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Last synced: Today, 9:14 AM
TagrissoEnhertu
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
Nov Dec Jan Feb Mar 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
Nov Dec Jan Feb Mar 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
Nov Dec Jan Feb Mar 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
Apollo Hospitals, Mumbai
186 Rx YTD · Both brands
↑ 18%
TM
Tata Memorial Centre, Mumbai
162 Rx YTD · Both brands
↑ 14%
AI
AIIMS, Delhi
148 Rx YTD · Both brands
↑ 9%
RG
Rajiv Gandhi Cancer Institute
124 Rx YTD · Tagrisso only
↑ 5%
YH
Yashoda Hospital, Hyderabad
96 Rx YTD · Tagrisso only
↓ –12%
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
NOV DEC JAN FEB MAR APR
HCP Tier Distribution
By prescribing volume — YTD
Tier 1186
Tier 2418
Tier 3643
HCP Performance Table
Sorted by NBRX YTD
HCPTerritoryTierTagrisso RxEnhertu RxLast RxStatusAction
Dr. Priya MehtaMumbai NorthTier 12220Apr 10Both↑ +18%
Dr. Arjun KapoorDelhi NCRTier 1350Apr 2TagrissoFlat
Dr. Rahul SharmaHyderabadTier 21214Mar 28Both↑ +9%
Dr. Kavitha NairChennaiTier 386Mar 22Both↓ –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
Total NBRX (YTD)
42
First Tagrisso Rx
Jan 12, 2024
First Enhertu Rx
Aug 5, 2024
Program Enrolments
7 patients
Avg Rx Frequency
18 days
Dropout Rate
14%
Rx Volume Trend
Monthly NBRX · both brands
Tagrisso
Enhertu
NOV DEC JAN FEB MAR APR
Rx by Indication
YTD prescription split
42 total Rx
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
67%
33%
Enhertu
50%
50%
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
Tagrisso
High-value Tier 1 & 2 doctors active on Tagrisso with zero Enhertu Rx. Primary cross-sell priority for field teams.
Enhertu only
128
Enhertu
Oncologists with HER2+ focus not yet introduced to Tagrisso NSCLC data. Strong scientific case to make.
Both brands
204
Both
Fully activated doctors. Focus on share of wallet, volume deepening, and referral network activation.
No Rx — dormant
701
Dormant
Received 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
HCPTerritoryTagrisso Rx (YTD)Last Tagrisso RxEnhertu StatusEngagements YTDPriority
Dr. Arjun KapoorDelhi NCR35Apr 2Not started3High
Dr. Mehul DesaiAhmedabad24Mar 20Not started2High
Dr. Ravi IyerPune19Mar 30Not started4Medium
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
MonthTargetActualAchievementGapStatus
January285262
92%
–23Under
February290272
94%
–18Under
March310270
87%
–40Gap
April (MTD)265In 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
0% 25% 50% 100% % of doctors (sorted by Rx volume, high → low)
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
NOV DEC JAN FEB MAR APR
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%
100% 75% 50% 25% C1 C2 C3 C4 C5 C6 C7 C8 C9+
ZoneTagrissoEnhertuOverallTrend
North84%76%80%↑ +2pp
South86%79%82%↑ +4pp
West81%73%77%↑ +1pp
East78%69%74%Flat
DOT Trend — Days of Therapy
Monthly DOT by brand — last 6 months
Tagrisso
Enhertu
NOV DEC JAN FEB MAR APR
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
NOV DEC JAN FEB MAR APR
Cycle Distribution
Patient population by cycle band
1–2 3–4 5–7 8–10 11–14 15–18 19+
