Zoetis Inc. (ZTS) Earnings Call Transcript & Summary
May 29, 2024
Earnings Call Speaker Segments
Jonathan Block
analystHey, thanks guys, and again, trying to stay on time and good afternoon. I can go with good afternoon now. Next up, we have Zoetis. And pleased to be joined on stage by their CEO, Kristin Peck. A lot to discuss; if you don't mind, I'll just dive right in. We'll get after it, and I'll start with trends. And so we all sort of see this vet visit data and vet visit trends remain somewhat subdued. But Zoetis has talked repeatedly about the company's ability to execute due to flexibility and, let's call it, the way pet owners order or secure therapeutics. So maybe talk to us, Kristin, does Zoetis continue to experience ongoing resiliency in its companion animal business, despite these modest vet visits that we're seeing?
Kristin Peck
executiveYes. I mean I think as you look at our performance year after year, I think we can deliver in lots of different operating environments. On average, we've been growing around 8% per year. If you looked at Q1, what you saw a decline in vet visits, we grew 12%. So I think what we continue to say is we're not very leveraged to vet visits overall. A lot of our products are chronic products that you get [ multiple ] once at a time. So they're not requested, if you look at dermatology or preventatives, these are products you're going to -- can take continuously. But I think even if you double click and say, where is the revenue in the veterinarian. It's still up. It's up on a revenue per visit of 4.5, overall it's 6%. And it's still, in my view, supply constrained, there's more demand than there is supply. And I think the previous presenters were actually having that same conversation. So we're very optimistic at the health of the veterinary space going forward, and particularly around animal health. Even as consumers are facing challenging times, they're still spending on veterinary health.
Jonathan Block
analystOkay. And I was [ sure to ] always joke that you and I could grab this time and presentation, order Apoquel online and secure it in a bunch of different ways...
Kristin Peck
executiveWith your prescription.
Jonathan Block
analystIn Trio, et cetera. Rough numbers in terms of percent of companion animal that goes through that alternative channel?
Kristin Peck
executiveSo what I would say is you've got to look at the U.S., because it's quite different outside of the U.S. But about 10% -- I mean, people will say like where could the U.S. business? It could be 10% of the U.S. business can go through online. But again, I do remind you that a vet prescribed that product. So it's going there. And I think the advantages of online is auto-ship, is what I would say. So as you look at our growth went from 5% to 7%, I mean, I think it's -- everyone says, well, is it going to take over everything? No. The majority of our future portfolio is in injectables, which will be done at the -- obviously, at the veterinary clinic. But it's going online, but it still requires a veterinary prescription to get there, but I think we see significant advantages to compliance. You can see when you go to auto-ship, which is really the vast majority of Chewy's and most of the online companies' sales.
Jonathan Block
analystHelps drive the [ compliance in the parasiticides ]...
Kristin Peck
executiveYes. I mean you look, we had strong growth in the last few quarters across independent vets, across corporates and across online and retail. But online and retail is the fastest-growing component that we're seeing, is it really works for the consumer.
Jonathan Block
analystSo continuing to execute in companion animal, maybe just to move over to livestock. I think the initial thought going into the year was low single-digit operational revenue growth in '24, you had gotten through some of the DRAXXIN headwinds in years prior.
Kristin Peck
executiveI'm so happy a livestock question. I haven't seen one of those all day....
Jonathan Block
analystThere you go. We'll mix it up a little bit today. But now it might even be healthier, low to mid-single digits. Is that the right place to be for '24 specific to livestock, and part of that might be benefiting from some of the hyperinflationary markets that you guys discussed on the last call.
Kristin Peck
executiveYes. I mean I think that was -- we increased it to low to sort of -- [ ween it ] a little faster. I think some of that is certainly driven by that. I mean I would also remind you that we had an incredible strong comp last year as you looked at Q1. So I think Q1 was weak this year, but that was on a very challenging comp, but I do think we'll probably -- I mean, what we've guided for years is lifecycle will go back to its 2% to 4% growth, and I think that's what you're continuing to see.
