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Original Paper

Journal of Generic Medicines


2014, Vol. 11(1–2) 64–72

Branding of new and generic/biosimilar ! The Author(s) 2014


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products: New concepts and methods DOI: 10.1177/1741134314542539
jgm.sagepub.com
(in-depth qualitative study)

Alex Kudrin

Abstract
This mixed research design is based on qualitative analysis of secondary data from publicly available cor-
porate material and primary data collected via comprehensive in-depth interviewing of 28 experts, spending
approximately 42 h of face-to-face interaction with pharmaceutical industry experts, who included marketing
personnel, medical directors, patient groups, advertising and regulatory agencies. Any new original, generic
or biosimilar product faces many opportunities and challenges in relation to branding and the imminent global
commercialization. The study concludes that there is a significant armamentarium of media-related activities,
which can be used in branding: media-assisted campaigns, blogging, celebrity endorsement and close
cooperation with patient support groups. Based on findings from this study, companies developing new
products should devise their branding strategy as early as possible during the initial stages of development
and allocate appropriate corporate resources for collaboration with media and patient support groups. In
addition, the pharmaceutical industry should prioritise branding architecture strategies that could foster
internal and external relationships around an entire product portfolio, maximise brand value, competitive
strength and longevity.

Keywords
Brand, media, pharmaceutical, marketing, branding architecture, biosimilar, generic

communication channels due to serious public mat-


Introduction
ters, such thalidomide (resurrected following tragedy in
The pharmaceutical industry has experienced down- the 1970s)4 and Tamiflu because of the swine flu pan-
turn during last few years due to the global economic demic.5 Having studied 5000 brands, Interbrand6,7
crisis, highly competitive environment, lack of reim- concluded that brands can create demand and sustain-
bursement, increased development costs, shortage in able value for their businesses, even during economic
new drug development, patent expiration, reduced crisis. Corporate values are increasingly driven by
capital investment, increased regulatory pressures intangible assets such as brands. Ultimately, the
and aggressive takeover targeting by Big Pharma.1 pharma business can derive significant benefit from
Prescription brand names are becoming an increas- the success of a brand.8
ing part of everyday life. Popular medicinal names are Reviewing the literature, it was established that the
discussed in the media, by patients in Internet chat- historical experiences of some well-established brands
rooms and message blogs and even requested specific- of medicines are often poorly explored and exploited in
ally in general practitioners’ surgeries. However, this is relation to newly developed medicines. Branding
far from the historical case. Over the past 10–15 years, repurposing was successfully used with Enbrel, and
we have seen a paradigm shift in the extent to which the brand value was successfully expanded beyond
the medical lexicon has become part of a public rheumatoid arthritis,9 and Tamiflu, which has been
vocabulary.2
Botox, Prozac and Viagra are now listed in the
Takeda, London, UK
Oxford English Dictionary. ‘Health’ and ‘health-
related issues’ and ‘online pharmacies’ are some of Corresponding author:
the most widely searched subjects on the Internet.3 Alex Kudrin, Takeda, Aldwych 61 London, WC2B 4AE, UK.
Other brands have a unique positioning across Email: koudrine@hotmail.com
Kudrin 65

