Description
The current shift in the marketing strategy is work by multinational
pharmaceutical Companies .It is now high-end (rather than adaptive)
development that is being carried out by leading companies. And,
increasingly, other companies are finding themselves competing against,
or working with, new innovation-based companies. My study focuses on
the processes and outcomes of globally distributed pharmaceutical
companies. This article will present the changing marketing strategies
when a pharma company shifts from Acute base to Chronic therapy base.
This research paper will also give an insight about shift in supply chain
process and customer and end-customer perception which is the base of
formulation of different marketing strategies.
A REVIEW OF MARKETING
STRATEGIES WORK BY
DIFFERENT PHARMACEUTICAL
COMPANIES
Saurabh Kumar Saxena
Department of Management,
Rakshpal Bahadur Management Institute
Bareilly-243001, India
Mail: [email protected]
ABSTRACT
The current shift in the marketing strategy is work by multinational
pharmaceutical Companies .It is now high-end (rather than adaptive)
development that is being carried out by leading companies. And,
increasingly, other companies are finding themselves competing against,
or working with, new innovation-based companies. My study focuses on
the processes and outcomes of globally distributed pharmaceutical
companies. This article will present the changing marketing strategies
when a pharma company shifts from Acute base to Chronic therapy base.
This research paper will also give an insight about shift in supply chain
process and customer and end-customer perception which is the base of
formulation of different marketing strategies.
Key Words: Acute, Chronic, Core, Super Core, Closing stock,
Inventory, Push, Pull, End-customer, Core customer, SKUs, SAP, ERP,
Primary Sales, Secondary Sales.
1.INTRODUCTION:
The pharmaceutical industry is the world’s largest industry due to worldwide revenues of
approximately US$2.8 trillion. Pharma industry has seen major changes in the recent
years that place new demands on payers, providers and manufacturers. Customers now
demand the same choice and convenience from pharma industry that they find in other
segment. Indian Pharmaceutical Industry is poised for high consistent growth over the
next few years, driven by a multitude of factors. Top Indian Companies like Ranbaxy,
DRL, CIPLA and Dabur have already established their presence. The pharmaceutical
industry is a knowledge driven industry and is heavily dependent on Research and
Development for new products and growth. However, basic research (discovering new
molecules) is a time consuming and expensive process and is thus, dominated by large
global multinationals.
Indian companies have only recently entered the area. The Indian pharmaceutical
industry came into existence in 1901, when Bengal Chemical & Pharmaceutical
Company started its maiden operation in Calcutta. The next few decades saw the
pharmaceutical industry moving through several phases, largely in accordance with
government policies. Commencing with repackaging and preparation of formulations
from imported bulk drugs, the Indian industry has moved on to become a net foreign
exchange earner, and has been able to underline its presence in the global pharmaceutical
arena as one of the top 35 drug producers worldwide. Currently, there are more than
2,400 registered pharmaceutical producers in India. There are 24,000 licensed
pharmaceutical companies. Of the 465 bulk drugs used in India, approximately 425 are
manufactured here. India has more drug-manufacturing facilities that have been approved
by the U.S. Food and Drug Administration than any country other than the US. Indian
generics companies supply 84% of the AIDS drugs that Doctors without Borders uses to
treat 60,000 patients in more than 30 countries.
However total pharmaceutical market is as follows:
Therapeutic Area wise Total Pharma Market
Category Value Market Share%
Anti-Infective 16.4
Gastrointestinal 10.9
Cardiac 10.3
Respiratory 10.2
Vit./Minerals/Nutrient 9.6
Pain/Analgesics 9.5
Dermatologics 5.4
Gynecology 5.3
Neuro psychiatry 5.3
Antidiabetics 4.4
Opthologicals 1.7
Others 11.0
Total 100.00
Fig.1
It is very much evident from above fig.1 that chronic therapy area (Gastro Cardiac,
Respiratory, Neuro Psychiatry and Ant diabetics) is dominating the market in long run.
2.Pharma Marketing Process and its Challenges
While many pharmaceutical companies have successfully deployed a plethora of
strategies to target the various customer types, recent business and customer trends are
creating new challenges and opportunities for increasing profitability. In the
pharmaceutical and healthcare industries, a complex web of decision-makers determines
the nature of the transaction (prescription) for which direct customer (doctor) of pharma
industry is responsible . Essentially, the end-user (patient) consumes a product and pays
the cost .
Use of medical representatives for marketing products to physicians and to exert some
influence over others in the hierarchy of decision makers has been a time-tested tradition.
Typically, sales force expense comprises an estimated 15 percent to 20 percent of annual
product revenues, the largest line item on the balance sheet. Despite this other expense,
the industry is still plagued with some very serious strategic and operational level issues.
