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The Company Credential
About Us
Neolite is...

 A state-of-the-art research and consulting team

 Specialized in pharmaceutical and biomedical market

 With expertise in a wide range of therapeutic categories

 Commits to offer in-depth business insights & client-tailored solutions

 To help our clients overcome the business challenges.
Neolite: Vision & Mission

 “To be recognized as a reliable partner in delivering value added
 information to help the companies make more effective decisions
 with insight & passion.”
  Insight                                        Passion
    Provide the benefits of the experience; put     Enthusiasm & Energy!
    findings into meaningful context                Always passionate about your business
    Integrate learning from other relevant         needs!
    studies                                        Responsive is the basics, we will
    Move beyond the numbers to provide             proactively suggest new ideas and
    implications and recommendations               thinking!

    Keep in mind the decisions you need to         Active contributor!
    make – what are the next steps                 Creative & compelling presentations and
    Set key recommendation apart and upfront       workshops!
    – you don’t need to search                     Balanced objectivity + advocacy!
Neolite: Service Team
Frank Ren                                     Joyce Zhang
Director                                      Research Director
9 yrs marketing/research experience           7 yrs marketing/research experience
Bachelor of Medicine, Peking Univ. Health     Master of Medicine, Peking Univ. Health
Science Center                                Science Center
Ex-Marketing Manager, NESCAFE                 Ex-Product Manager, Valdoxan, Servier
Ex-Consumer Insight Manager, NESTLE           Ex-Research Manager, Servier
Ex-Key Account Manager, TNS Healthcare        Ex-Project Manager, TNS Healthcare
(Novartis, AstraZeneca, Pfizer, GSK, Johnson   (Novartis, Pfizer, Johnson Ethicon, XJP, etc)
& Johnson, etc)


Amanda Qian                                   David Wang
Research Executive                            Operation Manager
7 yrs marketing/research experience           8 yrs research experience
Bachelor of Marketing, PIPCT                  Degree of Computer Science & Info. Technology
Ex-Marketing Executive, BTIC Westport         Ex-Research Executive, Kantar Health
Ex-Business Executive, Singapore              Ex-Research Coordinator, CMMR
Information Services Pte, Ltd
Neolite: Fieldwork Capability


                                Neolite has nationwide fieldwork execution
                                capability - the Neolite FPA (Fieldwork
                                Partnership Alliance) enables Neolite to conduct
                                the projects even down to small cities.



                                In Beijing, Shanghai and Guangzhou, Neolite
                                leverages the FPA to own independent offices for
                                project management.



                                All interviews/questionnaires will go through
                                the first quality check by the FPA and then
                                centrally double-checked by Neolite
Neolite: Quality Control Standard

    Neolite fully subscribe to the professional and ethical standards for market research
    established by Council of American Survey Research Organizations (CASRO) and European
    Society of Opinion and Marketing Research (ESOMAR).

    Neolite also fully comply with the Internet Research Guidelines jointly developed and
    published by the European Pharmaceutical Marketing Research Association (EphMRA) and the
    Pharmaceutical Business Intelligence and Research Group (PBIRG).

    During fieldwork execution, 100% interviews will be called-back for identity validation by
    Neolite FPA in Beijing, Shanghai and Guangzhou.

    Upon the fieldwork closure, all interview records will be sent back to Neolite, and 30% of the
    interviews will be randomly double-checked by Neolite for critical logic questions.

    All interview records and questionnaires will be kept strictly and independently by Neolite for
    confidentiality.
Therapeutic Experience

    Neolite’s researchers have prolific marketing & research experience in various therapeutic
    areas, includes:


    CVS & Metabolics             Bone Health           Infection            Respiration
    Hypertension               Fracture management   Antibiotics           Asthma
    Heart failure              Bone pain             Anti-fungi agents     COPD
    Anti-coagulation agents    Osteoporosis          Anti-HBV agents       CAP
    Diabetes (OADs/Insulins)


      NeuroScience               Oncology              Immunology          Others (Specialties)

    Headache & Migraine        Leukemia              Allergy                OAB
    Vertigo & Dizziness        Thalassanemia & IOL   OA & RA                Wet-AMD
    Depression                 GIST                  Immunosuppressants     Infertility
    Bipolar disorder           Breast Cancer                                Biological agents
    Alzheimer’s disease        Carcinoid tumors                             Bio-markers
    Schizophrenia              Bone Metastasis                              Medical equipments
                                                                            Cooperate Image & ISQ
                                                                            etc
Neolite: Client List
Our Point of View
Global pharmaceutical industry is now facing tough time from both
economy and regulation viewpoints...

   Global Trends: Pharmaceutical Industry
    “Global growth of the pharmaceutical industry slows slightly to 5% to 6% in 2009 versus 6% to
    7% in 2008 and 7.7% in 2007.” IMS Health

    “We expect to see a decline, for the first time, in the global market size for primary-care driven
    drugs.” IMS Health

    “Drugs with about $20B in annual sales face patent expiration in 2008. That number is
    expected to double by 2010.”

    “New government contracting efforts in Germany, Japan, US, Spain, and Italy are expected to
    drive greater generic use in those markets. Overall, generics are expected to grow 15% to
    17% on a global basis in 2010.” MedAdNews

    “The FDA [in the US] approved 19 drugs in 2007, the fewest since 1983.” Bloomberg

    “Between 2011 and 2012 we are predicting that the global sales of pharmaceutical product
    will decline for the first time in over 60 years.” DataMonitor
MNCs recognize China as one of the most important marketplaces
to grow, but face fierce local challenges.

   China Trends: Pharmaceutical Industry
    Double-digit CAGR of 18.3% from 2003 to 2009.

   Is forecast to become the world No. 5 pharmaceutical market by 2010 and to be the No. 1 by
    2050

   The Healthy China 2020 Strategy may pose a key challenge as companies debate how to
   supply essential medicines to broader populations. Sales could increase but, due to the
   higher distribution cost and other potential pricing factors, profit margins would decline

   MNCs may soon face tighter price controls from the National Development & Reform
   Commission – because the current policy which allow off-patent products from MNCs to be
   priced higher than local companies is facing strong opposition.

