on the gc grapevine - hungary - edition 3
DESCRIPTION
Edition 3, Volume 1, 2011 What’s the prognosis, Dr.? The pharmaceutical market in Emerging Europe is clearly facing a need for realignment with pressing issues of reduced health care expenditure, governmental cost reductions, product pricing, generics and the list goes on and on. How is Hungary’s Pharma industry planning to endure the next 5, 10 years and beyond? What are the major influencing factors in Hungary at present and what is everyone debating? Will innovation suffer? But in such a competitive industry with patents expiring on big ticket drugs, the industry is in dire need of the subsequent “smash hit(s)”.TRANSCRIPT
In this issue:
“There is less pressure to impress and sell myself so I see it as a more down-to-earth profession.”
“Commonplace but more and more true to our days: only change is constant..”
“..where lawyers add value is not in giving the answers that everybody already knows, but giving the answer that nobody has thought about.”
“Due to the effect of the changes on their profitability [..] pharmaceutical companies may be forced to reconsider their investments in Hunga-ry.”
“It is not clear from the word-ing of the Medicinal Thrift Act whether any changes that occur after the notification would need to be reported to the Authority.”
“..it is clear that Hungary has probably the greatest variety of such measures, including the highest level of extra taxes imposed on pharmaceutical companies.”
Issue 3: Pharma
ISSUE 3 VOLUME 1
This Issue’s Grapevine Pick:
dr. Gergő Budai - Legal Director - Pf izer
OCT, 2011
In this issue:
DR. JUDIT MISKOLCI - LEGAL DIRECTOR - SANOFI-AVENTIS….5
DR. GERGŐ BUDAI - LEGAL DIRECTOR - PFIZER...…………8
Issue 3: Pharma
Letter s from the editor s
Volume 1
When we first launched the
GCG in May we could not
have imagined what lay
ahead. 3 editions, 3 sec-
tors, 9 General Counsels,
10 senior private practice,
countless reader submissions for the
“Private Practice Strip” and “(My) Word
On The Grapevine” sections, all brought
together by a simple idea - building a
strong GC community to share challeng-
es, solutions and best practices.
In retrospect, what makes us most proud
about this publication, is the fact that, in
reality, it is not our publication. Almost
all of the content, ideas, suggestions or
simple funny stories, belong to our read-
ers that were not shy in reaching out to
us and expressing their opinions and
comments .
With that in mind, we thank you all and
we cannot express enough what an honor
it has been to work with you. Your input
is what drives this publication forward at
the momentum it is going so keep those
emails coming.
We are working diligently on the skele-
ton of the next issue and next volume,
but we need your nominations to pick
the first Grapevine Pick for 2012. Write
to us by December 1st and let us know
who should be given this honor.
We are always happy to hear from our
readers so, please, feel free to write to us
at [email protected] or join the
dedicated group here for more details.
Radu Cotarcea Marketing Manager - Emerging Europe and Latin America Legalis
What’s the prognosis,
Dr.?
The pharmaceutical mar-
ket in Emerging Europe is
clearly facing a need for
realignment with pressing
issues of reduced health
care expenditure, govern-
mental cost reductions, product pricing,
generics and the list goes on and on.
How is Hungary’s Pharma industry
planning to endure the next 5, 10 years
and beyond? What are the major
influencing factors in Hungary at present
and what is everyone debating? Will
innovation suffer? But in such a competi-
tive industry with patents expiring on big
ticket drugs, the industry is in dire need
of the subsequent “smash hit(s)”. We are
hearing so much talk about the Széll
Kálmán plan but how is it actually affect-
ing the industry and ultimately the end
consumer? Everyone’s asking the same
question “what’s in store for Hungary’s
Pharma future?”. The GCG has invited
General Counsels of some of the most
prominent players of the pharmaceutical
industry to share their experiences,
adversities and feats in this challenging
environment. We’ve asked the tough
questions about generics, price competi-
tion, governmental policies and many
more pressing issues. The controversy
and zeal associated with many of the
topics we thrash out in this edition has
undoubtedly resulted in, we hope, a very
exciting and informative product not
only for us to work on, but foremost to
share with you. We hope you enjoy the
read!
Orsolya Endrefi Associate Director - Emerging Europe and Latin America Legalis
PAGE 2
ISSUE 3 VOLUME 1 OCT, 2011
DR. ESZTER TÖRÖK - GENERAL COUNSEL FOR HUNGARY AND CENTRAL-EASTERN EUROPE - TEVA GROUP…………………..3
THE SZÉLL KÁLMÁN PLAN PUTS INCREASING PRESSURE ON PHARMACEUTICAL COMPANIES - BY DR. ILDIKÓ CSÁK..………..12
EXTRA PHARMA SECTOR TAX-ES IN HUNGARY: AN EUROPEAN OVERVIEW AND INTERPRETATION ISSUES - BY DR. HELGA BÍRÓ & DR. GERGELY RISZTER……….14
PHARMACEUTICAL COMPANIES FACING NEW CHALLENGES DUE TO THE AMENDED REGULATION OF PROMOTIONAL ACTIVITIES - BY DR. DÓRA PETRÁNYI..……….13
dr. Eszter Tőrők - Genera l Counsel for Hungar y and Central -Easter n Europe - Teva Group
PAGE 3
ISSUE 3 VOLUME 1 OCT, 2011
HL: I am sure our readers
would enjoy to learn a bit
about your background..
ET: I have been with Teva for
nearly 8 years. Before that, I
worked with CMS Cameron
McKenna in Budapest. Prior to
that, I worked with the same
firm in London as a trainee
solicitor. I am Hungarian by birth
but I lived in the UK for 11 years
and studied Law in Oxford. In
truth, I was not really planning
on coming back but I did in 1993
for the first time and then again
in 1997 when I quite simply got
stuck. I just loved Budapest and
while London is beautiful, it is
not a great city to live and work
in.
HL: What was it that made
you stay?
ET: As a very junior lawyer, the
work was much more interesting
and challenging here. It was
simple math since, at that stage in
London, I was one of the hun-
dreds of trainees and here I was
one of three. I also had a lot of
friends here who I had not seen
for years and part of my family
was living here as well. I think,
overall the quality of life was
better and I found living here a
lot more pleasurable.
HL: One of the myths relat-
ed to in-house lawyers is
that their workday ends at 5
pm. How accurate do you
find it?
ET: It is indeed much more
balanced. You have less push
from clients, although you have
your own internal ones. I think it
is a lot more flexible as people
care a bit less of how and where
you do your work. They do not
mind if you send them an e-mail
from home or on a Saturday
evening. They simply want
solutions. There is less pressure
to impress and sell myself so I see
it as a more down-to-earth pro-
fession. I simply work with my
colleagues towards a common
goal rather always need to
impress the client and to
convince them they are the best
there is and ever will be.
With that in mind, my advice to
lawyers would be, especially
when you work with a large law
firm, do not be afraid to look
around. There is another life. It
is pretty rare and pretty lucky to
find a company that has a good
reputation and great work expe-
rience but they are out there.
HL: What makes a good GC
in your view?
ET: First of all, I think it the case
with most lawyers that they start
as external counsels, most often
with an international firm, and
later in their career they move
in-house. When working in
private practice, especially with
large international firms, lawyers
need to specialize in one particu-
lar practice and, as a result, one
of the main challenges is to wid-
en your scope when you move in
-house.
I had the same challenge since, as
a GC, I had to have at least a
basic idea of most areas of the
law so I had to become more of a
generalist. Before joining Teva, I
was doing M&A, corporate and
commercial work so my experi-
ence with other areas was lim-
ited. On the other hand, that is
why I find my current role so
much more interesting, because
it is much more varied.
