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Main Report
Main Report
INTRODUCTION
In Bangladesh the pharmaceutical sector is one of the most developed hi-tech sectors within the country's economy. After the promulgation of Drug Control Ordinance - 1982, the development of this sector was accelerated. The professional knowledge, thoughts and innovative ideas of the pharmaceutical professionals working in this sector are the key factors for this development. Due to recent development of this sector it is exporting medicines to global market including European market. Two organizations, one government (Directorate of Drug Administration) and one semigovernment (Pharmacy Council of Bangladesh), control pharmacy practice in Bangladesh. The Bangladesh Pharmaceutical Society is affiliated with international organizations International Pharmaceutical Federation and Commonwealth Pharmaceutical Association. The 261 pharmaceutical companies operating in the country manufacture drugs under more than 2,200 brands. With a combined annual sales turnover of more than Tk. 10,000 core, they meet 97 per cent of local demand and export pharmaceutical products to more than 65 countries such as India, China and European countries. The rapidly growing pharmaceutical now exports to nearly 80 countries including United Kingdom, Belize, Costa Rica, Guatemala, Comoros Islands, Eritrea, Gambia, Ghana, Kenya, Libya, Malawi, Mauritania, Afghanistan, Bhutan, Cambodia, Hong Kong, Iraq, Macau, Malaysia, Myanmar, Nepal, Papua New Guinea, Sri Lanka, Tajikistan, The Philippines, Vietnam, Yemen etc. The top pharmaceutical companies (based on market share) are Square Pharmaceuticals, Incepta Pharma, Beximco Pharma, Acme Laboratories, Opsonin Pharma Ltd, Eskayef, Reneta Pharma, Advance Chemical Industries (ACI), Aristopharma and Drug International etc. Recently Pharmaceuticals have significantly increased medicine prices of their drugs and a few of them increased the prices by almost 50 per cent. In 1994 the government has set maximum retail prices (MRP) of only 117 listed generic drugs but the prices of the rest of the drugs are fixed by the manufacturing companies. No government has taken steps to increase prices of drugs since 1994. For the time being at least 50 those fixed priced drugs have not been producing now, in other word those are not available in the market. Moreover, there are rules to adjust the prices once a year considering government declared inflation rate and the rate of US dollars. The pharmaceutical industry owners, however, claimed that the prices of some drugs were hiked as raw material import has become costlier because of the appreciation of the dollar. The government must now enact laws to make the Drug Administration effective for controlling prices of all drugs on the market and increase the number of personnel for monitoring the pharmacies. Also severe punishment must be meted out to the companies that raise prices without justification and approval of the Drug Administration and sell defective drugs.
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OBJECTIVES
The goal of this study is to bring about how unethically the pharmaceutical industries are operating their business. Spring-Stars plans to help to improve the position on health of nations by upholding the current situation to the nations and government. Some activities are required and by all of those activities we belief nearly we can see our valuable pharmaceutical industries at an ethically standard and in a government controlled position. Main objectives in this study of drug price increase in Bangladesh are following: To find the reasons behind the increase in drug price by the pharmaceutical companies. To find/check whether the pharmaceutical companies ethically and legally increasing the price or not. The comments by the Pharmaceutical Companies, Government Authority, Public and the Drugstore. Describing how the society is losing benefits by those unethical practices based on Utilitarian theory, Rights and Justice point of view. We have described all of the above issue throughout this paper and we have tried to show how the pharmaceutical companies are fixing the price without government control as well as how the public is suffering.
METHODOLOGY
This study involved in understanding the current situation of pharmaceuticals and the reasons behind the rapidly increase in drug price. There are significant findings which we have collected by working intensively. Collected and analyzed primary information through market visit, interviewing customers, pharmacy, and pharmaceutical companies as well as media representatives. Collected the primary information from government authority. Collected and analyzed secondary information/data from published research documents, newspapers, and other media. Collected additional Secondary information from Internet and printed resource. Based on those evidences we have found the issue about how unethically and illegally the pharmaceutical companies increasing the price of drugs even in life-saving medicine and without any consulting with government authority as well as without any control by government.
