The Global Generic Medicines Market through an Investment Banker's Crystal Ball
Vijay P. Karwal, CFA
Managing Director, Head of Industrials, Consumer and Healthcare, CIMB Investment Bank 5 December 2012
The Global Generic Medicines Market through an Investment Banker's - - PowerPoint PPT Presentation
The Global Generic Medicines Market through an Investment Banker's Crystal Ball Vijay P. Karwal, CFA Managing Director, Head of Industrials, Consumer and Healthcare, CIMB Investment Bank 5 December 2012 Should we trust investment bankers to
Vijay P. Karwal, CFA
Managing Director, Head of Industrials, Consumer and Healthcare, CIMB Investment Bank 5 December 2012
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Should we trust investment bankers to read the future?
Development of market capitalization of investment banks - Jan 2007 to 2012YTD (USDbn)1
20 40 60 80 100 120 140 Jan-07 Jan-08 Jan-09 Jan-10 Jan-11 Jan-12 GS JMP BofA MS CS UBS Barclays RBS RBS:
JPM:
CS:
MS:
GS:
BofA:
Barclays:
UBS:
Sources: Factset as of 30 Nov 2012 Note 1) Market capitalization rebased to 100
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Perhaps some are getting with the program!
+121%
Development of market capitalization of CIMB - Jan 2007 to 2012YTD (USDbn)
Sources: Factset as of 30 Nov 2012 Note 1) Market capitalization rebased to 100
50 100 150 200 250 300 Jan-07 Jan-08 Jan-09 Jan-10 Jan-11 Jan-12
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Following the acquisition of RBS assets, CIMB recently emerged as a leading Asia Pacific investment bank
CIMB’s core markets
India China
Taiwan Thailand Australia Sri Lanka Malaysia Philippines Singapore Indonesia Hong Kong
Extensive combined network across Asia Pacific
Sources: CIMB, Dealogic as of 30 Nov 2012 Note 1) New license applied for; 2) Excluding Chinese A shares, Japan, apportioned values
Top rated bookrunner of Asia Pacific IPO2 in 2012YTD
Rank Bookrunner No. USDm 1 CIMB (incl. RBS assets) 13 2,142 2 Deutsche Bank 11 1,425 3 UBS 10 1,141 4 Maybank 10 1,615 5 JP Morgan 10 1,266 Bank No. USDm 1 Goldman Sachs 61 83,453 2 CIMB (incl. RBS assets) 54 34,601 3 Credit Suisse 51 73,267 4 JP Morgan 46 56,327 5 Morgan Stanley 44 62,465
M&A ASEAN league table rankings 2011-12YTD by announced deals
Japan partnership with BTMU
Myanmar Vietnam Cambodia Japan
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CIMB has been an active advisor to the APAC healthcare sector in 2012
Religare Health Trust
IPO Joint Global Coordinator, Bookrunner and Underwriter Coordinator SGD511 million 2012
IHH Healthcare Berhad
Concurrent Dual-Listing IPO Joint Principal Advisor, Joint Global Coordinator, Joint Bookrunner SGD2.5 billion 2012
Watson Pharmaceuticals
Acquisition of Ascent Pharmahealth Ltd from Strides Arcolab Sole Financial Advisor AUD375 million 2012
Alvogen
Acquisition of up to 67.0% shareholding in Kunwha Pharmaceuticals by Alvogen Korea Limited Financial Advisor KRW 75.7 billion 2012
Alvogen
Investment by IMM into Convertible Bonds and Redeemable Convertible Preference Shares of Alvogen Korea Limited Sole Financial Advisor KRW59.7 billion 2012
First entry of scale
into the APAC pharmaceutical market for Watson
Watson becomes a
top 5 player in the Australian generic market
Pre-empted a
planned broader auction process
Simultaneous
signing and closing
Alvogen’s first entry
into Asia
First ever cross-
border controlling stake acquisition in a Korean pharmaceutical company by a foreign investor
Quick execution
period of 2 months from kick-off to signing
CIMB introduced
IMM PE, a leading Korean private equity fund, to co- invest in Alvogen’s Asian platform
Demonstrated our
strong capabilities in executing complex transaction involving several stakeholders
