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	<title>Comments on: DTC Ads Were The &#8216;Worst Decision:&#8217; Roche Exec</title>
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	<link>http://www.pharmalot.com/2008/12/dtc-ads-were-the-worst-decision-roche-exec/</link>
	<description>News, Comment and Conversation</description>
	<pubDate>Fri, 10 Feb 2012 20:21:53 +0000</pubDate>
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		<title>By: atlex</title>
		<link>http://www.pharmalot.com/2008/12/dtc-ads-were-the-worst-decision-roche-exec/#comment-385414</link>
		<dc:creator>atlex</dc:creator>
		<pubDate>Tue, 23 Dec 2008 01:11:16 +0000</pubDate>
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		<description>Rita,

You are incorrect.  While the amlodipine portion of Caduet is available generically, the atorvastatin is not available generically; atorvastatin is int he same class as, but is not the same as simvastatin.  Moreover, for most insured people on Caduet, the cost of Caduet is no more than the two ingredients separately.

Atlex</description>
		<content:encoded><![CDATA[<p>Rita,</p>
<p>You are incorrect.  While the amlodipine portion of Caduet is available generically, the atorvastatin is not available generically; atorvastatin is int he same class as, but is not the same as simvastatin.  Moreover, for most insured people on Caduet, the cost of Caduet is no more than the two ingredients separately.</p>
<p>Atlex</p>
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		<title>By: Rita</title>
		<link>http://www.pharmalot.com/2008/12/dtc-ads-were-the-worst-decision-roche-exec/#comment-385410</link>
		<dc:creator>Rita</dc:creator>
		<pubDate>Mon, 22 Dec 2008 22:39:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=18160#comment-385410</guid>
		<description>Suddenly people who watch 30 second commercials are telling their doctors what pills they should be taking.  Ridiculous!  The average joe doesn't know that a drug like Caduet has two ingredients that can be purchased MUCH cheaper separately than together.  One is Amlodipine and the other is Atorvastatin.  With my RxDrugCard I can get 30 tablets of Amlodipine for $9 and 30 tablets of Simvastatin for $9.  I’ll bet they are charging more than $18 for this new drug!  I think that RxDrugCard.com is the best drug card available for prescription discounts.   The monthly family membership fee is only $4.95!  You can’t beat that!</description>
		<content:encoded><![CDATA[<p>Suddenly people who watch 30 second commercials are telling their doctors what pills they should be taking.  Ridiculous!  The average joe doesn&#8217;t know that a drug like Caduet has two ingredients that can be purchased MUCH cheaper separately than together.  One is Amlodipine and the other is Atorvastatin.  With my RxDrugCard I can get 30 tablets of Amlodipine for $9 and 30 tablets of Simvastatin for $9.  I’ll bet they are charging more than $18 for this new drug!  I think that RxDrugCard.com is the best drug card available for prescription discounts.   The monthly family membership fee is only $4.95!  You can’t beat that!</p>
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		<title>By: Bruce Berger</title>
		<link>http://www.pharmalot.com/2008/12/dtc-ads-were-the-worst-decision-roche-exec/#comment-383531</link>
		<dc:creator>Bruce Berger</dc:creator>
		<pubDate>Wed, 03 Dec 2008 01:43:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=18160#comment-383531</guid>
		<description>boniva, and before OTC alli there was xenical

Of course with so many oncology drugs, Roche does a minimum - but not out of ethics, but marketing forces for it's line</description>
		<content:encoded><![CDATA[<p>boniva, and before OTC alli there was xenical</p>
<p>Of course with so many oncology drugs, Roche does a minimum - but not out of ethics, but marketing forces for it&#8217;s line</p>
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		<title>By: Jaynesday</title>
		<link>http://www.pharmalot.com/2008/12/dtc-ads-were-the-worst-decision-roche-exec/#comment-383524</link>
		<dc:creator>Jaynesday</dc:creator>
		<pubDate>Tue, 02 Dec 2008 23:13:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=18160#comment-383524</guid>
		<description>Justice, I agree. What the public perceives whether true or false, right or wrong is most important. 
Pharma companies have pretty much been out of the public eye as far as name brands go but when the industry as a whole gets a black eye no matter what the cause, it takes everything down. I use the American automotive industry as an example, excluding the current situation as this isn't an auto industry caused problem.</description>
		<content:encoded><![CDATA[<p>Justice, I agree. What the public perceives whether true or false, right or wrong is most important.<br />
Pharma companies have pretty much been out of the public eye as far as name brands go but when the industry as a whole gets a black eye no matter what the cause, it takes everything down. I use the American automotive industry as an example, excluding the current situation as this isn&#8217;t an auto industry caused problem.</p>
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		<title>By: Justice in MI</title>
		<link>http://www.pharmalot.com/2008/12/dtc-ads-were-the-worst-decision-roche-exec/#comment-383521</link>
		<dc:creator>Justice in MI</dc:creator>
		<pubDate>Tue, 02 Dec 2008 22:44:27 +0000</pubDate>
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		<description>I suspect it's an issue of short and long-term gains.  While DTC has made the "blockbuster" model possible, and it does sell pills, it has also contributed to degrading the overall image of the industry as "something special."

