Bitter Pills:Medicines & The Third World Poor | Page 229

But Pfizer has also paid comparatively higher prices, e.g. Taka 1,280 for oxytetracycline (per Kg CIF) compared to Taka 610 paid by local manufacturer, Albert David. 96 R. Bower, Managing Director Squibb of Bangladesh Ltd., personal communication, 3 May 1982. 97 CIF prices per kg for trimethoprim: Square - Taka 1,700 IC1 (for Wellcome) - Taka 9,000. Dr. Arnold Worlock, Group Marketing Director, The Wellcome Foundation Ltd., comments: "On the subject of your query relating to the sale of trimethoprim in Bangladesh, we are fully aware that trimethoprim may now be purchased from sources other than the Wellcome Foundation Ltd., at prices which are considerably lower than our own. Our price includes necessarily an R & D cost element which does not arise in the case of trimethoprim which is shipped by companies that have not had to sustain over many years, technical and marketing risks in the discovery and development of the product. (No doubt you know that the cost of discovering and developing a new pharmaceutical substance is now estimated at £35 million or more.) Our price includes of course the stamp of Wellcome's quality control, which may not be available in all the cheap imitations of brand-name products whose patents have run out." (Personal communication, 28 May 1982.) 98 Dr. Hye, whilst Director, Drug Administration Bangladesh, in interview with the author, Delhi, 20 October 1980. Wellcome were compelled to reduce the price of trimethoprim from Taka 9000 to Taka 7700 per kg. "after a lot of argument and a few long-distance phone calls". (Dr. Hye, personal communication, 20 April 1982) Septrin (cotrimoxazole BP) is a combination of trimethoprim (80mg) and sulphamethoxazole (400mg). 99 CIF prices per kg. for levamisole: Opsonin Taka Square Taka ICI Taka 100 1,081 2,422 5,400 Peter Cunliffe, ICI Pharmaceuticals Division, personal communication, 11 February 1982. 101 Ibid. 102 Dr. Hye, personal communication, 20 April 1982. 103 Dr. Hye in interview with the author, 20 October 1980. 104 Comparative prices during 1979/80 (all per kg CIF) for Metronidazole: Chemist Lab Taka 266 Square Taka 775 B PI Taka 1,395 May and Baker tell us they are supplying metronidazole to Bangladesh at a price as low as they can afford in relation to UK production costs which are not comparable with those of Eastern Europe or China. (Mr. Washburton and Mr. Walker, in interview with author, 5 July 1982.) 105 - Import prices per kg CIF: BPI Therapeutics from Cyanamid Taka Taka 648 1,680 The Drug Administration released the first consignment of 38 kg with a severe warning and the company subsequently reduced its price to Taka 1,100. (Dr Hye, personal communication, 20 April 1982.) - Cyanamid advise us that they no longer supply this raw material to Bangladesh, "therefore comment with respect to purchase requirements from Therapeutics are no longer relevant". (Mrs Barri M. Blauvelt, Area Manager Far East Medical Products, American Cyanamid Company, personal communication, 17 May 1982.) 106 Dr Hye, "Drug Policy and Management", (undated mimeo based on a report prepared earlier for WHO) 222