In July 2022 a £13.65 concession price was granted to help pharmacists during a time of shortages and price rises. This product has seen its average market price, paid by pharmacists and dispensing doctors, declining gradually from over £60.00 in 2012 to less than £2.00. However, in July 2022 prices began to increase, reaching £5.62 in July and £15.06 in August to date. These price rises are usually a response to declining stock levels in wholesalers’ warehouses, and that is triggered by prices falling below the point at which generic manufacturers can make a profit.
Concessions were also granted between January and June 2019 when market prices rose much as they are doing now. However, the low prices which triggered manufacturer withdrawal in late 2018 were below £15.00, whereas in 2022 it was prices below £2.00 which caused the problem. Some products have very consistent trigger prices, but for Nebivolol Tabs 2.5mg 28 where is a considerable difference between the 2018 and 2022 prices which initiated manufacturer exit. It is possible that other factors were in play in 2018, but what we can see is that the time interval between Jan 2019 and July 2022 is 3 years and 7 months. If these price spikes repeat, as they often do, then we can expect the next price increases and concessions at the end of 2025.