Building Mega Brands in the Pharmaceutical Industry

DTC Perspectives Magazine Article

Brand Building

In order to build "mega brands" in the pharmaceutical industry equal emphasis must be placed on gaining awareness and education amongst both the physician and consumer markets. Included are examples of pharmaceutical companies that have embraced this opportunity and now have pharmaceutical name brands that are leaders in their category.

The role of a brand manager in today’s marketplace is constantly evolving. In response to updated FDA guidelines, brand managers must now not only focus on the traditional prescription marketing channels, they must also respond to a new dimension that has surfaced - DTC (direct-to-consumer) advertising. DTC advertising has changed the face of pharmaceutical brand name management. The FDA’s 1997 guideline changes have not only been overwhelming to consumers being bombarded with media messages, they have also opened eyes of manufacturers in the pharmaceutical world. To build pharmaceutical name brand equity, brand managers now not only focus on physicians as a critical target audience; they also focus on consumers. Pharmaceuticals are much more than pills to consumers; they are life enhancers. Communication is key when marketing pharmaceutical brands to consumers and physicians. Certain pharmaceutical companies have embraced this opportunity and have built "mega brands" in the industry.

When the FDA issued new guidelines on August 17, 1997, the ruling represented a breakthrough for pharmaceutical companies involving consumers in healthcare. Since that time, certain blockbuster drugs have become household brand names, one of which is Claritin.
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Brand Building

One of the best and most-widely recognized media blitzes on behalf of pharmaceutical companies was produced by Schering-Plough for Claritin. In 1998, Claritin was the most-advertised drug brand (exhibit 1). Schering spent $182.9 million on targeting consumers, and another $75 million on targeting medical professionals, yielding $1.7 billion in sales.[2] How does media spending evolve into sales? Mariola Haggar, pharmaceutical analyst for Deutsche Bank Securitites, attributes Claritin’s rapid growth to advertising. [3] The “Blue Skies” advertisements are everywhere. Consumers relate with Joan Lunden and her seasonal allergies. She is a believable celebrity endorser who appeals to the target market. Claritin has achieved what all brand marketers strive for – brand recognition.[4] Consumers not only know that this pill makes their lives more livable by relieving allergy symptoms, they know to ask for it by brand. Brand name recognition, faith in the product/proven results, and believable advertisements stem from superior marketing efforts. Schering is looking long term, and continues to push their brand name to the limit by constantly backing advertising dollars to their brand positioning. Claritin brand managers have a grasp on the identity of their brand, and are able to effectively communicate with their target audience.
Brand Building

When initially deciding whether or not a DTC strategy is applicable for an offering, many market elements should be explored. The market can be expanded when the new offering is distinct from other products currently existing in the pharmaceutical marketplace, and it treats needs that have not yet been met or recognized. To integrate a DTC strategy, all elements of the marketing mix must be addressed, including public relations. Bristol-Myers Squibb extensively promoted Pravachol with a DTC program, but did not fully promote the offering to doctors. So when patients asked doctors for prescriptions for lowering cholesterol, doctors prescribed Lipitor instead of Pravachol. [5] This was not exactly the result that BMS was anticipating. As a result, Lipitor has gained incredible share of mind in the marketplace in a short period of time (exhibit 2). Lipitor, marketed by Warner-Lambert (a wholly owned subsidiary of Pfizer), surpassed the $1 billion worldwide sales threshold in just eleven months since its launch in the United States, making it the first pharmaceutical product ever to achieve $1 billion in worldwide factory sales in its initial year on the market. [6] Pfizer has generated great success in testing consumer-marketing messages during the development phase with physicians by routing feedback through the sales force. This process builds pharmaceutical brand awareness early on, and physicians are not surprised by consumer inquiries. [7] Brand recognition is extremely important in the marketing process, and brand managers must recognize that a one-time advertising blitz is not going to build long-term brand recognition. Many times perceptions of consumers have to be changed and consumers must be inspired to behave differently.

