Why can’t Reps get 100k RX’s per week?!!!!

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There are literally drugs that aren't being marketed anymore with better managed care access. I am not joking. look up some orphan drugs that recently went generic and their MC access on the MMIT app. The orphaned brands with new generics available have better access than Vascepa.
 






Well, where there was white space there were no managed care reps.! I don’t know any Medicare patient that can afford $110-$150 per month for one of their Rxs! There are NDC locks on Commercial plans and they have to be Prior Authorized
 






You want us to win? Give us a co-pay card that brings the co-pay to $9 for cash pay. That way you can bypass PA restrictions for commercial plans. If insurance is not as bad as upper management says then this will hardly impact the bottom dollar. Everyone wins.
 






anonymous said:
You want us to win? Give us a co-pay card that brings the co-pay to $9 for cash pay. That way you can bypass PA restrictions for commercial plans. If insurance is not as bad as upper management says then this will hardly impact the bottom dollar. Everyone wins.
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This makes perfect sense. That way they cannot NDC block anymore. There is no way the customers won’t be able to access and prescribe the drug routinely on a daily basis moving forward. The RBM’s need to wake up and authorize the 9 dollar co pay program for cash pay ASAP.
 






anonymous said:
This makes perfect sense. That way they cannot NDC block anymore. There is no way the customers won’t be able to access and prescribe the drug routinely on a daily basis moving forward. The RBM’s need to wake up and authorize the 9 dollar co pay program for cash pay ASAP.
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RBM’s don’t have the authority or power to do that! What kind of people does Amarin hire?!!
 






anonymous said:
RBM’s don’t have the authority or power to do that! What kind of people does Amarin hire?!!
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Yes they do. All Regions have predetermined budgets so the RBD’s could easily authorize the, $9.00 for 3-month, co-pay program for cash pay. If I ever get promoted to RBM I would seriously consider implementing the program.
 






anonymous said:
Yes they do. All Regions have predetermined budgets so the RBD’s could easily authorize the, $9.00 for 3-month, co-pay program for cash pay. If I ever get promoted to RBM I would seriously consider implementing the program.
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I guarantee 1000%, this is not the case! With every cent being scrutinized to show a profit, an RBD is not high enough on the food chain to make a decision like that. Don’t be naive
 






This is not true. I know of a group of RBD’s that are looking at moving forward to implement the co pay for cash program. Most certainly they will move to the top of the pack with prescriptions based on a strategic move like this.
 






Sure we will lose money on the cash pay option but it will open up confidence in prescribing for all commercial patients and those are are easily covered will even out those losses we take where patients aren't covered.
 






  • Woody   Feb 23, 2020 at 11:46: AM
This drug a winner...that is perfectly....CLEAR. It is up to you to get new Rx's in your area.
If you can't/won't get another job...loser. This is a great drug. All the new blood thinners cost a bunch for the medicare-D pts. and many take it. The choice is getting the docs to believe this drug should be a "no brainer"....so keep up the selling and have a positive attitude....you will win.
 






anonymous said:
Sure we will lose money on the cash pay option but it will open up confidence in prescribing for all commercial patients and those are are easily covered will even out those losses we take where patients aren't covered.
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Devil’s Advocate here... if I’m UHC (or any other plan) why would I ever bother to put the drug on formulary; patients can get it for $9; no need to provide coverage. I get your point about building prescriber confidence in coverage, and it is valid. But the marketplace mechanics really does not make your idea viable.
 






It's clear to reps and should be to everyone at the top that the expansion came too soon. Managed care was not set for label expansion and the new year. All year we heard get ready for the new indication, keep pushing and we did. January hits and the only 2 exclusive medicare plans we had went to tier 4 coverage. That's an embarrassing loss. Quit blaming reps and look at changing people handling managed care contracts. THAT IS THE PROBLEM. For those of us with working poor territories, you cant say stop selling Medicaid and then tell us most Medicare patients will pay 100 unless they are low income. Good reps are going to hustle to get all of the business they can. I love what I sell, I whole heartedly sell that way. But let's be honest, selling has never been easier and coverage is more difficult than ever.
 






anonymous said:
Devil’s Advocate here... if I’m UHC (or any other plan) why would I ever bother to put the drug on formulary; patients can get it for $9; no need to provide coverage. I get your point about building prescriber confidence in coverage, and it is valid. But the marketplace mechanics really does not make your idea viable.
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That's the catch 22 though isnt it? Some plans might choose to do this in that scenario. Or maybe we work with some sort of specialty pharmacy to control the prescriptions coming in house. Have this pharmacy take a more active role in the PA fulfillment process to keep our offices from that frustration. Prescriber confidence is important, and you're right. I'm afraid that there is no perfect way around this. It is just crazy to me that we have all these incredible benefits, medical societies buying into vascepa, a positive icer rating, etc. Yet managed care actually got worse across the board this year. We are growing despite these challenges but confidence among prescribers is waning.
 






That is precisely why we need to implement the $9.00 co-pay for cash pay program. It will build confidence and increase prescriptions. Yes, I agree the partD Medicare population will pay $100/month for the 30 days but the cash pay patient is really where it’s at from a business and expansion perspective.
The RSD’s need to make these decisions quickly to implement in their regions on a moving forward basis.
 






anonymous said:
That's the catch 22 though isnt it? Some plans might choose to do this in that scenario. Or maybe we work with some sort of specialty pharmacy to control the prescriptions coming in house. Have this pharmacy take a more active role in the PA fulfillment process to keep our offices from that frustration. Prescriber confidence is important, and you're right. I'm afraid that there is no perfect way around this. It is just crazy to me that we have all these incredible benefits, medical societies buying into vascepa, a positive icer rating, etc. Yet managed care actually got worse across the board this year. We are growing despite these challenges but confidence among prescribers is waning.
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Like it or not, this is why Big Pharma is needed to move a Game Changing Blockbuster like this. They have the resources to change things very quickly. I can only do so much here in my area with my hands handcuffed.
 






anonymous said:
Like it or not, this is why Big Pharma is needed to move a Game Changing Blockbuster like this. They have the resources to change things very quickly. I can only do so much here in my area with my hands handcuffed.
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You couldn't possibly be for a big pharma takeover if you work here. Being handcuffed in your territory is better than being unemployed all together Each day is a fight for us and presents new challenges. Big pharma takeover leaves us high and dry. Sure it would probably help payer access almost overnight but the people that will look like world beaters are the big pharma reps that barely have to lift a finger to move the drug after that occurs. Most of the people I've encountered at this company would outwork and outsell most of those older BP reps. Why should they receive merit for what we have fought for?
 






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