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中国医疗健康:2025 年业绩前瞻及 2026 年初步展望:2025 年业绩前瞻及 2026 年初步展望-China Healthcare-China Pharma – 2025 Earnings Preview & Initial 2026 Outlook
2026-01-29 02:42
Summary of Key Points from the Conference Call Industry Overview - The conference call focuses on the **China Healthcare** sector, specifically the **pharmaceutical industry** in China, with insights into various companies and their performance outlooks for 2025 and 2026 [1][2][6]. Core Companies Discussed 1. **Jiangsu Hengrui Pharmaceuticals (600276.SS)** - Expected product sales growth of **12% YoY** in 2025, driven by **~25% growth** in innovative drug sales [10]. - Anticipated net profit growth faster than revenue due to higher contributions from business development (BD) income and lower operating expenses [10]. - Projected to achieve **25%+ growth** in innovative drug sales in 2026, supported by **10 new NRDL entries** [36]. 2. **Hansoh Pharmaceutical Group Co Ltd (3692.HK)** - Total revenue growth forecasted at **20%** in 2025, with **17%** growth in product sales [10]. - Net profit expected to grow at a slower pace due to high base effects and ongoing R&D investments [10]. 3. **3SBio (1530.HK)** - Revenue projected at **Rmb19bn** in 2025, with a slight decline in product sales [10]. - Anticipated modest growth in 2026, with new products ramping up [10]. 4. **CSPC Pharmaceutical Group (1093.HK)** - Projected total revenue decline of **7% YoY** in 2025, with a **10% drop** in finished drug sales [10]. - Expected net profit growth of **17%** due to BD income [10]. 5. **Sino Biopharmaceutical (1177.HK)** - Forecasted total revenue growth of **15%** in 2025, driven by biosimilar growth [11]. - Projected net profit growth of **73%**, largely due to higher dividend payments from Sinovac [12]. 6. **Fosun Pharmaceutical (2196.HK)** - Expected flat total revenue in 2025, with a projected **20% growth** in net profit due to operational savings [12]. 7. **China Medical System (0867.HK)** - Revenue growth of **10%** expected in 2025, with a focus on innovative drugs [12]. - Plans to spin off its dermatology subsidiary, Dermavon, to unlock equity value [49]. Key Insights and Trends - **Globalization** remains a significant theme, with companies focusing on pipeline advancements and out-licensing deals to enhance revenue streams [2][8]. - The **China pharma sector** is experiencing a shift towards innovative drug development, with many companies investing heavily in R&D to mitigate the impact of pricing pressures and regulatory changes [49][67]. - **Out-licensing deal momentum** for China-originated assets is robust, indicating a healthy market for collaboration and partnerships [8]. Financial Projections - **Hengrui**: Projected **Rmb31.4bn** in revenue for 2025, with a **12.3% YoY** increase [16]. - **Hansoh**: Expected revenue of **Rmb14.7bn** in 2025, with a **20.1%** growth rate [16]. - **3SBio**: Revenue forecasted at **Rmb19bn** in 2025, with a significant increase in net profit [16]. - **CSPC**: Anticipated revenue of **Rmb26.997bn**, reflecting a **-6.9%** change [16]. - **Sino Biopharma**: Expected revenue of **Rmb33.333bn**, with a **15.5%** growth [16]. Risks and Considerations - Companies face **regulatory pressures** and pricing challenges, particularly from the **Volume-Based Procurement (VBP)** policies [49][63]. - The potential for **pipeline setbacks** and delays in new product launches could impact growth trajectories [63][67]. - The **spinoff of Dermavon** may be perceived negatively by some investors, but it is expected to enhance the financial flexibility of China Medical System [50]. Conclusion The conference call highlighted a positive outlook for the China pharmaceutical industry, driven by innovative drug sales and strategic partnerships. However, companies must navigate regulatory challenges and market pressures to sustain growth.
