Case Study: Beyond the Target List

Published February 20, 2026 | 6 Minute Read

How Data-Driven Audience Expansion Reignited a Mature Pharma Brand

In the pharmaceutical lifecycle, the sixth year on the market is often where brand growth begins to plateau. Traditional specialty-based targeting often reaches a point of diminishing returns, leaving brands searching for “untapped” volume. For a leading hypoglycemia brand, Health Union proved that the right data strategy can not only prevent a plateau but act as a powerful engine for new growth.

The Strategy: From Static Lists to Clinical Triggers

The challenge was to transcend traditional targeting by leveraging Real-World Evidence. Health Union moved beyond a fixed target list to identify HCPs based on actual patient encounters.

By utilizing clinical triggers, specifically ICD-10 diagnosis codes and NDC prescription data, we identified incremental segments of providers who were already writing in the category but were not being reached by existing media. This included a strategic pivot to reach existing brand prescribers, as well as a custom-built audience of providers treating patients with severe hypoglycemia indicators.

Results: Scaling Reach, Driving Dominance

The impact of this expansion was immediate and transformative. By shifting the campaign from a supporting channel to a primary driver of prescriptions, the brand saw a massive step-up in its market footprint.

  • Triple-Digit Reach Growth: In just one year, the campaign tripled its NPI reach (+173%). By the end of 2025, Health Union was reaching nearly 4x more providers than the previous December, effectively doubling the program’s penetration in the prescriber universe.
  • Attribution Dominance: This wasn’t just “noise”—it was high-value engagement. The campaign’s “Direct Influence” metric jumped significantly, with 63.7% of the total brand volume in 2025 attributed to the reached audience.
  • Accelerating New Patient Starts: The expansion proved highly effective for acquisition. Approximately 58.1% of all New Brand Starts (NBRx) came from the reached audience. Crucially, the data showed that impact was accelerating; the 6-month NBRx attribution was higher than the 18-month baseline, proving the campaign was finding the right “trialists” at the point of clinical intent.

Sustaining Value: The Compounding Effect of Loyalty

While acquisition was the primary goal, the data revealed a significant secondary benefit: adherence. Refill attribution saw an 11-percentage-point surge, climbing to 67% by the end of the year. This suggests that Health Union’s media isn’t just finding a patient once; it is helping keep them on therapy, cementing long-term brand sustainability.

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A chart with metrics.Conclusion: The New Adoption Floor

By normalizing the data, Health Union demonstrated a “Scale Strategy”. While core targets remained highly efficient, the sheer volume of the expanded audience allowed the brand to capture more than 50% market share in the final quarter of the year.

This case study proves that for mature brands, the greatest growth opportunities often lie just outside the traditional target list. Through expert segment building and claims-led expansion, Health Union successfully moved the “adoption floor” up, securing a new era of market leadership for the brand.

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