Review of Retail Drug Store Readiness in Competive Position for ASEAN ECONOMIC COMMUNITY

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  • 1. 1
  • 2. 256910ASEAN196291. (Procurement system)292. (Logistic and supply chain)313. (Management skill)42
  • 3. 34. (Professional service)445. (Human resource & careerdevelopment) 486. (Information technology)49AEC 52545556
  • 4. 41 The Total Market Pharmaceutical Market Share by Channels102 Environment Scanning Mat Audit Market Trend113 Multinational vs. Local Manufacturers114 Growth Total Market125 2554126 Chain Store137 7-11138149 - 515
  • 5. 510 51511 522122213 Pharmaceutical Supply Chain3114 Global Supply Chain: An evolving Model3215 ABCD: FOUR LENSES for looking Supply Chains3316 Distribution Models in ASIA Pharma Market (Under Pressure)3417 Trends and Development in Thailand Market MNC Members in1987 3518 Trends and Development in Thailand Market MNC Members in2006 36
  • 6. 619 Trends and Development in Thailand Market MNC Members in2010 3620 Trends and Development in Thailand Market Distributors in 1970’s3721 Trends and Development in Thailand Market Distributors in 2007’s3722 Trends and Development in Thailand Market Distributors in 2010’s3823 Distribution Models in ASIA Pharma Market (under pressure)402344244425 Levels of Product and Services4626 Creating a Framework for Pharmacy Service48
  • 7. 727 Four major activities of information management for ModernHealthcare Organization 512378 17850%
  • 8. 82558“ ” :“”6 1.(Procurement system), 2.(Logistic and supply chain), 3. (Management skill), 4.(Professional service), 5.(Human resource & careerdevelopment), 6. (Information technology)
  • 9. 9623782479 2 2510131. ( 1)2.( 2)3.
  • 10. 102522 2510532530 525354 2527330 252925402544
  • 11. 1110 chaindrugstores ( ) franchised drugstores( )( :2542)14(3)( :2548)
  • 12. 12:61. (Procurement system)2. (Logistic and supply chain)3. (Management skill)4. (Professional service)5. (Human resource & careerdevelopment)6. (Information technology)
  • 13. 13
  • 14. 14The Total MarketPharmaceutical Market Share by ChannelsTotal Market110 Bn.THB%Gr. 1Total OTC24 Bn.THB%Sh. 22Total MC86 Bn.THB%Sh. 78326Local174Multinational% Gr.% Sh.1. Environment Scanning)2. (Drugstore Competition Analysis)1. Environment Scanning)
  • 15. 151 The Total Market Pharmaceutical Market Share by Channels2554110,0001% 3%24,000 7 %42% 2%11%76% 5%17% -10%7%3%
  • 16. 16Environment Scanning: Business Unit Director, Sales and Marketing Division, Zuellig Pharma2 Mat Audit Market TrendNano MBA 25558%4,600Environment Scanning: Business Unit Director, Sales and Marketing Division, Zuellig Pharma
  • 17. 174 Growth Total Market3 Multinational Vs Local ManufacturersEnvironment Scanning: Business Unit Director, Sales and Marketing Division, Zuellig Pharma
  • 18. 185 25542554 11,6033,923 (33.81%) 7,680(64.19%)2552Boots 2007/117/117,000Environment Scanning: Business Unit Director, Sales and Marketing Division, Zuellig Pharma
  • 19. 196 Chain Store7 7-11Environment Scanning: Business Unit Director, Sales and Marketing Division, Zuellig PharmaEnvironment Scanning: Business Unit Director, Sales and Marketing Division, Zuellig Pharma
  • 20. 202. (Drugstore Competition Analysis)Five ForceModel in Competition Analysis Michael Porter1.2.3.4.5.81.6.8%4.7%
  • 21. 219 -52.-:0501001502002503003504002551 2552 2553 2554 2555
  • 22. 221050204060801001201401602551 2552 2553 2554 2555:::25: 25-35: 100,000-200,000
