So, it is Big Pharma in that now they are pressing us with metrics (probably driven by Sanofi) and Big Brother is always looking over your shoulder, your phone, your computer, iPad, etc. Pretty sure they listen in on our phone conversations. I was told that Regeneron was willing to adapt and listen to our concerns, suggestions, etc. In some cases this has been true but in others, it is like pulling teeth just to be heard. There are so many gaps in what Regeneron is doing compared to Amgen from a marketing and overall branding perspective. I get that Regeneron is a science-based company and am glad for that but we need to do a better job of branding the company with our KOLs, engaging them at a higher level. With everything I have, I truly believe our product is superior, yet Amgen is beating us in many areas because they are being smarter about the business at all levels, not just with community-based physicians and have tools and resources that are supporting the needs of the customers. I came from Amgen and know this for a fact. Yet, with managed care wins beginning to swing our direction, we have the advantage, especially in certain parts of the country. The question is, will we be smart about selling these managed care wins to our customers, will the hub still serve as a roadblock despite the formulary coverage? What about accountability at the manager level? What is the culture at Regeneron? I really haven't a clue because I have seen some bright spots but also some questionable issues where being treated like an adult on one hand is great, but actually seeing folks behave like children or worse, is concerning.