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Conference 2024
Nuvama India
Ashish Adukia - Global Chief Financial Officer
Jasdeep Singh - Global Chief Strategy Officer
DISCLAIMER
Except for the historical information contained herein, statements in this presentation and the subsequent discussions may constitute "forward-looking
statements". These forward-looking statements involve a number of risks, uncertainties and other factors that could cause actual results to differ
materially from those suggested by the forward-looking statements. These risks and uncertainties include, but are not limited to our ability to
successfully implement our strategy, our growth and expansion plans, our ability to obtain regulatory approvals, technological changes, fluctuation in
earnings, foreign exchange rates, our ability to manage international operations and exports, our exposure to market risks as well as other risks.
The investor presentation is not intended to endorse, advertise, promote or recommend the use of any products listed in it which are for
representation purpose only, some of which are reference listed drugs of which the Company has approved, under approval or under
development generic equivalents. The prefixes “g” and “generic” used interchangeably indicate the generic versions of the named brand
drugs.
Information relating to any medical products or medical devices contained herein is provided by Cipla for general information purposes only.
Information on any of the medical products or medical devices may vary from country-to-country. A reference to a medical product or a
medical device does not imply that such medical product or medical device is available in your country. The commercial availability of the
medical products or medical devices listed herein in your country is dependent on the validity and status of existing patents and/or marketing
authorizations related to each. An independent enquiry regarding the availability of each medical products or medical device should be
made for each individual country.
The product information contained herein is not intended to provide complete medical information, and is not intended to be used as an
alternative to consulting with qualified doctors or health care professionals.
Nothing contained herein should be construed as giving of advice or the making of a recommendation and it should not be relied on as the
basis for any decision or action. It is important to only rely on the advice of a healthcare professional.
2
Agenda
Cipla Way
Forward
India
Trends
Journey
So Far
3
Journey So Far
Note: Revenue and EBITDA of last 4 qtrs (Q4’ FY23 – Q3’ FY24)
Established in 1935: Grown into one of the most respected
companies globally
85+
Markets
$3 Bn
Revenues
24%+
EBITDA
47
State of art
manufacturing
facilities
50+
Dosage
forms
26,000+
Employees
5
Performance for purpose
Strong execution to establish market leadership, build differentiated pipeline and accelerate our
journey to being a global healthcare company
1. Cash and Cash Equivalents; 2. Since FY19; 3. R&D Including depreciation from FY18-FY23
INR
4,113
Cr
INR
449
Cr
Debt
INR
Cr
7,590
INR
Cr
1,452
Cash1
FY 23 : 1,343 Cr
5Y Avg. : 1,140 Cr
Revenue from
Operations
EBITDA and EBITDA
Margin1
Return on Invested
Capital (RoIC)3
(₹ in crores) (₹ in crores) (in %)
6
R&D Investment3
Dividend payout2
FY 23 : 686 Cr
5Y Avg. : 460 Cr
INR
803
Cr
>>>> >>>>
INR
Cr
6,273
>>>> >>>>
FY18 FY23 Dec-23 FY18 FY23 Dec-23
Global footprint with
strong portfolio and
execution capabilities
across its key markets
7
India
3rd largest in the India domestic Rx market; Leadership in Gx
1st rank in Respiratory; top 5 in Urology and Anti-infectives
7,500+ field force detailing to HCPs across the country – 85% physicians prescribe
at-least one Cipla product
Over 5 Lac+ no of downloads - Digital Breathefree
Strengthened presence in tier 2 & tier 3 cities – GoApptiv & other initiatives
SAGA
3rd largest player in private Rx market in SA
OTC Expansion (acquisition of Actor Pharma)
North America
Fastest growing generic player; #11 by prescriptions in volume in FY’23
Adopted portfolio & customer diversification strategy
Established 505 (b) (2) & Para IV verticals
EM and Europe
Presence across 50+ markets in EM and 20+ markets in EU with 2,000+ SKUs and
35+ dosage
Building presence in deeper markets by collaborating with local partners
1. Revenue share as per FY’23 Annual report | 2. SAGA includes South Africa, Cipla
Global Access and Sub-Saharan Africa # EMEU – Emerging Markets and Europe
43%
14%
26%
13%
4%
India
SAGA
North
America
EMEU
Others
Leverage innovation for growth
1650 scientists|5 R&D facilities|303 patents granted till date
New Products Launched
8
Geography-wise product
launches in FY 2022-23
Investment in niche/complex opportunities in the U.S.
