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8/20/2019 CRISIL Ratings Indian Pharma Booklet Apr10
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April 2010
Sound Fundamentals DespiteIncreasing ChallengesSound Fundamentals DespiteIncreasing Challenges
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MANAGING DIRECTOR AND CHIEF EXECUTIVE OFFICER, CRISIL
& REGION HEAD, SOUTH ASIA, STANDARD & POOR'S
Roopa Kudva
SENIOR DIRECTOR
Raman Uberoi
CORPORATE AND GOVERNMENT RATINGS
Pawan Agrawal Director [email protected]
CORPORATE SECTOR RATINGS
Sudip Sural Head [email protected]
Aparna Karnik Sr. Manager [email protected]
Ateesh Chaudhary Manager [email protected]
Manita Agarwal Analyst [email protected]
Saurabh Piplani [email protected]
T K Mahesh [email protected]
BUSINESS DEVELOPMENT
Maya Vengurlekar Head [email protected]
Sachin Gupta Head [email protected] Chakraborti Head [email protected]
8/20/2019 CRISIL Ratings Indian Pharma Booklet Apr10
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ForewordCRISIL is pleased to present its publication, Pharma Sector Outlook: Sound Fundamentals Despite
Increasing Challenges. This publication is part of CRISIL's endeavour to provide market participants with CRISIL's
credit outlook for India's pharmaceuticals (pharma) industry. This publication also includes three additional
commentaries on the key trends that CRISIL believes will shape the future of the Indian pharma industry, and a list of its
outstanding ratings, along with company-specific rating drivers.
CRISIL has rated 100 companies, spanning the breadth of the Indian pharma industry. The rated entities include large
players as well as small and medium enterprises, with operations in the domestic market, and the regulated and semi-
regulated markets. These companies manufacture formulations, active pharmaceutical ingredients, and intermediates,
and are also engaged in contract research and manufacturing.
CRISIL believes that the global generics markets continue to offer sizeable growth opportunities to Indian companies.
However, the risks associated with these markets are increasing as healthcare regulations in these markets are
evolving; this is expected to pose a challenge for Indian players. As Indian pharma players derive more than half their
total revenues from global markets and because these revenues are expected to increase faster than revenues from the
domestic market, the need to manage risks associated with global markets prudently has never been more
pronounced.
Contract manufacturing also provides Indian players the opportunity to participate in the global generics growth story,
while limiting exposure to some of the risks associated with global markets. India, with its low cost structure and
abundant talent pool, has an advantage as a manufacturing hub for the global pharma industry. Several global
pharma majors are gradually increasing their presence in India with a view to gain cost advantages as well as to gain
access to the domestic market. CRISIL believes that this trend will accelerate.
The domestic pharma market, although competitive, has remained relatively stable and has strongly supported the
credit quality of players by balancing exposure to risks in the global markets. The domestic market allows stability in
cash flows and provides the necessary scale for pharma companies. Local players have a competitive edge over
multinational companies in the domestic formulations market, despite the implementation of the product patent
regime in 2005.
Indian companies are investing conservatively in new drug research and are curbing ambitions in research and
development (R&D) because of the high resource intensity and longer timeframes for returns in this segment. However,
several Indian companies are undertaking research for global innovator pharma companies on a fixed-fee basis. The
nascent contract research outsourcing sector in India is expected to grow rapidly.
We hope this publication provides useful analytical insights into the Indian pharma sector. We welcome your feedback.
Pawan Agrawal
Director – Corporate & Government Ratings
April 2010
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Contents
Pharma sector credit outlook stable despite increasing risks
Regulated markets: Increasing challenges for Indian players
Attractive opportunities in contract manufacturing for Indianpharma industry
Home-grown players retain edge in domestic pharma market
Rating distribution and brief profile of CRISIL rated pharmaceuticalcompanies
Glossary of terms
Rating changes over the 12 months through January, 2010
01
07
11
13
16
57
58
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1CRISIL's ratings on most large and mid-sized Indian
pharmaceutical (pharma) companies have remained
stable in the recent past, despite a significant increase in
the companies' business risks. While the increase in
business risks has been largely on account of the
companies' rapid global expansions, their ratings have
remained stable, backed by strong domestic operations,
and conservative financial policies. The credit risk
profiles of some domestic players have also been
supported by strong parentage by global pharma majorslooking to increase their presence in India. Nevertheless,
there have been a few rating downgrades in the sector
in recent months—of companies that have faced
refinancing pressure in repayment of substantial debt
contracted to fund expansions.
India's pharma players continue to expand globally, to
capitalise on the large generics opportunity in the
regulated and semi-regulated markets. The regulated
generics markets have witnessed severe pricing pressure
as a result of government-led cost-containment
measures, and intense competition. Moreover, the
regulatory environment in the generics market has
become increasingly stringent, with players'
manufacturing processes coming under greater scrutiny,
and the sale of some products being banned. Players
operating in the semi-regulated markets, on the other
hand, have been exposed to risks such as sharp currency
movements, stretched working capital cycles, and
higher incidence of bad debt.
Going forward, India's pharma players will remain
focused on the international markets to drive growth,
despite the associated risks and challenges. Hence, the
proportion of international revenues in the overallrevenue mix of the players is expected to increase.
However, CRISIL believes that pharma companies will
contain risks from international business by adopting a
mix of the following strategies, and thus maintain stable
ratings:
• Seeking collaborations with strong global players
• Focusing on contract manufacturing options that
lend stability to revenues
• Maintaining healthy financial risk profiles and
strengthening risk management policies
• Curbing ambitions in research and development
(R&D) to avoid drain on resources
• Precluding costly litigations: by reducing focus on
launches of blockbuster drugs 'at risk', since these
invite litigations from innovators
Business risks on the ascendant
Over the past few years, India's pharma companies havefaced increasing business risks because of their
expanding global operations. These players have
aggressively scaled up operations in the regulated and
semi-regulated generics markets through a spate of
debt-funded acquisitions. Graphs 1 & 2 indicate the
increasing revenues of large and mid-sized CRISIL-rated
players from the international markets. Graph 1 shows
that the international markets contributed around 60
per cent to these players' overall revenues in 2008-09
(refers to financial year, April 1 to March 31). In addition,
while revenues from the global markets increased at a
compound annual growth rate (CAGR) of 39 per cent
between 2005-06 and 2008-09, those from the
domestic market grew at a CAGR of 21 per cent.
