DIGITAL SAVVY HCP SURVEY - TOP TRENDS 2019 - Indegene

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PHARMAFUTURE™
                          An Indegene Initiative

THE

DIGITAL
SAVVY
HCP SURVEY
TOP TRENDS   2019
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

                                                  Disclaimer .......................................................................... 3

                                                  Executive Summary ................................................... 4

                                                  Demographics ................................................................ 5

                                                  Top 3 Channels for Patient Interaction....... 6

                                                  HCP Preference to
                                                   Access Medical Information................................. 7

                                                  HCP Digital Affinity by Specialty
                                                   — Digital Readiness Based on Adoption.... 8

                                                  Channel Preference................................................. 10

        CONTENTS                                  Top 3 Digital Channels.......................................... 12

                                                  Number of Touchpoints....................................... 13

                                                  Content Preference.................................................. 14

                                                  Patient Interactions ................................................. 15

                                                  Product Information
                                                   During Its Life Cycle................................................. 16

                                                  Medical Rep Interactions .................................... 17

                                                  Prescription.................................................................... 18

                                                  Top Global Pharma Performers ..................... 19

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02
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

                                                      All the findings, inferences, and data shared in this
                                                        report are solely the views of the respondents and may
                                                        or may not represent the views of any organization.

                                        DISCLAIMER
                                                        PHARMAFUTURE™ bears no liability in any capacity to
                                                        the authenticity, accuracy, or completeness of the
                                                        information shared.

                                                      PHARMAFUTURE™ has in no way modified or influenced
                                                        the results presented in this report, which contains
                                                        information in a summarized form, and is therefore
                                                        intended for general guidance only. It is not intended to
                                                        be a substitute for detailed research or the exercise of
                                                        professional judgment. PHARMAFUTURE™ is not liable
                                                        for any loss occasioned to any person acting or refraining
                                                        from acting as a result of any material in this publication.

                                                      If you intend to reuse, copy, or reproduce any content
                                                        from the report in any form, due credit has to be given to
                                                        Indegene by mentioning Source: THE DIGITAL SAVVY
                                                        HCP SURVEY ‒ TOP TRENDS 2019 as the source of
                                                        information for all reproductions.

                                                      To reproduce, copy, or use any or all parts of this report
                                                        for commercial, noncommercial, or academic purposes,
                                                        express written permission must be sought by writing to
                                                        info@pharmafuture.org.

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                                                                                                                                03
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

        EXECUTIVE
        SUMMARY

        The Digital Savvy HCP Survey 2017          While efficacy and safety profile of the drug remains the most
        report highlighted the fact that while     sought-after information for prescriptions, requests for real-world
        physicians have increasingly adopted       evidence has seen an increase as well. New insights are sought as
        digital channels, face-to-face detailing   physicians work toward better health outcomes in light of
        was the most preferred one. The trend      regulatory pressures and payer demands.
        continued in 2018 as well. However,
        the adoption of new digital channels       Technology advancements have changed the role of

        by physicians has seen a tectonic shift    medical representatives. They are seen as conduits for

        in the last 3 years.                       precise and personalized content which can be shared
                                                   on demand. The survey showed that physicians have
        Physicians in developed markets have       new expectations from medical representatives.
        continued to use emails and websites
        as the preferred channels for              GlaxoSmithKline, AstraZeneca, Merck, and Pfizer
        information exchange with patients         continue to enjoy excellent recall across the globe.
        while their counterparts in developing     Physicians continue to find that content engagement
        regions rely on social messaging and       with the companies mentioned above enhances their ability to
        text messages to provide updates.          deliver high-quality patient care.

                                                                                                               © PHARMAFUTURE™. All rights reserved.
04
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

           DEMOGRAPHICS
                                                                                                         USA
           In total, 1050 physicians from the USA, India,      I have my practice, but I consult for
                                                                                                         1%              ROW
                                                                                                        4%
                                                                  an integrated healthcare system
           China, and other countries participated in the
                                                                  I work for a stand-alone hospital

                                                                                                                        14%
           Digital Savvy HCP Survey 2019. Majority of the
           participants have over 10 years of work

                                                                                                        19%
           experience and represent a broad spectrum of      I work for a hospital which is a part of
                                                                  an integrated healthcare system
           specialties.

