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Post by peppy on Aug 13, 2018 7:12:52 GMT -5
Harry: Forgot to mention that the endos at my clinic do not see pharma reps either. I'm not sure if that is standard practice with endos at other major health care facilities, but it sure as heck makes it more difficult to open their eyes to new treatment options when they wear blinders. It is a common practice in many parts of the country to prohibit sales calls during hours when physicians are seeing patients. That is a direct result of the "share of voice" selling model employed by some pharma companies in the past where they had multiple reps from the same company detailing the same product to the same physicians. Multiply that problem by ten or fifteen drug companies calling on your clinic. At the end of the day, it is the physician's job to treat their patient and not to talk to pharma reps so I think it is a perfectly acceptable practice. It is not fair to characterize it as the physicians having blinders on. They have plenty of opportunity to learn about new products at medical meetings (which also have an exhibitors floor), print advertising in medical journals, peer-reviewed articles in major journals, continuing education dinners held after office ours, monthly hospital based "drug fairs" where all reps are welcome to sell during a period of three to four hours, and many companies sponsor lunch at the clinic in exchange for having the physicians attention while they have a sandwich. Each of these approaches have merits and flaws, but to say that a clinic "no see" policy does not allow physicians to learn about new products is not accurate. The problem for MNKD is that an increasing number of offices have a "no see" policy during clinic hours. If the receptionist will not allow the salesman to see the physician, there is very little selling that can take place. We are kidding ourselves that physicians do not know about afrezza. Especially the endocrinologists. It is part of their job description to know about afrezza. Still think the endo groups have one physician they put in charge of reporting to the physician/nurse practitioner about the new drugs. Especially @ the international house of diabetes in st. Louis park MN and at the universities. The university of Minnesota? they have to know, it is their job. There is one reason afrezza isn't being prescribed, and it is not the personal qualms of the physician. It's health insurance coverage, sweetheart. (nauseam KISS)
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Post by bioexec25 on Aug 13, 2018 7:48:39 GMT -5
Peppy, I take your point. It's not that HCPs don't know, it's more that they often know the wrong information. Simplistic, stereotypical, stale message points and old mantras passed down by appointed or self-appointed gatekeepers. The progress on dosing and prolonged efficacy and additional scientific information isn't getting out broadly and often enough to materially reverse the status quo. Until there is a tipping point with patient requests and/or medical affairs publications, it will likely grow very slowly. Which of course is beyond a nightmare for creating running a bio-pharma operation with even a modest burn rate. This is exacerbated by what appears to be an incompetent sales organization with a head (McCauley) that exudes an almost of BS level of unwarranted optimism.
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Post by peppy on Aug 13, 2018 8:18:14 GMT -5
Peppy, I take your point. It's not that HCPs don't know, it's more that they often know the wrong information. Simplistic, stereotypical, stale message points and old mantras passed down by appointed or self-appointed gatekeepers. The progress on dosing and prolonged efficacy and additional scientific information isn't getting out broadly and often enough to materially reverse the status quo. Until there is a tipping point with patient requests and/or medical affairs publications, it will likely grow very slowly. Which of course is beyond a nightmare for creating running a bio-pharma operation with even a modest burn rate. This is exacerbated by what appears to be an incompetent sales organization with a head (McCauley) that exudes an almost of BS level of unwarranted optimism.Jokingly, perhaps Tacos can save us. Here in Minnesota, perhaps in the smaller offices, "I hear" reps can still get in if they bring food. I do not go to physicians offices consciously. However, every time I have ever been to the physicians offices, raising my children etc, I have always seen a rep come and get turned away at the front desk. They leave samples upon dismissal. The games we play. "No soliciting" Physicians are busy prescribing the old and lousy and I am sure like myself, their belief in the new and improved has been tested. (I seem to have awoken with a ugly slant) Hungry? have a taco. Olay.
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Post by mytakeonit on Aug 13, 2018 12:55:15 GMT -5
In Minnesota the reps need to bring cans of Spam. That'll get their attention ! BTW ... Hawaii is the largest consumer of Spam of all the states ... yeah peppy, we got your back !
In fact, we have an annual event in Waikiki called the "Spam Jam" ... we close the street and have food booths, dancing can of Spam, different entertainers on stages, etc ... All for Free !!!
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