55+ New Product launches since 2017
Key Strategic Launches**
Diclofenac Gel
Testosterone
Injection
Cinacalcet
Budesonide
Respule
Albuterol
Esomeprazole
Sachet
Ambrisentan
Lenalidomide
Lanreotide
FY 2020-21
81 93 78
FY 2021-22 FY 2022-23
India 12
North America 9
Europe 20
South Africa & Global Access 10
Emerging Markets 27
Total 78
*
* All launches since 2017, IQVIA Dec MAT 2023| **Sub-set of all launches in the FY
191
373
419
546
623
826
MAT Dec 2018 MAT Dec 2019 MAT Dec 2020 MAT Dec 2021 MAT Dec 2022 MAT Dec 2023
Cumulative
sales
from
New
Launches
$ Mn IQVIA Sales
Cipla stays anchored to its motto – “None shall be denied”
9
Strong R&D leveraged to develop solutions that address unmet medical needs, improve access to
life-saving medicines
Then: Offered ARV triple combo
During the AIDS crisis in the late 90s, Cipla utilized
its formulation capabilities to provide ARV
medicines to under-served patients
Now: Worked with DNDi for Quadrimune
Launched a heat-stable, sweet pediatric
combination that does not require refrigeration
in SAGA
‘$1 per day’
1st 4-in-1 FDC
Abacavir + Lamivudine + Lopinavir + Ritonavir
Cipla continues to innovate in HIV
Inhaled anti-fungal
Ongoing global phase-2B &
India phase-2 clinical trials
Leuprolide 3M Depot injection
Launched peptide based,
long acting 505(b)(2) product
for advanced prostate cancer
Lanreotide Injection
Key complex NDA developed
& commercialised
Lenalidomide Capsule
For blood related malignancies
including multiple myeloma
Our Endeavor to improve access continues
Cipla remained at the forefront of Covid care, displaying
unwavering resilience
10
Cipla accelerated ‘Access to life-saving drugs’ for Covid and launched multiple products
Antibody Cocktail Antivirals Immunosuppressants
RT-PCR testing and
Antigen testing Kits
Served 1.2 Lacs patients
Available at >3000+ hospitals
Set-up Covid helpline: Received 100
to 300 calls on a day-to-day basis
CMO in Egypt; Supplied
Remdesivir to Emerging markets
I II III
India Trends
Patient Pool: Growth of ~20% expected between 2021 and 2030
Reducing fertility rates, ageing population, increasing chronic ailments and better awareness among patients are
resulting in higher patient pool
Proportion of Chronic Ailments
India is projected to house over 134
million diabetics by 2045. Cancer
cases expected to increase by 12% by
2025
Lifestyle Changes
NCDs account for around 63% of all
deaths in India. Obesity
expected to affect over 5% of
the country’s Adult population by
2025
Evolving Demographics
India ageing, elderly to make up 20%
of population by 2050 increasing the
demand for age-related healthcare
services significantly
Increasing Awareness Among
Patients
With over 700 million internet users in
India, As per BCG the Indian digital health
market is projected to grow at CAGR of 27%
from 2020 to 2024.
Pollution-Related Ailments
Home to the world's most polluted
cities, over 1.7 million deaths in
India (18% of all deaths)
were attributable to air pollution
contaminated water sources
contribute to gastrointestinal diseases,
hepatitis, and other health issues.
12
Ref: Ministry of Science & Technology India reports| News articles – Livemint/The Hindu |UNDP
Trends in Surgery | Advanced technologies driving adoption of both High-
end complex and minimally invasive surgeries
Hi-Tech complex surgeries
Such as Bi-valve replacement, Ortho surgery etc
Joint replacement
Knee replacement surgeries up 2.5x in 5 yr
Spine: very complex, specialized skillsets, higher
surgical value
60% of the Indian population will have a significant
episode of spine-related problem once in their lifespan
Trauma: Large volume, good quality is a need of the market
Value of the trauma fixation devices market within India was
expected to be over $100m in 2022 **
Robotics and AI Integration
Over 5,000 robotic-assisted procedures reported
annually in leading hospitals. The market for surgical
robotics expected to grow at CAGR of 20% from
$64.9 million in 2016 to $349.3 million by 2025
Day Care Surgery
40% growth rate in metros, driven by advancements in
surgical techniques and patient preference for
convenience. Procedures such as cataract surgery
and minor cosmetic surgeries performed on an outpatient
basis.
Estimated increase of over 30% in the past five years in major
metro cities.