Hong Kong stocks cap longest rising streak in 3 weeks on cooling US inflation data
Yahoo Finance· 2025-12-19 09:30
Market Performance - Hong Kong stocks rose for a third consecutive day, with the Hang Seng Index closing at 25,690.53, up 0.8%, marking its longest winning streak in three weeks [1][2] - The Hang Seng Tech Index increased by 1.1%, while the CSI 300 Index on the mainland climbed 0.3% and the Shanghai Composite Index added 0.4% [2] Sector Performance - Chinese pharmaceutical firms showed strong gains, with Innovent Biologics rising 2.1% to HK$83.25 and Wuxi AppTec increasing by 1.5% to HK$103.80, driven by optimism about China's potential as a global hub for innovative drugs [3] - Chow Tai Fook Jewellery Group saw a 3.1% increase to HK$12.70 after raising prices on some products [3] - Major tech companies also experienced gains, with Alibaba Group Holding up 0.8% to HK$145.30 and Tencent Holdings adding 1.5% to HK$614 [3] Economic Context - Cooling US inflation is expected to alleviate concerns about a potential global bubble in artificial intelligence, which has been exacerbated by high valuations and significant investments in data centers [5][6] - Core US inflation was reported at 2.6% in November, the slowest pace since early 2021, with overall consumer prices rising 2.7% year on year, below the consensus estimate of 3.1% [6] Weekly Summary - Despite the recent gains, the Hang Seng Index finished the week down 1.1% due to significant losses in the first two trading days, primarily driven by concerns over the AI bubble [2][7] - Notable decliners for the week included Xiaomi, Baidu, and Alibaba Group Holding, each sliding more than 5%, while Li Ning and CSPC Pharmaceutical Group emerged as top performers with gains of about 7% [7]
亚洲主题投资-发掘亚洲新兴阿尔法机会-Asia Thematics-Theme Spotting Asia's Emerging Alpha
2025-10-09 02:00
Summary of Key Points from Morgan Stanley Asia's Thematic Opportunities (3Q25) Industry Overview - **Industry**: Various sectors within the Asia Pacific region, focusing on emerging investment themes and opportunities identified by Morgan Stanley's research department. Core Themes and Investment Opportunities 1. **Future of Energy** - Global solar market expected to see gross margins for integrated module players turn positive by 2026-27 due to anti-involution reforms [3][3] - Japan's natural gas demand projected to grow at a CAGR of +0.8% from 2023-2031, with LNG imports from the US expected to rise by +14% [3][3] - Global new nuclear capacity anticipated to reach 587GW by 2050, with significant growth in Asia, particularly China and India [3][3] 2. **Tech Diffusion** - AI data centers projected to consume up to 1,068 billion liters of water annually by 2028, an 11x increase from 2024, driven by cooling and electricity generation needs [3][3] - AI NAND market expected to account for 34% of the global NAND market by 2029, adding an incremental US$29 billion to the total addressable market [3][3] 3. **Multipolar World** - Defense spending in Asia (South Korea, Japan, Singapore, India) projected to expand at a 12% CAGR to US$354 billion by 2029, matching China's defense budget [3][3] - Vehicles with Level 2+ all-scenario smart driving expected to reach 28% of unit sales by 2030, up from 8% in 2024, with a global ADAS/AD market size estimated at US$200 billion by 2030 [3][3] 4. **Capital Market Reform** - MSCI China's ROE expected to rise to 13.3% by 2030, supported by policy execution and structural reforms [3][3] - Singapore's equity market reforms could drive ROE to 14% from 12%, potentially doubling market cap by 2030 [3][3] 5. **Longevity** - Innovative drug sales projected to comprise 53% of China's pharmaceutical market by 2030, up from 29% in 2023, with a CAGR of 21% from 2024 to 2030 [3][3] Additional Insights - **Water Consumption Risks**: AI's water consumption poses high local risks, especially in data center hubs facing water scarcity, highlighting the need for strategic investments in water-efficient technologies [27][27] - **Supply Chain Dynamics**: The report discusses the ongoing reorientation of supply chains due to geopolitical tensions, particularly between the US and China, and the shift towards onshoring production in the US for high-end products [56][56] - **Defense Industry Outlook**: The report emphasizes the expected super-cycle in Korea's defense industry, driven by rising global defense budgets and the need for modernization [64][64] Key Stock Implications - **Top Picks**: The report identifies several companies across various themes, including: - **Tech Diffusion**: KIOXIA, Samsung Electronics, and Hanwha Aerospace [12][12] - **Future of Energy**: Reliance Industries and Gulf Development PCL [12][12] - **Longevity**: Jiangsu Hengrui and Hansoh Pharmaceutical Group [12][12] This summary encapsulates the key themes and insights from Morgan Stanley's thematic opportunities report, highlighting potential investment avenues and risks within the Asia Pacific region.
