AOs Presentation

The Elements of Integrated Marketing Communications

Builiding Brand Equity

Sales promotion is only one of the elements of the Promotional Mix

The Promotional Mix in a Marketing Communications programme can contain the platforms as detailed in the previous slide.
Sales promotion is just one of them: and will be discussed after Personal Selling and Detailing.

The Most Important elements in Integrated Pharmaceutical Marketing Communications

 "Detailing" forms one of the most important tools in pharmaceutical marketing and advertising When we detail, we are actually advertising the product to a particular targeted customer, to induce them into buying or prescribing it. It is a type of personal selling which is thoroughly rehearsed, internalised and practiced to an extent that when it is heard, it sounds as if it is coming out of one's own talk about the product Helps in creating a Brand Image

Influences on the Doctors Prescribing Habits

Side Effects Drug delivery method Efficacy Potential drugdrug interactions Dosage Payor formulary status

Cost of drug

Personal preference

Patient request
Brand

Source: IBM Analysis

Value of Relationship with PharmaCos to Doctors

Learn new drug information Get drug samples Connect with peers or physician thought leaders Receive the perks Establish personal contact with the drug company Provide stress release
Source: IBM Analysis

Comments From Doctor Interviews

I like the good, tangible information about a new drug The samples determine what I prescribe for the long term Samples are extremely valuable I value the relationships with them. Overall, I am satisfied with their service I rely on them to keep me aware of whats happening in the drug industry I like their presence to break up my stressed schedule Everybody likes perks
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What are your top complaints about detailers?

Doctors Comments
I view them as the liaison but I dont take them at their word all the time I hate negative marketing. The lack of objectivity is a big turnoff for me If they keep coming back with the same information, its a waste of both parties time I appreciate the information, but the reps can be pushy The thing I dislike the most is when the rep doesnt appreciate that I am busy and still tries to pitch the drug to me I dont believe that someone with a bachelors degree knows more about how a drug works than I do
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78%
Biased information

47%
Inconvenient timing

44%
Too many from the same company

40%
Take too much time

28%
Not enough medical expertise

20%
Not enough samples

Source: The Forrester Report: Pharmas Detailing Overhaul, February 2001 (IMS Health, Scott-Levin, Forrester Research, Inc); (Ziment/WebSurveyMD.com); IBM Analysis

Detailing story highlights : The relevant points The unique selling points of the brand raising the doctor's interest It slowly creates a brand image Detailing story has to be perfect in having : Ideal mixture of scientific information Quality of product The manufacturing technique used

 Advertisement of the company's product (a walking audio-visual). To create and arouse interest in the doctors mind regarding products thus influencing his prescribing habit.
To emphasize the advantages / benefits and the salient features of products. To generate more prescriptions

Communication is the essence of marketing It has four elements:

MR - the medium Detailing folder / visual aid - the tool Voice of the MR - the audio The matter on the visual aid - the visual.

Thus in total, detailing must produce an "audio-visual" impact

There are 9 commandments of effective detailing in order of importance.

Text Voice Handling of Visual Aid Use of Pointer Eye to Eye Contact Body Language Listening Use of Senses Time Management

Even slight deviation could lead to wrong, misleading or unclear information. Small addition or deletion could lead to misinformation.

Clarity of Speech Audibility / Loudness Tone Modulation of Voice and Emphasis Timing and Pause

The distance for effective viewing be minimum three feet between the doctors eye and the visual aid. It gives 100% clarity. Secondly, folder / visual aid should be held at such an angle to the eye, so as to avoid any reflection of light. This avoids any distortion in vision.

It also helps in reducing distraction and private planning. Adds up the punches given by modulation and emphasis

Eye to Eye Contact

Visual contact with the prospect helps to determine whether doctors are really interested and bring them back to the main frame It also reflects the confidence level of the MR Helps in arousing interest in doctors and they start anticipating the next message

A confident, professional body language increases the power of detailing

Customers raise objections, make remarks This can be handled only if you actively listen Helps in closing the sale and generate prescriptions

Not only in the West, but more and more Companies in India are taking to iPads for detailing:
Reason for choosing iPads fast launch time No sleep mode and no standby Handy when you meet your customer User-friendly

Using iPads for detailing can create a wow-effect

Sales promotion
Sales promotion in Pharmaceutical Marketing
includes several communications activities that attempt to provide added value or incentives to The customers (doctors) The consumers (patient) The wholesalers (stockists) , retailers, or other organizational customers to stimulate immediate sales.

