September 2011

Prices for BACTEC and MGIT and country list

Enhancement of diagnostic capacity for TB and MDR-TB is urgently needed to scale-up access to care and treatment of MDR-TB. To help meet this challenge, FIND has collaborated in the development and evaluation of new TB diagnostic tools, including TB liquid culture and DST, rapid species identification, and line probe assay. WHO has officially endorsed the use of these technologies based on the thorough evaluation of the evidence of their effectiveness under actual program conditions. As part of its role in the development and evaluation process of these tools, FIND has successfully negotiated with three of the manufacturing partners to obtain significant price reductions in order to facilitate access to these diagnostic technologies. These discounts average 50% on diagnostic instruments, and 75% on reagents, and are available to high TB burden countries that wish to procure TB diagnostics for use in the public and non-profit health care sectors, and who procure these tools with funding from the government, UNITAID, or the Global Fund. Furthermore, the FIND-negotiated agreements contain provisions for further discounts as procurement volumes of reagents increase. As these become available FIND shall communicate the new prices to the TB community. In the case of the BBL MGIT Tubes List Nr. 245122, the first price reduction occurred in 2009.

Current FIND-negotiated prices, along with the list of countries eligible for the discounts, as negotiated by FIND with BD, are listed below.

The public sector in eligible countries should contact their local BD office for final pricing. If you need assistance locating your local BD office, or have questions about country eligibility, please send an email to BD_FIND_TB_Pricing@bd.com and you will be directed to the appropriate BD office.

Products and services

Product or Service Product/Service Description

Supply Price/
Services Charges

Systems BD BACTECTM MGITTM 960 System: Non-radiometric, fully automated system (annual capacity of 8,300 tubes) for the rapid detection of mycobacteria in clinical specimens, other than blood, as well as antimicrobial susceptibility testing of anti-tuberculosis drugs known as S.I.R.E., I.R., and PZA. Includes Instrument, Starter Kit, and AST Starter Kit  US$ 38,950 
Systems BD BACTECTM MGITTM 320 System: Non-radiometric, fully automated system (annual capacity of 2,700 tubes) for the rapid detection of mycobacteria in clinical specimens, other than blood, as well as antimicrobial susceptibility testing of anti-tuberculosis drugs known as S.I.R.E., I.R., and PZA. Includes Instrument, Starter Kit, and AST Starter Kit  US$ 19,500 
Readers BD MicroMGIT Fluorescence Manual Tube Reader (BD’s designated catalog number 445923) US$ 850.00 
Data Management

BD EpiCenter Data Management System. Includes hardware and software. 

(Does not include TB-eXiST - module for eXtended Susceptibility Testing; please contact local BD office for more information.)

US$ 12,500
Services Installation, training and technical support for the Products.  BD agrees to charge for the services at generally applicable rates
  BD BACTECTM MGITTM 960 or 320 Instrument Service, includes service and replacement parts for years two and three. Does not include PMIs.  US$ 5,500 combined to cover years 2 and 3 

 

