Atlas of pharma markets · Rx Specialty Pharma · Germany

Rx Specialty Pharma. Executive Search.

Indicators
Free pricing 6 months Orphan threshold €30M Biopharma share > 33 % Humira 2023 Eylea 2025 Keytruda 2028 Time-to-fill > 150 days Post-patent price drop ~ 80 % GKV-FinStG since 2022 Free pricing 6 months Orphan threshold €30M Biopharma share > 33 % Humira 2023 Eylea 2025 Keytruda 2028 Time-to-fill > 150 days Post-patent price drop ~ 80 % GKV-FinStG since 2022

The industry’s capital has shifted dramatically into specialty therapies. The pricing grace period has been halved to 6 months. We fill your strategic key positions with precision and discretion.

01 / Mandate

Real risk management for your profitability.

An empty seat in this critical phase costs hard cash every single day. Exclusive headhunting in Germany for profiles in Medical Affairs, Marketing and Sales.

The industry’s portfolios are undergoing a fundamental restructuring, driven by intense shareholder pressure. Investors today demand clear pure-play strategies — no more mixed conglomerates. The market punishes unclear profiles with a steep valuation discount.

02 / Strategy

Focus on Pure Play and innovation

Economically, the market is splitting into a low-margin volume business and high-priced innovation. Investors demand a clean separation, they want to decide for themselves whether to invest in stable volume business or high-risk innovation.

Research-driven pharma companies have drawn the consequences and spun off their high-volume business to protect the core margin. Novartis successfully took Sandoz public, Johnson & Johnson carved out Kenvue, and Sanofi completed its exit from Opella.

The focus of these corporations now lies fully on high-margin specialty care. Every vacancy in this segment becomes a boardroom issue at once. Delays at launch jeopardise the commitments made to analysts — and with them the share price.

03 / Primary Care

Primary Care and the volume business

Primary Care means basic medical provision. In economic terms, this market is today the domain of generics logic. It is governed by hard rebate contracts, a pure volume business focused on supply chain and tender management.

A classic field-force visit to a physician costs you between 150 and 200 euros in Germany today. With an average daily therapy dose of a few cents, that simply no longer adds up.

There are rare exceptions. True blockbusters such as Wegovy by Novo Nordisk or Zepbound by Eli Lilly for obesity treatment form lucrative islands of innovation. These products fall under the lifestyle provision of the German Social Code (SGB V): statutory health insurers do not reimburse them, and patients pay out of pocket. For manufacturers, that means full margin without AMNOG price pressure. Modern RSV vaccines likewise defend high margins in the primary-care market.

04 / Specialty Care

Specialty Care and the ticking clock

This is where your growth lies. Biopharmaceuticals today account for well over 33 percent of total German market revenue. Capital is flowing into oncology, immunology and rare diseases.

But the pressure on profitability is extreme from two sides. At launch, the law halves the grace period, after 6 months, free pricing is over. In parallel, the AMNOG revenue threshold for orphan drugs has been capped at 30 million euros. Successful niche products suddenly fall into full assessment.

At the same time, the clock is ticking at the end of the life cycle. Patent expiry threatens the industry’s existential revenues. Humira by AbbVie lost its exclusivity long ago and is feeling the heavy margin erosion from biosimilars. Eylea by Bayer lost its European protection in 2025. And for Keytruda by MSD, the enormous patent cliff of 2028 is drawing ever closer.

Whoever leads here must offset enormous revenue losses by building new pipelines. The remaining exclusivity window of today’s cash cows has to be defended without mercy.

05 / Patent Cliff

The ticking
clock.

Whoever leads here must offset enormous revenue losses by building new pipelines. The remaining exclusivity window of today’s cash cows has to be defended without mercy.

Humira
AbbVie · heavy margin loss to biosimilars
Patent lost
Eylea
Bayer · European protection lost
Patent lost
Keytruda
MSD · massive patent cliff
~ 2 years
06 / In Practice

You know the problems. We place the answer.

We see every day where launches are failing right now. It is rarely the global strategy that is missing. It is the right people in execution.

Executive Search Medical Affairs

Your key opinion leaders demand rigorous scientific debate on real-world evidence. We place Medical Directors and Senior Medical Science Liaisons. These experts build trust with specialists as equals, long before the product reaches the market. Without an excellent medical team, your sales force later hits closed doors.

Marketing and Launch Excellence: a break with yesterday

The days when a launch was steered solely through the frequency of field-force visits are over. In the specialist departments we often hear the phrase: “That is how we have always done it.” That mindset will get you nowhere in the new reality.

