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European Pharmaceutical Distribution Fact Book
                          Country Sample Austria
                          August 2009
Austria – Pharmaceutical Distribution Chain


                                              Manufacturers                                         Ex
                                      2.736 m € (2007, ex-factory prices)                         Austria

                                                              62%
                      6%
                                                   Wholesalers




                                                                                  Hospital        Mail order
               Retail Pharmacies (with branches)            SD-Doctors*          Pharmacies   pharmacies outside
                                                                                              Austria / drugstores



                                        68%                                            30%                 2%


                                                                      Patients


   * Self Dispensing Doctors


Source: EFPIA, GIRP                                                                                                  2
Austria – Pharmaceutical margins and taxes


  VAT

  10%
  since January 1st, 2009




                                 • pharmacies are remunerated via a statutory regressive mark up scheme applicable to
                                   all pharmaceuticals
  Pharmacy margin                • Since 1 January 2004 there are two different schemes applied:
                                        o one scheme using reduced mark ups for “privileged customers” (sickness funds,
  29,8%                                   the State, the Austrian Länder or communities)
  19,16 % reimbursement market          o a basic scheme for “private customers”, on which an additional flat “private
                                          customer mark up” of 15% is added




  Wholesaler margin              • Wholesalers are remunerated via a statutory regressive mark up scheme applicable to
                                   all pharmaceuticals
  9,0% total market              • From 1 January 2004, there are different mark up schemes for pharmaceuticals
  9,4% reimbursement market        included in the yellow or green boxes of the EKO (positive list) and for all other
                                   pharmaceuticals
                                   Red box: newly launched pharmaceuticals and pharmaceuticals that apply for
                                   reimbursement
                                   Yellow box: pharmaceuticals fulfilling certain criteria (e.g. specific disease or age
                                   group)
                                   Green box: pharmaceuticals qualifying for automatic reimbursement


Source: OEBIG
                                                                                                                           3
Austria – Pharmaceutical Retail Landscape
            ... 68 % of pharmaceuticals are sold through pharmacies or branch pharmacies and self-dispensing doctors



                                                    2000            2001        2002    2003      2004        2005       2006        2007        2008

    Pharmacies                                     1.106            1.133       1.147   1.160    1.182       1.191       1.184       1.200       1.233

    SD Doctors                                      987             998         982     993       989         992         992         978         962

    Hospital pharmacies*                              5              5           5       5          5          5           5           5           5

                                            * dispensing directly to patients




                                             Multiple ownership of pharmacies is not allowed in Austria, but a pharmacist may open one branch
    Pharmacy Chains
                                             pharmacy, which practices under the supervision of a main pharmacy

    Pharmacy ownership                       The right to own a retail pharmacy in Austria is statutorily reserved to pharmacists with a university degree.

                                             Internet pharmacies are not permitted in Austria, but private consumers are allowed to order at mail-order
    Internet Mail Order
                                             pharmacies outside Austria.

                                             Drugstores and supermarkets are only allowed to sell a very restricted range of non-pharmacy OTC
    Drugstores/supermarket
                                             pharmaceuticals

    Direct sales                             Direct sales of pharmaceuticals from manufacturers to pharmacies were around 5,8% in 2007.

                                             Rebates (in cash) from wholesalers to pharmacies are quite common in Austria, whereas rebates from
    Rebates                                  manufacturers to pharmacies are not. The situation is different for hospitals of which around 99% get cash
                                             rebates from the manufacturers.



