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OTC Distribution in Europe 2016 Edition: The New Global Agenda

  • ID: 3756964
  • January 2016
  • Region: Global, Europe
  • 65 Pages
  • James Dudley Management
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15% of European Pharmacies are Branches of Wholly Owned Pharmacy Multiples Many of Them International Chains

FEATURED COMPANIES

  • A.S. Watson
  • Catena
  • Farmaciile Dona
  • Kronans Apotek
  • Oktal
  • Sensiblu
  • MORE

OTC Distribution in Europe - the 2016 edition is an in-depth strategic analysis that defines and explores the main themes of change running through the European region and shows how they will influence consumer healthcare manufacturers’ channel strategies. It provides a wealth of knowledge covering 20 European markets together with statistics, analysis and insights into an increasingly complex market from a highly respected strategy consultant, James W. Dudley.

OTC Distribution in Europe covers: Austria, Belgium, Bulgaria, Czech Republic, Finland, Denmark, France, Germany, Hungary, Italy, Netherlands, Norway, Poland, Romania, Slovak Republic, Slovenia, Spain, Sweden, Switzerland and the United Kingdom.

OTC Distribution in Europe is a study of the factors driving change and presenting challenges and opportunities to manufacturers. It includes analysis and discussion of European and national statutory and regulatory developments; healthcare supply chain economics; evolving formal and informal channel structures; distribution channel competitors’ market shares, linkages and groupings.

OTC Distribution in Europe is an exploration of changes in manufacturer, READ MORE >

Note: Product cover images may vary from those shown
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FEATURED COMPANIES

  • A.S. Watson
  • Catena
  • Farmaciile Dona
  • Kronans Apotek
  • Oktal
  • Sensiblu
  • MORE

Chapter - 1

Distribution of OTC Medicines in Europe - Introduction, Market Definitions and Summary of Key Issues

Forward to the 2016 Study of the Distribution of OTC Medicines in Europe
The Non-prescription OTC Self-Medication Market in Europe in 2015
Estimates of the Market Size for OTC Medicines of the 20 European Markets for the OTC Distribution in Europe Study
Impact of De-reimbursement of Non-prescription medicines and OTC Self-medication Market Demand in Europe
Share of Sales by Market 2015 - Total Pharmaceuticals, OTC Medicines and Semi-Ethical products in Europe
Barriers to Growth for the Non-prescription and OTC Self-medication Markets in Europe
Growth Categories - Consumer Healthcare and OTC Self-medication in Europe's Main Markets
Non-prescription Pharmaceuticals and OTC Self-medication Medicines Country Market Growth - Europe 2010 - 2015
Regulatory Controls on Distributing and Merchandising of OTC Medicines in Europe
Analysis of Pharmacies in Europe
Growth of Number of Retail Pharmacies in Europe
Restraints on the Growth of Pharmacy Numbers in Europe
Restrictions on Pharmacy Numbers in Europe
The Role of the Retail Pharmacies in Europe
Economic Pressures on Pharmacies in Europe
Self-medication - The Importance of OTC Medicines to Pharmacies in Europe
Promoting Consumer Healthcare in Europe - Restrictions on Merchandising of OTC Medicines in Pharmacies in Different European States
Price Controls and Resale Price Maintenance of OTC Self-medication Medicines in Europe
Analysis of Trends in the Ownership of Pharmacies in Europe
- European Pharmacies in Wholly Owned Private Retail Chains
- Location of Pharmacies in Multiples in Europe
European Court of Justice Ruling resulting from DocMorris Case Challenging German Ownership of Pharmacies Laws 2009 and its impact on EU Pharmacy Law
Pharmacist owned Small Scale Retail Multiples in Europe
The Growth of Large Retail Pharmacy Chains in Europe
- Leading Pharmacy Chains in Europe
Growth of Organised of Affiliate Groupings (Virtual chains) of Independent Pharmacies in Europe
Why do Independent Pharmacies form into Voluntary Groupings, Virtual Chains and Affiliated Cooperation Groups in Europe?
- Unbranded Voluntary Pharmacy Groups in Europe
- Branded Groups of Independent Pharmacies in Europe
- Strengths and Weaknesses of Voluntary Pharmacy or Collaboration Partner Pharmacy Chains in Europe
- Pharmacy Franchise Concepts in Europe
Mixed Ownership Cross Border Branded Multi-channel Pharmacy Chains in Europe
Supermarket Chains - in Pharmacy Retailing in Europe
WBA at the Forefront of Multi-channel Pharmacy Retailing in Europe
The Global Agenda for Pharmacy Channels in Europe

Chapter - 2

Pharmaceutical Distributors New Strategies in Europe

Globalisation, Consolidation, Procurement Aggregation, Supply Chain Optimization and Preferred Partner Affiliations
Managing Consumer Healthcare within the Pharmaceutical Supply Chain
The Role of Wholesalers within the European Pharmaceutical Supply Chain
Services offered by European Pharmaceutical Wholesalers
- The basic offer
- Marketing and training support
- Additional support services
- Financial services
Consolidation of the European Pharmaceutical Wholesaling Industry
Realignment Strategies of Major European Pharmaceutical Wholesalers
The Major Pharmaceutical Wholesalers in Europe
Leading European Pharmaceutical Distributors' Market Share by Country
Mergers and Acquisitions and Networks of Independent Wholesalers in the European Pharmaceutical Wholesale Industry
Role of Major Pharmaceutical Distributors in the Development of Multiple Retail Pharmacy Chains, Mail order and Internet retailing in Europe
Conclusions - New Business Models for the European Pharmaceutical Supply Chain - a Response to changing Manufacturer, Pharmacy and Patient Needs

Chapter - 3

Profiles of Companies Driving the European Pharmaceutical Supply Chain

Celesio Company Profile
Celesio - Major Pharmaceutical Distributor and Pharmacy Retailer in Europe
Celesio Pharmaceutical Businesses in Europe
Celesio's Retail Pharmacy Activities in Europe
- Lloydspharmacy (Celesio) Average Pharmacy Turnover in Six European Countries
United Kingdom - Lloydspharmacy (Celesio) Retail Pharmacy
Ireland - Celesio Rebranding Pharmacy Chain
Celesio Pharmacies Norway
Celesio Pharmacies in Italy
Celesio Pharmacies Belgium
Celesio Retail Pharmacy Chain Developments in Sweden
Celesio and Phoenix Brocacef Merger Holland
Celesio Pharmacies Czech Republic
Celesio's E-commerce Strategies in Europe - Switch to Multi-channel Shopping
Celesio Ends DocMorris Franchise Concept Chain in Germany
Celesio Pharmaceutical Wholesaling in Europe - A History of Acquisition
Celesio Wholesale Business Developments in Europe
Celesio Affiliated Cooperation Groupings of Independent Pharmacies and Franchises in Europe
Celesio Wholesaling Operations in Italy
Celesio New Business Strategy - Global Healthcare Leader through - Enhanced global sourcing, Innovative technology and Business services and increased Supply Chain Efficiency
- Celesio Development of European Pharmacy Network
Walgreens Boots Alliance (WBA) in Europe
Summary of Walgreens Boots Alliance Business
Alliance Boots Revenues and profit Streams in Europe
WBA Health and Beauty Retail Business in Europe
Walgreen Boots Alliance - Boots Pharmacies in Europe
Boots the Chemist Health and Beauty Business in the United Kingdom
Omni-channel - Boots the Chemist Internet Services in the UK
Boots Retail Pharmacy Operations in Europe
Boots Norge
Boots Republic of Ireland
Boots Netherlands
WBA's Other Health and Beauty Retail Businesses
Alliance Healthcare - The European Pharmaceutical Wholesaling and Distribution Division of Walgreens Boots Alliance
Alliance Healthcare Pharmaceutical Wholesaling and Distribution in Europe
Alliance Healthcare - Alphega Affiliated Grouping of Independent Pharmacies in Europe
Alloga Pre-wholesaling and Contract Logistics in Europe
- WBA Minority owned Companies and Strategic Partnerships
Alliance Healthcare Italia
Alliance Healthcare Portugal
Guangzhou Pharmaceuticals Corporation - China
Unidrug Distribution Group (UDG) - UK
Unifarma Distribuzione S.r.I. - Italy
Hydra Pharm and Oktal
Development of an International Brand of Generic Pharmaceuticals - Almus
Liz Earle Beauty Co. Ltd
- WBA and AmerisourceBergen
Phoenix
Phoenix Business in Europe
Phoenix Group Pharmaceutical Wholesaling and Retailing Growth History
Phoenix Wholesale Pharmaceutical Businesses in Europe
Phoenix Pre-wholesaling in Europe
Phoenix Retail Pharmacy Business in Europe
Phoenix - Major Retail Pharmacy Chain Acquisition in the Netherlands
Phoenix Acquisition of Sunpharma in Slovakia and Czech Repulic
Phoenix Affiliations with Groups of Independent Pharmacies
- MIDAS
- Numark
- Benu Apotheek (Escura Apotheek) in the Netherlands
- Phoenix renamed its Escura chain Benu in the Netherlands in line with its European retail branding strategy. This is a chain made up of wholly owned stores and independent cooperation partners that can join at different levels of commitment
- SPEM (Valore Salute) in Italy
Phoenix a Business grown through Mergers and Acquisitions
- CERP Lorraine
Phoenix Group - Future Outlook in European Pharmaceutical Distribution
Sanastera
Summary of Sanastera (Sanacorp - CERP Rouen Merger)
Astera CERP Rouen Profile
Sanacorp Profile
Conclusions Sanantera in Europe

Chapter - 4

New Channels for Consumer Healthcare in Europe

The Role of the Internet in Retail Pharmacies in Europe - 2016 Report
Factors Driving Digital Pharmacy Retailing in Europe
Development of Regulations Covering Digital Pharmacy Retailing and e-Commerce in Medicines in Europe
The Growth of Internet Pharmacy in Europe
Evolution of Digitally Driven New Pharmacy Models in Europe
- Top ‘Pure play' Pharmacy E-commerce Websites in Europe
Full Pharmacy Online Driven Multi-channel Clusters in Europe
- Para-pharmacy ‘Pure-play Clusters in Europe
- Para-pharmacy Multi-channel Clusters in Europe
The Development of Multi-channel Shopping in the United Kingdom
Online ordering for Non-pharmacy Pick-up-Points in Germany and Austria
Development of Multi-channel Shopping in Pharmacies the Netherlands
Development of Internet Pharmacies (Direct Despatch Pharmacies) in Switzerland
Development of Internet Pharmacies in Belgium
Mail-order and Internet pharmacies in France
Development of Internet Pharmacies in Italy
Internet Pharmacies in Poland
Development of Multi-channel Pharmacies in Sweden
Development of Internet Pharmacies in Denmark
Development of Internet Pharmacies Norway
Development of Internet Pharmacies in Finland
Development of Internet Pharmacies in Austria
Development of Internet Pharmacies in Spain
Development of Internet Pharmacies in Bulgaria, Czech Republic, Hungary, Slovakia and Slovenia
- Internet Pharmacies in Bulgaria
- Internet Pharmacies in Czech Republic
- Internet Pharmacies Hungary
- Internet Pharmacies Slovakia
- Internet Pharmacies Slovenia
New Channels and Technologies - Shaping the Future of Pharmacy in Europe

