Express Scripts Says Novo's Insulin Data Not Convincing Enough

Tresiba is simply not good enough to justify price increments. Too similar to Glargine. Obviously Novo has major issues keeping up with insulin innovation. Looks much better in the GLP-1 arena (Lira, Sema). Over the coming years we will likely see Novo change from a 100% insulin company to a 50% insulin + 50 % GLP-1 company.
 




Tresiba is simply not good enough to justify price increments. Too similar to Glargine. Obviously Novo has major issues keeping up with insulin innovation. Looks much better in the GLP-1 arena (Lira, Sema). Over the coming years we will likely see Novo change from a 100% insulin company to a 50% insulin + 50 % GLP-1 company.

It's not the price increase that's the problem. It's the rebate. Go learn how formulary decisions are made sometimes - it will be good for you.
 





ESI gave this as an example at a managed care conference I recently attended. The Chief Medical Officer stated the patient usually will not stay on Novo's insulin no more than 7 months. Not worth doing business with Novo when patients fall off therapy. Stated, ESI could save $$ by not having Novo insulin's on formulary. I am not with Novo but this was stated in Palm Springs, CA. at PBMI
 




ESI gave this as an example at a managed care conference I recently attended. The Chief Medical Officer stated the patient usually will not stay on Novo's insulin no more than 7 months. Not worth doing business with Novo when patients fall off therapy. Stated, ESI could save $$ by not having Novo insulin's on formulary. I am not with Novo but this was stated in Palm Springs, CA. at PBMI

*ding ding ding* Winner-winner, chicken dinner!

I keep getting complaints that patients often don't take these as prescribed for more than 6 months (Pharmacists will tell you that 7 months is a dream in my part of the world). We come in there bragging about superior control and less hypoglycemia, and our customers are like "how they heck can they bottom out if they don't take it like they're supposed to?"
 




Look geniuses... One can achieve 24-HR blood glucose control with NPH. It's not just that you reach goal it's HOW you reach goal that is important to the patient. Yes Tresiba is better than anything currently available on the market.
Keep drinking the Koolaid. Tresiba is better than Lantus and Toujeo and Levemir. Any doctor will tell you no way.
 




It's not the price increase that's the problem. It's the rebate. Go learn how formulary decisions are made sometimes - it will be good for you.

We've turned into pod-dwelling, sample dropping, lunch-giving robots. Thanks to our CIA we just puke up what whats approved by our PRB, and call it a day at 4pm.
 












And that's bad because ....?

…because pod-people are known for having few transferrable skills. You didn't know that?

It doesn't matter if our field force remains bloated and fat. Of course, I hope that it does!

But if we ever start cutting numbers, being known as an ex pod-person means were are either doomed to work at some no-name drug company at a 20% cut, or those damned contract houses at a 40-50% cut. Do you not have any friends, former colleagues, or competitors from AZ, BMS, Sanoflea, Takeda that work at places like Shionogion (spelling?) or a contract company?
 




…because pod-people are known for having few transferrable skills. You didn't know that?

It doesn't matter if our field force remains bloated and fat. Of course, I hope that it does!

But if we ever start cutting numbers, being known as an ex pod-person means were are either doomed to work at some no-name drug company at a 20% cut, or those damned contract houses at a 40-50% cut. Do you not have any friends, former colleagues, or competitors from AZ, BMS, Sanoflea, Takeda that work at places like Shionogion (spelling?) or a contract company?

FU troll! Look at our 8 year track record, and then look at our Phase III pipeline. We do not cut head count, and will be adding at least another two field forces in the next two years. Express Scripts will knuckle under the demand from physicians and others. Its only a matter of time.
 




FU troll! Look at our 8 year track record, and then look at our Phase III pipeline. We do not cut head count, and will be adding at least another two field forces in the next two years. Express Scripts will knuckle under the demand from physicians and others. Its only a matter of time.

Can you have your dealer give me a PM? Thats some good s**t you got, there!
 




…because pod-people are known for having few transferrable skills. You didn't know that?

It doesn't matter if our field force remains bloated and fat. Of course, I hope that it does!

But if we ever start cutting numbers, being known as an ex pod-person means were are either doomed to work at some no-name drug company at a 20% cut, or those damned contract houses at a 40-50% cut. Do you not have any friends, former colleagues, or competitors from AZ, BMS, Sanoflea, Takeda that work at places like Shionogion (spelling?) or a contract company?

Everyone here believes that they are solely responsible for Victoza and Levemir's numbers. Its funny how we come in at 9:30 from dropping off Junior at Montessori, start "preparing" for the lunch meeting at 11, and often leave early make sure we greet Brittany when she comes home from sports practice at 4:30. Then when we get downsized we wonder why other industries offer us so little in salary.
 




Everyone here believes that they are solely responsible for Victoza and Levemir's numbers. Its funny how we come in at 9:30 from dropping off Junior at Montessori, start "preparing" for the lunch meeting at 11, and often leave early make sure we greet Brittany when she comes home from sports practice at 4:30. Then when we get downsized we wonder why other industries offer us so little in salary.

Not sure which "we" you're talking about - maybe YOU, but definitely not WE. Just because you're a complete and total shitbag, don't assume everyone else is.
 




Not sure which "we" you're talking about - maybe YOU, but definitely not WE. Just because you're a complete and total shitbag, don't assume everyone else is.

Hey Super Employee, get over yourself. This industry and your "sales profession" is a joke and everyone knows it. This sector is under the gun from both Dems and Reps; just surprised it has taken so long to come to light.
 




Not sure which "we" you're talking about - maybe YOU, but definitely not WE. Just because you're a complete and total shitbag, don't assume everyone else is.

Nice ad hominem attack.

I know that they were joking (to an extent), but lets stop pretending that the post was completely outrageous, shall we?
 




Nice ad hominem attack.

I know that they were joking (to an extent), but lets stop pretending that the post was completely outrageous, shall we?

A bunch of pharma "frenemies" here in my area got together at Happy Hour a few Fridays ago, and CP came up. Almost to a person, they said that their senior management was upset that some people had been posting typical work day activities/schedules and other stuff that could be considered competitive intell. on this site. ("All Day Lie" thread on AZ's site is just one example.) Hey, lets be honest here, OK? We get paid really, really well for what we actually do, and for the amount of time each day that we spend in front of docs. Lets leave it at that, shall we?
 




A bunch of pharma "frenemies" here in my area got together at Happy Hour a few Fridays ago, and CP came up. Almost to a person, they said that their senior management was upset that some people had been posting typical work day activities/schedules and other stuff that could be considered competitive intell. on this site. ("All Day Lie" thread on AZ's site is just one example.) Hey, lets be honest here, OK? We get paid really, really well for what we actually do, and for the amount of time each day that we spend in front of docs. Lets leave it at that, shall we?

Here's the thing - the ridiculousness of this industry is such that the high salaries can no longer buy one's silence.