Industry Overview - The chain pharmacy industry in China has experienced rapid growth over the past 15 years, with the number of pharmacies increasing from 381,400 in 2009 to over 680,000 by the end of 2024, resulting in a market size exceeding 153.1 billion yuan [1][3] - The average number of pharmacies per 10,000 people in China is 4.6, significantly higher than in Japan and the United States [1] Current Challenges - The industry is showing signs of deceleration, with approximately 39,000 retail pharmacies closing in 2024, marking the first negative growth phase for the number of pharmacies [2][3] - In the first quarter of 2025, the net decrease in pharmacies was about 3,000 [3] - Major pharmacy chains, such as 老百姓, have indicated a pause in expansion plans, with a net increase of only 108 stores in the first half of the year, including a reduction of 197 direct-operated stores [3] Market Dynamics - The rapid expansion of pharmacies was driven by a capital influx, leading to a bubble in the number of pharmacies, with many opening not for business but for resale [5][11] - The current market sentiment has shifted from expansion to survival, with discussions now focused on how to maintain operations rather than growth [6][12] - The density of pharmacies in China is significantly higher than the international norm, suggesting that at least one-third of the current pharmacies may need to close [6][11] Financial Performance - The profit margins for pharmacies have drastically declined, with some companies reporting net profit margins as low as 1% to 3% [12][13] - The financial strain is exacerbated by competition from online platforms, which often sell products below cost, forcing brick-and-mortar stores to subsidize losses from online sales [9][10] Future Outlook - The industry is expected to continue facing challenges, with estimates suggesting that the number of pharmacies could decrease to around 400,000 over the next three to five years [11][13] - The current operational strategies are focused on cost-cutting and efficiency rather than expansion, indicating a structural shift in the industry [16]