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    CORPORATE BRANDING IN THE PHARMACEUTICAL

    INDUSTRY - AN INVESTIGATION INTO HOW IMPORTANT IS

    CORPORATE BRAND FOR THE GENERAL PRACTITIONERS

    By

    KALINKA MARKOVA DE MONTILLE

    KWAZULU NATAL (SOUTH AFRICA)

    NOVEMBER 2005

    A research report submitted to Regent Business School,

    Durban, South Africa in part fulfilment of the requirements

    for the degree Master of Business Administration.

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    CHAPTER 2: LITERATURE REVIEW

    2.1 INTRODUCTION

    For the pharmaceutical industry, brands are the means by which the science is

    translated into a commercially viable reality (Robins, 2004:4).

    Pharmaceutical companies face a series of significant challenges that are affecting

    their ability to maintain growth and sustain earning levels. To operate and succeed in

    the complex and highly regulated competitive environment, pharmaceutical

    companies know that brands are more than just products and services. They know

    that brands are also, what the company does and, more importantly, what the

    company is (Davis, 2002:1). What product branding doesnt allow are economies of

    scale, endorsements and instant credibility (Davis, 2002:3).

    Despite the progress made in understanding and engagement with the dynamics of a

    rapidly changing market, companies are missing opportunities to leverage the

    corporate brand (Colyer, 2003, deLor, 2004, Doherty, 2004, Druckenmiller, 2002).

    Many prescription drugs reside in isolation with little visual corporate brand

    endorsement or visual connection to each other (deLor & Bowman, 2003:42).

    As pharmaceutical companies communicate through an ever-widening spectrum of

    channels to an increasing number of audiences, putting a unified face on those

    communications will increase their impact and value. Corporate brand is important forbuilding reputation, credibility, expertise, trust, and differentiation.

    The purpose of the literature review is to set the study subject in a broader context

    through investigation of the relevant literature. Key theories and arguments in the

    literature will be identified.

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    2.2 THE CONCEPT OF A BRAND

    Brands and branding, as traditionally understood, were subject to continuous review

    and redefining. There are number of definitions of brand. According to AmericanMarketing Association, brand is a name, term, sigh, symbol, or design, or a

    combination of them, intended to identify the goods and services of one seller or

    group of sellers and to differentiate them from those of competitors (Kotler,

    2000:404). A more universally applicable definition describes brand as a cluster of

    functional and emotional values which promises stake holders a particular

    experience (de Chernatony and Dalllmo, 1999:4). In its simplest form, a brand

    represents the promises that the product makes (Blackett, 2004:4).

    According to de Chernatony (2001:4), one way to explain the characteristics of the

    brand is through the brand triangle, shown on Figure 2.1, which is suitable for brands

    in different contexts. Using a laddering technique, the brand triangle shows how

    functional values are linked with emotional values, and the promised experience.

    Figure: 2.1. The Brand Triangle

    Source: Adopted from de Chernatony (2001) Would a brand smell any sweeter by a

    corporate name?

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    The concept ofbranding has developed over the years. Within traditional branding

    model, the goal was to build the brand and to create brand image, which derived

    short-term results (Aaker and Joachimsthaler, 2000). The modern concept of branding

    can be applied to anything from product and services to companies and evencountries (Clifton, 2004:1). Kotler (2000:404) regards branding as a major issue of

    product strategy.

    According to Kapferer (1997:25), the value of the brand comes from its ability to

    gain an exclusive, positive and prominent meaning in the minds of a large number of

    customers. Combinations of four factors determine the perceived value of the brand

    for the consumer: brand awareness, perceived quality, confidence, and image(Kapferer, 1997:37).

    Figure: 2.2 Perceived Value

    ImageBrand

    Awareness

    ConfidencePerceived

    Quality

    Source: Adapted from Kapferer (1997) Strategic Brand Management, London: Kogan

    Page.

    Brand Equity and Brand Awareness

    One method of assessing the success of a brand is through brand equity, which is the

    sum of all different values people attach to the brand. Brand equity can include the

    monetary value, the intangible value, and the perceived quality attributed to the

    product independent of its features. Aaker and Joachimstaler (2000:17) define brand

    equity as brand assets and liabilities connected to the brand that add to, or detract

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    from its value to the customer and to the business. Aaker (2004a:2) refer to the

    elements of brand equity as: brand awareness, brand reputation, brand differentiation,

    brand relevance and brand loyalty.

    Figure: 2.3. Brand Equity

    Brand Equity

    Source: Adopted from Aaker (2004a) Even Brands Need Spring Cleaning, book

    excerpt from Brand Portfolio Strategy. Brandweek, March 8, 2004, vol.45. No10

    Brand awareness describes how well the brand is known in the market place. Brand

    awareness is achieved through market communication to promote the brand identity

    (Aaker, 2004a:1). Because people like the familiar it links to other aspects of brand

    equity (Aaker and Joachimstaler, 2000:17).

    Brand reputation reflects how the brand is regarded in the marketplace and does it

    have high perceived quality (Aaker, 2004a:2). Perceived quality influences brand

    associations and affect brand profitability (Aaker, 2004b:8).

    Brand differentiation refers to any point of differentiation that brand has (Aaker,

    2004a:2).

    Brand relevance refers to whether the brand is relevant to todays customers and

    todays applications (Aaker, 2004a:2).

