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Prof. Claude Farrugia
Vice‐President Communications, EIPG
Is the storm over?
Malta, 2008
Is the storm over?
Malta, 2008
Is the storm over?
Malta, 2008
Drug Development is Riskyg p y
Drug Development is a Costly Businessg p y
Drug Development is Time‐Consuming
10‐15 years from start to launch
Just to put things in perspective…p g p p
The pharmaceutical pipelinep p p
Pharma
Innovation 
GapGap
The pharmaceutical pipelinep p p
Source: Evaluate Pharma, 2014
The pharmaceutical pipelinep p p
Pharma
Innovation 
GapGap
Is there still a patent cliff?p ff
Source: Accenture Research, August 2012, based on Evaluate Pharma
Biopharmaceuticals: a renaissancep
Biopharmaceuticals: a renaissancep
From pipeline to marketp p
Is Europe prepared to pay?
The European Union constantly considers cost‐
p p p p y
containment policies in public pharmaceutical 
spending.
 External reference pricing as a tool to control 
prices and set a parameter of expenditures.p ces a d se a pa a e e o e pe d u es.
 Rebates, clawback and payback policies.
I t l  f   i i   Internal reference pricing. 
The inclusion of the most recent medicinal 
products in reimbursement lists or government p g
formularies is sometimes inexplicably delayed.
Is Europe prepared to pay?
In Europe, generics make up almost one half of volume 
sales, but merely a fraction of value sales
p p p p y
, y f f
Is Europe prepared to pay?p p p p y
“Europe has unfortunately slipped in terms 
of its willingness to pay for innovation. … of its willingness to pay for innovation. … 
We’re now at a point where we have to take 
the view and I think face the reality that f y
really it’s about the U.S. and, excitingly 
anew, it’s about Japan in terms of where J p f
innovation should be driven.”
(Sir Andrew Witty, CEO GlaxoSmithKline, 2012)
Enter the pharmerging marketsp g g
Enter the pharmerging marketsp g g
Enter the pharmerging marketsp g g
Enter the pharmerging marketsp g g
All dAll Tier 1 and Tier 2
pharmerging markets
il lwere, until recently,
at risk or, at best, in
ieconomic recovery.
Enter the pharmerging marketsp g g
Enter the pharmerging marketsp g g
Pharmerging markets: the difference
“The danger of pushing the prices
g g ff
g f p g p
of prescription drugs down, down,
down is that at some point thep
business model of developing these
drugs will lose its attractiveness.
…… India is becoming very
reluctant to respect IP for Western
companies and that is becoming a
challenge for us.”
(Marijn Dekkers, CEO Bayer, 2012)
Pharmerging markets: the differenceg g ff
Source: GIPC International IP Index, January 2014
Pharmerging markets: the differenceg g ff
Pharmerging markets or players?g g p y
Global share of pharma exports
95
100
85
90
utical products
75
80
re of pharmaceu
65
70
ort market shar
Other Japan
55
60
Expo
Switzerland India
China USA
EU‐25
Source: Blanc, 2014
50
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013
Pharmerging markets or players?g g p y
Pharma exports from India (US $ Million)
Source: CARE Ratings, from USA Department of Commerce
Pharmerging markets or players?
Jugaad
g g p y
J g
Literally, an arrangement or
a workaround which has toa workaround, which has to
be used because of lack of
P i llresources. Practically, a
creative idea, a quick,
alternate way of solving or
fixing problems.g p
Pharmerging markets or players?g g p y
I th li it t j d?Is there a limit to jugaad?
2014: The Year of the M&Af
Source: Evaluate Pharma, 2014
2014: The Year of the M&Af
Shire / 
AbbVie Forest / 
GSK / 
Novartis
AbbVie
$m 54,000
Forest / 
Actavis
$m 25,000
$m 22,600
Ranbaxy / 
S
Valeant / 
Allergan
Pfizer / 
Merck / 
Bayer      
$m 14,200
Sun
$m 3,200
$m ?
Pfizer / 
AstraZeneca?
$m ?
Abbott / 
InterMune
/ Roche 
$m 8,300
Novartis / 
Eli Lill
Abbott / 
Mylan
$m 5,300
Source: Evaluate Pharma, 2014
$m 8,300Eli Lilly
$m 5,400
2014: The Year of the M&Af
Shire / 
AbbVieAbbVie
$m 54,000
Valeant / 
Allergan
Pfizer / 
Merck / 
Bayer      
$m 14,200
$m ?
