Tuesday, February 25, 2020

With RxDefine, This Under 30 Cofounder Is Moving From Manufacturing To Healthcare


Alex Knapp Forbes Staff Feb 24, 2020, 11:14am
Chase Feiger put his medical degree on hold in 2013 to start his first company, enterprise software maker Parsable. Seven years later, he’s back in medicine with a new company, RxDefine, which lets big pharmaceutical firms reach consumers directly, giving them an edge in a fast-growing niche dominated by startups such as Hims. “We’re all about minimizing friction for the consumer,” says Feiger. 
An alumnus of the Forbes’ 30 Under 30 list for Manufacturing in 2017, Feiger spent much of the last decade building Parsable, which helped industrial companies improve productivity and built a $200 million valuation, according to Pitchbook. Feiger stepped down from the San Francisco startup in 2019. That same year, he finished his medical degree and cofounded Santa Monica-based RxDefine with Parsable cofounder Ryan Junee and Ahmed Elsayyad, whom Feiger met in medical school.
RxDefine provides telemedicine software that lets consumers interact directly with doctors via customized apps and websites, in collaboration with its pharmaceutical company customers. On February 15, 2020, it launched its firstDermatology.com, with customer Bausch Health. The site provides information about Bausch’s products for various skin conditions, and gives patients an option to immediately connect with physicians. 
Feiger and his cofounders are targeting the billions in ad dollars pharmaceutical companies spend every year just to encourage patients to talk to their doctors—who then, presumably, recommend the drug. Drug companies spend $6 billion a year for TV ads, according to the Journal of the American Medical Association. This approach struck Feiger as needlessly convoluted. “You’re wanting to buy a new TV, so you go to BestBuy.com. And on the website, it says you have to go talk with your local Best Buy sales rep in order to buy that TV,” he says. 
Dermatology.com reduces this friction by allowing patients to connect to RxDefine’s platform, which is operated by medical providers who aren’t connected to Bausch. On the platform is a dynamic questionnaire about their symptoms, which uses clinical protocols developed by dermatologists. Those symptoms are then reviewed by doctors, who advise patients on treatment options. The questionnaire does give patients the option to see if they’re a good candidate for a particular medication (the virtual equivalent of “talk to your doctor”), but that portion is optional. 
If a doctor determines that a drug is the best treatment for their patient, those drugs would be available for free home delivery, or the prescription can be sent to the patients’ preferred pharmacy. Although pharmaceutical companies are RxDefine's customers, Feiger emphasizes that physicians won’t be incentivized to prescribe any drugs. RxDefine isn’t incentivized, either. That said, Feiger believes that the ease of access to doctors, combined with lower prices, will drive sales to patients more efficiently than a TV ad. So do his customers. 
“The platform was launched with a portfolio of 15 products, and we plan to expand the number of cash-pay products over time,” Bausch Health CEO Joseph Papa said on an earnings call earlier this week. “We believe that dermatology.com has the potential to meet patient needs and help grow our dermatology business.”
The emphasis on providing the best patient care is important to Feiger, since he has an M.D. degree himself. He emphasized the importance to him and his cofounders that the company's customers are aboveboard. “We emphasize regulatory compliance above all else,” he says. “We have turned customers away who have asked us to do things we have not felt comfortable doing.”
He and his cofounders have believers. The company has raised $11.7 million so far with a valuation of $38.5 million, according to Pitchbook. It’s already grown to 27 employees and is launching more websites with other pharmaceutical partners in the coming months. Those sites will focus on patient concerns such as women’s health, infectious disease and primary care, and it’s working on real-time physician consultations as well. 
Despite the workload, Feiger doesn’t plan on raising more capital anytime soon. “I think we have too much money,” he laughed.

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