Despite its relatively small pharmaceutical market, Slovakia remains a key market for major firms in Central and Eastern Europe (CEE). Reinforcing this trend, the country is ranked in seventh position in Business Monitor International's Business Environment Ratings for the first quarter of 2010 and can be considered a relatively low-risk proposition for multinational pharmaceutical companies.
While Slovakia's total population size, at 5.4 million, limits absolute spending potential, strong proportions of health funds directed to medicines results in high per-capita spending and good access to higher-priced treatments. Meanwhile, an aging population should continue to bolster top-line figures over the long term. Regulatory-wise, Slovakia's accession to the European Union has brought legislation into line with more developed markets, although some concerns prevail. The country also boasts relatively strong Country Risk scores, says BMI.
In 2009, a new system was launched affecting all new drugs on the market, as well as all medicines already being sold by health insurers. The most recent update, in October 2009, has seen average price reductions of 5% for pharmaceutical products from April 2009. The pricing review covered 65% of marketed products and is estimated to generate savings of 95 million ($143 million) annually. Before April 2010, when the list is next updated, the Ministry of Health aims to reference 90% of marketed products. In addition to negative pressure on prices, there have also been significant revisions to co-payments for pharmaceuticals, largely dependent on ATC classification.
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