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Post by cretin11 on Jun 21, 2021 7:28:42 GMT -5
Cretin said, like many others have for years, “ I could care less.” Well, then, how much less could you care?? LOL I don’t know how the correct phrase ever got turned around, but it’s been over 40 years. baba you are right! Ironically one of my old pet peeves, but I lived up to my name this time. Or maybe, “if you can’t beat em, join em” and now I’m one of em 😂 |
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Post by cretin11 on Jun 21, 2021 7:37:48 GMT -5
Great post cretin.. all truth. Some people instinctively know the truth when they hear it. I think I’m one of those people, but the person has to be completely vetted with me before I say it out loud:-) And come on everybody knows it’s not all about insurance. Common sense tells you that, plus Vdex could not prescribe it as it’s flagship product if that were the case. It’s hard for some folks to admit they have made a mistake or miscalculation. I expected Afrezza to become a blockbuster, it seemed so certain. I was flat out wrong. Big miscalculation, and plenty of company here, we all became a self-congratulatory echo chamber as we went from AdComm to CRLs to approval. Anyone who warned us with caution we ostracized as being paid shorts or fudsters with a nefarious ulterior motive. Bill has a strategy to deal with insurance. If that were the only issue we wouldn’t be struggling so much with scripts. As you say, and as pguererro and others have explained, there’s much more to it than simply insurance. |
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Post by sweedee79 on Jun 21, 2021 8:22:47 GMT -5
The insurance coverage was part of it... But the problems are far more complex than that...
I don't know what the situation is now with doctors and endos.. but at the time when I was trying to get my dad on Afrezza docs nor endos understood it. Also they didn't want to have to learn something new.. they didn't want to be bothered with it.. remember the SOC? Under 7 is OK!! Therefore why rock the boat if you don't have to!! And they were scared to death of hypo and wouldn't dose like they needed to with Afrezza.
Afrezza was never given superiority.. so according to trial results it was no better.. and it was more expensive...
Also all of the things I saw with Afrezza such as how my dad was feeling better and losing weight and lowered blood pressure were never proven in any trials either..
I believe in Afrezza with all of my heart.. just wish Al and company had seen the obstacles before Afrezza went to market.. maybe things could have been different..
My personal opinion is that clinics such as Vdex is the only way.. and I don't see peds being any different if the company can't prove superiority and the health benefits.. or overcome the same obstacles they have right now..
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Post by sayhey24 on Jun 21, 2021 10:45:53 GMT -5
I am just trying to understand why afrezza is not selling
1. at one point I thought pguererro said it was because the users could not inhale - yet they passed spirometry
2. Sports says its a dosing issue - it doesn't work - they are not taking enough
3. then we have insurance/cost - of course we also have Eagle selling it pretty reasonably. T2 inclusion in the SoC would help here.
4. then we have SYN who initially said it was spirometry - I don't hear this as an issue these days
Maybe item 1 and 2 are the same? Maybe they are inhaling but just not enough? One thing we all know is human insulin works.
Maybe we are just waiting for when CGMs are ubiquitous? Maybe it will not be CGMs but rather continuous glucose sensors - the Apple sensor and the One Drop Sanos? This is nothing new. We have known the value of CGMS and afrezza for a long time - peanut butter/jelly . The first conversation I ever had with Mike was telling him afrezza was doomed without CGMs. Now we are seeing Libre TV commercials with the T2 checking his BG while he is eating. IMO, Mike should now be working in getting 2U's as over the counter. Once Tim Cook provides the sensor there is going to be a rush for an instant solution to lower BG.
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Post by lennymnkd on Jun 21, 2021 12:03:45 GMT -5
Now we are seeing Libre TV commercials with the T2 checking his BG while he is eating. IMO, Mike should now be working in getting 2U's as over the counter. Once Tim Cook provides the sensor there is going to be a rush for an instant solution to lower BG. … IF THIS IS ALLOWED IN OUR APPROVAL… you gotta love it 🤞
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Post by olderteampt on Jun 21, 2021 12:06:28 GMT -5
I personally don't buy any of the excuses for it not selling. Any Big Pharma could sell Afrezza if they wanted to and here is my point. Take covid-19 vaccines as my example. Big pharm was able to get hundreds of millions of people to inject a medication that is not FDA approved, not fully tested by animals, not tested by humans, has no liability attached to it for them, has a VARES rising list of side-effects and deaths and on top of that they have the ok to pump it into kids aged what 12 and up.
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Post by uvula on Jun 21, 2021 12:34:30 GMT -5
Horrible analogy.
Covid is a deadly pandemic with no alternative solution.
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Post by nylefty on Jun 21, 2021 12:38:45 GMT -5
Cretin said, like many others have for years, “ I could care less.” Well, then, how much less could you care?? LOL I don’t know how the correct phrase ever got turned around, but it’s been over 40 years. baba you are right! Ironically one of my old pet peeves, but I lived up to my name this time. Or maybe, “if you can’t beat em, join em” and now I’m one of em 😂 Why join them in using a phrase that makes no sense? What's your rationale? |
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Post by cedafuntennis on Jun 21, 2021 12:38:49 GMT -5
Horrible analogy. Covid is a deadly pandemic with no alternative solution. And so is diabetes. I see this as a perfect analogy. Diabetes is deadly and even worse than COVID, a slow painful death. There are no other solutions available, just old patches just like the blood letting methods in the old days... |
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Post by uvula on Jun 21, 2021 12:42:04 GMT -5
This is just silly. The choice is not afrezza or die. It is afrezza or another insulin.
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Post by olderteampt on Jun 21, 2021 12:43:10 GMT -5
More people have died from Diabetes than Covid-19. For all those family members that have lost a loved one to Diabetes it is a deadly pandemic.
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Post by centralcoastinvestor on Jun 21, 2021 12:59:58 GMT -5
I am confused. I thought this was a Tyvaso thread. Soooooo….. Back on topic. I will restate what I posted last week.
We need to celebrate the incredible news that the FDA has accepted an accelerated approval process for Tyvaso DPI. What is really amazing to me, is that everyone including myself thought that the earliest date we could receive FDA approval was December but it turns out it is October. Two months faster than all of us thought. So lets think about that for a minute. We are just 4 months away from a likely approval of another Technosphere product that is being marketed by the very talented company United Therapeutics. We should begin seeing royalty payments by the end of 2021. This sets up 2022 as the likely year that MannKind becomes profitable. So regardless of what the negative nellies say, MannKind is in the very best growth and financial position they have ever been in. It is something to celebrate.
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Post by sayhey24 on Jun 21, 2021 13:11:05 GMT -5
CCI - this is not the Tyvaso thread - it is the out take from Tyvaso discussing the old MNKD sales rep and why afrezza is not selling.
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Post by centralcoastinvestor on Jun 21, 2021 13:13:22 GMT -5
CCI - this is not the Tyvaso thread - it is the out take from Tyvaso discussing the old MNKD sales rep and why afrezza is not selling. Ok. So this thread is to talk about Afrezza sales. The title of the thread is confusing then. My bad. |
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Post by sportsrancho on Jun 21, 2021 13:17:03 GMT -5
CCI - this is not the Tyvaso thread - it is the out take from Tyvaso discussing the old MNKD sales rep and why afrezza is not selling. Ok. So this thread is to talk about Afrezza sales. The title of the thread is confusing then. My bad. It’s OK your post was right on just on the wrong thread:-) |
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