Improving access to medicines: transparency in pharmacy practice Panel discussion on “Transparency in pharmacy practice”. Prof Aldo Alvarez South American Network of Pharmaceutical Care

Improving access to medicines: transparency in pharmacy practice Panel discussion on “Transparency in pharmacy practice”. Transparency in pharmacy practice in Peru Prof Aldo Alvarez [email_address]

Improving access to medicines: transparency in pharmacy practice Panel discussion on “Transparency in pharmacy practice”. Manufacture Distribution Prescription Dispensing Use Prof Aldo Alvarez [email_address]

Improving access to medicines: transparency in pharmacy practice Panel discussion on “Transparency in pharmacy practice”. Manufacture GMP. Really? Distribution Labs – Pharmacy chain Prescription Labs influence in prescribing Dispensing Pharmacy Chains – GDP Use Patient looking for information Prof Aldo Alvarez [email_address]

Improving access to medicines: transparency in pharmacy practice Panel discussion on “Transparency in pharmacy practice”. Manufacture GMP. Really? GMP Audit process can be avoided and still get GMP certificate Prof Aldo Alvarez [email_address]

Improving access to medicines: transparency in pharmacy practice Panel discussion on “Transparency in pharmacy practice”. Distribution Labs – Pharmacy chain Labs manufacture and distribute to their pharmacy chains Pharmacy chains request to some products ´leader to manufacture these for them Prof Aldo Alvarez [email_address]

Improving access to medicines: transparency in pharmacy practice Panel discussion on “Transparency in pharmacy practice”. Prescription Labs influence in prescribing Laws to control marketing activities to physicians are not in charge of regulatory agency There is evidence of gifts to physicians and pharmacy´s staff and even “salary” to physicians Prof Aldo Alvarez [email_address]

Improving access to medicines: transparency in pharmacy practice Panel discussion on “Transparency in pharmacy practice”. Dispensing Pharmacy Chains – GDP Laws for good dispensing practice is available since 2009; regulatory agency together with national pharmacy board are working to spread it and train pharmacists Prof Aldo Alvarez [email_address]

Improving access to medicines: transparency in pharmacy practice Panel discussion on “Transparency in pharmacy practice”. Use Patient looking for information National formulary of generics available Social security offers information by telephone Patients request sometimes information to Pharmacists Patients search information in Internet Prof Aldo Alvarez [email_address]

Improving access to medicines: transparency in pharmacy practice Panel discussion on “Transparency in pharmacy practice”. Manufacture GMP. Really? Distribution Labs – Pharmacy chain Prescription Labs influence in prescribing Dispensing Pharmacy Chains – GDP Use Patient looking for information Prof Aldo Alvarez [email_address]

Improving access to medicines: transparency in pharmacy practice Panel discussion on “Transparency in pharmacy practice”. Transparency in pharmacy practice in Peru Prof Aldo Alvarez South American Network of Pharmaceutical Care [email_address]