As Graph 2 indicates, the global markets have
contributed more than 75 per cent to the overall
revenues of some large companies such as Dr. Reddy's
Laboratories Ltd (DRL), Ranbaxy Laboratories Ltd
(Ranbaxy), and Matrix Laboratories Ltd (Matrix Labs).
Graph 1: Shift in revenue mix of large and mid-
sized CRISIL-rated players
(Source: Annual reports of players, and CRISIL estimates)
243.8
152.2
90.086.6
2008-092005-06
Domestic Overseas
300.0
250.0
200.0
150.0
100.0
50.0
0.0
R s . B i l l i o n
Pharma sector credit outlook stable despiteincreasing risks
1 Pharma companies with annual revenues of more than Rs.5 billion
Aparna Karnik Senior Manager, Corporate Sector Ratings
Email: [email protected]: 022- 3342 3456
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0702
India's pharma players have entered the international
generics market to capitalise on the significant
opportunities it offers, given the large market size (the
global generics market was estimated at USD90 billion
in 2008, while the domestic formulations market was
estimated at USD6-7 billion) and imminent substitution
of drugs accounting for annual revenues of more than
USD100 billion with low-cost generic versions following
patent expiries over the next three years (refer to Graph3).
Key business segments and their risk profiles
CRISIL believes that the different markets and segments
within the pharma industry have dissimilar risk
characteristics (as Table 1 indicates). The international
generics markets, for instance, pose higher risks for
India's pharma players than the domestic market .
(Source: CRISIL estimates)
(Source: Annual reports of players)
Graph 2: Estimated revenue from international markets for large and mid-sized companies in 2008-09
Graph 3: Global generics opportunity: Regulated
markets account for more than 70 per cent of the
total market
B i l l i o n U S D
3346
28
364
623
41
0
20
40
60
80
100
120
140
2008 E 2013 P
ROW Japan Europe North America
Regulated generics markets
(Refer to commentary 'Regulated Markets - Increasing
challenges for Indian players')
Regulated generics markets such as the US, Europe, and
Japan comprise more than 70 per cent of the global
generics markets by value, and contribute around 40 per
cent to the revenues of large and mid-sized CRISIL-rated
Indian pharma companies. These markets are highlycommoditised; the large number of generics players in
these markets limits their pricing flexibility. On account
of the competition over a period of time, drug prices fall
by up to 90 per cent after the patent of the innovator
drug expires. Hence, the generic drugs market accounts
for about 50 per cent of the market by volume, but only
around 10 per cent by value. This leads to volatility in
revenues and profit margins for India's pharma players.
Generics manufacturers launching products in
regulated markets face litigation risks in case their
products are perceived as infringing upon the patents
held by innovator drug manufacturers—this leads tohigh legal costs for the former. Regulatory norms are
very stringent in the regulated markets: quality issues
can lead to high reputation risks for players. The key
buyers and decision makers in these markets are few in
number, and consolidated, thereby skewing the
purchasing power in their own favour. Typically,
decision makers are few, and consist of large public and
private health insurance funds, since these markets have
a wide health insurance coverage and social security net.
Buyers such as large retail chains are also highly
consolidated.
D r . R e
d d y ’ s L a b o r a t o r i e s L t d .
R a n b a x y L a b o r a t o t i e s L t d .
M
a t r i x L a b o r a t o r i e s L t d .
W o c k h a r d L t d .
B i o c o n L t d .
J B C h e m i c a l s & P h a r m a c e u t i c a l s
L t d .
G l e n m a r k P h a r m a c e u t i c a l s L t d .
S u n P h a
r m a c e u t i c a l s I n d u s t r i e s
L t d .
I p c a L a b o r a t o r i e s L t d .
M a n e e s
h P h a r m a c e u t i c a l s L t d .
C a d i l a H e a l t h c a r e L t d .
A l e m b i c L t d .
U S V L t d .
A
l k e m L a b o r a t o r i e s L t d .
N o v a r t i s I n d i a L t d .
M i c r o L a b s L t d .
P f i z e r L t d .
M a c L e o d
s P h a r m a c e u t i c a l s L t d .
86%83%
79%
73% 73%68%
66%
53% 53% 52%
44%40%
35%
30%
20%
0% 0%0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
8%
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B r a n d e d m a r k e t , h i g h e r p r i c e s t a b i l i t y
F r a g m e n t e d b u y e r b a s e , b e t t e r p r i c i n g
p o w e r
L o w e r r e g u l a t o r y r e q u i r e m e n t s
H i g h g r o w t h m a r k e t
E x i s t e n c e o f s t r o n g l o c a l r e l a t i o n s h i p s
a n d n e t w o r k s
L i m i t e d
c o m p e t i t i o n
f r o m
m u l t i -
n a t i o n a l c o m p a n i e s ( M N C s )
S t a b l e
r e v e n u e s , a l b e i t w i t h
l o w
p r o f i t a b i l i t y m a r g i n s
L a r g e o p p o r t u n i t y , a s g l o b a l p h a r m a
m a j o r s , w h i c h f a c e i n c r e a s i n g p r e s s
u r e
o n m a r g i n s , l o o k t o o u t s o u r c e t o l o w -
c o s t d e s t i n a t i o n s s u c h a s I n d i a
I n h e r e n t a d v a n t a g e f o r I n d i a , a s l o w -
c o s t m a n u f a c t u r i n g i s a s t r e n g t h
f o r
I n d i a n p l a y e r s
I t i s c u m b e r s o m e f o r t h e c l i e n t t o s
h i f t
f r o m
a n
a p p r o v e d
v e n d o r , d u e
t o
r e g u l a t o r y r e q u i r e m e n t s , w h i c h a c t a s
a n e x i t b a r r i e r
L i t i g a t i o n r i s k s , m a r k e t i n g c o s t s
a r e
b o r n e b y t h e c l i e n t
B r a n d e d m a r k e t , h i g h e r p r i c e s
t a b i l i t y
F r a g m e n t e d b u y e r b a s e , b e t t e
r p r i c i n g
p o w e r
L o w e r r e g u l a t o r y r e q u i r e m e n t s
H i g h e r g r o w t h m a r k e t
H i g h g r o w t h a n d u p s i d e
p o t e n t i a l d u e
t o
u p c o m i n g
p a t e n t
e x p i r i e s
a n d
i n c r e a s i n g
s u b s t i t u t i o n
o f i n n o v a t o r
d r u g s w i t h g e n e r i c s
I n t e n s e
c o m p e t i t i o n , w i t h
l a r g e
n u m b e r o f p l a y e r s
H i g h i n v e s t m e n t s i n b r a n d b u i l d i n g
P r e s s u r e o n m a r g i n s a s p r i c e e r o s i o n
s i n
t h e e n d p r o d u c t i s p a s s e d o n t o
