PROGRAM OVERVIEW/BENEFITS

What is Time-Concepts.com?

Time-Concepts.com is an independent e-marketing consult company that is committed to improving the exchange of information between the physician/healthcare provider and the pharmaceutical representatives in order to benefit the practice and the patients in a manner, which is fair, reasonable and ethical. Through the Time-Concepts.com process we can provide timely and significant data feedback on the impact and relevance of various marketing efforts.

How does this benefit the patient?

The physician has the opportunity to influence the information pharmaceutical companies provide about their products for the physician's patients through a feedback mechanism. The physician will have the opportunity to influence resources that may or may not be available for their patients in order to improve their quality of care. In summary, the physicians will be better informed, will be able to improve, through feedback, the information provided by representatives, improve the representative's perspective on their patient's needs and improve the quality of resources available to their patients via the pharmaceutical representatives.

How does this benefit the practice?

There is the enhanced quality of information that this process will create by providing significant quality time to deliver that information. The process provides the physician with the opportunity to give real feedback that is relevant and essential for the representative(s) to serve the specific needs of a practice and it's patients efficiently and effectively. Lastly, a pre-determined consult where physicians provide critical feedback to a representative on their products and information in order to better serve their patients is a better process than any other available access program.

How does this benefit the representative?

They have the opportunity to provide better quality information by accessing quality time to deliver their information. The process will provide an opportunity for representative(s) to schedule a set consult, which will limit the number of times the representative has to interrupt the staff during their daily work duties, or miss the physician. Finally, this process provides the opportunity for the physician/healthcare provider to give real feedback that is relevant and essential for the representative(s) to know in order to serve a practice and their patients efficiently and effectively. The representatives will appreciate an opportunity where their time and resources are effectively utilized.

Why should I utilize Time-Concepts.com?

Time-Concepts.com offers the most complete e-marketing program available. With Time-Concepts.com you utilize a proprietary web-based software application system, "Curbside Consults", that offers several advantages. First, is its' simplicity. A physician customizes their electronic date book (EDB), submits the EDB to Time-Concepts.com and waits for notification of scheduled consults.

A representative logs on, registers and begins requesting open consults. The requests are instantly processed and scheduled. Once they complete their scheduled consult with the physician, the physician completes the online impact analysis and submits it. The consulting fee is processed and is paid monthly.

Time-Concepts.com provides a mechanism for real time feedback via the impact analysis. The impact analysis contains performance information and will be emailed to the representative, or the District Sales Manager. This information is designed to improve the service the pharmaceutical representative provides a practice and it's patients.

Time-Concepts.com is completely committed to providing a vehicle of information exchange that is fair, reasonable and ethical.

COMPENSATION QUESTIONS

Is there compensation?

Yes. Physicians will be compensated $50.00 per consult, which is reasonable and customary for the time and effort being requested. All compensations are predicated on a consulting agreement, a completed consult and a completed impact analysis. All impact analysis must be submitted within 21 days following the consult. If the impact analysis is not submitted within the 21-day period the consulting fee to the physician will be forfeited and a partial refund will be issued to the representative. These payments will be made monthly. This compensation is fair, reasonable and ethical. It is based on services being provided, specifically the consult and the impact analysis.

What is the cost of a consult to the pharmaceutical representative?

The consult fee is $105.00. This is based on a single per consult fee and is fair and customary for the market. However, Time-Concepts.com does provide fee structures based on a utilization commitment by any one company.

CONSULTS/IMPACT ANALYSIS

How much time is required?

A "good faith" (see "good faith" policy) effort to provide 10 minutes, or more, per consult is the expectation. The 10 minutes is an established time. If the representative and the physician wish to provide more time for the consult that is perfectly acceptable, but predicated on both agreeing to do so.

Is an impact analysis done after every consult?

Yes. The impact analysis is critical to the improvement of the representative(s). It provides real time feedback that is designed to improve the service/resources the representative(s) provides the practice and its' patient. All compensations are predicated on a completed impact analysis. All impact analysis must be submitted within 21 days following the consult. Any impact analysis not submitted within the 21-day period by the physician consultant, will be forfeited and a partial refund will be issued to the representative (see refund policy).

Do I have to schedule a consult every day?

No. The advantage of the Time-Concepts.com program is that the consultant physician's electronic date book (EDB) is designed to be completely flexible in order to prevent any patient disruption during normal work hours.

Will I be notified of a newly available/scheduled consult?

Yes, both physician consultants and representatives are notified via email of any scheduling activity pertaining to them.

