National Association of Pharmaceutical Wholesalers and Others v Glaxo Wellcome (Proprietary) Limited and Others (68/IR/Jun00) [2000] ZACT 15 (28 April 2000)

70 Reportability
Competition Law

Brief Summary

Competition Law — Exclusive Distribution Agreements — Application for interim relief by pharmaceutical wholesalers against manufacturers forming a joint exclusive distribution agency — Wholesalers allege that the agency's establishment contravenes the Competition Act by substantially preventing competition — Tribunal finds sufficient evidence of prohibited practices under Section 4(1)(a) — Interim relief granted to prevent frustration of the Act's purposes and to maintain competitive market conditions.

THE COMPETITION TRIBUNAL 
REPUBLIC OF SOUTH AFRICA
CASE NO: 68/IR/JUN 00
In the matter between:
National Association of Pharmaceutical Wholesalers   1 st Claimant
Natal Wholesale Chemists (Proprietary) Limited
t/a Alpha Pharm Durban 2nd Claimant
Midlands Wholesale Chemists (Proprietary) Limited
t/a Alpha Pharm Pietermaritzburg 3rd Claimant
East Cape Pharmaceuticals Limited
t/a Alpha Pharm Eastern Cape 4th Claimant
Free State Buying Association Limited 5th Claimant
Pharmed Pharmaceuticals Limited 6th Claimant
L'Etangs Wholesale Chemist CC t/a L'Etangs 7th Claimant
Resepkor (Proprietary) Limited t/a Reskor 8th Claimant
Pharmaceutical Wholesalers Mainstreet 2 (Proprietary) 
Limited t/a New United Pharmaceutical Distributors 9th Claimant
AND
Glaxo Wellcome (Proprietary) Limited 1st Respondent
Pfizer Laboratories (Proprietary) Limited 2nd Respondent
Pharmacare Limited 3rd Respondent
Smithkline Beecham Pharmaceuticals (Proprietary) 
Limited 4th Respondent
Warner Lambert SA (Proprietary) Limited 5th Respondent
Synergistic Alliance Investments (Proprietary) Limited 6th Respondent
Druggists Distributors (Proprietary) Limited 7th Respondent
  1

DECISION AND ORDER
BACKGROUND
1. This   is   an   application   for   interim   relief   by   nine   full­line   wholesale  
distributors   of   pharmaceutical   products   against   five   pharmaceutical  
manufacturers   and   importers   (“the   manufacturers”)   who   have  
established a joint exclusive distribution agency for their products. The  
sixth   respondent   is   a   company   formed   by   the   manufacturers   to  
establish the distribution agency; the distribution agency is the seventh  
respondent.
2. The   distribution   of   pharmaceutical   products   in   South   Africa   has  
traditionally been the business of pharmaceutical wholesalers. The full­
line wholesalers would buy the products from the manufacturers at a  
general discount of 17,5 percent and they would on­sell to pharmacists  
and other smaller buyers.
3. All   this   changed   when   a   joint   exclusive   distribution   agency,  
International   Healthcare   Distributors   (“IHD”),   was   established   by  
several   manufacturers   and   commenced   business   on   1   November  
1993. Wholesalers generally received a 17,5 percent discount from the  
pharmaceutical   manufacturers   before   the   formation   of   IHD;   other  
discounts were negotiated between the parties concerned. After IHD  
was established wholesalers could no longer purchase pharmaceutical  
products  directly from the manufacturers  who  were  members  of IHD  
and   had   to   buy   the   products   through   IHD.   The   new   distribution  
arrangement   also   meant   that   wholesalers   stopped   receiving   the  
general discount of 17,5 percent on the products of IHD members.  In  
July 1998 the claimants filed a complaint with the Competition Board  
alleging that IHD and its members had contravened the provisions of  
the old Competition Act in forming a joint exclusive distribution agency.
4. In   1997   the   respondent   manufacturers   in   this   matter   came   together

