Associate Reps?????

Quote
anonymous said:
The pseudo leadership does not have an open door policy or encourage any free thinking or questioning of decisions. Poly thinks he can create Mini Mihales with associate reps that will just do as they are told and not be independent thinkers. They will quit after about three months.
Click to expand...
Maybe the disconnected suits in DC should go out into the field for a day and see the real pharma world. Or maybe they could ask the reps that know firsthand the way things work (and what is non-compliant and borderline illegal). GP, Dr P, Jan, Kate, Chrisssie and all of the rest are way too arrogant to admit they do not have any idea of the commercial pharma environment. They will look nice in matching orange jumpsuits.
 












anonymous said:
Is there really criminal activity at this company? Or aggressive sales/marketing/promotions tactics that may be borderline unethical but not illegal?
Click to expand...
Fanapt - Targeting and IC plan includes all off label business and senior leadership very well aware and refuses change. Reps forced to defend sales even if bad numbers are due to non targets ( that are really wink wink targets)
Hetlioz - sales leadership from NSD RSD and SOME district managers encourage inappropriate sales conversations but will never put in writing. Very unethical practices by a few reps but the majority are measured against them. No philosophy of teamwork. Top reps paid twice as much per intake which encourages more pushing of Hetlioz as a common sleep aid like the top reps readily have admitted. Hub being moved internal further crosses into very questionable territory as case managers are bypassing hcps with prior authorizations.
Vanda is a house of cards and this is only the surface. Crooked CEO thinks hiring reps with no experience will allow him to train them his way.
This is all just the tip of the iceberg. A book could be written on all of the unethical decisions made by the CEO and dictated by CCO, NSD, RSDs.
 






anonymous said:
Fanapt - Targeting and IC plan includes all off label business and senior leadership very well aware and refuses change. Reps forced to defend sales even if bad numbers are due to non targets ( that are really wink wink targets)
Hetlioz - sales leadership from NSD RSD and SOME district managers encourage inappropriate sales conversations but will never put in writing. Very unethical practices by a few reps but the majority are measured against them. No philosophy of teamwork. Top reps paid twice as much per intake which encourages more pushing of Hetlioz as a common sleep aid like the top reps readily have admitted. Hub being moved internal further crosses into very questionable territory as case managers are bypassing hcps with prior authorizations.
Vanda is a house of cards and this is only the surface. Crooked CEO thinks hiring reps with no experience will allow him to train them his way.
This is all just the tip of the iceberg. A book could be written on all of the unethical decisions made by the CEO and dictated by CCO, NSD, RSDs.
Click to expand...

Most poorly run pharma company ever with a control freak in charge and surrounded in HQ by compete imbeciles. If. Hetlioz or Fanapt were an opioid, Vanda would be in same trouble as insys. Glad I got out. Life is too short to work for a bunch of bullies.
 






anonymous said:
Maybe the disconnected suits in DC should go out into the field for a day and see the real pharma world. Or maybe they could ask the reps that know firsthand the way things work (and what is non-compliant and borderline illegal). GP, Dr P, Jan, Kate, Chrisssie and all of the rest are way too arrogant to admit they do not have any idea of the commercial pharma environment. They will look nice in matching orange jumpsuits.
Click to expand...
I am not an experienced as many of my teammates but it's very evident that reps with experience have established relationships that have taken years to build. No newbie that gets in through this process would survive in the field. The home office doesn't value or appreciate input from the representatives. This is why Vanda struggles to compete in the field.
 






anonymous said:
Is there really criminal activity at this company? Or aggressive sales/marketing/promotions tactics that may be borderline unethical but not illegal?
Click to expand...
Vanda operates in very gray territory that definitely crosses the line into illegal. Many reps push back and want to stay clean but are punished because staying clean may mean lower sales dollars for Vanda.
 






anonymous said:
Is there really criminal activity at this company? Or aggressive sales/marketing/promotions tactics that may be borderline unethical but not illegal?
Click to expand...

This is an interesting question. You are asking, "Has a crime been committed"? To my knowledge, nothing meeting the definition of criminal has occurred. Crimes are by definition against the law. That is, they are illegal. I think what's happening at Vanda is more closely related to illicit.This tends to encompass things that are forbidden or disapproved of by custom or society. Or, immoral and unethical, but those are individual interpretations. At the heart of your question is this: Is something legal because it has not been deemed illegal?

