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Post by peppy on Aug 10, 2017 10:00:32 GMT -5
A press release would be a start. A truck full of vouchers sent to the good Senators who wanted to know about afrezza a few weeks ago wouldn't hurt. I would include Bernie Sanders and Elijah Cummings and do a focused program in Baltimore with Mr. Cummings partnered with Project Power, Damon Dash and Charles Mattocks. Exactly -- pass them out to the nurse educators at the AADE, to endos at the ADA meeting, to diabetics at the JDRF meetings. Explain exactly how many have been issued and when the program will stop. Explain the expected fiscal impact. Have a follow up plan for when the program ends. Be up front and bold about it. This not mentioning it anywhere and only having it discovered by it popping up on a diabetic forum makes it look like they're just trying to do something backhanded. excuse me people. These vouchers require a prescription.
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Post by thall on Aug 10, 2017 10:43:25 GMT -5
Exactly -- pass them out to the nurse educators at the AADE, to endos at the ADA meeting, to diabetics at the JDRF meetings. Explain exactly how many have been issued and when the program will stop. Explain the expected fiscal impact. Have a follow up plan for when the program ends. Be up front and bold about it. This not mentioning it anywhere and only having it discovered by it popping up on a diabetic forum makes it look like they're just trying to do something backhanded. excuse me people. These vouchers require a prescription.
So? Maybe the voucher would motivate a patient to go get a presecription or maybe even motivate an endo to write one for a patient. Regardless, it doesn't change the impression left when things like this are stumbled upon on the internet.
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Post by peppy on Aug 10, 2017 10:45:59 GMT -5
excuse me people. These vouchers require a prescription.
So? Maybe the voucher would motivate a patient to go get a presecription or maybe even motivate an endo to write one for a patient. Regardless, it doesn't change the impression left when things like this are stumbled upon on the internet. do you understand? you do not get a voucher with out a prescription.
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Post by sportsrancho on Aug 10, 2017 14:43:45 GMT -5
So? Maybe the voucher would motivate a patient to go get a presecription or maybe even motivate an endo to write one for a patient. Regardless, it doesn't change the impression left when things like this are stumbled upon on the internet. do you understand? you do not get a voucher with out a prescription. Good grief! Why is this so hard to understand! This is part of the re-fill problem. People get scripts and then their insurance doesn't cover it. Then there has to be letter after letter written. And no they don't check with their insurance first. They want to try it. They like it. To the fud people, don't make believe that they stop using it. Because I know different. Only a small amount do until they get the right dosing down. Reps working hard on all the above.
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Post by promann on Aug 10, 2017 14:57:15 GMT -5
do you understand? you do not get a voucher with out a prescription. Good grief! Why is this so hard to understand! This is part of the re-fill problem. People get scripts and then their insurance doesn't cover it. Then there has to be letter after letter written. And no they don't check with their insurance first. They want to try it. They like it. To the fud people, don't make believe that they stop using it. Because I know different. Only a small amount do until they get the right dosing down. Reps working hard on all the above. Lol to funny how you need to explain all these little issues over and over. Reminds me of a good Beatles tune. I wanna hold your hand.. 😄😄
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Post by thall on Aug 10, 2017 17:53:04 GMT -5
So? Maybe the voucher would motivate a patient to go get a presecription or maybe even motivate an endo to write one for a patient. Regardless, it doesn't change the impression left when things like this are stumbled upon on the internet. do you understand? you do not get a voucher with out a prescription. If that's the case, then that's putting the cart before the horse. They need to hand out the vouchers as an incentive to go through the hassles of getting a prescription. Alternatively, Mannkind could advertise that once you get a prescription, then you will get a voucher to pay for it. Probably attract more attention than hamburgers floating out of the sky on parachutes.
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Post by sayhey24 on Aug 10, 2017 18:19:27 GMT -5
Exactly -- pass them out to the nurse educators at the AADE, to endos at the ADA meeting, to diabetics at the JDRF meetings. Explain exactly how many have been issued and when the program will stop. Explain the expected fiscal impact. Have a follow up plan for when the program ends. Be up front and bold about it. This not mentioning it anywhere and only having it discovered by it popping up on a diabetic forum makes it look like they're just trying to do something backhanded. excuse me people. These vouchers require a prescription.
