But in order to buy a pharmacy and not regret it, you need to correctly assess the proposed option.
I looked at the offers for the sale of pharmacies and in many cases I saw that the declared economic indicators, to put it mildly, do not correspond to reality.
Therefore, let's figure out how to correctly approach the issue of buying a pharmacy.
I usually use multiple tables. I fill them out and then assess the proposed option.
First, the pharmacy financial assessment table is completed.
It is important to get the correct indicators from the business owner here. Check everything, do not take a word, only documentary evidence of each digit.
|
Pharmacy last year in thousand rubles |
|||
| Turnover | |||
| Cost price | |||
| Gross profit | |||
| Margin profitability,% | |||
| EXPENSES OF PHARMACIES | |||
| Staff costs | |||
| permanent | |||
| variables | |||
| Premises maintenance and rent | |||
| rent | |||
| maintenance of premises | |||
| other expenses | |||
| Operating profit | |||
| Net profit rub. | |||
| Net profit, % | |||
| Address | ||
| When opened | ||
| total area | ||
| rent rub / month | ||
| Trading area | ||
| lease term | ||
| lessor (Individual, legal entity, KUMI) | ||
| possibility of contract renewal | ||
| % change in rent by years | ||
| license expiration date | ||
| the number of employees | ||
| operating mode (average number of hours per day) | ||
| number of cash registers | ||
| Revenue in the current year, thousand rubles | ||
| - 1st quarter | ||
| - 2nd quarter | ||
| - 3rd quarter | ||
| - 4th quarter | ||
| Condition of equipment and computers | ||
| - new (when put into operation) | ||
| - old and needs to be replaced | ||
| - satisfactory | ||
| Room condition | ||
| - needs repair | ||
| - renovated (when) | ||
| Input Description | ||
| - number of steps | ||
| - through other rooms |
| List of fixed assets, thousand rubles | |
| Road transport | |
| Premises | |
| Retail store equipment | |
| Computers | |
| Warehouse (if any) | |
| Is there a vacation under a benefit (if yes, how much),% of revenue | |
| Accounts payable | |
| Per item, thousand rubles | |
| Bank loans, thousand rubles | |
| level of overdue accounts payable,% | |
| Inventory amount |
Now let's look at the questions you must answer:
Pharmacy history:
- The history of creating a business, where did they start, what they are now.
- How stable is the position of the pharmacy on the market. Why did they come to the decision to sell the business.
- How much (estimated or exactly) was invested in the development of the business by its owners.
Legal Issues
View the shareholding structure of the business. You need to know brief information about each of the shareholders, their relationship, participation in the operational management of the business.
Understand the legal structure of the business (what tax minimization schemes are used).
Understand the legal aspects of the possible difficulties of re-registration, licensing, possible tax and financial risks (upon re-registration, it may be necessary to return the company's existing loans, there will be a threat of tax audits and charges for past gaps).
Particular attention should be paid if the pharmacy business is part of another business. How isolated is it? How will the sale of only the pharmacy business affect building new relationships with a larger business?
Consider the lease issues separately - how secure and autonomous is the business in terms of lease? How much will a change in ownership affect the maintenance of leases?
Obtain information whether the company has had any legal conflicts, courts and other proceedings?
Market and competitors
- Do you need to know which pharmacy chains operate on the regional market?
- Regional market structure (percentage of each chain and non-chain pharmacies)?
- How many pharmacies are not in the network, who do they belong to?
- Does this pharmacy have any specialization in one or another group of medicines?
- By location of the pharmacy, who are they competing with?
- It is necessary to make a map of the city indicating the main points of the location of pharmacies, their relationship with the flows of buyers. Location advantages (and disadvantages).
- What are the most interesting developments in the field of working with customers?
- What are the press reviews about the network?
- Was there any marketing research?
Suppliers, assortment, prices
- What is the share of large suppliers in the network?
- Why?
- What feedback do we know about the network from suppliers?
- What price and assortment policy does the chain use?
- How many assortment items are available?
