The impact of South Korea's new drug-pricing policy on market competition among off-patent drugs

Expert Rev Pharmacoecon Outcomes Res. 2015;15(6):1007-14. doi: 10.1586/14737167.2015.1083425. Epub 2015 Sep 22.

Abstract

Introduction: A new pricing policy was introduced in Korea in April 2012 with the aim of strengthening competition among off-patent drugs by eliminating price gaps between originators and generics.

Objective: Examine the effect of newly implemented pricing policy.

Methods: Retrospectively examining the effects through extracting from the National Health Insurance claims data a 30-month panel dataset (January 2011-June 2013) containing consumption data in four major therapeutic classes (antihypertensives, lipid-lowering drugs, antiulcerants and antidepressants). Proxies for market competition were examined before and after the policy.

Results: The new pricing policy did not enhance competition among off-patent drugs. In fact, price dispersion significantly decreased as opposed to the expected change. Originator-to-generic utilization increased 6.12 times (p = 0.000) after the new policy.

Conclusions: The new pricing policy made no impact on competition among off-patent drugs. Competition in the off-patent market cannot be enhanced unless both supply and demand side measures are coordinated.

Keywords: Korea; competition; drug pricing; generic medicines; off-patent drugs.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Costs and Cost Analysis
  • Drug Costs / legislation & jurisprudence*
  • Drug Costs / trends
  • Drugs, Generic / economics*
  • Drugs, Generic / therapeutic use
  • Economic Competition / trends*
  • Health Policy
  • Humans
  • National Health Programs / economics*
  • Pharmaceutical Preparations / administration & dosage
  • Pharmaceutical Preparations / economics
  • Republic of Korea
  • Retrospective Studies

Substances

  • Drugs, Generic
  • Pharmaceutical Preparations