Chapter - 5

OTC Distribution in Belgium

The Non-prescription and OTC Self-Medication Market in Belgium 2015
Share of the Belgian Self-medication Market by Category
Changing Structure of the Belgian Self-medication Market
Classification of Medicines in Belgium
Marketing Authorization for Non-prescription medicines in Belgium
Reimbursement of Non-prescription Medicines in Belgium
Statutory Control of Prices on OTC Medicines in Belgium
Business Environment for Non-prescription medicines in Belgium
Regulatory Environment for Pharmaceutical Distribution in Belgium
Structure of Distribution Channels for Self-Medication in Belgium
Trends in the Retail Pharmacy Numbers in Belgium
Retail Pharmacy Groupings in Belgium
Groupings of Affiliated Independent Pharmacies - Virtual Pharmacy Chains in Belgium
Pharmacy Co-operatives in Belgium
- Retail Pharmacy Co-operatives' Customer Strategies in Belgium
Celesio - Lloyds Retail Pharmacy Chain in Belgium
Analysis of Pharmacy Turnover in Belgium
Trade Margins and VAT Manufacturer to Retail Pharmacy Price for Prescription and OTC
Medicines in Belgium
Development of Internet Pharmacies in Belgium
Consolidation of the Pharmaceutical Wholesaler Sector in Belgium
- Febelco
- Pharma Belgium
- Belmedis Welcoop
- CERP SA Astera cooperative group
- Lifé Pharma
Belgian Pharmaceutical Wholesalers' Market Share
The Future for OTC Medicine Distribution in Belgium

Chapter - 6

OTC Distribution in France

The OTC Self-Medication Market in France 2015
Share of the French of OTC Medicines and Self-medication Market by Therapeutic Category 2014
Classifications of Medicine in the French Prescription and Non-prescription OTC Self-medication Markets
- Prescription only Medicines in France
- Non-prescription Bound Medicines in France
- Legal Definition of Non-prescription Medicines in France
Guidelines for Applicants for a Marketing Authorization
- Non-prescription Combination Products
- Herbal Medicines
Advertising Regulations for Non-prescription and OTC Medicines in France
Use of Trademarks for Medicinal Products in France
France - Medicinal Products - Price Control, Reimbursement and Statutory Insurance Schemes
Pharmacy Ownership Regulations in France
Pharmacy Establishment Authorization in France
The Pharmaceutical Supply Chain in France
The Retail Pharmacy Channel in France
Collective Groups of Independent Pharmacies in France
Leading Collective Groups of Pharmacies in France
Smaller National and Regional Collective Pharmacy Groupings in France
Le Collectif National des Groupements de Pharmaciens d'Officine - CNGPO
The Reasons for Pharmacy Groupings in France
Sources of Business Turnover and Economics of French Pharmacies
Pharmacy Prices and Margins of Non-prescription and OTC Medicines in France
Growth of Internet Pharmacies in France
e-Pharmacy - Development of Multi-channel Offers by Retail Pharmacy Groups in France
Pharmaceutical Wholesalers in France
- Celesio France
- Alliance Healthcare (Walgreens Boots Alliance) France
- CERP Network Coopérative d'Exploitation et de Répartition
- Astera / Sanastera
- CERP Rhin Rhône Mediterranean
- CERP Rhin Rhône Mediterranean is a regional pharmacist owned cooperative wholesale group operating from 20 offices between Strasbourg and Cannes
- The cooperative services 3,856 customers with sales in 2014 of €1,953 million and a national market share of 10.9%
- CERP Bretagne Atlantique
- Phoenix France
Parapharmacy Distribution Channels for Consumer Healthcare Products in France
- Leclerc
- Carrefour
- Auchan
- Parashop
- Soliel Bleau (Cora)
Consumer Attitudes towards Self-medication in France
France - The Future for OTC Distribution in France to 2019

Chapter - 7

OTC Distribution in Germany

The Non-prescription Medicines and Self-Medication Market in Germany 2015
Share of the German OTC Medicines Market by Category 2015 compared to 2013
The German Non-prescription Medicines and Consumer OTC Self-medication Market
The Regulatory Environment for OTC Self-medication Consumer Medicines in Germany
OTC Self-Medication Definition in Germany
- Herbals Medicinal Products
- Homeopathic Medicinal Products
- Vitamins and minerals
Marketing Authorizations for Non-prescription Medicines in Germany
The Act on the Restructuring of the Pharmaceutical Market (AMNOG )
The Changing Regulatory Environment for the Distribution of Pharmaceutical Products in Germany
Prices and Margins of Non-prescription Pharmaceutical Products in Germany
Distribution Channels for Non-prescription Medicines and OTC Self-medication in Germany
The Changing Structure of the Pharmacy Supply Chain in Germany
Analysis of Pharmacy Turnover in Germany
Trends in German Pharmacies Sources of Revenue 2005 - 2014
Consumer Data - Shopper Frequency and Loyalty Influences for Pharmacies in Germany
Development of Retail Pharmacy Cooperation Chains of Independent Pharmacies (Apotheken Kooperationen) in Germany
Cooperation Groups of Independent Pharmacies in Germany
Consumer Awareness of Pharmacy Cooperation Groups in Germany
And Independent Branded Pharmacy Affiliations
Role of Groupings of Independent Pharmacy - Apotheken Kooperationen Groups in Germany
Weaknesses of Virtual Pharmacy Chains in Germany
Retail Pharmacy Franchise Concepts in Germany
DocMorris - Failed Branded Retail Pharmacy Franchise Concept in Germany
Internet and Mail Order Pharmacy Channels in Germany
Origins of Mail order and Internet Pharmacy in Germany
Sales Turnover in the German Mail Order Pharmacy Sector by Product Group
Non-prescription and Consumer Healthcare Sales through Mail Order and Internet Pharmacies in Germany 2015
Non-prescription and OTC Healthcare Therapeutic Categories most Purchased through Mail Order and Internet Pharmacies in Germany
Mail Order and Internet Pharmacies - Small to Medium sized Businesses in Germany?
Leading Mail Order and Internet Pharmacy Brands in Germany
Restructuring of the Internet and Mail Order Pharmacy Sector in Germany
Major Druggist and Grocery Chains Multi-channel Healthcare Strategies through Partnering Pureplay Mail Order Pharmacies
Pharmaceutical Wholesalers Germany
Pharmaceutical Wholesalers Germany
Pharmaceutical Wholesaler Consolidation in a Changing Business Environment in Germany
Profiles of the Five Main Pharmaceutical Wholesalers in Germany
- Phoenix the leading Pharmaceutical Distributor in Germany
- Noweda - Rapidly expanding Pharmaceutical Distributor in Germany
- Gehe (Celesio McKesson) Pharmaceutical Distribution in Germany
- Sanacorp (Sanastera) Pharmaceutical Distribution in Germany
- Alliance Healthcare Deutschland (WBA) - Pharmaceutical Distribution in Germany
- Pharma Privat Pharmaceutical Distribution in Germany
Consumer Healthcare OTC Self-medication Medicines through Non-Pharmacy Channels in Germany
- Drugstores in Germany
- Independent Drugstores in Germany
- Multiple Drugstore Retailers in Germany
Consumer Uses, Acquisition of Information, Sources Purchase and Attitudes to OTC Selfmedication in Germany
The Future for OTC Distribution in Germany

Chapter - 8

OTC Distribution in Italy

Introduction - The Non-prescription Medicines and OTC Self-medication Market in Italy 2015
Share of the Italian OTC Self-medication Market by Category 2015
Non-prescription and OTC Medicines Source of Purchase by Channel in Italy
Classification of Medicines in Italy - Prescription only, Non-prescription and OTC Medicines
Non-prescription Status does not automatically mean OTC (farmaco di automedicazion) Status in Italy
Definition of Non-prescription OTC Medicines (Medicinale di Automedicazione) in Italy
- Combination Products
- Prescription to OTC Switches
- Herbal Products
- Dossier
- Evaluation process
- Homeopathic Products
- Vitamins and Minerals
Reimbursement of Medicines not requiring a Prescription (non-prescription medicines) in Italy
Price Controls - Non-prescription and OTC Self-medication Medicines in Italy
Partial Re-reregulation of Retail OTC Medicine Supply through Pharmacy and Nonpharmacy Channels in Italy
Self-service Merchandising of OTC Medicines in Italy
Third Party and Multiple Ownership of Pharmacies in Italy
- “Concorrenza” Legislative Decree - New Competition Law in Italy
Regulations Covering Wholesaling of Pharmaceuticals in Italy
Prices and Margins of Non-prescription Pharmaceuticals in Italy
The Importance of Pharmacies in the Retail Distribution of Non-prescription Pharmaceuticals in Italy
Growth and Distribution of Retail Pharmacies in Italy
Community Pharmacy Density by Region in Italy
Retail Pharmacy Chains in Italy
Cooperation Groups of Independent Pharmacies in Italy - Virtual Chains
Analysis of Pharmacy Turnover in Italy
Non-pharmacy Distribution for Consumer Healthcare in Italy
- Parapharmacy Retail Sales for Consumer Healthcare and in Italy
Development of Mail order and Internet Pharmacies in Italy
Consumer Uses and Attitudes to OTC Self-medication in Italy
Pharmaceutical Wholesalers Italy
- Phoenix - Comifar Group Italy
- Alliance Healthcare Italia
- Feder FARMACO
- So.Farma.Morra
- Celesio Italy
The Future for OTC Distribution in Italy

Chapter - 9

OTC Distribution in the Netherlands

The Non-prescription Medicines and OTC Self-Medication Market in the Netherlands 2015
Share of the Dutch OTC Self-medication Market by Category 2010 - 2014
Classification of Non-prescription Pharmaceutical Products in the Netherlands -Three-class System includes General Sale List (GSL) and Pharmacy only Medicines
- The Nivel Report
Reimbursement of Non-prescription Medicines in the Netherlands
The Netherlands Price Build up of OTC Medicines
Distribution Channels for Non-prescription Medicines and OTC Self-Medication in the Netherlands
Druggists - Retailing Non-prescription Medicines and OTC Self-medication in the Netherlands
- Independent Non-pharmacy Drugstores (Druggists) in the Netherlands
- Druggist Chains in the Netherlands
- The Leading Druggist Chains in the Netherlands
- A.S. Watson
- Etos
- DIO
- Op = Op Voordeelshop
- Uw Eigen Drogist
- Kalisvaart
- Visser Drogisterij
Druggists a Declining Retail Sector (Druggists) in the Netherlands
Self-medication - Private Label Brands of OTC (non-prescription) Medicines Sales through Drugstores in the Netherlands
Retail Pharmacies - The Netherlands
- Mediq Pharmacy Chain (Brocacef) in the Netherlands
- Brocacef Holdings Benu Pharmacy Chain in the Netherlands
- Walgreens Boots Alliance in the Netherlands - Boots Pharmacy Chain in the Netherlands
- Medsen Pharmacy
- Thio Pharma
- Zorggroep Almere
Affiliation Groups of Independent Pharmacies in the Netherlands
- Service Apotheken
- VNA
Consumer Health on the Internet - OTC Self-medication - Druggists Web-shops and Internet Pharmacies in the Netherlands
- Internet Pharmacies in the Netherlands
- ‘Pure play' Internet Pharmacies in the Netherlands
Retail Pharmacy Chains Internet driven Multi-channel Services in the Netherlands
- Druggists Web-shops in the Netherlands
Pharmaceutical Wholesalers in the Netherlands
Non-prescription Medicines and OTC Self-medication Channel Influences on Consumer Sources of Purchase and Choice of Brand for Self-medication in the Netherlands
The Future for OTC Distribution in the Netherlands

