Ministério da Saúde e Anvisa anunciam novo cálculo para ajuste de preço de medicamentos

ministerio da saude

O cálculo feito para reajustar os preços de medicamentos em todo o país passará por mudanças. O Ministério da Saúde e a Agência Nacional de Vigilância Sanitária (Anvisa) anunciam nesta sexta (27) a definição de novos critérios para melhor adequar o índice à realidade do mercado farmacêutico, favorecendo a concorrência. A expectativa é que o percentual médio de reajuste fique abaixo da inflação, que o índice seja menor em relação ao que seria calculado com a regra anterior e que mais medicamentos tenham o menor reajuste de preço. Além disso, cada um dos fatores terá uma data fixa para ser divulgado, dando maior transparência ao processo, segurança e previsibilidade ao setor.

Para o ministro da Saúde, Arthur Chioro, a nova metodologia, ao reduzir o percentual de ajuste do preço, trará um impacto expressivo nos gastos com medicamentos no país. “A expectativa é ter uma redução na ordem de R$ 100 milhões, em um ano, para o mercado geral de medicamentos do país, para as famílias, governos e prestadores de serviços que compram medicamentos”, afirma. Entre os avanços da medida está o maior acompanhamento deste setor. “Como é um mercado muito dinâmico, a nova regulação permite fazer um monitoramento melhor. A partir de agora, a atualização de dados por parte da indústria será semestral, o que vai facilitar o monitoramento de mudanças e tendências no mercado”, destacou o secretário de Ciência, Tecnologia e Insumos Estratégicos do Ministério da Saúde, Jarbas Barbosa.

O percentual de reajuste será divulgado pela Câmara de Regulação do Mercado de Medicamentos no dia 31 de março, após a publicação oficial do Índice Nacional de Preços ao Consumidor Amplo (IPCA), como prevê a regra.

As mudanças incluíram sugestões da consulta pública realizada pela Câmara de Regulação do Mercado de Medicamentos (CMED) em 2014, com a participação de entidades que representam mais de 150 indústrias farmacêuticas, e cuja resolução será publicada no Diário Oficial da União de segunda-feira (2). São considerados para o cálculo de ajuste anual a inflação do período (de março de 2014 até fevereiro de 2015), a produtividade da indústria, a variação de custos dos insumos e concorrência dentro do próprio setor.

MENOR IMPACTO NO CONSUMIDOR – Um dos principais impactos da mudança é a redução do rol de medicamentos sujeitos ao maior reajuste de preço, diminuindo o peso no bolso do consumidor. Do total, 21,57% dos medicamentos regulados terão o maior reajuste. Esse grupo, composto por medicamentos de maior concorrência e que, por isso, tendem a manutenção de preços mais baixos, representa 21,57% dos medicamentos regulados e também os de menor preço e custo tecnológico.

A maioria dos medicamentos (51,73%) vai aplicar o menor índice de reajuste. São produtos de maior custo, de baixa concorrência e alta tecnologia, que compõem grupo classificado como mercado altamente concentrado. Os de mercados moderadamente concentrados respondem por 26,70% do total.

Os três níveis de reajuste de preço são definidos conforme a concorrência dos grupos de mercados, classificados como não concentrados, moderadamente concentrados e altamente concentrados. A ampliação do grupo autorizado a fazer o menor reajuste de preço ocorre porque o novo cálculo adotará o modelo internacional para a medição do poder de mercado individual de empresas ou grupos econômicos – o Índice Herfindahl-Hirschman (IHH). A partir de agora, também será considerado o mercado como um todo, não somente o varejista, tanto que pela primeira vez serão incluídas as vendas hospitalares e compras públicas.

As novas medidas dão maior transparência ao processo, com a publicação da resolução, e previsibilidade ao setor. Cada um dos fatores que compõem a fórmula, como produtividade (x), os ajustes de preços relativos entre setores (y) e intrassetor (Z), terá uma data para serem publicados pela CMED. O fator X deve ser divulgado em setembro, o Y 30 dias antes do ajuste e o Z até 60 dias após as empresas entregarem seus relatórios de comercialização com informações sobre faturamento e quantidade de produtos vendidos.

MAIOR ACOMPANHAMENTO DO MERCADO – Juntamente com as mudanças nos critérios de ajuste de preços da CMED, o ministro da Saúde, Arthur Chioro, apresenta também novidades relacionadas ao Sistema de Acompanhamento do Mercado de Medicamentos (Sammed), que passam a vigorar para o setor farmacêutico a partir de setembro de 2015. Agora, as informações que compõem esse banco de dados deverão ser enviadas pelas empresas semestralmente ao invés de uma vez ao ano, permitindo melhor acompanhamento do mercado farmacêutico.

Outra novidade é que a Sammed trará informações de comercialização das empresas produtoras de medicamentos por tipo de comprador. Será possível identificar se o comprador do medicamento é o governo, distribuidor, estabelecimento privado ou público de saúde, rede de farmácias e drogarias privadas ou pessoa física.

Essa medida também vai permitir estimar melhor os preços adotados no mercado privado e público, dando mais precisão na elaboração de políticas públicas para o setor farmacêutico. Será possível, por exemplo, mensurar o impacto e acompanhar com mais rapidez as tendências e o comportamento do mercado farmacêutico e os efeitos da nova medida.

A CMED é um órgão interministerial que tem entre as suas principais atribuições regular o mercado de medicamentos, destacando-se a de fixar o índice de ajuste do preço de fábrica anualmente, com base em critérios técnicos definidos na Lei Federal 10.742 de 2003.

Fonte: Agência Saúde



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