Reagents or Accessories

BD Designated
Catalog Number

# of
reagents/
unit

Description Supply price/unit
240863 1 MycoPrepTM Specimen Digestion/Decontamination Kit  US$ 81.50 
245122 100 BBL MGIT Tubes for use in BACTEC MGIT 960 System (7ml)  US$ 195.00
245113 100 BBL MGIT Tubes for Manual Method (4ml) US$ 195.00
245124 1 BACTEC MGIT 960 Supplement Kit  US$ 70.80
245114 1 BACTEC MGIT PANTATM Kit for Manual MGIT  US$ 47.50 
245116 1 BACTEC MGIT OADC Kit for Manual MGIT  US$ 55.50 
245123 1 BACTEC MGIT 960 S.I.R.E. Kit  US$ 72.70 
245119 1 BACTEC MGIT S.I.R.E. Kit for Manual MGIT  US$ 127.50
245157 1 BACTEC MGIT 960 I.R. Kit  US$ 36.35 
245115 25 BACTEC MGIT 960 PZA Tubes  US$ 53.55 
245128 1 BACTEC MGIT 960 PZA Kit  US$ 90.60 
245125 1 BACTEC MGIT 960 STR 4.0 Kit  US$ 45.00
245126 1 BACTEC MGIT 960 INH 0.4 Kit  US$ 45.00
245127 1 BACTEC MGIT 960 EMB 7.5 Kit  US$ 45.00
245159 25 MGIT TBc Identification Kit  US$ 72.50 
257415 1 UPS  US$ 1,845
257623 1 Printer  US$ 532.00
445943 3 AST Carrier Set (5-tube)  US$ 36.00
445944 3 AST Carrier Set (4-tube)  US$ 36.00
445945 3 AST Carrier Set (3-tube)  US$ 36.00
445946 3 AST Carrier Set (2-tube)  US$ 36.00
445993 3 AST Carrier Set (8-tube)  US$ 36.00
220502 100 BBL LJ slants w. Glyc. & PACT  US$ 125.00
220909 100 BBL LJ slants  US$ 90.00
211037 1 BD BBL Infusion Agar (Blood agar base), 500g  US$ 49.70 
220216   BD Difco Disposable Inoculating loop. 10µl (light blue) (250/sp, 2500/ca)  US$ 32.00
215348 6 Kanamycin – lyophilized drug, 6-vial pack, 830 µg / vial US$ 90.00
215349 6 Moxifloxacin - lyophilized drug, 6-vial pack, 498 µg / vial US$ 90.00
215350 6 Amikacin - lyophilized drug, 6-vial pack, 332 µg / vial US$ 90.00
215351 6 Capreomycin - lyophilized drug, 6-vial pack, 830 µg / vial US$ 90.00
215352 6 Ofloxacin - lyophilized drug, 6-vial pack, 664 µg / vial US$ 90.00

These prices are FOB at the manufacturer loading bay. Additional costs beyond the FOB cost may include one or more of the following:

Fully landed

Additional transport and shipping (international and local costs), insurance, clearing, customs duties and local taxes, where applicable.

Implementation

Where required from the local BD representative (the local company representative can give precise details);

  • Training costs
  • Costs of service contracts for the BACTEC™ MGIT™ 960 System (estimated usually at 10-15% of the FOB price). The System comes with a 1 year warranty so a service contract should be calculated for year 2 onwards

Infrastructure

  • Laboratory renovation
  • Biosafety-related upgrades, such as negative pressure facilities and/or biosafety cabinets
  • Electrical supply, possibly including a backup generator


In addition to these costs, supplementary investment that is related more generally to establishing fully functional TB laboratory networks should be considered, including:

  • Specimen transport costs
  • Other essential supplies (gloves, respirators, lab gowns and lab coats)
  • Other needed equipment (refrigerated safety centrifuges, freezers, pipettes, etc.)
  • Costs related to Quality Assurance
  • Laboratory management information system-related costs (LMIS), for inventory management; recording and reporting results.


The following costs should also be taken into consideration when developing budgets and work plans (see Figure 1). Guidance is available through the Global Laboratory Initiative and WHO for these areas.

 

Figure 1: Components of a functioning TB laboratory network

 


 

Countries* for which FIND-negotiated prices are available today

Afghanistan Azerbaijan Bangladesh
Belarus Botswana Cambodia
Cameroon China Côte d'Ivoire
Djibouti DR Congo Dominican Republic
Ethiopia Georgia Haiti
India Indonesia Kenya
Kyrgystan Lesotho Malawi
Mozambique Myanmar Namibia
Nepal Nicaragua Nigeria
Pakistan Philippines Republic of Moldova
Rwanda Senegal Sierra Leone
Somalia South Africa Swaziland
Tajikistan Thailand Timor-Leste
Uganda UR Tanzania Uzbekistan
Vietnam Zambia Zimbabwe

* Additions to this country list can be addressed on a case-by-case basis by FIND with the manufacturing partners.
 

Related links

WHO policy