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Summary 122
International anti-counterfeiting initiatives 123
Government efforts 123
European Commission 123
United States Department of Health & Human Services 126
World Health Organization 127
INTERPOL 129
Non-government efforts 129
UNICEF 129
Medecins Sans Frontieres 130
UNITAID 130
Anti-counterfeiting initiatives in Asia 131
India 131
China 132
Taiwan 134
Pharmaceutical trade and industry organizations 135
Pharmaceutical Security Institute (PSI) 136
International Federation of Pharmaceutical Manufacturers Associations
(IFPMA) 136
European Federation of Pharmaceutical Manufacturers Associations (EFPIA) 137
The European Alliance for Access to Safe Medicines (EAASM) 139
New initiative: Rx-360 139
Stockholm Network 140
Considerations for parallel trade and counterfeiting 140
Key points and recommendations 140
Chapter 6 Appendix 143
Primary research methodology 143
References 143
Websites 144
Glossary 145
Index 147
List of Figures
Figure 1.1: Generalized parallel trade process for pharmaceuticals in Europe 19
Figure 1.2: Major factors contributing to parallel trade in the EU 28
Figure 1.3: Advantages & disadvantages of parallel trade 32
Figure 1.4: Estimated market penetration of parallel imports by value in key European destinations (%), 2001 & 2009 37
Figure 2.5: Key opposing issues on parallel importation from Canada 53
Figure 2.6: Prescription drugs typically imported into the US 56
Figure 2.7: Typical savings offered by a Canadian online pharmacy, 2009 58
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