What? Why would handing out a voucher require a prescription? Its a payment voucher. After you get the voucher you go to your favorite doc and get the script. Then you go to your favorite pharmacy and get your afrezza and pay for it with the voucher.
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Post by dreamboatcruise on Aug 10, 2017 18:27:33 GMT -5
do you understand? you do not get a voucher with out a prescription. If that's the case, then that's putting the cart before the horse. They need to hand out the vouchers as an incentive to go through the hassles of getting a prescription. Alternatively, Mannkind could advertise that once you get a prescription, then you will get a voucher to pay for it. Probably attract more attention than hamburgers floating out of the sky on parachutes. I don't think there is any reason you couldn't give vouchers out in any venue. Pharmacies would simply not honor them if not along with a valid prescription. The reason they wouldn't actually give out tons of vouchers is because of accounting. As long as they aren't expired they are an outstanding liability, so you wouldn't want tons of them to last a long time. If they expire over some relatively short period then you you've got bad ones floating around, potentially given to patients without noticing the expiration date. Whatever management does to help patients getting easy access early on I applaud. Hopefully that includes keeping doctors stocked with reasonable number of vouchers... and with a good doctor they might know to say "Oh, you're with those b*&*ards at insurance XYZ, you'd better have 3 these for the battle."
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Post by scoy on Aug 10, 2017 19:26:07 GMT -5
If that's the case, then that's putting the cart before the horse. They need to hand out the vouchers as an incentive to go through the hassles of getting a prescription. Alternatively, Mannkind could advertise that once you get a prescription, then you will get a voucher to pay for it. Probably attract more attention than hamburgers floating out of the sky on parachutes. I don't think there is any reason you couldn't give vouchers out in any venue. Pharmacies would simply not honor them if not along with a valid prescription. The reason they wouldn't actually give out tons of vouchers is because of accounting. As long as they aren't expired they are an outstanding liability, so you wouldn't want tons of them to last a long time. If they expire over some relatively short period then you you've got bad ones floating around, potentially given to patients without noticing the expiration date. Whatever management does to help patients getting easy access early on I applaud. Hopefully that includes keeping doctors stocked with reasonable number of vouchers... and with a good doctor they might know to say "Oh, you're with those b*&*ards at insurance XYZ, you'd better have 3 these for the battle." Coupons aren't a liability. Show them to on an earnings report if you believe otherwise. Coupons are a cheap way to get customers. If they have some code on them they're a great way to track who is giving coupons to people who result as Mannkind customers. As far as priorities in life go, getting upset at an effort to ease a person's transition into using Afrezza, ranks near the bottom.
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Post by peppy on Aug 10, 2017 19:37:12 GMT -5
do you understand? you do not get a voucher with out a prescription. Good grief! Why is this so hard to understand! This is part of the re-fill problem. People get scripts and then their insurance doesn't cover it. Then there has to be letter after letter written. And no they don't check with their insurance first. They want to try it. They like it. To the fud people, don't make believe that they stop using it. Because I know different. Only a small amount do until they get the right dosing down. Reps working hard on all the above. I think I finally understand what the heck happened. So scripts and vouchers and poor titration, mostly scripts and vouchers. They got a script. Got a voucher. Then found out insurance didn't cover it. Over and over like wheels going down the track. Those few people that somehow got insurance coverage love it. In that regard, Sanofi numbers an illusion. So, not only did Sanofi, not proceed with clinical trails, they did nothing with insurance coverage. Then the stories came out, afrezza a failure. No insurance coverage on a minimum of 300 dollar a month 90 unit 4 cartridge.
Deerfield checked insurance coverage and shorted the hell out of us. That just bothers me.
I can not figure out if it was purposeful or not. Hey sports, thanks for everything.
