I learned from a very wise man a long time ago to aim for high mediocrity. Every once in a while win that president's club, then pull back. Early on I was president's club for 6 years in a row, almost had a breakdown, then followed his advice. Since then I get that crappy trip every 3-4 years and chill the rest of the time. I am not in jeopardy but make good money.
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What has been the experience with programs in your territory?
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Yes Asshole they are either Shams or FAKE sorry the lack of a comma hindered your
understanding halfwit.
None of these programs can possible convey any uselful information & certainly not
over & over for 2 years running now since there is ZERO date on WTF the NI portion of cherry flavor diovan contributes if anything at all besides the detail aid derived sleep inducing slide show no one pays attention to & or the repeat after repeat of the same attendees.
If you're so confident start video taping so the public & FDA can see if the actual programs are legit
if not fuck off you fraudulant sack of shit
Yes Asshole they are either Shams or FAKE sorry the lack of a comma hindered your
understanding halfwit.
None of these programs can possible convey any uselful information & certainly not
over & over for 2 years running now since there is ZERO date on WTF the NI portion of cherry flavor diovan contributes if anything at all besides the detail aid derived sleep inducing slide show no one pays attention to & or the repeat after repeat of the same attendees.
If you're so confident start video taping so the public & FDA can see if the actual programs are legit
if not fuck off you fraudulant sack of shit
A comma couldn't save your incoherent rants. But they are fun to wake up to.
Wow old timer. Like I don't know the game? I have just perfected it and know which months are the right months to take off and which ones to push. That's how you can win ever year. I don't need to take off for years, like yourself. I have been in the game for a more than a decade so I am not some little kid.
Looks like you had one great year and riding that into the sunset. BTW I have one the trifecta!!!!
Let's be clear here, I never spoke about "my success" just that it's not that difficult to get people out for 3 programs in a 4 months period. In the past 5 months I have completed 8 with very few repeat customers. Do all have amazing impact? NO but some do. We just have a bunch of lazy DS reps and a bunch of unmotivated CV2 reps with zero clue how to sell this drug.
Like like you're changing your story from your previous post.
One of my favorite childhood movies growing up is The Wizard of Oz, it truly is cinematic art in the highest form, especially considering it was made in 1939. It has several life lessons throughout its nearly two hour production but the biggest teachable moment that was most influential to me at that time was the discovery, or the "pulling back of the curtain", if you will, of the Great and Powerful Oz as being nothing but a big sham. It is at the heart of the movie and everything that is done is at his command less you suffer his supposed wrath. As we all know he ends up being exposed as a fraud, a charlatan, nothing more than a washed up con man, discovered by Dorothy’s little dog, Toto. It is ironic that it took a little dog to actually have the courage, intentional or not, to finally expose the fraud for what it really was, a complete and utter ruse.
Novartis spent 540 Million dollars BRIBING United States' Physicians in 2015, far and away number one in the industry by a long shot. I'm going to "pull back the curtain" myself and expose the truth how, exactly, Novartis accomplished this feat. I'm going to tell you The Who, The Why, The What, The Where, and most importantly, The How, Novartis Pharmaceuticals became the leader of quid pro quo in the industry. Specifically, I will expose their greatest secret, that the Novartis Speaker's Bureau Program is nothing more than a Illegal Kickback System, a complete graft, the reps know it, the doctors know it, and certainly Novartis, not only knows it, but promoted it and tracked its ROI at the highest levels leading all the way back to the Ivory Towers in Basel, Switzerland. In fact the only people not in on the con are the patients, and that stops right now. Ladies and Gentlemen I introduce you to the Land of Oz, for no other place better describes the life of a Novartian, a Novartis Sales Representative. The only thing missing in our mystical land are the flying monkeys, and I'm pretty sure I saw a couple of those at our last National Sales Meeting.
More to come.......