Minimally Invasive Procedures
13
Ref : TOI article | ET World Health |
** https://www.medicaldevice-network.com/data-insights/market-share-analysis-trauma-fixation-india/?cf-view
Surge in Preventive Care | With Curative Healthcare remaining heavily
strained, focus has been shifting to Preventive Healthcare
Over 60% now prioritize regular health check-
ups a significant increase from a decade ago
• HCIs spend INR 4k-10k per annum on Preventive
Healthcare
• Willing to pay 20%-50% more in future
Corporate wellness programs
Participation increase of up to 70% in
major cities, reflecting growing employer
investment in health initiatives.
The use of health apps and wearables has seen a
four-fold increase among the urban
population in the last five years.
Preventive Healthcare
Market
Expected to
contribute 40%of
the Healthcare spends
in 2025, up from 36%
in 2021*
2018
65.0%
63.0%
35.0% 37.0%
2020
64.0%
36.0%
2021
60.0%
40.0%
2025
+12.6%
+18.8%
+17.1%
~172
~218
~259
~487
Preventive
Curative
Indian Healthcare Spend in $ Bn (Private + Government)
India’s healthcare market grew
rapidly in 2021, led by rise in health
spend triggered by the 2nd COVID-19
wave in the Apr-Jun 2021 period
14
*Overlap with Curative in CHC, Vaccines and VMN in Pharma | Source – Report - State of Preventive Health in India (Redseer)
Trends in Diagnostics | Accurate, accessible, and personalized
diagnosis to expand patient pool and improve clinical outcomes
The market for POCT in India is
expected to grow by 17%**
annually. With urban clinics and
pharmacies expanding their
offerings for rapid tests, reflecting a
growing demand for immediate
results
Expected to grow at a CAGR of
7%#
From $ 61Mn in 2022 to $90 Mn by 2028 .
The use of genomic tests for cancer
therapy selection has increased by over
50% in leading hospitals in metro
cities
Valued at $9.54 Bn in 2022 and is
estimated to expand at CAGR of
8%*
from 2022 to 2030 and will reach $17.54
Bn in 2030. Increasing use of PET-CT and
MRI with Advanced tech adoption
Advanced Imaging
Technologies (AIT)
Point-of-Care
Testing (POCT)
Genomic
Testing (GT)
15
* Insights10 - https://www.insights10.com/report/india-diagnostic-imaging-services-market/#:~:text=%24%203999,reach%20%2417.54%20Bn%20in%202030.
** – Ken Research - https://www.kenresearch.com/blog/2023/01/india-poct-sector/
#. TechSci Research - https://www.techsciresearch.com/report/india-genetic-testing-market/7813.html
Town 2-6 towns
expected to account
for incremental
healthcare growth
Last 4 years CAGR of chronic
medicines in T2-T6 is 11% vs 9.8%
for metros
Government initiatives and support
Policies and schemes
Ayushman Bharat PM-JAY aim to provide
health insurance to 50cr beneficiaries
encouraging private players to establish
healthcare facilities in underserved area
Infrastructure development
Subsidies and incentives for setting up
hospitals and clinics, have been pivotal.
Increased health awareness
Facilitated by digital penetration. This
awareness is creating demand for quality
healthcare services
Rising healthcare awareness and demand
Growing middle class
Higher disposable incomes, is willing to spend
on better healthcare services.
Technological advancements
Telemedicine and digital health
The adoption of telemedicine provided
easier access to specialist healthcare services
Digital health platforms
Facilitating consultations, diagnostic services,
and e-pharmacy services, bridging the
urban-rural divide.
Private sector investment
Private healthcare chains expansion
Increased investment in Tier 2-6 cities for
setting up multispecialty hospitals, diagnostic
centers, and specialty clinics.
16
Source : IQVIA data
Channel play should be designed to accommodate
both organized & unorganized retail
Traditional trade will continue to have a high dependance on
medicines supply
Penetration of organized players is limited to Metros, Tier 1  Tier 2-6 growth will be driven through traditional trade
FY16 FY22 FY27
Unorganized Retail Organized Retail
6-7%
25-30%
CAGR,
FY22-27
3-5%
95-97%
75-80%
~90%
9-11%
20-25%
~90%
15
26
41
Organized players expected to garner a market share of 20-25% by 2027 ~80% chemists still will be a part of unorganized retail
9-10% p.a.
Data analytics & insights both from organized & unorganized retail will be critical for pharma industry to design efficiency & drive growth
Source: Technopak Industry Report, Redseer Research, Analyst reports, Investor presentations
17
Generative AI:
A once-in-a-generation
technology surges into
healthcare industry
Enhanced efficiency and productivity
Outpatient journeys and clinical documentation for improved patient care.
