INTERNATIONAL JOURNAL OF HEALTH AND PHARMACEUTICAL RESEARCH (IJHPR )

E-ISSN 2545-5737
P-ISSN 2695-2165
VOL. 10 NO. 5 2025
DOI: 10.56201/ijhpr.vol.10.no5.2025.pg27.45


Financing Sustainable Health Coverage and the Regulation of Online Pharmacies in Nigeria

Omoniyi, Joseph OlaOlorun PhD, Okoronkwo, Ngozi, Augustine, Osirim, Monday PhD, FCA


Abstract


The study is a descriptive survey of internet pharmacy in Nigeria aimed at determining the level of online pharmacy practice in Nigeria. Primary data were obtained from the internet using Google and Yahoo search engines. The sampling method was a census of all two hundred and twenty-four internet pharmacies in Nigeria. The instrument employed was an observation guide which comprises two sections. The first section sought information on the level of online pharmacy practice in Nigeria. The second section sought information on the extent to which online pharmacy is regulated in Nigeria. Both sections employed a dichotomous scale of ‘yes’ and ‘no’ responses. The collected data were analyzed using descriptive statistics including frequencies, percentages and tables. The result of the study shows just 21.9% of the surveyed two hundred and twenty-four online pharmacies have active websites. It also shows that just 1.4% of the six thousand, two hundred and forty-four online pharmacies registered in Nigeria have online presence. From the result, it can be deduced that 44.9% of registered and 7% of unregistered online pharmacies have evidence of active websites. The study concludes that a low level of internet pharmacy is prevalent in the Nigerian space. Furthermore, despite the laws and regulations established, a notably low proportion of the online pharmacies are registered and licensed. It is thus recommended that there is need for regulators to intensify efforts in their quest to improve and promote internet pharmacies in a bid to promote sustainable health coverage in Nigeria.


keywords:

Health coverage, online pharmacies, regulation, financing, pharmaceutical practice


References:


