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Distribution, OTC & CRAMS

Distribution, OTC & CRAMS. Chesapeake Dr. Brian W Tempest www.briantempest.com brian.tempest@clara.co.uk UK March 2014. 9. Pharma Distribution. Global US Distributors of Pharma Source: FT March 19 2013.

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Distribution, OTC & CRAMS

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  1. Distribution, OTC & CRAMS Chesapeake Dr. Brian W Tempest www.briantempest.com brian.tempest@clara.co.uk UK March 2014

  2. 9. Pharma Distribution

  3. Global US Distributors of PharmaSource: FT March 19 2013 • Walgreens has 45% of Alliance Boots with the option to buy the rest in 2 years • Walgreens and Boots jointly buy 23% of Amerisource Bergen • Boots Alliance owns 12% of Nanjing which is the 5th largest wholesaler in China & 50% of Guangzhou Pharmaceuticals which is ranked 6th wholesaler • McKesson buys 50.1% of Celesio (including Lloyds) • What will Cardinal/Kinray and Phoenix do?

  4. China Leading Distributor FosunPharma/Sinopharm

  5. Shanghai Pharma focussed on Expanding Distribution Across China source: Jefferies March 17 2014

  6. Russia - Complex Distribution source IMS

  7. Russia - Distributorssource: IMS

  8. Russia - Protek already has 158 productssource: CPhI Russia 17 April 2014

  9. Boots Alliance Number of Almus Suppliers

  10. 10. Over the Counter Consumer Medicines (OTC)

  11. USA - OTC Switches from POMsource: FDA 102 switches from September 1976 to October 2013

  12. Europe - OTC Switches from POMsource: IMS 2013 8 out of top 20 EU Brands

  13. EE Pharmacy Turnover OTC vs Rxsource: james Dudley Management

  14. 11. Contract Research & Manufacturing (CRAMS)

  15. Contract Manufacturing & Contract Research Organisations Source: CPA Italy • CMO & CROs $72b (2012) to $136b (2017) growing at 13% CGR • CMO $47b (2012) to $93b(2017) - APIs & DFs, 2/3 toll manufacture & 1/3 custom synthesis • CRO $25b (2012) to $43b (2017) growing at 11% CGR • 2012 % market share to 2017 % market share • USA 34% to 25% • EU 25% to 17% • India 8% to 21% • China 12% to 19% • ROW 21% to 18%

  16. Indian CRAMs Source: Religare

  17. India Contract Manufacturers

  18. Indian Pharma in CRAMSSource: Citi Research August 2013

  19. CPhI 2014

  20. CPhI Russia 137 Companies Source: 17 April 2014 • China 67 • Russia 21 • India 12 • Italy 7 • Czech Republic 5 • Poland, Germany, South Korea 4 • Indonesia, Pakistan, Romania, Latvia, Slovakia, Morocco, Jordan, Malaysia, , Spain, Greece, Ukraine, France Switzerland 1

  21. Thank You brian.tempest@clara.co.uk www.briantempest.com

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