People's Pharmacy and Pharmaceutical Industry Competition

After taking the government policy to decrease the price of drugs, now the Ministry of Health to make policy in the field of services kefarmasian with the Regulation of the Minister of Health (Permenkes) Decree No. 284/Menkes/Per/III/2007 of the People's Pharmacy. People's Pharmacy is a health service functions as a place kefarmasian form of delivery of the drugs and health supplies. Pharmacies people can not make the system of preparing medicines. The pattern of planning, procurement, storage and use of drugs system FIFO (First In First Out) which is the first medicine purchased or stored managers, must first be sold or issued. There is also a system FEFO (First Expire First Out) which is the type of drugs that have the kedaluarsa earlier must first be sold or issued.

Thus, the quality of drugs still guaranteed cheap, easy, safe, and always controlled. This is also to prevent the circulation of false medicines, kedaluarsa drugs, drugs that do not clear their origins, and prevent the abuse of drugs such as the type of drug and psychotropic substances. What distinguishes people with pharmacy pharmacy in general is the opportunity for traders to conduct retail drug compounding (affiliates) worked with the body shape or form of business in other locations near. In addition, to obtain permission free of charge, but the administrative mechanisms for licensing, ketenagaan, and the types of sanctions violations still refers to the standard as the other pharmacy. Pharmacy program people should be seen as a significant breakthrough in the high case related to violations of the circulation of drugs and food-based chemicals recently.

However, there are several factors that must be observed, especially related to the implementation in the field, namely:

First, the people's pharmacy program is not just a theory or concept, but must surely be one solution to guarantee ease of access, affordability for (price), security products and medicines for the public, especially for the poor. The existence of drugs can potentially be used as commodities for the economic interests of the perpetrators of industrial health services in hospitals (private), medical clinics, and doctors are now clearly the profit (profit oriented) in the frame of the scale of economic calculation.

In the middle of the more strict competition drug industry as well as national and international via the cost of treatment in the spectrum of health services at this time, perhaps the business of medicines in the world kefarmasian is a business that is very promising and arouse extraordinary financial advantage. As a component of expenditure in the health service system in Indonesia, like the god of medicine for patients and helpers in the community to restore and maintain health care degrees.

Second, chemists prioritize the people's generic drug products. On the other hand, public perception of generic drugs that have the property is lower than the patented drugs so that the necessary socialization development. Therefore, chemists people also have a role as a media enlightenment and dissemination of a drug.

Third, the level needs to drugs and pharmaceutical products nowadays tend to rise rapidly because of the high number still in pain and mortality in almost all age levels so that the system required by the strict supervision of the Agency for Drugs and Food (Food And Drug Control Agency). During the Food And Drug Control Agency have impressed malfunctions operation proactive monitoring both at the level of production to the distribution chain, such as in the Presidential Decree No. 166, 2000 and No. 103 of 2001 on the Formation of the Food And Drug Control Agency.

The characteristics of the system supervision of food and medicine have important aspects of the national health system, as well as one of the spearheads in the practices to prevent violations of food and medicine, which is more rampant.

Fourth, people's pharmacy program must be understood as a solution to the high cost of medicines and not just a program News that only through people (Lips service). Policies must be really able to provide real convenience for the people in the middle of high attack the disease, accidents, falls, and natural disasters so that the dependence of health services and treatment automatically even higher. In the end the more the price of drugs membumbung. Murray (1997) said, the characteristics of drugs tend toward privatization, the cost burden to patients, and the players in the drug market. With the pharmaceutical industry among the various efforts in pushing the government to loosen control of drugs and encouragement toward independence from public services. This change is very influential in the aspects of availability, adequacy, and access to drugs that result in shifting social values towards drugs and commodities business that can arouse encourage price increases that are not fair.