NPS+ Migraine (US) 2019

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Publication Date:
January 2019
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Unique product-level analysis for improving brand health and clinician satisfaction in the US

  • How loyal are clinicians to specific brands?
  • How do leading clinicians rate key Migraine brands?
  • What brand messages resonate with Promoters, Passives and Detractors?
  • What is the market share of leading brands among Promoters and Detractors?

Clinicians treating Migraine have a number of effective therapy options, but not all make the same choices. What drives clinician prescribing and decision making and why are some more loyal to certain brands than others?

This and other key questions are answered in this insightful January 2019 Net Promoter Score®1 (NPS) analysis of 13 leading migraine brands. Based on the results of an in depth survey of 100 US-based neurologists and general practitioners, NPS+ (US) Migraine identifies the drivers that build clinician satisfaction and brand loyalty.

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Leading brands covered in this report

  • Aimovig (erenumab-aooe; Amgen/Novartis)
  • Ajovy (fremanezumab-vfrm; Teva)
  • Amerge (naratriptan; GSK)
  • Axert (almotriptan; Janssen Pharmaceuticals)
  • Botox (onabotulinum toxin A; Allergan)
  • Emgality (galcanezumab-gnlm; Lilly)
  • Ergomar (ergotamine tartrate; TerSera Therapeutics LLC)
  • Frova (frovatriptan; Endo Pharmaceuticals)
  • Imitrex (sumatriptan; GSK)
  • Maxalt MLT (rizatriptan; Merck & Co.)
  • Migranal (dihydroergotamine; Bausch Health Companies)
  • Relpax (eletriptan; Pfizer)

This NPS analysis answers important brand questions

  • What underpins the high-ranking NPS scores for Imitrex, Maxalt MLT and Botox?
  • How brand-loyal are clinicians and which brands are at risk of clinicians switching to a competitor?
  • Overall, how satisfied are clinicians with available brands and what new opportunities exist?
  • What is the market share of Migranal, Botox and Amerge among promoters and detractors?
  • Cost effective? Convenient administration? Slows disease progression? What messages are resonating with Detractors, Passives and Promoters for Maxalt MLT, Zomig ZMT, Aimovig and Frova?

FirstView NPS+ takes you deeper than the standard NPS analysis

Since its introduction in 2003, the Net Promoter Score system has become established as a key metric for assessing user satisfaction and loyalty to brands. But while NPS helps you measure overall brand health, it doesn't tell you how to improve it. NPS+ adds much needed detail and gives you deep insights into:

  • The value of specific brands to Promoters
  • Messages Promoters, Passives and Detractors associate with brands
  • Brands that are at risk of losing out to competitors
  • Brand loyalty, and what drives it

Exclusive to FirstView and not available elsewhere, NPS+ does more than measure your brand’s overall health—it shows you what drives brand satisfaction so you can take action to improve physician engagement and use.

About the Neurologists and General Practitioners surveyed

This detailed analysis—based on a survey of 100 US neurologists and general practitioners who play an active role in writing prescriptions for their migraine patients—establishes which therapies they use and the clinical characteristics that influence their choices.

This report gives you...

  • 33 clear, easy to read charts that provide at-a-glance understanding of the survey findings
  • Practical data to understand how neurologists and general practitioners rank leading therapies
  • Actionable data for addressing negative brand perceptions

What are Net Promoter Scores?

NPS measures overall brand satisfaction and loyalty by asking one simple question:

"How likely are you to recommend this brand to a colleague?"

Responses, given on a scale of 0 to 10, are used to classify doctors into 3 categories:

  • Detractors are those who answer 0 - 6
  • Passives are those who answer 7 - 8
  • Promoters are those who answer 9 - 10

Why FirstView has an edge in pharmaceutical market research

FirstView research draws on LiMA (Leaders in Medicine Atlas), the world's largest directory of 3.5 million vetted and verified physicians. This proprietary physician research platform uses advanced big data capture, processing and analytics powered by AI and machine learning to ensure the most robust samples are used for every FirstView survey.

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Other MIGRAINE reports available

NPS+ Migraine Europe

Medical Affairs Reputations US: Migraine

Medical Affairs Reputations Europe: Migraine

Market Access Impact US: Migraine

Market Access Impacts Europe: Migraine

To learn about our cost effective Migraine intelligence package of all reports, please contact us at

1NPS is a customer loyalty metric developed by (and a registered trademark of) Fred Reichheld, Bain & Company, and Satmetrix.