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WELCOME
.
Submitted by,
G.Ajith kumar.(561828048)
M.Sambethelraj.(561728041)
Under the guidance of
Dr.J.jeya Ananthi, M.pharm.,Ph.D.,
professor,
Department of pharmaceutics,
Arulmigu kalasalingam college of pharmay.
RETROSPECTIVE STUDY OF DRUG UTILIZATION
PATTERN OF ONLINE PHARMACY AND IMPACT OF
ONLINE PHARMACY IN CONVENTIONAL PHARMACY
INTRODUCTION
 Online Pharmacy is a pharmacy that sells medicines
on the internet and delivers them to customers.
 Patients can order their prescription medicines from
registered pharmacist via internet and receive their
medicines from the nearest delivery point.
 Online pharmacy is an internet platform which
provides drugs in both lawful and unlawful manner.
BENEFITS:
A) Benefits to patients:
 1.Convenient
 2.Time saving
 3.Cost efficient
 4.Information is private and confidential
 5.Range of choice
 6.Any time anywhere
 7.Easy secure payment
B)Benefits to pharmacist:
 1.Business expansion.
 2.Inventory consolidation.
 3.Coventional pharmacy upgradation.
DRAWBACKS
 Lack of physical evaluation
 The temptation to do selfmedication
 Time for the delivery of drugs
 Fraud
 Fack medicines
CHALLENGES OF ONLINE PHARMACY
 Competing With Your Competitors
 Challenge Of Inventory Related Work
 Branding
 Deliver Medicines At The Time
 Order Allocation
 Lack Coordination Of Various Team
 Inter State Sale Of Drugs
 Taking Money Prior To Delivery
 Selling Scheduled Drugs
GROWTH OF ONLINE PHARMACY IN INDIA
 The Indian pharmaceutical market was valued at $36.7 Bn in 2018
and stood as the 3rd largest market in terms of the volume and 13th
largest in terms of the value. It is estimated to grow

$55 Bn by 2020 at a CAGR of +12% from 2015 to 2020, amid rise
in ageing population and chronic diseases, rising disposable
incomes and increasing awareness among others (Source: Invest
India, IBEF). A low production cost, which is about one-third that
of the US and almost half that of Europe gives India a competitive
edge as a manufacturing destination.
GROWTH OF ONLINE PHARMACY IN INDIA
TOP 10 MEDICINES DELIVERY APPS IN
INDIA(2022)

 Practo(4.5)
 1mg(4.4)
 Apollo 247(4.4)
 pharmEasy(4.5)
 MedplusMart(4.6)
 Sastasundar(4.6)
 Medlife(4.4)
 Trumeds(4.4)
 Netmeds(4.3)
 Phable(4.1)
TWO HIGH COURTS, TWO DIFFERENT VIEWS ON
ONLINE DRUGS SALE
 DELHI HC’S STAND
 On December 12 last year, the Delhi High Court had banned online sale
of medicines without licence. The order came on a petition filed in
public interest by a senior dermatologist claiming that drugs are highly
potent and their misuse or abuse can have serious consequences on
human health.
 Dermatologist Zaheer Ahmed had contended that online pharmacies
operate without a drug licence. He said a large number of children or
people from uneducated background use the Internet and can fall prey to
wrong drugs while ordering medicines online.
 Dr. Ahmed said he was shocked to learn that one of his patients was able
to get from an online site a prescription drug, which cannot be sold
without a valid prescription, despite not submitting any proof or
prescription.
.
 Madras HC’s view
 The Tamil Nadu Chemists and Druggists Association had
moved the Madras High Court seeking to block links to all
websites doing online sale of Schedule H, H1 and X
medicines in India.
 Justice Sathyanarayana also directed the Centre to
notify the proposed Drugs and Cosmetics Amendment
Rules, 2018, in the Gazette before January 31. This
was challenged by various online vendors before a
larger Bench of the Madras High Court.
.
AIMS AND OBJECIVES
AIM:
 To carry out retrospective study of drug utilization pattern on online
pharmacy and impact of Online pharmacy in conventional pharmacy.
OBJECTIVES:
 To assess the satisfaction of the consumers on online pharmacy.
 To assess the patient’s compliance for the drugs, obtain through online
pharmacy.
 To assess the problems faced by the consumers during purchase of
drug through online pharmacy.
 To assess the impact of online pharmacy in Conventional pharmacy.
