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The Year 2010 in
        Images




These are my favorite images that appeared in
       Pharma Marketing Blog 2010: The Year in Images
Pharma Marketing Blog posts made in 2010.
             © 2010. Pharma Marketing Network. All rights reserved.
TIME Person of the Year: Pharmaguy
                                                       Of course the most
                                                       important event in
                                                       2010 was this quote
                                                       in TIME magazine:
                                               “If [pharmaceutical companies]
                                               can't fully participate in the
                                               social-media conversation, they
                                               get marginalized," says John
                                               Mack, publisher of Pharma
                                               Marketing Blog.

                                                Pharma is "Cleverly Navigating" the Social
                                                    Media Space Says TIME Magazine


       Pharma Marketing Blog 2010: The Year in Images
              © 2010. Pharma Marketing Network. All rights reserved.
Pharmaguy's Comedy Improv(e)
            Club




     Here's to the humorous side of
      pharmaceutical marketing.

    Pharma Marketing Blog 2010: The Year in Images
           © 2010. Pharma Marketing Network. All rights reserved.
A Note on Organization
Images are ordered according to topic areas
rather than chronologically as follows:
  • Social Media
  • Pharm Use of Internet Other Than
    Social Media
  • Media Mix
  • Payments to Physicians
  • Pharma Companies
     – Merck
     – Johnson & Johnson
     – Pfizer
       Pharma Marketing Blog 2010: The Year in Images
              © 2010. Pharma Marketing Network. All rights reserved.
Waiting for Goduidance




Social media, social media, social media...how many
times did we hear that in 2010? Perhaps like Godot,
   FDA social media guidance may never arrive.


       Pharma Marketing Blog 2010: The Year in Images
              © 2010. Pharma Marketing Network. All rights reserved.
#FDAsm Comments vs Presentations

                                                                 Although the drug
                                                                 industry made few
                                                                 presentations at the
                                                                 November, 2009, FDA
                                                                 public hearing on
                                                                 regulation of the
                                                                 internet & social media,
                                                                 the industry submitted
                                                                 its fair share of
                                                                 comments to the
                                                                 docket afterward.




     Pharma Marketing Blog 2010: The Year in Images
            © 2010. Pharma Marketing Network. All rights reserved.
Who Submitted Comments to FDA
       After the Hearing
                                                                     Here's another way
                                                                     of looking at who
                                                                     submitted comments
                                                                     to the FDA. Most
                                                                     “Health Websites”
                                                                     were for-profits that
                                                                     seek pharma ads
                                                                     and sponsorships.
                                                                     “Industry Advocates”
                                                                     include organiza-
                                                                     tions such as
                                                                     PhRMA, the industry
                                                                     trade association.


     Pharma Marketing Blog 2010: The Year in Images
            © 2010. Pharma Marketing Network. All rights reserved.
How Flexible Can FDA Be?
                                                Johnson & Johnson urged
                                                FDA to take a "flexible
                                                approach" to social media
                                                regulation. It specifically cited
                                                FTC’s “reasonable man” as a
                                                model for how to regulate
                                                space-limit pharma ads.
                                                Later in 2010, the Center for
                                                Digital Democracy, in a
                                                complaint filed with the FTC,
                                                said "Before the FDA acts, it
                                                should await an investigation
                                                and a report [on online health
                                                marketing privacy issues] by
                                                the FTC."


   Pharma Marketing Blog 2010: The Year in Images
          © 2010. Pharma Marketing Network. All rights reserved.
Medium vs Message

                                             FDA has often said that it’s
                                             the message, not the medium
                                             that is their concern.
                                             The question is: Does the
                                             Internet require specific guide-
                                             lines because of its unique
                                             and evolving communication
                                             technology? Keep in mind that
                                             in 1997 the FDA published
                                             specific guidelines for TV,
                                             which opened the floodgates
                                             for DTC advertising via that
                                             medium.



Pharma Marketing Blog 2010: The Year in Images
       © 2010. Pharma Marketing Network. All rights reserved.
FDA Facebook Fan Club

                                                When this Fan Club began
                                                the call to action was:
                                                "Welcome to the FDA Fan
                                                Club! Let's see if we can get
                                                the FDA to start its own
                                                Facebook page and use this
                                                group to promote it!" Well,
                                                the FDA now has a
                                                Facebook page. Good job,
                                                FDA Fan Club members!




 Pharma Marketing Blog 2010: The Year in Images
        © 2010. Pharma Marketing Network. All rights reserved.
Scrooge FDA
                                                FDA did NOT issue any
                                                social media/internet guide-
                                                lines in 2010. What’s holding
                                                up the process? Is it the
                                                WLF/Pfizer brief asking the
                                                U.S. District Court in
                                                Washington, DC for a
                                                preliminary injunction against
                                                FDA enforcement action?
                                                The WLF argued that FDA
                                                has not provided sufficient
                                                justification for interfering
                                                with free speech when
                                                directed to consumers on
                                                social media sites.

