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IMPROVING PAT I E N T C A R E & PHARMACY P R O F I TA B I L I T Y Spring 2020

Community • Specialty • LTC

20 Unique Products & Services

Discover 20 products and services that will help your pharmacy improve patient care or increase profitability.

Specialty Pharmacy Solutions (Technology & Software) Industry Expert Q&A, Market Leaders Buyer’s Guide, and More page 56

8 Thought Leader Videos

Eight Video Series Including Medicine Shoppe International, Inc., Comprehensive Pharmacy Services, Sentry Data Systems, and ACHC page 30

2 Case Studies

Medicine Shoppe International, Inc. and CPS SPARX


SELLING YOUR PHARMACY? WHAT YOU DON’T KNOW CAN LOWER YOUR SALE PRICE.

EXPERTISE

ADDED VALUE

FREE CONSULTATION

Work directly with a licensed and insured broker, who is also a former pharmacy owner and who has personally sold and closed over 140 pharmacy transactions in 42 states.

Our proven, confidential, proprietary process brings value to the transaction. That means a higher price, less stress and lower risk for you.

Know your options. Call 888.808.4774 before disclosing any information to a potential buyer.

Daniel J. Lannon, RPh, Broker Representing pharmacy owners nationwide.

Call 888.808.4RPH (4774) Text 651.769.4932

|

Email dan@pharmacycbs.com

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Web pharmacycbs.com

CREATE FUTURE VALUE. Call today for a free Cost of Goods Sold-Profit Analysis. © 2020 Pharmacy Consulting Broker Services.


IMPROVE YOUR PHARMACY OPERATIONS

Minimize dispensing errors Increase revenue and profitability Automate workflow management Customize analytics and reports

Pharmacy Management System

Schedule a DEMO today!

(866) 495-3999

sales@micromerchantsystems.com

Maximize Your Pharmacy Performance with PrimeRx™ Intuitive Software Tools  Web portals and apps for patients/physicians/owners  Turnkey refill management and automation  RxSync – sync all refills to one date  Two-way SMS/text message from the patient’s profile  Route optimization through Google Maps  Customizable workflow capabilities for Specialty,

www.micromerchantsystems.com

Mail Order and other pharmacy configurations  Clinical assessment module


demonstrate your commitment to quality pharmacy

Achieving ACHC Accreditation reflects a pharmacy’s dedication and commitment to meeting standards that demonstrate a higher level of performance and patient care. Our team of industry experts developed relevant standards with providers’ needs in mind.

pharmacy accreditation services: Ambulatory Infusion Center

Infusion Pharmacy

Long-Term Care Pharmacy

Specialty Pharmacy

Mail Order Pharmacy new !

With DMEPOS

Infusion Nursing

Without DMEPOS

PCAB Accreditation Non-Sterile Compounding (Ref. USP <795>) Sterile Compounding (Ref. USP <797>)

experience the achc difference:

Distinction Among Competition

Industry-Expert Surveyors

Payor Recognition

To find out more, call (855) 937-2242 or visit achc.org


Contents WAY

Parata Offers Scalable Automation and Workflow Solutions for Your Pharmacy

Powering retail pharmacies to help people lead healthier lives.

Scalable adherence packaging and inspection solutions grow with your business so you can fill more scripts to keep up with added volume. Invest in a solution that won’t hold you back when your adherence program grows larger than 100 patients. Explore the most comprehensive pharmacy automation portfolio including adherence packaging, vial-filling, and workflow solutions at parata.com.

Adherence Packaging & Inspection

Workflow & Inventory Management

866.251.6171 parata.com

Vial-Filling Robots

Explore the technology, expertise, and people you can count on.

WAY You do more than sell prescriptions. Integrate seamlessly with Pharmacy Management Systems

Manage inventory

Increase profitability

Improve patient outcomes

Adhere to PCI Compliance Standards

Streamline pharmacy operations

Comply with federal and state regulations

Boost Customer Loyalty

Your point-of-sale system should too! Discover how RMS is changing the way that pharmacies see point-of-sale and learn more about how RMS can be the solution for your pharmacy.

Secure Pick-Up Kiosks

Point-of-Sale for Your Pharmacy From Retail Management Solutions

The POS solution for better patient outcomes, higher profits, improved compliance and risk management, and so much more.

1.877.767.1060 | sales@rm-solutions.com | www.rm-solutions.com

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WAY SPECIALTY RX SOLUTIONS (TECHNOLOGY & SOFTWARE)

PHARMACY SOFTWARE FOR

PHARMACY SUCCESS

Pharmacy Software helping community pharmacies enhance patient care, increase patient safety, and improve profitability. FLEXIBLE PHARMACY WORKFLOW

EXTENSIVE REPORTING AND DATA MINING

PROFIT AND INSURANCE AUDIT PROTECTION

PATIENT ADHERENCE AND PERFORMANCE DASHBOARD

MODERN PAYMENT PROCESSING INCLUDING EMV

FRONT END INVENTORY MANAGEMENT

TEXT, EMAIL, AND VOICE PATIENT MESSAGING

MEDICATION THERAPY MANAGEMENT

ADVANCED BIN MANAGEMENT

INTEGRATED FACTS AND COMPARISONS

SIMPLE DRIVE THROUGH SOLUTIONS

DELIVERY AND REMOTE SIGNATURE MANAGEMENT

CLOUD POWERED MULTI-STORE MANAGEMENT

PHARMACIST DRIVEN ECARE PLANS

COMPOUNDING TOOLSET

PRESCRIPTION READY BOARD

MEDSYNC AND REFILL MANAGEMENT

DIRECT SECURE MESSAGING

INVENTORY CONTROL MADE EASY

ADVANCED SECURITY INCLUDING FACIAL RECOGNITION

page 29

Pharmacy Software for Pharmacy Success by Liberty Software

A pharmacy management solution that helps community retail pharmacies enhance customer service, improve profitability, and increase patient safety.

Thought Leader Video Series

View a demo now at www.libertysoftware.com or call us at 800-480-9603

page 30-31

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SPRING 2020

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Contents WAY

CASE STUDY n Automatio more DOSIS Blister-Card and offer caregiverspackaging. production robotic blister Boost pharmacy through hands-free convenience Zach Corbell,

Pharm D.

Pharmacist-in-Charge ~ Tarrytown Austin, TX

Expocare

(PIC)

nine million

there were OUTCOME and Prevention, facilities as of the PRIMARY INTENDED Disease Control care (LTC) 73 Centers for long-term

to the pass involves in or through According medication receiving services that the average LTC hours to complete. Americans nearly two Research indicates can take a nurse staff by year 2014. and easier for nursing It also administration different pharmaceuticals for each dose. that makes medication prescription bottles days and times not Blister packaging open multiple clearly indicate whether or the need to labels can at a glance eliminating errors: Packagingand staff can confirm prevents dispensing be administered, should is extremely medications and labeling a fully given. manually loading robots offer a dose was blister packaging, Technologies' DOSIS blister packaging benefits of Manchac hands-free Despite the and inefficient. that brings reliable, time-consuming solution cost-effective automated, your pharmacy. right into and developmental in intellectual and efficient processes THE CHALLENGE is an LTC pharmacy specializing is to create intermediate Expocare Their goal providers, Tarrytown nationwide. currently community-based 2007, Tarrytown is in home- and disability communities Tennessee. service to home. Founded Ohio, and provide superior individuals living at Kentucky, their and Oklahoma, growth, and care facilities, Mexico, Arizona, significant Texas, New Staffing had experienced licensed in 1,000 patients. the pharmacy Corbell, and 2015, approximately said Zach our Between 2012 from 300 to the pharmacy,” to increase than tripled of space in opportunities volume more running out looking for but “we were “We were also grown, at Tarrytown. staff.” additional Pharmacist-in-Charge bringing in hours without production

www.manchac.com

DOSIS Systems’ Month-to-Month Subscription – Autonomous Efficiency Guaranteed

CASE STUDY Grow Your Family of Pharmacies With Medicine Shoppe International, Inc. Smart independents achieve successful expansion through the power of co-branding with a respected name.

PRIMARY INTENDED OUTCOME

DOSIS Systems offers autonomous workflow that partners with pharmacies to ensure improved efficiency, productivity, and bottom-line by automating over 75% of their production.

Despite an overall trend showing an increase in the number of independent pharmacies that close their doors every year, new standalone stores continue to appear in communities across the U.S. The challenges these independent shops face include the effect of reimbursements on revenue, the cost of managing inventory, as well as difficulty parsing and acting on crucial profit and loss metrics.

Jerry Barnette Managing Partner

Owners looking to expand their footprint have several options with Medicine Shoppe International (MSI), whether they choose to convert an existing pharmacy, acquire a pharmacy, or open a new store or tele-pharmacy, they can utilize a proven franchise model with a full brand or co-branding plan that works for them. MSI Franchisees benefit from a variety of business solutions that maximize marketing, tap into advantages of scale, and ultimately improve patient engagement and care.

~ Med-Save, A member of The Medicine Shoppe® Family

THE CHALLENGE

David Ruth

There was a time when independent pharmacy owners found it fairly easy to be successful. Today, the environment is much more challenging, according to Jerry Barnette, managing partner of the Med-Save family of pharmacies and independent owner since 1994. “We’ve gone from competing against the chains to competing against the insurance companies and PBMs. We have to watch everything carefully to determine where we will be six months down the road regarding reimbursements and retroactive adjustments.”

Chief Operating Officer ~ Med-Save, A member of The Medicine Shoppe® Family

Improving speed to fill is our specialty. And with Surescripts, you can focus on what you’re here to do: deliver critical medications and exceptional care.

Digital enrollment forms pre-populated by the EHR and sent straight to pharmacists’ workflows. Seamless prior authorizations. Prescriptions that arrive ready to fill. We can make it happen together. Take the first step toward a streamlined specialty dispensing workflow: Surescripts.com/SpecialtyMeds

page 36-39

Surescripts Optimizes Workflow and Speed to Fill With Automated Enrollment

Specialty Patient Enrollment reduces administrative delays with an automated process that pulls details from the EHR and automatically sends forms to your workflow, leading to more complete and accurate information – and faster speed to fill.

WAY SPECIALTY RX SOLUTIONS (TECHNOLOGY & SOFTWARE)

SPECIALTY RX SOLUTIONS (TECHNOLOGY & SOFTWARE)

PRESCRIPTION: FILLED. PURPOSE: FULFILLED.

BestRx Pharmacy Software – The Best Choice in Pharmacy Management Software

A different way to do business. Strong foundation, successful future

From our family to your pharmacy As a family owned and operated company, we know the value of a hard day’s work and believe good business starts with partnerships, not profits. Since 1985, BestRx has served the needs of independent pharmacies with innovative solutions to streamline business, increase revenue, and enhance the care you provide to patients. With BestRx, you can rest assured knowing our product isn’t a one and done deal - it’s an ongoing relationship to grow businesses and strengthen communities.

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QUARTERLY ISSUES Spring 2020

Winter 2019 / 2020

Spring 2020

&

Winter 2019

Health System

TA B I L I T Y

Infusion

Winter 2020

Discover 20 products and services that will help your pharmacy improve patient care or increase profitability.

and services that will help your Compounding pharmacy improve 503B Outsourcedpatient care or increase profitabilit Facilities & Services y. Market Leaders Cannabidio Industry Expert Q&A, l (CBD) More Guide, andResources Buyer’s & Products page 48 Industry Expert Q&A, Market

8 Thought Leaders 8 Thought Leader Videos 7 Case Studies 4 Case Studies

8 Thought Leader Videos

Leaders Buyer’s Guide,

and More page 46

Pharmacy Services, Sentry Data Systems, Comprehensive ACHC, and More Verity Solutions, page 34 Eight Video Series Including Parata, PharmaLink, Sentry Data Systems, and Pharmacy Consulting Broker Services

Eight Video Series Including Medicine Shoppe International, Inc., Comprehensive Pharmacy Services, Sentry Data Systems, and ACHC page 30

2 Case Studies

River, Visante and NuAire, Parata, Charles Retail Management Solutions

Medicine Shoppe International, Inc. and CPS SPARX

Summer 2019

IMPROVING PAT I E N T C A R E & PHARMACY P R O F I TA B I L I T Y Fall 2019

Community • Specialty • LTC

Community • Specialty • LTC

20 Unique 20 Unique Products Products & Services and services Discover 20 products & Services pharmacy improve that will help your contain costs. 20 products patient care or Discover

20 Unique Products & Services

page 56

Issue Focus: Retail, Specialty, & LTC Issue Frequency: Spring, Fall, & Winter Circulation Per Issue: 28,500+ 18,000+ Owners (Independents) 1,500+ Long-Term Care Pharmacies 2,500+ Retail Chain Executives 2,500+ Industry Executives 2,000+ Trade Show Handouts

OVING PAT I E N T C A R E

T & CPOHS A PHARMACY RMACY ENT C O N TA I N P RMO FI

Community • Specialty • LTC

Community • Specialty • LTC

Fall 2019

N G I M P R O VI IM P R RE PATIENT CA

IMPROVING PAT I E N T C A R E & PHARMACY P R O F I TA B I L I T Y

Specialty Pharmacy Solutions (Technology & Software)

Issue Focus: Hospital & Infusion Issue Frequency: Summer & Winter Circulation Per Issue: 12,200+ 6,500+ Hospital Directors 2,200+ Clinical Consultants 2,500+ Industry Executives 1,000+ Trade Show Handouts

BestRx delivers the best value with easy-to-use, complete pharmacy management software solutions, that can be tailored to the needs of independent, community pharmacies.

page 41

Industry Expert Q&A, Market Leaders Buyer’s Guide, and More

2020 CIRCULATION

Let’s talk. 1200 Jorie Blvd Suite 310 Oak Brook, IL 60523 1-877-777-5758 sales@bestrx.com

page 35

20Ways MISSION To educate pharmacy management on products and services that serve to improve patient care or improve a pharmacy’s financial bottom line, while distilling and presenting this relevant information via 20 product profiles.

Smart independents achieve successful expansion through the power of co-branding with a respected name.

www.cardinalhealth.com/MSIfranchise

page 33

WAY

Case Study: Grow Your Family of Pharmacies With Medicine Shoppe International, Inc.

page 20

20 Unique Products & Services

Discover 20 products and services that will help your pharmacy improve patient care or increase profitability.

Pharmacy Return Solutions & Resources Industry Expert Q&A, Market Leaders Buyer’s Guide, and More page 50

8 Thought Leader Videos

Eight Video Series Including Medicine Shoppe International, Parata, Sentry Data Systems, and Pharmacy Consulting Broker Services page 22

2 Case Studies

QS/1 and Dexcom

Care Services, Medicine Shoppe Noritsu Pharmacy Automation, International, and Temptime

Community • Specialty • LTC & Health System • Infusion

Community • Specialty • LTC

I M P R O V I N G PATIENT CARE &

PHARMACY COST C O N TA I N M E N T Summer 2019

Health System

Infusion

20 Unique Products & Services

Discover 20 products and services that will help your pharmacy improve patient care or contain costs.

340B Resources & Software Industry Expert Q&A, Market Leaders Buyer’s Guide, and More page 38

8 Thought Leaders

Eight Video Series Including Visante, Verity Solutions, Rees Scientific, Acentrus Specialty, and More

page 22

4 Case Studies

Liberty Software, GSL Solutions, Charles River, and Comprehensive Pharmacy Services

Health System • Infusion

Visit 20Ways ONLINE at RXinsider.com/20Ways

SPRING 2020

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7


Your choice of an accreditation organization is as important as the services you provide. As a fellow entrepreneur and the CEO of a company that accredits pharmacy providers, I know what matters most to you. First of all, your accreditation organization needs to understand exactly what it is that you do. Then, it needs to educate and give guidance to help you grow your business. Thatâ&#x20AC;&#x2122;s precisely what The Compliance Team does best. Make the right choice. Call me, Sandy Canally, CEO of The Compliance Team.

215-654-9110 scanally@TheComplianceTeam.org

*The Compliance Team, Inc. is approved by the Centers for Medicare and Medicaid Services to accredit Part A-Rural Health Clinic, PatientCentered Medical Home, and Part B-DMEPOS providers.

ÂŽ


Medi-Dose

EPS

Unit Do s Bar Co e, di Pharm ng, a Nursin cy & g Supp ly Expert s!

There’s a label for that! Medi-Dose/EPS labels are specifically designed for every need...from solids to liquids, syringes to ampules, IV lines and bags to insulin and suppositories. Plus, with our MILT® software, you can even add optional bar codes. You name it. At Medi-Dose/EPS, there’s a label for that!

Simple. Reliable.

800.523.8966

MediDose.com

® ®


Contents WAY M

aintaining consistent pharmacy practices in every store is a day-to-day challenge. Our simplified, customized approach to chain-wide standardization enables you to provide the value-based care that your patients deserve and gives you the time to develop new and profitable offerings. Our industry-leading Exemplary Provider® accreditation designation tells your patients that your stores practice the highest standards of patient care and quality. Fortify your chain. Call 215-654-9110 or visit: TheComplianceTeam.org.

OFFERING ACCREDITATION FOR: COMPOUNDING, INFUSION, DMEPOS, SPECIALTY DRUG, TRAVEL/RETAIL CLINIC, LONG-TERM CARE, TELEPHARMACY™, CHRONIC CARE MANAGEMENT (CCM), DIABETES SELF-MANAGEMENT TRAINING (DSMT), PATIENT-CENTERED PHARMACY HOME™, PATIENT-CENTERED RESPIRATORY HOME™ FOR ADVANCED PHARMACY PRACTICES *The Compliance Team, Inc. is approved by the Centers for Medicare and Medicaid Services to accredit Part A-Rural Health Clinic, Patient-Centered Medical Home, and Part B-DMEPOS providers.

The Compliance Team – The FACS That Matter When Choosing Your Pharmacy Accreditation Organization

WAY SPECIALTY RX SOLUTIONS (TECHNOLOGY & SOFTWARE)

SPECIALTY RX SOLUTIONS (TECHNOLOGY & SOFTWARE)

Pharmacy accreditation strengthens your chain’s performance and consistency.

A pharmacy chain is only as strong as its weakest link.

Flexibility, accessibility, consistency, and most of all simplicity are hallmarks of The Compliance Team’s Medicare approved accreditation process.

YOUR TOTAL PHARMACY SOLUTION Discover the possibilities with Computer-Rx and Rx30

Experience the Most-Used Software in Independent Pharmacy Computer-Rx and Rx30 software solutions move beyond traditional pharmacy dispensing software to ensure a total pharmacy solution for all aspects of your business. We are committed to providing you scalable software solutions to help you drive patient outcomes, increase revenue and maximize the success of your business.

Find out what a total pharmacy solution can do for your business.

Ready to learn more?

(800) 289-7930 sales@rx30.com rx30.com

Contact us today for a custom demonstration.

(800) 647-5288 sales@computer-rx.net computer-rx.com

© 2020 Transaction Data Systems, Inc. | tdsclinical.com

page 43

WAY Portable

Efficient Convenience and Access

Privacy and Comfort Welcoming ambiance using privacy glass doors and panels. Sound absorbing décor fabric panels to maintain patient confidentiality.

Place rooms near check-outs for easy access with transactions, procedures or conversations with clients and RX staff.

Uniweb’s Consultation and Immunization Rooms Sizes and configurations are unlimited!

Optimal Layouts Functional private spaces, and complete rooms, fit into your current layout. Add counter tops and shelving for efficient workflow.

The beauty of Uniweb’s craftsmanship... As your needs change, so can your space!

Let Uniweb help you create a complimentary and inviting climate for your customers.

Corona, CA 800.486.4932 uniwebinc.com

Consultation and Immunization Spaces Expertly Crafted by Uniweb, Inc.

WAY

RXInsider_2020_ads_02.pdf

A Solution Driven Company – Uniweb creates adaptable modular rooms, consultation spaces, and counters with cost-effective systems to enhance maximum work-flow and efficiency.

1

2/24/20

Omnicell Solutions Optimize Workflow Efficiency and Increase Accuracy

5:51 PM

Go from menial to meaningful.

C

Omnicell helps you replace manual, error-prone tasks with more accurate, efficient medication processes. Our goal? To free pharmacists from logistical and administrative tasks so you can focus on what matters most: patients.

M

Y

CM

MY

CY

CMY

K

Start your pharmacy transformation today. Learn more at omnicell.com.

page 45

Unleash your potential at cpssparx.com

Because hospitals and health systems are uniquely aligned to deliver the care that these patients need, every hospital should have a specialty pharmacy strategy. That strategy must recognize the impact each key stakeholder will have on the success of the specialty pharmacy, including patients, providers, clinical staff, payors and pharmaceutical manufacturers and how to develop and manage those relationships for success.

Patient education regarding treatment and side effects before and during treatment

Adherence monitoring using patient surveys

Adverse effect management to address side effects

High cost of specialty medications, most over $2,000 per fill

Fewer than two percent of patient populations requires these drugs

Complex administration and compliance issues

Manufacturers may choose to limit specialty drug distribution

PROVIDERS Communication is often fragmented in the healthcare environment where the fax machine and landlines are still used to communicate and coordinate care. A landmark study by Biologics found that the average cancer patient

02610_CPS_RxInsider_20Ways_8.5x10.75_Final.indd 1

2/21/20 10:25 AM

The importance of patients, providers, clinical staff, payors, and pharmaceutical manufacturers.

RE) Q & A

In addition, to help with patient drug co-pays, take a look at patient assistance programs offered by pharmaceutical companies. Eligible patients can utilize manufacturer copy discount programs or patient assistance programs to lower out-of-pocket costs for their specialty medications.

CHALLENGES FACING HOSPITAL BASED SPECIALTY PHARMACY:

SOF TWA LOG Y &

Patients can be overwhelmed by their complex medication regimens, potential drug side effects, and concerns over the cost of their drugs. Not addressing their concerns can lead to non-adherence. An innovative model created by the University of North Carolina Medical Center was able to improve adherence rates by providing the following support to patients:

NS (TEC HNO

PATIENTS

page 46-49

WAY Phone 1.800.579.4804 Fax 865.675.2474

support@drugreturns.com www.drugreturns.com

Receive Your Expired Pharmaceutical Returns Credit In As Few As 10 Days The fastest expired pharmaceutical return credit reimbursement in the industry. Receive a check for your credit in just 10 days.

Receive credit in just 10 days Choose to receive the check for your credit in as few as 10 days after your qualifying return, or choose from our 30-, 60-, or 90-day reimbursement options.

Simplify credit tracking

No hidden charges

Credit due through our OneCheck Select program is issued in a single check, vastly reducing the amount of time spent tracking credits.

We Simplify Credit Reconciliation Return Solutions makes the process of reconciling credits from expired pharmaceutical returns simple and efficient. All credit due from Return Solutions is issued in a single payment, with details for the included credit accompanying each payment and easily accessible on our customer portal. The all-inclusive fee is deducted from your payment, so you don’t have to worry about calculating costs of shipping, DEA forms, destruction of non-returnable items, or other add-ons to determine what you are actually being charged.

Our low, all-inclusive fee is deducted from your check so there are no surprise hidden charges.

Why Choose Return Solutions?

Efficiency

Simplicity

Industry Trust

Dedicated Support

Compliance

Customization

Receive Credit in as Few as 10 Days With the New 10-Day Pay Program by Return Solutions

SPECIALTY PHARMACY SOLUTIONS (TECHNOLOGY & SOFTWARE)

Q&A

CY SOL UTIO

Specialty pharmacy is a rapidly growing segment of drug spend, projected to comprise $250 billion in revenues by 2020. Hospitals and health systems are feeling the pressure to build or expand existing specialty pharmacy services in order to compete for patients with chronic complex diseases who require specialty medications.

