Loss of Exclusivity (LOE) Management for Branded Products Returns Forecasting Monday, March 4 | 3:30 PM-4:30 PM Ed Crimmins, Partner, Kindler & Crimmins Associates, LLC Steve Kindler, Partner, Kindler & Crimmins Associates, LLC Session Objectives • Discuss the impacts of Loss of Exclusivity (LOE) events • Review HDMA’s LOE: An Inventory Management Case Study report – Project overview – Challenges – Findings 2 LOE Event Definition A branded pharmaceutical product with an expiring patent is facing new competition from one or more generic manufacturers selling equivalent product at a fraction of the cost of the branded product. 3 Why Study LOE Events? • The ‘Patent Cliff’– Drugs having $77bn in annual 2010 US sales will undergo an LOE event during the next 10 years • Over 82% of that number going in the next 5 years. * – 27 significant drugs were scheduled to lose patent protection and marketing exclusivity in 2012 and another 14 in 2013** * ** Non-Foods Magazine, “Drug Patent Expirations”, Volume 15 No. 1 2012-2013, Pgs. 153-154. 2011-2012 HDMA Factbook, “Table 95 Brand Patent Expirations: 2012-2013”, 2011, Pgs. 84-85. 4 LOE Impact by Year Drug Patent Expirations $30 2010 US Sales ($ billions) $26.1 $25 $20 $15 $12.1 $10.4 $10 $8.8 $6.0 $5 $3.0 $2.2 $1.9 2017 2018 $3.7 $2.4 $0 2012 2013 2014 2015 2016 2019 2020 2021 Source: “Drug Patent Expirations”, Non-Foods Magazine, Volume 15 No.1 2012 – 2013, 153-154. 5 LOE Conversion • In 2006, branded drugs accounted for 36.6% of the prescription count and 80% of the prescription sales dollars.* • By 2010, the branded prescription count had dropped to 22.4% while the prescription sales dollars dropped to 74.6%.* • The pace of this movement is dependent on many factors, but is quickening with almost every LOE event. * 2011-2012 HDMA Factbook, “Table 89 US Prescription Drug Market Share by Generic and Branded Pharmaceuticals: 2006-2010”, 2011, Pg. 79. 6 Historic LOE Business Model • Leverage robust pipeline to replace negative sales impact of LOE – Pipelines can no longer be counted on to replace LOEs • Sell what you can while you can – Future impact of returns not fully considered or appreciated- “We’ll worry about that when the time comes.” • Increase product cost to offset sales decline – Historic price increases may contribute to ‘investment’ or speculative buying of LOE product 7 Significant Financial Impact • LOE accelerates and magnifies the impact of reduced demand • Options are limited once generic hits the market – Merchandise will often sit until it expires • All stakeholders have a shared goal – Increase inventory productivity – Reduce product returns – No negative impact on sales or customer service 8 Project Beginnings • Return Roundtable – Held at conclusion of 2011 Product Lifecycle Management seminar – Goal to identify case study opportunities based on the ‘Understanding the Drivers of Expired Pharmaceutical Returns’ report • Loss of Exclusivity – Overwhelmingly identified as the greatest potential case study opportunity – Presents an opportunity for a collaborative effort between all trading partners • ‘LOE: An Inventory Management Case Study’ project was commissioned by HDMA 9 LOE- An Inventory Management Case Study Goal To help trading partners better communicate and manage inventory before and after LOE event, ultimately reducing unproductive inventory and eventual unsalable / outdated return volume. 10 LOE- An Inventory Management Case Study Overview • An exploration of how trading partners may be able to better communicate (both internally and externally) in order to improve management of the typical LOE sales and return trends • Based upon an analysis of historical LOE events, the report identifies strategies a company can use with its trading partners to mitigate onhand inventory levels and reduce the volume of future expired product returns 11 LOE- An Inventory Management Case Study Overview • The report is solely focused on analyzing and developing successful strategies for fixed date LOE events • ‘At risk’ launches do not allow trading partners to prepare for and execute pre-launch activities aimed at proactively reducing and managing inventory levels 12 Any Surprise? 13 Questions We Hoped to Answer • Is a collaborative model between the manufacturer, distributor, and retailer possible? • Can an LOE event be managed and controlled by following a structured, well communicated plan? • Do data and findings support established assumptions and theories? 14 Background • Manufacturer and distributor members of the HDMA’s Returns Task Force, along with representatives of retail pharmacies provided subject matter expertise and / or data for the report • Kindler & Crimmins Associates (KCA) acted as the clearing house for the collection of data and information 15 Background • KCA compiled and analyzed the data and authored the report • Due to the sensitivity of the subject matter and the proprietary nature of the data and information provided – All data has been de-identified. – No participating companies are identified in this presentation or the final report. 