20Ways SPRING Retail 2024

SPRING 2024

I M P R O V I N G PAT I E N T CARE & PHARMACY PRO F I TA B I L IT Y C O M M U N I T Y ,

20 Unique Products & Services Compounding Resources Industry Expert Q&A, Market Leaders Buyer’s Guide, and More pg. 50

Crafting Success & MADE-TO-ORDER SODAS: The Unique Charm and Timeless Journey of Green Line Apothecary Christina Procaccianti, PharmD Founder, CEO, and Director of Pharmacy, Green Line Apothecary

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Pharmacy500 Presenting 500 of the Most Impactful Pharmacy Supply Chain Companies and Associations pg. 77

Revolutionizing Long-Term Care Navigating the Next Five Years of Transformation pg. 58

4 Case Studies

The Compliance Team, SureCost, and Noritsu Pharmacy Automation

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GOT MY FLU SHOT 2023-24

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G OT M

FLU SHOT 2023-24

“They treated us like we were their only clients, even though we knew we weren’t.”

– Thomas & Ruth, Albuquerque, NM

Our Team Bo Garmon Loan Officer (479) 856-3001 bgarmon@ffb1.com

Bobby Glaze, PharmD Loan Officer (870) 315-0301 bglaze@ffb1.com

When you partner with First Financial Bank, we’ll get to know you and your business inside and out. Whether you’re starting your first pharmacy or growing your business, we have the first-hand industry expertise to create a wide range of financial products tailored specifically to your business. Because, not all pharmacies are the same, and you should have a bank who knows your business. First Financial Bank – In the business of YOU.

Pharmacy Financing

Experience Matters

Acquisition & Real Estate

Preferred Lending Partner of the SBA*

Equipment financing Schwanda Flowers, PharmD Managing Director (501) 672-5040 sflowers@ffb1.com

Expansion & remodeling Business refinancing Start-up loans

PharmD, current and former owners on our team Nearly a century of investing in small business

*Approved to offer SBA loan products under SBA’s Preferred Lender Program or SBA Express Program.

Member FDIC | www.ffb1.com | @FFBank1

Contents 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

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

INTEGRATED FACTS AND COMPARISONS

ADVANCED SECURITY INCLUDING FACIAL RECOGNITION

Pharmacy is Complicated, Your Software Shouldn’t Be

Liberty Software’s pharmacy management solution helps community retail pharmacies enhance customer service, improve profitability, and increase patient safety.

GX Solutions & OptiCool™ Technology Optimized Cold Storage

Engineered to provide 10-year service life.

GX Solutions refrigerators and freezers have undergone Accelerated Life Testing to ensure they meet the quality and reliability requirements to perform in the busy pharmacy environment.

HELMER’S EXCLUSIVE OPTICOOL™ TECHNOLOGY IS OFFERED ON GX SOLUTIONS MEDICAL-GRADE REFRIGERATORS AND FREEZERS SUPPORTS TEMPERATURE UNIFORMITY GX Solutions are the first cold-storage solutions to offer optimized control in three key temperature management areas: uniformity, stability, and recovery.

SUPPORTS ENERGY EFFICIENCY ENERGY STAR® certified and up to 50-65% more energy efficient than conventional medical-grade cold storage.

SUPPORTS SUSTAINABILITY Natural HC refrigerants reduce heat output, decrease the carbon footprint, and decrease global warming potential.

SUPPORTS RELIABILITY Designed and tested with Accelerated Life Testing (ALT) to provide a 10year service life.

Learn More helmerinc.com/gx-solutions

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

© 2023-24 Helmer Inc. All rights reserved

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D2 Solutions — Reimagine Regulatory and Compliance Management D2’s team of healthcare leaders and pharmacists have designed novel technologies and experience-based consulting solutions that enable pharmacies to increase efficiency, minimize risk, and drive access.

GX Solutions From Helmer Engineered for a 10-Year Service Life

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Thought Leader Series Video

Thought Leader Video Series Explore niche subject matter and gain insight through expert videos.

What are the experts saying?

Visit the library at RXinsider.com

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Best-In-Class Delivery • Largest Finished Goods Inventory

Contents Order Routing

Data Management

Dashboards

Management System

Blister Card Automation

Vial Filling

Pouch Automation

You Paladin Point of Sale for Rx Processing and OTC Inventory Paladin helps ease Rx processing with single-point checkout and makes OTC inventory control a breeze – freeing you up to address patient care needs without sacrificing efficiency and profitability.

Compliance adherence Wholesaler integrations Prescription status report OTC inventory management tools 100% SIGIS-certified and NPLEx integrated

“ "With so many regulations and requirements involved, Paladin POS made everything simple and effortless."

Michael Welsch Miller’s Pharmacy, West Henrietta, New York

Case Study: Accreditation Puts the Spotlight on Quality Improvement

C ASE ST U DY ACCREDITATION PUTS THE SPOTLIGHT ON QUALITY IMPROVEMENT

Improving your business through accreditation with The Compliance Team.

Improving Your Business Through Accreditation BUILT ON A MISSION OF ‘PATIENTS FIRST’ Founded in 1942, Lewis Drug has been a trusted, family-owned neighborhood pharmacy for over 80 years. Today, the company has 60 locations throughout South Dakota, Minnesota, and Iowa, offering traditional pharmacy services to the surrounding communities. Many of their stores also support assisted living facilities, nursing homes, and other long-term care providers.

Conceived and operated by industry veterans, JFCRx helps pharmacies realize their vision for the future through analytics-driven automation.

Pouch Inspection

Ease the process.

Increase the care.

With Paladin you’ll get a consolidated point-of-sale process, spend less time on OTC inventory management, and get unsurpassed US-based customer support.

Introducing the Next Generation Pharmacy Automation and Software From JFCRx

Jessica Strobl, PharmD Vice President of Professional Services ~ Lewis Drug

With a mission of putting patients first, Lewis Drug has a corporate team of experienced pharmacists and pharmacy technicians who provide guidance and support to each store. “We aim to give our pharmacists-in-charge the autonomy to run their stores in a way that meets the needs of their communities,” says Vice President of Professional Services for Lewis Drug, Jessica Strobl, PharmD. “Our goal is to take some of the day-to-day details of operating a pharmacy off their plates so they can focus on their patients.” That includes everything from establishing companywide safety protocols to staying on top of Medicare best practices and benchmarking requirements.

“

In the end, what TCT does for Lewis Drug,” says Strobl, “is help us put a spotlight on quality improvement.

That’s exactly what I’m looking for. That’s what it’s all about for us.”

Lewis Drug knew accreditation would deliver incredible value in terms of operational efficiency, improving patient outcomes, and employee satisfaction. The challenge, Strobl says, is that the corporate team is relatively small. “The thought of putting all the pieces together for accreditation and keeping up with annual updates, especially where Medicare billing is concerned, is a bit overwhelming on top of our day-to-day responsibilities.”

That’s why in 2018, they turned to The Compliance Team (TCT).

LEWIS DRUG’S ACCREDITATION JOURNEY Working with pharmacies and healthcare providers nationwide, The Compliance Team is known for its industry-leading accreditation model. As a first step, Lewis Drug worked toward earning TCT’s Community Pharmacy Accreditation program, which includes DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) Part B. As an approved program by the Centers for Medicare & Medicaid Services (CMS), DMEPOS Part B accreditation was particularly important to the pharmacy. “I’d say there might have been a time when we considered not offering Medicare B billing because of the complexity,” says Strobl. “It can be a lot of extra work for low reimbursement rates.” Yet, not providing that service simply didn’t fit in with their philosophy of putting patients first. Added to that, she continues, Medicare B audits are pretty standard and require a lot of documentation. “Before working with The Compliance Team and earning accreditation, we

thecomplianceteam.org

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Single-Point Checkout Built for Pharmacy

by Paladin Data Corporation

Retail Displays, RX Rooms, Storage, and Workstations Expertly Crafted by Uniweb, Inc.

