most of the teaching hospitals have no-see policy for their residents and faculty. Merck has shifted to "Net Sales" model. There is no spill over effect from hospital generated prescriptions. In patient purchase which are deeply discounted to begin with is so small that it can not justify the salary, bonus and other sales related expenses. Why do we still have hospital tablet sales force?
I have no idea what those reps have ever done in the hospitals. It's an even bigger joke of a job that the reps on the outside have.
Now those hospital folks are desperately trying to get into Vaccines, the division they used to make fun of 10 years ago. Now they are looking at Vaccines like a life raft.