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Serbia Pharmaceuticals and Healthcare Report Q2 2008

Published by: Business Monitor International

Published: Apr. 22, 2008 - 66 Pages


Table of Contents


Executive Summary
Serbia Pharmaceuticals And Healthcare Industry SWOT
Serbia Political SWOT
Serbia Economic SWOT
Serbia Business Environment SWOT
Pharmaceutical Business Environment Ratings
Table: Central And Eastern Europe Pharmaceutical Business Environment Rankings
Limits Of Potential Returns
Risks To Realisation Of Returns
Risks To Potential Returns
Serbia - Market Summary
Regulatory Regime
Intellectual Property Environment
IP Disputes
Pricing Regime
Reimbursement Regime
Price Cuts
Price Rises
Montenegro’s Healthcare And Pharmaceutical Industry
Industry Trends And Developments
Health Status
Table: Top 10 Causes Of Death In Serbia And Montenegro
Healthcare Sector
Healthcare Insurance
Healthcare Reforms
Medical Tourism
Table: Cosmetic Surgery Costs
Pharmaceutical Sector
Pharmaceutical Wholesale and Retail
Domestic Pharmaceutical Industry
Domestic Company Activities
Foreign Pharmaceutical Industry
Foreign Company Activities
Table: Proposed Members Of Serbia's Pharmaceutical Industry Association
Clinical Trials
Table: Number Of Ongoing Clinical Trials In Serbia
Medical Devices
Industry Forecast Sce30
Overall Market Forecast
Table: Drug Expenditure And Prescription Market Indicators (US$mn unless otherwise stated)
Key Growth Factors - Industry
Table: Health Expenditure Indicators, 2006-2012
Key Growth Factors - Macroeconomic
Table: Serbia - Economic Activity
Patented Market Forecast
Table: Prescription Market Indicators
Generics Market Forecast
Table: Generic Market Indicators
OTC Market Forecast
Table: OTC Market Indicators (US$mn unless otherwise stated)
Export/Import Forecasts
Table: Trade Balance Indicators (US$mn unless otherwise stated)
Other Healthcare Data Forecasts
Table: Healthcare Market Indicators
Key Risks To BMI’s Forecast Scenario
Competitive Landscape
Table: Companies Involved In The Serbian Pharmaceutical Industry
Table: Market Share By Therapeutic Group, 2004
Table Competitive Landscape in Serbia
Company Monitor
Multinational Company Profiles
Pfizer
GlaxoSmithKline
Novartis
Sanofi-Aventis
Merck & Co
Indigenous Company Profiles
Hemofarm
Galenika
Zdravlje Actavis
Jugoremedija
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

The Serbian pharmaceutical market, which technically contracted following the June 2006 dissolution of
the State of Union of Serbia and Montenegro, remains the least developed in Central and Eastern Europe
(CEE). However, the country’s desire to join the European Union (EU) will in the longer term boost
opportunities for both foreign and domestic stakeholders. In the shorter term, a difficult pricing,
reimbursement and intellectual property (IP) environment will continue to conspire to hamper market
access and development.


In the meantime, the medical devices market in Serbia will be improved by planned reforms of healthcare
provision. While the financing of public-sector modernisation remains questionable, the growing number
of private laboratories and the public dissatisfaction with national healthcare services will stimulate the
demand for new and modern medical equipment. Foreign companies will reap the benefits of this trend,
given that over 90% of the demand is met by imports.


Generics account for around a quarter of the total market by value, but significantly more by volume.
However, high out-of-pocket expenditure, required by the fact that state reimbursed medicines are often
out of stock and public funds suffer from chronic financial shortages, has resulted in dominance of
patented medicines, despite limited spending power of the average consumer. In the longer term, patented
medicines will benefit from the involvement of foreign players in the domestic industry (through
acquisitions and investment), as well as from the country’s need to align its regulatory environment with
that of the EU.


In regional terms, BMI’s new Business Environment Rankings table for Q108 once again finds Serbia
last out of the 16 Central and Eastern European (CEE) states surveyed. The operating environment is
considered deficient from the point of view of regulatory infrastructure, preferential treatment for the
domestic industry and the existence of a sizeable counterfeit industry. In addition, the unstable political
climate and widespread corruption also hamper multinational activities.


Given the above factors, local producers - led by three key companies - will continue to meet around
60% of the country’s demand for pharmaceuticals, with consolidation in the sector expected to continue,
under pressure to meet the 2009 Good Manufacturing Practice (GMP) deadline. One of the local leaders,
Zdravlje Actavis, opened a new distribution centre in late 2007 in a bid to meet the growing domestic
demand for medicines as well as to accommodate the pending registration of over 50 of its products.
Multinationals will, on the other hand, remain present in the market through acquisition of local firms as
well as imports.


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