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2 About this Industry 2 Industry Definition 2 Main Activities 2 Similar Industries 2 Additional Resources 3 Industry at a Glance 4 Industry Performance 4 Executive Summary 4 Key External Drivers 5 Current Performance 7 Industry Outlook 10 Industry Life Cycle

12 Products & Markets

12 Supply Chain 12 Products & Services 13 Demand Determinants 14 Major Markets 15 International Trade 16 Business Locations

18 Competitive Landscape

18 Market Share Concentration 18 Key Success Factors 18 Cost Structure Benchmarks 19 Basis of Competition 21 Barriers to Entry 21 Industry Globalisation

22 Major Companies

22 Australian Pharmaceutical Industries Limited

24 Sigma Pharmaceuticals Limited 25 Zuellig Healthcare Holdings Australia

Pty Limited

27 Operating Conditions

27 Capital Intensity 28 Technology & Systems 29 Revenue Volatility 29 Regulation & Policy 31 Industry Assistance

32 Key Statistics

32 Industry Data 32 Annual Change 32 Key Ratios

33 Jargon & Glossary

IBISWorld Industry Report G525a

Pharmacies in Australia

June 2012

Arna Richardson

mature growth as competition intensifies

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The industry covers all community pharmacies involved in the sale of prescription drugs and patent medicines. The products are sourced either directly

from upstream pharmaceutical

manufacturers or from pharmaceutical wholesalers. The products are then sold to the general consumer from a pharmacy.

The primary activities of this industry are

Drug retailing

Patent medicine retailing Pharmacy retail and operation Prescription and medicinal dispensing

Industry definition

Main Activities

Similar Industries

Additional Resources

IBISWorld writes over 500 Australian

industry reports, which are updated

up to four times a year. To see all

reports, go to

www.ibisworld.com.au

The major products and services in this industry are

General retail products Non-prescription medicines Prescription medicines

About this Industry

C2543 Pharmaceutical Product Manufacturing in Australia

Companies in this industry manufacture drugs, medicinal chemicals and other pharmaceutical products for human or veterinary use.

F4797 Pharmaceuticals wholesaling in Australia

Firms in this industry wholesale pharmaceutical preparations.

F4798 Cosmetics and Toiletry wholesaling in Australia

Establishments in this industry wholesale cosmetics and toilet preparations.

For additional information on this industry

www.health.gov.au

Department of Health and Ageing www.pbs.gov.au

Pharmaceutical Benefits Scheme www.psa.org.au

Pharmaceutical Society of Australia www.guild.org.au

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Market Share Australian Pharmaceutical Industries Limited 12.0% Sigma Pharmaceuticals Limited 6.5% Zuellig Healthcare Holdings Australia Pty Limited 5.0%

Key External drivers

Federal funding for the Pharmaceutical benefits Scheme Competition from supermarkets and other grocery stores Consumer sentiment index Real household disposable income Competition from department stores

Key Statistics

Snapshot

Industry at a Glance

Pharmacies in 2011-12

Revenue

$12.4bn

Profit

$310.9m

wages

$2.4bn

businesses

3,795

Annual Growth 12-17

2.4%

Annual Growth 07-12

1.8%

Industry Structure

Life Cycle Stage Mature

Revenue Volatility Low

Capital Intensity Low

Industry Assistance Medium

Concentration Level Low

Regulation Level Heavy

Technology Change Medium

Barriers to Entry High

Industry Globalisation Low

Competition Level Medium

FOR ADDITIONAL STATISTICS AND TIME SERIES SEE THE APPENDIx ON PAGE 32

% c ha ng e 12 0 2 4 6 8 10 15 03 05 07 09 11 13 Year

Federal funding for the Pharmaceutical Benefits Scheme SOURCE: WWW.IBISWORLD.COM.AU % c ha ng e 8 0 2 4 6 18 04 06 08 10 12 14 16 Year Revenue Employment

Revenue vs. employment growth

Business locations

33.4%

NSW

2.7%

TAS

23.4%

VIC

1.2%

ACT

0.6%

NT

20.4%

QLD

10.2%

WA

8.1%

SA SOURCE: WWW.IBISWORLD.COM.AU p. 22 p. 4 SOURCE: WWW.IBISWORLD.COM.AU

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Key External drivers

Federal funding for the

Pharmaceutical Benefits Scheme

A Federal Government scheme for subsidising the cost of pharmaceuticals to the Australian community, the PBS was introduced in 1950 and currently covers

3,600 different drug products (brands). Remuneration to pharmacists for

dispensing pharmaceuticals that are listed on the PBS is set via an agreement between the Pharmacy Guild of Australia and the Federal Government. In 2010-11, 188

Executive

Summary

The Pharmacies industry plays an important role in the provision of community primary health care. The nation’s 5,270 community pharmacies provide services such as medication management information, advice on minor ailments and over-the-counter (OTC) medicines, and preventative care services. They are also the primary distribution points for prescription and scheduled OTC medicines. The industry is highly fragmented and made up of a large number of individual operators. Despite this, it makes a significant contribution to the Australian economy, generating in excess of $12 billion in revenue annually. In 2009-10, community pharmacies supplied 183 million Pharmaceutical Benefits Scheme (PBS) scripts, up from 181.8 million scripts in the previous year.

With estimated annualised growth 1.8% over the past five years, the industry is expected to generate revenue of $12.4 billion in 2011-12, up 2.1% from 2010-11. During the year, the performance of the industry will be influenced by ongoing changes associated with the fundamental reform process occurring in the PBS. The

fallout effects associated with the decision by Australia’s largest

pharmaceutical manufacturer Pfizer to use a direct distribution model (thereby bypassing the traditional wholesale channel) will also influence the industry, with a number of pharmacies continuing to experience supply problems.

In the next five years, industry growth will be driven by an ageing population. However, growth will be constrained by flat PBS volumes (which will have implications for the quantity of drugs dispensed) and the loss of market share to external forces. The competitive landscape of the industry will change as it becomes increasingly polarised between pharmacies offering full service and health advice, and discount pharmacies competing on the basis of price. At the same time, there will be further moves away from the traditional pharmacy business model, which is heavily dependent on the dispensing of prescription drugs. Industry revenue is forecast to grow at an annualised 2.4% over the next five years, to reach $14 billion in 2016-17.