    Brand loyalty refers to the commitment of customer segments to a brand (Aaker,2004a:2). According to Travis (in Nissim, 2005:1), creating customer loyalty is

    Perceived

    Reputation

    Brand

    Differentiation

    Brand

    relevanceBrand

    Awareness

    Brand

    Loyalty

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    neither strategic nor tactic; rather, it is the ultimate objective and meaning of brand

    equity. Brand loyalty is brand equity.

    Customer-Based Brand Equity (CBBE) model is based on the premise that theower of a brand lies in what customers have learned, felt, seen and heard about the

    gnize a brand for what it is and can identify

    in different conditions. This does not mean they prefer that brand - brand

    the category or a purchase or usage

    brand only after hearing or seeing

    .

    gory and your brand comes first to mind.

    flected by the association in their minds

    hen they think of the brand. According to Keller (2003:70), brand image is created

    p

    brand as a result of their experiences over time (Keller, 2003:59). CBBE is derived

    from brand awareness and brand image.

    Brand awarenessis when customers reco

    it

    preference, or attach high value to it. According to Keller (2003:67), Brand awarenessconsists of brand recognition and brand recall.

    a)Brand recognition is the consumers ability to confirm prior exposure to the brand

    when given a brand as a cue (Keller, 2003:67).

    b) Brand recall is the consumers ability to retrieve the brand from memory when

    given the product category, the needs fulfilled by

    situation as cue (Keller, 2003:67).

    Aided awareness is when the customer recognizes a

    it

    Top-of-mindawareness is when a customer is asked to name brands within a

    cate

    Brand image is consumers perceptions as re

    w

    by marketing programs that link strong, favorable and unique associations to the

    brand in the memory. These associations are created also through direct experience

    or with the brands identification with a certain company, person, place or event.

    Growth Codes

    From an analysis of over 1000 winning brands Buchholz and Wrdemann (2000)

    uggest that winning brands achieve outstanding growth in terms of sales and markets

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    The significance of brand equity has been demonstrated by various studies. One of

    them is Interbrands annual study on the worlds most valuable brands which receives

    ANDING IN THE PHARMACEUTICAL INDUSTRY.

    substantial coverage in the pages of Business Week. In the latest (2005) studythere is

    no pharmaceutical company within the top 20 best global brands. The pharmaceuticalindustrys powerhouse Pfizer, with 11 products, each earning more than $1 billion

    in annual sales in 2004, is in 31st position, down from 29th in 2004 (Business

    Week,2005:68, 2004:69)

    2.3 THE ROLE OF BR

    2.3.1 Pharmaceutical Industry Background

    The origins of the modern pharmaceutical industry can be traced to the 19 th century.

    fizer and Merck in America, Roche, Ciba-Geigy and Sandoz in Europe all started

    come firmly established

    ithin the pharmaceutical industry. Discovery of penicillin in 1940s was a major

    s, the industry expanded, benefiting from new discoveries. The healthcare

    pending boomed as economies prospered. There were no strict controls on research

    P

    out as family chemical companies. Slowly but steadily many companies moved into

    synthetic pharmaceuticals and eventually to global players.

    During the 1940s and 50s, research and development be

    w

    sensation throughout the scientific community and Pfizer made medical history when

    it became the first company to successfully mass-produce penicillin (Rodengen,

    2000:11).

    In the 1960

    s

    and development (R&D), drug approvals and marketing. However, during this time,

    the new legislation was passed in the USA that completely transformed the

    pharmaceutical industry. By 1978 the average time needed to discover and develop

    new drugs to meet the FDAs expanded requirements and then undergo regulatory

    review had reached 14years or more (Rodengen, 1999:96). Thus, consuming an

    increasing percent of the 17 years - the length of time then covered by patents. As a

    consequence, it became much harder for the pharmaceutical companies to recoup their

    investment in order to fund future research. By year 2000, the time taken for drugs to

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    share by adhering to specific lows when activating a specific purchase motive in the

    customers mind. They are called Growth Codes, which form the basis of a new

    approach to brand marketing (Buchholz and Wrdemann, 2000:5). The authors

    arranged the Growth Codes behind five portals in the consumers mind: benefitsand promises; norms and values; perceptions and programs; identity and self-

    expression; and emotions and love. According to the authors, the success of

    migration principle (e.g. to migrate into a different or even unexpected mental

    drawer where your brand can better unfold) can be replicated in any market, any

    product, service, or institutions.

    Emotional Branding

    Gob (2001:28) believes that building the right emotion in a brand is the most

    portant investment. According to his view, the concept of emotional branding

    1 Shift from consumers to people

    im

    replaces the traditional concept of brand awareness and brings a dimension of

    personalized relationship into equation.Shifts from old concept of brand awareness

    to this new model are illustrated by the ten commandments of emotional branding:

    Table: 2.4. Ten Commandments of Emotional Branding

    2 Shift from product toexperience

    3 Shift from honesty to trust

    4 Shift from quality to preference

    5 Shift from notoriety to aspiration

    6 Shift from identity to personality

    7 Shift from function to feel

    8 Shift from communication to dialogue

    9 Shift from ubiquity to presence

    10 Shift from service to relationship

    Source: A Branding: The Ten Commandmentsdopted from Gob, (2001) Emotional

    of Emotional Branding, New York, Allworth Press.

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    make from laboratory to market increased by nearly seven years. Most of the increase

    occurred in the clinical development phase. The average number of trials and the

    number of patients for each new drug application also have increased (IMS, 2004:1).

