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Mail order and Internet Pharmacy in Europe - Sharing the Multi-channel Experience

Abstract

Mail Order and Internet Pharmacy in Europe is a unique Study of a developing new healthcare marketing channel in 17 European Countries that draws on comparisons, insights, learnings and case studies from the USA

This is the second edition of the only strategic marketing report describing the emerging trends for mail order and Internet pharmacies in Europe's main markets together with comparisons to developments in the USA.

Mail Order and Internet Pharmacy in Europe is an important report that not only explores the development of an emerging channel; it draws on studies of the US market to show how the channel has evolved and describes how leading retailers are integrating online technologies using PCs, Tablets, Notebooks and Mobile Apps into the creation of a powerful multi-channel pharmacy experience.

Mail Order and Internet Pharmacy in Europe introduces new and emerging issues that present both challenges and opportunities to healthcare suppliers and their advisors operating in the complex European healthcare environment.

This unique study is researched and written by the leading strategic marketing consultant James W. Dudley

Table of Contents

Chapter 1 Introduction - Mail order and Internet Pharmacies in Europe

  • Introduction to Mail order and Internet Pharmacies in Europe
  • Evolution of the Legal Status of Mail Order and Internet Pharmacies for Medicines in Europe
  • Mail Order and Internet Pharmacies Observed Drivers 1999 - 2012
    • Figure 1: Summary of Observed Drivers for Mail Order and Internet Pharmacies Since 1999
  • Internet Pharmacy an Uneven Success in Europe
    • Table 1: Internet Users in 19 European Countries Compared to Legal Status of Internet Pharmacies
  • Unregulated, Illegal and Fraudulent Online Pharmacies
  • European Measures against Dubious Mail Order Pharmacies
  • Internet Applications to the Delivery of Primary Care Services in Europe
  • Business to Business Internet Applications in Pharmaceutical Distribution in Europe
  • Alliance Boots Internet Portal - dot Info in Europe
  • Celesio - Internet based Solutions for Pharmacies in Europe
  • Business to Consumer (B2C) Mail order and Internet Pharmacy Retailing Applications Europe
  • Internet and Mail Order Pharmacy Retailing Models in Europe Compared
    • Figure 2: Key Characteristics of the different Types of Mail Order and Internet Pharmacy in Europe
  • 'Pureplay' Online Mail Order Pharmacies in Europe
    • Graph1: Europe's Leading 'Pureplay' Mail Order and Internet Pharmacies - based on estimated euro Turnover for 2011
  • Online Consultation Pharmacies
    • Table 2: Legally Operating Online Doctor Consultation Services in Europe 2012
  • Zur Rose
  • Mediservice (Galenica)
  • HealthExpress
  • Boots* Prescriptions Direct (Boots/Alliance Boots)
  • The Emergence of Healthcare Portals linked to 'Clicks and Bricks' Pharmacies in Europe
  • Pharmacy chains with online services - 'Clicks and Bricks'
  • Online ordering for Non-pharmacy Pick-up Points in Austria and Germany
    • Table 3: Retail Chain Partnerships with Mail order and Internet Pharmacy Partners
  • Self-medication Web sites Direct to Consumer from Manufacturer in the UK
  • Conclusions - Differences between Mail order and Internet Pharmacy Business Models