中国股票策略 - 2025 年第二季度业绩回顾-MSCI 中国符合预期,A 股走弱-China Equity Strategy-2Q25 Earnings Review – MSCI China in Line, A-Shares Soften
2025-09-11 12:11
Summary of MSCI China 2Q25 Earnings Review Industry Overview - The report focuses on the **MSCI China** and **A-shares** performance during the second quarter of 2025 (2Q25) - It highlights the earnings results of various sectors within the Chinese equity market Key Findings MSCI China Performance - **Earnings Results**: MSCI China reported earnings in line with consensus forecasts, with a weighted surprise of **+2.7%** and a miss by number of companies of **-2.7%** [2][26] - **Comparison to 1Q25**: The results showed a similar trend to 1Q25, which had a miss of **-3.8%** by number of companies and a weighted surprise of **+3.1%** [2][26] A-Shares Performance - **Earnings Results**: A-shares missed consensus forecasts by number of companies by **-13.8%**, but were in line by weighted surprise at **+0.2%** [3][26] - **Comparison to 1Q25**: This represents a softening compared to 1Q25, which had a miss of **-4.8%** by number of companies and a weighted surprise of **+3.3%** [3][26] Revenue Performance - **MSCI China and A-shares**: Both indices missed consensus revenue estimates by number of companies but posted in-line results by weighted surprise [4][44] - **Cost Control**: The better revenue trends were attributed to improved cost-control measures and self-help strategies [4] Sector Performance - **Strong Performers**: - **Communication Services** and **Financials** led with solid earnings beats [5][26] - **Pharma & Biotech** and **Materials** saw strong returns with earnings upgrades, with gains above **20%** [6] - **Weak Performers**: - **Onshore Real Estate** and **Utilities** posted net earnings misses by both weighted surprise and number of companies [5] Market Returns - **Overall Returns**: MSCI China delivered a **13%** return from end-June to September 9, while MSCI China A onshore gained **15%** [6][18] - **Sector Returns**: Notable sectors with returns above **20%** included Consumer Staples Retailing, Pharma & Biotech, and Semiconductors [15][18] Earnings Revisions - **Upward Revisions**: Sectors such as **Pharma & Biotech**, **Materials**, and **Tech** saw upward revisions to 2025 consensus EPS estimates [6][16] - **Downward Revisions**: The **Semiconductors** sector experienced downward earnings revisions [6][16] Notable Contributors - **Key Contributors to Earnings Beats**: - **Communication Services**: Mango Excellent Media and Giant Network [28] - **Consumer Discretionary**: PDD, XPENG, and TCOM [28] - **Financials**: BOC and CCB [28] - **Key Drags on Earnings**: - **Consumer Staples**: China Feihe, China Mengniu, and Yanghe Brewery [28] - **Energy**: ShaanXi Coal and Yankuang Energy [28] Revenue Surprises - **Aggregate Revenue Miss**: Reported revenue missed consensus by number of companies by **-12.5%**, an improvement from **-16.6%** in 1Q25 [45] - **Sector-Level Revenue Beats**: Only **Communication Services** and **Real Estate** posted beats by number of companies [45] Conclusion - The earnings season for 2Q25 showed mixed results across sectors, with some outperforming expectations while others fell short. The overall market demonstrated resilience with positive returns, but challenges remain in specific sectors, particularly in revenue generation.
中国医疗保健 - 中国生物科技全球医疗保健大会综述 - 第一天-China Healthcare-China Biotech Global Healthcare Conference Wrap - Day 1
2025-09-09 02:40
Summary of Key Points from the Conference Call Industry Overview - **Industry Focus**: China Healthcare, specifically in the Biotech sector within the Asia Pacific region [2][63]. Core Insights - **Next-Gen Immuno-Oncology (IO)**: This theme was prevalent throughout the discussions, with several large biopharma companies highlighting its significance in R&D. The consistency of data and overall survival benefits were noted as open questions [3][8]. - **China's R&D Advantages**: Companies emphasized China's rapid and efficient capabilities in conducting randomized controlled trials, particularly in therapeutic areas with less predictable preclinical models. This includes the ability to iterate through various modalities quickly [4][8]. - **Investor Inquiries**: Investors are primarily focused on two areas: 1. Due diligence on China's global narrative, particularly regarding companies' R&D strategies and opportunities in both China and global markets. 2. In-depth analysis of pipelines, with an emphasis on scientific quality and long-term R&D plans [5][8]. Additional Noteworthy Points - **Recognition of China's Role**: The importance of China in both commercial and R&D opportunities was acknowledged, although the extent of this recognition varies among overseas developers utilizing its infrastructure [8]. - **Morgan Stanley's Position**: The report indicates that Morgan Stanley maintains an attractive view of the China Healthcare industry, suggesting potential investment opportunities [6][63]. Conclusion The conference highlighted the growing significance of next-gen immuno-oncology therapies and China's pivotal role in the global biotech landscape, particularly in R&D efficiency and opportunities for investment. Investors are keenly interested in understanding the strategic positioning of companies within this dynamic environment.