Jonathan Block
analystAnd if you [ look at ] livestock, I mean, this year, it was coming out of, pardon me, a little bit of the doldrums of years past, and part of that was DRAXXIN. But do you think that 2% to 4% is durable? We're on that low to mid-single-digit growth for your livestock franchise going forward, even off of a more difficult comp '25 versus '24 arguably?
Kristin Peck
executiveYes, we do believe the 2% to 4%. I mean, first of all, it's what the industry has historically done. I mean I think we were a little bit of an anomaly for a while. First you had African swine fever and then we had Draxxin. And by the way, not just DRAXXIN, Draxxin and a few other products that also hit LOE. So I think we were a little bit behind. Once we've worked out of that, I do expect the 2% to 4%. And I think to get at the high end of that it's going to be a little more of bringing innovation and things like that to the market. Which we continue to do in livestock, but more in the singles. So adding additional vaccines, Valcor. We've added new products, added new genetics. So I do think we'll continue to be able to deliver in the 2% to 4% range. And I think livestock will continue to do that.
Jonathan Block
analystVery helpful. Guys, again, if you have questions, go ahead throw your hand up or shout out. I was going to plow forward, Librela. I bought very upbeat commentary on the first quarter conference call. The 4-week rolling average increased steadily throughout April. You commented on that. How about if we move forward? Did that trend continue so far in the month of May?
Kristin Peck
executiveYes. We were really pleased with our performance in the quarter, 189% growth, $100 million in sales, 60% ex U.S., $40 million in the U.S. Really exciting to see the positive momentum that product continues to have. We did give guidance over there that its 4-week rolling average is positive. That trend has continued through May. We're still continuing to see week-over-week growth in that product and real excitement. Veterinarians really are excited to see the impact that it makes in pet owners. And I think the overwhelming number of pet owners are really pleased with the product.
Jonathan Block
analystOkay. And I asked about this on the call, but I wanted to circle back. Should we expect any, call it, longer-term data or studies that the company will initiate? Or is the takeaway look, you've got lack of efficacy, frequent urination -- or frequent drinking, I think, is what you called out. Everything other than that is a rare side effect.
Kristin Peck
executiveThat's a rare as well. Everything is a rare or super rare side effect, is what I would say. Those are the top 3. That's in the global data that we published. I would say it's an incredibly safe and efficacious product. We've been publishing the global data, as you see. The product has been on the market for 3 years, with 14 million dogs already using the product. So we stand, obviously, by that.
Jonathan Block
analystStand by it. Don't expect any changes to the label for either Librela or Solensia?
Kristin Peck
executiveWell, to be clear, we have had label changes in every market that we've launched in. Well, what I [ would ] say, so we have had label changes in every market that we had launched that's been on the market for at least 2 years. We had it in the U.K. We had it in Switzerland. We had it in the EU. So could we have it in the U.S.? IF it follows like every other market, we would expect a label update in the first 2 years. That is what we've seen in every other market. I have no idea what the FDA may or may not do. I certainly don't know that, but I would just say, like when people ask that question, I don't know what the FDA does, but every other market in the world has so far, that's been on the market for over 2 years, has done some type of label update type thing.
Jonathan Block
analystBut nothing that would change your, Zoetis's [ bold ]...
Kristin Peck
executiveEnough to say, if you look at the label updates in Europe, it hasn't changed the trajectory in Europe. It's growing incredibly well outside the U.S.
Jonathan Block
analystOkay. And then I've got my own thought on the next question I'm about to ask, but I'll ask the expert obviously. Why do you think there was this, I'll call it, the initial social media outcry? I mean, we do our own survey work, and we've never seen the level of adoption like Librela. I mean we had, I think it was 65% of vets in the first 6 months that had adopted the product. Is it the -- up and to the right adoption combined with at least initially using it in severe? So an older dog that created some of this negative? Because I'm just trying to tie it back and get your thoughts on why we did see that reaction, if you would, from pet owners?.
