# \[e-drug\] OXFAM: Generics, prices and access to medicines

**URL:** <https://talk.edrugplus.org/t/e-drug-oxfam-generics-prices-and-access-to-medicines/14691>\
**Category:** e-drug\
**Created:** [July 13, 2002, 9:26am UTC](https://talk.edrugplus.org/t/e-drug-oxfam-generics-prices-and-access-to-medicines/14691 "2002-07-13T09:26:36Z")\
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**Author:** ![mksmith](https://avatars.discourse-cdn.com/v4/letter/m/e274bd/32.png) [@mksmith](https://talk.edrugplus.org/u/mksmith)\
**Post date:** [July 13, 2002, 9:26am UTC](https://talk.edrugplus.org/t/e-drug-oxfam-generics-prices-and-access-to-medicines/14691/1 "2002-07-13T09:26:36Z")

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E-drug: OXFAM: Generics, prices and access to medicines  
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10 July, 2002

Generic competition leads to dramatic drop in price of AIDS medicines

Research published today by Oxfam clearly shows that the availability of  
cheap generic medicines in developing countries plays a significant role in  
cutting the price of patented antiretrovirals (ARVs) and in increasing the  
number of patients who have access to the lifesaving medicines.

The research tracks the price of brand name drugs in Uganda from May 2000  
to April 2002 . Despite the fact the big five pharmaceutical companies had  
agreed under the Accelerated Access Initiative to reduce the prices of  
ARVs, it was the introduction of generic equivalents from India in October  
2000 that led to an dramatic fall in the price of the brand name medicines  
in the country.

We had been promised price cuts since May 2000 and did not see them until  
we started to import generics in October?, says Dr Cissy Kityo, Deputy  
Director of the Joint Clinical Research Council in Uganda.

Prices fell by as much as 78% within a couple of months and up to 97% over  
the two years. The largest decreases were for Stavudine/ D4T. A 40mg  
monthly dose fell from $173 in May 2000 to $23 in February 2001 and then  
eventually to $6 in April 2002.

At the same time, the numbers of patients taking ARVs at one treatment  
centre alone increased by 200 per cent within a year.  
28 million people in the developing world are HIV positive and 6 million  
need treatment with ARVs now. This research shows that with generic  
medicines, more people can afford the life-line that antiretrovirals  
already provide to AIDS sufferers in richer countries. Any plans to combat  
AIDS in some of the world?s poorest countries must include the use of  
generics and we must ensure that countries are allowed to continue to  
import them?, says Dr Mohga Kamal Smith of Oxfam.

Under WTO rules, Uganda will no longer be able to import generic versions  
of newly patented medicines after 2005 because countries that manufacture  
generics such as India will no longer be allowed to export them. Rich  
country trade ministers committed themselves at Doha in November last year  
to find a solution to this problem by the end of 2002 but they are  
backsliding on this pledge by putting forward temporary, impracticable and  
highly restrictive solutions.

For media enquires and copies of the report in Barcelona contact Adela  
Farr�, +34 626 992 057, or Dr. Mohga Kamal Smith, + 44 77762 55884. In UK,  
contact Tricia O'Rourke on 01908 233 273 or 07989 965 359.

Oxfam Briefing Paper No. 26: Generic competition, price and access to  
medicines ? The case of antiretrovirals in Uganda  
www.oxfaminternational.org

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