Secondary Sales — Apr
₹18.4 Cr
Trade channel MTD
↑ 13% MoM
PAP Enrolled
2,841
↑ 141 MoM
New Initiations
214
↑ 3% MoM
Tagrisso Mkt Share
42%
↑ 4pp YoY
IB Revenue YTD
₹8.4 Cr
↑ 16% YoY
PAP Programme
Patient access · Apr 2025
Tagrisso
1,624
active patients
Enhertu
1,217
active patients
Initiation trend — Nov to Apr
Adherence
78%
Avg Cycles
8.2
At Risk
187
HCP Analytics
Field performance · Apr 2025
Total HCPs
1,247
8 territories
Active Rx
418
last 30 days
NBRX trend — Nov to Apr
Tier 1
186
Dormant
203
Top 10% →
58%
Distribution
Secondary & supply · Apr 2025
Secondary
₹18.4 Cr
Apr MTD
May Fcst
₹20.1 Cr
↑ 9% projected
Secondary trend — Nov to Apr
Critical
1
Low Stock
2
Distributors
48
Market Intelligence
IPSOS · Q1 2025
Tagrisso (NSCLC)42%
↑ 4pp YoY · 8pp above market growth rate
Enhertu (HER2+)28%
↑ 17pp above market growth rate
YoY Growth vs Market
+22%
Tagrisso
+31%
Enhertu
+14%
Market
IB Performance
Institutional channel · YTD
TG IB Rx
1,942
↑ 16% YoY
ENH IB Rx
1,342
↑ 28% YoY
6M Waterfall Forecast
Apr → Oct 2025
₹24.8 Cr
from ₹18.4 Cr baseline
Accounts
84
New QTD
7
Declining
5
Top Accounts
Customer 360 · Rx momentum
AH
186 Rx YTD · Both brands
TM
162 Rx YTD · Both brands
AI
148 Rx YTD · Both brands
RG
124 Rx YTD · Tagrisso only
YH
96 Rx YTD · Tagrisso only
Total HCPs
1,247
Across 8 territories
Tier 1 Doctors
186
↑ 12 this month
Active Prescribers
418
Rx in last 30 days
Dormant HCPs
203
No Rx in 60+ days
NBRX Trend — last 6 months
Combined brands
Tagrisso
Enhertu
HCP Tier Distribution
By prescribing volume — YTD
Tier 1186
Tier 2418
Tier 3643
HCP Performance Table
Sorted by NBRX YTD
| HCP | Territory | Tier | Tagrisso Rx | Enhertu Rx | Last Rx | Status | Action |
|---|---|---|---|---|---|---|---|
| Dr. Priya Mehta | Mumbai North | Tier 1 | 22 | 20 | Apr 10 | Both | ↑ +18% |
| Dr. Arjun Kapoor | Delhi NCR | Tier 1 | 35 | 0 | Apr 2 | Tagrisso | Flat |
| Dr. Rahul Sharma | Hyderabad | Tier 2 | 12 | 14 | Mar 28 | Both | ↑ +9% |
| Dr. Kavitha Nair | Chennai | Tier 3 | 8 | 6 | Mar 22 | Both | ↓ –5% |
Showing 1–4 of 1,247 HCPs
PM
Dr. Priya Mehta
Both BrandsTier 1
Medical Oncologist · Sir H.N. Reliance Foundation Hospital, Mumbai
NSCLCHER2+ BreastGastric/GEJ
ZBM: Sneha Patil · Territory: Mumbai North · HCP-00341
Rx Volume Trend
Monthly NBRX · both brands
Tagrisso
Enhertu
Rx by Indication
YTD prescription split
NSCLC (Tagrisso)
22 52%
HER2+ Breast (Enhertu)
14 33%
Gastric/GEJ (Enhertu)
6 15%
Prescribing Frequency
Time between repeat orders
Avg gap (Tagrisso)
16d
Avg gap (Enhertu)
22d
Longest gap seen
41d
Orders this month
6
New vs Continuation Rx
Patient type split — YTD
New patients
26
62% of total Rx
Continuation Rx
16
38% of total Rx
Split by brand
Tagrisso
Enhertu
Patient Dropout Rate
Discontinuation by indication
14%
Overall YTD dropout
Tagrisso — NSCLC 1st line8%
Tagrisso — NSCLC 2nd line22%
Enhertu — HER2+ Breast18%
Enhertu — Gastric/GEJ25%
White Space Opportunity
342
Doctors on 1 brand only
Tagrisso Only
214
Enhertu not started
Enhertu Only
128
Tagrisso not started
Dual Brand Prescribers
204
↑ 22 this quarter
Tagrisso only
214
TagrissoHigh-value Tier 1 & 2 doctors active on Tagrisso with zero Enhertu Rx. Primary cross-sell priority for field teams.
