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IS SUE 3   V OL UM E 1   O CT, 2011




                                                   Issue 3: Pharma


In this issue:
       “There is less pressure to
       impress and sell myself so I
       see it as a more down-to-earth
       profession.”


       “Commonplace but more and
       more true to our days: only
       change is constant..”



       “..where lawyers add value is
       not in giving the answers that
       everybody already knows, but
       giving the answer that nobody
       has thought about.”

       “Due to the effect of the
       changes on their profitability
       [..] pharmaceutical companies
       may be forced to reconsider
       their investments in Hunga-
       ry.”
       “It is not clear from the word-
       ing of the Medicinal Thrift Act
       whether any changes that
       occur after the notification
       would need to be reported to
       the Authority.”
       “..it is clear that Hungary has
       probably the greatest variety
       of such measures, including
       the highest level of extra taxes
       imposed on pharmaceutical
       companies.”




 This Issue‟s Grapevine Pick:
 d r. G e r g ő B u d a i - L e g a l D i r e c t o r - P f i z e r
IS SUE 3      V OL UM E 1    O CT, 2011




Issue 3: Pharma

Letter s from the editor s                                                                  In this issue:
What‟s         the      prognosis,           Volume 1                                                    DR. ESZTER TÖRÖK - GENERAL
Dr.?                                                                                                     COUNSEL FOR HUNGARY AND
                                                                                                         CENTRAL-EASTERN EUROPE -
               The pharmaceutical mar-                      When we first launched the                   TEVA GROUP…………………..3
               ket in Emerging Europe is                    GCG in May we could not
               clearly facing a need for                    have imagined what lay
               realignment with pressing                    ahead. 3 editions, 3 sec-                    DR. J UDITMISKOLCI - LEGAL
               issues of reduced health                     tors, 9 General Counsels,                    DIRECTOR - SANOFI-AVENTIS….5
               care expenditure, govern-                    10 senior private practice,
mental cost reductions, product pricing,     countless reader submissions for the
generics and the list goes on and on.        “Private Practice Strip” and “(My) Word
How is Hungary‟s Pharma industry             On The Grapevine” sections, all brought
planning to endure the next 5, 10 years      together by a simple idea - building a                      DR. GERGŐ BUDAI - LEGAL
and beyond? What are the major               strong GC community to share challeng-                      DIRECTOR - PFIZER...…………8
influencing factors in Hungary at present    es, solutions and best practices.
and what is everyone debating? Will          In retrospect, what makes us most proud
innovation suffer? But in such a competi-    about this publication, is the fact that, in
tive industry with patents expiring on big   reality, it is not our publication. Almost                  T HE S ZÉLL KÁLMÁN PLAN
ticket drugs, the industry is in dire need   all of the content, ideas, suggestions or                   PUTS INCREASING PRESSURE ON
of the subsequent “smash hit(s)”. We are                                                                 PHARMACEUTICAL COMPANIES -
                                             simple funny stories, belong to our read-                   BY DR . ILDIKÓ CSÁK..………..12
hearing so much talk about the Széll         ers that were not shy in reaching out to
Kálmán plan but how is it actually affect-   us and expressing their opinions and
ing the industry and ultimately the end      comments .
consumer? Everyone‟s asking the same                                                                     P HARMACEUTICAL COMPANIES
                                             With that in mind, we thank you all and
question “what‟s in store for Hungary‟s                                                                  FACING NEW CHALLENGES DUE TO
                                             we cannot express enough what an honor                      THE AMENDED REGULATION OF
Pharma future?”. The GCG has invited                                                                     PROMOTIONAL ACTIVITIES - BY
                                             it has been to work with you. Your input
General Counsels of some of the most                                                                     DR . DÓRA P ETRÁNYI..……….13
                                             is what drives this publication forward at
prominent players of the pharmaceutical
                                             the momentum it is going so keep those
industry to share their experiences,
                                             emails coming.
adversities and feats in this challenging                                                                EXTRA    PHARMA SECTOR TAX-
environment. We‟ve asked the tough           We are working diligently on the skele-                     ES IN HUNGARY: AN EUROPEAN
                                                                                                         OVERVIEW AND INTERPRETATION
questions about generics, price competi-     ton of the next issue and next volume,                      ISSUES - BY DR. HELGA BÍRÓ &
tion, governmental policies and many         but we need your nominations to pick                        DR . GERGELY RISZTER ……….14
more pressing issues. The controversy        the first Grapevine Pick for 2012. Write
and zeal associated with many of the         to us by December 1st and let us know
topics we thrash out in this edition has     who should be given this honor.
undoubtedly resulted in, we hope, a very     We are always happy to hear from our
exciting and informative product not         readers so, please, feel free to write to us
only for us to work on, but foremost to      at GCG@hudson.com or join the
share with you. We hope you enjoy the        dedicated group here for more details.
read!
Orsolya Endrefi                              Radu Cotarcea
Associate Director - Emerging Europe         Marketing Manager - Emerging Europe
and Latin America                            and Latin America
Hudson Legal                                 Hudson Legal


                                                                                                                          PAGE 2
IS SUE 3          V OL UM E 1         O CT, 2011




d r. E s z t e r T ő r ő k - G e n e r a l C o u n s e l f o r H u n g a r y a n d
C e n t r a l - E a s t e r n E u r o p e - Teva G r o u p
                                      one of three. I also had a lot of     firm, do not be afraid to look          large organization, you need to
                                      friends here who I had not seen       around. There is another life. It       be patient. For example, a lot of
                                      for years and part of my family       is pretty rare and pretty lucky to      my work today is internal
                                      was living here as well. I think,     find a company that has a good          politics, liaising with different
                                      overall the quality of life was       reputation and great work expe-         people and reaching compromis-
                                      better and I found living here a      rience but they are out there.          es, which most of the time I do
                                      lot more pleasurable.                                                         not mind, actually quite enjoy,
                                                                            HL: What makes a good GC
                                                                                                                    but sometimes it can become a
                                                                            in your view?
                                             “There is less pressure                                                bit frustrating.
                                                to impress and sell         ET: First of all, I think it the case
                                                                                                                    HL: You mentioned commu-
                                                                            with most lawyers that they start
                                              myself so I see it as a                                               nication. What would you
                                                                            as external counsels, most often
                                                                                                                    say are the differences
                                              more down-to-earth            with an international firm, and
                                                                                                                    between how an external
                                                                            later in their career they move
HL: I am sure our readers                               profession.”        in-house. When working in
                                                                                                                    counsel interacts with a
                                                                                                                    client and how you interact
would enjoy to learn a bit                                                  private practice, especially with
                                      HL: One of the myths relat-                                                   with your colleagues?
about your background..                                                     large international firms, lawyers
                                      ed to in-house lawyers is             need to specialize in one particu-      ET: It really is a very different
ET: I have been with Teva for         that their workday ends at 5          lar practice and, as a result, one      type of a relationship than when
nearly 8 years. Before that, I        pm. How accurate do you               of the main challenges is to wid-       you are an external lawyer. In
worked with CMS Cameron               find it?                              en your scope when you move in          that situation you have a
McKenna in Budapest. Prior to                                               -house.                                 question, you write an answer
that, I worked with the same          ET: It is indeed much more
                                      balanced. You have less push                                                  along the lines of „you can do
firm in London as a trainee                                                 I had the same challenge since, as
                                      from clients, although you have                                               this, you cannot do this‟ and at
solicitor. I am Hungarian by birth                                          a GC, I had to have at least a
                                      your own internal ones. I think it                                            the end you write a very large
but I lived in the UK for 11 years                                          basic idea of most areas of the
                                      is a lot more flexible as people                                              disclaimer. As an in-house
and studied Law in Oxford. In                                               law so I had to become more of a
                                      care a bit less of how and where                                              lawyer, if you say „this cannot be
truth, I was not really planning                                            generalist. Before joining Teva, I
                                      you do your work. They do not                                                 done‟ your colleague will come
on coming back but I did in 1993                                            was doing M&A, corporate and
                                      mind if you send them an e-mail                                               back the next day and ask „ok,
for the first time and then again                                           commercial work so my experi-
                                      from home or on a Saturday                                                    still, how can I do this?‟. It is
in 1997 when I quite simply got                                             ence with other areas was lim-
                                      evening. They simply want                                                     much more of a practical
stuck. I just loved Budapest and                                            ited. On the other hand, that is
                                      solutions. There is less pressure                                             exercise, and you learn to avoid
while London is beautiful, it is                                            why I find my current role so
                                      to impress and sell myself so I see                                           the very first step and not go out
not a great city to live and work                                           much more interesting, because
                                      it as a more down-to-earth pro-                                               and say „this cannot be done‟ but
in.                                                                         it is much more varied.
                                      fession. I simply work with my                                                try to come up with a compro-
HL: What was it that made             colleagues towards a common           At the same time, you need skills       mise of sorts.
you stay?                             goal rather always need to            that go beyond the legal skills:.
                                                                                                                    HL: Having worked mainly
                                      impress the        client and to      You need good networking skills;
                                                                                                                    in M&A prior to Teva, how
ET: As a very junior lawyer, the      convince them they are the best       strong communication with all
                                                                                                                    did you manage the move
work was much more interesting        there is and ever will be.            levels of the company is also key;
                                                                                                                    to the pharmaceutical in-
and challenging here. It was                                                you need to have basic feel of the
                                                                                                                    dustry?
simple math since, at that stage in   With that in mind, my advice to       company and what it is doing;
London, I was one of the hun-         lawyers would be, especially          and probably one of the most            ET: The way I became involved
dreds of trainees and here I was      when you work with a large law        important aspects, especially in a      with Teva was by sheer coinci-


PAGE 3
IS SUE 3          V OL UM E 1          O CT, 2011




                                                                                                                 Andrékó Kinstellar




                                                                                                                                                         The Pr ivate Practice Str ip
dence. When I applied for the         What made you stay?                  and extremely damaging, espe-
role, I was replying to a job ad-                                          cially in the long run. To offer
                                      ET: I tend to stay unless I have a
vert that only said „multinational                                         some background information,          Euromedic refinancing
                                      very strong incentive to leave. I
pharmaceutical company‟. I had                                             Teva has 3 divisions in Hungary,
                                      like being familiar with what I
no idea it was Teva. Moreover,                                             manufacturing, marketing and          Kinstellar advised Euromedic
                                      am doing and I like the environ-                                           Group (a pan-European medical
after I learned it was Teva, I did                                         wholesale. The plan introduced
                                      ment, I like the people. You will                                          services provider) on the EUR 250
not even know much about the                                               very hefty taxes making it
                                      probably laugh but I like Monday                                           million refinancing of the group
company. At the time, 2004, the                                            basically impossible for pharma-      including related regulatory and
                                      mornings... I like coming to
Teva brand was not so widely                                               ceutical companies to promote         employment law advice.
                                      work. Most of the time I just
known. On the other hand, what                                             their products. This is based on
                                      enjoy what I do.
did help was the fact that at times                                        the notion that pharmaceutical
I can be a bit of a hypochondriac     HL: Your role as GC must be          companies are greedy and „evil‟.      Johnson & Johnson
so, even then, I already knew         even more challenging since          The idea is that the new Govern-      competition law advice
quite a bit about various medical     your responsibility is at a          ment measures should stop us
conditions and pharmaceutical         regional level. Which of the         promoting our products so that        Kinstellar advised and represented
                                                                                                                 Johnson & Johnson (a global
products.                             markets do you need to               people buy less and, as a result,
                                                                                                                 healthcare products manufacturer)
                                      spend most time on and,              cut some of the Government‟s          in cartel proceedings at the
                                      from a regulatory point of           spending. This rather simplistic      Hungarian Competition Office
           “I was blessed with        view, which one is the most          approach is based on the notion       regarding Vision Care products
         great colleagues who         problematic?                         that the reason people buy so         including related regulatory advice.
           never made me feel                                              many pharmaceutical products is
                                      ET: These days, it would be
                                                                           not the health state of the popu-
            uncomfortable for         Hungary. We have a lot of very
                                                                           lation but that we promote our
                                      good lawyers and a large team
      asking what they might          for example in the Czech Repub-
                                                                           products too much. Unfortu-
                                                                           nately whoever was responsible
                                                                                                                 Gide Loyrette Nouel -
       have perceived as silly        lic. If something really big comes                                         D‟Ornano Iroda
                                                                           for writing the changes in the
                    questions.”       up then I would get involved but
                                                                           law was probably under quite
                                      generally I know I have a strong
                                                                           some pressure and did not have a
Even so, when you come into           team and I let them get on with                                            Balkan       operations        sale
                                                                           lot of time to draft the law
this industry for the first time,     it.                                                                        advice
                                                                           properly. The way the law is
you need to interact with
                                      From a regulatory point of view,     phrased is very far from ideal.       Gide Loyrette Nouel, with the
doctors, researchers and business
                                      currently Hungary is the most        When we got it for the first time     active participation of its Budapest
people who have a very strong                                                                                    office, is currently advising an
                                      problematic and it is all the most   we spent hours reading it simply
knowledge of the industry, so it                                                                                 important European distribution
                                      worrying to see that other Gov-      because there were many sec-
is quite a challenge. I guess, in                                                                                group on the potential sale of its
                                      ernments such as those of the        tions that could be read in many
the early stages, I learned how to                                                                               operations in the Balkans, including
                                      Czech Republic and Poland have       different ways. It is a very uncer-   Romania, Serbia, Bosnia and
ask questions without revealing
                                      taken a liking into what the Hun-    tain piece of legislation. At the     Kosovo.
that I was asking them because I
                                      garian one has done and are          same time, the fines and other
was not really familiar with the
                                      thinking of following their exam-    sanctions that can be imposed for
topic. Of course, reading and
                                      ple.                                 breaching the law have been           Advising on the creation of
researching a lot was key in
                                                                           considerably increased. It is real-   regional joint venture
bringing myself up to speed. At       HL: In Hungary we have
                                                                           ly a very tough balancing exer-
the same time, I was blessed with     seen a lot of changes with                                                 Gide Loyrette Nouel Budapest is
                                                                           cise at the    moment.
great colleagues who never made       the introduction of the Széll                                              currently advising a Swiss
me feel uncomfortable for asking      Kálmán plan, which most              HL: Will this plan impact             investment group on the creation
what they might have perceived        GCs are not happy about.             your clients?                         of a regional joint venture structure
                                      What part of the plan gives                                                operating the wholesale and the
as silly questions.
                                                                           ET: Yes. There have also been         distribution of a clothing brand in
                                      you the most headaches?                                                    Hungary, the Czech Republic and
HL: You have been in the                                                   radical changes made to the
industry, and the company,            ET: How long do you have? I          reimbursement system. Obvi-           Slovakia.
for quite a few years now.            believe it to be extremely painful   ously, the aim was to reduce the


