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    All about Professionalism, Performance, and the Pursuit of Selling Excellenc

    The good news is that there is a future beyond field-force downsizing.The bad news is that, when it comes, you might not recognize your job

    The future of thepharmaceutical sales rep

    According to a industry report issued by the Pricewater -

    houseCoopers (PwC) consultancy, entitledPharma 2020: Mar-

    keting the future, the sales and marketing efforts of pharmaceu-

    tical companies are due for a major overhaul over the next decade.Between 1996 and 2005, pharmaceutical

    promotional spending rose from US$11.4 billion

    to US$29.9 billion, with much of this money

    going toward sales force expansion. As a result,

    the industry is now saturated with sales reps;

    between 1996 and 2005, the number of US sales

    reps doubled, although the number of practicing

    physicians only rose by 26 per cent. The influx of

    drug reps is not economically justifiable as there

    was a 23 per cent drop in dollar growth per detail

    in 2004 and 2005, to cite one key statistic.

    Recognizing this disparity, pharmaceutical companies have begun

    downsizing their sales forces. A piece published in The New Economy

    predicts employment in the 14 Big Pharma companies across the US,

    Europe, and Japan to fall around 20 per cent between 2009 and 2015.

    However, downsizing is merely a super-

    Which kind ofdrug rep are you?byShafiq Qaadri, MD, FRCPC

    Member of Ontario Provincial Parliament, Etobicoke North

    As a family physician, I have met hundreds of drug

    reps, and they are a different species entirely,

    about whom little has been written. So, to reme-

    dy this, and with tongue planted firmly in cheek, I have

    classified and tracked the behaviors and types of the more

    memorable ones Ive seen.

    THE JOB HOPPER

    Drug reps who have

    switched jobs to their

    competition face a

    challenging predica-

    ment. They must

    change their market-

    ing tune without damaging their own

    credibility.

    Doctor, I dont want to spin you, or at

    least I dont want you to realize

    5 YEARS FROM NOW: WHO

    WILL SELL WHAT TO WHOM?

    A NEW REPORT ..................10

    HOW WE DO IT AT

    LUNDBECK, ACCORDING TO

    DOMENIC MACCARONE 12

    FACES/PLACES: MERCKSRANDY BUCYK: FROM THE

    NHL TO PHARMA SALES ....14

    For Canadas Professional Healthcare Representatives No. 3, 2011 Autumn Edition

    Please turn to page 8

    Please turn to page 5

    Pharma2016:

    Humira to pasLipitor; Sanofiand Novartis

    will challengePfizer (p. 10)

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    I N T R O D U C I N G

    Call866-444-7268or905-821-9210todayto get the CRM tool that will empower your teams to

    sell more and manage better.

    GHI Technologies|6551A Mississauga Rd.|Mississauga, ON L5N 1A6

    www.ghitechnologies.comAndroidisatrademarkofGoogleInc.iPhoneandiPadare

    trademarksof

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    andothercountries.

    Mobile CRM Anytime, Anywhere for Life Sciences

    Features That Fit the Way

    Your Pharma Field Team

    Does Business

    Multi-platform application supports a wide range of mobile devices.

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    Autumn Edition 2011

    PUBLISHER

    Mitchell Shannon

    Published by the proprietor, Chronicle Infor-

    mation Resources Ltd., from offices at 555

    Burnhamthorpe Rd., Suite 306, Toronto, Ont.

    M9C 2Y3 Canada. Telephone:

    416.916.2476; Fax 416.352.6199. E-mail:

    [email protected]

    Contents Chronicle Information Resour-

    ces Ltd ., 2011, except where noted.All rights

    reserved worldwide. The Publisher prohibits

    reproduction in any form, including print,

    broadcast, and electronic, without written per-

    mission. Printed in Canada.

    Subscriptions: $39.95 per year in Canada,

    $59.95 per year in all other countries.

    Combined rate including Chronicle MONDAY

    and Chronicle MIDWEEKnewsletters: $240

    per year in Canada, $360 per year in allother countries. Single copies: $7.95 per issue

    (plus 13% HST).