Industry Performance

Executive Summary

|

Key External drivers

|

Current Performance

Industry Outlook

|

Life Cycle Stage

Pharmacies play an important role in the

provision of community primary health care

In de x 120 80 90 100 110 16 02 04 06 08 10 12 14 Year

Consumer sentiment index

SOURCE: WWW.IBISWORLD.COM.AU % c ha ng e 12 0 2 4 6 8 10 15 03 05 07 09 11 13 Year

Federal funding for the Pharmaceutical Benefits Scheme

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Industry Performance

Current

Performance

Over the five years through 2011-12, the Pharmacies industry has derived most of its revenue from the dispensing of prescription pharmaceuticals, its traditional revenue base. This is in spite of efforts by various industry

participants to provide a more total pharmacy offer in line with their changing operating environment. This offer has meant a greater emphasis on front-of-store sales, which includes not only traditional pharmacy lines but also new value added lines.

One impetus for the changing business models is the number of deep-seated challenges affecting the pharmaceutical market, including the effect of key patent expiries and the fall-out effects associated with the introduction of fundamental (and ongoing) reforms to the PBS commencing August 2007, which represent the largest shake-up to the scheme in about 60 years. These have had widespread reverberations, affecting all components of the industry.

Pharmaceutical companies (whether they be manufacturers, wholesalers or

retailers) are now having to adopt new business models in line with the changed

realities of the pharmaceutical

marketplace. In the case of pharmacies, margins have been significantly squeezed by the mandatory price cut to a large number of PBS drugs, forcing pharmacies to diversify their revenue base away from traditional dispensing activities.

Pharmacies are also dealing with another external shock, namely the move by pharmaceutical giant Pfizer to cut wholesalers out of the supply chain as it extends its direct distribution model to directly sell its prescription pharmaceuticals to pharmacies. Part of the rationale for this move appears to lie in the ongoing PBS reforms. However, several pharmacies claim to be

experiencing difficulties in ensuring that their patients receive timely access to medicines.

In 2011-12, the industry is expected to be worth $12.4 billion, compared with $11.4 billion in 2006-07. Year-on-year growth has ranged between a high of 2.6% in 2007-08 and a low of 0.6% in 2009-10. Overall, revenue is expected to grow at an annualised 1.8% over the five years through 2011-12, with growth of 2.1% in 2011-12.

Key External drivers

continued

million scripts were dispensed via the PBS.

Competition from supermarkets and other grocery stores

In the past five years, pharmacies have been under growing pressure from supermarkets and other non-pharmacy outlets that have been increasing their product ranges to encompass products previously stocked by pharmacies only, including OTC products. For example, supermarkets tend to stock substitutes for the most widely used non-scheduled chemist-only products.

Consumer sentiment index

Consumer sentiment affects how much consumers are willing to spend on discretionary items at pharmacies. In

addition, consumers are more likely to purchase generic-brand prescription medicines when sentiment is low.

Real household disposable income

The demand for non-essential drugs and for many of the front-of-store products sold by pharmacies (including cosmetics and toiletries) is responsive to changes in the level of real household disposable income.

Competition from department stores

Over the past five years, there has been an increase in the level of competition derived from department stores that have expanded their product ranges to include various cosmetic and toiletry items and non-scheduled chemist-only products.

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Industry Performance

Constrained profit

margins

Pharmacies derive a considerable proportion of their net profits from prescription dispensation, with a smaller proportion derived from front-of-store operations. In the case of the former, prescription medicines have prices or margins that are set by the government via the PBS and Community Pharmacy Agreements. These have tended to fall in the past five years, particularly in the wake of the ongoing PBS reforms.

At the same time, pharmacy

profitability has been affected by rising competitive pressures, particularly as the industry becomes increasingly polarised between the new discount pharmacies with their everyday low price offering and those employing the more traditional full-service model. Moves by upstream wholesalers to cut their discounts or credit terms offered to pharmacies have also had an adverse effect on profit margins.

New retail formats

Over the past decade, there has been a slight increase in pharmacy numbers as existing players such as Australian Pharmaceutical Industries (owner of the Priceline Pharmacy brand) have gradually rolled out new stores. As at early 2012, there were 332 Priceline stores nationwide, of which 185 were pharmacies. Australian Pharmaceutical Industries is increasingly relying on a franchise model. Similarly, Terry White Chemists is in the process of opening new franchise stores, with its numbers increasing from 108 franchises in 2005-06 to 165 in 2010-11. In 2011-12, IBISWorld expects there to be 5,270 approved pharmacies and friendly societies, up from 4,992 in 2006-07. This has added to competitive pressures, as has

the development of new pharmacy models. There has also been the introduction of a number of new retail formats, including niche pharmacies, larger super-chemists and discount or warehouse-style outlets. The last of these in particular has benefited from recessionary conditions and the associated effect on discretionary consumer expenditure patterns, with a growing number of consumers favouring warehouse pharmacies that promise discounted prices over the more

traditional pharmacy format. In response, Priceline pharmacy has introduced a new fixed-price prescription medicine model, with nearly 60 of the most popular prescriptions priced at $5.99.

New competitive

forces

Several significant changes have occurred to the industry’s operating environment, partly brought about by new internal and external competitive forces. The introduction of low-cost, warehouse-style pharmacies with aggressive pricing strategies has affected the industry internally, representing a threat to the business model of the traditional community pharmacy. The advent of online pharmacies and mail order pharmacies is another threat to the more traditional pharmacy.

Externally, the industry has faced increasing competitive pressures from

supermarkets, niche health and beauty retailers, discount department stores and general merchandise retailers including Target and Kmart. This has occurred as items that were once stocked at traditional pharmacies have become open sellers, meaning that as an increasing number of non-pharmacy outlets were able to stock such products at a more competitive price, pharmacies have found it harder to retain their OTC customer base. Similar moves by such stores to increase their associated health and beauty offerings have

translated into heightened competitive pressures for other front-of-store sales.

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Industry Performance

Industry

Outlook

Long-term underlying economic,

demographic and social trends bode well for the Pharmacies industry. In

particular, an ageing population, changing community attitudes to health and skin care, various psychological motivations and ongoing product development and innovation are expected to contribute to continued industry growth. However, growth will be constrained by flat PBS volumes (which will have implications for the quantity of drugs dispensed) and the loss of market share to external forces. Overall, industry revenue is expected to grow at an

annualised 2.4% over the next five years, to reach an estimated $14 billion in 2016-17. In 2012-13, revenue is forecast to grow by 2.3%.

As in the past, the regulatory nature of the industry will provide a framework for its growth profile. The continued

operation of the PBS and ongoing government policies designed to cap healthcare expenditure, including cutting government subsidies of prescription pharmaceuticals, will influence the industry via the level of revenue received from dispensary sales. Within the next

few years, pharmacies will continue to be affected by the ongoing PBS reforms, which have resulted in the PBS being split into two formularies comprising F1 and F2 drugs. As per the Memorandum of Understanding reached between Medicines Australia and the government, the latest mandatory price cuts of a minimum of 23% for at least 180 F2 drugs occurred in April 2012; these are estimated to equate to a 9.0% cut in PBS revenue, with the full effects to be felt by pharmacies in one year. The new

Inclusive pharmacy

offer

In an attempt to arrest the trend away from OTC sales, pharmacies have introduced new business practices to focus on front-of-store sales and provide a more total pharmacy offer. This has resulted in a review of the range and presentation of products and the implementation of new marketing and advertising strategies. The average size of a pharmacy has also increased. Concept stores such as Amcal Max offer a broad range of consumer products including non-prescription medicines, health and beauty products and lifestyle products. Similarly Terry White Chemists is seeking to derive as much as 22% of its revenue from general retail sales.

