Table 4.
Comparison of the market price of anticancer medicines available in two private hospital pharmacies of Nepal with government fixed price
| S.NO | Generic Name | Dosage | Strength | Government Price (NRs per unit) |
No. of available brands | Min. Price (NRs per unit) | Max. Price (NRs per unit) | Price Variation (%) | Essential List |
|---|---|---|---|---|---|---|---|---|---|
| 1 | 5 Flurouracil | injection/ml | 250 mg/5 ml | 3.68 | 0 | NA | – | – | N |
| 2 | Actinomycin D | injection | 0.5 mg | 935.44 | 1 | – | 934.40 | - 0.10 | N |
| 3 | Alpha Interferon | injection | 3 miu | 1342.08 | 0 | NA | – | – | N |
| 4 | Bleomycin | injection/ml | 15 mg | 1088.32 | 2 | 946.27 | 978.56 | - 11.20 | E |
| 5 | Busulphan | tablet | 2 mg | 6.03 | 0 | NA | – | – | N |
| 6 | Carboplatin | injection | 150 mg | 1393.87 | 8 | 1184.00 | 1393.60 | 0 | E |
| 7 | Carboplatin | injection | 450 mg | 4130.77 | 7 | 3476.80 | 4028.00 | - 2.60 | E |
| 8 | Chlorambucil | tablet | 2 mg | 79.89 | 0 | NA | – | – | E |
| 9 | Cisplatin | injection | 10 mg | 149.87 | 5 | 100.00 | 115.20 | - 30.10 | E |
| 10 | Cisplatin | injection | 50 mg | 532.21 | 6 | 512.00 | 532.20 | 0 | E |
| 11 | Cyclophosphamide | tablet | 50 mg | 6.62 | 0 | NA | – | – | E |
| 12 | Cyclophosphamide | injection | 500 mg | 105.23 | 2 | 101.84 | 105.23 | 0 | E |
| 13 | Cyclosporine | capsule | 25 mg | 43.71 | 0 | NA | – | – | E |
| 14 | Cyclosporine | capsule | 50 mg | 85.25 | 0 | NA | – | – | N |
| 15 | Cyclosporine | capsule | 100 mg | 187.78 | 0 | NA | – | – | N |
| 16 | Cyclosporine | injection | 100 mg/ml | 209.60 | 0 | NA | – | – | N |
| 17 | Cytosine Arabinoside | injection | 100 mg | 421.23 | 3 | 279.39 | 421.23 | 0 | E |
| 18 | Cytosine Arabinoside | injection | 500 mg | 910.74 | 2 | 807.44 | 807.55 | - 12.80 | E |
| 19 | Cytosine Arabinoside | injection | 1000 mg | 2068.00 | 2 | 1604.80 | 2068.00 | 0 | N |
| 20 | Dacarbazine | injection | 500 mg | 1817.98 | 2 | 1600.00 | 1729.00 | 5.10 | E |
| 21 | Daunorubicin | injection | 20 mg | 592.18 | 2 | 592.00 | 592.17 | 0 | E |
| 22 | Doxorubicin | injection | 10 mg | 328.00 | 5 | 264.00 | 328.00 | 0 | E |
| 23 | Doxorubicin | injection | 50 mg | 1416.28 | 7 | 1280.00 | 1416.28 | 0 | E |
| 24 | Etoposide | capsule | 100 mg | 92.40 | 1 | – | 88.40 | - 4.50 | E |
| 25 | Etoposide | injection | 100 mg/5 ml | 320.27 | 1 | – | 300.80 | - 6.50 | E |
| 26 | Flutamide | tablet | 250 mg | 15.22 | 0 | NA | – | – | N |
| 27 | Gemcitabine | injection | 200 mg | 1706.93 | 8 | 1704.00 | 1706.90 | 0 | N |
| 28 | Gemcitabine | injection | 1000 mg | 9980.00 | 10 | 7072.00 | 9980.00 | 0 | N |
| 29 | Ifosfamide | injection | 1 g/2 ml | 609.26 | 1 | – | 609.24 | 0 | E |
| 30 | Imatinib | tablet | 100 mg | 154.74 | 5 | 112.60 | 154.70 | 0 | N |
| 31 | Imatinib | tablet | 400 mg | 474.03 | 4 | 324.30 | 466.20 | - 1.70 | N |
| 32 | L-Asparaginase | injection | 500 iu | 1921.38 | 2 | 1504.41 | 1703.60 | - 12.80 | N |
| 33 | Melphalan | tablet | 2 mg | 191.73 | 0 | NA | – | – | E |
| 34 | Melphalan | tablet | 5 mg | 321.63 | 0 | NA | – | – | E |
| 35 | Mercaptopurine | tablet | 50 mg | 15.78 | 0 | NA | – | – | E |
| 36 | Methotrexate | injection/ml | 50 mg/ml | 58.62 | 1 | – | 58.62 | 0 | N |
| 37 | Methotrexate | tablet | 2.5 mg | 8.34 | 1 | – | 8.33 | - 0.10 | E |
| 38 | Mitomycin C | injection | 10 mg | 702.35 | 1 | – | 702.35 | 0 | E |
| 39 | Oxaliplatin | injection | 50 mg | 4035.86 | 7 | 3336.50 | 4035.86 | 0 | N |
| 40 | Paclitaxel | injection | 30 mg/5 ml | 516.18 | 0 | NA | – | – | N |
| 41 | Procarbazine | capsule | 50 mg | 55.89 | 0 | NA | – | – | E |
| 42 | Tamoxifen | capsule | 20 mg | 4.90 | 2 | 4.32 | 4.90 | 0 | E |
| 43 | Tamoxifen | capsule | 10 mg | 7.68 | 0 | NA | – | – | N |
| 44 | Vinblastine | injection | 10 mg | 503.31 | 1 | – | 312.81 | - 60.90 | E |
| 45 | Vincristine | injection | 1 mg/ml | 89.40 | 2 | 80.40 | 89.40 | 0 | E |
GPNA Government price not available, NRs Nepalese rupees, NA Not available, E Listed in National list of essential medicines Nepal (fifth revision), N Not listed in National list of essential medicines Nepal (fifth revision), −: Negative Price variance