From Walls to Counters to Rooms

We Do It All!

Modular and High Density For over 50 years, Uniweb, Inc. has manufactured domestically delivering durable products in weeks - not months.

Uniweb has proven to increase inventory capacity by 30% and reduce project costs by 15-20% over conventional millwork solutions. Designed with fewer components and engineered

with tight tolerances, Uniweb products are high density, will not rip or tear, and exceed stringent UL standards.

Since 1970, Uniweb has been factory-made domestically, delivering durable products in weeks, not months, manufacturing all-steel pharmacy systems, softened with unlimited choices of millwork décor and fabric panels.

PreWired Rooms & Counters: UL listed, engineered, and factory built. All connecting cables provided.

Paladin Point of Sale helps pharmacies run better by automating timeconsuming processes.

Electrical outlets per your specification; regular, ISO, utility, clean, dedicated.

Future Ready Need more space or a change in operations layout? You are not locked into your original design.

Room sizes, counter run configurations, and accessories are unlimited!

Paladin integrates with many of the leading Rx Management Systems.

For More Info

learn more at paladinrx.com

sales@paladinpos.com

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page 25

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.

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QUARTERLY ISSUES Spring 2024

Winter 2023/2024

C O M M U N I T Y ,

20 Unique Products & Services

S P E C I A L T Y ,

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Revolutionizing Long-Term Care

Compounding Resources

Pharmacy Returns & Waste Management Solutions

Navigating the Next Five Years of Transformation pg. 58

4 Case Studies

Industry Expert Q&A, Market Leaders Buyer’s Guide, and More pg. 50

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

The Compliance Team, SureCost, and Noritsu Pharmacy Automation

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

The Unique Charm and Timeless Journey of Green Line Apothecary Christina Procaccianti, PharmD Founder, CEO, and Director of Pharmacy, Green Line Apothecary

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Non-Sterile Compounding

Pg. 72

Embracing Innovatio

The Important Role of State Regulators in Shaping the Future of Pharmacy

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Industry Expert More Buyer’s Guide, and

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

Diversity With Multiple Wholesale rs pg. 68 Nicholas Shanos, RPh Owner of Suburban Pharmacy, Inc.

A Guide To:

Buying Your Own Pharmacy

pg. 32

Aging at Home:

Gowning: Mastering Cleanroom in Ensuring Quality & Sterility s High-Stakes Environment

CPS, AmerisourceBergen

Bluesight pg. 36

PharmD Catherine Floroff, Pharmacy Manager General Hospital ~ Sentara Norfolk

Health System • Infusion & Community • Specialty • LTC

Visit 20Ways ONLINE at

The Future of Long-Term Care

pg. 72

pg. 88

Studies 3 CaseBluesight, and

SUMMER 2023

Lindsay Dymowski Constantino President & Cofounder ~ Centennial Pharmacy Services LTC@Home Pharmacy Network

Adherence Packaging

I M P R O V I N G PAT I E N T CARE & PHARMACY COST CONTAINMENT

E D I T I O N

pg. 44

n in Managing Condensatio Medical-Grade Refrigerators

PRES CRIP TION FOR SAFETY

RXinsider.com/20Ways

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20 Unique Products & Services

Mastering Supply

Services Facilities & Q&A, Market Leaders

Pg. 44

Pg

S P E C I A L

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USP <795> Updates

A Case Study From

Community • Specialty • LTC

C O M M U N I T Y ,

20 Unique 20 Unique Products & ProductsPrescription Servicesfor Success Services & 503B Outsourcing

Pharmacy500 Presenting 500 of the Most Impactful Pharmacy Supply Chain Companies and Associations pg. 77

& MADE-TO-ORDER SODAS:

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

Summer 2023 FA L L 2 0 2 3

I M P R O V I N G PAT I E N T CARE & PHARMACY P R O F I TA B I L I T Y

WINTER 2024

Crafting Success

2024 CIRCULATION

Fall 2023

WINTER 2023

IENT PAT I M P R O V I N GI M P R O V I N G PAT IENT RMACY AA C A R E & P HC R E & TP H A R M A CY MEN PRO COS T CON TAIN FITABILIT Y

SPRING 2024

I M P R O V I N G PAT I E N T CARE & PHARMACY P R O F I TA B I L I T Y

2 Case Studies

Tension Packaging & Automation and Cardinal Health

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

340B Resources Industry Expert Q&A, Market Leaders Buyer’s Guide, and More pg. 66

New Features Preparing for USP <797> Microbiology-Related Changes pg. 36

Packaging Matters pg. 54

2 Case Studies CPS and iHealth

Q&A With Centennial Pharmacy Services, Market Leaders Buyer’s Guide, and More Pg. 40

Community • Specialty • LTC

Health System • Infusion

SHRINK YOUR TO-DO LIST.

AND GROW YOUR BUSINESS.

GET SOFTWARE THAT FREES UP YOUR FOCUS. As an independent pharmacist, there's a lot you need to get done in a day. You need to process prescriptions, update refills, check inventory and answer questions. With BestRx, you can streamline your workflows, automate repetitive tasks and get more time in your day to build customer relationships—and your business.

FIRST-TO-MARKET FEATURES

EASY TO USE PLATFORM

At The Heart of Growth

#1 IN SOFTWARE SUPPORT

Contents COMPOUNDING RESOURCES

EZ Grid™ From Health Care Logistics® Puts an End to Misaligned Blisters and Labels

Case Study: PharMerica’s Journey Towards Patient-Centric Care Through Best-InClass Inventory Automation

C ASE ST U DY PHARMERICA’S JOURNEY TOWARDS PATIENT-CENTRIC CARE THROUGH BEST-IN-CLASS INVENTORY AUTOMATION Gabriel Toribio Central Purchasing Manager ~ PharMerica

Built-in locator pins ensure precise label-to-blister alignment every time you repackage tablets or batch process prescriptions.

Industry: Long-term and post-acute care Number of Pharmacies: 180+ Facilities Served: 3,100 Number of Employees: 6,000+

THE COMPANY: PHARMERICA PharMerica is a national leader in pharmacy services, serving over 3,100 long-term care, senior living, IDD/behavioral health, home infusion, specialty pharmacy and hospital partners.

THE CHALLENGES • Manual inventory management processes • Limitations of tracking inventory accurately • Inefficient and decentralized processes

THE SOLUTIONS • Automated inventory management • Streamlining inventory management and purchasing processes

THE CHALLENGE

From SureCost

PharMerica faced several challenges in their operations prior to implementing best-in-class inventory automation. One major challenge was the manual and time-consuming nature of their inventory management processes. With a vast range of medications, spread across multiple departments and locations, keeping track of stock levels, monitoring expiration dates and ensuring optimal stock levels became a complex and labor-intensive task. The pharmacy staff had to manually update inventory records, reconcile discrepancies between different systems and manually calculate reorder quantities. This reliance on manual data entry and paper-based systems led to inefficiencies, errors and increased labor costs.

