Pharmacy retail price – calculations II In the Czech Republic there is statutory pricing for all reimbursable pharmaceuticals. Prices of non‐reimbursable pharmaceuticals are not regulated. The maximum pharmacy retail price based on maximal wholesale and pharmacy mark‐ups and VAT. VAT in Czech pharmacies standard VAT rate 21% 1. Reduced VAT rate15 % 2. Reduced VAT rate10 % 10% reduced for human medicinal products – details next Lecture Products without price regulation Pharmacy bought Lip balm BIODERMA Atoderm : purchase price: 158,00 CZK without VAT. (standard VAT) Decide for the mark-up: 25 %. Pharmacy retail price with VAT:? PRP without VAT = 158,00 x 1,25 PRP without VAT = 197,50 CZK PRP with VAT = 197,50 x 1,21 CZK PRP with VAT = 238,98 CZK Products with price regulation Medicinal devices with price regulation Maximal mark-up 25 % of the Ex-factory price It is common wholesale and pharmacy mark-up There are no official agreements on how the mark-ups are split. VAT: reduced or standard Medicinal devices with price regulation Ex-factory price: 30 000 CZK. Group: 1. reduced VAT Maximal pharmacy reatail price (with VAT):? PRP without VAT = (Ex-factory price + markup) PRP without VAT = 30 000 x 1,25 PRP without VAT = 37 500 CZK PRP with VAT = 37 500 x 1,15 PRP with VAT = 43 125 CZK Medicinal products with price regulation It is common wholesale and pharmacy mark-up, There are no official agreements on how the mark-ups are split. Zone From (CZK) To (CZK) Mark-up Additional part 1 0,00 150,00 37 % 0 2 150,01 300,00 33 % 6,00 3 300,01 500,00 24 % 33,00 4 500,01 1 000,00 20 % 53,00 5 1 000,01 2 500,00 17 % 83,00 6 2 500,01 5 000,00 14 % 158,00 7 5 000,01 10 000,00 6% 558,00 8 10 000,01 9 999 999,99 4 % 758,00 Zones of Ex-factory price How to calculate the price of medicinal product? Choose the zone according to Ex-factory price Add the mark-up according to the zone Add VAT – human medicnal product with marketing authorisation – 10% Medicinal product with price regulation ALMEDO 10 mg por tbl flm 100 x 10 mg Ex-factory price = 255,72 CZK Pharamacy retail price (PRP) with VAT: ? Zone 2 mark-up additional part PRP = (255,72 x 1,33 + 6) x 1,10 VAT PRP = 380,70 CZK ( Round down!) Medicinal product with price regulation XARELTO 10 mg por flm tbl 30 x 10 mg Ex-factory price = 1 612,60 CZK PRP with VAT = ? PRP = PRP = PRP with VAT = Medicinal product with price regulation Aclasta 5mg INF SOL 100ml Ex-factory price = 7 255,13 CZK PRP with VAT = ? PRP with VAT