SlideShare a Scribd company logo
1 of 80
1
2
5
6
9
10
ASEAN
19
6
29
1. (Procurement system)
29
2. (Logistic and supply chain)
31
3. (Management skill)
42
3
4. (Professional service)
44
5. (Human resource & career
development) 48
6. (Information technology)
49
AEC 52
54
55
56
4
1 The Total Market Pharmaceutical Market Share by Channels
10
2 Environment Scanning Mat Audit Market Trend
11
3 Multinational vs. Local Manufacturers
11
4 Growth Total Market
12
5 2554
12
6 Chain Store
13
7 7-11
13
8
14
9 - 5
15
5
10 5
15
11 5
22
12
22
13 Pharmaceutical Supply Chain
31
14 Global Supply Chain: An evolving Model
32
15 ABCD: FOUR LENSES for looking Supply Chains
33
16 Distribution Models in ASIA Pharma Market (Under Pressure)
34
17 Trends and Development in Thailand Market MNC Members in
1987 35
18 Trends and Development in Thailand Market MNC Members in
2006 36
6
19 Trends and Development in Thailand Market MNC Members in
2010 36
20 Trends and Development in Thailand Market Distributors in 1970’s
37
21 Trends and Development in Thailand Market Distributors in 2007’s
37
22 Trends and Development in Thailand Market Distributors in 2010’s
38
23 Distribution Models in ASIA Pharma Market (under pressure)
40
23
44
24
44
25 Levels of Product and Services
46
26 Creating a Framework for Pharmacy Service
48
7
27 Four major activities of information management for Modern
Healthcare Organization 51
2378 178
50%
8
2558
“ ” :
“
”
6 1.
(Procurement system), 2.
(Logistic and supply chain), 3. (Management skill), 4.
(Professional service), 5.
(Human resource & career
development), 6. (Information technology)
9
6
2378
2479 2 2510
1
3
1. ( 1)
2.
( 2)
3.
10
2522 2510
5
3
2530 5
2535
4 2527
3
30 2529
2540
2544
11
10 chain
drugstores ( ) franchised drugstores
( )
( :2542)
14(3)
( :2548)
12
:
6
1. (Procurement system)
2. (Logistic and supply chain)
3. (Management skill)
4. (Professional service)
5. (Human resource & career
development)
6. (Information technology)
13
14
The Total Market
Pharmaceutical Market Share by Channels
Total Market
110 Bn.THB
%Gr. 1
Total OTC
24 Bn.THB
%Sh. 22
Total MC
86 Bn.THB
%Sh. 78
326Local
174Multinational
% Gr.% Sh.
1. Environment Scanning)
2. (Drugstore Competition Analysis)
1. Environment Scanning)
15
1 The Total Market Pharmaceutical Market Share by Channels
2554
110,000
1% 3%
24,000 7 %
42% 2%
11%
76% 5%
17% -10%
7%
3%
16
Environment Scanning
: Business Unit Director, Sales and Marketing Division, Zuellig Pharma
2 Mat Audit Market Trend
Nano MBA 2555
8%
4,600
Environment Scanning
: Business Unit Director, Sales and Marketing Division, Zuellig Pharma
17
4 Growth Total Market
3 Multinational Vs Local Manufacturers
Environment Scanning
: Business Unit Director, Sales and Marketing Division, Zuellig Pharma
18
5 2554
2554 11,603
3,923 (33.81%) 7,680
(64.19%)
2552
Boots 200
7/11
7/11
7,000
Environment Scanning
: Business Unit Director, Sales and Marketing Division, Zuellig Pharma
19
6 Chain Store
7 7-11
Environment Scanning
: Business Unit Director, Sales and Marketing Division, Zuellig Pharma
Environment Scanning
: Business Unit Director, Sales and Marketing Division, Zuellig Pharma
20
2. (Drugstore Competition Analysis)
Five Force
Model in Competition Analysis Michael Porter
1.
2.
3.
4.
5.
8
1.
6.8%
4.7%
21
9 -
5
2.
-
:
0
50
100
150
200
250
300
350
400
2551 2552 2553 2554 2555
22
10
5
0
20
40
60
80
100
120
140
160
2551 2552 2553 2554 2555
:
:
:
25
: 25-35
: 100,000-200,000
23
1
600,000-800,000
( : : 2548)
70 % 30 %
AEC 2558
2,200
24
3.
-
E-
Commerce.
30
convenience
store
House Brands
Beauty Care and Nutritional Supplement
Modern
25
E-Pharmacy
Internet
4.
5.
