..Information to Pharmacists
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Your Monthly E-Magazine
OCTOBER, 2003


ROLLO MANNING

An Indigenous/Rural/Isolated/Remote Perspective

Throwing the Right Grenade

The success of the battle will be governed by the effectiveness of the ammunition.
I get the impression that the more official pharmacy argues against pharmacy ownership going open - the more ammunition it gives the "opposition" to throw back without it going off where it is meant to.
Consider the following assertions and the counter argument:

Seventy percent of the turnover of a pharmacy comes from PBS and another 15% from OTC scheduled medicines so a "grocer" would not be interested.
If 85% of turnover comes from PBS and Schedule Two OTC's then the income from these is subsidizing the rent pharmacists are prepared to pay for prime retail positions.
If pharmaceuticals are NOT ordinary items of commerce, and 70% of business comes from PBS then maybe the government should reconsider the location of pharmacies so the already expensive PBS is not made more expensive by the rents that have to be paid for locations.
A PBS outlet in each town may be what is needed at a low rental site rather than a number of outlets for PBS each with its own set of overheads such as rent.

Who will give the advice on the sale of medicines?
There will always be a need for pharmacy sales assistants that are trained to know when a client should be counseled when they purchase a packet of medicine scheduled as Schedule Two.
The pharmacy at a supermarket will have a separate checkout from the general store.

No advice will be given at checkout
If the National Drug and Poisons Scheduling Committee deem a drug to be safe for sale in the open market then it will be sold at supermarkets and no advice will be given.
This is the law and a change to the whole scheduling process needs to happen for this to be changed. "Check out chicks" will not be able to sell scheduled medicines at the general checkout of a supermarket.
Just like the liquor store has to have a separate till and lockable access so will the pharmacy.
This is a separate argument to the "open" pharmacy ownership question.
It matters not who owns a pharmacy - the law still has to be met.

Pharmacists employed by non pharmacists will not be held responsible
The sale of scheduled medicines will have to be made under the watchful supervision of a registered pharmacist.
The registered pharmacist working for a non pharmacist owner (e.g. Woolworth's) is protected from persuasion by others to alter professional judgments based on commercial factors.
Everyone knows "medicines are not ordinary items of commerce".
The pressure will be on proprietors of pharmacies to ensure their employee pharmacists do not break the law and bring their organisation into disrepute.
Ethical standards are also involved which could lead to Pharmacy Board activity for "unprofessional conduct".

No pharmacists would want to move a business into a supermarket store
This is a "pipe dream".
Any money hungry pharmacist (and there are some) if offered a price for a business to be leased to a "grocer" would accept the offer if the offer was better than say the sale price of the business.
Maybe the pharmacist would want to set an example to show that it is possible to have a pharmacy in a supermarket and see it run professionally.

The product mix of a pharmacy is not suitable for a "grocer"
There is almost always a pharmacy business in close proximity to a supermarket.
This is because the supermarket creates customer traffic.
There seems little difference between the business outside the supermarket and independently owned and inside or right next to the supermarket like the "Bakers Delight" or "Macs Liquor store".

Ponder these points and ask yourself whether the fight today is for short term gain and whether the effort should be put into planning for the day when pharmacies can be owned by other operators.

There needs to be more discussion on the alternative models of practice that will occur with "open" ownership and increased Information Technology activity.
It is not too far from the day when scripts can be dispensed through an ATM-type machine.

Be ready.

Next article in Woolworths series-------->