It's really quite explainable:
Few at the higher levels have ever carried the bag, or launched a non specialty drug.
Too many Chiefs with a background in Cystic Fibrosis launch and coverage thought pain would be received the same - wrong.
No accountability for lack of planning for our present day dilemma with pharmacy's - total lack of understanding for what a disaster this is. It's NOT getting better. Accept this and fix it. Accept surgeons are not going to deal with a process this complicated or time consuming.
People cannot continue to work like this. It's not people won't work hard or smart. There is simply too much to do in one day, and the exhausting hours WILL result in turnover. At some point those killing themselves for this company and launch will realize there is life outside of work. It's not even rewarding given few are hitting numbers. Accept this. Fix it. Value your people with actions, not words.
These metrics are just - they're not just unrealistic given the hours we're dealing with pharmacy rejections - they're so far out of realistic reach they're stupid. Accept this. Fix it. Hire patient access teams to call pharmacy's all day long and let the PTAMs do what they were hired to do - sell.
Finally, pay people what you said you would. This launch is struggling not because we have poor performing sales teams, or a crappy drug....it's struggling because patients and prescribers can't get it easily. It's struggling because of cost.
Anyone agree?