t h e
c o n t r a c t m a n u f a c t u r e r
H i g h e r d e p e n d e n c e o n a f e w l a
r g e
c l i e n t s
H i g h
w o r k i n g
c a p i t a l r e q u i r e m e n t s ,
l o n g p a y m e n t c y c l e s
R i s k o f b a d d e b t s
S h a r p c u r r e n c y f l u c t u a t i o n s
I n t e n s e c o m p e t i t i o n
L a c k
o f l o c a l r e l a t i o n s h
i p s
a n d
n e t w o r k s . P l a y e r s n e e d t o i n v e s t l a r g e
s u m s
o n
m a r k e t i n g
a n d
b r a n d
b u i l d i n g
C o m m o d i t i s e d m a r k e t s , l o w
p r o d u c t
d i f f e r e n t i a t i o n
N o
p r i c i n g
f l e x i b i l i t y ,
s h a r p
p r i c e
e r o s i o n s
I n c r e a s i n g c o n c e n t r a t i o n
i n b u y e r b a s e ;
a f e w
l a r g e d e c i s i o n m
a k e r s , n a m e l y
g o v e r n m e n t
h e
a l t h
c a r e
p r o g r a m s / l a r g e h e a l t h i n
s u r a n c e f u n d s
d i c t a t e p r i c i n g
G o v e r n m e n t
f o c u s
o n
c o s t -
c o n t a i n m e n t d r i v e s p r i c e
s d o w n
G r e a t e r r e g u l a t o r y r e q u i r e m e n t s , h i g h
c a p i t a l i n t e n s i t y
H i g h l i t i g a t i o n r i s k , i n n
o v a t o r s t r y t o
p r o t e c t p a t e n t s f o r b l o c k b u s t e r d r u g s ;
w e l l - e s t a b l i s h e d p a t e n t l a w s
L a c k
o f l o c a l r e l a t i o n s h i p s
a n d
n e t w o r k s . P l a y e r s n e e d t o i n v e s t l a r g e
s u m s o n m a r k e t i n g a n d d
i s t r i b u t i o n
I n t e n s e
c o m p e t i t i o n
f r o m
g l o b a l
g e n e r i c s g i a n t s w i t h d e e p p o c k e t s
D o m e s t i c m a r k e t
C o n t r a c t m a n u f a c t u r i n g
S e m i - r e g u l a t e d g e n e r i c s m
a r k e t s
R e g u l a t e d g e n e r i c s
m a r k e t s
T a b l e 1 : K e y b u s i n e s s s e g
m e n t s a n d h o w t h e y f a r e o n
r i s k
L o
w e r R i s k
H i g h e r R i s k
7
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04
Over the past few years, pricing pressures have
intensified for India's generics players in regulated
markets. This is because governments have introduced
stringent cost-containment measures to control
unsustainably high healthcare costs (see Box 1).
Box 1: Impact of cost-containment measures
by the governments in Europe
DRL and Matrix Labs made large acquisitions in
Germany (Betapharm Arzneimittel GmbH) and
Belgium (Docpharma), respectively. The
performances of the acquired entities deteriorated
significantly because of regulatory changes in the
markets where they operate. Both DRL and Matrix
Labs subsequently made large write-offs to account
for the reduced value of their investments, resulting
in reported losses in 2008-09 and 2007-08,respectively.
Large retailers and drug store chains also exert pressure
on prices, constraining the profitability of drug
manufacturers (see Box 2).
Box 2: Impact of generics drug price
competition in US
In 2006, large retailers such as Wal-Mart Stores, Inc.,
Kmart Corp, and Target Corp began offering
commonly prescribed generic drugs at USD4-5 per
month, as a strategy to attract shoppers to their
stores. By 2008, the large drug store chains were
forced to respond and launch their own low-cost
generics drugs. Pricing pressures have pushed sales
of generic drugs in the US down by 2.7 per cent in
the 12 months ended September 30, 2008, even
though the number of generic prescriptions filled
increased by 5.4 per cent during the period (Source:
IMS Health).
Increasing competition from the rapidly consolidating
global generics giants has resulted in these companies
clearly superseding their small and mid-sized Indian
counterparts in terms of negotiating power over
product pricing. Market regulators such as the US Food
and Drug Administration (FDA) have tightened their
scrutiny of issues relating to quality and compliance with
Good Manufacturing Practices (GMP). Several Indian
companies have faced actions ranging from warning
letters, to ban on manufacture of drugs (see Box 3).
Box 3: Impact of stringent US FDA action on
players
The US FDA has banned some of Ranbaxy's drugs in
the US because of alleged manufacturing norm
violations and falsification of data and results of
tests held at the company's plants in India.
Ranbaxy's US sales declined by 53 per cent in the
third quarter of 2009 (refers to calendar year,
January 1 to December 31) over the corresponding
quarter of the previous year. Also, inventory write-
offs resulted in a decline in profits for the company
in preceding quarters. Sun Pharmaceuticals
Industries Ltd's (Sun Pharma's) subsidiary in Detroit,
Caraco Pharmaceutical Laboratories Ltd (Caraco),
was found to be violating Current Good
Manufacturing Practices (cGMP) norms; US FDA
seized Caraco's inventory in June 2009 from the
manufacturing unit premises. As a result, Sun
Pharma's export sales declined by about 12 per cent
in the first half of 2009-10, over the corresponding
period in the previous year.
Semi-regulated generics markets
Semi-regulated markets such as Russia, the
Commonwealth of Independent States (CIS), Latin
America, Africa, and South East Asia (excluding India)
comprise about 25 per cent of the global generics
markets, and contribute around 20 per cent to the
revenues of large and mid-sized Indian pharma
companies. These markets are structurally similar to the
Indian markets as 'branded' generics markets. Brands
enhance players' pricing flexibility; however, they
require substantial outlay in marketing and brand-
building expenses. The markets are far more
fragmented than the regulated markets are in terms of
buyers. This is because there is lower penetration ofhealth insurance and lack of social security net; this leads
to customers paying out of their own pockets for a large
part of the cost of drugs. Also, entry barriers are lower
because of less stringent regulations.
The working capital requirements of India's pharma
companies operating in the semi-regulated markets are
higher than that in the regulated markets. Companies
are exposed to risks relating to long payment periods
and bad debt. Moreover, the semi-regulated markets
have higher risk of currency movements than the
regulated markets—this exposes the operations of
companies operating in these markets to risks relating tovolatility in margins.