Chapter - 10

OTC Distribution in Spain

Introduction - The Spanish Non-prescription and OTC Medicines Market 2015
Share of the Spanish OTC Self-medication Market by Category
The Regulatory Environment for Non-prescription and OTC Medicines in Spain
- Classification of Medicines in Spain
Marketing Authorization for Non-prescription and OTC Medicines in Spain
Issues affecting the Prescription Sector for Products classified as Non-prescription Medicines in Spain
- Reimbursement of Medicinal Products not requiring a Prescription in Spain
Pricing and Price Controls of Non-prescription and OTC Medicines in Spain
Advertising of OTC Medicines in Spain
Regulation of Trade Names for Non-prescription and OTC Medicines in Spain
The Regulatory Environment for Pharmaceutical Distribution in Spain
Structure of Distribution for Non-prescription Medicines and OTC Self-Medication in Spain
Regulatory Controls on the Number of Pharmacies in Spain
Growth of Pharmacies in Spain
Analysis of Pharmacy Numbers Compared to Population Density by Region in Spain
Cooperation Groups of Independent Pharmacies in Spain - Virtual Chains
Analysis of Spanish Pharmacy Turnover
-Pricing and Margins
Beginnings of Internet Pharmacy in Spain
- Internet Pharmacy Shoppers and the Types of Products they Choose in Spain
The Development of Internet Pharmacies in Spain
Pharmaceutical Wholesalers in Spain
- The Changing Shape of Intermediary Pharmaceutical Distribution in Spain
- Leading Pharmaceutical Wholesalers in Spain - Market Shares and Strategies
- COFARES - Spain
- Hefame
- Farmanova
- Edifa
- Alliance Healthcare (WBA) - Previously SA Farmacéutica Aragonesia (SAFA)
- Cecofar
Consumer Uses and Attitudes to OTC Self-medication in Spain
The Future of OTC Distribution in Spain

Chapter - 11

OTC Distribution in the United Kingdom

Introduction - Non-prescription Medicines and OTC Self-medication Market in the United Kingdom
The Self-Medication Market in the United Kingdom 2015
Share of the British OTC Self-medication Market by Therapeutic Category 2015
The Regulatory Environment for Non-prescription and OTC Medicines in the UK
Classifications of Medicines in the United Kingdom
Structure of Distribution Channel Systems for Non-prescription Pharmaceuticals and OTC Medicines in the UK
The Retail Pharmacy Sector in the United Kingdom and Northern Ireland
- Role for Pharmacies in the United Kingdom - The Pharmacy Contract
Essential Services Provided by Pharmacies in England
Advanced Services Provided by Pharmacies in England
- Medicines Usage Reviews (MURs) and Appliance Usage Reviews (AURs)
- Stoma Appliance Customisation
Consumer Pharmacy Shopping Preferences in the United Kingdom
Pharmacy Distribution by Region in the United Kingdom
Ownership of Pharmacies in the United Kingdom
- Independent Pharmacies in the United Kingdom
Cooperation Partner Chains of Affiliated Independent Pharmacies in the United Kingdom
- Numark Phoenix
- Alphega Alliance Healthcare
- Other Voluntary Groupings of Pharmacies in the UK
Leading Pharmacy Chains in the United Kingdom
- Boots the Chemist - Walgreens Boots Alliance in the UK
- Boots the Chemist Multi-channel Development in the United Kingdom
- Lloydspharmacy (Celesio) in the United Kingdom
- Lloydspharmacy online in the United Kingdom
- Bestway Group takeover of Co-operative Group Pharmacy in the United Kingdom
- L. Rowland (Phoenix) - Retail Pharmacy Chain in the UK
- The Day Lewis Group
- The Day Lewis Group
- Cohens Chemist
Supermarket Chains - OTC Self-medication Distribution in the UK
Discount Drugstore Chains in the United Kingdom
Regional Pharmacy Chains in the United Kingdom
e-Commerce and Multi-channel Consumer Access for Pharmaceuticals in the UK
- Multi-channel Shopping compared to ‘Pure play' online Pharmacy
- ‘Pure play' Internet Pharmacies and On-line Clinics in the United Kingdom
- Online Medical Services offered by Major Pharmacy Chains in the United Kingdom
Pharmaceutical Wholesaling in the UK
Pharmaceutical Wholesaler Strategies in the UK - AAH Pharmaceuticals (Celesio), Alliance Healthcare and Phoenix
- AAH Pharmaceuticals (Celesio)
- Enterprise
- Trident
- AAH sold off its subsidiary Wilkinson Healthcare
-- Turnover
- Alliance Healthcare (Walgreens Boots Alliance)
-- Alliance Healthcare
-- OTC Direct
- Phoenix Healthcare Distribution United Kingdom
Conclusion Wholesaler Strategies in the United Kingdom
Consumer Uses and Attitudes to OTC Self-medication in the United Kingdom
- Where British Consumers Get Advice about Treating Minor Ailments
- Common Ailments Suffered by British Consumers and their Propensity to Self-medicate
The Future for the Distribution of Non-prescription and OTC Medicines in the United Kingdom to 2019

Chapter - 12

OTC Distribution in Austria & Switzerland

Austria
The Non-prescription and Self-Medication Market in Austria 2015
Share of the Austrian OTC Self-medication Market by Category 2014
The Regulatory Environment for OTC (non-prescription) Medicines in Austria
Classification of Medicines in Austria
- Traditional Herbal Medicinal Products
- Homeopathic products
- Pharmacy-owned Brands
- Vitamin and Mineral Products
- Dietetic Foodstuffs and Food Supplements
- Medical Devices
- Cosmetic Products
Marketing Authorization of Non-prescription OTC Medicines in Austria
Regulations covering the Distribution of Non-prescription OTC Medicines in Austria
Regulations covering the Control of Retail Pharmacies in Austria
Regulations covering Pricing of Non-prescription Medicines and OTC Self-medication in Austria
Reimbursement of Medicines in Austria including Non-prescription Pharmaceutical Products
Regulations covering the Advertising of OTC (non-prescription) Medicines in Austria
- Umbrella branding
Channels of Distribution for Non-prescription Medicines OTC Self-medication in Austria
- The Retail Pharmacy Channel for Consumer Healthcare in Austria
- Analysis of Retail Pharmacy Turnover in Austria
Prices and Margins for Non-prescription Medicines and OTC Self-medication in Austria
Mail Order and Internet Pharmacies in Austria
Austrian Consumers Purchasing from Internet Pharmacies
The Main Players Internet and Mail Order Pharmacies in Austria
- Apotheke Österreich
- Zur Rose
- Apo-direkt
Pharmaceutical Wholesalers in Austria
- Herba (Celesio)
- Kwizda
- Hestag (Phoenix)
- Jacoby
- Richter Pharma
The Future for OTC Distribution in Austria to 2017
Switzerland
The Self-Medication Market in Switzerland 2015
Share of the Swiss OTC Self-medication Market by Category
The Regulatory Environment for OTC Medicines in Switzerland
- Classification of Medicines in Switzerland
Pharmaceutical Product Classifications in Switzerland
Marketing Authorisation of OTC Medicines in Switzerland
- Herbal or Plant based Medicines
- Homeopathic Medicines
- Vitamins and minerals
Regulations covering the Distribution Non-prescription Medicines OTC Self-medication in Switzerland
Regulations covering Retail Pharmacy or Drugstore Ownership in Switzerland
Pricing of Non-prescription Medicines and OTC Self-medication in Switzerland
Regulations covering the Advertising of OTC (non-prescription) Medicines in Switzerland
Regulations covering the Use of Trademarks of OTC (non-prescription) Medicines in Switzerland
Pharmacies, Druggists and Dispensing Doctors - In Swiss Healthcare Provision
Channels of Distribution for OTC Self-medication in Switzerland
Distribution of Pharmacies in Switzerland by Region and Canton
Structure of the Retail Pharmacy Channel in Switzerland
Growth of Wholly Owned Pharmacy Chains in Switzerland
- Galenica - Pharmacy Chains Switzerland
- BENU Pharmacy
- Dr Bähler
- Topwell Group
- Other Pharmacy Chains in Switzerland
Affiliated Independent Pharmacy Cooperation Groups in Switzerland
Sources of Pharmacy Turnover Switzerland
Prices and Margins of OTC Medicines in Switzerland
Mail Order and Internet Pharmacies in Switzerland
- MediService - The Model Swiss Distance Pharmacy Concept
- Zur Rose Versandapotheke - Swiss Distance Pharmacy
- Pharmadirect
- Pharmapool
- xtrpharm Versandapotheke
Development of Multi-channel Pharmacy in Switzerland
- Galenica - Sun Store and Amavita Multi-channel Pharmacy Chains Switzerland
Distribution of OTC (non-prescription) Medicines through Druggists in Switzerland
Swiss Pharmaceutical Wholesalers
- Galexis and Unione
- Amedis-UE
- Voigt
- Pharma Focus
- Apotheke zur Rose
The Future for OTC Distribution in Switzerland

