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Opportunities and Challenges for Bioequivalent Generic Drugs in Brazil


Description: THE BRAZILIAN GENERIC MARKET IN CONTEXT

A number of products are due to lose their patent protection between 2007 and 2012, bringing market opportunities worth US$307.2 million to the generics sector. Key products affected include Plavix in 2007, Mercilon in 2009 and Viagra and Lipitor, both in 2011. At manufacturers’ prices, their respective sales stood at US$41.1 million, US$58.3 million, US$73.1 million and US$53.4 million in 2005.

Furthermore, in March 2007, ANVISA authorised the registration of generic alternatives to oral contraceptives and endogenous hormones. This sector was valued at US$481 million in 2006 and generic producers are expected to account for 60% by 2012. The leading producers, including Medley, EMS-Sigma Pharma and Eurofarma, have indicated that they will enter this market.

Meeting the challenge of AIDS

Since 1996, antiretrovirals have been provided free of charge to HIV/AIDS patients. The cost per patient fell from R$8,500 (US$4,574) in 1999 to R$3,400 (US$1,162) in 2004, but rose to US$2,500 in 2005. Costs remain high as imported antiretrovirals represent between 80% and 85% of the national AIDS programme’s expenditure. According to the Ministry of Health, public domestic manufacturers produce eight of the 17 antiretrovirals used.

Brazil can issue compulsory licences and allow local generic production of imported antiretrovirals. So far, it has negotiated drug price reductions and encouraged local production under licence. However, the rising number of patients, increasing levels of drug resistance, rising costs, the lack of systematic surveillance of HIV prevalence and high-risk behaviour might still be a threat.

Domestic producers dominate…for now?

There were 66 producers with registrations of generic medicines in 2006, but the four leading producers, which are indigenous, controlled over 80% of the sector. Medley and EMS were the leaders, with a combined 65% market share, followed by Eurofarma and Aché. Mergers & acquisitions will continue to consolidate the Brazilian generics market.

Local producers dominate with low prices and increasing production capabilities. They also have the local know-how to deal with bureaucracy and the government favours them. With the global generics markets consolidating into ever bigger groups, markets such as Brazil are increasingly under scrutiny from large generic corporates. All – with the exception of Teva – have some presence or alliance in Brazil, but it is probably only a question of time before the domination of the market by local companies changes.

The prescribing challenge.

If the generics market is to reach its full potential then it will have to tackle the prescribing habits of a great number of doctors who continue to prescribe branded products. Prescription of generic medicines is still low, representing 15.8% of the total in 2006, compared to 15.2% in 2005 or 11.8% in 2002. For some specific substances, however, generic medicines have achieved high prescription levels, for instance omeprazole (88%), cephalexin (77%) and fluconazole (65%). Using generics, consumers saved about US$2.2 billion in 2006.

Domestic producers of generic pharmaceuticals evaluated in the report:
- Aché-Biosintética
- Americano (FARMASA)
- Arrow (Erowlabs)
- Brainfarma
- Cimed
- Cristália
- EMS-Sigma Pharma
- Eurofarma
- Hipolabor
- LAFEPE
- Medley
- Neo Química
- Prati, Donaduzzi
- Teuto
- União Química

Foreign producers of generic pharmaceuticals evaluated in the report:
- Abbott
- Apotex
- Mepha-ratiopharm
- Merck
- Ranbaxy
- Sandoz

The report answers key questions such as:

- What is the estimated value of the bioequivalent generic market now and in 2012?
- What is the current regulatory situation for bioequivalent generics and how might it change?
- What are the opportunities for international players looking to expand operations in Brazil?
- How many products have just a single producer of a bioequivalent generic? What are they and which company is currently producing?
- What key educational challenges must the industry overcome if it is to see the wider adoption of generics throughout the country.

About the Author:

This report has been written by Ricardo Vicente. Ricardo has over 5 years market analysis experience in pharmaceuticals. Among his recent studies are:

- The Latin American Market for Generic Drugs
- The Outlook for Pharmaceuticals in Latin America to 2011


Contents: FOREWORD

EXECUTIVE SUMMARY

REGULATORY ENVIRONMENT OF GENERIC MEDICINES IN BRAZIL

Regulation of Generic Medicines
Regulation of Similar Medicines
Future Regulation of Biosimilar Medicines
Registration of Generic Medicines
How to Register Generic Medicines
Centres to Perform Bioquivalence Studies
Registrations of Generic Medicines
Marketing Authorisations of Generic Medicines
Labelling & Packaging of Generic Medicines
Proposal to Include the Reference Drug Name
Indian Producer Targeting Packaging of Generic Medicines
Patent Protection & Intellectual Property Rights
Lobbying Against Patent Extensions in the Pipeline System
Deal Agreed to Reduce the Price of Abbott’s Kaletra
Pricing Policies
Implications for the Industry
Excessive Taxes on Drugs
New Drug Discounts in the Public Sector
Pricing of Generic Medicines