16 Sources of Information • Manufacturers – LOE Product and Attribute Information – Sales and Return Data – Process Interview • Distributors – Sales and Return Data – Process Interview • Retailers – LOE Event Process Questionnaire – Process Interview 17 Why Retail Focused? • Inventory Management Agreements between manufacturers and distributors have successfully reduced inventories while providing increased visibility to distributor inventory • Most manufacturers and distributors have identified retail returns as the ‘black hole’ • Retail pharmacies (chain, mass, independent and food stores) represent approximately 55% of the pharmaceutical market share (2010 sales dollars)* * 2011-2012 HDMA Factbook, “Table 109 Pharmaceutical Sales by Customer Categories: 2009-2010”, 2011, Pg. 79. 18 Retail Process Information • Participating retailers were asked to complete an LOE Event Process Questionnaire • The responses detailed significant retailer handling variations that appear to have impacted product return rates • This information was extremely helpful in identifying successful practices that resulted in lower rates of returns 19 Retail Process: Prior to LOE Question Do you quantify, track and monitor inventory levels (value, days/weeks onhand) for brands facing future LOE? Response Yes- 3 retailers No- 3 retailers Do you communicate upcoming LOE events with pharmacies? Yes- All retailers If ‘yes’, how far in advance do you notify them? Less than one week prior- 1 retailer One month prior- 2 retailers More than one month prior- 1 retailer Supply/velocity based prior- 2 retailers If you warehouse branded pharmaceuticals, when do you begin reducing purchases for the branded item facing LOE? Discontinue prior to LOE- 1 retailer Supply/velocity dependent- 2 retailers One month prior- 1 retailer Not applicable- 2 retailers 20 Retail Process: Prior to LOE Question Do you manage, systematically limit or restrict replenishment for pharmacy purchases of brands facing LOE? For brands facing LOE that are located in automated dispensing machines, what specific steps, if any, do you take to manage this inventory? Do you have any discussions with manufacturer of branded item facing LOE? If ‘yes’, what information and data is requested and provided? Response Yes- 4 retailers No- 2 retailers Suggest removal from machines o No time specified- 1 retailer o Less than 1 month prior- 1 retailer o 1-2 months prior- 2 retailers Not applicable- 2 retailers Yes- 3 retailers No- 2 retailers Only if onhand is excessive- 1 retailer Return requested- 2 retailers Data analysis and sales program- 1 retailer No information- 3 retailers 21 Retail Process: Post LOE Question Do you communicate LOE events with pharmacies? If ‘yes’, what are your instructions or communications comprised of?* If you warehouse branded pharmaceuticals, do you accept pharmacy returns back to the warehouse? If you warehouse branded pharmaceuticals, when do you discontinue warehousing/distributing the branded item? * Response Yes- 6 retailers Monitor orders- 2 retailers Return / transfer excess inventory- 4 retailers Promote benefits of generic- 2 retailers Remove from automation- 1 retailer Yes- 4 retailers Not applicable- 2 retailers Discontinued prior to LOE- 1 retailer Once salable returns are sold through or all onhand becomes short-dated- 3 retailers Not applicable- 2 retailers Total is greater than 6 since retailers communicate multiple messages related to this topic. 22 Retail Process: Post LOE Question Are you able to return salable (full, sealed, pristine) product for brand impacted by LOE to your warehouse? Are you able to return salable (full, sealed, pristine) product for brand impacted by LOE to your wholesaler? If ‘yes’, are there any limitations? Response Yes- 4 retailers Are you able to return salable (full, sealed, pristine) product for brand impacted by LOE to the manufacturer? If ‘yes’, are there any limitations? Yes- 1 retailer o No limitations noted. No- 2 retailers Sometimes- 3 retailers o Dependent on situation Transfer internally- 3 retailers No transfer, hold until expired- 3 retailers How do you handle residual partial bottles for brands impacted by LOE? Yes- 6 retailers o Limitations based on product dating. 