                                                                                                                                           PAGE 4
IS SUE 3          V OL UM E 1          O CT, 2011




burden on the State health fund     manufacturers have lost their        patent group does support the          would have a litigation but other
as far as possible. To achieve      reimbursements on their prod-        R&D department as well. It is          than that we operate separately.
this, for certain products they     ucts.                                very important for our business
                                                                                                                HL: When were you most
introduced a so-called blind                                             development side since every
                                    HL Usually, companies in                                                    proud to have been work-
bidding system. Now, every 6                                             time we want to launch a new
                                    regulated industries compa-                                                 ing with Teva?
months each pharmaceutical                                               product, the first test that it has
                                    nies are invited to provide
manufacturer puts in a bid for                                           to pass is whether the original        ET: Whenever I have been to
                                    input for such changes. Was
the next few months based on                                             patent period of the originator        Israel, Teva‟s home country. It is
                                    this the case?
the price of their products.                                             has expired.                           a great feeling because there it is
                                    ET: There was some consulta-                                                seen as a national treasure. It is
                                                                         This is a fairly complex exercise.     THE flagship company. I am not
                                    tion but it was carried out under
               “Of course, the                                           There are patents in many              really sure what to compare it
                                    the form of receiving a 300 page
       Government is under a                                             countries and there is no unified      with because if I compare it to
                                    draft on a Friday evening and
                                                                         patent system between all of           MAV it does not really cut it.
         lot of pressure to cut     with a request to provide
                                                                         them so the time when you can
                                    comments by Monday morning.                                                 Whenever I enter Israel and I am
            costs but it is very                                         launch a patent differs from           asked for the purpose of my visit
                                    This obviously impacted the
     frustrating to be singled                                           market to market and when you          I tell them I am working for Teva
                                    quality considerably. Of course,
                                                                         look at your pipeline you need         and the way they look at me is
          out (along banks or       the Government is under a lot of
                                                                         their know-how.
                                    pressure to cut costs but it is                                             indescribably uplifting.
        other "bad people").”       very frustrating to be singled out
                                                                         It is a very different team in a lot   HL: What would you rec-
This system has recently resulted   (along banks or other "bad peo-                                             ommend to any lawyer con-
                                                                         of respects. They are patent
in extremely low prices being       ple").                                                                      sidering going in the phar-
                                                                         attorneys who, opposed to law-
offered in some cases, especially                                        yers who are either pharmacists        maceutical industry?
                                    HL: I noticed your patent
by smaller companies. They won                                           or chemists by education and
                                    department is separate from                                                 ET: It helps if you have an inter-
the bid because of the low prices                                        then take a separate course to
                                    your legal department. Why                                                  est in the industry itself. You will
and the problem I see in this is                                         become a patent attorney. There
                                    is that?                                                                    need an ability to adapt and to
that in a few months we might                                            are not that many cross-overs          research a lot but, passed that, it
see that these companies will not   ET: Patents are actually very        either. Rarely, corporate lawyers      will really be worth it.
have the capabilities to supply     important to us. Not necessarily     will work together with them
the market while the largest        because of R&D - though the          when [knock on wood] we

d r. Ju d i t M i s ko l c i - L e g a l D i r e c t o r - S a n o f i - Ave n t i s
                                    HL: In your view, what are           nal requirements and give clear,       Therefore he/she needs to be
                                    the top characteristics              company-focused, relatively            able to justify the solution
                                    needed to be a good GC?              short answers instead of citing        chosen.
                                    JM: I consider the role of a GC      the complicated rules in a
                                                                         “strange” legal language. The GC       HL: Why did you choose to
                                    totally different than the role of                                          practice law in-house?
                                    a free-lance lawyer or a lawyer      frequently has to give answers
                                    working at an independent law        immediately in the meetings            JM: Joining the Sanofi Group as
                                    firm, since being an in-house        when questions are raised and          an in-house lawyer four years
                                    lawyer means that you live           immediately evaluate the possi-        ago was a once-in-a-lifetime
                                    together with the company. A         ble risk.                              opportunity for me in my career
                                    GC has to be able to understand      Communication skills are very          path and it was a radical change
                                    the diverse needs of the busi-       important as well, because the in      as I had worked before as a
                                    ness, including logistics, R&D,      -house counsel is part of an           member of a law firm which
                                    manufacturing, regulatory af-        organism and a GC not only             worked for TEVA industrial site.
                                    fairs, HR, finance etc. One is       provides effective legal support,      I was also seeking new challeng-
                                    also expected to meet you inter-     but makes decisions day by day.        es at that time. As the Legal

PAGE 5
IS SUE 3          V OL UM E 1          O CT, 2011




                                                                                                                Horváth & Partners DLA




                                                                                                                                                        The Pr ivate Practice Str ip
Director of the company I am          importance to the Group. I‟m          HL: What do you look for
not an outsider but I have real       not saying that it is easy to cope    when you choose what law            Piper
relationship with my colleagues       with, but with continuous             firm to outsource work to?          DLA Piper advises Albany
that I really enjoy.                  “follow-up” and “readiness” it can                                        Molecular     Research
                                                                            JM: The chosen law firm must        Institute
                                      be manageable.
HL: What aspect of the GC                                                   possess the following features:
                                                                            appropriate experience, in-depth    DLA Piper in Hungary is advising
role do you find most                 HL: Why did you choose the
                                                                            knowledge of the pharmaceutical     Albany Molecular Research
challenging? Why? How do              Pharma sector? What gets                                                  Institute, Inc., a major US
you cope with it?                                                           industry, reliability, deadline
                                      your blood flowing when                                                   biotechnological company, on
                                                                            keeping and co-operative atti-      establishing its Hungarian presence
                                      talking about this industry?
JM: Sanofi has four affiliates in                                           tude.                               by acquiring the sole ownership of
Hungary, pursuing very complex        After graduation I started to                                             a Hungarian biotechnological
                                                                            HL: What do you definitely          company including the assistance in
activities, including R&D, manu-      work for an agricultural co-          not like to see in a proposal?      its restructuring of the subsidiaries
facturing, wholesaling, distribu-     operative. However, I felt that it
tion, promotion and clinical                                                                                    (spin off, merger, transformation)
                                      was not really my “dream” so I        As I have mentioned above, we
                                                                                                                and daily operational issues. We
trials, employing more than           took the first opportunity to         need clear, comprehensible,         also drafted internal patent
2000 people altogether. The           change and joined Biogal              “easy-to-digest” analysis for the   regulation for the Hungarian
legal department is responsible       Pharmaceutical Works (known           colleagues involved in the          subsidy of Albany Molecular
for the legal support of all kinds    today as TEVA Pharmaceutical          decision-making process. As a       Research, Inc. Continuous legal
of activities. Taking everything                                            result, I am really unsatisfied     advice concerning filing and
                                      Works). From that point on, my
into account, the most significant                                          when I have to “translate” it for   protecting of patents of the client.
                                      life was connected with the
challenge for me is to provide        Pharma sector: I‟m continuously       them to make it clear, because it
appropriate legal background for      keeping my eyes on the relevant       is rather time-consuming.
each unit while harmonizing with                                                                                Financing       subsidiary        of
                                      news. Since we try to be proac-       HL: What do you find to be          Hankook
the corporate guidelines and          tive and always be sure that we
Hungarian regulation in every                                               the biggest regulatory
                                      follow what is happening in the                                           DLA Piper in Hungary is advising a
field of the company.                                                       challenge in the Pharma             club of banks, led by Raiffeisen
                                      course of preparation of regula-      industry in Hungary?
                                      tions, we had to learn how to                                             Bank Zrt., in relation to the English
       “..we had to learn how         “read between the lines” of the       JM: One important aspect is
                                                                                                                and Hungarian law aspects of the
                                                                                                                financing of the local subsidiary of
          to “read between the        statements of the regulating          predictability. Every company       Hankook Hungary, the Korean tire
       lines” of the statements       bodies‟ representatives.              finds it very important to plan     manufacturing giant.
                                                                            ahead. When regulations and tax
              of the regulating       HL: As a General Counsel              burdens change even within one
      bodies‟ representatives.”       for a major pharmaceutical            business year planning becomes      Kajtár Takács Hegymegi-
                                      company, you must receive             very difficult. Moreover the        Barakonyi Baker &
                                      countless proposals from              introduction and increase of
Moreover, reacting quickly to                                                                                   Mckenzie
                                      law firms.                            surtaxes creates a competition
the fast and sometimes unex-                                                handicap for us not only interna-   Successful representation in
pected changes in the regulation      JM: Yes, I receive proposals                                              competition proceedings
                                                                            tionally but also within the
is essential in order to be able to   regularly from different law
                                                                            group, as group projects may be     We successfully represented a
meet all the requirements of the      firms. However, my options are
                                                                            implemented in other countries      major Italian-based pharmaceutical
law. I have to be proactive with      limited by the Group‟s guide-
                                                                            where the conditions are more       company in a proceeding before
regards to implementation of the      lines. We only work with some
                                                                            favourable.                         the Hungarian Competition Office
pharmaceutical and other rele-        of the preferred firms and our                                            initiated due to alleged unfair
vant regulation                       first step is always to see that      A good example is the R&D           commercial practices via
                                      there really is a need. We turn to    incentive: a 20% abatement was      pharmaceutical advertisements to
It is also well-known that this       an external law firm only in case     introduced in 2007 which was        patients. We also regularly advise
industry is heavily regulated in      of workforce shortage or when         then increased to 100%; but         the same client on wide range of
every manner, and ethical             the risk is high and the particular                                       pharmaceutical regulatory matters
                                                                            before the 100% could become
                                                                                                                (product promotion, wholesale and
behaviour, compliance, and            project requires special experi-      effective an amendment negated      retail sale of medicines etc.).
transparency are of the utmost        ence and knowledge.                   the use of the abatement, the


