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Pharmacy Retail Market ‐
Pharmacy Retail Market India
September 2009
Executive Summary

               The market is valued at INR 216 bn in 2009; Estimated to reach INR 432 bn in 2011
  Market       The market is fragmented and dominated by the unorganized sector
               There are 8,00,000 pharmacies in India with about 60,000 distributors 

                 Drivers:                                                      Challenges:
                    –   Growth in pharmaceuticals sector                         –   Fragmented industry
                    –   Increase in healthcare spending                          –   Long distribution and supply chain
 Drivers &          –   Changing disease profile                                 –   Counterfeit drugs
Challenges
 h ll               –   Consumer attitudes                                       –   FDI regulations
                    –   Attractive margins
                    –   Growth in OTC Segment

                 Loyalty Schemes
                    y y
                 Value Added Services
                 Tie‐ups with Retail firms
  Trends
                 Rural Expansion
                 Entry of Government in Pharmacy Retailing
                  Entry of Government in Pharmacy Retailing
                 Entry of Private Labels
                 Organized Retailers starting Pharmacy Chains

                Apollo leads in the organized pharma retail market with highest number of outlets
Competition     Leading organized players include Apollo, Medicine Shoppe, MedPlus, Religare Wellness,
                Primarily organized retail chains operate either as a company owned or as a franchisee outlet

                                          PHARMACY RETAIL MARKET – INDIA.PPT                                              2
•Market Overview
•Market Overview
•Drivers & Challenges
•Trends
 T d
•Government Regulations
•Competition
•Key Developments




       PHARMACY RETAIL MARKET – INDIA.PPT   3
The market is highly fragmented and dominated by the 
unorganized sector
Market Overview                                                      Overall Market Size & Growth
•There are 8,00,000 pharmacies in India today, 
 with about 60,000 distributors                                           INR bn
•Market is fragmented and dominated by the                             600
                                                                                            +41%        432
 unorganized sector                                                    400
•Growth in this market is driven by increasing                                     216
                                                                       200
 healthcare spending, growth in organized 
 healthcare spending growth in organized
 retailing and attractive margins                                         0
                                                                                   2009                 2011
•The entry of organized players is changing the 
 face of the pharmacy business in India                              Revenue split – Organized vs Unorganized
   Th
    The organized space of pharmacy retailing is 
               i d         f h             ili i
                                                                                          Organized
    dominated by 10‐12 big players 
                                                                                             2%
   Primarily, organized retail chains operate either as 
    a company owned or managed stores or as a 
    franchisee outlet
    franchisee outlet
•In India, pharmacies/drug stores are the 
 dominant distribution channel generating 74%                                                98%
 of the overall pharmaceutical sales                                                      Unorganized




                                              PHARMACY RETAIL MARKET – INDIA.PPT                               4
Pharmacy chains are expanding operations using various 
store formats
  Store Format                                           Description


                       • They are housed in hospitals & dispense a limited number of medicines
 Hospital Pharmacies   • They cater mainly to the requirements of patients admitted in hospitals



                       • Stores are located near the residential areas
  Standalone Stores    • Some of these stores offer home delivery
                       • The target customers are middle and upper class households



                       • These are located in supermarkets, malls or departmental stores
 Malls/Shop‐in‐Shops   • Spencer has tie‐up with LifeKen Medicines for its Daily stores in South 
                         India



                       • Pharmacy chains are planning to set up shop in townships
      Townships        • Apollo has signed an agreement with Hindustan Construction Co. (HCC) 
                         to set up a medicity inside the upcoming project Lavasa near Pune




                        PHARMACY RETAIL MARKET – INDIA.PPT                                          5
•Market Overview
•Market Overview
•Drivers & Challenges
•Trends
 T d
•Government Regulations
•Competition
•Key Developments




       PHARMACY RETAIL MARKET – INDIA.PPT   6
Drivers & Challenges



  Drivers                                                        Challenges
  Growth in pharmaceuticals sector                               Fragmented industry

  Increase in healthcare spending                                Long distribution and supply chain

  Changing disease profile                                       Counterfeit drugs

  Growth in OTC segment                                          FDI regulations

  Consumer attitude

  Attractive margins




                                     PHARMACY RETAIL MARKET – INDIA.PPT                               7
Growth in pharma sector and organized pharma retail
is expected to boost pharmacy retail in India
Growth in pharmaceuticals sector                                                                Impact
• The Indian pharmaceutical industry ranks 4th in volume terms and 13th in value terms
• The domestic pharmaceutical market is larger than the export market
• Retail market accounts for three quarters of the pharmaceuticals while direct sales to the 
  hospitals and nursing homes accounts for the remainder
                                Growth of Pharmaceutical Industry
                           INR bn
                                                +10%
                       1,000                                758
                                       524
                         500
                            0
                                      2008                 2012
• Growth in pharmaceutical sector has attracted many organized players in pharmacy retailing
• New players include not just those with a pharmaceutical or healthcare background but also 
  corporates from other sectors 
                               Growth of Organized Pharma Retail
                           INR bn
                                               +40%
                          50                               38.7
                                       10.1
                            0
                                      2008                 2012




                                              PHARMACY RETAIL MARKET – INDIA.PPT                         8
Increase in healthcare spending is driving retail sales of 
pharmaceutical products
Increase in healthcare spending                                                                                          Impact
• Healthcare spending has increased with the increase in disposable income
• Healthcare is likely to be one of the fastest growing categories apart from communication, 
  education and recreation
    Average Indian spending on healthcare is expected to reach 13%
    People are ready to spend on preventive care and product integrity; alongside value‐added services
• Spending on healthcare is likely to increase as India is witnessing changes in its demographic 
  profile accompanied with lifestyle diseases and increasing medical expenses
     fil          i d ith lif t l di             di         i     di l
                       Healthcare Spending 
         %
  100        4 4              7            9             13
                           7
             11                            9
   80                       17                           15              Healthcare
              25                          19                             Education , Recreation & Communication
   60                                                    20
                            29                                           Transportation
                                          29
   40                                                                    Personal household products utilities apparel
                                                         29
              56                                                         Food Beverages and Tobacco
   20                       42
                                          34
                                                         25
     0
             1995          2005          2015          2025



                                                    PHARMACY RETAIL MARKET – INDIA.PPT                                            9
Rise in chronic diseases is driving growth in this sector 

Changing disease profile                                                                                              Impact
• The disease profile in India is changing from infectious diseases to lifestyle diseases, which 
  requires more intensive care
• The incidence of lifestyle diseases has increased with the changing lifestyle
    India is home to the largest number of diabetes patients
    Stress both at work and at home is likely to result in increase in number of people suffering from 
     hypertension
• This will entail medication on an ongoing basis which will in turn make prescription‐based
  This will entail medication on an ongoing basis, which will in turn make prescription based 
  medicine mandatory

                                                Mounting Chronic Diseases

      Population 
                           36       62            31         46          14      34          2       2.5
        (mn)
                    6
                                    4.9
                                                                                                           2005 (%)
                    4        3.3                           3.7
                                                  2.8
                                                  28                            2.7
                                                                                27                         2015 (%)
                                                                                                                ( )
                    2                                                    1.3
                                                                                             0.2    0.2
                    0
                         Coronary Heart           Diabetes                Obesity             Cancer
                            Disease




                                                        PHARMACY RETAIL MARKET – INDIA.PPT                                     10
Rising sales of OTC products is driving growth in pharmacy 
retailing in India
Growth in over‐the‐counter (OTC) segment                                                                                 Impact
• Retail pharma stores offer several products under one roof, from medicines to cosmetics in 
  order to target various needs of the customers
• Indian consumers have increased consumption of OTC products like analgesics, cough, cold and 
  allergy remedies, digestive remedies and medicated skin care products
• Medical drugs make up 70‐80% of the pharmacies sales while non‐pharma products constitute 
  20‐30 %  
    In the next five years this ratio is likely to change to 40: 60
     In the next five years this ratio is likely to change to 40: 60

      Cough Cold and Allergy                                Analgesics                               Digestives

                 +20%                                           +12%                                    +16%
  INR bn                                      INR bn
                             19.7                                                         INR bn                  14.8
                                                                                                                  14 8
 20     13.7
        13 7       15.0
                   15 0                             6.8
                                                    68           7.3
                                                                 73        8.6
                                                                           86                  11.0
                                                                                               11 0      12.1
                                                                                                         12 1
                                             10
                                                                                         10
  0                                           0                                            0
        2005      2006      2007                      2005      2006      2007                 2005      2006     2007

       Vitamins and minerals                               Skin treatment                              Others

