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Pharmaceutical Supply Chain PRESENTED BY: MRADUL GUPTA 213 VIPIN RAWAL 214 AAMIR BOMBAYWALA 215 PRATIKSHA 216 SHASHIKANT 149 SOMAN PANDA 163

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Page 1: Final supply chain in pharma

Pharmaceutical Supply Chain

PRESENTED BY:

MRADUL GUPTA 213

VIPIN RAWAL 214

AAMIR BOMBAYWALA 215

PRATIKSHA 216

SHASHIKANT 149

SOMAN PANDA 163

Page 2: Final supply chain in pharma

Introduction

The pharmaceutical industry can be defined as a complex of processes, operations and organizations involved in the discovery, development and manufacture of drugs and medications.

Number of key players in the industry include:

The large, research and development-based multinationals

The large generic manufacturers, who produce out-of-patent ethical products

Local manufacturing companies

Contract manufacturers

Drug discovery and biotechnology companies

Page 3: Final supply chain in pharma

The Pharmaceutical Industry

The Pharmaceutical market will reach nearly $1100 billion by 2015

India Pharmaceutical industry ranks 4th in production volume and 13th in domestic consumption volume

To meet customer service improvement and cost reduction

Supply chain is highly crucial as it is time-sensitive

Page 4: Final supply chain in pharma

Drivers in the pharmaceutical industry

Most important driver in the pharmaceutical industry is the time-to-market.

Companies secure very significant returns in the early life of a successful drug, before any competition.

The competition-free life is shortening, typically from 5 to 1–2 years.

This industry is subject to very stringent regulation.

complex manufacturing processes

Huge investment in R&D

Page 5: Final supply chain in pharma

Pharma Supply Chain Considerations

End-user (patient) safety Anti-counterfeiting requirements Product integrity Quality assurance

Fraud prevention and detection Electronic signature requirements Records access and retention requirements

Product tracking Class 2 pharmaceuticals must carry unique identifiers at the item level “Chain of custody” tracking from manufacturer to distributors and point-of-use

What business requirements differentiate pharmaceutical SCM from other manufacturers?

Regulation!!

Page 6: Final supply chain in pharma

supply chain performance measures

The stock levels in the whole chain (“pipeline stocks”) typically amount to 30–90% of annual demand in quantity

There are usually 4–24 weeks’ worth of finished good stocks.

Stock turns (defined as annual sales/average stock) are typically between 1 and 8.

Supply chain cycle times (defined as elapsed time between material entering as raw material and leaving as product) are often between 1000 and 8000 h.

Material efficiencies (the amounts of product produced per unit amount of total materials used) are 1–10%.

Page 7: Final supply chain in pharma

Key issues in the pharmaceutical supply chain

Uncertainty in the demands for existing drugs (due to competition, uncertainty in the ability to extend the protected life through new formulations, etc.)

Uncertainty in the pipeline of new drugs—in particular, which ones will be successful in trials, what sort of dosage and treatment regime will be optimal.

Capacity planning—long lead times to make capacity effective means that decisions often need to be taken at times of high uncertainty. Waiting for the uncertainties to be resolved might delay the time to market by an unacceptable amount.

Page 8: Final supply chain in pharma

Key issues in the pharmaceutical supply chain

Network design—often tax implications take precedence over logistics issues, these result in economic but potentially complicated supply chains

Plant design—this tends to be very traditional, with no real change in manufacturing technology for 50 years. There are significant opportunities for intensified, continuous processing.

Page 9: Final supply chain in pharma

Components of the pharmaceutical industry

primary manufacturing

secondary manufacturing

market warehouses/distribution centres

wholesalers; and

retailers/hospitals.

Page 10: Final supply chain in pharma

Manufacturing strategies adopted

Standardization of manufacturing processes Metrics Product process “toolkits”

Managing network assets Grouping plants with standard equipment and processes geared to specific

product types (e.g., dry products, freeze-dried, parenteral) Redundant facilities (security, shifting of work between plants)

Improved demand forecasting Global demand management center Centralized ownership of all forecasting tools and databases

Judicious use of contract manufacturing (e.g., packaging) Joint planning between product launch team and SCM team at least 1 year

before NDA submission to FDA Cross-functional development, marketing, clinical, SCM and regulatory teams

for each product

Page 11: Final supply chain in pharma

The Current Supply Chain: US

Five large drug wholesalers (“Big 5”) dominate the business Many smaller wholesalers – partial product lines, regional

players More than 6,500 licensed wholesalers in the U.S. Stock small target list of medications provided to a limited

customer set

Secondary wholesalers Sell to other wholesalers Specialize in discounted products

Page 12: Final supply chain in pharma

Significant aspects of logistics in pharma industry

Logistics in pharma industry is very critical for providing the right medicine to the right patient at the right time, place and dosage and most importantly at the right price.

