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The truth is that, at that time, the drug was just being introduced to Europe and many countries had yet to finalize negotiations, so it was easy for France to make its claim. These negotiations had been on-going for some time. The government was loathe to release the actual figures, but that is the exact amount. In Spain, the authorities have always covered up their agreement with the lab. No further details. The figure Alonso stated at the time gave no indication of what was actually paid. Combined with what? How much is a single box of each drug? Sometimes, however, opacity clashes with the compulsory dissemination of public procurement data. The range of purchasing bodies state bodies, autonomous communities, health platforms within these same communities… can help us uncover how much some of them are paying. Or to put it another way: there is no official statement at the national level, but some other public bodies are more transparent, and, whether due to their beliefs or by mistake, they publish procurement records including the clearing price per box. This price is always the same for all the entities consulted, which allowed us to publish - for the first time in , and above speculation - exactly how much was being paid for Sovaldi. And as the minister pointed out, these drugs are taken in combination with others. Fetted French transparency has just been deflated. Thus, it went from giving a concrete price per box to say that the treatment with one of these two drugs, each with a very different price, is below said figure. This time the exact amount was omitted. The story of France and Spain, the French pride when glorifying their negotiating prowess, and the accusations of lying are all examples of how this subject is being handled by governments ever since the Hepatitis C treatment revolution was sparked. Much better drugs, but much more expensive. In negotiations, the opacity imposed by pharmaceutical companies is the rule - in most countries the price paid is withheld - while, in parallel, advertisements and press releases brag about how well negotiations have gone. From there on in, the percentage of discounts which are announced with great fanfare are fairly high, although the final price to pay is still extortionate, even after discounts are applied. Italy freely admits for example, here , that their agreement with Gilead is confidential. Pharmaceutical companies claim to adjust their prices to the wealth of each country. As with all negotiations of this type, the pharmaceutical companies claim to adjust their prices according to the wealth of each country. And the same happens with the hepatitis C drugs. Other aspects also influence negotiations, such as the size of the order or the fact that governments, without knowing what is happening around them due to opacity, negotiate in the dark. In euros and per 12 weeks treatment. We have included only those countries for which we have official figures. Following in the footsteps of the Sovaldi revolution and its associated economic benefits, other laboratories have developed advanced drugs for the treatment of hepatitis C, and competition is growing. Gilead itself markets Harvoni, a combination of sofosbuvir and ledipasvir that allows certain cases to be treated with a single pill and without combining different drugs. This new drug is already included in the healthcare plans of various countries. Once again, and at a price point higher than Sovaldi, the numbers soar. Prices in Europe differ from one country to another but they all have one thing in common: they are squeezing the healthcare budgets of all countries that have chosen to include the treatment on their list of public services. In , the EU commission approved an agreement for the joint purchase of vaccines and drugs in order to negotiate better prices and guarantee supplies. It has never been used. The first consequence of these steep prices is that some countries have chosen not to include the treatments in their public healthcare systems, such as Macedonia, where the drug has not been registered. Meanwhile, many of those who do include them have limited availability: only the most serious cases receive treatment. In June, the Spanish Ministry of Health agreed with autonomous communities to expand treatment to cover all patients. Up to that point, most were only treating the most critical cases. The same decision has just been taken by the Swiss government. Those not included in the conditions imposed by governments to cap costs here , for example, those of Italy have no choice but to wait. Or search for alternatives. In pharmacies, prices are soaring. The laws of the market pay no heed to GDP. Some patients opt to travel to countries where treatment is cheaper. Such is the case with the so-called buying clubs created in Australia, for example, to buy the pills from India, where production of much more affordable generic versions is allowed. Another option is to combine a few days visiting the Pyramids, 5 star hotels and treatment. All with the blessing of Messi. Egypt, the country with the most cases of hepatitis C in the world, has a lower price for such treatments, thanks to agreements with Gilead and the use of generics. The rest of the pills go back home with you in a little box, along with the jars of desert sand, and the pyramid-shaped souvenirs. Besides offering curative holidays to those who can afford them, the organization combines profits with a veneer of social charity: a free treatment donated for every followers of its cause, according to its website, vouched for by sporting stars such as Leo Messi or Dani Alves. The same agency can take you to Istanbul for a hair transplant. Egypt was in fact one of the first countries to reach an agreement with Gilead to produce their own generic treatments. The agreement features plenty of small print however: the signing labs can export their low cost version to countries listed in the conditions 15 of which are small island nations , but the rest are excluded. Countries such as Brazil, China, Mexico, Turkey, Thailand or Morocco have been vetoed from the list of possible recipients of the generic Indian drug. According to the WHO , 71 million people around the world suffer from hepatitis, and a large number of these develop cirrhosis or liver cancer if not treated on time. Around , people die from the disease every year. Farmanguinhos, the Brazilian state-owned laboratory, has come out against the Sovaldi patent. While they wait for the patents authority to make its decision, the laboratory has announced that, if the patent is denied, Farmanguinhos may produce its own drug in conjunction with a national business conglomerate. They already did so in with an antiretroviral, efavirenz, when they approved a compulsory license allowing them to avoid the patent and produce their own version. And it went pretty well. Most countries conceal the price paid to buy these drugs in order to preserve confidentiality agreements. Nevertheless, we have managed to obtain data for some of them. To uncover the prices paid by different governments for Sovaldi and Harvoni, we have used - whenever possible - public procurement records for completed purchases. These are the most reliable source and served us in the cases of Spain and Portugal. In other cases, we use the price that countries pay for reimbursements, or official press releases. These figures are less reliable since the labs can offer significant discounts for large volumes when it comes to finalizing payment. We have only used this method where we know the factory price, without taking into account marketing costs or tax. Regarding sales prices in pharmacies, we used official bulletins and the final sales price, i. For more information, please contact us. Do you want to republish this story? That's easy. You just have to copy the HTML code shown below and meet the following requirements :. Attribute the article to its original author , ideally signing it. If your CMS does not allow this form of attribution, add the signature at the beginning of the article. You cannot make changes to the information , except to adapt localizations, idiomatic turns or times to your style book e. We respond for the veracity of the text, from the headline to its final point. If in doubt, please contact the author of the text. Link to the original article and preserve all the links in the text. You cannot use programs or scripts to automate re-publishing of all our stories , because then you would not be re-publishing, you would be duplicating our web. Please select the content that is of interest to your readers. More information about our republishing terms. Sign up ES Join us. Looking for something specific? Join us. Javascript is disabled in your browser , so some features of our website may not work correctly. Price paid by governments for basic treatment of Sovaldi In euros and per 12 weeks treatment. Price paid by governments for basic treatment of Harvoni In euros and per 12 weeks treatment. Sales price in pharmacies per basic treatment of Sovaldi In euros and per 12 weeks treatment. The countries that can buy the generic Indian drug. Methodology notes Most countries conceal the price paid to buy these drugs in order to preserve confidentiality agreements. Twitter Facebook Whatsapp Republish Comments. We need your support Civio spotlights government actions and exposes wrongdoing to spur reforms. Republish this story. You just have to copy the HTML code shown below and meet the following requirements : Attribute the article to its original author , ideally signing it. Copy code for republishing.

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