2 Original
Local made
26
(Drug
Wholesaler)
27
ASEAN
2558 ASEAN
“ ”
“
FTA (Threat or
Opportunity) (External Factors)
(Awareness)
28
AEC
(ASEAN Free Trade Area: AFTA1) AFTA
0
(Rules of
Origin: ROO)
-
GMP 0 %
,
%
1 ASEAN Free Trade Area: AFTA 5
6 4
10 AFTA
(ASEAN Economic Community:
AEC) 3 10 (ASEAN Community: AC)
2558
29
(Non-tariff Barrier: NTB)
NTB
[ASEAN Harmonization]
Logistic
30
ChainDrugstores
Procurement Logistic
–
( -
(Economic
Union)
AEC
( )
( )
31
Negative List Approach 2
Negative List
Air Transport,
Information Technology and Telecommunication (e-ASEAN), Healthcare, Tourism, Logistics
3
Negative List
2 ASEAN Comprehensive Investment
Agreement: ACIA 70
100
Negative List
50
3 12 “Priority
Integration 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
11 5
FTA
5
33
12
Quality Process or
professional Services Quality System
(Healthcare)
34
4 (CPC 9311 9319 93191
933)
(Domestic Regulation)
(Permanency Changes)
[Professional Management] [Professional
Service]
4 5 4 2553
(The 5th Package of Commitments under ASEAN Framework Agreement on Services)
(CPC 9311 9319 93191 933)
2558
35
(Mutual Recognition Arrangement: MRA)
Mode of Supply)
GATS (General Agreement on Trade in Services) (World
Trade Organization: WTO) 5
5 2015
 Mode 1
 Mode 2
 Mode 3 %
( %) ( %)
( %) ( %) ( %)
%
 Mode 4
(Mutual Recognition Arrangement: MRA)
( )
MRA 8
36
(Natural Person)
(Skilled Labor) (Professionals)
(Skilled Labor)
(Professionals)
(Mutual Recognition
Arrangement: MRA)
: MRA
ASEAN Joint
Coordinating Committee on Medical Practitioners
37
Rx / Rx
1Rx :
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
,
39
Regulator
Conformity Assessment Technical Infrastructure)
(Mutual Recognition Arrangement: MRA)
Mutual
Recognition Arrangement: MRA
40
ASEAN Joint Coordinating Committee on
Pharmaceutical Practitioners
Modern Trade
41
(
Mode 1Cross Border Supply)
Internet
(Mode
2Consumption Abroad)
OTOP
WTO
42
Mode
1
(Mode 1) (Mode 2)
”
( :
.
2556)
6
43
1. (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
“ ”
35 1 51 – 52
1) 2
2548-2549
2548
3.39 2549 25.33
45
2)
2
Karunya
Community Pharmacy 20-
60%
Karunya Pharmacy
Karunya
2,500 Karunya
4 Gujarat, Karnataka, Rajasthan and Tamil
Nadu
2
46
13 Pharmaceutical Supply Chain
2. (Logistics and supply chains)
(Warehouse) (Transportation)
20
Logistics and Supply Chains Management
3
47
1(Global Supply Chain 1.0)
Vertical Integration
Ford Motor 1985-1995
(Globalization)
2
2(Global Supply Chain
2.0) 2
1995-2005 (Horizontal
Integration)
TOYOTA MOTOR
Internet
Online
3
3(Global Supply Chain 3.0) 2005 –
48
14 Global Supply Chain: An evolving Model
(Mapped Network)
Cloud Computing
Dells Computer, Google Inc.
49
4
1. (Business Model): Global Supply Chain
2. (Architecture): Asia 2020
2020
3. (Direction and Policy): Governance
4. (Context): Asia’s Sustainable Development
50
15 ABCD: FOUR LENSES for looking Supply
Chains
51
16 Distribution Models in ASIA Pharma Market (under
pressure)
52
Trends and Development in Thailand Market
MNC Members in 1987 (4,017 Mn.Bt.)
1. Roche Thailand
2. Hoechst Thai
3. Merck Sharp & Dome
4. Glaxo
5. Thai Otsuka Pharmaceutical
6. Ciba-Geigy
7. Sandoz (T) Ltd.
8. Schering
9. Smith Kline & French
10. Warner Lambert
11. Astra
12. Pfizer International
13. Westmont
14. Eli Lilly
15. Squibb
16. Richardson-Vicks
21. Bayer Thai
22. Paiboon Watana (Takeda)
23. Bristol Myers
24. Wellome Thailand
25. Boehringer Ingelheim
26. Organon (T) Ltd.
27. Farmitalia Carlo Erba
28. ICI Products
29. Merrell Dow
30. Upjonh Co.,Ltd
31. Medimpex
32. Beecham
33. Sterling Drug
34. Roussel
35. Essex Thailand
36. G.D. Searle
41. Abbott Lab. Ltd.
42. Sanofi
43. Hausmann
44. United A. Pharm.
45. Syntex
46. Mack
47. Biomedis
48. Degussa
49. Unichem
50. Eisai
51. Stuart
52. Carter Wallace
53. Pliva
54. Menarini
55. Nattermann
1.
2.
3.
4.
5.
6.
40
53
64
Trends and Development in Thailand Market
MNC Members in 2006 (40,000 Mn.Bt.)
