SECTION 8C – PRODUCT SALES
CASE 8.13 – CARDINAL HEALTH, CVS, AND OXYCODONE SALES
Answers and Key Discussion Items
1. Because the companies are responsible for the actions of their agents, subsidiaries and employees.
2. These are all rationalizations that help employees avoid the concerns they may feel as they witness
3. They should have emphasized the need to speak up and call and let someone know. In addition,
CASE 8.14 – PFIZER, PHARMAS, FINES, AND SALES TACTICS
Answers and Key Discussion Items
1. Pfizer’s sales reps crossed another fine line between selling a drug for its approved purpose and
touting it for non-FDA-approved uses. This situation involves a tough close call because how does a
sales rep respond when a doctor asks about a study and a use? Daily vigilance through constant
examples of issues the sales force experiences is the stuff of prevention. The translation of the law,
2. A corporation that is convicted of a crime is not permitted to have federal contracts, is generally under
3. Have the students go back to Unit Four on culture and discuss the similar situations in financial
reporting in which employees were rebuffed or fired. Also, have them re-examine the options for
whistleblowers. As the students have studied in Unit Four, there are times when the culture is so far
4. This fine line is one that requires constant training and vigilance and correction. The safest route is
for the reps to simply state that they are only trained in use of the drug for FDA-approved use and any
other questions would have to be researched independently by the doctor. Citing the research can be
5. The pay and incentives are drivers and the “we will take it back” claw-back provisions are necessary.
CASE 8.15 – THE MESS AT MARSH MCLENNAN
Use PowerPoint Slide 318 for that terrific quote that shows brokers were aware of what was happening.