At the same time, you need skills
that go beyond the legal skills:.
You need good networking skills;
strong communication with all
levels of the company is also key;
you need to have basic feel of the
company and what it is doing;
and probably one of the most
important aspects, especially in a
large organization, you need to
be patient. For example, a lot of
my work today is internal
politics, liaising with different
people and reaching compromis-
es, which most of the time I do
not mind, actually quite enjoy,
but sometimes it can become a
bit frustrating.
HL: You mentioned commu-
nication. What would you
say are the differences
between how an external
counsel interacts with a
client and how you interact
with your colleagues?
ET: It really is a very different
type of a relationship than when
you are an external lawyer. In
that situation you have a
question, you write an answer
along the lines of ‘you can do
this, you cannot do this’ and at
the end you write a very large
disclaimer. As an in-house
lawyer, if you say ‘this cannot be
done’ your colleague will come
back the next day and ask ‘ok,
still, how can I do this?’. It is
much more of a practical
exercise, and you learn to avoid
the very first step and not go out
and say ‘this cannot be done’ but
try to come up with a compro-
mise of sorts.
HL: Having worked mainly
in M&A prior to Teva, how
did you manage the move
to the pharmaceutical in-
dustry?
ET: The way I became involved
with Teva was by sheer coinci-
“There is less pressure
to impress and sell
myself so I see it as a
more down-to-earth
profession.”
Th
e P
rivate
Prac
tice
Strip
Andrékó Kinstellar
Euromedic refinancing
Kinstellar advised Euromedic Group (a pan-European medical services provider) on the EUR 250 million refinancing of the group including related regulatory and employment law advice.
J o h n s o n & J o h n s o n competition law advice
Kinstellar advised and represented Johnson & Johnson (a global healthcare products manufacturer) in cartel proceedings at the Hungarian Competition Office regarding Vision Care products including related regulatory advice.
Gide Loyrette Nouel - D’Ornano Iroda
Balkan operations sale advice
Gide Loyrette Nouel, with the active participation of its Budapest office, is currently advising an important European distribution group on the potential sale of its operations in the Balkans, including Romania, Serbia, Bosnia and Kosovo.
Advising on the creation of regional joint venture
Gide Loyrette Nouel Budapest is currently advising a Swiss investment group on the creation of a regional joint venture structure operating the wholesale and the distribution of a clothing brand in Hungary, the Czech Republic and Slovakia.
PAGE 4
ISSUE 3 VOLUME 1 OCT, 2011
dence. When I applied for the
role, I was replying to a job ad-
vert that only said ‘multinational
pharmaceutical company’. I had
no idea it was Teva. Moreover,
after I learned it was Teva, I did
not even know much about the
company. At the time, 2004, the
Teva brand was not so widely
known. On the other hand, what
did help was the fact that at times
I can be a bit of a hypochondriac
so, even then, I already knew
quite a bit about various medical
conditions and pharmaceutical
products.
Even so, when you come into
this industry for the first time,
you need to interact with
doctors, researchers and business
people who have a very strong
knowledge of the industry, so it
is quite a challenge. I guess, in
the early stages, I learned how to
ask questions without revealing
that I was asking them because I
was not really familiar with the
topic. Of course, reading and
researching a lot was key in
bringing myself up to speed. At
the same time, I was blessed with
great colleagues who never made
me feel uncomfortable for asking
what they might have perceived
as silly questions.
HL: You have been in the
industry, and the company,
for quite a few years now.
What made you stay?
ET: I tend to stay unless I have a
very strong incentive to leave. I
like being familiar with what I
am doing and I like the environ-
ment, I like the people. You will
probably laugh but I like Monday
mornings... I like coming to
work. Most of the time I just
enjoy what I do.
HL: Your role as GC must be
even more challenging since
your responsibility is at a
regional level. Which of the
markets do you need to
spend most time on and,
from a regulatory point of
view, which one is the most
problematic?
ET: These days, it would be
Hungary. We have a lot of very
good lawyers and a large team
for example in the Czech Repub-
lic. If something really big comes
up then I would get involved but
generally I know I have a strong
team and I let them get on with
it.
From a regulatory point of view,
currently Hungary is the most
problematic and it is all the most
worrying to see that other Gov-
ernments such as those of the
Czech Republic and Poland have
taken a liking into what the Hun-
garian one has done and are
thinking of following their exam-
ple.
HL: In Hungary we have
seen a lot of changes with
the introduction of the Széll
Kálmán plan, which most
GCs are not happy about.
What part of the plan gives
you the most headaches?
ET: How long do you have? I
believe it to be extremely painful
and extremely damaging, espe-
cially in the long run. To offer
some background information,
Teva has 3 divisions in Hungary,
manufacturing, marketing and
wholesale. The plan introduced
very hefty taxes making it
basically impossible for pharma-
ceutical companies to promote
their products. This is based on
the notion that pharmaceutical
companies are greedy and ‘evil’.
The idea is that the new Govern-
ment measures should stop us
promoting our products so that
people buy less and, as a result,
cut some of the Government’s
spending. This rather simplistic
approach is based on the notion
that the reason people buy so
many pharmaceutical products is
not the health state of the popu-
lation but that we promote our
products too much. Unfortu-
nately whoever was responsible
for writing the changes in the
law was probably under quite
some pressure and did not have a
lot of time to draft the law
properly. The way the law is
phrased is very far from ideal.
When we got it for the first time
we spent hours reading it simply
because there were many sec-
tions that could be read in many
different ways. It is a very uncer-
tain piece of legislation. At the
same time, the fines and other
sanctions that can be imposed for
breaching the law have been
considerably increased. It is real-
ly a very tough balancing exer-
cise at the moment.
HL: Will this plan impact
your clients?
ET: Yes. There have also been
radical changes made to the
reimbursement system. Obvi-
ously, the aim was to reduce the
“I was blessed with
great colleagues who
never made me feel
uncomfortable for
asking what they might
have perceived as silly
questions.”
PAGE 5
ISSUE 3 VOLUME 1 OCT, 2011
burden on the State health fund
as far as possible. To achieve
this, for certain products they
introduced a so-called blind
bidding system. Now, every 6
months each pharmaceutical
manufacturer puts in a bid for
the next few months based on
the price of their products.
This system has recently resulted
in extremely low prices being
offered in some cases, especially
by smaller companies. They won
the bid because of the low prices
and the problem I see in this is
that in a few months we might
see that these companies will not
have the capabilities to supply
the market while the largest
manufacturers have lost their
reimbursements on their prod-
ucts.
HL Usually, companies in
regulated industries compa-
nies are invited to provide
input for such changes. Was
this the case?
ET: There was some consulta-
tion but it was carried out under
the form of receiving a 300 page
draft on a Friday evening and
with a request to provide
comments by Monday morning.
This obviously impacted the
quality considerably. Of course,
the Government is under a lot of
pressure to cut costs but it is
very frustrating to be singled out
(along banks or other "bad peo-
ple").
HL: I noticed your patent
department is separate from
your legal department. Why
is that?
ET: Patents are actually very
important to us. Not necessarily
because of R&D - though the
patent group does support the
R&D department as well. It is
very important for our business
development side since every
time we want to launch a new
product, the first test that it has
to pass is whether the original
patent period of the originator
has expired.
This is a fairly complex exercise.
There are patents in many
countries and there is no unified
patent system between all of
them so the time when you can
launch a patent differs from
market to market and when you
look at your pipeline you need
their know-how.
