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M&A Drives Decade of Change

IMS HEALTH data show that the last few years of consolidation in the global pharmaceutical industry have had a huge effect on the list of ten leading pharmaceutical companies in the world. Not only that, it has resulted in a substantially higher share of the world's pharmaceutical market being dominated by those ten companies.

In 1990, the sales of the leading ten pharmaceutical companies accounted for just 28% of the global pharmaceutical market. Ten years on, that proportion is over 45% and accelerating. In the past three years alone, merger and acquisition activity has meant that the leading ten companies' global market share has leapt from 36% in 1998 to 45% in 2000. What has driven this change, and which companies have been the winners and losers?

Top Ten Companies' Share of Global Pharmaceutical Market, 1990-2000

Source: World Review (1990-2000)

The early 1990s were relatively quiet in terms of M&A activity and, consequently, the combined market share of the ten leading companies was stable, at 27-28%. Then in 1994, Roche (Switzerland), which had steadily made its way into the top ten in the previous four years, acquired Syntex (USA), and American Home Products (AHP, USA) acquired Cyanamid (USA). The top ten companies now accounted for over 30% of the market for the first time.

This was followed a year later by Hoechst's (Germany) acquisition of Marion Merrell Dow (USA) (itself a merger between Marion and Dow's pharmaceutical subsidiary, Merrell Dow) and the formation of Glaxo Wellcome (UK), in part to defend against the patent expiry of Zantac. 1996 brought the formation of Novartis (Switzerland) via the merger of the two Swiss companies, Ciba-Geigy and Sandoz, to form what was then the world's largest pharmaceutical company.

Top Ten Global Pharmaceutical Companies, 1990

Company
Nationality
1990 Global Market Share (%)
1989-90 Growth (%)
Merck & Co USA
3.8
16
BMS USA
3.5
10
Glaxo UK
3.3
17
SB UK
2.9
10
Ciba-Geigy Switzerland
2.8
7
AHP USA
2.6
9
Hoechst Germany
2.6
10
J&J USA
2.5
14
Lilly USA
2.2
20
Bayer Germany
2.2
11
Top 10 n/a
28.4
12
Global Market n/a
100.0
10

Source: World Review, 1990

After a quiet period between 1996 and 1998, when the top ten's market share stabilised at around 34-36%, Roche re-entered the M&A arena, acquiring the pharmaceuticals/diagnostics group Boehringer Mannheim (Germany) in early 1998.

Since 1998 the market share of the leading ten companies has accelerated dramatically, driven by some of the largest mergers and acquisitions ever. Two large European mergers in 1999 kick-started the most recent round of consolidation, with Astra (Sweden) and Zeneca (UK) merging to form AstraZeneca (UK), and Hoechst Marion Roussel (Germany) linking up with Rhone-Poulenc Rorer (France) to form Aventis (France). This activity pushed the top ten's global market share to almost 40%. Then two megadeals, Pfizer's December 1999 acquisition of Warner-Lambert and the recently completed GlaxoSmithKline merger, pushed the mark to over 45%.

Top Ten Global Pharmaceutical Companies, 2000

Company
Nationality
2000 Global Market Share (%)
1999-2000 Growth (%)
Pfizer USA
7.1
11
GlaxoSmithKline UK
6.9
9
Merck & Co USA
5.1
14
AstraZeneca UK
4.4
7
BMS USA
4.1
9
Novartis Switzerland
3.9
3
J&J USA
3.9
11
Aventis France
3.6
0
Pharmacia USA
3.2
11
AHP USA
3.0
9
Top 10 n/a
45.2
9
Global Market n/a
100.0
7

Source: World Review, 2001

Buy reports online from IMS HEALTH:
A detailed profile of:

- American Home Products
- AstraZeneca
- Aventis
- Bristol-Myers Squibb
- GlaxoSmithKline
- Johnson & Johnson
- Merck & Co
- Novartis
- Pfizer
- Pharmacia

US Winners, European Losers?

However, the success of some of the merged companies has been mixed, with some flourishing while others have lost market share to their rivals. In general, the US-based companies have steadily increased market share, whether they have merged or not. This reflects the unparalleled growth of the US market in the 1990s.

