A reference pricing system has been in use since 2004. The price of pharmaceuticals is determined by the acceptance of the lowest ex-factory price to the warehouses in France, Italy, Spain, Portugal and Greece as the reference price.
However, if the countries in which the relevant pharmaceuticals are being manufactured and imported are outside of the mentioned reference countries and have warehouse sales prices that are lower than the reference country price the price in the country with the lowest warehouse sales price is accepted as the reference price.
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Reference pharmaceuticals that do not have generic competition Reference Price + Wholesaler and Pharmacist Profit Margin + %8 VAT |
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Reference pharmaceuticals that have generic competition (over 8.25 TL) 60% of the Reference Price + Wholesaler and Pharmacist Profit Margin + %8 VAT |
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Price-protected Produscts (over 15.80 TL) 80% of the Reference Price + Wholesaler and Pharmacist Profit Margin + %8 VAT |
Wholesaler and Pharmacist Profit Margins
| Sales Price to Wholesaler | Wholesaler Profit % | Pharmacist Profit % |
| 0 – 10 TL | 9 | 25 |
| 10 – 50 TL | 8 | 25 |
| 51 – 100 TL | 7 | 25 |
| 101 – 200 TL | 4 | 16 |
| over 200 TL | 2 | 12 |
In order to determine Euro/TL exchange rate, the system takes the annual euro average of previous year into account . The average is multiplied by 60%.