   As the heparin and melamine milk scandals have highlighted, critical improvements are
   needed in supply chain management

   First legal action against kickbacks in Nov. 2008 announced that Chinese doctors who accept
   kickbacks will face bribery charges – Stronger compliance requirements for manufactures
   and distributors are expected to follow
While the market potential here, is HUGE...

   Even though some companies are projecting near-term revenue growth of more than 30% a
   year, none have captured the market’s full potential!

   A recent survey of 1,600 doctors in 38 cities shows evidence that companies are having trouble
   dealing with the magnitude of the country and the fragmentation of the industry and the
   market. While almost all major global companies have a presence in China’s largest and
   wealthiest cities, for instance, few have completely penetrated them. And the impact of the
   MNCs is especially patchy in rural areas and smaller cities.




   What’s more, few products have achieved critical scale. Among the portfolios of leading
   companies, only 12 drugs achieved more than USD 50 million in sales in China in 2007; and
   80% of the products generated less than USD 10 million in revenues apiece.
The Implications for Companies...


                Challenges                                   Implications
  Relatively weak research pipelines             Existing products: Maximizing the brand
   A lot of expectation from HQ (Business       performance
  focus move from US/EU to BRICs), very         New communication: Maximizing the
  aggressive ADF every year.                    marketing impact and the influential power
   Marketing budget increases, but not in the    New pricing: Maximizing the revenue and
  same ratio as the sales target                profit with smart pricing strategy
  Market access getting more difficult           New customer relationships: Maximizing
   Meanwhile, under pressure on prices – both   the detailing effectiveness with certain level
  from generics and regulators                  exposure

  Under pressure to maintain profitability        New patient centric: Maximizing the
     Sales force arms race is unsustainable     treatment performance from every single
                                                unit of the patients
     Downsizing, real-sizing, rationalising
Our Working Framework & Competitive Advantages
Neolite Working Framework
Brand & Communication Customer Relationship                Price & Reimbursement Treatment Management
Market Understanding and                                   PE & Competitive Analysis
                             Customer Profiling,                                         Severity, Progression, Risk
Sizing;                      Segmentation and Targeting;   Positioning Consideration;    Factors
Brand Health Tracking (ATU); Call Plan & Implementation    Influencing Factors to the    Patient Attitudes/Perceptions
Concept, Message, Creative Sales Performance Evaluator     Physicians & Payers:
                                                                                         Patient-Doc communication
& Detailing Aids Development                                  Efficacy & effectiveness
                             SOV measurements                                            Adherence/Compliance,
Portfolio Analysis &                                          Safety/Tolerability
Optimization                 ROI modeling & optimization                                 Quality of Life
                                                              Cost-effectiveness

               Customers’ Commitment
                                               Policies’ Tendency
                                                                               Patients’ Compliance



                                               Therapeutic choices

                                                                Patient Share & Rx Dynamics

                                               Sales & Profitability
Differential Advantages

   Brand Communication   Customer Relationship   Pricing & Reimbursement   Treatment Management

   The ultimate goal for the brand communication is to generate the demand,
   attach the meanings, and develop the loyalty.
Differential Advantages

   Brand Communication          Customer Relationship     Pricing & Reimbursement      Treatment Management


   Our approach is designed to drive strategic and tactical decision making –not merely report
   current brand health and advertising/marketing communication impact…


                                  What are the therapeutic Market Needs and Gaps to satisfy? Which are the
     Market Understanding &       most important therapy segments?
             Sizing
                                  What are the key drivers of brand choice and loyalty?

                                  Where should brand management focus on in the Marketing and Sales Mix to
    Brand Strategy & Planning        !…..generate higher Rx growth?
                                      !…..resist competitive pressure to switch?

                                  How does “brand X” perform against competitors (Brand SWOT) and where
       Tracking & Refining
                                  does Brand management need to act next?

                                  How loyal are prescribers to brand X vs. Competition and what should brand
                                  management do to “convert" disloyal prescribers?
     Diagnosing & Correcting
                                  How can I identify the best brand-specific marketing and sales model to
                                  develop a detailed implementation plan?
Differential Advantages

   Brand Communication             Customer Relationship              Pricing & Reimbursement      Treatment Management


            Case Study: Early Warning System for Need of Action
                                                          Value for                             Current   Patient
                      Awareness     User    Positioning    Money      Sales Force    Loyalty    Patient   Growth
                      unprompted    Share     Index        Index         Index        index     Share     Index

        Results T2       68%        93%         51          34%          54%           56        25%        5%



        Evaluation
        T1 – T2




        Evaluation
        Benchmark
        (best
        competitor)




                                                        Neolite
                                             Neolite              Neolite            Neolite
                          Neolite Brand                 Value                                        Neolite
                                              Brand             Sales Force          Brand
                           Descriptor                 for Money                                  Brand Predictor
                                            Actiogram            Indicator          Converter
                                                      Barometer
Differential Advantages

   Brand Communication                            Customer Relationship              Pricing & Reimbursement               Treatment Management


                                    Case Study: Brand Diagnostic Analysis

                                      Essentials                                          Key Drivers
               High




                                     A10:   Treats a wide range of pts effectively       A1:     Well tolerated
                                     A5 :   Has cardioprotective effects                 A24 :   Manufactured by a well known company
             Level of performance




                                     A7:    Provides renal protection                    A13 :   Tried and trusted product
                                     A2:    Decrease in systolic BP                      A4 :    Decrease in diastolic BP
                                     A6:    Safe to use with diabetic patients           A12 :   Easy for patients to use
                                                                                         A3 :    Reduces risk of strokes




                                     Potentials                                           Opportunities
                                     A23 : Innovative drug                              A11: Good personal experience with brand
                                     A15 : relatively low daily cost of therapy         A17 : Available on most formularies
                                     A19: A highly selective AIIA                       A25 : Represented by a competent sales rep
                                     A27 : Patients ask for it by name                  A16 : Easy to titrate dosage
                                     A20 : Initiated & recomm by local consultants      A14 ; Approval for treatment of heart failure
                                     A9 : Full 24hr duration of action                  A18 : Recommended by relevant guidelines
                                     A21 : Use supported by key opinion leaders         A26 : Company offers good educational programmes
               Low




