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    http://mmj.sagepub.com/Diagnostic and Pharmaceutical Marketing

    Journal of Medical Marketing: Device,

    http://mmj.sagepub.com/content/12/3/150The online version of this article can be found at:

    DOI: 10.1177/1745790412445292

    19 April 20122012 12: 150 originally published onrnal of Medical Marketing: Device, Diagnostic and Pharmaceutical Marketing

    Vandana Prajapati and Harish DurejaProduct lifecycle management in pharmaceuticals

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    Original article

    Product lifecycle managementin pharmaceuticals

    Vandana Prajapati and Harish Dureja

    Abstract

    A product lifecycle is the succession of stages from the products birth until its final withdrawal from themarket. While each stage brings significant changes, a succession of strategies for the management ofproduct lifecycle is required. The product lifecycle management creates and manages a companys pro-duct-related intellectual capital starting from an idea to its final retreat. In pharmaceutical industry, it bene-fits through enhancing the lifespan of patent and pricing strategies. Improved patient compliance, revenuegrowth, expanded clinical benefits, cost advantages life extension exclusivity and quicker market launch are

    amongst the main applications of product lifecycle management. To fabricate an effective and fruitful productlifecycle management program many attributes are considered. The chief ones are: early start; strategicplanning clear leadership; supporting knowledge and skills, preparedness for changing rules of governmentand organizations.The present manuscript focuses on product lifecycle management, its applications and thekey considerations for a successful product lifecycle management.

    Keywords

    Pharmaceuticals, product lifecycle, return of investment, product lifecycle management, strategy

    Introduction

    During the last years, the period of true marketing

    exclusivity for pharmaceuticals has shrunk dramatic-

    ally. Todays pharmaceutical industry is facing tremen-

    dous pressure when a blockbuster drug patent expires

    owing to short drug lifecycles, strong competition,

    heightened health authority scrutiny, rising develop-

    ment costs coupled with lower drug prices and the

    need for the latest technologies.1,2

    As a concept, product lifecycle management (PLM)

    has existed for many years originating in electronics

    and automotive sectors. It allows a company to actively

    manage the way in which a product is being sourced,

    manufactured and planned throughout its lifecycle.

    PLM is a strategic approach for creating and managing

    a companys product-related intellectual capital start-

    ing from its initial conception to retirement. PLM

    improves a companys product development processes

    and its ability to use product-related information to

    make better business decisions and deliver greater

    value to customers.3,4

    Many manufacturers pursue lifecycle management

    tactics in reactive manner. Franchise can be sustained

    if brand equity (and prescriptions) can be transferred

    to a follow-on or derivative product, even a reformu-

    lation or new delivery system. This is generally done

    through secondary patents or second generationpatent. These patents seek to protect a drug after the

    original patent on that drug expires. Thus, patent life-

    cycle management is a part of PLM. Switching a pre-

    scription drug to an over-the counter drug is also

    another tactic to have an edge over generics. But

    these tactics, despite great efforts, at some point give

    way to generics although they enhance the return of

    investment.5,6

    The PLM program should be based on the devel-

    opment and implementation of intellectual property

    (IP). Rapid changes in markets, technologies, regula-

    tions and laws and new competitor products and offer-

    ings make lifecycle management programs highly

    dynamic. Thus, PLM strategies should be constantly

    reassessed for new opportunities. The PLM program

    has become an increasingly more challenging due to

    recent developments in the U.S. courts and potential

    Department of Pharmaceutical Sciences, MD University, Rohtak,India

    Corresponding author:

    Harish Dureja Department of Pharmaceutical Sciences, MDUniversity, Rohtak 124001, India

    Email: [email protected]

    Journal of Medical Marketing

    12(3) 150158! The Author(s) 2012Reprints and permissions:sagepub.co.uk/journalsPermissions.navDOI: 10.1177/1745790412445292mmj.sagepub.com

