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Dividing the median unit local procurement price for each medicine, by the median unit price from international suppliers in the guide, produces the Median Price Ratio (MPR). An MPR of 2 means the local health service is paying twice as much as the international reference price. [6]: 101
The ex-factory/manufacturer's price is considered more accurate and thus preferable for international price comparisons. [3]: 194 [6] The WHO recommends the use of the median supplier price [5]: 215 for the reference countries of the target medication in the International Medical Products Price Guide for all studies.
However pricing data from LMICs can be lacking, and in such situations, international medicine prices can be obtained from the International Medical Products Price Guide. [ 8 ] : 303 The United Kingdom has a critical role in the ERP system, as it is often used as a reference country since medication prices are often low, [ 8 ] : 302 although it ...
For example, a 10% MPR for a $10 reference price yields an absolute price variation of $1, whereas for a $200 reference price the variation would be $20. [4] To solve this issue, the WHO/HAI recommend to check the international reference price when very high or low MPR variations are observed.
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The Monthly Index of Medical Specialities or MIMS is a pharmaceutical prescribing reference guide published in the United Kingdom since 1959 by Haymarket Media Group.MIMS is also published internationally by various organisations, including in Australia, New Zealand, China, Hong Kong, India, Indonesia, Japan, Korea, Malaysia, Myanmar, the Philippines, Singapore, Thailand, and Vietnam.
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