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Rua Releases Market Insights

Operational Update20 March 2023RUAHealthcare

PO Box 1387, Gisborne 4040, Aotearoa New Zealand | 0800 RUABIO | www.ruabio.com



FOR PUBLIC RELEASE

NZX Limited

Wellington


Tuesday, 21 March 2023



Rua Releases Market Insights



Rua Bioscience (NZX: RUA) has released its Market Insights for 2023.


The update is designed to share information about the challenges and opportunities presented by

emerging high-value medicinal cannabis markets.


CEO, Paul Naske, says “as we progress conversations and negotiations in Europe, our understanding of

global medicinal cannabis markets evolves. This update provides an opportunity for Rua to share some of

our most recent findings, focusing on Europe, Australia and New Zealand.”


The update is released as the company prepares for the launch of its first medicine in Germany.


Ends.


The person(s) who authorised this announcement:


Paul Naske, Chief Executive Officer


For shareholder enquiries please visit www.ruabio.com, or contact:


Kerry Donovan

Communications and Corporate Affairs Manager

info@ruabio.com

0800 RUABIO


GENERAL RELEASE

---

Medicinal Cannabis Market Insights 2023

Creating cannabinoid-derived
medicines that change people’s lives;

from right here in TeTairāwhiti.

Our Vision

Going Global to
Support Local

From the outset, Rua has understood that we

must go global to support local.

As we supercharge our focus on developing

global revenues, we thought it timely to provide

an overview of key markets both overseas and

here in Aotearoa.

3

4
To date, Rua remains the only NZ-based medicinal cannabis company

with an explicit focus on delivering intergenerational social impact.

Rua was born to create opportunities on the East Coast and support

community access to affordable medicines. As we mature, we

acknowledge the role we can play more broadly:

•encouraging our community to rethink what can be achieved in, by

and for our community.

•inspiring our rangatahi (youth) -the next generation of scientists,

researchers, entrepreneurs, and business leaders.

•supporting the health outcomes of local patients through our

regionally-targeted compassionate access programme.

Entering global markets will secure meaningful revenue so we can

continue prioritising sustainable, intergenerational change on the

East Coast.

It’s all About

Impact

5
The global medicinal cannabis market is projected to grow at a

compound annual growth rate (CAGR ) of 24% between 2023 and

2028 to reachUS$37b

1

.

What’s driving market growth?

•The growing number of countries legalising cannabis for

medicinal use.

•The rising number of R&D projects, clinical trials, and increased

commercialisation of the product.

•The rising population of older patients more vulnerable to

chronic illnesses and likely to suffer from related pain.

•Growing consumer awareness.

It is a dynamic and ever-evolving market. Many countries continue

to consider progression towards legalisation or decriminalisation

of cannabis.Two large markets in particular: Germany has a

proposal to fully legalise cannabis before the EU parliament, and

the US is considering federal legalisation.

Despite this, international marketsparticularly across Europe and

Australasia, are growing rapidly and offer significant opportunities

for those New Zealand companies that can provide consistent,

differentiated, GMP-quality product and develop a strong in-

market sales and marketing presence.

The

picture

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Key Highlights

6
From the very beginning, Rua has had its eye on the developing

European medicinal cannabis market, which could be worth as much as

NZ$3.9bby 2026

2

.

In addition to Germany, where Rua will soon launch product, there are a

number of higher value countries within which a viable domestic

medicinal cannabis market has been established and where export-

focused companies, like Rua, might expect to expand.

Rua recently signed a five-year supply agreement with Czech

distributor, Motagon, which gives Rua access to high value markets in

Eastern and Central Europe, including Poland and Czechia.

Europe

Germany
Rua’s first German product launch is fast approaching with Rua’s NZ

and German teams working to deliver a seamless market entry.

Established in 2017, Germany is by far the largest and most developed

medicinal cannabis market in Europe.

Here, clinicians can prescribe medicinal cannabis for a variety of

conditions and around 60-70% of those prescriptions are paid for

(reimbursed) by Statutory Health Insurers. Reimbursed sales are

complimented by a substantive private paying market. In Germany,

72% of medicinal dried cannabis flower prescriptions are issued for the

treatment of pain. 77% of those prescriptions are for high THC flower

3

.

To succeed in Germany, companies require differentiated product and a

strong domestic sales and marketing presence. The market shows a lot

of promise. Analysts expect the German market to be worth around

NZ$700mand to have grown to 147,000 patients by the close of 2023

3

,

and to be worth NZ$1.4bby 2025.

7

$1.4b

By 2025

60,000

Currently

372,000

Prescriptions issued in

2021

Poland
The Polish medicinal cannabis market was established in 2017 and is

described as one of the largest and fastest growing markets in Europe.

Though in some instances Polish medicinal cannabis patients have their

prescriptions funded by Statutory Health Insurance, Poland is largely a

private payers market.

With no domestic cultivation, Poland is a major importer of dried flower.

