Table 4.
Median prices and affordability of the DM-CVD lowest priced generic drugs in both private hospitals and pharmacies
| Medicine (N = 37) | Median (IQR) price/tab in Ug Shs | Median price/tab in USD | IRP in USD | MPR | Monthly cost in USD | Days’ wagesc |
|---|---|---|---|---|---|---|
| A: Affordable drugs according to calculated days’ wages (≤ 3) | ||||||
| Benzathine penicillin 2.4 MU | 1500 (1500–2000) | 0.42 | 0.3241 | 1.2 | 0.4 | 0.3 |
| Furosemide tablet 40 mg | 100 (100–100) | 0.02 | 0.0061 | 3.3 | 0.6 | 0.5 |
| Glibenclamide 5 mg | 100 (100–200) | 0.03 | 0.0042 | 7.1 | 0.9 | 0.7 |
| Bendrofluazide 5 mg | 100 (100–100) | 0.03 | 0.0072 | 4.2 | 0.9 | 0.7 |
| Atenolol 50 mg | 100 (100–200) | 0.03 | 0.0106 | 2.8 | 0.9 | 0.7 |
| Cardiac aspirin 75 mg | 150 (150–200) | 0.04 | 0.0196 | 2.0 | 1.2 | 0.9 |
| Digoxin tablet 0.25 mg | 200 (200–300) | 0.06 | 0.0148 | 4.1 | 1.8 | 1.4 |
| Metformin 500 mg | 200 (200–300) | 0.06 | 0.0168 | 3.6 | 3.6 | 2.8 |
| Captopril 25 mg | 200 (200–300) | 0.06 | 0.0216 | 2.8 | 3.6 | 2.8 |
| Nifedipine 20 mg | 200 (100–250) | 0.06 | 0.0233 | 2.6 | 3.6 | 2.8 |
| B: Unaffordable drugs according to the calculated days’ wages (> 3) | ||||||
| Amlodipine 5 mg | 500 (400–500) | 0.14 | 0.0321 | 4.4 | 4.2 | 3.2 |
| Warfarin 5 mg | 500 (500–500) | 0.14 | 0.0369 | 3.8 | 4.2 | 3.2 |
| Glimepiride 2 mg | 500 (400–1000) | 0.14 | – | – | 4.2 | 3.2 |
| Spironolactone 25 mg | 500 (400–600) | 0.14 | 0.0398 | 3.5 | 4.2 | 3.2 |
| Furosemide i.v vial 20 mg | 1000 (1000–1500) | 0.28 | 0.0623 | 4.5 | 4.2 | 3.2 |
| Hydralazine tablet 25 mg | 300 (225–450) | 0.08 | 0.0376 | 2.1 | 4.8 | 3.7 |
| Telmisartan 40 mg | 600 (500–800) | 0.17 | – | – | 5.1 | 3.9 |
| Bisoprolol 5 mg | 600 (500–800) | 0.17 | – | – | 5.1 | 3.9 |
| Pioglitazone 30 mg | 600 (500–800) | 0.17 | – | – | 5.1 | 3.9 |
| Losartan 50 mg | 700 (600–800) | 0.19 | 0.2443 | 0.8 | 5.7 | 4.4 |
| Soluble insulin 1vial | 22,000 (20000–25,000) | 6.11 | 0.7723 | 7.9 | 6.1 | 4.7 |
| Amlodipine 10 mg | 750 (700–800) | 0.21 | 0.1414 | 1.5 | 6.3 | 4.9 |
| Intermediate insulin 1vial | 23,000 (20000–25,000) | 6.39 | 0.7723 | 8.3 | 6.4 | 4.9 |
| Pre mixed insulin 1vial | 23,000 (21000–25,000) | 6.39 | 0.6143 | 10.4 | 6.4 | 4.9 |
| Clopidogrel 75 mg | 800 (700–1100) | 0.22 | 0.0736 | 3.0 | 6.6 | 5.1 |
| Losartan H 62.5 mg | 800 (700–900) | 0.22 | – | – | 6.6 | 5.1 |
| Telmisartan H 52.5 mg | 800 (700–1000) | 0.22 | – | – | 6.6 | 5.1 |
| Nebivolol 5 mg | 1000 (900–1300) | 0.28 | – | – | 8.4 | 6.5 |
| Simvastatin 20 mg | 1000 (900–1500) | 0.28 | 0.0252 | 11.1 | 8.4 | 6.5 |
| Isosorbide mono-nitrate 10 mg | 1000 (985–1600) | 0.28 | 0.0705 | 4.0 | 8.4 | 6.5 |
| Atovastatin 20 mg | 1200 (1000–2000) | 0.33 | 0.0640 | 5.2 | 9.9 | 7.6 |
| Rosuvastatin 10 mg | 1200 (1000–2000) | 0.33 | – | – | 9.9 | 7.6 |
| Carvedilol 6.25 mg | 700 (600–900) | 0.19 | 0.0445 | 4.3 | 11.4 | 8.8 |
| Metformin 1000 mg | 700 (500–800) | 0.19 | – | – | 11.4 | 8.8 |
| UFHb 5000 units | 20,000 (18000–20,000) | 5.56 | 0.9055 | 6.1 | 50.0 | 38.5 |
| LMWHa 60 mg | 38,500 (34500–45,000) | 10.69 | 2.8751 | 3.7 | 53.5 | 41.2 |
| LMWHa 80 mg | 50,000 (45000–60,000) | 13.89 | 5.8025 | 2.4 | 69.5 | 53.5 |
IQR Inter-quartile range, a LMWH Low molecular weight heparin, b UFH Unfractionated heparin
cDays’ wages-number of days’ wages to cover the monthly costs of the selected drug