In the case of Hetlioz, because the indication doesn't limit it's use to the blind patient exclusively, then all patients are fair game. . . despite zero evidence tasimelteon was deemed safe and effective in this population. That is not illegal and marketing Hetlioz as such isn't "off label" because the label doesn't limit its use to the blind. Again, we can do this because the label doesn't say we can't. There is a difference between marketing specifically to the indication to expand the potential patient base and using the indication to restrict the patient base. Fanapt is limited to schizophrenia which describes a specific patients diagnosis whereas Hetlioz is being marketed to non-24 which is being used to expand the patient diagnosis with vague definitions and "fuzzy" patient clinical presentation.

There was an earlier post with several links describing the submissions by Vanda to the FDA around Hetlioz. And the subsequent replies by the FDA leading up to the ultimate approval of tasimelteon with the approved indication being, "non-24 circadian rhythm sleep disturbance in totally blind individuals with limited light perception". That indication was changed by the FDA after the fact where any reference to blind individuals was removed. Even though 100% of the safety and efficacy information submitted to the FDA was from clinical trials conducted in blind patients.

So to answer your question - no, there hasn't been a crime that I'm aware of. Has there been fraud which certainly is a crime? That's up to the defrauded to establish; ie the patients payer. I do believe there are questionable messages being delivered by some of the field in order to generate intakes. And because the company sees only the results and doesn't question the process, they have given their tacit approval to the methods used by those individuals.

Ultimately the FDA/OIG would have to investigate once a complaint has been made. But of course there's very little paper trail.

Crime - no. Questionable, unethical, immoral, icky, I need a shower at the end of each day, can't get out of here fast enough? Absolutely!!
 






anonymous said:
This is an interesting question. You are asking, "Has a crime been committed"? To my knowledge, nothing meeting the definition of criminal has occurred. Crimes are by definition against the law. That is, they are illegal. I think what's happening at Vanda is more closely related to illicit.This tends to encompass things that are forbidden or disapproved of by custom or society. Or, immoral and unethical, but those are individual interpretations. At the heart of your question is this: Is something legal because it has not been deemed illegal?

In the case of Hetlioz, because the indication doesn't limit it's use to the blind patient exclusively, then all patients are fair game. . . despite zero evidence tasimelteon was deemed safe and effective in this population. That is not illegal and marketing Hetlioz as such isn't "off label" because the label doesn't limit its use to the blind. Again, we can do this because the label doesn't say we can't. There is a difference between marketing specifically to the indication to expand the potential patient base and using the indication to restrict the patient base. Fanapt is limited to schizophrenia which describes a specific patients diagnosis whereas Hetlioz is being marketed to non-24 which is being used to expand the patient diagnosis with vague definitions and "fuzzy" patient clinical presentation.

There was an earlier post with several links describing the submissions by Vanda to the FDA around Hetlioz. And the subsequent replies by the FDA leading up to the ultimate approval of tasimelteon with the approved indication being, "non-24 circadian rhythm sleep disturbance in totally blind individuals with limited light perception". That indication was changed by the FDA after the fact where any reference to blind individuals was removed. Even though 100% of the safety and efficacy information submitted to the FDA was from clinical trials conducted in blind patients.

So to answer your question - no, there hasn't been a crime that I'm aware of. Has there been fraud which certainly is a crime? That's up to the defrauded to establish; ie the patients payer. I do believe there are questionable messages being delivered by some of the field in order to generate intakes. And because the company sees only the results and doesn't question the process, they have given their tacit approval to the methods used by those individuals.

Ultimately the FDA/OIG would have to investigate once a complaint has been made. But of course there's very little paper trail.

Crime - no. Questionable, unethical, immoral, icky, I need a shower at the end of each day, can't get out of here fast enough? Absolutely!!
Click to expand...
very well stated. Thank you. I am tried of being measured against the slimy reps in Rockford, Denver, Flint..... Whose managers look the other way. Or coach how to be dirty. I need a shower too, vanda will be a short stop on many resumes, if even mentioned at all.
 






anonymous said:
Is there really criminal activity at this company? Or aggressive sales/marketing/promotions tactics that may be borderline unethical but not illegal?
Click to expand...

