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Slide 1: McKinsey was commissioned in Q1, 2003 to: • provide dedicated effort in conducting in-depth market survey and collect detailed information from 4 cities within 2 provinces to identify the key growth drivers in China’s broad market; • 4 product categories were included: G.I. (Motilium), OBGY (Gyno.), Nail Infection (Sporanox) & Vertigo (Sibelium) • provide objective assessment about the broad market opportunity (not including any urban centres); • provide business model / proposal for XJP to capture the broad market
Slide 2: McKinsey Broad Market Study Process
• Project design (Q1, 2003) • Project review with local and regional J-C team (Apr. 03) • Survey market selection (Apr. 03) • Field work in 2 cities in Shandong (May 03) • 1st interim report (mid-June 03) • Field work in 2 cities in Sichuan (mid-June – mid-July 03) • 2nd interim report and Killer Idea workshop (end July 03) • Final report (Aug. 03) • Presentation to corporate management (Sept. 03)
Slide 3: BROAD MARKET CAN BE DEFINED AS CLASS 2 HOSPITALS AND BELOW AT REGIONAL CITY LEVEL AND ALL HEALTH CARE INSITITUTIONS AT COUNTY LEVEL AND BELOW Broad market
Class 2 & below hospital
Class 3 hospital Regional city
Pharmacy
Clinic
County
Town
Village
Source: McKinsey analysis
Slide 4: BROAD MARKET DRUGS INCLUDE OTC AND “OUT PATIENT” Rx DRUGS
Broad market drugs
OTC Mature Targeting easily diagnosed, nonlife threatening diseases
Rx
New
Outpatient
In-hospital
Easy to use Relatively cheap Relatively safe with few side effect Examples Motilium Gyno-Daktarin Sporanox / Sibelium Cipramil
Source: McKinsey analysis
Slide 5: McKinsey Key Findings Overall Market Situation
Slide 6: BROAD MARKET REPRESENTS 94% OF OVERALL DEMAND FOR Broad market BROAD MARKET DRUGS
Broad market drug sales breakdown by geography Percent 100%= 3.6
6% 20
Sales breakdown of XJP product Percent 100%= City County 21
1% 15
2.3
6 20
1.3
6 21
Bn RMB
Other channel at city level
6
7
2
12 15
Mn RMB
28 24
Broad market represents 94% of demand
36
39
31
38
Town
19 16 24
26 47 24
19
19
18
Village
Class 3 hospital
33 15 2 12
All 4 cities Shandong*
GDP per capita: # of county 9,199 32 11,300 18
Sichuan*
5,801 14
Motilium
GynoDaktarin
Sibelium**
County is critical for broad market
* For only 2 according cities ** Data for only Sichuan province Source: Interview with distributors, hospitals, pharmacies & clinics; McKinsey analysis
Slide 7: DUE TO LOW INSURANCE COVERAGE AND RECENT REIMBURSEMENT POLICIY CHANGES, MOST PATIENTS PAY BROAD MARKET DRUGS BY THEMSELVES
Insurance coverage in Yantai & Jining Insured
3-5 20-30 10-15 1 0
95-97
Self-pay
70-80
85-90
99
100
For those with insurance, they can use their personal accounts (~RMB 100~300 per year) to cover their broad market drug expense In loosely controlled region (like Yantai), patients can treat the personal accounts as savings account Patients pay on their own after the account balance is zero A majority of population does not have insurance They pay broad market drugs by themselves
Total
City
County
Town
Village
Source:
Interview; focus group; McKinsey analysis
Slide 8: PATIENTS GO TO PHARMACY/CLINICS FOR MINOR SYMPTOMS
Drivers
Largest hospitals in city and county Middle-small hospitals in city and county
Town hospital
Pharmacy/clinics
Increased price sensitivity
Changed medical insurance policy
Improved highway infrastructure Rich information access
TV Newspaper
Severe symptoms
Minor symptoms
Increased life pace
No time to visit hospital
City patients
Rural patients