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    legislative changes Hence, companies should not only

    constantly reassess their strategies but overall

    approaches towards PLM.7

    Pharmaceutical companies are now determined to

    extend the life of their drug beyond patent expiration,

    devising strategies to manage the lifecycle of their most

    important medicines that begin in the clinical phases.PLM has become a necessity to the continued success

    of pharmaceutical companies. Companies that have

    instituted a comprehensive lifecycle management

    strategy and a detailed plan to guide their progress

    toward their goal are reaping financial and clinical

    rewards. Successful PLM involves the continued

    development of scientific, technical, regulatory and

    marketing strategies that enhance the value and

    extend the life of medicines.8

    It is of critical importance that IP protection per-

    mits the innovators of successful products to recoup

    their investment. With rising development costs, the

    pressure to utilize IP protection to the fullest extent

    permitted has become even greater. Thus, the most

    successful innovator companies have developed

    sophisticated IP strategies. For the purpose of pharma-

    ceuticals, PLM does not mean a way to protect their

    innovation through different patents or obtaining

    patent term extensions to take the benefit of all avail-

    able protection. It also means to co-ordinate world-

    wide IP litigation strategies to achieve the desired

    result at a global level. Successful PLM enforcement

    strategy involves three distinct but interrelated laws:

    patent law, regulatory law and competition law. An

    integrated approach of all three aspects is necessary.An understanding of the regulatory process by which

    drug products obtain their marketing authorizations

    and prices is fundamental; however, patent litigation

    is the key ingredient. To make a rather crude analogy,

    if PLM strategy is considered a road vehicle, regula-

    tory information is the steering, patent litigation the

    engine and competition law both the seat belt and the

    brakes. PLM requires firm grip over these three laws

    and technical expertise necessary to make the most

    informed decisions in litigation. This is more import-

    ant for secondary patents, for example, patents pro-

    tecting a route of chemical synthesis or a particulartablet composition. If the patent protects the new

    chemical entity, a technical analysis for the purpose

    of elucidating infringement need only to determine

    whether the active substance is present or not. For a

    secondary patent, the analysis could be required to

    assess whether a competing synthetic process or

    tablet composition is the same or equivalent to that

    protected by the patent.

    The interplay, between the laws and the technical

    foundations, is of critical importance to strategy. For

    example, an understanding of the regulatory drug

    approval process for generic medicines enables accurate

    assessment of the progress of generic competition. This

    includes an understanding of the intensity of any given

    generic threat. Understanding the regulatory approvals

    process not only enables accurate assessment of threats

    but also the identification of the most suitable trigger

    point for entering into pre-action correspondence orcommencing litigation proceedings. Trigger points for

    litigation can be evaluated by comparing the timeline of

    the drug approvals process, from filing the application

    to launching on the market, with the timeline for

    obtaining injunctive relief in the country concerned.

    It has to be always borne in mind the need to prove

    the infringing activity, or threat of infringing activity

    to the level required by local law.9

    PLM was evolved in the 1990s and has played an

    important role for manufacturing companies. During

    the last two decades, changes have taken place due to

    modified regulations, technological advancements and

    globalization.10

    In the last decade, PLM was viewed by

    industry as a tool to extend lifecycle of products while

    regulators found it a kind of antitrust activity to create

    monopoly. However, the previous decade has wit-

    nessed the transformation in their views. In the present

    scenario, the industry considers PLM as a core process

    to integrate its other business activities, whereas the

    regulators support the industry to adopt PLM in a

    proactive way to improve the innovation and quality

    of product.11

    In the present manuscript, an attempt has been

    made to study PLM, its applications and key consid-

    erations for a successful PLM.

    Lifecycle of a pharmaceutical product

    All products and services have a certain lifecycle. The

    lifecycle is the period from the products first launch

    into the market until its final withdrawal. In general,

    product lifecycle is split up in five different phases;

    however, the lifecycle of a pharmaceutical product is

    longer and more complex due to loads of data, grow-

    ing product complexity, regulatory oversight and val-

    idation, time to market pressures, increasing quality

    requirements and increased branded and generic com-petition.4 Therefore, the pharmaceutical product life-

    cycle can be divided into six phases (product approval

    phase is the additional one in comparison to other

    products lifecycle):

