Pharmaceuticals: The Consumer - US - January 2014


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The patent cliff, as well as a push toward consumers being more proactive about their health, has contributed to a decline in sales of pharmaceutical drugs. However, the ACA will provide more people with health insurance coverage, likely growing the market of prescription drug users.
Table of Content

Scope and Themes

What you need to know
Definition
Data sources
Sales data
Consumer survey data
Abbreviations and terms
Abbreviations
Terms

Executive Summary

The market
Figure 1: Total US prescription market, by sales and dispensed prescriptions, 2008-12
Market factors
Insurance coverage
Figure 2: Insurance coverage, October 2013
Patent protection
Key players
Places prescriptions filled
The consumer
Treating medical conditions
Figure 3: Ways treated a medical condition or illness, October 2013
Managing health
Figure 4: Usage of and interest in ways to manage health, October 2013
Attitudes toward prescription drugs
Figure 5: Attitudes toward prescription remedies, October 2013
What we think

Issues and Insights

What effect will the ACA have on the prescription drug market?
The issues
The implications
The “patent cliff” is affecting sales of pharmaceutical drugs
The issues
The implications
Proactive consumers are diagnosing and treating their own health
The issues
The implications

Trend Applications

Trend: Help Me Help Myself
Trend: Second Skin
Mintel Futures: Generation Next

Market Factors

Key points
Patient Protection and Affordable Care Act
Health insurance coverage
Decreased sales of prescription drugs
Figure 6: Total US retail sales of prescription drugs, at current prices, 2008-12
Aging population contributes to prescription drug purchases
Figure 7: US population, by age, 2014-19
Impact of race and ethnicity
Figure 8: Insurance coverage – Currently have, by race/Hispanic origin, October 2013
Other factors affecting ability to purchase prescription drugs
Employment/underemployment/unemployment
Household income
Figure 9: Insurance coverage – Currently have, by household income, October 2013
Obesity declared a disease

Managing Health

Key points
Interest in self-care growing
Alternative ways to interact with expert
Figure 10: Usage of and interest in ways to manage health, October 2013
Older consumers more in need of professional management
Younger consumers over index for usage of alternative ways to manage health
Figure 11: Health management options used, by age, October 2013
Usage of health management techniques higher among sufferers
Figure 12: Health management options used, among prescription drug users and those who suffer from a medical condition, October 2013

Treating Medical Conditions

Key points
People are self-treating
Alternative ways to treat conditions impact usage of prescription drugs
Figure 13: Ways treated a medical condition or illness, October 2013
Higher household income provides access to healthier lifestyle
Figure 14: Ways treated a medical condition or illness – Have used, by household income, October 2013
Older consumers more likely to experience ailments
Figure 15: Suffer from a non-life threatening medical condition, by age, October 2013
Figure 16: Ailments suffered from, by age, May 2012-June 2013
Usage of prescription drugs higher among those who suffer from medical condition
Figure 17: Trial and interest in ways to treat a medical condition or illness, among those who suffer from a medical condition, October 2013

Leading Companies and Brands

Key points
Patent expirations shake up major players in pharmaceuticals
Figure 18: Top 10 prescription drug corporations by US Non-Discounted Spending, 2008-12
Figure 19: Top 10 prescription drug corporations by US Dispensed Prescriptions, 2008-12
Three of top 10 selling drugs have lost or will shortly lose patent
Prevalence of depression, high cholesterol, and arthritis help to boost branded drug sales
Figure 20: Top 10 US pharmaceutical products, by non-discounted spending, 2008-12
Pharmaceutical brands used by consumers
Figure 21: Prescription drugs taken, by gender and age, May 2012-June 2013

Innovations and Innovators

New technologies allow consumers to manage their own health

Marketing Strategies

Overview of the brand landscape
Consumer interaction
Figure 22: GlaxoSmithKline COPD print ad
Retailer incentives
Figure 23: Jewel Osco, direct mail ad, 2013
Doctor recommended
Figure 24: Restasis, television ad, 2012
Celebrity/athlete spokesperson
Figure 25: Prolia print ad
Entertaining consumers

Insurance Coverage and Attitudes toward the ACA

Key points
Majority of Americans have insurance coverage
Figure 26: Insurance coverage, October 2013
Figure 27: Prescription drug coverage, October 2013
Universal coverage among older consumers
Confusion about coverage more prevalent among younger
Figure 28: Insurance coverage – Currently have, by age, October 2013
Underemployed expect to gain insurance coverage
Figure 29: Insurance coverage – Currently have and will have in January 2014, by employment, October 2013
Attitudes toward ACA
Figure 30: Attitudes and awareness of ACA, by age, October 2013