5. Roche
2. Hoechst Thai
6. MSD
3. GlaxoSmithKline
27. Thai Otsuka
6. Ciba-Geigy
7. Novartis
9. Schering (Bayer Schering)
9. Smith Kline & French
10. Warner Lambert
4. AstraZeneca
1. Pfizer
21. Great Eastern Drug
14. Eli Lilly
15. Squibb
16. Richardson-Vicks
17. May & Baker / Nattermann
18. Boots
8. Janssen -Cilag
12. Schering-Plough
16. Bayer Thai (Bayer Schering)
10. Takeda
11. Bristol-Myers Squibb
24. Wellome Thailand
13. Boehringer Ingelheim
15. Organon (T) Ltd.*
• Farmitalia Carlo Erba
28. ICI Products
29. Merrell Dow
30. Upjonh Co.,Ltd
31. Medimpex
32. Beecham
33. Sterling Drug
34. Roussel
35. Essex Thailand
36. G.D. Searle
37. Les Lab Servier
38. Boehringer Mannheim
20. Merck
18. Wyeth-Ayerst / Consumer
14. Abbott
2. Sanofi-Aventis Group
43. Hausmann
44. United A. Pharm.
45. Syntex
46. Mack
47. Biomedis
48. Degussa
49. Unichem
17. Eisai
51. Stuart
52. Carter Wallace
53. Pliva
54. Menarini
55. Nattermann
19. Servier
22. UCB Pharma
23. Thai Meiji
24. Baxter Healthcare
25. Solvey Pharma
26. Astellas
28. Daiichi Sankyo
29. Fujisawa
* acquired by SP in 2007 Source : PReMA Open Sales Exchange- December 2006
17 Trends and Development in Thailand Market MNC Members in
1987
18 Trends and Development in Thailand Market MNC Members in
2006
Trends and Development in Thailand Market
MNC Members in 2010 (54,000 Mn.Bt.)
6. Roche
2. Hoechst Thai
2. MSD
4. GlaxoSmithKline
19. Thai Otsuka
6. Ciba-Geigy
5. Novartis
9. Schering (Bayer Schering)
9. Smith Kline & French
8. Bayer Schering
9. Takeda
13. Bristol-Myers Squibb
24. Wellome Thailand
12. Boehringer Ingelheim
15. Organon (T) Ltd.*
• Farmitalia Carlo Erba
28. ICI Products
29. Merrell Dow
14. Abbott
3. Sanofi-Aventis Group
43. Hausmann
44. United A. Pharm.
45. Syntex
46. Mack
47. Biomedis
48. Degussa
49. Unichem
54
Contract Distribution In-house Distribution
Asian 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.,Ltd
Diethelm & Co.,Ltd Hoechst Thai Ltd
East Asiatic Co.,Ltd Mason (Thailand) Co,Ltd (Parke Davis)
International Pharmaceutical May & Baker Ltd
Jack Chia & Co.,Ltd Paiboon Watana Co.,Ltd. (Takeda)
L & Sons Pfizer International Corpn. (S.A)
OLIC (Thailand) Ltd. (Lepetit) Richardson-Marrell (Thailand) Ltd
Muller & Phipps (Thailand) Schering (Bangkok) Ltd
New French Dispensary Ltd Squibb Far East Ltd
Smith Kline & French Ltd Sterling Drug International
U.S Summit Corp
Pacific HealthCare(Pacific Investment)
Wheelock Marden & Co. (Thailand) Ltd
Zuellig Pharma (F.E Zuellig)
Trends and Developments in Thailand Market
Distributors in 2007
Source : MIM -2007
21 Trends and Development in Thailand Market Distributors in 2007’s
20 Trends and Development in Thailand Market Distributors in 1970’s
Contract Distribution In-house Distribution
Asian 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.,Ltd
Diethelm & Co.,Ltd Hoechst Thai Ltd
East Asiatic Co.,Ltd Mason (Thailand) Co,Ltd (Parke Davis)
International Pharmaceutical May & Baker Ltd
Jack 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) Ltd
Muller & Phipps (Thailand) Schering (Bangkok) Ltd
New French Dispensary Ltd Squibb Far East Ltd
Smith Kline & French Ltd Sterling Drug International
U.S Summit Corp
Pacific Investment (Pacific HealthCare)
Wheelock Marden & Co. (Thailand) Ltd
Zuellig F.E.(Bangkok) Ltd
Trends and Developments in Thailand Market
Distributors in 1970’s
Source : TIM -1970
55
Contract Distribution In-house Distribution
Asian 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.,Ltd
DKSH Hoechst Thai Ltd
East Asiatic Co.,Ltd Mason (Thailand) Co,Ltd (Parke Davis)
International Pharmaceutical May & Baker Ltd
Jack Chia & Co.,Ltd Paiboon Watana Co.,Ltd. (Takeda)
L & Sons Pfizer International Corpn. (S.A)
OLIC (Thailand) Ltd. (Lepetit) Richardson-Marrell (Thailand) Ltd
Muller & Phipps (Thailand) Schering (Bangkok) Ltd
New French Dispensary Ltd Squibb Far East Ltd
Smith Kline & French Ltd Sterling Drug International
U.S Summit Corp
Pacific HealthCare(Pacific Investment)
Wheelock Marden & Co. (Thailand) Ltd
Zuellig Pharma (F.E Zuellig)
Trends and Developments in Thailand Market
Distributors in 2010
Source : MIM -2010
22 Trends and Development in Thailand Market Distributors in 2010’s
56
:
(Order cycle time)
(Delivery timeliness)
(Frequency of delivery)
(Call-out time)
(Response time)
(Accessibility)
(Delivery completeness and
reliability)
(Accuracy on
invoices, delivery notes etc.)
