APHM11 Generics in KPJ

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    Trends and Challenges- Generic Drugs in Malaysia

    Marhalis Hasan

    Group Chief PharmacistGroup Chief Pharmacist

    KPJ HEALTHCARE BERHADKPJ HEALTHCARE BERHAD

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    Pharmaceutical Drug - Overview

    Year 2014

    Global pharmaceutical market : USD $1.1 trillion (IMS Health)

    Year 2014

    Malaysias pharmaceutical market : USD $1.82 billion (Frost & Sullivan)

    Prescription drugs : 75%

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    Generic Drug Business

    - OverviewYear 2009

    Global pharmaceutical market : USD $84 billion

    Year 2014

    Global pharmaceutical market : USD $168.7 billion

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    Generic Drug Business

    - Overview

    Year 2010

    Malaysias pharmaceutical market : USD $1.46 billion (Frost &Sullivan)

    Spending on generic drugs : 21.7% (IMS Health)

    Spending on patented drugs : - 0.7% (IMS Health)

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    Malaysia: Proprietary vs Generic Drugs

    70% of total market: Patented drug

    234 drug manufacturers registered with DCA.

    67 are licensed to produce prescription medicines

    Relies heavily on imported patented drugs

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    Current Trends in Generic market

    Penetration into oversea market

    - South East Asia, Middle East countries (eg. Halal-certified

    Diversification into Nutraceutical & Food supplements

    Emphasize on R&D discovery of new actives from naturalproducts, drug delivery and processing method

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    Generic Drug Business

    - Current trends in KPJ Hospitals

    Growth per year : 0.2%

    2011 usage (estimation) : RM13.9 million

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    127.8144

    157.3

    120

    140

    160

    180

    YEARLY USAGE (RM'000)PATENT vs GENERIC

    10.8 12.4 13.9

    0

    20

    40

    60

    80

    2009 2010 FORECAST 2011

    PATENTGENERIC

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    Factors affecting the selection

    of Generic Drugs

    Efficacy

    CLINICIAN Efficacy

    PATIENT

    Efficacy

    Safety

    Patients choice

    Patients choice Inventory

    management

    HOSPITAL

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    PERCEPTIONPERCEPTIONPERCEPTIONPERCEPTIONof genericof genericof genericof generic

    drugsdrugsdrugsdrugs

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    Familiar with the term Generic Drug : 29%

    Stated that quality of Generic drug is inferior : 39%

    Stated that Generic drug causes more side effects : 32%

    Understand that Generic drug is cheaper : 64%

    A pilot survey on perception and knowledge of generic medicines among consumers in Penang

    (Al-Gedadi, Hasali, Shafie, Pharmacy Practice 2008 Apr-June, 6 (2): 93-97)

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    Generic Drug Business

    - Current trends in KPJ Hospitals

    Approval of generic drugs via recommendation from Pharmacyand Therapeutic Committee

    (Bioavailability study, efficacy, safety, price)

    o up ca on: gener c rug a any one me

    Near future

    Priority to Bio-equivalence certified drug

    Halal-certified drugs (JAKIM)

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    Moving forward

    - Add new products in the pipeline and increasemarket share

    - Enter niche market in sectors with low competition eg.Anti-smoking drugs

    - Targeting on specialist- driven therapy eg. oncology

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    Moving forward

    - Conduct bio-equivalent tests to establish qualityacknowledgement

    - AWARENESS and PERCEPTIONS - Generic drugs

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    THANK Y U