Amarin friends you have two choices:
1. Accept the inevitable step-edit and generic failuresand possibly get a few physicians to fight for the LDL challenged patients, but when they are incentivized or told by their bosses to do otherwise, well, welcome to 2014 medicine.
2. Contract with deep discounts to continue favored status and make it up with huge market share gains.
You can see neither can you win because with number one, your growth is completely stifled and since tg is not a "life threatening" issue in the minds of most prescribers today....
With number two, Amarin and Kowa have shown the inability to move the market share anywhere close to being profitable in this model.
You are between a rock and a hard place of reality. I am not GSK by the way. I am a realist.
Sorry.
That's it, there is nothing else you can do.