    Canada Post Canadian Publications Mail Sales

    Product Agreement Number 40016917. Please

    forward all correspondence on circulation mat-

    ters to: Circulation Manager, The Chronicle of

    Healthcare Marketing, 555 Burnhamthorpe

    Rd., Suite 306, Toronto, Ont. M9C 2Y3

    Canada. E-mail: [email protected]

    ISSN 1920-8111

    Drug Rep Chronicle 3

    DRUG REP CHRONICLEwelcomes contributions from readers. In par ticular, were interested in hearing aboutyour personal experiences in the field, and you are especially welcome to keep us informed about your teamsnew developments, new appointments, and new practices.

    If youre submitting an article, opinion piece, press release, or letter to the editor for consideration, pleasebear in mind that we select material for publication from a large volume of submitted material, and that we may

    not be able to publish your submission in a specific issue (or at all) due to space constraints and other considera-tions.

    Our policies are: All material submitted to THE CHRONICLE becomes the property of ChronicleInformation Resources Ltd., and is subject to the companys usual editorial procedures; We will not consider forpublication any material that has been simultaneously sent to other publications; Only original material or infor-mation will be considered; Payment at our established freelance rates will be offered upon publication for featurearticles and for the following departments:

    What Lies Ahead: Original articles of approximately 500 to 700 words dealing with trends that shape the healthcareindustry;and

    My Turn: Opinion pieces of approximately 500 to 700 words, offering original commentary on issues facing the healthcareindustry.Please refer inquiries to: Editor, Drug Rep Chronicle, 555 Burnhamthorpe Rd., Suite 306, Toronto,

    Ont. M9C 2Y3 Canada. Fax 416.352.6199, E-mail: [email protected]

    EDITORIAL DIRECTOR

    R. Allan RyanASSISTANT EDITORS

    Lynn BradshawAlexander Young

    SALES & MARKETING

    Henry RobertsPRODUCTION & CIRCULATION

    Cathy DusomeCOMPTROLLER

    Rose Arciero

    Sign up to receive the free digitaledition of Drug Rep Chronicle,

    in your e-mail inbox athttp://www.drugrep.tkFollow us on Twitter at

    http://www.twitter.com/DrugRepChron

    The future of the pharmaceutical sales rep ..............1, 8The good news is that there is a future beyond field-force downsizing. The bad news is

    that, when it comes, you might not recognize your job

    Which kind of drug rep are you? ..................................1, 5Dr. Shafiq Qaadri classifies and tracks the behaviors and types of the more memo-rable examples of our species

    New hope for reps who are drowning in data................4Article sponsored byGHI Technologies

    Five years from now,who will sell what to whom? ......................................10, 12Prognostications foresee Sanofi and Novartis challenging Pfizers sales supremacy, while

    Humira is set to supplant Lipitor at the top of the charts

    How we do it... at Lundbeck Canada ................................12DRUG REP CHRONICLEsAlexander Young speaks with Domenic Maccarone,senior director of sales at the Montreal-based specialty pharma organization

    Faces/Places: Meet Randy Bucyk ..................................14From shooting the puck for Les Habs to carrying the bag for Merck Frosst Canada,Randys career has always been about winning

    Drug therapies are replacing a lot of medicine as we used toknow it. George W. Bush

    The desire to take medicine is perhaps the greatest featurewhich distinguishes man from animals. William Osler, MD

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    4 Preview Edition

    Pharmaceutical sales reps are either

    drowning in too much data, or not able to

    access the strategic business information

    that they need to do their job effectively, according

    to Tom Kavouras, Vice President of Business

    Intelligence at GHI Technologies in Mississauga,Ont.

    Many pharma companies are still using old

    information systems for data storage and data pro-

    cessing that do not recognize the evolving needs of

    todays pharmaceutical salesforce. And, many are

    not taking advantage of new tech-

    nology options such as cloud

    computing, where both compa-

    ny data and software can be more easi-

    ly accessed on-demand via a

    secure computer connection

    to the internet.