Novartis spent 540 Million dollars BRIBING United States' Physicians in 2015, far and away number one in the industry by a long shot. I'm going to "pull back the curtain" myself and expose the truth how, exactly, Novartis accomplished this feat. I'm going to tell you The Who, The Why, The What, The Where, and most importantly, The How, Novartis Pharmaceuticals became the leader of quid pro quo in the industry. Specifically, I will expose their greatest secret, that the Novartis Speaker's Bureau Program is nothing more than a Illegal Kickback System, a complete graft, the reps know it, the doctors know it, and certainly Novartis, not only knows it, but promoted it and tracked its ROI at the highest levels leading all the way back to the Ivory Towers in Basel, Switzerland. In fact the only people not in on the con are the patients, and that stops right now. Ladies and Gentlemen I introduce you to the Land of Oz, for no other place better describes the life of a Novartian, a Novartis Sales Representative. The only thing missing in our mystical land are the flying monkeys, and I'm pretty sure I saw a couple of those at our last National Sales Meeting.
More to come.......
First, before I begin, I want to squelch the notion of an excuse that Novartis will use straight away after the release of this book, or for Big Pharma as a whole will try and justify as Novartis is not alone in the following Shenanigans. That the type of behavior I'm about to tell you about is in the past, it's yesterday's news, it's not how we behave NOW! That's simply BULL SHIT. They spend more on Physicians than they ever have, and as one Big Pharma after another gets caught with their hand in the illegal kickback cookie jar, cheating the system, as Novartis has, most recently by governments from around the globe, Greece, Korea, Japan, etc.. they just change their systems and protocols to better protect their collective asses when it comes to deposition time in an investigation or lawsuit. They create entire new Ethics committees and Compliance Programs under the guise of "Reforming Our Moral Compass." They sign countless Corporate Integrity Agreements with no intention on actually enacting real change, and why would they, that effects the bottom line and we can't have that now can we? So they aren't correcting their behavior, although on paper to the FDA & OIG they're clean as a whistle, but in reality they're just developing new and different ways to cheat the system. I'll explain how in greater detail later in this chapter.
Second, in regards to the "Scorched Earth" Theory that I am somehow doing this to burn my bridges, if you will, as if I want to leave nothing left to the enemy, much akin to what military strategist would explain as destroying all assets your enemy can use before you leave your spot on this earth. To this I would say, it's not earth I mind scorching!
Finally, you will need a list of definitions of Pharma terms used by pharma reps. Don't worry, there won't be a quiz, just some quick crib notes to better help you navigate the Pharma vernacular and culture, after all people speak weird in the Land of Oz:
More to come.........
Second, in regards to the "Scorched Earth" Theory that I am somehow doing this to burn my bridges, if you will, as if I want to leave nothing left to the enemy, much akin to what military strategist would explain as destroying all assets your enemy can use before you leave your spot on this earth. To this I would say, it's not earth I mind scorching!
Finally, you will need a list of definitions of Pharma terms used by pharma reps. Don't worry, there won't be a quiz, just some quick crib notes to better help you navigate the Pharma vernacular and culture, after all people speak weird in the Land of Oz:
More to come.........
Finally, you will need a list of definitions of Pharma terms used by pharma reps. Don't worry, there won't be a quiz, just some quick crib notes to better help you navigate the Pharma vernacular and culture, after all people speak weird in the Land of Oz:
SCRIPT(S): No, I'm not talking about movie scripts actors and actresses get prior to filming a movie so they can memorize their lines, I'm talking about the almighty "Prescription!" In Pharma speak we refer to them as scripts and as you are about to see, EVERYTHING REVOLVES AROUND THE ALMIGHTY SCRIPT! EVERYTHING! 75% of your annual review is based on "Scripts!" You are judged weekly on your "Scripts!" You are put on District, Regional, and National Lists showing your amazing prowess at accumulating more "Scripts!" Your ability to make President's Club and the prestigious Cornerstone Club are based on how many "scripts" you can amass over your tenure, thus advancement is based on "scripts" as well. Hell, One might say justifiably so, that your entire career is based on "Scripts." The more scripts you get your doctors in your specific territory to write, the better. More "scripts" means more money, Period! As you are about to see, EVERYTHING that follows here is for one reason and one reason only, "Scripts!"