4. In   1997   the   respondent   manufacturers   in   this   matter   came   together  
under the code name “Project Nasa” with the intention of establishing a  
similar   joint   exclusive   distribution   agency   for   their   products.   They  
formed   a   company   called   Synergistic   Alliance   Investment   (SAI)   to  
acquire   Druggists   Distributors   (“DD”),   a   national   full­line   wholesaler,  
with   the   intention   of   converting   it   into   a   joint   exclusive   distribution  
agency. DD and the ninth claimant, United Pharmaceutical Distributors,  
were   the   only   national   full­line   wholesalers.   Presumably   as   a  
precautionary   measure   the   respondents   applied   to   the   erstwhile  
Competition Board to have the project exempted from the provisions of  
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the old Maintenance and Promotion of Competition Act 96 of 1979 (“the  
old Competition Act”) prohibiting horizontal collusion on conditions of  
supply. 
5. In February 1999, the Board announced that it would conduct a formal investigation  
into  exclusive  distribution  agencies  in the pharmaceutical  industry  pursuant  to the  
complaint against IHD and the application for exemption by the respondents. It had  
found that there was   prima facie  evidence that restrictive practices existed or could  
exist. SAI announced that it would not go ahead with its project until the Board had  
issued its final report.
6. The   Board   published   its   findings   in   May   1999.   It   found   that   a   joint  
exclusive   distribution   agency   for   pharmaceutical   products   would  
constitute a horizontal restrictive practice prohibited by the old Act. The  
Board found that the formation of a joint exclusive distribution agency in  
this market would have the effect of limiting distribution facilities in the  
market, restricting entry into the pharmaceutical wholesale­distribution  
market, maintaining or enhancing the prices or other consideration for  
pharmaceutical   products   and   preventing   the   distribution   of  
pharmaceutical products in the most efficient and economical manner. 
7. The   Board   recommended   that   the   identified   restrictive   practice   be  
cured   by   way   of   a   section   11   arrangement   between   itself   and   the  
manufacturers.   Failing   a   section   11   arrangement,   the   Board  
recommended that the Minister of Trade and Industry, acting in terms  
of section 14(1) of the old Competition Act, should declare the conduct  
of the manufacturers unlawful. In addition the Board recommended that  
the   Minister   request   the   Competition   Commission   to   investigate   the  
alleged horizontal restrictive practice between the manufacturers. The  
Commission   was   established   in   terms   of   the   Competition   Act   89   of

Commission   was   established   in   terms   of   the   Competition   Act   89   of  
1998 (“the Act”) as a successor of the Board, and came into existence  
on   1   September   1999.   The   Minister   decided   not   to   implement   the  
recommendation of the Board to declare exclusive distribution agencies  
in   the   pharmaceutical   industry   unlawful.   He   felt   that   the   new  
Competition Act could resolve the matter more effectively and that the  
complainants   and   other   interested   parties   could,   if   they   wanted   to,  
pursue   the   complaint   with   the   Competition   Commission   once   it   had  
been established.   
8. In   March   2000,   SAI   announced   that   it   had   acquired   DD   and   that   it  
would   go   ahead   with   its   plan   to   convert   DD   into   a   joint   exclusive  
distribution agency for its members’ products. The manufacturers who  
are members of SAI would in future sell all their products through DD  
alone. Ownership of the products sold through DD would remain with  
the manufacturer until the sale to the relevant customer. DD would take  
all orders and collect payment on behalf of the manufacturers. A letter  
from DD to the manufacturers’ customers advised them of the change  
  3

and attached a guide on how DD would operate in the future. Soon  
thereafter DD issued a single credit application form on behalf of all the  
manufacturers   to   be   completed   by   businesses   wanting   to   open  
accounts with DD to buy their products. At the same time DD issued a  
single set of terms and conditions for the supply of the manufacturers’  
products. 
9. The application before us is a result of the above conduct of DD and  
was   originally   filed   with   the   Tribunal   on   28   April   2000.   Due   to  
procedural defects in the first application the claimants withdrew their  
complaint  with  the  Competition  Commission  and  the  application  with  
the Tribunal, filing both afresh on 08 June 2000. The parties agreed  
that   the   founding   papers   in   the   withdrawn   application   would   be  
regarded   as   valid   for   the   second   application.   The   parties   filed   new  
answering   and   replying   affidavits.   By   the   time   the   respondents   filed  
their answering affidavit each manufacturer had published its own new  
trading terms and conditions and credit application form. At the hearing  
the   respondents   placed   in   issue   that   DD   was   mandated   to   issue  
uniform terms and conditions for the supply of their products on their  
behalf. 
10. Even though DD’s name has subsequently been changed to Kinesis  
Logistics   (Proprietary)   Limited,   for   the   sake   of   convenience   we   will  
continue to refer to it as DD in this decision.
11. Section 59(1) of the Act sets out the requirements for an interim relief  
application. The section reads as follows:
59.  Interim Relief
(1) At any time, whether or nor a hearing has commenced into an alleged  
prohibited practice,  a person referred to in section 44, may apply to the  
Competition   Tribunal   for   an   interim   order   in   respect   of   that   alleged  
practice, and the Tribunal may grant such an order if­ 
(a) there is evidence that a  prohibited practice  has occurred;

