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El futuro control de precios en Reino Unido
Las claves de la consulta para modificar el marco legal
1. Propuestas básicas
Opción 1. Un mayor recorte en el precio
máximo.
Opción 1a. Un mayor recorte en el precio
máximo incluyendo nuevos productos.
Se somete a consulta un recorte de
precios de entre el 20 y el 30%
Opción 2. Un pago porcentual por parte
de las compañías que reemplace al
recorte actual.
Opción 2a. Un pago porcentual por las
compañías incluyendo nuevos productos.
Opción preferida por el Gobierno.
Se somete a consulta un pago porcentual
de entre el 10 y el 17%
2. Tras optar por un pago porcentual...
El NHS necesitará seguir controlando los precios máximos.
Para ello propone:
• Crear un listado de precios máximos que cubran todos los
medicamentos.
• Publicar de manera regular actualizaciones de esos precios máximos.
• Requerir a las compañías que notifiquen con al menos 28 días de
antelación el precio de cada nuevo producto y su fecha prevista de
lanzamiento.
• El Ministerio decidirá posibles exenciones en el control de precios.
Habrá penalizaciones si…
• Una compañía hace público un precio superior al de los listados
oficiales.
• Una compañía incumple el deber de notificar con al menos 28 días
de margen.
• Una compañía incumple cualquier requerimiento derivado del nuevo
esquema.
Siempre en el punto de mira, las propuestas de Reino Unido pueden funcionar como
un acicate para otros países. El cambio en su nuevo sistema de precios ya fue analizado
por este periódico (ver EG nº 714) como una de las patas de un programa mucho más
ambicioso que también tendrá en cuenta al NICE, al Fondo de Medicamentos contra el
Cáncer (ya reformado) y el Value-Based Pricing.
El Global
Fuente: Ministerio de Sanidad de Reino Unido
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El precio de los genéricos en la parte D de Medicare
Análisis entre el primer cuatrimestre de 2010 y el segundo cuatrimestre de 2015
Índice de precios
110
100
90
80
70
60
50
40
30
2011
2012
2013
2010
Cesta fija de genéricos (presentes durante todo el periodo)
Cesta variable de genéricos (incluye la cesta fija más los
genéricos que entraron o salieron durante el periodo)
Fuente: Oficina General de Contabilidad de los Estados Unidos (GAO).
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2014
2015
El Global
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Evolución del mercado del genérico a agosto de 2016
PAÍS VASCO
45,1%
2,0%
GALICIA
36,5%
1,8%
CATALUÑA
42,5%
1,6%
MADRID
42,8%
1,5%
ANDALUCÍA
45,2%
1,4%
ASTURIAS
32,0%
0,8%
NAVARRA
37,0%
0,5%
EXTREMADURA
34,0%
0,5%
LA RIOJA
32,9%
0,3%
CANTABRIA
35,8%
0,3%
CASTILLA LA MANCHA
41,1%
-0,1%
BALEARES
36,7%
-0,3%
CASTILLA LEÓN
45,7%
-0,3%
COM. VALENCIANA
31,8%
-0,4%
Crecimiento del mercado de genéricos <20%
con respecto a la media nacional
ARAGÓN
38,0%
-0,5%
ISLAS CANARIAS
32,7%
-0,5%
Crecimiento del mercado de genéricos >20%
con respecto a la media nacional
MURCIA
30,3%
-1,3%
TOTAL NACIONAL
Fuente: IMS Health.
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0,9%
El Global
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% Penetración % Crec. Penetración
de genéricos
EFGs – (MAT1,
UNDS)
(UNDS)
MAT 08/2015
vs. MAT 08/2016
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ROCHE en cifras
Francos suizos
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VALOR DE LAS ACCIONES
2015
2014
FOGSBODPTTVJ[PTTJUVÃOEPTFFOMB
•
Capitalización
bursátil
179.475
millones
175.255
millones
GSBOKBJOGFSJPSEFTVSBOHPEFWBSJBDJÓO
• Final de año
276,4
269,9
EFMÙMUJNPBÒP&OFTUFQFSJPEPIBQSFEP
• Más alta
282,5
294,6
• Más baja
245,0
248,2
NJOBEPVODPNQPSUBNJFOUPCBKJTUBTJ
• Dividendos
—
8,0
CJFOÊTUFTFDFOUSÓFOUSFMPTNFTFTEF
EJDJFNCSFZNBS[P"QBSUJSEFFOUPODFT
POR PRODUCTOS
2015
2014
ZUSBTIBCFSNBSDBEPTVNÎOJNPBOVBM
• MabThera/Rituxan
7.045 millones
6.900 millones
• Avastin
6.684 millones
6.417 millones
3PDIF JOJDJÓ VO QFSJPEP DPO DJFSUPT
• Herceptin
6.538 millones
6.275 millones
BMUJCBKPT EPOEF IB QSFEPNJOBEP VO
• Perjeta
1.445 millones
918 millones
EFTQMB[BNJFOUPIPSJ[POUBM