Adje, D. U., & Oli, A. N. (2013). Community pharmacy in Warri, Nigeria: a survey of practice
details. Sch Acad J Pharm SAJP, 2(5), 391-7.
Aguwa, C. N., Ukwe, C. V. & Ekwunife, O. I. (2008). Effect of pharmaceutical care programme
on blood pressure and quality of life in a Nigerian pharmacy. Pharmacy World &
Science, 30, 107-110.
Ahmed, N., & Saeed, A. (2020) Pharmacists knowledge and contribution during coronavirus
disease-2019 pandemic in Sudan, Matrix Science Medica;531.
Alo, A. (2016). Pharmacy in Nigeria. Am J Health-System in Pharmacy; 63,670–3.
Bessen, J. (2008). The value of US patents by owner and patent characteristics. Research Policy,
37(5), 932-945.
Cicero, T. J, Shores C. N, Paradis A. G & Ellis, M. S. (2008). Source of drugs for prescription
opioid analgesic abusers: a role for the Internet? Pain Med. 9(6),718–23.
Corey, C. G & Tu, H.T.. (2008). State prescription drug price Web sites: How useful to
consumers? Center for Studying Health System Change.
Crawford, S. Y. (2003). Internet pharmacy: issues of access, quality, costs, and regulation.
Journal of Medical Systems, 27, 57-65.
Dorsey E. R., & Topol, E. J. (2016). State of telehealth. N e w En g l a n d J o u r n a l o f M e d
i c i n e 3 7 5 ( 2 ) : 1 5 4 – 1 6 1.
Ekpedeme, N., Arit, U., Olajide, A., & Enitome, B. (2019). Consumer and Community
Pharmacists’ Perceptions of Online Pharmacy Services in Uyo Metropolis, Nigeria.
Innovations in Pharmacy, 10(3), 29-38.
Fittler, A., Bosze, G.,& Botz, L. (2013). Evaluating aspects of online medication safety in long-
term follow-up of 136 Internet pharmacies: Illegal rogue online pharmacies flourish and
are long-lived. J Med Internet Res. 15(9), 199-209.
Fox, N., Ward, K., & O’Rourke, A. (2005). The birth of the e-clinic: Continuity or
transformation in the UK governance of pharmaceutical consumption? Social Science &
Medicine, 61(7), 1474-1484.
Fung, C. H., Woo, H. E., & Asch, S. M. (2004). Controversies and legal issues of prescribing
and dispensing medications using the Internet. Mayo Clinic Proceedings, 79(2), 188-194.
Gabay, M. (2015). Regulation of Internet Pharmacies: A Continuing Challenge. Hospital
Pharmacy, 50(8), 681–682.
Gondim, A. P. S., & Falcão, C. B. (2007). Evaluation of Brazilian online pharmacies. Revista de
Saúde Pública, 41, 297-300.
Leal, P. M. M. (2010). Evolution in public procurement and the impact of e-procurement
platforms: a case study (Doctoral dissertation, NSBE-UNL).
Lezotre, P. L. (2014). State of play and review of major cooperation initiatives. International
cooperation, convergence and harmonization of pharmaceutical regulations, 7. doi:
10.1016/B978-0-12-800053-3.00002-1
Mackey, T. K., & Liang, B. A. (2014). Digital iatrogenesis: Policy advocacy to prevent patient
harm from access to dangerous drugs online. Harvard Health Policy Review, 14, 11-13.
Mackey, T. K., & Nayyar, G. (2016). Digital danger: A review of the global public health,
patient safety and cybersecurity threats posed by illicit online pharmacies. British
Medical Bulletin, 118(1), 110–126.
Mäkinen, M. M., Rautava, P. T., & Forsström, J. J. (2005). Do online pharmacies fit European
internal markets? Health Policy, 72(2), 245-252.
Montoya, I. D., & Jano, E. (2007). Online pharmacies: Safety and regulatory considerations.
International Journal of Health Services, 37(2), 279-289.
Mora, A. T. (2014). The lizard shape: Model in drug distribution in Nigeria. Zaria: Woodpecker
Communication Services, 72(2), 245-252.
Mwencha, P. (2016). E-commerce sub-sector assessment report for Kenya (Doctoral dissertation,
Thesis).
National Agency for Food and Drug Administration and Control (NAFDAC). (2019). Guidelines
for the Establishment and Operation of Internet Pharmacy in Nigeria. Retrieved from
https://www.nafdac.gov.ng/wp-content/uploads/2019/02/Guidelines-for-the-
Establishment-and-Operation-of-Internet-Pharmacy-in-Nigeria-1.pdf.
Ogundele, O. J., Fadel, S., Braitstein, P. & Di Ruggiero, E. (2021). Protocol: Health actor
approaches to financing universal coverage strategies for pneumococcal and rotavirus
immunisation programmes in low-income and middle-income countries: a scoping
review protocol. BMJ Open, 11(12).
Oliver, A. J. (2000). Internet pharmacies: regulation of a growing industry. Journal of Law,
Medicine & Ethics, 28(1), 98-101.
Orizio, G., Merla, A., Schulz, P. J., & Gelatti, U. (2011). Quality of online pharmacies and
websites selling prescription drugs: A systematic review. Journal of Medical Internet
Research, 13(3), e74.
Orizio, G., Rubinelli, S., Schulz, P. J., Domenighini, S., Bressanelli, M., Caimi, L., & Gelatti, U.
(2010). "Save 30% if you buy today." Online pharmacies and the enhancement of
peripheral thinking in consumers. Pharmacoepidemiology and Drug Safety, 19(9), 970–
Pharmacists Council of Nigeria (2009). The 4-part compendium of minimum standards for the
assurance of pharmaceutical care in Nigeria
Pharmacists Council of Nigeria (2020). Online Pharmacy Regulations, 2020. Accessed from
Online-Pharmacy-Gazette-2020.pdf (pcn.gov.ng)
Pharmacists Council of Nigeria (PCN). (2019). Guidelines for the Establishment and Operation
of
E-Pharmacy
in
Nigeria.
Retrieved
from
https://www.pcn.gov.ng/wp-
content/uploads/2019/12/Guidelines-for-the-Establishment-and-Operation-of-E-
Pharmacy-in-Nigeria.pdf.
Royal Pharmaceutical Society of Great Britain (RPSGB). (2009). Professional Standards and
Guidance
for
Internet
Pharmacy
Services.
[Available
online
via
http://ntdd2060.fm.netbenefit.co.uk/pdfs/coepsgintpharm.pdf] Seeberg-
Elverfeldt, N. J. (2009). Mail-order trade in medicines in Europe - A guide for
legislators
to
protect consumers. European Journal of Health Law, 16(4), 351-366.. Shah, N.H. (2010).
Internet
Medicines
Sales:
Safety
and
regulation.
A
Narrative
Literature
Review,Retrievedfrom es of medicines over the internet
Vecchione, A. (2016). Connected: Telepharmacy unites the team. Drug Topics: Voice of the
Pharmacist.
North
Olmsted,
OH:
Modern
Medicine
Network.
Website
Internet
drug
outlet
identification
program
http://www.nabp.net/programs/assets/NABP%20Internet%20Drug%20Outlet%20Report
_April%202012_final.pdf.
World Health Organization (2010) Telemedicine: Opportunities and Developments in Member
States: Report on the Second Global Survey on eHealth. World Health Organization.
http://apps.who.int/.../44497
World Health Organization. (2011). Safety and security on the Internet: Challenges and
Advances in Member States. WHO Global Observatory for eHealth series – Volume 4, 5.
Ye?eno?lu, S. (2012). An evaluation of the community pharmacy web sites before and after the
online pharmacy prohibition. Hacettepe University Journal of the faculty of Pharmacy,
(2), 109-118.
Zunk, B., Marchner, M., Uitz, I., Lerch, C. & Schiele, H. (2014). The Role of E-Procurement in
the Austrian Construction Industry: Adoption Rate, Benefits and Barriers. International
Journal of Industrial Engineering and Management, 5(1), 13–21.
APPENDICES
Appendix 1: Observation guide employed in the study
(A) Evidence of online pharmacy practice in Nigeria
S/N
KEYWORDS SEARCHED ON THE SEARCH ENGINES
1
Online pharmacy in Nigeria
2
Online pharmacy practice in each state in Nigeria
3
Evidence of presence of active website by each online pharmacy
in Nigeria
(B) Evidence of regulation of online pharmacies
S/N
VARIABLES
1
Online pharmacies observed compared to the PCN list of
registered pharmacies
2


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