                                     A22 : Fast onset of action                         A8: Advantages proven in large clinical trials



                                     Low                    Importance in driving commitment                              High
Differential Advantages

   Brand Communication                                                          Customer Relationship             Pricing & Reimbursement                    Treatment Management


                                                            Case Study: Brand Action Matrix Analysis
                                                                                               Competitive Advantage (Performance)
                                                                          Weaknesses                         Neutral                            Strengths
                                          high importance




                                                            + Underperforming star                Potential star properties          Existing star properties
                                                              properties (USP)                    (USP)                              (USP)
                                                            !   !    Improve performance vs.      •  Strengthen competitive          •  Performance ahead
                                                                     competition                     advantage                          of competition
           Product Choice criteria with




                                                                !    Improve relevance of         •  Improve performance             •  Develop if underperformed
                                                            -        added value positioning
                                          Med. importance




                                                            +   Avoid positioning/                Potential added value              Opportunity of added
                                                                communication                     positioning                        value positioning
                                                            !                                     •  Use to strengthen star          !    Use to strengthen new
                                                                                                     property                             property
                                                                                                  •  Increase competitive            !    Consider as future star
                                                            -                                        advantage                            property
                                          low importance




                                                                Avoid positioning/
                                                                communication
                                                            +   !    Implement reduction of       Avoid positioning/                 New opportunities
                                                                     investment                   communication                      (check return and
                                                                                                  •  Consider reducing               investment)
                                                            !                                        investment                      •  Increase importance or
                                                                                                                                     •  Consider reducing
                                                                                                                                        investment

                                                            -
Differential Advantages

   Brand Communication       Customer Relationship      Pricing & Reimbursement      Treatment Management

   Acquiring customers is difficult enough, but preventing the most valuable ones
   from leaving is what really keeps marketing executives up at night. Managing –
   and maximizing – the “lifetime value” of customers has emerged
   as the primary challenge.

   The “Lifetime Value” Module Pack
               ROI analysis and optimisation                    Customer profiling & Micro-segmentation

                                               Adjust
                    Share of Voice
   Message Delivery Measurements                             Plan
                                                                          Target list generation
     Sales Performance Optimizer           Check

                                                        Do
                     Call planning and                              Detailing scheme optimizer
                      implementation
Differential Advantages

   Brand Communication                Customer Relationship               Pricing & Reimbursement      Treatment Management

                                   Customer profiling & Micro-segmentation
    Case: A Micro-Segmentation study for an OAD product                                                Countermeasures

                     !    The BGC level should be on-target, and
     Treatment            more important, the islet function should
       Attitude                                                                                            ! Maintain
                          be restored



     Physicians’     !    Typical influence to patient
       Influence                                                                              ! Encourage the trial rate of DPP4 I
                                                                                              to increase the doctors’ confidence l
                     !    Not very satisfied with the current remedies,                       ! Help physicians improve their
     Treatment                                                                                communication with patients
    Satisfaction          give extremely positive preference towards
                          DPP-4 inhibitor                                     Customized
                                                                               Treatment
                     !    Improve islet function (b cell
                          regeneration)
                     !    Can used mono or combined with Met,                                 Deliver message
       Impactful          SU, Insulin and TZD                                                 ! b-cell regeneration is a strong
    attributes of    !    When combined with Met, significantly                               weapon
           DPP-4          improve the b cell sensitivity to glucose
         inhibitor                                                                            ! Safety profile serves as value adds
                          stimulation (5 times test/control)                                  !  Combination therapy, especially
                                                                                              with Metformin should be highlighted.
Differential Advantages

   Brand Communication   Customer Relationship   Pricing & Reimbursement   Treatment Management


   Case Study: Detailing Scheme Development
Differential Advantages

   Brand Communication           Customer Relationship   Pricing & Reimbursement   Treatment Management

                                      Sales Performance Optimizer
        Sales Rep Relationship
                                                                          Benchmarking
         Sales Rep Personal &
         Professional Conduct                                              Questions
         Sales Rep Knowledge
              & Expertise                                                               1. Generate
                                                                                            Index
              Sales Rep
            Visits/ Details

         Patient Management &
          Treatment Services
                                                   2. Identify            Sales Experience
          Direct-to-Consumer                         Drivers                    Index
            Communication

         Physician Education &
          Information Services

            Business and
            Practice Mgt/

           Internet-Based
               Services
Differential Advantages

   Brand Communication                 Customer Relationship    Pricing & Reimbursement   Treatment Management

                                 Share of Voice, Message Delivery Measurements
                                           Sales Performance Tracking

               Evaluation of Personality/Attitude/
               Competence of Sales Reps
                                                           Client        Competitor Competitor Competitor
                                                       Performance (%)      A          B          C

               A01 Has a friendly attitude

               A06 Is reliable
                     Has the ability to gain my
               C04
                     commitment to prescribe
               A03 Builds a personal relationship
      Impact




                     Behaves positively towards my
               A04
                     staff
               B01 Is committed to own products

               A02 Is persistent, but not too pushy
                   Has in-depth medical knowledge
               C01
                   focused on respective indications
                   Is well informed about competing
               C02
                   drugs
Differential Advantages

   Brand Communication   Customer Relationship   Pricing & Reimbursement   Treatment Management

                     Share of Voice, Message Delivery Measurements
Differential Advantages

   Brand Communication        Customer Relationship      Pricing & Reimbursement       Treatment Management

   Challenge to the Methodologies…
   1.  Has the agency taken the product positioning into account? Is the product a
       “revolutionary” product, a “evolutionary” product, or a “Me-too” product?
         The positioning initiative will determine which reference price we should use and whether we need to
         build the pricing scenario from the lower end or ceiling end.
   2.  Direct exploration or In-direct approach?
         Should be hybrid always – however will more focus on typical methodologies for certain exploration.
   3.  Does Adaptive Conjoint Analysis / Discrete Choice Modeling really make sense?
         You have to assure that the research does more than make comparison with known reference points
         – cover a broad range of possibilities and elicit more open-ended feedback. Rigid multiple-choice
         questionnaires or trade-off techniques will limit the responses.
   4.  How do you deal with the potential scenarios listed below?
        a. Competitors’ reaction: Especially for evolutionary products, competitors’ price cut?
        b. Life cycle strategy: If early adopters are willing to pay premium for the product, the company
         might consider a high release price to capture the extra value, with planned reductions down the
         road to attract latecomers
        c. Cannibalization: Old product remains viable? Or you want to let it shift?
Differential Advantages

