Marketing Mix Flashcards

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1
Q

Mention some value propositions in biotech/pharma/healthcare

A
  • Treatment efficacy
  • Price
  • Lower side-effects
  • Ease-of-use/route of administration (oral vs. injection vs. ointments – convenience/less intrusive)
  • Sustainability
  • The 3R (withing animal laboratory science) could be used in marketing
  • More QALY and low ICER
  • Design: Customizability of equipment like an insulin pump, size
  • Customization: Personalized treatment options (e.g. vaccines or CAR-T cell therapy)
  • Storage/transportation needs
  • Shelf-life
  • Expertise level needed to utilize the equipment/procedure
  • Novelty
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2
Q

What is the value proposition? And what is important with this?

A
  • What you offer that a customer is paying for.
  • Customers must clearly perceive value propositions
  • Possibly more than one value proposition, and value proposition may depend on stakeholders (to be clarified: who are the important stakeholders?)
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3
Q

Mention 8 value propositions/product differentiations in biotech/pharma:

A

1) Newness (Unserved disease)
2) Usability / convenience (Changes in drug deliverability)
3) Performance (Higher efficacy)
4) Risk reduction (Less side effects)
5) Price
6) Customization (Personalized options)
7) Design (Medical devices mainly)
8) “Getting the job done” (Speeding up diagnosis or simplifying procedures)

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4
Q

The marketing mix consists of what?

A

1) Product
2) Price
3) Promotion
4) Place

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5
Q

What is the TPP?

A

Target Product Profile – a planning tool for therapeutics candidates.

Keeping in mind what characteristics the product needs to have to gain regulatory approval, market access and success. Often in a list form defining different characteristics on minimum acceptable results and ideal results.

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6
Q

TPP covers what?

A
  • How will the intended product be differential to competitors’ products?
  • Initiating product development with having the “end in mind”
  • Facilitating communication (e.g. FDA) since it summarizes the drug development program in terms of intended labeling content and claims
  • Record of the drug that is most likely to launch, incorporating the latest data from the clinical program and the evolving pharmacology.
  • Summarizing indications and usage, including dosing and administration, contraindications, warnings and precautions, adverse reactions, description, clinical pharmacology, clinical studies, storage and handling
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7
Q

Product positioning is?

A

Where you are “placed”/decided to be/perceived in the market based on your choices for the product. (Cheap vs. expensive, Generic vs. innovator etc.)

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8
Q

¬¬Why was the Pfizer blood cholesterol drug a success?

A

1) Much better efficacy (decrease in LPL)
2) Aggressive marketing
3) Low price even though they had the best performance = enormous market penetration.

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9
Q

What are the parameters for product differentiation?

A

1) Performance quality
2) Form
3) Features
4) Durability
5) Design / Style
6) Usability
7) Customization

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10
Q

What are the parameters for service differentiation?

A

1) Ease of ordering
2) Delivery
3) Installation
4) Customer training
5) Customer consulting (Data, information and advice)
6) Maintenance & repair

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11
Q

What is the product mix?

A

The set of all products and items that a particular firm offers for sale.

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12
Q

What four dimension is a product mix made up of?

A

Width: how many different product lines the company carries
Length: The total number of items in the product mix
Depth: How many product variants are offered of each product in the line
Consistency: How closely related the various lines are in end use, production requirements, and distribution.

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13
Q

Are drugs customized based on geography?

A

YES! Drug doses and prices are varied around the world.

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14
Q

What are some learnings from the biopure case?

A
  • Markets and market segments may look at first glance better (Hemopure) or worse (Oxyglobin) than they are in reality
  • Currently small, seemingly unattractive, market might have rather strong growth potential
  • Value proposition can be very different depending on target segment
  • For setting the “right” price, several approaches can be considered, such as
    o Production costs (plus mark-up)
    o Price of current solutions
    o Prices of competitors
    o Customer’s willingness to pay
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15
Q

Is market sizing easy?

