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Belarus Pharmaceuticals and Healthcare Report Q4 2009

Business Monitor International, October 2009, Pages: 60

The Belarus Pharmaceuticals and Healthcare Report provides industry professionals and strategists, corporate analysts, pharmaceutical associations, government departments and regulatory bodies with independent forecasts and competitive intelligence on Belarus' pharmaceuticals and healthcare industry.

A brief recession and the devaluation of the local currency have demonstrated that Belarus has not been able to escape the global economic crisis, although sheer lack of integration into the global financial system has done much to blunt its impact. According to BMI, the country’s pharmaceutical sector is forecast to deliver a five-year compound annual growth rate (CAGR) of 6.47% through to 2013 in US dollar terms (10.75% in local currency terms), with total market value in final consumer prices set to reach US$869mn. At the same time, the market will not see US dollar growth return until 2011, when the market is expected to resume its previous double-digit growth.

Relations with Russia remain central to overall strength of the Belarusian economy. After a damaging trade row in July, President Alexander Lukashenko has been eager to push for the implementation of the Customs Union between the two countries from January 2010, with Kazakhstan also committed to join. In terms of competitiveness, the devaluation of the Belarusian ruble helps domestic companies match production costs in Russian and Kazakhstan. In addition, producers and companies in all three regions face similar increases in active pharmaceutical ingredient (API) costs, as much of these are imported from China and denominated in dollars. The union is meant to also negotiate as a bloc for the three countries to enter the WTO, although membership for Belarus appears extremely unlikely in the near term.

The market remains under the influence of the pricing freeze agreed between producers and the government in June. The move followed the 25% fall in the value of the ruble against the euro in late 2008/early 2009. Companies are now required to obtain permission from the Ministry of Public Health before raising prices, while wholesalers and retailers have to apply minimal mark-ups. Still, BMI sees real prices continuing to move upwards as wholesalers and retailers seek to survive in difficult economic conditions.

Local producers must calculate how to balance the short-term impact of the recession with the threats and opportunities offered by the Customs Union if it becomes reality in a few months, which is by no means certain. Big producers such as Bebliopharm’s sales match the pace of market growth in recent years, large Russian producers in particular will be challenging many of their core product lines – although even with a Customs Union, few believe that the Belarusian government will remove non-tariff discrimination. Thorny issues with Russia remain. In particular, the government has resisted applying rules giving Russian pharmaceutical firms equal access to state tenders. In July, the government introduced new rules aimed to introduce preferential treatment for domestic producers, reversing liberalising measures introduced in April. Despite government rhetoric, liberalisation within the Customs Unit and integration within the broader global pharmaceutical market look a long way off.

EXECUTIVE SUMMARY

SWOT ANALYSIS
Belarus Pharmaceuticals And Healthcare Industry SWOT
Belarus Political SWOT
Belarus Economic SWOT
Belarus Business Environment SWOT

PHARMACEUTICAL BUSINESS ENVIRONMENT RATINGS
Table: Central And Eastern Europe Pharmaceutical Business Environment Ratings For Q409
Limits To Potential Returns
Risks To Realisation Of Returns

MARKET SUMMARY

REGULATORY REGIME
Counterfeit Drugs
Intellectual Property Rights
Pricing And Reimbursement

INDUSTRY DEVELOPMENTS
Epidemiology
Table: Disease Burden In Central And Eastern Europe, DALYs Lost Per 100,000 Population
Healthcare Sector

INDUSTRY FORECAST SCENARIO
Overall Market Forecast
Table: Belarus Drug Market Expenditure, 2004-2013
Key Growth Factors – Industry
Table: Belarus Health Expenditure, 2004-2013
Key Growth Factors – Macroeconomic
Table: Belarus Economic Activity, 2006 – 2013
Prescription Drug Market Forecast
Table: Belarus Prescription Drug Market, 2004-2013 (BYRmn unless otherwise stated)
Table: Top 10 ATC Level 2 Codes In Belarus By Pharmacy Sales, 2007-2008
Table: Top 10 ATC Level 2 Codes In Belarus By Hospital Sales, 2007-2008
Patented Drug Market Forecast
Table: Belarus Patented Drug Market, 2004-2013
Generic Drug Market Forecast
Table: Belarus’s Generic Drug Market, 2004-2013
OTC Drug Market Forecast
Table: Belarus OTC Market, 2004-2013 (BYR mn unless otherwise stated)
Pharmaceutical Export/Import Forecast
Table: Belarus Pharmaceutical Trade Balance, 2004-2013 (US$mn)
Other Healthcare Data Forecasts
Table: Belarus Other Health Indicators, 2004-2013
Key Risks to BMI’s Forecasts

COMPETITIVE LANDSCAPE
Table: The Top 10 Drugmakers In Belarus In 2008 By Pharmacy Sales
Table: The Top 10 Drugmakers In Belarus In 2008 By Hospital Sales
Table: The Top 10 Trade Names In Belarus By Pharmacy Sales, 2008
Domestic Drugmakers
Foreign Drugmakers
Pharmaceutical Wholesale And Retail
Research And Development

COMPANY PROFILES
Belbiopharm
Lekpharm

COUNTRY SNAPSHOT: BELARUS DEMOGRAPHIC DATA
Section 1: Population
Table: Demographic Indicators, 2005-2030
Table: Rural/Urban Breakdown, 2005-2030
Section 2: Education And Healthcare
Table: Education, 2000-2005
Table: Vital Statistics, 2005-2030
Section 3: Labour Market And Spending Power
Table: Employment Indicators, 2001-2006
Table: Consumer Expenditure, 2000-2012 (US$)
Table: Average Annual Wages, 2005-2009

METHODOLOGY
How We Generate Our Pharmaceutical Industry Forecasts
Pharmaceutical Business Environment Ratings Methodology
Ratings Overview
Table: Pharmaceutical Business Environment Indicators
Weighting
Table: Weighting Of Components
Sources

- Belbiopharm
- Lekpharm

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