Post September 2008, the local currencies in Russia, CIS,
and Latin America depreciated by more than 20 per cent
against the US dollar. High dependence on imports for
pharmaceuticals in these markets led to sharp increase
in drug costs, and therefore, a fall in consumer spending.
Drug retailers faced not only an increase in servicing
costs on foreign-currency-denominated loans as well as
an increase in creditors. This resulted in re-negotiation
of prices, extension of credit terms, and some write-offs
for rated companies (see Box 4)
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Box 4: Impact of currency devaluation in semi-
regulated markets
The CRISIL-rated pharma companies with large
exposures to semi-regulated markets include DRL,
Ranbaxy, Glenmark Pharmaceuticals Ltd(Glenmark), and JB Chemicals and Pharmaceuticals
Ltd (JB Chemicals). Glenmark saw a sharp increase
in receivables and inventory; Ranbaxy's revenues in
Russia and Latin America saw de-growth of 18 per
cent for the first half of 2009. JB Chemicals wrote-
off bad loans of Rs.110 million in 2008-09.
Contract manufacturing: an attractive option
(refer to CRISIL's commentary, 'Attractive opportunities
in contract manufacturing for Indian pharma industry').
The pressing need to reduce healthcare costs is forcing
global pharma majors to outsource manufacturing to
low-cost destinations, such as India. India's pharma
companies, with their low labour costs and strong skills
in process chemistry, have the advantage of being low-
cost producers of active pharmaceuticals ingredients
(APIs) and formulations.
India has the highest number of manufacturing facilities
approved by the US FDA outside the US. Indian
companies are ahead of other countries in receiving
abbreviated new drug application (ANDA) approvals,
and drug master files (DMFs).
Contract manufacturing allows Indian players the
opportunity to participate in the global generics growth
story, and benefit from stability in revenues and growth
in volumes (albeit, at significantly lower profit margins)
without exposure to risks such as litigation. It also avoids
the need for the Indian players to make large
investments in marketing and distribution, and the
necessity of contracting large debt for funding
acquisitions in international markets.
Ratings stable for most players, supported by the
stability provided by the domestic market and
healthy financial profiles
(refer to commentary 'Home-grown players retain edge
in domestic pharma market').
Despite the increase in business risks for large and mid-
sized pharma companies, CRISIL's ratings on most
companies have remained stable. This is because most
CRISIL-rated pharma companies continue to derive
sizeable and steady revenues from the domestic market,
which has remained largely stable. This has resulted in
stable cash flows and healthy profit margins for the
companies. The domestic market still contributes nearly
40 per cent to these companies' total revenues.
The domestic formulations market has grown at a
healthy CAGR of 15 per cent over the past four years.
This has been supported by increase in the consumers'
income levels (and therefore, their purchasing power),
and also by increased awareness about health and well-being. An increasing incidence of lifestyle diseases has
led to above-average growth and profitability in chronic
therapeutic segments such as cardiovascular and anti-
diabetic care; however, the anti-infective segment
remains the largest therapeutic segment. The 'branded
generics' Indian pharma market helps bring in stable
revenues and enhances pricing flexibility. Domestic
players have retained their edge in the Indian pharma
market, as there have been few launches of new drugs
by MNCs. Moreover, domestic players have developed
strong relationships and good networks, spanning both
urban and rural areas. However, the domestic
formulations market continues to be intenselycompetitive, with more than 15,000 players. Hence,
drug prices in India are among the lowest in the world.
The operating margins of players in the Indian pharma
market are healthy and much less volatile than that of
players in the regulated markets. The operating margins
of companies are typically in the range of 15 to 25 per
cent, depending upon the product mix. The domestic
market has helped Indian companies mitigate risks
arising from operations in the international generics
markets.
Conservative financial policies have also helped playersmaintain overall credit quality, despite their large
exposures to global markets. Sun Pharma, Biocon Ltd,
and DRL, for instance, continues to maintain healthy
gearing (at less than 0.5 times) and strong liquidity.
Strong parentage has also helped players maintain
stable ratings. Several global pharma majors have
increased their presence in India through acquisitions, or
by setting up manufacturing facilities. For instance,
Matrix Labs and Ranbaxy have been acquired by Mylan
Laboratories Inc (Mylan) and Daiichi Sankyo Co Ltd,
respectively.
Stable outlook on pharma sector ratings
The domestic market has thus far mitigated the impact
of increasing risks from global exposure. As growth
from international business continues to outpace that
from the domestic market, players are expected to
proactively manage risks from global markets through a
mix of strategies. CRISIL's outlook on the pharma sector,
therefore, remains stable.
The risk management strategies adopted by pharma
players are as follows:
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06
• Seeking collaborations with strong global
players: Strong global pharma players have the large
resources, strong balance sheets and local expertise
necessary to ensure long-term success in regulated
markets. In these collaborations, Indian players willremain focused on manufacturing, while their global
partners deal with large buyers and manage
relationships with local authorities (see Box 5)
• Focusing on contract manufacturing options
that lend stability to revenues: Contract
manufacturing provides Indian players the
opportunity to participate in the global generics
growth story, and benefit from stability in revenues
and growth in volumes (albeit, at significantly lower
profit margins) without exposure to risks such as
litigation. It also avoids the need for Indian players to
make large investments in marketing anddistribution and the necessity of contracting large
debt for funding acquisitions in international
markets.
• Maintaining healthy financial risk profiles and
strengthening risk management policies:
Companies are expected to be cautious in large
acquisitions of companies and brands, and fund
growth initiatives and capital expenditure prudently.
Companies are expected to formalise policies for
managing foreign exchange and other related risks.
• Curbing ambitions in R&D to avoid drain onresources: The initial enthusiasm for new chemical
entity (NCE) research seems to have diminished
because of high resource intensity and longer
timeframes for returns. The past 12 months have
seen few out-licensing deals. Indian pharma
companies such as Sun Pharma, DRL, and Glenmark
have actively hived-off their R&D for drug discovery
and innovation into separate entities in order to de-
risk the business model. The total R&D expenditure
for major pharma companies has remained low, in
the range of 4 to 6 percent. Indian companies are
also being conservative in investments on new drug
research.
• Precluding costly litigations: By reducing focus on
launches of blockbuster drugs 'at risk', since these
invite litigations from innovators, companies are
instead focusing on niche molecules with fewer
competitors and lower risks of price erosion.