Pharmaceutical market deregulation policy
More and more pharmacies & clinics Conveniently located
Middle-small hospitals find it hard to survive due to lack of patients
Source:
Interview; McKinsey analysis
Slide 9: A LARGE PROPORTION OF DRUG SALES COMES FROM RETAIL PHARMACIES; PHARMACY CLERKS BECOME INFLUENTIAL
Total drug sales breakdown Percent
Pharmacy 37%
42
33 52
Hospital
30
13
35 32
“When I go to the pharmacy without a drug in mind, I just ask the pharmacy clerk to recommend. Then I will check the drug’s introduction sheet, if this drug covers my disease, I will have a try” – Yibin city level focus group
45
Clinics
31 16
Overall Motilium Gyno Daktarin
32
“What makes you change your perceived drugs?”* – Pharmacy patient survey Percent, Shandong city level
Sibelium Perceived drug not available; persuaded by pharmacy clerk
Changed mind by myself
XJP should design special initiatives to target pharmacy channels
* 40% of the patients changed their mind in pharmacy Source: Interview; Focus group; McKinsey analysis
16 47 37
Perceived drug available but persuaded by pharmacy clerk
Slide 10: CLINICS ARE PLAYING IMPORTANT ROLE ESPECIALLY AT COUNTY AND TOWN AND BELOW
Clinics’ share in total drug sales Percent
Sichuan
Overall 36%
Shandong
27%
City
8
3
XJP should think about cost-effective way to lock in individual clinic/barefoot doctors
County
26
8
Town
34
27
Village
100
100
Source:
Interview; McKinsey analysis
Slide 11: G.I. Category Review
Slide 12: Percent
FOR GI DISFUNCTION DRUGS AS A WHOLE THERE IS SIGNIFICANT LATENT DEMAND; PEOPLE GENERALLY SEEK TREATMENT IN CLINICS AND PHARMACIES Motilium’s
market share
100
Motilium has a vast room for grow because of significant leakage along the patient flow 60% of GI patients that do seek treatment Current market share of 4% which could be grown further Among the 40% people who seek GI treatment, about 30% would buy banded generic drugs**, while the rest would buy non-brand generic drugs
~30
Latent market demand
60% of total patients do not seek any treatment As market leader, increasing awareness for Motilium to further boost treatment rate is one of the key demand levers
~30 ~40
1.6%
~5 ~20 ~20
Small clinics and pharmacies are important channels
75% of patients seeking treatment go to clinics and pharmacies
Total incidence
Not aware
Do not seek treatment
Seek treatment
Go to large hospital*
Go to small clinic
Self medicate at pharmacy
* More than half of patients going to large hospitals will purchase drug at retail pharmacies ** Branded generic drugs referring to generic drugs that run advertising, creating brand awareness in consumers
Source: Physician and pharmacy interviews; McKinsey analysis
Slide 13: FOR GI DRUGS, POLARIZATION IS BECOMING MORE OBVIOUS
ROUGH ESTIMATION Anecdotes Quantitative examples Sub-TA sales by channel Percent Yantai
“Unlike things in the past, patients nowadays generally try to avoid coming to hospitals because of hospitals’ expensive charges. For GI disease, most people can judge by themselves. So they usually prefer to go to pharmacies or clinics to buy drugs.” —— Qixia GI physician interview
Hospital
~50
~40
~20 ~40
Retail Pharmacy Clinic
~30 ~20
1997
30 30
1999
~40
2002
Importance of GI drug sales in hospital is diminishing Retail pharmacy would be the major battle field for GI drugs
Jining
“Most GI patients are repeating patients. They know which drugs to buy, and where the drugs are cheap. So usually they will choose pharmacies & clinics.” —— Jining retail pharmacist interview
Hospital
~30 ~50 ~20 ~10 ~40
1997
~10 ~30
Retail Pharmacy Clinic
