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Overview on Indian Diagnostics Markets &
Evaluation of Options to play
Importance of Diagnostics…


   Diagnostics is an important component of improved value
   chain in Healthcare sector by
      Enabling accurate detection of health risks and disease at earlier
      stages
      Improving treatment and disease management, while diminishing
      subsequent health problems and their associated costs
   With improving economic indicators for India, healthcare
   spend has increased

“Right patient with the right treatment at the right time.”
IVD Market: Global Scenario

  The worldwide market for diagnostics is projected to be $28.6 billion
  in 2005, of which the US market share is projected to exceed $11.2
  billion
  Major component of the IVD revenues are driven thru Hospital testing
  accounting 60% whereas 40% is contributed by lab testing
  50% of IVD companies are small businesses i.e. < 50 employees
  Increasing trend of co-marketing, in-licensing & mergers
  Newer FDA guidelines for regulating diagnostics and other devices
  Involvement of ‘Home brews’
  IVD comprise less than 5% of hospital cost
  IVD findings influence 60-70% of health care decision-making
India: Economy & Healthcare

          Economy
Stability of current Government
+ 8% GDP growth target
Continuity of economic &
structural reforms
Currency will hold up reasonably




                                            Healthcare
                                   Healthcare industry will remain
                                   buoyant
                                   Price sensitivities will remain
                                   Generics will increase
                                   More MNCs will come direct
                                   Lab automation will show its face
IVD in India

  IVD revenues in India is primarily driven by
  labs contributing 65% whereas hospitals
  contribute 35%
  Market is divided in Public & Private customers
  Industry is made up of
       MNCs
       Indian corporates
       Unogranized players
  Major companies are entering IVD businesses
  with emerging opportunities with CROs,
  Outsourced Clinical Trials
  Reagent rental trend has started 4 years back &
  is receiving fast acceptance
  Product registration has started becoming
  difficult
  Customs duty ∼ 39% for reagents, 26% for
  Instruments & 5% on life saving products
IVD Market Scenario
                                                         IVD Category Growth
                                                              05-06 in %
  IVD market in India is estimated     30
                                                                                                  30

  at Rs. 10 Bn with ∼ 15% growth                                                                                 25
  Major component is Clinical          25

  chemistry followed by
                                       20
  Hematology, Immuno & Urinalysis
                                                                        15
  Critical Care & Coagulation are      15
                                            12          12
  relatively lesser with usage                                                       10
  confined to Hospitals                10
  The market is estimated to grow at
  a healthy ∼ 15% with many new         5

  drivers of growth
                                        0




                                                                        Hematology

                                                                                     Urinalysis

                                                                                                  Coagulation
                                            Chemistry




                                                                                                                Immunochemistry
                                                        Critical Care
Future of IVD Market


                                                                    IVD Market
                                                                         2010
                                                                    Rs. 12240 Mn




                  Lease/ Rental
                                     Local
                                  Manufacturing
     Increasing
     Awareness
                                         Health insurance
Consolidation                              privatization

                  IVD Market
                                                  India Preferred
                      2006                        Global R&D hub
                  Rs. 7000 Mn
                                           Expansion of
                                        Clinical Outsourcing
Customers at a glance

         Private Labs
  Characteristic
      Single ownership, Small to Large
      set up
      Basic Urine & Blood testing
      performing Chemistry,
      Hematology, Immuno &
      Electrolyte testing.
  Purchase Decision
      Fast decision, Hard negotiation,
      Demanding, Servicing
  Business opportunity
      Chemistry Reagents
      Nephlometry                        ∼ 25,000
      Microbiology
      RIA
      Immunoturbidimetry
Customers at a glance

       Private Hospitals
  Characteristic
      50 – 250 bedded
      Very Professional
      Better spending
      Highly negotiating.
  Purchase Decision
      By Purchase Committee
      comprising Technical & Purchase
      people
  Business opportunity
      Cardiac markers
      Drug screening
      Microbiology
      RIA                               ∼ 12,000
      Clinical Chemistry
      Immunoturbidimetry
Customers at a glance

     Semi-Govt Hospitals
  Characteristic
      Medium – Big Hospital (100 –
      500 bedded)
      Tender based purchase with
      emphasis on lowest price e.g.
      Railway, Army
  Purchase Decision
      By Purchase Committee
      comprising
  Business opportunity
      Microbiology
      RIA
      Clinical Chemistry              ∼ 1,000
      Immunoturbidimetry
      Nephlometry
Customers at a glance

        Govt Hospitals
  Characteristic
      Large sized (100 – 500 bedded)
      Highly bureaucratic. Governed by
      Govt. State/Central
      Low funds & poor infrastructure
  Purchase Decision
      By Tender
  Business opportunity
      Microbiology
      RIA
      Clinical Chemistry                 ∼ 2,000
      Nephlometry
Thank You!

