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24   PHARMACEUTICAL EXECUTIVE




     GROWTH
     BOTTOM
                          from the




     By Patrick Clinton and Jerry Cacciotti of Oliver Wyman
                                                                   Up                                      MORE CONSOLIDATION DIDN’T
                                                                                                           BOOST SALES AT THE TOP, BUT A
                                                                                                           HANDFUL OF NIMBLE NEWCOMERS
                                                                                                           POSTED IMPRESSIVE GROWTH ON
                                                                                                           THE OTHER END OF THE CURVE




                                                                                                    had sales of at least $2 billion. This year, the smallest,
                                                                                                      Aspen, had sales of $1.66 billion. The drop is even
                                                                                                        steeper when you look at revenue as a percentage
                                                                                                         of the total revenues of the whole Pharm Exec 50.
                                                                                                          Last year’s smallest company accounted for 0.4 per-
                                                                                                          cent of the total revenue of all 50 companies in the
                                                                                                          ranking. This year, the equivalent fi gure was 0.2
                                                                                                          percent—only half as big a percentage. By way of
                                                                                                         comparison, in 2004, the fi rst year when all 50 com-
                                                                                                        panies had sales of more than $1 billion, the smallest
                                                                                                       company accounted for 0.3 percent of the revenue of
                                                                                                     the 50.
                                                                                                      New additions include a reincarnated Valeant (44),
                                                                                                  formed when Biovail—Canada’s largest publicly held
                                                                                                  pharma, a specialist in CNS drugs and delivery—pur-
                                                                                                  chased the American firm for $3.3 billion, adopting



     T
          his year’s Pharm Exec 50 shows an industry whose                                        its name and putting Valeant CEO Michael Pearson in
          growth has slowed to a crawl in the face of patent ex-                                  charge of the combined operation. Endo Pharmaceuti-
          pirations, aggressive payers, and a tough environment                                   cals (45) is currently in the process of “reinventing” itself
     for approvals. The 50 this year sold $610 billion in human                                   with a new business model and name (Endo Health Solu-
     prescription pharmaceuticals, up just 2.8 percent from last                                  tions); the company grew its branded and prescription
     year’s $593 billion. The top 10 grew even more slowly—by                                     pharmaceutical business by 38 percent in 2011. Grifols,
     just 2.6 percent—and accounted for 59 percent of the 50’s                                    the Spanish manufacturer of plasma fractionation prod-
     total sales, just like last year.                                                            ucts (47), grew revenues by more than 80 percent, partly
        In a year in which investors have looked with increas-                                    as a result of the acquisition of US-based Talecris. And
     ing disfavor on large R&D budgets, R&D spending grew                                         finally, Aspen Pharmacare, the 50’s first African com-
     by just 4.5 percent, from $101 billion to $105. Among the                                    pany, grew its revenues by 29 percent last year, and its
     top 10, R&D was almost fl at, growing by just 1.6 percent.                                   CAGR since 1998 is 46 percent. The company has been
        Four companies dropped off the 50 because of mergers:                                     expanding its footprint, most recently by the acquisition
     Genzyme (last year’s number 29), now a part of Sanofi                                        of Australia’s Sigma.
     Aventis; Alcon (previously 39), which was acquired by                                            While some of the data this year may be a little de-
     Novartis; Cephalon (previously 40), which is now a part                                      pressing (incidentally, the anti-depression class of drugs
     of Teva; and Nycomed (previously 48), bought by Takeda.                                      jumped to number one in the US, surpassing lipid regu-
        The consolidation that knocked these companies off                                        lators), the hint of diversity and new ideas creeping up
     the list had another effect: The companies at the bottom                                     from the bottom of the list is a cause—albeit a small-cap
     of the list are smaller. Every company in the 50 last year                                   one—for optimism.
 *Special thanks to the IMS Institute for Healthcare Informatics and IMS Health for supplemental data                                        Getty Images / Jed Share
MAy 2012 www.pharmexec.com                         25


Top 20 Global Products
   Product                                     2011                                                            % Change
      1 Lipitor                                                 12.5                                             –3.3
      2 Plavix                                        9.3                                                               3.7
   3 Seretide                                       8.7                                                                 0.04
     4 Crestor                                    8.0                                                                           14.4




                                                                                                                                                                                                 Source: IMS Health, MIDAS, December 2011
    5 Nexium                                   7.9                                                          –6.2
   6 Seroquel                                  7.6                                                                             9.5
     7 Humira                                  7.3                                                                                  17.8
      8 Enbrel                                 6.8                                                                            6.7
 9 Remicade                                    6.8                                                                            8.4
    10 Abilify                           6.3                                                                                     14.3
 11 Singulair                            6.1                                                                                    10.8
  12 Zyprexa                             5.7                                                                     –3.1
13 Mabthera                              5.7                                                                                  8.6
    14 Lantus                         5.5                                                                                        15.2
   15 Avastin                         5.4                                                                   –7.5
16 Herceptin                       4.8                                                                                        7.9
17 Cymbalta                        4.7                                                                                              19.2
   18 Spiriva                      4.7                                                                                           13.6
 19 Neulasta                       4.2                                                                                          9.4
    20 Glivec                      4.1                                                                                        6.5

                                                    Figures are in US$ billions. Growth rates in US$ are not recommended due to extreme fluctuations in the value of the dollar
                                                                    The figures above include prescription and certain over the counter data and represent manufacturer prices
                                                                                          Sales cover direct and indirect pharmaceutical channel wholesaler and manufacturers


Top 20 Global Therapeutic Classes
                               Class                  2011                          2010                             % Change
                        1 Oncologics                                    62.2        23.2                                            5.5
               2 Respiratory Agents




                                                                                                                                                                                                 Source: IMS Health, MIDAS, December 2011
                                                              39.4               21.0                                                     7.3
                     3 Antidiabetics                         39.2              20.1                                                              11.4
                  4 Lipid Regulators                        38.7             19.6                                                3.7
                    5 Antipsychotics                    28.4                18.2                                                            9.4
        6 Angiotensin II Antagonists                  27.4 12.0                                                     –0.7
                    7 Anti-Ulcerants                26.9 11.0                                                    –6.4
              8 Autoimmune Agents                  24.4 10.3                                                                                               14.1
                  9 Antidepressants              20.4     10.1                                                     –1.5
                   10 HIV Antivirals             17.4 8.3                                                                                   9.5
         11 Platelet Aggr. Inhibitors         16.4      7.9                                                                     4.1
                  12 Anti-Epileptics          14.1     7.8                                                                                  10.1
             13 Vitamins & Minerals          13.9     7.6                                                                           6.1
                                             13.4     7.1                                                                                            13.0
                         14 Vaccines                                                                                            0.7
             15 Narcotic Analgesics          12.3 6.3
                                             12.0 5.9                                                                           0.6
                 16 Cephalosporins           11.8 5.2                                                                           3.8
17 Multiple Non-Narcotic Analgesics          11.7 5.1                                                                                                       15.8
              18 Hospital Solutions          11.4    4.5                                                                                   7.9
 19 Anti-Rheumatics, Non-Steroidal           10.8 3.7                                                                               5.4


                                                    Figures are in US$ billions. Growth rates in US$ are not recommended due to extreme fluctuations in the value of the dollar
                                                                    The figures above include prescription and certain over the counter data and represent manufacturer prices
                                                                                          Sales cover direct and indirect pharmaceutical channel wholesaler and manufacturers




Channel Distribution by US Dispensed Prescriptions and US Sales
                                                                                                                       Miscellaneous
                                                                                                            HMO             $1
   Retail Channels                                                                                          $2.7                                             Retail Channels
            3,695                                                                   Home Health Care
                                                                                          $2.8                                                                       $227.3
                                               Independent
                                                                                Federal Facilities                                                                 Chain Stores
                                                                                      $4.2
                                                                                                                                                                                  Source: IIMS National Prescription Audit™