- How much do we want after our acquisition of the network?
- How does the current pricing policy compare with what we plan to introduce in the network after purchasing it?
Pharmacy format
In what format does the proposed pharmacy work?
Personnel
- What is the current governance structure for the network?
- What will it be then?
- Characteristics of the main employees of the company, a description of their loyalty to the current owners, what happens when the owner changes?
- How can the period of adaptation of workers to the new owner be mitigated?
Advantages and disadvantages. Risks (swat - analysis)
This section actually summarizes the points that were reflected in the previous parts of the document.
- Strengths of the Company.
- Weaknesses of the Company.
- Market opportunities
- External risk factors.
Current financial condition and forecast for three years
- To what extent are the company's rental rates in line with the market average?
- What reasons can affect the increase in rent after the change of ownership?
- Are there any loans in the company?
- Who are the creditors? Their position to change the owner?
- How the company's operating indicators compare with the market leaders.
- Building a baseline forecast.
Your business value estimate
Provide an estimate of the value of a company using three main methods.
Net assets method.
It is formed from the initial investments of shareholders and accumulated profit. This is the lower estimate of the value of the Company.
Method of multipliers to sales and multipliers to EBITDA(operating or net profit).
Show the calculation of the company's value based on the method of the multiplier to sales and profits.
Method of "comparative characteristics".
It is necessary to compare two methods of business development: opening your own pharmacy and buying a business.
Drawing conclusions
Considerations on three options for determining the amount of the transaction are summarized, and it is determined what premium we are willing to pay for the transaction if the transaction for buying a pharmacy looks attractive.
Audit type: Financial and accounting audit
Legal audit
Marketing audit
Operational audit
HR audit
|
Audit result: |
This is how the assessment is done when buying a ready-made pharmacy.
Will medicines be freely available in stores, next to sausage and beer? And will it play into the hands of buyers? The Ministry of Industry and Trade, which is promoting this idea (the bill has already passed public discussion), believes that pharmacies will compete with supermarkets, and this will lead to lower prices. This means that medicines will become more affordable. Pharmaceutical business representatives say there will be no competition, most pharmacies will go bankrupt quickly, making prescription drugs more difficult to buy.
"The fact is that there is no talk of any healthy competition," the head of the Pharmacy Guild Elena Nevolina explained to RG-Nedelya. In this way, pharmacies receive a license that allows them to carry out pharmaceutical activities. It implies special conditions for storing medicines, training of personnel, and the obligation to advise the buyer. Retail chains are supposed to be allowed licensing on a declarative basis, according to a simplified version. "
The key point is the list of drugs, which supporters of their free sale propose to "transfer" to stores. Now the volumes of sold prescription and OTC drugs are divided almost equally: 49% and 51%, respectively. But "OTC" is more profitable: these drugs are actively advertised and are also actively sold and bought. As for prescription drugs, these are mainly drugs from the list of vital and essential drugs (Vital and Essential Drugs) approved by the government, and their prices are strictly regulated by the state. Pharmacies are obliged to sell them, and they do it, but it does not bring profit.
“Pharmacies are not ordinary trade organizations, we also perform social functions,” explains Elena Nevolina. “It is unprofitable to produce medicines in production departments. tough trade rules, security systems and alarms are needed, all this is expensive, but pharmacies bear all this burden, covering the unprofitable part of their activities through the sale of "popular" OTC drugs.
Representatives of pharmacies calculated that if the over-the-counter part of their sales is taken away from them, then prescription drugs that are not on the VED list will immediately skyrocket in price and citizens' spending on them will increase by 51-75 billion rubles a year.
The FAS, which supports the idea of store sales, believes that the innovation will not affect the activities of pharmacies. But here's what is interesting: the controversial bill has not yet been adopted. But pharmacies have already responded. Representatives of large chains (for example, "Rigla", which has about 2000 "outlets" throughout the country) say that almost every second pharmacy will have to be closed. And first of all, those that are located next to the shops.
