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Channel: Comments on: The Op-Ed: A Slew Of Off-Label Promotion Is Unlikely
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By: Richard Meyer

This is a very good article and timely but what worries me is not that pharma companies will embrace off label marketing but that rogue salespeople and managers will see this as an opportunity to make...

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By: Tamara Piety

Mr Friede – Your op-ed surely represents what I would describe as sober and appropriate advice from the perspective of corporate counsel. However, I think it is difficult not to conclude that Caronia...

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By: Justice in MI

Anne–I’m curious what you intend by the point re: litigation. Genuine question. Here is a less sanguine interpretation, perhaps more in tune with Tamara Piety’s good comment. The “ur” example of...

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By: john

jiM I think you’re overreaching. As you mentioned, tbe drug was not approved.here in any indicafion. Nobody hands out drugs to pregnant women ljke candy anymore. In general neither teratogenicty nor...

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By: Justice in MI

John–Appreciate what you are saying. My point was not to suggest literal equivalence but what it means when there are drugs can be “handed out” (i.e., prescribed) without scientific foundation–which is...

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By: Justice in MI

Here’s a little more from the DOJ about Pfizer’s off-label promotion of Geodon: “The government alleges that Pfizer also promoted Geodon for use by unapproved patients, including pediatric and...

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By: dzieczko

@JiM – Anne did not use the word “litigation” embelished with “big bowl of crazy”, I did. Sorry for the confusion the embelishment caused. Here’s how I meant it – cut and pasted definition: “…An action...

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By: Justice in MI

dzie–I’m sorry; I genuinely don’t follow. Totally unrelated to that, I am finally reading some of the actual decision. Here is some that I find genuinely bat-crap crazy (hat tip to Lawrence O’Donnell):...

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By: AnnePME

JiM: My comment was meant to bring a little levity into the discussion. As a patient and patient advocate, it concerns me that this ruling might make things even more uncertain and confusing for...

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By: John

OK, JiM, your examples are certainly disturbing. But so far I’m not seeing how any of these extreme misbehaviors is any less prosecutable under a “truthful” umbrella than they were at the time they...

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By: dzieczko

@JiM – and I SERIOUSLY don’t follow what you don’t follow – you asked a simple question and I gave a simple answer ABOUT THE DEFINITION OF LITIGATION.

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By: dzieczko

“….I’m more and more of the opinion that most doctors simply are not qualified to Rx off label, and this function needs to be restricted to a subset of doctors who can demonstrate to a certifying...

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By: original industry insider

Dz, remember that much off label prescription is based on anecdotal reports and doctors’ own experience. Vioxx beat the pants off Celebrex without any comparative data. It was clear to many that Vioxx...

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By: Justice in MI

Agree with OII, which doesn’t happen every day. Also agree with John’s suggestion at the end re: docs and off-label prescribing. Re: “truthful,” I think what the case leaves most ambiguous is what that...

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By: original industry insider

JiM, when you think of me, remember one thing: http://images1.wikia.nocookie.net/__cb20070529002508/x-files/images/8/86/The_Truth_Is_Out_There_tagline.jpg

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By: dzieczko

@oii – “The safety problems with Vioxx were due to what was NOT published rather than vice verse.” So there you go, why litigate for First Amendment rights to go off label when the fact that you kept...

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By: dzieczko

If there was no *truth* to how a plane flies, it would not fly. @JiM, “…Re: “truthful,” I think what the case leaves most ambiguous is what that means….” Righto. Which leaves you with your own choice...

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By: John

I guess our experiences are just different JiM. I’ve never had a physician go sales rep on me and try to push me onto a prescription drug. I take two drugs regularly, each of which I requested after...

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By: original industry insider

John, kickbacks are as old as the profession of surgery. When my dad was establishing his surgical practice he was forced to kick back a portion of his surgical fee to the referring physician if he...

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By: dzieczko

At least one thing is clear, maybe not as regards “what is truth?” which is right up there “is there a god?” that Industry is just as capable of “frivolous” lawsuits as the consumer is.

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