Additionally, the lack of real-time visibility into inventory levels often resulted in stockouts, delays in medication delivery and frustrated patients. Without an efficient system in place, it was difficult to obtain accurate and up-to-date information on stock availability. This often meant critical medications weren’t readily available when needed, causing delays in patient care and impacting satisfaction. In addition, the absence of real-time data made it challenging to forecast demand accurately, resulting in overstocking or understocking of medications. These inconsistencies not only increased costs, but also led to potential waste and expiration of medications, further impacting the pharmacy’s financial health.

www.surecost.com

page 33

& MADE-TO-ORDER SODAS: The Unique Charm and Timeless Journey of Green Line Apothecary

On a crisp morning in Providence, we stepped through the doors of Green Line Apothecary, feeling like we had journeyed back in time — but with a delightful twist! Established in 2016 by Christina Procaccianti and her husband, Ken Procaccianti, this charming establishment graces a bustling street just outside downtown Providence. As we embarked on a tour of the facility, engaging in conversation with Christina herself, we were treated to a delightful surprise — homemade ice cream crafted with organic ingredients. Join us as we delve into the story behind this unique independent pharmacy and uncover the secrets to its enduring charm.

The Story Behind Green Line Apothecary You often hear, “my father was a pharmacist” or “my grandfather opened this pharmacy” but that is not the story behind Green Line Apothecary. Christina Procaccianti’s father was a greeting card salesman, and when she was young, he would get her jobs changing the cards over, where she found herself wandering to the store and falling in love with the environment. She grew up in the pharmacy world and after graduation, went to Northeastern University in Boston, MA. Procaccianti worked in chains and hospitals but always had a calling for independent pharmacy, especially after working for a family-owned independent chain based in Rhode Island. She had such a positive experience working there, but it was time to branch out and do her own thing with her version.

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SPRING 2024

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The unique charm and timeless journey of Green Line Apothecary.

Procaccianti and her husband, Ken Procaccianti, opened Green Line Apothecary in April 2016 in Wakefield, RI. Their modern interpretation of a classic American drugstore. A big part of that was the recreation of the soda fountain with real fountains from the 1940s that were rescued, restored, and brought back to life. After success with their initial location, they opened an additional pharmacy in Providence, RI, in 2019. In May 2021, they moved their flagship pharmacy in Wakefield into a larger facility a couple doors down.

COMPOUNDING RESOURCES

Crafting Success, and Made-toOrder Sodas

Crafting Success

page 40-43 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

Personalized Service at Green Line Apothecary vs. Traditional Independent Pharmacies With big chains vertically integrating, Green Line wants to be the alternative and create a different experience for patients and customers down to the soda fountain, a curated selection of products, and tailored relationships with patients. As a common phrase in pharmacy, “pharmacist-recommended,” Procaccianti takes pride that every product on the shelf is “Christinarecommended” and hand selected by herself and her staff of pharmacists. Due to her background in integrative medicine, they carry alternative, natural, or homeopathic brands.

Visit our website for our EZ order system!

EPS

®

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

At Green Line, pharmacists are powered to practice to the fullest extent of their licenses, making them a true piece of the continuum of care for the patient’s journey. Given these principles at the core, it’s only natural for Green Line Apothecary to progress by expanding its operations and introducing a pharmacist-led medical clinic in 2024, Green Line Express.

800.523.8966

MediDose.com

R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C

EPS - Right Prescription O 8.5 x 11.indd 1

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Return Solutions Offers Faster Credit, Easier Tracking, and Efficient Processing

Zebra Technologies Environmental Sensors Bring Visibility and Cold Chain Confidence to Environmentally Sensitive Products

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Extensive selection of models ranging from 1 to 49 cu. ft.

Fastest lead times in the industry Temperature alarms with audible and visual indicators for product security Microprocessor temperature controller – superior temperature control and recovery EPA/SNAP compliant hydrocarbon, natural refrigerants; environmentally friendly and lowers energy expenses Temperature monitoring device included with 3-year certificate of calibration

Call Us : (843) 821-8010

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Zebra sensors provide insights into products, such as biologics and pharmaceuticals when temperature limits have been exceeded during transit, storage, and utilization.

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NSF Certified Vaccine Cold Storage

For over 50 years, Medi-Dose/ EPS has been working with pharmacists to design and support cost-effective products, solving the specific needs of their pharmacies.

8/5/16 11:20 AM

Reduce time spent tracking credits and get credit quickly with Return Solutions’ OneCheck Select program — the fastest Rx return credit reimbursement in the industry.

Precision cooling, Certified Confidence

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

McKesson’s Assist Line Offers Automation Tailored to Retail Pharmacies

Precision Cooling, Certified Confidence With American BioTech Supply

The NSF/ANSI 456 Standard for Vaccine Cold Storage ensures that certified units protect pharmaceuticals at optimal temperatures, prioritizing patient safety, preventing waste, lowering energy costs, and allowing for peak delivery of vaccines.

McKesson Pharmacy Automation is leading the way in automating how patients get their medication, enabling faster and safer treatment.

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page 49 SPRING 2024

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Infinite Control When Every Degree Counts INTRODUCING THE NEW INFINITY SERIES™ WITH PRECISE, PATENTED TEMPERATURE CONTROL

Variable Speed Temperature Control Patented infinite speed control technology delivers only the precise amount of refrigeration needed to reduce energy consumption without sacrificing performance.

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Durable Design Our cold storage solutions deliver uncompromising performance and lasting peace of mind over years and years of continuous use.

Flexible Storage Interior cabinet space can be configured to your exact needs.

Returns Compliance Should be a Given.

Not a Guess.

Is your returns company providing you the best compliance protec�on for your pharmacy business? If your answer is “I think so” then maybe you need to be talking with PharmaLink.

Our returns prac�ces and compliance audit records for our clients are exemplary and provide you with the assurance you need that your returns are being processed accurately and transparently. PharmaLink offers a full scope of returns management services and we’ll always work to make sure you receive maximum credit value for your returned product.

Call PharmaLink today at (800) 257-3527 and trust your returns compliance to the industry’s leader in reverse distribu�on services.

• • • •

Mail in/Onsite Service CII-V Processing Credit Recovery Online Repor�ng

• • •

Product Aging DSCSA Solu�ons Compliance Experts

Call to learn more today!

Switching to PharmaLink is fast and easy!

pharmalinkinc.com 0224

(800) 257-3527 REVERSE DISTRIBUTION SERVICES

IV Bag Port Seals Belly Button Bag Seal

The Most Innovative Tamper-Evident Seals Throughout the Pharmacy Market • Sterile and Paper Free (USP 797 Compliant).

• Maintains a 100% sterile barrier* with 3X greater adhesion. *Tested in Nelson Labs, Salt Lake City, UT

Syringe Seals

• Helps prevent contamination of drugs and provides added protection to pharmacists.

• Will not fall off, even in cold storage conditions (down to -20 degrees centigrade).

28mm

• Patented dual-layer indicates true tamperevidence, with “OPENED” marking.

20mm

Vial Seals 13mm VIEW TRAINING VIDEOS HERE

Made in the USA

steri-tamp.com Visit Our Website to Request Samples

Contents COMPOU NDING R ESOURC

COMPOUNDING RESOURCES Buyer’s Guide

COMPOUNDING RESOURCES

Q&A Buyer’s Guide AirClean Systems

CriticalPoint, a TRC

ISO-MED, Inc.

