Global Health Care Sector: Biotech/Pharma

Key Points:

U.S.

*   The iShares Nasdaq Biotech ETF ( IBB ) continues to chop around with no clear trend over the last three months. We are now looking for the ETF to hold long-term support between $100-103. Though the fundamental backdrop is positive, uncertainty regarding healthcare policy and drug pricing continues to be an overhang on the entire industry. Further, multiple companies, including CELG and ABBV, have run into pipeline mishaps to start the year, resulting in severe technical breakdowns in individual charts.
*   Our recommendation is to focus on profitable biotechs driven by underpenetrated and superior FDA approved drugs with limited to no competition. VRTX, our sole U.S. Focus List idea, along with stocks of interest, LGND and SUPN, fit this profile. Additionally, all three are currently constructively forming new bases during this market correction, rather than breaking down below longer-term support levels.

EMEA

*   The European pharmaceutical market faces a number of challenges, including Brexit which has forced companies to obtain separate marketing authorization for their products. Further, innovators are increasingly being challenged by tougher pricing negotiations by payers, who are challenged by relatively weak economic growth and high drug prices. The European pharmaceutical market is expected to grow at a CAGR 3.5% from 2015–2022.
*   Similar to the U.S., we recommend a selective approach, focusing on the few ideas that are outperforming on a relative basis due to superior EMA approved drugs marketed in underpenetrated regions of Europe. IPN.FR, our sole European Focus List idea, along with stock of interest, SOBI.SE, fit this profile.

APAC

*   Chinese drug stocks remain under accumulation despite poor market conditions. The recent expansion of insurance coverage through the inclusion of drugs on China’s National Reimbursement Drug List (NRDL) and regulatory changes to speed up drug approvals are driving growth. In a policy meeting yesterday, the Chinese cabinet announced that it will offer preferential tax rates to generic drugmakers, setting the corporate income tax for qualified firms at 15% from 25%. The State Council also said it would draw up new incentives aimed at encouraging the development and production of generic drugs. China’s pharmaceutical market is projected to grow to ~$167B by 2020 from $117B in 2016, according to the U.S. Department of Commerce.
*   We have four drug names on our Focus List.  SFPG.HK and LVZN.HK are actionable. CPHA.HK and SBIL.HK are extended.

Hong Kong Pharma

Hong Kong-listed Pharmaceutical Focus List stocks continue to be under heavy accumulation. Three of our five ideas remain actionable: Livzon Pharma (LVZN.HK; 1513:HK) broke out from a six-week cup, 3SBio (SBIL.HK; 1530:HK) broke out from a 10-week cup, and Shanghai Fosun Pharma (SFPG.HK; 2196:HK) broke out from a nine-week cup-with-handle. We caution that all three ideas will be reporting over the next two weeks. The other two ideas, WuxiBiologics (WXBO.HK; 2269:HK) and CSPC Pharma (CPHA.HK; 1093:HK), are now extended after reporting very strong 2017 results. We recommend waiting for constructive pullbacks to the 50-DMA before adding to those two ideas.

Illumina

O’Neil Methodology

• The stock is breaking out of a seven-week consolidation and is actionable. We recommend adding to shares here as its A/D Rating of B remains strong despite lower volume over the last few sessions. Should the stock pull back, we will be looking for the top of the base (~$249) to hold. Support below that is the rising 21-DMA (~$235).
• The stock’s RS line hit a new YTD high last week before the stock broke out. RS Rating of 88. A/D Rating of B. U/D Volume 1.2.
• EPS Rank of 94. High Composite Rating of 95. Top SMR Rating of A.

Hong Kong Pharma

Our Hong Kong-listed Pharmaceutical Focus List stocks have come under recent accumulation, and now four of our five ideas are actionable again. CSPC Pharma broke out from a seven-week consolidation, while 3SBio, Livzon Pharma, and Shanghai Fosun Pharma are all now building the right side of new bases. The fifth idea, Wuxi Biologics, jumped ~20% this week after issuing a 2017 profit alert and is now extended from an ideal pivot. We do caution that all five ideas will be reporting earnings within the next three weeks.

Earnings estimates for the MSCI Emerging Market Health Care Index have reached their highest level since 2010.
Consensus calls for strong double-digit growth in all five of our ideas over the next year. Current year consensus median
EPS and revenue growth for our five Focus List ideas stand at 29% and 31%, y/y, respectively. Next year’s consensus median
EPS and revenue growth stand at 27% and 28%, y/y, respectively.