Community Pharmacists’ Perspectives on Offering Discounted Prices for Prescription Drugs in Jordan

Authors

  • Ibrahim Lewis Mukattash Department of Marketing, Faculty of Business, Applied Science Private University, Amman, Jordan.
  • Tasneem Y Tahat Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
  • Sara Ajlouny Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
  • Tareq L. Mukattash Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
  • Yara Al Tall Department of Pharmaceutical Technology, Faculty of Pharmacy, Jordan University of Science and Technology.
  • Anan S. Jarab College of Pharmacy, Al-Ain University, Abu Dhabi, United Arab Emirates.
  • Ibrahim Alabbadi Departments of Biopharmaceutics and Clinical Pharmacy, Faculty of Pharmacy, The University of Jordan, Jordan

DOI:

https://doi.org/10.35516/jjps.v17i2.1819

Keywords:

Pricing, Discounting of medicines, Community pharmacies, Jordan

Abstract

Background: In Jordan, medicines are priced by the Jordan Food and Drug Administration (JFDA), which mandates pharmacists to sell pharmaceutical products without any discounts or rebates. However, discounting drug prices in community pharmacies is commonplace. The present study aims to understand the motives and perceptions of pharmacists regarding drug price discounts in community pharmacies in Jordan.

Methods: Qualitative interview sessions were conducted with a convenient sample of 20 community pharmacists. A total of 25 participants were interviewed, anonymized, and audio recorded. To ensure maximum comfort, respondents were given the option to choose the interview location or participate through audio-visual communication tools. The sessions followed a pre-designed interview guide focusing on discounts offered on prescription drugs in community pharmacies, pharmacists' experiences, and their attitudes toward these practices. Interview recordings were transcribed and analyzed thematically.

Results: Three main themes emerged: patient-related factors, pharmacist-related factors, and rules and regulations-related factors, each with several subthemes. This study identified several barriers that hinder pharmacists’ adherence to medicine pricing policies in community pharmacies in Jordan, including psychosocial and economic factors, customer attraction and profit increase strategies, sales tactics, market share expansion, avoidance of medicine accumulation and expiration, and issues related to regulations and law enforcement.

Conclusion: The findings demonstrate that adherence to medicine pricing policies in community pharmacies in Jordan varies depending on different factors. Pharmacists may exhibit weak adherence under specific circumstances while demonstrating stronger adherence under others. This study provides insights that could inform the revision of regulations and laws governing pharmacy practices and adherence to pricing policies.

Author Biography

Anan S. Jarab, College of Pharmacy, Al-Ain University, Abu Dhabi, United Arab Emirates.

Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.

References

The World Bank. Jordan home. Available from:. http://wwwworldbankorg/en/country/jordan.

Jordan Department of Statistics. Jordan statistical yearbook 2013. Available from:. http://webdosgovjo.

Jordan High Health Council. Jordan National Health Account (NHA) 2012. The Technical.

Grepperud, S., & Pedersen, P. A. (2020). Positioning and negotiations: The case of pharmaceutical pricing. European Journal of Political Economy, 62, 101853. https://doi.org/10.1016/j.ejpoleco.2020.101853. DOI: https://doi.org/10.1016/j.ejpoleco.2020.101853

“Constitution of the World Health Organization”, American Journal of Public Health 36, no. 11 (November 1, 1946): pp. 1315-1323.

https://doi.org/10.2105/AJPH.36.11.1315 DOI: https://doi.org/10.2105/AJPH.36.11.1315

PMID: 18016450

Shukar S, Zahoor F, Hayat K, Saeed A, Gillani AH, Omer S, Hu S, Babar Z-U-D, Fang Y and Yang C (2021) Drug Shortage: Causes, Impact, and Mitigation Strategies. Front. Pharmacol. 12:693426.

doi: 10.3389/fphar.2021.693426 DOI: https://doi.org/10.3389/fphar.2021.693426

WHO. Health System Profile–Jordan. Regional Health Systems Observatory–EMRO retrieved from http://apps who int/medicinedocs/documents/s17296e/s17296e pdf. 2006.

“The National Strategy for Health Sector in Jordan 2015- 2019.” Accessed February 22, 2024. Http://Www.Hhc.Gov.Jo/Uploadedimages/The%20National%20Strategy%20for%20Health%20Sector%20in%20Jordan%202015-2019.Pdf.” Accessed February 22, 2024. http://www.hhc.gov.jo/uploadedimages/The%20National%20Strategy%20for%20Health%20Sector%20in%20Jordan%202015-2019.pdf.

JFDA. Jordanin Food and Drug Organization. Medicine and Pharmacy Law. 2013.

Abbott, R. B., Bader, R., Bajjali, L., ElSamen, T. A., Obeidat, T., Sboul, H., ... &. Alabbadi, I (2012) The price of medicines in Jordan: the cost of trade-based intellectual.property. Journal of Generic Medicines, 9(2), 75-85.

Mukattash, T. L., Bazzi, N. H., Nuseir, K. Q., Jarab, A. S., Abu-Farha, R. K., & Khdour,. M R (2018) Pharmaceutical care in community pharmacies in Jordan: a public.survey. Pharmacy Practice (Granada), 16(2).