(Stock availability)
(Ordering convenience)
(Customer service policy)
(System flexibility)
(Order size constraint)
57
(Customer complaints
and claims)
(Status information)
:
:
o
o
o
:
o
o
o
o
o
58
23 Distribution Models in ASIA Pharma Market (under pressure)
The
sustainability of supply chain-lessons from the EU,18 September 2012
Speed
• 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 and
reliability
• Accuracy on invoices, delivery
notes, C/N etc
• Stock availability
• Ordering convenience
• Integrated part of any business
process :
- 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 space
CUSTOMER PRINCIPAL
Distribution Models in ASIA Pharma Market (under
pressure)
: : Pharmaceutical Marketing Handout 2012
71
59
22 . . 2013 Bloomberg
Walgreen
Global Alliance Boots GmbH
AmerisourceBergen Crop
TIMOTHY W.MARTIN,Bloomberg
News,March 22,2013
Thesis The Pharmaceutical Supply Chain : a Diagnosis of the
State-of-the-art Mahender Singh Engineering Logistic, Massachusetts Institute of
Technology, USA
Networked Pharmaceutical Supply Chain
3
Distributor
Margin based profit sharing business model Block Buster Video
Model
Cloud system
60
3. (Management skill)
“ ”
(Supply Chain)
” Retailing Management for
Community Pharmacist 2556
61
Modern Management
• Retailing Management
• Entrepreneurship
Management
• Marketing Management)
• Service Management
• Operation Management
• Quality Management
• Human Resource Management
•
62
23
24
4. (Professional service)
63
Professional service
-
-
-
-
-
-
-
-
Krittin Bunditanukul Pharm.D, BCPS Department of Pharmacy Practice, Faculty of
Pharmaceutical Science, Chulalongkorn University
“ ”
common ilness
64
“ ”
“ ”
product service
information service
3
1.
2.
3.
65
Levitt’s Total Product/Service Model
25 Levels of Product and Services
Levitt’s Total Product/Service Model
“
Potential Product/Service
Augmented
Product/Service
Expected
Product/Service
Generic Core Product/Service ”
66
- Medication Therapy Management (MTM)
- Immunization
- Adherence
- Chronic Disease
-
The Value of Pharmacist Professional Service in
the Community Setting, A systematic review of the literature 1990-2002
67
26 Creating a Framework for Pharmacy Service
Pharmacy Professional Service
Source: Canadian Pharmacy Service Framework, October 2011
68
Drug Therapy 3
3
1. Enhance medication related
services
2. Coredispensing services
3. Expanded patient
care services
5. (Human resource & career development)
19
69
2000
2018
Continue Pharmacy Education, CPE
70
5. (Information technology)
“ ”
Smart Phone/Tablet:
Social Media and Community: Facebook Twitter Socialcam
Social media
High-Speed Internet: 3G
71
I-Cloud Storage:
3
RFID Radio Frequency Identity), QR Code (Quick Response Code), AR
(Augmented Reality):
AEC holds huge opportunities for
Pharmaceutical industry in Southeast Asia By Admin@pharmexasia On January 4, 2013
2015
72
E-Commerce
4
The Well-Manage Healthcare Organization
1. Service Line
Support:
2. Clinical Service
Support:
3. Management Support:
4. Network of I/O devices:
Four major activities of Information management for
Modern Healthcare Organization
EMR
Service
Line
Support
Management
Support
Network of I/O devices
Clinical
service
support
Ophthalmology,
Pediatric, IVF,
etc.
Nursing,
Pharmacy,
pathology,
operation room,
rehabilitation
Accounting,
purchasing,
inventory,
Marketing,
Human
resource.
Record patient
condition, order
diagnostic tests,
treatments, results
Source: The Well-Managed Healthcare Organization (Kenneth R. White, PhD, John R. Griffith,
FACHE , 2010)
73
27 Four major activities of information management for Modern
Healthcare Organization
6
74
AEC
/ :
:
75
:
refill
/ :
IT, Smart Phone etc.:
R&D:
:
76
:
:
:
: 2015
77
:
:
:
78
. .
“
SMEs
%
% %
,
,
,
(Retail Store)
Chain Drugstore
24
One Stop Service
79
Economy of Scale
Chain Drug Store
“
.
2556
2.
