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Ha ha - see you have no idea first off to get into the system will probably take you a 2o minute wait on the phone after that all you have to do is read the records that we will send you - are you saying you are not as bright as my High school grad secretary who does this all day long ?
here ya go heres another one reps and AMRN dont give a damn why should the docs ??
pt called because cardiologist doubled his atorvastatin, wanted to inform you. also his insurance wont cover vascepa. his cardiologist said it was fish oil?
I list all of REDUCE IT criteria ie DM2 on statin 2 risk factors etc some just outright reject - no reason some go over with fine tooth comb example patient is only on 40 mg atorvastain has to 80 - each time i have to submit complete forms this requires me to open chart review labs review meds review med history compile the information - its about 20 minutes of time and they may do this to me two or three times - no doc is going to do that - we have asked for a meeting with one of our major insurers - mentioned it to my amrn rep went in one ear out the other
Exactly you expect the doc to work for free yet you wont spend a little of your time to help out this cause ? Like I said ... as long as its someone else's time or money you are fine spending it but as soon as it comes to your time or money - well that is a different story - still waiting as to where we should send these so you can spend a couple of hours arguing with insurance companies -
Bolio - I have three rejections that need to be worked on and patients agree to allow you to work on it - where should we send them ?
What amazes me in the overall scheme of infringement and substantial use is the inability of the courts to step back and apply common sense - they seem to get sucked into a quagmire of intellectual diddling losing the forest for the trees - if significantly more of a med is being sold beyond skinny label its either 1.) infringement - or 2.) there is marketing taking place for unapproved indications - people just dont go out and buy a specific med because of impulse buying! In the first case its infringement in the second its fraud....
Studies are first performed - the results are then reviewed by various entities - if those entities believe that the results are credible they will then determine when and how in the treatment protocol the medication should be utilized - this unfortunately takes time and the regimens are only updated yearly if not every two years
Agree CardiologyMD - I usually state that in the prior auth for statin intolerant patient - either 12k for the pcsk9 or vascepa ...their choice
Exactly ... AMRN is clueless how the delivery system - from MD order to pharmacist filling to insurance blocking works and made absolutely no preparation for such
Oh but see all it takes is time - secretaries can do it - all you need to is regurgitate the medical record - it just takes .... time - lots of it which you expect every doctor to give Away free but you yourself apparently are not willing to expend any of yours to help someone else ...got it ... yea its always different when the time or money is coming out of your pocket
Bolio doesnt understand that it illegal to use those coupons for medicare ...
I think we should send all of these cases to Bolio - we can just tell our office managers and patients that he has agreed to trouble shoot these problems as a volunteer - this is great ! So glad Bolio is stepping up to the plate and solving these problems!
I will tell you what Bolio - this patient is very cooperative if its ok with him how about he call you and then you can work through the issue with him ... he needs an advocate and you will be a great one
Just rxed 360 vascepa - patient called and said pharmacy wants $500 - of course he didnt fill it - this goes on all day long
Size of the current market for what indication Trigs >500 or CAD reduction ? If its the latter one can conclude that there is clear intent to infringe - otherwise why place that information there it would be irrelevant ?
If that is true Gary then the US legal system is a charade run by buffoons .... to me that sounds like - as long as you pay for one item in your grocery cart you can steal the rest
LIke I said Just go ahead and sue the docs its a wonderful idea - I am sure they will all start writing the rx more as a result of that - you dont understand the system at all DOc write for Vascepa thats all they can do the insurance company takes it from there - you strike me as someone who thinks the doc is going to be your personal hand maiden three hours a day for free - doesnt work that way
OK have AMRN sue them .... first time that happens it will get blasted across medical journals and every doc will completely ignore the med ... you win one case and get one rx but now no docs will write it ... what have you accomplished ?
