A much better reply, but you're missing the point. I have been exposed to docs throughout my region, so my impression is not based on one territory, or one district or one small geographic area of the country. This is what I have heard across many districts, and what has been reported to me. I also am fortunate enough to have befriended many residents from my stay as an IHR, and give their feedback as well. We simply don't have the good favor and respect that we once did. Period.
It just makes good economic sense to go the contract rep route at this point. Look, I know that I'm kicking my own ass here, but I know of what I speak.
Next point: name me some big dollar volume potential drug classes where there isn't a ream of generics just sitting there waiting to take up the top 3 spots on a managed care prior auth list.
When I started the biggest drug classes were ACEs, ARBs (relatively new), CCBs (on their way down), depression and anxiety meds, ulcers, LRI and URIs, UTIs, clot-busters, oral and injectable diabetes meds, impotence (brilliantly renamed ED by Pfizer), and cholesterol meds.
Even though I obviously favored our drugs, most reviews like the medical letter frequently stated that the meds in each class were very similar (thus, the old term "me too"). any med coming out now will have to prove superiority over tried and true generics like metformin for diabetes or zithromax for RTIs. GOOD LUCK ON THAT ONE!
So where do we go to get new blockbusters? Obesity? Good luck with that one. Diabetes? Please, there are some good generics already,and some of the current meds will be hard to beat out once they go off patent. Cancers? We're trying that already. Some type of mental disorder? Highly unlikely.
Until we can start cranking out profitable first or best-in-class meds like we once did, our company will continue to do what its competitors are doing: slashing the # of, and payout to, the field force.