As for small single pharmacies and kiosks (there are many of them in regional centers, villages) - their owners understand that they will give way in the competition in the first place. Interesting fact: the free classifieds service Yula analyzed the dynamics of ads for the sale of the pharmacy business. So, over the past week, the number of advertisements for the sale of equipment for pharmacies has grown 3.5 times at once. And now they are trying to sell pharmacy signs 1.5 times more often than at the beginning of the year. That is, the owners are already trying to get rid of the risky business.
But if the number of pharmacies drops sharply, where are we going to buy antibiotics, hormones and other drugs that shouldn't be on the market?
“Now it is impossible to say unequivocally what the consequences will be if the decision is made, - says Victoria Samsonova, head of the practice for working with companies in the healthcare and pharmaceutical sectors of KMPG. - If the business conditions are equal, if retail chains will have to bear the same responsibility to buyers that pharmacies are one scenario, but one must understand that special conditions are needed not only for the sale of drugs, but also for their storage, and in order to comply with them, retail chains will have to invest in the construction of pharmaceutical warehouses, in staff training, etc. etc. ".
The Ministry of Health does not support the idea of shops: there have been no problems with the "geographical" availability of medicines for a long time, there are enough pharmacies. And they pay attention to one more detail: the desire of our citizens to self-medicate. The pharmacist at the pharmacy makes sure that the patient buys exactly the medicine prescribed by the doctor. This won't happen in the store. When medicines are "at hand" next to regular products, self-medication problems will only increase. The ministry insists: if you sell in stores, then only the most harmless things. Here they have prepared their own, very limited list of what can be allowed to be sold in the store. But retail chains are unlikely to be interested in this list: there are no bestsellers on which it is easy to make money.
Specifically
What medicines are safe to sell in stores
- Antiseptics for sore throat: sprays, gargles; lozenges, herbal preparations; drops for oral administration and topical application.
- Liquids for topical use for nasal diseases based on sea water and sodium chloride: nasal aerosols, sprays, drops.
- Activated carbon.
- Iron preparations: tablets; chewing lozenges; oral solution; capsules; syrup.
- Antiviral drugs for topical use: ointments and creams.
- Preparations for eliminating the symptoms of colds and coughs: inhalation pencil; ointment for external use; lozenges.
- Antihistamines (antiallergic) external agents: gels; ointments; emulsions.
Meanwhile
While there is debate about whether or not it is possible to sell drugs freely, doctors are accumulating knowledge about the risks of uncontrolled use of even well-known drugs that were considered harmless. A classic example: aspirin, which in some cases causes stomach bleeding. The sale of paracetamol, which negatively affects liver function, is also limited. Latest news: Some popular pain relievers and anti-inflammatory medications can lead to stroke or heart attack. The results of the study are published in the British Journal of Clinical Pharmacology. The distribution includes ibuprofen, diclofenac, mefenamic acid, naproxen and celecoxib. All these funds are known in many countries of the world and are still widely sold, including in Russia.
by the way
The interest of retail chains in selling popular medicines is understandable. But here's something to consider: almost all large chain stores are not registered in Russia. Auchan - in France, Pyaterochka, Perekrestok, Karusel and two dozen smaller ones - in the Netherlands, Metro - in Germany, Globus - in Cyprus, Lenta - in the Virgin Islands. This makes it more convenient for retailers to do business. The vast majority of pharmacies are Russian and operate according to strict rules established by the state, for example, a list of drugs that must be on sale always, regardless of whether it is profitable to "keep" on the counter or not, is observed. Which of the two parties is guided exclusively by the profitability of the business and who is obliged to take into account the interests of buyers is a rhetorical question.
How are they
In many countries, there are not only "clean" pharmacies, but also pharmacy stores, which sell food, cosmetics and other popular goods along with medical products. It is this experience that advocates of selling drugs in supermarkets refer to. But, for example, in the countries of Europe and the USA, you can freely buy a very limited list of medications: antipyretic, mild analgesics, nose drops, lozenges from a sore throat, antiseptic liquids. Most of the drugs are strictly prescribed by a doctor, only by prescription. A very tough approach to antibiotics - not only is it impossible to buy them without a prescription, but doctors prescribe them with restrictions, in serious cases, when they do not see an alternative.