World Health Organization. (2007). Jordan: Medicine prices, availability, affordability and. price components (No WHO-EM/EDB/087/E).

Tsuyuki RT, Beahm NP, Okada H, Al Hamarneh YN. Pharmacists as accessible primary health care providers: Review of the evidence. Canadian pharmacists journal : CPJ = Revue des pharmaciens du Canada : RPC. 2018;151(1):4-5. DOI: https://doi.org/10.1177/1715163517745517

El-Dahiyat, F. A., & Kayyali, R. (2013). Community pharmacists’ perceptions towards. generic medicines and their opinions on future generic substitution policy.A descriptive study from Jordan. Journal of Generic Medicines, 10(2),97-104. DOI: https://doi.org/10.1177/1741134313502978

Karir, V., Bygrave, H., Cepuch, C., Davis, B., Elder, G., Jobanputra, K., & Reddy, A. (2018) ACCESSIBILITY TO MEDICINES FOR MAJOR NON-COMMUNICABLE.DISEASES IN JORDAN–2018 (INTERNAL BRIEFING DOCUMENT.

Morgan, Steven G., Sabine Vogler, and Anita K. Wagner. "Payers’ experiences with. confidential pharmaceutical price discounts: a survey of public and statutory health.systems in North America, Europe,." Health Policy 121.4 (2017): 354-362. DOI: https://doi.org/10.1016/j.healthpol.2017.02.002

Mukattash TL, Bazzi NH, Nuseir KQ, Jarab AS, Abu-Farha RK, Khdour MR. Pharmaceutical care in community pharmacies in Jordan: a public survey. Pharm Pract (Granada). 2018;16(2):1126. DOI: https://doi.org/10.18549/PharmPract.2018.02.1126

Vogler, Sabine, et al. "Discounts and rebates granted to public payers for medicines in. European countries" Southern med review 51 (2012): .38.

Dey I. Grounding grounded theory: guidelines for grounded theory inquiry. San Diego, USA: Academic Press; 1999. DOI: https://doi.org/10.1016/B978-012214640-4/50011-5

Gernant, S. A., Polomoff, C. M., Marsh, J., Martineau, S., Hardie, C., & Jeffery, S. M. (2020). Pharmacists’ Experiences, Perceptions, and Knowledge of Direct-to-Consumer Prescription Coupons. Journal of Managed Care & Specialty Pharmacy, 26(9). https://doi.org/10.18553/jmcp.2020.26.9.1130 DOI: https://doi.org/10.18553/jmcp.2020.26.9.1130

Mathews, A., Ming, L. C., Che Rose, F. Z., & Abbas, S. A. (2020). Cross-sectional Study on the Impact of Discount Pricing and Price Competition on Community Pharmacy Practice. Cureus, 12(8). https://doi.org/10.7759/cureus.9903 DOI: https://doi.org/10.7759/cureus.9903

Munigala, S., Brandon, M., Goff, Z. D., Sagall, R., & Hauptman, P. J. (2019). Drug discount cards in an era of higher prescription drug prices: A retrospective population-based study. Journal of the American Pharmacists Association, 59(6), 804-808.e1. https://doi.org/10.1016/j.japh.2019.05.021 DOI: https://doi.org/10.1016/j.japh.2019.05.021

Kentucky, Joey Mattingly PharmD, Mba Prospect,. “Understanding Drug Pricing,” June 20, 2012. https://www.uspharmacist.com/article/understanding-drug-pricing.

Rodgers R, Gammie S, Loo RL, Corlett S, Krska J. Comparison of pharmacist and public views and experiences of community pharmacy medicines-related services in England. Patient Prefer Adherence. 2016;10:1749-1758

https://doi.org/10.2147/PPA.S112931 DOI: https://doi.org/10.2147/PPA.S112931

KFF. “Public Opinion on Prescription Drugs and Their Prices | KFF,” August 29, 2023. https://www.kff.org/health-costs/poll-finding/public-opinion-on-prescription-drugs-and-their-prices/.

Toma, G., Guetterman, T. C., Yaqub, T., Talaat, N., & Fetters, M. D. (2017). A systematic approach for accurate translation of instruments: Experience with translating the Connor–Davidson Resilience Scale into Arabic. Methodological Innovations, 10(3), 205979911774140. doi:10.1177/2059799117741406 DOI: https://doi.org/10.1177/2059799117741406

Gawlewicz A. (2020). Translation in qualitative methods. SAGE Publications Limited.

NVivo qualitative data analysis. Version 11 [software]. QSR International Pty Ltd. 2018. Available from: https://support.qsrinternational.com/nvivo/s/.

