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IMS SOLUTIONS
The intelligence to plan, build and tune
portfolios for success – setting the course
for the future. 2
Launch and Growth 3Maturity
• Determine investment levels
for new product research
•
•
Evaluate new markets, therapies
and acquisitions
Identify products to develop
and license
MARKET INFLUENCERS
•
•
Government cost containment initiatives
reduce spending
Governmental pressure for optimal
4Decline
• Optimize pricing and reimbursement therapy and post-marketing surveillance
strategies • Provincial formularies accelerating
• Assess market value and competition the shift to new generics
• Establish appropriate customer • Pipeline gaps due to patent expiries
segmentation strategies
• Balance resources across brands IMS SOLUTIONS
• Leverage health economics MARKET INFLUENCERS The confidence to make timely,
smart decisions that enhance efficiency,
• Slower adoption of new products
productivity and return on investment
• Growth in non-retail distribution
in sales and marketing.
• Physician access increasingly restricted
and return on detailing declining • Ensure thorough sales diagnostics
• Patients becoming influencers in • Optimize resources and align territories
product selection • Develop ideal customer segmentation
and call plans
IMS SOLUTIONS • Manage sales team performance
The insight to accelerate commercial launch and compensation
success and maximize the lifetime value of • Track and analyze competitors’ pipeline
a product or brand. • Demonstrate post-launch compliance
and outcomes
1Pre-Launch •
•
Assess market and competitive situation
Review market potential and forecasts
Create effective launch plans and
monitor uptake
•
•
Evaluate success of co-marketing
strategies
Plan for patent expiry
IMS
helping you
• Plan, optimize and evaluate ongoing
promotional mix throughout the
•
•
Optimize sales force deployment
Manage the overall lifecycle lifecycle
MARKET INFLUENCERS
• Health Canada raising standards
for drug trials
• Pipeline gaps created due to lack
of new blockbusters
• Primary care growth is outpaced
by specialist-driven therapies
• Generics, oncology and biotech
grow in double digits
• Delays in public formulary
market access
• Regulators, payers and patients
increasingly weigh drug-risk/benefit
IMS SOLUTIONS
The intelligence to plan, build and tune
portfolios for success – setting the course
for the future. 2
Launch and Growth 3Maturity
• Determine investment levels
for new product research
•
•
Evaluate new markets, therapies
and acquisitions
Identify products to develop
and license
MARKET INFLUENCERS
•
•
Government cost containment initiatives
reduce spending
Governmental pressure for optimal
4Decline
• Optimize pricing and reimbursement therapy and post-marketing surveillance
strategies • Provincial formularies accelerating
• Assess market value and competition the shift to new generics
• Establish appropriate customer • Pipeline gaps due to patent expiries
segmentation strategies
• Balance resources across brands IMS SOLUTIONS
• Leverage health economics MARKET INFLUENCERS The confidence to make timely,
smart decisions that enhance efficiency,
• Slower adoption of new products
productivity and return on investment
• Growth in non-retail distribution
in sales and marketing.
• Physician access increasingly restricted
and return on detailing declining • Ensure thorough sales diagnostics
• Patients becoming influencers in • Optimize resources and align territories
product selection • Develop ideal customer segmentation
and call plans
IMS SOLUTIONS • Manage sales team performance
The insight to accelerate commercial launch and compensation
success and maximize the lifetime value of • Track and analyze competitors’ pipeline
a product or brand. • Demonstrate post-launch compliance
and outcomes
1Pre-Launch •
•
Assess market and competitive situation
Review market potential and forecasts
Create effective launch plans and
monitor uptake
•
•
Evaluate success of co-marketing
strategies
Plan for patent expiry
IMS
helping you
• Plan, optimize and evaluate ongoing
promotional mix throughout the
•
•
Optimize sales force deployment
Manage the overall lifecycle lifecycle
The
Canadian
Pharmaceutical Industry
at a Glance
From leading companies and products, to the top molecules and classes, this 25th edition of Canadian
Pharmaceutical Review provides an overview of market performance in Canada, as measured by IMS Health
information services.
The publication provides key industry metrics using four key IMS databases that profile drugstore and
hospital purchases, prescription volume activity, diagnoses and treatment therapies, promotional activity and
expenditures, and the generics market.
This publication also features an executive analysis of the global and Canadian pharmaceutical market
performance. A brief description of the IMS services that were used to generate this review can be found
in the Appendix, as well as a list of manufacturer abbreviations and a glossary.
The information contained in Canadian Pharmaceutical Industry Review 2006 is reserved for the exclusive use of IMS
clients. All reproduction rights reserved.
