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Home > Market Research > Prescription Medicines > The Pharmaceutical Market: Denmark
Espicom’s in-depth pharmaceutical market reports are ideal for executives wanting to understand the key drivers in pharmaceutical markets and have access to a wealth of statistical data. Each report opens with an outlook section that provides analysis of the market, 5-year market forecasts, national data projections, market outlook and key developments such as regulation, pricing/reimbursement, intellectual property, health facilities and government policy. The report also provides extensive background information, population trends, health status, health expenditure, organisation & administration, hospital services, medical personnel, healthcare development, market access information, trade data for raw materials and finished products and essential industry contacts. Included with the report are 3 free quarterly updated outlook reports, enabling you to keep up to date with market developments for a year.
Denmark has a stable political system and a stable economy. However, it was hit hard by the global economic downturn, with GDP contracting by 5.1% in 2009, according to figures from the Economist Intelligence Unit. GDP growth is projected to rise gradually to 0.5% in 2010 and 2.0% by 2015. Meanwhile, healthcare expenditure has continued its steady growth in the past few years, increasing by 7.1% to reach DKK118.3 billion (US$21.7 billion) in 2007, with private expenditure accounting for around 16% of the total.
Although companies are free to set their own prices, products will only be reimbursed at the level of the lowest generic drug in each class unless it can be shown that there is a distinct therapeutic benefit. This has proved to be an effective way to drive pharmaceutical prices down. Over 17,000 people are employed in the Danish pharmaceutical industry, including people employed in the production of raw materials, production of pharmaceuticals and wholesales. There is strong domestic production although many producers focus on Denmark’s export market, therefore many pharmaceutical imports are in retail-ready packages.
Due to the presence of Novo Nordisk, Denmark is a major global supplier of insulin in retail form. This has resulted in a long-standing balance of trade surplus, which was in excess of US$4.7 billion in 2008. Between 2004 and 2008, imports increased by a CAGR of 11.9% to US$3.2 billion, while exports increased by a CAGR of 10.5% to US$7.9 billion.
Leo Pharma announced its acquisition of Australian dermatology specialist Peplin for US$287.5 million in September 2009. In the same month, the company announced it is to reacquire the licensing rights to its psoriasis portfolio, currently held by Warner Chilcott.
Lundbeck announced around 200 job cuts in Denmark in September 2009, in an effort to reduce costs. Other cost-saving measures that the company is implementing are insourcing and changing the travel behaviour of employees.
Highly detailed report content
MARKET OUTLOOK Key national data projections
Pharmaceutical Market Analysis Current market size Market structure Unique 5-year market projections Imports Domestic manufacturing Exports Research & development
Pharmaceutical regulatory analysis Including regulation, pricing & reimbursement and intellectual property
Pharmaceutical distribution
Healthcare analysis Including demographics, healthcare system, health expenditure, healthcare infrastructure and personnel HEALTHCARE DATA A comprehensive tabula review of the market, including economic indicators, demographics, health expenditure, hospital and primary care data, and healthcare personnel.
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Table of Contents
