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. 2021 Sep 13;6(9):e005519. doi: 10.1136/bmjgh-2021-005519

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© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Change in the medication price and affordability by therapeutic classes. *Included in China’s National Essential Medicine List. Data source: the current procurement prices were obtained from the Sunshine Medical Procurement All-In-One; previous lowest prices were obtained from the JPO. The average disposable annual salary was obtained from the China Statistical Yearbook 2019 (¥30 733 per capita). In 2019, China had 250 working days, and the overall disposable daily income per capita was ¥122.93. Classified according to the USP Therapeutic Categories Model Guidelines. According to the WHO, medication affordability was compared between the cost for a treatment course and the extra daily wages (EDWs) for the lowest paid unskilled government worker. Since EDW is not available in China, based on previous research, the average disposable daily income per capita was used. HCTZ, hydrochlorothiazide; JPO, Joint Procurement Office; NVBP, national volume-based procurement; TDF, tenofovir disoproxil fumarate.