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One of the main difference between US and Canada is that in canada the government negotiates prices for the entire province. They have a lot of leverage because
by max51 4y ago
One of the main difference between US and Canada is that in canada the government negotiates prices for the entire province. They have a lot of leverage because the contracts are for the entire system, not a single hospital. They have a public bidding process and companies from around will fight for it and offer competitive pricing.
It's not a new concept and it works with almost all commodities. If you need to buy iphones, you are likely to get a better price for them if you call Apple directly and ask to buy a batch of 10M than if you show up to an apple store to get 5 units.
- junofan 4y agoMy PBM serves many, many more people than the population of Canada. The Canadian Patent Act permits the granting of compulsory licenses. That is the leverage the Canadian government has.
- forum_ghost 4y agoEvery country can grant compulsory licenses. India does that a lot, and supplies the entire developing world with medicines. Canada doesn’t have that much leverage. It often receives brand medications much later, and some cases medications aren’t marketed in Canada. Try to buy Nuvigil in Canada, let us know how that leverage worked out for this drug.