Drug pricing and reimbursement decision making systems in Mongolia

Dorj, Gereltuya; Sunderland, Bruce; Sanjjav, Tsetsegmaa; Dorj, Gantuya; Gendenragchaa, Byambatsogt

doi:10.1186/s40545-017-0098-6

Journal of Pharmaceutical Policy and Practice

Table 1 Drug categories and reimbursement data for essential drugs for the year 2014

From: Drug pricing and reimbursement decision making systems in Mongolia

Number	Drug	Dosage	Dosage form	Package size	Maximum retail price MNT	Reimbursement value (%/)	Reimbursement from HIF/MNT/	Total quantity (thousand)	Total reimbursed/mlnMNT/
	1. Analgesics, antipyretics, non steroidalantiinflammatory drugs
1	Acetyl salycilic acid	100 mg	tablet	100	1500	66,7	1000	1,145,655	11.4
				10	3000	50	1500	4,041,900	4.9
				30	2000	50	1000	432,918	1.4
		150 mg		10	3500	57,1	2000	364,000	0.6
		300 mg		10	5000	60	3000	14,472	4.3
2	Diclofenacsodium	25 mg	tablet	10	750	66,7	500	22,714	4.6
		50 mg		10	750	66,7	500	195,847	36.7
		75 mg		10	7500	53,3	4000	0	0
		100 mg		10	1500	66,7	1000	0	0
		50 mg	suppositorium	10	1500	66,7	1000	9912	0.9
		100 mg	suppositorium	2	2500	80	2000	45,015	45.9
		20 гp	gel	1	4000	50	2000	0	0
3	Ibuprofen	200 mg	tablet	12	5000	60	3000	115,355	28.8
		400 mg		10	1500	66,7	1000	996,263	99.3
		100 ml	syrup	1	8500	58,8	5000	41,235	205.6
4	Indomethacin	25 mg	tablet	30	1800	55,6	1000	51,436	2.6
4	Indomethacin			20	1200	83,3	1000	0	0
5	Paracetamol	500 mg	tablet	10	250	40	100	64,506	0.6
			tablet	12	1200	50	500	3373	0.1
		100 mg	suppositorium	10	250	57,1	2000	13,264	2.6
		100 ml	suspension	1	1000	61,5	4000	1015	4.1
		3%-90 ml	syrup	1	3500	50	3000	529	1.6
6	Tramadol	50 mg	tablet	10	3300	60,6	2000	88,245	17.6
	Sub total							7,647,654	473.8
	5.2 Antiinfective agents
	5.2.1 Beta-lactame antibiotics
25	Amoxicillin	125 mg	syrup	1	4000	50	2000	3547	7.4
		250 mg		1	7000	57,1	4000	293,886	30.1
		125 mg		10	5000	60	3000
		250 mg		10	1500	62,5	1000	293,886	30.1
		500 mg		10	2000	50	1000	5,062,806	56.9
26	Amoxicillin + clavulanic acid	100 ml	syrup	1	10,000	50	5000	1799	8.9
		156.25 mg/5 ml		1	8100	61,7	5000	5179	25.8
		228.5 mg/5 ml		1	7200	69,4	5000	602	3
		125 mg/60 ml		1	5000	80	4000	1980	7.9
		156.25 mg	tablet	10	7500	60	4500	5179	25.8
		312.5 mg		10	10,000	50	5000
		375 mg		16	15,200	52,6	8000
		625 mg		10	16,000	62,5	10,000	442,351	439.8
27	Phenoxymethylpenicllin	250 mg	tablet	10	850	58,8	500	6800	0.3
28	Cefadroxil	500 mg	capsule/tablet	10	3800	65,8	2500	8244	2.1
	Sub-total							6,126,259	638.4
	5.2.2 Other antiinfectiveagents
