The Pharmaguy Social Media Timeline™

The Pharmaguy Social Media Timeline™ The Pharmaceutical Industry’s Social Media Road Trip Revised 15 August 2011 Pharmaguy (aka John Mack) Publisher, Pharma marketing News & Pharma Marketing Blog @pharmaguy on Twitter pharmaguy@pharmaguy.com© 2011 Pharmaguy

2 Pharma Enters Social Media Highway  Pharma and Healthcare Social Media Wiki*  >70 Twitter Accounts (excluding personal employee accts)  65 Facebook Sites  38 YouTube Sites  37 Brand-Sponsored Patient Communities  10 Blogs *Source: Dose of Digital Blog. As of May, 2011. © 2011 Pharmaguy

3 First Pharma Discussion Board April 2006 GSK’s QuestionEverything.com allowed consumers to ask questions and have an online conversation among themselves and with experts. GSK said the purpose of the site was to offer peer support and professional advice to dieters and to "dispel the many myths about dieting, exercise and fraudulent weight loss products.” In June 2007, GSK launched AlliConnect—the FIRST pharma product branded Blog—to promote Alli, its newly approved over-the-counter weight loss pill. © 2011 Pharmaguy

4 First Pharma Sponsored YouTube Video October 2006 GSK (UK) sponsors “My Dad has Restless Leg Syndrome” YouTube video, which includes a message at the end stating that “My dad is one of a Million people in the UK who suffer from RESTLESS LEG SYNDROME.” May 2008: Johnson & Johnson launches the FIRST pharma YouTube unbranded CHANNEL. September 2008: FDA issues FIRST pharma YouTube video warning letter to Shire Pharmaceuticals (Vyvanse). February 2009: AstraZeneca launches "My Asthma Story," the FIRST Rx (Symbicort) branded YouTube channel. © 2011 Pharmaguy

5 Pfizer Collaborates with Sermo October 2007 Sermo and Pfizer sign a deal whereby Pfizer gains access to the online physician community via surveys and sponsored content. More importantly, Pfizer physicians can join Sermo and openly participate in online physician conversations as long as they identify themselves as employees of Pfizer. A Sermo press release characterized the deal as a "strategic collaboration designed to redefine the way physicians in the U.S. and the healthcare industry work together to improve patient care.” © 2011 Pharmaguy

6 First Pharma Facebook Page June 2008 McNeil Pediatrics—a division of J&J —launches ADHD Moms. “Now to be fair, this Facebook page, still isn’t all that inter-active,” said Marc Monseau, a J&J spokesperson. “Though visitors can download podcasts, articles and participate in instant polls, they can’t post comments to the wall on the page. What they can do, though, is use their own Facebook pages to connect with other ADHD Moms fans. It’s a baby step, to be sure, but I understand the team is looking at other steps they can take to make it easier for people to share their insights into caring for kids with ADHD.” © 2011 Pharmaguy

7 FDA Sends 14 Warning Letters April 2, 2009 FDA sends 14 letters on a single day to major pharmaceutical companies concerning their Google and Yahoo Rx paid search ads. Letters were dated 29 March 2009, but made public on 2 April 2009. April 1, 2009: Pharmaguy posts fake press release announcing FDA guidance on pharma’s use of social media. Previously (December 2006) Pharmaguy said “FDA should be taking a closer look at drug promotion via the Internet.” © 2011 Pharmaguy

8 Roadside Casualty: “One-Click Rule” Jim Nail, CMO at TNS Media Intelligence/Cymfony, deﬁned the “rule” this way: “...there is no ‘ofﬁcial’ FDA one-click rule...there is a ‘received precedent’ that if you have one click from your brand site to the PI or labeling information, that is acceptable. Or call it ‘best practice’. Or call it just ‘common practice’.” FDA’s 14 warning letters put an END to the one-click “rule”, “received precedent”, “best practice”, or “common practice.” Meanwhile some history: 16 November 2006: First instance of the "one-click rule" debated in an open forum. At an industry conference, a Google presenter encouraged the use of an Adword format that included the drug brand name and indication BUT not including the fair balance (major side effects) saying the side effects were just “one-click” away. Pharmaguy challenged the speaker and said such ads violate FDA regulations. 28 August 2008: First indication that the “one-click rule” is not recognized by FDA, when it sends sends a notice of violation letter to Novartis Pharmaceuticals regarding Diovan Web banner ads that fail to mention side effects. © 2011 Pharmaguy

