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Monetizing Mature Pharmaceutical Assets: Consumer Health, Biosimilars, and Post-LOE Biologics

Monetizing Mature Pharmaceutical Assets: Consumer Health, Biosimilars, and Post-LOE Biologics
Photo by Hal Gatewood / Unsplash

The pharmaceutical royalty market has deployed over $29 billion since 2020 into patent-protected assets—yet systematically ignores a parallel universe of monetizable cash flows worth multiples of that amount. Established consumer health brands, branded generics, mature biologics facing biosimilar competition, and the biosimilar portfolios themselves generate tens of billions annually in stable revenues. These assets command meaningful premiums over alternatives and offer precisely the risk-adjusted returns that royalty investors seek.

The Expanded Asset Universe

Consumer Health: $50B+ in Undermonetized Brand Equity

The consumer health royalty opportunity remains essentially untouched. Haleon's 2024 portfolio—Advil, Sensodyne, Centrum, Panadol—generated £12.3B (~$15.4B) with 60.7% gross margins and 91% FCF conversion. Kenvue adds another $15B+ across Tylenol, Listerine, Neutrogena, and Aveeno. Perrigo, Prestige Consumer Healthcare, and Church & Dwight collectively contribute another $10B+ in annual branded OTC revenues.

Brand valuations support substantial monetization multiples. Research on Bayer's consumer health unit found approximately 70% of enterprise value derived from brand intangibles, calculated using a notional 10% royalty rate. Applied across the sector, this implies $50-75B in monetizable brand equity sitting on consumer health balance sheets—assets generating cash flows that no royalty investor has yet systematically targeted.

Company 2024 Revenue Flagship Brands Monetization Candidates
Haleon £12.3B (~$15.4B) Sensodyne, Advil Tums, ChapStick-tier brands, regional OTC
Kenvue ~$15.5B Tylenol, Neutrogena Benadryl, older OTC switches
Perrigo ~$4.7B Store brand business Acquired branded OTC portfolios
Prestige Consumer ~$1.1B Dramamine, Monistat Tail brands from acquisitions
Church & Dwight ~$6.1B Arm & Hammer, Trojan Acquired personal care brands

The financial characteristics of these brands rival many patent-protected pharmaceutical assets—with one crucial advantage: perpetual duration. Unlike patent royalties bounded by 8-15 year terms, trademark-based brand royalties can theoretically run indefinitely, offering liability-matching investors exactly the duration profile they struggle to find elsewhere.

Mature Biologics: The Post-LOE Monetization Window

The more sophisticated opportunity lies in mature biologics entering or navigating biosimilar competition. Unlike small molecules that face 80-90% revenue collapse within 12-24 months of generic entry, biologics experience a "slope, not a cliff"—originator share often persisting at 30-50%+ for years post-LOE due to manufacturing complexity, physician inertia, rebate dynamics, and interchangeability requirements.

Xolair (omalizumab) exemplifies the opportunity. With $4.1B in trailing US sales through July 2025, the first biosimilar (Celltrion's Omlyclo) received FDA approval in March 2025 with interchangeability—yet Roche projects meaningful originator retention through 2026-2027. The self-administered formulation (subcutaneous injection), strong physician relationships in allergy/asthma, and limited initial biosimilar competition all favor slower erosion than typical infused oncology biologics. At a 6% royalty on residual originator revenues declining from $3.5B to $2B over five years, the monetizable stream exceeds $100M annually with predictable decay characteristics that sophisticated buyers can model.

Stelara (ustekinumab) demonstrates the emerging pattern with accelerated biosimilar entry. Nine biosimilars entered by July 2025, achieving prices 85-90% below originator wholesale acquisition cost—yet J&J's originator still commands substantial share among patients and physicians unwilling to switch stable patients on chronic therapy. The self-administered IL-12/23 inhibitor benefits from the same retention dynamics as other pharmacy-benefit biologics. The first-year post-LOE window creates a monetization opportunity for companies seeking to extract remaining value while funding next-generation programs.

Humira's lesson: Despite ten adalimumab biosimilars launching in 2023 with 85%+ WAC discounts, AbbVie's formulary contracting preserved 97% volume share through year-end 2023. The revenue decline came through net price compression (~60% reduction), not volume loss. This creates a different royalty profile—lower but more predictable cash flows suitable for liability-matching investors seeking yield rather than growth. By year-end 2024, AbbVie retained approximately 70% volume share while biosimilars captured 30%—substantially slower erosion than small-molecule generics.

Eylea (aflibercept) represents the next major monetization window. Regeneron's $10B+ anti-VEGF franchise faces biosimilar entry in 2025-2026, with Celltrion's biosimilar targeting FDA approval. The intravitreal injection's medical-benefit status suggests faster erosion than pharmacy-benefit products, but Regeneron's 8mg formulation (Eylea HD) extension strategy may preserve meaningful originator revenue streams. Pre-LOE monetization could capture full value while transferring uncertainty to buyers willing to price the risk.

