us pharmaceutical companies (bristol-myers, merck, pfizer)

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Global Pharmaceutical Industry Robert Agon Industry Analysis Alex Luk Bristol-Myers Squibb Jacky Lui Pfizer Ray Li Merck

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Page 1: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Global Pharmaceutical

Industry

Robert Agon – Industry AnalysisAlex Luk – Bristol-Myers SquibbJacky Lui – PfizerRay Li – Merck

Page 2: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Overall Health Care Industry

For Profit Health Benefit Providers

a) Service Organizations

- Hospital management

- Long term care (nursing homes)

- Special services

- Organizations providing health care plans (HMOs)

b) Pharmaceutical Industry (product organizations)

- Diversified Companies

- Products & Supplies

- Drug Companies

For Profit Health Benefit Providers

a) Service Organizations

- Hospital management

- Long term care (nursing homes)

- Special services

- Organizations providing health care plans (HMOs)

b) Pharmaceutical Industry (product organizations)

- Diversified Companies

- Products & Supplies

- Drug Companies

Foreign Markets & Governments

Foreign Markets & Governments

Biotechnology Companies

Biotechnology Companies

Not-for-ProfitHealth Benefit Providers

Not-for-ProfitHealth Benefit Providers

Research Institutions

- Universities - National Institutes of Health

Research Institutions

- Universities - National Institutes of Health

U.S. Government

- Regulatory Body (FDA)

- Public Health Care Programs- Medicare- Medicaid

U.S. Government

- Regulatory Body (FDA)

- Public Health Care Programs- Medicare- Medicaid

U.S. Health Care Industry

U.S. Health Care Industry

Page 3: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Pharmaceutical vs. Biotech Two Distinctions:

1) Business model Biotech:

Much smaller and limited resources to market drug Just a research engine

Pharmaceutical Larger and market drug themselves

2) Field of Research Biotech:

Use “genetic engineering”

Pharmaceutical Use "empirical screening" to develop drugs

Page 4: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Pharmaceutical Industry Background

The U.S. is the leader in market share and has five of the ten largest companies

Global pharmaceutical sales grew 9% in 2003 to $466.3 billion

In 2003, 64 blockbuster drugs had sales over $1 billion

Industry is less sensitive to swings in the business cycle

COGS, R&D and Marketing are the largest expenditures

Information from Phrma & Yahoo Finance November 2004

Page 5: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Industry Background (cont.)

Patents are extremely important; they give a company exclusive rights to produce a drug for 20 years

Many pharmaceutical companies attempt to extend their patents by significantly changing the nature of the drug

Future success of a drug company depends heavily on the number and quality of drugs in the pipeline

The industry has traditionally relied on the “blockbuster model”, where a few key drugs make up most of the company’s revenue

Page 6: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Potential New Business Strategies

The Diagnostic-Led Strategy based on the observation that even when there are established treatments,

significant numbers of patients are either not diagnosed in a timely manner or not diagnosed at all

The Single-Pill Strategy seeks to simplify the lives of those taking multiple medications

The Treatment Platform Strategy based on the assumption that various medical conditions share common

denominators and can be treated using the same therapeutic approach

Page 7: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Key Issues Affecting the Industry

In August 2004, New York officials filed a lawsuit against 44 drug makers, claiming they overcharged Medicaid for prescription drugs

Merck’s Vioxx drug was pulled due to risk of heart attacks and strokes

Possible legal action by various patient groups

May affect sales of Pfizer's CeIebrex & Bextra COX-2 pain reliever

U.S. citizens are increasingly angry over rising drug costs, which is fuelling political debate over Canadian imports

Online sales to the U.S. from Canadian pharmacies are expected to be $1.2 billion US in 2004

By 2005, over $50 billion of branded pharmaceuticals will have their patents expire

Page 8: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Ethical vs. Proprietary Drugs

Ethical: branded and generic drugs sold only through prescription

Proprietary: branded or generic drugs sold over the counter

After patent expiration, many of the prescription drugs can apply to the FDA for over-the-counter status.

Lower margins on over-the-counter products

FDA requirements are not as cumbersome for over-the-counter drugs

Page 9: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Product Focus Most ethical producers focus on 5 main therapeutic areas:

- Central nervous system- Cardiovascular- Gastrointestinal / metabolism agents- Anti-infective- Respiratory drugs

More concentrated on chronic rather than acute diseases with large patient populations (cancer, arthritis, CVD)

Ulcer medications, cholesterol treatments, and antidepressants are the top three drug categories

Two of the best-selling drugs are Pfizer's Lipitor and Merck’s Zocor for cholesterol

Page 10: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Breakdown of Sales Figures by Area

U.S. Department of Commerce 2002

Central Nervous System 24%

Cancers, endocrine system, & metabolic diseases 17%

Digestive and genito-urinary system 13%

Respiratory system 13%

Parasitic and infectious diseases 11%

Cardiovascular agents 10%

Vitamins and related items 6%

Dermatological items 3%

Veterinary products 3%

Page 11: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

2003 Top Selling Blockbuster Drugs

Source: IMS World Review 2004

Drug Maker Purpose**Sales

($Billions)% Growth

RateLipitor Pfizer Cholesterol 10.3 14Zocor Merck Cholesterol 6.1 -4Zyprexa Eli Lilly Antipsychotic 4.8 13Norvasc Pfizer Hypertension 4.5 7Procrit/Eprex Johnson & Johnson Anemia 4 13Prevacid Abbott & Takeda Stomach acid 4 0Nexium AstraZeneca Stomach acid 3.8 62Plavix Bristol Myers Cardiovascular Disease 3.7 40Seretide/Advair GlaxoKlineSmith Asthma 3.7 40Zoloft Pfizer Antidepressant 3.4 11

$48.30 14%Total

**Figures have been adjusted by IMS to include drug sales from distribution agreements

Page 12: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Market Leaders

Pfizer $205.1

Johnson & Johnson $179.7

GlaxoKlineSmith PLC $122.2

Novartis AG $118.8

Roche Holding AG $87.4

Aventis SA $70.9

AstraZeneca PLC $66.8

Abbot Laboratories $66.6

Eli Lilly & Co $62.5

Merck & Co Inc $60.1

Leaders by Market Capitalization ($ billion):