©
IMS Health 2007
Table of Contents
Table Page
Executive Summary 5
2 Table of Contents
IV. Diagnoses and Therapies 101
Profile of Leading Diagnoses 29 102
Profile of Leading Recommended Drug Therapies 30 103
V. Generic Manufacturers 105
Leading 10 Generic Manufacturers and Top Five Products by Ethical Purchases 31 106
Leading 10 Brand and Generic Drug Manufacturers and Top 5 Provinces by Ethical Prescriptions 32 108
Share of Prescription Market by Province, Brand vs. Generic Manufacturers 33 112
Total Ethical Purchases for the Five Leading Generic and Brand Manufacturers by Province 34 113
Top 25 Generic Molecules and Top Five Products by Total Ethical Purchases 35 117
10 Fastest Growing Brand and Generic Manufacturers (larger than $10 million)
by Total Ethical Purchases 36 122
Appendix 123
IMS Health Information Services 124
Manufacturer Abbreviations 126
Glossary 127
Table of Contents 3
Executive
Summary
Global Pharmaceutical Market
Sales by Region
The global pharmaceutical market recorded $593.4 billion in total ex-manufacturer sales on 6.3% growth, or a
US $32 billion increase in the year ending September 2006. This is well short of the four-year compound average
growth rate (CAGR) of 9.1%. (See Figure 1) There are key market events that have shaped the pharmaceutical
industry in 2006 and are expected to change the market dynamics in 2007. These include the introduction of
the Medicare drug benefit in the US; patent loss and generic introduction for blockbuster products, new product
adoption not keeping pace with the loss of patent protection by established products; specialty and niche products
playing a larger role; continued efforts by local governments to reduce drug spending and manage patient access
to branded pharmaceuticals, and regulators, payers and consumers carefully weighing the risk/benefit factors of
pharmaceuticals. The factors that have affected the global marketplace have largely been the same ones that have
slowed growth in the US and Canadian markets.
Figure 1
Total Sales for the World Audited Market 12 Months Ending September 2006
World Audited Market U.S.$ Bil MAT Sept. 2006 % Market Share 2006 Growth (%) 2006 Growth (%) CAGR 2001-05
The 10 leading markets (US, UK, Canada, France, Italy, Germany, Japan, Spain, Brazil and China Hospital) recorded
US $478 billion in sales on 5.6% growth for MAT September 2006. (See Figure 2) This growth rate was down
from 5.9% in 2005. The slowing growth of these key markets has been largely responsible for the overall market
slowdown. The contribution of these 10 regions to the market’s incremental growth slipped to 67% in MAT
September 2006, down from 84% just two years ago.
The drivers of the growth in the 10 leading markets of today’s pharmaceutical industry are much different from
what they were in 2002. 2001 and 2002 were arguably the years when new product launches started to have a
declining impact on market growth. In MAT September 2006, new products contributed 2.4 percentage points
of the overall market’s growth and had the largest positive impact on market growth, adding an estimated
US $10.9 billion to the market.
6 Executive Summary
Figure 2
Figure 3
Rank U.S.$ Bil MAT Sept. 2006 % Market Share 2006 Growth (%) 2006 Growth (%) CAGR 2001-05
Executive Summary 7
Leading Global Products
Cholesterol reducer Lipitor remains the world’s leading product for the year ending September 2006. (See Figure 4)
Lipitor recorded US $13.4 billion in total global pharmaceutical purchases and grew by 4.6%; fell short of the MAT
September 2005 growth of 9% and its historical four-year CAGR of 15.8%. Aranesp was the fastest growing brand
(34.8%) among the top 10. Falling sales by Zocor and Zyprexa (previously ranked #2 and #3) and slowing Norvasc
sales (#4) allowed Nexium to leap forward by two rankings to become the second-leading global brand.
Figure 4
Leading Brands U.S.$ Bil MAT Sept. 2006 % Global Sales 2006 Growth (%) 2006 Growth (%) CAGR 2001-05
8 Executive Summary
United States Market Performance
The US market recorded US $274.9 billion in purchases (at trade level) for the year ending December 2006. The
market grew by 8.3% or US $23.1 billion over the previous year, up from 5.4% in 2005 but fell short of its historical
four-year compound average growth rate of 10%. Growth was slower with MAT to September 2006 at only 6.8%,
but year-end growth shot to 8.3%. US sales dollar growth was up sharply in 2006, the first increase since 2001.
Retail Channels accounted for 71.4% of total US purchases and grew by 7.7%. The Institutional Channels accounted
for 28.6% and grew by 9.9%.
Direct-to-Consumer Advertising
For the 12 months ending September 2006, U.S. pharmaceutical companies spent an estimated record $4.53 billion
on direct-to-consumer advertising (DTCA). (See Figure 5) Promotion is shifting away from traditional physician
focus and toward the consumer. DTC grew by 10.8% in 2006, up by 4.8 percentage points from MAT September
2005. DTC dollar growth was due to television and magazine increased expenditure over the last three years.
Public perception of pharmaceutical companies was worse in 2005 than in 1997, but public perception of the
pharmaceutical industry improved in 2006.
Driving this growth was the emerging realization that DTC has positive Return-on-Investment (ROI). Across the
25 therapeutic markets that were investigated by IMS, ROI was positive for a majority of the 49 brands, specifically,
90 percent of brands in the study demonstrated positive ROI.
Figure 5
$5 50%
U.S.$ Bil
DTC Advertising $
Growth
40%
$4
30%
$3
20%
$2
10%
$1
0%
$0 -10%
1997 1998 1999 2000 2001 2002 2003 2004 2005 MAT
Sep. 06
Source: IMS Health & TNS Media Intelligence/CMR: Integrated Share of Voice Service, January 2007
Executive Summary 9
Internet Pharmacy Market Performance
Cross-border sales to the US originating from Canadian Internet pharmacies (IP-US) have been on a steady
and continuous decline for several quarters. In 2006, the IP-US sales volume estimates dropped by 49.7% to
$211.3 million CDN. There were 227 cross-border outlets operating in Canada in the fourth quarter of 20061.