                                                                                                                                          PAGE 6
IS SUE 3         V OL UM E 1         O CT, 2011




                                                                                                                 Kajtár Takács Hegymegi-




                                                                                                                                                       The Pr ivate Practice Str ip
legal regulation being incon-        Which one in particular are           cost cutting measures should not
sistent with the implementing        you most passionately op-             be allowed to reach the point         Barakonyi Baker &
rules.                               posed to and/or keen on               where merely fiscal considera-        Mckenzie
                                     and why?                              tions prevail in healing.             Advising biotech company
Of course, we are given the op-
portunity to comment on new          JM: I hail the recognition that the                                         We advised a major US-based
                                                                           Patients must get the most effec-
bills and new laws and submit        present healthcare system is not      tive therapy. Laying stress on        biotech company in connection
our proposals, in most of the        sustainable on the long run but I                                           with regulatory questions (e.g.
                                                                           fiscal aspects has dangers for        wholesale licensing questions,
cases in cooperation with other      cannot agree with those that
                                                                           patients: for example if a medi-      medicine donation, clinical trial
pharmaceutical industry stake-       largely blame pharmaceutical
                                                                           cine that a patient has been taking   template agreements, etc.),
holders and, when that is done       industry for the problems. I disa-
                                                                           for a long time is lost by price      including the revision of the
properly, transparency and pre-      gree with a non-transparent drug                                            standard operating procedures
                                                                           competition and delisted, the
dictability is achieved. Unfo-       financing system causes part of                                             (e.g. Sponsorship Policy, Policy on
                                                                           patient has to be switched to
tunately the system is far from      the money to go to the drug                                                 the Interactions with healthcare
                                                                           another drug that may be less
ideal and does not always work       companies. These are exaggera-                                              professionals, Donation Policy) to
                                                                           effective or even harm his organ-     ensure compliance with applicable
out that way.                        tions.
                                                                           ism.                                  Hungarian laws and ethics rules.
HL: Without a doubt, the             I agree with the importance of
industry took a considera-           prevention and believe in solidar-    HL: Both in Europe and in             this system      there    is   no
ble hit as a result of the           ity where pharmaceutical stake-       the US, politicians have              negotiation.
measures put in place by the         holders take part together in the     been pushing aggressively             The challenge for us is obvious
Széll Kálmán plan. How did           struggle to educate people on         for Sanofi to lower drug              when a product with a new
this affect your work and            healthy living. On the longer         costs or expand generic               active ingredient is being
how do you expect it will in         term this may be an important         licensing. What are the fore-         reimbursed in a new indication,
the long-term?                       contribution to reducing              front issues when we speak            because in this case a so-called
                                     healthcare costs. Not incidentally    about pricing of pharma-              subsidy-volume contract has to
JM: The Széll Kálmán plan and
                                     Sanofi slogan is „from drug com-      ceutical products in Hunga-           be concluded. Contract conclu-
the rest of the measures affecting
                                     pany to health provider”              ry?                                   sion is preceded by thorough
the health sector cause legal
statutes to change all the time          “Commonplace but more and                                               negotiations, but the legal frames
                                                                           JM: As I mentioned, the focus is      are given. The essence of the
and impose more and more                 more true to our days: Only       on medicine price cuts and there      contact is that the manufacturer
restrictions on the budget. I
                                                 change is constant.”      is strong support to cheaper          has a payment obligation towards
think we have to coexist with this
                                                                           generic products. Hungary has a       OEP according to reimburse-
in the coming years. The greatest    HL: Which aspect of the
                                                                           rather complicated reimburse-         ment outflow generated with the
challenge in the continuously-       Széll Kálmán legislation do
                                                                           ment system - in effect compel-       included medicine, by this manu-
changing legislative environment     you think should be revisit-
                                                                           ling manufacturers to go in for       facturers contribute to reducing
is the sustenance of operations.     ed due to its impact on the
                                                                           tough price competition. The          public burdens upon the inclu-
Commonplace but more and             end consumer, the patient?
                                                                           OEP keeps reviewing the prices        sion of a new medicine making it
more true to our days: Only
                                      JM: Governments, and not only        ex officio to ensure cost efficacy    possible for the patients to buy
change is constant.
                                     in Hungary, are making attempts       and adherence to budget, and the      modern therapies on affordable
HL: There are many aspects           to reduce drug budget expendi-        companies make their price bids       price.
to the Széll Kálmán plan.            ture and patient burdens. But the     through an electronic system. In


( M y ) Wo r d O n T h e G r ap ev i n e
RE: On The GC Grapevine - Energy                  "METÁR", which will replace the "old"             If you would like to comment, reply or
                                                  mandatory takeover and subsidising system         add your viewpoint on any of the
Edition                                           ("KÁT"). "METÁR" is expected to play a            articles or the publication overall,
Simandi Bird & Bird is experiencing activity      major role in meeting the mandatory targets       write to us at GCG@hudson.com to
in the area of traditional energy sources with    for renewable energy by 2020 in Hungary.
                                                                                                    share your views with the GC commu-
increased interest in gas & oil exploration and                                                     nity.
exploitation in the region. This fall's hot       Zsófia Szerda
topic will be the new support scheme for          Head of Energy and Real Estate in Hungary
renewable energy sources, the so-called           Bird & Bird
IS SUE 3          V OL UM E 1        O CT, 2011




       d r. G e r g ő B u d a i - L e g a l D i r e c t o r - P f i z e r
                                             but when it was time, I did turn      wouldn‟t be who I am today. It        attorneys, but also to work with
                                             to the legal side of the profes-      was really an excellent learning      a number of in-house counsels
                                             sional arena.                         and working experience.               and legal advisors. I always
                                             During my university years, I         Transitioning to a pharmaceutical     perceived them as having a much
                                                                                                                         closer relationship with the
                                             spent my professional practice        company was not necessarily the
                                             periods at the Hungarian Consti-      obvious choice, although, while       business due to their daily work
                                                                                                                         and interactions with the compa-
                                             tutional Court as a clerk to Jus-     in private practice, I did repre-
                                             tice István Bagi, and afterwards at   sent pharmaceutical companies         ny‟s board. Having a better
                                                                                                                         understanding of the specific
                                             a midsized local law firm. My         and the Association for Innova-
                                             first real legal job was at White &   tive Pharmaceutical Producers.        company‟s needs meant that they
                                                                                                                         provided more business friendly
                                             Case, where I started as a 4 hour-    In fact we won a major case for
                                             a-day intern. I ended up spending     the Innovative Association. The       advice. On the other hand, as an
                                                                                                                         outside consultant, you are
                                             7 years with the firm, during         Government at the time intro-
                                             which time I had very interesting     duced a price decrease and price      brought in for a very specific
                                                                                                                         project and, as a result, have a
                                             international assignments and         freeze which we were able to
       HL: I‟m sure our readers are          cases. Amongst others, I got to       argue against in front of the         more limited perspective on the
       interested in learning a bit                                                                                      issues at hand. Ultimately, I
                                             work in Washington D.C. and           Constitutional Court and have it
       about your background at              spent 6 months in White &             annulled within a record 3 month      wanted to get to the point where
       first...                                                                                                          I could truly understand an
                                             Case‟s Brussels office on a se-       period, one achievement that I
       GB: I had a very international        condment. That was particularly       am very proud of to this day. The     industry and, without the insight
                                                                                                                         you gain as an in-house counsel,
       upbringing. My father is in the       interesting as it was the time of     pharmaceutical industry was,
       diplomatic service and my moth-       Hungary‟s accession to the Euro-      however, only one of the areas I      it would have been much harder.
       er is a chemical engineer, so I got   pean Union making it a great          worked on while at White &
                                                                                                                         HL: Looking back at your in
       to live in a few places around the    experience. While I did study         Case. For example, I was in-
                                                                                                                         -house experience, was it
       world at a relatively young age.      quite a bit of European law at        volved in several privatisation
                                                                                                                         the right call?
       Like many Hungarian boys, I           university, having the chance to      transactions, and various energy
       played our national sport, water-     actually work with EU law in          and infrastructure deals, as well     GB: After almost 6 years at
       polo, throughout my school            practice and work with clients in     as considerable local and interna-    Pfizer, my answer is a definite
       years, which I still enjoy as a       the European Court of Justice or      tional litigation and arbitration.    “yes”. For me, working as a
       pastime. When I started law           before the European Commission                                              Legal Director is pretty much
       school I worked at a popular          or Parliament was absolutely          HL: Why did you decide to             like running your own law firm
       radio station writing commercial      phenomenal. I‟m really thankful       move in-house?
                                                                                                                         because you have so many
       jingles and subsequently a sight-     to White & Case and especially        GB: During my time as an exter-       different aspects, or practice
       seeing boat company in Buda-          István Réczicza as well as other      nal counsel I had the opportunity     areas. The difference is that you
       pest. I really enjoyed these jobs,    colleagues, as without them, I        not only to work with the best        have one client, who you have to




                                                                                                                   Peter Pazmany Catholic University,
                           Paul Revere                                 Kerek Utca                                  Doctor of Law and Political Sciences
                           Elementary School                           Elementary School                                            University of Pretoria Intern
Bocksai Istvan                                  Robert F. Wagner                             Szilagyi Erzsebet                      Law and Human Rights Cou
Elementary School                               Junior High                                  High School                               1998
1983                       1985                1988                      1990               1991                  1995

Budapest                   New York                                    Budapest                                                       Pretoria
                                                                                                                                                PAGE 8
IS SUE 3         V OL UM E 1        O CT, 2011




           know inside and out. You need          extent in a negotiation process,      hand, enabling business is the       consistent solution. We have to
           to deal with regulatory issues,        but for me, it is not nearly as       most important aspect of the role    be committed to raising the bar
           mergers and acquisitions. compe-       engaging or stimulating. As for       since, in my view, a good Legal      by challenging traditional think-
           tition, labor law, civil law,          reviewing documents, sure that        Director is one that tells you how   ing and ways of operating. We
           litigation, etc.. In fact, I used to   can be interesting but it is not      you can do or achieve something      recognize that our ability to
           love working in litigation and,        really the exciting part. That is     or reach a business goal as          provide the best legal service
           even today, I like to stay close to    why even today, time permit-          opposed to just someone saying       depends on how well we listen to
           this classic attorney function.        ting, I take almost every oppor-      “no” or “you can‟t do that”. Of      colleagues and engage with them
           I know every day I will be faced       tunity to represent Pfizer in front   course sometimes you do have to      to solve problems and seize
                                                  of a court or authority.              say no, but finding solutions -      opportunities together. As Amy
           with at least one question or
           issue that will be truly challeng-     HL: Well, I guess it is a good        creative and legally compliant       Schulman says, where lawyers
                                                                                        solutions - is extremely im-         add value is not in giving the
           ing. This comes as a result of the     (or bad) thing you have the
           variety of work, the innovative        opportunity to do this often          portant, and you always need to      answers that everybody already
                                                                                        be able to stay ahead of the game    knows, but giving the answer
           nature of the company, as well         then. Talking about your
           as, unfortunately, a result of the     function at Pfizer, what              and try to shape the upcoming        that nobody has thought about.
                                                                                        regulatory changes and the envi-
           legal environment of the industry      makes for a good LD in your                                                HL: Before we move into the
           in Hungary at the moment. And          mind?                                 ronment.
                                                                                                                             industry specific issues, we
           when I say at the moment, I                                                  HL: The idea of creative             are always curious what a
                                                  GB: I think the best way to
           mean the last 3 years.                                                       thinking is interesting as           Legal Director looks for
                                                  describe it is by using the mission
           HL: “Classic attorney” func-           statement of Pfizer‟s legal           most people imagine law-             when evaluating different
           tion?                                  division: Deliver competitive         yers thinking along the lines        proposals from law firms.
                                                  advantage by understanding our        of „this is the law in black on
           GB: Well, when I was growing                                                                                      GB: Pfizer has an innovative out-
                                                  businesses, managing risks, and       white and you cannot med-
           up, and this might sound a bit                                                                                    side counsel program called the
                                                  inspiring our colleagues to drive     dle with it‟.
           like a cliché, a lawyer was some-                                                                                 Pfizer Legal Alliance (or PLA in
                                                  creative and useful legal solu-
           one in a courtroom, arguing in                                               GB: Don‟t get me wrong. There        short, started by Amy Schulman,
           front of judge and jury. Litigation    tions.                                are a lot of things which are very   Pfizer‟s global General Counsel).
           is the classical place where a         I think that has everything neces-    clear cut with regards to what       The Pfizer Legal Alliance is a
           lawyer can truly present. Sure,        sary to describe a good LD. You       you can and cannot do, and of        collaborative partnership be-
           you also have that to a certain        need a very strong level of legal     course I would never give advice     tween Pfizer and 17 law firms
                                                  knowledge combined with a very        that is not compliant with           that aims to transform the way
                    “In fact, I used to love      good understanding of the busi-       existing regulation. What I mean     legal services are delivered and
               working in litigation and,         ness. On one hand, the role of a      by being creative is that, when      valued. These firms have agreed
                                                  General Counsel - or Legal            someone puts a business need         to work on a flat-fee basis, which
            even today, I like to stay close      Director as we say it - is to safe-   forward, the need has to be met.     is established at the beginning of
                    to this classic attorney      guard the company from issues         The real challenge is being able     each calendar year, and to
                                                  arising from non-compliance or        to blend that need with the          provide counsel to the company
                                  function.”      outside challenges. On the other      regulatory requirements into one     on a wide range of matters.