A

Markets might look better than they are in reality, remember to challenge your assumptions.

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16
Q

What are pricing strategic basic objectives?

A
  • Maximizing current profit: based on demand and cost functions, a price is chosen that maximizes the returns or profitability.
  • Maximum market share: higher sales volume will lead to lower unit costs and lead to higher long-run profit, resulting in low price
  • Survival: strategy that can be useful if intense competition, overcapacity in production, or changing consumer demands that cannot be immediately addressed
  • Product quality leadership: offering high-quality products at premium prices (price suggesting good is of superior quality)
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17
Q

What describes an elastic demands in regards to price?

A

Elastic demands are sensitive to price increases, increasing price results in a demand/quantity lowering resulting in less income.

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18
Q

What describes an inelastic demand in regards to price?

A

Inelastic demands react less on price increases. When price increases, quantity sold only falls slightly, resulting in overall more revenue.

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19
Q

What could be some global factors leading to reduced price sensitivity?

A
  • The product is more distinctive
  • Buyers are less aware of substitutes
  • The expenditure is a smaller part of the buyer’s total income
  • Part of the cost is borne by another party
  • The product is used in conjunction with assets bought previously
  • The product is assumed to have more quality, prestige, or exclusiveness
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20
Q

What could be drivers of price sensitivity in drug / health context (disease, patient characteristics)?

A
  • Severity – the more severe, the higher the price -> low price sensitivity
  • Alternatives - First-in-class treatment -> low price sensitivity
  • Patent landscape – Excludes competition
  • Rarity of disease – R&D costs needs to be recovered
  • Payer – private customer -> High price sensitivity – Public healthcare (DK) -> lower price sensitivity
  • Repeated use
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21
Q

Mention the 3 generic pricing strategies

A

1) Cost-based and mark-up pricing – basing price on cost of producing units, nr. of units we can sell and price unit accordingly. (Good for generics probably).

2) Market-based pricing (benchmark / reference pricing) – price-setting based on analysis of the market, including customer and competitor information on comparable products.

3) Value-based pricing – Pricing based on perceived value of the product to the customer, rather than cost or other factors. Good when few other alternatives, few other products or products with significant limitations exists

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22
Q

Mention different 6 specific pricing strategies

A

1) Skimming – Setting premium pricing: low initial demand but maximizes revenue in short-term. Good when we need revenue early on to recover R&D costs and when demand is inelastic so there is a low risk of entry and for communicating superior brand image.

2) Penetration pricing – Opposite skimming – low market price to gain market share. Useful for elastic demand. Good for high fixed cost businesses with low marginal cost so we can distribute the high fix cost over a large quantity of units. Allows for realizing economies of scale

3) Target-return pricing – Sets the selling price to achieve a specific volume, revenue or return. Probably mostly theorethical. Stable revenue streams when demand fluctuates implies price changes.

4) Bundling – Sets of products to exploit complementarities and balance heterogeneous WTP

5) Differential pricing (price discrimination) – Vary prices based on customer group (Like geographical we do so with drugs or product alternatives (think apple)). Exploits different WTP and reduces consumer surplus.

6) Outcome-based pricing – pricing set depending on fulfillment of a particular outcome (could be no cure no pay). Convinces price-conscious payers that money is well spent

Skimmy Penetrated his Target and the Outcome was a Bundle of motor Differentials

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23
Q

What is arbitrage?

A

Arbitrage er et udtryk, som dækker over et køb, hvis eneste formål er at blive solgt videre med en fortjeneste.

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24
Q

Mention the 5 common pricing schemes for pharmaceuticals

A

1) Performance-based pricing (“Pay-for performance”): Designed to manage utilization and evidence for drug efficacy: emphasizing clinical outcomes

2) Bundled payment: A global payment for all treatment costs including prescription drugs (e.g. oncology when multiple drugs are needed; or medical devices with product & service contracts)

3) Indication-specific pricing: differential pricing for a product depending on its performance in specific indications (e.g. lung cancer vs. colorectal cancer).