The order is about the same in Argentina. There are supermarkets in Buenos Aires that sell medicines. But - behind a separate counter, and a pharmacist serves customers, sealing the purchase in a separate blue plastic bag with a red cross. In Australia, it is also almost impossible to buy anything without a prescription. “I have been taking a drug that supports the thyroid gland for thirty years, and I buy it myself at home without any problems. write out the necessary recipe ", - our compatriot Nadezhda told" RG - Nedelya ".
In South Korea and Japan, the approach is even stricter. Here the medicine (it is usually included in the patient's insurance) is given by the doctor, and in an impersonal form, without specifying the manufacturer. In the pharmacy, prescription drugs can be purchased by yourself, but at the full cost.
Counterfeit drugs, at best, simply will not be beneficial, at worst, they can cause irreparable harm to health, up to and including death. Medicines in pharmacies are checked for quality by the relevant regulatory authorities, but they are able to cover only about 20% of medicines. How to buy a medicine in a pharmacy, avoiding counterfeiting, we will tell in our article.
Types of drug counterfeits
There are 4 main types of counterfeit medicines in our pharmacies:
- "Dummies" - preparations that do not contain the substances specified in the instructions. Usually they put chalk, flour, starch, sugar instead. In principle, pacifiers are safe, but only as long as recovery does not depend on their use;
- medicines in which more expensive and effective ingredients are replaced by less effective cheaper counterparts. The result from the use of such drugs is several times lower than expected;
- with an underestimated dosage of active ingredients. The positive effect of their use is scanty;
- manufactured in violation of technology. The composition and dosage in such medicines are kept within the normal range, but the quality is pretty lame due to non-compliance with the production regime. Such medicines may have a shorter shelf life than indicated on the package, or have a weak effect.
Another case of “wrong” drugs that cannot be classified as counterfeit, but which people suffer from, is drug substitution. For example, instead of pills that lower the pressure, there may be pills in the blister that increase it.
For more information on counterfeiting medicines, see the video:
What medicines are most often counterfeited?
In most cases, drugs are counterfeited:
- whose cost ranges from $ 4 to $ 35. There is no point in making absolutely cheap ones, since their production simply may not pay off, and it is unprofitable to produce fakes of expensive drugs, since consumer demand for them is low;
- actively advertised. Advertising stimulates demand and guarantees high levels of sales and profits.
In most cases, the following are fake. medicines in pharmacies:
Methods for detecting counterfeit drugs
Alas, there is no way to select original pharmaceutical products and filter out counterfeit products with 100% certainty. However, there are a number of rules, compliance with which will significantly reduce the chances of buying counterfeit medicines in pharmacies.
According to the law, medicinal products cannot be returned in Ukraine and the Russian Federation. However, you can return a substandard drug, but you will have to provide an expert opinion proving that you have been sold a counterfeit drug. In Ukraine, laboratory tests will have to be done at their own expense, while in Russia such a service is provided only to legal entities. So it is unlikely that you will be able to defend your right. Therefore, it is better to try to prevent this by checking medicines in pharmacies before buying.
Content
When problems of the reproductive system arise in a man, the main question arises in his mind, what to buy at the pharmacy for potency, which remedy is the most effective in practice. It is allowed to use tablets, drops, capsules and other forms of release of medical preparations, but it is previously indicated to consult with your doctor. You can buy drugs for potency at any pharmacy or order in an online store, but in both cases, such an acquisition should not be the result of superficial self-medication.
What is potency
This concept is rather collective, since it characterizes a man's reproductive ability, his sexual capabilities and desire to engage in sexual intimacy. If the sexual intercourse ended as soon as it began, or the libido is steadily reduced in the stronger sex, we are talking about impotence. To feel masculine strength, you need to buy a medicine to increase potency, take it strictly according to the instructions. In this way, you can quickly return the joy of sex, but understand that medications relieve symptoms rather than cure the root cause.
