PELAKSANAAN KEBIJAKAN OBAT GENERIK DI APOTEK KABUPATEN PELALAWAN PROVINSI RIAU

Abstract

Background: Medicine is an integral part of community health service. Therefore it must be available in sufficient quantity, types and adeqaute quality, properly distributed and accessible for community when its needed. In order to meet the community’s need for medicine and to guarantee medicine accessibility, the government released generic medicine policy. Although the price of the generic medicine has already been set up and fixed by government, there are variety of the price still can be found on implementation of the generic medicine sold in the pharmacy store or in the market, and can cause price uncertainty for community in finding medicine they need. That is why a research needs to be conduct toward implementation of the generic medicine price policy on the distribution channel especially at the pharmacy store.on Pelalawan District in Riau Province. Method: This research is non experimental/observational research with qualitative and quantitative method using cross sectional design, data analyzed descriptively. Result: Research result indicates that access to generic medicine at pharmacy store for available medicine are 99,3%, for un available medicine are 0,7% and for replaced medicine are 0,5%. Average availability of the medicine at the pharmacy store are 4-7,3 months. Highest availability rate for medicine is Hidrocortison cream 2,5% for 7,3 months and the lowest is Pirazinamid tablet 500 mg for 4 months. Pharmacy store that have an expired medicine are PR (0,7%) and KH (2%). Every pharmacy store have no damaged medicine, 0% percentage. Almost all pharmacy store experiencing out of supply for medicine between 4 to 90 days. Price of the medicine sold averagely increasing from its pharmacy store Highest Retail Price (HRP). But there are several medicine that sold under the HRP The highest price medicine that are sold higher than its HRP is Clorfeniramin Maleat (CTM) tablet by 515,4% increase and Dexametason tablet is the lowest price sold under HRP by 65,2%. Even so they are Alopurinol, Digoksin, and Ranitidin. From in depth interviews with patients, can be learn that they have a purchase ability for generic medicine. Conclusion: Implementation of generic drug price on Pelalawan district is good. It can be seen from generic medicine access by community that are high after the release of regulation from Health Department of Republic Indonesia, the level of availability of generic medicine on pharmacy store at Pelalawan District are low but there are no expired or damaged medicine. The price of generic medicine at Pelalawan District are variable but the community still can afford to buy them. Keyword: Generic medicine, availability and affordability.