How to navigate the challenges of a changing Chinese market

Rapid economic and demographic changes are causing a boom in the Chinese market for pharmaceuticals. This offers opportunities for pharma companies, but the landscape is complex, and understanding the changes will be key to success in the region.

China has become the world’s second-largest pharmaceutical market, making it a market with enormous potential for international pharma companies. China’s senior population is growing: more western lifestyles combined with better overall health has the positive effect that life expectancies are improving but associated lifestyle illnesses like heart disease and diabetes are on the rise. This poses a challenge for healthcare services in the country.

The government is already taking measures to develop its healthcare system to handle the increasing demand. The “Healthy China 2030” plan was a sign of its commitment to improving the health of the nation, and the plan is supporting the growth of this industry in a number of areas, including pharmaceutical distribution.

As China adapts to its environment, challenges arise for foreign pharma companies newly navigating the Chinese pharma market looking for local partners.

A fragmented market

China’s pharmaceutical distribution market is currently dominated by small-scale, domestic distributors, often focussed only on their local area. In these areas the top wholesalers hold less than one third of the market share.

Mergers and acquisitions have also been encouraged by the Chinese government. Large wholesalers are absorbing smaller distributors in order to increase their overall market share and strengthen their capabilities in smaller cities and rural areas. This market consolidation is leading to shorter supply chains, better enforcement of industry standards and regulations, as well as reduced costs. Working with a partner who understands this shifting market, and can advise on the best solutions, is key for pharma companies wishing to operate in China.

Reducing risk and costs

A multi-tiered distribution structure means products change hands multiple times before reaching a patient in need. This increases both cost and risk, with multiple margins added and increased opportunity for counterfeits to enter the supply chain.

In an effort to reduce the risks and costs, the government has started to implement a two-invoice system: one invoice from the manufacturer to the distributor, and one invoice from the distributor to the buyer. Limiting the supply chain length will make the process more transparent. However, foreign pharma companies needing access to a wide range of products will need to partner wisely: a distributor who cannot access the products required will not be able to work with other distributors to increase their sourcing capabilities.

Logistics challenges

China suffers from an unevenly developed logistics network, mainly due to its vast size and varied geography. Consolidation of distributors will add pressure on existing logistics service providers which are not yet optimized for handling cold-chain products, nor for complex inventory and delivery requirements.

Pharma companies are increasingly looking to partner with distributors who offer full-service logistics solutions to better control their supply chains and reduce risk. This increased demand is providing the catalyst needed to encourage distribution companies to improve their logistics service offerings.

The landscape for international pharma companies wishing to operate in China is not a simple one, but finding a partner who can help navigate the rapid change and development currently underway will be critical. Early-stage consulting, reliable access to products, and full-service logistics solutions will provide the foundations international pharma companies need to make the most of China’s opportunities.

Inceptua Group is an international partner for clinical trial services, medicines access, and commercial products. Inceptua Pharmaceutical Technology Services (Shanghai) Co., Ltd. established in China can support Pharma companies starting to operate in China.

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CEO and Board Member

Stefan Fraenkel

Stefan Fraenkel is the CEO of the Inceptua Group and is also on the Inceptua Board. He has extensive experience in the pharmaceutical industry. Before joining Inceptua, he held senior management positions at Sobi (Swedish Orphan Biovitrum), Sweden’s largest publicly listed specialty pharmaceutical company, leading Marketing & Sales and serving as Head of Corporate Development and Strategy.

Previously, Stefan worked at Pfizer and Wyeth in international commercial leadership roles across Europe and the USA, gaining deep insights into global pharmaceutical markets and strategies. Stefan has also spent part of his career in management consulting. Stefan holds a PhD in International Economics, an MBA, and a BSc in Engineering.

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Member of the Board

Chris Hasslinger

Chris Hasslinger is a Partner of Vesey Street Capital Partners and serves as a member of the Firm’s Investment Committee. He joined VSCP in 2023 and is responsible for sourcing and evaluating new investment opportunities and general portfolio company management. Mr. Hasslinger has nearly three decades of experience in healthcare and technology strategy and deal-making within the industry as well as in investment banking and private equity. He has extensive M&A experience, having closed over $20 billion in transaction value, and has established and structured a number of large commercial partnerships.