ELECTRONIC DATE BOOK (EDB)/PHYCIAN IMPACT ANALYSIS

Will the same reps see the same physician consultants over and over every week?

No. Each registered representative may only schedule one physician impact consult (PIC) with each registered physician/healthcare provider per month.

Does the physician consultant have to see every representative out there?

No. Although any representative willing and wanting to improve their professional services/resources may register with Time-Concepts.com, one of the benefits of the Time-Concepts.com program is that the electronic date book (EDB) is designed to be completely flexible. The EDB provides complete control to customize the physician consultant's calendar (see DAP policy). This includes the number of representatives, and which ones, they will see in any given period.

LEGAL/ETHICS

What does the Pharmaceutical Research Manufacturers of America (PhRMA) guidelines say about consultancy?

The PhRMA's, "Code on Interactions with Healthcare Professionals" section 4 a. it states,

It is appropriate for consultants who provide services to be offered reasonable compensation for those services and to be offered reimbursement for reasonable travel, lodging and meal expenses incurred as part of providing those services. Compensation and reimbursement that would be inappropriate in other contexts can be acceptable for bona fide consultants in connection with their consulting arrangements. Token consulting or advisory arrangements should not be used to justify compensating healthcare professionals for their time or their travel, lodging and other out-of-pocket expenses. The following factors support the existence of a bona fide consulting arrangement (not all factors may be relevant to any particular arrangement):

• A written contract specifies the nature of the services to be provided and the basis for payment of those services;
• A legitimate need for the services has been clearly identified in advance of requesting the services and entering into arrangements with the prospective consultants;
• The criteria for selecting consultants are directly related to the identified purpose and the persons responsible for selecting the consultants have the expertise necessary to evaluate whether the particular healthcare professionals meet those criteria;
• The number of healthcare professional retained is not greater than the number reasonably necessary to achieve the identified purpose;
• The retaining company maintains records concerning and make appropriate use of the services provided by consultants;
• The venue and circumstances of any meeting with consultants are conducive to the consulting services and activities related to the services are the primary focus of the meeting, and any social or entertainment events are clearly subordinate in terms of time and emphasis.

The Time-Concepts.com consultancy program is compliant to all of these recommendations.

Is this program ethical?

Yes. This particular concept (i.e. consulting) is not unique. The fact that the program is facilitated via the Internet is somewhat unique, but due to changing technology and physician time constraints e-marketing arrangements are becoming a common practice (i.e. MyDrugRep.com, IphysicianNet.com).

In addition, when the Time-Concepts.com is measured against existing and common marketing practices our process provides superior "safeguard" advantages as it relates to ethics. Some are as follows;

• Complete accountability through the Curbside Consult software
• An expectation of service by the physician consultant that is measurable
• A significant patient benefit enhancement through the ongoing feedback provided to the pharma representatives
• A complete history of activity that demonstrates real effort to improve patient care (impact analysis)

The Time-Concepts.com program offers the physician consultants and participating representatives an opportunity to exchange information in a manner that is simply an ethically better process than most current marketing programs. Time-Concepts.com with its' custom designed software programs has created an "evolutionary" process by which the physicians and representatives may demonstrate without reproach what exactly transpired and what the results were.

Ethics are paramount to Time-Concepts.com and we welcome any suggestions that may improve on our already ethically superior program.

POLICIES/PRACTICES

Should the representatives stop all other access programs (i.e. lunches)?

Time-Concepts.com is an independent e-marketing research company that is committed to improving the exchange of information between the physicians and the pharmaceutical representatives in order to benefit the practice and its' patients. We do not make any recommendations on changes in a representative's office management, or other access programs (see disclaimers).

What if the physician consultant has to cancel at the last minute, can they?

Yes. At any time if a consult interferes with a daily practice or patient responsibilities they may cancel the consult. Time-Concepts.com provides an opportunity for the representative to reschedule that consult at a later date. If Time-Concepts.com is unable to reschedule the cancelled consult we will provide a credit to that representative to be utilized for another consult at a future date.

SOFTWARE

What is "Curbside Consults"?

Curbside consults is Time-Concepts.com proprietary, patent-pending, customized software that is designed by Time-Concepts.com for the expressed purpose of interfacing physician/healthcare providers and representatives through a unique scheduling process.

It is simple, easy and fun to use.

CONSULTING AGREEMENT

Why do physicians have to sign a consultant agreement?

This agreement simply denotes that the physician has a role as a compensated consultant for Time-Concepts.com for a period of one year. This agreement may be cancelled without cause at any time.