    In addition, the role of

    the pharmaceutical sales rep ischanging from simply promoting

    the companys products to play-

    ing a more active role in the over-

    all planning and management of the

    companys business. However, to do this, they need

    better data and better decision-making tools.

    The good news is that new advances in busi-

    ness intelligence technology are now available that

    effectively address all of these issues new

    options that will change the rules of the game.

    As noted by Graham Hislop, Managing

    Director of GHI Technologies, Sales people can

    now access sales reports and other business infor-

    mation using mobiles devices like their iPhone,iPad, or BlackBerry for the cost of a data plan on

    a cell phone, you can empower your sales reps and

    help them to achieve a much higher level of per-

    formance.

    What is Business Intelligence?Business intelligence [or BI] refers to the various

    activities that a company undertakes to gather and

    analyze sales and marketing information about their

    product sales, their markets, and their competitors.

    In the pharmaceutical industry, an abundance

    of sales and marketing data exists for business

    planning and analysis, with much of it sourced exter-

    nally from suppliers such as IMS Health/Brogan. Inaddition, sales reps can also provide valuable

    input/feedback on company marketing programs, as

    well as play an important role in helping sales man-

    agement to stay in touch with what is happening in

    the marketplace.

    But, the real challenge in most pharma compa-

    nies is not lack of sales and marketing data, but how

    to organize it so that it is user friendly and that is

    where new

    business

    intelligence soft-

    ware tools, such

    as PharmaBI.com

    fit in.

    PharmaBi.com is a powerful new data analy-

    sis and reporting solution, based on a SaaS [soft-

    ware-as-a-service] model, that has been developed

    specifically for pharmaceutical companies by GHI

    Technologies.

    PharmaBi.com is very easy to set up, and can

    be integrated seamlessly with existing Microsoft

    Office software products, such as Excel, as well as

    with other web-based application platforms such as

    Sharepoint. It is also a very flexible decision sup-

    port tool that can be configured in a variety of ways

    for creating standardized reports for tracking and

    benchmarking of sales and market performance, or

    as a fully customized dashboard for in-depth analy-

    ses of ad hoc marketing and sales issues.

    According to Tom Kavouras, With

    PharmBI.com, you can easily and quickly analyse

    ANY type of sales or marketing data from ANY

    database, including easy integration of IMS

    Health/Brogan audit data with sales call data from

    your salesforce CRM system or with any other

    internal sales or marketing data.

    How It Can Help?PharmaBi.com significantly enhances the overall

    business intelligence capabilities of both pharma-

    ceutical sales reps and sales management, and can

    be used for a wide range of business planning and

    analysis applications, that includes:

    Setting of product sales targets [by month, quarter,

    or year] for each sales territory and sales region

    Annual alignment/optimization of sales territories

    [for both existing sales teams, as well as for

    expanded sales teams, and new product

    launches

    Analysis of key performance indicators [KPIs],

    including productsales trends, by sales rep and sales region

    On-going tracking and analysis of sales call activi-

    ty and salesforce productivity [reach, frequen-

    cy, impact on sales, etc.]

    Using PharmaBi.com, sales reps can better

    identify the most valuable physicians on their sales

    territory, and create individualized customer pro-

    files based on physi-

    cian prescribing

    behaviour [ie - what

    drugs these doctors use,

    and how frequently

    they use them]. Italso allows

    them to easily

    track product sales (vs.

    target) each month, and analyze

    where their sales growth is coming from.

    And, from an overall company perspective, it

    provides a tool for sales management to assess the

    impact of various field medical promotions, to evalu-

    ate return on selling effort [ROE], and to determine

    how best to allocate and focus field selling activities

    for maximum sales success.

    The Bottom LineSales managers often have to hunt for importantsales, marketing, and financial data that is frag-

    mented and scattered in different departments

    throughout their company. Using PharmaBI.com, all

    of this critical business intelligence can now be cen-

    tralized and easily turned into an actionable report

    or viewed through an executive dashboard this

    saves enormous amounts of management time and

    effort, and eliminates inefficiencies.