Chapter - 13

OTC Distribution in the Nordic Region

Sweden, Denmark, Finland and Norway

Sweden

The Non-prescription and Self-Medication Market in Sweden 2015
General Sale List of Non-prescription Medicines and OTC Self-medication for non Pharmacy Channels in Sweden
Share of the Swedish OTC Self-medication Market by Category
The Regulatory Environment for Non-prescription Medicines in Sweden
Classification of Medicines in Sweden
Marketing Authorisation of Non-prescription Medicines and OTC Self-medication in Sweden
Regulations covering the Distribution of OTC Medicines in Sweden
Pricing of Prescription and Non-prescription OTC Medicines in Sweden
Reimbursement of Non-prescription Medicines in Sweden
Advertising Regulations for Non-prescription and OTC Self-medication Medicines in Sweden
Use of Trademarks for OTC Self-medication Medicines in Sweden
Distribution Channels for Non-prescription OTC Self-medication Medicines in Sweden
Growth in the Number of Pharmacies in Sweden 2009 - 2015
Background to Re-regulation of Pharmacy Distribution Channels in Sweden
Consolidation and Growth of Retail Pharmacy Chains in Sweden
Swedish Pharmacies - Analysis of Pharmacy Turnover
Sweden - Pharmacy Shoppers - Frequency of Visits
Profiles of Pharmacy Chains in Sweden
- Apoteket AB
- ICA Gruppen
- Oriola-KD, Kronans Apotek and Medstop
- Lloydsapotek - Celesio Retail Pharmacy in Sweden
- Apoteksgruppen
Self-service of OTC Medicines in Swedish Pharmacies
Mail order and Internet Pharmacies in Sweden
Sweden's Pharmacy Chains adoption of Multichannel Strategies in 2014
- ‘Pure play Internet Pharmacies in Sweden
Changing Structure of Pharmaceutical Wholesalers in Sweden
- Tamro Phoenix
- Oriola-AB
- Apoteket AB
The Future for OTC Distribution in Sweden to 2017
Denmark
The Danish Non-prescription Medicines and OTC Self-medication Market 2015
The Regulatory Environment for OTC Self Medication Medicines in Denmark
Classification of Medicines in Denmark
Authorization of OTC Self-medication Medicines in Denmark
- Herbal Medicines
- Combination Products
- Patient Information Leaflets
Regulations for the Distribution of Non-prescription Medicines and OTC Self-medication Consumer Medicines in Denmark
Regulations for the Distribution of Pharmacy Only Non-prescription Medicines and OTC Self-medication Consumer Medicines in Denmark
Pricing Regulations for OTC Medicines in Denmark
Advertising Regulations for OTC Self-medication Consumer Medicines in Denmark
- Rules Applying to TV Advertising of OTC Medicines in Denmark
- Rules Applying to Radio Advertising of OTC Medicines in Denmark
- Rules Applying to Print Advertising of OTC Medicines in Denmark
Rules Covering Use of Trademarks for Pharmaceuticals in Denmark
The Retail Distribution Channels for Non-prescription Medicines and OTC Self-medication Consumer Medicines in Denmark
Sources of Pharmacy Income in Denmark
Virtual Pharmacy Chains in Denmark
Distance Selling through Mail order and Internet Pharmacies in Denmark
Pharmaceutical Wholesalers in Denmark
The Future for OTC Distribution in Denmark
Finland
The Non-prescription and OTC Self-Medication Market in Finland
Share of the Finnish Non-prescription Medicines and OTC Self-medication Market by Category
- Category 2012-2014
The Regulatory Environment for OTC Medicines in Finland
Classification of Medicines in Finland
- Herbal Products
- Homeopathic Products
- Vitamins and Minerals
- Combination Products
Marketing Authorization for OTC Medicines in Finland
- Combination products
- Traditional Herbal Products
- Homeopathic and Anthroposophical Medicinal Products
Regulations for the Distribution of OTC Medicines in Finland
Regulations on Pharmacy Ownership in Finland
Pricing Regulations for OTC Medicines in Finland
Advertising Regulations for OTC Self-medication Medicines in Finland
Trade Margins / VAT for OTC Medicines in Finland
Use of Trademarks for OTC Self-medication Consumer Medicines in Finland
The Distribution Environment for Non-prescription Medicines and OTC Self-medication Consumer Medicines in Finland
Pharmacies in Finland
- Retail Pharmacy Chains in Finland
Sources of Pharmacy Sales Turnover in Finland
Mail Order and Internet Pharmacies in Finland
The Pharmaceutical Wholesalers in Finland
The Future for OTC Distribution in Finland
Norway
The Norwegian Non-prescription and OTC Self-medication Consumer Market 2015
Sales Split of the Main OTC Self-medication Consumer Medicine Categories in Norway
The Regulatory Environment for OTC Medicines in Norway
Classification of Medicines in Norway
Marketing Authorization of OTC Medicines in Norway
- Combination products
- Herbal Medicines
- Homeopathic Medicines
- Vitamins and Minerals
Regulations for the Distribution of OTC Medicines in Norway
Deregulation to allow Retail Pharmacy Chains in Norway
Pricing Regulations for Non-prescription Medicines and OTC Self-medication in Norway
Advertising Regulations for OTC Medicines in Norway
Trade Margins and VAT for OTC Medicines in Norway
Rules Covering Use of Trademarks for Pharmaceuticals in Norway
Channels of Distribution for Non-prescription Medicines and OTC Self-medication in Norway
Pharmacy and Non-pharmacy Outlets for Non-prescription Medicines and OTC Selfmedication in Norway
Development Retail Pharmacies in Norway
- Ditt Apotheke Collaboration Partner Pharmacy Grouping
Norwegian Pharmacies Sources of Income
Grocery Distribution and other Non-pharmacy Retail Channels Distributing Nonprescription Medicines and OTC Self-medication in Norway
- History of Non-pharmacy Retail Distribution of General Sale List (GSL) OTC Medicines in Norway
Self-medication - Distance Selling through Mail order and Internet Pharmacies in Norway
Pharmaceutical Wholesalers in Norway
- Norsk Medisinaldepot AS (NMD) Celesio
- Apokjeden Tamro
- Alliance Healthcare (previously Holtung)
The Future for OTC Distribution in Norway

Chapter - 14

OTC Distribution in Central Europe

Poland, Hungary, Czech Republic, Slovak Republic, Slovenia, Bulgaria, and RomaniaThe Market for Non-prescription Medicines and OTC Self-medication in Central and Eastern Europe Poland

The Non-prescription Medicines and OTC Self-medication Market in Poland 2015
Share of the Polish Non-prescription Medicines and OTC Self-medication Market by Therapeutic Category 2014
Non-pharmacy and Mass Market Channels for Non-prescription OTC Medicines and Supplements in Poland
The Regulatory Environment for Non-prescription and OTC Self-medication Medicines in Poland
Classification of Medicines in Poland
Marketing Authorization for Non-prescription and OTC Medicines in Poland
Pharmacy and Non-pharmacy Retail Channels for Non-prescription and OTC Medicines in Poland
Laws on Pharmacy Ownership in Poland
- Self-Service
- Regulations Covering Internet and Mail Order Pharmacies in Poland
Controls on Pricing and Margins of OTC Medicines in Poland
Advertising and Promotion of OTC Medicines in Poland
The Marketing Environment for Non-prescription OTC Self-medication Medicines in Poland
The Retail Pharmacy Channels for OTC Self-medication in Poland
Analysis of Retail Pharmacy Turnover in Poland
The Number of Pharmacies in Poland
Growth of Retail Pharmacy Networks in Poland
Doz SA Pharmacy Chain Dbam o Zdrowie
Pharmacy Chain Dr. Max (Penta)
Pharmacy Chain Euro Apeteka
Retail Pharmacy Developments by Supermarket Chains in Poland
Affiliated Pharmacy Chains, Franchised Outlets and Wholesaler Marketing Concepts in Poland
- Voluntary Groups and Cooperation Partner Pharmacy Chains in Poland
- Franchise Pharmacies in Poland
Mail Order and Internet Pharmacies targeting Patients and OTC Self-medication Consumers in Poland
Growth of ‘Pure play' Online Pharmacies in Poland
- Cefarm 24
Multi-channel Shopping Development among Major Retail Pharmacy Chains in Poland
- Online Shopping Portals
Main Pharmaceutical Wholesalers Supplying Pharmacies in Poland
Role of Pharmaceutical Wholesalers in Poland
Main Pharmaceutical Wholesalers Supplying Pharmacies in Poland
- Neuca (Torfarm) the Leading Pharmaceutical Wholesaler in Poland
- Farmacol - Pharmaceutical Wholesaler in Poland
- Polska Grupa Farmaceutyczna S.A
- OPDF SA - Organization of Polish Pharmaceutical Distributors
- CEFARM Pharmaceutical SA
- CEFARM Pharmaceutical SA
The Future for OTC Distribution in Poland
Hungary
The OTC Self-Medication Market in Hungary 2015
Share of the Hungarian OTC Self-medication Market by Category
The Regulatory Environment for OTC Self-medication Medicines in Hungary
Medicines' Classification in Hungary
Marketing Authorization of Non-prescription Medicines and OTC Self-medication in Hungary
Regulations for Distribution of Non-prescription Medicines and OTC Self-medication in Hungary
Pricing of Non-prescription Medicines and OTC Self-medication in Hungary
- Non-Reimbursed Medicines
Resale Price Maintenance Pharmaceutical Products in Hungary
Regulations on Advertising OTC Medicines in Hungary
Trade Margins / VAT on Pharmacy Medicines in Hungary
Umbrella Branding for OTC Medicines in Hungary
New Rules Regarding Pharmacy Ownership in Hungary
- Geographic Restrictions on Pharmacy Numbers in Hungary
The Distribution Channels for Non-prescription Medicines and OTC Self-medication in Hungary
Retail Pharmacies - in Hungary
Pharmacy Turnover by Category
Development of Retail Pharmacy Chains in Hungary
Top Retail Pharmacy Chains in Hungary
- Benue - Phoenix Hungary
- Alma Patika
- Pingvin Patika
- Csillag Patikák
Cooperation Groupings of Affiliated Independent Pharmacies
Internet Pharmacies Hungary
Multi-channel Pharmacy Developments in Hungary
Non-pharmacy Channels - General Sales List (GSL) for OTC Self-medication Medicines in Hungary
Pharmaceutical Wholesalers in Hungary
- Humantrade (Teva)
- Phoenix Wholesaling in Hungary
- Hungaropharma - Pharmaceutical Wholesaler in Hungary
- Humantrade
The Future for OTC Distribution in Hungary
Czech Republic
The OTC Self-Medication Market in the Czech Republic 2015
Share of the Czech OTC Self-medication Market by Category 2014
The Regulatory Environment for Non-prescription Medicines and OTC Self-medication in the Czech Republic
Medicine Classifications in the Czech Republic
Marketing Authorisation of Non-prescription Medicines and OTC Self-medication in the Czech Republic
Regulations Governing Marketing and Distribution Channels for OTC Medicines in the Czech Republic
- Permitted Retail Channels for OTC (non-prescription) Self-medication Medicines in the Czech Republic
Pharmacy Ownership and Self-service Regulations for Non-prescription Medicines and OTC Self-medication in the Czech Republic
Pricing of Non-Reimbursable Non-prescription Medicines and OTC Self-medication in the Czech Republic
Regulations on Advertising Non-prescription Medicines and OTC Self-medication in the Czech Republic
Controls on Advertising of Non-prescription Medicines and OTC Self-medication in the Czech Republic
Umbrella Branding for Non-prescription Medicines and OTC Self-medication in the Czech Republic
The Distribution Environment for Non-prescription Medicines and OTC Self-medication in the Czech Republic
Growth of Pharmacies in the Czech Republic
Pharmacy Turnover and Sales Mix in the Czech Republic
Pharmacy Density by Region in the Czech Republic
Pharmacy Ownership in the Czech Republic
Leading Pharmacy Chains in the Czech Republic
- Lekarna Dev*tsil
- Dr Max (Penta)
- Benu (Phoenix )
- Lekarna IPC
- Lekarna Dev*tsil
Groups of Affiliated Independent Pharmacies or Virtual Pharmacy Chains in Czech Republic
- Moje Lekarna
- Alphega (Alliance Healthcare
- Piluka/CoPharm
Non-pharmacy Distribution in Czech Republic
Internet Pharmacies and Distance Selling of Pharmaceuticals in the Czech Republic
- Lekarna.cz
- Docsimon (Dr Max)
Collaboration and Multi-channel Retail Pharmacy Models
- Dr Max Multi-channel Development In the Czech Republic
- Pilulka.cz - CoPharm and Topfarm Collaboration Model
- Moje Lekarna (My pharmacy)
Pharmaceutical Wholesalers in the Czech Republic
- Phoenix Lékárenský Wholesale in Czech Republic
- Pharmos - •eská lékárnická
- Via Pharma (Penta)
- Alliance Healthcare Czech (WBA)
The Future for OTC Distribution in Czech Republic
Slovak Republic
The Non-prescription and Self-Medication Market in the Slovak Republic
Share of the Slovakian OTC Self-medication Market by Category
The Regulatory Environment for OTC Medicines in the Slovak Republic
Medicinal Classifications in the Slovak Republic
Marketing Authorization of OTC Medicines in the Slovak Republic
Regulations on the Distribution of OTC Medicines in the Slovak Republic
Pricing Regulations for OTC Medicines in the Slovak Republic
Rules on Advertising OTC Medicines in the Slovak Republic
- Advertising Controls on OTC Medicines in the Slovak Republic
Patient Information Requirements for OTC Medicines in Slovak Republic
Trade Margins for Non Prescription and Prescription Medicines in Slovak Republic
Use of Trade Marks for OTC Medicines in Slovak Republic
The Distribution Channels for Non-prescription and OTC Self-medication Medicines - Slovak Republic
Retail Pharmacies and Pharmacy Chains in Slovak Republic
Pharmacy Turnover and Sales Mix in the Slovak Republic
Pharmacy Ownership Segments in Slovakia
Pharmacy Chains in the Slovak Republic
- Dr Max (Penta)
- Farmakol
- Schneider
- Sunpharma (Phoenix)
- Other Retail Pharmacy Chains in the Slovak Republic
Collaboration Partnerships and Affiliated Marketing Groups of Independent Pharmacies - Virtual Retail Pharmacy Chains in Slovakia
- Top Pharma
- Druzstvo Lekární
Mail order and Internet Pharmacy in Slovak Republic
Multi-channel Developments in Retail Pharmacy in Slovakia
Pharmaceutical Wholesalers in Slovakia
- Phoenix Medical Supply
- Unifarma Prievidza
- Med-Art
- Pharmos
The Future for OTC Distribution in the Slovak Republic
Slovenia
The Self-Medication Market in Slovenia 2015
Share of the Slovenia OTC Self-medication Market by Category 2014
The Regulatory Environment for Non-prescription Medicines and OTC Self-medication in Slovenia
Classification of Medicines in Slovenia
Authorization of Non-prescription Medicines and OTC Self-medication in Slovenia
Regulations on the Distribution of OTC Medicines in Slovenia
Pricing Controls on Non-prescription Medicines and OTC Self-medication in Slovenia
Rules on Advertising Non-prescription Medicines and OTC Self-medication in Slovenia
Patient Information Requirements for OTC Medicines in Slovenia
Trade Margins / VAT for OTC Medicines in Slovenia
Use of Trade Marks for OTC Medicines in Slovenia
The Distribution Channels for Non-prescription Medicines and OTC Self-medication in Slovenia
Average Pharmacy Turnover in Slovenia
Mail order and Internet Pharmacy in Slovenia
Pharmaceutical Wholesalers in Slovenia
The Future for OTC Distribution in Slovenia
Bulgaria
The Non-prescription Medicines and OTC Self-medication Market in Bulgaria 2015
Share of the Bulgarian OTC Self-medication Market by Therapeutic Category
The Regulatory Environment for OTC Self-medication Medicines in Bulgaria
Classification of Medicines in Bulgaria
Marketing Authorization of Non-prescription Medicines and OTC Self-medication in Bulgaria
New Regulations for Distribution of Non-prescription Medicines and OTC Self-medication in Bulgaria
Regulations covering Pricing of Non-prescription Medicines and OTC Self-medication in Bulgaria
Regulations on Advertising OTC Medicines in Bulgaria
Trade Margins / VAT on Pharmacy Medicines in Bulgaria
The Distribution Channels for Consumer Healthcare and OTC Self-medication in Bulgaria
Retail Pharmacies - Developments in Bulgaria
Analysis of Pharmacy Turnover in Bulgaria
Mail Order and Internet Pharmacy in Bulgaria
Pharmaceutical Wholesalers in Bulgaria
- FarmNet
- Sopharma Trading
- Libra SA (Phoenix)
- Sting
The Future for OTC Distribution in Bulgaria
Romania
The Non-prescription Medicines and OTC Self-medication Market in Romania 2015
Share of the Romanian OTC Self-medication Market by Therapeutic Category 2014
The Regulatory Environment for OTC Self-medication Medicines in Romania
Classification of Medicines in Romania
Marketing Authorization of Non-prescription Medicines and OTC Self-medication in Romania
Regulations for Distribution of Non-prescription Medicines and OTC Self-medication in Romania
Pharmacy Ownership Rules in Romania
Regulations covering Pharmacy Numbers in Romania
Regulations covering Pricing of Non-prescription Medicines and OTC Self-medication in Romania
Margins / VAT on Pharmacy Medicines on Prescription Medicines in Romania
Regulations on Advertising OTC Medicines in Romania
Umbrella branding
The Distribution Channels for Non-prescription Medicines and OTC Self-medication in Romania
Retail Pharmacies - Developments in Romania 2015
Pharmacy Turnover in Romania
Pharmacy Chains in Romania
- Catena
- Sensiblu
- Farmaciile Dona
- Help Net
- Farmaciile Ropharma
Mail Order and Internet Pharmacy in Romania
Pharmaceutical Distributors in Romania
Pharmaceutical Distributors Investments in Pharmacy Chains in Romania
Profiles of the Leading Pharmaceutical Distributors in Romania
- Mediplus - Leading Pharmacy Wholesale Distributor in Romania
- Farmexpert (WBA)
- Fildas Trading
- Farmexim
- Polisano
The Future of OTC Distribution in Romania