Shortage of both clinical and non-clinical talent (e.g., only 64 doctors per
100,000 patients compared to the global average of 150 per 100,000)
Improved diagnostic accuracy
Earlier and more accurate diagnoses, particularly in complex cases such
as cancer
Personalized medicines
Enabling personalized treatment plans. , improve the efficacy of treatments
and reduce side effects,
Operational cost reduction
Optimize hospital operations, from inventory management to patient flow,
significantly reducing waste and operational costs.
Expansion into new services
Such as virtual health assistants, remote patient monitoring, and predictive
health analytics.
Gen AI applications to
contribute $64 billion to
Indian healthcare in seven years
NASSCOM 2021 Report
Indian healthcare is expected to reach $372 Bn by 2022
and data & AI has the potential to add $25-$30 Bn to
India’s GDP by 2025
Ref: S&P Intelligence Report
https://www.ey.com/en_in/ai/generative-ai-india-report/economic-opportunity-of-gen-ai-india
18
Cipla Way Forward
Cipla is making strategic moves to offer “Beyond the Pill”
20
Growth
Engine
Passion Innovation Pioneering Championing
care
Future Fit Cipla: Aspiration to build
bolder presence across key markets
Growth
Engine
Passion Innovation Pioneering Championing
care
ONE
INDIA
SOUTH
AFRICA
NORTH
AMERICA
INTERNATIONAL
MARKETS
21
To be 2nd
Largest
Pharma company in
Rx Market; Continue
Leadership in Gx
To be
Largest
Pharma
co in Rx( Private
market) & OTC
To be 2nd
Largest Gx by
respiratory
prescriptions in
the US
To 2x
revenue
$100 Mn+ ->
2 countries
Future Fit Cipla: Redefining
Respiratory – Bridging the
ecosystem from Illness to Wellness
22
Growth
Engine
Passion Innovation Pioneering Championing
care
Breathefree – Scaling
& launching
commercial modules
iOS App launched in Dec 2023
Medicine Delivery & Diagnostics
on demand
Lung Care Program 1.0 with
Pulmo Rehab + Diet plan
1,11,000+ Monthly Active Users
( 224% from Jan’23 )
6,42,000+ App Downloads
( 217% from Jan’23 )
1. Breathfree Data : Till Jan 2024
68% 32% 17%
(>55)
10%1
(0-18)
73%
(18-55)
Awareness and Adoption
Increase adoption
of inhalers by addressing
key myths
Increase awareness
amidst
kids and parents
on use of inhalers for kids
Breathefree Wellness Centres
Bringing Lung Care to patients Directly
Physiotherapists
& trainers
POC
& Advance
Counsellors
for smoking
deaddiction
Better diet
management
Diagnosis
Impulse
Oscillometer (iOS)
H1 FY 24
Digital
Launched Spirofy and working on Spiro Next Gen
Next generation digital asset – a SaMD for lung
health screening
Estimated Launch
H2 FY 24
23
Growth
Engine
Passion Innovation Pioneering Championing
care
Future Fit Cipla:
Stay relevant ,
Build “Beyond the Pill”
Investing in complex, differentiated,
new-age platforms
DPI/ MDI
Green
propellent
Peptides
Complex
injectables
Specialty
Simple
injectables
Biosimilars
Respiratory
therapies
Cell &
Gene
therapy
(Genomics)
mRNAs
Stem cells
Oligonucleotides
Synchro-
breathe
Ciphaler
Nebulization
Incremental
Innovation
Complex
formulations
New
frontiers
Future Fit Cipla: To lead, grow into
an integrated healthcare player
Growth
Engine
Passion Innovation Pioneering Championing
care
Entering POC model by Leveraging Cipla’s reach with
doctors, clinics, nursing homes
Cippoint
<15 mins TAT
Launched in January 2023
Achira (In-development)
15-30 mins TAT
A fully load-and-go instrument
Neodocs
Conducting pilot for the UTI test kit
High engagement with Start-up ecosystem via
VC Investments
We are actively
evaluating
opportunities across
these areas..
