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Kazakhstan Pharmaceuticals and Healthcare Report Q3 2008

Published by: Business Monitor International

Published: Aug. 18, 2008 - 62 Pages


Table of Contents


Executive Summary
Kazakhstan Pharmaceuticals And Healthcare SWOT
Kazakhstan Political SWOT
Kazakhstan Economic SWOT
Kazakhstan - Business Environment Ranking
Table: Central And Eastern Europe Pharmaceutical And Healthcare Business Environment Rankings
Limits Of Potential Returns
Risks To Realisation Of Returns
Kazakhstan - Market Summary
Regulatory Regime
Intellectual Property Environment
Counterfeit Drugs
Pricing and Reimbursement Regime
Table: Price Components And Add-ons For Imported And Locally Produced Generic Medicines (KZT)
Recent Pricing And Reimbursement Developments
Industry Developments
Epidemiology
Healthcare Sector
Table Top 10 Manufacturers By Value Of Hospital Purch 18
Table Top 10 INNs By Value Of Hospital Purchases
Healthcare Sector Financing
Table: Top 10 ATC Groups By Value Of Hospital Purchas 20
Table: Top 10 ATC Groups By Retail Pharmacy Sales
Domestic Pharmaceutical Industry
Recent Domestic Industry Developments
Wholesale And Retail
Recent Wholesale And Retail Developments
Foreign Pharmaceutical Industry
Table: Indo-Kazakh Trade Figures (US$mn)
Recent Foreign Industry Developments
Table: Pharmaniaga Key Products
Medical Devices
Table Medical Devices Market In Kazakhstan (US$mn)
Industry Forecast Scenario
Overall Market Forecast
Table: Kazakhstan - Drug Expenditure And Prescription Market Indicators
Key Growth Factors - Industry
Table: Kazakhstan Health Expenditure Forecast Indicators
Key Growth Factors - Macroeconomic
Table: Economic Activity
Patented Market Forecast
Table: Kazakhstan’s Patented Drug Market Indicators (US$’000 unless otherwise stated)
Generics Market Forecast
Table: Kazakhstan’s Generics Market Forecast Indicators. 37
OTC Market Forecast
Table: Kazakhstan OTC Market Forecast Indicators (US$’000 unless otherwise stated)
Export/Import Market Forecasts
Table: Trade Figures (US$mn)
Table Retail Sales Structure Of Imports By Pharmaceutical Subgroups, 2006
Table: Top 15 Distributors By Value Importing Pharmaceuticals Into Kazakhstan, 2006
Table: Top 15 Distributors By Volume Importing Pharmaceuticals Into Kazakhstan, 2006
Other Healthcare Data Forecasts
Table: Other Healthcare Data
Key Risks To BMI’s Forecast Scenario
Competitive Landscape
Table Top Ten Manufacturers by Retail Pharmacy Sales
Top Ten Trade Names by Value of Retail Pharmacy Sales .. 47
Company Monitor
Foreign Companies
Novartis (Sandoz)
Sanofi-Aventis
GlaxoSmithKline (GSK)
Nycomed
Merck & Co
Pfizer
Ranbaxy
Indigenous Companies
Chimpharm
Romat FK
BMI Forecast Modelling
How We Generate Our Pharmaceutical Industry Forecasts
Pharmaceutical Industry
Pharmaceutical Business Environment Ratings Methodology .. 59
Ratings Overview
Table: Pharmaceutical Business Environment Indicators
Weighting
Table: Weighting Of Components
Sources

Abstract

Kazakhstan’s pharmaceutical and healthcare markets have developed strongly over the past decade, driven by economic improvements. In fact, Kazakhstan's President recently claimed that the country's health expenditure had increased 12-fold since the country gained independence in 1991. Indeed, economic prosperity has allowed greater investment in the health infrastructure, with around 4,000 healthcare units of varying scope being built in rural areas over the past few years. In the meantime, 350 large medical centres have been constructed across the country, while work on 56 hospitals and 83 outpatient hospitals has began in 2008.

By 2012, BMI expects the market to be worth around US$1.645bn, growing at a CAGR of some 20% in the forecast period. BMI expects the economy to grow by around 8% in 2008, with the trend also benefiting healthcare and pharmaceutical expenditure. More specifically, the government is planning to raise the amount of GDP spent on healthcare to 3.7% in 2008. In 2004, only 3.5% of GDP was spent on health. Given the predicted GDP increase, the absolute difference in healthcare funding is likely to be substantial.

However, modernisation and expansion of healthcare and pharmaceutical access will come at a price. Consequently, in June 2008, in an effort to lower state expenditure on pharmaceuticals, Kazakhstan's Ministry of Health announced the creation of a new centralised system for drug distribution, which will cover between 70-80% of hospital drugs. More specifically, a single company-concessionaire, formed through a public-private partnership, will be chosen to procure and supply medicines to state organisations through a three-year renewable contract. The system will supply medicines to hospitals at lower prices, due to centralised bulk purchasing, allowing extra resources to be allocated to expanding the scope free health services in the country.

Finally, in the BMI Business Environment Ranking matrix for Q308, Kazakhstan is once again ranked 15th (above only Serbia) out of the 17 regional markets surveyed in CEE, now that Turkey has been included in this Emerging Europe region. In this quarter, Kazakhstan shares the position with Ukraine, as in Q108. While enjoying a considerable level of political and economic stability, the country is marked down for absolute market value and per capita consumption of medicines, as well as the lack of universal reimbursement and plans to introduce a fixed average price for outpatient medicines.

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