• Understand context of Thailand in terms of funds – almost 100 instead of 3 (csmbs, shi, UC)
• Dynamics of health insurance status in Thailand
• Capitation design and reimbursement
• This kind of management is complicated with budget constraints and find pharmacists with huge number of patients
• Capitation – move risks to provider, if want to eliminate risk, stay in capuitation as a way to control essential drug use
• ED list, if expensive it will go through negotiation process from HITAP
• Increasing utilization rate for Efavirenz 600 mg is an example to show how access increase and shoots up like an escalator in addition ot health services and delivery in addition to obtaining drugs at earlier stages of the disease , cost saving,
• The way to do this is find source of production, prepare early, wait on line for the demand drugs
• The process of negotiations , regulating, managing, quality of drugs, attacks on NHSO purchasing cheap medicines