Out of Industry Case Study: What Business Models and Strategies are Generic Companies using in the Global Pharmaceutical Industry Dr. Brian W Tempest www.briantempest.com Crowne Plaza, Brussels, Belgium 23 November 2010 Hale & Tempest Dr Brian Tempest advises Companies, Banks, High Net Worth Individuals and Investment Funds on their Strategy in the Emerging World based on his wide experience in China, Japan, South East Asia and India where he has lived for the last decade. Brian has worked for Ranbaxy Laboratories since 1995 holding the position of Managing Director and Chief Executive Officer until 2005. He was then Chief Mentor and Non Executive Director until 2008. He is one of the few westerners to have led a Sensex Nifty 50 Indian blue Chip MNC and as a result has a valuable insight into India. Brian has also been Regional Director, Far East for Glaxo where he was responsible for businesses in Japan, China, Korea, and Taiwan. Brian has worked in the Pharmaceutical Industry for the last 39 years and led Healthcare businesses in North America, South America, Europe, Africa, Middle East, Asia and India. He has also led sessions at Investor Meetings across Asia, Europe and USA. He is now an International Advisor to MAPE – India, Religare -India and UNCTAD - Switzerland. In addition he is a member of the SCRIP Global awards panel. Brian speaks at global conferences on the Challenge from India and China and more information on these presentations can be found on his website www.briantempest.com. Brian has a PhD in Polymer Chemistry from Lancaster University and is a member of the Royal Society of Medicine, the Royal Society of Chemistry and is a Chartered Chemist. He is now Chairman of Hale & Tempest Co Ltd. Hale & Tempest Healthcare Pressures Forever Hale & Tempest Public Health Reform Forever Hale & Tempest Emerging World’s Perceived Economic Health Hale & Tempest Structural Change by the large discovery pharmaceutical companies Hale & Tempest Big Pharma - the R&D model is failing Hale & Tempest Approvals are becoming Difficult Source: Pharmatimes UK July-August 2010 Hale & Tempest Many Drugs withdrawn this Decade Source: Deutsche bank, FDA Hale & Tempest EC Surprise Anti Trust Raids 2008/9 1st - GSK, Astra Zeneca, Sanofi Aventis, Pfizer, Wyeth, Teva in January 2008 2nd – Teva , Servier, Kirka in November 2008 3rd – Sanofi Aventis France, Novartis France, Teva France in October 2009 4th – Lundbeck Italy, Teva UK in December 2009 Hale & Tempest Generic Exposure Hale & Tempest Sales Force Job Cuts in Press since 2009 H1 2010 Hale & Tempest 82% of the world population accounts for only 12% of the global pharma sales Region North America Europe Japan Pharma Sales $255 b $158 b $59 b 47% 30% 11% Population 332 725 128 88% Asia/Africa/Aus Latam $41 b $20 b 8% 4% 18% 4711 558 12% Worldwide Sources: 1. IMS Midas, March 2005 2. Earth Trend Data Tables 2005 $533 b 100% 5% 11% 2% 73% 9% 82% 6454 100% Hale & Tempest Emerging World Share of Pharma Growth source IMS Hale & Tempest Emerging World Share of Pharma Source EIU, OECD, WHO, IMS, Roland Berger Hale & Tempest Big Pharma & the Emerging World source IMS - BRIC, Mexico, Turkey, South Korea Hale & Tempest India Rankings Abbott now has 7000 reps & 7% Market Share Hale & Tempest Regional Operating Margins – Sanofi Hale & Tempest Regional Operating Margins - GSK Hale & Tempest A New World Order is Coming Hale & Tempest Business models by the generic pharmaceutical companies Hale & Tempest Different Global Generic Market Sizes $b Region Sandoz 2006 IMS 2008 USA 23 68 West Europe 14 19 East Europe 13 NA Japan 3 3 Latam/Canada 10 3 (Canada only) ROW 37 7 Total 100 100 Hale & Tempest Patent Expiries 2003-2013 (in 8 Markets) Hale & Tempest USA Generics