To: Biomaven who wrote (24143 ) 7/18/2007 10:20:10 PM From: rkrw Read Replies (1) | Respond to of 52153 I'm far from perfect. But the 25% lipitor drop was an anomaly. Ian Read - Pfizer Inc. - President, Worldwide Pharmaceutical Operations Good afternoon. We are now at the half-year point, and I would like to make some remarks on Lipitor's performance. When we set our forecast, it was subject to several variables, such as double-digit market growth continuing, level of switches, our share of new patient starts and the effectiveness of our marketing platform differentiating the unique benefits of Lipitor from thecompetition. So where are we now? In the first half, Lipitor sales worldwide were $6.1 billion, down 2%. Internationally, sales grew 7% in the first half and 5% in the second quarter. This reflects the impact of our marketing and field-based strategies operating successfully, late in the cycle of generic simvastatin, which has been available in many international markets for at least three to four years. Obviously, we're much earlier in the cycle in the US. Looking at our six-month numbers, which are the best indicator of how we are doing, Lipitor sales in the US were down 8%, which consisted of a 10-point script decline, partially offset by (inaudible) pricing impact net of rebates. In the second quarter, Lipitor's US performance was negatively impacted by two factors, which we had highlighted in the first quarter as positively impacting the brand. These two factors -- changes in the US wholesale inventory levels and the differences in reconciliation of internal/external data that are normally seen each quarter, to varying degrees -- accounted for approximately 50% of the revenue declines in the US second-quarter results, and are not expected to have a negative impact on US performance over the second half of the year. Other contributing factors to the quarter's performance include a decreased level of prescriptions as well as increased rebates associated with our more flexible contracting activities. Putting all this together, at the six-month point, global Lipitor sales are down 2%. For the full year, we forecast global Lipitor revenues of flat to a 5% decline relative to the prior year. We have incorporated into this forecast a moderation in the level of decline of prescriptions in the US market relative to the second quarter, reflecting extensive promotional and contracting efforts. So let's look at the key metrics in the market. In terms of volume drivers, while the net switch volume loss to generics was greater than expected, peaking at around 24,000 per week after multi-source simvastatin generic availability, we are now seeing good recovery from that, headed back towards pre-multi-source generic levels of around 13,000. Switches to CRESTOR and VYTORIN are minimal, accounting for less than 15% of total net switches. While I am pleased with the slope of the switch curve, I'm less satisfied with our new patient starts, which represent about 15% of the NRx market. We need to improve our performance here. There is no doubt that we continue to face a difficult payer environment, with plan administrators under significant pressure to move to generic simvastatin, but I would not underestimate our determination and the progress we are making. We continue to have good Tier 2 access. In fact, about two-thirds of US commercial Medicare Part D, Medicaid and federally insured lives now have Tier 2 access to Lipitor. This is not an accident. It is a consequence of the changes we have made in our customer-focused business unit. We are far more dynamic and granular in understanding where our customers are going and their needs. Our recent agreement with ESI, where Lipitor has been added to its nationally preferred formulary with Tier 2 unrestricted access starting in June, is a good example of how our approach is working. We continue to use our knowledge to optimize our Tier 2 access, and we are meeting with each customer to maintain our strong formulary position and meet patients' needs. We also continue to execute on the strategies laid out in January to drive Lipitor's value and differentiation. We have new indications strengthening our full package of Lipitor's potency; its unique combination of efficacy, outcomes and safety; an extensive TV and radio campaign; strong execution of our field force; and adherence programs to support patients to stay on the full course of therapy. To close, we have market growth as expected. Switch is headed in the right direction. We're aggressively executing our marketing programs, and our field force is motivated, set to leverage our recent gains in formulary position to drive volume and new patient share. Thank you.