    . Product development

    . Product approval

    . Product introduction

    . Product growth

    . Product maturity

    . Product decline

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    Significant changes occur during each phase reflect-

    ing the products behavior into the market, i.e. the sales

    which introduce the product into the market.4,1214

    A Product lifecycle of a fictitious product in terms

    of sales cost and profit is given in Figure 1.13

    Product development phase

    As and when a company finds and develops a new

    product idea, the product development phase

    begins.12,14

    Those products that survive the rigorous

    preclinical and clinical trials are then subjected to

    approval from regulatory authority before their place-

    ment into the marketplace.2

    Product approval phase

    All preclinical and clinical data are collected and sub-

    sequently submitted in appropriate form(s) to the

    regulatory authorities along with the quality data and

    the description of the manufacturing process for

    review. A continuum of communication with the regu-

    latory personnel is required during this phase. Drug

    approval is granted only if the regulators found that the

    data prove the quality, efficacy and safety of the drug.

    It is the most crucial phase because without the

    approval from the corresponding regulatory body, no

    drug can undergo commercialisation.2

    Introduction phase

    It includes the product launch with its requirements sothat it will have maximum impact at the moment of

    sale. In this phase, distribution arrangements are intro-

    duced. Commonly large expenditure on promotion

    and advertising (in case of pharmaceuticals only

    when permitted) is made and quick but costly service

    requirements are introduced. A company spends a lot

    of money. However, only a small proportion of that is

    received back.

    Growth phase

    This phase provides the satisfaction of witnessing the

    products take-off in the marketplace. This is the

    appropriate timing to focus on increasing the market

    share. When a product has been introduced first into

    the market, it is able to gain market share relatively

    easily. Promotion and advertising continues up to

    some extent in this phase. In this period efficiencies,

    product availability and services are developed and

    improved. The major factors in gaining customer con-

    fidence include cost efficiency, time to market, pricing

    and discount policy.

    Maturity phase

    When the variations of the main product saturate the

    market, the product enters the maturity phase. This

    period can provide the highest returns from the

    product. New brands are introduced during this

    phase even when they compete with the companys

    existing product. This is the actual time to extend

    the products life. Changes in the pricing and dis-

    count policies are frequent. Scope of promotion andadvertising relocates from getting new customers to

    Figure 1. A product lifecycle of a fictitious product in terms of sales, cost and profit.12

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    product differentiation in terms of quality and

    reliability.

    Decline phase

    The decision for withdrawing a product appears to be

    a complex task and there are a lot of issues to be

    resolved before deciding to move it out of the

    market. Companies often retain a high price policy

    for the declining products to increase the profit

    margin and gradually discourage the few loyal remain-

    ing customers from buying it. It is the time to start

    withdrawing variations of the product from the

    market that are weak in their market position. The

    prices must be kept competitive and promotion

    should be withdrawn at a level that will make the

    product presence visible and at the same time retain

    the loyal customer. The basic channel should be kept

    efficient abandoning the alternative channels.1214

    Various conditions and steps to be taken in differ-

    ent phases of a products lifecycle are illustratedin Table 1.

    Product lifecycle management

    There is a continuous rise in need for PLM due to

    following reasons:

    . Decline in research and development productivity

    . Escalation in average development costs

    . Narrowing of return of investment

    . Competition is soaring high

    Table 1. Various conditions and steps to be taken in different phases of a products lifecycle.12,13

    Developmentphase Approval phase

    Introductionphase Growth phase Maturity phase Decline phase

    Sales Zero Zero Low sales Rapidly risingsales

    Peak sales Declining sales

    Costs(per customer)

    Very high High High Average Low Low

    Profit Negative profits Negative Negative profits Rising profits High profits Declining profits

    Customers Zero Zero Few Growing number Stable numberbeginning todecline

    Decliningnumber

    Competitors Almost not there Almost not there Early entry ofcompetitors intothe market

    Price and distri-bution channelpressure

    Establishment ofcompetitiveenvironment

    Some competi-tors are alreadyWithdrawing

    Strategic Goal Make the prod-uct known andestablish a testPeriod

    Make theproductapproved atthe earliest

    Acquire a strongmarket position

    Maintain yourmarket positionand build on it

    Defend marketposition fromcompetitors andimprove yourproduct

    Milkall remainingprofits fromproduct

    Product Limited numberof variations Product underapproval Introductionof productvariationsand models

