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TRANSCRIPT
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Sales/Revenue Forecasting and Contract Analytics that Drive Profitability
March 16, 2015
Presented by:Jag Rajan
VP of Finance
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TABLE OF CONTENTS
Sales Forecasting Drivers 1
Gross to Net Sales Drivers 2
Other Key Drivers 3
Questions 4
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SALES FORECASTING DRIVERS
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SALES FORECASTING DRIVERS
Base Business
Existing Product Portfolio
Product category – OTC , Brand and Generic / Authorized Generic
Current market share and projections
Number of competitors and future approvals pending
Current product pricing and expectations
Customers terms and conditions
Change in customer landscape
Manufacturing and supply chain plan
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SALES FORECASTING DRIVERS
Future Outlook & Opportunities
R&D and BD
New launches
Filing category and status
Product usage
Launch strategy and timing
Market segment – customer class of trade
Manufacturing and supply chain plan
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SALES FORECASTING DRIVERS
Key Factors
Forecast at customer product level
Customer usage and TRx trends
Authorized generics – limitations and pitfalls
Uninterrupted supply and ramp up capability
Product costing
Internal communication and documentations
Medicaid and Medicare
Automation
Gross to Net Drivers
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GROSS TO NET SALES DRIVERS
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GROSS TO NET SALES DRIVERS
What is Gross to Net Sales?
Revenue is reported per US GAAP principles taking into account customer terms
Net Sales = Gross Sales less the following adjustments:
Chargebacks / Charge back bill back for retailers
Rebates / Admin Fees
Sales Returns
Medicaid/ Medicare Part D/ Tricare/ Public Health Service/ Non-FAMP
Promotional Discounts
Service Fees, Re-distribution Fees and other fees
Patient Assistance Program (“PAP”) and Coupon Discounts
Revenue Elimination
Price Equalizations
Payment Terms
ChargebacksChargeback
Bill Backs for Retailers
Rebates /Admin Fees
Sales Returns
Gov’t Programs & Other
PromotionsNet Sales
GrossSales
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ChargebacksChargeback
Bill Backs for Retailers
Rebates /Admin Fees
Sales Returns
Gov’t Programs & Other
PromotionsNet Sales
GrossSales
Gross Sales - what the customer is invoiced
Wholesalers are invoiced at WAC
All other customers are invoiced at a customer specific direct price (not WAC)
Factors affecting pricing
Numbers of viable suppliers
⎻ 4 plus will drive down pricing rapidly
Types of formulation
⎻ Oral solids – easy to enter market – highly commoditized
⎻ Injectable and Inhalation – difficult to enter – less commoditized
Timing
⎻ FTF and few new entrants keeps the price high
Supply/shortages
⎻ Seamless supply keeps pricing stable
• Penny Pricing for Brand and AG
• PHS and FSS pricing due to additional discount
GROSS TO NET SALES DRIVERS
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ChargebacksChargeback
Bill Backs for Retailers
Rebates /Admin Fees
Sales Returns
Gov’t Programs & Other
PromotionsNet Sales
GrossSales
Chargebacks / Chargeback bill backs for retailers
One of the largest sales adjustment component that impacts profitability and Cash flow
70% of Generic / authorized generic business will be impacted
Monitoring wholesaler inventory (852/867) is critical to sales forecasting
Review of Charge back data is required to understand and analyze distribution channel
Roll forward of Wholesaler inventory is vital to validate reversals
Review of Retail Direct price to indirect pricing is mandatory with change in landscape
Chargeback rates are based on customer terms and/or historical trends
WAC to contract price spread impacts cash flow and profits
Automation is vital to prevent auto deduction and calculating rebate pay outs
GROSS TO NET SALES DRIVERS
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ChargebacksChargeback
Bill Backs for Retailers
Rebates /Admin Fees
Sales Returns
Gov’t Programs & Other
PromotionsNet Sales
GrossSales
Rebates / Admin Fees
Second largest sales adjustment component
Rebates can be purchased based, Sales out, VIR, Managed care, Medicaid/ Medicare
Review customer terms to ensure that rebates are adjusted for price EQ’s and Returns
Capture rebates in RFP and at order level to reflect accurate NSP
