Pooled Procurement Mechanism Reference Pricing: ARVs

Version Q4 2023 – October 2023

This information will be updated periodically, with the latest made available here

The Global Fund has established Framework Agreements with manufacturers of antiretroviral medicines with the aim to achieve lower
prices and also ensure the sustainable and reliable on-time supply of the full range of the needed ARVs.
The prices below are the prices at which the Global Fund Pooled Procurement Mechanism aims to deliver the health products at or
below throughout the grant implementation period (2021-2023) as recommended in the Global Fund Guidelines for Grant Budgeting for
health products: https://www.theglobalfund.org/media/3261/core_budgetinginglobalfundgrants_guideline_en.pdf
Actual prices achieved for a grant will depend on how early the orders are placed by Principal Recipients - and additionally the
achievement of certain volume thresholds through the pooled volumes to enable us to achieve negotiated prices through the mechanism.
Actual prices achieved will be charged to the grant.
Some non-optimal products/formulations/pack-sizes have been removed from this version of the reference price list: pricing can be
provided on request should the product still be commercially available.

1st line adult Reference price (EXW, USD)

Pack of 30 Pack of 90 Pack of 180
Treatment Treatment Treatment
per pack per pack per pack
per year per year per year
Dolutegravir/Lamivudine/Tenofovir 50/300/300mg tablet - no cartón* 3.60 43.20 10.20 40.80 21.10 42.20
Efavirenz/Lamivudine/Tenofovir 400/300/300mg tablet - no carton 4.95 59.40 14.75 59.00
Efavirenz/Lamivudine/Tenofovir 600/300/300mg tablet - no carton 5.25 63.00 16.00 64.00
Efavirenz/Emtricitabine/Tenofovir 600/200mg/300mg tablet - no carton 5.40 64.80

2nd line adult Reference prices and costs (EXW, USD)

Lamivudine/Tenofovir Emtricitabine/Tenofovir Lamivudine/Zidovudine
300/300mg tablet 30 - no 200/300mg tablet 30 - no 150/300mg tablet 60 - no
carton carton carton
Monthly 3.20 3.80 5.35
pack Treatment per Treatment per Treatment per Treatment per Treatment per Treatment per
month year month year month year
Lopinavir/Ritonavir 200/50mg
17.95
tablet 120 - no carton 21.15 253.80 21.75 261.00 23.30 279.60
Atazanavir/Ritonavir 300/100mg
10.95
tablet 30 - no carton 14.15 169.80 14.75 177.00 16.30 195.60
Darunavir/Ritonavir 400/50mg
17.50
tablet, container of 60 tablets 20.70 248.40 21.30 255.60 22.85 274.20
Dolutegravir 50mg tablet,
1.90
container of 30 tablets - no carton 3.60* 43.20* 5.70 68.40 7.25 87.00
*Uses TLD reference price rather than separate tablets

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1st line Reference prices and costs (EXW, USD)
children
Abacavir/Dolutegravir/Lamivu Abacavir/Lamivudine 120/60mg Abacavir/Lamivudine
Dolutegravir 10mg
dine 60/5/30mg dispersible tablet dispersible 30 - no carton + 120/60mg tablet
dispersible tablet 90 - no
tablet, container of 180 Lopinavir/Ritonavir 40/10mg oral dispersible 30 - no
Monthly treatment carton +
tablets granules sachet/pellets, pack of carton +
cost (monthly Abacavir/Lamivudine
120 sachets Lopinavir/Ritonavir
pack price) 120/60mg tablet dispersible
100/25mg tablet 60 - no
30 - no carton
carton
15.00 7.00 (2.70 + 4.30) 19.60 (2.70+16.90) 8.20 (2.70+5.50)
Weightband Annual treatment cost
3-<6kg 41.00 (2 bottles + 12 packs) 235.20 (12+12 packs)
6-<10kg 90.00 (6 bottles) 74.40 (6 bottles + 18 packs) 352.80 (18+18 packs)
10-<14kg 120.00 (8 bottles) 99.20 (8 bottles + 24 packs) 470.40 (24+24 packs) 163.8 (24+18 packs)
14-<20kg 150.00 (10 bottles) 124 (10 bottles + 30 packs) 588.00 (30+30 packs) 213 (30+24 packs)
20-<25kg 180.00 (12 bottles) Switch to DTG 50mg 705.60 (36+36 packs) 229.2 (36+24 packs)

