Espicom's highly regarded world pharmaceutical market reports have been redesigned to provide enhanced strategic intelligence in a user-friendly format. Each report provides in-depth information, setting the pharmaceutical market in context. The reports provide:Five-year projections for economic, demographic, health expenditure, health workforce and pharmaceutical market indicators. Specialised intelligence on OTCs, generics, biologics and biosimilars. Exclusive economic and demographic data from the Economist Intelligence Unit (EIU) for each market in the series. A separate statistical health file, comprising health expenditure, health infrastructure, health services and health personnel. The reports are updated quarterly, providing you with the latest information for a full year. In addition, the service will keep you up to date with market and industry news on a regular basis.

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The Pharmaceutical Market: France
Published on April 2011
Report Summary
Espicom's highly regarded world pharmaceutical market reports have been redesigned to provide enhanced strategic intelligence in a
user-friendly format. Each report provides in-depth information, setting the pharmaceutical market in context. The reports provide:
Five-year projections for economic, demographic, health expenditure, health workforce and pharmaceutical market indicators.
Specialised intelligence on OTCs, generics, biologics and biosimilars.
Exclusive economic and demographic data from the Economist Intelligence Unit (EIU) for each market in the series.
A separate statistical health file, comprising health expenditure, health infrastructure, health services and health personnel.
The reports are updated quarterly, providing you with the latest information for a full year. In addition, the service will keep you up to
date with market and industry news on a regular basis.
Table of Content
Table of Contents
EXECUTIVE SUMMARY 1
Snapshot: Strategic Espicom Analysis 2
Snapshot: Key Data Projections 3
MACROENVIRONMENT 4
POLITICAL 4
ECONOMIC5
LEGAL 6
EU Patent Protection 6
Proposal for Unitary Patent 6
Patent Settlements 6
EU Supplementary Protection Certificates 7
EU Data Exclusivity7
DEMOGRAPHIC 8
Projections 8
Demographic Indicators 9
Birth Rate 9
Death Rate 9
Infant Mortality 9
Life Expectancy at Birth 9
EPIDEMIOLOGY 10
DISEASE BURDEN 10
DISEASE PREVALENCE 10
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Communicable Diseases 10
Hepatitis C / Hepatitis B 10
HIV/AIDS 10
Non-communicable Diseases 11
EU DIRECTIVE13
Cross-Border Healthcare Directive 13
ORGANISATION 13
National Health Agencies 13
Regional Health Agencies 14
Public Hospitals 14
Hospital Restructuring 14
Regional Health Organisation Plans (SROS) 15
Ambulatory Services 16
Health Insurance System17
EXPENDITURE 18
Projections 18
Latest Figures 19
Pharmaceutical Expenditure 19
INFRASTRUCTURE/SERVICES 20
Public Hospitals 20
Private Hospitals 21
Non-Profitmaking Hospitals 21
Commercial Clinics 21
Regional chains 22
Inpatient Analysis23
Surgical Activity 25
Obstetric Activity 25
Diagnostic & Therapeutic Activity in the Private Sector 26
Ambulatory Activity 27
Home Hospitalisation 27
WORKFORCE 28
Projections 28
REGULATORY AFFAIRS 30
EU REGULATION 30
EMA 30
Registration 30
Centralised Procedure 30
NATIONAL AUTHORITY 31