~50
~60
1999
2002
Source:
Hospital pharmacy interviews; retail pharmacy interviews; McKinsey analysis
Slide 14: SALES OF GI DRUGS ARE MORE CONCENTRATED TOWARDS VILLAGE AND COUNTY, WHILE THE MARKET IS FRAGMENTED WITH MANY DIFFERENT DRUGS
Percent
Total = RMB 243.05 million
City Village
15 41 26
County
Sidashu ( 斯达 Mosapride 舒) Wei’ershu ( 莫沙比利 ) ( 谓尔舒 ) Motilium 33
43
Tidines** ( 替丁类药 )
18
69
Others*
19
Town
* Others including more than 200 different GI drugs such as Kuiweipian( 快胃片 ) 、 Weifuan(w 胃复安 ) 、 Jinweixiaoshipian ( 健胃消食片 ) 、 999( 三九胃泰 ) 、丹桂香、胃舒平、健胃酵母片、果胶铋、邦消安、调胃片、胃气痛片、湿 胃舒、养胃舒 , and many other cheap non-branded generic drugs ** Including Cimetadine, Ramitidine & Famotidine
Source: Distributor interviews; physician interviews; patient interviews; McKinsey analysis
Slide 15: IN BROAD MARKET, MOTILIUM IS LOSING OUT BIG TIME IN RETAIL YANTAI & JINING PHARMACY CHANNEL …
Sales by channel Mn RMB, % GI drugs Motilium Sidashu ( 斯达舒 ) Wei’ershu ( 谓尔舒 ) Mosapride ( 莫沙比利 ) Tidines ( 替丁类药 )
12 35 53 243.05
14
34
52
9.83
6
66
29
6.62
5
76
20
7.30
40
38
21
7.93
4
22
73
44.64
Hospital
Retail pharmacy
Clinic
Source:
Distributor interviews; hospital pharmacy interviews; retail pharmacy interviews; McKinsey analysis
Slide 16: … AND IN COUNTY GEOGRAPHY
YANTAI & JINING
Sales by strata Mn RMB, %
GI drugs Motilium Sidashu( 斯达舒 ) Wei’ershu( 谓尔舒 ) Mosapride( 莫沙比利 ) Tidines( 替丁类药 )
1 15
15
26
19
41
243.05
22
20
43
9.83
22
37
26
15
6.62
26
44
21
9
7.30
18
50
23
10
7.93
17
17
66
44.64
City County Town
Village
Source:
Distributor interviews; hospital pharmacy interviews; retail pharmacy interviews; McKinsey analysis
Slide 17: Vaginal Infection Category Review
Slide 18: FOR VAGINAL INFECTIONS, PATIENTS ARE MORE AWARE OF THE DISEASE AND GO TO HOSPITAL FOR TREATMENT
Percent
100
30% would use branded drugs, while 70% would use nonbranded drugs Less latent demand
Hospital is still number 1 channel to push Gyno Daktarin sales Pharmacy is becoming increasingly important Almost all patients aware of the disease due to obvious symptoms and regular check up 80% of patients seek treatment
~1 ~20
~80
Large hospital is important influencing channel
~55
~0
~25
Most patients seeking treatment will go to large hospitals Though half or more will purchase prescribed drugs in pharmacies
Market player should focus on share gain
Total incidence
Not aware
Do not seek treatment
Seek treatment
Go to large hospital
Go to small clinic
Self medicate at pharmacy
Source:
Physician, pharmacy and clinic interviews
Slide 19: FOR GYNO DAKTARIN, HOSPITAL IS CRITICAL FOR PRESCRIPTION BUT PURCHASING HAS BEEN GRADUALLY SHIFTING TO RETAIL PHARMACY
ESTIMATE Anecdotes
Quantitative examples Sub-TA sales by channel Percent
“Gyno patients will usually come to hospital for body check and go to pharmacies to refill drugs. For such kind of disease, people still trust large hospitals. However, more and more people purchase drugs in pharmacies” —— Liangshan No.2 hospital, Gyno physician interview
Yantai
~45
Hospital
~80
~65
Retail Pharmacy Clinic
~45 ~20 ~0 1997 ~30 ~5 1999 ~10 2002
Jining “I don’t have many gyno patients. This is because of 3 reasons. First, I am a man; second, I don’t have facilities to check the body in the clinic; third, patients are usually familiar with me and they will feel awkword.” —— Zhangyongxin town level clinic interview
~30 ~55
Hospital
~80 ~60
Retail Pharmacy Clinic
~40 ~20 ~0 1997 ~5 1999 ~10
2002
Source:
Hospital interviews; Retail pharmacy interviews; McKinsey analysis
Slide 20: IN ADDITION, GYNO DAKTARIN NEEDS TO GROW THE MARKET SHARE ESPECIALLY THOSE OF COUNTY AND TOWN