2.1 From organizational perspective the most prominent performance related issues are
enlisted below:
a) .Increased competition and unethical practices adopted by some of the
propaganda base companies.
b). Low level of customer knowledge (Doctors, Retailers, Wholesalers).
c). Poor customer (both external & internal) acquisition, development and
retention strategies
.
d). Varying customer perception.
e). The number and the quality of medical representatives
d). Very high territory development costs.
f). High training and re-training costs of sales personnel.
g).. Very high attrition rate of the sales personnel.
h). Busy doctors giving less time for sales calls.
i). Poor territory knowledge in terms of business value at medical representative
level .
j). Unclear value of prescription from each doctor in the list of each sales
person.
k). Unknown value of revenue from each retailer in the territory
l). Absence of ideal mechanism of sales forecasting from field sales level, leading
to huge deviations
m). Absence of analysis on the amount of time invested on profitable and not-so-
profitable customers and lack of time-share planning towards developing
customer base for future and un-tapped markets.
2.2 Patents
Patents are a vital aspect of the global pharma industry. Patent protection is essential to
spur basic R&D and make it commercially viable. But, only the developed nations
endorse product patents. Most third world countries have patent laws but enforcement is
totally lax.
2.3 New Drug Approval (NDA)
Prior to launching its products in any country, a pharma company undertakes patent
registration to protect its own interests. To protect the interests of the consumers, it is
necessary that the product be approved by the drug authorities in that country. Mostly the
process for seeking approval is initiated alongside the patent registration process.
2.4 WTO
Due to pressure from the developed countries, across the world uniformity in patent laws
is being implemented under WTO (World Trade Organization - earlier GATT i.e.
General Agreement on Tariffs & Trade). Presently, different countries have different
patent types and life period. WTO has decided upon a product patent life of 20 years in
all countries.
2.5 RESEARCH & DEVELOPMENT (R&D)
The pharmaceutical industry is characterized by heavy R&D expenditure. It is only the
large pharmaceutical companies who can allocate significant resources for R&D to
introduce new products. As the products are an outcome of significant R&D expenditures
incurred by these companies, they have their products patented. The patent allows the
companies concerned to wield immense pricing power for their new products.
2.6 THE COMPETITION
The level of competition on day to day basis in very high in Acute segment however the
degree of competition in not as much as high in Chronic therapy area. As doctor has to
prescribe drug for a long time in chronic cases and patient is suppose to consume it
without any change of brand. While in acute cases doctor is changing brands on day to
day basis. In acute area however there is a large competition from local and propaganda
companies.
3.Pharmaceutical Company Business Strategies
What’s the secret behind successes? For one, the company operates in niche formulations
(chronic) segments such as psychiatry, cardiovascular, gastroenterology and neurology.
While most of the top Indian companies have focused on antibiotics and anti–invectives
(acute), Sun Pharma focused on therapeutic areas such as depression, hypertension and
cancer. The company has introduced the entire range of products and has gained
leadership position in each of these areas. Being a specialty company insulates Sun
Pharma from the industry growth. The first quarter results for FY02 explain this to some
extent. While the industry was affected to a large extent by a slowdown in the domestic
formulations market, Sun Pharma logged a growth of 26% in revenues. Over the years
Sun has also used the strategy of acquisitions and mergers to grow quickly. It acquired
Knoll Pharma’s bulk drug facility, Gujarat Lyka Organics, 51.5% in M. J. Pharma,
merged TamilNadu Dadha Pharma & Milmet Labs and acquired Natco’s brands. Post
Merger with TamilNadu Dadha Pharma the company gained presence in gynecology and
oncology segments.
The bases of marketing strategies can be best described in these two models in both
acute and chronic segments:
(i) Super Core Model involving the search for, and distribution of a small number of
drugs from Chronic Threapy Area that achieve substantial global sales. The success of
this model depends on achieving large returns from a small number of drugs in order to
pay for the high cost of the drug discovery and development process for a large number
of patients. Total revenues are highly dependant on sales from a small number of drugs.
This model incorporates highly specialized approach in all the manner . Initially the
competition is seems more at entry level but since growth is stable and more in this area ;
every company is striving very hard to enter in this area. The major strategy in this model
involves right focus to highly specialized customer by well trained team.
(ii) Core Model in which a larger number of drugs from Acute Threapy Area are
marketed to big diversified markets. The advantage of this model is that its success is not
dependant on sales of a small number of drugs. Here presenting a large number of
product and taking the advantage of opportunity cost is one of the important strategy.
Other strategy includes daily reminders to cross the perceptual filter and get the brand
name in to the sub-conscious state of mind .
YEAR 2010 estimated
OTHERS, 12%
DIABETES, 3%
RESP., 7%
CNS, 8%
NSAIDS, 11%
NUTRA., 12%
GI, 13%
ANTI INF., 16%
CVS, 18%
OTHERS
DIABETES
RESP.
CNS
NSAIDS
NUTRA.
GI
ANTI INF.
CVS
YEAR 2001
OTHERS, 15%
DIABETES, 3%
RESP., 10%
CNS, 5%
NSAIDS, 9% NUTRA., 14%
GI, 12%
ANTI INF., 24%
CVS, 8%
OTHERS
DIABETES
RESP.
CNS
NSAIDS
NUTRA.
GI
ANTI INF.
