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Latvia Pharmaceuticals and Healthcare Report Q2 2008

Published by: Business Monitor International

Published: Apr. 18, 2008 - 54 Pages


Table of Contents


Executive Summary
Latvia Pharmaceuticals And Healthcare Industry SWOT
Political SWOT
Economic SWOT
Business Environment SWOT
Pharmaceutical Business Environment Ratings
Table: Pharmaceutical Business Environment Rankings
Limits Of Potential Returns
Risks To Realisation Of Returns
Latvia - Market Summa11
Industry Trends And Developments
Regulatory Regime
Recent Regulatory Developments
Corruption
Intellectual Property Developments
Table: USTR Special 301 Report
Pricing Regime
Reimbursement Regime
Industry Developments
Epidemiology
Table: Incidence Of Infectious And Parasitic Diseases, 2007 (cases per 100,000 population)
Healthcare Sector
Pharmaceutical Industry
Recent Pharmaceutical Company Developments
Wholesale
Retail
Table: Pharmacies And Pharmacy Market Ratios
Biotechnology
Medical Devices
Industry Forecast Sce24
Overall Market Forecast
Table: Estonia’s Drug Expenditure and Prescription Market Indicators (US$mn unless otherwise stated)
Key Growth Factors - Industry
Table: Latvia’s Health Expenditure Trends
Key Growth Factors - Macroeconomic
Table: Latvia - Economic Activity
Patented Market Forecast
Table: Latvia’s Patented Drug Market Forecast Indicators (US$mn unless otherwise stated)
Generics Market Forecast
Table: Latvia Generics Market Forecast Indicators
OTC Market Forecast
OTC Market Forecast
Table: OTC Market Indicators (US$mn unless otherwise stated)
Export/Import Forecasts
Table: Trade Trends (US$mn)
Other Healthcare Data Forecasts
Table: Other Healthcare Data Forecasts
Key Risks To BMI’s Forecast Scenario
Competitive Landscape
Table: Leading Pharmaceutical Players In Latvia, 2006
Table: Leading Products By Producers In Latvia 2005
Company Monitors
Multinational Company Profiles
Pfizer
GlaxoSmithKline
Sanofi-Aventis
Novartis
Merck & Co
Indigenous Company Profiles
Grindeks (includes Tallinn Pharmaceutical Plant)
Olainfarm
BMI Forecast Modelling
How We Generate Our Industry Forecasts
Pharmaceutical Industry
Pharmaceutical Business Environment Ratings Methodology
Ratings Overview
Table: Pharmaceutical Business Environment Indicators
Weighting
Table: Weighting Of Components
Sources


Abstract

Latvia is the second-largest pharmaceutical market in the Baltics, just behind Lithuania, and significantly
ahead of Estonia. In 2007, the market was worth around US$454mn, rising by 15% in relation to the
previous year. In the coming year, broader economic worries and a lack of traction on healthcare policy
will serve to hamper market growth.


The modernisation of the primary sector will continue to relieve pressure on hospitals, which were the
key point of healthcare under the Soviet administration. Limited reimbursement coverage will result in
higher patient contribution to the cost of pharmaceuticals, which will in turn encourage the use of
generics. In addition, the government will continue promoting generics as a means of containing
healthcare costs, with the segment forecast to represent some 38% of total market value by 2012, up from
around 35% in 2007.


In the BMI Business Environment Ranking matrix for Q208, Latvia is in sixth position, up by three
places in relation to the previous period. The country is ranked below Estonia, but above Lithuania, the
other two Baltic states, among the 16 key pharmaceutical markets of Central and Eastern Europe (CEE).
Positives include relatively insignificant market risks, given the high degree of patent protection and
overall integration into the European Union (EU). On the other hand, the country’s small and falling
population numbers, relatively low per capita income of the population, corruption and limited
reimbursement spending represent key barriers to investment.


Pressure on healthcare resources has been translated into the pharmaceutical field through restrictive
reimbursement policies, although the pricing regime remains relatively liberal in comparison to its Baltic
peers. In December 2007, however, Latvia's Health Ministry accused some drugmakers of selling their
products at prices up to 30% higher in the country than in other EU states, which is likely to lead to
stricter price negotiations. While drugmakers highlight the need to keep prices at profit-sustainable levels,
the government will likely disregard much of their demands.


In the meantime, Latvian pharmaceutical champion Grindeks posted net profits of LVL7.2mn
(US$13.8mn) for full-year 2007, some 8% higher than in the previous year. The group’s turnover topped
LVL51.5mn, up 9.3% year-on-year (y-o-y), boosted by strong sales of its key product, Mildronate.
Exports remain responsible for the bulk of its sales, with the company also reporting a 22% in the foreign
sales of active pharmaceutical ingredients (APIs). Grindeks will continue to focus on exports as a means
of circumventing the limitations of a small domestic market, although the company is also planning a
launch of a number of new generic products in the country.


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