The Medical Letter on Drugs and Therapeutics
Prescription Drug Prices in the US
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Per capita spending on prescription drugs in the US is higher than in other industrialized nations, including Canada.1

OTHER COUNTRIES — In most industrialized countries, unlike the US, drug prices are regulated by the government. Centralized advisory boards determine the clinical efficacy and cost-effectiveness of a drug. Prices are based in part on external price referencing (comparison of drug prices in several countries to determine a reference price) and are often transparent and capped.2 Fewer payers are involved, and in some countries, there is only a single public payer.

LIST PRICE vs NEGOTIATED PRICE — Drug pricing in the US is complicated by multiple factors, including list prices that do not reflect what is actually paid for a drug, the number of middlemen involved in getting a drug from the manufacturer to ... more      

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Title: Prescription Drug Prices in the US
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