Source: Statistik Austria, OEBIG, Österreichische Apothekerkammer
                                                                                                                                                              4
Austria – Pharmaceutical Wholesaler Landscape


                                                   3                                                                  2
                                                                       Kwizda Pharmahandel GmbH

                                Full-line wholesaler                  Full-line wholesaler         Full-line wholesaler        Full-line wholesaler
  Range of                      Pharma logistics                      Pharma logistics             Pharma logistics            Pharmacy support services
  Services                      Pharmacy support services             Pharmacy support services    Pharmacy support Services

                                956 Mio € (2007)                      430 Mio. € (2007)            326 Mio € (2007)            154 Mio. € (2007)
  Revenue


  Market share                  44%                                   20%                          15%                         7%


  Profit margin*                3,65%                                 1,15%                        1,14%                       2,14%

  # employees /
  outlets                       960 (2007) / 7 (2008)                 350 (2007) / 5 (2008)        167 (2008) / 4 (2008)       > 150 (2007) / 3 (2008)


  Ownership
                                100% Celesio AG                       Family owned                 100 % Phoenix Group         Family owned

* before tax

                                                                                Wholesaler revenue: 2,2 bn € (2007)




Source: company websites, annual reports/ accounts, press, ARGE (www.argepgh.at), GIRP
                                                                                                                                                           5
European Pharmaceutical Distribution Fact Book

Table of Contents
European Standard Pharmaceutical Distribution Chain        3
European Pharmaceutical Distribution Channel Shares        4
Country Profiles
Pharmaceutical Distribution Chain 
Pharmaceutical Margins and Taxes 
Pharmaceutical Wholesaler Landscape 
Pharmaceutical Retail Landscape 
France                                                     5‐9
Germany                                                    10‐14
Italy                                                      15‐19
United Kingdom                                             20‐24
European Pharmaceutical Wholesaler Market Shares (Top 3)   25
Company Profiles
Phoenix Group                                              26‐27
AllianceBoots                                              28‐30
Celesio AG                                                 31‐34




                                                                   6
European Pharmaceutical Distribution Fact Book

Pricing & Options
European Pharmaceutical Distribution Fact Book
Total Report                                                                        1000,00 €
European Pharmaceutical Distribution Fact Book
Country Profile – France (6 pages )                                                 250,00 €
European Standard Pharmaceutical Distribution Chain 
European Pharmaceutical Distribution Channel Shares (data 2007)
Country Profile ‐ France
Pharmaceutical Distribution Chain 
Pharmaceutical Margins and Taxes
Pharmaceutical Wholesaler Landscape (OCP, Alliance Healthcare, CERP / data 2007) 
Pharmaceutical Retail Landscape

European Pharmaceutical Distribution Fact Book
Country Profile – Germany (6 pages )                                                250,00 €
European Standard Pharmaceutical Distribution Chain 
European Pharmaceutical Distribution Channel Shares (data 2007)
Country Profile ‐ Germany
Pharmaceutical Distribution Chain 
Pharmaceutical Margins and Taxes
Pharmaceutical Wholesaler Landscape (Phoenix, ANZAG, GEHE, Sanacorp / data 2007)
Pharmaceutical Retail Landscape


                                                                                                7
European Pharmaceutical Distribution Fact Book
Pricing & Options continued
European Pharmaceutical Distribution Fact Book
Country Profile – Italy (6 pages )                                                        250,00 €
European Standard Pharmaceutical Distribution Chain 
European Pharmaceutical Distribution Channel Shares (data 2007)
Country Profile ‐ Italy
Pharmaceutical Distribution Chain 
Pharmaceutical Margins and Taxes
Pharmaceutical Wholesaler Landscape (Comifar, Farmintesa, Alliance Healthcare, Unico / 
data 2007) 
Pharmaceutical Retail Landscape
European Pharmaceutical Distribution Fact Book
Country Profile ‐ United Kingdom (6 pages )                                               250,00 €
European Standard Pharmaceutical Distribution Chain 
European Pharmaceutical Distribution Channel Shares (data 2007)
Country Profile ‐ United Kingdom
Pharmaceutical Distribution Chain 
Pharmaceutical Margins and Taxes
Pharmaceutical Wholesaler Landscape (AAH, Alliance Healthcare, Phoenix / data 2007) 
Pharmaceutical Retail Landscape




                                                                                                     8
European Pharmaceutical Distribution Fact Book
Pricing & Options continued
European Pharmaceutical Distribution Fact Book
Company Profiles (10 pages)                                             250,00 €
European Pharmaceutical Wholesaler Market Shares (Top 3)
Company Profiles: 
Phoenix Group – AllianceBoots ‐ Celesio AG




Bespoke profiles for other European countries can be done by request.

Inquiries:
Rita Weissenberger or Petra Graschi
i2k Services GmbH
Bocksdornstraße 27
80935 Munich
Germany
T.: ++ 49‐700‐425425425
Email: reports@i2k‐services.com
For further information please refer to: 
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Pharmaceutical Distribution Factbook Austria

  • 1. European Pharmaceutical Distribution Fact Book Country Sample Austria August 2009
  • 2. Austria – Pharmaceutical Distribution Chain Manufacturers Ex 2.736 m € (2007, ex-factory prices) Austria 62% 6% Wholesalers Hospital Mail order Retail Pharmacies (with branches) SD-Doctors* Pharmacies pharmacies outside Austria / drugstores 68% 30% 2% Patients * Self Dispensing Doctors Source: EFPIA, GIRP 2
  • 3. Austria – Pharmaceutical margins and taxes VAT 10% since January 1st, 2009 • pharmacies are remunerated via a statutory regressive mark up scheme applicable to all pharmaceuticals Pharmacy margin • Since 1 January 2004 there are two different schemes applied: o one scheme using reduced mark ups for “privileged customers” (sickness funds, 29,8% the State, the Austrian Länder or communities) 19,16 % reimbursement market o a basic scheme for “private customers”, on which an additional flat “private customer mark up” of 15% is added Wholesaler margin • Wholesalers are remunerated via a statutory regressive mark up scheme applicable to all pharmaceuticals 9,0% total market • From 1 January 2004, there are different mark up schemes for pharmaceuticals 9,4% reimbursement market included in the yellow or green boxes of the EKO (positive list) and for all other pharmaceuticals Red box: newly launched pharmaceuticals and pharmaceuticals that apply for reimbursement Yellow box: pharmaceuticals fulfilling certain criteria (e.g. specific disease or age group) Green box: pharmaceuticals qualifying for automatic reimbursement Source: OEBIG 3
  • 4. Austria – Pharmaceutical Retail Landscape ... 68 % of pharmaceuticals are sold through pharmacies or branch pharmacies and self-dispensing doctors 2000 2001 2002 2003 2004 2005 2006 2007 2008 Pharmacies 1.106 1.133 1.147 1.160 1.182 1.191 1.184 1.200 1.233 SD Doctors 987 998 982 993 989 992 992 978 962 Hospital pharmacies* 5 5 5 5 5 5 5 5 5 * dispensing directly to patients Multiple ownership of pharmacies is not allowed in Austria, but a pharmacist may open one branch Pharmacy Chains pharmacy, which practices under the supervision of a main pharmacy Pharmacy ownership The right to own a retail pharmacy in Austria is statutorily reserved to pharmacists with a university degree. Internet pharmacies are not permitted in Austria, but private consumers are allowed to order at mail-order Internet Mail Order pharmacies outside Austria. Drugstores and supermarkets are only allowed to sell a very restricted range of non-pharmacy OTC Drugstores/supermarket pharmaceuticals Direct sales Direct sales of pharmaceuticals from manufacturers to pharmacies were around 5,8% in 2007. Rebates (in cash) from wholesalers to pharmacies are quite common in Austria, whereas rebates from Rebates manufacturers to pharmacies are not. The situation is different for hospitals of which around 99% get cash rebates from the manufacturers. Source: Statistik Austria, OEBIG, Österreichische Apothekerkammer 4
