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The African Pooled Procurement Mechanism (APPM) is a continent-wide programme led by the Africa Centres for Disease Control and Prevention (Africa CDC) to consolidate demand and negotiate collective purchasing of quality-assured health products for African Union Member States.

The African Small Island Developing States (SIDS) pooled procurement initiative is a joint purchasing platform created by the African Small Island Developing States to buy selected medicines and other health products collectively in order to improve affordability, quality assurance and supply security.

The Baltic states operate a cross-border mechanism to procure routine immunisation vaccines jointly, most often with Estonia’s Health Insurance Fund (Tervisekassa) acting as lead buyer and Latvia participating, and with Lithuania involved in earlier cycles.

EURIPID is a voluntary, not-for-profit collaboration of national authorities responsible for pricing and reimbursement that share standardised information on official prices of publicly reimbursed medicines.

The Organisation of Eastern Caribbean States Pharmaceutical Procurement Service is the pooled purchasing mechanism that aggregates demand for medicines and medical supplies across OECS member and associate member states to improve affordability, quality and availability.

The Visegrad Group’s ‘Fair and Affordable Pricing’ collaboration was a ministerial-level initiative among the V4 countries - Czechia, Hungary, Poland and Slovakia - set up in 2017 but no longer active and designed to improve access to medicines by coordinating information-sharing and exploring joint steps on pricing and reimbursement.

The Fair Pricing Forum is a biennial World Health Organization (WHO) platform that convenes government authorities, public payers, patient groups, academics, and industry to discuss practical approaches to medicine and health-product affordability.