Wonderful thread.
Dr: How's the coverage? Cash cost
Rep: Well, it's new so not so great...cash cost around 235....
Dr: Oh, and you said it is in the milnacipran family, right? It's cleaner? So it's indicated for more than just depression?
Rep: Uh no..we still have Savella for pain and fibro. But hey! Let me show the Sheehan Disability Scale!
Dr: SDS? Never heard of it. Anyways, good luck with that. Cymbalta is now generic, has multiple indications and Pristique has better coverage and multiple indications...anyways where am I supposed to use this?
Rep: Well, it's 2:1! So you use it on that Nor-epinephrine patient, of course!
Dr: What's a Nor-epinephrine patient? I just SNRI's for SSRI failures...
Rep: Oh, in that case, use it second line if Viibryd fails!
Dr: Viibryd? I don't use that often or at all, generics first and mostly. Hell, I still use Lexapro...say, weren't you the same guy in here a few years back telling my Lexapro was the best SSRI ever and I shouldn't use anything else?
Rep: Oh, uh. then start using Viibrd for your serotonin patient! Working serotonin in two different ways! Of course! Then if that fails move to Fetzima! Of course! It's for your nor-ep patient!
Dr:Serotonin patient? What are you talking about? And I'm not going to use VB first line or 2nd line...too expense. And Cymbalta is now generic.
Rep: (Begin Robot Mode)Wonderful doctor! Well, I will leave you with enough samples for 10 pts. Sound good? My counterparts will be back to check in and hold you accountable and ask the same questions and read off the same MVA. Can you GIVE me your next 10 pts?
Dr: No. Why would I GIVE you anything? What make you think you are entitled to anything in this office, let alone actual patients?
Rep: Right, great. Ok. Hold all these samples, Dr. Taste it, chew on it, smell it, have it rattle around in your pocket!
Dr:Just put it in the sample closet
Rep: Oh, here is a piece of paper, I need you to write down Fetzima.
Dr: What? Why? This is pointless.
Rep: Ok sing it with me.... F...E..T
Dr: Get out of my office.
Rep: Sounds great, Dr. I can't wait to check back in and see all those great results! Oh and those guys and girls that sold your family those Verizon phones a month or two back? Yeah, they work for us now.