Drug makers push brand loyalty THE NAMING GAME Once content to focus mainly on research, pharmaceutical companies are starting to think more about marketing to help fend off competition from generic products.
The Globe & Mail Friday, August 14, 1998 By Chad Skelton
No one is talking about how sildenafil citrate is making them feel like a teen again.
There are no media reports saying it's the most prescribed drug ever, or that it's giving hope to millions of impotent men. But perhaps there should be.
After all, sildenafil citrate is the generic, pharmaceutical name for Pfizer Inc.'s blockbuster drug Viagra.
Few people know this, just as hardly anyone ever talks about the antidepressant fluoxetine hydrochloride (Prozac) or the new anti-arthritis drug celecoxib cox-2 inhibitor (Celebra). It's testament to the growing power of drug branding.
Once content to focus mainly on research, pharmaceutical companies increasingly think of themselves as marketers -- as devoted to selling prescription drugs as they are to discovering them. One of the most important new developments is the scale of research and creative power that goes into naming a new drug product.
On that front, perhaps no company has been thrust into the spotlight more than Wood Worldwide Inc. of New York.
The branding company's list of product names includes Finesse shampoo, the Nissan Altima and Splenda sweetener. And one other well-known name: Viagra.
It was a claim to fame Wood trumpeted at first. In late May, it sent out a press release offering to speak to reporters about the "untold branding story" behind Viagra. But New York-based Pfizer didn't want the untold story told and it forbade the company from discussing the drug.
But a Pfizer spokesperson let slip one secret about the name: It has no relation to the product it was named for. It was, rather, a "leftover" brand name Wood developed for a Pfizer urology drug that never came to market.
Though tight-lipped about Viagra, several employees at Wood spoke in detail about what it takes to name a drug and to launch it effectively. The company, which also named Celebra, is pushing its pharmaceutical clients to give more thought to drug branding.
"Ten years ago, there was little thought to it," says David Jaeger, managing director of Wood's New York office. "[Pharmaceutical companies] seemed to have no problem committing $400-million to developing a compound. But they had an awful hard time committing to developing a brand.
"It didn't seem important -- it's five or six letters, figure it out on the back of an envelope."
One reason so little energy was put into names was that drugs aren't sold like other goods. They are hardly an impulse buy.
If a drug did what it was supposed to do -- make people happy, give them erections, reduce arthritis inflammation -- a company could reasonably assume patients would buy it if they could afford it.
So pharmaceutical firms have traditionally focused on patent legislation -- trying to extend the period of time only they can make the compound they discovered. After the patent has expired, generic drug makers can come out with the exact same compound for as little as half the price.
The focus on branding, therefore, has less to do with the immediate future and a lot to do with what will happen when a drug goes off patent and the market is flooded with cheaper generics.
Pharmaceutical companies figure if they do a good marketing job, patients will develop such an emotional attachment to the brand (be it Prozac, Celebra or Viagra) that they won't be willing to switch to generics.
"What we're trying to do in this business, like in any business, is get a brand that has a lot of loyalty," Mr. Jaeger explains.
A doctor may encourage a patient to take the cheaper generic version of a popular drug, he says. "[But] let him try to give you a generic for Valium if that's what you take, or Zoloft [an antidepressant], if that's what's saved your life, and you're not going to be so happy about doing that."
The branding of pharmaceuticals is, in a sense, the marketing of fear. "We know we're well when we take this brand. We don't know what will happen without the brand," Mr. Jaeger says.
While McDonald's or Haagen-Dazs hold on to market share by convincing customers another product doesn't taste as good, brand loyalty to a drug is based on fears of relapse, depression, impotence or death.
Jim Keon, president of the Canadian Drug Manufacturers Association, an association of generic drug makers, says he's not comfortable with promoting brand loyalty to keep people taking certain drugs. "Medicine is not like Coca-Cola or Levi jeans. You don't buy medicine because you want to . . .
"You buy prescription medicine because you're ill. You've been to a doctor. He or she has told you that to get better you need to take the following medicine. It's a very different market."
Mr. Keon says most public drug insurance programs in Canada demand that pharmacists switch a brand-name drug for a generic if it's available, making people in this country less vulnerable to pharmaceutical branding. But in the United States -- with its largely private health care system -- the stakes are much higher.
Creating a powerful drug brand requires shrewd marketing, Mr. Jaeger says. One key goal is to position the name in a way that makes it difficult for consumers to even consider that a generic could be the same product.
"One of the most important things to do is to use your brand as early as possible," he explains.
Names such as Viagra, Embrel and Celebra -- all coined by Wood -- were used in the drug companies' first discussions with the media, so the initial news reports mentioned the brand, not the name of the compound.
Mr. Jaeger points with pride to drugs his company has named. "No one even knows the generic names."
WHAT'S IN A NAME
Pharmaceutical companies don't have complete freedom to name their drugs. The U.S. Food and Drug Administration has a labelling committee that approves drug names, just as the FDA approves the drugs themselves.
It disallows any name that sounds or looks like a drug already on the market or one that makes explicit claims. For example, several years ago, Pharmacia & Upjohn Inc. was forced to relabel its minoxidil hair-loss remedy as Rogaine after the FDA initially rejected Regain.
John Fidelino, creative director at branding company Wood Worldwide Inc., says the best names "suggest something the patient can aspire to." He points to Wood's naming of two new anti-arthritic drugs -- Celebra and Embrel. "Celebra begins to express . . . the idea of an expansive life, a way to celebrate life."
David Jaeger, managing director of Wood's New York offices, compares Celebra and Embrel with a similar pain medication -- Monsanto Co.'s Arthrotec.
Arthrotec, and other names for arthritic drugs, miss the boat, he argues. "They don't understand these drugs are all quality-of-life drugs. None of them are going to cure you, but they're going to make the quality of your life much better. . . .
"I mean, who the hell would want to take Arthrotec? It sounds like you're sick."
Drug companies also want names to be unique. No business wants its brand confused with that of a competitor, and when it comes to pharmaceuticals, mistaking a product for something else can be deadly.
AB Astra's antacid drug Losec was renamed Prilosec in 1990, after several patients in Britain and the United States died when they were mistakenly given the diuretic Lasix. Messy doctors' handwriting was believed to be the culprit in many cases.
Wood conducts tests on its names to avoid similar problems. It assembles roughly 25 physicians who write out the name of the proposed drug. The papers are then given to 25 pharmacists who -- without knowing the name of the drug -- try to guess what it is.
If other drugs sound or look like the proposed name (almost inevitable given the number of products), Wood checks to see if similar-sounding drugs share any other similarities. |