In the world of business, a well-known anecdote from Charlie Munger states, "Go where the fish are." This seemingly simple expression can be explored through two distinct lenses: one should evaluate the industry as a whole and consider if it fosters a conducive environment for commercial operations, as well as competitive dynamicsThe second perspective entails assessing individual companies to determine which could be identified as the most promising “fish” within the vast sea of opportunity.

The sector of anesthetic drugs presents itself as a clear example of a flourishing environment abundant in opportunities.


First and foremost, the anesthetic market in China surpasses 30 billion RMB, showcasing a large industry scale that sustains a consistent growth trajectory.

Moreover, the utilization of anesthetic drugs is intrinsically linked to surgical procedures, creating a substantial demand and thereby securing a stable market volume.

In 2022 alone, the market size for anesthetics and analgesics in China exceeded 30 billion RMB, with an impressive compound annual growth rate of 8.22% observed from 2018 to 2022. As the number of surgeries increases and new applications emerge in various medical specialties (including psychiatry, dentistry, and gynecology), it's anticipated that the anesthetic drug market will continue to thrive.

Secondly, the anesthetic drug industry is characterized by significant barriers to entry, creating a favorable competitive landscape.

A unique aspect of anesthetic drugs is their potential for dependency and addiction, which leads to stringent regulation by authorities

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This regulatory scrutiny means that only a limited number of companies are permitted to produce these medications, raising the entry barriers and fostering a highly controlled environment.

In fact, there are a total of 123 controlled anesthetics in China, with a maximum of three producers allowed for any single ingredient.

As a result, the competitive landscape is relatively balanced among a handful of major players, with Junfeng Pharmaceutical, Hengrui Medicine, and Enhance Pharmaceutical leading the charge, capturing approximately 50% of the domestic market share.

Additionally, the high barrier nature of the anesthetic drug sector affords companies within it substantial product pricing power.

On one hand, the technology involved in some anesthetics creates inherent barriers, allowing successful innovators to maintain market leadership for extended periodsOn the other hand, as anesthetics are categorized as “red prescriptions” (medications dispensed under more controlled circumstances), they are shielded from industry-wide price wars that often plague other pharmaceutical sectors.

This translates into high gross profit margins for the major firms; for instance, Junfeng Pharmaceutical, Hengrui Medicine, and Enhance Pharmaceutical report profit margins exceeding 70%, with Enhance achieving an impressive 88% on its anesthetic product line.

Which company, then, represents the best opportunity within the anesthetic sector? Focusing on the principle that the strongest players tend to take the lead, an insightful analysis reveals that Enhance Pharmaceutical, Hengrui Medicine, and Junfeng Pharmaceutical stand out as the top three contenders in this space.

From a product portfolio perspective, Enhance Pharmaceutical uniquely concentrates exclusively on research and development in central nervous system drugs.

In 2023, Enhance Pharmaceutical posted revenues of 5.042 billion RMB

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While this figure does not match the scale of Hengrui Medicine or Junfeng Pharmaceutical, its focused commitment to the anesthetic niche is unparalleledIn fact, 55.09% of Enhance Pharmaceutical’s revenue stemmed from anesthetic drugs, compared to Junfeng Pharmaceutical’s 46.05% derived from wholesale distribution and Hengrui Medicine’s primary focus on oncology.

Additionally, Enhance's second largest market segment relates to psychiatric drugs, which share developmental and clinical synergies with anesthetic products.

The focused research approach by Enhance Pharmaceutical has cemented its reputation, resulting in the approval of 57 new drug products, including 29 with national market leadership, 8 exclusive variants, and 10 products generating over one billion RMB in sales.

Notably, in 2023, Enhance launched China's only innovative analgesic medication, "TRV130" (Fumarate Oselidine Injection), distinguishing itself amidst the competition from Hengrui Medicine and Junfeng Pharmaceutical.

Examining profitability and growth metrics further reinforces Enhance Pharmaceutical’s position as a leader in this market.

Most notably, the return on equity (ROE) and net profit margins of Enhance are the highest among its peers.

Data reveals that between 2020 and 2023, Enhance Pharmaceutical maintained an ROE exceeding 15%, averaging at 17.65%, which surpasses those of Hengrui Medicine and Junfeng Pharmaceutical.

Furthermore, while all three major anesthetic companies maintain significant profits with low turnover ratios, Enhance distinguishes itself through its superior net profit margins, bolstering its ROE

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In 2023, Enhance reported a remarkable net profit margin of 20.51%, again eclipsing its competitors.

It is noteworthy that despite recent impacts from controlled procurement in the pharmaceutical sector, Enhance's net profit margins showed remarkable resilience, indicating robust operational integrity.

In terms of growth, backed by product strength and profitability, Enhance has exhibited solid performanceFrom 2020 to 2023, its revenue consistently grew at a compound annual growth rate of 5%, while net profit expanded at an impressive 11.83%. Moreover, preliminary data from the first three quarters of 2024 shows double-digit growth in both revenue and net profit margins.

In contrast, the revenues and profits of Hengrui Medicine witnessed negative growth during the same period, and Junfeng’s growth lagged behind Enhance.

Looking at recent reports revealed that even though Hengrui's performance rebounded in late 2024, its growth was significantly supported by over 1.2 billion RMB in licensing revenue, showcasing its strength in oncology innovation.

When contrasting with Junfeng, Enhance's performance truly shinesThe latest numbers from the first three quarters of 2024 show Junfeng's revenues and net profits growing at 5.7% and suffering a drop of -10.12% respectively, making Enhance’s achievements more pronounced.

Therefore, Enhance Pharmaceutical’s dedicated focus on the anesthetic market, coupled with its exceptional performance, positions it as a formidable contender in the space—one that may very well rise as a dominant player in the industry, embodying the very essence of a "big fish."

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