Global Pharmaceutical Trade and Contribution of India

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Global Pharmaceutical Trade and Contribution of India TPR Rau. B. S 1 and Dr. Appaji P. V 2 Abstract: Trends in global pharmaceutical market in terms of sale, product category, product, regions and countries help in exploring and expanding pharmaceutical export business. The export figures of India as a whole are very promising with respect to global pharmaceutical business. However, India s contribution is low with overall global export business. There is a huge scope to increase the export business. There is a necessity to understand that Indian pharmaceutical companies to explore export business into new countries in addition to current countries of export business. Introduction Indian pharmaceutical industry has proved in the production of globally accepted quality pharmaceutical products and among the total drug master files at USFDA, India stands first with 2658 filings. The number of Indian companies registered as drug manufacturers with facilities that are approved at USFDA are 475 and 306 including sister concerns respectively (includes all the foreign company establishments in India). In addition to this, India stands first globally in export of drugs, pharmaceuticals and fine chemicals by volume in formulations. The current article is to bring out global pharmaceutical trade statistics and the contribution of India. Global Pharmaceutical Market The global pharmaceutical market for the year 2010 is US $ 875 bn (audited and un-audited) with a growth of 4.1 % over the previous year. In 2003, a maximum growth of 9.1 % over the previous year was recorded. Table 1 clearly indicates the down trend in the Year/Market 2003 2004 2005 2006 2007 2008 2009 2010 Total Global Market in US $ billion (average exchange rate) Growth Over Previous year (average exchange rate) 561 603 647 692 740 785 840 875 9.1% 7.6% 7.2% 7.0% 6.9% 6.1% 7.1% 4.1% Table 1: Global Pharmaceutical Market in US $ billion global pharmaceutical market value with respect to previous year which might be a reason of periodic expiry of various process and product patents. However, the overall market has boosted up to 65 % with respect to 2003 in terms of value. Global Pharmaceutical Market by Region The total market size for entire regions in the world is US $ 874.6 bn (audited and un-audited). As per table 2, the expected growth rate for the year 2011 is 4-5 % with an expected value of US $ 918.33 bn. The expected market for the year 2012 is US $ 973.42, for year 2013 is US $ 1,031.82 bn, for year 2014 is US $ 1093.72 bn and for year 2015 is US $ 1159.34 bn considering at a maximum growth rate of 6 percent. Year 2010 2010 2006-2010 2011 2011-2015 Market % Growth CAGR % Forecast % CAGR % Size over previous year Growth US $ in Billion $874.6 4.1% 6.2% 4-5% 3-6% Table 2: Total Size of Pharmaceutical Market by Region When compared among global regions, figure 1 indicates that the pharmaceutical market is maximum in North America region with US $ 335.1 bn and 38 % share and is minimum in the Latin America region with US $ 54.3 bn and 6 % share of total global market. Highest growth rate is expected at a range of 11 14 % in the two regions Asia/Africa/Australia and Latin America. 1 Patent Facilitation Center, Pharmaceuticals Export Promotion Council. 2 Director Pharmexcil THE PHARMA REVIEW JANUARY - FEBRUARY 2012 41

TPR Top 20 Global Pharmaceutical Products and their sales Figure 2 gives trend in top 20 pharmaceuticals and their sale (audited) during the year 2006 to 2010. Anti-lipidemic, Atorvastatin has the highest sale of US $ 12,657 mn. However, a fall in the sale of Atorvastatin by US $ 631 mn over the previous year is observed. Top 20 pharmaceutical product sales globally range from US $ 1900 mn to US $ 13646 mn during the year 2006 to 2010. Figure: 1 Pharmaceutical Market by Region for the year 2010 (US $bn) US & Million $16.000 $14.000 $12.000 $10.000 $8.000 $6.000 $4.000 $2.000 $0 2006 2007 2008 2009 2010 Figure 2: Top 20 Pharmaceutical Product Sales Globally % Global Contribution 1.80 1.60 1.40 1.20 1.00 0.80 0.60 0.40 0.20 0.00 1. Lipitor 2. Plavix 3. Seretide 4. Nexium 5. Seroquel 6. Crestor 7. Embrel 8. Remicade 9. Humira 10. Zyprexa 11. Avastin 12. Singulair 13. Abilify 14. Mabthera 15. Lantus 16. Aricept 17. Actos 18. Lovenox 19. Herceptin 20. Diovan Among the top 20 pharmaceutical products by sales in the year 2010 globally, Figure 3 indicates, the contribution of Atorvastatin is 1.6 % of the total global sales. Monoclonal antibody Rituximab has the lowest contribution of 0.64 % among the top 20 products by sale. Top 20 Therapeutic class sales during 2006-2010 When a comparison is made among the top 20 therapeutic classes by sales (audited), oncologic drugs have the highest sales of US $ 55972 mn globally. Even though Atorvastatin sales is the highest in the world, table 3 gives the indication of second place in sales as per therapeutic class. Vitamin and mineral nutrients have their place in the top 20 therapeutic class with a sale of US $ 12971 mn for the year 2010. When compared with global pharmaceutical product sale and global therapeutic class sale, lipid regulators have up trend over the previous year in global therapeutic class sale, while Atorvastatin shows down and Rosuvastatin shows up trends over the previous year in global pharmaceutical product sale. Percentage contribution of Top 20 Companies in Global Pharmaceutical Markets, 2010 A comparison of top 20 companies global sales (audited) of pharmaceutical products with over all global pharmaceutical market, the contribution of the top 20 companies in global sales LIPITOR PLAVIX SERETIDE NEXIUM SEROQUEL CRESTOR EMBREL REMICADE HUMIRA ZYPREXA AVASTIN SINGULAIR ABILIFY MABTHERA LANTUS ARICEPT ACTOS LOVENOX HERCEPTIN DIOVAN Other Companies 39% 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Product by Rank Figure 3: Percent Contribution of Top 20 Pharmaceutical Product Sale in year 2010 Top 20 Companies 61% Other Top 20 Figure 4: Top 20 Global Companies, 2010 by Sales and their Global % Contribution 42 THE PHARMA REVIEW JANUARY - FEBRUARY 2012

TPR Rank Therapeutic Class/ 2010 2009 2008 2007 2006 Global Market 0 Global Market $791,449 $752,022 $727,067 $671,164 $609,614 1 Oncologics $55,972 $52,372 $49,438 $41,949 $34,905 2 Lipid Regulators $36,400 $35,281 $34,445 $34,141 $35,358 3 Respiratory Agents $35,926 $33,596 $31,186 $28,775 $24,796 4 Antidiabetics $34,429 $30,406 $27,548 $24,401 $21,310 5 Anti-ulcerants $27,972 $29,610 $30,032 $29,174 $27,619 6 Angiotensin II Antagonists $26,630 $25,209 $22,998 $19,418 $16,405 7 Antipsychotics $25,412 $23,248 $22,742 $20,693 $18,060 8 Autoimmune agents $20,710 $17,961 $15,612 $12,815 $10,629 9 Antidepressants $20,216 $19,416 $20,194 $19,581 $20,374 10 HIV Anti-viral $15,432 $13,758 $12,280 $10,699 $9,175 11 Platelet Aggr. Inhibitors $15,244 $14,604 $13,647 $11,952 $10,624 12 Vitamins & minerals $12,971 $11,951 $11,374 $10,109 $9,026 13 Anti-epileptics $12,553 $12,995 $16,792 $15,136 $12,955 14 Narcotic analgesics $12,011 $11,235 $10,534 $9,530 $8,219 15 Cephalosporins & combs $11,466 $10,586 $10,188 $9,489 $8,849 16 Non-Narcotic Analgesics $10,986 $10,917 $10,896 $10,179 $8,862 17 Vaccines $10,972 $10,690 $11,172 $10,911 $7,311 18 Erythropoietins $10,596 $10,829 $11,486 $12,866 $13,791 19 Anti-Rheumatics, Non-Steroidal $10,152 $9,668 $9,897 $9,318 $9,187 20 Multiple Sclerosis $9,844 $8,712 $7,716 $6,245 $5,533 Table 3: Top 20 Global Therapeutic Class by Sales, 2006-2010 (US $ Million) is found to be 61 %. Figure 4, gives a clear indication that the pharmaceutical market is occupied by top multinational companies having sound basic research with good number of patents. Top 20 Companies in Global Pharmaceutical Sales, 2010 When a comparison is made with respect to the company wise sale with global pharmaceutical sales, figure 5 clearly indicates Pfizer as the global leader with revenue of US $ 55602 mn. The percentage contribution of Pfizer with global pharmaceutical industry by Sales is 7 %. When all the companies are observed, the top 20 company s revenue by sales may be mainly by their patented products both in terms of bulk drugs and formulations. India s Export-Import of Drugs, Pharmaceuticals and Fine Chemicals from 2004 to 2011 India s exports in the field of Drugs, Pharmaceuticals and Fine Chemicals is raised from US $ 3312.99 mn to US $ 10393.53 mn which is more than three fold increase, where as imports to India, raise from US $ 644.17 mn to US $ 2375.61 mn which is about 3.6 fold increase during the years 2004 to 2011. When the net balance between India s exports with imports is observed, the balance as indicated in Table 4, Figure 6 is a positive balance which indicates India s pharmaceutical products are well accepted globally. When a comparison is made among India s % Contribution Figure 5: Top 20 Companies Percentage Contribution by sales Globally in year 2010 THE PHARMA REVIEW JANUARY - FEBRUARY 2012 43

TPR Year/Commodity Financial Year 2004 2005 2006 2007 2008 2009 2010 2011 Drugs, Pharmaceuticals And Fine Chemicals Export 3312.99 3972.81 4994.52 5939.75 7644.05 8802.64 8955 10393.53 Medicinal and Pharmaceutical Products Import 644.17 705.08 1027.75 1292.32 1668.22 1889.11 2100.61 2375.61 Net (Positive Balance) Net Balance 2668.82 3267.73 3966.77 4647.43 5975.83 6913.53 6854.39 8017.92 Table 4: India s Exports-Imports in Drugs, Pharmaceuticals and Fine Chemicals for Financial Year 2002-2011 (in US $ Million) US $ Million 12000 10000 8000 6000 4000 2000 0 2004 2005 2006 2007 2008 2009 2010 2011 Export Import Net Balance Figure 6: India's Exports-Imports in Drugs, Pharmaceuticals and Fine Chemicals for Financial Year 2001-2011 export of US $ 10393.53 mn in Drugs, Pharmaceuticals and Fine Chemicals with US $ 791449 mn of Global Market sale, a 1.31 % contribution is from India. The 1.31 % India s contribution in Global Pharmaceutical Market is near to one of the top 20 company s sale of pharmaceutical product globally. The drastic difference is mainly due to India s contribution only for bulk drug and generic drug manufacture. While, the top 20 company s sale contribution may be the contribution of their innovative, patented products in addition to conventional bulk drugs and formulations. Pharmaceutical Export Promotion Council (Pharmexcil) a setup by Ministry of Commerce and Industry, Govt. of India established in the year 2004 has strengthened Indian pharmaceutical exports from US $ 3312.99 mn to US $ 10393.53 mn during the years 2004 to 2011. Rs. In Crore 18000.0 16000.0 14000.0 12000.0 10000.0 8000.0 6000.0 4000.0 2000.0 0.0 America Europe Africa Asia (excl. Middle East) Middle East Figure 7: India's