Chapter - 15

Conclusions of the Report

Challenges of the New Global Agenda - OTC Distribution in Europe
The Need for New Factors for Competive Success for the Distribution Channels for Nonprescription
Medicines and Associated Products in Europe
Growth for the European Non-prescription Medicines Market to 2019
Growth Clusters - European Non-prescription and OTC Self-medication Market
Summary of the Main Factors driving Change in the Channels of Distribution Supplying Europe's Non-prescription, Self-medication and Self-care Markets to 2019
Impact of Walgreens acquisition of Alliance Boots after a period of Strategic partnership and McKessons acquisition of Celesio on Europe's Pharmacy Channels
Changing Wholesaler Strategies in Response to the Downward Pressure on Margins
Responses to Downward Pressures on Pharmacy Margins and Fees for Price Regulated Products and Services
Reshaping of the Multi-hub Pharmaceutical Supply Chain into a Single Logistics System
Growing Movement of Independent Pharmacy Owners to become affiliated to Voluntary and Cooperation Partner Groupings
Expanding the Size and Geography of Mixed Ownership Retail Pharmacy Chains through the Creation of Hybrid Groupings
Development of Internet and Mail order and Multi-channel Pharmacy in Europe
What is Multi-channel Pharmacy?
Strategies of the Major Mass Market Chains to gain a Share of the Consumer Healthcare sector
The Changing Consumer Healthcare Market - Estimating the Speed of Change by Exploring Regulatory Freedoms in Europe's Main Markets for OTC Self-medication Medicines
Main European States Ranked by Marketing Freedoms for OTC Medicines
Main European States Ranked by Pharmacy Regulatory Freedoms
Main European States OTC Medicines Markets Ranked by Total Regulatory Freedoms
Conclusions - Meeting the Global Challenge in the European Consumer Healthcare Market
Lessons learned over the 25 years and ten editions of this Study

List of Figures

Chapter 1
Figure 1: Europe - 20 Country Study Value of the Personal Care Market 2015
Figure 2: Europe 20 Country Study - Total Non-prescription and OTC Self-medication Market €Millions at Consumer Prices 2010 - 2015
Figure 3: The European Non-prescription Medicines Market Year on Year % Growth 2008 20 (20 Country Study)
Figure 4: Europe - Year on Year Sales Gains and Losses - OTC self-medication Sales compared to Semi-ethical Prescriptions 2010 - 2015
Figure 5: Analysis of Indexed Value Sales of Non-prescription Medicines following Major Dereimbursement in Germany 2004 –Germany Compared to France 2003 to 2015
Figure 6: Non-prescription Medicines % € Share Europe by Country Total Retail Pharmaceutical, Non-prescription and OTC Self-medication Markets 2015 est
Figure 7: Country % € Share of Non-prescription Medicines’ taken by Prescription Sales
Figure 8: Growth Comparisons by Region of the European Self-Medication Market
Figure 9: OTC Self-medication Market - 20 European Countries % Share by Therapeutic Category
Figure 10: Growth of the European Self-Medication Market by Therapeutic Category
Figure 11: Europe’s Main Non-prescription and OTC Medicines Markets Total Nonprescription and OTC Self-medication Business % € Growth 2010 – 2015
Figure 12: Europe % Share of Consumer OTC Self-Medication Purchases by Value through Non-pharmacy Channels 2015 (20 Country Study)
Figure 13: Europe - Number of Pharmacies by Country and Population served per Pharmacy 2015 (20 Country Study)
Figure 14: Growth in Retail Pharmacy Numbers by European State 2006 – 2015
Figure 15: Controls on Pharmacy Expansion in Europe by Country
Figure 16: European Pharmacies - Average Pharmacy Turnover by Business Sector 2015
Figure 17: Freedoms on Merchandising and Self-selection for OTC Medicines in Pharmacies by European State
Figure 18: European Pharmacies by Ownership Classification 2015
Figure 19: Retail Pharmacies in Private and Public Chains in 20 Countries in Europe – 2015
Figure 20: Europe % Pharmacies in Wholly Owned Private Chains by Country 2015
Figure 21: 20 Key Markets – Location of Wholly Owned Chain Pharmacies by State in Europe 2015
Figure 22: Ownership Regulations for Pharmacies in Europe as at October 2015
Figure 23: Europe’s Leading Retail Pharmacy Chains 2015
Figure 24: % of Pharmacies in Virtual Retail Pharmacy Chains – Main European Markets 20
Figure 25: Growth of Pharmacies in Main Supermarket Groups in the UK 2006 – 2015
Figure 26: WBA European Retail Pharmacy Portfolio % Share of Revenue by State
Figure 27: Celesio European Retail Pharmacy Portfolio % Share of Revenue by State
Figure 28: Phoenix European Retail Pharmacy Portfolio % Share of Revenue by State

Chapter 2
Pharmaceutical Distributors New Strategies in Europe
Figure 1: Pharmaceutical Supply Chain in Europe
Figure 2: Summary of Services Provided by Pharmaceutical Wholesalers
Figure 3: Market Shares of Top 4 Pharmaceutical Distributors by Country in Europe 2015
Figure 4: Pharmaceutical Wholesaler Strategies in Europe
Figure 5: % Intermediary Market Share of Leading International Pharmaceutical Distributors in Europe based on Wholesale/Logistics Turnover 2014/15 – 20 Country European Market Study
Figure 6: International European Pharmaceutical Distributor Groups’ Turnover 2014/20 (est € millions)
Figure 7: Major Pharmaceutical Wholesaler’s’ and Channel Managers’ National and Consolidated % Intermediary Market Share 2014/15 - 20 European Market Study
Figure 8: Leading International Pharmaceutical Wholesalers Rank Position by Country Market 2015
Figure 9: Estimated - % Split of European Pharmaceutical Distributors’ Turnover between Wholesaling/Logistics and Retail Pharmacy Sales 2014/

Chapter 3
Profiles of Companies Driving the European Pharmaceutical Supply Chain
Figure 1: Celesio Consolidated Sales & Profits (€000) 2011 - 2014
Figure 2: Celesio Group Turnover by Country and Main Activity - (€ Millions) 2014
Figure 3: Celesio European Retail Pharmacy Estate Development December 2003 to December 2014
Figure 4: Celesio - European Retail Pharmacy Turnover 2014 compared to 2012 – Revenue Analysis €millions
Figure 5: Lloydspharmacy (Celesio)European Average Turnover per Pharmacy by Country 2014 compared to 2012 €millions
Figure 6: Celesio’s Market Share by European Pharmaceutical Wholesale Market 2015
Figure 7: WBA – Wholly Owned Boots Pharmacies in Europe by Country 2015
Figure 8: Alliance Boots Summary of Sales and Trading Profit – 31st March 2014 compared to 31st March 2013
Figure 9: Alliance Boots % Growth Sales and Trading Profit – 31st March 2014 compared to 31st March 2013
Figure 10: Boots Retail Pharmacy Sales by Country – 31st March 2014
Figure 11: Alliance Boots European Retail Pharmacy Estate 2015 compared to 2006
Figure 12: Boots Health and Beauty Retail Business in the United Kingdom 31st March 2014
Figure 13: Average Store Turnover year ending 31st March 2014 €millions
Figure 14: Alliance Healthcare Revenue by Country 31st March 2014
Figure 15: Alliance Healthcare Estimated Positional Market Ranking - Intermediary Pharmaceutical Market by European Country 2015
Figure 16: Phoenix Summary of Profit and Loss 2013 to 2015
Figure 17: Phoenix – Revenue Analysis by Geographic Region and Retail and Wholesale Businesses 2014/2015
Figure 18: Phoenix Share of Company Wholesaling and Logistics Turnover by Operational Area 2014/15
Figure 19: Phoenix Pharmaceutical Wholesaling Market Shares – Europe - % € Share 2015
Figure 20: Phoenix Share of Company Retail Pharmacy Turnover by Operational Area 2014/15
Figure 21: Phoenix Retail Pharmacies by Brand and Country – Europe 2015
Figure 22: Phoenix Cooperation Partner and Concept Groupings of Participating Pharmacies 2015
Figure 23: Shareholding, Corporate Structure and Operating Companies – Sanastera
Figure 24: Sanastera – Sales and Profits by Country Year ending 31.12.2014
Figure 25: Sanastera % Share of Turnover by Country 31.12.2014

