Beyond UCPMP 2024
Beyond UCPMP 2024
Beyond UCPMP 2024
UCPMP 2024
From Compliance
to Competence
Brand Innerworld
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Table of Content
Conclusion 39
Brand Innerworld
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Introduction
12 March 2024, the Department of Pharmaceuticals yet again notified the Indian
pharmaceutical industry with a newer code for ethical conduct through UCPMP 2024.
UCPMP was first introduced in 2014, and the code was ‘Voluntary’. Although not
suggested explicitly, UCPMP 2024 has omitted the word voluntary to make the code
mandatory.
There can be several views and opinions on UCPMP 2024. Some may see it as a step
forward, while others dismiss it as toothless. While a few may be happy that under
UCPMP 2024, companies will be penalized for giving expensive gifts to doctors, others
may argue that the penalty is not high enough. ( Link to DoP’s notification on UCPMP
2024: bit.ly/3PEp6nV)
Whatever the opinions, the big question is why should any marketer follow ‘unethical
practices’ of promotion in the first place? Is it not fundamental to every marketing
practice must be ‘ethical’? Everyone in the pharma industry is undoubtedly familiar
with the challenges of patients, either through personal experience or by caring for
loved ones. Shouldn’t this understanding not naturally inspire ethical practices?
Not every pharma brand indulges in Unethical Practice (at least not those brands we
have worked with). Yet, others argue that certain practices are necessary evils as the
competition is indulging in them. They will lose out in the market if they don’t match
up to the competition.
In my opinion, this is a limiting argument. This argument implies that the company
sells ‘products (molecules)’ and not ‘brands.’ Products are replaceable; Brands are
not. Brands fight market battles not by copying their competitors but by differentiating
themselves to create value. When pharma brands are born out of a deep
understanding of the patient's needs, desires, and aspirations, they differentiate
themselves from the competition and create a demand-pull.
India is different
At a fundamental level, the Indian pharma market is different from its Western
counterparts. Unlike Western markets, the Indian pharma market is dominated by
Branded Generics. This practice gives ample opportunity for Indian pharma
companies to build their brands and leverage the efforts for a much more extended
period.
Because Western markets place a strong emphasis on patented medicines, the marketing
focus is on establishing the new chemical. The patented drugs' expensive nature and
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and shorter lifespans (due to patent expiry) demand molecule-focused marke8ng.
On the other hand, the branded generic nature of the market in India ensures cheaper
medicines. Brands enjoy longer lifespans. Some brands have dominated MARKET for over 30
to 40 years. When one observes these brand journeys, one learns they were deliberately built
with patients in mind.
Hence, while Western markets need to focus on newer (need not be beOer) molecules, India
needs to focus on brands, keeping pa8ent outcomes in mind.
I have men8oned case studies of several strong Indian pharma brands in my book, The Perfect
Pill: 10 Steps to build a strong healthcare brand. (link: amzn.to/49e8JVK)
Compliance to Competence
Having seen the pharma sector closely inside and outside India, I believe pharma companies
must go beyond UCPMP compliance. They must focus on building competence.
Marketers must build competence to get deeper insights into pa8ent’s lives, their pain points,
desires, and aspira8ons. The brand teams
must focus on the challenges physicians
face during diagnosis and treatments and
ensure adherence. Using these insights,
brands need to provide unique value
through strategic differen8a8on.
This report highlights ten fundamental ways of differen8a8ng brands (of the same molecule)
to create a healthy demand-pull.
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Use of generative AI
Generative AI is a boon for the healthcare sector in general and pharma brand
builders in particular. Today's generative AI can scrape through blogs, networking
sites, support group sites etc. to understand patient journeys, carer’s challenges,
and physician’s dilemmas.
Based on this information, generative AI can suggest commercially viable
solutions through formulation, packaging, promotion and media.
This report aims to provide a direction for pharma brand marketing teams
to go beyond just complying with UCPMP 2024 and build competence so
that an external code of conduct becomes irrelevant. This report also
highlights what is possible with generative AI and how pharma marketing
professionals can leverage it.
