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July 23, 2020 0
One of the most timely and fascinating areas of DTC will be for flu this year. Usually flu advertising is limited in timing and spending. This upcoming season, when America will be dealing with Covid-19 and the flu concurrently, flu advertising has some new opportunities and challenges.

As we hear regularly from Dr. Fauci, the combination of flu and Covid-19 poses diagnostic confusion for doctors. Therefore the CDC and other health care agencies will be pushing widespread flu vaccination this year to reduce the number of cases of seasonal flu so our hospitals and testing centers are not overwhelmed.

There are only a few flu vaccine and treatment makers in the United States. Sanofi Pasteur (Fluzone) vaccine and Genentech (Xofluza) for treatment are the companies who advertised in 2019. The flu market is large with 45% of adults getting vaccinated. We can suspect this percentage will rise in 2020 as receptivity should grow as no one wants to risk both the flu and Covid-19. Therefore we should expect significant DTC for both flu vaccines and treatment this season, perhaps at higher spending levels.

Unfortunately, the percent of population vaccinated has been only between 40-45% for the past decade. CDC estimates that a 5-percentage point increase would reduce hospitalizations by up to 11,000. This year, when ICU bed utilization may be at or over capacity with Covid-19 patients, any reduction would be critical. We also see clear evidence of health disparities as 49% whites are vaccinated, while only 39% of African-Americans and 37% of Hispanics get the flu shot. This may be the year for a special DTC effort to narrow the gap.

Fluzone will need to add to their normal messaging given the Covid-19 situation. They will have to motivate people to get the flu vaccine at a time patients may still be reluctant to see a health care provider out of Covid-19 contagion fear. It will be interesting to see if masks are added to the actor patients.

Vaccines are going to be a major area of ongoing government focus as the world needs to prevent another pandemic. We will always be at risk for the unknown pathogen but given the massive cost in lives and destruction of national economies, it is reasonable to see increased investment. Pharma companies will also ramp up R&D recognizing the enormous potential of new vaccines. All the basic work being done on Covid-19 will lead to possible vaccines for other similar viruses.

What will Covid-19 vaccine makers do with DTC if they get approval this fall? That depends how many vaccines are available. Clearly if we have only one approved vaccine, then government and the media will give that drug massive free publicity. On the other hand, the first approved vaccine will benefit from building up brand identification to prepare for multiple competitors. A non-branded campaign would make sense to sell the public on safety and efficacy as that will be a strong concern given the speed of approval.

An approved Covid-19 vaccine will be seen as the biggest medical news in years. I will be thrilled to review that DTC campaign.
Bob Ehrlich, Chairman
DTC Perspectives, Inc.

Bob Ehrlich


July 15, 2020 0
Those of us who remember the emergence of HIV in the early 1980s are awed by the progress in fighting the disease. There have been many drugs to treat HIV, but recently the category introduced prophylactic drugs to be taken if there is risk of exposure. Gilead has been a leader in HIV treatments and added to their mix with Descovy. 

The category of drug is called PrEP (pre-exposure prophylaxis) and Descovy got this indication late 2019. There are about 40,000 new HIV cases annually. Descovy is the second drug in the category after Truvada. The FDA says Descovy was similar to Truvada in effectiveness. Both are from Gilead and Descovy uses the same combination but at lower concentrations which could improve its side effects profile. 

The Descovy campaign is basically using television with limited consumer print. The ad is lively and upbeat using the theme “Step Up, Prep Up.” We are exposed to vignettes of singles and couples telling viewers to step up and prevent HIV. The selling copy runs about 35 seconds of the 90-second ad. Fair balance is then run for about 40 seconds, with a return to the reminder of “Step Up, Prep Up” lines in the remaining 15 seconds.

The background music is a drum mix, with one of the vignettes showing five drummers. It has a nice contemporary feel and the beat adds to the positive outlook of using a drug to prevent HIV. Gilead has switched advertising from Truvada to Descovy for a solid business reason. Truvada will go generic as early as late 2020.

The limited print campaign ties well to the television using the headline “Step Up, Prep Up” and shows scenes of the actors featured in the television ad. The digital also integrates well using these themes.We have come a long way from the heartbreaking days of HIV/AIDS of the early 80s. It is gratifying to see HIV presented first as treatable and lately preventable with drug treatment. 