Means for male potency in pharmacies
To enhance a man's sexual desire, it is recommended to go to the pharmacy and buy the well-known Viagra. If the daily doses are observed, the effect of the medication is long-term and stable, however, the attending doctor draws the patient's attention to other, equally reliable means in the given direction. In reality, there are many analogues, and they are presented in several forms of release at once. Some act like Viagra, others, on the contrary, eliminate the unpleasant symptoms of impotence after identifying and eliminating the main provoking factor from the body.
Pills
This is the most reliable and proven option, in addition, the convenient form of release allows you to discreetly take the medicine by mouth when you need it most. The tablets in a chemical composition contain special synthetic substances that send a message to the cerebral cortex to successfully combat erectile dysfunction and unpleasant symptoms of impotence.
For example, the drug Cialis has proven itself well (see photo below), which can be bought for 1,000 rubles, and acts in the male body for about 36 hours. This is a budget version of the classic Viagra, which, depending on the manufacturer in the pharmacy, can cost up to 1,000 rubles per pill. Continuing to study the group of stimulants, it is important not to forget about the high efficiency of the medical product Levitra, the price of which starts at 800 rubles. You can choose and buy many other medicines that act in the male body in the same way.
Chinese pills
Pharmaceutical products of Chinese manufacturers are considered not only the most effective in practice, but also the safest for the patient's health due to their plant, natural composition. When developing innovative means to increase potency, the latest technologies are used, and the desired effect is not long in coming. Natural plant extracts and extracts of animal origin in the composition provide a systemic effect in the body, so that, while fighting impotence, you can significantly improve your body and increase immunity.
It is difficult to buy Chinese drugs for potency for men in pharmacies on free sale, but it is quite possible to buy in an online store by placing an order on the official website from the manufacturer. Affordable prices, besides, certification of purchased products is provided. Here are good options for every day if the male power unexpectedly leaves the body:
- Gift of the Himalayas has a herbal composition, increases the duration of sex and the severity of sensations during sexual intercourse.
- Chungcao enhances libido, increases erection, noticeably improves the sensitivity and saturation of orgasm.
- Hui Zhong Dan contains the active ingredient ginseng root and a minimum of side effects in the instructions, while the drug itself increases male strength without harm to health.
- Fuzhunbao due to its natural composition, it has a minimal list of contraindications, acts purposefully, prolongs sexual intercourse and improves sperm quality.
Sildenafil
This progressive drug is prescribed not only to ensure a stable erection, but also in the case of pulmonary hypertension. It is produced in the form of tablets for oral administration, it is not so much an activator of an erection as an effective way to eliminate its physiological disorders. A single dose of a typical medication is 50 mg, which is indicated orally 1 hour before sexual intercourse. Erectile function rises after 20-30 minutes, remains stable for several hours. You can buy such potency enhancers in the pharmacy without a prescription.
Virawit
To increase the duration of intercourse and increase the severity of sensations, you can use another, no less effective drug. Viravit belongs to the pharmacological group of dietary supplements, it is produced in the form of capsules for oral administration. 1 pill is shown to be consumed during a meal, you can drink plenty of water. Such a regular dose stimulates an erection, increases a man's sexual activity for several hours. The drug has a beneficial effect on the entire body, relaxes the nervous system, activates the immune system.
Potentianorm
This is a liquid in bottles, which contains only natural ingredients. Alternatively, honey, pumpkin seed oil, dioecious nettle, propolis oil, medicinal ginger, ginseng, and echinacea. It takes a full course of treatment with Potentianorm balm - 20 days. A single dose of dietary supplements is 1 tbsp. l., which must first be diluted in a glass of water. Take twice a day - in the morning and in the evening after meals. A second course after a 10-day break. This is the best option for the price and quality of the product when solving the problem of what to buy in the pharmacy for potency.