Gauri Chaudhari
Founder Brand Innerworld
Author The Perfect Pill:
10 Steps to Build A strong
Healthcare Brand
Next Page….
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10 ways to
differentiate
a pharma brand
of the same molecule
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Differentiation
Through
Formulation
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1)Differentiation through formulation
Two formulations of the same molecule ARE not the same
Many outside the pharma world believe that the two brands of the same molecule must
be the same. Nothing can be farther from this belief.
Two brands of the same molecule need not be the same. They can be differentiated by
increasing speed, duration of action, safety and tolerability, dose and dosage form
convenience, bioavailability and overall effectiveness.
Many brands in the industry have already used formulations as differentiators. Though
some lack adequate brand-building efforts, they can certainly boost their presence
using fundamental principles.
The brands can differentiate themselves through formulations to provide the following
benefits.
a) Efficacy:
Several pharma brands that have stood the test of time have differentiated and improved
formulations.
For example, patients suffering from pain or spasms need instant action. The traditional
formulation of NSAIDs take 30 minutes to a few hours to provide relief. One can increase
the speed of action by formulation modification. Example- NSAIDs into a soft gelatine
capsule in a solubilized form, the medication can be absorbed more quickly into the
bloodstream.
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The Micellar Solubiliza0on method can enhance an oil-soluble vitamin supplement's overall
efficacy. For example, water solubility is significantly increased by incorpora0ng vitamin D3
into micelles. This method improves D3 absorp0on in the gastrointes0nal tract, leading to
faster and more efficient uptake.
There are several ways of di0erentiating brands of the same molecule using novel drug
delivery systems. A few technologies could be expensive; others may not. A demand-pull
is created when brands are built meticulously around a di0erentiated benefit through
formulation.
An ophthalmologist frequently hears patients comment, "Doctor, the eye drops increased the
irritation in my eyes." Eye drops containing preservatives that affect cornea cells often cause
this reaction. Can ophthalmic brands differentiate themselves by using non-irritant
preservatives or creating preservative-free eye drops?
In India we do have formula0ons that are safer or more tolerable than others. But
unfortunately, brands are not consistent in highligh0ng these points and building a brand
around them. These points are oLen used as tac0cs.
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c) Convenience and Patient Friendliness
HCPs keep looking for brands that provide convenient dosing, friendly dosage
forms and ease of administration.
Brands that have managed to change the dosing option from three to two times a
day or simply once a day often tend to gain unimaginable traction in the market.
Patients feel less pain when companies change their oil-based parenteral
formulations to aqueous bases. They may also use microcrystalline chemical
entities to provide a pain-free experience.
Today’s scientific advances can help pharma companies create advanced brands
at economical prices. The need is to use these advances to build brands using
fundamental brand building principles.
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Differentiation
Through
Packaging
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2) Differentiation through Packaging
When pharma companies improve their packaging, customers reward them.
Patients face several issues regarding packaging. Solving these issues provides
immense opportunities for differentiation.
Readability Issues:
Several patient blogs mention this issue.
Patients, especially the elderly, who often have compromised vision, struggle to
read the tiny fonts. This difficulty in reading can lead to incorrect usage of
medications, potentially resulting in adverse health outcomes. Both patients and
physicians welcome any brand that differentiates itself in this aspect.
Structure issues:
Most strip packs have a design issue. A few tablets are always placed in a strip
above the expiry date stamp. Once the tablet is removed from its packaging, the
expiry date becomes invisible, posing a significant risk.
Many packaging designs do not consider the needs of elderly patients having
reduced manual dexterity or strength. Patients and physicians would welcome
any innovative differentiation.
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Sustainability in Packaging
Sustainable packaging in pharmaceuticals isn't just good for the planet; it's good for
business. Eco-friendly choices reduce waste and resonate with environmentally
conscious patients and HCPs, driving brand loyalty and boosting sales. By going
green, pharma companies can stand out, attract new customers, and grow their
bottom line.
Today, there is a huge need gap for any packaging innovation that would be valued by
the patients and the HCPs alike.