石药集团:2025 年指引在疲软第二季度后重新校准;重申业务开发目标及可持续性
2025-08-24 14:47
Summary of CSPC Pharmaceutical Group Conference Call Company Overview - **Company**: CSPC Pharmaceutical Group (1093.HK) - **Industry**: China Healthcare - **Current Stock Price**: HK$10.51 (as of August 22, 2025) - **Market Capitalization**: HK$125,653 million - **Price Target**: HK$9.60, indicating a downside of 9% from the current price [6][8] Key Financial Highlights - **2Q Revenue**: Decreased by 14% YoY, with finished drug sales down 27% YoY and 8% QoQ, which was 15% below estimates [8] - **Gross Profit Margin (GPM)**: Declined by 6.7 percentage points [8] - **Operating Expenses Ratio**: Increased by 8.7 percentage points YoY [8] - **Underlying Profit**: Fell by 39% YoY and 36% QoQ in 2Q; without business development (BD) income, the decline would have been 59% YoY and 24% QoQ [8] - **Fiscal Year Ending**: Expected EPS for 2025 is Rmb0.45, with revenue projected at Rmb29,036 million [6] Growth and Strategic Initiatives - **Revised Guidance**: CSPC recalibrated its target to achieve 5% half-on-half growth in 2H25, anticipating growth acceleration from 2026 [8] - **Sales Target for Mingfule**: On track to reach Rmb1 billion in sales in 2025 [2] - **Business Development (BD) Strategy**: Aims to complete two more BD deals, each exceeding US$5 billion by year-end 2025 [8] - **Focus on Retail Channels**: Plans to strengthen out-of-pocket retail channels to sustain Rmb2 billion in sales post-patent expiry [2] Clinical and Product Development - **EGFR ADC Updates**: Global Phase 3 trials for 3L+ EGFRm NSCLC and 2L+ EGFRwt NSCLC are set to begin in 2H25, with conditional approval based on Overall Response Rate (ORR) [3] - **Competitive Positioning**: Early data in China shows competitive Progression-Free Survival (PFS) and Overall Survival (OS) trends in 2L EGFRwt NSCLC compared to TROP2 ADCs [3] Technology and Pipeline - **Diverse Technology Platforms**: CSPC is nurturing eight technology platforms to support BD candidates across various therapeutic areas [4] - **Metabolic Portfolio**: Includes monthly-dosing semaglutide (Phase 1), GLP-1/GIP, and other innovative therapies [9] Risks and Challenges - **Market Risks**: Stricter reimbursement controls and Value-Based Pricing (VBP) headwinds are impacting legacy drug sales [8] - **Potential Downside Risks**: Include pipeline failures, rising operating costs, and further government price cuts [14] Analyst Ratings and Market Sentiment - **Stock Rating**: Overweight, indicating a positive outlook compared to the industry average [6] - **Industry View**: Attractive, suggesting favorable conditions for growth in the China healthcare sector [6] Conclusion CSPC Pharmaceutical Group is navigating a challenging market environment with a focus on strategic growth through business development and innovative product pipelines. The company is positioned for potential recovery and growth in the coming years, despite current financial setbacks and market pressures.
