Direct savings accrue to social health insurance and national health services in every country with incoming parallel distribution. This is because national governments and/or their national health providers have introduced various measures to guarantee savings through parallel distribution.

In a 2011 a study of parallel distribution in medicines was published by the Centre for Applied Health Services Research and Technology Assessment at the University of Southern Denmark. Entitled "Parallel imports of pharmaceuticals in Denmark, Germany, Sweden and the UK, 2004 – 2009: An analysis of savings”, it found that parallel distribution generated direct savings to the four countries of €2.5 billion in the time period 2004 – 2009, the annual average of savings during that period amounting to €418 million per annum. (Ulrika Enemark and Kjeld Moller Pedersen, Parallel imports of pharmaceuticals in Denmark, Germany, Sweden and the UK 2004-2009: An analysis of savings, Centre for Applied Health Services Research and Technology Assessment, University of Southern Denmark (November 2011))

Estimated direct savings from Parallel Distribution 2004-2009. In € Million

 

2004

2005

2006

2007

2008

2009

Denmark

14,2

13,8

18,9

19,4

24,4

18,9

Sweden

45,3

30,8

22,1

45,4

27,4

16,7

Germany

145

162

183,3

204,7

238,0

289,0

UK

237

188,6

178,5

178,9

138,0

65,2

Total

441,5

394,6

402,9

448,4

427,5

389,8

The differences in direct savings can mainly be explained by the different regulatory environments in the four countries which provide different incentives for prescribers, dispensers and consumers and hence different demand for PD products. There are also other factors such as the variability of currencies in the UK and Sweden in 2008-2009 and aggressive price competition in Sweden in 2008.

In Denmark the parallel distributed product that had the highest amount of direct savings were versions of Losartan and diuretics (used to treat high blood pressure). The parallel distributed versions were estimated to have created 17.8 million Dkr (approx. €2.4 million) in direct savings in 2009, 13% of the total direct savings generated by parallel distribution that year.