Chapter 4

New Channels for Consumer Healthcare in Europe

Figure 1: Non-prescription and Prescription only Medicines Status for Mail Order and Internet Pharmacy in European Countries under Study
Figure 2: Digital Pharmacy Clusters as a result of Regulatory Restrictions and Pharmacy Grouping Influences on Distance Marketing of Pharmaceutical Products
Figure 3: Germany – Value Share of Category Sales Mail Order and Digital Pharmacy compared to Traditional Retail Pharmacy
Figure 4: Leading ‘Pure play’ Mail Order and Internet Pharmacies in Europe – based on estimated euro Turnover for 2014
Figure 5: Relative Market Shares of the Online UK Health and Beauty Market by Retail Destination

Chapter 5

OTC Distribution in Belgium

Figure 1: Belgium Total Self-medication Market 2010 – 2015 est
Figure 2: Belgium – Self-Medication Market Category Share
Figure 3: Leading OTC Self-medication Brands in Belgium
Figure 4: Europe’s Top 5 per Capita Consumption OTC Self-medication Markets - Average OTC € Purchases Per Inhabitant 2015
Figure 5: Outline Structure of OTC Pharmaceutical Distribution in Belgium
Figure 6: Pharmacy Development Belgium 1997 - 2014
Figure 7: Ownership of Pharmacies – Belgium 2015
Figure 8: Leading Cooperative Retail Pharmacy Groups – Belgium by Number of Pharmacies 2006 Compared to 2015
Figure 9: Belgium - Average % Share of Pharmacy Turnover by Category
Figure 10: Belgium - Price Build Up Non-prescription Medicines in Pharmacies
Figure 11: Lifé Pharma Intermediary Pharmaceutical Market Share 2008 - 2014/15
Figure 12: Belgium - Leading Pharmaceutical Wholesalers’ Market Shares 2008 - 2014/15
Figure 13: Belgium Sales Forecast Non-prescription Medicines to 2019

Chapter 6

OTC Distribution in France

Figure 1: Belgium Total Self-medication Market 2010 – 2015 est
Figure 2: Belgium – Self-Medication Market Category Share
Figure 3: Leading OTC Self-medication Brands in Belgium
Figure 4: Europe’s Top 5 per Capita Consumption OTC Self-medication Markets - Average OTC€Purchases Per Inhabitant 2015
Figure 5: Outline Structure of OTC Pharmaceutical Distribution in Belgium
Figure 6: Pharmacy Development Belgium 1997 - 2014
Figure 7: Ownership of Pharmacies – Belgium 2015
Figure 8: Leading Cooperative Retail Pharmacy Groups – Belgium by Number of Pharmacies 2006 Compared to 2015
Figure 9: Belgium - Average % Share of Pharmacy Turnover by Category
Figure 10: Belgium - Price Build Up Non-prescription Medicines in Pharmacies
Figure 11: Lifé Pharma Intermediary Pharmaceutical Market Share 2008 - 2014/15
Figure 12: Belgium - Leading Pharmaceutical Wholesalers’ Market Shares 2008 - 2014/15
Figure 13: Belgium Sales Forecast Non-prescription Medicines to 2019

Chapter 7

OTC Distribution in Germany

Figure 1: Germany Total Non-prescription and Self-medication Market 2010 – 2015 est €millions at Consumer Prices
Figure 2: Germany – Impact of Act on the Modernization of Statutory Health Insurance (GMG) on Non-prescription Medicines and Self-Medication Markets Growth indices 2003 – 2014 (2003 = 100)
Figure 3: Germany – OTC Medicines Market Share by Category May 2015 compared to May 2013
Figure 4: Share of the German OTC Consumer Healthcare Market by Channel 2015
Figure 5: Outline Structure of Non-prescription Pharmaceutical Distribution through Retail Pharmacies in Germany
Figure 6: Total Number of Pharmacies in Germany (000’s) by Year 1995 to 2014
Figure 7: Number of Retail Pharmacy and Branches Owned in Germany - by Geographic Region 2014 compared to 2012 and 2010
Figure 8: Analysis share of Retail Pharmacy Branches as a Percentage of all Retail Pharmacy Outlets in Germany by Region 2014 compared to 2012 and 2010
Figure 9: Analysis of Retail Pharmacy Branches by Ownership in Germany 2005 – 2014
Figure 10: Analysis of Retail Pharmacy Branches in Business Units of 1 to 4 Pharmacies in Germany
Figure 11: Average Pharmacy Turnover in Germany 1998 to 2014
Figure 12: % Share of Pharmacies by Annual Turnover € millions - Germany 2014
Figure 13: Analysis of Annual Pharmacy Value Turnover in Germany by Category 2003 - 2014
Figure 14: Make-up of Pharmacy Supplementary (Non – medicinal) Ranges € Billions in Germany
Figure 15: Frequency of Consumer Visits to Pharmacies in Germany 2015
Figure 16: Reasons German Shoppers Give for Choosing a Pharmacy 2015
Figure 17: Retail Pharmacy Cooperation Groupings or Virtual Chains of Independent Pharmacies in Germany 2015
Figure 18: Consumer Awareness of Pharmacy Chain Umbrella Brands in Germany 20 compared to 2014
Figure 19: Number of Pharmacies in Germany with a Mail Order License
Figure 20: Germany Euro Sales Revenue of the Internet and Mail Order Pharmacy Channel by Category
Figure 21: Internet and Mail Order Pharmacy Trends - Share of Sales by Category 2012 to 2014
Figure 22: Sales of Non-prescription Healthcare and through Internet and Mail Order Pharmacies in Germany 2007 – 2015 est
Figure 23: % Split of Sales of Non-prescription Medicines and through Mail Order Pharmacies in Germany by main Category
Figure 24: Percent Share of Turnover Purchased from Mail Order Pharmacies for Nonprescription Medicines by Category 2015
Figure 25: Germany - % Consumers claiming to have purchased from Mail Order Pharmacies 2013 - 2015
Figure 26: Germany – The Number of Wholesalers used by Pharmacies
Figure 27: Consolidation of German Pharmaceutical Wholesalers 1981 – 2015
Figure 28: German Pharmaceutical Wholesalers’ % Market Shares in 1995 – 2014
Figure 29: Germany - Pharma Privat Operating Statistics 2015
Figure 30: Germany - Non-pharmacy Consumer Healthcare % Share of Market by Retail Channel (excluding Health Food Shops – Reformhauser)
Figure 31: Top Druggist (Drogeriemärkte) Chains in Germany – by Number of Stores
Figure 32: Top Druggist (Drogeriemärkte) Chains in Germany by Turnover €Millions 2014
Figure 33: Sources of Consumer Information for Health Topics in Germany
Figure 34: % Population Suffering Conditions Compared to % Treating with OTC Selfmedication Remedies in Germany
Figure 35: Germany Principal Sources of Information for Consumers Seeking Advice about Non-prescription Medicines
Figure 36: Forecasts for Non-prescription Medicines in Germany to 2019 € millions at Consumer Prices

Chapter 8

OTC Distribution in Italy

Figure 1: Italy Total Non-prescription and Self-medication Market 2010 – 2015 € millions at Consumer Purchase Prices
Figure 2: Italy – Self-Medication Market Share and Growth by Therapeutic Category
Figure 3: Share of Non-prescription Medicines Value of Consumer Purchases by Channel in Italy 2010 - 2014
Figure 4: Growth in the Number of Public Owned Pharmacies in Italy 2004 – 2015
Figure 5: Growth in Number of Private Pharmacies and Publicly Owned and Populations served compared by Region in Italy 2010 – 2015
Figure 6: Pharmacy Density compared to Population Density by Region in Italy 2015
Figure 7: Retail Pharmacy Chains in Italy 2014
Figure 8: Groups of Independent Pharmacies Affiliated to Major Pharmaceutical Distributors in Italy
Figure 9: Turnover analysis of Italian Pharmacies by Category 2014
Figure 10: Development of Parapharmacies and OTC Corners in Italy 2007 - 2014
Figure 11: Geographic Distribution of Parapharmacy Channels in Italy 2015
Figure 12: Italy –Sales of Non-prescription OTC Self – medication through Parapharmacy Retail Channels 2010 – 2014 -€millions
Figure 13: Italy %Share of category Volume Sales – Para-pharmacy (Sanatoria) Stores compared to Hypermarket Parapharmacy Corners 2014
Figure 14: % Ailments and Conditions Treated with OTC Medication in Italy Compared to the USA and other Major Nationalities
Figure 15: % Population Suffering Conditions Compared to % Treating with OTC Selfmedication Remedies in Italy
Figure 16: Leading Pharmaceutical Wholesalers Market Share in Italy 2015
Figure 17: Forecasts for Non-prescription Medicines in Italy to 2019 € millions at Consumer Prices

Chapter 9

OTC Distribution in the Netherlands

Figure 1: The Netherlands Total Self-medication Market 2010 – 2015 est
Figure 2: The Netherlands – Share of Personal Care Market by Product Group
Figure 3: The Netherlands – OTC Self-Medication Market Share by Therapeutic Category 2010 – 2014
Figure 4: The Netherlands - Estimated Pharmacy Price Build up for OTC Medicines
Figure 5: Share of the Dutch Consumer health Market by Channel
Figure 6: The Netherlands – Number of Stores Selling Non-prescription OTC Self-medication and Value Sales – Analysis by Channel type 2014 compared to 2012
Figure 7: The Netherlands – Market Share of the OTC Self-medication Market by Channel 20 compared to 2012 (excludes prescription business and Internet sales)
Figure 8: The Netherlands – Analysis % Retail Channel Category Share of OTC Self-medication by Pharmacy, Druggist and Supermarkets 2014
Figure 9: Average Store Turnover of OTC Medicines by Retail Channel Type in the Netherlands 2008 and 2014
Figure 10: Main Druggist Chains in the Netherlands by Number of Outlets 2015
Figure 11: The Netherlands - % Share of OTC Self-medication in Druggists by Group -2015
Figure 12: Analysis - Growth of Pharmacies and Decline in Drugstores (Druggists) Numbers in the Netherlands 2003 – 2014
Figure 13: Top Pharmacy Chains in the Netherlands 2015
Figure 14: e-commerce Major Pharmacy Chains in the Netherlands
Figure 15: e-commerce Major Druggist Chains in the Netherlands
Figure 16: Market Shares of Pharmaceutical Wholesalers the Netherlands 2015
Figure 17: Forecasts for Non-prescription Medicines in the Netherlands to 2019 - € millions at Consumer Prices