                                                                                                                        25%
                                                                                                        31%
                                                                    China
                                                                                 I have my practice
                              USA
                              US

                                                                                                                        31%
                                                            India

                                                                                                                        25%
                                                                                                        45%                5%
                                                                                        I work for a
                                                                                     group practice

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                                                                                                                                              05
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

        TOP 3 CHANNELS
        FOR PATIENT INTERACTION
        The difference in the predilection for channels that physicians employ to engage with patients is probably reflective of
        the regulations that govern the exchange of personal information in their respective regions. Although web portals,
        emails, and text messaging are the preferred mode of knowledge sharing in the more developed parts of the world,
        text, social messaging
                                                                                                                                            ROW
        platforms, and digital                                                                                                              GLOBAL
                                                 48.24
                                                 53.23

                                                                        53.28
                                                                        39.28
        health apps are                                                                                                                     USA
                                                            52.42
                                                            51.92

                                                                                   49.95
                                                                                   37.79

                                                                                                38.93 64.75
        widely used in other

                                                                                                                              31.57 44.47

                                                                                                                                                27.85 35.71
                                                                                                                 37.82
                                                                                                                 29.87
                                                 55.37

        geographies.
                                                            51.70

                                                                        33.28

                                                                                   32.58

                                                                                                27.86

                                                                                                                 26.46

                                                                                                                              26.05

                                                                                                                                                24.48
                                             Websites

                                                         Emails

                                                                         Text
                                                                    Messaging

                                                                                Health
                                                                                 Apps

                                                                                               Social
                                                                                           Messaging

                                                                                                              Video
                                                                                                               Chat

                                                                                                                             Social
                                                                                                                         Networking
                                                                                                                               Sites

                                                                                                                                                   Blogs
                                                                                                                          © PHARMAFUTURE™. All rights reserved.
06
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

          HCP PREFERENCE
          TO ACCESS MEDICAL INFORMATION

           The presence of multiple channels and the volume of information that is available, both promoted by pharmaceutical
           companies and published by academicians or peers, coupled with the increase in patient visits have compelled
           physicians to access relevant information during their off-hours and weekends.

                                              USA                                    ROW
                                              MON TUE WED THU    FRI   SAT SUN        MON TUE WED THU             FRI     SAT SUN

                                   BEFORE      4    4   4   4     3     4     5         6   6       6      6        6       6        6
                                   8 AM
                                   8 AM TO     5    5   5   5     5     1     1         5   5       5      5        5       4        3
                                   11 AM
                                   11 AM TO    1    1   1   1     1     3     3         4   4       4      4        4       5        5
                                   2 PM
                                   2 PM TO     6    6   6   6     6     5     6         3   3       3      3        3       3        4
                                   5 PM
                                   5 PM TO     2    2   2   2     2     6     4         1   1       1      1        1       1        2
                                   8 PM
                                   AFTER
                                   8 PM        3    3   3   3     4     2     1         2   2       2      2        2       1        1
                                                                                                (1=most preferred, 6=least preferred)

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                                                                                                                                               07
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

        HCP DIGITAL AFFINITY BY SPECIALTY —
                                     Patient Interaction Using Digital Channels
                                                   USA                      ROW

          1                          2              3                   1              2                   3

               Urology               Emergency     Immunology           Immunology         General             Oncology
                                      Medicine                                             Surgery

          4                          5                                                 4                   5

         Pulmonology               Dermatology                                         Emergency            Neurology
                                                               TOP 5                    Medicine

          6                          7
                                                                BOTTOM 5               6                   7

              Geriatrics              Pediatrics                                       Cardiology           Psychiatry

          8                          9              10                  8              9                  10

