{ "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": 352, "pageCount": 366, "prevPage": 351, "nextPage": 353, "slideType": "expose_contradiction", "function": "expose_contradiction", "density": "overcrowded", "nDataPoints": 0, "notes": "The slide uses highlighted text to emphasize key allegations of regulatory non-compliance and unethical sales practices.", "elementsJson": [ "paragraph", "quote_block", "footnote" ], "metadataConfidence": 1, "imagePath": null, "slideHref": "/slides/019dd923-622c-750b-8b9a-21918ac10c17/352", "deckHref": "/decks/019dd923-622c-750b-8b9a-21918ac10c17", "deckJsonHref": "/decks/019dd923-622c-750b-8b9a-21918ac10c17.json", "deckAnchorHref": "/decks/019dd923-622c-750b-8b9a-21918ac10c17#slide-352", "components": [ { "bbox": { "h": 0.05, "w": 0.86, "x": 0.07, "y": 0.7 }, "kind": "callout", "text": "Sales reps left because of alleged pressure to push off-label scrips; given small number of narcolepsy patients, couldn't hit quota without being “a little creative”", "attrs": null, "subkind": "primary", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "60fc5690-9708-44d7-a251-318514bea584", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.03, "w": 0.48, "x": 0.07, "y": 0.33 }, "kind": "callout", "text": "Speakers program was used as a “leverage tool” over doctors", "attrs": null, "subkind": "primary", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "6fe969cd-0b4a-488d-a750-fe0c35f70e89", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "callout", "text": "Sales reps left because of alleged pressure to push off-label scrips; given small number of narcolepsy patients, couldn’t hit quota without being “a little creative”", "attrs": null, "subkind": null, "toolName": "Visual emphasis", "toolSlug": "visual-emphasis", "confidence": null, "componentId": "019dd953-64d1-73a9-abc0-f7f3fc188f65", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.18, "w": 0.86, "x": 0.07, "y": 0.07 }, "kind": "paragraph", "text": "He characterized the speaker's program as a “leverage tool” over doctors, and stated that the practice was so prevalent that in his region it led to “half of the sales team bring[ing] it to [redacted’s] attention.” He stated in contrast to Harmony, a “compliance issue like that normally is taken very, very seriously.” He emphasized the concerns among the field that led to resignations: “there were other reps that left because of...there were other people that just didn’t like the pressure.”", "attrs": null, "subkind": "paragraph", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "7779f7f4-bbd0-4221-87fd-fe047269c54e", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.12, "w": 0.86, "x": 0.07, "y": 0.76 }, "kind": "quote", "text": "“...there were other reps that left because of—there were other people that just didn’t like the pressure. We're not talking about rheumatoid arthritis. We're not talking about plaque psoriasis. We're not talking about migraines. There just is not a ton of patients that legitimately have narcolepsy and legitimately have cataplexy; there just aren't. It's a rare disease. Maybe the way they're looking at it, in order for these numbers to be there, you've got to be a little creative.” -Ex-field reimbursement manager working with Harmony", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "34ca9444-cdd3-4e30-a961-440f78d88841", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.18, "w": 0.86, "x": 0.07, "y": 0.5 }, "kind": "quote", "text": "Q: “You were there, and you heard this? Or you heard about it?”\nA: “Whenever half of the sales team brings that to [redacted’s] attention, I mean, we're talking about a sales team of 8 or 10, and half of them are saying that [redacted] is doing that...I've worked for probably some of the larger biotech and pharmaceutical companies out there, and a compliance issue like that normally is taken very, very seriously. Very seriously. That's not something that you do. Doctors are not ignorant. They realize whenever something is—whenever a law is being broken, something like that because I assure you, they don't hear that comment from every pharmaceutical company that comes in and talks to them.”- Ex-field reimbursement manager working with Harmony", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "71c47873-7b86-4ebf-83f8-6ba1ce84bece", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.12, "w": 0.86, "x": 0.07, "y": 0.37 }, "kind": "quote", "text": "A: “We discussed this last time, too. [Redacted] would - there were numerous occasions whenever [redacted] would be in front of a provider and just say, you know, we may have to take you off this lucrative speaker's program because you're just not writing enough. You don't have enough clinical experience with our drug because you're not writing enough of it. Some doctors would take that offensively. And keep in mind, you know, Stark law; you can't do that. You can't provide compensation for speaking based upon—you can't use that as a leverage tool.”", "attrs": null, "subkind": "testimonial", "toolName": null, "toolSlug": null, "confidence": null, "componentId": "ab7cbf8b-797a-41d7-83dd-f28272998ae6", "frameworkName": null, "frameworkSlug": null }, { "bbox": null, "kind": "quote", "text": "“We discussed this last time, too. [Redacted] would - there were numerous occasions whenever [redacted] would be in front of a provider and just say, you know, we may have to take you off this lucrative speaker’s program because you’re just not writing enough. You don’t have enough clinical experience with our drug because you’re not writing enough of it. Some doctors would take that offensively. And keep in mind, you know, Stark law; you can’t do that. You can’t provide compensation for speaking based upon—you can’t use that as a leverage tool.” — Ex-field reimbursement manager working with Harmony", "attrs": null, "subkind": null, "toolName": "Authority citation", "toolSlug": "authority-citation", "confidence": null, "componentId": "019dd953-64d1-73a9-abc0-fa8c8fc5811d", "frameworkName": null, "frameworkSlug": null }, { "bbox": { "h": 0.02, "w": 0.25, "x": 0.07, "y": 0.95 }, "kind": "source-note", "text": "Source: Scorpion Capital consultation calls with experts", "attrs": null, "subkind": null, "toolName": null, "toolSlug": null, "confidence": null, "componentId": "8d921237-e032-4a06-903a-ef486bcb75c1", "frameworkName": null, "frameworkSlug": null } ], "metrics": [], "tools": [], "frameworks": [], "arcBeats": [], "loops": [], "imagePathAlt": null, "thumbSrc": null, "thumbSrcAlt": null, "locked": true }