Oncology
Mental Health
Obesity
Dx Services
Wellness
Genomics
24
CARING FOR PEOPLE,
PLANET AND PURPOSE
Future Fit Cipla:
Sustainability Champion
Growth
Engine
Passion Innovation Pioneering Championing
care
Carbon neutral by 2025
Initiated Net zero and Scope 3 journey
Water positive by 2025
cGMP; Best-in-class Corporate Governance practices
ESG and Compliance
Great places to work certified and strive to be in the top 100 companies across industries
Build a culture of inclusion – Enhancing diversity across demographics while increasing
gender diversity by 100 bps yoy
Champion and Role Model the “Cipla Way”
Culture
AMR Access
4 Generics & 2 innovative products in pipeline
University partnerships, surveillances, IAIH, AMR alliance memberships
Crusader for Health & Crisis
25
Thank You
Registered Office :
Cipla Limited, Cipla House, Peninsula Business Park,
Ganpatrao Kadam Marg, Lower Parel, Mumbai
400 013
For any queries, please contact
Ajinkya Pandharkar
Investor.Relations@cipla.com
Diksha Maheshwari
Investor.Relations@cipla.com
For more information please visit
www.cipla.com
25

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Cipla Q3 2024 Presentation at Nuvama.pdf

  • 1. Conference 2024 Nuvama India Ashish Adukia - Global Chief Financial Officer Jasdeep Singh - Global Chief Strategy Officer
  • 2. DISCLAIMER Except for the historical information contained herein, statements in this presentation and the subsequent discussions may constitute "forward-looking statements". These forward-looking statements involve a number of risks, uncertainties and other factors that could cause actual results to differ materially from those suggested by the forward-looking statements. These risks and uncertainties include, but are not limited to our ability to successfully implement our strategy, our growth and expansion plans, our ability to obtain regulatory approvals, technological changes, fluctuation in earnings, foreign exchange rates, our ability to manage international operations and exports, our exposure to market risks as well as other risks. The investor presentation is not intended to endorse, advertise, promote or recommend the use of any products listed in it which are for representation purpose only, some of which are reference listed drugs of which the Company has approved, under approval or under development generic equivalents. The prefixes “g” and “generic” used interchangeably indicate the generic versions of the named brand drugs. Information relating to any medical products or medical devices contained herein is provided by Cipla for general information purposes only. Information on any of the medical products or medical devices may vary from country-to-country. A reference to a medical product or a medical device does not imply that such medical product or medical device is available in your country. The commercial availability of the medical products or medical devices listed herein in your country is dependent on the validity and status of existing patents and/or marketing authorizations related to each. An independent enquiry regarding the availability of each medical products or medical device should be made for each individual country. The product information contained herein is not intended to provide complete medical information, and is not intended to be used as an alternative to consulting with qualified doctors or health care professionals. Nothing contained herein should be construed as giving of advice or the making of a recommendation and it should not be relied on as the basis for any decision or action. It is important to only rely on the advice of a healthcare professional. 2
  • 5. Note: Revenue and EBITDA of last 4 qtrs (Q4’ FY23 – Q3’ FY24) Established in 1935: Grown into one of the most respected companies globally 85+ Markets $3 Bn Revenues 24%+ EBITDA 47 State of art manufacturing facilities 50+ Dosage forms 26,000+ Employees 5
  • 6. Performance for purpose Strong execution to establish market leadership, build differentiated pipeline and accelerate our journey to being a global healthcare company 1. Cash and Cash Equivalents; 2. Since FY19; 3. R&D Including depreciation from FY18-FY23 INR 4,113 Cr INR 449 Cr Debt INR Cr 7,590 INR Cr 1,452 Cash1 FY 23 : 1,343 Cr 5Y Avg. : 1,140 Cr Revenue from Operations EBITDA and EBITDA Margin1 Return on Invested Capital (RoIC)3 (₹ in crores) (₹ in crores) (in %) 6 R&D Investment3 Dividend payout2 FY 23 : 686 Cr 5Y Avg. : 460 Cr INR 803 Cr >>>> >>>> INR Cr 6,273 >>>> >>>> FY18 FY23 Dec-23 FY18 FY23 Dec-23