              Oncology           Ophthalmology       General           Ophthalmology   Medicine/               Urology
                                                     Surgery                           Pediatrics

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08
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

  DIGITAL READINESS BASED ON ADOPTION
                                        Content Engagement Using Digital Channels
                                                       USA                        ROW

            1                            2              3                     1               2                        3

           Ophthalmology                 Immunology     Oncology             Immunology     Ophthalmology               Neurology

            4                            5                                                    4                        5

                Emergency                 Neurology                                         Endocrinology                  Urology
                 Medicine                                            TOP 5
            6                            7
                                                                     BOTTOM 5                 6                        7

                Pediatrics               Cardiology                                           Internal                      Family
                                                                                              Medicine                     Medicine
            8                            9             10                     8               9                       10

                Orthopedics               Psychiatry    Geriatrics           Primary Care    Orthopedics                Psychiatry
                                                                              Physicians

© PHARMAFUTURE™. All rights reserved.
                                                                                                                                            09
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

        CHANNEL
        PREFERENCE

         The combination of information diversity, paucity of time, and organizational restrictions (in the case of IHSs) have driven
         physicians to adopt a variety of digital channels to keep themselves abreast of the latest product information that is a
         part of the treatment plan for their patients. The preference for face-to-face tablet-based detailing has not diminished
        69.36 72.05

                                                                                                                                                                                       USA ROW GLOBAL
          73.21

                                63.31

                                                              55.16 56.02

                                                                                              52.68 54.68
                                                                                52.22 53.71

                                                                                                            51.59 52.68
                                        48.97 54.81
                             66.37

                                                                                                                               45.73 48.25

                                                                                                                                             43.31 45.27
                                                                                                 59.35

                                                                                                                                                                                    58.04
                                            57.32

                                                          56.38

                                                                                                              55.23
                                                                            54.35

                                                                                                                                                           37.27 39.83
                       56.17

                                                                                                                                                                           34.13 41.31
                                                                                                                                                49.85
                                                                                                                          49.33

                                                                                                                                                                                                               49.50
                                                                                                                                                                                             32.51 35.85

                                                                                                                                                                                                              35.41
                                                                                                                                                               45.81

                                                                                                                                                                                                 43.64

                                                                                                                                                                                                              29.37
       Face-to-Face
       Tablet-based
           Detailing

                                                                                                                           Self-directed
                                            Direct Mail

                                                            Websites

                                                                             Marketing
                                                                                Emails

                                                                                                            Medical
                                                                                                            Science
                                                                                                             Liaison

                                                                                                                          Web Detailing
                                                                                                                          (Without Rep)

                                                                                                                                             Emails From
                                                                                                                                               Your Rep

                                                                                                                                                           Live Remote
                                                                                                                                                               Detailing
                                                                                                                                                           (Online Rep)

                                                                                                                                                                               Social Apps

                                                                                                                                                                                                   Tele-rep
                                                                                                                                                                                               (Phone Only)

                                                                                                                                                                                                                     Text
                                                                                                                                                                                                                Messaging
                       Journals
                       (Online/
                        Offline)

                                                                                               Webinars/
                                                                                               Webcasts

                                                                                                                                                                                             © PHARMAFUTURE™. All rights reserved.
10
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

           over the years that the survey has been done. A point of interest is the increasing endorsement of journals1 and
           medical liaisons. The fact that the channels ranked second and third in the survey indicates that scientific
           content will build greater goodwill and loyalty for brands. The positions of marketing emails
           and rep-triggered emails have dropped significantly lower this year to the extent that they now
           occupy positions in the lower end of the list of preferred channels.                                                           2015
                                                                                                                                          2017
                                                                                                                                          2018
                                                                                      62.90
                                                                                    72.05                                  Medical
                                                                                                                           Representative
          Preference Over the Years ‒ Global                                        71.53
                                                                                          46.65                            Medical
                                                                                         51.99                             Science Liaison
           A comparison of trends between 2015 and 2018 shows that                     59.03

