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Cardinal Back in the Nest

By Rich Duprey – Updated Nov 16, 2016 at 2:40PM

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Drug distributor and Japanese pharma Eisai come to agreement after all.

In the end, maybe they both blinked.

Just days after announcing that they couldn't come to an agreement and sending out alerts to health-care providers and pharmacies nationwide, drug distributor Cardinal Health (NYSE:CAH) and Japanese pharmaceutical company Eisai (OTC BB: ESALY) reported that they found common ground after all.

At stake was some $800 million in sales of Eisai's drugs Aricept, a treatment for Alzheimer's that is marketed with Pfizer (NYSE:PFE); Aciphex, for treatment of acid reflux disease; and Zonegran, which is an anti-seizure drug used in the treatment of epilepsy.

As Fool contributor Brian Gorman reported, Cardinal has been trying to adopt a fee-for-service drug distribution arrangement with pharmaceutical manufacturers. Notoriously reluctant to change, the pharmaceuticals instead prefer the current system of distributors like Cardinal, McKesson (NYSE:MCK), or AmerisourceBergen (NYSE:ABC) buying large quantities of their drugs and selling them as the price rises. It's been a slow conversion, but pharmaceutical manufacturers are coming around. Eli Lilly (NYSE:LLY) just recently agreed to the new structure.

For Eisai, coming to an agreement was important because it would have caused a disruption in getting its drugs to pharmacies and health-care providers. While it does have other distributors, sales to Cardinal represent a large portion of Eisai's $2.5 billion in annual revenues.

Aricept is the No. 1 prescribed treatment for the 1.7 million people diagnosed with Alzheimer's. Worldwide revenues from the sale of the drug, which improves the cognitive function of patients, amounted to $254 million last year. Because of its wide acceptance, other avenues of distribution for it would have been readily found. It might not be the same case for Aricept, the heartburn treatment, which already faces tough competition from AstraZeneca's (NYSE:AZN) Nexium purple pill. Disrupting Aciphex from getting out may have proven problematic. Zonegran and Celebrex are also distributed through Pfizer and may have found an outlet there.

Both sides made nice in the new announcement, though terms were not disclosed. Ultimately, both the manufacturer and the distributor win under the agreement and the patient benefits.

Fool contributor Rich Duprey believes a few less Krispy Kreme doughnuts would resolve his own heartburn issues. He owns shares in Eisai but does not own any of the other stocks mentioned in this article.

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Stocks Mentioned

Eli Lilly and Company Stock Quote
Eli Lilly and Company
LLY
$311.46 (0.19%) $0.59
AstraZeneca PLC Stock Quote
AstraZeneca PLC
AZN
$54.58 (-3.07%) $-1.73
Pfizer Inc. Stock Quote
Pfizer Inc.
PFE
$44.08 (-1.10%) $0.49
McKesson Corporation Stock Quote
McKesson Corporation
MCK
$343.27 (-1.06%) $-3.69
AmerisourceBergen Corporation Stock Quote
AmerisourceBergen Corporation
ABC
$137.20 (-2.01%) $-2.81
Cardinal Health, Inc. Stock Quote
Cardinal Health, Inc.
CAH
$66.05 (-1.81%) $-1.22

*Average returns of all recommendations since inception. Cost basis and return based on previous market day close.

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