CVS
Fig2
Source:ORG MARG Retail Audit 2002
Figure 2 presents market share of top therapeutic segment in the year 2001 with
projection made for year 2010.However product choice will depend largely on the
internal capabilities of the companies. Here it is very much evident from this projection
that lots of opportunities lies with chronic therapy segment however growth is initially
slow but it may generate good revenue in long run.
3.1 Marketing approaches of Super Core Model
In pharmaceutical market there has been a significant shift from Acute towards Chronic
Threapy area. Chronic segments are driving the growth of the market as leading
prescribers in these segments are specialists as opposed to general practioners. This is
evident from high growth rates achieved by firms like Sun Pharma, Dr.Reddy
Laboratories and Dabur Pharma Ltd. Who have focused on these segments
The doctor's prescription has become just the starting point in determining what drug the
retailer dispenses. During last five years pharma companies have started identifying the
hidden potential of oncological market also. A number of drugs have been launched into
the oncological market by pharmaceutical companies, including new biological drugs and
drugs that can be used as a support for patients undergoing cytotoxic chemotherapy. As a
matter of fact, pharmaceutical companies are merging, and, through the merging process,
the portfolio of the new companies changes.
Medical representatives are rearranged throughout the newcompanies. Some of the sales
representatives are now afraid of losing their job, due to the changing scenario and the
possible lay offs. On the other hand, the new, bigger, pharmaceutical companies are
competing more and more with one another, and, in order to stress their products, might
adopt a more aggressive sales strategy. For example, sometimes in the same geographical
area there are eight to ten representatives for just one company, or different
representatives for the same drug in different settings. As a result of the new, aggressive
strategy, the aggressiveness of representatives has also been increasing, since the larger
stress exerted by their companies might affect their stay in the company. Therefore, they
tend to have more frequent visits to encourage doctors to prescribe drugs and thus
increase sales.
In this model medical representatives are the key actors for example in a small cardiology
unit almost 40 sales representatives interacting with doctors, and most of them are
coming for a visit on a regular once-a-month basis as this is the restriction put by doctors
of meeting only once in a month that to on a fix time only, in order to stress the
usefulness of their products and push clinicians towards the use of their drugs. This means
that, basically, there are at least two representatives every day in busy clinic asking for a
‘short’ meeting to support their product.
Pharmaceutical marketing is a specialized field where medical representatives form the
backbone of entire marketing effort. Pharmaceutical companies also appoint medical
representatives and assign them defined territories. Medical representatives meet doctors,
chemists and stockiest as per company norms. Medical representatives try to influence
prescription pattern of doctors in favor of their brands.
The pharmaceutical distribution channel is indirect with usually three channel
members i.e. depot/C&F, stockiest and chemist. Pharmaceutical companies appoint one
company depot or C&F agent usually in each state and authorized stockist(s) in each
district across the country. Company depot/C&F sends stocks to authorized stockists as
per the requirement. Retail chemists buy medicines on daily or weekly basis from
authorized stockiest as per demand. Patients visit chemists for buying medicines either
prescribed by a doctor or advertised in the media. Here patient is end customer and doctor
is direct customer for any pharmaceutical company. But for doctor customer (patient) is
more important so he wants an effective supply chain management from prescribed
company. And for pharmaceutical companies their customer that is doctor is more
important that’s why they emphasize more on supply chain management. Ultimately end-
customer is benefited out of this.
For marketing of these type of products companies require more and more skilled field
force to develop good rapport with their direct customer (doctor). Moreover field force
should have good product knowledge and USP of their products over other so as to
convince doctors and PULL the demand for their products i.e. from Doctor to Retailer to
Stockist to CFA to company.
Fig.3.Pull System Working In Chronic Threapy Segment
CORE CUSTOMER
(Doctor)
END-CUSTOMER
(Patient)
NONCORE
CUSTOMER
(Retailer)
CUSTOMER
(Stockist)
CUSTOMER
(C & FA)
Marketing & Sales
Team
In this system, doctors are the core customers and the major thrust is given to build and
retain these customer because they are pulling the demand for products hence companies
also give main emphasis in building and retaining these customers. All efforts are being
put for generating secondary sales i.e. from stockist to retailer. Ensuring of auto demand
with limited availability and maximum liquidation of the products is the main
characteristic of this approach.
For retaining and developing customers, the companies normally provide gifts like
sponsorship for various conferences like RSSDI, FOGSI, APICON, UPCON etc. For
example Dabur having PASS (Professional Academic and Scientific Services) activities
for promoting its chronic therapy range.
Also it is interesting to note that since this is a pull system demand is being pulled in to
the market so generally representatives calculate product orders i.e. primary sales from
their stockist on the basis of following formula:
Normally there are absolutely no chances of dumping of goods at stockist and retailer
level is yet reported also payment recovery of companies is also very good.
3.2 Marketing approaches of Core Model
In present scenario companies are focusing more and more on the availability of products
so as to enjoy good image in their customer’s (doctors) chamber. Many companies such
as Glaxo, Pfizer, Dabur, FDC, Aventies, and Cipla etc. are known for their availability of
products.
For marketing of these types of products companies require more and more field force
to remind their products on daily basis to their direct customer (doctor). Moreover field
force should have good knowledge of product schemes and offers. Also field force is
required to have a good rapport with retailers. Field force also required to ensure good
availability of their products to convince doctors and PUSH their products i.e. from to
Stockist to Retailer to Doctor.