                             483                                                  Long-Term Care
                                                                                       $15.2                                              $112.6
                                                                                                               $38.4
                                                                           Non-Federal Hospitals
              740
                                     260          Food Stores
                                                                                                                $38.4
                                 2, 2
                                     12
                                                                       Institutional Channels                                                        5.1
                                                                                                                                                $5
                                                                                                                       1. 5
                           329




                                                                                                                                 $38.4




                                                                                   92.6
                                                                                                                     $2




                                                                                                     Clinics                                                       Mail Service
                                           Mail Service

                                                                                                          Food Stores
      Chain Stores    Institutional Channels                                                                               Independent
At left, prescriptions in millions. At right, sales in US$ billions
Report reflects Prescription-bound products including Insulins (and excludes other products such as OTC)
IMS routinely updates its market audits, which can and does result in changes to previously reported market size and growth rates.Updated February 23, 2012
26
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      PHARMACEUTICAL EXECUTIVE
                                                                                                                                                       MAy 2012 www.pharmexec.com




       Top 25 Corporations by US Prescriptions
             Corporation                                 2011                               2010                                   % Change
                       1 Teva                                             558.3                 645.7                          -13.54
                     2 Mylan                             366.3             380.7                                                   -3.78
                   3 Novartis                      289.7              303.8                                                      -4.64
                    4 Watson                    264.1              248.4                                                                        6.32
                      5 Pfizer               220.2                 251.8                                                         -12.55
               6 Endo Pharm               176.1              152.2                                                                                       15.7
         7 Lupin laboratories          156.1                133.8                                                                                       16.67
            8 Amneal Pharm




                                                                                                                                                                                            Source: IMS Health, MIDAS, December 2011
                                      113.8             98.3                                                                                            15.77
      9 Boehringer Ingelheim         88.9              71.2                                                                                                       24.86
              10 Merck & co          88.1             100.5                                                                      -12.34
             11 Astrazeneca          82.3          87.1                                                                                 -5.51
                 12 Covidien        77.2           80.1                                                                            -3.62
           13 Dr Reddys Lab         74.7          63.7                                                                                                    17.27
                  14 Actavis       72.5           7 0.7                                                                                                2.55
            15 Zydus Cadila        71.8          53                                                                                                                          35.47
           16 Daiichi Sankyo      68.5           63.4                                                                                            8.05
         17 GlaxosmithKline       67.6           76.5                                                                             -11.63
                   18 Abbott     59.9           63.9                                                                                  -6.26
           19 Hikma Pharma       54.1            45.6                                                                                                     18.64
                      20 Lilly   50.6            49.2                                                                                            1.63
               21 Aurobindo      46.6            39.6                                                                                                           17.67
                    22 Forest    43.5            44.2                                                                               -1.58
             23 Taro Pharma      40.9            39.5                                                                                              3.54
                   24 Perrigo    40.6            33                                                                                                           23.03
               25 Par Pharm      40.4           43.2                                                                                  -6.48

                                 TOTAL US SCRIP MARKET: 2011: 4.02                            2010: 3.99                                   0.78%
        Figures in millions of prescriptions
        Report reflects Prescription-bound products including Insulins (and excludes other products such as OTC)
        IMS routinely updates its market audits, which can and does result in changes to previously reported market size and growth rates.Updated February 23, 2012


      2012 Company                                                                 2011 Rx Sales              2011 R&D spend                2011 Top-Selling Drugs
      Rank HQ [website]                                                            (USD billions)             (USD millions)                [USD billions]
                                                                                                                                            Lipitor [9.6]
                  Pfizer
        1         New York [pfizer.com]
                                                                                   $57.7                      $9,112                        Lyrica [3.7]
                                                                                                                                            Enbrel [3.7]
                                                                                                                                            Diovan/Co-Diovan [5.7]
                  Novartis
        2         Basel, Switzerland [novartis.com]
                                                                                   $54.0                      $9,100                        Gleevec/Glivec [4.7]
                                                                                                                                            Lucentis [2.1]
                                                                                                                                            Singulair [5.5]
                  Merck
        3         Whitehouse Sation, NJ [merck.com]
                                                                                   $41.3                      $8,467                        Januvia [3.3]
                                                                                                                                            Remicade [2.7]
                                                                                                                                            Lantus [5.0]
                  Sanofi
        4         Paris, France [sanofi.com]
                                                                                   $37.0                      $6,007                        Lovenox [2.7]
                                                                                                                                            Plavix [2.6]
                                                                                                                                            MabThera/Rituxan [6.4]
                  Roche
        5         Basel, Switzerland [roche.com]
                                                                                   $34.9                      $7,862                        Avastin [5.6]
                                                                                                                                            Herceptin [5.6]
                                                                                                                                            Seretide/Advair [7.8]
                  GlaxoSmithKline
        6         Brentford, England [gsk.com]
                                                                                   $34.4                      $5,822                        Fixotide/Flovent [1.3]
                                                                                                                                            Advodart [1.2]
                                                                                                                                            Crestor [6.6]
                  AstraZeneca
        7         London, England [astrazeneca.com]
                                                                                   $33.6                      $5,033                        Seroquel [5.8]
                                                                                                                                            Nexium [4.4]
                                                                                                                                            Remicade [5.5]
                  Johnson & Johnson
        8         New Brunswick, New Jersey [jnj.com]
                                                                                   $24.4                      $5,138                        Procrit/Eprex [1.6]
                                                                                                                                            Risperdal [1.6]
                                                                                                                                            Humira [7.9]
                  Abbott
        9         Abbott Park, Illinois [abbott.com]
                                                                                   $22.4                      $4,129                        Trilipix/TriCor [1.4]
                                                                                                                                            Kaletra [1.2]
                                                                                                                                            Zyprexa [4.6]
                  Eli Lilly
       10         Indianapolis, Indiana [lilly.com]
                                                                                   $21.9                      $5,020                        Cymbalta [4.2]
                                                                                                                                            Alimta [2.5]
      Sources: corporate data (10K’s, annual reports, etc.) and Pharm Exec estimates                              N/A = Not Available/Not Applicable     * Estimate   Figures are rounded


      How the listings were compiled: Companies in the Pharm Exec 50 are ranked according to global human prescription drug sales. That includes generics, vaccines, and blood frac-
      tionation products. As far as possible we have excluded OTC products, hospital supplies such as IV fluids, contract manufacturing, and royalty revenue. Whenever possible, we have
      taken figures from companies’ annual reports and SEO filings. As needed (and especially in the case of privately held companies), we have supplemented these documents with
      figures from IMS and EvaluatePharma, press coverage, and other sources. All figures represent the fiscal year that ended in 2011. For most American and European companies, that
      means the year ending December 31, 2011. For many Japanese companies, we used the fiscal year ending March 31, 2011. Foreign currencies were converted using the average
      midpoint interbank rate for the month following the end of the fiscal year. In a handful of cases we have had to use estimates. These are noted with an asterisk.
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      PHARMACEUTICAL EXECUTIVE
                                                                                                                                                   MAy 2012 www.pharmexec.com




           Top 25 Corporations by US Sales
             Corporations                                 2011                          2010                             % Change
                      1 Pfizer                                  25.1                     27.2                                -7.72
               2 AstraZeneca                                  19.9       19.5                                                                 2.05
                3 Merck & Co.                               19.3        18.6                                                               3.76
                    4 Novartis                            19.2        18                                                                        6.67




