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

quantitative response to this question. The Company does not provide information to external parties regarding the prescribing activity of specific physicians or clinics.

14. Does Questcor offer any financial incentives to healthcare providers who use Acthar (such as price discounts or free samples of the drug)? If so, please explain.

Questcor Response:  The Company does not provide financial incentives to doctors or other healthcare practitioners to prescribe Acthar. On rare occasions we have provided an Acthar sample to a very small number of doctors at their request.  Providing product samples is of course a very common, accepted practice in the pharmaceutical industry.

15. Questcor now markets Acthar for the treatment of nephrotic syndrome as well, with the Company focusing on a specific type of NS (idiopathic membranous nephropathy) in particular. The official Acthar label actually lists a somewhat different indication, however. Has Questcor received FDA assurance that it can in fact market Acthar as an on-label treatment for NS, including specific diseases related to that syndrome?

Questcor Response: Questcor does not promote Acthar for the treatment of nephrotic syndrome.  The Company does promote Acthar for the treatment of proteinuria in nephrotic syndrome, using the specific language from its label which is:  "to induce a diuresis or a remission of proteinuria in the nephrotic syndrome without uremia of the idiopathic type or that due to lupus erythematosus." 

The term "nephrotic syndrome" is typically used in the nephrology field to describe a condition where a patient is losing 3.5 grams or more protein in the urine per day.  Some common idiopathic type kidney disorders that can result in nephrotic syndrome include, among others, idiopathic membranous nephropathy, focal segmental glomerulosclerosis, IgA nephropathy and minimal change disease.  Nephrotic syndrome ca
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SOURCE Questcor Pharmaceuticals, Inc.
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