Preview Issue #4 - Mylan Capitulates, M&A Activity Heats Up and the Negative Political Backdrop

INO Health & Biotech Stock Guide

Preview Issue #3 - October 13th, 2016

BIOTECH, HEALTH & PHARMA NEWS

Mylan has been a whipping post as of late over its aggressive pricing increases regarding its EpiPen which uses an auto-injection of epinephrine to treat severe allergic reactions in primarily school age children. As a result, Mylan has ostensibly capitulated in the face of public and governmental scrutiny regarding its EpiPen pricing with implementing plans to offer a generic version and a $465 million settlement with the U.S. department of Justice to appease the public and improve its company image. The relentless congressional grilling on Capitol Hill and public backlash against Mylan and its CEO looks to have spurred the company into offering a generic and cheaper version of its EpiPen as well as providing more EpiPen via its access programs. However, congressional leaders continue to criticize Mylan over its alleged misrepresentation of profits and under paying Medicare in rebates. Congressional leaders stated that Mylan was dishonest when it incorrectly applied a statutory U.S. tax rate on its EpiPen revenue. The company is technically based ex-U.S. and thus pays a lower tax rate. Furthermore, the company has been accused of misclassifying the EpiPen to game the Medicaid Drug Rebate Program. Mylan has been reportedly paying a 13% rebate that is reserved for generics while the brand name EpiPen should be at a minimum of a 21% rebate rate. Congressional leaders have vowed to recoup the difference over the past five years Medicaid has spent on EpiPens (total Medicaid spending from 2011 through 2015 was reported to be $960 million for the EpiPen). To this end, Mylan just settled a $465 million lawsuit regarding this egregious misclassification under the Medicaid Drug Rebate Program. This negative publicity along with continuous political attacks has been a major overhang impacting biotech stocks. This public and contentious battle with government officials and the general public doesn’t bode well for the entire healthcare cohort. With ongoing presidential debates and political posturing still occurring, this will likely continue to be a source of volatility. Buying opportunities may present themselves throughout the sector due to extraneous political rhetoric regarding the drug pricing debate and the entire drug supply chain dynamics.

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Visa - A Great Long-Term Core Holding

Noah Kiedrowski - INO.com Contributor - Biotech


Introduction

Visa’s worldwide industry leading payments technology, dominance in the credit transaction space, secular growth towards cashless societies, Visa Europe acquisition, growing dividends, share buybacks and accelerating revenue and EPS growth culminate into a compelling investment case as a great long-term portfolio holding. As many countries make a secular transition towards cashless societies, the credit card transaction space will continue to reap the rewards of this trend via swipe fees and other services. Globally, Visa has been at the forefront of this space, accounting for more than 45% and 68% of all credit card and debit card transactions, respectively. Visa Inc. (NYSE:V) has it eyes set on capturing more market share from competitors such as Mastercard and more notably American Express in recent months via securing long-term branded credit card relationships with Costco, Fidelity and USAA. Visa has recently signed a partnership with PayPal which allows U.S. merchants with a Visa payWave reader to accept PayPal as a form of payment thus leveraging Visa’s payments network while benefiting Visa and merchants alike. Visa is unique in that it does not take on any financial liability as it serves as an intermediary to process payment transactions and capturing a fee for its payments technology/network. I feel that Visa is a great long-term holding that offers growth and stability independent of banks and/or interest rates. Continue reading "Visa - A Great Long-Term Core Holding"

Preview Issue #3 - Pharma Acquisitions Change The Game

INO Health & Biotech Stock Guide

Preview Issue #3 - Sept 28th, 2016

BIOTECH, HEALTH & PHARMA NEWS

Myan’s CEO is grilled by congressional leaders on Capitol Hill, Allergan (NYSE:AGN) and Johnson & Johnson (NYSE:JNJ) step up merger and acquisition activity and the presidential debates are underway.

Mylan has dominated the pharma news headlines recently over its aggressive pricing increases regarding its EpiPen which uses an auto-injection of epinephrine to treat severe allergic reactions, particularly deadly in school age children. Since Mylan acquired the product in 2007, and the “list” price increased from $100 in 2008 to its current “list” price of ~$600. Elijah Cummings Continue reading "Preview Issue #3 - Pharma Acquisitions Change The Game"

Preview Issue #2 - Mylan, Walgreens & IBB

INO Health & Biotech Stock Guide

Preview Issue #2 - Sept 21st, 2016

BIOTECH, HEALTH & PHARMA NEWS

Hillary Clinton has thrusted the drug pricing debate onto center stage once again after calling out Mylan for its aggressive price increases over the past decade for its EpiPen. The EpiPen uses an auto-injection of epinephrine to treat severe allergic reactions, particularly deadly in school age children. Mylan acquired the product in 2007, and the “list” price increased from $100 in 2008 to its current “list” price of ~$600. Hillary Clinton was quoted as stating:

Continue reading "Preview Issue #2 - Mylan, Walgreens & IBB"

The Political Biotech Charade

Noah Kiedrowski - INO.com Contributor - Biotech


Hillary Clinton is once again going after the pharmaceutical companies in the form of drug pricing attacks. Her latest attack was on Mylan and its aggressive 400 percent price increase over the past decade for its EpiPen drug which uses an auto-injection of epinephrine to treat severe allergic reactions. Mylan acquired the product in 2007, and the price increased from $100 in 2008 to its current cost of ~$600. Hillary Clinton was quoted as stating:

"That's outrageous — and it's just the latest troubling example of a company taking advantage of its consumers," and "It's wrong when drug companies put profits ahead of patients, raising prices without justifying the value behind them."

Even more, after her initial Tweet the iShares Nasdaq Biotechnology ETF (PACF:IBB) sold off ~5% within minutes and moved from $299 to $279 per share by the next day or 6.7% over a two day period (Figures 1 and 2).

Hillary Clinton EpiPen Tweet
Figure 1 – Hillary Clinton’s remarks pertaining to the EpiPen price increase

Correlation between Hillary Clinton’s tweet and the subsequent sell-off of the biotech cohort
Figure 2 – Correlation between Hillary Clinton’s tweet and the subsequent sell-off of the biotech cohort

Former Vermont governor Howard Dean also came out swinging against the pharmaceutical and health-care industry stating that reform is needed which necessitates "far more sweeping" than what Dodd-Frank did for the financial industry. He further went on to state: Continue reading "The Political Biotech Charade"