Mutengo mukuru wemishonga yeHIV inotsanangurwa nezvimwe zvinhu. Chokutanga, chekuchengetedza yakawanda Wholesale Acquisition Cost (WAC) inosunungurwa nemugadziri, iyo inonyanya kukosha mutengo wemishonga vasati vapiwe purogiramu kana kukwidziridzwa kunowedzerwa nekutenga mabhuku uye / kana kubhadhara nokukurumidza.
Kubvira apa, Mutengo Wakawedzerwa Wakawanda (SWP) wakagadzirirwa. Uyu ndiwo mutengo unorayirwa nemuiti kune vatengesi pavanosarudza mitengo yevatengi vavo (kureva vatengesi, zvipatara, masangano).
I SWP haisi yekutengeserana kwekutengesa asi panzvimbo yekutanga iyo vatengesi vanogona kugadzirisa zvisarudzo zvekukwikwidzana.
Kusiyana neizvi, Average Wholesale Price (AWP) inowanikwa mutengo iwoyo vatengesi uye vamwe vanonzi vari kubhadhara imwe mishonga. IAWP inoshushwa nevakagadziri uye inogadzirwa nevaparidzi vakazvimiririra, iyo iyo inoshandiswa nehurumende, makambani einishuwarenzi, uye vamwe kuti vaone kubhadhara uye kutengesa mitengo yezvinodhaka zvinodhaka. Nemhaka yekuti AWP inotsigirwa nehutatu hwehupfumi-uye, naizvozvo, inotambudzwa nekugadzirisa mutengo-mamwe masangano anotanga kurega kushandiswa kwayo mukufarira SWP.
Pakupedzisira, Mutengo Wakakwana (DIRP kana DP) ndiwo mutengo uyo asingatengi mutengi (sai iwe) angatarisira kubhadhara pareji yemari. Kazhinji, pane 20-30% markup pakati peWAC neDIRP.
Avhareji Wholesale Price yeAn-Generic Antiretroviral Zvinodhaka Mwedzi
| Antiretroviral Drug | Adult Strength | Dose | Verenga | AWP |
| Aptivus (tiprianavir) | 250mg capsule | 2 kaviri zuva nezuva | 120 | $ 1,685.59 |
| Atripla (tenofovir + emtricitabine + efavirenz) | 300/200 / 600mg tablet | 1 zuva nezuva | 30 | $ 2,869.86 |
| Combivir (zidovudine + lamivudine) | 300 / 150mg tablet | 1 kaviri zuva nezuva | 60 | $ 1,081.70 |
| Complera (tenofovir + emtricitabine + ripilvirine) | 300/200 / 25mg tablet | 1 zuva nezuva | 30 | $ 2,815.04 |
| Crixivan (indinavir) | 400mg capsule | 2 kaviri zuva nezuva | 120 | $ 365.42 |
| Crixivan (indinavir) | 400mg capsule | 2 katatu zuva nezuva | 180 | $ 548.12 |
| Descovy (tenofovir AF + emtricitabine) | 25 / 250mg tablet | 1 zuva nezuva | 30 | $ 1,759.73 |
| Edurant (ripilvirine) | 25mg tablet | 1 zuva nezuva | 30 | $ 1,075.15 |
| Emtriva (emtricitabine) | 200mg capsule | 1 zuva nezuva | 30 | $ 643.72 |
| Epivir (lamivudine) | 300mg tablet | 1 zuva nezuva | 30 | $ 498.89 |
| Epzicom (abacavir + lamivudine) | 600 / 300mg tablet | 1 zuva nezuva | 30 | $ 1,550.05 |
| Evotaz (atazanavir + cobicistat) | 350 / 150mg tablet | 1 zuva nezuva | 30 | $ 1,857.51 |
| Fuzeon (enfuvirtide) | Injection 90mg | 1 kaviri zuva nezuva | 60 | $ 4,097.78 |
| Genvoya (elvitegravir + cobicistat + emtricitabine + tenofovir alafenamide) | 150/150/200 / 10mg tablet | 1 zuva nezuva | 30 | $ 3,093.19 |
| Intelence (etravirine) | 200mg tablet | 1 kaviri zuva nezuva | 60 | $ 1,306.08 |
| Isentress (raltegravir | 400mg tablet | 1 kaviri zuva nezuva | 60 | $ 1,545.07 |
| Invirase (saquinavir) | 500mg tablet | 2 kaviri zuva nezuva | 120 | $ 1,260.01 |