   Brand Communication                Customer Relationship         Pricing & Reimbursement               Treatment Management

   Our State-of-the-Art Approach:
                                                                                                            5
   5 Steps to Optimal Pricing/Reimbursement Strategy
                                                                                4                                Pricing Strategy
                                                         3                           Evaluate Pricing
                                                                                     Opportunities              Pricing/
                              2                              Value Profile                                      reimbursement
                                                             Assessment             Which price is
                                   Analyze Decision                                                             strategy
                                                                                    perceived to be
  1                                Process               Which are main                                         Best negotiation
                                                                                    appropriate?
       Analyze                                           criteria to evaluate                                   strategy
                                  Who are the                                       How do they react
       Relevant Market                                   a product?
                                  decision makers,                                  on predefined price         Launch sequence
      What is the current         influencers?           Which are the key
                                                                                    levels?                     Optimized product
      competitive situation                              value drivers?
                                  Which are                                         Which usage at              profile
      in the relevant             reimbursement          Which are the
      market?                                                                       diff. price levels?         Further need for
                                  patterns across        competitive
                                                         advantages/                How to reach a              clinical data
      Who are the target          national market?
      groups?                                            disadvantages?             higher price                Next steps in
                                  Which are the main                                acceptance?
                                                         Is it perceived as                                     marketing
      Review all available        criteria to evaluate
                                                         a major                    What is the                 research
      data about this             a product?
      therapeutic and                                    therapeutic                willingness-to-
                                  Which are the key                                 copayment of
      geographic market                                  progress?
                                  value drivers?                                    patients?
Differential Advantages

   Brand Communication        Customer Relationship      Pricing & Reimbursement       Treatment Management

   Challenge to the Methodologies…
         Various Price Research Techniques for Different Business Purpose
   1.  Has the agency taken the product positioning into account? Is the product a
       “revolutionary” product, a “evolutionary” product, or a “Me-too” product?
         The positioning initiative will determine which reference price we should use and whether we need to
         build the pricing scenario from the lower end or ceiling end.
   2.  Direct exploration or In-direct approach?
         Should be hybrid always – however will more focus on typical methodologies for certain exploration.
   3.  Does Adaptive Conjoint Analysis / Discrete Choice Modeling really make sense?
         You have to assure that the research does more than make comparison with known reference points
         – cover a broad range of possibilities and elicit more open-ended feedback. Rigid multiple-choice
         questionnaires or trade-off techniques will limit the responses.
   4.  How do you deal with the potential scenarios listed below?
        a. Competitors’ reaction: Especially for evolutionary products, competitors’ price cut?
        b. Life cycle strategy: If early adopters are willing to pay premium for the product, the company
         might consider a high release price to capture the extra value, with planned reductions down the
         road to attract latecomers
        c. Cannibalization: Old product remains viable? Or you want to let it shift?
Differential Advantages

   Brand Communication        Customer Relationship      Pricing & Reimbursement       Treatment Management

   Challenge to the Methodologies…
                    Case Study: VFend POS Pricing Exploration
   1.  Has the agency taken the product positioning into account? Is the product a
       “revolutionary” product, a “evolutionary” product, or a “Me-too” product?
         The positioning initiative will determine which reference price we should use and whether we need to
         build the pricing scenario from the lower end or ceiling end.
   2.  Direct exploration or In-direct approach?
         Should be hybrid always – however will more focus on typical methodologies for certain exploration.
   3.  Does Adaptive Conjoint Analysis / Discrete Choice Modeling really make sense?
         You have to assure that the research does more than make comparison with known reference points
         – cover a broad range of possibilities and elicit more open-ended feedback. Rigid multiple-choice
         questionnaires or trade-off techniques will limit the responses.
   4.  How do you deal with the potential scenarios listed below?
        a. Competitors’ reaction: Especially for evolutionary products, competitors’ price cut?
        b. Life cycle strategy: If early adopters are willing to pay premium for the product, the company
         might consider a high release price to capture the extra value, with planned reductions down the
        Thru a scenario-based simulation test, Neoliters help VFend POS identify the different
         road to attract latecomers
        options for pricing positioning and the potential competitive situation it might face.
        c. Cannibalization: Old product remains viable? Or you want to let it shift?
Differential Advantages

   Brand Communication        Customer Relationship    Pricing & Reimbursement     Treatment Management

   By demonstrating product effectiveness and safety; treatment management could
   support pharma industry in forecasting patient potential and in negotiations with
   payers and approval authorities.
      Pharmaceutical companies need to balance the risks of marketing new products with patient
      potential in different indications and product safety

      The Public healthcare sector (e.g. Ministry of Health) needs to evaluate the status of diseases for
      improving the future healthcare system

                         Pre-launch         Launch                Post-launch


                Health status/healthcare
                                                               Product safety
                 needs of populations




                                                  Clinical Research       Post Marketing
                   PUBLIC HEALTH
                                                      (phase IV)         Drug Surveillance
Differential Advantages

   Brand Communication         Customer Relationship           Pricing & Reimbursement      Treatment Management

    Epidemiology & Healthcare Show patient potential associated with preference patterns, QoL and disease
         Consumer Study       burden
              Monitors                                   Show current treatment patterns

          Health Outcomes                Show product/treatment outcomes, comparative effectiveness

          Clinical & Safety                                      Show product safety

     1.    Bridge marketing and outcomes needs

     2.    Understand current treatment patterns and market gaps

               Disease, brand and therapeutic class insights

     3.    Link successful drug development to optimal market launch, penetration and performance

     4.    Maximize the product performance across the life cycle

               Product development support through clinical efficacy & safety assessments

               Develop post-launch arguments for therapeutic adoption and optimal reimbursement by
               demonstrating real-world therapeutic effectiveness

     5.    Evaluate and promote evidence-based medicine
Differential Advantages

   Brand Communication       Customer Relationship      Pricing & Reimbursement    Treatment Management


                Case Study: Consumer Insight via Ethnographic Research
      Neoliters also leverage the consumer sector knowledge and expertise to conduct
      ethnographic research for healthcare products...