29	Clarithromycin	500 mg	tablet	14	21,000	47,6	10,000	494,548	351.9
29	Clarithromycin	250 mg		14	15,400	51,9	8000	145,636	83.2
30	Doxycycline	100 mg	capsule/tablet	10	2150	69,7	1500	21,097	3.2
31	Metronidazole	250 mg	tablet	10	350	85,7	250	147,898	3.7
		500 mg		10	1500	71,4	1000	67,655	10.8
		500 mg	suppositorium	6	3000	66,7	2000	2199	0.7
32	Chloramphenicol	250/500 mg	capsule	10	1200	83,3	1000	145,020	14.3
33	Sulfamethoxazol + trimethoprim (trimexasol)	480 mg	tablet	10	1000	50	500	85,087	43.2
33	Sulfamethoxazol + trimethoprim (trimexasol)	240 mg/5 ml-60 ml	suspension	1	2500	80	2000	949	3.1
34	Ciprofloxacin	250 mg	tablet	10	3000	66,7	2000	98,752	46
34	Ciprofloxacin	500 mg		10	4500	66,7	3000
35	Azithromycin	100 mg-5 ml	suspension	1	11,600	69	8000	7245	58
		250 mg	capsule	10	9000	55,6	5000	1,134,303	63
		200 mg/5 ml-20 ml	suspension	1	15,000	66,7	10,000
	Sub total							2,350,389	681
	5.3 Antifungal agents
36	Griseovulvin	125 mg	capsule	10	800	62,5	500	868	0.04
37	Fluconazol	50 mg	capsule	7	9100	54,9	5000	155,658	111.1
38	Clotrimasol	100 mg	vaginal tablet	6	3000	66,7	2000	38	0.08
		500 mg		1	3500	57,1	2000
		20гp	cream	1	2500	80	2000	296	0.6
		15гp		1	2200	68,2	1500	84	0.1
		10гp		1	2800	71,4	2000	146	0.3
39	Nystatin	500,000 unit	Coated tablet	20	2500	80	2000	3620	3.6
		500,000 unit	Vaginal suppositorium	10	2800	71,4	2000	1704	0.3
		2,500,000 unit		10	2600	76,9	2000	10,475	2.1
	Sub total							172,889	118.3
	5.4 Antiviral agents
40	Aciclovir	200 mg	tablet	20	4500	66,7	3000	120,741	19.5
		5%-5гp	ointment	1	3000	66,7	2000	2044	4.1
		5%-2гp	cream	1	12,500	80	10,000	1020	10.2
41	Ribavirin	200 mg	capsule	20	12,000	66,7	8000	5760	2.3
42	Lamivudin	150 mg	tablet	10	6000	66,7	4000	355	0.1
	Sub total							129,920	36.1
	6. Medication for migraine prophylaxis
43	Propranolol	40 mg	tablet	50	3000	66,7	2000	40,677	1.6
	Sub total							40,677	1.6
	9. Drugs acting on blood
	9.1 Hematinic agents
49	Ferlatum	60 mg	tablet	10	1500	66,7	1000	7501	0.8
50	Ferrovitum	162 mg + 0.75 mg + 7.50 mg	capsule	30	5400	55,6	3000	121,772	12.2
51	Folic acid	5 mg	tablet	100	4000	50	2000	31,828	0.6
	Sub total							161,101	13.6
	10. Cardiovascular agents
	10.1 Drugs for Angina pectoris, schemic heart diseases
52	Atenololum	50 mg	tablet	30	3000	66,7	2000	330,066	21.9
52	Atenololum	100 mg	tablet	10	2000	50	1000	31,812	3.2
53	Verapamilum	40 mg	tablet	50	3500	57,1	2000	16,038	0.6
54	Glycerilumtrinitratum	6.4мu	tablet	25	4750	63,2	3000	5082	0.6
55	Isosorbidumdinitratum	5 mg	tablet	20	900	55,6	500	80,812	2