Kristin Peck
executiveI think it probably -- I mean, it was -- as you look at the launch in EU and the U.S., it is often used early on in the most severe dogs. So I think that -- and the most severe dogs are the older dogs who tend to have comorbidities. So I think that could be it. I also think we just live in a different world, is what I'd say, in individual voices and their ability to have outsized. The reality is the vast, vast, vast majority of everybody on the product is incredibly happy and having a great experience. I look at it and say, I can't -- obviously we didn't see that coming, is what I would say. And we -- partly because we've had the product on the market in other countries in the world for 3 years, and we didn't see that. So are we in a different space and time in the U.S. with social media and what people's individual experiences and their desires to share that and bring that to life? I just think it's a new world that we live in. And so it might be that the most the first few dogs were the most severe, with the most comorbidities. I really don't know -- look, my heart goes out to any pet owner who lost their dog. And I don't know whether it was caused by Librela or it wasn't caused by Librela. The overwhelming safety and obviously, the product is very, very strong. I obviously wouldn't comment on any individual case, but I also think we have to accept that we live in a different world. And people's feelings on any topic now, they feel the need to share much more aggressively. And so I think our goal -- and to get back at 1 of your other comments is -- we want to be really transparent with our data. We want to make sure we're sharing the great and positive stories. We want to make sure we're educating vets and that we really want to invest in more follow-up publications that can look more deeply at some of the questions that are being asked at our peer-reviewed journals, et cetera, so that we can get some of that out there, so.
Jonathan Block
analystVery helpful. One last -- sorry, please.
Unknown Attendee
attendee[ What was the ]
Kristin Peck
executiveThey added different side effects that they had seen over the real-world data in those. So we can give you the different updates -- they were different in each market. Again, every regulator is independent, and every label started -- I'm sorry, what?
Unknown Attendee
attendee[ Were they already on U.S. label ]
Kristin Peck
executiveNo. That is what some of these -- to be very frank, this is what they're complaining about, some of these -- they say, why does the label in Europe different? And as all of you know, the label for almost every product is different in almost every market. So it's not because we were hiding anything. Every regulator chooses what to put on a label. And if they choose to add things, which they did in Europe, Europe had it for 3 years. So the U.S. could choose to add those other side effects that Europe has chosen to add. So I mean I think for people who watch human health and animal health care companies and know this happens all the time, that's very normal. But if you're, lost your pet and you're looking for someone to blame and you're saying they didn't -- the FDA and the company didn't tell us, we didn't decide our label, as you know. The FDA decided our label and the FDA can choose to update the label the same way regulators in other markets have. So I think what they're asking, what these people would like is, why doesn't your label look like it does in Europe and -- yes.
Jonathan Block
analystI think there might have been a question in the back. I might have -- no, go right ahead. I might have missed it before, please.
Unknown Analyst
analyst[ How do you think when you go to market in livestock cases that sell your medications portfolio, how does that impact the rest of the vaccines ]
Kristin Peck
executiveYes. It doesn't really change our go-to-market at all. Obviously, if you look at my livestock portfolio, the sales of that product are a very small percentage of our overall portfolio. So I don't think it changes. Obviously, we'll update our contracts as we move -- as we close that transaction at the end of this year, we'll update our contracts. But it's a very small proportion of my overall livestock business, so it doesn't really change my go-to-market in any way for any [ diseases ] that we have.