When the marketer uploads the pack, GI can suggest necessary modifications.
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3
Differentiation
Through
Packaging
Design
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3)Di%erentiation through Packaging Design
Brands connect with patients at a much deeper level and enhance patient outcomes.
The pack design, visuals, and colors connect with patients subconsciously. In fact, when
the packaging design is changed (without changing the formulation), patients complain
of not getting the same result.
When a doctor prescribes ‘hari patti’ ( Cyclopam) for stomach aches, patients feel happy
because, at some point in the past, the ‘hari patti’ has given them tangible relief. When
doctors prescribe ‘Teen tikli dawa’ ( Dexorange), patients feel energetic even before
consuming it. Thanks to the impact visual elements have on human psychology.
Also, in a country like India, where patients often can’t remember or pronounce the name
of the medicine, they frequently describe their medicine to doctors by mentioning the
packaging elements.
Even at the rational level, the color coding of the packs is greatly
valued by the HCP community. Human Mixtard, a brand of
human insulin, color-coded its SKUs to make it easier for
patients and chemists to find the right SKU. No wonder markets
rewarded Human Mixtard in terms of its market share.
Fig 2 shows the pack design for BID dosage, where morning
and evening doses are depicted as visual reminders of the
dose.
Any pharma brand/company ready to invest in packaging that keeps patient needs at the
center would find traction in the market. A diRerentiation achieved by packaging can be
of great value to patients and physicians.
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Use of Generative AI for Design Packaging
Differentiation
Generative AI can not only suggest design innovations but can also
design them for the marketer. If the AI model is fed with information
about the target audience and their pain points, value-added packaging
differentiation ideas can be obtained at minimal time and cost.
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Differentiation
Through
Market Definition and
Sharper Targeting
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4) Differentiation through Market Definition and
Sharper Targeting
To differentiate effectively, brand needs to sacrifice.
Brands can’t stand for everything; they must have a unique proposition. In the
process of building the unique proposition, a brand may need to sacrifice several
opportunities.
Though not all, many pharma marketers position their brands for multiple
indications. As a result of this practice, brands don’t stand out in the market.
For example, a brand of propranolol can have benefits for cardiac conditions as well as in
migraine. However, to establish a significant brand presence, it should focus solely on a
single indication. Those brands that have sacrificed one segment for another have always
benefited.
Brands can be created for specific target segments. These segments can be based
on indications, patient profiles or geographies. The fundamental idea is to
understand the segment correctly and then design the brand for the segment.
Brands can be explicitly targeted for specific patient profiles. Patient’s needs,
expectations and aspirations differ with age, gender, occupation or co-morbidities.
Hence, the one-size-fits-all approach does not help.
Thus, one brand should not stand for all. Marketers must sacrifice one segment for
the other to do full justice to the target audience.
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Segmentation
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5
Differentiation
Through
Promotion
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5)Differentiation through Promotion
Promotional planning is the ultimate weapon in the marketer's armoury!
Depending on the exact pain points of the HCPs, brands can focus on creating
promotional plans around one or more of the following,
Promotional plan to
- Ease of diagnosis
- Increased treatment initiation
- Ensuring compliance
Accurate diagnosis is the key to treatment and positive health outcomes. Lack of
facilities, reluctance of patients, social stigma, and financial burden can cause delays in
diagnosis.
Sometimes, very simple yet practical challenges come in the way of diagnosis. Some of
India’s strong pharma brands realized this situation and have differentiated themselves.
Markets have hugely rewarded these brands in terms of revenue and market share.
Prothiaden, a brand for anxiety and depression, helped general practitioners spot the
symptoms and diagnose mental ailments. Prothiaden continued to lead the market
despite fierce competition.
Yet another example is of a skin infection brand actively seeking prescriptions from the
rural market. The brand recognized that Indian female patients often hesitate to allow male
doctors to examine their skin infections Since fungal and bacterial infections look clinically
different, the brand created a visual chart of various infections and gave it to rural
doctors. Now, all that the doctor needed to do was ask the patient to point to the picture
to describe the symptoms. Markets hugely rewarded the brand in terms of prescriptions
and sales.
