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Kinda confused by what the value prop for the GERD product is when 1) PPIs are available OTC/much cheaper via Amazon or Costco (even if you want Rx dosing, you can just double up OTC); 2) There's a minimal clinical difference between an OTC PPI and an Rx PPI apart from dosing; 3) Even if you want the Rx PPI, there's a much smaller barrier to getting that prescription compared to migraine/hair loss drugs as most PCPs/mid levels can easily prescribe them/there's relatively much less stigma around PPIs.

Am I missing something? From a clinical standpoint, I don't see the point, but maybe someone else has insights from a patient perspective.

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1) Wouldn't underestimate convenience and branding - think about the number of CPG products that charge premiums for similar base ingredients.

2) Easy access to specialists + care teams to ask questions asynchronously and easily without always needing to go to a visit. Convenience for getting advice too.

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Convenience definitely makes sense, I have friends who went to roman for their finasteride just because it took 15 mins over the phone even though it's 3-4x the cost.

I wouldn't have thought branding would matter for something like a person's meds, but 30 Madison probably saw data suggesting it does if they put money behind these ideas.

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Curious if Thirty Madison has its own pharmacy? Or do they contract with a third-party like Truepill under the hood?

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