      By doing the consumer immersion exercises and adapting the projective techniques and
      diary collection tools, Glivec successfully develop the patient support/education program
      and improve the patient compliance effectively.




      Thru ethnographic research, NESCAFE developed the communication strategy based on the
      identified touch-points - improve the penetration in Tier II cities from 40% to 46% in 2 years..
Differential Advantages

   Brand Communication                   Customer Relationship                         Pricing & Reimbursement                                                         Treatment Management


                                           Case Study: Consumer Segmentation
     Unlike doctors who are professional and independent, consumers are social and emotional
     animals. They talk about disease in different words and in different manners. In this context,
     consumers are not only classified by medical situation, but also should be taken more
     consideration of the lifestyle, disease management attitude and emotional needs.

                                                                                                                                         Low priority ------ High priority
                                        Premium


                                           Landlord
                                                                                                                                   Initial adoption soon
                                             23%                                                                                                              Initial adoption right after surgery; post service
                                                                                           hip Fracture    Initial adoption soon     with the surgery;
                                                                                                                                                             monitoring; preventing fracture and keeping BMD
                                                        Elites                                               with the surgery       see less side effect
                                                                                                                                                                             need to be claimed.
                                                        16%                                                                           as user benefit
                                                                                                              Disease education for fracture might             Convenience as
                                                                                                                                                                                        See advantage on less
                                                                                                            happen again and patients need to keep            trigger, follow with
                                                                                       General Fracture                                                                                 side effect, preventing
     Passive                                                     “Professors” Active                        alert. Preventing re-fracture is essential            post service
                                                                                                                                                                                             fracture, etc
                                                                                                                 while Aclasta offer great value.                  monitoring
                                                                     30%
                                                                                                            Disease education for osteoporosis is not        Liaise with Miacalcic. See opportunity to create a
                                                                                             Bone Pain        purely bone pain while fracture is the         new treatment model: e.g. Miacalcic 2 weeks and
           Not care                                                                                                  serious potential risk…                              then one dose Aclasta
            15%
                                                                                                               More education on disease but not              Convenience, less
                         Limited                                                         Mild symptoms     treatment. Might consider check-up center         side effect, prevent
                                                                                                                                                                                      Less side effect, prevent
                      affordability                                                                                                                                                     fracture, keep BMD
                                                                                                                           as focus.                         fracture, keep BMD
                           16%
                                                                                                          Poor disease recognition,                     Good disease recognition,
                                                                                                          Poor treatment compliance                     Poor treatment compliance
                                      Price Conscious                                                                            Poor disease recognition,                      Good disease recognition,
                                                                                                                                 Good treatment compliance                      Good treatment compliance




    By identifying the “professors” segment which is characterized as “Much care about their family
    members’ health, willing to pay extra, conscious about being fracture, etc”, Neoliters help
    Aclasta develop the patient communication strategy incisively to the target patients.
Thank you for your attention!


