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To: Anthony Wong who wrote (822)9/17/1998 11:36:00 AM
From: Anthony Wong  Read Replies (1) | Respond to of 1722
 
EU Health Systems Plan to Limit Viagra Coverage

By Anne Swardson
Washington Post Foreign Service
Thursday, September 17, 1998; Page A27

PARIS, Sept. 16-The governments of Europe, where the impotence
drug Viagra was approved by the European Union on Tuesday, are
worried their taxpayer-financed national health systems will be drained by
a flood of new patients eager for the pills.

The arrival of Viagra in the European market of 380 million people has
been eagerly awaited. Le Monde newspaper in France devoted a
front-page article and another full page to it two weeks ago. In
Switzerland, the only European country where the prescription pill is
already available, $1.4 million in Viagra has been sold since it went on the
market in July. That's 20 cents worth for every Swiss citizen, though it is
considered likely that some of the Swiss customers actually are
border-crossing French, Germans and Italians.

Because nearly all EU countries pay for at least some health care with
government money, the expected success of Viagra means more
government spending. In an attempt to curb what is predicted to be
rampant demand, several European governments have said their national
health programs will not reimburse patients for the cost of the drug. But
they cannot stop people from going to the doctor to be treated for
impotence. Those appointments are taxpayer-financed in many countries.

Britain's National Health Service said Monday it will not pay for Viagra
prescriptions for a few weeks while officials sort through the cost and
equity issues. "Media coverage of this drug to date has created
expectations that could prove a serious drain on the funds of the NHS,"
said Frank Dobson, the secretary of state for health.

In France and Italy, where prices are expected to run $8 to $10 per pill,
consumers will not be reimbursed for Viagra purchases, although visits to
the urologist are. In Germany, public and private health plans generally will
not reimburse for Viagra unless a patient is suffering from depression or
another impotence-related illness. "The door is open to the imagination of
the doctors" in finding ways to categorize Viagra treatments, a German
official said.

In Britain as well, officials will look for ways to make Viagra available to
people who have a medical need as opposed to "pleasure and recreational
purposes," said Health Department spokesman Philip Ayledt.

Approval of new drugs in Europe is under the control of the institutions of
the 15-nation EU. So under Tuesday's ruling, countries cannot ban Viagra
from pharmacy shelves. "But who pays for it is up to the member states,"
said European Commission spokesman Jochen Kubosch.

Pfizer Inc., the manufacturer of Viagra, has been careful not to heighten
European expectations. The company's Web site on Viagra says, "The
information provided on this site is intended only for residents of the United
States." But preparations have been made. All of Europe, plus some
countries in Africa, will be supplied by one Pfizer factory in Amboise, a
town in the French Loire Valley. That factory has been producing just for
Switzerland -- which is not a member of the EU and thus can approve new
drugs on its own schedule -- but is ready to gear up for some 30 additional
countries.

"In principle we should be able to satisfy all demand," Pfizer France
spokeswoman Sylvie Cukier said.

c Copyright 1998 The Washington Post Company

washingtonpost.com