                                                                                                                                                                                           Source: IMS Health, MIDAS, December 2011
                        5 Teva                         15.1        15.9                                                          -5.03
                        6 Lilly                      14.9         14.3                                                                      4.20
                      7 Roche                     14.5          13.8                                                                        5.08
            8 GlaxoSmithKline                  14.2             15.2                                                           -6.58
                     9 Amgen                  13.1            12.7                                                                         3.15
        10 Johnson & Johnson                 12.1            12.9                                                              -6.20
                    11 Sanofi                11.8         12.2                                                                     -3.28
                    12 Abbott              11.5          10.9                                                                                 5.50
      13 Bristol-Myers Squibb            10.9           9.8                                                                                            11.22
      14 Boehringer Ingelheim              7       6.4                                                                                               9.38
                   15 Takeda             6.6     6.7                                                                             1.49
                     16 Mylan          5.6 4.8                                                                                                                      16.67
           17 Gilead Sciences        5.5      4.7                                                                                                                    17.02
              18 Novo Nordisk       5.3     4.5                                                                                                                       17.78
                   19 Otsuka       5.2      4.6                                                                                                         13.04
       20 Forest Laboratories      5.2      4.7                                                                                                       10.64
                                  TOTAL US SCRIP MARKET: 2011: $319.9                                2010: $308.6                       3.67%
        Figures in US$ billions. Report reflects Prescription-bound products including Insulins (and excludes other products such as OTC)
        IMS routinely updates its market audits, which can and does result in changes to previously reported market size and growth rates.Updated February 23, 2012



       2012 Company                                                                 2011 Rx Sales           2011 R&D spend                  2011 Top-Selling Drugs
       Rank HQ [website]                                                            (USD billions)          (USD millions)                  [USD billions]


       11         Bristol-Myers Squibb
                  New York, New York [bms.com]
                                                                                    $21.2                   $3,800                          Plavix [7.1]


       12         Teva
                  Petach Tikva, Israel [tevapharm.com]
                                                                                    $16.7                   $1,080                          Copaxone [3.6]


       13         Amgen
                  Thousand Oaks, California [amgen.com]
                                                                                    $15.3                   $3,167                          Neulasta/Neupogen [5.2]


       14         Takeda
                  Osaka, Japan [takeda.com]
                                                                                    $15.2                   $3,466                          Actos/Glustin [4.7]


       15         Boehringer Ingelheim
                  [boehringer-ingelheim.com]
                                                                                    $13.8                   N/A                             Spiriva [4.4]


       16         Bayer
                  Leverkusen, Germany [bayer.com]
                                                                                    $12.8                   $1,979                          Betaferon/Betaseron [1.4]


       17         Daiichi Sankyo
                  Tokyo, Japan [daiichisankyo.com]
                                                                                    $11.6                   $2,332                          Olmesartan [2.9]


       18         Novo Nordisk
                  Bagsvaerd, Denmark [novonordisk.com]
                                                                                    $11.5                   $1,662                          NovoLog/NovoRapid [2.2]


       19         Astellas
                  Tokyo, Japan [astellas.com]
                                                                                    $11.4                   $2,607                          Lipitor [1.2]


       20         Gilead Sciences
                  Foster City, California [gilead.com]
                                                                                    $8.1                    $1,229                          Atripla [3.2]


       21         Otsuka
                  Tokyo, Japan [otsuka.com]
                                                                                    $7.4                    $1,974                          Abilify [4.4]


       22         Merck KGaA
                  Darmstadt, Germany [merckgroup.com]
                                                                                    $7.2                    $1,577                          Rebif [2.2]

                  Baxter International
       23         Deerfield, Illinois [baxter.com]
                                                                                    $6.1                    $946                            Advate [1.9]

                  Mylan
       24         Canonsburg, Pennsylvania [mylan.com]
                                                                                    $5.5                    $294                            Generics [N/A]

                  Servier
       25         Neuilly-sur-Seine, France [servier.com]
                                                                                    $5.0                    $1,255                          Coversyl [1.6]

       Sources: corporate data (10K’s, annual reports, etc.) and Pharm Exec estimates                           N/A = Not Available/Not Applicable     * Estimate    Figures are rounded
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      PHARMACEUTICAL EXECUTIVE
                                                                                                                                                  MAy 2012 www.pharmexec.com




       Top 25 US Pharma Products by Prescriptions
                           Product                             2011                            2010                                  % Change
      1 Hydrocodone/Acetaminophen                                             136              131.2                                             3.66
                        2 Simvastatin                               96.6          94.1                                                            2.66
                           3 Lisinopril                         88.6         87.4                                                               1.37
              4 Levothyroxine Sodium                        74.1          70.5                                                                    5.11
               5 Amlodipine Besylate                     62.1         57.2                                                                               8.57
                   6 Omeprazole (Rx)




                                                                                                                                                                                          Source: IMS Health, MIDAS, December 2011
                                                       59.3        53.4                                                                                     11.05
                       7 Azithromycin                55.3          52.6                                                                           5.13
                         8 Amoxicillin              53.8          52.3                                                                               2.87
                      9 Metformin Hcl              48.4          46.9                                                                           3.2
               10 Hydrochlorothiazide              48.1        47.8                                                                               1.26
                        11 Alprazolam             47.8         46.3                                                                             3.14
                       12 Furosemide             42.1         43.4                                                                -2.99
                          13 Lipitor ®          40.8          45.3                                                           -9.93
                14 Zolpidem Tartrate            39.4          38                                                                                3.68
               15 Metoprolol Tartrate          37.8          38.9                                                                 -2.83
                   16 Citalopram Hbr           37.7          32.1                                                                                                      17.45
                     17 Sertraline Hcl        37.2           35.7                                                                                 4.2
             18 Metoprolol Succinate          34.5          33                                                                                   4.55
                        19 Prednisone         33.7         28.7                                                                                                        17.42
                          20 Atenolol        33.3          36.3                                                                 -8.26
                       21 Gabapentin         33.2         29.3                                                                                                 13.31
                     22 Tramadol Hcl         32.9         26.8                                                                                                            22.76
      23 Oxycodone/Acetaminophen             32.8         31.9                                                                                  2.82
                    24 Ibuprofen (Rx)        32.6         31.1                                                                                     4.82
                  25 Warfarin Sodium         30.9         32                                                                            -3.44
                                          TOTAL US SCRIP MARKET: 2011: 4.02                            2010: 3.99                         0.78%
      Figures in millions of prescriptions. Report reflects Prescription-bound products including Insulins (and excludes other products such as OTC)
      IMS routinely updates its market audits, which can and does result in changes to previously reported market size and growth rates.Updated February 23, 2012


       2012 Company                                                                 2011 Rx Sales           2011 R&D spend                2011 Top-Selling Drugs
       Rank HQ [website]                                                            (USD billions)          (USD millions)                [USD billions]

                  Mitsubishi Tanabe
       26         Osaka, Japan [mt-pharma.co.jp]
                                                                                    $4.7                    $788                          Remicade [0.7]

                  Celgene
       27         Summit, New Jersey [celgene.com]
                                                                                    $4.7                    $1,600                        Revlimid [3.2]

                  CSL
       28         Melbourne, Australia [csl.com.au]
                                                                                    $4.5                    $349                          Privigen [n/a]

                  Allergan
       29         Irvine, California [allergan.com]
                                                                                    $4.4                    $902                          Botox [1.6]

                  Forest
       30         New York, New York [frx.com]
                                                                                    $4.2                    $715                          Lexapro [2.3]

                  Dainippon Sumitomo
       31         Osaka, Japan [ds-pharma.com]
                                                                                    $4.0                    $817                          Lunesta [0.6]

                  Shire
       32         Dublin, Ireland [shire.com]
                                                                                    $4.0                    $770                          Vyvanse [0.8]

                  Menarini
       33         Florence, Italy [menarini.com]
                                                                                    $3.9                    n/a                           n/a [n/a]

                  Biogen Idec
       34         Weston, Massachusetts [biogenidec.com]
                                                                                    $3.8                    $1,219                        Avonex [2.7]

                  Eisai
       35         Tokyo, Japan [eisai.com]
                                                                                    $3.7                    $1,740                        Aricept [3.5]

                  UCB
       36         Brussels, Belgium [ucb.com]
                                                                                    $3.7                    $1,004                        Keppra [1.2]

