Beruflich Dokumente
Kultur Dokumente
Pharmaceutical Industry
Pamala Proverbs
Surrey, February 2005
Table of Contents
Introduction....................................................................................................................5
History of Pharmaceuticals ............................................................................................6
Early Characteristics of Pharmaceuticals...............................................................6
Key Definitions..............................................................................................................7
Review of Mergers, Acquisitions and Alliances....................................................7
Paradigm Change for the Industry .................................................................................8
Macro Environmental Analysis .............................................................................8
Industrial Forces...........................................................................................................11
The bargaining power of customers.....................................................................11
The Threat of Substitute Products........................................................................12
Jockeying for position..........................................................................................12
Strategic Global Markets .............................................................................................13
How some of the major deals have restructured the Market .......................................14
Implications for Firms..................................................................................................16
Question 2 ....................................................................................................................19
Competitive Advantage ...............................................................................................19
Analysis of Pfizer.........................................................................................................19
Strengths ..............................................................................................................19
Weaknesses ..........................................................................................................20
Opportunities........................................................................................................21
Threats..................................................................................................................21
Summary ......................................................................................................................23
Recommendations........................................................................................................23
References....................................................................................................................25
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Introduction
The pharmaceutical industry can be broken down into two major sectors pharmaceuticals and biotechnology. Datamonitor (2003) highlights, that in the past
five years, the market has experienced high levels of consolidation, as major players
have sought to expand their portfolios and market share.
The industry, which until the early 1980s was dominated by national, multinational
and regional companies now comprises huge global giants such as Pfizer Inc.,
GlaxoSmithKline (GSK), Merck Corporation and Johnson and Johnson, who were
listed in 2003 by the Association of the British Pharmaceutical Industry (ABPI) as
being number one to four in world with sales in the billions of dollars.
The paradigm of merger, acquisition and alliance activity has come as a result of
environmental forces from the macro-environment and from within the industry itself.
The deals have been among equals: (Glaxo/SmithKline 2000); bigger firms have
taken over smaller firms (Johnson & Johnson/Scios Inc. 2003); firms outside the
industry, but in some way complementary, have been acquired (Merck/Medco 1993)
and firms have integrated vertically through both forward and backward integration
(licenses and sales and marketing agreements).
This paper looks at the reason for acquisitions and mergers in the pharmaceutical
industry, focusing on the case of Pfizer. It analyses how some of the major deals have
restructured the industry and gives recommendations for the industry as a whole.
History of Pharmaceuticals
According to Johnson and Scholes 2002, the pharmaceutical industry can be traced
back to the late 19th Century. Datamonitors profile on Pfizer Inc. (2004) dates this
company back to 1849. Warner Lambert which was acquired by Pfizer in 2000 traces
its history back to 1800. (www.pfizer.com) Datamonitor also lists German company
Boehringer Ingelheim GmbH as dating back to 1885, Merck and Co., Inc. 1887,
Bayer 1863 and GlaxoSmithKline formed from Glaxo and SmithKline as going back
to 1873 in the case of Glaxo, and 1830 for SmithKline, demonstrating the maturity of
the pharmaceutical industry and the longevity of companies in the industry.
Key Definitions
Alliance/Joint Development
A joint development is where two or more organisations share resources and
activities to pursue a strategy. (Johnson and Scholes, 2002)
Acquisition
An acquisition occurs when one company uses its capital resources such as stock,
debt, or cash to purchase the other. Hill and Jones (2004)
Merger
The union of two companies to form a single new business. The firms are usually
more similar in size and the arrangement is more collaborative. A merger is somewhat
akin to a marriage. (Griffin and Ebert, 1991)
Strategy
A companys strategy is the game plan management has for positioning the
company in its chosen market arena, competing successfully, pleasing customers, and
achieving good business performance. (Thompson and Strickland, 1998)
The effect on the industry has been large research and development budgets with a
limited time to recoup investment due to patent expiry. MedTRACK this year list
Pfizers R&D spend as $7655 million and GSK as $5,086 million.
The fact that the government was the most powerful purchaser of pharmaceuticals
meant that they were in a position to control healthcare expenditure. For example, in
1985 the British government introduced its black list, a group of patented drugs that
the government would not pay for Prior to the introduction of the black list, Roche,
was in the top ten companies within the pharmaceutical industry, but fell to the forties
within the industry when its two major products were delisted. Pharmaceutical
companies at this time, according to Johnson and Scholes (2002), had little or no
public or political clout to prevent changes.