23 Retail Process: Post LOE Question Do you have an internal product redistribution program that could be used to handle residual inventory for brands impacted by LOE? Response Yes- 5 retailers No- 1 retailer Do you manage or restrict pharmacy purchases for brands impacted by LOE? Yes- 2 retailers No- 4 retailers Do you quantify, track and monitor inventory levels (value, days/weeks on-hand) for brands impacted by LOE? Do you have any discussions with manufacturer of branded item impacted by LOE? Yes- 6 retailers Yes- 2 retailers No- 2 retailers Only if onhand is excessive- 2 retailers If ‘yes’, what information is requested and provided? Return requested- 2 retailers Inventory information and return request- 1 retailer No information- 3 retailers 24 Data Analysis • Background for the LOE Event – Specific information for each product • Sales and Return Analysis – Illustrate the timing and pace of sales decline related to the LOE date – Establish the return baseline prior to LOE • Retailer Returns – Total Returns • Illustrate the total returns (raw dollars) for each participating retailer – Adjusted Returns • Illustrate the return rate, adjusted for company pharmacy sales, for each participating retailer 25 Product 1 Analysis Background information: • Manufacturer handling: – No inventory management plan • Generic competition: – Multisource immediately • Product dating at LOE: – ‘Normal’ dating- 18-24 months of shelf life 26 27 28 29 Product 2 Analysis Background information: • Manufacturer handling: – Basic inventory management plan • Generic competition: – Single source initially • Product dating at LOE: – ‘Long’ dating- 30+ months of shelf life 30 31 32 33 34 Product 3 Analysis Background information: • Manufacturer handling: – ‘Aggressive’ inventory management plan • Generic competition: – Single source initially • Product dating at LOE: – ‘Long’ dating- 30+ months of shelf life 35 36 37 38 39 Product 4 Analysis Background information: • Manufacturer handling: – ‘Aggressive’ inventory management plan • Generic competition: – Single source initially • Product dating at LOE: – ‘Long’ dating- 36+ months of shelf life 40 41 42 LOE Management ChallengesManufacturer • Retail sales data limitations • Lack of pharmacy level inventory information • LOE date is known, but not necessarily the entrance date of LOE competitors • Retailer identification of return data • Completeness of return information 43 LOE Management ChallengesDistributor • Completeness of purchase information • Completeness of return information • Evolution of data warehousing and reporting 44 LOE Management ChallengesRetailer • Pharmacy specific inventory may not be captured or available at the NDC level • Lot and expiration information is generally not captured or tracked at the pharmacy level • Lack of available data • There is a significant disparity in inventory productivity between pharmacies • Certain product attributes may limit ability to transfer excess inventory – DEA Scheduled products – Refrigerated products 45 LOE Management ChallengesAll Trading Partners Other Factors Impacting Conversion: – Single-source vs. Multi-source generic – Acute vs. Maintenance – Titrated and neurologic product 46 Project Findings Key elements in successful programs: – Planning – Communication – Measurement 47 Project Findings Planning – Planning should be initiated far in advance of the LOE event to create detailed handling plan – All affected internal departments and stakeholders should be involved. 48 Project Findings Communication – Internal communications to avoid departments working in silos and at cross-purposes – External communications to ensure that each trading partner is aware of the plans of the other trading partners – Includes the sharing of both information and data on a regular basis before, during and after the LOE event 49 Project Findings Measurement – Establish a baseline that all can agree upon. – Regularly measure progress and performance. – Allows trading partners to assess their respective performance against their plan. 50 Successful Management Illustration • Manufacturer informs distributor/retailer of LOE and relevant dates • Each trading partner holds internal meetings to develop handling plans • Distributor/retailer share inventory information and handling process with manufacturer • Replenishment orders closely monitored 51 Successful Management Illustration • Retailer communicates conversion and inventory information with manufacturer • Retailers utilize all available return and redistribution opportunities • Manufacturer works with distributor/retailer to address non-moving, residual inventory prior to product expiration 52 Other Manufacturer Approaches • Aggressive replenishment management prior to LOE – Inventory reduction – Potential out of stock situations • Shift of responsibility – Limit return liability through policy changes – Retailers bear burden – Does not reduce inventory or future return volume • Continued sales effort – Increased sale of branded inventory – Inventory and return impact not known at this time 53 Conclusion • Each LOE event has its own unique circumstances that must be considered • There is no ‘one size fits all’ approach that will work for every situation • Proactive planning and sharing of information is critical • Anticipate obstacles and challenges and adjust plans accordingly There is no silver bullet! 54 Closing • Questions? • Report copies will be available through HDMA • Contact Information: – Steve Kindler • 717-439-1954, skindler@kindler-crimmins.com – Ed Crimmins • 717-884-6128, ecrimmins@kindler-crimmins.com – Website • www.kindler-crimmins.com 55