    The pharmaceutical industrys success lay in discovering, developing, and marketinginnovative medicines. The quality of the medicine was the most important

    differentiating factor. As there are huge risks involved in discovering, developing, and

    bringing a new drug to market, companies are looking for ways to improve

    productivity of R&D, widen product portfolios and optimise sales and marketing

    costs. It typically costs more than $500 million to bring one new drug to the market

    and for every drug successfully brought to the market, there are 5 000-10 000

    unsuccessful compounds screened and 250 that undergo preclinical testing (PharmaMarketing News, 2005:8). In response to these challenges, pharmaceutical industry

    continues to undergo a period of consolidation and rationalisation. The latest mergers

    and acquisitions within the industry testify to the high value placed on innovation, and

    the cost of achieving this (Blackett & Robbins, 2001:2).

    2.3.2 Pharmaceutical Industry in South Africa

    S.As health system is both First World and Third World with less than 17%

    aving access to the best walk-in healthcare while the majority remains reliant on a

    th Africa were uncontrolled and high. The

    ational Drug Policy (NDP) and its amendments have a direct impact on

    h

    public health system (DoH, 1995:2). In 2002, private sector spending and out-of-

    pocket payments accounted for 63% of total health expenditure (Health Systems

    Trust, 2002). Since coming to power in 1994, the ANC government has been

    determined to redress the many years of health care deficiencies, most notably the

    lack of equity in access to essential drugs.

    In the past, prices of pharmaceuticals in Sou

    N

    pharmaceutical industry with special reference to transparent pricing system and

    reduction of cost of medicines; compulsory generic substitution at pharmacy level; the

    Essential Drug List (EDL) and its selection criteria; compulsory licensing;

    international tendering and parallel importation (DoH, 2002). The new changes affect

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    every player in the private sector medicine chain - manufacturers, distributors,

    wholesalers, pharmacists, and private hospital groups.

    The latest regulations bring SA into line with developed nations such as the UK,

    A pharmaceutical market is the largest in Africa and was estimated at US$1.5 billion

    France, Canada, and Australia that have introduced similar laws to control healthcare

    expenditure and drug selection/availability.

    S

    at retail prices in 2002 (IMS Health, 2003). The two local corporations, Adcock

    Ingram and Aspen represented 23.7% of the market. There are 15 leading

    multinational pharmaceutical companies represented in SA, and the leading

    prescription product on the market is Pfizers Lipitor (IMS Health, 2003:30-32).

    2.3.3 Pharmaceutical Brands

    There are three categories of pharmaceutical brands:

    Prescription-only medicines,

    2. tical generic drugs, which according to IMS Health data

    3. edicines purchased without a prescription. They

    Each o uires very different marketing and branding strategies.

    harmaceutical brands are also primary care products and specialist products.

    r structure.

    roduct branding for prescription drugs (ethical drugs) has been the most important in

    1. Original brands or ethical drugs which are

    representedin 2002 38.1% of the market share by value and 15.5% by volume.

    (IMS, 2003:32)

    Branded and iden

    (2003:32-33), accounted for 22.4% of SA private drug market by value and

    36% by volume in 2002.

    Over-the-counter (OTC) m

    are branded or generic.

    f the three categories req

    PPrimary care products are generally prescribed by GPs, whereas treatment with

    specialist products is typically initiated in hospitals. Sales volume, marketing spend

    and skills required differ for these two categories.

    Many companies have all the categories within thei

    P

    the industry due to the greater technological differentiation and to the patent system(Colyer, 2003:1). In the pharmaceutical industry, patent protection is a critical asset,

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    as it allows companies to sustain the price premium needed to recover the R&D

    investments. Given the high attrition rates of new chemical entities (NCEs) it is no

    surprise that block buster or mega brand drugs have had the potential to

    determine the fortunes of pharmaceutical companies. However, overdependence on ablockbusters can render a company highly vulnerable to generic competition once

    patent expire. Typically, the generic version will erode 70% or more of the branded

    drug sales in one year (Cleland et al, 2004:51).

    Brands thrive where the relationship between buyer and seller is direct and open,

    ccording to Doherty (2004:3), three factors are influencing pharmaceutical brand:

    mers;

    elf.

    Blackett & Robbins (2001) and Cleland

    egulatory environment

    egulatory bodies, such as managed healthcare as well as the role and impact of

    where choice is transparent, and availability unrestricted (Blackett & Robbins,

    2001:1). Few of these requirements exist within the prescription pharmaceuticalmarket.

    A

    The regulatory environment;

    The relationship with its custo

    How pharmaceutical industry sees its

    This view is shared by other authors such as

    et al (2004).

    R

    R

    government and its public policy challenges - Act 90 and single exit price (SEP)

    currently implemented in South Africa - control and sanction the availability of

    medicines, determines what the patient pays, and control the advertising and

    promotion of prescription drugs. National Health Act of 2004 (Act 61 of 2003),

    provides a framework for national health system in South Africa, comprising public,

    private, and non-governmental providers. This will create move towards the creation

    of centralised formularies at Primary Care level, offering the GPs clearly defined

    prescribing options.

