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Jamie Davies Head of Pharmaceuticals & Healthcare Business Monitor International Oscar Mazza Consumer & Healthcare Industry Head Citi Transaction Services Latin America The Pharmaceutical & Healthcare Industry in Latin America Citi’s Online Academy Presents:
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Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Apr 14, 2018

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Page 1: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Jamie Davies Head of Pharmaceuticals & HealthcareBusiness Monitor International

Oscar MazzaConsumer & Healthcare Industry HeadCiti Transaction Services Latin America

The Pharmaceutical & Healthcare Industry in Latin America

Citi’s Online Academy Presents:

Page 2: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Agenda

Introduction

Market drivers

Risk/Reward Ratings

Company Activity

Case Studies

Q&A

0 min 30 min

1 2 3 4 5 7

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Page 3: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Introduction

• Established in 1984.

• Headquartered in London, with regional offices in Singapore, Johannesburg and New York City.

• Clients include corporations, investment banks, consultancies, governments and academic institutions.

• Over 100 research analysts.

Image: the City of London

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Page 4: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

The Global Context

BMI View: moderate risk, moderate reward

Pharmaceutical Sales In 2011

Latin America US$70bnEurope US$329bn

Middle East US$16bn

Africa US$19bn

North America US$358bn

Asia US$265bn

Source: BMI

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Page 5: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

The Global Outlook

BMI View: emerging markets to drive industry growth

Source: BMI

0

200

400

600

800

1,000

1,200

1,400

1,600

2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

Pharmaceutical Sales (US$bn)

North America +22%

Europe +18%

Asia +82%

Latin America +119%Africa +145%Middle East +116%

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Page 6: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Economic Expansion

Source: BMI

BMI View: Latin America has several favourable economies

-1 0 1 2 3 4 5 6 7 8

EurozoneFrance

GermanyUnited Kingdom

JapanUnited States

VenezuelaRussia

MexicoBrazil

ArgentinaColombia

ChilePeruIndia

China

Real GDP Growth In 2012

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Page 7: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Drivers Of Market Growth

Source: WHO

BMI View: surprisingly divergent

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%

ColombiaCosta Rica

UruguayPanama

BoliviaPeru

BelizeEl Salvador

HondurasNicaraguaArgentina

ChileMexico

BrazilVenezuela

EcuadorPuerto Rico

Dominican RepublicParaguay

Guatemala

Healthcare Spending In 2011

Government

Private

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Page 8: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Demographics

BMI View: appeals to vaccine manufacturers

-.4 -.2 .0 .2 .4 .6 .8 1.0 1.2 1.4 1.6

GermanyRussiaJapan

EurozoneChina

FranceUnited Kingdom

ArgentinaBrazilChile

United StatesPeru

MexicoColombia

IndiaVenezuela

Population Growth In 2011

Source: BMI

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Demographics

BMI View: truly ageing populations decades away

0 5 10 15 20 25 30 35 40 45

IndiaColombia

VenezuelaPeru

MexicoBrazilChinaChile

ArgentinaRussia

United StatesUnited Kingdom

FranceGermany

Japan

Pensionable Population As % Of Total Working Population In 2011

Source: BMI

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Page 10: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Disease Burden

BMI View: a typical emerging markets profile

0 2 4 6 8 10 12 14 16

Peru

Argentina

United Kingdom

France

Germany

India

Colombia

China

Venezuela

Brazil

Chile

United States

Japan

Russia

Mexico

Diabetes Prevalence In 2011

Source: IDF

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Page 11: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Healthcare Access

BMI View: an under-appreciated growth driver

Source: PAHO0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5

HondurasNicaragua

GuatemalaBolivia

VenezuelaBelize

Costa RicaEl Salavador

UruguayParaguayEcuador

PeruMexico

ChilePanama

United StatesCanada

BrazilArgentina

Number Of Hospitals Beds Per 1,000 Population

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Page 12: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Company Activity

Acquisitions

Fixed capital investments

Partnerships

Other

BMI View: a sharp uptick in activity 12

Page 13: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Foreign Company Performance

BMI View: only surpassed by Asia Pacific13

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Anti-American?

BMI View: outperformance by European firms14

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Risk/Reward Rating

Risk/Reward Ratings

Market expenditure

Spending per capita

Market growth

Urban/rural split

Pensionable population

Population growth

Patent respect

Policy enforcement

Approvals expediency

Economic diligence

Policy continuity

Lack of bureaucracy

Legal diligence

Business transparency

Rewards

Risks

Market Rewards

Country Rewards

Market Risks

Country Risks

BMI View: an objective assessment tool 15

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Risk/Reward Ratings

0 1 2 3 4 5 6 7 8 9 10

Corruption

Legal framework

Bureaucracy

Policy continuity

Economic structure

Approvals process

Policy/reimbursements

IP Laws

Population growth

Pensionable population

Urban/rural split

Market growth

Spending per capita

Market expenditure

Brazil Pharmaceutical Risk/Reward Rating

BMI View: a frequent initial market

Source: BMI

Note: the higher the score, the more attractive the market feature

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Risk/Reward Ratings

0 10 20 30 40 50 60 70

Regional AverageHondurasNicaragua

GuatemalaVenezuela

El SalvadorBelize

Costa RicaPanama

PeruChile

ColombiaMexico

ArgentinaBrazil

Latin America Pharmaceutical Risk/Reward Ratings

BMI View: an increasingly attractive region

Source: BMI

Attractiveness i.e. priority for product launch

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Page 18: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Foreign Company Case Study: Sanofi

