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Brazil Pharmaceuticals and Healthcare Report Q3 2008

Published by: Business Monitor International

Published: Sep. 15, 2008 - 89 Pages


Table of Contents


Executive Summary
Brazil Pharmaceuticals And Healthcare Industry SWOT
Brazil Political SWOT
Brazil Economic SWOT
Brazil Business Environment SWOT
Pharmaceutical Business Environment Ratings
Table: Americas Pharmaceutical Business Environment
Limits Of Potential Returns
Risks To Realisation Of Returns
Brazil - Market Summary
Regulatory Regime
Intellectual Property
Regulator Interference
Data Protection
Compulsory Licensing
Intellectual Property Environment
Other Regulatory Issues
Subsidies On Generics
Tax Burden On Pharmaceuticals
Industry Developments
Healthcare Sector
Domestic Pharmaceutical Industry
State-Owned Manufacturing Sector
PROFARMA Initiative
Generics Sector
Multinational Research-Based Sector
Industry Forecast Scenario
Overall Market Forecast
Table: Brazilian Drug Market Trends
Key Growth Factors - Industry
Table: Brazilian Health Expenditure Trends
Key Growth Factors - Macroeconomic
Table: Brazil - Economic Activity
Prescription Market Forecast
Table: Brazil’s Prescription Drug Market Trends (US$mn unless otherwise stated)
OTC Market Forecast
Regulatory Overview
Advertising
OTC Sector: Competitive Landscape
Key Growth Factors
Table: Brazil’s OTC Market Trends (US$mn unless otherwise stated)
Generics Market Forecast
Competitive Landscape
Table: Brazil’s Generics And Patented Market Forecasts
Medical Device Market Forecast
Table: Brazil Medical Device Forecasts (US$mn unless otherwise stated)
Table: Pharmaceutical Trade Data And Forecasts (US$mn)
Other Healthcare Data Forecasts
Table: Socio-Demographic Forecasts
Key Risks To BMI’s Forecast Scenario
Competitive Landscape
Leading Products
Manufacturers
Distribution
Retail Market
Company Monitor
Leading Multinational Companies
Sanofi-Aventis
Pfizer
Merck & Co
Novartis
GlaxoSmithKline (GSK)
Roche
Nycomed (Altana Pharma)
Merck KGaA
Novo Nordisk
Indigenous Manufacturing Sector
Aché / Biosintética
EMS Sigma
Eurofarma
Medley
BMI Forecast Modelling
How We Generate Our Pharmaceutical Industry Forecasts
Pharmaceutical Business Environment Ratings Methodology
Ratings Overview
Table: Pharmaceutical Business Environment Indicators
Weighting
Table: Weighting Of Components
Sources

Abstract

Brazil continues to be one of the most dynamic large pharmaceutical markets in the world. It deliveredalbeit one whose strong dollar growth performance in 2007, which saw the total market grow by 17.0%year-on-year. BMI’s latest forecast sees expansion of 21.5% this year. This reflects the strength of theBrazilian real - local currency growth rates were a more mundane 4.6% and a forecast 7.7% respectively- but we see a steady five-year annual average growth moving forward for the period 2008 to 2012 of7.4% in dollar terms and 5.6% in real terms. Continued dynamic growth in the generics sector,government investment in healthcare and steady economic growth create strongly positive momentum forthe market, which, with a forecast total value of US$15.7bn by the end of 2008, is the largest in LatinAmerica.

An increase in healthcare provision has been a major achievement of the administration of President LuizInácio Lula da Silva to date. Brazilian lawmakers recently passed a law obligating the government toincrease healthcare spending to a minimum of 10% of GDP. In mid-May, the government was reportedlyseeking to increase tobacco taxes and introduce a new tax on financial transactions in order to increaseoverall healthcare funding. Still, conflict with the research-based pharmaceutical industry remains aconcern, although there are some clearly positive trends.

Brazil’s heavy investment in its own state-run pharmaceutical industry and support for the local privatesector has inclined it to cooperate with global players, particularly in developing vaccines, as it seeks towean itself from export dependency over the longer term. Also, Brazil has sought to develop a legitimategenerics industry with export potential, which has led to adopting the toughest bioequivalence regime inLatin America. Nonetheless, tensions over patents continue. The government declared Gilead's AIDSdrug Tenofovir (disoproxil fumarate) ‘in the public interest’ in April, indicating it could reject a patentrequest and seek to import a generic version. After the compulsory licensing of Merck’s efavirenz in May2007, and Brazil’s sabre-rattling over the wider international patent regime, such moves makedrugmakers decidedly nervous

Brazil’s US$6bn healthcare deficit in 2007, up by around 36% y-o-y, reflects the long-term challenge ofcreating a regional export leader in the pharmaceutical sector. But while the growing market saw the tradedeficit in finished pharmaceuticals rise to around US$2.7bn, exports are rising rapidly too, rangingbetween US$800mn and US$1.02bn, depending on the source. The strong domestic market andreasonably strong IP protections continue to draw international players. The country is a safe export basefor the wider region. Bayer-Schering saw its exports increase 283% in 2007, while generics giantRanbaxy saw sales growth of 75% in Brazil in Q108. Novo Nordisk and Boehringer Ingelheim havebecome other major exporters. Brazil’s route to a more favourable trade balance remains openness andstability, rather than ugly public spats over patent rights.

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