The authors find that "the US manufactures only about 14 percent of APIs necessary for the domestic generic drug market," with India, China, and Italy being the largest API manufacturers.
"More than one in every five APIs linked to [abbreviated new drug application]-holding companies reflected markets where the current [US Food and Drug Administration’s] threshold of three or fewer manufacturers would have failed to detect low competition," Socal and colleagues note.
The authors argue for two key actions to strengthen the supply of APIs in critical markets: improved monitoring of API manufacturing and enhancing incentives for domestic production of priority APIs.
Allison Rizer and Nils Franco argue that
Congress and other policy makers need to recognize the Medicare-Medicaid Coordination Office at CMS as the central body designing and overseeing integrated programs.
In a peer-reviewed article published in Wiley Learned Publishing, Director Of Health Equity Vabren Watts and others from the Health Affairs team shared insights about the journey to advance racial equity in scholarly publishing of health policy and health services research.
Watts also discusses this article on the most recent episode of This Week, where he is joined by Ryann Tanap, the program manager of health equity education at Health Affairs.
Health Affairs is the perfect place to advance your career while contributing to the leading research and analysis on improving health policy and health care.
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Health Affairs is the leading peer-reviewedjournalat the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking
content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.
Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.