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    Pharmaceutical brands relationship with its customers

    arget audiences are no longer limited only to doctors. Currently, there are four

    anaged health care organisations and government,

    he brand is the focal point for competing for the choice of all these stakeholders and

    octors

    T

    distinctly different customers: doctors,

    payers m

    pharmacists,

    patients

    T

    depends on how they interact, and the degree of influence they have on one another.(Cleland et al, 2004:51, Colyer, 2003:1, deLor, 2003:3)

    D

    s prescription drugs in South Africa get no public promotion, doctors are the core

    ayers

    A

    audience for pharmaceutical companies. While no longer the primary influencer of

    prescribing, the GP is still the interface with the patient and can make a prescribing

    choice between drugs. A doctors choice of medication depends not only on her/his

    knowledge of the range of available treatment, but also on prescription guidelines

    (Cleland et al, 2004, Thomas, 2005).

    P

    s GPs influence on a choice of medication has been reduced, pharmaceuticalA

    companies are focusing their marketing efforts on the new areas of prescription

    influence the payers. These are managed healthcare and government authorities,

    which determine the formularies, and key opinion leaders (KOL) (Cleland et al, 2004,

    Thomas, 2005).

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    Pharmacists

    harmacists can influence the patients choice by making recommendations, making

    atients

    P

    substitutions with the generic drug, or substituting the drug with another from theformulary, called therapeutic substitution (DoH, 2002).

    P

    nlike most markets where consumers make their own brand choice and purchase

    ow the pharmaceutical industry sees itself

    n important challenge for the pharmaceutical industry is the way in which they

    le

    .3.4 Branding of Prescription-only medicines (ethical drugs)

    U

    decisions, patients - the end-users of medicines, pass their brand choice for

    prescription drugs to external parties a GP or specialist who writes the script, andsometimes even to the pharmacist. However, patients are now taking a more active

    interest in their health, thus becoming much more involved in the treatment decision

    and in the choice of medicine.

    H

    A

    present themselves to the world. The public outcry for greater management

    accountability is driving corporate reputation as a critical concern (deLor, 2003:1).

    Pharmaceutical companies are building healthcare partnerships with its most valuab

    customers doctors. Companies are aiming at presenting themselves as a solution

    provider in debate for healthcare quality (Kelly, 2003:1). Pfizers commitment to

    innovation and R&D supports its image as a company that makes and sells knowledge

    and manufacturing is incidental (Rodengen, 1999:102).

    o thrive in today's complex and highly regulated competitive environment,

    2

    T

    pharmaceutical companies must be able to optimise the value of their brands for

    ethical drugs.Although companies are spending a lot of time and effort in improving

    the performance of sales and marketing, the difference between the best performers in

    the industry and the rest is often marginal (Doherty,2004:1).Therefore, building and

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    maintaining distinctive and recognizable brands is very important. Additional sources

    of value, such as the equity inherent in the brand itself now supplement the traditional

    emphasis on patents. Managing brand equity has become major imperative in

    pharmaceutical industry. Brand equity and its set of assets awareness, customerloyalty, reputation and perceived quality, differentiation, and relevance, linked to

    brand name - add value to pharmaceutical products, and thus giving customers a

    reason to prescribe, buy and use.

    According to Robins (2004:2), getting the branding right will never compensate for a

    elevance

    poor product, but getting the branding wrong can make the difference between good

    brand and great brand recognition and loyalty. She suggests that great brands have tomeet key criteria: relevance, credibility, differentiation, and stretch.

    R

    ing of the behaviour and characteristics of the stakeholder segments, the

    redibility

    Understand

    unmet needs in the market and the existing brand dynamics of the therapeutic area is

    crucial to determining the relevance of the window of brand opportunity (Robins,

    2004:2).

    C

    icals brands require careful management to ensure credibility. Brand

    ifferentiation

    Pharmaceut

    identities must be credible across all target audiences. Some brands, such as those for

    erectile dysfunction, could become lifestyle-related products without damaging

    credibility compare to other drugs, such as those for lowering cholesterol or

    controlling hypertension, which demand much more science information.

    D

    the ability of doctors, buyers, and users to interpret and processBrands enhance

    information, gain confidence and provide the rationale in their decisions. Many

    pharmaceutical companies have focused on establishing brand recognition. However,

    with proliferation of products, many of which are with similar safety and efficacy,

    product differentiation is very limited in many therapeutic areas (Cleland et al,

    2004:52). Therefore, pharmaceutical companies are trying to add value into their

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    propositions to satisfy stakeholder needs while differentiating their offering (Cleland

    et al, 2004:52).

    Stretchng to Robins (2004:1), the branding foundations should be sufficiently

    epth of brand awareness

    Accordi

    flexible to accommodate changes in the market and for the post-patent life of the

    brand.

    D

    ess among consumers, and their perception of the brand are

    rand loyalty

    The depth of brand awaren

    very important as well. However, foundations of brand familiarity first need to beestablished.

    B

    le investment required for the development of new drugs mean that

    uct branding for prescription-only

    2004:2-4), establishing clear and differentiating brand values

    randing of prescription drugs to the GPs

    The considerab

    pharmaceutical companies must establish brand loyalty throughout a products

    lifecycle in order to protect sales at patent expiry.

    Because of shrinking periods of exclusivity, prod

    medicines is becoming a part of the pre-launch process (Doherty, 2004, Kregor, 2004,

    Robins, 2004, Thomas, 2005). Pfizer for example, involves marketing at the drug

    discovery stage and claims to make blockbuster drugs rather than discover them

    (McKinnell, 2002:1).

    According to Kregor (

    both functional and emotional - is an important task. He points that different products

    will have a different emphasis between the product-based functional values and the

    emotional values during different stages of its lifecycle.