It is a very different team in a lot
of respects. They are patent
attorneys who, opposed to law-
yers who are either pharmacists
or chemists by education and
then take a separate course to
become a patent attorney. There
are not that many cross-overs
either. Rarely, corporate lawyers
will work together with them
when [knock on wood] we
would have a litigation but other
than that we operate separately.
HL: When were you most
proud to have been work-
ing with Teva?
ET: Whenever I have been to
Israel, Teva’s home country. It is
a great feeling because there it is
seen as a national treasure. It is
THE flagship company. I am not
really sure what to compare it
with because if I compare it to
MAV it does not really cut it.
Whenever I enter Israel and I am
asked for the purpose of my visit
I tell them I am working for Teva
and the way they look at me is
indescribably uplifting.
HL: What would you rec-
ommend to any lawyer con-
sidering going in the phar-
maceutical industry?
ET: It helps if you have an inter-
est in the industry itself. You will
need an ability to adapt and to
research a lot but, passed that, it
will really be worth it.
dr. Judit Miskolci - Legal Director - Sanof i -Aventis
HL: In your view, what are
the top characteristics
needed to be a good GC?
JM: I consider the role of a GC
totally different than the role of
a free-lance lawyer or a lawyer
working at an independent law
firm, since being an in-house
lawyer means that you live
together with the company. A
GC has to be able to understand
the diverse needs of the busi-
ness, including logistics, R&D,
manufacturing, regulatory af-
fairs, HR, finance etc. One is
also expected to meet you inter-
nal requirements and give clear,
company-focused, relatively
short answers instead of citing
the complicated rules in a
“strange” legal language. The GC
frequently has to give answers
immediately in the meetings
when questions are raised and
immediately evaluate the possi-
ble risk.
Communication skills are very
important as well, because the in
-house counsel is part of an
organism and a GC not only
provides effective legal support,
but makes decisions day by day.
Therefore he/she needs to be
able to justify the solution
chosen.
HL: Why did you choose to
practice law in-house?
JM: Joining the Sanofi Group as
an in-house lawyer four years
ago was a once-in-a-lifetime
opportunity for me in my career
path and it was a radical change
as I had worked before as a
member of a law firm which
worked for TEVA industrial site.
I was also seeking new challeng-
es at that time. As the Legal
“Of course, the
Government is under a
lot of pressure to cut
costs but it is very
frustrating to be singled
out (along banks or
other "bad people").”
Th
e P
rivate
Prac
tice
Strip
Horváth & Partners DLA Piper
DLA Piper advises Albany M o l e c u l a r R e s e a r c h Institute
DLA Piper in Hungary is advising Albany Molecular Research Institute, Inc., a major US biotechnological company, on establishing its Hungarian presence by acquiring the sole ownership of a Hungarian biotechnological company including the assistance in its restructuring of the subsidiaries (spin off, merger, transformation) and daily operational issues. We also drafted internal patent regulation for the Hungarian subsidy of Albany Molecular Research, Inc. Continuous legal advice concerning filing and protecting of patents of the client.
Financing subsidiary of Hankook
DLA Piper in Hungary is advising a club of banks, led by Raiffeisen Bank Zrt., in relation to the English and Hungarian law aspects of the financing of the local subsidiary of Hankook Hungary, the Korean tire manufacturing giant.
Kajtár Takács Hegymegi-Barakonyi Baker & Mckenzie
Successful representation in competition proceedings
We successfully represented a major Italian-based pharmaceutical company in a proceeding before the Hungarian Competition Office initiated due to alleged unfair c om m er c i a l p r a c t i ce s v i a pharmaceutical advertisements to patients. We also regularly advise the same client on wide range of pharmaceutical regulatory matters (product promotion, wholesale and retail sale of medicines etc.).
PAGE 6
ISSUE 3 VOLUME 1 OCT, 2011
Director of the company I am
not an outsider but I have real
relationship with my colleagues
that I really enjoy.
HL: What aspect of the GC
role do you find most
challenging? Why? How do
you cope with it?
JM: Sanofi has four affiliates in
Hungary, pursuing very complex
activities, including R&D, manu-
facturing, wholesaling, distribu-
tion, promotion and clinical
trials, employing more than
2000 people altogether. The
legal department is responsible
for the legal support of all kinds
of activities. Taking everything
into account, the most significant
challenge for me is to provide
appropriate legal background for
each unit while harmonizing with
the corporate guidelines and
Hungarian regulation in every
field of the company.
Moreover, reacting quickly to
the fast and sometimes unex-
pected changes in the regulation
is essential in order to be able to
meet all the requirements of the
law. I have to be proactive with
regards to implementation of the
pharmaceutical and other rele-
vant regulation
It is also well-known that this
industry is heavily regulated in
every manner, and ethical
behaviour, compliance, and
transparency are of the utmost
importance to the Group. I’m
not saying that it is easy to cope
with, but with continuous
“follow-up” and “readiness” it can
be manageable.
HL: Why did you choose the
Pharma sector? What gets
your blood flowing when
talking about this industry?
After graduation I started to
work for an agricultural co-
operative. However, I felt that it
was not really my “dream” so I
took the first opportunity to
change and joined Biogal
Pharmaceutical Works (known
today as TEVA Pharmaceutical
Works). From that point on, my
life was connected with the
Pharma sector: I’m continuously
keeping my eyes on the relevant
news. Since we try to be proac-
tive and always be sure that we
follow what is happening in the
course of preparation of regula-
tions, we had to learn how to
“read between the lines” of the
statements of the regulating
bodies’ representatives.
HL: As a General Counsel
for a major pharmaceutical
company, you must receive
countless proposals from
law firms.
JM: Yes, I receive proposals
regularly from different law
firms. However, my options are
limited by the Group’s guide-
lines. We only work with some
of the preferred firms and our
first step is always to see that
there really is a need. We turn to
an external law firm only in case
of workforce shortage or when
the risk is high and the particular
project requires special experi-
ence and knowledge.
HL: What do you look for
when you choose what law
firm to outsource work to?
JM: The chosen law firm must
possess the following features:
appropriate experience, in-depth
knowledge of the pharmaceutical
industry, reliability, deadline
keeping and co-operative atti-
tude.
HL: What do you definitely
not like to see in a proposal?
As I have mentioned above, we
need clear, comprehensible,
“easy-to-digest” analysis for the
colleagues involved in the
decision-making process. As a
result, I am really unsatisfied
when I have to “translate” it for
them to make it clear, because it
is rather time-consuming.
HL: What do you find to be
the biggest regulatory
challenge in the Pharma
industry in Hungary?
JM: One important aspect is
predictability. Every company
finds it very important to plan
ahead. When regulations and tax
burdens change even within one
business year planning becomes
very difficult. Moreover the
introduction and increase of
surtaxes creates a competition
handicap for us not only interna-
tionally but also within the
group, as group projects may be
implemented in other countries
where the conditions are more
favourable.
A good example is the R&D
incentive: a 20% abatement was
introduced in 2007 which was
then increased to 100%; but
before the 100% could become
effective an amendment negated
the use of the abatement, the
(My) Word On The Grapevine
“..we had to learn how
to “read between the
lines” of the statements
of the regulating
bodies’ representatives.”
ISSUE 3 VOLUME 1 OCT, 2011
legal regulation being incon-
sistent with the implementing
rules.
Of course, we are given the op-
portunity to comment on new
bills and new laws and submit
our proposals, in most of the
cases in cooperation with other
pharmaceutical industry stake-
holders and, when that is done
properly, transparency and pre-
dictability is achieved. Unfo-
tunately the system is far from
ideal and does not always work
out that way.