TY PHA RMA

The importance of patients, providers, clinical staff, payors and pharmaceutical manufacturers

SPE CIAL

Key Stakeholders Impacting Hospital-Based Specialty Pharmacies: How to Forge Essential Relationships

Case Study: CPS SPARX – Key Stakeholders Impacting HospitalBased Specialty Pharmacies: How to Forge Essential Relationships

Streamlined automation, medication adherence packaging, labeling, and consumable solutions help pharmacies improve overhead, compliance, and efficiency while reducing inventory and labor costs.

page 55

S P E C I A LT Y P H A R M A C Y S O L U T I O N S ( T E C H N O L O G Y & S O F T WA R E ) Q & A

CASE STUDY

Providing innovative, robust, and easy-to-use pharmacy management, point-of-sale, multi-site management, and business management solutions to community pharmacies across the United States.

page 53

SPECIALTY RX SOLUTIONS (TECHNOLOGY & SOFTWARE)

Adaptable

Transaction Data Systems (Rx30/ Computer-Rx) Pharmacy Software Solutions

Buyer’s Guide

Acute Care Pharmaceuticals 12225 World Trade Drive, Suite A San Diego, CA 92128 (888) 909-7700 www.pharma-choice.com

Comprehensive Pharmacy Services 6409 Quail Hollow Road Memphis, TN 38120 (800) 968-6962 www.cpspharm.com

keycentrix 2420 N. Woodlawn Boulevard, Building 500 Wichita, KS 67220 (800) 444-8486 www.keycentrix.com

SuiteRx 307 S Jupiter Road, Suite 205 Allen, TX 75002 (916) 242-8779 www.suiterx.com

Accreditation Commission for Health Care (ACHC) 139 Weston Oaks Court Cary, NC 27513 (855) 937-2242 www.achc.org

CoverMyMeds 2 Miranova Place Columbus, OH 43215 (866) 452-5017 www.covermymeds.com

Liberty Software 3205 E. Southlake Boulevard Southlake, TX 76092 (800) 480-9603 www.libertysoftware.com

Surescripts 2550 South Clark Street, 10th Floor Arlington, VA 22202 (703) 921-2121 www.surescripts.com

CSI Specialty Group 400 Lexington Green Lane

McKesson Pharmacy Technology & Services 450 Lindbergh Drive

Synergy Medical 2915 Ogletown Road, #2565 Newark, DE 19713 (866) 764-7966 www.synmedrx.com

First Financial Bank

Micro Merchant Systems

TemperPack

AdvanceNet Health Solutions

67 Buck Road B9, Suite 115 Sanford, FL 32771 Moon Township, PAacy 15108 Huntingdon Valley, PA 19006 ette, RPh (866) 484-4752 (866) Pharm 682-8942 of Specialty ia Arqu National (800) 919-3744 www.csigroup.net www.McKesson.com/MPS Association Shel or, www.anshealth.com

tive Direct Execu AmerisourceBergen

n 2804 Decatur Street 214 North Washington Street 6800 Jericho Turnpike, Suite 203E in confusio can result This Syosset, Richmond, VA 23224 El Dorado, AR 71730 NY 11791 who ’s choosing. re providers www.temperpack.com (866) 495-3999 their physician or 467-0724 and healthca their(800) www.ffb1.comes for both patients https://www.micromerchantsystems. The Compliance Team re benefits. and challeng complex healthca com/primerx/RxInsider P.O. Box 160, 905 Sheble Lane, Suite 102 Guaranteednavigate Indirect to Returns (GRx) Direct and struggle andOmnicell Spring House, PA 19477 100 Colin Drive pharmacy sement rates (215) 654-9110 Holbrook, NY reimbur 11741 590 Middlefield Road theEastspecialty Declining Though Mountain costs have www.thecomplianceteam.org (800) 473-2138 (DIR) Fees. CA 94043 drug andView, ration Remune www.guaranteedreturns.comsubstantially, labor (800) 850-6664 insurers and Therigy grown health has developm the number www.asembia.com from www.omnicell.com drug industry 2301 Maitland Center Parkway, Suite 201 Health Care Logistics 1990s, new ements . the ed Since reimburs to decrease traditional g Inc. Associates outpacin Maitland, FL 32751 P.O. Box 25, and Pharmacists Mutual Insurance Company tially and dominat increased s (PBMs) continue is of Cape Cod, increased exponen spending growth the 124 Bernard E. Saint Jeanshare (407) 992-8750 Circleville, OH 43113 manager 808 US Highway 18 West, P.O. Box 370 y industry y benefit 47% Drive of pharmac a pharmac product ately specialty East Falmouth, MA 02536 www.therigy.com (800) 848-1633 Algona, IA 50511 Specialty approxim more by the er 2019, and now has , in Novemb pharmacy fees, (888) 395-2221 challenge faced www.gohcl.com (800) 247-5930 Transaction Data Systems example ration Another product growth As an e antiwww.acciusa.comal spend increased Indirect Remune www.phmic.com the Medicar ounted spend.¹ in 6021 Rio Grande Avenue HealthCrowd and tradition non-disc Direct loophole A is ies while Pharmacy Software s in more total Orlando, FL 32809 1810 Gateway Drive, Suiteas 200DIR fees. PharmaLink grew by 11.0% BestRx to charge pharmac ly known only by approval common specialty spend , but 8285 Bryan Dairy Road, #200 after 1200not Jorie Boulevard, Suitehepatitis 310 (800) 289-7930 plans and PBMs San Mateo, CA 94404 has been fueled are applied and allows health fees increase law DIR This oncology Largo, FL 33777 Oak Brook, IL 60523 www.transactiondatasystems.com (888) 992-7693 as kickback ions. 0.7%. y has g to see an e prescript y” diseases such (800) 257-3527 (630) We 893-9210 www.healthcrowd.com after the pharmac the are beginnin Verity Solutions fees to fill Medicar collected months t common “specialt d www.pharmalinkinc.com www.bestrx.coment for the treatmen diseases as well. sale and 12131 113th Avenue NE, Suite 200 Innovation ry has purchase point-ofbeneficia developm the a in rare or orphan specialty drug billion by small R&S Northeast BIOSRX Kirkland, WA 98034 711 Innovation Way on drug and after totaled $8.5 lly managed ies have Tracy historica dispensed the increasing focus were Roadunsustainable 1300 E. Bidwell Street, Suite 105 (425) 947-1922 heart failure, Johnson City, NY 13790 fees on pharmac8407 Austin is conditions that Folsom,Disease, ³. This Since 2013, Fountain Run, KY 42133 CA 95630 allergy, www.verity340b.com (607) 798-9376 percent drug. er’s of diseases and 1,600 i.e., Alzheim(916) 850-0132 more than une, and diabetes www.innovat.com ies out of business. (800) 626-0208 WellSky pharmac and have grown molecule therapies oncology, autoimm independentwww.rsnortheast.com stated that 11300 Switzer Road Innovatix is pushing many next five years, www.biosrx.com to July 2019 2018 and stroke. In the June many from with RD Plastics Company Overland Park, KS 66210 West 57th Street, 12th dated tic growth. Bula Intelligence report Floor , including 555A ies have closed, recent launched will drive therapeu 4825 Trousdale Drive #203 2150 E Highland Avenue, Suite 105 (913) 307-1000 New York, NY 10019 ent pharmac es were Active Substanc than 2,200 independ as the reason. Nashville, TN 37220 Phoenix, AZ 85016year for new specialty (888)more www.wellsky.com 258-3273 New 59 In 2018, the biggest DIR fees (800) 795-7007 www.innovatix.com Temptime Corporation, A Zebra resulting in(877) 829-0310 directly blaming in www.rdplastics.com 28 orphan NAS’s, history.² www.bulalaw.com Technologies Company future trends by Integra in some y primarily launches Rees Scientific CareSmart 116 The American Road 317 Commercial Avenue driven product you identif spending is 201 Q. Can specialty 1007 Whitehead Road Ext. 333 E. Main Street, Suitedrugs Morris Plains, NJ 07950 WA 98221 available and Anacortes, acy? d growth of in specialty and The continue Trenton, NJ 08638trends Louisville, KY orphan 40202 (973) 630-6000 specialty pharm major diseases (360) 588-0574 specialty the of new of chronic of of One percent ce 70 (609) 530-1055 (866) 322-3924 www.temptimecorp.com www.integragroup.com therapies. the large number rising prevalen therapies. Nearly Targeted er as well as thewww.caresmartllc.com g targetedwww.reesscientific.com IntelliGuard identified biomark in the pipeline, y is managin n. Cold Chain Technologies ent have an pharmac ScriptPro 6451 El Camino Real, Suite C patients populatio developm s match drugs in and an aging facedCarlsbad,the 5828help Reedsprovider Road 135 Constitution Boulevard CA specialty 92009 ers turers t challenges them. Biomark Mission,start the bigges Franklin, MA 02038 (760) 448-9500 and help manufac ers the KS 66202 associated with some of (800) 2020? in from are y Biomark right What (800) 606-7628 370-8566 www.ig.solutions Q. can be. therapy acy industr l their drugs with the best lty pharm s and www.scriptpro.com www.coldchaintech.com distribution channel just how successfu by the specia treatment regimen the restrict the demonstrate Networks personalize pharmacies. for of to tion used suited number s are Limited Distribu ons are best or a very small s. and genomic help ensure which medicati drug to one ctive outcome tages. It may for a specialty es and disadvan determine precisely superior clinical and cost-effe help populations, to advantag patient has in resource small le This strategy drugs to patient, resulting as an invaluab rate and creates on of high-risk y can serve pharmacies further demonst the safe distributi Specialty pharmac targeted therapy and also ion among specialty healthcare providers. competit experts, and 58 S P R I N Gpayers, 2 0 2 0 and I R E TA I L / C O M M U N I T Y • Sidentify P E C I A LT • LT C theY optimal but it limits on therapy re s for patients, and payers deliver as medicati member of the healthca access challenge Health plans the value they a critical carve-outs. as well as why they are access and in networks, demonstrate Managed care use to participation are forced to limit access delivery team! drugs. Patients continue to channel specialty in patients receiving carve out and which can result pharmacy of pharmacies, and not the specific specialty pharmacies multiple from medications 1300 Morris Drive Chesterbrook, PA 19087

(610) 727-7000 ive most expens www.amerisourcebergen.com the drugs remain Asembia ng trends do spendi Q. Specialty Avenue, 300future? market. What 200 Parkacy the inSuite drugs on the lty pharm Florham Park, NJ 07932 has e for specia drugs available 564-8004 you forese specialty of (973) ents.

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SPECIALTY PHARMACY SOLUTIONS (TECHNOLOGY & SOFTWARE) Industry Expert Q&A, Specialty Pharmacy Solutions (Technology & Software) Market Leaders Buyer’s Guide, and more.

page 56-59

RetailSTARx Pharmacy and Retail Software by CAM Commerce One software to more effectively manage your pharmacy and retail sales.

10-Day Pay is the fastest expired pharmaceutical reimbursement program in the industry. Receive a check for your credit in as few as 10 days after your qualifying return, or choose from our 30-, 60-, or 90-day options.

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20Ways Fall 2019 | Case Study

The New Standard of Diabetes Care: Continuous Glucose Monitoring in Pharmacy Practice Pharmacists are considered one of the most trusted and accessible health care professionals. For this reason, they are afforded the opportunity to identify patients and caregivers who may be struggling with diabetes management and offer solutions such as real-time continuous glucose monitoring (CGM). Read Case Study: rxinsider.com/ebooks/2019_20WaysFall_DexcomCaseStudy/html5/index.html

Visit www.dexcom.com to learn how your pharmacy can partner with Dexcom to expand their patient-care relationships to identify, educate, and advocate for those who may benefit from continuous glucose monitoring. Watch Video: vimeo.com/355182052

For More Information Email roy.thomas@dexcom.com


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ModularPoleSystem


With your reputation riding on each delivery,

Let our reputation ride with you. As the ambassadors of your pharmacy, you can trust the Mission Critical team to be the face of your organization that your customer interacts with every day. With Mission Critical, you’ll know that each delivery is being made with the same care and professionalism as if you were making the delivery yourself.

Professional Couriers • Certified Experts • Uniformed • Background & Drug Screened

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When failure is not an option.


WHY GUESS ON DOSAGE, JUST USE HURRICAINE ONE!

0.5 mL each

An Innovative Non-Aerosol Unit Dose Topical Anesthetic Spray

ORDERING INFORMATION

• Meets Joint Commission Standard for the most ready-to-administer form available.* • Fast onset. Short duration. Virtually no systemic absorption. • Utilizes bar code medication administration (BCMA) to accommodate point-of-care scanning. • Virtually eliminates adverse events resulting from preventable medication errors, ensuring the “5 Rights” are met: √ Right Drug √ Right Patient √ Right Dose √ Right Route √ Right Time • Single unit-of-use packaging eliminates the potential for cross-contamination.

NDC#

0283-0610-11

0283-0610-26

AMERISOURCE BERGEN

10090081

10090082

CARDINAL HEALTH

CIN 4362547

CIN 4363370

MCKESSON

1410125

1411925

MORRIS & DICKSON

086611

086629

PRODUCT

• Increases billing accuracy and improves supply chain costs. *Joint Commission Standard: MM.05.01.11, EP4

HurriCaine ONE® HurriCaine ONE Unit Dose Unit Dose Non-Aerosol Spray Non-Aerosol Spray Box of 2, 0.017 fl. oz. Box of 25, 0.017 fl. oz. (0.5 mL) each (0.5 mL) each

If HurriCaine ONE is not yet available through your wholesaler, request it by name and NDC Number.

MAKE THE SWITCH TODAY.

Call 1-800-238-8542 to place your order or for more information. www.beutlich.com HurriCaine ONE is a registered trademark of Beutlich® Pharmaceuticals, LLC. HCOA 650 0919


Contents WAY SPECIALTY RX SOLUTIONS (TECHNOLOGY & SOFTWARE)

Providing a Clear Path Toward Operational and Financial Excellence

Innovatix member benefits extend beyond the significant savings we provide. While group purchasing is at the core of what we do, Innovatix is committed to developing programs that help our members thrive.

Our suite of pharmacy operations improvement programs are designed to address your operations needs without distracting from your main mission — providing high-quality patient care. Our suite of pharmacy operations improvement programs provides solutions in the following areas:

Accreditation

Medicare Part D reimbursement

Pharmacy credentialing

Pharmacy operations support

NEW: USP <800> compliance

To join our GPO or to learn more about our suite of pharmacy operations improvement programs, visit us at call

innovatix.com, email

info@innovatix.com, or

(888) 258-3273.

Strategic Purchasing and Operations Improvement Solutions by Innovatix

WAY Medi-Dose

EPS ...thE right PrEScriPtion for PharmaciStS ®

EPS

High quality, safe and effective products for medication administration, preparation and dispensing...in stock for fast shipment worldwide.

® ®

Unit Dos Bar Cod e, ing, Pharma Nursing cy & Sup Experts ply !

Priced low and ready to go! • Medi-Dose® Solid Oral Unit Dose Packaging • TampAlerT ® Liquid Unit Dose Packaging • MILT ® Software for Medication Identification and Bar Coding • LiquiDose® Labels • IV Additive Disposable Accessories • Steri-Dropper ® Sterile Ophthalmic Dropper Bottles • Compounding Products • Cleanroom Supplies • Ophthalmic Practice Accessories • Resealable and Ultraviolet Inhibitant Bags • Tamper-Evident Products • Bottles, Vials and Containers • Operating and Procedure Room Accessories • ShrinkSafe® Bands and Safety Products • Tapes and Labels • Maternity and Laboratory Products • Record Keeping and Identification Products • Storage and Transport Products

Innovatix offers differentiated, high-quality group purchasing and consultative services. We help members maximize their overall financial performance by providing the resources and educational support needed to enhance the delivery of quality patient care.

Visit our website for our EZ order system!

EPS

®

Exceptional Products and Service A Member of The Medi-Dose® Group

800.523.8966

MediDose.com

EPS - Right Prescription O 8.5 x 11.indd 1

We asked Community Pharmacists what they want... Insurance Co.

Better Reimbursements

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QS/1® – Filling Your Pharmacy Software Needs

QS/1 offers 24/7 emergency customer support along with on-site and online training - with nationwide hardware support.

Case Study: Amarin – Reducing Cardiovascular Risk

REDUCING

CARDIOVASCULAR RISK THE ROLE OF THE PHARMACIST

PHARMACISTS CAN HELP PREVENT THE NEXT CARDIOVASCULAR EVENT VASCEPA® (icosapent ethyl [IPE])—not your typical omega-3 fatty acid drug—could help millions of high-risk patients, including statin-treated patients and statin-intolerant patients, to reduce their cardiovascular (CV) risk.1,2 Multiple professional societies have updated guidelines or issued advisories recognizing IPE, including the American Diabetes Association, the European Society of Cardiology/European Atherosclerosis Society, the National Lipid Association, and the American Heart Association.3-6

Empowering community pharmacies to improve the health and well-being of their patients and communities.

QS/1’s NRx® system includes a DIR fee estimator that predicts reimbursement before sale, and pre- and post-edits (PPE) streamline claims to help protect margins.

For over 40 years, Medi-Dose/ EPS has been working with pharmacists to design and support cost-effective products, solving the specific needs of their pharmacies.

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Medi-Dose, Inc./ EPS, Inc. Your Community Pharmacy Supply Experts

Pharmacists are among the most trusted and most accessible of all healthcare professionals (HCPs).7,8 In addition, they are one of the most frequently visited members of a healthcare team.8,9 Many of the frequent visitors of community pharmacies are patients with cardiovascular disease (CVD).10 Statin therapy, the first-line option for high cholesterol, lowers levels of low-density lipoprotein cholesterol (LDL-C), or “bad” cholesterol, and has helped reduce the risk of developing life-threatening blockages in the arteries that can cause heart attacks and strokes.5,11-13 Despite the LDL-C–lowering effects of statin therapy, persistent CV risk remains.14 Other drugs, including but not limited to those listed below, are sometimes recommended in patients that cannot tolerate statins or in addition to statins for patients responding inadequately or with severe hypercholesterolemia.3,15

The role of the pharmacist.

of Cardiology/European Atherosclerosis Society, National Lipid Association, and American Heart Association.3-6

Encouragingly, studies have shown that during pharmacy visits, short educational interventions by pharmacists can positively influence their patients’ decision making, especially as it pertains to taking control and managing CV risk factors—highlighting the critical role of pharmacists in patient care.21 An example patient journey is presented to demonstrate the impact pharmacists have on patient outlook. MILLIONS TAKING STATIN-BASED STANDARD OF CARE EXPERIENCE PERSISTENT CVD

• Ezetimibe: An oral cholesterol absorption inhibitor taken in combination with statin therapy that has shown reduction in LDL-C levels and in the risk of heart attacks and ischemic strokes; however, it has not shown reduced risk of other CV events compared to when statin therapy is taken alone.16 • Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors: Recently shown to improve CV outcomes when added to statin therapy,17,18 these monoclonal antibodies are injectables and tend to be limited due to high-cost adoption.19,20 • VASCEPA (IPE): An oral medication containing an ethyl ester of omega-3 fatty acid that was recently FDA approved and clinically shown to reduce the risk of CV events.1,2 The American Diabetes Association has updated their 2019 guidelines to include IPE as a top-tier recommendation for CV risk reduction, and further recommendations to use IPE have been made by the European Society

QS/1 is 100% focused on the success of Community Pharmacists

~6.3 MILLION

OF WHICH HAVE CVD OR DIABETES (AND ≥2 RISK FACTORS)

~12 MILLION

OF WHICH HAVE TRIGLYCERIDE LEVELS ≥150 mg/dL

~39 MILLION PEOPLE ARE STATIN-TREATED

INDICATIONS AND LIMITATIONS OF USE

• VASCEPA® (icosapent ethyl) is indicated as an adjunct to maximally tolerated statin therapy to reduce the risk of myocardial infarction, stroke, coronary revascularization and unstable angina requiring hospitalization in adult patients with elevated triglyceride (TG) levels (≥150 mg/dL) and established cardiovascular disease or diabetes mellitus and 2 or more additional risk factors for cardiovascular disease • VASCEPA is indicated as an adjunct to diet to reduce TG levels in adult patients with severe (≥500 mg/dL) hypertriglyceridemia The effect of VASCEPA on the risk for pancreatitis in patients with severe hypertriglyceridemia has not been determined.

Learn how QS/1 is ready to help you and your pharmacy do more by visiting qs1.com/NRx.

IMPORTANT SAFETY INFORMATION

qs1.com | #RedSetGo |

• VASCEPA is contraindicated in patients with known hypersensitivity (e.g., anaphylactic reaction) to VASCEPA or any of its components Please see additional Important Safety Information on inside pages and back cover.

* 2018 Independent Pharmacy Benchmark Study

© 2020 J M Smith Corporation. QS/1, the QS/1 logo, and NRx are registered trademarks of the J M Smith Corporation®. QS/1 is a part of Smith Technologies®, LLC, a subsidiary of the J M Smith Corporation.

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Pharma Logistics Delivers Credit, Compliance, and Convenience to Improve Profitability

Pharma Logistics.

The Reverse Distribution Experts.

Pharma Logistics is your reliable partner in pharmaceutical reverse distribution. Our Rapid Credit, Onsite, and Box and Ship services ensure hospital and pharmacy organizations can optimize inventory and supply chain, remain compliant, and boost their return on investment.

What Can Pharma Logistics Do For You?

Trade Show & Meeting Calendar

Pharma Logistics gets you credits for expired pharmaceuticals and keeps you compliant with all state and federal regulations, allowing you to focus on what matters most…your patients. For thousands of pharmacies across the country, Pharma Logistics delivers a range of services, including:

Rapid Credit

Receive credit within 14 days.

Onsite Service

Trained and licensed representatives come onsite to check paperwork, ensure proper packaging, and prepare shipments for carrier pickup.

clean

Box & Ship Service

Manually pack and ship your own returns with prepaid labels and boxes.

Drug Take Back

A medication disposal program that keeps your community safe and complies with the requirements of the DEA Secure and Responsible Drug Disposal Act.

collect

comply

Pharma Logistics brings efficiency and 24/7 visibility to the returns process so you can focus on patient care and the community. Call 888-729-7427 or visit www.pharmalogistics.com.

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PharmaLink’s sole focus is to provide an innovative approach to pharmacy returns that is the most cost-effective, accurate, and compliant solution to safely remove unsaleable pharmaceuticals from specialty pharmacies, hospitals, and other healthcare organizations.

WAY SPECIALTY RX SOLUTIONS (TECHNOLOGY & SOFTWARE)

SPECIALTY RX SOLUTIONS (TECHNOLOGY & SOFTWARE)

Find Out Why Three Out of Five Top-Tier Specialty Pharmacies Use PharmaLink

page 89

Temperature Intelligence Solutions by Temptime – Monitoring Tools and Systems for Medication Shipments, Storage, and Pharmacy Facilities

TEMPERATURE INTELLIGENCE®

Increase your temperature intelligence with EDGE® PQ Get visibility into your medication packouts with expert third party Performance Qualification testing EDGE PQ testing reveals the story behind your packouts. Detailed time and temperature data gives you critical insight into how your packouts perform in different seasons and geographies. Not only do the results help you meet pharmacy network and accreditation requirements, you’ll rest assured you are delivering the best care to your patients. By relying on Temptime for PQ testing, you’ll also free up internal resources while benefitting from over three decades of experience in temperature monitoring for sensitive biologics. Get started with EDGE PQ: temptimecorp.com/edge-pq

zebra.com | temptimecorp.com

ad-EDGE-RXInsider-Platinum-January-2020.indd 1

1/17/20 1:03 PM

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Providing the tools and knowledge to accurately monitor temperature sensitive medication, ensuring they have not been exposed to temperature events.

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BOC HELPS YOU get back to what matters

You are committed to providing your patients with what they need to be successful. Board of Certification/Accreditation (BOC) understands you want a credentialing partner who feels the same way about you. Considered the blue ribbon of credentialing, BOC accreditation ensures compliance with CMS. And with BOC accreditation, your patients are assured of quality care. Get started today! Pharmacy accreditation demonstrates that your pharmacy meets standards established by CMS, DEA, FDA, and the respective state boards of pharmacy standards.

www.bocusa.org 877.776.2200


Precise temperature control to maintain medication integrity

Each year, medication ruined by accidental freezing or exposure accounts for millions of dollars in inventory loss. Follett high-performance refrigerators provide the confidence that comes with unmatched precision in temperature control. Our advanced ducted air-distribution system is coupled with a robust suite of features designed to monitor and protect your vulnerable medication. Learn more of the benefits that only Follett refrigerators can provide at www.follettpharmacy.com


Contents WAY

Letco Helps Compounding Pharmacies Stay Compliant and Profitable

Quality is the most important thing is profitability.

RXinsider.com/20ways

With changing regulations and an evolving market, Letco Medical understands the need for a new approach to compounding.

Compounding can pull you in different directions, but you shouldn’t have to choose between quality patient care and profitability. Letco’s high quality APIs, products and programs have been designed to help you provide the best possible patient care and maximize compounding as a profit center for your pharmacy. We’re Letco. Let us help.

Call or visit us online today 800-239-5288 letcomed.com/RxQuality COMPOUNDING INGREDIENTS | ADVISORY SERVICES

Download the 20Ways App

| SUPPLIES | SPECIALTY PRODUCTS | EQUIPMENT

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Medicine-On-Time a CSS Health Co., Helping Pharmacies Improve Medication Adherence

Adherence is Critical.

It’s This Simple. Medicine-On-Time’s color coded time pass compliance packaging is proven to

increase PDC scores by 30%* in poor performing patients.

2020 RX Insider Ad Final 2_21.indd 1

Improving patient health, made easier with MOTNext, CSS Health, and the Advanced Pharmacy Network (APN).

2/21/2020 11:58:47 AM

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PUBLISHER RXinsider LTD RXinsider CEO: Gregory Cianfarani RPh DESIGN AND PRODUCTION Design & Layout Multimedia Marketing and Operations

Lora Sosa Eric Simmons Jay DiNardi Samantha Pirraglia Jillian Melly

SALES AND BUSINESS DEVELOPMENT Chris Kolkhorst, Vice President chris.kolkhorst@rxinsider.com Shaun Russell shaun.russell@rxinsider.com Mike Rahme mike.rahme@rxinsider.com Matt Payne matt.payne@rxinsider.com Email sales@rxinsider.com Toll-Free Phone 800.972.2083 Fax 646.329.9766 Website www.RXinsider.com

NOTICE OF POLICY 20Ways is published quarterly by RXinsider LTD, 1300 Division Road, Suite 103, West Warwick, RI 02893. Postmaster: Send address changes to 20Ways/RXinsider, 1300 Division Road, Suite 103, West Warwick, RI 02893. Notification of address change must be made six weeks in advance, including old and new address with zip code. Editorial – views expressed in articles or profiles in the 20Ways are those of the author(s) and do not necessarily reflect the policies and opinions of RXinsider, our editorial board(s), our advisory board(s), or staff. Advertising – products, services, and educational institutions advertised in 20Ways do not imply endorsement by RXinsider.

20Ways is an official publication of RXinsider

GENERAL SUBSCRIPTION INQUIRIES RXinsider LTD c/o 20Ways 1300 Division Road, Suite 103 West Warwick, RI 02893 20Ways Online: www.RXinsider.com/20Ways General Information: 20Ways@RXinsider.com Circulation: See page 7

Copyright © 2020 RXinsider LTD. All rights reserved. Reproduction without permission is prohibited.

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THERE IS A LOT TO CONSIDER WHEN CHOOSING AN AUTOMATED MONITORING SYSTEM FOR YOUR PHARMACY.

MONITOR COLD STORAGE

OXYGEN

HUMIDITY

NOTIFICATON

DIFFERENTIAL PRESSURE

TEMPERATURE

AUDIT TRAIL

CO2

PROTECT VALUABLE ASSETS

COMPLIANCE

AIR CHANGES PER HOUR

View real time status from your PC, tablet or phone! * Be an asset for patient safety and keep your medications safe and protected 24/7/365

EQUIPMENT ROOM

Rees Scientific

* Sensors available for temperature, humidity, differential pressure and much more

Manage Alarm

Graph Readings

List Events

List Readings

Program Input

Calibrate Input

Zoom up or Down

9.0

10

* Meet compliance for FDA, Joint Commission, USP <797>, USP <800> and more

12

15

16

6.0 3.0 10/12

10/13

10/14

10/15

10/16

* We can monitor compounding, hospital, chain and community pharmacies RSC

* System can be wired, Zigbee wireless, WiFi or a hybrid of all

Rees Scientific 609.530.1055 www.reesscientific.com


Powering retail pharmacies to help people lead healthier lives.

Scalable adherence packaging and inspection solutions grow with your business so you can fill more scripts to keep up with added volume. Invest in a solution that wonâ&#x20AC;&#x2122;t hold you back when your adherence program grows larger than 100 patients. Explore the most comprehensive pharmacy automation portfolio including adherence packaging, vial-filling, and workflow solutions at parata.com.