Merck, facing the expiration of patents on two of four of its most successful pharmaceutical brand name products in the next two years, catapulted a blockbuster marketing launch for Vioxx (the COX-2 inhibitor treating arthritis). Sergio C. Traversa, Analyst with Mehta Partners LLC, states that “Vioxx is building a bridge to bring the company into good shape beyond the patent expiry period.” [8] Merck launched a large-scale direct-to-consumer advertising campaign for the COX-2 in 1999. The Vioxx marketers were the first to run a full-length television spot including both pharmaceutical brand name and indication in it. The drug's tagline is “Vioxx. For everyday victories.” Danielle Halstrom, manager of U.S. human health public affairs at Merck, says that “the campaign is not about doing unrealistic things like climbing Mount Everest or running a marathon, the campaign is about doing simple things like bending, stooping, walking up the stairs, and playing with children and grandchildren.” [9] Marketers at Merck have not only done a great job with instituting a believable message, but they have made it consistent in their television and print ads. According to Beth Miller, director of CME Health, this continuity is critical in reinforcing image. “The brand with the image can win”, she says. “Marketers are finding that the image and brand name can make a difference with consumers.”[10] The Vioxx launch was huge, fast, and effective – definite ingredients for success (exhibit 3). Analysts predicted that Vioxx would break the $1 billion sales mark in 2000, making it the fastest growing arthritis medication in America. At this time, four out of every ten new prescriptions for COX-2 inhibitors are for Vioxx. [11]. Refills are growing steadily, indicating that patients are satisfied with results.
Brand Building

For consumer brand marketing to be effective, consumers must want to have the pharmaceutical brand name product prescribed, and doctors must also have an understanding of why that product brand should be prescribed. Appealing to both medical professionals and consumers are not always easy, especially given that each audience is searching for different information. Consumers do not necessarily care about the medical jargon, they just want something that solves their problems and improves their quality of life. Merck hit a home run with Propecia by consistently presenting the brand name in advertisements. An integrated approach is used in which physicians and consumers see the same visuals in ads, however, the wording is just slightly enough to cater to each audience. A consistent message is presented, and it works for Propecia.[12]

Brand Building

We have only just begun to see the effects of DTC brand marketing. By demonstrating a commitment to brand management, pharmaceutical companies can take advantage of this new wave of name brand marketing. The brand name is at the center of a complex movement, and one that has proven to be a challenge to pharmaceutical companies. Consumers are searching for a complete experience when shopping for brands, even pharmaceuticals. Through successful brand management, including focusing on DTC marketing without losing sight of traditional prescription marketing, pharmaceutical companies can provide a quality experience that will keep physicians and consumers loyal to their brands.

James L. Dettore, President & CEO of Brand Institute, a pharmaceutical branding, biotechnology branding, and consumer branding consultancy firm in Miami.
Suzanne C. Hoppough, Senior Brand Manager, Brand Institute, New York
Aaron Hamilton, Market Research Manager, Brand Institute, Miami

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[1] Aitken, M and Holt, F, “A Prescription For Direct Drug Marketing,” www.mckinseyquarterly.com, August 17, 1997

[2] Middleton, O, “BioCognizance Forum,” Pharmaceutical Advertising, February 12, 1999

[3] IBID

[4] IBID

[5] Aitken, M and Holt, F, “A Prescription For Direct Drug Marketing,” www.mckinseyquarterly.com, August 17, 1997

[6] “Parke-Davis Announces Lipitor Sales Surpass $1 Billion In Just Eleven Months Since Launch,” www.warner-lambert.com/info/press_january_28_98_2.html,

[7] Aitken, M and Holt, F, “A Prescription For Direct Drug Marketing,” www.mckinseyquarterly.com, August 17, 1997

[8] Brown, J, “Vioxx the Victor,” www.medadnews.com, March 2000

[9] “Image Makes the Difference,” www.medadnews.com, March 2000

[10] IBID

[11] Brown, J, “Vioxx the Victor,” www.medadnews.com, March 2000

[12] “DTC Brand Consistency Should Be Set Pre-Launch,” The Pink Sheet, February 8, 1999
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