Box 5: Collaborations between Indian and
global pharma players
In March 2009, Pfizer Inc (Pfizer) entered into a deal
with Aurobindo Pharma Ltd (Aurobindo) for
contract manufacturing of 39 drugs to be sold
across Europe and the US. In June 2009,
GlaxoSmithKline PLC (GSK), entered into a similar
alliance with DRL to access the current portfolio and
future pipeline of more than 100 branded
pharmaceutical products. The products will be
manufactured by DRL, and licensed and supplied by
GSK in various countries in Africa, West Asia, Asia
Pacific, and Latin America.
However, industry-level factors such as regulatory
changes in key markets, change in competitive
landscape, increasing pricing pressure remain key rating
sensitivity factors. The growth strategies, financial riskprofile and risk management policies adopted by
individual players would determine their credit risk
profiles in future.
Rating changes
CRISIL has downgraded its ratings on a few large and
mid-sized pharma companies. This is because of
refinancing pressures arising from the repayment of
substantial debt incurred by these entities to fund
expansions. Due to the turmoil in the equity markets
since September 2008, planned initial public offerings
(IPOs) and conversion of foreign currency convertible
bonds (FCCBs) did not materialise. Companies with
large exposure to semi-regulated markets of Russia, CIS,
and Latin America were faced with significant
accumulation of inventory and receivables because of
currency devaluation in these markets; this led to steep
increase in their debt levels, thereby weakening their
financial risk profiles. Currency volatility also led to large
outflows for a number of companies on account of out-
of-money derivatives contracts, which further
exacerbated the stretched liquidity position (see Box 6).
Box 6: Impact of exchange rate volatility
Depreciation in the value of the Indian rupeeresulted in large forex losses for most CRISIL-rated
companies in 2008-09. This is because the
companies had entered into derivative contracts and
long-term forward contracts with the expectation
that the rupee would appreciate against the dollar.
The net impact of these losses (realised and
unrealised) is estimated at Rs.40 billion for large and
mid-sized pharma companies rated by CRISIL, which
was 10 per cent of their revenues in 2008-09.
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08
Government-led cost-containment measures have
impacted player profitability
Move towards tendering is game-changer in Germany
and Netherlands
Germany: As a result of legislative changes introduced
in 2007 (refers to calendar year, January 1 to December
31), the German generics market, which is Europe's
largest generics market, has become increasingly
tender-driven. With the new legislations, health insurers
are encouraged to enter into direct rebate agreements
with pharma companies that offer the most competitive
prices. Under this system, pharmacists are obliged to sell
products of only those manufacturers who hold rebate
contracts with the health insurers of patients. The law
also provides incentives to doctors to prescribe generic
drugs covered by such rebate contracts. By May 2008,
around 66 per cent (by volumes) of generic drugs were
sold through tenders. Generic drug prices declined by 5
to 25 per cent after 2007 because of these changes.
Netherlands: In 2008, a new tender system was
introduced, giving pharma manufacturers an incentive
to reduce prices and become direct and exclusive
suppliers to health insurance organisations for a period
of up to one year. This has resulted in a sharp decline in
generics prices, as companies compete for exclusive
large orders.
The companies that benefited through this shift have
large scale of operations, stronger balance sheets, and
broader product portfolio to offer. Large global generics
majors such as Teva Pharmaceutical Industries Ltd (Teva),
Mylan Laboratories Inc (Mylan), and Sandoz (generic
pharmaceuticals division of Novartis AG), were able to
garner a larger share of the tenders by bidding very
competitively and offering a large basket of products.
The tender-based approach implemented by Germany
and Netherlands is likely to be adopted by other nations
in the European Union (EU) over the medium term, as it
has proved to be effective in reducing costs.
Steep cuts in reimbursement prices for generic drugs inUK and France
The UK: National Health Service (NHS) is the national
insurer in the UK's pharma market, where competition is
intense. In 2007, the UK government initiated reforms in
pharmacy remuneration. As part of this reform, the
government reduced the annual reimbursement level
for generic drugs to pharmacists by USD600 million
(which is estimated to be more than 10 per cent of the
UK's generic drugs market). The cut in pharmacist
reimbursements has resulted in a decline in prices of
generic drugs. Generics prices are subject to frequent
reviews.
France: In 2008, the Government of France mandated
that the prices of new generic drugs be fixed at 55 per
cent (as against 50 per cent, earlier) lower than the
prices of innovator drugs, making it difficult for generics
players to earn adequate profits.
Box 1: Impact of government cost-
containment measures in Europe
Dr. Reddy's Laboratories Ltd (DRL) and Matrix
Laboratories Ltd (Matrix Labs) made large
acquisitions in Germany (betapharm Arzneimittel
GmbH) and Belgium (Docpharma) respectively. The
performances of the acquired entities deteriorated
significantly because of regulatory changes in the
markets where they operate. Both DRL and Matrix
subsequently made large write-offs to account for
the decrease in the value of their investments,resulting in reported losses in 2008-09 and 2007-
08 respectively.
Increasing consolidation can impact small and
mid-sized Indian players
Generics price competition in the US, triggered by large
retailers and drug store chains
There has been consolidation at all levels in the US
pharma industry—including the pharmacy chains,
wholesalers, benefit managers, and generic drug
manufacturers—resulting in fewer, but larger, players
throughout the supply chain. The top six pharmacies inthe US account for more than 50 per cent of all drug
prescriptions in the country.
Since 2006, large retailers, such as Wal-Mart Stores, Inc,
Kmart Corp, and Target Corp began offering commonly
prescribed generic drugs at very low prices to attract
shoppers. For these retailers, pharma sales contribute to
a small portion of their total revenues; they were,
therefore, able to absorb the lower margins. By 2008,
the large drug store chains were forced to respond and
launch their own low-cost generic drugs. Generic drug
manufacturers began competing and lowering prices toattract bulk orders from retailers. As a result, generic
drug sales dropped to USD33 billion in the year ended
September 2008 from USD34 billion in 2007, a drop of
2.7 per cent, despite the number of generic drug
prescriptions increasing by 5.4 per cent during the same
period.
The major beneficiaries of these changes have been
large companies that offer larger product baskets at
attractive discounts. The retailers prefer to work with a
few large suppliers who can meet their requirements,
rather than with a large number of suppliers. The
adverse effect on the profitability of the US generic
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drugs manufacturers is likely to be seen over the medium term. US-focused generics companies, such as Mylan and
Watson Pharmaceuticals, Inc (Watson), are diversifying through acquisitions in other markets as a de-risking strategy.
