Drug companies â€œcarved up the marketâ€ alleges watchdog
Drug suppliers AMCo and Morningside and wholesaler Alliance Healthcare have been accused of illegally â€œcarving up the marketâ€ for nitrofurantoin, keeping the prices paid by the NHS for the antibiotic â€œartificially highâ€.
The Competition and Markets Authority (CMA) today (July 25) alleged that there was a collusive arrangement from mid-2014 â€œuntil at least October 2017â€ whereby Alliance bought equal volumes of nitrofurantoin capsules from each of the two suppliers, meaning they did not compete with one another.
It is further alleged that during 2015 and 2016 the two suppliers agreed not to supply the drug to other wholesalers.
AMCo, which was bought by Concordia (now called Advanz) in 2015, was the only UK supplier of nitrofurantoin 50mg and 100mg capsules until Morningside entered the market in mid-2014.
The markets watchdog has also provisionally found that in May 2014 AMCo shared â€œsensitive pricing informationâ€ with Morningside with the aim of reducing competition between the two companies.
The CMA alleges that these arrangements â€œprevented or restricted competitionâ€ and that when Morningside began supplying nitrofurantoin capsules â€œthis was not followed by the price falls that would normally be expected when a new competitor enters the marketâ€.
This is not a finding of infringement and will not necessarily lead to an infringement decision. All three companies now have the opportunity to make written and oral representations to the CMA.
If the CMAâ€™s case decision group decides competition law was broken, the watchdog may impose a fine on each company of up to 10 per cent of its respective worldwide turnover.
Ann Pope, the CMAâ€™s senior director of antitrust, said drug companies that break competition law â€œrisk forcing the NHS and UK taxpayers to pay over the odds for important medical treatmentsâ€ and that the alleged behaviour would have deprived the NHS of â€œthe lower prices that come from effective competition.â€
All three companies have denied the allegations. Morningside said that while it â€œstrongly refutes the concerns raised by the CMAâ€ it would work â€œconstructivelyâ€ with the watchdog.
Alliance Healthcare said: â€œWe take competition law very seriously and do not believe that competition law has been infringed.â€
Alliance said it planned to â€œreview the CMAâ€™s provisional positionâ€ and would â€œrespond in detail to these allegations and defend our positionâ€ while cooperating with the watchdog.
Advanz commented: â€œWe are committed to ensuring continued access to high quality, niche-established medicines for patients in the UK, and providing many medicines that offer significant savings to the NHS.â€
Walgreen Boots Alliance, of which Alliance Healthcare is a wholly owned subsidiary, has been asked to comment.
Rise in allegations
This is the fourth time this year the CMA has accused drug firms of holding anticompetitive agreements that deprived the NHS of savings.
Arrangements concerning the supply of hydrocortisone, nortriptyline and prochlorperazine have all been the subject of provisional findings from the markets watchdog, with the latter case leading to Lexon director Nitin Sodha standing down as National Pharmacy Association chair and resigning from the NPA board.
The CMA said it currently has investigations open around the supply of seven different drugs.
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