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Revista Española de Salud Pública

versão On-line ISSN 2173-9110versão impressa ISSN 1135-5727


LOPEZ PEREZ, Mª Arantzazu; MUNOZ ARIAS, Mariano  e  VAZQUEZ MOURELLE, Raquel. Methodology for Identification of Inverse Drug Distribution, Spain. Rev. Esp. Salud Publica [online]. 2016, vol.90, e40007.  Epub 04-Abr-2016. ISSN 2173-9110.


The phenomenon of reverse drug trafficking in the legal supply chain is an unlawful practice to serious risks to public health. The aims was to identify proactively pharmacies that carry out these illegal activities.


An analysis was performed through the crossing billing data to SAS of 52 million packs of medicines for the 496 pharmacies in the province over a period of 29 months with the drug packaging data supplied by the distribution entities of the province with the implementation of specific indicator defined called 'percentage overbought' allows us to detect those pharmacies at high risk of being involved in this illicit trade.


It was tested in two pharmacies one rural and other urban a detour of 5.130 medicine containers and an illicit profit obtained from € 9,591.78 for the first and 9.982 packaging and € 26,885.11 for the second; they had gone unnoticed in previous inspections.


The methodology implemented to define a profile of infringing pharmacies high risk in these illicit practices, identify new ones that had not been sanctioned, weigh the drugs for illegal trade and to identify new drugs subject to diversion; also added as a challenge, it helps to adjust accurately and effectively calculate the illicit profit obtained.

Palavras-chave : Drug trafficking; Pharmacies; Supply and distribution; Counterfeit Drugs; Legislation pharmacy; Health Care; European Union; Commerce.

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