Clicks Organisation (Pty) Ltd and Purchase Milton and Associates (Pty) Ltd / Milton & Associates (Pty) Limited / J&G Purchase (Pty) Limited / Leon Katz (Pty) Limited (24/LM/May03) [2003] ZACT 46 (9 September 2003)

78 Reportability
Competition Law

Brief Summary

Competition Law — Merger Approval — Merger between Clicks Organisation (Pty) Ltd and Purchase Milton and Associates (Pty) Ltd and others — The Competition Tribunal approved the merger, allowing Clicks to acquire control over the target firms, which operate retail pharmacy outlets — Legal issue concerned the potential impact on competition in the retail pharmaceutical market — Tribunal concluded that Clicks, as a new entrant, would not pose a competitive threat and thus approved the merger, citing no significant competition concerns.

Comprehensive Summary

Summary of Judgment


1. Introduction


The matter concerned large merger proceedings before the Competition Tribunal of South Africa in terms of the Competition Act 89 of 1998. The Tribunal was required to determine whether the proposed acquisition should be approved, prohibited, or approved subject to conditions, applying the statutory test for merger control.


The acquiring firm was The Clicks Organisation (Pty) Ltd (“TCO”), a subsidiary of New Clicks Limited, which controlled the broader Clicks Group. The target firms were Purchase Milton & Associates (Pty) Ltd, Milton & Associates (Pty) Ltd, J&G Purchase (Pty) Ltd, and Leon Katz (Pty) Ltd, which together controlled a network of pharmacy outlets operating under Link and Linkmax brands, as well as certain non-branded pharmacy stores.


On 4 August 2003, the Tribunal issued a Merger Clearance Certificate in terms of section 16(2)(a) approving the merger. The document provided the Tribunal’s reasons for decision, dated 9 September 2003, explaining why the merger was approved unconditionally notwithstanding concerns arising from the evolving regulatory environment governing pharmacy ownership, licensing, and pricing.


The general subject-matter of the dispute was whether the transaction—occurring at a time of regulatory change permitting corporate ownership of pharmacies—would substantially lessen or prevent competition, particularly in the retail pharmaceutical (dispensary) market, and how uncertainty around licensing and pricing regulation should be treated in the competition assessment.


2. Material Facts


TCO formed part of the Clicks Group, which operated various retail businesses and owned 248 stores and 13 franchises. TCO also held a 56% interest in the Link Investment Trust (LIT) and acted as franchisor of Link and LinkMax branded stores, both operating as retail pharmacy outlets. The Tribunal treated these facts as part of the context for assessing the acquiring group’s footprint and potential influence in pharmacy retailing.


The target firms controlled a pharmacy network comprising 50 Link branded stores, 27 Linkmax stores, and 3 non-branded stores, totalling 80 PMA stores, while the overall number of Link franchisees (including independents) was stated to be about 320. Control structures were described in the reasons, including the direct control of PM&A by Trevor John Milton and joint control of J&GP by Graham Erlank Purchase and John Ingles Purchase.


The transaction structure was straightforward: one agreement per target firm, under which TCO would acquire all shares in each target firm and thereby acquire control over their businesses. The rationale advanced was that the acquisition aligned with TCO’s long-term strategy to enter the pharmaceutical market, facilitated by legislative changes enabling non-pharmacist corporate ownership of pharmacies subject to pharmacist supervision/management and the issuance of relevant licences by the Department of Health.


A central, largely undisputed contextual fact was that, historically, South African pharmacy outlets had operated in a “mom and pop” format because legislation had prevented non-pharmacists from owning pharmacies. The reasons recorded that the merger coincided with a regulatory shift intended to broaden access and affordability of prescription drugs, but that the practical operation of the new regulatory regime—particularly licensing and pricing—remained uncertain at the time of adjudication.


Where the Tribunal expressly noted a dispute, it concerned the degree of control over Link franchisees. The parties disputed that Clicks controlled the LIT franchisees, characterising the relationship as a loose association of independently run franchises to which Clicks provided consulting and merchandising assistance. The Tribunal nevertheless proceeded on an expressly stated “worst-case scenario” assumption for purposes of analysis, namely that Link branded stores would form part of the post-merger control group, potentially resulting in ownership of approximately 320 Link outlets.


3. Legal Issues


The central legal question was whether the merger was likely to result in a substantial lessening or prevention of competition, particularly in the retail pharmaceutical (dispensary) market, in circumstances where TCO was not yet active in dispensing scheduled medicines but was described as the most likely potential entrant once regulatory barriers fell.


The dispute required the Tribunal to address issues of market definition (product and geographic), the application of competition law principles to a prospective and partially uncertain regulatory setting, and the appropriate treatment of potential competition. It also required an evaluative assessment of how likely future licensing and pricing rules could affect entry barriers and competitive constraints.


