Replies to post #149035 on Amarin Corp Plc (AMRN)

[bfost]

An additional thought on ones perspective

JL -as a sub specialist (plastics) you know EVERYTHING about a few specialized conditions and can incorporate changes quickly because this is all you do.

PCP's have to know a little about EVERYTHING. They are bombarded with new drugs, new standards of care, new guidelines on many topics every day. They can barely keep their heads above the water to maintain their knowledge base and survive.

So, cardiologists and lipidologists will lead the charge and be early adopters, but they will see only a fraction of the RI cohort.

It will take time for a PCP to focus on adding V to the med list when they are addressing HTN, DM, Depression, preventive care and an ingrown toenail with a 15 minute visit. :)

I hope we GIA as AMRN will be the gift that keeps on giving over time.

[jessellivermore]

bfost...

Thanks for the input..

I guess I do think things will happen faster than you do...As far as statin acceptance keep in mind that in the old days if your TC wasn't over 300 then you were considered normal...Over the years the upper limits of normal keep going lower and lower..I was 65 yo when I got my first cholesterol back. Now my PCP tells me she gets points off her score if she doesn't write me a script. I take the script, but I don't do the statin...I played golf yesterday and shot 76 (a great round for me)...

IMO Vascepa will catch on right away. We are in the internet era, the social media time...When I think about statins..I don't think about them increasing the the chance of surviving a heart attack..Frankly...There may be trials that prove they do...I just don't remember any of them. Maybe West of Scotland...But I don't believe for a second that that trial was legit..

Lawyers are going to oversee what happens after the AHA and the NEJM...You are a clinician and ask yourself if you are going to prescribe...I would not be worried about the paperwork..The insurance companies are going to be behind this as will be the government medical agencies as this is going cut medical costs...This is the real issue Amarin needs to get behind...

#0 years...nah..

":>) JL

[sts66]

Finally - a voice of reason - V will *not* suddenly be on T2 in formularies after the AHA presentation - Medicare/Medicaid will almost certainly wait until formal FDA approval before this pre-auth and low tier stuff goes away. Watch what Kaiser does for 2019 plans - if they don't cover V prior to change in label, that is a big indication of what other "regular" insurance plans will do. BTW, I read an article in my doc's waiting room the other day that shocked me - a poll of PCPs showed 78% of them spent at least 20 hrs/week doing paperwork for pre-auths - that's frigging insane!