PLAN OF STUDY
 Selection of Study Design-Retrospective
observational study.
 Review of literature
 Preparation of data collection form (proform)
 Data collection-In our college and our cities at
Virudhunagar.
 Data analysis
 Result
 Discussion
 Conclusion
METHODOLOGY
 Study Design:
 This a Retrospective observational study carries out in both male and female
for the determining their opinion related online pharmacy.
 The impact of online pharmacy in conventional pharmacy study is carried out
by observational method and direct interview method.
 Study Duration:
 The data are collected from the college and virudhunagar surrounding
areas during December 2021 to February 2022
 Data collection and analysis :
 The first part of the questionnaire consist of the demographic profile of the
research sample. It encompasses gender, age, educational qualifications,
address(optional). The second portion of the questionnaire consists of
various questions related to knowing the consumer preference and buying
pattern towards e-pharmacy. The tabulation and pie diagram, column
diagram, bar diagram, XY(scatters) diagram, sunburst diagram, histogram,
waterfall diagram are used to analyze the responses of the sample
respondents
PROCEDURE
 The steps given below were followed respectively to conduct
and report the study result,
 Research work was explained to the participants initially.
 Total number of participants enrolled in the studies was 127.
 Once a voluntary consent was obtained, participants were briefly
explained about the aspects to be fill in the data collection form.
 Wherever necessary, assistance was provided in filling data
collection form and study questionnaires.
 Due to lack of proper informations 9 forms were excluded.
 The collected data was documented in excel sheets.
 Data cleaning and Data validation was performed.
 Result for the study were obtained.
 Discussion and conclusion of the study was provided
INCLUSION AND EXCLUSION CRITERIA
 Inclusion criteria:
 Participants with a history of atleast two or more times purchasing drugs
through the online pharmacy.
 Participants of either gender of more than 18 years willing to participate
in the study.
 Exclusion criteria:
 Participants don’t know about online pharmacy or don’t purchase drugs
through online pharmacy.
 Participants who are not available and who are submitting incompletely
filled data collection form will be excluded.
RESULTS AND DISCUSSIONS
1. GENDER
Male-67
Female-51
Total=118
2. AGE
20-35(47)
36-45(46)
46-60(20)
Above 60(8)
3.EDUCATION LEVEL
 Below secondary school-9
 Diploma-31
 UG-41
 PG-27
 Ph.D-10
 From the demographic profile the majority of age groups 20-
45 years and Highly Educated peoples are purchase the drugs
through online pharmacy because they are have huge
knowledge about mobile phone usage and easily
understanding purchase procedure and related information of
the drugs.
PARTICIPANTS EXPERIENCE SURVEY
1.Whether the online
pharmacy is safe?
 Safe(42)
 Moderately safe (23)
 Not safe (53)
The majority of the peoples
are thinking about online
pharmacy is unsafe.
2. How frequently do you
purchase through
online pharmacy?
 Very frequently(40)
 Frequently(25)
 Sometimes(53)
 From the survey questionnaire
the responds participants are
sometimes purchasing the
drugs through online
pharmacy because they are
unsatisfied or any some
problems facing during online
drug purchasing
.
.
,
3.What is the duration
between the placing of
order and receiving of
order through online
pharmacy?
 0-6 hours(35)
 6-12hours(43)
 12-24hours(18)
 Above 24hours(22)
• In online pharmacy, majority of
peoples are feeling delivery
time of drug is 6-12hrs after
placing the order. The delivery
time is based upon the nearest
online pharmacies branches
available in our area.
4.Do you get medicine in online
pharmacy for chronic
disease?
 Yes(67)
 No(51)
 Peoples are also interested
purchasing drug through online
pharmacy for chronic disease
because peoples are
consuming long term chronic
disease medications. The
medication are purchase
weekly or monthly depend
upon the disease and patient
conditions so they are
purchase medicine in
pharmacy shop frequently. In
generally all the peoples are
busy schedule work so they
are purchasing drugs in online
pharmacy to minimize the
travels and times
.
. .
5.Do you get all the
relevant information
about the drug
purchased through
online pharmacy?
 Yes(43)
 Not all the informations(25)
 No(50)
6. Do you agree all the
drugs are available in
online pharmacy?
 Strongly agree(40)
 Agree(31)
 Disagree(47)
 In this survey, most of the
participants disagree with
unavailability of some
drugs in online pharmacy.