OVERVIEW OF THE GENERICS MARKET IN LATIN AMERICA

OVERVIEW OF THE PHARMACEUTICAL MARKET IN BRAZIL

MARKET FOR GENERIC MEDICINES IN BRAZIL

Sales of Generic Medicines in the Pharmacy Sector
Market Projections for Generic Medicines
Market Outlook for Generic Medicines
Production of Oral Generic Contraceptives & Hormones
More Uniform Market Penetration Across all the Regions
Unsustainable Reliance on Original HIV/AIDS Medicines
Foreign Generic Producers Squashed by Local Competition
Sales Strategies Devised by Producers of Generic Medicines
Potential Government Production of Bioequivalent Generic Medicines
Original Drugs with Patents Close to Expiry
Challenges in the Public Sector
Teva’s Acquisition Possibilities in Brazil
Generics, High Cost Savings but Low Prescription Levels
Domestic Production of Generic Medicines
Pólo Farmoquímico de Goiás
Investments Undertaken by Producers of Generic Medicines
Relevant Trade Associations
ALANAC
ALFOB
Pró-Genéricos

DOMESTIC PRODUCERS OF GENERIC MEDICINES IN BRAZIL

Aché
Product Portfolio
Biosintetica’s Product Portfolio
Financial Indicators
Biosintética’s Financial Indicators
R&D
Manufacturing Capabilities
Biosintética’s Manufacturing Capabilities
Contact Details
Americano de Farmacoterapia (FARMASA)
Product Portfolio
Financial Indicators
R&D
Manufacturing Capabilities
Contact Details
Arrow (Erowlabs)
Product Portfolio
Manufacturing Capabilities
Contact Details
Brainfarma
Product Portfolio
Financial Indicators
Manufacturing Capabilities
Contact Details
Cimed
Product Portfolio
Financial Indicators
R&D
Manufacturing Capabilities
Distribution Facilities
Contact Details
Cristália
Product Portfolio
Financial Indicators
R&D
Manufacturing Capabilities
Contact Details
EMS Sigma Pharma
Product Portfolio
Financial Indicators
R&D
Manufacturing Capabilities
Contact Details
Eurofarma
Product Portfolio
Financial Indicators
R&D
Manufacturing Capabilities
Contact Details
Hipolabor
Product Portfolio
Manufacturing Capabilities
Contact Details

LAFEPE

Product Portfolio
Financial Indicators
Manufacturing Capabilities
Contact Details
Medley
Product Portfolio
Extended Exclusivity Deal with Abbott
International Agreements
Financial Indicators
Manufacturing Capabilities
Contact Details
Neo Química
Product Portfolio
Financial Indicators
R&D
Manufacturing Capabilities
Distribution Facilities
Contact Details
Prati, Donaduzzi
Product Portfolio
Manufacturing Capabilities
Contact Details
Teuto
Product Portfolio
Financial Indicators
Manufacturing Capabilities
Contact Details
União Química
Product Portfolio
Financial Indicators
Manufacturing Capabilities
Contact Details

MULTINATIONAL PRODUCERS OF GENERIC MEDICINES IN BRAZIL

Abbott
Product Portfolio
Manufacturing Capabilities
Contact Details
Apotex
Product Portfolio
Contact Details
Mepha - ratiopharm
Product Portfolio
Financial Indicators
Planned Manufacturing Capabilities
Contact Details
Merck KGaA
Product Portfolio
Financial Indicators
Production Capabilities
Contact Details
Ranbaxy
Product Portfolio
Financial Indicators
Manufacturing Capabilities
Contact Details
Sandoz
Product Portfolio
Financial Indicators
Production Capabilities
Contact Details

