22 April 2016 COMPANY NEWS 3 Celesio grows in Portugal with Grupo Holon network Hanmi to build facility in China WBA to shake up its global store offering GSK changes tack in India to drive OTC sales growth ProPhase moves into supplements Omega reveals plan to boost 2016 sales Alibaba expands South-East Asia reach Merck unveils its plans to expand in Indonesia Pfizer and Allergan merger scuppered by US tax move Alliance Pharma targets expansion in Asia 3 3 4 5 5 6 6 7 8 9 GENERAL NEWS 10 NZSMI voices opposition to repackaging proposal JSMI outlines OTC priorities French self-care model could save C1.5bn mHealth consumers identified in the US 10 10 11 12 MARKETING NEWS 14 Kobayashi grows OTC line with pain and acne options Science focus for Sensodyne Omega’s Dermalex targets UK’s adult acne sufferers Ratiopharm has rival to Boehringer brand ACCC proposes A$6m fine after RB misled consumers GSK simulates migraines for US Excedrin campaign Premium option joins Loxonin S 14 14 15 15 16 17 17 FEATURES 20 Clear vision drives GSK’s OTC ambitions 20 REGULARS Events – Our regular listing People – Pfizer’s Varma to replace Mann as chair of WSMI 19 23 WBA makes Russian move with stake in retailer 36.6 W algreens Boots Alliance (WBA) has taken a step into the Russian retail pharmacy market by swapping its Alliance Healthcare Russia wholesale business with Pharmacy Chain 36.6 in exchange for a 15% stake in the leading Russian pharmacy chain. Headquartered in Moscow, Alliance Healthcare Russia served more than 60 Russian cities, 36.6 said, adding that the deal was a good fit with its long-term aim of strengthening its wholesaling operations. Adding Alliance Healthcare Russia to the business would “significantly increase the number and volume of direct contracts with pharmaceutical manufacturers” that 36.6 had in Russia, the company noted. “Undoubtedly this transaction will contribute to the development and improvement of 36.6 in all areas of the business,” commented the Russian company’s director general, Vladimir Kintsurashvili. With WBA now holding a 15% stake in 36.6, Kintsurashvili said the company would have access to “the experience and expertise of one of the leading international pharmaceutical wholesale and retail firms”. The firm’s acquisition of Alliance Healthcare Russia comes less than one month after 36.6 announced it wanted to “vigorously develop” its wholesale business. Speaking in March, Kintsurashvili said 36.6 had set its sights on becoming a top-three pharmaceutical distributor in Russia within the next three years. “Expanding the wholesale business seems like a logical step for the development of the company,” Kintsurashvili insisted. “We have established productive relationships with manufacturers,” he noted, “which gives us a solid foundation on which to build the business.” 36.6 is poised to become Russia’s largest drugstore chain after it agreed earlier this year to merge with local rival A5 Pharmacy Retail (OTC bulletin, 5 February 2016, page 5). Completion of the deal is subject to regulatory approval. FDA committee backs OTC adapalene T he US Food and Drug Administration’s (FDA’s) Nonprescription Drugs Advisory Committee (NDAC) has voted unanimously to recommend switching adapalene gel 0.1% as a topical acne treatment. At its 15 April meeting, the committee said data in Galderma’s supplemental new drug application (sNDA) for adapalene gel 0.1% supported an acceptable benefit/risk profile for non-prescription use by consumers. The proposed OTC use of the product is “for the treatment of acne and to clear up acne pimples and acne blemishes” in those aged 12 years and above. Adapalene is the active ingredient in Galderma’s Differin acne medicines. The NDAC’s recommendation – which the FDA does not have to accept, but generally does – comes as New Zealand’s regulatory author- ity, Medsafe, prepares to consider a proposal to reclassify the ingredient at a meeting on 3 May (OTC bulletin, 4 March 2016, page 9). Pharmacy retail group Green Cross Health and switch consultant Natalie Gauld have suggested that adapalene be available without a prescription in “medicines containing not more than 1mg/g and when supplied in a pack of not more than 30g by a pharmacist”. The proposed use is for the “topical treatment of comedo, papular and pustular acne (acne vulgaris) of the face, chest and back”. Adapalene 0.1% is already available without a prescription in Georgia, Russia and Thailand, while Germany recently rejected an application to switch adapalene mono preparations in concentrations of up to 0.1% with a maximum pack size of 25g (OTC bulletin, 5 February 2016, page 11). Health conversations are changing. With GP appointments increasingly difficult to secure, we’re turning to the internet for medical advice. But when there’s a wealth of different information out there, how do you know who to trust? NetDoctor, one of the UK’s leading sources of health information showcases content that is as dependable as it is engaging. Published in collaboration with over 250 respected medical professionals, users are empowered to make better choices about their wellbeing. 6 MILLION VISITORS EVERY MONTH * *Google Analytics November 2015 www.netdoctor.co.uk COMPANY NEWS OTC Business Strategy Hanmi to build facility in China S outh Korea’s Hanmi Pharmaceutical has announced plans to build a new manufacturing plant to meet growing demand for its OTC and prescription medicines in China. In a short statement, the company revealed it had snapped up for US$10.0 million (C8.8 million) a substantial plot of land in the Yantiai Economic and Technological Development Zone in Shandong province to construct the new facility. Noting that it planned to invest US$200 million in the construction process, Hanmi said it would “build facilities for the production of chemical and biologic drugs and health supplements, as well as a research and development centre for new drug development”. The site would supply Hanmi’s products to China and other “global markets”, the firm pointed out. Commenting on the rationale behind the move, Hanmi claimed that the new facilities would help it to become a “more globalised pharmaceutical company”. Hanmi reported turnover up by 73.1% to KRW1.32 trillion (C1.02 billion) in 2015, thanks to better sales of prescription medicines. The company’s OTC portfolio includes Allercon eye drops, the Maxibupen analgesic, Medilac anti-diarrhoeal, and the TenTenG dietary supplement. OTC 22 April 2016 Number 461 Editor: Matt Stewart Editor-in-Chief: Aidan Fry Production Editor: Jenna Meredith Assistant Editors: Tom Gallen, Marie McEvoy Contributing Editor: David Wallace Advertising Controller: Debi Minal Director of Subscriptions: Val Davis Group Sales Manager: Rob Coulson Awards Manager: Natalie Cornwell Managing Director: Mike Rice Editorial enquiries: OTC bulletin, 4 Poplar Road, Dorridge, Solihull, West Midlands B93 8DB, UK. Website: www.OTC-bulletin.com Tel: +44 (0)1564 777550 Fax: +44 (0)1564 777524 Email: [email protected] Advertising enquiries: As above, or [email protected] SUBSCRIPTIONS Subscription rates are published at www.OTC-bulletin.com/subscribe. 22 April 2016 OTC bulletin Mergers & Acquisitions Celesio grows in Portugal with Grupo Holon network C elesio is set to expand its presence in Portugal after agreeing to acquire for an undisclosed sum the Grupo Holon virtual pharmacy chain. Completion of the deal is subject to clearance by the Portuguese Competition Authority. By sharing the same brand, image and pharmacy concept, Holon’s network of 380 independent pharmacies enjoyed access to “attractive offers on products, services and buying terms”, the German pharmaceutical wholesaler and retailer pointed out. Strict regulations govern pharmacy chains in Portugal, prohibiting individuals or companies from owning more than four pharmacies in the country. The acquisition of Holon, Celesio said, would expand its “expertise and capabilities” in Portugal’s retail pharmacy market and enhance its European pharmacy network. In addition, Holon would “strengthen the customer base” of Celesio’s wholesale business, OCP Portugal, the company insisted, and improve its relationships with manufacturers. “Holon will help OCP Portugal to achieve its goal of rendering additional and better services to Portuguese pharmacies,” Celesio explained. As a result, the firm said, Portuguese consumers would “benefit from greater professional healthcare services and more choice”. Individual subscriptions An annual subscription comprises: ■ 20 OTC bulletin newsletters; ■ AND at least 45 weekly news@OTCbulletin electronic newsflashes containing the week’s top news stories (currently delivered by email). Choice of formats The 20 OTC bulletin newsletters are available: ■ EITHER as the digital OTC bulletin-i for online access by desktop, and tablet and smartphone. Mobile devices can have Apple or Android operating systems. ■ OR in traditional hard-copy print format, delivered by airmail. Corporate and multiple subscriptions Global Site Licences are available to companies. These provide in-house electronic access for staff to OTC bulletin and news@OTCbulletin. Please ask for a quotation. Discounted multiple subscriptions are available to OTC bulletin-i at the same location. Subscription enquiries: Contact [email protected] Celesio has snapped up the Grupo Holon virtual pharmacy chain to expand its presence in Portugal Celesio’s network includes around 2,000 wholly-owned pharmacies – in Belgium, Ireland, Italy, Norway, Sweden and the UK – plus more than 4,300 affiliated partner pharmacies in France, Germany and Norway. It has wholesale operations in more than 10 European countries. The company reported turnover up by 6.8% to C16.2 billion in the nine months ended 31 December 2015. Earnings before interest and tax (EBIT) advanced by 28.8% to C332 million in the period. Celesio is now operating as part of McKesson and is housed in the US wholesaler’s Distribution Solutions division. McKesson acquired Celesio in 2014 (OTC bulletin, 7 February 2014, page 1). OTC Terms & Conditions: These can be viewed in full at www.OTC-bulletin.com/subscribe. No part of this publication may be copied, reproduced, stored in a retrieval system, distributed or transmitted by any means, including electronic, mechanical, photocopying or recording, without the prior written permission of the publisher, or under the terms and conditions of a Global Site Licence or of a licence issued by the Copyright Licensing Agency (CLA) in London, UK, or rights bodies in other countries that have reciprocal agreements with the CLA. Neither may this publication be exported, distributed or circulated by any means without the prior written permission of the publisher. While due care has been taken to ensure the accuracy of information contained in this publication, the publisher makes no claim that it is free of error and disclaims any liability whatsoever for any decisions or actions taken as a result of its contents. © OTC Publications Ltd. All rights reserved. OTC bulletin® is registered as a trademark in the European Community. ISSN 1350-1097. Company registered in England No 2765878. Printed by Warwick Printing Company Limited, Leamington Spa CV31 1QD, UK. 3 OTC COMPANY NEWS Business Strategy/Second-Quarter Results WBA to shake up its global store offering O ffering “enhanced services” and “innovative” products will help Walgreens Boots Alliance (WBA) globally to drive consumers into its stores and stay ahead of the competition, according to the company’s chief executive officer Stefano Pessina. Speaking as the US-based wholesale and retail giant reported the results for its second quarter ended 29 February 2016, Pessina said it was “essential for the sustainable future” of WBA to find “innovative and valuable offerings to continue to bring consumers into our stores”. The company was intent on “reviewing and rejuvenating” both its retail and pharmacy operations in store, Pessina insisted, to “further differentiate” WBA in the market. “We need to enhance our patient offering,” he explained, “and then ensure that we maximise the value of that interaction both to the patients and to the company through value-added services.” “In the front of our stores, we need to focus our offering, be clear what we stand for and define our areas of expertise and differentiation,” Pessina said. “And we need to offer these through whatever medium or interface the consumer wants.” “We must do this with strict vigilance and vigour so that we achieve our goals without disrupting the extraordinary level of service our customers have come to expect,” he added. US market is a priority Noting that WBA would implement this strategy globally, Pessina admitted that its immediate priority was the US, as this was the market where the company had “the most immediate opportunities”. “But this does not mean we are neglecting our other markets; far from it,” Pessina insisted. “In the UK, the team is working hard on strategies to keep Boots stores and the Boots brand portfolio not just ahead of the market, but the most relevant to its consumers.” Commenting on the company’s plans for its Retail Pharmacy USA unit – which comprises Walgreens and Duane Reade drugstores – Alex Gourlay, president of Walgreens, said WBA was “focused on removing unprofitable items to try and simplify the offer”. “We want to get consumers to re-evaluate the offer inside Walgreens to see it as more unique and more differentiated,” he maintained. As part of this plan, the company would continue to introduce its “differentiated beauty offering” – led by the Boots No.7 brand – to 4 a further 1,600 Walgreens stores from the summer. This would increase the total number of stores with this beauty offering to around 2,000 by the end of 2016, Gourlay noted. Turning to WBA’s second-quarter results, Pessina reported a performance “pretty much in line with expectations”, with sales up by 13.6% to US$30.2 billion (C26.5 billion), after eliminations of US$632 million. While the firm still had “plenty more to do” in integrating the Alliance Boots and Walgreens businesses, following the completion of their merger deal (OTC bulletin, 17 April 2015, page 5), Pessina said “good progress” had already been made in “reducing costs and establishing more efficient working practices”. Turnover at the Retail Pharmacy USA division advanced by 2.1% to C21.5 billion in the three months. Prescription sales, which accounted for 65.0% of the total, had increased by 3.2%, WBA noted, while prescription sales in comparable stores had improved by 3.7%. The division’s operating income moved forward by 2.1% to US$1.6 billion in the period. As of WBA’s financial year ended 31 August 2015, Retail Pharmacy USA was operating 8,173 drugstores across all 50 US