The pharmaceutical pricing and reimbursement policies in Sweden are analyzed from the perspectives of legal basis, governing structure, pricing pathway, decision making of pricing and reimbursement, and the pharmaceutical distribution chain. The total social value of the pharmaceutical products is included into the measure of cost-effectiveness in the pricing and reimbursement decisions in
... [Show full abstract] Sweden. The higher factory price and lower market price are achieved by the exemption of value-added tax on the prescription drug and lowering of the mark-up along the distribution chain with fewer wholesalers. The implementation of mandatory generic drug substitution improves the penetration of the generic drugs, the options for the consumers and the accessibility of the drug products are assured in combination with the premium for brand drugs. The pricing and reimbursement policies in Sweden contribute to the lowering of healthcare expenditures.