Question 2106 — pharmacy and medicines

Summary

Ms. Fadila Khattabi alerts the Minister of Solidarity and Health to the worrying economic situation of pharmaceutical distribution companies. In its report on the application of social security financing laws of September 20, 2017, the Court of Auditors confirms the difficulties faced by wholesale distributors. The Court, taking figures from the General Directorate of Public Finances, indicates that their turnover has continued to decrease since 2012 and considers that their method of remuneration is no longer adapted to developments in the pharmaceutical market. Also, the Court of Auditors recommends an overhaul of their remuneration model. Responsible players, the wholesale distributors who supply 22,008 pharmacies, ensure a real public health service mission. An essential link in the drug chain, these Companies ensure equal access to medicines throughout the country, particularly in rural areas where they play an essential role. Beyond the difficulties linked to the scale of the network of community pharmacies that they supply, the very high cost of distributing medicines weighs on their income, in particular the cost of distributing generic medicines. The exclusion of generic drugs from the tax base on the turnover of wholesale distributors could constitute a first emergency measure aimed at guaranteeing the proper functioning of their activity. Consequently, she asks his opinion on this point and questions him on the possibility, in the long term, of initiating a reform of the remuneration system.

Machine translation from French. The official text remains authoritative.

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