Abstract
Since 2003, health insurance funds have been able to agree discounts on medicines with pharmaceutical companies. In the generics sector in particular, the conclusion of corresponding discount agreements has since developed into an important cost-saving instrument for health insurance funds. For generics manufacturers, discount agreements have led to a structural change in demand, as it is no longer primarily doctors, pharmacists and patients who choose the medication. Instead, the health insurance funds make far-reaching decisions about the distribution of demand among manufacturers by structuring the tendering process for discount agreements and selecting the contractual partners. Against this background, the study examines the effects of discount agreements on the generics industry in Germany with a particular focus on market structure, supplier diversity and competition. It also examines the causalities between legal changes that have been made since 2009, particularly in procurement and competition law, and changes in tendering practices on the one hand and the market structure on the other.
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Translated title of the contribution | Rebate contract tenders in the generics industry in Germany: Effects on market structure, supplier diversity and competition |
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Original language | German |
Place of Publication | Baden-Baden |
Publisher | Nomos Verlagsgesellschaft mbH & Co. KG |
Volume | 104 |
ISBN (Print) | 978-3-8452-6065-5 |
DOIs | |
Publication status | Published - 2015 |
Externally published | Yes |
Publication series
Name | ZEW Wirtschaftsanalysen - Schriftenreihe des ZEW |
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Volume | 104 |