MARKETING AUTHORISATIONS 31
POST-MARKETING SURVEILLANCE 32
ADVERTISING32
PRICING & REIMBURSEMENT 33
EU NM CAPR 33
PRICING 33
Pricing Of Reimbursable Medicines in the Retail Pharmacy Sector 33
Price Revisions 34
Pricing Activity 35
State-Industry Framework Agreements 36
Pharmacy Margins 37
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Reference Pricing (TFR) 37
Pricing of Hospital Medicines 37
REIMBURSEMENT 38
Social Security Pharmaceutical Reimbursement Spending Trends 39
DISTRIBUTION CHANNELS 40
WHOLESALING 40
Distributors 40
Alliance Healthcare40
CERP 40
OCP 40
Phoenix Pharma 41
RETAILING41
MARKET ANALYSIS 42
SIZE 42
Projections 42
Historical Figures 44
Current Structure 45
PRODUCT DEVELOPMENT 47
EU IMI 47
National Product Development 47
LEEM-Recherche 47
Ipsen 49
Pierre Fabre 50
sanofi-aventis 50
Servier 50
MANUFACTURING 51
Domestic Production51
TRADE53
Exports 53
Imports 56
Balance of Trade 59
COMPETITION 60
TRADE ASSOCIATIONS 60
LEEM / LEEM Recherche 60
LIR 60
COMPANY INTELLIGENCE 61
Local Manufacturers 61
Ipsen 61
Pierre Fabre 62
sanofi-aventis 63
Servier 64
Multinational Manufacturers 64
AstraZeneca64
Bristol-Myers Squibb 65
Eli Lilly 65
GSK 65
MSD 65
Pfizer 65
Competitive Strategies 66
OTC PHARMACEUTICALS 67
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MARKET SIZE 67
GENERIC PHARMACEUTICALS 69
REGULATION 69
EU Marketing Registration 69
MARKET SIZE 69
COMPETITION 72
Trade Association72
GEMME 72
BIOLOGICS & BIOSIMILARS 73
REGULATION 73
EU Approval Process 73
EU Regulation of Biosimilars 73
EMA Guideline Documents 74
Biosimilar mAb Guideline 74
COMPETITION 74
Trade Associations 74
Atlantic Biotherapies 74
Eurobiomed 74
France Biotech 75
Company Intelligence 75
AB Science 75
Carmat 75
Cellectis 75
Cerenis Therapeutics 75
ExonHit Therapeutics 75
Genethon 75
Genfit 76
GenOway 76
Hybrigenics 76
Innate Pharma 76
Ipsogen 76
LFB 77
Neovacs 77
NicOx77
Sanofi Pasteur 78
Stallergenes 78
Transgene 78
Vivalis 79
Competitive Strategies 79
CONCLUSIONS: OPPORTUNITIES & CHALLENGES 80
Strategic Espicom Analysis 80
MACROENVIRONMENT 80
EPIDEMIOLOGY 80
HEALTHCARE 81
REGULATORY AFFAIRS 81
PRICING & REIMBURSEMENT82
DISTRIBUTION CHANNELS 82
MARKET 82
COMPETITION 83
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OTC PHARMACEUTICALS 83
GENERIC PHARMACEUTICALS 83
BIOLOGICS & BIOSIMILARS 83
Radar Analysis 85
SWOT Analysis 85
DIRECTORY 86
GOVERNMENT ORGANISATIONS 86
PRODUCERS 86
Local Producers 86
Multinational Producers 86
Biologic Producers 86
TRADE ASSOCIATIONS 87
List of Tables
Espicom Analysis of the Pharmaceutical Market, 2011 2
Key Data Projections, 2011-2016 3
Political Landscape, 2011 4
Regional Ranking of Projected Economies, 2016 5
Projected Economy, 2011-2016 5
Regional Ranking of Projected Demographics, 2016 8
Projected Demographics, 2011-2016 8
Principal Demographic Indicators, 2000-2009 9
New Cases of Long-Term Illnesses, 2004-2008 11
Projected Patients Registered with Long-Term Illnesses, Régime Génerale, 2008/2011/2015 12
Regional Ranking of Projected Health Expenditure, 2016 18
Projected Health Expenditure, 2011-2016 18
Health Expenditure, 2002-2009 19
Pharmaceutical Expenditure, 2000-2009 (Million Euros) 19
Pharmaceutical Expenditure by Source of Funding, 2003-2009 (%) 19
Summary of Hospitals & Beds 20
Hospital Activity, 2005-2009 23
Hospital Activity by Specialty, 2009 23
