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Table 4 Median prices and affordability of the DM-CVD lowest priced generic drugs in both private hospitals and pharmacies

From: Access to medicines and diagnostic tests integral in the management of diabetes mellitus and cardiovascular diseases in Uganda: insights from the ACCODAD study

Medicine (N = 37)

Median (IQR) price/tab in Ug Shs

Median price/tab in USD

IRP in USD

MPR

Monthly cost in USD

Days’ wagesc

A: Affordable drugs according to calculated days’ wages (≤ 3)

 Benzathine penicillin 2.4 MU

1500 (1500–2000)

0.42

0.3241

1.2

0.4

0.3

 Furosemide tablet 40 mg

100 (100–100)

0.02

0.0061

3.3

0.6

0.5

 Glibenclamide 5 mg

100 (100–200)

0.03

0.0042

7.1

0.9

0.7

 Bendrofluazide 5 mg

100 (100–100)

0.03

0.0072

4.2

0.9

0.7

 Atenolol 50 mg

100 (100–200)

0.03

0.0106

2.8

0.9

0.7

 Cardiac aspirin 75 mg

150 (150–200)

0.04

0.0196

2.0

1.2

0.9

 Digoxin tablet 0.25 mg

200 (200–300)

0.06

0.0148

4.1

1.8

1.4

 Metformin 500 mg

200 (200–300)

0.06

0.0168

3.6

3.6

2.8

 Captopril 25 mg

200 (200–300)

0.06

0.0216

2.8

3.6

2.8

 Nifedipine 20 mg

200 (100–250)

0.06

0.0233

2.6

3.6

2.8

B: Unaffordable drugs according to the calculated days’ wages (> 3)

 Amlodipine 5 mg

500 (400–500)

0.14

0.0321

4.4

4.2

3.2

 Warfarin 5 mg

500 (500–500)

0.14

0.0369

3.8

4.2

3.2

 Glimepiride 2 mg

500 (400–1000)

0.14

4.2

3.2

 Spironolactone 25 mg

500 (400–600)

0.14

0.0398

3.5

4.2

3.2

 Furosemide i.v vial 20 mg

1000 (1000–1500)

0.28

0.0623

4.5

4.2

3.2

 Hydralazine tablet 25 mg

300 (225–450)

0.08

0.0376

2.1

4.8

3.7

 Telmisartan 40 mg

600 (500–800)

0.17

5.1

3.9

 Bisoprolol 5 mg

600 (500–800)

0.17

5.1

3.9

 Pioglitazone 30 mg

600 (500–800)

0.17

5.1

3.9

 Losartan 50 mg

700 (600–800)

0.19

0.2443

0.8

5.7

4.4

 Soluble insulin 1vial

22,000 (20000–25,000)

6.11

0.7723

7.9

6.1

4.7

 Amlodipine 10 mg

750 (700–800)

0.21

0.1414

1.5

6.3

4.9

 Intermediate insulin 1vial

23,000 (20000–25,000)

6.39

0.7723

8.3

6.4

4.9

 Pre mixed insulin 1vial

23,000 (21000–25,000)

6.39

0.6143

10.4

6.4

4.9

 Clopidogrel 75 mg

800 (700–1100)

0.22

0.0736

3.0

6.6

5.1

 Losartan H 62.5 mg

800 (700–900)

0.22

6.6

5.1

 Telmisartan H 52.5 mg

800 (700–1000)

0.22

6.6

5.1

 Nebivolol 5 mg

1000 (900–1300)

0.28

8.4

6.5

 Simvastatin 20 mg

1000 (900–1500)

0.28

0.0252

11.1

8.4

6.5

 Isosorbide mono-nitrate 10 mg

1000 (985–1600)

0.28

0.0705

4.0

8.4

6.5

 Atovastatin 20 mg

1200 (1000–2000)

0.33

0.0640

5.2

9.9

7.6

 Rosuvastatin 10 mg

1200 (1000–2000)

0.33

9.9

7.6

 Carvedilol 6.25 mg

700 (600–900)

0.19

0.0445

4.3

11.4

8.8

 Metformin 1000 mg

700 (500–800)

0.19

11.4

8.8

 UFHb 5000 units

20,000 (18000–20,000)

5.56

0.9055

6.1

50.0

38.5

 LMWHa 60 mg

38,500 (34500–45,000)

10.69

2.8751

3.7

53.5

41.2

 LMWHa 80 mg

50,000 (45000–60,000)

13.89

5.8025

2.4

69.5

53.5

  1. IQR Inter-quartile range, a LMWH Low molecular weight heparin, b UFH Unfractionated heparin
  2. cDays’ wages-number of days’ wages to cover the monthly costs of the selected drug