Enhertu only
128
EnhertuOncologists with HER2+ focus not yet introduced to Tagrisso NSCLC data. Strong scientific case to make.
Both brands
204
BothFully activated doctors. Focus on share of wallet, volume deepening, and referral network activation.
No Rx — dormant
701
DormantReceived engagements but no prescription placed. Barrier investigation needed by field team.
Priority cross-sell list — Tagrisso → Enhertu
Tier 1 & 2 Tagrisso prescribers with zero Enhertu Rx
| HCP | Territory | Tagrisso Rx (YTD) | Last Tagrisso Rx | Enhertu Status | Engagements YTD | Priority |
|---|---|---|---|---|---|---|
| Dr. Arjun Kapoor | Delhi NCR | 35 | Apr 2 | Not started | 3 | High |
| Dr. Mehul Desai | Ahmedabad | 24 | Mar 20 | Not started | 2 | High |
| Dr. Ravi Iyer | Pune | 19 | Mar 30 | Not started | 4 | Medium |
YTD Actual Patients
804
vs 930 planned (Q1)
YTD Compounded Gap
–126
Carried into Apr target
Territories on Track
5/8
↑ 1 vs last month
Apr Revised Target
328
Base 265 + 63 compounded
Monthly plan vs actual — 2025
| Month | Target | Actual | Achievement | Gap | Status |
|---|---|---|---|---|---|
| January | 285 | 262 | 92% | –23 | Under |
| February | 290 | 272 | 94% | –18 | Under |
| March | 310 | 270 | 87% | –40 | Gap |
| April (MTD) | 265 | – | – | – | In Progress |
Top 10% HCPs drive
58%
of total Rx volume
Top 25% threshold
82%
of NBRX YTD
Gini Coefficient
0.64
High concentration
Move-up candidates
34
Near Tier 2 threshold
Concentration curve — NBRX YTD
1,247 HCPs sorted by Rx volume
Actual curve
Equality line
25% threshold
50% threshold
Total Enrolled Patients
2,841
Active as of Apr 2025
Active on Tagrisso
1,624
↑ 87 vs last month
Active on Enhertu
1,217
↑ 54 vs last month
New Initiations (Apr)
214
↑ 3% MoM
New Initiations — 6 Month Trend
Total Initiations by Brand
Monthly new patient starts — all brands
Tagrisso
Enhertu
Initiations by Zone — Apr 2025
Zone-wise new patient starts
North Zone62
South Zone58
West Zone54
East Zone40
MoM Change by Zone
North↑ +13%
South↑ +12%
West↑ +8%
East↑ +5%
Adherence & Days of Therapy
Adherence Curve — Cohort Survival
% patients still on therapy by cycle number
Tagrisso 82%Enhertu 74%
| Zone | Tagrisso | Enhertu | Overall | Trend |
|---|---|---|---|---|
| North | 84% | 76% | 80% | ↑ +2pp |
| South | 86% | 79% | 82% | ↑ +4pp |
| West | 81% | 73% | 77% | ↑ +1pp |
| East | 78% | 69% | 74% | Flat |
DOT Trend — Days of Therapy
Monthly DOT by brand — last 6 months
Tagrisso
Enhertu
Avg Cycles
8.2
per patient
Median Cycles
7
per patient
Programme Breakdown — Indication & Cycle Profile
Enrolments by Indication
Last 6 months — stacked by indication