Since business is highly competitive today, success largely depends upon the efficiency of supply chain.

Supply chain is very critical as it maintains the complex network relationship between the organisations 

 inventory control plays a significant role in pharma value chain as lots of inventory exists in the supply chain.

Page 13: Final supply chain in pharma

Advantages

Excellent supply chain management can yield

- 25-50% reduction in total supply chain costs

- 25-60% reduction in inventory holding

- 25-80% increase in forecast accuracy

- 30-50% improvement in order fulfilment cycle time

-20% increase in after tax free cash flows

Page 14: Final supply chain in pharma

Issues & Challenges

Managing perishable products

Degradation of medicines as they move along the supply chain which results in allowing substandard products to be dispensed

Maintaining temperature control

More focus is give on R&D

No control once pharmaceuticals are docked to wholesalers

Shipping of expiry products

Page 15: Final supply chain in pharma

Issues & Challenges

Crisis Management

In case of epidemic break out, global demand for certain medicines overshoots the demand suddenly

Product withdrawal during sales due to side effects and expiry

Page 16: Final supply chain in pharma

Issues & Challenges

Little Incentive for Reducing Inventory

- Ethical requirement of providing medicines

- Out of stock situations are unacceptable

- Patent Lifespan is low

- Exceptionally long cycle times,huge inventory

Counterfeit Drugs & Security

- High price of drugs worldwide

- Easy to fake prescription drug labeling

Page 17: Final supply chain in pharma

Issues & Challenges

Out-dated Manufacturing Sites

- Reluctant Govt bodies to approve any changes fearing product quality

Parallel Trade

- Cross trading across borders

- Black market transactions-developing nations

- No track of drugs coming in and going out

Page 18: Final supply chain in pharma

Issues & Challenges

Controlling wide supply chain with huge stock keeping units becomes very difficult

Training and Education cost to the stakeholders is high

Integration of domestic and international business Eg: Nicholas Piramal India Ltd

Bringing a consensus manufacturing, sales marketing and distribution department to agree on a forecast

Page 19: Final supply chain in pharma

Conclusion

Logistics has emerged as an important element in the pharmaceutical industry as it becomes greater part of total costs

Value chain perspective of managing process innovation through capacity and production planning is equally important

Emerging technologies like RFID can mitigate many of these issues

Page 20: Final supply chain in pharma

20Source - End-User Safety Considerations

Foremost of all the considerations in the pharma supply chain

Are the materials provided by our suppliers safe?

Are the products manufactured by our company safe?

Are all the products being manufactured reaching the distributors?

Are any of our products being adulterated or counterfeited?

The supply chain begins with the material supplied for product manufacture

Key ingredients need to be covered by Supply Agreements

Price, Source, Quantity, Quality, Delivery

Quality Agreements

Defined Specification Control, Change Control, Complain Resolution

Pre-purchase Usability Tests

Toxicity Requirements

Know where starter materials are manufactured

Know who tests it and how

Define theMaterial

Define theMaterial

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Source Make Deliver Buy

Foremost of all the considerations in the pharma supply chain

Are the materials provided by our suppliers safe? Are the products manufactured by our company safe? Are all the products being manufactured reaching the

distributors? Are any of our products being adulterated or counterfeited?

The supply chain begins with the material supplied for product manufacture

Key ingredients need to be covered by Supply Agreements Price, Source, Quantity, Quality, Delivery

Quality Agreements Defined Specification Control, Change Control, Complain

Resolution Pre-purchase Usability Tests Toxicity Requirements Know where starter materials are manufactured Know who tests it and how

Page 21: Final supply chain in pharma

21Source - Supplier Materials

Biologic suppliers Chemicals Farm products (plants, eggs, animals, animal by-products) Laboratory animals Growth media, cell cultures Pathogens Proteins Test organisms

Non-biologic suppliers Equipment Computers, software Databases (e.g., target molecules, DNA sequences) Clinical trial supplies Clinical trial subject population information

What materials/resources do pharmaceutical suppliers provide?