Unprecedented
Business Trust structure with a portfolio of Indian healthcare assets
First ever
international listing
assets
Largest
international listing from India since 2007
Largest healthcare
sector IPO in Asia ever
3rd largest IPO
globally YTD 2012
CIMB successfully
secured more than 1/3 of cornerstone demand and allocations
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Topics of today’s presentation
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Patent cliff raising long-term concerns about generic industry
Patent expirations 2005 through 2029
Brand sales value of Launches (US$m)
10,700 17,200 10,500 15,800 17,300 18,700 16,783 35,514 16,966 15,453 19,618 14,780 8,622 6,610 7,127 2,952 5,970 870 2,790 86 2,878 3,346 2,868 180 814 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029
Sources: CIMB, broker research
“Patent cliff”
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Public market valuation of generic leaders at historic lows
Biotech, pharma and generic P/E multiples have diverged since the ‘09-’11 convergence
8.0x 12.0x 16.0x 20.0x 24.0x 28.0x 32.0x Jan-06 Jan-07 Jan-08 Jan-09 Jan-10 Jan-11 Jan-12 Biotech Pharma Generic Biotech: 17.3x Pharma: 12.8x Generic: 13.6x
Patent cliff driving optimism on generics, concern on pharma Convergence Concern about future generic growth, pharma pipelines recovering
Sources: Factset as of 30 Nov 2012 Note: Biotech index includes BIIB, AMGN, GILD, CELG, ALXN; Pharma index includes PFE, MRK, BMY, LLY, JNJ, ANT; Generic index includes WPI, MYL, TEVA, PRGO, HSP
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Visibility on sources of future growth key to outlook
Industry concerns Growth alternatives
penetration already over 80%
providers accelerating price erosion
payors, and increasingly concentrated customer channel
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Visibility on sources of future growth key to outlook
Industry concerns Growth alternatives
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penetration already over 80%
providers accelerating price erosion
payors, and increasingly concentrated customer channel
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New growth markets: growth moving away from developed markets
Global generics market breakdown by geography
41% 7% 6% 6% 5% 4% 4% 6% 3% 3% 15% US Germany Brazil France UK Japan Turkey Canada Italy Spain Others 25% 4% 13% 5% 3% 6% 5% 5% 4% 3% 27%
2010 generic market share 2020E generic market share 1
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Illustration of global growth potential: generic utilization by region
Generic utilization (by prescription volume) 81% 75% 73% 71% 65% 59% 52% 51% 50% 46% 41% 40% 24% 89% 1
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Asian Pharma market growing at double digit rates, driven by strong growth in generics
Total Asian pharma market size and growth (USDbn)
90 104 112 131 136 138 140 142 41 51 64 79 92 105 119 130 25 27 31 35 39 42 47 51 156 182 208 246 266 286 306 323 50 100 150 200 250 300 350 2008A 2009A 2010A 2011A 2012F 2013F 2014F 2015F OTC Generic drugs Patented drugs 54% 32% 14% Patented drugs Generic drugs OTC
2011 pharma market breakdown
Sources: BMI Note: Asian pharma market includes China, India, Japan, South Korea, Indonesia, Thailand, Malaysia, Vietnam, Philippines and Taiwan
CAGR 11.1% 10.8% 18.0% 6.7%
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Asian pharma markets remain relatively fragmented
Market share of top 10 pharma companies by country (by value) 1
Sources: IMS Health, BMI, broker research
74% 50% 44% 41% 38% 37% 32% 25% 10%
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ASEAN Harmonization – significant future single market opportunity
