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    Ackman, who runs pershing square capital management, became a top shareholder of valeant when its shares were flying high. . In addition, sprout prepared pamphlets and other marketing materials and enlisted doctors as expert speakers for addyi.

    Six former sprout employees said the money helped pay for two national sales directors, including one who had sold viagra when it went on sale in 1998. Former sprout employees say that the changes in marketing strategy complicated their efforts to sell doctors on the pill. His stake doubled when valeant bought the company.

    Sprout also settled on a price 400 for a month of pills, or about the cost of a months worth of erectile dysfunction pills. Sprout also pledged to refrain from advertising the drug directly to the public for 18 months. Addyi would have to carry a black box warning, the most serious kind, stating that taking the drug with alcohol can cause dangerous drops in blood pressure or fainting.

    Ackman is agitating for change and has secured his own board seat. The food and drug administration had just approved its drug addyi to treat low sex drive in women. That didnt work, but some early clinical trials did show an increase in sex drive among women.

    Now sprout shareholders, in their letter to valeant, say that relying on philidor to distribute addyi was a crucial mistake. And a vocal investment research firm that had bet against valeants shares published a report criticizing the companys accounting. Doctors and pharmacists would need to pass a test to prescribe or dispense it.

    Streicher, the chicago gynecologist, said she had prescribed the drug to only about 10 patients, to mixed reviews. Others say addyis struggles are for the best. Sure enough, after the drug was approved, anthem, one of the nations largest insurers, said it would cover the drug at the 400 price. The former employees would speak only on the condition of anonymity either because they had signed nondisclosure agreements or because they feared that being identified would jeopardize their future in the industry. The companys experience was in selling older products with a well-established market, not new drugs.


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    Escapologist Female Viagra Sale Schiller, who represents the sprout shareholders, said in a statement that valeant was not meeting the obligations it agreed to with sprout, to the detriment of sprout shareholders, valeants own shareholders, its debt holders and the millions of women who would benefit from addyi. Late-night comedians joked about “female Viagra. In clinical trials, women reported a . Sprout built an ambitious sales apparatus ahead of f. Apr 9, 2016, Pearson took the stage. Greenberg, adding that she had not received money for making the connection. There were questions about its effectiveness and convenience.
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    Once valeant owned the drug, for example, it doubled the price, to 800. Today, as addyi struggles, valeants broader difficulties could limit its ability to invest in the drugs marketing effort. But valeant then announced it was severing ties with philidor, leaving the drug without a distributor. Laurie little, a spokeswoman for valeant, said financial assistance programs were available for people without insurance coverage. Others say addyis struggles are for the best.

    Greenberg, adding that she had not received money for making the connection. The companys dealings with the pharmacy are now under federal investigation, as are its drug-pricing policies, which have been described by lawmakers as predatory. Streicher, the chicago gynecologist, said she had prescribed the drug to only about 10 patients, to mixed reviews. It need only be taken before sex, not daily like addyi. When they left, their positions were not filled.

    Cindy whitehead, who was sprouts chief executive, left valeant pharmaceuticals when distribution of addyi lagged. Interviews with former sprout employees, analysts, investors and doctors who helped bring the drug to market suggest how a series of missteps after the deal, along with turbulence from aggressive accounting practices, unusual business relationships and big egos, derailed one of the most intriguing new pharmaceuticals in a generation. Ackman, a billionaire who had worked with ms. On wednesday, in a call with pershing square investors, mr. Sprout also settled on a price 400 for a month of pills, or about the cost of a months worth of erectile dysfunction pills. Simon, a member of valeants scientific advisory board for addyi, said the company seemed out of its depth. Greenberg years earlier on his crusade against herbalife, the supplements company. His stake doubled when valeant bought the company. Streicher, a chicago gynecologist who specializes in sexual health. Valeant pharmaceuticals international, a drug company whose deal-making acumen had made it a stock-market darling, bought sprout for an astonishing 1 billion twice its value just two months earlier.

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