§ Ms JowellTo ask the Secretary of State for Health what are the 10 most expensive drugs prescribed by the NHS(a) in terms of cost per annum and (b) per item; and what research has been carried out by his Department into the relative cost effectiveness of those drugs. [4189]
§ Mr. MaloneThe information requested is shown in the lists. Information on research commissioned by the Department of Health is contained in "The Centrally Commissioned Research Programme" and "The Centrally Commissioned Research Programme: Commissions in 1994–95", copies of which are available in the Library.
Top 10 preparations in terms of net ingredient cost
- England 1995
- Losec capsules E/C 20mg
- Zantac tablets 150mg
- Prozac capsules 20mg
- Adalat Ret tablets 20mg
- Zantac tablets 300mg
- Istin tablets 5mg
- Serevent inhaler 25mcg (120 Dose)
- Becloforte inhaler 250mcg (200 Dose)
- Havrix monodose vaccine 1440u/m1 1 ml Pf Syrg
- Seroxat tablets 20mg
Notes:
1. The data covers all prescriptions dispensed by community pharmacists and appliance contractors, dispensing doctors, and prescriptions submitted by prescribing doctors for items personally administered in England.
2. The net ingredient cost is the cost of drugs before discount and does not include any dispensing costs or fees.
121W
Top 10 preparations in terms of average net ingredient cost per prescription item
- England 1995
- Ceredase intravenous infusion 80u/ml 5m1 bottle
- Ceredase intravenous infusion 10u/m1 5m1 bottle
- Ceftazidime/sodium chloride infusion 100m1 (specify)
- Ceftazidime/sodium chloride infusion 50m1 (specify)
- Alphaglobin intravenous infusion 5 per cent. 10g/200ml
- Ganciclovir/sodium chloride infusion 100m1 (specify)
- Ganciclovir Inv 100m1 (specify)
- Foscarnet sodium/sodium chloride infusion 250m1 (specify)
- Desferriox Mesyl/water for infusion infusion 100m1 (specify)
- Gamimune-N Intravenous Infusion 5 per cent. 5g/100m1
Notes:
1. The data cover all prescriptions dispensed by community pharmacists and appliance contractors, dispensing doctors, and prescriptions submitted by prescribing doctors for items personally administered in England.
2. The net ingredient cost is the cost of drugs before discount and does not include any dispensing costs or fees.
For reasons of confidentiality, individual preparations where less than 50 prescription items were dispensed are excluded.
§ Ms JowellTo ask the Secretary of State for Health (1) what was the total amount paid by patients for all prescriptions in each year since 1974–75; [4191]
(2) if he will list the standard price paid by patients per prescription item in each year between October 1974 and October 1996 and the real-terms percentage increase in the standard price paid per prescription item in each of those years. [4190]
§ Mr. MaloneThe information is in the table.
Financial year Total income from prescription charges £ million Prescription charge per item (as at 1 April unless otherwise stated) £ Real terms percentage increased/decrease in charge per item year on year 1974–75 22.000 estimated 0.20 — 1975–76 22.690 0.20 -20.3 1976–77 23.131 0.20 -11.9 1977–78 23.349 0.20 -12.0 1978–79 24.206 0.20 -10.1 1979–80 38.646 10.45 92.8 1980–81 70.753 0.70 31.5 1981–82 86.620 21.00 30.3 1982–83 102.792 1.30 21.4 1983–84 110.044 1.40 2.9 1984–85 120.748 1.60 8.8 1985–86 127.756 2.00 18.5 1986–87 147.884 2.20 6.8 1987–88 157.540 2.40 3.6 1988–89 176.928 2.60 1.5 1989–90 189.342 2.80 0.7 1990–91 205.892 3.05 0.9 1991–92 215.215 3.40 4.8 1992–93 242.041 3.75 5.8 1993–94 265.279 4.25 10.2 1994–95 287.155 4.75 9.8 1995–96 298.746 5.25 7.9 1996–97 n/a 5.50 2.5 1Week end finishing 16 July 1979. 2Week end finishing 1 December 1980.
§ Ms JowellTo ask the Secretary of State for Health if he will list the number and value of prescriptions presented for(a) each exemption category and (b) patients not exempt from charges in each of the past five years. [4193]
122W
§ Mr. MaloneThe information requested is in the "Statistical Bulletin: Statistics of prescriptions dispensed in Family Health Services Authorities: England 1985 to 1995", copies of which are available in the Library.