HL: Without a doubt, the
industry took a considera-
ble hit as a result of the
measures put in place by the
Széll Kálmán plan. How did
this affect your work and
how do you expect it will in
the long-term?
JM: The Széll Kálmán plan and
the rest of the measures affecting
the health sector cause legal
statutes to change all the time
and impose more and more
restrictions on the budget. I
think we have to coexist with this
in the coming years. The greatest
challenge in the continuously-
changing legislative environment
is the sustenance of operations.
Commonplace but more and
more true to our days: Only
change is constant.
HL: There are many aspects
to the Széll Kálmán plan.
Which one in particular are
you most passionately op-
posed to and/or keen on
and why?
JM: I hail the recognition that the
present healthcare system is not
sustainable on the long run but I
cannot agree with those that
largely blame pharmaceutical
industry for the problems. I disa-
gree with a non-transparent drug
financing system causes part of
the money to go to the drug
companies. These are exaggera-
tions.
I agree with the importance of
prevention and believe in solidar-
ity where pharmaceutical stake-
holders take part together in the
struggle to educate people on
healthy living. On the longer
term this may be an important
contr ibution to reducing
healthcare costs. Not incidentally
Sanofi slogan is „from drug com-
pany to health provider”
HL: Which aspect of the
Széll Kálmán legislation do
you think should be revisit-
ed due to its impact on the
end consumer, the patient?
JM: Governments, and not only
in Hungary, are making attempts
to reduce drug budget expendi-
ture and patient burdens. But the
cost cutting measures should not
be allowed to reach the point
where merely fiscal considera-
tions prevail in healing.
Patients must get the most effec-
tive therapy. Laying stress on
fiscal aspects has dangers for
patients: for example if a medi-
cine that a patient has been taking
for a long time is lost by price
competition and delisted, the
patient has to be switched to
another drug that may be less
effective or even harm his organ-
ism.
HL: Both in Europe and in
the US, politicians have
been pushing aggressively
for Sanofi to lower drug
costs or expand generic
licensing. What are the fore-
front issues when we speak
about pricing of pharma-
ceutical products in Hunga-
ry?
JM: As I mentioned, the focus is
on medicine price cuts and there
is strong support to cheaper
generic products. Hungary has a
rather complicated reimburse-
ment system - in effect compel-
ling manufacturers to go in for
tough price competition. The
OEP keeps reviewing the prices
ex officio to ensure cost efficacy
and adherence to budget, and the
companies make their price bids
through an electronic system. In
this system there is no
negotiation.
The challenge for us is obvious
when a product with a new
active ingredient is being
reimbursed in a new indication,
because in this case a so-called
subsidy-volume contract has to
be concluded. Contract conclu-
sion is preceded by thorough
negotiations, but the legal frames
are given. The essence of the
contact is that the manufacturer
has a payment obligation towards
OEP according to reimburse-
ment outflow generated with the
included medicine, by this manu-
facturers contribute to reducing
public burdens upon the inclu-
sion of a new medicine making it
possible for the patients to buy
modern therapies on affordable
price.
Kajtár Takács Hegymegi-Barakonyi Baker & Mckenzie
Advising biotech company
We advised a major US-based biotech company in connection with regulatory questions (e.g. wholesale licensing questions, medicine donation, clinical trial template agreements, etc.), including the revision of the standard operating procedures (e.g. Sponsorship Policy, Policy on the Interactions with healthcare professionals, Donation Policy) to ensure compliance with applicable Hungarian laws and ethics rules.
(My) Word On The Grapevine
Th
e P
rivate
Prac
tice
Strip
“Commonplace but more and
more true to our days: Only
change is constant.”
RE: On The GC Grapevine - Energy
Edition
Simandi Bird & Bird is experiencing activity
in the area of traditional energy sources with
increased interest in gas & oil exploration and
exploitation in the region. This fall's hot
topic will be the new support scheme for
renewable energy sources, the so-called
"METÁR", which will replace the "old"
mandatory takeover and subsidising system
("KÁT"). "METÁR" is expected to play a
major role in meeting the mandatory targets
for renewable energy by 2020 in Hungary.
Zsófia Szerda Head of Energy and Real Estate in Hungary Bird & Bird
If you would like to comment, reply or
add your viewpoint on any of the
articles or the publication overall,
write to us at [email protected]
to share your views with the GC com-
munity.
ISSUE 3 VOLUME 1 OCT, 2011
HL: I’m sure our readers are interested in learning a bit about your background at first...
GB: I had a very international upbringing. My father is in the diplomatic service and my moth-er is a chemical engineer, so I got to live in a few places around the world at a relatively young age. Like many Hungarian boys, I played our national sport, water-polo, throughout my school years, which I still enjoy as a pastime. When I started law school I worked at a popular radio station writing commercial jingles and subsequently a sight-seeing boat company in Buda-pest. I really enjoyed these jobs,
but when it was time, I did turn to the legal side of the profes-sional arena.
During my university years, I spent my professional practice periods at the Hungarian Consti-tutional Court as a clerk to Jus-tice István Bagi, and afterwards at a midsized local law firm. My first real legal job was at White & Case, where I started as a 4 hour-a-day intern. I ended up spending 7 years with the firm, during which time I had very interesting international assignments and cases. Amongst others, I got to work in Washington D.C. and spent 6 months in White & Case’s Brussels office on a se-condment. That was particularly interesting as it was the time of Hungary’s accession to the Euro-pean Union making it a great experience. While I did study quite a bit of European law at university, having the chance to actually work with EU law in practice and work with clients in the European Court of Justice or before the European Commission or Parliament was absolutely phenomenal. I’m really thankful to White & Case and especially István Réczicza as well as other colleagues, as without them, I
wouldn’t be who I am today. It was really an excellent learning and working experience.
Transitioning to a pharmaceutical company was not necessarily the obvious choice, although, while in private practice, I did repre-sent pharmaceutical companies and the Association for Innova-tive Pharmaceutical Producers. In fact we won a major case for the Innovative Association. The Government at the time intro-duced a price decrease and price freeze which we were able to argue against in front of the Constitutional Court and have it annulled within a record 3 month period, one achievement that I am very proud of to this day. The pharmaceutical industry was, however, only one of the areas I worked on while at White & Case. For example, I was in-volved in several privatisation transactions, and various energy and infrastructure deals, as well as considerable local and interna-tional litigation and arbitration.
HL: Why did you decide to move in-house?
GB: During my time as an exter-nal counsel I had the opportunity not only to work with the best
attorneys, but also to work with a number of in-house counsels and legal advisors. I always perceived them as having a much closer relationship with the business due to their daily work and interactions with the compa-ny’s board. Having a better understanding of the specific company’s needs meant that they provided more business friendly advice. On the other hand, as an outside consultant, you are brought in for a very specific project and, as a result, have a more limited perspective on the issues at hand. Ultimately, I wanted to get to the point where I could truly understand an industry and, without the insight you gain as an in-house counsel, it would have been much harder.
HL: Looking back at your in-house experience, was it the right call?
GB: After almost 6 years at Pfizer, my answer is a definite “yes”. For me, working as a Legal Director is pretty much like running your own law firm because you have so many different aspects, or practice areas. The difference is that you have one client, who you have to
dr. Gergő Budai - Legal Director - Pf izer
1983 1985 1988 1990
Bocksai Istvan
Elementary School
Paul Revere
Elementary School
Budapest New York
Robert F. Wagner
Junior High
Budapest
Kerek Utca
Elementary School
1991
Szilagyi Erzsebet
High School
1995
Peter Pazmany Catholic University, Doctor of Law and Political Sciences
1998
University of Pretoria International
Law and Human Rights Course
Pretoria
PAGE 8
ISSUE 3 VOLUME 1 OCT, 2011
know inside and out. You need to deal with regulatory issues, mergers and acquisitions. compe-tition, labor law, civil law, litigation, etc.. In fact, I used to love working in litigation and, even today, I like to stay close to this classic attorney function.