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b) Differentiation through promotional activities for initiation
of treatment
Treatment initiation is not always easy. Many patients, despite diagnosis, fail to start
the prescription. One of the key reasons is the financial constraints faced by the
patients.
Free samples to such patients have often helped; unfortunately, UCPMP 2024 has put
a cap on it.
Another reason for failing treatment initiation is reluctance or fear of side effects.
Hence, brands can differentiate themselves by helping patients initiate therapy. They
can provide patient education material, FAQ booklets, videos, and audio to help
patients take the first step.
Some brands in the market have also provided ground support to patients. Given the
patient load, doctors rarely find time to help patients with ‘How to’ queries. A company
known for its injection brand for osteoporosis sends representatives to patients’
homes to educate patients on how to inject themselves and receive the required dose.
The patient outcomes depend on the adherence to therapy. When patients fail to
adhere, outcomes are not seen, and HCPs are blamed. Hence, the HCPs greatly value
any company working around adherence.
Pharma brands can make a difference in the market in several ways. Such brands are
welcomed by HCPs, creating an ultimate win-win for patients’ physicians and pharma.
Incorporating adherence-focused initiatives into a promotional plan can create
much-needed and valued differentiation.
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Here are some interventions
Patient Education:
Clear and accessible educational materials that explain the medication's purpose,
benefits, potential side effects, and proper administration. It can utilize various
formats like infographics, videos, and online resources to cater to diverse learning
styles.
Dose Reminders:
Simple dose reminders through pack design. Pre-filled pill organizers or blister packs marked
with dates to improve medication adherence. Brands can develop their apps or tie up with
already existing apps like ‘MyTherapy Apps’
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By implementing these strategies, pharma brands can play a proactive
role in tackling adherence challenges. Thus, benefiting patients by
improving health outcomes and strengthening brand reputation and
loyalty.
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6
Differentiation
Through
‘Beyond The Pill’
Initiatives
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7) Di&erentiation through ‘Beyond the Pill’ initiatives
Today’s healthcare is more than just pills
Today, healthcare is about more than just prescribing the correct medication to treat a
patient's illness. The technological advances have significantly contributed to patient
outcomes. Several pharmaceutical companies are using the Beyond the Pill approach to
help patients and physicians.
Vertigo is a chronic disease. Proper medications and exercises are necessary for its
management. Abbott provides vertigo exercise videos for patients to manage their
condition, hugely benefiting patients and gaining customer loyalty.
Alkem’s Donapp is also a great initiative to help families of patients who have dementia.
The biggest fear families face is: What if the patient goes missing? Dementia patients
tend to wander far away from their homes. They neither remember their name nor their
address. No one on the road can help them. The statistics showed that 1 out of 5 patients
have wandered off at least once in their lifetime. Alkem’s
Dona app has a ‘Location Tracker’, by which the moment a
patient walks out of a predefined radius, an SMS goes to two
predefined numbers of the caregivers, alerting them. It also
gives the exact location of the patient.
Providing ‘Beyond the Pill’ services certainly strengthens brands’ market positions.
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Use of Generative AI for ‘Beyond -the-Pill’ Differentiation
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7
Differentiation
Through
Media
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7)Differentiation through Omnichannel Media Initiatives
Patients and doctors have moved their locations, and so should the brands.
Patients and doctors are increasingly becoming part of the digital world—the
moment the first sign of the symptoms is experienced, patients run to Google.
Physicians, too, have moved to the digital world to stay updated.
In the rapidly evolving Indian pharmaceutical market, pharma brands need to adopt
an omnichannel communication strategy that addresses the complex journey of
patients and healthcare professionals (HCPs) as they navigate between the digital
and physical realms.
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Instead of merely juxtaposing online and offline efforts, an omnichannel approach
integrates these touchpoints around the patient and physician journeys. By leveraging
data analytics and CRM systems, brands can map out these journeys and understand
the unique needs and preferences at each stage.
Brands that engage with patients and HCPs at every stage of their journey benefit from
increased trials and loyalty.