中国医疗保健_现行关税税率情况-China Healthcare-Tariff Rate as It Stands
2025-08-14 01:36
Summary of Key Points from the Conference Call Industry Overview - **Industry**: China Healthcare - **Date**: August 13, 2025 - **Analyst**: Laurence Tam, Morgan Stanley Asia Limited Core Insights 1. **Tariff Impact on Pharmaceuticals**: The US has imposed a 20% tariff on Chinese pharmaceuticals as a negotiating tool related to fentanyl issues. This tariff is referred to as the "fentanyl tax" and has led Chinese drug shippers to absorb these costs in their gross margins alongside their US partners [3][7] 2. **US Government Stance**: US Treasury Secretary Scott Bessent indicated that the US would require significant progress on fentanyl flows before considering any reduction in tariffs on China, suggesting a timeline of "months, if not quarters, if not a year" [3] 3. **Production On-shoring**: President Trump mentioned that pharmaceutical imports could increase by 150% in 18 months, emphasizing production on-shoring as a primary goal. This statement was not specifically directed at China [3] 4. **Market Response**: Direct shipments to the US represent approximately 10% of related Chinese suppliers, including CDMOs and API companies. The market has shown a muted response to these geopolitical concerns, indicating a bullish outlook for the sector [4][7] Additional Considerations 1. **Investment Trends**: Manufacturers across the supply chain have made significant investments in the US year-to-date, reflecting a shift in strategy amidst tariff challenges [3] 2. **Analyst Rating**: The overall view of the China Healthcare industry is considered attractive, indicating potential investment opportunities despite the tariff challenges [5][29] 3. **Stock Ratings**: Various companies within the China Healthcare sector have received ratings, with notable mentions including: - 3SBio (O) - HK$30.50 - CSPC Pharmaceutical Group (O) - HK$10.04 - Innovent Biologics Inc (O) - HK$87.30 [57][59] Conclusion The conference call highlighted the ongoing challenges posed by US tariffs on Chinese pharmaceuticals, particularly in relation to fentanyl. Despite these challenges, the overall sentiment towards the China Healthcare industry remains positive, with significant investments being made and a bullish market outlook.
石药集团-对外授权交易目标超预期-CSPCPharmaceutical GroupAnUpside SurprisetoOutlicensingDealTarget
2025-08-05 03:20
Summary of CSPC Pharmaceutical Group Conference Call Company and Industry Overview - **Company**: CSPC Pharmaceutical Group (Ticker: 1093.HK) - **Industry**: China Healthcare Key Points and Arguments - **Licensing Agreement**: CSPC has signed a licensing agreement with Madrigal for exclusive development and commercial rights to SYH2086, an oral GLP-1 in preclinical stage. The deal includes an upfront fee of **US$120 million**, potential total milestones of up to **US$1.955 billion**, and a double-digit share of sales royalties [1][6] - **Madrigal's Asset**: Madrigal's lead asset, Rezdiffra (resmetirom), is a once-daily oral THR-beta agonist approved for F2-F3 MASH by the US FDA in March 2024 and is currently undergoing Phase 3 trials for F4c MASH [1] - **Financial Position of Madrigal**: As of March 2025, Madrigal holds **US$848 million** in cash and has a **US$500 million** secured credit facility [1] - **Out-licensing Deals**: This marks CSPC's sixth out-licensing deal in the last 10 months, indicating the company's strong drug discovery platforms and commitment to globalization. The deal is viewed as a positive surprise and is not part of the anticipated **~US$5 billion** in out-licensing deals expected to be completed in 2025 [6] - **Future Expectations**: CSPC is expected to announce two more major out-licensing deals, specifically for SYS6010 (EGFR ADC) and another technology platform [6] Financial Metrics and Valuation - **Stock Rating**: Overweight - **Price Target**: HK$9.60 - **Current Stock Price**: HK$10.10 (as of July 30, 2025) - **Market Capitalization**: HK$120,751 million - **Revenue Projections**: - 2025: **Rmb 29,036 million** - 2026: **Rmb 30,513 million** - 2027: **Rmb 30,978 million** [4] - **Earnings Per Share (EPS)**: - 2025: **Rmb 0.45** - 2026: **Rmb 0.46** - 2027: **Rmb 0.44** [4] - **Valuation Methodology**: Discounted cash flow methodology with a cost of equity of **10.1%** and a perpetual growth assumption of **4%** [7] Risks Identified - **Upside Risks**: - Stronger-than-expected sales ramp-up for innovative drugs - Better-than-expected margin improvement - Pipeline advancement - Increasing business development [9] - **Downside Risks**: - API price fluctuations - Pipeline failures or delays - Rising operating costs - Government price cuts or reimbursement controls [9] Additional Insights - **Analyst Certification**: Analysts involved have certified that their views are accurately expressed and have not received compensation for specific recommendations [14] - **Market Activity**: CSPC is actively involved in the market, with Morgan Stanley acting as a liquidity provider for its securities [57] This summary encapsulates the critical aspects of CSPC Pharmaceutical Group's recent developments, financial outlook, and market positioning, providing a comprehensive overview for potential investors and stakeholders.