Specialists today demand a seamless omnichannel strategy. They want information on demand, through digital channels that do not disrupt their clinical day. What is needed are profiles that unite regulatory rigour and innovation. The courage to seize opportunities within strict compliance constraints becomes the decisive competitive edge.

We find you Heads of Marketing and Senior Product Managers who orchestrate specialty launches the modern way. These leaders master agile content management and break through internal approval bottlenecks. Anyone still thinking in silos loses touch with the audience.

Commercial Leadership and Individual Contributors

The decision-making centre for specialty products has shifted dramatically. Classic selling in the doctor’s office is losing ground. More than 50 percent of specialists now refuse access for conventional visits. The relevant conversations take place in the office of commercial leadership, about budgets and supply contracts.

We find you the experts for strategic key account management. These profiles negotiate as equals with hospital networks and purchasing alliances. In parallel, we place leaders and high-impact experts for your international scale-up. This is where a single hire can move your profitability.

We accompany the profound shift among top talent. More and more high performers are turning down classic leadership roles. They define themselves not by FTE, but by measurable impact. These individual contributors often own portfolios of up to 100 million euros on their own. They want to shape outcomes. The leverage is enormous, unfilled positions cost millions.

07 / Talent Market

The heterogeneous talent market in pharma

First things first: there is no single “pharma labour market”. That has always held across the different markets, Rx Specialty, OTC Consumer, CDMO and Biotech, their market mechanics are simply too different. But talent markets also differ within a single segment, especially in Specialty Pharma.

To understand it, you have to follow the money. Demand for talent moves with the flow of capital, with a lag of roughly 6 to 9 months. Where money is withdrawn, roles are cut sooner or later — for instance in the restructuring waves of broad-indication sales teams. Where capital flows in, demand for qualified specialists and leaders arises.

We see strong demand especially in oncology, immunology and rare diseases. This is where money is still made. Because of the €30M revenue threshold for rare diseases, we expect subdued demand in the short to medium term; the new rule will undoubtedly influence investment decisions.

Regardless of indication, one thing holds: the clock ticks mercilessly on every patent. Once protection expires, a price collapse of 80 percent looms. Companies have no time for long ramp-up phases.

A vacancy is not an HR problem. It is a threat to your profitability.

The problem: the qualifications of those becoming available often don’t match the new challenges. Although the market has eased overall for employers, it is fiercely contested for the key positions of the future. Demographic change acts as an accelerant.

The industry-standard time to fill a role in pharma is over 150 days, almost the entire window of your free pricing. What unfilled roles really cost is documented in our own analyses of the economic impact for German pharma companies: revenue losses in the millions.

Top performers today look for purpose and self-efficacy. This clientele is not actively searching. We secure access to these passive talents through market depth and discretion. In an environment where classic recruiting approaches barely work anymore, personal dialogue is the only way.

Mandates

Real challenges,
solved.

Examples from our practice in the Rx Specialty segment. Every placement in business-critical roles is risk management for your profitability.

  1. Marketing Lead Rx Specialty: reframing a blocked sales force.

    A long-tenured field force was blocking the shift toward omnichannel approaches. We placed a Head of Marketing from a structurally identical specialist-physician market. The result: a digital strategy deeply accepted across the entire team.

    Marketing Omnichannel Rx Specialty
  2. Medical Advisor Dermatology: a paradigm shift beneath the skin.

    Placement of a Medical Advisor Dermatology for an established pharma company in chronic inflammatory skin diseases. Connecting to systemic therapy as the decisive lever.

    Medical Affairs Dermatology Systemic Therapy
  3. Medical Director Germany: science as a launch driver.

    Placement of the Medical Director Germany position for an indication extension. Scientific authority as the lever for market access, deeply embedded in the KOL network.

    Medical Director Launch Indication Extension
FAQ Specialty Pharma

Frequently asked questions.

The industry-standard time-to-fill is over 150 days, almost the entire window of free pricing after market entry. We go directly into the target market instead of waiting for candidates to apply. Through our personal network, multipliers and technology-supported direct search, we also activate profiles that are not actively looking.

As a rule, we present the first validated long-list profiles within two to three weeks of mandate start. Close support throughout the process, market intelligence, life-stage alignment, contract negotiation, prevents drop-outs on the last mile.

Access to specialist physicians has changed structurally. Classic field-force visits are more expensive and less feasible, while the digital information flow among KOLs and specialists has become far more relevant. Whoever leads in Specialty Care today must orchestrate a robust omnichannel strategy, field force, medical content, digital and congress presence thought of as one.