It has been observed that sometimes there are more than fifteen or sixteen representatives
in a day are meeting with their customer and requesting for same type of products.
Although field force visits are important for an update on drugs and their use. The doctors
are, in general, sneaking away, trying to hide from sales representatives, since there are
too many and they are too pushy and there is too little time, and the representatives
probably have noticed that the reluctant doctors have always less time for short meetings
and less interest and tend to reduce the time of the visit.
SECONDARY SALES * 2 – OPENING STOCK= ORDER
The relationship between clinicians and representatives has always been good and
pharmaceutical companies have provided, and still provide, the major economical support
for customers' continuous medical education. Something needs to be done to find a
solution to this problem that takes into account the needs of both pharmaceutical
companies and their representatives on one side and physicians on the other, for a better
professional interaction.
Fig.4..Push System Working In Acute Threapy Segment
In this system, doctors and retailers are the core customers and the major thrust is given
to build and retain these customers. Here retailers are also core customer as most of the
times they are substituting the products based on their own discretion.
For retaining and developing customers, the companies normally provide utility gifts to
remind the products on daily basis.
Also it is interesting to note that since this is a push system products are being pushed in
to the market so generally representatives place product orders from their stockist on the
basis of SKUs sold and schemes. In this pumping the goods in the market and ensuring
CORE CUSTOMER
(Doctor)
END-CUSTOMER
(Patient)
CORE CUSTOMER
(Retailer)
CORE
CUSTOMER
(Stockist)
Marketing & Sales
Team
more and more primary sales i.e. from CFA to Stockist and availability of goods are
major strategies.
Normally the chances of dumping of goods at stockist and retailer level are reported also
payment recovery of companies is also not very good.
Here the role of supply chain managers can be to provide considerable value to their
companies by understanding the customers' delivery requirements. A very powerful tool
for understanding these requirements is account segmentation. A company can use
account segmentation to identify market segments Such as Acute & Chronic therapy
market. which is well positioned to serve and then organize its product range and even
SKU’s and service in a superior way.
Companies are fighting (for customers) like never before and if anything is certain then it
is further intensification of this war, and because of this companies are increasingly
looking at Logistics, as a weapon to gain Competitive Advantage and it is true that
Logistics has the potential to do so. and corporate cases associated with them are given
below:
4. CONCLUSION
There can be various ways through which a business organization can achieve success in
the market, but all those ways can be comprised into as above, then it can be rightly said
that it revolves specifically around three parties or more; the triangular linkages or the
relationship between these three parties (company, customers and competitors) determine
the success and failure of business organization. In the medium to long run, the domestic
pharmaceutical market will be largely driven by the increasing prevalence of chronic
segment. The domestic industry is principally being driven by the chronic segment which
has grown by 17.8% this year. Against the backdrop up- take of acute segments has been
slow and has grown by 10.1% only. The basis of success in any competitive context can
be, at the most, elemental level commercial success; and commercial success can be
derived either from a cost advantage or a value advantage or ideally from a combination
of both. In other words, the organization with Competitive Advantage tends to be the cost
leader in the industry or a seller of most differentiated products amongst all the players.
At last the role of supply chain is very prominent in both the phases (in acute as well as in
chronic). But the successes of any pharmaceutical industry; when a company changes its
concentration from “Acute” to “Chronic” therapy market depend on competitiveness of
supply chain. Supply Chain Managers can provide considerable value to their companies
by understanding the customers' delivery requirements. A very powerful tool for
understanding these requirements is account segmentation. A company can use account
segmentation to identify market segments Such as Acute & Chronic therapy market.
which is well positioned to serve and then organize its product range and even SKU’s and
service in a superior way. The company must tailor its supply chain offerings to meet the
needs of each of the market segment it serves. For example, Dabur Pharma has started
launching of its products which were G.P.(Acute Threapy) oriented latter it enter in to
specialists oriented(Chronic Threapy) products.
5. REFERENCES
? Brownlee, Shannon. (4 April 2004). Doctors without borders: Why you can’t trust
medical journals anymore
.
? .WashingtonMonthlyhttp://www.washingtonmonthly.com/features/2004/0404.bro
wnlee.html.Carroll, Bernard J., and Rubin, Robert T. (2003). Correspondence:
Editorial polices on financial disclosure.Nature Neuroscience 6.10: 999.
? Drugs and Pharmaceuticals: International Pharmaceutical Industry-A Snapshot,
Jan 2004, ICRA
? Pharmaceuticals: The Indian Pharmaceutical Industry, Feb 2005, ICRA.
? . “International Marketing Strategies in India” by Prathap and Micheal, Vikalpa
(IIMA),Oct-Dec 2005.
? .Agarwal, S., Desai, S., Holcomb, M. and Oberoi, A. 2001, ‘Unlocking the value
of Big Pharma’,The McKinsey Quarterly, No. 2.pp. 65-73.
? .AstraZeneca 2001, ‘AstraZeneca Approach to E-Business’, presentation to
analysts, New York.