(a) there is evidence that a  prohibited practice  has occurred;
(b) an interim order is reasonably necessary to ­ 
(i) prevent serious irreparable harm to that person;  
or
(ii) to prevent the purposes of  this Act  being frustrated.
(c) the   respondent  has been given a reasonable opportunity to be  
heard, having regard to the urgency of the proceedings; and
(d) the   balance   of   convenience   favours   the   granting   of  
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the order.”
12. Section   44   refers   to   a   person   who   has   lodged   a  complaint   with   the  
Commission and whose complaint the Commission has accepted.
13. The claimants allege that the respondents have engaged in prohibited  
practices in respect of Sections 4(1)(a), 4(1)(b)(i), 5(1), 8 and 9 of the  
Act.
FINDING
14. On the evidence before us, we find that there is sufficient evidence that  
the agreement between the first to fifth respondents to distribute their  
products through a joint exclusive distribution agency has the effect of  
substantially preventing or lessening competition in the market for the  
distribution of pharmaceutical products in certain significant therapeutic  
categories, in terms of Section 4(1)(a). Having found for the claimants  
under Section 4(1)(a) we did not consider their case under any of the  
other sections.
15. We   also   find   that   the   other   requirements   for   granting   interim   relief  
specified in Section 59(1) have been met. On the evidence before us,  
we   find   that   the   alleged   pro­competitive   gains   resulting   from   the  
conversion   of   DD   to   a   joint   exclusive   distribution   agency   do   not  
outweigh the anti­competitive effects (see paragraph 44). We find that  
an interim order is necessary in this case to prevent the purposes of  
the Act from being frustrated (see paragraph 64). Finally it is our view  
that   the   balance   of   convenience   favours   the   granting   of   the   interim  
relief order given (see paragraph 68).
16. We   accordingly   allow   the   application   for   interim   relief.   Our   order  
appears at the end of this decision.
PROHIBITED PRACTICE UNDER SECTION 4(1)(a)
17. Section   4(1)(a)   prohibits   certain   restrictive   horizontal   practices.   We  
quote the section below:
4. Restrictive horizontal practices prohibited 
“(1)  An  agreement between, or  concerted  practice by  firms, or a decision  
by an association of  firms, is prohibited if ­

by an association of  firms, is prohibited if ­ 
(a) it is between parties in a   horizontal relationship   and it has the  
effect of substantially preventing or lessening competition in a  
market, unless a party to the  agreement, or concerted practice,  
or decision can prove that any technological, efficiency or other  
pro­competitive, gain from it outweighs that effect…”
  5

18. It   is   common   cause   that   the   agreement   between   the   respondent  
manufacturers   to   convert   DD   from   a   full­line   wholesaler   into   a   joint  
exclusive   distribution   agency   is   an   agreement   between   firms   in   a  
horizontal  relationship as  contemplated  by the Section 4(1)(a) of the  
Act.   The   next   consideration   is   whether   the   agreement   between  
respondents   to   convert   DD   from   a   full­line   wholesaler   to   a   joint  
exclusive distribution agency has the effect of substantially lessening  
competition in a market. 
The Relevant Market
19. The claimants identified two relevant product or services markets, the  
market for the wholesale and distribution of pharmaceutical  products  
and the market determined with reference to the therapeutic categories  
of the products manufactured and/or imported by respondents and their  
competitors.   The   claimants   employ   the   ATC   3   level   classification   to  
identify   therapeutic   categories   for   the   purposes   of   the   latter   market.  
This classification divides medicines according to the illnesses that they  
cure   to   determine   whether   they   are   substitutes   for   each   other.   The  
claimants did not define the relevant geographic market for both the  
product/services markets identified.
20. The respondents identified three relevant product markets; the market  
for the manufacture of ethical pharmaceutical products; the market for  
the distribution of pharmaceutical products and the market for the retail  
sale of pharmaceutical products. The participants in the above markets  
are the manufacturers in the first identified market, wholesalers in the  
second   market   and   in   the   third   market   are   those   businesses   who  
supply medicines directly to patients (pharmacists, dispensing doctors,  
hospitals etc.). The respondents argued that the relevant geographic  
market for all three markets is the whole of South Africa.

market for all three markets is the whole of South Africa.
21. The respondents point out that the claimants have not properly defined  
the   market   because   the   relevant   geographic   market   was   not   given.  
Furthermore, the respondents argue that the ATC 3 level classification  
used   by   the   claimants   to   divide   the   products   into   therapeutic  
categories, though commonly used by antitrust authorities around the  
world, is not always appropriate. According to them the present case is  
one   where   the   ATC   3   level   classification   is   not   an   appropriate  
classification.  The respondents suggested that the market be defined  
at a lower level than ATC 3.
22. In   response   to   the   criticism   of   the   ATC   3   level   classification   the  
claimants argue that going down to ATC 4 level would mean that fewer  
products are in each therapeutic category and therefore increase the  
  6