Generative AI can scan through patient and HCP blog articles and social media sites to
chalk out their journeys and build personas within a few moments.
Based on these personas, Generative AI can suggest a robust omnichannel journey.
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8
Differentiation
Through
Brand Personality
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8) Differentiation through Compelling Creatives and
Brand Personality
“He doth the best cure whom we trust.” —Hippocrates
Hippocrates, the father of medicine, hypothesized that trust plays a vital role in
achieving desired outcomes. Those patients who trust their doctors get better
results.
Going forward, J.N Kapferer proved that even brands of medicine have personalities.
Medications for certain diseases or disorders demand a specific type of personality
to gain a patient’s trust.
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Brand name
It is the first and the most important tool to shape brand personality. In a global fight
between Viagra and Cialis, Cialis made its mark by choosing a softer brand name that
shaped the brand's personality as empathetic. The ‘gra’ phoneme in Viagra makes it
sound masculine. Cialis, positioned for couples, used softer phonemes with s and l. My
book The Perfect Pill talks about the Cialis case study in detail.
Brand colors
Colors play an important role. While a muddy brown tablet and the packaging of an
antidepressant would bring the patient’s mood further down, pink or yellow tabs would
uplift the mood.
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9
Differentiation
Through
Supply Chain
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9)Differentiation through Supply Chain
Quality and accessibility are two critical factors for any brand to get prescribed.
The Supply Chain plays an essential role in ensuring Pharmaceutical Quality and
Accessibility in India's Climate
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10
Differentiation
Through
Pricing
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10) Differentiation through Price
Affordability matters, but Indians seek value
It is incorrect to believe that patients make health-related decisions only based on price.
People don’t go to a doctor because they are inexpensive, but they go to them because
they are good. Indians are a value conscious lot. They seek value for their money.
From this point of view, pharma marketers must understand that they are in the
business of creating value.
The brand outside price control can use price as a differentiating tool to add value.
No-Brainer Pricing:
This approach makes the prescription decision almost automatic. By setting prices
significantly lower than competitors while offering substantial value, brands can quickly
attract attention and market share.
However, the challenge lies in assuring HCPs of the product's quality and efficacy,
despite its low cost. It's a strategy that demands careful communication to avoid
skepticism regarding the product's quality. Company credentials play an important role
here.
Unfortunately, this strategy does not leave enough money to invest in value-added brand
attributes described earlier in the report.
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Investment Pricing:
For products that offer unparalleled benefits ( through any of the differentiation
tools mentioned earlier in the report) or utilize cutting-edge technology, investment
pricing positions a brand as a premium option.
Brands employing this strategy must deliver exceptional quality and add features
through formulation, patient services, and promotion. Continuous investment in
innovation, quality, and service is essential to maintain this premium positioning.
Moving forward for a new launch, Generative AI can also suggest various
differentiating features the brand can add to command a specific price.
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Conclusion
The deliberations within this report pivot around the critical need for Indian
pharma brands to differentiate themselves in such a way that they create value for
patients. Though we have mentioned 10 ways of differentiation above, numerous
other ways exist.
The argument that certain practices are a necessary evil in the face of competition
does a disservice to pharmaceutical brands' intrinsic value and potential.
While every pharma company must deliberate on UCPMP 2024 and build
measures to comply strictly, there is also a need to build competence in creating
value through differentiation.
One must look beyond UCPMP 2024 to develop an ecosystem prioritizing patients.
The industry's attention should be on developing competence rather than simply
complying with UCPMP. Fortunately, generative AI can help speed up the
process of building competence at a minimal cost.
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About the author
Gauri Chaudhari
Gauri is a founder of Brand Innerworld, and brings over 27 years of rich
experience in the pharma and healthcare. Her expertise spans a wide
spectrum of healthcare branding, including prescription medicines, OTC
products, hospital services, digital platforms, medical devices, and
surgical brands. A recognized thought leader,
Gauri is also the author of "The Perfect Pill: 10 Steps to Build a Strong
Healthcare Brand," an Amazon best-seller.
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