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OTC Pharmaceuticals

Published by: Key Note Publications Ltd

Published: May. 1, 2008 - 134 Pages


Table of Contents


Executive Summary

1. Market Definition

REPORT COVERAGE

Pharmacy-Only Medicines

General Sales List Medicines

MARKET SECTORS

Analgesics (Pain Relief Medication)

Skincare Treatments

Cough, Cold and Sore Throat Remedies

Gastrointestinal Remedies

Other OTC Products

MARKET TRENDS

An Industry Dominated by the NHS

Promotion of Self-Care

An Expansion in Pharmacy Provision

Extending the Role of Community Pharmacies

Improving Access to Non-Prescription Medicines

Product Development

An Increasingly Consolidated Industry

Household Expenditure

Table 1: Average Weekly Household Expenditure on Health (£), 2004/2005 and 2006/2007

Figure 1: Average Weekly Household Expenditure on Health (£), 2004/2005 and 2006/2007

ECONOMIC TRENDS

Population

Table 2: UK Resident Population Estimates by Sex (000), Mid-Years 2003-2007

Table 3: UK Resident Population Estimates and Projections (000 and %), Mid-Years 2002, 2006, 2011, 2016 and 2021

Figure 2: UK Resident Population Estimates and Projections (%), Mid-Years 2002, 2006, 2011, 2016 and 2021

Gross Domestic Product

Table 4: UK Gross Domestic Product at Current and Annual Chain-Linked Prices (£m), 2003-2007

Inflation

Table 5: UK Rate of Inflation (%), 2003-2007

Unemployment

Table 6: Actual Number of Unemployed Persons in the UK (million), 2003-2007

Household Disposable Income

Table 7: UK Household Disposable Income Per Capita (£), 2003-2007

MARKET POSITION

The UK

Table 8: The Total UK Pharmaceutical Market by Value (£m at rsp), 2003-2007

Figure 3: The Total UK Pharmaceutical Market by Value (£m at rsp), 2003-2007

Table 9: Leading Ten Pharmaceutical/Biotechnology Companies by Expenditure in Research and Development in the UK (£m and %), 2006/2007

Overseas

Table 10: Annual Average Medicine Usage Per Person in Selected Countries (£), 2004

Table 11: Expenditure on Medicines as a Percentage of Gross Domestic Product in Selected Countries (%), 2004

2. Market Size

THE TOTAL MARKET

Table 12: The Total Over-the-Counter Pharmaceuticals Market in Great Britain by Value (£m at rsp), 2003-2007

Figure 4: The Total Over-the-Counter Pharmaceuticals Market in Great Britain by Value (£m at rsp), 2003-2007

BY MARKET SECTOR

Figure 5: The Estimated Total Over-the-Counter Pharmaceuticals Market in Great Britain by Sector by Value (%), 2007

Analgesics

Table 13: The Analgesics Sector in Great Britain by Subsector by Value (£m at rsp), 2003-2007

Skincare Treatments

Table 14: The Skincare Treatments Sector in Great Britain by Subsector by Value (£m at rsp), 2003-2007

Cough, Cold and Sore Throat Remedies

Table 15: The Cough, Cold and Sore Throat Remedies Sector in Great Britain by Subsector by Value (£m at rsp), 2003-2007

Gastrointestinal Remedies

Table 16: The Gastrointestinal Remedies Sector in Great Britain by Subsector by Value (£m at rsp), 2003-2007

Other OTC Products

Table 17: The Other Over-the-Counter Products Sector in Great Britain by Subsector by Value (£m at rsp), 2003-2007

OVERSEAS TRADE

Table 18: UK Trade in Pharmaceuticals (£m), 2003-2007

Figure 6: UK Trade in Pharmaceuticals (£m), 2003-2007

3. Industry Background

RECENT HISTORY

The Pharmaceutical Market

The OTC Pharmaceutical Market

NUMBER OF COMPANIES

EMPLOYMENT

REGIONAL VARIATIONS IN THE MARKETPLACE

DISTRIBUTION

Pharmacies

Table 19: The Number of NHS-Contracted Community Pharmacies in England and Wales, 2002/2003 to 2006/2007

Figure 7: The Number of NHS-Contracted Community Pharmacies in England and Wales, 2002/2003 to 2006/2007

Retailers

Table 20: Retail Distribution of Pharmacies by Consumer Usage (%), 2005

Wholesalers

Full-Line Wholesalers

Short-Line Wholesalers

Specialist Distributors (Parallel Traders)

Self-Distributors

Direct Distribution, Mail Order and Online Trading

HOW ROBUST IS THE MARKET?

