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. 2019 Sep 11;4(5):e001705. doi: 10.1136/bmjgh-2019-001705

Table 2.

Comparison of mark-ups for Humulin/Huminsulin human insulin products in three countries

Product Ghana India (Haryana State) Indonesia
Humulin L vial Humulin 70/30 vial Huminsulin 30/70 cartridge Huminsulin 30/70 vial Humulin R cartridge Humulin R cartridge
Insulin type Insulin, lente zinc suspension Isophane/regular insulin 70/30 Isophane/regular insulin 70/30 Isophane/regular insulin 70/30 Regular insulin Regular insulin
Volume (mL) 10 10 3 10 3 3
Strength (IU/mL) 100  100  100  40  100  100 
Sector Public Private Private Private Public Private
Import Import Import Import Import Import Import
Region Capital District District 1 District 2 Capital Capital
MSP (US$) 5.1 7.0 2.2 1.3 11.2 11.2
Stage 1 (%) 7.0 7.0 0.0 0.0 0.0 0.0
Stage 2 (%) 8.0 8.0 27.6 26.5 121.3 303.0
Stage 3 (%) 25.0 25.0 8.7 8.7 20.0 18.0
Stage 4 (%) 43.6 50.0 13.1 13.1 26.0 30.0
Stage 5 (%) 0.0 0.00 5.3 5.3 7.9 7.7
Cumulative total (%) 107.5 116.7 65.1 63.7 261.2 565.8
Final price (US$) 10.6 15.2 3.6 2.1 40.3 74.6
Standardised price to 10 mL 100 IU 10.6 15.2 12.0 5.3 134.3 248.7

Stage 1: insurance and freight. Stage 2: clearance charges. Stage 3: wholesale mark-ups. Stage 4: retail mark-ups. Stage 5: sales tax/value-added tax (VAT).

MSP, manufacturer's selling price.