Branded Generics: Persistent Brand Premiums

The brand loyalty phenomenon extends beyond consumer OTC into prescription branded generics. Physicians who prescribed a drug for years often hesitate to switch stable patients to different manufacturers—they know the branded product's behavior, trust its consistency, and face minimal incentive to disrupt working regimens.

Synthroid represents the extreme case: despite FDA-approved bioequivalent generics available for decades, the brand maintains approximately 82% market share in levothyroxine—a therapeutic category where generic penetration typically exceeds 95%. Narrow therapeutic index classification, physician conservatism around lifelong therapy, and endocrinology society positioning all contribute to exceptional brand retention. This is a product that could theoretically support perpetual royalty monetization at rates comparable to consumer health brands.

In emerging markets, the dynamic intensifies further. Branded generics dominate prescription volumes across India, Latin America, and Southeast Asia, where physicians and patients view brand names as quality proxies in markets with variable manufacturing standards. For global pharmaceutical companies, these regional branded generic portfolios represent substantial asset bases that can be monetized independently.

Product Category Years Post-LOE Originator Share Retention Driver
Synthroid Levothyroxine 20+ ~82% NTI classification, physician inertia
Premarin Conjugated estrogens 15+ ~60% Complex manufacturing, no AB-rated generic
Coumadin Warfarin 20+ ~15% Older patient preference, limited switching
Glucophage Metformin 20+ <5% Minimal—commodity generic dynamics

Biosimilar Portfolios: The Emerging Asset Class

The biosimilar market itself presents compelling financing opportunities. The US market reached $19.5B in 2024 with 84 FDA-approved biosimilars across 21 reference products, 67 commercially available. Samsung Bioepis alone generated $1.07B in 2024 biosimilar sales across 11 products. Post-launch biosimilars exhibit pharmaceutical royalty-like profiles—predictable revenues, declining competition intensity as originators withdraw promotional support, and stable market share among converted patients.

The Sandoz-Evotec precedent (December 2025) established institutional appetite for biosimilar royalty streams. Sandoz paid approximately $350M upfront plus $300M+ in milestones for royalties on a 10-product biosimilar portfolio with estimated $90B+ in net originator sales exposure. This transaction demonstrates that sophisticated buyers can underwrite biosimilar royalty risk when properly structured.

Financing applications for biosimilar developers include funding development programs (~$200-500M per molecule over 5-8 years), bridging cash burn during FDA approval timelines, and monetizing approved biosimilars to fund next-generation portfolio expansion. The capital-intensive nature of biosimilar development creates natural demand for non-dilutive financing that royalty structures can address.

Biosimilar Developer Approved Products 2024 Revenue Pipeline Depth Financing Need
Celltrion 11 biosimilars ~$2.1B 8+ in development Geographic expansion
Samsung Bioepis 11 biosimilars ~$1.1B 5+ in development Manufacturing capacity
Sandoz 10+ biosimilars ~$2.5B 8+ in development Portfolio expansion
Alvotech 7 approved/filed ~$400M 5+ in development Commercialization
Coherus 4 biosimilars ~$350M Oncology focus Pipeline funding

Portfolio Monetization: What Big Pharma Has Already Done

The notion of selling branded generic or mature product royalties is not theoretical—pharmaceutical companies have executed dozens of such transactions over the past decade, establishing clear precedents for structure, pricing, and buyer appetite.

AstraZeneca's Systematic Divestiture Program

AstraZeneca has pursued the most aggressive mature product monetization strategy among major pharma companies, explicitly funding pipeline development through legacy asset sales:

Transaction Products Structure Strategic Rationale
Arimidex/Casodex to Juvisé (2019) Ex-US cancer drugs $181M upfront + $17M sales milestones "Reducing portfolio of mature medicines to reallocate resources towards developing our pipeline"
Respiratory portfolio to Covis (2018) Alvesco, Omnaris, Zetonna (~$106M combined sales) $350M upfront + $21M tied to future sales Exiting low-growth assets
Seloken to Recordati (2017) European metoprolol rights $300M upfront + tiered royalties "initially at double-digit percentage" Regional optimization
Anesthetics portfolio to Aspen Injectable anesthetics $770M Therapeutic area exit
Legacy products to IGI Labs 18 off-patent products $500K upfront + $6M milestones + $3M royalty cap Tail-end cleanup

The Seloken deal structure merits attention: $300 million upfront plus ongoing royalties starting in the "double-digit percentage" range (likely 10-15%) demonstrates that even off-patent branded products can command substantial royalty rates when brand equity and prescriber loyalty remain intact.

GlaxoSmithKline's Portfolio Approach

GSK explored selling a bundled portfolio of mature products—including Paxil, Zantac, Imitrex, and others—representing approximately £1 billion in annual sales. Apollo Global Management considered bidding roughly $3 billion for the entire package, valuing the portfolio at approximately 3x sales—a meaningful multiple for declining-but-stable assets.

The deal attracted interest from both financial buyers (private equity) and strategic acquirers (Lundbeck, Lupin) seeking to expand U.S. presence through established brands. GSK's strategy involved retaining emerging market rights where growth potential remained while monetizing mature market positions.