    As PharmaBi.com is a subscription-based

    software service, you also only pay for what you

    use, so this further optimizes your companys total

    return on its investment in business information. In

    fact, by using PharmaBi.com, you may very well

    reduce the total cost of external sales and market-ing data and related consulting services that you

    are currently purchasing.

    With PharmaBi.com, you can now significantly

    raise the existing bar of performance with your

    companys sales team. For a free 30 day trial,

    please contact Graham Hislop at 1-905-821-9210

    (ext 234).

    The idea may bebeginning to dawn onsalesforce managers:

    Why waste time, when

    the answers in the cloud?

    Drowning in dataNew hope for reps who are

    Advertising feature sponsored by GHI Technologies

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    6 Autumn 2011 Edition

    Newsn SINKING HEADCOUNT: Merckwill cut an additional

    13,000 jobs by 2015, despite also reporting strong Q2 sales.

    Revenues rose 7 per cent, to US$12.15 billion, from US$11.35

    billion in the same quarter last year.nNovartis slashed 2,500

    positions across the world last year in a cost-control drive, says

    the Swiss dailyTages Anzeiger.The companys cross-town rival

    Hoffmann-La Roche announced it is moving to eliminate sev-

    eral thousand jobs.n Pfizers global restructuring, aimed at

    axing 20,000 jobs, is underway, and the companys German unit

    seems intent on creating a much smaller field force that empha-

    sizes specialized drugs. The business newspaper Handelsblatt

    reports Pfizer Germany is shifting away from its army of reps

    that once promoted mass-market blockbusters, and excising

    headcount from its primary-care operations.

    nRISING DRUGISTS: Qubec docs say they dont mind if the

    province empowers pharmacists to pick up some of the slack in

    healthcare delivery. Qubec Medical Association (QMA) prexy

    Dr. Ruth Vander Stelt says her members ...agree with a greater

    contribution from pharmacists, but not to the detriment of

    patient safety. Possible expansion of prescribing power to

    druggists may include allowing pharmacists to extend some

    scrips, and adapting a prescription, if the prescribing doc is

    informed and agrees. Quebec MDs say they oppose allowing

    pharmacists to order lab tests.

    n TECHNOLOGY AND OTHER ANNOYANCES:At

    last, a vote of confidence for drug reps over our soulless new

    robotic competitors. Only a third of doctors believe that the use

    of an iPad or similar device during a sales call provides a better

    experience than a sales call from a rep using printed material or

    a traditional laptop. This discovery was published by Mobi

    Health News. Reason docs are sour on iPad apps? Evidently,

    some of the detailing programs currently being used arethought to have been developed hurriedly, and are judged by the

    physicians to be lacking in substance.n In another finding that

    challenges conventional pharma wisdom, e-prescribing may

    increase medication errors, according to a report published in

    the trade magazine InformationWeek. According to the report,

    redundant medication orders occurred more often with com-

    puterized physician order-entries than without. Nub of the

    problem: poor communications at the point where doctors

    hand off information to patients, and defective medication data-

    bases that fail to identify potential duplications.

    nM&A MADNESS: Par Pharmaceutical will buy privately held

    Anchen Pharmaceuticals for $410 million in cash, to pump up

    its generic Rx portfolio

    nPHILANTHROPY: Lundbeck Canada will invest $2.7 mil-

    lion to fund the establishment of the Canadian Depression

    Biomarker Network, a Canada-wide research study into the

    biological markers (biomarkers) of depression involving six

    academic centers across Canada.

    Alexander Young reporting from the DRUG REPCHRONICLE news desk

    the leave-behind is difficult.

    The most amusing leave-behind

    was a talking picture-frame left by

    one of the reps. The young lady was

    selling an antibiotic; to help me

    remember her drug, she got one of

    those talking picture frames in which

    she put her photo and recorded a mes-sage. When I push the button, I heard:

    Dr. Qaadri, please remember our

    anti biotic kills the bugs deader than

    our competitors.

