Register for free to join our community of investors and share your ideas. You will also get access to streaming quotes, interactive charts, trades, portfolio, live options flow and more tools.
Register for free to join our community of investors and share your ideas. You will also get access to streaming quotes, interactive charts, trades, portfolio, live options flow and more tools.
With side effects of leg amputations, renal failure due to dehydration and frequent UTIs i don t feel so comfortable with that class
Exactly. And this is done on purpose.
Reps target doctors. They bring samples, quote relevant literature/studies etc.
I hope it will deter generic entry but nobody knows. I feel Hickma will enter in November.
If generics write “use only for triglycerides more than 500”. This will make no difference for amarin. Insurances will issue generic vascepa each time regardless what Hickma writes.
Yes 99.9 percent of docs will have no reason to do it and will not do it. I am 100 percent sure. Medical practice does not revolve about Vascepa. There are many things doctors need to do in their practice during their work time. Writting Vascepa Daw plus anything else will not happen.
The part where you have to enter additional info with DAW. No doctor will do that.
That will not work.
Nobody will write it. Are you kidding me?
Scratch that one (maybe few investor docs will write it but that would be a drop in the ocean)
If generics come out with good supply, amarin’s sales will plumnet in the US.
Only hope is they don’t launch.
Not talking about that specific plan
I am talking about $9 coupon in general. Amarin pays for it.
It is yes. 2 vascepa reps conformed it. It is amarin that pays the difference. Nothing to do with insurance.
Each coupon issued by amarin for $9 (90 days)
Amarin pays that for you. That’s how they discount your vascepa. Insurance always pays the same regardless of coupon.
So if you use $9 coupon, know that amarin pays the difference.
Ever wonder why drug companies hire attractive ladies? I have yet to see obese unatractive pharm rep. Companies do this on purpose. They understand that more attractive reps will improve sales.
Doctors usualy get about $1500 per event. So unless doctor does this every day it is impossoble. My friend does it few times a year. Makes around 10 to 20k the most.
They terminated policy of providing free pens with company logo or drug name many years ago. So doctors get nothing, not even a pen.
Estimate based on my area.
The largest system in my area that has 35 cardiologists do mot allow rep visits. They are unable to even drop off samples or promotional material in front door. This applies to all reps including pfizer and merck.
Do doctors get paid to prescribe brand drugs? Lol. I am sure some doctors get laid (and i know few examples). If you can count that as a payment. But no, doctors don’t get paid for prescribing any drugs or vaccines (hear about that on facebook a lot. It is a myth)
Now there is a website (forgot the name)
Propublica or something like that
If i enter my name i will see a specific amount assigbed to me: like $140 in 2018.
Those are the lunches. Each time they come i sign in their sheet. I think they assign $12 per lunch. But even that gets reported as a payment which is ridiculous.
If i don’t have a lunch, i don’t want to talk to them because I need to go and buy my own lunch outside of my clinic.
I know a doctor who liked to prescribe pradaxa which is the least prescribed NOAC. Docs prefer Eliquis or Xarelto. I was puzzled why. It turns out he was banging pradaxa rep. As i said it may be considered a payment.
As far as generics, we don’t get any rep visits by them. Once a drug goes generic, brand name reps stop coming (unlike vascepa).
Depends on the quality of lunch and female rep attractivness. Trying to be honest.
The reason sales reps are not as effective as they should be:
80 percent of offices in my area don’t allow them to come in because of Covid.
That’s why the frequency of vascepa lunches at my office become weekly instead of once a month.
Lovaza may increase LDL by 45 percent in patients with trigs above 500. It does not increase LDL by much in patients with lower trigs. I know because i was taking lovaza for 10 years and switched to vascepa. Not much difference in LDL. I also was prescribing lovaza to my patients until september 2018. LDL does not go up by much.
Everyone can sue anyone but that case is impossible to win. No way to prove it.
There is no revoking of anything, let alone of licenses. Internet can bring all kind of fantasies, which are not realistic.
If a doc is substituting vascepa for percocet, you may have a case.
The first 2 are correct
The last one is incorrect. Doctors can write brand all the time but the insurance will approve generic regardless of the label. That’s the system and this has nothing to do with doctors.
What i am saying it is hard to prove that patient had an event because he was not on Vascepa
Good luck with that. There are many patients on vascepa that develop strokes and heart attacks. It happens every day. Vascepa is not that powerful as you imagine.
if you wrote a prescription for Generic Vascepa
for anything other than a person who has greater than or equal to 500 mg/dL trig level
Lol. Generic vascepa will be susbstituted by insurances not doctors.
You are clueless if you think whole practice of medicine revolves around vascepa. It does not.
Doctors can prescribe lovaza for triglycerides below 500 with cad and diabetes and amarin can’t do anything about it.
Will you sue me for writting vascepa off label before fda approved reduce it?
Doctors can write off label legally. You cannot litigate that ever.
If there is generic vascepa then pharmacist will substitute brand for generic without notifying the doctor.
Ok. I have to draw it for you with crayons
Doctor writes script for Vascepa
Pharmacist checks with insurance
3 outcomes
1. Insurance covers it. Patient gets Vascepa
2. Covers it but high tier. Huge copay.
3. Does not cover at all.
What happens in scenarios 2 and 3?
Can pharmacist just give Generic Lovaza without calling doctor’s office? No, no and no unless they want to get fired.
Pharmacist calls the office
Speaks to medical assistant or a doctor
Doctor can give instructions to his assistant.
Pharmacist: vascepa not covered or high copay. Can you PRESCRIBE generic omega instead? Most pharmacists think it is the same thing anyway but cannot substitute without obtaing a brand new script.
Doctor: no. Conversation ends. Patient gets nothing. My patients never come with gen lovaza
Doctor: yes. Make it 2 grams bid
Now at this point pharmacist is creating a brand new prescription in the system. This is called “phone prescription”.
Or: i will think about it and send you a new script through my EHR if i decide to prescribe gen lovaza.
I am sure there is but it is not automatic. It requires a new script.
Lovaza is not generic for vascepa. They are different molecules. Cannot substitute lisinopril for losartan.
Each substitution for lovaza requires a brand new script to be written by a doctor
Sue doctors. Good luck with that. You cannot sue doctors. Doctors can write off label any tine they wish.
Many times i marked triglycerides 500 or more on preauthorization sheet in order for Vascepa to be approved. In reality, patients had triglycerides less than 500.
Currently, generic versions of VASCEPA have not launched and are FDA approved only for the initial indication for VASCEPA (treating patients with TGs ≥500 mg/dL). If generic versions of VASCEPA launch and, without license from Amarin, directly or indirectly promote use of such product(s) in a manner that infringes Amarin’s intellectual property rights, Amarin intends to vigorously pursue all available legal and regulatory remedies.
Emphasis on “directly or indirectly promote”.
I thought headquarters of Amarin is in Dublin, Ireland?
Can Bhatt send Amicus?
Tranny
Maybe more people need to write to him
So you have his email?
Probably more than 75 percent. Insurances will always pay for generic over brand.
Can someone alert the media?