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the SMarter Supply chaIn
of the future
GLOBAL CHIEF SUPPLY CHAIN OFFICER STUDY




LIFE SCIENCES INDUSTRY EDITION
2




                                          IntroductIon
                                          In the course of our research for IBM’s inaugural Global chief Supply chain
    sURvEy samplE
                                          Officer Study, we conducted face-to-face interviews with nearly 400 senior
    Our survey sample includes            supply chain executives from 25 countries and 29 different industries. 1
    supply chain executives from
    pharmaceutical companies,             Here, we focus on the responses of the 23 supply chain executives from
    biotechnology firms, generic          the Life Sciences industry (see sidebar, Survey sample).
    pharmaceutical makers,
    medical device and diagnos-
    tics companies, consumer              Across industries and geographies, supply chain executives told us they
    healthcare product providers
    and medical distributors.             struggle with five primary challenges: visibility, risk, cost containment, cus-
    Seventeen percent of                  tomer demands and globalization. Though the priorities vary slightly, the
    respondents are based in Asia
    Pacific; 35 percent in the            same five issues weigh on the minds of Life Sciences executives (see
    Americas; and 48 percent in           Figure 1).
    Europe.

                                          While studying these high-ranking agenda items, we couldn’t help but
                                          notice a common thread: the indisputable impact of the industry’s migra-
                                          tion away from the blockbuster model. Increasingly, Life Sciences compa-
                                          nies are selling therapeutic offerings that target smaller patient segments

                               FIGURE 1   ThE Top FIvE challEnGEs FoR ThE lIFE scIEncEs sUpply chaIn
                                          Life Sciences executives’ priorities vary somewhat from the full cross-industry sample.

                                                All industries         Life Sciences


                                          70%       70%
                                                                         64%
                                                                                       60%
                                                                 56%                                                        55%
                                                                                              52%                 52%

                                                                                                         43%

                                                                                                                                    30%




                                          sUpply chaIn            IncREasInG              RIsk           GlobalIzaTIon         cosT
                                            vIsIbIlITy             cUsTomER            manaGEmEnT                           conTaInmEnT
                                                                   dEmands
introduction                                                                    3




– and comprise more than just drugs. These solutions include diagnostic
tests, monitoring mechanisms, sophisticated delivery devices and a wide
range of support services – all potentially supplied by different partners.
The implications for the supply chain are dramatic.

To address this massive industry shift, Life Sciences companies will need a
different kind of supply chain – one that is much smarter. By this, we mean
a supply chain that is far more:

Instrumented – Using sensors and “smart” devices to gain greater visibil-
ity across the supply chain, mitigate risk, reduce cost and manage rising
complexity.

Interconnected – Integrating the entire supply chain to share information,
make decisions collaboratively and manage in realtime; connecting with
suppliers and especially with customers; communicating not just between
people, but among the billions of products, medical devices and smart
objects across the supply chain network.

Intelligent – Relying more on advanced analytics, simulation and model-
ing tools to evaluate increasingly complex and dynamic risks and con-
straints and manage the supply chain more scientifically.

Although the decline of the blockbuster model involves a difficult transition
for the entire industry, the smarter supply chain presents Life Sciences
executives with a tremendous opportunity: a way to tailor their operations
to meet the needs of different markets, customer segments, even individ-
ual patients.
ThE casE FoR
4                                                                                                   executive summary




                                      a smaRTER
                                      lIFE scIEncEs
                                      sUpply chaIn

                                   VISIBIlIty IS top challenGe
                                   Like their peers across industries, Life Sciences executives rank visibility as
“One of our biggest                their foremost challenge. One contributing factor is the constant flux cre-
 challenges is developing          ated by waves of merger and acquisition activity. Companies are struggling
 the ability to work together
 with supply chain partners,
                                   with a cumbersome patchwork of systems and tools – and, as a result,
 sharing access to our             poor visibility.
 organizations. All have their
 own agendas.”
                                   At the same time, supply chain networks are becoming much more global
 Vice President of Supply Chain,   and complex. Increasing numbers of sourcing and outsourcing partners
 pharmaceutical company, Europe
                                   scattered around the world make it more and more difficult to maintain
                                   visibility.

                                   A number of internal organizational barriers also limit collaboration and vis-
                                   ibility. For example, 87 percent of Life Sciences executives say individuals
                                   in their companies are too busy to assist others in the management of the
                                   supply chain. That is a surprisingly high hurdle – even larger than the 75
                                   percent total across industries. This is only made worse by inhibitive orga-
                                   nizational silos and misaligned performance measures.

                                   Arguably, the greatest visibility challenge for Life Sciences companies is
                                   the view downstream. While Life Sciences is ahead of other industries in
                                   terms of planning with suppliers, customer collaboration is less pervasive
                                   (see Figure 2).
the case for a smarter life sciences supply chain                                                                       5




FIGURE 2   plannInG wITh sUpplIERs Is TwIcE as pREvalEnT as plannInG wITh cUsTomERs
           Although they generally rate customer collaboration as more effective than supplier collaboration, fewer
           Life Sciences supply chains are using those practices, with the exception of continuous replenishment.

              All industries       Life Sciences

                                                                                                          79%
            Continuous replenishment
             programs for customers

                                                                                                             83%
                                                                                           62%




                                                                                                                65
                Collaborative planning
                        with suppliers                                                                                %
                                                                                                                       wITh
                                                                                              65%
                                                                                                                       sUpplIERs
                                                                                           62%

           Shared, realtime electronic
              demand/inventory data
                                                                                           61%
                                                                                     54%
                  Customer inventory
             planning and deployment
                            programs
                                                                                48%
                                                                                  52%
                Collaborative demand



                                                                                                                31
            planning, forecasting, and
             replenishment programs                                                                                   %
                       with customers                                                                                 wITh
                                                                 31%                                                  cUsTomERs




           For example, Life Sciences lags far behind other industries in implementing
           collaborative demand planning, forecasting and replenishment (CPFR) pro-
           grams with customers, with only one-third of executives noting any initia-
           tives in this area. Even customer collaboration methods acknowledged as
           highly effective are not broadly adopted. For example, 46 percent of Life
           Sciences executives consider vendor-managed inventory for their custom-
           ers to be an extremely effective practice; but only 4 percent have imple-
           mented it extensively.
6                                                the case for a smarter life sciences supply chain




    VISIBIlIty In the SMarter Supply chaIn
    The smarter Life Sciences supply chain keeps customers – wholesalers,
    governments, hospitals and pharmacies – stocked with the products they
    need to meet uncertain patient demand. It works to replace the inventory
    management guessing game with facts and realtime adjustments.

    It does so by connecting with suppliers, manufacturing and distribution
    partners, and especially customers. With clear line of sight to the first pay-
    ing customer, the smarter Life Sciences supply chain can better determine
    where to locate inventory and in what amount. Upstream visibility allows it
    to make realtime adjustments to production and distribution, optimizing
    inventory around the world and avoiding costly stockpiles in markets with
    little demand.

    Interconnectivity also allows the smarter supply chain to synchronize pro-
    duction schedules across sites to minimize idle periods and shorten end-
    to-end cycle time. This is particularly important with increases in the
    number of complex treatment solutions that involve multistep, multisite,
    multipartner manufacturing and assembly processes.
the case for a smarter life sciences supply chain                               7




In the smarter Life Sciences supply chain, sensors and other smart devices
– not just people – communicate and share information. This allows com-
panies to work around what Life Sciences executives cited as their top
obstacles to collaboration: employees that are too busy to assist, organi-
zational silos and misaligned performance measures. In some instances,
smarter systems can even make decisions and take action automatically
– increasing responsiveness and reducing the need for human
involvement.

Automating baseline activities also has the added benefit of freeing time for
employees to manage critical exceptions and focus on higher-value activi-
ties. For example, smart pallets could sense which products they are car-
rying, whether they contain the proper amount of that product and, if not,
automatically send a replenishment signal.
8                                                  the case for a smarter life sciences supply chain




    case study
    EndO PHARmACEUTICALS: TIgHT COnnECTIOnS
    BrInG Greater VISIBIlIty

    Although Life Sciences companies are starting to outsource parts of their
    supply chains, executives still debate the potential risks – loss of control,
    loss of intellectual property (IP), loss of visibility into what’s happening with
    their operations. Perhaps because it is a relative newcomer to the industry,
    pain management maker Endo Pharmaceuticals has not succumbed to
    these fears. Sometimes referred to as a “virtual company,” Endo relies on
    third-parties for all of its manufacturing and distribution.2

    This approach allows Endo’s supply chain to expand or contract in line
    with demand volumes, helping the company avoid obstacles and risks that
    could have derailed its rapid growth. Together, Endo and its supply chain
    provider (UPS Supply Chain Solutions) designed the two distribution cen-
    ters UPS now runs for the company. They also collaborated on the 15
    detailed performance metrics used to manage the operation.3

    The two companies are interconnected not only in terms of facilities and
    process, but also through information systems. UPS employees work
    directly with Endo’s ERP system, which, in turn, is fed by the vendor’s
    warehouse management system.4

    Trusting an external provider to manage its supply chain does not mean
    Endo has relinquished control or lost visibility. To the contrary, the extreme
    interconnectivity between the companies provides Endo with a hands-on
    view of its entire supply chain.5
the case for a smarter life sciences supply chain                                                                    9




lIfe ScIenceS lackS cuStoMer IntIMacy
It’s easy to understand why Life Sciences supply chain executives rank
customer demands as their second highest challenge. The industry serves         “Our major challenge is
                                                                                 working with the business
a diverse customer base – including wholesalers, governments, hospitals
                                                                                 to align goals and agree
and retail pharmacies, each with very different requirements and                 on where we can be a
expectations.                                                                    competitive advantage in
                                                                                 driving revenue, as opposed
                                                                                 to just reducing costs…
On another level, the industry is struggling to better meet the needs of         for example, in the design
individual patients, as it evolves from blockbuster drugs to include targeted    of new packaging and
treatment solutions and eventually gene-based therapies. Understanding           presentation options.”

patient needs can be even more challenging in markets where legislation         President of Global Manufacturing,
                                                                                pharmaceutical company, North
blocks direct access to consumers.                                              America


At the same time, globalization has introduced another layer of variability,
with demand constantly varying across markets and some regions requir-
ing market-specific solutions. To know how much product to make, when
and where – and, increasingly, to even know what product to make – the
Life Sciences supply chain needs greater customer insight.

