For Miteva, who operates a community centre within the southern Bulgarian village of Sladun, close to the city of Svilengrad, only another thing retains her severe rheumatoid arthritis at bay: a weekly shot of an immunosuppressive drug named RoActemra. With out it, she's in agony.
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Distributors are satisfied to foot the Monthly bill for these bribes mainly because they see it as a chance to drum up a lot more company While using the drug producers and obtain on their lists of chosen distributors.
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Hospitals in Portugal procure medication by way of a clear tender course of action. “I get and distribute to clients oncology medicines worthy of 36 million euros yearly,” Gouveia stated. In Bulgaria, tendering is completed by distributors and there's no cap on how much cash is often allocated from the Nationwide Wellbeing Insurance Fund, NHIF, which reimburses distributors for a hundred for every cent of your price of oncological medications. Health and fitness experts say this will make cancer medicines Specifically tempting for parallel traders.
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