   INR bn         +15%                            INR bn                                                +16%
                                                                 +18%                       INR bn
                                                                                                          7.8     9.5
  40               24.6      29.4              10                           7.3            10    7.0
         22.3                                           5.3        5.7
  20                                              5                                         5
   0                                              0                                         0
         2005      2006     2007                       2005      2006     2007                  2005     2006     2007


                                                           PHARMACY RETAIL MARKET – INDIA.PPT                                     11
Favourable consumer attitude and attractive margins is 
driving growth in pharmacy retailing in India
Consumer attitudes                                                                                   Impact
• Indian consumers confidently self‐treat a wide range of common ailments such as cough, cold, 
  fever, pain and sprains, heartburn and diarrhea. 
                              Consumer Behaviour for Minor Ailments
                                      Do nothing
                                                  8%
                          Self-medication
                                            23%          45% Go to the pharmacist


                                              24%
                               Go to the doctor
Attractive margins
• High margins in pharmacy retailing despite price controls have made it a lucrative business

               Level                                              Margins
                                             Scheduled Drugs                   Non Scheduled Drugs
      Stockist or distributors                         8%                               10%
             Retailers                                 16%                              20%




                                                   PHARMACY RETAIL MARKET – INDIA.PPT                         12
Fragmentation in the industry has led to decrease in 
revenue per store
Fragmented industry                                                                                                   Impact
• The pharmacy retail trade is highly fragmented, unorganized and dominated by small chemists
• In the US and Europe, pharmaceutical retail is significantly consolidated with fewer pharmacies 
  serving much larger markets
                              Share of Organized Pharmacy Retail
                                        54%
                                                    48%




                                                                 3%

                                         US          UK         India
• Although margins are high, increased proliferation and fragmentation has resulted in low 
  turnover per store
• Fragmented state of the industry has resulted in protectionist attitude of unorganized players, 
  which is using the strength of its number towards creating entry barriers for large and efficient 
  players
    All India Organization of Chemists and Druggists (AIOCD), representing over 0.55 mn chemists, is planning  to 
     corporatise its operations by building pan Indian drug retail chains
    This association has control on the manufacturers, hence limiting the supply of drugs only through the 
     authorized wholesale distributors, limiting the margins and controlling the additional volume discounts that 
     authorized wholesale distributors, limiting the margins and controlling the additional volume discounts that
     could be passed to the consumers and by organized retailers



                                                     PHARMACY RETAIL MARKET – INDIA.PPT                                        13
Distribution channel consists of many tiers between the 
manufacturers and the consumer
Long pharma distribution and supply chain                                                                     Impact
• Distribution is highly tiered and it is difficult to directly source from manufactures
• Pharma supply chain in India comprises of multiple layers of suppliers, middlemen and retailers
• Pharma companies appoint carrying and forwarding  agents (CFA) for every state, sometimes 
  more than one for large states such as Maharashtra and Uttar Pradesh
    They move products to at least one stockist or wholesaler in smaller cities, who then pass them on to 
     neighbourhood medical shops
    On an average a company has 20‐30 CFAs while the number of stockists may range from few hundred to
     On an average, a company has 20‐30 CFAs, while the number of stockists may range from few hundred to 
     even thousands


                                                   Manufacturer


                                              CFA / Company Depot


                                               Distributor / Stockist




                         Hospitals                   Pharmacy                     Retail Chains




                                                   PHARMACY RETAIL MARKET – INDIA.PPT                                  14
Counterfeit drugs and FDI regulations impede industry 
growth
Counterfeit drugs                                                                                       Impact
• Over 35% cent of the drugs sold through retail pharma trade is spurious or fake in India
• The counterfeit drugs industry is no longer restricted to tablets and capsules and has graduated 
  to production of expensive and sophisticated injections, expensive tablets and inhalers
• Presence of online pharmacies has led to an increase in drug trafficking, unauthorised import of 
  medicines and unauthorised sale of drugs resulting in an increase in spurious/ counterfeit drugs
• In the next 10 years, counterfeit drugs is expected to be the single biggest problem in public 
  health in India
  h lth i I di
• Monitoring and controlling counterfeit drugs is difficult owing to fragmented nature of Industry


FDI regulations
FDI regulations
• Currently, regulations permit 100 % foreign direct investment (FDI) only in single brand stores
• Pharma retail falls into the multi‐brand category hence foreign players find it difficult to enter 
  India
• FDI restrictions has limited the growth of this sector
  FDI restrictions has limited the growth of this sector




                                                PHARMACY RETAIL MARKET – INDIA.PPT                               15
•Market Overview
•Market Overview
•Drivers & Challenges
•Trends
 T d
•Government Regulations
•Competition
•Key Developments




       PHARMACY RETAIL MARKET – INDIA.PPT   16
Trends

            Loyalty Schemes


            Value Added Services


            Tie‐ups with Retail firms
            Tie ups with Retail firms


 Trends `   Rural Expansion


            Entry of Government in Pharmacy Retailing


            Entry of Private Labels


            Organized Retailers Starting Pharmacy Chains


                                PHARMACY RETAIL MARKET – INDIA.PPT   17
Organised players are offering loyalty schemes for retaining 
customers
Loyalty Schemes
• Organized pharmacy chains are offering loyalty schemes in the form of rewards, points, gifts , 
  free health insurance for retaining customers                                                              Loyalty schemes 
                                                                                                             likely to benefit 
                                                                                                             likely to benefit
    Pharmacy            Loyalty Scheme                               Description                                 organized 
Apollo             Any Time Medicine Card   • Card entitles its customers to avail a health voucher worth         retailers
                                              INR 500 or a free health insurance worth INR 20,000 on 
                                              purchase of products worth INR 6000  from Apollo stores in 
                                              the concerned state within a period of one year
                                              the concerned state within a period of one year
CRS Health         Wellbeing Club           • It credits points on purchase of minimum INR 800
                                            • On every 20 points earned in 6 months it credits 5 bonus 
                                              points
                                            • Points can be redeemed in multiples of 10 within 6 months
Guardian           Advantage Card           • Credits a point for every INR 10 spent
                                            • Points can be redeemed  after  accumulating 200 points
                                            • For every 200 points redeemed member gets free shopping 
                                              credit worth INR 50
Medicine Shoppe    Shoppe Select            • Point is credited for every INR 12.5 spent
                                            • Points can be redeemed after accumulating  168 points
98.4 Degrees       Total Health Card        • It credits one point on an expenditure of INR 500
                                            • Points can be redeemed after accumulating a minimum of 10 
                                              points in multiples of 10
                                                  i t i    lti l    f 10
                                            • Each point has a life of 6 months


                                              PHARMACY RETAIL MARKET – INDIA.PPT                                             18
Value added services emerging as a new trend in pharmacy 
retailing
Value Added Services
• Organized stores are offering host of value added services apart from selling medicines such as:
    Diagnostic and pathological tests
                                                                                                                        Pharmacy 
                                                                                                                     retailing moving 
                                                                                                                     retailing moving
    Health related consultancy & Medical insurance advisory
                                                                                                                       conventional 
    Home Delivery Services
                                                                                                                         retailing
   Pharmacy                                                    Services
 Apollo            • Apollo provides medicine delivery services
                   • Apollo also offers free medicine reminder service
                   • Its new concept – NurseStation provides nurses to attend to the patients at their houses, or 
                     refer them to an Apollo Clinic
 Guardian          • It offers facility of ordering medicines on Phone
 LifeKen           • It offers free home delivery services  for its members, between 7 am ‐ 9 pm without 
                     minimum billing commitments, it also accepts orders through email
 Medicine          • It has tied up with pharmaceutical companies to offer free diagnosis for diabetes, blood 
 Shoppe              pressure etc once a week
                   • Maintenance of medication history of customers free home delivery free insurance cover
                     Maintenance of medication history of customers, free home delivery, free insurance cover 
                     against purchase, personal accident insurance, household fire insurance, free critical care 
                     insurance
 MedPlus           • MedPlus offers diagnostic lab services




                                                     PHARMACY RETAIL MARKET – INDIA.PPT                                             19
Tie‐ups with retail firms and rural expansion are upcoming 
trends in this sector
Tie‐ups with Retail firms
• Pharmacies are also tying up with retailers to ensure wider distribution
                                                                                                                Tie‐ups aimed at 
    Pharmacy 
    Pharmacy            Retail Firm
                        Retail Firm                                      Description                                improving 
 Apollo            Indian Oil Corporation   • Set‐up stores across its retail gas stations in India                distribution
 Guardian          Kendriya Bhandar         • Set‐up pharma stores at its retail outlets in Delhi and NCR  
                                              Region
                                            • To provide medicines and health foods at discounted rates
                                              To provide medicines and health foods at discounted rates
 LifeKen           Spencer                  • Set‐up pharmacy stores in Spencer outlets in South India