repurposed for swine flue after its waning use in pre- using content analysis and open coding, i.e. by group-
vention of seasonal influenza.10 Revitalisation of the ing common themes together and examining whether
brand was successfully accomplished with thalido- there are similarities, associations and relationships
mide, which was resurrected and successfully mar- between identified factors and marketing decisions.
keted in completely different clinical indications.11
Sun12 emphasised that many large pharmaceutical
companies refuse to see beyond classical ‘house of
Primary data
brands’ approach and fail to explore other brand archi- Semi-structured interviews were conducted with rep-
tecture approaches. Despite best intentions, some resentatives of companies, which had experience in
large companies lack both adequate understanding of branding and marketing of now well-established
the changing consumer environment and internal brands of medicines. The initial study sample was
organizational processes and the leadership required planned around 16–18 interviewed parties. However,
to provide long-term support for the brand. It was during the study, an enhanced response was obtained
suggested that branding of medicines is often driven using a carefully crafted referral strategy. The search
not so much by marketing efforts but rather by exter- for ‘data-rich’ sources and relevant experts was con-
nal factors. ducted on www.linkedin.com using terms ‘Branding’,
As a consequence of these market trends, branding ‘Medical and/or Medical affairs director’ and narrow-
strategies should be much more sophisticated to ing the search to a list of companies identified during
ensure success. The focus of marketing campaigns secondary data analysis. Around 200 experts (based
should be directed towards new stakeholders and on current or past employment history) were identified
should encompass influencing of consumers and and contacted with a standard e-letter inviting partici-
other stakeholders by education relating to the treat- pation in the interview. In order to facilitate contact
ment of selected conditions. with key opinion leaders, recommendations were
This study was aimed at exploring different issues sought from colleagues who were able to approach
associated with the branding of a hypothetical newly identified experts directly or via their contacts with
developed medicine, identifying key learning experi- the referral. Finally, around 35 experts agreed to,
ences with the other developed brands of medicines and 28 participated in, telephone and face-to-face
and defining recommendations on how to devise a suc- interviews.
cessful branding strategy. To achieve a degree of triangulation and provide the
necessary breadth of opinion of different stakeholders,
interviews were conducted with experts from regula-
Study design tory agencies; representatives from patient organisa-
In order to fulfil the project objectives, a mixed tions (International Osteoporosis Foundation and
research study with solely qualitative analysis of data UK National Osteoporosis Society) and branding
was carried out. Two main methods of collecting data experts.
were utilised: The approach selected for interviewing was deliber-
ately open-ended and ‘grounded’. A list of questions
. Secondary data from publicly available corporate for semi-structured interviews included a balanced
material and published branding studies; mix of open-end questions looking for value judg-
. Primary data collection via interviews with estab- ments, statements, examples and references to per-
lished brand leaders and corporate experts, patient sonal perceptions and experiences. These questions
groups, advertising agencies and reimbursement allowed exploration of general trends in branding
organisations. and specific issues associated with the branding of bio-
logical medicines. Interviews also allowed for discus-
sion of issues relating to new products but only if
Methodology experts had relevant experiences or knowledge of this
area. In some cases, it was possible to isolate really
Secondary data and boundaries of research personal views on corporate branding strategies as pur-
Secondary data for established brands of medicines sued by some market leaders.
were selected using a variety of corporate documents All interviews were conducted following an estab-
available online and in printed form: prescribing infor- lished rapport and obtained informed consent.
mation, companies’ mission statements, press- However, the majority of experts and managers did
releases, communications with prescribers and patient not consent to the use of recording equipment
groups, public relations documents, advertising and during the interview or disclosure of their names in
promotional materials. All documents were analysed the given publication. In cases when such permission
66 Journal of Generic Medicines 11(1–2)

