Biosimilar Medicines

Biosimilar Medicines

WHAT THEY ARE

Biosimilar medicines

Biosimilars are biological medicines that are highly similar to a pioneering biological product whose patent has expired. They are produced from living organisms, just like the originators, and have comparable efficacy, safety and quality, validated by rigorous clinical and regulatory studies. The development of a biosimilar is usually cheaper, faster and the savings generated can be reallocated to increase the number of patients treated or to fund other areas of the health system.

By reducing the costs of established biological medicines, more can be invested in innovative treatments and new therapies. This strengthens health systems and allows for the sustainability of highly complex treatments, such as immunotherapies and target therapies. With the introduction of biosimilars, there is a capillarization of treatment, because it becomes more feasible to take treatments to previously unattended regions. Patients who previously did not have access to biological therapies, due to cost or logistical reasons, now have more equitable opportunities.

In Brazil, the National Health Surveillance Agency (Anvisa) has regulations in line with international standards, the Unified Health System (SUS) is already using biosimilars in strategic programs and the trend is for an accelerated market growth, driven by both economic needs and public policies to expand access to health.
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Brazil is the largest biosimilars hub in Latin America, with sales estimated at US$ 5 billion (around R$ 27.6 billion). The Brazilian biological market is growing at a rate of 14% a year and represents around 30% of the pharmaceutical market in the country.

Medicines Market
BIOLOGICALS AND BIOSSIMILARS
in BRAZIL


Market BIOLOGICAL Medicines
and BIOSIMILARs
in BRAZIL

15 +

Responsible Companies

for almost 50 records.

63 +

Registered biosimilar medicines

at Anvisa.

110 +

International records

110 active registrations with the EMA; 127 with the FDA.
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Regulations

In May 2024, Anvisa adopted a new Resolution for the registration of biosimilars, simplifying the development process and relaxing requirements in a safe way. RDC No. 875/24 brought the first definition of biosimilar in Brazil: "biological medicinal product highly similar to a biological medicinal product already registered by Anvisa (comparator biological product), whose similarity in terms of quality, biological activity, safety and efficacy has been established on the basis of an adequate assessment of comparability".

Benefits of Biosimilars

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8th POSITION

Brazil ranks eighth in the world, with rapid growth driven by the SUS.

REDUCE COST

The introduction of biosimilars has allowed SUS to reduce costs and expand access to advanced therapies for complex diseases such as cancer, rheumatological diseases and autoimmune conditions.

40 COMPANIES

More than 40 companies in Latin America are active in biologics and biosimilars
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8th POSITION

Brazil ranks eighth in the world, with rapid growth driven by the SUS.

REDUCE COST

The introduction of biosimilars has allowed SUS to reduce costs and expand access to advanced therapies for complex diseases such as cancer, rheumatological diseases and autoimmune conditions.

40 COMPANIES

More than 40 companies in Latin America are active in biologics and biosimilars

Turnover and Investment

Billing for biosimilars in Brazil:

0 bi (R$)
equivalent to 2.38% of the total pharmaceutical market.

SUS budget for
pharmaceutical assistance (2004-2024)

0 %
Growth from R$1.4 billion in 2004 to R$21.9 billion in 2024.

Ministry of Health investments (2019)

0 bi
units of medicines purchased.
0 %
of the medicines budget was earmarked for the purchase of biologicals.
0 %
of all the medicines purchased were biologicals.

Economic Impact

Between 2015 and 2020, the federal government acquired around 121 million units of insulin, totaling R$1.4 billion in spending, with a reduction of 63% in the average cost per daily dose defined for NPH insulins and 14% for regular insulins.

Availability of Drugs for Rare Diseases

Availability of
Drugs for
Rare Diseases

Between 2022 and 2024, there was an increase of 18.18%, from 77 to 91 drugs.


's participation in PróGenéricos

Participation of PróGenéricos

13



companies make up PróGenéricos.
20%



é a representação de mercado dos associados, com aumento de participação de de 1,45% em 2020 para 7,33% em 2024
1.589%



was the growth in unit sales in recent years.
13
companies make up PróGenéricos.
20%
é a representação de mercado dos associados, com aumento de participação de de 1,45% em 2020 para 7,33% em 2024
1.589%
was the growth in unit sales in recent years.

Best-Selling Biosimilar Medicines

- Adalimumab:
rheumatoid arthritis, psoriasis, Crohn's disease

- Enoxaparin sodium:
prevention/treatment of deep vein thrombosis and pulmonary embolism

- Insulin glargine:
type 1 and 2 diabetes

- Somatropin:
growth hormone deficiency in children and adults

Best-Selling Biosimilar Medicines

- Adalimumab: rheumatoid arthritis, psoriasis, Crohn's disease

- Enoxaparin sodium: prevention/treatment of deep vein thrombosis and pulmonary embolism

- Insulin glargine: type 1 and 2 diabetes

- Somatropin: growth hormone deficiency in children and adults

Medicines Market
BIOLOGICALS AND BIOSSIMILARS
in EUROPE

Medicines Market
BIOLOGICALS AND BIOSSIMILARS
in EUROPE


Market BIOLOGICAL
and BIOSIMILAR
Medicines in EUROPE

The market for biosimilar drugs in Europe has shown robust growth in recent years, driven by factors such as the expiration of patents on biological drugs, favorable public health policies and the search for more affordable therapeutic alternatives. Below is an updated overview of the subject:
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Market value in 2024:

The European biosimilars market was estimated at approximately US$12.3 billion, with projections indicating growth to US$33.5 billion by 2031, representing a compound annual growth rate (CAGR) of 15.4% during this period.