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Post by dreamboatcruise on Aug 10, 2017 19:40:37 GMT -5
I don't think there is any reason you couldn't give vouchers out in any venue. Pharmacies would simply not honor them if not along with a valid prescription. The reason they wouldn't actually give out tons of vouchers is because of accounting. As long as they aren't expired they are an outstanding liability, so you wouldn't want tons of them to last a long time. If they expire over some relatively short period then you you've got bad ones floating around, potentially given to patients without noticing the expiration date. Whatever management does to help patients getting easy access early on I applaud. Hopefully that includes keeping doctors stocked with reasonable number of vouchers... and with a good doctor they might know to say "Oh, you're with those b*&*ards at insurance XYZ, you'd better have 3 these for the battle." Coupons aren't a liability. Show them to on an earnings report if you believe otherwise. Coupons are a cheap way to get customers. If they have some code on them they're a great way to track who is giving coupons to people who result as Mannkind customers. As far as priorities in life go, getting upset at an effort to ease a person's transition into using Afrezza, ranks near the bottom. In general, if there is probability they will be used then they are a liability. For consumer goods, it can be estimated what percentage ever get used and only accrue liability for a reasonable portion, which would I imagine be tiny for a $0.25 off coffee filter coupon... and they may be short enough that they are all expired on the day they need to do books. The problem with MNKD is that with little track record and a coupon worth hundreds, most accountants I'm pretty sure would say to carry all of them as liability. If they didn't accrue I think accountants would want some documented rationale for why MNKD felt many/most/all wouldn't ever get used. I did a quick google to point you to one reference. I haven't actually read it so can't vouch for whether this is a good explanation of the accounting treatment, but it certainly seems to be addressing the point I was making. I'm sure a vast majority of small businesses ignore this issue in accounting... its not as if anyone will question the mom and pop ice cream shop for giving out free scoop flyers... but MNKD is a publicly traded company and the vouchers could be worth real money. I dealt with some accounting issues like this in business but am no expert... so take with grain of salt and consult your local CPA. www.money-zine.com/definitions/investing-dictionary/premiums-and-coupons/
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Post by sportsrancho on Aug 10, 2017 20:41:17 GMT -5
Good grief! Why is this so hard to understand! This is part of the re-fill problem. People get scripts and then their insurance doesn't cover it. Then there has to be letter after letter written. And no they don't check with their insurance first. They want to try it. They like it. To the fud people, don't make believe that they stop using it. Because I know different. Only a small amount do until they get the right dosing down. Reps working hard on all the above. I think I finally understand what the heck happened. So scripts and vouchers and poor titration, mostly scripts and vouchers. They got a script. Got a voucher. Then found out insurance didn't cover it. Over and over like wheels going down the track. Those few people that somehow got insurance coverage love it. In that regard, Sanofi numbers an illusion. So, not only did Sanofi, not proceed with clinical trails, they did nothing with insurance coverage. Then the stories came out, afrezza a failure. No insurance coverage on a minimum of 300 dollar a month 90 unit 4 cartridge.
Deerfield checked insurance coverage and shorted the hell out of us. That just bothers me.
I can not figure out if it was purposeful or not. Hey sports, thanks for everything.
Yes:-) Thank god Mike researched it all and is making headway. And I think they get it now that GP's are the best target:-) What did we always say... If u want a script go to a GP and don't take no for a answer!
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Post by peppy on Aug 10, 2017 21:03:16 GMT -5
I think I finally understand what the heck happened. So scripts and vouchers and poor titration, mostly scripts and vouchers. They got a script. Got a voucher. Then found out insurance didn't cover it. Over and over like wheels going down the track. Those few people that somehow got insurance coverage love it. In that regard, Sanofi numbers an illusion. So, not only did Sanofi, not proceed with clinical trails, they did nothing with insurance coverage. Then the stories came out, afrezza a failure. No insurance coverage on a minimum of 300 dollar a month 90 unit 4 cartridge.
Deerfield checked insurance coverage and shorted the hell out of us. That just bothers me.
I can not figure out if it was purposeful or not. Hey sports, thanks for everything.
