Online Pharmacy and Working with Aggregators

I help pharmacy chains, manufacturers and distributors build an online channel with the economics of every order worked out. A chain needs an online pharmacy that adds sales to its stores rather than taking revenue from them. A manufacturer needs a clear return on what it spends online; a distributor needs an aggregator that works on terms every link in the chain can live with.

How pharmacy e-commerce works in Russia

Who I work with

Pharmacy chains

A familiar picture: there is turnover but no profit, and the online pharmacy takes revenue from the chain's own stores. I work out the economics of an order in the chain's own online pharmacy and on aggregators, go through the aggregator contracts and put together a launch plan. I also take the assortment apart: which items to keep in stock at all times, which to bring in to order and which to drop from the range.

Manufacturers

The budget goes to pharmacy chains and aggregators, and its link to sales cannot be traced. I build a channel model that shows what the manufacturer is paying for, and prepare training on the product for pharmacy counter staff.

Distributors

I help set up aggregator operations on terms that work for every link in the chain: the pharmacy, the distributor and the manufacturer.

What I bring

How the work goes

A 30–40 minute conversation. I go through the task and say whether I can help and whether it is worth taking on now.

We sign a non-disclosure agreement before the first data export. The baseline figures and the metrics we will use to measure the effect are agreed in writing before the start.

Diagnosis from the numbers. I reconcile the assortment listed on the aggregator with stock in the inventory system and calculate turnover for each item, because a group average hides the spread. I check where the fast movers rank in the search results for a specific district and go through the aggregator contract: who sets the price, what commission is charged and on what base.

Decision and implementation. Together with the client's team we write the rules, procedures and technical specifications, split the range into always-in-stock and to-order items, train staff and monitor execution.

Measurement and fine-tuning. We measure the effect against the metrics fixed at the start. Whatever did not work, we redo.

What the client keeps

A channel model with the economics of an order in the chain's own online pharmacy and on aggregators.

Terms for working with aggregators and marketplaces.

A range split into always-in-stock and to-order items.

A launch and promotion plan with metrics for every stage.

Four channel metrics: the share of aggregator orders in receipts and in revenue, the average booking against the average in-store sale, the uncollected-order rate and the actual time from order to collection.

Those four metrics tell a pharmacy chain whether it is making money online.

Formats

Express diagnosis, 2–3 weeks, fixed fee.

Project for a specific task, 1–4 months, fixed fee per stage. Launching an online pharmacy is one example.

Ongoing support, from 3 months, fixed monthly fee.

I name the fee after the first conversation and fix it in the contract together with the scope of work and the timeline.

Frequently asked questions

How does booking differ from delivery?
With booking, the customer places the order on the website, then collects and pays for it at the pharmacy. With delivery, the product is taken to the customer's home; that is distance selling, which requires a permit from Roszdravnadzor, the healthcare regulator.
Does taking bookings require a Roszdravnadzor permit?
The accepted view is that booking with collection and payment at the pharmacy does not, because no delivery takes place. There is no explicit rule on the point, so the arrangement is worth checking with a lawyer alongside the aggregator contract. I do not give legal opinions; where needed, I put clients in touch with specialists.
Who sets the price the customer sees on the aggregator?
The pharmacy itself. Under the contract the partner pharmacy is the seller, and it is the pharmacy that lists the price. The aggregator does not dictate it, but shows it next to the prices of every pharmacy in the district.
How much does a pharmacy pay the aggregator?
The major aggregators do not publish their rates. In September 2026 ASNA, a large pharmacy alliance, published the tariff for its booking platform Asna.ru: 1.7% on price-capped essential medicines (the VED list) and 2.5% on other medicines and non-drug products, calculated on the value of collected orders.
Can a pharmacy sell through an aggregator a product it does not have in stock?
Yes, and a large part of the channel is built on it. Such sales make economic sense for items with rare but steady demand and a high price per pack. The main risk is uncollected orders: if an uncollected pack is written off, the model withstands no-shows on up to about 13% of orders. If the pack is sold later, the threshold rises to about 29%.

Let's Discuss Your Case

Write to me on Telegram: who you are, what the task is and by when you need the result.

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