
(Credit: Unsplash)
The European Commission has approved, under the EU Merger Regulation, the proposed merger between the global pharmaceutical company Mylan and Upjohn, a business division of Pfizer, which operates Pfizer’s off-patent branded and generic established medicines. The decision is conditional on the divestment of Mylan’s business for certain generic medicines. The transaction will lead to the combination of Mylan, one of the top five generic suppliers in the EEA with the originator Upjohn, whose products have lost exclusivity following patent expiries. Executive Vice-President Margrethe Vestager, responsible for competition policy, said: “Ensuring that patients and hospitals have access to medicines at fair and competitive prices, as well as ensuring security of supply, is always a key priority which resonates even more strongly in the current challenging context. Our decision ensures that the merger between Mylan and Upjohn does not harm competition, thus preserving competitive access to certain genericised medicines for national health services and European citizens”. The Commission’s investigation The Commission’s investigation focused on the market for genericised medicines, which are sold to pharmacies and hospitals. Mylan and Upjohn overlap in various therapeutic areas such as cardiovascular, genito-urinary, musculoskeletal, nervous system, and sensory organ treatments. The Commission found that for the genericised medicines involved in this case, competition between suppliers typically takes place (i) at the national level, given the differing national regulatory/reimbursement schemes and competitive dynamics between pharmaceutical suppliers, (ii) between medicines using the same chemical molecule as an active pharmaceutical ingredient for a specific therapeutic indication. Generally, the molecules covered by the investigation are not interchangeable with other molecules for patients or health practitioners and should therefore be assessed separately. The Commission’s investigation found that no competition concerns arise for the majority of the products supplied by both Mylan and Upjohn. However, in some countries and for some molecules, the Commission found the transaction would raise competition concerns because of the strong position of the two companies and the limited number of significant competitors on the market. In particular, concerns were found for 36 molecule-country pairs as indicated in the table below:
| Molecules | Countries |
| Alprazolam | Greece, Iceland, Ireland, Italy, Portugal |
| Atorvastatin | Norway |
| Doxazosin | Czechia, France |
| Eletriptan | Denmark, Finland, France, Norway, Sweden |
| Eplerenone | Belgium, Hungary |
| Gabapentin | Ireland |
| Latanoprost | Belgium, Luxembourg |
| Latanoprost/timolol | Belgium, France, Italy, Luxembourg, Netherlands, Portugal |
| Pregabalin | Belgium, Czechia, Luxembourg, Norway |
| Sildenafil (for pulmonary arterial hypertension) | Estonia, France, Latvia, Lithuania, Romania, United Kingdom |
| Venlafaxine | Belgium |
| Ziprasidone | Czechia |
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