Participation in the global market:

Europe dominated the biosimilars market in 2022, with a share of 50.44%, driven by favorable regulatory frameworks and cost incentives in national health systems.

Savings generated

Since the introduction of biosimilars in Europe, it is estimated that cumulative savings of over €50 billion will have been generated by 2023, with annual savings of approximately €10 billion.

Challenges and opportunities

Despite the growth, only 14% of the market is being exploited by biosimilars, indicating significant potential for expansion.  

Between 2023 and 2032, it is estimated that 110 biological medicines will lose their exclusivity, representing a market value of around €55 billion, offering opportunities for the entry of biosimilars


Market
BIOLOGICAL and

BIOSIMILAR Drugsin the US

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Drug Market
BIOLOGICAL BIOSSIMILAR
in the USA

Market Size and Growth

The US biosimilars market was estimated at US$ 6.5 billion in 2024, with projections indicating growth to US$ 30.2 billion by 2033representing a compound annual growth rate (CAGR) of 18.5% from 2025 to 2033

Other estimates indicate that the biosimilars market in the US is expected to grow from US$ 22.59 billion in 2025 to US$ 93.52 billion by 2034with a CAGR of 17,1% during the period from 2025 to 2034

Since the introduction of biosimilars in the US, it is estimated that the healthcare system has saved approximately US$ 36 billion by prescribing these drugs, with more than US$12.4 billion in savings in 2023 alone.

Drug Market
BIOLOGICALS AND BIOSSIMILARS
in CANADA


Market
BIOLOGICAL
and BIOSIMILAR
drugs in CANADA

Growth of the Organic Market

Sales of biological medicines in Canada tripled from US$ 4.9 billion in 2014 to US$ 15.0 billion in 2023representing a compound annual growth rate (CAGR) of 12.9% over 10 years.

 

Biological medicines accounted for 38,6% of total drug sales in Canada in 2023, exceeding the OECD median of 30.1%.

Per capita spending on biological drugs in Canada was 381, 80% higher than the OECD median of US$ 210.

Adoption of Biosimilars

By 2023, Canada has approved biosimilars for 18 different biological medicinescompared to 22 in the European Union and 15 in the United States.

 

The market share of biosimilars increased from 23.5% in 2022 to 35.8% in 2023.

Adalimumab: 72% adoption of biosimilars in Canada, higher than the OECD median of 56%.

Infliximab: Uptake of biosimilars of 59% in Canadabelow the OECD median of 87%.

Etanercept: Uptake of biosimilars of 78% in Canadahigher than the OECD median of 47%.

Rituximab: Uptake of biosimilars by 48% in Canadalower than the OECD median of 79%.

Savings in OntarioBetween fiscal years 2020/2021 and 2022/2023, the province of Ontario saved approximately 53 million through the adoption of biosimilars in cancer treatments.

Medicines Market
BIOLOGICALS AND BIOSSIMILARS
in INDIA


Market BIOLOGICAL
and BIOSIMILAR
Medicines in INDIA

Market Size and Growth

 The biosimilars market in India has been valued at approximately US$ 8.6 billion by 2024with projections indicating growth to US$ 37.1 billion by 2031representing a compound annual growth rate (CAGR) of 27.6% from 2025 to 2031.

 Other estimates indicate that the biosimilars market in India is expected to grow from US$ 866.2 million in 2024 to

 until 2033, with a CAGR of 17,38% during the period from 2025 to 2033.

Medicines Market
BIOLOGICALS AND BIOSSIMILARS
in AUSTRALIA


Market BIOLOGICAL
and BIOSIMILAR
Medicines in AUSTRALIA

Market Size and Growth

by 2024, the Australian biosimilars market was valued at US$ 741.6 million and is projected to reach US$ 5.5 billion by 2033, with a compound annual growth rate (CAGR) of 22.2% from 2025 to 2033.
by 2024, the Australian market for biological medicines was estimated at US$ 7.6 billion and is expected to reach US$ 14.4 billion by 2033 , with a CAGR of 7.45% from 2025 to 2033.

recorded a significant increase in the number of biosimilars approved by the Therapeutic Goods Administration (TGA), from just 2 in 2010 to 65 in 2024with 22 new approvals that year.

Anti-TNFadoption of anti-TNF biosimilars is at 36%below the Organization for Economic Cooperation and Development (OECD) average of 67%. Development (OECD) average of 67%..

Potential savings: the mandatory switch from reference biological drugs to biosimilars in rheumatoid arthritis treatments could save up to US$ 75 million per year.