    THE MANAGER REVIEWED

    Reps will often bring in their

    manager for a field visit, and

    sometimes they even tell

    me the day before theyre

    coming. The rep is always

    tense during such encounters, as this issomething of a performance review. And

    even if I can barely recognize my rep

    since he hasnt visited in the past nine

    monthsit is understood I will be pleased

    with his impeccable service.

    With the manager in the room, I find

    my rep is suddenly more courteous, knowl-

    edgeable and obliging. I let the manager

    know my rep has established rapport, taken

    care of my needs, addressed my concerns

    and other worthy goals.

    THE MBAer

    A rep with an MBA is grudgingly doing

    fieldworkand desperately

    waiting to go back to head

    office. They will deny

    this, of course, and give a noble

    spin.

    Ive actually enjoyed

    my time out in the real world, theyll

    say. I meet our customers and find out

    about their needs. This means: Look,

    Im in line to be associate product man-

    ager. Ive got to do five more months of

    penance, and then Ill be rescued by head

    office!

    Once their cover is blown, they relax

    and often share interesting insights into

    the pharmaceutical industry. I sure am

    tired of lugging around all these sam-

    ples, theyll say. The higher-ups don

    see me, and Im missing all the corporate

    politics where all the real decisions are

    made, because out of sight means out ofmind. You cant make marketing director

    like that.

    Which kind ofdrug rep are you?

    continued from page 5

    ttwweeeettss

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    8 Autumn 2011 Edition

    ficial solution to a far more complex prob-

    lem that plagues pharmaceutical compa-

    nies. The main issue is that the selling tech-

    niques of sales reps have become ineffec-

    tive due to shifting trends in the industry.

    One such trend is the growing popu-

    larity of self-prescription through e-pre-scribing. With rising healthcare expendi-

    tures, payers have begun to take health-

    care decisions into their own hands.

    Using e-prescribing, healthcare payers are

    able to influence the prescribing decisions

    of doctors by providing them with clinical

    and financial information. Moving for-

    ward, drug reps need to be more cog-

    nizant of the information privy to payers

    in order to better understand the decision-

    making processes of doctors to whom

    they pitch products.

    Switch to specialties

    A second major trend is the

    shift in pharmaceutical

    development focus from

    primary-care products for

    mass market consump-

    tion to specialist

    t h e r a p i e s .

    Specialist thera-

    pies need to be

    marketed differ-

    ently, as they are

    more complex (for

    example, many of

    the new medi-

    cines will be tar-

    geted at previ-

    ously unrecog-

    nised conditions,

    because the knowl-

    edge required to dis-

    tinguish between

    different disease sub-

    types did not exist),

    requiring diagnostics

    and support services.

    Since specialist

    therapies are

    prescribed by

    s p e c i a l i s t s

    rather than

    general practitioners, the average drug rep

    of the future will need to possess consid-

    erably more scientific knowledge to com-

    municate with well-informed physicians.

    That being said, physicians may not

    even be the focal point of sales calls in the

    future. Sales will be focused less on

    the physician and more on

    the organization (for

    example, government

    programs such as

    Medicare, private insur-

    ance companies, or

    health systems) that pays for the products,

    says Attila Karacsony, Director of Global

    Pharmaceutical and Life Sciences at PwC.

    Finally, a shift in focus towards

    patient education will see sales force

    becoming smaller, smarter, and capable

    of engaging with powerful healthcare

    payers and medical specialists. Th

    importance of education can be attrib-

    uted to both the complexities of special-

    ist therapies and the growing desire of

    patients to know what they are getting

    for their money. Karacsony explains

    The traditional sales rep will likely

    evolve into one more focused on educa-

    tion and be part of an account team that

    manages a relationship with the payer.