Chapter 2 The Development of Mail Order and Internet Pharmacy in the USA

  • Mail Order and Internet Pharmacy - in the USA
  • Share of the US Pharmaceutical Market by Channel
    • Graph 2: % Share of the US Pharmaceutical Market by Channel - estimated for 2011
    • Table 4: Mail Order and Internet Pharmacy Sales Split between Prescription Medicines and OTC and Personal Care US $ Billions 2009 - 2011
  • Mail Order and Internet Pharmacy Competing with Other Retail Pharmacy Channels - the USA
    • Table 5: % Value Turnover Share of the US Prescription Pharmaceutical Market by Channel (excluding Institutional and Away from Home) - 2006 to 2011
    • Table 6: % Prescription Share of the US Pharmaceutical Market by Channel (excluding Institutional and Away from Home) - 2006 to 2011
    • Graph 3: US Pharmaceutical Value & Prescription Volume Growth 2006 - 2011 est. Comparisons by Pharmacy Channel
    • Graph 4: US Pharmaceutical Value Relative Prescription Values (Average =100) 2011 est. Comparisons by Pharmacy Channel
  • The Role of Pharmacy Benefit Managers and their Influence on the Development of Mail Order and Internet Pharmacy in the US
    • Figure 3: The Role of Pharmacy Benefits Managers (PBMs) in Processing and Reimbursing Prescription Medicine Claims in the US
    • Graph 5: PBM Prescription Share by Affiliated, Non Affiliated and Mail Order Pharmacies in the US
    • Table 7: Top 10 Leading Pharmacy Benefit Managers (PBMs) in the US
  • Consolidation at the Top of the PBM Industry
  • Medco Health Solutions, Inc.
  • Express Scripts
  • CVS/ Caremark Rx, Inc
  • Online Consultation Pharmacies
  • Walgreens - Making the Case for a Multi-channel Retail Model
    • Graph 6: % Share of Walgreens Sales by Category 2011
  • Pioneering Mobile Technology into Multi-Channel Pharmacy Retailing
    • Figure 4: Walgreens Multichannel Strategy
  • Walgreen's - Expanding Online Pharmacy Offer through Drugstore.com Acquisition
    • Graph 7: % Share of Drugstore.com Sales by Category
  • Sam's Club Example of Using Mobile Apps and Tablets for Scanning QR Codes and Receiving E-values Discounts
  • US Population Seeking Medical Information online
    • Table 8: US Online Population Seeking Health Information from the Internet
    • Table 9: US Online Population Health Site by Type - Visitation and Usefulness
  • Conclusions - Mail Order and Internet Pharmacy in the USA

Chapter 3 Mail Order and Internet Pharmacy Development

  • The German Experience
  • Mail order and Internet Pharmacy in Germany
  • Origins of Mail order and Internet Pharmacy in Germany
  • Mail order and Internet Pharmacy Landscape in Germany
  • Turnover of the German Mail Order Pharmacy Sector by Product Group
  • Who uses Internet and Mail order Pharmacies in Germany?
  • Germans Seeking Health Information on the Internet
  • Germans Seeking Information about Non-prescription Medicines on the Internet
    • Graph 8: German Adults Source of Information about Non-prescription Medicines
  • Germans Purchasing Non-prescription Medicines by Internet and Mail Order Pharmacies
    • Graph 9: German Consumers Purchasing Non-prescription Medicines from the Internet
    • Table10: Age Profile Germans who Shop for Non-prescription Medicines by Channel
    • Table 11: Income Profile - Germans who Shop for Non-prescription Medicines by Pharmacy compared to Internet or Mail Order Pharmacy.
  • Category Sales through Mail Order and Internet Pharmacies in Germany
    • Graph 10: % Share of value Sales by Category through German Mail order and Internet Pharmacies 2011
  • Non-prescription and Consumer Healthcare Sales through Mail Order and Internet Pharmacies in Germany
    • Graph 11: Sales of Non-prescription Healthcare and through Mail Order Pharmacies in Germany
    • Graph 12: % Split of Sales of Non-prescription Medicines and through Mail Order Pharmacies in Germany by main Category
  • Non-prescription and Consumer Healthcare Therapeutic Categories most Purchased through Mail Order and Internet Pharmacies in Germany
    • Graph 13: Germany - % Share of Pharmacy only Non-prescription Medicine Purchased through Mail Order Channels by Therapeutic Categories 2010 compared to 2009
    • Table 12: Top 10 Non-prescription Brands Pharmacy compared to Mail Order and Internet
  • Prescription only Medicines Sales through Mail Order and Internet Pharmacies in Germany
  • Hygiene, Cosmetics and other Personal care Products through Mail Order and Internet Pharmacies in Germany
  • The Impact of Mail Order and Internet Pharmacies on Traditional Pharmacies in Germany
    • Graph14: Number of Pharmacies in Germany 1995 to 2012
  • Mail Order and Internet Pharmacies - Medium sized Businesses in Germany?
  • Leading Mail Order and Internet Pharmacy Brands in Germany
    • Graph 15: Brand Owner % Share of the Market Mail Order Pharmacy - Germany
  • DocMorris Building a New Multi-Channel Retail Pharmacy Brand in Europe
    • Graph 16: Celesio Mail Order and Internet Sales - DocMorris Sales History 2002 - 2011 (forecast)
    • Graph 17: Consumer Awareness of German Retail Pharmacy Brands 2012
  • Sanicare Group Mail order and Internet Pharmacy
    • Graph 18: Sanicare Group % Turnover by Division 2011
  • Europa Apotheek Venlo Mail order and Internet Pharmacy
  • Vitalsana Mail order and Internet Pharmacy
  • Other Mail order and Internet Pharmacies with Tie-ups to Non-pharmacy German Retail Chains but without a 'Pick-up-in-Store' arrangement
  • Conclusions Mail Order and Internet Pharmacy in Germany

