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tvr.by. afternoon evening. hello, everything is clear with you about the project, karaman, let's talk about complex things in simple language. today about what prices consist of for medications in belarus, will they decrease and how to save on medications? go! during this period, we begin to get sick more and go to pharmacies more often. when your nose is clogged and your body aches from fever, we all need a magic pill that will cure the cold and its complications. unfortunately, such a pill has not yet been invented,

because... each sick person carries from the pharmacy a heavy bag of medicines and a long receipt, often with three-digit numbers, and if the number of positions in the receipt depends on our immunity, then the numbers in it are valid only the state can regulate, which is what it does. belarus has returned to reference pricing for medicines. referential means serving to correlate with something, to bind to something. in this case , the reference price of education. this is setting a price for a product based on how much it costs in countries with an economy , plus or minus, similar to ours. in the situation with medicines, the ministry of health has compiled a list of drugs that belarusians most often use, and the council of ministers has decided the selling prices for these drugs cannot be set higher than the state allows. the list can be found in savmin resolution no. 444 of july 6

, 2023. it didn’t change much the list of 776 resolutions from 2018, you can google both, and you’ll end up with the same list. it contains 37 positions, for example, besoprolol and amplodipine, they lower blood pressure, acetyl salicylic acid and buprofen are anti-inflammatory drugs. and here there is an important nuance: the list does not indicate the name of the medicine, but the active ingredients on the basis of which the medicine is made. themselves drugs. with about 900 of these active ingredients in belarus, suppliers can now buy them from manufacturers only at a price that our state will approve. now about how prices for such medicines are formed, so that the process is transparent and understandable, our ministry of antimonopoly regulation, henceforth we will call it march, has created instructions on the methodology for calculating maximum selling prices of manufacturers for medicines.

it says that the price of a medicine is based on its average cost on the belarusian market in the last 6 months and its prices in fourteen other countries. 13 of them are the same countries with economic systems similar to ours. their list is permanent, it is approved along with instructions on the methodology for calculating prices for medicines. this is an appendix to instructions number four. the list includes belgium, bulgaria, hungary, greece, kazakhstan, latvia, lithuania, poland, russia, romania. slovakia, france and czech republic. the fourteenth country is always the state in which the drug is produced. in practice it all looks like this: the manufacturer or its representative decides to sell a medicine, for example, made in india, in belarus. they look at what active substance it contains and check whether it is on the list of the new version 776 of the council of ministers resolution. they find him there.

this means that you need to agree with the state on the price at which you can purchase it. if the drug has already been sold on our market, take its average purchase price in the last 6 months, for example, this is 20 rubles for 10 g. then look at what price the manufacturer sells it at it to 13 countries from the approved list in india itself, add up these 14 indicators and divide by 14, get the average selling price of the drug in the reference countries, for example, it is 22 rubles per 10 g. then, the average price of the drug on the belarusian market over the last six months is added up with the average price of the reference markets, in our example, it is 20 + 22 and the arithmetic mean is derived, that is. the result is two, you get 21 rubles for 10 g of the drug. this figure becomes the price ceiling at which you can buy medicines from manufacturer for the belarusian market. no,

the fact is that drug manufacturers do not sell them directly to pharmacies. they work with pharmacy companies that have everything for receiving, transporting, storing and shipping drugs. the batch is purchased from a belarusian or foreign manufacturer. in belarus they bring it to the supplier’s warehouse, and from there they sell it or simply deliver it to pharmacies. at the same time, the supplier works as an intermediary, bears the costs, wants to recoup them and make a profit. therefore, it throws on the price that the manufacturer paid for the medicine, the pharmacy and retail markups, they account for about 35% of the cost of the drug. it is impossible to put premiums on the price because of the ear; the process of setting prices for medicines, both from the list of especially in demand and all others , is regulated by presidential decree no. 366, on setting prices for medicines, medical products and medical equipment. it states that the maximum wholesale markup can be 9% of the price

