If managed care team was working maybe we would be able to get something done. Had an hcp tell me that he had 4 more rx rejected since I last saw him. I'm controlling the things I can, getting my drs to rx. They are even being rejected by carriers we supposedly have access with.
We are in a new era of pharma sales, trying to sell generic drugs at premium prices. Is there any defined benefit to our low dose formulation, or is it all smoke and mirrors. The FDA may agree with us, but the payers (mhc) and the fillers (corporate pharmacies) only care about their bottom line. Or in other words, they don't give a shit about us, the drs or the pts...
I wonder if Andrew is on the rain forests searching for shaman for the next great pain killer. Good luck with that. This is just more motivation to dust off the resume yet again...