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Hill and Jones (2004) note that an important motive of horizontal integration is that it
may help the company gain bargaining power.
ABPI reports
that the UK
Economic
According to Relman and Angell (2004), the US, unlike other advanced countries
doesnt regulate drug costs and costs are rising at annual rate of 10-12 percent
more than four times the rate of inflation. This favourable economic climate has
allowed pharmaceutical companies in the US to thrive. The top ten American drug
companies made a medium profit margin of 17 percent, compared with less than 3.1
percent for the other Fortune 500 industries. These factors may account for the fact
that five out of the top ten companies listed by ABPI for 2003 are US ( Pfizer, Merck,
Johnson
and
Johnson,
Bristol-Myers
SQB
and
Abbott)
Holt
on
The economic climate in the UK on the other hand is tightly regulated. According to
ABPI prescription medicines are subject of government controls and intensive
competition. Pharmaceutical prices have grown at a slower rate than consumer prices
as a whole and in real terms are 12.4 percent cheaper than they were ten years ago.
Socio-cultural
Relman and Angell (2004) noted that for these reasons public pressure may soon
force the US government to allow drug imports from Canada and Europe. As noted
earlier the final customer the patient had no say in drugs. However as Piachaud and
Moustakis (2000) describe, this is changing as there is a demand by customers for
more cost effect drugs as patients get more suave.
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Technological
Johnson and Scholes (2002) list two key technological developments of the 80s which
impacted on the industry as the emergence of biotechnology firms and greater use of
computer power. Hill and Jones (2004) notes that technological changes can make
established products obsolete overnight, the successes of biotech companies such
Amgen, and Biogen pose competitive threats to pharmaceutical and there are over
300 publicly traded companies in the US developing novel medicines using
biotechnology. Medtrack list Amgen as the top Biotech company with a share price
of $63.95 compared to Pfizers share price of $27.09, indicating the strength of this
new sector.
Cuba, Egypt, India and South Africa as investing in biotechnology. It noted that Cuba
for all its political and economic travails, has created an internationally successful
biotech sector from its earlier development of an innovative home grown vaccine for
meningitis.
Mercks acquiring Medco, a Pharmacy Benefit Manager (PBM) in 1993 was thought
to be as a result of computer technology and gaining access to the PBMs data bases
which would help to direct their R&D and also control the drugs used under this
scheme. (Johnson and Scholes, 2002)
Environmental
The
Organisation
for
Economic
Co-operation
and
Development
(OECD)
environmental committee policy document (1998) reported that the economic as well
as health and environmental consequences of major problems involving chemicals
(like the Minamata disease in Japan cause by mercury or the ubiquitous presence of
PCBs in man, animals and the environment which cause a variety of anomalies) have
convinced everyone that preventing chemical risks is far cheaper than to react and
cure. As such chemical testing and regulations required in different territories result
in significant cost for the industry. This factor contributes further to the large R&D
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budgets needed by pharmaceutical companies and the need for consolidation to be
competitive.
Industrial Forces
The macro environment may have been the catalyst which sparked the strategies that
led to initial changes in the structure of the pharmaceutical industry but it has been the
competitive forces within the industry that accounts most for the continuing spate of
mergers, alliances and acquisitions characteristic of the industry today.
Porter (1979) argues that the nature and degree of competition in an industry hinge
on five forces: the threat of new entrants, the bargaining power of customers, the
bargaining power of suppliers, the threat of substitutes products or services and the
jockeying among current contestants.
It is the bargaining power of customers, the threat of substitute products and the
jockeying among current contestants which appear to be the most powerful of the
forces within the pharmaceutical industry.
A SWOT analysis of Merck lists as a threat pricing pressures, both in the US and
abroad, including rules and practices of managed care groups, judicial decisions and
government laws and regulations related to Medicare, Medicaid and health care
reform, pharmaceutical reimbursement and pricing in general as having adversely
affected those operating in the sector. A number of companies have been charged
with artificially inflating prices and given considerable fines. (Datamonitor, 2004 )
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The threat of substitute products has caused pharmaceutical companies to bolster their
product portfolios developing their own generic drugs. Pfizer taking away of 40% of
Eli Lillys share of the mental disorder market between 1992 and 1998, after the
patent for Lillys antidepressant drug Prozac had expired for its own drug Zoloft is a
good example of how fragile the competitiveness of companies in the industry are
based on patents and the development of substitute productions by other
pharmaceutical companies. (Hill and Jones, 2004) The threat then comes not only
from biotechnology but from within the sector itself.
