Abstract
Problem statement Several European countries implemented external price referencing (EPR) as a pricing policy for medicines, and as such they use price data from other countries as a benchmark to determine their medicine prices. In current EPR practice undiscounted official list prices are taken as a reference. There is some debate as to which extent discounts have an impact on medicine prices. The aim of the study was to investigate whether and how much medicine prices would change if discounts were considered.
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