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PHARMACIES

for growth,” says Ramsunder. “Our           ?                                                                                                                                                                                                           Above left: Dis-Chem now has around 100           pharmacy are heavily penalised through
medium-term target is to have 600                                                                                                                                                                                                                       big-format drug store-type outlets. Below right:  co-payments for prescribed medicines.
Clicks stores, each with a pharmacy.”                                                                                                                                                                  PHOTOS: GETTY/GALLO IMAGES, ISTOCKPHOTO, SUPPLIEDClicks’ medium-term target is to have 600         According to the Independent
It is a target Group CEO David Kneale                                                                                                                                                                                                                   stores, each with a pharmacy                      Community Pharmacy Association,
believes can be significantly exceeded                                                                                                                                                                                                                                                                    using a non-DSP outlet can result in a
in the long term.                                                                                                                                                                                                                                       of the retail chains is not the only              member paying between 20% and 60%
                                                                                                                                                                                                                                                        pressure faced by small pharmacies.               of the cost of their medicines.
  Ramsunder argues that Clicks’ drug                                                                                                                                                                                                                    They are also up against heavy-handed
store model, and by implication Dis-                                                                                                                                                                                                                    tactics by medical aids in a market                 “It is imperative that a private
Chem’s similar approach, places it at                                                                                                                                                                                                                   where scheduled medicine prices                   pharmacy becomes a DSP,” says Deon
a distinct advantage compared with                                                                                                                                                                                                                      are strictly controlled by government             Schoeman, owner of 13 pharmacies
pharmacies owned by the supermarket                                                                                                                                                                                                                     through the Single Exit Price (SEP)               in Port Elizabeth and the neighbouring
groups. “The drug store model, with its                                                                                                                                                                                                                 regime introduced in 2004.                        towns of Uitenhage and Despatch.
strong emphasis on health and beauty,                                                                                                                                                                                                                                                                     “To do so you must belong to a national
is a far more appealing environment                                                                                                                                                                                                                       Under SEP, the profit margin for                group.” To this end, Schoeman was
than a supermarket,” he argues.                                                                                                                                                                                                                         pharmacies lies in their dispensing               instrumental in forming Scrip Favours,
                                                                                                                                                                                                                                                        fee, which is also strictly controlled. For       a banner organisation with 300
  The attraction of the in-store                                                                                                                                                                                                                        example, the current limit on dispensing          members, including Spar Group.
pharmacy model for Clicks is not that                                                                                                                                                                                                                   fees is R64.08 for medicines costing
dispensing prescriptions makes money,                                                                                                                                                                                                                   between R249.06 and R840.22. The                  NO MONEY IN MEDICINES
it’s that pharmacies attract customers                                                                                                                                                                                                                  maximum fee for medicines costing over            But while being a DSP ensures
who will then shop for more general                                                                                                                                                                                                                     R840.22 is R154.                                  prescription pharmaceutical sales
merchandise in the front. Reflecting                                                                                                                                                                                                                                                                      to medical aid members, it doesn’t
this, Clicks stores generate about 25%                                                                                                                                                                                                                    “The government’s scaled price
of sales in the pharmacy and 75% in                                                                                                                                                                                                                     model is fine,” says Spar’s Grant.
the front shop, where it is already a very                                                                                                                                                                                                              “But pharmacies can’t charge laid-
powerful player. At the end of February                                                                                                                                                                                                                 down fees. They are dictated to by
2016, its national market share                                                                                                                                                                                                                         medical aids who generally stipulate a
stood at an impressive 29,1% in non-                                                                                                                                                                                                                    far lower maximum fee of R30 to R36,
prescription health, 26,8% in skincare                                                                                                                                                                                                                  irrespective of a medicine’s price.”
and 25,7% in haircare.
                                                                                                                                                                                                                                                          Medical aids have strengthened their
  Potential pharmacy customers may                                                                                                                                                                                                                      grip on the pharmacy sector through
also be attracted by another powerful                                                                                                                                                                                                                   their Designated Service Provider (DSP)
weapon in the chain’s armoury, the                                                                                                                                                                                                                      regime, under which many dictate to
Clicks ClubCard. It is claimed to be the                                                                                                                                                                                                                members which pharmacies they can
oldest retail loyalty scheme in SA and                                                                                                                                                                                                                  use for medicine dispensing services.
has 5,7-million active card holders.
                                                                                                                                                                                                                                                          Members who step out of line and
SMALL PHARMACIES                                                                                                                                                                                                                                        buy their medication at a non-DSP

The huge consumer bases and
daunting buying and marketing power

16 strategicmarketing October 2016 – January 2017
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