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Russia Pharmaceuticals and Healthcare Report Q3 2008

Published by: Business Monitor International

Published: Sep. 15, 2008 - 69 Pages


Table of Contents


Executive Summary
Russia Pharmaceuticals And Healthcare Industry SWOT
Russia Political SWOT
Russia Economic SWOT
Russia Business Environment SWOT
Pharmaceutical Business Environment Ratings
Table: Business Environment Ratings
Limits Of Potential Returns
Risk To Realisation Of Returns
Russia - Market Summary
Medical Devices
Table: Russia’s Medical Device Market Data And Forecast12 (US$bn unless otherwise stated)
Regulatory Regime
Intellectual Property Environment
Pricing And Reimbursement Issues
Industry Developments
Industry Forecast Scenario
Overall Market Forecast
Table: Russia’s Drug Market Expenditure Data And Forecast12
Key Growth Factors - Industry
Key Growth Factors - Macroeconomic
Russia - Economic Activity
Prescription Market Forecast
Table: Russia’s Prescription Market Data And Forecast12 (US$mn unless otherwise stated)
OTC Market Forecast
Table: Russia’s OTC Market Data And Forecast12 (US$mn unless otherwise stated)
Generics Market Forecast
Table: Russia’s Generics Market Data And Forecast12
Export/Import Forecasts
Table: Russia’s Pharmaceuticals Exports And Imports Data And Forecast12 (US$mn)
Other Healthcare Data Forecasts
Table: Russia’s Healthcare Data And Forecast12
Key Risks To BMI’s Forecast Scenario
Competitive Landscape
Manufacturing Sector
Wholesale Sector
Retail Sector
Table: Pharmacies And Pharmacy Market Ratio09
Company Monitor
Berlin-Chemie/Menarini Pharma GmbH
Gedeon Richter
Krka
Lek (Novartis/Sandoz)
Stada AG/Nizhpharm
Verofarm
BMI Forecast Modelling
How We Generate Our Pharmaceutical Industry Forecasts
Pharmaceutical Industry
Pharmaceutical Business Environment Ratings Methodology
Ratings Overview
Table: Pharmaceutical Business Environment Indicators
Weighting
Table: Weighting Of Components
Sources

Abstract

Beginning this quarter, BMI introduces a new and improved forecasting methodology. This, along strongQ108 results reported by local market research agencies, has led us to substantially upgrade our growthforecast for 2008 for the total pharmaceutical to 24% year-on-year (y-o-y). For the period 2008-2012, weforecast average annual growth of 13.8% in US dollar terms and 10.5% in local currency terms. AsBMI’s recently launched Burden of Disease Database underlines, Russia faces a greater disease burdenthan any other European country. The government has a major opportunity to address this crisis underambitious plans to expand medicines provision and revive the pharmaceutical industry. Implementation,however, will remain the biggest challenge.

In June, Prime Minister Vladimir Putin announced plans for the launch of a mandatory medicinesinsurance scheme with state subsidies, to be launched in 2010. These mechanisms will in turn providefunding for a new and comprehensive medicines provision programme. Putin’s statements represent themost detailed public elaboration of plans that have been under discussion for several months now. Theprogramme is due to be launched in 2010. Some 18 months is a long time in Russian politics and the realtest will be to see if the government puts in place effective mechanisms to weed out graft and waste, twoproblems that saw the DLO supplementary medicines scheme blow up spectacularly in 2007.

The new medicines insurance scheme is also intended as a vehicle for reviving the domesticpharmaceutical industry, which now accounts for just 25% of sales in value terms. More generally, thegovernment would like to see the State Pharmaceutical Holding, a diverse group of research institutes andgenerally small manufacturers, take on important substitution duties in areas such as vaccines, hormonesand other segments where Russia (and the Soviet Union) was previously strong. But the much discussed‘blueprint’ for the pharmaceutical industry, outlined by Health Minister Tatiana Golikova on the sameday as Putin’s medicines insurance initiative, remains vague about what do with Russia’s myriad smaller,regional producers as well as some dodgier larger makers of copy drugs.

Medicines prices is emerging as a stick with which to beat international drugmakers as well as a majorheadache for the government as it aims to tame inflation driven by record high food prices. The country’sAudit Chamber reported in June that ‘baseless’ increases in the price of imported medicines had cost thestate around RUR3bn (US$117mn) in 2006 and 2007, with 90% of state purchases going to importedmedicines. The auditor criticised the lack of a single pricing regulation for state purchases.

It perhaps this level of political uncertainty - and the high price of existing assets - that has slowed thetide of M&A and new market entries in Russia. In one recent move, Pfizer, the number sixth player in2007, opened its own warehouse and launched its own operating subsidiary in the country in May. Butactivity in the wholesale and retail market may slow as the Russian Federal Anti-Monopoly Service(FAS) probes concentration in the sector and new retail restrictions are on the table. Russia remains adifficult market, with the threat of government intervention on the horizon.

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