  • 7. Global footprint with strong portfolio and execution capabilities across its key markets 7 India 3rd largest in the India domestic Rx market; Leadership in Gx 1st rank in Respiratory; top 5 in Urology and Anti-infectives 7,500+ field force detailing to HCPs across the country – 85% physicians prescribe at-least one Cipla product Over 5 Lac+ no of downloads - Digital Breathefree Strengthened presence in tier 2 & tier 3 cities – GoApptiv & other initiatives SAGA 3rd largest player in private Rx market in SA OTC Expansion (acquisition of Actor Pharma) North America Fastest growing generic player; #11 by prescriptions in volume in FY’23 Adopted portfolio & customer diversification strategy Established 505 (b) (2) & Para IV verticals EM and Europe Presence across 50+ markets in EM and 20+ markets in EU with 2,000+ SKUs and 35+ dosage Building presence in deeper markets by collaborating with local partners 1. Revenue share as per FY’23 Annual report | 2. SAGA includes South Africa, Cipla Global Access and Sub-Saharan Africa # EMEU – Emerging Markets and Europe 43% 14% 26% 13% 4% India SAGA North America EMEU Others
  • 8. Leverage innovation for growth 1650 scientists|5 R&D facilities|303 patents granted till date New Products Launched 8 Geography-wise product launches in FY 2022-23 Investment in niche/complex opportunities in the U.S. 55+ New Product launches since 2017 Key Strategic Launches** Diclofenac Gel Testosterone Injection Cinacalcet Budesonide Respule Albuterol Esomeprazole Sachet Ambrisentan Lenalidomide Lanreotide FY 2020-21 81 93 78 FY 2021-22 FY 2022-23 India 12 North America 9 Europe 20 South Africa & Global Access 10 Emerging Markets 27 Total 78 * * All launches since 2017, IQVIA Dec MAT 2023| **Sub-set of all launches in the FY 191 373 419 546 623 826 MAT Dec 2018 MAT Dec 2019 MAT Dec 2020 MAT Dec 2021 MAT Dec 2022 MAT Dec 2023 Cumulative sales from New Launches $ Mn IQVIA Sales
  • 9. Cipla stays anchored to its motto – “None shall be denied” 9 Strong R&D leveraged to develop solutions that address unmet medical needs, improve access to life-saving medicines Then: Offered ARV triple combo During the AIDS crisis in the late 90s, Cipla utilized its formulation capabilities to provide ARV medicines to under-served patients Now: Worked with DNDi for Quadrimune Launched a heat-stable, sweet pediatric combination that does not require refrigeration in SAGA ‘$1 per day’ 1st 4-in-1 FDC Abacavir + Lamivudine + Lopinavir + Ritonavir Cipla continues to innovate in HIV Inhaled anti-fungal Ongoing global phase-2B & India phase-2 clinical trials Leuprolide 3M Depot injection Launched peptide based, long acting 505(b)(2) product for advanced prostate cancer Lanreotide Injection Key complex NDA developed & commercialised Lenalidomide Capsule For blood related malignancies including multiple myeloma Our Endeavor to improve access continues
  • 10. Cipla remained at the forefront of Covid care, displaying unwavering resilience 10 Cipla accelerated ‘Access to life-saving drugs’ for Covid and launched multiple products Antibody Cocktail Antivirals Immunosuppressants RT-PCR testing and Antigen testing Kits Served 1.2 Lacs patients Available at >3000+ hospitals Set-up Covid helpline: Received 100 to 300 calls on a day-to-day basis CMO in Egypt; Supplied Remdesivir to Emerging markets I II III
  • 12. Patient Pool: Growth of ~20% expected between 2021 and 2030 Reducing fertility rates, ageing population, increasing chronic ailments and better awareness among patients are resulting in higher patient pool Proportion of Chronic Ailments India is projected to house over 134 million diabetics by 2045. Cancer cases expected to increase by 12% by 2025 Lifestyle Changes NCDs account for around 63% of all deaths in India. Obesity expected to affect over 5% of the country’s Adult population by 2025 Evolving Demographics India ageing, elderly to make up 20% of population by 2050 increasing the demand for age-related healthcare services significantly Increasing Awareness Among Patients With over 700 million internet users in India, As per BCG the Indian digital health market is projected to grow at CAGR of 27% from 2020 to 2024. Pollution-Related Ailments Home to the world's most polluted cities, over 1.7 million deaths in India (18% of all deaths) were attributable to air pollution contaminated water sources contribute to gastrointestinal diseases, hepatitis, and other health issues. 12 Ref: Ministry of Science & Technology India reports| News articles – Livemint/The Hindu |UNDP
  • 13. Trends in Surgery | Advanced technologies driving adoption of both High- end complex and minimally invasive surgeries Hi-Tech complex surgeries Such as Bi-valve replacement, Ortho surgery etc Joint replacement Knee replacement surgeries up 2.5x in 5 yr Spine: very complex, specialized skillsets, higher surgical value 60% of the Indian population will have a significant episode of spine-related problem once in their lifespan Trauma: Large volume, good quality is a need of the market Value of the trauma fixation devices market within India was expected to be over $100m in 2022 ** Robotics and AI Integration Over 5,000 robotic-assisted procedures reported annually in leading hospitals. The market for surgical robotics expected to grow at CAGR of 20% from $64.9 million in 2016 to $349.3 million by 2025 Day Care Surgery 40% growth rate in metros, driven by advancements in surgical techniques and patient preference for convenience. Procedures such as cataract surgery and minor cosmetic surgeries performed on an outpatient basis. Estimated increase of over 30% in the past five years in major metro cities. Minimally Invasive Procedures 13 Ref : TOI article | ET World Health | ** https://www.medicaldevice-network.com/data-insights/market-share-analysis-trauma-fixation-india/?cf-view
