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MP24054
MAPS : OTC Pharmaceuticals: May 2004

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This report covers: OTC Pharmaceuticals, over the counter, pharmacy-only medicines, analgesics, pain relievers, cough, cold, sore throat, treatments, gastro-intestinal, products, advertising restrictions, lifted, resale price maintenance, abolished, retail chemists, mail-order, internet, services, licensing regulations, asprin induced asthma, wholesalers, OTC pharmaceutical abuse, Boots, to, expand into, South East Asia,

companies covered include: Bayer, Crookes, Statins, Healthcare, Roche Sells, Vitamins, and Fine Chemical Business, GlaxoSmithKline, Peter Black Direct Marketing, Johnson & Johnson, Novartis, Consumer Health, Pfizer, Reckitt Benckiser, Wyeth

EXECUTIVE SUMMARY

Executive Summary
 
In 2003, the OTC (over-the-counter) pharmaceuticals market was valued at £1.83bn, which represents an increase of 3.8% on 2002. The rate at which the market was growing decreased in 2002, but this was largely due to the abolition of Resale Price Maintenance (RPM) on OTC pharmaceuticals in 2001, which prompted multiple retailers to offer key, best-selling brands at permanently low prices.
 
OTC pharmaceuticals fall into two broad categories: pharmacy-only (P) products and general sales list (GSL) products. The range of OTC product sectors has grown in line with market trends and as a result of the broadening range of pharmaceuticals that have been approved for sale on an OTC basis. Currently, the main sectors are analgesics (pain relievers),
cough/cold/sore throat treatments, skincare treatments and gastro-intestinal products, while other sectors include vitamins and minerals, smoking cessation products, hay fever remedies, eye care treatments, sleeping aids and medicated mouthwashes/sprays.
 
The largest sector, analgesics, has been most markedly affected by
price-discounting practices, although this was offset, to some extent, by new product innovations, such as user-friendly methods of drug delivery and products for defined uses/patient groups.
 
Sectors that have seen above-average growth in recent years include smoking cessation products, hay fever remedies and medicated mouthwashes/sprays. Sales in these areas were fuelled by products being reclassified from prescription-only medicines (POMs) to OTC status or from P to GSL status, thereby increasing the availability of these products.
 
Government policies aimed at curbing expenditure on the NHS have sought to promote self-care and the use of OTC pharmaceuticals for self-medication. Recent legislative changes have been designed to speed up the process of reclassification from 'prescription pharmaceutical' to OTC status and to enable a wider range of pharmaceuticals to be made available for retail sale. Prompted by such legislation, pharmaceutical manufacturers are expected to increase their involvement in the OTC sector as they face the expiry of their patents on prescription pharmaceutical brands and the subsequent loss of revenue associated with this.
 
Key Note forecasts limited value growth for this market in the immediate future, reflecting the maturity of many of the sectors and the fact that multiple retailers will continue to keep retail prices low. On a more positive note, there remains significant potential for new brand developments, as products are delisted from P status and as new sectors are developed.

TABLE OF CONTENTS

Executive Summary 1
 
1. Market Definition 8
 
REPORT COVERAGE 8
 
Pharmacy-Only Medicines 8
 
General Sales List Medicines 8
 
MARKET SECTORS 8
 
Analgesics (Pain Relievers) 9
 
Cough/Cold/Sore Throat Treatments 9
 
Skincare Treatments 9
 
Gastro-Intestinal Products 9
 
Others 10
 
MARKET TRENDS 10
 
Consumer Expenditure 10
 
Table 1: Weekly Household Expenditure on Healthcare
and Other Products and Services (£), 2001/2002 10
 
Government Policy 11
 
Healthcare Issues 12
 
ECONOMIC TRENDS 12
 
Population 12
 
Table 2: UK Resident Population Estimates by Sex
(000), Mid-Years 1999-2003 12
 
Unemployment 13
 
Table 3: Actual Number of Unemployed
Persons in the UK (million), 1999-2003 13
 
Household Disposable Income 13
 
Table 4: Average Annual UK Household Disposable Income
(£), 1998-2002 14
 
MARKET POSITION 14
 
The UK 14
 
Table 5: Expenditure on NHS Pharmaceuticals
and as a Percentage of Total NHS Expenditure
(£m at msp and %), 1998-2002 15
 
