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Harvard Case - McKesson Corporation: Pharmaceutical Distribution Industry

"McKesson Corporation: Pharmaceutical Distribution Industry" Harvard business case study is written by George Athanassakos, Andy Hyung Min Seo, Derek Kang, Greg Woojin Lee, Ton Bui. It deals with the challenges in the field of Finance. The case study is 27 page(s) long and it was first published on : Jun 10, 2020

At Fern Fort University, we recommend McKesson Corporation pursue a growth strategy focused on mergers and acquisitions (M&A), specifically targeting companies in the emerging markets of Asia and Latin America. This strategy should be accompanied by a financial strategy that leverages debt financing and private equity to fund acquisitions, while maintaining a healthy capital structure and risk management framework. Additionally, McKesson should invest in technology and analytics to improve operational efficiency and profitability across its global operations.

2. Background

McKesson Corporation is a leading pharmaceutical distributor in the United States, operating in a highly competitive and regulated industry. The case study focuses on the company's decision to expand internationally, specifically into emerging markets like Asia and Latin America. The main protagonists are the executives who must decide on the best growth strategy and financial strategy to navigate this expansion.

3. Analysis of the Case Study

The case study presents a classic dilemma for McKesson: how to balance growth with risk in a new and potentially volatile market. To analyze this, we can use the following frameworks:

a) Porter's Five Forces:

  • Threat of New Entrants: High, due to the fragmented nature of emerging markets and the potential for local players to gain market share.
  • Bargaining Power of Buyers: Moderate, as healthcare providers in emerging markets have limited options for pharmaceutical distribution.
  • Bargaining Power of Suppliers: Moderate, as pharmaceutical manufacturers are increasingly seeking global distribution networks.
  • Threat of Substitutes: Low, as pharmaceutical products are generally non-substitutable.
  • Competitive Rivalry: High, as McKesson will face competition from existing local players and other multinational companies.

b) SWOT Analysis:

  • Strengths: Strong brand recognition, established distribution network, financial resources, expertise in technology and analytics.
  • Weaknesses: Limited experience in emerging markets, potential cultural barriers, regulatory challenges.
  • Opportunities: Growing demand for pharmaceuticals in emerging markets, potential for mergers and acquisitions, development of new markets.
  • Threats: Economic instability, political risks, competition from local players, regulatory changes.

c) Financial Analysis:

  • Financial statements: McKesson's strong financial position provides a foundation for expansion.
  • Capital budgeting: The company can use financial modeling to assess the potential return on investment (ROI) of acquisitions and international expansion.
  • Risk assessment: McKesson needs to carefully evaluate the political, economic, and regulatory risks associated with emerging markets.

4. Recommendations

  1. Target Acquisitions: McKesson should prioritize mergers and acquisitions in emerging markets, focusing on companies with established distribution networks, strong local relationships, and a proven track record.
  2. Leverage Debt Financing: Utilize debt financing to fund acquisitions, taking advantage of low interest rates and McKesson's strong credit rating. This will allow the company to maintain a healthy capital structure while preserving cash flow for operational needs.
  3. Strategic Partnerships: Form strategic partnerships with local players to gain access to market knowledge, regulatory expertise, and distribution channels.
  4. Invest in Technology and Analytics: Implement advanced technology and analytics to optimize logistics, inventory management, and pricing strategies. This will improve operational efficiency and profitability in a cost-conscious environment.
  5. Develop a Robust Risk Management Framework: Implement a comprehensive risk management framework to mitigate political, economic, and regulatory risks. This includes conducting thorough due diligence on potential acquisitions, establishing contingency plans, and hedging against currency fluctuations.

5. Basis of Recommendations

These recommendations are based on the following considerations:

  1. Core competencies and consistency with mission: McKesson's core competencies in distribution, logistics, and technology and analytics can be leveraged in emerging markets. This aligns with the company's mission of providing essential healthcare products and services.
  2. External customers and internal clients: The recommendations address the needs of both external customers (healthcare providers) and internal clients (employees) by ensuring access to quality pharmaceuticals and creating new opportunities for growth and development.
  3. Competitors: By focusing on mergers and acquisitions and developing a strong risk management framework, McKesson can gain a competitive advantage in emerging markets.
  4. Attractiveness - quantitative measures: The potential for profitability and return on investment (ROI) in emerging markets is significant, justifying the investment in international expansion.

6. Conclusion

McKesson Corporation has a unique opportunity to expand its global reach and capitalize on the growing demand for pharmaceuticals in emerging markets. By pursuing a strategic combination of mergers and acquisitions, debt financing, and technology and analytics, McKesson can achieve sustainable growth while managing risks effectively. This approach will enable the company to become a leading player in the global pharmaceutical distribution industry.

7. Discussion

Alternatives not selected:

  • Organic growth: While organic growth is a viable option, it would take longer to achieve significant market share in emerging markets.
  • Joint ventures: Joint ventures can be beneficial, but they require careful partner selection and can lead to potential conflicts of interest.

Risks and key assumptions:

  • Economic instability: Emerging markets are prone to economic fluctuations, which could impact demand for pharmaceuticals.
  • Political risks: Political instability and regulatory changes can create challenges for foreign companies.
  • Cultural barriers: McKesson needs to navigate cultural differences and build trust with local partners.

Options Grid:

OptionProsConsRisk
M&AFast growth, access to local expertiseHigh upfront cost, integration challengesPolitical, economic, and regulatory risks
Organic growthLower risk, gradual expansionSlower growth, limited access to local expertiseCompetition from established players
Joint venturesShared risk, access to local knowledgePotential conflicts of interest, limited controlPartner reliability, cultural differences

8. Next Steps

  1. Due diligence: Conduct thorough due diligence on potential acquisition targets in emerging markets.
  2. Negotiation strategies: Develop effective negotiation strategies for acquiring companies and securing partnerships.
  3. Implementation plan: Develop a detailed implementation plan for integrating acquired companies and expanding operations.
  4. Performance monitoring: Establish key performance indicators (KPIs) to track the success of the international expansion strategy.

By following these steps, McKesson can successfully navigate the challenges and opportunities of the global pharmaceutical distribution industry, achieving sustainable growth and creating long-term value for its shareholders.

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Case Description

On October 27, 2017, the share price of McKesson Corporation and two other major US pharmaceutical distributors dropped by 7-12 per cent over only a few days. The stock price drop was fuelled by reports that Amazon Inc. had quietly acquired wholesales pharmacy licences in 12 US states and, a short time later, formed an independent venture with Berkshire Hathaway Inc. and JP Morgan Chase & Co. to improve the cost and quality of health care for the US employees of all three companies. These two notable events in the US pharmaceuticals market did not go unnoticed by a group of students enrolled in a value investing class, who wondered if it was possible for Amazon Inc. to disrupt the US health care industry, or if the market was overreacting to the two reports. Was McKesson Corporation's future in the pharmaceutical distribution business in jeopardy, or was its stock suddenly in a favourable buy position?

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