Chapter 10

OTC Distribution in Spain

Figure 1: Spain Total OTC Medicines Market 2010 – 2015 est
Figure 2: Spain - Analysis of the Retail Consumer Care Market 2015
Figure 3: OTC Self-medication Sector % Value Share by Sub-group
Figure 4: Spain – Self-Medication % Market Share by Therapeutic Category
Figure 5: Growth of Number of Pharmacies in Spain 1990 to 2014
Figure 6: Number of Pharmacies by Autonomous Community – Spain - 2014 Compared to 2012
Figure 7: Spain - Distribution of Pharmacies compared to Provincial Population
Figure 8: Analysis - Number of Pharmacies by Province 2014
Figure 9: Spain - Analysis of Pharmacy Turnover 2014
Figure 10: Spain – Non-prescription Medicines Price Margin Calculations
Figure 11: Spain– Consumers who Shop Online Pharmacies – What they Buy
Figure 12: Spain – Pharmaceutical Wholesalers’ Market Shares 2015
Figure 13: Spain - COFARES Market Share by Year 2007 - 2014
Figure 14: % Ailments and Conditions Treated with OTC Medication in Spain Compared to the USA and other Major Nationalities
Figure 15: % Spanish Population Suffering Conditions Compared to % Treating with OTC Selfmedication Remedies
Figure 16: Forecasts for Non-prescription Medicines in Spain to 2019 - € millions at Consumer Prices

Chapter 11

OTC Distribution in the United Kingdom

Figure 1: The UK Consumer Purchases of OTC Medicines 2010 – 2015 est - Retail Selling Price (RSP)compared to Manufacturers’ Selling Price(MSP)
Figure 2: The UK – Average %Share of the Non-prescription Medicines Market by Consumer Source of Purchase 2015
Figure 3: United Kingdom – Self-Medication Value % Market Share - Consumer Purchases by Therapeutic Categories 2015
Figure 4: UK - % Types of Pharmacies from which Respondents bought Products in last Months 2014 (Allows for Multiple Answers)
Figure 5: Number of Pharmacies in the United Kingdom and Northern Ireland by Region 2015
Figure 6: Retail Pharmacy Groupings in the UK - Chain Stores and Independent Pharmacies 2015
Figure 7: Leading Pharmacy Chains and Number of Outlets in the United Kingdom 2015
Figure 8: Boots Health and Beauty Retail Business in the United Kingdom 31st March 2014
Figure 9: Number of Pharmacies Located in Leading Supermarket and Discount Drug Chains in the UK 2015
Figure 10: Leading Supermarket Groups % Share of the Grocery Market in the UK 2015
Figure 11: Leading Regional Independent Pharmacy Multiples in the UK 2015
Figure 12: Consumers Source of Online Pharmacy Purchase 2014
Figure 13: Celesio Wholesale Turnover € Millions 2014 in the UK
Figure 14: Alliance Healthcare Turnover € Millions 31st March 2014 in the UK
Figure 15: Where British Consumers Get Advice on Treating Minor Ailments
Figure 16: % Population Suffering Conditions Compared to % Treating with OTC Selfmedication Remedies in the UK
Figure 17: How Consumers in the United Kingdom Treat Minor Ailments
Figure 18: Table: Forecasts for Non-prescription and OTC Self-medication Medicines in the

Chapter 12

OTC Distribution in Austria & Switzerland

Figure 1: Austria - Total Non-prescription Medicines and OTC Self-medication Market 2010 – 2015 estimate - € millions at Consumer Prices
Figure 2: Austria Non-prescription Market % Share by Registered and Unregistered Medicines and Semi-ethical Medicines
Figure 3: Austria – Self-Medication Market Share by Therapeutic Category
Figure 4: Number of Pharmacies in Austria 2009 - 2014
Figure 5: Austria – Number of Retail Pharmacies by Federal State 2009 - 2014
Figure 6: Austria - Average Pharmacy Turnover 2006 – 2014
Figure 7: Austrian Pharmacy - Average Source of Business 2014
Figure 8: Austria - % Respondents using Internet Pharmacies by the Number of Times they shopped the Channel in last 24 Months
Figure 9: Forecasts for Non-prescription Medicines in Austria to 2019 € millions at Consumer Prices
Figure 10: Switzerland Total Self-medication Market 2010 – 2015 est
Figure 11: Switzerland – Non-prescription Pharmaceutical and Self-Medication Markets Growth indices 2010 – 2015 est (2010 = 100) Local Currency compared to Euro
Figure 12: Switzerland - Non-prescription Medicines Value Share by Distribution Channel
Figure 13: Switzerland – Self-Medication Market Share by Therapeutic Category 2010 to 2014
Figure 14: Healthcare Turnover by Channel – in Switzerland
Figure 15: % Share of the Non-reimbursable Consumer Healthcare Market by Channel
Figure 16: Switzerland - The Distribution of Pharmacies by Region and Canton
Figure 17: Switzerland - % Split of Pharmacies into Unaffiliated, Voluntary Groups and Wholly Owned Chains
Figure 18: Analysis of Growth in Pharmacy Affiliations in Switzerland 2005 - 2014
Figure 19: Wholly owned pharmacy chains in Switzerland
Figure 20: Groupings of Affiliated Independent Pharmacies – Virtual Chains in Switzerland 2010 -2014
Figure 21: Distribution of Pharmacy Turnover in Switzerland by % of Pharmacies in CHF Millions
Figure 22: Switzerland – Market Shares of Leading Mail Order and Internet Pharmacies
Figure 23: Switzerland – Summary of Online Shopping Services by Leading Pharmacy Chains
Figure 24: Swiss Druggists Analysis of Turnover by Category
Figure 25: Leading Drugstore Groupings in Switzerland - 2015
Figure 26: Leading Swiss Pharmaceutical Wholesalers
Figure 27: Forecasts for Non-prescription Medicines in Switzerland to 2019 € millions at Consumer Prices

Chapter 13

OTC Distribution in the Nordic Region

Figure 1: Sweden - Total Self-medication Market 2010 – 2015 est € millions at Retail Selling ’Prices
Figure 2: Share of Sales by Pharmacy and Non-pharmacy Channels for OTC Medicines in Sweden 2015
Figure 3: Sweden – Self-Medication Market Share by Therapeutic Category 2012 – 2014
Figure 4: Apoteket Pricing Formula abolished 2009
Figure 5: Reimbursement Rates for Swedish Patients 2015
Figure 6: Growth in the number Pharmacies in Sweden 2009 to 2015
Figure 7: Sweden - Number and Growth of Pharmacies by Region 2009 to 2014
Figure 8: Sweden - The number Pharmacies owned by leading Chains and Retail Market Share as at June 2015
Figure 9: Sweden – Pharmacy Chain Growth and Consolidation Events 2009 - 2015
Figure 10: Sweden - Analysis of Pharmacy Turnover by Volume and Value
Figure 11: Frequency of Visits - Pharmacy Shoppers in Sweden
Figure 12: Apoteket AB Sales and Operating Profit 2012 to 2014
Figure 13: Sweden - Lloydsapotek Sales 2012 to 2014
Figure 14: Sweden Retail Pharmacy Chains URLs
Figure 15: Sweden - Leading Pharmaceutical Distributors Market Share 2015
Figure 16: Forecasts for Non-prescription Medicines in Sweden to 2019 € millions at Consumer Prices
Figure 17: Denmark – Total Self-medication Market 2010 – 2015 est € millions at Pharmacy Purchase Price
Figure 18: Denmark - %Share of Non-prescription Medicine Sales by Retail Channel 2009 2015
Figure 19: Denmark - Pharmacy Controlled Outlets Distributing Prescription Medicines and OTC Self-medication 2008 - 2014
Figure 20: Analysis of Pharmacy Turnover in Denmark
Figure 21: Forecasts for Non-prescription Medicines in Denmark to 2019 € millions at Consumer Prices
Figure 22: Finland - Total Non-prescription and Self-medication Market 2012 – 2015 est
Figure 23: Finland – Non-prescription Medicines and OTC Self-medication Market Share by Therapeutic Category 2012– 2014
Figure 24: Margins for non-reimbursed, non-prescription medicines in Finland
Figure 25: Forecasts for Non-prescription Medicines in Finland to 2019 € millions at Consumer Prices
Figure 26: Norway – Development of the Pharmaceutical Non-prescription OTC Selfmedication Market 2010 – 2015(estimate) - Consumer Prices € millions
Figure 27: Norway Total OTC Self-Medication Sales - % Split by Major Therapeutic Category (Value) 2012 -2014
Figure 28: Norway - Total of Retail Pharmacy Outlets 2015
Figure 29: Number of Stores Leading Retail Pharmacy Chains in Norway 2015 Compared to 2013
Figure 30: Norway - Market Shares Leading Retail Pharmacy Groups 2011 to2015
Figure 31: Norway - Average % Share of Pharmacy Turnover by Category
Figure 32: Norway - Development of % Share of Pharmacy Turnover from Traded Goods or Complimentary Ranges 2004 to 2015
Figure 33: Consumption of Leading OTC Medicines Purchased from Non-Pharmacy Channels in Norway 2014
Figure 34: Norway – Share of OTC General Sale Market (GSL) through Non-pharmacy Retail Channels of Distribution based on Daily Dose Consumption 2004 – 2014
Figure 35: Five Year Development of the Market Shares of Leading Pharmaceutical Distributors in Norway 2010 to 2014
Figure 36: Figure 37: Forecasts for Non-prescription Medicines in Norway to 2019 € millions at Consumer Prices

