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CHAPTER 1 EXECUTIVE SUMMARY |
4 |
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Scope of the report |
4 |
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Key findings |
4 |
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Argentina |
4 |
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Mexico |
5 |
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IMS caveat |
6 |
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CHAPTER 2 THE PHARMACEUTICAL MARKET IN ARGENTINA |
11 |
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Argentina has stable macroeconomic factors, some of which must be strengthened |
11 |
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A growing pharmaceutical market dominated by branded generics |
12 |
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Demographic trends in Argentina |
13 |
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Disease burden in Argentina |
14 |
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Socioeconomic environment in Argentina |
15 |
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Political climate in Argentina - stable |
15 |
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GDP has been growing after the economic crisis of 2001 |
16 |
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Regional differences - the fight for equality continues |
17 |
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Mercosur established free trade between the countries involved |
18 |
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Corporate environment in Argentina |
19 |
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Foreign direct investment in Argentina is modest |
19 |
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Taxation system in Argentina |
19 |
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The healthcare system in Argentina |
21 |
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Healthcare expenditure in Argentina is high |
23 |
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The public sector is decentralized |
23 |
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Social health insurance system is fragmented |
24 |
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The private sector covers a minority of the population |
25 |
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The hospital capacity within the public sector has declined while the private sector has been growing |
25 |
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Regulatory issues in Argentina |
26 |
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IP protection has improved but is still inadequate |
26 |
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A significant effort has been made to reduce the patent backlog in Argentina |
27 |
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Registration of drugs in Argentina is a straight forward procedure |
28 |
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Advertising of pharmaceuticals is strictly controlled |
28 |
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Import of pharmaceuticals has been facilitated by Mercosur agreement |
29 |
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Drug counterfeiting has been reduced by a number of measures |
29 |
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Pricing and reimbursement of pharmaceuticals in Argentina |
30 |
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Pricing of pharmaceuticals in Argentina |
30 |
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The Generics Law, resulted in lower prices and increased access to pharmaceuticals |
30 |
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Antiretroviral therapy prices were decreased |
31 |
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Reimbursement of pharmaceuticals in Argentina |
32 |
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Remediar program, introduced in 2002, increased drug access to the poor |
33 |
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Pharmaceutical market dynamics in Argentina |
34 |
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Branded generics dominate the Argentinean market |
35 |
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Top three distributors dominate while retail pharmacy chains are expanding |
36 |
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Top manufacturers on the Argentinean retail market |
37 |
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Top ATC groups by sales value on the Argentinean retail market |
39 |
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Top brands on the Argentinean retail market |
42 |
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Import and export of pharmaceuticals - demand for foreign drugs remains high |
43 |
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Major foreign pharmaceutical companies in Argentina |
43 |
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Pfizer |
43 |
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Bayer |
44 |
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Roche |
44 |
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Major domestic pharmaceutical companies in Argentina |
44 |
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Roemmers |
45 |
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Bagó - collaboration and geographical expansion are driving growth |
45 |
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Phoenix |
46 |
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Clinical trials in Argentina - an underused opportunity |
47 |
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CHAPTER 3 THE PHARMACEUTICAL MARKET IN MEXICO |
51 |
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Growth of the Mexican economy and strengthened intellectual property rights are boosting pharma industry |
51 |
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The Mexican pharmaceutical market is dominated by foreign companies and is attracting a lot of clinical research |
52 |
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Demographic trends in Mexico |
53 |
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Disease burden in Mexico |
54 |
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Socioeconomic environment in Mexico |
55 |
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Political climate in Mexico |
55 |
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GDP has increased since the introduction of NAFTA |
56 |
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Regional differences - some rural areas are in extreme poverty |
57 |
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NAFTA eliminated tariffs between the US, Canada and Mexico, and boosted the Mexican economy |
57 |
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Corporate environment in Mexico |
58 |
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Taxation system in Mexico |
58 |
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Foreign direct investment in Mexico was boosted by NAFTA agreement |
58 |
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The healthcare system in Mexico |
60 |
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Healthcare system reforms in Mexico - the national health system aims to provide choice of healthcare provider |
60 |
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Healthcare expenditure in Mexico is low |
62 |
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The social security sector |
62 |
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Governmental services headed by the Ministry of Health are designed to offer coverage to the poor and uninsured |
63 |
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Only a small proportion of the population has private health insurance |
63 |
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Regulatory issues in Mexico |
64 |
