Former CNS manager now in primary care. The future is slightly better!

Wrong, Advair still has no generic, and it probably won't for 4 years. Generics in the respiratory market have to get the drug approved AS WELL AS the device itself. This is very expensive for the generic companies.

Symbicort currently has the best potential of any drug in the declining AZ portfolio.

Amazingly, Crestor is still growing! Crestor has the most total upside since the drug is already huge ($6 million in the US) and it has room for further growth. Patent expires in 2016 so AZ will sqeeze every dollar they can out of this cash cow! This is the #1 reason you might still have a job next year!
 




Amazingly, Crestor is still growing! Crestor has the most total upside since the drug is already huge ($6 million in the US) and it has room for further growth. Patent expires in 2016 so AZ will sqeeze every dollar they can out of this cash cow! This is the #1 reason you might still have a job next year!

I guess you didn't read the earnings announcement. Generic alternative statins are already beginning to erode Crestor sales, despite the patents for Crestor still being in force. The decline will be slow at first, but significant growth expectations are not very realistic. The crash in sales will occur in 2016, until then just maintaining near current sales levels would be the most anyone could hope for.
 




I guess you didn't read the earnings announcement. Generic alternative statins are already beginning to erode Crestor sales, despite the patents for Crestor still being in force. The decline will be slow at first, but significant growth expectations are not very realistic. The crash in sales will occur in 2016, until then just maintaining near current sales levels would be the most anyone could hope for.

I guess you didn't attend the BEM meeting in Dallas. Upper management announced that Crestor GREW in the US market in 2012 in SPITE of the fact that generic Lipitor hit the market. This is an amazing success story for Crestor in the US.
 




I guess you didn't attend the BEM meeting in Dallas. Upper management announced that Crestor GREW in the US market in 2012 in SPITE of the fact that generic Lipitor hit the market. This is an amazing success story for Crestor in the US.

What does "GREW" mean? The question your poorly educated mind should be asking, is what kind of "PROFIT" did it make for the company.
 




What does "GREW" mean? The question your poorly educated mind should be asking, is what kind of "PROFIT" did it make for the company.

The poster is correct that Crestor "grew" in both dollars and units in 2012. IMS data went from 1,117,904 in Q1 to 1,275,483 in Q4. However, overall profit was down in the U.S. due to other patent erosion.
 








Crestor grew in sales and profits in the US market. Seems pretty clear to me. Maybe YOU have the problem with comprehension! :)

Grew in profits huh? Prove it! You can't. Sales maybe, and MAYBE profits, but you only have the sales data to look at. Besides the generic pressure will be unbelievable this year on Crestor, and will only get worse. Same for Brilinta.
 




Grew in profits huh? Prove it! You can't. Sales maybe, and MAYBE profits, but you only have the sales data to look at. Besides the generic pressure will be unbelievable this year on Crestor, and will only get worse. Same for Brilinta.

OK Debbie doubter, please prove that Crestor Profitability did NOT grow. Even in the face of overwhelmingly good news, you insist on being negative. Companies do not generally announce profitability on specific products. If you have documented proof that gross-to-net on Crestor decreased please let us know. Otherwise, just accept the good news for what it is!
 
















You have it completely backwards, OP, which proves that you are not a DM. CNS reps that scored higher on the skills assessment were kept in CNS. if you hadnt noticed, CNS reps that scored lower were moved to primary care "bumping" out the lower PC reps. AZ will do the same thing next time. The reps that are in CNS ( and diabetes) will be kept again during the next round of cuts, if they come, moving out the lower PC reps. AZ is not going to layoff their higher performing reps, no matter what the pipeline holds. AZ will keep the reps that can do the job, they will just move them to whatever team they need them in.

You are so full of it! You should know by now if you have made it through the last two lay offs, performance is not the only deciding factor. If they like you you can keep your job, if you have crossed an RSD or DSM you are out even if you cheated better than your peers on the tests. Look around at the lay offs from the past...there were a lot of high performers.
 




I am still here. Most of my former CNS rep peers have now left the company. The move to primary care has worked out well for me. I am selling Crestor and making bonus. I still have the same base I had in CNS. I agree with the OP.
 












OK Debbie doubter, please prove that Crestor Profitability did NOT grow. Even in the face of overwhelmingly good news, you insist on being negative. Companies do not generally announce profitability on specific products. If you have documented proof that gross-to-net on Crestor decreased please let us know. Otherwise, just accept the good news for what it is!

maybe not yet but soon:




FDA Approves Powerful New Cholesterol Drug
By Brian Orelli
May 3, 2013

Merck (NYSE: MRK ) gained Food and Drug Administration approval for its powerful new cholesterol drug Liptruzet, a combination of two already-approved drugs, Pfizer's (NYSE: PFE ) Lipitor and Merck's Zetia.

Merck already sells a combination drug containing Zetia and Zocor called Vytorin. Zocor and Lipitor are in the same class of drugs called statins, but Lipitor is considered more powerful.

In a clinical trial, Liptruzet taken for 12 weeks lowered LDL cholesterol -- that's the bad kind -- by 53% to 61% depending on the dose. Lipitor alone in the same trial reduced cholesterol by 37% to 54% depending on the dose. Zetia by itself reduced LDL cholesterol by just 20%.

Interestingly, despite Lipitor being a better statin than Zocor, the LDL cholesterol data doesn't look that much better than for Vytorin.

In the clinical trial supporting the approval of Vytorin, the combination pill reduced LDL cholesterol by 45% to 60%. It's difficult to compare results between trials since there may be a different makeup of the subjects enrolled in the trials, but there's somewhat of an internal control because both trials tested Zetia alone. In the Vytorin trial, the group that got Zetia by itself had a 19% reduction in LDL cholesterol, similar to the 20% seen in the Liptruzet trial.

One advantage of Liptruzet over Vytorin seems to be at the lowest dose -- 53% vs. 45% -- which could be helpful for patients that can't tolerate high doses of statins due to side effects including muscle aches.

Assuming they're priced the same, Merck doesn't really care whether patients take Liptruzet or Vytorin. The new combination product could help it capture some patients that are currently taking generic Lipitor. It's easier for a doctor to add a second drug than to change from one drug to two different drugs. Patients could have just added Zetia to their Lipitor, but then they'd have to take two separate pills. Liptruzet is more convenient if nothing else.

The biggest loser here could be AstraZeneca's (NYSE: AZN ) Crestor, the other powerful statin on the market, which is now without a comparable Zetia-containing combination drug. If doctors are going to start a patient on a statin with the expectation that they might want to add Zetia later, it makes sense to start with Lipitor.

Of course, that's just adding insult to injury since Lipitor is also preferred because it's available as cheap generic. In the first quarter, U.S. prescriptions for Crestor were down 7% while total prescriptions for statin products increased by 1%.

All eyes now turn toward the Improve-It trial, which is testing Vytorin against Zocor to see if the combination drug not only lowers cholesterol but also decreases heart-related events: heart attacks, strokes, and the like. If the combination drug really does improve it, we'll likely see an increase in the use of Vytorin and probably Liptruzet as well.
 
















I'm interviewing next week for a CNS job. Can you tell me what drugs your currently promoting? AZ's website lists everything they have ever sold.

Due to the problems selling Seroquil XR the company has decided to relaunch ELAVIL for depression. When you interview for the CNS job mention this to the DSM. They will know you did your homework and really want the job. Good luck to you.