• Actemia/Roactemia
1.432 millones
1.224 millones
"OBMJ[BOEPVOQFSJPEPUFNQPSBMNÃT
INVERSIÓN EN I+D
% DE LAS VENTAS
BNQMJPBÒPT
TFQVFEFWFSFMFYDFMFOUF
2015
9.332 millones
18,8%
DPNQPSUBNJFOUPEFFTUFWBMPSFOUSFMPT
2014
8.913 millones
18,7%
BÒPTZBQSPYJNÃOEPTFB
VENTAS POR ÁREA GEOGRÁFICA
VENTAS
GJOBMFTEFEJDIPBÒPBMPTGSBODPT
ROCHE (2015)
48.145
TVJ[PT"QBSUJSEFFOUPODFTDPNFO[ÓB
47.473
46.780
millones
millones
millones
DFEFSQSPHSFTJWBNFOUFQPTJDJPOFT
11.106 millones
Resto del mundo
&OFMDJFSSFEFMQSJNFSTFNFTUSFEF
MBTWFOUBTEF3PDIFBTDFOEJFSPOB
20.164 millones
EEUU
3.648 millones
NJMMPOFT EF GSBODPT TVJ[PT Japón
NJMMPOFTEFFVSPT
VOQPS
13.227 millones
DJFOUPNÃTRVFFOFMFKFSDJDJPBOUFSJPS
Europa
NJFOUSBTRVFFMSFTVMUBEPPQFSBUJWPGVF
2015
2013
2014
EF NJMMPOFT EF GSBODPT TVJ[PT
Fuente: elaboración propia a partir de datos de la compañía
NJMMPOFTEFFVSPT
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Francos suizos
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300
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280
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260
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240
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220
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CHF
200
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DJFOUPJONVOPMPHÎBFMQPSDJFOUP NJFOUSBTRVFFMSFTUPEFNFSDBEPTJOUFS
Sep Nov Ene Mar May Jul Sep
2015 2015 2016 2016 2016 2016 2016
DSFDJFOEPVOQPSDJFOUPFOGFSNFEB OBDJPOBMFT HFOFSÓ FM QPS DJFOUP
Fuente:
elaboración propia
EL GLOBAL
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FRVJWPDBEPT MB EPTJT FRVJWPDBEB P
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NVFSUFuTFÒBMBFMFTDSJUPRVFBTFHVSB
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Exclusivo NetSalud
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Índice Global.
Evolución en los últimos doce meses
170
145
120
Índice Global: 0,72
95
BE 500
-0,83
IBEX 35
-0,25
70
Sep
Oct
Nov
Dic
Ene
Feb
Mar
Abr
May
Jun
Jul
Ago
2015
2015
2015
2015
2016
2016
2016
2016
2016
2016
2016
2016
30 septiembre 2016
El Índice Global, referencia en bolsa del sector farmacéutico, está integrado por 29 valores internacionales. La ponderación de cada uno está en función de su capitalización bursátil. El valor de este
índice el 1 de enero del 2000, se tomó como base
100, de manera que su valor actual indica la revalorización o depreciación que dicho índice acumula
respecto a la base. Las variaciones de cada uno de
los índices se calculan respecto a la misma fecha
del mes anterior, mientras que las variaciones recogidas en el texto de la noticia hacen referencia a la
semana.
Para conocer los valores del Índice Global, consulte:
www.elglobal.net
Fuente: elaboración propia
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Belén Garijo, CEO mundial de Merck Healthcare recibe el Premio Fundamed & wecare-u 15 Años por su
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NS
Exclusivo NetSalud
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EFUSBOTGPSNBDJØOFOCBKPFMSFUPEFMBTPTUFOJCJMJEBEJODMVZFOEPVODPOUFYUPQPMÓUJDPNVMUJQBSUJEP
NS
Exclusivo NetSalud
BMEFPDUVCSFEF&-(-0#"-&TQFDJBMr
1SFNJP'VOEBNFEXFDBSFV
i%FCFNPTDPOUSJCVJS
BMBTPTUFOJCJMJEBEEFM
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+13
.BESJE
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QPSTVUSBZFDUPSJBQSPGFTJPOBM#FMÊO
(BSJKP RVJTP EFTUBDBS FM QBQFM RVF
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NS
Exclusivo NetSalud
r&TQFDJBM&-(-0#"- BMEFPDUVCSFEF
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+13
.BESJE
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.BESJE
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TF EFCF BMiUBMFOUP MB DBQBDJEBE FM
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MB GVODJÓO EF MB DJFODJB i4PNPT MB
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NS
Exclusivo NetSalud
BMEFPDUVCSFEF&-(-0#"-&TQFDJBMr
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BTJTUFOUFTEVSBOUFTVJOUFSWFODJØO
NS
Exclusivo NetSalud
r&TQFDJBM&-(-0#"- BMEFPDUVCSFEF
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