Consumer Health Spin-Offs and Monetization Precedents

The recent wave of consumer health spin-offs creates natural monetization catalysts:

Transaction Parties Value Structure Implications
Haleon spin-off GSK/Pfizer (2022) £30B+ market cap Public listing Created standalone consumer health entity
Kenvue spin-off J&J (2023) ~$40B market cap IPO + exchange offer Activist pressure (Starboard) for capital allocation
Opella partial sale Sanofi/CD&R (2024-25) €16B EV (50% stake) PE partial monetization Demonstrates PE appetite for consumer health
Abbott/Mylan Developed market branded generics $5.3B Outright sale Full divestiture precedent
Merck KGaA/P&G Consumer health unit $4.2B Full divestiture Strategic exit

These precedents establish that mature branded products—whether prescription or OTC—represent tradeable assets with active buyer interest and established valuation frameworks. The question is not whether transactions can occur, but how to structure them optimally for both parties.

Tax Implications: The Underappreciated Transaction Structuring Challenge

Tax treatment represents one of the most significant—and least discussed—barriers to mature pharmaceutical asset monetization. The distinction between license and sale, domestic versus cross-border structures, and the availability of preferential regimes all dramatically affect transaction economics.

Sale vs. License: The Fundamental Characterization Question

The threshold tax question in any royalty monetization is whether the transaction constitutes a sale or a license. RSM analysis confirms that this characterization determines whether proceeds receive capital gains treatment (potentially 20% for non-corporate taxpayers, 21% for corporations) or ordinary income treatment (up to 37% for individuals, 21% for corporations).

For royalty monetization to qualify as a "sale" for tax purposes, the transferor must typically transfer "all substantial rights" to the underlying asset. Courts and the IRS apply a substantial rights test examining whether the transferor retained meaningful rights in the asset. The Mylan/Forest transaction illustrates the stakes: Mylan treated its $370M+ nebivolol compound transfer as a capital gains sale, while the IRS asserted license treatment, resulting in approximately $100M in disputed tax deficiencies.

For synthetic royalties—where the company creates a new royalty obligation on its own product sales—achieving sale treatment proves nearly impossible. The company retains all IP ownership and merely pledges future cash flows, which the IRS typically characterizes as debt financing rather than asset sale. PwC guidance confirms this reality: "Getting to sales accounting is difficult and rarely achieved, in particular when the seller of the royalty retains the IP underlying the royalties."

TAX CHARACTERIZATION FRAMEWORK

SALE TREATMENT (Potentially Capital Gains):
├── Transfer of "all substantial rights" to IP
├── No significant continuing involvement
├── Fixed payment streams (avoid contingent components)
├── Legal isolation in bankruptcy
└── Result: Taxable as capital gain at 20% (individual) or 21% (corporate)

LICENSE TREATMENT (Ordinary Income):
├── Retention of any substantial rights
├── Ongoing operational involvement
├── Variable/contingent payments
├── Seller remains IP owner
└── Result: Taxable as ordinary income at up to 37% (individual) or 21% (corporate)

DEBT TREATMENT (Most Synthetic Royalties):
├── Company retains IP, pledges cash flows
├── Upfront proceeds = loan principal
├── Ongoing payments = imputed interest + principal
└── Result: Interest expense deduction, no immediate tax event

KEY INSIGHT: For C-corporations at 21% flat rate, the capital gains vs.
ordinary income distinction matters less than for pass-through entities.
However, capital loss limitations (IRC §1211) and carryforward rules
(IRC §1212) make characterization consequential for all taxpayers.

Cross-Border Structures: Withholding Tax and Transfer Pricing

Cross-border royalty monetization introduces additional complexity through withholding taxes and transfer pricing scrutiny. When royalties flow across jurisdictions, the payor country typically imposes withholding tax at rates ranging from 5% to 30%, reduced by applicable tax treaties.

Withholding tax considerations:

Payor Country Statutory WHT Rate US Treaty Rate Key Considerations
United States 30% N/A (domestic) FATCA compliance for foreign payees
Germany 15.825% 0% (qualified) Treaty requires beneficial ownership proof
United Kingdom 20% 0% (qualified) Interest/royalty directive for EU recipients
Japan 20.42% 0% (patents) Reduced rates for patents vs. trademarks
China 10% 10% (treaty) Limited treaty network, substance requirements
India 10% (patents) to 25% 15% Complex domestic rules, equalization levy

Transfer pricing implications: The OECD Transfer Pricing Guidelines require that royalty rates between related parties reflect arm's-length pricing—what unrelated parties would agree to in comparable circumstances. For consumer health brands and mature biologics, finding comparable uncontrolled transactions proves challenging because few such transactions exist in the public domain.

Structuring considerations for cross-border monetization:

  1. Intercompany royalty optimization: If the selling entity holds IP in a high-tax jurisdiction, consider restructuring IP ownership before monetization to capture value in more favorable regimes. However, post-BEPS reforms require substantial economic activity in IP-holding jurisdictions.
  2. Treaty shopping limitations: Anti-treaty-shopping provisions (limitation on benefits clauses) prevent structures designed solely to access favorable treaty rates without genuine business substance.
  3. Permanent establishment risk: Extensive buyer involvement in monetized assets could create permanent establishment exposure, subjecting the buyer to source-country taxation beyond royalty withholding.