4) Financial-based risk-sharing: Designed to provide budgetary certainty to payer via agreements that link price to utilization. Sales reaches a certain level = reduction in price to not overwhelm the system.

5) Annuity model: payments are spread over time as opposed to an upfront payment (e.g. depending on length of patient life)

Performance Bundled Indicaters gives Financial Anxietiy

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25
Q

Mention a popular diagnostics pricing model

A

The “razor-blade” model – selling the machine cheap and expensive “blades”/reagents/needed supplies to make the machine work. Think, Nespresso, polaroid cameras

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26
Q

Is there a price discrimination by indication/disease for the same drug?

A

Yes! Certain indications like certain cancers sometimes have a higher price for the same product/drug.

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27
Q

Why is there as small price drop with 1 generics producer compared to more?

A

Suspect that it is the same company that has the brand, that produces the generic. They know the patent will end, might as well get ahead of the generics entering the market. Often 1 competitor = 95% of the original drugs price, 2 competitors = 50%, 5 competitors = 30% etc.

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28
Q

What happens to the original drug when biosimilars/generics enter?

A

Often, they don’t fall much in price.

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29
Q

A QALY is? And hos is it measured?

A

Quality Adjusted Life Year
Measured through HRQoL questionaires at different stages.

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30
Q

Does payer influence affect pricing?

A

Yes! The US pays more than many western countries as they often have limits (sometimes clear like UK) and government negotiation programs. Like the one that got cheaper if the vaccination got used a lot.

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31
Q

Does life years gained affect pricing?

A

Yes! More life years = more expensive.

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32
Q

Marketing activities can be planned by using what?

A

Marketing activities can be planned and analyzed using the popular 4-P framework, representing product, price, promotion, and place

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33
Q

What is the 4-P framework?

A

Marketing activities can be planned and analyzed using the popular 4-P framework, representing product, price, promotion, and place

34
Q

Mention the marketing communication channels

A

1) Advertising
2) Sales promotion
3) Personal selling
4) Direct & database marketing
5) Public relations & Publicity
6) Events & experiences
7) Online & social media
8) Word of mouth

35
Q

Describe the marketing communication channel advertising

A

Non-personal presentation of ideas, goods or services by an identified sponsor
- Examples: Print & broadcast advertisements, posters, packaging, symbols, brochures

Attributes:
* Pervasiveness: repeating the message
* Expressiveness: dramatizing content
* Impersonality: audience does not feel obliged to respond
* Geographically dispersed consumers

36
Q

Describe the marketing communication channel sales promotion

A

Short-term incentives to encourage trial or purchase of a product / service
- Examples: fairs and trade-shows, gifts and samples, coupons, low-interest financing

Attributes:
* Communication: gain attention and may lead the consumer to the product
* Incentive: they incorporate some concession or inducement that gives value to the consumer
* Invitation: distinct invitation to engage in the transaction now (e.g. online promotions)

37
Q

Describe the marketing communication channel Personal selling

A

Face-to-face interaction with one or more prospective purchasers
- Example: Sales meetings, fairs and trade shows, presentations

Attributes
* Interaction: creates an immediate and interactive episode between two or more people.
* Cultivation: personal selling permits various relationships, e.g. personal friendship
* Response: The buyer feels under some obligation following the sales talk

38
Q

Describe the marketing communication channel Direct and database marketing

A

Use of mail, telephone, email to communicate directly with or solicit response or dialogue from specific customers
- Examples: Email, Voicemail, blogs, catalogues, Websites, Electronic shopping

Attributes
* Customized: the message can be prepared to appeal to the addressed individual
* Up to date: a message can be prepared very quickly
* Interactive: the message can be changed depending on the person’s response