Retrieved from Yahoo Finance November 22, 2004

Page 13: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

2003 Pharmaceutical Sales by Region

Source: IMS World Review 2004

World Audited Market

2003 Sales ($ billion)

% of Global sales ($)

% Growth (constant $)

North America 229.5 49% 11%

European Union 115.4 25% 8%

Rest of Europe 14.3 3% 14%

Japan 52.4 11% 3%

Asia, Africa and Australasia

37.3 8% 12%

Latin America 17.4 4% 6%

TOTAL $466.3 100% 9%

Page 14: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Customers Individual Patients

Pharmacies

Physicians

Large Scale Purchasers (Hospitals & Managed Care Providers)

Government Agencies (Medicare & Medicaid)

Page 15: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Large Scale Purchasing Companies

Health Maintenance Organizations (HMO)

Offers consumers a comprehensive range of benefits at one annual fee

Patients are assigned to a primary care doctor as a "gatekeeper" who decides what health services are needed and when.

They receive a discount from health care providers based upon their volume of patients

Pharmaceutical Benefits Management Companies (PBMs)

Intermediary distributor between drug companies and large scale purchasers

Process drug claims for managed care companies & large employers Immense buying power which allows saving to be passed to customers

Page 16: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Medicare & Medicaid

Medicare: Government health insurance program designed to subsidize health services for the elderly and disabled

Medicaid: Government health insurance program designed to subsidize health services for those living in poverty

These agencies buy in bulk to get a lower price, thus putting margin pressure on pharmaceutical companies

Medicaid programs have preferred drug lists of reimbursable medicines that doctors can prescribe

This decreases patients’ access to much needed medicines

Lowers the overall quality of care

Page 17: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Industry Politics & Government Pharmaceuticals spend millions of dollars on lobbying and

campaign contributions to influence government

Re-election of Bush is good for U.S. pharmaceuticals

Note: The AMEX Pharmaceutical Index increased by 2.74% the day after the election

Issue of importing cheaper drugs from Canada

Industry is subject to extensive government regulation (ie. FDA, foreign governments, environmental, & price constraints)

Page 18: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Food and Drug Administration

Imposes requirements on product testing, safety, effectiveness, and marketing of pharmaceutical products

Monitors for proper manufacturing and labeling standards

Also responsible for food, medical devices, and cosmetics products

Only one out of five medicines that enter clinical trials is approved for patient use by the FDA

Source: www.fda.com (2004)

Page 19: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Drug Approval Process Average of 10 - 15 years and $800 million to nurture a drug

from initial discovery to market

Process:

Academic and Laboratory Research

Testing done on animals

Phase 1: Drug given to a small number of healthy people to test its safety

Phase 2: Drug administered to 100 or more people with the disease that it was intended to treat

Phase 3: Rigorous testing done on larger groups of ill patients

FDA Review – Approval/DisapprovalSource: www.fda.com (2004)

Page 20: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)
Page 21: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Number of Drugs Approved by the FDA Each Year

Page 22: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Industry Trends

Globalization

Aging worldwide population

Longer life expectancy

Increasing demand from developing nations

Outsourcing more activities

Increase in Direct-to-Consumer Advertising

Page 23: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Industry Trends (cont.)

Increasing drug prices

Rising R&D costs

Increase in mergers, acquisitions, and alliances

Increasing size of the generics market

Increased buying power of insurance companies

Increase in licensing agreements with Biotech firms to improve drug pipelines

Page 24: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

R&D Spending

YearDomestic R&D

(billions) R&D Abroad

(billions) Total R&D

(billions)

Total R&D as a % of Total Sales

2003 $27,407 $5,808 $33,215 15.6%

2002 $25,655 $5,357 $31,012 16.1%

2001 $23,502 $6,221 $29,773 16.7%

2000 $21,364 $4,667 $26,031 16.2%

1999 $18,471 $4,220 $22,691 16.5%

1998 $17,128 $3,839 $20,997 16.8%

1997 $15,466 $3,492 $18,958 17.1%

1996 $13,627 $3,279 $16,906 16.6%

1995 $11,874 $3,334 $15,207 16.7%

1994 $11,102 $2,348 $13,449 17.3%

Page 25: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Growth in R&D

Page 26: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

U.S. Marketing Expenses

Source: http//:www.phrma.org (2004)

$13.9$15.7

$19.1

$25.3

$21.2

$0

$5

$10

$15

$20

$25

$30

1999 2000 2001 2002 2003

$ B

illio

ns

Direct-to-consumer advertising

Office, hospital, & journal promotions

Retail value of samples

Total

Page 27: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Generics Market

Generics now account for over 50% of all prescription drugs

Americans spent over $182.7 billion dollars on prescription drugs in 2002

The average branded prescription cost four times as much as a generic drug

Generics save consumers $8 - 10 billion per year

Page 28: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Industry Financial Ratios

Market Capitalization: 1253 B

Price / Earnings: 20.1

Price / Book: 4.51

Quarterly Revenue Growth (YOY): 5.65%

Return on Equity: 24.10%

Total Debt / Equity: 0.4

Long-Term Debt to Equity 0.37

Dividend Yield: 2.64%

Source: Yahoo Finance 2004

Page 29: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Industry Performance (cont.)

AMEX pharmaceutical index is a market-capitalization weighted index

Page 30: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Comparison of Pharmaceutical Index and Economy

Amex (DRG)

S&P 500 (GSPC)

Dow Jones Industrial (DJI)

Nasdaq (IXIC)

Page 31: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Future Industry Growth

Growth rates for 2005 are estimated by IMS to be:

Country Growth RateU.S. 12%

United Kingdom 7%

Germany 5%

France 4%

Japan 1.5% IMS and Standard & Poors 2003

Page 32: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)
Page 33: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

History - Squibb

Founded by Dr. Edward Squibb in 1858

Bought by Mathieson Chemical in 1952

Bought by Olin Industries in 1953

1858

Page 34: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

History – Bristol-Myers William Bristol and John Myers

founded Clinton Pharmaceutical in 1887

Renamed to Bristol-Myers in 1900

Went public in 1929

Bought Squibb in 1989 and formed Bristol-Myers Squibb

1887

Page 35: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Mission

To extend and enhance human life by providing the highest-quality pharmaceuticals and health care products.