Rebates to Wholesalers shall be based on channel ratio and requires periodic updates
Perform monthly Roll forward to ensure reserves are adequate
Review customer rebate invoices for completeness
Automation is highly recommended to manage effectively
GROSS TO NET SALES DRIVERS
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ChargebacksChargeback
Bill Backs for Retailers
Rebates /Admin Fees
Sales Returns
Gov’t Programs & Other
PromotionsNet Sales
GrossSales
Sales Returns
Impacts bottom line to a significant extent
Based on return policy with the customer and product shelf life
NDC change / Discontinuation/ losing Primary position triggers larger returns
Ensure customer maintain direct price in their system when the above happens
Sales forecasting and monitoring of customer purchases and inventory levels is critical to maintaining a low return ratio
Monitor Wholesaler customer inventory for potential returns
Evaluate return authorization (“RA”) for provisions
Maintain and track special reserve for recall / import ban related
Tracking TRx for new brand launches to support revenue recognition
Tracking returns at batch/ lot level ensures accurate processing
Reserve rate is established based on historical returns and market behavior
GROSS TO NET SALES DRIVERS
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ChargebacksChargeback
Bill Backs for Retailers
Rebates /Admin Fees
Sales Returns
Gov’t Programs & Other
PromotionsNet Sales
GrossSales
Government Programs & Other Promotions
Medicaid and PHS (340 B)
Medicare Part D and Tricare rebates
Utilization based rebate and PAP
Observations for Government programs and other sales promotions
Look for best price and penny pricing impact on business
Keep an eye on inflation penalty and NFAMP to FCP spread due to WAC increase (should maintain only 24% spread)
Review Managed care agreements for price increase penalty clause as it can adversely impact best price and Medicaid rebates
Estimate Medicaid rate at product level based on historical trends for Generics
Estimate TRx in pipe line based on TRx sold to TRx consumed to estimate for (1) Medicaid rebates, (2) Medicare Part D, (3) Tricare rebate, (4) Utilization based rebates and (5) PAP for Brands
All Government pricing programs are based on actuals, driving need for automation
GROSS TO NET SALES DRIVERS
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GROSS TO NET SALES DRIVERS
Authorized Generics
Has all the characteristics of a NDA
Compete in the Generic space
Priced on similar terms as a Generics drug
Generally governed by a Generic agreement
Obtain Brand TRx data on Medicaid and Medicare
Proper pricing strategy across customers is critical
Price spread in excess of 23.1% will trigger higher Medicaid rebate
If the product is a large Medicare part D consumption drug, then the timing of the launch is crucial as Part D reimbursement can completely erode profit margin and impact cash flow
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OTHER KEY DRIVERS
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OTHER KEY DRIVERS
Customer Consolidation
Reference: GPhA Annual Meeting 2015
85% of the US generic market consolidated to 4 buying consortia
15% of Europe added to the US consortia
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OTHER KEY DRIVERS
Customer Landscape
CVS Group ECONDISC
CVS Retail 16% Express Script - MO 12%
Caremark - MO 6% Kroger Retail 3%
Cardinal / Geneteco WH 8% SuperValu Retail 2%
Total CVS Group 30% Total ECONDISC 17%
ABC - Walgreens Total Wal-Mart 5%
Walgreens Retail 13%
ABC - WH 7% Distributors
Total ABC - Walgreens 20% ANDA 3%
Premier 2%
McKesson, Rite-Aid, Optimum Rx Optisource 3%
McKesson - WH 8% Total Distributors 8%
Rite-Aid Retail 7%
Optimum Rx - MO 3% Total All Others 2%
Total MCK, Rite-Aid, Optimum Rx 18%
CVS Group, 30%
ABC -Walgreens,
20%
McKesson, Rite-Aid, Optimum Rx,
18%
ECONDISC, 17%
Wal-Mart, 5%
Distributors, 8%
All Others, 2%
Customer Landscape
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OTHER KEY DRIVERS
Manufacturers’ Focus
Quality, Quality, and Quality
Control costs
Vertical integration
Portfolio optimization
Ample inventory
Uninterrupted supply
Speedy ramp up time for new pick ups
New product launches
First to File
Exclusive positions
High barriers to entry products
M&A
Brand/Specialty products
Strategic pricing
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QUESTIONS?
For further inquiries please contactJag Rajan, VP of Finance
(E) [email protected] (P) 904.226.8062