    The message is clear: drug reps will

    need to adapt lest they become obsolete

    Rising importance ofpharmacoeconomics

    Simon Jay, president of the pharma-

    ceutical consulting company

    In Initiative Inc., offers this

    insight: The need for in-

    creased scientific knowl-

    edge and the ability to com-

    municate it is growing

    but so is the need for

    the ability to com-

    municate the orga-

    nizational andpotential eco-

    nomic value of

    the company to

    the purchaser or

    payer. Often th

    goes beyond the

    scope of a single

    product and a corpo

    rate approach may be-

    come necessary in order to

    achieve any level of compet-

    itive advantage. Essentiallythe company with the bigger

    basket of goods ma

    prevail because they

    can deliver a

    higher level of

    benefit, sub

    dized across their

    entire offering.

    The future of the Pharmaceutical Sales Repcontinued from page 1

    Among other coming

    changes, sales will be

    focused less on the

    physician and more on

    the organization that

    pays for the products

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    10 Autumn 2011 Edition

    Pfizer will maintain pole-

    position as the worldsbiggest seller of Rxs through

    through 2016, but the com-

    panys perennial market

    leader, atorvastatin (Lipitor), will be passed

    by rheumatoid arthritis Tx adalimumab

    (Humira, Abbott/ Eisai.) That prediction is

    according to a report published by the ana-

    lysts at the U.K. consultancy,

    EvaluatePharma, in their recently

    released World Preview 2016

    (2ndEdition.)

    The report says Lipitors

    patent expiry this year is theforerunner of the steepest decline

    in the industrys patent cliff, with

    US$139 billion predicted to be

    lost from sales of branded Rxs

    between now and 2016. That

    amounts to approximately 20 per

    cent of the entire global pharma-

    ceutical market in 2010, the

    researchers note.

    Meanwhile, the race for the

    top spot among Big Pharma rev-

    enue-producers is going to be

    close, with Sanofi and Novartis breathing down Pfizers neck. All three

    companies are expected to have prescrip-

    tion drug sales in the region of US$50 bil-

    lion by 2016, the report suggests.

    Despite predictions that sales of its

    prescription drugs are set to decline from

    US$54.1 billion last year to US$51.2 bil-

    lion by 2016, Pfizer is expected to hang on

    to the industrys top spot, but just barely,

    with Sanofi and Novartis catching up fast.

    Sanofis US$20

    billion acquisition of

    Genzyme, predicted

    growth in emerging

    markets and its vac-

    cines business have

    significantly boostedthe outlook for the

    French groups phar-

    maceutical revenues.

    Forecast sales in 2016

    of US$50.2 billion are

    US$11.2 billion high-

    er than in the same

    analysis conducted in

    April 2010.

    Prognostications foresee Sanofi and Novartis challenging Pfizers salessupremacy, while Humira is set to supplant Lipitor at the top of the charts

    Five years from now,Prospects for

    Novart is p h a r m a -

    c e u t i c a l

    busi-ness

    h a v e

    been boosted by key regulato-

    ry approvals for oral MS Tx

    fingolimod (Gilenya) and nilo-

    tinib (Tasigna), a successor product to leukemia block

    buster imatinib (Gleevec.)

    The fastest growing com-

    pany in the Top 10 in prescrip-

    tion revenues is expected to be

    Teva, the Israeli clonemeister

    The generics giant is rapidly

    becoming a Big Pharma main-

    stay, through its aggressive

    M&A strategy, which increas-

    ingly spans the industry spec-trum from generics to innova-

    tive technologies.

    The EvaluatePharma re port show

    that Teva increased its share of the global

    generics market to 18 per cent in 2010,

    and the company is well placed to benefit

    the most from the blockbuster patent cliff

    In contrast, the outlook for Merck has

    been tempered somewhat, hit hardest by

    the Phase III failure of novel anti-coagu-

    lant, vorapaxar. A year ago Merck was

    seen as Pfizers closest rival for the top

    spot in 2016, but the company now sitsoutside the top five.

    Letting go of LiptorEstimated global sales of Lipitor of

    US$10.6 billion means 2011 will be the

    last year the cholesterol-lowering agent

    tops the rankings, with Humira expected

    to be the biggest selling medicine in 2012

    with sales of

    Company Worldwideannualsales($bn)2010

    Worldwideannualsales($bn)2016 est.

