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    Pharmaceutical Marketing

    in the 21st Century

    Perri Cebedo & Associates

    Santa Clara, California [email protected]

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    Pharmaceutical Marketing

    in the 21stCentury

    The Growth of DTC

    The Shift in Marketing Mix

    More Reps, Less Doctors Calls

    Opportunities in the Internet

    The Growth of Chain Stores

    Changing Aspects ofTraining

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    The Growth of DTC

    DTC: Direct to Consumer Advertising

    Phenomenal growth in the last 5 years

    Journals: 200m vs. $3.7B on DTC! Morepatients askPhysicians what they want

    So, Moresamples

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    Effects o

    fDTC

    Morepatients telling their Doctor what

    medicines they need

    Products with DTC: highest sales increases Increase ofsamples

    More informed patients

    Betterpatient compliance Moresatisfied patients

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    EMarketing

    Training via the Internet

    CME in the Internet

    Internet Portals for the MD Using the Internet to Support

    Marketing Effectiveness

    Patient Groups in the Internet

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    Pharma Consolidation Slowdown in mergers, but they will continue

    Previous M&As driven by fear and pain

    Now by conviction that bigger is better

    Makes financial sense, redundant costs

    Strategic sense

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    Do Pharma M&As make

    Strategic sense?

    Combined field forces could call on more MDs

    Savings on support Staff

    Modest savings, but with new RD & Marketing muscle More products in the pipeline less risky

    Bottom 33% of top 50 Companies: RD=21% ofSales

    Middle 33% ofTop 50 Companies: RD=18% ofSales

    Top 33% ofTop 50 Companies: RD= 15% ofSales

    Conclusion? Additional 6% ofProfits compared to bottom 33%!

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    Growth in Promotional SpendLast 5 years

    Total Promo Expenditure= $9.2 to $19.1B

    Promotion Office Based MDs= $2.4 to $4.8 B

    Samples @ retail value= $4.9B to $10.5B DTC= $791m to $3.7 B

    Most significant growth product: Lipitor 2001

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    Use of Online Detailing E Detailing: another component of the marketing

    mix

    MDs are invited to participate

    With a promise of a coupon for a book

    71% ofe Details doneevenings orearly mornings

    or weekends

    E Detailing lasts 8-10 minutes

    Increased use of attention mechanics

    MD selects the time. So attention

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    The Changing World of

    Medical Education PhRMA Voluntary Code

    Growth ofOnline CME

    Moreelectronic Media will support live Meetings, eg

    CDrom orOnlineeducational support Small low budget events can have bigger impact if

    supported with CDrom, withslides, speaker bios,transcripts, abstracts and interviews

    Casestudies can come alive withelectronic media

    More CME, moreprofessional Reps!

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    Increasing Field Forces

    Increasing Sales and Marketing Staff

    Increased Pay and Reward!

    Only slowdown in the use of Contract Sales Slower turnoverexcept in Specialty Reps

    Pharma salaries now ahead by 20% compared

    with other industries

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    Growth in Pharma Salaries Primary Care Rep $45,800--$47,000

    TopPC Rep $81,000--$82,300

    Oncology Reps plus 30%

    DMS plus 13% more than their top reps

    Highest salary increase: Senior DMs=11%

    IncentivePay is 25-30% of basepay

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    Changes inIncentive Schemes

    Incentivepay =25-30% ofsalary

    Performance vs goals; Quantitative: 83%

    Qualitative: 17% 82% Individual Performance

    TopTen PCRep in 2001=59% of basesalary

    TopTen PCRep in 2002=76% of basesalary

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    Drug Discount Programs Senior Poor struggle to pay for

    medicines

    No drug insurance coverage

    GSK: Orange Card

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    Successful Use o

    fthe

    Internet

    Marketing to Physicians who regularly go

    online

    For latest information on diseasemanagement, research

    Latest clinical papers

    Networking with others

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    The Drive for New Types of

    MD Contacts

    Background (INCOMM Survey of 500 Reps):

    26% =less than 1 minute

    63% =1 minute 11% = 3-5 minutes

    In Conventions, MD contacts =5-10 minutes

    Many Hard-to-See MDs or No-See MDs(84%)!

    So, expect more participation at MDconventions!!!

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    Dinner Meetings

    Pure CME Activity

    Group Selling Focus Group Discussions

    MAPs or Marketing Advisory Panels

    Social Activity to Celebrate Something

    Peer Selling

    As MDs get harder to see...

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    Peer Selling over Meals

    Evolvement over Focus Groups in the 80s

    MAPs: Marketing Advisory Panels

    PIG

    s: PeerI

    nf

    luenceG

    roups Based on the more the MD knows, the more

    convinced he is, the more likely to share

    experiences

    The Key: The Facilitator!

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    Group Selling at Conventions

    The Rationale: Foreach MD contacted at the Booth, 6 walk by

    4-6 MDs for 10-15 minute interaction The Key: Training in Groupselling Techniques

    Special Training in Questioning Techniques

    Eliminate give-aways in the Counter and eliminate the Counter

    Benefits: More MD contacts, better interaction, more time!

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    Growth of E-SalesTraining Cuts costs of bringing Reps to theOffice

    BringsTraining to the Reps

    Information transfer can beefficient & consistent

    Learning curve is 60% faster

    Average content retention of Instructor-ledcourse: 58%

    E-Learning adds additional 25% retention

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    Other Benefits o

    fE

    -Training More fun, less fear and apprehension

    Moreerrors, the deeper the knowledge asconsequence oferrors areexplained

    Allows courses to be broken up in shortersessions Will grow faster withhighspeed DSL and cable

    connections

    PDA and JIT: Just-in-timeTraining

    Savings of 50%-70%

    Used best in conjunction with conventional training

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    DifferencesinTraining Practices USA Specialized Field Forces: Preceptorships

    Use ofMultimediainTraining

    Training theTrainerPrograms Cost to traina Rep: $100,000

    Amount:TrainingperRep: 5% ofSalary

    ProfessionalDevelopment Programs

    ContinuingTrainingand Education

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    Situation Outside the USA Training=Product Training

    No SalesTraining System

    Product Launchesprovide information

    overload Reps are not given enough opportunity to

    practice and role-play

    No training Videos on basic skills

    Trainers and PMs: are not given training!

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    New Techniques in Training Elimination of the Classic RolePlay

    Replaced by theHappy Griller

    The Use of Video Models

    Focused on Selling Skills

    Each Rep role-plays 40 times!

    Reinforcing his/her own confidence andenthusiasm

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    Problems are Opportunities!In disguise

    The only thing permanent is change

    How quickly & how well we adapt, willdetermine oursuccess.

    Time to change the conservatism of ourIndustry.

    Time to invest in training!

    Our capacity to learn faster is only sustainableadvantage wehave against competition!

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    Perri [email protected]

    Thank You for Your Attention!