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Post by doubleo7 on Aug 26, 2015 14:09:11 GMT -5
Another one Dr. Alan Marcus, a diabetes doctor in Laguna Hills, said he has followed the drug's development for more than a decade. In three months, he's already prescribed the drug to about 30 patients. "They love it," he said. "It allows them to control their glucose ... in a manner that doesn't stigmatize. If you're out at a restaurant, the last thing you want to do is go to the bathroom for an injection or stick a needle through your clothing." Read more: mnkd.proboards.com/thread/2641/article-excellent-patient-neutral-coverag#ixzz3jwwl8nZE
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Post by newmnkdinvestor on Aug 26, 2015 14:27:06 GMT -5
Does anyone have Twitter, maybe relay that information to them? Amazing that Sanofi educates physicians but can't refer them.... I am trying to not over think it but I am struggling. How do you not have a customer service line set up for people looking to get referred? Is it some sort of violation? Patients have to seek it out on their own?
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Post by mssciguy on Aug 26, 2015 14:31:38 GMT -5
Does anyone have Twitter, maybe relay that information to them? Amazing that Sanofi educates physicians but can't refer them.... I am trying to not over think it but I am struggling. How do you not have a customer service line set up for people looking to get referred? Is it some sort of violation? Patients have to seek it out on their own? If they set something like that up (and I thought they already did), nRx would spike very quickly. Although, you may be right, there may be some restriction, but why? No hipa violations here.
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Post by obamayoumama on Aug 26, 2015 14:34:49 GMT -5
Man, I can't imagine how many new patients a physician could get into their practice if they just started prescribing Afrezza. It seems like free advertising for their practice. I'm currently unaware of how lawsuits work- Seems unfair to sue a physician prescribing an FDA approved drug, so if it's not fear of malpractice, what's holding a physician back from scooping up a bunch of new clients? Diabetics would be good business, especially for the GPs. As I'vd said before: in 'investor time' Afrezza has been around for 'a while'. In 'doctor time' Afrezza was just approved yesterday. Some of the biggest drugs I use took 'forever' (investor time) to be uptake in a meaningful way. It's not as if doctors sit around and spend all days reading about new drugs. Some smart and hungry internist and GP groups will see the advantages to becoming familiar/ early adopters of Afrezza for the benefit of patients and/or to build up a practice. These things take time. I have a friend type 1 diabetic and I have been talking to him about Afrezza since February. He talked to his Endo in May at his next appointment. He got a sample pack and really liked it. His big issue was that he would "stack" Afrezza or do a correction dose on Afrezza which he is unable to do with his current insulin. Next came the insurance issue. His insurance is through Costco and he finally got the approval last week. He will wait until he uses his remaining insulin and then he will become a new Afrezza user. The reason for this story is even when a patient is "sold " on Afrezza it takes months before the average user can be an NRx. I believe looking back SNY knew this and wanted to wait on a full launch until the Insurance blockade was reduced.
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Post by kball on Aug 26, 2015 18:36:01 GMT -5
Man, I can't imagine how many new patients a physician could get into their practice if they just started prescribing Afrezza. It seems like free advertising for their practice. I'm currently unaware of how lawsuits work- Seems unfair to sue a physician prescribing an FDA approved drug, so if it's not fear of malpractice, what's holding a physician back from scooping up a bunch of new clients? Diabetics would be good business, especially for the GPs. As I'vd said before: in 'investor time' Afrezza has been around for 'a while'. In 'doctor time' Afrezza was just approved yesterday. Some of the biggest drugs I use took 'forever' (investor time) to be uptake in a meaningful way. It's not as if doctors sit around and spend all days reading about new drugs. Some smart and hungry internist and GP groups will see the advantages to becoming familiar/ early adopters of Afrezza for the benefit of patients and/or to build up a practice. These things take time. Just to be clear, Doc...use? or prescribe?