Association of Southeast Asian Nations (ASEAN) Harmonisation of process for pharmaceutical product approval
Brunei Myanmar Cambodia Philippines Indonesia Singapore Laos Thailand Malaysia Vietnam
Pharmaceutical Products Working Group
Approval times for generic MAs:
…'develop harmonization of pharmaceutical regulations of the Member Countries to complement and facilitate the
without compromising on drug quality, safety and efficacy’… Establishment of ASEAN 1999 1992 1967 ASEAN Free Trade Area (AFTA) Pharmaceutical Products Working Group Decentralized Procedure for medicinal products 2013 ASEAN Economic Community 2020 ASEAN Common Technical Document (A-CTO) Common Technical Requirements (A-CTR)
– – – –
Technical Dossier (A-CTD)
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Valuations reflect attractive outlook: multiples for Asian generic players well above developed market peers
5 10 15 20 25 30 35 40 45 50 55 Nov-07 May-08 Nov-08 May-09 Nov-09 May-10 Nov-10 May-11 Nov-11 May-12 Europe US Korea Japan India H-Share A-Share Indonesia
Source: Factset as of 28 Nov 2012
Note: Europe generic index includes KRKG. SAZ, HIK, RICHTER; US generic index includes WPI, MYL, TEVA, PRGO, HSP; Korea generic index includes Daewoong, Daehwa, Hanmi and Green Cross; Japan generic index includes Nichi-iko, Towa, Kaken and Sawai; India generic index includes Cipla, Ranbaxy, DRRD, Lupin and Sun Pharma; H-Share generic index includes Shanghai Pharma, China Shineway, Sino Biopharm, Guangzhou Pharma and Sihuan Pharma; A-share generic index includes CRC Sanjiu, Yunnan Baiyao, North China Pharma, Harbin Pharma and Shanghai Pharma; Indonesia generic index includes Kalbe Farma, Indofarma and Tempo Scan Pharma
1-Year forward P/E development in past 5 years
Europe: 10.2x US: 13.6x Japan: 13.9x H-Share: 15.0x India: 21.9x A-share: 22.4x Indonesia: 24.9x Korea: 26.3x 5-Year average: 17.8x
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Global leaders adjusting focus to new geographies
Geographic sales (2008 vs. 2012E)
51% 28% 21% 56% 22% 22%
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Sources: Company report, broker report, CIMB estimate Note 1) Include sales in other part of Americas; 2) Pro forma of acquisition of Actavis
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2006: 2012E:
60% 24% 16% 65% 12% 23% 100% 75% 25% US EMEA Asia RoW
1
2
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Niche formulations: injectables illustrative example
Limited competitors for generic injectables in the US Drug shortages driving demand and rapid approvals – US drug shortages by form type
20 40 60 80 1 2 3 4 5 6 7 8 9 10
Injectables 82% Orals 15% Inserts/Implants 1% Rectals/Topical 1% Dermatology 1%
3.0 4.8 5.4 6.8 7.7 8.6 9.1 2008A 2010A 2011E 2013E 2015E 2017E 2019E Attractive market opportunity – Estimated US generic injectable sales 2
Sources: Broker research
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Biosimilars: significant future opportunity but equally significant execution challenges
17 76 93 165 2009 2015E Off patent Patented
Off patent biologic sales to exceed $100 billion in 2020 3 Significant market opportunity
Sources: Broker research
Significant execution challenges
bioequivalence rating
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Diversifying product portfolio into branded drugs
Product Mix (2008 vs. 2012E)
Sources: Company report, broker report, CIMB estimate
2008: 2012E:
73% 22% 5% 51% 40% 9% 91% 9% 87% 12% 1% 58% 17% 25% 74% 8% 18%
Generic Branded Others 4
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Scale efficiencies: big are getting bigger – emergence
