Zofran may not be indicated but any doctor can prescribe off label and they do. The oral desolving pill is the most popular, because pregnant women can't hold down the pill. The grit of the ODT is a factor but there are other Ondansetron (gen name of Zofran) on the market, one being Zuplenz which is from Praelia pharma and marketed by Womens Choice and they are branded but the price is competitive if you have insurance to generic Zofran or Zofran ODT at about $15 for 10-20 strips, and these strips dissolve in your mouth like a breath strip and they taste like peppermint which is also very soothing for nausea and you can get them in 8mg or 4mg. 8mg Ondansetron is more for nausea and vomiting associated with chemo or radiation in cancer pts. This Diclegis crap is available over the counter and I can't see anyone paying for this, even at tier 2, but I want to know how they arrive at tier 2 estimate. At $30 even with a coupon its way too expensive when you can get Zofran for $10 cash pay even with no insurance. You can forget about going to any hospitals, they will do everything they can to keep it out of the hospital, and anyone who has a large Medicaid patient population then they won't touch this drug. I know for me I got the offer for this drug but if they hassle me with 8 hour role plays then I am walking out of the meeting and going home. I have other offers thankfully but for those who don't just do your best and collect a few paychecks. Then go over to Quintiles or Ventiv and apply like crazy for the contracts they are snapping up. Publicis has bid this thing low and they are scraping the bottom for an 8 month contract. Everyone will be gone by Christmas I hate to say. They are only going to test the waters here and my guess is it will be more like Labor day rather than Christmas. They invested in iPads which is nice and the Veeva system is a good one, but that's the only highlight. I can tell you that having to detail from an iPad screen is not welcomed by a doctor. You will pick one or two slides and stick to those in the field. You will never be given enough time to go through all the slides that are in the iVA that they have on the virtual academy. Good luck all, but this is a dog drug. You have to have more than unisom and B6, this might pick up a few scraps but that's it. This will never be a permanent gig.