The industry has sought to build on the increasing level of professional services available via community pharmacies,

stressing the integral role they play in the general healthcare framework. Such services include the provision of drug information, medication management services, clinical interventions and

preventative care services for patients with chronic conditions.

Technological developments, reflected in the greater availability of pre-packaged medicines, have had implications for the product profile of many pharmacies and the time spent by pharmacists in actually compounding drugs. Industry participants have also expanded their product ranges to include a growing number of

complementary or alternative medicines. This reflects the growing focus among an increasing number of Australian

consumers on a more holistic approach to their general health and wellbeing.

% c ha ng e 5 0 1 2 3 4 18 04 06 08 10 12 14 16 Year Industry revenue SOURCE: WWW.IBISWORLD.COM.AU

(8)

Industry Performance

Industry Outlook

continued

National Health Amendment (PBS) Bill 2012 is currently before the Federal Parliament. If enacted, this will result in PBS pricing based on ex-manufacturer prices as opposed to the approved price to pharmacy.

Any further falls in PBS expenditure growth rates will have implications for participants involved in dispensing PBS prescriptions. PBS expenditure may also be affected by key patent expiries that are

due to occur over the years through 2014-15, with a record number of patent expiries expected for 2012. These products will be replaced by lower cost, generic products. This will translate into strong growth within the generics market, with growth also aided by the ongoing PBS reforms. The industry may have to contend with the effects of the carbon tax, including via higher wholesaler, rental and electricity costs.

Competition heats up

The competitive landscape of the industry will change as it becomes increasingly polarised between pharmacies offering full service and health advice, and discount pharmacies competing on the basis of price. In the case of the latter, the entry of discount pharmacies has been credited with creating an extremely cost-competitive environment. At the same time, external threats will mount as supermarkets expand their share of the health and beauty market. The recurring issue of deregulation of pharmacy

ownership to allow supermarkets to enter the pharmacy arena was raised yet again in early 2012. Despite calls for such moves, deregulation is not expected to occur over the next five years.

Pharmacies are expected to contend with declining margins over the next five years, caused by a combination of the fallout effects associated with PBS price disclosure and the expected growth in competitive pressure. Regulatory changes (including generic drug pricing changes and PBS reforms) and rising input costs will also exert downward pressure on industry margins. Further cuts to trading terms or higher fees charged by upstream wholesalers in the wake of Pfizer’s introduction of a exclusive distribution model may also affect margins; both Sigma and API have again cut their discounts, having already reduced their trading terms in 2011. Moreover, as at mid-2012, teething problems are still apparent with the change of model from the pharmacy point of view, with pharmacies now having to purchase all of their Pfizer PBS medicines via the

new direct supply model, which does not offer the same delivery service options as the traditional wholesalers.

Amendments to the Pharmacy Location Rules came into effect in October 2011. In theory these are designed to make it easier and less expensive to set up a new pharmacy, providing it is essentially part of a facility such as a shopping centre, large medical centre or private hospital, although at this stage there are still some issues associated with the new rules. Over the five years through 2016-17, it is estimated that an additional 295 community pharmacies will be added to the industry base, boosted in part by moves by the likes of Priceline Pharmacy and Terry White Chemists to expand their franchise base. The latter alone wants to add 135 pharmacies over the next decade.

The competitive landscape may change as upstream wholesalers refocus their operations on this particular dimension of the pharmaceutical marketplace. For example, having divested its

manufacturing arm in early 2011, Sigma is now seeking to boost its front-of-store sales for the Amcal, Amcal Max and Guardian Pharmacy banner groups with a particular focus on the end consumer.

Generic drug pricing

changes, PBS reforms and

intensifying competition

will squeeze profit margins

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Industry Performance

The need for

differentiation

To combat growing competitive pressures, pharmacies may seek to differentiate themselves from low-cost competitors on the basis of the value added services they provide, such as professional healthcare advice. This service in particular is considered unique to pharmacies and as such will be emphasised as a basis of competitive differentiation from rival supermarkets or other OTC retailers. Pharmacies will also seek operating efficiencies to compensate for falling margins. These developments will result in further moves away from the traditional pharmacy business model, which is heavily dependent on the dispensing of

prescription drugs. Following a move away from compounding in the past five years, compounding may gradually re-emerge as an area of specialised pharmacy practice and could provide another means of differentiation.

Continued developments in

technology, including increasing use of the internet (e.g. the use of national electronic prescription platforms, e-commerce and the development of net markets) and social media platforms, will gradually change the profile of the

industry. Overall, the industry is expected to remain in the mature phase of its life cycle over the five years through 2016-17.

(10)

Industry Performance

The industry has grown in line with the

economy over the past five years

There has been marginal growth

in pharmacy numbers

Consolidation has occurred among

the various banner groups

Life Cycle Stage

SOURCE: WWW.IBISWORLD.COM.AU 30 25 20 15 10 5 0 –5 –10 –10 –5 0 5 10 15 20 25 30 % Gr owth of pr ofi t/GdP % Growth of establishments

decline

Crash or Grow?

Potential Hidden Gems

Future Industries

Quality Growth

High growth in economic importance; weaker companies close down; developed technology and markets

Time wasters

Hobby Industries

Maturity

Company consolidation; level of economic importance stable

Shakeout

Shak

eout

Quantity Growth

Many new companies; minor growth in economic importance; substantial technology change

Key Features of a Mature Industry

Revenue grows at same pace as economy Company numbers stabilise; M&A stage Established technology & processes Total market acceptance of product & brand Rationalisation of low margin products & brands

Pharmaceutical Product Manufacturing Pharmaceuticals wholesaling

Cosmetics and Toiletry wholesaling

(11)

Industry Performance

Industry Life Cycle

The industry enjoyed moderate growth rates over the past five years. Helping to drive this growth has been the

introduction of new products, including new pharmaceutical drugs, as well as cosmetics and toiletries products, sold as front-of-store items. A continued increase in the number of PBS products dispensed has also meant continued volume growth in terms of dispensary sales.