Consolidation among generics players continues
The top three generics companies now account for over 30 per cent of the market (see Chart 4). These large
companies have been able to compete successfully and increase their market shares in the regulated markets, by
edging out the smaller and mid-sized players. CRISIL expects more consolidation to take place in the global generics
industry going forward, which will further increase the degree of competition for Indian players.
Regulatory environment has become more
stringent
The US Food and Drug Administration (FDA) has
tightened regulatory oversight over the drugs sold in US
pharma market, especially with regard to compliance.
This was triggered by several quality-related issues
including deaths of 149 people in the US in 2008
following alleged consumption of inferior-quality blood
thinner, Heparin, sourced from China. The US FDA
opened its first overseas offices in Beijing, Shanghai, and
Guangzhou in China in November 2008. In India, the
regulatory body conducts frequent on-site inspections
as part of its 'Beyond Our Borders' initiative. Several
generic drug manufacturers have been cited by US FDA
for irregularities, including global companies such as
Sandoz, and a number of Indian players such as Ranbaxy
Laboratories Ltd (Ranbaxy), Sun Pharmaceuticals
Industries Ltd's subsidiary in Detroit (Caraco
Pharmaceutical Laboratories Ltd), Cipla Ltd, and Lupin
Ltd. This could severely hamper the market reputation of
the companies under the US FDA scanner and also could
lead to termination of review of drug applications from
the site or a complete ban on manufacture and sales.
Recent regulatory issues raised by US FDA for
Indian pharma companies
• Ranbaxy faces ban on some of its drugs in the US
because of manufacturing violations andfalsification of data and results of tests held at the
two manufacturing units in India. Ranbaxy's US
sales declined by 53 per cent in the third quarter of
2009. Also, inventory write-offs resulted in a
decline in profits for the company in the earlier
quarters.
• Caraco's facility in Detroit was found violating
current good manufacturing practices (cGMP).
USFDA seized Caraco's inventory of goods in June
2009. Sun Pharma's US sales declined by 12 per
cent in the first half of 2009-10 (refers to financial
year, April 1 to March 31)
• US FDA reported several discrepancies in the
manufacturing processes of Cipla's manufacturing
unit in Bangalore in April 2009. Recently, however,
the unit was cleared of alleged violations in cGMP
norms by US FDA.
• For Lupin's manufacturing unit at Mandideep, US
FDA issued warning letters because of significant
deviations in compliance with cGMP norms in May
2009.
Source: CRISIL estimates, company annual reports
Chart 4: Top 10 generics companies—percentage market share (2008 estimates)
1.4%
1.5%
1.9%
2.8%
2.9%
3.0%
3.1%
5.9%
9.5%.
16.9%
0.0% 2.0% 4.0% 6.0% 8.0% 10.0% 12.0% 14.0% 16.0% 18.0%
Gideon Richter
Krka
Ranbaxy (acquired by Daiichi Sankyo)
Stada
Ratiopharm
Actavis
Watson (acquired Andrx)
Mylan (acquired Merck KGaA generics)
Novartis (Sandoz, acquired Hexal)
Teva (acquired Ivax, Barr)
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Key success factors in regulated generics markets
CRISIL believes that the following factors are critical for a
generics company to succeed in regulated markets:
Managing relationships with key decision makers(public/private insurance funds): Cost bearers such as
insurance funds and governments are gaining
importance as key decision-makers in the regulated
generics markets. This is particularly true for most of the
European countries where the majority of healthcare
expenses are borne by public/private insurance funds.
These insurance funds are typically institutionalised and
highly sophisticated and control a large part of the
market. Therefore, building favourable relationships
with these entities will be critical for success in the
market.
Ability to shift the sales model towards an institutionalfocus: Promotion of products to doctors and
pharmacists, which has traditionally been the selling
norm with drug manufacturers in India, is not effective
in the current scenario in the regulated markets; this is
especially true where the markets are becoming
increasingly tender-driven. The sales focus will have to
move towards a more institutional focus.
Gaining critical size and scale: Large scale of operations
and strong balance sheets provide players with the
ability to negotiate with large and powerful decision
makers, benefit from economies of scale, and become
more competitive through sheer staying power in a
market. Diversified product portfolio and ability to give
discounts help players win tenders and gain orders from
large retailers. Having revenues from across markets
also helps mitigate risks arising from unfavourable
changes in regulations in any one market.
Pharma companies are recognising the need to gain size
and scale. Several large pharma companies have
responded with a spate of acquisitions, thereby making
the industry more consolidated globally.
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Indian pharma players continue to benefit from the
increasing push by governments and pharma majors in
regulated markets to reduce drug prices. The focus on
cost reduction has led to an increase in outsourcing of
the manufacturing of drugs/drug intermediates to low-
cost destinations such as India. Indian players, with their
inherent cost advantages, skills in process chemistry,
and large number of manufacturing facilities approved
by regulators in developed markets are in an
advantageous position. Contract manufacturingprovides Indian players the opportunity to participate in
the global generics growth story, and benefit from
stability in revenues and growth in volumes (albeit, at
significantly lower profit margins) without exposure to
risks such as litigation. It also does not require Indian
players to make large investments in marketing and
distribution or contract large debt for funding
acquisitions in international markets.
Global pharma majors are increasing their presence in
India by setting up their own manufacturing facilities or
entering into alliances and tie-ups with Indian
companies for manufacture of drugs. A number of
prominent tie-ups have been announced in the recent
past. CRISIL believes that gaining control over the
manufacturing base will be seen as a logical step for
global majors to bring about vertical integration, and to
ensure that quality standards are met. For this reason, a
number of Indian companies and/or their
manufacturing facilities are likely to become targets for
acquisition in the near future.
Pressing need to reduce healthcare costs
Pharma companies, especially in the regulated markets
where the healthcare costs are as high as 15 per cent ofthe gross domestic product (GDP), are under
tremendous pressure from the respective countries'
governments to rationalise pharmaceutical prices in the
current environment. The regulatory push towards
reduction of prices is expected to continue, intensify,
and spread throughout regulated markets over the
medium term.
In addition, high research and development (R&D) costs,
shrinking pipeline of new drugs, and substitution of
patented drugs (of more than USD100 billion) with
generics on the back of expected patent expiries over
the next three years, are adding to pressures on
profitability for large global pharma companies.
The India advantage
Indian pharma companies have the advantage of being
low-cost producers of active pharmaceuticals
ingredients (APIs) and formulations because of their low
labour costs and strong skills in process chemistry.
