Pomen veletrgovcev za varnost trga zdravil : Kakšne posledice ima lahko že 15 let enaka in (pre)nizka veletrgovska marža za dobavo zdravil v Sloveniji?

slovenian

2025

volume 80, issue 5/6

European medicines strategy   margin   medicine shortages   medicines market   public health   wholesalers

Univerza v Ljubljani, Pravna fakulteta
(Obvezni izvod spletne publikacije)

In November 2020, the European Commission presented its European Medicines Strategy, whose objectives include: (1) ensuring timely and equitable access for all EU patients to safe, effective and affordable medicines; (2) increasing security of supply and ensuring that medicines are available to patients wherever they live in the EU; while (3) ensuring an attractive, innovationfriendly and competitive environment for research, development and production of medicines. Medicine shortages are becoming a significant public health risk across Europe and beyond. Tackling these shortages demands measures to be taken at all levels to improve the supply of medicines. Among other actors, wholesalers constitute crucial, though overlooked, link. They - especially the ones with the so-called full-line of operations - can also be part of the solution in reducing the risk of disruptions in the supply of medicines due to their way of doing business. However, it is true that with the changed market structure and other factors, the issue of the continued economic motivation of wholesalers to work in the public interest is becoming increasingly important, which participation in the process of supplying medicines undoubtedly is. Given that wholesaler margins in Slovenia are among the lowest in Europe, the author believes that changes in this area are urgently needed. The existing method of determining the wholesale margin may also call into question the expediency of carrying out the activity of supplying medicines in Slovenia. The author sheds light on the role of wholesalers in the supply of medicines, as well as changes in this market over the last fifteen years and the method of determining the socalled wholesale margin, in Slovenia and selected European countries. The existing method of determining the wholesale margin may also call into question the feasibility of carrying out the activity of supplying medicines in Slovenia.

20.07.2026