DATA: Data is the prescribing information on every single doctor in the Untied States. This data is paid for each week and downloaded to the company who stratifies it out on a per territory basis. For Example, I know that Dr Adams, last Tuesday, wrote a prescription for Drug A and it was paid for by Medicare, United Health Care, etc... It costs a lot of money but that DATA is what drives everything, every chart, every ranking tool, everything is based of that data. It doesn’t give you a patient’s name but everything else you needed to know, like what it was written for, on label or off label, which is important and will address in more detail later. For now, just think of DATA as “Numbers of Scripts” every doctor in the Untied States writes in any given week.
BUDGETS: When most people think of the word budget usually they think of it as a set limit, a cap if you will, to spend on something or somebody.
We think of budgets mainly as keeping us financially in check.
However, in The Land of Oz things are much different, here the term budget takes on a whole new meaning. Here there are no limits, no caps, and along with that little caveat comes an unbelievable amount of pressure. Pressure to spend as much as possible as quickly as possible. How much pressure? Remember earlier when I said up to 75% of your annual evaluation is based on "scripts", well you're looking at the other 25%. They call it a pretty name like, Utilization of Marketing Efforts. Lol, What it really means is you better spend the money we give you to spend on doctors, in fact if you spend all your money faster than the others in your district or even region, we will give you more! There is no cap, there aren’t any restrictions on ANY sales rep's spending in any given year. In fact, come evaluation time, you'll get bonus points, as was the case for me, if you spend all your budget and more. My average budget to "market" my drug in a given year was 30,000-50,000 Dollars. I realize that is a large spread, but the reason is, as I alluded to earlier, that if you spent your money bribing physicians quicker than your peers, all you had to do was ask for more money, it really depended on the year.
SPEAKER BUREAU PROGRAMS: I don't want to steal the thunder on this one just yet, I promise I will get into great finite detail about Speaker Bureau Programs, but for now here is the skinny: These are Programs where a doctor speaks and shows slides about a drug and or disease state that drug is supposed to help. These are perfectly legal as long as the program has the following criteria, First, the speaker must be registered as a speaker for Novartis for the drug the are going to speak about. Second, it must be at a venue that is conducive to having a slide presentation such as a private room at a restaurant or country club. Third, you must have a minimum 3 health care professionals attend the event. Finally, it is required the speaker show slides and has requirements on how much he can talk about the drug, the disease state, and most importantly what slides have been approved by the FDA as okay to present, and answer any questions after their presentation. The rule of thumb was the restaurant bill was never to exceed a hundred bucks a head, do that and you'll avoid a red flag going up come expense reimbursement time.
So as you can see the rules are pretty clear and they come straight from the FDA & OIG.
I'm sure you all know the FDA, but the OIG my stump you. It stands for The Office of Inspector General, and they are equivalent to the police, but for Pharmaceuticals. In fact, it's these rules that drove me to write this chapter. It's these rules Novartis exploits every single day, spending millions influencing, and in most cases, outright bribing doctors all across the Untied States, as well as the world. In a bit, I’m going to give you the thunder, and maybe some lightening, as I describe in full detail how Novartis exploits this system and breaks its rules on a daily basis. Stay Tuned!
HONORIUMS: This is a check made out to the doctor in any amount I request. If it's a high writing physician than the sky's the limit. A little less for the medium writers, and little to none for the low to non writers of the drug. From hundreds to Thousands, it was all up to me. All that was needed for the higher amounts was an explanation of how it would effect ROI, or in Oz terms, How spending that money on a doctor would bring in “More Scripts!”