? .Blumberg, D. and Perrone, F. 2001, How Much are Marketing and Sales
Capabilities ReallyWorth? A European Study on How the Capabilities Drive
Performance, the European Study,
? .Pharmaceutical Research and Manufacturers of America (PHARMA) 2001,
PharmaceuticalIndustry Profile 2001, Washington.
? AZOULAY,Pierre (2001), “Do Pharmaceutical Sales Respond to Scientific
Evidence ? Evidence from Anti-ulcer Drugs” working paper, Management
Department, Columbia University.
? .Tufts Centre for the Study of Drug Development 2001, ‘Tufts Center for the
Study of Drug Development Pegs Cost of a New Prescription Medicine at $802
Million’, Press Release, 30November.
? ORG MARG Retail Audit,2002. ORG MARG: New Delhi.
? Venugopal, P.V.1999. Industrial property and pharmaceutical industry:
opportunities and challenges for developing countries.
? Smarta, Raja B. (1994). Strategic Pharmaceutical Marketing.
doc_136620719.pdf
The current shift in the marketing strategy is work by multinational
pharmaceutical Companies .It is now high-end (rather than adaptive)
development that is being carried out by leading companies. And,
increasingly, other companies are finding themselves competing against,
or working with, new innovation-based companies. My study focuses on
the processes and outcomes of globally distributed pharmaceutical
companies. This article will present the changing marketing strategies
when a pharma company shifts from Acute base to Chronic therapy base.
This research paper will also give an insight about shift in supply chain
process and customer and end-customer perception which is the base of
formulation of different marketing strategies.
A REVIEW OF MARKETING
STRATEGIES WORK BY
DIFFERENT PHARMACEUTICAL
COMPANIES
Saurabh Kumar Saxena
Department of Management,
Rakshpal Bahadur Management Institute
Bareilly-243001, India
Mail: [email protected]
ABSTRACT
The current shift in the marketing strategy is work by multinational
pharmaceutical Companies .It is now high-end (rather than adaptive)
development that is being carried out by leading companies. And,
increasingly, other companies are finding themselves competing against,
or working with, new innovation-based companies. My study focuses on
the processes and outcomes of globally distributed pharmaceutical
companies. This article will present the changing marketing strategies
when a pharma company shifts from Acute base to Chronic therapy base.
This research paper will also give an insight about shift in supply chain
process and customer and end-customer perception which is the base of
formulation of different marketing strategies.
Key Words: Acute, Chronic, Core, Super Core, Closing stock,
Inventory, Push, Pull, End-customer, Core customer, SKUs, SAP, ERP,
Primary Sales, Secondary Sales.
1.INTRODUCTION:
The pharmaceutical industry is the world’s largest industry due to worldwide revenues of
approximately US$2.8 trillion. Pharma industry has seen major changes in the recent
years that place new demands on payers, providers and manufacturers. Customers now
demand the same choice and convenience from pharma industry that they find in other
segment. Indian Pharmaceutical Industry is poised for high consistent growth over the
next few years, driven by a multitude of factors. Top Indian Companies like Ranbaxy,
DRL, CIPLA and Dabur have already established their presence. The pharmaceutical
industry is a knowledge driven industry and is heavily dependent on Research and
Development for new products and growth. However, basic research (discovering new
molecules) is a time consuming and expensive process and is thus, dominated by large
global multinationals.
Indian companies have only recently entered the area. The Indian pharmaceutical
industry came into existence in 1901, when Bengal Chemical & Pharmaceutical
Company started its maiden operation in Calcutta. The next few decades saw the
pharmaceutical industry moving through several phases, largely in accordance with
government policies. Commencing with repackaging and preparation of formulations
from imported bulk drugs, the Indian industry has moved on to become a net foreign
exchange earner, and has been able to underline its presence in the global pharmaceutical
arena as one of the top 35 drug producers worldwide. Currently, there are more than
2,400 registered pharmaceutical producers in India. There are 24,000 licensed
pharmaceutical companies. Of the 465 bulk drugs used in India, approximately 425 are
manufactured here. India has more drug-manufacturing facilities that have been approved
by the U.S. Food and Drug Administration than any country other than the US. Indian
generics companies supply 84% of the AIDS drugs that Doctors without Borders uses to
treat 60,000 patients in more than 30 countries.
However total pharmaceutical market is as follows:
Therapeutic Area wise Total Pharma Market
Category Value Market Share%
Anti-Infective 16.4
Gastrointestinal 10.9
Cardiac 10.3
Respiratory 10.2
Vit./Minerals/Nutrient 9.6
Pain/Analgesics 9.5
Dermatologics 5.4
Gynecology 5.3
Neuro psychiatry 5.3
Antidiabetics 4.4
Opthologicals 1.7
Others 11.0
Total 100.00
Fig.1
It is very much evident from above fig.1 that chronic therapy area (Gastro Cardiac,
Respiratory, Neuro Psychiatry and Ant diabetics) is dominating the market in long run.
