To be, or not to be connected - the pharma supply chain

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<p> <span class>Ongoing drug shortages across many therapy areas continue to shine a light on the pharma supply chain. You would expect the supply chain for critical medication would be slick, connected and truly end-to-end, which in this case would be from raw materials to patient delivery. Sadly, it’s not.</span> </p> </div>  <div class="article-main__content" data-test-id="publishing-text-block"> <p> <span class>The cause of shortages is multiple, although not the subject of this article. The aim here is to shine a light on the patient end of the pharma supply and highlight the connectivity opportunities, using the UK as an example.</span> </p> </div>  <div class="article-main__content" data-test-id="publishing-text-block"> <p> <span class="font-[700]">The current situation</span> </p> </div>  <div class="article-main__content" data-test-id="publishing-text-block"> <p> <span class>Typically, pharma companies manufacture against forecasts, which are universally accepted not to be as accurate as they could be. While it is more problematic to estimate expected demand on new products, established products should be much easier by using real data from across the entire supply. However, the data currently used has lots of gaps in it.</span> </p> </div>  <div class="article-main__content" data-test-id="publishing-text-block"> <p> <span class>The industry has visibility of what is sent to the first ‘customer’, typically a wholesaler. Once supplies have been delivered to the wholesaler this visibility disappears. How many drugs are sent where, and when, is managed by the wholesaler based on requests from their customers and isn’t linked back to the manufacturer.</span> </p> </div>  <div class="article-main__content" data-test-id="publishing-text-block"> <p> <span class>Compare this to the UK food industry which uses data to track the movement of goods from the factory to the point of purchase as well as to monitor inventory levels across the supply chain and forecast demand. In addition, data analytics are also used to optimize supply chain operation, reduce waste, and improve efficiency. There is a lot that pharma can learn from them.</span> </p> </div> <div class="inline-articles bg-color-surface-new border-hidden rounded-sm p-1 mx-auto my-1.5 mamabear:w-2/3 inline-articles__after"> <h2 class="text-xl font-medium ml-1.5 my-1 text-color-text mamabear:text-center">Recommended by LinkedIn</h2> <div class="flex flex-wrap mx-0.5 babybear:mx-1.5"> <div class="content-author-card flex flex-col max-w-[270px] h-auto rounded-md border-1 border-system-gray-30 border-solid pb-1.5 inline-article mx-auto my-1 border-hidden papabear:w-[219px] babybear:min-w-full mamabear:min-w-full h-auto bg-color-canvas-tint"> <a class="no-underline" data-tracking-control-name="inline-recommended-articles" data-tracking-will-navigate href="https://www.linkedin.com/pulse/mckesson-pricing-spineometer-5-vertebrae-tim-j-smith"> <img class="content-image w-full h-[150px] bg-cover rounded-t-md object-cover" data-delayed-url="https://media.licdn.com/dms/image/v2/D5612AQHfTJ7efaGAyw/article-cover_image-shrink_720_1280/article-cover_image-shrink_720_1280/0/1686661577531?e=2147483647&v=beta&t=NrgSeKpC7vAHewrETGlJ8Qq22xXapPTpPhMciJkSJTs"> <div class="inline-article-title text-md text-color-text font-bold pl-2 pt-1 pr-1.5">McKesson Pricing Spineometer: 5 of 5 Vertebrae</div> <div class="inline-article-meta px-2 mt-1 font-sans text-xs font-normal text-color-text-low-emphasis h-full"> <span class="inline-article-author pt-0.5"> Tim J Smith </span> <span class="before:middot pt-0.5 inline-article-published-date"> 1 year ago </span> </div> </a>  </div> <div class="content-author-card flex flex-col max-w-[270px] h-auto rounded-md border-1 border-system-gray-30 border-solid pb-1.5 inline-article mx-auto my-1 border-hidden papabear:w-[219px] babybear:min-w-full mamabear:min-w-full h-auto bg-color-canvas-tint"> <a class="no-underline" data-tracking-control-name="inline-recommended-articles" data-tracking-will-navigate href="https://www.linkedin.com/pulse/ftc-sues-3-largest-pbms-gpos-alleging-inflated-insulin-ydtde"> <img class="content-image w-full h-[150px] bg-cover rounded-t-md object-cover" data-delayed-url="https://media.licdn.com/dms/image/v2/D4E12AQFRIUhabaQvVw/article-cover_image-shrink_720_1280/article-cover_image-shrink_720_1280/0/1727115712635?e=2147483647&v=beta&t=8KMC64GRmcP88OcuGmvpBH4kDpM7QAVYyp2aRlQIcVM"> <div