respondents’ share in each market. The ATC 3 level is therefore a fair  
approximation   of   the   respondents'   market   share   in   each   therapeutic  
category.
23. Our view is that there are two relevant markets in this case, taking into  
account complexities introduced by the fact that the distribution service  
can   be   provided   in   several   ways.   There   is   the   market   for   the  
manufacture and/or import of pharmaceutical products with reference  
to therapeutic categories (‘manufacturing market’) and the market for  
the distribution of these products (‘the distribution market’). In each of  
these   markets   there   are   buyers   and   sellers.   In   the   case   of   a  
wholesaler,   it   serves   as   a   buyer   in   the   manufacturing   market   and  
simultaneously as a seller in the distribution market. In the case of a  
distribution   agency,   it   serves   to   link   the   manufacturers   (sellers)   and  
retail   level   buyers   by   supplying   a   distribution   service   to   the  
manufacturers.   (Including   both   types   of   distribution   in   the   relevant  
market is consistent with the approach of the European Commission as  
stated in their Guidelines on Vertical Restraints.)
24.   For   purposes   of   classifying   products   into   different   therapeutic  
categories we accept, for the purposes of this application, that the ATC  
3 level is the best instrument in this case. Antitrust authorities around  
the world use the ATC 3 level to classify products for purposes of the  
manufacturing market. Similarly, we accept that the geographic market  
for   the   manufacturing   market   is   South   Africa.   The   claimants   also  
implicitly defined the geographic market in this way by calculating the  
market shares of the manufacturers in each therapeutic category on a  
national basis. 
25. Defining   the   relevant   geographic   market   for   the   purposes   of   the  
distribution market is more complex. The respondents argue that it is a

distribution market is more complex. The respondents argue that it is a  
national market because there are no economic barriers dividing the  
markets   regionally   and   the   transport   of   pharmaceutical   products   is  
relatively   cheap.   They   conclude   that   competitive   conditions   should  
therefore   be   similar   across   all   the   regions   in   South   Africa   and,  
therefore, that the market is national. The claimants have not defined  
the geographic market at all. 
26. It   is,   however,   possible   to   define   the   geographic   aspect   of   the  
distribution   market   as   regional,   because   presumably   a   pharmacist  
wanting   to   buy   a   single   item   will   compare   prices   between  
wholesalers/distributors in his/her region and not those in other regions.  
Conceivably transport costs and the inconvenience occasioned by the  
time   it   will   take   to   get   the   product   to   his/her   pharmacy   would  
discourage a pharmacist from purchasing the products from afar. As no  
evidence   was   presented   on   this   matter,   we   are   unable   to   make   a  
  7

finding in this regard. 
27. However, based on the evidence before us, we are of the view that the  
geographic   aspect   of   the   distribution   market   is   not   crucial   in   the  
assessment   of   the   effect   of   DD   on   competition.   The   impact   on  
competition in respect of the respondent manufacturers’ products is the  
same both nationally and regionally, because other distributors simply  
cannot compete for the distribution of these products.    For the same  
reason   we   find   that   the   claimants’   failure   to   define   the   relevant  
geographic market here is not fatal to their case for interim relief.
Effect on competition
28. The   claimants   argue   that   the   agreement   between   manufacturers   to  
convert DD from a full­line wholesaler to a joint exclusive distribution  
agency   reduces   competition   in   the   distribution   market.   Firstly,   they  
claim   that   this   agreement   reduces   competition   between   wholesalers  
operating at a national level because only the ninth claimant remains in  
this market since the conversion of DD. Secondly, they argue that the  
exclusive distribution agency agreement shields DD from competition  
with   other   wholesalers   in   the   distribution   of   the   manufacturers’  
products.
 
29. The claimants also allege that the agreement between the respondents  
substantially   lessens   competition   in   the   manufacturing   market   by  
facilitating collusion between them with regard to price, trading terms  
and conditions, and eliminates inter­brand and intra­brand competition  
in respect of the respondents’ products. 
30. The respondents deny that the agreement between them to convert DD  
into a joint exclusive distribution agency leads to a substantial reduction  
of intra­brand competition in respect of their products in the distribution  
market. They argue that if DD had not been converted from being a full­
line wholesaler it would in all probability have gone out of business and

line wholesaler it would in all probability have gone out of business and  
there   would   only   be   one   national   full­line   wholesaler   left,   the   ninth  
claimant.   That   consequence,   the   respondents   argue,   would   have  
substantially reduced intra­brand competition at a national level. 
31. The respondents argue that the conversion of DD into a joint exclusive  
distribution   agency   will   not   reduce   inter­brand   competition   at   the  
manufacturing market. They contend that the manufacturers will always  
try to outdo each other to increase their market share. They do this by  
developing   new   drugs   and   setting   pricing   structures   that   will   attract  
their competitors' customers. In their view there is no evidence that the  
agreement between them will change this because the manufacturers  
are   not   collaborating   on   drug   development   and   colluding   on   pricing  
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structures or trading terms and conditions. 
32. In   considering   intra­brand   competition,   we   recognize   that   intra­brand  
competition   cannot   exist   at   the   manufacturing   level.   It   occurs   at  
markets further down the supply chain.
33. The manufacturers’ agreement to exclusively distribute their products  
through   a   jointly   owned   distribution   agency   reduces   competition  
primarily in the distribution market in respect of those pharmaceutical  
products   where   these   manufacturers   play   a   significant   role.   The  
adverse effect on competition in this market arises because the joint  
exclusive   distribution   initiative   excludes   all   other   distributors   and  
potential  entrants into the distribution market  from competing for  the  
distribution of these products. This effectively shields the joint exclusive  
distribution   agency   from   the   discipline   of   a   competitive   market.  
Moreover, because the arrangement isolates a substantial segment of  
the distribution market, it serves as a barrier to potential entry into the  
distribution market.
34. The   reduced   competition   in   distribution   resulting   from   this   exclusive  
distribution   arrangement   has   both   an   intra­brand   and   inter­brand  
component.
35. The reduction in inter­brand competition arises from the manufacturers’  
joint elimination of competition in the distribution of those products that  
they produce in competition with each other, i.e., substitute products in  
the   same   therapeutic   categories.   Wholesalers   previously   distributed  
individual   manufacturers’   products   in   each   therapeutic   category   in  
competition   with   one   another.   The   agreement   between   the  
manufacturers   to   form   a   joint   exclusive   distribution   agency   has  
removed the competition in the distribution of their products.
36. The respondents deny that their distribution arrangement precludes the