In this conditions the online
pharmacies replaced any
other drug without
physician consult which
causes any problems in
patients health.

.
. .
7.Do you purchase any
drug in online
pharmacy due to
excessive promotion?
 Yes(39)
 Sometimes(48)
 No(31)
8.Does the product you
receives are in prompt
conditions?
 Yes(63)
 No(55)
.
. .
9.Does all the
informations provided
by online pharmacy
service are
understandable?
 Yes(43)
 Sometimes(50)
 No(25)
• Most of the online e-pharmacy
websites having detailed
information about the medicine
like its side effect, mechanism of
action, maximum dose, etc. In this
survey, it was found that this
detailed information about the
medicine is not satisfied patients
because some scientific words is
not known the patients.
10.Do you agree there is
any offer in online
pharmacy?
 Strongly agree(65)
 Agree(43)
 Disagree(10)
• The majority of people are
influenced by Offers/discounts
for buying medicine from e-
pharmacy.
.
. .
11.Do you use any
prescription for the
purchase of drugs in
online pharmacy?
 Yes(66)
 No(52)
• Sometimes some online
pharmacies illegally dispensed
drugs without physician
prescription. It is encourage the
changes patients mentality
about physical checkup of body
in hospital. This mentality
changes the patient affected by
any other disease they are not
consult the physician, they
directly contact online pharmacy
and purchase their disease
related drug which is severely
affected the patient health.
12.Do you administered
the drugs through
online pharmacy
according to physician
advice?
 Yes(36)
 Sometimes(49)
 No(33)
• Many number of peoples using
prescription for purchasing
drugs in online pharmacy and
they are taking medicine
according to physician advice.
.
. .
13.Do you get solution to
any drugs related
doubts purchase
through online
pharmacy?
 Yes(33)
 Sometimes(47)
 No(38)
• Large number of peoples
feeling the medicine related
doubts are not rectified in
online pharmacy.
14.Do you have any
problems in receiving
the order drugs?
 Delay in receiving the
medication.(34)
 Unavailability of medicine
in pharmacy(16)
 Wrong medicines delivered
 Not facing any
problems(42)
• Majorly some peoples facing
the some problems in online
pharmacy like delaying the
receiving of order, wrong
medicine delivered, packaging
problem and unavailability of
drugs.
.
. .
15.Do they rectified the
problems in the ordered
drugs?
 Yes(63)
 No(55)
• In this survey, participants
agree with rectifying the
problem is possible in online
pharmacy.
16.Do you have any
problems in transaction
of money for your
order?
 Yes(22)
 Sometimes(26)
 No(70)
• Nowadays, technologies
are highly developed so
transaction of money in
online pharmacy is easily
and any problems arise in
the transaction which is
overcome by online
pharmacy.
.17.Are you satisfied with online
pharmacy or conventional pharmacy?
 Online pharmacy(51)
 Conventional pharmacy(67)
• Finally in this survey, Majority off the peoples
likes conventional pharmacy compared with
online pharmacy.
IMPACT OF ONLINE PHARMACY IN
CONVENTIONAL PHARMACY
 Profit in the business of Conventional Pharmacy holders has
been declining since the advent of online pharmacy.
 Those who are accumstomed to buying drugs at online
pharmacies are also expecting discounting discounts from
Conventional pharmacy.
 Still some customers are orging Conventional pharmacy holders
to give us door delivery just like online pharmacy so Conventional
pharmacies needs some extra people to the need of the
customer.
 As Online pharmacy grows, so does the chases of delivering a
conventional pharmacy.
 In future, online pharmacy which affect drug distribution channel
because some wholesalers directly reach the customers through
online.
CONCLUSION

 In recent years, peoples are highly educated, peoples are very busy in their work and day
by day technologies are well developed. So, they are very easily adopted to this
technology development for our convenience. The technology development encourage
the entry of online pharmacy. We are studied patients compliance, patients satisfaction
and problems facing in drug purchase in online pharmacy. In our studies patient are not
satisfying and facing many problems in online pharmacy compared with conventional
pharmacy so, we are concluded never online pharmacy can’t replaced by conventional
pharmacy. Finally summing up above explanation it can be conclude that online
pharmacies do not have the personal touch that a physical pharmacy has. You can not
talk to a pharmacist to get advice about side effects or drug interactions the way you can
at local pharmacy. They can be very convenient and less expensive than traditional
pharmacies, but always keep in mind the dangers of using an online pharmacy.