SCRIPT(S): No, I'm not talking about movie scripts actors and actresses get prior to filming a movie so they can memorize their lines, I'm talking about the almighty "Prescription!" In Pharma speak we refer to them as scripts and as you are about to see, EVERYTHING REVOLVES AROUND THE ALMIGHTY SCRIPT! EVERYTHING! 75% of your annual review is based on "Scripts!" You are judged weekly on your "Scripts!" You are put on District, Regional, and National Lists showing your amazing prowess at accumulating more "Scripts!" Your ability to make President's Club and the prestigious Cornerstone Club are based on how many "scripts" you can amass over your tenure, thus advancement is based on "scripts" as well. Hell, One might say justifiably so, that your entire career is based on "Scripts." The more scripts you get your doctors in your specific territory to write, the better. More "scripts" means more money, Period! As you are about to see, EVERYTHING that follows here is for one reason and one reason only, "Scripts!"
DATA: Data is the prescribing information on every single doctor in the Untied States. This data is paid for each week and downloaded to the company who stratifies it out on a per territory basis. For Example, I know that Dr Adams, last Tuesday, wrote a prescription for Drug A and it was paid for by Medicare, United Health Care, etc... It costs a lot of money but that DATA is what drives everything, every chart, every ranking tool, everything is based of that data. It doesn’t give you a patient’s name but everything else you needed to know, like what it was written for, on label or off label, which is important and will address in more detail later. For now, just think of DATA as “Numbers of Scripts” every doctor in the Untied States writes in any given week.
BUDGETS: When most people think of the word budget usually they think of it as a set limit, a cap if you will, to spend on something or somebody.
We think of budgets mainly as keeping us financially in check.
However, in The Land of Oz things are much different, here the term budget takes on a whole new meaning. Here there are no limits, no caps, and along with that little caveat comes an unbelievable amount of pressure. Pressure to spend as much as possible as quickly as possible. How much pressure? Remember earlier when I said up to 75% of your annual evaluation is based on "scripts", well you're looking at the other 25%. They call it a pretty name like, Utilization of Marketing Efforts. Lol, What it really means is you better spend the money we give you to spend on doctors, in fact if you spend all your money faster than the others in your district or even region, we will give you more! There is no cap, there aren’t any restrictions on ANY sales rep's spending in any given year. In fact, come evaluation time, you'll get bonus points, as was the case for me, if you spend all your budget and more. My average budget to "market" my drug in a given year was 30,000-50,000 Dollars. I realize that is a large spread, but the reason is, as I alluded to earlier, that if you spent your money bribing physicians quicker than your peers, all you had to do was ask for more money, it really depended on the year.
SPEAKER BUREAU PROGRAMS: I don't want to steal the thunder on this one just yet, I promise I will get into great finite detail about Speaker Bureau Programs, but for now here is the skinny: These are Programs where a doctor speaks and shows slides about a drug and or disease state that drug is supposed to help. These are perfectly legal as long as the program has the following criteria, First, the speaker must be registered as a speaker for Novartis for the drug the are going to speak about. Second, it must be at a venue that is conducive to having a slide presentation such as a private room at a restaurant or country club. Third, you must have a minimum 3 health care professionals attend the event. Finally, it is required the speaker show slides and has requirements on how much he can talk about the drug, the disease state, and most importantly what slides have been approved by the FDA as okay to present, and answer any questions after their presentation. The rule of thumb was the restaurant bill was never to exceed a hundred bucks a head, do that and you'll avoid a red flag going up come expense reimbursement time.
So as you can see the rules are pretty clear and they come straight from the FDA & OIG.
I'm sure you all know the FDA, but the OIG my stump you. It stands for The Office of Inspector General, and they are equivalent to the police, but for Pharmaceuticals. In fact, it's these rules that drove me to write this chapter. It's these rules Novartis exploits every single day, spending millions influencing, and in most cases, outright bribing doctors all across the Untied States, as well as the world. In a bit, I’m going to give you the thunder, and maybe some lightening, as I describe in full detail how Novartis exploits this system and breaks its rules on a daily basis. Stay Tuned!
