmacologyKazan State Medical UniversityKazanRussia
  3. 3.Centre for Pharmaceutical Policy and Practice Research, Department of PharmacyUniversity of HuddersfieldHuddersfieldUK
  4. 4.Centre for Pharmaceutical Policy and Practice ResearchUniversity of HuddersfieldHuddersfieldUK

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