Why the UK’s drug pricing scheme is under pressure

Eli Lilly says scheme effectively charges pharmaceutical firms ‘for our own success’

A pile of pills
The rebate for newer branded drugs has risen to almost 23%
(Image credit: Brian A Jackson / Getty Images)

The head of pharmaceutical giant Eli Lilly has said the UK is “probably the worst country in Europe” for drug prices. Speaking to the Financial Times, Dave Ricks warned Britain would miss out on new drugs and investment if it did not raise prices and rethink the current rebate scheme.

How are prices set?

Why is this bad?

This year the rebate for newer branded drugs rose to almost 23% after NHS spending on the medicines grew much more than expected. Ricks said this “clawback scheme” effectively “charges us for our own success” and should be scrapped.

The result has been a pause to almost £2 billion in planned investments in the UK, with patients potentially missing out on new drugs, pharmaceuticals warn. In a possible sign of things to come, last month Eli Lilly raised the UK price of weight-loss drug Mounjaro by 170% for those who buy it privately.

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What next?

Keir Starmer told the pharmaceutical industry in May that the UK would pay more for medicines in the future, following a commitment to “improve the overall environment for pharmaceutical companies” as part of a UK–US trade deal. However, negotiations over VPAG remain at an impasse.