Briefing Note: Pepfar, Generics, Price

by Robert Weissman
Essential Action

Pepfar has released its 2007 annual report to Congress. There’s a huge amount of information in the report.

Information on treatment provision is in chapter two. Through Sept 2006, Pepfar says it is providing support to 822,000 people receiving antiretroviral therapy.
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The treatment chapter also contains important and useful information on Pepfar’s use of generics and pricing data, starting on page 67. Key points:

– Fourteen of 15 focus countries are said to be using some generics.

– Overall expenditure in FY 2006 for ARVs was just under $110 million, with about 27 percent of that spent on generics.

Comparison of brand-name vs. generic prices for combination therapies (page 72):

AZT/3TC/NVP
Brand-name: $701
Generic: $273

AZT/3TC/EFZ
Brand-name: $606
Generic: $487

D4T/3TC/NVP
Brand-name: $594
Generic: $165

D4T/3TC/EFV
Brand-name: $498
Generic: $380