Earlier HIV ads were largely print. Like many other limited incidence categories, television seems to be accepted as a worthwhile investment. Clearly the emotional element can be best used on television. The DTC payback comes from the fact that Descovy is priced at about $2,000 a month. Getting a few thousand new patients means potentially tens of millions in sales. These sales are also recurring since this is used to prevent the disease and will be taken indefinitely.

It has been a remarkable 40-year journey from almost certain death to a manageable or preventable condition. 
Bob Ehrlich, Chairman
DTC Perspectives, Inc.

Bob Ehrlich


July 8, 2020 0
It is rare to find a big budget DTC campaign that does not use TV as a part of the total plan. Saxenda, a weight loss drug from Novo Nordisk is one brand that excludes TV. There are several interesting things about this campaign.

First is the amount spent on print with no TV. According to MediaRadar, Saxenda spent an estimated $89 million on print in the latest 12 months. Given typical discounts big companies get, this might be a high estimate. That budget, even if less, is certainly large enough to do TV. The obesity category has high incidence and that is where TV is largely used. Yet Saxenda sticks with print. They have been advertising to consumers since April 2017 so after three years they must be satisfied print is effective. They clearly target women given the magazine title selection led by Better Homes and GardensGood HousekeepingWomen’s Day, and People, among other popular female-targeted books.

The second thing that is notable is the creative consistency. Most Saxenda ads are headline oriented and have been that way throughout. Currently they use “Losing Weight and Keeping it Off” as the headline in a 2-page spread. The earlier ads have the words “Will” and “Way” boldly featured and also have small type to fill out the expression: where there is a will there’s a way. I like creative consistency and Saxenda has been very patient running basically the same style of ad.

Thirdly, we see creative that equally pictures both sexes. This is interesting given the majority of titles are women’s publications, although there is Men’s Health and Golf magazine among the media titles used. That said, women are the primary target. I assume Saxenda believes that women who show interest will tell husbands and other males who are overweight about Saxenda.

I do not know why Saxenda avoided television. Obviously, they probably concluded that print alone got them the awareness they wanted at the budget they had. Their choice of print could have to do with the fair balance. There is a fairly lengthy list of risks and side effects in the print ad. This is not unusual for DTC, but it may have required a 75 second television ad, and that length may have convinced Saxenda that print more efficiently communicated benefits and risks.

There are currently very few big spending campaigns that avoid television completely. There are some that spend in the $10-30 million range that only use print / digital; Aubagio (MS), Imvexxy (Menopause), Imfinzi (Lung Cancer), and Steglatro (Diabetes) are among the few.

Of 28 DTC campaigns that spent over $10 million on print in the past year, only five did exclusively print. The trend has been to use television as part of the media plan even for highly targeted drug categories. What matters most, however, is achieving the brand media objectives. Most DTC studies show combined print and broadcast optimize a plan, but each brand is unique. Saxenda has chosen what it believes works best. In a DTC world where television reigns, it is interesting to see some brands go a different direction.
Bob Ehrlich, Chairman
DTC Perspectives, Inc.

Bob Ehrlich


July 2, 2020 0
The opium overdose antidote Narcan (naloxone) is a very interesting DTC case. Naloxone is widely used by EMTs and first responders to counteract opioid overdoses. States have recently made Narcan from ADAPT Pharma available to the general public to use on those in the home who overdosed. Narcan is a branded nasal spray version of naloxone.

The interesting development is this is a prescription drug that most states (42) make available from the pharmacist without requiring a doctor to write a script. The new television campaign is an Rx DTC campaign explaining why Narcan should be stocked in households where opioid painkillers are used.

The ad is a :60 second spot that looks like a typical Rx DTC ad. We see a scene with a teenager who injured himself playing sports and is now on an opioid pain killer. The theme is for parents to be ready to deal with an accidental overdose. I assume that Narcan is also widely used to help opioid drug abusers. This ad only deals with prescribed pain use, not illegal drug use, but the idea is the same. Narcan can save a life by reversing the effect of an opioid which has depressed the breathing or induced unresponsive deep sleep in affected individuals.