Revenue development for top 15 generic companies globally (USDbn)
16.5% 11.1 7.6 5.1 2.5 2.4 1.7 1.2 0.8 1.4 0.7 1.0 0.6 0.8 0.6 0.5 20.4 8.7 6.8 5.9 2.4 2.2 2.0 1.9 1.5 1.6 1.5 1.1 1.0 1.1 0.9 2008 2012E 3.5% 7.3% 23.5% 0.3% 6.2% 13.4% 22.8% 1.8% 24.2% 10.1% 17.3% 3.8% 17.5% 14.5% ‘08-’12 CAGR
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Big getting bigger However significant fragmentation remains
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Measuring size by value – global industry dominated by US listed companies
Combined market capitalization for key generic players (USDbn)
Source: Factset as of 28 Nov 2012
Note: Europe generic index includes KRKG. SAZ, HIK, RICHTER; US generic index includes WPI, MYL, TEVA, PRGO, HSP; Korea generic index includes Daewoong, Daehwa, Hanmi and Green Cross; Japan generic index includes Nichi-iko, Towa, Kaken and Sawai; India generic index includes Cipla, Ranbaxy, DRRD, Lupin and Sun Pharma; H-Share generic index includes Shanghai Pharma, China Shineway, Sino Biopharm, Guangzhou Pharma and Sihuan Pharma; A-share generic index includes CRC Sanjiu, Yunnan Baiyao, North China Pharma, Harbin Pharma and Shanghai Pharma; Indonesia generic index includes Kalbe Farma, Indofarma and Tempo Scan Pharma
0.0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0 90.0 100.0
2010 2012 2010 2012 2010 2012 2010 2012 2010 2012 2010 2012 2010 2012 2010 2012
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M&A has been the key strategic tool to pursue growth alternatives
Industry participants Growth alternatives
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M&A
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Generic pharma industry has experienced a record wave of M&A in the past decade
(USDbn)
1.4 3.8 3.0 22.3 12.9 12.1 26.3 3.8 12.6 13.9 11.3 0.0 5.0 10.0 15.0 20.0 25.0 30.0 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012YTD
Generics transactions by value 2002-12YTD1
Sources: Mergermarket, Dealogic Note 1) Based on transaction announcement date
Emergence of global industry – positioning for patent opportunities Positioning for post patent cliff world
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Major generic pharma players have spent over USD60bn on acquisitions in past 10 years
Key acquisitions done by major generic and specialty pharma players in past 10 years
Company Year Value (USD m) Barr 2008 8,766 IVAX 2006 8,128 Cephalon 2011 6,171 Ratiopharm 2010 4,933 Sicor 2003 3,419 Taiyo Pharma 2012 1,426 CoGenesys 2008 400 Theramex 2010 369 Bentley 2008 321 Procter & Gamble 2011 N/A Total 33,933 Company Year Value (USD m) Merck Generics 2007 6,625 Matrix 2006 723 Bioniche 2010 550 Total 7,898 Company Year Value (USD m) Actavis 2012 5,597 Arrow 2009 1,750 Andrx 2006 1,618 Specifar Pharma 2011 619 Ascent Pharma- health 2012 393 Total 9,977 Company Year Value (USD m) Agis Industries 2004 822 PBM Holdings 2010 808 Paddock Lab 2011 540 Sergeant’s Pet Care 2012 285 Total 2,455 Company Year Value (USD m) Medicis Pharma 2012 2,807 iNova 2011 700 Pharma- Swiss 2011 518 Sanitas 2011 457 OraPharma 2012 426 Ortho Derma- tologics 2011 345 Xcel Pharma 2005 324 Aton Pharma 2010 318 Total 5,895
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Consolidation has still largely been focused on developed markets
Americas 44% Europe 37% Asia 11% Australia 6% Africa 2%
Geographic breakdown by target1
Sources: Mergermarket, Dealogic Note 1) For transactions of deal size over USD50m
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The banker’s crystal ball
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Future positioning of industry participants
Big Pharma
Generics a “Band-Aid” for absence of R&D driven growth?