  • 23. 231600,000-800,000( : : 2548)70 % 30 %AEC 25582,200
  • 24. 243.-E-Commerce.30conveniencestoreHouse BrandsBeauty Care and Nutritional SupplementModern
  • 25. 25E-PharmacyInternet4.5.2 OriginalLocal made
  • 26. 26(DrugWholesaler)
  • 27. 27ASEAN2558 ASEAN“ ”“FTA (Threat orOpportunity) (External Factors)(Awareness)
  • 28. 28AEC(ASEAN Free Trade Area: AFTA1) AFTA0(Rules ofOrigin: ROO)-GMP 0 %,%1 ASEAN Free Trade Area: AFTA 56 410 AFTA(ASEAN Economic Community:AEC) 3 10 (ASEAN Community: AC)2558
  • 29. 29(Non-tariff Barrier: NTB)NTB[ASEAN Harmonization]Logistic
  • 30. 30ChainDrugstoresProcurement Logistic–( -(EconomicUnion)AEC( )( )
  • 31. 31Negative List Approach 2Negative ListAir Transport,Information Technology and Telecommunication (e-ASEAN), Healthcare, Tourism, Logistics3Negative List2 ASEAN Comprehensive InvestmentAgreement: ACIA 70100Negative List503 12 “PriorityIntegration Sectors (PIS)” Agro-based goods, air transport, automotive products, e-ASEAN, electronics and electrical goods,fisheries, health care services, rubber-based goods,textiles and clothing, tourism, logistics and wood-based products
  • 32. 3211 5FTA5
  • 33. 3312Quality Process orprofessional Services Quality System(Healthcare)
  • 34. 344 (CPC 9311 9319 93191933)(Domestic Regulation)(Permanency Changes)[Professional Management] [ProfessionalService]4 5 4 2553(The 5th Package of Commitments under ASEAN Framework Agreement on Services)(CPC 9311 9319 93191 933)2558
  • 35. 35(Mutual Recognition Arrangement: MRA)Mode of Supply)GATS (General Agreement on Trade in Services) (WorldTrade Organization: WTO) 55 2015 Mode 1 Mode 2 Mode 3 %( %) ( %)( %) ( %) ( %)% Mode 4(Mutual Recognition Arrangement: MRA)( )MRA 8
  • 36. 36(Natural Person)(Skilled Labor) (Professionals)(Skilled Labor)(Professionals)(Mutual RecognitionArrangement: MRA): MRAASEAN JointCoordinating Committee on Medical Practitioners
  • 37. 37Rx / Rx1Rx :IMF2011) 64.08 16 1900 29,987 1 : 2137(2012) 103.76 28 n.a. 60,293 1 : 2721(2012) 5.35 4 162 1,962 1 : 2727(2010) 29.18 15 7,298 1 : 3998(2012) 91.52 3 n.a. 16,107 1 : 5682(2012) 242.33 63 4000 40,000 1 : 6058(IMF2011) 14.31 1 n.a. 2,000 1 : 7155(IMF2011) 0.41 1 n.a 48 1 : 8516(2004) 54.58 2 n.a. 136 1 : 401324(IMF2011) 6.59 1 n.a n.a. n.a.612.11 134 157,831 1 : 3878
  • 38. 38,
  • 39. 39RegulatorConformity Assessment Technical Infrastructure)(Mutual Recognition Arrangement: MRA)MutualRecognition Arrangement: MRA
  • 40. 40ASEAN Joint Coordinating Committee onPharmaceutical PractitionersModern Trade
  • 41. 41(Mode 1Cross Border Supply)Internet(Mode2Consumption Abroad)OTOPWTO
  • 42. 42Mode1(Mode 1) (Mode 2)”( :.2556)6
  • 43. 431. (Procurement system)2. (Logistic and supply chain)3. (Management skill)4. (Professional service)5. (Human resource & career development)6. (Information technology)1. (Procurement system)2
  • 44. 44“ ”35 1 51 – 521) 22548-254925483.39 2549 25.33
  • 45. 452)2KarunyaCommunity Pharmacy 20-60%Karunya PharmacyKarunya2,500 Karunya4 Gujarat, Karnataka, Rajasthan and TamilNadu2
  • 46. 4613 Pharmaceutical Supply Chain2. (Logistics and supply chains)(Warehouse) (Transportation)20Logistics and Supply Chains Management3
  • 47. 471(Global Supply Chain 1.0)Vertical IntegrationFord Motor 1985-1995(Globalization)22(Global Supply Chain2.0) 21995-2005 (HorizontalIntegration)TOYOTA MOTORInternetOnline33(Global Supply Chain 3.0) 2005 –
  • 48. 4814 Global Supply Chain: An evolving Model(Mapped Network)Cloud ComputingDells Computer, Google Inc.
