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  • Main Subject - Don't Get Caught In The Efficiency Trap

    Okay, I'm going to start off by talking bad about a Toyota dealer, so before we get into it, let's make a couple of things clear. I own a Toyota Prius and love it! From what I have
    According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
    seen, I would probably enjoy owning almost any Toyota vehicle. However, not all Toyota dealers are created equal, and I have run into one low-life, scumbag, bait and switch dealer
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    n North Dallas, but that has been the exception rather than the rule.

    The other Toyota dealers I have dealt with have all been courteous, service oriented, up to date technologicall
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    y, and efficient. Therein lies the rub, as Bill Shakespeare would say. Sometimes even these great organizations get so caught up in their grand scheme of operations that they lose
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    ight of how to do the simple things.

    Years ago, some coworkers and I used to have a motto of sorts. It was something like; "Work tends to expand to occupy the time and resources co
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    mmitted to it." That seems to be what has happened to such things as "labor saving devices", paperless record keeping and the like.

    This was brought to mind today when I took my Pr
    ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
    us in for an oil change. After it was completed and I got my paperwork, prepared by a computer, by the way, I had to take the paperwork to a cashier so she could take payment. That
    easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
    's not the bad part. While standing at the cashier's desk, I noticed a bin of ice scrapers. We had had an ice storm the night before and more was expected, and, having recently mov
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    d, my ice scraper was resting safe and warm in a box...somewhere.

    In a blistering fit of ignorance, I picked up an ice scraper, priced $1.69, and said, nostalgic fool that I am, "Ad
    and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
    d this on there, please." I always say "please" and "thank you", just like mama and daddy taught me. Despite my cheerful courteousness, the young lady looked at me blankly for a mo
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    ent. I'll skip the ensuing conversation. The upshot was that I had to take the ice scraper to the parts department, where they created a sales ticket within the computer system, wh
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    ich they then printed up a paper copy of, so that I could carry it back to the cashier, so that I could pay her the $1.69 plus tax. To create the sales ticket in the parts departmen
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    , they needed my name. I guess that was necessary to meet homeland security requirements, or something.

    I had the exact change and was willing to lay it on the counter and take my
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    ice scraper and go. However, systems and procedures must be followed, and a transaction between two humans without a computerized intermediary is unthinkable to some people.

    Years
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    go, I worked in an office with a very small, very slow copy machine with a very limited capacity and capability. We did quite well. Shortly after that, we got a much better copy ma
    t?

    As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
    chine. It was faster and was able to do tricks, like two-sided copies, color copies, and the like. Suddenly, a need developed for more copies and the color capability was exploited
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    to the max. Despite the greater speed of the new machine, the new requirements and uses wound up taking more time than with the old clunky piece of junk.

    I use a lot of online bill
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    paying and I use Microsoft Money to keep track of my financial activities, but, to tell the truth, sometimes I get a little misty-eyed for the good old days...you know, you wrote do
    .

    As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
    n the check number, the date, how much the check was for, and who it was made out to, and knew exactly how much was in your bank account at any given time. Once a week you sat down,
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    wrote checks out for all the bills, balanced your checkbook and were done.

    I guess I can't say much about the Toyota dealer. Looks like I fell into the same efficiency trap he did


    tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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