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MD Class Form

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					Form for Doctor Selection and Classification
Name of Doctor_____________________ Competition:_________ Address:_____________________________Pharmacies:
Factors Points MD´s Score Comments

Specialty

Volume of Prescriptions per Day 20-29 10-19 01-09 Influence

Rheumatology Neurology Cardiology Internal Medicine General Medicine 50 + = 41-49 = 30-40 = = 2 = 1 = 0 Local = Regional = National = International = Member Formul= 90% vs. 10% 80% vs. 20% 50% vs. 50% 20% vs. 80% Rich Middle Class Poor =AA =A =B =C =D = = = = = = =

=5 =5 =5 =4 =2 5 4 3

1 2 3 5 5 5 3 1 -2 5 3 0

Prescription Habits Branded vs Generics

Types of Patients

Scoring

22-25 18-21 12-17 08 -11 04- 07

Designed by Perri Cebedo for the exclusive use of his clients


				
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posted:10/11/2009
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