Internet pharmacy locations are concentrated in Manitoba, Ontario, British Columbia and Alberta, with very
few outlets in other provinces.
Some of the key factors affecting cross-border sales include:
• A strong Canadian dollar
• Introduction and success of Medicare Part D, a new Medicare prescription benefit plan introduced in the US.
• Increased competition from overseas pharmacies
• Continued success of supply restrictions imposed by manufacturers
• Negative press around counterfeit and foreign drugs entering the US market
• Increasing penetration of generics in the last few years. Generic drugs accounted for slightly more than half
of all IP-US sales in 2006
1 Internet pharmacy sales figures compiled by IMS Health are estimates based on pharmacy purchases not including retail markups
or dispensing fees.
10 Executive Summary
Canadian Market Performance
Figure 6
$15
$12
$9
$6
2006 Purchases Growth (%) Market Share (5) 4-Year CARG (%)
$0
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
1 The term “ethical” refers to products that are only available in retail and hospital environments and often require a prescription.
Executive Summary 11
Leading Therapeutic Classes in Drug Store and Hospital Purchases
Of the 50 general therapeutic classes, the 10 leading classes achieved $11.74 billion in total ethical purchases
and accounted for 66% of the total market. (See Figure 7) The top 10 classes grew by 7.7% over 2005 (6.3%).
The contribution of the top 10 classes to the industry’s incremental growth has increased by over six percentage
points. However, current growth is 1.6 percentage points below its historical four-year CAGR of 9.3%.
The growth of the leading 10 classes has been eclipsed by the aggregate of all other classes, which rose by 8.2%
and accounted for the remaining $6.05 billion in market purchases. However, these classes also fell short of their
historical four-year CAGR of 9.9%.
Figure 7
Rank Therapeutic Class Total Purchases ($ Millions) Growth (%) CAGR % 2001-05
12 Executive Summary
Figure 8
Rank C$ Bil MAT Dec. 2006 % Market Share 2006 % Growth 2006 CAGR 2001-05
Source: IMS Health Canada. Canadian Drug Stores and Hospital Purchases.
Market Access
On an annual basis, the average time to listing has grown since 2000, with a compound average growth rate of 7%
between 2000 and 2006. The average TTL was 586 days (19.5 months) in 2000, rising to 866 days (29 months) in
2006. Meanwhile, the number of drugs achieving either full or restricted listing status has dropped by 4%, between
2000 and 2006.
The Common Drug Review (CDR) reviews recommendations based on decisions made by the Canadian Expert
Drug Advisory Committee (CEDAC) – an independent advisory body of health and other professionals with
relevant expertise. The CDR began accepting submissions on September 1, 2003. All provinces with the exception
of Quebec participate in the CDR process.
As reported in the February 2007 edition of IMS Health’s Provincial Reimbursement Advisor (PRA), CDR
received a total of 90 submissions by January 19, 2007. Fifty-nine (65.5%) were deemed complete on the initial
submission and ten brands (Iressa, Replagal,VFEND [initial and resubmission], Tarceva, Caduet, Pantoloc M, Sutent,
Nexavar and Myozyme) had been granted priority review. Sixty-two products had completed the full CDR process
as of January 19, 2007, with an average total time in the CDR process of 187 calendar days (about 135 business
days). That is on the upper limit of CDR’s targeted total time of between 99 and 129 business days. A total of 247
out of 274 listing decisions by participating federal and provincial plans were concordant with CDR/CEDAC
recommendations. (See Figure 9) Participating drug plans have followed the CDR recommendations 90% of the
time. It must be noted, that a large number of products that have received a final CDR recommendation have yet
to receive a provincial listing decision.
Executive Summary 13
Figure 9
Provincial Drug Benefit Formulary Listing Status of Products Processed by Common Drug Review
(Updated to January 19, 2007)
* Quebec does not participate in the Common Drug Review. As such, Quebec’s performance is not included.
Source: CDR Recommendations: www.ccohta.ca.
Provincial Listing Status: Provincial formulary bulletins through January 19, 2007.
IMS Health Canada. Provincial Reimbursement Advisor (PRA), FAME
14 Executive Summary
Generic Market Performance
In 2003, 2004 and 2005, the growth of generic manufacturers outpaced that of brand companies. 2006 was
no exception, with the generic sector recording $3.2 billion in total purchases, on 13.6% growth. (See Figure 10)
This helped to push the generic share of the total market up one percentage point to 18%. The remainder belongs
to the brand sector, which grew by a modest 6.6% in 2006, up to $14.6 billion. On the retail side, the generic
sector’s 12.1% growth doubled that of the brands at 6.3%. Retail generic growth was spurred by several major
brand-name drugs (Risperdal, Effxor XR, and Altace) facing generic competitors.