states, the District of Columbia, Puerto Rico and the US Virgin Islands. WBA announced late last year it was to expand significantly Retail Pharmacy USA after agreeing to buy drugstore rival Rite Aid in a transaction valued at around US$17.2 billion, including acquired debt (OTC bulletin, 6 November 2015, page 1). Pessina said at the time that the purchase of Rite Aid would “accelerate” WBA’s longterm objective to strengthen its “presence and coverage nationally across the US”. “The addition of Rite Aid,” Pessina insisted, “will accelerate our strategy by completing our network; providing a larger and more comprehensive portfolio; and by creating a more comprehensive and stronger platform for the development of our brand presence and the future growth of the business.” Synergies “in excess of US$1 billion” were expected from the transaction, Pessina pointed out, adding that the firm would make decisions “over time” about integrating the two companies, with the aim of “creating a fully-harmonised portfolio of stores and infrastructure”. Commenting on the Rite Aid deal, Pessina said it was “progressing as planned”, with Rite Aid’s shareholders approving the transaction on 4 February. The company expected the ac- Stefano Pessina, Walgreens Boots Alliance’s chief executive officer, said the firm was intent on “reviewing and rejuvenating” the retail and pharmacy operations in its stores quisition to close in the second half of 2016, he added. Meanwhile, WBA reported sales of US$3.7 billion at its Retail Pharmacy International division – consisting of health and beauty chains in eight countries, the largest of which is Boots UK – in the three months. Sales at the unit had been driven by “particularly strong growth in the UK and Ireland”, the company noted. Commenting on Boots UK’s performance, WBA said the business had benefitted from better sales of the No.7 and Soap & Glory skincare brands and the “continued growth” of the boots.com website. Driven by higher sales in Ireland and the UK, Retail Pharmacy International posted an operating income of US$335 million for the three months. As of 31 August 2015, the division was operating 4,582 health and beauty stores across Chile, Ireland, Lithuania, Mexico, the Netherlands, Norway, Thailand and the UK. Meanwhile, WBA’s Pharmaceutical wholesale unit – which mainly operates under the Alliance Healthcare brand – generated sales of US$5.6 billion in the second quarter. The division reported an operating income of US$155 million in the period. WBA pointed out that the Pharmaceutical Wholesale division supplied medicines, other healthcare products and services to more than 200,000 pharmacies, doctors, health centres and hospitals from over 350 distribution centres located in 19 countries. WBA’s total operating income for the period amounted to US$2.12 billion, after eliminations. OTC OTC bulletin 22 April 2016 COMPANY NEWS OTC Business Strategy/Annual Results Business Strategy ProPhase moves GSK changes tack in India into supplements to drive OTC sales growth P G roPhase Labs is looking to reduce its dependence on its core Cold-EEZE brand by moving into the dietary supplements space, the company’s chief executive officer, Ted Karkus, has revealed. Speaking as the US-based firm reported 2015 sales down by 6.8% to US$20.6 million (C18.2 million), Karkus said the company had become over-reliant on its Cold-EEZE homoeopathic cold and flu range and needed to diversify its portfolio. “In order to offset the seasonality of our current revenues and our dependence on the severity of the cold and flu season,” Karkus explained, “we are launching a new product line of OTC dietary supplements that will leverage our existing infrastructure, retail relationships and sales force.” Describing dietary supplements as a “large and growing category”, Karkus said he believed the firm’s offering, under its TK Supplements brand, had the potential to disrupt the market. The first product to be launched under the TK Supplements umbrella would be Legendz XL, he revealed, a supplement for “male sexual enhancement”. Karkus said the company had conducted placebo-controlled trials to support its claim that the product boosted penile blood flow within 60 minutes. ProPhase had developed a set of television spots for Legendz XL and hoped to launch the brand on direct-response television and online in the second half of 2016, he noted. “As brand awareness increases over time,” Karkus explained, “our next goal will be to introduce Legendz XL in retail stores, leveraging our existing infrastructure and retail distribution platform.” While the firm would initially focus its efforts on Legendz XL, Karkus revealed that ProPhase had developed “additional dietary supplements for future introduction at the appropriate time”. One of these was a supplement for prostate health, he noted, while another was an “energy and endurance” product. OTC IN BRIEF ■ CIPLA has sold for an undisclosed sum a 26.11% stake in its consumer healthcare subsidiary, Cipla Health, to Mauritius-based FIL Capital Investments. OTC 22 April 2016 OTC bulletin laxoSmithKline (GSK) Consumer Healthcare will place a greater focus on OTC medicines to take its business in India to the next level, according to Zubair Ahmed, head of the unit in Asia-Pacific, the Middle East and Africa. Speaking to the Economic Times, Ahmed said that GSK could secure “faster” growth in India if it invested more heavily in its Wellness category – which contains the bulk of its OTC medicines – rather than relying disproportionately on its Horlicks nutrition brand. Horlicks accounts for a significant proportion of GSK Consumer Healthcare’s sales in India, which reached INR41.4 billion (C545 million) in the 12 months ended 31 March 2015. While Horlicks remained a “core” brand, which the firm would continue to develop and support, Ahmed said GSK would “invest in OTC brands disproportionately” to drive growth. The firm also wanted to get more out of its Oral Care portfolio, he added, and in particular its Sensodyne toothpaste. “In spite of our best efforts, the Wellness business is still underleveraged and it is very dependent on Horlicks,” Ahmed explained. “In Oral Care, our share of India’s toothpaste market is in the low-single digits.” GSK was “totally underleveraged in both Wellness and Oral Care” in India, he admitted, but the firm did see an opportunity to increase its share in these markets. To do this, GSK had identified four ‘power brands’ – Otrivin, Panadol, Sensodyne and Volt- Zubair Ahmed, head of GlaxoSmithKline’s Consumer Healthcare business in Asia-Pacific, the Middle East and Africa, revealed the firm planned to invest more heavily in OTC medicines in India aren – that it would prioritise, Ahmed explained. The firm would also look to “diversify” its Wellness offering, he revealed, and explore opportunities to introduce to the Indian market its allergy and smoking-cessation brands. Noting that India was a “priority market” for GSK, Ahmed said the company was keen to apply lessons it had learnt in other countries to help the Indian business reach its potential. GSK’s successes in China – particularly with e-commerce – had the potential to be replicated in India, he noted. Last month, Ahmed revealed that GSK was “poised for sizeable growth in China” after heavily investing in the country (OTC bulletin, 4 March 2016, page 7). OTC Mergers & Acquisitions LEO Pharma boosted by Astellas deal D enmark’s LEO Pharma has completed its C675 million acquisition of Astellas Pharma’s global dermatology business, in a move the firm claims will extend its reach to “millions” of additional consumers. Describing the deal – announced in November (OTC bulletin, 27 November 2015, page 3) – as a “pivotal step” for LEO, the firm said adding Astellas’ dermatology range would create a “strong foothold in markets such as China and Russia” while adding “critical scale” in many other markets. LEO noted that it would continue to work closely with Astellas over the coming months to “secure an effective transition with continued supply to patients”. Astellas’ dermatology portfolio comprises the Lacobase OTC dry-skin product, as well as a range of prescription brands, including the Protopic eczema treatment and Zineryt topical solution for acne. Noting that the transaction was the largest in LEO’s over 100-year history, the company said Astellas’ range would boost its annual turnover by more than a fifth. In 2015, LEO reported turnover up by 6% to DKK8.46 billion (C1.14 billion). OTC 5 OTC COMPANY NEWS Business Strategy/Annual Results Omega reveals plan to boost 2016 sales B uilding “strong” European OTC brands and continuing to invest in its core products will help Omega Pharma to grow its market share in 2016, according to the Belgian consumer healthcare firm. Announcing its 2015 results, Omega – which was last year acquired by Perrigo (OTC bulletin, 17 April 2015, page 3) – said the “main driver” of its growth would be a “continued focus on, and investments in, our top-20 brands”. Omega’s top-20 includes brands such as Abtei dietary supplements, Lactacyd femininehygiene products, Solpadeine pain relievers and Paranix head-lice treatments. “These brands represent approximately 59% of the company’s turnover,” Omega pointed out, “and are considered the main drivers for the future strategy and growth.” Launch in new markets Omega would look to take the top-20 into new European markets, the firm revealed, supported by “high promotional spending” to create brand awareness. In addition to investments in its top-20 brands, the company said it would “continue to build strong European brands, with a focus on qualitative new product developments”. Noting that it had invested C37 million in research and development in 2015, Omega insisted that such activities were an “essential cornerstone of the company’s strategy”. Omega revealed its plans for 2016 less than two months after Perrigo’s chairman and chief executive officer, Joseph Papa, described the Belgian firm’s fourth-quarter results as a “personal disappointment” (OTC bulletin, 4 March 2016, page 1). Speaking in February, Papa said the company had failed to meet “internal expectations” and was clearly facing “challenges” that needed to be addressed. To get Omega back on track, a range of initiatives would be implemented to transform the business’ “organisational design, business processes and product-resource allocation”, Papa said. These plans included a management shakeup and offloading underperforming brands. “I recognise that my actions will speak louder than words,” Papa admitted, “so I am committing a significant allocation of my time over the next six months to be in Europe, where I will actively work with the business’ executive team and country managers to drive these initiatives forward.” Omega reported 2015 turnover down by 4.5% to C1.22 billion. The company blamed the decline on lower sales in markets such as Belgium, France, Germany and Russia, in combination with a fall in turnover from distributing generics in Belgium. On a more positive note, Omega said it had enjoyed a “strong sales performance” in the Netherlands, Sweden, Turkey and the UK. Turnover from the firm’s top-20 brands improved by 8.8% in the 12 months and account- ed for 59% – or around C721 million – of Omega’s total sales. Omega pointed out that the basket of brands Perrigo had picked up from GSK last year (OTC bulletin, 12 June 2015, page 1) – which Omega distributes in Europe – had contributed C35.3 million to group sales, while the Yokebe dietary supplement brand, also acquired last year (OTC bulletin, 14 August 2015, page 7), had generated C5.9 million in turnover. Separately, Omega announced that its plans to bring a novel skin-lesion treatment to market had taken a step closer, after the product was granted a European CE mark. The Belgian firm snapped up the rights to the product, BL-5010, in Australia, Europe and other selected markets last December, after striking a licensing agreement with Israeli development firm BioLineRx (OTC bulletin, 16 January 2015, page 6). BioLineRx said it expected Omega would now launch BL-5010 in Europe “by mid-2016”. Commenting on the agreement between Omega and BioLineRx when it was announced, Mark Couke, Omega’s chief executive officer, claimed the firm was adding a “promising” skin-lesion treatment to its existing range of skin-care products. “We were very impressed with the data from the product’s clinical trials to date,” Couke noted, “and believe it can gain quickly a prominent position as an OTC treatment for a variety of benign skin lesions.” OTC Mergers & Acquisitions Alibaba expands South-East Asia reach A libaba Group is set to snap up a controlling stake in e-commerce platform Lazada, which a number of consumer healthcare firms use to sell their products in South-East Asia. Under the terms of the deal, Alibaba will invest US$1.0 billion (C886 million) in Lazada to acquire US$500 million of existing shares and US$500 million of newly-issued shares. The firm has entered into a ‘put-call’ arrangement with Lazada shareholders, giving Alibaba the right to purchase the shares it does not own in Lazada within the next 18 months. Lazada currently operates e-commerce websites in Indonesia, Malaysia, the Philippines, Singapore, Thailand and Vietnam offering consumers a range of products including books and clothing, as well as health and beauty lines. 