HONORIUMS: This is a check made out to the doctor in any amount I request. If it's a high writing physician than the sky's the limit. A little less for the medium writers, and little to none for the low to non writers of the drug. From hundreds to Thousands, it was all up to me. All that was needed for the higher amounts was an explanation of how it would effect ROI, or in Oz terms, How spending that money on a doctor would bring in “More Scripts!”
KOL'S: Key Opinion Leaders are usually doctors that are considered experts in their particular field of medicine. Often times they are at Large Teaching Hospitals and their opinion holds sway over many of their colleagues. It is why EVERY Pharma company wants KOL's on the payroll. If you can have the leader in their field endorse your drug, it's like kissing the ring of Don Corleone, you're Golden! So it should come to no surprise that some of the highest amounts of money in the industry is thrown at these select few, and they take well advantage of that fact. I've seen a doctor get a million dollars in the form of an unrestricted grant to conduct a clinical study. Unrestricted simply means spend it how ever you see fit.
SPEAKER WHORES: One of my favorite terms, no doubt.
These are doctors that hold no allegiance to any specific company. They will speak for whoever, about whatever drug you pay them to push.
Speaker Whores tend to make more in speaking honorium money than they do in their practice. I had one brag how Novartis just paid for a new addition to his house. These doctors will do anything you want, including writing tons of your drug, as long as you pay them. These doctors know the system and exploit it to the fullest extent.
BOTTOM FEEDERS: These are doctors that show up to speaking events over and over and over again. They don't care if it's the same presentation or even the same speaker every time, they just want the free five star meal, or perhaps a little company, I don't know. I certainly didn't care, because remember I needed three health care professionals to show for the program to be considered legal in the eyes of the FDA, so the more bottom feeders the better!
FAMILY AFFAIR: This is one of the biggest loopholes in the entire system of Speaker Bureau Programs, and one exploited by Novartis to no end. In fact, I would estimate that over 50% of ALL NOVARTIS SPEAKER PROGRAMS ARE A FAMILY AFFAIR!
A Family affair was Pharma code for a program that was just going to have the doctors in his or her OWN practice attends the event at which they are the paid speaker. In other words, here is a free five star dinner for your entire practice, AND here is a check for a grand or two, you know, a little something for the effort. Again win-win-win, I spend my budget, I don't have to worry about inviting other doctors, the doctor gets their bribe, and the staff gets a wonderful night out on Uncle Novartis. There is no limit and practically non existent oversight. Just tell your District Manager it's "Family Affair", and they know not to attend. I spent close to 75% of my budget on family affairs. Most other reps did as well, and the reason being is that it's very difficult to get drs to come to these events anymore, they simply don't have the time! Many won't attend any events as they see it as a bribe anyway. However, budgets for such programs were ever increasing and still are to this very day, keeping in mind pressure to spend your money, as you already know, is paramount. So you get what you get when forced into a corner, and that's the path of least resistance, fuck if it's legal, I don't want to be the one at the end of the quarter with budget left unspent. Fuck it if it’s illegal, I have a family to feed!
FAKE PROGRAMS: This is not necessarily an industry term, just one I used when I paid doctors a check for speaking when no actual event ever takes place. That would make up the rest of my budget, flat out checks with their name on it in amounts already discussed. The highest I paid a Dr for a fictitious program is four grand.
Do you think he wrote Drug X for me by the boat loads, you bet he did, as well as many others. Novartis knew and just looked the other way. As long as your District Manager approves your expense report each month, you're Golden! Again, we were given this knowledge so we can skirt the system, to get around alerting any red flags.
You simply go out to dinner the night that the event is to take place, run up a huge bill, and expense it as if your program was held.
