PHARMACIES in Clare will close as a result of the decision of the HSE to alter the basis on which it pays phar- macies for dispensing medicines.
That is according to the President of the Irish Pharmaceutical Union (I[PU), Michael Guckian, who said the Government expected pharma- cists to dispense medicines to medi- cal cardholders for amounts nine per cent lower than they bought it.
“The HSE announcement means that many pharmacists will have to stop supporting the State medicine schemes because they want us to sell medicines ata loss. Others will close
and the loser will be patients up and down the country.”
Three weeks ago, the HSE an- nounced that it was altering the sys- tem of paying pharmacists from De- cember lI.
“The HSE decision was taken with- out regard for how it will impact on patients and on viability of local pharmacies in Clare,” said Mr Guck- Te nOe
Clare Pharmacist Feidhlim Hillery of Sean Hillery Pharmacists, Shan- non Airport, said “The HSE’s deci- sion, if implemented, will make the medical card scheme unviable for pharmacists to deliver from Decem- roan
“There are 34,552 medical card pa- tients in Clare. This is very worrying for local pharmacists. It will have a negative impact on patient care.
‘I have reviewed the impact of this decision on my business and I simply would not be in a position to provide medicines to patients at a loss from December,” he said.
Pharmacists are asking the HSE to reverse this decision and to get into meaningful talks on a new pharmacy contract with their trade union, the Irish Pharmaceutical Union.
“The HSE decision may lead to closures of pharmacies in many ru- ral and marginalised communities, which tend to have a higher propor-
tion of medical card patients. It will mean job losses in these communi- ties and longer distances for patients to travel to get their medicines if their local pharmacy closes down.
“For the pharmacies that do sur- vive, patients may also have to en- dure reduced opening hours and longer waiting times, as pharmacies may have to let staff go.
“Many medicines, such as insu- lin for diabetics, may no longer be as widely available as pharmacists would have to have to provide such medicines at a loss from December 1,” according to the IPU.
Many pharmacies have a huge dependence on the Medical Card
Scheme [GMS] or the Drug Pay- ments Scheme [DPS]. Government dictates whether the pharmacist can apply any margin to medicines sold under these schemes. In the case of the GMS, which accounts for about 76 per cent of medicines sold under the State schemes, the Government allows the pharmacist to earn no margin. Instead the Government pays the pharmacist a fee of €3.26 for each medicine dispensed.
In the case of drugs dispensed un- der the DPS, the Government pays a eross margin of 33 per cent on the cost of the drug – but this accounts for only about 25 per cent of the med- icines dispensed by pharmacists.