YANTAI & JINING
Sales by strata Mn RMB, %
Vaginal infection drugs Gyno Daktarin
42 26 50 20 4 71.38
47 12 0
2.47
Xiaomishuan( 消糜栓 )
24
43
32
0 4.54
Mycostatin( 制霉菌素 ) Shuangzuotaishuan( 双唑泰栓 ) Jie’eryin( 洁尔阴 )
3
41
46
13 0
4.46
59
38
0
5.46
9
43
27
22
5.83
City
County
Town
Village
Source:
Distributor interviews; hospital pharmacy interviews; retail pharmacy interviews; McKinsey analysis
Slide 21: Nail Fungal Infection Category Review
Slide 22: Percent
FOR TINEA UNQUIUM DRUGS, DEMAND LATENCY IS EVEN HIGHER
100 ~20
Low treatment rate is mainly due to affordability issue of the patients Sporanox’s potential market as a Tinea Unquium drug is small, and is unlikely to be a broadmarket hit
Extremely latent demand with increasing awareness
90% of patients do not seek treatment Awareness and treatment rate is increasing slightly due to competitor's heavy advertising
~70
Only 1% actually buy drugs
~10 ~5
Total incidence* Not aware Do not seek treatment Seek treatment Go to large hospital
~0
Go to clinic
~5
Go to pharmacy directly
Only around 10 % of those seeking treatment purchase drugs Only 1% would follow prescription
* The incidence rate is around 5% in Shandong Source: Physician and pharmacy interviews; McKinsey analysis
Slide 23: HOSPITAL CHANNEL IS STILL DOMINATING TINEA UNQUIUM DRUG MARKET WHILE PHARMACY CHANNEL IS PICKING UP
Anecdotes Quantitative examples Sub-TA sales by channel Percent
Yantai “We gradually carry some Tinea Unquium drugs in these years. Because more and more patients, although still quite small in amount, come here to ask for Liangjia after seeing its advertisement. I think most patients still go to hospital for treatment.” —— Jining Kangfu pharmacy
~50 ~70
Hospital Retail Pharmacy Clinic Jining
~90 ~50 ~10 ~0 1997 30 ~0 1999 ~1 2002
“I seldom see Tinea Unquium patients. And also, because the drugs are very expensive, I didn’t carry them. If there is really someone come to my clinic, I will suggest them to pharmacy.” —— Yantai clinic interview
Hospital
~90
~80
~75
Retail Pharmacy Clinic
~10 ~0 1997
~15 ~5 1999
~20 ~5 2002
Source:
Hospital pharmacy interviews; Retail pharmacy interviews; McKinsey analysis
Slide 24: THERE ARE ONLY A FEW COMPETITORS AT CITY AND COUNTY LEVEL FOR SPORANOX; LIANGJIA IS DOING BETTER THAN SPORANOX AT RETAIL PHARMACIES DUE TO HEAVY ADVERTISING
Percent
Total = RMB 9.22 million
Village 0 Town Liangjia ( 亮甲 )
2
14
44
Lanmeishu ( 兰美抒 ) City Others*
16
County
54
46
24
Sporanox
Source:
* Others including around five drugs, such as Huihuangmeisu (灰黄霉素) , Lisulao (里素劳) ,Lianghuija (亮灰甲) etc. Distributor interviews; physician interviews; patient interviews; McKinsey analysis
Slide 25: THERE ARE ONLY A FEW COMPETITORS AT CITY AND COUNTY LEVEL FOR SPORANOX; LIANGJIA IS DOING BETTER THAN SPORANOX AT RETAIL PHARMACIES DUE TO HEAVY ADVERTISING
Share of leading drugs within Tinea Unquium – Yantai & Jining Mn RMB, % City
100%= 4.0 1.8 2.2 0.1
County
5.0 4.1 0.8 0.2
14%
Sporanox
26%
29%
25%
5 8
22%
25%
12% 0 27
5% 0 10
Liangjia has relatively high market share in retail pharmacies At city level, Lanmeishu has 31% of hospital channel, better than Sporanox Hospital at county level and above should be the main focus
11
Lanmeishu* ( 兰美抒 ) Liangjia ( 亮甲 )
14 7
20 31 21 0 39 73
17 4 85
57
Others
54
61
33
40 25
Total
Hospital
Retail Clinic pharmacy
Total
Hospital
Retail pharmacy
Clinic
Source:
Distributor interviews; physician interviews; patient interviews; McKinsey analysis
Slide 26: RMB
PRICE IS A HUGE ISSUE FOR SPORANOX