2.Pharma Marketing Process and its Challenges
While many pharmaceutical companies have successfully deployed a plethora of
strategies to target the various customer types, recent business and customer trends are
creating new challenges and opportunities for increasing profitability. In the
pharmaceutical and healthcare industries, a complex web of decision-makers determines
the nature of the transaction (prescription) for which direct customer (doctor) of pharma
industry is responsible . Essentially, the end-user (patient) consumes a product and pays
the cost .
Use of medical representatives for marketing products to physicians and to exert some
influence over others in the hierarchy of decision makers has been a time-tested tradition.
Typically, sales force expense comprises an estimated 15 percent to 20 percent of annual
product revenues, the largest line item on the balance sheet. Despite this other expense,
the industry is still plagued with some very serious strategic and operational level issues.
2.1 From organizational perspective the most prominent performance related issues are
enlisted below:
a) .Increased competition and unethical practices adopted by some of the
propaganda base companies.
b). Low level of customer knowledge (Doctors, Retailers, Wholesalers).
c). Poor customer (both external & internal) acquisition, development and
retention strategies
.
d). Varying customer perception.
e). The number and the quality of medical representatives
d). Very high territory development costs.
f). High training and re-training costs of sales personnel.
g).. Very high attrition rate of the sales personnel.
h). Busy doctors giving less time for sales calls.
i). Poor territory knowledge in terms of business value at medical representative
level .
j). Unclear value of prescription from each doctor in the list of each sales
person.
k). Unknown value of revenue from each retailer in the territory
l). Absence of ideal mechanism of sales forecasting from field sales level, leading
to huge deviations
m). Absence of analysis on the amount of time invested on profitable and not-so-
profitable customers and lack of time-share planning towards developing
customer base for future and un-tapped markets.
2.2 Patents
Patents are a vital aspect of the global pharma industry. Patent protection is essential to
spur basic R&D and make it commercially viable. But, only the developed nations
endorse product patents. Most third world countries have patent laws but enforcement is
totally lax.
2.3 New Drug Approval (NDA)
Prior to launching its products in any country, a pharma company undertakes patent
registration to protect its own interests. To protect the interests of the consumers, it is
necessary that the product be approved by the drug authorities in that country. Mostly the
process for seeking approval is initiated alongside the patent registration process.
2.4 WTO
Due to pressure from the developed countries, across the world uniformity in patent laws
is being implemented under WTO (World Trade Organization - earlier GATT i.e.
General Agreement on Tariffs & Trade). Presently, different countries have different
patent types and life period. WTO has decided upon a product patent life of 20 years in
all countries.
2.5 RESEARCH & DEVELOPMENT (R&D)
The pharmaceutical industry is characterized by heavy R&D expenditure. It is only the
large pharmaceutical companies who can allocate significant resources for R&D to
introduce new products. As the products are an outcome of significant R&D expenditures
incurred by these companies, they have their products patented. The patent allows the
companies concerned to wield immense pricing power for their new products.
2.6 THE COMPETITION
The level of competition on day to day basis in very high in Acute segment however the
degree of competition in not as much as high in Chronic therapy area. As doctor has to
prescribe drug for a long time in chronic cases and patient is suppose to consume it
without any change of brand. While in acute cases doctor is changing brands on day to
day basis. In acute area however there is a large competition from local and propaganda
companies.
3.Pharmaceutical Company Business Strategies
What’s the secret behind successes? For one, the company operates in niche formulations
(chronic) segments such as psychiatry, cardiovascular, gastroenterology and neurology.
While most of the top Indian companies have focused on antibiotics and anti–invectives
(acute), Sun Pharma focused on therapeutic areas such as depression, hypertension and
cancer. The company has introduced the entire range of products and has gained
leadership position in each of these areas. Being a specialty company insulates Sun
Pharma from the industry growth. The first quarter results for FY02 explain this to some
extent. While the industry was affected to a large extent by a slowdown in the domestic
formulations market, Sun Pharma logged a growth of 26% in revenues. Over the years
Sun has also used the strategy of acquisitions and mergers to grow quickly. It acquired
Knoll Pharma’s bulk drug facility, Gujarat Lyka Organics, 51.5% in M. J. Pharma,
merged TamilNadu Dadha Pharma & Milmet Labs and acquired Natco’s brands. Post
Merger with TamilNadu Dadha Pharma the company gained presence in gynecology and
oncology segments.
The bases of marketing strategies can be best described in these two models in both
acute and chronic segments:
(i) Super Core Model involving the search for, and distribution of a small number of
drugs from Chronic Threapy Area that achieve substantial global sales. The success of
this model depends on achieving large returns from a small number of drugs in order to
pay for the high cost of the drug discovery and development process for a large number
of patients. Total revenues are highly dependant on sales from a small number of drugs.
This model incorporates highly specialized approach in all the manner . Initially the
competition is seems more at entry level but since growth is stable and more in this area ;
every company is striving very hard to enter in this area. The major strategy in this model
involves right focus to highly specialized customer by well trained team.
(ii) Core Model in which a larger number of drugs from Acute Threapy Area are
marketed to big diversified markets. The advantage of this model is that its success is not
dependant on sales of a small number of drugs. Here presenting a large number of
product and taking the advantage of opportunity cost is one of the important strategy.