                  Watson
       37         Parsippany, New Jersey [watson.com]
                                                                                    $3.7                    $295                          Generic atovastatin [0.1]

                  Purdue
       38         Stamford, Connecticut [purduepharma.com]
                                                                                    $2.9                    N/A                           OxyContin [2.6]

                  Lundbeck
       39         Copenhagen, Denmark [lundbeck.com]
                                                                                    $2.7                    $620                          Cipralex [1.0]

                  Warner Chilcott
       40         Dublin, Ireland [wcrx.com]
                                                                                    $2.7                    $107                          Actonel [0.8]

       Sources: corporate data (10K’s, annual reports, etc.) and Pharm Exec estimates                           N/A = Not Available/Not Applicable     * Estimate   Figures are rounded
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      PHARMACEUTICAL EXECUTIVE
                                                                                                                                                       MAy 2012 www.pharmexec.com




      Top 25 US Pharma Products by Sales
                   Product                                     2011                                2010                             % Change
                   1 Lipitor®                                              7.7                      7.3                                        5.48
                    2 Plavix®                                        6.8                         6.1                                              11.48
                  3 Nexium®                                    6.2                         6.3                                       -1.59
                    4 Abilify®                            5.2                4.6                                                                    13.04
           5 Advair Diskus®                           4.6                 4.7                                                        -2.13
                 6 Seroquel®                       4.6                 4.4                                                                        4.55
                 7 Singulair®




                                                                                                                                                                                               Source: IMS Health, MIDAS, December 2011
                                                  4.6                4.1                                                                           12.19
                  8 Crestor®                   4.4                 3.8                                                                                15.79
                9 Cymbalta®                   3.7                3.2                                                                                  15.63
                 10 Humira®                  3.5               2.9                                                                                        20.69
                  11 Enbrel®                 3.5              3.3                                                                              6.06
              12 Remicade®                 3.5              3.3                                                                                6.06
                  13 Actos®                3.4             3.5                                                                     -2.86
               14 Neulasta®               3.3             3                                                                                            10
                15 Rituxan®              3               2.8                                                                                    7.14
                16 Zyprexa®             3                3                                                                                     0
              17 Copaxone®              3                2.3                                                                                                             30.43
                18 Lexapro®           2.9               2.8                                                                                       3.57
              19 Oxycontin®           2.9               3.1                                                                            -6.45
                 20 Epogen®           2.8              3.3                                                                   -15.15
                 21 Avastin®          2.7             3.1                                                                      -12.9
                  22 Atripla®        2.6            2.2                                                                                                     18.18
      23 Spiriva Handihaler®         2.4           2                                                                                                            20
                 24 Januvia®        2.1           1.7                                                                                                          23.53
                 25 Lantus®         2           2
                                 TOTAL US SCRIP MARKET: 2011: $319.9                                      2010: $308.6                       3.66%
      Figures in US$ billions
      Report reflects Prescription-bound products including Insulins (and excludes other products such as OTC)
      IMS routinely updates its market audits, which can and does result in changes to previously reported market size and growth rates.Updated February 23, 2012


      Patent expiries
                Major Patent Expiries in 2012                   Sales in 2011 (in billions)                      Major Patent Expiries in 2012, Ex-US:
                Plavix / Sanofi-BMS                                              $6.8
                                                                                                                                    Japan: Seroquel
                Seroquel / AstraZeneca                                           $4.6
                                                                                                                                 UK: Seroquel, Singulair
                Singulair / Merck                                                $4.6
                                                                                                                                    France: Singulair
                Actos / Takeda                                                   $3.4
                                                                                                                                   Germany: Seroquel
                Lexapro / Forest                                                 $2.9


       2012 Company                                                                     2011 Rx Sales           2011 R&D spend                 2011 Top-Selling Drugs
       Rank HQ [website]                                                                (USD billions)          (USD millions)                 [USD billions]

                  Kyowa Hakko Kirin
       41         Tokyo, Japan [kyowa-kirin-pharma.com]
                                                                                        $2.7                    $543                           Nesp/Espo [0.8]

                  Shionogi
       42         Osaka, Japan [shionogi.com]
                                                                                        $2.6                    $611                           Crestor [0.3]

                  Hospira
       43         Lake Forest, Illinois [hospira.com]
                                                                                        $2.6                    $358                           generic injectables [n/a]

                  Valeant Pharmaceuticals
       44         Mississauga, Ontario [valeant.com]
                                                                                        $2.4                    $65                            Welbutrin [219.2]

                  Endo Pharmaceuticals
       45         Chadds Ford, Pennsylvania [endo.com]
                                                                                        $2.2                    $182                           Lidoderm [0.8]

                  Actavis
       46         Zug, Switzerland [actavis.com]
                                                                                        $2.0                    n/a                            Generics [n/a]

                  Grifols
       47         Barcelona, Spain [grifols.com]
                                                                                        $1.9                    $98
                                                                                                                                               Plasma fractionation products
                                                                                                                                               [n/a]

                  Actelion
       48         Allschwil, Switzerland [actelion.com]
                                                                                        $1.8                    $486                           Tracleer [1.6]

                  Galderma
       49         Lausanne, Switzerland [galderma.com]
                                                                                        $1.8                    $363                           Restylane [0.1]

                  Aspen
       50         Durban, South Africa [aspenpharma.com]
                                                                                        $1.7                    $1.3                           N/A [n/a]

       Sources: corporate data (10K’s, annual reports, etc.) and Pharm Exec estimates                               N/A = Not Available/Not Applicable      * Estimate   Figures are rounded
34                     PHARMACEUTICAL EXECUTIVE                                                                                 MAy 2012 www.pharmexec.com