Although certain aspects involved factual characterisation (such as how pharmacies compete locally and the significance of chronic versus acute medication), the core task was the application of legal and economic principles—including potential competition and entry barriers—to the established and assumed facts, culminating in a forward-looking value judgment about competitive effects under uncertainty.


4. Court’s Reasoning


The Tribunal accepted that a typical pharmacy supplies two broad categories of products, namely dispensary (pharmaceutical) products and front shop (general consumer) products. While the Competition Commission had defined front shop product markets narrowly across multiple consumer goods categories where the parties overlapped, the Tribunal indicated that it was not concerned with competition in those front shop markets, referring to the presence of numerous alternative retailers (including grocery chains and other large retailers) selling similar products.


The Tribunal’s principal focus was the retail pharmaceutical (dispensary) market. The Commission initially did not evaluate that market, reasoning that there was no overlap because TCO was not yet licensed to dispense scheduled drugs. The Tribunal, however, required further submissions, emphasising that the competitive assessment could not ignore that TCO was a uniquely positioned potential entrant whose anticipated entry may already have constrained incumbents. The Tribunal reasoned that, for merger analysis, potential competition principles can justify treating a firm as a relevant competitive constraint even in the absence of present product overlap, particularly where the firm’s entry is imminent once regulatory barriers are lifted.


In that context, the Tribunal reasoned that TCO’s entry through acquisition eliminated it as an independent potential threat. The Tribunal characterised this as significant because entry by acquisition, unlike entry through rollout of new outlets, might not add additional capacity in the same way, and thus could remove a constraining influence without necessarily increasing the number of competitors. The Tribunal considered this consistent with the logic of potential competition illustrated (in its reasons) by the approach in Federal Trade Commission v The Proctor and Gamble Company 386 U.S. 588, 18 L.Ed. 2d 303 (1967), where the removal of a firm “at the edge” of a market was recognised as potentially influential on market conduct and entry conditions.


The Tribunal then addressed the difficulty of predicting post-merger market structure because the regulatory environment was in flux. It was uncertain how many pharmacy licences TCO would obtain, and how many other entrants would be licensed. While the Tribunal noted it had previously imposed a postponed divestiture remedy in a context of regulatory change, it indicated that such an approach had not proven effective and would provide limited comfort in the present case because the timing and content of regulatory certainty were unclear.


Proceeding on the stated “worst-case scenario” assumption that the Link branded stores would be part of the post-merger controlled group, the Tribunal considered that concentration could be high, especially in urban metropolitan areas. However, it concluded that it lacked sufficient information to assess the extent of potential entry into the scheduled drug market because this depended materially on the licensing regime administered by the Department of Health.


The Tribunal identified barriers to entry, particularly the prospect that licences would be granted based on the “need” for another pharmacy in a given area. It distinguished between legitimate safety-based regulation of pharmaceutical distribution (which it accepted as necessary) and licensing criteria that import competition-related considerations such as “need”, which it regarded as potentially raising entry barriers and protecting incumbents—especially a “first mover” corporate entrant such as TCO—from subsequent rivalry. The Tribunal expressed concern that administrative restriction of entry could undermine the disciplining role of potential entry that is ordinarily central to competitive constraint in contestable markets.


The Tribunal also considered submissions regarding a single exit pricing regime in which manufacturers’ list prices would determine consumer prices and pharmacists would earn through a dispensing fee. It noted uncertainty about how such a pricing system would operate in practice, including whether price regulation would set a maximum price and whether pharmacies could compete on dispensing fees. Even assuming a relatively competition-friendly form of price regulation, the Tribunal reasoned that competitive space could be severely compromised if entry were additionally restricted through a “need”-based licensing criterion.


Notwithstanding these concerns, the Tribunal recognised plausible pro-competitive aspects of the merger and of corporate chain entry into pharmacy retailing, including potential innovation and efficiency gains, stronger purchasing power against manufacturers, and a footprint potentially conducive to investment in underserved areas. It also noted that certain constraints might arise from other market features, such as the influence of medical aid schemes steering consumers (especially for chronic medication) towards more competitive pricing.


Ultimately, the Tribunal reached a balancing conclusion. It regarded the potentially negative aspects as substantially governed by regulatory uncertainty rather than by clear, merger-specific evidence of anticompetitive foreclosure or price effects that could be decisively established on the record. Given the potential pro-competitive gains and the absence of a sufficient basis to find a likely substantial lessening of competition, the Tribunal approved the merger unconditionally, while urging competition advocacy engagement with the Department of Health and cautioning that the market required careful monitoring.