  • 49. 4941. (Business Model): Global Supply Chain2. (Architecture): Asia 202020203. (Direction and Policy): Governance4. (Context): Asia’s Sustainable Development
  • 50. 5015 ABCD: FOUR LENSES for looking SupplyChains
  • 51. 5116 Distribution Models in ASIA Pharma Market (underpressure)
  • 52. 52Trends and Development in Thailand MarketMNC Members in 1987 (4,017 Mn.Bt.)1. Roche Thailand2. Hoechst Thai3. Merck Sharp & Dome4. Glaxo5. Thai Otsuka Pharmaceutical6. Ciba-Geigy7. Sandoz (T) Ltd.8. Schering9. Smith Kline & French10. Warner Lambert11. Astra12. Pfizer International13. Westmont14. Eli Lilly15. Squibb16. Richardson-Vicks21. Bayer Thai22. Paiboon Watana (Takeda)23. Bristol Myers24. Wellome Thailand25. Boehringer Ingelheim26. Organon (T) Ltd.27. Farmitalia Carlo Erba28. ICI Products29. Merrell Dow30. Upjonh Co.,Ltd31. Medimpex32. Beecham33. Sterling Drug34. Roussel35. Essex Thailand36. G.D. Searle41. Abbott Lab. Ltd.42. Sanofi43. Hausmann44. United A. Pharm.45. Syntex46. Mack47. Biomedis48. Degussa49. Unichem50. Eisai51. Stuart52. Carter Wallace53. Pliva54. Menarini55. Nattermann1.2.3.4.5.6.40
  • 53. 5364Trends and Development in Thailand MarketMNC Members in 2006 (40,000 Mn.Bt.)5. Roche2. Hoechst Thai6. MSD3. GlaxoSmithKline27. Thai Otsuka6. Ciba-Geigy7. Novartis9. Schering (Bayer Schering)9. Smith Kline & French10. Warner Lambert4. AstraZeneca1. Pfizer21. Great Eastern Drug14. Eli Lilly15. Squibb16. Richardson-Vicks17. May & Baker / Nattermann18. Boots8. Janssen -Cilag12. Schering-Plough16. Bayer Thai (Bayer Schering)10. Takeda11. Bristol-Myers Squibb24. Wellome Thailand13. Boehringer Ingelheim15. Organon (T) Ltd.*• Farmitalia Carlo Erba28. ICI Products29. Merrell Dow30. Upjonh Co.,Ltd31. Medimpex32. Beecham33. Sterling Drug34. Roussel35. Essex Thailand36. G.D. Searle37. Les Lab Servier38. Boehringer Mannheim20. Merck18. Wyeth-Ayerst / Consumer14. Abbott2. Sanofi-Aventis Group43. Hausmann44. United A. Pharm.45. Syntex46. Mack47. Biomedis48. Degussa49. Unichem17. Eisai51. Stuart52. Carter Wallace53. Pliva54. Menarini55. Nattermann19. Servier22. UCB Pharma23. Thai Meiji24. Baxter Healthcare25. Solvey Pharma26. Astellas28. Daiichi Sankyo29. Fujisawa* acquired by SP in 2007 Source : PReMA Open Sales Exchange- December 200617 Trends and Development in Thailand Market MNC Members in198718 Trends and Development in Thailand Market MNC Members in2006Trends and Development in Thailand MarketMNC Members in 2010 (54,000 Mn.Bt.)6. Roche2. Hoechst Thai2. MSD4. GlaxoSmithKline19. Thai Otsuka6. Ciba-Geigy5. Novartis9. Schering (Bayer Schering)9. Smith Kline & French8. Bayer Schering9. Takeda13. Bristol-Myers Squibb24. Wellome Thailand12. Boehringer Ingelheim15. Organon (T) Ltd.*• Farmitalia Carlo Erba28. ICI Products29. Merrell Dow14. Abbott3. Sanofi-Aventis Group43. Hausmann44. United A. Pharm.45. Syntex46. Mack47. Biomedis48. Degussa49. Unichem
  • 54. 54Contract Distribution In-house DistributionAsian TJD Enterprise (Thailand) Ltd Bayer Thai Co.,Ltd.*Bara Winsor Boots (Thailand) Ltd.*BJC Trading (Berli Jucker) Bristol-Myers (Thailand) Co., Ltd.B.Grimm & Co.,R.O.P Carlo Erba (Thailand) Co. Ltd.B.L.H Trading Co.,Ltd Dumex Ltd.*Bangkok-Swiss Trading Co Glaxo (Thailand) Ltd.*IDS (Marketing) (Boeno) Great Eastern Drug Co.,LtdDiethelm & Co.,Ltd Hoechst Thai LtdEast Asiatic Co.,Ltd Mason (Thailand) Co,Ltd (Parke Davis)International Pharmaceutical May & Baker LtdJack Chia & Co.,Ltd Paiboon Watana Co.,Ltd. (Takeda)L & Sons Pfizer International Corpn. (S.A)OLIC (Thailand) Ltd. (Lepetit) Richardson-Marrell (Thailand) LtdMuller & Phipps (Thailand) Schering (Bangkok) LtdNew French Dispensary Ltd Squibb Far East LtdSmith Kline & French Ltd Sterling Drug InternationalU.S Summit CorpPacific HealthCare(Pacific Investment)Wheelock Marden & Co. (Thailand) LtdZuellig Pharma (F.E Zuellig)Trends and Developments in Thailand MarketDistributors in 2007Source : MIM -200721 Trends and Development in Thailand Market Distributors in 2007’s20 Trends and Development in Thailand Market Distributors in 1970’sContract Distribution In-house DistributionAsian TJD Enterprise (Thailand) Ltd Bayer Thai Co.,Ltd.