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The Pharma Marketer:
                    Will there be an (r)evolution?




     Murat Tanoren
     Marketing Manager, Boehringer Ingelheim Turkey
     Sep 27th, 2012 - London
                             @bencewom
                             http://goo.gl/y5Bim

Source: http://www.collthings.co.uk/2009/09/15-coolest-apple-mac-wallpapers.html (Accessed 28.08.2012)
The statements or opinions expressed in this
presentation are my own and do not necessarily
        represent those of my employer.
Q: Will there be an evolution of
“the pharma marketer”?




                                            NO
                                            YES
                                   It depends...
http://www.ey.com/GL/en/Industries/Life-Sciences/Progressions-2010--Pharma-3.0
S




http://www.ey.com/GL/en/Industries/Life-Sciences/Progressions-2010--Pharma-3.0
Source: Progressions 2012, The third place: health care everywhere, Ernst & Young
ACCESSIBLE HCP’S                                                         HCP’S NOT INTERESTED
                                                                                     IN PROMOTION


               20%                                                                   50%

Source: AccessMonitor™, a report from global consulting firm ZS Associates, 5/2010
Window of opportunity is narrow

           Only 7% of standard calls last longer than 2 minutes




Source: Based on Canadian Study, Arcus/B.C. Medical Association, 2011
In Turkey:
                   20 Calls/Physician in One Day!
                         13 Calls/Rep in One Day!
Page  10
                     Duration of 1 Call: ~ 2 min
The end of detailing?

                                                                                                        Official Gazette



                                                                                                      REGULATION ON
                                                                                                       PROMOTIONAL
                                                                                                        ACTIVITIES OF
                                                                                                     HUMAN MEDICINAL
                                                                                                         PRODUCTS


                                                                                                   By the Ministry of Health



      rising availability                   increasingly time-strapped                            growing regulations
     of alternative data                            physicians




Source: Wordham, J. and Jacobson, S. L. (2012) Transforming Commercial Models to Address New Health Care Realities
There is no longer any measurable relationship between
      launch success and either the delivery of medical product
      samples (a strong proxy for detailing volumes) or share of
      voice in the market.

      Only 27% of medical doctors consider leading pharmaceutical
      companies to be a reliable source of information.

      IMS Launch Excellence III study in the UK




Source: Wordham, J. and Jacobson, S. L. (2012) Transforming Commercial Models to Address New Health Care Realities
Ab actu ad posse valet illatio

From the past one can infer
the future
Future possibilities in
                   pharmaceutical promotion
• Continued, but selective, growth in promotion of Rx drugs directly to
  consumers
• Expansion of interest in new targets for promotion such as hospital and
  HMO CEOs
• Continued growth in use of “rational” appeals such as economics and QoL
  improvement
• Expansion of the use of electronic media to incorporate tailor-made or on-
  request drug information in the prescriber’s office or at other drug use
  sites
• Greater attention to promoting corporate image in conjunction with
  individual product promotion




                     1991) Pharmaceutical Marketing: Strategy and Cases, Pharmaceutical Products Press, Binghamton, NY.
Source: Smith, M. C. (
Divide et impera

Divide and conquer
1

2


3
    Source: Wordham, J. and Jacobson, S. L. (2012) Transforming Commercial Models to Address New Health Care Realities
1




    Source: Wordham, J. and Jacobson, S. L. (2012) Transforming Commercial Models to Address New Health Care Realities
Level of Social Media Activity Depends on Condition
     Rank                 Condition                   Health 2.0*              Rank                  Condition                Health 2.0*
        1       ADD/ADHD                                  59%                    21         Acid Reflux                              37%
        2       Acne                                      53%                    22         Chronic Pain                             36%
        3       Influenza/Flu                             50%                    23         Restless Leg Syndrome                    35%
        4       Eye Infections                            46%                    24         Arrhythmia                               33%
        5       Insomnia/Sleep Disorder                   46%                    25         Pneumonia                                33%
        6       Psoriasis                                 46%                    26         High Triglycerides                       32%
        7       Irritable Bowel Syndrome                  45%                    27         Overactive Bladder                       31%
        8       Fibromyalgia                              45%                    28         Cancer                                   30%
        9       Eczema                                    45%                    29         Enlarged Prostate                        29%
       10       Migraine                                  44%                    30         Osteoporosis                             29%
       11       Generalized Anxiety                       44%                    31         High Cholesterol                         26%
       12       Ear infections                            43%                    32         Any Arthritis                            26%
       13       Anxiety/Social Phobia                     43%                    33         Hypertension                             25%
       14       Chronic Bronchitis                        42%                    34         Diabetes                                 25%
       15       Acute Pain                                41%                    35         Heart Disease                            18%
       16       Allergies                                 40%
       17       Asthma                                    39%
       18       Depression                                39%
       19       Gout                                      37%
       20       Shingles                                  37%
*Health 2.0 percentages refer to the share of consumers either creating or consuming content on health blogs, message boards, chat
rooms, health social networks and health communities, patient testimonials; Only for conditions where n>60