Page 36: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Company Statistics

Employee: 44,000 in over 100 countries (2003)

Global Sales: $20.9 billion (2003)

Market Capitalization: $46.05 billion (Sep 30, 04)

Stock Price: $23.50 (Nov 19, 2004)

Number of Outstanding Shares: 2,201 million

Annual R&D expense as a percentage of sales: 10% -12%

Largest Market: U.S., Europe, Japan

Page 37: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Company Overview

Bristol-Myers Squibb (BMS) is a diversified worldwide health and personal care company that researches and manufactures medicines and other products.

The Company's products include therapies for various diseases and disorders, consumer medicines, wound management, nutritional supplements, infant formulas, and skin care products.

Page 38: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Management Team Peter R. Dolan (49) ($5.92 million ex. option)

CEO, Chairman of the Board Joined in 1988, became Chairman in 2000 and CEO in May 2001

Andrew R. J. Bonfield (42) ($3.80 million ex. option) Senior Vice President and Chief Financial Officer Joined in 2002

Elliot Sigal, M.D., Ph.D. (52) ($2.59 million ex. option: figures for previous CSO) Chief Scientific Officer and President of The Pharmaceutical Research Institute Joined in 1997

Donald J. Hayden Jr. (48) ($2.66 million ex. option) Executive Vice President and President, Americas Joined in 1993

John L. McGoldrick (63) ($1.92 million ex. option) Executive Vice President and General Counsel Joined in 1995

Page 39: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Recent Events March 2004 - BMS was found liable for damage

for “channel stuffing” between 1999 and 2001 – BMS was fined $150 million

May – BMS & Sanofi sued Apotex on patent infringement on Plavix

August – Investors sued BMS for $300 million claiming that BMS lied about its accounting and investment in ImClone

Page 40: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Key Elements of 5yr Strategy

Focus on 10 Disease Areas

Increase Sales and Marketing emphasison specialists and high value Primary Care prescribers

Invest in R&D and R&D growth

Increase A&P spending behind growth drivers

Enter the biologics business

Target all other spending flat or slightlydown over the next several years

Page 41: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Successful Past Partnerships

Sanofi-Synthelabo Co-developed Avapro and Plavix

Otsuka Pharmaceutical Co-developed Abilify

ImClone Systems Co-developed Erbitux

Page 42: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Current Strategic Partnerships

Merck & Co. co-developing and co-promoting Muraglitazar

Corgentech co-developing E2F Decoy

Flamel Technologies S.A. co-developing Basulin

Solvay Pharmaceuticals co-developing SLV319

Pierre Fabre Médicament S.A. co-developing Javlor

Page 43: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Major Acquisition/DivestitureAction Date Subsidiaries/Product Line Value

Sold Dec 13, 2003 Mead Johnson Adult Nutrition $385 million cash

Sold Nov 15, 2001 Clairol $4.95 billion cash

Invested Nov 2001 ImClone 14.4 million share at $70 (19.9% of outstanding share)

Acquired Oct 1, 2001 DuPont Pharmaceuticals $7.8 billion cash partly financed by $1.5 billion commercial paper and $5 billion medium term note

Spin-off Aug 6, 2001 Zimmer (in tax free distribution) Paid $203 million in common share dividend

Page 44: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Patent ExpirationPharmaceutical Product

2003 Sales ($million)

2002 Sales ($million)

2001 Sales ($million)

Expiration Year in U.S.

Pravachol 2,827 2,266 2,101 2006

Plavix 2,467 1,890 1,171 2011

Taxol 934 857 1,112 1997

Paraplatin 905 727 592 2004

Avapro/Avalide 757 586 487 2011

Sustiva 544 455 68 2013

Monopril 470 426 413 2003

Glucovance 424 246 269 2004

Glucophage XR 395 297 230 2003

Zerit/Zerit ER 354 443 515 2008

Coumadin 303 300 63 1997

Abilify 283 25 --- 2009

Videx/Videx EC 267 262 240 2001

Tequin 208 262 240 2007

Glucophage IR 118 184 250 2000

Serzone 98 221 234 2003

Reyataz 88 --- --- 2017

Buspar 35 53 297 2001

Erbitux --- --- --- 2017

Page 45: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Selected Product SalesPharmaceutical Product % Change Change ($ million)

2004 3rdQ Sales

($ million)

2003 3rdQ Sales

($ million)

Pravachol -24% -189 598 787

Plavix 30% 208 908 694

Taxol 2% 5 243 238

Paraplatin -28% -68 177 245

Avapro/Avalide 32% 59 241 182

Sustiva 65% 62 157 95

Glucophage -82% -193 43 236

Zerit 6% 4 69 65

Abilify 63% 64 165 101

Videx/Videx EC 18% 10 67 57

Reyataz 172% 67 106 39

Erbitux N/A 84 84 0

Total 4.13% 113 2,852 2,739

Page 46: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Selected Key Products

Pravachol Cholesterol lowering $2,827 million sales in 2003 (13.01% of total

company sales) Licensed patent to Sankyo Company for exclusive

distribution in four Asia countries Patent expires in U.S. in 2006

Page 47: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Selected Key Products

Plavix Cardiovascular product $2,467 million sales in 2003 (11.35% of total

company sales) Co-developed with Sanofi Patent expires in US in 2011

Page 48: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Selected Key Products

Taxol

Anti-cancer agent $934 million sales in 2003 (4.30% of total company

sales) Co-developed with U.S. Government Patent expired in U.S. in 1997 – no generic

competition until January 2002 Patent expired in EU and Japan in 2003

Page 49: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Recently Released Drugs

Abilify (schizophrenia)

Erbitux (cancer)

Reyataz (HIV/AIDS)

Page 50: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Compounds in Development