~500 ~420
~200 ~80 15
County level price threashold
Sporanox is too expensive for most farmers whose annual income is only around RMB 2,000 Even at county level, cost of using sporanox for effective treatment is higher than total drug expense per year for an average person
20
City level County level Average price annual drug insurance threashold expense per allowance person per year Cost of sporanox as a derma drug Cost of sporanox as a STD drug
Source:
Interviews; McKinsey analysis
Slide 27: FOR SPORANOX, XJP SHOULD CONTINUE TO FOCUS ON HOSPITALS …
Sales by channel Mn RMB, %
Tinea Unquium
65 33 2 9.22
YANTAI & JINING
Sporanox
69
30
1 2.21
Lanmeishu* ( 兰美抒 )
84
15 0
1.50
Liangjia ( 亮甲 )
12
87
2 1.26
Hospital
Retail Clinic pharmacy
Source:
Distributor interviews; hospital pharmacy interviews; retail pharmacy interviews; McKinsey analysis
Slide 28: … AND AT CITY AND RICH COUNTIES
Sales by strata Mn RMB, %
Tinea Unquium drugs 44 54 2 0
YANTAI & JINING
9.22
Sporanox
48
50
2 1 2.21
Lanmeishu*( 兰美抒 )
53
47
11
1.50
Liangjia( 亮甲 )
67
29 4 0
1.26
City County Town Village
Source:
Distributor interviews; hospital pharmacy interviews; retail pharmacy interviews; McKinsey analysis
Slide 29: Vertigo Drug Category Review
Slide 30: THERE IS UNTAPPED DEMAND IN TWO OF THE THREE PRODUCTRELATED TAs
GI disfunction patient flow in broad market percent VI patient flow in broad market percent Vertigo patient flow in broad market Percent • Vertigo incidence rate
is only 1%-3% • Sibelium can target more indications with much larger patient population 100 ~30 ~1 20~ 40 30~ 40 20~ 40 Total Not incidence aware Do not Seek seek treatment treatment Total Not incidence aware Do not Seek seek treatment treatment Total Not incidence aware Do not Seek seek treatment treatment 99 60~ 80 100 0 1
• Huge latent demand • Awareness can be increased by patient education • Affordability can be improve due to economic development
100
Source:
Hospital & pharmacy interview; McKinsey analysis
Slide 31: BY GEOGRAPHY, COUNTY LEVEL AND ABOVE CONSUME A DOMINANT SHARE OF SIBELIUM
Percent Total = RMB 2.0 million for sales of Sibelium in Deyang and Yibin Sibelium’s market share in dizziness drug sales in Deyang and Yibin
2.64 1.88 1.79
1.65 100%= (Rmb Mm)
City
County
13%
Sibelium
27 38
32%
28%
25%
Sales of Sibelium is more dominant in city and county level Market share of Sibelium in total drugs for dizziness is also higher in county level and above
Others
87% 72% 75%
Village
12 24
Town
68%
City
County
Town
Village
Source: Interviews; McKinsey analysis
Slide 32: McKinsey Broad Market Proposal
Slide 33: WE NEED TO SOLVE THREE CRITICAL ISSUES TO ACHIEVE OUR ASPIRATION FOR BROAD MARKET
Build a solid platform Prioritize market opportunities Financial and org. implication
“Capturing broad market”
“Hospital Seeding” for large county hospitals
“Pharmacy Plus” for large pharmacy chains
“Distribu tor network to county level”
“Turbo CME” for clinic/ barefoot doctors and township pharmacies
332 regional cities (whole China)
Around 80 regional cities
Sub-market within a region
Investment Returns People development Organization
XJP broad market team
Slide 34: XJP NEEDS TO INVEST TO CAPTURE THE GREAT POTENTIAL IN BROAD MARKET
High potential broad market Opportunity vs. XJP coverage gap New initiatives
Broad market drug sales breakdown by geography Percent, all 4 cities
Insufficient coverage of county hospitals
County hospitals represents 16% of demand Largest county hospitals can heavily influence consumption of Gyno Daktarin XJP only cover 23% of Tier II and 12% of Tier I hospitals
