Belgium Pharmaceuticals & Healthcare Report

Providing expert analysis, independent forecasts and competitive intelligence on the pharmaceuticals and healthcare industry.

Report includes: BMI Industry View, Industry SWOT Analysis, Industry Forecasts, BMI's Pharmaceuticals and Healthcare Risk Reward Index, Market Summary, Economic Forecasts, Company Profiles and Competitive Landscape.

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Belgium Pharmaceuticals & Healthcare Report
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BMI View : Belgium offers a stable pharmaceutical market with high per capita spe nding on medicines. However, drugmakers will increasingly find the government less willing to reimburse expensive, innovative medicines as it struggles to hit its fiscal targets.

Headline Expenditure Projections

  • Pharmaceuticals: From EUR5.84bn (USD6.47bn) in 2015 to EUR5.89bn (USD6.30bn) in 2016; +1.0% in local currency terms and -2.6% in US dollar terms.

  • Healthcare: From EUR42.12bn (USD46.72bn) in 2015 to EUR43.06bn (USD46.07bn) 2016; +2.2% in local currency terms and -1.4% in US dollar terms.

Headline Pharmaceuticals & Healthcare Forecasts (Belgium 2014-2020)
2014 2015 2016f 2017f 2018f 2019f 2020f
f = BMI forecast. Source: WHO, National Sources, BMI
Pharmaceutical sales, USDbn 7.730 6.470 6.300 6.570 6.970 7.400 7.550
Pharmaceutical sales, % of GDP 1.45 1.42 1.39 1.37 1.35 1.33 1.32
Pharmaceutical sales, % of health expenditure 14.1 13.9 13.7 13.6 13.4 13.3 13.2
Health spending, USDbn 54.720 46.720 46.070 48.460 51.950 55.660 57.250

Risk/Reward Index

In BMI's Q416 Western European Risk/Reward Index, Belgium scores 73.6 out of 100, maintaining the country's fourth position out of the 15 markets in the region from last quarter. Belgium performs well in the Rewards category on account of its high per capita drug consumption, but is closer to the regional average in terms of Risk due to its high levels of government bureaucracy.

Latest Updates

  • In July 2016, Syndax Pharmaceuticals announced it has secured an exclusive global licence from Belgian-based UCB's UCB6352, a high affinity antibody that binds to the colony stimulating factor 1 receptor (CSF-1R). Under the terms of the agreement, UCB will receive an upfront payment, milestones and tiered royalties on net sales, with Syndax responsible for development, manufacturing and worldwide commercialization.

  • In July 2016, Bellerophon Therapeutics announced it had received a health authority approval in Belgium to commence the Phase 2 trial for INOpulse, its patented and proprietary pulsatile nitric oxide [NO] delivery device, to treat pulmonary hypertension in chronic obstructive pulmonary disease (PH-COPD). This follows results from its Phase 2a study and proof of mechanism work, which indicated that INOpulse could be both safe and effective in PH-COPD.

BMI Economic View

The Belgian economy will lag behind the wider eurozone in real GDP growth terms over the coming years. We forecast real GDP growth to average 1.3% over the next decade, slightly below our average estimates for the currency union. However, relatively sluggish rates of growth will not pose systemic threats to financial stability in the country. Belgium will remain one of the region's most developed economies, with its citizens likely to continue enjoying relatively low levels of unemployment and high living standards.

BMI Political View

Political instability will remain highly elevated in Belgium over the coming quarters, even by historical standards. Belgium's divided regional system of parliaments means that forming governments has been difficult historically (it took over 500 days in 2011) and making decisions at federal level is often problematic. We believe 2016 and 2017 will be remembered as exceptionally difficult years for the government even by Belgian standards.

BMI Industry View
Table: Headline Pharmaceuticals & Healthcare Forecasts (Belgium 2014-2020)
Industry Forecast
Pharmaceutical Market Forecast
Table: Pharmaceutical Sales, Historical Data And Forecasts (Belgium 2012-2020)
Healthcare Market Forecast
Table: Healthcare Expenditure Trends, Historical Data And Forecasts (Belgium 2012-2020)
Table: Government Healthcare Expenditure Trends, Historical Data And Forecasts (Belgium 2012-2020)
Table: Private Healthcare Expenditure Trends, Historical Data And Forecasts (Belgium 2012-2020)
Prescription Drug Market Forecast
Table: Prescription Drug Market Indicators, Historical Data And Forecasts (Belgium 2012-2020)
Patented Drug Market Forecast
Table: Patented Drug Market Indicators, Historical Data And Forecasts (Belgium 2012-2020)
Generc Drug Market Forecast
Table: Generic Drug Market Indicators, Historical Data And Forecasts (Belgium 2012-2020)
OTC Medicine Market Forecast
Table: Over-The-Counter (OTC) Medicine Market Indicators, Historical Data And Forecasts (Belgium 2012-2020)
Pharmaceutical Trade Forecast
Table: Pharmaceutical Trade Data And Forecasts (Belgium 2014-2020)
Table: Pharmaceutical Trade Data And Forecasts local currency (Belgium 2014-2020)
Industry Risk/Reward Index
Western Europe Risk/Reward Index
Belgium Risk/Reward Index
Regulatory Review
Intellectual Property Issues
Pricing Regime
Reimbursement Regime
Table: Reimbursements by Category, 2009
Table: Price Build-Up for OTC Medicines
Market Overview
Healthcare Sector
Table: Healthcare Resources (Belgium 2010-2015)
Table: Healthcare Personnel (Belgium 2010-2015)
Table: Healthcare Activity (Belgium 2010-2015)
Research & Development
Clinical Trials
Competitive Landscape
Research-Based Industry
Table: Multinational Market Activity
Pharmaceutical Distribution
Pharmaceutical Retail Sector
Company Profile
Janssen Pharmaceutica
UCB Pharma
Demographic Forecast
Table: Population Headline Indicators (Belgium 1990-2025)
Table: Key Population Ratios (Belgium 1990-2025)
Table: Urban/Rural Population & Life Expectancy (Belgium 1990-2025)
Table: Population By Age Group (Belgium 1990-2025)
Table: Population By Age Group % (Belgium 1990-2025)
Pharmaceutical Expenditure Forecast Model
Healthcare Expenditure Forecast Model
Notes On Methodology
Risk/Reward Index Methodology
Index Overview
Table: Pharmaceutical Risk/Reward Index Indicators
Indicator Weightings

