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Viagra tablet price in pak istan the period 1999 to 2010, a study published yesterday in the journal PLOS ONE, has provided the first hard evidence to show a direct link between the availability of cheaper and more widely prescribed drugs the price hike of brand names by generic manufacturers. The study, done at Columbia University in New York, looked at how the cost of generic drugs in India varied by state from 1999 to 2010. It found that over this period, prices for generic versions rose an average of 17 per cent in most states and cities, compared to 14 per cent statewide. But states such as Kerala, Maharashtra, West Bengal, Tamil Nadu, Goa and Karnataka saw prices fall by 18 per cent to 25 cent. The study, which drew on drug prices from the government, market research firm Plasmap and data from the Indian Medicines Price Committee, is the first to show that more widely used generic versions of drugs are a key cause behind generic drug price hikes. The study found that price hikes appeared to be more pronounced in the states where generic drug makers had set prices which the companies expected to be set by the government. It also said these hikes may have been linked to several factors including generic drug prices being set as "fair price", which involves the pharmaceutical company offering its generic copies of a drug at price that is below the government's price, which company has the legal right to do. In India, manufacturers have long used market forces, including drug price bargaining systems and market dominance of brand-name firms to push up drug prices. The study also found that rise in prices of generic drugs India could be explained in part by the generic drug makers' choice to sell the domestic health products market, which is largely governed by an opaque "anti-competitive" body, without any public scrutiny and safeguards. "Our study reinforces that there are significant price variations between branded and generic drugs when they are manufactured locally in India. The most recent data suggest that these price variations occur mainly in the viagra in nz price 'bad towns' of country – where these companies operate," says Neelakantan Jain, the research fellow who did study with Dr S P Garg-Abhyanker of Columbia's Mailman School Public Health. The study does not show, however, that it is the generic companies which control prices on branded drugs, although the study indicates that these companies may have the upper hand because they supply much cheaper drug versions to the state regulators. More generic drugs are now being given to patients because of patent expiry, but there is a limit. "The question to be asked is: who will control the price of generic drugs? That's an unanswered question," Dr Jain adds. The government has been lobbying towards an amendment in the Drugs and Cosmetics Act which would remove the requirement that drugs should be made available by the state bodies. Dr Jain says there is little doubt that the new law will result in higher prices for drugs, but it viagra over the counter price will be some months Valtrex price ireland before it comes into force. Dr Rajiv Gupta, the country spokesperson for pharma industry trade body, Phaltel, has said that there is a need to raise prices for low cost drugs through the use of patent protections. "Patents are needed to ensure a reasonable return for developing price of viagra in uk drug"

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