LEGISLATION

Medicines and Healthcare Products Regulatory Agency

Better Regulation of Over-the-Counter Medicines Initiative

KEY TRADE ASSOCIATIONS

Association of the British Pharmaceutical Industry

Association of the European Self-Medication Industry

British Association of Pharmaceutical Wholesalers

European Association of Pharmaceutical Full-Line Wholesalers

Proprietary Association of Great Britain

4. Competitor Analysis

THE MARKETPLACE

Introduction

The OTC Pharmaceuticals Market

MARKET LEADERS

Bayer HealthCare

Company Structure

Current and Future Developments

Financial Results

GlaxoSmithKline PLC

Company Structure

Current and Future Developments

Table 21: Top Five Consumer Healthcare Products for GlaxoSmithKline by Turnover (£m), Year Ending 31st December 2007

Financial Results

Johnson & Johnson

Company Structure

Current and Future Developments

Financial Results

Novartis UK Ltd

Company Structure

Current and Future Developments

Financial Results

Reckitt Benckiser PLC

Company Structure

Current and Future Developments

Financial Results

Wyeth

Company Structure

Current and Future Developments

Financial Results

OUTSIDE SUPPLIERS

MARKETING ACTIVITY

Main Media Advertising Expenditure

Table 22: Main Media Advertising Expenditure on Over-the-Counter Pharmaceuticals by Main Therapeutic Area and Selected Brand (£000), Years Ending December 2006 and 2007

Exhibitions and Trade Shows

5. Strengths, Weaknesses, Opportunities and Threats

STRENGTHS

WEAKNESSES

OPPORTUNITIES

THREATS

6. Buying Behaviour

INTRODUCTION

Key Findings

Table 23: Consumer Attitudes Towards Over-the-Counter Pharmaceuticals (% of respondents), 2007 and 2008

ATTITUDES TOWARDS OTC PHARMACEUTICALS

Purchasing OTC Products

Table 24: Attitudes Towards Purchasing Over-the-Counter Products (% of respondents), 2008

Taking OTC Products as a Preventative Measure

Table 25: Attitudes Towards Taking Over-the-Counter Products as a Preventative Measure (% of respondents), 2008

Availability of OTC Products and Concern Over Side Effects

Table 26: Attitudes Towards the Availability of Over-the-Counter Products and Concern Over Side Effects (% of respondents), 2008

Asking a Pharmacist for Advice About OTC Products

Table 27: Attitudes Towards Asking a Pharmacist for Advice About OTC Products (% of respondents), 2008

GP Recommendations of OTC Medicines

Table 28: General Practitioner Recommendations of Over-the-Counter Medicines (% of respondents), 2007

Self-Medication Based on Cost Issues

Table 29: Self-Medication Based on Cost Issues (% of respondents), 2007

Use of OTC Medicines Based on Convenience

Table 30: Use of Over-the-Counter Medicines Based on Convenience (% of respondents), 2007

Effectiveness of OTC Medicines Compared With Alternative Medicines

Table 31: Effectiveness of OTC Medicines Compared With Alternative Medicines (% of respondents), 2007

USAGE OF OTC PHARMACEUTICALS

Usage of Over-the-Counter Pharmaceuticals

Table 32: Use of Selected Over-the-Counter Pharmaceuticals in the Last 12 Months by Sex (% of adults), 2007

COMMON MEDICAL CONDITIONS

Table 33: Penetration of Selected Common Medical Conditions in the Last 12 Months by Sex and Age (% of adults), 2007

SOURCES OF MEDICAL ADVICE

Table 34: Sources Consulted for Medical Advice in the Last 12 Months by Sex and Age (% of adults), 2007

SOURCES OF MEDICINES

Table 35: Sources of Medicine Used in the Last 12 Months by Sex and Age (% of adults), 2007

7. Current Issues

THE WIDENING USAGE OF OTC MEDICINES

THE WIDENING USAGE OF SELF-CARE

THE ROLE OF PHARMACISTS

THE ROLE OF GENERAL PRACTITIONERS

TARGETING OBESITY

8. The Global Market

THE EUROPEAN MARKET

Table 36: The European Non-Prescription Market by Selected Countries by Value (em and %), 2006