was granted, names of experts are disclosed in the products should strategise on building a sustainable
manuscript. Each interview lasted approximately and sufficiently differentiated branding equity for
1.5 h. In total, approximately 42 h were spent with their products in order to withstand its positioning in
pharmaceutical industry experts, who represented an the highly crowded market. It was of great interest that
entire span of the pharmaceutical branding mix, the bulk of branding equity with biosimilars is derived
namely marketing personnel, medical directors, from the one associated with the brand of the reference
patient groups, advertising and regulatory agencies. product. There is a limited focus for differentiation,
and therefore, biosimilar branding might be particu-
larly challenging if the clinical data generated only
Results
make a biosimilarity claim but lack additional angle,
All experts were asked about historical trends emer- e.g. development of an additional indication or new
ging in pharmaceutical branding over the last formulation. One of respondents related to the boost
5 years. It was hypothesized that during the financial in market performance of first EU approved growth
crisis in pharma, the emphasis and the level of invest- hormone biosimilar Omnitrope. Once a new formula-
ment into brand development might be compromised. tion has been approved, the sales have dramatically
Additional questions were raised in relation to the increased as there was a scope for differentiation
specifics of generic and biosimilar product branding. from the originator.
It was commented that a decade ago, ‘there was A respondent from the company marketing prod-
a push for mega-branding development in large ucts for orphan diseases emphasised that branding
pharma. . .. However, the situation is now changing has an important role in marketing of both medicines
due to lack of resources and reduced investment into intended for a large population coverage and those
marketing. . .’. Dr John Lambert (Merz) elaborated developed for small markets of rare and neglected dis-
that despite the fact that many companies are fully eases (orphan medicines). However, in expert’s view,
aware of the benefits of branding, they are often the key difference for orphan medicines is the use of
unable to design and implement a sophisticated brand- so-called soft marketing and branding techniques exe-
ing strategy due to headcount constraints and resource cuted via disease awareness and educational activities.
restrictions, which do not allow employment of exter- By carrying these out, patients with rare diseases are
nal branding consultants. He added that ‘marketing is more readily diagnosed at the early stage of disease and
becoming more endpoint oriented rather than confi- treated with innovative treatments. Therefore, the
dence-oriented. . .’. interviewee suggested that the smaller the market
One of the respondents has illustrated an example for new medicine, the more subtle and careful the
of how free drug supply of Herceptin provided by branding strategy should be in order to leverage
Roche upon completing pivotal clinical trials strength- risks, protect the consumer and the brand image.
ened patient loyalty and relations with patient organ- Global brands can potentially engage fragmented
isations. Conversely, other developers of novel breast regional markets and grow consumer power.13 The
cancer drugs did not consider provision of free supply philosophy of international brands is based on search
of their products and did not employ strategies in rais- for similarities allowing economies of scale to take
ing patient organisation awareness. This might explain place on many different levels.14 This is not always
less robust brand performance in terms of market pos- achievable in some regions. For example, ‘pan-
itioning and patient loyalty. European’ branding strategy is not always possible
In the era of pharmaceutical genericisation and bio- due to persistent national differences, regulatory and
similars, it is of interest to establish the performance of market access barriers. In other regions, some specific
branded medicines in the period following the end of cultural beliefs are responsible in successful branding.
patent life. One of the respondents suggested that For instance, in Latin America and Russia, highly
branded and pricier generics and biosimilars with priced branded medicines are perceived with some
greater quality, safety and efficacy attributes are pride and a belief that the high price is justified by a
likely to emerge in the EU and developed world. An unique therapeutic benefit’.
additional contributing factor is a greater healthcare Most of interviewed experts agreed that branding
budget deficit in the EU compared to the one in the strategy in the EU faces the greatest challenges due
United States. The high degree of competition creates to the presence of multiple stakeholders, payers and
a favourable foundation for differentiation and brand- inflexible pricing. The extent of regulatory boundaries
ing especially in Asia where there is a growing demand and the diversity of stakeholders in different EU coun-
for cheap and widely available biologics for a growing tries potentially create even more challenges to
and ageing population. The recommendation from pharmaceutical branding compared to barriers existing
expert was that both developers of novel and biosimilar in the marketing of other consumer products. It was
Kudrin 67

interesting that some respondents considered that male and female consumers differ in how they express
diverse branding landscape in the EU might explain their personality when it comes to brand image. Male
different uptake of biosimilar and generic products in respondents who are dominant on the ‘neuroticism’
countries and even regions. dimension prefer ‘trusted’ brands, whereas ‘trusted’
One of the respondents named the NovoNordisk’s brands are preferred by females who are dominant
insulin franchise as an excellent example of inter- on the conscientiousness dimension. Therefore, differ-
national branding. ‘Patient friendly educational cam- ent marketing tools and strategies should be employed
paigns and intelligent use of device-driven branding in promoting the same brands amongst different
(insulin pen)’ allowed creation of a ‘sustainable inter- consumers.15
national market niche’. On the other hand, other com- Successful branding strategy requires an under-
panies that developed ‘first-in-class’ biological standing of rational and emotional beliefs and motiv-
products such as Enbrel (Wyeth/Pfizer) and Vectibix ations from different stakeholders. Rational
(Amgen) did not place sufficient emphasis on inter- information (facts, knowledge and evidence) is one
national branding strategy. Since these companies of the key components in appreciating of the new
did not have prior experience in branding of novel bio- drug by payers, physicians and consumers. It is also
logics and they were entering relatively new non-com- a component that can be more readily quantified. The
petitive markets and therapeutic areas, international required proportion of factual and rational informa-
branding activities were in somewhat under- tion may differ considerably between stakeholders.
estimated. . .’. It will be interesting how the biosimilar For example, payers may wish to follow only non-emo-
etanercept brand will be able to capitalize on the short- tive criteria such as cost-effectiveness and clinical
comings from the branding approach with the effectiveness in making reimbursement decisions.
originator. Emotionally driven beliefs and motivations were trad-
Dr John Lambert (Merz) gave an example of frag- itionally attributed to patients only. However, it is
mented branding for the same drug even across indi- becoming increasingly clear that physicians can be
vidual EU countries: ‘Lisinopril, an agent for guided not only by factual but also by emotional
treatment of hypertension, is known in Italy under sev- motifs dependent upon personal and psychological
eral branding names, which potentially dilutes the experiences and tendencies to be attracted to ‘comfort’
branding equity between fragmented consumers. . .’. and ‘risk-free’ environments. The decision about
Notwithstanding, several interviewed experts strongly which drug to prescribe is often complex but needs
emphasised the marketing importance of EU branding to be made in a short time frame. In the branding
for the new medicine. In their view, a convergent context, it is important to generate insight and under-
approach in keeping some essential similarities in the standing at an emotional level. This can be achieved
branding attributes could still help in building the using not only individual interviews but also using
international branding equity in order to ‘. . .capture ‘workshops’ involving ‘projection of feelings’ in various
an uncontested territory and to fill it with a desired role play, creative exercises (techniques that allow
and trusted branded value’. respondents to express feelings and emotions that are
While much is known about the pharmaceutical hidden, latent or suppressed, e.g. creating collages or
brands that physicians prescribe, little is known creative drawing), measuring emotional colouring
about the patient treatment context that drives phys- (mood boards, relation to pictures and drawings).
icians to initiate treatment and to actively manage it. Physicians often do not realise or are reluctant to
A better, more balanced understanding of the overall affirm that they have a ‘relationship’ with a brand;
context in which these brands are used, the ways in getting them to use a relationship analogy is less
which patients are actually treated, the underlying dri- threatening and more productive than direct question-
vers of physician behaviour and the resulting positive ing and generates self awareness. Exploring these areas
implications on patient outcomes, has the potential to requires the use of some sophisticated projective,
influence prospects for successful branding and the enabling and creative techniques as well as high-
company’s growth. quality analysis and interpretation. Therefore, if
An interesting study conducted amongst under- appropriately evaluated using qualitative and psycho-
graduate students illustrated that brands can be char- logical techniques, these non-factual beliefs and
acterised by personality traits (trusting, sociable, motivations can be successfully implemented as effect-
exciting and sincere). It was found that consumers ive branding communication channels.16
who exhibit a conscientious personality demonstrate A large US pharmacy study, which evaluated the
preference towards ‘trusted’ brands. In contrast, relationship between brand and generic prescribing
those who are extrovert by nature are motivated by and adherence to medication in patients with chronic
‘sociable’ brands. In addition, the study revealed that conditions, illustrated that patients who received
68 Journal of Generic Medicines 11(1–2)