Source Make Deliver Buy

Page 22: Final supply chain in pharma

22Source - Supplier Strategies

Single source materials Reduced supplier management issues Facilitates relationship-building Risk of supply issues in the event of

Supplier raw materials disruption Supplier production issues Supplier delivery issues

Higher supplier power (Porter)

Multi-source materials Improved pricing and competition Minimizes risk of supplier issues Higher vendor management costs

Source Make Deliver Buy

Page 23: Final supply chain in pharma

23Make – Clinical Trial SCM

Requirement to manage the supplies involved in supporting

clinical trials Trial medications/”drug kits”

Multiple locations

Multiple investigators

Data collection/reporting devices (e.g., PDA’s, cell phones, remote sensors)

Need to coordinate delivery of supplies to sites that are actively recruiting and enrolling patients

Flexibility

Speed of delivery

Consideration of special packaging and handling requirements (e.g., cold shipping)

Clinical supply teams typically use the performance of older trials to understand how much material is required in a new study and to determine their supply chain requirements

Variability in the number of patients enrolled, number of investigators, geographic distribution of trials will create larger variability in inventory and distribution of drug kits

Source Make Deliver Buy

Page 24: Final supply chain in pharma

24Make – Clinical Trial SCMImportant Considerations

Drug kit pack types How many different types of drug kits are needed?

Supply logistics Local depots vs. centralized supply Need for import licenses for specific countries can delay shipments from

central depots to local depots

Subject enrollment Some study centers may need to recruit patients very quickly and begin

trials within a day or a week while others may require months

Medication management Randomization of medication administration may trigger resupply at

variable intervals, requiring safety stock

Monte-Carlo simulation being used to optimize supply chain for large (1,000 patient) studies

Source Make Deliver Buy

Page 25: Final supply chain in pharma

25Make - Manufacturing (Commercialization) SCM Strategies

Standardization of manufacturing processes Terminology Metrics Product process “toolkits”

Managing network assets Grouping plants with standard equipment and processes geared to specific product types

(e.g., dry products, freeze-dried, parenteral) Redundant facilities (security, shifting of work between plants)

Improved demand forecasting Global demand management center Centralized ownership of all forecasting tools and databases Use of ERP web-enabled global planning capabilities

Judicious use of contract manufacturing (e.g., packaging) Joint planning between product launch team and SCM team at least 1 year before NDA

submission to FDA Cross-functional development, marketing, clinical, SCM and regulatory teams for each

product

Source Make Deliver Buy

Page 26: Final supply chain in pharma

26Distribute – The Current Supply Chain

Five large drug wholesalers (“Big 5”) dominate the business McKesson Bergen-Brunswig Cardinal AmeriSource Bindley-Western 90% of the market

Many smaller wholesalers – partial product lines, regional players More than 6,500 licensed wholesalers in the U.S. Stock small target list of medications provided to a limited customer set

Secondary wholesalers Sell to other wholesalers Specialize in discounted products

Source Make Deliver Buy

Page 27: Final supply chain in pharma

27Distribute – The Current Supply Chain Models Three principal models of distributing drugs today

Source Make Deliver Buy

Model 1

Model 2

Model 3

Manufacturer

Manufacturer

Manufacturer

Retailer

Retailer

Retailer

Repackager

Wholesaler

Wholesaler Wholesaler

Repackager

Other Sources of Drugs (foreign, private mfrs)

“Secondary Market” – Major source of counterfeit drugs

Page 28: Final supply chain in pharma

28Distribute – The Drug Counterfeiting Problem

A complex, organized crime activity with multiple distributed players – secondary wholesalers a principal mechanism

The World Health Organization estimates that 5-10% of all pharmaceuticals are counterfeit 35% in Third-World countries

U.S. Customs and Canadian Border Patrol inspected 1,153 shipments of drugs into the U.S. 88% contained unapproved, counterfeit or harmful goods

China is considered by U.S. Customs to be the worst offender in exporting counterfeits

More than 200,000 bottles of counterfeit Lipitor have been found in the U.S. in the past 3 years

The total economic impact is estimated at $1 billion - $12 billion Low risk of being caught or punished

Source Make Deliver Buy

Source: FDA Consumer Magazine, March-April 2005

Page 29: Final supply chain in pharma

29Distribute – Types of Counterfeit Drugs

Identical copies Least common

Made with same ingredients, formulas and packaging but not by the same manufacturer

