"The Austrian Pharmacy 2009"
The Austrian PHARMACY 2009 Business Medical Round Table – London 2009 03 16 High density of supply – even in scarcely populated areas Mag. pharm. Thomas MÜLLER-URI Pharmacies in Austria Community pharmacies (2007 12 31): 1.217 Subsidiaries: (unlike Germany!) 18 Hospital pharmacies 46 Dispensing doctor`s: 962 Mag. pharm. Thomas MÜLLER-URI Pharmacies as local providers of medicine Mag. pharm. Thomas MÜLLER-URI Services offered by pharmacists Distribution of pharmaceuticals Production of pharmaceuticals Various checks: prescriptions, interactions, principle of double-check etc. Customer/Patient counselling on application of medical prescriptions: repeating of counselling increases the patients know-how on the application of medicines Customer/Patient counselling on choice and application of self-medication medicines General health counselling on: vaccinations, smoking, travelling, nutrition Addictive drugs substitution programmes (methadon program etc.) Mag. pharm. Thomas MÜLLER-URI Regulations in the EU Establishment of a new community pharmacy Personal requirements Austrian citizenship, citizenship of another EEA - member state or Switzerland Professional qualification: University degree and 1 year practical training with an exam Management permit: at least five years of working experience in a pharmacy Full legal capacity Reliability Good state of health Excellent command of the German language Mag. pharm. Thomas MÜLLER-URI Establishment of a new community pharmacy Material preconditions A physician must have his permanent surgery within the community Distance of at least 500m to the next pharmacy 5.500 persons to be supplied by each of the affected pharmacies If a dispensing doctor is affected, at least two general medical doctors contracting the health insurance agencies have to have there permanent surgery in the community Mag. pharm. Thomas MÜLLER-URI The Licence 1=1 1 Pharmacist = 1 License Only physical persons can get a license to run a pharmacy 1 License = 1 Pharmacy Each pharmacist is allowed to own ONE pharmacy (NO CHAINS) Mag. pharm. Thomas MÜLLER-URI Establishment of new pharmacies 1998- 2007 On the whole, 172 new pharmacies were set up within the last 10 years. Mag. pharm. Thomas MÜLLER-URI A dense network of supply and advice Demand- oriented assumptions - as condition for opening a new pharmacy 1 Pharmacist = 1 Licence Drugs can only be sold through a pharmacy No mail-order & delivering service No self-service with drugs in the pharmacy Governmental regulated pricing for drugs Mag. pharm. Thomas MÜLLER-URI The pharmacy: a business enterprise Sole-proprietorship Partnerships only if the pharmacist is exclusively and personally in charge and owns more than 50% No incorporated companies (participation up to 50%) No chains ! Mag. pharm. Thomas MÜLLER-URI The median pharmacy Total turnover 2,039 Mio. € Private Sales 0,591 Mio. € = 29 % Health insurance sales 1,449 Mio. € = 71 % Mag. pharm. Thomas MÜLLER-URI Pharmacy margins: Official price regulation System of degressive pharmacy margins is established in Austria: For Drugs with a low pharmacy purchase price the pharmacy is allowed to charge higher margins whereas expensive medicinal products (with a high PPP) are charged with low margins Social insurance agencies: Dramatic reductions for pharmacies by cut in sales margins Accounting with the Health insurance The collective contract with all Austrian Health insurances: Determines the dispensing and accounting of all medicines Is effective in all Austrian pharmacies Fully electronic accounting, by the month & obligatory! Prescription on paper: transparent document for patients Mag. pharm. Thomas MÜLLER-URI Health insurance expenditure Patients contribute with paying a prescription-fee per package: 4,90 € Mag. pharm. Thomas MÜLLER-URI Drug prices: Austria as a low-price country Pharmacy retail price (exclusive VAT) in € per package Mag. pharm. Thomas MÜLLER-URI Best regards from Austria! Mag. pharm. Thomas MÜLLER-URI: Officer for International Affairs - eMail: firstname.lastname@example.org