Rural Expansion
•O
 Organized players are targeting the rural areas in partnership with existing retail players
      i d l            t    ti th        l       i     t    hi ith i ti         t il l
                                                                                                                    Market 
    Pharmacy            Retail Firm                                      Description
                                                                                                                 expanding to 
 Apollo            Godrej Aadhar            • To establish pharmacies at Aadhar Outlets in Rural Areas under      rural areas
                                              the brand Apollo Aadhar Pharmacy
 Apollo            ITC E‐choupals‐          • Distributing medicines in rural areas
                   Choupal Saagar
 Guardian          DCM Shriram              • To set up its ‘Aushadhi’ chain of rural pharma retail outlets 
                                              within the Haryali Kisan Bazaars, the rural initiative of DCM 
                                              Shriram




                                                  PHARMACY RETAIL MARKET – INDIA.PPT                                           20
Entry of government, organized retailers and private labels 
has helped in growth of pharmacy retailing
Entry of Government in Pharmacy Retailing
• The Government of India is planning to distribute essential medicines through Government 
  retail outlets Jan Aushadhi Stores at affordable prices                                                                      Entry aimed at 
                                                                                                                                 providing 
                                                                                                                                 providing
• The first of such Jan Aushadhi outlets was opened in Punjab in November 2008
                                                                                                                                 affordable 
• Unbranded versions of generic drugs including popular antibiotics, pain‐killers, cough and cold                                medicines
  medication will be available at these 'Jan Aushadhi' stores

Entry of Private Labels
    y
• Some retail chains are now getting generic drugs, such as paracetamol, contract‐manufactured 
  by licensed third‐parties and then marketing them under their own brand‐names                                                Private labels to 
    MedPlus Health Services plans to sell 28 drugs under its own brand at its 600 outlets                                     provide low cost 
      – Ten of these, including over‐the‐counter products to treat diabetes and hypertension, are already on MedPlus shelves      alternative 
      – Such medicines will be available at a 15% discount to comparable drugs                                                    medicines
Organized Retailers Starting Pharmacy Chains
• Reliance Retail Ltd, has entered pharmacy retailing through its Reliance Wellness stores
    It established three such stores in Hyderabad and Bangalore and one in Mumbai, and is planning to increase 
     the number to 30 stores                                                                                                   Competition set 
                                                                                                                               Competition set
    The Wellness stores will offer health foods, personal care and healthcare products                                          to increase
• ‘More’ supermarkets by Aditya Birla Retail is planning to house a pharmacy 
• Pantaloon’s is present in pharmacy retail through Tulsi, the Medicine Bazaar, a pharmacy housed 
  within Big Bazaars and Food Bazaars at over 35 locations allover India
    ithin Big Ba aars and Food Ba aars at o er 35 locations allo er India



                                                            PHARMACY RETAIL MARKET – INDIA.PPT                                                 21
•Market Overview
•Market Overview
•Drivers & Challenges
•Trends
 T d
•Government Regulations
•Competition
•Key Developments




       PHARMACY RETAIL MARKET – INDIA.PPT   22
Drugs & Cosmetics Act 1940 regulates distribution and sale 
of drugs and cosmetics
                                            Drugs & Cosmetics Act 1940 

                  • To regulate the import, manufacture, distribution and sale of drugs and cosmetics
 Objectives       • Act specifies certain minimum requirements for grant of a pharmacy licence


                  • The State Government appoints Licensing Authorities for grant of a pharmacy licence
  Licensing       • An original licence or a renewed licence to sell drugs is valid for a period of five years
                  • For drugs stocked for sale at more than one place, a separate licence is required, in respect of each such place

                  • The premises of a pharmacy must be separated from rooms for private use
                  • The premises need to be  well built, dry, well lit and ventilated and of sufficient dimensions
                  • Goods must be clearly visible
Guidelines for 
                  • The area of the section to be used as dispensing department must not be less than 6 square meters for one 
  Premises          pharmacist working therein with additional 2 square meters for each additional pharmacist
                  • The height of the premises must be at least 2.5 meters
                  • The floor of the pharmacy is required to be smooth and washable

Guidelines for    • Drawers, glasses and other containers must be in a position to be closed tightly to prevent the entry of dust
                  • Every container shall bear a label of appropriate size, easily readable with names
Furniture and     •DDrugs, chemicals, and medicines shall be kept in a room appropriate to their properties and in such special 
                            h i l         d   di i     h ll b k t i                    i t t th i        ti    di      h      i l
 Apparatus          containers that will prevent any deterioration in their properties


  General         • A pharmacy must be operated under the continuous personal supervision of a Registered Pharmacist whose 
                    name is required to be displayed in the premises
 Provisions
                  • All
                    All records and registers need to be maintained in accordance with the laws in force
                             d    d    i         d b       i i di           d      ih h l       i f



                                             PHARMACY RETAIL MARKET – INDIA.PPT                                                        23
•Market Overview
•Market Overview
•Drivers & Challenges
•Trends
 T d
•Government Regulations
•Competition
•Key Developments




       PHARMACY RETAIL MARKET – INDIA.PPT   24
Apollo Pharmacy leads the overall market

Competition Overview                                                             Organized Pharmacy Distribution
• Apollo leads in the organized pharma retail market 
  with highest number of outlets                                                    Apollo Pharmacy                                         740
• Sector has witnessed the entry of new players                                              MedPlus                                  600
• Almost all players have expansion plans                                                    Himalaya                         350
• Organized pharma retail chains operate in three                                  Medicine Shoppe                     130
  models:                                                                         Religare Wellness                112
    Fully owned stores                                                            Guardian Lifecare               110
      – Apollo prefers fully owned model                                                       LifeKen             92
    Franchise model                                                                  Trust Chemists              50
      – Medicine Shoppes operates in this model                                                   Tulsi       35
                                                                                        98.4
                                                                                        98 4 Degrees          30
    Combination of owned and franchise stores
                                                                                         Frank Ross           25
      – Guardian prefers a combinational model
                                                                                   Muthu Pharmacy             14
• Franchisee model has enabled loss making stand‐
                                                                                                 NewU         12
  alone stores to be absorbed by organized retailers
                                                                                       Dial for health        10
    This is likely to trigger consolidation in this sector
     This is likely to trigger consolidation in this sector
                                                                                         Cure & Care          6
• Retail outlets of players like Himalaya sell only its 
                                                                                  Reliance Wellness           6
  products                                                                                                                                   No. of Stores
• Leading players are targeting rural areas and are                                                       0        200       400    600   800
  tying up with organized retail players for expansion
  tying‐up with organized retail players for expansion



                                                          PHARMACY RETAIL MARKET – INDIA.PPT                                                         25
Major Players (1/7)
                                                    Number of 
       Pharmacy                       Promoter        Stores                                     Business Description
       Apollo                   Apollo Hospitals       740          • It is present in 17 states including Andaman & Nicobar Islands
      Pharmacy                                                                                             p                  p (       p
                                                                    • Its rural initiative includes a tie up with ITC’s e‐choupals (Choupal 
                                                                      Sagar) and Godrej’s Aadhaar to provide medicines in rural areas
                                                                    • It is planning to expand using the franchise route
                                                                    • It is planning to meet a target of 1500 stores by 2010 
     Cure & Care                    Manipal Group       6           • Its stores are present in malls and neighbourhood streets with 
                                                                      carpet size of 7,000 to 8,000 sq ft
                                                                    • It has tied up with Aditya Birla Group and Jubilant Retail to open 
                                                                      100 outlets in their malls and stores by 2012
                                                                    • It is the first retail healthcare company in India to have received 
                                                                      the ACHSI (Australian Council on Healthcare Standards 
                                                                      International) certification
                                                                    • Besides the pharmacy, its centres provide health checkups and 
                                                                      consultancy services
                                                                    • It plans to invest INR 2 bn in the health, wellness and beauty
                                                                      It plans to invest INR 2 bn in the health, wellness and beauty 
                                                                      segment in the next three years
                                                                    • It aims to add 50 centres by 2011 and 100 shop‐in‐shop by 2010