However, despite Life Sciences executives’ serious concern about rising
customer demands – which far surpassed the cross-industry average –
the industry is not moving toward customer intimacy very quickly. In terms
of product development, the industry is still primarily R&d-driven, with
more Life Sciences executives worried about reducing time to market (70
percent) than identifying customer needs correctly (57 percent). In the area
of supply chain planning, 56 percent of the Life Sciences companies
acknowledge that they only collaborate with customers on demand plan-
ning to a very small extent – nearly one-third do not collaborate with cus-
tomers at all. When compared to top supply chains, Life Sciences
companies show significant gaps in their ability to effectively synchronize
supply and demand (see Figure 3).
10                                                                           the case for a smarter life sciences supply chain




     FIGURE 3    lIFE scIEncEs laGs In cUsTomER dEmand collaboRaTIon
                 In terms of supply chain planning, the largest gap between top supply chains and the industry is in
                 the area of customer collaboration.

                    Life Sciences     Top supply chains

                                                                                                              83%
                Internal meetings with sales,
                 marketing and supply chain
                                  operations
                                                                                                                        96%
                                                                                        57%
                    External supply planning
                 collaboration with suppliers
                                                                                                     73%
                                                                             43%

                            External demand
                collaboration with customers
                                                                                             63%
                                                                                                           20           %
                                                                                                                         Gap




                cuStoMer IntIMacy In the SMarter Supply
                chaIn
                Smarter supply chains help Life Sciences companies segment and serve a
                diverse customer base, proactively gathering and analyzing information to
                develop a deeper understanding of each segment’s specific needs. Close
                collaboration with wholesalers, governments, hospitals and retail pharma-
                cies is critical to serve those customers better. But it’s equally important
                because these customers are important allies in understanding the end
                consumer – the patient.
the case for a smarter life sciences supply chain                               11




With greater interconnectivity and instrumentation, the smarter Life Sciences
supply chain can even tailor distribution systems to meet segment-specific
needs. For example, reliable 24-hour delivery might be more important to
hospitals since they tend to carry less inventory than wholesalers and large
retail pharmacies. Better insights help the company decide on the best dis-
tribution approach for each product – for example, when to go through a
wholesaler or directly to the patient.

While early adopters are using sensors and radio frequency identification
(RFId) tags primarily for track-and-trace capabilities, the smarter supply
chain uses them to understand customer needs as well. For example,
RFId-enabled promotional displays might report on customer enthusiasm
for a new over-the-counter product. Stents, pain pumps, pacemakers and
other implanted devices could advise of their condition so they are replaced
precisely when needed, rather than on a fixed schedule or, worse, upon
failure.

To help synchronize supply and demand, the smarter Life Sciences supply
chain uses sophisticated simulation models of customer behavior, buying
patterns and market penetration. And unexpected shifts in demand are
easily accommodated because of realtime connections and flexible rela-
tionships with suppliers.
12                                                the case for a smarter life sciences supply chain




     case study
     THE gLOBAL PAndEmIC InITIATIvE: REAdy TO
     Supply uncertaIn deMand

     What if a company had to develop and distribute a new medicine immedi-
     ately, but its customers could not specify what kind of drug they need or
     how much or where it needed to be shipped? Such is the case with a
     pandemic.

     Established to confront this intractable problem, the global Pandemic
     Initiative is a collaboration that spans private industry, academia, govern-
     ments and public health agencies worldwide.6 more than 20 partners are
     involved.

     The Initiative aims to collect and analyze clinical data from hospitals and
     health organizations around the globe to identify and track emerging dis-
     ease outbreaks. Sophisticated data modeling and simulation – for exam-
     ple, using travel patterns of humans, and in the case of avian flu, birds
     – help researchers predict the spread of disease.

     By connecting all of these sources of information and leveraging advanced
     analytical tools, decision makers can more accurately assess risks and
     prepare. This, in turn, helps shorten response time and allows more
     informed decisions regarding patient isolation, school and business clo-
     sures and travel bans.7 The Initiative also works closely with pharmaceuti-
     cal companies to help ensure global manufacturing and supply chain
     networks are prepared for rapid ramp-up and stockpiling of drugs. In a
     pandemic, the ability to respond rapidly and globally is a life-or-death mat-
     ter of enormous proportions.
the case for a smarter life sciences supply chain                                                                      13




rISk aVoIdance VerSuS rISk ManaGeMent
As part of what is perhaps society’s most heavily regulated industry, Life
Sciences companies take risk seriously. They do so not just for compliance           “The trade-off between
                                                                                      partner collaboration and
reasons, but because safety, quality and trustworthiness are integral to              risk management is one of
their brands.                                                                         our largest challenges.”
                                                                                     Supply chain executive, medical
So, it’s not surprising that, when compared to other industries, more Life           solution provider, Europe

Sciences supply chain executives (75 percent versus 69 percent) are mon-
itoring risk. Similarly, the IBm global CFO Study found that twice as many
Life Sciences companies say they are prepared to handle a risk event.8

Clearly, Life Sciences executives understand risk. But are they more likely
to manage it or avoid it? In the past, the typical response to potential loss
of intellectual property was: don’t partner. To risk of counterfeit or theft: exit
that geographic market. To stock-outs: build a bigger buffer. For many
companies, the objective is still to entirely eliminate any chance of a risk
event occurring.

Risk avoidance, however, can be an expensive strategy. For example, con-
sider the cost of excess inventory. The Life Sciences industry has a median
inventory turnover of 3.4, which is significantly less than the market median
(5.5) and a small fraction of the ratio achieved by leaders like dell Inc.
(47.1).10 Additionally, the nearly four months it takes to move inventory
through the Life Sciences supply chain consumes a substantial portion of
these pharmaceutical products’ limited shelf life.
14                                                                         the case for a smarter life sciences supply chain




                As margins become slimmer and supply chain complexity rises, Life
                Sciences companies will not be able to insulate themselves from all risks.
                Instead, Life Sciences supply chains must become more adept at manag-
                ing risk.
     FIGURE 4   lIFE scIEncEs companIEs TRaIl Top sUpply chaIns In ImplEmEnTInG RIsk manaGEmEnT 9

                Although many companies are monitoring risk, the industry still has room to improve risk
                management practices.

                    Currently implemented          In next 3 years
                                       Top sUpply chaIns
                  Process controls                                                                                     96%
                   in logistics and    lIFE scIEncEs
                        operations                                                                        82%

                                        Top sUpply chaIns
                      Compliance                                                                                   92%
                    programs with
                                        lIFE scIEncEs
                        suppliers/
                                                                                                          82%
                         providers

                                        Top sUpply chaIns
                                                                                                         80%
                 Risk mitigation in
                      supply chain      lIFE scIEncEs
                          planning                                                                      78%


                                       Top sUpply chaIns
                Event management                                                                 72%
                        to monitor     lIFE scIEncEs
                       disruptions                                                                72%
the case for a smarter life sciences supply chain                               15




rISk ManaGeMent In the SMarter Supply
chaIn
Smarter supply chains allow Life Sciences companies to adopt a much
more scientific approach to identifying and managing risk. Instrumentation
throughout the supply chain network provides realtime input for risk quan-
tification. And sophisticated simulations and data models help companies
calculate the probability of a particular risk occurring. Add revenue projec-
tions and it’s possible to determine revenue at risk over any given time
horizon.

Such intelligence also allows a more precise response. By modeling alter-
native mitigation strategies, the supply chain can prioritize, schedule and
cost the actions required to reduce risk and manage its overall risk profile.
Instead of avoiding risks at any cost, the smarter supply chain employs a
fact-based, quantitative risk management approach.

The smarter Life Sciences supply chain also combats risk by building intel-
ligence into its products and packaging. Barcodes, RFId tags and other
emerging smart devices provide realtime visibility to thwart diversion and
theft – and enable authentication to stem the flow of counterfeit drugs.
Combined with end-to-end supplier integration, these track-and-trace
capabilities help partners respond quickly and comprehensively in the
event of a recall situation.
16                                                  the case for a smarter life sciences supply chain




     case study
     BILCARE RESEARCH: mAnAgIng THE PEdIgREE
     of druGS

     Counterfeiting is arguably the most ominous risk facing the Life Sciences
     industry today. According to the World Health Organization, approximately
     10 percent of the worldwide drug supply is counterfeit.11 This equates to
     nearly US$74 billion in lost sales in 2008 alone – and the potential toll on
     human life is far greater.12

     Bilcare Research – through its research and technology division, Bilcare
     Technologies – has developed a solution aimed at safeguarding the drug
     supply. Each package or product flowing through its supply chain has a
     tamper-evident, nonclonable tag made using nanotechnology. The tag’s
     “fingerprint” is virtually impossible for counterfeiters – or even Bilcare itself
     – to duplicate because of the random manner in which it is generated. To
     confirm authenticity, customers – such as retail pharmacies, hospitals and
     patients themselves – can simply swipe the packet across a scanner.13

     not only are the nanotechnology tags nearly impossible to clone, they are
     also less expensive than solutions involving electronic components.14 In
     addition, these tags can be leveraged throughout the supply chain to pro-
     vide track and trace capabilities and help stem the US$1 billion lost each
     year to theft and diversion.15 Even after delivery to the consumer, this solu-
     tion can add value by helping monitor patient compliance.16

     Applications of this technology extend well beyond pharmaceuticals. For
     example, the automobile industry – which struggles against bogus compo-
     nents – is another early adopter.17
the case for a smarter life sciences supply chain                                                                  17




the Good and Bad of GloBalIzatIon
Across the Life Sciences industry, global sourcing and relocation of manu-
facturing to lower-cost regions continues to grow at a rapid pace. Estimated   “Global supply chains face
                                                                                fundamental discontinuity
at US$39 billion in 2007, the global market for contract research and man-
                                                                                around the world – we still
ufacturing outsourcing is expected to reach US$52 billion by 2010.18            don’t have a global standard
                                                                                for RFID and customer
Our findings corroborate this trend. Three-quarters of the Life Sciences        sophistication and adoption
                                                                                of advanced technologies
supply chain executives indicate they currently source materials from           varies widely.”
Western markets. But over the next three years, 60 percent plan to
                                                                                President of Supply Chain, healthcare
decrease sourcing from Western Europe, and 45 percent plan to source            services provider, North America
less from north America. Conversely, eight out of ten executives plan to
increase the percentage of materials sourced from Asia and Asia Pacific.
And 38 percent plan to source more from Eastern Europe.

