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Questcor Pharmaceuticals Responds to Questions From Investor Blog
Date:1/16/2012

es.  In the Summer of 2007, Questcor changed the distribution of Acthar from a traditional wholesale/retail distribution to specialty distribution. Questcor has had no communication with IMS regarding IMS reporting and cannot comment on the accuracy of IMS data with respect to Acthar prescription trends.  Our general understanding is that IMS obtains more complete data for pharmaceutical products dispensed at retail pharmacies. Since Acthar has been distributed through specialty pharmacies since the Summer of 2007, IMS data may or may not reflect all Acthar sales. In any case, Questcor provides investors with periodic updates of approximate prescription trend information from analyzing prescription data received by a Questcor sponsored reimbursement support center.  

One of the major reasons for the change in Questcor's Acthar distribution model in the Summer of 2007 was that patients with devastating medical conditions, such as infantile spasms which is considered a medical emergency by child neurologists, would be better able to get insurance coverage confirmed and receive Acthar quickly.

8. What percentage of U.S. neurologists and nephrologists has prescribed Acthar so far?

Questcor Response:  In the third quarter ended September 30, 2011, we estimate that between 400-500 neurologists and 50-75 nephrologists wrote prescriptions for Acthar.  This estimate is based on prescriptions processed by our reimbursement support center. Not all of these prescriptions were what we characterize as paid, shipped prescriptions.  Some of these prescriptions were filled through our free drug program and some were covered under Medicaid insurance which incurs no net cost for Acthar due to rebates required by law. We believe that there are approximately 8,000 neurologists and 7,000 nephrologists in the US.

9. How many Acthar prescriptions do most of those doctors usually write?

Questcor Response: In th
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SOURCE Questcor Pharmaceuticals, Inc.
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