Pharma Marketing Blog 2010: The Year in Images
       © 2010. Pharma Marketing Network. All rights reserved.
Is Social Media Pharma’s Friend?




While the drug industry awaits FDA social media guidelines, some
  companies are not waiting to initiate social media campaigns.
Regardless of FDA action or inaction, the industry should be careful
  before seriously getting involved with social media marketing.
                Pharma Marketing Blog 2010: The Year in Images
                       © 2010. Pharma Marketing Network. All rights reserved.
Types of Sites Health Information
             Seekers Visit




   Despite all the brouhaha about social media and Facebook's
 ascendancy, it turns out that simple old drug.com sites are more
frequently visited by health information seekers than is Facebook!
               Pharma Marketing Blog 2010: The Year in Images
                      © 2010. Pharma Marketing Network. All rights reserved.
Close But No Cigar
                                                     Despite the fact that
                                                     several pharma "social
                                                     media" sites and cam-
                                                     paigns have won
                                                     accolades and awards
                                                     from interested service
                                                     providers and consul-
                                                     tants, precious few of
                                                     these sites allow 2-way
                                                     conversations, which is
                                                     the hallmark of truly
                                                     social media. All the
                                                     others win the “close, but
                                                     no cigar” award.




Pharma Marketing Blog 2010: The Year in Images
       © 2010. Pharma Marketing Network. All rights reserved.
The Disgruntled Patient

                                                        In 2010, at least one
                                                        pharma company social
                                                        media site—a sanofi-
                                                        aventis Facebook
                                                        page—allowed unedited
                                                        comments to be posted.
                                                        Unfortunately, S-A didn't
                                                        have a moderation policy
                                                        or a social media crisis
                                                        management plan. A
                                                        disgruntled patient over-
                                                        whelmed the wall with
                                                        negative comments. All
                                                        sanofi could do was to
                                                        delete the comments and
                                                        take down the wall.

 Pharma Marketing Blog 2010: The Year in Images
        © 2010. Pharma Marketing Network. All rights reserved.
Jump Right In!


                                                    Pharma companies are
                                                    being urged by consultants
                                                    and social media agencies
                                                    to do something with social
                                                    media even if they might
                                                    not be properly prepared.
                                                    S-A's experience with a
                                                    disgruntled patient was a
                                                    lesson that no pharma
                                                    company can ignore.




Pharma Marketing Blog 2010: The Year in Images
       © 2010. Pharma Marketing Network. All rights reserved.
Social Media Intern

                                                                   It's Social Media Intern! Who
                                                                   can change the course of social
                                                                   networks, fix an errant Facebook
                                                                   page faster than a speeding
                                                                   bullet, jump over the highest
                                                                   hurdles of any pharma legal/
                                                                   regulatory department, and who
                                                                   disguised as Emily Jameson (no
                                                                   relation to Jenna Jameson),
                                                                   mild-mannered intern for a great
                                                                   interactive agency, fights a never
                                                                   ending battle for pharma authen-
                                                                   ticity, transparency, and the
                                                                   ePharma Pioneer way!
Social Media Intern is Here to Help Pharma Avoid
            Social Media Faux Pas!



                           Pharma Marketing Blog 2010: The Year in Images
                                   © 2010. Pharma Marketing Network. All rights reserved.
The Shirt Off My Back!
                                    Even though most pharma
                                    social media campaigns have
                                    flaws, Pharmaguy recognized
                                    the efforts of social media
                                    pioneers working within
                                    pharmaceutical companies.
                                    Alex Butler of Janssen was
                                    the recipient of the first
                                    Pharmaguy Social Media
                                    Pioneer Award—the Hawaiian
                                    shirt off Pharmaguy’s back!




 Pharma Marketing Blog 2010: The Year in Images
        © 2010. Pharma Marketing Network. All rights reserved.
The Pharmaguy Social Media Pioneer
            Lapel Pin
                                                    Pharmaguy also wishes to
                                                    recognize ALL social media
                                                    pioneers in the pharma-
                                                    ceutical marketing industry.
                                                    Hence, this lapel pin was
                                                    distributed to dozens of
                                                    pioneers and you too may
                                                    qualify! Apply for one here.
                                                    The hope is that by wearing
                                                    the pin, it will prompt discus-
                                                    sions about what it means
                                                    to be a pharma social media
                                                    pioneer.


     Pharma Marketing Blog 2010: The Year in Images
            © 2010. Pharma Marketing Network. All rights reserved.
Social Media Pioneer Mummy!