preferred brand-name drugs were 30% less likely to medical tools for physicians, many of which are free.
switch to a medication in another tier than patients The most popular downloads include comprehensive
who received non-preferred drugs.17 It is therefore drug information, medical calculators, terminology
likely that biosimilar brand positioning in the United and ECG interpretations.19
States might be particularly challenging due to barriers Benefits and risks for the use of the product should
for switching and interchangeability. Brand positioning be presented in a balanced way, and therefore compa-
can be significantly enhanced using an alleviation of nies have both legal and regulatory concerns about
underlying disease-related stigma and other psycho- engaging in conversation about products online. The
logical factors determining brand-preferences.18 responsibility issues reside with web-companies but
Several respondents referred to established brands many web applications allow users to customize, per-
of medicines associated with either the removal of sonalize and even modify the information as they share
stigma from the disease (Viagra) or with the gaining it within the online community. There is a risk of
of confidence about the therapeutic benefit (Viagra, taking the original information out of context or even
Calpol, Glivec, Herceptin, Sutent, Avastin, Crestor, changing the meaning entirely. In the past, a company
etc.). One example related to a successful branding could not be held responsible for what outside individ-
strategy for products intended in the same indication uals might do with static content. But the situation
with a clearly defined market, outlining the type of becomes less clear if the company participates in the
confidence patients were gaining from the medicine: blog and turns on web-based features such as sharing
Viagra (‘all around the clock benefit’) and Cialis (‘long and commenting. Some firms are behaving cautiously
weekend help’). Based on the data on low adherence with apprehension on the part of brands because
with some classes of medicines, it will be of advantage they feel they do not know what the inadvertent
to investigate the impact of ‘internal locus’ amongst implications might be from web-based marketing
patients and physicians in order to design adequate campaigns.19
marketing and educational materials. For instance, Eli Lilly has largely refrained from
Branding strategy can be effectively executed using participating in social media sites due to the lack of
some form of social media, including blogging, mobile clarity and understanding of the FDA’s expectations as
marketing, online videos, widgets, games, podcasting to how it could both participate and comply with FDA
and Twitter. Social media spending in the United requirements. But other companies have moved for-
States will grow from US$716 million in 2009 to ward, creating blogs, YouTube channels, Facebook
more than US$3.1 billion in 2014, at 34% compound pages and Twitter accounts, even partnering with
annual growth rate, etc.19 This is a significantly higher patient groups.19 Many companies are concerned as
rate of growth than the future spending on other inter- to how to deal with adverse events that might be
active marketing channels. Social media can poten- reported on a social media site. It is however expected
tially help the company track brand performance that such reports would be funneled through the
using sentiment-tracking and blog-mining services, appropriate regulatory channels within the company,
establish relationships with opinion leaders and just like a phone call. A more challenging space is a
create social networks for patients (e.g. TuDiabetes third-party media such as Twitter. This type of chan-
network created by Johnson & Johnson (insulin produ- nel would also be obliged to report a potential adverse
cer) and LifeScan (manufacturer of the OneTouch event (Webb, 2010). Due to the growing impact of
glucose meter) have been warmly received by diabetic online media in the marketing of new medicines,
patients). Other websites such as PatientsLike FDA is highly likely to develop new policies and guide-
Me.com, DiabeticConnect.com and Inspire.com cre- lines on appropriate use of online marketing tools.
ated online disease-based communities that support Brand destruction occurs when corporate resources
patient networking and also have raised awareness are withdrawn internationally even though, perhaps,
amongst patients about recruiting clinical studies to patent expiry only affects the United States in the
enhance early access to medicines. PrivateAccess. immediate near future. What is little known, however,
com allows patients to selectively share their health is that some pharmaceutical brands do have staying
information with researchers who are seeking subjects power, for example, Premarin from Wyeth was
for their clinical studies. This prompted Pfizer to part- launched in 1942 and did not reach peak sales until
ner with the web site to develop an online community 2001, a full 59 years later, both Augmentin and
to accelerate the drug maker’s clinical studies.20 Sandimmun reached their peak sales, more than 20
Blogging, video and mobile communications can be years post launch.18 It is interesting that the issue of
utilized in disease awareness and educational cam- international brand longevity in markets beyond those
paigns. Healthcare brands can use the benefits of where the patent has expired (US and EU), e.g. in
phone applications. Apple’s App Store offers >150 emerging markets, has not been properly studied.
Kudrin 69

