Question 8855 — pharmacy and medicines

Summary

Mr. Damien Maudet calls on the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, about the reduction in discounts on generics, paid by pharmaceutical laboratories to pharmacies. “We are going to lose more pharmacies and employees,” warns Renaud Coiffe, vice-president of the Federation of Pharmaceutical Unions of France in Haute-Vienne. For good reason, one of the main sources of income for pharmacies is the discount on the manufacturer's price excluding tax (PFHT) on generics, granted to pharmacies by pharmaceutical laboratories. It is precisely this financial resource that the Government is threatening to reduce, endangering the economic model of pharmacies throughout France. Fixed at 40% since 2014, this margin on generics is suddenly suspended at from July 1, by simple order. The executive is now threatening to lower it to 20%. Worse, after July 1, if no agreement or decree is published, discounts could cap at 2.5% of the PFHT. “If the State applies this reform, each pharmacy will have around 80,000 euros less turnover,” worries Alex Maillerbaux, striking pharmacist in Belfort. And in fact, this 40% discount yielded until then, on average, 78,000 euros to pharmacies. A figure which could drop to 39,000 euros with the 20% discount desired by the Government. In the worst scenario, with a discount of 2.5%, pharmacies would then only have 5,265 euros. With such a hole in the fund in perspective, a drop in staff numbers is undoubtedly to be expected. The unions estimate that this decision could lead to the disappearance of 20,000 jobs and 800 pharmacies could definitely lower the curtain. Enough to deal a new blow to the fundamental right to access to care. All this, even though the sector is already fragile. In the space of ten years, Haute-Vienne has been faced with the closure of 15 pharmacies, with only 140 remaining in the region. In France, 1,800 disappeared between 2012 and 2022. After medical deserts, citizens are now threatened with pharmaceutical deserts, results of years of austerity policies. This does not seem to have served as a lesson and it is again in the interest of saving on health insurance accounts that he now wishes to lower the margins on generics, putting our pharmacies at risk. It is forgetting that these same austerity policies and gifts to the largest companies have organized the drying up of coffers, with 90 billion in exemptions from contributions. social over the years. It is also forgetting the last social security financing bill, passed against the national representation, by 49.3. A budget which raises the ceiling from which pharmaceutical laboratories donate part of their turnover to health insurance. Ceiling which has continued to be raised by the Government, so that laboratories pay less and less money to the state. One more hole in the health insurance fund, necessary for the proper functioning of our health system. The Government is now asking pharmacies and French people to compensate if they want to seek treatment. If this new Government decision threatens to close our pharmacies, it also organizes the transfer of pharmacists' margins to pharmaceutical laboratories. By this measure, the Government is so once again a gift to the major laboratories, on the altar of our health. He asks him when the end of tax gifts will take place for the good health of public accounts and the French.

Machine translation from French. The official text remains authoritative.

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