Semiline
The second name of this medicine - Thor's Hammer, has a herbal composition, helps to get rid of problems with potency in the shortest possible time. The active ingredients are northern moss extract to provide cells with blood and oxygen, monkfish extract as a source of zinc, which is required to increase testosterone levels, Antarctic krill extract to normalize hormonal levels. Medical contraindication - individual intolerance to the body of natural components, childhood. Apply orally 3-5 drops for 2 weeks.
Cream to increase potency in pharmacies
Not all patients are ready to drink dubious pills to increase libido, they call the use of special creams externally a more gentle and safe method. The mechanism of action is fast and targeted: after contact with the flesh, the active substances activate the nerve endings, increase the systemic blood flow, and provide a surge of strength. The positive effect in the body is almost instantaneous, the blood flows at an increased rate, the man begins a period of sexual activity. Here are the most effective medicines of the indicated form of release - MaxoDerm, Eromax, Khimkolin.
Supplements for men
In the catalogs of online stores, not so much cheap pills for potency are presented, as effective and time-tested dietary supplements, which are difficult to buy in pharmacies in the city. In the composition of herbal substances, which, according to the principle of action, provide a productive treatment of prostatitis, the removal of unpleasant inflammation, an increase in blood flow to the genitals, an exciting effect with a long erection.
It is possible to normalize sexual function already during the course of the first treatment course, and these pills are shown to take 1 piece one hour before the upcoming sexual intercourse, you can drink plenty of water. In this case, we are talking about such innovative herbal remedies as Thor's Hammer, M-16, Red Root, Emperor's Secret, Yohimbe Forte, Ali Kaps. In this way, you can provide full sex, a long period of ejaculation, get rid of an inferiority complex.
Preparations in the form of powders and drops
If the patient is interested in the question of what to buy effective in the pharmacy for potency, you can pay attention to drops and other medications produced in powder form. In both cases, medications are intended for oral administration, however, you must first dilute a single dose in a glass of water, then take it immediately before sexual intercourse. The help of the Power of Maral and Peruvian Maca for potency has proven itself well. It is not possible to buy dietary supplements in a pharmacy, but their assortment has appeared on the websites of the manufacturer.
What pills for potency are the most effective
If there are problems with potency, pathological processes occur in the male body, an inferiority complex is ripening. The doctor first recommends to undergo an examination, and then, based on the general condition of the clinical patient, proceed to immediate therapy at home. There are several examples of effective medications that prolong erection and increase libido. Here are some medicines and what properties they have:
- Impaza... The medicine is available in the form of tablets, designed to be absorbed under the tongue just before intercourse. The medicine is allowed to be used for prostatitis and heart disease, does not harm the health of the digestive tract.
- Zidena... You can buy pills at the pharmacy, take orally. The effect of the drug is noticeable within half an hour after taking a single dose, it lasts for several hours, and increases sexual desire.
- - a worthy competitor to the above-described drug, also causes sexual desire, however, its pharmacological action removes symptoms, while not eliminating the root cause of the problem figure.
Is it possible to buy Viagra at a regular pharmacy
You can find this type 5 phosphodiesterase inhibitor at a pharmacy, but you cannot buy this drug without a prescription. Age restrictions are also introduced - patients under 18 years of age. This common drug, similar to narcotic drugs, requires a prescription in order for the pharmacist to ensure that the generic drug is being purchased for medical reasons and not for fun. If there is a referral, you can buy Viagra in every pharmacy.
How to choose means for the potency of men
Each pharmacy sells many means for potency, so the patient is lost in choosing an effective medicine for such a piquant health problem. You need to buy a time-tested medicine that will help restore male strength and solve the problem of erectile dysfunction. The main criteria for choosing a worthy pharmacy favorite for potency are presented below:
- Manufacturer... It is better to trust domestic products, since they are better adapted to the general condition of a clinical patient, and helps to quickly cope with problematic impotence.
- Active ingredients. It is desirable that the active ingredients are of natural or plant origin. In this case, there are fewer contraindications and side effects, the main thing is that allergies do not arise.