New technology and systems have also helped the industry achieve moderate growth. For example, an increasing reliance on pre-packaged medicines is having implications for the industry in general and the time use of pharmacists in particular. At the same time, an increasing reliance on e-commerce is changing the face of the supply chain and ultimately of the industry itself. The growing use of the Internet is also serving to change the profile of the pharmaceutical retailing industry as industry participants and external competitors alike move online. An increasing number of industry participants have established complementary online operations while others are now looking to social media platforms as another means of boosting sales.

The changing demographic profile of the Australian population is boosting demand for various products retailed by

the industry. For example, Australians aged 65 years and above already account for approximately 80% of Australian pharmaceutical consumption. As the population continues to age, this trend is expected to continue, thereby boosting sales of the main product segment retailed by the industry. The ageing of the important baby boomer cohort is also driving demand for many cosmetic and OTC products, particularly those designed to retard the visible effects of the ageing process.

At the same time however, industry growth rates have been below that of the general economy as pharmacies

continued to lose market share to external forces including supermarkets keen to expand their own health and beauty offerings. Ongoing changes to the PBS in line with government efforts to curb pharmaceutical expenditure levels have also cut into the industry’s revenue base. Following a bout of industry rationalisation in the early 1990s,

pharmacy numbers have experienced just a slight increase over the past five years, despite several players introducing new shop formats in an attempt to arrest declining front-of-store sales. Thus, the industry is currently deemed to be in the mature phase of its current life cycle.

This industry

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Products & Services

There are two streams of pharmacy practice in Australia: clinical (or hospital) pharmacy and community pharmacy. According to the Australian Institute of Health and Welfare (Health expenditure Australia 2009-10. Health and welfare

expenditure series no. 46), community

pharmacies dispensed $11.7 billion worth of prescription pharmaceuticals in 2009-10, compared with $2.7 billion for public and private hospitals.

This report is concerned with community pharmacies, which are considered an integral part of Australia’s healthcare system. Community

pharmacies provide a wide range of products and services, the most important of which is the dispensing of prescription medicines and pharmacy-only medicines (OTC drugs). According to legislation that dates back to the late 1800s, only pharmacies and hospitals are able to dispense prescription medicines. Since the start of the PBS in the 1950s (which today covers about 90% of prescription products dispensed), only pharmacies that have been granted the necessary regulatory approval can dispense PBS products. In addition, community pharmacies sell a variety of therapeutic substances and aids

(including vitamins and minerals), baby

needs, beauty products, optical products, gift ware and film development services.

There are three main product

categories in the industry. The largest is prescription medicines. By law, the sale of these medicines is restricted to pharmacies only and includes PBS subsidised prescriptions, unsubsidised PBS prescriptions and private

prescriptions.

The industry also sells

non-prescription medicines. These include products that are restricted to

pharmacies but do not require a prescription, including products classified as Schedule 2 (pharmacy medicines) and Schedule 3 (pharmacist-only medicines). They also include self-medication products such as OTC, complementary and alternative

medicines, including vitamins, minerals and herbal, aromatherapy and

homeopathic products. Over the past decade, there has been a growing trend towards the production and use of complementary medicines.

The final category is general retail products, which includes baby products, bandaids, bandages, beauty products, cosmetics, perfumes, body care and hair care products, sun care products, general health items, film development and KEy buyING INduSTRIES

Z9901 Consumers in Australia

Households are the main market for pharmaceutical retailers.

KEy SELLING INduSTRIES

C2543 Pharmaceutical Product Manufacturing in Australia

Medicinal and pharmaceutical manufacturers produce a range of drugs, medicinal chemicals and other pharmaceutical products for humans sold by pharmaceutical retailers.

C2546 Cosmetics, Perfume and Toiletries Manufacturing in Australia

This industry manufactures various cosmetic and toiletry products sold by pharmacies. F4791 Photographic Equipment wholesaling in Australia

Wholesalers in this industry provide photographic equipment supplies sold as part of a front of store offering including digital prints.

F4797 Pharmaceuticals wholesaling in Australia

Pharmaceutical wholesalers are a key supplier to pharmacies. F4798 Cosmetics and Toiletry wholesaling in Australia

Cosmetics and toiletry wholesalers supply a number of products to the industry.

Products & Markets

Supply Chain

|

Products & Services

|

demand determinants

Major Markets

|

International Trade

|

business Locations

(13)

Products & Markets

demand

determinants

On a general basis, the demand for industry products is determined by socio-economic and demographic factors. These include general levels of disease rates (including new diseases such as heart disease and diabetes), the health of the population, government health policies, the price of pharmaceutical

products, doctors’ prescribing patterns and utilisation rates.

The age structure of the population is also an important determinant. In general, the older the population, the higher the level of demand for

pharmaceutical and medicinal products. The 65 years and over age cohort already

Products & Services

continued

optical products. Within this segment, cosmetics and toiletries are estimated to account for about 5.0%, while baby care products are estimated to account for less than 2.0%.

As an indication of the importance of prescription medicines, Australian Institute of Health and Welfare data

(Health expenditure Australia 2009-10.

Health and welfare expenditure series no. 46) shows that during 2009-10, just under $10 billion was spent on pharmaceuticals for which benefits were paid, while total estimated expenditure on pharmaceuticals (excluding complementary and alternative medications and OTC medications

without prescriptions) was $14.4 billion. Roughly $4.6 billion was spent on OTC medicines.

The actual sales mix varies with each pharmacy and is in part determined by its location (e.g. in a shopping centre, shopping strip or medical centre, in a city or rural area) and its size. For example,

pharmacies located in shopping strips or medical centres tend to derive a greater proportion of their sales revenue from the more traditional activities of drug

dispensation, while pharmacies located in shopping centres have a greater emphasis on front-of-store retail sales. Pharmacies located in rural areas may have a more balanced sales mix. The mix also varies in line with the business model being pursued by the pharmacy and on the basis on which it has chosen to compete.

Over the past few decades, there has been a change in the product profile of the general pharmacy. While dispensary sales still account for the lion’s share of a pharmacy’s revenue base, pharmacies have begun to refocus attention on their front-of-store operations in an attempt to counteract the strong and consistent trend away from OTC sales. This has resulted in the introduction of new business practices, supported by new marketing and advertising strategies. Products and services segmentation (2011-12)

Total $12.4bn

65%

Prescription medicines

20%

General retail products

15%

Non-prescription medicines

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Products & Markets

Major Markets

Households are the predominant market

for the nation’s pharmaceutical retailers. According to data from the Australian Institute of Health and Welfare (Health expenditure Australia 2009-10. Health

and welfare expenditure series no. 46),

Australian consumers spent $1.5 billion on PBS pharmaceuticals in 2009-10 and

over $6.0 billion on other medications (including OTC medicines and private prescriptions) and medical non-durables such as bandages and bandaids.

