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Price Formation of Medicines and Alleged Competition Restrictions that Affect Financial Availability of Medicines

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Reimbursable and non-reimbursable medicines in Latvia have different pricing mechanisms. If the same medicines are sold in a pharmacy both as reimbursable and non-reimbursable, they have a different price. If a medicine is listed as reimbursable and is sold within the reimbursement system, its price forms in accordance with the Regulation of the Cabinet of Ministers No. 8991 (hereinafter – Regulation No. 899). If the medicine is included in the list of reimbursable medicines (hereinafter – the List), but is sold outside the reimbursement system due to, e.g., different diagnosis of patient, the price through wholesaler and pharmacy mark-ups forms in accordance with the Regulation of the Cabinet of Ministers No. 8032 (hereinafter – Regulation No. 803). In this case the price is higher than the price that forms according to the Regulation No. 899.

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