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Il prezzo di riferimento nel quadro regolatorio del mercato farmaceutico

Author

Listed:
  • Chiara Bonassi

    (Autorità Garante della Concorrenza e del Mercato)

  • Laura Magazzini

    (Department of Economics, University of Verona)

  • Fabio Pammolli

    (Politecnico di Milano and CERM Foundation - Competitività, Regole, Mercati)

  • Massimo Riccaboni

    (IMT Lucca Institute for Advanced Studies and Department of Managerial Economics, Strategy and Innovation, K.U. Leuven)

  • Nicola Carmine Salerno

    (Ufficio parlamentare di bilancio)

Abstract
La letteratura suggerisce che l'applicazione del reference pricing avvenga solo sugli off-patent, sulla base di cluster chimico-terapeutico-biologici, con prezzo di rimborso allineato a quello del prodotto più economico. Non mancano, tuttavia, segnalazioni di criticità, riconducibili alle caratteristiche del contesto istituzionale e regolatorio. Tra queste, anche l’assenza di copayment percentuale sugli in-patent e sugli off-patent con prezzo allineato a quello di rimborso, nonché l'assenza di regole di pricing (in ammissione in fascia "A") e di governance annuale della spesa coerenti con la tipologia (innovazione significativa/incrementale, copia) e il "ciclo di vita" dei farmaci. Per quanto riguarda l'Italia, i dati sulle dinamiche di prezzo e sugli ingressi di nuovi produttori/prodotti sul mercato, nonché le recenti scoordinate sovrapposizioni Stato-Regioni nella gestione dello strumento, offrono una visione "luci ed ombre" dell'applicazione del reference pricing. L'attenzione va quegli snodi critici che più volte sono stati segnalati nel corso dei lavori del CERM e che questo Quaderno è occasione per ribadire.

Suggested Citation

  • Chiara Bonassi & Laura Magazzini & Fabio Pammolli & Massimo Riccaboni & Nicola Carmine Salerno, 2007. "Il prezzo di riferimento nel quadro regolatorio del mercato farmaceutico," Working Papers CERM 04-2007, Competitività, Regole, Mercati (CERM).
    • Handle: RePEc:ern:wpaper:04-2007
    as

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    References listed on IDEAS

    as
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    16. Paul V. Grootendorst & Lisa R. Dolovich & Anne M. Holbrook & Adrian R. Levy & Bernie J. O'Brien, 2002. "The Impact of Reference Pricing of Cardiovascular Drugs on Health Care Costs and Health Outcomes: Evidence from British Columbia -- Volume I: Summary," Quantitative Studies in Economics and Population Research Reports 369, McMaster University.
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    More about this item

    Keywords

    mercato farmeceutico; reference pricing;

    JEL classification:

    • D60 - Microeconomics - - Welfare Economics - - - General
    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • H00 - Public Economics - - General - - - General
    • H50 - Public Economics - - National Government Expenditures and Related Policies - - - General
    • H53 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Welfare Programs
    • H70 - Public Economics - - State and Local Government; Intergovernmental Relations - - - General
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • H77 - Public Economics - - State and Local Government; Intergovernmental Relations - - - Intergovernmental Relations; Federalism
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • L40 - Industrial Organization - - Antitrust Issues and Policies - - - General
    • L42 - Industrial Organization - - Antitrust Issues and Policies - - - Vertical Restraints; Resale Price Maintenance; Quantity Discounts

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