Your question was excellent and well written. The responses are juvenile and whats wrong with pharma reps in general. Sadly, there are some seriously insecure people who get into this business, add to that immature and dysfunctional and you get these types of replies. I have worked selling to priv. practice, group practice and hospitals. Hospitals are indeed a different target altogether. The similarities are that you have to find the designated go to person and follow protocol, but following protocol, once you get that and its often available in writing, is more important here than ever. Start with calling and talk to pharmacy. Don't be afraid to be creative. Also, if its Kaiser, they have different rules. Its going to take some leg work on your part, but you can do it. Best of luck and stay away from the types of reps you received answers from here. They hate intelligence, maturity and hard working people. It makes them look bad, scares the shit out of them and unfortunately, a good deal of your sales forces is made up of people just like what you read here. Petty, backstabbing and mental. They couldn't make it in any other field, so they showed up here. They often attack minutia such as spelling errors. Petty.