I know every day I will be faced with at least one question or issue that will be truly challeng-ing. This comes as a result of the variety of work, the innovative nature of the company, as well as, unfortunately, a result of the legal environment of the industry in Hungary at the moment. And when I say at the moment, I mean the last 3 years.
HL: “Classic attorney” func-tion?
GB: Well, when I was growing up, and this might sound a bit like a cliché, a lawyer was some-one in a courtroom, arguing in front of judge and jury. Litigation is the classical place where a lawyer can truly present. Sure, you also have that to a certain
extent in a negotiation process, but for me, it is not nearly as engaging or stimulating. As for reviewing documents, sure that can be interesting but it is not really the exciting part. That is why even today, time permit-ting, I take almost every oppor-tunity to represent Pfizer in front of a court or authority.
HL: Well, I guess it is a good (or bad) thing you have the opportunity to do this often then. Talking about your function at Pfizer, what makes for a good LD in your mind?
GB: I think the best way to describe it is by using the mission statement of Pfizer’s legal division: Deliver competitive advantage by understanding our businesses, managing risks, and inspiring our colleagues to drive creative and useful legal solu-tions.
I think that has everything neces-sary to describe a good LD. You need a very strong level of legal knowledge combined with a very good understanding of the busi-ness. On one hand, the role of a General Counsel - or Legal Director as we say it - is to safe-guard the company from issues arising from non-compliance or outside challenges. On the other
hand, enabling business is the most important aspect of the role since, in my view, a good Legal Director is one that tells you how you can do or achieve something or reach a business goal as opposed to just someone saying “no” or “you can’t do that”. Of course sometimes you do have to say no, but finding solutions - creative and legally compliant solutions - is extremely im-portant, and you always need to be able to stay ahead of the game and try to shape the upcoming regulatory changes and the envi-ronment.
HL: The idea of creative thinking is interesting as most people imagine law-yers thinking along the lines of ‘this is the law in black on white and you cannot med-dle with it’.
GB: Don’t get me wrong. There are a lot of things which are very clear cut with regards to what you can and cannot do, and of course I would never give advice that is not compliant with existing regulation. What I mean by being creative is that, when someone puts a business need forward, the need has to be met. The real challenge is being able to blend that need with the regulatory requirements into one
consistent solution. We have to be committed to raising the bar by challenging traditional think-ing and ways of operating. We recognize that our ability to provide the best legal service depends on how well we listen to colleagues and engage with them to solve problems and seize opportunities together. As Amy Schulman says, where lawyers add value is not in giving the answers that everybody already knows, but giving the answer that nobody has thought about.
HL: Before we move into the industry specific issues, we are always curious what a Legal Director looks for when evaluating different proposals from law firms.
GB: Pfizer has an innovative out-side counsel program called the Pfizer Legal Alliance (or PLA in short, started by Amy Schulman, Pfizer’s global General Counsel). The Pfizer Legal Alliance is a collaborative partnership be-tween Pfizer and 17 law firms that aims to transform the way legal services are delivered and valued. These firms have agreed to work on a flat-fee basis, which is established at the beginning of each calendar year, and to provide counsel to the company on a wide range of matters.
1995
1998
University of Pretoria International
Law and Human Rights Course
Pretoria Budapest
2001
2000
Clerk at Hungarian Constitutional
Court
Associate to Senior Associate at White & Case
2004
Secondment with White & Case
Brussels
Brussels Budapest
2007
Legal Director - Hungary at Pfizer
PAGE 9
“In fact, I used to love
working in litigation and,
even today, I like to stay close
to this classic attorney
function.”
ISSUE 3 VOLUME 1 OCT, 2011
This is something unique, and it has proven quite effective in securing quality external counsel - who if need-be work with each other. Of course this program stems from the U.S., and these firms are not present everywhere in the world, so occasionally, we do need to look at other firms and we make those decisions locally.
When we need to secure exter-nal counsel outside the scope of the PLA, we look for law firms that are practical, with good knowledge in the relevant prac-tice area. When I say practical, I mean to say that it is annoying when you receive 20 pages of admittedly beautiful legal analysis when you simply needed a straight-forward short answer. While I would be delighted to read interesting legal analysis (which has a beauty of its own) and emerge into questions of academic importance (and we must find the time for that some-time!), unfortunately, in today’s world, you have to deal with so much information on a daily basis, that you simply don’t have the time to indulge.
On the other hand, there are a few things that many firms present in proposals that don’t have such a significance. For example, firms like to put forward a large number of lawyers. That I feel is almost never relevant when compared to their expertise level. Another thing I tend not to follow is all the different awards or rankings that they showcase when doing a pitch. Don’t get me wrong, I don’t mean to devalue these at
all, but what really matters for me is the day to day interaction that I have with these firms. I simply think it is hard to truly asses a firms value without first-hand experience.
HL: Looking at the pharma-ceutical industry specifical-ly, the first natural question is why did you choose it when you moved in-house?
GB: We need to go back in time for a bit to answer that. As I mentioned, I loved working in litigation and, while I was working at White & Case, one of the most interesting litigation cases that I worked on was focused on this industry (it revolved around reimbursements and claw backs from the National Health Insurance Fund).
Throughout the case, I practically had to learn the industry inside out. I found it challenging and interesting and I was kind of drawn into this world.
HL: In general, what do you find to be the most chal-lenging aspect of working in this industry?
GB: As strange as it may seem, the unpredictability. Regulations change virtually every month and change dramatically at least every year, if not more. To illustrate this, take one of the most important pieces of legislation governing our industry, the Pharma Economic Act. Since its enactment by Parliament in 2006, it has been amended substantially at least 25 times. These amendments have oc-curred at all levels, from promo-tional rules to applicable taxes or fines, and even to regulatory structures. An ever-changing regulatory environment is chal-lenging but after a certain point it simply goes against the basic principle of the rule of law, and while we have a dedicated legal
team, how small pharmacies, physicians, or even consumers and patients keep track of it all, I do not know.
Even on our end, it is not enough to just keep track of all the new regulations. If we did that, all our work would be purely reac-tive. We need to closely monitor every proposal and, within the applicable legal framework, we try to influence the process and provide our input to shape the environment. The bottom line is that we need to be on top of every piece of draft legislation from the moment it comes into the pipeline.
HL: There is a lot of buzz at the moment about the recent Széll Kálmán Plan.
GB: It is one of many changes in the past 5 years. Like many things in life, it is not black or white. Every few months we have to adjust to changes that never really lived out their life before they were changed again. I agree that Healthcare needs reform, and there are certain elements pointing to true correc-tion and reform. However, there are also many elements that are of purely financial, cost-saving, and cost reduction nature, and for true reform you would need investment in public healthcare, investment that is not financed solely by the Pharma companies.
HL: Let us dissect it a bit as it is a very comprehensive legislative package. Which aspect of this plan do you believe will damage compa-nies the most?