Should you have any question, please contact: enquiry@neoliters.com

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Neolite Business Credential

  • 3. Neolite is... A state-of-the-art research and consulting team Specialized in pharmaceutical and biomedical market With expertise in a wide range of therapeutic categories Commits to offer in-depth business insights & client-tailored solutions To help our clients overcome the business challenges.
  • 4. Neolite: Vision & Mission “To be recognized as a reliable partner in delivering value added information to help the companies make more effective decisions with insight & passion.” Insight Passion Provide the benefits of the experience; put Enthusiasm & Energy! findings into meaningful context Always passionate about your business Integrate learning from other relevant needs! studies Responsive is the basics, we will Move beyond the numbers to provide proactively suggest new ideas and implications and recommendations thinking! Keep in mind the decisions you need to Active contributor! make – what are the next steps Creative & compelling presentations and Set key recommendation apart and upfront workshops! – you don’t need to search Balanced objectivity + advocacy!
  • 5. Neolite: Service Team Frank Ren Joyce Zhang Director Research Director 9 yrs marketing/research experience 7 yrs marketing/research experience Bachelor of Medicine, Peking Univ. Health Master of Medicine, Peking Univ. Health Science Center Science Center Ex-Marketing Manager, NESCAFE Ex-Product Manager, Valdoxan, Servier Ex-Consumer Insight Manager, NESTLE Ex-Research Manager, Servier Ex-Key Account Manager, TNS Healthcare Ex-Project Manager, TNS Healthcare (Novartis, AstraZeneca, Pfizer, GSK, Johnson (Novartis, Pfizer, Johnson Ethicon, XJP, etc) & Johnson, etc) Amanda Qian David Wang Research Executive Operation Manager 7 yrs marketing/research experience 8 yrs research experience Bachelor of Marketing, PIPCT Degree of Computer Science & Info. Technology Ex-Marketing Executive, BTIC Westport Ex-Research Executive, Kantar Health Ex-Business Executive, Singapore Ex-Research Coordinator, CMMR Information Services Pte, Ltd
  • 6. Neolite: Fieldwork Capability Neolite has nationwide fieldwork execution capability - the Neolite FPA (Fieldwork Partnership Alliance) enables Neolite to conduct the projects even down to small cities. In Beijing, Shanghai and Guangzhou, Neolite leverages the FPA to own independent offices for project management. All interviews/questionnaires will go through the first quality check by the FPA and then centrally double-checked by Neolite
  • 7. Neolite: Quality Control Standard Neolite fully subscribe to the professional and ethical standards for market research established by Council of American Survey Research Organizations (CASRO) and European Society of Opinion and Marketing Research (ESOMAR). Neolite also fully comply with the Internet Research Guidelines jointly developed and published by the European Pharmaceutical Marketing Research Association (EphMRA) and the Pharmaceutical Business Intelligence and Research Group (PBIRG). During fieldwork execution, 100% interviews will be called-back for identity validation by Neolite FPA in Beijing, Shanghai and Guangzhou. Upon the fieldwork closure, all interview records will be sent back to Neolite, and 30% of the interviews will be randomly double-checked by Neolite for critical logic questions. All interview records and questionnaires will be kept strictly and independently by Neolite for confidentiality.
  • 8. Therapeutic Experience Neolite’s researchers have prolific marketing & research experience in various therapeutic areas, includes: CVS & Metabolics Bone Health Infection Respiration Hypertension Fracture management Antibiotics Asthma Heart failure Bone pain Anti-fungi agents COPD Anti-coagulation agents Osteoporosis Anti-HBV agents CAP Diabetes (OADs/Insulins) NeuroScience Oncology Immunology Others (Specialties) Headache & Migraine Leukemia Allergy OAB Vertigo & Dizziness Thalassanemia & IOL OA & RA Wet-AMD Depression GIST Immunosuppressants Infertility Bipolar disorder Breast Cancer Biological agents Alzheimer’s disease Carcinoid tumors Bio-markers Schizophrenia Bone Metastasis Medical equipments Cooperate Image & ISQ etc
  • 10. Our Point of View
  • 11. Global pharmaceutical industry is now facing tough time from both economy and regulation viewpoints... Global Trends: Pharmaceutical Industry “Global growth of the pharmaceutical industry slows slightly to 5% to 6% in 2009 versus 6% to 7% in 2008 and 7.7% in 2007.” IMS Health “We expect to see a decline, for the first time, in the global market size for primary-care driven drugs.” IMS Health “Drugs with about $20B in annual sales face patent expiration in 2008. That number is expected to double by 2010.” “New government contracting efforts in Germany, Japan, US, Spain, and Italy are expected to drive greater generic use in those markets. Overall, generics are expected to grow 15% to 17% on a global basis in 2010.” MedAdNews “The FDA [in the US] approved 19 drugs in 2007, the fewest since 1983.” Bloomberg “Between 2011 and 2012 we are predicting that the global sales of pharmaceutical product will decline for the first time in over 60 years.” DataMonitor
  • 12. MNCs recognize China as one of the most important marketplaces to grow, but face fierce local challenges. China Trends: Pharmaceutical Industry Double-digit CAGR of 18.3% from 2003 to 2009. Is forecast to become the world No. 5 pharmaceutical market by 2010 and to be the No. 1 by 2050 The Healthy China 2020 Strategy may pose a key challenge as companies debate how to supply essential medicines to broader populations. Sales could increase but, due to the higher distribution cost and other potential pricing factors, profit margins would decline MNCs may soon face tighter price controls from the National Development & Reform Commission – because the current policy which allow off-patent products from MNCs to be priced higher than local companies is facing strong opposition. As the heparin and melamine milk scandals have highlighted, critical improvements are needed in supply chain management First legal action against kickbacks in Nov. 2008 announced that Chinese doctors who accept kickbacks will face bribery charges – Stronger compliance requirements for manufactures and distributors are expected to follow
  • 13. While the market potential here, is HUGE... Even though some companies are projecting near-term revenue growth of more than 30% a year, none have captured the market’s full potential! A recent survey of 1,600 doctors in 38 cities shows evidence that companies are having trouble dealing with the magnitude of the country and the fragmentation of the industry and the market. While almost all major global companies have a presence in China’s largest and wealthiest cities, for instance, few have completely penetrated them. And the impact of the MNCs is especially patchy in rural areas and smaller cities. What’s more, few products have achieved critical scale. Among the portfolios of leading companies, only 12 drugs achieved more than USD 50 million in sales in China in 2007; and 80% of the products generated less than USD 10 million in revenues apiece.
  • 14. The Implications for Companies... Challenges Implications Relatively weak research pipelines Existing products: Maximizing the brand A lot of expectation from HQ (Business performance focus move from US/EU to BRICs), very New communication: Maximizing the aggressive ADF every year. marketing impact and the influential power Marketing budget increases, but not in the New pricing: Maximizing the revenue and same ratio as the sales target profit with smart pricing strategy Market access getting more difficult New customer relationships: Maximizing Meanwhile, under pressure on prices – both the detailing effectiveness with certain level from generics and regulators exposure Under pressure to maintain profitability New patient centric: Maximizing the Sales force arms race is unsustainable treatment performance from every single unit of the patients Downsizing, real-sizing, rationalising
  • 15. Our Working Framework & Competitive Advantages