Note: This list is not exhaustive

                                                            PHARMACY RETAIL MARKET – INDIA.PPT                                            26
Major Players (2/7)
                                                    Number of 
       Pharmacy                      Promoter         Stores                                  Business Description
    Dial for health                 Zydus Cadilla      10        • It has nine stores in Mumbai and one in Pune 
                                                                 • Its pharmacies also offer free routine check‐ups including weight
                                                                   Its pharmacies also offer free routine check ups including weight, 
                                                                   blood pressure and body‐fat content 
                                                                 • It is presently focusing on Mumbai for its retail operations 
                                                                 • Its stores are air‐conditioned and they offer value added services 
                                                                                           y                 y
                                                                   like auto‐refill facility and free delivery within 3 kms from the 
                                                                   pharmacy
                                                                 Financials:
                                                                 • Zydus Cadilla reported total sales of INR 17.8 bn and profit after 
                                                                   tax of INR 2.3 bn in FY 2007‐08
      Frank Ross                       Emami           25        • The size of each pharmacy is 350 to 600 sq ft
                                                                 • Some of its pharmacies are located in hospitals and some are 
                                                                   standalone stores
                                                                 • It is planning to invest INR 980 mn in order to expand to 100 
                                                                   stores by 2012
                                                                            b
                                                                 Financials:
                                                                 • Emami reported total income of INR 6 bn and a net profit of INR 
                                                                   927.5 mn in FY 2007‐08


Note: This list is not exhaustive

                                                         PHARMACY RETAIL MARKET – INDIA.PPT                                         27
Major Players (3/7)
                                                     Number of 
       Pharmacy                       Promoter         Stores                                  Business Description
       Guardian                     Guardian Life       110       • It has planned investments of over INR 1 bn for expansion 
                                        Care
       Lifecare                                                   • Its rural initiatives include brand of stores called ‘Aushadhi’
                                                                    Its rural initiatives include  brand of stores called  Aushadhi
                                                                  • It currently operates in 15 cities in North, East & West India
                                                                  • It is planning to meeting its target of 250 stores in 2009 and has 
                                                                    earmarked INR 1 bn towards expansion
       Himalaya
       Hi l                         Himalaya Drug 
                                    Himalaya Drug       350       • It t
                                                                    Its stores showcase entire range of Himalaya drugs, from 
                                                                                h            ti          f Hi l     d       f
                                       Company                      pharmaceutical, personal care to baby care and animal healthcare 
                                                                    at competitive prices
                                                                  • It has 150 exclusive retail outlet formats (300 sq ft), more than 
                                                                    200 shop in shop outlets (60 70 sq ft) and an online shopping 
                                                                    200 shop‐in‐shop outlets (60‐70 sq ft) and an online shopping
                                                                    website
                                                                  • It is expanding its retail presence in India and abroad by adding 
                                                                    300 exclusive stores
        LifeKen                       Lifetime          92        • Operates stores in Bangalore, Chennai and Mumbai
                                                                    Operates stores in Bangalore, Chennai and Mumbai
                                      Healthcare                  • It plans to add stores in Mumbai, Pune, Hyderabad and Kochi
                                       Pvt. Ltd
                                                                  • In October 2006, LifeKen acquired Pill & Powder, the oldest player 
                                                                    in pharmacy retail in Bangalore
                                                                  • It plans to grow to 700 stores by 2012
                                                                    It plans to grow to 700 stores by 2012

Note: This list is not exhaustive

                                                          PHARMACY RETAIL MARKET – INDIA.PPT                                          28
Major Players (4/7)
                                                   Number of 
       Pharmacy                     Promoter         Stores                                  Business Description
       Medicine                 Melrose Trading       130       • It is the Indian arm retail pharmacy chain, Medicine Shoppe 
                                 Company Ltd                                     ,         y       g       g     j ,
                                                                  International, owned by the drug‐trading major, Cardinal Health
       Shoppe
                                                                • Melrose Trading Company is the master franchisee that runs the 
                                                                  operation in India
                                                                • All the outlets are a minimum 400 sq ft in size
                                                                                                          , j       ,   ,      ,
                                                                • Outlets in several cities of Maharashtra, Gujarat, Goa, Delhi, Uttar 
                                                                  Pradesh, West Bengal, Andhra Pradesh and Karnataka
                                                                • It follows the model of franchisee stores in India
                                                                • It aims to open another 1,000 stores by 2010
       MedPlus                      Optival
                                      p               600       • It operates stores in Andhra Pradesh, Gujarat, Karnataka, Tamil
                                                                  It operates stores in Andhra Pradesh, Gujarat, Karnataka, Tamil 
                                    Health                        Nadu, Maharashtra and Rajasthan
                                    Solutions                   • In August 2008, it received funding of INR 1.09 bn from NEA‐
                                                                  IndoUS Ventures and an unnamed fund from West Asia and 
                                                                  funding of INR 230 mn from iLabs in March 2007
                                                                • It plans to expand using the franchise‐based model for 75% of its 
                                                                  stores planned in expansion plans
                                                                • It plans to achieve a turnover of INR 3 bn by next fiscal and add 
                                                                  1,500 more outlets by 2010


Note: This list is not exhaustive

                                                        PHARMACY RETAIL MARKET – INDIA.PPT                                          29
Major Players (5/7)
                                                  Number of 
       Pharmacy                      Promoter       Stores                                  Business Description
  Muthu Pharmacy                    Muthu Group      14        • It operates a chain of 14 pharmacy stores in Chennai
                                                               • Its pharmacies stock all type of medicines and other general
                                                                 Its pharmacies stock all type of medicines and other general 
                                                                 items 
                                                               • Its pharmacies also offer counselling and door delivery facilities to 
                                                                 its customers
         NewU                          Dabur         12        • ‘NewU’ was launched in May 2008, by Dabur s retail subsidiary, 
                                                                  NewU was launched in May 2008 by Dabur’s retail subsidiary
                                                                 H&B Stores Ltd
                                                               • Stores provide beauty, health and wellness related products
                                                               • Its outlets stock over 14,000 international and domestic brands 
                                                                 apart from Dabur s own brands in beauty, health and wellness
                                                                 apart from Dabur’s own brands in beauty, health and wellness
                                                               • Store size ranges between 800‐3,000 sq ft
                                                               • It plans to open another 12‐15 stores by 2010
                                                               Financials: 
                                                               • Dabur reported an total income of INR 3.17 bn and a net loss of
                                                                 Dabur reported an total income of  INR 3.17 bn and a net loss of 
                                                                 INR 777 mn in FY 2008‐09




Note: This list is not exhaustive

                                                       PHARMACY RETAIL MARKET – INDIA.PPT                                           30
Major Players (6/7)
                                                  Number of 
       Pharmacy                      Promoter       Stores                                     Business Description
       Reliance                 Reliance Retail       6           • Its stores offer  health foods, personal care, healthcare and 
       Wellness                                                     p
                                                                    pharmaceuticals products
                                                                                       p
                                                                  • Its stores stocks over 8,000 products & offer discounts between 5‐
                                                                    25 % on select categories
                                                                  • Present in Mumbai, Hyderabad and Bangalore
                                                                       p         p                                         y
                                                                  • It plans to open 150 stores with an investment outlay of INR 9 bn 
                                                                    in 2008‐2010
                                                                  • It has tie‐up with UK based, Alliance Boots for a wholesale 
                                                                    business, and to operate front‐end stores through a franchise 
                                                                    agreement
       Religare                        Fortis        112          • It plans to reposition itself as a health & wellness company 
                                    HealthWorld                     offering a wider array of services
       Wellness
                                                                  • In 2008, it  acquired CRS Health, a Delhi‐based pharma & wellness 
                                                                    retail chain
                                                                  • Its expansion plans include tie ups with existing retail chains for
                                                                    Its expansion plans include tie‐ups with existing retail chains for 
                                                                    opening store‐in‐store formats in their stores
                                                                  • It is planning to grow to a 1,000 stores and cover 400 cities by 
                                                                    2012



Note: This list is not exhaustive

                                                          PHARMACY RETAIL MARKET – INDIA.PPT                                         31
Major Players (7/7)
                                                      Number of 
       Pharmacy                       Promoter          Stores                                  Business Description
  Trust Chemists                    Trust Chemists       50        • It has 40 air‐conditioned outlets in Bangalore and 10 outlets in 
                                      & Druggists                    Chennai 
                                           Ltd 
                                                                   • It is the single largest retail chain of organized medical shops in 
                                                                     Karnataka
                                                                   • Has a tie‐up with Axis Bank for co‐branded credit card
                                                                                                                         ,   p
                                                                   • It has stores in three formats: Standalone stores, hospital 
                                                                     pharmacies and concept stores
           Tulsi                    Future Group         35        • Most of the Tulsi outlets are located in Big Bazaar
                                                                   • Future Group currently has over 35 Tulsi outlets across the 
                                                                     country
    98.4 Degrees                       Global            30        • It has stores across Delhi and Gurgaon
                                      Healthline                   • It stocks a large range of prescription medicines, OTC drugs, 
                                                                     health foods, supplements and baby care, beauty and personal 
                                                                     care products
                                                                     care products
                                                                   • The company plans to grow to a 300‐400 store chain by 2014