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The prices of life-saving drugs are increasing seemingly due to costlier imports of raw materials and the depreciation of the taka vis--vis foreign currencies. Poor patients are the worst sufferers of this pricing disorder. Prices for most of the pharmaceutical products are on an upward trajectory, while drug traders blame manufacturing companies for the rise in the retail prices of almost all the drugs. Pharmacists say the prices of a large number of drugs, most of which are commonly used, have gone up since February 1, 2012 without the manufacturers having notified them about a possible price increase. Indications are that some other drugs will soon become pricey. Drug Manufacturers claim they have to revise the prices of essential drugs, from time to time, with the approval of the DGDA and the ministry concerned, because of the increase in raw material prices, depreciation of the taka and a hike in VAT and tax rates. Drug companies willing to increase prices need to apply to the DGDA; the committee headed by the health secretary approves it, if the increase is found to be logical, the high official said. The committee of the DGDA and representatives of the consumers association, Bangladesh Medical Association and Bangladesh Association of Pharmaceutical Industries (BAPI) last met in the end of August 2011, to approve the price increase. The increased prices of 30 items were approved at that meeting. The Health Minister said the government will take initiatives to check the unbridled increase in the prices of medicines. Bangladesh Association of Pharmaceutical Industries (BAPI) claim drug prices are always increased with due approval of the DGDA and the number of drugs that have witnessed a price increase is rather small. They also say the cost of raw materials has gone up 25 per cent due to the depreciation of the taka. Earlier, they bought a dollar at Tk. 70 and now they shell out Tk. 83 for the greenback. That is why we have been forced to increase the prices of some of our products. Deputy Director of the Directorate General of Drug Administration (DGDA), Salim Bharami said The maximum retail prices of only 117 listed generic drugs are set by the government and the prices of the rest are fixed by the manufacturing companies, although the price fixing committee of the DGDA always monitors the prices. We always ask the companies to fix the prices of life-saving drugs rationally he also added. President of Consumers Association of Bangladesh, Quazi Faruque, said that most of companies had increased the prices of their drugs and a few of them increased the prices by almost 50 per cent. Consumers are helpless about the increase in medicine prices while many physicians prescribe drugs of different companies in an underhand dealing with
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medical representatives. He observed that the price increase was severely affecting consumers. Some consumers criticized the price increase saying that pharmaceutical companies were often exempted from paying the 15 per cent value added tax. The general customer are hard to accept this anarchy in medicine sector, ShohelyAkhter, mother of an ailing son, said, My monthly expenditure on drugs was Tk. 2,000 just two months ago, but, now, I need to spend at least Tk. 4,000 a month on medicines for my son, who is suffering from a haematological complication. The pharmacy also is accepting this abnormal increase of drug price, Solaiman Mia, a salesman at LazzPharma, The maximum retail prices of drugs were hiked about two months back, but the prices of most of drugs increased after the first week of February. Earlier, LazzPharma sold Avolac syrup at Tk. 100 and the medicine now sells at Tk. 120, the salesman said, adding, other companies have also raised the price of the same generic drug. He said Square Pharmaceuticals had increased the prices of their 250 products, ranging between Tk. 30 and Tk. 50 per box. From the above discussion it is clear that some are the point to increase the drug price, but how much? The appreciation of dollar is only 18.57% ($70 to $ 83) but the pharmaceutical companies have increased the price 25% and in some cases it rose to 50%. Moreover, the companies does not notify before increasing the price, not only 30 medicines every medicines price they have increased. The silent attitude and corruption by the Directorate General of Drug Administration (DGDA) is one of the main reasons for this Anarchy by pharmaceutical companies. Sources in the drug administration said the price fixation committee always pitched for a rational increase in the prices. Government officials might also be involved in corruption, said Prof. ABM Faruque, head of pharmacology department of University of Dhaka. Through our study we also find that the retailers also increase the price with their association. In our country most of the company gives 10% commission to the retailer. Company directly supplies their drug to the retailer. For this reason company use two types of representative. One is market representative and another is sell representative. Market representative promoted their product and sell representative collect order from the retailer. And company supplies their product. This total process controls the company dipo manager. But the main problem is companies maintain only supply chain management they cannot control the price. So, most of the time retailer unethically increases the drug price. For example: Suppose 25 retail drug shops in Uttara. The all retrial drug shop owner arrange a meeting and they decide they increase every drug price is 5%. If any shop violate this rule Uttare retail drug association fine BDT 10,000 which also contributes to increase the consumer price.
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PRICE COMPARISON
Price of some life-saving drugs has also marked an abnormal increase and the poor cannot afford to buy such essential drugs. The meeting held at the end of August 2011 by associated parties, has increased prices of 30 items. Drug prices can be raised in proportion with the increase in dollar price, freight, packaging cost etc, but the recent shoot-up in the prices is not acceptable. By visiting the market we have collected randomly some medicine price for checking and uphold that anarchy to the public.
Price Comparison Table based on Actual Data
Sl
01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21
Drugs Name
Tofen 100 mg Omep 20 mg Angilok 50 mg Dibeno 5 mg Antacid max 400 mg Prozo 20 mg V- plex- vitamin 15 ml B-50 injestion B-50 capsuls Osartil-50 Osartil-50 plus Pantonix-20 mg Pantonix-40 mg Amadocal-5 mg Amadocal-10 mg Amadocal-50 plus Neoceptine-R Entacyd Lithosunsr 400 mg Seclo 20 mg Lescol xl 80 mg Average Increase
No. of Tablets
10 10 10 10 10 10 15ml
Present Price
20 50 80 70 20 30 22 10 10 80 80 40 60 50 70 80 25 65 50 50 550
Increase Price
5 10 20 10 8 10 7 5 4.5 20 20 10 10 10 10 20 5 30 10 13 80
Percentage Increase
33.33% 25.00% 33.33% 16.67% 66.67% 50.00% 46.67% 100.00% 81.82% 33.33% 33.33% 33.33% 20.00% 25.00% 16.67% 33.33% 25.00% 85.71% 25.00% 35.14% 17.02% 39.83 %
10 10 10 10 10 10 10 10 10 200ml 10 10 10
5.5 60 60 30 50 40 60 60 20 35 40 37 470
From the above table its clear that some of the medicine price increase 100% and some of the medicines price rose to 50%. Moreover, the average increase of drug price is about 40%.
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CONCLUSION
Whenever and wherever there are meaningful discussions to create better socio-economic conditions in the society or to make the world a better place to live in, the discussions invariably touch Business and Industry or Trade and Commerce also besides other areas of human activities. Those who run their business or industry on principles of honesty, integrity and justice are the ones who raise the prestige of their nation and are inspiring examples unto others. However, there are people who indulge into unfair, unjust, dishonest or socially harmful activities and do not believe in fair play and excellence. The price of a common medicine that commonly needed had gone up overnight by a hefty margin. Re-fixing of those drug prices is urgent as the medicine price scenario is severely affecting proper health care and recovery of people from illnesses. We look forward to immediate action by the government proposed by the Health Minister to rationalize drug prices.
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