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The median price ratio (MPR) is the ratio given by dividing the median local unit price of a medication by the median international reference unit price, usually from the International Medical Products Price Guide. [3]: 220 [1] This measure was created in 2003 by the Health Action International (HAI) and World Health Organization (WHO) as a standard measure to facilitate national and international comparisons of drug prices. [1]: 41
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In the WHO/HAI systematic methodology, the same provider of international reference unit price "must be used for all medicines surveyed – global, regional and supplementary", to ensure a consistent basis for comparison. [1]: 38
Some authors criticized the MPR, as it can be skewed by the international reference price. For example, a 10% MPR for a $10 reference price yields an absolute price variation of $1, whereas for a $200 reference price the variation would be $20. [4] To solve this issue, the WHO/HAI recommend to check the international reference price when very high or low MPR variations are observed. [1]: 41
The MPR has been used in several studies investigating the availability and variation of medication prices, [5] and the effects of various medication pricing policies. [6]
The HAI maintains a regularly updated database of worldwide MPR surveys. [1]: 7 [2]
![]() | Graphs are unavailable due to technical issues. There is more info on
Phabricator and on
MediaWiki.org. |
The median price ratio (MPR) is the ratio given by dividing the median local unit price of a medication by the median international reference unit price, usually from the International Medical Products Price Guide. [3]: 220 [1] This measure was created in 2003 by the Health Action International (HAI) and World Health Organization (WHO) as a standard measure to facilitate national and international comparisons of drug prices. [1]: 41
![]() | Graphs are unavailable due to technical issues. There is more info on
Phabricator and on
MediaWiki.org. |
In the WHO/HAI systematic methodology, the same provider of international reference unit price "must be used for all medicines surveyed – global, regional and supplementary", to ensure a consistent basis for comparison. [1]: 38
Some authors criticized the MPR, as it can be skewed by the international reference price. For example, a 10% MPR for a $10 reference price yields an absolute price variation of $1, whereas for a $200 reference price the variation would be $20. [4] To solve this issue, the WHO/HAI recommend to check the international reference price when very high or low MPR variations are observed. [1]: 41
The MPR has been used in several studies investigating the availability and variation of medication prices, [5] and the effects of various medication pricing policies. [6]
The HAI maintains a regularly updated database of worldwide MPR surveys. [1]: 7 [2]