                                                       Associate to Senior Associate at White & Case

national    Clerk at Hungarian Constitutional                        Secondment with White & Case
urse        Court                                                    Brussels
            2000                                                     2004                                               Legal Director - Hungary at Pfizer

                                                       2001                                                            2007

            Budapest                                                 Brussels                                 Budapest
           PAGE 9
IS SUE 3          V OL UM E 1           O CT, 2011




 “..where lawyers add value is not    all, but what really matters for       team, how small pharmacies,            two. The damage, however, is
        in giving the answers that    me is the day to day interaction       physicians, or even consumers          not only to the companies, but
                                      that I have with these firms. I        and patients keep track of it all, I   ultimately to society. One is that
     everybody already knows, but     simply think it is hard to truly       do not know.                           two years ago, Hungary intro-
giving the answer that nobody has     asses a firms value without first-                                            duced a very good R&D incen-
                                                                             Even on our end, it is not enough
                  thought about.”     hand experience.                                                              tive plan for the Pharma industry
                                                                             to just keep track of all the new
                                      HL: Looking at the pharma-             regulations. If we did that, all       (which allegedly is identified as
This is something unique, and it                                                                                    one priority in terms of boosting
                                      ceutical industry specifical-          our work would be purely reac-
has proven quite effective in         ly, the first natural question         tive. We need to closely monitor       the      Hungarian        economy),
securing quality external counsel                                                                                   according to which, out of only
                                      is why did you choose it               every proposal and, within the
- who if need-be work with each       when you moved in-house?               applicable legal framework, we         the industry-specific extra taxes,
other. Of course this program                                                                                       companies would receive a tax
                                                                             try to influence the process and
stems from the U.S., and these        GB: We need to go back in time                                                deduction if they invested in
                                                                             provide our input to shape the
firms are not present everywhere      for a bit to answer that. As I                                                certain types of research and
                                                                             environment. The bottom line is
in the world, so occasionally, we     mentioned, I loved working in                                                 development, like basic research
                                                                             that we need to be on top of
do need to look at other firms        litigation and, while I was                                                   or phase I, II and III clinical trials.
                                                                             every piece of draft legislation
and we make those decisions           working at White & Case, one of                                               Knowing the experience and the
                                                                             from the moment it comes into
locally.                              the most interesting litigation                                               level of research at the Hungarian
                                                                             the pipeline.
                                      cases that I worked on was                                                    academic institutions, Pfizer
When we need to secure exter-         focused on this industry (it           “..the Pharma Economic Act. Ever       invested in this opportunity and
nal counsel outside the scope of      revolved around reimbursements                                                invested significant funds in R&D
the PLA, we look for law firms                                                since its enactment by Parliament
                                      and claw backs from the National                                              in Hungary. Unfortunately, this
that are practical, with good         Health Insurance Fund).                          in 2006, it was amended      tax incentive was cancelled as of
knowledge in the relevant prac-                                                substantially at least 25 times. “   July 1, 2011 and, on top of it, it
tice area. When I say practical, I    Throughout the case, I practically
                                      had to learn the industry inside                                              was cancelled with a retrospec-
mean to say that it is annoying                                              HL: There is a lot of buzz at          tive effect going back to 2010.
when you receive 20 pages of          out. I found it challenging and
                                      interesting and I was kind of          the moment about the                   Again, if you look at it from a
admittedly beautiful legal analysis                                          recent Széll Kálmán Plan.              legal perspective, a new piece of
when you simply needed a              drawn into this world.
                                                                             GB: It is one of many changes in       legislation coming into effect
straight-forward short answer.        HL: In general, what do you                                                   with a one year retrospective
While I would be delighted to         find to be the most chal-              the past 5 years. Like many
                                                                             things in life, it is not black or     effect is unheard of and against
read interesting legal analysis       lenging aspect of working                                                     the very idea of the rule of law.
(which has a beauty of its own)       in this industry?                      white. Every few months we
                                                                             have to adjust to changes that         This I find detrimental to society
and emerge into questions of                                                                                        as well as to the rule of law itself,
academic importance (and we           GB: As strange as it may seem,         never really lived out their life
                                      the unpredictability. Regulations      before they were changed again.        not to mention the companies
must find the time for that some-                                                                                   and all the scientists and universi-
time!), unfortunately, in today‟s     change virtually every month and       I agree that Healthcare needs
                                      change dramatically at least every     reform, and there are certain          ties that would have potentially
world, you have to deal with so                                                                                     benefited from this tax incentive,
much information on a daily           year, if not more. To illustrate       elements pointing to true correc-
                                      this, take one of the most             tion and reform. However, there        or members of society that
basis, that you simply don‟t have                                                                                   would have benefited from the
the time to indulge.                  important pieces of legislation        are also many elements that are
                                      governing our industry, the            of purely financial, cost-saving,      research results. At the same
On the other hand, there are a        Pharma Economic Act. Since its         and cost reduction nature, and         time, the move will also impact
few things that many firms            enactment by Parliament in             for true reform you would need         the country‟s credibility and will
present in proposals that don‟t       2006, it has been amended              investment in public healthcare,       cast a shadow over investor trust.
have such a significance. For         substantially at least 25 times.       investment that is not financed        The other measure is the sales
example, firms like to put            These amendments have oc-              solely by the Pharma companies.        representative tax changes.
forward a large number of             curred at all levels, from promo-                                             Originally this tax was intro-
                                                                             HL: Let us dissect it a bit as
lawyers. That I feel is almost        tional rules to applicable taxes or                                           duced in 2007 and, back then, all
                                                                             it is a very comprehensive
never relevant when compared          fines, and even to regulatory                                                 the pharmaceutical companies
                                                                             legislative package. Which
to their expertise level. Another     structures. An ever-changing                                                  reduced the number of their sales
                                                                             aspect of this plan do you
thing I tend not to follow is all     regulatory environment is chal-                                               representatives considerably.
                                                                             believe will damage compa-
the different awards or rankings      lenging but after a certain point it
                                                                             nies the most?
that they showcase when doing a       simply goes against the basic                                                 Now this tax has doubled from 5
pitch. Don‟t get me wrong, I          principle of the rule of law, and      GB: Unfortunately I cannot pick        million HUF to 10 million HUF
don‟t mean to devalue these at        while we have a dedicated legal        only one, but I will limit it to       per year per sales representative.


                                                                                                                                               PAGE 10
IS SUE 3         V OL UM E 1          O CT, 2011




Initial numbers indicate that at         combating wonder pills and            India, sometimes transiting           introduced, which offer much
least 1000 people industry-wide          counterfeit medication. The           through Western Europe to             better protection. The only
will be made redundant as a re-          results are already significant and   make the packages less suspi-         existing problem that I would
sult and we are talking about            can be seen weekly in the news        cious. One time a huge shipment       identify is that the Patent Protec-
highly qualified people who were         media.                                of pillows came in from a coun-       tion Office‟s processes are still
paying a considerable amount in                                                try in Asia. Some were full of        quite slow. For example, we had
                                         HL: I know you have quite a
personal income and social secu-         few interesting stories in-           pills, others had blisters, and       a patent claim that lasted from
rity taxes, ultimately making the                                              others had the information leaf-      1994 until 2010.
                                         volving counterfeits.
Government lose out much more                                                  lets and the hologram stickers.         HL: Since Pfizer has such a
on the long run than they expect         GB: Indeed. The one product           All separately, as they say, “to be
                                                                                                                       wide global footprint, what
to earn via these taxes. Quite           that is most threatened by coun-      assembled” .                            role do you, as a GC for
literally it will turn out to be a       terfeits is one of our erectile
case of putting some additional          dysfunction products. As strange      “..due to the applicable legislation, I Hungary, play in the patent-
money in one pocket while loos-          as it is, due to the applicable                 cannot say the name in this ing processes?
ing much more from another               legislation, I cannot say the name           interview. A good example of GB: Most of our patents are
                                         in this interview. A good exam-                     “sensible” legislation. “ created globally. There are a lot
                                         ple of “sensible” legislation. We                                           of them through the discovery
 “..a new piece of legislation coming                                          Unfortunately the Hungarian
                                         fight counterfeits on a daily basis                                         process. Our primary role in the
           into effect with a one year                                         regulatory system is not about
                                         as they hurt our bottom line of                                             legal team here, when it comes
retrospective effect is unheard of and                                         treating patients as “adults”. It
                                         course, but that is nothing                                                 to this issue, is patent enforce-
  against the very idea of the rule of                                         aims at limiting information to
                                         compared to the health risk to                                              ment.
                                law. “                                         patients so they have to go on the
                                         patients. We need to make the
                                                                               internet and look for it from         HL: When were you most
                                         general population aware of the                                             proud to be working for
HL: In light of the R&D tax                                                    other jurisdictions and sources in
                                         huge dangers that come with
incentive cancellation you                                                     foreign languages. How that is        Pfizer?
                                         using such products. We found
mentioned, is it realistic to                                                  beneficial, I really don‟t know.      GB: Luckily, it happens often.
                                         fake pills that contained brick
expect more and more part-                                                     The regulators often use the          One proud moment was when
                                         powder and food paint, and those
nerships between pharma-                                                       reasoning that pharmaceuticals        we concluded a number of
                                         were the happy scenarios. In
ceutical companies aligning                                                    are dangerous and can be abused       research agreements and partner-
                                         certain cases we even came
their efforts in R&D?                                                          and one can kill oneself with         ships with Hungarian universities
                                         across illegal narcotics and wall
                                                                               them. Under this logic, we            and academic institutions. An-
GB: I believe this is a natural          paint on the pills (discovered
                                                                               should not sell knives and buses      other was the launch of the Dis-
process that is going to gain            when the patient‟s hands and
                                                                               and trains should not run either.     tribution and Logistics Centre for
momentum globally, not just in           tongue turned blue), and we
                                                                               I‟m really hoping that this men-      CEE here in Hungary which
Hungary. It is extremely expen-          even received calls reporting
                                                                               tality will change and patients       involved a massive amount of
sive to develop a new product            hallucinations. We naturally
                                                                               will be treated as adults who can     work and coordination. Last but
with numbers reaching 3 to 4             want to investigate these cases
                                                                               receive valuable information and      not least, and this occurs regular-
billion dollars before a product is      with our global security group,
                                                                               make judgments based on that.         ly every time we launch a new
launched so I do expect a grow-          but usually when we ask “where
ing trend towards such partner-          did you buy the pills” the imme-      HL: Patents play a major              product that will touch millions
ships. Further, the research scene       diate reaction is „well..I would      role and many see it as one           and save or considerably improve
is changing, and nowadays its not        rather not tell you‟. When we ask     of the biggest headache in            their lives, one cannot help but
about one big blockbuster prod-          for the batch number, from the        the industry. What could be           feel proud to be a part of a com-
uct, but advancing research step         very first couple of digits we        improved in Hungary to                pany that is truly making a differ-
by step to find cures.                   know instantly we are dealing         mitigate this?                        ence. If I would want to be a bit
                                         with a counterfeit product.                                                 sarcastic, I‟d say I could tell you
                                                                               GB: I think that, in Hungary,
HL: What are the positive                Counterfeiting pharmaceuticals is                                           that I‟m very proud of a new
elements of the plan                                                           over the past few years a lot has     product developed recently for
                                         big. The return is bigger than on     been done. Prior to EU acces-
launched on July 1?                      illegal narcotics and the prison                                            lung cancer, but I can‟t, due to
                                                                               sion, only process patents were       the applicable promotional rules,
GB: I believe the single most            sentences are significantly shorter   in place. This simply meant that
                                         for the time being.                                                         as if I named the product, and
important benefit is the fact that                                             if you would simply stir a mix        you published it, we would both
Gyemszi‟s, the new regulatory            Also, every now and then we           from right to left as opposed to
                                                                                                                     be in for a huge fine.
body for the industry and the            receive phone calls from border       the other way around you could
NAV‟s (National Tax and Cus-             police and customs that they          copy the exact mix needed to          Since the interview, in addition to
toms Authority) scope and                discovered counterfeits coming        produce the patented drug. Since      Hungary, Gergő became Legal Director
authority were strengthened in           in from Australia, China, and         2004, product patents have been       for the Czech Republic and Romania.


