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. 2021 Jun 24;2:100045. doi: 10.1016/j.hpopen.2021.100045

Table 1.

Analytical framework and key endpoints for generic pharmaceutical policies in MENA region.

Key indicators Endpoints
Supply-side policies
  • A.

    Generic pricing policies

  • 1.

    Pricing policy(ies) for generics:

  • Free pricing

  • Cost-plus pricing

  • Price capping

  • Price capping with managed entry

  • External Reference Pricing (ERP)

  • Free pricing

  • Cost-plus pricing

  • Combination or selection of lowest price from various methods

  • Other regulatory methods

  • 2.

    Existence of post patent expiry price change for off-patent originator pharmaceuticals

  • 3.

    Variation in generic pricing policies for local and imported generics

  • B.

    Reimbursement and procurement policies

  • 4.

    Reimbursement/procurement policy for generics:

  • Tendering

  • Internal Reference Pricing (IRP) (therapeutic reference pricing; molecular reference pricing; managed competition)

  • Formulary management

  • 5.

    Reimbursement of off-patent originator pharmaceuticals

  • 6.

    Variation in generic reimbursement policies for local and imported generics

Proxy demand-side policies
  • C.

    Generic prescribing

  • 7.

    Existence of a (national) policy on generic prescribing

  • 8.

    Mandatory or non-mandatory generic prescribing

  • D.

    Generic substitution

  • 9.

    Existence of a (national) policy on generic substitution

  • 10.

    Mandatory or non-mandatory generic substitution

Source: The authors.