This info all came with my offer letter. leaders inc. has changed their tune all over the map. They came after me in Sept and said to wait it out, got in the process a few weeks back, 2 face to face in one week- not impressed and felt like I was more experienced than the hiring manager which is never a good sign.
Received contingent offer letter and declined job after talking to my area RHU and hospitals including local and regional medicare offices, will be a non covered product, medical necessity letter will be denied on ALL orders, there are no existing contracts and Savient has no plans to contract out coverage or secure a medicare contract for a NON ACR approved drug and no ACR endorsement. If the doctor is even willing to go that extra mile and be burdened with paper work and submission to Medicare, 80% of the patient demo, which is highly doubtful, there are maybe 1 maximum 2 patients per office that are eligible and medically logical for Krystx therapy, but and that is a big BUT even with these most debilitated gout patients the actual rate of shipment and contract for the product will be below the 1% range.
Do your do diligence on this, for many of us who have exp. with buy and bill and have launched RHU tests and products-drugs before-gaining info and reality of this product and ideology and business strategy are easy to come by, and all look like massive failure. Savient had no intention or interest in launching this product with its own make shift salesforce, this was not the plan and was the last possible choice only after the real companies and true leaders in this landscape said NO to this product, Savient had to scramble and put together a temp plan and solution. I have heard and read the 60-90 day plan on this in house salesforce and it is a huge gamble.
Savient is more than prepared to pull back the sales efforts with a failed launch and will have a knee jerk panic reaction when they see that NO RHEU'S order the product and the problems with private insurance payers and medicare is very real, nearing an impossible obstacle as the cost is ridiculous and the target audience was overshot and embellished to keep this "in play" with the street, smoke and mirrors will eventually be clear....... They thought they were being creative by designing a REMS program and patient network to promote via the 50 person salesforce that will be spread thin covering 2-3 states as a geography and no insurance coverage or reimbursement contracts are in place nor are they in the works. The patient will have to submit a medical necessity letter to their insurer, federal and private in hopes that the appeal process will pick it up, this is 99% unlikely and they will be stuck with a HUGE BILL and the domino effect will spread back to the clinics and end of story.... you can try to debate this until you are blue in the face, but the facts are the facts. Overpriced, fly by night effort, no stability, no pipeline, no leadership, temp short term waste of time and will be a relationship killer for a tenured rep as you are going to be forced to burn bridges with docs, you better be willing to sacrifice your relationships with the RHU to get a script, or you will not only be fired-quickly, but will also build a bad rep among clinicians which is career suicide.
