Pharmaceutical Industry

Retail Pharmacy
Role of Pharmacist
 India continues to be one of the fastest
growing pharmaceutical markets
Rank Country Value in $ % Value % Value
billion MS Growth*
World Pharma Market 711 100.0
1 USA 289 40.7 2
2 Japan 64 8.9 5
3 France 43 6 5
4 Germany 40 5.7 7
5 Italy 25 3.5 3
6 UK 24 3.3 3
7 Spain 22 3 8
8 Canada 19 2.7 6
9 China 17 2.4 28
10 Brazil 12 1.7 10
15 India 9 1.1 18
 Top 15 Companies…
MAT RANK COMPANY Val Rs Crs % MS % Grw
IPM MKT. 41,700.7 100.00 17.68
1 CIPLA 2,240.6 5.37 18.10
2 GLAXOSMITHKLINE 1,767.1 4.24 18.16
3 PIRAMAL HEALTHCARE 1,731.1 4.15 21.52
4 SUN PHARMA 1,476.3 3.54 26.20
5 MANKIND 1,193.6 2.86 32.08
6 ALKEM 1,172.4 2.81 21.47
7 LUPIN LIMITED 1,148.0 2.75 17.86
8 ZYDUS CADILA 1,000.9 2.40 18.76
9 ABBOTT 961.5 2.31 17.89
10 DR REDDYS LABS 943.5 2.26 22.70
11 RANBAXY 930.1 2.23 10.90
12 ARISTO PHARMA 834.1 2.00 17.50
13 SANOFI AVENTIS 829.7 1.99 13.74
14 TORRENT PHARMA 826.2 1.98 17.21
15 INTAS 812.6 1.95 25.69
THERAPEUTIC SEGMENT IN THE INDIAN PHARMA MARKET
Val Rs Crs %SHARE % GRTH
IPM MKT. 41121.4 100.0 17.6
Anti-infectives
7144.3 17.4 15.0

CARDIAC
4663.3 11.3 19.6

Gastro Intestinal
4436.1 10.8 17.2

Respiratory
3717.0 9.0 20.8

Pain / Analgesics
3560.3 8.7 17.0

Vitamins / Minerals /
3158.1 7.7 16.6
Nutrients
Gynaec.
2365.6 5.8 17.8

Neuro / CNS
2291.8 5.6 20.5

Anti Diabetic MAR MAT’10

Indian pharmaceutical market $30 b. by 2020
A market growth between 12-14%* over next decade
Drivers for Domestic Pharmaceutical Industry

Demographic Factors –
Patient capital

•Population growth
•Literacy rate
•Information access
Indian pharmaceutical market $30 b. by 2020
A market growth between 12-14%* over next decade
Drivers for Domestic Pharmaceutical Industry

Penetration Factors –
Population access to medicine
• Connectivity
•Electrification
•Rural telephony
•Doctor reach
•Distribution channel
Indian pharmaceutical market $30 b. by 2020
A market growth between 12-14%* over next decade
Drivers for Domestic Pharmaceutical Industry

Macroeconomic Factors –
Healthcare Expenditure

•GDP growth
•Affordability
•Willingness
•Health Insurance
Indian pharmaceutical market $30 b. by 2020
A market growth between 12-14%* over next decade
Drivers for Domestic Pharmaceutical Industry

Innovation Factors –
Novel drugs and technology
•Price premium
•Preventive v/s curative
Affordability and Medical Infrastructure will drive 75% of
Demand Growth
Others

15
Increase in
Income growth prevalence
40 10

15
Insurance
20 penetration

Medical
20 infrastructure

14

6.3

2005 2015 Growth between 2005-15

Market Growth, 2005-2015 US$ Billion

Indian Pharma Market is Likely to Triple by 2015
Size of Indian Pharma market in US$ Billion

24
20
16

6.3

2005 Showing Maintaining growth Aggressive market

momentum expansion

2015
Rapid Growth in Prevalence of Several Chronic Diseases
Prevalence rates of Key chronic diseases in India
Percent of population
4.91

3.7
3.31
India 2005
2.8 2.7 2.7
2.5 India 2015

1.3

0.18 0.2

Coronary Heart Diabetes Asthama Obesity Cancer

Disease
36 62 31 46 27 34 14 34 2.0 2.5

No. of Patients (million)

Rural and Tier 2 Markets will contribute almost half of
pharmaceuticals growth till 2015

Market by Geog Tiers -2015

100% = US$20 billion

29
27
20
24

Rural Class II - IV Class I/IA Metros

Rural and Tier 2 Markets will contribute almost half of
pharmaceuticals growth till 2015
Absolute Demand Gwth US$ billion (2005-2015) Contribution to
total growth %