Wambo All products Pack price

Item (EXW,
Code USD)
10969 Abacavir/Dolutegravir/Lamivudine 600/50/300mg tablet, container of 30 tablets - no carton 20.00
30411 Abacavir/Dolutegravir/Lamivudine 60/5/30mg dispersible tablet, container of 90 tablets 7.50
30413 Abacavir/Dolutegravir/Lamivudine 60/5/30mg dispersible tablet, container of 180 tablets 15.00
13326 Abacavir/Lamivudine 120/60mg dispersible tablet, container of 30 tablets - no carton 2.70
13327 Abacavir/Lamivudine 120/60mg dispersible tablet, container of 60 tablets - no carton 5.35
13328 Abacavir/Lamivudine 600/300mg tablet, container of 30 tablets - no carton 7.85
13329 Atazanavir/Ritonavir 300/100mg tablet, container of 30 tablets - no carton 10.95
10089 Etravirine 100mg tablet, container of 120 tablets 36.00
10027 Darunavir 600mg tablet, container of 60 tablets 42.00
10320 Darunavir 150mg tablet, container of 240 tablets 65.00
10317 Darunavir 400mg tablet, container of 60 tablets 40.00
10319 Darunavir 75mg tablet, container of 480 tablets 65.00
10870 Darunavir/Ritonavir 400/50mg tablet, container of 60 tablets 17.50
13330 Dolutegravir 10mg dispersible tablet, container of 90 tablets - no carton 4.30
13331 Dolutegravir 50mg tablet, container of 30 tablets - no carton 1.90
11555 Dolutegravir/Emtricitabine/Tenofovir alafenamide 50/200/25mg tablet, container of 30 5.00
tablets - no carton
10868 Dolutegravir/Lamivudine/Tenofovir 50/300/300mg tablet, container of 180 tablets - no 21.10*
carton
10862 Dolutegravir/Lamivudine/Tenofovir 50/300/300mg tablet, container of 30 tablets - no carton 3.60*
10867 Dolutegravir/Lamivudine/Tenofovir 50/300/300mg tablet, container of 90 tablets - no carton 10.20*
10880 Efavirenz/Emtricitabine/Tenofovir 600/200mg/300mg tablet, container of 30 tablets - no 5.40
carton
10881 Efavirenz/Lamivudine/Tenofovir 400/300/300mg tablet, container of 30 tablets - no carton 4.95
10873 Efavirenz/Lamivudine/Tenofovir 400/300/300mg tablet, container of 90 tablets - no carton 14.75
10860 Efavirenz/Lamivudine/Tenofovir 600/300/300mg tablet, container of 30 tablets - no carton 5.25
10882 Efavirenz/Lamivudine/Tenofovir 600/300/300mg tablet, container of 90 tablets - no carton 16.00
13332 Emtricitabine/Tenofovir 200/300mg tablet, container of 30 tablets - no carton 3.80
13333 Lamivudine/Tenofovir 300/300mg table, container of 30 tablets - no carton 3.20
13334 Lamivudine/Zidovudine 150/300mg tablet, container of 60 tablets - no carton 5.35
29111 Lamivudine/Zidovudine 30/60mg dispersible tablet, container of 60 tablets - no carton 1.70
13335 Lopinavir/Ritonavir 100/25mg tablet, container of 60 tablets - no carton 5.50
13336 Lopinavir/Ritonavir 200/50mg tablet, container of 120 tablets - no carton 17.95
10058 Lopinavir/Ritonavir 40/10mg capsule (pellets), container of 120 capsules 17.25
10950 Lopinavir/Ritonavir 40/10mg oral granules sachet, pack of 120 sachets 16.90

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 10066 Nevirapine 10mg/mL oral suspension, 100mL bottle 1.75
10324 Ritonavir 25mg tablet, pack of 30 tablets 3.00
10096 Ritonavir 100mg tablet, pack of 30 tablets 7.00
10077 Tenofovir 300mg tablet, pack of 30 tablets 2.40
10082 Zidovudine 50mg/5mL oral solution, 240mL bottle 2.15

*Please Note: In order to support grant making for GC7, specific prices for Dolutegravir/Lamivudine/Tenofovir
50/300/300mg tablet (TLD) - no carton were shared with country teams. These prices apply from January 2024 only, as
per below:
- TLD container of 30 tablets - no carton: $ 3.40
- TLD container of 90 tablets - no carton: $ 9.90
- TLD container of 180 tablets - no carton: $ 19.70

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