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Fast Fact - Zuellig Pharma

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Global OTC sales 2007-2011 (US$ million)<br />

was the fastest-growing category (+14.5%), thanks<br />

to a strong hay fever season, line extensions and<br />

the switch of Boehringer Ingelheim’s Alesion 10.<br />

The bright spot in the flat dermatologicals category<br />

was vaginal yeast infection antifungals, boosted by<br />

launches such as Sato’s Empecid L (clotrimazole)<br />

and Kobayashi’s Feminina Candida (oxiconazole).<br />

The switch of neticonazole hydrochloride cream in<br />

late 2011 should enhance sales further.<br />

OTC sales growth remained modest in<br />

Australia (+3.4%), growing roughly in line with<br />

volume for the third year running. Australia is still<br />

predominantly driven by the pharmacy channel as<br />

companies risk losing pharmacist support if brands<br />

are moved to mass market retailers. Modest growth<br />

of systemic analgesics was dampened by the May<br />

2010 up-scheduling of codeine in combination with<br />

other analgesics from pharmacy-only to pharmacistonly.<br />

However, topical analgesics boomed as<br />

consumers turned to natural formulations.<br />

The cough, cold & allergy sector grew across the<br />

board (+4.1%) with the exception of systemic cold<br />

& flu, impacted by a weak cold season, private label<br />

competition and a ban on pseudoephedrine brands<br />

being advertised to consumers from June 2011.<br />

Meanwhile, switch approval for oral famciclovir<br />

should further boost cold sore treatments. Vitamins,<br />

minerals & supplements benefited from strong<br />

interest in vitamin D supplements and innovative<br />

launches from long-line marketers such as Swisse<br />

and Blackmores.<br />

India’s OTC market grew by 11.4% in 2011,<br />

though low prices and limited disposable income<br />

mean that average consumer spend on OTCs<br />

(US$1.66 per person) is small by international<br />

standards. Growth of topical analgesics (+19.5%)<br />

and antacids & antiflatulents (+18.2%) was strong as<br />

both are highly consumerized categories benefiting<br />

from innovative line extensions and advertising<br />

2007<br />

2008<br />

2009<br />

2010<br />

2011<br />

92.5<br />

96.6 (+4.5%)<br />

101.6 (+5.1%)<br />

105.4 (+3.8%)<br />

110.2 (+4.5%)<br />

and promotion. Systemic cold & flu remedies grew,<br />

despite a low incidence of colds, while advertising<br />

and promotion for Otrivin (Novartis) and Nasivion<br />

(Merck KGaA) assisted topical decongestants.<br />

Steady growth continued in South Korea (+6.5%)<br />

as some marketers placed increased focus on their<br />

OTC brands. This was in expectation of a negative<br />

impact on ethical portfolios caused by governmentenforced<br />

price cuts on 6,506 reimbursable Rx and<br />

prescribed OTC products from April 2012. Another<br />

hot topic in 2011 was the mass market, with 48<br />

brands down-scheduled to quasi-drug status. This<br />

included Bacchus-F, a line extension of South<br />

Korea’s No.1 OTC brand Bacchus-D (Dong-A).<br />

Further expansion continues to be discussed in<br />

2012 despite strong opposition from pharmacists.<br />

Solid growth in Indonesia (+6.2%) reflected<br />

strong performances in all categories due to price<br />

rises, a boom in advertising via social media and<br />

increasing disposable income among consumers in<br />

urban areas. One weak spot was analgesics (+1.8%)<br />

as systemics were held back by a lack of new<br />

product development.<br />

North America: Allegra switch softens<br />

impact of recalls<br />

OTC sales in North America increased by 2.6% as<br />

growth in the US (accounting for 90% of regional<br />

sales) reached 2.5% and Canada grew by 3.9%.<br />

Another relatively slow year for US OTC<br />

sales growth reflected modest upturns in most<br />

categories, which came as a result of the lingering<br />

effects of highly publicized recalls involving a<br />

number of McNeil/Johnson & Johnson OTC<br />

brands. In addition, the market as a whole lost out<br />

as consumers traded down to private labels. For<br />

example, in systemic analgesics, private labels grew<br />

by 9% and now account for over 30% of category<br />

sales by value.<br />

Cough, cold & allergy was the strongest category,<br />

with allergy remedies enlivened by the switch of<br />

Allegra in March 2011. Systemic cold & flu sales fell<br />

by 2.5% as recalls of Johnson & Johnson’s leading<br />

entries, Tylenol and Sudafed, devastated the topline.<br />

Antacids & antiflatulents declined as leading proton<br />

pump inhibitors, including Prilosec OTC (Procter &<br />

Gamble) and Prevacid (Novartis), suffered owing to<br />

competition from private labels and new rivals such<br />

as Zegerid OTC (MSD). Multivitamins produced<br />

moderate growth as a result of the dynamism<br />

of formats such as gummies, and specialized<br />

formulations including eye care vitamins.<br />

In Canada, sales of analgesics (+5.1%) were<br />

boosted by a strong topicals category resulting from<br />

the meteoric rise of Novartis’ Voltaren Emulgel<br />

since it gained unscheduled status in April 2010.<br />

Cough, cold & allergy was the best-performing<br />

category as systemic cold & flu remedies benefited<br />

from a more severe cold and flu season. The shining<br />

light in dermatologicals was vaginal yeast infection<br />

antifungals, boosted by the performance of newly<br />

switched oral fluconazole brand Canesoral (Bayer).<br />

Europe: Central & Eastern Europe markets grow<br />

again as economic issues hinder West<br />

European OTC sales increased by 2.8%, driven by<br />

the emerging markets of Central & Eastern Europe<br />

(+6.7%). In Western Europe, which accounts for<br />

72% of the region’s US$31 billion OTC sales, growth<br />

of 1.4% exceeded the flat performance of 2010.<br />

However, tough economic conditions continued to<br />

take their toll.<br />

Germany – Europe’s No.1 OTC market – grew by<br />

0.6%, an improvement on declines in previous years.<br />

Falling sales of vitamins, minerals & supplements<br />

and a flat performance by cough, cold & allergy<br />

were offset slightly by growth for analgesics and<br />

dermatologicals. Generics and branded generics<br />

(retailing at significant discounts) are a major bar to<br />

OTC growth, enjoying strong on-shelf presence and<br />

pharmacist recommendations.<br />

In France, a flat performance in 2011 was an<br />

improvement on the downturn of 2010 (caused<br />

primarily by cuts to the reimbursement rate).<br />

Further cuts (from 35% to 30%) in May 2011<br />

hit certain acne remedies, allergy remedies and<br />

antifungals, and, in October 2011, the government<br />

de-reimbursed 80 medicines deemed to have<br />

“insufficient medical benefit”. These included<br />

some mouthwashes, antiseptics, calcium products,<br />

herbal joint health supplements and hemorrhoid<br />

preparations.<br />

In May 2011, cough remedies – already suffering<br />

from the ban on mucolytics for use in children aged

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