Adherence Packaging & Inspection

Workflow & Inventory Management

Vial-Filling Robots

866.251.6171 parata.com

Secure Pick-Up Kiosks


2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y P R O F I TA B I L I T Y

Parata Offers Scalable Automation and Workflow Solutions for Your Pharmacy Explore the technology, expertise, and people you can count on. n Workflow Solutions

President & CEO: Rob Kill Founded: 2001

Employees: 400+ Toll-Free Phone:

(866) 251-6171

Address: 106 Roche Drive, Durham, NC 27703 Website: www.Parata.com

Company Background

Parata provides pharmacy technology solutions to reduce costs, improve health outcomes, and enhance the patient experience by offering the most comprehensive pharmacy automation portfolio with medication adherence packaging, high-speed robotic dispensing technologies, and pharmacy workflow solutions. Discover how pharmacies across all practice settings use our solutions to stay out in front at parata.com.

Product Overview n Medication Adherence Solutions

Establish and grow a successful adherence program at your own pace with solutions that offer scalability. As patients enroll in your adherence program, they transfer all their prescriptions to your pharmacy and increase their refill rates. Our pharmacies see an average of 29 more scripts per patient per year. When your business grows, don’t get stuck with automation that keeps you where you started, filling one patient’s adherence packaging at a time. We’re proud to offer the most extensive and scalable adherence packaging solutions – for both pouch and blister – with inspection and workflow additions to support your growth. Scalable Solutions:

Smooth Solutions: • WellSpot™ Prescription Pick-Up Locker • Parata Pivot® Workflow Software • Beacon® Electronic Stocking and Inventory Management System • Centralized Filling Solutions

n Consulting and Support Services

Our customers love our technology, but that’s not the only reason they choose us as a partner. Our in-house experts offer a wealth of experience – and we’re with you every step of the way. When you choose Parata automation, you have our support from implementation and training through maximizing your technology to grow your business.

Testimonials

“It’s made me a better pharmacist because the technology drives adherence. At the end of the day, that’s the ultimate goal of a pharmacist – to make sure patients take their meds.”

• ATP® 2 Pouch Packager • Parata PASS™ 36 Pouch Packager • Parata PASS™ 208 Pouch Packager • Parata PASS™ 300VP Pouch Packager • InspectRx® Pouch Inspector • Parata Perl® Pouch Inspector • ATP® 2 Duo Blister/Pouch Packager

n Vial Filling Solutions

You get the fastest counting technology in the market, helping your team delight customers with timely service and a personal touch. We’re proud to offer the premier line of high-speed automation solutions to ensure safety, accuracy, and efficiency in every pharmacy setting. We make it – and make it better – because we’re driven to free your time so you can do what you do best – support your patients and lead your team. Leading Solutions: • Parata Max® 2

We are serious about pharmacy efficiency. An efficient pharmacy is a patient-centered pharmacy. That’s why we’ve taken best practices and real-world research – with more than a little feedback from pharmacists – to craft workflow solutions to fit pharmacies across practice settings. Our inventory management, enterprise software, high-density storage, and will call solutions allow more visibility into processes and dispensing progress with insights to help you reduce inventory and increase turns, improve fill rates, and eliminate search time. Thinking bigger? Our centralized filling solutions can reduce cost and streamline your pharmacy operations.

• Parata Mini®

— John Gregg, Pharmacist and COO at Thrive Pharmacy Solutions on PASS Packagers

“We can label [pouch] packages with Spanish language and comfort our patients whose primary language is now reflected on their medication packaging – that’s the type of pharmacy product we’re especially proud to produce.”

— Lawrence Margolis, CEO at PersonalRX on ATP® 2 Pouch Packager

Markets Served

• Central Fill • Hospital – Inpatient • Hospital – Outpatient • Independent Retail • Long-Term Care • Mail Order • Nutraceuticals • Retail Chain • Specialty SPRING 2020

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PHARMACY SOFTWARE FOR

PHARMACY SUCCESS

Pharmacy Software helping community pharmacies enhance patient care, increase patient safety, and improve profitability. FLEXIBLE PHARMACY WORKFLOW

EXTENSIVE REPORTING AND DATA MINING

PROFIT AND INSURANCE AUDIT PROTECTION

PATIENT ADHERENCE AND PERFORMANCE DASHBOARD

MODERN PAYMENT PROCESSING INCLUDING EMV

FRONT END INVENTORY MANAGEMENT

TEXT, EMAIL, AND VOICE PATIENT MESSAGING

MEDICATION THERAPY MANAGEMENT

ADVANCED BIN MANAGEMENT

INTEGRATED FACTS AND COMPARISONS

SIMPLE DRIVE THROUGH SOLUTIONS

DELIVERY AND REMOTE SIGNATURE MANAGEMENT

CLOUD POWERED MULTI-STORE MANAGEMENT

PHARMACIST DRIVEN ECARE PLANS

COMPOUNDING TOOLSET

PRESCRIPTION READY BOARD

MEDSYNC AND REFILL MANAGEMENT

DIRECT SECURE MESSAGING

INVENTORY CONTROL MADE EASY

ADVANCED SECURITY INCLUDING FACIAL RECOGNITION

View a demo now at www.libertysoftware.com or call us at 800-480-9603


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Pharmacy Software for Pharmacy Success by Liberty Software A pharmacy management solution that helps community retail pharmacies enhance customer service, improve profitability, and increase patient safety. Founded:

1987 Toll-Free Phone: (800) 480-9603 Phone: (817) 488-4612 Fax: (817) 488-2861 Address: 3205 E Southlake Boulevard Southlake, TX 76092 Website: www.libertysoftware.com

Company Background

Liberty Software is an independent software company serving retail pharmacies across America. We develop software and technology that helps community pharmacies be successful in today’s marketplace. At Liberty Software we work hard to make sure our pharmacies are satisfied and happy. To do this, we have brought together a team of individuals who are experienced with pharmacy and technology, and just as important, are friendly and helpful.

Product Overview

Here at Liberty, we believe that we have created a revolutionary pharmacy software platform. Why do we say that? It’s not just the technology, although it is built on Microsoft’s newest technology. It’s not just the feature list, although it is comprehensive. More than anything, we believe that it is the user experience. Prescriptions can be filled quickly and accurately. Many pharmacists have told us it is the easiest system they have ever used.

Features

• Flexible Workflow to Fit Your Pharmacy • Proactive Patient Adherence Tools • Five-Star Dashboard • Auto Refills • Extensive Compounding Toolset • Advanced Bin Management • AWP Reclaim to Rebill Outdated AWP Scripts • Manufacture Coupon Management • Inventory Control Made Easy • Simple Accounts Receivable • Insurance Audit Report • User Customizable Prescription Labels • Monitor DIR Fees • Pharmacy Task Management • Document Management • Flexible DataViews to Drill Down on Data • Integrated Pharmacy Point of Sale • Modern Payment Processing Including EMV and ApplePay • Pseudoephedrine Real-Time Monitoring • Cloud Powered Multi-Store Management

Testimonials

“Liberty Software is easy to learn, has lots of great user options, and the support is phenomenal!”

How long does it take to teach new employees how to operate your existing pharmacy software? Pharmacies using Liberty have found that new employees can often begin filling scripts immediately, with little to no training. It’s just that simple. A well-designed pharmacy system should make your employees more productive and happier. When you do need help, it’s only a phone call or mouse click away.

Benefits

• Organize Your Pharmacy • Fill More Scripts Without Adding Staff • Improve Customer Service • Streamline Your Workflow • Manage and Improve Profits • Increase Patient Safety

— Brian Erickson, Freedom Pharmacy

“I have been with Liberty for a number of years and they have kept up with our industry. I would recommend them to any independent.”

— Scott Palmer, A&P Pharmacy

“We really enjoy the point-of-sale system. It has given us absolute accountability. The delivery features and signature capture has really made life easier for us.” — Bill Mattson, Ballin Pharmacy

Pharmacy Point of Sale Built In

For your pharmacy, point-of-sale software needs to be more than cash drawer management for your front-end. For your patients, it should enable your staff to provide better service. For you, it should result in better accountability, assistance with HIPAA compliance, and improved pharmacy management. These are values that not just any point-of-sale package can deliver. That’s why we developed ours from the ground up, designed especially for community pharmacies’ needs. Liberty’s point of sale is not simply an add-on to your pharmacy system, but a completely integrated solution. SPRING 2020

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You do more than sell prescriptions. Integrate seamlessly with Pharmacy Management Systems

Manage inventory

Improve patient outcomes

Increase profitability

Streamline pharmacy operations

Adhere to PCI Compliance Standards

Comply with federal and state regulations

Boost Customer Loyalty

Your point-of-sale system should too! Discover how RMS is changing the way that pharmacies see point-of-sale and learn more about how RMS can be the solution for your pharmacy.

1.877.767.1060 | sales@rm-solutions.com | www.rm-solutions.com


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Point-of-Sale for Your Pharmacy From Retail Management Solutions The POS solution for better patient outcomes, higher profits, improved compliance and risk management, and so much more. President & CEO: Brad Jones Founded:

1998 Privately Held Toll-Free Phone: (877) 767-1060 Phone: (360) 438-8276 Fax: (360) 438-8284 Address: 4535 Lacey Boulevard SE Lacey, WA 98503 Website: www.rm-solutions.com Stock Symbol:

Company Background

Founded in 1998, with a mission to help pharmacies understand and use technology-based tools to run a successful business, Retail Management Solutions is now one of the most respected point-of-sale providers in the industry. RMS’ POS systems are created exclusively for pharmacies. We listen to our customers, partners, and industry requirements to provide timely, pointof-sale based solutions to solve the challenges faced by pharmacies today. At RMS, we believe that partnership is at the heart of successful pharmacy/vendor relationships. We aim to help customers work with the partners they choose, while providing top of the line point-of-sale solutions and robust integrations.

Product Overview

RMS offers a range of point-of-sale products that are both flexible and scalable to meet the needs of any pharmacy. While our easy-to-use till application is at the forefront of day-to-day activities in the pharmacy, we know that running a successful pharmacy goes far beyond collecting a payment. There are many ways in which an RMS system can help your pharmacy. n At the Register RMS customers have freedom to choose from over 30 pharmacy system partners, all with integrations that make prescription sales fast, easy, and accurate. Signatures for HIPAA, safety caps, prescription acknowledgement, etc. are captured at the time of sale and are always easily accessible when needed for reporting and audits. Built in date of birth verification processes and additional prescription for pickup notifications bring added patient safety and convenience to every transaction. Beyond prescription sales, OTC product sales are as simple as scanning the item barcode. Custom items can also be created for easy sale of unique products, gift items, etc. Sales can be processed in many different ways to meet the unique needs of your pharmacy. Whether you need standard retail lanes, an option for drive-thru payments and signatures, curbside pickup solutions, or an

easy way to track home deliveries, you can mix and match to create the perfect technology scheme. As with our pharmacy system integrations, we also offer flexibility in your choice of credit card processors. Choose the partner that works best for you with all the functionality you need, including processing of FSA, EMV, and NFC transactions. Pharmacies working through PCI compliance will also find end-to-end and validated point-to-point encryption capabilities, which represent the most secure options for processing credit cards today. n Improving Customer Relationships Improving patient outcomes and increasing customer satisfaction are goals at the heart of most pharmacy businesses today. Nutrient Depletion notifications at the register help you to improve patient wellness by making supplement recommendations based on prescription induced nutrient depletion. Integrated customer loyalty aids you in strengthening customer relationships, including advanced promotion options and rewards options that you can customize to suit your needs. You can also support charitable giving easily through any RMS system, strengthening your ties with the community you serve. n Behind the Scenes Streamlining pharmacy operations is no small task. Point-of-sale applications extend beyond the customer interaction to help you run your business more efficiently. For pharmacies struggling to manage retail departments, RMS’ inventory management solutions open the door for advanced management of front-end products. Wholesaler interfaces allow automated price updates and a streamlined purchasing and receiving process. Integrated shelf labels keep your shelf prices and system prices in sync. And advanced product reporting can help you reduce overhead costs by identifying products that aren’t selling, enabling you to take a more agile approach to the products you carry and make the most of your retail space. A host of additional reports, both canned and customizable, are also available from cash management, to employee performance, to A/R balances, and more. RMS systems give you the data you need to drive important decisions and run a more profitable and efficient pharmacy. n When You Need Support All customers have access to the RMS support line 24 hours a day, seven days a week. The RMS customer center is available at any time to request support, access the customer knowledge base, and more.

Key Customers

RMS is proud to partner with over 1,000 independent, small chain, and outpatient pharmacy customers all over the United States. SPRING 2020

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T H O U G H T L E A D E R Video Series

THOUGHT LEADER VIDEO SERIES

THOUGHT LEADER VIDEO SERIES

Pharmacy Consulting Broker Services: A Fully Licensed Pharmacy Broker & Consultant

Accreditation Commission for Health Care (ACHC)

Join Daniel Lannon, CEO/Licensed Broker, as he discusses Pharmacy Consulting Broker Services in a 12-part video series.

www.pharmacycbs.com

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THOUGHT LEADER VIDEO SERIES

Parata: Puts You Out in Front

The Nation’s Premier Pharmaceutical Returns Processor in the Pharmacy Market

www.parata.com

rxinsider.com/videosTLS.php

SPRING 2020

www.achc.org

THOUGHT LEADER VIDEO SERIES

Join Lindsay Dymowski, President, Centennial Pharmacy, as she discusses Parata and their partnership with Centennial Pharmacy in a 12-part video series.

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Join Josè Domingos, Matt Hughes, Renee White, Ralph McBride, Jon Pritchett, Megan Reed, and Greg Stowell as they discuss Accreditation Commission for Health Care (ACHC), for providers, by providers.

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Thierry Beckers, President & COO, Gil Kanner, Vice President, Supply Chain Logistics, Hilmer Beckers, Chairman & CEO, and Adam Bottie, Vice President, Sales & Business Development, discuss PharmaLink: The Nation’s Premier Pharmaceutical Returns Processor in a 12-part video series.

www.pharmalinkinc.com

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Advancing the Business of Pharmacy

THOUGHT LEADER VIDEO SERIES

Medicine Shoppe International, Inc

Join Kristin Fox-Smith, MPA, Tammy Zukowski, MBA, and Jim Jorgenson, MS, RPh, FASHP, CEO, as they discuss Advancing the Business of Pharmacy in a 12-part video series.

Join Connie Lane, Director of Franchise Development, Jeff Monroe, Director of Pharma Product Development, Tricia Simpson, Director of Digital & eCommerce, Katie Schoessel, Director of Marketing, Chris Chappo, Director of Pharma Product Development, and Cindy Pigg, Vice President of Managed Care, as they discuss The Medicine Shoppe International: A Cardinal Health Company in a 12-part video series.

www.visanteinc.com

www.cardinalhealth.com/franchise

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THOUGHT LEADER VIDEO SERIES

Sentry Data Systems | Expect More

T H O U G H T L E A D E R Video Series

THOUGHT LEADER VIDEO SERIES

THOUGHT LEADER VIDEO SERIES

Comprehensive Pharmacy Services

Join Lidia Rodriguez-Hupp, Joel Hennenfent, PharmD, MBA, BCPS, FASHP, Lisa Scholz, PharmD, MBA, Kenosha Chastang, JD, PRS, MBA, Lateef Durosinmi, and Bill Sander, PharmD, as they discuss Sentry Data Systems.

Join Jody Miller, MBA, Business Development, Ambulatory & Specialty Pharmacy Division, Leza Hassett, RPh, MBA, Senior Director of Corporate Compliance, Karen Alesch, PharmD, Pharmacy Operations Manager, CPS Telepharmacy, and Marcia Gutfeld, Senior Regional Vice President, Operations, as they discuss how hospital pharmacy leaders drive transformation.

www.sentryds.com

www.cpspharm.com

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hac.co www.manc


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DOSIS Systems’ Month-to-Month Subscription – Autonomous Efficiency Guaranteed DOSIS Systems offers autonomous workflow that partners with pharmacies to ensure improved efficiency, productivity, and bottom-line by automating over 75% of their production. When our partner pharmacies thrive, we thrive!

President & CEO: Monroe Milton Founded: 2006 Employees: >50 Toll-Free Phone:

(877) MANCHAC | (877) 626-2422 (318) 442-3686 Fax: (318) 445-1268 Address: 1115 Second Street Alexandria, LA 71301 Website: www.dosis.com Phone:

Company Background DOSIS Systems is seeing pharmacies all over the country improve their efficiencies in workflow, increase production volumes, and become more profitable. We have a proven track record of automating up to 80% of a pharmacy’s blister card volume. This includes pharmacies that are currently producing over 250,000 blister cards per month. In order to do this, we focus on each pharmacy’s needs. This allows us to offer the best solution for each partner pharmacy and increase their efficiencies where it matters most. Product Overview DOSIS Systems starts with customer care to better understand your pharmacy’s workflow and efficiencies. We then integrate a seamless system to match your needs using the flexibility of our technology; this includes custom integrations with your inhouse software. Knowing that your workflow and integrations are efficient, we introduce autonomous blister card towers that produce a 24/7 product that becomes the muscle of your growth. From this system, we can continue to analyze your production volume to ensure that you are getting the most out of DOSIS Systems and generating more revenue, causing you to thrive!

SNF patients with DOSIS Systems filling over 200,000 of these cards every month (dailies and cycles) – DOSIS automatically prints color-coded med-pass information on every label in this system based on the prescription data. A 48,000-card-permonth pharmacy is getting 37,000 cards per month via DOSIS Systems and is actively converting away from the cycle-fill model because it is more efficient for them to fill on demand using their integrated DOSIS automation – they have already eliminated pre-packs from their workflow “to reduce inventory and extra touches.” Using DOSIS Systems to automate filling cards and printing time-pass labels, an 18,000-card pharmacy doubled in size without adding any staff on the floor. At another pharmacy doing 180,000 cards per month with 75% filled by DOSIS, the return-to-stock feature allows them to efficiently track and re-use cards filled for scripts that are canceled before shipping. For a pharmacy filling 97,000 on-demand cards each month, the prepack manager feature extends the productivity of the DOSIS Systems by automatically restocking pre-pack card inventory after hours – DOSIS produces 58,000 cards each month, and the pharmacy is open less than 60 hours per week. Every month, DOSIS Systems fill over 2-million cards in pharmacies large and small; SNF, mental health, and corrections; dailies, cycles, pre-packs; with and without med-pass and auxiliary label information; single- and multiple-tablet per blister; calendarstart and straight-fill.

Features & Options By customizing the capacity, features, and workflow integration, DOSIS Systems can make a tremendous impact in a wide variety of pharmacies. For example, a 55,000-cards-per-month pharmacy serving mental health patients is producing 35,000 cards per month in DOSIS automation while providing different filling and labeling formats for their various customer facilities. Another partner pharmacy is filling 250,000 cards per month for

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PRESCRIPTION: FILLED. PURPOSE: FULFILLED.

Improving speed to fill is our specialty. And with Surescripts, you can focus on what you’re here to do: deliver critical medications and exceptional care.

Digital enrollment forms pre-populated by the EHR and sent straight to pharmacists’ workflows. Seamless prior authorizations. Prescriptions that arrive ready to fill. We can make it happen together. Take the first step toward a streamlined specialty dispensing workflow: Surescripts.com/SpecialtyMeds


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Surescripts Optimizes Workflow and Speed to Fill With Automated Enrollment

Specialty Patient Enrollment reduces administrative delays with an automated process that pulls details from the EHR and automatically sends forms to your workflow, leading to more complete and accurate information – and faster speed to fill.

CEO:

Tom Skelton Founded: 2008 Employees: 650 Toll-Free Phone: (866) 797-3239 Phone: (703) 921-2121 Fax: (703) 921-2191 Address: 2550 South Clark Street, 10th Floor Arlington, VA 22202 Website: www.surescripts.com

Company Background Our purpose is to serve the nation with the single most trusted and capable health information network, built to increase patient safety, lower costs, and ensure quality care. Since 2001, Surescripts has led the movement to turn data into actionable intelligence, and convened the Surescripts Network Alliance™ to enhance prescribing, inform care decisions, and advance the healthcare industry. Product Overview Specialty Patient Enrollment automates the workflow for specialty medications, helping pharmacists to align benefit details, clinical information, and medication costs to quickly and reliably get patients on their medications. With Specialty Patient Enrollment, you get the patient’s prescription, prior authorization, and patient enrollment forms together in your pharmacy’s workflow. • Use a secure electronic connection to prescribers nationwide, with attachment of forms and clinical information for seamless care coordination in workflow. • Receive more complete and accurate patient enrollment forms directly in the pharmacy workflow, eliminating the need for multiple faxes and calls with prescribers. • Seamlessly embed Specialty Patient Enrollment and related forms into your pharmacy’s software platform, bringing these advanced capabilities to your pharmacists and patients. • Get your patients the critical medications they need, faster and more efficiently.

Product Specifications n Step 1: At the point of prescribing, Specialty Patient Enrollment populates the enrollment form with information pulled directly

from the electronic health record. The enrollment form can be sent directly to your pharmacy with no intervention needed from prescribers or their staff. Your pharmacy receives the prescription and enrollment form. n Step 2: Prior authorization required? If the prescriber’s office is relying on you to handle prior authorization, Surescripts includes that information in the enrollment form and ensures you have the data needed to complete the request. Questions for the prescriber? Bidirectional messaging helps you get answers without leaving your workflow or picking up the phone. n Step 3: Specialty Patient Enrollment gives you all the information required to dispense the medication and automatically populate the patient’s case file. It uses the prescriber order number to link the e-prescription with the enrollment form and confirms prior authorization electronically if needed, making for a streamlined workflow.

Testimonials “T he complexities of specialty medications require pharmacies to gather additional information beyond the basics of strength, frequency, dose, and directions. Our collaboration with Surescripts is a complement to our existing solutions and further enhances our ability to reduce turnaround time, improve the prescriber experience, and ensure access to medication for patients.”

— Brian Seiz, President of Accredo

“We are excited to be able to provide prescribers and their patients with a streamlined, automated workflow for specialty medications. Innovation that keeps clinicians off the phone and in their workflow saves significant time and resources in an area of the market that’s rightfully concerned about rising healthcare and prescription drug costs.”

— Neil Simon, Chief Operating Officer at eMDs

Trade Shows • Asembia – May 3-7, 2020 • NASP – September 14-17, 2020 Ordering Information Ready to accelerate your dispensing workflow, reduce administrative burden, and improve time to therapy? Contact Surescripts about Specialty Patient Enrollment today.

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CASE STUDY Grow Your Family of Pharmacies With Medicine Shoppe International, Inc. Smart independents achieve successful expansion through the power of co-branding with a respected name.

PRIMARY INTENDED OUTCOME

Jerry Barnette Managing Partner ~ Med-Save, A member of The Medicine Shoppe® Family

David Ruth Chief Operating Officer ~ Med-Save, A member of The Medicine Shoppe® Family

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www.cardinalhealth.com/MSIfranchise

Despite an overall trend showing an increase in the number of independent pharmacies that close their doors every year, new standalone stores continue to appear in communities across the U.S. The challenges these independent shops face include the effect of reimbursements on revenue, the cost of managing inventory, as well as difficulty parsing and acting on crucial profit and loss metrics. Owners looking to expand their footprint have several options with Medicine Shoppe International (MSI), whether they choose to convert an existing pharmacy, acquire a pharmacy, or open a new store or tele-pharmacy, they can utilize a proven franchise model with a full brand or co-branding plan that works for them. MSI Franchisees benefit from a variety of business solutions that maximize marketing, tap into advantages of scale, and ultimately improve patient engagement and care.

THE CHALLENGE There was a time when independent pharmacy owners found it fairly easy to be successful. Today, the environment is much more challenging, according to Jerry Barnette, managing partner of the Med-Save family of pharmacies and independent owner since 1994. “We’ve gone from competing against the chains to competing against the insurance companies and PBMs. We have to watch everything carefully to determine where we will be six months down the road regarding reimbursements and retroactive adjustments.”


CASE STUDY THE CO-BRANDING ADVANTAGE Co-branding with The Medicine Shoppe® provides partners with powerful tools and support, including: • A flat $599 monthly fee to join the network. • Five-year licensing agreement with a 90-day out. • Use of the franchise brand name alone or co-branded with your pharmacy name. • Best-practice sharing from a recognized, high-performing franchise system. • Ability to offer patient care services like immunizations and point-of-care testing. • Business coaching from a dedicated pharmacy Franchise Business Consultant. • Digital marketing tools that drive refills and patient engagement.

Despite the increasing industry hurdles, after starting out with one store, Barnette quickly acquired four more in five years. “I realized I was really an entrepreneur at heart,” he said, “I enjoyed the growth more than being behind the counter.” His growing business, however, is guided by old-fashioned values. Barnette feels that the chain mentality puts profits over people and that customer service is ultimately neglected. Instead, he believes in the power of partnership. He now runs 17 independent pharmacies in Kentucky and Florida with the invaluable help of his partners David Ruth, chief operating officer, John McDaniel, chief executive officer, and David Kelly, who is in charge of expansion. Thirteen of those pharmacies are co-branded as Med-Save Pharmacies, A Member of The Medicine Shoppe® Family. An important part of their operating model is to hire a strong Pharmacist in Charge (PIC) at each location, "they are a critical team member and ensure we deliver the service and care consistent with our values," says Barnette.

THE DECISION Barnette had been a wholesale customer of Cardinal Health for many years. In 2014, a Franchise Business Consultant explained MSI's pharmacy co-branding option as the best of both worlds – combining the national recognition of The Medicine Shoppe® name with the local feel and touch of an independent store. This unique opportunity appealed to Barnette. “I saw it as a strong advantage over other independent pharmacies, while still remaining separate from the chain mentality,” he said. “Adding a new store as A Member of The Medicine Shoppe® Family brand means anyone driving by will know who and what we are.” Ruth agrees. “In our stores, ‘chain’ is a four-letter word, but this partnership gave us a cohesiveness and equity in branding and messaging across our stores.” Medicine Shoppe International's approach to partnering offers more than simple name recognition, however. Valuable built-in services include marketing support, business consulting, financial monitoring, and monthly reporting that would otherwise require time-consuming trials and tribulations.

