Q4 Comp plan

[anonymous]

WTF is with the rumor about a comp plan based on 75% New prescriptions and 25% Total Prescriptions? Do they think refills just automatically happen? More bullshit from upper management. WHY do they continue to short change us? We have to fight for every prescription every single day.

 

[anonymous]

Copper wire factory working overtime in Miami.

 

[anonymous]

WTF is with the rumor about a comp plan based on 75% New prescriptions and 25% Total Prescriptions? Do they think refills just automatically happen? More bullshit from upper management. WHY do they continue to short change us? We have to fight for every prescription every single day.

Please list below the exact actions you perform to get a refill. I'm looking forward to your response. Please be specific.

 

[anonymous]

Please list below the exact actions you perform to get a refill. I'm looking forward to your response. Please be specific.

Cheap fuck!

 

[anonymous]

Please list below the exact actions you perform to get a refill. I'm looking forward to your response. Please be specific.

Ok Harvey and Tom here you go, please consider using what is composed here to sell Dr Phil that your going to get what you pay for therefore paying the RSS for refills is important and not to be fucked with:

Constant education to providers related to SHPT disease state as an important chronic condition that should be aggressively managed. Many drs don't understand the disease state as being serious therefore may only manage 25D and not PTH or vice versa, many not look at the CA or Po4 till late stage 4 or early stage 5. They agree to try Rayaldee but are floored by the high cost ($928 per month) but we have to sell them to keep the pt. on Rayaldee and your not going to pay us for that? You are a moron that you think after they put a pt. on something that the refill comes automatically without any hang ups, this is where we really earn our paycheck, dumbass.

Review KDIGO guidelines that recommend analogs and calcitriol not be routinely used to treat SHPT, key word is not but the alternative is very expensive therefore opening the door to alternate RX from calcitriol to Rayaldee and vice versa just to help keep the out of pocket costs down.

Sell Dr that by keeping pts. on Rayaldee with that $155 per month co pay by UHC/AARP will be worth it.

Sell Drs that keeping pts. who have Silver Script insurance who pay 25-33% co insurance is really worth it.

Encourage 501c3 grant monies to help defer the high co-pay cost when those monies are very hard to come by and caregivers hammer us that those funds should be spent on blood pressure, insulin or food and clothing not on a $928 per month V-D analog. 501c3 funds are available if you qualify financially remember?

Sell Dr that treating SHPT is important and should include evaluating 25D, PTH, CA and P04 and that even though you may not get reimbursed for that earlier follow up office visit you should evaluate pts. recently placed on Rayaldee as early as 3 months.

If you not happy with the 30mcg QDHS after 3 months then you have the option to titrate to 60mcgQDHS therefore doubling the co-pay to $310 per month for UHC/AARP or 25-33% for your Silver Script Medicare pts.

Usually chronic conditions prescriptions are written for 12 months, how are you certain the Dr. will keep the pt. on Rayaldee for another 12 months? If we are not going to be paid for those RX then we won't ask for the refill.

Here's the best part, Rayaldee's refill rate is less than 50% after 3 months. In some territories it's less than 30% after 3 months, no pay for refill then no chance the 50% becomes 60% or 30% becomes 50% if we are not following up on existing cases.

God help us all when the newbies who can't even pronounce calcitriol are going to be calling on offices in a few weeks, their job will be to keep your existing pts. on Rayaldee and ask for new business, your bonus depends on it.

This is the most fucked up company I have ever worked for that management would even ponder not paying reps. on TRX, are you stupid or something?

 

[anonymous]

Would you like today's order insulated or bare?

 

[anonymous]

I'm a new hire. Previous to the expansion, there were only @30 field sales reps, and every single one is a suspect author of the threads and posts here on CP. It worries me that in only @1 year, the reps are angry. It concerns me that I might have made a terrible mistake of joining this company.

 

[anonymous]

Where did you come from? Enterprise rent a Car? Yes, we are pissed as hell that Harv and company fucked us royally with not getting tier 2 or managed medicaid coverage because "it will put the company at risk". Hey Harv, you fucking genius, we are already at risk and are the laughing stock of the renal community now. You dumb shit should have done your homework and not listen to the snake oil salesman of a manager you interviewed with. My advice to anyone with a fucking brain who is going through training now is to beg for mercy and go back to the company you came from. Understand the first sales reps were 35 not 30 and we are down to 26 now, most of us that remain are trying to get the fuck out of here ASAP.

We took a survey sent to us from management recently but only contained questions about our knowledge of SHPT, if we know what our job is and rating our manager no questions were posed to ask us to rate coverage or how happy our customers feel about Opko Connect or the "HUB", materials provided to help us sell but in the comment section we had the chance to vent. Bet at the NSM in a few weeks most of our truthful comments will never be discussed and the poor rating we gave management will not be mentioned either.

