Question 9522 — pharmacy and medicines

Summary

Mr. Yannick Monnet alerts the Minister to the Minister of Labor, Health, Solidarity and Families, responsible for health and access to care, about the reduction in discounts on generic medicines for community pharmacies. Indeed, the reduction in the ceiling for discounts on generic drugs from 40 to 30% and the fixing of discounts on biosimilar drugs at 15% will deprive the pharmacy network of 600 million euros of resources with potentially catastrophic consequences because these discounts constitute an essential resource for the operation of pharmacies. 800 pharmacies are therefore threatened with closure, more than 30,000 jobs - or 1 to 2 per pharmacy - could be eliminated and millions of French people could be deprived of their last local health center. In 2024, 300 pharmacies will permanently lower their curtains and 145 between January and May 2025 (figures from the Union of Community Pharmacists' Unions). In rural communities, the closure is all the more serious as patients struggle to find an available doctor, some of them will also lose the last local health professional. In addition to a problem of access to care and medication and employment, there is also the risk of seeing a municipality or a neighborhood decline: the pharmacy contributes to social ties, community life and economic activity. While the substitution of generics has enabled health insurance to save 7 billion euros in five years thanks to the involvement of pharmacies and while they have accepted new missions to compensate for the lack of doctors, there is a fear that this new measure will threaten an already precarious balance. Considering the situation current situation of pharmacies and the difficulties of access to care, he asks for the pure and simple withdrawal of this measure in order to preserve the survival of numerous pharmacies whose role in the local health system is essential.

Machine translation from French. The official text remains authoritative.

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