This is a very serious drug and risks and side effects are discussed just like all DTC Ads. Narcan is running digital ads as well. These ads state that 40% of opioid overdoses are prescription based used for legitimate purposes. The goal of the ad is for every opioid using household to keep Narcan handy. Prescription opioid use is a hot topic in every state because of addiction and abuse. Lawsuits against opioid makers has resulted in large judgements because of over marketing. About 25% of adults have used a prescription opioid in the last two years. According to the CDC, 168 million prescriptions were written in 2018.

Narcan is highly effective and can quickly reverse the effects of opioid overdose. Much like EpiPen, Narcan is something many households should have ready in emergencies. The ad says opioid overdose can happen at any time. The premise is that parents can reduce their anxiety by knowing Narcan is in the house. As a nasal spray, Narcan is easier to administer than an emergency injection, which many people might be reluctant to use.

There is obviously a big market for Narcan given the widespread use of opioids for pain. The DTC effort likely makes financial sense given the sales potential of stocking opioid containing households with an emergency antidote. Like most people, I thought of Narcan as something EMTs and first responders carried rather than a drug we all could keep ready in the household. This DTC campaign, which was developed with help from FCB NYC, hopes to change that.
Bob Ehrlich, Chairman
DTC Perspectives, Inc.

Bob Ehrlich


June 25, 2020 0

Sponsored Content

Earlier this year, Rx EDGE Media Network / LeveragePoint Media acquired Brandperx. The company has now transitioned into a brand-new company, InStep Health. In an interview with DTC Perspectives' Chairman, Bob Ehrlich, InStep Health's president and CEO, Nathan Lucht, discussed ways their programs educate patients and consumers, providing brands with new opportunities to reach audiences in meaningful ways.

Bob Ehrlich: The company has undergone some very big changes in a short period of time. In less than a year, you have acquired another company, Brandperx, and undergone a full rebranding. What inspired these changes?

Nathan Lucht: Reflection, evaluation, and ultimately change are all important components of a healthy company—and imperative to performing at your peak. Before we began the acquisition of Brandperx, we had already started reflecting and evaluating, and adding new offerings to our platform. We were improving our targeting capabilities, adding digital programs, and making our data insights even stronger. When we became familiar with Brandperx and their HCP network and relationships, we thought it was a natural fit for us. It provided the perfect opportunity for us to bring even more marketing solutions to pharma marketers that want to educate patients and their providers. As for the rebranding, a new name and aesthetic is the quintessential way to break away from past narratives. We are proud of our past accomplishments from over the last 19 years, but we wanted a new name and look that would convey the excitement we felt about the new offerings.

Bob: What is behind the name ‘InStep Health'?

Nathan: During our background work, we reflected on the strong culture our company (both legacy companies) have and the relationships we have with our clients. There were a few themes that consistently resurfaced, and connection was one of them. The connections between clients’ messages, providers, patients, and consumers. We wanted to produce marketing that matters to care providers and consumers and remain in stride, in sync, and inspired by what’s next. Doctors want to be in step with the patients, and patients want information that’s in step with what they’re going through! That’s what we deliver.

Bob: How big is your network ‒ in physician offices and in pharmacies covered?

Nathan: It’s very large, which is why our programs work so well—because we can reach consumers and patients at healthcare destinations all over the country. Currently our network consists of 250,000+ healthcare providers and more than 30,000 retail locations.

Bob: What is InStep Health able to do better by bringing together services offerings at the pharmacy, HCP, and point of care?

Nathan: Great question. We are delivering brand messages to specific audiences in the physical locations when health is top of mind, and we are making an impact as they use their digital devices whenever and wherever they are. Our platform keeps clients’ products at the forefront throughout their target audience’s entire healthcare continuum.

Bob: What specific products are you offering patients at each step?  What does this network actually look like to a consumer?

Nathan: At the pharmacy, millions of consumers see our media displays in the aisles that offer prescription savings and high-impact educational materials that drive the consumer to the pharmacist or physician to find out more. In the providers’ offices in our network, they’ll see physician-endorsed activation bags and education kits filled with relevant samples, incentives, and other resources. And our addressable digital programs allow microtargeted campaigns to reach the right patients as they move throughout their daily lives.

But what our new platform has really focused on is keeping our clients in step with the consumer’s individual experience ‒ it’s what we call the iX design. We connect the consumer to our client’s brand messages throughout their unique care path with all of the tools we mentioned above, and by inspiring meaningful conversations between patients and healthcare providers for healthier outcomes.