GlaxoSmithKline.
Ten major
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Companies in search of critical mass have stretched their operations to fit the different
nuances that exist in different markets. Koberstein (1998) reported that China ranks
right after Japan as the most important pharmaceutical market in Asia. Wechsler
(1998) noted a number of obstacles present in China including price controls, patent
erosion, and changes in the healthcare system, and protection of the local industry.
For these reasons the Asian market has been dominated by domestic companies
however because of the size of these populations there are targets for strategic
alliances. (Datamonitor reports that China has one million people infected with HIV,
20 million persons with chronic Hepatitis B and a total of 4.5 million cancer patients.
Two million cancer patients are diagnosed every year.)
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On the other hand Medtracks industry statistics (2004) list Merck, who in 1997 was
number two in the world, as number nine with a market value of $63, 733.39 million.
Datamonitor reports that Merck has chosen a strategy of organic growth with modest
M&A activity.
advantage through merger and acquisition and has become the number one company
with a market value of $204,014.65 million. Table 1 list some of the major deals of
the top five companies.
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Company
Major Deals
Pfizer
GSK
Merck
Novartis (Swiss)
Thirdly the deals have also restructured the market by narrowing the therapeutic focus
of the top companies. Datamonitor reports that pharmaceutical companies focus on
treatments where there are expected high rates of return e.g central nervous system
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(CNS) and cardiovascular disease which are the major causes of death in the Western
World. The top companies also have specialty areas which they excel in outside CNS
and cardiovascular disease for example Johnson and Johnsons medical devices
brought in 35% of their revenue in 2003 and Novartis consumer products 36%.
Finally the deals have impacted on the geographical importance of the companies
operations. For examples Johnson and Scholes 2002 reported that GSK for one after
completing its merger (Glaxo/SmithKline Beecham) considered moving its
headquarters to the US because of the strategic importance of the US to the industry
in terms of revenue generation against all other markets.
pharmaceuticals and the responding spate of mergers, acquisitions and alliances was
the industrys response.
Datamonitor reports that Pfizer has now changed its approach to biotechnology from
alliance to acquisition. This is a step to help Pfizers pipeline, giving it access to new
technology and at the same time bolstering its product offering, as a number of its
block buster drugs are facing patent expiry. The downside to this for Pfizer, as
explained by Datamonitor, is that there could be leakage of staff and loss of R&D
momentum that are key to innovation which is characteristic of merged companies.
The search for critical mass, according to Piachaud and Moustakis (2000), is an
important driver for M&A within the industry since the market share of even the
largest pharmaceutical manufacturers is often considered too small to maintain a
strong competitive position. The M&A activity is thus expected to continue.
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Firms participating in M&A can reduce cost. Piachaud and Moustakis reported the
Astra-Zeneca merger in 1998 was an attempt to save that company $1.1 billion in
revenue as derived from a reduction in the work force.
According to Hill and Jones (2004) gaining bargaining power over buyers and
suppliers is important to creating profitability at their expense rather than the
companys.
importance to the economy has gained them recognition and bargaining power with
governments.
(November 2004) The Food and Drug Administration (FDA) itself was under attack
when one of its scientist was called upon to testify before the Senate on the sudden
withdrawal of Merck drug Vioxx, a pain killer that may have damaged the hearts of
more than 100,000 Americans since its approval by the FDA in 1999. The scientist
testified that the FDA overvalues the benefits of drugs and seriously undervalues,
disregards and disrespects drug safety. According to The Economist the results of
this case reeked havoc in the market Astra-Zenecas share price fell by 10%, shares
in GSK fell by 6% although Mercks share price hardly budged, traders have already
knocked $40 billion off the firms value. (Interestingly the two companies affected
are not US)
The FDA is expected to react to this mark on their reputation, by putting more
stringent testing in place. According to The Economist this may mean more R&D
spend for the drug companies and longer time to market for drugs. It now takes 1015 years and on average $879million to bring a new drug to market.