Other strategy includes daily reminders to cross the perceptual filter and get the brand
name in to the sub-conscious state of mind .
YEAR 2010 estimated
OTHERS, 12%
DIABETES, 3%
RESP., 7%
CNS, 8%
NSAIDS, 11%
NUTRA., 12%
GI, 13%
ANTI INF., 16%
CVS, 18%
OTHERS
DIABETES
RESP.
CNS
NSAIDS
NUTRA.
GI
ANTI INF.
CVS
YEAR 2001
OTHERS, 15%
DIABETES, 3%
RESP., 10%
CNS, 5%
NSAIDS, 9% NUTRA., 14%
GI, 12%
ANTI INF., 24%
CVS, 8%
OTHERS
DIABETES
RESP.
CNS
NSAIDS
NUTRA.
GI
ANTI INF.
CVS
Fig2
Source:ORG MARG Retail Audit 2002
Figure 2 presents market share of top therapeutic segment in the year 2001 with
projection made for year 2010.However product choice will depend largely on the
internal capabilities of the companies. Here it is very much evident from this projection
that lots of opportunities lies with chronic therapy segment however growth is initially
slow but it may generate good revenue in long run.
3.1 Marketing approaches of Super Core Model
In pharmaceutical market there has been a significant shift from Acute towards Chronic
Threapy area. Chronic segments are driving the growth of the market as leading
prescribers in these segments are specialists as opposed to general practioners. This is
evident from high growth rates achieved by firms like Sun Pharma, Dr.Reddy
Laboratories and Dabur Pharma Ltd. Who have focused on these segments
The doctor's prescription has become just the starting point in determining what drug the
retailer dispenses. During last five years pharma companies have started identifying the
hidden potential of oncological market also. A number of drugs have been launched into
the oncological market by pharmaceutical companies, including new biological drugs and
drugs that can be used as a support for patients undergoing cytotoxic chemotherapy. As a
matter of fact, pharmaceutical companies are merging, and, through the merging process,
the portfolio of the new companies changes.
Medical representatives are rearranged throughout the newcompanies. Some of the sales
representatives are now afraid of losing their job, due to the changing scenario and the
possible lay offs. On the other hand, the new, bigger, pharmaceutical companies are
competing more and more with one another, and, in order to stress their products, might
adopt a more aggressive sales strategy. For example, sometimes in the same geographical
area there are eight to ten representatives for just one company, or different
representatives for the same drug in different settings. As a result of the new, aggressive
strategy, the aggressiveness of representatives has also been increasing, since the larger
stress exerted by their companies might affect their stay in the company. Therefore, they
tend to have more frequent visits to encourage doctors to prescribe drugs and thus
increase sales.
In this model medical representatives are the key actors for example in a small cardiology
unit almost 40 sales representatives interacting with doctors, and most of them are
coming for a visit on a regular once-a-month basis as this is the restriction put by doctors
of meeting only once in a month that to on a fix time only, in order to stress the
usefulness of their products and push clinicians towards the use of their drugs. This means
that, basically, there are at least two representatives every day in busy clinic asking for a
‘short’ meeting to support their product.
Pharmaceutical marketing is a specialized field where medical representatives form the
backbone of entire marketing effort. Pharmaceutical companies also appoint medical
representatives and assign them defined territories. Medical representatives meet doctors,
chemists and stockiest as per company norms. Medical representatives try to influence
prescription pattern of doctors in favor of their brands.
The pharmaceutical distribution channel is indirect with usually three channel
members i.e. depot/C&F, stockiest and chemist. Pharmaceutical companies appoint one
company depot or C&F agent usually in each state and authorized stockist(s) in each
district across the country. Company depot/C&F sends stocks to authorized stockists as
per the requirement. Retail chemists buy medicines on daily or weekly basis from
authorized stockiest as per demand. Patients visit chemists for buying medicines either
prescribed by a doctor or advertised in the media. Here patient is end customer and doctor
is direct customer for any pharmaceutical company. But for doctor customer (patient) is
more important so he wants an effective supply chain management from prescribed
company. And for pharmaceutical companies their customer that is doctor is more
important that’s why they emphasize more on supply chain management. Ultimately end-
customer is benefited out of this.
For marketing of these type of products companies require more and more skilled field
force to develop good rapport with their direct customer (doctor). Moreover field force
should have good product knowledge and USP of their products over other so as to
convince doctors and PULL the demand for their products i.e. from Doctor to Retailer to
Stockist to CFA to company.
Fig.3.Pull System Working In Chronic Threapy Segment
CORE CUSTOMER
(Doctor)
END-CUSTOMER
(Patient)
NONCORE
CUSTOMER
(Retailer)
CUSTOMER
(Stockist)
CUSTOMER
(C & FA)
Marketing & Sales
Team
In this system, doctors are the core customers and the major thrust is given to build and
retain these customer because they are pulling the demand for products hence companies
also give main emphasis in building and retaining these customers. All efforts are being
put for generating secondary sales i.e. from stockist to retailer. Ensuring of auto demand
with limited availability and maximum liquidation of the products is the main
characteristic of this approach.