Sales promotion
The most popular methods of Sales promotion used in Pharmaceutical Marketing are:
Quantity discounts or Trade Offers Gifts to retail chemists and stockists on the purchase of a slab-wise predetermined quantity of a product or on value of an assortment of products

Limitations of Sales promotion

Sales Promotion cannot increase awareness, interest, evaluation, trial or usage in general. Sales Promotion cannot increase the sales of products at the retail level unless it is supported by an increase in the prescription from doctors. Sales Promotion will not be able to increase the stock levels with the retailers and wholesalers. It may boomerang if there arent enough prescriptions Even in the case of OTC formulations, Sales Promotions should be backed by adequate advertising pressure

 Usually the trade offers are also extended to dispensing doctors and nursing homes. This can dramatically improve the repeat usage by dispensing doctors and nursing homes. Sales Promotions are useful in achieving certain short term objectives like reducing inventories of products and increasing the stocking with the Trade provided there is simultaneously backing from the Companys side with advertising and Personal selling efforts to increase the demand.

Positive Impact of Sales Promotion

Sales Push vs. Demand Pull Strategy

The origin of these two terms refers to the supply chain and how the demand for the product is generated.

Sales Push vs. Demand Pull Strategy

A pull strategy concentrates on consumers who are the final purchasers A push strategy involves pushing the product through the distribution channel by gaining the co-operation of the stockists and retailers. Some companies employ combination of these two basic strategies.

The Push Strategy

The push strategy got its name because it involves pushing or urging members of the marketing channel to

Sell a product by recommending it to end consumers Or by giving the products adequate display
Companies offer special offers, discounts or gifts to stockists and retailers to gain their support.

The Pull Strategy

The pull strategy aims at pulling the customer towards the product Every pharmaceutical company aims to create a demand for its products. The companys priority is to generate prescription for prescription products from the prescriber or customer viz. the doctor

Creating demand or generating prescriptions is a pull strategy

Sales Push vs. Demand Pull Strategy

The pull strategy should be properly balanced with an appropriate push strategy at the retailer level. All the hard work of generating the prescription by a medical representative would go to waste if the prescription generated by him/her is not honoured due to want of stocks. Products with seasonality eg. Cough and cold preparations and anti-diarrhoeals combine push and pull strategy during the relevant season.

Advertising
Definition of advertising as per American Marketing Association:
Any paid form of non-personal presentation and promotion ideas, goods or services by an identified sponsor.
(The above definition clearly rules out any face to face communication with customers).

Advertising therefore can inform people, make them aware of your product, create interest and take them to a stage of evaluation. eg.

Journal advertising for Ethical Products, Mass Media for OTC

products.

Advertising benefits
In Ethical Pharmaceuticals, an advertising campaign 1. Can create a better climate, a favourable disposition for the sales force to move in and clinch the sale. 2. Also, it can reassure a convinced user and maintain usage.

Advertising Limitations
In Ethical Pharmaceuticals, an advertising campaign 1. Is not permitted in mass media. 2. Cannot create or increase sales directly. 3. It can never be a substitute for the Medical Representative.

4. The true beneficiary, the patient, may never see the

advertisement in case of prescription drugs.

DTC Advertising Pros and Cons (Direct to Consumer)

Pharmaceutical company perspective

DTC advertising benefits public health by starting a dialogue between patients and physician, which can lead to education and treatment of patients. DTC advertising fosters competition among products which lead to improved quality and lower prices. DTC advertising enhances consumer knowledge by making

them aware of new products, helps them identify symptoms

and new treatments for previously untreatable disease.
http://www.phrma.org/direct_to_consumer_advertising/

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Pharmaceutical company perspective contd.

DTC advertising encourage consumers having interactive dialogue with their physician about medical condition and illness they may never have discussed before. Patient compliance could be increased.

http://www.phrma.org/direct_to_consumer_advertising/phrma-The pharmaceutical and research manufacturers Association

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Downsides of DTC Advertising

Leads to uneducated self-diagnosis

Web Marketing
The advent of the Internet as a legitimate marketing tool has created the first trackable massmarketing channel. Today, Internet marketing campaigns can capture even the most granular details of every interaction, which can then be stored for individual and aggregate analysis. Internet campaigns, unlike TV, radio, and print,

need not rely on post hoc statistical surveys with

their inherent delay, potential error, and cost.

Web Marketing contd.

Three trends are driving change:

Pharma and life sciences CEOs are demanding better accountability

and ROI from their marketing investments.

Target audiences are increasingly using the Internet as a key component in making healthcare decisions.

New drugs targeting smaller populations make traditional broadcast channels less desirable.