However, maintaining supply can be an issue with product shortages

attributed to restrictive regulations and comprehensive product

auditing. To succeed here you need European-based support and

regulatory expertise, as well as experienced and reliable suppliers.

Despite this, the Polish medicinal cannabis market has been showing

consistent double digit growth. According to proprietary data, the

Polish market could be worth NZ$92mby the close of 2023.

Our work with distributer, Motagon, has positioned us as an early mover

in the Polish market. Within the next 18 -24 months, we expect to be

one of only a few companies with access to this challenging but

potentially lucrative market.

8

$92m

By the close of 2023

4,122

Currently

Czechia
Czechia is one of the most progressive medicinal cannabis markets in

Europe. It has seen steady growth over the last five years, largely thanks

to a comprehensive public reimbursement programme whereby up to

90% of medical cannabis costs are covered by the Government.

In Czechia, doctors with a specialist qualification in areas such as

oncology, neurology and geriatrics can prescribe medicinal cannabis for

specific indications. 87% of the prescriptions issued here are for chronic

pain

2

.

Because the domestic supply chain is relatively immature, Czechia

holds a lot of promise for exporters. Recent reports suggest the Czech

market will be worth NZ$8.4mand to have grown to 7,000 patients by

the end of 2023.

Rua is exploring the opportunities presented by the the Czechian

medicinal cannabis market, alongside our partners at Motagon.

9

$8.4m

By 2023

5,000

Currently

19,500

Prescriptions issued

January to September 2022

The United Kingdom
The UK’s medicinal cannabis market was established in 2018 and has been

driven by a handful of market access and cannabis manufacturing start-

ups. The market relies heavily on imported flower and full spectrum extracts.

The UK’s National Institute for Health and Care Excellence (NICE) has set

strict guidelines around the indications for which medicinal cannabis can be

prescribed. Responsibility for prescriptions lies mostly with individual

doctors, who must be specialists in the field of the indication.

In the UK, medicinal cannabis is prescribed mainly in the treatment of

depression and anxiety, as well as chronic pain and arthritis. The NICE has

approved cannabidiolto treat multiple sclerosis,Dravet andLennox-

GastautSyndromes, for adults experiencing nausea caused

bychemotherapy and Tuberous Sclerosis Complex.

The market is expected to grow to NZ$82.3mand 25,000 patients by the

close of 2023, and could be worth NZ$1.69bin the next seven years

2

.

Rua recently joined leading UK medicinal cannabis firms to fund a key

project analysing the economic benefits of cannabis prescriptions for the

NHS. Our goal is to strengthen industry connections and better understand

the issues at play in the UK market.

10

$1.69b

By 2030

10,000

Currently

19,000

Prescriptions issued

January to March 2022

11
Despite both industries being considered relatively new, medicinal

cannabis is progressing in Australia and Aotearoa New Zealand.

Though the conversation around decriminalisation and legalisation

continues in both countries, there is minimal prospect of recreational

legalisation any time soon. A tightly regulated medical systemensures

both markets have ample room to grow should regulations continue to

support patient access and sustainable industry growth.

Oceania

Australia
The cultivation, production and distribution of medicinal cannabis was

legalised in Australia in 2016.

The current Australian market is estimated to be worth approximately

NZ$106m

4

with around 120,000 patients

5

accessing a wide range of

products for the treatment of indications such as chronic pain, anxiety,

insomnia, cancer pain, epilepsy and neuropathic pain.

The market is expected to be worth just over NZ$860mby 2030

(expanding at a CAGR of 30.1%)

4

, at which point DeloitteAccess

Economics estimates 670,000 patients may seek to access medicinal

cannabis in Australia

6

.

This growth is driven by the kinds of factors you’d expect in a steadily

maturing industry; increasing affordability, enhanced product options

and improving prescriber education.

Our partnership with Australian cultivator, Cann Group, places Rua in

an ideal position to explore more fully what appears to be an exciting

market right on our doorstep.

12

$106m

Currently

120,000

Currently

$860m

By 2030

Aotearoa
New Zealand’s regulatory framework, the Medicinal Cannabis Scheme,

took effect on 1 April 2020 enabling the research, manufacture and

supply of medicinal cannabis products in New Zealand.

Data released by ManatūHauora, the Ministry of Health, shows that the

number of packs of medicinal cannabis prescribed and supplied in New

Zealand is growing at an average rate of 228% annually. The number of

packs supplied in New Zealand in the year to September 2022 was just

over 50,000 compared to 36,000 in 2021.

New Zealand prescribers are increasingly engaged and curious as they

better understand the role cannabinoids can play in conventional

medicine. While not always considered a first-line treatment,

practitioners are increasingly willing to trial medicinal cannabis where

patients are not responding to, or are intolerant of, standard

treatments.

13

$12.5m

Currently

6,000

Approximately

Aotearoa
14

Process StepProvisional Timeline

Industry Feedback

December 2022

Cabinet policy paper and post-

consultation analysis

March 2023

Cabinet (SWC Committee)

April / May 2023

Drafting of Regulations

May –June 2023

Cabinet (LEG Committee)

November 2023

Implementation

December 2023

In December, ManatūHauora began an industry-wide review of its

regulatory settings.