THE RESULTS Co-branding as A Member of The Medicine Shoppe® Family has streamlined and expanded Barnette’s marketing efforts. “As a group, we are seeing an ability to market ourselves better; we are now basically a family of stores,” said Barnette. “The name enables us to market under one banner across Kentucky and as we expand in other areas.”

www.cardinalhealth.com/MSIfranchise

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CASE STUDY The operational expertise of Medicine Shoppe International's Franchise Business Consultants and Franchise Development team provides important structure and guidance for pharmacy transitioning. Barnette and Ruth concur that the services and support they receive are second to none. “I knew how to run a pharmacy, but not necessarily how to run a business,” Ruth said. “They help in every direction, at every step of the way.” The MSI connection is also a boost for owners who are just starting out. “With MSI's help, you could grow your business from the beginning with the sense that someone is there looking over your shoulder,” Barnette said. “Their Franchise Business Consultants provide security in helping you plan, forecast, and monitor your business.” Their Franchise Development team also offers assistance in locating stores that are available for sale, saving pharmacists valuable time in shopping for new business opportunities.

THE CONCLUSION Choosing the right wholesale partner and franchise team is critical. “From the day I came on board, the Medicine Shoppe International Team treated us as partners, and we received great feedback and help through the co-branding agreement. They helped us develop a sense of community.” The positive experience has been encouraging. “It’s been an evolution for us,” Ruth said. “After we got our feet wet with a few co-branded stores, we saw that it was working well. We decided to increase the connection because of the comfort level we had already gained with The Medicine Shoppe® and Cardinal Health.” The information provided is not intended as an offer to sell or the solicitation of an offer to buy a franchise. The offer of a franchise can only be made through the delivery of our franchise disclosure document. Medicine Shoppe International, Inc. (MN Franchise Reg. #F-145) Medicap Pharmacies Incorporated (MN Franchise Reg. #F-884) 7000 Cardinal Place Dublin, OH 43017 New York: This advertisement is not an offering. An offering can only be made by a prospectus filed first with the Department of Law of the State of New York. Such filing does not constitute approval by the Department of Law. © 2020 Cardinal Health. All Rights Reserved. The Medicine Shoppe, Medicap Pharmacy, CARDINAL HEALTH are trademarks or registered trademarks of Cardinal Health.

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www.cardinalhealth.com/MSIfranchise


Reach more patients through expansion. Becoming a pharmacy franchise can help facilitate your path to multi-store ownership.

• Flexibility to use the franchise brand name alone or to co-brand with your pharmacy name • Flat $599/month franchise fee that includes core business services • Expert coaching from Franchise Business Consultants • Expansion support: Market evaluations, location scouting, operations and marketing

Learn more at cardinalhealth.com/MSIfranchise

© 2019 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO, THE MEDICINE SHOPPE and MEDICAP PHARMACY are trademarks of Cardinal Health and may be registered in the US and/or in other countries. All other marks are the property of their respective owners. Lit. No. 1PD19-1057658 (10/2019)

Medicine Shoppe International, Inc., is celebrating 50 years of service helping independent pharmacy owners become the healthcare destination for personalized care for families in their communities.


A different way to do business. Strong foundation, successful future

From our family to your pharmacy As a family owned and operated company, we know the value of a hard day’s work and believe good business starts with partnerships, not profits. Since 1985, BestRx has served the needs of independent pharmacies with innovative solutions to streamline business, increase revenue, and enhance the care you provide to patients. With BestRx, you can rest assured knowing our product isn’t a one and done deal - it’s an ongoing relationship to grow businesses and strengthen communities.

Let’s talk. 1200 Jorie Blvd Suite 310 Oak Brook, IL 60523 1-877-777-5758 sales@bestrx.com


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BestRx Pharmacy Software – The Best Choice in Pharmacy Management Software

BestRx delivers the best value with easy-to-use, complete pharmacy management software solutions, that can be tailored to the needs of independent, community pharmacies. Our goal is to help pharmacies enhance efficiency and profitability, leaving more time for what matters most – patients. President & CEO: Hemal Desai Founded:

1985

Employees: 50 Toll-Free Phone:

(877) 777-5758 Phone: (630) 893-9210 Fax: (630) 339-3171 Address: 1200 Jorie Boulevard, Suite 310 Oak Brook, IL 60523 Website: www.bestrx.com

Company Background

Our company began in 1985, when Computer Programmer and BestRx founder, Yogesh Desai, helped his pharmacist friend by designing a simple pharmacy software system to help manage his business more efficiently. They worked together on sharing ideas, problem-solving, and creating, which is still our standard practice today. For two generations, we have studied the unique needs of independent pharmacy owners, staff, and patients. We are dedicated to delivering the best value in innovative, easy-to-use, complete pharmacy solutions tailored to your business needs. We always put you and your patients at the center of everything we do. Our expertise is informed by our strong connection to our family of pharmacists. We know what you need, and we work closely with you and our partners to ensure we’re always providing the best solutions possible. We are relentlessly committed to your success.

Product Overview

Our product suite is designed to help your business be more profitable and competitive. The BestRx™ Pharmacy Management System, our signature product, is a Windows-based pharmacy management system that will help you manage your pharmacy more effectively by simplifying tasks such as claims processing, inventory management, reporting, and much more. BestRx™ is powerful, feature-rich, and easy to use, a complete pharmacy software solution. We are moving from a pill centric model to a more patient-centric model focusing on patient engagement, pharmacy growth, adherence and star ratings, chronic care management, easy reimbursement, and comprehensive medical reviews.

Features & Options

n BestPOS: We deliver tailored, easy-to-use solutions for the best value in the industry. Our point-of-sale system is a Windows-based application that is fully integrated with our BestRx Pharmacy Software System to help boost your efficiency and profitability. BestPOS is reliable and easy to use; minimal training is needed to familiarize yourself with the software. Pairing the BestPOS System with the BestRx System is a smart way to maximize your pharmacy’s efficiency and customer satisfaction.

n Electronic Signature Capture: Capture signatures electronically with an electronic sig pad for in store pickups, or a mobile tablet device for delivery prescriptions. n Rx Image Scanning and Document Management: With the Rx Image scanning feature, you can store prescription images on your computer. This expedites and simplifies the prescription verification workflow, as well as securely retains your prescription images digitally. In addition to scanning Rx images you can also scan and attach specific documents to a patient’s file, drug’s file, prescriber’s file, insurance plan’s file, or prescriptions themselves. n Nursing Home Module: Pharmacists can maintain multiple nursing homes’ information in BestRx. Patients can be assigned to a unique nursing home, while pharmacists can print medication administration records (MAR’s), physician’s order forms, or multi-dose and unit-dose packaging using the Dispill or Parata PASS Interface. We even offer E-MAR subscription services. n Messaging Services: This feature allows you to send automated and customized email or text messages to your patients to provide them pertinent information. This information can vary, including their medications, refills, or insurance coverage changes. Messaging interface will increase customer interaction and engagement and inspire patient retention. n Cloud Backup: Performed nightly after your pharmacy has closed, this additional feature helps ensure you never lose data again. It is simple to setup and very affordable. It even sends notifications to your email regarding your data backup. n Med-Sync: Align patient refills to provide convenience and increase medication adherence.

Testimonial

“BestRx is the best software in the industry, period. They have the quickest response time, friendliest workers, and all this at the best price in the industry. Your bills are the ones I eagerly and gladly pay each month because your service deserves every penny you ask for.” — Adolphus Akaniru, Dollex Pharmacy, Tampa FL

Trade Shows/Meetings Attended

PDS Super-Conference, American Pharmacist Association Annual Meeting, Cardinal RBC Conference, Thoughtspot AmerisourceBergen, NCPA, and various state pharmacy association shows.

Ordering Information

www.bestrx.com/contact | sales@bestrx.com | (877) 777-5758

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Pharmacy accreditation strengthens your chain’s performance and consistency.

A pharmacy chain is only as strong as its weakest link.

M

aintaining consistent pharmacy practices in every store is a day-to-day challenge. Our simplified, customized approach to chain-wide standardization enables you to provide the value-based care that your patients deserve and gives you the time to develop new and profitable offerings. Our industry-leading Exemplary Provider® accreditation designation tells your patients that your stores practice the highest standards of patient care and quality. Fortify your chain. Call 215-654-9110 or visit: TheComplianceTeam.org.

OFFERING ACCREDITATION FOR: COMPOUNDING, INFUSION, DMEPOS, SPECIALTY DRUG, TRAVEL/RETAIL CLINIC, LONG-TERM CARE, TELEPHARMACY™, CHRONIC CARE MANAGEMENT (CCM), DIABETES SELF-MANAGEMENT TRAINING (DSMT), PATIENT-CENTERED PHARMACY HOME™, PATIENT-CENTERED RESPIRATORY HOME™ FOR ADVANCED PHARMACY PRACTICES *The Compliance Team, Inc. is approved by the Centers for Medicare and Medicaid Services to accredit Part A-Rural Health Clinic, Patient-Centered Medical Home, and Part B-DMEPOS providers.


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The Compliance Team – The FACS That Matter When Choosing Your Pharmacy Accreditation Organization Flexibility, accessibility, consistency, and most of all simplicity are hallmarks of The Compliance Team’s Medicare approved accreditation process.

Founder & CEO: Sandra C. Canally, RN Established:

1994

Employees: 37 Toll-Free Phone:

(888) 291-5353 Phone (215) 654-9110 Fax: (215) 654-9068 Address: P.O. Box 160 905 Sheble Lane, Suite 102 Spring House, PA 19477 Website: www.TheComplianceTeam.org

Company Background

The Compliance Team, Inc. (TCT) is the USA’s first woman-owned and nurse-led nationally recognized healthcare accreditation organization. Accreditation process simplification (reform) has been our passion since our incorporation in 1994. Indeed, we believe that it should not be difficult or costly for providers to consistently demonstrate patient care delivery excellence. Our Exemplary Provider® Award programs are Medicare-approved and authorized by the Secretary of Health and Human Services to accredit Part A – patient-centered medical home and rural health clinics, as well as all Part B – durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) providers. In addition, we also offer a complete suite of pharmacy services accreditation programs covering: community and long-term care pharmacy, DMEPOS, infusion, sterile and non-sterile compounding (USP chapters 795, 797, and 800), in-store clinic, mail order, DSMT, telepharmacy, and Patient-Centered Pharmacy Home™; our program for top-of-license pharmacist services.

Process Simplification

TCT’s Safety-Honesty-Caring® quality assurance methods represent healthcare’s first “operations-based” accreditation process that simplifies accreditation by standardizing day-to-day patient care reporting practices. One-on-one mentoring and healthcare’s first plain-language service-specific quality standards combine with hundreds of valueadded extras that result in a dramatically simplified yet thoroughly comprehensive as well as scalable accreditation validation process.

The Details

Daily pharmacy operations are streamlined so that they become integral parts of a measurable quality improvement process. Participants need not change their business models. Friendly to chain drug stores and smaller independents alike.

A TCT advisor leads step-by-step implementation webinars that can be accessed and downloaded for future employee training. A subscription to Patient Quality Measurement™, our national patient satisfaction reporting and benchmarking database is also included, along with hundreds of document templates, regular update notices, great customer service, and much more.

FACS

What to look for in an Rx accreditation organization (AO). n Flexibility: The Compliance Team™ was the first AO to match its quality standards to an individual provider organization’s business model; not the other way around. We also offer a full line of “operationsbased” pharmacy services accreditation tracks that gives pharmacies the opportunity to use them as blueprints to expand into new impactful revenue streams. n Accessibility: The Compliance Team™ was the first AO to feature one-on-one on-going expert mentoring, coast-to-coast coverage during business hours, and 24/7 access to our national patient satisfaction benchmarking database and archived training webinars. Senior management and even our founder and CEO, Sandy Canally, RN, are available most days to take calls. n Consistency: The Compliance Team™ is no slouch when it comes to training our corps of accreditation advisors and office staff. Our customers benefit across the board by getting consistently accurate information and answers to their queries. Regular refresher webinars are reinforced through annual company-wide gatherings that keep us on top of our game. n Simplicity: The Compliance Team™ was the first AO to place an emphasis on accreditation process simplification starting with our industry leading plain language Safety-Honesty-Caring® quality standards that can be adapted to fit any and all pharmacy business models.

Testimonials

“T he Compliance Team understands our business and was able to implement the program to our business model; not the other way around.”

— David Svenson, Director Home Health Care, Discount Drug Mart, Medina, OH

“After going through the accreditation process with The Compliance Team, we’re not only a better business, but a better pharmacy.”

— John Richards, PharmD, Professional Village Pharmacy, Sacramento, CA

“Being an Exemplary Provider® in specialty pharmacy has given me assurance that our patients and providers are receiving top-notch service. The standards provide a framework for me to build upon to meet the needs of my patients and comply with regulations.”

— Morgan Miller, PharmD, Alps Pharmacy, Springfield, MO SPRING 2020

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Adaptable

Portable

Efficient Convenience and Access

Privacy and Comfort Welcoming ambiance using privacy glass doors and panels. Sound absorbing décor fabric panels to maintain patient confidentiality.

Place rooms near check-outs for easy access with transactions, procedures or conversations with clients and RX staff.

Uniweb’s Consultation and Immunization Rooms Sizes and configurations are unlimited! The beauty of Uniweb’s craftsmanship... As your needs change, so can your space!

Optimal Layouts Functional private spaces, and complete rooms, fit into your current layout. Add counter tops and shelving for efficient workflow.

Let Uniweb help you create a complimentary and inviting climate for your customers.

Corona, CA 800.486.4932 uniwebinc.com


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Consultation and Immunization Spaces Expertly Crafted by Uniweb, Inc.

A Solution Driven Company – Uniweb creates adaptable modular rooms, consultation spaces, and counters with cost-effective systems to enhance maximum work-flow and efficiency. Room sizes, aesthetics, and equipment configurations are limitless! Founded:

1970 Employees: 100+ Toll-Free Phone: (800) 486-4932 Phone: (951) 279-7999 Fax: (951) 279-7989 Address: 222 South Promenade Avenue, Corona, CA 92879 Website: www.uniwebinc.com Facebook: www.facebook.com/pages/UniwebInc/206393936052217 Instagram: www.instagram.com/uniweb_inc/

Company Background

n Strong As Steel For 50 Years! Founded in 1970, Uniweb’s expertise is the design and manufacturing of quality fixtures that go beyond the retail pharmacy doors. Whether it is new construction, relocation, or a renovation, Uniweb offers a complete line of fixture solutions and dedicated designers to guide you through the process. A sample of our offerings includes complete modular rooms, clean-line wall storage panels, retail merchandising, RX fixtures, behind the scene storage, locking cabinets, and adjustable height workstations. The walls, counters, cabinets, shelving, and accessories provide unlimited expansible flexibility, while giving you the freedom to design and equip your space for unsurpassed utility and appearance at an affordable price. You have total control over how walls, cabinets, and shelves are configured and how merchandise is displayed or stored. Let them help you improve your service flow, increase productivity, maintain pharmacy security, and add new technology, while bringing the operation in on budget with unmatched products and support! Uniweb is earth friendly! Uniweb’s manufacturing process emits no VOCs and uses 100% reclaimed water. Uniweb runs daytime “lightsout” energy conservation in the plant and night-time “lights-out” laser operation. Additionally, Uniweb panels contain 30% recycled steel and are completely recyclable! These manufacturing efficiencies are passed on to create beneficial cost savings for our customers!

Product Overview

n Strength and Artistry After becoming a premier fixture supplier in the retail market, Uniweb became pioneers and leaders in the development of shelving in the pharmacy fixture sector. Their RX product lines are all designed to provide efficient work areas for pharmacists and their teams. Uniweb RX systems hold more products, which equates to 35% more product storage in the same footprint over conventional systems; more profit to the bottom line! They also provide products for institutional applications,

consultation and exam spaces, retail needs, offices and workstations, and extended care facilities. Knowing the essence of aesthetics to you and your customers in your retail and pharmacy spaces, Uniweb constructs productivity enhancing products using all-steel pharmacy systems, softened with unlimited choices of millwork décor and fabric panels.

Uniweb’s Consultation/Immunization Rooms Provide You With ...

n Convenience and Ease of Access: With Uniweb’s portable and flexible design, store designers can install the room virtually anywhere. Our ADA compliant entries will accommodate all users of the space. The consult room can be placed near the check-out station for easy access for transactions, procedures, or conversations between patients and pharmacy staff. n Privacy and Comfort: Welcoming ambiance with the use of privacy glass doors and panels to create a warm and inviting setting. Allowing for natural light keeps the room comfortable. Combine this with sound absorbing décor fabric panels to maintain patient confidentiality.

n Optimal Layouts: Uniweb manufactures functional private spaces,

and even complete rooms, to fit into your current layout. As your needs change, so can your room! Whether you need more space or need to change your operation’s layout, you are not locked into your original plan. These dynamic rooms allow the freedom to develop and equip your area for unsurpassed utility and appearance at an affordable price.

Product Specifications: A Myriad of Possibilities

An infinite number of design possibilities are available: custom metal finishes, trim strips, décor panels, laminates, wood and wood veneers, dry wall facings, decorative metals, glass, tile, awnings, special lighting, signage, and many others. Add these custom design features to Uniweb’s interchangeable components and accessories, and you receive endless options to complete or restyle your project.

Additional Product Modules

n Uniweb OTC Display Fixtures Uniweb crafts unique custom-made shelving designed to fit your specific OTC needs. The density of the Uniweb panel’s channels means no obnoxious gaps or wasted space. OTC product facings are increased by a minimum of 17 to 25%, and in some cases up to 50%! This extreme capitalization on space results in greater profits for retailers! Use the smaller shelves for small products on the top of the display and graduate down the unit to larger shelves for the bulkier/heavier items. Moreover, with Uniweb you can shelve and peg, side by side! With such an immense amount of OTC products available, Uniweb provides the ideal sales tool in displaying and organizing the product for peak customer appeal and easy “shopability.” Let Uniweb help you create a complimentary and inviting climate for the customers to enjoy, maximizing those profits! SPRING 2020

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CASE STUDY Unleash your potential at cpssparx.com

Key Stakeholders Impacting Hospital-Based Specialty Pharmacies: How to Forge Essential Relationships The importance of patients, providers, clinical staff, payors and pharmaceutical manufacturers Specialty pharmacy is a rapidly growing segment of drug spend, projected to comprise $250 billion in revenues by 2020. Hospitals and health systems are feeling the pressure to build or expand existing specialty pharmacy services in order to compete for patients with chronic complex diseases who require specialty medications. Because hospitals and health systems are uniquely aligned to deliver the care that these patients need, every hospital should have a specialty pharmacy strategy. That strategy must recognize the impact each key stakeholder will have on the success of the specialty pharmacy, including patients, providers, clinical staff, payors and pharmaceutical manufacturers and how to develop and manage those relationships for success.

PATIENTS Patients can be overwhelmed by their complex medication regimens, potential drug side effects, and concerns over the cost of their drugs. Not addressing their concerns can lead to non-adherence. An innovative model created by the University of North Carolina Medical Center was able to improve adherence rates by providing the following support to patients: •

Patient education regarding treatment and side effects before and during treatment

Adherence monitoring using patient surveys

Adverse effect management to address side effects

In addition, to help with patient drug co-pays, take a look at patient assistance programs offered by pharmaceutical companies. Eligible patients can utilize manufacturer copy discount programs or patient assistance programs to lower out-of-pocket costs for their specialty medications.

PROVIDERS Communication is often fragmented in the healthcare environment where the fax machine and landlines are still used to communicate and coordinate care. A landmark study by Biologics found that the average cancer patient

46

CHALLENGES FACING HOSPITAL BASED SPECIALTY PHARMACY: •

High cost of specialty medications, most over $2,000 per fill

Fewer than two percent of patient populations requires these drugs

Complex administration and compliance issues

Manufacturers may choose to limit specialty drug distribution


CASE STUDY Unleash your potential at cpssparx.com

saw more than 13 different healthcare providers within a one-year period. With all those moving parts, it is essential to keep providers in the loop regarding their patients who are being treated for chronic complex conditions. Providers want to know that their patients are receiving excellent care and that they will be informed regarding that care and any issues that may arise. Technology is improving information flow through electronic health records and health information exchanges. Healthcare technology startups are creating secure messaging platforms that are HIPAA compliant and enable care teams to communicate with each other. Keeping providers in the communication loop will be increasingly critical as specialty pharmacy services continue to grow.

CLINICAL STAFF Clinical staff are being tasked with even more work in the specialty pharmacy space. Traditionally, an oncology nurse already bears a heavy load of responsibilities, including: •

Review patients’ health history

Track laboratory, pathology and imaging studies

Communicate with physicians on patients’ behalf

Safely administering medications, fluids and cancer treatments

Help patients plan and manage symptoms throughout treatment

Translate complex medical terminology and answer questions

However, as specialty pharmacy exponentially increases in importance, oncology nurses also need to be prepared to include educating patients on their specialty pharmacy choices, completing prior authorization paperwork and liaising between specialty pharmacy and hospital or clinic. Pharmacists who are integrated into clinical roles can help reduce the burden on already overworked clinical staff. A specialty care model developed at Vanderbilt University Medical Center inserts pharmacists directly into the comprehensive management of patients on specialty medications. Not only does the Vanderbilt model reduce the demands on clinical staff, it also ensures patient adherence and coordinates care and collaboration with providers through the use of electronic medical records.

HOW TO MAKE A HOSPITAL SPECIALTY PHARMACY ATTRACTIVE TO PAYORS: •

Invest in IT and data analytics in order to track and report data and outcomes as required by payors

Achieve accreditation from two of these accrediting bodies  Utilization Review Accreditation Commission (URAC)  Accreditation Commission for Healthcare (ACHC)  Center for Pharmacy Practice Accreditation (CPPA)

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CASE STUDY Unleash your potential at cpssparx.com

PAYORS Payors are continually looking to better manage their drug spend as medication costs continue to rise and are tightening networks. They expect detailed tracking and reporting of financial, clinical, quality of life, and patient satisfaction scores. Payors are invested in reducing the total cost of care and seeing value for patient treatments. URAC is considered the “gold standard” of accreditation for specialty pharmacy and covers drug-drug interactions, call center performance, dispensing accuracy, distribution accuracy and prescription turnaround time. In the era of value-based care, pharmacies must show how their clinical services are impacting clinical, financial, quality of life and patient satisfaction measures. Accreditation ensures compliance with healthcare’s most comprehensive and rigorous standards, requiring specialty pharmacies to continually measure, monitor and evaluate the services they provide. Importantly, patients directly benefit from this accountability.

MANUFACTURERS Specialty drug manufacturers often restrict access to certain specialty drugs. While each manufacturer has different clinical and reporting requirements, several factors can help a specialty pharmacy secure limited distribution drug contracts: •

Clinical expertise from a knowledgeable care team that manages relationships between patients, caregivers, prescribers and payors

Accreditation

Technology to track and report financial, operational and clinical outcomes

Systems in place for medication handling, dispensing and monitoring requirements

Clinical support for specialty diseases or specific patient populations

Access to payor contracts

Pharmacies that can demonstrate expertise in specific patient populations or disease states may have an advantage. Having care coordinators, nurses and pharmacists in place who are trained in specific diseases demonstrates to manufacturers that the specialty pharmacy may be a good fit for access to the limited distribution drug. Additionally, providing excellent services to patients taking open distribution drugs can show the manufacturer that the organization is well aligned to take on a limited distribution drug.

CONCLUSION In order to be successful in the specialty drug world, pharmacies must understand and meet the needs of these five stakeholders. CPS SPARX can help your organization create a winning specialty pharmacy strategy that addresses the challenges that these stakeholders present and position your overall organization for success in the specialty pharmacy space.

For more information on how the CPS SPARX team can unleash the powerful potential inside your organization, visit cpssparx.com 48


Is Your Specialty Pharmacy Maximizing Patient Care and Revenues? At CPS, We Make You Better.

CPS SPARX optimizes your specialty and ambulatory strategy to support higher clinical quality, additional revenue sources and stronger cost controls:  ALIGNS retail pharmacy with population health and organizational goals  POWERS specialty patient management with proprietary software  ENSURES appropriate site of care infusion services, optimized for reimbursement We optimize your organization by aligning specialty and ambulatory pharmacy resources to drive better care and outcomes for patients with chronic diseases. Unleash the powerful potential that lives within your organization.

contactus@cpspharm.com | 800.968.6962 | cpssparx.com


Phone 1.800.579.4804 Fax 865.675.2474

support@drugreturns.com www.drugreturns.com

Receive Your Expired Pharmaceutical Returns Credit In As Few As 10 Days The fastest expired pharmaceutical return credit reimbursement in the industry. Receive a check for your credit in just 10 days.

Receive credit in just 10 days Choose to receive the check for your credit in as few as 10 days after your qualifying return, or choose from our 30-, 60-, or 90-day reimbursement options.

Simplify credit tracking

No hidden charges

Credit due through our OneCheck Select program is issued in a single check, vastly reducing the amount of time spent tracking credits.

We Simplify Credit Reconciliation Return Solutions makes the process of reconciling credits from expired pharmaceutical returns simple and efficient. All credit due from Return Solutions is issued in a single payment, with details for the included credit accompanying each payment and easily accessible on our customer portal. The all-inclusive fee is deducted from your payment, so you donâ&#x20AC;&#x2122;t have to worry about calculating costs of shipping, DEA forms, destruction of non-returnable items, or other add-ons to determine what you are actually being charged.

Our low, all-inclusive fee is deducted from your check so there are no surprise hidden charges.

Why Choose Return Solutions?

Efficiency

Simplicity

Industry Trust

Dedicated Support

Compliance

Customization


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Receive Credit in as Few as 10 Days With the New 10-Day Pay Program by Return Solutions 10-Day Pay is the fastest expired pharmaceutical reimbursement program in the industry. Receive a check for your credit in as few as 10 days after your qualifying return, or choose from our 30-, 60-, or 90-day options. President & CEO: Michael Ayres Founded:

1992

Employees: 50 Toll-free Phone:

(800) 579-4804 (865) 675-1355 Fax: (865) 675-2474 Address: 10635 Dutchtown Road, Knoxville, TN 37932 Website: www.drugreturns.com Phone:

Company Background

Return Solutions was founded in 1992, and in 1998 became the first expired product returns company to begin issuing credit in checks directly to our customers. Since then, we’ve processed more than 100,000 returns and over $800 million in credit. We are one of the most trusted reverse distributors in the industry with over 20 buying groups representing 20,000+ pharmacies across the country recommending us to their members.

