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Lebanon Pharmaceuticals and Healthcare Report Q2 2008

Published by: Business Monitor International

Published: Apr. 22, 2008 - 54 Pages


Table of Contents


Executive Summary
Lebanon Pharmaceuticals And Healthcare Industry SWOT
Political SWOT
Economic SWOT
Business Environment SWOT
Business Environment Ranking
Table: Pharmaceutical Business Environment Ratings
Limits Of Potential Returns
Risks To Realisation Of Returns
Lebanon - Market Summary
Regulatory Regime
Public Sector Procurement
Intellectual Property Regime
USTR ‘Special 301’ Report 2007
IP Shortcomings
Parallel Imports
Counterfeit Drugs
Table: Losses Due To Counterfeit Drugs In The Middle East, 2007
Free Trade Agreements
Pricing And Reimbursement Issues
Table: Lebanon’s Incremental Drug Margins
Industry Developments
Health Profile
HIV/AIDS Infections
Healthcare Sector
Hospital Sector
Healthcare Sector Reforms
Regional Developments
Pharmaceuticals Sector
Recent Pharmaceutical Industry Developments
Research And Development
Industry Forecast Scenario
Overall Market Forecasts
Table: Lebanon’s Drug Expenditure Indicators, 2006-2012
Key Growth Factors - Industry
Table: Lebanon’s Health Expenditure, Estimates And Forecasts, 2006-2012
Key Growth Factors - Macroeconomic
Table: Lebanon - Economic Activity
Prescription Market Forecast
Table: Lebanon Prescription Market Indicators, 2006-2012 (US$mn unless otherwise stated)
OTC Market Forecast
Table: Lebanon’s OTC Market Indicators, 2006-2012 (US$mn unless otherwise stated)
Generics Market Forecast
Table: Lebanon’s Generics And Patented Market Indicators, 2006-2012
Patented Drug Market Forecast
Export/Import Market Forecasts
Table: Lebanon’s Export/Import Indicators, 2006-2012 (US$mn)
Other Healthcare Data Forecasts
Table: Lebanon - Other Healthcare Data, 2006-2012
Key Risks To BMI Forecasts
Competitive Landscape
Company Profiles
Multinational Companies
Pfizer
Novartis
Merck & Co
Johnson & Johnson
Sanofi-Aventis
Abbott Laboratories
GlaxoSmithKline
Indigenous Companies
Chalhoub Pharmaceuticals (CHAPHA)
Alfa Laboratories
Technimed
Algorithm
Codipha
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

Lebanon’s pharmaceutical market continues to be adversely affected by internal instability - first the
2006 conflict with Israel and more recently the lack of political leadership. The 2006 war severely dented
Lebanon’s infrastructure, while the uncertain political situation continues to deter foreign investment.
Lebanon’s pharmaceutical market was estimated to be worth US$472mn in 2007. Growth is expected to
remain subdued, averaging 4% year-on year (y-o-y) through the forecast period.


Healthcare provision is dominated by the private sector, with only 8% of the population benefiting from
government-run primary care facilities. Political instability appears to be aiding the development of the
private sector as the public system is hampering the function of the public sector. Hospitals remain the
main place where patients access healthcare meaning prescription drugs should continue to dominate the
market. However, rising health awareness should lead to stronger growth in the over-the-counter (OTC)
drug market - particularly in the latter part of the forecast period.


The patented drug market is relatively large when compared with the poverty of most citizens. This is
partly due to a widespread distrust of non-branded drugs by doctors and patients and lack of government
incentives for the substitution of patented drugs with cheaper generic alternatives. The situation is not
helped by the underdeveloped nature of local manufacturing, which means that most drugs must be
imported despite the 15% price advantage offered to locally-made drugs in government tenders.


In BMI’s adjusted Business Environment Rankings for the Middle East and Africa, Lebanon is placed
11th out of 13 markets surveyed. It received a score of 42 out of a possible 100 - unchanged from Q108.
The relatively low pharmaceutical market growth forecast and small overall market size serve to depress
Lebanon’s overall score. In addition, serious intellectual property (IP) concerns and a biased
reimbursement policy contribute to Lebanon’s poor showing.


Lebanon, in common with other Middle Eastern states suffers from a growing chronic disease burden,
with the prevalence of cardiovascular disease particularly high. However, in contrast to other Middle
Eastern states that have made progress in reducing their infectious disease burden, conditions such as
acute respiratory infections remain common in Lebanon.


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