Unknown Analyst
analyst[ You really go off ]
Kristin Peck
executiveYes. I mean, to be honest with you, those are generally the products with the smallest margin where there's the most competition. To be frank, there's very little differentiation in that portfolio. And so you're not going to get a great price. Really, what you're negotiating on is normally your more innovative products that have, you have a lot more science and differentiation on. So that's why I would say it won't affect it. It won't be that important to us because [ they can ] all -- that was one of the reasons we actually looked at this and said there's not much innovation that we saw in the space for Zoetis. And as we looked at innovation we could drive there, we thought our dollars were much better spent in other spaces, such as vaccines or in genetics or in immunomodulation. And so I have a strong belief as we look at a disciplined capital allocation that we want to be investing in spaces where we think we can get the most disruptive innovation, where our customers want us innovating. And although we could have innovated there, in our margin structure, that's not where the higher-margin products will be. And so we really felt like investing for us, more in vaccines, genetics, and immunomodulation and antibiotic alternatives, was a much higher-return investment for us. And for other companies who are in that space, that is a high-margin product to them, and they are more than willing to invest in that space. So I just think we're very blessed to have other areas that we can invest in that would have a higher ROI. So it wouldn't really change our go-to-market. It is making sure that we focus our R&D dollars on where we think the innovation and disruption will be the greatest, which is where our margin opportunities are highest and so where our pricing capability.
Jonathan Block
analystI'll take this back to Librela for a moment. One last one on Librela and then I'll pivot off. Just on the earnings call, I think you said the company's expectation for Librela remains unchanged. What are those expectations in the U.S.? The Street is sort of in and around $210 million to $215 million. Is that a good number to use when you say it remains in line with the company's expectations?
Kristin Peck
executiveSo we did not give expectations for a Librela number in the U.S. We've given guidance that we think it could be a $1 billion franchise in peak sales. I don't think that number is crazy out of -- unreasonable number is what I would say, but we have not provided guidance.
Jonathan Block
analyst$40 million in 1Q, but it had an inventory headwind, the inventory headwind is normalized. So to think 210 to 215 is a fair representation might be a good [ place to ]
Kristin Peck
executiveIt's not unreasonable.
Jonathan Block
analystNot unreasonable. Okay. Fair enough. I got that. Thank you. I want to talk about atopic derm. First, your business and then maybe pending competition. So you had another really good quarter, $360 million, the growth was 24%. Easy comp, but its 2-year stack still around 20% for the past several quarters. It seems like you're convinced there's still a really good volume opportunity. And you mentioned on the call, 18 million of 31 million dogs have been treated, but arguably 40% of the market is still untreated. Are those in markets that can afford an advanced product or premium product like that of Apoquel?
Kristin Peck
executiveSure. But I'd also even say, even if you look at the 18 million that have been treated, many of those are undertreated. Treated counts as like, I gave you steroids. That counts as a dog that was treated. So I'd say I'm going after, obviously, the untreated you just spoke about, but I'm also going after a large proportion, maybe 11 are on our products. So the remaining 7 are still customers that we think are undertreated and still could really benefit. And I think the same way you've seen more competition enter the triple combination market and it expands the market, we firmly believe more people talking about the need to treat and the benefits of treating in atopic dermatitis will grow the market, is what we absolutely believe. So we still believe there is an opportunity to expand the market by bringing more pets in and keeping more pets more months on therapy.
Jonathan Block
analystOkay. So that future competitor might come in and run some advertising or DTC of their own, further increase awareness. We can tap into the other 13 million or a subset of the 18 that's being treated suboptimally, if you would.
Kristin Peck
executiveAbsolutely.
Jonathan Block
analystOkay. And then let's discuss the chew. I think 40% of the dogs in the international markets are on the chew. What about the U.S., and it looks like this is entirely your market until maybe in and around the end of the year, where do you expect the U.S. to be from a chew perspective by the end of this year?
Kristin Peck
executiveSo we're aggressively trying to convert Apoquel users to Apoquel chew.
Jonathan Block
analystIn some of your commercials [ quite honestly a bit more ]
Kristin Peck
executiveWe also moved Apoquel chew into distribution, make sure that they were motivated as well to convert as many people. We really believe that pet owners that are on our product and are really pleased with our product have no reason to switch. So as you look at sort of the seasonal and chronic pet owners that have used Apoquel for a long time and really, really like it, they're going to stay. And if they, even better, have a beef-flavored chew versus going back to film-coated tablets, they're more likely to stay with us, which limits the market for a new entrant to really be focusing on more of the new starts, new dogs to the category space. We are more and more seeing also lots of vets and pet owners preferring Cytopoint and preferring injectables. So we really feel like our ability to continue to grow the market and also defend our franchises, I think we've got a very strong life cycle innovation approach to doing that.