*Bara Winsor Boots (Thailand) Ltd.*Berli Jucker (BJC Trading) Bristol-Myers (Thailand) Co., Ltd.B.Grimm & Co.,R.O.P Carlo Erba (Thailand) Co. Ltd.B.L.H Trading Co.,Ltd Dumex Ltd.*Bangkok-Swiss Trading Co Glaxo (Thailand) Ltd.*Boeno (Thailand) Ltd (IDS Marketing) Great Eastern Drug Co.,LtdDiethelm & Co.,Ltd Hoechst Thai LtdEast Asiatic Co.,Ltd Mason (Thailand) Co,Ltd (Parke Davis)International Pharmaceutical May & Baker LtdJack Chia & Co.,Ltd Paiboon Watana Co.,Ltd. (Takeda)L & Sons Pfizer International Corpn. (S.A)Lepetit (Thailand) Co,.Ltd (OLIC (Thailand) Ltd Richardson-Marrell (Thailand) LtdMuller & Phipps (Thailand) Schering (Bangkok) LtdNew French Dispensary Ltd Squibb Far East LtdSmith Kline & French Ltd Sterling Drug InternationalU.S Summit CorpPacific Investment (Pacific HealthCare)Wheelock Marden & Co. (Thailand) LtdZuellig F.E.(Bangkok) LtdTrends and Developments in Thailand MarketDistributors in 1970’sSource : TIM -1970
  • 55. 55Contract Distribution In-house DistributionAsian TJD Enterprise (Thailand) Ltd Bayer Thai Co.,Ltd.*Bara Winsor Boots (Thailand) Ltd.*BJC Trading (Berli Jucker) Bristol-Myers (Thailand) Co., Ltd.B.Grimm & Co.,R.O.P Carlo Erba (Thailand) Co. Ltd.B.L.H Trading Co.,Ltd Dumex Ltd.*Bangkok-Swiss Trading Co Glaxo (Thailand) Ltd.*IDS (Marketing) (Boeno) Great Eastern Drug Co.,LtdDKSH Hoechst Thai LtdEast Asiatic Co.,Ltd Mason (Thailand) Co,Ltd (Parke Davis)International Pharmaceutical May & Baker LtdJack Chia & Co.,Ltd Paiboon Watana Co.,Ltd. (Takeda)L & Sons Pfizer International Corpn. (S.A)OLIC (Thailand) Ltd. (Lepetit) Richardson-Marrell (Thailand) LtdMuller & Phipps (Thailand) Schering (Bangkok) LtdNew French Dispensary Ltd Squibb Far East LtdSmith Kline & French Ltd Sterling Drug InternationalU.S Summit CorpPacific HealthCare(Pacific Investment)Wheelock Marden & Co. (Thailand) LtdZuellig Pharma (F.E Zuellig)Trends and Developments in Thailand MarketDistributors in 2010Source : MIM -201022 Trends and Development in Thailand Market Distributors in 2010’s
  • 56. 56:(Order cycle time)(Delivery timeliness)(Frequency of delivery)(Call-out time)(Response time)(Accessibility)(Delivery completeness andreliability)(Accuracy oninvoices, delivery notes etc.)(Stock availability)(Ordering convenience)(Customer service policy)(System flexibility)(Order size constraint)
  • 57. 57(Customer complaintsand claims)(Status information)::ooo:ooooo
  • 58. 5823 Distribution Models in ASIA Pharma Market (under pressure)Thesustainability of supply chain-lessons from the EU,18 September 2012Speed• Order cycle time• Delivery timeliness• Frequency of delivery• Call-out time• Response time• Daily access on :- sales- customer- inventory• Timely and accurate report• Accessibility• Delivery completeness andreliability• Accuracy on invoices, deliverynotes, C/N etc• Stock availability• Ordering convenience• Integrated part of any businessprocess :- sales & marketing- business development- logistic- finance- IT• On-time payment• Customer service policy• system flexibility• Order size constraint• Customer complaints and claims• Status informations• Market intelligence• On-site office spaceCUSTOMER PRINCIPALDistribution Models in ASIA Pharma Market (underpressure): : Pharmaceutical Marketing Handout 201271