Increased global sourcing, manufacturing and operations are not without
challenges, however (see Figure 5). Life Sciences executives are particu-
larly concerned about capacity and quality issues. Inconsistent quality –
especially for the active pharmaceutical ingredients (APIs) that convey a
drug’s medicinal effect – can lead to serious adverse effects, even death.
For example, in 2008, Heparin manufactured in China was linked to four
deaths and hundreds of allergic reactions.19 That same year, the U.S. Food
and drug Administration issued import alerts for any APIs or finished prod-
ucts made at two Indian plants owned by Ranbaxy Laboratories, impact-
ing 30 different generic drugs.20
18                                                                                                  the case for a smarter life sciences supply chain




                        FIGURE 5      QUalITy IssUEs aRE a majoR challEnGE To Global soURcInG
                                      Many Life Sciences executives have already experienced quality issues as a result of global sourcing and
                                      operations; even more are anticipating capacity issues in the near future.

                                          Have experienced     Expect in 3 years
                                                                            52%                              86%
     capacity issues for new/unproven
     sources or operations supply

     Quality issues


     delivery issues and reliability of
                                                                                    62%
                                                                                              76%        81%


                                                                                                         81%
                                                                                                                  76 %          ExpERIEncInG
                                                                                                                                QUalITy IssUEs


     commitments

     lead times are greater than                                                   62%                   81%
     expectations
     Regulatory/legal issues in                                       43%                       71%
     sourcing or manufacturing
     country contract
                                                                            52%           62%
     Difficulty evaluating/managing
     new sources




                                      With so many issues, why are Life Sciences companies going global?
                                      Obviously, they are hoping to lower costs in the face of rapidly declining
                                      blockbuster revenues. However, 25 percent of our Life Sciences respon-
                                      dents say their costs have actually increased as a result of global
                                      sourcing.

                                      Perhaps an even stronger reason for expanding globally is to reach the
                                      growing population of consumers in these rapidly developing markets.
                                      Among Life Sciences supply chain executives, nearly half report increased
                                      sales from their globalization efforts.

                                      And in the IBm global CEO Study, Life Sciences CEOs indicated plans to
                                      increase investment in newly affluent customers in developing countries by
                                      43 percent – more than double the global average – over the next three
                                      years.21
the case for a smarter life sciences supply chain                               19




GloBalIzatIon In the SMarter Supply chaIn
Typically, global sourcing and outsourcing are focused on off-patent,
mature product areas – where risk is deemed lower. But with a smarter
supply chain, Life Sciences companies can better address the current
challenges and risks that are impeding globalization and hindering expected
cost savings.

Perhaps more importantly, smarter supply chains help companies capital-
ize on the tremendous revenue opportunity found in emerging markets.
Through greater supply chain visibility, companies can synchronize supply
with varying levels of demand around the world. And more advanced cus-
tomer insight allows firms to tailor their products and distribution channels
to meet market-specific needs.

The smarter Life Sciences supply chain establishes global “centers of
excellence” in optimal locations – close to affordable talent, but also where
local demand is high. These centers might be owned by the Life Sciences
company, but could just as easily belong to one of its many outsourcing
partners. Seamless integration blurs company delineations.

Through its highly instrumented network, the smarter supply chain con-
stantly tracks and shares location information among partners to ensure
product pedigrees and protect the world’s drug supply. This heightened
degree of instrumentation and interconnectedness also provides the visi-
bility needed to optimize and cooperatively manage its increasingly global
supply chain network.
20                                                  the case for a smarter life sciences supply chain




     case study
     PFIzER gLOBAL mAnUFACTURIng: OPTImIzIng
     ItS GloBal footprInt

     Pfizer Inc. has experienced a decade of explosive growth through both
     market development and acquisitions – most notably, Warner-Lambert in
     2000 and Pharmacia in 2003. By 2008, rapid expansion had elevated rev-
     enues to more than $US48 billion – but it also added tremendous opera-
     tional complexity. Worldwide, the company’s production network grew to
     over 100 facilities. And each acquisition brought different products, pro-
     cesses and technologies that needed to be integrated in order to deliver
     anticipated value.

     In response, Pfizer global manufacturing (Pgm) launched a focused strat-
     egy aimed at reducing both cost and complexity – without jeopardizing
     quality. The plan included simplifying its manufacturing network and stan-
     dardizing processes and technologies globally. Pgm also assigned vice-
     presidents to each Pfizer unit to better understand customer demand and
     avoid any adverse impacts to service levels.

     This initiative put in motion a crucial shift in philosophy: instead of requiring
     that all products and materials be produced internally, Pfizer would now
     consider all viable alternatives. This included not just sourcing of raw and
     semi-finished materials, but also contract manufacturing.

     Although its transformation is not yet complete, Pgm is already realizing
     benefits. more than 20 percent of its production volume is now managed
     by partners, and plans are underway to increase this further. To date, the
     organization has reduced costs by 25 percent – more than half way to its
     aggressive target of 40 percent.
the case for a smarter life sciences supply chain                                                                 21




tIMe to cut coSt
Compared to other industries, considerably fewer Life Sciences executives
rank cost among their top challenges (30 percent versus 55 percent across       “Thirty percent of our SKUs
                                                                                 give us 95 percent of our
industries). However, it’s important to put this in context; a few years ago,
                                                                                 sales; the other 70 percent
cost containment probably would not have figured in the top five at all.         of our SKUs contribute
Historically, Life Sciences supply chain managers worried about two imper-       only 5 percent. SKUs that
                                                                                 have low sales and margins
atives: complying with regulatory mandates and keeping products in stock.
                                                                                 must be justified, withdrawn
They did whatever it took to avoid these two issues – essentially at any         or consolidated. Retained
cost.                                                                            product variants with
                                                                                 low sales will have their
                                                                                 standard costs adjusted to
However, even before the arrival of the new economic environment, the            reflect more accurately the
Life Sciences industry was already in transition – with the era of double-       true cost of supply.”
digit growth giving way to a decade of expiring patents, dry pipelines,         Vice President Global Supply Chain
                                                                                Operations, pharmaceutical company,
generic-driven price erosion and high-profile safety withdrawals. As a
                                                                                Europe
result, Life Sciences executives have begun making drastic – arguably
overdue – changes to their cost structures. For example, companies are
shrinking their manufacturing footprints by eliminating plants, some of
which operate at just 20 percent of their capacity.

In terms of cost reduction, though, most Life Sciences companies are still
in the early stages. As obvious streamlining is accomplished, and global
sourcing and outsourcing become routine, executives will need higher-
precision methods for controlling costs (see Figure 6).

While cost dominates supplier relationships in other industries, cost and
quality share equally as the top focus among Life Sciences executives. In
many ways, the two are linked. meeting the public’s high expectations for
quality – not to mention regulatory requirements – can be costly. This is
especially true when products that fail to meet standards have to be fil-
tered out at the end of the manufacturing process after so much expense
has been incurred.
22                                                                           the case for a smarter life sciences supply chain




     FIGURE 6   ExEcUTIvEs aRE capTURInG Easy savInGs FIRsT
                Third-party logistics collaboration is a relatively pervasive method of reducing cost, but more complex
                opportunities – like network optimization and simulation – are less penetrated.

                    Extensive implementation        Some implementation

                                                                   30%                                                    96%
                collaboration & integration among
                third-party logistics providers
                                                                     35%                                               91%
                Formal distribution strategy

                                                                   30%                                          83%
                differentiated logistics services
                for distinct customer segments
                                                             22%                                          74%
                supply chain visibility for
                managing exceptions
                                                      9%                             48%
                network optimization and
                simulation tools




                coSt contaInMent In the SMarter Supply
                chaIn
                To control costs, the smarter Life Sciences supply chain focuses on con-
                tinuous process improvement through programs such as Six Sigma or
                Lean manufacturing. Advanced analytics – applied against the wealth of
                information collected from sensors and other smart devices – help it iden-
                tify opportunities to improve operational efficiency.

                When making difficult decisions, such as which manufacturing facilities to
                retain or divest, the smarter supply chain has the ability to simulate the full
                effect of cost-cutting alternatives. By analyzing the impact on customer
                service levels, supplier pricing, logistics costs and more, the supply chain
                can make more intelligent trade-offs.
the case for a smarter life sciences supply chain                                 23




during manufacturing, greater instrumentation allows the smarter Life
Sciences supply chain to use online process controls to make realtime
adjustments that reduce impurity levels and increase yield. Instead of los-
ing billions trying to inspect its way to Six Sigma levels post production, the
smarter supply chain lowers the cost of quality by monitoring on a continu-
ous basis, eliminating defects as soon as they appear or, even better, pre-
venting them.