Patent Box Regimes: Preferential IP Income Treatment

Multiple jurisdictions offer patent box or innovation box regimes providing reduced tax rates on income from qualifying IP. These regimes can significantly enhance after-tax returns for IP holders willing to locate substance in qualifying jurisdictions.

Jurisdiction Regime Name Effective Rate Qualifying IP Key Requirements
Ireland Knowledge Development Box 6.25% Patents, copyrighted software Nexus approach compliance, R&D tracking
Netherlands Innovation Box 9% Patents, exclusive licenses DEMPE functions, substance
United Kingdom Patent Box 10% Patents, supplementary protection certificates Nexus approach, development expenditure
Belgium Innovation Income Deduction ~3.75% effective Patents, plant variety rights 85% deduction from qualifying income
Switzerland Cantonal patent boxes Varies (as low as 8-10%) Patents, software Cantonal election, substance
Luxembourg IP Box 5.2% effective Patents, trademarks, designs 80% exemption on net IP income

BEPS Action 5 nexus approach: Post-2015 OECD reforms require that patent box benefits be proportional to the R&D activities conducted by the taxpayer claiming the benefit. Acquired IP generally receives reduced benefits unless substantial further development occurs in the claiming jurisdiction. This limits the utility of patent boxes for pure acquisition-based IP monetization strategies.

Consumer health complication: Patent boxes typically exclude marketing intangibles such as trademarks from qualifying IP. Since consumer health brand value derives primarily from trademark rather than patent protection, these preferential regimes offer limited benefit for OTC brand monetization. This represents a structural tax disadvantage for consumer health royalties relative to patent-protected pharmaceutical royalties.

Transaction Structuring to Optimize Tax Treatment

Given the complexity of tax characterization, sophisticated transaction structures can optimize after-tax outcomes:

Structure 1: True Asset Sale with License-Back

Rather than synthetic royalty creation, the seller transfers full legal and beneficial ownership of the brand/IP to a third party, who grants back a perpetual license for operational purposes. This structure:

  • Achieves sale treatment (capital gains potential for non-corporate sellers)
  • Removes asset from seller's balance sheet
  • Creates genuine third-party ownership for transfer pricing purposes
  • Buyer receives IP with full exploitation rights
  • License-back payments deductible as ordinary business expense

Tax outcome: Seller recognizes capital gain on sale; ongoing license payments create ordinary deductions offsetting operating income.

Structure 2: Staged Monetization with Installment Sale Treatment

For transactions qualifying as sales, IRC §453 installment sale treatment permits deferral of gain recognition as payments are received. This matches cash inflows with tax obligations and can provide significant present-value benefits.

Requirements: The seller must not receive more than 30% of the selling price in the year of sale (excluding certain contingent payments), and the asset must not be publicly traded securities or inventory.

Structure 3: Tax-Free Reorganization Structures

In appropriate circumstances, contribution of monetizable assets to a newly-formed entity followed by distribution of interests to shareholders can achieve tax-efficient value extraction while preserving business continuity. These structures require careful compliance with IRC §368 reorganization rules and §355 spin-off requirements.

Structure 4: Cross-Border IP Migration

Pre-transaction migration of IP to favorable jurisdictions can optimize ongoing royalty taxation. However, IRC §367(d) requires US transferors to recognize deemed royalty income on outbound IP transfers to foreign corporations, limiting the benefit of post-formation migration. Strategic planning should occur well in advance of monetization.

Tax Due Diligence Checklist for Mature Asset Monetization

Issue Key Questions Optimization Opportunity
Characterization Will transaction be sale, license, or debt? Structure to achieve desired treatment
Substantial rights What rights retained by seller? Minimize retained rights for sale treatment
Withholding tax Cross-border flows? Treaty benefits available? Optimize structure through treaty-favorable jurisdictions
Transfer pricing Arm's length royalty rate supportable? Document comparable transactions
Patent box eligibility Does IP qualify for preferential regime? Locate qualifying IP in favorable jurisdictions
State/local taxes Multistate apportionment impact? Consider state tax nexus and sourcing rules
VAT/GST Indirect tax on royalty payments? Structure to minimize irrecoverable VAT
Controlled foreign corporation CFC income inclusion risk? Review Subpart F and GILTI implications
Base erosion BEAT/SHIELD implications? Model base erosion payments

Barrier Analysis and Breakthrough Strategies

Barrier 1: "We Have Cheaper Debt"

The Problem: Investment-grade companies access 5-7% debt versus 10-14% implied royalty cost. Simple math favors debt for companies with available capacity.

Breakthrough Strategies:

1. Target sub-investment-grade situations. PE-owned consumer health platforms, recent spin-offs with elevated leverage, and smaller branded generic players lack cheap debt access. Haleon spun with 4.0x debt/EBITDA targeting 2.5x; Kenvue at 3.5x targeting 2.0x. Both prioritized deleveraging—but what about the next tier?

