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. 2021 May 28;6(Suppl 3):e003663. doi: 10.1136/bmjgh-2020-003663

Table 2.

Factors pressuring profit margins

Factors that decrease revenue Factors that increase costs
  • Downward price pressures on medicine

  • Inability to secure sales due to inaccurate demand planning on public procurement channel

  • Constrained cash-flow

  • Local content policy—including for active pharmaceutical ingredients

  • Mandatory halal certifications for medicines

  • Local currency (IDR) devaluation

IDR, Indonesian rupiah.