Some are warning that less-than-ideal supply chain practices are driving up the cost of prescription pharmaceuticals, a topic that will be heavily debated in the approaching US presidential election. Even a year after the World Health Organization pronounced the COVID-19 epidemic to have been ended, the medicine supply chain is still in disarray. According to two executives from Intelliguard, which offers medication inventory management services to some of the largest hospital and healthcare companies in the U.S. as well as major healthcare testing and equipment manufacturers, ongoing issues are made worse by the fact that supply chain management strategies within pharmaceutical suppliers and hospitals compare unfavorably to the retail business. Tim Tinnel, chief operating officer of Intelliguard, says that improving visibility into demand is the way forward because drug supplies typically operate more on a "push" than a "pull" approach. He contends that the use of intelligent inventory management systems increases healthcare professionals' awareness of drug shortages before they become an issue by providing greater visibility into their availability or unavailability. "But it's also essential to recognize that there will always be drug shortages; you just have to prepare for them as best you can." Tunnel adds that the situation is further exacerbated by the fact that generic pharmaceuticals are, by definition, produced by different producers, making it more difficult to organize information about what is accessible at any one time. "Again, improved visibility would help," he said. Inefficient supply chains raise the cost of pharmaceuticals, whether brand-name or generic. "I'd like to see a slowing in price increases across pharmaceuticals in general," Tinnel says. "I believe that providing customers with insight into a measured supply chain is what gets us there. I don't think manufacturing expenses have risen dramatically. If we can improve manufacturers' visibility, they will be able to predict better, produce less waste, and be more efficient in their supply chains. I believe that is crucial to at least maintaining prices." Managing the combination of brand-name and generic medicine supply is a difficulty. Preferences of healthcare providers frequently influence demand rather than just pricing. Paulo Viola, vice president of data science solutions at Intelliguard, says, "From a supply chain management perspective, it adds to this complexity, so when you have a shortage of a specific medication, you have to have a good supply chain to understand all the generics of the
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