EXECUTIVE SUMMARY 1 Introduction . 2 Pharmaceutical Market Analysis . 3 Size . 3 Market Structure . 4 Generics 8 OTCs . 8 Projections 9 Outlook 10 Imports 13 Domestic Production . 15 Trade Associations 15 Lægemiddel Industri Foreningen (LIF) . 15 Industriforeningen for Generiske Lægemidler (IGL) . 16 Domestic Producers 16 ALK-Abelló . 16 Genmab A/S 16 Leo Pharma . 17 Lundbeck A/S 17 Novo Nordisk . 18 PharmaDanica . 18 Pharmexa 18 Multinational Manufacturers 19 AstraZeneca Denmark . 19 GlaxoSmithKline (GSK) . 19 Nycomed . 19 Pfizer Denmark 19 Sandoz A/S (formerly Hexal A/S) . 20 Exports 20 Research & Development . 21 Pharmaceutical Regulatory Analysis 22 Pharmaceutical Regulation . 22 EU Drug Regulation 22 Centralised Procedure 22 EMEA 22 Generic Drugs . 22 National Procedures 23 DENMARK PHARMA OUTLOOK Pharma Outlook espicom BUSINESS INTELLIGENCE ii Quarter I 2010 Marketing Authorisations . 23 Clinical Trials . 23 Authorised Pharmaceuticals . 24 Advertising 24 Intellectual Property 25 Supplementary Protection Certificates . 25 Data exclusivity 25 Pricing and Reimbursement 25 The Danish Medicines Agency . 25 Pricing . 26 Medicine Prices . 27 Price Index . 27 Reimbursement . 28 Executive Order . 29 Reimbursement System 30 Reference Price System 30 Generic Substitution 31 Pharmaceutical Distribution 32 Distributors 33 Amgros 33 Dupharma 33 K.V. Tjellesen A/S 33 Missionpharma 33 Nomeco A/S 33 Parallel Imports . 34 Conditions for a Parallel Import 34 Healthcare Analysis 35 Demographics . 35 Population . 35 Birth Rate . 36 Death Rate 36 Infant Mortality . 36 Life Expectancy at Birth . 36 Public Health . 37 Causes of Death 37 Incidence of Communicable Diseases/ Morbidity . 38 Cancer Incidence . 38 HIV/ AIDS 38 Healthcare System 39 PHARMA OUTLOOK DENMARK Pharma Outlook espicom BUSINESS INTELLIGENCE Quarter I 2010 iii Health Expenditure . 41 Healthcare Infrastructure 43 Inpatient Analysis 44 Ambulatory Care . 46 Healthcare Personnel . 47 DIRECTORY 49 Healthcare Organisations 49 Distributors 49 Domestic Producers 49 Multinational Manufacturers 50 Methodology and Sources . 52 List of Tables Key Data Projections, 2010-2015 . 2 Pharmaceutical Market, 2010 . 3 Pharmaceutical Market by Type, 2008 3 Number of Active Substances, Medicinal Products and Packs, 2004-2008 4 Sales of Medicinal Products at Retail Prices, 2004-2008 (DKK millions) . 5 Primary Healthcare Sector Pharmaceutical Sales by Therapeutic Group, Retail Prices, 2004-2008 (DKK millions) 5 Hospital Sector Pharmaceutical Sales by Therapeutic Group, Retail Prices, 2004-2008 (DKK millions) 6 Pharmaceutical Consumption at Wholesale Prices, 2008 (DKK millions) . 6 25 Most Sold Human Specialities in Denmark at Wholesale Prices, 2005-2008 (DKK000s) . 7 Consumption of OTC medicines at Wholesale Prices, 2006-2008 (DKK 000s) . 8 Regional Comparison of Projected Pharmaceutical Markets, 2015 . 9 Projected Pharmaceutical Market, 2010-2015 10 Espicom Analysis of the Danish Pharmaceutical Market, 2010 11 SWOT Analysis of the Danish Pharmaceutical Market, 2010 12 Imports of Pharmaceuticals by Category, 2004-2008 (US$000s) 13 Import Trends, 2007-2008 (US$000s) 13 Leading Suppliers of Raw Materials, 2008 (US$000s) . 14 Leading Suppliers of Medicaments, 2008 (US$000s) 14 Domestic Pharmaceutical Manufacturing Turnover, 2003-2008 . 15 Exports of Pharmaceuticals, 2004-2008 (US$000s) . 20 Export Trends, 2007-2008 (US$000s) 20 Leading Destinations, 2008 (US$000s) . 21 DENMARK PHARMA OUTLOOK Pharma Outlook espicom BUSINESS INTELLIGENCE iv Quarter I 2010 Pharmaceutical Research & Development Expenditure by LIF's Member Companies, 1997-06 . 21 Total Number of Pharmaceuticals, 2001-2006 24 Reimbursement Decisions 2001-2006 . 28 Number of Individual Reimbursement Applications, 2003-2008 . 29 Reimbursement Rates and Patient Charges, 2009 30 Pharmacies, 2001-2006 . 32 Summary of Demographic Indicators, 2008/2010 35 Regional Comparison of Projected Demographics, 2015 . 35 Projected Demographics, 2010-2015. 36 Causes of Death, 2005-2006 . 37 Healthcare Expenditure, 2010 41 Health Expenditure by Category, 2003-2007 (DKK millions) . 41 Regional Comparison of Projected Health Expenditure, 2015 42 Projected Health Expenditure, 2010-2015 . 43 Public Hospitals and Beds by Type, 2005 43 Hospital Beds by Specialty, 2005-2007 . 43 Hospital Activity, 2001-2006 . 44 Hospital Activity Summary by Specialty, 2005-2006 . 44 Number of Operations by Therapeutic Group, 2004 45 Outpatient Activity by Specialty, 2002-2004 . 46 Healthcare Personnel, 2002-2004 47 Staff Employed in the Hospital Sector, 2003-2005 . 47 Staff Employed in Municipal Healthcare, 2006-2008 48 Regional Comparison of Projected Physicians, 2015 . 48 Projected Physicians, 2010-2015 . 48 List of Figures Regional Comparison of Projected Pharmaceutical Markets, 2015 . 9 Radar Graph of the Danish Pharmaceutical Market, 2010. 12 Central Government Expenditure on Health, 2000-2007 (DKK millions) 42
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