KEY TRENDS

The Widening of OTC Pharmaceuticals

Medicine Status and Availability of OTC Products

THE FUTURE

Harmonisation

9. Forecasts

INTRODUCTION

The Economy

Population

Table 37: Forecast UK Resident Population by Sex (000), Mid-Years 2008-2012

Gross Domestic Product

Table 38: Forecast UK Growth in Gross Domestic Product in Real Terms (%), 2008-2012

Inflation

Table 39: Forecast UK Rate of Inflation (%), 2008-2012

Unemployment

Table 40: Forecast Actual Number of Unemployed Persons in the UK (million), 2008-2012

FORECASTS 2008 TO 2012

Table 41: The Forecast Total Over-the-Counter Pharmaceuticals Market in Great Britain by Value (£m at rsp), 2008-2012

Figure 8: The Forecast Total Over-the-Counter Pharmaceuticals Market in Great Britain by Value (£m at rsp), 2008-2012

Table 42: The Forecast Total Over-the-Counter Pharmaceuticals Market in Great Britain by Sector by Value (£m at rsp), 2008-2012

MARKET GROWTH

Figure 9: Growth in the Total Over-the-Counter Pharmaceuticals Market in Great Britain by Value (£m at rsp), 2003-2012

FUTURE TRENDS

Good Health for Ageing Baby Boomers

The Self-Care Context

A State-Supported System for Medicine

10. Company Profiles

Bayer PLC

Glaxosmithkline Plc

Johnson & Johnson Ltd

Novartis Uk Ltd

Reckitt Benckiser Plc

11. Further Sources

Associations

Publications

General Sources

Government Publications

Other Sources

Bisnode Sources

Abstract

The market for over-the-counter (OTC) pharmaceuticals resides within a healthcare market that is largely free at the point of delivery for the majority of patients. Around 87% of prescriptions are dispensed free of charge — even medicines for minor complaints such as coughs and colds can be obtained in this way. Medicines that are deemed safe enough, and are in sufficiently controlled dosages, can be released from prescription-only medicine (POM) status and sold to consumers either under the supervision of a pharmacist; through a pharmacy only (P) or in the wider retail market (on general sale; GSL), but this `switching' system is tightly controlled.

As such, there are strong constraints on what the OTC pharmaceuticals market can achieve in terms of stimulating consumer interest in new products and increasing uptake. However, for consumers who are not exempt from the prescription charge, OTC medicines offer an attractive and often cheaper alternative than going to the doctor; the industry is keen to target this core consumer group of young and middle-aged working adults.

Performance in the market has been slow over the review period: Key Note estimates that, between 2003 and 2007, the market for OTC pharmaceuticals grew by 6.3%, to £2.13bn. Fierce retail competition among the pharmacy multiples, and price wars stimulated by grocery multiples that are keen to increase share in this sector, have eroded value growth. Where there has been sector growth, it has largely been in so-called `lifestyle' products, such as smoking deterrents and skin creams, as well as vitamins, minerals and supplements (VMS).

The Government is keen to widen the scope for self-care and the self-management of illness within the health service. However, moves to increase the role of pharmacies and pharmacists in treating minor conditions, and to free up general practitioners (GPs), have so far lacked any real, established national cohesion. The number of NHS-contracted community pharmacies has increased since 2005/2006, reversing a trend of decline from 2000, and there are signs that the Government is committed to giving increased emphasis to self-care, albeit slowly.

Despite the low growth rates in the overall market, OTC brands of popular products are a strong target for pharmaceutical companies looking to strengthen sales. Margins are usually high for OTC pharmaceuticals, since the cost of generic production is low. Brand loyalty is also high for popular brands, such as Nurofen, Anadin and Gaviscon. Two major mergers in 2006 — between Johnson & Johnson and Pfizer's consumer division, and between Reckitt Benckiser and Boots Healthcare International — underlined the fact that, although currently flat, this market is a robust and reliable one for investors.

Although future growth rates are forecast to be flat — with Key Note forecasting year-on-year increases of between 0.8% and 1.8% to 2012 — this is in no way a declining market. Some up-and-coming product development in areas such as obesity, points the way for future expansion.

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