Jonathan Block
analystOkay. And did I get a chew number from you for the U.S. by the end of the year?
Kristin Peck
executiveDid not.
Jonathan Block
analystOkay. And I'm not going to get one?
Kristin Peck
executiveYou're probably not, no.
Jonathan Block
analystOkay. Fair enough. Any questions? Got it. Competition. For several months, I'll sort of lay out what we've heard, and then you can tell me if it's reasonable or not. But we've done our -- I think, our homework on Zenrelia. We've repeatedly heard chatter about no induction period. So no 2-a-day dosing for the first 14 days. And maybe superior efficacy on the label. Let me go after the second point first. I think the efficacy on your label is around mid- to high 60s. But when I do my work on the channel, I always get back hey, I think it's 80% effective, 85% effective. So maybe let's start there, Kristin. Do you think the real-world efficacy of Apoquel is considerably higher than what we might see on the...
Kristin Peck
executiveYes. I think this is one of those spaces where I really feel like if you talk to vets and pet owners, there's very few people who are like -- there's definitely a lack of efficacy for every product. There are certain pets who do not respond, and that will be a great market for someone else coming. But oftentimes it's the class, which would mean, whether or not the new competitor would also be effective in that dog remains to be seen. I don't think lack of efficacy is our biggest complaint about our product. I don't really think there is a biggest complaint other than, we really like competition and we'd like to pay a lot less for your product. That is the number one thing. Again, I don't think the 2 pills a day for 14 days now that they're beef flavored really, two treats a day for 14. Like I don't think that's also -- I mean, we have heard that, that there -- if that's your differentiation, that lasts for 2 weeks. And maybe that's really important for those -- some of those new starts that are really acute, I don't really know. But I have not heard about the significant label differentiation, to be honest. We have heard what you've heard with regards to the induction period, if that really is the movement for somebody. I think vets trust our product. It's been out on the market for over 10 years. They understand the safety. They understand what to expect. I think there's a huge advantage to that.
Jonathan Block
analystOkay. And maybe I'll go down the road of market share. You alluded to this a little bit earlier, but you think most of the battleground will revolve around the new dogs. Is that fair?
Kristin Peck
executiveNew dogs or dogs that didn't respond for whatever reason. Those will be [ near ]
Jonathan Block
analystOkay. And again, the nonresponders, you believe is very different. It's not one less 65% to 70%, it's one less real world of, I don't know, 80% to 90%.
Kristin Peck
executiveCorrect.
Jonathan Block
analystOkay. And then I'll move to maybe your response in pricing. So in the past, we've seen you guys get aggressive on price, not so much in companion animal, but let's go over to livestock and just DRAXXIN. You meaningfully lowered price to preserve volumes. How are you going to -- I don't want to say how are you going to compete? How are you going to defend here? Is it sort of, Jon, think chew, think distribution, think safety, that's what we'll lead with and put pricing more secondary and in the background?
Kristin Peck
executiveI would say, first of all, I don't think livestock is a good -- having a generic competitor [ in ] 7 of them is a very different place than an innovative competitor with a unique molecule, with a unique label. Like if you look at DRAXXIN, it was generic Draxxin. I wasn't -- like other than like the safety and efficacy of my manufacturing site, it was the same exact product. So I don't think that I would look at that as an analog to what you would look at in this case. Obviously, until we understand what the label is, what their differentiation is and what their price is, it's hard to respond to a theoretical. But I would say, I think we have an innovative product. I think we have a beef flavored chew. I think we have a lot of reasons to believe, and years of safety data to say, we don't need to play a price game. Will we run a promotion here and there? Sure. But I would be surprised if it becomes a major -- I don't think either party wants a race to the bottom on price.