Source: Manhattan Research, Cybercitizen Health® v2.0-9.0
All Age Groups Are Using Social Media
                                                      Participation has grown across all
                                                       age segments
                                                            18-24 segment is leading in participation
                                                               – ~90% participate in some way
                                                               – ~75% join social networks

                                                            55+ segment engagement is increasing
                                                             across all types of participation (e.g.,
                                                             creators, critics, spectators)

                                                      Marketing to 45+ now viable
                                                       through social media due to their
                                                       increasing participation
                                                            Only 28% of online adults 45-54 say they
                                                             don’t use social media
                                                            Only 38% of online adults 55+ say they
                                                             don’t use social media




Source: IMC2 Adaptation of 2008 Forrester Research
Of Those Online,
Caregivers Tend To Be More Active in Social Media




Source: Manhattan Research, Cybercitizen Health® v2.0-9.0
2




    Source: Wordham, J. and Jacobson, S. L. (2012) Transforming Commercial Models to Address New Health Care Realities
&
•   Pilot study a lifestyle behavior modification
    program to improve the health status of people
    with diabetes Type 2
•   Digital coaching and a wireless glucose meter
•   1st phase 200 adults in the U.S. diagnosed with
    Type 2 diabetes for at least six months will have
    access to Healthrageous’ digital diabetes self-
    management program
•   Program includes
        personalized action plan with health behavior
         improvement goals,
        biometric feedback to demonstrate goal
         achievement and milestones,
        digital coach interaction,
        recognition and incentives for progress,
        supply and strip refill ordering,
        medication reminders,
        social networking support
Local initiatives are also possible




 15 Family Physicians x 50 patients x BP monitors
3
    Source: Wordham, J. and Jacobson, S. L. (2012) Transforming Commercial Models to Address New Health Care Realities
Are we really closing the loop?




Source: Information versus insight: Are you really closing the loop?, Capgemini Consulting
M-health is here

                     64% own/use a smartphone for prof. purposes

                     35% own/use a tablet for prof. purposes

                     60% go online between patient consultations

                     23% participate in pharma online programmes

                     59% would be interested in doing so




   Source:
   http://www.pmlive.com/digital_intelligence_blog/archive/2012/aug_2012/turkish_doctors_smartph
   ones_ipad_iphone?utm_source=PMLiVE+Week-in-Review&utm_campaign=a7fbc1fc45-
   PMLiVE_Week_in_Review_03_08_2012&utm_medium=email
E-cardiology is the 1st virtual congress
   of Turkish Society of Cardiology




 – Supported by BI
 – Scientifically equipped by Turkish Society of Cardiology
E-cardiology utilized different
                 interactive modules

–   16 symposia
–   6 live operations
–   5 live debates
–   2 live conferences
–   4 product booths
–   3 satellite symposia
BI Booths
Turkish Society of
                             Internal Medicine




e-COPD Partnership (Jun-Jul 2012)
LiveConference   PresentationCenter   OnlineTV
Results

Total entry                        5,354
Total members entry                686
Total Spiriva corner entry         2,025
Total members Spiriva corner entry 223
Total members ans. to surveys      176
Online TV membership               201
# of COPD slides downloads         166
Crossword puzzle                   33
BI Turkey is strongly positioned in terms of digital,
             yet basics are still important
       Q32. Thinking of these activies please rate Boehringer Ingelheim, xxx, yyy, zzz and aaa on a scale that 1 represents ‘lowest’ and 10 represents
                                                                         ‘highest’.