Chapter 4 Mail order and Internet Pharmacy Development in Switzerland

  • The Rise of Mail Order and Internet Pharmacy in Switzerland
    • Graph 19: % Share of Swiss Pharmaceutical Market by Channel 2011est
    • Table 13: Switzerland - Mail order Pharmaceutical Sales Compared to other Channels 2004 to 2011 est. CHF millions at Manufacturers' Prices 74
    • Graph 20: Swiss Pharmaceutical Market % Value Growth by Channel 2005-2008 compared to 2008 - 2011
  • Pharmacy involvement in Mail order and Internet Channels in Switzerland
  • Major Pharmacy Chains in Switzerland - Internet Offer
    • Table 14: Switzerland - Internet Offers by Major Pharmacy Chains
  • Switzerland - 'Direct Dispatch' Home Delivery Pharmacies
  • Statutory Health Insurers in Switzerland Driving Mail Order Pharmacies
  • MediService - Swiss Distance Speciality Pharmacy Concept
  • Zur Rose - Online Pharmacy Switzerland, Germany and Czech Republic
  • Zur Rose in the Development of Apps and Mobile Technology
  • New Mail order Pharmacy in Switzerland xtrapharm
  • Conclusions for Mail order and Internet Pharmacies in Switzerland

Chapter 5 Mail Order and Internet Pharmacies in the UK

  • Mail Order and Internet Pharmacies in the UK
  • Code of Practice for Mail Order and Internet Pharmacies in the UK
  • Development of Mail Order and Internet Pharmacies in the UK
  • Online Healthcare - Usage by Consumers in the UK
    • Graph 21: UK - % All Adults Using the Internet Seeking health Related Information
    • Graph 22: UK % All Adults in the Who Purchased Online 2010
    • Graph 23: UK - % All Adults (who Purchased online) who Bought a Medicine
    • Graph 24: Consumer Sources of Purchase for Non-prescription Self-Medication and Vitamins Minerals and Supplements by Channel in the UK 2011
  • Leading 'Pure Play' online Pharmacy Services in the UK
  • Pharmacy2U
  • Allcures
  • Chemistdirect
  • Online Clinics in the UK registered as Independent Medical Agencies
  • Dr Thom
  • Doctor Fox
  • HealthExpress.co.uk
  • 'Clicks and Bricks' Mail Order and Internet Pharmacy in the United Kingdom
    • Table 15: Top 20 Pharmacy Chains in the UK with Online Pharmacy Status
  • Online Animal Health Pharmacies in the UK
  • MedicAnimal.com
  • Vet-medic
  • Conclusions Mail Order and Internet Pharmacies in the United Kingdom

Chapter 6 Mail Order and Internet Pharmacies in the Netherlands and Belgium

  • Development of Internet Pharmacies the Netherlands
    • Graph 25 Top 6 Non-prescription Products Dutch Consumers Buy from the Internet
  • The Netherlands - Centre for major European Mail Order and Internet Pharmacies
  • 'Pureplay' Internet Pharmacies in the Netherlands
    • Table 16: Dutch Internet Pharmacy Offer Comparisons
  • Online Medical Consultation websites in the Netherlands
  • Dokteronline
  • Retail Pharmacy Chains embracing Internet driven Mail order Services in the Netherlands
    • Table 17: Major Retail Pharmacy Chains in the Netherlands - Web site Services
  • Independent Pharmacy Web sites in the Netherlands
  • Internet Pharmacies in the Netherlands - Conclusions
  • Development of Internet Pharmacies in Belgium
  • Online Strategies of Major Retail Pharmacy Multiples in Belgium
  • Lloyds Pharma (Celesio
  • Multipharma/PPL
  • EPC-Familia
  • Pharma Sante (Pharmacie du Peuple and Sauvegarde)
  • Conclusions Belgium