KEY NATIONAL DATA PROJECTIONS

APPENDICES

DIRECTORY

Government Organisations
Producers of Generic Medicines
Trade Associations

List of Tables

National Bioequivalence Centres Authorised by ANVISA, 2007
International Bioequivalence Centres Authorised by ANVISA, 2007
Active Ingredients, Registrations & Presentations of Generic Medicines, 2000-2006
Cumulative Active Ingredients, Registrations & Presentations of Generics, 2000-2006
Registrations of Generic Medicines by Product Type, 2006
Registrations of Generic Medicines by Product Type, 2006 (%)
Registrations of Generic Medicines by Origin, 2006
Registrations of Generic Medicines by Producer, 2006
Original Drugs with the Highest Number of Generic Registrations, January 2007
Producers with Generic Registrations of Leading Original Drugs, January 2007
Marketing Authorisations of Generic Medicines by Producer, July 2006
Registrations & Marketing Authorisations of Generics by Producer, 2006
Drugs with the Highest Number of Generics Marketing Authorisations, July 2006
Producers with Generic Marketing Authorisations to Leading Drugs, July 2006
Marketed Active Ingredients, Registrations & Presentations of Generics, 2005
Marketed Generic Medicines by Origin, July 2005
Drug Price Adjustments, 2003-2006 (%)
Pharmacy & Generics Sales by Leading Latin American Country, 2006 (US$ Million)
Pharmacy & Generics Sales by Leading Latin American Country, 2006 (%)
Pharmacy & Generics Sales by Leading Latin American Country, 2006 (Million Units)
Pharmacy & Generics Sales by Leading Latin American Country, 2006 (%)
Summary of the Brazilian Pharmaceutical Market, 2007
Brazilian Pharmaceutical Market by Value & Volume, 1997-2006
Brazilian Pharmacy Sector by Value & Volume, 2003-2006
Brazilian Pharmacy Sector by Value, 1997-2005
Pharmacy Sales of Generic Medicines by Value, 2000-2006
Pharmacy Sales of Generic Medicines by Leading Producer, 2006
Pharmacy Sales of Generic Medicines by Origin, 2006 (%)
Pharmacy Sales of Generic Medicines by Volume, 2000-2006
Sales of Generic Medicines by Month as % of the Pharmacy Sector, 2005-2006
Generics Market Projections, 2007-2012
Generics & Total Pharmaceutical Market Projections, 2007-2012 (US$ billion)
Original Drugs with Patent Close to Expiry, 2006-2013
SWOT Analysis of the Market of Generic Medicines, 2007
Workforce by Leading Producers of Generic Pharmaceuticals in Goiás
Members of ALANAC, 2006
Members of ALFOB, 2006
Pró-Genéricos’ Members, 2007
Aché’s Leading Products by Therapeutic Area, 2005
Aché & Biosintética’s Therapeutic/Product Areas, 2005
Biosintética’s Registrations & Marketing Authorisations of Generic Medicines, 2006
Aché’s & Biosintética’s Gross Revenues by Therapeutic Areas, 2005
Biosintética’s Sales, 2001-2004
Biosintética’s Pharmaceutical Sales by Therapeutic Areas, 2004
Americano’s Registrations & Marketing Authorisations of Generic Medicines, 2007
Erowlabs’ Registrations & Marketing Authorisations of Generic Medicines, 2007
Brainfarma’s Registrations & Marketing Authorisations of Generic Medicines, 2006
Cimed’s Registrations of Generic Medicines, January 2007
Cristália’s Business Units, 2006
Cristália’s Registrations & Marketing Authorisations of Generic Medicines, 2006
EMS’ Generics Registrations & Marketing Authorisations by Division, 2006
EMS’ Registrations & Marketing Authorisations of Generic Medicines, 2007
EMS’ Sales by Division, 2006
Eurofarma’s Generic Medicines, 2005
Eurofarma’s Pharmaceutical & Generic Sales, 2004-2007
Hipolabor’s Registrations & Marketing Authorisations of Generic Medicines, 2006
LAFEPE’s Product Lines, 2007
Medley’s Registrations & Marketing Authorisations of Generic Medicines, 2007
Medley’s International Agreements, 1992-2005
Neo Química’s Registrations & Marketing Authorisations of Generic Medicines, 2007
Prati, Donaduzzi’s Registrations & Marketing Authorisations of Generics, 2007
Teuto’s Registrations & Marketing Authorisations of Generic Medicines, 2007
U. Química’s Registrations & Marketing Authorisations of Generic Medicines, 2007
Abbott’s Registrations & Marketing Authorisations of Generic Medicines, 2007
Apotex’s Registrations & Marketing Authorisations of Generic Medicines, 2007
Mepha’s Registrations & Marketing Authorisations of Generic Medicines, 2006
Merck’s Registrations & Marketing Authorisations of Generic Medicines, 2007
Ranbaxy’s Presentations of Generic Medicines, 2007 .125
Novartis’ (Sandoz) Registrations & Marketing Authorisations of Generics, 2006
Sandoz’s (Hexal) Registrations & Marketing Authorisations of Generics, 2006
Key Data, 2007-2012
Registrations of Generic Medicines by Active Ingredient, January 2007
Marketing Authorisations of Generic Medicines by Active Ingredient, July 2006