  • 14. Surge in Preventive Care | With Curative Healthcare remaining heavily strained, focus has been shifting to Preventive Healthcare Over 60% now prioritize regular health check- ups a significant increase from a decade ago • HCIs spend INR 4k-10k per annum on Preventive Healthcare • Willing to pay 20%-50% more in future Corporate wellness programs Participation increase of up to 70% in major cities, reflecting growing employer investment in health initiatives. The use of health apps and wearables has seen a four-fold increase among the urban population in the last five years. Preventive Healthcare Market Expected to contribute 40%of the Healthcare spends in 2025, up from 36% in 2021* 2018 65.0% 63.0% 35.0% 37.0% 2020 64.0% 36.0% 2021 60.0% 40.0% 2025 +12.6% +18.8% +17.1% ~172 ~218 ~259 ~487 Preventive Curative Indian Healthcare Spend in $ Bn (Private + Government) India’s healthcare market grew rapidly in 2021, led by rise in health spend triggered by the 2nd COVID-19 wave in the Apr-Jun 2021 period 14 *Overlap with Curative in CHC, Vaccines and VMN in Pharma | Source – Report - State of Preventive Health in India (Redseer)
  • 15. Trends in Diagnostics | Accurate, accessible, and personalized diagnosis to expand patient pool and improve clinical outcomes The market for POCT in India is expected to grow by 17%** annually. With urban clinics and pharmacies expanding their offerings for rapid tests, reflecting a growing demand for immediate results Expected to grow at a CAGR of 7%# From $ 61Mn in 2022 to $90 Mn by 2028 . The use of genomic tests for cancer therapy selection has increased by over 50% in leading hospitals in metro cities Valued at $9.54 Bn in 2022 and is estimated to expand at CAGR of 8%* from 2022 to 2030 and will reach $17.54 Bn in 2030. Increasing use of PET-CT and MRI with Advanced tech adoption Advanced Imaging Technologies (AIT) Point-of-Care Testing (POCT) Genomic Testing (GT) 15 * Insights10 - https://www.insights10.com/report/india-diagnostic-imaging-services-market/#:~:text=%24%203999,reach%20%2417.54%20Bn%20in%202030. ** – Ken Research - https://www.kenresearch.com/blog/2023/01/india-poct-sector/ #. TechSci Research - https://www.techsciresearch.com/report/india-genetic-testing-market/7813.html
  • 16. Town 2-6 towns expected to account for incremental healthcare growth Last 4 years CAGR of chronic medicines in T2-T6 is 11% vs 9.8% for metros Government initiatives and support Policies and schemes Ayushman Bharat PM-JAY aim to provide health insurance to 50cr beneficiaries encouraging private players to establish healthcare facilities in underserved area Infrastructure development Subsidies and incentives for setting up hospitals and clinics, have been pivotal. Increased health awareness Facilitated by digital penetration. This awareness is creating demand for quality healthcare services Rising healthcare awareness and demand Growing middle class Higher disposable incomes, is willing to spend on better healthcare services. Technological advancements Telemedicine and digital health The adoption of telemedicine provided easier access to specialist healthcare services Digital health platforms Facilitating consultations, diagnostic services, and e-pharmacy services, bridging the urban-rural divide. Private sector investment Private healthcare chains expansion Increased investment in Tier 2-6 cities for setting up multispecialty hospitals, diagnostic centers, and specialty clinics. 16 Source : IQVIA data
  • 17. Channel play should be designed to accommodate both organized & unorganized retail Traditional trade will continue to have a high dependance on medicines supply Penetration of organized players is limited to Metros, Tier 1  Tier 2-6 growth will be driven through traditional trade FY16 FY22 FY27 Unorganized Retail Organized Retail 6-7% 25-30% CAGR, FY22-27 3-5% 95-97% 75-80% ~90% 9-11% 20-25% ~90% 15 26 41 Organized players expected to garner a market share of 20-25% by 2027 ~80% chemists still will be a part of unorganized retail 9-10% p.a. Data analytics & insights both from organized & unorganized retail will be critical for pharma industry to design efficiency & drive growth Source: Technopak Industry Report, Redseer Research, Analyst reports, Investor presentations 17