36. The respondents deny that their distribution arrangement precludes the  
access  of  other distributors  to  the market for  the distribution  of their  
products. However, the various agreements between the respondents  
clearly show that the manufacturers are precluded from using means  
other  than  DD   to  distribute   their  products   for  seven   years.   No   other  
distribution agency or wholesaler can perform this function, regardless  
of whether it can provide a more efficient and cheaper service to the  
benefit of the consumer, or indeed to the manufacturers themselves. 
37. Intra­brand   competition   in   respect   of   the   respondent   manufacturers’  
products   is   prevented   or   substantially   lessened   in   the   distribution  
market because the products are committed for distribution by DD for  
the lengthy period of seven years. 
  9

38. The   anti­competitive   effects   of   this   type   of   distribution   arrangement  
derive from three important features of the arrangement: firstly, it is a  
joint  exclusive  initiative  between  competing  manufacturers;  secondly,  
the   manufacturers   jointly   control   the   agency   and   thirdly,   the  
manufacturers play a significant role in a number of therapeutic product  
categories in which they currently compete.
39. Without   the   first   feature,   the   arrangement   would   essentially   be   a  
vertical agency agreement of the type that would not raise competition  
concerns   in   terms   of,   for   example,   the   EC’s   Guidelines   on   Vertical  
Restraints.   In   terms   of   these   guidelines   an   agency   agreement   is  
considered not to be anti­competitive if the agent does not bear any  
risk in relation to the business it conducts on behalf of the principal. It is  
not material whether the agent acts for one or several principals or if  
the agreement prevents the principal from appointing other agents in  
competition   with   the   contracted   agent   (i.e.   an   exclusive   agency  
agreement).   Such   an   agency   agreement,   however,   becomes  
problematic where it facilitates collusion between the principals. In the  
present case, the relevant characteristics of the distribution agent (DD)  
are that it is an exclusive agent; it acts for several manufacturers; and it  
bears no risk in relation to the manufacturers’ businesses. As such, in  
terms of the EC guidelines, the individual bilateral agency agreements  
between   each   of   the   manufacturers   and   DD   are   not   in   themselves  
problematic   from   a   competition   perspective.   The   distribution  
arrangement that these individual agreements establish is nevertheless  
anti­competitive   because   it   arises   from   a   concerted   initiative   by  
competing manufacturers.  
40. The second feature allows the manufacturers to benefit from the anti­

40. The second feature allows the manufacturers to benefit from the anti­
competitive   arrangement.   The   manufacturers’   joint   control   of   the  
distribution   agency   ensures   that   rents   that   derive   from   the   reduced  
competition for the distribution of their products accrue to them and not  
to some independent third party. It thus effectively ensures a transfer of  
these rents from the wholesalers to the manufacturers.
41. In the absence of the third feature, the anti­competitive effects of the  
arrangement   are   unlikely   to   arise.   Typically   a   significant   collective  
market share of the manufacturers in a particular therapeutic category  
is   necessary   for   anti­competitive   effects   to   arise   in   the   distribution  
market. Greater competition in these upstream markets would hamper  
the ability of manufacturers to achieve an anti­competitive outcome in  
the   distribution   of   their   products.   In   a   competitive   upstream   market,  
whatever   anti­competitive   distribution   strategies   they   would   have  
attempted   would   have   simply   placed   their   products   at   a   competitive  
disadvantage in relation to their competitors’ products.  
  10

42. The   agreement   between   the   respondents   to   form   a   jointly   owned  
exclusive distribution agency also affects competition in the upstream  
manufacturing market. This is an indirect effect that follows from the  
reduction of competition in  the downstream  distribution  market.  Less  
competition   downstream   reduces   the   distribution   choices   of  
manufacturers,   which   could   serve   as   a   barrier   to   entry   to   new  
manufacturers wishing to enter the South African market. 
 