Look-alikes: High-quality packaging and labeling; very convincing appearance

Little or no active ingredients

Rejects: Drugs rejected for quality reasons by the manufacturer

Re-labels: Authentic drugs that have passed their expiration dates

Distributed by foreign sources

Source Make Deliver Buy

Page 30: Final supply chain in pharma

30Distribute – Supply Chain Security

FDA Counterfeit Drug Task Force created July, 2003 "FDA will not rest until we have strong protections in each link of the drug supply

chain ... ." Mark McClellan, Former FDA Commissioner

Increased number of counterfeit drug investigations Average of 5/year through late 1990’s Now averaging 20/year Most recent cases involved fake Lipitor and Procrit

Recent support for new technologies to ensure drug “pedigrees” RFID tagging of all prescription and OTC drug items by 2007 Authentication technologies (color-shifting inks, invisible bar codes

Tougher criminal penalties 10 years in prison for counterfeiting the drug label 3 years in prison for counterfeiting the drug

Increased demands on pharma companies for scrutiny of business partners

Source Make Deliver Buy

Source: FDA Report, “Combating Counterfeit Drugs”, February 18, 2004

Page 31: Final supply chain in pharma

31Distribute – Pharmaceutical Pedigree

Pedigrees track product flow from regulated entity to regulated entity

Major concerns are how (electronic or otherwise) and cost

Source Make Deliver Buy

Source: FDA Report, “Combating Counterfeit Drugs”, February 18, 2004

PharmaceuticalManufacturer

Distributors Providers

1,500 (Top 30 = 80%) 100 (Top 3 = 85%) 100,000+

80%

20%

2-3%

Simplified US Pharmaceutical Supply Chain

Page 32: Final supply chain in pharma

32Distribute – Pharmaceutical Pedigree

Some states are not waiting for a national solution

Florida has enacted a Pharmaceutical “Pedigree Papers” law that goes into full effect in 2006

A paper pedigree must be maintained through the entire supply chain back to the manufacturer

Eleven states are using the Florida statute as the template for proposed legislation

Required information includes: product identity, lot number, quantity and distribution or pharmacy licensure for each change of possession

Estimates on the distribution side alone indicate that pick efficiency will be reduced by 85%

Source Make Deliver Buy

Source: FDA Report, “Combating Counterfeit Drugs”, February 18, 2004

A paper solution will be very costly to the industry

Page 33: Final supply chain in pharma

33Distribute – Product Diversion

The diversion of licit drugs for illicit purposes 99% price differential between price charged by manufacturer to wholesaler

and price charged to the retailers

Prescription drugs account for 30% of the U.S drug abuse problem – 6.2 million people over 12 years of age (2002)

Common methods of diversion Theft of drugs from the manufacturing plant Theft of drugs in transit from plants to distributors Theft of drugs from distributors warehouses Call-ins of fake prescriptions to pharmacies Forged prescriptions, “doctor shopping” Health care professionals (doctors, nurses, hospitals, pharmacists)

Most commonly diverted products Vicodin, Lortab, Lorcet, Norco, Tylenol #3, Diazepam, Xanax, Stadol (NS),

Valium, Phenergan with codein, Tussionex, OxyContin, Ultram, Ultracet, Soma

Source Make Deliver Buy

Source: Task Force on Drug Diversion Through Institutional Outlets, Council of State Governments

Page 34: Final supply chain in pharma

34Distribute – Product Diversion Source Make Deliver Buy

Source: National Drug Intelligence Center

Number of emergency-room treatments for opiates other than heroin

Page 35: Final supply chain in pharma

35Distribute – Product Diversion Source Make Deliver Buy

Source: National Drug Intelligence Center

Thefts of pharmaceuticals from pharmacies, manufacturers, distributors, manufacturers and importers/exporters in dosage units; 2000 - 2003

Drug 2000 2001 2002 2003

Codeine 569,425 1,223,205 596,972 622,132

Dilaudid 37,531 22,647 23,072 41,668

Lorcet 100,548 540,997 126,451 360,115

Lortab 686,197 451,091 340,325 738,584

OxyContin 260,688 519,597 587,168 464,312

Percocet 421,063 127,525 193,085 278,581

Percodan 14,646 12,704 9,151 34,102

Ritalin 117,408 123,720 74,541 67,751

Valium 171,883 176,280 145,070 146,683

Total 2,379,389 3,197,766 2,095,835 2,753,928

Page 36: Final supply chain in pharma

36Distribute – Institutional Diversion

Manufacturers are not required to, and often do not, verify that a pharmacy is actually servicing the population they claim to be servicing in order to receive a discount