 

[anonymous]

Just read your specific reply. Thank you for the good laugh!

 

[anonymous]

Ok Harvey and Tom here you go, please consider using what is composed here to sell Dr Phil that your going to get what you pay for therefore paying the RSS for refills is important and not to be fucked with:

Constant education to providers related to SHPT disease state as an important chronic condition that should be aggressively managed. Many drs don't understand the disease state as being serious therefore may only manage 25D and not PTH or vice versa, many not look at the CA or Po4 till late stage 4 or early stage 5. They agree to try Rayaldee but are floored by the high cost ($928 per month) but we have to sell them to keep the pt. on Rayaldee and your not going to pay us for that? You are a moron that you think after they put a pt. on something that the refill comes automatically without any hang ups, this is where we really earn our paycheck, dumbass.

Review KDIGO guidelines that recommend analogs and calcitriol not be routinely used to treat SHPT, key word is not but the alternative is very expensive therefore opening the door to alternate RX from calcitriol to Rayaldee and vice versa just to help keep the out of pocket costs down.

Sell Dr that by keeping pts. on Rayaldee with that $155 per month co pay by UHC/AARP will be worth it.

Sell Drs that keeping pts. who have Silver Script insurance who pay 25-33% co insurance is really worth it.

Encourage 501c3 grant monies to help defer the high co-pay cost when those monies are very hard to come by and caregivers hammer us that those funds should be spent on blood pressure, insulin or food and clothing not on a $928 per month V-D analog. 501c3 funds are available if you qualify financially remember?

Sell Dr that treating SHPT is important and should include evaluating 25D, PTH, CA and P04 and that even though you may not get reimbursed for that earlier follow up office visit you should evaluate pts. recently placed on Rayaldee as early as 3 months.

If you not happy with the 30mcg QDHS after 3 months then you have the option to titrate to 60mcgQDHS therefore doubling the co-pay to $310 per month for UHC/AARP or 25-33% for your Silver Script Medicare pts.

Usually chronic conditions prescriptions are written for 12 months, how are you certain the Dr. will keep the pt. on Rayaldee for another 12 months? If we are not going to be paid for those RX then we won't ask for the refill.

Here's the best part, Rayaldee's refill rate is less than 50% after 3 months. In some territories it's less than 30% after 3 months, no pay for refill then no chance the 50% becomes 60% or 30% becomes 50% if we are not following up on existing cases.

God help us all when the newbies who can't even pronounce calcitriol are going to be calling on offices in a few weeks, their job will be to keep your existing pts. on Rayaldee and ask for new business, your bonus depends on it.

This is the most fucked up company I have ever worked for that management would even ponder not paying reps. on TRX, are you stupid or something?

Great response! I heard that the Foundations are out of money so we should expect the New and Refill rates to dip downwards. Also, to your point about the percentage of Refills nationwide, they are inflated because CA has Medicare (MedCal) coverage. A territory refill rate would show some transparency.

 

[anonymous]

Where did you come from? Enterprise rent a Car? Yes, we are pissed as hell that Harv and company fucked us royally with not getting tier 2 or managed medicaid coverage because "it will put the company at risk". Hey Harv, you fucking genius, we are already at risk and are the laughing stock of the renal community now. You dumb shit should have done your homework and not listen to the snake oil salesman of a manager you interviewed with. My advice to anyone with a fucking brain who is going through training now is to beg for mercy and go back to the company you came from. Understand the first sales reps were 35 not 30 and we are down to 26 now, most of us that remain are trying to get the fuck out of here ASAP.

We took a survey sent to us from management recently but only contained questions about our knowledge of SHPT, if we know what our job is and rating our manager no questions were posed to ask us to rate coverage or how happy our customers feel about Opko Connect or the "HUB", materials provided to help us sell but in the comment section we had the chance to vent. Bet at the NSM in a few weeks most of our truthful comments will never be discussed and the poor rating we gave management will not be mentioned either.

Not only are you angry, you're quite condescending as well. I'm not a former Enterprise rep and I can actually pronounce calcitriol. Please don't take your anger out on the new hires. It doesn't promote good team spirit nor collaboration. If you're really so angry, please do everyone a favor by joining the 9 or so reps who have left. Go away already.

 

[anonymous]

I'm a new hire. Previous to the expansion, there were only @30 field sales reps, and every single one is a suspect author of the threads and posts here on CP. It worries me that in only @1 year, the reps are angry. It concerns me that I might have made a terrible mistake of joining this company.

It is called due dilligence. Hopefully you'll not repeat the same mistake.