Exports in Drugs, Pharmaceuticals and Fine Chemicals- Region wise India s Exports in Drugs, Pharmaceuticals and Fine Chemicals Region Wise For the year 2011 exports of Drugs, Pharmaceuticals and Fine Chemicals by region wise is in the range of Rs. 39.62 cr to Rs. 15393.17 cr. Among the regions, American region has the highest India s export of Rs. 15393.17cr, while region coming under other category have the lowest India s export of Rs. 39.62 cr. When compared to individual regions, Figure 7 indicates America has up trend of India s exports during 2007-2011, while in Europe a down trend is observed after 2009. India has the capability of exporting to all the countries globally; however the reason behind low contribution in some of the regions is economic viability to Indian companies. India s Exports in Drugs, Pharmaceuticals and Fine Chemicals to G7 Countries When a comparison is made of India s exports in Drugs, Pharmaceutical and Fine Chemicals among G7 countries, all the countries show an upward trend in importing Indian pharmaceutical products from year 2007-2011. Some countries like Italy and Canada show down trend in the last two years because of their own drug company resources. When a comparison is made among the G7 countries as indicated in Figure 8, USA has the highest import of Rs. 10856.00 cr and Japan has the lowest import of Rs. 359.27 cr with respect to India s Drugs, Pharmaceuticals and Fine Chemicals. When a comparison is made in overall business with India for Drugs, Pharmaceuticals and Fine Chemicals during the years 2007 to 2011, USA has highest import ranging from Rs. 4479 cr to Rs. 10856 cr whereas, Rs. In Crore 12000.00 10000.00 8000.00 6000.00 4000.00 2000.00 0.00 2007 2008 2009 2010 2011 USA UK Germany Canada France Italy Japan Figure 8: India's Exports in Drugs, Pharmaceuticals and Fine Chemicals to G7 Countries 44 THE PHARMA REVIEW JANUARY - FEBRUARY 2012

TPR all the other G 7 countries contribution of accepting India s Drugs, Pharmaceuticals and Fine chemicals is below Rs. 2000 cr. This drastic change is mainly due to well established and well understood US regulatory system. In case of other countries, even though the regulatory system is well established and understood, variations in approvals processes might be a reason why India s penetration of Drugs, Pharmaceuticals and Fine chemicals into other G 7 countries is hindered. Currently, Japan has accepted Indian generic companies as national treatment. This indicates an easy penetration of Indian Drugs, Pharmaceuticals and Fine Chemicals in to Japan. Top 20 Countries Contribution in India s Export of Drugs, Pharmaceuticals and Fine Chemicals India s export of Drugs, Pharmaceuticals and Fine Chemicals to the world is Rs. 47363.33 cr. The contribution of India s exports by top 20 countries is Rs. 28336.36 cr which accounts to 59.8 % Figure 9: Contribution of India's Exports in Drugs, Pharmaceuticals and Fine Chemicals to Top 20 Countries 2007-2011 of entire India s exports to world. When comparison is made in the contribution of top 20 countries in India s exports from year 2007 to 2011, figure 9 indicates a down trend of about 2 % during the year 2010 over the year 2008 and India has recovered from the minor fall in the year 2011. Rank Country 2007 Country 2008 Country 2009 Country 2010 Country 2011 1 USA 4479.40 USA 5839.35 USA 7177.06 USA 9264.96 USA 10856.00 2 Germany 1343.83 Germany 1448.01 Germany 1530.49 UK 1652.82 Russia 1907.09 3 Russia 1321.64 Russia 1243.81 Russia 1529.60 Germany 1515.00 UK 1723.84 4 UK 901.60 UK 1146.52 Austria 1417.83 Russia 1302.82 