39
Q

Describe the marketing communication channel Public relations & publicity

A

Variety of programs designed to present or protect a company’s image or its individual market offerings
- Examples: Seminars, annual reports, donations, lobbying, company magazine

Attributes
* High credibility: news stories and features are more authentic and credible to readers than ads
* Ability to catch buyers off guard: reaching person who prefer avoiding sales people
* Multiplier effects: other media reporting

40
Q

Describe the marketing communication channel Events & experiences

A

Company-sponsored activities and programs designed to create daily or special brand-related interactions
- Example: Sports events, festivals, arts, causes, factory tours, company museum

Attributes
* Relevance: a well-chosen event can be seen as highly relevant as consumers get personally involved
* Implicitness: events are an indirect “soft sell”

41
Q

Describe the marketing communication channel online and social media

A

Online activities and programs to engage customers and raise awareness
- Example: websites, email, search ads

Attributes
* Customization and speed: follows users’ interests
* Pervasiveness: multiple exposures of potential adopters to ad
* Information richness

42
Q

Describe the marketing communication channel word of mouth

A

People-to-people communications that relate to experiences of consuming market offerings
- Example: blogs, Instagram, person-to-person

Attributes
* Credible: because people trust others they know and respect
* Personal: W-O-M can be an intimate dialogue that reflects personal opinions and experiences
* Timely: often follows events or experiences

43
Q

What are common cognitive stages for all the micro-models of consumers responding to marketing communication?

A

They go through 3 stages:
1) Cognitive stages (awareness and knowledge)
2) Affective stages (Interest, liking and desire)
3) Behaviour stage (Purchase/Action)

44
Q

What are 4 different communication objectives?

A

1) Category need: Establishing a product / service (market offering) category as necessary to remove or satisfy a perceived discrepancy between a current motivational state and a desired emotional state. A new-to-world item, such as electric cars, would begin with a communications objective of establishing a category need

2) Brand awareness: Develop the ability to identify (recognize or recall) the brand within the category is sufficient detail to make a purchase. Recognition is easier to achieve than recall. Brand recall is important outside the store; brand recognition is important inside the store. Brand awareness provides a foundation for brand equity

3) Brand attitude: Evaluating the brand with respect to its perceived ability to meet a current relevant need. Relevant brand needs may be negatively oriented (problem removal, problem avoidance) or positively oriented (intellectual stimulation, social approval)

4) Brand purchase decision: Instructions to purchase the brand or to take purchase-related action. Promotional offers can shape mental commitment to buy a product

45
Q

Marketing communication channels for pharma are divided into?

A

Direct and indirect channels

46
Q

What are the marketing communication channels for Pharma?

A

Indirect channels
* Academic conferences
* Peer-reviewed scientific publications
* Key-Opinion-Leaders (KOL)
* Reimbursement dossier

Direct channels
* Advertisements in newspapers and magazines
* Direct to consumer (DTC) advertising
* Websites
* Sales visits to physicians (detailing)

47
Q

What is detailing?

A

Using a sales force of drug representatives.
* Company-employed representatives have been crucial promotion channel for pharmaceutical companies
* Visiting physicians, “detail” the properties of the medical drugs, leaving product samples

48
Q

Is detailing still important?

A

Yes, however.
* Emergence of new technologies contributes to changing practices
* Relative importance has been declining recently: diminishing access to physicians, increasing importance of payers in the decision-making process, new channels

GPs are becoming less influential

49
Q

What are the biggest marketing expenses in pharma currently?

A

1) Detailing
2) Samples
3) Unmonitored promotion
4) DTC

50
Q

What is the impact of a pharma sales force?

A

There is a correlation between size of the sales force and the added value. Too many = too high cost = less value added. Profit maximum is at a balance of size and added sales vs. cost of sales force.

51
Q

What are some general sales force considerations?