GB: Unfortunately I cannot pick only one, but I will limit it to
two. The damage, however, is not only to the companies, but ultimately to society. One is that two years ago, Hungary intro-duced a very good R&D incen-tive plan for the Pharma industry (which allegedly is identified as one priority in terms of boosting the Hungarian economy), according to which, out of only the industry-specific extra taxes, companies would receive a tax deduction if they invested in certain types of research and development, like basic research or phase I, II and III clinical trials. Knowing the experience and the level of research at the Hungarian academic institutions, Pfizer invested in this opportunity and invested significant funds in R&D in Hungary. Unfortunately, this tax incentive was cancelled as of July 1, 2011 and, on top of it, it was cancelled with a retrospec-tive effect going back to 2010. Again, if you look at it from a legal perspective, a new piece of legislation coming into effect with a one year retrospective effect is unheard of and against the very idea of the rule of law. This I find detrimental to society as well as to the rule of law itself, not to mention the companies and all the scientists and universi-ties that would have potentially benefited from this tax incentive, or members of society that would have benefited from the research results. At the same time, the move will also impact the country’s credibility and will cast a shadow over investor trust.
The other measure is the sales representative tax changes. Originally this tax was intro-duced in 2007 and, back then, all the pharmaceutical companies reduced the number of their sales representatives considerably.
Now this tax has doubled from 5 million HUF to 10 million HUF per year per sales representative.
PAGE 10
“..where lawyers add value is not
in giving the answers that
everybody already knows, but
giving the answer that nobody has
thought about.”
“..the Pharma Economic Act. Ever
since its enactment by Parliament
in 2006, it was amended
substantially at least 25 times. “
ISSUE 3 VOLUME 1 OCT, 2011
Initial numbers indicate that at least 1000 people industry-wide will be made redundant as a re-sult and we are talking about highly qualified people who were paying a considerable amount in personal income and social secu-rity taxes, ultimately making the Government lose out much more on the long run than they expect to earn via these taxes. Quite literally it will turn out to be a case of putting some additional money in one pocket while loos-ing much more from another
HL: In light of the R&D tax incentive cancellation you mentioned, is it realistic to expect more and more part-nerships between pharma-ceutical companies aligning their efforts in R&D?
GB: I believe this is a natural process that is going to gain momentum globally, not just in Hungary. It is extremely expen-sive to develop a new product with numbers reaching 3 to 4 billion dollars before a product is launched so I do expect a grow-ing trend towards such partner-ships. Further, the research scene is changing, and nowadays its not about one big blockbuster prod-uct, but advancing research step by step to find cures.
HL: What are the positive elements of the plan launched on July 1?
GB: I believe the single most important benefit is the fact that Gyemszi’s, the new regulatory body for the industry and the NAV’s (National Tax and Cus-toms Authority) scope and authority were strengthened in
combating wonder pills and counterfeit medication. The results are already significant and can be seen weekly in the news media.
HL: I know you have quite a few interesting stories in-volving counterfeits.
GB: Indeed. The one product that is most threatened by coun-terfeits is one of our erectile dysfunction products. As strange as it is, due to the applicable legislation, I cannot say the name in this interview. A good exam-ple of “sensible” legislation. We fight counterfeits on a daily basis as they hurt our bottom line of course, but that is nothing compared to the health risk to patients. We need to make the general population aware of the huge dangers that come with using such products. We found fake pills that contained brick powder and food paint, and those were the happy scenarios. In certain cases we even came across illegal narcotics and wall paint on the pills (discovered when the patient’s hands and tongue turned blue), and we even received calls reporting hallucinations. We naturally want to investigate these cases with our global security group, but usually when we ask “where did you buy the pills” the imme-diate reaction is ‘well..I would rather not tell you’. When we ask for the batch number, from the very first couple of digits we know instantly we are dealing with a counterfeit product. Counterfeiting pharmaceuticals is big. The return is bigger than on illegal narcotics and the prison sentences are significantly shorter for the time being.
Also, every now and then we receive phone calls from border police and customs that they discovered counterfeits coming in from Australia, China, and
India, sometimes transiting through Western Europe to make the packages less suspi-cious. One time a huge shipment of pillows came in from a coun-try in Asia. Some were full of pills, others had blisters, and others had the information leaf-lets and the hologram stickers. All separately, as they say, “to be assembled” .
Unfortunately the Hungarian regulatory system is not about treating patients as “adults”. It aims at limiting information to patients so they have to go on the internet and look for it from other jurisdictions and sources in foreign languages. How that is beneficial, I really don’t know. The regulators often use the reasoning that pharmaceuticals are dangerous and can be abused and one can kill oneself with them. Under this logic, we should not sell knives and buses and trains should not run either. I’m really hoping that this men-tality will change and patients will be treated as adults who can receive valuable information and make judgments based on that.
HL: Patents play a major role and many see it as one of the biggest headache in the industry. What could be improved in Hungary to mitigate this?
GB: I think that, in Hungary, over the past few years a lot has been done. Prior to EU acces-sion, only process patents were in place. This simply meant that if you would simply stir a mix from right to left as opposed to the other way around you could copy the exact mix needed to produce the patented drug. Since 2004, product patents have been
introduced, which offer much better protection. The only existing problem that I would identify is that the Patent Protec-tion Office’s processes are still quite slow. For example, we had a patent claim that lasted from 1994 until 2010.
HL: Since Pfizer has such a wide global footprint, what role do you, as a GC for Hungary, play in the patent-ing processes?
GB: Most of our patents are created globally. There are a lot of them through the discovery process. Our primary role in the legal team here, when it comes to this issue, is patent enforce-ment.
HL: When were you most proud to be working for Pfizer?
GB: Luckily, it happens often. One proud moment was when we concluded a number of research agreements and partner-ships with Hungarian universities and academic institutions. An-other was the launch of the Dis-tribution and Logistics Centre for CEE here in Hungary which involved a massive amount of work and coordination. Last but not least, and this occurs regular-ly every time we launch a new product that will touch millions and save or considerably improve their lives, one cannot help but feel proud to be a part of a com-pany that is truly making a differ-ence. If I would want to be a bit sarcastic, I’d say I could tell you that I’m very proud of a new product developed recently for lung cancer, but I can’t, due to the applicable promotional rules, as if I named the product, and you published it, we would both be in for a huge fine.
Since the interview, in addition to
Hungary, Gergő became Legal Director for the Czech Republic and Romania.
PAGE 11
“..a new piece of legislation coming into effect with a one year
retrospective effect is unheard of and against the very idea of the rule of
law. “
“..due to the applicable legislation, I cannot say the name in this
interview. A good example of “sensible” legislation. “
The Szél l Kálmán Plan puts increas ing pressure on phar maceutical companies dr. I ld ikó Csák, Récz icza White & Case LLP
“..several companies have
calculated their 2010
R&D expenditure
assuming a reclamation of
100%, however, due to
the retroactive legislative
changes, many companies
will only be able to
reclaim 20-50% or
nothing at all, causing
significant losses to the
affected companies.
“Due to the effect of the
changes on their
profitability and together
with the increase of the
sales representatives
registration fees,
pharmaceutical companies
may be forced to
reconsider their
investments in Hungary.”
ISSUE 3 VOLUME 1 OCT, 2011
PAGE 12
While pharmaceutical companies have been quite adaptable to the continuous changes in the regulatory environment, the measures that have been put in place as part of the Széll Kálmán Plan caused a major stir among pharmaceutical companies, as well as their employees.
1. Main measures
As of July 1, 2011, the Hungarian government implemented the following measures affecting pharmaceutical companies:
i.increase of the tax payable by pharmaceutical companies on the sale of subsidized products from 12% to 20%;
ii.increase in the fee paid for the registration of pharmaceutical sales representatives;
iii.introduction of more stringent regulations relating to promo-tional activities (notification obli-gations, increased fines, etc.), and
iv.retroactive legislative changes regarding the deduction of R&D spending.