NSCLC (Tagrisso)
HER2+ Breast
Gastric/GEJ
Cycle Distribution
Patient population by cycle band
Avg Cycles
8.2
Median
7
Max Observed
24
Total Units Dispensed (Apr)
3,847
Paid + FOC combined
Paid Units
2,614
68% of total
FOC Units
1,233
32% of total
FOC Ratio (YTD)
30%
↑ 2pp vs last yr
Paid vs FOC Units — Last 6 Months
Monthly unit trends by type
Paid Units
FOC Units
Monthly Unit Details
| Month | Paid Units | FOC Units | Total | FOC % | MoM Growth |
|---|---|---|---|---|---|
| November | 1,920 | 620 | 2,540 | 24% | – |
| December | 2,040 | 690 | 2,730 | 25% | ↑ 7% |
| January | 2,180 | 780 | 2,960 | 26% | ↑ 8% |
| February | 2,310 | 890 | 3,200 | 28% | ↑ 8% |
| March | 2,490 | 1,080 | 3,570 | 30% | ↑ 12% |
| April | 2,614 | 1,233 | 3,847 | 32% | ↑ 8% |
Forecast Total (H2 2025)
26,800
Paid + FOC units (6 months)
Forecast Paid Units
18,200
↑ 18% vs H1
Forecast FOC Units
8,600
32% projected ratio
Forecast Confidence
87%
Model R² = 0.91
Unit Forecast — Next 6 Months
Actuals + forecasted units with confidence bands
Paid Units (actual)
Paid Units (forecast)
FOC (actual)
FOC (forecast)
6-Month Unit Forecast Summary
| Month | Paid Forecast | FOC Forecast | Total Forecast | YoY Growth | Confidence |
|---|---|---|---|---|---|
| May 2025 | 2,760 | 1,290 | 4,050 | ↑ 16% | 92% |
| June 2025 | 2,890 | 1,350 | 4,240 | ↑ 18% | 90% |
| July 2025 | 3,020 | 1,410 | 4,430 | ↑ 19% | 87% |
| August 2025 | 3,100 | 1,460 | 4,560 | ↑ 20% | 84% |
| September 2025 | 3,200 | 1,520 | 4,720 | ↑ 21% | 82% |
| October 2025 | 3,230 | 1,570 | 4,800 | ↑ 22% | 80% |
Accounts Tracked
94
Active of top 100 YTD
Growing Accounts
61
↑ Rx vs prior period
Declining Accounts
18
Needs field attention
Avg Rx / Account (YTD)
32
Top 100 combined
Top Accounts — Rx Evolution
Click any account to view Account Summary
| # | Account Name | City / Zone | Tagrisso Rx | Enhertu Rx | Total Rx (YTD) | vs Prior Period | Status |
|---|---|---|---|---|---|---|---|
| 1 | Apollo Hospitals — Mumbai | Mumbai / West | 112 | 74 | 186 | ↑ +18% | Growing |
| 2 | Tata Memorial Centre — Mumbai | Mumbai / West | 98 | 64 | 162 | ↑ +14% | Growing |
| 3 | AIIMS — Delhi | Delhi / North | 90 | 58 | 148 | ↑ +9% | Growing |
| 4 | Rajiv Gandhi Cancer Institute | Delhi / North | 124 | 0 | 124 | ↑ +5% | Stable |
| 5 | Yashoda Hospital — Hyderabad | Hyderabad / South | 96 | 0 | 96 | ↓ –12% | Declining |
| 6 | Fortis Cancer Institute — Noida | Noida / North | 52 | 36 | 88 | ↑ +7% | Growing |
Showing 1–6 of 94 accounts
Customer 360 ›
AH
Apollo Hospitals — Mumbai
Both Brands
Key Account
Tertiary Cancer Centre · 18 oncologists on network · Mumbai West Territory
