Ahhh and there lies the problem. I'm reading every post here and every defense seems to be how miraculous all the sales people are here. How we are all winners! How AB turned sh&t to gold! It isn't getting through your thick skulls that those points were never argued.
***Agreed - this is highly subjective and mostly irrelevant. However, I would say that you are unlikely to find phenomenal sales stemming from a poor sales force. There really is only one marker for how good someone is in sales - SALES. Anyone without actual paid sales that is trying to convince someone of their sales prowess is simply delusional.
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The point here is that all you are unethical, crooked, and would do anything for the almighty dollar. Every defense you post is about how much money you made, how much the stock has soared, how AB was able to help you earn tons of money for yourselves. We don't argue that at all.
***This is an over generalized and highly inflammatory statement with no substantive evidence to support it. Insys has managed to break into a highly competitive market with large barriers to entry, and capture more market share than the generic competitor. The rainmakers that have made this possible have been well compensated. This isn't corrupt or greed - this is standard not just in pharmaceuticals, but in any industry.
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We argue that according to every bit of evidence out there, you all did it through means illegal and unethical. People died out there. Doctors got arrested. Patients became addicted to this horrible drug. And you laugh all the way to the bank because you got to buy that new vacation house or that dream car you always wanted. Your children would be very proud of you when they are old enough to read these articles one day. You all started out good people. But you let greed and money turn you. That is why you defend yourselves. But deep down inside you know all this to be true. The money is just too addicting to you.
*** Again, there is no evidence to support this. To my knowledge, there isn't a single reported case of death as a result of Subsys.
Let me take a stab at answering your sure-to-come responses:
1. Insys paid physicians extraordinary fees to promote the drug - Yes, Insys pays consultants to promote the medication and help educate clinicians. The fees are neither unique to the company or out of proportion with other pharmaceutical companies. Do the HCPs that are paid consultants write prescriptions for Subsys? I sure as hell hope so - I wouldn't trust someone as an educator that had no experience with the medication. Any physician who has only written one script for a medication and then speaks on behalf of medication is simply not credible. The same is true for any company or educational institution. If a surgeon educates surgical residents on how to do an appendectomy but has never one himself, peoples lives are in genuine danger.
2. The medication is written off label - although almost certainly true, it doesn't mean that anyone at Insys has done anything unethical. The indication is clearly spelled out- verbally and in writing at every sales pitch I have ever witnessed. Unless you are a physician, there really is no credible argument that you can make about this being right or wrong, and even then, it's clearly subjective. Viagra wasn't originally indicated for ED. Short acting opioids are NOT indicated for breakthrough pain. I challenge you to come up with drugs that are not written off-label. How the drug is written is a reflection of how highly educated clinicians choose to use it, NOT how a highly effective salesforce markets it.
3. The company sells to people that aren't oncologists - Also true. Oncologists, during their 5 years of residency and subsequent fellowship receive ZERO hours of training on the effective treatment of pain related to cancer. They are trained to treat the disease state, not the pain. I wouldn't recommend selling chemo drugs to pain management doctors. It isn't as effective to try and sell pain meds to people who don't treat pain as it is to sell them to the folks actually treating the pain. Believe it or not, pain management physicians treat a wide range of ailments, to include cancer related breakthrough pain. If, after gaining some clinical experience with the medication they decide it may be effective to treat other similar ailments, that is their decision.
4. Doctors get arrested for writing Subsys- this is just patently false. No physician has ever been arrested on any charges remotely related to Subsys. Physicians do not get any reimbursement for writing Subsys from any insurance company. Physicians do get arrested for committing crimes, but they are unrelated to Insys or Subsys.
5. People get addicted to Subsys - really? of course patients can get addicted to opioids. You must be living in a bubble if didn't realize that Fentanyl is an opioid and that all opioids have the potential to develop dependency behaviors. If however, someone is taking 3-4 Subsys sprays to treat their BTCP instead of 4-6 short acting opioids, they are much less likely to develop a dependency on the medication because they simply don't have the opioid coursing through their veins for 24 hours. They are more likely to be up and moving about and less likely to be lethargic and constipated. This is exactly why the medication is used in the operating room - Doctors want the analgesic out of the body as quickly as possible.
6. Please, dear god don't try and cite the article released yesterday by Roddy Boyd as evidence of wrong-doing at Insys. It is well-known that he is associated with convicted criminals and accepts bribes to write defamatory articles in an effort to drive down stock prices so that people buying short can profit. There is well documented history of his involvement in this profiteering ring for the last decade. You're on the wrong band-wagon if you believe his lies. Isn't it even slightly interesting to you that short interest in Insys went up 10% as the stock hit a 52 week high two weeks ago, right before this article was posted? Please take a moment to consider it and then ask yourself who is unethical - the folks trying to manipulate stock in an effort to bilk money, or the folks trying to help patients.
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yes or no.
I filled out prior auths and viewed patient information
**Many Insys employees are legitimately and legally authorized to do this because of legal agreements in place with the patients and physicians.
I set up "speaker programs" with attendees that consisted of the speakers own office staff
**In my experience at Insys, employees that have done this have either been prohibited from conducting speaker programs, disciplined and/or terminated.
I set up speaker programs, had no one show up, but allowed the speaker to sign and get paid anyways
**The only instance I know of where this happened resulted in a termination.
I would never take Subsys myself due to the addictive nature yet I beg and pressure doctors to write it off label for things such as back pain, migraines, or any type of "severe" pain
**My mother takes Subsys and I would not bat an eye at taking it if I had a condition that needed to be treated.
I actually know in my gut that I am wrong but the money is just too good and I won't ever make this kind of money anywhere else
**It is unfortunate, both for you and for the rest of the company that you have done things you feel to be unethical or wrong - the vast majority of this company goes to great strides to ensure compliance and patient safety.
I took doctors out to lunch and dinner which I'm not supposed to
I honestly would not every want my children, my family, or even myself to become addicted to a narcotic like this but the patients I don't care about because I have no idea who they are and each prescription is more dollars in my pocket
**Again - it seems like you should take a hard look in the mirror.
Don't be a coward now. Tell the truth.