Volume-Based Procurement in Mainland China: Key Trends and Planning Future Strategies slide image

Volume-Based Procurement in Mainland China: Key Trends and Planning Future Strategies

Volume-Based Procurement in Mainland China: Key trends and planning future strategies The early wave of reforms for the generic drug sector is yielding benefits but also raising profitability concerns for manufacturers Bayer: 40% increase in volume sales of Glucobay after VBP inclusion; possible return to positive sales performance in future. Glucobay accounts for approximately 95% of Bayer's global acarbose sales; VBP inclusion was paramount to garner volume sales. Eliminating drug manufacturers with uncertified generics Most small-sized companies are struggling to gain GQCE certification, which led to the decline in total number of generic drug manufacturers from more than 5,000 in 2015 to 4,300 in 2018. Significant reduction in overall healthcare cost The Chinese Government has saved an estimated $1.5 billion in healthcare spending following the third VBP round in August 2020. Greater visibility of highly genericized therapeutic segments 40% of the total VBP drugs are from anti-infective and cardiovascular therapies. ‣ Clarivate™ Sanofi 7.7% decline in overall sales; Plavix and CoAprovel sales declined by 52.5% and 33.4%, respectively Bayer: Unit sales of Avelox declined 8.8% Pfizer: Net loss in revenue after VBP inclusion of Zyvox (linezolid) AstraZeneca: Negative sales for Iressa (gefitinib) MNCs de-prioritize VBP due to reduced profitability Bayer, Sanofi, Novartis and Pfizer reported declining revenues for the VBP products, affecting profit margins for these firms. Fear of long-term survival among domestic firms Reduced profitability will hinder domestic firms to optimally invest in R&D. Companies losing bids may find it hard to sustain through retail channels only. Unclear roadmap Recently, VBP reform has been split into provincial and national VBP, which may lead to confusion around the drug's accessibility from province to province. Source: GBI analysis, Clarivate 7
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