6 Reckitt Benckiser (RB) uses Lazada to market its Durex range of sexual-health products to South-East Asian consumers, while Pfizer sells on the site its Caltrate and Centrum dietary supplements. Blackmores, GNC and Herbalife are among the other consumer healthcare firms operating on the platform. Commenting on the deal, Michael Evans, president of Alibaba, said acquiring Lazada would give the company “access to a platform with a large and growing consumer base outside China and a solid foundation for future growth in one of the most promising regions for e-commerce globally”. “This investment is consistent with our strategy of connecting brands, distributors and consumers wherever they are and will support our expansion in South-East Asia,” Evans insisted. Lazada offered a “unique solution”, he claimed, for global brands and distributors seeking to enter what was a “rapidly growing” region. Alibaba’s own Tmall e-commerce website is used by numerous consumer healthcare firms to sell their products in China. Pfizer recently revealed that the Tmall platform had allowed the company to reach Chinese consumers more easily (OTC bulletin, 8 April 2016, page 1). Earlier this month, Alibaba abandoned plans to transfer its online pharmacy marketplace from Tmall to its affiliate Alibaba Health, citing “substantial regulatory uncertainties” in relation to the country’s healthcare market. Alibaba said it would instead look to hand over to Alibaba Health a portion of its dietary supplements, health foods and nutritional products business, which is currently operated by Tmall (OTC bulletin, 8 April 2016, page 7). OTC OTC bulletin 22 April 2016 COMPANY NEWS OTC Mergers & Acquisitions Aspen Park and FHC to merge A spen Park Pharmaceuticals is set to merge with the Female Health Company (FHC), in a deal that the two US-based firms described as “transformational”. The financial details of the transaction were not disclosed. The proposed merger – which is expected to close in the third quarter of 2016 – will bring together female condom manufacturer FHC with OTC and prescription medicines development firm Aspen Park. Consumer healthcare products currently being developed by Aspen Park include wipes for reducing the incidence of premature ejaculation – which the company plans to launch later this year under the Preboost brand name – and a sexual-health dietary supplement. Under the terms of the merger agreement, FHC and Aspen’s shareholders will own 55% and 45% respectively of the shares of the combined company. Commenting on the deal, Aspen Park’s chief executive officer, Mitchell Steiner, said the merger would “strategically join” the firm’s “multiple high-profile drug candidates” with FHC’s “market leading” FC2 female condom. “I am excited by the prospect of advancing the combined company’s promising product development programme,” Steiner insisted, “while at the same time expanding the market for FC2 and leveraging a state-of-the-art, modular manufacturing facility and global distribution network.” Large development portfolio O.B. Parrish, FHC’s chairman and chief executive officer, said the merger would create a “powerful company with solid cash flows and a deep product development portfolio”. “The strategic benefits of the transaction deliver on our objective to add a diversified and complementary mix of products that has the potential to substantially expand our revenue base and grow our business,” Parrish added. “We believe merging with Aspen Park,” continued Parrish, “will provide the company with exciting new opportunities.” Based in Chicago, US, FHC reported sales up by 33% to US$32.6 million (C40.8 million) in the 12 months ended 30 September 2015. According to its most recent US Securities and Exchange Commission (SEC) filing, privately-held Aspen Park generates less than US$1.0 million in annual sales. OTC 22 April 2016 OTC bulletin Business Strategy Merck unveils its plans to expand in Indonesia E xpanding its portfolio of strategic brands and launching new products will help Merck KGaA to take its Consumer Health business in Indonesia to the next level, the firm has claimed. Describing Indonesia as Consumer Health’s “largest and most important market in Asia”, the German firm told OTC bulletin that it had big plans to “sustain the strong growth momentum” it was currently enjoying in the country. While Merck does not give sales figures for its Consumer Health operations in individual countries, the company said the Indonesia unit had enjoyed a 16% rise in sales in 2015. “We were particularly proud of this strong performance,” Merck said, noting that growth had been driven by “integrated marketing and sales campaigns” in support of its Neurobion and Sangobion strategic brands. Focused on “engaging consumers by creating high awareness on specific nerve- and bloodhealth related symptoms” the campaigns for the Neurobion vitamin B line and Sangobion anaemia supplement had been particularly successful, the firm noted. Commenting on the company’s plans to take a larger slice of the OTC market in Indonesia, Merck said it would this year launch two new products under the Neurobion and Sangobion brand names. Although the company would not give specific details of the launch for competitive reasons, Merck did reveal that both products would “focus on pain”, and one would be a specific women’s health line. In addition to new product launches, Merck explained it would grow the Indonesia business Merck KGaA intends to grow its Consumer Health business in Indonesia by promoting its Seven Seas range to strategic brand status by adding the Seven Seas cod liver-oil line to its strategic brands roster. “We are planning notable efforts to establish Seven Seas as a stronger brand in Indonesia’s vitamins, minerals and supplements market,” the firm insisted. Noting that Seven Seas had built a small presence in the country, Merck said it was intent on “driving further growth”. The promotion of Seven Seas to strategic status, Merck claimed, would support its longterm goal of implementing Consumer Health’s global ‘3x3’ strategy in Indonesia. Under its 3x3 strategy, Merck Consumer Health wants to develop a minimum of three leading brands in key categories and to achieve at least a 3% market share across the company’s top 15-20 markets. Expanding on its long-term plans for Indonesia, Merck said it would evaluate opportunities to introduce a greater number of its global strategic brands to the market, while also continuing to grow Neurobion, Sangobion and Seven Seas. OTC Mergers & Acquisitions Aché grows in Brazil with Nortis buy B razil’s Aché has strengthened its position in its domestic market by snapping up OTC and prescription medicines manufacturer Nortis Farmacêutica for an undisclosed sum. Under the terms of the deal, Aché has gained Nortis’ portfolio of antibiotics, non-prescription medicines and nutraceuticals, plus its manufacturing plant in Londrina. Nortis’ range of OTC products includes the Gastroplus heartburn product, Golden Vit dietary supplement and the Kalopé wart treatment. Commenting on its plans for Nortis, Aché said it would invest BRL80 million (C19.7 million) in the Londrina facility to boost capacity in an effort to lift group sales by 15% in 2016. Aché reported sales up by 9.3% to BRL2.3 billion in 2015, thanks to new product launches across its non-prescription and prescription medicines businesses. The company’s OTC portfolio includes the Accuvit multivitamin and Dorilax analgesic. OTC 7 OTC COMPANY NEWS Mergers & Acquisitions Allergan set to close Teva deal A llergan “fully expects” to complete the sale of its Actavis generics business to Teva during the first half of this year, president and chief executive officer Brent Saunders has stated in the wake of Allergan’s merger with Pfizer collapsing. Addressing investors shortly after measures unveiled by the US Treasury tightening the restrictions around inversion deals caused Allergan and Pfizer to mutually terminate the merger (see right), Saunders maintained that the Actavis deal would close by June. “We think that Teva has done a very good job at working diligently to clear the antitrust authorities around the world, they have secured approval in Europe, they are working hard with the US Federal Trade Commission (FTC) and we are very confident that they will get this deal closed in the coming weeks,” he insisted. Approval from the European Commission, albeit with significant conditions attached in Iceland, Ireland and the UK, came a month ago (OTC bulletin, 25 March 2016, page 4). However, at the same time, Teva said that FTC approval of the deal could take until June, three months later than originally anticipated. Announcing the US$40.5 billion (C35.6 billion) acquisition last year (OTC bulletin, 14 August 2015, page 3), Teva noted the deal included Allergan’s “Actavis global generics business, including the US and international generics commercial units, third-party supplier Medis, global generics manufacturing operations, the global generics research and development unit, the international OTC commercial unit – excluding eye-care products – and some established international brands”. Meanwhile, when quizzed by an investor on the provisions and terms that would “allow Teva to walk away” from the deal, Saunders stressed both parties’ dedication to complete the transaction. “Just to be clear, Teva does not want to walk away, we do not want to walk away, both management teams are absolutely aligned on getting this deal [completed],” he said. OTC IN BRIEF ■ DAIICHI SANKYO is to establish new US headquarters in Basking Ridge, New Jersey. The new site will incorporate the firm’s existing offices in Edison and Parsippany. OTC 8 Mergers & Acquisitions Pfizer and Allergan merger scuppered by US tax move P fizer and Allergan have terminated “by mutual agreement” their planned US$160 billion (C140 billion) merger in the wake of measures announced by the US Treasury and Internal Revenue Service (IRS) to limit taxinversion transactions. The deal had been scheduled to close during the second half of this year (OTC bulletin, 27 November 2015, page 9). Pfizer will reimburse Allergan US$150 million for expenses associated with the transaction. Allergan still expects to sell its Actavis generics unit – including its international OTC business – to Teva for US$40.5 billion by June (see left). On 4 April, the US Treasury announced that it was taking action to “limit inversions by disregarding foreign parent stock attributable to recent inversions or acquisitions of US companies”. This move, it said, would prevent foreign companies from acquiring US firms in sharebased transactions and then using their increased size to avoid current inversion thresholds for subsequent US acquisitions. The Treasury aims to “address earnings stripping” through measures including new rules on debt, interest deductions and due diligence. “Transactions should be driven by genuine business strategies and economic efficiencies, not a desire to shift the tax residence of a parent entity to a low-tax jurisdiction simply to avoid US taxes,” insisted the Treasury, which urged Congress “to move forward with antiinversion legislation this year”. Through the merger, Allergan and Pfizer had expected to reduce their combined tax rate by adopting Allergan’s Irish tax domicile. Following its move to pull the plug on the Allergan deal, Pfizer announced it had brought forward a planned decision on whether to split its Established and Innovative business segments. The company’s Consumer Healthcare unit sits within the Innovative segment. Ian Read, the firm’s chairman and chief executive officer, said Pfizer now planned to make a decision “by no later than the end of 2016”, consistent with the firm’s original timeframe prior to reaching its agreement with Allergan towards the end of last year. After the agreement was reached, Read said that no decision would be made before the end of 2018, due to the scale of integrating Allergan. Pfizer’s Global Established Products business comprises legacy brands that “have lost or will soon lose market exclusivity in both developed and emerging markets, branded generics, generic sterile injectable products, biosimilars and infusion systems”. OTC Mergers & Acquisitions Adcock Ingram offloads Cosme operation A dcock Ingram has agreed to sell the sales and marketing arm of its Cosme Farma operation in India, Adcock Ingram Healthcare, to local private-equity firm Samara Capital Partners for INR1.51 billion (C20.1 million) in cash. The South African firm, which expects the transaction to close “by the end of July 2016”, subject to certain closing conditions, will retain Cosme’s regulatory services business covering “quality control and assurance, medical affairs, information technology support and research and development services”. Just under a year ago, Adcock revealed that it was looking to offload Cosme, which had been hit with asset-impairment charges of ZAR74.4 million (C4.51 million) and ZAR278 million in the firm’s financial years ending June 2015 and 2014, respectively. Commenting on the agreement with Samara, Adcock explained that Cosme’s sales and marketing arm did not “meet the company’s current investment criteria”, and “as a result, the company has decided to exit this business”. Adcock paid INR4.80 billion, plus INR480 million in taxes and charges, for the Cosme operation in 2012, in a bid to diversify the firm’s operations outside of South Africa (OTC bulletin, 27 July 2012, page 8). OTC IN BRIEF ■ BIOSTIME – the Chinese owner ofAustralia’s Swisse Wellness – reported sales up by 1.8% to RMB4.82 billion (C657 million) in 2015. OTC OTC bulletin 22 April 2016 COMPANY NEWS OTC Business Strategy Alliance Pharma targets expansion in Asia A lliance Pharma is intent on expanding its OTC business in China and the “fast-growing” markets of South-East Asia, according to chief executive officer John Dawson. Speaking to OTC bulletin as the firm reported its 2015 results, Dawson said Alliance would look to build on its “growing strength” in China and South-East Asia by going after acquisitions to bolster its OTC and prescription businesses in those markets. “We recognise that part of the world as being very fast-growing and exciting,” Dawson noted. Alliance had people on the ground in Shanghai “looking for opportunities that would suit our business”, he revealed, and was opening an office in Singapore to do the same. While the firm had been “progressively” building its presence in China over the past few years, Dawson said the business had recently been given a shot in the arm by Alliance’s acquisition of Sinclair IS Pharma’s Healthcare Products business. The deal – announced in December (OTC bulletin, 11 December 2015, page 3) – had added to Alliance’s portfolio the scar-treatment brand Kelo-Cote, he noted, which sold “particularly well” in China. “China is Kelo-Cote’s biggest market, so its addition really is a boost for the operations we previously had in the country,” Dawson noted. The company also offers the Forceval supplement for pregnant women in China, as well as a number of infant-formula products such as Suprememil. Acquiring Sinclair’s Healthcare Products business had also had a beneficial effect on Alliance’s South-East Asia operation, Dawson pointed out, adding to the portfolio the KeloStretch stretch-mark treatment. “In South-East Asia, we used to sell our products very much at arms length, as we didn’t have anyone on the ground in the region,” he explained. “The Sinclair deal gave us a base in South-East Asia and we have just recruited a local manager to run that business.” Away from Asia, Alliance remained “open to opportunities” to expand its dominant Western Europe business, Dawson noted. The Sinclair deal had helped it to realise its ambition to have a presence in the “big five” European markets, he said, by adding infrastructure in Italy and Spain. With the firm now operating in these markets, as well as in France, Germany and the UK, Alliance had become a “much better contender for [acquisition] opportunities” in Europe, Dawson insisted. 