     The Top 10 Year In Review
     1. Pfizer faced a brutal year of pat-                 the acquisition of pediatric specialist
                                                           Topaz Pharmaceuticals and Universal
                                                                                                             Caprelsa, the first approved therapy for
                                                                                                             nonoperable advanced medullary thyroid
     ent expirations in 2011, including not
     just US exclusivity loss for its leading              Medicare, a consumer health company               cancer, an orphan condition. Meanwhile,
     product, Lipitor, but Aromasin, Xalatan,              in India. Jevtana, for advanced prostate          Japanese regulators approved Nexium—
     Vfend, and Protonix as well. Still, the in-           cancer, launched in Europe, and the Al-           a decade after the drug’s US launch.
     dustry giant had five products that sold              legra family of allergy products launched
     $2 billion or more, and revenues that                 in the US on an over-the-counter basis.
                                                           Lost market exclusivity included Tax-
                                                                                                             8. Johnson & Johnson,
     topped $500 million in 18 countries                                                                     while struggling to put manufacturing
     outside the US. It also acquired King for             otere, Xatral, and Nasacort in the US             problems behind it, took a commanding
     $3.6 billion, providing a broader profile             and Aprovel in Western Europe.                    position in the orthopedic market with
     in pain, and sold formulation specialist                                                                its $21.3 billion acquisition of medical-
     Capsugel. Approvals included Xalkori                  5. Roche gained simultaneous                      equipment maker Synthes. It won ap-
     (crizotinib) for some lung cancers with               FDA approval for Zelboraf, a targeted             proval for Zytiga (for late-stage prostate
     the ALK gene.                                         therapy for metastatic melanoma, and              cancer) and the anticoagulant Xarelto.
                                                           its companion diagnostic test—a first.            J&J exited the drug-eluting stent market
     2. Novartis won 15 approvals in                       It also acquired Anadys, a hepatitis              it helped create. It sold off its Jannsen
     the United States, the EU, and Japan.                 C specialist, for $230 million, and               dermatology business and the US rights
     Among them was US approval for Ar-                    announced a partnership with Evotec               to St. Joseph’s aspirin, and bought the
     capta Inhalr for COPD. It also launched               to develop oncology biomarkers. In a              over-the-counter brands of India’s J.B.
     the oral MS drug Gilenya. While still                 controversial decision, FDA withdrew ap-          Chemicals & Pharmaceuticals.
     integrating Alcon, the world’s largest                proval of Roche’s Avastin for breast can-
     eyecare company, acquired last year,                  cer—though CMS announced it would
                                                           continue to reimburse for it. For the first
                                                                                                             9. Abbott announced plans to split
     Novartis bought Genoptix, a diagnostics                                                                 itself into two companies: a medical
     company, for $458 million, and hit a key              time, the family-owned bloc of Roche              products company focused on medical
     landmark as Sandoz’s generic version                  shares dipped below 50 percent when               devices, branded generics, and nutrition-
     of the anticoagulant enoxaparin became                Maia Oeri dropped out of the group.               als; and a research-based pharmaceuti-
     the company’s first “generic blockbust-                                                                 cal company. The spinoff is slated to
     er,” with sales of more than $1 billion.              6. GlaxoSmithKline           announced            take place late this year. Abbott also
                                                           the $660 million sale of 17 noncore               received European approval for a new
     3. Merck gained FDA and EU approv-                    OTC brands, including Beano, Goody’s,             absorbable heart stent, and filed for
     al for Victrelis, the first new medicine for          Ecotrin, Fiber Choice, Sominex, and               multiple new indications for Humira.
     chronic hepatitis C in almost a decade.               Tagamet, to Prestige Brands. US ap-
     Other approvals included Juvisync,                    provals included Benlysta, the first
                                                           new lupus treatment in more than 50
                                                                                                             10. Eli Lilly successfully fended
     a combination of the diabetes drug                                                                      off a challenge to its Cymbalta patent
     Januvia with the statin Zocor. Merck                  years (developed with Human Genome                in federal court, preserving its market
     also bought Inspire, an ophthalmic spe-               Sciences); the anticonvulsant Potigal             exclusivity until at least June 2013. It
     cialty firm, for $430 million and formed              (developed with Valeant); and Horizant            won US and EU market approval for By-
     alliances with India’s Sun Pharma (to                 for restless leg syndrome (developed              dureon, the diabetes drug it developed
     promote branded generics in emerging                  with XenoPort).                                   with Amylin, only to have the nine-year-
     markets) and Parexel (to pursue biosimi-                                                                old partnership break up in November.
     lars). As the year ended, CEO Kenneth
     Frazier was appointed chairman, replac-
                                                           7. AstraZeneca          sold its Astra            It announced a strategic alliance with
                                                           Tech subsidiary, which makes dental im-           Boehringer Ingelheim focused on dia-
     ing Richard Clark.                                    plants and medical devices for surgery            betes. The partnership won US and UK
                                                           and urology, to Dentsply for $1.8 billion.        approval for Tradjenta/Trajenta. In July,
     4. Sanofi acquired Genzyme for $20                    FDA approved Brilinta, AZ’s new antico-           Lilly acquired the animal health busi-
     billion in April, the largest of 30 new               agulant, reversing its 2010 rejection of          ness of Janssen, a Johnson & Johnson
     transactions in 2011. Others included                 the drug, as well as giving the nod to            company.



     About the Authors
     Jerry Cacciotti is a Partner in Oliver Wyman’s Health and Life Sciences      Patrick Clinton is Marketing Director in the Health & Life Sciences practice
     Practice. He can be reached at Jerry.Cacciotti@oliverwyman.com               of Oliver Wyman. He can be reached at Patrick.Clinton@oliverwyman.com

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Top 50 Pharmaceutical Companies 2011, Pharma Exec Report

