Editor, -The recent editorial on 'Prescription drug subsidies in Australia and New Zealand' (Aust Prescr 2010;33:2-4) reveals striking differences between the two countries in expenditure on prescription drugs. This is attributed in part to the New Zealand policy of exclusive contracts for supply of off-patent medications being awarded through competitive tender. The cost savings are obvious enough, but an additional benefit of this system is to make the generic brand instantly recognisable both for prescribers and consumers. The proliferation of generic brands in Australia, by contrast, leads to a great deal of confusion for patients. This often dissuades doctors from prescribing generic brands, at great cost to the health system.
Lachlan Brown
General practitioner/Anaesthetist
Batehaven, NSW
First published online 1 June 2010