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Generic brands are designed to be substitutes for more expensive brand-name goods.
Also, there are drugs that never held patents, and in some countries patents are just not enforceable.
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Lacking from the US panorama are authorities such because the National Institute for Health and Care Excellence (Nice) in the UK or the Patented Medicine Costs Review Board in Canada, which negotiate prices and take into account worth for cash. Against this, as soon as the US Meals and Drug Administration has accredited a drug as safe and effective, insurers are confronted with a easy choice: to pay up or not. They fear that if they don't, their business will probably be damaged by patients leaving their plans.
Before entering Germany from a country that isn't a member of the Schengen Settlement, patients shall have their prescribing physician subject, and keep it up their journey, a multilingual certificate specifying the person and each day doses, the name of the energetic ingredient and the length of the journey. There isn't a form requirement for such certification; it must, nevertheless, be authenticated by the competent health authority of the country of provenance.
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