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The Future of European Pharmaceutical Distribution

tion in Germany

Case study: US mail-order distributor explores German market

Pharmaceutical distribution in Italy

Pharmaceutical distribution in Spain

Pharmaceutical distribution in Switzerland

Pharmaceutical distribution in Poland

Case study: Polska Grupa Farmaceutyczna expands beyond national market

Chapter 3: The European Pharmaceutical Industry and Distribution

The pharmaceutical market

Pharmaceutical manufacturers in Europe

The pharmaceutical industry and the supply chain

Case study: the Pharmaceutical Supply Chain Initiative (PSCI)

Cost containment

Pricing in Europe

Case study: the Common European Drug Database project

Cost-effectiveness reviews

Parallel trade in the EU


Case study: cost containment in the UK

The negative impact of cost containment

Case study: Europe's Innovative Medicines Initiative


Manufacturers exert control over the UK supply chain

The Office of Fair Trading investigation

UK Government response to Office of Fair Trading inquiry

Implications of changes in the supply chain

Service standards to patients

Rationale behind changes in the supply chain

Pfizer's feedback on DTP

Criticism of Pfizer's DTP scheme by UK pharmacists

Case study: Pfizer UK's DTP website

Reaction to the Office of Fair Trading inquiry

Pharmaceutical Services Negotiating Committee's online survey on Pfizer's DTP scheme

AstraZeneca changes its UK supply chain arrangements

Sanofi-Aventis changes its UK supply chain arrangements

Napp Pharmaceuticals changes its UK supply chain arrangements

Novartis changes its UK supply chain arrangements

Eli Lilly changes its UK supply chain arrangements

Astellas adopts DTP for transplant medicines in the UK

Reduced wholesaling

UCB changes its UK

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