{ "docId": "019dd923-622c-750b-8b9a-21918ac10c17", "docSlug": "f3db2294dcf9", "documentTitle": "Harmony Biosciences (HRMY)", "authorId": "58_Scorpion_Capital", "authorName": "Scorpion Capital", "documentKindSlug": "research-note", "documentKindLabel": "Research note", "sourceTypeSlug": "short_seller", "sourceTypeLabel": "Short seller", "presentationDate": "2023-03-28 00:00:00", "orientation": "landscape", "aspectRatio": 1.3333334, "pageNumber": 351, "pageCount": 366, "prevPage": 350, "nextPage": 352, "slideType": "expose_contradiction", "function": "expose_contradiction", "density": "overcrowded", "nDataPoints": 0, "notes": "The slide uses a Q&A transcript format to highlight potential violations of the Stark Law.", "elementsJson": [ "paragraph", "quote_block", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-21918ac10c17/351", "deckHref": "/decks/019dd923-622c-750b-8b9a-21918ac10c17", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-21918ac10c17.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-21918ac10c17#slide-351", "components": [ { "bbox": null, "kind": "callout", "text": "He stated that speaker who didn’t write enough prescriptions were threatened that “no, you can’t be a speaker for us because you don’t write enough” - or induced with “now, of you write more our drug, I’ll possibly look at making you a speaker.”", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-64d1-73a9-abc0-8d75c15d776b", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.095, "w": 0.854, "x": 0.073, "y": 0.743 }, "kind": "paragraph", "text": "A: “I know that if it was one salesperson telling me this, that would be a different story. But whenever, you know, a third of the people are coming out and saying, \"I can’t believe what this sales manager just said to my provider that I’ve been calling on now for three years. I mean, literally threatened them not being a speaker anymore if they didn’t pick up the volume.\" And I’m just like, \"Dude, they can’t say that.\" \"Well, they did.\" – Ex-field reimbursement manager working with Harmony", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "0acc11c5-91ae-41c6-849d-9d15371813ee", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.035, "w": 0.854, "x": 0.073, "y": 0.532 }, "kind": "paragraph", "text": "Q: “So, you heard this from sales reps? Sales reps were saying that their manager told the doctor that they’ll only get on the speaker’s program if they write more scripts?”", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "166bd9de-add6-4fbe-97dc-e5daee9f834c", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.045, "w": 0.854, "x": 0.073, "y": 0.398 }, "kind": "paragraph", "text": "Regional managers were allegedly threatening doctors on the speakers program if they didn’t write enough prescriptions; well-known practice in certain regions, resulting in sales reps leaving the company", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "378cb015-ee90-4d93-8e47-76f534bb503e", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.075, "w": 0.854, "x": 0.073, "y": 0.666 }, "kind": "paragraph", "text": "Q: “Are you able to say which region that person was in?”\nA: [geographic region redacted]\nQ: “The [geographic region redacted] manager. How many sales managers like that were you interacting with? Was that the only one? Like one bad apple. Or were there a bunch of people like that?”", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "57c9fc36-47f0-4ec8-b017-1f7fa6e8605d", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.255, "w": 0.854, "x": 0.073, "y": 0.068 }, "kind": "paragraph", "text": "In addition to off-label abuses, he detailed the speaker’s program as a kickback scheme. He alleged that numerous sales reps that he interacted with left Harmony due to their concern – with many voicing their alarm to him personally - and shared examples of regional managers allegedly using the speakers program as a carrot as well as a stick. He stated that speaker who didn’t write enough prescriptions were threatened that “no, you can’t be a speaker for us because you don’t write enough” - or induced with “now, of you write more our drug, I’ll possibly look at making you a speaker.” He added that “you can’t do that...that’s the Stark law.”", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "ac32318f-79fe-4b25-8271-721441764f66", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.095, "w": 0.854, "x": 0.073, "y": 0.569 }, "kind": "paragraph", "text": "A: “Yup. Or the exact polar opposite. \"You know, you’re currently a speaker with us, but you haven’t been writing as much as you used to. You know what? You may not be a speaker for us much longer if we don’t see these scripts go up because we need our speakers to have a lot more experience with Wakix.\" Now, you can’t do that. You just can’t do that. Did I hear sales managers say that? No. But I’ve had three sales reps say that about the sales, the same identical sales manager.”", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "c1bf4fc2-9dc4-4ef4-9fa9-6ceb1a84ad85", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.085, "w": 0.854, "x": 0.073, "y": 0.445 }, "kind": "paragraph", "text": "A: “I’ll be very candid with you. I had sales reps that left Harmony, and they would tell me that their sales manager would be, \"No, you can’t be a speaker for us because you don’t write enough. Now, if you write more of our drug, I’ll possibly look at making you a speaker.\" And you can’t do that. That’s the Stark law. There are federal statutes out there to stop that from happening.”", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "ef6f4e18-27ec-41cc-a37f-195861bc22fd", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "“I know that if it was one salesperson telling me this, that would be a different story. But whenever, you know, a third of the people are coming out and saying, 'I can't believe what this sales manager just said to my provider that I've been calling on now for three years. I mean, literally threatened them not being a speaker anymore if they didn't pick up the volume.' And I'm just like, 'Dude, they can't say that.' 'Well, they did.'” — Ex-field reimbursement manager working with Harmony", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-64d1-73a9-abc0-9086d5adea50", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.02, "w": 0.25, "x": 0.073, "y": 0.945 }, "kind": "source-note", "text": "Source: Scorpion Capital consultation calls with experts", "attrs": null, "subkind": null, "toolName": null, "toolSlug": null, "confidence": null, "componentId": "f749c6f9-dcc3-4d98-9c23-0f72f9857a78", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }