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  3. > IMS Pharmaceutical Pricing & Reimbursement Concise Guide: Russia

The Pharmaceutical Pricing & Reimbursement Concise Guides are established as the definitive reference and training text for P&R professionals around the world, drawing on the long-standing expertise of the IMS pricing and reimbursement specialists to provide industry players and decision makers with a thorough understanding of the rules and regulations governing P&R in international markets. This report covers key developments in P&R, market access, cost containment, trade margins and healthcare issues.

Table Of Contents

IMS Pharmaceutical Pricing and Reimbursement Concise Guide: Russia
RUSSIA 1
HEALTHCARE SYSTEM 1
Facts and Figures 1
Market Indicators 2
Provision and Funding 4
Reform Programme 5
Systemic Failure 5
New Priorities to 2025 6
Impact of Sanctions 6
PRICING 7
Prescription Drugs 7
Regulatory Bodies 7
Pricing Regulations 7
Amendments to Drug Law 8
DLO Pricing 10
Regional Schemes 10
Concerns about Withdrawal of Cheap Essential Drugs 10
Further Amendments to Pricing Methodology 10
Generic Drugs 10
Generics 11
Biosimilars 11
Previous Regulations 11
Hospital Drugs 11
OTC Drugs 12
REIMBURSEMENT 13
Admission to Reimbursement 13
DLO Coverage 13
Previous Procedure 16
Other Public Schemes 17
Proposals for Further Amendments to Procedure 17
Plans for a Comprehensive National Reimbursement Scheme 17
Coverage of Rare Diseases 18
Reimbursement Categories 18
Reimbursement Prices 19
Hospital Reimbursement 20
Formularies 20
Funding 20
Changes in Reimbursement Status 21
EDL 21
DLO and Other Lists 21
Changes in Reimbursement Prices 21
Price Increases for Cheap EDL Products 22
DLO Prices 22
Other Schemes 22
PHARMACOECONOMICS 23
Russia, Pharmaceutical Pricing and Reimbursement Concise Guide
v
Pharmacoeconomic Requirements 23
Integrated Analysis 23
Further Changes 23
Scientific Advice 24
Prior Position 24
PRICE BUILD UP 24
Wholesalers 24
Margins 24
Background 26
Retail Pharmacies 26
Margins 26
Background 28
Dispensing Doctors 29
Sales Tax 29
COST CONTAINMENT 29
Industry Paybacks 29
Promotional Costs 30
Patient Co-payments 30
Pharmaceuticals 30
Healthcare 31
Prescribing Controls 31
Treatment Standards 31
Electronic Platform 32
Hospital Prescribing 32
Reform Proposals 33
Generics 33
INN Prescribing 33
Generic Substitution 34
Tendering 34
Biosimilars 36
Compulsory Licensing 36
Rx-to-OTC Switches 37
Parallel Trade 37
Counterfeits 38
FUTURE DEVELOPMENTS 39
Outlook 39
Plans for Roll-out of Drug Reimbursement System 39
Further Amendment to EDL, DLO Procedures 41
Further Amendments to Pricing Regulations 41
NAMES and ADDRESSES 42

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