Chapter 14

OTC Distribution in Central Europe

Figure 1: Poland’s Non-prescription Market at Retail Prices € Millions 2010 – 2015
Figure 2: Poland – Non-prescription Medicines and OTC Self-medication Market % Share by Therapeutic Category 2010 – 2015 est
Figure 3: Populations in Main Metropolitan Areas in Poland
Figure 4: The Total Retail Pharmacy Market in Poland 2006 – 2014 PLM Billions RSP
Figure 5: Poland % Share of Pharmacy Turnover by Category 2014
Figure 6: Poland - Number of Pharmacies and Number of Inhabitants per Pharmacy by
Province Estimated as at December 2014
Figure 7: Structure of Retail Pharmacy in Poland
Figure 8: The Growth of Network Pharmacies compared to the Decline in the Number of Independent Pharmacies in Poland 2006 - 2014
Figure 9: The Growth of Pharmacy Networks in Poland 2005 - 2014
Figure 10: The Analysis of Pharmacy Networks by Size of Group in Poland
Figure 11: Leading Retail Pharmacy Chains in Poland 2015
Figure 12: Poland - Pharmacy Networks with Franchises
Figure 13: Leading Internet Pharmacies in Poland
Figure 14: Leading Retail Pharmacy Chains in Poland Online Services
Figure 15: Analysis Leading National Polish Pharmaceutical Wholesalers Market Share 20
Figure 16: Summary of CF CEFARM Sales and EBITA
Figure 17: Forecasts for Non-prescription Medicines in Poland to 2019 € millions at Consumer Prices
Figure 18: Hungary Total Non-prescription Self-medication Market 2010 – 2015 est
Figure 19: Hungary – Self-Medication % Market Share by Therapeutic Category
Figure 20: Average Wholesaler and Pharmacy Margins in Hungary
Figure 21: Hungary – Average % Share of Pharmacy Turnover by Category
Figure 22: Wholly Owned Pharmacy Networks (Chains) in Hungary
Figure 23: Market Shares of the Main Pharmaceutical Wholesalers in Hungary 2015
Figure 24: Forecasts for Non-prescription Medicines in Hungary to 2019 € millions at Consumer Prices
Figure 25: Czech Republic - Total Self-medication Market 2010 – 2015
Figure 26: Czech – Self-Medication Market Share by Therapeutic Category 2010 – 2014
Figure 27: Czech Republic – Average Sales Mix by % Share of Pharmacy Value Turnover
Figure 28: Czech Republic - Number of Pharmacies Serving Inhabitants per Region
Figure 29: Czech Republic – Pharmacies by Ownership Segments
Figure 30: Czech Republic - Leading Wholly Owned Retail Pharmacy Chains
Figure 31: € % Market Share Pharmaceutical Full Line Wholesalers in the Czech Republic 2015
Figure 32: Forecasts for Non-prescription Medicines in Czech Republic to 2019 € millions at Consumer Prices
Figure 33: Slovak Republic - Total Self-medication Market 2010 – 2015 (est)
Figure 34: Slovakia – Self-Medication Market Share by Therapeutic Category
Figure 35: Number of Retail Pharmacies and Number of inhabitants per Pharmacy in the Slovak Republic 2000 to 2014
Figure 36: Number of Pharmacies and Number of inhabitants per Pharmacy by Region in the Slovak Republic
Figure 37: Slovak Republic - Average Sales Mix by % Share of Pharmacy Value Turnover
Figure 38: Slovakia - % of Pharmacies by Ownership Segment
Figure 39: Pharmacy Chains in Slovakia 2015
Figure 40: Cooperation Groups of Independent Pharmacies (Virtual Pharmacy Chains) Affiliated to Major Wholesalers in the Slovak Republic
Figure 41: Forecasts for Non-prescription Medicines in Slovak Republic to 2019 €millions at Consumer Prices
Figure 42: Slovenia - Total Self-medication Market 2010 – 2015(est)
Figure 43: Slovenia – Self-Medication Market Share by Therapeutic Category
Figure 44: Pharmacies in Slovenia by Type as at 31st December 2014
Figure 45: Forecasts for Non-prescription Medicines in Slovenia to 2019 € millions at Consumer Prices
Figure 46: Bulgaria Total Self-medication Market €millions 2010 – 2015 est
Figure 47: Bulgaria – Non-prescription Self-Medication % Market Share by Therapeutic Category
Figure 48: Estimated Average Split of Pharmacy Turnover in Bulgaria by Category
Figure 49: Leading Pharmaceutical Distributors in Bulgaria
Figure 50: Bulgaria - Forecast of Non-prescription Consumer Purchases 2015 to 2019 € Millions at Retail Selling Prices
Figure 51: Romania - Non-prescription Medicines Sales through Pharmacies 2010 – 2015 est € Millions at Consumer Prices
Figure 52: Romania – Self-Medication Market Share by Therapeutic Category 2014
Figure 53: Average Wholesaler and Pharmacy Margins in Romania
Figure 54: Permitted Pharmacy Margins based on Wholesaler Prices – Prescription Medicines in Romania
Figure 55: Average Annual Turnover of individual Branches from Top Retail Pharmacy Networks in Romania 2015
Figure 56: Estimated Average Split of Pharmacy Turnover in Romania by Category
Figure 57: Leading Pharmacy Chains in Romania
Figure 58: The Development of the Help Net Pharmacy Chain in Romania 2007 – 2015
Figure 59: Market Shares - Leading Pharmaceutical Distributors in Romania 2014
Figure 60: Annual Turnover of Leading Pharmaceutical Distributors 2014 - Romania
Figure 61: Forecast Non-prescription Medicine Sales in Romania to 2019 - €Millions at Consumer Prices

Chapter 15

Conclusions of the Report

Challenges of the New Global Agenda - OTC Distribution in Europe
Figure 1: Forecast of Sales of the Total Non-prescription Bound and OTC Self-medication market for 20 major Markets - € millions at Consumer Purchase Prices 2015 - 2019
Figure 2: Europe – 20 Country Markets % Growth Estimates compared for Non-prescription Medicines to 2019
Figure 3: Europe - 20 Country Study Prognosis and Key Issues for the Strategic Agenda by Country to 2019
Figure 4: Europe’s Main OTC Medicines Markets Ranked by Marketing Freedoms 2015
Figure 5: Europe’s Main OTC Medicines Markets Ranked by Pharmacy Freedoms 2015
Figure 6: Europe’s Main OTC Markets Ranked by Total Freedoms 2015

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FEATURED COMPANIES

  • A.S. Watson
  • Catena
  • Farmaciile Dona
  • Kronans Apotek
  • Oktal
  • Sensiblu
  • MORE

A new and rapidly evolving competitive agenda is enveloping the supply networks which serve 473 million people living in 20 European countries with €29 billion worth of consumer health products.

Merger and acquisition activities are globalizing the supply chain and intensifying competitive pressures. Cross border mixed pharmacy chains are reshaping the consumer channel. Powerful retail brands employ digital technologies to drive multi-channel strategies and Internet pharmacies are undermining consumer prices.

Independent pharmacies are forming collectives, affiliated groupings and virtual chains in an attempt to remain competitive. Reducing government payments toward reimbursed prescription drugs and pressures on fees are forcing pharmacies to seek business from non price regulated consumer care ranges. Furthermore, deregulation of the non-prescription healthcare sector is shifting consumer demand to non-pharmacy channels in a number of countries.

OTC Distribution in Europe - the 2016 edition is a long running in-depth study that explores and tracks change. It identifies the driving factors coming into play which will influence the distribution channel environment for the consumer healthcare industry now and in the future. It provides a wealth of knowledge and comprehensive statistics and analysis covering 20 European countries, together with insights into an increasingly complex market sector from a highly respected strategy consultant, James W Dudley.

Among the main findings that will influence supplier strategies are:
- Global aggregation of purchasing power, technology transfer and marketing synergies from mergers and strategic alliances between major North American and European retail and wholesale pharmacy companies
- The development of multi-channel retail pharmacy brands driven by cross border retailers
- Distributor strategies to expand economies of scale to invest in automation and new customer services thus increasing cost efficiencies and maximizing competitiveness
- Continued reregulation of retail channels and the growth of mail order and cross-border Internet pharmacies
- The growing importance of mixed estates of retail pharmacy groupings evolving into Europe-wide hybrid chains that overcome national restrictions on pharmacy ownership
- The growth of affiliated groupings of independent pharmacies to compete in procurement and marketing
- The development of digital technologies to reach out to multi-channel shoppers
- Mass market retailers' ambitions to capture a share of the pharmacy market through products licensed for sale in non-pharmacy outlets and the acquisition of pharmacy licenses
These issues together will have a major influence on how manufacturers plan their strategies over the next few years.

Examples of findings of this new 20 country study are:
- 85% of the consumer health market turnover passes through 145,143 pharmacies, while 15% is accessed through supermarkets, discounters, convenience stores, druggists and Internet and mail order pharmacies
- 15% of European pharmacies are branches of wholly owned pharmacy multiples many of them international chains
- One in three European pharmacies is a member of a ‘virtual chain' or affiliated cooperation group of independent pharmacies
- Internet pharmacies are playing an increasing role in consumers sources and choices of purchases for consumer healthcare and related products and services especially in Germany, the UK and Belgium
- Nearly half of the intermediary pharmaceutical wholesale market is controlled by a handful of players

"In each new edition of OTC Distribution in Europe we discover new challenges or find old challenges that are changing shape. These will have positive or negative impacts on the business environment. Meeting these challenges and responding with effective plans will be a strategic necessity in the medium term. This means that all the stakeholders in the consumer healthcare sector need to explore the strategic opportunities and threats to find new factors for competitive success.

The aim of this 10th edition of OTC Distribution in Europe is to identify the challenges driving change and to provide thoughts on how to anticipate unfolding threats and seize opportunities"

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- A.S. Watson
- AAH Pharmaceuticals (Celesio)
- AAH Wilkinson Healthcare
- Alliance Healthcare (WBA) Previously SA Farmacéutica Aragonesia (SAFA)
- Alma Patika
- Almus
- AmedisUE
- AmerisourceBergen
- Apokjeden Tamro
- Apoteket AB
- Apoteket AB
- Apoteksgruppen
- Apotheke zur Rose
- Astera CERP Rouen
- Auchan
- BENU Pharmacy
- Belmedis Welcoop
- Benu (Phoenix )
- Benu Apotheek (Escura Apotheek)
- Benue Phoenix
- Bestway Group
- Boots
- Brocacef Holdings Benu Pharmacy
- CEFARM Pharmaceutical SA
- CERP Lorraine
- CERP SA Astera cooperative group
- COFARES Spain
- Carrefour
- Catena
- Cecofar
- Cefarm 24
- Celesio Italy
- Cohens Chemist
- Cosmetic Products
- Csillag Patikák
- DIO
- Ditt Apotheke
- DocMorris
- Docsimon (Dr Max)
- Doz SA Pharmacy Chain Dbam o Zdrowie
- Dr Bähler
- Dr Max (Penta)
- Druzstvo Lekární
- Edifa
- Enterprise
- Etos
- FarmNet
- Farmaciile Dona
- Farmaciile Ropharma
- Farmacol
- Farmakol
- Farmanova
- Farmexim
- Farmexpert (WBA)
- Febelco
- Feder FARMACO
- Fildas Trading
- Galenica
- Galexis
- Gehe (Celesio McKesson) Pharmaceutical
- Guangzhou Pharmaceuticals Corporation
- Hefame
- Help Net
- Humantrade
- Humantrade (Teva)
- Hungaropharma Pharmaceutical Wholesaler in Hungary
- Hydra Pharm
- ICA Gruppen
- Kalisvaart
- L. Rowland (Phoenix) Retail Pharmacy Chain in the UK
- Leclerc
- Lekarna Dev*tsil
- Lekarna IPC
- Lekarna.cz
- Libra SA (Phoenix)
- Lifé Pharma
- Liz Earle Beauty Co. Ltd
- Lloyds pharmacy
- MIDAS
- MedArt
- MediService
- Mediplus
- Mediq Pharmacy Chain (Brocacef)
- Medsen Pharmacy
- Moje Lekarna
- Moje Lekarna (My pharmacy)
- Neuca (Torfarm)
- Norsk Medisinaldepot AS (NMD)
- Noweda
- Numark
- Numark Phoenix
- Oktal
- Op = Op Voordeelshop
- OriolaAB
- OriolaKD
- Kronans Apotek
- Medstop
- Other Pharmacy Chains in Switzerland
- Other Retail Pharmacy Chains in the Slovak Republic
- Parashop
- Pharma Belgium
- Pharma Focus
- Pharma Privat Pharmaceutical
- Pharmacy Chain Dr. Max (Penta)
- Pharmacy Chain Euro Apeteka
- Pharmadirect
- Pharmapool
- Pharmos
- Pharmos •eská lékárnická
- Phoenix
- Phoenix Comifar Group Italy
- Phoenix Healthcare
- Phoenix Lékárenský Wholesale in Czech Republic
- Phoenix Medical Supply
- Phoenix Wholesaling in Hungary
- Piluka/CoPharm
- Pilulka.cz CoPharm and Topfarm Collaboration Model
- Pingvin Patika
- Polisano
- Polska Grupa Farmaceutyczna S.A
- SPEM (Valore Salute)
- Sanacorp
- Sanacorp (Sanastera) Pharmaceutical
- Sanastera
- Schneider
- Sensiblu
- Service Apotheken
- So.Farma.Morra
- Soliel Bleau (Cora)
- Sopharma Trading
- Sting
- Sunpharma (Phoenix)
- Tamro Phoenix
- The Day Lewis Group
- The Nivel Report
- Thio Pharma
- Top Pharma
- Topwell Group
- Trident
- Unidrug Distribution Group (UDG)
- Unifarma Distribuzione S.r.I.
- Unifarma Prievidza
- Unione
- Uw Eigen Drogist
- Via Pharma (Penta)
- Visser Drogisterij
- Vitamin and Mineral Products
- Voigt
- WBA Health and Beauty
- Walgreens Boots Alliance (WBA)
- Zorggroep Almere
- Zur Rose Versandapotheke Swiss Distance Pharmacy
- Xtrpharm Versandapotheke

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