Question 8628 — pharmacy and medicines

Summary

Mr. Hubert Ott draws the attention of the Minister of Labor, Health, Solidarity and Families to the serious consequences of a reduction in the ceiling of commercial discounts granted to community pharmacists on generic medicines. Discounts on generics currently represent more than 30% of the gross operating surplus of pharmacies and their reduction could lead, according to professional unions, to a annual loss estimated at 600 million euros for the pharmacy network. The sudden reduction in the ceiling of these discounts envisaged by the Government would directly threaten the economic balance of pharmacies, particularly in rural or under-resourced areas where they often constitute the last point of access to care. In a context of constant increase in costs (energy, rents, salaries, logistics costs), the risk is major for the balance of the pharmacy network, which today employs 146,000 employees serving the 67 million French people. This decision risks causing a wave of layoffs, a reduction in opening hours, or even outright closures. Ultimately, it is the territorial network of pharmacies that is put in danger, with direct consequences for access to local care, prevention and quality. of patient care. This reform also jeopardizes the generic substitution policy, which is at the heart of efforts to regulate health spending. Pharmacists, who contributed decisively to the success of this policy, could lose the economic incentive which encouraged them to favor generic medicines, with a real risk of returning to more expensive original specialties for health insurance. He therefore asks whether the Government intends to freeze the implementation of this measure pending in-depth consultation with the unions representing the profession and whether it plans to open structural negotiations on all the savings levers.

Machine translation from French. The official text remains authoritative.

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