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Pharmaceuticals: The Consumer - US - January 2014

“The patent cliff, as well as a push toward consumers being more proactive about their health, has contributed to a decline in sales of pharmaceutical drugs. However, the ACA will provide more people with health insurance coverage, likely growing the market of prescription drug users.”  – Emily Krol, Health and Wellness Analyst

This report looks at the following areas:

  • What effect will the ACA have on the prescription drug market?
  • The “patent cliff” is affecting sales of pharmaceutical drugs
  • Proactive consumers are diagnosing and treating their own health
The healthcare market, ever evolving, is on the cusp of major change.
 
The ACA (Affordable Care Act) will change nearly every aspect of healthcare, while the “patent cliff” has and will continue to significantly impact the prescription-remedy market.
 
This comes at a time when the US population is experiencing significant growth among the older population, resulting in an ever-increasing pharmaceutical user group. After a period of consecutive growth, spending on prescription drugs declined for the first time in more than 50 years from 2011-12. 
 
This means that more consumers are likely choosing less expensive or generic prescriptions or that the number of prescription drugs people take has increased. This report examines consumers' attitudes toward prescription drugs, and what impact the ACA will have on usage.
 
The report will also discuss how an aging population will fuel the prescription drug market. Also discussed will be where people fill prescriptions, and how usage of online and mobile tools is growing.
 
Further explored will be the phenomenon of self-diagnosis and self-care that is a result of advances in technology, such as telemedicine. Consumer research for this report focuses on use of and attitudes toward nonessential medications. For the purposes of this report, nonessential medications include those in which the indication or illness is not life threatening.
 
Types of medication that will be covered are those for insomnia, allergies, depression, herpes, weight loss, erectile dysfunction, snoring, and migraines. Medications for cosmetic use (such as for hair loss or wrinkles) will also be covered in the report.
 
Note that sales and market share data include all prescription drugs.

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Table of contents

  1. Scope and Themes

    • What you need to know
      • Definition
        • Data sources
          • Sales data
            • Consumer survey data
              • Abbreviations and terms
                • Abbreviations
                  • Terms
                  • Executive Summary

                      • The market
                        • Figure 1: Total US prescription market, by sales and dispensed prescriptions, 2008-12
                      • Market factors
                        • Insurance coverage
                          • Figure 2: Insurance coverage, October 2013
                        • Patent protection
                          • Key players
                            • Places prescriptions filled
                              • The consumer
                                • Treating medical conditions
                                  • Figure 3: Ways treated a medical condition or illness, October 2013
                                • Managing health
                                  • Figure 4: Usage of and interest in ways to manage health, October 2013
                                • Attitudes toward prescription drugs
                                  • Figure 5: Attitudes toward prescription remedies, October 2013
                                • What we think
                                • Issues and Insights

                                    • What effect will the ACA have on the prescription drug market?
                                      • The issues
                                        • The implications
                                          • The “patent cliff” is affecting sales of pharmaceutical drugs
                                            • The issues
                                              • The implications
                                                • Proactive consumers are diagnosing and treating their own health
                                                  • The issues
                                                    • The implications
                                                    • Trend Applications

                                                        • Trend: Help Me Help Myself
                                                          • Trend: Second Skin
                                                            • Mintel Futures: Generation Next
                                                            • Market Factors

                                                              • Key points
                                                                • Patient Protection and Affordable Care Act
                                                                  • Health insurance coverage
                                                                    • Decreased sales of prescription drugs
                                                                      • Figure 6: Total US retail sales of prescription drugs, at current prices, 2008-12
                                                                    • Aging population contributes to prescription drug purchases
                                                                      • Figure 7: US population, by age, 2014-19
                                                                    • Impact of race and ethnicity
                                                                      • Figure 8: Insurance coverage – Currently have, by race/Hispanic origin, October 2013
                                                                    • Other factors affecting ability to purchase prescription drugs
                                                                      • Employment/underemployment/unemployment
                                                                        • Household income
                                                                          • Figure 9: Insurance coverage – Currently have, by household income, October 2013
                                                                        • Obesity declared a disease
                                                                        • Managing Health

                                                                          • Key points
                                                                            • Interest in self-care growing
                                                                              • Alternative ways to interact with expert
                                                                                • Figure 10: Usage of and interest in ways to manage health, October 2013
                                                                              • Older consumers more in need of professional management
                                                                                • Younger consumers over index for usage of alternative ways to manage health
                                                                                  • Figure 11: Health management options used, by age, October 2013
                                                                                • Usage of health management techniques higher among sufferers
                                                                                  • Figure 12: Health management options used, among prescription drug users and those who suffer from a medical condition, October 2013
                                                                              • Treating Medical Conditions