A key age cohort within this market is people aged 65 years and over. The changing demographic profile of the Australian population is boosting

demand

determinants

continued

account for over 80% of Australia’s pharmaceutical consumption, with this proportion expected to further increase. The ageing population is also increasing the demand for preventative drugs and medications that enable patients to take a more active role in sustaining their wellbeing. Thus, the ageing population phenomenon is a key growth driver.

New product introductions can also help stimulate demand. Advances in drug formulation and preparation allow for the development of new products that are more effective or have reduced side effects, thereby increasing the demand for products sold by the industry.

The price of pharmaceutical products also plays a role, in particular the distinction between patented or branded products and their cheaper generic counterparts. A gradual increase in the availability of cheaper generic items has made the industry’s products more accessible to a wider income earning spectrum and therefore increased demand. This trend is expected to continue over the next five years, in line with government policies designed to increase generic substitution rates which include the ongoing PBS changes.

Thus, government health policies will also influence demand as these in turn affect factors such as doctors’ prescribing habits, pharmaceutical availability and the price of pharmaceutical products. Of relevance within the Australian

Pharmacies industry is the existence of the Pharmaceutical Benefits Scheme (PBS), which is a Commonwealth Government scheme for subsidising the cost of pharmaceuticals to the Australian community. Under the PBS, capped

co-payments and safety nets limit the cost of pharmaceuticals to consumers, with the government paying the remainder. In recent years, the scheme has increasingly focused on providing benefits to less well-off consumers. In 2010-11, the total cost of the PBS was $8.87 billion of which the Government financed 83.7%.

Consumer preferences also play a role in influencing demand patterns.

Consumer preferences regarding the treatment of conditions and diseases have gradually shifted toward alternative medicines. The greater acceptance of Chinese medicine, naturopathy and other alternatives – such as changes in diet, exercise and meditation – affect the types of products demanded. At the same time, the continued conversion of various prescription drugs to over-the-counter status is also having a bearing on product profile and consumer shopping habits as some of these products can now be purchased at non-pharmacy stores.

Changes in real household disposable income will also affect the level of demand for certain products. Although medication purchases are dependent on the frequency of illnesses, some

medications can be sensitive to the levels of household income, especially in the case of non-critical drugs and herbal products. Sales of other front-of-store items such as cosmetics and personal care items can also be subject to changing expenditure patterns.

The rise in external competition levels from other retailers, such as

supermarkets and mail order and internet suppliers, can curb the level of demand for pharmacies.

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Products & Markets

International Trade

The Australian Pharmacies industry services the domestic market. Given state legislative restrictions and the nature of the industry itself, pharmacies tend to serve just the local surrounding market.

Major Markets

continued

demand for various products retailed by the industry. For example, Australians aged 65 years and over already account for about 80% of Australian pharmaceutical

consumption. As the population ages, this trend is expected to continue,

thereby boosting sales of the main products retailed by the industry. The ageing of the important baby boomer cohort is also driving demand for many cosmetic and OTC products,

particularly those designed to retard the visible effects of the ageing process. Major market segmentation (2011-12)

Total $12.4bn

80%

People aged 65 years and older

20%

People aged under 65 years

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Products & Markets

SOURCE: WWW.IBISWORLD.COM.AU

TAS

2.7

wA

10.2

QLd

20.4

VIC

23.4

NSw

33.4

NT

0.6

SA

8.1

ACT

1.3 Establishments (%) Cold Zone (<10) <25 <50 Hot Zone (<100) Not applicable

business Locations 2011-12

(17)

Products & Markets

business Locations

The geographic distribution of the Pharmacies industry reflects the nation’s economic, social and demographic breakdown; as at June 2011, the three eastern seaboard states accounted for 77% of total approved pharmacy and friendly society numbers. This same proportion was evident five years earlier and is estimated to hold in 2011-12.

Data provided by Medicare Australia

(Pharmacies and Friendly Societies, 30

June 2006 to 2011, RPC015) shows that

over the five years through 2010-11, an additional 267 pharmacies were established. Of this, 99 were located in Queensland, with 56 setting up shop in Victoria. In contrast, just 36 were established in New South Wales.

In 2008-09, just over 80% of

pharmacies were located in urban areas. Although the number of pharmacies in rural areas in some states has increased in the past five years, stronger growth has occurred in the urban areas, particularly with the rollout of new franchised pharmacies. In all states the average number of people per urban pharmacy is

far less than the number of people per rural pharmacy.

Friendly societies are often located in rural and regional areas, sometimes providing benefits and services to the surrounding community, which might not receive them otherwise. There are also regulations in place to limit the number and location of pharmacies.

Pe rc en ta ge 40 0 10 20 30 W A AC T N SW NT QLD SA TAS VIC Establishments Population

Distribution of establishments vs. population

(18)

Cost Structure

benchmarks

The profitability of an individual pharmacy can vary in line with the sales mix between prescription medicines (which have a low margin) and front-of-store sales (which have a higher margin but also attract greater competition). In the case of the former, prescription medicines have prices or margins that are set by the government via the PBS and via Community Pharmacy Agreements.

In recent years, pharmacy

profitability has been affected by rising competitive pressures and tight (if not falling) margins; this is certainly the case with dispensary gross profit margins, which have been adversely affected by the introduction of higher cost drugs as well as by the ongoing PBS reforms. Recent moves by upstream wholesalers to cut their discounts or credit terms offered to pharmacies (also in view of the ongoing PBS reforms)

Key Success Factors

Superior financial management and debt management

Companies should ensure that effective cash flow management controls are in place.

Production of goods currently favoured by the market

The product mix needs to be appropriate for the target market; the products stocked are perceived as offering value for money.

Experienced work force

The quality of staff needs to be high to ensure quality customer service.

Attractive product presentation

The store layout and display of stock

must encourage customers to purchase and reinforce the company image.

Proximity to key markets

The store needs to be located where there is a high volume of passing traffic and preferably near a medical practitioner or a medical centre.

Membership of joint marketing or distribution operations

A key success factor for companies in this industry is having an association or affiliation with a buying group or chain.

Ability to control stock on hand

Companies need to ensure adequate stock controls are in place in order to reduce inventory costs and increase stock turns.

Market Share

Concentration

The industry is highly fragmented, primarily as a result of state and territory legislation that restricts pharmacy ownership; only qualified pharmacists (and not incorporated entities) can own pharmacies. In addition, the number of pharmacies that can be owned by a pharmacist is generally limited. Even the large pharmaceutical wholesalers that own the retail banners under which roughly one-third of all pharmacies trade do not own the pharmacies themselves. Thus in one sense, the industry tends to be dominated by individual operators.

In view of the changing competitive environment, several pharmacies have

chosen to be part of banner groups, which are essentially marketing groups offering branded advertising and promotional support services.