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
NOV DEC JAN FEB MAR APR
Monthly Unit Details
MonthPaid UnitsFOC UnitsTotalFOC %MoM Growth
November1,9206202,54024%
December2,0406902,73025%↑ 7%
January2,1807802,96026%↑ 8%
February2,3108903,20028%↑ 8%
March2,4901,0803,57030%↑ 12%
April2,6141,2333,84732%↑ 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)
← Actuals Forecast → NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP OCT
6-Month Unit Forecast Summary
MonthPaid ForecastFOC ForecastTotal ForecastYoY GrowthConfidence
May 20252,7601,2904,050↑ 16%92%
June 20252,8901,3504,240↑ 18%90%
July 20253,0201,4104,430↑ 19%87%
August 20253,1001,4604,560↑ 20%84%
September 20253,2001,5204,720↑ 21%82%
October 20253,2301,5704,800↑ 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 NameCity / ZoneTagrisso RxEnhertu RxTotal Rx (YTD)vs Prior PeriodStatus
1Apollo Hospitals — MumbaiMumbai / West11274186↑ +18%Growing
2Tata Memorial Centre — MumbaiMumbai / West9864162↑ +14%Growing
3AIIMS — DelhiDelhi / North9058148↑ +9%Growing
4Rajiv Gandhi Cancer InstituteDelhi / North1240124↑ +5%Stable
5Yashoda Hospital — HyderabadHyderabad / South96096↓ –12%Declining
6Fortis Cancer Institute — NoidaNoida / North523688↑ +7%Growing
Showing 1–6 of 94 accounts
Customer 360 › Account Summary
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
Total Rx (YTD)
186
Enrolled Patients
42
Active HCPs
12
Last Interaction
Apr 11
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
EventTypeDateAttendeesBrands CoveredStatus
NSCLC Masterclass — Apollo MumbaiCMEApr 20, 202512 HCPsTagrissoUpcoming
HER2+ Oncology RoundtableAdvisoryMar 28, 20258 HCPsEnhertuCompleted
Tumour Board PresentationScientificMar 15, 20256 HCPsBothCompleted
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
DistributorCity / ZoneTagrisso StockEnhertu StockLast OrderAlert
Apex Pharma Dist.Mumbai / West86 units42 unitsApr 12OK
Medline DistributorsDelhi / North22 units38 unitsApr 10Low Stock
CureMax PharmaChennai / South54 units4 unitsApr 8Critical
HealthFirst Dist.Kolkata / East18 units14 unitsApr 7Monitor
Prime HealthcarePune / West68 units31 unitsApr 13OK
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
Critical
Medline Distributors — Delhi
Tagrisso: 22 units · ~5 days cover
Low Stock
HealthFirst Dist. — Kolkata
Both brands below reorder point
Monitor
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 / TerritoryNovDecJanFebMarAprMoM
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 CrFlat
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
NOV DEC JAN FEB MAR APR
Distributor-wise Inventory Status
DistributorTagrisso ClosingEnhertu ClosingDays CoverStock TrendStatus
Apex Pharma Dist.42028016d↑ BuildingOK
Medline Distributors38024014dStableOK
CureMax Pharma280607d↓ DepletingCritical
HealthFirst Dist.22016010dStableWatch
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
GAP MAY JUN JUL AUG ⚠ SEP ⚠ OCT 3,180 3,360 3,520 2,840 2,960 2,700 2,280 2,440 3,060
SKU-Level Demand Plan
Brand · pack · forecast vs current stock
SKUMay DemandJun DemandNetwork StockDays Cover
Tagrisso 80mg — 30T1,8401,9601,62026d
Tagrisso 40mg — 30T48051028017d
