OBJECTIVES: The pharmaceutical wholesale industry serves as the vital link between manufacturers and 183,591 dispensing-points in Europe. One of the sector’s major business objectives is total customer satisfaction. To assess satisfaction, a questionnaire was designed to assess (a) which distribution model manufacturers prefer for diverse product-categories (innovative-drugs, generics or OTC´s); and (b) how satisfied pharmaceutical manufacturers and pharmacists are with deliveries (delivery-time and frequency) from full-line-wholesalers (FLW),short-line-wholesalers (SLW), direct-sales from manufacturers to pharmacies (DTP), or third-party-logistics-service-providers (3PLs) in Europe. The questionnaires were circulated in six key-markets– Germany, France, Italy, the Netherlands, Spain and the