One of the most significant opportunities available to smarter supply chains
is the chance to replace batch-based production with continuous manu-
facturing. For years, regulatory requirements for traceability compelled Life
Sciences companies to stick with batch processing while other industries
were rapidly switching to more efficient continuous manufacturing
approaches.

But, with a smarter supply chain, that obstacle is gone. Extensive instru-
mentation provides the necessary visibility to track materials and products
throughout the supply chain, enabling Life Sciences companies to finally
take advantage of continuous manufacturing. Engineering principles sug-
gest that by switching to continuous manufacturing processes, Life
Sciences companies will be able to produce the same volume but with a
much smaller manufacturing footprint, drastically reducing capital invest-
ments. Operations should be more efficient as well, with less waste, lower
energy consumption and less time and expense involved in changeover.
ThE EvolvInG
 24                                                                                         top five supply chain challenges
                                                                                                   the smarter supply chain
                                                                                                         executive summary




                                     RolE oF ThE
                                     chIEF sUpply
                                     chaIn oFFIcER

                                   a Mandate for chanGe
                                   Regardless of actual title – Supply Chain director, vice President of
“We struggle against the           Strategic Supply or Chief Supply Chain Officer, as we’ve called them – the
 belief that the supply chain
 is an execution function          executives in charge of supply chains are emerging as strategic cross-line-
 versus a strategic capability.”   of-business leaders. Across industries, 46 percent of our respondents
 Vice President Supply Chain       report directly to the CEO; within Life Sciences, even more (55 percent) are
 Management, biotech company,      direct reports.
 North America

                                   On balance, the role of Chief Supply Chain Officer seems to be more
                                   advanced among Life Sciences companies. more Life Sciences executives
                                   have assumed responsibility for strategic functions beyond the traditional
                                   scope of supply chain management (see Figure 7). In contrast to the over-
                                   all sample, the leaders of Life Sciences supply chains are far more involved
                                   in risk management, customer relationships and new product
                                   introductions.

                                   Perhaps this is out of necessity. As compared to other industries, the Life
                                   Sciences supply chain carries an inordinate amount of business risk – and
                                   a commensurate level of regulatory oversight. Safety recalls are devastat-
                                   ing for any industry. But in Life Sciences, insufficient capacity, out-of-stocks
                                   or even late delivery can have fatal consequences.
the evolving role of the chief supply chain officer                                                          25




 FIGURE 7     chIEF sUpply chaIn oFFIcERs play a bRoad, complEx RolE
              In Life Sciences, the position involves even more strategic responsibilities.

                  All industries       Life Sciences


                 distribution/logistics                                                                      77%
                                                                                                               81%

                 planning (demand/supply)                                                                  72%
                                                                                                                     95%
                 sourcing & procurement                                                              63%
                                                                                                  57%
TRadITIonal      performance measurement                                                  45%
 FUncTIons       & analytics                                                                48%
                 supply chain strategy                                              38%
                 development                                                     33%

                 manufacturing                                              28%
                                                                                           48%
                 Returns management, post                                  27%
                 sales support                                                   33%

                 Risk management                                           26%
                                                                                       43%        17% moRE


                 Technology enablement                                     26%
                                                                          24%
                                                                          23%
                                                                                                  20%
EmERGInG
sTRaTEGIc        customer management
                                                                                       43%            moRE
FUncTIons
                 new product design,
                 development, launch
                                                                    15%
                                                                            29%                   14% moRE

                 merger/acquisition operations                  13%
                 integration                                     14%




              The very nature of the Life Sciences supply chain demands a more strate-
              gic role for its leader. That said, Life Sciences Chief Supply Chain Officers
              still have room to expand their leadership roles. Their companies are count-
              ing on them to provide the means to obtain deeper customer insights – to
              help them develop differentiated products and tailor their businesses to
              meet segment-specific needs. Through deeper involvement in new
26                                               the evolving role of the chief supply chain officer




     product design, supply chain executives can interject manufacturing and
     distribution considerations. This allows them to influence the estimated 80
     percent of product cost that is locked in during development, impervious
     to supply chain cost control.22

     The success of Life Sciences companies has historically been based on
     the strength of their pipelines. However, this industry’s Chief Supply Chain
     Officers now have the mandate to infuse their supply chains with just as
     much intelligence as their R&d functions. Supply chain visibility, risk man-
     agement, global sourcing, cost control and customer insights demand a
     similar scientific rigor – and actions that are based on facts. In short, Life
     Sciences Chief Supply Chain Officers must team with their C-suite peers
     to build not just smarter supply chains, but smarter businesses.

     concluSIon
     As their industry undergoes fundamental change – from a blockbuster-
     based business to one focused on targeted treatment solutions – Life
     Sciences supply chain executives are confronting many new challenges.
     The development and distribution of drugs is becoming just one part of a
     much larger and more elaborate supply chain.

     Increasingly, customer insights and segmentation are driving operations.
     And targeted treatment solutions are bringing more partners, more and
     different kinds of manufacturing, more SKUs – and undoubtedly more risk.
     The question is: can a conventional supply chain adequately support such
     a dramatically different business?
conclusion                                                                      27




Life Sciences supply chain executives already see signs of wear and tear.
They are concerned about inadequate visibility across an increasingly com-
plex global supply chain. Customer collaboration is still in nascent stages.
Although executives agree global sourcing is necessary, and beneficial in
most cases, it brings concerns about quality and capacity. despite above-
average risk management capabilities, Life Sciences companies are strug-
gling against a rising tide. And after decades of comfortable margins and
negligible cost pressure, Life Sciences supply chains must now get lean
very quickly.

yet, hidden in what may feel like forced change, there is a choice. Will Life
Sciences executives answer this challenge by simply adding supply chain
speed and capacity? Or will they use this time of transition to make their
supply chains smarter?

We look forward to learning more about how your supply chain is adapting
to these changing times – and working with you, as you build the Smarter
Supply Chain of the Future.
28




     acknowledGMentS
     We would like to thank the Life Sciences supply chain executives from
     around the world who generously shared their time and insights with us.
     We’d also like to acknowledge the contributions of the IBm team who
     worked on the Life Sciences edition of the global Chief Supply Chain
     Officer Study: Tiffany yu, Romas Pencyla, Heather Fraser and Philippe
     Cini.

     aBout IBM GloBal BuSIneSS SerVIceS
     With business experts in more than 170 countries, IBm global Business
     Services provides clients with deep business process and industry exper-
     tise across 17 industries, using innovation to identify, create and deliver
     value faster. We draw on the full breadth of IBm capabilities, standing
     behind our advice to help clients implement solutions designed to deliver
     business outcomes with far-reaching impact and sustainable results.
29




IBM GloBal BuSIneSS SerVIceS lIfe ScIenceS
conSultInG practIce
The IBm Life Sciences team has extensive industry knowledge and innova-
tive solutions to assist clients with specific strategic and operational chal-
lenges facing the industry. Our expertise extends from strategy consulting
to business transformation to technology platform implementation. For the
supply chain function, our consultants combine business process and
technology insights to help organizations across areas such as supply
chain strategy, planning, product lifecycle management, sourcing and pro-
curement, operations, asset management, logistics and enterprise
applications.

the IBM InStItute for BuSIneSS Value
The IBm Institute for Business value, part of IBm global Business Services,
develops fact-based strategic insights for senior business executives
around critical industry-specific and cross-industry issues.

for further InforMatIon
To find out more about this study, please send an e-mail to the IBm Institute
for Business value at iibv@us.ibm.com, or contact Philippe Cini, IBm global
Life Sciences Supply Chain management Partner, at pcini@us.ibm.com.
30




     noteS and SourceS
     1   “The Smarter Supply Chain of the Future: IBM Global Chief Supply Chain Officer Study.” IBM Institute for
         Business Value. January 2009. http://www.ibm.com/supplychainstudy. As part of our study, we spoke at length
         with 393 supply chain executives across North America, Western Europe and Asia Pacific. These leaders head
         supply chains that serve a variety of industries, including Retail, Industrial Products, Food and Beverage, Life
         Sciences, Telecom, Electronics and Government.

     2   Bowman, Robert. “Young Pharmaceuticals Offshoot Breaks the Mold With Outsourcing.” Global Logistics &
         Supply Chain Strategies. March 1, 2007. http://www.supplychainbrain.com/content/headline-news/single-
         article/article/young-pharmaceuticals-offshoot-breaks-the-mold-with-outsourcing/

     3   Ibid.

     4   Ibid.

     5   Ibid.

     6   “IBM, Public Health Groups Form Global Pandemic Initiative.” IBM Press Release. May 15, 2006.

     7   “Epidemic and Pandemic Alert and Response.” World Health Organization. http://www.who.int/csr/disease/
         avian_influenza/avian_faqs/en/

     8   “Balancing risk and performance with an Integrated Finance Organization: The IBM Global CFO Study 2008.”
         IBM Global Business Services. October 2007. This comparison is based on our analysis of the subset of responses
         from Life Sciences CFOs.

     9   The term, top supply chains, refers to the subset of our overall survey population that was featured in: Friscia,
         Tony, Kevin O’Marah, Debra Hofman and Joe Souza. “The AMR Research Supply Chain Top 25 for 2008.”
         AMR Research. 2008.

