EVALUATION OF THE EFFECTIVENESS OF STATE REGULATION METHODS FOR PRICES OF MEDICINES: FINDINGS OF AN EMPIRICAL STUDY

Authors

DOI:

https://doi.org/10.11603/2312-0967.2026.3.16532

Keywords:

state regulation, price, medicines, National Price Catalog, expert survey

Abstract

Objective. The study aims to conduct a comprehensive analysis of the current system of state regulation of the prices of medicinal products in Ukraine, to examine the challenges facing the National Catalogue of Medicinal Product Prices, and to evaluate the effectiveness of the current model in terms of ensuring the accessibility and transparency of the pharmaceutical market.

Materials and methods. The study is based on a mixed-methods design, incorporating regulatory, sociological, and analytical methods. The empirical part consisted of a questionnaire survey of 112 professional market participants, 50% of whom were pharmacists from retail pharmacies, as well as representatives of the academic community (24.1%), regulatory bodies (10.7%), and manufacturers. The object of the study was the system of state price regulation, and the subject was the methods of regulating, monitoring, and controlling drug prices.

Results. Within the study sample, a high level of support for government intervention was observed, as follows: 87.5% of respondents support the need for drug price regulation as a tool for social justice. Respondents rated the practical performance of the current model at an average of 2.8 points on a 5-point scale. The main perceived positive effects were price containment (51.8%) and increased transparency (44.6%). The priority goals of regulation were increasing medicine accessibility (76.8%) and preventing unjustified price increases (68.8%). At the same time, key perceived risks included shortages of certain medicines, increased administrative burden, and reduced suppliers’ interest in market entry.

Conclusions. Despite the high level of support for the concept of state regulation of drug prices, within the study sample, respondents’ assessment indicates that its practical implementation requires improvement, particularly regarding the updating of data in the National Price Catalog. The findings characterize professional perceptions of the current model rather than its objectively measured economic effectiveness.

Author Biographies

  • V. M. Nazarkina, National University of Pharmacy

    DSc (Pharmacy), Professor, Department of Social Pharmacy

  • A. S. Nemchenko, Bogomolets National Medical University

    DSc (Pharmacy), Professor, Department of Organization and Economics of Pharmacy

  • K. L. Kosyachenko, Bogomolets National Medical University

    DSc (Pharmacy), Professor, Head of the Department of Organization and Economics of Pharmacy

References

1. Nazarkina VM, Nemchenko AS, Kosyachenko KL, Babenko MM. Metodolohiia tsinoutvorennia na likarski zasoby v systemi okhorony zdorovia ta farmatsii. Kyiv: Farmatsevt Praktyk; 2022. 288 p.

2. Pro tsiny i tsinoutvorennia: Zakon Ukrainy vid 21.06.2012 № 5007-VI (red. vid 28.08.2025). Available from: https://zakon.rada.gov.ua/laws/show/5007-17#Text.

3. Nemchenko AS, Nazarkina VM. Kryza tsinovoi polityky na likarski zasoby v Ukraini: prychyny, naslidky i shliakhy vyrishennia problem. Ukrainskyi zhurnal viiskovoi medytsyny. 2025;6(3 Suppl 3):82–83. DOI: 10.46847/ujmm.2025.3(6)s3.

4. Moroz SV, Meish AV, Vovkotrub KV. Naslidky derzhavnoho rehuliuvannia tsin. Visnyk Khmelnytskoho natsionalnoho universytetu. Ekonomichni nauky. 2021;5(2):114–120. DOI: 10.31891/2307-5740-2021-298-5(2)-18.

5. Manders EA, van den Berg S, de Visser SJ, Hollak CEM. Drug pricing models, no “one-size-fits-all” approach: a systematic review and critical evaluation of pricing models in an evolving pharmaceutical landscape. Eur J Health Econ. 2025;26(4):683–696. DOI: 10.1007/s10198-024-01731-w. DOI: https://doi.org/10.1007/s10198-024-01731-w

6. Babar ZUD. Pharmaceutical pricing policies: introduction, key concepts, and evidence synthesis. In: Formulating and Implementing Pharmaceutical Pricing Policies. 2025. P. 1–13. DOI: 10.1016/B978-0-443-23518-4.00018-7. DOI: https://doi.org/10.1016/B978-0-443-23518-4.00018-7

7. Deiaki pytannia derzhavnoho rehuliuvannia tsin na likarski zasoby: postanova KMU vid 04.04.2025 № 439. Available from: https://zakon.rada.gov.ua/laws/show/439-2025-%D0%BF#Text.

8. Kleinhout-Vliek T, Geiger S, Hagendijk R, Hilberg E, Martin P, Perehudoff K, et al. Constructing a single market for pharmaceuticals in the EU: what’s the price? Health Econ Policy Law. 2026;21(2):168–180. DOI: 10.1017/S1744133125100236. DOI: https://doi.org/10.1017/S1744133125100236

9. Webb E, Richardson E, Vogler S, Panteli D. What are the implications of policies increasing transparency of prices paid for pharmaceuticals? A primer for understanding the policy perspective in light of the empirical evidence. Copenhagen (Denmark): European Observatory on Health Systems and Policies; 2022. PMID:36800876.

10. Francois C, Gawlik G, Mestre-Ferrandiz J, Pana A, Perelman J, Yfantopoulos J, Simoens S. New pricing models for generic medicines to ensure long-term sustainable competition in Europe. Front Pharmacol. 2023;14:1200641. DOI: 10.3389/fphar.2023.1200641. DOI: https://doi.org/10.3389/fphar.2023.1200641

11. Jones D. Innovative pricing models in the EU: making medicines affordable for all [Internet]. Available from: https://www.pharmafocuseurope.com/articles/innovative-pricing-models-in-the-eu-making-medicines-affordable-for-all.

12. Hlávka JP, Yu JC, Goldman DP, Lakdawalla DN. The economics of alternative payment models for pharmaceuticals. Eur J Health Econ. 2021;22(4):559–569. DOI: 10.1007/s10198-021-01274-4. DOI: https://doi.org/10.1007/s10198-021-01274-4

13. Glossary of drug pricing terms [Internet]. PCMA. Available from: https://www.pcmanet.org/glossary-of-drug-pricingterms/.

14. GLOBE (Global Benchmark for Efficient Drug Pricing) Model [Internet]. Centers for Medicare & Medicaid Services. Available from: https://www.cms.gov/priorities/innovation/innovation-models/globe.

15. GENEROUS (GENErating cost Reductions fOr U.S. Medicaid) Model [Internet]. Centers for Medicare & Medicaid Services. Available from: https://www.cms.gov/priorities/innovation/innovation-models/generous.

Published

2026-10-16

Issue

Section

Organization of pharmaceutical structures’ work

How to Cite

EVALUATION OF THE EFFECTIVENESS OF STATE REGULATION METHODS FOR PRICES OF MEDICINES: FINDINGS OF AN EMPIRICAL STUDY. (2026). Pharmaceutical Review Farmacevtičnij časopis, 3, 88-96. https://doi.org/10.11603/2312-0967.2026.3.16532