Cargando…

Cost Analysis of Different Antibiotic Brands Available in Indian Market with Reference to National List of Essential Medicines

BACKGROUND: About 60%–90% of healthcare spending in India is on medicine which is mainly out of pocket. Almost all the drugs including antibiotics are available as brands with variable cost. Indian government formulated National List of Essential Medicines (NLEM) to ensure availability of affordable...

Descripción completa

Detalles Bibliográficos
Autores principales: Meena, Dinesh Kumar, Jayanthi, Mathaiyan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8117914/
https://www.ncbi.nlm.nih.gov/pubmed/34035585
http://dx.doi.org/10.4103/ijcm.IJCM_296_20
_version_ 1783691657725607936
author Meena, Dinesh Kumar
Jayanthi, Mathaiyan
author_facet Meena, Dinesh Kumar
Jayanthi, Mathaiyan
author_sort Meena, Dinesh Kumar
collection PubMed
description BACKGROUND: About 60%–90% of healthcare spending in India is on medicine which is mainly out of pocket. Almost all the drugs including antibiotics are available as brands with variable cost. Indian government formulated National List of Essential Medicines (NLEM) to ensure availability of affordable medicines to the population. Prescribing drugs from NLEM and considering the cost of drug, especially antibiotics in practice, can reduce cost of treatment and patient's out-of-pocket expenditure. OBJECTIVE: The objective of the study is to analyze cost variation of different antibiotic brands available in Indian market with reference to NLEM. MATERIALS AND METHODS: List of antibiotics listed in the NLEM 2015, India, was prepared. Percentage cost variation and cost ratio of different brands of these antibiotics were calculated and compared. RESULTS: We found 17 antibiotics listed in NLEM 2015. The number of brands varied from 2 to 102. We found wide cost variations among different brands of same antibiotics. Minimum cost variation was 7.34% (for ciprofloxacin 200 mg/100 ml vial) while maximum 1049.82% (for azithromycin 500 mg tablet). CONCLUSION: There is wide cost variation in different brands of same antibiotics listed in the NLEM. Prescribers should prescribe cheaper brands of antibiotics to ensure that patients complete the course of treatment and thus reduce development of resistance to antibiotics.
format Online
Article
Text
id pubmed-8117914
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-81179142021-05-24 Cost Analysis of Different Antibiotic Brands Available in Indian Market with Reference to National List of Essential Medicines Meena, Dinesh Kumar Jayanthi, Mathaiyan Indian J Community Med Original Article BACKGROUND: About 60%–90% of healthcare spending in India is on medicine which is mainly out of pocket. Almost all the drugs including antibiotics are available as brands with variable cost. Indian government formulated National List of Essential Medicines (NLEM) to ensure availability of affordable medicines to the population. Prescribing drugs from NLEM and considering the cost of drug, especially antibiotics in practice, can reduce cost of treatment and patient's out-of-pocket expenditure. OBJECTIVE: The objective of the study is to analyze cost variation of different antibiotic brands available in Indian market with reference to NLEM. MATERIALS AND METHODS: List of antibiotics listed in the NLEM 2015, India, was prepared. Percentage cost variation and cost ratio of different brands of these antibiotics were calculated and compared. RESULTS: We found 17 antibiotics listed in NLEM 2015. The number of brands varied from 2 to 102. We found wide cost variations among different brands of same antibiotics. Minimum cost variation was 7.34% (for ciprofloxacin 200 mg/100 ml vial) while maximum 1049.82% (for azithromycin 500 mg tablet). CONCLUSION: There is wide cost variation in different brands of same antibiotics listed in the NLEM. Prescribers should prescribe cheaper brands of antibiotics to ensure that patients complete the course of treatment and thus reduce development of resistance to antibiotics. Wolters Kluwer - Medknow 2021 2021-03-01 /pmc/articles/PMC8117914/ /pubmed/34035585 http://dx.doi.org/10.4103/ijcm.IJCM_296_20 Text en Copyright: © 2021 Indian Journal of Community Medicine https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Meena, Dinesh Kumar
Jayanthi, Mathaiyan
Cost Analysis of Different Antibiotic Brands Available in Indian Market with Reference to National List of Essential Medicines
title Cost Analysis of Different Antibiotic Brands Available in Indian Market with Reference to National List of Essential Medicines
title_full Cost Analysis of Different Antibiotic Brands Available in Indian Market with Reference to National List of Essential Medicines
title_fullStr Cost Analysis of Different Antibiotic Brands Available in Indian Market with Reference to National List of Essential Medicines
title_full_unstemmed Cost Analysis of Different Antibiotic Brands Available in Indian Market with Reference to National List of Essential Medicines
title_short Cost Analysis of Different Antibiotic Brands Available in Indian Market with Reference to National List of Essential Medicines
title_sort cost analysis of different antibiotic brands available in indian market with reference to national list of essential medicines
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8117914/
https://www.ncbi.nlm.nih.gov/pubmed/34035585
http://dx.doi.org/10.4103/ijcm.IJCM_296_20
work_keys_str_mv AT meenadineshkumar costanalysisofdifferentantibioticbrandsavailableinindianmarketwithreferencetonationallistofessentialmedicines
AT jayanthimathaiyan costanalysisofdifferentantibioticbrandsavailableinindianmarketwithreferencetonationallistofessentialmedicines