Enhertu 100mg — Vial6206501808d
Enhertu 160mg — Vial24026031038d
Zone-Level Coverage Assessment
Inventory Coverage by Zone — May 2025
Stock days cover vs minimum 30-day threshold
ZoneTagrisso StockTG Days CoverEnhertu StockENH 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
← Actuals Forecast → NOV DEC JAN FEB MAR APR MAY JUN JUL AUG SEP
6-Month Secondary Forecast Summary
MonthTagrisso ForecastEnhertu ForecastTotal ForecastMoM 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 Market Share
42%
NSCLC EGFR+ · Q1 2025
Enhertu Market Share
28%
HER2+ Breast/Gastric
Tagrisso Growth (YoY)
+22%
8pp ahead of market
Enhertu Growth (YoY)
+31%
17pp ahead of market
Value Share Evolution — IPSOS
Tagrisso — Market Share Trend (NSCLC)
Quarterly · IPSOS syndicated data
Q2'23 Q3'23 Q4'23 Q1'24 Q2'24 Q1'25 42%
Tagrisso
Lead Competitor
Competitive Share — NSCLC Q1 2025
IPSOS syndicated data
42% Tagrisso
Tagrisso (AZ)
42%
Competitor A
30%
Competitor B
20%
Others
8%
Volume Share & Market vs Product Growth
Volume Share Evolution — Quarterly
IPSOS volume data · all brands
QuarterTagrisso UnitsTG ShareEnhertu UnitsENH ShareAZ Combined
Q2 202414,20034%7,40018%52%
Q3 202415,80036%8,20019%55%
Q4 202416,90037%9,40021%58%
Q1 202518,20038%11,60024%62%
Market Growth vs Product Growth
Quarterly YoY growth · IPSOS
Tagrisso
Enhertu
Market Avg
Q2'24 Q3'24 Q4'24 Q1'25
Market
+14%
Tagrisso
+22%
Enhertu
+31%
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
BrandCompanyIndicationList PriceNet Realizedvs TagrissoPrice Trend
Tagrisso 80mgAstraZenecaNSCLC EGFR+₹1.58L₹1.42LStable
Gefitinib 250mgCompetitorNSCLC EGFR+₹0.68L₹0.62L–56%↓ Declining
Erlotinib 150mgCompetitorNSCLC EGFR+₹0.72L₹0.65L–54%Stable
Afatinib 40mgCompetitorNSCLC EGFR+₹1.24L₹1.12L–21%↑ Rising
Competitive Price Analytics — HER2+
Enhertu vs competitive landscape
BrandCompanyIndicationList PriceNet Realizedvs EnhertuPrice Trend
Enhertu 5.4mg/kgAZ / DaiichiHER2+ Breast₹2.42L₹2.18LStable
TrastuzumabCompetitorHER2+ Breast₹0.92L₹0.82L–62%↓ Declining
PertuzumabCompetitorHER2+ 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
NOV DEC JAN FEB MAR APR
Top IB Accounts — Sales & Volume
YTD comparison · top 5 accounts
AccountTG Vol.ENH Vol.Revenue YTDYoYStatus
Tata Memorial210132₹2.1 Cr↑ 24%Key
AIIMS Delhi188114₹1.8 Cr↑ 18%Key
Apollo Cancer14298₹1.4 Cr↑ 22%Key
Manipal Hosp.11884₹1.1 Cr↑ 8%Stable
RGCI Delhi9662₹0.9 Cr↓ –4%Declining
6-Month Sales Waterfall Forecast
Sales Bridge — Apr 2025 → Oct 2025
IB channel growth drivers & risks
₹18.4 Cr Apr Actual +₹2.2 Cr Existing Accts +₹1.4 Cr New Accts +₹1.1 Cr Enhertu Expan. –₹1.1 Cr Attrition Risk +₹1.8 Cr Programme Uplift ₹24.8 Cr Oct Forecast
Account-Level 6M Prediction
Monthly revenue forecast per key IB account
AccountApr ActualMayJunJulAug–Oct6M 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
Recent Downloads
Last 10 generated reports
Report NameTypeGenerated ByDateAction
HCP_Performance_Apr2025.xlsxHCP PerformanceUser AApr 10, 2025
PAP_Analytics_Mar2025.xlsxPAP ReportUser BApr 8, 2025
Market_Intelligence_Q1.xlsxMarket ShareUser CApr 6, 2025

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