Hospitals have traditionally been a stronghold for the brand sector and that remains true; brands accounted
for 88.4% of the hospital market. Although brand manufacturers benefited from excellent growth in oncology
pharmacotherapy and vaccines, the 8.9% growth of hospital brand purchases was outpaced by the generic sector’s
36.4% growth. The generic hospital growth was driven by the oncology class where two products were generacized
in 2006 – Pfizer’s Camptosar, and AstraZeneca’s Casodex which had five generic copies in February 2006.
Figure 10
$3.0
$2.5
$2.0
$1.5
2006 Purchases Growth (%) Market Share (5) 4-Year CARG (%)
$1.0
Total $3.20 billion 13.6 100.0 15.8
Drug Stores $2.96 billion 12.1 92.5 16.8
$0.5
Hospitals $0.24 billion 36.4 7.5 5.1
$0.0
1998 1999 2000 2001 2002 2003 2004 2005 2006
Executive Summary 15
Corporations
andManufacturers
T1 Leading 50 Corporations by Total Ethical Purchases
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
Total Ethical Market 17,816,652 88.3 7.4 100 11.7 11.8 100
4-yr Avg
Drug Store Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market over 2005 Index 2006 2002-06
4-yr Avg
Drug Store Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market over 2005 Index 2006 2002-06
4-yr Avg
Hospital Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
4-yr Avg
Hospital Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
Ethical
Launch Date Purchases % Share % Change
(MMYY) 2006 ($000s) of Market Over 2005
Ethical
Launch Date Purchases % Share % Change
(MMYY) 2006 ($000s) of Market Over 2005
Ethical
Launch Date Purchases % Share % Change
(MMYY) 2006 ($000s) of Market Over 2005
Ethical
Launch Date Purchases % Share % Change
(MMYY) 2006 ($000s) of Market Over 2005
4-yr Avg
Compound
Rank Rank Rank Rank Rank # of Rx % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 (000s) of Market over 2005 Index 2006 2002-06
4-yr Avg
Compound
Rank Rank Rank Rank Rank # of Rx % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 (000s) of Market over 2005 Index 2006 2002-06
Journal Ad
Rank Launch Date Expenditures % Share % Change
2006 (MMYY) 2006 ($000s) of Market Over 2005
Journal Ad
Rank Launch Date Expenditures % Share % Change
2006 (MMYY) 2006 ($000s) of Market Over 2005
Journal Ad
Rank Launch Date Expenditures % Share % Change
2006 (MMYY) 2006 ($000s) of Market Over 2005
Journal Ad
Rank Launch Date Expenditures % Share % Change
2006 (MMYY) 2006 ($000s) of Market Over 2005
4-yr Avg
Launch Ethical Compound
Rank Rank Rank Rank Rank Date Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 (MMYY) MFR 2006 ($000s) of Market Over 2005 Index 2006 2002-06
4-yr Avg
Launch Ethical Compound
Rank Rank Rank Rank Rank Date Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 (MMYY) MFR 2006 ($000s) of Market Over 2005 Index 2006 2002-06
4-yr Avg
Launch Drug Store Compound
Rank Rank Rank Rank Rank Date Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 (MMYY) MFR 2006 ($000s) of Market Over 2005 Index 2006 2002-06
4-yr Avg
Launch Drug Store Compound
Rank Rank Rank Rank Rank Date Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 (MMYY) MFR 2006 ($000s) of Market Over 2005 Index 2006 2002-06
4-yr Avg
Launch Hospital Compound
Rank Rank Rank Rank Rank Date Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 (MMYY) MFR 2006 ($000s) of Market Over 2005 Index 2006 2002-06
4-yr Avg
Launch Hospital Compound
Rank Rank Rank Rank Rank Date Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 (MMYY) MFR 2006 ($000s) of Market Over 2005 Index 2006 2002-06
Average
Total Monthly
Launch Date Purchases Purchases
(MMYY) MFR 2006 ($000s) ($000s)
02000 Analgesics
Zytram XL 1206 PUF 11 11
09000 Antiarthritics
Prexige 1106 NVR 521 261
23000 Antispasmodic/Antisecretory
Vesicare 0706 AES 312 52
Uromax 0606 PUF 152 22
Enablex 0306 NVR 145 15
Trosec 0806 ORY 34 7
27000 Biologicals
Gardasil 0706 FRO 1,950 325
Menactra 1006 SF2 128 43
Rotateq 0906 MSD 58 15
30000 Oncology
Sutent 0606 PFZ 1,768 253
Faslodex 0206 AZN 647 59
Bexxar 0406 GSK 44 5
Trelstar LA 0706 PDN 7 1
31000 Cardiovasculars
Flomax CR 0506 B.I 8,504 1,063
Caduet 0206 PFZ 3,452 314
Revatio 0606 PFZ 199 28
Altace HCT 1106 S.A 174 87
Average
Total Monthly
Launch Date Purchases Purchases
(MMYY) MFR 2006 ($000s) ($000s)
33000 Contraceptives
Linessa 0606 ORG 415 59
52000 Hormones
Fosavance 0306 MSD 1,228 123
Somavert 0206 PFZ 214 19
Actonel Plus Calcium 0606 PRG 128 18
DDAVP Melt 1106 FER 83 42
64000 Psychotherapeutics
Wellbutrin XL 0306 B5L 6,267 627
Biphentin 0806 PUF 708 142
81000 Anti-Virals
Truvada 0406 GS- 4,372 486
Hepsera 0606 GS- 759 108
Prezista 0806 JNO 109 18
Baraclude 0806 BMS 56 9
Denavir 0806 NV- 47 8
4-yr Avg
Launch # of Rx Evolution Compound
Rank Rank Rank Rank Rank Date 2006 % Change Index Growth Rate
2002 2003 2004 2005 2006 (MMYY) MFR (000s) Over 2005 2006 (Rx) 2002-06
4-yr Avg
Launch # of Rx Evolution Compound
Rank Rank Rank Rank Rank Date 2006 % Change Index Growth Rate
2002 2003 2004 2005 2006 (MMYY) MFR (000s) Over 2005 2006 (Rx) 2002-06
Ethical
Launch Date Purchases % Change # of Rx % Change
(MMYY) MFR 2006 ($000s) Over 2005 2006 (000s) Over 2005
Canada
Total Ethical Market 17,816,652 7.9 410,142 6.7
United States*
Total Market 285,872,516 8.0 3,852,956 5.0
* US numbers are derived from retail and mail order channels, Data source: National Sales Perspectives, Note - US numbers and growth rates may not correlate
long-term care facilities, clinics, HMO’s, non-federal National Prescription Audit Plus with previous years due to corrections to the
hospitals and other federal facilities. market made after publication.
