As a former pharma rep, cardiovascular specialist, this is what big pharma does, even little pharma. Docs are PAID for all the meds they RX. They all have a quota, usually through the insurance plans they accept as well as the hospitals they round. They have to have a specific percentage of generic RX's in each class of drugs, as well as a percentage of branded drugs in each class. Docs decide what RX's will go into which category, then RX them. It makes me physically ill now knowing I was ever part of this sham, and that is what it is, a sham. There isn't a single doc I called on for decades that I would send my family to, and I called on thousands in 3 states.