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Overview of Healthcare Industry in India

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    Growth of Life science sector inIndia

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    The Life science Industry -- Global View

    y The modern life science industry is a highly competitive non -assembled

    global industry

    y A host of modern life science companies all started out as Rhine-based

    family dyestuff and chemical companies e.g. Hoffman-La Roche, Sandoz,Ciba-Geigy (the product of a merger between Ciba and Geigy),Novartis etc.

    Most are still going strong today.

    y Over time many of these chemical companies moved into the production

    of pharmaceuticals and other synthetic chemicals and they graduallyevolved into global players

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    The Pharmaceutical Industry -- Global View

    1940s -- The introduction and success of penicillin and other innovative

    drugs institutionalized research and development (R&D) efforts in

    the industry.

    1960s -- The industry expanded rapidly being benefitted by the success of

    penicillin and other innovations from new discoveries. During this

    period healthcare spending boomed as global economies

    prospered

    1970s -- The industry witnessed major developments with the introductionof tighter regulatory controls, especially with the introduction of

    regulations governing the manufacture of generics.

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    The Pharmaceutical Industry -- Global View

    Governed by Govt. regulationslike IPP with product patentrecognition

    Result-Greater stability involume & prices like UnitedStates

    Regulated

    Lower entry barriers in terms ofregulatory requirements

    Unregulated market highly

    competitive

    Un-regulated /

    Semi-regulated

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    The Future Trends in Global Pharmaceutical Industry

    y The global pharmaceutical companies till 2012 will be closely regulated by

    emerging issues like patent safety, side effects, adverse action reporting,

    strengthening harmonization and regulations and stronger clinical

    evidence.

    y

    There will be shift in growth from top ten markets to the emergingeconomies. Also the global pharmaceutical market will change its shape

    from primary care driven to specialty care driven that is oncology and

    biotech.

    y The global pharmaceutical industry will take a shape of virtually integrated

    pharmaceutical company.

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    Top Ten Pharmaceutical Companies by Worldwide Sales (2008-2009)

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    Sales (US$ billion)

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    The Indian Pharmaceutical Industry Classification

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    SECTORS

    ORGANIZED

    INDIANCOMPANIES

    MNCs

    UNORGANIZED

    330 organized playerscontribute to 70% of totalsales.

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    The Indian Pharmaceutical Industry Facts & Figures

    Globally, India is

    y 4th in terms of volume (8% of world's production)

    y 13th in terms of value

    y Manufactures over 400 bulk drugs & 60,000 formulations

    y Highly fragmented with 30,000 players

    y 330 companies holds 70% of the market share

    y Witnessing a growth rate of about 10% over the last few years.

    y Domestic consumption 57% Export revenues 43%.

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    The Indian Pharmaceutical Industry

    y The Indian pharmaceutical industry traditionally relied on reverse

    engineering i.e. product copying, through which vast profits were

    made.

    y In recent years, however, the larger domestic companies have

    realised the need to undertake original research and / or penetrate

    into the regulated generics markets in the USA/EU in order to

    survive in the global market.

    y At the same time, the Indian pharmaceutical industry is renowned

    for supplying affordable generic versions of patented drugs for

    illnesses like HIV/AIDS to some of the worlds poorest countries

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    Classification - II

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    PRODUCTMANUFACTURED

    BULK DRUGS

    Ingredients forming raw

    material for formulations

    Share-19%

    FORMULATIONS

    Mixture or combination

    of bulk drugs

    Share-81%

    PRESCRIPTION MEDICINES

    (ethical formulations)

    OVERTHE

    COUNTERMEDICINES

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    Top Ten Indian Pharmaceutical Companies by Sales 2008-2009

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    Company Sales (INR / Billions)

    Ranbaxy Rs 251.96 billion

    Dr.Reddys Laboratories Rs 41.622 billion

    Cipla Rs 37.637 billion

    Sun Pharmaceuticals Rs 24.635 billion

    Lupin Labs Rs 22.155 billion

    Aurobindo Rs 20.801 billion

    GlaxoSmithKline Rs 17.734 billion

    Cadila Healthcare Rs 16.13 billionAventis Pharma (Rs 9.838 billion)

    Ipca Laboratories (Rs 9.804 billion),

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    Indian Pharmaceutical Industry

    A SWOT ANALYSIS

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    STRENGHTS

    India with a population of over a billion is a largely untapped market. In

    fact the penetration of modern medicine is less than 30% in India. To put

    things in perspective, per capita expenditure on health care in India is US$

    93 while the same for countries like Brazil is US$ 453 and Malaysia US$189.

    The growth of middle class in the country has resulted in fast changinglifestyles in urban and to some extent rural centres. This opens a huge

    market for lifestyle drugs, which has a very low contribution in the Indian

    markets .Indian manufacturers are one of the lowest cost producers of

    drugs in the world. With a scalable labour force, Indian manufactures can

    produce drugs at 40% to 50% of the cost to the rest of the world. In some

    cases, this cost is as low as 90%.

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    STRENGHTS

    y The fact that despite the low level of unit labour costs India boasts a highly

    skilled workforce has enabled the country's pharmaceutical industry at a

    relatively early stage to offer quality products at competitive prices. Each

    year, roughly 115,000 chemists graduate from Indian universities with a

    masters degree and roughly 12,000 with a PhD.4 The corresponding

    figures for Germany just fewer than 3,000 and 1,500, respectively are

    considerably lower.

    y Indian pharmaceutical industry possesses excellent chemistry and process

    reengineering skills. This adds to the competitive advantage of the Indian

    companies. The strength in chemistry skill helps Indian companies to

    develop processes, which are cost effective.

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    WEAKNESS

    y The Indian pharmaceutical companies are marred by the price regulation.

    Over a period of time, this regulation has reduced the pricing ability of

    companies. The NPPA (National Pharmaceutical Pricing Authority), which is

    the authority to decide the various pricing parameters, sets prices of

    different drugs, which leads to lower profitability for the companies. The

    companies, which are lowest cost producers, are at advantage while those

    who cannot produce have either to stop production or bear losses.

    y Indian pharma market is one of the least penetrated in the world.

    However, growth has been slow to come by. As a result, Indian majors are

    relying on exports for growth. To put things in to perspective, Indiaaccounts for almost 16% of the world population while the total size of

    industry is just 1% of the global pharma industry.

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    OPPORTUNITIES

    y Large number of drugs going off-patent in Europe and in the US between2005 to 2009 offers a big opportunity for the Indian companies to capture

    this market. Since generic drugs are commodities by nature, Indian

    producers have the competitive advantage, as they are the lowest cost

    producers of drugs in the world.

    y Opening up of health insurance sector and the expected growth in per

    capita income are key growth drivers from a long-term perspective. This

    leads to the expansion of healthcare industry of which pharma industry is

    an integral part.

    y Being the lowest cost producer combined with FDA approved plants; Indian

    companies can become a global outsourcing hub for pharmaceuticalproducts.

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    THREATS

    y Threats from other low cost countries like China and Israel exist. However,on the quality front, India is better placed relative to China. So,

    differentiation in the contract manufacturing side may wane

    y The short-term threat for the pharma industry is the uncertainty regarding

    the implementation of VAT. Though this is likely to have a negative impactin the short-term, the implications over the long-term are positive for the

    industry.

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    THANK YOU

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