4-yr Avg
Compound
Rank Rank Rank Rank Rank # of Rx % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 (000s) of Market Over 2005 Index 2006 2002-06
4-yr Avg
Compound
Rank Rank Rank Rank Rank # of Rx % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 (000s) of Market Over 2005 Index 2006 2002-06
Total Ethical Market 245,505 18,272 3,334 2,306 69.2 26,855 12,649
68 Therapeutic Classes
T 19 Top 15 Therapeutic Classes and Leading Manufacturers
by Total Ethical Purchases
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
Therapeutic Classes 69
T 19 Top 15 Therapeutic Classes and Leading Manufacturers
by Total Ethical Purchases
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
70 Therapeutic Classes
T 20 Top 15 Therapeutic Classes and Leading Manufacturers
by Ethical Drug Store Purchases
4-yr Avg
Drug Store Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
Therapeutic Classes 71
T 20 Top 15 Therapeutic Classes and Leading Manufacturers
by Ethical Drug Store Purchases
4-yr Avg
Drug Store Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
72 Therapeutic Classes
T 20 Top 15 Therapeutic Classes and Leading Manufacturers
by Ethical Drug Store Purchases
4-yr Avg
Drug Store Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
Therapeutic Classes 73
T 21 Top 15 Therapeutic Classes and Leading Manufacturers
by Ethical Hospital Purchases
4-yr Avg
Hospital Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
74 Therapeutic Classes
T 21 Top 15 Therapeutic Classes and Leading Manufacturers
by Ethical Hospital Purchases
4-yr Avg
Hospital Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
Therapeutic Classes 75
T 21 Top 15 Therapeutic Classes and Leading Manufacturers
by Ethical Hospital Purchases
4-yr Avg
Hospital Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
76 Therapeutic Classes
T 22 Top 15 Therapeutic Classes and Leading Brand-Name Manufacturers
by Total Ethical Purchases
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
Therapeutic Classes 77
T 22 Top 15 Therapeutic Classes and Leading Brand-Name Manufacturers
by Total Ethical Purchases
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
78 Therapeutic Classes
T 22 Top 15 Therapeutic Classes and Leading Brand-Name Manufacturers
by Total Ethical Purchases
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
Therapeutic Classes 79
T 22 Top 15 Therapeutic Classes and Leading Brand-Name Manufacturers
by Total Ethical Purchases
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
80 Therapeutic Classes
T 23 Top 15 Therapeutic Classes and Leading Generic Manufacturers
by Total Ethical Purchases
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
Therapeutic Classes 81
T 23 Top 15 Therapeutic Classes and Leading Generic Manufacturers
by Total Ethical Purchases
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
82 Therapeutic Classes
T 23 Top 15 Therapeutic Classes and Leading Generic Manufacturers
by Total Ethical Purchases
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
Therapeutic Classes 83
T 23 Top 15 Therapeutic Classes and Leading Generic Manufacturers
by Total Ethical Purchases
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
84 Therapeutic Classes
T 24 Top 15 Therapeutic Classes and Leading Brand-Name Manufacturers
by Total Prescriptions
4-yr Avg
Compound
Rank Rank Rank Rank Rank # of Rx % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 (000s) of Market Over 2005 Index 2006 2002-06
Therapeutic Classes 85
T 24 Top 15 Therapeutic Classes and Leading Brand-Name Manufacturers
by Total Prescriptions
4-yr Avg
Compound
Rank Rank Rank Rank Rank # of Rx % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 (000s) of Market Over 2005 Index 2006 2002-06
86 Therapeutic Classes
T 24 Top 15 Therapeutic Classes and Leading Brand-Name Manufacturers
by Total Prescriptions
4-yr Avg
Compound
Rank Rank Rank Rank Rank # of Rx % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 (000s) of Market Over 2005 Index 2006 2002-06
Therapeutic Classes 87
T 24 Top 15 Therapeutic Classes and Leading Brand-Name Manufacturers
by Total Prescriptions
4-yr Avg
Compound
Rank Rank Rank Rank Rank # of Rx % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 (000s) of Market Over 2005 Index 2006 2002-06
88 Therapeutic Classes
T 25 Top 15 Therapeutic Classes and Leading Generic Manufacturers