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Executive Vice Chairman

Alan Raffensperger

Alan Raffensperger has a robust leadership background in the pharmaceutical industry, having served as CEO of Inceptua and COO of Sobi (Swedish Orphan Biovitrum), along with significant international executive roles at Amgen, Roche, and Pharmacia.

He has also been CEO for venture capital-owned medical device companies, showcasing his versatility in healthcare leadership. Alan’s early career as an advanced life support paramedic provided a strong foundation in emergency healthcare.

He holds an MBA and a BA in Emergency Health Care Management.

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Member of the Board

Blake Goodner

Blake Goodner is a founder member of the investment firm Bridger Capital. He previously worked as a healthcare analyst at Tiger Management and a healthcare investment banker at Morgan Stanley. He currently serves as an advisor and board member for a range of healthcare companies. Mr. Goodner has been a member of the Trinity College Board of Visitors and the Duke Annual Fund Executive Committee. He is a current advisory board member with The Duke Margolis-Center for Health Policy.

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Member of the Board

Adam Feinstein

Adam Feinstein is the Managing Partner of Vesey Street Capital Partners. Mr. Feinstein has 30 years of investment experience exclusively in the healthcare services sector. Prior to founding Vesey Street Capital Partners in 2014, he was a Managing Director on Wall Street and a healthcare industry executive. He held the position of Senior Vice President of Corporate Development, Strategic Investments, and Office of the Chief Executive Officer at LabCorp. Before his tenure at LabCorp, he spent 14 years as the Managing Director in Equity Research at Lehman Brothers/Barclays Capital. Mr. Feinstein is the Chairman of VSCP’s investment committee. He is also actively involved in working with portfolio company executives and sourcing new investment opportunities. At the same time, he oversees all of the firm’s investment activities and employees.

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Larry Marsh

Larry is a General Partner of Vesey Street Capital Partners and serves as a member of the Firm’s Investment Committee. He joined VSCP in 2016, and currently sits on the Board of QualityMetric, Safecor Health, and HRGi. He is responsible for portfolio company management and for evaluating new investment opportunities. Prior to VSCP, Larry was EVP, New Market Development & Chief Strategy Officer at Fortune 10 AmerisourceBergen. Prior to that, Larry was the #1 ranked Healthcare Technology & Distribution analyst on Wall Street for over a decade, at Barclays, Lehman Brothers, Salomon Smith Barney, and Wheat First Butcher & Singer. Larry worked with Adam, Bryan, Dan, and Joe at Barclays and Lehman. Larry received a B.S. in Economics & Management as well as an M.B.A. from the University of Richmond, and an M.P.H. from Columbia University.

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Member of the Board

Heyward Donigan

Heyward Donigan is a seasoned healthcare CEO, Board Member, and Private Equity Advisor with broad industry experience and a track record of profitable growth. From 2019 to 2023, Ms. Donigan served as Rite Aid’s president and chief executive officer, making her one of the few women CEOs of a Fortune 500 company. While at Rite Aid, Ms. Donigan led the company to through a major brand, merchandise and technology transformation, debt reduction/refinancing, while also leading the company through a pandemic. Ms.Donigan is currently a strategic advisor to Vesey Street Capital Partners, Arima Health, and a board member of OnMed.

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Executive Chairman

Doug Cook

Doug Cook is the Executive Chairman at Inceptua. Mr. Cook began his career driving the early success of Livingston Healthcare, leading to the purchase by UPS to become what is today UPS’s Global Healthcare business. After Livingston Healthcare, Mr. Cook moved to AmerisourceBergen (now called Cencora/COR) in 1998 and had an impressive career overseeing most of Cencora’s high growth, manufacturer-facing business. Mr. Cook ultimately served as the Executive Vice President, President Commercialization and Animal Health for COR.

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