Note: This list is not exhaustive

                                                           PHARMACY RETAIL MARKET – INDIA.PPT                                               32
•Market Overview
•Market Overview
•Drivers & Challenges
•Trends
 T d
•Government Regulations
•Competition
•Key Developments




       PHARMACY RETAIL MARKET – INDIA.PPT   33
Key Developments

Date             Development
13‐ May‐2009     Guardian Pharmacy has entered into an alliance with the Kendriya Bhandar chain of cooperative retail 
                 stores for opening pharmacy retail outlets in Delhi and the National Capital Region in order to provide 
                 medicines and health foods at discounted rates
                 medicines and health foods at discounted rates
7‐Feb‐2009       The first `Jan Aushadhi' shop in Delhi, was inaugurated in Kendriya Bhandar outlet in Shastri Bhavan, 
                 `Jan Aushadhi‘ outlets will sell quality, unbranded generic medicines at affordable prices
22‐Jan‐2009      Trust Chemists and Druggists has tied up with the Aditya Birla group run ‘More’ supermarkets to set 
                 up shop in shop stores in ‘More’ supermarkets in Tamil Nadu , the company is planning to establish 
                     h i h         t    i ‘M ’             k t i T il N d th                 i l      i t     t bli h
                 100 stores in TN and Karnataka by July 2010 and it plans to invest INR 250 mn for its expansion 
31‐ Dec‐ 2008    Frank Ross, a pharmacy retail chain of the Emami group, is expanding in East India to establish 100 
                 outlets across India by 2011‐2012 at a cost of INR 980 mn
10‐ Nov‐2008     Religare Wellness, has entered into an agreement with Reliance Retail and LM 365 to set up shops in  
                 their  stores where they lack presence. It plans to have about one‐fifth of its stores through such tie‐
                 ups 




                                             PHARMACY RETAIL MARKET – INDIA.PPT                                         34
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                                                       PHARMACY RETAIL MARKET – INDIA.PPT                                                     35

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Market Research India - Pharmacy Retail Market in India 2009