Have entered and exited the industry before
More sustainable as cornerstone of emerging markets strategy
“Life cycle” strategy potentially less relevant after end of age of blockbusters
Convergence in biosimilars Generic Majors
“Mind the gap” – will fill in all white space from perspective of geography and formulations
Brand strategies important for sustainable top-line and margin growth Specialty Generics
Segment of players driven by technical excellence and /or therapeutic depth
Selective marketing strategies in different end-markets
Entrepreneurial vision - build for sale Asia Players
Will dominate commodity generics globally
Significant consolidation required to reach global scale
Pick the right battles National/Regional Operators
Lack scale and funding
Sustainable position may require local market leadership position
Unless differentiated, challenging position long-term
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Positioning of Asian companies for future growth
India China ASEAN
First movers in globalizing their business
Achieved success as a block
However, largely lack scale or individual basis
Dominance in global API
First steps towards global FDF
Home market remains key focus
Lively to rival India in near decade – steep learning curve remaining
Generic or brand focus?
Some protection from strong home-market positions
Opportunity for regional strategy
Determine how to compete against globals
4% 9% 14% 19% 24% 2006 2007 2008 2009 2010 2011
Japan
Global generic strategy
National generic players lack international scale
Time to consider long term strategy US TRx market share for 9 leading India pharma
Sources: CIMB, IMS Health
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Asian companies increasingly using overseas acquisitions to drive growth
Announcement Date Target Target Nationality Acquiror Acquiror Nationality Stake % EV (USDm) EV/ EBITDA EV / Sales LTM FY+1 LTM FY+1 Nov-12 DUSA Pharma Netherlands Sun Pharma India 100% 171 34.9x 20.9x 4.7x 3.8x Oct-12 OctoPlus US DRRD India 100% 45 n.m. n.m. 4.2x 4.5x Apr-12 URL Pharma US Takeda Japan 100% 800 n.a. n.a. 1.3x n.a. Nov-11 I’rom Pharma Japan Lupin India 100% n.a. n.a. n.a. n.a. n.a. Oct-11 Taro Pharmaceutical Israel Sun Pharmaceutical India 34% 1,665 10.8x n.a. 3.6x n.a. May-11 Nycomed (ex-derma. business) Switzerland Takeda Japan 100% 13,739 12.5x n.a. 3.4x 2.7x Dec-10 Ascent Pharmahealth Australia Strides India 40% 109 6.9x 4.5x 0.8x 0.7x Sept-09 BMS Indonesia Indonesia Taisho Japan 98% 310 11.9x n.a. 6.6x n.a. Jun-08 Ranbaxy India Daiichi Sankyo Japan 58% 8,802 27.8x n.a. 5.4x 0.3x Apr-08 Draxis Health Canada Jubilant Organosys India 100% 203 13.0x 10.1x 2.3x 2.4x Oct-07 Morton Grove US Wockhardt India 100% 38 n.a. n.a. n.a. n.a. Oct-07 Zenotech India Ranbaxy India 38% 150 32.5x 21.0x n.m. n.a. May-07 Negma - Labo Eur Pour Recherche France Wockhardt India 100% 265 9.7x n.a. 1.8x n.a. May-07 Taro Pharmaceutical Israel Sun Pharmaceutical India 100% 528 34.7x n.a. 1.8x 1.5x Dec-06 Be-Tabs South Africa Ranbaxy India 100% 70 7.7x n.a. 2.2x n.a. Mar-06 Terapia SA Cluj Napoca Romania Ranbaxy India 97% 335 12.0x n.a. 1.4x n.a. Feb-06 Betapharm Germany DRRD India 100% 578 15.2x n.a. n.a. n.a. Nov-05 Able Laboratories US Sun Pharmaceutical India 100% 23 0.7x n.a. 0.1x n.a. Dec-12 RPG Aventis France Ranbaxy India 100% n.a. n.a. n.a. n.a. n.a. Average 19.0x 17.0x 2.3x 1.4x Median 18.7x 17.0x 2.0x 1.4x