Rakovina Therapeutics Highlights Strong H1 Progress and Unveils Strategic Priorities for H2 2025
Globenewswire· 2025-06-30 07:00
Core Insights - Rakovina Therapeutics is advancing next-generation cancer therapies through AI-powered drug discovery, highlighting its strategic objectives for H2 2025 amid a rapidly evolving global AI landscape [1][2]. Industry Overview - The biopharmaceutical industry is experiencing a transformative shift due to artificial intelligence, which is significantly impacting drug discovery, testing, and delivery processes [2]. - Recent collaborations, such as AstraZeneca's $5.3 billion agreement with CSPC Pharmaceutical Group, underscore the growing momentum in AI-driven drug development [2]. Company Highlights - Rakovina holds exclusive licenses to two AI discovery platforms, Deep Docking™ and Enki™, which can analyze billions of chemical structures at 100 times the speed of traditional methods [3]. - The Deep Docking™ platform was developed by Dr. Artem Cherkasov, who previously identified a compound that was licensed to Roche for $142 million, marking a significant achievement in life-sciences IP [4]. - The company operates an integrated discovery engine that combines in silico screening with biochemical and cellular validation through a collaboration with UBC [5]. H1 2025 Accomplishments - Rakovina presented two scientific posters at the AACR 2025 meeting, showcasing advancements in AI-derived DNA-damage response inhibitors [8]. - The kt-2000 program demonstrated improved metabolic stability and pharmacokinetic profiles, while the kt-5000 program unveiled potent ATR inhibitor candidates designed for CNS penetration [8]. - The company strengthened its financial position by closing an oversubscribed private placement and convertible debt financing of CAD 4.9 million [8]. - Rakovina began trading on the Frankfurt exchange and appointed new financial and scientific leaders to enhance governance and expertise [8]. Strategic Objectives for H2 2025 - The company plans to enter development collaborations for lead candidates in Q3 2025 and continue advancing preclinical development of its DNA Damage Response therapies [14]. - Rakovina aims to integrate AI and data science to enhance drug discovery capabilities and expand engagement with global institutional investors and strategic partners [14]. - The company seeks to secure non-dilutive funding through government initiatives and strategic alliances to support expanded drug development activities [14].
摩根士丹利:中国医疗保健_第十一批国家药品集中采购即将启动
摩根· 2025-06-25 13:03
Investment Rating - The industry investment rating is Attractive [6] Core Insights - The 11th round of National Drug Volume-Based Procurement (VBP) is approaching, with a preliminary list of 75 generics proposed, including 14 drugs for further evaluation [9] - Drug selection criteria aim to balance pricing with clinical practice considerations, focusing on generics with narrower indications or higher clinical risks [2][9] - Huadong Pharmaceutical has key drugs at stake, with indobufen and alogliptin accounting for 16% and 3% of its total drug sales in 2024, respectively [3] Summary by Sections Drug Evaluation - Among the 75 drugs proposed, 14 will undergo further evaluation, including five with narrower indications and nine generics considered high risk in clinical practice [2][4] - The official guidelines for the VBP will be announced soon, with adjustments made to bidding guidelines to consider clinical use and safety [9] Company Impact - Huadong is particularly exposed due to its key drugs, but the overall impact on other pharmaceutical companies is expected to be manageable [3][10] - The report outlines the potential impact on various companies, indicating that Huadong's drugs are under patent litigation, which may affect their inclusion in the final VBP list [11] Market Context - The report highlights the market sizes for specific drugs in China, such as Vancomycin (Rmb2 billion), Ceftazidime-avibactam (Rmb1.3 billion), and Mycophenolate (Rmb1.7 billion) [4][5] - The analysis indicates that the impacts of the VBP are generally anticipated and not surprising to the pharmaceutical coverage universe [9]