Jonathan Block
analystYes, and a duopoly of a $1 billion-plus market that's still like [ plain hat ]. Okay. And then last question on Apoquel would just be your conviction on growth in 2025 U.S. So here they come, they are coming. And they're going to have some international markets, but predominantly in the U.S., you've had some price at your disposal and volume growth. Do you still think that U.S. franchise for Apoquel is a grower in 2025?
Kristin Peck
executiveWe do believe it. I mean, I think we believe that this category is going to continue to grow. We believe -- again, I would speak to the category versus the product because we have, like, Apoquel, we have Apoquel II, we have Cytopoint. We think our dermatology franchise overall, I mean we will trade in and trade out of Apoquel versus Apoquel II and Cytopoint, the vets will. I believe that this market is still underpenetrated. There are still millions of pets globally that are not served. So I think that market will continue to grow and we will grow with it.
Jonathan Block
analystAny questions atopic derm, Librela, I'm going to move to Trio. Another really good number, I don't need to rattle it off for you, in 1Q '24. Just talk to sort of like the ongoing success. I mean you've had NexGard PLUS, right? I mean, a really big brand. They've come to market, the growth has been very resilient. We've done some work that you're winning in puppies. Where is that winning formula, where does it largely reside for you guys specific to Simparica Trio, the ongoing share [ you get ]
Kristin Peck
executiveSee, I think pet owners really love the product. Pets like, love the product. It's simple. It's easy. I think we've done a really good job. I mean, being first to market and really establishing it. We've seen others enter the market. They're just growing the market. They're bringing more people into triple combination. And as you look at. Again, this is a very competitive space and always has been in parasiticides. So I think as you look at people enter, the first thing they're doing is cannibalizing their existing sales, and then they're growing the market. We're pulling more people into the triple combination market. And I think that's what we've continued to see. I think the reality is vets and pet owner are very happy with the product. We've done a great job in retail. We're getting -- doing really well on auto ship, which is increasing compliance. So I think the other reason you're seeing the market grow is, the more times we get more pets on, more pets on auto ship, you're getting greater compliance, greater months. And there's no reason to switch. I mean, what's the reason to switch? The pet owners who were on, who were using the product on their pets, really feel like those dogs are doing well. Like, why am I going to switch because there's a new product out?
Jonathan Block
analystAnd arguably, that monthly compliance was starting from a pretty suppressed level, right? I mean, it's not like it was 11 out of 12 months to begin with [ relatively ] And so it has a long way to go and a long way to increase. What's the bigger threat for Zoetis, one or the other or none? If I throw Credelio Quattro at you or Merck's flea and tick injectable?
Kristin Peck
executiveIf you look at it from -- I mean we haven't talked about what I would have as well there.
Jonathan Block
analystWe're going to do that. That's next, in 2025 innovation.
Kristin Peck
executiveSo what I'd say is -- do I think Credelio Quattro is going to dramatically change the landscape? I don't. And by the way, do I think it will grow and do well. I'm not arguing that...
Jonathan Block
analystThat might cannibalize your own sales.
Kristin Peck
executiveYes. And by the way, do you really want to pick up a third parasiticide? Why are you switching? If you really -- if your customers and your vets are really happy with what you're carrying, you generally carry 1 or maybe 2, do you need a third? Unless there's significant differentiation, or you're solving something that pet owners are really worried about, they're not having a need met. I guess I'm a little bit more struggling with what is the big need that people feel is not being met on that one. So I think the compliance that you could get to injectables as you look at -- we already have an injectable parasiticide in ProHeart 6 and ProHeart 12. I think as you look at new disruptive innovations, we're really focused, and we've talked about sort of long-acting injectables as a key growth opportunity for the industry. So I think that will be the next wave of disruption.
Jonathan Block
analystSo let's explore that a little bit because we had a couple of panels earlier today, and one of them talked glowingly about ProHeart 12. He really likes it, but he's also excited about the injectables. And it's got that theme behind it of trying to bring back revenue into the practice, right, after being disintermediated. So for you guys, do we think about a flea and tick offering for an injectable as part of 2025? Or is this that you might sort of try to leapfrog and move more to an injectable triple in whatever time period would accompany that?