56	Nifedipinum	10 mg	tablet	50	2500	80	2000	809,139	32.3
57	Inozinum	200 mg	tablet	50	2200	68,2	1500	1,250,837	37.4
	Sub total							253,786	98
	10.2 Drugs for arrhythmia
58	Amiodarone	200 mg	tablet	30	7500	66,7	5000	50,865	8.5
	10.3 Antihypertensives
59	Hydrochlorthiazidum	25 mg	tablet	30	3000	66,7	2000	7869	0.5
59	Hydrochlorthiazidum		tablet	10	1200	83,3	1000	6557	0.6
60	Methyldopa	250 mg	tablet	50	12,000	66,7	8000	60,237	9.6
61	Amlodipin	5 mg	tablet	30	16,200	61,7	10,000	1,578,754	525.8
61	Amlodipin	10 mg	tablet	30	30,000	50	15,000	6,135,264	3059.5
62	Enalapril	2.5 mg	tablet	20	3000	66,7	2000	25,525	2.5
		5 mg	tablet	30	3900	76,9	3000	310	0.1
		10 mg	tablet	30	5400	74,1	4000	1260	1.7
		20 mg	tablet	30	8100	61,7	5000	1580	2.4
63	Lozartan	25 mg	tablet	28	10,500	76,2	8000	190,397	54.4
		50 mg	tablet	28	14,000	71,4	10,000	1,105,003	393.7
		100 mg	tablet	28	28,600	52,4	15,000		0
64	Lizinopril	5 mg	tablet	14	5500	54,5	3000		0
		10 mg	tablet	14	7000	57,1	4000		0
		20 mg	tablet	14	8500	58,8	5000		0
	Subtotal							9,112,756	405.9
	10.4 Heart failure
65	Digoxin	250mkg	tablet	30	3000	66,7	2000	6269	0.4
	Sub total							6269	0.4
	10.5 Lipid lowering drugs
67	Simvastatin	10 mg	tablet	30	13,200	60,6	8000	65,260	17.4
		20 mg	tablet	30	22,000	45,5	10,000	322,778	107.6
		40 mg	tablet	30	36,000	50	18,000	587,264	352.3
	Sub total							975,302	477.3
	14. Diuretics
77	Spirinolactone	25 mg	tablet	20	4200	71,4	3000	344,164	51.5
78	Furosemide	40 mg	tablet	30	800	62,5	500	23,333	38,410
	Sub total							346,497	38461.5
	21. Vitamins and minerals
125	Ascorbucacidm	50 mg	tablet	10	200	50	100		0
126	Vitamin B complex	100 mg + 200 mg + 300mkg	dragee	60	3200	62,5	2000		0
		100 mg + 200 mg + 300mkg	coated tablet	10	1700	58,8	1000		0
		250 mg + 250 mg + 1000mkg	tablet	10	3600	76,9	2000	88,708	17.6
127	Calcium gluconate	500 mg	tablet	10	250	40	100	59,066	0.6
128	Calcium glycerphosphate	500 mg	tablet	10	1200	83,3	1000	18,354	0.2
129	Polivitamine	50 mg	dragee	50	300	33,3	100	78,739	0.2
		150 mg	syrup	1	8000	50	4000	66,666	264.4
		500 mg	Coatedtablet	10	1200	83,3	1000	18,794	1.9
130	Nicotinamide	50 mg	tablet	10	800	62,5	500	15,518	0.8
131	Pyridoxine	20 mg	tablet	10	400	75	300	740	0.02
132	Retinolumpalmitatum	20 mg	dragee	10	1100	45,5	500	18,678	0.9
	Retinolumpalmitatum	12,000 IU	capsule	10	900	55,6	500	10,868	0.5
133	Ergocalciferol	15,000 IU 1 ml	solution	1	4500	66,7	3000	553	1.7
134	Thiamine	50 mg	tablet		700	71,4	500	1150	0.1
	Sub total							88,708	17.6

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