           the preference for digital channels has steadily increased,              72.86
                                                                                   75.25                                   Digital
           whereas the avidity for medical representatives appears to have                                                 Channels
                                                                                  82.05
           plateaued. It can be attributed to the fact that physicians,
           being burdened with growing administrative work, are finding
           it challenging to accommodate medical representatives during
           office hours. The preference of physicians for Medical Science
           Liaisons (MSLs) has also increased over the same period as an
           outcome of time constraints. MSLs, given their technical
                                                                                    THE NATURE AND IMPLICATION
           expertise on the drugs and therapeutic areas assigned
                                                                                   OF THE INFORMATION SHARED BY
           to them, provide value to doctors who seek precise
                                                                                       MSLs have made them the
           information, which may influence their treatment plans
                                                                                    preferred sources of information
           and the overall well-being of their patients.
                                                                                    for products accounting for the
           Journals were not part of the Digital Savvy HCP Survey 2017
           1
                                                                                        use of a physician’s time.

© PHARMAFUTURE™. All rights reserved.
                                                                                                                                                     11
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

                                                 TOP 3
                                                 DIGITAL CHANNELS

        THE TOP 3                                Physicians perceive journals to be less biased than other sources of
                                                 pharma-sponsored information. The spurt of activity in publishing
        DIGITAL
                                                 real-world evidence (RWE) has played a significant role in influencing
        CHANNELS
                                                 physicians to explore journals. The use of RWE to recommend treatment
        PREFERRED BY
                                                 plans that are effective for patients and help with reimbursements has
        PHYSICIANS
                                                 only augmented the high view of journals as a trustworthy source of
        are journals,
                                                 information.
        brand websites,
        and marketing
        emails.
                                                                                                                          65.60
                                                                USA             Journals
                                                                                                                      56.68
                                                                ROW      (Online/Offline)
                                                                Global                                                  62.93

                                                                                                                       57.81
                                                                                  Brand                              54.97
                                                                                Websites                              56.96

                                                                                                                     56.24
                                                                               Marketing
                                                                                                                   52.26
                                                                                  Emails
                                                                                                                    55.05

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12
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

          NUMBER OF
          TOUCHPOINTS

           The preference for face-to-face tablet-based detailing                                    while the usage of online and offline journals appears to
           as a channel is indicated by the number of times                                          have increased. It also seems that physicians may be
           physicians around the world use it on a monthly                                           seeking general information from online sources. The survey
           basis. In the last year, email views have dropped                                         indicates that physicians mostly continue to rely on content
                                                                                                     provided or sponsored by pharmaceutical companies.
          2.70 3.00
              3.13

                          2.59
                         2.84

                                        2.37
                                        2.60

                                                                                                                                                                       USA ROW GLOBAL
                                                                   2.04 2.11
                                                       1.96 2.18

                                                                                    1.79 1.78
                                                          2.28

                                                                                                                                                                       2.18
                                                                    2.15

                                                                                                                                                  2.11
                                                                                                1.55 1.65

                                                                                                             1.54 1.63
                              2.01

                                                                                                                           1.45 1.56
                                                                                                   1.88

                                                                                                                                          1.36 1.58
                                             1.83

                                                                                                                1.84

                                                                                                                                                               1.28 1.55
                                                                                                                                   1.82
                                                                               1.78

                                                                                                                                                                              1.18 1.21

                                                                                                                                                                                              1.16 1.26
                                                                                                                                                                                                      1.50
                                                                                                                                                                                      1.28
         Face-to-Face
         Tablet-based
             Detailing

                                         Direct Mail

                                                       Marketing
                                                          Emails

                                                                    Websites

                                                                                Self-directed
                                                                               Web Detailing
                                                                               (Without Rep)

                                                                                                             Emails From
                                                                                                               Your Rep

                                                                                                                           Medical
                                                                                                                           Science
                                                                                                                            Liaison

                                                                                                                                             Social Apps

                                                                                                                                                                     Text
                                                                                                                                                                Messaging