by Total Prescriptions
4-yr Avg
Compound
Rank Rank Rank Rank Rank # of Rx % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 (000s) of Market Over 2005 Index 2006 2002-06
Therapeutic Classes 89
T 25 Top 15 Therapeutic Classes and Leading Generic Manufacturers
by Total Prescriptions
4-yr Avg
Compound
Rank Rank Rank Rank Rank # of Rx % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 (000s) of Market Over 2005 Index 2006 2002-06
90 Therapeutic Classes
T 25 Top 15 Therapeutic Classes and Leading Generic Manufacturers
by Total Prescriptions
4-yr Avg
Compound
Rank Rank Rank Rank Rank # of Rx % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 (000s) of Market Over 2005 Index 2006 2002-06
Therapeutic Classes 91
T 25 Top 15 Therapeutic Classes and Leading Generic Manufacturers
by Total Prescriptions
4-yr Avg
Compound
Rank Rank Rank Rank Rank # of Rx % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 (000s) of Market Over 2005 Index 2006 2002-06
92 Therapeutic Classes
T 26 15 Fastest and Slowest Growing Therapeutic Classes
(larger than $10 million) by Total Ethical Purchases
4-yr Avg
Ethical Compound
Rank Rank Rank Rank Rank Purchases % Share % Change Evolution Growth Rate
2002 2003 2004 2005 2006 2006 ($000s) of Market Over 2005 Index 2006 2002-06
Fastest Growing
135 130 128 127 107 09300 Gout-Specific Preparations 13,905 0.1 149.3 231 39
176 174 134 133 111 30600 EGFR Agents 11,674 0.1 130.1 213 ******
177 176 175 106 93 64900 Psychotherapeutic, Others 21,419 0.1 81.3 168 ******
73 103 95 93 84 04200 Anesthetics, General 29,778 0.2 56.5 145 -2
36 28 23 17 12 30900 Antineoplastics, Miscellaneous 390,328 2.2 56.4 145 43
127 119 120 119 114 48200 Hematinics, Parenteral 10,511 0.1 34.7 125 21
130 123 117 109 106 33100 Intra-uterine Contraceptives 14,241 0.1 29.1 120 37
106 77 65 61 54 27200 Vaccines, Respiratory 71,461 0.4 28.8 119 55
72 68 61 57 47 78800 Miscellaneous Ethical, Other 79,954 0.4 27.4 118 24
105 102 105 104 98 60700 Nutrients & Supplements, Other 17,830 0.1 23.3 114 9
28 27 29 26 25 39100 Diabetes Therapy, Insulin 192,299 1.1 19.9 111 13
69 69 69 66 65 31600 Cardiovascular Agents, Other 52,013 0.3 18.6 110 10
22 20 20 20 18 81100 Narrow Spectrum 269,941 1.5 17.8 109 12
53 49 47 49 46 23700 Antispasmodics, Other G.I. Tract Agents 83,017 0.5 15.7 107 12
120 116 115 111 112 56500 Laxative Saline 11,249 0.1 15.7 107 15
Slowest Growing
35 36 33 32 41 30300 Antimitotic Agent/Plant Derivatives 106,776 0.6 -17.2 77 3
37 41 44 45 51 37100 Acne Therapy 75,663 0.4 -10.5 83 -3
74 72 74 76 82 34400 Cough Only Preparations 31,064 0.2 -9.9 83 -1
67 71 72 74 79 34100 Cold Preparations, Oral 31,908 0.2 -9.2 84 -3
75 76 75 75 81 30400 Cytostatic Antibiotics 31,642 0.2 -9.2 84 2
83 88 92 98 105 05100 Antacids without Antispasmodics 14,978 0.1 -6.8 86 -9
58 61 64 71 73 76300 Vitamins, Other Ethical 35,613 0.2 -4.5 88 -7
12 12 12 12 16 52900 Bone Metabolism Regulators 339,968 1.9 -3.8 89 8
79 78 79 77 80 34300 Cough/Cold Preparations 31,817 0.2 -3.6 89 4
24 24 25 30 31 15800 Quinolones 133,192 0.7 -3.5 89 -3
29 29 35 37 40 23600 H-2 Receptor Antagonists 106,933 0.6 -3.1 90 -2
46 48 49 53 60 31200 Vasodilators 63,702 0.4 -2.7 90 -1
68 67 62 62 63 61700 Ophthalmic Preparations, Other 53,190 0.3 -2.4 90 11
18 25 27 29 30 52100 Sex Hormones 143,608 0.8 -1.7 91 -6
60 66 71 70 72 18000 Anti-Obesity Preparations 38,351 0.2 -1.7 91 -5
Therapeutic Classes 93
T 27 Top 15 Therapeutic Classes and Leading Corporations
by Journal Ad Expenditures
Journal Ad
Expenditures % Share % Change % Share of Total
2006 ($000s) of Market Over 2005 Promotional Dollars
94 Therapeutic Classes
T 27 Top 15 Therapeutic Classes and Leading Corporations
by Journal Ad Expenditures
Journal Ad
Expenditures % Share % Change % Share of Total
2006 ($000s) of Market Over 2005 Promotional Dollars
Therapeutic Classes 95
T 27 Top 15 Therapeutic Classes and Leading Corporations
by Journal Ad Expenditures
Journal Ad
Expenditures % Share % Change % Share of Total
2006 ($000s) of Market Over 2005 Promotional Dollars
96 Therapeutic Classes
T 28 Top 15 Therapeutic Classes and Leading Corporations
by Detailing and Sampling Activity
# of Details
Rank # of Details % Share % Change with Samples # of Samples % Change
2006 2006 (000s) of Market Over 2005 (000s) (000s) Over 2005