5. Outcome and Relief


The Competition Tribunal approved the merger unconditionally and issued a Merger Clearance Certificate in terms of section 16(2)(a) of the Competition Act 89 of 1998.


No behavioural or structural conditions were imposed. The reasons nevertheless recorded a caution that the sector required careful monitoring, and urged the Competition Commission to engage with the Department of Health using its advocacy role to promote regulatory approaches consistent with competition principles, particularly ease of entry.


The reasons for decision did not record any costs order.


Cases Cited


Clicks Pharmaceutical Wholesale (Pty) Ltd and New United Pharmaceutical Distributors (Pty) Ltd (Competition Tribunal, Case No. 69/LM/Dec02).


Nasionale Pers Limited and Educational Investment Corporation Limited (Competition Tribunal, Case No. 45/LM/Apr00).


Federal Trade Commission v The Proctor and Gamble Company 386 U.S. 588, 18 L.Ed. 2d 303 (1967).


Legislation Cited


Competition Act 89 of 1998, section 16(2)(a).


Pharmacy Act (section 22A).


Government Notice No. R553, Government Gazette 24770, 25 April 2003 (including Regulation 7).


Rules of Court Cited


No rules of court were cited in the reasons.


Held


The Tribunal held that, although the merger raised significant analytical concerns in the retail pharmaceutical (dispensary) market—notably the removal of TCO as a strong potential entrant and the risk that a “need”-based licensing regime could increase barriers to entry—the competitive effects assessment was heavily conditioned by uncertain and evolving regulation. Taking account of potential pro-competitive benefits associated with chain entry and efficiencies, and lacking a sufficient basis to conclude that the merger would likely substantially lessen competition, the Tribunal approved the transaction without conditions, while emphasising the importance of regulatory approaches that do not inhibit entry and noting the need for careful monitoring of the market.


LEGAL PRINCIPLES


The decision applied the principle that potential competition may be relevant in merger control even where there is no present product overlap, particularly where a firm is a uniquely positioned and likely entrant once regulatory barriers are removed. In such circumstances, merger analysis may treat the removal of a significant potential entrant as competitively meaningful, including by imputing the competitive constraint that the potential entrant would otherwise exert on incumbents.


The reasons reflected the principle that merger analysis must consider barriers to entry and their likely evolution, including those arising from regulatory licensing criteria. While safety-based regulation of pharmaceutical distribution was accepted as legitimate, the Tribunal identified that licensing rules incorporating competition-relevant criteria such as “need” can function as a barrier to entry that protects incumbents and reduces the disciplining role of potential rivalry.


The Tribunal further applied the idea, drawn from contestable market reasoning, that where entry is administratively restricted, less weight can be placed on the prospect of potential entry as a constraint on market power. It also indicated that price regulation (such as single exit pricing) does not necessarily eliminate competition concerns, particularly where residual competitive parameters (such as entry or dispensing fees) may be constrained by regulatory design.


Finally, the decision illustrated an evaluative approach to merger control under regulatory uncertainty, balancing plausible pro-competitive efficiencies and innovation against speculative but potentially significant anticompetitive risks that depend on how regulatory frameworks are implemented, and emphasising the role of competition advocacy where sector regulation materially shapes competitive outcomes.

COMPETITION TRIBUNAL 
REPUBLIC OF SOUTH AFRICA
     Case No: 24/LM/May03
In the large merger between: 
The Clicks Organisation (Pty) Ltd
and
Purchase   Milton   and   Associates   (Pty)   Ltd;   Milton   &   Associates   (Pty)  
Limited;  J&G Purchase (Pty) Limited and Leon Katz (Pty) Limited
Reasons for Decision
APPROVAL
On   4   August   2003   the   Competition   Tribunal   issued   a   Merger   Clearance  
Certificate in terms of Section 16(2)(a) of the Act approving the merger between,  
on the one hand, the Clicks Organisation (Pty) Ltd and, on the other,  Purchase 
Milton   and   Associates   (Pty)   Ltd,   Milton   &   Associates   (Pty)   Limited ,   J&G 
Purchase   (Pty)   Limited   and   Leon   Katz   (Pty)   Limited.   The   reasons   for   the  
approval of the merger appear below.
The Parties
1. The acquiring firm is the Clicks Organisation (Pty) Ltd  
(“TCO”),   a   subsidiary   of   New   Clicks   Limited,   a   listed  
company that controls the entire Clicks Group. The Group  
comprises   various   operations   in   South   Africa   and  
Australia.   Locally,   the   Group   consists   of   Clicks,   Diskom,  
Musica,   Compact   Disc   Wherehouse,   The   Body   Shop   and  
New United Pharmaceutical Distributors.