  • 59. 5922 . . 2013 BloombergWalgreenGlobal Alliance Boots GmbHAmerisourceBergen CropTIMOTHY W.MARTIN,BloombergNews,March 22,2013Thesis The Pharmaceutical Supply Chain : a Diagnosis of theState-of-the-art Mahender Singh Engineering Logistic, Massachusetts Institute ofTechnology, USANetworked Pharmaceutical Supply Chain3DistributorMargin based profit sharing business model Block Buster VideoModelCloud system
  • 60. 603. (Management skill)“ ”(Supply Chain)” Retailing Management forCommunity Pharmacist 2556
  • 61. 61Modern Management• Retailing Management• EntrepreneurshipManagement• Marketing Management)• Service Management• Operation Management• Quality Management• Human Resource Management•
  • 62. 6223244. (Professional service)
  • 63. 63Professional service--------Krittin Bunditanukul Pharm.D, BCPS Department of Pharmacy Practice, Faculty ofPharmaceutical Science, Chulalongkorn University“ ”common ilness
  • 64. 64“ ”“ ”product serviceinformation service31.2.3.
  • 65. 65Levitt’s Total Product/Service Model25 Levels of Product and ServicesLevitt’s Total Product/Service Model“Potential Product/ServiceAugmentedProduct/ServiceExpectedProduct/ServiceGeneric Core Product/Service ”
  • 66. 66- Medication Therapy Management (MTM)- Immunization- Adherence- Chronic Disease-The Value of Pharmacist Professional Service inthe Community Setting, A systematic review of the literature 1990-2002
  • 67. 6726 Creating a Framework for Pharmacy ServicePharmacy Professional ServiceSource: Canadian Pharmacy Service Framework, October 2011
  • 68. 68Drug Therapy 331. Enhance medication relatedservices2. Coredispensing services3. Expanded patientcare services5. (Human resource & career development)19
  • 69. 6920002018Continue Pharmacy Education, CPE
  • 70. 705. (Information technology)“ ”Smart Phone/Tablet:Social Media and Community: Facebook Twitter SocialcamSocial mediaHigh-Speed Internet: 3G
  • 71. 71I-Cloud Storage:3RFID Radio Frequency Identity), QR Code (Quick Response Code), AR(Augmented Reality):AEC holds huge opportunities forPharmaceutical industry in Southeast Asia By Admin@pharmexasia On January 4, 20132015
  • 72. 72E-Commerce4The Well-Manage Healthcare Organization1. Service LineSupport:2. Clinical ServiceSupport:3. Management Support:4. Network of I/O devices:Four major activities of Information management forModern Healthcare OrganizationEMRServiceLineSupportManagementSupportNetwork of I/O devicesClinicalservicesupportOphthalmology,Pediatric, IVF,etc.Nursing,Pharmacy,pathology,operation room,rehabilitationAccounting,purchasing,inventory,Marketing,Humanresource.Record patientcondition, orderdiagnostic tests,treatments, resultsSource: The Well-Managed Healthcare Organization (Kenneth R. White, PhD, John R. Griffith,FACHE , 2010)
  • 73. 7327 Four major activities of information management for ModernHealthcare Organization6
  • 74. 74AEC/ ::
  • 75. 75:refill/ :IT, Smart Phone etc.:R&D::
  • 76. 76:::: 2015
  • 77. 77:::
  • 78. 78. .“SMEs%% %,,,(Retail Store)Chain Drugstore24One Stop Service
  • 79. 79Economy of ScaleChain Drug Store“.25562.35 1 51 – 2552
  • 80. 80The Pharmaceutical Supply Chain: a Diagnosis of the State-of-the-art. Master Thesis by Mahender Singh. Engineering Logistic,Massachusetts Institute of Technology, USA. June 2005Retailing Management for Community Pharmacist2556Krittin Bunditanukul Pharm.D, BCPSDepartment of PharmacyPractice, Faculty of Pharmaceutical Science, ChulalongkornUniversityThe sustainability of supply chain-lessons from the EU, 18 September2012The Value of Pharmacist Professional Service in the CommunitySetting, A systematic review of the literature 1990-2002Canadian Pharmacy Service Framework, October 2011TIMOTHY W.MARTIN, Bloomberg News, March 22, 2013