Product Overview

Reclaim time spent tracking expired product return credits with Return Solution’s OneCheck Select so you can focus on what matters most – your customers and your business. Receive a single check, for all credit due through OneCheck Select, within your choice of 10, 30, 60, or 90 days. The time it takes to reconcile estimated versus received credit is significantly reduced with manufacturer credit values listed directly on the check stub. Our dedicated credit management team ensures that our pricing is as accurate as possible – customers’ actual credit received is on average within 2% of our estimate. The fee is an all-inclusive percentage of returnable credit value and covers shipping, CII-CV processing, destruction of non-returnable items, and extensive reporting available on our website.

Service Options

n On-Site Service: Let our experienced representatives take care of your entire return from start to finish. Your dedicated service representative will spend 2-3 hours scanning your prescription shelves for outdated items. Outdated merchandise is scanned into our proprietary software and your rep provides you with a complete inventory and credit estimate the day of your service. All items are boxed and sealed, and a FedEx pickup is scheduled for the next business day. Additional benefits include consultation regarding items with recently released generic equivalents, collection of Schedule II-V items and issuance of all necessary documentation, and collection of recalled items. n Mail-In Service: Do your returns on your own schedule by using our online portal to create returns, inventory items, and print return forms and prepaid UPS shipping labels. Simply scan the bar code or enter the

NDC and the drug information will populate. You can keep a running inventory until you’re ready to ship your items – your list is automatically saved. When you’re ready, submit your return and we’ll mail out a DEA 222 form if you are sending us Schedule II items. Print your prepaid shipping labels and give your boxes to any UPS driver. As soon as we process your return you’ll be able to view your inventory and credit estimate online. n Destruction Service: We provide a safe, simple, and compliant manner for compounding pharmacies, doctor’s offices, manufacturers, and distributors to dispose of unwanted and unsaleable products. Items are transported to an EPA approved, waste-to-energy incinerator where destruction is witnessed by at least two employees. Any hazardous waste is transported and destroyed by EPA licensed firms.

Online Reporting and Analysis

Our newly updated customer portal allows you to view your complete returns history with data down to the NDC level for every return we process for you. The dashboard shows your most recent return, a return history, and a snapshot of trends in your returnable versus non-returnable products. You can print or export return reports, controlled substance reports, proof of destruction, and copies of our checks. You can also manage any direct manufacturer credits or request us to track those for you if you aren’t sure you have received them.

Testimonials

“Great service, easy-to-use website. Awesome folks and very helpful. And of course, I love getting the check timely. Thanks for all you do!” — Somerset Pharmacy, Somerset, KY “Always on time and efficient. Payments are received when promised. Effortless on my part.” — KJ’s Pharmacy, Florence, SC

Additional Product Lines

MedCollect by Return Solutions provides simple, cost-effective, and compliant disposal of unused consumer prescription medications. Medication take-back receptacles help fight prescription drug abuse, prevent accidental poisoning, and protect the environment with wasteto-energy destruction. Installing a collection receptacle drives traffic to your pharmacy and displays your commitment to the health and safety of your community through responsible drug disposal. MedCollect offers two sizes of collection cabinets and provides you with everything you need for compliant collection and disposal, starting at just $89 per month.

GPO Affiliations

AAP; AIP; AlliantRx; ACA; APSC; EPIC Pharmacies; Gerimed; IPA; IPC; Keystone; LWD; Mutual Drug; NPSC; PBA Health; PFOA; Pharmacy Plus; PPSC; PPOk; QualityCare Pharmacies; RxPlus; SPC; We Care Pharmacy. SPRING 2020

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YOUR TOTAL PHARMACY SOLUTION Discover the possibilities with Computer-Rx and Rx30

Experience the Most-Used Software in Independent Pharmacy Computer-Rx and Rx30 software solutions move beyond traditional pharmacy dispensing software to ensure a total pharmacy solution for all aspects of your business. We are committed to providing you scalable software solutions to help you drive patient outcomes, increase revenue and maximize the success of your business.

Find out what a total pharmacy solution can do for your business.

(800) 289-7930 sales@rx30.com rx30.com

Ready to learn more? Contact us today for a custom demonstration.

(800) 647-5288 sales@computer-rx.net computer-rx.com

Š 2020 Transaction Data Systems, Inc. | tdsclinical.com


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Transaction Data Systems (Rx30/Computer-Rx) Pharmacy Software Solutions Providing innovative, robust, and easy-to-use pharmacy management, point-ofsale, multi-site management, and business management solutions to community pharmacies across the United States.

President & CEO: Jude Dieterman Founded:

1977

Employees: 500 Toll-Free Phone:

(800) 289-7930 Address: 6021 Rio Grande Avenue Orlando, FL 32809 Website: www.rx30.com | www.computer-rx.com

Company Background

Transaction Data Systems, with its Rx30 and Computer-Rx pharmacy management solutions, is focused on improving efficiency and productivity and increasing profitability for today’s independent pharmacies. TDS is the unquestioned leader in pharmacy management software, with more than half of all community pharmacies utilizing our software for their prescription filling and management needs. Unlike other pharmacy software companies, TDS focuses on the complete, daily business of running a pharmacy, including everything from filling prescriptions and managing inventory to providing clinical opportunities to drive revenue, critical analytics for your business, management tools, and more.

Product Overview

Rx30 provides a robust, easy-to-learn management platform, point-ofsale software, and central management solution. Rx30 solutions offer multiple applications available to pharmacies and their patients to make managing patient medication regimens easy and interactive. The Rx30 platform provides fully automated e-scripts, revenue opportunities through innovative clinical solutions, and 80+ integration partners. Whether your focus is an independent retail pharmacy, small retail chain, nursing home, nursing home consulting, compounding, or I.V. processing, we have the tools you need to make your job easier! Computer-Rx is our Windows-based platform that offers an easy-to-use interface and robust tools for pharmacy management, pharmacy point-ofsale, delivery, and centralized pharmacy management. The Computer-Rx platform is a one-size-fits-all solution, easily scalable to fit the demands of any independent pharmacy. Computer-Rx solutions offer dynamic reporting tools and easy claim reconciliation. Inventory management is streamlined with EDI ordering and receiving through seamless integration with all major wholesalers and dozens of regional wholesalers. Using Computer-Rx, patient care is taken to the next level with innovative and integrated clinical solutions available only to TDS pharmacies.

Features & Options

TDS offers pharmacies a total pharmacy solution, including robust pharmacy management software, integrated point-of-sale, centralized pharmacy management for multiple locations, mobile/delivery tools,

patient applications, built-in communication tools, integrated clinical opportunities portal, retail business services, state-of-the-art claims reconciliation services, business management tools, credentialing, and more. • Scalable Workflow • Robust Business Tools • In-Workflow Alerts • Integrated MTM • Central Management • Controlled Substance Patient Monitoring Program • Automated, Off-Site Data Backup • E-Fax and Text • Cash Pricing Program • Cybersecurity and Breach Protection • Patient-Focused Care • Integrated Point-of-Sale • One-Click PDMP Review • eCare Plans • Online Pharmacy Reporting Dashboard • Credentialing • Patient Targeting and Clinical Tools • 340B Analytics • Claim Reconciliation Services • Marketing Tools and Applications Enhanced Medication Services (EMS) is an exclusive part of the TDS family and serves all Rx30 and Computer-Rx users’ clinical needs. The EMS team of trained clinicians provides high-quality, clinical intervention outreach services to patients and providers in collaboration with pharmacies and health plans, working with patients to ensure they take their medications and resolve medication-related problems. EMS engages with providers in facilitating needed prescription updates and changes. These interventions provide “quality lift” for TDS partner pharmacies and health plans to achieve high-level performance on quality measures and improve health outcomes.

Key Customers

Independent pharmacies across the U.S., including retail, regional chains, hospital-owned, specialty, and compounding.

Ordering Information

For more information on TDS solutions and how they can help your independent pharmacy thrive, call (800) 647-5288 or visit www.Rx30.com and www.Computer-Rx.com.

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Go from menial to meaningful. Omnicell helps you replace manual, error-prone tasks with more accurate, eďŹ&#x192;cient medication processes. Our goal? To free pharmacists from logistical and administrative tasks so you can focus on what matters most: patients.

Start your pharmacy transformation today. Learn more at omnicell.com.


2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y P R O F I TA B I L I T Y

Omnicell Solutions Optimize Workflow Efficiency and Increase Accuracy Streamlined automation, medication adherence packaging, labeling, and consumable solutions help pharmacies improve overhead, compliance, and efficiency while reducing inventory and labor costs.

President & CEO: Randall A. Lipps Founded:

1992

Employees: 2,500+ Stock Symbol: Toll-Free Phone: Website:

OMCL (800) 671-0589 www.Omnicell.com

Company Background Medication nonadherence increasingly threatens public health. Pharmacists are positioned to address this problem and improve patient outcomes, but they are often bogged down by manual tasks. Omnicell is empowering pharmacists to radically transform the way they manage medications so they can achieve the vision of the Autonomous Pharmacy. Our goal is to move pharmacists to the center of patient care where they can practice at the top of their license, using a combination of advanced automation, data intelligence, and service solutions.

Product Overview Omnicell is uniquely positioned to offer our valued pharmacy partners an unprecedented suite of patient care solutions for long-term growth and sustainability. n Improve Outcomes with Patient Multimed Adherence Cards SureMed® by Omnicell Multimed Blister Cards are designed to improve patient adherence by clearly organizing multiple medications in an easy-to-follow format that provides instant visual reinforcement of what to take and when. • Easy-to-understand, clearly marked day-of-the-week and time passes. • Tamper-evident, easy-to-puncture backing shows if medications were taken properly. • Booklet style provides ample real estate for branding and script label(s). n Increase Hand-Packing Accuracy and Gain More Patients Omnicell’s easy-to-use Guided Packing Software lets pharmacies provide adherence packaging services quickly and with very little investment. Guided Packing is a cloud-based software solution that increases the accuracy of hand packing and includes a consolidated label for SureMed Multimed Perforated Cards to help pharmacies give caregivers and patients an easy way to improve medication adherence and overall health.

• Guided interface provides a high level of confidence in packing accuracy. • Integrates with pharmacy management systems so there is no need for double data entry. • Creates consolidated label with patient information and medication dosing instructions. • Ability to print pharmacy logo or coupon directly on the front of the card to increase brand awareness and customer loyalty. n Improve Medication Management with High-Quality Single-Dose Blister Cards Omnicell offers an extensive variety of heat seal and cold seal blister cards for single-dose packaging of medications for institutional pharmacies servicing long-term care, assisted-living, and correctional facilities. By providing top-of-the-line singledose blister cards to your facilities, you’ll be helping improve medication management, the patient experience, and ultimately medication-related patient outcomes. n Flexible, Single-Dose Automation to Increase Productivity and Profits The AccuFlex® Single Dose Automation accurately fills and labels a variety of patient-specific single-dose medication blister cards based on incoming prescriptions. It helps pharmacies improve operational efficiency and reduce inventory and labor costs. The AccuFlex fills many types of medication packaging, such as 14and 16-dose cards, Opti-Pak, 30- and 31-day blister cards, and reclaimable unit dose packaging.

Testimonials “Guided Packing is integral to workflow and offers real solutions to issues such as traceability and packing accuracy.”

— Alec Gilles, General Manager, Buffalo Pharmacy

“What we value most about [our AccuFlex] is the partnership [it] brought with Omnicell. This is a company that stands behind their machines as well as their partners. Their support for their customers is excellent, and we are so glad that we took a giant leap forward with Omnicell by our side.”

— Jenna Merchant, Director of Operations, Shared Pharmacy

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S P E C IA LT Y P H A R M A C Y S OL U T I O NS ( T E CHNO L O G Y & S O F T WARE) Q & A

& Q A Shelia Arquette, RPh

Executive Director, National Association of Specialty Pharmacy

Q. Specialty drugs remain the most expensive drugs on the market. What spending trends do you foresee for specialty pharmacy in the future? Since the 1990s, the number of specialty drugs available has increased exponentially and dominated new drug developments. Specialty product spending growth is outpacing traditional product growth and now has approximately a 47% share of the total non-discounted spend.¹ As an example, in November 2019, specialty spend grew by 11.0% while traditional spend increased 0.7%. This increase has been fueled not only by approvals in more common “specialty” diseases such as oncology and hepatitis, but in rare or orphan diseases as well. We are beginning to see an increasing focus on specialty drug development for the treatment of diseases and conditions that were historically managed by small molecule therapies i.e., Alzheimer’s Disease, allergy, heart failure, stroke. In the next five years, oncology, autoimmune, and diabetes will drive therapeutic growth. In 2018, 59 New Active Substances were launched, including 28 orphan NAS’s, resulting in the biggest year for new specialty product launches in history.² The continued growth of specialty spending is driven primarily by the large number of new specialty and orphan drugs available and in the pipeline, as well as the rising prevalence of chronic diseases and an aging population.

Q. What are some of the biggest challenges faced by the specialty pharmacy industry in 2020? Limited Distribution Networks restrict the distribution channel for a specialty drug to one or a very small number of pharmacies. This strategy has advantages and disadvantages. It may help ensure the safe distribution of high-risk drugs to small patient populations, but it limits competition among specialty pharmacies and creates access challenges for patients, payers, and healthcare providers. Managed care access and carve-outs. Health plans and payers continue to limit access to participation in networks, as well as carve out and channel specialty drugs. Patients are forced to use specific specialty pharmacies, which can result in patients receiving medications from multiple pharmacies and not the pharmacy of

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their or their physician’s choosing. This can result in confusion and challenges for both patients and healthcare providers who struggle to navigate complex healthcare benefits. Declining reimbursement rates and Direct and Indirect Remuneration (DIR) Fees. Though the specialty pharmacy

industry has grown substantially, labor and drug costs have increased, and reimbursements from health insurers and pharmacy benefit managers (PBMs) continue to decrease. Another challenge faced by the specialty pharmacy industry is Direct and Indirect Remuneration pharmacy fees, more commonly known as DIR fees. A loophole in the Medicare antikickback law allows health plans and PBMs to charge pharmacies fees to fill Medicare prescriptions. DIR fees are applied after the point-of-sale and collected months after the pharmacy has dispensed the drug and after a beneficiary has purchased the drug. Since 2013, fees on pharmacies have totaled $8.5 billion and have grown more than 1,600 percent ³. This is unsustainable and is pushing many independent pharmacies out of business. A recent report dated from June 2018 to July 2019 stated that more than 2,200 independent pharmacies have closed, with many directly blaming DIR fees as the reason.

Q. Can you identify some future trends in specialty pharmacy? Targeted therapies. One of the major trends in specialty pharmacy is managing targeted therapies. Nearly 70 percent of the specialty drugs in development have an identified biomarker associated with them. Biomarkers help providers match patients with the best therapy right from the start and help manufacturers demonstrate just how successful their drugs can be. Biomarkers and genomics are used to personalize treatment regimens and determine precisely which medications are best suited for the patient, resulting in superior clinical and cost-effective outcomes. Specialty pharmacy can serve as an invaluable resource to help identify the optimal targeted therapy and further demonstrate the value they deliver as medication therapy experts, and also demonstrate why they are a critical member of the healthcare delivery team!


value-based contracting moving forward. Though managing the cost of specialty products has focused mainly on drug prices in the past, value-based contracting seeks to link the price of a drug to clinical or economic performance. Specialty pharmacies fulfill a key role in providing high-touch patient care and in the coordination of care with healthcare providers, resulting in improved outcomes. This type of contracting will require a great deal of collaboration, coordination, and some financial risk, but will focus on quality care and services as opposed to cost alone. This is another tremendous opportunity for specialty pharmacy to make a difference.

Drug pricing reform. Legislative and regulatory activity is underway to address the high cost of prescription drugs, including specialty drugs. Various policies under consideration would directly reduce drug costs at the point those drugs are sold – whether at the counter or being directly provided to a specialty patient. For specialty patients, payment reform referred to as “pharmacy DIR reform” would bring immediate relief to specialty patients, reducing a senior’s co-pay costs on expensive therapies that do not have generic alternatives. Pharmacy DIR reform ensures all pharmacy price concessions are used by a plan to reduce a Medicare patient’s upfront cost. This reform also would support specialty pharmacies in being able to ensure they can provide the support services needed to improve patient outcomes through drug management.

Q. How do you see the role of the specialty pharmacist evolving? There is an active debate about giving pharmacists provider status under Medicare. This would allow pharmacists to be recognized and compensated for the services that they provide. Specialty pharmacists are an integral part of the patient’s overall healthcare team and help facilitate complete communication between the care team and the patient. They can play a larger

role in advising care and working alongside physicians and nurses on prescribing decisions and assisting with the transition of care. Their specialized training in chronic conditions can lead to impactful interventions, and reductions in hospitalizations and unnecessary healthcare costs.

Q. What is the role and the future of technology in specialty pharmacy? Specialty pharmacy technologies will continue to improve communication and engagement with patients and caregivers, improve workflows, drive adherence and improved clinical management, and identify medication safety and risk, which will demand improved dialogue between pharmacies and prescribers. Improved communication with patients and prescribers could significantly reduce medication mismanagement, potential side effects, and the risk of adverse drug events. As technology continues to advance, more data and information is shared between the entire healthcare team, including health plans, pharmacy benefits managers, providers, and manufacturers. This team approach will ultimately result in improved patient care and outcomes.

Q. Is there anything else you’d like to add that you haven’t already covered? With all of this in mind, it is essential that we do not lose sight of the fact that the patient is at the center of all we do. Specialty pharmacies are vital members of the patient’s healthcare team and will continue to evolve as needed to provide the optimal model of care for patients living with chronic illnesses and complex medical conditions, achieve superior clinical and economic outcomes, and expedite patient access to care. [1]

IQVIA, National Sales Perspectives, November 2019

[2]

IQVIA Institute, April 2019

https://markets.businessinsider.com/news/stocks/xil-consulting-exposesmassive-8-5-billion-in-dir-pharmacy-fees-paid-to-pbms-1028900384 [3]

S P E C IA LT Y P H A R M A C Y S OL U T I O NS ( T E CHNO L O G Y & S O F T WARE) Q & A

Value-based contracting. Greater emphasis will be placed on

BIOGRAPHY  Shelia Arquette, RPh Executive Director, National Association of Specialty Pharmacy Sheila Arquette is the Executive Director of the National Association of Specialty Pharmacy. She holds a Bachelor of Science degree in Pharmacy from the State University of New York at Buffalo School of Pharmacy. She has extensive practical and leadership experience in retail pharmacy, hospital pharmacy, long-term care consulting and dispensing, in addition to managed care, PBM operations, and specialty pharmacy. She is a regular speaker and participant at national pharmacy conferences, roundtables, and industry meetings.

Sheila has been appointed to the University of Pittsburg’s Master of Science in Pharmacy Business Administration (MSPBA) Executive Steering Board and is the host of the NASP Podcast on the Pharmacy Podcast Network. Sheila was elected to the NASP Board of Directors and received the NASP Distinguished Service Award in September 2016. She also is a long-standing member of AMCP.

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S P E C IA LT Y P H A R M A C Y S OL U T I O NS ( T E CHNO L O G Y & S O F T WARE) Q & A

SPECIALTY PHARMACY SOLUTIONS (TECHNOLOGY & SOFTWARE) Buyer’s Guide Acute Care Pharmaceuticals 12225 World Trade Drive, Suite A San Diego, CA 92128 (888) 909-7700 www.pharma-choice.com

Comprehensive Pharmacy Services 6409 Quail Hollow Road Memphis, TN 38120 (800) 968-6962 www.cpspharm.com

keycentrix 2420 N. Woodlawn Boulevard, Building 500 Wichita, KS 67220 (800) 444-8486 www.keycentrix.com

SuiteRx, LLC 307 S Jupiter Road, Suite 205 Allen, TX 75002 (916) 242-8779 www.suiterx.com

Accreditation Commission for Health Care (ACHC) 139 Weston Oaks Court Cary, NC 27513 (855) 937-2242 www.achc.org

CoverMyMeds 2 Miranova Place Columbus, OH 43215 (866) 452-5017 www.covermymeds.com

Liberty Software 3205 E. Southlake Boulevard Southlake, TX 76092 (800) 480-9603 www.libertysoftware.com

Surescripts 2550 South Clark Street, 10th Floor Arlington, VA 22202 (703) 921-2121 www.surescripts.com

CSI Specialty Group 400 Lexington Green Lane Sanford, FL 32771 (866) 484-4752 www.csigroup.net

McKesson Pharmacy Systems 450 Lindbergh Drive Moon Township, PA 15108 (866) 682-8942 www.McKesson.com/MPS

Synergy Medical 2915 Ogletown Road, #2565 Newark, DE 19713 (866) 764-7966 www.synmedrx.com

First Financial Bank 214 North Washington Street El Dorado, AR 71730 (800) 467-0724 www.ffb1.com

Micro Merchant Systems, Inc. 6800 Jericho Turnpike, Suite 203E Syosset, NY 11791 (866) 495-3999 https://www.micromerchantsystems. com/primerx/RxInsider

TemperPack 2804 Decatur Street Richmond, VA 23224 www.temperpack.com

AdvanceNet Health Solutions, Inc. 67 Buck Road B9, Suite 115 Huntingdon Valley, PA 19006 (800) 919-3744 www.anshealth.com AmerisourceBergen 1300 Morris Drive Chesterbrook, PA 19087 (610) 727-7000 www.amerisourcebergen.com Asembia 200 Park Avenue, Suite 300 Florham Park, NJ 07932 (973) 564-8004 www.asembia.com Associates of Cape Cod, Inc. 124 Bernard E. Saint Jean Drive East Falmouth, MA 02536 (888) 395-2221 www.acciusa.com BestRx Pharmacy Software 1200 Jorie Boulevard, Suite 310 Oak Brook, IL 60523 (630) 893-9210 www.bestrx.com BIOSRX 1300 E. Bidwell Street, Suite 105 Folsom, CA 95630 (916) 850-0132 www.biosrx.com Bula Intelligence 2150 E Highland Avenue, Suite 105 Phoenix, AZ 85016 (877) 829-0310 www.bulalaw.com CareSmart, LLC 333 E. Main Street, Suite 201 Louisville, KY 40202 (866) 322-3924 www.caresmartllc.com Cold Chain Technologies 135 Constitution Boulevard Franklin, MA 02038 (800) 370-8566 www.coldchaintech.com

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Guaranteed Returns (GRx) 100 Colin Drive Holbrook, NY 11741 (800) 473-2138 www.guaranteedreturns.com Health Care Logistics P.O. Box 25 Circleville, OH 43113 (800) 848-1633 www.gohcl.com HealthCrowd 1810 Gateway Drive, Suite 200 San Mateo, CA 94404 (888) 992-7693 www.healthcrowd.com Innovation 711 Innovation Way Johnson City, NY 13790 (607) 798-9376 www.innovat.com Innovatix 555 West 57th Street, 12th Floor New York, NY 10019 (888) 258-3273 www.innovatix.com Integra 317 Commercial Avenue Anacortes, WA 98221 (360) 588-0574 www.integragroup.com IntelliGuard 6451 El Camino Real, Suite C Carlsbad, CA 92009 (760) 448-9500 www.ig.solutions

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Omnicell 590 East Middlefield Road Mountain View, CA 94043 (800) 850-6664 www.omnicell.com Pharmacists Mutual Insurance Company 808 US Highway 18 West, P.O. Box 370 Algona, IA 50511 (800) 247-5930 www.phmic.com PharmaLink 8285 Bryan Dairy Road, #200 Largo, FL 33777 (800) 257-3527 www.pharmalinkinc.com R&S Northeast, LLC 8407 Austin Tracy Road Fountain Run, KY 42133 (800) 626-0208 www.rsnortheast.com RD Plastics Company 4825 Trousdale Drive #203 Nashville, TN 37220 (800) 795-7007 www.rdplastics.com Rees Scientific 1007 Whitehead Road Ext. Trenton, NJ 08638 (609) 530-1055 www.reesscientific.com ScriptPro 5828 Reeds Road Mission, KS 66202 (800) 606-7628 www.scriptpro.com

The Compliance Team P.O. Box 160, 905 Sheble Lane, Suite 102 Spring House, PA 19477 (215) 654-9110 www.thecomplianceteam.org Therigy 2301 Maitland Center Parkway, Suite 201 Maitland, FL 32751 (407) 992-8750 www.therigy.com Transaction Data Systems 6021 Rio Grande Avenue Orlando, FL 32809 (800) 289-7930 www.transactiondatasystems.com Verity Solutions 12131 113th Avenue NE, Suite 200 Kirkland, WA 98034 (425) 947-1922 www.verity340b.com WellSky 11300 Switzer Road Overland Park, KS 66210 (913) 307-1000 www.wellsky.com Temptime Corporation, A Zebra Technologies Company 116 The American Road Morris Plains, NJ 07950 (973) 630-6000 www.temptimecorp.com


SPECIALTY PHARMACY SOLUTIONS (TECHNOLOGY & SOFTWARE) www.RXinsider.com

S P E C IA LT Y P H A R M A C Y S OL U T I O NS ( T E CHNO L O G Y & S O F T WARE) Q & A

Visit RXinsider’s Virtual Trade Show to Research the Leaders in

Rees Scientific

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Al & Laura Underwood, Owners of Franklin Eyewear.

We’re a Small Business Working With Your Business Reading Glasses $6.99 Retail price tags color coded by strength

Sunglasses $6.99 & $9.99 Retail price tags color coded by category

Easy to Restock • Easy to Reorder

www.FranklinEyewear.com Or Call Us! (877) 766-0321

260 CHRISTOPHER COVE, RIDGELAND, MS 39157

P. 877-766-0321

See Video

F. 877-766-9542


Pharmacy Benefit Management A reliable pharmacy claims processing platform coupled with a network of over 70,000 pharmacies

Courier Delivery Prescriptions are picked up at backup pharmacies and delivered to long-term care facilities

P E AC E O F M I N D, D E L I V E R E D. By partnering with the company who originated backup pharmacy services With around-the-clock backup pharmacy coverage, the Care Services family of companies helps long-term care pharmacies reduce overall pharmacy costs, avoid staff burnout, extend pharmacy reach and provide continuous care.

