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

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

A chapter in Pharmaceutical Markets and Insurance Worldwide, 2010, pp 53-76 from Emerald Group Publishing Limited

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.

Date: 2010
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Persistent link: https://EconPapers.repec.org/RePEc:eme:aheszz:s0731-2199(2010)0000022006

DOI: 10.1108/S0731-2199(2010)0000022006

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