NSCLC
HER2+ Breast
Gastric/GEJ
KAM: Rohan Verma · Account Since: Jan 2023
Adoption Across Brands
Share of prescribers per brand at this account
Tagrisso11/18 HCPs
61% prescriber penetration
Enhertu8/18 HCPs
44% prescriber penetration
Non-Sales Engagements (YTD)
Scientific & educational touchpoints
CME / Symposia6
Advisory Board2
Webinars / KOL Talks8
Publication Sharing14
Events — Upcoming & Past
Engagement events tracked at this account
| Event | Type | Date | Attendees | Brands Covered | Status |
|---|---|---|---|---|---|
| NSCLC Masterclass — Apollo Mumbai | CME | Apr 20, 2025 | 12 HCPs | Tagrisso | Upcoming |
| HER2+ Oncology Roundtable | Advisory | Mar 28, 2025 | 8 HCPs | Enhertu | Completed |
| Tumour Board Presentation | Scientific | Mar 15, 2025 | 6 HCPs | Both | Completed |
Active Distributors
48
Across 28 cities
Orders in Transit
124
Across all zones
Orders Placed (MTD)
58
↑ 11% vs last month
Delivered (MTD)
216
Confirmed deliveries
Distributor Network Overview
Current stock & status by distributor
| Distributor | City / Zone | Tagrisso Stock | Enhertu Stock | Last Order | Alert |
|---|---|---|---|---|---|
| Apex Pharma Dist. | Mumbai / West | 86 units | 42 units | Apr 12 | OK |
| Medline Distributors | Delhi / North | 22 units | 38 units | Apr 10 | Low Stock |
| CureMax Pharma | Chennai / South | 54 units | 4 units | Apr 8 | Critical |
| HealthFirst Dist. | Kolkata / East | 18 units | 14 units | Apr 7 | Monitor |
| Prime Healthcare | Pune / West | 68 units | 31 units | Apr 13 | OK |
Order Processing Pipeline
Current order status snapshot
Order Placed58
Processing / WH Pick34
In Transit22
Delivered (MTD)216
Stockout Risk
Distributors flagged for immediate action
CureMax Pharma — Chennai
Enhertu: 4 units · ~2 days cover
Medline Distributors — Delhi
Tagrisso: 22 units · ~5 days cover
HealthFirst Dist. — Kolkata
Both brands below reorder point
Secondary Sales (Apr)
₹18.4 Cr
Trade channel MTD
Tagrisso Secondary
₹11.2 Cr
↑ 14% MoM
Enhertu Secondary
₹7.2 Cr
↑ 11% MoM
Secondary vs Primary
98%
Channel equilibrium
Secondary Sales Trend by HQ
Monthly trend by headquarter / territory
| HQ / Territory | Nov | Dec | Jan | Feb | Mar | Apr | MoM |
|---|---|---|---|---|---|---|---|
| Mumbai North | ₹2.8 Cr | ₹3.1 Cr | ₹3.4 Cr | ₹3.6 Cr | ₹3.9 Cr | ₹4.2 Cr | ↑ 8% |
| Delhi NCR | ₹2.4 Cr | ₹2.6 Cr | ₹2.9 Cr | ₹3.1 Cr | ₹3.3 Cr | ₹3.6 Cr | ↑ 9% |
| Hyderabad | ₹1.8 Cr | ₹2.0 Cr | ₹2.2 Cr | ₹2.4 Cr | ₹2.5 Cr | ₹2.7 Cr | ↑ 8% |
| Chennai | ₹1.6 Cr | ₹1.7 Cr | ₹1.9 Cr | ₹2.0 Cr | ₹2.1 Cr | ₹2.3 Cr | ↑ 10% |
| Kolkata | ₹1.2 Cr | ₹1.3 Cr | ₹1.4 Cr | ₹1.4 Cr | ₹1.4 Cr | ₹1.4 Cr | Flat |