“Closed door” pharmacies (since they do not service walk-in patients), resell discounted pharmaceuticals at a significant profit to secondary source wholesalers who resell them at a significant profit to other secondary source wholesalers, or even to primary wholesalers, who purchase them for less than they can purchase the products from the manufacturers

Experts have estimated that between 50% and 80% of “closed door pharmacies” are participating in these diversion schemes

Inconsistent state laws prohibiting this practice, and Federal regulations have a loophole that defines “medical entity” in ways that allow this

Federal requirement that a “drug pedigree” be established and RFID may address much of this form of diversion along with strengthened Federal and state laws limiting resale of products by closed-door pharmacies

Source Make Deliver Buy

Source: Task Force on Drug Diversion Through Institutional Outlets

Page 37: Final supply chain in pharma

37Distribute – Addressing Diversion

DEA’s Automated Reports and Consolidated Order System (ARCOS) Requires manufacturers to track specific drugs from plant to distributor and to

ultimate end-user DEA analyzes data and provides it to state agencies at no cost Looks for doctors and pharmacists who receive unusually large quantities of certain

drugs

Controlled Substances Act Requires any medical professional, manufacturer or distributor who works with any of

the substances listed by the DEA to register with them Five schedules (I – V) of substances DEA authorized to prevent diversion of drugs identified under schedules II through V

National All-Schedules Prescription Electronic Reporting (NASPER) Proposed national database of all patients consistent with HIPPA Practioners can access for all patients National monitoring of all Schedule II-IV drugs

Source Make Deliver Buy

Page 38: Final supply chain in pharma

38Distribute – DEA Drug Schedules Source Make Deliver Buy

Page 39: Final supply chain in pharma

39Distribute – Continuous Replenishment

What is it? Automated replenishment of pharmaceuticals driven by utilization

Just-in-time inventory

An end-to-end automated process for pharmaceutical procurement

What’s so different about distribution to pharmacies? Pharmaceutical products are dynamic (contract pricing, brand/generic,

package size)

Product is used in a different unit of measure than acquired (unlike POS)

Many products are interchangeable

Product availability changes constantly

Source Make Deliver Buy

Source: Cardinal Health

Page 40: Final supply chain in pharma

40Distribute – Continuous Replenishment

Distributors are integral to this SCM concept: They perform order fulfillment

Five core components Site-level perpetual inventory system

Automated inventory replenishment engine

Store level inventory management and reporting

Central office inventory management and reporting

Dispensing transaction Interface (non-HIPAA)

Source Make Deliver Buy

Source: Cardinal Health

Rx Data

Summary

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Sales

History

Store

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Page 41: Final supply chain in pharma

41Buy – The Retailers

Pharmacy Group Purchasing Organizations (GPOs) Alliances of pharmacies, hospitals and other healthcare systems Leverage buying power to obtain manufacturer discounts

Often turn to secondary distribution channels when manufacturers or major distributors cannot supply critical drugs when needed Drugs often stockpiled by secondary distributors for economic reasons Drug markups can be 500 – 1,000% during shortages (e.g., a vial of flu vaccine

purchased by a wholesaler for $23.65 was resold to an end-user for $147 in 2003)

Temperature-sensitive products, when diverted, are often not kept at the appropriate temperatures

Retailers attribute 48 percent of pharmaceutical inventory loss to employee theft Emerging requirements for secondary distributors to provide a drug pedigree that

can be tracked back to the original source (manufacturer) Clear “chain of custody” Cost of maintaining custodial information will fall on manufacturers

Source Make Deliver Buy

Page 42: Final supply chain in pharma

What the Pharmaceutical Industry Can Teach Us about Supply Chain Security Best Practices

Over the last few decades, increasing globalization and supply chain complexity have posed risks to pharmaceutical safety, ultimately impacting businesses and, most importantly, patients

Today, materials are procured from multiple countries, manufactured somewhere else, potentially packaged in yet another country and distributed and sold globally

To successfully protect against these risks, proactive supply chain security must deliver actionable intelligence to mitigate those risks

Once implemented, this decision-based approach, utilizing information delivered in real time, allows for efficient business practices that not only protect a brand but also the many partners and people connected to that brand.