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Post by compound26 on Aug 26, 2015 19:33:42 GMT -5
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Post by nylefty on Aug 26, 2015 20:21:43 GMT -5
Sanofi markets many other drugs, including diabetes drugs. I can see why they wouldn't want to alienate doctors who are currently prescribing their drugs by encouraging patients to go to other doctors.
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Post by jpg on Aug 26, 2015 20:28:43 GMT -5
As I'vd said before: in 'investor time' Afrezza has been around for 'a while'. In 'doctor time' Afrezza was just approved yesterday. Some of the biggest drugs I use took 'forever' (investor time) to be uptake in a meaningful way. It's not as if doctors sit around and spend all days reading about new drugs. Some smart and hungry internist and GP groups will see the advantages to becoming familiar/ early adopters of Afrezza for the benefit of patients and/or to build up a practice. These things take time. Just to be clear, Doc...use? or prescribe? Prescribe. I am fortunate enough (for now!) to personally not need any medication. Many many drugs that were considered by various pundits 'interesting for a niche market but not more' becoming mega blockbusters. The Forbes article published today (link by Harry in other section of the Board) is a good example of the first step in thinking by many physicians. Well worth the read.
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Post by cyn on Aug 26, 2015 20:56:26 GMT -5
Another thought .... Can insurance companies and pharmacists provide the names of local Afrezza prescribing doctors without violating privacy act or HIPPA laws.
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Post by notamnkdmillionaire on Aug 26, 2015 21:31:43 GMT -5
I'm not sure how to relay the conversation I had yesterday ( mom is a GP for Kaiser & her premature baby was my patient) . She's Awesome !! & we totally hit it off , her baby is doing Fantastic as well . Anyways , towards the end of my 12 hour shift , we were just chatting & I asked her if she treats a lot of Diabetics . Her response was something like " OMG Yes !! " I'm trying to make a LSS here , so I asked her if she's heard about the new inhaled insulin Afrezza , no surprise , she hadn't ( I had mistakenly thought awhile back that it was on our Formulary but later learned it's not ) . Anyways , I told her about it & how it's lowering A1C's ect and that early adopters are experiencing non diabetic blood sugars ect ect... I then learned abit how it all works. She sees a patient , they have the go to drugs , Metformin ( of course) & I think something like Glyburide was the 2nd . She gets rated and dinged for anything she might do that's out of the standard tx plan , she also gets dinged if patients don't get Mammograms ect when they are supposed to . She has such great rapport w/ her patients that she can get most of them to be compliant, tho she stated that a lot just don't care . This was probably a 20 minute conversation as her beautiful baby was sound asleep on her chest She is a great a pt advocate who Loves her job , but said if a pt came in & requested this , she'd refer them to Endocrinologist ( who she informed me , want her to handle them unless their A1C is > 10 !! ) so this is a very LS after all . Sorry !! We have a ways to go & we'll get there . She also talked about a couple Hep C drugs that weren't covered a cpl years ago but Kaiser pays for them now bc they have realized the upfront cost benefit vs long term . I hope this makes some sense , I'm a much better talker than I am a writer . But it was quite an eye opening conversation & I Love Kaiser . They're going to wait until it's proven , heck she said they don't even cover insulin pens . Patients need to become their own advocates , I can get whatever test I might feel that I need , I can get a jic script for Cipro when I go to MX , bc I demand it , i haven't used it , but a friend of mine was loaded up w/ a bunch of IM abx injections that made him " just feel well enough " to make it back to Canada , his Doc was shocked !! Told him those drugs are only given if you're in septic shock . That's when I wanted to have Amoxicillin & Cipro jic . Wow ! This was long !! My apologies ! Point being , we all know our bodies , Doctors are Busy & Over worked, don't let anyone but You be in charge of Your Health . The big picture in Healthcare doesn't seem to care , but if you do , they listen Two ways to get their attention, hopefully. Tweet @kpshare about how wonderful Afrezza is as well as messaging them on Facebook. Maybe someone there will get it.
