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Interviewing - Urology division

anonymous

Guest
Here are a few questions to consider when interviewing for a Urology position:

Ask yourself the following;

Do you want to work for Pfizer?

Do you want to carry Rapaflo samples plus get 8 signatures a day when Pfizer takes over?

Do you want to be a "drug rep"? Scrubs will be gone when Pfizer takes over.

Can your resume take a hit on "joining Big Pharma" and working for a company that is avoiding paying taxes?

Do like feeling the pressure of getting hammered when you don't make your 100% attainment for Botox? Not to mention, you will not be making the $13,200 per quarter bonus (x 5 = $66k).

How many "redeployments" have you been through? Pfizer will be doing this in Q3. Q4 will be the "adjustment period" and everyone can hit the ground running in 2017 Q1.

Do you like calling on FP/IMs? Pfizer's sale's force is not dedicated just to Urology.

Do you really want to carry multiple oral drugs and samples? Rapaflo, Viagra, and Toviaz are all sampled.

Are you okay with doing at least one dinner program a month using a laptop and a video conference KOL speaker (loophole around taking physicians to dinner)? Your KOL gets paid and you have the joy of taking a physician out to dinner.

Do you like field ride-alongs every six weeks? CB's new motto is that the managers need to be in the field more to "see what is really going on".

How do you feel about being someone's bitch? The Urology Practice Consultants (UPCs) will try to invade your "Large Group Practice" offices to instruct your physicians on "protocols" and "metrics" to increase their Botox usage. The UPCs will always email you "last minute" with request for account information. I do not know why they can't track it. They have very little to do everyday. They do not know shit about reimbursement (that is referred to BRS). The UPCs have very few accounts to manage and will always email you to obtain information. Also, they get paid $150k.

Are you always accurate and honest in everything you do? Compliance just had a "witch hunt" and 17 people are gone from the results. The majority were let go due to their following their manager's instructions and "didacting an email". It did not matter if the context and content where not changed.

Are you okay with working for a cheap company? AGN does not match your 8% 401k until March of the following year. You are not paid like med device because you are paid quarterly.

Ask the manager you are interviewing with the following questions;

How are the Rapaflo numbers trending since there are now THREE generic competitors (generic versions of Flomax, Jalyn, and Avodart)? How has the forced generic substitution effected prescriptions? With Rapaflo not being on formulary, how difficult is it to get a prescription filled? You can download the MITT app and very that the coverage is really bad.

What is the quarterly Botox growth expectations since reps are no longer getting credit for hospitals (unless you are 100% allocated and that might not be all Urology business)?

If you don't make your "pie in the sky" quota, how long is the severance plan and PIP?

How difficult is hospital credentialing?

Why is the company focusing on "site of service" instead of "number of patients injected"? FYI - they can track in-office accurately. Specialty pharmacy is not 100% reported. Hospital business is smoke-and-mirrors.

How many additional physicians do you think will be interested in doing Botox in-office? This relates to growth and the product has been out for 4 years. How many more physicians do you think will decide, once YOU become their rep., to begin using Botox

How does Botox compete with PTNS, Interstim, Biofeedback, Urodynamics and the 8 medications that are available? What type of commercial coverage is available? How difficult is the step-therapy for the patients? What is the real deductible that the patient has to pay?

What is the plan when Viagra (Dec 2017) and Toviaz (Oct. 2019) go generic?
Pfizer's patent protecting Viagra from generic competition expires in April 2020, but Teva Pharmaceuticals USA Inc. will be allowed to launch its generic version in the United States on Dec. 11, 2017.
http://www.fiercepharmamarketing.co...zers-viagra-brand-just-got-scarier/2015-04-14

Are you compensated for Institutions, Teaching facilities, and hospital-owned practices that mandate that Botox is done in the O.R. versus the physician office? If not, who trains the physicians at these locations? How are you going to maintain your "call average" if you have to teach a physician that you do not get credit on?

Ask what percentage of Specialty Pharmacy credit is actually received? What about the small independently-owned pharmacies that do not report? Teaching Institutions do not report.

What about when Customer Service ships a "cosmetic" vial instead of a "therapeutic" vial of Botox? How do you get credit for that vial?


Ask your Urologist / Urogyn physicians;

How many "in-office" procedures do you perform per quarter?

How many are retreatments?

What has been the average retreatment timeframe (i.e. 12 weeks, 4 months, etc.)?

Are your Botox bladder injections increasing 10% to 15% per quarter (that is how quotas are set)?

How do you feel when AGN increases the price every year and the physician is always "upside down/short changed" in reimbursement? When you add in the $50.00 injection needle, the physician loses money the first-half of every year. The last half of the year, the physician breaks even. Seriously.

In your experience doctor, what is the efficacy for Botox in your patient population?

How many PTNS and Interstim patients do you treat? Where does Botox fit in?