Therapeutic Classes 97
T 28 Top 15 Therapeutic Classes and Leading Corporations
by Detailing and Sampling Activity
# of Details
Rank # of Details % Share % Change with Samples # of Samples % Change
2006 2006 (000s) of Market Over 2005 (000s) (000s) Over 2005
98 Therapeutic Classes
T 28 Top 15 Therapeutic Classes and Leading Corporations
by Detailing and Sampling Activity
# of Details
Rank # of Details % Share % Change with Samples # of Samples % Change
2006 2006 (000s) of Market Over 2005 (000s) (000s) Over 2005
Therapeutic Classes 99
Diagnoses
andTherapies
T 29 Profile of Leading Diagnoses
Acute Upper
Essential Diabetes Respiratory Normal Other Ill-defined
Hypertention Mellitus (Without Health Depressive Infections Pregnancy and Unknown Causes of Otitis Media
Profile Element All Diagnosis (Unspecified) Complications) Check-Up* Disorders (NEC) Anxiety States (Unspecified Sites) Hyperlipidemia Supervision Morbidity and Mortality Unspecified
Patient Visits (000s) 319,137 20,560 9,141 8,654 8,417 5,790 5,295 4,882 4,578 3,819 3,478
Patient Visits 59 81 67 1 79 59 43 79 15 97 78
With Drugs (%)
Most Often ****** Altace Metformin D-Vi-Sol Effexor XR Ativan Amoxil Lipitor Materna Pantoloc Amoxil
Recommended Therapy HCL
Patient Gender Profile 41/59 47/53 53/47 45/55 35/65 32/68 43/57 59/41 100 40/60 51/49
Male/Female (%)
Age Group (%)
Under 10 <1 <1 39 <1 <1 34 <1 - 2 63
10-19 years <1 <1 6 3 4 15 <1 6 2 13
20-39 years 4 7 16 29 28 24 7 91 8 10
40-59 years 36 37 24 49 42 17 41 3 34 10
60-64 years 13 13 4 7 7 2 14 - 10 2
65 + 46 43 10 11 19 8 37 - 44 2
Most Productive GP GP Internal Pediatrician Psych/Neuro Psych/Neuro GP Internal OB/Gyn GP ENT/Opth
Specialty Medicine Medicine
First Visit/ 43/57 13/87 14/86 63/37 13/87 27/73 71/29 19/81 20/80 65/35 66/34
Subsequent Visits (%)
Most Desired Action ****** Lower Blood Control Vitamin Anti-Depressant Reduce Combat Reduce Lipid Prenatal Pain Relief Antibiotic
of Therapy Pressure Diabetes Mineral Anxiety Infection Level Vitamin
Supplement
* Health check-up is comprised of Diagnoses: V20.2 Routine Child Health Check-up and V70.0 Routine General Medical Exam and Health Check-up
Drug Mentions
per Physician
Drug Mentions % Change per Year in Most New/Cont’d First/Subsequent
Drug Manufacturer 2006 (000s) Over 2005 % Used Alone Most Productive Specialty Productive Specialty Therapy % Visits %
Ethical
Rank Rank Rank Rank Rank Launch Date Puchases % Share % Change
2002 2003 2004 2005 2006 (MMYY) 2006 ($000s) of Market Over 2005
Ethical
Rank Rank Rank Rank Rank Launch Date Puchases % Share % Change
2002 2003 2004 2005 2006 (MMYY) 2006 ($000s) of Market Over 2005
# of Rx 2006 % Share
(000s) of Market
# of Rx 2006 % Share
(000s) of Market
# of Rx 2006 % Share
(000s) of Market
# of Rx 2006 % Share
(000s) of Market
Average Rx
# of Rx 2006 % Share Size (# of Average
(000s) of Market Extended Units) Rx Price ($)
Ethical
Purchases % Share of % Share of % Share of % Share of % Share of
2006 ($000s) Market 2006 Market 2005 Market 2004 Market 2003 Market 2002
Ethical
Purchases % Share of % Share of % Share of % Share of % Share of
2006 ($000s) Market 2006 Market 2005 Market 2004 Market 2003 Market 2002
Prince Edward Island and Newfoundland 264,233 1.8 1.8 1.8 1.9 1.9
Pfizer 34,327 13.0 13.9 14.0 12.9 12.3
AstraZeneca 27,920 10.6 10.0 9.9 8.7 8.2
Janssen-Ortho Inc 15,937 6.0 6.0 5.3 4.8 4.3
sanofi-aventis Canada 15,151 5.7 5.8 5.3 4.9 4.6
GlaxoSmithKline 14,912 5.6 5.9 5.8 7.8 7.8
Ethical
Purchases % Share of % Share of % Share of % Share of % Share of
2006 ($000s) Market 2006 Market 2005 Market 2004 Market 2003 Market 2002
Ethical
Purchases % Share of % Share of % Share of % Share of % Share of
2006 ($000s) Market 2006 Market 2005 Market 2004 Market 2003 Market 2002
Prince Edward Island and Newfoundland 82,271 2.6 2.6 2.7 2.7 2.5
Apotex Inc 24,107 29.3 29.4 28.4 30.9 33.0
Novopharm 17,449 21.2 21.4 20.5 20.6 19.8
Genpharm Pharma 15,949 19.4 17.8 20.2 18.7 15.4
ratiopharm Inc 7,732 9.4 11.4 11.3 8.5 7.6
Pharmascience 5,281 6.4 7.3 6.7 6.4 7.1
Ethical
Rank Launch Date Purchases % Share % Change
2006 (MMYY) MFR 2006 ($000s) of Market Over 2005
Ethical
Rank Launch Date Purchases % Share % Change
2006 (MMYY) MFR 2006 ($000s) of Market Over 2005
Ethical
Rank Launch Date Purchases % Share % Change
2006 (MMYY) MFR 2006 ($000s) of Market Over 2005