  • 1. 24 PHARMACEUTICAL EXECUTIVE GROWTH BOTTOM from the By Patrick Clinton and Jerry Cacciotti of Oliver Wyman Up MORE CONSOLIDATION DIDN’T BOOST SALES AT THE TOP, BUT A HANDFUL OF NIMBLE NEWCOMERS POSTED IMPRESSIVE GROWTH ON THE OTHER END OF THE CURVE had sales of at least $2 billion. This year, the smallest, Aspen, had sales of $1.66 billion. The drop is even steeper when you look at revenue as a percentage of the total revenues of the whole Pharm Exec 50. Last year’s smallest company accounted for 0.4 per- cent of the total revenue of all 50 companies in the ranking. This year, the equivalent fi gure was 0.2 percent—only half as big a percentage. By way of comparison, in 2004, the fi rst year when all 50 com- panies had sales of more than $1 billion, the smallest company accounted for 0.3 percent of the revenue of the 50. New additions include a reincarnated Valeant (44), formed when Biovail—Canada’s largest publicly held pharma, a specialist in CNS drugs and delivery—pur- chased the American firm for $3.3 billion, adopting T his year’s Pharm Exec 50 shows an industry whose its name and putting Valeant CEO Michael Pearson in growth has slowed to a crawl in the face of patent ex- charge of the combined operation. Endo Pharmaceuti- pirations, aggressive payers, and a tough environment cals (45) is currently in the process of “reinventing” itself for approvals. The 50 this year sold $610 billion in human with a new business model and name (Endo Health Solu- prescription pharmaceuticals, up just 2.8 percent from last tions); the company grew its branded and prescription year’s $593 billion. The top 10 grew even more slowly—by pharmaceutical business by 38 percent in 2011. Grifols, just 2.6 percent—and accounted for 59 percent of the 50’s the Spanish manufacturer of plasma fractionation prod- total sales, just like last year. ucts (47), grew revenues by more than 80 percent, partly In a year in which investors have looked with increas- as a result of the acquisition of US-based Talecris. And ing disfavor on large R&D budgets, R&D spending grew finally, Aspen Pharmacare, the 50’s first African com- by just 4.5 percent, from $101 billion to $105. Among the pany, grew its revenues by 29 percent last year, and its top 10, R&D was almost fl at, growing by just 1.6 percent. CAGR since 1998 is 46 percent. The company has been Four companies dropped off the 50 because of mergers: expanding its footprint, most recently by the acquisition Genzyme (last year’s number 29), now a part of Sanofi of Australia’s Sigma. Aventis; Alcon (previously 39), which was acquired by While some of the data this year may be a little de- Novartis; Cephalon (previously 40), which is now a part pressing (incidentally, the anti-depression class of drugs of Teva; and Nycomed (previously 48), bought by Takeda. jumped to number one in the US, surpassing lipid regu- The consolidation that knocked these companies off lators), the hint of diversity and new ideas creeping up the list had another effect: The companies at the bottom from the bottom of the list is a cause—albeit a small-cap of the list are smaller. Every company in the 50 last year one—for optimism. *Special thanks to the IMS Institute for Healthcare Informatics and IMS Health for supplemental data Getty Images / Jed Share
  • 2. MAy 2012 www.pharmexec.com 25 Top 20 Global Products Product 2011 % Change 1 Lipitor 12.5 –3.3 2 Plavix 9.3 3.7 3 Seretide 8.7 0.04 4 Crestor 8.0 14.4 Source: IMS Health, MIDAS, December 2011 5 Nexium 7.9 –6.2 6 Seroquel 7.6 9.5 7 Humira 7.3 17.8 8 Enbrel 6.8 6.7 9 Remicade 6.8 8.4 10 Abilify 6.3 14.3 11 Singulair 6.1 10.8 12 Zyprexa 5.7 –3.1 13 Mabthera 5.7 8.6 14 Lantus 5.5 15.2 15 Avastin 5.4 –7.5 16 Herceptin 4.8 7.9 17 Cymbalta 4.7 19.2 18 Spiriva 4.7 13.6 19 Neulasta 4.2 9.4 20 Glivec 4.1 6.5 Figures are in US$ billions. Growth rates in US$ are not recommended due to extreme fluctuations in the value of the dollar The figures above include prescription and certain over the counter data and represent manufacturer prices Sales cover direct and indirect pharmaceutical channel wholesaler and manufacturers Top 20 Global Therapeutic Classes Class 2011 2010 % Change 1 Oncologics 62.2 23.2 5.5 2 Respiratory Agents Source: IMS Health, MIDAS, December 2011 39.4 21.0 7.3 3 Antidiabetics 39.2 20.1 11.4 4 Lipid Regulators 38.7 19.6 3.7 5 Antipsychotics 28.4 18.2 9.4 6 Angiotensin II Antagonists 27.4 12.0 –0.7 7 Anti-Ulcerants 26.9 11.0 –6.4 8 Autoimmune Agents 24.4 10.3 14.1 9 Antidepressants 20.4 10.1 –1.5 10 HIV Antivirals 17.4 8.3 9.5 11 Platelet Aggr. Inhibitors 16.4 7.9 4.1 12 Anti-Epileptics 14.1 7.8 10.1 13 Vitamins & Minerals 13.9 7.6 6.1 13.4 7.1 13.0 14 Vaccines 0.7 15 Narcotic Analgesics 12.3 6.3 12.0 5.9 0.6 16 Cephalosporins 11.8 5.2 3.8 17 Multiple Non-Narcotic Analgesics 11.7 5.1 15.8 18 Hospital Solutions 11.4 4.5 7.9 19 Anti-Rheumatics, Non-Steroidal 10.8 3.7 5.4 Figures are in US$ billions. Growth rates in US$ are not recommended due to extreme fluctuations in the value of the dollar The figures above include prescription and certain over the counter data and represent manufacturer prices Sales cover direct and indirect pharmaceutical channel wholesaler and manufacturers Channel Distribution by US Dispensed Prescriptions and US Sales Miscellaneous HMO $1 Retail Channels $2.7 Retail Channels 3,695 Home Health Care $2.8 $227.3 Independent Federal Facilities Chain Stores $4.2 Source: IIMS National Prescription Audit™ 483 Long-Term Care $15.2 $112.6 $38.4 Non-Federal Hospitals 740 260 Food Stores $38.4 2, 2 12 Institutional Channels 5.1 $5 1. 5 329 $38.4 92.6 $2 Clinics Mail Service Mail Service Food Stores Chain Stores Institutional Channels Independent At left, prescriptions in millions. At right, sales in US$ billions Report reflects Prescription-bound products including Insulins (and excludes other products such as OTC) IMS routinely updates its market audits, which can and does result in changes to previously reported market size and growth rates.Updated February 23, 2012
  • 3. 26 26 PHARMACEUTICAL EXECUTIVE PHARMACEUTICAL EXECUTIVE MAy 2012 www.pharmexec.com Top 25 Corporations by US Prescriptions Corporation 2011 2010 % Change 1 Teva 558.3 645.7 -13.54 2 Mylan 366.3 380.7 -3.78 3 Novartis 289.7 303.8 -4.64 4 Watson 264.1 248.4 6.32 5 Pfizer 220.2 251.8 -12.55 6 Endo Pharm 176.1 152.2 15.7 7 Lupin laboratories 156.1 133.8 16.67 8 Amneal Pharm Source: IMS Health, MIDAS, December 2011 113.8 98.3 15.77 9 Boehringer Ingelheim 88.9 71.2 24.86 10 Merck & co 88.1 100.5 -12.34 11 Astrazeneca 82.3 87.1 -5.51 12 Covidien 77.2 80.1 -3.62 13 Dr Reddys Lab 74.7 63.7 17.27 14 Actavis 72.5 7 0.7 2.55 15 Zydus Cadila 71.8 53 35.47 16 Daiichi Sankyo 68.5 63.4 8.05 17 GlaxosmithKline 67.6 76.5 -11.63 18 Abbott 59.9 63.9 -6.26 19 Hikma Pharma 54.1 45.6 18.64 20 Lilly 50.6 49.2 1.63 21 Aurobindo 46.6 39.6 17.67 22 Forest 43.5 44.2 -1.58 23 Taro Pharma 40.9 39.5 3.54 24 Perrigo 40.6 33 23.03 25 Par Pharm 40.4 43.2 -6.48 TOTAL US SCRIP MARKET: 2011: 4.02 2010: 3.99 0.78% Figures in millions of prescriptions Report reflects Prescription-bound products including Insulins (and excludes other products such as OTC) IMS routinely updates its market audits, which can and does result in changes to previously reported market size and growth rates.Updated February 23, 2012 2012 Company 2011 Rx Sales 2011 R&D spend 2011 Top-Selling Drugs Rank HQ [website] (USD billions) (USD millions) [USD billions] Lipitor [9.6] Pfizer 1 New York [pfizer.com] $57.7 $9,112 Lyrica [3.7] Enbrel [3.7] Diovan/Co-Diovan [5.7] Novartis 