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In the August 2005 issue:

Teva Stays on Top of Generics With $8 Billion Purchase of Ivax
To recapture its title as the world’s biggest generic pharma company, Teva is paying $8 billion for Ivax Corp.
...
August’s Torrid Health Care M&A Market
A total of 82 mergers and acquisitions were announced during the past four weeks. $15.4 billion was committed to fund this spate of M&A activity.
...
In The Departments
Services
Health Care Services
Deal Summaries
Additional Transactions
Transaction Updates

Technology
Health Care Technology
Deal Summaries
Additional Transactions
Transaction Updates

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Companies mentioned in this issue:

A
Advent International p12
Amedisys p2
Aptuit p10
Arakis Limited p12
Ashland Regional Medical Center p4
B
Banc of America Securities, LLC p12
Baptist Health Systems p4
Baxter Healthcare p4
Beech Street Corporation p10
Beverly Enterprises p10
BioSource International p12
C
Cantel Medical Corp. p12
Capella Healthcare p3
Carlinville Area Hospital p3
Chartwell REIT p10
Children’s and Women’s Hospital p4
Cigna HealthCare p10
Community Health Systems p4
Concentra Operating Corp. p10
Conemaugh Health System p4
Cortec Group Fund III, LP p12
Credit Suisse First Boston p11
Crosstex International p12
Cullman Regional Medical Center p4
CuraScript p11
D
DaVita p4
E
Emory University p13
Essent Healthcare p4
Express Scripts p2
F
Fisher Scientific p10
Fresenius p9
G
Gambro Healthcare p4
Gilde Healthcare p12
Gilde Investment Management p12
Gilead Sciences p13
GlaxoSmithKline p11
GlycArt Biotechnology p12
GTCR Golder Rauner p3
Guilford Pharmaceuticals p13
Gulf Health Hospitals p3
H
HCA p3
Healthcare Authority of Cullman County p4
Home Care Plus p2
Horizon Bay Management, LLC p10
Hospital Partners of America p3
I
iMage1 Network p9
Infirmary Health Systems p3
ING Real Estate Australia Pty Limited p10
Integrated Regional Laboratories p9
Invitrogen p12
Ivax Corp. p1
J
JP Morgan Securities p11
K
Kaupthing Bank p12
Knollwood Hospital p4
L
LabOne p4
Lancaster Laboratories p10
Lazard p13
Lehman Brothers p11
LHC Group p2
LifeCare Holdings p3
LifePoint Hospitals p4
Lipid Sciences p13
M
Managed Care Consultants of Nevada p10
Mariner Health Care p10
MBK Real Estate p10
MBK Senior Living p10
MDS Laboratories p9
Meda AB p12
Medical Center of Southern Indiana p4
Meridian Retirement Communities p10
MGI Pharma p13
Millennium Pharmaceuticals p13
Monroe Surgical Hospital p3
MVP Health Plan p10
N
National American Senior Care p10
NCARE p2
North Monroe Medical Center p3
Novartis p1
O
Occupational Health + Rehabilitation p10
Odyssey HealthCare p3
Ossur, hf p12
P
PainCare Holdings p10
Palo Verde Hospital in California p4
Pfizer p11
Piedmont Center for Spinal Disorders p10
Preferred Care p10
Priority Healthcare Corp. p2
Province Healthcare p4
Proxicom p12
Purdue Pharma p11
Q
Quest Diagnostics p4
Quintiles p10
R
Renaissance Senior Living p10
Renal America p4
Renal Care Group p9
Roche Holding p12
Rothschild Investment Bank p13
Royalty Pharma p13
Royce Medical Holding Co. p12
S
Schering-Plough Corp. p13
Sosei Co. Ltd. p12
SpectraCare p2
St. Francis Medical Center p3
Stada Arzneimittel p1
Sterling Senior Communities p10
Sunbury Community Hospital p4
Symbion p10
T
Teva Pharmaceuticals p1
The Carlyle Group p3
The University of South Alabama p4
Thomas Hospital p3
Total I Imaging p9
Triangle Pharmaceuticals p13
U
UBS Investment Bank p11
Ultra Open MRI Corp. p9
UPMC p4
UPMC Lee Regional p4
V
Viatris GmbH &. Co. KG p12
VNA-TIP p3
W
Welsh, Carson, Anderson & Stowe p4

Teva Stays on Top of Generics With $8 Billion Purchase of Ivax

Rapid consolidation among generic pharmaceutical companies is continuing through the sweltering days of the summer. Last month’s issue reported that Teva Pharmaceuticals (NASDAQ: TEVA) was on the prowl for an acquisition that would make it once again the largest generic pharmaceutical firm in the world, a position from which it was being deposed by Novartis (NYSE: NVS). We thought that after its large, $3.4 billion acquisition of Sicor in 2004, Teva would select a target of more modest size, such as Germany’s Stada Arzneimittel (DE: STAGn).