Asian outbound deals
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However, foreign entry likely to pick up pace
Announcement Date Target Target Nationality Acquiror Acquiror Nationality Stake % EV (USDm) EV/ EBITDA EV / Sales LTM FY+1 LTM FY+1 Oct-12 Kunwha Pharma Korea Alvogen US 37% 69 13.2x n.a. 1.1x n.a. Mar-12 Ahlcon Parenterals India B Braun Melsungen Germany 75% 53 30.1x n.a. 5.7x n.a. Nov-11 iNova Pharma Australia Valeant Canada 100% 626 8.9x 7.8x 3.5x 3.1x Nov-11 Invida Singapore Menarini Italy 100% n.a. n.a. n.a. n.a. n.a. May-11 Taiyo Pharma Japan Teva US 100% 1,427 9.6x n.a. 2.7x n.a. Aug-10 Sigma (pharma division) Asutralia Aspen Pharmacare South Africa 100% 808 8.4x 7.5x 1.3x 1.4x May-10 Piramal Healthcare India Abbott US 100% 3,720 31.9x n.a. 8.8x n.a. Dec-09 Orchid (Generic injectable) India Hospira United States 100% 400 n.a. n.a. n.a. n.a. Sept-09 BMS Indonesia Indonesia Taisho Japan 98% 310 11.9x n.a. 6.6x n.a. Jun-08 Zenotech India Rabanxy India 38% 151 32.5x 21.0x n.m. n.m. Jun-08 Ranbaxy India Daiichi Sankyo Japan 58% 8,802 27.8x n.a. 5.4x 0.3x Apr-08 Dabur India Fresenius Germany 73% 356 11.3x n.a. 0.1x n.a. Apr-08 Strides (Asia and Australia business) India Genepharm Australia 100% 61 n.a. n.a. n.a. n.a. Oct-07 Kyowa Pharma Japan Lupin India 100% 60 n.a. n.a. n.a. n.a. Apr-07 Nippon Universal Japan Zydus India 100% n.a. n.a. n.a. n.a. n.a. Aug-06 Matrix India Mylan US 72% 1,222 24.0x 17.3x 3.9x 3.0x Nov-04 Agis Industries Israel Perrigo US 100% 851 14.2x 13.7x 2.0x 1.9x Average 18.7x 13.5x 3.7x 1.9x Median 13.7x 13.7x 3.5x 1.9x
Asian inbound deals
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Relative firepower: Financing capacity of major pharma companies
Financing capacity as measured as 3x 2012E EBITDA minus current net debt (USDbn)
72 45 34 33 24 12 10 8 6 3 3 3 2 2 1 1 1 1 1 1 (0) (0) (2) (5)
10 15 20 25 70
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Optimizing long-term strategic position – case study
Alvogen
Emerging specialty generic company
Focus on developing complex formulations
Objective to leverage global portfolio across generic frontier markets where can complete
Lead by former Actavis management team headed by Robert Wessman Kunwha
Transaction offers access to high value portfolio to support position in fragmented Korea market
Leverage global R&D capability
Internalize best practice sourcing and manufacturing capabilities
Opportunity to broaden market focus beyond Korea
Access deeper capital base Transaction positioned Kunwha for long-term competitiveness in Korea and across Asia
Alvogen
Acquisition of up to 67.0% shareholding in Kunwha Pharmaceuticals by Alvogen Korea Limited Financial Advisor KRW 75.7 billion 2012
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Generics 2022
Highly differentiated strategies
3-5 global dominant players present in all markets
Majors will have diversified portfolios across complete range of formulations
Limited number of legacy generic players will participate in biosimilars but not dominate it
Convergence of brand and generics
Regional champions leveraging local knowledge and brand equity
Asia players dominate commodity generics
1-2 Asian players among globals?
Big pharma will ultimately remain R&D driven
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Important Notice
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