by all means if you feel suing doctors will help AMRN market share go ahead - first case 99% of docs will quit writing it -
NO I dont sorry
You hit upon an important point that I cite all the time to my patients who complain about the cost of pharmaceuticals . It is the US consumer who funds all of this research - then other countries pick it up for pennies on the dollar . Its high time the rest of the world pays for this research and the cost of US pharmaceutical declines. Friends in various countries tout their health care systems at which point I usually point out to them that probably 75% of the technology that they are using was developed in the USA and they have not a paid a penny for it . Like the dysfunctional cousin they let the US Pay for everything and then they sit back and reap the benefits bragging how little they pay for health care when its the US consumer that funded it all
I dont think suing doctors will promote utilization of the medication
BIO to Federal Circuit: Use Amarin case to pick a test for patent obviousness https://in.reuters.com/article/vascepa-obviousness-test/bio-to-federal-circuit-use-amarin-case-to-pick-a-test-for-patent-obviousness-idUSL1N2HC03D
no i have not i can give them the name of the insurance company
... and they will say Epadel is NOT vascepa - I have spent about 3 hours with one main insurance player - and they still will not approve Vascepa for REDUCE IT indications - it costs me $450 per hour to run my office - where in the hell are the AMRN reps and why are THEY not prepping insurance companies and educating them ! Its not MY job and I cant afford to do it. At this point I let the insurance company substitute whatever they wish ....
The use of the word "substantial" as with much of everything else I am experiencing in the US legal system is utter buffoonery - so basically a little bit of stealing is ok .... but substantial is not. Really ?? This type of logic would have gotten me a ruler from Sister MAria when I was in grade school ....
Quote:
"GSK failed to prove by a preponderance of the evidence that 'Teva's alleged inducement, as opposed to other factors, actually caused the physicians [i.e., as a class or even at least one of them] to directly infringe,'"
Judge Stark obviously has no understanding as to how the pipeline to fill an Rx, from manufacture to pharmacy, through physician order overruled by insurance company works.
Of course they did not cause the PHYSICIAN to directly infringe - the physician ordered the medicine based upon the scientific study that revealed it had benefit in a certain disease process - the physician did not take the med off the shelf or fill the rx - that is the pharmacist as forced by the insurance company. Teva induced the INSURANCE COMPANY to infringe by forcing substitution of the generic to maximize profit
For Trigs >500 and reduction of pancreatitis risk Lovaza is far superior at lowering trigs than Vascepa ... I rarely use Vacepa for Trigs >500. I have had several cases where it was unable to get the trigs < 500. VAscepas role therefore is clearly REDUCE IT indications.
I would be extremely surprised if any BP would offer $20 for AMRN - this is like hiring someone who says - you know I have great potential and am worth $100 per hour - then you look at their resume and see all their failures and realize they are now working for $15 per hour .... why would you take that chance ?
They are called statin intolerant patients..believe it or not some patients who cannot tolerate any statin ...
Oh yes and speaking of hindsight heres a post I had in 2017 - that everyone here attacked me on ...
August 2017
Thus REDUCE IT must be a success in the general population - but wait - even if it is the last hurdle is that about 60- 70% of my Rx's for vascepa get returned from the insurance company indicating that the patient should use OTC omega 3. So if the study does show moderate success the insurance companies just substitute OTC omega 3 - and believe me no docs are going to spend any time fighting that battle - The study may ultimately have been named ...for the stocks value
Its not hindsight I posted this a long time ago BEFORE REDUCE IT was completed
Hope springs eternal ..... I have to agree I hopped in at low $4.xx based on that premise - expecting the stock to hit $8.00 in three years allowing doubling in that time period. If one does that consistently you are a very successful investor ...bulls win ...pigs dont
I have to agree which brings up a point I made several years ago - if AMRN knew what they were doing they would have had a statin intolerant group in the REDUCE IT study - this would have shown remarkable reduction and perhaps direct competition with statins themselves - the ramifications would have been astounding - just another example of totally inadequate planning and understanding of the product and issues at hand
latest institutional holdings https://fintel.io/so/us/amrn
AS I have done all along and taken much heat for it - everyone needs to realize that you are in an ECHO chamber here - you start reassuring each other about outcomes that you hope will be positive - and thats all you hear - and then you get financially burnt - the probability of enbanc is extremely REMOTE - I dont usually buy lottery tickets - this is a lottery ticket chance - be realistic when investing - keep faith and hope elsewhere
.. and this is based on ?
No Lrich - I have come to the realization that AMRN is like the deer in the headlights - they have been outwitted almost every step of the way and have had to fight their way back - most of these fights have been unnecessary and were invited because of their naivete and lack of preparation and understanding of potential issues - I warned of generics over two years ago - if I was aware of it they should have been prepped