1220 Graphite Drive Healthcare Brand Corona,C CA 92881 1720 S. Bellaire Street, Suite 1250 h., FAC A, FAP (800) 797-1405 Denver, CO 80222 R.P ter Nav arra ,trchealthcare.com/criticalpoint iso-med.com ding Cen

2179 East Lyon Station Road Creedmoor, NC 27522 (919) 255-3220 www.aircleansystems.com

Jos eph P.

er of Tow Own Compounding (APC)

poun l Com n TotaEagle Analytical Services

ES Q&A

Jayswould Company — 11111 S. Wilcrest Drive can’t or won’t14400 James Road makes are saying they states Since DQSA Suite S1000 Rogers, MN 55374 100 Daingerfield Road, Suite 100about 10 — and access to care. t patient eliminating Houston, TX 77099 Alexandria, is proposing (763) 557-0056 e forVA 22314 significantly interrup Allianc obsolete, APC mandatory MOU (800) 745-8916 (281) 933-8400 rk forwww.jayscompany.com an chair of the unding the need for with a framewo their www.eagleanalytical.com www.a4pc.org replacing it Q. As both boardounding and a compo than 50% of the MOU and LifeFile that ship more lately Comp pharmacies includes reporting Pharmacy are you seeing American?College of reporting by EXAKTstate.

Technologies, Inc.also 501 W. Broadway, Suite 800 The proposal owner, what ies, which is of unding pharmacSan on out pharmacy compoApothecaries 503A Diego, CA 92101 (ACA) 13501 Railway Drive producti all acy by in events enhance our of pharm ities right now Oklahoma City, OK 73114 we think will(800) 902-6048 Oaks Drive of serious adverse in the world great opportun2830 Summer With 503Bs, and which changes and and 503Bs. www.lifefile.net (800)for 866-7172 already required for 503As Bartlett, TN 38134 There are big ding, both access to small volume credibility.

(901) do a383-8119 to restrict profession’s exaktusa.com pharmacy compoun , some pharmacies that may move Medi-Dose/EPS ed 2020 g are deciding acainfo.org chapters y that FDA dispensin and discredit al possibilit flawed updated USP a s tradition The , on to Fagron s based 70 Drive rly hazardou of Sciences ies Industrial ding in addition hormone — particula of compoun compounded PA 18974 ARL Bio Pharma 2400 Pilot Knob Road National AcademIvyland,concern. isn’t worth it business of the ioned from the of compliance also an ongoing that portion it commiss is ) that the cost (800) 523-8966 St. Paul, MN 55120 840 Research Parkway, Suite 546 report passing s ding.

Medicine (NASEM ding. They’re with Member and681-9517 (651) Oklahoma City, OK 73104 Engineering, e in compoun drug compoun in correspondencemedidose.com ies who specializ publicly and NASEM study’s media attention fagron.us (800) 393-1595 along to pharmac FDA has stated getting more to use the flawed ded Source Direct nding is also on compoun that it intends a lot of the stories www.arlok.com policiesPharma of Congress Pharmacy compou compounded GLP-1s, but campaig Galenova, Inc. the agency’songoing 8591 TrailnDrive, Suite C600 s to inform mediaPrairie y with ion. APC is focused endation an informat recomm has te lately, especiall more APC Englewood, 80112 Associates of CapeofCod, Inc. 4555 Avenue Beaudry s, andCO forward. or report inaccura going news coverage ded hormone hormonesSaint-Hyacinthe, and factual compoun miss the nuance toJ2S (866) 404-0846 QC 8W2 124 Bernard E. Saint Jean Drive . patient access g more balanced program where we’re bringing ding.com preserve to a on cultivatin compoun pharmasd.com Canada East Falmouth, MA 02536 at have ies (particularly can be found this year. We information (855) 866-0866 (888) 395-2221see what nding pharmac do to compounding s into compou them to compounders Pharmacy Stars, LLC www.galenova.com/en www.acciusa.com healthcare reporter pharmacies) to allow pharmacy pted? nding isn’t interru28020 nding Q. What can that compou sterile compou t access isn’t P.O. BoxOne, an It shows themAzurityout patien back but is a do. Bay, WIjoin 54324 Health Care Logistics actually do. ensure canGreen barrels Pharmaceuticals help in nders compounders like compou the together in tions all 2000 351-2664 8 Cabot Road, s,Suite P.O. three Box 25big things ingredients organiza of(608) standard There are mixing random to rigorous on. Being a member pharmacystars.com standards, Woburn, be MA 01801more of Circleville, OH 43113 industry held about laws, trade associati We’ll doing industry(800) highly regulated and well. at the (800) 461-7449 848-1633 you are informed patients safe can practice es. help assure APC can interest of keeping — so that youPrompt Praxis the the year progress firstkits.com gohcl.com onLaboratories compounding reporters as in Nadvocacy yourselves 150 Fairway Drive, Suite 148-154 and trends in those tours for interrupt . Two, involve compounders as Hills, that could your expertise Journal collective strength River Vernon IL 60061 anything Charles top of International ? legislation medications profession. Our (847)shape 859-3850 Pharmaceutical 251 Ballardvale Street Q. Are you seeing part ofofyour And you are in helping n — to compounded regulatio your licensed. www.promptpraxislabs.com Willmington, 01887 Compounding (IJPC) on how engaged n andMA patient access states where legislatio depends in theB4 Right s and Suite all local and a concern that (877) 122 N. Avenue, Congres patient access. in Bryant regs affect274-8371 — comply with and .

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SPRING

2024

I

R E TA I L / C

Alliance for Pharmacy

OMMUNI

TY • SPE

C I A LT Y •

Revelation Pharma

P.O. Box 3556 Greenwood Village, CO 80155 revelationpharma.com/ revcustomrx-partner-pharmacies

SpecializedRx Products, LLC 3787 95th Avenue NE, Suite 100 Circle Pines, MN 55014 (888) 512-1209 specializedrx.com

Spectrum Pharmacy Products 777 Jersey Avenue New Brunswick, NJ 08901 (800) 370-6231 www.spectrumrx.com

TICKERWORKS (formerly BiosRx)

1300 E. Bidwell Street, Suite 105 Folsom, CA 95630 (800) 280-9277 www.tickerworks.com

COMPOUNDING RESOURCES Industry expert Q&A, compounding resources market leaders buyer’s guide, and more.

Trade Show & Meeting Calendar

page 50-53

page 60-67

Cardinal Health™ Medical Benefit Billing

Innova’s Innovations for Global Benefit

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Cardinal Health™ Medical Benefit Billing

Track your claims in real time Cardinal Health™ Medical Benefit Billing enables you to bill and track your medical benefit claims in real time, giving you visibility into submissions, denials and rejections. This holistic view empowers you to expand your pharmacy capabilities.

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Gain visibility into all applicable medical claims, including missing secondary claims and pre-submission edits

Flexibility to bill through your pharmacy management system or directly through the online portal

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Bill and track your medical benefit claims in real time, giving you visibility into submissions, denials, and rejections. This holistic view empowers you to expand your pharmacy capabilities.

© 2024 Cardinal Health. All Rights Reserved. CARDINAL HEALTH and the Cardinal Health LOGO are trademarks of Cardinal Health and may be registered in the US and/or in other countries. All other trademarks are the property of their respective owners. Patent cardinalhealth.com/patents. Lit. No.1PD24-2811658 (02/2024)

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page 55

Eyecon® — The Most Advanced Technology in Counter-Top Prescription Dispensing Automation

The Eyecon, with visual precision counting, eliminates the burden of prescription filling with a 99.99% count accuracy.

page 69

the most accurate CGM powering AID systems

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*

1 U.S. Food and Drug Administration, 510(k) Substantial Equivalence Determination Decision Summary, K213919. Published December 7, 2022. https://www.accessdata.fda.gov/cdrh_docs/reviews/K213919.pdf.