of the drug, the maximum retail markup can be 30%. at the same time, the more expensive the medicine, the less you should be a surcharge. and here wholesalers need to put together the pricing puzzle in such a way that it is beneficial for their pharmacy clients. imported medicines are always more expensive. because the supplier includes in its costs not only the maintenance of warehouses, specialists and transport, but also the costs of delivery from abroad and customs expenses. there are wholesale companies for which this task is easier than for others, because they own their own pharmacy chain, for example, belpharmacea and medvax, as well as interfarmax, unipharma and vitvar. extremely acceptable prices for the purchase of medicines for the belarusian market are agreed upon. not for the supplier, but for the manufacturer, whoever wants to sell his medicine here to the market of our country, he will be able to sell it only at the price agreed upon by march. if the manufacturer decides that it is time to increase the price, he or his representatives will have to go through

the entire procedure for agreeing on the selling price of the drug again in march. the pharmaceutical market is a space where the 50x50 proportions are intertwined in an extraordinary way. it seemed would be incompatible phenomena: concern for people and thirst for profit. many players in this market understand that people’s lives depend on their work, and no matter what happens in the world, they try to deliver medicines to consumers. in addition, for the chance to restore health, each of us at a critical moment is ready to give everything. pharmaceutical companies know this; they did not spend millions of dollars to create and develop their production in order to lose lucrative markets. therefore, as a rule, people are interested in agreeing on the selling price of drugs... and manufacturers and their representatives, they themselves apply to the march of belarus to obtain the right to sell their products here.

aleksandr lukashenko ordered to agree on maximum selling prices for medications for the belarusian market back in 2008. the president saw that the quality of life of belarusians depended on this segment of trade, and did not consider it possible to let pricing in it take its course. then the new scheme worked. drug prices have dropped, the market has become transparent, and competition is healthy. but 2020 has arrived and the coronavirus has arrived. entire countries went into deep quarantine. borders were closed, supply chains were broken, and supplies of medications were already under threat. it was impossible to delay them by agreeing on selling prices. thousands of people may not have received the necessary medications on time. that’s why the president canceled the mandatory price negotiations for smart medicines. the priority became high. speed, not low delivery price. the storm has passed: we have emerged from the coronavirus hell and straightened our shoulders under the onslaught of sanctions. in april this year, the head of state ordered the return of reference pricing for medicines; manufacturers of medications and their

representatives must agree on prices for their products from the savmin list by december 1. this move will again comb the market for medications and will, if not reduce, then stabilize their prices. the cost of the same drug in different pharmacies in belarus can fluctuate within 70 rubles. the difference is huge, but most often there are no violations of the law here, it’s just that pharmacy chains could give away the drug in nipples, for example, for a purchase a large batch, or because a fresh delivery arrived, and the old one was lying in warehouses. before buying an expensive medicine, you should find it on the websites tablet bai or 103. there is information about the highest and lowest prices for it in your locality throughout the country. well, from those who are still confused by the cost of the drug, march accepts complaints and checks each case separately. savings on medicines are starting. from childhood, when no one smokes or drinks at the child’s home, and thus

adults lay a program in the child behavior by example, when on weekends the family goes to the skating rink or to the pool , instead of drinking drinks of dubious benefit in dubious company, when a child is taught to nibble on a carrot and an apple no less than a chocolate bar, all this is an investment in a future without drugs. the best prevention of diseases for adults is moderate nutrition, adequate sleep , giving up bad habits, playing sports. people who are accustomed to solving all problems with a pill may argue that in the acute period everything is listed to them as grain to an elephant, during an acute period, yes, but for those who respect their body, the risks of catching this acute period are reduced tenfold. in belarus, respect for the health of citizens is supported at the state level; athletes are on billboards along our avenues; sports complexes are being built on the central streets of our cities. our president receives guests. on ski slopes and hockey fields, and journalists are gathered

at the wood-chopping championship, and not on the dusty sidelines. this approach is the best way to save our money on medicines, we all that remains is to use it. i’m marina karaman and what to expect from drug prices in belarus, we figured it out, everything is clear,

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