  • 18. Generative AI: A once-in-a-generation technology surges into healthcare industry Enhanced efficiency and productivity Outpatient journeys and clinical documentation for improved patient care. Shortage of both clinical and non-clinical talent (e.g., only 64 doctors per 100,000 patients compared to the global average of 150 per 100,000) Improved diagnostic accuracy Earlier and more accurate diagnoses, particularly in complex cases such as cancer Personalized medicines Enabling personalized treatment plans. , improve the efficacy of treatments and reduce side effects, Operational cost reduction Optimize hospital operations, from inventory management to patient flow, significantly reducing waste and operational costs. Expansion into new services Such as virtual health assistants, remote patient monitoring, and predictive health analytics. Gen AI applications to contribute $64 billion to Indian healthcare in seven years NASSCOM 2021 Report Indian healthcare is expected to reach $372 Bn by 2022 and data & AI has the potential to add $25-$30 Bn to India’s GDP by 2025 Ref: S&P Intelligence Report https://www.ey.com/en_in/ai/generative-ai-india-report/economic-opportunity-of-gen-ai-india 18
  • 20. Cipla is making strategic moves to offer “Beyond the Pill” 20 Growth Engine Passion Innovation Pioneering Championing care
  • 21. Future Fit Cipla: Aspiration to build bolder presence across key markets Growth Engine Passion Innovation Pioneering Championing care ONE INDIA SOUTH AFRICA NORTH AMERICA INTERNATIONAL MARKETS 21 To be 2nd Largest Pharma company in Rx Market; Continue Leadership in Gx To be Largest Pharma co in Rx( Private market) & OTC To be 2nd Largest Gx by respiratory prescriptions in the US To 2x revenue $100 Mn+ -> 2 countries
  • 22. Future Fit Cipla: Redefining Respiratory – Bridging the ecosystem from Illness to Wellness 22 Growth Engine Passion Innovation Pioneering Championing care Breathefree – Scaling & launching commercial modules iOS App launched in Dec 2023 Medicine Delivery & Diagnostics on demand Lung Care Program 1.0 with Pulmo Rehab + Diet plan 1,11,000+ Monthly Active Users ( 224% from Jan’23 ) 6,42,000+ App Downloads ( 217% from Jan’23 ) 1. Breathfree Data : Till Jan 2024 68% 32% 17% (>55) 10%1 (0-18) 73% (18-55) Awareness and Adoption Increase adoption of inhalers by addressing key myths Increase awareness amidst kids and parents on use of inhalers for kids Breathefree Wellness Centres Bringing Lung Care to patients Directly Physiotherapists & trainers POC & Advance Counsellors for smoking deaddiction Better diet management Diagnosis Impulse Oscillometer (iOS) H1 FY 24 Digital Launched Spirofy and working on Spiro Next Gen Next generation digital asset – a SaMD for lung health screening Estimated Launch H2 FY 24
  • 23. 23 Growth Engine Passion Innovation Pioneering Championing care Future Fit Cipla: Stay relevant , Build “Beyond the Pill” Investing in complex, differentiated, new-age platforms DPI/ MDI Green propellent Peptides Complex injectables Specialty Simple injectables Biosimilars Respiratory therapies Cell & Gene therapy (Genomics) mRNAs Stem cells Oligonucleotides Synchro- breathe Ciphaler Nebulization Incremental Innovation Complex formulations New frontiers
  • 24. Future Fit Cipla: To lead, grow into an integrated healthcare player Growth Engine Passion Innovation Pioneering Championing care Entering POC model by Leveraging Cipla’s reach with doctors, clinics, nursing homes Cippoint <15 mins TAT Launched in January 2023 Achira (In-development) 15-30 mins TAT A fully load-and-go instrument Neodocs Conducting pilot for the UTI test kit High engagement with Start-up ecosystem via VC Investments We are actively evaluating opportunities across these areas.. Oncology Mental Health Obesity Dx Services Wellness Genomics 24
  • 25. CARING FOR PEOPLE, PLANET AND PURPOSE Future Fit Cipla: Sustainability Champion Growth Engine Passion Innovation Pioneering Championing care Carbon neutral by 2025 Initiated Net zero and Scope 3 journey Water positive by 2025 cGMP; Best-in-class Corporate Governance practices ESG and Compliance Great places to work certified and strive to be in the top 100 companies across industries Build a culture of inclusion – Enhancing diversity across demographics while increasing gender diversity by 100 bps yoy Champion and Role Model the “Cipla Way” Culture AMR Access 4 Generics & 2 innovative products in pipeline University partnerships, surveillances, IAIH, AMR alliance memberships Crusader for Health & Crisis 25
  • 26. Thank You Registered Office : Cipla Limited, Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai 400 013 For any queries, please contact Ajinkya Pandharkar Investor.Relations@cipla.com Diksha Maheshwari Investor.Relations@cipla.com For more information please visit www.cipla.com 25