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McKesson

Bergen’s

Cardinal

Amerisouce

Foxmeyer

$20.8 Billion

$11.6 Billion

$11.5 Billion

$7.8 Billion

$5.5 Billion

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MANUFACTURER DIRECT:

Manufacturers may sell directly to dispensers, bypass-

ing any intermediaries. The distribution of prescription drugs from the manufac-

turer to the dispenser is not an easy task. It involves not only quick and efficient

transportation of drugs on a daily basis but also maintains large storage facilities

to keep a constant inventory of over 18,000 brands of drugs. Therefore, dispensers

and pharmacies have significantly decreased the percentage of pharmaceutical

purchased directly from the manufacturers in term of the total dollars.