class="inline-article-title text-md text-color-text font-bold pl-2 pt-1 pr-1.5">FTC sues 3 largest PBMs and their GPOs, alleging they…</div> <div class="inline-article-meta px-2 mt-1 font-sans text-xs font-normal text-color-text-low-emphasis h-full"> <span class="inline-article-author pt-0.5"> Darwin Research Group </span> <span class="before:middot pt-0.5 inline-article-published-date"> 2 months ago </span> </div> </a>  </div> <div class="content-author-card flex flex-col max-w-[270px] h-auto rounded-md border-1 border-system-gray-30 border-solid pb-1.5 inline-article mx-auto my-1 border-hidden papabear:w-[219px] babybear:min-w-full mamabear:min-w-full h-auto bg-color-canvas-tint"> <a class="no-underline" data-tracking-control-name="inline-recommended-articles" data-tracking-will-navigate href="https://www.linkedin.com/pulse/challenges-ineffective-pbm-clinical-management-specialty"> <img class="content-image w-full h-[150px] bg-cover rounded-t-md object-cover" data-delayed-url="https://media.licdn.com/dms/image/v2/D5612AQE8ws1UDebsfQ/article-cover_image-shrink_720_1280/article-cover_image-shrink_720_1280/0/1676915039461?e=2147483647&v=beta&t=yTRRJp3j32WFp-nKBw2hney5IFFNkdjTDkNk8QueQ1M"> <div class="inline-article-title text-md text-color-text font-bold pl-2 pt-1 pr-1.5">Challenges with Ineffective PBM Clinical Management…</div> <div class="inline-article-meta px-2 mt-1 font-sans text-xs font-normal text-color-text-low-emphasis h-full"> <span class="inline-article-author pt-0.5"> Archimedes </span> <span class="before:middot pt-0.5 inline-article-published-date"> 1 year ago </span> </div> </a>  </div> </div> </div>  <div class="article-main__content" data-test-id="publishing-text-block"> <p> <span class>Following its journey to the wholesaler, the next step is to dispense the drugs to a patient. Again, this is managed in isolation typically by the pharmacy or maybe at a pharmacy chain level (Boots, Lloyds, Well, etc.). Here is another opportunity to do things differently and share real-time data.</span> </p> </div>  <div class="article-main__content" data-test-id="publishing-text-block"> <p> <span class>In a typical busy pharmacy, there is no time to look ahead and forecast upcoming needs, even though over 80% of the 1.14 billion prescriptions dispensed in the UK in 21/22 were for items that were issued on a repeat basis. For example, Atorvastin (given to lower cholesterol and prevent heart attacks) alone accounted for 53.4 million prescriptions, all dispensed month after month. If you did the same for all the 334m cardiovascular treatment prescriptions, you have access to a lot of data. If you then extend it into other disease areas such as diabetes, osteoporosis and you add another 119m data points. Now we are starting to build a lot of useful data.</span> </p> </div>  <div class="article-main__content" data-test-id="publishing-text-block"> <p> <span class>This data provides an opportunity to forecast requirements, not only providing data back up the chain, but also providing visibility of what will be needed next month. Over 1.2 million patients use the electronic repeat prescription service, routinely having their prescription sent to the same pharmacy. Imagine being able to accurately understand what stock will be needed next month.</span> </p> </div>  <div class="article-main__content" data-test-id="publishing-text-block"> <p> <span class="font-[700]">What needs to change?</span> </p> </div>  <div class="article-main__content" data-test-id="publishing-text-block"> <p> <span class>Behaviours and thinking need to change, both at pharmacy and industry level. Creating pharmacy systems that forecast demand based on the last dispensing for a patient and their expected next visit (like how IRT works in clinical trials) is needed, along with the relevant training for pharmacy staff. This would capture most drugs dispensed, not the one-off (antibiotics etc.) or first-time prescriptions. 