2. The Clicks Group owns 248 stores and 13 franchises. Clicks also has a  
56% interest in the Link Investment Trust (“LIT”). It is the franchisor of the  
Link and LinkMax branded stores. Both brands operate as retail pharmacy  
outlets. 
3. The target firms are:
i. Purchase Milton & Associates (Pty) Limited (“PM&A”); 
ii. Milton & Associates (Pty) Limited (“M&A”);
iii. J&G Purchase (Pty) Limited (“J&GP”);
iv. Leon Katz (Pty) Limited (“LK”)
4. PM&A is controlled directly by Trevor John Milton who holds 90% of its  
issued share capital.  He also holds 100% of the share capital of Milton &  
Associates (Pty) Ltd and 100% of the share capital of LK.
5. J&GP is directly jointly controlled by Graham Erlank Purchase  
and   John   Ingles   Purchase,   each   holding   50%   of   the   issued  
share capital. 
6. The   target   firms   control   three   categories   of     stores     –   those  
bearing   the   Linkmax   and   Link   brands   and   a   number   of   non­
branded stores. The latter refers to stores that bear the trading  
description   Hyperpharm,   Guardian,   Pharmarama,   Remedys,  
Medirama and Galleria Link stores. There are 50 Link branded  
PMA stores, 27 Linkmax stores and 3 non­branded PMA stores,  
therefore   a   total   of   80   PMA   stores.   The   total   number   of   Link  
franchisees, that is, including both PMA Link branded stores as  
well as other independents, is in the region of about 320. 
The Merger Transaction 
7. One agreement is being concluded for each target firm. TCO will acquire  
all the shares in the target firms and therefore acquire control over all the

businesses operate d by the four firms . 
Rationale for the Transaction 
8. This transaction is consistent with TCO’s long­term strategy and business  
model to enter the pharmaceutical market. It represents the first foray by  a 
corporate into the retail pharmaceutical market, coinciding with legislation  
designed to make prescription drugs more affordable and available on a  
wider scale to impoverished communities. 1 
9. Up u ntil now, only pharmacists were legally entitled to own pharmacies.  
The change in legislation heralds a new era where corporate entities will  
be allowed to own pharmacies, subject to the proviso that the pharmacy is  
supervised or managed by a registered pharmacist.  
10. South African pharmacy outlets have, up until the present era, resembled  
the   typical   “mom   and   pop”   type   format.   Licensed   pharmacies   trade   in  
scheduled   and   other   pharmaceutical   products.     They   also   trade   in   a  
traditional  range of ‘front shop’  products, similar  to  those available  at a  
Clicks outlet. However, to date, legislation has denied a retail chain like  
Clicks’ the opportunity to trade in the backshop activities that have been  
the licensed monopoly of registered retail pharmacies. Already 35 years  
ago TCO anticipated that regulatory changes would essentially do away  
with this traditional model and it accordingly devised a long­term strategy  
along   the   lines   of   the   US   drug   store   format.     TCO’s   long­term   vision  
anticipated a new model that would represent a more business­oriented,  
corporatised approach to pharmaceutical retailing. 
11. In   pursuing  this   strategy,   TCO   entered   into  loose   associations  with  the  
target firms, which in recent years acquired several well­known pharmacy  
outlets. TCO has provided them with loans to this end. With the coming  
into effect of the new legislation, TCO’s strategy is now  ripe for realisation .

into effect of the new legislation, TCO’s strategy is now  ripe for realisation . 
The   only   remaining   obstacle   is   whether   TCO   will   be   issued   retail 
pharmacy  licences  by  the Department of Health.
The Relevant Market
Product Market 
12. The   Commission   identified   two   types   of   product   sold   by   a   typical  
1  Section 22A of the Pharmacy Act provides for more accessible ownership of pharmacies and for the  
Minister to  prescribe who may own a pharmacy and the conditions of such ownership. This intention was  
reinforced in GNR 553, GG 24770 published on 25 April 2003.

pharmacy.   On   the   one   hand   it   dispenses   pharmaceutical   products  
(dispensary products ) and , on the other , it  sells more general consumer  
products ( front shop products ).
Front Shop Products
13. The parties classify their products under three categories: health products,  
lifestyle products and beauty products. The CC defined the market more  
narrowly, according to 14 categories of consumer  goods in  which both the  
acquiring and target  firms have competing products. These products are  
referred to as “front shop” products. 
 Hair care market
 Body care market
 Feminine hygiene market
 Skincare market
 Foot care market
 Baby care market
 Men’s toiletries market
 Vitamins market
 Bath products market
 Eye care market
 First aid market
 Make­up market
 Diet formulae market
 Perfume market
14. For reasons emphasized in other similar mergers, we are not concerned  
with   competition   in   this   market 2.   In   respect   of   the   lifestyle,   beauty   and  
health   markets,   a   proliferation   of   competitors     sell   the   same   or   similar  
products,   including   the   large   and   smaller   grocery   retail   chains   and  
independent   health   shops.   For   instance,   significant   competitors   of   New  
Clicks in the retail of lifestyle, beauty and health products include Pick ‘n  
Pay,   Shoprite   Checkers,   Superspar,   numerous   pharmacies   and   health  
stores,  Woolworths, Stuttafords,  Edgars, Truworths,  Foschini,  @ Home,  
Mr Price Home, Game and Makro.
Retail Pharmaceutical (Dispensary) products
2  See  the large merger between  Clicks Pharmaceutical Wholesale (Pty) Ltd and New  
United Pharmaceutical Distributors (Pty) Ltd  69/LM/Dec02