Technology, Efficiency and Other Pro­Competitive Gains
43. Next   we   consider   whether   there   are   any   technological,   efficiency   or  
other pro­competitive gains resulting from the agreement between the  
respondents   to   convert   DD   from   a   full­line   wholesaler   into   a   joint  
exclusive   distribution   agency.   The   respondents   submitted   to   us   a  
number   of   efficiency   gains   that   they   argued   would   outweigh   any  
alleged   anti­competitive   effects   of   the   various   agreements   between  
them. 
44. On  the  evidence   before  us,   we  find  that   the  alleged  pro­competitive  
gains   resulting   from   the   conversion   of   DD   to   a   joint   exclusive  
distribution agency do not outweigh the anti­competitive effects referred  
to above. The respondents, through their expert witnesses, argued how  
the new distribution agency was going to improve various aspects of  
the pharmaceutical distribution system. In our opinion most of the pro­
competitive gains submitted to us are speculative or do not necessarily  
require   this   particular   arrangement   to   be   realized.   There   are   two  
possible   reasons   for   this;   either   there   are   no   gains   or   there   is   not  
enough information to support the respondents’  contentions because  
DD   is   still   a   new   venture.   Whatever   the   reason,   on   the   basis   of

DD   is   still   a   new   venture.   Whatever   the   reason,   on   the   basis   of  
evidence   put   before   us,   we   are   not   convinced   that   the   alleged   pro­
competitive gains outweigh the anti­competitive effects we have found  
above.  
45. The respondents offer IHD statistics as proof of pro­competitive gains  
of an exclusive joint distribution agency in this market. However, the  
respondents themselves several times make the point that there are  
structural differences between it and DD.
46. The respondents claim that the formation of DD will result in the highest  
quality   distribution   service;   cost   efficiencies;   increased   security   of  
distribution,  improved  information  to   manufacturers   and  promotion  of  
inter­brand competition.
47. Mr Glynn, the respondents’ expert witness, suggested to us that the  
quality of the distribution service in the country would improve as result  
of the conversion of DD into an joint exclusive distribution agency. He  
  11

claimed that the higher level of vertical integration resulting from the  
conversion of DD will provide manufacturers with an incentive to invest  
in the distribution and marketing of their products. He also referred to  
DD’s aim to provide the best quality service and that customers seem  
to be satisfied with the service IHD is providing.
48. The argument that there will be cost efficiencies from distributing from  
DD   is   based   on   varying   estimates   by   the   manufacturers.   The  
manufacturers estimate a general increase in profit margins because  
distribution   through   DD   will   be   more   cost   effective   than   through  
wholesalers.   No   figures   were   provided   to   support   this   contention  
(except a comparison by Mr Glynn of the distribution cost through a  
wholesaler and the estimated cost through DD, and figures of one of  
IHD’s principals).
49. The validity of the allegations on efficiency gains due to the new  
agency structure were largely undercut by changes urgently made by the  
respondents to the structure of DD after this application had commenced.  
Consolidation of the terms of payment and invoicing, for example, were the  
main efficiencies the manufacturers alleged would result from DD when they  
applied for an exemption to the Competition Board in 1998. As appears above  
each manufacturer has now issued its own credit terms for the sale of its  
products. Furthermore, in their papers the respondents state that DD will be  
providing separate invoices for each manufacturers' products. With this new  
structure the alleged efficiencies resulting from common payment terms and  
consolidated invoicing have disappeared.
50. According   to   the   respondents,   DD   will   improve   the   security   of  
distribution of their products by preventing theft because it provides an  
incentive for manufacturers to invest in improved security systems for  
the distribution of their products. This should reduce the risk of unsafe

the distribution of their products. This should reduce the risk of unsafe  
products   being   available   through   the  grey   market.   No   evidence   was  
provided to us, except for a statement from a company specializing in  
the   detection   of   fraud   and   theft   in   the   pharmaceutical   industry   that  
IHD’s distribution was more secure than most other companies. 
51. The respondents claim that DD will provide improved sales information  
for   the   manufacturers.   This   will   assist   them   to   determine   marketing  
strategies   and   better   incentives   in   the   remuneration   of   sales   staff.  
There is no evidence that such information cannot be obtained except  
through a jointly owned exclusive distribution agency.
52. The   respondents  argue   that   DD   will   result  in  the  promotion  of   intra­
brand   competition   because   it   will   encourage   alternative   distribution  
channels to the wholesalers. Our view is that intra­brand competition  
requires distribution channels that allow free access to the distribution  
  12