22 April 2016 OTC bulletin Commenting on the type of deals that would interest Alliance, Dawson said the firm was open to both transformational and tuck-in acquisitions. “Small bolt-ons are very useful as they can be easily integrated,” he pointed out. “But given the scale-up that we’ve achieved through the Sinclair deal, we now have the wherewithal to tackle things that would have been out of reach one or two years ago.” While the firm was still on the look-out for opportunities, Dawson insisted that Alliance’s short-term priority was completing the integration of Sinclair’s Healthcare Products business. Turning to Alliance’s annual results, Dawson reported turnover up by 11% to £48.3 million (C60.5 million), thanks to better sales of the Hydromol emollient brand and the addition of Sinclair’s Healthcare Products business. While the firm does not break down its prescription and consumer healthcare sales, Dawson revealed that non-prescription products accounted for around 25% of the company’s turnover. The firm’s consumer healthcare portfolio includes the Ashton & Parsons teething powders, Lypsyl skin-care brand and Macushield eyehealth supplement, as well as Forceval, KeloCote and Kelo-Stretch. Acquiring Macushield before the Sinclair deal had helped boost consumer healthcare turnover, Dawson said, with the brand generating £3.5 million in 10 months. Noting that Macushield had “major potential for internationalisation”, Dawson said he expected sales of the product to “grow significantly” in the next few years. While Macushield helped to drive up group turnover, sales of both Ashton & Parsons and Lypsyl had remained flat in the 12 months, Dawson reported. Sales of Ashton & Parsons had “levelled-off” at £1.5 million, he noted, after strong growth in 2014. Lypsyl’s turnover had remained static at £1.1 million, Dawson added, as Alliance focused its efforts on repositioning the brand for its relaunch later this year. OTC 9 OTC GENERAL NEWS Regulatory Affairs Regulatory Affairs JSMI outlines OTC priorities A ccelerating the prescription-to-OTC switch process is one of the Japan Self-Medication Industry’s (JSMI’s) seven priorities to grow the country’s OTC industry in the next 12 months. Outlining its policies for the coming year, the JSMI said that speeding up the switch procedure would allow better choices for consumers to prevent “symptom manifestation in lifestyle diseases”, and improve the overall quality of consumers’ lives. The association said it would also explore whether general diagnostic devices should be made available OTC. Furthermore, the JSMI wants to increase engagement with medical professionals to help encourage more consumers to self-care. The association said it would call for more consultation rooms in pharmacies and drugstores, and a “regional comprehensive care system” that would “enable co-operation and stronger collaboration” between doctors, pharmacists and nurses. Turning to more regulatory matters, the JSMI said it wanted a review of the wording on labels for ‘quasi-drugs’ – such as vitamin and tonic drinks – to enable consumers to choose appropriate products and to differentiate these options from foods with functional claims. The JSMI said it would also create an “appropriate advertising standard” and guidelines for promoting pharmaceuticals. It would also help educate consumers on how they could benefit from an income tax reduction on the purchase of OTC drugs set to come into force in January 2017, the JSMI said. Meanwhile, the association is also encouraging manufacturers to provide information in other languages on product packaging to encourage purchases by non-Japanese speakers who live in, or are visiting, Japan. Noting that Japanese OTC medicines were “highly trusted overseas, particularly in Asia”, the JSMI said information should be provided in Chinese, English and Korean. To achieve this, product labelling should include codes that could be scanned by nonJapanese consumers using a ‘Uni-Voice’ smartphone translator app, the JSMI explained. Foreign-language documents would also be provided through a self-medication database, it added. The association also plans to support the standardisation of OTC pharmaceutical regulations in Asia. OTC 10 NZSMI voices opposition to repackaging proposal T he New Zealand Self-Medication Industry (NZSMI) is against the proposed changes that would allow pharmacists to repackage restricted and pharmacy-only generic medicines and sell them instead of proprietary brands. A proposal put forward by the Pharmaceutical Society of New Zealand (PSNZ) recommends a change in classification wording for the restricted – pharmacist-only – medicines lansoprazole and promethazine to remove the requirement that the product should only be sold in the manufacturers’ original pack. Pharmacy-only medicines covered The pharmacy-only medicines ibuprofen, omeprazole and pantoprazole, as well as ranitidine, were also proposed for removal of the requirement by the PSNZ. However, smaller packs of ranitidine with a general-sale classification would still be sold in the manufacturer’s original pack. Meanwhile, for sumatriptan, the PSNZ wants to remove the requirement that the product has to be sold in a pack that has received the consent of the minister or the director-general for its sale as a restricted medicine. A similar request has been made for the pharmacy-only medicines opium and pholcodine. The PSNZ insisted in its proposal that “not having to rely on the availability of, or conform to the presentation of a specific pack, will mean for some patients a safer or more affordable medicine may be provided”, and any requirements of supply – such as age restrictions, indications and maximum dose size – would still apply to the smaller or cheaper packs. However, in a letter to the medicines regulator Medsafe – whose Medicines Classification Committee (MCC) is due to discuss the proposal at its meeting on 3 May – the NZSMI’s executive director Tim Roper argues that the level of detailed product information on manufacturers’ packs will not be matched by pharmacists providing their own packs. This may potentially deprive consumers of a permanent source of product information for reference after purchase, Roper points out. It will also raise questions as to what Consumer Medicine Information (CMI) a pharmacist would supply if the product was dispensed from a larger prescription pack, Roper notes, and whether the pharmacist would be held liable for any “misadventure” due to the use of inappropriately-labelled products. Noting that there are over 900 pharmacies in New Zealand, Roper adds that the propoal will lead to inconsistent “practices when preparing and packing and labelling products for sale”. Impossible to track packages The letter also claims that dispensing repackaged medicines may cause problems in terms of post-market surveillance. It would also affect traceability, as a recall of a particular pack through identification of batch number would be “impossible”. Furthermore, the PSNZ’s proposal may “seriously” impact sales of OTC drugs, Roper warns. OTC Regulatory Affairs EFSA puts forward AIs for vitamin D R ecommended dietary reference values (DRVs) for vitamin D have been put forward by the European Food Safety Authority (EFSA) for public consultation. Noting that average requirements (ARs) and population reference intakes (PRIs) for vitamin D could not be derived, EFSA’s panel on Dietetic Products, Nutrition and Allergies (NDA) has proposed in its draft scientific opinion Adequate Intakes (AIs) for adults, children and infants, as well as for pregnant and lactating women. For adults – including pregnant or lactating women – an AI for vitamin D is set at 15µg/ day. This is the same for children between one and 17 years of age, while the AI for infants aged from seven to 11 months is set at 10µg/day. The AIs for adults and children were based on a meta-regression analysis, the NDA pointed out, which was carried out on data “collected under conditions of minimal cutaneous vitamin D synthesis”. In the presence of cutaneous vitamin D synthesis, the requirement for dietary vitamin D would be lower, the panel said, or even zero. Comments should be submitted by 16 May. OTC OTC bulletin 22 April 2016 GENERAL NEWS OTC Industry Associations French self-care model could save C1.5bn F rance’s self-medication sector is poised to grow and develop, but the country lacks the “political willpower to place self-care at the heart of a new healthcare strategy”, according to a comprehensive ‘Manifesto’ document that has been published by local self-medication industry association Afipa. “In France, everything is ready to increase rapidly the development of self-care,” the document insists. “Patients, pharmacists, industry, distribution networks and even general practitioners (GPs) are gradually joining this trend.” “Our healthcare system, while it is remarkable, suffers from an ever-increasing deficit, and its sustainability is threated by sociological challenges it is unable to meet,” Afipa points out. But the country lacks the political will to make self-care a key part of France’s healthcare strategy, the association believes. “This is both surprising and unfortunate, as we know that promoting self-care means we can provide a documented, solid, efficient, federated response to the organisational and financing issues faced by our healthcare system,” the Manifesto states. Nevertheless, Afipa maintains that it and its members are “ready and willing to share their expertise, and support any political action aiming to develop self-care in France”. To this end, Afipa’s Manifesto sets out three key pillars of action that the association believes will aid the development of France’s selfmedication sector: to “reform the rules of financial coverage and develop the offering of selfmedication”; to “unite healthcare professionals and patients”; and to “facilitate self-medication and to ensure that it is financially accessible, and capable of obtaining the support of patients”. Under the first pillar, Afipa urges the French authorities to establish a list of “benign pathologies” considered suitable for self-medication, and to make all molecules associated with these pathologies available without prescription. “A reform of the way healthcare costs are covered must be implemented today, and pathology is the starting point,” Afipa believes. “The cost of benign pathologies must be borne individually,” the association insists. “A list of these benign pathologies has been proposed by Afipa, based in particular on the list defined by the French healthcare products safety agency (ANSM),” the Manifesto points out. These pathologies include minor and moderate acne; occasional adult constipation; and dry and irritating cough. “All the molecules which treat these benign pathologies must no 22 April 2016 OTC bulletin longer be financed collectively,” Afipa insists. The association notes that self-medication is “much less developed in France than in other countries”, with self-medication volumes representing 15.4% of the overall French market “versus 32.3% on average in Germany, Belgium, the Netherlands, Spain, Italy, Sweden and the UK”. “When compared with the situation in other European countries, the potential for the development of self-medication in France is very significant,” Afipa believes, claiming in the report that “90 molecules could become available OTC if France were aligned with its neighbouring European countries”. This discrepancy between France and the rest of Europe “illustrates the inadequacy of the French system, which does not respond to the evolution of our society and the ever-increasing demand of the French people to take more control of their healthcare”, Afipa says. Unite all professionals Under the pillar of uniting healthcare professionals and patients, Afipa proposes organising “a large-scale conference on responsible self-medication, gathering all healthcare professionals in order to involve them in the reflection process, and provide them with tools to support them in their daily practice”. In particular, the association suggests providing “decision trees” to facilitate the delivery of OTC medicine, indicating self-medication medicines on a patient’s pharmaceutical and medical records, implementing specific training programmes relating to OTC medicines, and setting-up an “annual GP consultation focused on self-medication”. Other important initiatives would include increasing the competencies of pharmacists by giving them the option to deliver certain additional products, provided that they complete specific training programmes. Furthermore, Afipa also believes it is key to “inform the French people about responsible self-medication by reinforcing health education via an information campaign”. This could be delivered by the French National Institute for Prevention and Health Education, Afipa suggests, and by “implementing dedicated educational programmes”. Finally, under the pillar of facilitating selfmedication by ensuring that it is financially accessible for patients, Afipa suggests applying “an appropriate value-added tax (VAT) rate” to self-medication. “The current rate of 10% is too high,” the association believes. Afipa proposes a self-medication VAT rate of “2.1%, as for prescription medicines, due to the fact that self-medication medicines must comply with the same marketing regulations and offer the same safety guarantees”. Moreover, by including self-medication in France’s universal illness coverage ‘CMU’ insurance programme, Afipa says the country could “provide free self-medication medicine to people with limited financial means”. Taking into account all of Afipa’s proposals to expand the scope of French self-medication, develop the use of OTC medicines and reform the country’s healthcare financing model, the association believes “the model proposed here would result in major savings exceeding C1.5 billion in only one year”. This would include savings on medical consultations as well as on reimbursement of medicines by public health insurance. “On average, 16 out of 100 patients seen in consultation suffer from a problem which could be solved with responsible self-medication, without involving a GP,” Afipa claims. “The development of self-care could therefore regulate healthcare by improving access to GPs and limiting congestion in emergency wards.” “Resources exist, they are ready to be deployed and will enable the system to adapt and increase its efficiency,” Afipa insists. “One of those remarkable resources is self-care – and more precisely, self-medication – which has proven its efficiency in neighbouring European countries, where it has rationalised healthcare provision and generated substantial savings while meeting the needs of patients and consumers.” Self-medication has the