    B

    ecause of the changing environment, traditional way of branding prescription drugsB

    to the GPs has changed. For decades, pharmaceutical companies have relied on a

    model where sales representatives visit doctors, explaining the benefits of the drug.

    This model was successful in raising doctors awareness of the range of available

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    medicines. As the number of sales representatives grows and the face time with

    doctors diminishes, creating expertise in a disease category is one way of

    differentiating the product messages (deLor & Bowman, 2003:42).

    According to Doherty (2004:4), selling a drug based on functional advantage is a

    harmaceutical companies are now moving from branding a drug to branding a

    ddressing doctors evolving needs include not only providing product information; it

    harmaceutical companies also use the Internet to interact with the healthcare

    randing of prescription drugs to the patients

    short-term goal as product differentiation is very limited in many therapeutic areas.

    That is why pharmaceutical companies are trying to recognize and meet the other

    needs underlying doctors choice of medicine: treatment needs, role based needs and

    personal needs (Doherty, 2004:3).

    Pcondition (Robins, 2004:2). Developing propositions around therapeutic categories

    does not replace the need for a good product with excellent efficacy and safety, but

    adds more value for all stakeholders and helps differentiate the offering (Cleland,

    2004:52).

    A

    also includes providing service that supports the total management of patients

    condition (Cleland, 2004:52, Thomas, 2005:17). By helping doctors to increase their

    knowledge of various conditions and drug treatments pharmaceutical companies can

    help to create an affinity and trust for certain brands and thus promoting brand loyalty.

    P

    profession. Use of tools such as eDetailing (available in UK and USA) enable

    pharmaceutical companies to target GPs with relevant information on new drugs or

    products, including clinical trial data, prescribing information and marketing materials

    (Thomas, 2005:17).

    B

    harmaceutical branding for prescription drugs is an important way of creatingP

    awareness among the public of the potential benefits of medicines. The shift in patient

    power has created a push-pull dynamic, that changed the way in which

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    pharmaceutical brand is brought to the market (Cleland et al, 2004, Colyer, 2003,

    Doherty, 2004, Kregor, 2004, Thomas, 2005). The more the patient is involved in

    the treatment decision the more brand has role to play. Patient pull can effectively

    extend the life of a product beyond its clinical differentiation (Kregor, 2004:3).

    According to Cleland et al (2004:55), it is important to address both the

    lthough regulations in SA and Europe limit the use of DTC websites, companies can

    uilding patient continuum

    functional/rational and emotional needs of the customers. Robins (2004:2),

    acknowledges the importance of the language surrounding the brand which plays a

    critical role in helping to shift mindsets and influence behaviour. Example is the

    transition from impotence through erectile dysfunction, to the acronym ED.

    A

    still raise disease and treatment awareness without directly promoting a drug. Better-

    informed patients are more involved in the decision-making process of their

    treatment.

    B

    order to build effective and long-lasting relationships with patients, pharmaceutical

    ondition Awareness companies areproviding relevant health information to help

    reatment Awarenesscan help promote patient preference for a particular drug.

    rescription Request - Studies have shown that 70% of consumers requests for

    crease compliance and treatment success rates with educational programs that help

    patients understand why a drug should be taken regularly as prescribed.

    In

    companies are providing them with valuable information during the different stages of

    their conditions.

    C

    patients recognize symptoms. The more aware potential users are about their

    condition, the more likely they are to seek treatment.

    T

    P

    specific prescriptions are honored by doctors (Cleland et al, 2004:51).

    In

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    Patients word-of-mouth is one way to expand market coverage and generate further

    brand equity.

    Branding of prescription drugs to the payers

    nnot afford to ignore payers and their

    eeds in the branding process (Cleland et al, 2004, Colyer, 2003, Thomas, 2005).

    understanding and engagement with the dynamics of a

    pidly changing market, pharmaceutical companies are missing opportunities to

    gs reside in isolation with little visual corporate brand

    ndorsement or visual connection to each other (deLor & Bowman, 2003:42). As

    Pharmaceutical companies recognize that they ca

    n

    Thus, companies are taking messages to the market, which are far more sophisticated.

    This means the companies have to not only show the drug to be efficacious, but also

    what are the added medical benefits for the patients that receive the product. The

    interests in health economics - cost effectiveness, include savings from a reduction inhospital admission to a decrease in side effects that could demand additional

    medication (Colyer, 2003:2).

    Despite the progress made in

    ra

    leverage the corporate brand (Colyer, 2003, deLor, 2004, Doherty, 2004,

    Druckenmiller, 2002).

    Many prescription dru

    e

    pharmaceutical companies communicate through an ever-widening spectrum of

    channels to an increasing number of audiences, putting a unified face on those

    communications will increase their impact and value.

    2.4 CORPORATE BRANDING

    2.4.1 Overview

    The concept of a corporate brand is the same as the concept of a product brand; it is

    e enactment of brands that is different (de Chernatony, 2001:18).In the past decadeth

    there was a much greater recognition of the importance and power of the corporate

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    brand by businesses. Business began shifting their focus from product brands to

    corporate branding (de Chernatony, 1999:26).

    With product branding, the product or service is synonymous with the brand. It

    ccording to Aaker (2004b:6), corporate brand represents an organization that stands

    he changing role of brands from marketing tool to an organizational principle for

    ccording to Aaker and Detert (2004:2), corporate brand represents an organization

    strives to build trust in the brand by allowing the consumer to fit product perceptions

    and brand image into one (Davis, 2002:3). According to de Chernatony (2001:6), the

    enactment of the brand concentrates predominantly on externally focused activities.