Overseas 15
 
Table 6: Average Annual Expenditure Per Person on
Pharmaceuticals in the US, Japan and Europe
by Country (£), 2002 16
 
Table 7: Expenditure on Pharmaceuticals as a Proportion
of GDP in the US, Japan and Europe by Country (%), 2002 17
 
2. Market Size 18
 
THE TOTAL MARKET 18
 
Table 8: The Total UK Market for OTC Pharmaceuticals
by Sector by Value at Current Prices (£m at rsp), 1999-2003 18
 
BY MARKET SECTOR 19
 
Analgesics 19
 
Table 9: The UK OTC Analgesics Sector by Value
at Current Prices (£m at rsp and %), 1999-2003 20
 
Cough/Cold/Sore Throat Treatments 20
 
Table 10: The UK OTC Cough/Cold/Sore Throat Treatments Sector by Value at Current Prices (£m at rsp and %), 1999-2003 21
 
Skincare Treatments 21
 
Table 11: The UK OTC Skincare Treatments Sector by Value
at Current Prices (£m at rsp and %), 1999-2003 22
 
Gastro-Intestinal Products 23
 
Table 12: The UK OTC Gastro-Intestinal Products Sector
by Value at Current Prices (£m at rsp and %), 1999-2003 23
 
Other OTC Products 24
 
Table 13: The UK Other OTC Products Sector by Value
at Current Prices (£m at rsp and %), 1999-2003 24
 
OVERSEAS TRADE 25
 
Table 14: UK Overseas Trade in Pharmaceuticals (£m), 2002 25
 
3. Industry Background 26
 
RECENT HISTORY 26
 
Delisting 26
 
Changes in Delisting Procedures 27
 
Abolition of Resale Price Maintenance 27
 
Advertising Restrictions Lifted 28
 
Royal Pharmaceutical Society of Great Britain Code of Ethics 28
 
Prescription Charges 28
 
Government Reforms to Pharmacy Regulations 29
 
INDUSTRY SYNOPSIS 29
 
Table 15: Average Financial Results for Manufacturers of
Pharmaceutical Preparations (£000, % and £), 2004 30
 
NUMBER OF COMPANIES 30
 
Table 16: Number of UK VAT-Based Enterprises Engaged
in the Manufacture of Pharmaceutical Preparations
by Turnover Sizeband, 2003 31
 
EMPLOYMENT 31
 
REGIONAL VARIATIONS IN THE MARKETPLACE 31
 
DISTRIBUTION 32
 
Retail Chemists 32
 
Table 17: Community Pharmacies in Great Britain by Type (number and %), May 2003 32
 
Wholesalers 33
 
Mail-Order and Internet Services 33
 
HOW ROBUST IS THE MARKET? 33
 
LEGISLATION 34
 
The Selected List 34
 
Licensing Regulations 34
 
Advertising Regulations 35
 
European Agency for the Evaluation of Medicinal Products 36
 
KEY TRADE ASSOCIATIONS 36
 
Association of the British Pharmaceutical Industry 36
 
Association of the European Self-Medication Industry 36
 
National Pharmaceutical Association 36
 
Proprietary Association of Great Britain 37
 
Royal Pharmaceutical Society of Great Britain 37
 
4. Competitor Analysis 38
 
THE MARKETPLACE 38
 
MARKET LEADERS 38
 
Bayer PLC 38
 
Company Structure 38
 
Current and Future Developments 39
 
Financial Results 39
 
Crookes Healthcare Ltd 39
 
Company Structure 39
 
Current and Future Devlopments 39
 
Financial Results 40
 
GlaxoSmithKline PLC 40
 
Company Structure 40
 
Current and Future Developments 40
 
Financial Results 41
 
Johnson & Johnson Ltd 41
 
Company Structure 41
 
Current and Future Developments 41
 
Financial Results 41
 
Novartis Consumer Health UK Ltd 41
 
Company Structure 41
 
Current and Future Developments 42
 
Financial Results 42
 
Pfizer Ltd 42
 
Company Structure 42
 
Current and Future Developments 43
 
Financial Results 43
 
Reckitt Benckiser PLC 43
 
Company Structure 43
 
Current and Future Developments 43
 
Financial Results 43
 
Wyeth Consumer Healthcare 44
 
Company Structure 44
 
Current and Future Developments 44
 
Financial Results 44
 
OUTSIDE SUPPLIERS 44
 
Table 18: UK Expenditure on Pharmaceutical Research
and Development (£m and %), 1998-2002 45
 
