The importance of the first generic substitution: Evidence from Sweden

Janssen, AljoschaSingapore Management University, Department of Economics, 90 Stamford Rd, Singapore (författare)

The importance of the first generic substitution : Evidence from Sweden

We analyze changes in the willingness to substitute from prescribed pharmaceuticals to more affordable generic equivalents in response to the first experience with a substitution. Using Swedish individual-level data of prescribed and dispensed pharmaceuticals, we employ a dynamic event study and an instrumental variable approach to show that an initial substitution reduces the probability of opposing subsequent substitutions by 39 percentage points. We recommend that policy-makers target patients with a history of opposed substitution and offer additional discounts to promote substitution as long-term savings outweigh one-time costs.

Granlund, David,1979-Umeå universitet,Nationalekonomi(Swepub:umu)dadgrd98 (författare)
Singapore Management University, Department of Economics, 90 Stamford Rd, SingaporeNationalekonomi (creator_code:org_t)

Ingår i:Journal of Economic Behavior and Organization: Elsevier213, s. 1-250167-26811879-1751

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