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Post by lynn on Aug 26, 2015 21:55:11 GMT -5
As I've stated before , Unless you are a Diabetic just zip it . Investors do more harm than good IMHO, as an Investor Patience is what we need. Normally not my Nature , but in this case , I prefer to leave it to the Diabetics, and provide support in any way I can. In case some have forgotten the definition …( no offence intended ,I've been in the red for most of my time in this , which was pre AdCom , that I'm in it til the story Ends )
pa·tience ˈpāSHəns/Submit noun 1. the capacity to accept or tolerate delay, trouble, or suffering without getting angry or upset. "you can find bargains if you have the patience to sift through the dross" synonyms: forbearance, tolerance, restraint, self-restraint, stoicism; More 2.
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Post by od on Aug 26, 2015 22:28:39 GMT -5
Man, I can't imagine how many new patients a physician could get into their practice if they just started prescribing Afrezza. It seems like free advertising for their practice. I'm currently unaware of how lawsuits work- Seems unfair to sue a physician prescribing an FDA approved drug, so if it's not fear of malpractice, what's holding a physician back from scooping up a bunch of new clients? Diabetics would be good business, especially for the GPs. As I'vd said before: in 'investor time' Afrezza has been around for 'a while'. In 'doctor time' Afrezza was just approved yesterday. Some of the biggest drugs I use took 'forever' (investor time) to be uptake in a meaningful way. It's not as if doctors sit around and spend all days reading about new drugs. Some smart and hungry internist and GP groups will see the advantages to becoming familiar/ early adopters of Afrezza for the benefit of patients and/or to build up a practice. These things take time. If I recall correctly, Zithromax is a good example. First marketed macrolide antibiotic, from Pfizer, no less. High expectations, that went unmet for some time. Pfizer addressed provider resistance, reassessed marketing...result - best selling antibiotic, 2B peak year sales (with plenty of competition). 'Investor time' vs 'doctor time', I love it.
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Post by jpg on Aug 26, 2015 22:33:57 GMT -5
As I'vd said before: in 'investor time' Afrezza has been around for 'a while'. In 'doctor time' Afrezza was just approved yesterday. Some of the biggest drugs I use took 'forever' (investor time) to be uptake in a meaningful way. It's not as if doctors sit around and spend all days reading about new drugs. Some smart and hungry internist and GP groups will see the advantages to becoming familiar/ early adopters of Afrezza for the benefit of patients and/or to build up a practice. These things take time. If I recall correctly, Zithromax is a good example. First marketed macrolide antibiotic, from Pfizer, no less. High expectations, that went unmet for some time. Pfizer addressed provider resistance, reassessed marketing...result - best selling antibiotic, 2B peak year sales (with plenty of competition). 'Investor time' vs 'doctor time', I love it. Yes that is one of many examples. Zitromax, although I wasn't thinking of that particular drug, is one of the drugs I have used the most over the years. It's also part of my 'travel pack' to anywhere I travel.