650,000+ Backup medications processed annually

3,000+

Working with the Care Services team is easy. We provide: •

A designated account manager to serve as your primary point of contact

Client service representatives to answer calls 24/7

Our proprietary TracRx™ portal to make managing orders easy

Consolidated monthly invoices to simplify accounting processes

Comprehensive and customizable reports to deliver data in your preferred format

Visit our website to learn more: www.careservicesllc.com

Credentialed courier partnerships

50 States where we provide pharmacy services

1,000 LTC facilities served nationwide

MedCallRx | GeriScriptRx | InMedRx Complete Delivery Solution | Hospice Pharmacy Solutions


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2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y P R O F I TA B I L I T Y

RetailSTARx Pharmacy and Retail Software by CAM Commerce

One software to more effectively manage your pharmacy and retail sales. Director, Marketing: Michele Salerno Founded:

1983

Employees: <200 Phone:

(714) 338-0200 (714) 241-9893 Address: 5555 Garden Grove Boulevard, Suite 100 Westminster, CA 92683 Website: www.celerant.com/pharmacy Fax:

Company Background

CAM Commerce Solutions was founded in 1983. Throughout time, we have continued to develop, market, install, and service highly-integrated retail management and payment processing solutions for pharmacy retailers. These integrated solutions include: point-of-sale, electronic payment processing, inventory management, eCommerce shopping cart, customer management, mobile applications, and extensive management reporting. We have a variety of products and services that address the automation needs of the pharmacy industry. At CAM, we know that service and ongoing updates to the software are important considerations in the purchase of a software system. It is important to know that the company behind the product will be around to protect and enhance your investment. CAM has more than 100 employees dedicated to improving our products and serving our customers. We offer phone support seven days a week and ongoing program enhancements. Now we bring even more experience to our team with Celerant Technology Corporation. Celerant Technology’s acquisition of CAM brings over 20 years of reputable experience to the table. Regardless of the size of your business, we have a solution for you!

Product Overview

CAM’s multi-channel solution has been automating pharmacies for over 30 years, enhancing the technology needed to control inventory and streamline retail pharmacy processes. CAM meets or exceeds all industry standards and regulations while offering exceptional service and stateof-the-art technical support. The POS software for pharmacies from CAM Commerce Solutions interfaces in real-time to pharmacy systems. Our software gathers signatures for pseudoephedrine, Rx signature logs, the HIPAA Notice of Privacy Policy (NOPP), and integrates this with our POS system for easy reference, reporting, and auditing. We offer a complete customer management program with frequent buyer clubs, gift cards, email campaigns, and more. We also offer an offline delivery application which can be used with any tablet, as well as fully integrated eCommerce.

Supported dispensing systems include: WinRx (Computer-Rx), Rx30, EnterpriseRx (McKesson), ScriptAssist (RS Software), The Compounder (PK Software), PharmacyRx (McKesson), GuardianRx (CarePoint), SuiteRx, QS/1, and custom barcodes. Whether your pharmacy falls under the 90% exemption rule or requires an IIAS approved system, we have you covered. CAM is the leader in ensuring pharmacies are compliant with IRS legislation. RetailSTARx’s all-in-one retail management system includes inventory management, automatic ordering, customer management, and advanced reporting. RetailSTARx offers a very powerful custom report generator that allows users to create reports that make sense for their unique business – not limited to end-of-month/end-of-year. In addition to the custom report generator, the system also has dozens of very useful “canned reports” which can be printed or displayed in an easy-to-read format. You will no longer have to purchase third party tools to get the advanced reporting you require. RetailSTARx’s on-board reporting tools are designed to give pharmacies the flexibility and power they need for managing their retail operations. To learn more about our pharmacy solution or to see a demonstration, contact our sales team.

Features & Options

• Point-of-Sale with EMV • Dispensing System Integrations • Product Imports and Updates • Pseudoephedrine Tracking • Prescription Delivery Application • Multi-Store Communications • Electronic Purchase Orders

• IIAS Compliant • SIGIS Eligible List • Gift Cards • E-Signature Capture • Appriss NPLEx • MethCheck Integration

Testimonial

“Prescriptions ready for pick up will appear on the POS screen. When the initial Rx bar code is scanned, the patient’s name automatically appears. The nutritional supplements and any other general merchandise the customer wants to purchase can be scanned in the same transaction, and the system prompts the patient to sign for their prescriptions – saving us a massive amount of time so we can provide great customer service.”

— Doug Schultz, President, Tobin’s Pharmacy

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Providing a Clear Path Toward Operational and Financial Excellence

Innovatix member benefits extend beyond the significant savings we provide. While group purchasing is at the core of what we do, Innovatix is committed to developing programs that help our members thrive.

Our suite of pharmacy operations improvement programs are designed to address your operations needs without distracting from your main mission â&#x20AC;&#x201D; providing high-quality patient care. Our suite of pharmacy operations improvement programs provides solutions in the following areas:

Accreditation

Medicare Part D reimbursement

Pharmacy credentialing

Pharmacy operations support

NEW: USP <800> compliance

To join our GPO or to learn more about our suite of pharmacy operations improvement programs, visit us at call

innovatix.com, email

(888) 258-3273.

info@innovatix.com, or


2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y P R O F I TA B I L I T Y

Strategic Purchasing and Operations Improvement Solutions by Innovatix Innovatix offers differentiated, high-quality group purchasing and consultative services. We help members maximize their overall financial performance by providing the resources and educational support needed to enhance the delivery of quality patient care.

Founded:

1993 Employees: 180 Toll-Free Phone: (888) 258-3273 Fax: (646) 638-2641 Address: 555 West 57th Street, 12th Floor New York, NY 10019 Website: www.innovatix.com

Company Background

Innovatix is a national group purchasing organization that provides strategic purchasing solutions and operational support to help pharmacies and other alternate site healthcare providers thrive. We supplement our industry-leading purchasing program with a consultative approach, in-depth analytics, vast healthcare expertise, and value-added and feebased services specific to our members’ needs. Innovatix works tirelessly to deliver savings and value to members.

Product Overview

Innovatix offers one of the most extensive, competitive purchasing portfolios available today. We provide members access to a $60 billion purchasing portfolio comprising over 2,000 contracts through 900-plus suppliers.

Value-Added Services

Innovatix member benefits extend beyond the significant savings we provide through our group purchasing services. While group purchasing is at the core of what we do, Innovatix is committed to offering additional value to help our members grow and excel. n Innovatix Educational Institute: Each month, Innovatix offers free accredited Continuing Education (CE) opportunities. Members can take advantage of these learning sessions from the convenience of their own computers. n Government Affairs: To help our members navigate the complex healthcare regulatory environment and ensure that their concerns are properly addressed, the Innovatix Government Affairs program has continued to develop as an important value-added service, particularly for our long-term care and infusion pharmacy members. We keep members informed and advocate on their behalf, working closely with national advocacy organizations.

Pharmacy Operations Improvement Programs

Our suite of pharmacy operations improvement programs are designed to address your operations needs without distracting from your main mission – providing high-quality patient care. n Innovatix Accreditation Advisory Services: Third-party accreditation has become increasingly important – particularly with respect to reimbursement rates – to payers for verifying quality and patient safety. The Innovatix Accreditation Advisory Services program is designed to support pharmacies in achieving recognition from various accrediting bodies. n Innovatix Credentialing Counsel: Innovatix Credentialing Counsel is our solution for pharmacies facing payer credentialing challenges. This service provides guidance for each task in the credentialing process and helps users navigate the evolving payer landscape. n Innovatix Preferred Provider Network: Successfully navigating Medicare Part D to maximize reimbursement on Medicare prescription drug benefit claims is a major challenge for many pharmacies today. The Innovatix Preferred Provider Network provides pharmacies access to Medicare Part D contracts with the nation’s largest prescription drug plans and pharmacy benefit managers. n Scriptmax®: Scriptmax offers the most complete pharmacy claim support in the industry. Through a comprehensive suite of pre-edit, postedit, and reconciliation services, Scriptmax empowers pharmacies with actionable claims review data during every step of adjudication. n Innovatix USP <800> Compliance Services: Drawing on our extensive experience supporting non-acute healthcare providers with USP <795> and <797> compliance, Innovatix launched a flexible, feefor-service program to help healthcare facilities nationwide successfully comply with the new USP <800> standard.

Key Business Partners

Innovatix is a wholly-owned subsidiary of Premier, a healthcare improvement company uniting an alliance of approximately 4,000 U.S. hospitals and more than 181,000 other provider organizations.

Ordering Information

Innovatix GPO membership is free. To learn more about our group purchasing services and suite of pharmacy operations improvement programs, visit innovatix.com, email info@innovatix.com, or call (888) 258-3273.

n Clinical Experts: Innovatix staff includes clinical pharmacists and physician consultants who provide members with best practice studies, disease state management information, formulary management, and medication error reduction strategies.

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We asked Community Pharmacists what they want... Insurance Co.

Better Reimbursements QS/1’s NRx® system includes a DIR fee estimator that predicts reimbursement before sale, and pre- and post-edits (PPE) streamline claims to help protect margins.

QS/1 offers 24/7 emergency customer support along with on-site and online training - with nationwide hardware support.

QS/1 is 100% focused on the success of Community Pharmacists Learn how QS/1 is ready to help you and your pharmacy do more by visiting qs1.com/NRx.

qs1.com | #RedSetGo |

* 2018 Independent Pharmacy Benchmark Study

© 2020 J M Smith Corporation. QS/1, the QS/1 logo, and NRx are registered trademarks of the J M Smith Corporation®. QS/1 is a part of Smith Technologies®, LLC, a subsidiary of the J M Smith Corporation.


2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y P R O F I TA B I L I T Y

QS/1® – Filling Your Pharmacy Software Needs Empowering community pharmacies to improve the health and well-being of their patients and communities. President:

Kevin P. Welch Founded: 1977 Employees: 500+ Toll-Free Phone: (800) 845-7558 Phone: (864) 253-8600 Fax: (864) 253-8690 Address: 201 W. St. John Street Spartanburg, SC 29306 Website: www.qs1.com

Company Background

QS/1 is the leader in pharmacy management systems, with expertise that spans more than 40 years. Our software solutions help community, multilocation, and outpatient pharmacies, as well as HME businesses, remain relevant and profitable. QS/1 is the only vendor with an integrated suite of solutions, including POS, IVR, document management, mobile and delivery apps, prescription synchronization, eCare Plans, and HME billing and compliance. We also offer the industry’s only 24/7 emergency customer support. QS/1 is a part of Smith Technologies®, LLC, a subsidiary of the J M Smith Corporation®, one of the largest privatelyheld companies in South Carolina.

Product Overview

America’s most trusted pharmacy management solution is where competitive pharmacies turn to improve patient health and drive profitability. Our solutions bring the entire pharmacy together to deftly manage everything from patient-health outcomes to DIR fees, 340B, and more. QS/1 provides hundreds of ready-made interfaces to aid daily productivity, including EHRs/eMARs, dispensing systems, adherence packaging, document management, and more. QS/1 provides several tools to improve patient adherence and customer satisfaction, including prescription synchronization, IVR, mobile refill apps, web refills, and automated refill reminders. Our Pharmacy at a Glance dashboard improves workflow and reduces bottlenecks by tracking refills, voicemails, error resolution, and quality assurance. Our systems are scalable, allowing you to add modules such as accounts receivable, document management, nursing home, and advanced reporting, as needed. Our solutions fully integrate with other QS/1 systems, including point-of-sale, SystemOne® for HME, IVR, and Multi-Site Management (MSM™). Our community pharmacy solutions include: • NRx®: A proven, front-to-back pharmacy management solution. • SharpRx®: Intuitive, affordable pharmacy management.

Features & Options

• eCare Plans and MTM: Built-in tools allow pharmacists to create and send patient health information to other healthcare providers

to improve overall health outcomes. Outcome features like the Patient Chart document immunizations and monitor lab values. • Adherence (Medication Synchronization, Refill Reminders, and Packaging): Fully integrated synchronization tools help patients adhere to their medication regimens; CycleRx calculates the prescription short-fill amount; Health-Minder® creates a refill reminder program; and the Tickler alerts staff that refills are due. Interfaces with multiple adherence packaging vendors also allow pharmacists to help patients take the right meds at the right time. • Workflow: Segments the prescription filling process to maximize resources and improve efficiency and productivity. • Pharmacy at a Glance: Dashboard displays all prescription processing queue activities in real time. • Delivery: Provides a competitive advantage by offering patient convenience, which drives loyalty. Delivery can increase adherence and improve efficiency, too. • Immunizations: Create and bill directly in the software and print or fax notifications to physicians. Plus, submit immunizations to state registries. • Nursing Home: Easy-to-use tools tailored specifically to help community pharmacies support the unique needs of small-scale long-term care facilities.

Testimonials

“It’s just simply amazing to think about all the things QS/1 has helped us change through the years.”

— Michelle Farrell, Owner and Pharmacy Manager, Boscobel Pharmacy

“If someone were to ask me if they should switch to QS/1, I would say absolutely yes.”

— Jenny Hawse, Pharmacy Coordinator, Four Seasons Pharmacy

Additional Product Modules

• Point-of-Sale: Integrated storewide solution that manages inventory and drives profits. • IVR: Allows patients to call in refill requests when it’s most convenient for them. Available for single or multiple locations. • mobileRx®: Smartphone app for iPhone® and Android™ devices that allows patients to quickly order refills, view their profiles, and set reminders to take their medications. • HME Part B Documentation: Serve Medicare Part B customers’ needs while keeping the documentation required for an audit. • Remote Checkout®: Mobile tablet, barcode scanner, and magstripe card reader take your system anywhere. Add a Bluetooth printer and print receipts at a hospital bedside or any point of delivery. • RetrieveRx®: Will-call storage and retrieval system helps to eliminate the clutter and guesswork of storing and locating filled prescriptions. SPRING 2020

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T R A D E S H O W & M E E T I N G E v e n t Calendar

Event Calendar

Trade Shows, Meetings, & Expositions For listing and advertising details, please contact Sales@RXinsider.com or call 800.972.2083

RXinsider’s Virtual Pharmacy Trade Show 24 / 7 / 365 450+ Booths, 91 Aisles www.rxinsider.com APC’s EduCon 2020 April 6-9, 2020 Gaylord Rockies Resort & Convention Center Denver, CO www.a4pc.org/EduCon2020 NACDS Annual Meeting April 25-28, 2020 Scottsdale, AZ annual.nacds.org Asembia Specialty Pharmacy Summit May 3-7, 2020 Wynn & Encore Las Vegas, NV www.asembiasummit.com iQ Conference 2020 May 12-15, 2020 Lousiville, KY iqconference.com ASHP Summer Meetings & Exhibition 2020 June 6-10, 2020 Seattle, WA Summer.ashp.org

ECRM - Health System/ Institutional Pharmacy Program June 15-18, 2020 Sheraton Grand at Wild Horse Pass Phoenix, AZ www.ecrm.marketgate.com/ Sessions Compounding Pharmacy Compliance June 18-19, 2020 The Westin Arlington Gateway Arlington, VA www.informaconnect.com/ compounding-pharmacycompliance 2020 ACVP Veterinary Pharmacy Conference June 25-27, 2020 Raleigh, NC www.vetmeds.org/vpc McKesson ideaShare 2020 July 12-16, 2020 Austin Convention Center Austin, TX mckessonideashare.com Cardinal Health RBC July 15-18, 2020 Colorado Convention Center Denver, CO rbc.cardinalhealth.com

continued on page 77

70

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Unite

Learn

Grow

Unite with independent pharmacies and industry experts, learn new Save the date

ideas, and grow your business at the

July 12 â&#x20AC;&#x201C;16, 2020 Austin, TX

independent pharmacy conference of the year. Learn more at

McKessonideaShare.com

Get updates and stay connected  /McKessonideaShare  @McKideaShare


WHERE SPECIALTY PHARMACY MEETS

MAY 3 - 7, 2020 • LAS VEGAS Register now to join thousands of key decision-makers from across the industry at the epicenter of specialty pharmacy. Asembia’s value-packed 2020 agenda includes informative business workshops, interactive exhibits, live continuing education sessions, and unparalleled networking events.

asembiasummit.com • #Asembia2020


Plan Now for 2020! exhibits@nacds.org

703.837.4320


Connect Your Community With Opioid Education. Education plays a critical role in combating the opioid epidemic. READINESS develops and hosts custom opioid eLearning centers for health systems, pharmacies, and organizations to support opioid stewardship

TECHNOLOGY Provide a customized learning platform (eLearning center), branded to your organization, and filled with relevant opioid educational activities.

and education initiatives. Offer your community an intuitive and accessible eLearning center to support opioid education and awareness. Contact us at sales@corereadiness.com

CUSTOM ACTIVITIES Host your opioid learning material (videos, PDFs, slide decks, etc.) as engaging activities within your opioid eLearning center.

ACTIVITY LIBRARY Select from more than 60 pre-existing opioid activities to expand your opioid eLearning center content for maximum learner engagement.

DATA Access a comprehensive reporting suite to assess learner engagement and monitor activity starts and completions.

www.coreREADINESS.com

READINESS


The National Association of Specialty Pharmacy is the only non-profit organization representing ALL specialty pharmacy industry stakeholders

We are 2,000+ Members Strong and We Need YOU!

• Certification Aa

NEWS

• Timely Industry News &

Information

• Advocacy & Federal & State

Monitoring

• Continuing Education

The UNIFIED VOICE of Specialty Pharmacy

• Committee Participation • Student Chapter • Speaking Opportunities • Online Education Tools &

Resources

• Customer Satisfaction

Surveys

NASP 2020 Annual Meeting & Expo

September 14-17, 2020, Marriott Wardman Park, Washington, DC Register by May 31 to receive early bird pricing: naspmeeting.com/register

Become a NASP Member TODAY!

NASPnet.org • info@naspnet.org • 703.842.0122


Event Calendar

Trade Shows, Meetings, & Expositions For listing and advertising details, please contact Sales@RXinsider.com or call 800.972.2083

continued from page 70

AACP July 18-22, 2020 Long Beach, CA www.aacp.org/event/pharmacy-education-2020 340B Coalition Summer Conference July 20-22, 2020 Washington, DC 340Bsummerconference.org NACDS Total Store Expo August 8-10, 2020 San Diego Convention Center San Diego, CA tse.nacds.org CBD & Cannabis Symposium August 21-22, 2020 Denver, CO www.cannabisrxinfo.org APC Compounders of Capitol Hill September 9-10, 2020 Washington, DC www.a4pc.org

NCPA Annual Conference October 17-20, 2020 Nashville, TN Convention.ncpanet.org

APC's EduCon 2020 Co-located with NHIA's Annual Convention April 6-9, 2020 Gaylord Rockies Resort & Convention Center Denver, Colorado 1200+ attendees • Huge trade expo Register at www.a4pc.org/EduCon2020

ECRM - Pharmacy Technology, Services, Supplies & Automation Program November 9-11, 2020 Hyatt Regency Tamaya Resort & Spa Santa Ana Pueblo, NM www.ecrm.marketgate.com/ Sessions ASCP Annual Meeting & Exhibition November 12-15, 2020 Gaylord Palms Resort Kissimmee, FL Annual.ascp.com ASHP Midyear Clinical Meeting & Exhibition December 6-10, 2020 New Orleans, LA midyear.ashp.org

T R A D E S H O W & M E E T I N G E v e n t Calendar

GE OU GOOD. N A H C E TH DO Y A N N O G IS

Compounders on Capitol Hill 2020 APC’s Annual Congressional Fly-In September 9-10, 2020 Omni Shoreham Hotel Washington, DC Register at www.a4pc.org

NASP 2020 Annual Meeting & Expo September 14-17, 2020 Marriott Wardman Park Washington, DC www.naspmeeting.com

C.ORG P 4 A . W WW

All shows are subject to change.

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2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y P R O F I TA B I L I T Y

Find Out Why Three Out of Five Top-Tier Specialty Pharmacies Use PharmaLink

PharmaLink’s sole focus is to provide an innovative approach to pharmacy returns that is the most cost-effective, accurate, and compliant solution to safely remove unsaleable pharmaceuticals from specialty pharmacies, hospitals, and other healthcare organizations.

President & CEO: Thierry Beckers Founded: 2000 Employees: 160 Toll-Free Phone:

(800) 257-3527 (727) 669-8327 Address: 8285 Bryan Dairy Road #200 Largo, FL 33777 Website: www.pharmalinkinc.com Fax:

Company Background Founded in 2000, Pharma Link is the nation’s premier pharmaceutical returns and disposal provider. Our operations model, which is designed exclusively to handle pharmaceutical returns, allows us to offer custom solutions to ensure maximum credits and regulatory compliance to our clients. Early this year, driven by strong and consistent growth, PharmaLink announced a facility expansion that will increase its capacity to 76,000 square feet. The new addition brings quality and innovation standards to the forefront by capturing 2D serialization data and validated systems to ensure data integrity. Pharma Link has established a leading position in the pharmaceutical reverse distribution market with thousands of healthcare facilities across the U.S. utilizing its services. In January, the company celebrated 20 years of growth and service to the industry through quality, innovation, and a customer-centric approach.

Service Overview PharmaLink is 100% focused on providing pharmaceutical return services to the healthcare supply chain. PharmaLink offers onsite and mail-in returns services nationwide utilizing our custom operations model to ensure compliance and maximum credit recovery. All members of the PharmaLink team are trained in every aspect of our operations process and exhibit extensive knowledge relative to the reverse logistics industry. We prepare regulatory paperwork, including DEA 222 Form and provide realtime reports with Encore®, our web-based returns management platform. Whether you choose to have us service your facility on-site, or mail-in your returns for processing, you will receive the highest standards of service, excellence, and expertise with PharmaLink.

Features & Options n Mail-In and On-Site Service Features • Complete return inventory generated for all unsaleable products. • Returns processed within one week of receipt. • Dedicated returns consultant. • Compliant with all state and federal regulations. • DEA 222 forms generated for CII returns. • Advanced processing automation. • Maximum credit recovery. • Online real-time reporting platform. • Product aging program. • Batch processing program. • Actual counts on partials. n Additional On-Site Service Features • Expired product pulled from shelves of pharmacy and inventoried by returns consultant. • Returns consultant arranges for shipment of product.

Markets Served PharmaLink offers returns services to all classes of trade in the healthcare supply chain, including pharmacies, hospitals, 340B, long-term care, infusion, and specialty. Trade Show Meetings Attended Pharma Link supports its partners and industry experts. PharmaLink regularly attends the following industry events: HDA Business Leadership Conference, HDA Distribution Management Conference, Value Drug Expo, Smith Drug Company Show, Asembia, Cardinal Health RBC, PDS Pharmacy Conference, NACDS Total Store Expo, MHA Business Summit, AAP National Conference, and MMCAP National Conference. Ordering Information

Call (800) 257-3527 or visit www.pharmalinkinc.com for more on PharmaLink’s returns services.

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Medi-Dose

EPS ...thE right PrEScriPtion for PharmaciStS ®

EPS

High quality, safe and effective products for medication administration, preparation and dispensing...in stock for fast shipment worldwide.

Unit Do s Bar Co e, ding, Pharm a Nursin cy & g Supp ly Expert s!

Priced low and ready to go! • Medi-Dose® Solid Oral Unit Dose Packaging • TampAlerT ® Liquid Unit Dose Packaging • MILT ® Software for Medication Identification and Bar Coding • LiquiDose® Labels • IV Additive Disposable Accessories • Steri-Dropper ® Sterile Ophthalmic Dropper Bottles • Compounding Products • Cleanroom Supplies • Ophthalmic Practice Accessories • Resealable and Ultraviolet Inhibitant Bags • Tamper-Evident Products • Bottles, Vials and Containers • Operating and Procedure Room Accessories • ShrinkSafe® Bands and Safety Products • Tapes and Labels • Maternity and Laboratory Products • Record Keeping and Identification Products • Storage and Transport Products

Visit our website for our EZ order system!

EPS

®

Exceptional Products and Service A Member of The Medi-Dose® Group

800.523.8966

MediDose.com

® ®


2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y P R O F I TA B I L I T Y

Medi-Dose, Inc./EPS, Inc. Your Community Pharmacy Supply Experts For over 40 years, Medi-Dose/EPS has been working with pharmacists to design and support cost-effective products, solving the specific needs of their pharmacies.

Robert Braverman 1971 Employees: Private Toll-Free Phone: (800) 523-8966 Phone: (215) 396-8600 Toll-Free Fax: (800) 323-8966 Address: 70 Industrial Drive Ivyland, PA 18974 Website: www.medidose.com Email: info@medidose.com

Product Specifications n Sterile I.V. Accessories • Safety Products • Labeling Products • Filtering Products • Dispensing Products

Company Background Medi-Dose/EPS was founded in 1971 when Milton Braverman, a former pharmaceutical company territory manager, saw the need for inexpensive, manual unit dose packaging. He developed the Medi-Dose System to package, handle, and dispense predetermined amounts of medication so they would be accessible for one regular dose.

n Labeling • Pharmacy Auxiliary Labels • Liquid Packaging Labels • Tamper-Evident Labels

President: Founded:

Because of the continued success of the Medi-Dose System, Medi-Dose/EPS expanded its product line to include a full-line of compounding supplies, disposable products, liquid packaging, labeling, and oral syringes designed specifically for the pharmacy professional. We pride ourselves on being the “old friend of the family” and have long-standing products designed to meet the needs of your retail, community, and compounding pharmacy.

Product Overview n Products for the Compounding Pharmacist With Steri-Dropper Bottles, liquid packaging, oral syringes, labeling, safety products, and software, Medi-Dose/EPS is your pharmacy’s source for compounding supplies! The science of pharmaceutical compounding poses unique challenges to pharmacists in the community setting. Whether caring for people or animals, pharmacists have to meet the stringent requirements of USP 797, 800, and other pertinent guidelines, address the unique concerns and conditions of their patients and do it economically and efficiently. Medi-Dose/ EPS compounding products are integral solutions helping you manage this vital but complex process while providing the care and protection your patients need.

n Steri-Dropper • Sterile Packs of Either Two or Ten Bottles, Tips, and Caps • Special Zinc Stearate-Free Resin • Four Sizes: 3, 7, 10, and 15 mL

n Safety Products • Care Giver Protection • Identification • Disposal

Additional Products We are the source for all your pharmacy’s ancillary products! Bags, bottles, trays, and totes are among a few of the many other supplies we carry. Anything that’s necessary for proper handling in a retail pharmacy setting – you can count on Medi-Dose/EPS! Ordering Information For additional information, please call us at (800) 523-8966, visit our website at medidose.com, or email us at info@medidose.com.

