Health Minister Firass Abiad announced the ministry's plan to lift subsidies on medicines including those used to treat heart disease, high cholesterol and high blood pressure. AFP
Health Minister Firass Abiad announced the ministry's plan to lift subsidies on medicines including those used to treat heart disease, high cholesterol and high blood pressure. AFP
Health Minister Firass Abiad announced the ministry's plan to lift subsidies on medicines including those used to treat heart disease, high cholesterol and high blood pressure. AFP
Health Minister Firass Abiad announced the ministry's plan to lift subsidies on medicines including those used to treat heart disease, high cholesterol and high blood pressure. AFP

Lebanon medicine prices skyrocket as subsidies lifted


Aya Iskandarani
  • English
  • Arabic

Prices for life-saving medication skyrocketed in Lebanon on Tuesday after the Ministry of Public Health began lifting most drug subsidies, which the cash-strapped state can no longer afford.

Health Minister Firass Abiad had announced last Tuesday a plan to gradually lift subsidies on certain types of medication including those used to treat heart disease, high cholesterol and high blood pressure, causing drug prices to increase by as much as five or six times their original cost.

The ministry issued a new price list on Monday afternoon that was put in place on Tuesday for the first time, pharmacists say.

Pharmacist Georges Zammar said that customers were not expecting the sudden increase and that he had to deal with angry and dumbfounded clients all day.

“I would say 90 per cent of parents asking for baby formula today left my pharmacy empty-handed. They simply didn’t have the money to pay for it,” he said from Pharmacy Radio in Beirut.

The new pricing has become unaffordable for many in a country where about 80 per cent of the population lives in poverty, according to UN data.

A packet of baby formula that lasts three days used to cost 12,000 Lebanese pounds ($0.50 at the market rate) before the latest decision.

The same packet is now priced at 98,000 pounds ($4.20).

Since late 2019, the Lebanese pound has lost more than 90 per cent of its worth, slashing the value of salaries as costs for basic goods rise.

The minimum wage of 675,000 Lebanese was worth $450 in 2019. It is now equal to less than $30.

  • A crowded petrol station on the main road that links Beirut to south Lebanon. AP
    A crowded petrol station on the main road that links Beirut to south Lebanon. AP
  • Drivers come from every direction to fill their tanks with fuel. AP
    Drivers come from every direction to fill their tanks with fuel. AP
  • Chronic fuel shortages have plagued the country in recent months, with long queues at petrol stations a common sight. AP
    Chronic fuel shortages have plagued the country in recent months, with long queues at petrol stations a common sight. AP
  • Last month, central bank governor Riad Salameh announced that fuel imports would no longer be subsidised. AP
    Last month, central bank governor Riad Salameh announced that fuel imports would no longer be subsidised. AP
  • Worshippers listen as cleric Ali Al Hussein delivers a sermon during Friday prayers at a fuel station to protest against the severe shortages. AP
    Worshippers listen as cleric Ali Al Hussein delivers a sermon during Friday prayers at a fuel station to protest against the severe shortages. AP
  • People listen to Al Hussein's sermon in the coastal town of Jiyeh, south of Beirut. AP
    People listen to Al Hussein's sermon in the coastal town of Jiyeh, south of Beirut. AP

But medicines for cancer, incurable diseases, mental and psychological diseases, and drugs used in hospitals have retained their subsidies, a representative for the health ministry told The National.

The Lebanese state spends $35 million on medical subsidies each month, down from $130 million prior to subsidy cuts, Mr Abiad said last week.

The ministry will maintain a 65 per cent subsidy rate on expensive medicines for chronic diseases, while cheaper, generic products will receive less state support, the minister said.

Only wealthy customers, however, will be able to afford the new prices, said Noura, a pharmacist employed at Wardieh Pharmacy in Beirut.

“People who can afford to buy medicine are still getting them, but those who do not have the means will suffer,” she said from behind the counter of an empty drugstore, plunged in darkness due to daily power cuts.

Lebanon has been in economic free fall for the past two years. A lack of foreign currencies, compounded by decades of endemic corruption and political inaction have left the state unable to provide for its citizens.

Petrol, electricity and now medicine are out of reach for many as subsidies for these products have been gradually lifted, with no other social safety net in place for the needy.

The country imports 80 per cent of its drugs in foreign currencies, which the central bank lacks, causing payment delays and shortages.

Subsidised medicines are also routinely smuggled to neighbouring Syria, worsening shortages.

Pharmacists told The National that shortages persist despite the lifting of subsidies, but that the decision may help alleviate the lack of medicine in the long run.

Talal, a taxi driver, says that the decision to lift subsidies means he can no longer afford the medicine he needs for his high blood pressure.

“I went to the pharmacy this morning and couldn’t believe my eyes,” he said. “How am I supposed to afford my drugs now?”

Ten tax points to be aware of in 2026

1. Domestic VAT refund amendments: request your refund within five years

If a business does not apply for the refund on time, they lose their credit.

2. E-invoicing in the UAE

Businesses should continue preparing for the implementation of e-invoicing in the UAE, with 2026 a preparation and transition period ahead of phased mandatory adoption. 

3. More tax audits

Tax authorities are increasingly using data already available across multiple filings to identify audit risks. 

4. More beneficial VAT and excise tax penalty regime

Tax disputes are expected to become more frequent and more structured, with clearer administrative objection and appeal processes. The UAE has adopted a new penalty regime for VAT and excise disputes, which now mirrors the penalty regime for corporate tax.

5. Greater emphasis on statutory audit

There is a greater need for the accuracy of financial statements. The International Financial Reporting Standards standards need to be strictly adhered to and, as a result, the quality of the audits will need to increase.

6. Further transfer pricing enforcement

Transfer pricing enforcement, which refers to the practice of establishing prices for internal transactions between related entities, is expected to broaden in scope. The UAE will shortly open the possibility to negotiate advance pricing agreements, or essentially rulings for transfer pricing purposes. 

7. Limited time periods for audits

Recent amendments also introduce a default five-year limitation period for tax audits and assessments, subject to specific statutory exceptions. While the standard audit and assessment period is five years, this may be extended to up to 15 years in cases involving fraud or tax evasion. 

8. Pillar 2 implementation 

Many multinational groups will begin to feel the practical effect of the Domestic Minimum Top-Up Tax (DMTT), the UAE's implementation of the OECD’s global minimum tax under Pillar 2. While the rules apply for financial years starting on or after January 1, 2025, it is 2026 that marks the transition to an operational phase.

9. Reduced compliance obligations for imported goods and services

Businesses that apply the reverse-charge mechanism for VAT purposes in the UAE may benefit from reduced compliance obligations. 

10. Substance and CbC reporting focus

Tax authorities are expected to continue strengthening the enforcement of economic substance and Country-by-Country (CbC) reporting frameworks. In the UAE, these regimes are increasingly being used as risk-assessment tools, providing tax authorities with a comprehensive view of multinational groups’ global footprints and enabling them to assess whether profits are aligned with real economic activity. 

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Updated: November 17, 2021, 2:37 PM