15. The Commission did not initially evaluate the dispensary product market  
at all, since until Clicks receive their license to dispense pharmaceutical  
products or dispense scheduled drugs, there is no product overlap with  
the   retail   pharmaceutical   business   of   the   target   firms.   However,   t he 
Tribunal requested both the parties and Commission to provide additional  
information   and   to   make   further   submissions   in   respect   of   the   likely  
evolution   of   this   market   from   both   a   regulatory   and   competition  
perspective.
Geographic Market
16. The geographic market was deemed by the Commission to be local since  
both acquiring and target firms set prices according to conditions in the  
local market. It proceeded to evaluate the number of pharmacies owned  
by the target firm in various magisterial districts around the country. [The  
conclusion was that both parties to the merger compete in the major towns  
and cities around SA and there  are large numbers  of competitors in these  
markets]. 
17. The parties argued that there are no national retail pharmaceutical chains  
as such.   This is due to historical legislation prohibiting non­pharmacists  
from   owning  pharmacies.  Accordingly  no  corporate  model   of  ownership  
has   to   date   emerged   in   the   retail   pharmaceutical   market.   Despite   the  
phenomena  of franchising and buying groups, pricing of pharmaceutical  
products is not centrally managed on a national level, but is determined  
instead as a competitive response to conditions in each local market by  
the   professional   pharmacist   who   owns   each   of   the   stores.   These  
pharmacists seek to retain control over the local operations   even when  
part of a larger franchise or buying group.
18. Trevor Milton alluded to two distinct modes of competition in the areas of  
chronic   and   acute   medication.   Purchasers  of   chronic   medicines,   these

chronic   and   acute   medication.   Purchasers  of   chronic   medicines,   these  
being   regular   purchasers  of   the   same   drug   over   a   lengthy   period,   are  
more   easily   serviced   by   big   national   mail   order   suppliers   like   Direct  
Medicines   and   Chronic   Medicines   than   are   the   consumers   of   acute  
medication.     On   the   other   hand   considerations   of   c onvenience   and  
effective  therapy dictate that   acute medication   will  be purchased  at the  
local pharmacy  – these drugs must be available on request and, unlike the  
case   of   chronic   medicines,   demand  cannot   be   accurately   predicted   in  
advance.   While this explanation would suggest that there will be some  
competitive   threat   to   TCO   around   at   least   chronic   medication,   further 
investigation is required to enable us to make a clear finding.

19. If   the  market   is   segmented   between  consumption   of  chronic  and  acute  
medicines, then the relevant geographic market could either be defined as  
local   (acute   medication)   or   national   (chronic   medication),   although   we  
probably require additional information in this regard. However we need  
not define this conclusively in light of  the findings elaborated below.
Impact on competition
20. As mentioned, our fundamental concerns with this merger lay in the retail  
pharmaceutical   or   dispensary   market.   These   concerns   centred   on   the  
prospect of   large potential competitors such as Pick ‘n Pay   entering this  
market.
21. The Commission took the view that because TCO was not  already active  
in   the   retailing of pharmaceutical products, this transac tion presented no  
competition issues in this market .  On this view, TCO was a new entrant in  
this market.  However, what is significant is that TCO was always the  most 
likely  potential  entrant into this market. TCO had for a long time set itself  
up   to   enter   once   the   regulatory   barrier   was   removed.   It’s   looming  
presence had, in all likelihood, already acted as a competitive constraint  
on participants already active in  the  market ­   TCO w as a large front shop  
waiting to get into the back shop. TCO  has now entered thus eliminating  
itself as a   potential threat.   But because it has done so   by choosing to  
enter  via acquisition  rather than  by rolling out  its own , new  pharmaceutical 
branches, its elimination as  a  potential threat has not been compensated  
by   the   injection   of   additional   capacity,   by   the   addition   of   a   new   active  
competitive  presence.  In summary, then, TCO, because of its  particularly  
strong potential presence   should, for the purposes of this merger,  properly  
have been     treated as a market participant and effectively presumed to  
constrain existing rivalry. Accordingly, the theory of potential competition