List of Figures

Bioquivalent Studies, 2002-2005
Cumulative Active Ingredients, Registrations & Presentations of Generics, 2000-2006
Cumulative Registrations of Generic Medicines by Therapeutic Area, 2006 (%)
Registrations of Generic Medicines by Product Type, 2006
Registrations of Generic Medicines by Foreign Origin, 2006
Registrations of Generic Medicines by the 20 Leading Producers, 2006
Marketing Authorisations of Generic Medicines by Leading Producers, July 2006
Registrations & Marketing Authorisations of Generics by Leading Producers, 2006
Registrations & Marketing Authorisations of Generics by Leading Producers, 2006 (%)
Pharmacy & Generics Sales by Leading Latin American Country, 2006 (US$ Million)
Pharmacy & Generics Sales by Leading Latin American Country, 2006 (%)
Pharmacy & Generics Sales by Leading Latin American Country, 2006 (Million Units)
Pharmacy & Generics Sales by Leading Latin American Country, 2006 (%)
Brazilian Pharmaceutical Market by Value, 1997-2006
Change in the Brazilian Pharmaceutical Market by Value & Volume, 1997-2006
Brazilian Pharmacy Sector by Value & Volume, 2003-2006
Pharmacy Sales of Generic Medicines by Value, 2000-2006
Pharmacy Sales of Generic Medicines by Volume, 2000-2006
Sales of Generic Medicines by Month as Percentage of the Pharmacy Sector, 2006
Generics & Total Pharmaceutical Market Projections, 2007-2012 (US$ Billion)
Pharmacy Sales of Oral Contraceptives & Hormones, 2006 (%)
Generics by Region as % of the Pharmacy Sector by Volume, Jan–June 2006
Generics Sales by Volume & Region, Jan–June 2006 (%)
Estimated Federal Pharmaceutical Expenditure, 2002-2007
Prescriptions of Generic Medicines, 2002-2006 (%)
Cost Savings by Using Generic Medicines, 2001-2006 (US$ Million)
Producers of Generic Pharmaceuticals in Goiás PharmaChemical Cluster, 2006

OPPORTUNITIES & CHALLENGES FOR GENERICS IN BRAZIL

R&D Investments in the Market of Generic Medicines by Type, 1999-2004 (%)
Aché’s Gross Revenues, 2001-2005 (US$ Million)
Biosintética’s Sales, 2001-2004
Cimed’s Sales, 2004-2007
Eurofarma’s Generics Sales as Percentage of Total Sales, 2004-2007
Ranbaxy’s Sales, 2003-2006
Sandoz’s Sales, 2003-2006


Summary: An expanding market, a growing population, a regulatory regime supportive of the generics sector, robust domestic production and many untapped opportunities. Is Brazil the place for generic companies to be?

The world’s major emerging economies are attracting much investment and interest. Brazil is not least among them, and it is easy to see why with a population of 189 million and a GDP of US$978 billion in 2007.

But there are particular attractions for the producers of generic pharmaceuticals. For years the “generic” market was little more than a series of copycat products, similar to the branded product but not necessarily bioequivalent. Under increasing pressure from industry to respect patents, and with one eye on the need to cost effectively meet the growing health needs, the Brazilian authorities have led the way in the region in creating a market for truly bioequivalent generic drugs which now ranks in the top ten worldwide.

The generics market, already in a strong growth phase, is well placed to continue its future expansion. The generic production of oral contraceptives and endogenous hormones was approved in March 2007, a number of leading brands are due to lose their patent protection over the next 5 years and the use of generic drugs is expected to grow as price pressures bite.

But who are the leading players and what are their strengths? What barriers to market entry exist? What routes to market are favourable? What will be the operating and regulatory environment for companies? The answers to these and many other questions can be found in this new 200-page management report Opportunities and Challenges for Bioequivalent Generic Drugs in Brazil (Published April 2007).
Key areas addressed:

- 5-Year market forecast to 2012
- The generics market in context
- Review of the product registration procedure
- Pricing issues and reimbursement
- Political, legal and economic assessment
- Insightful review of 20 major domestic and foreign players in the market
- Detailed product registration data. Who produces what?

Includes much information not available in English elsewhere!


Companies Mentioned - Aché-Biosintética - Americano (FARMASA) - Arrow (Erowlabs) - Brainfarma - Cimed - Cristália - EMS-Sigma Pharma - Eurofarma - Hipolabor - LAFEPE - Medley - Neo Química - Prati, Donaduzzi - Teuto - União Química - Abbott - Apotex - Mepha-ratiopharm - Merck - Ranbaxy - Sandoz


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