     10 Company data, industry median and market median obtained from Hoover’s, Inc.

     11 “Partnership for Safe Medicines Arms Public Against Counterfeit Drugs.” Partnership for Safe Medicines. http://
        www.safemedicines.org/2008/12/partnership-for-safe-medicines-arms-public-against-counterfeit-drugs-1.html

     12 IBM Institute for Business Value analysis based on 10 percent of IMS 2008 Global Pharmaceutical Market
        Forecast, accessed April 1, 2009 at http://www1.imshealth.com/web/con-
        tent/0,3148,64576068_63872702_70260998_82829532,00.html
notes and sources                                                                                                   31




13 Somasekhar, M. “Bilcare develops nano fingerprint to check fake drugs.” The Hindu Business Line. September 18,
   2008.

14 Bilcare Technologies. http://www.bilcare.com/products_and_services/bilcare_technologies.htm

15 Megget, Katrina. “Drug theft costs industry up to $1bn a year.” Outsourcing-Pharma.com. October 2, 2007.

16 Bilcare Technologies. http://www.bilcare.com/products_and_services/bilcare_technologies.htm

17 “Bilcare bets on anti-counterfeit technology.” Business Standard. September 4, 2008.

18 “Indian Contract Research Manufacturing and Services.” Research and Markets. http://www.researchandmar-
   kets.com/reportinfo.asp?report_id=595563&t=d&cat_id=

19 “Heparin Chinese Supplier Was Never Checked By Chinese Drug Regulators.” Medical News Today. February 16,
   2008.

20 “FDA Issues Warning Letters to Ranbaxy Laboratories Ltd., and an Import Alert for Drugs from Two Ranbaxy
   Plants in India.” U.S. Food and Drug Administration Press Release. September 16, 2008.

21 “The Enterprise of the Future: IBM Global CEO Study – Life Sciences Industry Edition.” IBM Institute for
   Business Value. August 2008. http://www.ibm.com/ceostudy

22 Pisano, Gary P. The Development Factory. Boston, MA: Harvard Business Press, 1997.
© Copyright IBM Corporation 2009

IBM Global Services
Route 100
Somers, NY 10589
U.S.A.

Produced in the United States of America
April 2009
All Rights Reserved

IBM, the IBM logo and ibm.com are trademarks
or registered trademarks of International Business
Machines Corporation in the United States, other
countries, or both. If these and other IBM trade-
marked terms are marked on their first occurrence
in this information with a trademark symbol (® or
™), these symbols indicate U.S. registered or com-
mon law trademarks owned by IBM at the time this
information was published. Such trademarks may also
be registered or common law trademarks in other
countries. A current list of IBM trademarks is available
on the Web at “Copyright and trademark information”
at ibm.com/legal/copytrade.shtml

Image cover and page 4 image © 2008 asbl Atomium
/ Artists Rights Society (ARS), New York / SABAM,
Brussels.

Other company, product and service names may be
trademarks or service marks of others.

References in this publication to IBM products and
services do not imply that IBM intends to make them
available in all countries in which IBM operates.




GBE03215-USEN-00

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Supply Chain Management: Life Sciences Edition