constrain existing rivalry. Accordingly, the theory of potential competition  
allows  us  to   impute  into  our  analysis   the  market   shares   of  a  firm,   that  
would not otherwise have been considered a competitor because of there  
being no product overlap. 3   It would accordingly have been appropriate if  
the Commission had evaluated this market initially .
22. The case of the   Federal Trade Commission v The Proctor and Gamble  
Company  is instructive. 4  Here the US Supreme Court upheld a decision  
by the Federal Trade Commission ordering a manufacturer of household  
3  See Gavil, Kovacic, Baker.  Antitrust Law in Perspective: Cases, Concepts and Problems in  
Competition Policy , 2002 at page 453.
4  1224 386 U.S. 588, 18 L.Ed. 2d 303 1967

products to divest itself of certain liquid bleach assets. The Court referred  
in its reasons to the acquisition of Clorox by Proctor eliminating Proctor as  
a potential competitor:
“It is clear that the existence of Proctor at the edge of the industry  
exerted   considerable   influence   on   the   market.   First,   the   market  
behaviour   of   the   liquid   bleach   industry   was   influenced   by   each  
firm’s predictions of the market behaviour of its competitors, actual  
and potential. Second, the barriers to entry by a firm of Proctor’s  
size and with its advantages were not significant…”
23. An   analysis   of   the   post­merger   market,   the   structure   of   which   will   be  
enormously influenced by a new regulatory environment, would obviously  
be highly speculative. It is not known how many licenses will be secured  
by TCO, nor which or how many other new entrants will be licensed to  
compete with them. We have previously imposed a postponed divestiture  
remedy   precisely   because   the   regulatory   environment   in   which   the  
markets in question operated were, as in this case, in considerable flux. 5   
However, such an approach did not prove very effective and is unlikely to  
provide comfort in this case precisely because it is unclear   when there will  
be certainty in respect of  the  manner in which the regulations are to be  
enforced.
24. We assumed for purposes of this merger, that the Link branded stores  
would  post­merger   form  part  of   the   control  group   owned   by   TCO.   This  
would give Clicks ownership of approximately 320 Link outlets 6. Assuming  
this scenario, concentration would be quite high, particularly in the urban  
metropolitan areas.  However, because of the uncertainty surrounding the  
regulatory   environment   –   and   in   particular   the   regime   governing   the  
issuing   of   licenses   to   operate   pharmacies   –  we   do   not   have   sufficient

issuing   of   licenses   to   operate   pharmacies   –  we   do   not   have   sufficient  
information to   evaluate t he extent to which   potential entrants   may enter  
the scheduled drug market.
  Barriers to Entry
25. The next step in our analysis, was to proceed to evaluate the barriers to  
entry into the retail pharmaceutical market, to examine to what extent new  
entrants would be encouraged to enter the market and thus constrain a  
5  Nasionale Pers Limited and Educational Investment Corporation Limited 45/LM/Apr00
6  The parties disputed that Clicks controlled the LIT franchisees, this being rather a loose guild of  
independently­run franchises. Clicks has merely rendered consulting and merchandising assistance. They  
asserted that to take Link franchises into account  as part of the merged entity would be wrong. However,  
we nevertheless did proceed to assume the worst­case scenario.

possible   exercise   of   any   market   power   by   the   merged   entity.   To   this  
extent,   the  application  of   the   licensing  conditions  by  the  Department   of  
Health becomes highly relevant. 
26. It   appears that  licenses  will   be  awarded  on  the  basis  of  the “need”  for  
another   pharmacy   in   respect   of   the   particular   area   for   which   the  
application is made .7  This presumably means that the department will not  
issue a license if it is deemed that there is already a sufficient presence of  
pharmacies in that area. 
27. We   should   be   clear   at   the   outset   of   this   discussion   that   we   have   no  
quibble with the need to impose conditions via a licensing regime on the  
distribution of pharmaceutical products.   Safety considerations would, on  
their own, necessitate regulatory oversight of pharmaceutical distribution.  
We   are,   however,   extremely   concerned   at   the   in clusion  of   what   are  
effectively competition considerations – such as the ‘need’ for additional  
pharmacies – into the licensing criteria precisely because  this is likely to  
raise   entry   barriers   into   the   market   for   those   new   entrants   seeking   to  
compete with the likes of an incumbent such as TCO.  In short, while we  
accept that entry should be denied those who are unable to demonstrate  
the   capacity   to   adhere   to   safety   standards,   beyond   these   technical  
considerations, the level of entry and exit should be dictated by the play of  
market   forces.     Hence,   for   example,   a   would­be   licensee   wishing   to  
establish a new pharmacy in Sandton should not be denied entry on the  
grounds   that   the   market   is   fully   served   as   indicated   by   some   or   other  
measure such as the number of pharmacies per capita.    A would­be new  
entrant   presumably   believes that it possesses a competitive formula   that 
would   enable it to   compete business away from other pharmacies in the

