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Thursday 22 February 2018

Patients should be allowed to choose cheaper prescription drugs

Lyndsey Telford

PHARMACISTS should be able to offer patients cheaper drugs as an alternative to more expensive brands prescribed by GPs, experts have claimed.

The Economic and Social Research Institute (ERSI) has recommended that provided two drugs have the same chemical properties and the same effect, patients should have the option to choose whether they buy a brand name.

Paul Gorecki, research professor at the think-tank, said this would save the Department of Health and the taxpayer money, and encourage competition in the pharmaceutical market.

"If you think of a drug it has several names - a brand name by the manufacturer, which is protected by a trademark, and its general chemical name," he said.

"For example, Valium is the brand name and Diazepam its chemical name."

He explained that when a GP writes a prescription for a patient, the pharmacist must dispense exactly what is written.

A previous study by the Health Service Executive found that if this practice were reversed, it could save around 77 million euro a year.

"If there happens to be a lower-priced alternative, the pharmacist can't offer that if the GP has prescribed a brand," Mr Gorecki went on.

GPs tend to prescribe brand names to patients because they are likely to have heard of them over non-branded alternatives, the expert added. He said the power of pharmaceutical advertising inspires confidence in patients.

The Government pledged to reduce costs in the medical and pharmaceutical sectors in the memorandum of understanding it signed with the IMF last year.

"Significant progress has been made in recent years in reducing the cost of delivery of pharmaceuticals, both to the Health Service Executive and the cash paying patient," the ESRI said.

"For example, wholesale margins have been reduced and pharmacy mark-ups have declined, at least for pharmaceuticals paid for by the state. However, more needs to be done."

Mr Gorecki said should the Government pass legislation giving pharmacists the power to offer patients a choice of which drugs they receive, efforts must be made to ensure the different types of medication on offer are exactly the same.

"Tests would have to be carried out to ensure the different types are perfect substitutes for each other," he went on.

"It is important that when policies such as this are introduced that the patient is given reassurance by the health authorities that these medications are interchangeable so that people have confidence in both."

According to the ESRI, pharmaceuticals account for 17.5% of public health expenditure, up from 14% in 2000.

Expenditure per head in Ireland was among the highest of all Organisation for Economic Co-operation and Development countries.

"If this policy were passed as legislation, it would lower the cost to the taxpayer and involve them receiving better value," Mr Gorecki added.

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