Germany 1579.17 5 Brazil 777.03 China 879.42 UK 1235.83 South Africa 1165.64 South Africa 1464.98 6 China 686.55 Canada 789.15 Brazil 1167.64 Brazil 995.32 Nigeria 1038.86 7 Nigeria 629.80 Brazil 771.61 South Africa 1127.38 Nigeria 905.00 Brazil 1008.64 8 Canada 562.45 South Africa 684.27 Canada 1096.04 Canada 775.46 Netherlands 876.01 9 Israel 538.97 Nigeria 671.24 Nigeria 1040.75 Vietnam 709.33 Canada 860.90 10 Ukraine 519.67 Netherlands 522.69 Ukraine 687.45 Netherlands 688.93 Kenya 842.43 11 Italy 504.54 Turkey 502.10 Israel 686.47 Turkey 662.63 Turkey 728.90 12 South Africa 501.57 Spain 501.42 Netherlands 683.28 China 645.37 Vietnam 660.70 13 Netherlands 480.63 Ukraine 497.14 Italy 633.87 Italy 594.54 Israel 633.87 14 Turkey 470.30 Vietnam 483.56 Turkey 627.99 UAE 580.76 Spain 610.93 15 Spain 466.73 Italy 471.28 Spain 622.89 Thailand 575.08 Ghana 606.74 16 Mexico 455.56 Israel 456.80 China 564.81 Ukraine 569.38 China 604.31 17 Vietnam 415.06 Mexico 442.49 Kenya 544.08 Spain 568.84 France 597.96 18 Singapore 413.18 UAE 426.11 Vietnam 536.73 Kenya 552.32 Italy 590.58 19 Sri Lanka 404.81 Pakistan 417.08 Belgium 524.11 Iran 535.05 Sri Lanka 582.33 20 Iran 357.99 Singapore 406.86 Mexico 522.42 Israel 526.01 Ukraine 557.11 Top 20 Sub Total 16231.29 18600.91 23956.70 24785.26 28331.36 World Trade 26895.18 30759.64 40421.71 42455.66 47363.33 % Contribution by top 20 60.35 60.47 59.27 58.38 59.82 Table 5: India s Exports of Drugs, Pharmaceuticals and Fine Chemicals to top 20 nations during 2007 to 2011 (Rs. in Crore) THE PHARMA REVIEW JANUARY - FEBRUARY 2012 45

TPR Top 20 Country Destinations of India s Exports of Drugs, Pharmaceuticals and Fine Chemicals during 2007 to 2011 When a comparison is made during the year 2007 to 2011 of India s exports in Drugs, Pharmaceuticals and Fine Chemicals, Table 5 indicates clearly, USA stands first for all the five years in import of India s produce. The reason of Indian pharmaceutical company s more interest towards USA might be high margin of profits and well understood regulatory procedures. In addition to this, Indian pharmaceutical companies have developed their products to the standards of USFDA which are also well accepted and easily approved in all other regulated markets in the world. In 2007, India s exports to China are Rs. 686.55 crore ranking 6th top country in importing Indian Drugs, Pharmaceuticals and Fine Chemicals, while in the year 2011 China s imports from India are Rs. 604.31 crore. This is a clear indication of China s revolutionary changes of in house manufacture relating to Drugs, Pharmaceuticals and Fine Chemicals. Brazil, Nigeria and South Africa are the promising countries for Indian pharmaceutical companies in export of Drugs, Pharmaceuticals and Fine Chemicals. Conclusion Indian pharmaceutical companies are best utilizing and framing strong forecast strategies for export business. It can be assumed that a few companies are well established with intellectual property, regulatory and market forecast strategies when compared to the total number of companies established in India as manufacturers. The contribution of Indian pharmaceutical industry for exports can increase by involving new exporters, exports to new countries. It is necessary to understand that the common inspection, filing procedures accepted among regions, countries may help the industry a faster growth. References IMS Health, IMS, United States of America. Center for Monitoring Indian Economy, DGCIS, India. US Food and Drug Administration, United States of America. 46 THE PHARMA REVIEW JANUARY - FEBRUARY 2012