Detail to county hospitals
Class 3 hospitals Village
6 19
Other channels at city level
Nearly no coverage of pharmacies
Pharmacy represents 37% of demand Pharmacy in county and below represents 23% of demand In developed cities, pharmacy chains are playing dominant role XJP now only covers city level pharmacies in several large cities
20
Town
19
Control large pharmacy chains at county level
36
County
Low utilization of distributors’ push
Broad market: 94% of overall demand County and below: 74% of overall demand
Distributors’ have influence on clinic and pharmacies XJP has not utilized distributors’ capability to push sales of XJP products
Give distributors more incentive to push for XJP products
Nearly no coverage of barefoot doctors
Barefoot doctors represent 45% of GI drug sales and 33% of Vertigo drug sales XJP has almost no coverage on them
Source: McKinsey analysis
Adapt CME focus to barefoot doctors
Slide 35: DURING OUR KILLER IDEA WORKSHOP, WE DEVELOPED FOUR SETS OF HYPOTHESIS TO BE TESTED IN PILOT
“Hospital seeding”
• One sales rep per region • Sales reps are dedicated and with medical background • For the covered region, all county No. 1 and 2 large hospitals should be covered • Focus on Gyno-Daktarin but also detail Motilium, Sibelium, Daktarin, and other XJP drugs
“Pharmacy plus”
• Three sales reps per region, covering top three pharmacy chains • For the covered pharmacy chains, all county and some towns should be covered • Focus on Gyno-Daktarin and Motilium but also push other XJP drugs • “Sweeties” to pharmacy owners could include information system support, training, in store advertising, gifts in box, and pharmacy owner club • “Sweeties” to pharmacy clerks could include travel for star staff, training, and gifts in box
“Distributor network to county level”
• One rep per region, covering all county No. 1 distributors • Rewrite distributor contract • Leverage distributor network and push distributor staff to reach the villages/clinics • “Sweeties” to distributor could include information system support, training, and distributor club • “Sweeties” to distributor staff could include travel for star staff and training
Broad market, especially county level “Turbo CME” *
• Will be conducted by HQ OTC CME team. Local sales team will provide coordinating support • Workshop holds once a year in each county • Target audience is clinic/barefoot doctors • Focused drug include Motilium, Daktarin, Pevison, and Sibelium • Leverage local healthcare authority and associations to reach mass number of clinic/barefoot doctors
*
Summary based on Zhejiang field trip and internal interviews
Slide 36: Comments on the McKinsey Proposed Initiatives
Hospital Seeding Besides testing the idea to conduct professional detailing to the county hospitals, we also want to provide coverage among the smaller hospitals (Tier I & II ) in the urban cities to compare the R.O.I.s Pharmacy Plus We have seen competitors (like SiDaShu) sales growth via aggressive coverage and promotion among the drugstores in the richer countis. So, this is definitely worth testing.
Slide 37: Comments on the McKinsey Proposed Initiatives
Distributor Drive We have expanded our distribution network to include almost 1,000 sub-distributors in the last 3 years. We will try to test the sales impact if we invest more program and resources among them. Turbo CME We have started CME program among county hospital doctors. It would be interested to find out the sales contribution if we conduct the program among the barefoot doctors.
