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Dublin: 9 °C Friday 24 May, 2013

New Bill will let chemists substitute cheaper generic drugs for more expensive ones

The new Health (Pricing and Supply of Medical Goods) Bill 2012 could mean cheaper trips to the pharmacy.

Pharmacists will be able to substitute cheaper generic drugs in place of expensive branded ones, under draft laws published today.
Pharmacists will be able to substitute cheaper generic drugs in place of expensive branded ones, under draft laws published today.
Image: Be.Futureproof via Flickr

THE GOVERNMENT has published new draft legislation which could sees patients save money in pharmacies – by allowing pharmacists to substitute generic drugs in place of more expensive branded ones.

The Health (Pricing and Supply of Medical Goods) Bill 2012 will end the current system where a chemist can only dispense the exact drugs named on a prescription written by a doctor and presented by a patient.

Under the new system, a pharmacist will be able to dispense a cheaper generic alternative to the drug, as long as the Irish Medicines Board has identified the alternative as having the equal effect and as meeting safety guidelines.

The new laws would also enforce a reference price for a group of interchangeable medicines, seeking to ensure that eligible patients do not face extra costs for cheaper products.

Patients who want to receive a familiar brand of medication which costs more than its generic equivalent,however, would be personally forced to cover the additional costs.

Junior health minister Roisin Shortall, who is overseeing the introduction of the new Bill, said the combination of generic substitutions and reference pricing would give patients an incentive to choose the cheapest product, while helping them avoid unnecessary costs.

The legislation also contains new rules governing the supply of drugs to Medical Card holders and those on community drugs schemes, giving the HSE the power to attach terms and conditions to the supply of some items, as long as those restrictions are “evidence-based and in the interests of patients”.

The Bill will receive its introduction to the Seanad this Friday, with the government hoping to complete the Oireachtas’s examination during the autumn session.

Read: Howlin insists HSE will reach savings target despite €280m overspend

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Comments (33 Comments)

  • Bo bo 16/07/12 #

    Sense at last. A good move by the Minister if the pharmacist’s get behind it…

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  • Your headline is the wrong way around I think. “Substitute cheaper generic drugs for more expensive ones” shouldn’t it be substitute expensive ones for cheaper ones?

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  • Care is always needed in severe allergy …the real point of the legislation is the ability to replace one medicine with the same medicine of equal bio equivalence which is cheaper without the permission of the doctor

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  • About time! I just bought a generic brand(exact same ingredients) of inhaler in India for 1/21st the price it is in Ireland!

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  • A lot of chemists are all ready doin this

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  • Rodrigo, you are wrong. There is no generic substitution in the UK. If a brand is prescribed then a brand has to be given. There has been talk of it for many years but it has been resisted. What the UK dose have is a rate of generic prescribing of about 85%.

    Personally I like the Australian system of automatic generic substitution unless there is a definite clinical reason for not providing the generic.

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    • Niall I am afraid you are wrong…in addition to the high rate of generic prescribing there are classes of drugs like benzodiazepines where brands are not reimbursed by the NHS?

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    • Hi Mick,

      You are confusing two different things. There are a few brand names of benzos that are blacklisted on the nhs. The main ones being xanax and Valium, as an aside it is no longer possible to obtain vallium brand in the uk at all. If I receive a script that has either of these names written on it it has to be sent back to the doc as its not valid on the nhs.
      Generic substitution would mean that if I got a script for e.g. Zoton, I can give generic lansoprazole. This is not allowed under the nhs or uk law.

      Generic substitution is a good idea, but I do not think it is going to deliver anything near what it can or should. Give it a few weeks and the patient groups and doctors and others will campaign to ensure their medicines are not added to the list. Then, what about those who really do need the brand? Occasionally I do get a patient who genuinely needs the branded version, what happens in that situation?

