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Executive Summary 12The macroeconomic environment in the Middle East 12Healthcare systems in the Middle East 13Pharmaceutical market analysis of the Middle East 14Competitive landscape of the Middle Eastern pharmaceutical market 15Scope and Methodology 18Scope 18Methodology 18Chapter 1 The macroeconomic environment in the Middle East 20Summary 20Introduction 21Population profile 22Disease burden 24Macroeconomic comparison of the Middle East 30Economic landscape of key Middle Eastern countries 32Egypt 32Turkey 33Saudi Arabia 34Israel 35Jordan 36UAE 36Lebanon 38Kuwait 38Healthcare spending 39Chapter 2 Healthcare systems in the Middle East 42Summary 42Introduction 43Profiles of the healthcare systems across Middle Eastern countries 43Egypt 43Healthcare system 43Intellectual property rights 44Pricing and reimbursement 45Key recent events 46Turkey 47Healthcare system 47Intellectual property rights 49Pricing and reimbursement 50Key recent events 52Saudi Arabia 53Healthcare system 53Intellectual property rights 54Pricing and reimbursement 55Key recent events 57Israel 58Healthcare system 58Intellectual property rights 58Pricing and reimbursement 59Key recent events 61Jordan 62Healthcare system 62Intellectual property rights 63Pricing and reimbursement 63Key recent events 64UAE 65Healthcare system 65Intellectual property rights 66Pricing and reimbursement 67Key recent events 68Lebanon 68Healthcare system 68Intellectual property rights 69Pricing and reimbursement 70Key recent events 71Kuwait 71Healthcare system 71Intellectual property rights 72Pricing and reimbursement 72Key recent events 73Chapter 3 Pharmaceutical Market analysis in the Middle East 76Summary 76Introduction 77Pharmaceutical market overview 77Therapy area analysis 80Therapy area sales forecast 81Therapy area analysis by country 82Egypt 82Turkey 85Saudi Arabia 88Israel 90Jordan 93UAE 94Lebanon 97Kuwait 100Leading brands analysis 103Seretide (GSK) 104Lipitor (Pfizer) 104Augmentin (GSK/MUP) 104Glivec (Novartis) 105Co-Diovan (Novartis) 105Spiriva (Boehringer Ingelheim) 106Plavix (Sanofi-Aventis) 106Cipralex (Lundbeck) 107Lansor (Sanovel) 107Symbicort (AstraZeneca) 108Leading brands sales forecast 108Key brand analysis by country 110Egypt 110Flumox and Cefotax (Eipico) 110Amaryl (Sanofi-Aventis) 111Cataflam (Novartis) 111Augmentin (MUP) 111Turkey 112Foradil Combi (Novartis) 113Taxotere (Sanofi-Aventis) 113Herceptin (Roche) 114Saudi Arabia 114Augmentin (GSK) 115Snafi (Spimaco) 116Viagra (Pfizer) 116Nexium (AstraZeneca) 116Israel 116Norditropin (Novo Nordisk) 117Seretide (GSK) 118Tritace (Sanofi-Aventis) 118Jordan 118Amoclan (Hikma) 119Similac Gain and Similac Advance (Abbott Nutrition) 119Cerelac (Nestle) 120United Arab Emirates 121Cialis (Eli Lilly) 121Plavix (Sanofi-Aventis) 122Zinnat (GSK) 122Lebanon 122Pariet (J&J) 123Concor (Merck KGaA) 123Crestor (AstraZeneca) 124Kuwait 124Rocephin (Roche) 125Xenical (Roche) 125Yasmin (Bayer) 126Chapter 4 Competitive landscape of the Middle Eastern pharmaceuticalmarket 128Summary 128Introduction 129Leading players 129Analysis of key players in the Middle East 133Novartis 133Overview 133Sales focus by leading drug class 133Marketed product portfolio 135Novartis' pipeline focus 138Strategic growth analysis 139GSK 142Overview 142Sales focus by leading drug class 142Marketed product portfolio 144GSK's pipeline focus 146Strategic growth analysis 147Sanofi-Aventis 150Overview 150Sales focus by leading drug class 150Marketed product portfolio 152Sanofi-Aventis pipeline focus 154Strategic growth analysis 155Pfizer 157Overview 157Sales focus by leading drug class 157Marketed product portfolio 159Pfizer's pipeline focus 161Strategic growth analysis 162Ibrahim 165Overview 165Sales focus by leading drug class 166Marketed product portfolio 167Ibrahim's pipeline focus 169Strategic growth analysis 169Leading players analysis by country 171Egypt 171Turkey 172Saudi Arabia 174Israel 176Jordan 178UAE 180Lebanon 182Kuwait 183Chapter 5 Appendix 186Anatomical therapeutic classification (ATC) 186A: Alimentary tract and metabolism 186B: Blood and blood-forming organs 186C: Cardiovascular system 186D: Dermatologicals 187G: Genitourinary system and sex hormones 187H: Systemic hormonal preparations 187J: General anti-infectives systemic 187K: Hospital solutions 187L: Antineoplastic and immunomodulating agents 187M: Musculoskeletal system 188N: Nervous system 188P: Parasitology 188R: Respiratory system 188S: Sensory organs 188T: Diagnostic agents 188V: Various 189Forecast factors 189Glossary 190Index 191List of FiguresFigure 1.1: GDP composition by sector in key Middle East countries, 2008 32Figure 1.2: Comparison of healthcare expenditure