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  "documentTitle": "Harmony Biosciences (HRMY)",
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  "presentationDate": "2023-03-28 00:00:00",
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  "notes": "The slide uses direct quotes from former territory managers to substantiate allegations of fraudulent marketing practices.",
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      "text": "One ex-territory manager explained it as a textbook off-label scheme: “the trick was to get it covered under cataplexy…now, we market it for – I don’t know what we said….”",
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      "text": "Given the small number of narcoleptics and even smaller number of those with cataplexy, former employees allege that Harmony is dependent upon a strategy that illegally promotes Wakix for 1) excessive daytime sleepiness even if there is no narcolepsy; and 2) incentivizes territory managers (via a highly unusual comp plan) and high-volume prescribers (via the speaker’s program) to falsely indicate cataplexy symptoms even if none are present, in addition to misrepresenting that reimbursement requirements have been met, like step-edits that require a patient to first fail various generics or other medications. One ex-territory manager explained it as a textbook off-label scheme: “the trick was to get it covered under cataplexy...now, we market it for – I don’t know what we said....” He described a wink-wink game where reps coach or cajole the doctor to indicate cataplexy by “really stretching it...so, you get into games like that....”",
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      "text": "Then you get into a game as a rep of cataplexy, and you're really symptoms of cataplexy. Well, you ask the physician; yeah, I don't see cataplexy very much. And then you're like, Oh, yeah, doctor, you don't see their hand shaking or their eye quivering—and you're really stretching it because cataplexy gets covered on most insurance plans.",
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      "text": "And the key to that was if it was cataplexy, you could get it covered...so, the trick was to get it covered under cataplexy because then you can reasonably get the $25 copay. Now, we market it for—I don’t know what we said...",
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      "text": "“And the key to that was if it was cataplexy, you could get it covered...so, the trick was to get it covered under cataplexy because then you can reasonably get the $25 copay. Now, we market it for—I don’t know what we said…” — Ex-Harmony territory manager for a large region in the southeast across two states; “Then you get into a game as a rep of cataplexy, and you're really symptoms of cataplexy. Well, you ask the physician; yeah, I don't see cataplexy very much. And then you're like, Oh, yeah, doctor, you don't see their hand shaking or their eye quivering—and you're really stretching it because cataplexy gets covered on most insurance plans.” — Ex-Harmony territory manager for a large region in the southeast across two states",
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      "text": "Source: Scorpion Capital consultation calls with experts",
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