Pfizers rise from number seven to number one in just six years also demonstrate how
M&A helps to manage rivalry though acquiring the competition and delivers
competitive advantage. According to Bogan and Symmers (2001) Pfizers actions to
acquire Warner Lambert and Monsanto was that the target companies carried the
multibillion dollar blockbuster products Lipitor and Celebrex which made billions of
dollars for Pfizer.
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According Bogan and Symners (2001) M&A however have their draw back as
statistics have shown that: 75 percent of large mergers fail to create shareholder
value greater than industry averages; productivity drops 50 percent following the
announcement of a merger; leadership attrition soars to 47% within three years
following mergers; 80 percent of employees feel senior management cares more about
economics than about product quality or people. The research thus shows that many
M&A that look attractive during the negotiation stage are not always fruitful. Bogan
and Symner however suggest that despite these risks, companies continue to merge
because the payoff of accelerated growth can be enormous. In the pharmaceutical
industry the payoff in the form of block buster drugs accounts for billions of dollars in
revenue.
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Question 2
Competitive Advantage
A company is said to have competitive advantage over its rivals when its
profitability is greater than the average profitability for all the firms in its industry.
The greater the extent to which a companys profitability exceeds the average
profitability for its industry, the greater is its competitive advantage. A company is
said to have a sustained competitive advantage when it is able to maintain aboveaverage profitability for a number of years. (Hill and Jones, 2004)
According to Hill and Jones (2004), the four main building blocks of competitive
advantage are efficiency, innovation, responsiveness to customers and quality of
product or service offering.
Analysis of Pfizer
The case of Pfizer demonstrates that mergers, acquisitions and alliances can deliver
competitive advantage. To sustain the advantage because of the volatile nature of the
industry with the major players consistently jockeying for position, is the challenge.
A look at the number one company Pfizer, in terms of its strengths, weaknesses,
opportunities and threats as highlighted by Datamonitor since its acquisition of
Pharmacia, reveals that this acquisition has catapulted Pfizer way ahead of the other
leading companies giving it a competitive advantage.
Strengths
Pfizers strengths as listed by Datamonitor include strong sales and marketing
capabilities which, because of it sheer size means that it can target prescribing
physicians in each of its therapy areas, it can launch huge direct-to-consumer
campaigns which benefited it in the launch of Viagra, by raising awareness to
erectile dysfunction as a disorder that can be effectively treated.( Datamonitor)
Pfizers strength in sales and marketing make it an attractive partner for other
companies to market their drugs through.
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Patents are a very important strategic capability for the pharmaceutical industry.
According to Danzon et al, ethical drugs enjoy patent protection which on average
last for roughly 12 years after market approval. Another strength of Pfizer which
could be a direct correlation to its large successful sales and marketing capabilities
has been its blockbuster drug portfolio. 14 products marketed by Pfizer remained at
the top of their respective therapeutic categories in 2003, more than any other
company (Datamonitor).
A key strength and capability of Pfizer, a direct result of it M&A activity is it large
R&D spend which is the industry largest of $7.1 billion in 2003. Despite this Pfizers
still depend on alliances to bring new block buster drugs to market. As Datamonitor
indicates a number of blockbusters on its portfolio are from joint arrangements which
demonstrates that large budgets in the pharmaceutical industry does not guarantee
blockbuster drugs. Its innovativeness and R&D however improves its probability in
bringing new drugs to market and it gives Pfizer a complete value chain of activities.
Pfizer manages all elements of its value chain. It discovers, develops, manufactures
and markets its drugs.
Weaknesses
A weakness of Pfizer is that a number of its blockbusters are facing patent expiry. Its
taking away of 40% of Eli Lillys share of the mental disorder market between 1992
and 1998, after the patent for Lillys antidepressant drug Prozac had expired for its
own drug Zoloft is a good example of how frail the competitiveness of companies in
the industry is based on patents. (Hill and Jones 2004) This factor will threaten
Pfizers future competitive advantage. Pfizers over-dependence on a few drugs and
therapy areas makes it vulnerable to adverse effects related to the individual products.
Mercks voluntary recall of its blockbuster arthritis drug Vioxx demonstrates the
weakness the downside of problems with a blockbuster.
A final weakness listed by Datamonitor is Pfizers large size restricting its growth.
Pfizer has chosen a strategy of shedding units to focus on its core business for
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example it sold of its Tetra Fish Food Supplies business for $238.5 million to Triton
Fund and Schick-Wilkinson Sword shaving products for $930 million in cash to
Energizer Holding Ltd which it had acquired with Warner Lambert acquisition.