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REDUCING

CARDIOVASCULAR RISK THE ROLE OF THE PHARMACIST

PHARMACISTS CAN HELP PREVENT THE NEXT CARDIOVASCULAR EVENT VASCEPA® (icosapent ethyl [IPE])—not your typical omega-3 fatty acid drug—could help millions of high-risk patients, including statin-treated patients and statin-intolerant patients, to reduce their cardiovascular (CV) risk.1,2 Multiple professional societies have updated guidelines or issued advisories recognizing IPE, including the American Diabetes Association, the European Society of Cardiology/European Atherosclerosis Society, the National Lipid Association, and the American Heart Association.3-6

Pharmacists are among the most trusted and most accessible of all healthcare professionals (HCPs).7,8 In addition, they are one of the most frequently visited members of a healthcare team.8,9 Many of the frequent visitors of community pharmacies are patients with cardiovascular disease (CVD).10 Statin therapy, the first-line option for high cholesterol, lowers levels of low-density lipoprotein cholesterol (LDL-C), or “bad” cholesterol, and has helped reduce the risk of developing life-threatening blockages in the arteries that can cause heart attacks and strokes.5,11-13 Despite the LDL-C–lowering effects of statin therapy, persistent CV risk remains.14 Other drugs, including but not limited to those listed below, are sometimes recommended in patients that cannot tolerate statins or in addition to statins for patients responding inadequately or with severe hypercholesterolemia.3,15

of Cardiology/European Atherosclerosis Society, National Lipid Association, and American Heart Association.3-6

Encouragingly, studies have shown that during pharmacy visits, short educational interventions by pharmacists can positively influence their patients’ decision making, especially as it pertains to taking control and managing CV risk factors—highlighting the critical role of pharmacists in patient care.21 An example patient journey is presented to demonstrate the impact pharmacists have on patient outlook. MILLIONS TAKING STATIN-BASED STANDARD OF CARE EXPERIENCE PERSISTENT CVD

• Ezetimibe: An oral cholesterol absorption inhibitor taken in combination with statin therapy that has shown reduction in LDL-C levels and in the risk of heart attacks and ischemic strokes; however, it has not shown reduced risk of other CV events compared to when statin therapy is taken alone.16 • Proprotein convertase subtilisin/kexin type 9 (PCSK9) inhibitors: Recently shown to improve CV outcomes when added to statin therapy,17,18 these monoclonal antibodies are injectables and tend to be limited due to high-cost adoption.19,20 • VASCEPA (IPE): An oral medication containing an ethyl ester of omega-3 fatty acid that was recently FDA approved and clinically shown to reduce the risk of CV events.1,2 The American Diabetes Association has updated their 2019 guidelines to include IPE as a top-tier recommendation for CV risk reduction, and further recommendations to use IPE have been made by the European Society

~6.3 MILLION

OF WHICH HAVE CVD OR DIABETES (AND ≥2 RISK FACTORS)

~12 MILLION

OF WHICH HAVE TRIGLYCERIDE LEVELS ≥150 mg/dL

~39 MILLION PEOPLE ARE STATIN-TREATED

INDICATIONS AND LIMITATIONS OF USE

• VASCEPA® (icosapent ethyl) is indicated as an adjunct to maximally tolerated statin therapy to reduce the risk of myocardial infarction, stroke, coronary revascularization and unstable angina requiring hospitalization in adult patients with elevated triglyceride (TG) levels (≥150 mg/dL) and established cardiovascular disease or diabetes mellitus and 2 or more additional risk factors for cardiovascular disease • VASCEPA is indicated as an adjunct to diet to reduce TG levels in adult patients with severe (≥500 mg/dL) hypertriglyceridemia The effect of VASCEPA on the risk for pancreatitis in patients with severe hypertriglyceridemia has not been determined.

IMPORTANT SAFETY INFORMATION

• VASCEPA is contraindicated in patients with known hypersensitivity (e.g., anaphylactic reaction) to VASCEPA or any of its components Please see additional Important Safety Information on inside pages and back cover.

82


Patient name: Ruth Collins

Age: 62 years

Medical history: • CV event within the past year • Dyslipidemia • Type 2 diabetes Active prescriptions: MEDICATION

TIMES/DAY

Atorvastatin 40 mg

QD

Metformin 1000 mg

BID

Empaglilfozin 25 mg

QD

Liraglutide 1.8 mg

QD

Lisinopril 40 mg

QD

Clopidogrel 75 mg

QD

Metoprolol 50 mg

BID

Amiodarone 200 mg

QD

Pharmacist: Hi! How are you doing today? Patient: Same old. I’m here for my usual. Pharmacist: You know, you might want to ask your doctor about whether the statin you’re taking is enough for protecting your heart. Research has shown that despite being on a statin, patients continue to be at risk. Maybe you can talk to your doctor about that. Patient: Oh, really? I’ll ask during my upcoming checkup. Actually, I’ve heard about fish oils being good. Omega-3, right? Should I add that as a supplement to my medications? Pharmacist: Many fish oil supplements have not been proven to benefit the heart. The FDA does not regulate their manufacturing, purity, or content, and they have not shown evidence of efficacy or safety in clinical trials. As such, fish oil products are not approved to treat, cure, or prevent any medical condition. Patient: I didn’t know that! Well then, is there an alternative? Pharmacist: There is something else that is FDA approved that might help you. It’s called VASCEPA. Let me write it down for you. It’s been proven in a large clinical trial with over 8000 people and has been shown to reduce the risk of cardiovascular events by 25%, including heart attacks and strokes when added to a statin. Patient: Oh, I’m interested. I’ll be sure to ask my doctor about this and see if they’d recommend adding it to my treatment. Thanks! Pharmacist: No problem! If you like, I can call your doctor directly and talk to them about prescribing it.

IMPORTANT SAFETY INFORMATION (continued)

• VASCEPA was associated with an increased risk (3% vs 2%) of atrial fibrillation or atrial flutter requiring hospitalization in a double-blind, placebo-controlled trial. The incidence of atrial fibrillation was greater in patients with a previous history of atrial fibrillation or atrial flutter • It is not known whether patients with allergies to fish and/or shellfish are at an increased risk of an allergic reaction to VASCEPA. Patients with such allergies should discontinue VASCEPA if any reactions occur

83


VASCEPA: THE FIRST AND ONLY FDA-APPROVED, ORAL, SINGLE-AGENT IPE WITH PROVEN CV REDUCTION VASCEPA is indicated as an adjunct to maximally tolerated statin therapy to reduce the risk of myocardial infarction, stroke, coronary revascularization, and unstable angina requiring hospitalization in adult patients with elevated triglyceride (TG) levels (≥150 mg/dL) and established CVD or diabetes mellitus and two or more additional risk factors for CVD.1 VASCEPA is also indicated as an adjunct to diet to reduce TG levels in adult patients with severe (≥500 mg/dL) hypertriglyceridemia.1

REDUCE-IT STUDY DESIGN1,22 Placebo-controlled, double-blind trial

8179 adults with: • Well-controlled LDL-C • Elevated TG levels

Statin + VASCEPA 4 g/d

29% primary CVD prevention ≥50 yrs old + diabetes + ≥1 additional CV risk factor Statin + Placebo

71% secondary CVD prevention ≥45 yrs old + existing CVD

Median follow-up:4.9 years

VASCEPA is a prescription medication and is the only omega-3 fatty acid product to show CV benefit in a clinical trial.1.22 In December 2019, VASCEPA was granted a new indication based on the Reduction of Cardiovascular Events with Icosapent Ethyl–Intervention Trial (REDUCE-IT), which was conducted globally with an emphasis on a Western population and enrolled 8179 patients.1,22 The trial investigated the effects of VASCEPA on the occurrence of a major adverse CV event in adults 45 years of age or older who were on statin therapy with well-controlled LDL-C levels between 40 mg/dL and 100 mg/dL and elevated TG levels (90% of enrolled patients had TG levels between 150 mg/dL and 500 mg/dL), and either established CVD (71%) or diabetes and at least one additional CV risk factor (29%).1,22 Patients were randomized 1:1 VASCEPA 4 g/day (2 g twice a day with food; n=4089) or placebo (n=4090).1,22 The median follow-up duration was 4.9 years.1,22 VASCEPA 4 g/day administration resulted in a significant reduction of 25% in risk of CV events relative to placebo (hazard ratio [HR] 0.75, 95% confidence interval [CI] 0.68–0.83; p<0.001), evident after approximately 1 year of treatment.1,22 Treatment with VASCEPA for 1 year also significantly lowered LDL-C and TG levels from baseline compared to placebo. The median change

Primary Endpoint 1st occurrence of a Major Adverse CV Event (MACE)

(5-point MACE was defined as myocardial infarction, stroke, coronary revascularization, unstable angina requiring hospitalization, and CV death)

in TG from baseline after 1 year of taking VASCEPA was -39 mg/dL (-18%) compared to 5 mg/dL (2%) in the placebo group.1 Moreover, the median change in LDL-C from baseline after 1 year of taking VASCEPA was 2 mg/dL (3%) compared to 7 mg/dL (10%) in the placebo group.1 VASCEPA has a well-established safety profile.22 Common adverse reactions that occurred in the VASCEPA group during REDUCE-IT at a frequency of at least 3% and at least 1% more frequently than in the placebo group included musculoskeletal pain, peripheral edema, constipation, gout, and atrial fibrillation.1 VASCEPA has been associated with increased risks of bleeding and atrial fibrillation/flutter, the latter being more prevalent in patients with a previous history of atrial fibrillation or flutter.1,2 It should be noted that the exact mechanisms of action contributing to the reduction of CV events with VASCEPA are not completely understood but are likely multi-factorial.1

VASCEPA’S EFFICACY1,22 reduction in risk of composite 1st occurrence of 5-point MACE when using VASCEPA relative to placebo

VASCEPA’S SAFETY PROFILE1 Common adverse reactions at a frequency of ≤3% and ≤1% more frequently in the VASCEPA group than in the placebo group include:

Musculoskeletal pain

IMPORTANT SAFETY INFORMATION (continued)

Peripheral edema

Constipation

Gout

Atrial fibrillation

• VASCEPA was associated with an increased risk (12% vs 10%) of bleeding in a double-blind, placebo-controlled trial. The incidence of bleeding was greater in patients receiving concomitant antithrombotic medications, such as aspirin, clopidogrel or warfarin • Common adverse reactions in the cardiovascular outcomes trial (incidence ≥3% and ≥1% more frequent than placebo): musculoskeletal pain (4% vs 3%), peripheral edema (7% vs 5%), constipation (5% vs 4%), gout (4% vs 3%) and atrial fibrillation (5% vs 4%)

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FDA-APPROVED VASCEPA IS NOT SUBSTITUTABLE WITH GENERIC OMEGA-3 FATTY ACID PRODUCTS CV outcomes studies of prescription omega-3 mixture products, containing docosahexaenoic acid (DHA), have failed to demonstrate CV benefit on top of statins.22-31

The results of VASCEPA in the REDUCE-IT trial cannot be extrapolated to generic omega-3 fatty acid products, which have failed to demonstrate an impact on the persistent risk of CV events in large-scale outcomes trials.22-27 However, it should be noted that no head-to-head trials have been conducted comparing VASCEPA and these generic omega-3 fatty acid drugs, and that crosstrial comparisons are subject to differences in populations, primary outcomes, and other trial design aspects.

acid eicosapentaenoic acid (EPA).1,28 Unlike VASCEPA, generic omega-3 fatty acid drugs contain both EPA and DHA.29 While use of either VASCEPA or generic omega-3 fatty acid drugs have demonstrated lower TG levels, DHA-containing products may raise LDL-C in patients with elevated TG.1,23-27,30,31 Moreover, DHA-containing products are not FDA approved for co-administration with statins to affect lipid, lipoprotein, or inflammation parameters with the aim of reducing CV mortality or morbidity.

It still stands that VASCEPA is the first and only medication indicated to reduce CV risk in high-risk patients approved for treatment.1 VASCEPA is highly refined, naturally derived, and consists primarily of the omega-3 fatty

VASCEPA is IPE, the only FDA-approved EPA that has undergone a proprietary purification process to extract toxins, saturated fats, and LDL-raising DHA, and—once again—it is the only EPA approved to reduce CV risk.1,28

To learn more about how VASCEPA (IPE) can lower CVD risk, visit www.vascepahcp.com.

VASCEPA® (ICOSAPENT ETHYL)

COMMON FISH OIL

SINGLE-AGENT EPA, NO DHA

CONTAINS EPA + DHA MIXTURE NOT FDA APPROVED nor clinically proven 10-40 CAPSULES a day to equal the EPA in a daily dose of VASCEPA REPORTED FISHY TASTE PRONE TO DETERIORATION

FDA APPROVED and clinically proven

0.15 g

OTHER

1g

0.38 g

EPA

DHA

Only active ingredient

0.47 g EPA

TWO 1-GRAM CAPSULES twice a day NO REPORTED FISHY TASTE PROVEN STABILITY

Not actual depiction of product.

IMPORTANT SAFETY INFORMATION (continued)

• Common adverse reactions in the hypertriglyceridemia trials (incidence ≥1% more frequent than placebo): arthralgia (2% vs 1%) and oropharyngeal pain (1% vs 0.3%) • Adverse events may be reported by calling 1-855-VASCEPA or the FDA at 1-800-FDA-1088 • Patients receiving VASCEPA and concomitant anticoagulants and/or anti-platelet agents for bleeding should be monitored Please see adjacent page for brief summary of full Prescribing Information or visit www.vascepahcp.com. References: 1. VASCEPA [prescribing information]. Bedminster, NJ: Amarin Pharma Inc; 2019. 2. Amarin Corporation (December 13, 2019) [press release]. https:// investor.amarincorp.com/node/18451/pdf. Accessed January 9, 2020. 3. Mach F, Baigent C, Catapano AL, et al. Eur Heart J. 2019:1-78. 4. Skulas-Ray AC, Wilson PWF, Harris WS, et al. Circulation. 2019;140(12):e673-e691. 5. American Diabetes Association. Diabetes Care. 2019;42(suppl 1):S103-S123. 6. Orringer CE, Jacobson TA, Maki KC. J Clin Lipidol. 2019;13(6):860-872. 7. Norman J. Social and Policy Issues: Americans Rate Healthcare Providers High on Honesty, Ethics. GALLUP. https://news.gallup.com/poll/200057/americans-rate-healthcare-providers-high-honesty-ethics.aspx. Last updated December 19, 2016. Accessed February 12, 2020. 8. Kelling SE, Rondon-Begazo A, DiPietro Mager NA, Murphy BL, Bright DR. Prev Chronic Dis. 2016;13:E149. 9. Manolakis PG, Skelton JB. Am J Pharm Educ. 2010;74(10):S7. 10. Santschi V, Chiolero A, Burnand B, Colosimo AL, Paradis G. Arch Intern Med. 2011;171(16):1441-1453. 11. Arnett DK, Blumenthal RS, Albert MA, et al. Circulation. 2019;140:e596-e646. 12. Gaudette É, Goldman DP, Messali A, Sood N. Pharmacoeconomics. 2015;33(7):723-734. 13. US National Library of Medicine. Statins. MedlinePlus website. https://medlineplus.gov/statins.html. Accessed January 9, 2020. 14. Ridker PM. J Am Coll Cardiol. 2018;72(25):3320-3331. 15. Lloyd-Jones DM, Morris PB, Ballantyne CM, et al. J Am Coll Cardiol. 2017;70(14):1785-1822. 16. Cannon CP, Blazing MA, Giugliano RP, et al. N Engl J Med. 2015;372(25):2387-2397. 17. Sabatine MS, Giugliano RP, Keech AC, et al. N Engl J Med. 2017;376(18):17131722. 18. Schwartz GG, Steg PG, Szarek M, et al. N Engl J Med. 2018;379(22):2097-2107. 19. Chaudhary R, Garg J, Shah N, Sumner A. World J Cardiol. 2017;9(2):76-91. 20. Dixon DL, Trankle C, Buckley L, et al. J Clin Lipidol. 2016;10(5):1073-1080. 21. Taitel M, Jiang J, Rudkin K, Ewing S, Duncan I. Patient Prefer Adherence. 2012;6:323-329. 22. Bhatt DL, Steg PG, Miller M, et al. N Engl J Med. 2019;380(1):11-22. 23. Ganda OP, Bhatt DL, Mason RP, Miller M, Boden WE. J Am Coll Cardiol. 2018;72(3):330-343. 24. Bosch J, Gerstein HC, Dagenais GR, et al. N Engl J Med. 2012;367(4):309-318. 25. Rauch B, Schiele R, Schneider S, et al. Circulation. 2010;122(21):2152-2159. 26. Bowman L, Mafham M, Wallendszus K, et al. N Engl J Med. 2018;379(16):1540-1550. 27. Manson JE, Cook NR, Lee IM, et al. N Engl J Med. 2019;380(1):33-44. 28. Data on file. Amarin Pharma, Inc; 2018. 29. Mason RP, Sherratt SCR. Biochem Biophys Res Commun. 2017;483(1):425-429. 30. Ishida T, Ohta M, Nakakuki M, et al. Prostaglandins Leukot Essent Fatty Acids. 2013;88(4):281-288. 31. Dawson K, Zhao L, Adkins Y, et al. J Nutr Biochem. 2012;23(6):616-621. VAS-02232

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VASCEPA VASCEPA (Icosapent (Icosapent ethyl) ethyl) Capsules, Capsules, for oralforuse oral use Brief Summary Brief Summary of Prescribing of Prescribing Information Information Please see Please Fullsee Prescribing Full Prescribing information information for additional for additional information information about VASCEPA. about VASCEPA.

1

INDICATIONS 1 INDICATIONS AND USAGE AND USAGE

7 DRUG 7 DRUG INTERACTIONS INTERACTIONS 7.1 Increased 7.1 Increased Bleeding Bleeding Risk with RiskAnticoagulants with Anticoagulants and Antiplatelet and Antiplatelet AgentsAgents

Some published Some published studies with studies omega-3 with omega-3 fatty acids fatty have acids demonstrated have demonstrated prolongation prolongation of of bleedingbleeding time. Thetime. prolongation The prolongation of bleeding of bleeding time reported time reported in those instudies those has studies not exceeded has not exceeded normal limits normal and limits did and not produce did not produce clinicallyclinically significant significant bleedingbleeding episodes.episodes. Monitor Monitor patients patients receivingreceiving VASCEPAVASCEPA and concomitant and concomitant anticoagulants anticoagulants and/or antiplatelet and/or antiplatelet agents for agents bleeding. for bleeding.