    Enactment of the corporate brand, on the other hand, follows a different process

    which is attentive to the needs of stakeholders rather than just consumers (de

    Chernatony, 2001:6).

    A

    behind its products in spirit and substance. Davis (2002:3) defines corporate

    branding as a composite of all the experiences, encounters and perceptions a

    customer has with a company. It means that all communications - internal and

    external, are aimed at presenting a single, unified message. The underlying motivator,

    according to Davis, is to build trust in the company not in a particular product or

    service. Sony is an example of ultimate corporate endorser with its name firmly

    attached to everything from its DVD to the Play Station (Davis, 2002:3).

    T

    business is part of a historical trend. Initially, brands differentiated one product from

    another. Now, brands define relationships with all their audiences, especially investors

    and employees (Interbrand, 2001:3).

    A

    and reflects its heritage, values, culture, people and strategy, as shown on Figure 2.4.

    de Chernatony (2001:11) states that values are at the core of the corporate brand.

    According to him, there are four value sources, as shown on Figure 2.3, which are

    interlinked and are a critical component for corporate brand success. They must be

    built into the product, expressed in behavior, and reflected in communication.

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    Figure: 2.5. Inter-relationship between Value Sources

    ource: Adopted from de Chernatony (2001) Would a brand smell any sweeter by a

    Organizational Individual

    Employees

    VISION

    Culture

    Values

    S

    corporate name?

    According to Aaker (2004b:8) values and priorities are the very essence of a

    .4.2 Corporate Branding in the Pharmaceutical Industry

    company. Innovation, perceived quality and customer concern are three values and

    priorities which are most frequently seen as drivers of corporate brands.

    he research conducted in the 2001 BrandPower Study by Corporate Branding

    he study was based on survey of senior business executives from top 20% of US

    corporations. The respondents represented dual audience- end-consumers of prescription drugs

    and had influence over financial investment decisions.)

    2

    Treveals importance of the companys image within the pharmaceutical industry

    (Corporate branding, 2001:1). The study, which rated 34 leading pharmaceutical

    companies on their relative strengths across a list of 24 key brand attributes, found

    that the majority of these companies have relatively weak corporate brands.

    (T

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    The study showed that the strongest brands in the pharmaceutical industry are diversified

    consumer products giants such as Johnson & Johnson, Procter & Gamble and 3M and that

    they scored well ahead of their purely pharmaceutical-focused peers Pfizer, Eli Lilly, and

    In its 2

    the mo able corporate brands as: General Electric, Microsoft, Exxon Mobil,

    uge how well known and how well thought of a corporate

    rand is among senior business decision-makers, a group defined as vice presidents or higher

    Pharma

    limited

    (2004), an overall marketing investment of $450 million to $1 billion is required for

    Merk.

    002 and 2004 surveys, Corporate Branding ranked the top 10 companies with

    st valu

    Wal-Mart, Johnson & Johnson, Pfizer, IBM, Toyota, Procter & Gamble and Coca-

    Cola (CoreBrand, 2002, 2004).

    For the study, CoreBrand collected Familiarity and Favourability ratings for the largest

    publicly traded companies to ga

    b

    at the top 20% of US corporations based on revenue.

    ceutical companies spend hundreds of millions of dollars to create brands with

    life span (8-10 years), and market them individually. According to IMS

    new blockbusters during the first two years of launch. (Much of this spend has to be

    directed to convincing new groups of stakeholders of a treatments value andefficacy.) At the same time, their corporate brands are passively and indirectly

    managed through the opinions of regulatory bodies and the press.

    A number of marketing consultants (Blackett & Robbins (2001); Colyer (2003);

    deLor (2004); deLor & Bowman (2003); Doherty (2004); Stibel and Kapoor (2002);

    Robins (2004)) believe that pharmaceutical companies have failed to make product

    and corporate brand benefit each other. However, even in the case of Pfizer, Stibel

    and Kapoor (2002:2) believe that the success in creating a significant corporate brand

    is accidental and that the company passively benefit from the Viagra buzz.

    According to Aaker and Detert (2004) and a number of other authors (DeLor (2004),

    brand has the flexibility to play severalDoherty (2004), Aaker (2004b)), the corporate

    roles within the brand portfolio.

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    Advantages of strong corporate brand

    Corporate brand as differentiator

    The corporate brand defines the firm that will deliver and stand behind specific

    roducts or therapies (Aaker, 2004b:1). With proliferation of products, many of whichp

    have similar efficacy and safety standards, product differentiation is very limited in

    many therapeutic drug classes. At the same time, organizations are very different;

    therefore, a corporate brand can potentially find differentiation in the organizational

    associations (Aaker, 2004b:10). Thus, a strong corporate brand can have a huge

    impact on establishing preference for companys products.

    Corporate brand defines company's uniqueness

    By developing brand awareness strategies to define a company's uniqueness,

    harmaceutical companies can maximize its recognition and set it apart from

    and as endorser to

    p

    competitors.

    Corporate br key products

    aceutical companies can

    nhance their perceived credibility and differentiation (Aaker and Detert, 2004:2).

    By using corporate brand to endorse key products, pharm

    e

    Corporate brand provides credibility

    A strong corporate brand provides credibility to key therapeutic areas. Some

    ompanies are more strongly associated with a particular therapeutic area than others

    tation for innovation

    c

    are (Aaker and Detert, 2004:2).