2 U.S. Food and Drug Administration, 510(k) Substantial Equivalence Determination Decision Summary, K222447. Published March 3, 2023. https://www.accessdata.fda.gov/cdrh_docs/reviews/K222447.pdf.

3 Peacock S, et al. Diabetes Ther. 2023;14(5):839-855. 4 Dexcom, data on file, 2023.

BRIEF SAFETY STATEMENT: Failure to use the Dexcom Continuous Glucose Monitoring System and its components according to the instructions for use provided with your device and available at https://www.dexcom. com/safety-information and to properly consider all indications, contraindications, warnings, precautions, and cautions in those instructions for use may result in you missing a severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose) occurrence and/or making a treatment decision that may result in injury. If your glucose alerts and readings from the Dexcom CGM do not match symptoms, use a blood glucose meter to make diabetes treatment decisions. Seek medical advice and attention when appropriate, including for any medical emergency.

Contributed by: Chad Worz, PharmD, BCGP, FASCP Chief Executive The American Society of Consultant Pharmacists (ASCP)

The long-term care industry will be completely transformed over the upcoming 5-year span. This transformation is influenced by seismic shifts in almost every business sector. Technology, workforce, and services that “follow the patient” are all shifting at an exponential rate.

Technology is always changing but now that it influences every aspect of care, innovations in pharmacy packaging, storage, and logistics will continue and new strategies and products will evolve to meet the needs of the individual and in the setting of care they choose to reside.

Additionally, innovations in data sharing and artificial intelligence will begin to influence medication selection and care planning designed to maximize desired outcomes.

The convergence of information and analytical systems will yield efficiencies that will help other areas of significant change like the workforce. Since the pandemic, the long-term care environment has struggled with staffing shortages. Some estimate long-term care lost over 210,000 jobs, reverting to 1994 levels. Even with efficiencies from technology, staffing shortages and retention issues are still significant challenges. Facilities and pharmacies are exploring innovative recruitment and retention strategies, investing in staff training and development, and advocating payers for better reimbursement to support better wages and staffing ratios.

At the center of all this change is the patient. The elephant in the room is growth in the older adult population in terms of both the over 65 58

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I

years individuals and those over 85. In 2022, the U.S. Census Bureau reported almost 58 million people in the United States over the age of 65 and 6.1 million over the age of 85. These numbers are anticipated to swell to 73.1 million and 9.1 million respectively. This decade will see the largest percentage increase in these populations of any decade this century. Roughly 2% of the over 65 population use nursing home services each year, if that percentage holds, in 2030, over 300,000 more people will require nursing home services per year.

There is a growing emphasis on person-centered care, which prioritizes the individual preferences, needs, and goals of residents. Facilities and pharmacies are moving away from a one-size-fits-all approach and focusing on creating personalized care plans that respect what matters to residents and supports their autonomy and their dignity. For years, the John A. Hartford Foundation has been investing in aging experts and practice innovations that transform how the care of older adults in delivered. Nearly $700 million dollars has been provided in grants to create age-friendly systems, to support the role of caregivers and to preserve dignity and honor during serious illness and end of life.

Taking together, these significant sectors within long-term care are driving change. Determining how your pharmacy supports these rapidly moving issues is paramount to success into this medically complex, growing age group. Below are some specific examples of what is coming next for long-term care pharmacy:

Revolutionizing Long-Term Care: Navigating the Next Five Years of Transformation

Contributed by Chief Executive, Chad Worz, PharmD, BCGP, FASCP, of The American Society of Consultant Pharmacists (ASCP).

As the most covered CGM brand, Dexcom offers affordable care without compromising quality for the broadest audience of people with diabetes.

page 71 C ASE ST U DY HOW TECHNOLOGY AND VISUAL VERIFICATION HELPED TRANSFORM MEDICINE EXPRESS’ LONG-TERM CARE BUSINESS MODEL THE JOURNEY TOWARD AUTOMATION When Emily Powers, Pharm. D. took the reins as president in 2018 – Medicine Express, a long-term care pharmacy, was a relatively small operation servicing roughly 300 beds. Their vision, however, was to increase that number to 1,000 beds. In fact, the owner had purchased an automated filling machine just ahead of Powers’s arrival to help them move away from their traditional paper-based processes.

Emily Powers, Pharm. D. President ~ Medicine Express

Since then, Medicine Express has grown to service 2,700 beds at assisted living and memory care facilities across 14 states and today process 27,000 prescriptions monthly out of its Bellville, Illinois, location. The path, however, was not always a straightforward one, says Powers.

THE CHALLENGE – SCALING TECHNOLOGY TO MATCH GROWTH With experience working at larger pharmacy operations using advanced technology and computer systems, Powers was well-equipped to help Medicine Express staff adapt to the new automated filling machine. The original automation worked well with their volume at the time, she reports.

However, once they reached their growth projections by adding 1,000 more beds in 2019 – they began to experience challenges. “The system just couldn’t keep up with our growth,” says Powers.

Plus, as they added more beds, it became clear they would need an automated visual verification process to reduce the need for pharmacy staff to validate each prescription manually.

“We were happy with our existing vendor, so we upgraded to one of their systems designed to handle the volume,” Powers explains. The company also had a visual verification product slotted for release in early 2020 that would give Medicine Express the improved efficiency and medication accuracy they wanted. “That didn’t happen because the global pandemic shut down production and development across various industries – including ours.”

Despite the pandemic, however, Medicine Express continued to grow — and by the end of 2020 had added another 1,000 beds. “We knew we really needed an established visual verification process to deliver the level of service our patients had come to rely on - so decided to make a change.”

Case Study: How Technology and Visual Verification Helped Transform Medicine Express’ Long-Term Care Business Model From Noritsu Pharmacy Automation

THE SOLUTION — PARTNERING WITH NORITSU

noritsu-rx.com

R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C

Dexcom G7 is the Most Accurate, Simple, and Most Affordable CGM, Leading to Lasting Adherence for Patients

Dexcom, Dexcom Clarity, Dexcom Follow, Dexcom One, Dexcom Share, and any related logos and design marks are either registered trademarks or trademarks of Dexcom, Inc. in the United States and/or other countries. ©2023 Dexcom, Inc. All rights reserved. MAT-1599

page 57

Revolutionizing Long-Term Care: Navigating the Next Five Years of Transformation

At Innova Medical Group, we are powered by our vision to be a global health outcome innovator that provides local solutions to global problems.

While attending an industry conference, Powers met the Noritsu Pharmacy Automation team. “What caught my attention was a case study they had displayed featuring a pharmacy similar to ours – so we started talking.” They continued to keep in touch as Powers

page 58-59

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R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C 11

Phytonadione for Injection (Phytonadione Injectable Emulsion, USP) 1 mg/0.5 mL and 10 mg/mL

A VIAL ABLE IN VIAL S

To place your order, please contact your wholesaler OR by contacting Cipla USA at 844-CIPLA US (844-247-5287) PHYTONADIONE WHOLESALER/DISTRIBUTOR ORDER ENTRY NUMBERS NDC

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CARDINAL

MCKESSON

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69097-0709-96

1 mg/0.5 mL

10269358

5787999

2619450

219287

69097-0708-96

10 mg/mL

10269520

5788005

2619468

219337

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1

1

STRENGTH

1

Phytonadione Injectable Emulsion, USP 69097-0709-96

69097-0708-96

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10 mg/mL

Store at 20ºC to 25ºC (68ºF to 77ºF)

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10 Single-Dose Vials in a carton

CASE SIZE

24

1

INDICATIONS1 Treatment of Hypoprothrombinemia Due to Vitamin K Deficiency or Interference: Phytonadione injectable emulsion is indicated for the treatment of the following coagulation disorders which are due to faulty formation of factors II, VII, IX and X when caused by vitamin K deficiency or interference with vitamin K activity: · anticoagulant-induced hypoprothrombinemia caused by coumarin or indanedione derivatives; · hypoprothrombinemia due to antibacterial therapy; · hypoprothrombinemia secondary to factors limiting absorption or synthesis of vitamin K, e.g., obstructive jaundice, biliary fistula, sprue, ulcerative colitis, celiac disease, intestinal resection, cystic fibrosis of the pancreas, and regional enteritis; · other drug-induced hypoprothrombinemia where it is definitely shown that the result is due to interference with vitamin K metabolism, e.g., salicylates.