    Improvement upgrade ofproduct

    Price decrease Variations andmodels that arenot profitableare withdrawn

    Price goal High sales tomiddle men

    Depend uponregulatorybodies

    Aggressive pricepolicy (decrease)for salesincrease

    Re-estimation ofprice policy

    Defensive pricepolicy

    Maintain pricelevel for smallprofit

    Promotion goal Creation ofpublic marketproductawareness

    Depend uponregulatorybodies

    Reinforcementof productawarenessand preference

    Reinforcementof middle men

    Maintain loyal tomiddle men

    Gradualdecrease

    Distribution Goal Exclusive &selective distri-bution through

    certain distribu-tion channelsand creation ofhigh profitmargins

    Not applicable General & rein-forced distribu-tion through all

    distributionchannelsavailable

    general & rein-forced distribu-tion with good

    supply to themiddle menwith lowmargins of profitfor them

    General & rein-forced distribu-tion with good

    supply to themiddle menwith low mar-gins of profit forthem

    Withdrawal frommost channelsof distribution

    except thoseused in thedevelopmentphase

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    . Competition from generics

    . Dispersing markets

    Decline in research and developmentproductivity

    The research and development pipelines are drying

    up quickly. This can be estimated by the fact that

    the number of new medicines approved by the US

    Food and Drug Administration (FDA) in 2010 is

    about half of those approved in 1996. This implies

    that the industry is running out of new blockbusterdrugs in the near future. There are a number of

    blockbuster drugs produced by many big and small

    companies in the last few decades, but now the

    blockbusters are, one by one, coming to the end of

    their patent protected lives.15 A decline in research

    and development productivity in new medicines

    from 1996 to 2010 is illustrated in Figure 2.16

    One of the reasons for this could be the high failure

    rates due to more stringent regulatory environment

    requiring new and more demanding hurdles to be

    cleared by the new drug candidate to enter the

    market.

    Escalation in average development costs

    The average sum of money required to develop a drug

    is very high. At the same time, sufficient funds are

    required to get it approved.15,17 The average drug

    development costs may vary in accordance with drug

    group, choice of strategy and type of therapy from

    US$500m to US$2000m. For example, drugs

    designed to treat respiratory disorders such as

    asthma have an expected capitalized cost per approved

    drug of US$1.3 billion while for drugs treating geni-

    tourinary disorders, it is US$635 m.18,19 A recent

    Tufts CSDD study has shown that the average capita-

    lized cost to bring one new bio-pharmaceutical prod-

    uct to market (including the cost of failures) is $1.24

    billion, in 2005, while for conventional pharmaceutical

    products, the same is $1.32 billion.20 With such devel-

    opment costs, it is expected that only the leading

    and well-heeled players can afford to take a drug

    all the way from initial discovery through to

    commercialization.15

    Narrowing of return of investment

    Modern patent protection was designed to safeguard

    IP and allow companies to recoup costs incurred

    during the research and development. The period of

    time, however, for pharmaceutical companies to maxi-

    mize the return on investment (ROI) has narrowed.17

    Tufts CSDD has shown that the average time required

    to take a product from the start of clinical testing to

    regulatory approval is 7.2 years. For example, clinical

    development times range from as short as 5.2 years for

    AIDS antiviral agents to a long period of 7.9 years for

    anti-neoplastic agents. If the average time to obtainregulatory approval for neuro-pharmacologic and

    cancer drugs is 1.7 and 0.8 years, respectively, the

    total time to take a candidate drug from the start of

    human testing to market is about 9 years (excluding

    the preclinical, animal testing phase, as well as discov-

    ery and research).20 Thus, 1215 years for drug devel-

    opment (including testing and regulatory approval)

    leaves only about 58 years from the patent exclusivity

    period of 20 years, for commercialization. The major-

    ity of revenues are usually achieved during this period

    of exclusivity.17

    Figure 2. Decline in R&D productivity in new medicines.16

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    Competition is soaring high

    There is always a cutthroat competition for launching

    newer products into the market. The companies are

    running eagerly for success and approval processes

    have become streamlined.13 Thus, the period of exclu-

    sivity, which is the period to harvest ROI, has been

    shortened from years to only a few months, as incase of Vioxx.

