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Post by sportsrancho on May 12, 2021 11:30:57 GMT -5
If Bill didn’t feel like he could help make Afrezza the success it should be we wouldn’t be expanding. That tells you everything you need to know:-) After all what you said is just like saying Mike/Mannkind would’ve already made it a success if they could have. But they are going on with pediatric, that tells you everything you need to know also. And when "Bill" has a "clinic"/location/desk everywhere or however you describe this expansion, and they drives the majority of sales, I'll agree with you. Afrezza will only be a success when endos prescribe it, A LOT, period. Your comparison is flawed at best, intellectually dishonest at worst. What I suggest is that if it could make Afrezza successful, we would see it in the numbers, and we don't. Unless you have data showing otherwise....and if so, please share. I don’t understand your comments, there’s a perception out there that Afrezza is dead that no pharmaceutical company can make it a success. What I’m saying is obviously Mannkind and Vdex don’t agree with that. Vdex doesn’t bypass Endo’s.. we hired them and train them on our protocols. There’s multiple opportunities for expansion in highly populated diabetic areas. We’re highly successful in the areas we are in, with exceptional patient results, that’s why we want to expand on them. I’ll keep you guys updated when I can. |
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Post by mymann on May 12, 2021 12:01:31 GMT -5
I believe Endocrinologist and primary physician will scribe more if insurance and pulmonary function tests are resolved. VEDX is a perfect solution for lazy doctors but Mike has to get health insurance to cover.
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Post by peppy on May 12, 2021 12:12:20 GMT -5
I believe Endocrinologist and primary physician will scribe more if insurance and pulmonary function tests are resolved. VEDX is a perfect solution for lazy doctors but Mike has to get health insurance to cover. We had an MD intern on the board named Stevil. He said, if the insurance company does not cover the prescription, they change the prescription. The pharmacy will call the physician and tell the office the medication is not covered. The physicians are educated not to buck the system. Standards of Care and all. If a physician writes for something that is not covered, it cost the physician or his office time and money to write the letters. Then the physicians office gets a call from the Pharmacy Purchasing Managers.... asking them.... why the physician is bucking their rebate system? My take, is if Afrezza had insurance coverage, patients that ask for it could get it, then, when they love it and their HbA1c's go down, the physician likes it too.  |
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Post by sugarland on May 12, 2021 12:45:55 GMT -5
I believe Endocrinologist and primary physician will scribe more if insurance and pulmonary function tests are resolved. VEDX is a perfect solution for lazy doctors but Mike has to get health insurance to cover. We had an MD intern on the board named Stevil. He said, if the insurance company does not cover the prescription, they change the prescription. The pharmacy will call the physician and tell the office the medication is not covered. The physicians are educated not to buck the system. Standards of Care and all. If a physician writes for something that is not covered, it cost the physician or his office time and money to write the letters. Then the physicians office gets a call from the Pharmacy Purchasing Managers.... asking them.... why the physician is bucking their rebate system? My take, is if Afrezza had insurance coverage, patients that ask for it could get it, then, when they love it and their HbA1c's go down, the physician likes it too. Peppy I agree. I’ve seen many posts over the years faulting the physicians as the reason for lackluster sales. There hands are tied. There basically owned by the insurance companies. Sad fact. Even the slate with insurance coverage, and you’ll eventually see the magic hockey stick appear. 🏒 |
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Post by mymann on May 12, 2021 13:16:41 GMT -5
When you have to see 40 to 60 patients a day to cover the cost and pay office staff, doctors don't care about better treatment, just how much time and and paperwork it takes.
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Post by mymann on May 12, 2021 13:26:57 GMT -5
Just the idea of pulm. function test prior to use scares doctors from educating themselves on Afrezza. Thinking it must destroy lung tissue.
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Post by sportsrancho on May 12, 2021 13:42:36 GMT -5
I agree with the insurance situation.
But you need the patient to stay on the drug, once they get on it and if the Endo cannot help them dose and continue to give them the right protocols they don’t stay on the drug. They need continual care and monitoring. That makes them an Afrezza advocate for life. We need to create positive experiences so that that’s what the patient talks about, instead of saying on the message boards that they just can’t get it to work.
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Post by mytakeonit on May 12, 2021 13:42:57 GMT -5
Like I mentioned a few years ago ... I asked my VA doc if he had heard of Afrezza. He said yes and that it's a fabulous drug. I asked him why he isn't prescribing it? And he replied, because the VA has a printed drug list that he can prescribe from ... but Afrezza isn't on that list.
But, that's mytakeonit
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Post by mannmade on May 12, 2021 13:48:11 GMT -5
I just asked my new PCP on a recent visit if she had heard of Afrezza and she had not... Pretty amazing at this point. And sad...
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Post by peppy on May 12, 2021 13:48:44 GMT -5
Just the idea of pulm. function test prior to use scares doctors from educating themselves on Afrezza. Thinking it must destroy lung tissue. I don't think they care that much. Scroll up, wasn't it you that said, 40 to 80 patients a day and trying to support an office? Standards of care. your blood glucose levels are difficult for you?..... it is your fault. And that is the way we roll. (Susie Sunshine)  |
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Post by sportsrancho on May 12, 2021 13:49:23 GMT -5
Why is that?
This was a question about the VA list.
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Post by sportsrancho on May 12, 2021 13:54:37 GMT -5
Are there no Afrezza reps in Thousand Oaks.. where is the coverage, isn’t this one of the reasons more doctors don’t know?
Las Cruces New Mexico may be a small town but the whole town knows about Vdex ..,that’s because our providers are out promoting it in the community.
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Post by mymann on May 12, 2021 14:15:37 GMT -5
The good old days when primary care docs use to come and see their patients in the hospital. Now they have to farm out to a hospitalist and gets a discharge summery of what happened to their patients in the hospital.Iit is no longer a practice of medicine but how to run a business.
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Post by cretin11 on May 12, 2021 15:39:02 GMT -5
When you have to see 40 to 60 patients a day to cover the cost and pay office staff, doctors don't care about better treatment, just how much time and and paperwork it takes. Cover costs of office, staff.... and country club dues, mansion, mountain house, beach house... But yes your point holds true. |
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Post by falconquest on May 12, 2021 18:37:03 GMT -5
Well phdedieu12, I would argue that no one understands Afrezza better than Vdex. Argue against that claim. If Mannkind is going to move Afrezza forward it is going to be through a dedicated clinic that understands the drug and how to get it approved by patients. Prove me wrong! Endo's don't have or take time to understand it. Dr. Mann was right when he said it is the best insulin to treat diabetes. And you might very well be right, it seems pretty evident that Vdex is a wonderful advocate to a wonderful product, and please note at no point did I say otherwise. What does "moving Afrezza forward" even means? You're of the belief that there is one path and one path alone, and the business model you describe suggests that we need dedicated clinics everywhere. I am not in 5th grade and have nothing to prove, but unless I am completely missing the mark, endos are still the ones prescribing. We may be frustrated with the lack of awareness, lack of interest/time from said endos to learn about this product, or desire to get their patients well beyond the current lousy standard of care, etc, but to think you'll be able to bypass endos through a dedicated system in order to MAKE AFREZZA succesful (which was my original comment), is simply not an opinion I share. Quite frankly the problem is with the medical (industrial) complex. Our health care system is a mess. My point is that Endo's/PCP's don't have time to learn about and how to administer Afrezza properly. Who does? Yeah, VDEX, that's who. Again, prove me wrong! |
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