Abhays and Dilips BS on Ilumya and Cequa!!!
AG basically accepted that he is clueless about US markets, payers, market access and anything relevant to selling branded drugs!
Sir, first on Ilumya. Could you give us some color on how the formulary coverage is panning out for the drug?
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Dilip Shantilal Shanghvi, Sun Pharmaceutical Industries Limited - MD & Executive Director [3]
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Yes, Abhay maybe.
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Abhay Gandhi, Sun Pharmaceutical Industries Limited - CEO of North America Business [4]
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Yes, yes. This is Abhay. So formulary coverage is not a limiting factor for how we will perform with Ilumya in market. We are pretty satisfied with the coverage we have. And like I have said on the previous calls, the fact that the product is a medical benefit product has been useful for us to get the kind of formulary coverage that we desired.
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Neha Manpuria, JP Morgan Chase & Co, Research Division - Analyst [5]
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Sir, given that we've seen more launches in IL-23, doesn't formulary coverage become important? I understand the medical benefit, but wouldn't that, therefore, become more important with the launch of more IL-23s?
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Abhay Gandhi, Sun Pharmaceutical Industries Limited - CEO of North America Business [6]
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It does, but what I am trying to say, Neha, is that the current formulary coverage that we have would not put us in a noncompeting position with any of the other products in market. Also as I said in my readout, we have an early access program. So patients who had initially a difficulty in getting formulary coverage, we quickly put them in the early access program while we work towards getting coverage for the product and this has also helped us.
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Neha Manpuria, JP Morgan Chase & Co, Research Division - Analyst [7]
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Understood. And sir, my second question is the direct-to-consumer program that we've launched. Has that significantly helped the prescriptions after we have launched that program? I am just trying to understand, let's assume we discontinue that program, is there a risk that the prescriptions fall off? Have we seen a very sharp improvement after this program or that will be gradual, we'll get to know after a couple of months?
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Abhay Gandhi, Sun Pharmaceutical Industries Limited - CEO of North America Business [8]
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You are right actually because in any kind of DTC, there'll always be a lag between when you are first on air and when you expect to see results. Now we have been on air, like, for about 2.5 months now. But I have not received too many metrics where I can conclusively state one way or the other. Having said that, you don't do DTC for 3 months and then go off. So that's why we also said in the readout that for most of the coming fiscal, we will be definitely investing in DTC. And then looking at results, like you say, we will evaluate our strategy going forward.
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Operator [9]
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The next question is from the line of Chirag Dagli from HDFC Asset.
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Chirag Dagli, HDFC Asset Management Company Limited - Senior Equity Analyst [10]
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Sir, this DTC campaign, who is this targeted to? Is this to doctors, patients? Because I would imagine that the payer is a very critical component of what the patient gets prescribed, right?
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Dilip Shantilal Shanghvi, Sun Pharmaceutical Industries Limited - MD & Executive Director [11]
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True. I mean, the DTC campaign is essentially focused on the patient, of course. And as far as the payers are concerned, and we have a strong team in our market access group, which directly meets all the relevant stakeholders amongst all the payers and PBMs and the whole group that is involved in a decision-making. So DTC -- I mean, they would also get an opportunity to see our DTC campaign, but that's not the primary way of communicating with the payer group.
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Chirag Dagli, HDFC Asset Management Company Limited - Senior Equity Analyst [12]
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I'm just trying to evaluate the merit of a DTC, sir, because if the patient is not the decision-maker, then why would you go ahead? Because you were anyway detailing the doctor and getting...
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Abhay Gandhi, Sun Pharmaceutical Industries Limited - CEO of North America Business [13]
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You're right. I mean, I think the U.S. market in that sense is very different from many other markets that I have worked in. Almost every brand that is there in the psoriasis segment does DTC campaign and very significant one. And there is data, which I have seen, which basically says that patients do look at these ads. Their search, therefore, for very targeted information on the Internet goes up significantly. That initial data I have also seen for Ilumya. And then they also strike up conversations with their caregiver and doctors for what should be the best mode of treatment. So I think the market is completely different from most markets that we have operated in so far. And not doing DTC would have been a competitive disadvantage for us as compared to the IL-17s and IL-23s.
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Chirag Dagli, HDFC Asset Management Company Limited - Senior Equity Analyst [14]
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So it's not a given that CEQUA may also -- you may also have to do some DTC for CEQUA, it's not a given?
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Abhay Gandhi, Sun Pharmaceutical Industries Limited - CEO of North America Business [15]
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It's not a given. It will be something that we will evaluate for each product and looking at what works in a given segment or a particular therapy, we will make our decision, but it's not a given, you are right.