Total Closing Stock
2,840
Units across all distributors
Tagrisso Stock
1,720
~14 days coverage
Enhertu Stock
1,120
~12 days coverage
Overstocked (>45d cover)
4
Distributors to review
Distributor Closing Stock & Inventory Trend
Monthly closing stock levels
Tagrisso
Enhertu
Distributor-wise Inventory Status
| Distributor | Tagrisso Closing | Enhertu Closing | Days Cover | Stock Trend | Status |
|---|---|---|---|---|---|
| Apex Pharma Dist. | 420 | 280 | 16d | ↑ Building | OK |
| Medline Distributors | 380 | 240 | 14d | Stable | OK |
| CureMax Pharma | 280 | 60 | 7d | ↓ Depleting | Critical |
| HealthFirst Dist. | 220 | 160 | 10d | Stable | Watch |
Projected Demand (May)
3,180
Units across both brands
Current Network Stock
1,560
↓ Below 60-day cover
Demand vs Supply Balance — May to Oct 2025
Projected Demand vs Available Stock
6-month forward view · both brands combined
Projected Demand
Available Stock
Gap / Shortfall
SKU-Level Demand Plan
Brand · pack · forecast vs current stock
| SKU | May Demand | Jun Demand | Network Stock | Days Cover |
|---|---|---|---|---|
| Tagrisso 80mg — 30T | 1,840 | 1,960 | 1,620 | 26d |
| Tagrisso 40mg — 30T | 480 | 510 | 280 | 17d |
| Enhertu 100mg — Vial | 620 | 650 | 180 | 8d |
| Enhertu 160mg — Vial | 240 | 260 | 310 | 38d |
Zone-Level Coverage Assessment
Inventory Coverage by Zone — May 2025
Stock days cover vs minimum 30-day threshold
| Zone | Tagrisso Stock | TG Days Cover | Enhertu Stock | ENH Days Cover |
|---|---|---|---|---|
| North Zone | 620 units | 38d | 82 units | 21d |
| South Zone | 540 units | 34d | 110 units | 32d |
| West Zone | 280 units | 19d | 38 units | 9d |
| East Zone | 380 units | 31d | 64 units | 18d |
Forecast Secondary (May)
₹20.1 Cr
Next month projection
Model Accuracy (MAE)
3.2%
Mean absolute error
6M Forecast Total
₹130.5 Cr
↑ 22% vs prior 6M
Peak Month
Oct 2025
₹25.4 Cr projected
Secondary Forecast — Next 6 Months
Actuals + model forecast based on PAP trajectory & current secondary trend
Actual Secondary
Forecast
6-Month Secondary Forecast Summary
| Month | Tagrisso Forecast | Enhertu Forecast | Total Forecast | MoM Growth |
|---|---|---|---|---|
| May 2025 | ₹12.4 Cr | ₹7.7 Cr | ₹20.1 Cr | ↑ 9% |
| Jun 2025 | ₹13.1 Cr | ₹8.2 Cr | ₹21.3 Cr | ↑ 6% |
| Jul 2025 | ₹13.8 Cr | ₹8.6 Cr | ₹22.4 Cr | ↑ 5% |
| Aug 2025 | ₹14.4 Cr | ₹9.0 Cr | ₹23.4 Cr | ↑ 4% |
| Sep 2025 | ₹14.9 Cr | ₹9.4 Cr | ₹24.3 Cr | ↑ 4% |
| Oct 2025 | ₹15.6 Cr | ₹9.8 Cr | ₹25.4 Cr | ↑ 5% |
Tagrisso Net Price/Unit
₹1.42L
Apr 2025 net realized
Enhertu Net Price/Unit
₹2.18L
Apr 2025 net realized
Price Premium vs Comp.