CRISIL Research estimates that the cost of
manufacturing in India in an US FDA-approved plant is
around 45 to 50 per cent of the cost of manufacturing in
the US.
Moreover, India has the highest number of
manufacturing facilities approved by the US Food and
Drug Administration (FDA) outside the US. This reflects
India's ability to meet the most stringent quality norms
and superior technical expertise. Indian companies are
ahead of other Eastern European countries and China in
receiving abbreviated new drug application (ANDA)
approvals and drug master files (DMFs). Chart 1 shows
that India has a share of nearly 30 per cent of the total
ANDA approvals by the USFDA in 2008. Chart 2 shows
that out of the total number of DMFs in 2008, 45 per
cent were from India.
Attractive opportunities in contractmanufacturing for Indian pharma industry
26
49
72
96
92
6.8%
14.2%
19.5%
24.1%
27.3%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
0
20
40
60
80
100
120
2004 2005 2006 2007 2008(till Sept)
No of approvals % of total approvals (RH axis )
193
274306
310267
37.3%39.8%
43.3%45.7% 45.3%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0%
45.0%
50.0%
0
50
100
150
200
250
300
350
2004 2005 2006 2007 2008(till Sept)
N o o f D MFs % of to ta l f il ings (RH axis)
Source: CRISIL Research
Source: CRISIL Research
Chart 1: Number and percentage of total ANDAapprovals
Chart 2: Number and percentage of total DMF fi lings
Aparna Karnik Senior Manager, Corporate Sector Ratings
Email: [email protected]: 022- 3342 3456
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12
The significant advantage that a global pharma
company can achieve by producing in India vis-à-vis in
regulated markets is indicated by the increasing number
of collaborations and tie-ups that global companies are
entering into with Indian pharma companies.
Contract manufacturing by Indian players: Pharma
companies such as Dr Reddy's Laboratories Ltd (Dr
Reddy's), Alembic Ltd (Alembic), Jubilant Organosys,
and Maneesh Pharma have extended their capabilities
to offer services in contract manufacturing to global
pharma companies. These services range from
manufacturing APIs at competitive cost, to
manufacturing complex formulations. Companies such
as Cadila Healthcare Ltd (Cadila) and Strides Arcolabs
actively enter into joint ventures (JVs) with global
pharma companies, wherein manufacturing activitiesare performed by the Indian company, while the
marketing of products is conducted by the JV partner.
Cadila's JV with Hospira Inc, USA and Nycomed S.C.A.
SICAR (Denmark) is an example of this practice. The
benefits accruing to the Indian partner could be based
either on a cost plus pricing with committed large
volumes or on a profit-sharing model. Likewise, Alembic
also manufactures APIs and formulations for global
pharma majors in the regulated market, from which it
derives around 25 per cent of its revenues.
Recent collaborations announced by globalpharma companies
In March 2009, global pharma giant Pfizer Inc (Pfizer)
entered into a deal with Aurobindo Pharma Ltd
(Aurobindo) to contract manufacture 39 drugs to be
sold across Europe and the US. The scope of the deal
was later expanded with Pfizer acquiring rights to 55
solid oral dose products and 5 sterile injectable products
for several countries emerging countries throughout
Asia, Latin America, Africa, and the Middle East. Pfizer
will handle the marketing after licensing each product
from Aurobindo; Aurobindo will handle all the steps to
obtain approvals to make generic versions, as well asmanufacture the drugs. The products are in anti-
infective, cardiovascular (CVS), and central nervous
system disorders (CNS) therapeutic segments.
In June 2009, GlaxoSmithKline plc.(GSK), entered into a
similar alliance with Dr Reddy's to access the current
portfolio and future pipeline of more than 100 branded
pharmaceuticals in CVS, diabetes, oncology,
gastroenterology, and pain management segments.The products will be manufactured by Dr Reddy's, and
licensed and supplied by GSK in Africa, West Asia, Asia
Pacific, and Latin America. In some markets, the
products will be co-marketed by GSK and Dr Reddy's.
In June 2009, Mylan Inc (Mylan) entered into an
exclusive collaboration with Biocon Ltd (Biocon) for the
development, manufactur ing, supply, and
commercialisation of multiple, high-value generic
biologic compounds for the global market. Mylan is
likely to benefit from Biocon's capabilities in research,
development, and manufacturing of high-quality
protein therapeutics, including both novel biologics and
bio-generics. In addition, Mylan's regulatory and
commercialisation capabilities in the US and Europe
create a cost-effective model to address an emerging
opportunity for generic biologics. As part of the
collaboration, Mylan and Biocon will share development,
capital, and certain other costs to bring products to
market.
A win-win situation
Collaborations present a win-win situation for both
parties, since the multi-national companies (MNCs) will
be able to reduce costs and focus on marketing activities,
while the Indian players benefit from stable and
predictable revenues and growth in volumes. Global
pharma players have also been pursuing acquisitions of
Indian players for their low-cost manufacturing and
research capabilities. Deals such as Mylan's acquisition
of Matrix Laboratories, Sanofi-Aventis's acquisition of
Shantha Biotechnics Ltd, and Hospira Inc's acquisition of
Orchid Chemicals and Pharmaceuticals Ltd's injectable
pharma business are cases in point. CRISIL believes that
more such acquisitions are likely to occur over the short
to medium term, as gaining control over the
manufacturing base will be seen as a logical step for
global majors to bring about vertical integration in their
operations, and ensure that quality standards are met.
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Home-grown players retainedge in domestic pharma market
Indian players have demonstrated their strength in the
domestic pharma market by maintaining market
positions, and reporting healthy growth. The stability
provided by domestic revenues has helped Indian
pharma players retain stable credit profiles despite
increasing risks arising from their growing presence in
the international markets. The domestic market
contributes 46 per cent to the total revenues of India’s
pharma companies.
The growth story continues…The domestic formulations market, estimated at Rs.341
billion in 2008, has grown at a healthy compound
annual growth rate (CAGR) of 15 per cent over the past
four years. The growth has been driven by increase in
customer income levels and awareness, augmenting the
demand for drugs.
…. backed by buoyant chronic care segment
An increasing incidence of lifestyle diseases (especially,
chronic ailments) has led to above-average growth and
profitability in segments such as diabetic and
cardiovascular (CVS) care. The anti-diabetic segment
grew by 17 per cent while the CVS segment grew by 14
per cent in 2008 as compared to total formulations
market growth rate of about 10 per cent. The anti-
infective segment remains the largest revenue earner
with sales of about Rs.60 billion, which is 18 per cent of
the total market.