We therefore assess candidates not only by their CV but by concrete evidence: which multichannel programmes have they owned? How did reach and share-of-voice develop under their leadership? Anyone who cannot demonstrate this does not make the shortlist.

Top performers in the specialty segment usually have no active desire to move, they probe the market cautiously. A crude or broad approach destroys trust, often also the relationship with the current employer. That is why we work as equals and without briefing leaks.

Concretely: the mandate name and the candidate name are kept separate in the first approach. We build context before we reveal the position. Reference checks are carried out only with the candidate’s consent. Within the mandate itself we work with codes, so that internal lists disclose neither client nor candidate.

At large consulting brands, the partner wins the mandate, the operational search is often handled by junior researchers or associates. But the decisive asset in the regulated pharma environment is the personal network at decision-maker level. That network is always tied to a person. It cannot be delegated.

At ANDRIS Consulting, every mandate stays in one pair of hands. The seniority that wins the assignment is the same that runs the search and assesses the candidates. Added to that is depth in the specialty segment: AMNOG, the halved grace period, the patent cliff, the orphan threshold, these are not briefing slides but everyday work.

Top performers in the specialty segment usually have several options. At comparable compensation, what increasingly decides is whether the role allows a clearly visible impact, on patient benefit, the therapy landscape, the indication. Purpose here is not a buzzword but a concrete selection filter.

On top of that come flexible working models. Full on-site presence in Munich, Frankfurt or Basel is hard to enforce in the senior segment today. We discuss realistically with our clients which mobility and remote shares the market expects, and which profiles are not deterred by them.

We do not rely on salary reports that are long outdated by the time they are published. Instead, we maintain ongoing compensation benchmarks per role and indication, which we update from every conversation we hold, base salary, variable components, LTI, company car, sign-on, relocation.

This lets us assess validly, in the briefing, what a given position costs on the market today, not last year. That prevents surprises at the negotiating table and protects against drop-outs in the final phase.

Our focus is on key roles in Medical Affairs, Marketing and Sales: Medical Director, Medical Advisor, KAM Lead, Brand Lead, Marketing Director, Head of Field Force, Launch Excellence Lead, Market Access Lead.

At senior level we also support managing-director roles, General Manager DACH, Country Lead Germany and director roles with full bottom-line responsibility. The range spans from building up local players to top-10 pharma.

Demand clearly concentrates on oncology, immunology and rare diseases, this is where most of the growth in the specialty segment is generated. Further established indications are haematology, dermatology (inflammatory skin diseases), neurology, nephrology and ophthalmic specialty therapeutics.

For rare diseases we expect subdued demand in the short to medium term, the new AMNOG threshold of €30M in revenue has clear effects on investment decisions.

We have the greatest depth in the functions that directly steer launch and life-cycle defence: brand management, marketing heads, Medical Affairs (Medical Director, Medical Advisor, MSL Lead), KAM and field-force steering, as well as Launch Excellence.

In sales we focus on roles with real steering responsibility, not pure field-force positions. In the medical area, KOL access is the central assessment criterion, not just technical qualification.

That is a commercially legitimate question. At first glance the contingency model seems less risky, no hire, no cost. But analyse the economic incentives and a classic principal-agent problem emerges.

In the contingency model the consultant carries the full cost risk. Their economic imperative is speed over thoroughness, they concentrate on quickly available candidates. If the search becomes complex, their model forces them to withdraw resources. Your interests and theirs are asymmetric: you want the best, the agent needs the fastest.

Through the committed capital in the retained model you align these interests. We are paid to penetrate the entire market and to activate candidates who are not actively searching. The retainer is not an extra fee but an investment in process certainty. The cost-per-hire stays the same.

Other markets
02 / OTC & Consumer Health

Pharma meets
FMCG Speed.

The customer journey doesn’t end at the pharmacy counter. We place experts in omnichannel strategy, DTC models and digital trade marketing who meet the modern healthcare consumer where they search.

Pharmacy Sales Drugstore & Grocery DTC & Love Brands E-Commerce
Deep Dive
03 / Generics & Biosimilars

Volume Strategy.
Margin focus.

Generics & biosimilars players need doers. We identify talent for tender strategy, business development and supply chain excellence who win the decisive percentage points for your portfolio in fierce price competition.

Tender Management Portfolio Strategy Biosimilar Launch Supply Chain
Deep Dive
04 / CDMO & GMP Manufacturing

Industrial Scale
GMP-Compliance.

From raw material to finished batch. We find the leaders for site management and supplier quality who ensure smooth audits and maximum efficiency in your plants.

Tech Transfer Pharma Suppliers Annex 1 OEE / OTD
Deep Dive