How has the valuation of pharma companies in the US corrected in the past two to three years?
It is a good time for Indian pharma to make big acquisitions in the US as the price-to-earnings multiple for generics business has come down to 7.5, a 10-year low, against the median of 14. However, the enterprise value-to-Ebitda multiple is 9, which is in line with the 10 years’ average and indicates that operating margins are still good. It benefits from debt leverage, which is at an all-time high. Sales multiple is also at an all-time low.
What is the correction in this period specifically to specialty pharma companies in the US?
Under the Trump rule, would it be helpful if Indian companies have production facilities in the US?
Yes, it would be helpful from a risk arbitrage. There are all types of manufacturing facilities in the US that are planning to be hived off by big pharma. Good time to buy is based on one’s pocket. The impact on Indian companies from a potential border tax implementation in the US is high.
Currently, Indian pharma companies are not seized by border tax implications and, therefore, risk could be high for the sector under the Trump Administration.
The impact can be mitigated through more site transfer of existing products to the US and, in the medium term, increasing capacity in the US. An important consideration for Indian companies is to have a greater percentage of US sales manufactured in the US itself.
How can specialty pharma help Indian companies overcome pricing pressure in the generic drugs market in the US?
Generics, by its very nature, has a commodity life cycle that is governed by laws of demand and supply. More suppliers lead to lower prices and lesser margins. Then, this leads to the exit of many players. This creates a lesser number of suppliers eventually, increasing the prices and margins. Specialty pharma tends to be agnostic of the generic cycle and helps strengthen the core sales base of a company. Prices tend to hold firm for a longer time frame and there is limited competition. It is quite similar to branded generics in India, with the focus on doctors and hospitals rather than just the buying agencies.