Number of Compound

0

2

4

6

8

10

Phase I Phase II Phase III

Number of Compound

Page 51: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Compounds Under Development

Abatacept (phase III) rheumatoid arthritis

Entecavir (phase III) hepatitis B

E2F Decoy (phase III) vein graft failure prevention

Ixabepilone (phase III) cancer

MDX-010 (phase III) metastatic melanoma

Muraglitazar (phase III) type 2 diabetes and other

metabolic disorder

LEA29Y (phase II) solid organ transplant

Razaxaban (phase II) deep vein thrombosis prevention

Javlor (phase II,III) phase III for bladder and non-

small cell lung cancer phase II for breast and ovarian

cancer

Page 52: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Other Business Segment

Oncology Therapeutic Network (OTN)

Nutrition Mead Johnson

Other Healthcare ConvaTec Medical Imaging Consumer Medicine

Page 53: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

71% 71% 75%

11% 10% 8%10% 10% 10%8% 9% 7%

0%

20%

40%

60%

80%

100%

2003 2002 2001

Other

Nutrition

OTN

Pharmaceuticals

Sales Breakdown by Business Segment

Source: 2003 Annual Report

Page 54: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Sales by Geographic Areas

Source: 2003 Annual Report

62% 63% 65%

24% 22% 20%

6% 7% 7%8% 8% 7%

0%

20%

40%

60%

80%

100%

2003 2002 2001

Pacific

Other WesternHemisphere

Europe, MiddleEast and Africa

United States

Page 55: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

COGS46%

Marketing, S&A29%

A&P9%

R&D14%

Others2%

Cost Breakdown (2003)

Page 56: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

R&D as a Percentage of Sales$ million

$0

$5,000

$10,000

$15,000

$20,000

$25,000

2004(ttm)

2003 2002 2001 2000 1999

0%

10%

20%

30%

40%

50%

Sales % R&D of Sales

Page 57: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Stock Price SummaryTicker Symbol: BMY (NYSE)

Price as of Nov. 19, 2004: $23.50

52 weeks low: $22.22

52 weeks high: $31.30

Average Daily Volume 5,149,227

Number of Shares Outstanding: 2,201 million

Page 58: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Dividend Record

Year Ended Div per Quarter Total Div Dividend Yield

2004 (ttm) $ 0.28 $ 1.12 4.73%

2003 $ 0.28 $ 1.12 3.92%

2002 $ 0.28 $ 1.12 4.84%

2001 $ 0.275 $ 1.11 2.18%

2000 $ 0.245 $ 0.98 1.33%

Page 59: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

One Year Stock History

Fined for Overstated Revenue

BMS sued Apotex for

Patent Infringement

BMS sued by Investors for

ImClone Scandal

Page 60: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Five Years Stock History

Erbitu

x re

ject

ed

by FDA

Acquis

ition /

Dives

titure

Perio

d

Page 61: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Five Years Stock Comparison

Page 62: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Financial Statements Summary2004 (ttm) 2003 2002 2001 2000

Share Price (End of period): 23.67 28.60 23.15 51.00 73.94

Revenue ($ million): 21,703 20,894 18,106 18,044 17,695

Net Earnings ($ million): 2,249 3,106 2,067 1,871 3,686

EBIT ($ million) 3,614 4,971 3,125 2,445 5,355

Total Assets ($ million) 30,176 27,391 25,022 27,864 17,921

Total Liabilities ($ million): 19,513 17,605 16,266 18,737 8,398

Total Debt ($ million): 10,190 8,649 7,640 6,411 1,498

Interest Expense ($ million): 219 277 364 182 108

Stockholder’s Equity ($ million): 10,663 9,786 8,756 8,762 9,180

Shares Outstanding (million): 2,201 2,201 2,201 2,200 2,198

Operating Cash Flow ($ million): 2,493 3,512 945 5,372 4,652

Dividend per share: 1.12 1.12 1.11 1.01 0.89

Page 63: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Financial Ratios2004

(ttm)

2003 2002 2001 2000

Price to Book Ratio (P/B)

4.31 6.43 5.82 12.36 20.60

Debt/Equity Ratio 0.80 0.87 0.72 0.69 0.19

Return on Asset (ROA) 9.13% 11.31% 8.54% 16.76% 25.18%

Return on Equity (ROE)

25.84% 31.74% 24.41% 51.37% 56.68%

Earning per Share (EPS basic)

1.63 1.60 1.07 0.96 1.95

Price Earning (P/E) 16.67 17.88 21.64 53.13 37.92

Operating Margin 33.12% 34.58% 34.83% 40.29% 41.99%

Liquid Asset per share $ 5.50 $ 4.69 $ 3.84 $ 5.25 $ 3.78

Free Cash Flow

($ million)

$ 2,938 $ 2,575 $ (130) $ 4,192 $ 4,063

Page 64: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Recommendation

Pros Extremely strong pipeline

High dividend yield

Strong cash flow

Cons Patent expiration for key

products

Uncertain litigation outcome

Dividend payout sustainability in question

Financial statement accuracy in question

HOLD

Page 65: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

           

                                                   

Page 66: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Mission Statement

Mission We will become the world's most valued company to patients,

customers, colleagues, investors, business partners, and the communities where we work and live

Purpose We dedicate ourselves to humanity's quest for longer, healthier,

happier lives through innovation in pharmaceutical, consumer, and animal health products

Page 67: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Company Overview

A research-based, global pharmaceutical company that discovers, develops, manufactures and markets prescription medicines for humans and animals, and consumer healthcare products

Page 68: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Company Statistics

Market capitalization: US$205.07 billion

Employees (worldwide): 122,000

Annual R&D expenses as a % of revenues: 15-16%

Largest markets: North America, Europe and Japan

Stock symbol: PFE (NYSE)

Stock price: US$27.23 (as of November 19, 2004)

Number of outstanding common shares: 7.53 billion

Page 69: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Company Highlights in 2003 With the addition of Pharmacia in 2003, Pfizer

became the #1 pharmaceutical company in every region of the world

14 of the company’s prescription medicines were category leaders

In 2003:65th consecutive year of cash dividends37th consecutive year of dividend increases