35 1 51 – 2552
80
The Pharmaceutical Supply Chain: a Diagnosis of the State-of-the-
art. Master Thesis by Mahender Singh. Engineering Logistic,
Massachusetts Institute of Technology, USA. June 2005
Retailing Management for Community Pharmacist
2556
Krittin Bunditanukul Pharm.D, BCPSDepartment of Pharmacy
Practice, Faculty of Pharmaceutical Science, Chulalongkorn
University
The sustainability of supply chain-lessons from the EU, 18 September
2012
The Value of Pharmacist Professional Service in the Community
Setting, A systematic review of the literature 1990-2002
Canadian Pharmacy Service Framework, October 2011
TIMOTHY W.MARTIN, Bloomberg News, March 22, 2013

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

  • 1. 1
  • 2. 2 5 6 9 10 ASEAN 19 6 29 1. (Procurement system) 29 2. (Logistic and supply chain) 31 3. (Management skill) 42
  • 3. 3 4. (Professional service) 44 5. (Human resource & career development) 48 6. (Information technology) 49 AEC 52 54 55 56
  • 4. 4 1 The Total Market Pharmaceutical Market Share by Channels 10 2 Environment Scanning Mat Audit Market Trend 11 3 Multinational vs. Local Manufacturers 11 4 Growth Total Market 12 5 2554 12 6 Chain Store 13 7 7-11 13 8 14 9 - 5 15
  • 5. 5 10 5 15 11 5 22 12 22 13 Pharmaceutical Supply Chain 31 14 Global Supply Chain: An evolving Model 32 15 ABCD: FOUR LENSES for looking Supply Chains 33 16 Distribution Models in ASIA Pharma Market (Under Pressure) 34 17 Trends and Development in Thailand Market MNC Members in 1987 35 18 Trends and Development in Thailand Market MNC Members in 2006 36
  • 6. 6 19 Trends and Development in Thailand Market MNC Members in 2010 36 20 Trends and Development in Thailand Market Distributors in 1970’s 37 21 Trends and Development in Thailand Market Distributors in 2007’s 37 22 Trends and Development in Thailand Market Distributors in 2010’s 38 23 Distribution Models in ASIA Pharma Market (under pressure) 40 23 44 24 44 25 Levels of Product and Services 46 26 Creating a Framework for Pharmacy Service 48
  • 7. 7 27 Four major activities of information management for Modern Healthcare Organization 51 2378 178 50%
  • 8. 8 2558 “ ” : “ ” 6 1. (Procurement system), 2. (Logistic and supply chain), 3. (Management skill), 4. (Professional service), 5. (Human resource & career development), 6. (Information technology)
  • 9. 9 6 2378 2479 2 2510 1 3 1. ( 1) 2. ( 2) 3.
  • 10. 10 2522 2510 5 3 2530 5 2535 4 2527 3 30 2529 2540 2544
  • 11. 11 10 chain drugstores ( ) franchised drugstores ( ) ( :2542) 14(3) ( :2548)
  • 12. 12 : 6 1. (Procurement system) 2. (Logistic and supply chain) 3. (Management skill) 4. (Professional service) 5. (Human resource & career development) 6. (Information technology)
  • 13. 13
  • 14. 14 The Total Market Pharmaceutical Market Share by Channels Total Market 110 Bn.THB %Gr. 1 Total OTC 24 Bn.THB %Sh. 22 Total MC 86 Bn.THB %Sh. 78 326Local 174Multinational % Gr.% Sh. 1. Environment Scanning) 2. (Drugstore Competition Analysis) 1. Environment Scanning)
  • 15. 15 1 The Total Market Pharmaceutical Market Share by Channels 2554 110,000 1% 3% 24,000 7 % 42% 2% 11% 76% 5% 17% -10% 7% 3%
  • 16. 16 Environment Scanning : Business Unit Director, Sales and Marketing Division, Zuellig Pharma 2 Mat Audit Market Trend Nano MBA 2555 8% 4,600 Environment Scanning : Business Unit Director, Sales and Marketing Division, Zuellig Pharma
  • 17. 17 4 Growth Total Market 3 Multinational Vs Local Manufacturers Environment Scanning : Business Unit Director, Sales and Marketing Division, Zuellig Pharma
  • 18. 18 5 2554 2554 11,603 3,923 (33.81%) 7,680 (64.19%) 2552 Boots 200 7/11 7/11 7,000 Environment Scanning : Business Unit Director, Sales and Marketing Division, Zuellig Pharma
  • 19. 19 6 Chain Store 7 7-11 Environment Scanning : Business Unit Director, Sales and Marketing Division, Zuellig Pharma Environment Scanning : Business Unit Director, Sales and Marketing Division, Zuellig Pharma
  • 20. 20 2. (Drugstore Competition Analysis) Five Force Model in Competition Analysis Michael Porter 1. 2. 3. 4. 5. 8 1. 6.8% 4.7%
  • 22. 22 10 5 0 20 40 60 80 100 120 140 160 2551 2552 2553 2554 2555 : : : 25 : 25-35 : 100,000-200,000