- Price... Each pharmacy has a wide range of prices, and you can buy a medicine for potency according to your financial capabilities.
The price of drugs to improve potency for men
The cost of means for increasing potency is different, the therapeutic effectiveness is also. Before making a typical purchase, it is shown to consult with your doctor. Superficial self-medication is unacceptable, drug interaction with representatives of other pharmacological groups is not excluded. If no medical restrictions are found, below is a list of medicines in Moscow pharmacies that are especially valuable for increasing erectile function.
Video
Attention! The information presented in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only a qualified doctor can diagnose and give recommendations for treatment, based on the individual characteristics of a particular patient.
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Potency pills in pharmacies - a list of the most effective drugs for men
These are the data of polls conducted in 2016-2017 by the League of Patient Defenders.
About beautiful slogans and ugly prices
No number of projects have been invented to increase the availability of medicines! For example, distance vacation - the law on it is about to come into force. However, AAU "Soyuzfarma" asks the government to lift the ban on the delivery of prescription drugs! Not delivering a prescription medicine to a sick person means crossing out the main idea that pharmaceutical circulation should have realized online. Patients with serious chronic diseases, young mothers with babies, lonely old people - they all need, as a rule, prescription drugs. And so far no one is going to allow remote dispensing of prescription drugs ...
In addition, as I noticed on October 4 at the IX Pharmacy Summit head of the Neo-Pharm pharmacy chain Evgeniy Nifantiev: “Distance selling medicines will not make medicines more affordable. The average check in a socially oriented pharmacy network is 600 rubles, and the margin is 10%. That is, the average pharmacy markup for one check will be 60 rubles, this markup includes acceptance, storage and delivery to the buyer. And with distance selling, only the cost of courier delivery will deliver 150 rubles. - and this, please take into account, will not be delivered by a specialist with pharmaceutical education, but by an ordinary courier. So the talk that prices for distance selling will go down are just beautiful slogans to convince government officials to allow the delivery of drugs. "
Medicines = food?
Another new idea to make pharmaceuticals "closer and more accessible" is actually a well-forgotten old one. Hardly had the 2009 crisis passed when the government started talking seriously about selling medicines in stores. Eight years ago, the proposal was supported by the FAS and the Ministry of Industry and Trade - but the Ministry of Health and Social Development blocked the amendments prepared by the federal ministry in charge of pharmaceutical production.
In 2012, the Ministry of Health was ready to approve the admission of drugs to stores - but with only three conditions: if the list of medicines is limited, the cash register for medicines is separate, and only a pharmacist or pharmacist can work with them.
The Ministry of Industry and Trade did not agree - and in 2014 insisted that stores should sell absolutely all medicines without a prescription! There was no compromise again. Moreover, Roszdravnadzor did not and does not have the right to control the activities of non-specialized retailers. Elena Maksimkina, Director of the Department of Pharmaceutical Provision and Regulation of the Circulation of Medical Devices of the Ministry of Health of the Russian Federation, also warned about this.
In 2015, it was not in favor of drugs in stores, and Minister of Health Veronika Skvortsova... She noticed that all large supermarkets already have pharmaceutical kiosks. “Therefore, it makes no sense to take it and just put it on the shelves. The question arises: why? " - said the head of the Ministry of Health. The ministry did not plan to expand the list of non-prescription drugs approved for sale in grocery retail.But the continuation followed ...
Unfortunately, the proposal did not receive due attention. CEO of DSM Group Sergey Shulyak... He proposed allowing the sale of medicines not in large stores in large cities, but in small rural ones. Where there is simply no pharmacy. The project of the head of the analytical company was nevertheless related to the problem of the availability of medicines ...