  • 16. Neolite Working Framework Brand & Communication Customer Relationship Price & Reimbursement Treatment Management Market Understanding and PE & Competitive Analysis Customer Profiling, Severity, Progression, Risk Sizing; Segmentation and Targeting; Positioning Consideration; Factors Brand Health Tracking (ATU); Call Plan & Implementation Influencing Factors to the Patient Attitudes/Perceptions Concept, Message, Creative Sales Performance Evaluator Physicians & Payers: Patient-Doc communication & Detailing Aids Development Efficacy & effectiveness SOV measurements Adherence/Compliance, Portfolio Analysis & Safety/Tolerability Optimization ROI modeling & optimization Quality of Life Cost-effectiveness Customers’ Commitment Policies’ Tendency Patients’ Compliance Therapeutic choices Patient Share & Rx Dynamics Sales & Profitability
  • 17. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management The ultimate goal for the brand communication is to generate the demand, attach the meanings, and develop the loyalty.
  • 18. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Our approach is designed to drive strategic and tactical decision making –not merely report current brand health and advertising/marketing communication impact… What are the therapeutic Market Needs and Gaps to satisfy? Which are the Market Understanding & most important therapy segments? Sizing What are the key drivers of brand choice and loyalty? Where should brand management focus on in the Marketing and Sales Mix to Brand Strategy & Planning !…..generate higher Rx growth? !…..resist competitive pressure to switch? How does “brand X” perform against competitors (Brand SWOT) and where Tracking & Refining does Brand management need to act next? How loyal are prescribers to brand X vs. Competition and what should brand management do to “convert" disloyal prescribers? Diagnosing & Correcting How can I identify the best brand-specific marketing and sales model to develop a detailed implementation plan?
  • 19. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Case Study: Early Warning System for Need of Action Value for Current Patient Awareness User Positioning Money Sales Force Loyalty Patient Growth unprompted Share Index Index Index index Share Index Results T2 68% 93% 51 34% 54% 56 25% 5% Evaluation T1 – T2 Evaluation Benchmark (best competitor) Neolite Neolite Neolite Neolite Neolite Brand Value Neolite Brand Sales Force Brand Descriptor for Money Brand Predictor Actiogram Indicator Converter Barometer
  • 20. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Case Study: Brand Diagnostic Analysis Essentials Key Drivers High A10: Treats a wide range of pts effectively A1: Well tolerated A5 : Has cardioprotective effects A24 : Manufactured by a well known company Level of performance A7: Provides renal protection A13 : Tried and trusted product A2: Decrease in systolic BP A4 : Decrease in diastolic BP A6: Safe to use with diabetic patients A12 : Easy for patients to use A3 : Reduces risk of strokes Potentials Opportunities A23 : Innovative drug A11: Good personal experience with brand A15 : relatively low daily cost of therapy A17 : Available on most formularies A19: A highly selective AIIA A25 : Represented by a competent sales rep A27 : Patients ask for it by name A16 : Easy to titrate dosage A20 : Initiated & recomm by local consultants A14 ; Approval for treatment of heart failure A9 : Full 24hr duration of action A18 : Recommended by relevant guidelines A21 : Use supported by key opinion leaders A26 : Company offers good educational programmes Low A22 : Fast onset of action A8: Advantages proven in large clinical trials Low Importance in driving commitment High
  • 21. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Case Study: Brand Action Matrix Analysis Competitive Advantage (Performance) Weaknesses Neutral Strengths high importance + Underperforming star Potential star properties Existing star properties properties (USP) (USP) (USP) ! !  Improve performance vs. •  Strengthen competitive •  Performance ahead competition advantage of competition Product Choice criteria with !  Improve relevance of •  Improve performance •  Develop if underperformed - added value positioning Med. importance + Avoid positioning/ Potential added value Opportunity of added communication positioning value positioning ! •  Use to strengthen star !  Use to strengthen new property property •  Increase competitive !  Consider as future star - advantage property low importance Avoid positioning/ communication + !  Implement reduction of Avoid positioning/ New opportunities investment communication (check return and •  Consider reducing investment) ! investment •  Increase importance or •  Consider reducing investment -
  • 22. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Acquiring customers is difficult enough, but preventing the most valuable ones from leaving is what really keeps marketing executives up at night. Managing – and maximizing – the “lifetime value” of customers has emerged as the primary challenge. The “Lifetime Value” Module Pack ROI analysis and optimisation Customer profiling & Micro-segmentation Adjust Share of Voice Message Delivery Measurements Plan Target list generation Sales Performance Optimizer Check Do Call planning and Detailing scheme optimizer implementation
  • 23. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Customer profiling & Micro-segmentation Case: A Micro-Segmentation study for an OAD product Countermeasures !  The BGC level should be on-target, and Treatment more important, the islet function should Attitude ! Maintain be restored Physicians’ !  Typical influence to patient Influence ! Encourage the trial rate of DPP4 I to increase the doctors’ confidence l !  Not very satisfied with the current remedies, ! Help physicians improve their Treatment communication with patients Satisfaction give extremely positive preference towards DPP-4 inhibitor Customized Treatment !  Improve islet function (b cell regeneration) !  Can used mono or combined with Met, Deliver message Impactful SU, Insulin and TZD ! b-cell regeneration is a strong attributes of !  When combined with Met, significantly weapon DPP-4 improve the b cell sensitivity to glucose inhibitor ! Safety profile serves as value adds stimulation (5 times test/control) !  Combination therapy, especially with Metformin should be highlighted.
  • 24. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Case Study: Detailing Scheme Development
  • 25. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Sales Performance Optimizer Sales Rep Relationship Benchmarking Sales Rep Personal & Professional Conduct Questions Sales Rep Knowledge & Expertise 1. Generate Index Sales Rep Visits/ Details Patient Management & Treatment Services 2. Identify Sales Experience Direct-to-Consumer Drivers Index Communication Physician Education & Information Services Business and Practice Mgt/ Internet-Based Services
  • 26. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Share of Voice, Message Delivery Measurements Sales Performance Tracking Evaluation of Personality/Attitude/ Competence of Sales Reps Client Competitor Competitor Competitor Performance (%) A B C A01 Has a friendly attitude A06 Is reliable Has the ability to gain my C04 commitment to prescribe A03 Builds a personal relationship Impact Behaves positively towards my A04 staff B01 Is committed to own products A02 Is persistent, but not too pushy Has in-depth medical knowledge C01 focused on respective indications Is well informed about competing C02 drugs
  • 27. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Share of Voice, Message Delivery Measurements
  • 28. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Challenge to the Methodologies… 1.  Has the agency taken the product positioning into account? Is the product a “revolutionary” product, a “evolutionary” product, or a “Me-too” product? The positioning initiative will determine which reference price we should use and whether we need to build the pricing scenario from the lower end or ceiling end. 2.  Direct exploration or In-direct approach? Should be hybrid always – however will more focus on typical methodologies for certain exploration. 3.  Does Adaptive Conjoint Analysis / Discrete Choice Modeling really make sense? You have to assure that the research does more than make comparison with known reference points – cover a broad range of possibilities and elicit more open-ended feedback. Rigid multiple-choice questionnaires or trade-off techniques will limit the responses. 4.  How do you deal with the potential scenarios listed below? a. Competitors’ reaction: Especially for evolutionary products, competitors’ price cut? b. Life cycle strategy: If early adopters are willing to pay premium for the product, the company might consider a high release price to capture the extra value, with planned reductions down the road to attract latecomers c. Cannibalization: Old product remains viable? Or you want to let it shift?
