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Executive summary 10Overview of India 10The Indian healthcare system 11The pharmaceutical industry in India 12Key players in the Indian pharmaceutical market 13Indian pharmaceutical market SWOT analysis 14Chapter 1 Scope and methodology 16Scope 16Methodology 16Scope of IMS data 17Chapter 2 Overview of India 20Summary 20Introduction 21Overview of Indian history 21The government 21A burgeoning economy 22Key economic parameters 23An imprint of the global slowdown 24Population profile and demographic trends 26Disease burden 27Vector-borne diseases 31Chapter 3 The Indian healthcare system 34Summary 34Introduction 35Healthcare system 37The rural healthcare system 38The urban healthcare system 39Specialist and emergency medical care 40The regulatory set-up 41Intellectual property rights 41Effect of IPR regime on innovation 42Financing healthcare 43Inefficiencies fueled by underutilization of funds 45Pricing and reimbursement 46Private health insurance 47Private healthcare 49A range of private healthcare services 50Public-private partnerships 50Alternative medicine: AYUSH 51Ayurveda 51Yoga 52Naturopathy 52Unani 52Siddha 53Homoeopathy 53Chapter 4 The pharmaceutical market in India 56Summary 56Introduction 57Key market trends, events and issues 59Therapy area analysis 64Therapy area sales forecast 74Leading brands 75Leading brands sales forecast 79Over-the-counter medication 80The Indian generics advantage 80Chapter 5 Key players in the Indian pharmaceutical market 84Summary 84Introduction 85Leading players of the Indian pharmaceutical market 86Detailed analysis of the Indian pharmaceutical market players 87Cipla 87Overview 87Sales focus by leading drug classes 88Sales focus by leading brands 91New product launches 92SWOT analysis 94Strengths 94Weaknesses 95Opportunities 96Threats 96Ranbaxy 97Overview 97Sales focus by leading drug classes 97Sales focus by leading brands 99R&D pipeline analysis 101SWOT analysis 103Strengths 103Weaknesses 104Opportunities 105Threats 106GlaxoSmithKline (India) 106Overview 106Sales focus by leading drug classes 107Sales focus by leading brands 108R&D pipeline analysis 111SWOT analysis 112Strengths 112Weaknesses 113Opportunities 113Threats 115Piramal Healthcare 115Overview 115Sales focus by leading drug classes 115Sales focus by leading brands 117R&D pipeline analysis 119SWOT analysis 120Strengths 120Weaknesses 122Opportunities 122Threats 123Zydus Cadila 123Overview 123Sales focus by leading drug classes 124Sales focus by leading brands 125R&D pipeline analysis 126SWOT analysis 127Strengths 127Weaknesses 128Opportunities 128Threats 129A snapshot of other key market players 129Sun Pharma 129Lupin 130Alkem 131Sanofi-Aventis 132Mankind Pharma 133Leading players in the Indian pharmaceutical market: sales forecast 134Chapter 6 Appendix 136IMS data 136Anatomical Therapeutic Classification (ATC) 136A: Alimentary tract and metabolism 136B: Blood and blood-forming organs 136C: Cardiovascular system 136D: Dermatologicals 137G: Genito-urinary system and sex hormones 137H: Systemic hormonal preparations 137J: General anti-infectives systemic 137L: Antineoplastic and immunomodulating agents 137M: Musculo-skeletal system 137N: Nervous system 138R: Respiratory system 138S: Sensory organs 138T: Diagnostic agents 138V: Various 138Glossary 139Index 141List of FiguresFigure 1.1: Indian pharmaceutical market SWOT analysis 14Figure 2.2: Real GDP growth rate at factor cost across different quarters of the fiscal years 2008and 2009 (%) 24Figure 2.3: Comparative position ($bn) of India among the top service exporters globally, 2007 25Figure 2.4: Deaths by cause for non-communicable diseases in India, 2005 28Figure 3.5: Total expenditure on health per capita ($) in seven emerging pharmaceutical markets,2006 36Figure 3.6: Rural healthcare network in India 39Figure 3.7: Public spending on healthcare (% GDP) in India, 1950-2006 44Figure 4.8: Comparative position of India among the different global markets, 2008 58Figure 4.9: Top 10 drug classes of the alimentary tract and metabolism therapy area ($m), 2008 66Figure 4.10: Top 10 drug classes of the anti-infective therapy area ($m), 2008 68Figure 4.11: Top 10 drug classes of the cardiovascular system therapy area, ($m) 2008 69Figure 4.12: Top 10 drug classes of the respiratory system therapy area ($m), 2008 70Figure 4.13: Top 10 drug classes of the nervous system therapy area ($m), 2008 72Figure 4.14: Therapy area sales growth trend, 2004-08 73Figure 5.15: Market share of leading players in the Indian pharmaceutical market (%), 2008 86Figure 5.16: Cipla's Indian market sales by therapy area ($m), 2008 89Figure 5.17: Cipla's SWOT analysis 94Figure 5.18: Ranbaxy's Indian market sales by therapy area ($m), 2008 98Figure 5.19: Ranbaxy's SWOT analysis 103Figure 5.20: GSK's Indian market sales by therapy area ($m), 2008 107Figure 5.21: GSK (India) SWOT analysis 112Figure 5.22: Piramal Healthcare's Indian market sales by therapy area ($m), 2008 116Figure 5.23: Piramal Healthcare's SWOT analysis 120Figure 5.24: Zydus Cadila's Indian market sales by therapy area ($m), 2008 124Figure 5.25: Zydus Cadila's SWOT analysis 127List of TablesTable 2.1: Political snapshot of India 22Table 2.2: Economic snapshot of India 23Table 2.3: Demographic snapshot of India 26Table 2.4: Ten leading causes of death (%) in India, 2002 27Table 2.5: Forecast epidemiology of major diseases in India, 2008-14 29Table 2.6: Vector-borne diseases in India 31Table 4.7: Indian pharmaceutical market by therapy area sales, 2008 65Table 4.8: Indian pharmaceutical market therapy area sales forecast ($m), 74Table 4.9: Indian pharmaceutical market by leading brands, 2008 75Table 4.10: Top 10 brands of the Indian pharmaceutical market, sales forecast 2008-14 79Table 5.11: Leading players of the Indian pharmaceutical market by sales, 2008 87Table 5.12: Cipla's leading brands in the Indian market (($m), 2008 91Table 5.13: Leading recently launched products of Cipla in the Indian market 93Table 5.14: Leading brands of Daiichi-Ranbaxy in the Indian market ($m), 2008 100Table 5.15: Leading pipeline compounds of Ranbaxy in the Indian market 102Table 5.16: Leading brands of GSK in the Indian market, 2008 109Table 5.17: Key patented products of GSK launched in India 114Table 5.18: Leading brands of Piramal Healthcare in the Indian market, 2008 118Table 5.19: Piramal Healthcare's key acquisitions 121Table 5.20: Piramal Healthcare's key alliances and licensing agreements 122Table 5.21: Leading brands of Zydus Cadila in the Indian market, 2008 125Table 5.22: Key pipeline drugs for Zydus Cadila 126Table 5.23: Leading players in the Indian pharmaceutical market, sales forecast 2008-14 134
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