as a result the incentive mechanisms for generics are costly cour des comptes c rebalancing part of the current support for generics towards more payments to pharmacists for careservices such as counselling coordination between care providers patient monitoring and coaching would reduce the dependence of their income on pharmaceutical sales and would reward their counselling function this could be associated with further expansion of their public healthcare missions notably for following up patients with chronic diseases as foreseen in a law loi hopital patients sante territoires which remains to be fully applied the cnamts introduced such incentives through their payforperformance scheme in and enhanced them somewhat in