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    Today, as addyi struggles, valeants broader difficulties could limit its ability to invest in the drugs marketing effort. Pearson, valeants chief executive, looked distracted when he took the stage in mid-october at a party meant to energize the addyi sales team, a description the company denies. Valeants purchase of sprout turned out to be a colossal failure, said vicki bryan, an analyst at gimme credit, a debt analysis firm.

    His stake doubled when valeant bought the company. It need only be taken before sex, not daily like addyi. Sure enough, after the drug was approved, anthem, one of the nations largest insurers, said it would cover the drug at the 400 price.

    Ackman also bought a personal stake in sprout in june 2015, two months before its drug was approved by the f. Simon, a member of valeants scientific advisory board for addyi, said the company seemed out of its depth. Streicher, the chicago gynecologist, said she had prescribed the drug to only about 10 patients, to mixed reviews.

    Ackmans comments, but clearly, recouping the 1 billion the company paid for addyi will take some time. He left the room a few minutes later, in spite of having promised to stay for the day. Former sprout employees say that the changes in marketing strategy complicated their efforts to sell doctors on the pill.

    On wednesday, in a call with pershing square investors, mr. After the 2013 rejection, they i just suspected that there were higher barriers for something to treat women, a lot higher than were set up for the male drugs, said sally greenberg, executive director of the national consumers league, which campaigned for the drug. Streicher, a chicago gynecologist who specializes in sexual health.

    When they left, their positions were not filled. Still, even with the roadblocks, some analysts predicted that millions of women would take the drug. Cvscaremark, the pharmacy benefits manager, notified valeant several weeks before the pills introduction that it would not cover addyi at the 800 price, according to a letter sprout shareholders sent to valeant in march. Greenberg years earlier on his crusade against herbalife, the supplements company. The valeant spokeswoman said the company intended to fulfill its obligations under the deal.


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    And viagra, which can lead to side effects like dizziness and nausea, does not carry a black-box warning. Valeant has acknowledged that sales of addyi have not lived up to expectations and that it plans to invest more in the drug. The multiple restrictions blunted some of the excitement around the drugs approval, said dr. Cvscaremark, the pharmacy benefits manager, notified valeant several weeks before the pills introduction that it would not cover addyi at the 800 price, according to a letter sprout shareholders sent to valeant in march. Michael pearson, valeants chief executive and architect of its strategy.

    Still, the dismal results have come as a surprise and underscore valeants troubles. And he joked that valeant had overpaid for addyi, according to several of the former employees who had attended the meeting. . Within weeks of the deal, valeant went from investor idol to pariah as its business model of buying older drugs and raising the prices attracted international scorn. Insurance companies, she said, would most likely receive discounts to make the drug cost less than 800.

    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. 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. Laurie little, a spokeswoman for valeant, said financial assistance programs were available for people without insurance coverage. Women, for instance, would need to take it every day and abstain from alcohol. His stake doubled when valeant bought the company. She said the company was preparing a speakers program. His fund, pershing square capital management, became a top shareholder of valeant when its shares were flying high. That didnt work, but some early clinical trials did show an increase in sex drive among women. In addition, sprout prepared pamphlets and other marketing materials and enlisted doctors as expert speakers for addyi.

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