would   enable it to   compete business away from other pharmacies in the  
license  area   or  even  to  draw   customers  from  beyond  the  license  area . 
This formula may  involve drawing additional  customer into  the store by  
discounting   its   front   shop   product s,   or,   regulation   permitting,   its  
pharmaceutical products  or it may offer more frequent deliveries of longer  
opening hours. Why should a license be denied  an entrepreneur  because 
of   an   adm inistrative   determination   of   the   level   of   ‘need’   in   the   license  
area?  In any market characterized by ease of entry, it is competition that  
will determine how many pharmacies are ‘needed’ in a particular area, and  
it   is   competition   that   will   determine   which   those   are   to   be,   which   will  
flourish and which will be forced to exit the market.
28. In   summary   we   are   concerned   that   by   determining   the   number   of  
7  Regulation 7 published under Government Notice No. R553 of 25 April 2003 (Gazette 24770) provides  
the criteria for the determination of a need for the pharmacy in respect of an area that must be satisfied in  
order to obtain the license.

pharmacies in a particular area on the basis of a competition criterion such  
as ‘need’, the licensing conditions will effectively operate to protect “first­
mover” incumbents such as TCO from the threat of new entrants. Neither  
the parties nor the Commission, after discussions with the Department of  
Health, were able to allay these concerns. 
29. The theory of contestable markets postulates that if entry is difficult, less  
weight should be placed on potential entry as a constraining factor .8  With 
‘need’ and hence new entry determined by administrative fiat rather than  
by   the   market   assessment   by   would­be   new   entrants,   the   threat   of  
potential   competitors   to   constrain   the   behaviour   of   the   incumbent   firm  
could quite easily be diminished. 
30. The   parties   argued   that   single   exit   pricing   would   act   to   constrain   price  
increases.   This   refers   to  a  regulation  that  would  enable  the  Minister   of  
Health to determine a single peremptory price at which medicines will be  
sold by suppliers to pharmacists. In other words, the manufacturers’ list  
price shall be the applicable prices of pharmaceutical products to the final  
end­consumer.     In   short,   trading   in   pharmaceutical   products ,   that   is,  
‘trading’ in the sense of charging a margin on the product purchased from  
the manufacturer of wholesaler,   will be prohibited.   Pharmacists will earn  
their keep by levying a specified dispensing fee.
31. It appears that little is known about how this pricing regime will operate in  
practice.   It is not clear whether a price will be specified in respect of all  
scheduled   products   or   whether   this   will   be   applied   to   only   selected  
products.     Nor   is   it   clear   whether   the   price   regulations   will   specify   a  
maximum price, thus permitting competition at levels below the specified  
maximum.   We have no knowledge of how the dispensing fee is to be

maximum.   We have no knowledge of how the dispensing fee is to be  
determined or whether pharmacies  will be  entitled to compete on the basis  
of   the   dispensing   fee.     These   are   issues   to   be   determined,   or   so   it  
appears,   by   the   recently   appointed   pricing   committee.     However,   even  
assuming   the   best   possible   environment   for   competition   in   a   price  
regulated   environment,   (namely,   that   the   regulations   only   specify   a  
maximum  price  and that  pharmacies  will   be free  to  compete  with each  
other in the area of dispensing fees), any potential room for competition  
left in the system will be massively compromised if the licensing regime  
further restricts entry on the basis of non­technical, competition­relevant  
criteria like ‘need’. 
32. Restrictions on entry of additional pharmacies into the lucrative middle and  
8   Bishop and Walker, The Economics of EC Competition Law p 42

high income urban markets, seems, in substantial part, to be predicated  
on   the   desire   to   encourage   would­be   entrants   into   the   pharmaceutical  
trade to locate in ‘underserviced’ low income areas, in particular the rural  
areas.  We do not understand this.  Clearly, a would­be entrant into a high  
income   area   is   attracted   there   by   the   relatively   high   returns   that   are  
expected.  Denying entry to the areas of lucrative return will not, in and of  
itself, direct investment to the rural areas if the returns to be gleaned there  
are   deemed   inadequate   by   potential   investors.   This   will   shift   once   the  
differential between the returns earned from investment in the urban area  
and those available from investment in the rural areas is narrowed.   The 
only sustainable mechanism for reducing returns in the urban areas – thus  
increasing the relative attractiveness of alternat ive sites – is to encourage  
new entry into the se high margin areas.    However, b y restricting entry into  
the   urban   a reas   through,   inter   alia,   the   application   of   a   ‘needs’   based  
criteria, the supra competitive returns to investment in the urban areas and  
the   superior   attractiveness   of   these   already   privileged   investment  
locations  is reproduced.
33. It was suggested in submissions made to the Tribunal,  that a quid pro quo  
system   might   be   adopted.   Such   a   system   would   effectively   grant   TCO  
pharmacy licenses in urban areas in exchange for the licensees  investing  
in the establishment of pharmacies in the rural areas. While we do not  
necessarily   take   issue   with   the   subsidization   of   investment   in   the   rural  
areas,   this   is   a   particularly   non­transparent   form   of   subsidy   –   the  
subsidized party is effectively given the opportunity to extract a monopoly  
rent from urban consumers who are the actual source of the subsidy. As

