Business

Pharmacy Accounting Basics — P&L, Cash Flow, GST for Medical Store Owners

✍️ PharmaStok AI 📅 26 July 2026 ⏱ 7 min read
Business

Pharmacy Accounting Basics — P&L, Cash Flow, GST for Medical Store Owners

Simple accounting concepts every pharmacy owner needs to understand — profit and loss, cash flow, GST reconciliation, and the numbers that determine if your store is truly profitable.
By PharmaStok AI · July 2026 · 8 min read

Most pharmacy owners focus on dispensing and operations — accounting is often left to a CA at year-end. But understanding your numbers monthly (or even weekly) is the difference between catching problems early and discovering them when it's too late. This guide covers the essential accounting concepts every medical store owner should understand.

The Pharmacy Profit and Loss Statement

A simple monthly P&L for a pharmacy looks like this:

Line ItemExample (₹)Notes
Total Sales (Revenue)10,00,000Sum of all invoices raised
Less: Cost of Goods Sold (COGS)8,00,000Purchase cost of medicines sold
= Gross Profit2,00,00020% gross margin
Less: Rent40,000
Less: Staff Salaries45,000
Less: Electricity & Utilities8,000
Less: Expiry write-offs12,000Expired stock loss
Less: Miscellaneous5,000
= Net Profit90,0009% net margin

Understanding Cash Flow vs Profit

A pharmacy can show profit on paper but still face cash crunch. This happens because:

  • You pay distributors on 30–60 day credit — cash goes out before all revenue is collected
  • Stock sitting on shelves is cash locked in inventory
  • Udhar (credit sales) to customers reduces cash available

Key metric — Days of Stock on Hand: If you carry 60 days of stock but pay distributors in 45 days, your cash is always under pressure. Aim to carry 25–30 days of stock for fast-movers and reduce slow-movers aggressively.

GST Reconciliation for Pharmacies

Pharmacies deal with multiple GST rates — 0%, 5%, and 12% on medicines, plus 18% on some non-pharmaceutical products. Monthly reconciliation involves:

  • Output tax: GST collected from customers on sales
  • Input tax credit (ITC): GST paid on purchases from distributors
  • Net GST payable: Output tax minus ITC

Most pharmacies have net GST liability of 0.5–2% of sales since they collect 5–12% GST on sales but also claim ITC on purchases at the same rates.

Key Metrics to Track Monthly

MetricHow to CalculateTarget
Gross Margin %(Sales − COGS) ÷ Sales × 10018–25%
Net Margin %Net Profit ÷ Sales × 1006–12%
Inventory TurnoverCOGS ÷ Average Inventory Value8–12x per year
Expiry Loss %Expired Stock Value ÷ Purchases × 100<1%
Outstanding DuesTotal unpaid customer credit<30 days sales

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Do I need a CA to manage a pharmacy's accounts?
For GST filing, income tax returns, and annual accounts, a CA or tax professional is recommended. But day-to-day tracking of sales, purchases, margins, and cash flow can be managed by the pharmacy owner using pharmacy management software — and should be, because waiting for month-end CA reports means you're always reacting, never proacting.
What is a good inventory turnover for a pharmacy?
A healthy pharmacy should turn over its inventory 8–12 times per year, meaning you sell through your entire stock 8–12 times annually. Lower turnover means too much capital locked in slow-moving stock. Higher turnover (12+) is excellent and indicates lean, efficient inventory management.
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