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Paying for Formerly Free Medicines in Spain After 1 Year of Co-Payment: Changes in the Number of Dispensed Prescriptions


  • Jaume Puig-Junoy


  • Santiago Rodríguez-Feijoó
  • Beatriz Lopez-Valcarcel


After decades of unsuccessfully trying to reduce drug spending in the Spanish National Health System through actions on prices and on prescribers, the co-payment established in mid-2012 led to a dramatic reduction in the use of drugs. The health effects of this reduction are not known. Copyright Springer International Publishing Switzerland 2014

Suggested Citation

  • Jaume Puig-Junoy & Santiago Rodríguez-Feijoó & Beatriz Lopez-Valcarcel, 2014. "Paying for Formerly Free Medicines in Spain After 1 Year of Co-Payment: Changes in the Number of Dispensed Prescriptions," Applied Health Economics and Health Policy, Springer, vol. 12(3), pages 279-287, June.
  • Handle: RePEc:spr:aphecp:v:12:y:2014:i:3:p:279-287
    DOI: 10.1007/s40258-014-0097-6

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    References listed on IDEAS

    1. Iván Moreno-Torres & Jaume Puig-Junoy & Josep Raya, 2011. "The impact of repeated cost containment policies on pharmaceutical expenditure: experience in Spain," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(6), pages 563-573, December.
    2. Vandoros, Sotiris & Stargardt, Tom, 2013. "Reforms in the Greek pharmaceutical market during the financial crisis," Health Policy, Elsevier, vol. 109(1), pages 1-6.
    3. Giuseppe Carone & Christoph Schwierz & Ana Xavier, 2012. "Cost-containment policies in public pharmaceutical spending in the EU," European Economy - Economic Papers 2008 - 2015 461, Directorate General Economic and Financial Affairs (DG ECFIN), European Commission.
    4. L. Cabiedes & V. Ortún, 2005. "Prescriber incentives," Chapters,in: The Public Financing of Pharmaceuticals, chapter 9 Edward Elgar Publishing.
    5. Amitabh Chandra & Jonathan Gruber & Robin McKnight, 2010. "Patient Cost Sharing in Low Income Populations," American Economic Review, American Economic Association, vol. 100(2), pages 303-308, May.
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    Cited by:

    1. Vogler, Sabine & Zimmermann, Nina & de Joncheere, Kees, 2016. "Policy interventions related to medicines: Survey of measures taken in European countries during 2010–2015," Health Policy, Elsevier, vol. 120(12), pages 1363-1377.
    2. repec:spr:aphecp:v:16:y:2018:i:3:d:10.1007_s40258-018-0382-x is not listed on IDEAS
    3. repec:kap:empiri:v:46:y:2019:i:3:d:10.1007_s10663-019-09446-5 is not listed on IDEAS
    4. Beatriz G. Lopez-Valcarcel & Patricia Barber, 2017. "Economic Crisis, Austerity Policies, Health and Fairness: Lessons Learned in Spain," Applied Health Economics and Health Policy, Springer, vol. 15(1), pages 13-21, February.
    5. Sergi Jiménez & Analía Andrea Viola, 2016. "Consumo de medicamentos y copago farmacéutico," Studies on the Spanish Economy eee2016-06, FEDEA.

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