Open Access Research Article

Optimizing Coordination in the Metformin Supply Chain Using Quantity Discounts and Government Subsidies: A Case Study of Iran's Healthcare System

Authors

  • Farnoush Otrodi * Department of Industrial Engineering, Faculty of Engineering, Yazd University, Yazd, Iran.
  • Hasan Khademi Zare Department of Industrial Engineering, Faculty of Engineering, Yazd University, Yazd, Iran.
  • Mohammad Bagher Fakhrzad Department of Industrial Engineering, Faculty of Engineering, Yazd University, Yazd, Iran.
  • Yahya Zare Mehrjerdi Department of Industrial Engineering, Faculty of Engineering, Yazd University, Yazd, Iran.

https://doi.org/10.22105/ahse.v3i2.59

Abstract

Access to essential medications like metformin in Iran's healthcare system is significantly enhanced by preventing financial distress and ensuring robust cash flow through integrating quantity discounts and government subsidies. This study investigates their role in optimizing supply chain coordination, enhancing profitability, and reducing costs. By examining a two-tier pharmaceutical supply chain involving collaboration among government entities, pharmaceutical companies, and insurers under price controls, the research employs analytical models to assess their impact on stakeholder coordination and overall efficiency. The findings demonstrate that these strategies improve collaboration and optimize total supply chain profits. This study provides actionable insights into leveraging quantity discounts and government subsidies to strengthen coordination in Iran's pharmaceutical supply chain, ultimately ensuring equitable access to high-quality medications. 

Keywords

Coordination Pharmaceutical supply chain Discount Insurance policies Government subsidies Logistics
References (16)
  1. [1] Alkhouri, M. (2024). Pharmaceutical supply chain-new obstacles and challenges [Thesis]. https://dspace.lib.uom.gr/handle/2159/30186

  2. [2] Zhou, N., Li, S., Zhao, G., Li, C., & Yu, N. (2023). Medical service pricing and pharmaceutical supply chain coordination contracts under the zero-markup drug policy. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1208994

  3. [3] Tian, B., Yu, L., & Chang, X. (2024). Examining supply chain financing: A comparative and coordination analysis under a buyback contract. RAIRO-Operations Research, 58(2), 1899–1925. https://doi.org/10.1051/ro/2024062

  4. [4] Peng, Y., Lu, J., Cheng, T. C. E., & Ji, M. (2024). Revenue sharing or not? Coordination of the buy-online-and-pickup-in-store supply chain. International Transactions in Operational Research, 31(3), 1917–1948. https://doi.org/10.1111/itor.13218

  5. [5] Heydari, J., & Asl-Najafi, J. (2021). A revised sales rebate contract with effort-dependent demand: a channel coordination approach. International Transactions in Operational Research, 28(1), 438–469. https://doi.org/10.1111/itor.12556

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How to Cite

Otrodi, F., Khademi Zare, H., Fakhrzad, M. B., & Zare Mehrjerdi, Y. (2026). Optimizing Coordination in the Metformin Supply Chain Using Quantity Discounts and Government Subsidies: A Case Study of Iran’s Healthcare System. Annals of Healthcare Systems Engineering, 3(2), 84-92. https://doi.org/10.22105/ahse.v3i2.59

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