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Chapter 12 Pricing Pharmacist Services Norman V. Carroll, Ph. D Professor of Pharmacy Administration Chapter 12 Pricing Pharmacist Services Norman V. Carroll, Ph. D Professor of Pharmacy Administration Virginia Commonwealth University School of Pharmacy Chapter 12 slides for Marketing for Pharmacists, 2 nd edition Based on Carroll, N. V. , “Pricing Pharmaceutical Products and Services, ” in Financial Management for Pharmacists: A Decision-Making Approach, Third Edition, ” Baltimore: Lippincott Williams and Wilkins; 2007.

Learning Objectives • Explain why pricing is an important part of marketing pharmacy products Learning Objectives • Explain why pricing is an important part of marketing pharmacy products and services. • Discuss how pricing relates to other elements of the marketing mix. • List and discuss the effects of consumerrelated factors, competition, pharmacy objectives, and costs on pricing decisions. • Calculate the cost of providing a pharmacist service.

Learning Objectives (continued) • Explain the relationships among price, cost, and demand for a Learning Objectives (continued) • Explain the relationships among price, cost, and demand for a pharmacist service. • List and explain the steps involved in one strategy for pricing pharmacist services. • List and explain methods of presenting service prices to consumers.

Components of price PRICE = INGREDIENT COST + SERVICE COST + PROFIT DISPENSING FEE Components of price PRICE = INGREDIENT COST + SERVICE COST + PROFIT DISPENSING FEE

Measures of Rx ingredient cost AAC -- Actual acquisition cost AWP -- Average wholesale Measures of Rx ingredient cost AAC -- Actual acquisition cost AWP -- Average wholesale price (it’s really not) EAC -- Estimated acquisition cost MAC -- Maximum allowable cost -- multisource / generics AMP -- Average manufacturer’s price

Average per Rx profit • Based on required return on assets • Ex: $100, Average per Rx profit • Based on required return on assets • Ex: $100, 000 in Rx-related assets 12% required ROA 60, 000 Rxs per year ROA = Net income / Assets NI = 12% x $100, 000 = $12, 000 NI / Rx = $12, 000/ 60, 000 = $0. 20

Pricing • Focus on value – what is product or service worth to consumer Pricing • Focus on value – what is product or service worth to consumer • Value depends on – Consumer perceptions – How well service is provided – How convenient service is – How well benefits are explained • Value depends on all elements of marketing mix.

Pricing • Consider value to consumer • Set price to provide value • Cost Pricing • Consider value to consumer • Set price to provide value • Cost affects pricing primarily as it affects value • Noncost factors equally important

Demand • Quantity that consumers will buy at a given price • Different from Demand • Quantity that consumers will buy at a given price • Different from need • Can be affected by marketing mix • Is a function of price

Demand Curves inelastic Demand Curves inelastic

Price Elasticity of Demand • % by which quantity demanded changes when there is Price Elasticity of Demand • % by which quantity demanded changes when there is a 1% change in price • Elastic – greater than 1% change in quantity • Inelastic – less than 1% change in quantity • Price elasticity of demand = consumer sensitivity to price

Consumers more sensitive to price when • Cost of product is large part of Consumers more sensitive to price when • Cost of product is large part of total cost • Minimal differences among products - Consumer can judge quality - Comparisons are easy to make • Switching costs are small

Competition • Prices must be in line • Distinct advantage • That consumer recognizes Competition • Prices must be in line • Distinct advantage • That consumer recognizes and values • Reference prices

Pharmacy Image • Price consistent with image • Consumers choose based on perceptions Pharmacy Image • Price consistent with image • Consumers choose based on perceptions

Price as a Signal of Quality • High price = high quality • When Price as a Signal of Quality • High price = high quality • When hard to judge quality • When quality is variable and risk high

Pharmacy Goals • Maximize long-run profit • Increase sales or market share – penetration Pharmacy Goals • Maximize long-run profit • Increase sales or market share – penetration pricing • Increase sales of other products – loss leader pricing • Attract only customers willing to pay for better service – price skimming • Maintain status quo – match competitors’ prices

Nonmonetary Costs • Time costs • Search costs • Psychic costs Nonmonetary Costs • Time costs • Search costs • Psychic costs

Demand Backward Pricing 3 rd party payers cover 85+% of Rxs. 3 rd party Demand Backward Pricing 3 rd party payers cover 85+% of Rxs. 3 rd party payers set prices. Pharmacy’s goal is to profitably provide services at given price.

Suggested Pricing Strategy 1. Estimate demand 2. Calculate full service cost (SC) 3. Determine Suggested Pricing Strategy 1. Estimate demand 2. Calculate full service cost (SC) 3. Determine avg. net income (NI) – consider goals 4. Set price = SC + avg. NI + product cost 5. Compare demand price – re-evaluate if necessary 6. Consider competitors’ responses 7. Implement price 8. Monitor patient and competitor response 9. Re-evaluate price periodically

Estimated Demand for Diabetic Counseling Price $20 $25 $35 $45 Quantity Demanded 1, 000 Estimated Demand for Diabetic Counseling Price $20 $25 $35 $45 Quantity Demanded 1, 000 750 500 250

Service Cost for Diabetic Counseling Volume 1, 000 750 500 250 Service Cost $25 Service Cost for Diabetic Counseling Volume 1, 000 750 500 250 Service Cost $25 $33 $49 $98

Estimate Net Income • • $15, 000 in assets for DCC Want a 12% Estimate Net Income • • $15, 000 in assets for DCC Want a 12% ROA $15, 000 x 0. 12 = $1, 800 Need $1, 800 in annual profit to get 12% return • At volume of 500 sessions, average profit = 1, 800/500 = $3. 60 • Assumes goal of long-run profit

Set Price Volume 1, 000 750 500 250 SC $25 $33 $49 $98 Avg. Set Price Volume 1, 000 750 500 250 SC $25 $33 $49 $98 Avg. NI 1. 80 2. 40 3. 60 7. 20 PC 0 0 Price $26. 80 $35. 40 $52. 60 105. 20

Compare Volume Assumed 1, 000 750 500 250 Price $26. 80 $35. 40 $52. Compare Volume Assumed 1, 000 750 500 250 Price $26. 80 $35. 40 $52. 60 105. 20 Demand at that price < 750 500 < 250 << 250

Re-evaluate • Problem: prices will not generate enough demand • Solutions – Cut costs Re-evaluate • Problem: prices will not generate enough demand • Solutions – Cut costs – Increase demand – Do not offer service

Pricing Strategy 1. Consider competitors’ responses – reevaluate as needed 2. Implement price 3. Pricing Strategy 1. Consider competitors’ responses – reevaluate as needed 2. Implement price 3. Monitor patient and competitor response – re-evaluate as needed 4. Re-evaluate price periodically

Pricing Strategy • Set profit margins based on product demand • Focuses on consumer Pricing Strategy • Set profit margins based on product demand • Focuses on consumer perceptions 1. Market priced – charge low margin - 10 -25 Rxs / 30% volume 2. Staple – charge avg. margin - 75 Rx products / 25% volume 3. Premium – charge high margin - the rest of products

Pricing Strategy • Consistent with focus on ROA • ROA = NI/Sales x Sales/Assets Pricing Strategy • Consistent with focus on ROA • ROA = NI/Sales x Sales/Assets • NI/Sales measures profit per unit • Sales/assets measures turnover or speed of sales • So, you increase return by ?