Table 3 The sequence of changes in the... | Emerald Publishing

Table 3

The sequence of changes in the Italian IMS made to deal with the necessity of importing medicine

2020	EU-level action	National action	IMS
Jan	01–09 Alert notification (EWRS) about COVID-19	Regions follow standard procurement protocol	Bottom-up
Mar	RescEU strategic stockpile of medical supplies mandated	Procurement coordinated by IMA through embassies	Bottom-up + central PPP
Apr	VAT waivers for medical supplies imports approved	Procurement taken over by IMA and the Ministry of Health	Bottom-up + central PPP + paired assistance
	EU guideline for optimizing medicines supply to Member States
	EU Civil Protection Mechanism mobilizes aid to Italy
Jul	EU procurement of Remdesivir	Regions resume procurement	Bottom-up

2020	EU-level action	National action	IMS
Jan	01–09 Alert notification (EWRS) about COVID-19	Regions follow standard procurement protocol	Bottom-up
Mar	RescEU strategic stockpile of medical supplies mandated	Procurement coordinated by IMA through embassies	Bottom-up + central PPP
Apr	VAT waivers for medical supplies imports approved	Procurement taken over by IMA and the Ministry of Health	Bottom-up + central PPP + paired assistance
	EU guideline for optimizing medicines supply to Member States
	EU Civil Protection Mechanism mobilizes aid to Italy
Jul	EU procurement of Remdesivir	Regions resume procurement	Bottom-up

Source(s): Authors’ own work