  • 23. 23 1 600,000-800,000 ( : : 2548) 70 % 30 % AEC 2558 2,200
  • 27. 27 ASEAN 2558 ASEAN “ ” “ FTA (Threat or Opportunity) (External Factors) (Awareness)
  • 28. 28 AEC (ASEAN Free Trade Area: AFTA1) AFTA 0 (Rules of Origin: ROO) - GMP 0 % , % 1 ASEAN Free Trade Area: AFTA 5 6 4 10 AFTA (ASEAN Economic Community: AEC) 3 10 (ASEAN Community: AC) 2558
  • 29. 29 (Non-tariff Barrier: NTB) NTB [ASEAN Harmonization] Logistic
  • 31. 31 Negative List Approach 2 Negative List Air Transport, Information Technology and Telecommunication (e-ASEAN), Healthcare, Tourism, Logistics 3 Negative List 2 ASEAN Comprehensive Investment Agreement: ACIA 70 100 Negative List 50 3 12 “Priority Integration 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
  • 33. 33 12 Quality Process or professional Services Quality System (Healthcare)
  • 34. 34 4 (CPC 9311 9319 93191 933) (Domestic Regulation) (Permanency Changes) [Professional Management] [Professional Service] 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) (World Trade Organization: WTO) 5 5 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 Recognition Arrangement: MRA) : MRA ASEAN Joint Coordinating Committee on Medical Practitioners
  • 37. 37 Rx / Rx 1Rx : 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. 39 Regulator Conformity Assessment Technical Infrastructure) (Mutual Recognition Arrangement: MRA) Mutual Recognition Arrangement: MRA
  • 40. 40 ASEAN Joint Coordinating Committee on Pharmaceutical Practitioners Modern Trade
  • 41. 41 ( Mode 1Cross Border Supply) Internet (Mode 2Consumption Abroad) OTOP WTO
  • 42. 42 Mode 1 (Mode 1) (Mode 2) ” ( : . 2556) 6
  • 43. 43 1. (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 – 52 1) 2 2548-2549 2548 3.39 2549 25.33
  • 45. 45 2) 2 Karunya Community Pharmacy 20- 60% Karunya Pharmacy Karunya 2,500 Karunya 4 Gujarat, Karnataka, Rajasthan and Tamil Nadu 2
  • 46. 46 13 Pharmaceutical Supply Chain 2. (Logistics and supply chains) (Warehouse) (Transportation) 20 Logistics and Supply Chains Management 3
  • 47. 47 1(Global Supply Chain 1.0) Vertical Integration Ford Motor 1985-1995 (Globalization) 2 2(Global Supply Chain 2.0) 2 1995-2005 (Horizontal Integration) TOYOTA MOTOR Internet Online 3 3(Global Supply Chain 3.0) 2005 –
  • 48. 48 14 Global Supply Chain: An evolving Model (Mapped Network) Cloud Computing Dells Computer, Google Inc.
  • 49. 49 4 1. (Business Model): Global Supply Chain 2. (Architecture): Asia 2020 2020 3. (Direction and Policy): Governance 4. (Context): Asia’s Sustainable Development
  • 50. 50 15 ABCD: FOUR LENSES for looking Supply Chains
  • 51. 51 16 Distribution Models in ASIA Pharma Market (under pressure)
  • 52. 52 Trends and Development in Thailand Market MNC Members in 1987 (4,017 Mn.Bt.) 1. Roche Thailand 2. Hoechst Thai 3. Merck Sharp & Dome 4. Glaxo 5. Thai Otsuka Pharmaceutical 6. Ciba-Geigy 7. Sandoz (T) Ltd. 8. Schering 9. Smith Kline & French 10. Warner Lambert 11. Astra 12. Pfizer International 13. Westmont 14. Eli Lilly 15. Squibb 16. Richardson-Vicks 21. Bayer Thai 22. Paiboon Watana (Takeda) 23. Bristol Myers 24. Wellome Thailand 25. Boehringer Ingelheim 26. Organon (T) Ltd. 27. Farmitalia Carlo Erba 28. ICI Products 29. Merrell Dow 30. Upjonh Co.,Ltd 31. Medimpex 32. Beecham 33. Sterling Drug 34. Roussel 35. Essex Thailand 36. G.D. Searle 41. Abbott Lab. Ltd. 42. Sanofi 43. Hausmann 44. United A. Pharm. 45. Syntex 46. Mack 47. Biomedis 48. Degussa 49. Unichem 50. Eisai 51. Stuart 52. Carter Wallace 53. Pliva 54. Menarini 55. Nattermann 1. 2. 3. 4. 5. 6. 40