The Belgium Pharmaceuticals & Healthcare Report features BMI Research's forecasts for drugs and healthcare expenditure and imports and exports, focusing on the growth outlook for the prescription, OTC, patented drugs and generics market segments.

BMI's Belgium Pharmaceuticals & Healthcare Report provides industry professionals, strategists, company executives, investors, analysts and sales/marketing heads with independent forecasts and competitive intelligence on the Belgium pharmaceutical and healthcare industry.

Key Benefits

  • Benchmark BMI's pharmaceutical and healthcare market forecasts for Belgium, to test other views - a key input for successful budgeting and strategic business planning in the Belgian pharmaceutical and healthcare market.
  • Target business opportunities and risks in the Belgian pharmaceutical and healthcare sector through our reviews of latest industry trends, regulatory changes and major deals, projects and investments in Belgium.
  • Assess the activities, strategy and market position of your competitors using our company profiles (including SWOTs, KPIs and latest activity) and competitive landscape tables.


BMI Industry View

An at-a-glance perspective on the latest regulatory developments, key forecast indicators and major corporate developments, covering the prescription, OTC and generics markets. The pharmaceuticals and healthcare SWOT outlines strategic factors that affect the basic assumptions underpinning BMI’s forecast analysis, and taken together with BMI’s political, economic and business environment SWOTs, it gives a complete overview of market climate.

BMI Industry Forecast Scenario

Industry forecasts to end-2019 for all key indicators, supported by explicit assumptions, plus analysis of key downside risks to the main forecasts:

  • Healthcare: Total healthcare expenditure (USDbn), healthcare expenditure (% of GDP), healthcare expenditure per capita (USD), hospital beds, doctors, and birth & mortality rates (all per ‘000 population).
  • Pharmaceutical Market: Drug expenditure in USDbn, % of GDP and per capita (USD).
  • Patented Drug Market: Prescription drug sales (USDbn & % of total sales).
  • Generic Drug Market: Generic product sales (USDbn), generic sales (% of total sales).
  • OTC Drug Market: OTC sales (USDbn & % of total sales).
  • Macroeconomic Forecasts: Nominal and real GDP, % real GDP growth, % private consumption growth, % industrial output growth, % consumer price index, % GDP price deflator, exports, imports, trade balance, current account balance, foreign direct investment, exchange rate against USD, government expenditure and external debt.

BMI’s Pharmaceuticals and Healthcare Risk Reward Index

BMI’s Risk Reward Index provides investors (both national and multinational) looking for opportunities in the region with a clear country-comparative assessment of the market’s risks and potential rewards. Each of the country markets are scored using a sophisticated model that includes more than 40 industry, economic and demographic data points to provide indices of highest to lowest appeal to investors, with each position explained.

Market Summary

A snapshot of key market characteristics, including total size of the pharmaceuticals and healthcare segments, growth drivers, leading therapeutic areas and the competitive landscape

Industry Developments

A focus on government healthcare reforms, epidemiological trends, mergers and acquisitions, product launches, market entries, FDI activity, R&D, biotechnology, clinical trials and supply chain issues.

Regulatory Regime

Details of the industry regulatory framework and key legislation covering the licensing of new products/services, pricing and reimbursements, intellectual property, taxation and advertising, as well as analysis of the overall regulatory burden.

Competitive Landscape

The competitive landscape section provides comparative company analyses and index by USD sales and % share of total sales – for the total pharmaceutical sector, as well as the OTC, generics and distribution sub-sectors.

Company Profiles*

Examines the competitive positioning and short- to medium-term business strategies of key industry players. Strategy is examined within the context of BMI’s industry forecasts, our macroeconomic views and our understanding of the wider competitive landscape to generate Company SWOT analyses. The latest financial and operating statistics and key company developments are also incorporated within the company profiles, enabling a full evaluation of recent company performance and future growth prospects.

*Company profiles are not available for every country. Those reports instead contain information on the current activities of prominent companies operating in the market.