  • 29. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Our State-of-the-Art Approach: 5 5 Steps to Optimal Pricing/Reimbursement Strategy 4 Pricing Strategy 3 Evaluate Pricing Opportunities Pricing/ 2 Value Profile reimbursement Assessment Which price is Analyze Decision strategy perceived to be 1 Process Which are main Best negotiation appropriate? Analyze criteria to evaluate strategy Who are the How do they react Relevant Market a product? decision makers, on predefined price Launch sequence What is the current influencers? Which are the key levels? Optimized product competitive situation value drivers? Which are Which usage at profile in the relevant reimbursement Which are the market? diff. price levels? Further need for patterns across competitive advantages/ How to reach a clinical data Who are the target national market? groups? disadvantages? higher price Next steps in Which are the main acceptance? Is it perceived as marketing Review all available criteria to evaluate a major What is the research data about this a product? therapeutic and therapeutic willingness-to- Which are the key copayment of geographic market progress? value drivers? patients?
  • 30. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Challenge to the Methodologies… Various Price Research Techniques for Different Business Purpose 1.  Has the agency taken the product positioning into account? Is the product a “revolutionary” product, a “evolutionary” product, or a “Me-too” product? The positioning initiative will determine which reference price we should use and whether we need to build the pricing scenario from the lower end or ceiling end. 2.  Direct exploration or In-direct approach? Should be hybrid always – however will more focus on typical methodologies for certain exploration. 3.  Does Adaptive Conjoint Analysis / Discrete Choice Modeling really make sense? You have to assure that the research does more than make comparison with known reference points – cover a broad range of possibilities and elicit more open-ended feedback. Rigid multiple-choice questionnaires or trade-off techniques will limit the responses. 4.  How do you deal with the potential scenarios listed below? a. Competitors’ reaction: Especially for evolutionary products, competitors’ price cut? b. Life cycle strategy: If early adopters are willing to pay premium for the product, the company might consider a high release price to capture the extra value, with planned reductions down the road to attract latecomers c. Cannibalization: Old product remains viable? Or you want to let it shift?
  • 31. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Challenge to the Methodologies… Case Study: VFend POS Pricing Exploration 1.  Has the agency taken the product positioning into account? Is the product a “revolutionary” product, a “evolutionary” product, or a “Me-too” product? The positioning initiative will determine which reference price we should use and whether we need to build the pricing scenario from the lower end or ceiling end. 2.  Direct exploration or In-direct approach? Should be hybrid always – however will more focus on typical methodologies for certain exploration. 3.  Does Adaptive Conjoint Analysis / Discrete Choice Modeling really make sense? You have to assure that the research does more than make comparison with known reference points – cover a broad range of possibilities and elicit more open-ended feedback. Rigid multiple-choice questionnaires or trade-off techniques will limit the responses. 4.  How do you deal with the potential scenarios listed below? a. Competitors’ reaction: Especially for evolutionary products, competitors’ price cut? b. Life cycle strategy: If early adopters are willing to pay premium for the product, the company might consider a high release price to capture the extra value, with planned reductions down the Thru a scenario-based simulation test, Neoliters help VFend POS identify the different road to attract latecomers options for pricing positioning and the potential competitive situation it might face. c. Cannibalization: Old product remains viable? Or you want to let it shift?
  • 32. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management By demonstrating product effectiveness and safety; treatment management could support pharma industry in forecasting patient potential and in negotiations with payers and approval authorities. Pharmaceutical companies need to balance the risks of marketing new products with patient potential in different indications and product safety The Public healthcare sector (e.g. Ministry of Health) needs to evaluate the status of diseases for improving the future healthcare system Pre-launch Launch Post-launch Health status/healthcare Product safety needs of populations Clinical Research Post Marketing PUBLIC HEALTH (phase IV) Drug Surveillance
  • 33. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Epidemiology & Healthcare Show patient potential associated with preference patterns, QoL and disease Consumer Study burden Monitors Show current treatment patterns Health Outcomes Show product/treatment outcomes, comparative effectiveness Clinical & Safety Show product safety 1. Bridge marketing and outcomes needs 2. Understand current treatment patterns and market gaps Disease, brand and therapeutic class insights 3. Link successful drug development to optimal market launch, penetration and performance 4. Maximize the product performance across the life cycle Product development support through clinical efficacy & safety assessments Develop post-launch arguments for therapeutic adoption and optimal reimbursement by demonstrating real-world therapeutic effectiveness 5. Evaluate and promote evidence-based medicine
  • 34. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Case Study: Consumer Insight via Ethnographic Research Neoliters also leverage the consumer sector knowledge and expertise to conduct ethnographic research for healthcare products... By doing the consumer immersion exercises and adapting the projective techniques and diary collection tools, Glivec successfully develop the patient support/education program and improve the patient compliance effectively. Thru ethnographic research, NESCAFE developed the communication strategy based on the identified touch-points - improve the penetration in Tier II cities from 40% to 46% in 2 years..
  • 35. Differential Advantages Brand Communication Customer Relationship Pricing & Reimbursement Treatment Management Case Study: Consumer Segmentation Unlike doctors who are professional and independent, consumers are social and emotional animals. They talk about disease in different words and in different manners. In this context, consumers are not only classified by medical situation, but also should be taken more consideration of the lifestyle, disease management attitude and emotional needs. Low priority ------ High priority Premium Landlord Initial adoption soon 23% Initial adoption right after surgery; post service hip Fracture Initial adoption soon with the surgery; monitoring; preventing fracture and keeping BMD Elites with the surgery see less side effect need to be claimed. 16% as user benefit Disease education for fracture might Convenience as See advantage on less happen again and patients need to keep trigger, follow with General Fracture side effect, preventing Passive “Professors” Active alert. Preventing re-fracture is essential post service fracture, etc while Aclasta offer great value. monitoring 30% Disease education for osteoporosis is not Liaise with Miacalcic. See opportunity to create a Bone Pain purely bone pain while fracture is the new treatment model: e.g. Miacalcic 2 weeks and Not care serious potential risk… then one dose Aclasta 15% More education on disease but not Convenience, less Limited Mild symptoms treatment. Might consider check-up center side effect, prevent Less side effect, prevent affordability fracture, keep BMD as focus. fracture, keep BMD 16% Poor disease recognition, Good disease recognition, Poor treatment compliance Poor treatment compliance Price Conscious Poor disease recognition, Good disease recognition, Good treatment compliance Good treatment compliance By identifying the “professors” segment which is characterized as “Much care about their family members’ health, willing to pay extra, conscious about being fracture, etc”, Neoliters help Aclasta develop the patient communication strategy incisively to the target patients.
  • 36. Thank you for your attention! Should you have any question, please contact: enquiry@neoliters.com