The U.S. wholesale drug market consists of a combination of primary and secondary wholesalers. There are three major national wholesalers, a few regional wholesalers and thousands of secondary wholesalers. International organizations such as IPF and WHO cannot dictate the best training programs and the level of pharmacy staff needed in hundreds of different countries (Anderson et al., 2009). However, they can help ministries of education and national pharmacy boards identify the skills a professional pharmacist would need in their country. Their efforts in the country should focus on identifying the minimum skills and training needed to work in the drug retail sector. They could also consider developing surveillance chains in which poorly educated staff manage the stock, and then report their needs to someone who is qualified to identify and buy valuable wholesalers from them. The Committee believes that national pharmacy councils are best placed to articulate the chain of reports that should apply in their countries and the minimum qualifications that patients in their country will accept. The minimum training of a drug donor or pharmacist in rural Canada will be different from what is appropriate in rural Nepal. In any event, the professional training of certified health professionals should be highlighted and integrated into the health system. There are many ways to create a family tree of drugs; all depend on unique serial numbers on the main label. Franchising is another private sector approach to improving drug trafficking. The Ghanaian Social Marketing Foundation, a national NGO, created the CareShop Franchising program to improve access to high-quality medicines in Ghana (Segré and Tran, 2008).
The Foundation recruited franchisees from licensed vendors and lured them with an improved supply chain. Drug dealers had spent an average of 30% of their time buying in an unreliable wholesale market (Segré and Tran, 2008). The franchisee guaranteed the delivery and direct delivery of all of the store`s inventory, saving the Shopkeeper time and approximately $227 per year in travel costs (Segré and Tran, 2008). This system also puts wholesale buying in the hands of a qualified buyer to assess the quality of the product. Frequent large orders from the buyer have a collective purchasing power that controls costs. In September 2004, Illinois Governor Blagojevich joined his state with Missouri and Wisconsin to launch “I-SaveRX,” a web access program that connects state residents with licensed pharmaceutical pharmacies and wholesalers in Canada, the United Kingdom and Ireland. Kansas joined a few weeks later. Vermont joined in February 2005.
As described, it “promises savings of 50 percent on about 100 prescription drugs. Although centralized for the four states coordinated by a single website, each state has its own application and advertising. In October 2005, it was reported that 14,000 revenues were processed in the first year of operation. The program`s online portal was www.i-saverx.org and was operated in collaboration with CanaRx Services Inc., which required individuals to agree to their contractual terms prior to their use. In recognition of safety issues, the site noted: “Canadian, Irish or British regulators have approved all drugs available through this program to be safe for use in their own country…. The United States Food and Drug Administration (FDA), however, has the position that buying prescription drugs, although from outside the United States can be dangerous and illegal. To learn more about the FDA`s position, please visit www.fda.gov/importeddrugs/. The State of Illinois, its officers and employees do not comply with the legality of importing or re-importing drugs from other countries. Cost-effectiveness: mmcap achieves average savings of about 23.7% less than the average wholesale price (AWP -23.7%). for brand name drugs and 65% below the average wholesale price (AWP -65%) for m