pharmacy in turkey
TRANSCRIPT
Headings
Introduction
General information
Pricing policy
Purchasing and delivery
Reimbursement system
Payments
Conditions and costs to open a pharmacy
Pharmacy types
General practice of the pharmacies
Summary
General information
Number of the pharmaceutical companies nearly 300
Mostly local companies
Most of the products (nearly 90 %) are registered as Rx.
Vitamins and like products are registered as intermediate (or in other words OTC).
Herbal products are regarded as food supplements.
General information
Number of the pharmacies nearly 23.800
Average number of population for each pharmacy 3.000-3.300 person.
Turkish pharmaceutical market size 10.000.000.000 USD
The main client for the pharmacies is the Social Security Institution.
Pricing is under the control of the ministry of health.
Pharmacies are under the control of the Turkish Pharmacist Union.
Pricing policy
Under the control of the ministry of health.
Reference pricing
Prices are in Euro
Minimum 5 maximum 10 EU member countries
The sales price of the original product to the distributor after discount.
lowest price among the reference countries
If the original product is manufactured or imported from a country other than the reference and the price is lower then that price will be considered.
Pricing policy
The products receive the percent of the reference pricing as follow: (Sales to the distributor)
Original products without generics will receive 100%Original products with generics will receive 60%Generic products without original will receive 60%All generics will not be more than 60% of the price of the original product.If the reference price will change to be less than the 60% limit then all the pricing will be rearranged to have 100% of the new price(original and generics)Generics could not have a price more than the original.If the original product is 20 years and older and have a price more than 6.79 TL then it can have maximum 80 % of the reference.
If there is no reference product then the price of these originals will be taken as reference price.
Pricing policyManufacturer
Distributor
Pharmacy
Patient
Profit % changing upon the price of the medicine
Pricing policy (profits)
Based on the manufacturer price of the product
Step Price TL% profit of
Distributor
% profit of
Pharmacy
Step 1 10 9 25
Step 2 50 8 25
Step 3 100 7 25
Step 4 200 4 16
Step 5 Over 200 2 12
1 USD = 1.8 TL
Purchasing and delivery
Main big 2 distributors
Pharmacist make purchasing by;
Sales staff of distributor
Online
Call center
Distributor calls
Pharmacist calls
Purchasing and delivery
3-4 deliveries a day
Urgent purchasings are delivered within 15-30 min (some times 10-12 deliveries a day).
Manufacture Sanovel
Distributor ?
Pharmacy ?
Patient ?
Manufacture name Sanovel
Distributor name Galenos
Pharmacy name Derman
Patient name Ali TAHA
Benefits of this system
Illegal drugs and drug counterfeiting has ended
Reduced the unnecessary use of medicine
Reimbursement system
Social Security Institution will cover the medicines which have a price maximum 15 % more over the cheapest bioequivalent (the price of the unit dose.
The cost over that 15 % will be paid by the patient.
Reimbursement system
The patient will pay a % of the total sum of the mediciene,
Pensioner 10% (taken otomaticly from the sallary)
Others 20% (taken in the pharmacy)
Those who have medical report will pay 0% (within the limits of the 15%)
Payment
Pharmacies receive their money from nearly after 30-90 days from the Social Security Institution.
Distributors suggest minimum 60 days maximum 180 days delay of payment.
Prepayment is not available.
Usually pharmacies receive bonus products for their purchasing upon the payment timing. (there is no direct discount in the price of the product)
Conditions and Costs to open a pharmacy
A pharmacistApproval from the Turkish Pharmacist UnionPlace to open
Height not less than 2.4mArea not less than 35 square metersLaboratory
Upon the law number 6197 for the regulation of the pharmacists and pharmacies it is completely forbidden to open chain pharmacies.Opening a pharmacy costs nearly 40-50.000 USD
General practice of the pharmacies
Bioequivalent generic products
Purchasing medicines and cosmetics
Supplying extra services for free
Measuring blood pressure
Measuring the blood glucose and cholesterol
Pharmacist recommends medicines
Follow the report patients and call them. (90 days medicine)
In summary
Single and chain
Main client is patient.
Pricing under the market conditions.
Only single
Main client is Social Security Institution + Patient.
Pricing under the control of ministry.