  • 5. Austria – Pharmaceutical Wholesaler Landscape 3 2 Kwizda Pharmahandel GmbH Full-line wholesaler Full-line wholesaler Full-line wholesaler Full-line wholesaler Range of Pharma logistics Pharma logistics Pharma logistics Pharmacy support services Services Pharmacy support services Pharmacy support services Pharmacy support Services 956 Mio € (2007) 430 Mio. € (2007) 326 Mio € (2007) 154 Mio. € (2007) Revenue Market share 44% 20% 15% 7% Profit margin* 3,65% 1,15% 1,14% 2,14% # employees / outlets 960 (2007) / 7 (2008) 350 (2007) / 5 (2008) 167 (2008) / 4 (2008) > 150 (2007) / 3 (2008) Ownership 100% Celesio AG Family owned 100 % Phoenix Group Family owned * before tax Wholesaler revenue: 2,2 bn € (2007) Source: company websites, annual reports/ accounts, press, ARGE (www.argepgh.at), GIRP 5
  • 6. European Pharmaceutical Distribution Fact Book Table of Contents European Standard Pharmaceutical Distribution Chain  3 European Pharmaceutical Distribution Channel Shares  4 Country Profiles Pharmaceutical Distribution Chain  Pharmaceutical Margins and Taxes  Pharmaceutical Wholesaler Landscape  Pharmaceutical Retail Landscape  France 5‐9 Germany  10‐14 Italy  15‐19 United Kingdom  20‐24 European Pharmaceutical Wholesaler Market Shares (Top 3) 25 Company Profiles Phoenix Group  26‐27 AllianceBoots 28‐30 Celesio AG 31‐34 6
  • 7. European Pharmaceutical Distribution Fact Book Pricing & Options European Pharmaceutical Distribution Fact Book Total Report 1000,00 € European Pharmaceutical Distribution Fact Book Country Profile – France (6 pages ) 250,00 € European Standard Pharmaceutical Distribution Chain  European Pharmaceutical Distribution Channel Shares (data 2007) Country Profile ‐ France Pharmaceutical Distribution Chain  Pharmaceutical Margins and Taxes Pharmaceutical Wholesaler Landscape (OCP, Alliance Healthcare, CERP / data 2007)  Pharmaceutical Retail Landscape European Pharmaceutical Distribution Fact Book Country Profile – Germany (6 pages ) 250,00 € European Standard Pharmaceutical Distribution Chain  European Pharmaceutical Distribution Channel Shares (data 2007) Country Profile ‐ Germany Pharmaceutical Distribution Chain  Pharmaceutical Margins and Taxes Pharmaceutical Wholesaler Landscape (Phoenix, ANZAG, GEHE, Sanacorp / data 2007) Pharmaceutical Retail Landscape 7
  • 8. European Pharmaceutical Distribution Fact Book Pricing & Options continued European Pharmaceutical Distribution Fact Book Country Profile – Italy (6 pages ) 250,00 € European Standard Pharmaceutical Distribution Chain  European Pharmaceutical Distribution Channel Shares (data 2007) Country Profile ‐ Italy Pharmaceutical Distribution Chain  Pharmaceutical Margins and Taxes Pharmaceutical Wholesaler Landscape (Comifar, Farmintesa, Alliance Healthcare, Unico /  data 2007)  Pharmaceutical Retail Landscape European Pharmaceutical Distribution Fact Book Country Profile ‐ United Kingdom (6 pages ) 250,00 € European Standard Pharmaceutical Distribution Chain  European Pharmaceutical Distribution Channel Shares (data 2007) Country Profile ‐ United Kingdom Pharmaceutical Distribution Chain  Pharmaceutical Margins and Taxes Pharmaceutical Wholesaler Landscape (AAH, Alliance Healthcare, Phoenix / data 2007)  Pharmaceutical Retail Landscape 8
  • 9. European Pharmaceutical Distribution Fact Book Pricing & Options continued European Pharmaceutical Distribution Fact Book Company Profiles (10 pages) 250,00 € European Pharmaceutical Wholesaler Market Shares (Top 3) Company Profiles:  Phoenix Group – AllianceBoots ‐ Celesio AG Bespoke profiles for other European countries can be done by request. Inquiries: Rita Weissenberger or Petra Graschi i2k Services GmbH Bocksdornstraße 27 80935 Munich Germany T.: ++ 49‐700‐425425425 Email: reports@i2k‐services.com For further information please refer to:  http://www.i2k‐services.com/12.html 9