Here's to a better year

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I don't believe that any industry has come under more scrutiny and attack then the pharmaceutical industry, although a lot of the negative media was justified. We have become an information driven economy and there is so much information out there it's hard to hide anything from anyone. Zetia data not being released, Zyprexa data on the relationship between diabetes and zyprexa and of course the Vioxx litigation have all opened doors that for too long have remained closed and sealed. Read More...
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Insurers again say "discomfort" should not be covered for colonoscopies

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A few years ago Katie Couric had a colonoscopy on national TV to raise awareness of this procedure that could save a lot of lives. I recently had one and since I was put to sleep during the procedure it was easy and painless. Now Aetna is refusing to pay for anesthetic during colonoscopies and this will surely lead to a drop in screening which in turn will lead to increased health costs and more lives lost to colon cancer. Read More...
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As marketing budgets shrink, web analytics become more important

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DTC marketing budgets are going to shrink in the coming year(s). Marketers are going to have to get more resourceful when looking at core metrics such as reach and frequency and when it comes to the Web DTC eMarketers will be challenged to show that the Web works and provides a positive ROI. In addition to programs that provide Web metrics DTC teams are going to need eMarketers who can look beyond basic numbers to provide insights. Read More...
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A very happy Holiday to all....

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To all the readers of my BLOG I would like to wish you a very merry Christmas. I write my BLOG because I am passionate about the reason we are all here; and that is to help patients make more informed choices about their healthcare decisions. All DTC marketers should spend some time with their patients so that they can understand what they go through in treating a variety of medical conditions. Read More...
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What skills do new pharma CEO's need?

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With the departure of Mr Taurel from Lilly next year the clean sweep of all the major pharma company CEO's almost is complete but unless the replacement chief executives have a wide variety of skills the new class of CEO's may not fare much better than their predecessors. Read More...
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Another day, another lawsuit

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How many more "disgruntled" employees are going to file lawsuits against pharma after they were fired? The latest target is Pfizer who is getting sued for its marketing practices of Lipitor to physicians by an employee who says he was fired "after complaining about the marketing materials". While his complaint maybe valid the federal government has decided not to join in this lawsuit because there maybe nothing there Read More...
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Novartis targeting health providers

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Just how much power do health providers have over what we are prescribed? Well with a majority of leading products due to come off patent, a lot ! Novartis therefore has decided to target health providers by having members of the sales force call on payers. Will it work? Well it may come down to science vs. economics. Does the science justify a branded product over a generic and can a branded product lower overall long term health costs? Now pharma sales people may have to become economists to "detail" payers. Read More...
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Farewell Mr Taurel

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Finally ! The CEO of Lilly, Mr Sidney Taurel, is stepping down and it's long over due. When I was at Lilly and we lost the patent on Prozac Mr Taurel made a gesture by taking a $1 in paid salary. Of course his millions in bonuses more than made up for his salary cut. Under his watch Lilly lost patent protection on its best drug Prozac, had to pay hundreds of millions of dollars to settle Zyprexa and Evista litigation and had data "leak" on it's new blood thinning medication that caused Lilly stock to tank. However, the final nail in his career might have been his recent rant about the media and how they do not understand pharmaceutical product data. Read More...
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Is there too much risk in transparency?

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A little while back I was listening to Howard Stern on the radio talk about prescription drugs. He brought up a great point when he said "who knows what these new drugs do to you with long term use". It got me thinking about transparency and risk. Is there too much risk for pharma to be transparent? People who call for more transparency, like me, would say no but the reality is that data can be read many different ways and there are a lot of people who will always see the glass half empty. Read More...
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DTC marketers ignorance of the Internet continues

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According to some recent information pharma has spent just 1% of their marketing budgets on the Internet and that includes search and online ad spending. This is indicative of just how bad DTC marketers are and how ignorant they are when it comes to new media. Is it any wonder that year after year, when marketing and ad magazines, announce the best ads and marketers of the year that pharma is nowhere to be found? Instead the nightly news programs have become a showcase for pharmaceutical ads because somewhere DTC marketers still believe it drives business. Read More...
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A moral decision ?

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My good friend John Mack and I have been exchanging comments on his latest story that someone who worked for Lilly bribed someone in Sweden to get approval for Prozac. The conversation then turned to notorious whistle blower Peter Rost from Pfizer. While I don't know that much about Peter I do know that everyone within this industry has to have the courage to speak out when they see wrongdoing or illegal activity. If we don't have to courage to speak up when we are aware of illegal acts then we should not be the ones to point the finger when we leave the company Read More...
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Congress wants to know about clinical trial results

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According to today's NY Times a Congressional committee is investigating Merck and Schering-Plough for their handling of a critical clinical trial of Zetia, their blockbuster cholesterol-lowering drug. On Tuesday, the House Committee on Energy and Commerce demanded more information about delays in the trial, which was completed in April 2006 but whose results have not yet been released. This is another thorn on the side of big pharma and Merck and Schering-Plough are now going to have to work harder than ever to convince people that the data supports the use of Zetia. Read More...
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Novartis cutting the red tape after lunch with middle managers

