www.capdm.ca better patient outcomes and value through supply chain partnerships' october 30,...
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www.capdm.ca
Better Patient Outcomes and Value Through
Supply Chain Partnerships'
October 30, 2014
CAPDM’s Vision
Ensuring safe, secure and timely access to high quality healthcare
products for all Canadians
2Oct. 2014
About the Canadian Association for Pharmacy Distribution Management
The Canadian Association for Pharmacy Distribution Management (CAPDM), founded in 1964, is a leading health care industry association
Represents every participant in the world’s most advanced pharmaceutical supply chain
14 wholesalers & self-distributors that operate over 30 distribution centres and employ over 5,000 Canadians
CAPDM is a reliable, objective, and trusted advisor to federal and provincial governments and regulatory agencies.
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About the Canadian Association for Pharmacy Distribution Management
4Oct. 2014
We ensure that patients have timely access to vital medications in a safe, secure, and efficient manner
CAPDM distributors visit almost every pharmacy in Canada every day, ensuring patients have timely access to vital medicines Next-day delivery, up to 5 days a week
to almost all pharmacies
Same-day & 6 days a week service in urban areas
Carrying 30K SKUs of prescription, OTC medicines, and other pharmacy products (including narcotics and slow-moving drugs)
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What Our ‘Invisible Network’ Makes Possible
In most cases, a one-day wait for a rural patient needing an out-of-stock drug
A short-term buffer against drug shortages
Drug recalls being quickly executed
Confidence in the integrity of all drugs, even for cold-chain products
A $1.4 B system of extended credit that bankrolls the pharmacy industry
Opportunities for the government to leverage during pandemics or for vaccine distribution
Pharmaceutical Distributors of CAPDMAdded Value - Today
Government – Industry Partnerships
Distribution of Public Health Seasonal Flu Vaccine
Mitigation of Drug Shortage Impact
6Oct. 2014
Governments & pharmacies face challenges with flu vaccine distribution
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Government Challenges Pharmacy Challenges
Pharmacy is a growing patient destination for flu vaccinations
Bolus of inventory being pushed to stores
Potential cold chain integrity issues if pharmacies pick up vaccines from public health units
Potential waste if large inventories at pharmacies sit unused, expire, or are destroyed by natural disasters
Inability to redistribute store-level inventories to where they are needed
Cumbersome ordering processes, infrequent deliveries, and/or lack of supply predictability encourage large store-level inventories
Available refrigerator space may not be able to accommodate large bolus inventories
The capabilities of pharmaceutical distributors could improve flu vaccine distribution efficiencies
The core competencies of pharmaceutical distributors could be leveraged to address challenges in servicing the growing demand for seasonal flu vaccines by retail pharmacies: Cold chain capabilities ensure optimum storage and transportation
conditions all the way to the pharmacy
Extensive distribution networks that visit every pharmacy regularly
Inventory systems and manual tracking capabilities can be used to determine flu vaccine inventory at the pharmacy level (in combination with Ministry of Health billing data)
GMP-compliant storage conditions allow flexibility for flu vaccine inventories to be redeployed
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Some provinces have already engaged CAPDM and its members for flu vaccine distribution
BC: Piloted wholesale model to pharmacies
in 2013AB: Wholesale model already
underway
PE: Wholesale model already underway
9Oct. 2014
NS: Used wholesalers for quick
in-and-out vaccine distribution in 2013
Early Lessons Learned from PE and AB
Wholesalers have played an instrumental role in stopping hoarding, preserving equitable allocation of vaccine inventories
Daily/weekly reporting gives governments better visibility to how much inventory is within the wholesale network and pharmacy
Wholesale supply chain flexible enough to quickly direct inventories to outbreak areas
Pharmacies able to achieve just-in-time delivery of flu vaccines to meet patient demand
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Pharmaceutical Distributors Can Help to Mitigate Impact of Drug Shortages
Working with Governments & Manufacturers Initiate Product Flow Controls
Ensure Balanced Disbursement of Product
Hold reserves for emergency use
While not involved in the root causes of a drug shortage. The Pharmaceutical Distributors can mitigate Drug Shortage impact by ensuring an equitable access to existing product.
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Public flu vaccines are just the tip of the iceberg for how governments could leverage wholesalers
Distribution of all public vaccines
Servicing physician offices via their closest pharmacy
Pandemic antivirals and personal protective equipment
Other mass distribution needs (e.g., potassium iodide pills)
Critical medicine stockpiling
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Questions?
13Oct. 2014
David Johnston
President
Canadian Association for Pharmacy Distribution Management
(905) 265-1501