Private equity-backed consumer health rollups (Gryphon's portfolio, Hildred Capital targets, European mid-market platforms) operate at 5-6x leverage with limited additional debt capacity. For these entities, royalty financing becomes the only non-dilutive option—and 12% royalty capital beats 15%+ equity cost.

Target profile for cost-advantaged royalty financing:

  • Leverage >4.0x debt/EBITDA
  • Non-investment-grade ratings (BB or below)
  • Bank covenant constraints prohibiting additional secured debt
  • Private equity ownership with fund life constraints
  • Recent dividend recapitalizations exhausting debt capacity

2. Structure around covenant-limited situations. Many companies have debt capacity in theory but not in practice—existing covenants restrict additional borrowing, secured debt, or subsidiary guarantees. Royalty financing structured as a "true sale" of asset cash flows avoids these restrictions while achieving funding objectives.

Common covenant limitations that royalty financing can circumvent:

  • Secured debt baskets fully utilized
  • Restricted payment baskets limiting dividends/distributions
  • Subsidiary guarantee restrictions
  • Asset sale limitations (royalty ≠ asset sale in most definitions)
  • Fixed charge coverage ratio near threshold

3. Emphasize non-covenant nature of royalty obligations. Royalty agreements typically don't include financial maintenance covenants (leverage, coverage ratios), cross-default provisions to other debt, springing liens, or acceleration rights on non-payment. For companies with complex covenant structures, royalty financing may provide more flexibility than cheaper debt—even with similar balance sheet presentation.

4. Target hybrid structures for investment-grade situations. For companies where pure royalty economics don't pencil, consider hybrid structures: debt financing secured by royalty streams, preferred equity with royalty-like characteristics, or convertible instruments with royalty components. These can access lower costs while providing some benefits of royalty financing.

Barrier 2: "These Are Our Crown Jewels"

The Problem: Core brands define company identity. Monetizing Tylenol or Advil signals distress; governance constraints limit flexibility; future acquirers may view obligations negatively.

Breakthrough Strategies:

1. Target non-core brands, not flagship assets. Every consumer health portfolio contains second-tier brands with strong cash flows but limited strategic value:

Company Flagship (Protected) Monetization Candidates
Haleon Sensodyne, Advil, Panadol Tums, second-tier oral care, regional brands
Kenvue Tylenol, Neutrogena, Listerine Older OTC brands, regional-specific products
Perrigo Store brand franchise Acquired branded OTC from Rx-to-OTC switches
Prestige Brands Dramamine, Monistat Tail brands from historical acquisitions

Haleon's actual behavior confirms this approach: divestiture of ChapStick, Lamisil, and Nicotinell demonstrates willingness to exit non-core assets. Royalty monetization represents a middle path between full sale and status quo ownership—extracting capital while retaining operational control and brand optionality.

2. Frame as "value extraction," not "distress financing." AstraZeneca's systematic mature product monetization strategy explicitly funds pipeline development. The messaging matters: "Unlocking legacy asset value to accelerate innovation" resonates differently than "mortgaging our brands because we need cash."

Board presentation framework:

  • Position monetization as active portfolio management
  • Highlight capital redeployment opportunities with higher returns
  • Emphasize precedent transactions from respected companies
  • Frame governance covenants as partnership alignment, not restrictions
  • Prepare analyst talking points emphasizing strategic rationale

3. Partial monetization preserves control narrative. A 5-6% royalty on a brand generating 20%+ operating margins leaves the company with 14-15% residual margin—still highly profitable, still under operational control, while extracting meaningful upfront capital. The brand remains "ours" while generating financing.

4. Regional monetization reduces headline risk. Rather than monetizing a brand globally, consider geographic carve-outs. Monetize EMEA rights to a US-centric brand, or LatAm rights to a European-focused product. Regional transactions attract less analyst attention while still generating meaningful capital.

5. Biosimilar-facing biologics reframe the narrative. For mature biologics entering biosimilar competition, monetization naturally fits the "extract value before erosion" narrative. Analysts expect revenue decline; capturing present value of uncertain future streams demonstrates sophisticated capital management.

Barrier 3: "No Precedent Exists"

The Problem: Being first carries execution risk—higher advisory costs, investor education, rating agency uncertainty, analyst model revision.

Breakthrough Strategies:

1. Leverage pharmaceutical royalty infrastructure. The infrastructure exists: Gibson Dunn's analysis documents 102 transactions (2020-2024) with established legal structures, valuation methodologies, and buyer expectations. Consumer health royalties require adaptation, not invention:

Element Pharma Royalty Standard Consumer Health Adaptation
Net sales definition FDA-approved product sales minus standard deductions Brand-specific sales minus trade deductions
Term structure Patent life or MOIC cap Perpetual with put/call mechanics
Anti-dilution Pipeline cannibalization protection Line extension / flanker brand treatment
Governance Clinical development oversight Marketing spend minimums, brand maintenance
Audit rights Quarterly royalty verification Same plus brand health metrics (awareness, NPS)
Step-in rights Manufacturing/regulatory failures Extended to brand abandonment scenarios

2. Start with mid-market transactions. The first institutional consumer health royalty needn't be a $500M Tylenol deal requiring Kenvue board approval and analyst calls. Target:

  • PE-owned consumer health platforms seeking growth capital ($25-75M)
  • Regional branded generic companies monetizing specific markets ($15-50M)
  • Family-owned businesses seeking partial liquidity without control transfer ($10-30M)
  • Distressed situations where royalty financing beats alternatives (variable)

A $25-50M transaction with a mid-market PE platform establishes precedent, generates case studies, and creates replicable structures—without headline risk. Success breeds imitation; the second transaction is easier than the first.