                                             Shwen Gwee (@shwen)
                                             was taking “heat” for being
                                             recognized as a pharma
                                             social media pioneer even
                                             though his company does
                                             not have a product on the
                                             market and he hasn't
                                             launched any public SM
                                             campaigns. He received this
                                             scary mummy on his door-
                                             step around Halloween.
                                             Pharmaguy promptly sent
                                             one of his social media
                                             pioneer lapel pins to the
                                             mummy who’s no dummy.

 Pharma Marketing Blog 2010: The Year in Images
        © 2010. Pharma Marketing Network. All rights reserved.
Dark Patient Social Networks
                                         While the pharmaceutical
                                         industry is chaffing at the bit
                                         to "engage" patients in social
                                         networks, most patients
                                         spend most of their time
                                         online in password-protect-
                                         ed social networks that are
                                         inaccessible by pharma
                                         marketers unless the
                                         marketers disguise them-
                                         selves as patients. That sort
                                         of thing is a problem that
                                         guidelines from the FDA
                                         cannot address.



 Pharma Marketing Blog 2010: The Year in Images
        © 2010. Pharma Marketing Network. All rights reserved.
Fake Patients on the Internet




Pharma marketers already feature fake "patients" on their plain old
  websites. It’s only a short step from that to creating fake patient
accounts on password-protected patient social networks in order to
                influence discussions about products.

                Pharma Marketing Blog 2010: The Year in Images
                       © 2010. Pharma Marketing Network. All rights reserved.
“Crowd Sourcing” Replaces Your
          Physician

                                                  iGuard—now MediGuard
                                                  —is not intended to be a
                                                  substitute for professional
                                                  medical advice. Some
                                                  people, however, think
                                                  social media and user-
                                                  generated content ("crowd
                                                  sourcing") can actually be
                                                  of value.
                                                  Will this have a negative
                                                  impact on the patient-
                                                  physician relationship?




   Pharma Marketing Blog 2010: The Year in Images
          © 2010. Pharma Marketing Network. All rights reserved.
Celebrities & Social Media




Celebrities and Social Media is a match made in pharma marketing
  heaven! It's the perfect social media storm when a celebrity like
racecar driver Danica Patrick teams up with Boehringer Ingelheim's
Drive Against COPD campaign, which involves not only Twitter but
                also Facebook, Flickr, and YouTube.
                Pharma Marketing Blog 2010: The Year in Images
                       © 2010. Pharma Marketing Network. All rights reserved.
The Internet Can Be Depressing
                                                                                 A study offers evi-
                                                                                 dence suggesting
                                                                                 that "using the
                                                                                 Internet for health
                                                                                 purposes [is]
                                                                                 associated with
                                                                                 increased depres-
                                                                                 sion."
                                                                                 Maybe we shouldn't
                                                                                 be pressing FDA for
                                                                                 social media guide-
                                                                                 lines for pharma after
                                                                                 all!
Use of Internet to Obtain Health Information Can Make
                    You Depressed




                Pharma Marketing Blog 2010: The Year in Images
                        © 2010. Pharma Marketing Network. All rights reserved.
Feeble-Minded Digital Pharma
                 Geniuses
                                                            You may think the FDA is a
                                                            dunce when it comes to the
                                                            Internet. It turns out, however,
                                                            that some pharma companies
                                                            are digital feeble-minded
                                                            idiots. In fact, a pharma
                                                            company can be both a feeble-
                                                            minded digital idiot and a
                                                            digital genius according to the
                                                            "L2 Digital IQ Index" for
                                                            pharmaceutical brands, a first-
                                                            of-its kind measurement of the
                                                            digital competence of 51
                                                            pharma brands across eight
                                                            therapeutic categories.
Is Your Brand a Digital Genius or a
       Feeble-Minded Idiot?


              Pharma Marketing Blog 2010: The Year in Images
                      © 2010. Pharma Marketing Network. All rights reserved.
DTC Ad Spend Trend
                                                            DTC advertising staged
                                                            a bit of a comeback in
                                                            2009. We can't wait to
                                                            see the 2010 numbers!




                                                                 DTC Marketing Mix: Radio & Outdoor
                                                                Ad Spend Soars, Internet Not So Much

                                                                   Making Sense Out Pharma DTC
                                                                         Spending Trends


Pharma Marketing Blog 2010: The Year in Images
       © 2010. Pharma Marketing Network. All rights reserved.
DTC Media Mix, 2009 vs 2008
                                              Good news for those who want
                                              pharma to spend more money
                                              on Internet-based direct-to-
                                              consumer (DTC) advertising/
                                              marketing. That spending—not
                                              counting search engine
                                              marketing—increased by 30%
                                              in 2009 versus 2008. The bad
                                              news is that total Internet
                                              display ad spending is less
                                              than 3% of pharma's entire
                                              DTC budget.
                                                         Making Sense Out Pharma DTC
                                                               Spending Trends