9 UCB Embraces Adverse Events on Sponsored Discussion Board June 16, 2009  Goal: Generate patient-reported outcomes that may help UCB better understand how patients live with epilepsy and help advance epilepsy care.  Provides disease tracking tools  Deployed a system for reporting adverse events to FDA UCB has an ethical and legal responsibility to report adverse events associatedwith our drugs. If adverse events for any UCB drugs are mentioned on the site,UCB is required to report these directly to the U.S. Food and Drug Administration(FDA). Therefore, we are working to develop and deploy a solution that will allowus to assess and process potential adverse events, report them to the FDA, andcapture them in the UCB safety database. -- Peter Verdru, MD, UCB s VicePresident of Clinical Research © 2011 Pharmaguy

10 First Pharma Rx Branded Tweet! June 18, 2009 I called this tweet Sleazy Twitter Spam Challenge (US): How to fit benefits and fair balance in 140 characters or less? We re Still Friends! Challenge (Globally): How to make it meaningful for patients © 2011 Pharmaguy

11 FDA Announces Public Hearing September 21, 2009 “This meeting and the written comments are intended to help guide FDA in making policy decisions on the promotion of human and animal prescription drugs and biologics and medical devices using the Internet and social media tools.” April 2, 2009: Pharmaguy issues ﬁrst public call for FDA public hearing on social media. “We should make sure that when it comes time for the FDA to actually create a guidance document on social media that it does it with input from ALL stakeholders.” © 2011 Pharmaguy

13 FDA s Guidance Sausage-Making Process  Publish Intent in Federal Register.  Although NOT Required, Hold a Public Hearing.  Have a Public Comment Period.  Review Comments Submitted to Docket.  Issue DRAFT Guidance.  Collect & Review Comments on DRAFT Guidance.  Revise DRAFT Guidance Based on Comments, If Necessary and Issue FINAL Guidance. STILL WAITING! © 2011 Pharmaguy

14 Traffic Congestion Slows Down FDA 26 February 2010: Pfizer contends that FDA’s proposed social media guidance “raises First Amendment concerns.” Guidance, said Pfizer, is too vague and engenders “extensive litigation.” 15 June 2010: FDA says it plans to issue multiple guidance documents on Internet promotion. Sounds like they bit off more than they can chew. 28 April 2010: A series of proposed studies by the FDA designed to test different ways of presenting prescription drug risk and benefit information on branded drug Web sites may further delay issuance of social media guidelines by FDA. 21 May 2011: FDA Involvement in criminal investigation of Google may further delay social media guidelines. Pharmaguy speculates that there is evidence that the delay may be due to the ongoing legal case against Google and online pharmacies by the Department of Justice. 1 June 2011: FDA drops “Social Media” from its 2011 Guidance Agenda, butagenda hints that responding to unsolicited statements/requests on pharmasocial media sites may first guidance to be issued in 2011. 5 July 2011: Pharma Citizen Petition Filed. Asks for binding regulations – notguidelines – for responding to unsolicited requests for off-label information.FDA must respond to this before issuing guidance as planned. © 2011 Pharmaguy

15 Roche Publicly Discloses Social Media Principles August 16, 2010A significant, albeit, small step in the direction of corporate transparency, normally so difficult toachieve within the pharma industry but so essential if it is to regain the trust that will be crucial for its long-term survival…[yet] so few pharmas have publicly revealed their social media policies. Why is the industry so reticent? -- Len Starnes, Bayer © 2011 Pharmaguy

16 Sanofi-Aventis & Patient Collide on Facebook March 15, 2010 The pharmaceutical industry’s worst fear was realized when a “disgruntled patient” posted multiple adverse event messages and photos on the wall of a Sanoﬁ-Aventis Facebook page (VOICES). The page did not have comments turned off and did not include any terms of use. Pharmaguy said, "A precedent has been set by this experience, which does not bode well for the future of pharma social media.” © 2011 Pharmaguy

