# E-DRUG: Siting policies pharmacies (cont'd)

**URL:** <https://talk.edrugplus.org/t/e-drug-siting-policies-pharmacies-contd/2564>\
**Category:** e-drug\
**Created:** [May 5, 1998, 8:35pm UTC](https://talk.edrugplus.org/t/e-drug-siting-policies-pharmacies-contd/2564 "1998-05-05T20:35:51Z")\
**Posts on this page:** 1\
**Page:** 1

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**Author:** ![Alessandra\_Corsetti](https://avatars.discourse-cdn.com/v4/letter/a/94ad74/32.png) [@Alessandra\_Corsetti](https://talk.edrugplus.org/u/Alessandra_Corsetti)\
**Post date:** [May 5, 1998, 8:35pm UTC](https://talk.edrugplus.org/t/e-drug-siting-policies-pharmacies-contd/2564/1 "1998-05-05T20:35:51Z")

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E-drug: Siting policies pharmacies (cont'd)  
---------------------------------------------

In Italy there are regulations on the siting of pharmacies: the  
number of pharmacies and the area where they can be opened  
are decided by local health authorities (regions). They issue and  
revise a map (Pianta Organica) every 2 years which represents a  
referral for the establishment of new pharmacies.

The map has to show:  
- the number of inhabitants living in the commune,  
- the number of pharmacies the commune should have,  
- the area in which the pharmacies should be placed,  
- the number of pharmacies already existent.

The criteria on which the law is based are:  
-DEMOGRAPHIC criteria: it is based on the pharmacy/inhabitants  
ratio and is prevalently chosen for urban pharmacies. In a  
commune with less than 12500 inhabitants there should be 1  
pharmacy every 5000 inhabitants, in a commune with more than  
12500 inhabitants there should be 1 pharmacy every 4000  
inhabitants.  
-TOPOGRAPHIC criteria: it considers the distribution of the  
population on the territory and is prevalently chosen for rural  
pharmacies.  
-URBAN criteria: it is adopted in urban areas where there has  
been an important change in the viability, location of the  
houses and of the population without a concomitant increase of  
inhabitants.

The main criteria is the demographic one and the adoption of  
the others has to be motivated. The distance between two  
pharmacies should not be less than 200 metres measured from  
door to door following the shortest pedestrian path.  
Pharmacies can be defined as "urban" or "rural", depending on  
the place where they are located and the number of inhabitants.  
Pharmacies placed in districts with more than 5000 inhabitants  
are "urban", otherwise they are "rural". Rural pharmacies in  
areas with less than 3000 inhabitants receive subsidies by the  
region, the commune and the pharmacists of urban areas. They  
are also exempt from paying for the premises and receive  
certain economic benefits as an incentive.  
Pharmacies in Italy are either private or public. Private  
pharmacies are owned by a pharmacist who must also be the  
manager, or by a partnership. The latter requires that each  
partner be a pharmacist and that the management of the  
pharmacy be assigned to one of the partners. It is not possible  
for a pharmacist to own and run more than one pharmacy.  
Public pharmacies are owned by the commune , which is  
represented by the mayor, and their management is assigned to  
a pharmacist. Public pharmacies appear on the "Pianta  
Organica" and, every 2 years, when the map is revised, the  
commune has the right to pre-emption. It means that 50% of  
new and vacant pharmacies will become public pharmacies.  
The law is constantly under revision and some of the points  
mentioned may have changed.

Best regards,

Alessandra Corsetti, Maurizio Bonati.  
Istituto di Ricerche Farmacologiche "Mario Negri"  
Milano, Italia.  
e-mail: corsetti@irfmn.mnegri.it  
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