Yes:-) Thank god Mike researched it all and is making headway. And I think they get it now that GP's are the best target:-) What did we always say... If u want a script go to a GP and don't take no for a answer! Agreed GP the best target. I was surprised quarters ago when Ray said it was the endo's. Endo's are a stiff bunch from what I can tell. Makes me wonder if like health insurance companies they too get rebates from the manufacturers when targets are hit. They treat much more than diabetes.
If the type two diabetics with health insurance in the usa do flunk all the steps, which they do, basal and mealtime is on the standards of care. If Afrezza does get the 5 minute distinction or the ultra rapid. what would be nice is if the first phase insulin reaction can be talked about. Type two's need to turn their liver glucose production off.
I'll tell you irritates me. I go to goodrx and I look up the statins, their cost is 300 dollars a month.
With that hedge to Deerfield due on Oct 31, I think Mike is banking on the label change. I have never seen anything like this game of cloak and dagger. If this Insulin was covered by insurance, to the moon.
Trails, labels, hgA1c and no eyeballs.
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Post by scoy on Aug 10, 2017 21:04:36 GMT -5
Coupons aren't a liability. Show them to on an earnings report if you believe otherwise. Coupons are a cheap way to get customers. If they have some code on them they're a great way to track who is giving coupons to people who result as Mannkind customers. As far as priorities in life go, getting upset at an effort to ease a person's transition into using Afrezza, ranks near the bottom. In general, if there is probability they will be used then they are a liability. For consumer goods, it can be estimated what percentage ever get used and only accrue liability for a reasonable portion, which would I imagine be tiny for a $0.25 off coffee filter coupon... and they may be short enough that they are all expired on the day they need to do books. The problem with MNKD is that with little track record and a coupon worth hundreds, most accountants I'm pretty sure would say to carry all of them as liability. If they didn't accrue I think accountants would want some documented rationale for why MNKD felt many/most/all wouldn't ever get used. I did a quick google to point you to one reference. I haven't actually read it so can't vouch for whether this is a good explanation of the accounting treatment, but it certainly seems to be addressing the point I was making. I'm sure a vast majority of small businesses ignore this issue in accounting... its not as if anyone will question the mom and pop ice cream shop for giving out free scoop flyers... but MNKD is a publicly traded company and the vouchers could be worth real money. I dealt with some accounting issues like this in business but am no expert... so take with grain of salt and consult your local CPA. www.money-zine.com/definitions/investing-dictionary/premiums-and-coupons/I didn't ask you for a made up example about a fictitious company. I asked you about Mannkind. Mannkind sales model doesn't work like that made up company. Here's where you can find all of Mannkind's SEC filings: investors.mannkindcorp.com/sec.cfm?DocType=&DocTypeExclude=&SortOrder=FilingDate%20Descending&Year=&Pagenum=1&FormatFilter=&CIK=
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Post by sportsrancho on Aug 10, 2017 21:20:42 GMT -5
Yes:-) Thank god Mike researched it all and is making headway. And I think they get it now that GP's are the best target:-) What did we always say... If u want a script go to a GP and don't take no for a answer! Agreed GP the best target. I was surprised quarters ago when Ray said it was the endo's. Endo's are a stiff bunch from what I can tell. Makes me wonder if like health insurance companies they too get rebates from the manufacturers when targets are hit. They treat much more than diabetes.
If the type two diabetics with health insurance in the usa do flunk all the steps, which they do, basal and mealtime is on the standards of care. If Afrezza does get the 5 minute distinction or the ultra rapid. what would be nice is if the first phase insulin reaction can be talked about. Type two's need to turn their liver glucose production off.
I'll tell you irritates me. I go to goodrx and I look up the statins, their cost is 300 dollars a month.
With that hedge to Deerfield due on Oct 31, I think Mike is banking on the label change. I have never seen anything like this game of cloak and dagger. If this Insulin was covered by insurance, to the moon.
Trails, labels, hgA1c and no eyeballs.
Right on! Just how I see it. I think they thought they could hit the most PWD by going to the Endo's. Then they talked to a few:-)
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