 

[anonymous]

Not only are you angry, you're quite condescending as well. I'm not a former Enterprise rep and I can actually pronounce calcitriol. Please don't take your anger out on the new hires. It doesn't promote good team spirit nor collaboration. If you're really so angry, please do everyone a favor by joining the 9 or so reps who have left. Go away already.

You sound like a washed up manager to me, BTW we are trying to leave ASAP.

 

[anonymous]

Just read your specific reply. Thank you for the good laugh!

Are you taking your medication properly? Outbursts of laughter are a sign of lead in the head disease. Would recommend you stop staring at your worthless portfolio and wishing you had made better career decisions.

 

[anonymous]

Ok Harvey and Tom here you go, please consider using what is composed here to sell Dr Phil that your going to get what you pay for therefore paying the RSS for refills is important and not to be fucked with:

Constant education to providers related to SHPT disease state as an important chronic condition that should be aggressively managed. Many drs don't understand the disease state as being serious therefore may only manage 25D and not PTH or vice versa, many not look at the CA or Po4 till late stage 4 or early stage 5. They agree to try Rayaldee but are floored by the high cost ($928 per month) but we have to sell them to keep the pt. on Rayaldee and your not going to pay us for that? You are a moron that you think after they put a pt. on something that the refill comes automatically without any hang ups, this is where we really earn our paycheck, dumbass.

Review KDIGO guidelines that recommend analogs and calcitriol not be routinely used to treat SHPT, key word is not but the alternative is very expensive therefore opening the door to alternate RX from calcitriol to Rayaldee and vice versa just to help keep the out of pocket costs down.

Sell Dr that by keeping pts. on Rayaldee with that $155 per month co pay by UHC/AARP will be worth it.

Sell Drs that keeping pts. who have Silver Script insurance who pay 25-33% co insurance is really worth it.

Encourage 501c3 grant monies to help defer the high co-pay cost when those monies are very hard to come by and caregivers hammer us that those funds should be spent on blood pressure, insulin or food and clothing not on a $928 per month V-D analog. 501c3 funds are available if you qualify financially remember?

Sell Dr that treating SHPT is important and should include evaluating 25D, PTH, CA and P04 and that even though you may not get reimbursed for that earlier follow up office visit you should evaluate pts. recently placed on Rayaldee as early as 3 months.

If you not happy with the 30mcg QDHS after 3 months then you have the option to titrate to 60mcgQDHS therefore doubling the co-pay to $310 per month for UHC/AARP or 25-33% for your Silver Script Medicare pts.

Usually chronic conditions prescriptions are written for 12 months, how are you certain the Dr. will keep the pt. on Rayaldee for another 12 months? If we are not going to be paid for those RX then we won't ask for the refill.

Here's the best part, Rayaldee's refill rate is less than 50% after 3 months. In some territories it's less than 30% after 3 months, no pay for refill then no chance the 50% becomes 60% or 30% becomes 50% if we are not following up on existing cases.

God help us all when the newbies who can't even pronounce calcitriol are going to be calling on offices in a few weeks, their job will be to keep your existing pts. on Rayaldee and ask for new business, your bonus depends on it.

This is the most fucked up company I have ever worked for that management would even ponder not paying reps. on TRX, are you stupid or something?

They don't care. They want RSS to quit. They don't understand what motivates reps. We need a NSD who understands a sales force.

 

[anonymous]

The NSM should come from outside the company as the managers we have here now have no clue what they are doing and the performance of Rayaldee is proof. Managers who blame the sales force for poor results are not fit to lead them.

 

[anonymous]

The NSM should come from outside the company as the managers we have here now have no clue what they are doing and the performance of Rayaldee is proof. Managers who blame the sales force for poor results are not fit to lead them.

So using your logic, should the sales force get credit for good results? Or do you just want credit for the good, but not accept any responsibility for the bad?

 

[anonymous]

So using your logic, should the sales force get credit for good results? Or do you just want credit for the good, but not accept any responsibility for the bad?

Explain in detail what good has happened at Opko since the launch of Rayaldee that the sales force can take credit for, I look forward to your response.

 

[anonymous]

not sure what is happening, but they are paying new hires huge bases and these reps were probably running for their lives and landed here
Most aren't skilled to do what is necessary

 

[anonymous]

Explain in detail what good has happened at Opko since the launch of Rayaldee that the sales force can take credit for, I look forward to your response.

What a joke of a comment! If you cannot look at your effort and know what impact you're having, you should quit today. Rayaldee is a very "high touch" therapy to sell. It's a true salespersons product. The problem is, many of you came from big pharma and want marketing to sell the drug for you so you can work 20 hours a week and cash in your big bonus checks! Incredible! If you want a JOB, go to walmart, this is a career that takes max effort. Please quit today so we can all move on.