17 Janssen’s Open Road Youtube Policy June 9, 2010 "Heres a hint for pharma. Nothing will go viral if you dont allow Likes or comments. Guaranteed. -- Jon Richman Comments are reviewed before posting - in line with the commenting policy on the site. The vast majority of comments have been posted, Kind regards, Gary -- Gary Monk, Product Manager.© 2011 Pharmaguy

19 First Pharmaguy Social Media Pioneer Award October 19, 2010 Alex Butler, Digital Strategy and Social Media Manager at Janssen & recipient of first ever Pharmaguy Social Media Pioneer Award, says: moderation is about engagement, leading and responding to the community not censorship Negative comments r V valuable If you want to receive the beneﬁts of SM engagement it has to be real, community moderate themselves in the end if a brand, company, person is that worried about comments in SM there is probably a deeper issue under the surface © 2011 Pharmaguy

20 Pfizer’s SM Guard Rails and Secret SM “Playbook” December 2010 Pfizer talks about a SM “Playbook,” but won’t let us see it. "The playbook and social media policy are constantly evolving,” said Ray Kerins, Pfizer’s Vice President of Worldwide Communications. “We thought we had it finished last December, and then we realized we didnt and we went back to update it. So, its constantly moving. While I dont want to say its proprietary, I also dont want to make too big of a deal about it because we call it common sense." Base on a U.S. Air Force Chart. Guides Pfizer Canada in responding to remarks on social media networks which are either the property of, sponsored by or have a relation of some kind to Pfizer Canada.© 2011 Pharmaguy

21 First Live Pharma Twitter Chat February 16, 2011 AstraZeneca hosts a one-hour chat on Twitter to raise awareness about helping patients save money through prescription savings programs. Pharmaguy said, "This is quite gutsy of AZ considering that anyone can ‘join’ the chat simply by posting a message containing the #rxsave hashtag. And anyone can post messages about AZ drugs and mention side effects too even though AZ might say that it will not respond to questions about speciﬁc drugs.” © 2011 Pharmaguy

22 First Hack of a Pharma Facebook Page July 20, 2011   Pfizer’s US corporate FB page broken into by “Script Kiddies.” Shut down for several hours over weekend.   Admin password “guessed” by hackers after finding a LinkedIn page of an outside PR agency person who was responsible for creating or overseeing the page’s development© 2011 Pharmaguy

23 First Hack of a Pharma Facebook Page July 20, 2011  Pfizer promises to “share lessons” with other pharma companies. Some lessons might include:   Make sure your passwords are strong & protected   Hire competent outside agencies (PR vs Interactive?)   Have competent in-house FTEs oversee SM agencies monitor SM sites 24/7© 2011 Pharmaguy

24 Pharma Phases Out Facebook Pages August 15, 2011   New Facebook Policy Goes into Effect: Pharma is no longer be able to shut off comments to pages   Among First to go: ADHD Moms (FIFO) “A new Facebook policy, scheduled for Aug. 15, will speciﬁcally impact communities that are formed to help people learn more about disease conditions, such as ADHD Moms™, which we sponsor. This new policy will alter our ability to consider the appropriateness of comments before they are posted which is important to us as a company in a highly regulated industry.” Are some pharmacos using this an excuse to shut down pages that have not been effective? © 2011 Pharmaguy

Resources   Social Media Pharma Marketing Readiness Self-Assessment -- http://tinyurl.com/caghnm   Overcoming Space Limitations in Social Media; http://bit.ly/fdasmSpace. Use code FDA397 to get it FREE!   Accountability for Pharma Content on Social Media Sites; http://bit.ly/fdasmAcct. Use code FDA497 to get it FREE!   Solving the Social Media Adverse Event Reporting Problem; http://bit.ly/fdasmAE. Use code AE495 to get it FREE!© 2011 Pharmaguy

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The Pharmaguy Social Media Timeline™

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