(Datamonitor) These divestment help to slim Pfizer while temporary boosting its
profitability.
Opportunities
Despite its weaknesses M&A have given Pfizer opportunities for international
expansion driven by the Pharmacias merger, contributing to Pfizer achieving critical
mass and hence increasing its competitive advantage. According to Datamonitor
Pfizers merger with Pharmacia consolidated its overseas presence, propelling it
from fourth to first position in Europe, from third to first in Japan and from fifth to
first in Latin America.
Threats
The threats that Pfizer face are relevant to all pharmaceutical companies.
Datamonitor list them as firstly the delay to the approval of its epilepsy treatment
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pregablin which it is trying to get to market before the expiry of its patent on
Neurontin to get a jump on generic competition which is a strategy companies uses.
There is also the slowing down to core franchises due to competitive entries and
consolidation among industry peers encroaching on Pfizer post-merger size
advantage.
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Summary
Mergers, alliances and acquisition have changed the nature of the pharmaceutical
industry from a predictable industry comprising small and medium size players spread
throughout the world, to a dynamic industry dominated by twenty or so major global
players as listed by ABPI. The implication of this for the firms is that there has been
a constant jockeying of position, through mergers and acquisitions and an intricate
web of alliances in the areas of research and development and sales and marketing.
This change has been sparked by forces outside the industry e.g. expiry dates
introduced on patents and governmental controls, but it has been the activity within
the industry itself, (the race for new drug therapies, the search for critical mass, the
buying out of strategic capabilities and the need to collaborate to grow) that has
maintain the proliferation of mergers, alliances and acquisitions.
Recommendations
Two recommendation for industry leaders as stated byThompson and Strickland
(1998) are relevant to the pharmaceutical industry:
1. Stay-on-the-offensive strategy - Offensive minded leaders stress being firstmovers to sustain their competitive advantage (low cost or differentiation). Pfizer
practices differentiation of products through it continual pursuit of block buster
products. (Datamonitor)
attempting to raise the competitive ante for challengers and new entrants by increased
spending for advertising, higher levels of customer service, and bigger R & D
outlays.
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Other recommendation for the industry includes:
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References
Bogan C. and Symmers, K. (2001) Marriages Made in Heaven? Pharmaceutical
Executive, 21(1) pp52-60.
Danzon, Patricia, Eptein, Andrew and Nicholson, Sean (2003) Mergers and
Acquisitions in the Pharmaceutical and Biotech Industries available at
http://hc.wharton.upenn.edu/nicholson/pdf/merger_Sept03.pdf accessed [02-12-04]
Datamonitor (2004) Merck & Co. Inc, Company Profile, Ref 1088.
Griffin, R.W. and Egbert, R. J. (1991) Business, 2ed., Englewood, Prentice- Hill Inc.
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Johnson, G. and Scholes, K. (2002) Exploring Corporate Strategy, 6ed., Essex,
Pearson Education Limited.
Koberstein, W. (1998) Regional Structures, Pharmaceutical Executive, 18(1), pp64.
Medtrack Industry Statistics available at
http://www.lifescienceanalytics.com/research/Istats.asp#list1 accessed [14/12/04]
Koenig, M. and Mezick, E Impact of Mergers and Acquisitions on Research
Productivity within the Pharmaceutical Industry available at
http://knowledgeagency.com/.../PharmcoMergers-ScientometricsArticle.PDF
[accessed:02/12/04]
Piachaud B. S. and Moustakis, F. (2000) Is There A Valid Case for Mergers Within
the Defence and Pharmaceutical Industries? A Quantitative Analysis, The Journal
of World Affairs and New Technology, 3(4).
Porter, M.E. (1979) How Competitive Forces Shape Strategy, Harvard Business
Review, Mar Apr, pp137-145.
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The Pharmaceutical Industry, From Bad to Awful, (2004) The Economist,
373(8403), pp63-64.
Thomas, H., Porter, M. E. and Rudden E. (1982) How Global Companies Win Out,
Harvard Business Review Sept./ Oct. pp98-107.
Thompson Jr., A. A. and Strickland III, A.J. (1998) Strategic Management Concepts
and Cases, 10ed., Boston, Irwin/Mc Graw-Hill.
Wechsler, J. (1998) China Pharmaceutical Executive, 18 (1), p82.
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