rent from urban consumers who are the actual source of the subsidy. As  
we elaborate below, the truly attractive feature of this transaction is the  
entry of large retail chains into the pharmaceutical retail trade. They are  
efficient,   they   have   significant   purchasing   power   and   considerable  
experience in the exercise of it, and they have a wide footprint extending  
across   the   country.   They   therefore   uniquely   possess   the   capacity   to  
penetrate   areas   that   other ,  less   well­resourced ,  investors   would   steer  
clear   of.   By   intensifying,   through,   inter  alia,   liberal   entry   conditions,  the  
competitive   temperature   in  the   most   attractive  locations,   the   chains   will  
turn   increasingly   to   investment   in   those   areas   currently   deemed   less  
attractive.   Conversely, by inhibiting new entry into the urban   areas , the  
incumbents   in   those   areas ,   including   efficient   and   well ­resourced 
corporates like TCO,   may rationally opt to garner the supra­competitive  
returns available in their protected markets.  
34. What is, in the end, obvious is that TCO will have a first­mover advantage  
in this market. Although we are certainly not inclined to penalise firms for  
adopting   long­term   pro­competitive   strategies,   this   advantage,   together

with a regulatory system that inhibits new entry, may well underpin the rise  
of an anti­competitive structure in the retail pharmaceutical trade. 
35. We have painted the worst possible application of the licensing regime,  
although   the   specific   inclusion   of   the   ‘needs’   criteria   into   the   licensing  
criteria   leads   us   to   fear   that   this   ‘worst   case’   may   in   fact   accurately  
describe   the   unfolding   reality.   There   is,   however,   no   certainty,   no  
necessity,   that   the   licensing   authority   will   interpret   its   mandate   in   this  
fashion.   Clearly it is possible to take a liberal view on entry   just as it is  
possible   to   leave   significant   areas   of   price   determination   to   the   market  
even in  the  context  of  a  single  exit   pricing  regime.     In  order  to  ensure  
competition in the  post­merger  pharmaceutical products market  we would  
urge,   above   all,   that   the   regulator   does   not   inhibit   easy   entry   into   all  
geographical markets.
36. Certainly  TCO’s entry into this market does potentially portend major  pro­
competitive   gains.   It   is   likely   to   inject   innovation   and   efficiency   into   a  
market  hitherto  characterized by a  staid “mom and pop”  type format .  The  
evidence suggests that pharmacies are coming under persistent pressure  
from manufacturers as far as their margins are concerned. Accordingly the  
corporate clout of the Clicks group could well serve to check this market  
power   on   the   part   of   manufacturers .  As   already   noted,   the   scale   and  
footprint of a group like TCO is a likely basis for investment in the rural  
areas, provided only that they are placed under competitive pressure in  
the more attractive areas. 
37. Furthermore, other competitive issues do suggest that the pharmacies will  
not have an unfettered discretion to behave anti­competitively ­ powerful

not have an unfettered discretion to behave anti­competitively ­ powerful  
medical aid providers are incentivising patients to go where the price is  
most competitive, certainly in the case of chronic medication. 
  38. Accordingly, given that the potential ly negative aspects of this transaction  
are largely governed by the uncertain state of play over regulatory issues  
and that there are likely to be significant pro­competitive aspects to this  
merger,   we   find   that   on   balance,   there   is   unlikely   to   be   a   substantial  
lessening of competition in the retail market for pharmaceutical products.  
We do, however, take this opportunity to urge the Commission to engage  
with the Department of Health and to utilize its advocacy powers to ensure  
that   those   responsible   for   regulating   this   sector   are   appraised   of   basic  
competition principles that favour, above all, ease of entry to the market .
The merger is therefore approved unconditionally. However we must caution that  
this is a market that requires careful monitoring.

_____________ 9 September 2003  
D. Lewis     Date
Concurring: N. Manoim, F.Fourie
For the merging parties:   Sonnenberg Hoffmann & Galombik Attorneys 
For the Commission:  M. Van Hoven, L. Mtanga, Competition Commission