Eli Lilly and Company Presents at Goldman Sachs 41st Annual Global Healthcare Conference, Jun-10-2020 11:10 AM - NYSE:LLY
NYSE:LLY
Joshua L. Smiley [Former Executive Officer] 💬
** Key Points from Joshua L. Smiley's Presentation**
Business Model and Strategy Changes Due to COVID-19
- Customer Interaction: Increased reliance on digital tools for customer interaction, including Zoom calls and virtual peer-to-peer events. Both the company and customers are more receptive to these digital methods.
- Telemedicine: Greater acceptance and use of telemedicine, which improves efficiency and effectiveness in healthcare delivery.
- Personal Health Emphasis: Increased focus on personal health due to the impact of underlying conditions on COVID-19 outcomes.
- Clinical Trials: More efficient and effective clinical trials with reduced patient travel to clinical sites, using digital monitoring and home-based trials.
- Scientific Platforms: Leveraging advanced scientific platforms like mRNA, gene therapy, and artificial intelligence to develop treatments, including the study of baricitinib for COVID-19.
Guidance and Outlook for 2020
- Initial Confidence: Reiterated guidance early in the pandemic due to strong performance of new products launched since 2014.
- Healthcare Utilization: Expected a sharp decline in healthcare utilization from March to mid-second quarter, with normalization by the end of Q2 or Q3.
- Unemployment Impact: Anticipated modest payer mix impacts in 2020, with more significant effects in 2021.
- Current Trends: Health care utilization and prescription trends are recovering, with the U.S. expected to return to pre-COVID levels by the end of June.
Patient Assistance Programs
- No Major Payer Mix Changes: No significant changes in payer mix despite high unemployment, partly due to the nature of industries affected and furloughed employees maintaining commercial insurance.
- Increased Utilization: Increase in utilization of patient assistance programs, driven by better outreach and program effectiveness rather than direct COVID-19 impacts.
Long-Term Margins and Financial Targets
- Operating Margin Target: Aim to achieve a 31% operating margin in 2020, with expectations to increase to the mid- to high 30s by 2025.
- Margin Expansion Drivers:
- Top-line growth in competitive areas.
- Efficient use of fixed SG&A base.
- High-margin new product launches like Retevmo.
- Improved sales rep effectiveness with digital tools.
- Challenges: Need to manage price headwinds and maintain gross margins.
Business Development and Pipeline
- Agnostic to Development Stage: Open to acquiring or partnering with projects at various stages, focusing on best or first-in-class opportunities.
- Therapeutic Areas: Focused on five key areas, including neurodegeneration, covering over 50% of human disease.
- Acquisition Opportunities: Interested in late-phase products like Dermira and transformative deals like Loxo.
- Future Launches: Need a robust pipeline to support long-term growth, with a focus on the 2026-2030 period.
Product Launches and Clinical Trials
- Retevmo: Launched virtually with a limited prescriber base, focusing on lung and thyroid cancer. Positive early reception and existing relationships with key physicians.
- Verzenio: Confident in the adjuvant setting despite the negative PALLAS trial results, due to differences in patient populations and trial design.
- Diabetes Portfolio:
- Trulicity: Expecting strong NBRx recovery and continued growth, driven by REWIND data and high-dose Trulicity launch.
- Rybelsus: Reasonable launch performance, with expectations for improved performance in 2021 as commercial efforts intensify.
COVID-19 Antibody Program
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Antibody Testing: Two antibodies in human testing, expecting initial results by the end of June or early July.
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Potential Applications: Focus on both single and combination therapies, with a particular emphasis on protecting high-risk patients before and after vaccine availability.