2 Basel, Switzerland [novartis.com] $54.0 $9,100 Gleevec/Glivec [4.7] Lucentis [2.1] Singulair [5.5] Merck 3 Whitehouse Sation, NJ [merck.com] $41.3 $8,467 Januvia [3.3] Remicade [2.7] Lantus [5.0] Sanofi 4 Paris, France [sanofi.com] $37.0 $6,007 Lovenox [2.7] Plavix [2.6] MabThera/Rituxan [6.4] Roche 5 Basel, Switzerland [roche.com] $34.9 $7,862 Avastin [5.6] Herceptin [5.6] Seretide/Advair [7.8] GlaxoSmithKline 6 Brentford, England [gsk.com] $34.4 $5,822 Fixotide/Flovent [1.3] Advodart [1.2] Crestor [6.6] AstraZeneca 7 London, England [astrazeneca.com] $33.6 $5,033 Seroquel [5.8] Nexium [4.4] Remicade [5.5] Johnson & Johnson 8 New Brunswick, New Jersey [jnj.com] $24.4 $5,138 Procrit/Eprex [1.6] Risperdal [1.6] Humira [7.9] Abbott 9 Abbott Park, Illinois [abbott.com] $22.4 $4,129 Trilipix/TriCor [1.4] Kaletra [1.2] Zyprexa [4.6] Eli Lilly 10 Indianapolis, Indiana [lilly.com] $21.9 $5,020 Cymbalta [4.2] Alimta [2.5] Sources: corporate data (10K’s, annual reports, etc.) and Pharm Exec estimates N/A = Not Available/Not Applicable * Estimate Figures are rounded How the listings were compiled: Companies in the Pharm Exec 50 are ranked according to global human prescription drug sales. That includes generics, vaccines, and blood frac- tionation products. As far as possible we have excluded OTC products, hospital supplies such as IV fluids, contract manufacturing, and royalty revenue. Whenever possible, we have taken figures from companies’ annual reports and SEO filings. As needed (and especially in the case of privately held companies), we have supplemented these documents with figures from IMS and EvaluatePharma, press coverage, and other sources. All figures represent the fiscal year that ended in 2011. For most American and European companies, that means the year ending December 31, 2011. For many Japanese companies, we used the fiscal year ending March 31, 2011. Foreign currencies were converted using the average midpoint interbank rate for the month following the end of the fiscal year. In a handful of cases we have had to use estimates. These are noted with an asterisk.
  • 4. 28 28 PHARMACEUTICAL EXECUTIVE PHARMACEUTICAL EXECUTIVE MAy 2012 www.pharmexec.com Top 25 Corporations by US Sales Corporations 2011 2010 % Change 1 Pfizer 25.1 27.2 -7.72 2 AstraZeneca 19.9 19.5 2.05 3 Merck & Co. 19.3 18.6 3.76 4 Novartis 19.2 18 6.67 Source: IMS Health, MIDAS, December 2011 5 Teva 15.1 15.9 -5.03 6 Lilly 14.9 14.3 4.20 7 Roche 14.5 13.8 5.08 8 GlaxoSmithKline 14.2 15.2 -6.58 9 Amgen 13.1 12.7 3.15 10 Johnson & Johnson 12.1 12.9 -6.20 11 Sanofi 11.8 12.2 -3.28 12 Abbott 11.5 10.9 5.50 13 Bristol-Myers Squibb 10.9 9.8 11.22 14 Boehringer Ingelheim 7 6.4 9.38 15 Takeda 6.6 6.7 1.49 16 Mylan 5.6 4.8 16.67 17 Gilead Sciences 5.5 4.7 17.02 18 Novo Nordisk 5.3 4.5 17.78 19 Otsuka 5.2 4.6 13.04 20 Forest Laboratories 5.2 4.7 10.64 TOTAL US SCRIP MARKET: 2011: $319.9 2010: $308.6 3.67% Figures in US$ billions. Report reflects Prescription-bound products including Insulins (and excludes other products such as OTC) IMS routinely updates its market audits, which can and does result in changes to previously reported market size and growth rates.Updated February 23, 2012 2012 Company 2011 Rx Sales 2011 R&D spend 2011 Top-Selling Drugs Rank HQ [website] (USD billions) (USD millions) [USD billions] 11 Bristol-Myers Squibb New York, New York [bms.com] $21.2 $3,800 Plavix [7.1] 12 Teva Petach Tikva, Israel [tevapharm.com] $16.7 $1,080 Copaxone [3.6] 13 Amgen Thousand Oaks, California [amgen.com] $15.3 $3,167 Neulasta/Neupogen [5.2] 14 Takeda Osaka, Japan [takeda.com] $15.2 $3,466 Actos/Glustin [4.7] 15 Boehringer Ingelheim [boehringer-ingelheim.com] $13.8 N/A Spiriva [4.4] 16 Bayer Leverkusen, Germany [bayer.com] $12.8 $1,979 Betaferon/Betaseron [1.4] 17 Daiichi Sankyo Tokyo, Japan [daiichisankyo.com] $11.6 $2,332 Olmesartan [2.9] 18 Novo Nordisk Bagsvaerd, Denmark [novonordisk.com] $11.5 $1,662 NovoLog/NovoRapid [2.2] 19 Astellas Tokyo, Japan [astellas.com] $11.4 $2,607 Lipitor [1.2] 20 Gilead Sciences Foster City, California [gilead.com] $8.1 $1,229 Atripla [3.2] 21 Otsuka Tokyo, Japan [otsuka.com] $7.4 $1,974 Abilify [4.4] 22 Merck KGaA Darmstadt, Germany [merckgroup.com] $7.2 $1,577 Rebif [2.2] Baxter International 23 Deerfield, Illinois [baxter.com] $6.1 $946 Advate [1.9] Mylan 24 Canonsburg, Pennsylvania [mylan.com] $5.5 $294 Generics [N/A] Servier 25 Neuilly-sur-Seine, France [servier.com] $5.0 $1,255 Coversyl [1.6] Sources: corporate data (10K’s, annual reports, etc.) and Pharm Exec estimates N/A = Not Available/Not Applicable * Estimate Figures are rounded
  • 5. 30 30 PHARMACEUTICAL EXECUTIVE PHARMACEUTICAL EXECUTIVE MAy 2012 www.pharmexec.com Top 25 US Pharma Products by Prescriptions Product 2011 2010 % Change 1 Hydrocodone/Acetaminophen 136 131.2 3.66 2 Simvastatin 96.6 94.1 2.66 3 Lisinopril 88.6 87.4 1.37 4 Levothyroxine Sodium 74.1 70.5 5.11 5 Amlodipine Besylate 62.1 57.2 8.57 6 Omeprazole (Rx) Source: IMS Health, MIDAS, December 2011 59.3 53.4 11.05 7 Azithromycin 55.3 52.6 5.13 8 Amoxicillin 53.8 52.3 2.87 9 Metformin Hcl 48.4 46.9 3.2 10 Hydrochlorothiazide 48.1 47.8 1.26 11 Alprazolam 47.8 46.3 3.14 12 Furosemide 42.1 43.4 -2.99 13 Lipitor ® 40.8 45.3 -9.93 14 Zolpidem Tartrate 39.4 38 3.68 15 Metoprolol Tartrate 37.8 38.9 -2.83 16 Citalopram Hbr 37.7 32.1 17.45 17 Sertraline Hcl 37.2 35.7 4.2 18 Metoprolol Succinate 34.5 33 4.55 19 Prednisone 33.7 28.7 17.42 20 Atenolol 33.3 36.3 -8.26 21 Gabapentin 33.2 29.3 13.31 22 Tramadol Hcl 32.9 26.8 22.76 23 Oxycodone/Acetaminophen 32.8 31.9 2.82 24 Ibuprofen (Rx) 32.6 31.1 4.82 25 Warfarin Sodium 30.9 32 -3.44 TOTAL US SCRIP MARKET: 2011: 4.02 2010: 3.99 0.78% Figures in millions of prescriptions. Report reflects Prescription-bound products including Insulins (and excludes other products such as OTC) IMS routinely updates its market audits, which can and does result in changes to previously reported market size and growth rates.Updated February 23, 2012 2012 Company 2011 Rx Sales 2011 R&D spend 2011 Top-Selling Drugs Rank HQ [website] (USD billions) (USD millions) [USD billions] Mitsubishi Tanabe 26 Osaka, Japan [mt-pharma.co.jp] $4.7 $788 Remicade [0.7] Celgene 27 Summit, New Jersey [celgene.com] $4.7 $1,600 Revlimid [3.2] CSL 28 Melbourne, Australia [csl.com.au] $4.5 $349 Privigen [n/a] Allergan 29 Irvine, California [allergan.com] $4.4 $902 Botox [1.6] Forest 30 New York, New York [frx.com] $4.2 $715 Lexapro [2.3] Dainippon Sumitomo 31 Osaka, Japan [ds-pharma.com] $4.0 $817 Lunesta [0.6] Shire 32 Dublin, Ireland [shire.com] $4.0 $770 Vyvanse [0.8] Menarini 33 Florence, Italy [menarini.com] $3.9 n/a n/a [n/a] Biogen Idec 34 Weston, Massachusetts [biogenidec.com] $3.8 $1,219 Avonex [2.7] Eisai 35 Tokyo, Japan [eisai.com] $3.7 $1,740 Aricept [3.5] UCB 36 Brussels, Belgium [ucb.com] $3.7 $1,004 Keppra [1.2] Watson 37 Parsippany, New Jersey [watson.com] $3.7 $295 Generic atovastatin [0.1] Purdue 38 Stamford, Connecticut [purduepharma.com] $2.9 N/A OxyContin [2.6] Lundbeck 39 Copenhagen, Denmark [lundbeck.com] $2.7 $620 Cipralex [1.0] Warner Chilcott 40 Dublin, Ireland [wcrx.com] $2.7 $107 Actonel [0.8] Sources: corporate data (10K’s, annual reports, etc.) and Pharm Exec estimates N/A = Not Available/Not Applicable * Estimate Figures are rounded
