Pharmacy is one of the professions where the gross salary gap between countries is genuinely large. American and Canadian pharmacists earn considerably more than their European counterparts, and the tax systems in those countries take less of it.
The figures below use a typical community or hospital pharmacist salary in each country, on a single person basis.
The ranking after tax
Federal deductions only; state or provincial tax is charged on top. † Foreign employees pay no CPF, so a local resident keeps less. ‡ Cantonal tax is an estimated average; the real figure depends on the commune. § Excludes the 13th and 14th salary payments, which are taxed at 6%. Converted at rates current when this guide was written.
Why North America pays so much more
Three structural reasons explain most of the gap.
- The qualification is longer. The American PharmD is a doctoral level programme and the profession is licensed accordingly, with a correspondingly higher pay scale.
- Scope of practice is broader. Vaccination, prescribing authority in some jurisdictions and clinical services generate revenue that community pharmacy in much of Europe does not.
- Retail pharmacy is more concentrated and competes on staffing, which has pushed salaries up in shortage areas.
- Student debt is the offset. American pharmacy graduates frequently carry very large loan balances, repaid outside payroll. See student loan repayments.
The European picture
Within Europe the differences are narrower and follow the usual pattern. Switzerland and Luxembourg pay well in gross terms and tax moderately. The Nordic countries pay solidly and tax heavily. Southern Europe pays least in gross terms, and the lower tax burden at those salary levels does not close the gap.
Pharmacy ownership changes the picture in several countries. Where pharmacies must be owned by a registered pharmacist, as in Germany, Austria, Spain and several others, ownership is the route to substantially higher income, and the taxation follows business rules rather than employment rules.
What moves an individual position
- Shift premiums and on-call. Hospital pharmacy in particular carries unsocial hours payments, taxed as ordinary income in almost every system.
- Locum work. Higher hourly rates, self-employed status in many countries, and the loss of paid leave and sick pay that comes with it.
- Professional deductions. Registration fees, indemnity insurance and continuing education are deductible in most systems and are frequently unclaimed by employees.
- Sector. Industry roles in pharmaceutical companies pay substantially more than community pharmacy in every country on the list.
The general advice for employees with deductible professional costs is the same everywhere: check whether the flat allowance in your country already exceeds what you would claim. In Germany that threshold is 1,230 euros, described in Werbungskosten explained.
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