    Worldwideannualsales ($bn)% growth,2010-16

    Worldwidemarketshare2010

    Worldwidemarketshare2016

    1 Pfizer 54.1 51.2 (1) 8.0 6.02 Sanofi 36.6 50.2 5 5.4 5.9

    3 Novartis 41.4 49.7 3 6.1 5.8

    4 GSK 35.6 45.0 4 5.3 5.3

    5 Roche 35.6 43.6 3 5.3 5.1

    6 Merck 40.4 42.3 1 6.0 5.0

    7 AstraZeneca 32.1 27.0 (3) 4.7 3.2

    8 Abbott 19.9 24.4 3 2.9 2.9

    9 Teva 14.5 23.9 9 2.1 2.8

    10 J&J 20.7 21.0 1 3.1 2.6

    Product,company

    Target Productsales($bn)2010.

    Productsales ($bn)2016 (est)

    Growth%

    1 Humira, Abbott/Eisai RA 6.7 9.7 5

    2 Avastin, Roche Ca 6.2 7.8 33 Rituxan, Roche/Biogen Ca 6.1 7.7 3

    4 Crestor, AstraZeneca Statin 6.1 7.5 3

    5 Enbrel, Takeda/Pfizer RA 7.3 7.2 -6 Advair, GSK Asthma 8.1 7.0 (2)

    7 Januvia/Janumet, Merck Diabetes 3.5 6.8 10

    8 Herceptin, Roche Ca 5.2 6.5 3

    9 Remicade, J&J/Mitsu RA 6.5 6.1 (1)

    10 Prevnar, Pfizer Pneumo 2.4 5.8 13

    who willsell whatto whom?

    EvaluatePharma World Preview 2016

    Please turn to page 12

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    12 Autumn 2011 Edition

    HHooww wwee ddoo iitt... at Lundbeck Canada

    Specialty pharma companies have gained recognition during the past few years for providing aroadmap to the industrys post-blockbuster future. DRUG REP CHRONICLEs Alexander Young recent-

    ly spoke with an industry figure well-versed in the specialty environment: Domenic Maccarone,

    senior director of sales at Montreal-based Lundbeck Canada.

    What is Lundbecks selling philosophy?

    Lundbeck focuses on uncovering the problems physicians face with their currently prescribed medications,

    understanding the implications of such issues with respect to patient care, and demonstrating how Lundbecks

    products provide the best solutions. Recognizing that it is useless to offer a solution to a problem that does not

    exist, it is imperative that sales reps provide value to physicians

    by being able to bring solutions to problems that physicians are

    facing when treating patients.

    Lundbeck has been involved in joint sales ven-tures in the past. What are the advantages and

    disadvantages of now detailing as a single enti-

    ty?

    One of the main advantages of having another company help

    to promote a product is the ability to reach more doctors.

    Lundbecks past partnership with Biovail aided in the launch and

    success of the antidepressant Celexa, as Biovail is a well-estab-

    lished company with knowledge of the territory and strong rela-

    tionships with physicians. Conversely, the challenge of co-pro-

    moting with another company is that they have their own prod-

    ucts and might be calling on the same doctors. Doctors are very

    busy and they only really want to see one rep with one product for one company. Additionally, with co-promo-

    tion, since you cannot control or influence the behavior of another organizations sales force, it is difficult to

    ensure that your companys standard of representation is being met.

    How does Lundbeck currently detail?

    Lundbeck uses a hybrid system, wherein one rep calls on all the physicians in a given territory. Therefore, each

    rep must be knowledgeable enough to address both specialists and GPs, as any given territory will have multi-

    ple types of physicians. With regards to the detailing process itself, since specialists have tougher cases than

    GPs, reps need to spend more time addressing the issues faced by specialists and must rely more on evidence-

    based research and clinical papers when selling pharmaceutical products to them.

    How will Lundbeck ensure its success moving forward,

    given reimbursement trends?

