Table 1.
Price variation among different brands of anticancer medicines available in two private hospital pharmacies of Nepal
| Generic Name | Strength | Dosage Form | No. of available brands | Government price (NRs per unit) | Min. Price (NRs per unit) | Max. Price (NRs per unit) | Price Variation (%) | Median Price | IQR |
|---|---|---|---|---|---|---|---|---|---|
| Bendamustine hydrochloride | 100 mg | Injection | 2 | GPNA | 11,120.00 | 12,000.00 | 7.90 | 11,560.00 | – |
| Carboplatin | 150 mg | Injection | 8 | 1393.87 | 1184.00 | 1393.60 | 17.70 | 1342.60 | 179.70 |
| 450 mg | Injection | 7 | 4130.77 | 3476.8 | 4028.00 | 15.90 | 3920.00 | 472.50 | |
| Cisplatin | 10 mg | Injection | 5 | 149.87 | 100.00 | 128.00 | 28.00 | 113.00 | 21.20 |
| 50 mg | Injection | 6 | 532.21 | 512.00 | 532.20 | 3.90 | 520.00 | 123.50 | |
| Cyclophosphamide | 1 g | Injection | 3 | GPNA | 115.70 | 204.80 | 77,00 | 176.00 | – |
| 500 mg | Injection | 2 | 105.23 | 101.80 | 105.20 | 3.30 | 105.20 | – | |
| 200 mg | Injection | 4 | GPNA | 51.20 | 80.00 | 56.30 | 66.00 | 110.20 | |
| Oxaliplatin | 50 mg | Injection | 7 | 4035.86 | 3336.50 | 4035.90 | 21,00 | 4000.00 | 595.90 |
| 100 mg | Injection | 7 | GPNA | 6138.70 | 7516.60 | 22.40 | 7046.70 | 811.20 | |
| Temozolomide | 20 mg | Capsule | 3 | GPNA | 607.70 | 1232.00 | 102.70 | 960.00 | – |
| 250 mg | Capsule | 6 | GPNA | 2550.00 | 6400.00 | 151.00 | 4549.00 | 3181.00 | |
| 100 mg | Capsule | 5 | GPNA | 783.30 | 3193.80 | 307.70 | 2521.80 | 1430.60 | |
| Cytosine Arabinoside (Cytarabine) | 500 mg | Injection | 2 | 910.74 | 807.44 | 807.55 | 0 | 794.10 | – |
| 1000 mg | Injection | 2 | 2068.00 | 1604.80 | 2068.00 | 28.90 | 2068.00 | – | |
| 100 mg | Injection | 3 | 421.23 | 279.39 | 421.23 | 50.80 | 302.80 | – | |
| Capecitabine | 500 mg | Tablet | 7 | GPNA | 188.80 | 261.00 | 38.20 | 212.60 | 68.80 |
| Gemcitabine | 1400 mg | Injection | 2 | GPNA | 9920.00 | 13,400.90 | 35.10 | 11,660.40 | – |
| 1000 mg | Injection | 10 | 9980.00 | 7072.00 | 9980.00 | 41.10 | 8626.60 | 902.60 | |
| 200 mg | Injection | 8 | 1706.93 | 1704.00 | 1706.90 | 0.20 | 1706.90 | 1.23 | |
| Pemetrexed | 100 mg | Injection | 5 | GPNA | 5880.00 | 11,200.00 | 90.50 | 6560.00 | 4220.00 |
| 500 mg | Injection | 8 | GPNA | 20,512.00 | 48,000.00 | 134,00 | 31,040.00 | 13,960.00 | |
| Daunorubicin | 20 mg | Injection | 2 | 592.18 | 592.20 | 592.20 | 0 | 592.17 | 0 |
| Docetaxel | 20 mg | Injection | 8 | GPNA | 3144.00 | 5600.00 | 78.10 | 4948.66 | 848.90 |
| 80 mg | Injection | 9 | GPNA | 7832.00 | 19,142.10 | 144.40 | 17,760.00 | 4227.90 | |