 Entry of online pharmacy is predominantly affect the conventional pharmacy like
decrease profit and sales etc., In future, online pharmacy which affect drug distributional
channel because some wholesalers directly reaches the customers through online.
.
THANK YOU...!

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Impact of Online Pharmacy on Drug Utilization and Conventional Pharmacies

  • 2. Submitted by, G.Ajith kumar.(561828048) M.Sambethelraj.(561728041) Under the guidance of Dr.J.jeya Ananthi, M.pharm.,Ph.D., professor, Department of pharmaceutics, Arulmigu kalasalingam college of pharmay. RETROSPECTIVE STUDY OF DRUG UTILIZATION PATTERN OF ONLINE PHARMACY AND IMPACT OF ONLINE PHARMACY IN CONVENTIONAL PHARMACY
  • 3. INTRODUCTION  Online Pharmacy is a pharmacy that sells medicines on the internet and delivers them to customers.  Patients can order their prescription medicines from registered pharmacist via internet and receive their medicines from the nearest delivery point.  Online pharmacy is an internet platform which provides drugs in both lawful and unlawful manner.
  • 4. BENEFITS: A) Benefits to patients:  1.Convenient  2.Time saving  3.Cost efficient  4.Information is private and confidential  5.Range of choice  6.Any time anywhere  7.Easy secure payment B)Benefits to pharmacist:  1.Business expansion.  2.Inventory consolidation.  3.Coventional pharmacy upgradation.
  • 5. DRAWBACKS  Lack of physical evaluation  The temptation to do selfmedication  Time for the delivery of drugs  Fraud  Fack medicines
  • 6. CHALLENGES OF ONLINE PHARMACY  Competing With Your Competitors  Challenge Of Inventory Related Work  Branding  Deliver Medicines At The Time  Order Allocation  Lack Coordination Of Various Team  Inter State Sale Of Drugs  Taking Money Prior To Delivery  Selling Scheduled Drugs
  • 7. GROWTH OF ONLINE PHARMACY IN INDIA  The Indian pharmaceutical market was valued at $36.7 Bn in 2018 and stood as the 3rd largest market in terms of the volume and 13th largest in terms of the value. It is estimated to grow  $55 Bn by 2020 at a CAGR of +12% from 2015 to 2020, amid rise in ageing population and chronic diseases, rising disposable incomes and increasing awareness among others (Source: Invest India, IBEF). A low production cost, which is about one-third that of the US and almost half that of Europe gives India a competitive edge as a manufacturing destination.
  • 8. GROWTH OF ONLINE PHARMACY IN INDIA
  • 9. TOP 10 MEDICINES DELIVERY APPS IN INDIA(2022)   Practo(4.5)  1mg(4.4)  Apollo 247(4.4)  pharmEasy(4.5)  MedplusMart(4.6)  Sastasundar(4.6)  Medlife(4.4)  Trumeds(4.4)  Netmeds(4.3)  Phable(4.1)
  • 10. TWO HIGH COURTS, TWO DIFFERENT VIEWS ON ONLINE DRUGS SALE  DELHI HC’S STAND  On December 12 last year, the Delhi High Court had banned online sale of medicines without licence. The order came on a petition filed in public interest by a senior dermatologist claiming that drugs are highly potent and their misuse or abuse can have serious consequences on human health.  Dermatologist Zaheer Ahmed had contended that online pharmacies operate without a drug licence. He said a large number of children or people from uneducated background use the Internet and can fall prey to wrong drugs while ordering medicines online.  Dr. Ahmed said he was shocked to learn that one of his patients was able to get from an online site a prescription drug, which cannot be sold without a valid prescription, despite not submitting any proof or prescription.
  • 11. .  Madras HC’s view  The Tamil Nadu Chemists and Druggists Association had moved the Madras High Court seeking to block links to all websites doing online sale of Schedule H, H1 and X medicines in India.  Justice Sathyanarayana also directed the Centre to notify the proposed Drugs and Cosmetics Amendment Rules, 2018, in the Gazette before January 31. This was challenged by various online vendors before a larger Bench of the Madras High Court.
  • 12. .