One more thought on this--

The very first thing our RBD said to us when the new(est) Hetlioz "strategy" was rolled out last week was, "We've checked with the lawyers and all of this is legal."

I think that should tell you all you need to know about this organization.

"Sometimes the louder someone claims sainthood, the bigger the horns they are hiding" - S. Maraboli
 






anonymous said:
One more thought on this--

The very first thing our RBD said to us when the new(est) Hetlioz "strategy" was rolled out last week was, "We've checked with the lawyers and all of this is legal."

I think that should tell you all you need to know about this organization.

"Sometimes the louder someone claims sainthood, the bigger the horns they are hiding" - S. Maraboli
Click to expand...
Ha ha. Those were her exact words. I had to make sure my phone was on mute before I laughed
 












Hello applicants for this dead end associate job. Come to the DC office and talk to anyone that was completely fooled that this was a stepping stone. It is a dead weight from which you will run far and fast. It is the horrible experience of your life and the chief executive encourages and is the person in charge of the very abusive behavior. Worst place to work ever... McDonald's when I was 16 was better
 






anonymous said:
One more thought on this--

The very first thing our RBD said to us when the new(est) Hetlioz "strategy" was rolled out last week was, "We've checked with the lawyers and all of this is legal."

I think that should tell you all you need to know about this organization.

"Sometimes the louder someone claims sainthood, the bigger the horns they are hiding" - S. Maraboli
Click to expand...

What is the "new(est)" hetlioz strategy?
Also, can anyone elaborate on the hub being internalized? I thought Vanda used accredo and walgreens specialty to distribute hetlioz?
 






'ii
anonymous said:
What is the "new(est)" hetlioz strategy?
Also, can anyone elaborate on the hub being internalized? I thought Vanda used accredo and walgreens specialty to distribute hetlioz?
Click to expand...
Since your question was asked, the hetlioz strategy has continually changed. Reps responsible for triages then told to have nothing to do with triages then find out that triages are required to get bonus money, so go handle triages again- even though no clarification of new triage process.

The hub now "acting on behalf of the patient" is automatically sending letters of medical necessity bypassing the patients doctor. Vanda now thinks they know more about the patient than the patient's own doctor. Supposedly legal (borderline legal at best), it is incredibly arrogant and completely inappropriate. The decision maker at the top keeps getting greedier and greedier.
 






anonymous said:
What is the "new(est)" hetlioz strategy?
Also, can anyone elaborate on the hub being internalized? I thought Vanda used accredo and walgreens specialty to distribute hetlioz?
Click to expand...
The strategy is to sell Hetlioz as a sleep aid. If patient failed on another sleep aid, it is the NSR role to convince that are failures are due to the prescriber misdiagnosing and it HAS to be non 24. This is the coaching the DSMs are pushed to give as well. BUT, it's not in writing although being heard now in all regions. Also, therr are ZERO slim Jim's or other detail pieces that include the words "sighted patients". Tom has said for months, that is coming even though he knows damn well that is a lie. These "associate reps" that they want to hire are going to see right through scam just as easily as experienced reps. Is it pure greed that Vanda wants so many Hetlioz patients that are not non 24? It's very unsettling but revealing that the terms "rare disease" and "orphan drug" became forbidden in Hetlioz discussions.
 
























anonymous said:
The strategy is to sell Hetlioz as a sleep aid. If patient failed on another sleep aid, it is the NSR role to convince that are failures are due to the prescriber misdiagnosing and it HAS to be non 24. This is the coaching the DSMs are pushed to give as well. BUT, it's not in writing although being heard now in all regions. Also, therr are ZERO slim Jim's or other detail pieces that include the words "sighted patients". Tom has said for months, that is coming even though he knows damn well that is a lie. These "associate reps" that they want to hire are going to see right through scam just as easily as experienced reps. Is it pure greed that Vanda wants so many Hetlioz patients that are not non 24? It's very unsettling but revealing that the terms "rare disease" and "orphan drug" became forbidden in Hetlioz discussions.
Click to expand...
The Hetlioz strategy was for triages not to be included in bonus. When it is too late the CEO does what he always does and reverses and screws reps for doing what they were told. Damned if you do. Damned if you don't. Screw Vanda and the management running this place.
 












Top Bottom
Back
Quote