+8%
Tagrisso vs nearest comp.
Price Index
1.08
vs competitor average
Competitive Price Analytics — NSCLC
Net price per treatment cycle comparison
| Brand | Company | Indication | List Price | Net Realized | vs Tagrisso | Price Trend |
|---|---|---|---|---|---|---|
| Tagrisso 80mg | AstraZeneca | NSCLC EGFR+ | ₹1.58L | ₹1.42L | — | Stable |
| Gefitinib 250mg | Competitor | NSCLC EGFR+ | ₹0.68L | ₹0.62L | –56% | ↓ Declining |
| Erlotinib 150mg | Competitor | NSCLC EGFR+ | ₹0.72L | ₹0.65L | –54% | Stable |
| Afatinib 40mg | Competitor | NSCLC EGFR+ | ₹1.24L | ₹1.12L | –21% | ↑ Rising |
Competitive Price Analytics — HER2+
Enhertu vs competitive landscape
| Brand | Company | Indication | List Price | Net Realized | vs Enhertu | Price Trend |
|---|---|---|---|---|---|---|
| Enhertu 5.4mg/kg | AZ / Daiichi | HER2+ Breast | ₹2.42L | ₹2.18L | — | Stable |
| Trastuzumab | Competitor | HER2+ Breast | ₹0.92L | ₹0.82L | –62% | ↓ Declining |
| Pertuzumab | Competitor | HER2+ Breast | ₹1.84L | ₹1.66L | –24% | Stable |
IB Total Revenue (YTD)
₹8.4 Cr
Institutional channel
Tagrisso IB Rx (YTD)
1,942
↑ 16% YoY
Enhertu IB Rx (YTD)
1,342
↑ 28% YoY
Active IB Accounts
84
7 new this quarter
Rx Evolution & Account Performance
IB Rx Trend — Monthly
Institutional Rx volume by brand
Tagrisso IB
Enhertu IB
Top IB Accounts — Sales & Volume
YTD comparison · top 5 accounts
| Account | TG Vol. | ENH Vol. | Revenue YTD | YoY | Status |
|---|---|---|---|---|---|
| Tata Memorial | 210 | 132 | ₹2.1 Cr | ↑ 24% | Key |
| AIIMS Delhi | 188 | 114 | ₹1.8 Cr | ↑ 18% | Key |
| Apollo Cancer | 142 | 98 | ₹1.4 Cr | ↑ 22% | Key |
| Manipal Hosp. | 118 | 84 | ₹1.1 Cr | ↑ 8% | Stable |
| RGCI Delhi | 96 | 62 | ₹0.9 Cr | ↓ –4% | Declining |
6-Month Sales Waterfall Forecast
Sales Bridge — Apr 2025 → Oct 2025
IB channel growth drivers & risks
Account-Level 6M Prediction
Monthly revenue forecast per key IB account
| Account | Apr Actual | May | Jun | Jul | Aug–Oct | 6M CAGR |
|---|---|---|---|---|---|---|
| Tata Memorial Centre | ₹2.1 Cr | ₹2.3 Cr | ₹2.4 Cr | ₹2.6 Cr | ₹2.7–3.0 Cr | ↑ 7%/mo |
| AIIMS Delhi | ₹1.8 Cr | ₹2.0 Cr | ₹2.1 Cr | ₹2.2 Cr | ₹2.3–2.5 Cr | ↑ 6%/mo |
| Apollo Cancer Centre | ₹1.4 Cr | ₹1.5 Cr | ₹1.6 Cr | ₹1.7 Cr | ₹1.8–2.0 Cr | ↑ 6%/mo |
HCP Performance Report
NBRX, territory, tier data
PAP Analytics Report
Adherence, DOT, units data
Market Intelligence Report
Share, competitive landscape
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| Market_Intelligence_Q1.xlsx | Market Share | User C | Apr 6, 2025 |
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