Bansal D, Purohit VK. Accessibility and use of essential medicines in health care: Current progress and challenges in India. Journal of Pharmacology and Pharmacotherapeutics. 2013;4(1):13-8. DOI: https://doi.org/10.4103/0976-500X.107642

Alefan, Q., Amairi, R., & Tawalbeh, S. (2018). Availability, prices and affordability of selected essential medicines in Jordan: a national survey. BMC health services research, 18(1), 787. DOI: https://doi.org/10.1186/s12913-018-3593-9

Abbott, R. B., Bader, R., Bajjali, L., ElSamen, T. A., Obeidat, T., Sboul, H., ... &Alabbadi, I. (2012). The price of medicines in Jordan: the cost of trade-based intellectual property. Journal of Generic Medicines, 9(2), 75-85. DOI: https://doi.org/10.1177/1741134312447499

Merks, P., Kaźmierczak, J., Olszewska, A. E., & Kołtowska-Häggström, M. (2014). Comparison of factors influencing patient choice of community pharmacy in Poland and in the UK, and identification of components of pharmaceutical care. Patient Preference and Adherence, 8, 715-726.

Ali F, Amin M, Cobanoglu C: An integrated model of service experience, emotions, satisfaction, and price acceptance: an empirical analysis in the Chinese hospitality industry. J. Hosp. Market. Manag. 2016;25(4):449–475. DOI: https://doi.org/10.1080/19368623.2015.1019172

https://doi.org/10.2147/PPA.S53829 DOI: https://doi.org/10.2147/PPA.S53829

Kevrekidis, D. P., Minarikova, D., Markos, A., Malovecka, I., & Minarik, P. (2017). Community pharmacy customer segmentation based on factors influencing their selection of pharmacy and over-the-counter medicines. Saudi Pharmaceutical Journal, 26(1), 33-43. https://doi.org/10.1016/j.jsps.2017.11.002 DOI: https://doi.org/10.1016/j.jsps.2017.11.002

Erilia Kesumahati, Teddy Jurnali, (2020) Analysis of Factors Influencing Customer Satisfaction and Purchase Intention at Pharmacy in Batam City 10.2991/aebmr.k.200915.050 DOI: https://doi.org/10.2991/aebmr.k.200915.050

Ghattas D, Al-Abdallah G. Factors affecting customers selection of community pharmacies: The mediating effect of branded pharmacies and the moderating effect of demographics. Management Science Letters. 2020;10(8):1813-26. DOI: https://doi.org/10.5267/j.msl.2019.12.037

Lee, K. S., Kassab, Y. W., Taha, N. A., & Zainal, Z. A. (2021). A systematic review of pharmaceutical price mark-up practice and its implementation. Exploratory Research in Clinical and Social Pharmacy, 2. https://doi.org/10.1016/j.rcsop.2021.100020 DOI: https://doi.org/10.1016/j.rcsop.2021.100020

H. Buurma, M. Bouvy, P. De Smet, A. Floor‐Schreudering, H. Leufkens, A. Egberts Prevalence and determinants of pharmacy shopping behavior J Clin Pharm Ther apeut, 33 (1) (2008), pp. 17-23 DOI: https://doi.org/10.1111/j.1365-2710.2008.00878.x

Török I. "Ertékcsökkent gyógyszer?" [Does medicine lose its value near the expiration date?]. Acta Pharm Hung. 2001 Aug;71(2):213-4. Hungarian. PMID: 11862672.

Saadeh, A., Jarab, A. S. ., Jaradat, R., & Al Daqqa, R. (2023). Community Pharmacists’ Attitudes, Preferences and Barriers toward Continuing Pharmaceutical Education: A Cross Sectional Study in Jordan. Jordan Journal of Pharmaceutical Sciences, 16(2), 245–257. https://doi.org/10.35516/jjps.v16i2.1328 DOI: https://doi.org/10.35516/jjps.v16i2.1328

Al-Taani, G. M., Muflih, S. ., Alsharedeh, R. ., & Altaany, Z. . (2023). Knowledge, Willingness to Pay and Beliefs for Seasonal Influenza Vaccination, A Cross-Sectional Study from Jordan. Jordan Journal of Pharmaceutical Sciences, 16(4), 842–856.

https://doi.org/10.35516/jjps.v16i4.607 DOI: https://doi.org/10.35516/jjps.v16i4.607

.Elayeh, E. R., Haddadin, R. N., Dawud, R. J., Alsinjlawi, H. o., & Zidan, R. k. (2024). Navigating Changes in Patient Drug and Non-Drug Item Demands in Community Pharmacies Amidst the COVID-19 Pandemic: Changes in drug demand during COVID19. Jordan Journal of Pharmaceutical Sciences, 17(1), 31–44.

https://doi.org/10.35516/jjps.v17i1.1426 DOI: https://doi.org/10.35516/jjps.v17i1.1426

Downloads

Published

2024-06-25

How to Cite

Mukattash, I. L., Tahat, T. Y., Ajlouny, S., Mukattash, T. L., Al Tall, Y., Jarab, A. S., & Alabbadi, I. (2024). Community Pharmacists’ Perspectives on Offering Discounted Prices for Prescription Drugs in Jordan. Jordan Journal of Pharmaceutical Sciences, 17(2), 407–421. https://doi.org/10.35516/jjps.v17i2.1819

Issue

Section

Articles