MARKETING ACTIVITY 45
 
Main Media Advertising 45
 
Table 19: Main Media Advertising Expenditure
on OTC Pharmaceuticals by Product Sector (£000),
Years Ending September 2002 and 2003 46
 
Table 20: Main Media Advertising Expenditure
on Pharmaceuticals by Type of Product by Brand
(£000), Year Ending September 2003 47
 
5. Strengths, Weaknesses, Opportunities and Threats 52
 
STRENGTHS 52
 
WEAKNESSES 53
 
OPPORTUNITIES 53
 
THREATS 54
 
6. Buying Behaviour 55
 
INTRODUCTION 55
 
MEDICAL CONDITIONS 55
 
Table 21: Incidence of Common Medical Conditions
in the Previous 12 Months (% of adults), March 2003 56
 
OTC PRODUCT USAGE 57
 
Table 22: Consumer Usage of OTC Pharmaceuticals by Type
During the Previous 12 Months (% of adults), March 2003 57
 
PURCHASING OF OTC PHARMACEUTICALS BY TYPE
OF OUTLET 58
 
Table 23: Consumer Purchase of OTC Pharmaceuticals
by Type of Outlet (% of adults), 2003 58
 
7. Current Issues 59
 
NEW ADVERTISING GUIDANCE 59
 
REPORT ON ASPIRIN-INDUCED ASTHMA 59
 
OTC PHARMACEUTICAL ABUSE 59
 
CORPORATE ACTIVITY 60
 
Roche Sells Vitamins and Fine Chemicals Business 60
 
Interest Shown in Roche Consumer Healthcare Business 60
 
Peter Black Direct Marketing Acquired 60
 
LEGISLATIVE CHANGES 60
 
Proposal to Delist Statins to OTC Status 60
 
ADVERTISING AND PROMOTION 61
 
8. The Global Market 62
 
LEADING GLOBAL MARKETS 62
 
Table 24: Balance of Trade in Pharmaceuticals
by Country (£m), 2002 62
 
LEADING GLOBAL PLAYERS 63
 
Table 25: Top Ten Leading Players in the Global Pharmaceuticals Market by Sales and Global Market Share
(£m and %), 2001 63
 
MAJOR TRENDS 64
 
The Internet 64
 
Per Capita Spending on Pharmaceuticals 64
 
Table 26: Annual Per Capita Expenditure on Pharmaceuticals
by Country (£), 2002 65
 
Expenditure on Pharmaceuticals as a Proportion of GDP 65
 
THE FUTURE 65
 
9. Forecasts 67
 
INTRODUCTION 67
 
Attitudes Towards Healthcare 67
 
The Ageing Population 67
 
Reclassification of Pharmaceuticals 67
 
FORECASTS 2004 TO 2008 67
 
Table 27: The Forecast Total UK Market for OTC
Pharmaceuticals by Value at Current Prices
(£m at rsp), 2004-2008 68
 
FUTURE TRENDS 68
 
Deregulation of the Pharmacy Market 68
 
Internet and Mail-Order Distribution 68
 
Boots to Expand in South East Asia 68
 
Product Development 69
 
A Vision for Pharmacy in the New NHS 69
 
10. Company Profiles 70
 
Crookes Healthcare Ltd 71
 
Glaxosmithkline Plc 73
 
Johnson & Johnson Ltd 75
 
Novartis Consumer Health Uk Ltd 77
 
Pfizer Ltd 79
 
Reckitt Benckiser Plc 81
 
11. Further Sources 83
 
Associations 83
 
Publications 84
 
General Sources 84
 
Government Sources 85
 
Other Sources 86
 
Bonnier Information Sources 86

Text © 2004 Key Note

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