3. Build buyer-side infrastructure first. HealthCare Royalty Partners (acquired by KKR, July 2025), Royalty Pharma, and OMERS have the capital and expertise to evaluate consumer health royalties. What's needed is:

  • Dedicated sourcing for consumer health opportunities
  • Valuation models incorporating brand decay curves (vs. patent cliffs)
  • Legal templates adapted for trademark-based (not patent-based) assets
  • Investor communication frameworks explaining the asset class
  • Brand health monitoring capabilities

KKR's acquisition of HCRx signals institutional appetite for royalty expansion. Consumer health represents a logical adjacency with differentiated risk/return characteristics.

4. Co-invest with established royalty players. New entrants can partner with established pharmaceutical royalty investors on consumer health transactions, combining the newcomer's sourcing with the incumbent's execution infrastructure. Joint ventures reduce individual risk while building category expertise.

Barrier 4: "Biosimilar Uncertainty Makes Valuation Impossible"

The Problem: How do you value a royalty on Xolair originator revenues when biosimilar penetration could range from 20% to 70% over five years?

Breakthrough Strategies:

1. Use scenario-weighted valuation with historical precedents. The biosimilar market now has sufficient history to model erosion curves with reasonable confidence:

Reference Product Category Biosimilar Entry Y1 Originator Share Y3 Share Y5 Share
Remicade (infliximab) Infused, medical benefit 2016 92% 65% 52%
Humira (adalimumab) Self-admin, pharmacy benefit 2023 97% ~75% (actual) ~50% (projected)
Herceptin (trastuzumab) Infused, oncology 2017 80% 35% 14%
Avastin (bevacizumab) Infused, oncology 2019 75% 30% 10%
Lucentis (ranibizumab) Injection, ophthalmology 2022 70% 55% 45%
Neulasta (pegfilgrastim) Self-admin, supportive care 2018 75% 40% 20%

Key pattern: Pharmacy-benefit biologics (Humira) erode slower than medical-benefit biologics (Herceptin, Avastin) due to rebate dynamics and formulary contracting. Self-administered products retain share longer than infused products due to patient inertia and switching costs.

2. Structure around uncertainty with milestone-linked payments. Gibson Dunn data shows growing preference for milestone-heavy structures in recent pharmaceutical royalty transactions. Applied to biosimilar-facing assets:

ILLUSTRATIVE STRUCTURE: XOLAIR ORIGINATOR ROYALTY

Base Case: $3.5B Y1 revenue declining to $1.8B Y5 (50% erosion)
Royalty Rate: 6% of net sales
Upfront: $150M (reflects uncertainty discount)

Milestone Payments:
├── If Y2 revenue exceeds $3.0B: +$25M
├── If Y3 revenue exceeds $2.5B: +$25M
├── If cumulative Y1-3 revenue exceeds $9B: +$50M
└── If originator maintains >40% volume share Y5: +$25M

Total Potential: $275M (base + milestones)
Base Case IRR: 11-13%
Downside Case IRR: 8-9% (fast erosion scenario)
Upside Case IRR: 15-17% (Humira-like retention)

This structure aligns buyer-seller interests: seller receives upfront capital plus performance-linked upside; buyer pays for outcomes rather than assumptions.

3. Focus on products with favorable erosion characteristics. Target mature biologics with structural retention advantages:

Favorable for royalty monetization:

  • Self-administered products (pharmacy benefit, rebate protection)
  • Narrow therapeutic index or complex titration requirements
  • Strong physician relationships / switching reluctance in patient population
  • Limited biosimilar pipeline (fewer than 3-4 entrants at LOE)
  • Recent indication expansions extending patient lifetime value
  • Pediatric exclusivity extensions delaying full competition
  • Limited interchangeability designations among biosimilars

Unfavorable for royalty monetization:

  • Infused products in competitive oncology settings
  • Commoditized hospital procurement environments
  • 5+ biosimilar entrants driving aggressive price erosion
  • Interchangeability designations enabling automatic substitution
  • Therapeutic class with multiple originator alternatives
  • Payer pressure for mandatory biosimilar substitution

4. Price in optionality for originator strategies. Originator manufacturers frequently extend product life through reformulation (Humira citrate-free), new delivery systems (Eylea 8mg), combination products, or indication expansion. Royalty structures can include provisions that capture value from successful life-cycle management while protecting buyers from strategic obsolescence.

