How pharma actually sells in Nigeria
A distribution business with a field business attached
Most volume passes through wholesale distributors and on to community pharmacies, clinics and hospitals across the states. Representatives work those outlets to keep the lines moving, and the business runs on repeat orders rather than on new logos. A supplier who cannot see which accounts have stopped ordering is flying on last quarter's numbers.
Cash, credit and stock availability set the tempo
Imported stock arrives in batches, customers pay in parts, and an out of stock line pushes a pharmacy towards whichever supplier can serve them this week. Working capital and availability shape the relationship at least as much as price does.