  • 1. the SMarter Supply chaIn of the future GLOBAL CHIEF SUPPLY CHAIN OFFICER STUDY LIFE SCIENCES INDUSTRY EDITION
  • 2. 2 IntroductIon In the course of our research for IBM’s inaugural Global chief Supply chain sURvEy samplE Officer Study, we conducted face-to-face interviews with nearly 400 senior Our survey sample includes supply chain executives from 25 countries and 29 different industries. 1 supply chain executives from pharmaceutical companies, Here, we focus on the responses of the 23 supply chain executives from biotechnology firms, generic the Life Sciences industry (see sidebar, Survey sample). pharmaceutical makers, medical device and diagnos- tics companies, consumer Across industries and geographies, supply chain executives told us they healthcare product providers and medical distributors. struggle with five primary challenges: visibility, risk, cost containment, cus- Seventeen percent of tomer demands and globalization. Though the priorities vary slightly, the respondents are based in Asia Pacific; 35 percent in the same five issues weigh on the minds of Life Sciences executives (see Americas; and 48 percent in Figure 1). Europe. While studying these high-ranking agenda items, we couldn’t help but notice a common thread: the indisputable impact of the industry’s migra- tion away from the blockbuster model. Increasingly, Life Sciences compa- nies are selling therapeutic offerings that target smaller patient segments FIGURE 1 ThE Top FIvE challEnGEs FoR ThE lIFE scIEncEs sUpply chaIn Life Sciences executives’ priorities vary somewhat from the full cross-industry sample. All industries Life Sciences 70% 70% 64% 60% 56% 55% 52% 52% 43% 30% sUpply chaIn IncREasInG RIsk GlobalIzaTIon cosT vIsIbIlITy cUsTomER manaGEmEnT conTaInmEnT dEmands
  • 3. introduction 3 – and comprise more than just drugs. These solutions include diagnostic tests, monitoring mechanisms, sophisticated delivery devices and a wide range of support services – all potentially supplied by different partners. The implications for the supply chain are dramatic. To address this massive industry shift, Life Sciences companies will need a different kind of supply chain – one that is much smarter. By this, we mean a supply chain that is far more: Instrumented – Using sensors and “smart” devices to gain greater visibil- ity across the supply chain, mitigate risk, reduce cost and manage rising complexity. Interconnected – Integrating the entire supply chain to share information, make decisions collaboratively and manage in realtime; connecting with suppliers and especially with customers; communicating not just between people, but among the billions of products, medical devices and smart objects across the supply chain network. Intelligent – Relying more on advanced analytics, simulation and model- ing tools to evaluate increasingly complex and dynamic risks and con- straints and manage the supply chain more scientifically. Although the decline of the blockbuster model involves a difficult transition for the entire industry, the smarter supply chain presents Life Sciences executives with a tremendous opportunity: a way to tailor their operations to meet the needs of different markets, customer segments, even individ- ual patients.
  • 4. ThE casE FoR 4 executive summary a smaRTER lIFE scIEncEs sUpply chaIn VISIBIlIty IS top challenGe Like their peers across industries, Life Sciences executives rank visibility as “One of our biggest their foremost challenge. One contributing factor is the constant flux cre- challenges is developing ated by waves of merger and acquisition activity. Companies are struggling the ability to work together with supply chain partners, with a cumbersome patchwork of systems and tools – and, as a result, sharing access to our poor visibility. organizations. All have their own agendas.” At the same time, supply chain networks are becoming much more global Vice President of Supply Chain, and complex. Increasing numbers of sourcing and outsourcing partners pharmaceutical company, Europe scattered around the world make it more and more difficult to maintain visibility. A number of internal organizational barriers also limit collaboration and vis- ibility. For example, 87 percent of Life Sciences executives say individuals in their companies are too busy to assist others in the management of the supply chain. That is a surprisingly high hurdle – even larger than the 75 percent total across industries. This is only made worse by inhibitive orga- nizational silos and misaligned performance measures. Arguably, the greatest visibility challenge for Life Sciences companies is the view downstream. While Life Sciences is ahead of other industries in terms of planning with suppliers, customer collaboration is less pervasive (see Figure 2).
  • 5. the case for a smarter life sciences supply chain 5 FIGURE 2 plannInG wITh sUpplIERs Is TwIcE as pREvalEnT as plannInG wITh cUsTomERs Although they generally rate customer collaboration as more effective than supplier collaboration, fewer Life Sciences supply chains are using those practices, with the exception of continuous replenishment. All industries Life Sciences 79% Continuous replenishment programs for customers 83% 62% 65 Collaborative planning with suppliers % wITh 65% sUpplIERs 62% Shared, realtime electronic demand/inventory data 61% 54% Customer inventory planning and deployment programs 48% 52% Collaborative demand 31 planning, forecasting, and replenishment programs % with customers wITh 31% cUsTomERs For example, Life Sciences lags far behind other industries in implementing collaborative demand planning, forecasting and replenishment (CPFR) pro- grams with customers, with only one-third of executives noting any initia- tives in this area. Even customer collaboration methods acknowledged as highly effective are not broadly adopted. For example, 46 percent of Life Sciences executives consider vendor-managed inventory for their custom- ers to be an extremely effective practice; but only 4 percent have imple- mented it extensively.
  • 6. 6 the case for a smarter life sciences supply chain VISIBIlIty In the SMarter Supply chaIn The smarter Life Sciences supply chain keeps customers – wholesalers, governments, hospitals and pharmacies – stocked with the products they need to meet uncertain patient demand. It works to replace the inventory management guessing game with facts and realtime adjustments. It does so by connecting with suppliers, manufacturing and distribution partners, and especially customers. With clear line of sight to the first pay- ing customer, the smarter Life Sciences supply chain can better determine where to locate inventory and in what amount. Upstream visibility allows it to make realtime adjustments to production and distribution, optimizing inventory around the world and avoiding costly stockpiles in markets with little demand. Interconnectivity also allows the smarter supply chain to synchronize pro- duction schedules across sites to minimize idle periods and shorten end- to-end cycle time. This is particularly important with increases in the number of complex treatment solutions that involve multistep, multisite, multipartner manufacturing and assembly processes.
  • 7. the case for a smarter life sciences supply chain 7 In the smarter Life Sciences supply chain, sensors and other smart devices – not just people – communicate and share information. This allows com- panies to work around what Life Sciences executives cited as their top obstacles to collaboration: employees that are too busy to assist, organi- zational silos and misaligned performance measures. In some instances, smarter systems can even make decisions and take action automatically – increasing responsiveness and reducing the need for human involvement. Automating baseline activities also has the added benefit of freeing time for employees to manage critical exceptions and focus on higher-value activi- ties. For example, smart pallets could sense which products they are car- rying, whether they contain the proper amount of that product and, if not, automatically send a replenishment signal.
  • 8. 8 the case for a smarter life sciences supply chain case study EndO PHARmACEUTICALS: TIgHT COnnECTIOnS BrInG Greater VISIBIlIty Although Life Sciences companies are starting to outsource parts of their supply chains, executives still debate the potential risks – loss of control, loss of intellectual property (IP), loss of visibility into what’s happening with their operations. Perhaps because it is a relative newcomer to the industry, pain management maker Endo Pharmaceuticals has not succumbed to these fears. Sometimes referred to as a “virtual company,” Endo relies on third-parties for all of its manufacturing and distribution.2 This approach allows Endo’s supply chain to expand or contract in line with demand volumes, helping the company avoid obstacles and risks that could have derailed its rapid growth. Together, Endo and its supply chain provider (UPS Supply Chain Solutions) designed the two distribution cen- ters UPS now runs for the company. They also collaborated on the 15 detailed performance metrics used to manage the operation.3 The two companies are interconnected not only in terms of facilities and process, but also through information systems. UPS employees work directly with Endo’s ERP system, which, in turn, is fed by the vendor’s warehouse management system.4 Trusting an external provider to manage its supply chain does not mean Endo has relinquished control or lost visibility. To the contrary, the extreme interconnectivity between the companies provides Endo with a hands-on view of its entire supply chain.5
  • 9. the case for a smarter life sciences supply chain 9 lIfe ScIenceS lackS cuStoMer IntIMacy It’s easy to understand why Life Sciences supply chain executives rank customer demands as their second highest challenge. The industry serves “Our major challenge is working with the business a diverse customer base – including wholesalers, governments, hospitals to align goals and agree and retail pharmacies, each with very different requirements and on where we can be a expectations. competitive advantage in driving revenue, as opposed to just reducing costs… On another level, the industry is struggling to better meet the needs of for example, in the design individual patients, as it evolves from blockbuster drugs to include targeted of new packaging and treatment solutions and eventually gene-based therapies. Understanding presentation options.” patient needs can be even more challenging in markets where legislation President of Global Manufacturing, pharmaceutical company, North blocks direct access to consumers. America At the same time, globalization has introduced another layer of variability, with demand constantly varying across markets and some regions requir- ing market-specific solutions. To know how much product to make, when and where – and, increasingly, to even know what product to make – the Life Sciences supply chain needs greater customer insight. However, despite Life Sciences executives’ serious concern about rising customer demands – which far surpassed the cross-industry average – the industry is not moving toward customer intimacy very quickly. In terms of product development, the industry is still primarily R&d-driven, with more Life Sciences executives worried about reducing time to market (70 percent) than identifying customer needs correctly (57 percent). In the area of supply chain planning, 56 percent of the Life Sciences companies acknowledge that they only collaborate with customers on demand plan- ning to a very small extent – nearly one-third do not collaborate with cus- tomers at all. When compared to top supply chains, Life Sciences companies show significant gaps in their ability to effectively synchronize supply and demand (see Figure 3).
  • 10. 10 the case for a smarter life sciences supply chain FIGURE 3 lIFE scIEncEs laGs In cUsTomER dEmand collaboRaTIon In terms of supply chain planning, the largest gap between top supply chains and the industry is in the area of customer collaboration. Life Sciences Top supply chains 83% Internal meetings with sales, marketing and supply chain operations 96% 57% External supply planning collaboration with suppliers 73% 43% External demand collaboration with customers 63% 20 % Gap cuStoMer IntIMacy In the SMarter Supply chaIn Smarter supply chains help Life Sciences companies segment and serve a diverse customer base, proactively gathering and analyzing information to develop a deeper understanding of each segment’s specific needs. Close collaboration with wholesalers, governments, hospitals and retail pharma- cies is critical to serve those customers better. But it’s equally important because these customers are important allies in understanding the end consumer – the patient.
  • 11. the case for a smarter life sciences supply chain 11 With greater interconnectivity and instrumentation, the smarter Life Sciences supply chain can even tailor distribution systems to meet segment-specific needs. For example, reliable 24-hour delivery might be more important to hospitals since they tend to carry less inventory than wholesalers and large retail pharmacies. Better insights help the company decide on the best dis- tribution approach for each product – for example, when to go through a wholesaler or directly to the patient. While early adopters are using sensors and radio frequency identification (RFId) tags primarily for track-and-trace capabilities, the smarter supply chain uses them to understand customer needs as well. For example, RFId-enabled promotional displays might report on customer enthusiasm for a new over-the-counter product. Stents, pain pumps, pacemakers and other implanted devices could advise of their condition so they are replaced precisely when needed, rather than on a fixed schedule or, worse, upon failure. To help synchronize supply and demand, the smarter Life Sciences supply chain uses sophisticated simulation models of customer behavior, buying patterns and market penetration. And unexpected shifts in demand are easily accommodated because of realtime connections and flexible rela- tionships with suppliers.