Medical Information: - Report Adverse Events/Side Effects - Report Product Complaints - Submit Medical Inquiries:

Prophylaxis and Treatment of Vitamin K-Deficiency Bleeding in Neonates: Phytonadione injectable emulsion is indicated for prophylaxis and treatment of vitamin K deficiency bleeding in neonates.

BOXED WARNING1 WARNING - HYPERSENSITIVITY REACTIONS WITH INTRAVENOUS AND INTRAMUSCULAR USE: Fatal hypersensitivity reactions, including anaphylaxis, have occurred during and immediately after intravenous and intramuscular injection of phytonadione injectable emulsion. Reactions have occurred despite dilution to avoid rapid intravenous infusion and upon first dose.

Avoid the intravenous and intramuscular routes of administration unless the subcutaneous route is not feasible and the serious risk is justified.

Please see www.ciplausa.com for full prescribing information and Important Safety Information.

Contact Us: 1-866-604-3268

DrugSafety@cipla.com

REFERENCES: 1. Phytonadione Injection Prescribing Information, Cipla USA. 03/2022.

Cipla USA, Inc., 10 Independence Boulevard, Suite 300, Warren, NJ 07059 Customer Service Tel.: 844-CIPLA US (844-247-5287) Email: Cipla.CS@cipla.com

www.ciplausa.com DECEMBER 2023 CUSAI-12182023-01

Contents Berry

Dr.Reddy’s

BestRx

Abbott

Pharmacy Managed Care Academy of (AMCP) for Health Care, Commission Accreditation

uticals, LLC Beutlich Pharmace Inc. Biolife Solutions Inc. Technologies Blue Thunder

Pharmacy Council for Accreditation Education Care Systems Plus Health Accu-Chart

Laboratories

Ltd.

InstyMeds

Inc. (IMS) Medical Systems, Integrated Consultants Integrity Pharmacy , Inc. / MEPS Real-Time Intelliguard

Dycem Ltd Services Eagle Analytical uticals, Inc Eagle Pharmace

Bluesight BluPax Pharma

(BOC) on/Accreditation (BPS) Specialties Pharmacy

Board of Certificati

Accucold Pharmaceuticals Acute Care

(ISMP)

DrFirst E LLC DRX SOFTWAR

BetterRx

Inc

Introducing the Pharmacy500 of 2024

Inc. InsightRX, n Practices Safe Medicatio Institute for

Inc. DosePacker, DosePlanner

Global Inc.

Inc. Interlink AI, Pharmaceutical Journal of International (IJPC) Compounding Medical Industries International

Ecolab

ISO-MED, Inc. IsoTech Design

ECRM

Elsevier Professionals Emporos Jackson Pharmacy EnlivenHealth Jays Company Bureau Veritas Amneal Pharmaceuticals LLC Board of Certification/Accreditation (BOC) om EPIC Rx JFCRx n Buy-Sellapharmacy.c Corporatio Celerant Anda Inc. Board of Pharmacy Specialties (BPS) e Group Solutions / Epic Systems Jones Healthcar Commerce n CAMAbbott Corporatio ANiGENT LLC Bonita Pharmaceuticals Software LLC y Aegis Technolog Keycentrix, Academy of Managed Care Pharmacy (AMCP) Epicor alth nal Med Express Bureau Veritas Athenahe /Animal Inventory, Inc Air Link Internatio Capital KeySource Accreditation Commission for Health Care, Inc epocrates n Co. Drug Company Apexus LLC Buy-Sellapharmacy.com Folding Box Wholesale AirCare Automatio EQUASHIELD Capital Keystone Accreditation Council for Pharmacy Education Inc. Apothecary Products, LLC. Healthcare AirClean Systems, Esco Capsa KNAPP Accu-Chart Plus Health Care Systems e APS -Products Advanced Pharmacy Solutions AIS Healthcar Euclid Medical CaptureRx CAM Commerce Solutions / Celerant Technology Labconco Accucold , Inc. ARL Bio Pharma Health Akro-Mils Eurofins Analytics Cardinal Capital Inventory, Inc Lakeland Industries Acute Care Pharmaceuticals ARxIUM Group AlignRX EveryDose Services, LLC. Care Capital Wholesale Drug Company Legacy Pharmacy Compounding Adheris Health Pharmacy Asembia x Alliance for Everyware CarepathR Leiters Health Capsa Healthcare AdvanceNet Health Solutions, Inc Products Allied Pharmacy EzriRx Aspen RxHealth CarePoint Liberty SoftwareCaptureRx Advasur LLC AssistRx Altium Packaging Health EZSCRIPTRx Carter Cardinal Health Liebherr Aegis American Analytics Fagron Associates of Cape Cod, Inc es (AAP) CEImpact LifeFile Care Services, LLC. d Pharmaci Air Link International Health Packaging s, Inc. Bank AssureCare LLC American Associate of FFF Enterprise Cencora / American Lincoln Savings CarepathRx n of Colleges AirCare Automation rceBergen WipesInc. Asteres American Associatio FG Clean Cencora / Amerisou Live Oak BankCarePoint AirClean Systems, Inc. , Inc. Pharmacy stem Atlas Health First Databank n of Health-Sy Centor Loopback Analytics Carter Health Services, Inc. AIS Healthcare Pharmacy Bank American Associatio Avel eCare First Financial (ASHP) Central Admixture LSPediA, Inc. CEImpact Pharmacists Akro-Mils LLC Health (CAPS) Returns, Supply FlashAventi Lumistry Cencora / American Health Packaging American BioTech AlignRX ries uticals Inc. Avery Weigh-Tronix Cervey of Apotheca FLAVORx Lupin Pharmace Cencora / AmerisourceBergen American College Services, PLLC Alliance forHealthcar Pharmacye Compounding Corporation) Pharmacy Pharmacy Change AvKARE, LLC of Clinical (McKesson Flexible Macro HelixCentor American College s, Inc. (MHA) Laboratories Allied Pharmacy Products Pharmacists Care Associate Charles River Azurity Pharmaceuticals, Inc. of Veterinary Flowsell Managed Health Central Admixture Pharmacy Services, Inc. (CAPS) American College Altium Packaging e O ies Healthcar ChemoGL e Capital Azzur Group Follett Manchac Technolog Cervey American HealthCar American Analytics Corporation utical CINTAS es, Inc. Franklin Eyewear Masters Pharmace Change Healthcare American Pharmaci n (APhA) American Pharmacies (AAP) Group Inc. Cipla, Associated sts Associatio Fresenius Kabi MatchRX Charles River Laboratories B Medical Systems American Pharmaci Inc. American Cooperative, CivicaAssociation of Colleges of Pharmacy Levitt Rx Credit, Inc. Frier MaximumChemoGLO B. Braun Medical Inc. American Pharmacy Services, LLC American Association of Health-System Pharmacists Harbors, Inc. Clean Pharmacy Inc. Group Genetco sts (ASHP) Maxor National American Rx BA Sciences CINTAS Corporation t Pharmaci Cleanetics of Consultan GeriMed, Inc. Maxpert Medical American Society American BioTech Supply Baxter Cipla, Inc. Clearway Health Germfree (ASCP) MaxQ Civica American College of Apothecaries BD Cloudmed Financial, LLC Corporation Grifols Americorp McKesson Berkshire Corporation American College of Clinical Pharmacy Clean Harbors,Inc. Inc. uticals LLC Inc. Codonics e, Inc./EPS, H+H System, Amneal Pharmace iesPharmacists Medi-Dos Berry Global Inc.cs Cleanetics Technology, Inc. American College of Veterinary Technolog Cold Chain Information Hardy Diagnosti Anda Inc. MedicalClearway BestRx Health American HealthCare Capital Brokers Inc. Inc., LLC ComCo Systems Packaging Hayslip Pharmacy ANiGENT LLC MedicalCloudmed BetterRx American Pharmacies, Inc. Express CompleteRx On-Time, LLC HealNow Animal Med MedicineBeutlich Pharmaceuticals, Codonics Inc.Association (APhA) American Pharmacists Logistics, Inc.LLC ConsortiEX Inc. Group, Inc. Health Care Apexus LLC Medility Technologies Biolife Solutions Inc. Cold Chain Technologies American Pharmacy Cooperative, Inc. Partners, Inc. Products, LLC. Containment Inc. Health Connect Apothecary Medisca Solutions Blue Thunder Technologies Inc. ComCo Systems AmericanContec, Rx Group Inc. Pharmacy e st Healthcar HealthTru APS - Advanced Group Medivant Education Bluesight ics CompleteRx American CORE Society of Consultant Pharmacists (ASCP) Higher HelioMetr ARL Bio Pharma Association MediZap gy Pharmacy BluPax Pharma ConsortiEX Inc. AmericorpCORMED Financial, LLC Solutions Hematology/Oncolo ARxIUM MedSafety n) COSHATT (HOPA) Asembia n Corporatio MedShorts uticals eds (McKesso cations CoverMyM Hikma Pharmace Aspen RxHealth Medtel Communi 78 S P R I N G CPESN 2 0 2 4 USA, I LLC R E TA I L / C O M M U N I T Y • S P E C I A LT Y •Headwate LT C rs 340B Hudson AssistRx MedXL Inc. , LLC Inc of Cape Cod, CPS Solutions iA Associates Merative LLC LLC CriticalPoint, ICU Medical AssureCare Mesmerize Inc. Inc. Crocus Medical iLocalBox Merchant Systems, Asteres Inc. Micro ng FairWarni e Solutions CuraScriptSD Imprivata / Atlas Health MIDAS Healthcar Inc. g Solutions Cypress Software, IND Consultin (IPC) Avel eCare Mideast Delivery Cooperative Pharmacy D2 Solutions Independent Aventi Health Migali Scientific nix , Inc. Datarithm InfiniTrak, LLC Avery Weigh-Tro Mobile MediClaim , Inc. ies Inc. Datascan Pharmacy Infinity Laborator AvKARE, LLC Modern Designs, uticals, Inc. Dexcom, Inc. InfoWerks Azurity Pharmace Moderna, Inc. s, Inc. Dickson Inmar Inc. Azzur Group Modular Cleanroom Solutions, Inc. Group Inc. Digital Business Innova Medical B Medical Systems Modular Devices Inc. Inc. DisposeRx, Innovatix, LLC B. Braun Medical DiversifyRx Inovalon BA Sciences Board of uticals Bonita Pharmace