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Post by suebeeee1 on Aug 26, 2015 23:33:54 GMT -5
I'm not sure how to relay the conversation I had yesterday ( mom is a GP for Kaiser & her premature baby was my patient) . She's Awesome !! & we totally hit it off , her baby is doing Fantastic as well . Anyways , towards the end of my 12 hour shift , we were just chatting & I asked her if she treats a lot of Diabetics . Her response was something like " OMG Yes !! " I'm trying to make a LSS here , so I asked her if she's heard about the new inhaled insulin Afrezza , no surprise , she hadn't ( I had mistakenly thought awhile back that it was on our Formulary but later learned it's not ) . Anyways , I told her about it & how it's lowering A1C's ect and that early adopters are experiencing non diabetic blood sugars ect ect... I then learned abit how it all works. She sees a patient , they have the go to drugs , Metformin ( of course) & I think something like Glyburide was the 2nd . She gets rated and dinged for anything she might do that's out of the standard tx plan , she also gets dinged if patients don't get Mammograms ect when they are supposed to . She has such great rapport w/ her patients that she can get most of them to be compliant, tho she stated that a lot just don't care . This was probably a 20 minute conversation as her beautiful baby was sound asleep on her chest She is a great a pt advocate who Loves her job , but said if a pt came in & requested this , she'd refer them to Endocrinologist ( who she informed me , want her to handle them unless their A1C is > 10 !! ) so this is a very LS after all . Sorry !! We have a ways to go & we'll get there . She also talked about a couple Hep C drugs that weren't covered a cpl years ago but Kaiser pays for them now bc they have realized the upfront cost benefit vs long term . I hope this makes some sense , I'm a much better talker than I am a writer . But it was quite an eye opening conversation & I Love Kaiser . They're going to wait until it's proven , heck she said they don't even cover insulin pens . Patients need to become their own advocates , I can get whatever test I might feel that I need , I can get a jic script for Cipro when I go to MX , bc I demand it , i haven't used it , but a friend of mine was loaded up w/ a bunch of IM abx injections that made him " just feel well enough " to make it back to Canada , his Doc was shocked !! Told him those drugs are only given if you're in septic shock . That's when I wanted to have Amoxicillin & Cipro jic . Wow ! This was long !! My apologies ! Point being , we all know our bodies , Doctors are Busy & Over worked, don't let anyone but You be in charge of Your Health . The big picture in Healthcare doesn't seem to care , but if you do , they listen Two ways to get their attention, hopefully. Tweet @kpshare about how wonderful Afrezza is as well as messaging them on Facebook. Maybe someone there will get it. Wow! Lynn, this is exactly what happened to my husband through Kaiser! I guess it is the same story anywhere in the country. We have a great GP, but she couldn't send us to an endo because my husband's A1C was ONLY 7.6 having crept up from 6.1, where he was diligently holding it for the 8 years since becoming a diabetic. She could only prescribe Metformin and Glypizide without getting "dinged". She told us she couldn't prescribe Afrezza without getting "dinged" because it wasn't on their formulary. But, she was encouraging that it would be in Feb after it was on the market for a year. Apparently, this happens often with them. After giving her some of the information and sending her some on their excellent email system, she wrote him a script, with the warning that KP was not going to pay for it. Now, we don't want to pay for it for years, but for the next six months or so, it will be worth it. And, since getting on the Afrezza, my husband hasn't had serious stomach (and lower) distress! Interestingly enough however, when looking at the list of his drugs on on his personal member page, it isn't listed....hmmmm
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Post by jpg on Aug 27, 2015 0:11:36 GMT -5
Two ways to get their attention, hopefully. Tweet @kpshare about how wonderful Afrezza is as well as messaging them on Facebook. Maybe someone there will get it. Wow! Lynn, this is exactly what happened to my husband through Kaiser! I guess it is the same story anywhere in the country. We have a great GP, but she couldn't send us to an endo because my husband's A1C was ONLY 7.6 having crept up from 6.1, where he was diligently holding it for the 8 years since becoming a diabetic. She could only prescribe Metformin and Glypizide without getting "dinged". She told us she couldn't prescribe Afrezza without getting "dinged" because it wasn't on their formulary. But, she was encouraging that it would be in Feb after it was on the market for a year. Apparently, this happens often with them. After giving her some of the information and sending her some on their excellent email system, she wrote him a script, with the warning that KP was not going to pay for it. Now, we don't want to pay for it for years, but for the next six months or so, it will be worth it. And, since getting on the Afrezza, my husband hasn't had serious stomach (and lower) distress! Interestingly enough however, when looking at the list of his drugs on on his personal member page, it isn't listed....hmmmm So those with Kaiser don't really have a personal physician but a sort of 'MD technician' implementing Kaiser rules? Interesting... Not great for physician autonomy and patient physician relationships but the upside is that massive deviations from standard therapy are probably avoided? It does obviously significantly slow down adoption of new therapies and gives a lot of power to administrators at the expense of patients and MDs.
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