  • 2. Executive Summary  The market is valued at INR 216 bn in 2009; Estimated to reach INR 432 bn in 2011 Market  The market is fragmented and dominated by the unorganized sector  There are 8,00,000 pharmacies in India with about 60,000 distributors  Drivers: Challenges: – Growth in pharmaceuticals sector  – Fragmented industry – Increase in healthcare spending – Long distribution and supply chain Drivers &  – Changing disease profile – Counterfeit drugs Challenges h ll – Consumer attitudes – FDI regulations – Attractive margins – Growth in OTC Segment  Loyalty Schemes y y  Value Added Services  Tie‐ups with Retail firms Trends  Rural Expansion  Entry of Government in Pharmacy Retailing Entry of Government in Pharmacy Retailing  Entry of Private Labels  Organized Retailers starting Pharmacy Chains  Apollo leads in the organized pharma retail market with highest number of outlets Competition  Leading organized players include Apollo, Medicine Shoppe, MedPlus, Religare Wellness,  Primarily organized retail chains operate either as a company owned or as a franchisee outlet PHARMACY RETAIL MARKET – INDIA.PPT 2
  • 3. •Market Overview •Market Overview •Drivers & Challenges •Trends T d •Government Regulations •Competition •Key Developments PHARMACY RETAIL MARKET – INDIA.PPT 3
  • 4. The market is highly fragmented and dominated by the  unorganized sector Market Overview Overall Market Size & Growth •There are 8,00,000 pharmacies in India today,  with about 60,000 distributors  INR bn •Market is fragmented and dominated by the  600 +41% 432 unorganized sector 400 •Growth in this market is driven by increasing  216 200 healthcare spending, growth in organized  healthcare spending growth in organized retailing and attractive margins 0 2009 2011 •The entry of organized players is changing the  face of the pharmacy business in India Revenue split – Organized vs Unorganized  Th The organized space of pharmacy retailing is  i d f h ili i Organized dominated by 10‐12 big players  2%  Primarily, organized retail chains operate either as  a company owned or managed stores or as a  franchisee outlet franchisee outlet •In India, pharmacies/drug stores are the  dominant distribution channel generating 74%  98% of the overall pharmaceutical sales Unorganized PHARMACY RETAIL MARKET – INDIA.PPT 4
  • 5. Pharmacy chains are expanding operations using various  store formats Store Format Description • They are housed in hospitals & dispense a limited number of medicines Hospital Pharmacies • They cater mainly to the requirements of patients admitted in hospitals • Stores are located near the residential areas Standalone Stores • Some of these stores offer home delivery • The target customers are middle and upper class households • These are located in supermarkets, malls or departmental stores Malls/Shop‐in‐Shops • Spencer has tie‐up with LifeKen Medicines for its Daily stores in South  India • Pharmacy chains are planning to set up shop in townships Townships • Apollo has signed an agreement with Hindustan Construction Co. (HCC)  to set up a medicity inside the upcoming project Lavasa near Pune PHARMACY RETAIL MARKET – INDIA.PPT 5
  • 6. •Market Overview •Market Overview •Drivers & Challenges •Trends T d •Government Regulations •Competition •Key Developments PHARMACY RETAIL MARKET – INDIA.PPT 6
  • 7. Drivers & Challenges Drivers Challenges Growth in pharmaceuticals sector Fragmented industry Increase in healthcare spending Long distribution and supply chain Changing disease profile Counterfeit drugs Growth in OTC segment FDI regulations Consumer attitude Attractive margins PHARMACY RETAIL MARKET – INDIA.PPT 7
  • 8. Growth in pharma sector and organized pharma retail is expected to boost pharmacy retail in India Growth in pharmaceuticals sector  Impact • The Indian pharmaceutical industry ranks 4th in volume terms and 13th in value terms • The domestic pharmaceutical market is larger than the export market • Retail market accounts for three quarters of the pharmaceuticals while direct sales to the  hospitals and nursing homes accounts for the remainder Growth of Pharmaceutical Industry INR bn +10% 1,000 758 524 500 0 2008 2012 • Growth in pharmaceutical sector has attracted many organized players in pharmacy retailing • New players include not just those with a pharmaceutical or healthcare background but also  corporates from other sectors  Growth of Organized Pharma Retail INR bn +40% 50 38.7 10.1 0 2008 2012 PHARMACY RETAIL MARKET – INDIA.PPT 8
  • 9. Increase in healthcare spending is driving retail sales of  pharmaceutical products Increase in healthcare spending Impact • Healthcare spending has increased with the increase in disposable income • Healthcare is likely to be one of the fastest growing categories apart from communication,  education and recreation  Average Indian spending on healthcare is expected to reach 13%  People are ready to spend on preventive care and product integrity; alongside value‐added services • Spending on healthcare is likely to increase as India is witnessing changes in its demographic  profile accompanied with lifestyle diseases and increasing medical expenses fil i d ith lif t l di di i di l Healthcare Spending  % 100 4 4 7 9 13 7 11 9 80 17 15 Healthcare 25 19 Education , Recreation & Communication 60 20 29 Transportation 29 40 Personal household products utilities apparel 29 56 Food Beverages and Tobacco 20 42 34 25 0 1995 2005 2015 2025 PHARMACY RETAIL MARKET – INDIA.PPT 9
  • 10. Rise in chronic diseases is driving growth in this sector  Changing disease profile Impact • The disease profile in India is changing from infectious diseases to lifestyle diseases, which  requires more intensive care • The incidence of lifestyle diseases has increased with the changing lifestyle  India is home to the largest number of diabetes patients  Stress both at work and at home is likely to result in increase in number of people suffering from  hypertension • This will entail medication on an ongoing basis which will in turn make prescription‐based This will entail medication on an ongoing basis, which will in turn make prescription based  medicine mandatory Mounting Chronic Diseases Population  36 62 31 46 14 34 2 2.5 (mn) 6 4.9 2005 (%) 4 3.3 3.7 2.8 28 2.7 27 2015 (%) ( ) 2 1.3 0.2 0.2 0 Coronary Heart Diabetes Obesity Cancer Disease PHARMACY RETAIL MARKET – INDIA.PPT 10
  • 11. Rising sales of OTC products is driving growth in pharmacy  retailing in India Growth in over‐the‐counter (OTC) segment Impact • Retail pharma stores offer several products under one roof, from medicines to cosmetics in  order to target various needs of the customers • Indian consumers have increased consumption of OTC products like analgesics, cough, cold and  allergy remedies, digestive remedies and medicated skin care products • Medical drugs make up 70‐80% of the pharmacies sales while non‐pharma products constitute  20‐30 %    In the next five years this ratio is likely to change to 40: 60 In the next five years this ratio is likely to change to 40: 60 Cough Cold and Allergy Analgesics Digestives +20% +12% +16% INR bn INR bn 19.7 INR bn 14.8 14 8 20 13.7 13 7 15.0 15 0 6.8 68 7.3 73 8.6 86 11.0 11 0 12.1 12 1 10 10 0 0 0 2005 2006 2007 2005 2006 2007 2005 2006 2007 Vitamins and minerals Skin treatment Others INR bn +15% INR bn +16% +18% INR bn 7.8 9.5 40 24.6 29.4 10 7.3 10 7.0 22.3 5.3 5.7 20 5 5 0 0 0 2005 2006 2007 2005 2006 2007 2005 2006 2007 PHARMACY RETAIL MARKET – INDIA.PPT 11
  • 12. Favourable consumer attitude and attractive margins is  driving growth in pharmacy retailing in India Consumer attitudes Impact • Indian consumers confidently self‐treat a wide range of common ailments such as cough, cold,  fever, pain and sprains, heartburn and diarrhea.  Consumer Behaviour for Minor Ailments Do nothing 8% Self-medication 23% 45% Go to the pharmacist 24% Go to the doctor Attractive margins • High margins in pharmacy retailing despite price controls have made it a lucrative business Level Margins Scheduled Drugs Non Scheduled Drugs Stockist or distributors 8% 10% Retailers  16% 20% PHARMACY RETAIL MARKET – INDIA.PPT 12
  • 13. Fragmentation in the industry has led to decrease in  revenue per store Fragmented industry Impact • The pharmacy retail trade is highly fragmented, unorganized and dominated by small chemists • In the US and Europe, pharmaceutical retail is significantly consolidated with fewer pharmacies  serving much larger markets Share of Organized Pharmacy Retail 54% 48% 3% US UK India • Although margins are high, increased proliferation and fragmentation has resulted in low  turnover per store • Fragmented state of the industry has resulted in protectionist attitude of unorganized players,  which is using the strength of its number towards creating entry barriers for large and efficient  players  All India Organization of Chemists and Druggists (AIOCD), representing over 0.55 mn chemists, is planning  to  corporatise its operations by building pan Indian drug retail chains  This association has control on the manufacturers, hence limiting the supply of drugs only through the  authorized wholesale distributors, limiting the margins and controlling the additional volume discounts that  authorized wholesale distributors, limiting the margins and controlling the additional volume discounts that could be passed to the consumers and by organized retailers PHARMACY RETAIL MARKET – INDIA.PPT 13
  • 14. Distribution channel consists of many tiers between the  manufacturers and the consumer Long pharma distribution and supply chain  Impact • Distribution is highly tiered and it is difficult to directly source from manufactures • Pharma supply chain in India comprises of multiple layers of suppliers, middlemen and retailers • Pharma companies appoint carrying and forwarding  agents (CFA) for every state, sometimes  more than one for large states such as Maharashtra and Uttar Pradesh  They move products to at least one stockist or wholesaler in smaller cities, who then pass them on to  neighbourhood medical shops  On an average a company has 20‐30 CFAs while the number of stockists may range from few hundred to On an average, a company has 20‐30 CFAs, while the number of stockists may range from few hundred to  even thousands Manufacturer CFA / Company Depot Distributor / Stockist Hospitals Pharmacy Retail Chains PHARMACY RETAIL MARKET – INDIA.PPT 14