of the manufacturers’ products. 
53. In his report Mr Glynn argues that prices of the manufacturers’ products  
are unlikely to rise because of the conversion of DD. The more efficient  
service provided by DD will enable the manufacturers to compete more  
effectively and thereby drive prices down. Improved efficiency will also  
lessen the inflationary impact of a depreciation of the rand on the price  
of   multinational   companies’   medicines   sold   in   this   country.   The  
example of one of IHD’s principals is once more used to support this  
contention; no other figures are provided.
54. As stated above, in the evidence at this hearing, the respondents have  
not   satisfied   us   that   the   alleged   pro­competitive   gains   outweigh   the  
anti­competitive effects we have found. Furthermore, there is no proof  
that   the   claimed   pro­competitive   efficiencies   cannot   be   achieved  
through   any   other   means   other   than   a   jointly   owned   exclusive  
distribution agency.
SERIOUS, IRREPARABLE DAMAGE OR FRUSTRATION OF THE  
PURPOSES OF THE ACT
55. We now consider whether the claimants have demonstrated that it is  
necessary   for   us   to   give   the   interim   relief   order   to   prevent   serious,  
irreparable damage to them or to prevent the purposes of the Act being  
frustrated.
56. The claimants argue that wholesalers in South Africa have an insecure  
future   because   of   the   anti­competitive   practices   of   IHD,   and   more  
recently, DD as well. They claim that IHD removed approximately 35  
percent of the product range from the distribution market; this has led  
to the demise of a number of full­line wholesalers (Hippocrates, Adcock  
Ingram   and   Docmed   are   given   as   examples)   and   left   most   regional  
wholesalers   in   a   precarious   position.   The   claimants   quote   a   press  
statement released by respondents wherein respondents state that the  
wholesalers  face  an  uncertain future because of the development  of

wholesalers  face  an  uncertain future because of the development  of  
alternative distribution methods. 
57. The claimants argue that they will not be able to compete with DD for  
customers because DD will sell to their customers and to them at the  
same prices. This means that the customers will get the respondent  
manufacturers’ products cheaper from DD than from the wholesalers.  
The claimants claim that in effect DD will remove an additional 21,5  
percent of the products from the distribution market as the wholesalers  
will   no   longer   be   able   to   trade   profitably   in   the   respondent  
manufacturers’   products.  This,  they  claim,  will  lead  to  the  demise  of  
most   of   the   remaining   regional   full­line   wholesalers.   The   claimants  
  13

provided us with figures showing that since the advent of DD their sales  
of the respondent manufacturers’ products have dropped substantially.
58. In   turn   the   respondents   deny   that   the   formation   of   IHD   and   DD   is  
causing   claimants   to   suffer   serious   irreparable   damage.   The  
respondents   argue   that   the   claimants   should   still   be   able   to   trade  
profitably in the respondent manufacturers’ products because they will  
be able to buy the products in bulk (albeit via DD) and on­sell to smaller  
buyers at cheaper prices than the manufacturers who generally do not  
provide discounts to single item buyers. In their view, the wholesalers  
will still be able to compete with DD in the distribution of the respondent  
manufacturers’   products   by   providing   a   service   not   provided   by   DD,  
e.g.   the  convenience  of   a  one­stop  shop   and  multiple   deliveries  per  
day. On the last day of the hearing the respondents presented us with  
a  price   list   of   one   of   the   claimants.   The   price   list   indicated   that   the  
claimant concerned was indeed selling single items to pharmacies at a  
lower   price   than   the   manufacturer   from   whom   the   products   were  
purchased through DD.  
59. The   respondents   also   pointed   out   that   the   claimants   and   other  
wholesalers would have benefited from DD’s exit from the market for  
the   distribution   of   products   of   manufacturers   not   part   of   DD.   DD’s  
previous share of that market would have increased the wholesalers’  
share   and   made   up   for   any   loss   of   sales   in   the   respondent  
manufacturers’ products. 
60. Finally, the respondents submit that to the extent that the claimants and  
other wholesalers are suffering any harm, this is a result of their failure  
to   adapt   to   changes   in   the   market,   and   not   of   any   anti­competitive

to   adapt   to   changes   in   the   market,   and   not   of   any   anti­competitive  
behaviour   by   the   manufacturers.   The   wholesalers   are   unable   or  
unwilling to adapt to the changing needs of the market and therefore  
add no value to the respondent manufacturers’ supply chain, in their  
view. 
61. On   the   evidence   before   us   it   is   not   clear   whether   not   granting   the  
interim   relief   order   will   lead   to   the   claimants   suffering   serious,  
irreparable   damage.   While   there   is   evidence   of   damage,   there   was  
insufficient evidence to establish the severity thereof. The respondents  
cast doubt on the claims of the claimants by asserting that there still  
are opportunities to trade in the respondent manufacturers' products on  
their sales to single smaller buyers; furthermore, they also have access  
to   the   product   ranges   shed   by   DD   upon   its   conversion   to   a   joint  
exclusive distribution agency. 
62. Where the claimant cannot show serious irreparable harm it is enough  
for it to show that the interim relief order is necessary to prevent the  
  14