A

1) Objectives & Strategy: sales force training
2) Structure: strategic salesforce (large accounts), geographic sales force in different regions, distributor sales force
3) Size: Determining through workload approach (how many customers to reach, what contact frequency, etc.)
4) Compensation: fixed and variable compensation (bonus, commissions, profit-sharing)

52
Q

What is DTC and where can you do it?

A

Direct-to-consumer advertising of pharmaceutical drugs through TV and printed media in the US and New Zealand. (Only legally permitted there)

53
Q

Why is DTC advertising smart as a marketing channel?

A
  • Creating pull-effect for prescription-based medical drugs
  • American adults spend an average of 4.5 hours a day watching television (see citation in DeFrank et al. 2020)
  • Considered to be an effective channel: every dollar spent in DTC advertising leading to additional sales of up to 6 dollars (see DeFrank et al. 2020)
54
Q

What are some arguments for DTC?

A
  • Earlier symptom recognition, improving treatment outcomes
  • Improving compliance with drug
  • Risk information may lead to better recognition of adverse reactions
  • Empowers patient to take care of their own health, encouraging active partnership
55
Q

What are some argument against DTC?

A
  • Creating inappropriate demand for medicines
  • Exaggerates disease risks and promote anxiety
  • May disrupt the therapeutic alliance between doctors and patients
  • Wasting doctors’ time to clarify misperceptions caused by ad
56
Q

What findings did DeFrank et al (2020) have in regards to DTC advertising?

A
  • In survey of physicians, 76% indicated that patients had initiated discussions about prescription drugs
  • In one study, physicians indicate that in 41% that DTC advertising had some benefit on their relationship with patients, whereas in another one 89% disagreed with notion that DTC advertising improved relationship
  • 26% of patients stated that DTC advertising increases adherence / compliance with prescribed medications
  • Patient survey suggests that 23% report improved relationship with physician, and 73% indicated no change, 5% worsened relationship
  • Overall patients see this positively, doctors not so much.
57
Q

What are benefits of the Public relations marketing channel?

A
  • Indirect Pull-Marketing: Creating and maintaining a positive image of the company, technology or products in the target audiences
  • Is targeting a broader range of stakeholders (e.g. customers, patients, investors; media, employees)
  • Can enhance scientific and business credibility, e.g. by leveraging scientific peer-reviewed findings
  • Specific tools: press releases (e.g. product approvals, launches, patent issuances, successful financing), disease awareness campaigns
  • Multiplication effects: External media may pick up news and further distribute it
58
Q

What two things can social media do in Pharma marketing?

A

Be aware of FDA guidelines

1) Listen
2) Engage

Listen:
* Overcome traditional one-way communication as typical for traditional marketing
* Information gathering and a way to understand how information or misinformation is spreading
* Detecting conversations about 1) own products 2) products of competitors 3) general market intelligence
* Website: www.patentslikeme.com

Engaging:
* Important to have an engagement policy that defines on what can be commented or not
* Advertising of press releases, scientific awards, or the like, but no patient-specific discussions
* Engaging in specific communities that are visited by medical professionals, such as Sermo.com
* Websites controlled by pharmaceutical manufacturers, such as Fibrocenter.com
* Identifying key influencers within community

59
Q

A brand is what?

A

A brand is a “name, term, sign, symbol, or design, or a combination of them, intended to identify the goods and services of one seller or group of sellers and to differentiate them from those of competition”.

60
Q

Brands are about what?

A
  • Brands are about perceptions: how do customers (B2B and B2C) perceive products?
  • Brands constitute a quality signal to consumers about certain product attributes, thus reducing risks associated with procurement decisions
  • e.g. functional risks, financial risks, time risks
61
Q

Brand can be protected how?

A

Protection brands through trademarks

62
Q

What level can brands be on?

A

Corporate and product-level brands

63
Q

What type of brand equity is there?

A

Brand awareness and brand image

64
Q

Brand awareness consists of what? And gives what benefit?