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Environmental changes are forcing change(s) at big pharma which may be learning that "it's too big to compete". Dr. Vasella, the Novartis Chief Executive, said he realized the pharmaceutical division in particular was bogged down with bureaucracy after he had recent lunch with a group of its employees. One midlevel manager mentioned there were six layers of employees below him, which surprised Dr. Vasella. Surprised him? Maybe he should have lunch with more midlevel managers so he can learn some other tidbits as to why it takes so long for pharma to react to anything. Read More...
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Sales people becoming less effective

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75 percent of pharma rep sales calls don't involve a face-to-face meeting with a doctor, according to research by Leerink Swann & Co. Industry executives acknowledge increased demands on physician's time, including paperwork required by health insurers. The changes are partly in response to a backlash against overly aggressive marketing of the past decade, when many executives believed the company with the biggest sales force would have the highest sales. From 1999 to 2001, U.S. drug companies expanded their sales staffs, on average, by 42 percent, according to the most recent research available from Datamonitor. Read More...
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Downsizing continues in pharma

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Ah yes, when the going gets tough lay-off people. After all what better way to make the numbers than by reducing expenses via head count. Forget the fact that most pharma CEO's salaries could pay for a lot of people, after all they deserve the big salaries for declining market share and industry woes. BMS and Lilly were the latest to announce continued reduction in employees this week. BMS through layoffs and Lilly through attrition. Attrition by the way is a a fancy way of saying that they won't stop their good employees from leaving and do what they can to hold onto employees who are "content" and comfortable to collect their paychecks. Read More...
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Pharma CEO's Decision Tool

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The end of Big Pharma?

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There was a "Golden Age" of radio, TV and the movies and now the Golden Age of pharma maybe upon us. Gone are the days of the big breakthrough drugs like Prozac and Lipitor as they are replaced with cheaper generic equivalents. Rather than look for new breakthrough products big pharma's model has changed to the acquisition of smaller biotech companies and developing "new and improved" drugs to replace aging blockbusters. While DTC marketing was once a shining light to inform and educate consumers it has now fallen into a outdated marketing model of talking down to consumers. Read More...
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Where do I go for information?

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All too often marketers fail to put themselves in consumers shoes. Over the past few weeks for example there have been a number of stories in the media about prescription drugs including flu and diabetes products. It seems that when patients start new medications a story pops up about potential side effects which could be lethal in some cases. Pharma has done absolutely nothing to communicate to these people except spew the usual public relations garbage and recent research clearly indicates that patients are getting more and more confused.
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Open Mouth "A", insert foot "B" & Other Monday tid bits from the news

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Montel Williams was the spokesperson for pharma's goodwill but his recent blow-up with some college reporters is enough to say good-bye. The pharma industry cannot afford anyone bringing in more negative press.

Henry Waxman is getting involved in an FDA proposal that would allow physicians to prescribe medications for off label use provided there is journal evidence that supports such use. The problem is that big pharma often sponsors those journal articles. In football we call this an end run.

Executive shuffles continue at big pharma and it seems that the only two CEO's who have not been touched are at Amgen and Lilly despite the downturns in their stock prices and performance.

Lipitor is fighting for survival as it's market share continues to decline in the face of new competition from generic and branded mediations. Pfizer has been running full page ads in print and new TV spots but one has to wonder if they are targeting the right audience. Physicians are the ones who prescribe and health plans are the ones that regulate what medications can be written.

The FDA took a skeptical tone today on Genentech’s application to sell its cancer drug Avastin to treat breast cancer patients whose disease has spread. A panel of outside experts meeting on Wednesday will advise the FDA on whether it should approve the application. (Avastin is on the market in this country for lung and colorectal cancers.) The agency says that the drug did appear to slow the progression of the disease in these women (the primary goal of the study), but it didn’t appear to improve overall survival. What’s more, 1.7% of women in the study who received chemotherapy plus Avastin died as a result of drug-related complications, compared with none of the women who received chemotherapy alone. That’s may not be the most compelling combination in the current regulatory environment reports the Wall Street Journal.

It seems that not a week goes by when I don't receive an invitation to attend a
DTC conference somewhere. How can a group that has so many meetings and conferences still be so behind the times when it comes to marketing to the new patient/consumer? Well part of the answer lies in the change of people at pharma who have either moved on to different positions or left pharma all together. Another problem is that senior management has never been truly sold on marketing as a way to drive value to the brand. For big pharma it is always about the sales force and will always be about the sales force. Read More...
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Influencing the Influencers: there are opportunitites for pharma

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Well it looks like Avandia's days as a blockbuster are over. Last week another study reported that long term use of Avandia may lead to osteoporosis and this author believes that this additional news will be the death blow to a once mighty drug. What can pharma learn from the Avandia decline? Well there are a lot of lessons here including the fact that it's really hard to change perceptions (DUH) once word leaks out. There are just too many influencers out there who are too well connected. Read More...
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