Public Relations
Usually PR is interpreted as Public Relations but in the case of Ethical Pharmaceuticals, it may be more appropriate to refer to it as Professional Relations. This cost effective medium for communicating our message includes Medical press releases (particularly for new products) Reports on Scientific meetings/symposia Reviews of publications Accounts of Clinical Trials and Professional meetings

Public Relations contd.

Specialised PR Agencies exist to handle all the

necessary work Most large Companies in addition, have an internal PR department to liaise with the PR Agencies But sometimes given the medical nature of the briefings, the Product Manager in conjunction with the Medical Director/Medical department, is required to assist the internal PR department to brief the external PR Agencies by providing all the relevant data. The Product Manager also has to help the internal PR department, monitor and review the effectiveness and progress of the PR initiatives. .

Medical meetings/ symposia/ congresses

These may be at local/national or international level with the involvement of local / national or international speakers who may be external doctors of opinion leader status or in-Company medical doctors with suitable qualifications and experience. More important is the degree of control which the host company has over the programme and speakers. Obviously, a company gets better value if the event meets the companys objectives.

Criticism against Medical meetings/ symposia/ congresses and OPPI / IFPMA guidelines

Interactions with Healthcare Professionals:

EVENTS excerpts from OPPI IFPMA guidelines

Travel Facilities: No travel facilities to be extended to a healthcare professional as a delegate, inside the country or outside, including rail, air, ship, cruise tickets, paid vacations, etc. for self and family members for vacation or for attending conference, seminars, workshops, CME programme, etc. Payments for Speakers and Presenters: Payments of reasonable fees and reimbursement of out-of-pocket expenses, including travel and accommodation, may be provided to healthcare professionals who are providing genuine services as speakers or presenters, other than delegates.

Conferences and Medical Events Hospitality/ Appropriate Venue/Limits of Hospitality / Entertainment excerpts from OPPI IFPMA guidelines
Hospitality: No hospitality, like hotel accommodation, for self and family members under any
pretext to be provided to a healthcare professionals other than as mentioned in sections 7.3 and 7.4

Appropriate Venue: All Events should be held in an appropriate venue that is conducive to
the scientific or educational objectives and the purpose of the Event or meeting. The additional requirements set forth in Article 7 of this Code also apply accordingly.

Limits of Hospitality: Hospitality, wherever applicable, should be limited to refreshments

and/or meals incidental to the main purpose of the Event and should only be provided: To participants of the Event and not their guests; and If it is moderate and reasonable as judged by local standards. As a general rule, the hospitality provided should not exceed what healthcare professional recipients would normally be prepared to pay for themselves.

Entertainment: No stand-alone entertainment or other leisure or social activities should be

provided or paid for by companies. At Events, entertainment of modest nature which is secondary to refreshments and/or meals, wherever applicable, is allowed.

Medical Exhibitions
These can be relatively expensive on account of: Cost of renting space Cost of special stand Samples and Literature Staff time It is important therefore to predetermine the objectives of participation vis--vis the cost likely to be incurred.

Direct Mailings
Earlier it used to be by Post. Now internet has become a cost effective medium for Direct Mailings. The objective must be defined first so that the following can be planned: Tailor made message The Design The Target Audience and The Response Measurement

Phase IV or Post Marketing Surveillance Studies

Phase IV or other Marketing Oriented Studies can be very effective in: Creating Customer Knowledge Documenting the experience of the product Creating a useful pool of speakers for meetings / conferences etc.

The trials must satisfy Companys own scientific and ethical standards

Web Marketing contd.

Marketing executives are turning to Internet marketing as a

more effective means to measure branding and sales impact,

along with the promise of a greater ROI than traditional marketing channels.

Marketers in big pharma companies are looking to better

understand this medium of communication and use it to develop a direct relationship with the consumer.

Web Marketing contd.

It all starts, of course, with your website: the cornerstone of any online marketing effort. Most bio/ pharma companies soon realize that their website needs to address multiple target audiences, such as: Physicians

Patients
Caregivers Investors

Collaborators
Clinical trials prospects

The sites architecture and navigation

Must make it easy for each of these groups to find content of relevance to them.
Engage your visitors

Be readily usable
Convey your companys top-level and supporting messages clearly

Employ design that harmonizes well with your companys image/branding

Reflect the quality of your company Provide analytics, so that visitor sources

and paths through your site are readily trackable

Be updateable

Advantages of Web Marketing

In the past, patients independent sources of information were limited to family and friends and text books All that has changed with the Internet: there is now a vast information available at the click of a mouse. The patient may also browse through several blogs or forums to gain feedback from actual users of the drug.