Table 1. Pharmaceutical Branding System Spectrum: examples and SWOT analysis

Corporate Strength, weaknesses,


element Brand type Examples Strategic rationale opportunities and threats

Corporate Corporate brand GSK Strong corporate image Often it has only been used by
dominant Pfizer is synonymous with pharma to repair its image.
J&J the promise of There is a danger that a
high-quality and large corporate brand can
power. be easily damaged by a
large safety scandal
(Seroxat or Avandia) and
result in low trust for the
entire company. Small-to-
medium enterprises lack
resources and the time
horizon in developing
corporate branding as
many product brands are
being divested or
out-licensed.
Mixed brands House brand Pfizer in epilepsy Includes several Allows delivery of a specific
Amgen in product classes. promise about the
osteoporosis Used by diversified company’s expertise in a
GSK in depression companies allowing specific therapeutic area.
BMS in oncology each subsidiary to Potentially suffers from the
operate as its own brand dilution effect if
entity or used when there is no homogenous
two product lines are distribution of product-
incompatible. specific strengths.
Branded house Generic and biosimi- Requires minimal The message of consistency
lar houses investment in and recognition, umbrella
(Ranbaxy, Sandoz, marketing as generic approach. While this
Leo Pharma) companies are approach gives a high level
always trying to of originality, it does not
breakeven and make provide sufficient differen-
some margins from tiation. However, compa-
sales. nies pursuing only generic
sales follow a low-cost
strategy, which is not
necessarily compatible
with a niche differentiation
strategy as patient/phys-
ician tastes can easily shift
or change. However, this
may not be the case for
companies with mixed
generic and blockbuster
brands (potential future
model).
Co-brands (also Lilly, NovoNordisk Aims to benefit several The benefit of keeping the
composite insulin pen brands by raising the name is the associated
brands, ingre- pipelines perceived quality of prestige and expertise. If it
dient brands) each brand. Allows a renames the brand, its
brand exposure in risks alienating customers
product class that it who identify with the
could not enter on former sub-brands. This
its own. branding strategy is
(continued)
70 Journal of Generic Medicines 11(1–2)

