# \[e-drug\] Prices of essential drugs in developing countries (cont'd)

**URL:** <https://talk.edrugplus.org/t/e-drug-prices-of-essential-drugs-in-developing-countries-contd/8033>\
**Category:** e-drug\
**Created:** [April 26, 2000, 11:35am UTC](https://talk.edrugplus.org/t/e-drug-prices-of-essential-drugs-in-developing-countries-contd/8033 "2000-04-26T11:35:06Z")\
**Posts on this page:** 1\
**Page:** 1

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**Author:** ![John\_Q\_Wong\_MD\_MS](https://avatars.discourse-cdn.com/v4/letter/j/91b2a8/32.png) [@John\_Q\_Wong\_MD\_MS](https://talk.edrugplus.org/u/John_Q_Wong_MD_MS)\
**Post date:** [April 26, 2000, 11:35am UTC](https://talk.edrugplus.org/t/e-drug-prices-of-essential-drugs-in-developing-countries-contd/8033/1 "2000-04-26T11:35:06Z")

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E-drug: Prices of essential drugs in developing countries (cont'd)  
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Dear E-druggers,

This is a somewhat late reply on the call for info on essential drugs  
pricing in developing countries.

In the Philippines, the duties on imported drugs have been assessed at  
the rate of 3% for raw materials since 1996 and 5% for finished  
products since 1999. These rates were 10% and 20%, respectively,  
previous to the mentioned years. It is notable that after the reduction  
in tariffs, there was no noticeable decrease in drug prices in the local  
market in spite of the high proportion of imported inputs to  
production.

It is difficult to bring a finger on the profit margin drug manufacturers  
add on to the cost of goods. But one estimate, using macro-economic  
data, puts the net income of drug manufacturers at 34%. Most  
multinational drug companies distribute their goods through one  
dominant distributor which controls about 60-70% of the market. This  
distributor adds at least 15% to the cost of the goods.

In addition, a value-added tax of 10% is added to the cost of the  
goods.

Thus, 65% is a fair estimate of the costs added to drugs from  
importation to the warehouse of the Department of Health.

Drugstores who sell to the consumers add anywhere from 10% for  
branded products to at least 50% for generics.

And yes, the government taxes its own procured drugs because it  
buys from middleman traders. Presently, the government does not  
conduct international biddings.

I hope the above answers are still useful.

John Q. Wong, MD, MS  
Consultant  
Philippine National Drug Policy Program Office  
Department of Health  
Philippines  
E-mail: johnw@mydestiny.net

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