Metros 4.1 27

Class I/IA 3.2 18

Class II - IV 2.7 25

Rural 3.6
30
 Retail Pharma Industry
Retail started in India in 1860 in Calcutta
Manufacturing started in Calcutta in 1903
Retail lacked professionalism
Manufacturing sector got professional
leadership
American Retail Drug Stores started at
same time as that of India
Progress of Retail in US and in India
 Retail Pharma Industry
• Choose Retail Pharmacy as your
profession and take PRIDE in it
• Pump in professionalism in the retail
pharmacy business
• Earn respect from the medical profession
and society
• Retail is a great opportunity with growth
prospects
 Retail Pharma Industry
Consumers, Markets and Marketing are
undergoing great change
1970 1990 2010
Sell Objective
Satisfy & Retain Offer Quality of Life
Ind Revoln Enabling
IT Forces
New wave Techn
Product DevpMarketing GuidelinesValues
Differentiation
Interaction
One to many with Customer
One to one Many to many
 Retail Pharma Industry
World Health Organisation:
Health is a state of complete physical,
mental and social well-being and not
merely absence of any illness
Pharmacist is important link between a
doctor and patient to ensure health for the
society as defined by WHO
 Retail Pharma Industry
Health and the Society
Concept of Family doctor
Current scenario of General Practice and
the era of specialisation
Historically, the GP and community
pharmacist have a common ancestor in
the apothecary, an adviser on health and
dispenser of medicines
Community pharmacist has a role to play
 Retail Pharma Industry
It is the matter of shame that the Indian
patient does not find any difference
between the grocer and the pharmacist
Until and unless the link between the
people and physician i.e. the pharmacist,
does not get its proper recognition any
dreams of making India, a healthier nation
cannot be fulfilled
 Retail Pharma Industry
Take PRIDE in calling yourself PHARMACIST
Practice Pharmacy
Don’t run
Medical Stores?
Chemist Stores?
Medical and General stores?
You have to raise yourself and command
respect in the society
 Retail Pharma Industry
Community Pharmacist
The professional whose duties are widely
sought after by the public and patients
Community Pharmacist dispenses
medicines with a prescription and OTC
drugs
Community Pharmacist is the person who
is in direct contact with the public, and has
to play an important role in decreasing the
mortality and morbidity in the public
 Retail Pharma Industry
The need of the hour is to make community
pharmacist a key towards better health care
A community pharmacist involvement could
play an important role in different areas of
health care
Only PHARMACIST can play this role, NOT
a grocer
Why PHARMACIST ?…………
 Retail Pharma Industry
Why Community Pharmacists?
Frequent contact with individuals in the
local community
Large workforce
Considered by general public to be experts
in health-related matters
Highly respected by Medical profession
(Unfortunately out of India)
Be a family Pharmacist like a family doctor*
 Retail Pharma Industry
Nutrition Counselling
Advising his patients about basic food
needs
Help people to correct improper food habits
for themselves and for their children
 Advising on special requirements,
suggesting special diet instructions for
diabetic patients and people with food
allergy
 Retail Pharma Industry
Women Welfare-Pregnancy and Infant
Care
A woman goes through different stages
throughout her life, each of which has
specific need and the presence of a
counsellor is needed in each one of them
The community pharmacist can encourage
breastfeeding and play a major role by
guiding the mother for the proper
immunization schedule to protect their child
 Retail Pharma Industry
Rational Use of Drugs
A community pharmacist can also advise
on the administration of the medication,
provide information on the storage of the
medication and wherever necessary he can
counsel the patient
Drug information awareness programmes
should be conducted to make people aware
of side effects of certain OTC drugs
 Retail Pharma Industry
Rational Use of Drugs
There should be rational use of drug i.e.
right drug in right patient in right dose at
right time
A community pharmacist is one of the
inevitable members of the health care team
who can help to achieve the goal of rational
use of drugs
 Retail Pharma Industry
Sexually Transmitted Diseases-AIDS
India has 3.5 million HIV positive cases,
about 10% of the global HIV cases and
barely second to South Africa
HIV drugs are expensive and beyond the
reach of common man. Huge resource of
community pharmacist can educate people
in the prevention and information of
HIV/AIDS and do counselling
Explain HIV, its transmission, and the risks
 Retail Pharma Industry
Alcohols, Drug Abuse and Smoking
Cessation
The diseases of alcoholism and drug abuse
also come under the preview of the
community pharmacist
The pharmacist has a key role to help
individuals who become dependent upon
alcohol
Drug abuse is similar to alcoholism yet
different because it has been gaining more
 Retail Pharma Industry
Alcohols, Drug Abuse and Smoking
Cessation
Drug abuse is similar to alcoholism yet
different because it has been gaining more
acceptances among young people
 Annual mortality from tobacco use is high
Smoking is the greatest single preventable
cause of morbidity and mortality in India
Community pharmacist to take an active
role in helping the smokers to stop smoking
 Retail Pharma Industry
 Family Planning
A community pharmacist should do
counselling with people and explain the
problems related with large families
A community pharmacist can suggest
various families planning measures that are
available in the market at affordable prices
and can educate the people and convince
them about the advantages of having small
families
 Retail Pharma Industry
 Individualization of Drug Therapy
Latest concept in medicine is towards
individualization of drug therapy
Where judicious patient care is needed
individualization of drug therapy becomes a
need, and a pharmacist can play a vital role
in this
 Retail Pharma Industry
 Individualization of Drug Therapy
A physician who is preoccupied with patient
diagnosis and treatment may not spare time
for patient counseling regarding pharmaco-
economics, drug information, alternative
therapy, moral supporting etc.
Pharmacist in a consultation room can
provide counselling.
Store the details of patient history, allergies
and other details necessary for success of
the individualized therapy
 Retail Pharma Industry
CVD
Diabetes
The pharmacists can play a role in
detecting undiagnosed diabetes
The pharmacist’s role can help in the
prevention of complications
Referral criteria
Foot problems
Poor glycaemic control
Blurred vision
 Retail Pharma Industry
Conclusion
 In the Indian health care system,
pharmacist is under utilized because
community pharmacy and pharmacy
practice are yet to be established strongly
and pharmacists working in community
pharmacies do not provide patient
counselling in the usual situation
Create awareness, community needs you