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PHARMACY

Medicine prices unchanged since end of monopoly

Despite the end of the Swedish pharmacy monopoly, prices for non-prescription medications have remained high.

Three months after the first competitor to the former state monopoly Apoteket opened its doors price differences among the chains remain slight, despite international comparisons indicating significant differences in the costs of everyday medicines.

Paracetamol, which is the active ingredient in products such as Alvedon, is for example extremely cheap in Britain. A 500 milligramme pill costs from around 0.07 kronor ($0.01) in the UK, while in Sweden one of the cheaper alternatives costs from 1.70 kronor.

Eva Fernvall, brand manager at Apoteket, is aware that the prices of non-prescription drugs are often much lower abroad.

“As we have been a monopoly and were thus required to provide a full range of medicines, including non-prescription drugs, pharmaceutical companies knew that we had to buy in everything. We therefore did not have a strong bargaining position,” she said.

The Swedish pharmaceutical monopoly was abolished on November 1st, although the first competitors to Apoteket did not open their doors for business until January 2010.

There are now four dominant market actors – Apoteket, Medstop, Apotek hjärtat and Kronans Droghandel.

A price check conducted by the Svenska Dagbladet (SvD) daily during the week March 22nd – 28th showed that prices for popular everyday non-prescription drugs remain high and show little or no difference among the chains.

Fernvall argues that prices will fall when supermarkets and other retailers begin selling non-prescription medicines.

“In six months I think that we will see completely different prices,” Fernvall said, explaining that sales volumes had not yet reached levels that allow for price cuts.

“If (supermarket chain) Ica start selling their own brand of paracetamol then prices will fall quite fast,” she added.

Prices for prescription medicines are regulated in Sweden while non-prescription medicines are now subject to market prices.

Prior to the 2010 deregulation, Apoteket hiked its prices on thirty of its most popular non-prescription brands, claiming that the rises were in response to price increases by pharmaceutical companies. The higher price levels now remain at all four chains, according to the SvD review.

Since November, 5,000 new retail outlets for non-prescription medicines have been added to the market, according to the newspaper.

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HEALTH

EXPLAINED: Why does France have so many pharmacies?

One of the first things newcomers notice about France is the preponderance of pharmacies - instantly recognisable by their illuminated green cross signs - in every town, city and even some villages.

EXPLAINED: Why does France have so many pharmacies?
Over-the-counter medicines in pharmacies. Photo: Guillaume Sauvant/AFP

They are one of the things that make the French high street distinctive – the regular illuminated green cross of the pharmacy which helpfully also displays the time, date and temperature, but how does the economy sustain so many of these businesses?

How many?

Although pharmacies are lot more prevalent in France than many other countries, the French are not the European leaders in this field.

The most recent data on pharmacies shows around 21,000 in mainland France.

But an EU comparison from 2017 shows that France had 33 pharmacies per 100,000 people, a respectable number but not far ahead of the EU average of 29 and miles behind front-runner Greece, which has an astonishing 88 pharmacies for every 100,000 people.

Graphic: OECD

In fact France has fewer pharmacies per head of the population than Greece, Spain, Belgium, Latvia, Estonia, Slovakia, Ireland and Poland. It is however well above the UK (which at the time of the data was still part of the EU) on 21 on Denmark which has just 7 pharmacies for every 100,000 people, which could make for quite long queues.

The places in France with the highest density of pharmacies are Paris and the départements of central France – although that probably relates more to central France’s low population density than an abundance of pharmacies. One third of pharmacies are in places with fewer than 5,000 inhabitants.

Overall the number of pharmacies in France is falling, from 22,514 in 2007 to 21,192 in 2017.

But is there enough business for them all?

Monopoly

One of the main reasons for the popularity of the pharmacy is that they are the only place you can buy certain things, thanks to restrictive French rules on over-the-counter medicines.

While in many countries you can buy headache tablets or paracetamol in a number of places including supermarkets, corner shops and service stations, in France drugs like Ibuprofen can only be bought at a pharmacy.

This is also true for things like cough medicine and cold remedies, so if you have a minor illness you need to head to the pharmacy.

There are also restrictions on ownership which mean that pharmacy chains are not allowed, although parapharmacies – which only offer non-prescription medicines – are often part of a chain.

Hypochondria

As well as selling over-the-counter products, pharmacists also dispense medication prescribed by doctors and here French doctors and their patients keep them busy – a study in 2019 showed that 90 percent of doctors’ appointments result in a prescription and the average prescription is for three or more items.

READ ALSO Why are the French so keen on taking medicine?

The French are among the most medicated populations in Europe and a generous healthcare system means that most prescriptions are reimbursed, so patients are unlikely to hesitate before filling a prescription that their doctors give them.

Pharmacies in France usually also sell a wide variety of homeopathic remedies which are extremely popular, although from 2020 the government has stopped funding these.

Pharmacies have been a key part of Covid testing in France. Photo Guillaume Guay/AFP

Medical access

Another reason that French people love their pharmacies is that they are really useful. Every pharmacy or parapharmacy has at least one trained pharmacist on the premises who as well as dispensing medicines can give medical advice on a range of ailments.

They are particularly useful in the growing number of ‘medical deserts’ where there are not enough doctors for the local population and also open in the evenings and at weekends. Pharmacies in small towns or city neighbourhoods often have a rota so that at least one is open on a Sunday.

They also offer a number of extremely useful services such as dispensing the winter flu vaccine and – from March 15th – the Covid vaccine, while if you have been mushroom picking, you can take your haul to the local pharmacy to check that you haven’t picked anything poisonous. 

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