Page 70: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Strategic Alliance

Has agreements to copromote pharmaceutical products discovered by other companies Alliance revenue is primarily based upon a percentage of

our copromotion partners’ net sales

Page 71: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Major Acquisitions Pharmacia

Deal completed in April, 2003 US$55.97 billion

Identifiable intangible assets: US$37.07 billion Goodwill: US$21.40 billion

Financing Issuance of 1.8 billion shares of Pfizer common stock (≈29%

dilution) 180 million options on Pfizer common stock 6,000 shares of Pfizer Series A convertible perpetual preferred

stock (convertible into approximately 15.5 million shares of Pfizer common stock)

Warner-Lambert Deal completed in June, 2000

Page 72: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Top Institutional Holders

Institution Name Shares HeldPosition Value

(000)

% Shares Outstandi

ng

Portfolio Date

BARCLAYS GLOBAL INVESTORS INTL 317,165,142 $10,872,421.07 4.20% 6/30/2004

FIDELITY MANAGEMENT & RESEARCH CO 313,574,154 $10,749,322.00 4.15% 6/30/2004

STATE STREET GLOBAL ADVISORS 238,527,803 $8,176,733.09 3.16% 6/30/2004

VANGUARD GROUP 163,360,414 $4,998,828.67 2.16% 9/30/2004

WELLINGTON MANAGEMENT 144,173,354 $4,942,262.58 1.91% 6/30/2004

ALLIANCE CAPITAL MANAGEMENT 133,272,306 $4,568,574.65 1.76% 6/30/2004

NORTHERN TRUST CO (CHICAGO) 115,212,146 $3,949,472.36 1.53% 6/30/2004

PUTNAM INVESTMENT MGMT 102,454,572 $3,512,142.73 1.36% 6/30/2004

SMITH BARNEY ASSET MANAGEMENT 86,040,999 $2,949,485.45 1.14% 6/30/2004

GOLDMAN SACHS ASSET MANAGEMENT 84,718,489 $2,904,149.80 1.12% 6/30/2004

STATE FARM INVESTMENT MGMT CORP 80,709,105 $2,766,708.12 1.07% 6/30/2004

DEUTSCHE BANK ALEX. BROWN 74,050,477 $2,538,450.35 0.98% 6/30/2004

CAPITAL RESEARCH & MANAGEMENT CO 69,650,780 $2,387,628.74 0.92% 6/30/2004

TIAA CREF INVESTMENT MANAGEMENT INC

73,608,756 $2,252,427.93 0.97% 9/30/2004

FAYEZ SAROFIM & CO 54,326,810 $1,862,323.05 0.72% 6/30/2004

Page 73: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Officers Henry A. McKinnell (1970), Chief Executive Officer (12th CEO in Pfizer’s

history) David Shedlarz (1976), Chief Financial Officer, Executive Vice President Karen Katen (1974), Executive Vice President, President of Pfizer

Pharmaceuticals Group Nat Ricciardi (1974), President of Pfizer Global Manufacturing John LaMattina (1977), Senior Vice President, President of Pfizer Global

Research and Development Peter Corr (2000), Senior Vice President of Science and Technology (from

Warner-Lambert) Yvonne Jackson (2002), Senior Vice President of Human Resources (from

Compaq)

Page 74: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Executive Compensation

Annual Compensation Long-Term Compensation

NamePrincipal Position Year Salary ($) Bonus ($)

Restricted Stock Awards

($)

Securities Underlying Options (#)

LTIP Payouts ($)

All Other Compensation

($)

Dr. McKinnel

Chairman and CEO

2,003

2,042,700

4,607,400

-

1,000,000

2,786,978

249,390

Ms. Katen

Executive V.P.; President, Pfizer Global Pharmaceuticals

2,003

1,086,700

1,434,400

326,840

275,000

1,510,448

103,631

Mr. Schedlarz

Executive V.P.; CFO

2,003

889,133

1,043,100

260,866

225,000

1,216,379

79,922

Mr. Kindler

Senior V.P. of General Counsel

2,003

827,900

901,500

248,989

200,000

857,703

68,962

Dr. Corr

Senior V.P. of Science and Technology

2,003

806,000

815,000

242,403

110,000

1,316,630

89,354

Page 75: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Major (Revenue) Markets – Geographic Breakdown (2003 figures)

% of total revenues

United States 59%Japan 6%All other 35%

100%

Page 76: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Revenues BreakdownRevenues - Geographic Breakdown (2003 figures)

-5,000

10,00015,000

20,00025,00030,000

35,00040,000

45,00050,000

2003 2002 2001

Year

Mill

ion

s of

Dol

lars

All Other Countries

Japan

United States

Page 77: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Operating Segments (2003 figures)

% of total revenues

Pharmaceutical 87.7% Consumer healthcare 6.7% Animal healthcare 3.5% Other 2.1%

100%

Page 78: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Major Product Areas

Revenues % of total

(billion $) revenues Cardiovascular & Metabolic Diseases $16.17 35.8% Central Nervous Systems Disorders 7.38 16.3% Arthritis & Pain 3.05 6.7% Infectious & Respiratory Diseases 4.68 10.4% Urology 2.46 5.4%

$33.75 74.7%

Page 79: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Major Revenue Drivers (2003 figures)

Lipitor (Cardiovascular) $9.23 billion Norvasc (Cardiovascular) 4.34 billion Zoloft (Anti-depressant) 3.12 billion Neurontin (Epilepsy) 2.70 billion Zithromax (Infectious diseases) 2.01 billion Celebrex (Arthritis) 1.88 billion Viagra (Erectile dysfunction) 1.88 billion

$25.14 billion (≈55.6% of total revenues)

Page 80: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Major Products I Lipitor

Treatment for lowering cholesterol

#1 best-selling prescription drug in the world

Worldwide sales of $9.23 billion in 2003 20.43% of total company sales

10% growth in Sept. 2004 in U.S. Maintained a 43% total prescription share

Page 81: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Major Products II Norvasc