    Corporate brand provides repu

    hus corporate brand offers

    redibility through endorsement (Aaker and Detert, 2004:2). Pfizer, for example,

    A reputation for innovation enhances credibility, t

    c

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    initiates marketing at the drug discovery stage. The company used its corporate logo

    on Caduet to support the product brand before launch and to create a relationship

    between the company, the therapeutic area, and the product (DeLor, 2004:1).

    Corporate brand requires less brand-building resources

    The corporate brand requires less brand-building resources, thus reducing the cost of

    unching new drugs and increasing the speed of market acceptance (Aaker, 2004b:7).la

    Corporate brand can achieve economies of communication

    The use of the corporate name helps to communicate to professional audiences the

    trength of the companys brand portfolio and thus achieving economies ofs

    communication (Ind, 1997:3). As a result, all of a companys products support each

    other through a communication endorsement. In his presentation to the AMA,

    Druckenmiller (2002:2), points out that Pfizer have broadened and changed its selling

    channels, bringing into play a greater diversity of audiences for whom different

    attributes of a corporate brand are important.

    Long-term benefit after patent expiration

    In the long term - after product patent expiration, what remains is the value of the

    orporate brand.

    can strengthen customer relationship

    c

    Corporate brand

    elationship that is different

    om that of the product brand (Aaker, 2004b:11).

    The corporate brand provides a message for the customer r

    fr

    Doctors

    Doctors want to be associated with a trusted partner and the corporate brand will

    t and that might influence their prescribing decisions (Doherty, 2004:3).

    Trust is easier to develop for an organisation than for a product. In addition, doctors

    mean trus

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    are more likely to see sales representatives from well-known companies than from

    less well-known companies. More doctor details translate directly into higher sales

    (Colyer, 2003:3, DeLor, 2004:2).

    Patients

    A strong corporate brand can be an asset in gaining patients trust and loyalty. Strong

    ompany brand means patients know who make their medicine. As patients are

    gly interested in learning more about disease states and treatment options

    c

    increasin

    information from well-known and admired company can help educate patients,

    motivate them to seek treatment, and make them feel more confident about long-term

    use of necessary medication (Colyer, 2003:2, Stibel and Kapoor, 2002:2).

    Investors

    Investors cannot find Viagra on the NYSE when they invest, they invest in Pfizer

    nd not in separate brands, such as Viagra (DeLor, 2004:1).a

    Globalisation requires strong corporate brand identity

    With globalisation and liberalisation of trade, it is essential to have strong corporateof the company in various

    arkets (Colyer, 2003:2).

    brand identity. This will help in creating a positive image

    m

    Corporate brand has significant influence internally

    As corporate brand represents the culture, systems, people and strategy, thus has a

    004:2). The people of anrganization provide the basis for the corporate brand image. Because people and

    significant influence internally (Aaker and Detert, 2o

    organizations prefer to do business with those they respect and admire it is important

    what kind of people and values are behind this corporate brand (Aaker, 2004b:10).

    Ind (1997:83) believes that people are the corporate brand and therefore they should

    be the corporate brand communicators. Employees can become loyalists or even

    advocates.

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    Risks and challenges

    There are risks and challenges of associating pharmaceutical corporate brand with the

    roduct brands. Some of them are: clinical drug failure, drug withdrawal, litigations,nd payments due to litigations that could lead to declining sales in unrelated brands.

    rate brand translates into the trust in companys ability to deal

    ith problems openly and quickly as in the case of Tylenol (Aaker and Detert,

    sumers mind. According to Ind (1997:42), when a parent

    nd its brand operate under separate names bad news is less likely linked.

    pa

    However, strong corpo

    w

    2004:2, deLor, 2004:2).

    Davis (2002:3) acknowledges that product branding allows the ability to have a wider

    array of products and services that may have no connection to one another under oneumbrella, and less fear of failure. It also allows an organization more opportunity to

    control a place in the con

    a

    However, the pervasiveness of media tends to ensure that the connections are made

    Ind, 1997:42).

    2.4.3 Corporate Reputation

    One of the key findings from Hill and Knowltons Corporate Reputation Watch 2004

    Survey is that 93% of senior executives believe that customers consider corporate

    putation important or extremely important (Dalton, 2005:7).

    Reputation is the sum of values that stakeholders attribute to a company, based on

    e reputation, including

    entity and image.

    re

    their perception and interpretation of the image that the company communicates over

    time (Dalton, 2005:16).According toDavies (in Dalton, 2005:18),reputation is a

    collective term referring to all stakeholders views of corporat

    id

    It is very important for the pharmaceutical companies to be conscious about the

    strength and value of its corporate brand because trust in the minds of consumers, is

    closely aligned with corporate reputation and image (Corporate branding, 2004:3).

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    CoreBrand (Corporate branding, 2004:1) defines corporate identity as a companys

    look which refers to a companys name, logo, and tagline; and corporate image, as

    the publics perception of a company. Corporate branding, by contrast, is a business

    process planned, strategically focused, and integrated throughout the organization.

    Figure: 26. Corporate Reputation

    Source: Adopted fromDalton J. (2004) Reputation Management: A Holistic BusinessTool. www.lspr.com , Read on 13/05/05

    The 2004 annual reputation study conducted by Rating Research LLC (RCC) assessed

    s Vioxx (rofecoxib) and the concern overther COX-2 inhibitors (anti-inflammatory drugs), pharmaceutical executives and

    Eli Lilli was the winner in the overall reputation ranking for 2004. The researchers believe

    Brands

    Corpor

    brand.