potential to “create the foundations of a sustainable, reformed healthcare system”, Afipa’s Manifesto concludes, “able to mirror the evolution of our population, meet new health challenges, and take into account economic constraints”. Observing that the French self-medication market has been “unstable for several years now” – with sales declining by 3% in 2013 and by 0.3% in 2014, only to rebound and grow by 5.2% in 2015 (OTC bulletin, 19 February 2016, page 20) – Afipa said this was because the market was simply reacting to events, such as the appearance of particular pathologies. “In order to respond to French demand and fully realise its economic potential,” Afipa believes, “the French self-medication market must be supported by strong political drive and concrete measures.” OTC 11 OTC GENERAL NEWS Market Research mHealth consumers identified in the US O ver a third of US adults use apps, websites, wearable monitoring devices or smartphones to keep track of their health, with almost half of users employing two or more platforms, according to new research from Kantar Health. Findings of the firm’s National Health and Wellness Survey showed that 37% of American adults used at least one website, app or wearable device to manage their health and wellness (see Figure 1). Around 44% of those that used mHealth tools were using two or more, the company added, with websites the most popular platform. Women were more likely to track their health than men, the research found. In terms of age, ‘health trackers’ had an average age of 43, while those that did not had an average age of 49. Furthermore, health trackers were less likely to smoke, more likely to drink alcohol, and less likely to be obese than non-trackers, Kantar pointed out. Despite this, they were more likely to be trying to lose weight and they were also watching their diet and exercising more often (see Figure 2). Exploring health trackers’ motives, Kantar said that 46% were trying to lower their risk of developing certain health conditions. By com63% 2% Insurance provider app on smartphone 7% 8% 9% 11% 12% mHealth wearable technology Health and wellness app on smartphone Exercise app on smartphone Insurance provider website Health and wellness website 14% Exercise tips or routines on website Nothing Figure 1: mHealth tools used by Americans to manage their health and wellness (Source – Kantar Health) All mHealth users All mHealth non-users Figure 2: Behaviour of users and non-users of mHealth platforms (Source – Kantar Health) 81% 57% 58% 44% 26% 11% Food diary 31% 15% Monitoring blood pressure Monitoring pulse Monitoring heart rate Monitoring sleep Tracking Tracking fitness goals calories burned during exercise Figure 3: Breakdown of what users of activity trackers use the products for (Source – Kantar Health) 12 parison, 32% of non-users were also trying to reduce their risk, Kantar said. Heart attacks or other heart problems topped the list of conditions mHealth users were trying to prevent, the company noted, followed by diabetes and stroke. Interestingly, the survey showed that mHealth users had a “slightly lower mental quality of life”, Kantar revealed, with the more platforms a person used, the lower their mental quality of life, but the higher their physical quality of life. Furthermore, mHealth users were less productive at work, Kantar said, with users also reporting higher levels of absenteeism. Despite mHealth’s growing popularity with consumers – the mHealth market is expected to be worth over US$50 billion (C44 billion) by 2019 – US physicians were still not entirely convinced on the benefits of mHealth platforms, especially when it came to wearable devices, Kantar revealed. “Cost is a significant factor for why physicians would not recommend wearables, with 59% saying they are too expensive for many patients,” Kantar pointed out. “Technology issues are also an influence, with 42% of physicians saying there are too many technology hurdles to patients using wearable devices correctly or consistently.” Tracking steps taken during day Misled patients on health status A third of physicians also worried that the use of mHealth devices could mislead patients into believing they were healthier or unhealthier than they actually were, the survey found. If the US Food and Drug Administration (FDA) were actively to regulate and approve mHealth or wearable devices, Kantar noted, 21% of physicians would strongly consider recommending them. Kantar said three key mHealth platforms – activity trackers, web-connected glucose monitors and web-connected blood-pressure monitors – offered healthcare firms big opportunities. Activity trackers was the leading category of wearable healthcare devices, Kantar pointed out, with sales in 2015 more than doubling. Typically available as watches, bracelets or clip-ons, activity trackers can track steps taken, heart rate, sleep, calories consumed and burned, and stress levels. As Figure 3 shows, the most common use for activity trackers was measuring steps taken during the day. Tracking fitness goals and monitoring calories burned during exercise were also popular. OTC bulletin 22 April 2016 GENERAL NEWS OTC Yet, while activity trackers had a high profile, actual use was somewhat low, with only 7% of American adults saying they used such devices, Kantar revealed. Of that figure, over half of users were women (see Figure 4). However, in defined population groups, the level of use increased, the company noted. People that suffered from certain chronic conditions were more likely to use activity trackers compared to the general population, it added, citing the 9% of adults with migraines and 7.5% of adults with asthma that were users. Use of wearables also had benefits to society in general, Kantar claimed, pointing out that those who used activity trackers had a higher mental and physical quality of life than the overall population. They also enjoyed higher productivity rates at work. The market for activity trackers still had plenty of room for development, Kantar explained, with new products entering the market that could correct a user’s technique during exercise, monitor breathing, and measure body fat percentage, muscle mass and body mass. Ingestible activity trackers Looking further ahead, the future of activity trackers could move away from the classic wearable model, the company said, noting that Hosain Rahman, chief executive officer of activity tracker firm Jawbone, had claimed that the next generation of such products could be ingestible. “The first thing you have to crack through is actually getting people to wear [the tracker],” Rahman pointed out, “but if the product is on all the time, the amount of information you get about the user is staggering.” Turning to web-connected blood-glucose monitors, Kantar pointed out that physicians were now recommending them to diabetic patients. However, the vast majority of sufferers – 72% – were not aware that such monitors existed. Diabetics also remained unsure about sharing their personal-health data, the company Currently using web-connected blood-pressure monitors Figure 4: Breakdown of users of activity trackers (Source – Kantar Health) Yes, I am familiar and currently using Yes, I am familiar and currently not using, but I intend to in the future Yes, I am familiar and currently not using, and I do not intend to in the future Yes, I’m interested in having my blood pressure recorded via a smartphone for easy access I’m not sure whether I’m interested in having my blood pressure recorded via a smartphone app for easy access No, I’m not interested in having my blood pressure recorded via a smartphone app for easy access No, I am not aware 6% 17% 24% 27% 49% 74% Figure 5: Awareness of web-connected blood-pressure monitors among hypertensives (Source – Kantar Health) noted. Only 23% of diabetics said that they were interested in having their glucose readings securely recorded, with 51% saying they were not interested. The survey also found that diabetic patients who were using web-connected glucose monitors seemingly had less control of their condition than those who were not aware of these tools, Kantar claimed. Although both groups were testing with the Not aware of web-connected blood-pressure monitors Daily Monthly Weekly Only at the doctor’s office Figure 6: Frequency that users and non-users of web-connected blood-pressure monitors measure their blood pressure (Source – Kantar Health) 22 April 2016 OTC bulletin 4% same frequency, patients using web-connected devices were more likely to experience a hypoglycemia episode that required them to seek assistance from another person. Web-connected blood-pressure monitors suffered from the same low profile as glucose monitors, Kantar said, in that the majority of patients with hypertension were unaware that such devices were available (see Figure 5). Unsurprisingly, those that used web-connected blood-pressure monitors checked their blood pressure more frequently than those who did not use such devices (see Figure 6). A quarter of users said that they checked their blood pressure daily, Kantar pointed out, compared with just 10% of those who were not aware of such devices. Some patients might be using web-connected blood-pressure monitors because they had experienced hypertension-related complications, Kantar said. Nevertheless, users with a history of complications were less likely to treat their condition with prescription medicines and were more likely to use OTC products than patients who did not use monitors. OTC 13 OTC MARKETING NEWS Marketing Campaigns Product Launches Science focus Kobayashi grows OTC line for Sensodyne with pain and acne options G laxoSmithKline (GSK) is educating UK consumers on the science behind its Sensodyne Repair & Protect sensitive-teeth range with a £2.3 million (C2.9 million) campaign. As part of the marketing push, a television advertisement features Jonathan Earl, Sensodyne’s science and research lead, explaining the causes of tooth sensitivity. The commercial – which will air until August – was being supported by digital activity until May, the firm pointed out. There would also be print advertising, GSK noted. Despite over two-thirds of the UK population suffering with “signs of sensitivity”, the company claimed only 19% of people with tooth sensitivity used a toothpaste designed to tackle the problem. Pointing out that shoppers found it difficult to differentiate between oral-care variants and select the option that was right for their needs, the firm maintained that educating consumers on the science behind sensitivity would help them to understand the cause and subsequently to choose “appropriate products”, such as Sensodyne Repair & Protect. Meanwhile, from August, the Sensodyne Repair & Protect range would be further supported by a television campaign featuring a dentist, GSK pointed out. This advertisement was likely to air until the autumn, the firm said, with supporting digital activity set to begin in September. Formulated with Novamin – a bioactive glass – and sodium fluoride, the Sensodyne Repair & Protect toothpaste line is said by GSK to be clinically proven to provide long-lasting sensitivity relief and daily protection from dentine hypersensitivity when used twice daily. OTC IN BRIEF ■ ORTHOMOL PHARMA is offering German pharmacists who order its Orthomol Arthroplus joint-health product the opportunity to have light-up shoe clips to give away to customers. The waterproof and “unbreakable” shoe clips had a blue LED light that flashed with every step to ensure athletes and active people were visible, the German firm explained, making them an “ideal companion for sports activities at dawn and dusk”. The shoe clips are available until the end of May. OTC 14 J apanese firm Kobayashi has grown its OTC offering in its domestic market with topical products for pain and acne. To expand its pain-relief portfolio, the firm has added a NEO option – available as a lotion in two sizes and a gel – to its Anmerutsu line. Classified as category II medicines – those with side effects that may possibly cause health hazards to the extent of disrupting daily life – Anmerutsu NEO is claimed by the company to be the first range in Japan to combine diclofenac sodium with three ingredients to stimulate blood circulation. Meanwhile, Anmerutsu NEO lotion was available in a ‘Long’ 90ml bottle with a lengthier neck, Kobayashi noted, enabling consumers to reach the back more easily. Anmerutsu NEO lotion provides 1g diclofenac sodium and 5g l-menthol as analgesics, as well as 100mg tocopherol acetate, 12mg nonanoic acid vanillylamide and 10mg nicotinic acid benzyl ester per 100g. The Anmerutsu NEO gel offers per 100mg the same amounts of the ingredients in the lotion, with the exception of 6g menthol. The odourless products can be applied threeto-four times a day to relieve various types of pain, including bruises, muscle pains, sprains, stiff necks, and tendonitis. Anmerutsu NEO is suitable for use by those aged 15 years and over. The range is not recommended for use during pregnancy. Both the Anmerutsu topical analgesics and Senakyua acne spray are category II OTC drugs The Anmerutsu line also includes heat patches and a Gold EX lotion, which is formulated with felbinac and nonanoic acid vanillylamide. Available in pharmacies and drugstores, Anmerutsu NEO has recommended retail prices of ¥1,404 (C11.43) for a 46ml bottle, ¥2,502 for a 90ml bottle and ¥1,404 for the gel. Meanwhile, Kobayashi has rolled out a Senakyua spray that is intended to treat acne on the back and décolletage. Senakyua – which is also a category II drug – contains 0.5g salicylic acid, 22.84g ethanol and 0.2g allantoin per 100g, is claimed to fight bacteria, smooth skin and reduce redness. The spray should be used morning and evening, Kobayashi recommends, noting that the product’s format allowed it to be widely applied to the hard-to-reach back area. A 100ml bottle of Senakyua spray has a recommended retail price of ¥1,296 without tax. OTC Reckitt Benckiser (RB) will promote its recentlylaunched E45 Fast Acting 24H Spray Moisturiser range in the UK between June and August with a £1.6 million (C2.0 million) television campaign. “The intense protection of E45, now in a fastabsorbing spray” will be the tagline of the campaign, which will support the Derma Protect and Intense Recovery variants. E45 Derma Protect Fast Acting 24H Spray Moisturiser was “clinically proven to lock in moisture and help repair dry and sensitive skin”, RB explained, adding that it was also suitable for eczema-prone skin. Meanwhile, the Intense Recovery option helped to “relieve and repair very dry skin and replenish the skin’s natural barrier”, the firm claimed. RB added that other promotional activity would include pharmacy