The Indian formulations market is expected to grow at a
CAGR of 10-12 per cent over the medium term, backed
by steady growth in the chronic therapeutic segments.
Local players retain market positions in domestic
market
Local players continue to hold a competitive edge over
the multinational companies (MNCs) in the formulations
market, despite the implementation of the product
patent regime in 2005. As Table 1 indicates a majority of
Indian players have improved or held on to their market
positions post 2004 (pre-product patent introduction).
The few Indian players that have slipped in the rankings
have lost positions to other Indian players. However,
most of the MNCs in the top 25 players have been
superceded by Indian players.
Table 1: Movement in top 25 players' ranking post the introduction of product patent regime
Movement in ranking
Manita Agarwal Analyst, Corporate Sector Ratings
Email: [email protected]: 022- 3342 3028
Cipla
Ranbaxy Laboratories (acquired by MNC)
Piramal Healthcare
Cadila Healthcare
Sun Pharma
Alkem Laboratories
Lupin Labs
Mankind PharmaAristo Pharma
Dr. Reddy's Laboratories
Emcure Pharmaceuticals
Wockhardt
Torrent Pharma
Intas Pharmaceuticals
Alembic Ltd
FDC
Micro Labs
Macleods Pharma
U S V
Unichem Laboratories
Indian Players
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14
From CRISIL's rated portfolio, home-grown players such
as Cadila and Sun Pharma, which have been focused on
the chronic segment, have been able to maintain their
market positions among the top seven. Companies such
as Micro Labs and Alembic, which have a higher
presence in the acute segments, have lost market
positions
Home-grown players have been able to retain their edge
due to few new product launches by MNCs. Moreover,
domestic players have strong relationships, and well-
entrenched networks spanning both the urban and rural
areas, which help them to retain their market positions.
Few new product launches by MNCs
As Table 2 shows, MNCs have launched very few
patented products in India in the four years since the
implementation of the new regime. The MNCs cite
issues relating to the implementation and enforceability
of Intellectual Property Rights (IPR) in India as a key
hurdle in launching new drugs, in addition to thelengthy patent application and approval process. MNCs
Table 2: Patented molecules launched in India (till March 2008)
Product Company Therapeutic category Launch date Status
Vfend Pfizer Anti-Infective Feb-05 On Patent
Windia (Avandia) GSK Anti-Diabetic May-05 On Patent
Viagra Pfizer Erectile Dsyfunction Dec-05 On Patent
Lyrica Pfizer Neuropathic Feb-06 On Patent
Caduet Pfizer Cardiovascular Feb-06 Off Patent
Coreg GSK Cardiovascular Mar-06 Off Patent
Genotropin Pfizer Endocrine Disorders Mar-06 On Patent
Tamiflu Roche Influenza Apr-06 On Patent
Pegasys Roche Hepatitis C May-06 On Patent
Aprovel (Avalide) Sanofi Aventis Cardiovascular Jul-06 On Patent
Stilnox (Ambien) Sanofi Aventis Insomnia Jan-07 Off Patent
Arixtra GSK Cardiovascular Mar-08 On Patent
Champix Pfizer Neuro/CNS Mar-08 On Patent
Flutivate - E GSK Dermatology n.a On Patent
Lescol XL Novartis Cardiovascular n.a On Patent
such as Novartis (India) Ltd, Hoffman La Roche, and
Bayer have been involved in legal battles alleging
infringement of patents by Indian players. Issues
regarding definition of 'invention' and eligibility of
drugs for patent protection remain a key concern for
MNCs in India.
Another strong deterrent for MNCs has been the low
affordability in the Indian market for expensive new
treatments: most drugs treating key therapeutic
diseases are already available in India at reasonable
prices. Moreover, there have been few new
breakthrough drugs discovered in the past 3-4 years for
treatment of ailments where existing proven therapies
are not adequately effective. Because of these factors,
only about 15 patented molecules have been launched
in India since April 2005 with the Government of India
remaining committed to keeping healthcare affordable
for the Indian market, MNCs may continue to face
challenges in capturing a dominant market position.
CRISIL expects MNCs to focus on niche segments and
specialty drugs going forward.
Source: Company Reports, CRISIL Research and CRISIL Ratings
n.a: Not available; Source: CRISIL Research
Movement in rankingMNCs
GlaxoSmithKline Pharmaceuticals
Abbott India
Sanofi AventisPfizer
Novartis India
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5
Strong relationships, well entrenched networks,
and competitive scale
Indian players have established strong relationships with
local stakeholders—general practitioners, specialists,
public and private hospitals, and pharmacists across the
urban and rural parts of the country. Companies have
allocated large resources to marketing efforts within the
medical fraternity and have a track record of delivering
effective medicines. Indian companies have gradually
grown to a critical size and scale to meet the drug
requirements of the domestic market at reasonable
prices.
Domestic market provides stability to credit
profiles
The branded nature of the domestic market lends
stability to revenues, and enhances pricing flexibility for
players. The operating margins and cash flows of the
players in the Indian pharma market are healthy and
much less volatile than that of players in the regulated
markets. The operating margins of companies aretypically in the range of 15 to 25 per cent, depending
upon the product mix. Healthy performance in the
domestic market has helped Indian companies mitigate
risks arising from operations in the international
generics markets.
However, the intense competition—the domestic
market has more than 15,000 players—and the Drug
Price Control Order (DPCO) have collectively kept drug
prices in India among the lowest in the world and
continue to constrain the profitability of players.
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• S t r o n g p o s i t i o n i n q u i n i n e a c t i v e
p h a r m a c e u t i c a l i n g r e d i e n t s ( A P I s )
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w o r k i n g c a p i t a l r e q u i r e m e n t s
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b u s i n e s s v o l u m e s , o v e r t h e m e d i u m t e r m . T h e
o u t l o o k m a y b e r e v i s e d t o ' P o s i t i v e ' i f s t r o n g
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8/20/2019 CRISIL Ratings Indian Pharma Booklet Apr10
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e d
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• V u l n e r a b i l i t y o f b u s i n e s s t o t i m e l y a n d
a d e q u a t e p r o c u r e m e n t o f r a w m a t e r i a l ,
t h o u g h m i t i g a t e d b y p r o a c t i v e
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o v e r a l l f i n a n c i a l r i s k p r o f i l e .
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h i g h e r - t h a n - e x p e c t e d c a s h a c c r u a l s i n b u s i n e s s
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• L a c k o f r e s e a r c h a n d d e v e l o p m e n t ( R &
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