As it turns out, Teva had its sights set on bigger game. Bypassing Stada and the German market altogether, the company decided to reclaim its position as the world’s largest generic pharma company by acquiring Miami-based Ivax Corp. (AMEX: IVX) in a transaction valued at $8 billion.

Based in Petach Tikva, Israel, Teva rose from humble origins. What once consisted of three Jewish wholesalers selling imported medicines from the backs of donkeys and camels in Israel 40 years before it even became a state, has grown to become the world’s largest generic pharmaceutical company—until, that is, Novartis’ Sandoz generic unit knocked it out of first place by buying two generic companies earlier this year. Teva’s current products include a generic version of the ulcer drug Prilosec and a version of the narcotic painkiller OxyContin that it began selling after manufacturer Purdue Pharma lost the patent to that drug in litigation. Purdue continues to make the drug, but has licensed sales to none other than Ivax.

The world’s fourth-largest generic pharmaceutical company, Ivax develops and manufactures branded and brand-equivalent pharmaceuticals and veterinary products. It has a strong portfolio anchored in respiratory drugs, many of which use inhalation therapy. Also in its portfolio are generic versions of Pfizer’s (NYSE: PFE) Zoloft antidepressant and GlaxoSmithKline’s (NYSE: GSK) Zofran for nausea. Besides its geographic base in the U.S. market, IVX also has a solid presence in Latin America and Central and Eastern Europe. On a trailing 12-month basis, Ivax generated revenue of $1.9 billion, EBITDA of $324 million and net income of $189 million.

Under terms of the deal, each share of Ivax is to be exchanged for $26 in cash or 0.8471 TEVA ADRs; however, the cash and stock portions are to be split evenly. Also to be factored into the price is the assumption of IVX’s long-term debt, which is about $1.06 billion. This yields a grand total of $7.96 billion. This figure offers IVX shareholders a 14% premium over the stock’s prior-day price. On news of the announcement, IVX shares rose 11%, nearly nullifying the premium, while TEVA’s shares slipped only 1%. As an aside, Stada Arzneimittel’s shares fell 3% as the announcement of this deal scotched any remaining speculation that Stada was Teva’s primary target.

The resulting valuation is 4.2x revenue and 24.5x EBITDA. The combination of the two creates a generic company with 300 products in the U.S. market; and while it will generate $7 billion in global revenue from 50 countries, almost 60% of that will come from U.S. sales. It will have approximately 12% of the worldwide $58 billion generic market. This gives Teva a decisive lead over Sandoz, securing its role as the unquestioned leader in the generic space. And it will have pretty much cornered the market on generic OxyContin.

The deal will be initially financed with $1.5 billion of cash from Teva and Ivax and bank credit lines. Teva will then try to sell some kind of debt securities. Lehman Brothers and Credit Suisse First Boston acted as financial advisors to TEVA while UBS Investment Bank acted as financial advisor to IVX.

Generic pharma and PBMs

All this M&A activity among generic pharmaceutical companies has some people worried. Will industry consolidation lead to a smaller universe of generic pharma companies and, consequently, to a less competitive environment? If so, won’t this tend to raise the price of generic drugs? Following this train of thought, won’t higher prices negatively impact the pharmacy benefits managers, or PBMs, which are major customers of pharmaceutical companies?

Even with accelerating consolidation in this sector, we do not see the universe of generic pharma companies shrinking significantly, at least not in the short term. First, we are seeing new entrants into the field. Some may be de novo with venture backing, while others could come from contract manufacturers who decide to make drugs for themselves.

Second, since generics will continue to compete with branded pharma manufacturers, their raison d’être remains to provide lower-cost versions of pharmaceuticals. So as the Medicare, Part D prescription drug benefit comes into full swing, the generic companies will compete to gain market share from each other and the big pharma firms, even if that means keeping prices low.

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