0206 GMT July 18, 2019
In countries such as Zambia, Senegal and Tunisia, everyday drugs like paracetamol can cost up to 30 times more than in the UK and USA, BBC reported.
Drug markets in poorer countries ‘just don't work’, said Kalipso Chalkidou from the Center for Global Development.
She said "competition is broken" due to a "concentrated supply chain".
Ms. Chalkidou, director of global health policy at the organization, co-authored a report on drug procurement that concluded that small to middling economy countries buy a smaller range of medicines, leading to weaker competition, regulation and quality.
It said richer countries, thanks to public money and strong processes for buying drugs, are able to procure cheaper medicines.
Poorer countries, however, tend to buy the most expensive medicines, rather than cheaper unbranded pharmaceuticals which make up 85 percent of the market in the UK and US.
The very poorest countries are not affected when foreign donors purchase medicine on their behalf, meaning their over-the-counter medicines remain at low cost.
"In the middle it's very problematic", Chalkidou said.
Low- to middle-income countries "have little ability to negotiate prices down and quality assure products" and there are lots of mark-ups, often due to taxes and corruption.
She said less stringent regulation meant the quality of the drugs was also not as high.
"Without regulation, people perceive the products don't work, so pay extra money for things they think will work and won't work either," Ms Chalkidou explained.
The report recommends greater global co-operation and reforming World Health Organization policy as well as policy in targeted countries to improve procurement practices.