The lessons learned in both identifying risks and improving pharmaceutical supply chain security can be applied as best practices for a variety of industries.

Page 43: Final supply chain in pharma

Key Trends Driving the Need for Supply Chain Security

 83% of healthcare companies surveyed rank tapping into new global markets as a top strategy for the next three to five years. Today, up to 40% of the drugs Americans take are manufactured outside the U.S., as well as up to 80% of the active pharmaceutical ingredients in those drugs.

This rapid expansion of the global market opens companies up to an exponential increase in the number of vulnerability points, coupled with decreased visibility to them, due to insufficient supply chain information

At any stage in this long, multi-faceted journey from raw source materials to finished products to consumers,

products can be contaminated from four primary risks: Intentional adulteration, due to contamination in the manufacturing, storage, or distribution process, or

from ingredient substitution for economic gain, is more prevalent with global supply chains. Cargo theft is up due to the sluggish economy and security measures that rely too heavily on expecting

people to consistently follow prescribed procedures. In the U.S. alone, cargo theft produces an annual loss of $35 billion and in 2011; the average loss per incident in pharmaceuticals due to cargo theft was $585,000.

Counterfeiting, which is fraudulently mislabeling a product in identity or source, is another significant risk to supply chain security, as well as diversion of products from the intended authorized market to another.

Page 44: Final supply chain in pharma

Risks Have Serious Consequences

In pharmaceuticals, the most serious consequences of these four primary risks are those that impact patient safety.

Adverse patient reactions can range from minor to as severe as death. Other consequences include drug recalls, and – because drugs are tracked by lot and not units – stolen drugs can compromise volumes that are multiples of the actual drugs stolen.

In general, businesses can also incur daunting costs, such as revenue loss, recall costs, legal costs for damage to health or life and regulatory fines.

Ultimately, complications in any supply chain impact a brand’s reputation and require time and investment to rebuild trust among customers, partners and patients.

So while the opportunity to tap into the global market can generate greater revenue and efficiency, it’s important to be mindful of these risks so that appropriate security measures can be implemented to protect a business’ supply chain.

Page 45: Final supply chain in pharma

Move from a Reactive to a Proactive Security Program

An organization can protect against these risks by implementing an end-to-end proactive pharmaceutical supply chain security program that takes advantage of key advances in technology including cloud-based services, location sensors and real-time intelligent monitoring.

For example, cloud-based services enable remote video audits to ensure compliance with operational and regulatory standards.

Advanced truck security and control solutions with location sensors combined with an onboard system can detect trucks that are off route and remotely shut down a truck to prevent cargo theft.

There are also Physical Security Information Management solutions that automatically link disparate monitoring devices like video, access control and equipment sensors to minimize the risk of manual oversight and allows for real-time alerting.

This type of technology correlates relevant information and incidents from multiple systems and can apply corporate policy to enforce consistent actions across the enterprise.

Page 46: Final supply chain in pharma

Value Proposition of Proactive Supply Chain Security

In addition to protecting people and assets, a proactive supply chain security program provides the following benefits:

Product traceability Early detection of derailed shipments Compliance with corporate and regulatory group standards Beyond these tactical rewards, proactive supply chain security

programs can help a business retain its customers and partners and better protect its reputation. And in the case of pharmaceuticals, it can save lives.

Page 47: Final supply chain in pharma

What’s Next?

Industry supply chains beyond pharmaceuticals will continue to face challenges with cargo theft, government regulations and import/export security as market demands evolve.

To stay ahead of these threats, businesses must stay in tune with emerging technology, consumer and market trends, collaborating with partners and peers and engaging in industry-wide associations to share best practices, lessons learned and new ideas about the future of supply chain security.

Above all, organizations must utilize this developing technology to arm their businesses against increasingly sophisticated criminals.

Page 48: Final supply chain in pharma

Case Study : Eli Lilly and Co.

INTODUCTION:

Eli Lilly and Company (Lilly) founded on May 10, 1876 is best known for its widely popular antidepressants Prozac and Serafem

Invest heavily in research and development to bring innovative drugs to the market for areas with unmet market needs, such as cancer, diabetes, pain, cardiovascular disorders, psychological problems

Lilly's product portfolio consists mainly of patented drugs, commonly known as Branded drugs

Manufacturing Infrastructure:

Page 49: Final supply chain in pharma

Eli Lilly SCM Function

The supply chain function falls under the purview of the manufacturing division.