                                                                                • Key points
                                                                                  • People are self-treating
                                                                                    • Alternative ways to treat conditions impact usage of prescription drugs
                                                                                      • Figure 13: Ways treated a medical condition or illness, October 2013
                                                                                    • Higher household income provides access to healthier lifestyle
                                                                                      • Figure 14: Ways treated a medical condition or illness – Have used, by household income, October 2013
                                                                                    • Older consumers more likely to experience ailments
                                                                                      • Figure 15: Suffer from a non-life threatening medical condition, by age, October 2013
                                                                                      • Figure 16: Ailments suffered from, by age, May 2012-June 2013
                                                                                    • Usage of prescription drugs higher among those who suffer from medical condition
                                                                                      • Figure 17: Trial and interest in ways to treat a medical condition or illness, among those who suffer from a medical condition, October 2013
                                                                                  • Leading Companies and Brands

                                                                                    • Key points
                                                                                      • Patent expirations shake up major players in pharmaceuticals
                                                                                          • Figure 18: Top 10 prescription drug corporations by US Non-Discounted Spending, 2008-12
                                                                                          • Figure 19: Top 10 prescription drug corporations by US Dispensed Prescriptions, 2008-12
                                                                                        • Three of top 10 selling drugs have lost or will shortly lose patent
                                                                                          • Prevalence of depression, high cholesterol, and arthritis help to boost branded drug sales
                                                                                            • Figure 20: Top 10 US pharmaceutical products, by non-discounted spending, 2008-12
                                                                                          • Pharmaceutical brands used by consumers
                                                                                            • Figure 21: Prescription drugs taken, by gender and age, May 2012-June 2013
                                                                                        • Innovations and Innovators

                                                                                          • New technologies allow consumers to manage their own health
                                                                                          • Marketing Strategies

                                                                                            • Overview of the brand landscape
                                                                                              • Consumer interaction
                                                                                                • Figure 22: GlaxoSmithKline COPD print ad
                                                                                              • Retailer incentives
                                                                                                • Figure 23: Jewel Osco, direct mail ad, 2013
                                                                                              • Doctor recommended
                                                                                                • Figure 24: Restasis, television ad, 2012
                                                                                              • Celebrity/athlete spokesperson
                                                                                                • Figure 25: Prolia print ad
                                                                                              • Entertaining consumers
                                                                                              • Insurance Coverage and Attitudes toward the ACA

                                                                                                • Key points
                                                                                                  • Majority of Americans have insurance coverage
                                                                                                    • Figure 26: Insurance coverage, October 2013
                                                                                                    • Figure 27: Prescription drug coverage, October 2013
                                                                                                  • Universal coverage among older consumers
                                                                                                    • Confusion about coverage more prevalent among younger
                                                                                                      • Figure 28: Insurance coverage – Currently have, by age, October 2013
                                                                                                    • Underemployed expect to gain insurance coverage
                                                                                                      • Figure 29: Insurance coverage – Currently have and will have in January 2014, by employment, October 2013
                                                                                                    • Attitudes toward ACA
                                                                                                      • Figure 30: Attitudes and awareness of ACA, by age, October 2013
                                                                                                  • Location Prescriptions Filled

                                                                                                    • Key points
                                                                                                      • In store preferred method for filling prescriptions
                                                                                                        • Figure 31: Ways to fill prescriptions, October 2013
                                                                                                      • Most fill prescriptions at national retail chains
                                                                                                        • Figure 32: Ways and locations to fill prescriptions, October 2013
                                                                                                      • Retail clinics can help boost prescription sales
                                                                                                        • Figure 33: Filling a prescription in store, by those who have used a retail health clinic, October 2013
                                                                                                      • Mail-order only channel to have increased sales
                                                                                                        • Sales of prescription drugs, by channel
                                                                                                          • Figure 34: Total retail sales and institutional sales of prescription drugs, by channel/institution, 2008-12
                                                                                                      • Attitudes toward Prescription Medications

                                                                                                        • Key points
                                                                                                          • Prescription drug users not actively seeking lower cost alternatives
                                                                                                            • Concern over prescription drugs
                                                                                                              • Figure 35: Attitudes toward prescription remedies, by age, October 2013
                                                                                                            • Prescription drug users proactive about health
                                                                                                              • Figure 36: Attitudes and opinions about health and medicine, May 2012-June 2013
                                                                                                            • Opportunities for development
                                                                                                              • Figure 37: Ways treated ailments, May 2012-June 2013
                                                                                                          • Race and Hispanic Origin

                                                                                                            • Key points
                                                                                                              • Education about healthcare reform necessary
                                                                                                                • Treating medical conditions
                                                                                                                  • Figure 38: Ways treated a medical condition or illness – Have used, by race/Hispanic origin, October 2013
                                                                                                                  • Figure 39: Attitudes and opinions about health and medicine, by race/Hispanic origin, May 2012-June 2013
                                                                                                                • Hispanics managing health
                                                                                                                  • Figure 40: Health management options used, by race/Hispanic origin, October 2013
                                                                                                                • Attitudes toward prescription medications
                                                                                                                  • Figure 41: Attitudes toward prescription remedies, by race/Hispanic origin, October 2013
                                                                                                              • Appendix – Other Useful Consumer Tables