  • 13. AIMS AND OBJECIVES AIM:  To carry out retrospective study of drug utilization pattern on online pharmacy and impact of Online pharmacy in conventional pharmacy. OBJECTIVES:  To assess the satisfaction of the consumers on online pharmacy.  To assess the patient’s compliance for the drugs, obtain through online pharmacy.  To assess the problems faced by the consumers during purchase of drug through online pharmacy.  To assess the impact of online pharmacy in Conventional pharmacy.
  • 14. PLAN OF STUDY  Selection of Study Design-Retrospective observational study.  Review of literature  Preparation of data collection form (proform)  Data collection-In our college and our cities at Virudhunagar.  Data analysis  Result  Discussion  Conclusion
  • 15. METHODOLOGY  Study Design:  This a Retrospective observational study carries out in both male and female for the determining their opinion related online pharmacy.  The impact of online pharmacy in conventional pharmacy study is carried out by observational method and direct interview method.  Study Duration:  The data are collected from the college and virudhunagar surrounding areas during December 2021 to February 2022  Data collection and analysis :  The first part of the questionnaire consist of the demographic profile of the research sample. It encompasses gender, age, educational qualifications, address(optional). The second portion of the questionnaire consists of various questions related to knowing the consumer preference and buying pattern towards e-pharmacy. The tabulation and pie diagram, column diagram, bar diagram, XY(scatters) diagram, sunburst diagram, histogram, waterfall diagram are used to analyze the responses of the sample respondents
  • 16. PROCEDURE  The steps given below were followed respectively to conduct and report the study result,  Research work was explained to the participants initially.  Total number of participants enrolled in the studies was 127.  Once a voluntary consent was obtained, participants were briefly explained about the aspects to be fill in the data collection form.  Wherever necessary, assistance was provided in filling data collection form and study questionnaires.  Due to lack of proper informations 9 forms were excluded.  The collected data was documented in excel sheets.  Data cleaning and Data validation was performed.  Result for the study were obtained.  Discussion and conclusion of the study was provided
  • 17. INCLUSION AND EXCLUSION CRITERIA  Inclusion criteria:  Participants with a history of atleast two or more times purchasing drugs through the online pharmacy.  Participants of either gender of more than 18 years willing to participate in the study.  Exclusion criteria:  Participants don’t know about online pharmacy or don’t purchase drugs through online pharmacy.  Participants who are not available and who are submitting incompletely filled data collection form will be excluded.
  • 18. RESULTS AND DISCUSSIONS 1. GENDER Male-67 Female-51 Total=118 2. AGE 20-35(47) 36-45(46) 46-60(20) Above 60(8)
  • 19. 3.EDUCATION LEVEL  Below secondary school-9  Diploma-31  UG-41  PG-27  Ph.D-10  From the demographic profile the majority of age groups 20- 45 years and Highly Educated peoples are purchase the drugs through online pharmacy because they are have huge knowledge about mobile phone usage and easily understanding purchase procedure and related information of the drugs.
  • 20. PARTICIPANTS EXPERIENCE SURVEY 1.Whether the online pharmacy is safe?  Safe(42)  Moderately safe (23)  Not safe (53) The majority of the peoples are thinking about online pharmacy is unsafe. 2. How frequently do you purchase through online pharmacy?  Very frequently(40)  Frequently(25)  Sometimes(53)  From the survey questionnaire the responds participants are sometimes purchasing the drugs through online pharmacy because they are unsatisfied or any some problems facing during online drug purchasing
  • 21. . . , 3.What is the duration between the placing of order and receiving of order through online pharmacy?  0-6 hours(35)  6-12hours(43)  12-24hours(18)  Above 24hours(22) • In online pharmacy, majority of peoples are feeling delivery time of drug is 6-12hrs after placing the order. The delivery time is based upon the nearest online pharmacies branches available in our area. 4.Do you get medicine in online pharmacy for chronic disease?  Yes(67)  No(51)  Peoples are also interested purchasing drug through online pharmacy for chronic disease because peoples are consuming long term chronic disease medications. The medication are purchase weekly or monthly depend upon the disease and patient conditions so they are purchase medicine in pharmacy shop frequently. In generally all the peoples are busy schedule work so they are purchasing drugs in online pharmacy to minimize the travels and times
  • 22. . . . 5.Do you get all the relevant information about the drug purchased through online pharmacy?  Yes(43)  Not all the informations(25)  No(50) 6. Do you agree all the drugs are available in online pharmacy?  Strongly agree(40)  Agree(31)  Disagree(47)  In this survey, most of the participants disagree with unavailability of some drugs in online pharmacy. In this conditions the online pharmacies replaced any other drug without physician consult which causes any problems in patients health. 