In our view, the medicinal cannabis scheme provides a robust

framework for prescribers and patients. What has become clear is that

there is some work to do to create an equally robust commercial

framework.

As Rua understands it, the Ministry is now reviewing key areas of

commercial impact, including (but not limited to):

•Export settings

•Non-therapeutic research

•Minimum quality standard testing

•Microbial limits for products intended for inhalation

The Ministry has given industry the following workplan. We’re

encouraged to see real commitment to work at pace to ensure

commercial concerns are addressed.

15
Rua’s

Competitive

Advantage

•A local focus on R&D

•A global-scale supply agreement with one of

Australasia’s largest manufacturers

•World-class regulatory expertise

•Established sales and marketing partnerships

across Europe

16
Approved in January 2022, the acquisition of Zalm provided Rua with a

long-term, end-to-end, supply contract for substantial volumes of GMP-

grade medicinal cannabis at competitive prices through Cann Group.

Cann’s new cultivation and processing facility at Mildura is considered

one of the largest and most advanced in Australasia -capable of

producing 12,500 kilograms of dried cannabis flower per year. Once

fully commissioned, that capacity will increase to up to 70,000kgper

annum. Access to that kind of capacity allows us to build a meaningful

market presence faster and with a greater economy of scale.

Rua is exporting from Australia to Germany as we look to launch our

first European product through Nimbus Health.

Global Production

Capacity

Inside Cann’s Mildura Faciltiy. Photo Credit: Cann Group Ltd.

17
Rua recently signed a five-year master supply agreement with

European medicinal cannabis distributor, Motagon. As well as being

Motagon’spreferred Australia/NZ supplier of medicinal cannabis

products, this agreement ensuresRua’s access to high-value markets

across Eastern and Central Europe. That access is backed by Motagon’s

extensive distribution channels and boots-on-the-ground marketing

support.

Motagonis a subsidiary of Heaton, a Czech pharmaceutical company

with 20 years’ experience in the pharmaceutical industry. Motagonis

focused on introducing a broad range of cannabis-based medicines to

the European Union. The company is active in 20 countries across

Central and Eastern Europe in countries including Poland, the Czech

Republic, Malta and Croatia.

International Sales

and Marketing

Prague Castle and Mala Stranaor Little Quarter during twilight blue hour, Prague, Czechia.

18
Working at scale with an Australian cultivation partner enables Rua to

build sustainability on multiple horizons.

While our Australian partner takes care of cultivation at scale, our

world-class cultivation team in Ruatorea is working on the next

generation of Rua genetics. Our ultimate goal is to develop incredible

strains here in Te Tairāwhiti, and grow them at scale for distribution to

patients internationally.

This is consistent with Rua’s original capital-light business model,

enabling Rua to develop valuable Intellectual Property and supply

global patients with unique, Rua-developed medicinal cannabis

products in a range of platforms.

From Te Tairāwhiti

to the World

Keep in Touch
Learn more at www.ruabio.com

Stay in touch via Info@ruabio.com

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Disclaimer

This publication and the information contained in or accompanying this publication are not, and are under

no circumstances to be construed as, an invitation to subscribe for, or an offer of, shares, securities or

financial products to any person, in any country or the basis for a contract, financial advice, other advice or

recommendation to conclude any transaction for the purchase or sale of any security, loan or other

instrument. This publication has not been independently verified.Neither Rua nor any of its directors,

officers, shareholders, advisors, agents or employees make any representation or warranty as to the

accuracy or completeness of the information contained in this presentation and those parties shall have no

liability for any statement, opinion, information or matters arising out of, contained in, or for any omissions

from, or failure to correct or update any information in, this presentation or any other communications

transmitted to you in relation to this presentation.

Some statements in this release contain forward-looking information.Forward-looking statements are

subject to several risks and uncertainties, many of which are beyond the Company's ability to control or

predict, that may cause the actual results of the Company to differ materially from those discussed in the

forward-looking statements.

References
1.https://www.expertmarketresearch.com/reports/medical-cannabis-market. Retrieved 25 January 2023.

2.The European Cannabis Report: 7th edition: Reports. Prohibition Partners. (2022, April 8). Retrieved 25

May 2022.

3.The German Cannabis Report. Prohibition Partners (October 2019).

4.https://www.researchandmarkets.com/reports/5450192/Australia-legal-cannabis-market-size-share-and

5.https://www.grandviewresearch.com/industry-analysis/australia-legal-cannabis-market.

6.MTPCAustralian Medicinal Cannabis Industry Report. October 2021. chrome-

extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.mtpconnect.org.au/images/MTPC_Australi

an%20Medicinal%20Cannabis%20Industry.pdf. Retrieved 11 January 2023.

Data sourced from publicly available filings. Our datasets may not be complete. Automated analysis can produce errors. If you believe any data on this page is incorrect, please contact us at hello@nzxplorer.co.nz. For informational purposes only. Not investment advice.

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