Adheris Health , Inc Health Solutions AdvanceNet Advasur LLC

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LTC@H Pharmacy Network is the Resource for Long-Term Care at Home Practice

WHAT WE DO FOR PHARMACY SUPPORT WITH LTC SET UP (NPI, GPO) CERTIFY PHARMACY CERTIFY PHARMACIST CHAMPION CERTIFY TECHNICIAN CHAMPION EDUCATE BEST PRACTICES SUPPORT COMPLIANCE BUSINESS GROWTH RESOURCES

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You trusted the PBMs when they said they were on your side.

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You trusted your GPO when they said the power was in the GCR. You believed your rep when they said ‘Trust the process’.

Now it’s time to trust the over 6,000 pharmacies that say...

EzriRx is a technology-friendly and advanced marketplace that makes it incredibly easy for pharmacies to shop and save on brands, generics, OTC, HBA, pet meds, and more on a single easy-to-use platform.

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Specialty Pharmacy Outlook 2024 Contributed by: Sheila M. Arquette, RPh President & CEO, National Association of Specialty Pharmacy

Specialty pharmacy continues to be dynamic, demanding, and disruptive.

As the market continues to demand specialization in drug distribution and clinical management of complex patients and therapies, specialty pharmacy continues to evolve. Keeping pace with scientific discovery and medical innovation is relentless and challenges all providers along the care continuum to find new ways to support specialty patients and control costs.

Specialty pharmacies connect patients diagnosed with life altering and often life-threatening complex health conditions with the medications prescribed for their conditions. The expert services that specialty pharmacies provide drive adherence, proper management of medication dosing and side effects, and ensure safe and appropriate medication use. Specialty pharmacy’s patientcentric model is designed to provide a comprehensive and coordinated model of care ensuring patients achieve superior clinical and economic outcomes while expediting their access to care. Specialty pharmacy is defined not by the site of care but the model of care and the type of patient management and care coordination services it provides.

As we look to 2024, key trends, challenges, and opportunities to watch include: Pipeline Specialty, niche, and orphan disease drugs comprise the largest proportion of new medicines launched in the past decade. Specialty medicines account for 84

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around 75% of the approximately 7,000 new drugs under development.

This tremendous growth presents us with incredible benefits but also some compelling challenges. Specialty pharmacy delivers significant value as an integral member of the patient’s healthcare delivery team. Medication access and affordability issues compounded by our aging population and an increased number of specialty drugs being approved for conditions traditionally treated with small molecule therapies, signal the specialty market will remain strong; but the stakes are high, not only for those inside the specialty arena, but for all of us.

Drug Shortages Over the past five-and-a-half years, an average of more than 25 new molecule shortages have occurred each year, with 160 in total added through June of 2023 and only 51 resolved.

Oncology has experienced a growing number of shortages since 2020, with four new molecule shortages between March and June 2023 alone.

Drug shortage associated treatment delays, therapy interruptions, clinical complications, suboptimal treatment and adverse drug reactions coupled with increased medication costs and patient financial toxicity can all negatively impact patient outcomes.

As trusted medication experts, specialty pharmacists serve as critical interdisciplinary team members working

collaboratively to identify and approve alternative therapeutic regimens to address drug shortages, mitigate their impact and promote optimal clinical and cost-effective outcomes.

Cell and Gene Therapies Today, there are 27 FDA-approved cell and gene therapies in the United States, with more than 2,000 therapies in development worldwide. Just as the biologic landscape has evolved over the last decade, so too will gene therapy.

Recent research suggests that the number of gene therapies on the market is likely to increase to over 60 by 2030, and today’s $5.2 billion gene therapy market is estimated to grow tenfold by 2031.

Specialty Pharmacy Outlook 2024

Contributed by President and CEO, Sheila M. Arquette, RPh, of the National Association of Specialty Pharmacy.