While all these measures have had a significant impact on pharma-ceutical companies, the legislative changes regarding the deduction of R&D spending may be the most onerous and controversial.
2. R&D tax incentive prior to July 1, 2011
Since January 1, 2010, marketing authorization holders have received a reduction of up to 100% of (i) monthly payments they have made with respect to their subsidized turnovers and (ii) monthly payments they have
made with respect to the sales representatives they have employed; in the amount of their total adjusted R&D expenditure (“R&D Costs”) as shown in their year-end accounts.
In order to qualify for the allowance, the taxpayer should have incurred R&D costs in the amounts exceeding 20% of the proportion of the amount of state subsidy received under the social security reimbursement scheme based on the sale of pharmaceuti-cal products sold in pharmacies, and the manufacturer price or import price of the same products (the “Comparative Data”).
The allowance could be claimed monthly in the form of a reduction of the payment obligations in subsections (i) and (ii) above, starting from the fourth calendar month of the year following any given year when the qualifying R&D Costs were incurred up until the full amount of the R&D Costs have been credited. This means that the allowance with respect to the qualifying R&D spending of 2010 was to be claimed in 2011 in the form of a deduction from the monthly payments, up to the amount of payments made on the same grounds in 2010.
3. R&D tax incentive as of July 1, 2011
The new measures reduce and eventually eliminate the R&D tax allowance.
As of July 1, 2011, market authorization holders may only receive the same allowance if the amount of R&D Costs incurred in 2010 exceeds 70% of the
Comparative Data, as opposed to the 20% threshold applicable as per the old rules. If the R&D expenditure is less than 70%, but more than 30% of the Compara-tive Data, the allowance is restricted to 50% and 20% if the R&D expenditure is below 30%, but over 20% of the Comparative Data.
The amendments have also caused the R&D allowance to lose effect as of January 1, 2012, closing the above R&D Costs related tax incentives from the end of the year.
4. Implications
The amendment reduced the extent to which the allowance may be claimed in comparison to the allowance which was available under the legislation in force in the tax year when the qualifying R&D spending was affected.
In view of the laws in effect prior to July 1, 2011, several compa-nies have calculated their 2010 R&D expenditure assuming a reclamation of 100%, however, due to the retroactive legislative changes, many companies will only be able to reclaim 20-50% or nothing at all, causing signifi-cant losses to the affected compa-nies.
By way of an example, a pharma-ceutical company deducted 100% of R&D expenditures from its tax payment obligations starting Jan-uary 1, 2010 in its accounts. Accordingly, the company calcu-lated it would be refunded HUF 2.8 billion of the payments made in year 2010 and another HUF 0.4 billion for January-March of
ISSUE 3 VOLUME 1 OCT, 2011
PAGE 13
this year. Based on the retroac-tive legislative changes, however, such company will be able to reclaim only 50% instead of 100% of the R&D expenditure or HUF 1.4 billion for the 2010 calendar year, and will not be able to reclaim any payments made after January 1, 2011.
The rules setting out the qualifi-cation criteria for the allowance
changed as of July 1, 2011, in a way which implies that the new rules also apply to allowances taxpayers have qualified for based on their closed tax years.
The legislative changes, while they aim to fulfil the Hungarian government’s drug cost contain-ment plans, have an adverse effect on the pharmaceutical industry. Due to the effect of the
changes on their profitability and together with the increase of the sales representatives registration fees, pharmaceutical companies may be forced to reconsider their investments in Hungary, reorganize their operations and lay off a large number of their employees, which will most likely have an impact on Hunga-ry’s unemployment rate as well as its economy.
As the Hungarian government is determined to reduce its annual drug-reimbursement bill by more than HUF 100 billion by 2013, additional stringent measures are expected to be taken in the future.
Phar maceutical companies f acing new chal lenges due to the amended regulat ion of promotional act ivit ies . dr. Dóra Petrányi, CMS Cameron McKenna
“It is not clear from the
wording of the Medicinal
Thrift Act whether any
changes that occur after
the notification would
need to be reported to the
Authority.”
Pharmaceutical companies’
promotional activities must be
reviewed in order to comply with
the new regulations of the Medic-
inal Thrift Act (Act No. XCVIII of
2006) which came into force as of
July 1, 2011. Since entering into
force, the relevant authority
issued public guidelines on the
interpretation of the regulations
in order to assist companies in its
implementation.
The bomb on the need to modify
Hungarian legislation regarding
pharmaceutical companies’ pro-
motional activities exploded early
this year when a Hungarian health
care professional (“HCP”) attend-
ing a “professional event” in Thai-
land died in the swimming pool of
a luxurious hotel – the HCP’s
attendance was sponsored by a
generics company also present
in Hungary.
This accident caught not only big
media attention but also put sub-
stantial pressure on the legislators
to modify the laws on Pharma
companies’ promotions. We
below summarise the major
changes of the new legal regula-
tions.
1. What is an “event”?
The definition now includes not
only third party organized events
but also events organized by the
pharmaceutical companies.
2. Restriction on the location of
the event
The Medicinal Thrift Act clearly
prohibits pharmaceutical compa-
nies from sponsoring or organis-
ing professional or scientific
events at locations where the
relevant resources and/or exper-
tise connected to the object or
subject matter of the event are
not available.
3. Obligation to notify the au-
thority on sponsoring an event
The most significant administra-
tive impact that pharmaceutical
market players face in the pro-
motional field is the obligation to
notify the competent Hungarian
authority (that is the National
Institute for Quality and
Organizational Development in
Healthcare and Medicines, in
Hungarian: Gyógyszerészeti és
E g é s z s é g ü g y i M i nős é g - é s
Szervezetfejlesztési Intézet,
Országos Gyógyszerészeti Intézet,
“Authority”) about sponsoring an
educational and/or professional
event at least 30 days prior to the
event.
It is not clear from the wording of
the Medicinal Thrift Act whether
any changes that occur after the
notification would need to be
reported to the Authority;
however, this question was
answered by the Authority’s
statement published on Septem-
ber 9, 2011 (“Statement”) accord-
ing to which any change in the
data already submitted to the
Authority needs to be reported as
soon as possible regardless of the
fact that the second report will
take place within 30 days of the
event. Further, the Statement also
addresses the absence of regulato-
ry clarity in the Medicinal Thrift
Act, namely the question of
whether the pharmaceutical
market players may support an
event when the need to sponsor
the event arose within less than
30 days. The Statement stipulates
that in such cases, a pharmaceuti-
cal company may sponsor the
event but must report its inten-
tion immediately to the Authori-
“..fines up to HUF
500,000,000 (approx.
EUR 1,800,000) can be
imposed on the marketing
authorization holder or
the manufacturer in case it
does not comply with the
regulations”
ISSUE 3 VOLUME 1 OCT, 2011
ty also verifying the reason for
the delayed notification.
4. Promoting or not promoting
that is the question
The same regulations also
increased the sales reps taxes to
double the original amount. Due
to the doubling of the already
high sales reps taxes, Pharma
players are considering cuts to
the number of their sales repre-
sentatives or modifying their
roles, by limiting the activities to
those of non-promotional type
interactions.
According to the Statement, such
employees may carry out logisti-
cal tasks including the recording
of orders, delivering brochures
etc. as those are not considered
promotional activities according
to the Statement.
At the same time, the Authority
emphasizes that it is highly
unlikely for a non-registered
colleague of a pharmaceutical
company to provide only infor-
mation on OTC products to the
HCPs which information are
already available for the consum-
ers and the reveal of which is not
considered a promotional activity
in line with Section 5 of the
Promotional Decree (Decree
No. 3 of 2009 (II. 25.) of the
Minister of Health).