Fill out the paperwork and the physician check comes directly to me so I can hand deliver, and say, "You owe me one!”, or “Just write more Drug X!”
KEN & BARBIE DOLLS: These are reps that are hired for their looks not their brains! The Pharma industry is made up of thousands of these folks, X College Cheerleaders or Football Jocks that could never make pro go into physician offices around our great nation handing out donuts, and are about as sharp as a marble, but don’t they look great folks, after all, that’s what really counts when selling medicine. Lol
They can tell you where to buy the best pastries or chopped Ceaser salad, but forget about any meaningful clinical discussions. The doctors know that these folks are not the sharpest tools in the shed and usually just pretend to listen to their canned company spiels. It wasn't always like this, reps used to have a requirement that they had a background in Science at college, or career experience in the health care field. Pharma figured out quickly that good looking people get past gate keepers more easily, thus gaining more access to the Dr.s, but what they failed to realize is that once Ken or Barbie get in front of the doctor and get just one hard question they should know the answer to, they fold like a polyester suit from K Mart.
PIP: Performance Improvement Plan, code for "your ass is about to be fired!"
As you may recall from Chapter two, Novartis has a rank and yank system, similar to other great prodigious companies like Enron. The PIP is the paperwork they start on you so in 90 days if they want they can fire your ass. Usually you get put on a PIP for low numbers, but the reality is your District Manager can put you on one for any reason he or she wants, no real justification needed. I was put on one for attitude because they certainly couldn't can me on numbers. I was in the top 25% most of my time at Novartis, and on the day I resigned, I was number one in my region, and 7th in the nation for Drug X. I was a Script producing machine. They certainly knew this, so they put up with my attitude, which from time to time wasn't the best. Maybe I started to get a conscious, I don't know, but as you'll see, the longer I stayed there, the more cantankerous I got, until it ended with……….
More to come…….
SPEAKER WHORES: One of my favorite terms, no doubt.
These are doctors that hold no allegiance to any specific company. They will speak for whoever, about whatever drug you pay them to push.
Speaker Whores tend to make more in speaking honorium money than they do in their practice. I had one brag how Novartis just paid for a new addition to his house. These doctors will do anything you want, including writing tons of your drug, as long as you pay them. These doctors know the system and exploit it to the fullest extent.
BOTTOM FEEDERS: These are doctors that show up to speaking events over and over and over again. They don't care if it's the same presentation or even the same speaker every time, they just want the free five star meal, or perhaps a little company, I don't know. I certainly didn't care, because remember I needed three health care professionals to show for the program to be considered legal in the eyes of the FDA, so the more bottom feeders the better!
FAMILY AFFAIR: This is one of the biggest loopholes in the entire system of Speaker Bureau Programs, and one exploited by Novartis to no end. In fact, I would estimate that over 50% of ALL NOVARTIS SPEAKER PROGRAMS ARE A FAMILY AFFAIR!
A Family affair was Pharma code for a program that was just going to have the doctors in his or her OWN practice attends the event at which they are the paid speaker. In other words, here is a free five star dinner for your entire practice, AND here is a check for a grand or two, you know, a little something for the effort. Again win-win-win, I spend my budget, I don't have to worry about inviting other doctors, the doctor gets their bribe, and the staff gets a wonderful night out on Uncle Novartis. There is no limit and practically non existent oversight. Just tell your District Manager it's "Family Affair", and they know not to attend. I spent close to 75% of my budget on family affairs. Most other reps did as well, and the reason being is that it's very difficult to get drs to come to these events anymore, they simply don't have the time! Many won't attend any events as they see it as a bribe anyway. However, budgets for such programs were ever increasing and still are to this very day, keeping in mind pressure to spend your money, as you already know, is paramount. So you get what you get when forced into a corner, and that's the path of least resistance, fuck if it's legal, I don't want to be the one at the end of the quarter with budget left unspent. Fuck it if it’s illegal, I have a family to feed!
