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This is what happens when you hire an inexperienced sales force because you "need to stay within budget". Remember when you wrote candidates names on the white board and what they would accept as their base? You Neanderthals were so quick to cut a tenured candidate for a desperate, right out of college kid because hell, he will take 50k. Quite a think tank right? Look where you are now. Dare I ask, what have you learned?
 






This is a market that not even experienced pain reps can succeed in. Ask Purdue? Is Hysingla ER flying off the shelves? Only as well as the miserable managed care will allow it to. ADF are great and this is a novel product but if managed care isn't covering it you can't sell it. Period.Doctors are wise to this. They can never get them covered so why even bother? That's the mentality.
 






anonymous said:
This is a market that not even experienced pain reps can succeed in. Ask Purdue? Is Hysingla ER flying off the shelves? Only as well as the miserable managed care will allow it to. ADF are great and this is a novel product but if managed care isn't covering it you can't sell it. Period.Doctors are wise to this. They can never get them covered so why even bother? That's the mentality.
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And that is precisely why pharma continues to put reps in the field. Use all of your amazing powers of persuasion to inspire and convince a doc to fight through the step edits, prior authorizations, and medical exceptions needed to get patient on drug. The savvy reps know this and devote the majority of their time doing that.
 






anonymous said:
And that is precisely why pharma continues to put reps in the field. Use all of your amazing powers of persuasion to inspire and convince a doc to fight through the step edits, prior authorizations, and medical exceptions needed to get patient on drug. The savvy reps know this and devote the majority of their time doing that.
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Yes they do out of necessity to eek out a couple scripts in the train wreck or high risk patient that nothing else has worked on. Until insurance covers the drug, it will be nothing other than a niche drug or last resort.
 






anonymous said:
This is a market that not even experienced pain reps can succeed in. Ask Purdue? Is Hysingla ER flying off the shelves? Only as well as the miserable managed care will allow it to. ADF are great and this is a novel product but if managed care isn't covering it you can't sell it. Period.Doctors are wise to this. They can never get them covered so why even bother? That's the mentality.
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I couldn't agree more. Same in my territory.
 






anonymous said:
And that is precisely why pharma continues to put reps in the field. Use all of your amazing powers of persuasion to inspire and convince a doc to fight through the step edits, prior authorizations, and medical exceptions needed to get patient on drug. The savvy reps know this and devote the majority of their time doing that.
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Reps who are well liked by offices are able to do this but it is still one prescription at a time and still all boils down to managed care. The more u can get offices to try, which happens more often if you have a relationship and they like you, the better you can do if u have decent managed care. If you don't, those people will try and not try again when they meet resistance. It's the works we live in. Relationships help but only when they can have success writing your product consistently.
 






All comments on this thread are spot on with the main issue being that the resistance to all of these products will; soon be way too much to bare for offices. I have so many key accounts showing me letters from various insurance companies basically threatening them as well as the hospital groups that most belong to all but telling them not to write. I don't care how good your relationship is...an MD isn't going to jeopardize his license to write for you...its just getting ridiculous to pull through a few scripts...and yeah...should be getting worse. Other than that...let's go get em!!!!
 






Even patients are getting letters telling them their doctor's prescribing is outside the guidelines of 90mg morphine equivalents and to go see their doctor so he can make adjustments!
 






The Pain Market.... Gotta love it. So glad I'm out of it. Docs look at you as sleezy salesman and everyday people as well as the DEA look at you as part of problem. I am in the ADHD market now which isn't any better but at least I don't have the FDA breathing down mine or my docs neck if they are writing my drug like candy

anonymous said:
Even patients are getting letters telling them their doctor's prescribing is outside the guidelines of 90mg morphine equivalents and to go see their doctor so he can make adjustments!
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