Business Model

The institution is charged with providing pharmaceuticals and medical supplies to the establishments of the Public Health Sector acting by means of a mandate or in representation of these, via agreements with the Health establishments charging an adequate commission for provided services.

The business model (1) (download business model.pdf 76kb) is based on scale purchase programmes – a mechanism that permits to ensure a guaranteed and cost-effective access to the essential medicines. The success of the systems is mainly due to the reduction of prices and the latter depends, to a large extent, on an efficient communication with public bodies, the availability of local distribution, medical assistance centres and the education of suppliers and clients.

CENABAST is totally financed from its own resources deriving from the commission (6%) it charges its clients for the operations it carries out on their behalf. It means that it does not receive state contributions for the financing of its operational expenses and investment, but its budget consists of income deriving from the commissions received for the mediation services (2) (download mediation process.pdf-48kb) among  the different suppliers of clinical inputs and the users of the public health system.

That is why its operation capacity depends -to a great extent- on the total fulfilment of the commercial commitments acquired by the clients. The fact that these form part of the public system does not force them to establish commercial relations with CENABAST, however, considering the offered economic advantages and distribution, a large part of them decides to work with CENABAST.

What products and services can CENABAST offer?

The services offered by CENABAST include mediation for the purchase of pharmaceuticals, medical supplies, food and services:

• Mediation for health establishments of the National Health Services System (S.N.S.S.).

• Mediation for health establishments of the Primary Assistance system.

• Mediation  for the Public Health Under-secretary’s Health Programmes.

Logistics support services in the areas of :

• distribution

• storage

CENABAST also manages the processes of commercialisation and distribution of Ministerial Programs, satisfying the needs associated with national sanitary and nutrition programs. Among the most important we could mention the Extended Immunisations Program, Haemophilia Program, Cystic Fibrosis, Acute Respiratory Infections Program, Dental Program and Women’s Program.