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THE PRESCRIPTION TO OVER-THE-COUNTER SWITCHES AND DOUBLE REGISTRATION OF MEDICINES - THE PERSPECTIVE OF PHARMACISTS FROM THE GREATER POLAND.

100%

Zaprutko T., Kopciuch D., Ratajczak P., Paczkowska A., Adamczak O., Kus K., Nowakowska E.

Acta Poloniae Pharmaceutica - Drug Research

2019

vol. 76

issue 5

907-912

The prescription to over-the-counter switch is a global occurrence. However, the switch phenomenon might be considered controversial. Nevertheless, the further development of switches seems to be inevitable, thus we collected pharmacists’ opinions about Rx-to-OTC switches including double registration of medicines. The study was conducted in pharmacies from the Greater Poland, using an anonymous questionnaire, which was delivered by direct contact. Finally, answers from 232 pharmacies were included in the study. Moreover, we analyzed data from 5500 Polish pharmacies, concerning the turnover of selected and doubly registered medicines. Rx-to-OTC switches were negatively evaluated by the majority (81.5%) of respondents. “Furaginum” was the most frequently chosen (60.8%) substance, which according to obtained answers should be available only on prescription. Study participants claimed that the most important drawback (chosen by 44.4% participants) of the double registration of medicines is the development of uncontrolled self-medication. Data obtained from a market research company revealed that the Rx-to-OTC switch may lead to the market share growth of OTC class (e.g. “furaginum”), but it is not the rule (e.g. “omeprazole/pantoprazole”). Although Rx-to-OTC switches are considered somewhat controversial, the switch, as well as double registration phenomenon, seems to be a subject of further development. However, in pharmacists opinion substances like “furaginum” should be available as an Rx-only brand instead of double registered medicine. In the case of Rx-to-OTC switches, additional information about possible side effects and/or interactions should be provided to the patients who might inappropriately use medicines.

Access to vaccination in the Greater Poland (Poland)

88%

Zaprutko T., Kopciuch D., Paczkowska A., Sawicka D., Stachowiak Z., Bogdaniec P., Kus K., Nowakowska E.

Acta Poloniae Pharmaceutica - Drug Research

2019

vol. 76

issue 1

195-201

Immunization is a very effective health intervention. Moreover, the global vaccines market has been growing rapidly and costs of full children immunization are dramatically higher nowadays than 30 years ago. High vaccine prices may limit affordability of vaccination which is why we attempted an evaluation of availability and affordability of 7 and non-reimbursed vaccines mostly used in children in Poland. The study was conducted between October 2016 and October 2017 using a specially designed anonymous questionnaire comprising three closed-ended questions. The study tool was distributed by direct contact or via the Internet. Eventually, answers from 505 pharmacies from the Greater Poland region and 10 primary care clinics were included. 5 out of 7 vaccines were available in all types of facilities. There were some issues, however, with availability of Bexsero® and Nimenrix®. Considering prices, the highest difference (of more than 100%) was found for Infanrix hexa® and the lowest (38.5%), for Infanrix IPV+HIB®. In 88.17% of pharmacies included, patients were informed about a thermo-insulating package. 48.39% of respondents indicated that such package is free of charge, while in other pharmacies an average price for the package was EUR 0.48. Although availability and affordability of medicines are crucial objectives of the public health policy, it seems that access to vaccines in Poland might be an area for improvement. Thus, prices of non-reimbursed vaccines could be regulated in Poland nationwide. Moreover, to provide trustworthy information concerning vaccination, healthcare decision makers should consider social education about immunization as an important issue.

Wpływ regulacji prawnych na poziom konkurencyjności aptek ogólnodostępnych

63%

Religioni U., Pakulska T.

Farmacja Polska

2020

vol. 76

issue 1

18-24

In recent years, a significant increase in intra-sector competition has been observed in the community pharmacy market. This phenomenon has been intensified by the increase in the concentration of owners and the emergence of so-called pharmacy chains. It was supported by two noticeable market trends: closing pharmacies by entrepreneurs who own individual pharmacies and opening new pharmacies by entrepreneurs who own many entities. Several major factors contributed to the development of this trend: the development of the pharmaceutical market and a large number of new drugs, expansion of cities and villages and the related need to create new pharmacies, caring for health and greater social awareness, aging of the society multiple morbidities. The above tendencies resulted primarily from high price competition mainly in the OTC (over the counter) segment of medicines or other products offered in pharmacies, e.g. cosmetics. As a consequence, the prices of products offered by chain pharmacies were significantly lower than those in individual pharmacies. An attempt to limit competition from the chain pharmacies was to amend the Pharmaceutical Law (the so-called "pharmacy for pharmacists"). The main restrictions introduced in 2017 include: ownership, quantitative and territorial restrictions, whose purpose was to limit the risk of complete market monopolization by large international entities and to reduce the degree of liquidation of small Polish entrepreneurs. The main purpose of the article is to present changes on the public pharmacies market as a result of the introduction of the "pharmacy for pharmacists" act. The article characterizes the community pharmacy market, indicates the factors of pharmacy competitiveness, and describes the legal regulations for the functioning of community pharmacies, together with an indication of the provisions on competitiveness in this market segment. The last part summarizes the impact of legal regulations changes on the structure of the pharmaceutical market.

W ostatnich latach na rynku aptek otwartych obserwowany był znaczący wzrost konkurencji wewnątrzsektorowej. Zjawisko to nasilone zostało poprzez wzrost koncentracji właścicieli i powstawanie tzw. sieci aptecznych. Próbą ograniczenia konkurencji ze strony sieci aptek było wprowadzenie zmian w ustawie Prawo farmaceutyczne (tzw. „apteka dla aptekarzy”). Głównym celem artykułu jest zaprezentowanie zmian na rynku aptek ogólnodostępnych w wyniku wprowadzenia ustawy „apteka dla aptekarzy”. W artykule dokonano charakterystyki rynku aptek ogólnodostępnych, wskazano na czynniki konkurencyjności aptek, opisano również prawne regulacje funkcjonowania aptek ogólnodostępnych wraz ze wskazaniem na przepisy dotyczące konkurencyjności w tym segmencie rynku. W ostatniej części podsumowano wpływ zmian regulacji prawnych na strukturę rynku farmaceutycznego.

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2 Acta Poloniae Pharmaceutica - Drug Research

1 Farmacja Polska

1 2020

2 2019

2 Kopciuch D.

2 Kus K.

2 Nowakowska E.

2 Paczkowska A.

2 Zaprutko T.

1 Adamczak O.

1 Bogdaniec P.

1 Pakulska T.

1 Ratajczak P.

1 Religioni U.

1 Sawicka D.

1 Stachowiak Z.

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THE PRESCRIPTION TO OVER-THE-COUNTER SWITCHES AND DOUBLE REGISTRATION OF MEDICINES - THE PERSPECTIVE OF PHARMACISTS FROM THE GREATER POLAND.

Access to vaccination in the Greater Poland (Poland)

Wpływ regulacji prawnych na poziom konkurencyjności aptek ogólnodostępnych