World’s most-prescribed branded antihypertensive therapy

4th best-selling drug in the world

Worldwide sales of $4.34 billion in 2003 9.60% of total company sales

Sales declined in the 3rd quarter of 2004 compared to the same period in 2003

Patent expirations in some EU countries

Page 82: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Major Products III Zoloft

World’s leading antidepressant

#10 best selling drug in the world

Worldwide sales of $3.12 billion in 2003 6.90% of total company sales

Sales declined in 3rd quarter of 2004 compared to same period in 2003

Overall market decline due to media coverage of the use of antidepressants in children and teenagers

Page 83: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Revenues Growth – Major Products  Revenues % change

(millions of dollars) 2003 2002 2001 03/02 02/01

Cardiovascular:  

Lipitor 9,231 7,972 6,448 15.79% 23.64%

Norvasc 4,336 3,846 3,581 12.74% 7.40%

Central Nervous System:  

Zoloft 3,118 2,742 2,365 13.71% 15.94%

Neurontin 2,702 2,269 1,751 19.08% 29.58%

Arthritis and Pain:  

Celebrex 1,883 100 76 1783.00% 31.58%

Bextra 687 - - N/A N/A

Infectious and Respiratory Diseases:  

Zithromax 2,010 1,516 1,506 32.59% 0.66%

Diflucan 1,176 1,112 1,066 5.76% 4.32%

Urology:  

Viagra 1,879 1,735 1,518 8.30% 14.30%

Others:  

Zyrtec 1,338 1,115 990 20.00% 12.63%

Page 84: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Research & DevelopmentR&D Expenses

4.85.2

7.17.8

-

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0

2001 2002 2003 2004

Year

Bill

ion

s of

Dol

lars

R&D Expenses

Page 85: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Patent ExpirationsDrug Expiration Year Annual Sales (2003) % of Total Sales

Zithromax 2005 2,010 4.4%

Zoloft 2006 3,118 6.9%

Norvasc 2007 4,336 9.6%

Zyrtec 2007 1,338 3.0%

Aricept 2010 254 0.6%

Lipitor 2010 9,231 20.4%

Xalatan 2011 623 1.4%

Viagra 2012 1,879 4.2%

Detrol 2012 544 1.2%

Celebrex 2013 1,883 4.2%

Bextra 2015 687 1.5%

Genotropin 2015 481 1.1%

Neurontin   2,702 6.0%

Total 29,086 64.4%

Total sales 45,188

Page 86: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

20-in-5 Goal

Pfizer’s goal is to submit an unprecedented 20 new medicines for regulatory approval during the five-year period ending in 2006

Page 87: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Major Drugs in the PipelineMIDDLE STAGE (PHASE 2):

HIV/AIDS UK-427,857 a mechanistically unprecedented CCR-5 inhibitor

Organ Transplant Rejection CP-690,500 a Janus kinase-3 inhibitor for immunosuppression

Sleep Disorders PD-200,390 a novel alpha-2 delta compound

LATE STAGE (PHASE 3):

Atherosclerosis Lipitor/torcetrapib a combination to elevate HDL cholesterol and lower LDL

Cancer edotecarin a next-generation topoisomerse inhibitor for cancer

Cancer* SU-11,248 a novel angiogenesis inhibitor

COPD/ASTHMA roflumilast a novel anti-inflammatory agent distinct from existing treatments

Diabetes Exubera an inhaled insulin system

HIV/AIDS capravirine a novel antiviral compound active against resistant strains of HIV

Insomnia indiplon a unique non-benzodiazepine GABA modulator

Macular Degeneration* Macugen a novel anti-VEGF therapy

Neuropathic Pain/Epilepsy/Generalized Anxiety Disorder pregabalin a neurologic agent develoepd by Pfizer

Osteoporosis lasofoxifene a selective estrogen receptor modulator to maintain bone density

Parkinson's Disease sumanirole a novel leva-dopa-enhancing compound

Schizophrenia & Bipolar Disorder asenapine a 5HT2/D2 antagonist

Smoking cessation* varenicline a selective nicotine partial agonist

Page 88: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Recently Launched Products Geodon

Schizophrenia Competitor to Abilify (Bristol-Myers Squibb)

Spiriva Novel treatment for obstructive pulmomnary disease

Relpax Migraine headaches

Caduet Single-pill dual therapy of Lipitor and Norvasc

Inspra Post-myocardial-infarction (MI) heart failure

Page 89: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Recent News Sept. 30, 2004

Merck withdrew arthritis drug Vioxx from the market

Oct. 15, 2004Pfizer warns that Bextra “may raise heart attack

risk in high-risk bypass surgery patients” Nov. 10, 2004

Study by American Heart Association shows that Bextra has shown a high incidence of heart attacks and strokes among patients

Page 90: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

1-year Stock Chart

_1year price chart

                                                                   

Page 91: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

5-year Stock Chart

5year price chart

                                                                   

Page 92: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Stock chart with industry benchmark

                  

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                

                                           

Page 93: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Financial Highlights(millions of dollars, except share price and dividend) 2004 (ttm) 2003 2002 2001

Share price (e.o.p.) 27.23 35.33 30.57 39.85

Revenue 52,027 45,188 32,373 29,024

Net earnings 9,138 3,910 9,126 7,788

Total assets 122,229 116,775 46,356 39,153

Total liabilities 53,846 51,398 26,406 20,860

Total debt 7,956 5,755 3,140 2,609

Equity 68,383 65,377 19,950 18,293

Number of shares outstanding (e.o.p.) 7,554 8,702 6,829 6,792

Operating cash flow 14,746 11,725 9,864 8,861

Capital expenditures 2,305 2,641 1,758 2,105

Free cash flow (FCF) 12,441 9,084 8,106 6,756

Dividends per share 0.66 0.60 0.52 0.44

Price-to-book ratio 3.01 4.70 10.46 14.80

Earnings per share (EPS) 1.21 0.45 1.34 1.15

Price-to-earnings (P/E) 22.51 78.63 22.88 34.75

ROA 7.48% 3.35% 19.69% 19.89%

ROE 13.36% 5.98% 45.74% 42.57%

Debt-to-equity ratio 11.63% 8.80% 15.74% 14.26%

Dividend yield (based on purchase @ b.o.p.) 2.17% 1.96% 1.30% 0.96%

Market capitalization (e.o.p.) 205,687 307,442 208,763 270,661

Page 94: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Financial Statement Analysis (I)