Bob: How have you increased your technical abilities to support these networks?

Nathan: This is an especially exciting area for us! We’ve made a lot of investments in this area and we break that effort into two parts: one, using data from the pharmacy and HCP office networks to create more effective programs. And two, using digital activation programs to provide clients seamless patient reach. From the data perspective, we’ve always been focused on using prescription fulfillment data to place our clients’ programs in exactly the right pharmacies. We’ve now amped that up so that we can do that type of planning in any of our physician offices. And on the digital activation front, we now have technology that we call “Arrivals” that allows us to serve mobile takeover messages as the consumers step into our waiting rooms and our pharmacies. This technology then combines with some leading-edge capabilities in HIPAA-compliant audience targeting when patients aren’t in our point of care settings. All these pieces fit together like a jigsaw puzzle and it’s really great stuff!

Bob: What kind of returns are clients seeing within your network and how are you measuring those?

Nathan: Clients know us for the results we deliver since we have been quantitatively measuring our legacy pharmacy programs literally since day one! So, creating smarter, data-driven programs and measuring their success remains at the core of our new platform. InStep Health has built a flexible measurement approach utilizing best in class data and third-party partners to deliver metrics and insights for every initiative we execute. We can successfully measure prescription lift and ROI in stores. On average our clients see a script lift of 12% and an $8 ROI through the pharmacy alone. We also measure changes in prescribing at the physician level, OTC/CPG sales lift and ROI, increases in physician recommendation and awareness, response to digitally served ads, and digital audience composition. 

Bob: Bringing it back to all of the renovating the company has recently done, what has been the best part of this process?

Nathan: Yes, we have a great new look, and an inspired new name. But personally, to me the best part has been unifying two great companies with their individual strengths and bringing together two incredible teams of people to form one powerhouse. We know we can do really extraordinary things together, and we have just gotten started bringing them into the current landscape of healthcare marketing.

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June 25, 2020 0

In the latest research update from the Commonwealth Fund, Harvard University, and Phreesia, analysts investigated how office visits have adapted to a “new normal” during the COVID-19 pandemic. Findings revealed a “‘cumulative deficit' in visits over the last three months (March 15-June 20) is nearly 40 percent,” with the greatest decline being in states that “had an early surge in COVID-19 cases.”

Telemedicine, which was utilized as in-person visits dropped, has begun to decline after peaking in mid-April. The use of telemedicine “remains substanially higher than prior to the pandemic” however.

Furthermore, researchers found that in the week starting June 14th, “visits to some clinical specialties, such as dermatology and rheumatology, have returned to their baseline rates. The cumulative decline in visits from the start of the pandemic is greatest among pediatricians, pulmonologists, and several surgical specialties.”

Data was collected from Phreesia's clients, which include more than 1,600 provider organizations representing more than 50,000 providers. Visits were captured from February 1 through June 20, 2020.

Click here to read the latest round of findings.

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June 25, 2020 0

A federal appeals court struck down the pricing disclosure rule for DTC advertising on June 16th. The US Court of Appeals for the District of Columbia Circuit ruled in favor of Merck & Co, Eli Lilly & Co, and Amgen on the grounds that the US Department of Health and Human Services (HHS) “acted unreasonably in construing its regulatory authority to include the imposition of a sweeping disclosure requirement that is largely untethered to the actual administration of the Medicare or Medicaid programs. Because there is no reasoned statutory basis for its far-flung reach and misaligned obligations, the Disclosure Rule is invalid and is hereby set aside.”

According to the ruling from the Courts, the “Disclosure Rule strays far off the path of administration for four reasons”:

  1. The list price (wholesale acquisition cost, in this situation) differs from what Medicare and Medicaid beneficiaries actually pay. “Beneficiaries typically pay only a fraction … either in the form on a copay or coinsurance.”
  2. The claim that such a pricing disclosure “‘may inform' consumers” does not clearly indicate if this is directed at Medicare and Medicaid consumers or consumers generally, suggesting an “administrative overreach.” Additionally, with the Secretary's acknowledgment that a disclosure of such information may backfire by deterring consumers from contacting their healthcare professionals, the federal court ruling stated that “Generating potentially harmful confusion through disclosures to the general public of information that is largely disconnected from Medicare and Medicaid pricing is not a plausible means of administering the programs.”
  3. The Disclosure Rule “regulates advertising directed at the general public and not communications targeted specifically, or even predominantly, to Medicare or Medicaid recipients.”
  4. “The Department’s construction of the statute would seem to give it unbridled power to promulgate any regulation with respect to drug manufacturers that would have the arguable effect of driving down drug prices—or even healthcare costs generally—based on nothing more than their potential salutary financial benefits for the Medicare or Medicaid program. This suggests a staggering delegation of power, far removed from ordinary administration,” noted the federal court's ruling.