® ® VASCEPAVASCEPA (icosapent (icosapent ethyl) is ethyl) indicated: is indicated: • as an•adjunct as an to adjunct maximally to maximally toleratedtolerated statin therapy statin therapy to reduceto the reduce risk of themyocardial risk of myocardial 8 USE 8 INUSE SPECIFIC IN SPECIFIC POPULATIONS POPULATIONS infarction, infarction, stroke, coronary stroke, coronary revascularization, revascularization, and unstable and unstable angina requiring angina requiring 8.1 Pregnancy 8.1 Pregnancy hospitalization hospitalization in adult patients in adult patients with elevated with elevated triglyceride triglyceride (TG) levels (TG)(≥levels 150 mg/dL) (≥ 150 and mg/dL) and Risk Summary Risk Summary o established o established cardiovascular cardiovascular disease disease or or The available The available data fromdata published from published case reports caseand reports the pharmacovigilance and the pharmacovigilance databasedatabase on the on the o diabetes o diabetes mellitus mellitus and 2 orand more 2 or additional more additional risk factors riskfor factors cardiovascular for cardiovascular disease.disease. use of VASCEPA use of VASCEPA in pregnant in pregnant women are women insufficient are insufficient to identifytoaidentify drug-associated a drug-associated risk for major risk for major • as an•adjunct as an to adjunct diet totoreduce diet to TG reduce levelsTGinlevels adult patients in adult patients with severe with(≥severe 500 mg/dL) (≥ 500 mg/dL) birth defects, birth defects, miscarriage miscarriage or adverse or adverse maternalmaternal or fetal outcomes. or fetal outcomes. In animalInreproduction animal reproduction studies studies hypertriglyceridemia. hypertriglyceridemia. in pregnant in pregnant rats, non-dose-related rats, non-dose-related imbalances imbalances for somefor minor somedevelopmental minor developmental findings findings were were Limitations Limitations of Use: of Use: observedobserved with oralwith administration oral administration of icosapent of icosapent ethyl during ethylorganogenesis during organogenesis at exposures at exposures that that The effect Theofeffect VASCEPA of VASCEPA on the risk on for the pancreatitis risk for pancreatitis in patients in patients with severe withhypertriglyceridemia severe hypertriglyceridemia were equivalent were equivalent to the clinical to theexposure clinical exposure at the human at thedose human of 4dose g/day, of 4based g/day,onbased body on surface body surface has not been has not determined. been determined. area comparisons. area comparisons. In a studyIn ina study pregnant in pregnant rabbits orally rabbits administered orally administered icosapenticosapent ethyl during ethyl during 2 DOSAGE 2 DOSAGE AND ADMINISTRATION AND ADMINISTRATION organogenesis, organogenesis, there were there no were clinically no clinically relevant relevant adverse adverse developmental developmental effects ateffects exposures at exposures that that 2.1 Prior 2.1to Prior Initiation to Initiation of VASCEPA of VASCEPA were 5 times were the 5 times clinical theexposure, clinical exposure, based onbased body on surface body area surface comparisons area comparisons (see Data). (see Data). • Assess • lipid Assess levels lipidbefore levelsinitiating before initiating therapy. therapy. Identify other Identify causes other (e.g., causes diabetes (e.g., diabetes mellitus,mellitus, The estimated The estimated background background risk of major risk ofbirth major defects birth and defects miscarriage and miscarriage for the indicated for the indicated hypothyroidism, hypothyroidism, or medications) or medications) of high triglyceride of high triglyceride levels and levels manage and manage as appropriate. as appropriate. population population is unknown. is unknown. All pregnancies All pregnancies have a background have a background risk of birth riskdefect, of birthloss, defect, or other loss, or other • Patients • Patients should engage should in engage appropriate in appropriate nutritional nutritional intake and intake physical and physical activity before activity before adverse adverse outcomes. outcomes. In the U.S. In the general U.S. population, general population, the estimated the estimated background background risk of major risk ofbirth major birth receivingreceiving VASCEPA, VASCEPA, which should whichcontinue should continue during treatment during treatment with VASCEPA. with VASCEPA. defects and defects miscarriage and miscarriage in clinically in clinically recognized recognized pregnancies pregnancies is 2-4% isand 2-4% 15-20%, and 15-20%, respectively. respectively. Data Data 2.2 Dosage 2.2 Dosage and Administration and Administration Animal Data Animal Data • The daily • The dose daily of VASCEPA dose of VASCEPA is 4 grams is 4per grams day per taken dayastaken either:as either: In pregnant In pregnant rats given ratsoral given gavage oral doses gavageofdoses 0.3, 1ofand 0.3,2 1g/kg/day and 2 g/kg/day icosapent icosapent ethyl from ethyl from o four 0.5 o four gram0.5 capsules gram capsules twice daily twice withdaily food; with or food; as or as gestationgestation through through organogenesis organogenesis all drug all treated drug groups treated had groups non-dose-related had non-dose-related imbalances imbalances o two 1o gram two capsules 1 gram capsules twice daily twice withdaily food. with food. in visceral in visceral and skeletal and skeletal findings,findings, includingincluding 13th reduced 13th reduced ribs, additional ribs, additional liver lobes, livertestes lobes, testes • Advise• patients Advise patients to swallow to swallow VASCEPA VASCEPA capsulescapsules whole. Do whole. not break Do notopen, breakcrush, open, crush, mediallymedially displaceddisplaced and/or not and/or descended, not descended, at humanat systemic human systemic exposures exposures followingfollowing a a dissolve,dissolve, or chew or VASCEPA. chew VASCEPA. maximum maximum oral doseoral of 4dose g/day of 4based g/dayonbased body on surface body comparisons. surface comparisons. 4 CONTRAINDICATIONS 4 CONTRAINDICATIONS In a multigenerational In a multigenerational developmental developmental study in study pregnant in pregnant rats given ratsdoses givenofdoses 0.3, 1,of30.3, g/kg/day 1, 3 g/kg/day VASCEPAVASCEPA is contraindicated is contraindicated in patients in patients with known withhypersensitivity known hypersensitivity (e.g., anaphylactic (e.g., anaphylactic icosapent icosapent ethyl by ethyl oral gavage by oral from gavage gestation from gestation day 7-17, dayicosapent 7-17, icosapent ethyl didethyl not affect did notviability affect viability reaction)reaction) to VASCEPA to VASCEPA or any oforitsany components. of its components. in fetuses in (F1 fetuses or F2). (F1Non-dose-related or F2). Non-dose-related imbalances imbalances in findings in findings of absentofoptic absent nerves opticand nerves and 5 WARNINGS 5 WARNINGS AND PRECAUTIONS AND PRECAUTIONS unilateralunilateral testes atrophy testes atrophy at humanat exposures human exposures based onbased the maximum on the maximum dose of 4dose g/day of 4and g/day on and on 5.1 Atrial 5.1 Fibrillation/Flutter Atrial Fibrillation/Flutter body surface body area surface comparisons. area comparisons. Additional Additional variationsvariations consisting consisting of early incisor of earlyeruption incisor eruption and and VASCEPAVASCEPA is associated is associated with an increased with an increased risk of atrial risk of fibrillation atrial fibrillation or atrial or flutter atrialrequiring flutter requiring increased increased percent percent cervical cervical ribs wereribs observed were observed at the same at theexposures. same exposures. Pups from Pups highfrom dose high dose hospitalization. hospitalization. In a double-blind, In a double-blind, placebo-controlled placebo-controlled trial of 8,179 trial ofstatin-treated 8,179 statin-treated subjectssubjects with with treated dams treatedexhibited dams exhibited decreased decreased copulation copulation rates, delayed rates, delayed estrus, decreased estrus, decreased implantations implantations established established cardiovascular cardiovascular disease disease (CVD) or(CVD) diabetes or diabetes plus an additional plus an additional risk factor riskforfactor CVD,for CVD, and decreased and decreased survivingsurviving fetuses (F2) fetuses suggesting (F2) suggesting potentialpotential multigenerational multigenerational effects ofeffects of adjudicated adjudicated atrial fibrillation atrial fibrillation or atrial or flutter atrialrequiring flutter requiring hospitalization hospitalization for 24 orformore 24 or hours more hours icosapent icosapent ethyl at 7ethyl times at 7human times systemic human systemic exposureexposure followingfollowing 4 g/day 4dose g/day based doseonbased body on body occurredoccurred in 127 (3%) in 127 patients (3%) patients treated with treated VASCEPA with VASCEPA compared compared to 84 (2%) to 84 patients (2%) patients receivingreceiving surface area surface comparisons area comparisons across species. across species. placebo placebo [HR= 1.5[HR= (95%1.5CI(95% 1.14,CI1.98)]. 1.14,The 1.98)]. incidence The incidence of atrial of fibrillation atrial fibrillation was greater was in greater in In pregnant In pregnant rabbits given rabbitsoral given gavage oral doses gavageofdoses 0.1, 0.3, of 0.1, and0.3, 1 g/kg/day and 1 g/kg/day icosapent icosapent ethyl ethyl patients patients with a previous with a previous history ofhistory atrial of fibrillation atrial fibrillation or atrial or flutter. atrial flutter. from gestation from gestation through through organogenesis, organogenesis, a decrease a decrease in body weight in bodyand weight foodand consumption food consumption 5.2 Potential 5.2 Potential for Allergic for Allergic Reactions Reactions in Patients in Patients with Fish withAllergy Fish Allergy was observed was observed at the high at the dose high of 1dose g/kg/day of 1 g/kg/day (5 times(5thetimes human the exposure human exposure at the maximum at the maximum VASCEPAVASCEPA containscontains ethyl esters ethylofesters the omega-3 of the omega-3 fatty acid, fatty eicosapentaenoic acid, eicosapentaenoic acid (EPA), acid (EPA), dose of 4dose g/day, of 4based g/day,onbased body on surface body area surface comparisons). area comparisons). Slight increases Slight increases in resorbed in resorbed and and obtainedobtained from thefrom oil ofthe fish. oilItofisfish. not known It is notwhether known whether patients patients with allergies with allergies to fish and/or to fish and/or dead fetuses dead were fetuses noted wereinnoted the 1 in g/kg/day the 1 g/kg/day group, but group, thesebutwere these notwere significantly not significantly differentdifferent shellfishshellfish are at increased are at increased risk of anrisk allergic of an reaction allergic reaction to VASCEPA. to VASCEPA. Inform patients Inform patients with known with known from thefrom control thegroup. controlThere group.were There nowere differences no differences betweenbetween the icosapent the icosapent ethyl groups ethyl groups hypersensitivity hypersensitivity to fish and/or to fishshellfish and/or shellfish about theabout potential the potential for allergic for reactions allergic reactions to VASCEPA to VASCEPA and control andgroup controlasgroup to theasnumber to the number of corpora of corpora lutea, number lutea, number of implantations, of implantations, number number of of and advise andthem advise to them discontinue to discontinue VASCEPAVASCEPA and seekand medical seek medical attentionattention if any reactions if any reactions occur. occur. survivingsurviving fetuses, fetuses, sex ratio,sex body ratio, weight bodyofweight femaleoffetuses female or fetuses placental or placental weight. There weight.were There nowere no treatment-related treatment-related malformations malformations or skeletal or skeletal anomalies. anomalies. 5.3 Bleeding 5.3 Bleeding In pregnant In pregnant rats given ratsicosapent given icosapent ethyl from ethyl gestation from gestation day 17 through day 17 through lactationlactation day 20 atday 20 at VASCEPAVASCEPA is associated is associated with an increased with an increased risk of bleeding. risk of bleeding. In a double-blind, In a double-blind, placebo-placebo0.3, 1, 30.3, g/kg/day 1, 3 g/kg/day no adverse no adverse maternalmaternal or developmental or developmental effects were effects observed. were observed. However,However, controlled controlled cardiovascular cardiovascular outcomes outcomes trial of 8,179 trial ofpatients, 8,179 patients, 482 (12%) 482patients (12%) patients receivingreceiving completecomplete litter losslitter (notloss dose-related) (not dose-related) was noted wasinnoted 2/23 litters in 2/23atlitters the low at dose the low anddose 1/23and mid1/23 midVASCEPAVASCEPA experienced experienced a bleeding a bleeding event compared event compared to 404 (10%) to 404patients (10%) patients receivingreceiving placebo.placebo. dosebydams post-natal by post-natal day 4 atday human 4 at exposures human exposures at a maximum at a maximum dose of 4dose g/day, of 4based g/day,onbased on Serious Serious bleedingbleeding events occurred events occurred in 111 (3%) in 111 of patients (3%) of patients on VASCEPA on VASCEPA vs. 85 (2%) vs. 85 of patients (2%) of patients dose dams body surface body area surface comparisons. area comparisons. receivingreceiving placebo.placebo. The incidence The incidence of bleeding of bleeding was greater was in greater patients in patients receivingreceiving concomitant concomitant antithrombotic antithrombotic medications, medications, such as such aspirin, as clopidogrel, aspirin, clopidogrel, or warfarin. or warfarin. 8.2 Lactation 8.2 Lactation Risk Summary Risk Summary 6 ADVERSE 6 ADVERSE REACTIONS REACTIONS Published studies have studies detected have detected omega-3omega-3 fatty acids, fattyincluding acids, including EPA, in human EPA, in milk. human Lactating milk. Lactating The following The following importantimportant adverse adverse reactionsreactions are described are described below and below elsewhere and elsewhere in the labeling: in the labeling: Published women receiving women receiving oral omega-3 oral omega-3 fatty acids fatty foracids supplementation for supplementation have resulted have resulted in higherinlevels higher levels • Atrial •Fibrillation Atrial Fibrillation or Atrial or Flutter Atrial[see Flutter Warnings [see Warnings and Precautions and Precautions (5.1)] (5.1)] of omega-3 fatty acids fatty in acids humanin milk. human There milk.are There no data are no on data the effects on theofeffects omega-3 of omega-3 fatty fatty • Potential • Potential for Allergic for Reactions Allergic Reactions in Patients in Patients with Fishwith Allergy Fish[see Allergy Warnings [see Warnings and Precautions and Precautions of omega-3 acid ethylacid esters ethylonesters the breastfed on the breastfed infant orinfant on milk or production. on milk production. The developmental The developmental and health and health (5.2)] (5.2)] benefits benefits of breastfeeding of breastfeeding should be should considered be considered along with along the with mother’s the mother’s clinical need clinical forneed for • Bleeding • Bleeding [see Warnings [see Warnings and Precautions and Precautions (5.3)] (5.3)] VASCEPA VASCEPA and any and potential any potential adverse adverse effects on effects the breastfed on the breastfed child from child VASCEPA from VASCEPA or from the or from the 6.1 Clinical 6.1 Clinical Trials Experience Trials Experience underlying maternalmaternal condition. condition. BecauseBecause clinical trials clinical aretrials conducted are conducted under widely undervarying widely conditions, varying conditions, adverse adverse reactionreaction rates rates underlying 8.4 Pediatric Use Use observedobserved in the clinical in thetrials clinical of atrials drugofcannot a drugbe cannot directly be compared directly compared to rates to in rates the clinical in the clinical 8.4 Pediatric Safety and Safety effectiveness and effectiveness in pediatric in pediatric patients patients have nothave beennot established. been established. trials of another trials of another drug anddrug mayand notmay reflect notthe reflect ratesthe observed rates observed in practice. in practice. Cardiovascular Cardiovascular Outcomes Outcomes Trial Trial 8.5 Geriatric 8.5 Geriatric Use Use In a double-blind, In a double-blind, randomized, randomized, placebo-controlled placebo-controlled cardiovascular cardiovascular outcomes outcomes trial, 8,179 trial,statin8,179 statin- Of the total Of the number total number of patients of patients in well-controlled in well-controlled clinical studies clinical of studies VASCEPA, of VASCEPA, 45% were 45% were stabilizedstabilized patients patients were randomized were randomized to receiveto VASCEPA receive VASCEPA or placebo or placebo and followed and followed for a median for a median 65 years65of years age and of age over.and Noover. overall Nodifferences overall differences in safetyinorsafety effectiveness or effectiveness were observed were observed of 4.9 years of 4.9 [see years Clinical [see Studies Clinical (14.1)]. Studies (14.1)]. The median The age median at baseline age at baseline was 64 years, was 6429% years, 29% betweenbetween these patients these patients and younger and younger groups. groups. Other reported Other reported clinical experience clinical experience has not has not were women, were women, 90% White, 90%5% White, Asian, 5%2% Asian, were2% Black, wereand Black, 4% and identified 4% identified as Hispanic as Hispanic ethnicity.ethnicity. identifiedidentified differences differences in responses in responses betweenbetween the elderly theand elderly younger and younger patients.patients. CommonCommon adverse adverse reactionsreactions (incidence (incidence ≥3% on≥3% VASCEPA on VASCEPA and ≥1%and more ≥1% frequent more frequent than than 8.7 Hepatic 8.7 Hepatic Impairment Impairment placebo)placebo) includedincluded musculoskeletal musculoskeletal pain, peripheral pain, peripheral edema, constipation, edema, constipation, gout, andgout, atrialand atrial In patients In patients with hepatic with impairment, hepatic impairment, alanine aminotransferase alanine aminotransferase (ALT) and(ALT) aspartate and aspartate fibrillation. fibrillation. aminotransferase aminotransferase (AST) levels (AST)should levelsbe should monitored be monitored periodically periodically during therapy during therapy with VASCEPA. with VASCEPA. Hypertriglyceridemia Hypertriglyceridemia Trials Trials 17 PATIENT 17 PATIENT COUNSELING COUNSELING INFORMATION INFORMATION In two randomized, In two randomized, double-blind, double-blind, placebo-controlled placebo-controlled trials in patients trials in patients with triglyceride with triglyceride levels levels Advise the Advise patient thetopatient read the to read FDA-approved the FDA-approved patient labeling patient labeling before starting before VASCEPA starting VASCEPA betweenbetween 200 and200 2000 andmg/dL 2000treated mg/dL for treated 12 weeks, for 12 adverse weeks, adverse reactionsreactions reportedreported with with (Patient (Patient Information). Information). VASCEPAVASCEPA at an incidence at an incidence ≥1% more ≥1% frequent more frequent than placebo than placebo based onbased pooled ondata pooled included data included arthralgiaarthralgia and oropharyngeal and oropharyngeal pain. pain.

6.2 Postmarketing 6.2 Postmarketing Experience Experience

Additional Additional adverse adverse reactionsreactions have been have identified been identified during post-approval during post-approval use of VASCEPA. use of VASCEPA. BecauseBecause these reactions these reactions are reported are reported voluntarily voluntarily from a population from a population of uncertain of uncertain size, it issize, it is generallygenerally not possible not possible to reliablyto estimate reliably estimate their frequency their frequency or establish or establish a causalarelationship causal relationship to to drug exposure. drug exposure. • Diarrhea • Diarrhea • Blood •triglycerides Blood triglycerides increased increased • Abdominal • Abdominal discomfort discomfort • Pain in•the Painextremities in the extremities

® ® VASCEPAVASCEPA (icosapent (icosapent ethyl) ethyl) Distributed Distributed by: by: Manufactured Manufactured for: for: Amarin Pharma, Amarin Pharma, Inc. Inc. Amarin Pharmaceuticals Amarin Pharmaceuticals Ireland Limited Ireland Limited Bridgewater, Bridgewater, NJ, USANJ, USA Dublin, Ireland Dublin, Ireland

VASCEPAVASCEPA is a registered is a registered trademark trademark of the Amarin of the group Amarinofgroup companies. of companies. ©2020 ©2020 Amarin Pharma, Amarin Pharma, Inc. Bridgewater Inc. Bridgewater NJ 08807. NJ 08807. All rightsAllreserved. rights reserved. PP00120M PP00120M 12/19 12/19

VAS-02464 VAS-02464 01/20 01/20

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President & CEO: Michael Zaccaro Founded:

1996

Employees: 170 Toll-Free Phone:

(888) 729-7427 (847) 837-1226 Address: 1795 N. Butterfield Road, Suite 203 Libertyville, IL 60048 Website: www.pharmalogistics.com Fax:

Company Background

Founded in 1996 by Michael Zaccaro, Pharma Logistics is a pharmaceutical returns company dedicated to client-focused service. Our mission is to make the returns process as easy as possible for our clients. Our superior service has earned the trust of a broad range of clients including hospital pharmacies, the VA Health System, independent pharmacies, pharmacy chains, and physicians’ offices. Our services help ensure customer compliance with federal and state regulations, and improve their investment on the credit return process.

Product Overview

We offer easy and hassle-free services to streamline your facility’s pharmaceutical returns process to save you time and labor. Our online client portal provides real-time job tracking and analytics on expected returns. n Reverse Distribution Services • Rapid Credit: Credit within 14 days. • Onsite Service: Trained representatives come onsite to check paperwork, ensure proper packaging, and prepare shipments for carrier pickup. • Box and Ship Service: Manually pack and ship your own returns with prepaid labels and boxes.

Features & Options

At Pharma Logistics, we specialize in pharmaceutical reverse distribution, handling the return credit process for retail pharmacies, hospital pharmacies, and other healthcare providers across the nation. Whether you need to get your credits quickly, are looking for a convenient way to ship your expired drugs, or would like more visibility into your returned products, Pharma Logistics delivers seamless service to ensure compliance and improve profitability.

n Pharma Logistics Pharmacy Benefits • Faster Credits: Supports cash flow and ROI for your pharmacy. • Quickly boost cash flow. • Spend less time on accounting – reduce your reconciliation time up to 25 hours per month. • Precision processing allows for line item reconciliation, delivering greater return credit accuracy. • Our 100% Credit Promise: If you don’t receive 100% of the estimated return value, we’ll pay the difference of your service fee. • Online client portal offers real-time visibility and return analytics.

Online Analytics

Beware, not every vendor can show exactly where your credit is in the return process and how much you can expect to collect. Unlike most vendors, Pharma Logistics provides you with our online client portal for 24/7 data access. Our portal improves your ROI by saving hours of labor, and enables your pharmacy to quickly track your return jobs and credits in real-time. n Real-Time Analytics Include • Expected Return Value (ERV) Calculation • Dashboard Showing Status of all Returns and Disposals • Line-Item Reporting • Credit Tracking  • Expected and Paid Credits  • Data Export to Support Compliance and Financial Reporting

Additional Product Lines

n Consumer Drug Take-Back Services Pharma Logistics provides compliant, cost-effective consumer Drug Take Back kiosks and replacements kits to encourage the safe disposal of unwanted pharmaceutical products. • Benefit: Helps protect your community from prescription drug abuse and accidental poisoning; reduces the dangers of pharmaceutical waste.

Markets Served

We serve hospitals, independent pharmacies, retail pharmacies, government, and closed door pharmacies.

Ordering Information

Call (888) 729-7427, email plcustomerservice@pharmalogistics.com, or visit www.pharmalogistics.com. We will make sure you get all the information you need to make the best decision for your pharmacy.

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TEMPERATURE INTELLIGENCE®

Increase your temperature intelligence with EDGE® PQ Get visibility into your medication packouts with expert third party Performance Qualification testing EDGE PQ testing reveals the story behind your packouts. Detailed time and temperature data gives you critical insight into how your packouts perform in different seasons and geographies. Not only do the results help you meet pharmacy network and accreditation requirements, you’ll rest assured you are delivering the best care to your patients. By relying on Temptime for PQ testing, you’ll also free up internal resources while benefitting from over three decades of experience in temperature monitoring for sensitive biologics. Get started with EDGE PQ: temptimecorp.com/edge-pq

zebra.com | temptimecorp.com


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Temperature Intelligence Solutions by Temptime – Monitoring Tools and Systems for Medication Shipments, Storage, and Pharmacy Facilities Providing the tools and knowledge to accurately monitor temperature sensitive medication, ensuring they have not been exposed to temperature events that could impact their effectiveness in treating patients.

CEO:

Anders Gustafson Founded: 1969 Employees: 7,400 Phone: (973) 630-6000 Fax: (973) 630-6100 Address: 116 The American Road Morris Plains, NJ 07950 Website: www.temptimecorp.com

Company Background In 2019 Zebra – an innovator at the edge of enterprise solutions with expertise in healthcare, among other industries – acquired manufacturer Temptime Corporation. More than 30 years ago, Temptime developed the first miniaturized technology to monitor time-temperature exposure of vials containing the oral polio vaccine. Since then the company has deepened its commitment to public health by expanding its suite of easy-to-use, patient-centric temperature monitoring solutions to include those designed for both pharmacy and patient use. Product Overview Through Temptime’s manufacturing facility, Zebra offers a comprehensive range of temperature monitoring solutions to meet the cold chain needs of specialty pharmacies and their patients. Their products include: • Low-cost, chemically-based heat and freeze indicators for blood products, vaccines, biologics, and other medication. • Heat and freeze indicators for monitoring medication during shipping. • Sophisticated electronic, wireless temperature and humidity monitoring systems with cloud-based data storage and sharing. By reducing the risk and cost associated with unpredictable temperature events in production, storage, and shipment – Zebra is striving to improve supply chain efficiency, global health, and patient care.

Product Specifications n Wireless Monitoring Systems The Temptime family of wireless Bluetooth enabled sensors monitor and record temperature data 24/7.

The W-200 is designed for facilities and warehouses, monitoring both temperature and humidity in medication storage areas to help with accreditation compliance and regulatory requirements. Data can be accessed remotely using a web-based application and customized alerts notify users instantly if any areas have exceeded temperature limits. The M-300 and S-400 programmable data loggers are ideal for monitoring temperatures during transport or storage, letting users: • View and share temperature data using a free mobile app. • Customize alarm limits, datalogging intervals, startup options, and more. • Store unlimited data on the cloud and generate reports with a complementary web app. n Performance Qualification Testing For specialty pharmacies, performance qualification (PQ) testing ensures that the critical and often lifesaving medications they send to patients have not been exposed to unsafe temperatures, which could impact their effectiveness. More than that, PQ testing is also required for certain pharmacy accreditations and participation in some pharmacy networks. These wireless monitoring devices help specialty pharmacies simplify PQ testing to optimize pack-outs. Customized ThirdParty PQ Testing services also help meet the requirements of pharmacy networks that make third-party validation testing a condition of participation. n TransTracker® Shipment Indicators TransTracker® visual temperature indicators monitor medication heat and freeze events during shipment and storage. They are simple to read and understand so patients can tell at-a-glance if medication has been exposed to extreme temperatures – cutting down on unnecessary, costly reshipments due to suspected temperature damage. These costeffective, single-use indicators also help specialty pharmacies comply with state regulations. SPRING 2020

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Quality is the most important thing is profitability. Compounding can pull you in different directions, but you shouldn’t have to choose between quality patient care and profitability. Letco’s high quality APIs, products and programs have been designed to help you provide the best possible patient care and maximize compounding as a profit center for your pharmacy. We’re Letco. Let us help.

Call or visit us online today 800-239-5288 letcomed.com/RxQuality COMPOUNDING INGREDIENTS | ADVISORY SERVICES

| SUPPLIES | SPECIALTY PRODUCTS | EQUIPMENT


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Letco Helps Compounding Pharmacies Stay Compliant and Profitable

With changing regulations and an evolving market, Letco Medical understands the need for a new approach to compounding. They believe in truly partnering with pharmacies, not just as a supplier, to help you take full advantage of your profit potential.

President & CEO: Doug Bowman Founded:

1993

Employees: 100+ Toll-Free Phone:

(800) 239-5288

Address: 1316 Commerce Drive

Decatur, AL 35601

Website: www.letcomed.com

Company Background Since 1993, Letco Medical has built a reputation as one of the most innovative companies in the compounding industry. An employee-owned company with locations across the U.S., Letco is the supply partner of choice for profit-conscious compounding pharmacies. With a dedicated focus on the compounding market and an unsurpassed record in quality assurance, Letco provides a wide and comprehensive portfolio of top-quality chemicals, compounding supplies, and equipment. Their extensive catalog and complementary programs and services have been designed to serve the needs of compounding pharmacies today, tomorrow, and into the future. Letco is focused on unwavering quality, exemplified by the company’s industry-leading quality control procedures and an unmatched record with the FDA. • We are an FDA-registered cGMP facility with VAWD accreditation. • We are committed to an ethical standard that begins and ends with quality. • The solutions we provide, and our operations to provide them, push us towards perfection. • Our commitment to every customer is to provide the highest level of service.

Product Overview Letco’s product line includes hundreds of chemicals and APIs covering a broad range of therapeutic categories as well as supplies, equipment, capsules, and pre-made topical bases. An extensive range of dosage forms and delivery systems are available including topicals, injectables, liquids, transdermals, inhalation, oral solids, and controlled-release.

Proprietary Programs & Services In addition to safe and consistent chemicals, bases, and other supplies, Letco provides a wide array of services to serve compounders’ growing needs: • Compounding Support Services: Provided to customers at no additional charge – we have you covered for pharmacy consultation, formulas, formulation support, lab design, USP <800>, and a variety of other expert technical support. • Education Value Program: Save up to 60% on continuing education thanks to Letco’s partnership with the American College of Apothecaries to provide quality training at a great value. • Quality Savings Program: Save up to 20% on laboratory services and testing costs with our exclusive partnership with ARL Bio Pharma, the nation’s leading analytical laboratory. • Regulatory Solutions Program: Get expert regulatory consulting and deliverables, including USP readiness assessments, customized SOP libraries, and more. • Financial Services Program: Finance 100% of the cost of the equipment with flexible payment programs to suit your business. • ValueVue: A proprietary process to assess your pharmacy’s purchasing efficiency, so you can save up to 30% on compounding purchases. Letco takes pride in delivering the products, services, and support needed to meet today’s challenges, and they are equally committed to facing the future as your trusted partner. With complete dedication and focus on customers, Letco is the ideal partner to help you take full advantage of significant profit opportunities and fill all of your compounding pharmacy’s needs. We Are Letco. Let Us Help. For more information, visit letcomed.com.

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Adherence is Critical.

Itâ&#x20AC;&#x2122;s This Simple. Medicine-On-Timeâ&#x20AC;&#x2122;s color coded time pass compliance packaging is proven to

increase PDC scores by 30%* in poor performing patients.


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Medicine-On-Time a CSS Health Co., Helping Pharmacies Improve Medication Adherence Improving patient health, made easier with MOTNext, CSS Health, and the Advanced Pharmacy Network (APN). CEO:

Jim Clair COO: Perry Larson Founded: 1984 Employees: 70 Toll-Free Phone: (800) 722-8824 Address: 11461 US Highway 301 N, Suites 101-104 Thonotosassa, FL 33592 Website: www.medicineontime.com

Company Background Medicine-On-Time, A CSS Health Company, improves patient health through a unique combination of innovative technology, personal engagement, and proven processes to help pharmacies achieve better performance and patients enjoy healthier lives. With MOT Complete and MOTNext pharmacies can simplify the preparation and packaging of complex medication regimens for patients, ensuring better medication adherence, higher PDC scores, and improved pharmacy performance.

Our new MOT Color Coded Time Pass Single Dose Medication Compliance Cards are designed to work in conjunction with MOT Complete Multi-Dose Packaging. Save time and money when mid cycle additions require another package to be added to the patient’s regimen. An excellent choice for prescriptions that you prefer to package individually. CircuPack driven by MOTNext is a semi-automated packaging system designed to increase pharmacy productivity and accuracy when managing medication regimens and dispensing in medication compliance cards. Easy to use for all patients and caregivers. The CircuPack Reminder App with QR code scanning will remind patients and caregivers to take or dispense medications via a notification sent to a smartphone. Our expanding line of single-dose medication cards now includes a single-dose SynMed card, an affordable option designed with superior pressure-sensitive materials. If you have a SynMed and are packaging single-dose cards on it, Call MOT for a test sample.

Product Overview Medicine-On-Time and CSS Health serve the needs of our pharmacy and payor customers through a broad array of products and services including integrated patient management software for pharmacy workflow, medication compliance packaging designed to meet the unique needs of patients in any care setting, medication therapy management, comprehensive medication reconciliation, and comprehensive clinical review.

Proven Success*

MOT Software (MOTNext) MOTNext is a feature-rich patient management and pharmacy workflow platform for your medication adherence program. Designed with the changing pharmacy landscape in mind, MOTNext helps pharmacies increase productivity with our work calendar and improve patient care with our customized patient medication packaging. MOTNext is the hub of the medication adherence program in your pharmacy, running all Medicine-On-Time package types on one simple software platform. MOTNext provides complete customization, including charting forms for caregivers.

Trade Shows/Meetings Attended • PDS SuperConference – February 27-29, 2020 • McKesson ideaShare – July 12-16, 2020 • Amerisource ThoughtSpot – July 22-25, 2020 • NCPA Annual Meeting – October 17-20, 2020

Innovative Products to Meet Your Pharmacy Needs MOT Complete is the solution for any pharmacy, any patient, and any drug regimen. Highly customizable and powered by MOTNext, MOT Complete empowers patients and caregivers through easy-to-use dose cups and supporting charting forms.

Compliance packaging has been shown to improve patient performance. In a recent study conducted with Pharmacy First, a Pharmacy Services Administration Organization (PSAO), pharmacies using MOT Complete saw an increase in PDC rates of 30.2% in their lowest performing patients. Read the full study here: http://www.pharmacyfirst.com/medicationadherence/

Contact Information For more information on how Medicine-On-Time improves patient care, saves time for staff, and improves pharmacy profitability, contact your Medicine-On-Time specialist at (800) 722-8824. For information about CSS Health and the Advanced Pharmacy Network, contact Tori Pearson, Director of Pharmacy Programs and Networks, (816) 867-4563.

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The

Potential of

Blue

Realize Your Potential

COMPREHENSIVE Pharmacy Management

END-TO-END Workflow Solution

EFFICIENT Process Automation

COMPLIANT Pharmacy Logistics

INTELLIGENT Business Analytics

SECURE Information Sharing

HIPAA COMPLIANT Text & Email

The Integra Suite provides its clients with everything they need to realize their full potential — allowing them to be more competitive, generate more profits, and most importantly serve their patients better! Contact us today and learn how Integra can help you attain your business objectives. integragroup.com | 866.257.4279 | sales@integragroup.com


PHARMACY IS COMPLICATED. YOUR SOFTWARE SHOULDN’T BE.

Pharmacy software that works with your pharmacy’s workflow – not against it. Liberty Software is dedicated to helping community pharmacies enhance patient care, increase patient safety, and improve profitability.

PHARMACY SOFTWARE FOR

PHARMACY SUCCESS View a demo now at www.libertysoftware.com or call us at 800-480-9603

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20Ways SPRING Retail 2020  

Improving Patient Care and Pharmacy Profitability

20Ways SPRING Retail 2020  

Improving Patient Care and Pharmacy Profitability

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