    19 leading pharmaceutical companies. The study revealed that besides the damaging

    ublicity surrounding the recall of Merckpo

    industry analysts still view pharmaceutical companies as excellent and are willing

    to invest in them (Gasorek, 2005:1).

    According to the survey, the four most important drivers for reputation strength were

    ethical behaviour, workforce, financial stability, and role and leadership of CEO.

    Lillis strong revenue growth from new product sales, as well as companys commitment to

    R&D, the quality of its employees, and its financial transparency as key element of reputation

    strength.

    need better and socially broader measures of success (Clifton, 2004:2).

    ate Social Responsibility (CSR) is integral to a companys reputation and

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    2.4.4 Corporate Social Responsibility (CSR)

    The landscape in which companies operate has changed rapidly over the past few

    ears. As public scrutiny has increased, so as the standards by which brands - bothlonger simply assessed on the basis

    f performance, whether financial, functional or emotional, without reference to their

    brand and how it is perceived in the marketplace. Thelobalization of American business has contributed significantly to concerns about the

    3). Dunfee et al. (1999) discuss the

    oncept of a social contract between business and society. According to Clifton

    respect and trust (Olins, 2001:2).

    yproduct and corporate, are judged. Brands are no

    o

    wider impact (Bolen, 2004:50).

    Corporate social responsibility (CSR) is a concept which is influencing the

    development of brands, especially corporate brands. More then ever companies are

    concerned about their corporateg

    reputation of companies. Because of the 24-hour news coverage, organisations have

    nowhere to hide. Any issue, regardless of how local it may be, can travel the world in

    a matter of minutes and negatively impact a corporate reputation and its brand.

    According to Olins (2001:2), brands of the future will have to signal something

    wholesome about the company behind the brand; the next big thing is social

    responsibility. CSR is rapidly becoming a must have feature of the business and

    the organizations have recognized how these strategies can add or detract from their

    value (Blumenthal and Bergstrom, 2003:332).

    Corporate Social Responsibility suggests that an organization should not only

    consider their customers and their profitability; it alsorefers to the obligations of the

    firms toward society (Ind, 1997, Smith, 200

    c

    (2004:2), CSR should be about genuinely solving problems and not only reputation

    management.

    As stakeholder groups are closely interlinked they have enormous potential to

    influence each other. Customers and general public are more likely to support

    companies they

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    2.4.5 Philanthropic Programs

    According to Blumenthal and Bergstrom (2003:337), because corporations already

    vest in both branding and philanthropy, there is a rationale for integrating brandingnd CSR under the umbrella of the brand. They suggest, branded CSR can turn

    of the promise to an explicit one.

    hese programsprove access to quality healthcare for underserved populations and encourage

    ina

    philanthropy from implicit delivery

    Last year, Pfizers CEO Hank McKinnell accepted an Award of Excellence from the

    Committee to Encourage Corporate Philanthropy (CECP) (pfizer.com, Press release,

    28/2/05). Pfizer has a significant U.S. and International philanthropy effort, including

    programs funded directly by Pfizer and by the Pfizer Foundation. Tim

    science education in Pfizer's local communities. Many Pfizer country operations also

    support philanthropic efforts in their communities (pfizer.com, Philanthropy

    Programs, Read on 01/03/05)

    The Diflucan Partnership Program is a public/private partnership that donates

    Diflucan (fluconazole) for two opportunistic infections associated with HIV/AIDS

    in developing countries, and trains healthcare providers. As of January 2005, Pfizer

    has donated more than $100 million in medicine and treated more than 110,000

    atients (www.pfizer.comp , Read on 01/03/05).

    omycin), and trained thousands of

    ealthcare professionals. The program is also educating millions of patients and

    Developed as a public/private partnership, the International Trachoma Initiative

    (ITI) is dedicated to eliminating trachoma, the worlds leading cause of preventable

    blindness. The ITI has treated 16 million patients in 11 African and Asian countries

    with Pfizers antibiotic, Zithromax (azithr

    h

    promoting local environmental projects to increase access to clean water and

    sanitation (www.pfizer.com, Read on 01/03/05).

    The question remains whether the medical fraternity and particularly, the GPs and

    public in South Africa are aware about the tremendous good that Pfizer does for the

    community.

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    2.5 CONCLUSION

    The literature review has been conducted in relation to the topic: a) theory on the topic of

    rands, branding and brand awareness; b) information on pharmaceutical industry and

    e

    sibility and philanthropic programs.Literature review provides basis for

    Source: Adopted from Aaker and Detert (2004), The acquired corporate brand,

    Pharma Times, December 2004, www.pharmatimes.com

    b

    pharmaceutical brands; c) the role of branding in pharmaceutical industry; d) theoryon corporate branding and corporate branding in pharmaceutical industry, corporat

    social respon

    the research design.

    Figure: 2.7. The Corporate Bran

    HeritageTherapeutic areasPeople

    iorities

    SystemsProgramsStrategyCitizenship

    Values/PrCulture

    , Read on 14/3/05

    DifferentiationCredibility trust & expertise.Support for internal brand buildingA means to supplement productbrandsMore effective management of thebrand portfolioSupport for Communication

    Maintaining relevance to doctors and

    Avoiding negative doctor/patientreactions to linkages

    Creating value positionsManaging the brand across contexts

    Performance

    patients

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