FTA FTA FTA CONTENTS 1. 2. 14% 27% FTA 2006 5 3
1,2 8 . 16 16 -1 USTR - A7 - - - - 2 16 (1) , (2) , (3) , (4) , (5) , , (6) , (7)
(8) - 2 16 (9) , , , (10) , , , (11) , - , , , , - (12) (13) (14) (15) (16) / -1 16 FTA USTR WORKING GROUP 16 . .
-2 . 2002 FDA 87 70 ("me too" drug )me too"me too" drug ) drug ) . 17 7 ( 1. 2. ) 2004 Single-source 27.7% . 31.8% . 2001 (41,804 ) 4 2005 (72,289 ) 73% 60% 1. 1987, 1997, 2004 Report ) (Data from 2004 PMPRB Annual 2. 2005 6 , , . (%) (Data from http://www.nlarx.org/policy/pricedisclosure.html )
Percent Increase in U.S. Prescription Drug Prices for the Top Selling Drugs Versus the Average Price among Australia, Canada, Germany, and the United Kingdom, June 2005. 250 225 200 175 NOTE: Chart excludes the tw o drugs for w hich the U.S. price w as the low est and those for w hich pricing information is not available. Source: Med Ad New s, Special Report, "Top 500 Prescription Drugs"; w w w .cvs.com; w w w .drugstore.com; w w w .canadadrug.com; w w w .englandmeds.com; w w w .apotheke.de; w w w .emedical.com.au; w w w .homepharmacy.com.au 125 113 75 25 147 91 68 105
100 96 97 83 72 65 63 53 50 152 110 96 100 217 211 52 39 51 46 39
32 23 64 54 34 26 25 25 6 0 Li pi to r Zo co Ad r v N ai r or va Zy s c pr ex a N ex iu
m Zo lo Ef f t fe xo r Pl av C el i x eb Fo re x sa m a D x io R van is pe rd C al oz N aa eu r ro Pr nti av n ac ho Si ng l u
Pr l air ev a Lo ci d ve n Av ox an Se di a ro qu Pa el xi lC Zi th ro Al l R e m a x gra ZPa c Am k bi N en eu la st a Ac to Pr s ot on
Av ix on To ex pa To max W pro l-X el lb ut L ri n XL Percent 150 Denotes the point at w hich U.S. prices exceeds the average international price by over 30 percent -3 A7 A7 . . 2006 23,045 FSS 19,135 Big4 12,490 .( 1. ) . FTA
1. 2006 FSS, Big 4 ($1 = 952 ) FSS Big 4 2mg 885 1,514 1,247
2,113 200mg , , 980 2,122 1,675 3,065 100mg , 23,045 19,135 12,490 21,258
250 62,010 49,104 37,966 57,444 5mg 5,200 4,322 4,322 7,273
20mg 20,653 17,117 17,117 29,702 100mg 102,527 85,813 85,813 143,695 250mg
242,815 219,588 219,588 363,597 25mg 164,000 85,680 85,680 164,743 3.5mg
1,144,673 671,893 671,893 FSS Big 4 www.pbm.va.gov/pbm/prices.htm, www.drugstore.com - (same product) (similar products) .
FTA 2003 "me too" drug )same or similiar product"me too" drug ) Article 16.8:1 2003 "me too" drug )same product"me too" drug ) Article 17.10:1 FTA CAFTA-DR 2004 "me too" drug )same product"me too" drug ) Article 15.1 01(a) 2004 "me too" drug )same or similiar product"me too" drug ) Article 17,10:1 (a) 2004 "me too" drug )same product"me too" drug ) Article 15.10:1 2004 "me too" drug )same or similiar product"me too" drug ) Article 14.9:1 (a) 2006 "me too" drug )same or similiar product"me too" drug ) Article 15.9 : 1 (a) 2006 "me too" drug )same or similiar product"me too" drug ) Article 16.10 : 1 (a) - . .
3 . (i) , (ii) public non-commercial use( , (government use) ) , (iii) 2001 FTA Andean, FTAA, CAFTA, 4 . (trade representatives) 5
- 10 - - FTA - FTA FTA 9.7%, 10 100% 70-90 FTA 15 1 7 -1
0.9 0.8 0.7 1 25,361 4.5% 24,334.1
1,027.1 24,448.2 913.0 24,562.3 798.9 2 24,822 8.5% 22,922.7 1,898.9 23,133.7 1,687.9 23,344.7 1,476.9 3 24,282 9.7%
22,162.2 2,119.8 22,397.7 1,884.3 22,633.3 1,648.7 4 23,742 10.2% 21,562.8 2,179.6 21,805.0 1,937.4 22,047.2 1,695.2 5 23,203
10.5% 21,010.1 2,192.7 21,253.8 1,949.0 21,497.4 1,705.4 * : -2 0.9 0.8 0.7 1 1
1027.1 913.0 798.9 2 2 2926.0 2600.9 2275.8 3 3 5045.8 4485.2 3924.5 4 4 7225.4 6422.5
5619.7 5 5 9418.0 8371.6 7325.1 * : FTA FTA 2004 361 175 4
8% 2005 1 87 2 , 17 19 , 2 1 1989 1996 18 239 299 46% 2002 6 1 73% 56% 46% - FTA 21.2 64.3 2005 8
FTA .