  • 12. 12 the case for a smarter life sciences supply chain case study THE gLOBAL PAndEmIC InITIATIvE: REAdy TO Supply uncertaIn deMand What if a company had to develop and distribute a new medicine immedi- ately, but its customers could not specify what kind of drug they need or how much or where it needed to be shipped? Such is the case with a pandemic. Established to confront this intractable problem, the global Pandemic Initiative is a collaboration that spans private industry, academia, govern- ments and public health agencies worldwide.6 more than 20 partners are involved. The Initiative aims to collect and analyze clinical data from hospitals and health organizations around the globe to identify and track emerging dis- ease outbreaks. Sophisticated data modeling and simulation – for exam- ple, using travel patterns of humans, and in the case of avian flu, birds – help researchers predict the spread of disease. By connecting all of these sources of information and leveraging advanced analytical tools, decision makers can more accurately assess risks and prepare. This, in turn, helps shorten response time and allows more informed decisions regarding patient isolation, school and business clo- sures and travel bans.7 The Initiative also works closely with pharmaceuti- cal companies to help ensure global manufacturing and supply chain networks are prepared for rapid ramp-up and stockpiling of drugs. In a pandemic, the ability to respond rapidly and globally is a life-or-death mat- ter of enormous proportions.
  • 13. the case for a smarter life sciences supply chain 13 rISk aVoIdance VerSuS rISk ManaGeMent As part of what is perhaps society’s most heavily regulated industry, Life Sciences companies take risk seriously. They do so not just for compliance “The trade-off between partner collaboration and reasons, but because safety, quality and trustworthiness are integral to risk management is one of their brands. our largest challenges.” Supply chain executive, medical So, it’s not surprising that, when compared to other industries, more Life solution provider, Europe Sciences supply chain executives (75 percent versus 69 percent) are mon- itoring risk. Similarly, the IBm global CFO Study found that twice as many Life Sciences companies say they are prepared to handle a risk event.8 Clearly, Life Sciences executives understand risk. But are they more likely to manage it or avoid it? In the past, the typical response to potential loss of intellectual property was: don’t partner. To risk of counterfeit or theft: exit that geographic market. To stock-outs: build a bigger buffer. For many companies, the objective is still to entirely eliminate any chance of a risk event occurring. Risk avoidance, however, can be an expensive strategy. For example, con- sider the cost of excess inventory. The Life Sciences industry has a median inventory turnover of 3.4, which is significantly less than the market median (5.5) and a small fraction of the ratio achieved by leaders like dell Inc. (47.1).10 Additionally, the nearly four months it takes to move inventory through the Life Sciences supply chain consumes a substantial portion of these pharmaceutical products’ limited shelf life.
  • 14. 14 the case for a smarter life sciences supply chain As margins become slimmer and supply chain complexity rises, Life Sciences companies will not be able to insulate themselves from all risks. Instead, Life Sciences supply chains must become more adept at manag- ing risk. FIGURE 4 lIFE scIEncEs companIEs TRaIl Top sUpply chaIns In ImplEmEnTInG RIsk manaGEmEnT 9 Although many companies are monitoring risk, the industry still has room to improve risk management practices. Currently implemented In next 3 years Top sUpply chaIns Process controls 96% in logistics and lIFE scIEncEs operations 82% Top sUpply chaIns Compliance 92% programs with lIFE scIEncEs suppliers/ 82% providers Top sUpply chaIns 80% Risk mitigation in supply chain lIFE scIEncEs planning 78% Top sUpply chaIns Event management 72% to monitor lIFE scIEncEs disruptions 72%
  • 15. the case for a smarter life sciences supply chain 15 rISk ManaGeMent In the SMarter Supply chaIn Smarter supply chains allow Life Sciences companies to adopt a much more scientific approach to identifying and managing risk. Instrumentation throughout the supply chain network provides realtime input for risk quan- tification. And sophisticated simulations and data models help companies calculate the probability of a particular risk occurring. Add revenue projec- tions and it’s possible to determine revenue at risk over any given time horizon. Such intelligence also allows a more precise response. By modeling alter- native mitigation strategies, the supply chain can prioritize, schedule and cost the actions required to reduce risk and manage its overall risk profile. Instead of avoiding risks at any cost, the smarter supply chain employs a fact-based, quantitative risk management approach. The smarter Life Sciences supply chain also combats risk by building intel- ligence into its products and packaging. Barcodes, RFId tags and other emerging smart devices provide realtime visibility to thwart diversion and theft – and enable authentication to stem the flow of counterfeit drugs. Combined with end-to-end supplier integration, these track-and-trace capabilities help partners respond quickly and comprehensively in the event of a recall situation.
  • 16. 16 the case for a smarter life sciences supply chain case study BILCARE RESEARCH: mAnAgIng THE PEdIgREE of druGS Counterfeiting is arguably the most ominous risk facing the Life Sciences industry today. According to the World Health Organization, approximately 10 percent of the worldwide drug supply is counterfeit.11 This equates to nearly US$74 billion in lost sales in 2008 alone – and the potential toll on human life is far greater.12 Bilcare Research – through its research and technology division, Bilcare Technologies – has developed a solution aimed at safeguarding the drug supply. Each package or product flowing through its supply chain has a tamper-evident, nonclonable tag made using nanotechnology. The tag’s “fingerprint” is virtually impossible for counterfeiters – or even Bilcare itself – to duplicate because of the random manner in which it is generated. To confirm authenticity, customers – such as retail pharmacies, hospitals and patients themselves – can simply swipe the packet across a scanner.13 not only are the nanotechnology tags nearly impossible to clone, they are also less expensive than solutions involving electronic components.14 In addition, these tags can be leveraged throughout the supply chain to pro- vide track and trace capabilities and help stem the US$1 billion lost each year to theft and diversion.15 Even after delivery to the consumer, this solu- tion can add value by helping monitor patient compliance.16 Applications of this technology extend well beyond pharmaceuticals. For example, the automobile industry – which struggles against bogus compo- nents – is another early adopter.17
  • 17. the case for a smarter life sciences supply chain 17 the Good and Bad of GloBalIzatIon Across the Life Sciences industry, global sourcing and relocation of manu- facturing to lower-cost regions continues to grow at a rapid pace. Estimated “Global supply chains face fundamental discontinuity at US$39 billion in 2007, the global market for contract research and man- around the world – we still ufacturing outsourcing is expected to reach US$52 billion by 2010.18 don’t have a global standard for RFID and customer Our findings corroborate this trend. Three-quarters of the Life Sciences sophistication and adoption of advanced technologies supply chain executives indicate they currently source materials from varies widely.” Western markets. But over the next three years, 60 percent plan to President of Supply Chain, healthcare decrease sourcing from Western Europe, and 45 percent plan to source services provider, North America less from north America. Conversely, eight out of ten executives plan to increase the percentage of materials sourced from Asia and Asia Pacific. And 38 percent plan to source more from Eastern Europe. Increased global sourcing, manufacturing and operations are not without challenges, however (see Figure 5). Life Sciences executives are particu- larly concerned about capacity and quality issues. Inconsistent quality – especially for the active pharmaceutical ingredients (APIs) that convey a drug’s medicinal effect – can lead to serious adverse effects, even death. For example, in 2008, Heparin manufactured in China was linked to four deaths and hundreds of allergic reactions.19 That same year, the U.S. Food and drug Administration issued import alerts for any APIs or finished prod- ucts made at two Indian plants owned by Ranbaxy Laboratories, impact- ing 30 different generic drugs.20
  • 18. 18 the case for a smarter life sciences supply chain FIGURE 5 QUalITy IssUEs aRE a majoR challEnGE To Global soURcInG Many Life Sciences executives have already experienced quality issues as a result of global sourcing and operations; even more are anticipating capacity issues in the near future. Have experienced Expect in 3 years 52% 86% capacity issues for new/unproven sources or operations supply Quality issues delivery issues and reliability of 62% 76% 81% 81% 76 % ExpERIEncInG QUalITy IssUEs commitments lead times are greater than 62% 81% expectations Regulatory/legal issues in 43% 71% sourcing or manufacturing country contract 52% 62% Difficulty evaluating/managing new sources With so many issues, why are Life Sciences companies going global? Obviously, they are hoping to lower costs in the face of rapidly declining blockbuster revenues. However, 25 percent of our Life Sciences respon- dents say their costs have actually increased as a result of global sourcing. Perhaps an even stronger reason for expanding globally is to reach the growing population of consumers in these rapidly developing markets. Among Life Sciences supply chain executives, nearly half report increased sales from their globalization efforts. And in the IBm global CEO Study, Life Sciences CEOs indicated plans to increase investment in newly affluent customers in developing countries by 43 percent – more than double the global average – over the next three years.21
  • 19. the case for a smarter life sciences supply chain 19 GloBalIzatIon In the SMarter Supply chaIn Typically, global sourcing and outsourcing are focused on off-patent, mature product areas – where risk is deemed lower. But with a smarter supply chain, Life Sciences companies can better address the current challenges and risks that are impeding globalization and hindering expected cost savings. Perhaps more importantly, smarter supply chains help companies capital- ize on the tremendous revenue opportunity found in emerging markets. Through greater supply chain visibility, companies can synchronize supply with varying levels of demand around the world. And more advanced cus- tomer insight allows firms to tailor their products and distribution channels to meet market-specific needs. The smarter Life Sciences supply chain establishes global “centers of excellence” in optimal locations – close to affordable talent, but also where local demand is high. These centers might be owned by the Life Sciences company, but could just as easily belong to one of its many outsourcing partners. Seamless integration blurs company delineations. Through its highly instrumented network, the smarter supply chain con- stantly tracks and shares location information among partners to ensure product pedigrees and protect the world’s drug supply. This heightened degree of instrumentation and interconnectedness also provides the visi- bility needed to optimize and cooperatively manage its increasingly global supply chain network.
  • 20. 20 the case for a smarter life sciences supply chain case study PFIzER gLOBAL mAnUFACTURIng: OPTImIzIng ItS GloBal footprInt Pfizer Inc. has experienced a decade of explosive growth through both market development and acquisitions – most notably, Warner-Lambert in 2000 and Pharmacia in 2003. By 2008, rapid expansion had elevated rev- enues to more than $US48 billion – but it also added tremendous opera- tional complexity. Worldwide, the company’s production network grew to over 100 facilities. And each acquisition brought different products, pro- cesses and technologies that needed to be integrated in order to deliver anticipated value. In response, Pfizer global manufacturing (Pgm) launched a focused strat- egy aimed at reducing both cost and complexity – without jeopardizing quality. The plan included simplifying its manufacturing network and stan- dardizing processes and technologies globally. Pgm also assigned vice- presidents to each Pfizer unit to better understand customer demand and avoid any adverse impacts to service levels. This initiative put in motion a crucial shift in philosophy: instead of requiring that all products and materials be produced internally, Pfizer would now consider all viable alternatives. This included not just sourcing of raw and semi-finished materials, but also contract manufacturing. Although its transformation is not yet complete, Pgm is already realizing benefits. more than 20 percent of its production volume is now managed by partners, and plans are underway to increase this further. To date, the organization has reduced costs by 25 percent – more than half way to its aggressive target of 40 percent.
  • 21. the case for a smarter life sciences supply chain 21 tIMe to cut coSt Compared to other industries, considerably fewer Life Sciences executives rank cost among their top challenges (30 percent versus 55 percent across “Thirty percent of our SKUs give us 95 percent of our industries). However, it’s important to put this in context; a few years ago, sales; the other 70 percent cost containment probably would not have figured in the top five at all. of our SKUs contribute Historically, Life Sciences supply chain managers worried about two imper- only 5 percent. SKUs that have low sales and margins atives: complying with regulatory mandates and keeping products in stock. must be justified, withdrawn They did whatever it took to avoid these two issues – essentially at any or consolidated. Retained cost. product variants with low sales will have their standard costs adjusted to However, even before the arrival of the new economic environment, the reflect more accurately the Life Sciences industry was already in transition – with the era of double- true cost of supply.” digit growth giving way to a decade of expiring patents, dry pipelines, Vice President Global Supply Chain Operations, pharmaceutical company, generic-driven price erosion and high-profile safety withdrawals. As a Europe result, Life Sciences executives have begun making drastic – arguably overdue – changes to their cost structures. For example, companies are shrinking their manufacturing footprints by eliminating plants, some of which operate at just 20 percent of their capacity. In terms of cost reduction, though, most Life Sciences companies are still in the early stages. As obvious streamlining is accomplished, and global sourcing and outsourcing become routine, executives will need higher- precision methods for controlling costs (see Figure 6). While cost dominates supplier relationships in other industries, cost and quality share equally as the top focus among Life Sciences executives. In many ways, the two are linked. meeting the public’s high expectations for quality – not to mention regulatory requirements – can be costly. This is especially true when products that fail to meet standards have to be fil- tered out at the end of the manufacturing process after so much expense has been incurred.