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class="comments__container"> <div class="comments">   <section class="comment flex grow-1 items-stretch leading-[16px] comment-with-action my-1.5"> <div> <a href="https://uk.linkedin.com/in/antoinette--netty-levett?trk=article-ssr-frontend-pulse_x-social-details_comments-action_comment_actor-image" data-tracking-control-name="article-ssr-frontend-pulse_x-social-details_comments-action_comment_actor-image" data-tracking-will-navigate> <img class="inline-block relative rounded-[50%] w-4 h-4 bg-color-entity-ghost-background" data-delayed-url="https://static.licdn.com/aero-v1/sc/h/9c8pery4andzj6ohjkjp54ma2" data-ghost-classes="bg-color-entity-ghost-background" data-ghost-url="https://static.licdn.com/aero-v1/sc/h/9c8pery4andzj6ohjkjp54ma2" alt="Antoinette (Netty) Levett"> </a> </div> <div class="w-full min-w-0"> <div class="comment__body ml-0.5 mb-1 pt-1 pr-1.5 pb-1 pl-1.5 rounded-[8px] rounded-tl-none relative"> <div class="comment__header flex flex-col"> <a class="text-sm link-styled no-underline leading-open comment__author truncate pr-6" href="https://uk.linkedin.com/in/antoinette--netty-levett?trk=article-ssr-frontend-pulse_x-social-details_comments-action_comment_actor-name" data-tracking-control-name="article-ssr-frontend-pulse_x-social-details_comments-action_comment_actor-name" data-tracking-will-navigate> Antoinette (Netty) Levett </a> <p class="!text-xs text-color-text-low-emphasis leading-[1.33333] mb-0.5 truncate comment__author-headline">Associate Account Manager - Supply Chain to Patient, connection and collaboration to enable change</p> <span class="text-xs text-color-text-low-emphasis comment__duration-since absolute right-6 top-1 inline-block"> 10mo </span> <div class="ellipsis-menu absolute right-0 top-0 !mr-0.5 babybear:!-top-0.5" data-test-id="comment__ellipsis-menu" data-feed-action="show-comment-dropdown"> <div class="collapsible-dropdown flex items-center relative hyphens-auto"> <button class="ellipsis-menu__trigger 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Do you share the same ambitions, and would like to utilize a platform to collaborate? Get in touch. </p>  </div>   </div> <div class="comment__actions flex flex-row flex-wrap items-center ml-2" aria-label="Comment Controls"> <a href="https://www.linkedin.com/signup/cold-join?session_redirect=%2Fpulse%2Fconnected-pharma-supply-chain-biophorum-operations-group-ogtke%3Ftrk%3Darticle-ssr-frontend-pulse&trk=article-ssr-frontend-pulse_x-social-details_comments-action_comment_like" class="comment__action inline-block font-sans text-xs text-color-text-low-emphasis cursor-pointer" data-tracking-control-name="article-ssr-frontend-pulse_x-social-details_comments-action_comment_like" data-tracking-will-navigate> <div class="flex flex-row items-center "> <icon class="action-btn__icon w-2 mr-0.5" data-svg-class-name="action-btn__icon--svg" data-delayed-url="https://static.licdn.com/aero-v1/sc/h/70k0g8kmgdfjjymflqqzipzxj"> </icon> <span class="action-btn__button-text inline-block align-baseline"> Like </span> </div> </a> <span class="before:middot font-sans text-s 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BioPhorum </h2>  <div class="core-section-container__content break-words"> <ul class="show-more-less__list show-more-less__list--no-hidden-elems" data-impression-id="article-ssr-frontend-pulse_show-more-less"> <li> <a href="https://www.linkedin.com/pulse/international-womens-day-2024-biophorum-operations-group-tr2ve?trk=article-ssr-frontend-pulse" target="_self" data-tracking-control-name="article-ssr-frontend-pulse" data-tracking-will-navigate class="base-card relative w-full hover:no-underline focus:no-underline base-card--link base-main-card flex flex-wrap py-2 pr-2 babybear:pr-0 base-main-card--link babybear:py-1 main-article-card">  <div class="base-main-card__media relative w-[228px] block overflow-hidden flex-shrink-0 rounded-md h-[129px] babybear:w-[105px] babybear:h-[59px]"> <img class="h-full" 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aria-label="27 Reactions" data-separate-ctas="false" data-test-id="social-actions__reactions" data-id="social-actions__reactions" data-num-reactions="27" data-singular="%numReactions%" data-plural="%numReactions%" tabindex="0"> <img alt data-reaction-type="LIKE" data-delayed-url="https://static.licdn.com/aero-v1/sc/h/9sun4diznbhgyelaeryxy75ur" height="16px" width="16px"> <img alt data-reaction-type="PRAISE" data-delayed-url="https://static.licdn.com/aero-v1/sc/h/cjrxeu0ese8oxe32kiom8kzoh" height="16px" width="16px"> <img alt data-reaction-type="APPRECIATION" data-delayed-url="https://static.licdn.com/aero-v1/sc/h/cib97epu77mrzque5gqlzjgaw" height="16px" width="16px"> <span aria-hidden="true" class="font-normal ml-0.5" data-test-id="social-actions__reaction-count"> 27 </span> </div> <code id="social-actions__reaction-image-APPRECIATION" style="display: none"></code>  <code id="social-actions__reaction-image-EMPATHY" style="display: none"></code> <code 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