 Pharma Marketing Blog 2010: The Year in Images
        © 2010. Pharma Marketing Network. All rights reserved.
“New Media” Spend for Physician
                     Promotion
                                                                               Telephone eDetailing,
                                                                               where physicians hear a
                                                                               detail on demand via
                                                                               the phone along with an
                                                                               interactive presentation
                                                                               via the Web, accounts
                                                                               for 49% of the "new
                                                                               media channel" physi-
                                                                               cian promotional spend,
                                                                               whereas "Internet de-
                                                                               tailing" is only 35% and
                                                                               Web advertising target-
                                                                               ed to physicians is a
                                                                               meager 1%.
Detailing by Telephone Accounts for Nearly Half of
       "New Media" Promotion to Physicians



                     Pharma Marketing Blog 2010: The Year in Images
                             © 2010. Pharma Marketing Network. All rights reserved.
Merck & GSK Prefer New York Docs
                                                                    Recent physician
                                                                    payment data made
                                                                    public by a few
                                                                    pharma companies
                                                                    such as Merck and
                                                                    GSK are being
                                                                    analyzed by many
                                                                    experts. This chart
                                                                    was developed to see
                                                                    if physicians in some
                                                                    states benefited
                                                                    disproportionately from
                                                                    pharma payments.


                                                                    Why Does GSK Prefer New York
                                                                     Physicians & Will Governor
                                                                     Patterson Ruin It for Them?


    Pharma Marketing Blog 2010: The Year in Images
           © 2010. Pharma Marketing Network. All rights reserved.
Pfizer Payments to Physicians
                                                              Pfizer's physician
                                                              payment data for Q1 and
                                                              Q2 2009 are plotted in
                                                              this chart according to
                                                              type of payment. It
                                                              clearly shows what
                                                              portion of every dollar
                                                              was spent on hiring
                                                              physicians for research
                                                              vs promotion (speaking
                                                              and "consulting").




  Pharma Marketing Blog 2010: The Year in Images
         © 2010. Pharma Marketing Network. All rights reserved.
PIRs are Declining
                                                     There has been some
                                                     decline in the percentage of
                                                     physicians involved in
                                                     Pharma-Industry Relations
                                                     (PIRs) between 2004 and
                                                     2009. While some believe
                                                     this is a result of cut backs
                                                     in marketing due to the
                                                     global financial crisis, PIRs
                                                     may be declining in part
                                                     because of the depressed
                                                     number of new drugs in the
                                                     pipeline that require
                                                     marketing to physicians.



Pharma Marketing Blog 2010: The Year in Images
       © 2010. Pharma Marketing Network. All rights reserved.
NAMI’s Pharma Funders
                                                     In the past, the National
                                                     Alliance on Mental Illness
                                                     (NAMI) was reluctant to
                                                     reveal its source of funding.
                                                     No wonder! The biggest
                                                     pharma funder in 2009 was
                                                     AstraZenca, which gave
                                                     NAMI $1.255 million. AZ
                                                     was forced to pay about
                                                     400X as much ($520
                                                     million) to resolve alle-
                                                     gations that it illegally
                                                     marketed the anti-psychotic
                                                     drug Seroquel for uses not
                                                     approved as safe and
                                                     effective by the FDA.

Pharma Marketing Blog 2010: The Year in Images
       © 2010. Pharma Marketing Network. All rights reserved.
Are Docs Being Banished from the
          “Pharma Garden of Eden?”




 At issue is a decision by the American Heart Association (AHA) to
  ban pharmaceutical industry physician employees from making
  medical education presentations at the AHA's annual scientific
sessions. All the fuss over this decision is just a tempest in a teapot
             as far as physician education is concerned.
                Pharma Marketing Blog 2010: The Year in Images
                       © 2010. Pharma Marketing Network. All rights reserved.
Medical Schools Don’t Ask & Their
                Faculty Don’t Tell




"When it comes to enforcing [conflict of interest] policies, universities
  have allowed permissive interpretations and relied on the honor
system," said ProPublica. “Many physicians are in apparent violation,
and ignorance or confusion about the rules is widespread.” Everyone
        is enjoying too much the ride that pharma is taking them on.
                Pharma Marketing Blog 2010: The Year in Images
                       © 2010. Pharma Marketing Network. All rights reserved.
Physicians Fed Fake Medical Journal
              Articles
                                                          The publication of "fake"
                                                          medical journals in
                                                          Australia by Elsevier
                                                          prompted a Pharma
                                                          Marketing Blog opinion
                                                          that mixing marketing
                                                          and editorial content in
                                                          medical publishing is un-
                                                          acceptable even when
                                                          there is plenty of "trans-
                                                          parency." Medical pub-
                                                          lishers must erect a "fire-
                                                          wall" between marketing
                                                          and editorial.