  • 6. 32 32 PHARMACEUTICAL EXECUTIVE PHARMACEUTICAL EXECUTIVE MAy 2012 www.pharmexec.com Top 25 US Pharma Products by Sales Product 2011 2010 % Change 1 Lipitor® 7.7 7.3 5.48 2 Plavix® 6.8 6.1 11.48 3 Nexium® 6.2 6.3 -1.59 4 Abilify® 5.2 4.6 13.04 5 Advair Diskus® 4.6 4.7 -2.13 6 Seroquel® 4.6 4.4 4.55 7 Singulair® Source: IMS Health, MIDAS, December 2011 4.6 4.1 12.19 8 Crestor® 4.4 3.8 15.79 9 Cymbalta® 3.7 3.2 15.63 10 Humira® 3.5 2.9 20.69 11 Enbrel® 3.5 3.3 6.06 12 Remicade® 3.5 3.3 6.06 13 Actos® 3.4 3.5 -2.86 14 Neulasta® 3.3 3 10 15 Rituxan® 3 2.8 7.14 16 Zyprexa® 3 3 0 17 Copaxone® 3 2.3 30.43 18 Lexapro® 2.9 2.8 3.57 19 Oxycontin® 2.9 3.1 -6.45 20 Epogen® 2.8 3.3 -15.15 21 Avastin® 2.7 3.1 -12.9 22 Atripla® 2.6 2.2 18.18 23 Spiriva Handihaler® 2.4 2 20 24 Januvia® 2.1 1.7 23.53 25 Lantus® 2 2 TOTAL US SCRIP MARKET: 2011: $319.9 2010: $308.6 3.66% Figures in US$ billions Report reflects Prescription-bound products including Insulins (and excludes other products such as OTC) IMS routinely updates its market audits, which can and does result in changes to previously reported market size and growth rates.Updated February 23, 2012 Patent expiries Major Patent Expiries in 2012 Sales in 2011 (in billions) Major Patent Expiries in 2012, Ex-US: Plavix / Sanofi-BMS $6.8 Japan: Seroquel Seroquel / AstraZeneca $4.6 UK: Seroquel, Singulair Singulair / Merck $4.6 France: Singulair Actos / Takeda $3.4 Germany: Seroquel Lexapro / Forest $2.9 2012 Company 2011 Rx Sales 2011 R&D spend 2011 Top-Selling Drugs Rank HQ [website] (USD billions) (USD millions) [USD billions] Kyowa Hakko Kirin 41 Tokyo, Japan [kyowa-kirin-pharma.com] $2.7 $543 Nesp/Espo [0.8] Shionogi 42 Osaka, Japan [shionogi.com] $2.6 $611 Crestor [0.3] Hospira 43 Lake Forest, Illinois [hospira.com] $2.6 $358 generic injectables [n/a] Valeant Pharmaceuticals 44 Mississauga, Ontario [valeant.com] $2.4 $65 Welbutrin [219.2] Endo Pharmaceuticals 45 Chadds Ford, Pennsylvania [endo.com] $2.2 $182 Lidoderm [0.8] Actavis 46 Zug, Switzerland [actavis.com] $2.0 n/a Generics [n/a] Grifols 47 Barcelona, Spain [grifols.com] $1.9 $98 Plasma fractionation products [n/a] Actelion 48 Allschwil, Switzerland [actelion.com] $1.8 $486 Tracleer [1.6] Galderma 49 Lausanne, Switzerland [galderma.com] $1.8 $363 Restylane [0.1] Aspen 50 Durban, South Africa [aspenpharma.com] $1.7 $1.3 N/A [n/a] Sources: corporate data (10K’s, annual reports, etc.) and Pharm Exec estimates N/A = Not Available/Not Applicable * Estimate Figures are rounded
  • 7. 34 PHARMACEUTICAL EXECUTIVE MAy 2012 www.pharmexec.com The Top 10 Year In Review 1. Pfizer faced a brutal year of pat- the acquisition of pediatric specialist Topaz Pharmaceuticals and Universal Caprelsa, the first approved therapy for nonoperable advanced medullary thyroid ent expirations in 2011, including not just US exclusivity loss for its leading Medicare, a consumer health company cancer, an orphan condition. Meanwhile, product, Lipitor, but Aromasin, Xalatan, in India. Jevtana, for advanced prostate Japanese regulators approved Nexium— Vfend, and Protonix as well. Still, the in- cancer, launched in Europe, and the Al- a decade after the drug’s US launch. dustry giant had five products that sold legra family of allergy products launched $2 billion or more, and revenues that in the US on an over-the-counter basis. Lost market exclusivity included Tax- 8. Johnson & Johnson, topped $500 million in 18 countries while struggling to put manufacturing outside the US. It also acquired King for otere, Xatral, and Nasacort in the US problems behind it, took a commanding $3.6 billion, providing a broader profile and Aprovel in Western Europe. position in the orthopedic market with in pain, and sold formulation specialist its $21.3 billion acquisition of medical- Capsugel. Approvals included Xalkori 5. Roche gained simultaneous equipment maker Synthes. It won ap- (crizotinib) for some lung cancers with FDA approval for Zelboraf, a targeted proval for Zytiga (for late-stage prostate the ALK gene. therapy for metastatic melanoma, and cancer) and the anticoagulant Xarelto. its companion diagnostic test—a first. J&J exited the drug-eluting stent market 2. Novartis won 15 approvals in It also acquired Anadys, a hepatitis it helped create. It sold off its Jannsen the United States, the EU, and Japan. C specialist, for $230 million, and dermatology business and the US rights Among them was US approval for Ar- announced a partnership with Evotec to St. Joseph’s aspirin, and bought the capta Inhalr for COPD. It also launched to develop oncology biomarkers. In a over-the-counter brands of India’s J.B. the oral MS drug Gilenya. While still controversial decision, FDA withdrew ap- Chemicals & Pharmaceuticals. integrating Alcon, the world’s largest proval of Roche’s Avastin for breast can- eyecare company, acquired last year, cer—though CMS announced it would continue to reimburse for it. For the first 9. Abbott announced plans to split Novartis bought Genoptix, a diagnostics itself into two companies: a medical company, for $458 million, and hit a key time, the family-owned bloc of Roche products company focused on medical landmark as Sandoz’s generic version shares dipped below 50 percent when devices, branded generics, and nutrition- of the anticoagulant enoxaparin became Maia Oeri dropped out of the group. als; and a research-based pharmaceuti- the company’s first “generic blockbust- cal company. The spinoff is slated to er,” with sales of more than $1 billion. 6. GlaxoSmithKline announced take place late this year. Abbott also the $660 million sale of 17 noncore received European approval for a new 3. Merck gained FDA and EU approv- OTC brands, including Beano, Goody’s, absorbable heart stent, and filed for al for Victrelis, the first new medicine for Ecotrin, Fiber Choice, Sominex, and multiple new indications for Humira. chronic hepatitis C in almost a decade. Tagamet, to Prestige Brands. US ap- Other approvals included Juvisync, provals included Benlysta, the first new lupus treatment in more than 50 10. Eli Lilly successfully fended a combination of the diabetes drug off a challenge to its Cymbalta patent Januvia with the statin Zocor. Merck years (developed with Human Genome in federal court, preserving its market also bought Inspire, an ophthalmic spe- Sciences); the anticonvulsant Potigal exclusivity until at least June 2013. It cialty firm, for $430 million and formed (developed with Valeant); and Horizant won US and EU market approval for By- alliances with India’s Sun Pharma (to for restless leg syndrome (developed dureon, the diabetes drug it developed promote branded generics in emerging with XenoPort). with Amylin, only to have the nine-year- markets) and Parexel (to pursue biosimi- old partnership break up in November. lars). As the year ended, CEO Kenneth Frazier was appointed chairman, replac- 7. AstraZeneca sold its Astra It announced a strategic alliance with Tech subsidiary, which makes dental im- Boehringer Ingelheim focused on dia- ing Richard Clark. plants and medical devices for surgery betes. The partnership won US and UK and urology, to Dentsply for $1.8 billion. approval for Tradjenta/Trajenta. In July, 4. Sanofi acquired Genzyme for $20 FDA approved Brilinta, AZ’s new antico- Lilly acquired the animal health busi- billion in April, the largest of 30 new agulant, reversing its 2010 rejection of ness of Janssen, a Johnson & Johnson transactions in 2011. Others included the drug, as well as giving the nod to company. About the Authors Jerry Cacciotti is a Partner in Oliver Wyman’s Health and Life Sciences Patrick Clinton is Marketing Director in the Health & Life Sciences practice Practice. He can be reached at Jerry.Cacciotti@oliverwyman.com of Oliver Wyman. He can be reached at Patrick.Clinton@oliverwyman.com