Hospital Activity in Short-Stay Units, 2009 24
Diagnostic and Therapeutic Procedures Performed in Public and Private Hospitals, 2009 25
Regional Ranking of Projected Physicians, 2016 28
Projected Physicians, 2011-2016 28
Medical Personnel, 2005-2010 29
MA Activity, 2000-2009 31
Drug Pricing Applications Submitted by Type, 2008 35
Average Number of Days Taken to Process First-Time Registrations, 2008 35
Taxes and Other Financial Contributions Imposed on Pharmaceutical Companies, 2000-2007 (Million Euros) 36
Distribution of the Pharmaceutical Market According to Reimbursement Rate, 2007-2008 39
Social Security Drug Reimbursement, 2003-2006 (Million Euros) 39
Active Pharmacies According to Legal Status, 2001 41
Regional Ranking of Projected Pharmaceutical Markets at Retail Prices, 2016 42
Projected Pharmaceutical Market at Retail Prices, 2011-2016 42
Historical Pharmaceutical Market at Retail Prices, 1995-2010 44
Pharmaceutical Sales at Manufacturers' Prices, 2000-2009 (Million Euros) 45
Pharmaceutical Sales at Manufacturers' Prices, 2000-2009 (%) 46
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Change in Pharmaceutical Sales at Manufacturers' Prices, 2001-2009 (%)46
Pharmaceutical Industry R&D Expenditure, 1995-2006 49
Trends in Pharmaceutical Manufacturing Industry, 2000-2006 51
Pharmaceutical Manufacturing Industry by Principal Sector, 2006 51
Production of Medicaments and Vaccines for Human Use, 2004-2007 (Million Euros) 52
Pharmaceutical Exports by Category, 2004-2008 (US$ Millions) 53
Exports of Raw Materials by Country/Region, 2008 (US$000s) 54
Exports of Antisera & Vaccines by Country/Region, 2008 (US$000s) 55
Exports of Medicaments by Country/Region, 2008 (US$000s) 55
Pharmaceutical Imports by Category, 2004-2008 (US$ Millions) 56
Imports of Raw Materials by Country/Region, 2008 (US$000s) 57
Imports of Antisera & Vaccines by Country/Region, 2008 (US$000s) 58
Imports of Medicaments by Country/Region, 2008 (US$000s) 58
Balance of Pharmaceutical Trade, 2004-2008 (US$000s) 59
Members of LEEM Recherche, 2007 60
Members of LIR, 201060
sanofi-aventis' Top 10 Pharmaceutical Products by Sales, First Half 2009-2010 (Million Euros) 63
Generic Sales Value & Volume in Reimbursable Pharmacy Sector at Manufacturers' Prices, 2000-2009 (%)69
Generic Sales Value in Reimbursable Pharmacy Sector at Manufacturers' Prices, 2000-2009 70
Members of GEMME, 2010 72
Sanofi Pasteur's Sales by Vaccine Type, First Half 2009-2010 (Million Euros) 78
Espicom Analysis of the Pharmaceutical Market, 2011 84
SWOT Analysis of the Pharmaceutical Market, 2011 85
List of Charts
Regional Comparison of Top-5 Projected Pharmaceutical Markets at Retail Prices, 2016 42
Regional Comparison of Projected Pharmaceutical Market Share, 2016 43
Historical Pharmaceutical Market at Retail Prices, 1995-2010 45
R&D Employment within the French Pharmaceutical Industry, 1995-2005 (%)48
Clinical Trials Initiated, 1995-2006 (%) 49
Pharmaceutical Exports, 1999-2008 53
Leading Destinations of Pharmaceuticals, 2008 (%) 54
Pharmaceutical Imports, 1999-2008 56
Pharmaceutical Imports by Country/Region, 2008 (%) 57
Pharmaceutical Balance of Trade, 1999-2007 (US$ Billions) 59
Distribution of the OTC Pharmaceutical Market by Product Status, 2008 (%) 67
Radar Graph of the Pharmaceutical Market, 2011 85
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