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Author: Admin | 2025-04-28
Belgium, France, Japan, the Netherlands, Sweden, Switzerland, and the United Kingdom were found on each country’s respective national drug formulary website. Canada does not have a national drug formulary; instead, each province determines their own formulary and negotiates their own drug prices. Given that Ontario is the most populous province in Canada, Ontario’s formulary was used. The Ontario formulary did not include Stelara or Imbruvica; for these medications, prices from Quebec’s formulary were used, as Quebec is the second most populous province. The German government’s database of drug prices in the country was discontinued on January 1, 2024. As a result, prices were taken from shop-apotheke.com and medikamente-per-klick.de, which are two of the top three most used online German pharmacies. The drug prices available to the Big Four agencies were found on the VA’s National Acquisition Center website. All reported drug prices reflect prices as of September 17, 2024.Farxiga is sold as “Forxiga” outside of the United States. Similarly, NovoLog is sold as “NovoRapid” internationally. Both NovoLog and Fiasp are manufactured by Novo Nordisk, however, Fiasp products were not available in several countries, so only prices for NovoLog are reported here. For injectable medications (Enbrel, Stelara, and NovoLog), prices for the drug in a pre-filled pen (as opposed to the medication in a vial) were selected. For medications with differences in induction versus maintenance dosing, the maintenance dose and frequency were used. AppendixMedicare published their negotiated prices for the ten drugs in two ways: 1) as a single price per “30-day equivalent supply” to show the average price for someone taking the drug and 2) specific prices per each NDC-11 code, which correspond to different dosage forms and strengths of the drug. The single price per “30-day equivalent supply” is weighted across the different dose forms and strengths of the drug, as described in the detailed guidance published by CMS. The following table compares the single weighted with the price for the specific NDC-11 that matches the dosage and frequency of the drug that was used in calculating the drug prices for the other countries in this comparison. Overall, the
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