FAKE PROGRAMS: This is not necessarily an industry term, just one I used when I paid doctors a check for speaking when no actual event ever takes place. That would make up the rest of my budget, flat out checks with their name on it in amounts already discussed. The highest I paid a Dr for a fictitious program is four grand.
Do you think he wrote Drug X for me by the boat loads, you bet he did, as well as many others. Novartis knew and just looked the other way. As long as your District Manager approves your expense report each month, you're Golden! Again, we were given this knowledge so we can skirt the system, to get around alerting any red flags.
You simply go out to dinner the night that the event is to take place, run up a huge bill, and expense it as if your program was held.
Fill out the paperwork and the physician check comes directly to me so I can hand deliver, and say, "You owe me one!”, or “Just write more Drug X!”
KEN & BARBIE DOLLS: These are reps that are hired for their looks not their brains! The Pharma industry is made up of thousands of these folks, X College Cheerleaders or Football Jocks that could never make pro go into physician offices around our great nation handing out donuts, and are about as sharp as a marble, but don’t they look great folks, after all, that’s what really counts when selling medicine. Lol
They can tell you where to buy the best pastries or chopped Ceaser salad, but forget about any meaningful clinical discussions. The doctors know that these folks are not the sharpest tools in the shed and usually just pretend to listen to their canned company spiels. It wasn't always like this, reps used to have a requirement that they had a background in Science at college, or career experience in the health care field. Pharma figured out quickly that good looking people get past gate keepers more easily, thus gaining more access to the Dr.s, but what they failed to realize is that once Ken or Barbie get in front of the doctor and get just one hard question they should know the answer to, they fold like a polyester suit from K Mart.
PIP: Performance Improvement Plan, code for "your ass is about to be fired!"
As you may recall from Chapter two, Novartis has a rank and yank system, similar to other great prodigious companies like Enron. The PIP is the paperwork they start on you so in 90 days if they want they can fire your ass. Usually you get put on a PIP for low numbers, but the reality is your District Manager can put you on one for any reason he or she wants, no real justification needed. I was put on one for attitude because they certainly couldn't can me on numbers. I was in the top 25% most of my time at Novartis, and on the day I resigned, I was number one in my region, and 7th in the nation for Drug X. I was a Script producing machine. They certainly knew this, so they put up with my attitude, which from time to time wasn't the best. Maybe I started to get a conscious, I don't know, but as you'll see, the longer I stayed there, the more cantankerous I got, until it ended with……….
More to come…….
The wife typically does love her husband. More to come on that BS rant.
"Scripts": you are in Sales, we have goals based off of history. If you sold cars it would be how many you sold. Little confused on this one.
"Data": the results of your sales. Remember you are a sales rep.
"Budgets": spend how you and your manager see fit. You are the owner of your business. You represent Novartis.
"Speaker Bureau Programs": can't wait for the lightning and thunder but here is a spoiler alert, it wasn't that powerful
"Honoriums": this is pretty much standard for all speakers throughout the industry not just Novartis. It's between $2500-$3500.
"KOL": yes it would be smart to get these influential doctors on your side. That's a good business model. They are looked at as KOL for their work not because the company pays them.
"Speaker Whores": you as a rep have influence on who can be a speaker. Not sure who the whore is here. But if they speak for everyone then they don't really have as much credibility so not sure why you are using them. So the whores seems to be you.
"Bottom Feeders": once again this is on you. You represent Novartis, you made this decision to invite them. You are a bottom feeder".
"Family Affairs": once again this is on you. You represent Novartis, you made this decision.
"Fake Programs": shall I continue to repeat myself? It's sad that you are blaming Novartis for your slimy ways.
"Ken and Barbie Doll Reps": you are classic? Yeah they found getting reps that can get in front of these physicians is more important because over time they will develop the selling skills. You can't train some to be likeable. But you can train them in these ridiculous easy messages. The doctors dictate what they are going to write, not the rep.