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  • Always good to ask for generics, because the pharmacist’s dont always tell you a generic one is available;

    I paid over a fiver for 24 nurofen last week and it turns out 24 generic ibubrofen in the same chemist was €2 but the girl behind the counter advise me. I suppose they get a bigger cut for branded products.

    The difference would nearly have got me a pint of guiness….

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    • For which you might have to take a nurofen the morning after. ha! I’ve discovered the Guinness-pharma vicious circle conspiracy thing.

      My head hurts. To the pharmacy.

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    • No Chucky …the generic cost the pharmacist around ten per cent of the selling price so he is making much more substituting. What the Minister needs to do is force the pharmacist to sell at cost for a GMS prescription or one where there is reimbursement.

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    • Nurofen is just a brand buy generic ibuprofen.

      Up north you can get 24 for about 50cent

      http://groceries.asda.com/asda-estore/catalog/sectionpagecontainer.jsp?skuId=425732&departmentid=1214921923791&aisleid=1214921925575&startValue=

      You guys are getting shafted on drug prices.

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    • untrue – you get a bigger cut for the generic most of the time… which would have improved my diminished guinness fund! its a case of we are damned if we do or damned if we dont! the government agreed prices with the pharmaceutical companies in return for employment, R+D etc hence the high cost of medicines in the country. this is now being addressed. (in some cases the brands have become cheaper than the generics after recent government interventions/agreements).
      also anyone who wants to say medicines are cheaper in spain or elsewhere well then they should move there and see what wage they will get with it…. plus may the buyer beware of the unregulated nature of the supply chain within europe. couple this with avoiding the GP for a check up – well say no more. then someone’s condition worsens and who gets the blame .
      if we promote generics… people say they are not the same. if we promote brands we are rip off merchants….
      the pharmacists have played their role in cost saving exercises for the government and continue to do so…. and we play a vital and free service for advice to all the public amongst other things ….i think we could all take a pop at many different professions in this country and pricing in general. but hey, thats the perception of most young males out there about pharmacy – those who like to avoid GPs and bemoan medicine costs but have no problem forking out for Pints (semi joke and generalisation i know … been there but cant afford it now with the cost of bringing up 2 kids, bills etc and that is with 2 of us working as professionals … and just started up as a pharmacy owner ) … the pharmacy world is now a very competitive one with prices coming down so be patient (excuse the pun)…. since we are on the guinness topic: ‘ good things come to those who wait’
      next topics please: rates, insurance, legal fees, social welfare system, tax etc…
      ciao

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  • Generics are a great idea for most. But picture the elderly lady who knows her meds by their shape and colour. If she had generic substitution possibly with different generic meds each time there is a huge risk of confusion , leaving some out , taking the wrong meds etc.

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  • Trish 16/07/12 #

    But the ADDED ingredients in medicines are NOT identical as anyone who has ever suffered anaphylactic reactions to them will know. Just because one brand of a medicine is safe for an individual with severe allergy, doesnt mean all brands will be.

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  • Ryan! I stay here because I live in hope that someday this country will become the place it so easily could be! I refer to this country as a kip, because as long as we the Irish people are prepared to tolerate the blatant gangsterism of so called politicians and their crooked accomplices, this country will remain a kip. Only sheer frustration causes me to feel this strong! And Ryan, judging by the amount of green thumbs I receive, it seems I’m not the only person that feels this strongly!

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    • What are you doing about it Rodrigo?

      Noting progress by saying that any progress does nothing but highlight how far behind we are? Seems like a real positive step.

      Are you protesting? Are you writing to public figures? Maybe share some of that instead of spreading a consistently gloomy cloud over the place you share with so many other decent people?

      Get to a beach on a sunny day – maybe you might actually enjoy some part of your country….

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  • move to Scotland all med are free to all

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  • navrag 17/07/12 #

    Interesting…. Take the choice of medication away from the group who have no profit motive, and give it to the group who do have a profit motive…

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  • I get all my generics on silk road, cut out the €50 visit to the doctor.

    Reply

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