    Reimbursement is a trend in Canada that is going to continue into the future. To ensure its success moving

    forward, Lundbeck, and really any other pharmaceutical company, must be able to demonstrate the value of its

    products to all stakeholders. Price is definitely a consideration, but it should not be the only factor that deter-

    mines whether or not a drug gets listed on the formulary. Lundbeck must provide evidence to show that its

    more expensive drugs offer sufficient value to justify higher costs.

    n Each issue, this feature profiles unique selling approaches and highlights best practices at specific

    organizations. We invite your comments and feedback. Write to: [email protected]

    DomenicMaccarone

    US$8.7 billion. Humira is

    forecast to grow 5 per cent

    annually, to reach US$9.7 bil-

    lion by 2016, almost US$2

    billion higher than its nearest

    challenger, Roches Avastin.

    The cancer antibody was once

    regarded as Lipitors heirapparent before a number of

    clinical and regulatory set-

    backs in the last 18 months.

    Biotech products target-

    ing cancer and rheumatic dis-

    orders are seen accounting for

    six of the Top 10 products in

    2016. Of the three small mol-

    ecule drugs, AstraZenecas

    lipid Rx Crestor has been

    boosted by a successful legal

    defence of its patent until2016. A receding generic

    threat in the U.S. is benefitting

    Glaxos respiratory medicine

    Advair, while Merck & Cos

    Januvia franchise goes from

    strength to strength and is

    expected to dominate the non-

    insulin market for diabetes

    agents.

    Pipelines, patents and

    other unknowables

    According to EvaluatePharmahead Jonathan de Pass: Our

    revised outlook for 2016

    shows how competitive the

    landscape will be for the big

    pharma playerskey pipeline

    successes or failures, or the

    outcome of courtroom patent

    battles, could dramatically

    change the current picture.

    More information on

    EvaluatePharmas World Pre-

    view 2016, which assesses

    forecasted trends in prescrip-tion drug sales, R&D spend,

    therapy area growth and the

    performance of marketed and

    pipeline products, can be

    found at EvaluatePharmas

    website, www.evaluatephar-

    ma.com.

    Five yearscontinued from page 10

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    Canadas Answer to Quality in Contract Sales

    www.vanguardpharma.com

    [email protected]

    800.573.2031

    What Pharmaceutical Representatives

    Should Know About Us:

    Were a contract sales company tha

    operates like a big pharma company!

    Fully salaried positions never fee/call

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    The best representative support

    system in the contract selling business!

    What PharmaceuticalCompanies

    Should Know About Us:

    Nearly 20 years of success in Canada

    (1993-present)

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    in 2011

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    leaves, illness leaves)

    Turn-key national programs An impressive track record of project

    renewals and success!

    To request a Capabilites Presentation or to submit a resume:

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    14 Autumn 2011 Edition

    Meet Randy Bucyk, a representative with Merck Frosst Canada, the Kirkland,Que.-based unit of the worlds second-largest healthcare company.

    For Randy, there is no such thing as a typical work day at Merck. Some days are spent out in the field talking withclients and reps, whereas other days involve office work analysing reports regarding market share and budget utilization, to

    name two examples. That being said, Randy derives his job satisfaction from the fact that each day brings its own new set of chal-

    lenges.

    After a 10 year career as a professional hockey player, which included stints with the Montreal Canadiens and Calgary Flames

    and culminated in a Stanley Cup ring, Randy went back to school to finish his engineering degree. Randy used this educational

    background as a platform to launch a career in technical sales with Merck.

    For Randy, the transition from a career in athletics to one in pharmaceutical sales was logical, as the two professions demandsimilar traits for success. For example, the leadership and teamwork skills that Randy developed as a professional athlete are those

    that he uses on a daily basis at Merck. Randy has also found value in sharing his unique experiences as a means to connect with

    clients and associates on a more personal level and to facilitate better communication.

    Medicine makes people ill, mathematics makes them sad, and theology makes them sinful.Martin Luther

    The last sound on the worthless earth will be two human beings trying to launch a homemade space-ship and already quarreling about where they are going next. William Faulkner

    Faces/Places

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