PESA Product and Price File

1
PESA Product and Price File

• Dorinda de Jager

2
AIM

• Compilation, Administration and Delivery of a
  National Product and Price File for the South
  African Pharmaceutical Industry

3
PESA PRODUCT FILE

• April 2002 Request for proposal set out by PESA
  for the development and maintenance of the PESA
  product price file
• June 2002 Tender awarded to the JV company PESA
  Product File Managers as the PESA technical
  committee believed that the objectives of the
  project would be best achieved by the cooperation
  of 2 of the companies that have submitted the
  tender.

4
BENEFITS OF THE PESA PRODUCT FILE

• Mainly to the..
• Medicine Manufacturers
• Price file / Software Vendors
• PBMs Medical Schemes
• End-users
• DOH

5
MANUFACTURERS

• Price of products will be controlled by
  manufacturer / owner of the product
• Only the manufacturer will be allowed to change
  the price of its own products
• Lower communication and distribution cost for the
  manufacturer
• The manufacturer will have control over the price
  that reach the end-user

6
PRICEFILE / SOFTWARE VENDORS

• Vendor will receive TIMEOUS price updates daily
• (Choice of incremental or entire file before
  download)
• No action required other than conversion to their
  own format
• Same master product price file for claims as
  used by PBMs Medical Schemes eliminate price
  discrepancies
• Responsibility of accuracy of price file removed
  from the vendor

7
PBMs MEDICAL SCHEMES

• Prices in claims received are identical to the
  price that the schemes are prepared to pay (Use
  the same master file) eliminate price
  discrepancies
• Reduced claims reconciliation action
• Cost saving in HR and helpdesk actions
• Assist in creating a national standard product
  file
• Improved information and analyses on products and
  prices

8
END-USERS

• Cost saving - Price discrepancies in claims
  eliminated
• Reduced co-payments on claims
• Transparency on medicine prices

9
DEPARTMENT OF HEALTH

• Transparency in medicine prices as described in
  the Act
• Assist with decision making process on
  pharmaceutical pricing structures
• Possibility to incorporate the NSN (National
  Stock Number) in the PESA file

10
PESA Product Price file www.pesa.co.za
11
(No Transcript)
12
555
13
(No Transcript)
14
(No Transcript)
15
PESA Product file

• File is downloaded to the PESA website daily and
  contains
•   
• Ethicals
• Medicines      - 8814   
• Injections - 1202  
• Chemotherapy -   277  
• Homeopathic - 5314   
• Surgicals - 19 168   
• Appliances - 1 053              

16
PESA PRODUCT FILE MAINTENANCE FUNCTION
17
THE FOLLOWING OPTIONS ARE CURRENTLY AVAILABLE

• Addition of new products or pack sizes
• Price updates
• Discontinuation of products
• Reporting function

18
 
19
ADDITION OF NEW PRODUCTS OR PACKSIZES
20
(No Transcript)
21
(No Transcript)
22
(No Transcript)
23
(No Transcript)
24
PRICE UPDATES
25
(No Transcript)
26
(No Transcript)
27
(No Transcript)
28
(No Transcript)
29
DISCONTINUATION OF PRODUCTS
30
(No Transcript)
31
(No Transcript)
32
REPORTING
33
AVAILABLE REPORTS

• Price changes within specified time period
• New product additions within specified time
  period
• History of price changes per product per
  manufacturer
• Products with price increases of more than x

34
(No Transcript)
35
(No Transcript)
36
(No Transcript)
37
(No Transcript)
38
THANK YOU!www.pesa.co.zainfo_at_pesa.co.za