  • 15. Counterfeit drugs and FDI regulations impede industry  growth Counterfeit drugs Impact • Over 35% cent of the drugs sold through retail pharma trade is spurious or fake in India • The counterfeit drugs industry is no longer restricted to tablets and capsules and has graduated  to production of expensive and sophisticated injections, expensive tablets and inhalers • Presence of online pharmacies has led to an increase in drug trafficking, unauthorised import of  medicines and unauthorised sale of drugs resulting in an increase in spurious/ counterfeit drugs • In the next 10 years, counterfeit drugs is expected to be the single biggest problem in public  health in India h lth i I di • Monitoring and controlling counterfeit drugs is difficult owing to fragmented nature of Industry FDI regulations FDI regulations • Currently, regulations permit 100 % foreign direct investment (FDI) only in single brand stores • Pharma retail falls into the multi‐brand category hence foreign players find it difficult to enter  India • FDI restrictions has limited the growth of this sector FDI restrictions has limited the growth of this sector PHARMACY RETAIL MARKET – INDIA.PPT 15
  • 16. •Market Overview •Market Overview •Drivers & Challenges •Trends T d •Government Regulations •Competition •Key Developments PHARMACY RETAIL MARKET – INDIA.PPT 16
  • 17. Trends Loyalty Schemes Value Added Services Tie‐ups with Retail firms Tie ups with Retail firms Trends ` Rural Expansion Entry of Government in Pharmacy Retailing Entry of Private Labels Organized Retailers Starting Pharmacy Chains PHARMACY RETAIL MARKET – INDIA.PPT 17
  • 18. Organised players are offering loyalty schemes for retaining  customers Loyalty Schemes • Organized pharmacy chains are offering loyalty schemes in the form of rewards, points, gifts ,  free health insurance for retaining customers Loyalty schemes  likely to benefit  likely to benefit Pharmacy Loyalty Scheme Description organized  Apollo Any Time Medicine Card • Card entitles its customers to avail a health voucher worth  retailers INR 500 or a free health insurance worth INR 20,000 on  purchase of products worth INR 6000  from Apollo stores in  the concerned state within a period of one year the concerned state within a period of one year CRS Health  Wellbeing Club  • It credits points on purchase of minimum INR 800 • On every 20 points earned in 6 months it credits 5 bonus  points • Points can be redeemed in multiples of 10 within 6 months Guardian Advantage Card  • Credits a point for every INR 10 spent • Points can be redeemed  after  accumulating 200 points • For every 200 points redeemed member gets free shopping  credit worth INR 50 Medicine Shoppe Shoppe Select • Point is credited for every INR 12.5 spent • Points can be redeemed after accumulating  168 points 98.4 Degrees Total Health Card  • It credits one point on an expenditure of INR 500 • Points can be redeemed after accumulating a minimum of 10  points in multiples of 10 i t i lti l f 10 • Each point has a life of 6 months PHARMACY RETAIL MARKET – INDIA.PPT 18
  • 19. Value added services emerging as a new trend in pharmacy  retailing Value Added Services • Organized stores are offering host of value added services apart from selling medicines such as:  Diagnostic and pathological tests Pharmacy  retailing moving  retailing moving  Health related consultancy & Medical insurance advisory conventional   Home Delivery Services retailing Pharmacy  Services Apollo • Apollo provides medicine delivery services • Apollo also offers free medicine reminder service • Its new concept – NurseStation provides nurses to attend to the patients at their houses, or  refer them to an Apollo Clinic Guardian • It offers facility of ordering medicines on Phone LifeKen • It offers free home delivery services  for its members, between 7 am ‐ 9 pm without  minimum billing commitments, it also accepts orders through email Medicine  • It has tied up with pharmaceutical companies to offer free diagnosis for diabetes, blood  Shoppe pressure etc once a week • Maintenance of medication history of customers free home delivery free insurance cover Maintenance of medication history of customers, free home delivery, free insurance cover  against purchase, personal accident insurance, household fire insurance, free critical care  insurance MedPlus • MedPlus offers diagnostic lab services PHARMACY RETAIL MARKET – INDIA.PPT 19
  • 20. Tie‐ups with retail firms and rural expansion are upcoming  trends in this sector Tie‐ups with Retail firms • Pharmacies are also tying up with retailers to ensure wider distribution Tie‐ups aimed at  Pharmacy  Pharmacy Retail Firm Retail Firm Description improving  Apollo Indian Oil Corporation • Set‐up stores across its retail gas stations in India distribution Guardian Kendriya Bhandar • Set‐up pharma stores at its retail outlets in Delhi and NCR   Region • To provide medicines and health foods at discounted rates To provide medicines and health foods at discounted rates LifeKen Spencer • Set‐up pharmacy stores in Spencer outlets in South India Rural Expansion •O Organized players are targeting the rural areas in partnership with existing retail players i d l t ti th l i t hi ith i ti t il l Market  Pharmacy  Retail Firm Description expanding to  Apollo Godrej Aadhar • To establish pharmacies at Aadhar Outlets in Rural Areas under  rural areas the brand Apollo Aadhar Pharmacy Apollo ITC E‐choupals‐ • Distributing medicines in rural areas Choupal Saagar Guardian DCM Shriram • To set up its ‘Aushadhi’ chain of rural pharma retail outlets  within the Haryali Kisan Bazaars, the rural initiative of DCM  Shriram PHARMACY RETAIL MARKET – INDIA.PPT 20
  • 21. Entry of government, organized retailers and private labels  has helped in growth of pharmacy retailing Entry of Government in Pharmacy Retailing • The Government of India is planning to distribute essential medicines through Government  retail outlets Jan Aushadhi Stores at affordable prices Entry aimed at  providing  providing • The first of such Jan Aushadhi outlets was opened in Punjab in November 2008 affordable  • Unbranded versions of generic drugs including popular antibiotics, pain‐killers, cough and cold  medicines medication will be available at these 'Jan Aushadhi' stores Entry of Private Labels y • Some retail chains are now getting generic drugs, such as paracetamol, contract‐manufactured  by licensed third‐parties and then marketing them under their own brand‐names Private labels to   MedPlus Health Services plans to sell 28 drugs under its own brand at its 600 outlets  provide low cost  – Ten of these, including over‐the‐counter products to treat diabetes and hypertension, are already on MedPlus shelves alternative  – Such medicines will be available at a 15% discount to comparable drugs medicines Organized Retailers Starting Pharmacy Chains • Reliance Retail Ltd, has entered pharmacy retailing through its Reliance Wellness stores  It established three such stores in Hyderabad and Bangalore and one in Mumbai, and is planning to increase  the number to 30 stores Competition set  Competition set  The Wellness stores will offer health foods, personal care and healthcare products to increase • ‘More’ supermarkets by Aditya Birla Retail is planning to house a pharmacy  • Pantaloon’s is present in pharmacy retail through Tulsi, the Medicine Bazaar, a pharmacy housed  within Big Bazaars and Food Bazaars at over 35 locations allover India ithin Big Ba aars and Food Ba aars at o er 35 locations allo er India PHARMACY RETAIL MARKET – INDIA.PPT 21
  • 22. •Market Overview •Market Overview •Drivers & Challenges •Trends T d •Government Regulations •Competition •Key Developments PHARMACY RETAIL MARKET – INDIA.PPT 22
  • 23. Drugs & Cosmetics Act 1940 regulates distribution and sale  of drugs and cosmetics Drugs & Cosmetics Act 1940  • To regulate the import, manufacture, distribution and sale of drugs and cosmetics Objectives • Act specifies certain minimum requirements for grant of a pharmacy licence • The State Government appoints Licensing Authorities for grant of a pharmacy licence Licensing • An original licence or a renewed licence to sell drugs is valid for a period of five years • For drugs stocked for sale at more than one place, a separate licence is required, in respect of each such place • The premises of a pharmacy must be separated from rooms for private use • The premises need to be  well built, dry, well lit and ventilated and of sufficient dimensions • Goods must be clearly visible Guidelines for  • The area of the section to be used as dispensing department must not be less than 6 square meters for one  Premises pharmacist working therein with additional 2 square meters for each additional pharmacist • The height of the premises must be at least 2.5 meters • The floor of the pharmacy is required to be smooth and washable Guidelines for  • Drawers, glasses and other containers must be in a position to be closed tightly to prevent the entry of dust • Every container shall bear a label of appropriate size, easily readable with names Furniture and  •DDrugs, chemicals, and medicines shall be kept in a room appropriate to their properties and in such special  h i l d di i h ll b k t i i t t th i ti di h i l Apparatus containers that will prevent any deterioration in their properties General  • A pharmacy must be operated under the continuous personal supervision of a Registered Pharmacist whose  name is required to be displayed in the premises Provisions • All All records and registers need to be maintained in accordance with the laws in force d d i d b i i di d ih h l i f PHARMACY RETAIL MARKET – INDIA.PPT 23
  • 24. •Market Overview •Market Overview •Drivers & Challenges •Trends T d •Government Regulations •Competition •Key Developments PHARMACY RETAIL MARKET – INDIA.PPT 24
  • 25. Apollo Pharmacy leads the overall market Competition Overview Organized Pharmacy Distribution • Apollo leads in the organized pharma retail market  with highest number of outlets Apollo Pharmacy 740 • Sector has witnessed the entry of new players  MedPlus 600 • Almost all players have expansion plans Himalaya 350 • Organized pharma retail chains operate in three  Medicine Shoppe 130 models: Religare Wellness 112  Fully owned stores Guardian Lifecare 110 – Apollo prefers fully owned model LifeKen 92  Franchise model  Trust Chemists 50 – Medicine Shoppes operates in this model Tulsi 35 98.4 98 4 Degrees 30  Combination of owned and franchise stores Frank Ross 25 – Guardian prefers a combinational model Muthu Pharmacy 14 • Franchisee model has enabled loss making stand‐ NewU 12 alone stores to be absorbed by organized retailers Dial for health 10  This is likely to trigger consolidation in this sector This is likely to trigger consolidation in this sector Cure & Care 6 • Retail outlets of players like Himalaya sell only its  Reliance Wellness 6 products No. of Stores • Leading players are targeting rural areas and are  0 200 400 600 800 tying up with organized retail players for expansion tying‐up with organized retail players for expansion PHARMACY RETAIL MARKET – INDIA.PPT 25