    1

    Competition from generics

    Today, generic companies are stronger and more

    sophisticated compared to earlier times, and generic

    products are entering the market in early stages of

    the lifecycle, in some cases, earlier than patent

    expiry. Since generics are cheaper than their branded

    competitors, their market share, in prescription terms,

    is much higher, the research and development-based

    industries face competition in a dual mode, i.e. com-

    petition from the same field players as well as generic

    companies.15

    Dispersing markets

    In earlier times, the physician was the main customer

    in the prescription-drug pharmaceutical industry.

    Thus, pharmaceutical companies had a relatively

    simple approach to promoting and marketing prescrip-

    tion drugs. However, presently pharmaceutical com-

    panies increasingly need to address a networked

    audience comprising: payer organizations and influen-

    tial advisory functions, increasingly knowledgeableconsumers and other stakeholders such as nurses as

    well as the traditional physician base.15

    Declining research and development productivity,

    rising costs of development and shorter exclusivity per-

    iods have increased the average cost of launching a

    successful new drug.21 Taking these points into con-

    sideration, it can be easily sought out that extending

    the lifespan of proven drugs by branded companies is a

    rising need and can be fulfilled to a greater extent by

    PLM.

    Applications of PLM

    PLM not only benefits through enhancing the lifespan

    of patent but also pricing strategies. Thus, PLM pro-

    vides benefits to both large and small industries. The

    financial health of large, brand-name pharmaceutical

    companies relies heavily on portfolios of drugs gross-

    ing in excess of one billion dollars annually. Research

    and development of these blockbuster drugs require a

    tremendous investment of resources. According to the

    Pharmaceutical Research and Manufacturers of

    America (PhRMA), only one of every 10,000 potential

    medicines investigated by Americas research-based

    pharmaceutical companies makes it through the

    research and development pipeline and is approved

    for patient use by the US. In general, FDA approval

    takes an average of 10 to 15 years of research and

    development and may cost over $1.3 billion. Thus, it

    is very important for these industries to incorporatePLM.

    19,22

    Applications of PLM include:

    . In improving patient compliance

    . For providing revenue growth

    . To gain clinical benefits

    . For quick to market launch

    . For obtaining cost advantages

    . For life extension exclusivity23

    PLM benefits through:

    . Revenue acceleration

    . Unit profit enhancement

    . Improved innovation and quality

    . Lower costs and improved productivity

    Revenue acceleration opportunities provide:

    . Enhanced market penetration for a new indication

    . Ways to meet the threat posed by generic drugs by

    tracking them.

    . Greater market penetration through product line

    extension driven by prescriber/patient feedback

    . Delivery changes to bulk drug or dosage form man-ufacturing processes that possess a novel patent,

    thereby conferring additional patent protection

    once generic competition occurs.

    . Marketers to differentiate the product, reducing the

    effect of generic erosion after patent expiration.

    . Significant improvements to the manufacturing or

    supply process that reduces the cost of goods,

    thereby preserving unit margins or enabling more

    competitive product pricing.

    . Market variants through technology transfer to

    regional manufacturing sites, enhancing local

    market acceptance and deeper penetration whilereducing stock complexity that would otherwise

    drive up costs at high-volume facilities.

    Unit profit enhancement opportunities provide:

    . Technology transfer to sites that give economies of

    scale or enable cost reduction in some way, such as

    lower inventory, lower stock expiry, better capacity

    use; or relocating bulk active or dosage form manu-

    facture to a low-tax or low-fixed-variable-product

    costs environment

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    . Optimization of manufacturing processes in situ

    that drives down cost of goods, such as yield or

    process robustness or reduction in raw material

    costs.1

    Key considerations for successful PLM

    There are a number of factors that have been selected

    in a benchmarking study for the purpose of successful

    PLM.17

    These factors are

    . Early start

    . Strategic planning

    . Establish clear leadership

    . Knowledge and skills to support the process

    . Preparation for the changing rules of government

    and organizations

    . Focus on profitability throughout the lifecycle

    . Monitoring and gauging of the success of the

    processes implemented.