PAGE 11
IS SUE 3         V OL UM E 1         O CT, 2011




The Széll Kálmán Plan puts increasing pressure on
pharmaceutical companies
dr. Ildikó Csák, Réczicza White & Case LLP
                                  While pharmaceutical companies          made with respect to the sales       Comparative Data, as opposed to
                                  have been quite adaptable to the        representatives they have            the 20% threshold applicable as
                                  continuous changes in the               employed; in the amount of their     per the old rules. If the R&D
                                  regulatory environment, the             total adjusted R&D expenditure       expenditure is less than 70%, but
                                  measures that have been put in          (“R&D Costs”) as shown in their      more than 30% of the Compara-
                                  place as part of the Széll Kálmán       year-end accounts.                   tive Data, the allowance is
                                  Plan caused a major stir among                                               restricted to 50% and 20% if the
                                  pharmaceutical companies, as            In order to qualify for the          R&D expenditure is below 30%,
                                  well as their employees.                allowance, the taxpayer should       but over 20% of the Comparative
                                                                          have incurred R&D costs in the       Data.
                                  1. Main measures                        amounts exceeding 20% of the
                                  As of July 1, 2011, the Hungarian       proportion of the amount of state    The amendments have also
                                  government implemented the              subsidy received under the social    caused the R&D allowance to lose
                                  following measures affecting            security reimbursement scheme        effect as of January 1, 2012,
                                  pharmaceutical companies:               based on the sale of pharmaceuti-    closing the above R&D Costs
                                                                          cal products sold in pharmacies,     related tax incentives from the
                                  i.increase of the tax payable by        and the manufacturer price or        end of the year.
   “..several companies have      pharmaceutical companies on the         import price of the same products
       calculated their 2010      sale of subsidized products from        (the “Comparative Data”).            4. Implications
                                  12% to 20%;
             R&D expenditure                                              The allowance could be claimed
                                  ii.increase in the fee paid for the                                          The amendment reduced the
  assuming a reclamation of                                               monthly in the form of a             extent to which the allowance
                                  registration of pharmaceutical          reduction of the payment
     100%, however, due to        sales representatives;                                                       may be claimed in comparison to
                                                                          obligations in subsections (i) and   the allowance which was available
    the retroactive legislative   iii.introduction of more stringent      (ii) above, starting from the        under the legislation in force in
   changes, many companies        regulations relating to promo-          fourth calendar month of the year    the tax year when the qualifying
           will only be able to   tional activities (notification obli-   following any given year when        R&D spending was affected.
                                  gations, increased fines, etc.),        the qualifying R&D Costs were
          reclaim 20-50% or       and                                     incurred up until the full amount    In view of the laws in effect prior
      nothing at all, causing                                             of the R&D Costs have been           to July 1, 2011, several compa-
                                  iv.retroactive legislative changes
      significant losses to the                                           credited. This means that the        nies have calculated their 2010
                                  regarding the deduction of R&D
                                                                          allowance with respect to the        R&D expenditure assuming a
          affected companies.     spending.
                                                                          qualifying R&D spending of 2010      reclamation of 100%, however,
                               While all these measures have had          was to be claimed in 2011 in the     due to the retroactive legislative
                               a significant impact on pharma-            form of a deduction from the         changes, many companies will
     “Due to the effect of the ceutical companies, the legislative        monthly payments, up to the          only be able to reclaim 20-50%
                               changes regarding the deduction            amount of payments made on the       or nothing at all, causing signifi-
             changes on their of R&D spending may be the
                                                                          same grounds in 2010.                cant losses to the affected compa-
   profitability and together most onerous and controversial.                                                  nies.
                                                                3. R&D tax incentive as of July 1,
     with the increase of the
                                  2. R&D tax incentive prior to 2011                               By way of an example, a pharma-
         sales representatives    July 1, 2011                                                     ceutical company deducted 100%
                                                                The new measures reduce and
            registration fees,                                            eventually eliminate the R&D tax
                                                                                                               of R&D expenditures from its tax
  pharmaceutical companies        Since January 1, 2010, marketing                                             payment obligations starting Jan-
                                                                          allowance.
                                  authorization holders have                                                   uary 1, 2010 in its accounts.
             may be forced to     received a reduction of up to           As of July 1, 2011, market           Accordingly, the company calcu-
              reconsider their    100% of (i) monthly payments            authorization holders may only       lated it would be refunded HUF
   investments in Hungary.”       they have made with respect to          receive the same allowance if the    2.8 billion of the payments made
                                  their subsidized turnovers and (ii)     amount of R&D Costs incurred in      in year 2010 and another HUF
                                  monthly payments they have              2010 exceeds 70% of the              0.4 billion for January-March of


                                                                                                                                       PAGE 12
On the GC Grapevine, ed3, vol1
On the GC Grapevine, ed3, vol1
On the GC Grapevine, ed3, vol1
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On the GC Grapevine, ed3, vol1