"PIP": pretty sure nobody was ever put on a PIP for Speaker Programs. They put you on one because you are one shady rep. Glad to see you gone
Hey Asshole Diovan's been around for over 20 years & Dumbtrusto is in its 3rd year now,
after all the Stupid programs these last few years What the Fuck does NI contribute if anything at all
to the miniscule reduction in hospitalizations etc for HF patients Vs what diovan alone/ HCT or any other ARB can provide or ACEI for that matter , ANSWER - No one fucking KNOWS !
So WTF exactly is the purpose of all these fucking SHAM "education" programs ?
Is it to continue teaching about a 20 year old generic ARB that already had tens of millions $$$ in SHAM programs spent over 2 decades because It sure as shit aint about NI which has no data or no compartive trials
In other words it's a FUCKING RUSE ! SNAKE OYL
The rest of your argument is irrelevent
Everyones on to the BIG PHARMA CON
Here is Novartis's future Wait & see ( & not the opioids ..duh) mounting suits
Taxpayers have had it with this racket & there isn't enough lobbying $$$ on earth to change the coming storm
OH Sues Drugmakers Over Opioid Crisis
A record 3,050 Ohioans died from drug overdoses in 2015, a figure expected to jump sharply once 2016 figures are tallied.
AUTHOR: Julie Carr Smyth
COLUMBUS, Ohio (AP) — The Ohio attorney general sued five drugmakers on Wednesday, accusing the companies of perpetrating the state's addictions epidemic by intentionally misleading patients about the dangers of painkillers and promoting benefits of the drugs not backed by science.
I'm very happy you didn't enjoy my work
FYI, it's not written for you, but I guarantee you my silly Novartian friend, it will effect you before I'm finished, and I'm just getting warmed up!
More to come......
What is my argument? You are arguing with yourself as to the value of Entresto. And I will not dare try to educate you on the NP system or NI. Your argument that "no one knows" what the benefit of Entresto is is kinda weird.
Please don't point to the opiod companies and why they are getting sued as to what the future holds for Novartis. How does "SHAM" programs correlate to multiple companies downplaying the abuse potential of their meds that in turn might have caused the opiod epidemic in this country?
I bet you are the type of person that speaks of how smart and successful you are, how you use all the best words and then type shit like "SNAKE OYL"
NVS knows exactly what they are doing. They know conducting these so-called educational dinner programs may lead to huge fines as well as a CIA. They have run the risk reward analysis. The analysis tell them the reward is worth the risk. To be sure , when the sh*t hits the fan, some will be terminated and retraining will be implemented. Just to show the FDA no harm was meant. Fines will be paid. NVS insurance will cover much of the fines combined with money already set aside for fines. Then NVS will do it all over again.
Hey Asswipe instead of deflecting since you can't handle the truth google novartis vaccines macedonia/croatia Croatia admitted it has tested Novartis vaccines on Croatian kids for years. As a result, many Croatiankids developed mental deficiencies and all sorts issues including death.
It doesn't have to be opiods to expose pure evil leadership.
The sham pograms are global & Novartis was busted in many countries in addition to rigging trials & falsifying data, like in japan. Collectively 2 billion or so in fines around the world but corp apologist paid shill assholes like you will come on social media to defend them as some benign entity despite the overwhelming facts that bitch slap you in your stupid face .
Similar to the castrated euro cucks defend the muslimHordes causing death & mayhem everywhere they touch.
PS- OYL (sp) was intentional , DUH
snake oil
ˈsnāk ˌoil/
noun
NORTH AMERICAN informal
- a substance with no real medicinal value sold as a remedy for all diseases.
- a product, policy, etc. of little real worth or value that is promoted as the solution to a problem.
"entresto was denounced as snake oil"
- a product, policy, etc. of little real worth or value that is promoted as the solution to a problem.