Ethical
Rank Launch Date Purchases % Share % Change
2006 (MMYY) MFR 2006 ($000s) of Market Over 2005
Ethical
Rank Launch Date Purchases % Share % Change
2006 (MMYY) MFR 2006 ($000s) of Market Over 2005
The data used to compile Canadian Pharmaceutical Industry Review were drawn from four IMS information services:
Canadian CompuScript
The CompuScript audit measures the number of prescriptions dispensed by Canadian retail pharmacies. Product
information is presented according to therapeutic class and for each product the following data elements are
collected: manufacturer, form, strength, new vs. refill prescriptions, prescription size and price, transaction location,
transaction date, MD number (if available), third-party payer (if available) and authorized repeats.
The CompuScript sample is drawn from IMS’s panel of over 4,500 pharmacies, which represents nearly two-thirds
of all retail pharmacies in Canada; over 2,600 stores are used for the CompuScript audit, each stratified by province,
type (chain or independent) and size (large or small). Records are collected monthly from each of these pharmacies
– via diskette for stores with independent computer systems, or via an external software supplier for stores that
are part of a data network system. Sample data collected are then projected to the universe in each province and
provincial totals are added together to provide a national estimate.
124 Appendix
Canadian Disease and Therapeutic Index (CDTI)
The Canadian Disease and Therapeutic Index collects treatment data from a sample of Canadian office-based
physicians and identifies usage and treatment patterns by drug and by physician specialty.
Data for CDTI are collected from a sample of 652 office-based physicians stratified by geographic region and
representing all major specialties. For each of four consecutive quarters, each physician submits a case record book,
detailing information for all patients (excluding patient identity) seen during a 48-hour reporting period during
the quarter. The data are then validated, coded and processed.
Appendix 125
Manufacturer Abbreviations
126 Appendix
Glossary
Number of ad pages: the total number of pages of advertising devoted to a product or manufacturer.
Average compound growth rate: average annual growth rate between any two time periods.
Detail minutes: the physician’s perception of the time in minutes spent by a sales representative in detailing
a product to a physician.
Drug mentions: number of times a product is recommended by physicians in the given time period.
Ethical market: that part of the market which is driven by health care professionals. Most products, but not all,
require a prescription.
Evolution index: growth rate of a specific product, manufacturer or corporation when compared to the growth
rate of the class, corporation or market, respectively. For comparison purposes, the growth rate of the class,
corporation or market is given an index of 100.
Extended unit: smallest measurable unit of a product depending on the product form, e.g., tablet, millilitre, gram.
General discussion: no specific detailing occurs during a representative’s visit with a physician.
Institutional: describes company services or research but does not contain product-specific information.
Manufacturer not stated: activity recorded for a product where the manufacturer name is not provided at
the collection point.
Most productive specialty: the specialty or specialty group which makes the highest per capita number
of diagnoses or drug recommendations.
Patient visits with drugs: estimated number of patient/physician contacts where drug therapy is recommended.
Private label: a line of products specially manufactured and labelled for a drug store chain. This category reports
the combined activity of private labels for all drug store chains.
Rx: prescription.
Total “Product Name”: shows the sum of the activity for all forms and strengths of the product.
Total promotional dollars: the sum of the costs of detailing and the costs of journal advertising.
Total purchases: the total estimated drug store and hospital purchases measured by IMS Health, Canada.
This includes all ethical products and some non-ethical (proprietary) products.
Appendix 127
Helping you stay
2006 Canadian Pharmaceutical ahead of the curve