  • 1. IS SUE 3 V OL UM E 1 O CT, 2011 Issue 3: Pharma In this issue: “There is less pressure to impress and sell myself so I see it as a more down-to-earth profession.” “Commonplace but more and more true to our days: only change is constant..” “..where lawyers add value is not in giving the answers that everybody already knows, but giving the answer that nobody has thought about.” “Due to the effect of the changes on their profitability [..] pharmaceutical companies may be forced to reconsider their investments in Hunga- ry.” “It is not clear from the word- ing of the Medicinal Thrift Act whether any changes that occur after the notification would need to be reported to the Authority.” “..it is clear that Hungary has probably the greatest variety of such measures, including the highest level of extra taxes imposed on pharmaceutical companies.” This Issue‟s Grapevine Pick: d r. G e r g ő B u d a i - L e g a l D i r e c t o r - P f i z e r
  • 2. IS SUE 3 V OL UM E 1 O CT, 2011 Issue 3: Pharma Letter s from the editor s In this issue: What‟s the prognosis, Volume 1 DR. ESZTER TÖRÖK - GENERAL Dr.? COUNSEL FOR HUNGARY AND CENTRAL-EASTERN EUROPE - The pharmaceutical mar- When we first launched the TEVA GROUP…………………..3 ket in Emerging Europe is GCG in May we could not clearly facing a need for have imagined what lay realignment with pressing ahead. 3 editions, 3 sec- DR. J UDITMISKOLCI - LEGAL issues of reduced health tors, 9 General Counsels, DIRECTOR - SANOFI-AVENTIS….5 care expenditure, govern- 10 senior private practice, mental cost reductions, product pricing, countless reader submissions for the generics and the list goes on and on. “Private Practice Strip” and “(My) Word How is Hungary‟s Pharma industry On The Grapevine” sections, all brought planning to endure the next 5, 10 years together by a simple idea - building a DR. GERGŐ BUDAI - LEGAL and beyond? What are the major strong GC community to share challeng- DIRECTOR - PFIZER...…………8 influencing factors in Hungary at present es, solutions and best practices. and what is everyone debating? Will In retrospect, what makes us most proud innovation suffer? But in such a competi- about this publication, is the fact that, in tive industry with patents expiring on big reality, it is not our publication. Almost T HE S ZÉLL KÁLMÁN PLAN ticket drugs, the industry is in dire need all of the content, ideas, suggestions or PUTS INCREASING PRESSURE ON of the subsequent “smash hit(s)”. We are PHARMACEUTICAL COMPANIES - simple funny stories, belong to our read- BY DR . ILDIKÓ CSÁK..………..12 hearing so much talk about the Széll ers that were not shy in reaching out to Kálmán plan but how is it actually affect- us and expressing their opinions and ing the industry and ultimately the end comments . consumer? Everyone‟s asking the same P HARMACEUTICAL COMPANIES With that in mind, we thank you all and question “what‟s in store for Hungary‟s FACING NEW CHALLENGES DUE TO we cannot express enough what an honor THE AMENDED REGULATION OF Pharma future?”. The GCG has invited PROMOTIONAL ACTIVITIES - BY it has been to work with you. Your input General Counsels of some of the most DR . DÓRA P ETRÁNYI..……….13 is what drives this publication forward at prominent players of the pharmaceutical the momentum it is going so keep those industry to share their experiences, emails coming. adversities and feats in this challenging EXTRA PHARMA SECTOR TAX- environment. We‟ve asked the tough We are working diligently on the skele- ES IN HUNGARY: AN EUROPEAN OVERVIEW AND INTERPRETATION questions about generics, price competi- ton of the next issue and next volume, ISSUES - BY DR. HELGA BÍRÓ & tion, governmental policies and many but we need your nominations to pick DR . GERGELY RISZTER ……….14 more pressing issues. The controversy the first Grapevine Pick for 2012. Write and zeal associated with many of the to us by December 1st and let us know topics we thrash out in this edition has who should be given this honor. undoubtedly resulted in, we hope, a very We are always happy to hear from our exciting and informative product not readers so, please, feel free to write to us only for us to work on, but foremost to at GCG@hudson.com or join the share with you. We hope you enjoy the dedicated group here for more details. read! Orsolya Endrefi Radu Cotarcea Associate Director - Emerging Europe Marketing Manager - Emerging Europe and Latin America and Latin America Hudson Legal Hudson Legal PAGE 2
  • 3. IS SUE 3 V OL UM E 1 O CT, 2011 d r. E s z t e r T ő r ő k - G e n e r a l C o u n s e l f o r H u n g a r y a n d C e n t r a l - E a s t e r n E u r o p e - Teva G r o u p one of three. I also had a lot of firm, do not be afraid to look large organization, you need to friends here who I had not seen around. There is another life. It be patient. For example, a lot of for years and part of my family is pretty rare and pretty lucky to my work today is internal was living here as well. I think, find a company that has a good politics, liaising with different overall the quality of life was reputation and great work expe- people and reaching compromis- better and I found living here a rience but they are out there. es, which most of the time I do lot more pleasurable. not mind, actually quite enjoy, HL: What makes a good GC but sometimes it can become a in your view? “There is less pressure bit frustrating. to impress and sell ET: First of all, I think it the case HL: You mentioned commu- with most lawyers that they start myself so I see it as a nication. What would you as external counsels, most often say are the differences more down-to-earth with an international firm, and between how an external later in their career they move HL: I am sure our readers profession.” in-house. When working in counsel interacts with a client and how you interact would enjoy to learn a bit private practice, especially with HL: One of the myths relat- with your colleagues? about your background.. large international firms, lawyers ed to in-house lawyers is need to specialize in one particu- ET: It really is a very different ET: I have been with Teva for that their workday ends at 5 lar practice and, as a result, one type of a relationship than when nearly 8 years. Before that, I pm. How accurate do you of the main challenges is to wid- you are an external lawyer. In worked with CMS Cameron find it? en your scope when you move in that situation you have a McKenna in Budapest. Prior to -house. question, you write an answer that, I worked with the same ET: It is indeed much more balanced. You have less push along the lines of „you can do firm in London as a trainee I had the same challenge since, as from clients, although you have this, you cannot do this‟ and at solicitor. I am Hungarian by birth a GC, I had to have at least a your own internal ones. I think it the end you write a very large but I lived in the UK for 11 years basic idea of most areas of the is a lot more flexible as people disclaimer. As an in-house and studied Law in Oxford. In law so I had to become more of a care a bit less of how and where lawyer, if you say „this cannot be truth, I was not really planning generalist. Before joining Teva, I you do your work. They do not done‟ your colleague will come on coming back but I did in 1993 was doing M&A, corporate and mind if you send them an e-mail back the next day and ask „ok, for the first time and then again commercial work so my experi- from home or on a Saturday still, how can I do this?‟. It is in 1997 when I quite simply got ence with other areas was lim- evening. They simply want much more of a practical stuck. I just loved Budapest and ited. On the other hand, that is solutions. There is less pressure exercise, and you learn to avoid while London is beautiful, it is why I find my current role so to impress and sell myself so I see the very first step and not go out not a great city to live and work much more interesting, because it as a more down-to-earth pro- and say „this cannot be done‟ but in. it is much more varied. fession. I simply work with my try to come up with a compro- HL: What was it that made colleagues towards a common At the same time, you need skills mise of sorts. you stay? goal rather always need to that go beyond the legal skills:. HL: Having worked mainly impress the client and to You need good networking skills; in M&A prior to Teva, how ET: As a very junior lawyer, the convince them they are the best strong communication with all did you manage the move work was much more interesting there is and ever will be. levels of the company is also key; to the pharmaceutical in- and challenging here. It was you need to have basic feel of the dustry? simple math since, at that stage in With that in mind, my advice to company and what it is doing; London, I was one of the hun- lawyers would be, especially and probably one of the most ET: The way I became involved dreds of trainees and here I was when you work with a large law important aspects, especially in a with Teva was by sheer coinci- PAGE 3
  • 4. IS SUE 3 V OL UM E 1 O CT, 2011 Andrékó Kinstellar The Pr ivate Practice Str ip dence. When I applied for the What made you stay? and extremely damaging, espe- role, I was replying to a job ad- cially in the long run. To offer ET: I tend to stay unless I have a vert that only said „multinational some background information, Euromedic refinancing very strong incentive to leave. I pharmaceutical company‟. I had Teva has 3 divisions in Hungary, like being familiar with what I no idea it was Teva. Moreover, manufacturing, marketing and Kinstellar advised Euromedic am doing and I like the environ- Group (a pan-European medical after I learned it was Teva, I did wholesale. The plan introduced ment, I like the people. You will services provider) on the EUR 250 not even know much about the very hefty taxes making it probably laugh but I like Monday million refinancing of the group company. At the time, 2004, the basically impossible for pharma- including related regulatory and mornings... I like coming to Teva brand was not so widely ceutical companies to promote employment law advice. work. Most of the time I just known. On the other hand, what their products. This is based on enjoy what I do. did help was the fact that at times the notion that pharmaceutical I can be a bit of a hypochondriac HL: Your role as GC must be companies are greedy and „evil‟. Johnson & Johnson so, even then, I already knew even more challenging since The idea is that the new Govern- competition law advice quite a bit about various medical your responsibility is at a ment measures should stop us conditions and pharmaceutical regional level. Which of the promoting our products so that Kinstellar advised and represented Johnson & Johnson (a global products. markets do you need to people buy less and, as a result, healthcare products manufacturer) spend most time on and, cut some of the Government‟s in cartel proceedings at the from a regulatory point of spending. This rather simplistic Hungarian Competition Office “I was blessed with view, which one is the most approach is based on the notion regarding Vision Care products great colleagues who problematic? that the reason people buy so including related regulatory advice. never made me feel many pharmaceutical products is ET: These days, it would be not the health state of the popu- uncomfortable for Hungary. We have a lot of very lation but that we promote our good lawyers and a large team asking what they might for example in the Czech Repub- products too much. Unfortu- nately whoever was responsible Gide Loyrette Nouel - have perceived as silly lic. If something really big comes D‟Ornano Iroda for writing the changes in the questions.” up then I would get involved but law was probably under quite generally I know I have a strong some pressure and did not have a Even so, when you come into team and I let them get on with Balkan operations sale lot of time to draft the law this industry for the first time, it. advice properly. The way the law is you need to interact with From a regulatory point of view, phrased is very far from ideal. Gide Loyrette Nouel, with the doctors, researchers and business currently Hungary is the most When we got it for the first time active participation of its Budapest people who have a very strong office, is currently advising an problematic and it is all the most we spent hours reading it simply knowledge of the industry, so it important European distribution worrying to see that other Gov- because there were many sec- is quite a challenge. I guess, in group on the potential sale of its ernments such as those of the tions that could be read in many the early stages, I learned how to operations in the Balkans, including Czech Republic and Poland have different ways. It is a very uncer- Romania, Serbia, Bosnia and ask questions without revealing taken a liking into what the Hun- tain piece of legislation. At the Kosovo. that I was asking them because I garian one has done and are same time, the fines and other was not really familiar with the thinking of following their exam- sanctions that can be imposed for topic. Of course, reading and ple. breaching the law have been Advising on the creation of researching a lot was key in considerably increased. It is real- regional joint venture bringing myself up to speed. At HL: In Hungary we have ly a very tough balancing exer- the same time, I was blessed with seen a lot of changes with Gide Loyrette Nouel Budapest is cise at the moment. great colleagues who never made the introduction of the Széll currently advising a Swiss me feel uncomfortable for asking Kálmán plan, which most HL: Will this plan impact investment group on the creation what they might have perceived GCs are not happy about. your clients? of a regional joint venture structure What part of the plan gives operating the wholesale and the as silly questions. ET: Yes. There have also been distribution of a clothing brand in you the most headaches? Hungary, the Czech Republic and HL: You have been in the radical changes made to the industry, and the company, ET: How long do you have? I reimbursement system. Obvi- Slovakia. for quite a few years now. believe it to be extremely painful ously, the aim was to reduce the PAGE 4
  • 5. IS SUE 3 V OL UM E 1 O CT, 2011 burden on the State health fund manufacturers have lost their patent group does support the would have a litigation but other as far as possible. To achieve reimbursements on their prod- R&D department as well. It is than that we operate separately. this, for certain products they ucts. very important for our business HL: When were you most introduced a so-called blind development side since every HL Usually, companies in proud to have been work- bidding system. Now, every 6 time we want to launch a new regulated industries compa- ing with Teva? months each pharmaceutical product, the first test that it has nies are invited to provide manufacturer puts in a bid for to pass is whether the original ET: Whenever I have been to input for such changes. Was the next few months based on patent period of the originator Israel, Teva‟s home country. It is this the case? the price of their products. has expired. a great feeling because there it is ET: There was some consulta- seen as a national treasure. It is This is a fairly complex exercise. THE flagship company. I am not tion but it was carried out under “Of course, the There are patents in many really sure what to compare it the form of receiving a 300 page Government is under a countries and there is no unified with because if I compare it to draft on a Friday evening and patent system between all of MAV it does not really cut it. lot of pressure to cut with a request to provide them so the time when you can comments by Monday morning. Whenever I enter Israel and I am costs but it is very launch a patent differs from asked for the purpose of my visit This obviously impacted the frustrating to be singled market to market and when you I tell them I am working for Teva quality considerably. Of course, look at your pipeline you need and the way they look at me is out (along banks or the Government is under a lot of their know-how. pressure to cut costs but it is indescribably uplifting. other "bad people").” very frustrating to be singled out It is a very different team in a lot HL: What would you rec- This system has recently resulted (along banks or other "bad peo- ommend to any lawyer con- of respects. They are patent in extremely low prices being ple"). sidering going in the phar- attorneys who, opposed to law- offered in some cases, especially yers who are either pharmacists maceutical industry? HL: I noticed your patent by smaller companies. They won or chemists by education and department is separate from ET: It helps if you have an inter- the bid because of the low prices then take a separate course to your legal department. Why est in the industry itself. You will and the problem I see in this is become a patent attorney. There is that? need an ability to adapt and to that in a few months we might are not that many cross-overs research a lot but, passed that, it see that these companies will not ET: Patents are actually very either. Rarely, corporate lawyers will really be worth it. have the capabilities to supply important to us. Not necessarily will work together with them the market while the largest because of R&D - though the when [knock on wood] we d r. Ju d i t M i s ko l c i - L e g a l D i r e c t o r - S a n o f i - Ave n t i s HL: In your view, what are nal requirements and give clear, Therefore he/she needs to be the top characteristics company-focused, relatively able to justify the solution needed to be a good GC? short answers instead of citing chosen. JM: I consider the role of a GC the complicated rules in a “strange” legal language. The GC HL: Why did you choose to totally different than the role of practice law in-house? a free-lance lawyer or a lawyer frequently has to give answers working at an independent law immediately in the meetings JM: Joining the Sanofi Group as firm, since being an in-house when questions are raised and an in-house lawyer four years lawyer means that you live immediately evaluate the possi- ago was a once-in-a-lifetime together with the company. A ble risk. opportunity for me in my career GC has to be able to understand Communication skills are very path and it was a radical change the diverse needs of the busi- important as well, because the in as I had worked before as a ness, including logistics, R&D, -house counsel is part of an member of a law firm which manufacturing, regulatory af- organism and a GC not only worked for TEVA industrial site. fairs, HR, finance etc. One is provides effective legal support, I was also seeking new challeng- also expected to meet you inter- but makes decisions day by day. es at that time. As the Legal PAGE 5