Can the physicians cancel the consulting agreement at any time for any reason?

Yes. The consulting agreement is current for one year and it can be cancelled at any time without cause. It is simply denotes the physician has a role as a compensated consultant for Time-Concepts.com.

Why is the physician considered a consultant, isn't this something they are already doing with representatives?

It is critical to recognize that a busy physician's time has become extremely pressured over the past few years. Physicians must balance excellent patient care with economic productivity and this balance is constantly being challenged. In efforts to maintain this balance many physicians have restrictive policies in place to manage representative access to their busy practice. We believe this lack of access is not a subtle issue. It has diminished the exchange of information between the physicians and the pharmaceutical representatives, which ultimately disadvantages the patients. Representatives need and want to understand how to best serve the practice and the patient and it is increasingly difficult to accomplish in 15-30 second stand-ups. Physicians and representatives are now re-committing, under the Time-Concepts.com process, to improving that exchange and providing valuable insight to one another.

It is this commitment to improving the current process that makes this program unique. With the Time-Concepts.com consulting program physicians are committed to making an effort to provide 10 minutes of one on one critical analysis for a representative in an effort to improve patient benefit and perspective.

Hence, as a true consultant, the physician will be listening critically to the information presented and providing an assessment of that information via an impact analysis. Again, very different from what has become the norm within the industry.

CHARITIES

Can I give my fees to charity?

Yes. We have established a process for which to do that. It is a simple click of your mouse on your charity icon during your impact analysis process. We have established five national charities of choice from which to choose.

What if I don't prefer your choice of charities?

Naturally you can take the payments and disburse them to your charity of choice.

GENERAL QUESTONS

Why do we need this particular program?

The opportunities for real information exchange have been substantially diminished over the past years by a variety of industry factors.

From the physician/healthcare provider perspective, managed care has reduced reimbursements in many cases. Hence, they need to see more patients in order to address the economics of this proposition. Paperwork has become more complicated and cumbersome. Hence, more time is needed to complete it and more money spent on operating a practice in order to comply with it.

From the pharmaceutical company's perspective, the pressures of competing for market share and share of voice in order to address their economic challenges (i.e. research and development, rebates) have prompted them to increase their number of representatives substantially. Hence, the competition for physician's/healthcare provider's time has become extreme.

These dynamics have caused physician time to be at a premium and unfortunately representatives are having a harder time accessing the one person that can help them better serve the patient and that is the busy physician. The Time-Concepts.com program is the link, between the physician and the representative(s), which provides the opportunity to get them back to a fair, reasonable and ethical exchange of information that benefits the patient.

I am a contracted physician/healthcare provider with a corporation and they would prefer I not interrupt patient time; can I do this outside of patient office hours?

Yes. Your personal electronic date book (EDB) is completely customizable. The strength of the program and frankly the focus of the program is to improve patient care. Hence, we have designed the EDB to offer times from 6:00 am to 10:00 pm in order to give you the opportunity to schedule consults outside of office hours. It is anticipated that many physician/healthcare providers will consult with representatives before and after patient care hours and during lunch.

We are a contracted group practice, is this income subject to being reported and paid to the corporation I work for?

Under most group practice contracts there is a stipulation that any income derived by the contracted physician/healthcare provider must be reported and submitted to the corporation. We would suggest you check with your Medical Director as to what direction he/she would like you to take with regard to the payments received from the consults.

What if I don't have a computer, or access to a computer?

Although a primary advantage of the Time-Concepts.com process is it's simple and convenient to use software package "Curbside Consults", Time-Concepts.com will make available a hard copy access program. This is designed to be sure all eligible physicians/healthcare providers have access to our program and can contribute to the improvement of the representatives and the improvement of patient care.

How does the hard copy program work?

Your Time-Consults representative will simply provide you with a hard copy kit of the forms that you are required to complete. Once completed, the representative will submit those forms to the Time-Concepts.com for entry. You will then be activated via "Curbside Consults" and representatives will be able to access your EDB.

Will this program prevent smaller companies from participating?

On the contrary, because of the process of scheduling only one PIC per month per consultant and the nominal fee associated with the program it will allow the smaller companies with smaller marketing budgets to participate. The representatives of these companies will not have the barriers to access they once were faced with (i.e. large expensive lunches and programs).

The Time-Concepts.com process creates a level playing field for all pharmaceutical representatives willing and wanting to improve their understanding of their products, various disease states, the practice of medicine and most importantly, the needs of the patient.