1000% correct! I pray that the DOJ will come after AZ for promoting Brilinta in primary care offices!
If you are asking docs to prescribe Brilinta in primary care offices, you should be fired. If you are informing them on the product their patients may taking then you are doing your job. 25% of your bonus for just talking with out a measurable outcome sounds pretty good to me, wish we had that in CNS.
If you are that unhappy quit the job and call the DOG, FDA, DDMAC, and your local news station. (I'll hold my breath waiting for your report)
The second you walk through that office door representing AZ, and you mention an AZ product, you are promoting that product in the eyes of the FDA. AZ uses compliance when it's convenient for them and their purposes. They will look the other way if it mean more $$$ in the bank. AZ is rotten to the core. Contacting DDMAC is actually an excellent suggestion!
If you are asking docs to prescribe Brilinta in primary care offices, you should be fired. If you are informing them on the product their patients may taking then you are doing your job. 25% of your bonus for just talking with out a measurable outcome sounds pretty good to me, wish we had that in CNS.
If you are that unhappy quit the job and call the DOG, FDA, DDMAC, and your local news station. (I'll hold my breath waiting for your report)
The second you walk through that office door representing AZ, and you mention an AZ product, you are promoting that product in the eyes of the FDA. AZ uses compliance when it's convenient for them and their purposes. They will look the other way if it mean more $$$ in the bank. AZ is rotten to the core. Contacting DDMAC is actually an excellent suggestion!
Primary care offices sometimes take on PA's and NP's who are on rotation. Presumably, these PA's or NP's could be supporting cardiologists in specialty practices. Thus, detailing the PC office that they work in is progressive to them understanding the therapy. Thats justification #1.
Primary care is just that -- your primary care. Thus, if you are preparing for surgery, preparing for vacation, preparing for anything, you will likely consult your primary care doctor if you feel it is vigilant to do so. If you have ACS, you probably think it is vigilant (or should). Thus, the primary care physician should understand what Brilinta is and what the pharmacological implications are. Also should be comfortable refilling for you if, for some strange reason, your specialist is unavailable. That justification #2
When I worked in primary care selling Crestor, some of our biggest writers were primary care/GASTROENTEROLOGISTS! The gastros were poaching patients from the primary care physicians that were sending them there, and taking them on in the primary care setting. This is becoming increasingly prevalent, as ACO's and PCMH's create a multi-specialty setting. THUS, it was important for to detail Gastros on Crestor b/c they were treating in PC too (or referring to PC counterparts in the same building, and discussing Crestor!) Knowledge is good for everyone! Thats justification #3
I think, as long as you're not incentivized on the scripts that a PC is doling out, then you are free and clear completely. I still think you could even make a case for incentivizing in PC setting though, given the PC physician does the things mentioned above.
Tell me, how can a company that has been under a Corporate Integrity Agreement for years,
justify promoting Brilinta to Primary Care physicians, WHEN IT HAS NO INDICATION FOR USE IN PRIMARY CARE??
Can one person, here, explain why it is a violation to detail doctors in primary care on Brilinta?
Brilinta is indicated ACS. Why can this indication not be detailed to anyone besides a cardiology doctor?
Is it because the cardiologist take over all medical care of the patient for the rest of the patients life? Therefore the cardiologist is responsible for medications that might interact with a oral platelet inhibitor? Or stopping the oral platelet inhibitor may cause death through thrombosis?
Just one person tell me why it is a compliance violation when every piece of detailing material has to be PRA approved. The wording of every detail piece must follow the PI as approved by the FDA.
Just on person please show your intelligent deductions in this matter as opposed to screaming like chicken little?
... so I'm guessing a lot of reps hear the PC provider say, "nice to know, but I let the specialists make that call."
Although I cannot imagine that AZ would make calls on any medical population unless the company expected to get some scrips or spill over from it.
Be open to coaching it's impossible to see
your own blind spot!!
Who is directing the Brilinta brand strategy these days?
Coach me oh wise one, coach me on why it is a compliance violation? No one has given a single fact on why it is a violation. I am looking for my blind spot.
What does this say for the OP?
Only cannot do what you do not believe.
You need to be positive!!
The Witt twins, Dim and Nit.Who is directing the Brilinta brand strategy these days?