  • 6. IS SUE 3 V OL UM E 1 O CT, 2011 Horváth & Partners DLA The Pr ivate Practice Str ip Director of the company I am importance to the Group. I‟m HL: What do you look for not an outsider but I have real not saying that it is easy to cope when you choose what law Piper relationship with my colleagues with, but with continuous firm to outsource work to? DLA Piper advises Albany that I really enjoy. “follow-up” and “readiness” it can Molecular Research JM: The chosen law firm must Institute be manageable. HL: What aspect of the GC possess the following features: appropriate experience, in-depth DLA Piper in Hungary is advising role do you find most HL: Why did you choose the knowledge of the pharmaceutical Albany Molecular Research challenging? Why? How do Pharma sector? What gets Institute, Inc., a major US you cope with it? industry, reliability, deadline your blood flowing when biotechnological company, on keeping and co-operative atti- establishing its Hungarian presence talking about this industry? JM: Sanofi has four affiliates in tude. by acquiring the sole ownership of Hungary, pursuing very complex After graduation I started to a Hungarian biotechnological HL: What do you definitely company including the assistance in activities, including R&D, manu- work for an agricultural co- not like to see in a proposal? its restructuring of the subsidiaries facturing, wholesaling, distribu- operative. However, I felt that it tion, promotion and clinical (spin off, merger, transformation) was not really my “dream” so I As I have mentioned above, we and daily operational issues. We trials, employing more than took the first opportunity to need clear, comprehensible, also drafted internal patent 2000 people altogether. The change and joined Biogal “easy-to-digest” analysis for the regulation for the Hungarian legal department is responsible Pharmaceutical Works (known colleagues involved in the subsidy of Albany Molecular for the legal support of all kinds today as TEVA Pharmaceutical decision-making process. As a Research, Inc. Continuous legal of activities. Taking everything result, I am really unsatisfied advice concerning filing and Works). From that point on, my into account, the most significant when I have to “translate” it for protecting of patents of the client. life was connected with the challenge for me is to provide Pharma sector: I‟m continuously them to make it clear, because it appropriate legal background for keeping my eyes on the relevant is rather time-consuming. each unit while harmonizing with Financing subsidiary of news. Since we try to be proac- HL: What do you find to be Hankook the corporate guidelines and tive and always be sure that we Hungarian regulation in every the biggest regulatory follow what is happening in the DLA Piper in Hungary is advising a field of the company. challenge in the Pharma club of banks, led by Raiffeisen course of preparation of regula- industry in Hungary? tions, we had to learn how to Bank Zrt., in relation to the English “..we had to learn how “read between the lines” of the JM: One important aspect is and Hungarian law aspects of the financing of the local subsidiary of to “read between the statements of the regulating predictability. Every company Hankook Hungary, the Korean tire lines” of the statements bodies‟ representatives. finds it very important to plan manufacturing giant. ahead. When regulations and tax of the regulating HL: As a General Counsel burdens change even within one bodies‟ representatives.” for a major pharmaceutical business year planning becomes Kajtár Takács Hegymegi- company, you must receive very difficult. Moreover the Barakonyi Baker & countless proposals from introduction and increase of Moreover, reacting quickly to Mckenzie law firms. surtaxes creates a competition the fast and sometimes unex- handicap for us not only interna- Successful representation in pected changes in the regulation JM: Yes, I receive proposals competition proceedings tionally but also within the is essential in order to be able to regularly from different law group, as group projects may be We successfully represented a meet all the requirements of the firms. However, my options are implemented in other countries major Italian-based pharmaceutical law. I have to be proactive with limited by the Group‟s guide- where the conditions are more company in a proceeding before regards to implementation of the lines. We only work with some favourable. the Hungarian Competition Office pharmaceutical and other rele- of the preferred firms and our initiated due to alleged unfair vant regulation first step is always to see that A good example is the R&D commercial practices via there really is a need. We turn to incentive: a 20% abatement was pharmaceutical advertisements to It is also well-known that this an external law firm only in case introduced in 2007 which was patients. We also regularly advise industry is heavily regulated in of workforce shortage or when then increased to 100%; but the same client on wide range of every manner, and ethical the risk is high and the particular pharmaceutical regulatory matters before the 100% could become (product promotion, wholesale and behaviour, compliance, and project requires special experi- effective an amendment negated retail sale of medicines etc.). transparency are of the utmost ence and knowledge. the use of the abatement, the PAGE 6
  • 7. IS SUE 3 V OL UM E 1 O CT, 2011 Kajtár Takács Hegymegi- The Pr ivate Practice Str ip legal regulation being incon- Which one in particular are cost cutting measures should not sistent with the implementing you most passionately op- be allowed to reach the point Barakonyi Baker & rules. posed to and/or keen on where merely fiscal considera- Mckenzie and why? tions prevail in healing. Advising biotech company Of course, we are given the op- portunity to comment on new JM: I hail the recognition that the We advised a major US-based Patients must get the most effec- bills and new laws and submit present healthcare system is not tive therapy. Laying stress on biotech company in connection our proposals, in most of the sustainable on the long run but I with regulatory questions (e.g. fiscal aspects has dangers for wholesale licensing questions, cases in cooperation with other cannot agree with those that patients: for example if a medi- medicine donation, clinical trial pharmaceutical industry stake- largely blame pharmaceutical cine that a patient has been taking template agreements, etc.), holders and, when that is done industry for the problems. I disa- for a long time is lost by price including the revision of the properly, transparency and pre- gree with a non-transparent drug standard operating procedures competition and delisted, the dictability is achieved. Unfo- financing system causes part of (e.g. Sponsorship Policy, Policy on patient has to be switched to tunately the system is far from the money to go to the drug the Interactions with healthcare another drug that may be less ideal and does not always work companies. These are exaggera- professionals, Donation Policy) to effective or even harm his organ- ensure compliance with applicable out that way. tions. ism. Hungarian laws and ethics rules. HL: Without a doubt, the I agree with the importance of industry took a considera- prevention and believe in solidar- HL: Both in Europe and in this system there is no ble hit as a result of the ity where pharmaceutical stake- the US, politicians have negotiation. measures put in place by the holders take part together in the been pushing aggressively The challenge for us is obvious Széll Kálmán plan. How did struggle to educate people on for Sanofi to lower drug when a product with a new this affect your work and healthy living. On the longer costs or expand generic active ingredient is being how do you expect it will in term this may be an important licensing. What are the fore- reimbursed in a new indication, the long-term? contribution to reducing front issues when we speak because in this case a so-called healthcare costs. Not incidentally about pricing of pharma- subsidy-volume contract has to JM: The Széll Kálmán plan and Sanofi slogan is „from drug com- ceutical products in Hunga- be concluded. Contract conclu- the rest of the measures affecting pany to health provider” ry? sion is preceded by thorough the health sector cause legal statutes to change all the time “Commonplace but more and negotiations, but the legal frames JM: As I mentioned, the focus is are given. The essence of the and impose more and more more true to our days: Only on medicine price cuts and there contact is that the manufacturer restrictions on the budget. I change is constant.” is strong support to cheaper has a payment obligation towards think we have to coexist with this generic products. Hungary has a OEP according to reimburse- in the coming years. The greatest HL: Which aspect of the rather complicated reimburse- ment outflow generated with the challenge in the continuously- Széll Kálmán legislation do ment system - in effect compel- included medicine, by this manu- changing legislative environment you think should be revisit- ling manufacturers to go in for facturers contribute to reducing is the sustenance of operations. ed due to its impact on the tough price competition. The public burdens upon the inclu- Commonplace but more and end consumer, the patient? OEP keeps reviewing the prices sion of a new medicine making it more true to our days: Only JM: Governments, and not only ex officio to ensure cost efficacy possible for the patients to buy change is constant. in Hungary, are making attempts and adherence to budget, and the modern therapies on affordable HL: There are many aspects to reduce drug budget expendi- companies make their price bids price. to the Széll Kálmán plan. ture and patient burdens. But the through an electronic system. In ( M y ) Wo r d O n T h e G r ap ev i n e RE: On The GC Grapevine - Energy "METÁR", which will replace the "old" If you would like to comment, reply or mandatory takeover and subsidising system add your viewpoint on any of the Edition ("KÁT"). "METÁR" is expected to play a articles or the publication overall, Simandi Bird & Bird is experiencing activity major role in meeting the mandatory targets write to us at GCG@hudson.com to in the area of traditional energy sources with for renewable energy by 2020 in Hungary. share your views with the GC commu- increased interest in gas & oil exploration and nity. exploitation in the region. This fall's hot Zsófia Szerda topic will be the new support scheme for Head of Energy and Real Estate in Hungary renewable energy sources, the so-called Bird & Bird
  • 8. IS SUE 3 V OL UM E 1 O CT, 2011 d r. G e r g ő B u d a i - L e g a l D i r e c t o r - P f i z e r but when it was time, I did turn wouldn‟t be who I am today. It attorneys, but also to work with to the legal side of the profes- was really an excellent learning a number of in-house counsels sional arena. and working experience. and legal advisors. I always During my university years, I Transitioning to a pharmaceutical perceived them as having a much closer relationship with the spent my professional practice company was not necessarily the periods at the Hungarian Consti- obvious choice, although, while business due to their daily work and interactions with the compa- tutional Court as a clerk to Jus- in private practice, I did repre- tice István Bagi, and afterwards at sent pharmaceutical companies ny‟s board. Having a better understanding of the specific a midsized local law firm. My and the Association for Innova- first real legal job was at White & tive Pharmaceutical Producers. company‟s needs meant that they provided more business friendly Case, where I started as a 4 hour- In fact we won a major case for a-day intern. I ended up spending the Innovative Association. The advice. On the other hand, as an outside consultant, you are 7 years with the firm, during Government at the time intro- which time I had very interesting duced a price decrease and price brought in for a very specific project and, as a result, have a international assignments and freeze which we were able to HL: I‟m sure our readers are cases. Amongst others, I got to argue against in front of the more limited perspective on the interested in learning a bit issues at hand. Ultimately, I work in Washington D.C. and Constitutional Court and have it about your background at spent 6 months in White & annulled within a record 3 month wanted to get to the point where first... I could truly understand an Case‟s Brussels office on a se- period, one achievement that I GB: I had a very international condment. That was particularly am very proud of to this day. The industry and, without the insight you gain as an in-house counsel, upbringing. My father is in the interesting as it was the time of pharmaceutical industry was, diplomatic service and my moth- Hungary‟s accession to the Euro- however, only one of the areas I it would have been much harder. er is a chemical engineer, so I got pean Union making it a great worked on while at White & HL: Looking back at your in to live in a few places around the experience. While I did study Case. For example, I was in- -house experience, was it world at a relatively young age. quite a bit of European law at volved in several privatisation the right call? Like many Hungarian boys, I university, having the chance to transactions, and various energy played our national sport, water- actually work with EU law in and infrastructure deals, as well GB: After almost 6 years at polo, throughout my school practice and work with clients in as considerable local and interna- Pfizer, my answer is a definite years, which I still enjoy as a the European Court of Justice or tional litigation and arbitration. “yes”. For me, working as a pastime. When I started law before the European Commission Legal Director is pretty much school I worked at a popular or Parliament was absolutely HL: Why did you decide to like running your own law firm radio station writing commercial phenomenal. I‟m really thankful move in-house? because you have so many jingles and subsequently a sight- to White & Case and especially GB: During my time as an exter- different aspects, or practice seeing boat company in Buda- István Réczicza as well as other nal counsel I had the opportunity areas. The difference is that you pest. I really enjoyed these jobs, colleagues, as without them, I not only to work with the best have one client, who you have to Peter Pazmany Catholic University, Paul Revere Kerek Utca Doctor of Law and Political Sciences Elementary School Elementary School University of Pretoria Intern Bocksai Istvan Robert F. Wagner Szilagyi Erzsebet Law and Human Rights Cou Elementary School Junior High High School 1998 1983 1985 1988 1990 1991 1995 Budapest New York Budapest Pretoria PAGE 8
  • 9. IS SUE 3 V OL UM E 1 O CT, 2011 know inside and out. You need extent in a negotiation process, hand, enabling business is the consistent solution. We have to to deal with regulatory issues, but for me, it is not nearly as most important aspect of the role be committed to raising the bar mergers and acquisitions. compe- engaging or stimulating. As for since, in my view, a good Legal by challenging traditional think- tition, labor law, civil law, reviewing documents, sure that Director is one that tells you how ing and ways of operating. We litigation, etc.. In fact, I used to can be interesting but it is not you can do or achieve something recognize that our ability to love working in litigation and, really the exciting part. That is or reach a business goal as provide the best legal service even today, I like to stay close to why even today, time permit- opposed to just someone saying depends on how well we listen to this classic attorney function. ting, I take almost every oppor- “no” or “you can‟t do that”. Of colleagues and engage with them I know every day I will be faced tunity to represent Pfizer in front course sometimes you do have to to solve problems and seize of a court or authority. say no, but finding solutions - opportunities together. As Amy with at least one question or issue that will be truly challeng- HL: Well, I guess it is a good creative and legally compliant Schulman says, where lawyers solutions - is extremely im- add value is not in giving the ing. This comes as a result of the (or bad) thing you have the variety of work, the innovative opportunity to do this often portant, and you always need to answers that everybody already be able to stay ahead of the game knows, but giving the answer nature of the company, as well then. Talking about your as, unfortunately, a result of the function at Pfizer, what and try to shape the upcoming that nobody has thought about. regulatory changes and the envi- legal environment of the industry makes for a good LD in your HL: Before we move into the in Hungary at the moment. And mind? ronment. industry specific issues, we when I say at the moment, I HL: The idea of creative are always curious what a GB: I think the best way to mean the last 3 years. thinking is interesting as Legal Director looks for describe it is by using the mission HL: “Classic attorney” func- statement of Pfizer‟s legal most people imagine law- when evaluating different tion? division: Deliver competitive yers thinking along the lines proposals from law firms. advantage by understanding our of „this is the law in black on GB: Well, when I was growing GB: Pfizer has an innovative out- businesses, managing risks, and white and you cannot med- up, and this might sound a bit side counsel program called the inspiring our colleagues to drive dle with it‟. like a cliché, a lawyer was some- Pfizer Legal Alliance (or PLA in creative and useful legal solu- one in a courtroom, arguing in GB: Don‟t get me wrong. There short, started by Amy Schulman, front of judge and jury. Litigation tions. are a lot of things which are very Pfizer‟s global General Counsel). is the classical place where a I think that has everything neces- clear cut with regards to what The Pfizer Legal Alliance is a lawyer can truly present. Sure, sary to describe a good LD. You you can and cannot do, and of collaborative partnership be- you also have that to a certain need a very strong level of legal course I would never give advice tween Pfizer and 17 law firms knowledge combined with a very that is not compliant with that aims to transform the way “In fact, I used to love good understanding of the busi- existing regulation. What I mean legal services are delivered and working in litigation and, ness. On one hand, the role of a by being creative is that, when valued. These firms have agreed General Counsel - or Legal someone puts a business need to work on a flat-fee basis, which even today, I like to stay close Director as we say it - is to safe- forward, the need has to be met. is established at the beginning of to this classic attorney guard the company from issues The real challenge is being able each calendar year, and to arising from non-compliance or to blend that need with the provide counsel to the company function.” outside challenges. On the other regulatory requirements into one on a wide range of matters. Associate to Senior Associate at White & Case national Clerk at Hungarian Constitutional Secondment with White & Case urse Court Brussels 2000 2004 Legal Director - Hungary at Pfizer 2001 2007 Budapest Brussels Budapest PAGE 9