purposes   of   the   Act   from   being   frustrated.   Section   2   sets   out   the  
purposes of the Act as follows:
“2.  Purposes of Act
The purpose of   this Act   is to promote and maintain competition  in the  
Republic in order – 
(a) to promote the efficiency, adaptability and  
development of the economy;
• to provide consumers with competitive prices and  
product choices;
• to promote employment and advance the social  
and economic welfare of South Africans;
• to expand opportunities for South African  
participation in world markets and recognize the  
role of foreign competition in the Republic;
• to ensure that small and medium­sized enterprises have  
an equitable opportunity to participate in the economy;  
and, 
(f) to promote a greater spread of ownership, in  
particular to increase the ownership stakes of  
historically disadvantaged persons.”
• The   claimants  argued   that   the  behaviour  of  the   respondents   has  
frustrated   all   the  purposes  of   the   Act   and  if  we  do  not   grant   the  
interim relief order, the purposes of the Act will be frustrated even  
further. The respondents denied that their agreement to convert DD  
into an exclusive jointly owned distribution agency frustrates any of  
the purposes of the Act. 
64. We find that an interim order is necessary in this case to prevent the  
purposes of the Act from being frustrated. The main purpose of the Act  
is   to   promote   and   maintain   competition.   The   effect   of   the   prohibited  
practice found in this case is to lessen competition in the distribution of  
pharmaceutical products. It is our view that it is reasonably necessary  
for us to give the interim relief order as failure to do so will be allow the  
continuous frustration of the purposes of the Act. If we do not grant the  
interim   order   and   the   claimants   subsequently   get   a   favourable   final  
order the competitive process and structure for the distribution of the

order the competitive process and structure for the distribution of the  
respondent   manufacturers’   products   will   have   been   so   skewed   in  
  15

favour of DD and the respondents, that a final order may not be able to  
adequately   address   the   effects   of   DD’s   conversion   on   the   nature   of  
competition in the distribution market.
OPPORTUNITY TO BE HEARD
65. Section   59(1)(c)   of   the   Act   requires   that   the   respondent   be   given   a  
reasonable opportunity to be heard, having regard to the urgency of the  
matter. The respondents have had ample opportunity to be heard in  
this case. The circumstances of this case were such that they had an  
opportunity   to   answer   twice   to   the   claimants’   notice   of   motion   and  
wisely used that opportunity to change some of DD’s structures that we  
probably would have found in violation of the Act.
BALANCE OF CONVENIENCE
66. Finally,   we   are   enjoined   by   Section   59(1)(d)   of   the   Act   to   consider  
whether the balance of convenience favours the granting of the order.  
Here   we   are   required   to   weigh   up   the   effect   of   granting   the   interim  
order   against   letting   the   prohibited   practice   continue   pending   a   final  
hearing where more comprehensive evidence will be lead. 
67. The   order   we   have   issued   compels   the   respondents   to   supply   the  
claimants and other wholesalers on the same terms and conditions as  
before the advent of DD. We have not ordered them to close DD down  
or convert it back into a wholesaler since that, in our opinion, would  
seriously disrupt and inconvenience the operations of DD.  (If practical  
considerations require it, the manufacturers can supply the wholesalers  
using   DD’s   infrastructure   and   facilities,   as   long   as   they   do   so   on  
commercial terms and conditions similar to those that applied before  
DD was converted to a joint exclusive distribution agency.) At the same  
time DD may  continue to provide distribution  agency services to the  
manufacturers. 
• It   is   our   view   that   the   balance   of   convenience   favours   the

• It   is   our   view   that   the   balance   of   convenience   favours   the  
granting of the interim relief order given. Any potential harm to  
the respondents resulting from this order is less than the harm  
facing wholesalers as a result of the respondent’s conduct that is  
the subject of this application. The respondents will still be able  
to use the infrastructure of DD to distribute their products and if  
they get a favourable order at the end of the final hearing they  
will   simply   continue   trading   through   DD   as   an   exclusive  
distribution agency. 
ORDER
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69. We accordingly make the following order:
• The claimants’ application for interim relief in terms of Section 59  
of the Competition Act, 89 of 1998 is granted in respect of the  
respondents’ alleged contravention of Section 4(1)(a) of the said  
Act. 
• That   the   respondents   supply   their   products   directly   to   the  
claimants and other wholesalers on terms and conditions similar  
to   those   that   applied   to   transactions   between   them   and   the  
claimants   and   other   wholesalers   immediately   before   the  
conversion of DD to a joint exclusive distribution agency for their  
products. 
• That this order remains in force until the earlier of ­ 
• the conclusion of the hearing into the prohibited practices  
alleged by the claimants to have been committed by the  
respondents; or 
• the date that is six months after the date of the issue of this  
order;
• The respondents are ordered to pay the claimants’ costs in the  
application on the scale as between party and party, including  
the costs of two counsel and one attorney. 
___________
28 
August 2000
D.R. Terblanche Date
Concurring: M.G. Holden; F.C. Fourie
  17