Click here to read the full decision from the US Court of Appeals.

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June 25, 2020 0

Vilifying the pharmaceutical industry has long been considered an acceptable public sport. The criticisms have been wide-ranging and near universal at times, with both sides of the political aisle taking their shots. Hollywood movies feed into and perpetuate the systemic belief that Big Pharma comprises evil executives hell-bent on taking advantage of the American consumer-patient. And critics like to point to the fact that pharma innovations have slowed while many “me too” drug sales seem healthy and robust.

In a Gallup poll published last Fall, the pharmaceutical industry was ranked as the worst industry in the US—regarded less favorably than all others, including the oft-maligned industries of oil and gas, law, and the federal government. In fact, the four lowest-rated fields were advertising and public relations, the healthcare industry, the federal government, and—pulling up the rear—the pharmaceutical industry. Personally, it’s sobering to realize that as a healthcare marketer, three out of four of these reviled sectors are directly related to work I not only believe in, but to which I have dedicated more than 30 years of my life.

But then, along came a virus, which led to a pandemic that for all intents and purposes is holding the world hostage and will likely continue to do so for the foreseeable future. And suddenly, people all over the globe are depending on the embattled pharmaceutical industry to play a vital role in the future of…well, our future. Big Pharma—and those of us on its periphery—are starting to be viewed in a very different light as the push for a COVID-19 cure has borne extraordinary innovations in record time, remarkable acts of corporate giving, and turned the healthcare industry on its head. Could it be that the villains are now becoming the saviors?

The demand for companies to band together to create life-saving meds in a crisis isn’t unprecedented. In the early years of WWII, President Roosevelt put a call out for the mass production of penicillin to help prevent infection and save those wounded on the battlefield. Nineteen companies stepped up and one—Pfizer, then a fermentation company—came forward with a way to mass-produce the “miracle drug.” Some might argue that this is perhaps when the seeds of Big Pharma began in earnest.

With all of the positive contribution pharma has made over these last 70+ years, how and when did we end up losing favor? There are very real, scathing and justifiable criticisms that can be traced back to the industry; bad eggs like Martin Shkreli, incidents of life-saving meds not being covered by insurance due to their excessive cost, and the origins of the opioid crisis arguably traceable back to prescription drugs. But how did it get to the point that these issues ultimately overshadowed the greater good that the pharma industry has contributed during the last century to advance the health and well-being of consumers? How did we become so focused on marketing the medicine that we neglected to recognize there was a need to better market our industry?

In the era of COVID-19, the pharmaceutical industry is working day and night to simultaneously find treatments for the virus, a vaccine or even a cure, and the eyes of the world are laser-focused on it. There is a higher level of responsibility and expectation than ever before and the hope for our collective future now lies firmly in the hands of biopharma scientists, researchers and technicians. Tides are turning—reports suggest that consumers are now viewing the pharma industry with new regard, with 40% of the people who responded to a recent Harris poll looking to pharma with greater trust, perceived authenticity, and a more positive view of the industry than they did before the pandemic began.

Where pharma companies must do the heavy lifting in finding the holy grails of treatment and cure, healthcare marketers have a part to play, as well. We’re in a unique position to help foster and build upon the positive momentum that this industry is creating. Unlike our marketing colleagues whose clients are in the “want-based” categories of automotive, entertainment, or hospitality, we have the privilege and charge of working within a need-based category. “Health” is an industry that will never go out of style and won’t be as influenced by fluctuations in the economy as companies and brands in those other categories. Our job is to do everything in our power to create more connectivity, utility and value through our work as the industry’s loudest voice.