across major Middle Eastern countries 39Figure 3.3: Middle East pharmaceutical market share by countries, 2008 79Figure 3.4: Top 10 drug classes in the Egyptian pharmaceutical market, 2008 ($m) 85Figure 3.5: Top 10 drug classes in the Turkish pharmaceutical market, 2008 ($m) 87Figure 3.6: Top 10 drug classes in the Saudi Arabian pharmaceutical market, 2008 ($m) 90Figure 3.7: Top 10 drug classes in the Israel pharmaceutical market, 2008 ($m) 92Figure 3.8: Top 10 drug classes in the Jordanian pharmaceutical market, 2008 ($m) 94Figure 3.9: Top 10 drug classes in the UAE pharmaceutical market, 2008 ($m) 97Figure 3.10: Top 10 drug classes in the Lebanese pharmaceutical market, 2008 ($m) 100Figure 3.11: Top 10 drug classes in the Kuwaiti pharmaceutical market, 2008 ($m) 102Figure 4.12: Market share of top 10 and other players in the Middle East pharmaceutical market, 2008 132Figure 4.13: Novartis' Middle East pharmaceutical market sales by therapy area, 2008 134Figure 4.14: GSK's Middle East pharmaceutical market sales by therapy area, 2008 143Figure 4.15: Sanofi-Aventis' Middle East pharmaceutical market sales by therapy area, 2008 151Figure 4.16: Pfizer's Middle East pharmaceutical market sales by therapy area, 2008 158Figure 4.17: Ibrahim's Middle East pharmaceutical market sales by therapy area, 2008 166List of TablesTable 1.1: Demographic profile of key Middle East countries 23Table 1.2: Forecast epidemiology of common risk factors in Egypt, 200814 25Table 1.3: Forecast epidemiology of common risk factors in Turkey, 200814 25Table 1.4: Forecast epidemiology of common risk factors in Saudi Arabia, 200814 26Table 1.5: Forecast epidemiology of common risk factors in Israel, 200814 27Table 1.6: Forecast epidemiology of common risk factors in Jordan, 200814 27Table 1.7: Forecast epidemiology of common risk factors in UAE, 200814 28Table 1.8: Forecast epidemiology of common risk factors in Lebanon, 200814 29Table 1.9: Forecast epidemiology of common risk factors in Kuwait, 200814 30Table 1.10: Key economic metrics of Middle East countries, 2008 31Table 3.11: Pharmaceutical sales in major Middle East countries, 2008 78Table 3.12: Middle East pharmaceutical sales by therapy area, 2008 81Table 3.13: Middle East pharmaceutical market sales forecast by ATC code, 200814 82Table 3.14: Egypt's pharmaceutical market by therapy area sales, 2008 83Table 3.15: Turkey's pharmaceutical market by therapy area sales, 2008 86Table 3.16: Saudi Arabia's pharmaceutical market break-down by therapy area sales, 2008 89Table 3.17: Israel's pharmaceutical market by therapy area sales, 2008 91Table 3.18: Jordan's pharmaceutical market breakdown by therapy area sales, 2008 93Table 3.19: UAE's pharmaceutical market by therapy area sales, 2008 96Table 3.20: Lebanon's pharmaceutical market by therapy area sales, 2008 98Table 3.21: Kuwait's pharmaceutical market by therapy area sales, 2008 101Table 3.22: Leading brands in the Middle East pharmaceutical market, 2008 103Table 3.23: Leading brand sales forecast, 200814 109Table 3.24: Leading brands in the Egyptian pharmaceutical market, 2008 110Table 3.25: Leading brands in the Turkish pharmaceutical market, 2008 112Table 3.26: Leading brands in the Saudi Arabian pharmaceutical market, 2008 115Table 3.27: Leading brands in the Israeli pharmaceutical market, 2008 117Table 3.28: Leading brands in the Jordanian pharmaceutical market, 2008 119Table 3.29: Leading brands in the UAE pharmaceutical market, 2008 121Table 3.30: Leading brands in the Lebanese pharmaceutical market, 2008 123Table 3.31: Leading brands in the Kuwaiti pharmaceutical market, 2008 125Table 4.32: Leading companies in the Middle East pharmaceutical market, 2008 130Table 4.33: Novartis' leading brands in the Middle East market, 2008 136Table 4.34: GSK's leading brands in the Middle East market, 2008 145Table 4.35: Sanofi-Aventis' leading brands in the Middle East market, 2008 152Table 4.36: Pfizer's leading brands in the Middle East market, 2008 159Table 4.37: Ibrahim's leading brands in the Middle East market, 2008 168Table 4.38: Leading companies in the Egyptian pharmaceutical market, 2008 171Table 4.39: Leading companies in the Turkish pharmaceutical market, 2008 173Table 4.40: Leading companies in the Saudi Arabian pharmaceutical market, 2008 175Table 4.41: Leading companies in the Israeli pharmaceutical market, 2008 177Table 4.42: Leading companies in the Jordanian pharmaceutical market, 2008 179Table 4.43: Leading companies in the UAE pharmaceutical market, 2008 181Table 4.44: Leading companies in the Lebanese pharmaceutical market, 2008 182Table 4.45: Leading companies in the Kuwaiti pharmaceutical market, 2008 184
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