Alternatively, pharmacies may be part of a buying group in a move designed to obtain higher percentage discounts for high-volume purchases. Even a number of independent pharmacies have aligned forces and are part of buying groups; for example, IPAG (Independent

Pharmacists of Australia Group) and Pharmacy Alliance have 800 members between them. As it stands today, truly independent pharmacies account for just 20% of pharmacy numbers.

Competitive Landscape

Market Share Concentration

|

Key Success Factors

|

Cost Structure benchmarks

basis of Competition

|

barriers to Entry

|

Industry Globalisation

Level

Concentration in

this industry is Low

IBISWorld identifies

250 Key Success

Factors for a

business. The most

important for this

industry are:

(19)

Competitive Landscape

basis of Competition

To some degree the nature of the industry’s operating and regulatory environment limits competition within the Australian pharmacies industry. Under legislation, which dates back to the late 1800s, only pharmacies and hospitals are able to dispense prescription medicines. In addition, since the start of the Pharmaceutical Benefits Scheme (PBS), which commenced in the 1950s and today covers about 80% of prescription products dispensed (which covers 760 medicines available in 1,960 forms and 3,950 brands), it is only those pharmacies that have been granted the necessary

regulatory approval that can compete in this market. In addition, there are restrictions on where dispensing

pharmacies may locate for PBS purposes (Pharmacy Location Rules).

Moreover, pharmacies are cushioned from competition on certain product lines. Chemist-only (CO) refers to the practice of manufacturers or wholesalers that supply branded non-scheduled pharmaceutical and other health and beauty lines only through pharmacies. This has served to partially protect pharmacies from external competition as supermarkets and mass merchandisers

Cost Structure

benchmarks

continued

have also had an adverse effect. As is typical of most wholesale and retail industries, purchases are the largest expense for the industry,

representing approximately two-thirds of industry sales. The next largest individual expense is wages and salaries (including the proprietor’s), which are estimated to account for about 19% of revenue. This in

part reflects the high skill base of the industry’s labour force.

Rental costs are also a significant (and increasing) expense, particularly for pharmacies located in prime locations and in large shopping malls who tend to pay considerably higher rents relative to those located in rural areas or in street strip locations with lower footfalls. Sector vs. Industry Costs

Profi t Rent utilities depreciation Other wages Purchases Average costs of all industries in sector (2011-12) Industry costs (2011-12) 0 20 40 60 Per cen tage of r ev enue 80 100

4.8

71.2

10.5

7.7

1.2

0.9

3.7

2.5

67.0

19.0

4.5

1.0

6.0

SOURCE: WWW.IBISWORLD.COM.AU

Level & Trend

Competition in

this industry is

Medium and the

trend is Increasing

(20)

Competitive Landscape

basis of Competition

continued

have been unable to break into the dispensing end of the pharmaceutical market. In addition under regulatory legislation, ownership of pharmacies is limited to pharmacists who in turn are only allowed to own a limited number of pharmacies.

Much of the income earned by the pharmacies is derived from government-funded remuneration and the fixed retail prices of products dispensed under the PBS. This means that there is limited competition within this particular product segment, which is estimated to account for as much as 70% of sales in some instances, depending on the business model employed.

Thus, the price competition that does occur between pharmacies

predominantly revolves around non-prescription items and front-of-store products such as cosmetics, toiletries, baby needs and film development services. The exceptions are the

pharmacy discounters which include the likes of Chemist Warehouse (which now has in excess of 200 large store discount operations as well as an online

operation), United Discount Chemists and Discount Drug Stores who are now also competing on the basis of lower prescription price medicines.

Pharmacies can also compete on the basis of service, advice, location, product range and quality. Given their almost homogenous nature, pharmacies can either choose to compete on the basis of value added service where they provide a high level of service, or they can follow the discount model and provide fewer services while discounting prices.

In recent years, traditional community pharmacies have faced a growing degree of competition from both within and outside of the industry. Internal

competition has come from the advent of low-price warehouse style pharmacies. There has also been the gradual growth in the number of online and mail order pharmacies (including the likes of ePharmacy, Pharmacy Online, Chemist

Direct, Chemist Works and Ezichem Online Chemists). These online pharmacies are gradually becoming an increasing source of external

competition.

Pharmacies have also been under growing pressure from external sources including supermarkets and other non-pharmacy outlets (such as health and beauty niche retailers and discount department stores), which have been increasing their product range to encompass products previously stocked by pharmacies only, including various OTC products. For example,

supermarkets tend to stock substitutes for the most widely used non-scheduled chemist-only products. In comparison to supermarkets, pharmacies tend to offer a higher level of service and a wider range of brands while supermarkets tend to compete on price and convenience. A significant development was the 2002 decision by mass merchandiser Priceline (now owned by pharmaceutical

wholesaler API) to enter the pharmacy segment with the opening of its first pharmacy in August 2002. One decade later, it now operates 1800 plus

pharmacies (although these are actually owned by individual pharmacists as opposed to Priceline-API). Supermarket chain Woolworths has also tried to break into the industry on a number of

occasions with plans to operate pharmacies within its supermarkets, although to date it has been unsuccessful.

In view of the changing competitive environment, several pharmacies have chosen to be part of banner groups, which are essentially marketing groups offering branded advertising and promotional support services. In turn, a number of the banner groups (including the likes of AMCAL, Guardian,

Chemmart and Soul Pattinson) are operated by the three full-line/CSO pharmaceutical wholesalers that dominate the pharmaceutical industry (namely Symbion Healthcare-Zuellig, Australian Pharmaceutical Industries and

(21)

Competitive Landscape

Industry

Globalisation

Reflecting the fact that the

overwhelming majority of stores and pharmacies are Australian owned, this industry has a low level of globalisation. However, two of the three

pharmaceutical wholesalers that operate the main banner groups that account for roughly one-third of all pharmacy numbers have some degree of international operations.

barriers to Entry

The major barriers to entry are centred on the high level of regulation

surrounding the retail pharmacy sector, in particular, ownership laws, which limit the ownership of pharmacies to

registered pharmacists. Pharmacy Location Rules also control the location of approved pharmacies. Despite mounting pressures for the deregulation of the retail pharmaceutical market, these restrictions continue to be retained.

On the other hand ownership restrictions have also prevented the growth of major players or chains capable of dominating the market, which can in many cases, prove to be a substantial barrier. Though saying that, a number of pharmacies have elected to become part of banner groups operated by upstream pharmaceutical wholesalers or in some instances franchised operations as in the case of Priceline Pharmacy or Terry White Chemists. Over the past decade upstream wholesalers have played with a number of retail models essentially

designed to strengthen their position within the retail pharmacy segment. There has also been the entry of other new format players including large scale discount pharmacies which is again serving to redefine the competitive landscape of the industry.