Barrier 5: "Management Incentives Don't Align"

The Problem: Executive compensation tied to revenue/EBITDA metrics discourages royalty monetization—even if value-creating, it reduces reported performance measures.

Breakthrough Strategies:

1. Board-level education on value creation vs. metric impact. The economic analysis is clear: monetization creating 15%+ reinvestment returns beats retaining assets generating 10% returns—regardless of how reported metrics move. Compensation committees can:

  • Adjust bonus calculations to exclude royalty-related revenue reductions
  • Add value-creation metrics (ROIC, TSR, economic profit) alongside growth metrics
  • Provide specific incentives for successful capital redeployment
  • Create special transaction bonuses for value-accretive monetizations
  • Modify multi-year performance plans to account for strategic transactions

2. Use royalty structures that minimize reported revenue impact. Perpetual royalties at lower rates (4-5%) with larger upfront payments minimize ongoing revenue drag while maximizing immediate capital availability. A $200M upfront for 4% perpetual royalty on a $500M brand reduces annual revenue by $20M—potentially immaterial at the consolidated level for large companies.

Alternative: Capped royalties that extinguish after achieving target returns reduce long-term metric impact while providing certainty on total cost.

3. Target situations where management alignment exists naturally:

  • Founder-owned businesses seeking partial liquidity (ownership value > compensation metrics)
  • PE portfolio companies where fund returns matter more than portfolio company metrics
  • Distressed situations where alternatives are worse (job preservation > metric optimization)
  • Companies with activist pressure demanding capital efficiency
  • Pre-retirement executives with equity-heavy compensation (stock price > annual bonus)
  • New management teams implementing strategic repositioning

4. Frame monetization as strategic transformation. When monetization funds a transformative acquisition or major R&D initiative, management can claim credit for strategic vision rather than defend metric impact. "We monetized Brand X to fund our acquisition of Company Y" creates a compelling narrative that overshadows short-term metric drag.

Barrier 6: "Accounting Treatment Defeats the Purpose"

The Problem: Most royalty financings receive liability treatment under GAAP—no balance sheet improvement, just a different form of debt.

Breakthrough Strategies:

1. Accept liability treatment but emphasize different covenant profile. Royalty obligations typically don't include:

  • Financial maintenance covenants (leverage, coverage ratios)
  • Cross-default provisions to other debt instruments
  • Springing liens or collateral requirements
  • Acceleration rights on non-payment (structured as waterfall, not default)
  • Make-whole provisions or prepayment penalties (often)

For companies with complex covenant structures, royalty financing may provide more flexibility than cheaper debt—even with similar balance sheet presentation. The "liability" may be less restrictive than traditional debt despite higher cost.

2. Structure for sale accounting where achievable. Key requirements per ASC 606/860:

  • Transfer legal ownership of the royalty stream to legally isolated entity
  • No significant continuing involvement beyond administrative services
  • Fixed payment streams (minimize variable/contingent components)
  • Substantive risks and rewards transferred to buyer
  • Legal isolation in bankruptcy (true sale opinion required)
  • No repurchase obligations or call rights that indicate financing

If sale accounting is the primary objective, structure accordingly from the start—even if it means accepting lower proceeds due to reduced seller flexibility.

3. For deconsolidation-focused situations, use true asset sales. Rather than synthetic royalty creation, sell the brand outright to a third party who grants back a perpetual license. The seller:

  • Removes the asset from balance sheet (clean sale accounting)
  • Retains operational control via license-back arrangement
  • Pays licensing fee (economically similar to royalty, but reversed cash flow)
  • Achieves deconsolidation objective
  • Maintains brand continuity for customers and employees

This structure is more complex but achieves balance sheet objectives that synthetic royalties cannot.

4. Investor education on economic substance vs. accounting form. Sophisticated investors increasingly look through accounting classification to economic substance. A "liability" that never matures, carries no covenants, and self-liquidates from asset cash flows differs materially from traditional debt. Investor relations can proactively educate analysts on economic interpretation.

Path to First Transactions: Breaking the Logjam

Highest-Probability Seller Scenarios

1. PE-Owned Consumer Health Platforms

Private equity faces structural pressure to generate returns within fund life. Consumer health platform acquisitions at 12-15x EBITDA require growth, margin expansion, or financial engineering to meet return thresholds. Royalty monetization provides:

  • Dividend recapitalization potential without additional bank debt
  • Funds for tuck-in acquisitions to drive platform growth
  • Partial monetization while retaining equity upside
  • DPI (distributions to paid-in) acceleration for fund reporting

Target profiles: Gryphon Investors' consumer products portfolio; mid-market European consumer health platforms; family office-backed branded generic companies; recent take-privates with limited bank capacity.

2. Post-Spin-Off Consumer Health Companies Under Activist Pressure

Haleon (GSK spin, 2022), Kenvue (J&J spin, 2023), and Opella (Sanofi spin, 2024-25) all launched with elevated leverage and explicit deleveraging timelines. If traditional deleveraging stalls—slow organic growth, limited divestiture proceeds—royalty financing on non-core brands becomes attractive.

