Although RVNC has not acknowledged it, I continue to think the sticking point for commercializing Daxxify in international markets is that RVNC wants to maintain 100% control of its manufacturing IP. I commented on this in #msg-172473522, but reasonable people may disagree.
If the above is in fact the rationale for RVNC’s eschewing (ex-China) international markets, I would prefer that RVNC simply say so, rather than continuing the boilerplate remarks about wanting to remain “laser focused” on the US market.
This has been a challenge from day one, and I don’t see an easy solution. It’s unfortunate that RVNC’s tests for rodent lethality, which is what determines the definition of one unit of a given toxin, came out the way they did, but there’s no way to change that now.
I respectfully disagree on this point, especially with respect to cervical dystonia and other (off-label) movement disorders. In these indications, injectors who don’t know exactly what they’re doing can cause a lot of harm.
There are plusses and minuses to RVNC’s policy, and I don’t have an ironclad opinion one way or the other on this point. If RVNC’s no-price-advertising policy is in fact a mistake, it’s a small mistake, not a whopper.