    Early start

    PLM approach needs to be proactive and not as a late-

    stage attempt to fend off generic competition. In prac-

    tice, product lifecycle activities are rarely considered

    early enough for companies to execute them to the

    best effect, but in principle companies should develop

    a roadmap in a molecules early life to track the rise

    and falls of a molecule through various stages of devel-opment. Such a molecular mapping optimises its mar-

    keting potential. For example, Humira (Adalimumab)

    was approved by US FDA in December 2002 for

    rheumatoid arthritis. In the development phase of

    the first indication, work to develop follow-up indica-

    tions was started. Abbott Laboratories also initiated to

    understand the effect of Humira in other autoimmune

    diseases. As a result, Humira was approved for treating

    psoriatic arthritis in 2005 and Crohns disease in 2006.

    Similarly, Eli Lilly and Company had instigated map-

    ping lifecycle management from discovery and devel-

    oped antipsychotic Zyprexa for multiple indications.Zyprexa was approved in 1996 for manifestation of

    psychotic disorder, in 2003 for treatment of depressive

    episodes associated with bipolar disorder and in 2004

    for long-term treatment of bipolar disorder.8

    Strategic planning

    The main purpose of PLM is to maximise the profit-

    ability of a product over its lifecycle. Since the PLM is

    becoming more crucial to the industrys future,

    pharmaceutical companies need to move from viewing

    lifecycle management as a collection of reactive strate-

    gies to viewing it as a key organizational capability an

    integrated set of governance mechanisms, rigorous

    processes, people skills and knowledge, supported by

    transparent product and portfolio information and

    performance indicators. By concentrating their efforts

    in the following areas, pharmaceutical firms candevelop a more integrated approach to lifecycle man-

    agement and take advantage of every opportunity to

    increase product profitability.15

    The companies have established dedicated multi-

    functional PLM teams to drive early planning, moni-

    tor progress and benchmark efforts. They have also

    planned for PLM in the context of their broad business

    goals and product portfolios, evaluating the ROI of

    PLM opportunities with alternative investments in

    new research and development, strategic acquisitions

    and the like.22

    For example, Abbott Laboratories has redecorated

    its lifecycle management teams organisation by

    including a central data repository for all teams to

    access the same information for all molecules develop-

    ment and clinical testing.8

    Establish clear leadership

    A company should thrive to establish its leadership in

    the market as well. Thus, establishment of clear own-

    ership for lifecycle management and accountability for

    key actions in the lifecycle plan is the main necessity

    for a company. A small team should carry out strategic

    programmes based on rational analysis of problemsand an innovative approach to solve them. In addition,

    the lifecycle strategy should be supported by individ-

    uals with the right combination of influence and nego-

    tiation to challenge internal barriers and drive

    performance against hard targets.15,24

    A successful example for this is of Pfizers Lipitor

    which generated global revenues of $13.6 billion, leav-

    ing a benchmark in pharmaceutical history. Lipitor

    was launched in 1997 (US, EU) and in 2000

    (Japan). Pfizer extended its lifecycle by introducing

    (Lipitor plus Norvasc). In November 2011, it lost its

    patent protection but is still going well with strategieslike price reductions (up to 80%).2527

    Knowledge and skills to support the process

    A successful PLM program is fabricated around a firm

    vision of the underlying product and its fit within the

    product line, franchise or company, as well as an

    exhaustive understanding of the overall competitive

    landscape in which the product is marketed.7

    Thus, the collection of PLM options must be

    thoroughly scrutinized and assisted by a complete

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    understanding of the complex dynamics that affect a

    product during its market life. No PLM option can be

    successful without sufficient knowledge and skills to

    support the process. For example, without thorough

    knowledge of a drugs pharmacokinetics, its safety and

    toxicity profile, the indications for which it is being

    targeted and the first generation products formatand treatment regimen, it is impossible to determine

    the potential of product for PLM through reformula-

    tion, expanded indications, over-the counter (OTC)