At the same time however recent years have seen the continued entry of new pharmacies. In 2010-11 there were 5,218 community pharmacies, up from 4,951 five years earlier. This suggests that entry barriers are not insurmountable.

basis of Competition

continued

Sigma). Alternatively, pharmacies may be part of a buying or retail support group (such as Pharmacy Best Buys and

Pharmacy Choice) in a move designed to obtain higher percentage discounts for high volume purchases although many of these are also run by the same upstream wholesalers. Even independent

pharmacies can be members of groups

such as The Independent Pharmacists of Australia Group (IPAG) which has 400 pharmacy members, the Pharmacy Alliance group with 420 members, SmarterPharm (80 pharmacies) and United Discount Chemists (42 members). As at the start of 2012 it is estimated that less than 20% of all pharmacies can be considered as true independents.

barriers to entry checklist Level

Competition Medium

Concentration Low

Life cycle stage Mature

Capital intensity Low

Technology change Medium

Regulation and policy Heavy

Industry assistance Medium

SOURCE: WWW.IBISWORLD.COM.AU

Level & Trend

Barriers to Entry

in this industry are

High and Steady

Level & Trend

Globalisation in this

industry is Low and

the trend is Steady

(22)

Player Performance

Established as a NSW-based buying group in 1910, Australian Pharmaceutical Industries Limited (API) is now a health and beauty company with three core business units: pharmacy distribution, consumer brands (healthcare product manufacturing in New Zealand) and retailing. In 2010-11, API generated revenue of $3.4 billion. This was up from $1.9 billion nine years earlier, reflecting organic growth and several acquisitions. The company’s retailing operations involve the sale of health, beauty and lifestyle products within the Australian retail industries and its retail franchising arrangements. In 2010-11, the retailing operations generated revenue of $717 million, representing 21% of company revenue.

Although API has traditionally been predominantly involved in upstream wholesaling activities, it has also sought to develop its service offering at the retail level, albeit with tempered success. Of interest was its $112 million acquisition of health, beauty and lifestyle retailer New Price Retail in October 2004, which included the Priceline chain, the Price Attack franchise and the House franchise. However, API has since divested a number of these retail businesses. In July 2007, it sold the House retail chain to Global Retail Brands for $8.5 million, followed by the November 2007 sale of its Price Attack business, which was purchased by one of Price Attack’s major franchisees. It has also divested a number of banner groups, including API Health Care, Value Plus, Green Spot, Thrift Chemists and Chemworld.

Today, the company’s its interests in the Pharmacies industry are limited to its operation of the Priceline Pharmacy

business and the Soul Pattinson and Pharmacist Advice banner groups. In addition, API provides services to independent pharmacies through its API Member program and has launched a premium business-to-business brand for independent pharmacists.

In April 2012, API announced plans to eventually derive as much as half its revenue base from retail. The Priceline operations currently account for roughly 30% of company revenue.

Priceline

The company’s latest foray into the Australian pharmacies market occurred through its purchase of the Priceline brand and the establishment of Priceline Pharmacies, which it launched in

September 2002. Each store is estimated to generate annual revenue of $4.5 million and stocks about 10,000 products, including more than 500 brands. The business model for Priceline Pharmacies revolves around a lower reliance on dispensary items and a greater emphasis on its mid-mass market health and beauty offerings.

In June 2008, API launched a new brand plan for Priceline, which involved merchandise, store environment, visual identity and training as it attempted to reposition the brand. Having relaunched Priceline’s Clubcard loyalty program in November 2008, as at mid-2012 there were roughly 3.7 million members registered. Clubcard members are estimated to account for over 40% of store sales (including dispensary).

API opened 24 new stores in 2009-10 (including 21 franchises), and 18 new franchise stores (including three conversions) and six company-owned

Major Companies

Australian Pharmaceutical Industries Limited

|

Sigma Pharmaceuticals Limited

Zuellig Healthcare Holdings Australia Pty Limited

|

Other

Major players

(Market share)

76.5%

Other

Australian Pharmaceutical Industries Limited 12.0%

Sigma Pharmaceuticals Limited 6.5%

Zuellig Healthcare Holdings Australia Pty Limited 5.0% SOURCE: WWW.IBISWORLD.COM.AU

Australian

Pharmaceutical

Industries Limited

Market share: 12.0%

(23)

Major Companies

Player Performance

continued

stores in 2010-11. However, a number of stores were closed during the year, meaning that the total number of stores (at 327) was essentially unchanged on the previous year. API is in the process of converting its Priceline corporate stores into Priceline Pharmacy franchises as it seeks to transform its portfolio from a predominantly corporate store portfolio to one that is dominated by franchise stores, in line with its strategic move away from being a classic retailer. However, recent economic and retail conditions have meant that the company has had to scale back former ambitions in terms of store rollouts. While there had been talk of having at least 400 Priceline franchises across the country by 2014 (as opposed to an earlier target of 2010), any reference to a time frame has now been dropped. As at April 2012, API had 332 Priceline stores, of which 185 were Priceline Pharmacies.

Soul Pattinson and Pharmacist Advice

API operates under the retail banners of Soul Pattinson and Pharmacist Advice. There are currently 70 members in the Pharmacist Advice group.

Established in 1872, Soul Pattinson Chemists was acquired in November 1999 from Washington H Soul Pattinson Ltd. Along with its pharmaceutical wholesaling and manufacturing operations, the acquisition of the 260 franchises under the banner group significantly strengthened API’s position in the retail market, allowing it to obtain critical mass. Prior to this acquisition, the Soul Pattinson retail pharmacy group was a major participant in the industry in its own right. In mid-1999, the company had 16 company-owned stores and 260 franchised stores that operated under the

Soul Pattinson banner. There are estimated to be 90 members in this banner group. In 2007, the Soul Pattinson brand was refreshed with a new image and a broader range of merchandise and services.

Financial performance

In 2009-10 and 2010-11, API contended with a difficult retail trading

environment, which was characterised by restrained consumer expenditure and intensifying competitive pressures. In 2009-10, total retail sales were 4.7% higher than the previous year, although comparable store sales were just 1.4% higher due to the mixed retail

environment. Comparable store sales were just 1.4% higher in 2010-11, while total sales growth (excluding dispensary) was a meagre 2.3%. Retail sales for the year totalled $717 million, up from $704 million in the previous year and $680 million three years earlier.

In response to changing market conditions (notably Pfizer’s decision to deal directly with pharmacies), API introduced reduced trading terms for pharmacists, which have been in effect since 1 February 2011.

