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