Key Manufacturing Strategy and Supply Chain Organizational areas are as follows:

Strategy

Strategic Facilities Planning and Sourcing (SFP)

Supply Chain Management (SCM)

Demand Management Center (DMC)

Global Logistics

Global Procurement

Operational Standards for Supply Chain Excellence auditing (OSSCE)

Page 50: Final supply chain in pharma

Operational Objectives and Supply Chain Network The main objective of the supply chain management

Balance customer service level, cost, flexibility, and risk management to fit the marketplace needs of each product by 'pulling the right levers.‘

A distinguishing characteristic of the pharmaceutical supply chains is that its efficiency and performance are constrained by the design decisions taken a few years before the actual launch of the drug.

Page 51: Final supply chain in pharma

Supply Chain Design

The key objective of the supply chain design phase is to manage the inherent risks by designing robust supply chains.

The biggest challenge at this stage arises due to the uncertainty resulting from a long horizon of around 4 years.

Deciding about the capacity requirements, additions, and sourcing poses a significant challenge when the probability of success of a drug is only 20% -40%.

Lilly uses an effective approach to address this problem in an objective manner by following a 3 step process:

Step 1 - Capacity Strategy and Sourcing - Global Capacity with Contingency

Step 2 - Sourcing Optimization using quantitative analysis techniques

Step 3 - Final decision: Can revenue be increased by using TPO?

Page 52: Final supply chain in pharma

Supply Chain Design

Step 1: Capacity Strategy and Sourcing - Global Capacity with Contingency

The key idea is to find a portfolio of potential drugs that can be pooled together to develop capacity targets.

Page 53: Final supply chain in pharma

Supply Chain Design

Step 2: Sourcing optimization using quantitative analysis techniques:

Goal: Maximize the value of manufacturing by selecting the best product mix for Lilly Networks

Page 54: Final supply chain in pharma

Supply Chain Design

Step 3: Final decision: Can revenue be increased by using TPO?

Excellent pharmaceutical supply chain design implies optimized capital investment and maximized revenue over the life of the product.

Keeping this in mind, the viability of using a Third Party Operator (TPO) is also considered before finalizing the capacity plan.

The steps involved in this process are:

manage capacity in standard technology networks

source new products from robust and flexible sites

utilize reliable TPOs for late lifecycle products

Page 55: Final supply chain in pharma

Supply Chain Operation

The key objectives of this phase are to maintain 100% customer service level and profit maximization.

The main processes involved in this phase are shown:

Page 56: Final supply chain in pharma

Demand Management

Demand Management: Supply chain operations are anchored by sales and marketing commitment to forecast accuracy.

Mission: To ensure a complete and accurate statement of demand exists for all manufacturing plants.

Page 57: Final supply chain in pharma

Inventory Management

Inventory Management:

Pharmaceutical financial realities demand a revenue based approached to API and finished stock inventories.

Inventory targets developed from a supply chain perspective establish the foundation for an operations plan that ensures 99% CSL in any given circumstances

Page 58: Final supply chain in pharma

Supply Chain Planning

Supply Chain Planning: Lilly runs several detailed multi layered centralized planning processes to plan supply in order to match the forecasted demand.

Planning Processes: In the first quarter of each year a Long-range business plan covering the next five years is generated.

Plan is based on the demand picture for new and existing products, the supply picture, the capacity utilization targets for new and existing facilities, and financial plans including expense budget and variance plans.

A formal long-range capacity analysis is also run at this time, which is used as the basis for a 5 year capital investment plan.

A formal inventory plan is also established at this time based on the Global S&OP (GS&OP) analysis.

The various planning processes run in parallel

Page 59: Final supply chain in pharma

Supply Chain Planning

Input data to this planning process include

sales data in dollars and units,

manufacturing finance figures (expenses, depreciation),

COGS and variance,

capital investment, production quantities

Inventory in dollar and unit

In addition to the long rage plan, a central plan is also generated for each quarter during GS&OP.

The horizon for this plan is typically from 6 months to 30 months, leaving each site to do the detailed scheduling inside of 6 months.

Inventory plans are developed one product at a time and the site operational plans are built for many products

Page 60: Final supply chain in pharma

Supply Chain Planning