     Pharma Marketing Blog 2010: The Year in Images
            © 2010. Pharma Marketing Network. All rights reserved.
Japan vs. U.S. Pharma Innovation




The U.S. drug industry claims it is able to develop innovative new drugs thanks
in part to the high price of Rx brands in the U.S. But a Japanese cloth company
     beat Merck & Pfizer in the number of new drugs approved by the FDA!

                   Pharma Marketing Blog 2010: The Year in Images
                          © 2010. Pharma Marketing Network. All rights reserved.
Goggins Testifies Before Congress




Colleen Goggins, chairman of Johnson & Johnson's Consumer Group, testified at
 a House Oversight and Government Reform Committee hearing regarding OTC
  drug recalls made by McNeil. Johnson & Johnson Chairman and CEO William
    Weldon was called to testify, but sent Goggins in his place. What a wuss!
                     Pharma Marketing Blog 2010: The Year in Images
                            © 2010. Pharma Marketing Network. All rights reserved.
J&J’s Secret Recall




When Johnson and Johnson's McNeil Pharmaceuticals discovered that
Motrin tablets on drugstore shelves might be faulty, the company hired
contractors to purchase all the affected Motrin they could find in stores.
Goggins claimed not know about it. Huh? Did she take a bullet for J&J's
         CEO? See want she got as a reward in the next slide.
                  Pharma Marketing Blog 2010: The Year in Images
                         © 2010. Pharma Marketing Network. All rights reserved.
J&J’s Farewell Gift to Goggins




Colleen Goggins, who testified in the spring of 2010 before a
Congressional committee investigating recalls, will retire in
 March, 2011. Word is, she won't be getting a gold watch!



         Pharma Marketing Blog 2010: The Year in Images
                © 2010. Pharma Marketing Network. All rights reserved.
Parallels Between BP and J&J

                                                                  In 2010, the BP oil
                                                                  spill reminded us of
                                                                  the many parallels
                                                                  between the
                                                                  pharmaceutical and
                                                                  oil industries. To
                                                                  find out what these
                                                                  parallels are, just
                                                                  read this Pharma
                                                                  Marketing Blog
                                                                  post.




  Pharma Marketing Blog 2010: The Year in Images
         © 2010. Pharma Marketing Network. All rights reserved.
GSK Overwhelms the FDA with
        Paperwork

                                                                   The 14 million pages
                                                                   of documents that
                                                                   GSK submitted to the
                                                                   FDA in defense of
                                                                   Avandia had the
                                                                   intended effect:
                                                                   overwhelming FDA's
                                                                   advisory panel with
                                                                   "science," question-
                                                                   able as it may be.




   Pharma Marketing Blog 2010: The Year in Images
          © 2010. Pharma Marketing Network. All rights reserved.
Do You Know How to Pronounce
   “Boehringer Ingelheim?”




 You may be among the many people who have difficulty
pronouncing "Boehringer Ingelheim," the name of a well-
known, but difficult to pronounce German pharmaceutical
   company. This rebus may help you remember how.


       Pharma Marketing Blog 2010: The Year in Images
              © 2010. Pharma Marketing Network. All rights reserved.
Allergan Sues FDA, Gets Smaller
             Fine
                                                                    Allergan may have
                                                                    gotten off easy with
                                                                    a $600 million fine to
                                                                    settle a BOTOX
                                                                    misbranding charge.
                                                                    In exchange, the
                                                                    company agreed to
                                                                    drop the lawsuit it
                                                                    filed against the FDA
                                                                    challenging a rule
                                                                    that prohibits mar-
                                                                    keting drugs for
                                                                    unapproved uses.




    Pharma Marketing Blog 2010: The Year in Images
           © 2010. Pharma Marketing Network. All rights reserved.
Jeff bin Kindler

                                                                Pharma Marketing
                                                                Blog published a
                                                                Wikileaks document
                                                                about Jeff Kindler,
                                                                aka “Jeff bin Kindler,”
                                                                Pfizer’s CEO.
                                                                About a week later,
                                                                Kindler decided to call
                                                                it quits. Coincidence?




Pharma Marketing Blog 2010: The Year in Images
       © 2010. Pharma Marketing Network. All rights reserved.
Bots Attack Pfizer!

                                                                When Wikileaks
                                                                became the target of
                                                                "distributed denial of
                                                                service" attacks,
                                                                Pharmaguy wondered
                                                                if the pharmaceutical
                                                                industry was prepared
                                                                for similar attacks on its
                                                                digital infrastructure.