| Kaletra (lopinavir + ritonavir) | 200 / 50mg tablet | 2 kaviri zuva rimwe nerimwe kana 4 zuva nezuva | 120 | $ 1,106.29 |
| Lexiva (fosamprenavir) | 700mg tablet | 2 kaviri zuva nezuva | 120 | $ 2,408.86 |
| Lexiva (fosamprenavir) | 700mg tablet | 1 kaviri zuva nezuva kana 2 kamwe kamwe zuva nezuva | 60 | $ 1,204.43 |
| Norvir (ritonavir) | 100mg tablet | 1 zuva nezuva | 30 | $ 308.60 |
| Odefsey (rilpivirine + tenofovir AF + emtricitabine) | 25/25 / 200mg tablet | 1 zuva nezuva | 30 | $ 2,815.04 |
| Prezista (darunavir) | 400mg tablet | 2 zuva nezuva | 60 | $ 1,626.06 |
| Prezista (darunavir) | 600mg tablet | 1 kaviri zuva nezuva | 60 | $ 1,629.06 |
| Prezcobix (darunavir + cobicistat) | 80 / 150mg tablet | 1 zuva nezuva | 60 | $ 1,862.12 |
| Rescriptor (delavirdine) | 200mg tablet | 2 katatu zuva nezuva | 180 | $ 365.45 |
| Retrovir (zidovudine) | 300mg tablet | 1 kaviri zuva nezuva | 60 | $ 390.97 |
| Reyataz (atazanavir) | 200mg capsule | 2 zuva nezuva | 60 | $ 1,656.52 |
| Reyataz (atazanavir) | 300mg capsule | 1 zuva nezuva | 30 | $ 1,646.80 |
| Selzentry (maraviroc) | 150mg tablet | 1 kaviri zuva nezuva | 60 | $ 1,296.77 |
| Selzentry (maraviroc) | 300mg tablet | 1 kaviri zuva nezuva | 60 | $ 1,296.77 |
| Stribild (tenofovir + emtricitabine + elvitegravir + cobicistat) | 300/200/150 / 150mg tablet | 1 zuva nezuva | 30 | $ 3,244.76 |
| Sustiva (efavirenz) | 600mg tablet | 1 zuva nezuva | 30 | $ 1,010.13 |
| Tivicay (dolutegravir) | 50mg tablet | 1 zuva nezuva | 30 | $ 1,707.26 |
| Tivicay (dolutegravir) | 50mg tablet | 1 kaviri zuva nezuva | 60 | $ 3,414.52 |
| Triumeq (abacavir + lamivudine + dolutegravir) | 600/300 / 50mg tablet | 1 zuva nezuva | 30 | $ 2,889.22 |
| Trizivir (abacavir + zidovudine + lamivudine) | 300/300 / 100mg tablet | 1 kaviri zuva nezuva | 60 | $ 1,931.64 |
| Truvada (tenofovir + emtricitabine) | 300 / 150mg tablet | 1 zuva nezuva | 30 | $ 1,759.73 |
| Tybost (cobicistat) | 150mg tablet | 1 zuva nezuva | 30 | $ 230.90 |
| Videx EC (didanosine) | 400mg capsule | 1 zuva nezuva | 30 | $ 515.84 |
| Viracept (nelfinavir) | 625mg tablet | 2 kaviri zuva nezuva | 120 | $ 1,169.22 |
| Viramune (nevirapine) | 200mg tablet | 1 kaviri zuva nezuva | 60 | $ 912.86 |
| Viramune XR (nevirapine) | 400mg tablet | 1 zuva nezuva | 30 | $ 846.66 |
| Viread (tenofovir) | 300mg tablet | 1 zuva nezuva | 30 | $ 1,197.32 |
| Vitekta (elvitegravir) | 85mg tablet | 1 zuva nezuva | 30 | $ 1,445.34 |
| Vitekta (elvitegravir) | 150mg tablet | 1 zuva nezuva | 30 | $ 1,445.34 |
| Zerit (stavudine) | 40mg capsule | 1 kaviri zuva nezuva | 60 | $ 553.12 |
| Ziagen (abacavir) | 300mg tablet | 2 zuva nezuva | 60 | $ 670.37 |
> Sources:
> National Institutes of Health (NIH). "Mazano ekushandisa kweAntiretroviral Agents muHIV-1-Vakabatwa Vakuru uye Vana Vachiri Kuyaruka - Appendikisi B: Zvinodhaka Mishonga Tables (Mwedzi Unoverengeka Wakawanda Wakawanda weAnterretroviral Drugs)." Bethesda, Maryland; yakarongedzwa muna April 2016.