In 2016, the pharmaceutical community could breathe a sigh of relief. Large retailers were not engaged in a discussion about the place of drugs on the supermarket shelf, but in organizing their own pharmacy chains. Of course, a competitor planning to open 3,300 pharmacies in its stores in 3 years is also a certain challenge for traditional pharmacy. But…
In August 2017 Deputy Prime Minister Igor Shuvalov again instructed the Ministry of Health to work out the issue of selling drugs in supermarkets. Early october Deputy Minister of Health Sergei Kraevoy noted that the ministry as a whole supports increasing the availability of medicines, subject to the medical principle "Do no harm".
To the question of "Medicinal Review", how much it is possible to implement this principle in the sale of medicines in supermarkets, I tried to answer co-founder of the project "Your Pharmacist" Vladimir Koryakin.
It is clear that the position of employees of pharmacies and manufacturers will not be a weighty argument for the ministry and the government, but we can list some of the negative consequences of this decision for the Russian pharmacy business and, of course, for the health of Russians.
Will everything be "like in a pharmacy"?
The conditions should be the same for everyone. The blurring of the boundaries between the pharmacy and the store will lead to the fact that it will become more difficult for the first-timer to identify themselves, maintain their sense of belonging to a special profession, and draw the line between themselves and the seller in the store. In addition, we thereby discredit both the pharmaceutical industry and medical education. So anyone can sell drugs without a special education?
In essence, after the adoption of the law, the existing order and rules for the dispensing and storage of medicines will be destroyed. And it is not at all certain that the availability of drugs will improve as a result.
Medicines must not only be dispensed correctly, but also stored correctly (temperature regime, room humidity, special equipment, lighting, etc.) and disposed of in the event of an expired shelf life. This business is troublesome and costly. Where did you get the confidence that retail chains will comply with all the necessary prescriptions for medicines?
Recipe and frames
As for the open display in the trading floors, this will disrupt normal competition. Pharmacies not only sell the heavily advertised OTC drugs that generate the most profit, but they also fulfill important social functions by providing patients with less profitable prescription drugs. If this order is violated, the availability of prescription drugs will seriously deteriorate. Before allowing the sale of non-prescription drugs in stores, the list must be kept to a minimum.
Medicines are a product that cannot be dispensed without consulting a pharmacist or pharmacist. And stores selling pharmacy products can easily hire not only current top officials, but also students of pharmaceutical universities and colleges, as well as medical and pharmaceutical workers with invalid certificates. Or maybe they will do without pharmacist consultants altogether.Counterfeiting and control
In Russia, there is already a huge industry for the production and sale of counterfeit pharmaceutical products, and with the emergence of such a “wonderful” and absolutely uncontrolled distribution channel like Russian stores, the turnover of the counterfeit drug market will undoubtedly increase by at least an order of magnitude. Now the situation is controlled by Roszdravnadzor, but its powers do not extend to retail chains. Will supermarkets track substandard drugs just as closely?
And the most important aspect that can not be cited in favor of the legalization of the sale of drugs in supermarkets. This is the health of the population of Russia.
Since medicine is like food, is there no harm to life?
If the pills are sold next to food, the Russians, who are already prone to self-medication, will generally lose any restrictions on the use of pharmaceuticals. Both drugs (regardless of whether they are prescription or over-the-counter) and dietary supplements can cause serious complications in patients if taken incorrectly or combined. Not a single person, even remotely familiar with pharmacology, can deny such a statement.
Banal paracetamol is already one of the most common reasons for hospitalization in intensive care both in Russia and abroad, where this drug has long been considered the most dangerous in terms of the likelihood of poisoning. The result of self-medication is, alas, resuscitation, and sometimes death.
In general, this is the list of compelling reasons why in our country even OTC drugs cannot be sold in stores in the public domain.
The huge desire of retailers to legalize drug sales is understandable. They will not need to fulfill absolutely all the requirements and compliance for the sale of drugs (availability of a pharmacist / pharmacist, special room, lighting, temperature regime, equipment, etc.).
Who and how will regulate and monitor all stages of drug sale and storage in retail chains?
The question is still extremely relevant and open.
As noted at the IX Pharmacy Summit head of "Rigla" Alexander Filippov: "The availability of a doctor is where it all starts ..."