  • 10. IS SUE 3 V OL UM E 1 O CT, 2011 “..where lawyers add value is not all, but what really matters for team, how small pharmacies, two. The damage, however, is in giving the answers that me is the day to day interaction physicians, or even consumers not only to the companies, but that I have with these firms. I and patients keep track of it all, I ultimately to society. One is that everybody already knows, but simply think it is hard to truly do not know. two years ago, Hungary intro- giving the answer that nobody has asses a firms value without first- duced a very good R&D incen- Even on our end, it is not enough thought about.” hand experience. tive plan for the Pharma industry to just keep track of all the new HL: Looking at the pharma- regulations. If we did that, all (which allegedly is identified as This is something unique, and it one priority in terms of boosting ceutical industry specifical- our work would be purely reac- has proven quite effective in ly, the first natural question tive. We need to closely monitor the Hungarian economy), securing quality external counsel according to which, out of only is why did you choose it every proposal and, within the - who if need-be work with each when you moved in-house? applicable legal framework, we the industry-specific extra taxes, other. Of course this program companies would receive a tax try to influence the process and stems from the U.S., and these GB: We need to go back in time deduction if they invested in provide our input to shape the firms are not present everywhere for a bit to answer that. As I certain types of research and environment. The bottom line is in the world, so occasionally, we mentioned, I loved working in development, like basic research that we need to be on top of do need to look at other firms litigation and, while I was or phase I, II and III clinical trials. every piece of draft legislation and we make those decisions working at White & Case, one of Knowing the experience and the from the moment it comes into locally. the most interesting litigation level of research at the Hungarian the pipeline. cases that I worked on was academic institutions, Pfizer When we need to secure exter- focused on this industry (it “..the Pharma Economic Act. Ever invested in this opportunity and nal counsel outside the scope of revolved around reimbursements invested significant funds in R&D the PLA, we look for law firms since its enactment by Parliament and claw backs from the National in Hungary. Unfortunately, this that are practical, with good Health Insurance Fund). in 2006, it was amended tax incentive was cancelled as of knowledge in the relevant prac- substantially at least 25 times. “ July 1, 2011 and, on top of it, it tice area. When I say practical, I Throughout the case, I practically had to learn the industry inside was cancelled with a retrospec- mean to say that it is annoying HL: There is a lot of buzz at tive effect going back to 2010. when you receive 20 pages of out. I found it challenging and interesting and I was kind of the moment about the Again, if you look at it from a admittedly beautiful legal analysis recent Széll Kálmán Plan. legal perspective, a new piece of when you simply needed a drawn into this world. GB: It is one of many changes in legislation coming into effect straight-forward short answer. HL: In general, what do you with a one year retrospective While I would be delighted to find to be the most chal- the past 5 years. Like many things in life, it is not black or effect is unheard of and against read interesting legal analysis lenging aspect of working the very idea of the rule of law. (which has a beauty of its own) in this industry? white. Every few months we have to adjust to changes that This I find detrimental to society and emerge into questions of as well as to the rule of law itself, academic importance (and we GB: As strange as it may seem, never really lived out their life the unpredictability. Regulations before they were changed again. not to mention the companies must find the time for that some- and all the scientists and universi- time!), unfortunately, in today‟s change virtually every month and I agree that Healthcare needs change dramatically at least every reform, and there are certain ties that would have potentially world, you have to deal with so benefited from this tax incentive, much information on a daily year, if not more. To illustrate elements pointing to true correc- this, take one of the most tion and reform. However, there or members of society that basis, that you simply don‟t have would have benefited from the the time to indulge. important pieces of legislation are also many elements that are governing our industry, the of purely financial, cost-saving, research results. At the same On the other hand, there are a Pharma Economic Act. Since its and cost reduction nature, and time, the move will also impact few things that many firms enactment by Parliament in for true reform you would need the country‟s credibility and will present in proposals that don‟t 2006, it has been amended investment in public healthcare, cast a shadow over investor trust. have such a significance. For substantially at least 25 times. investment that is not financed The other measure is the sales example, firms like to put These amendments have oc- solely by the Pharma companies. representative tax changes. forward a large number of curred at all levels, from promo- Originally this tax was intro- HL: Let us dissect it a bit as lawyers. That I feel is almost tional rules to applicable taxes or duced in 2007 and, back then, all it is a very comprehensive never relevant when compared fines, and even to regulatory the pharmaceutical companies legislative package. Which to their expertise level. Another structures. An ever-changing reduced the number of their sales aspect of this plan do you thing I tend not to follow is all regulatory environment is chal- representatives considerably. believe will damage compa- the different awards or rankings lenging but after a certain point it nies the most? that they showcase when doing a simply goes against the basic Now this tax has doubled from 5 pitch. Don‟t get me wrong, I principle of the rule of law, and GB: Unfortunately I cannot pick million HUF to 10 million HUF don‟t mean to devalue these at while we have a dedicated legal only one, but I will limit it to per year per sales representative. PAGE 10
  • 11. IS SUE 3 V OL UM E 1 O CT, 2011 Initial numbers indicate that at combating wonder pills and India, sometimes transiting introduced, which offer much least 1000 people industry-wide counterfeit medication. The through Western Europe to better protection. The only will be made redundant as a re- results are already significant and make the packages less suspi- existing problem that I would sult and we are talking about can be seen weekly in the news cious. One time a huge shipment identify is that the Patent Protec- highly qualified people who were media. of pillows came in from a coun- tion Office‟s processes are still paying a considerable amount in try in Asia. Some were full of quite slow. For example, we had HL: I know you have quite a personal income and social secu- few interesting stories in- pills, others had blisters, and a patent claim that lasted from rity taxes, ultimately making the others had the information leaf- 1994 until 2010. volving counterfeits. Government lose out much more lets and the hologram stickers. HL: Since Pfizer has such a on the long run than they expect GB: Indeed. The one product All separately, as they say, “to be wide global footprint, what to earn via these taxes. Quite that is most threatened by coun- assembled” . role do you, as a GC for literally it will turn out to be a terfeits is one of our erectile case of putting some additional dysfunction products. As strange “..due to the applicable legislation, I Hungary, play in the patent- money in one pocket while loos- as it is, due to the applicable cannot say the name in this ing processes? ing much more from another legislation, I cannot say the name interview. A good example of GB: Most of our patents are in this interview. A good exam- “sensible” legislation. “ created globally. There are a lot ple of “sensible” legislation. We of them through the discovery “..a new piece of legislation coming Unfortunately the Hungarian fight counterfeits on a daily basis process. Our primary role in the into effect with a one year regulatory system is not about as they hurt our bottom line of legal team here, when it comes retrospective effect is unheard of and treating patients as “adults”. It course, but that is nothing to this issue, is patent enforce- against the very idea of the rule of aims at limiting information to compared to the health risk to ment. law. “ patients so they have to go on the patients. We need to make the internet and look for it from HL: When were you most general population aware of the proud to be working for HL: In light of the R&D tax other jurisdictions and sources in huge dangers that come with incentive cancellation you foreign languages. How that is Pfizer? using such products. We found mentioned, is it realistic to beneficial, I really don‟t know. GB: Luckily, it happens often. fake pills that contained brick expect more and more part- The regulators often use the One proud moment was when powder and food paint, and those nerships between pharma- reasoning that pharmaceuticals we concluded a number of were the happy scenarios. In ceutical companies aligning are dangerous and can be abused research agreements and partner- certain cases we even came their efforts in R&D? and one can kill oneself with ships with Hungarian universities across illegal narcotics and wall them. Under this logic, we and academic institutions. An- GB: I believe this is a natural paint on the pills (discovered should not sell knives and buses other was the launch of the Dis- process that is going to gain when the patient‟s hands and and trains should not run either. tribution and Logistics Centre for momentum globally, not just in tongue turned blue), and we I‟m really hoping that this men- CEE here in Hungary which Hungary. It is extremely expen- even received calls reporting tality will change and patients involved a massive amount of sive to develop a new product hallucinations. We naturally will be treated as adults who can work and coordination. Last but with numbers reaching 3 to 4 want to investigate these cases receive valuable information and not least, and this occurs regular- billion dollars before a product is with our global security group, make judgments based on that. ly every time we launch a new launched so I do expect a grow- but usually when we ask “where ing trend towards such partner- did you buy the pills” the imme- HL: Patents play a major product that will touch millions ships. Further, the research scene diate reaction is „well..I would role and many see it as one and save or considerably improve is changing, and nowadays its not rather not tell you‟. When we ask of the biggest headache in their lives, one cannot help but about one big blockbuster prod- for the batch number, from the the industry. What could be feel proud to be a part of a com- uct, but advancing research step very first couple of digits we improved in Hungary to pany that is truly making a differ- by step to find cures. know instantly we are dealing mitigate this? ence. If I would want to be a bit with a counterfeit product. sarcastic, I‟d say I could tell you GB: I think that, in Hungary, HL: What are the positive Counterfeiting pharmaceuticals is that I‟m very proud of a new elements of the plan over the past few years a lot has product developed recently for big. The return is bigger than on been done. Prior to EU acces- launched on July 1? illegal narcotics and the prison lung cancer, but I can‟t, due to sion, only process patents were the applicable promotional rules, GB: I believe the single most sentences are significantly shorter in place. This simply meant that for the time being. as if I named the product, and important benefit is the fact that if you would simply stir a mix you published it, we would both Gyemszi‟s, the new regulatory Also, every now and then we from right to left as opposed to be in for a huge fine. body for the industry and the receive phone calls from border the other way around you could NAV‟s (National Tax and Cus- police and customs that they copy the exact mix needed to Since the interview, in addition to toms Authority) scope and discovered counterfeits coming produce the patented drug. Since Hungary, Gergő became Legal Director authority were strengthened in in from Australia, China, and 2004, product patents have been for the Czech Republic and Romania. PAGE 11
  • 12. IS SUE 3 V OL UM E 1 O CT, 2011 The Széll Kálmán Plan puts increasing pressure on pharmaceutical companies dr. Ildikó Csák, Réczicza White & Case LLP While pharmaceutical companies made with respect to the sales Comparative Data, as opposed to have been quite adaptable to the representatives they have the 20% threshold applicable as continuous changes in the employed; in the amount of their per the old rules. If the R&D regulatory environment, the total adjusted R&D expenditure expenditure is less than 70%, but measures that have been put in (“R&D Costs”) as shown in their more than 30% of the Compara- place as part of the Széll Kálmán year-end accounts. tive Data, the allowance is Plan caused a major stir among restricted to 50% and 20% if the pharmaceutical companies, as In order to qualify for the R&D expenditure is below 30%, well as their employees. allowance, the taxpayer should but over 20% of the Comparative have incurred R&D costs in the Data. 1. Main measures amounts exceeding 20% of the As of July 1, 2011, the Hungarian proportion of the amount of state The amendments have also government implemented the subsidy received under the social caused the R&D allowance to lose following measures affecting security reimbursement scheme effect as of January 1, 2012, pharmaceutical companies: based on the sale of pharmaceuti- closing the above R&D Costs cal products sold in pharmacies, related tax incentives from the i.increase of the tax payable by and the manufacturer price or end of the year. “..several companies have pharmaceutical companies on the import price of the same products calculated their 2010 sale of subsidized products from (the “Comparative Data”). 4. Implications 12% to 20%; R&D expenditure The allowance could be claimed ii.increase in the fee paid for the The amendment reduced the assuming a reclamation of monthly in the form of a extent to which the allowance registration of pharmaceutical reduction of the payment 100%, however, due to sales representatives; may be claimed in comparison to obligations in subsections (i) and the allowance which was available the retroactive legislative iii.introduction of more stringent (ii) above, starting from the under the legislation in force in changes, many companies regulations relating to promo- fourth calendar month of the year the tax year when the qualifying will only be able to tional activities (notification obli- following any given year when R&D spending was affected. gations, increased fines, etc.), the qualifying R&D Costs were reclaim 20-50% or and incurred up until the full amount In view of the laws in effect prior nothing at all, causing of the R&D Costs have been to July 1, 2011, several compa- iv.retroactive legislative changes significant losses to the credited. This means that the nies have calculated their 2010 regarding the deduction of R&D allowance with respect to the R&D expenditure assuming a affected companies. spending. qualifying R&D spending of 2010 reclamation of 100%, however, While all these measures have had was to be claimed in 2011 in the due to the retroactive legislative a significant impact on pharma- form of a deduction from the changes, many companies will “Due to the effect of the ceutical companies, the legislative monthly payments, up to the only be able to reclaim 20-50% changes regarding the deduction amount of payments made on the or nothing at all, causing signifi- changes on their of R&D spending may be the same grounds in 2010. cant losses to the affected compa- profitability and together most onerous and controversial. nies. 3. R&D tax incentive as of July 1, with the increase of the 2. R&D tax incentive prior to 2011 By way of an example, a pharma- sales representatives July 1, 2011 ceutical company deducted 100% The new measures reduce and registration fees, eventually eliminate the R&D tax of R&D expenditures from its tax pharmaceutical companies Since January 1, 2010, marketing payment obligations starting Jan- allowance. authorization holders have uary 1, 2010 in its accounts. may be forced to received a reduction of up to As of July 1, 2011, market Accordingly, the company calcu- reconsider their 100% of (i) monthly payments authorization holders may only lated it would be refunded HUF investments in Hungary.” they have made with respect to receive the same allowance if the 2.8 billion of the payments made their subsidized turnovers and (ii) amount of R&D Costs incurred in in year 2010 and another HUF monthly payments they have 2010 exceeds 70% of the 0.4 billion for January-March of PAGE 12