Location Prescriptions Filled

Key points
In store preferred method for filling prescriptions
Figure 31: Ways to fill prescriptions, October 2013
Most fill prescriptions at national retail chains
Figure 32: Ways and locations to fill prescriptions, October 2013
Retail clinics can help boost prescription sales
Figure 33: Filling a prescription in store, by those who have used a retail health clinic, October 2013
Mail-order only channel to have increased sales
Sales of prescription drugs, by channel
Figure 34: Total retail sales and institutional sales of prescription drugs, by channel/institution, 2008-12

Attitudes toward Prescription Medications

Key points
Prescription drug users not actively seeking lower cost alternatives
Concern over prescription drugs
Figure 35: Attitudes toward prescription remedies, by age, October 2013
Prescription drug users proactive about health
Figure 36: Attitudes and opinions about health and medicine, May 2012-June 2013
Opportunities for development
Figure 37: Ways treated ailments, May 2012-June 2013

Race and Hispanic Origin

Key points
Education about healthcare reform necessary
Treating medical conditions
Figure 38: Ways treated a medical condition or illness – Have used, by race/Hispanic origin, October 2013
Figure 39: Attitudes and opinions about health and medicine, by race/Hispanic origin, May 2012-June 2013
Hispanics managing health
Figure 40: Health management options used, by race/Hispanic origin, October 2013
Attitudes toward prescription medications
Figure 41: Attitudes toward prescription remedies, by race/Hispanic origin, October 2013

Appendix – Other Useful Consumer Tables

Managing health
Figure 42: Health management options used, by household income, October 2013
Figure 43: Health management options not used, but interested in trying, by age, October 2013
Figure 44: Health management options not used, but interested in trying, among prescription drug users and those who suffer from a medical condition, October 2013
Treating medical conditions
Figure 45: Ways treated a medical condition or illness – Have used, by gender, October 2013
Figure 46: Ways treated a medical condition or illness – Have used, by age, October 2013
Figure 47: Ways treated a medical condition or illness – Have used, by employment, October 2013
Figure 48: Ways treated a medical condition or illness – Have used, by insurance covers prescription drugs, October 2013
Figure 49: Suffer from a non-life threatening medical condition, by household income, October 2013
Figure 50: Suffer from a non-life threatening medical condition, by took prescription drugs in past year, October 2013
Figure 51: Ailments suffered from, by age, May 2012-June 2013
Figure 52: Ailments suffered from, by gender and age, May 2012-June 2013
Figure 53: Ailments suffered from, by race/Hispanic origin, May 2012-June 2013
Leading companies and brands
Figure 54: Prescription drugs taken, by gender and age, May 2012-June 2013
Figure 55: Top 10 prescription drugs taken, April 2007-June 2013
Health insurance coverage
Figure 56: Insurance coverage – Will have in January 2014, by household income, October 2013
Figure 57: Insurance coverage – Will have in January 2014, by race/Hispanic origin, October 2013
Figure 58: Insurance coverage – Currently have, by insurance covers prescription drugs, October 2013
Figure 59: Insurance coverage – Currently have, by employment, October 2013
Figure 60: Insurance coverage – Will have in January 2014, by employment, October 2013
Figure 61: Prescription drug coverage, by employment, October 2013
Figure 62: Prescription drug coverage, by race/Hispanic origin, October 2013
Attitudes toward ACA
Figure 63: Attitudes and awareness of ACA, by insurance coverage, prescription drug usage, and those who suffer from a medical condition, October 2013
Locations prescriptions filled
Figure 64: Ways and locations to fill prescriptions – Any online, by age, October 2013
Figure 65: Ways and locations to fill prescriptions – Any, by gender and age, October 2013
Figure 66: Ways and locations to fill prescriptions – Any, by household income, October 2013
Attitudes toward prescription remedies
Figure 67: Attitudes toward prescription remedies, among prescription drug users and those who suffer from a medical condition, October 2013
Figure 68: Attitudes toward prescription remedies, by gender and age, October 2013
Figure 69: Attitudes toward doctor directions, by age, May 2012-June 2013
Usage of retail clinics
Figure 70: Retail health clinics visited, by age, October 2013
Online usage
Figure 71: Frequency of visiting website

Appendix – Market Drivers

Obesity
Figure 72: American adults by weight category as determined by body mass index (BMI), 2008-Oct. 28, 2013
Childhood and teen obesity – highest in decades
Figure 73: Prevalence of obesity among children and adolescents aged 2-19, 1971-2010
Consumer confidence
Figure 74: University of Michigan’s index of consumer sentiment (ICS), 2007-13
Unemployment
Figure 75: US Unemployment Rate, by month, 2002-13
Figure 76: US unemployment and underemployment rates, 2007-13
Figure 77: Number of employed civilians in US, in thousands, 2007-13
Median income
Figure 78: Median household income, in inflation-adjusted dollars, 2002-12
Racial, ethnic population growth
Figure 79: US population by race and Hispanic origin, 2009, 2014, and 2019
Figure 80: Households with children, by race and Hispanic origin of householder, 2013
Shifting US demographics
Figure 81: US households, by presence of own children, 2003-13

Appendix – Trade Associations