                                                                                                                • Managing health
                                                                                                                  • Figure 42: Health management options used, by household income, October 2013
                                                                                                                  • Figure 43: Health management options not used, but interested in trying, by age, October 2013
                                                                                                                  • Figure 44: Health management options not used, but interested in trying, among prescription drug users and those who suffer from a medical condition, October 2013
                                                                                                                • Treating medical conditions
                                                                                                                  • Figure 45: Ways treated a medical condition or illness – Have used, by gender, October 2013
                                                                                                                  • Figure 46: Ways treated a medical condition or illness – Have used, by age, October 2013
                                                                                                                  • Figure 47: Ways treated a medical condition or illness – Have used, by employment, October 2013
                                                                                                                  • Figure 48: Ways treated a medical condition or illness – Have used, by insurance covers prescription drugs, October 2013
                                                                                                                  • Figure 49: Suffer from a non-life threatening medical condition, by household income, October 2013
                                                                                                                  • Figure 50: Suffer from a non-life threatening medical condition, by took prescription drugs in past year, October 2013
                                                                                                                  • Figure 51: Ailments suffered from, by age, May 2012-June 2013
                                                                                                                  • Figure 52: Ailments suffered from, by gender and age, May 2012-June 2013
                                                                                                                  • Figure 53: Ailments suffered from, by race/Hispanic origin, May 2012-June 2013
                                                                                                                • Leading companies and brands
                                                                                                                  • Figure 54: Prescription drugs taken, by gender and age, May 2012-June 2013
                                                                                                                  • Figure 55: Top 10 prescription drugs taken, April 2007-June 2013
                                                                                                                • Health insurance coverage
                                                                                                                  • Figure 56: Insurance coverage – Will have in January 2014, by household income, October 2013
                                                                                                                  • Figure 57: Insurance coverage – Will have in January 2014, by race/Hispanic origin, October 2013
                                                                                                                  • Figure 58: Insurance coverage – Currently have, by insurance covers prescription drugs, October 2013
                                                                                                                  • Figure 59: Insurance coverage – Currently have, by employment, October 2013
                                                                                                                  • Figure 60: Insurance coverage – Will have in January 2014, by employment, October 2013
                                                                                                                  • Figure 61: Prescription drug coverage, by employment, October 2013
                                                                                                                  • Figure 62: Prescription drug coverage, by race/Hispanic origin, October 2013
                                                                                                                • Attitudes toward ACA
                                                                                                                  • Figure 63: Attitudes and awareness of ACA, by insurance coverage, prescription drug usage, and those who suffer from a medical condition, October 2013
                                                                                                                • Locations prescriptions filled
                                                                                                                  • Figure 64: Ways and locations to fill prescriptions – Any online, by age, October 2013
                                                                                                                  • Figure 65: Ways and locations to fill prescriptions – Any, by gender and age, October 2013
                                                                                                                  • Figure 66: Ways and locations to fill prescriptions – Any, by household income, October 2013
                                                                                                                • Attitudes toward prescription remedies
                                                                                                                  • Figure 67: Attitudes toward prescription remedies, among prescription drug users and those who suffer from a medical condition, October 2013
                                                                                                                  • Figure 68: Attitudes toward prescription remedies, by gender and age, October 2013
                                                                                                                  • Figure 69: Attitudes toward doctor directions, by age, May 2012-June 2013
                                                                                                                • Usage of retail clinics
                                                                                                                  • Figure 70: Retail health clinics visited, by age, October 2013
                                                                                                                • Online usage
                                                                                                                  • Figure 71: Frequency of visiting website
                                                                                                              • Appendix – Market Drivers

                                                                                                                • Obesity
                                                                                                                  • Figure 72: American adults by weight category as determined by body mass index (BMI), 2008-Oct. 28, 2013
                                                                                                                • Childhood and teen obesity – highest in decades
                                                                                                                  • Figure 73: Prevalence of obesity among children and adolescents aged 2-19, 1971-2010
                                                                                                                • Consumer confidence
                                                                                                                  • Figure 74: University of Michigan’s index of consumer sentiment (ICS), 2007-13
                                                                                                                • Unemployment
                                                                                                                  • Figure 75: US Unemployment Rate, by month, 2002-13
                                                                                                                  • Figure 76: US unemployment and underemployment rates, 2007-13
                                                                                                                  • Figure 77: Number of employed civilians in US, in thousands, 2007-13
                                                                                                                • Median income
                                                                                                                  • Figure 78: Median household income, in inflation-adjusted dollars, 2002-12
                                                                                                                • Racial, ethnic population growth
                                                                                                                  • Figure 79: US population by race and Hispanic origin, 2009, 2014, and 2019
                                                                                                                  • Figure 80: Households with children, by race and Hispanic origin of householder, 2013
                                                                                                                • Shifting US demographics
                                                                                                                  • Figure 81: US households, by presence of own children, 2003-13
                                                                                                              • Appendix – Trade Associations

                                                                                                                Companies Covered

                                                                                                                To learn more about the companies covered in this report please contact us.

                                                                                                                Pharmaceuticals: The Consumer - US - January 2014

                                                                                                                £3,199.84 (Excl.Tax)