2014 Annual Report

Our fundamental task is to shift attitudes about addiction from being a global human crisis to a recognized and treated disease - Shaun Thaxter Chief Executive Officer

Financial Highlights

Performance Highlights

Case Studies

Financial highlights

Our business has been well rewarded for its success in developing our patient-focused business model of treatment in the US, in Australia and to a more limited extent in Europe. In 2014, we had net revenues of $1,115m and operating profits of $562m; this compares to less than $100m of net revenues in 2003.

>Net revenue (m)

Despite the current market challenges in the US and Europe, with multiple generics and pricing pressures, and the consequent downward pressure on net revenue and profits, we have been able to continue to build our Company’s capabilities.

>Operating profit (m)

Performance highlights

Case Studies

Dr Ed Johnson’s story VP Treatment and Health Policy, Indivior

IndiviorUntil you believe that addiction is a medical condition that could happen to you, it’s someone else’s problem

It’s not laws that shift deep-seated prejudice – it’s education. We have to demonstrate that addiction is a chronic medical condition affecting the brain, but with the positive message that treatment could help. It’s a message we must personalize because, until you believe that addiction is a medical condition that could happen to you, it’s someone else’s problem.

But once you understand that it could be your child that overdoses, you are more willing to listen to the science on how treatment can help. Education is a priority.

As a patient-focused addictions company, we take the lead in promoting the understanding of patients and addiction, raising awareness and providing education on our website and through our medical affairs staff, but this is a sensitive disease space, so we work closely with the addiction societies and opinion formers. We offer educational and grant support as well as try to ensure that everyone in the treatment community – pharmacists and counselors as well as physicians – tries to be a resource for patients.

We understand that this is not a disease space where you succeed merely by selling products.

We have a medical, ethical and moral responsibility to improve the safety profile of addiction medication and treatment and to do things that can help improve patients’ lives and access to treatment.

Tony’s story Father of Damien, Australia

IndiviorI thought, wow, we’ve fixed it – until, gradually, I realized it wasn’t over

Damien was a sportsman. He had a full-time manager’s job, a relationship and an active social life.

But once he started using heroin, his friends fell by the wayside. He was taking time off and owed a lot of money – enough to support a $300 a day heroin habit. The crisis hit Damien when he lost his job, girlfriend and flat, all in one week. So he came and just blurted it all out to me.

I grabbed him by the collar and said “We’re going to beat this”. But I ran into problems immediately. Places that were supposed to help just told me to check online.

So Damien went to my daughter’s house and did nine days’ cold turkey.

It must have been horrendous. But he managed to withdraw from the heroin. I thought, wow, we’ve fixed it – until, gradually, I realized it wasn’t over. Damien started drinking heavily, couldn’t get a job and felt like he’d let everyone down. The day he died started normally for him. He and his girlfriend went shopping, then to the pub. But after an argument, she left and he kept drinking. He went off to King’s Cross, Sydney’s heroin center, then to a pharmacy for clean needles. At 10.15 pm, Damien went to a back alley stairwell in a disused hospital, where he used for the last time.

Mark’s story Patient, US

IndiviorI wasn’t eating or sleeping – days just blended in

I was an avid racketball player. I needed surgery on a shoulder injury and was given opioids. I took them as directed, but then started to look forward to them. It started to preoccupy me.

I’d go through a monthly prescription in two days and needed several doctors to keep me in supply. It became a full-time job. I was moody, distant and demanding. But I didn’t care. I didn’t even go to work. I just blamed my shoulder.

I wasn’t eating or sleeping – days just blended in. It was all about the pills. I’d probably be dead, but everything came to a head: divorce, the thought of losing my kids and my job.

I remember the day I said “this has got to stop – I need help”. That’s when I started my recovery. It’s vital that you find the right physician and realize what took you down this path.

I’ve been on Suboxone® Film for two years. I’ve not relapsed once, even when my son was given opioids for a broken arm. I poured them into my hand and sat and looked at them. Then I put them back. Two years ago, I’d have taken the whole bottle.

The morning is my time now. I get up real early, make coffee, read the paper and I love it. It’s one of life’s simple pleasures.

Dr Rubinstein’s story Medical Director and Treatment Advocate, US

IndiviorThese people were no different from the patientsI already had

When the American Psychiatric Association first invited me to get waivered to start prescribing Suboxone® Tablet, I declined. I had an Internal Medicine practice in an upper middle class suburb of Chicago and thought that having addicts in the waiting room would make my patients uncomfortable.

After the third invitation, I thought I’d just go and see what it was about. At the training, something in me lit up. I thought “I can do this” and I loved the idea of helping people in ways I couldn’t before. So I got waivered.

Quickly, my thinking shifted: these people were no different from the patients I already had.

They weren’t bad people who’d disrupt my practice; in my waiting room, you can’t tell who is there for addiction to pain pills and whoever else is there. I realized that patients with addictions are everywhere – in every medical practice and Emergency Department.

I can’t usually say “I made a difference to someone’s life today”, but treating these patients, I really can. Not only am I helping them, but their families and employers.

I say to doctors that, if they want to get the spark back, and the satisfaction that made them get into healthcare, get waivered. It’s not hard to do.

Karrie’s story Patient, US

IndiviorI began to turn my life around, so I could be the person I wanted to be

At 18, I was all ready for college. In fact, it was the start of a decade-long addiction that changed my life. I began taking prescription painkillers to fit in with my peers and soon developed an all-consuming addiction. My only priority was to feed that dependence.

Through the next ten years of addiction, I still managed to hold a steady job. But when I was asked to relocate, I decided I’d rather lose my job than move away from my drug connections. Unemployed, and estranged from my family and friends, I spent two months living in my car. My friends and family tried to help, but I was afraid of withdrawal – and giving up the person I had become under the influence of drugs.

My boyfriend struggled with the same addiction and decided to seek help. When he started working with his doctor, I noticed positive changes in him and wanted to improve too. I recognized that, as an addict, I would never achieve what I wanted in life.

Through support groups and daily treatment with Suboxone® Film, I began to turn my life around, so I could be the person I wanted to be. Now, I feel I have healthy relationships and a purpose in life.