  • 26. Major Players (1/7) Number of  Pharmacy Promoter Stores Business Description Apollo  Apollo Hospitals 740 • It is present in 17 states including Andaman & Nicobar Islands Pharmacy p p ( p • Its rural initiative includes a tie up with ITC’s e‐choupals (Choupal  Sagar) and Godrej’s Aadhaar to provide medicines in rural areas • It is planning to expand using the franchise route • It is planning to meet a target of 1500 stores by 2010  Cure & Care Manipal Group 6 • Its stores are present in malls and neighbourhood streets with  carpet size of 7,000 to 8,000 sq ft • It has tied up with Aditya Birla Group and Jubilant Retail to open  100 outlets in their malls and stores by 2012 • It is the first retail healthcare company in India to have received  the ACHSI (Australian Council on Healthcare Standards  International) certification • Besides the pharmacy, its centres provide health checkups and  consultancy services • It plans to invest INR 2 bn in the health, wellness and beauty It plans to invest INR 2 bn in the health, wellness and beauty  segment in the next three years • It aims to add 50 centres by 2011 and 100 shop‐in‐shop by 2010 Note: This list is not exhaustive PHARMACY RETAIL MARKET – INDIA.PPT 26
  • 27. Major Players (2/7) Number of  Pharmacy Promoter Stores Business Description Dial for health Zydus Cadilla 10 • It has nine stores in Mumbai and one in Pune  • Its pharmacies also offer free routine check‐ups including weight Its pharmacies also offer free routine check ups including weight,  blood pressure and body‐fat content  • It is presently focusing on Mumbai for its retail operations  • Its stores are air‐conditioned and they offer value added services  y y like auto‐refill facility and free delivery within 3 kms from the  pharmacy Financials: • Zydus Cadilla reported total sales of INR 17.8 bn and profit after  tax of INR 2.3 bn in FY 2007‐08 Frank Ross Emami 25 • The size of each pharmacy is 350 to 600 sq ft • Some of its pharmacies are located in hospitals and some are  standalone stores • It is planning to invest INR 980 mn in order to expand to 100  stores by 2012 b Financials: • Emami reported total income of INR 6 bn and a net profit of INR  927.5 mn in FY 2007‐08 Note: This list is not exhaustive PHARMACY RETAIL MARKET – INDIA.PPT 27
  • 28. Major Players (3/7) Number of  Pharmacy Promoter Stores Business Description Guardian  Guardian Life  110 • It has planned investments of over INR 1 bn for expansion  Care Lifecare • Its rural initiatives include brand of stores called ‘Aushadhi’ Its rural initiatives include  brand of stores called  Aushadhi • It currently operates in 15 cities in North, East & West India • It is planning to meeting its target of 250 stores in 2009 and has  earmarked INR 1 bn towards expansion Himalaya Hi l Himalaya Drug  Himalaya Drug 350 • It t Its stores showcase entire range of Himalaya drugs, from  h ti f Hi l d f Company pharmaceutical, personal care to baby care and animal healthcare  at competitive prices • It has 150 exclusive retail outlet formats (300 sq ft), more than  200 shop in shop outlets (60 70 sq ft) and an online shopping  200 shop‐in‐shop outlets (60‐70 sq ft) and an online shopping website • It is expanding its retail presence in India and abroad by adding  300 exclusive stores LifeKen Lifetime  92 • Operates stores in Bangalore, Chennai and Mumbai Operates stores in Bangalore, Chennai and Mumbai Healthcare  • It plans to add stores in Mumbai, Pune, Hyderabad and Kochi Pvt. Ltd • In October 2006, LifeKen acquired Pill & Powder, the oldest player  in pharmacy retail in Bangalore • It plans to grow to 700 stores by 2012 It plans to grow to 700 stores by 2012 Note: This list is not exhaustive PHARMACY RETAIL MARKET – INDIA.PPT 28
  • 29. Major Players (4/7) Number of  Pharmacy Promoter Stores Business Description Medicine  Melrose Trading  130 • It is the Indian arm retail pharmacy chain, Medicine Shoppe  Company Ltd , y g g j , International, owned by the drug‐trading major, Cardinal Health Shoppe • Melrose Trading Company is the master franchisee that runs the  operation in India • All the outlets are a minimum 400 sq ft in size , j , , , • Outlets in several cities of Maharashtra, Gujarat, Goa, Delhi, Uttar  Pradesh, West Bengal, Andhra Pradesh and Karnataka • It follows the model of franchisee stores in India • It aims to open another 1,000 stores by 2010 MedPlus Optival p 600  • It operates stores in Andhra Pradesh, Gujarat, Karnataka, Tamil It operates stores in Andhra Pradesh, Gujarat, Karnataka, Tamil  Health  Nadu, Maharashtra and Rajasthan Solutions • In August 2008, it received funding of INR 1.09 bn from NEA‐ IndoUS Ventures and an unnamed fund from West Asia and  funding of INR 230 mn from iLabs in March 2007 • It plans to expand using the franchise‐based model for 75% of its  stores planned in expansion plans • It plans to achieve a turnover of INR 3 bn by next fiscal and add  1,500 more outlets by 2010 Note: This list is not exhaustive PHARMACY RETAIL MARKET – INDIA.PPT 29
  • 30. Major Players (5/7) Number of  Pharmacy Promoter Stores Business Description Muthu Pharmacy Muthu Group 14 • It operates a chain of 14 pharmacy stores in Chennai • Its pharmacies stock all type of medicines and other general Its pharmacies stock all type of medicines and other general  items  • Its pharmacies also offer counselling and door delivery facilities to  its customers NewU Dabur 12 • ‘NewU’ was launched in May 2008, by Dabur s retail subsidiary,  NewU was launched in May 2008 by Dabur’s retail subsidiary H&B Stores Ltd • Stores provide beauty, health and wellness related products • Its outlets stock over 14,000 international and domestic brands  apart from Dabur s own brands in beauty, health and wellness apart from Dabur’s own brands in beauty, health and wellness • Store size ranges between 800‐3,000 sq ft • It plans to open another 12‐15 stores by 2010 Financials:  • Dabur reported an total income of INR 3.17 bn and a net loss of Dabur reported an total income of  INR 3.17 bn and a net loss of  INR 777 mn in FY 2008‐09 Note: This list is not exhaustive PHARMACY RETAIL MARKET – INDIA.PPT 30
  • 31. Major Players (6/7) Number of  Pharmacy Promoter Stores Business Description Reliance  Reliance Retail 6 • Its stores offer  health foods, personal care, healthcare and  Wellness p pharmaceuticals products p • Its stores stocks over 8,000 products & offer discounts between 5‐ 25 % on select categories • Present in Mumbai, Hyderabad and Bangalore p p y • It plans to open 150 stores with an investment outlay of INR 9 bn  in 2008‐2010 • It has tie‐up with UK based, Alliance Boots for a wholesale  business, and to operate front‐end stores through a franchise  agreement Religare  Fortis 112 • It plans to reposition itself as a health & wellness company  HealthWorld offering a wider array of services Wellness • In 2008, it  acquired CRS Health, a Delhi‐based pharma & wellness  retail chain • Its expansion plans include tie ups with existing retail chains for Its expansion plans include tie‐ups with existing retail chains for  opening store‐in‐store formats in their stores • It is planning to grow to a 1,000 stores and cover 400 cities by  2012 Note: This list is not exhaustive PHARMACY RETAIL MARKET – INDIA.PPT 31
  • 32. Major Players (7/7) Number of  Pharmacy Promoter Stores Business Description Trust Chemists Trust Chemists  50 • It has 40 air‐conditioned outlets in Bangalore and 10 outlets in  & Druggists  Chennai  Ltd  • It is the single largest retail chain of organized medical shops in  Karnataka • Has a tie‐up with Axis Bank for co‐branded credit card , p • It has stores in three formats: Standalone stores, hospital  pharmacies and concept stores Tulsi Future Group 35 • Most of the Tulsi outlets are located in Big Bazaar • Future Group currently has over 35 Tulsi outlets across the  country 98.4 Degrees Global  30 • It has stores across Delhi and Gurgaon Healthline • It stocks a large range of prescription medicines, OTC drugs,  health foods, supplements and baby care, beauty and personal  care products care products • The company plans to grow to a 300‐400 store chain by 2014 Note: This list is not exhaustive PHARMACY RETAIL MARKET – INDIA.PPT 32
  • 33. •Market Overview •Market Overview •Drivers & Challenges •Trends T d •Government Regulations •Competition •Key Developments PHARMACY RETAIL MARKET – INDIA.PPT 33
  • 34. Key Developments Date Development 13‐ May‐2009 Guardian Pharmacy has entered into an alliance with the Kendriya Bhandar chain of cooperative retail  stores for opening pharmacy retail outlets in Delhi and the National Capital Region in order to provide  medicines and health foods at discounted rates medicines and health foods at discounted rates 7‐Feb‐2009 The first `Jan Aushadhi' shop in Delhi, was inaugurated in Kendriya Bhandar outlet in Shastri Bhavan,  `Jan Aushadhi‘ outlets will sell quality, unbranded generic medicines at affordable prices 22‐Jan‐2009 Trust Chemists and Druggists has tied up with the Aditya Birla group run ‘More’ supermarkets to set  up shop in shop stores in ‘More’ supermarkets in Tamil Nadu , the company is planning to establish  h i h t i ‘M ’ k t i T il N d th i l i t t bli h 100 stores in TN and Karnataka by July 2010 and it plans to invest INR 250 mn for its expansion  31‐ Dec‐ 2008  Frank Ross, a pharmacy retail chain of the Emami group, is expanding in East India to establish 100  outlets across India by 2011‐2012 at a cost of INR 980 mn 10‐ Nov‐2008 Religare Wellness, has entered into an agreement with Reliance Retail and LM 365 to set up shops in   their  stores where they lack presence. It plans to have about one‐fifth of its stores through such tie‐ ups  PHARMACY RETAIL MARKET – INDIA.PPT 34
  • 35. Thank you for your time For an updated report or any customized research requirements, please contact: Gaurav Kumar E‐Mail: gaurav.kumar@netscribes.com; sales@netscribes.com Phone: +91 33 4064 6214; +91 983 030 9715 Netscribes’ Services: RESEARCH & ANALYTICS RESEARCH & ANALYTICS MARKET INTELLIGENCE MARKET INTELLIGENCE CONTENT SOLUTIONS CONTENT SOLUTIONS Investment Research Market Monitoring & Competitive  Social Media Marketing Enterprise Market Research Intelligence Marcom Support Services Patent Research Sales & Prospect Intelligence Content Management Services Syndicated Market Research S di t d M k t R h Listening & Media Monitoring Li t i & M di M it i Book Packaging Services B kP k i S i Brand Surveillance For further details, visit us at: www.netscribes.com About Netscribes Netscribes supports the organic and inorganic growth objectives of global corporations through a combination of Enterprise Market,  Investment & Patent Research, Market & Sales Intelligence, Social Media Monitoring & Management and Custom Publishing solution. Disclaimer: This report is published for general information only. High standards have been used for preparing this market research report;  Disclaimer: This report is published for general information only High standards have been used for preparing this market research report; however, Netscribes, Inc. or “Netscribes” is not responsible for any loss or damage arising from use of this document. This document is the sole  property of Netscribes and prior permission is required for guidelines on reproduction. PHARMACY RETAIL MARKET – INDIA.PPT 35