Are there other factors?  Of course.  But if this is "an industry people love to hate" (title of a pro-industry op ed), DTC provides one very visible target, fair or not.</description>
		<content:encoded><![CDATA[<p>I suspect it&#8217;s an issue of short and long-term gains.  While DTC has made the &#8220;blockbuster&#8221; model possible, and it does sell pills, it has also contributed to degrading the overall image of the industry as &#8220;something special.&#8221;</p>
<p>Are there other factors?  Of course.  But if this is &#8220;an industry people love to hate&#8221; (title of a pro-industry op ed), DTC provides one very visible target, fair or not.</p>
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		<title>By: bob ehrlich</title>
		<link>http://www.pharmalot.com/2008/12/dtc-ads-were-the-worst-decision-roche-exec/#comment-383515</link>
		<dc:creator>bob ehrlich</dc:creator>
		<pubDate>Tue, 02 Dec 2008 21:44:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=18160#comment-383515</guid>
		<description>Mr. Burns is entitled to his opinion on DTC but it is disingenuous to think criticism of the drug industry was caused by DTC. In fact criticism of high retail prices and drug safety long pre-dated DTC. In fact DTC is a minor portion of drug promotion costs. Detailing, sampling, medical meetings, and journal ads make up 90% of marketing budgets. Were those decisions to spend on those tactics equally bad?

I think Mr. Burns is deciding to pick on the wrong thing and scapegoat it. If the drug industry had provided price support programs like PPA ten years ago we may not have the current criticisms. DTC is not without its faults but its messages are transparent to consumers and regulators. As CEO, Mr. Burns has the power to end DTC at his company if he chooses. I assume, however, he thinks it is fine for his product Boniva.</description>
		<content:encoded><![CDATA[<p>Mr. Burns is entitled to his opinion on DTC but it is disingenuous to think criticism of the drug industry was caused by DTC. In fact criticism of high retail prices and drug safety long pre-dated DTC. In fact DTC is a minor portion of drug promotion costs. Detailing, sampling, medical meetings, and journal ads make up 90% of marketing budgets. Were those decisions to spend on those tactics equally bad?</p>
<p>I think Mr. Burns is deciding to pick on the wrong thing and scapegoat it. If the drug industry had provided price support programs like PPA ten years ago we may not have the current criticisms. DTC is not without its faults but its messages are transparent to consumers and regulators. As CEO, Mr. Burns has the power to end DTC at his company if he chooses. I assume, however, he thinks it is fine for his product Boniva.</p>
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		<title>By: Let's go back to the 70's man!</title>
		<link>http://www.pharmalot.com/2008/12/dtc-ads-were-the-worst-decision-roche-exec/#comment-383503</link>
		<dc:creator>Let's go back to the 70's man!</dc:creator>
		<pubDate>Tue, 02 Dec 2008 19:02:51 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=18160#comment-383503</guid>
		<description>So who's the pharma exec that said their co spent more on R&#38;D than marketing?! How could they? Pull their 10-Q!  (www.sec.gov for those that haven't) This guys an idiot!!!

Stubborn fact is that only ~1/3 of Americans with a medical condition are treated.  Over the last 15 years the utilization ratio of Rx has increased from a rate below other industrialized countries to comparable. DTC is the reason they are benefiting from the work that R&#38;D accomplishes.  Yes, SG&#38;A could be ignored and profits to produce new medicines could be less... that experiment has just begun. 

In light of the limits on small molecule discoveries, the antiquated block-buster model and a Congressionally squeezed FDA, major pharma will turn into the Big 3 and spec pharma's &#38; biotechs will continue to grow. 

If those 'winners' can pitch their med's to their select patient groups, maybe those profits could produce biologic or targeted discoveries for the next generation.</description>
		<content:encoded><![CDATA[<p>So who&#8217;s the pharma exec that said their co spent more on R&amp;D than marketing?! How could they? Pull their 10-Q!  (www.sec.gov for those that haven&#8217;t) This guys an idiot!!!</p>
<p>Stubborn fact is that only ~1/3 of Americans with a medical condition are treated.  Over the last 15 years the utilization ratio of Rx has increased from a rate below other industrialized countries to comparable. DTC is the reason they are benefiting from the work that R&amp;D accomplishes.  Yes, SG&amp;A could be ignored and profits to produce new medicines could be less&#8230; that experiment has just begun. </p>
<p>In light of the limits on small molecule discoveries, the antiquated block-buster model and a Congressionally squeezed FDA, major pharma will turn into the Big 3 and spec pharma&#8217;s &amp; biotechs will continue to grow. </p>
<p>If those &#8216;winners&#8217; can pitch their med&#8217;s to their select patient groups, maybe those profits could produce biologic or targeted discoveries for the next generation.</p>
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		<title>By: Jaynesday</title>
		<link>http://www.pharmalot.com/2008/12/dtc-ads-were-the-worst-decision-roche-exec/#comment-383488</link>
		<dc:creator>Jaynesday</dc:creator>
		<pubDate>Tue, 02 Dec 2008 17:28:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=18160#comment-383488</guid>
		<description>Per Roche - 
"Those direct-to-consumer ads you see in the US have been a big mistake for the global drug industry, undermining the reputation of the sector in the eyes of patients,"

It sounds to me like Roche is catching on to the great danger looming in the pharma future - that being the public's perception of pharma in general. 
I've said it before but when the term "pharmaceuticals" = "dangerous or untrustworth" the harm will be done and getting out of the hole that they have dug will require more than the accumulated profit they have ever made. 

