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  "documentTitle": "Soleno Therapeutics (SLNO)",
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  "notes": "The slide highlights the physician's skepticism and the administrative hurdles faced with the drug Vykat.",
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      "text": "Keen interest in Vykat but aware the pivotal trial failed; submitted 5 forms, with denial and rest in a black hole",
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      "text": "He started the call sounding open to Vykat – although he noted the phase 3 trial was a failure - but quickly became rattled – perhaps even panicked, as he's submitted start forms – at our line of inquiry, and seemed to wonder if he had been fleeced.",
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      "text": "Has submitted 5 Vykat start forms with one denial and four unapproved as insurers stall, stating he only did so because 1) a few parents pushed for it after being hyped up by a PWS association and it's hard to say no; and 2) he was sold by Jennifer Miller.",
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      "text": "Q: 'Have you submitted paperwork for a bunch of patients already?' A: 'I have, and it's all pending because it's a new drug. We've had one patient with good commercial insurance who just got denied literally this week. We've got a response back, and the other four are pending. We don't know what's going on with this point. But as I said, one was denied this week, and so we're relying on the specialty pharmacy to do the appeal.'",
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      "text": "A: 'I've been following the data quite closely because I was very interested in this drug. The three main studies, there was the prospective study, which did not meet primary endpoint. I have prescribed quite a few patients on this drug so far.'",
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      "text": "Source: Scorpion Capital consultation calls with experts",
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      "text": "PWS endocrinologist #5: Division Chief for pediatric endocrinology at a major academic center who sees 20-25 PWS patients annually.",
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