  • 53. 53 64 Trends and Development in Thailand Market MNC Members in 2006 (40,000 Mn.Bt.) 5. Roche 2. Hoechst Thai 6. MSD 3. GlaxoSmithKline 27. Thai Otsuka 6. Ciba-Geigy 7. Novartis 9. Schering (Bayer Schering) 9. Smith Kline & French 10. Warner Lambert 4. AstraZeneca 1. Pfizer 21. Great Eastern Drug 14. Eli Lilly 15. Squibb 16. Richardson-Vicks 17. May & Baker / Nattermann 18. Boots 8. Janssen -Cilag 12. Schering-Plough 16. Bayer Thai (Bayer Schering) 10. Takeda 11. Bristol-Myers Squibb 24. Wellome Thailand 13. Boehringer Ingelheim 15. Organon (T) Ltd.* • Farmitalia Carlo Erba 28. ICI Products 29. Merrell Dow 30. Upjonh Co.,Ltd 31. Medimpex 32. Beecham 33. Sterling Drug 34. Roussel 35. Essex Thailand 36. G.D. Searle 37. Les Lab Servier 38. Boehringer Mannheim 20. Merck 18. Wyeth-Ayerst / Consumer 14. Abbott 2. Sanofi-Aventis Group 43. Hausmann 44. United A. Pharm. 45. Syntex 46. Mack 47. Biomedis 48. Degussa 49. Unichem 17. Eisai 51. Stuart 52. Carter Wallace 53. Pliva 54. Menarini 55. Nattermann 19. Servier 22. UCB Pharma 23. Thai Meiji 24. Baxter Healthcare 25. Solvey Pharma 26. Astellas 28. Daiichi Sankyo 29. Fujisawa * acquired by SP in 2007 Source : PReMA Open Sales Exchange- December 2006 17 Trends and Development in Thailand Market MNC Members in 1987 18 Trends and Development in Thailand Market MNC Members in 2006 Trends and Development in Thailand Market MNC Members in 2010 (54,000 Mn.Bt.) 6. Roche 2. Hoechst Thai 2. MSD 4. GlaxoSmithKline 19. Thai Otsuka 6. Ciba-Geigy 5. Novartis 9. Schering (Bayer Schering) 9. Smith Kline & French 8. Bayer Schering 9. Takeda 13. Bristol-Myers Squibb 24. Wellome Thailand 12. Boehringer Ingelheim 15. Organon (T) Ltd.* • Farmitalia Carlo Erba 28. ICI Products 29. Merrell Dow 14. Abbott 3. Sanofi-Aventis Group 43. Hausmann 44. United A. Pharm. 45. Syntex 46. Mack 47. Biomedis 48. Degussa 49. Unichem
  • 54. 54 Contract Distribution In-house Distribution Asian 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.,Ltd Diethelm & Co.,Ltd Hoechst Thai Ltd East Asiatic Co.,Ltd Mason (Thailand) Co,Ltd (Parke Davis) International Pharmaceutical May & Baker Ltd Jack Chia & Co.,Ltd Paiboon Watana Co.,Ltd. (Takeda) L & Sons Pfizer International Corpn. (S.A) OLIC (Thailand) Ltd. (Lepetit) Richardson-Marrell (Thailand) Ltd Muller & Phipps (Thailand) Schering (Bangkok) Ltd New French Dispensary Ltd Squibb Far East Ltd Smith Kline & French Ltd Sterling Drug International U.S Summit Corp Pacific HealthCare(Pacific Investment) Wheelock Marden & Co. (Thailand) Ltd Zuellig Pharma (F.E Zuellig) Trends and Developments in Thailand Market Distributors in 2007 Source : MIM -2007 21 Trends and Development in Thailand Market Distributors in 2007’s 20 Trends and Development in Thailand Market Distributors in 1970’s Contract Distribution In-house Distribution Asian 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.,Ltd Diethelm & Co.,Ltd Hoechst Thai Ltd East Asiatic Co.,Ltd Mason (Thailand) Co,Ltd (Parke Davis) International Pharmaceutical May & Baker Ltd Jack 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) Ltd Muller & Phipps (Thailand) Schering (Bangkok) Ltd New French Dispensary Ltd Squibb Far East Ltd Smith Kline & French Ltd Sterling Drug International U.S Summit Corp Pacific Investment (Pacific HealthCare) Wheelock Marden & Co. (Thailand) Ltd Zuellig F.E.(Bangkok) Ltd Trends and Developments in Thailand Market Distributors in 1970’s Source : TIM -1970
  • 55. 55 Contract Distribution In-house Distribution Asian 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.,Ltd DKSH Hoechst Thai Ltd East Asiatic Co.,Ltd Mason (Thailand) Co,Ltd (Parke Davis) International Pharmaceutical May & Baker Ltd Jack Chia & Co.,Ltd Paiboon Watana Co.,Ltd. (Takeda) L & Sons Pfizer International Corpn. (S.A) OLIC (Thailand) Ltd. (Lepetit) Richardson-Marrell (Thailand) Ltd Muller & Phipps (Thailand) Schering (Bangkok) Ltd New French Dispensary Ltd Squibb Far East Ltd Smith Kline & French Ltd Sterling Drug International U.S Summit Corp Pacific HealthCare(Pacific Investment) Wheelock Marden & Co. (Thailand) Ltd Zuellig Pharma (F.E Zuellig) Trends and Developments in Thailand Market Distributors in 2010 Source : MIM -2010 22 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 and reliability) (Accuracy on invoices, delivery notes etc.) (Stock availability) (Ordering convenience) (Customer service policy) (System flexibility) (Order size constraint)
  • 57. 57 (Customer complaints and claims) (Status information) : : o o o : o o o o o
  • 58. 58 23 Distribution Models in ASIA Pharma Market (under pressure) The sustainability of supply chain-lessons from the EU,18 September 2012 Speed • 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 and reliability • Accuracy on invoices, delivery notes, C/N etc • Stock availability • Ordering convenience • Integrated part of any business process : - 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 space CUSTOMER PRINCIPAL Distribution Models in ASIA Pharma Market (under pressure) : : Pharmaceutical Marketing Handout 2012 71
  • 59. 59 22 . . 2013 Bloomberg Walgreen Global Alliance Boots GmbH AmerisourceBergen Crop TIMOTHY W.MARTIN,Bloomberg News,March 22,2013 Thesis The Pharmaceutical Supply Chain : a Diagnosis of the State-of-the-art Mahender Singh Engineering Logistic, Massachusetts Institute of Technology, USA Networked Pharmaceutical Supply Chain 3 Distributor Margin based profit sharing business model Block Buster Video Model Cloud system
  • 60. 60 3. (Management skill) “ ” (Supply Chain) ” Retailing Management for Community Pharmacist 2556
  • 61. 61 Modern Management • Retailing Management • Entrepreneurship Management • Marketing Management) • Service Management • Operation Management • Quality Management • Human Resource Management •
  • 63. 63 Professional service - - - - - - - - Krittin Bunditanukul Pharm.D, BCPS Department of Pharmacy Practice, Faculty of Pharmaceutical Science, Chulalongkorn University “ ” common ilness
  • 64. 64 “ ” “ ” product service information service 3 1. 2. 3.
  • 65. 65 Levitt’s Total Product/Service Model 25 Levels of Product and Services Levitt’s Total Product/Service Model “ Potential Product/Service Augmented Product/Service Expected Product/Service Generic Core Product/Service ”
  • 66. 66 - Medication Therapy Management (MTM) - Immunization - Adherence - Chronic Disease - The Value of Pharmacist Professional Service in the Community Setting, A systematic review of the literature 1990-2002
  • 67. 67 26 Creating a Framework for Pharmacy Service Pharmacy Professional Service Source: Canadian Pharmacy Service Framework, October 2011
  • 68. 68 Drug Therapy 3 3 1. Enhance medication related services 2. Coredispensing services 3. Expanded patient care services 5. (Human resource & career development) 19
  • 70. 70 5. (Information technology) “ ” Smart Phone/Tablet: Social Media and Community: Facebook Twitter Socialcam Social media High-Speed Internet: 3G
  • 71. 71 I-Cloud Storage: 3 RFID Radio Frequency Identity), QR Code (Quick Response Code), AR (Augmented Reality): AEC holds huge opportunities for Pharmaceutical industry in Southeast Asia By Admin@pharmexasia On January 4, 2013 2015
  • 72. 72 E-Commerce 4 The Well-Manage Healthcare Organization 1. Service Line Support: 2. Clinical Service Support: 3. Management Support: 4. Network of I/O devices: Four major activities of Information management for Modern Healthcare Organization EMR Service Line Support Management Support Network of I/O devices Clinical service support Ophthalmology, Pediatric, IVF, etc. Nursing, Pharmacy, pathology, operation room, rehabilitation Accounting, purchasing, inventory, Marketing, Human resource. Record patient condition, order diagnostic tests, treatments, results Source: The Well-Managed Healthcare Organization (Kenneth R. White, PhD, John R. Griffith, FACHE , 2010)
  • 73. 73 27 Four major activities of information management for Modern Healthcare Organization 6
  • 75. 75 : refill / : IT, Smart Phone etc.: R&D: :
  • 78. 78 . . “ SMEs % % % , , , (Retail Store) Chain Drugstore 24 One Stop Service
  • 79. 79 Economy of Scale Chain Drug Store “ . 2556 2. 35 1 51 – 2552
  • 80. 80 The Pharmaceutical Supply Chain: a Diagnosis of the State-of-the- art. Master Thesis by Mahender Singh. Engineering Logistic, Massachusetts Institute of Technology, USA. June 2005 Retailing Management for Community Pharmacist 2556 Krittin Bunditanukul Pharm.D, BCPSDepartment of Pharmacy Practice, Faculty of Pharmaceutical Science, Chulalongkorn University The sustainability of supply chain-lessons from the EU, 18 September 2012 The Value of Pharmacist Professional Service in the Community Setting, A systematic review of the literature 1990-2002 Canadian Pharmacy Service Framework, October 2011 TIMOTHY W.MARTIN, Bloomberg News, March 22, 2013