Losing the trust of the consumer is easy because you can still make a profit while doing it. Gaining the trust of the consumer back cost massive amounts of money that you don't have. There will be others ready to jump in when the time is right.

The American consumer's perceptions are slow to change but a powerful force that can level any industry. 

I agree with Nathan that all the players have to change because it only takes a few bad apples.... We currently can identify who the bad apples are. That's enough to know that their destructive influence is now spreading through the barrel.</description>
		<content:encoded><![CDATA[<p>Per Roche -<br />
&#8220;Those direct-to-consumer ads you see in the US have been a big mistake for the global drug industry, undermining the reputation of the sector in the eyes of patients,&#8221;</p>
<p>It sounds to me like Roche is catching on to the great danger looming in the pharma future - that being the public&#8217;s perception of pharma in general.<br />
I&#8217;ve said it before but when the term &#8220;pharmaceuticals&#8221; = &#8220;dangerous or untrustworth&#8221; the harm will be done and getting out of the hole that they have dug will require more than the accumulated profit they have ever made. </p>
<p>Losing the trust of the consumer is easy because you can still make a profit while doing it. Gaining the trust of the consumer back cost massive amounts of money that you don&#8217;t have. There will be others ready to jump in when the time is right.</p>
<p>The American consumer&#8217;s perceptions are slow to change but a powerful force that can level any industry. </p>
<p>I agree with Nathan that all the players have to change because it only takes a few bad apples&#8230;. We currently can identify who the bad apples are. That&#8217;s enough to know that their destructive influence is now spreading through the barrel.</p>
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		<title>By: Nathan</title>
		<link>http://www.pharmalot.com/2008/12/dtc-ads-were-the-worst-decision-roche-exec/#comment-383477</link>
		<dc:creator>Nathan</dc:creator>
		<pubDate>Tue, 02 Dec 2008 16:32:53 +0000</pubDate>
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		<description>The problem is that even if Roche decides that DTC ads are a bad thing, they won't stop unless there is some sort of "mutual standdown" among *all* of big pharma.  Otherwise, if a couple of companies slow down thier DTC ads, thier market share will likely drop while market share by those that continue DTC will increase.

(I don't think ANYONE argues that DTC doesn't work - the arguement is that it is bad for society and an overall waste of money)</description>
		<content:encoded><![CDATA[<p>The problem is that even if Roche decides that DTC ads are a bad thing, they won&#8217;t stop unless there is some sort of &#8220;mutual standdown&#8221; among *all* of big pharma.  Otherwise, if a couple of companies slow down thier DTC ads, thier market share will likely drop while market share by those that continue DTC will increase.</p>
<p>(I don&#8217;t think ANYONE argues that DTC doesn&#8217;t work - the arguement is that it is bad for society and an overall waste of money)</p>
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		<title>By: Chris MacDonald</title>
		<link>http://www.pharmalot.com/2008/12/dtc-ads-were-the-worst-decision-roche-exec/#comment-383473</link>
		<dc:creator>Chris MacDonald</dc:creator>
		<pubDate>Tue, 02 Dec 2008 16:17:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.pharmalot.com/?p=18160#comment-383473</guid>
		<description>Interesting.
I have deep worries about DTC, but I wonder if Burns's worries about credibility really make much sense. Only a tiny portion of the population knows about the advertising budgets of drug companies, and it's not clear that vague doubts about credibility matter as much as the visibility that ads bring.

On the other hand, there was a recent study in Canada claiming to show that DTC isn't very effective anyway. I'm somewhat skeptical about that claim, for reasons I pointed out here:
"Are Pharma Companies Idiots? Unlikely..."
http://www.businessethics.ca/blog/2008/09/are-pharma-companies-idiots-unlikely.html</description>
		<content:encoded><![CDATA[<p>Interesting.<br />
I have deep worries about DTC, but I wonder if Burns&#8217;s worries about credibility really make much sense. Only a tiny portion of the population knows about the advertising budgets of drug companies, and it&#8217;s not clear that vague doubts about credibility matter as much as the visibility that ads bring.</p>
<p>On the other hand, there was a recent study in Canada claiming to show that DTC isn&#8217;t very effective anyway. I&#8217;m somewhat skeptical about that claim, for reasons I pointed out here:<br />
&#8220;Are Pharma Companies Idiots? Unlikely&#8230;&#8221;<br />
<a href="http://www.businessethics.ca/blog/2008/09/are-pharma-companies-idiots-unlikely.html" rel="nofollow">http://www.businessethics.ca/blog/2008/09/are-pharma-companies-idiots-unlikely.html</a></p>
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