For retaining and developing customers, the companies normally provide gifts like
sponsorship for various conferences like RSSDI, FOGSI, APICON, UPCON etc. For
example Dabur having PASS (Professional Academic and Scientific Services) activities
for promoting its chronic therapy range.
Also it is interesting to note that since this is a pull system demand is being pulled in to
the market so generally representatives calculate product orders i.e. primary sales from
their stockist on the basis of following formula:
Normally there are absolutely no chances of dumping of goods at stockist and retailer
level is yet reported also payment recovery of companies is also very good.
3.2 Marketing approaches of Core Model
In present scenario companies are focusing more and more on the availability of products
so as to enjoy good image in their customer’s (doctors) chamber. Many companies such
as Glaxo, Pfizer, Dabur, FDC, Aventies, and Cipla etc. are known for their availability of
products.
For marketing of these types of products companies require more and more field force
to remind their products on daily basis to their direct customer (doctor). Moreover field
force should have good knowledge of product schemes and offers. Also field force is
required to have a good rapport with retailers. Field force also required to ensure good
availability of their products to convince doctors and PUSH their products i.e. from to
Stockist to Retailer to Doctor.
It has been observed that sometimes there are more than fifteen or sixteen representatives
in a day are meeting with their customer and requesting for same type of products.
Although field force visits are important for an update on drugs and their use. The doctors
are, in general, sneaking away, trying to hide from sales representatives, since there are
too many and they are too pushy and there is too little time, and the representatives
probably have noticed that the reluctant doctors have always less time for short meetings
and less interest and tend to reduce the time of the visit.
SECONDARY SALES * 2 – OPENING STOCK= ORDER
The relationship between clinicians and representatives has always been good and
pharmaceutical companies have provided, and still provide, the major economical support
for customers' continuous medical education. Something needs to be done to find a
solution to this problem that takes into account the needs of both pharmaceutical
companies and their representatives on one side and physicians on the other, for a better
professional interaction.
Fig.4..Push System Working In Acute Threapy Segment
In this system, doctors and retailers are the core customers and the major thrust is given
to build and retain these customers. Here retailers are also core customer as most of the
times they are substituting the products based on their own discretion.
For retaining and developing customers, the companies normally provide utility gifts to
remind the products on daily basis.
Also it is interesting to note that since this is a push system products are being pushed in
to the market so generally representatives place product orders from their stockist on the
basis of SKUs sold and schemes. In this pumping the goods in the market and ensuring
CORE CUSTOMER
(Doctor)
END-CUSTOMER
(Patient)
CORE CUSTOMER
(Retailer)
CORE
CUSTOMER
(Stockist)
Marketing & Sales
Team
more and more primary sales i.e. from CFA to Stockist and availability of goods are
major strategies.
Normally the chances of dumping of goods at stockist and retailer level are reported also
payment recovery of companies is also not very good.
Here the role of supply chain managers can be to provide considerable value to their
companies by understanding the customers' delivery requirements. A very powerful tool
for understanding these requirements is account segmentation. A company can use
account segmentation to identify market segments Such as Acute & Chronic therapy
market. which is well positioned to serve and then organize its product range and even
SKU’s and service in a superior way.
Companies are fighting (for customers) like never before and if anything is certain then it
is further intensification of this war, and because of this companies are increasingly
looking at Logistics, as a weapon to gain Competitive Advantage and it is true that
Logistics has the potential to do so. and corporate cases associated with them are given
below:
4. CONCLUSION
There can be various ways through which a business organization can achieve success in
the market, but all those ways can be comprised into as above, then it can be rightly said
that it revolves specifically around three parties or more; the triangular linkages or the
relationship between these three parties (company, customers and competitors) determine
the success and failure of business organization. In the medium to long run, the domestic
pharmaceutical market will be largely driven by the increasing prevalence of chronic
segment. The domestic industry is principally being driven by the chronic segment which
has grown by 17.8% this year. Against the backdrop up- take of acute segments has been
slow and has grown by 10.1% only. The basis of success in any competitive context can
be, at the most, elemental level commercial success; and commercial success can be
derived either from a cost advantage or a value advantage or ideally from a combination
of both. In other words, the organization with Competitive Advantage tends to be the cost
leader in the industry or a seller of most differentiated products amongst all the players.
At last the role of supply chain is very prominent in both the phases (in acute as well as in
chronic). But the successes of any pharmaceutical industry; when a company changes its
concentration from “Acute” to “Chronic” therapy market depend on competitiveness of
supply chain. Supply Chain Managers can provide considerable value to their companies
by understanding the customers' delivery requirements. A very powerful tool for
understanding these requirements is account segmentation. A company can use account
segmentation to identify market segments Such as Acute & Chronic therapy market.
which is well positioned to serve and then organize its product range and even SKU’s and
service in a superior way. The company must tailor its supply chain offerings to meet the
needs of each of the market segment it serves. For example, Dabur Pharma has started
launching of its products which were G.P.(Acute Threapy) oriented latter it enter in to
specialists oriented(Chronic Threapy) products.
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