Kristin Peck
executiveWe have not given guidance on that. The only thing we've been clear on is, it is a space that we are very invested in, and winning in that space really matters. So we are -- we were the first with an injectable, which is ProHeart 6 and ProHeart 12. We'll continue to invest in that space and continue to look to grow that, but we have not given guidance on Solensia.
Jonathan Block
analystOkay. I'll continue to try to go down the road of 2025 innovation. I know you guys have talked a little bit around hey look, next year -- well, I'll take you back to the Analyst Day, right, and you threw out some big opportunities, but you also had a multiyear time line associated with that. That seems unlikely to land next year in '25, maybe more '26 and beyond. For '25, should we be thinking more about life cycle innovation? And if so, what comes to mind would be longer-lasting mAb, IL-31. Maybe if you can talk around that a little bit.
Kristin Peck
executiveI think what we think is the more near term is obviously incremental vaccines and things like that and long-acting mAbs. And I know we call that incremental, I think they'd actually be pretty disruptive if you could get long-acting monoclonal antibodies. A lot of competitors, how -- do you want to go every month and things like that, and there's a supply constraint on the vet side. So I think both vets and pet owners and compliance, having something that was like multi months would be a huge advantage. I think there's still a space for a single and a multi one. So I do think we've really said in the near term, you'll see lots of new vaccines, which I know you all don't model and things like that. So lots of innovation in the smaller products, but driving good growth and in long-acting mAbs, which I think is a bigger deal than I think some people probably expect. And we have not given guidance beyond that as to some of the other categories we did talk about, which is renal, chronic kidney disease, cardiology and oncology as the big [ statements ].
Jonathan Block
analystAnd to go back to the mAbs and longer lasting, what's the optimal dosing interval? I mean if I look at it like, a month is difficult, right? I mean compliance can be an issue. Do you have time to come in, and for every month I would think for the practice, it could be maybe a little bit overbearing. On the flip side, a 12 month could be difficult from a cost perspective, right? Because now the pet owner has got to absorb 12 payments of x. Is it 3 months? Is it 6 months? How do you see that playing out?
Kristin Peck
executiveYes. I mean, I think really, what we're hearing is there's a desire more for a 3 month as you look to start. And I think if they got comfortable there, then you could continue to expand it. I mean, this is a new space for the veterinary space. I think ProHeart 6 and ProHeart 12 are the first injectables that have really been, they've experienced, how do you price a 12 months? I mean -- and so I think vets are getting -- starting to get comfortable with how do you price these sort of longer-acting products, but I think as you look at that's a much less expensive decision than a long-acting mAb has been. So I think there's finding their comfort to safety and efficacy and how long someone wants to commit. And I think we'll look at a 3 month and then you can look at something longer than that. But I think that seems to be where the vets feel like the sweet spot is right now.
Jonathan Block
analystAnd just to take you back and sort of go through the iteration of innovation for you guys. It's like you crushed it with Apoquel, here comes competition. I've got the chew. I have got IL-31, there's chatter that's going to come to market next year, maybe long-acting at that point in time. And there's still an opportunity on the pain mAbs further down the road if someone comes with a competing product, where, again, that would be life cycle innovation among the longer-acting. Is that [ right ]
Kristin Peck
executiveWe are always looking at life cycle innovation on everything. I mean, I think that's -- we talk a lot about franchises. And I think that matters, which is we look at a space and we want to make sure that we're continuing to innovate and grow that market in anything that we enter. And so I think you saw Apoquel, you saw Apoquel II. Even if you look at DRAXXIN, Draxxin KP. We are looking at our brands as franchises and looking at how we can continue to expand those. Those are brands that we've invested a dramatic amount of money in and building those markets and building that trust. So we'll continue looking at every single space we have and how we can continue to build on that.