IMS HEALTH data show that the US pharmaceutical market was around the same size as the European market at the start of the decade but has since grown to twice its size. Since, despite the global nature of the pharmaceutical industry, most pharmaceutical companies' sales are generated in their domestic markets, the US companies have benefited most from this expansion.

In addition, an analysis of IMS HEALTH's Pharmaceutical Company Profiles series shows that US pharmaceutical companies have historically operated as pure healthcare groups, in contrast to many of their European rivals, which have often been part of larger chemical conglomerates. The focus on healthcare of the US groups has no doubt helped to drive market share growth.

Pfizer has been particularly successful over the past decade, with its market share almost doubling. In 1990, Pfizer was the 14th largest pharmaceutical company in the world, and Warner-Lambert was 21st. Neither had a single product in the top ten worldwide.

In 2000, in contrast, Pfizer had become the largest pharmaceutical company in the world and had eight products with sales of over $1 billion, with four of them (Lipitor, Norvasc, Zoloft and Celebrex, which is co-promoted with Pharmacia) in the global top ten. According to the latest IMS HEALTH Pfizer Company Profile, "The Pfizer/Warner combination is a powerhouse... the merged company is considered to have the ability to remain at the top of the drug industry."

Merck & Co, Bristol-Myers Squibb (BMS) and Johnson & Johnson (J&J) are other US-based companies that have successfully expanded their share of the global market since 1990. In their case, however, this growth has been achieved without entering into a major merger or acquisition. Similarly to Pfizer, Merck increased its market share primarily through the organic growth of its cardiovascular franchise, particularly Zocor.

BMS, in contrast, saw growth from a variety of drugs throughout its portfolio, including Pravachol, Plavix, Glucophage and Taxol. Similarly, J&J had a variety of products, such as Risperdal, Prepulsid and Erypo, which drove growth in the 1990s. J&J has recently become more active in the M&A sphere, with the acquisition of the leading US biotechnology company Centocor in 1999 and its proposed acquisition of the US drug delivery company, Alza, due to complete in the third quarter of 2001.

Change in Global Market Share of Top Ten Pharmaceutical Companies, 1990-2000

Source: World Review, 2001 Note: In the case of merged companies, pro forma sales have been used to calculate market share

For the Europe-based companies, success in the 1990s has been mixed. Out of the global top ten, only AstraZeneca of the European companies has achieved an increase in pro forma market share, and this is largely due to the success of Prilosec (omeprazole) in the USA. With Prilosec due to lose patent protection in the all-important US market very shortly, AstraZeneca is under pressure to make its next generation of potential blockbusters a success.

However, the company is bullish about its future prospects. In the latest IMS HEALTH AstraZeneca Company Profile, CEO Tom McKillop says, "We are extremely confident... we have the third largest salesforce in the USA - AstraZeneca reckons that, yes, it will successfully market these blockbusters."

Most European companies have relied on M&A activity (particularly Aventis) simply to maintain their positions. Even GlaxoSmithKline, the closest challenger to Pfizer for the top position, holds a smaller share of the global market than did its main constituent parts (Glaxo, Wellcome and SmithKline Beecham) in 1990. The other European companies in the top ten, Novartis and Aventis, also hold a smaller share of the global pharmaceutical market than did their antecedent companies in 1990.

Of the top ten pharmaceutical companies in 1990, eight were still present in the top ten in 2000, but half of those (all the European firms), were there as part of companies formed due to one or more mergers or acquisitions. Those dropping out of the top ten between 1990 and 2000 included the chemicals group, Bayer, which has followed an organic growth strategy for its pharmaceutical business. However, Bayer has launched just one significant product (the quinolone antibiotic Ciprobay) since the 1975 launch of Adalat, and it is now ranked 15th in the world.

The M&A activity seen in the latter half of the 1990s was driven by the need for the major European companies to keep up with their faster growing US rivals. It remains to be seen whether, in the approaching age of biotechnology, the vast marketing muscle and R&D budgets created by these mergers will enable the Europeans to last the pace.

See Also:
The global pharmaceutical market in 2000 - North America sets the pace (March 2001)
US Innovation Will Drive Domination (March 2001)
Ultimate Executive Insight
Copyright IMS HEALTH, 25 April 2001













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