Deferred taxes increased by $12.87 billion from 2003 to 2002 due to deferred taxes recorded in connection with the acquisition of Pharmacia

40% of revenue growth from 2002 to 2003 was mainly due to the acquisition of Pharmacia

Page 95: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Financial Statement Analysis (II)

ROE was very strong, above 40%, in 2001 & 2002

ROE in 2003 decreased dramatically to 5.98%Increase of $55.40 billion for additional paid-in

capital due to the Pharmacia deal in 2003Lower net income in 2003 due to merger-related

in-process R&D charges => lower ROE

Page 96: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Recommendation Excellent long-time management team Strong existing product lines Promising products in pipeline Market leader in 14 different prescription

drugs Extensive financial resources

BUY

Page 97: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Ticker: MRK

Ray Li

Page 98: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Mission Statement

“To provide society with superior products and services by developing innovations and solutions that improve the quality of life and satisfy customer needs, and to provide employees with meaningful work and advancement opportunities, and investors with a superior rate of return”

Page 99: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Company Statistics $22.5 billion in sales worldwide (2003) 2.22 billion shares outstanding

59.54% held by institutions Stock price (Nov. 19): $27.12 Market cap: $60.206 billion 63,200 employees worldwide

33,200 employees in US

Page 100: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Strategies Develop & launch novel medicines and vaccines at

competitive prices

Aggressively pursuing external alliances with smaller companies

Lowering cost structure

Maximizing in-line franchises

Page 101: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

2003 Highlights Q4-03: Cut 4,400 positions, to be

completed in 2004

Q4-03: Implemented new distribution programLowered quantity limit of average purchases

Withdrew 2 products from late-phase trialsDiabetes and depression drug

Page 102: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Management R. Gilmartin, Chairman, President & CEO (1994)

Term ends 2006

D. Anstice, President, Human Health (1974)

M. Avedon, Senior VP, Human Resources (2002)

R. Clark, President, Manufacturing Division (1972)

K. Frazier, Senior VP, General Counsel (1992)

P. Kim, President, Research Laboratories (2001)

J. Lewent, Executive VP, CFO (1980)

P. Wold-Olsen, President Human Health, Europe, Mid-East, Africa

Page 103: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Executive CompensationLong-Term Compensation

Position Salary Bonus Other Options (#)

R. V. Gilmartin Chairman, President, CEO 1,583,340 1,375,000 527,495

J. C. Lewent

Executive VP, CFO, President, Human Health - Asia 720,000 615,000 137,149

P. Wold-Olsen

President, Human Health - Europe, Middle East, & Africa 585,004 550,000 137,149

D. W. AnsticePresident, Human Health 606,674 520,000 137,149

P. S. KimPresident, Merck Research Labs 610,008 500,000 140,580 210,998

Annual Compensation

Page 104: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Joint Ventures

AstraZeneca LP (Nexium, Prilosec) $1.9 billion plus $391.5 million in preferential return

J&J (dev. & market non-prescription medicines in US) $445.8 million

Aventis Pasteur (dev. & market vaccines in Eur) $669.0 million

Merial (JV w/ Aventis; pharma/vaccines for animals) $1.84 billion

Schering-Plough (cholesterol mgmt – Zetia/Ezetrol) $469.4 million

Page 105: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Joint Ventures II

Bristol Myers Squibb (Apr. 04) Jointly develop clinical and marketing strategy for a

diabetes drug (muraglitazar ~Phase III) Development and commercialization costs to be

shared equally

H. Lundbeck A/S (Feb. 04) Exclusive development and commercialization of a

sleep disorder drug (gaboxadol ~Phase III)

Page 106: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Recent Acquisitions & Divestitures

Increased ownership of Banyu from 51% to 99.4%, costing $1.5427 billion (2003) Banyu is one of Japan’s top 10 pharmaceutical companies Strengthens Merck’s position in Japan Took $101.8 million charge against useless products

Spun-off Medco Health (2003) Medco: high volume, low margin mail-order pharmacy Merck shareholders got 0.1206 share of Medco per Merck share

Page 107: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Recent Acquisitions & Divestitures II

Sold its 50% stake in J&J/MSD Europe (Mar. 04) Non-prescription joint venture For $244 million

Acquired Aton Pharma (Mar. 04) Privately-held biotech Anti-tumor agents

Page 108: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Major Product Areas

2003 % $ millions

Atherosclerosis (Zocor) 23% 5,077.9

Hypertension/hear failure (Cozaar, Hyzaar, Vasotec) 15% 3,421.6

Other (Maxalt, Propecia, Nexium, Prilosec) 13% 2,967.3

Anti-inflammatory/analgesics (Vioxx, Arcoxia) 12% 2,677.3

Osteoporosis (Fosamax) 12% 2,676.6

Repiratory (Singulair) 9% 2,009.4

84% 20,833.1

Page 109: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Revenues by Region

US 13,321.1

Eur, Mid East, Afr 5,341.3

Japan 1,600.9

Other 2,222.6

Total 22,485.9

$ million

Page 110: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Pipeline I

Phase I  

Diabetes c-3347

Pain c-1246

Alzheimer's disease c-7617

c-9138

Glaucoma c-3859

Osteoporosis c-3578

Multiple Sclerosis c-6448

AIDS c-1605

Vaccines HIV vaccine

Page 111: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Pipeline IIPhase II

Obesity c-2735

c-2624

c-5093

Alzheimer's disease c-9136

Antherosclerosis c-8834

Respiratory disease c-3885

c-3193

Post-operative nausea and vomiting c-9280

VaccinesPediatric

combination

Cancer SAHA

Psychiatric Disease c-9054

Arthritis c-5997

c-4462

Phase III  

Rotavirus vaccine RotaTeq

Shingles Zoster vaccine

Human papillomavirus HPV vaccine

Diabetes MK-0431 (2Q04)