With respect to such information
flow, the Authority assumes the
promotion of a medicinal prod-
uct as – according to the State-
ment – the interest of the moti-
vation to order and use the given
medicinal product can be estab-
lished behind such activity. This
assumption will have to be
demonstrated against by the
companies that decide to main-
tain the logistics in-house.
5. Higher fines for violating the
regulations on promotions
Pharmaceutical companies shall
face higher fines for violations of
regulations on promotional
activities. According to Section
19 (2) d) of the Medicinal Thrift
Act, f ines up to HUF
500,000,000 (approx. EUR
1,800,000) can be imposed on
marketing authorisation holders
or manufacturers not complying
with the regulations on promo-
tional activities. Lower value
fines can be imposed on others,
including distributors, who will
face a fine of up to HUF
25,000,000 (EUR 90,000) and
sales representatives up to HUF
5,000,000 (EUR 18,000) for
violating the regulations on
promotional activities.
PAGE 14
Extra Phar ma Sector Taxes in Hungar y: An Europea n Over view and Inter pretat ion Issues dr. Helga Bíró & dr. Gergely Riszter, Kajtár Takács Hegymeg i -Barakonyi Baker & McKenzie
1 July 2011 brought about the increase of taxes imposed in Hungary on pharmaceutical companies as part of the Government's reform package. What are those taxes? And how do they compare to the taxes imposed on pharmaceutical com-panies operating in some other
EU member states? What are some of the key issues raised by this new legislation?
1 The Extra Taxes
Hungary now imposes three types of extra taxes on the pharma sector. First, there is the so-called "sales rep tax" - payable in respect of each medi-cal sales representative engaged by a pharmaceutical company to perform medicine promotional activities ("MSR"). The amount of that tax has doubled, from HUF 416,000 to HUF 832,000 per month (the "Rep Tax").
The amended Medicines Act also increased the payment obliga-tions of pharmaceutical compa-nies relative to the total amount of reimbursement in respect of each of their products which is reimbursed by the national health insurance system, from 12% to
20 % (the "20% Tax").
Further, in case of a deficit of the pharmaceutical budget, pharma-ceutical companies marketing reimbursed products in Hungary must pay a contribution, depend-ing on the amount of the budget-ary overspend.
2 An EU Overview
The amount of the extra taxes imposed on pharmaceutical com-panies in Hungary seems to be unprecedented in Europe.
A brief survey of Baker & McKenzie Pharma industry(1) and tax lawyers practicing in several European Union coun-tries revealed that no tax is paid for MSR in any of the surveyed countries. In most of the EU countries surveyed, no extra taxes are imposed on Pharma companies at all. With the
exceptions of Belgium, Spain and Poland. Belgium taxes the turno-ver of pharmaceutical compa-nies; the amount of the tax varies each year, but tends to be about 1% to 1.3% of the Pharma com-pany's turnover. Spain imposes an extra tax on pharmaceutical companies, for annual sales volume derived through Spanish pharmacies; the amount of the tax varies between 1.5% and 2%.
Pharmaceutical companies may be entitled to reduction of the above taxes in case of R&D activ-ities both in Belgium and in Spain. Similarly to Hungary, in Poland the government has recently introduced a new tax for pharmaceutical companies which must be paid for increased spending of the pharmaceutical budget (which is determined by the Polish government annually).
ISSUE 3 VOLUME 1 OCT, 2011
Although there are plenty of other instruments that govern-ments may use to control public expenditure on pharmaceutical products - from reference pricing through co-payment to various risk-sharing instruments (and most countries apply those measure) - it is clear that Hunga-ry has probably the greatest vari-ety of such measures, including the highest level of extra taxes imposed on pharmaceutical com-panies.
Although the Medicines Act also provides for certain limited ex-emptions from or reductions of the special pharma taxes, due to
constant changes of the law, the tax benefits are inconsistently applied and their applicability is highly uncertain.
3 Certain Interpretation Issues Regarding the Rep Tax
Given the high tax burden to which they are exposed, pharma-ceutical companies often crea-tively interpret the provisions of the Medicines Act on the Rep Tax, particularly because the language of the Medicines Act on the Rep Tax gives rise to ques-tions of interpretation regarding its applicability.
For example, one such question is the circumstances under which the Rep Tax must be paid. Arti-cle 36 (4) of the Medicines Act says the Rep Tax must be paid (i) in respect of each person engaged (either through an employment contract or a contract for ser-vices) by a pharmaceutical com-pany; (ii) who is registered as a MSR by the competent authority (GYEMSZI-OGYI); (iii) in re-spect of his/her promotional activities. This wording gives rise to the question of whether the Rep Tax must be paid for periods
during which a person is em-ployed by a company but he/she does not carry out promotional activities; e.g. during a longer vacation period or during an induction training program.
A recent opinion from the tax authority (the "NAV") sheds some light on the possible inter-pretations of Article 36 (4) of the Medicines Act. The NAV point-ed out that the tax payment obli-gation primarily depends on the actual tasks of the employee; i.e. whether the employee is engaged in the promotion of medicinal products. If the employee's em-ployment duties change (e.g. the employee is no longer engaged in pharmaceutical promotion but deals with administrative tasks within the company), the compa-ny must notify the change to the GYEMSZI-OGYI and request the deletion of the employee from the register of MSRs. However, if the employee's employment duties do not change, the compa-ny will be exempt from the pay-ment of the Rep Tax only during those periods expressly listed in Article 38/A of the Medicines Act (e.g. the duration of sick
leave, maternity leave or the period of unpaid vacation, etc.) but will be required to pay the Rep Tax in all other circumstanc-es during which the employee may be absent from work for a certain period of time (e.g. dur-ing a longer vacation period).
In case of induction training pro-grams organized for new em-ployees, it is advisable that com-pany's employment documenta-tion, such as labour contracts and job descriptions, make it clear that the employees will start actual promotional activities only following completion of a training program. As well, employees should also be regis-tered as MSRs at the GYEMSZI-OGYI only following completion of the training.
The Medicines Act will likely give rise to other practical inter-pretation issues in the future.
Notes:
(1) The survey included the UK, Germany, Spain, Sweden, the Czech Republic, Poland, Belgium, Austria and Italy.
The information herein does not constitute legal advice or opinion. Legalis will not be held re-
sponsible for any liability arising from the use of any information provided in this publication. PAGE 15
The next is sue of “On the GC Grapevine” wi l l focus on the Banking and Finance Sectors . Here a re some ways you can get involved:
The Grapevine pick: Recommend a general couns el to be
featured as the “Grapevine pick”;
Comment on a r t icles and/or inter views featured in the GCG.
Your input wi l l be published under the “(My) Word on
the Grapevine” section;
Wr ite to us at GCG@legal isglobal .com. We a re a lways happy to
hea r f rom our readers .
We would like to thank those who contributed to this publication:
dr. Eszter Tőrők
dr. Judit Miskolci
dr. Gergő Budai
dr. Ildikó Csák
dr. Dóra Petrányi
dr. Helga Bíró
dr. Gergely Riszter
If you would like to subscribe and receive a hard copy to this
newsletter please write to us at [email protected] with
“subscribe” in the subject line.
Or
Follow-us in this GC only linkedin
group:
The editors:
Orsolya Endrefi Associate Director - Emerging Europe and Latin America Legalis m: +36 20 916 2252 @: [email protected] Radu Cotarcea Marketing Manager - Emerging Europe and Latin America Legalis m: +36 20 969 6410 @: [email protected] http://legalisglobal.com/