                                                                                                                                                                              Live Remote
                                                                                                                                                                                  Detailing
                                                                                                                                                                              (Online Rep)

                                                                                                                                                                                                     Tele-rep
                                                                                                                                                                                                 (Phone Only)
                         Journals
                         (Online/
                          Offline)

                                                                                                 Webinars/
                                                                                                 Webcasts

© PHARMAFUTURE™. All rights reserved.
                                                                                                                                                                                                                13
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

                                                                                                     Efficacy

        CONTENT
                                                 79.16              80.63                78.53

                                                 78.77              80.48                78.04       Safety

        PREFERENCE                                 74.93                 75.73           74.59       Dosing

                                                   75.24             77.69               74.20       Clinical Data

                                                                                                     Medical Information Services
        Product information remains               75.59              81.15               73.20
                                                                                                     ― Treatment Guidelines
        the most sought-after data by
                                                   74.57             79.96                72.27      Real-World Evidence
        physicians globally: details
        related to the efficacy and                                                                  Medical Information Services
                                                     71.01                76.35           68.72      ― Review Articles
        safety profile of the drugs
                                                            65.76            60.54        67.99      Discount or Sample Offers
        administered or proposed for
        treatment is solicited or                                                                    Medical Information Services
                                                     70.62                77.34           67.74      ― Disease Information
        searched. New clinical
        information is also frequently                   68.82             75.15           66.11     Administration of the Medicine
        requested from medical
                                                                                                     Medical Information Services
        representatives or MSLs.                          65.31            73.63            61.75    ― Conference Reports and News
        Physicians in developing
                                                            63.72           69.85           61.09    Product Availability
        markets place a higher
        emphasis on treatment                                    58.04           67.10       54.16   Adherence Programs

        guidelines and disease
                                                                 56.44           68.90       51.10   Digital Health Services
        information compared to their
        peers in the USA.                                                    USA ROW GLOBAL

                                                                                                                     © PHARMAFUTURE™. All rights reserved.
14
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

                                         PATIENT
                                         INTERACTIONS

                                           The preference of channels that physicians use to engage with their patients differs widely.
                                           Doctors in the USA prefer to use web portals and emails to share information or updates. In
                                           other parts of the world, text and social messaging are more widely used. The use of video
                                           chats to share information with patients is limited among physicians across the globe.

                                                                                                                                                              ROW
                                           55.37 48.24
                                                 53.23

                                                            52.42                                                                                             GLOBAL
                                                            51.92

                                                                        53.28 39.28

                                                                                                                             37.82 29.87
                                                                                         49.95 37.79
                                                                                                                                                              USA

                                                                                                                                                                   35.71 27.85
                                                                                                            64.75

                                                                                                                                                44.47 31.57
                                                            51.70

                                                                                                            27.86 38.93
                                                                        33.28

                                                                                         32.58

                                                                                                                             26.46

                                                                                                                                                26.05

                                                                                                                                                                   24.48
                                                                                      Health
                                                                                       Apps
                                        Websites

                                                         Emails

                                                                         Text
                                                                    Messaging

                                                                                                           Social
                                                                                                       Messaging

                                                                                                                          Video
                                                                                                                           Chat

                                                                                                                                               Social
                                                                                                                                           Networking
                                                                                                                                                 Sites

                                                                                                                                                                      Blogs
© PHARMAFUTURE™. All rights reserved.
                                                                                                                                                                                 15
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

        PRODUCT INFORMATION
        DURING ITS LIFE CYCLE

        New information about the safety and
                                                                          4% 3%
                                                                                  22%
        efficacy of the product continues to remain of
        significance to physicians around the world.
        Another point of congruence is the
                                                                    10%
        importance of RWE, the product progresses
        through the various stages of its life cycle.