  • 23. . . . 7.Do you purchase any drug in online pharmacy due to excessive promotion?  Yes(39)  Sometimes(48)  No(31) 8.Does the product you receives are in prompt conditions?  Yes(63)  No(55)
  • 24. . . . 9.Does all the informations provided by online pharmacy service are understandable?  Yes(43)  Sometimes(50)  No(25) • Most of the online e-pharmacy websites having detailed information about the medicine like its side effect, mechanism of action, maximum dose, etc. In this survey, it was found that this detailed information about the medicine is not satisfied patients because some scientific words is not known the patients. 10.Do you agree there is any offer in online pharmacy?  Strongly agree(65)  Agree(43)  Disagree(10) • The majority of people are influenced by Offers/discounts for buying medicine from e- pharmacy.
  • 25. . . . 11.Do you use any prescription for the purchase of drugs in online pharmacy?  Yes(66)  No(52) • Sometimes some online pharmacies illegally dispensed drugs without physician prescription. It is encourage the changes patients mentality about physical checkup of body in hospital. This mentality changes the patient affected by any other disease they are not consult the physician, they directly contact online pharmacy and purchase their disease related drug which is severely affected the patient health. 12.Do you administered the drugs through online pharmacy according to physician advice?  Yes(36)  Sometimes(49)  No(33) • Many number of peoples using prescription for purchasing drugs in online pharmacy and they are taking medicine according to physician advice.
  • 26. . . . 13.Do you get solution to any drugs related doubts purchase through online pharmacy?  Yes(33)  Sometimes(47)  No(38) • Large number of peoples feeling the medicine related doubts are not rectified in online pharmacy. 14.Do you have any problems in receiving the order drugs?  Delay in receiving the medication.(34)  Unavailability of medicine in pharmacy(16)  Wrong medicines delivered  Not facing any problems(42) • Majorly some peoples facing the some problems in online pharmacy like delaying the receiving of order, wrong medicine delivered, packaging problem and unavailability of drugs.
  • 27. . . . 15.Do they rectified the problems in the ordered drugs?  Yes(63)  No(55) • In this survey, participants agree with rectifying the problem is possible in online pharmacy. 16.Do you have any problems in transaction of money for your order?  Yes(22)  Sometimes(26)  No(70) • Nowadays, technologies are highly developed so transaction of money in online pharmacy is easily and any problems arise in the transaction which is overcome by online pharmacy.
  • 28. .17.Are you satisfied with online pharmacy or conventional pharmacy?  Online pharmacy(51)  Conventional pharmacy(67) • Finally in this survey, Majority off the peoples likes conventional pharmacy compared with online pharmacy.
  • 29. IMPACT OF ONLINE PHARMACY IN CONVENTIONAL PHARMACY  Profit in the business of Conventional Pharmacy holders has been declining since the advent of online pharmacy.  Those who are accumstomed to buying drugs at online pharmacies are also expecting discounting discounts from Conventional pharmacy.  Still some customers are orging Conventional pharmacy holders to give us door delivery just like online pharmacy so Conventional pharmacies needs some extra people to the need of the customer.  As Online pharmacy grows, so does the chases of delivering a conventional pharmacy.  In future, online pharmacy which affect drug distribution channel because some wholesalers directly reach the customers through online.
  • 30. CONCLUSION   In recent years, peoples are highly educated, peoples are very busy in their work and day by day technologies are well developed. So, they are very easily adopted to this technology development for our convenience. The technology development encourage the entry of online pharmacy. We are studied patients compliance, patients satisfaction and problems facing in drug purchase in online pharmacy. In our studies patient are not satisfying and facing many problems in online pharmacy compared with conventional pharmacy so, we are concluded never online pharmacy can’t replaced by conventional pharmacy. Finally summing up above explanation it can be conclude that online pharmacies do not have the personal touch that a physical pharmacy has. You can not talk to a pharmacist to get advice about side effects or drug interactions the way you can at local pharmacy. They can be very convenient and less expensive than traditional pharmacies, but always keep in mind the dangers of using an online pharmacy.  Entry of online pharmacy is predominantly affect the conventional pharmacy like decrease profit and sales etc., In future, online pharmacy which affect drug distributional channel because some wholesalers directly reaches the customers through online.