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Indian Diagnostics Market

  • 1. Overview on Indian Diagnostics Markets & Evaluation of Options to play
  • 2. Importance of Diagnostics… Diagnostics is an important component of improved value chain in Healthcare sector by Enabling accurate detection of health risks and disease at earlier stages Improving treatment and disease management, while diminishing subsequent health problems and their associated costs With improving economic indicators for India, healthcare spend has increased “Right patient with the right treatment at the right time.”
  • 3. IVD Market: Global Scenario The worldwide market for diagnostics is projected to be $28.6 billion in 2005, of which the US market share is projected to exceed $11.2 billion Major component of the IVD revenues are driven thru Hospital testing accounting 60% whereas 40% is contributed by lab testing 50% of IVD companies are small businesses i.e. < 50 employees Increasing trend of co-marketing, in-licensing & mergers Newer FDA guidelines for regulating diagnostics and other devices Involvement of ‘Home brews’ IVD comprise less than 5% of hospital cost IVD findings influence 60-70% of health care decision-making
  • 4. India: Economy & Healthcare Economy Stability of current Government + 8% GDP growth target Continuity of economic & structural reforms Currency will hold up reasonably Healthcare Healthcare industry will remain buoyant Price sensitivities will remain Generics will increase More MNCs will come direct Lab automation will show its face
  • 5. IVD in India IVD revenues in India is primarily driven by labs contributing 65% whereas hospitals contribute 35% Market is divided in Public & Private customers Industry is made up of MNCs Indian corporates Unogranized players Major companies are entering IVD businesses with emerging opportunities with CROs, Outsourced Clinical Trials Reagent rental trend has started 4 years back & is receiving fast acceptance Product registration has started becoming difficult Customs duty ∼ 39% for reagents, 26% for Instruments & 5% on life saving products
  • 6. IVD Market Scenario IVD Category Growth 05-06 in % IVD market in India is estimated 30 30 at Rs. 10 Bn with ∼ 15% growth 25 Major component is Clinical 25 chemistry followed by 20 Hematology, Immuno & Urinalysis 15 Critical Care & Coagulation are 15 12 12 relatively lesser with usage 10 confined to Hospitals 10 The market is estimated to grow at a healthy ∼ 15% with many new 5 drivers of growth 0 Hematology Urinalysis Coagulation Chemistry Immunochemistry Critical Care
  • 7. Future of IVD Market IVD Market 2010 Rs. 12240 Mn Lease/ Rental Local Manufacturing Increasing Awareness Health insurance Consolidation privatization IVD Market India Preferred 2006 Global R&D hub Rs. 7000 Mn Expansion of Clinical Outsourcing
  • 8. Customers at a glance Private Labs Characteristic Single ownership, Small to Large set up Basic Urine & Blood testing performing Chemistry, Hematology, Immuno & Electrolyte testing. Purchase Decision Fast decision, Hard negotiation, Demanding, Servicing Business opportunity Chemistry Reagents Nephlometry ∼ 25,000 Microbiology RIA Immunoturbidimetry
  • 9. Customers at a glance Private Hospitals Characteristic 50 – 250 bedded Very Professional Better spending Highly negotiating. Purchase Decision By Purchase Committee comprising Technical & Purchase people Business opportunity Cardiac markers Drug screening Microbiology RIA ∼ 12,000 Clinical Chemistry Immunoturbidimetry
  • 10. Customers at a glance Semi-Govt Hospitals Characteristic Medium – Big Hospital (100 – 500 bedded) Tender based purchase with emphasis on lowest price e.g. Railway, Army Purchase Decision By Purchase Committee comprising Business opportunity Microbiology RIA Clinical Chemistry ∼ 1,000 Immunoturbidimetry Nephlometry
  • 11. Customers at a glance Govt Hospitals Characteristic Large sized (100 – 500 bedded) Highly bureaucratic. Governed by Govt. State/Central Low funds & poor infrastructure Purchase Decision By Tender Business opportunity Microbiology RIA Clinical Chemistry ∼ 2,000 Nephlometry