Filings Source: Deutsche bank July 2010 Hale & Tempest USA - First to File Lawsuits Source RBC Capital Markets January 15 2010 Hale & Tempest USA - Litigation Success Rates Source RBC Capital Markets January 15 2010 Patent FTF Challenges on rise Success litigation rate at 48% - or 76% including deals with patent owner 3 courts hold 69% of cases with a 36% success rate e.g. NJ 4 courts never ruled against generics e.g. NY At risk launches on the rise – 6 in 2009 Teva has 12 of the 28 at risk launches – 2002/9 Settlements on the rise – 54 in 2009 Hale & Tempest USA Challenge – Size of Product Basket Source: Deutsche Bank Hale & Tempest Distributors moving into Generics UK Coop – the world’s largest consumer cooperative GBP£10b UK company running food stores, banks, insurance, funeral homes, travel agents, farms and pharmacies 3rd rank pharmacy chain in UK with 800 stores Owns UK pharmaceutical wholesaler Sants Opus Marketing JV with Day Lewis Pharmacy Chain offers 113 products under “Prospect” brand Tianjin Tasly Sants Manufacturing JV opens 2010/11 With Investment GBP£20m, 200 staff Hale & Tempest Generic Profit Margin Profile in descending order source: Deutsche Bank July 2010 Hale & Tempest Top 22 Generic Companies over $1b Source: Company Reports Generics Bulletin 28 May 2010 (excludes Apotex & Actavis Private Companies) Hale & Tempest Next18 Generic Companies < $1b Source: Company Reports Generics Bulletin 28 May 2010 (excludes Recalcine Private Company) Hale & Tempest The generic Indian Pharmaceutical industry – a success story Hale & Tempest Indian Generics have consistently outperformed USA Generics Hale & Tempest The Education Advantage Hale & Tempest Indian DMFs 62% April 2010 Hale & Tempest Indian Deals Roaring Ahead July 2010 Grant Thornton Deal Tracker Hale & Tempest FDA Approved Manufacturing Sites source FDA Hale & Tempest WHO Pre Qualified Products Hale & Tempest An Indian View Hale & Tempest Another Indian View Hale & Tempest To understand India , understand the promoter families McKinsey Quarterly 16 Jan 2010 Family ownership -often overlooked 1/3 of S&P500 index, 40% of top 250 Cos Fr/Ge <30% survive into the 3rd generation Survivors do better than their corporate peers Family Councils, Wealth Management Offices Every generation has a liquidity event Families renew their portfolios over time Hale & Tempest Will Biosimilars follow HIV Prices? source www.msfaccess.org Hale & Tempest Cipla - Washington Post Ad Hale & Tempest The Indian Drug Development Model Early discovery leads from US, Europe, Taiwan, Singapore Molecular optimisation from India Toxicology from China, Central Europe, Singapore Electronic Data Capture from India API Manufacture from India with Raw Materials from China Drug Formulation Manufacture from India, USA Phase 1 Clinical Trials from Europe Phase 2,3 heavy use of India Hale & Tempest Corporate back office from India India – Share of CRAMS Market Hale & Tempest Chinese ANDAs are Coming Hale & Tempest The Tempest Crystal Ball •Asia will become the Centre of Gravity for global business •Big Pharma will develop Emerging World Strategies, Generics Strategies, OTC Strategies, Vaccine Strategies, VC Strategies •Big Pharma will continue to be attracted to India for CT, EDC, MO. and to China for RM/Biology/Toxicology •Big Pharma will develop dual IP as well as dual pricing •Many Indian families are reviewing their family portfolios and will optimize their holdings. M&A will consequently expand further •In Commodity Generics risks and competition will rise further. Branded Generics will continue to be very attractive Hale & Tempest •Monoclonals will be the next generic wave from India Thank You brian.tempest@clara.co.uk www.briantempest.com Hale & Tempest