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The European Pharmaceutical Wholesale Industry: - phagro

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55<br />

<strong>The</strong> <strong>European</strong> <strong>Pharmaceutical</strong> <strong>Wholesale</strong> <strong>Industry</strong><br />

are derived by diversifying the risks on wholesalers’ profitability incurred by different<br />

national market regulations and other market-related risks. Though concentration<br />

in the wholesale market has grown considerably, further horizontal integration<br />

may be expected in the new EU-member states but also in countries projected to<br />

join the EU in the near future.<br />

Figure 47: Service Spectrum provided by <strong>Pharmaceutical</strong> <strong>Wholesale</strong>rs<br />

Services<br />

creating<br />

added value<br />

Additional services offered<br />

independently from basic<br />

services<br />

Mandatory secondary services<br />

Quality standards Delivery requirements<br />

Primary services<br />

Bridging function Quantity function<br />

Source: IPF<br />

As a consequence of this development, the importance of business models offering<br />

services along the whole supply chain has grown significantly. <strong>The</strong> wholesalers’<br />

service-spectrum may be split into three parts:<br />

� Primary services of the branch<br />

� Mandatory secondary services<br />

� Added value services<br />

Primary services are related to the core business of the industry, thus relating to<br />

the traditional logistics-functions of bridging time and space. In addition, a quantity<br />

function is exerted by buying large quantities, bulk-breaking and selling<br />

smaller units, thereby improving the efficiency of the pharmaceutical distribution<br />

chain by a degression of cost. Patients directly benefit from these primary services,<br />

as full-line wholesaler have established an efficient, low-cost network of<br />

distribution centers securing a Europe-wide fast and continuous supply of medicines,<br />

even of slow moving products.<br />

<strong>The</strong>se primary (basic logistics) services are supplemented by mandatory secondary<br />

services related to securing the high quality standards of the products distributed.<br />

This quality function is chiefly observed by the principles and guidelines<br />

of Good Distribution Practice published by the Commission of the <strong>European</strong> Communities<br />

(94/C63/03) and Directive 2004/27/EEC amending Directive<br />

2001/83/EEC. <strong>The</strong> guidelines and the Directive stipulate special requirements for<br />

staff qualification, documentation, receipt, storage and delivery of medicinal prod-<br />

IPF Institute for Pharmaeconomic Research

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