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Intellectual property (IP) protection has significantly improved |
64 |
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Registration of drugs in Mexico is simple |
65 |
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Physicians play an important role in drug choices |
66 |
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Import of pharmaceuticals in Mexico is facilitated by NAFTA |
66 |
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Counterfeit drugs are a persistent problem in Mexico |
67 |
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Pricing and reimbursement of pharmaceuticals in Mexico |
67 |
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Pricing of pharmaceuticals in Mexico |
67 |
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Reimbursement in Mexico |
69 |
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Pharmaceutical market dynamics in Mexico |
73 |
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Mexico classifies generics into three segments |
74 |
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Market growth is driven mainly by growing preference and demand for high-value products and not by volume growth |
74 |
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Distribution of pharmaceuticals in Mexico is dominated by two distributors |
75 |
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Pharmacies selling cheap pharmaceuticals are very popular in Mexico |
75 |
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Top pharmaceutical companies in Mexico-multinationals dominate |
76 |
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Top ATC groups by sales value on the Mexican retail market |
77 |
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Top brands on the Mexican retail market |
80 |
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Import and export of pharmaceuticals have increased since NAFTA came into place |
81 |
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Major foreign pharmaceutical companies in Mexico |
81 |
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Sanofi-Aventis |
82 |
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Pfizer |
82 |
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AstraZeneca |
82 |
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Major domestic pharmaceutical companies in Mexico |
83 |
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Senosiain |
83 |
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Clinical trials in Mexico - an attractive opportunity for US companies |
84 |
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CHAPTER 4 BIBLIOGRAPHY |
86 |
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Publications and online articles |
86 |
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Datamonitor resources |
96 |
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Glossary of Terms |
97 |
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List of Tables |
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Table 1: Demographic indicators for Argentina, 2005 |
13 |
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Table 2: Average annual growth rate of GDP and exports in Argentina, 1998-2010 (%), |
16 |
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Table 3: Key economic indicators for Argentina, 1986-2006 |
17 |
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Table 4: Health expenditure indicators in Argentina, 2004 |
23 |
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Table 5: Density of healthcare workers and hospital capacity in Argentina, 1998 |
26 |
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Table 6: Argentina - Growth of pharmaceutical market in terms of sales volume, 2003-06 |
35 |
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Table 7: Argentina - Average cost of unit sold, 2003-06 |
35 |
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Table 8: Branded generics dominate the Argentinean pharmaceutical market, 2006 |
36 |
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Table 9: Top 15 drug manufacturers in Argentina, 2006 |
38 |
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Table 10: Market segmentation in Argentina according to ATC groups, 2006 |
39 |
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Table 11: Top 15 brands in Argentina, 2006 |
42 |
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Table 12: Key demographic indicators for Mexico, 2005 |
53 |
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Table 13: Mexico -average annual growth rates of GDP and exports (%), 1986-2010 |
56 |
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Table 14: Key economic indicators for Mexico, 1986-2006 |
57 |
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Table 15: Health expenditure indicators in Mexico, 2004 |
62 |
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Table 16: Growth of the Mexican market in terms of sales volume, 2003-06 |
74 |
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Table 17: Average cost of unit sold, 2003-06 |
75 |
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Table 18: Top 15 drug manufacturers in Mexico in 2006 |
76 |
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Table 19: Growth of ATC group split in the Mexican market, 2006 |
77 |
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Table 20: Top 15 brands in 2006 in Mexico |
80 |
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List of Figures |
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Figure 1: Key macroeconomic factors and healthcare system characteristics impacting the pharmaceutical industry in Argentina, 2008 |
11 |
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Figure 2: Pharmaceutical market dynamics in Argentina, 2008 |
12 |
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Figure 3: Structure of health system financing and provision in Argentina |
22 |
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Figure 4: The size of the Argentinean retail pharmaceutical market, 2002-06 |
34 |
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Figure 5: Sales growth and CAGR for the top ATC groups in Argentina |
40 |
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Figure 6: The relative market share for each ATC group in Argentina is very similar to the six major markets |
41 |
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Figure 7: Clinical trial protocols assessed and approved, 1994-2006 |
48 |
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Figure 8: Multinational pharmaceutical companies sponsor the majority of clinical research in Argentina |
49 |
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Figure 9: Advantages and disadvantages of carrying out clinical trials in Argentina |
50 |
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Figure 10: Key macroeconomic factors and healthcare system characteristics impacting the pharmaceutical industry in Mexico |
51 |
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Figure 11: Pharmaceutical market dynamics in Mexico |
52 |
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Figure 12: The three pricing regulations in Mexico |
69 |
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Figure 13: Decision process for listing pharmaceuticals on the Basic Formulary and the Catalogue of Inputs |
71 |
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Figure 14: The size of the Mexican retail pharmaceutical market, 2002-06 |
73 |
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Figure 15: Sales growth and CAGR for the top ATC groups in Mexico, 2006 |
78 |
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Figure 16: The relative market shares of each ATC groups are very similar between Mexico and the six major markets |
79 |
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Figure 17: Advantages and disadvantages of carrying out clinical trials in Mexico |
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