detailing – beginning in May – as well as in-store point-of-sale activity and “digital and social media support”, which would start in June. Public-relations activity was already underway, RB pointed out. The firm said the campaign would focus in particular on 24-44 year olds suffering from “dry/ sensitive” and “very dry” skin. OTC OTC bulletin 22 April 2016 MARKETING NEWS OTC Product Launches Maxicold and Codelac expand O TCPharm has grown its presence in Russia’s cold and flu market by adding a children’s syrup to its Maxicold line and a doublesize pack to its Codelac Neo cough brand. Containing 100mg ibuprofen per 5ml of syrup, Maxicold for Children is said to ease fever and pain associated with colds, such as sore throats or ears; headaches; and aching muscles. It could also be used for other types of pain such as teething, the firm pointed out, as well as to reduce swelling and redness. Maxicold for Children – which is available in orange or strawberry flavours – was suitable for children aged from three months up to 12 years, OTCPharm noted. The product is said by OTCPharm to have a “rapid onset of action,” with effects that could last for up to eight hours. A two-way metering spoon – allowing measurements of 2.5ml and 5.0ml – is provided in every pack of Maxicold for Children. Other products in the Maxicold range include tablets with paracetamol and phenylephrine hydrochloride – suitable for those aged over nine years – as well as Rino hot-drink powders with paracetamol, pheniramine maleate and phenylephrine hydrochloride, which can be taken by people over 12 years old. There is also a hexetidine-containing Maxicold ENT spray, which can be used from three years of age. Meanwhile, the addition of a 200ml syrup to the Codelac Neo dry-cough range, OTCPharm noted, meant that the Codelac Neo line now offered the “same choice of liquid dosage forms” as the leading brand for dry cough on the Russian market, GlaxoSmithKline’s (GSK’s) butamirate-based Sinecod. Like Sinecod, Codelac Neo is also available in a 100ml bottle and as drops. Codelac Neo drops are suitable for those aged over two months, while the syrup can be used by people over three years old. OTCPharm also offers Codelac Neo tablets for consumers aged over 18 years old. The Codelac line in Russia also includes Broncho tablets and syrup for mucus cough. The firm said it also planned to launch a 200ml version of Codelac Broncho syrup – which includes ambroxol and glycyrrhizic acid – in the future. A Codelac Pulmo Gel, containing natural ingredients such as Siberian fir oil and camphor, is also available. OTC 22 April 2016 OTC bulletin Product Launches Omega’s Dermalex targets UK’s adult acne sufferers A dult acne sufferers are Omega Pharma’s target market for an Acne Treatment addition to its Dermalex dermatology line in the UK. Noting that Dermalex Acne Treatment – a medical device – could be used by all age groups, the firm said that while an “international study” had shown a fifth of adults were affected by acne, most OTC solutions were positioned for the teenage market. Created with an “MEC4 complex”, the “breakthrough” product – which does not contain benzoyl peroxide or salicylic acid – was clinically proven to treat mild-to-moderate acne symptoms such as spots, redness and swelling, Omega noted, without drying out the skin or making it sensitive to the sun. Comprising ingredients such as krameria extract, glyceryl stearate and the PPG-12/SMDI copolymer, the MEC4 complex treated acne’s root causes, Omega said, by creating “a protective layer unfavourable for acne bacteria growth” and decreasing sebum production. Omega added that Dermalex Acne Treatment – which has recently also been launched in South Africa – helped restore the skin’s natural flora and pH balance. Clinical trials had shown that 76% of adult Dermalex Acne Treatment – which does not contain benzoyl peroxide or salicylic acid – is said to be clinically proven to treat mild-to-moderate acne symptoms acne sufferers saw a reduction in acne symptoms after four weeks of using Dermalex Acne Treatment, Omega claimed. Like the existing Dermalex range – which includes products for eczema, psoriasis and rosacea – the “easily-absorbed” and “non-greasy” Dermalex Acne Treatment was also steroid-, paraben- and perfume-free, the firm pointed out. A launch campaign for Dermalex Acne Treatment would include print and digital advertising, Omega said, as well as public-relations activity. The product is available in Boots and on boots.com, priced at £18.99 (C23.89). OTC Product Launches Ratiopharm has rival to Boehringer brand T eva’s Ratiopharm is offering an alternative to the BoxaGrippal ibuprofen and pseudoephedrine combination that Boehringer Ingelheim introduced in Germany three years ago (OTC bulletin, 31 May 2013, page 16). Like BoxaGrippal, RatioGrippal contains 200mg of ibuprofen and 30mg of pseudoephedrine hydrochloride per coated tablet. The pharmacy-only medicine is indicated for relieving nasal congestion, headaches and fever in adults and children aged from 15 years. Ratiopharm has set recommended retail RatioGrippal contains 200mg ibuprofen and 30g pseudoephedrine hydrochloride per tablet prices for the cold remedy of C3.58 for 10 tablets, and C6.97 for a pack of 20. The Teva affiliate’s price for the larger pack represents approximately a 45% discount to the C12.59 recommended for the same size pack of BoxaGrippal. It is also a tenth lower than the C7.72 price that Pfizer Consumer Healthcare recommends for a box of 20 SpaltGrippal tablets, which have the same formulation. In March 2013, Germany amended the country’s prescription order to switch ibuprofen and pseudoephedrine combinations – with a maximum single dose of 400mg of ibuprofen and 60mg of pseudoephedrine – from prescription-only to OTC status. This followed a recommendation by its expert committee for prescription in mid-2012 (OTC bulletin, 29 June 2012, page 16). OTC 15 OTC MARKETING NEWS Legal Cases ACCC proposes A$6m fine after RB misled consumers R Stada Arzneitmittel’s Aesthetics business has launched in Germany the Skin Infusion nutricosmetics line, which are the division’s first OTC products. Available in pharmacies and from cosmetic dermatologists, the Skin Infusion range comprises a Beauty drink and capsules. Formulated with ingredients such as collagen, glucosamine, chondroitin and hyaluronic acid, the Beauty drink could be dissolved in liquid or stirred into yogurt, Stada Aesthetics explained. A sachet should be taken per day for two-to-three months, the firm instructs, to tighten sagging skin and tackle pale complexion, wrinkles and cellulite. Meanwhile, the vegan capsules included extracts of nettle, asparagus, pumpkin and chlorella – as well as vitamin C – Stada Aesthetics pointed out, to “counteract tired eyes, puffiness, enlarged pores and cellulite”. It is recommended that three capsules are taken on an empty stomach in the morning. Targeted “primarily” at women, Skin Infusion was being supported by a “broad” public-relations campaign for consumers, pharmacies and doctors, Stada Aesthetics noted, as well as print activity. There was also a Skin Infusion Facebook page and website, the company pointed out. The firm said it expected the range to be available in Austria, Italy, the Nordics and the UK by July. OTC eckitt Benckiser (RB) should be fined A$6 million (C4.1 million) for misleading consumers over its Nurofen ‘Specific Pain’ products, the Australian Consumer Competition Commission (ACCC) has told the country’s Federal Court. The commission made its demands at a recent hearing to determine RB’s penalty, after the Federal Court of Australia ruled late last year that the firm had made “misleading representations” by claiming that each Specific Pain variant had been formulated to treat a particular type of pain, despite all products containing 342mg ibuprofen lysine (OTC bulletin, 15 January 2016, page 15). Stating that the four Specific Pain products – Back Pain, Migraine Pain, Period Pain and Tension Headache – were sold at almost double the price of standard Nurofen variants, the ACCC’s legal representatives told the court that consumers had been financially harmed over the space of five years, and that there needed to be a “serious taking away of profit”. Nurofen’s competitors were also disadvantaged, the court was told, as there was less available shelf space. In its decision on the case brought by the ACCC last March (OTC bulletin, 20 March 2015, page 10), the court ordered that the four Specific Pain products should be removed from shelves, adding that RB should publish corrective notices on its website and in newspapers, im- plement a consumer protection compliance programme, and pay the ACCC’s costs. An “interim packaging agreement” – in the form of stickers – was arranged with RB for use following the removal of the products. These would clearly disclose to consumers that the products were “equally effective” for other pain. However, the ACCC’s lawyers claimed at the hearing that the stickers were being covered up in some retailers. In response, RB’s barristers argued that “rational” consumers would not think a painspecific product was any more effective than a pain-relief product without such claims, but that specific indications made the selection process easier. A spokesperson for UK-based firm told OTC bulletin that RB had also proposed at the hearing a much lower fine of A$1.1 million. The fine amount is expected to be decided by the end of April. Meanwhile, the company is also facing a class action lawsuit from Australian consumers over the range. The action, launched by Bannister Law last month (OTC bulletin, 25 March 2016, page 12) is calling for a full refund for the Specific Pain products that the consumers purchased, claiming that they “would not have purchased the product if they had known that it was not more effective on targeted pain than any of the other Nurofen products in the range”. OTC A lidocaine cream is the latest addition to Chattem’s IcyHot analgesics range in the US. Indicated to temporarily relieve minor pain, IcyHot Lidocaine is formulated with 4% lidocaine hydrochloride and 1% menthol, and is said by Sanofi’s US subsidiary to be both fast-acting and long-lasting. The product’s packaging highlights that IcyHot Lidocaine – which is suitable for use by those over 12 years old – contains “maximum strength lidocaine”, “numbs away pain” and “desensitises aggravated nerves”. Meanwhile, the brand website icyhot.com encourages consumers to “Lidocaine your pain”. A thin layer of IcyHot Lidocaine should be applied to the affected area every six-to-eight hours, Chattem advises, and no more than three times in a 24-hour period. The product should not be used for more than one week without consulting a doctor. The current IcyHot line in the US includes patches and creams based on ingredients such as menthol, camphor and methyl salicylate. Chattem also offers IcyHot SmartRelief transcutaneous electrical nerve stimulation (TENS) machines. OTC 16 Laboratoires Bouchara-Recordati has added to its Hexa range in France by launching an exotic-fruit flavoured spray for sore throat under the name Hexaspray Fruits Exotiques. Suitable for adults and children over six years of age, the biclotymol-based spray is meant to be used for two sprays at a time, three times a day, with treatment lasting no longer than five days. The product is listed in France as a ‘free access’ medicine, meaning it is available for self-selection in pharmacies under the scheme that was started in mid-2008 (OTC bulletin, 31 July 2008, page 17). It has a recommended retail price of C5.70. OTC IN BRIEF ■ GLAXOSMITHKLINE (GSK) aims to educate Filipino mothers on how they can take care of their families’ common ailments using its Ambrolex and Virlix brands with its ‘Expert Mom’ campaign. This includes a ‘Mommy- Doc’ Facebook page with “expert, but practical” advice on how to address coughs and allergies, the firm pointed out, as well as “trade merchandising efforts”. OTC OTC bulletin 22 April 2016 MARKETING NEWS OTC Line Extensions Premium option joins Loxonin S D aiichi Sankyo has added a Premium variant to its Loxonin S loxoprofen sodiumbased analgesics range in Japan. A category I drug – an OTC product that is deemed to hold the highest degree of risk – Loxonin S Premium was formulated with 68.1mg loxoprofen sodium hydrate per twotablet dose, the Japanese firm explained, as well as 60mg allyl isopropyl acetyl urea and 50mg anhydrous caffeine, to “enhance the analgesic effect”. Two tablets also contained 100mg magnesium aluminometasilicate, Daiichi Sankyo pointed out, to make the product gentler on the stomach. Loxonin S Premium is suitable for those over 15 years old, and is indicated to relieve pain such as headaches, menstrual pain, toothache and joint pain. The tablets also had an antipyretic effect in cases of fever, Daiichi Sankyo pointed out. The product joins the Loxonin S Plus option launched last year (OTC bulletin, 24 July 2015, page 15) and the original Loxonin S tablets rolled out in 2011, following the prescriptionto-OTC switch of loxoprofen sodium. A 12-tablet pack of Loxonin S Premium has a recommended retail price of ¥698 (C5.68) without tax, while 24 tablets are ¥1,180. OTC Sporty people are the target for Quiris Healthcare’s latest addition to its CH-Alpha line in Germany. CH-Alpha Sport drinkable ampoules contain a “tri-complex” of collagen, magnesium and silicic acid, as well as vitamin C, pantothenic acid and zinc. Quiris said the collagen helped to regenerate cartilage in joints, while magnesium supported muscles and bones, and silicic acid strengthened ligaments and tendons. The food supplement is free from gluten and lactose, and is also included on Germany’s Kölner Liste register of products that it is safe for competitive people to take within doping regulations. A month’s supply of 30 one-a-day ampoules has a recommended retail price of C52.80. OTC 22 April 2016 OTC bulletin Marketing Campaigns GSK simulates migraines for US Excedrin campaign G SK is boosting awareness among US consumers of its Excedrin headache-relief brand with its ‘Migraine Experience’ campaign, which uses what is claimed to be the world’s first augmented-reality migraine simulator. The firm claims Excedrin is its first brand to “leverage augmented-reality technology to conceptualise a health condition”, with the aim of fostering “a new level of understanding between those affected by migraine and non-sufferers”. Claiming that migraines were “an extremely personal, isolating experience” for the 36 million sufferers in the US, GSK said it used the technology to allow non-sufferers, for the first time, to see what it was like to have a migraine. Said to replicate the symptoms of a migraine – “everything