Jonathan Block
analystOne more innovation, then we'll see what else I can get to. But are vets going to be comfortable using like a ProHeart 12 in a Bravecto Quantum in mixing, because the pushback that I've got is, if I use an injectable right now, if I'm using ProHeart 12, I still have to send the pet owner home and hope and cross my fingers that they're going to go ahead and use a flea and tick every month, right? So I'm not really answering or fully answering compliance. Do you think they'll be comfortable mixing and matching essentially like, their own home brewed triple injectable in that regard?
Kristin Peck
executiveI don't know. I think that question is better answered to a vet. And by the way, I think it's hard for the vet to answer it today, because they don't have the data and the experience and the clinical data that would support that, is what I would say. I think it remains to be seen what that would look like. I mean I think they're very comfortable with a ProHeart plus a flea and tick. I mean -- so they're -- I think -- but you're asking more about the injectables. I don't think we have enough data to say yet how comfortable they would be. I think they'd want to see the data before they could tell you the answer to that question. So I think once those are launched and you can get a look at, like how are they [ seem ] and running trials and things like that. I think you have to get comfortable.
Jonathan Block
analystLast couple of questions and it might go over to an all-Wetteny question here or there. But maybe first, before we even go there, diagnostics.
Kristin Peck
executiveWetteny [ is not by ]
Jonathan Block
analystAbaxis acquisition over 5 years ago, we've seen several different approaches to market, right? Like you were leaning in the labs, you pulled back. Now you sort of made this transformation here in North America of selling direct. Do you feel like this was the last week that was needed and why the decision to lean more into the direct sales model?
Kristin Peck
executiveYes. I think as you looked at it, we first -- we got it and that we thought you know what, we'll sell it together. The vet gets one sales rep who will answer all your problems, and I would say that didn't work so well. And partly because we have a really broad portfolio, they didn't have enough time to spend and capital equipment sales were quite different. And I think then we changed it about, I think, 2 years ago, we said we want a dedicated diagnostics field force that's going to drive our equipment sales as well as our consumables. And once we got that up and running, we also realized that paying distribution to sell when they were pretty much distributing, to be perfectly frank. They weren't really selling consumables. They weren't talking about how you think about a wellness visit versus a derm visit versus a pain visit. We said we can much better spend that money, having -- investing that internally and being able to drive demand. I think we know that we're better at driving demand than trusting distribution. Distribution is great at distributing. And if you have the demand meeting that need, but that was really the movement to bring it inside. And I think we looked at -- if you look at our reference lab strategy in the U.S., it's really doubling down on our hubs and being able to meet that need and really thinking of more innovative technologies. I think we brought disruptive technology to diagnostics, which is what we promised when we did the deal. We brought an images platform. We have 6 indications on the Imagyst platform and growing. And I think having an AI diagnostic that can really disrupt has helped us get into clinics where we were really blocked before by long-term contracts. So we remain very positive and very optimistic on the diagnostic space and on our strategy and on our ability to continue to grow it.
Jonathan Block
analystAnd it still be -- I think when you did the acquisition, it was thought of like premium growth to corporate and gaining share. Are those...
Kristin Peck
executiveYes. I mean we said, look, we've been gaining share really quickly and done a great job internationally, which is what we said we would do. We said the U.S. would be slower. It is difficult, and it is difficult, a 6-year contract. You only get 10% [ step ] every year to negotiate, so.
Jonathan Block
analystVery last question, I promise you. Just 2025 margins and some of the moving parts there. Companion arguably grows faster, you get greater scale in Librela in '25 versus '24. On the flip side, price has been pretty prominent. Maybe that comes in a little bit. And I'm assuming Apoquel is your highest-margin product. So pushes and pulls, still some conviction that 2025 could be a healthy year for margin expansion for Zoetis?
Kristin Peck
executiveI don't believe we've given specific guidance, but that was a very -- that was a great story, but I don't think we've given guidance for '25 yet. Good effort, though.
Jonathan Block
analystWe'll have to end it there. Kristin, thank you very much.
Kristin Peck
executiveAbsolutely. Thanks.
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