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Pharmaceutical policy in the Netherlands: From price regulation towards managed competition

In: Pharmaceutical Markets and Insurance Worldwide

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  • Lieke H.H.M. Boonen
  • Stéphanie A. van der Geest
  • Frederik T. Schut
  • Marco Varkevisser

Abstract

Purpose – To analyse the development of pharmaceutical policy in the Dutch market for outpatient prescription drugs since the early 1990s. Methodology – A literature review and document analysis is performed to examine the effects of pharmaceutical policy on the performance of the Dutch market for outpatient prescription drugs since the early 1990s. Findings – Government efforts to control prices of pharmaceuticals were effective in constraining prices of in-patent drugs, but had an opposite effect on the prices of generic drugs. The gradual transition towards managed competition – that particularly gained momentum after the introduction of the new universal health insurance scheme in 2006 – appears to be more effective in constraining prices of generic drugs than earlier government efforts to control these prices. Originality – Comparative analysis of the impact of price regulation and managed competition on generic drug prices in the Netherlands. Implications – Implications of the changing role of health insurers are discussed for the future market for prescription drugs and role of pharmacies in the Netherlands.

Suggested Citation

  • Lieke H.H.M. Boonen & Stéphanie A. van der Geest & Frederik T. Schut & Marco Varkevisser, 2010. "Pharmaceutical policy in the Netherlands: From price regulation towards managed competition," Advances in Health Economics and Health Services Research, in: Pharmaceutical Markets and Insurance Worldwide, pages 53-76, Emerald Group Publishing Limited.
    • Handle: RePEc:eme:aheszz:s0731-2199(2010)0000022006
    DOI: 10.1108/S0731-2199(2010)0000022006
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