but the pain” – the Migraine Experience simulator was created from input from selected migraine sufferers, GSK explained, on what they most often experienced during an “episode”, such as aura, disorientation, sensitivity to light and blurred vision. These symptoms were then replicated, via an augmented-reality headset, for a person the sufferer knew – such as a family member or partner – in a controlled environment, GSK noted. The reactions of sufferers’ counterparts were recorded, GSK explained, and featured in a national television commercial that was currently airing. Other full-length videos could be found on the brand website, excedrin.com, where consumers can also sign up to receive a free sample of Excedrin Migraine tablets. GSK added that the Excedrin Migraine Experience was also being promoted on social and digital platforms such as Facebook, Instagram and Twitter, as well as YouTube and the lifestyle website sheknows.com. In addition, the US-only campaign included “in-store activation” and the launch of a Mi- Reactions to the migraine experience feature in a television advertisement, and also appear online graine Experience app, GSK explained. This would allow users to experience the simulation via their smartphones, using the Google Cardboard virtual-reality platform. The Migraine Experience app would be available to download from May for both Apple and Android devices, the firm revealed. GSK said the television spot – as well as a public-relations programme – would run until June 2016, adding that television and radio host Andy Cohen had been signed up as a spokesperson for the Excedrin Migraine Experience. The firm said it hoped that the campaign material would go viral, with “all those who suffer from migraines” getting the opportunity to watch and share the content. “We normally see relatively average engagement in social media for our category,” the company told OTC bulletin, “but we believe we’ll get hundreds of thousands of consumers to watch, share and talk about this unique and powerful campaign.” The Excedrin range in the US includes PM Headache, Tension Headache, Migraine and Extra Strength options. Formulated with aspirin, caffeine and paracetamol, Excedrin Migraine is claimed to start relieving pain in just 30 minutes, cut sensitivity to light and sound, and also relieve nausea. OTC IN BRIEF ■ OMEGA PHARMA is offering Belgian consumers the chance to win a “dream trip” worth C15,000 to Rio de Janeiro to support the Belgian national team at this year’s Olympic games. To enter the contest, consumers should purchase at least two products from two different participating brands – either the Bibi baby bottle and dummy line, the Bodysol skin-care selection, or the Etixx sports-nutrition series – which the firm noted were official suppliers to Team Belgium. A photo of the purchase receipt should be emailed to a specific competition address. Entrants must also register their details online and answer a contest question and a tie-breaker. Five runners-up will receive a ‘Rio edition’ Samsonite suitcase. The contest runs until 25 June 2016. OTC 17 Recognising the best in the global generics and biosimilars industries Presented by Generics bulletin in association with IMS Health Cocktail Reception & Awards Presentation Tuesday 4 October 2016 Hotel Porta Fira,The Gran Via complex, Barcelona, Spain Sponsor, Enter, Join us! Find out more about sponsoring or entering an award and joining us on the night: Visit: www.generics-bulletin.com Email: [email protected]. Call: +44 1564 777550 Presented by: In association with: Sponsored by: EVENTS OTC heim and Sanofi will attend this four-day meeting, run by the Drug Information Association (DIA). Contact: DIA Global. Tel: +86 10 5704 2652. Email: [email protected]. Website: diaglobal.org. MAY 10 May ■ FDA: Marketing Authorisation in the US Köln, Germany US Food and Drug Administration (FDA) regulations will be compared with European Union (EU) law at this one-day seminar. Contact: Forum Institut für Management. Tel: +49 6221 500 680. Fax: +49 6221 500 555. Email: [email protected]. Website: forum-institut.com. 17-18 May ■ Introducing Pharmaceutical Legislation Bonn, Germany Pharmacovigilance and regulations for the delivery of drugs will be discussed at this one-day meeting, run by Germany’s medicines manufacturers’ association, the BAH. Contact: BAH. Tel: +49 228 957 4556. Email: [email protected]. Website: bah-bonn.de/widi-services/ fachseminare. 23-24 May ■ Vitafoods Europe Geneva, Switzerland A three-day exhibition and conference focusing on nutraceuticals, and functional foods and drinks. Contact: Informa Exhibitions. Tel: +44 20 3377 3616. Email: maria.sidiropoulou@ informa.com. Website: vitafoods.eu.com. JUNE An Essential Overview of the Medical Device and the Pharmaceutical Industry London, UK Day one of this two-day seminar will provide an overview of the medical device industry, whilst day two will focus on the drug development process in the pharmaceutical industry. Contact: Management Forum. Tel: +44 20 7749 4730. Email: [email protected]. Website: management-forum.co.uk. 15-18 May ■ DIA China 8th Annual Meeting Beijing, China Speakers from China’s Food and Drug Administration (CFDA), AstraZeneca, Boehringer Ingel- 22 April 2016 OTC bulletin Brussels, Belgium A five-day summit focusing on medical device regulatory affairs in Europe and globally. Contact: Informa Life Sciences. Tel: +44 207 017 7481. Email: [email protected]. Website: meddevregs.com. 22-24 June ■ São Paulo, Brazil Pharmaceuticals, personal care, dietary supplements, and sports nutrition will be covered at this fourday exhibition. Contact: Informa Exhibitions. Tel: +55 11 3598 7800. Fax: +55 11 3598 7801. Email: [email protected]. Website: fispaltecnologia.com.br. 26-30 June ■ Pharmacovigilance London, UK A three-day course covering pharmacovigilance and drug safety. Contact: Management Forum. Tel: +44 20 7749 4730. Email: [email protected]. Website: management-forum.co.uk. 52nd DIA Annual Meeting Philadelphia, US A five-day annual meeting organised by the Drug Information Association (DIA). Contact: DIA Global. Tel: +1 888 257 6457. Fax: +1 215 442 6199. Email: customerservice@ diaglobal.org. Website: diaglobal.org/en/flagship/ dia-2016. Drug Label and Package Design 20-22 June ■ The Medical Devices Introductory Course London, UK This three-day course is run by The Organisation for Professionals in Regulatory Affairs (TOPRA). Contact: TOPRA. Tel: +44 20 7510 2560. Fax: +44 20 7537 2003. Email: [email protected]. Website: topra.org. Fispal Technologia Bonn, Germany This one-day event is being run by Germany’s medicines manufacturers’ association, the BAH. Contact: BAH. Tel: +49 228 957 4556. Email: [email protected]. Website: bah-bonn.de/widi-services/ fachseminare. EuroPLX 61 Valletta, Malta This two-day meeting will provide a forum for business development decision makers for discussing and negotiating collaborative agreements in licensing, marketing, and distribution of patented medicines, generics, biosimilars, OTC products, medical devices and food supplements. Contact: RauCon. Tel: +49 6221 426 2960. Email: [email protected]. Website: europlx.com. MedTech Summit 16 June ■ 13-14 June ■ Athens, Greece ‘The future of self-care: Shaping the new environment’ is the theme of this three-day event being organised by the Association of the European SelfMedication Industry, the AESGP. The conference will include sessions on: ‘The European market place: How to be successful in a competitive environment’; ‘Big becoming bigger: Mergers and acquisitions in the consumer health and pharmaceutical industry’; and ‘Digital strategies to make the market move’. Speakers will include: Alexandra Nikolakopoulou of the European Commission; Jan Smits and Jurate Svarcaite of the Pharmaceutical Group of the European Union (PGEU); Michael Becker of Germany’s medicines manufacturers’ association, the BAH; Alfred Grün and Gerhard Lötsch of the Austrian Self-Care Association; Brian McNamara of GlaxoSmithKline (GSK); Erica Mann of Bayer Healthcare; Vincent Warnery of Sanofi; Laurent Faracci of Reckitt Benckiser; Briain de Buitleir of PGT Healthcare; Jörg-Thomas Dierks of Meda; and Francine O’Brien of IMS. Contact: AESGP. Tel: +32 2 735 51 30. Fax: +32 2 735 52 22. Email: [email protected]. Website: aesgp.eu/events/Athens52/. 14-17 June ■ Pharma Marketing Frankfurt, Germany Topics to be covered at this twoday event will include: ‘Building a global healthcare brand’; ‘Even major OTC brands can grow’; and ‘Facing the future’. Contact: Inspirato. Tel: +49 6172 981 96 80. Fax: +49 6172 981 96 89. Email: [email protected]. Website: inspirato.de/pharmamarketing-2016. 52nd AESGP Annual Meeting 13-17 June ■ 6-7 June ■ 12-13 May ■ Pharmaceutical Regulatory Affairs in the Middle East London, UK Countries to be discussed at this two-day conference will include Egypt, Iran, Qatar and SaudiArabia. Contact: Management Forum. Tel: +44 20 7749 4730. Email: [email protected]. Website: management-forum.co.uk. 10-12 May ■ Russian Pharmaceutical Forum Saint Petersburg, Russia Speakers from Boehringer Ingelheim, IMS Health, Pfizer, Sanofi, Stada and Takeda will attend this two-day event. Contact: Adam Smith Conferences. Tel: +44 20 7017 7444. Email: enquiries@adamsmith conferences.com. Website: russianpharma.com. 10 May ■ 31 May-2 June ■ 27-29 June ■ Dietary Supplements New York, US Post-conference workshops will accompany this three-day event, which will look at legal and regulatory development in the dietary supplements industry. Contact: Council for Responsible Nutrition (CRN) or American Conference. Tel: +1 888 224 2480. Fax: +1 877 927 1563. Email: [email protected]. Website: americanconference.com/ dietarysupplements. 19 OTC BUSINESS STRATEGY Clear vision drives GSK’s OTC ambitions A year after GlaxoSmithKline (GSK) Consumer Healthcare and Novartis Consumer Health joined forces, Brian McNamara, the company’s head of Europe and the Americas tells Matt Stewart how the combined business will reach its potential and lead the OTC industry. “T he whole vision of bringing GlaxoSmithKline (GSK) Consumer Healthcare and Novartis Consumer Health together, leveraging the capabilities of both and becoming an industry leader, is coming to fruition,” according to Brian McNamara, region head of Europe and the Americas at the UKbased company. Speaking to OTC bulletin a little over a year after the consumer healthcare joint venture between GSK and Novartis was established (OTC bulletin, 6 March 2015, page 1), McNamara said that while integration projects were still ongoing, the enlarged company had “clear strategies” in place that would ensure growth. “We have been very clear on our priorities,” he pointed out, “with a focus on our seven power brands, 12 core brands, and on our priority countries – six emerging and six developed.” “Furthermore, we are focused on five global categories – pain relief, oral care, respiratory, nutrition/gastrointestinal and skin health,” he said. Internally, layers of management had been reduced and areas of responsibility had been increased, McNamara explained, with the intent of “speeding up decision making and getting a much tighter focus on driving growth and delivering to the consumer and the retailer”. Established through a three-part deal between GSK and Novartis, the joint operation – in which GSK holds a controlling 63.5% stake – generated 2015 sales of £6.0 billion (C7.5 billion). The deal also saw GSK divest its Oncology portfolio to Novartis for US$16 billion (C14 billion) and acquire the Swiss company’s Vaccines business for US$5.25 billion, plus up to US$1.8 billion in milestone payments. Led by chief executive officer Emma Walmsley, GSK Consumer Healthcare now generates around 90% of its sales from its seven global power brands – Otrivin, Panadol, Parodontax, Poligrip, Sensodyne, Theraflu and Voltaren – and 12 core regional brands (see Figure 1). The seven power brands are all leaders in their respective categories, the company claims, and are present in between 70 and 140 countries. They are also expected to deliver doubledigit growth rates. The other 12 regional lines are known as ‘core brands’, and are primarily local in nature and likely to be less “margin accretive”. Rolling 20 them out into new markets is not a priority, according to the company. These local brands – while not a top investment priority – would play their role in growing the business, McNamara insisted, with the company wanting to win in the local markets where it played, aided by the innovation that would come from its global power brands. “One of our key global brands is Sensodyne. It’s a brand that has grown by double-digits for the past 10 years and has done an incredible job of holding the competition at bay,” he explained. “We also have the global pain-relief brand Voltaren, which has generated double-digit growth every year over the past 10 years.” “These two brands are the most global in nature and are available in most markets around the world,” he added. “With other categories, such as cough and cold, where the regulatory environment does not encourage globalisation, we have to be much more pragmatic.” Created successful global brands “We have been successful in creating these global brand models, especially in oral care and pain relief,” McNamara claimed, “and the efficiencies are amazing if you have the model right and you execute it consistently.” “We also have a flexible business structure, so if we come across an issue in a priority market where things aren’t working, we are pragmatic and fix it,” he stated. “In the end, we are focused on winning in the marketplace and better meeting consumers’ and retailers’ needs.” “It is not a case of global for global’s sake,” he insisted. “If there is a local brand or carrier that it makes sense to expand, we will bring in an innovation from a global brand to do that.” “If you look at Theraflu, it’s the numberone cough/cold product in Russia, with a great presence in the US. And we have a great opportunity to take it into other markets in Europe,” McNamara explained. “Theraflu can be an innovation platform for the Beechams cold-and-flu range in the UK,” he added. “We can take the Theraflu equity and leverage that through the Beechams brand.” “We already launched Theraflu under the Termalgin name in Spain a few years ago,” he pointed out, “and it’s called NeoCitran in Canada and Switzerland.” “So with brands like Theraflu and Excedrin, Brian McNamara, region head of Europe and the Americas at GSK Consumer Healthcare, said the firm wanted to be the “partner of choice for switch” which is the number-one migraine brand in the world, we can expand their geographic reach by using their innovation pipelines, the equity and the toolkits of those brands