Untangling the web of antiretroviral price reductions: a pricing guide for the purchase of ARVs for developing countries
11th Edition 27th January 2009
Update 1
Prices that have increased are shown underlined in this update, while prices that have decreased are in italics. Highlights of the first update to the 11th edition of Untangling the Web: • Cipla and Strides have lowered the majority of their prices. • Roche’s prices, quoted to us in CHF, were higher for least-developed countries and subSaharan Africa. Due to fluctuations in currency exchange rates, however, prices in US$ appear to be falling, except for the NFV 250mg capsule. All prices in the table below are quoted in United States dollars (US$). Currency conversions were made on the day the price information was received using the currency converter site www.oanda.com. Prices are rounded up to the third decimal for unit price and the nearest whole number for yearly price per patient. The annual cost of treatment per patient year (ppy) has been calculated according to WHO dosing schedules, multiplying the unit price (one tablet, capsule or ml) by number of units required for daily dose, and by 365. The price for the smallest unit is included in brackets. th
For abbreviations please refer to glossary page 85, Untangling the Web 11 Edition.
PRODUCT
Form.
OLD PRICE US$ ppy (unit price)
UPDATED PRICE US$ ppy (unit price)
Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla Cipla
ABC 300mg tablet ABC 60mg tablet ABC 20mg/ml oral solution EFV 200mg capsule EFV 600mg tablet 3TC 150mg tablet 3TC 300mg tablet NVP 200mg tablet SQV 200mg hard-capsule TDF 300mg tablet AZT 300mg tablet ABC/3TC 600/300mg tablet 3TC/d4T 150/30mg tablet LPV/r 133/33mg soft-gel capsule LPV/r 200/50mg heat-stable tablet TDF/FTC 300/200mg tablet TDF/3TC 300/300mg tablet 3TC/d4T/NVP 30/6/50mg dispersible tablet 3TC/d4T/NVP 60/12/100mg dispersible tablet 3TC/d4T/NVP 150/30/200mg tablet AZT/3TC/ABC 300/150/300mg tablet AZT/3TC/NVP 300/150/200mg tablet
Single Single Single Single Single Single Single Single Single Single Single FDC FDC FDC FDC FDC FDC FDC FDC FDC FDC FDC
334 (0.458) 160 (0.110) 420 (0.115/ml) 186 (0.170) 170 (0.467) 35 (0.048) 50 (0.137) 35 (0.048) 1,825 (0.500) 151 (0.415) 107 (0.146) 243 (0.667) 52 (0.071) 1,338 (0.611) 1,339 (0.917) 240 (0.658) 186 (0.509) 117 (0.080) 61 (0.084) 96 (0.132) 548 (0.750) 153 (0.210)
280 (0.383) 156 (0.107) 252 (0.069/ml) 152 (0.139) 124 (0.340) 37 (0.050) 41 (0.113) 37 (0.050) 1,621 (0.444) 128 (0.350) 102 (0.140) 207 (0.567) 48 (0.066) 1,410 (0.644) 1,047 (0.717) 176 (0.483) 158 (0.433) 61 (0.042) 55 (0.075) 85 (0.116) 450 (0.617) 152 (0.208)
Roche (¤) Roche (¤) Roche (¤)
SQV 200mg hard capsule SQV 500mg tablet NFV 250mg capsule
Single Single Single
1,223 (0.335) 1,127 (0.772) 1,248 (0.342)
1,172 (0.321) 1,075 (0.736) 1,511 (0.414)
COMPANY
(¤) prices for Roche quoted in this update are category 1 prices reserved for least-developed countries and sub-Saharan Africa. th Category 2 prices for other countries have not changed since the publication of the 11 edition of Untangling the Web.
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COMPANY
Strides Strides Strides Strides Strides Strides Strides Strides Strides Strides Strides Strides Strides Strides
PRODUCT
Form.
ABC 60mg tablet EFV 200mg tablet EFV 600mg tablet 3TC 150mg tablet NVP 200mg tablet TDF 300mg tablet d4T 30mg capsule 3TC/d4T 150/30mg tablet AZT/3TC 300/150mg tablet 3TC/d4T/NVP 150/30/200mg tablet 3TC/d4T + EFV 150/30 + 600mg (60+30 tablets) 3TC/AZT + EFV 150/300 + 600mg (60+30 tablets) 3TC/AZT + NVP 150/300 + 200mg (60+60 tablets) 3TC/d4T + NVP 150/30 + 200mg (60+60 tablets)
Single Single Single Single Single Single Single FDC FDC FDC Copack Copack Copack Copack
OLD PRICE US$ ppy (unit price)
UPDATED PRICE US$ ppy (unit price)
New Item 186 (0.170) 180 (0.500) 52 (0.071) 58 (0.080) New Item 27 (0.037) 52 (0.071) 153 (0.210) 102 (0.140)
730 (0.500) 128 (0.117) 128 (0.350) 37 (0.050) 49 (0.067) 164 (0.450) 22 (0.030) 49 (0.067) 146 (0.200) 91 (0.125)
New Item
176 (0.483)
New Item
249 (0.683)
New Item
195 (0.533)
New Item
97 (0.267)
We suggest you print this update and staple it to your UTW 11th edition hard copy for ease of reference. Please check for updates on www.msfaccess.org
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