  • 22. 22 the case for a smarter life sciences supply chain FIGURE 6 ExEcUTIvEs aRE capTURInG Easy savInGs FIRsT Third-party logistics collaboration is a relatively pervasive method of reducing cost, but more complex opportunities – like network optimization and simulation – are less penetrated. Extensive implementation Some implementation 30% 96% collaboration & integration among third-party logistics providers 35% 91% Formal distribution strategy 30% 83% differentiated logistics services for distinct customer segments 22% 74% supply chain visibility for managing exceptions 9% 48% network optimization and simulation tools coSt contaInMent In the SMarter Supply chaIn To control costs, the smarter Life Sciences supply chain focuses on con- tinuous process improvement through programs such as Six Sigma or Lean manufacturing. Advanced analytics – applied against the wealth of information collected from sensors and other smart devices – help it iden- tify opportunities to improve operational efficiency. When making difficult decisions, such as which manufacturing facilities to retain or divest, the smarter supply chain has the ability to simulate the full effect of cost-cutting alternatives. By analyzing the impact on customer service levels, supplier pricing, logistics costs and more, the supply chain can make more intelligent trade-offs.
  • 23. the case for a smarter life sciences supply chain 23 during manufacturing, greater instrumentation allows the smarter Life Sciences supply chain to use online process controls to make realtime adjustments that reduce impurity levels and increase yield. Instead of los- ing billions trying to inspect its way to Six Sigma levels post production, the smarter supply chain lowers the cost of quality by monitoring on a continu- ous basis, eliminating defects as soon as they appear or, even better, pre- venting them. One of the most significant opportunities available to smarter supply chains is the chance to replace batch-based production with continuous manu- facturing. For years, regulatory requirements for traceability compelled Life Sciences companies to stick with batch processing while other industries were rapidly switching to more efficient continuous manufacturing approaches. But, with a smarter supply chain, that obstacle is gone. Extensive instru- mentation provides the necessary visibility to track materials and products throughout the supply chain, enabling Life Sciences companies to finally take advantage of continuous manufacturing. Engineering principles sug- gest that by switching to continuous manufacturing processes, Life Sciences companies will be able to produce the same volume but with a much smaller manufacturing footprint, drastically reducing capital invest- ments. Operations should be more efficient as well, with less waste, lower energy consumption and less time and expense involved in changeover.
  • 24. ThE EvolvInG 24 top five supply chain challenges the smarter supply chain executive summary RolE oF ThE chIEF sUpply chaIn oFFIcER a Mandate for chanGe Regardless of actual title – Supply Chain director, vice President of “We struggle against the Strategic Supply or Chief Supply Chain Officer, as we’ve called them – the belief that the supply chain is an execution function executives in charge of supply chains are emerging as strategic cross-line- versus a strategic capability.” of-business leaders. Across industries, 46 percent of our respondents Vice President Supply Chain report directly to the CEO; within Life Sciences, even more (55 percent) are Management, biotech company, direct reports. North America On balance, the role of Chief Supply Chain Officer seems to be more advanced among Life Sciences companies. more Life Sciences executives have assumed responsibility for strategic functions beyond the traditional scope of supply chain management (see Figure 7). In contrast to the over- all sample, the leaders of Life Sciences supply chains are far more involved in risk management, customer relationships and new product introductions. Perhaps this is out of necessity. As compared to other industries, the Life Sciences supply chain carries an inordinate amount of business risk – and a commensurate level of regulatory oversight. Safety recalls are devastat- ing for any industry. But in Life Sciences, insufficient capacity, out-of-stocks or even late delivery can have fatal consequences.
  • 25. the evolving role of the chief supply chain officer 25 FIGURE 7 chIEF sUpply chaIn oFFIcERs play a bRoad, complEx RolE In Life Sciences, the position involves even more strategic responsibilities. All industries Life Sciences distribution/logistics 77% 81% planning (demand/supply) 72% 95% sourcing & procurement 63% 57% TRadITIonal performance measurement 45% FUncTIons & analytics 48% supply chain strategy 38% development 33% manufacturing 28% 48% Returns management, post 27% sales support 33% Risk management 26% 43% 17% moRE Technology enablement 26% 24% 23% 20% EmERGInG sTRaTEGIc customer management 43% moRE FUncTIons new product design, development, launch 15% 29% 14% moRE merger/acquisition operations 13% integration 14% The very nature of the Life Sciences supply chain demands a more strate- gic role for its leader. That said, Life Sciences Chief Supply Chain Officers still have room to expand their leadership roles. Their companies are count- ing on them to provide the means to obtain deeper customer insights – to help them develop differentiated products and tailor their businesses to meet segment-specific needs. Through deeper involvement in new
  • 26. 26 the evolving role of the chief supply chain officer product design, supply chain executives can interject manufacturing and distribution considerations. This allows them to influence the estimated 80 percent of product cost that is locked in during development, impervious to supply chain cost control.22 The success of Life Sciences companies has historically been based on the strength of their pipelines. However, this industry’s Chief Supply Chain Officers now have the mandate to infuse their supply chains with just as much intelligence as their R&d functions. Supply chain visibility, risk man- agement, global sourcing, cost control and customer insights demand a similar scientific rigor – and actions that are based on facts. In short, Life Sciences Chief Supply Chain Officers must team with their C-suite peers to build not just smarter supply chains, but smarter businesses. concluSIon As their industry undergoes fundamental change – from a blockbuster- based business to one focused on targeted treatment solutions – Life Sciences supply chain executives are confronting many new challenges. The development and distribution of drugs is becoming just one part of a much larger and more elaborate supply chain. Increasingly, customer insights and segmentation are driving operations. And targeted treatment solutions are bringing more partners, more and different kinds of manufacturing, more SKUs – and undoubtedly more risk. The question is: can a conventional supply chain adequately support such a dramatically different business?
  • 27. conclusion 27 Life Sciences supply chain executives already see signs of wear and tear. They are concerned about inadequate visibility across an increasingly com- plex global supply chain. Customer collaboration is still in nascent stages. Although executives agree global sourcing is necessary, and beneficial in most cases, it brings concerns about quality and capacity. despite above- average risk management capabilities, Life Sciences companies are strug- gling against a rising tide. And after decades of comfortable margins and negligible cost pressure, Life Sciences supply chains must now get lean very quickly. yet, hidden in what may feel like forced change, there is a choice. Will Life Sciences executives answer this challenge by simply adding supply chain speed and capacity? Or will they use this time of transition to make their supply chains smarter? We look forward to learning more about how your supply chain is adapting to these changing times – and working with you, as you build the Smarter Supply Chain of the Future.
  • 28. 28 acknowledGMentS We would like to thank the Life Sciences supply chain executives from around the world who generously shared their time and insights with us. We’d also like to acknowledge the contributions of the IBm team who worked on the Life Sciences edition of the global Chief Supply Chain Officer Study: Tiffany yu, Romas Pencyla, Heather Fraser and Philippe Cini. aBout IBM GloBal BuSIneSS SerVIceS With business experts in more than 170 countries, IBm global Business Services provides clients with deep business process and industry exper- tise across 17 industries, using innovation to identify, create and deliver value faster. We draw on the full breadth of IBm capabilities, standing behind our advice to help clients implement solutions designed to deliver business outcomes with far-reaching impact and sustainable results.
  • 29. 29 IBM GloBal BuSIneSS SerVIceS lIfe ScIenceS conSultInG practIce The IBm Life Sciences team has extensive industry knowledge and innova- tive solutions to assist clients with specific strategic and operational chal- lenges facing the industry. Our expertise extends from strategy consulting to business transformation to technology platform implementation. For the supply chain function, our consultants combine business process and technology insights to help organizations across areas such as supply chain strategy, planning, product lifecycle management, sourcing and pro- curement, operations, asset management, logistics and enterprise applications. the IBM InStItute for BuSIneSS Value The IBm Institute for Business value, part of IBm global Business Services, develops fact-based strategic insights for senior business executives around critical industry-specific and cross-industry issues. for further InforMatIon To find out more about this study, please send an e-mail to the IBm Institute for Business value at iibv@us.ibm.com, or contact Philippe Cini, IBm global Life Sciences Supply Chain management Partner, at pcini@us.ibm.com.
  • 30. 30 noteS and SourceS 1 “The Smarter Supply Chain of the Future: IBM Global Chief Supply Chain Officer Study.” IBM Institute for Business Value. January 2009. http://www.ibm.com/supplychainstudy. As part of our study, we spoke at length with 393 supply chain executives across North America, Western Europe and Asia Pacific. These leaders head supply chains that serve a variety of industries, including Retail, Industrial Products, Food and Beverage, Life Sciences, Telecom, Electronics and Government. 2 Bowman, Robert. “Young Pharmaceuticals Offshoot Breaks the Mold With Outsourcing.” Global Logistics & Supply Chain Strategies. March 1, 2007. http://www.supplychainbrain.com/content/headline-news/single- article/article/young-pharmaceuticals-offshoot-breaks-the-mold-with-outsourcing/ 3 Ibid. 4 Ibid. 5 Ibid. 6 “IBM, Public Health Groups Form Global Pandemic Initiative.” IBM Press Release. May 15, 2006. 7 “Epidemic and Pandemic Alert and Response.” World Health Organization. http://www.who.int/csr/disease/ avian_influenza/avian_faqs/en/ 8 “Balancing risk and performance with an Integrated Finance Organization: The IBM Global CFO Study 2008.” IBM Global Business Services. October 2007. This comparison is based on our analysis of the subset of responses from Life Sciences CFOs. 9 The term, top supply chains, refers to the subset of our overall survey population that was featured in: Friscia, Tony, Kevin O’Marah, Debra Hofman and Joe Souza. “The AMR Research Supply Chain Top 25 for 2008.” AMR Research. 2008. 10 Company data, industry median and market median obtained from Hoover’s, Inc. 11 “Partnership for Safe Medicines Arms Public Against Counterfeit Drugs.” Partnership for Safe Medicines. http:// www.safemedicines.org/2008/12/partnership-for-safe-medicines-arms-public-against-counterfeit-drugs-1.html 12 IBM Institute for Business Value analysis based on 10 percent of IMS 2008 Global Pharmaceutical Market Forecast, accessed April 1, 2009 at http://www1.imshealth.com/web/con- tent/0,3148,64576068_63872702_70260998_82829532,00.html
  • 31. notes and sources 31 13 Somasekhar, M. “Bilcare develops nano fingerprint to check fake drugs.” The Hindu Business Line. September 18, 2008. 14 Bilcare Technologies. http://www.bilcare.com/products_and_services/bilcare_technologies.htm 15 Megget, Katrina. “Drug theft costs industry up to $1bn a year.” Outsourcing-Pharma.com. October 2, 2007. 16 Bilcare Technologies. http://www.bilcare.com/products_and_services/bilcare_technologies.htm 17 “Bilcare bets on anti-counterfeit technology.” Business Standard. September 4, 2008. 18 “Indian Contract Research Manufacturing and Services.” Research and Markets. http://www.researchandmar- kets.com/reportinfo.asp?report_id=595563&t=d&cat_id= 19 “Heparin Chinese Supplier Was Never Checked By Chinese Drug Regulators.” Medical News Today. February 16, 2008. 20 “FDA Issues Warning Letters to Ranbaxy Laboratories Ltd., and an Import Alert for Drugs from Two Ranbaxy Plants in India.” U.S. Food and Drug Administration Press Release. September 16, 2008. 21 “The Enterprise of the Future: IBM Global CEO Study – Life Sciences Industry Edition.” IBM Institute for Business Value. August 2008. http://www.ibm.com/ceostudy 22 Pisano, Gary P. The Development Factory. Boston, MA: Harvard Business Press, 1997.
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