According to API, one indirect

outcome of the ongoing PBS reforms will be an increased interest in Priceline franchises as pharmacists seek to diversify their customer offerings in the face of lower dispensary incomes. The company is also expecting growth in its two banner groups as independent pharmacies also seek to diversify their revenue streams. In the next few years, API will continue to focus on growing its Priceline Pharmacy operations, including by launching a Priceline online store in June 2012.

(24)

Major Companies

Player Performance

Established in Victoria in 1912, Sigma Pharmaceuticals Limited has undergone several changes over its one hundred year history. It relinquished its cooperative status in 1996 and has been listed on the ASX as since 2005. In 2011-12, Sigma is expected to generate sales revenue of $2.85 billion and a net profit (from continuing operations) of $50.3 million. The company divested its manufacturing arm in early 2011 and is now focusing purely on its full-line wholesaling and retail pharmacy operations. It has announced a renewed focus on its retail operations with a particular focus on the end consumer and front-of-shop

activities. Its new retail strategy will entail multi-channel elements, which will encompass e-commerce and social media platforms.

Through its Healthcare Banner Management business (part of Sigma Healthcare), Sigma provides retail support services to its banner groups and independent pharmacists. Sigma is estimated to have 470 Amcal, Amcal Max and Guardian member pharmacies, though it owns the buying groups but not the individual pharmacies that operate under its banners.

Over the years, Sigma has tried

different strategies for its retail pharmacy banners including the launch of the Embrace program in October 2006. This program involved a three-year contract that bound pharmacies to purchasing private prescription products, OTC drugs and generic drugs from Sigma’s

wholesale segment and offered

pharmacies preferential pricing, products and services (plus financing) in return for pharmacies giving preference to Sigma’s products. By November 2007, the company had almost 1,450 members (about one-third of all pharmacies), although little more is known with regards to the program. An alternative compliant retail model was launched in 2009 with its Pharmacy Advance retail program for independent pharmacies.

It has also launched a retail-focused pharmacy brand: Amcal Max. The pilot store was opened in Queensland in

August 2005 and two stores opened in Melbourne in late 2005. Offering a broad range of consumer products, including non-prescription medicines, health and beauty products and lifestyle products, Amcal Max stores were expected to earn as much as 50% of their revenue from front-of-store sales, with the remainder derived from the more traditional activity of dispensing prescriptions. However, as at early 2011, Sigma still had only 24 Amcal Max franchisees.

During 2007 and 2008, Sigma sought to grow its banner member base via strategic alliances with industry

participants geared at creating value for its banner members. There was also a focus on providing better support and commitment.

During 2011-12, Sigma has invested in growing and strengthening its retail brands and private-label offering. To this end, the company has invested in new support programs offered to both its banner members and independent pharmacies, including pharmacy health management services. It has also allocated additional resources to growing its Amcal Max/Amcal and Guardian brands.

Like rival API, Sigma has implemented changes to customer trading terms for pharmacies in an attempt to offset the effect of Pfizer’s changed distribution strategy and ongoing PBS reforms. It also adjusted its customer discounts offered to pharmacies in the wake of the PBS price cuts that came into effect on 1 April 2012.

Guardian

Guardian Family Care Chemists Australia Ltd currently has about 160 members, after losing a number in the past few years. It was acquired by Sigma in March 1997 and was merged with Sigma’s other regional brand groups. It currently has members in all states and in New Zealand.

Amcal

Allied Master Chemists of Australia Ltd (Amcal) was established in 1937. Prior to 1998, it was Australia’s largest

independent retail pharmacy group. In October 1997, Sigma signed an exclusive

Sigma

Pharmaceuticals

Limited

(25)

Major Companies

Player Performance

continued

five-year distribution agreement with Amcal, before acquiring the 500-strong independent pharmacy group in October 1998. Rival wholesaler Fauldings initially put in a bid of $34 million, but later withdrew the offer on the grounds that the value of Amcal did not justify proceeding with the bid. Sigma eventually gained control of the Amcal banner for $29 million.

In the past few years, Amcal has

relaunched itself with a new image, logo and pharmacy layout. As with the Guardian banner group, Amcal offers a retail loyalty program that currently has over 300,000 members. It also has the largest private-label range in pharmacy with over 230 products generating sales in excess of $18 million per annum. Amcal is estimated to currently have just over 300 members.

Player Performance

One of the few large-scale international players in the industry is the Zuellig Group, which is one of world’s largest privately owned pharmaceutical wholesalers and distributors. It owns Australia-based Symbion Pharmacy Services. Established in 2005, Symbion was sold to Zuellig Pharma for $505 million in October 2008. Switzerland-owned and headquartered in Hong Kong, Zuellig Pharma has operations in 119 countries and employs more than 10,000 people. Zuellig represents over 125 multinational pharmaceutical

manufacturers, has 250,000 customers and generates annual revenue of about US$12 billion. In 2011, Zuellig Healthcare Holdings Australia Pty Limited generated net profit after tax of $33.5 million on revenue of $3.7 billion. In October 2011, it was reported that Symbion was to rebrand its corporate image with a focus on the name Symbion (as opposed to Symbion Pharmacy Services). This reflects its strategy to diversify operations.

Chemmart

Symbion operates in the industry through its Chemmart banner group. With approximately 220 members, Chemmart Chemists is a community-style pharmacy. In the past few years, Chemmart Extra has opened, which is larger retail pharmacies offering a wider product range and more competitive prices. In 2006-07, Symbion commenced the rollout of a new operating format for its Chemmart pharmacies – a

direct-dispensing pharmacy, which offers direct contact between the pharmacist and the customer. Annual revenue for the Chemmart retail chain is approximately $750 million.

Terry White

Symbion also owns the Terry White Chemists brand, with the Terry White franchise managed under license under the umbrella of Terry White Management (TWM) Pty Ltd, run by the original founder (Terry White) and six pharmacists.

Established in 1959 (and as a franchise company in 1954), there were 165

franchisees as at June 2011, up from 100 in 2002. These franchisees were present in all states and territories except the Northern Territory. In 2010-11, operating revenue for the Terry White group totalled $43.3 million, up 58% on the previous year. However, like-for-like store growth on a nationwide basis was a more subdued 2.8%. According to Terry White Chemists, the average Terry White pharmacy has a sales split of 55%

prescription medicines, 23% non-prescription medicines and 22% general retail. Its goal is to establish the franchise as a leading national pharmacy brand. Within a decade, it plans to have 300 Terry White pharmacies in operation. In 1998, the group of then-80 Terry White stores was sold to pharmaceutical company FH Fauldings, which was purchased by Mayne Group in 2001. Following Mayne’s split in 2004, the

Zuellig Healthcare

Holdings Australia

Pty Limited

Market share: 5.0%

Industry brand Names

Chemmart

References

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