    switch and/or fixed dose combination.24

    Preparation for the changing rules ofgovernment and organizations

    The governance and organizations have crucial influ-

    ence on PLM. In general, the political winds are at the

    back of the generics sector. There is a huge pressure to

    keep low prescription prices. As the FDA is becoming

    more concerned with safety and patient outcomes, it

    has imposed more difficult hurdles regarding new

    product approvals. The new product manufacturers

    are always closely watched by third party payers. For

    the purpose of reimbursement, the cost-effectiveness

    and patient benefits should be closely proven.17,24

    Thus, the PLM plan should be flexible enough to

    take on such challenges. For instance, when bilingual

    labeling (i.e., the label should contain all the necessary

    details in both English & Hindi) was made mandatory

    in India, it created ambiguity in the market. There

    were doubts regarding readability of content (espe-

    cially on ampoules) and opposition from southernstates. Though a relaxation period of 6 months was

    provided, it was still a difficult task as excess of

    expenditure on reprinting of labels was required.

    Some companies put only the name of medicine in

    Hindi while some others carried out all details in both

    languages, but only on the medicine box and kept only

    the drugs name in Hindi on the immediate

    pack. However, later due to efforts from some pharma-

    ceutical industry associations, Indian Pharmaceutical

    Alliance (IPA) and Confederation of Indian

    Pharmaceutical Industry (CIPI), the decision of bilin-

    gual labeling was retracted from mandatory to onlyvoluntary.2831

    Focus on profitability throughout thelifecycle

    PLM strategies decisions are based on top-line growth

    certainly a key driver of profitability, but by no

    means the only one. Simultaneously, focus on profit-

    ability does not, in any means, indicate that the qual-

    ity, safety or efficacy of a drug will be compromised.

    Lifecycle management activities focused on managing

    cost are now rarely considered. Obviously, the cost

    base of the product becomes particularly important

    late in its lifecycle when generic is prevalent. When

    cost pressures do not seem to be an issue, the decisions

    concerned with the cost of the product need to be

    taken well in advance. There should be other second-

    ary objectives which will eventually lead to profitabilitysuch as the enrichment of number and type of cus-

    tomers (through target population expansion or indi-

    cation expansion), which will directly increase the sales

    and fetch higher revenues to that firm.15

    Monitoring and gauging of the successof the processes implemented

    Since PLM is a dynamic process, the plan must be

    constantly reassessed against the contemporary

    market and aggressive milieu and be evolved in accord-

    ance.7 In order to analyze whether a PLM option is

    successful upon implementation and to see the current

    position of the firm, a simultaneous monitoring of the

    process and measurement of its success is a very

    important aspect as it provides the plot for doing

    much better. Comparative pharmaco-economic ana-

    lysis plays an increasingly important role in positioning

    the product with institutional, governmental and com-

    mercial payer organizations on its launch. Keeping a

    track record of the progress will always provide guid-

    ance about what to do next.17,24

    ConclusionPLM, a strategic approach for managing a companys

    product-related intellectual capital that existed for

    many years in electronics and automotive sectors,

    can now be applied in pharmaceutical sector as well

    to sustain the franchise of an innovator pharmaceutical

    company and increase its return of investment. PLM

    benefits both large and small industries and can be

    applied for improving patient compliance, providing

    revenue growth, gaining clinical benefits obtaining

    cost advantages, life extension exclusivity and quick

    to market launch. For a successful PLM, an early

    start, a strategic planning, a clear leadership and sup-porting knowledge and skills are required. Preparation

    for the changing rules of the Government and related

    organizations, the focus on profitability throughout the

    lifecycle, the monitoring and gauging of the success of

    the process are must for taking this approach to higher

    levels of success.

    Funding

    This research received no specific grant from any funding

    agency in the public, commercial or not-for-profit sectors.

    Prajapati and Dureja 157

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    Conflict of interest

    The authors declare that they do not have any conflicts of

    interest.

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    Authors Biographies

    Vandana Prajapati is M. Pharm. research scholar at M.

    D. University, Rohtak and has drug regulatory affairs

    as the area of specialization. She possesses a Bachelors

    degree in Pharmacy.

    Harish Dureja is Associate Professor in Pharmaceutics

    at Department of Pharmaceutical Sciences, M. D.

    University, Rohtak. He possesses a Doctorate degree

    in Pharmaceutical Sciences.

    158 Journal of Medical Marketing 12(3)