Question 8377 — pharmacy and medicines

Summary

Mr. Frédéric Weber draws the attention of the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, to the Government's project aimed at halving the ceiling on commercial discounts on generic medicines and more drastically regulating those applicable to biosimilars and hybrids. In fact, this project plans to halve the ceiling of commercial discounts on generics, going from 40% to a threshold between 20 and 25% and to apply a capping at 15% for biosimilars. However, these discounts constitute, with the regulated part, one of the pillars of the commercial margin of pharmacies, without which their economic balance cannot be ensured. This device, seemingly technical, will in reality have serious and immediate consequences on the future of the network. French pharmaceutical. According to sector estimates, a loss of margin of around 800 million euros could lead to the closure of 6,000 to 8,000 pharmacies, threatening up to 50,000 jobs. Small rural pharmacies, already weakened, would be the first to be affected, thus leading to the disappearance of access to local care. Small rural pharmacies, like those observed in the department of Meurthe-et-Moselle, would be the first victims. Furthermore, this project calls into question the exemplary commitment of pharmacies in the promotion of generic medicines, which has made it possible to generate substantial savings for social security. Going against common sense, such a measure could produce an effect opposite to that sought, by disincentivizing pharmacists to promote substitution and therefore increasing the overall cost of reimbursements. This measure is irresponsible at a time when the State should instead be seeking to make savings and initiate much more relevant structural reforms, such as the transformation of State medical aid into emergency aid, the fight against vital card fraud, the promotion of outpatient hospitalizations or even the reduction of inefficient administrative layers. For all these reasons, he asks him if he intends to give up this counterproductive reform and to indicate what measures it intends to take to preserve the future of pharmacies and guarantee the network of pharmacies in territories, particularly rural ones.

Machine translation from French. The official text remains authoritative.

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