Pfizer / 
AstraZeneca?
$m ?
Abbott / Abbott / 
Mylan
$m 5,300
Source: Evaluate Pharma, 2014
2014: The Year of the M&A
Enterprise 
value 
Enterprise 
value to 
Gross 
i
Profit 
M i
Sales to  Return on 
A
Return on 
invested 
GSA to 
l
f
value 
growth
value to 
sales
margin Margin assets Assets
invested 
capital
sales
Shire 45.2% 4.84 81.50% 40.09% 66% 26.46% 29.02% 47.07%
Abbvie 47.9% 4.72 75.77% 38.25% 67% 25.63% 22.45% 42.30%
Actavis 116.3% 4.38 45.46% 20.90% 47% 9.28% ‐5.33% 25.79%
F % % % % % % %Forest 216.1% 7.12 79.14% 16.59% 37% 6.14% 7.12% 71.07%
Valeant 101.8% 9.70 44.79% 40.59% 29% 10.15% ‐4.71% 26.03%
All % 8 6 % 6% 6 % % % 6%Allergan 49.2% 5.02 85.64% 34.76% 64% 22.25% 15.95% 55.06%
Pfizer 6.7% 3.90 72.90% 45.17% 25% 13.10% 10.39% 40.21%
AstraZeneca 18 7% 2 74 75 06% 34 39% 49% 16 85% 8 26% 51 03%AstraZeneca 18.7% 2.74 75.06% 34.39% 49% 16.85% 8.26% 51.03%
GSK 12.9% 3.46 69.07% 32.33% 63% 20.37% 25.32% 42.08%
Source: Pharm Exec Industry Audit
2014: The Year of the M&A
Enterprise 
value 
Enterprise 
value to 
Gross 
i
Profit 
M i
Sales to  Return on 
A
Return on 
invested 
GSA to 
l
f
value 
growth
value to 
sales
margin Margin assets Assets
invested 
capital
sales
Shire 45.2% 4.84 81.50% 40.09% 66% 26.46% 29.02% 47.07%
Abbvie 47.9% 4.72 75.77% 38.25% 67% 25.63% 22.45% 42.30%
Actavis 116.3% 4.38 45.46% 20.90% 47% 9.28% ‐5.33% 25.79%
F % % % % % % %
Indicators of present
d f t th
Operational metrics
Forest 216.1% 7.12 79.14% 16.59% 37% 6.14% 7.12% 71.07%
Valeant 101.8% 9.70 44.79% 40.59% 29% 10.15% ‐4.71% 26.03%
All % 8 6 % 6% 6 % % % 6%
and future growth
Allergan 49.2% 5.02 85.64% 34.76% 64% 22.25% 15.95% 55.06%
Pfizer 6.7% 3.90 72.90% 45.17% 25% 13.10% 10.39% 40.21%
AstraZeneca 18 7% 2 74 75 06% 34 39% 49% 16 85% 8 26% 51 03%AstraZeneca 18.7% 2.74 75.06% 34.39% 49% 16.85% 8.26% 51.03%
GSK 12.9% 3.46 69.07% 32.33% 63% 20.37% 25.32% 42.08%
Source: Pharm Exec Industry Audit
2014: The year of more layoffs?
Layoffs Gross  Profit  Sales to  Return on 
Return on 
GSA to 
y f y ff
Layoffs
2013
Gross 
margin
Profit 
Margin
Sales to 
assets
Return on 
Assets
invested 
capital
GSA to 
sales
Merck 8,500 63.75% 36.97% 42% 15.53% 6.31% 42.63%
AstraZeneca 5,050 75.06% 34.39% 49% 16.85% 8.26% 51.03%
Teva 5,000 52.71% 27.45% 41% 11.25% 3.77% 33.21%
Valeant 2,700 44.79% 40.59% 29% 10.15% ‐4.71% 26.03%
Novartis 1,025 63.05% 25.11% 48% 14.06% 11.19% 43.89%
Eli Lilly 1,000 78.76% 30.26% 66% 19.97% 22.25% 54.76%
Sanofi 840 57.59% 29.09% 34% 9.89% 5.49% 40.37%
Endo 700 60.28% 35.49% 40% 14.20% ‐14.78% 34.56%
Source: FiercePharma, Pharm Exec Industry Audit
The industrial pharmacist of the futurep f f
RenaissanceRework Ragnarökg
European Industrial Pharmacists Group

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