Muraglitazar*

Sleep disorders Gaboxadol

2003 U.S. Submissions

Pediatric combination vaccine ProQuad

2004 U.S. Submissions

Arthritis/Pain Arcoxcia

Page 112: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

PatentsDrug Expiry Revenue (billions)Cancidas 2013 0.27Cosopt Expired 0.49Cozaar/Hyzaar 2009 2.5Crixivan 2012 0.29Emend 2012 0.03Fosamax 2008 2.7Invanz 2013 0.03Maxalt 2012 0.33Propecia 2006 0.24Proscar 2006 0.61Singulair 2012 2.0Vioxx 2013 2.6Zocor 2006 5.0

Zetia 2013 0.46

Page 113: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Zocor

$5 billion in annual revenues (2003) -13% Q3-04 (Wholesaler buy-in in 2003) +12% Q2-04 +10% Q1-04

#2 selling cholesterol drug in the world Zocor reduces cholesterol by blocking an enzyme in the

liver helps produce cholesterol Loses patent in US in 2006

Page 114: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Fosamax

$2.7 billion in annual revenues (2003) +13% Q3-04 +45% Q2-04 -4% Q1-04

Most prescribed osteoporosis medicine in the world Inhibits bone removal by osteoclasts (cells that break

down bone material)

Page 115: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Vioxx $2.5 billion in annual revenues

#1 arthritis and pain medicine outside US #2 in US

Sales grew by 2% in 2003 worldwide Recalled on Sep. 30, 2004

Regular use > 18 months increased cardiovascular risk On Sept. 29, MRK closed at $45.07, on Sept. 30 it was $33.00

Announcement wiped out $27 billion in market cap Took Q3 charge of $0.25 per share due to the recall

$491.6 million reduction in sales $93.2 million in inventory write-off $141.4 million in marketing and administrative expense

Analysts expect a further charge of $0.25-$0.30 per share in Q4

Page 116: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

COX-2 Inhibitors

Enzyme: a protein that catalyzes a chemical reaction COX-2 is an enzyme that aids the production of chemical

messengers (prostaglandins) that cause the pain and swelling of arthritis

Vioxx works by blocking COX-2 Previous generation of arthritis drugs are called Nonsteroidal anti-

inflammatory drugs (NSAIDs) Aspirin, Motrin They inhibitor the COX enzyme but have gastrointestinal side effects Long-term NSAID usage could lead to stomach ulcers

There was some evidence that COX-2 inhibitors interfered with enzymes that help prevent cardiovascular disease

Arcoxia: launch possibly delayed until 2009

Page 117: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Litigation Over 20 million Americans have taken Vioxx Liability range is $4 billion-$18 billion

This will be spread over the decade Mostly for CV Event liability, not incl. punitive damage

Issues: Did Merck knowingly mislead consumers? 18 months usage? Proving causation Merck recall voluntary

Page 118: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Cozaar, Hyzaar Hypertension drug $2.5 billion in annual revenues (2003)

+14% and +15% Q3-04 +34% and +15% Q2-04 -1% Q1-04

Cozaar is a angiotensin II antagonists (AIIAs) Angiotensin is a hormone that causes blood vessels to

narrow Cozaar is 2nd most prescribed AIIA in US and the top-

seller in Europe Hyzaar combines Cozaar and a diuretic, removing water

from the blood and lessens blood pressure

Page 119: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

1 Year Stock Performance

Page 120: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

5 Years Stock Performance

Page 121: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

5 Year Relative Performance

Page 122: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Ratios

Paid dividends since 1935

Pay out ratio of 40%-50%

TTM 2003 2002 2001 2000ROA 14.63% 16.83% 15.02% 16.54% 16.99%ROE 36.95% 43.85% 39.26% 45.37% 45.99%

Debt/Equity 38.05% 43.63% 46.97% 55.24% 46.65%

P/E 9.91 15.25 18.03 18.73 32.28P/B 3.50 6.69 7.08 8.50 14.85

FCF ($ billion) 7,510 6,511 6,583 5,942 4,960R&D % of Sales 16.64% 14.13% 12.48% 11.59% 11.71%

Cash/sh. 0.82 0.54 1.00 0.94 1.10

Diluted EPS 2.74 3.03 3.14 3.14 2.90Dividends 1.49 1.46 1.42 1.38 1.26

Shares outstanding 2,217,584,609 2,221,763,509 2,244,983,250 2,272,729,321 2,307,599,179

Page 123: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

2003 Cap Ex Breakdown

Production facilities 788.3

R&D facilities 763.8

Environmental projects 41.8

Admin, safety, general 322

1915.9

Millions of $

Page 124: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Recommendation

ProsStrong balance sheetLots of cashMay be cheap

ConsWeak pipelineKey management are outsidersVioxx uncertainty

SELL

Page 125: US Pharmaceutical Companies (Bristol-Myers, Merck, Pfizer)

Quarterly Income StatementsQ3-04 Q2-04 Q1-04 Q4-03

Sales 5538.1 6021.7 5630.8 5627.1

Costs, Expenses and Other

Materials and production 1364.2 1131.3 1115.8 1228.3

Marketing and administrative 1752.9 1616.2 1611.4 1794.1

Research and development 919.3 986.0 996.3 906.3

Equity income from affiliates (307.1) (220.5) (194.7) (6.0)

Other (income) expenses, net (4.2) 69.9 (240.9) (56.5)

  3,725.1 3582.9 3287.9 3866.2

Income from Continuing Operations Before Taxes 1,813.0 2438.8 2342.9 1,760.9

Taxes on Income 487.4 670.7 724.3 365.7

Income from Continuing Operations 1325.6 1768.1 1618.6 1,395.2

Income from Discontinued Operations, Net of Taxes   - - -

Net Income 1325.6 1768.4 1618.6 1,395.2

Basic Earnings per Common Share

Continuing Operations 0.60 0.80 0.73 0.63

Discontinued Operations - - - -

Net Income 0.60 0.80 0.73 0.63

Earnings per Common Share Assuming Dilution

Continuing Operations 0.60 0.79 0.73 0.62

Net Income 0.60 0.79 0.73 0.62