Photo: illustrative photo
Already on April 1, Latvian doctors will be able to prescribe to patients not the drugs themselves, but the substances that enter them. The Ministry of Health says that this will allow patients to choose the cheaper option. But doctors and patients are worried whether the quality of treatment will decrease, LTV7 reports.
The cost of the cheapest medicine (if it is a compensated drug) will compensate the state. The patient will have to pay extra for the drug.
Generics, which differ in price from the original medicines, may differ in the composition of excipients, which means that they are less suitable for a patient who is already accustomed to a particular medicine and give slightly different side effects.
However, the ministry left room for exceptions.
“We gave doctors 30 percent when it is possible to write the exact name of the brand, when there is some medical indication,” explained Inese Kaupere, director of the pharmaceutical department of the Ministry of Health.
Now the cost of a compensated medicine, in fact, consists of three parts: the majority – 165 million a year – is paid by the state. Another 43 million are paid by the patients themselves. Of this amount, 18 million is a compulsory payment, and 25 million is the amount that patients overpay when they buy medicines more expensive. With the innovation, you do not have to do this.