Why Amazon’s Push Into Prescription Drugs Isn’t a Guaranteed Success

Amazon has transformed the way Americans buy products as different as books and diapers, but with drugs, it will need to work with powerful entrenched players.

When Amazon announced last week that it was buying the online pharmacy PillPack, it sent stocks of drugstore companies like Walgreens and Rite Aid tumbling, as investors worried that the retail behemoth would soon upend the pharmacy market.

But even though Amazon has transformed the way Americans buy products as different as books and diapers, it may not have such an easy time with prescription drugs. That’s because to succeed, it will have to do business with powerful entrenched companies who are not necessarily wishing Amazon well.

As a relatively small pharmacy with about $100 million in annual revenues, PillPack most likely didn’t attract much attention from the pharmacy industry’s giants, said Eric Percher, an equity research analyst at Nephron Research.

“I think they have absolutely been able to fly under the radar,” he said. But now that a household name like Amazon is buying the company, “the entities that have enabled PillPack’s success — whether they knew it or not — have a decision to make,” he said.

PillPack, which was founded in 2013, distributes pills in easy-to-use packages designed for consumers with chronic conditions and multiple prescriptions. The company sorts prescriptions by the dose and includes a label with a picture of each pill and directions on how it should be taken.

While the company had a niche appeal, many analysts have speculated that Amazon’s true motivation for buying PillPack is to leapfrog its way into the broader prescription drug business because PillPack has pharmacy licenses in 50 states. It also has relationships with the major pharmacy benefit managers, like Express Scripts and CVS Health, that serve as gatekeepers to the majority of Americans who are covered by health insurance.

Read more