Table 1. Continued

Corporate Strength, weaknesses,


element Brand type Examples Strategic rationale opportunities and threats

especially advantageous
when used around a single
delivery device. Such
utilisation of co-branding
benefits from positive
patient experience asso-
ciated with the convenience
and simplicity of device use
and could be tried in
different disease markets
(sharing of co-branding
between different
franchises).
Brand Mono brands Crestor Strong single product Creating a brand outside of
dominant (also single (AstraZeneca) brand identity with- the corporate brand is also
brands) Lipitor (Pfizer) out use of corporate possible. For instance, a
Lamisil (Novartis) brand. Each product new brand could be a
Avastin (Roche) identifies specific single-branded business
customer need. line that separates itself
from the former larger
brand to allow differentiat-
ing into new market seg-
ments. This approach has
advantages when the
product is expected to
enter into numerous
markets (multiple oncology
indications for Avastin), as
adding such a single brand
into the branded house can
potentially dilute the
branding equity and reduce
the branding strength.

The opportunity for pharmaceutical brand manage- As interviewed experts illustrated, mixed models
ment and the difference in time horizon for brand exist with some companies like Bayer maintaining
development within different regions in the world pharmaceutical, chemical and even crop science div-
should not be underestimated especially in view of isions. Other models of branding architecture include
booming growth in emerging markets and develop- brand houses (MSD as cardiovascular and BMS as
ment of biosimilar products. Old established brands oncology houses), sub-brand under the master
can remain very competitive although discounted (Novartis with Sandoz a generic/biosimilar business).
against new branding concepts. Dr Moss mentioned that ‘brand building is often only
The area of brand architecture is poorly discussed reserved for repairing damage’ and ‘the industry brand
in the literature despite the vast merged portfolios that is in disarray. . .. enough strategic thought hasn’t gone
exist in big pharma and top companies having more into this area yet. . .’
than 1000 brands listed on their websites. This means When Aaker22 then looked in more depth at brand
that the vast majority of brands that lack scope, roles portfolios, he proposed four corporate brand strategies
and interrelationships work synergistically. With grow- for consumer companies: house of brands, branded
ing generic and biosimilar portfolios and penetration house, endorsed brand and the sub-brand under a
into emerging markets, brand house approaches could master brand. When drawing parallels with pharma-
considerably assist marketing and enhance longevity of ceutical corporate brand strategy, it can be seen that
individual product brands. the house of brands is the most commonly used
Kudrin 71

strategy, probably because it is the default option for in different international markets and experienced
an industry that has not given the subject much atten- beyond the duration of the conventional patent;
tion over the decades. When assessing the overall . Pharmaceutical industry should effectively utilise
brand architecture subject, it is clear that a strategy modern media-related branding channels, such as
taking into account hierarchy could have significant Internet blogging, Twitter, social, PR channels and
impact within pharmaceuticals and could offer syner- celebrity endorsement in order to benefit from
gies of activity (and spending) across a portfolio, lever- potentially unlimited global dissemination of posi-
aging current brand assets more widely, preparing the tive messages associated with these marketing tools;
market for future launches and providing focus for . Modern electronic tools such as tablets and mobile
business development activities. The SWOT analysis technologies can be utilised both in branding of
of different pharmaceutical branding architecture medicines as well as in medical educational activ-
approaches has been summarised in Table 1. ities oriented on patients and prescribers;
The strategy to build branding architecture can be . Further branding research should be carried out
blended with corporate strategy and the portfolio mix, and focused on patients with prominent ‘internal
e.g. the proportion of innovative, generic/biosimilar locus’ in order to plan specialised promotional cam-
medicines and consumer goods. The situation may paigns and educational materials as this patient
also change in the future if the portfolio grows or population is the most likely to be marketing-eva-
changes. sive and less treatment compliant.

The findings from this research are particularly inter-


Conclusions and recommendations esting and relevant to the branded generic markets of
This project was aimed at providing insights into new Asia, Latin America, Africa and Eastern Europe,
trends and directions in pharmaceutical branding where the promotion and active entry of biosimilar
using qualitative approach. Overall, it became appar- products will be expected in near future.
ent that the pharmaceutical industry is not ready for
the major changes that have already occurred within Funding
the consumer world but cost containment, genericiza- This research received no specific grant from any funding
tion, diminishing pipelines and increasing governmen- agency in the public, commercial, or not-for-profit sectors.
tal pressure on prices may well force strategic changes
in the future and the way that branding strategy is
Conflict of interest
planned and executed. The view on time horizon
may change, and the competitive advantage and the None declared.
longevity potential of some brands beyond the period
of patent protection will be appreciated over time. References
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