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prescriptions. Because the price of prescription drugs is climbing, many states are reducing<br />

their Medicaid drug benefits.<br />

Due to the high cost of prescription drugs in the United States, many consumers are<br />

finding alternative ways of getting the prescription filled. The common trend is filling and<br />

importing medicines from Canada at a lower price. The Canadian government is taking a<br />

proactive position by trying to block or to reduce the exportation of the drugs to the United<br />

States. In a recent press release, the Canadian health minister stated the intention to introduce<br />

legislation under Canada’s Food and Drug Act that would prohibit companies from exporting<br />

bulk prescription drugs to the United States.<br />

Competitors<br />

Pharmaceutical companies are marked by rapid advances in scientific knowledge by<br />

producing more effective medicines. Profitability is determined mainly by the ability to<br />

discover new drugs while keeping their cost low. The industry is dominated by large<br />

manufacturers that manufacture drugs, have large research operations, and have<br />

resources for conducting clinical testing along with more than adequate funds for<br />

marketing and distribution.<br />

As indicated in Exhibit 6, Merck competes directly with large drug manufacturers<br />

that offer similar products, especially if a patent has expired. The company also competes<br />

indirectly with smaller drug manufacturers because many may be more innovative or are<br />

able to produce generic brands at a lower cost.<br />

GlaxoSmithKline is a global health-care group engaged in the creation and discovery,<br />

development, manufacture, and marketing of pharmaceutical products, including vaccines,<br />

OTC medicines, and health-related consumer products. The company operates in two segments:<br />

Pharmaceuticals, which produce pharmaceutical products for therapeutic areas; and<br />

Consumer Health Care, which focuses on OTC medicines, oral care, and nutritional health<br />

care. The company had reportedly been in talks early in 2009 to be acquired by Johnson &<br />

Johnson and Novartis AG.<br />

Pfizer discovers, develops, produces, and markets prescription medicines for humans<br />

and animals. The company has two segments: Pharmaceutical, which develops and<br />

produces products that treat cardiovascular and metabolic diseases, central nervous system<br />

disorders, arthritis and pain, infectious and respiratory diseases, urogenital conditions, cancer,<br />

eye disease, endocrine disorders and allergies; and Animal Health, which discovers,<br />

develops, and sells products for the prevention and treatment of diseases in livestock and<br />

companion animals. Pfizer also operates several other businesses such as the manufacture of<br />

empty soft-gelatin capsules, contract manufacturing, and bulk pharmaceutical chemicals.<br />

Their popular drugs are Lipitor (commonly used to reduce high cholesterol), Celebrex (for<br />

treating arthritis), and Viagra (prescribed to treat erectile dysfunction). The company<br />

recently acquired Wyeth pharmaceuticals, giving Pfizer the ability to complete in nine<br />

diverse heath-care businesses.<br />

EXHIBIT 6 Merck versus Competitors (April 2009)<br />

CASE 26 • MERCK & COMPANY INC. — 2009 259<br />

Merck GlaxoSmithKline Pfizer Sanofi-Aventis Drug Industry<br />

Market Cap $48.84B 77.47B 90.32B 70.84B 78.72M<br />

Employees 54,100 99,003 81,800 98,213 335<br />

Revenue 23.41B 35.73B 48.30B N/A 253.49M<br />

Gross Margin 76.03% 77.14% 85.08% 74.54% 73.14%<br />

Oper Margins 25.53% 36.57% 34.77% N/A 5.89%<br />

Net Income 5.93B 6.75B 8.02B N/A N/A<br />

EPS 2.785 2.58 1.201 N/A N/A<br />

Source: Based on information at http://finance.yahoo.com.

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