Question 8616 — pharmacy and medicines

Summary

Mr. Frank Giletti draws the attention of the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, on the economic and health consequences of the reduction in the ceiling for discounts on generic medicines, announced for July 1, 2025. This decision aims to lower this ceiling from 40% to a range between 20 and 25%, which represents a loss estimated at 600 million euros for the entire pharmacy network. This sudden change comes at a time when pharmacies are already facing high inflation in their fixed costs (salaries, rents, energy, supplies) and increasing recruitment difficulties. In the Var department, as in many territories facing medical desertification, pharmacies often remain the last link. of a local care offer. However, this measure risks having dramatic consequences on their economic balance: reductions in staff, early closures, restricted working hours and therefore less accessibility for patients, particularly the most vulnerable. The concerns expressed about the impact of this reform on supply tensions must be taken into consideration in an already marked context by repeated stock shortages. Unions and parliamentarians obtained a freeze on the system during negotiations. Consequently, he would like to know if the Government intends to reverse this measure, and if not, what amortization or compensation measures it is considering for the most fragile pharmacies, particularly in rural areas. Finally, he would like to know if the Government plans to protect, in the future, a minimum level of margin on generic medicines, in order to guarantee the viability of the local pharmacy network, particularly in areas under pressure.

Machine translation from French. The official text remains authoritative.

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