| 120 mg | Injection | 3 | GPNA | 24,464.00 | 28,342.60 | 15.90 | 24,800.00 | - | |
| Doxorubicin | 10 mg | Injection | 5 | 328.00 | 264.00 | 328.00 | 24.20 | 300.8 | 30.00 |
| 50 mg | Injection | 7 | 1416.28 | 1280.00 | 1416.30 | 10.60 | 1375.00 | 121.40 | |
| Doxorubicin (Liposomal) | 20 mg | Injection | 2 | GPNA | 11,520,00 | 12,624.00 | 9.60 | 12,072.00 | – |
| Epirubicin Hydrochloride | 10 mg | Injection | 4 | GPNA | 720.00 | 1184.00 | 64.40 | 813.00 | 349.50 |
| 50 mg | Injection | 8 | GPNA | 3200.00 | 4400.00 | 37.50 | 4082 | 1621.70 | |
| Irinotecan | 40 mg | Injection | 4 | GPNA | 2604.60 | 14,495.40 | 456.50 | 3250.80 | 8960.30 |
| 100 mg | Injection | 5 | GPNA | 5250.00 | 36,241.90 | 590.30 | 7031.20 | 16,395.00 | |
| L-Asparaginase | 5000 IU | Injection | 2 | 1921.38 | 1504.40 | 1921.40 | 27.70 | 1712.90 | – |
| 10,000 IU | Injection | 2 | GPNA | 2330.70 | 2551.60 | 9.50 | 2441.10 | – | |
| Paclitaxel | 100 mg | Injection | 7 | GPNA | 3760.00 | 7600.00 | 102.10 | 6045.80 | 860.70 |
| 260 mg | Injection | 5 | GPNA | 10,432.00 | 17,600.00 | 68.70 | 15,360.00 | 4286.20 | |
| Vincristine | 1 mg | Injection | 2 | 89.39 | 80.50 | 89.40 | 11.00 | 84.90 | – |
| Vinorelbine | 10 mg | Injection | 2 | GPNA | 5065.60 | 6374.20 | 25.80 | 5719.90 | – |
| Anastrozole | 1 mg | Tablet | 5 | GPNA | 48.80 | 92.22 | 89.00 | 77.60 | 30.00 |
| Tamoxifen | 20 mg | Capsule | 2 | 4.90 | 4.30 | 4.90 | 13.40 | 4.61 | – |
| Letrozole | 2.5 mg | Tablet | 3 | GPNA | 33.30 | 57.60 | 73.10 | 46.00 | – |
| Bevacizumab | 100 mg | Injection | 2 | GPNA | 43,200.00 | 51,811.70 | 19.90 | 47,505.80 | – |
| Ceftuximab | 100 mg | Injection | 2 | GPNA | 31,000.00 | 32,355.20 | 4.40 | 31,677.60 | – |
| Rituximab | 500 mg | Injection | 2 | GPNA | 12,756.80 | 12,757.20 | 0 | 12,757.00 | – |
| 100 mg | Injection | 2 | GPNA | 63,785.60 | 63,786.20 | 0 | 63,785.90 | – | |
| Trastuzumab | 150 mg | Injection | 2 | GPNA | 35,915.20 | 37,683.40 | 4.90 | 36,799.30 | – |
| 440 mg | Injection | 2 | GPNA | 97,039.50 | 99,270.10 | 2.30 | 98,154.80 | – | |
| Bortezomib | 2 mg | Injection | 5 | GPNA | 14,400.00 | 20,640.00 | 43.30 | 18,080.00 | 5640.00 |
| Erlotinib | 100 mg | Tablet | 4 | GPNA | 533.30 | 1066.60 | 100.00 | 948.00 | 405.90 |
| 150 mg | Tablet | 5 | GPNA | 634.70 | 1599.80 | 152.10 | 1280.00 | 762.60 | |
| Geftinib | 250 mg | Tablet | 5 | GPNA | 272 | 567.40 | 108.60 | 368.40 | 206.40 |
| Imatinib | 100 mg | Tablet | 5 | 154.74 | 112.60 | 154.70 | 37.40 | 135.10 | 36.40 |
| 400 mg | Capsule | 4 | 474.03 | 324.30 | 406.00 | 25.20 | 364.80 | 63.70 |
GPNA Government price not available, NRs Nepalese rupees, IQR Interquartile Range