Transcript Ensuring safe, secure and timely access to high quality healthcare

Better Patient Outcomes
and Value Through
Supply Chain
Partnerships'
October 30, 2014
www.capdm.ca
CAPDM’s Vision
Ensuring safe, secure and timely
access to high quality healthcare
products for all Canadians
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Oct. 2014
About the Canadian Association for Pharmacy
Distribution Management
 The Canadian Association for Pharmacy Distribution Management
(CAPDM), founded in 1964, is a leading health care industry
association
 Represents every participant in the world’s most advanced
pharmaceutical supply chain
 14 wholesalers & self-distributors that operate over 30 distribution
centres and employ over 5,000 Canadians
 CAPDM is a reliable, objective, and trusted advisor to federal and
provincial governments and regulatory agencies.
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Oct. 2014
About the Canadian Association for Pharmacy
Distribution Management
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Oct. 2014
We ensure that patients have timely access to vital
medications in a safe, secure, and efficient manner
 CAPDM distributors visit almost
every pharmacy in Canada every
day, ensuring patients have timely
access to vital medicines
 Next-day delivery, up to 5 days a week
to almost all pharmacies
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What Our ‘Invisible Network’
Makes Possible
 In most cases, a one-day wait for a
rural patient needing an out-of-stock
drug
 A short-term buffer against drug
shortages
 Drug recalls being quickly executed
 Same-day & 6 days a week service in
urban areas
 Confidence in the integrity of all
drugs, even for cold-chain products
 Carrying 30K SKUs of prescription,
OTC medicines, and other pharmacy
products (including narcotics and slowmoving drugs)
 A $1.4 B system of extended credit
that bankrolls the pharmacy industry
Oct. 2014
 Opportunities for the government to
leverage during pandemics or for
vaccine distribution
Pharmaceutical Distributors of CAPDM
Added Value - Today
Government – Industry Partnerships
 Distribution of Public Health Seasonal Flu Vaccine
 Mitigation of Drug Shortage Impact
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Oct. 2014
Governments & pharmacies face challenges with
flu vaccine distribution
Government Challenges
 Pharmacy is a growing patient
destination for flu vaccinations
 Bolus of inventory being pushed to
stores
 Potential cold chain integrity issues if
pharmacies pick up vaccines from public
health units
 Potential waste if large inventories at
pharmacies sit unused, expire, or are
destroyed by natural disasters
 Inability to redistribute store-level
inventories to where they are needed
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Oct. 2014
Pharmacy Challenges
 Cumbersome ordering
processes, infrequent deliveries,
and/or lack of supply
predictability encourage large
store-level inventories
 Available refrigerator space may
not be able to accommodate
large bolus inventories
The capabilities of pharmaceutical distributors
could improve flu vaccine distribution efficiencies
 The core competencies of pharmaceutical distributors could be
leveraged to address challenges in servicing the growing demand
for seasonal flu vaccines by retail pharmacies:
 Cold chain capabilities ensure optimum storage and transportation
conditions all the way to the pharmacy
 Extensive distribution networks that visit every pharmacy regularly
 Inventory systems and manual tracking capabilities can be used to
determine flu vaccine inventory at the pharmacy level (in combination
with Ministry of Health billing data)
 GMP-compliant storage conditions allow flexibility for flu vaccine
inventories to be redeployed
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Oct. 2014
Some provinces have already engaged CAPDM and
its members for flu vaccine distribution
BC: Piloted
wholesale model to
pharmacies in 2013
AB: Wholesale
model already
underway
PE: Wholesale model
already underway
NS: Used
wholesalers for quick
in-and-out vaccine
distribution in 2013
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Oct. 2014
Early Lessons Learned from PE and AB
 Wholesalers have played an instrumental role in stopping hoarding,
preserving equitable allocation of vaccine inventories
 Daily/weekly reporting gives governments better visibility to how
much inventory is within the wholesale network and pharmacy
 Wholesale supply chain flexible enough to quickly direct inventories
to outbreak areas
 Pharmacies able to achieve just-in-time delivery of flu vaccines to
meet patient demand
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Oct. 2014
Pharmaceutical Distributors Can Help to Mitigate
Impact of Drug Shortages
 Working with Governments & Manufacturers
 Initiate Product Flow Controls
 Ensure Balanced Disbursement of Product
 Hold reserves for emergency use
While not involved in the root causes of a drug shortage. The
Pharmaceutical Distributors can mitigate Drug Shortage impact by
ensuring an equitable access to existing product.
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Oct. 2014
Public flu vaccines are just the tip of the iceberg for
how governments could leverage wholesalers
 Distribution of all public vaccines
 Servicing physician offices via their closest pharmacy
 Pandemic antivirals and personal protective equipment
 Other mass distribution needs (e.g., potassium iodide
pills)
 Critical medicine stockpiling
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Oct. 2014
Questions?
David Johnston
President
Canadian Association for Pharmacy Distribution
Management
[email protected]
(905) 265-1501
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Oct. 2014