Pharma Marketing Blog 2010: The Year in Images
       © 2010. Pharma Marketing Network. All rights reserved.
Symptom Quiz for Dogs

                                                                “Symptom quizzes"
                                                                that are found on
                                                                many drug.com sites
                                                                are more useful to
                                                                marketers than they
                                                                are to patients. Now
                                                                there’s a site that has
                                                                a quiz your dog can
                                                                take!




Pharma Marketing Blog 2010: The Year in Images
       © 2010. Pharma Marketing Network. All rights reserved.
Alli in the Toilet
                                                                Just one view of the
                                                                future of GSK's OTC
                                                                diet pill.




Pharma Marketing Blog 2010: The Year in Images
       © 2010. Pharma Marketing Network. All rights reserved.

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Pharma Marketing Blog 2010: The Year in Images

  • 1. The Year 2010 in Images These are my favorite images that appeared in Pharma Marketing Blog 2010: The Year in Images Pharma Marketing Blog posts made in 2010. © 2010. Pharma Marketing Network. All rights reserved.
  • 2. TIME Person of the Year: Pharmaguy Of course the most important event in 2010 was this quote in TIME magazine: “If [pharmaceutical companies] can't fully participate in the social-media conversation, they get marginalized," says John Mack, publisher of Pharma Marketing Blog. Pharma is "Cleverly Navigating" the Social Media Space Says TIME Magazine Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 3. Pharmaguy's Comedy Improv(e) Club Here's to the humorous side of pharmaceutical marketing. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 4. A Note on Organization Images are ordered according to topic areas rather than chronologically as follows: • Social Media • Pharm Use of Internet Other Than Social Media • Media Mix • Payments to Physicians • Pharma Companies – Merck – Johnson & Johnson – Pfizer Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 5. Waiting for Goduidance Social media, social media, social media...how many times did we hear that in 2010? Perhaps like Godot, FDA social media guidance may never arrive. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 6. #FDAsm Comments vs Presentations Although the drug industry made few presentations at the November, 2009, FDA public hearing on regulation of the internet & social media, the industry submitted its fair share of comments to the docket afterward. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 7. Who Submitted Comments to FDA After the Hearing Here's another way of looking at who submitted comments to the FDA. Most “Health Websites” were for-profits that seek pharma ads and sponsorships. “Industry Advocates” include organiza- tions such as PhRMA, the industry trade association. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 8. How Flexible Can FDA Be? Johnson & Johnson urged FDA to take a "flexible approach" to social media regulation. It specifically cited FTC’s “reasonable man” as a model for how to regulate space-limit pharma ads. Later in 2010, the Center for Digital Democracy, in a complaint filed with the FTC, said "Before the FDA acts, it should await an investigation and a report [on online health marketing privacy issues] by the FTC." Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 9. Medium vs Message FDA has often said that it’s the message, not the medium that is their concern. The question is: Does the Internet require specific guide- lines because of its unique and evolving communication technology? Keep in mind that in 1997 the FDA published specific guidelines for TV, which opened the floodgates for DTC advertising via that medium. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 10. FDA Facebook Fan Club When this Fan Club began the call to action was: "Welcome to the FDA Fan Club! Let's see if we can get the FDA to start its own Facebook page and use this group to promote it!" Well, the FDA now has a Facebook page. Good job, FDA Fan Club members! Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 11. Scrooge FDA FDA did NOT issue any social media/internet guide- lines in 2010. What’s holding up the process? Is it the WLF/Pfizer brief asking the U.S. District Court in Washington, DC for a preliminary injunction against FDA enforcement action? The WLF argued that FDA has not provided sufficient justification for interfering with free speech when directed to consumers on social media sites. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 12. Is Social Media Pharma’s Friend? While the drug industry awaits FDA social media guidelines, some companies are not waiting to initiate social media campaigns. Regardless of FDA action or inaction, the industry should be careful before seriously getting involved with social media marketing. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 13. Types of Sites Health Information Seekers Visit Despite all the brouhaha about social media and Facebook's ascendancy, it turns out that simple old drug.com sites are more frequently visited by health information seekers than is Facebook! Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 14. Close But No Cigar Despite the fact that several pharma "social media" sites and cam- paigns have won accolades and awards from interested service providers and consul- tants, precious few of these sites allow 2-way conversations, which is the hallmark of truly social media. All the others win the “close, but no cigar” award. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 15. The Disgruntled Patient In 2010, at least one pharma company social media site—a sanofi- aventis Facebook page—allowed unedited comments to be posted. Unfortunately, S-A didn't have a moderation policy or a social media crisis management plan. A disgruntled patient over- whelmed the wall with negative comments. All sanofi could do was to delete the comments and take down the wall. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 16. Jump Right In! Pharma companies are being urged by consultants and social media agencies to do something with social media even if they might not be properly prepared. S-A's experience with a disgruntled patient was a lesson that no pharma company can ignore. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 17. Social Media Intern It's Social Media Intern! Who can change the course of social networks, fix an errant Facebook page faster than a speeding bullet, jump over the highest hurdles of any pharma legal/ regulatory department, and who disguised as Emily Jameson (no relation to Jenna Jameson), mild-mannered intern for a great interactive agency, fights a never ending battle for pharma authen- ticity, transparency, and the ePharma Pioneer way! Social Media Intern is Here to Help Pharma Avoid Social Media Faux Pas! Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 18. The Shirt Off My Back! Even though most pharma social media campaigns have flaws, Pharmaguy recognized the efforts of social media pioneers working within pharmaceutical companies. Alex Butler of Janssen was the recipient of the first Pharmaguy Social Media Pioneer Award—the Hawaiian shirt off Pharmaguy’s back! Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 19. The Pharmaguy Social Media Pioneer Lapel Pin Pharmaguy also wishes to recognize ALL social media pioneers in the pharma- ceutical marketing industry. Hence, this lapel pin was distributed to dozens of pioneers and you too may qualify! Apply for one here. The hope is that by wearing the pin, it will prompt discus- sions about what it means to be a pharma social media pioneer. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 20. Social Media Pioneer Mummy! Shwen Gwee (@shwen) was taking “heat” for being recognized as a pharma social media pioneer even though his company does not have a product on the market and he hasn't launched any public SM campaigns. He received this scary mummy on his door- step around Halloween. Pharmaguy promptly sent one of his social media pioneer lapel pins to the mummy who’s no dummy. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 21. Dark Patient Social Networks While the pharmaceutical industry is chaffing at the bit to "engage" patients in social networks, most patients spend most of their time online in password-protect- ed social networks that are inaccessible by pharma marketers unless the marketers disguise them- selves as patients. That sort of thing is a problem that guidelines from the FDA cannot address. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 22. Fake Patients on the Internet Pharma marketers already feature fake "patients" on their plain old websites. It’s only a short step from that to creating fake patient accounts on password-protected patient social networks in order to influence discussions about products. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 23. “Crowd Sourcing” Replaces Your Physician iGuard—now MediGuard —is not intended to be a substitute for professional medical advice. Some people, however, think social media and user- generated content ("crowd sourcing") can actually be of value. Will this have a negative impact on the patient- physician relationship? Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 24. Celebrities & Social Media Celebrities and Social Media is a match made in pharma marketing heaven! It's the perfect social media storm when a celebrity like racecar driver Danica Patrick teams up with Boehringer Ingelheim's Drive Against COPD campaign, which involves not only Twitter but also Facebook, Flickr, and YouTube. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 25. The Internet Can Be Depressing A study offers evi- dence suggesting that "using the Internet for health purposes [is] associated with increased depres- sion." Maybe we shouldn't be pressing FDA for social media guide- lines for pharma after all! Use of Internet to Obtain Health Information Can Make You Depressed Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 26. Feeble-Minded Digital Pharma Geniuses You may think the FDA is a dunce when it comes to the Internet. It turns out, however, that some pharma companies are digital feeble-minded idiots. In fact, a pharma company can be both a feeble- minded digital idiot and a digital genius according to the "L2 Digital IQ Index" for pharmaceutical brands, a first- of-its kind measurement of the digital competence of 51 pharma brands across eight therapeutic categories. Is Your Brand a Digital Genius or a Feeble-Minded Idiot? Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 27. DTC Ad Spend Trend DTC advertising staged a bit of a comeback in 2009. We can't wait to see the 2010 numbers! DTC Marketing Mix: Radio & Outdoor Ad Spend Soars, Internet Not So Much Making Sense Out Pharma DTC Spending Trends Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 28. DTC Media Mix, 2009 vs 2008 Good news for those who want pharma to spend more money on Internet-based direct-to- consumer (DTC) advertising/ marketing. That spending—not counting search engine marketing—increased by 30% in 2009 versus 2008. The bad news is that total Internet display ad spending is less than 3% of pharma's entire DTC budget. Making Sense Out Pharma DTC Spending Trends Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 29. “New Media” Spend for Physician Promotion Telephone eDetailing, where physicians hear a detail on demand via the phone along with an interactive presentation via the Web, accounts for 49% of the "new media channel" physi- cian promotional spend, whereas "Internet de- tailing" is only 35% and Web advertising target- ed to physicians is a meager 1%. Detailing by Telephone Accounts for Nearly Half of "New Media" Promotion to Physicians Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 30. Merck & GSK Prefer New York Docs Recent physician payment data made public by a few pharma companies such as Merck and GSK are being analyzed by many experts. This chart was developed to see if physicians in some states benefited disproportionately from pharma payments. Why Does GSK Prefer New York Physicians & Will Governor Patterson Ruin It for Them? Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 31. Pfizer Payments to Physicians Pfizer's physician payment data for Q1 and Q2 2009 are plotted in this chart according to type of payment. It clearly shows what portion of every dollar was spent on hiring physicians for research vs promotion (speaking and "consulting"). Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 32. PIRs are Declining There has been some decline in the percentage of physicians involved in Pharma-Industry Relations (PIRs) between 2004 and 2009. While some believe this is a result of cut backs in marketing due to the global financial crisis, PIRs may be declining in part because of the depressed number of new drugs in the pipeline that require marketing to physicians. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 33. NAMI’s Pharma Funders In the past, the National Alliance on Mental Illness (NAMI) was reluctant to reveal its source of funding. No wonder! The biggest pharma funder in 2009 was AstraZenca, which gave NAMI $1.255 million. AZ was forced to pay about 400X as much ($520 million) to resolve alle- gations that it illegally marketed the anti-psychotic drug Seroquel for uses not approved as safe and effective by the FDA. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 34. Are Docs Being Banished from the “Pharma Garden of Eden?” At issue is a decision by the American Heart Association (AHA) to ban pharmaceutical industry physician employees from making medical education presentations at the AHA's annual scientific sessions. All the fuss over this decision is just a tempest in a teapot as far as physician education is concerned. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 35. Medical Schools Don’t Ask & Their Faculty Don’t Tell "When it comes to enforcing [conflict of interest] policies, universities have allowed permissive interpretations and relied on the honor system," said ProPublica. “Many physicians are in apparent violation, and ignorance or confusion about the rules is widespread.” Everyone is enjoying too much the ride that pharma is taking them on. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 36. Physicians Fed Fake Medical Journal Articles The publication of "fake" medical journals in Australia by Elsevier prompted a Pharma Marketing Blog opinion that mixing marketing and editorial content in medical publishing is un- acceptable even when there is plenty of "trans- parency." Medical pub- lishers must erect a "fire- wall" between marketing and editorial. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 37. Japan vs. U.S. Pharma Innovation The U.S. drug industry claims it is able to develop innovative new drugs thanks in part to the high price of Rx brands in the U.S. But a Japanese cloth company beat Merck & Pfizer in the number of new drugs approved by the FDA! Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 38. Goggins Testifies Before Congress Colleen Goggins, chairman of Johnson & Johnson's Consumer Group, testified at a House Oversight and Government Reform Committee hearing regarding OTC drug recalls made by McNeil. Johnson & Johnson Chairman and CEO William Weldon was called to testify, but sent Goggins in his place. What a wuss! Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 39. J&J’s Secret Recall When Johnson and Johnson's McNeil Pharmaceuticals discovered that Motrin tablets on drugstore shelves might be faulty, the company hired contractors to purchase all the affected Motrin they could find in stores. Goggins claimed not know about it. Huh? Did she take a bullet for J&J's CEO? See want she got as a reward in the next slide. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 40. J&J’s Farewell Gift to Goggins Colleen Goggins, who testified in the spring of 2010 before a Congressional committee investigating recalls, will retire in March, 2011. Word is, she won't be getting a gold watch! Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 41. Parallels Between BP and J&J In 2010, the BP oil spill reminded us of the many parallels between the pharmaceutical and oil industries. To find out what these parallels are, just read this Pharma Marketing Blog post. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 42. GSK Overwhelms the FDA with Paperwork The 14 million pages of documents that GSK submitted to the FDA in defense of Avandia had the intended effect: overwhelming FDA's advisory panel with "science," question- able as it may be. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 43. Do You Know How to Pronounce “Boehringer Ingelheim?” You may be among the many people who have difficulty pronouncing "Boehringer Ingelheim," the name of a well- known, but difficult to pronounce German pharmaceutical company. This rebus may help you remember how. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 44. Allergan Sues FDA, Gets Smaller Fine Allergan may have gotten off easy with a $600 million fine to settle a BOTOX misbranding charge. In exchange, the company agreed to drop the lawsuit it filed against the FDA challenging a rule that prohibits mar- keting drugs for unapproved uses. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 45. Jeff bin Kindler Pharma Marketing Blog published a Wikileaks document about Jeff Kindler, aka “Jeff bin Kindler,” Pfizer’s CEO. About a week later, Kindler decided to call it quits. Coincidence? Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 46. Bots Attack Pfizer! When Wikileaks became the target of "distributed denial of service" attacks, Pharmaguy wondered if the pharmaceutical industry was prepared for similar attacks on its digital infrastructure. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 47. Symptom Quiz for Dogs “Symptom quizzes" that are found on many drug.com sites are more useful to marketers than they are to patients. Now there’s a site that has a quiz your dog can take! Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.
  • 48. Alli in the Toilet Just one view of the future of GSK's OTC diet pill. Pharma Marketing Blog 2010: The Year in Images © 2010. Pharma Marketing Network. All rights reserved.