      9
                                                                                                                                            8,44
                                                                               7,85
      8


      7

                  5,91
      6                                 5,71                                                                            5,65
                                                             5,22
      5                                                                                            4,77


      4


      3


      2
          E-detailing with I-PAD E-detailing with E-   Virtual congresses      Reps              Virtual TV           Web sites          Congresses
                                        mail




                                                                            xxx
                                                                            yyy
                                                                            zzz
                                                                            aaa
Source: Brand Awareness, Jun-Jul 2012                                                                                                                    41
Fortes fortuna adiuvat

Fortune favours the bold
Thank you for your attention


     Murat Tanoren
     Marketing Manager, Boehringer Ingelheim Turkey
     Sep 27th, 2012 - London
                             @bencewom
                             http://goo.gl/y5Bim

Source: http://www.collthings.co.uk/2009/09/15-coolest-apple-mac-wallpapers.html (Accessed 28.08.2012)

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The Pharma Marketer: Will there be an (r)evolution?

  • 1. The Pharma Marketer: Will there be an (r)evolution? Murat Tanoren Marketing Manager, Boehringer Ingelheim Turkey Sep 27th, 2012 - London @bencewom http://goo.gl/y5Bim Source: http://www.collthings.co.uk/2009/09/15-coolest-apple-mac-wallpapers.html (Accessed 28.08.2012)
  • 2. The statements or opinions expressed in this presentation are my own and do not necessarily represent those of my employer.
  • 3. Q: Will there be an evolution of “the pharma marketer”? NO YES It depends...
  • 6. Source: Progressions 2012, The third place: health care everywhere, Ernst & Young
  • 7.
  • 8. ACCESSIBLE HCP’S HCP’S NOT INTERESTED IN PROMOTION 20% 50% Source: AccessMonitor™, a report from global consulting firm ZS Associates, 5/2010
  • 9. Window of opportunity is narrow Only 7% of standard calls last longer than 2 minutes Source: Based on Canadian Study, Arcus/B.C. Medical Association, 2011
  • 10. In Turkey: 20 Calls/Physician in One Day! 13 Calls/Rep in One Day! Page  10 Duration of 1 Call: ~ 2 min
  • 11. The end of detailing? Official Gazette REGULATION ON PROMOTIONAL ACTIVITIES OF HUMAN MEDICINAL PRODUCTS By the Ministry of Health rising availability increasingly time-strapped growing regulations of alternative data physicians Source: Wordham, J. and Jacobson, S. L. (2012) Transforming Commercial Models to Address New Health Care Realities
  • 12. There is no longer any measurable relationship between launch success and either the delivery of medical product samples (a strong proxy for detailing volumes) or share of voice in the market. Only 27% of medical doctors consider leading pharmaceutical companies to be a reliable source of information. IMS Launch Excellence III study in the UK Source: Wordham, J. and Jacobson, S. L. (2012) Transforming Commercial Models to Address New Health Care Realities
  • 13. Ab actu ad posse valet illatio From the past one can infer the future
  • 14. Future possibilities in pharmaceutical promotion • Continued, but selective, growth in promotion of Rx drugs directly to consumers • Expansion of interest in new targets for promotion such as hospital and HMO CEOs • Continued growth in use of “rational” appeals such as economics and QoL improvement • Expansion of the use of electronic media to incorporate tailor-made or on- request drug information in the prescriber’s office or at other drug use sites • Greater attention to promoting corporate image in conjunction with individual product promotion 1991) Pharmaceutical Marketing: Strategy and Cases, Pharmaceutical Products Press, Binghamton, NY. Source: Smith, M. C. (
  • 15.
  • 16. Divide et impera Divide and conquer
  • 17. 1 2 3 Source: Wordham, J. and Jacobson, S. L. (2012) Transforming Commercial Models to Address New Health Care Realities
  • 18. 1 Source: Wordham, J. and Jacobson, S. L. (2012) Transforming Commercial Models to Address New Health Care Realities