A
  • Brand recognition: consumers ability to confirm prior exposure
  • Brand re-call: customers’ ability to retrieve brand from memory when asked about product category
  • Benefits: Learning, consideration, and choice advantages
65
Q

Brand image is? And gives what benefit?

A
  • Brand attributes: descriptive features that characterize a product or service
  • Brand benefits: personal value and meaning that consumers attach to the product or service
66
Q

What should be considered when building a brand?

A

1) Memorable: Is the element easily recalled and recognized at purchase and consumption?
2) Meaningful: Is the element credible and suggestive of the category? Positive associations?
3) Likeable: Is the element appealing or playful
4) Brand defendability

67
Q

How can you defend a brand?

A
  • Transferable: Can the element introduce new products in the same or different categories? Does it add brand equity across geographic boundaries?
  • Adaptable: Can the element be adapted and updated?
  • Protectable: Is the element legally and competitively protectable (trademarks)
68
Q

What are trademarks?

A

1) Rights: prevents use by others of signs that are similar or identical to the protected sign
2) Term of protection: initially 7 years (renewable, up to infinity)
3) Obligation of use, invalidation by non-use
4) Territorial right: National trademarks, procedures for European and international coverage
5) Words / Logos, Personal names, sound marks, colors, 3-D config.
6) Special cases: Collective marks (owned by association) and geographic indications, Certification marks

69
Q

What is direct distribution?

A

Direct distribution: company selling directly to the final customer

70
Q

What are Channels for product delivery?

A

Location where product / service is offered (e.g. university hospitals, smaller hospitals, GP)

71
Q

Sales channels for pharma are? Give examples

A

Location where product / service is offered (e.g. university hospitals, smaller hospitals, GP)

Low cost pr. transaction + low value of sale
1) Direct marketing channels (internet, telemarketing, retail stores)
2) Indirect channels: Distributors, value-added partners
3) Direct sales channels: Value-added partners and sales force
High cost pr. transaction + high value of sale

72
Q

What should be considered when choosing a sales channel?

A

Considerations: sales cycle, number of potential customers, unit price and complexity of procurement decision

73
Q

What are indirect sales/distribution channels?

A

Indirect sales / distribution channel
* Intermediaries may serve as primary point of contact with the end user
* Not exclusively tied to one product from one firm (bundling)

74
Q

What levels are there in B2C and B2B sales channels?

A

0-3 depending on the level of intermediaries

Level 0 = DTC/DTB
Level 1 = 1 intermediary (retailer/industrial distributor)
Level 2 = 2 intermediaries (Wholesaler/manufacturer representative  retailer/distributor)
Level 3 = 3 intermediaries in B2C and 1 in B2B (Manufcaturers sales branch  industrial consumer)

75
Q

What are the roles of intermediaries?

A

1) Selling and promoting: helps manufacturer to reach many small business customers
2) Bulk breaking: achieve savings by customers by buying large quantities and breaking bulk into smaller units
3) Assortment building: intermediaries select items and build assortments that customers need
4) Warehousing: WS hold inventories, thereby reducing inventory costs and risks to suppliers and customers
5) Organize financial flows associated with product purchases
6) Collecting market information

76
Q

What is the supply chain in Pharma?

A

Manufacturer -> Wholesaler -> Pharmacies or Hospitals -> Patient / End user

77
Q

How can marketing activities be planned and analyzed?

A

Marketing activities can be planned and analyzed using the popular 4-P framework, representing product, price, promotion, and place

78
Q

Is detailing in pharma important?

A

“Detailing“ is an important promotion & sales strategy in the pharmaceutical sector, although it‘s role has been diminishing

79
Q

Is DTC important in the US?

A

Direct-to-Consumer advertising important channel for prescription drugs in the US

80
Q

Is brand building important?

A

Building up brands represents a powerful promotion strategy to create consumer loyalty and recognition of products

81
Q

The micro-models of marketing communication all have what four stages?

A

Awareness – Knowledge – Preference - Purchase