Slide 38: XJP COULD ADOPT A THREE-PHASED ACTION PLAN TO ESTABLISH ROUGH ESTIMATE AND MAINTAIN DOMINANT POSITION IN BROAD MARKET
Phase III: Strengthening and maintaining the dominant position Phase II: Dominating the broad market Phase I: Capturing the broad market
Time frame Coverage
2005~2007
2008~2010
2011 and beyond Nearly all regions (about 330 regions covering 2,050 counties) Cover at county and selected town level
1/4 of all regions (about 80 1/2 of all regions (about 170 regions with 500 counties) regions covering 1,100 Cover county level (leveraging counties) CME to reach town and Cover county and selected below) town level
Source: McKinsey analysis
Slide 39: McKinsey Estimate Assuming Roll-Out in 2004
REVENUE FORECAST OF NATIONAL ROLL-OUT
14,751 RMB millions, at NTS price 11,501 9,896 8,626 7,425 6,231 13,171 Total sales 16,522 at NTS price Additional sales from broad market initiatives at NTS price
6,859 6,124 5,468
4,623 3,755
5,340 1,631 4,440 9,663 1,206 8,628 3,492 790 7,703 6,877 2,560 2,852 312 6,141 5,057 5,483 4,134 4,600 2,902 3,192 3,650 2,560 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
2,368
3,143
XJP BP sales at NTS price
Slide 40: Eye Opening Key Learnings
• Development of G.P. clinics • Lack of sensitivity of reimbursement in the broad market due to new M.I. System • Speed of retail drugstore development and influence in patient product choice • Prescription spill over to the retail outlets
Slide 41: Our Conclusions
• The potential of the broad market is once again confirmed by the McKinsey study • The fast development of drugstores and the polarization of hospitals sales are aligned with our understanding • Agree with McKinsey’s finding regarding our share loss in the broad market (especially among county level drugstores) to local competitors and generic products • Testing the different proposal initiatives with dedicated resources and monitoring effort will enable us to focus on the key business drivers for future broad market expansion
Slide 42: Our Proposed Action Steps
• Seek management approval for the broad market pilot test in 2004 • Assume approval is obtained before Nov. 1,
– Select internal candidate to be project leader – Form the project task force with marketing, sales and market research members – Recruit and train the broad market team – Kick off the plan by Feb. 1 after CNY
Slide 43: Our Proposed Pilot Test
Shandong City 1 City 2 City 3 City 4 City 5 City 6 City 1 City 2 City 3 City 4 City 5 City 6 Distributor Push X X X X Turbo CME X X Hospital Seeding City County City X X X X X X X X X X X X X X X X X Pharmacy Plus X
Sichuan
Slide 44: Our Proposed Pilot Test Schedule Management Approval Recruitment Training Pre-test survey Pilot Test begins 1st Assessment (with 3 months data) 2nd Assessment (with 6 months data) National Roll-out Proposal Management Approval Nov. 1, 03 Nov. – Dec., 03 Jan., 04 Jan., 04 Feb., 04 June, 04 Sept., 04 Mid-Sept., 04 Nov. 1, 04
Slide 45: Required FTEs
Distributor Push No. of Customers/City 10 - 12 Shandong City 1 1 City 2 1 City 3 1 City 4 1 City 5 City 6 Sichuan City 1 1 City 2 1 City 3 1 City 4 1 City 5 City 6 Total Field FTEs 8 HQ Support Team Leader: Project Assistant: Turbo CME
1500 -1800
Hospital Seeding Pharmacy City County City Plus 8 - 10 12 - 16 1 1 2 1 1
2-4 chains + 80-100 stores
Test Mkt. Total Supervisor FTEs 0.5 0.5 0.5 0.5
1 1
2
1 1
1 1
2
2 1 1 4
0.5 0.5 0.5 0.5
4
4
8
4
5.5 2.5 2.5 3.5 1 1 5.5 2.5 2.5 3.5 1 1 32 1 1
34
Slide 46: Required Funding
Slide 47: Products to be supported by the Broad Market Test Initiatives
Main Focus (in order of priority) • Motilium • Gyno-Daktarin • Sibelium Tag-Ons • Pevisone • Daktarin
Slide 48: Potential Pilot Test Sales & Opex Impact
Distribution Hospital Seeding Pharmacy Turbo (RMB million) Push City County City Plus CME XJP # of pilot cities 8 4 4 4 4 NTS / city (Mck. Est) 0.4 0.7 0.4 0.9 0.5 Risk Adjustment 70% 70% 70% 70% 50% Adjusted NTS / City 0.49 0.28 0.28 0.63 0.25 Total NTS Contri. 3.9 1.1 1.1 2.5 1.0 Cost / City * 0.70 0.80 0.80 0.75 0.75 Total Opex 5.60 3.20 3.20 3.00 3.00 Total 2.9 1.93 9.68 3.80 18.00
Slide 49: How to measure?
• Pre and Post survey to measure the change • Monthly survey to monitor the change in customers attitude and sales off take • Monthly report from sales reps. / supervisors / project leader for qualitative feedback • Senior consumer research manager will be responsible for the tracking study