Andrew Schirmer


June 24, 2020 0

I like ads that are clear and get to the point. Ubrelvy, a new migraine drug from Allergan, now part of AbbVie, does clarity well. In what I would call a near OTC ad, Ubrelvy intro only took 45 seconds to tell its story. It is positioned as “The Anytime Anywhere Medicine”. That is an OTC like slogan. 


I had to watch this television ad several times to make sure it is a prescription drug. Fortunately for Ubrelvy, the side effects and risks are few and that allows for the 45-second time frame compared to 60 seconds or longer for most DTC. Ubrelvy also has a new 30-second ad and to do that, they cut the section about discussing the drug with your health care provider or using telemedicine as an option. From a messaging perspective, the 30-second ad delivers the selling points just as well as the 45-second spot.


Creatively, Ubrelvy uses a print ad like headline approach with on-screen graphics of the selling messages over scenes of migraine sufferers shown at different times of the day. It is shot in black and white with some color in the supers. The key selling point is ease of use as it is one pill that can stop migraines within two hours. 


There is no consumer print yet which is interesting given this headline approach adapts well to print. The digital approach is clear and concise as the website mirrors television. The website has more information on price support and disease education. It also can connect the patient directly to a telemedicine provider and get a prescription. There is a fee for that service that goes to the telemedicine service.


The consumer media plan is basically 98% spent on television with the rest digital. The new 30-second spot extends the efficiency compared to most DTC ads in the category which are 60 seconds. Ubrelvy is the perfect broadcast brand as the fair balance section needed only eight seconds compared to 25-30 for most brands. Ubrelvy has focused on a memorable slogan and has an easy to understand benefit. Many DTC brands are more complex and require more detailed explanation. Ubrelvy has the benefit of a category well established in consumer expectations for a treatment; that expectation is quick relief in an easy to use form. Simple, clear, and concise was Ubrelvy’s goal and that was accomplished in this campaign.

Bob Ehrlich
Chairman
DTC Perspectives, Inc.

Bob Ehrlich


June 18, 2020 0

Rx EDGE® Media Network (part of LeveragePoint Media), a healthcare marketing company that supports pharma marketers in reaching consumers, announces the formation of a new company, InStep Health. InStep Health provides expanded services and product offerings to better support healthcare providers and consumers. With its recent acquisition of Brandperx, InStep Health has added to its portfolio to give product marketers access to 250,000 healthcare providers (HCPs) at the point of care (POC)—the providers’ offices. The increased capabilities will give pharma and OTC partners unprecedented direct-to-patient access that complements the company’s historically strong pharmaceutical marketing reputation in the retail pharmacy.

InStep Health will leverage past successes as it addresses consumerism across the continuum of care. “Now that consumers’ healthcare habits and expectations are changing, reaching patients is more critical than ever. Our intention at InStep Health is to do our part by engaging with them during and in between critical points of care, wherever that may be,” says Nathan Lucht, president and CEO of InStep Health. “No one does exactly what we do in the pharmacy, in the doctor’s office or digitally for patients, consumers and providers. By design, this is more than just point of care marketing.”

The company’s name expresses the distinct and diverse educational scope of the firm’s products and services they provide to consumers as they proceed along their personal healthcare paths. “The name change represents our future-facing, comprehensive platform by which our pharma and OTC clients can deliver education and wellness solutions to consumers when and where they need it most,” adds Lucht.

Heightened accessibility to the 30,000+ retail locations in the company’s network delivers an individual experience “iX” to healthcare consumers seeking solutions across thousands of integrated connection points.

InStep Health combines best-in-class data with the power of relationships to educate consumers at every point of their healthcare game plan, using a strategic blending of tangible and technical approaches. Their metric-driven marketing programs serve the health and wellness community by connecting brands, HCPs, and consumers via today’s ubiquitous digital access points.

About the Company
Since 2001, more than 70 pharmaceutical companies spanning 185 brands have leveraged the power of Rx EDGE® Media Network because they recognize the importance of the pharmacy as an education and communication channel. The acquisition of Brandperx added 80 OTC and CPG brands to their client base. Now as InStep Health, the company connects consumers and patients to brands through unique online and in-aisle resources and at the healthcare providers’ (HCPs) offices. www.instephealthmedia.com.

Contact:
InStep Health
Kathleen Bonetti
EVP Marketing
(847) 879-6036
kathleen.bonetti@instephealthmedia.com
www.instephealthmedia.com

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