Chapter 7 Mail Order and Internet Pharmacies in the Nordic Region

  • Development of Internet Pharmacies in Denmark
  • Virtual Pharmacies in Denmark providing Internet Access
  • Development of Internet Pharmacies in Finland
  • Development of Internet Pharmacies in Norway
  • Development of Internet Pharmacies in Sweden
  • Online Pharmacies in Sweden

Chapter 8 Mail Order and Internet Pharmacies in Central European States

  • Mail Order and Internet Pharmacies in Poland
  • Reduction in Number of Online Pharmacies in Response to Polish Reimbursement Act
    • Graph 26: Internet Pharmacy Channel Share by Category in Poland
  • Growth of Online Pharmacies in Poland
    • Table 18: Leading Internet Pharmacies in Poland
    • Table 19: Dom Zdrowia Selected Financial data 2012
  • "Clicks and bricks" Online Pharmacy Networks in Poland
  • Conclusions Mail Order and Internet Pharmacies in Poland
  • Internet Pharmacies in Czech Republic
  • Internet Pharmacies Slovakia
  • Internet Pharmacies Hungary
  • Online Services from Hungary's Main Pharmacy Chains

Chapter 9 Mail Order and Internet Pharmacies the Laggard Markets in Europe

  • Development of Mail Order and Internet Pharmacies in Austria
  • Collaboration between Druggist Chains and Foreign Internet and Mail Order Pharmacies in Austria
  • Development of Mail Order and Internet Pharmacies in France
    • Graph 27: French Consumers Buying Non-prescription Medication Online
  • Online Service Leading French Pharmacy Groups and Virtual Chains of Pharmacies
    • Table 20: Online Offerings Leading Voluntary Groupings and Virtual Chains of Pharmacies in France 2012
  • Development of Internet Pharmacies in Italy
  • Online Service Leading Italian Pharmacy Groups and Virtual Chains of Pharmacies
    • Table 21: Online Offerings Chains of Pharmacies in Italy 2012
  • Development of Internet Pharmacies in Spain
    • Table 22: Top Internet based Mail order Pharmacies in Spain

Chapter 10 Conclusions of the Study

  • Opportunities or Threats for Healthcare Suppliers in Europe
  • The Challenge of Mail order and Internet Marketing Channels in Europe for Suppliers Conclusions of Mail Order and Internet Pharmacy in Europe Study - Key Factors driving
  • the Internet as a Health Information Provider and Pharmacy Delivery Channel
  • The Entrepreneurial Driver - The Key to Growth of the Mail Order and Internet Pharmacy Channel in Europe
  • Consumer and Patient Segments as Early Adopters of Mail Order and Internet Pharmacy
    • Table 23: Consumers by State in Europe Using the Internet to Purchase Non-prescription Medicines 2009
  • The Development of the Internet Pharmacy Channel and the Need for a Responsive Regulatory Environment
  • Major Wholesale and Retail Companies as Early Adopters of Mail Order and Internet Pharmacy in Europe
  • Institutional Safeguards to help Consumers distinguish between Reliable and Unreliable Internet Pharmacy Operators
  • Opportunities and Challenges for Manufacturers Supplying Mail Order and Internet Pharmacies in Europe
    • Graph 28: Pharmacies in Leading European States - % Share of Number of European Pharmacies by Ownership Classification 2011
  • Embracing Mail order and Internet Pharmacies in Europe - Specific Opportunities for Healthcare Manufacturers
  • Product Design to Gain Competitive Advantage for Healthcare Brands in Internet Pharmacies
  • Exploiting Internet Pharmacies to Reach Specific Audiences for New Non-prescription Healthcare Brands
    • Graph 29: Alli (GSK) Source of Purchase by Channel Germany 2009
  • Gaining Competitive Advantages for Generic Pharmaceutical Products in Internet Pharmacies
  • Taking Mail Order and Internet Pharmacy to a New Level in Europe
    • Figure 5: A Conceptual Framework for Developing Consumer Offerings for Mail order and Internet Pharmacies
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