                                                                  11%
                     Safety                      Efficacy

                     Real-World
                     Evidence
                                                 Access/
                                                 Coverage          12%             23%
                                                 Clinical Trial
                     Pricing

                                                                           15%
                                                 Update

                     Patient                     Label
                     Support                     Coverage

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16
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

                                        MEDICAL REP

                                                                                     4.5

                                                                                                     4.08

                                                                                                                     4.03
                                        INTERACTIONS

                                                                                                                                              3.44

                                                                                                                                                                 3.44
                                                                                     4.97

                                                                                                                                                                                          3.01
                                                                                                     4.59

                                                                                                                     4.54
                                        Physicians in all the regions who were a

                                                                                                                                              4.35
                                        part of the survey indicated that their

                                                                                                                                                                 3.56
                                        interactions with medical

                                                                                                                                                                                          3.55
                                        representatives would be more valuable
                                        if the reps could share precise

                                                                                     4.3

                                                                                                     3.86

                                                                                                                     3.81
                                        information that is relevant and

                                                                                                                                              3.5

                                                                                                                                                                 3.38
                                        personalized for them or on-demand

                                                                                                                                                                                          2.78
                                        remote engagement with an MSL.

                                                                                      Relevant
                                                                                   Information

                                                                                                 On-demand
                                                                                                 Information

                                                                                                                 Customized Precise
                                                                                                               Information Available
                                                                                                                   in Digital Formats

                                                                                                                                                              Self-service Options
                                                                                                                                                            to Connect with Reps

                                                                                                                                                                                        Round-the-clock
                                                                                                                                                                                     Multichannel Access
                                                                                                                                                                                        to a Medical Rep
                                                                                                                                        Medical Science
                                                                                                                                          Liaison Access
                                                                                                                                         and Availability
© PHARMAFUTURE™. All rights reserved.
                                                                                                                                                                                                           17
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

        PRESCRIPTION

        The efficacy and safety profile of the product will always remain the key considerations
        to prescribe a drug. However, the increasing relevance of clinical data and RWE as
        additional factors that influence the selection of a drug supports the growing demand
        of payer organizations and patient groups seeking better outcomes from treatments.
                83.12

                                78.08

                                                                76.54
        76.68

                                                                                73.25
                                                68.36
                        67.74

                                        63.55

                                                                                                                61.22
                                                        61.33

                                                                        60.41

                                                                                                                                 60.03

                                                                                                                                                                                   60.54
                                                                                                59.21
                                                                                        59.51

                                                                                                                                                 58.21

                                                                                                                                                                 55.58
                                                                                                        55.04

                                                                                                                         53.61

                                                                                                                                         49.25

                                                                                                                                                         43.04

                                                                                                                                                                           41.86
                                                                                        Insurance
                                                                                         Coverage

                                                                                                                        Health System
                                                                                                                          Formulatory
                                                                                                                             Coverage

                                                                                                                                           In-stock
                                                                                                                                         Availability

                                                                                                                                                                   Peer
                                                                                                                                                         Recommendations

                                                                                                                                                                             Regulatory
                                                                                                                                                                             Procedures
                                         Price

                                                        Clinical
                                                           Data

                                                                        Real-World
                                                                         Evidence
          Efficacy

                          Safety

                                                                                                          Product
                                                                                                        Availability

        USA ROW

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18
THE DIGITAL SAVVY HCP SURVEY ‒ TOP TRENDS 2019

          TOP GLOBAL
          PHARMA PERFORMERS

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                                                                                  19
PHARMAFUTURE™
      An Indegene Initiative

                    PHARMAFUTURE™ (www.pharmafuture.org) is a
                    global thought leadership forum for senior

                    pharmaceutical executives. Its objective is to present

                    the market realities through credible market

                    research and bring together senior leaders of the

                    industry in an interactive setting to discuss key

                    challenges facing the industry, to share experiences,

                    and to brainstorm ideas and solutions to drive better

                    health and business outcomes.

                    PHARMAFUTURE™ is an initiative of Indegene ‒
                    a leading global healthcare solutions company that

                    integrates medical/pharma expertise, technology,

                    analytics, and operational excellence to address

                    some of the big challenges in the industry.

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