Catalyst: Activist pressure (Starboard at Kenvue), missed deleveraging targets, need for acquisition currency, board refreshment.

3. Biosimilar Developers Seeking Non-Dilutive Capital

Biosimilar development requires $200-500M per molecule over 5+ years before FDA approval. Companies with approved biosimilars generating cash can monetize those streams to fund next-generation development:

Company Approved Products Cash-Generating Assets Development Pipeline Financing Need
Celltrion 11 biosimilars Remsima, Truxima, Herzuma 8+ including Humira, Stelara Geographic expansion, next-gen
Samsung Bioepis 11 biosimilars Hadlima, Ontruzant, Renflexis 5+ including Eylea, Prolia Manufacturing capacity
Coherus 4 biosimilars Udenyca, Yusimry Oncology biosimilar focus Pipeline funding
Alvotech 7 approved/filed Simlandi, multiple approvals 5+ in development Commercialization build-out

4. Mature Biologic Originators Pre-LOE

Companies facing biosimilar competition in 2-3 years can monetize before erosion begins—capturing full value while transferring uncertainty to buyers willing to price the risk.

Example: A company with a $2B biologic facing 2027 biosimilar entry could monetize at 5% royalty ($100M annual), receiving $400-500M upfront while originator revenues remain at peak. The buyer accepts erosion risk in exchange for attractive entry pricing; the seller eliminates uncertainty while funding next-generation programs.

Highest-Probability Buyer Scenarios

1. Healthcare Royalty Funds Seeking Yield Expansion

KKR's HCRx acquisition signals institutional commitment to royalty expansion. Consumer health and mature biologics offer:

  • Diversification from patent-dependent pharma royalties
  • Different risk profiles (brand decay vs. patent cliffs)
  • Larger addressable market with limited competition
  • Potentially longer duration matching liability structures

Target return profiles: 10-14% unlevered IRR for consumer health (perpetual), 12-16% for biosimilar-facing biologics (higher risk premium).

2. Pension Funds and Insurance Companies

Long-duration liabilities match well with perpetual royalty streams. Consumer health brands offer:

  • Inflation protection (pricing power in consumer categories)
  • Low correlation with financial assets
  • Predictable cash flows for liability matching
  • ESG considerations (healthcare access, quality products)

Canadian pension funds (CPPIB, OMERS, Caisse) have demonstrated appetite for alternative assets with liability-matching characteristics. Consumer health royalties fit their investment criteria.

3. Strategic Buyers Seeking Brand Optionality

Consumer goods companies (P&G, Unilever, Reckitt) might find royalty positions attractive as:

  • Call options on brands they might acquire (royalty conversion rights)
  • Market intelligence on category dynamics and brand health
  • Relationship-building with potential M&A targets
  • Portfolio diversification without full acquisition commitment

4. Emerging Market Investors Seeking Developed Market Exposure

Sovereign wealth funds and emerging market family offices seeking stable developed market exposure may find consumer health royalties attractive. The asset class offers:

  • USD/EUR denominated cash flows
  • Low political risk relative to direct operations
  • Diversification from commodity or real estate holdings
  • Potentially favorable treatment in certain tax regimes

Conclusion: The Arbitrage Opportunity

The branded generic, consumer health, and mature biologic royalty market represents a structural inefficiency—assets with royalty-like characteristics systematically overlooked by royalty investors, owned by companies that haven't historically accessed royalty financing. The barriers are real but surmountable:

Barrier Status Breakthrough Path
Cheaper debt available Valid for IG companies Target sub-IG, covenant-constrained, PE-owned situations
Crown jewel concerns Valid for flagships Focus on non-core brands, regional carve-outs
No precedent exists Historically true Leverage pharma infrastructure, start mid-market
Biosimilar uncertainty Modelable Milestone structures, historical precedents, scenario analysis
Management misalignment Situational PE ownership, activist pressure, board education, compensation restructuring
Accounting treatment Mostly liability Accept it, structure for sale accounting, or use true asset sales
Tax complexity Real but manageable Structure optimization, cross-border planning, early tax due diligence

For sellers, the message: these transactions can be structured to achieve diverse objectives—funding, deleveraging, value extraction—with established legal and financial infrastructure adapted from pharmaceutical royalties. Tax efficiency requires early planning but shouldn't preclude otherwise attractive transactions.

For buyers, the opportunity: an under-explored asset class with attractive risk-adjusted returns, limited competition, and first-mover advantages for those willing to develop specialized capabilities. Consumer health brands offer perpetual duration; biosimilar-facing biologics offer higher yields with manageable risk; biosimilar portfolios offer emerging category exposure.

The first dedicated consumer health royalty transaction will establish category conventions and demonstrate returns. The infrastructure exists. The capital is available. The assets are waiting. The only question is who moves first.

Disclaimer: The author is not a lawyer, financial adviser, or investment professional. This content is for informational purposes only and does not constitute investment, legal, tax, or financial advice. Tax treatment depends on individual circumstances and may change; readers should consult qualified tax professionals before making any investment decisions or entering into transactions described herein.