to launch them under established local names,” McNamara added. Reviewing the markets for which he has responsibility, McNamara said the US had enjoyed a “phenomenal” 2015. “Proforma in the US, we reported 20% growth driven by the Flonase switch, which has been an unbelievable success,” he noted. “Overall, the US is a really healthy business with Excedrin gaining share and with the addition of Theraflu syrups.” While Europe had been more challenging, McNamara said that he believed the historic capabilities of these two companies – GSK’s “tremendous ability” in terms of getting expert recommendations from dentists and doctors, and Novartis’ pharmacy focus – were the foundations from which the enlarged business would make strong gains the region. “If we look at Germany, where we are the number-one OTC company and the numberone oral-care player, we have the ability to leverage our capability in the vital pharmacy channel and get more recommendations,” he insisted. However, McNamara admitted: “Central and Eastern Europe (CEE), which includes Russia, is probably the biggest challenge on a macro-economic level.” “In Russia, we have a strong position after bringing the two companies together. I’m pretty confident in our ability to grow in that country this year in a tough and challenging environment,” he claimed. “My view is everyone is competing in the same environment and some will win and some will lose.” Brazil was another priority market for the company, McNamara said. “Russia and Brazil are both emerging markets and we have different strategies for both,” he noted. “What it takes to win in Russia will OTC bulletin 22 April 2016 BUSINESS STRATEGY OTC be different to how we will win in Brazil.” “In Brazil, we have a really strong position with a lot of opportunity,” McNamara explained, “especially with the Eno pain-relief brand, which is a massive product growing at healthy double-digits.” “While both countries have macro-economic and devaluation issues, we have the right portfolio to win in those countries, and that will be our focus,” he said. Asked whether organic growth would be sufficient, McNamara said that while the existing portfolio was the focus, GSK was always open to bolt-on acquisitions “if they make sense”. “We have priority markets and categories, and to a degree there is an intersection between those two. If there was an opportunity to make an acquisition, we would look at it,” he said. “The focus is really on winning organically with what we already have, and we have huge opportunities within the portfolio,” McNamara underlined. “We will look for acquisitions, but we are not looking for anything big.” Turning to the possibility of trimming the enlarged portfolio, McNamara admitted that there were still “some opportunities to simplify”, but insisted that there was no major streamlining needed. “We are very happy with what we have and the growth opportunities the portfolio provides,” he said. “In categories like denture care, there are big gains to be made. While 20% of the people in the world have dentures, only a fraction of them use denture-care products.” “Furthermore, GSK Consumer Healthcare just carried out a big pain-relief study globally and found that 88% of adults experience pain at least once a week,” he pointed out, “but only 50% treat the pain. With brands like Voltaren, we think the portfolio is set up for really good growth.” One area where GSK is looking for big opportunities is in prescription-to-OTC switches. Fresh from the hugely successful US switch of Flonase Allergy Relief (fluticasone propionate), which was rolled out a year ago (OTC bulletin, 13 February 2015, page 1), McNamara said that GSK had a firm ambition to be the “partner of choice for switch”. “We have proven to the world that we can switch successfully,” McNamara insisted. “If you look over the past 25 years, GSK has done nine switches, so that is a switch every twoand-a-half to three years.” Pointing out that GSK Consumer Healthcare’s chief executive officer Emma Walmsley had set a target of a switch every five years (OTC bulletin, 22 May 2015, page 1), McNamara said that prescription-to-OTC switches would play a key role in growing the business and that the company would seek out switch 22 April 2016 OTC bulletin Figure 1: GlaxoSmithKline Consumer Healthcare is now focused on seven power brands – Otrivine, Panadol, Parodontax, Poligrip, Sensodyne, Theraflu and Voltaren/Voltarol – and 12 ‘core brands’ (Source – GSK) opportunities both internally and externally. “I can’t comment exactly on our strategy in this area,” he said, “but personally I believe we need to deliver one switch every five years and with our scientific expertise I hope we can do better than that.” Looking at the regulatory challenges for switches, McNamara explained that while in the US there was a clear path, in other markets there was an opportunity for industry to work with regulators to make the switch process “clearer and more streamlined”. “There is still the appetite within the industry for innovative switches that create new categories,” McNamara said. “I hope over time – as healthcare systems evolve and we see increasing cost burdens on governments – that we can expand the switch landscape.” “From an industry perspective, we fundamentally believe that there are more places we can go,” he insisted. Will look at new categories “At GSK we are not opposed to switching something in an entirely new category,” McNamara revealed. “We have a group evaluating our overall switch agenda and strategy, and we are open to going where the consumer is and what makes sense.” All of GSK’s ambitions, however, came down to ensuring consumers trusted the company and its brands, McNamara said. “If consumers trust our brands, we can educate them on the right things to do to maintain their health,” he claimed. “We use that trust as a way of continuing to drive self-care, as we fundamentally believe education is important for healthcare worldwide.” “There is no question that consumers are getting better educated thanks to the amount of information that’s available,” he pointed out. “Consumers have more information on a smartphone in their pocket than they had on a desk- top computer 10 years ago.” “Frankly, for me, better-educated consumers are good,” McNamara said. “It’s good for the industry, it’s good for healthcare systems and it’s good for consumers.” “As a company and an industry we have to constantly evolve the ways in which we connect with consumers,” he insisted, “in how we market to them and how we reach them in the retail environment and in a digital world.” “Everything that is happening digitally can have a huge impact on our industry, and so it is a priority and a focus for us. We want to make sure we deliver in that space,” McNamara stated, adding that it was important to GSK to be close to consumers in the places where they lived, online and offline. “Understanding their behaviour, learning how they interact with our products and discovering the issues they are dealing with are critical for us,” McNamara explained, “along with understanding how they shop for our products in store and how they want to receive information.” “Our strategy is to be the first choice among experts, consumers and retailers,” McNamara said, “and we have stated that we want to be among the top-three consumer healthcare sales forces in every country in the world, in both pharmacy and mass-market.” “It is a huge priority for us to be a great partner to our retailers. It is about how we expand categories and how we mutually grow our businesses,” he explained. “Furthermore, we are also taking a hard, strategic look at the e-commerce environment right now to see exactly where we want to go and how we want to do it,” added McNamara. All these elements played into the vision laid out when the joint venture was created, McNamara said. “In the end, what we want to do is provide better healthcare solutions to consumers and for healthcare systems around the world.” OTC 21 We focus on generics and biosimilars Read all about it in Generics bulletin GOO VALUD E Make better decisions faster Individ subsc ual riptio are on ns ly £895 Published weekly The best decision-makers in the generics industry don’t have the time to go looking for good information. They let it come to them. They subscribe to Generics bulletin. CHOICE OF FORMATS Generics bulletin can be accessed from: ■ desktop and laptop computers AND ■ Apple and Android tablets and smartphones. DESKTOP APPLE ANDROID INDIVIDUAL SUBSCRIPTIONS An annual subscription comprises: ■ 46 Generics bulletin online editions – published on Fridays ■ a searchable archive of more than 100 back editions dating back over five years ■ 46 optional hard-copy print editions, delivered by airmail. MULTIPLE & CORPORATE SUBSCRIPTIONS Discounts are available for multi-user subscriptions for colleagues at the same location. Corporate Subscriptions provide location-, country- or company-wide access to Generics bulletin. Valued subscribers to OTC bulletin get a 20% discount off a subscription to Generics bulletin Researched and written by generics and biosimilars specialists from a global industry perspective Take out your own subscription TODAY at www.Generics-bulletin.com or for Corporate Subscriptions contact: [email protected] Bulletin Publishing Group, OTC Publications Ltd, 4 Poplar Road, Dorridge, Solihull B93 8DB, UK. (Tel: +44 (0)1564 777550; Fax: +44 (0)1564 777524). Registered in England No. 2765878. VAT GB 608 0432 69 PEOPLE OTC Manufacturers Industry Associations ayer has appointed Paul Capelli, formerly vice-president of corporate communications for shopping channel QVC, as vice-president of communications for the Consumer Health division in the US. Reporting to Raymond Kerins, Bayer’s head of US communications, government relations and policy, Capelli will also be part of the company’s US communications, government relations and policy leadership team. Commenting on the appointment, Kerins said the company was “excited to have someone of Capelli’s experience and professionalism join the Bayer team”. “Capelli knows this industry well and has all the skills necessary to push Bayer’s reputation to even greater heights,” he added. Having spent more than a decade in retail communications, Capelli has worked across various communications and public relations roles for online retailer Amazon, television network CNBC and marketing agency Ketchum. uneet Varma, president and general manager of Pfizer Consumer Healthcare, has been elected chairman of the World Self-Medication Industry (WSMI). Varma will take over from Erica Mann, president of Bayer Consumer Health, in June. Mann took on the role in June 2014 (OTC bulletin, 16 June 2014, page 23). Commenting on his election, Varma said that he looked forward to building on the legacy left by Mann and promised that the association would continue to “realise the value of self-care in strengthening the sustainability of health care systems around the world”. Dr Gerald Dziekan, the WSMI’s directorgeneral, said that the association would benefit from Varma’s “passion, energy and unwavering commitment to self care”. These traits, Dziekan added, would be “critical in sustaining and accelerating the important work we are doing to help people improve their Bayer adds to Pfizer’s Varma communications Mann as chair B S to replace of WSMI Suneet Varma health and wellness”. Varma joined Pfizer in 2007 as president of the company’s Consumer Healthcare business in Canada. He was appointed regional president for the Asia-Pacific and North America region in 2010, before taking up his current role in May 2015. Prior to joining Pfizer, Varma held a number of senior leadership roles at Wyeth Consumer Healthcare, which was acquired by Pfizer in 2009 (OTC bulletin, 29 January 2009, page 1). OTC OTC Manufacturers Obituary D lan Hicks, a leading figure behind numerous innovative prescription-to-OTC switches in a career that spanned 40 years, has passed away aged 68. Hicks was responsible for the first prescription-to-OTC switch in the UK in 1983, when Obituary: Alan Hicks DHU announces managing director A eutsche Homöopatie-Union (DHU) has announced that Peter Braun has taken over as managing director with responsibility for marketing and sales. The German homoeopathy specialist said that Braun had replaced Patrick Krauth, who had been in the role for three years. An independent consultant before taking the leadership role at DHU, Braun started his career at Nestlé in 1990, before moving to the Novartis eye-care subsidiary Ciba Vision. From 1999 to 2004 he led the medical device company Sinus Point before becoming a management consultant at Malik. In March 2008, he took over responsibility for DHU rival Weleda’s business in Switzerland, before becoming interim chief executive officer of the whole Weleda group. Following the appointment of Ralph Heinisch as chief executive officer, Braun led Weleda’s pharmaceutical business until August 2012, before leaving to become an independent consultant. OTC 22 April 2016 OTC bulletin Alan Hicks Imodium was made available without a prescription. He would go on to play a key role in other switches, including Daktacort, Daktarin and Ovex. As a consultant, Hicks also guided the switch of the Levonelle morning-after pill. Having entered the OTC industry in 1977, he set up Janssen’s OTC division in 1984, which subsequently became part of Johnson & Johnson’s Consumer business. A major advocate of pharmacy staff education, Hicks felt it was vital for all pharmacy staff be able to share health advice with consumers. He created the Glaxo PharmAssist education programme for pharmacy staff and the Professional Learning Programme for the Proprietary Association of Great Britain (PAGB). OTC IN BRIEF ■ UPSA – the European OTC business of Bristol-Myers Squibb (BMS) based in France – has appointed Fabrice Dal-Mas as managing director. Dal-Mas has worked at BMS for 18 years, becoming director of operations and operational excellence in 2015. ■ NZSMI – the New Zealand Self-Medication Industry – has named Scott Milne as its executive director effective from 1 May 2016. Milne will replace Tim Roper who is retiring from the role after an eight-year tenure. OTC 23 OTC bulletin print OTC bulletin-i digital news@OTCbulletin electronic newsflash The best decision-makers in the OTC industry don’t have the time to go looking for good information. They let it come to them. They subscribe to OTC bulletin. Join thousands of subscribers from competitor companies in over 35 countries who are already benefitting from commercial intelligence about business opportunities in the global non-prescription medicines and dietary supplements markets. 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