BMI View: strength through organic and inorganic growth

Source: Sanofi

0

2

4

6

8

10

12

0

100

200

300

400

500

600

700

800

900

Q209 Q309 Q409 Q110 Q210 Q310 Q410 Q111 Q211 Q311 Q411

Sanofi's Performance In Latin America

Latin America Sales (EURmn) (LHS) Latin America sales as % of global sales (RHS)

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Page 19: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Local Company Case Study: Genomma

BMI View: should concentrate on its domestic market

Source: Bloomberg

0

50

100

150

200

250

300

350

400

450

The Relative Performance Of Genomma Lab Internacional And The Mexico IPC Index

Genomma Mexico IPC Index

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Page 20: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Market Case Study: Brazil

2011 2012f 2013f 2014f 2015f CAGR

Current forecast

Expenditure (BRLbn)

42.9 47.9 53.3 58.9 64.4 10.7

y-o-y % growth

16.4 11.7 11.2 10.5 10.1

Early 2011 forecast

Expenditure (BRLbn)

39.6 42.6 46.1 49.9 54.1 8.1

y-o-y % growth

7.5 7.6 8.3 8.0 8.6

Image: Oswaldo Cruz Foundation (Fiocruz)

BMI View: the recent outperformer

0

5

10

15

20

25

30

0

5

10

15

20

25

30

35

2009 2010 2011 2012f 2013f 2014f 2015f

Brazil's Pharmaceutical Market

Sales (US$bn) Change % y-o-y

• Highlighted by multinationals.

• Pricing pressures.

• Unfair public-private partnerships?

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Page 21: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Market Case Study: Mexico

2011 2012f 2013f 2014f 2015f CAGR

Current forecast

Expenditure (MXNbn)

161 175 189 204 220 8.0

y-o-y % growth

8.5 8.3 8.1 7.9 7.7

Early 2011 forecast

Expenditure (MXNbn)

152 156 161 165 170 2.8

y-o-y % growth

2.5 2.6 2.8 2.9 2.9

Image: Petróleos Mexicanos (Pemex) oil rig in the Gulf of Mexico

BMI View: a positive surprise

-20

-15

-10

-5

0

5

10

15

0

5

10

15

20

2009 2010 2011 2012f 2013f 2014f 2015f

Mexico's Pharmaceutical Market

Sales (US$bn) Change % y-o-y

• No energy liberalisation?

• Dependent on US economy.

• General security concerns.

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Market Case Study: Venezuela

2011 2012f 2013f 2014f 2015f CAGR

Current forecast

Expenditure (VEFbn)

33.3 41.2 49.8 59.3 69.5 20.2

y-o-y % growth

24.6 23.8 21.1 19.0 17.1

Early 2011 forecast

Expenditure (VEFbn)

29.4 36.1 42.8 49.9 57.6 18.3

y-o-y % growth

10.0 23.0 18.4 16.7 15.4

Image: Hugo Chavez

BMI View: October 2012 election is key

-40

-30

-20

-10

0

10

20

30

40

0

2

4

6

8

10

2009 2010 2011 2012f 2013f 2014f 2015f

Venezuela's Pharmaceutical Market

Sales (US$bn) Change % y-o-y

• High oil prices.

• Repatriation of revenues.

• Anti-American sentiment.

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Page 23: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Market Case Study: Argentina

2011 2012f 2013f 2014f 2015f CAGR

Current forecast

Expenditure (ARSbn)

37.9 45.4 53.7 62.9 72.8 17.7

y-o-y % growth

30.7 19.6 18.4 17.1 15.7

Early 2011 forecast

Expenditure (ARSbn)

34.2 39.9 46.2 53.2 60.9 15.5

y-o-y % growth

17.2 16.7 15.8 15.2 14.3

Image: Instituto Nacional de Estadística y Censos, INDEC

BMI View: consistently defying risks

0

5

10

15

20

25

0

2

4

6

8

10

2009 2010 2011 2012f 2013f 2014f 2015f

Argentina's Pharmaceutical Market

Sales (US$bn) Change % y-o-y

• Under-reporting of inflation.

• Patent approval backlog.

• Import restrictions.

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Conclusion

BMI View: crucial to identify opportunities and risks

0

5

10

15

20

25

0 50 100 150 200 250

Local currency market growth

(2011-2016 CAGR)

x-axis = per-capita pharmaceutical spending in 2011 (US$); size of bubble = absolute market size (US$bn)

The Pharmaceutical Markets Of Latin America

Costa Rica

Mexico

Panama

Uruguay

El Salvador

Colombia

Honduras

Guatemala

Peru

Bolivia

ParaguayNicaragua

Ecuador

Brazil

Chile

Argentina

Venezuela

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Page 25: Citi’s Online Academy Presents - Citibank · The Pharmaceutical & Healthcare Industry in Latin America. Citi’s Online Academy Presents: Agenda . ... Brazil Pharmaceutical Risk/Reward

Questions

For all questions and inquiries related to Business Monitor International, including interest in a free trial or to obtain more information about our subscription services, please contact:

Claudio Salazar Account Manager - LATAM & Caribbean Office: +1.646.368.1775| Cell: +1.347.922.8902 | Fax: +1.212.202.5062 [email protected]

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