Surmounting Challenges: Procurement of Antiretroviral Medicines in Low- and Middle-Income Countries
(2003; 56 pages) View the PDF document
Table of Contents
View the document1. Executive Summary
Open this folder and view contents2. Introduction
Open this folder and view contents3. From producer to patient
Open this folder and view contents4. Country cases
View the document5. Main findings and recommendations
Close this folder6. Annexes
View the documentAnnex I: Index of useful tools, references and sources of information
View the documentAnnex II: List of abbreviations
View the documentAnnex III: Prices of selected ARVs in some MSF projects
 

Annex III: Prices of selected ARVs in some MSF projects

Prices of selected ARVs used within the MSF project in Malawi, March 2003

Drug

Dosage Form

Source

Price per pack (US$)

Price per unit US$

ZDV

100 mg tab

Cipla

8/60's

0.133

ZDV

300 mg tab

 

12/60's

0.2

ZDV/3TC*

tab

 

20/60's

0.33

ddI

25 mg tab

 

5.5/60's

0.09

ddI

100 mg tab

 

15.5/60's

0.26

d4T

30 mg caps

 

3.25/60's

0.05

d4T

40 mg caps

 

3.25/60's

0.05

NVP

200 mg tab

 

11/60's

0.18

3TC

150 mg tab

 

8.5/60's

0.14

NVP/d4T30/3TC*

tab

 

23.5/60's

0.39

NVP/d4T40/3TC*

tab

 

23.5/60's

0.39

ZDV

50mg/5ml,100 ml

 

1.55/bottle

1.55

NVP

50mg/ml, 100ml

 

2.45/bottle

2.45

NVP

50mg/ml, 25 ml

 

0.65/bottle

0.65

3TC

10mg/ml 100ml

 

2/bottle

2

EFV

200 mg caps

Merck & Co

38/60's

0.63

EFV

600 mg caps

 

38/60's

0.63

NFV

250 mg caps

Roche

100 /270's

0.37

NFV

50mg/g, susp

 

30 / bottle

30

d4T40/3TC*

tab

Ranbaxy

12.7 /60's

0.21

d4T30/3TC*

tab

 

14.1/60's

0.235

 

* FDC


Sample prices paid by MSF for Cipla products in Malawi. Purchases were made through a local distributor.

Drug dosage

Source

Unit price publicized by Cipla headquarters (in dollars)

Wholesaler price per unit (in US$) in Malawi

     

June 01

Sep 01

Dec 01

Dec 02

March 03**

ZDV/3TC* tab

Cipla

0.40 (ex-works in India: transport and insurance to be added)

0.76

0.67

0.55

0.41

0.33

NVP 200 mg tab

Not available

0.46 (May 2001)

Registered

0.33

0.29

0.183

 
   

0.285 (Apr 02)

0.52

       

 

** after competition with Ranbaxy products


Drug prices in Mozambique, October 2002

ARV

Price per box (for one month)

 

Ranbaxy

Cipla

3TC+d4T+NVP (150+40+200),

60 tab

US$32.95

US$32.00

3TC+d4T+NVP (150+30+200),

60 tab

US$26.92

US$32.00

d4T 40mg,

60 caps

US$6.52

US$4.90

d4T 30mg,

60 caps

US$4.99

US$4.30

3TC 150mg,

60 tab

US$14.70

US$11.30

NVP 200mg,

60 tab

US$18.30

US$18.30

ZDV+3TC (300mg + 150mg),

60 tab

US$41.50

US$26.50

 

EFV 200 mg (Stocrin®) from Roche: not available in Mozambique.


Drug quotations in Mozambique (first round and not yet finalized) in May 2003

ARV

Price per box (for one month)

 

Ranbaxy

Cipla

3TC+d4T+NVP (150+40+200)

60 tab

N/A

US$28.50

3TC+d4T+NVP (150+30+200)

60 tab

US$31.29

US$28.10

3TC+d4T(150+40)

60 tab

US$18.52

US$16.90

3TC+d4T(150+30)

60 tab

US$18.70

US$17.70

d4T 40mg

60 caps

N/A

US$6.89

d4T 30mg

60 caps

US$4.99

US$6.99

3TC 150mg

60 tab

US$14.96

US$12.90

NVP 200mg

60 tab

US$18.25

US$18.90

ZDV+3TC (300mg + 150mg)

60 tab

US$42.21

US$26.10

ddI 25 mg

60 tabs

N/A

US$6.95

ddI 50 mg

60 tabs

N/A

US$9.95

ddI 100 mg

60 tabs

N/A

US$14.00

ddI 2000 mg

60 tabs

N/A

US$24.90

ZDV 300 mg

60 tabs

US$28.56

US$23.90

 

EFV (Stocrin®) 200 mg from Roche: 56.26 USD/box of 90 capsules;
EFV (Stocrin®) 600 mg: N/A (not yet registered);
NFV 250 mg (Merck & Co): Price still under request;
NFV 250 mg (CIPLA): 59.50 USD/box of 100 pills.

Médecins Sans Frontières
Campaign for Access to Essential Medicines
Rue de Lausanne 78
CP 116
CH-1211 Geneva 21
Switzerland

Tel. ++41-(0)22-8498 405
Fax ++41-(0)22-8498 404
www.accessmed-msf.org

World Health Organization
Department of Essential Drugs and
Medicines Policy
Avenue Appia 20
CH-1211 Geneva 27
Switzerland

Tel. ++41-(0)22-7913 834
Fax ++41-(0)22-7914 167
www.who.int/medicines

UNAIDS Secretariat
Department of Social Mobilization and Information
Avenue Appia 20
CH-1211 Geneva 27
Switzerland

Tel. ++41-(0)22-7913 666
Fax ++41-(0)22-7914 187
www.unaids.org

WHO/EDM/PAR/2003.8

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Last updated: May 3, 2013