  • 19. Level of Social Media Activity Depends on Condition Rank Condition Health 2.0* Rank Condition Health 2.0* 1 ADD/ADHD 59% 21 Acid Reflux 37% 2 Acne 53% 22 Chronic Pain 36% 3 Influenza/Flu 50% 23 Restless Leg Syndrome 35% 4 Eye Infections 46% 24 Arrhythmia 33% 5 Insomnia/Sleep Disorder 46% 25 Pneumonia 33% 6 Psoriasis 46% 26 High Triglycerides 32% 7 Irritable Bowel Syndrome 45% 27 Overactive Bladder 31% 8 Fibromyalgia 45% 28 Cancer 30% 9 Eczema 45% 29 Enlarged Prostate 29% 10 Migraine 44% 30 Osteoporosis 29% 11 Generalized Anxiety 44% 31 High Cholesterol 26% 12 Ear infections 43% 32 Any Arthritis 26% 13 Anxiety/Social Phobia 43% 33 Hypertension 25% 14 Chronic Bronchitis 42% 34 Diabetes 25% 15 Acute Pain 41% 35 Heart Disease 18% 16 Allergies 40% 17 Asthma 39% 18 Depression 39% 19 Gout 37% 20 Shingles 37% *Health 2.0 percentages refer to the share of consumers either creating or consuming content on health blogs, message boards, chat rooms, health social networks and health communities, patient testimonials; Only for conditions where n>60 Source: Manhattan Research, Cybercitizen Health® v2.0-9.0
  • 20. All Age Groups Are Using Social Media  Participation has grown across all age segments  18-24 segment is leading in participation – ~90% participate in some way – ~75% join social networks  55+ segment engagement is increasing across all types of participation (e.g., creators, critics, spectators)  Marketing to 45+ now viable through social media due to their increasing participation  Only 28% of online adults 45-54 say they don’t use social media  Only 38% of online adults 55+ say they don’t use social media Source: IMC2 Adaptation of 2008 Forrester Research
  • 21. Of Those Online, Caregivers Tend To Be More Active in Social Media Source: Manhattan Research, Cybercitizen Health® v2.0-9.0
  • 22.
  • 23.
  • 24. 2 Source: Wordham, J. and Jacobson, S. L. (2012) Transforming Commercial Models to Address New Health Care Realities
  • 25.
  • 26. & • Pilot study a lifestyle behavior modification program to improve the health status of people with diabetes Type 2 • Digital coaching and a wireless glucose meter • 1st phase 200 adults in the U.S. diagnosed with Type 2 diabetes for at least six months will have access to Healthrageous’ digital diabetes self- management program • Program includes  personalized action plan with health behavior improvement goals,  biometric feedback to demonstrate goal achievement and milestones,  digital coach interaction,  recognition and incentives for progress,  supply and strip refill ordering,  medication reminders,  social networking support
  • 27. Local initiatives are also possible 15 Family Physicians x 50 patients x BP monitors
  • 28. 3 Source: Wordham, J. and Jacobson, S. L. (2012) Transforming Commercial Models to Address New Health Care Realities
  • 29. Are we really closing the loop? Source: Information versus insight: Are you really closing the loop?, Capgemini Consulting
  • 30. M-health is here 64% own/use a smartphone for prof. purposes 35% own/use a tablet for prof. purposes 60% go online between patient consultations 23% participate in pharma online programmes 59% would be interested in doing so Source: http://www.pmlive.com/digital_intelligence_blog/archive/2012/aug_2012/turkish_doctors_smartph ones_ipad_iphone?utm_source=PMLiVE+Week-in-Review&utm_campaign=a7fbc1fc45- PMLiVE_Week_in_Review_03_08_2012&utm_medium=email
  • 31.
  • 32. E-cardiology is the 1st virtual congress of Turkish Society of Cardiology – Supported by BI – Scientifically equipped by Turkish Society of Cardiology
  • 33. E-cardiology utilized different interactive modules – 16 symposia – 6 live operations – 5 live debates – 2 live conferences – 4 product booths – 3 satellite symposia
  • 34.
  • 35.
  • 37. Turkish Society of Internal Medicine e-COPD Partnership (Jun-Jul 2012)
  • 38.
  • 39. LiveConference PresentationCenter OnlineTV
  • 40. Results Total entry 5,354 Total members entry 686 Total Spiriva corner entry 2,025 Total members Spiriva corner entry 223 Total members ans. to surveys 176 Online TV membership 201 # of COPD slides downloads 166 Crossword puzzle 33
  • 41. BI Turkey is strongly positioned in terms of digital, yet basics are still important Q32. Thinking of these activies please rate Boehringer Ingelheim, xxx, yyy, zzz and aaa on a scale that 1 represents ‘lowest’ and 10 represents ‘highest’. 9 8,44 7,85 8 7 5,91 6 5,71 5,65 5,22 5 4,77 4 3 2 E-detailing with I-PAD E-detailing with E- Virtual congresses Reps Virtual TV Web sites Congresses mail xxx yyy zzz aaa Source: Brand Awareness, Jun-Jul 2012 41
  • 42. Fortes fortuna adiuvat Fortune favours the bold
  • 43. Thank you for your attention Murat Tanoren Marketing Manager, Boehringer Ingelheim Turkey Sep 27th, 2012 - London @bencewom http://goo.gl/y5Bim Source: http://www.collthings.co.uk/2009/09/15-coolest-apple-mac-wallpapers.html (Accessed 28.08.2012)