Inflation Reduction Act The Inflation Reduction Act of 2022 includes several provisions to lower prescription drug costs for Medicare beneficiaries and reduce the federal government’s drug spending. The Congressional Budget Office estimates that the drug pricing provisions in the law will reduce the federal deficit by $237 billion over 10 years (2022-2031).

Will restructuring the Medicare Part D standard benefit and the $2,000 beneficiary out-of-pocket limit reduce affordability-related non-adherence and

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PUBLISHER RXinsider, LTD RXinsider CEO DESIGN AND PRODUCTION Design & Layout Multimedia Marketing and Operations

page 89

C ASE ST U DY HOW SMITH PHARMACY FINDS BETTER PURCHASING OPTIONS AND PASSES THE SAVINGS ALONG TO PATIENTS THE COMPANY: SMITH PHARMACY

“

Nic Smith Founder and Owner ~ Smith Pharmacy

We needed to know if the switch was worthwhile, so we did an analysis. It turned out SureCost was saving us over $200,000 a year. And it’s probably closer to $300,000 now.”

Specialty pharmacy has the unique opportunity to demonstrate and define how their white glove, patient centric model of care can contribute to the optimal management of these patients.

EzriRx Connects 30+ NABP-Accredited Wholesalers With 1,000’s of Pharmacies in the US

Nic Smith Founder and Owner ~ Smith Pharmacy

Smith Pharmacy is an independent, full-service, family-owned and operated retail pharmacy. Their mission is to provide a low-cost, service-oriented pharmacy to their community. The team takes pride in providing excellent care in a complex healthcare environment. They are dedicated to providing patients with quality service. Patients single out Smith Pharmacy for their trusted guidance with medications while getting the best prices.

THE CHALLENGE The pharmacy purchasing ecosystem is not designed for transparency or ease.

The best purchasing options — which account for patient needs, low COGS, primary vendor compliance, rebate potential and other factors — are usually hidden within a mass of data spread across multiple catalogs from a variety of vendors using different interfaces.

Smith Pharmacy experienced this challenge firsthand. As Founder and Owner Nic Smith explained: “We used to get phone calls every day from all these vendors about specials and sales, and we just didn’t have time to sit and compare. And we don’t want to switch manufacturers all the time. We don’t want someone’s mother coming in, getting their medication, and it looks different for the third time in a row.”

Case Study: How Smith Pharmacy Finds Better Purchasing Options and Passes the Savings Along to Patients From SureCost

Managing up to four secondary wholesalers at once was also labor-intensive for the team. Without an effective solution to compare products, they would rely on manual processes (like physically sorting items on the shelves) to determine which vendor had the best price.

“Even then,” Nic adds, “prices change all the time, so there wasn’t a great way to make sure that was still the best price. And we didn’t have the time to sit back and verify a source price versus a secondary price. Our original process was very labor-intensive, and it wasn’t very accurate!”

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Gregory Cianfarani, RPh Lora Bourque Eric Simmons Samantha Roy Alexa DiLuca Kristin Fennessey

SALES AND BUSINESS DEVELOPMENT Chris Kolkhorst, EVP chris.kolkhorst@rxinsider.com Mike Rahme mike.rahme@rxinsider.com Shaun Russell shaun.russell@rxinsider.com Savannah DaSilva savannah.dasilva@rxinsider.com Jeff Rackliff jeff.rackliff@rxinsider.com Email sales@rxinsider.com Toll-Free Phone 800.972.2083 Fax 646.329.9766 Website www.RXinsider.com

page 90-93

www.surecost.com

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Reproduction without permission is prohibited.

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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 is Complicated, Your Software Shouldn’t Be Liberty Software’s pharmacy management solution 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 For over 20 years, Liberty Software has been a dedicated and reliable partner to community pharmacies across the United States. Our roots as an independent computer service company have shaped our commitment to providing essential services to community pharmacies, a commitment we’ve never forgotten.

Today, we offer software and services empowering pharmacies to overcome their challenges. Our flagship platform, RXQ , is not just a tool: it’s a partner to pharmacists across America, making their jobs easier and enabling them to serve their patients better.

At Liberty Software, we don’t just work hard to ensure customer satisfaction; we strive to make our customers feel like part of our family. Our team, experienced in pharmacy and technology, is knowledgeable, friendly, and approachable, always ready to help.

Product Overview What sets us apart? It’s not just our cutting-edge technology, or comprehensive array of features, it’s our commitment to an unparalleled user experience and robust security measures.

Prescriptions are filled swiftly and accurately, with many pharmacists attesting to RXQ’s simplicity as the easiest system they’ve ever used. We protect your patients’ data with the highest level of encryption, ensuring their privacy and peace of mind.

Consider This How long does it typically take to train new employees on your current pharmacy software? Our clients utilizing Liberty have discovered that new hires can often start filling prescriptions immediately, requiring minimal to no training. Transitioning to the RXQ platform is seamless, with our team providing comprehensive support and training. It’s that straightforward. A well-crafted pharmacy system should enhance both productivity and employee satisfaction. And when assistance is needed, support is just a phone call or mouse click away.

Testimonials “ Liberty is a very good software, It’s easy to operate. Previously we were using a different software and I did see a drastic difference with our reports, especially, it’s very easy for us to do proper billing in that way.”

— Syed H., Lead Technician, Campbell Pharmacy

“ It’s like one click, one tap away, to get to a feature. Of all the different pharmacy software’s I’ve worked with. I felt like it’s the cleanest user interface.”

— Jake L., Technician, ReNue Rx Pharmacy

“ T he system is user-friendly and because every pharmacy is different, they will customize it to your needs.”

— Judy H., PharmD, All-Care Pharmacy

“ My favorite part of the software is the DIR feature and being able to take a look at that. We can compare our distributor rebate versus what kind of DIR Fee we’re paying on it. So that’s helped us save money.”

— Jett J., PharmD, The Medicine Shoppe

Contact Us Have a question? Let us know at sales@libertysoftware.com.

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2 0 WAY 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

D2 Solutions — Reimagine Regulatory and Compliance Management Reducing the operational burden is possible. D2’s team of healthcare leaders and pharmacists have designed novel technologies and experience-based consulting solutions that enable pharmacies to increase efficiency, minimize risk, and drive access.

Founder & CEO: Dean Erhardt Founded:

2008 (636) 537-7805 Address: 400 Chesterfield Center, Suite 400 Chesterfield, MO 63017 Website: www.d2rx.com Phone:

Company Background

Since 2008, D2 Solutions has helped pharmacies across the industry reimagine their processes and reduce the operational burden, arming them with a groundbreaking combination of expert consulting and strategic SaaS solutions. From financial, licensing, regulatory, and accreditation pressures to managing the hassles of payer contracting and declining patient engagement, navigating every detail can be overwhelming. As a team of healthcare leaders and former pharmacists, D2 strives to leverage our over 1,000 years of combined industry experience towards changing the narrative and developing solutions that truly enhance operational efficiency, minimize exposure to regulatory risk, and drive patient access.

Having collaborated with a variety of hospital and specialty pharmacy providers, ranging from independent establishments to wholesale distributors, supermarket chains, and hospital health systems, our hope is that our expertise can become your peace of mind.

Product Overview

• ComplySuite® Technologies: Automate compliance management, reduce the operational burden, and restore confidence in your compliance.

•U ltraTouch® Technologies: Enhance the patient experience and increase speed-to-therapy.

• Specialty Pharmacy Consulting: Accreditation, licensing, 340B maximization, PBM and health plan mapping, prime vendor contracting, regulatory compliance, overcoming staffing challenges, etc.

• Pharmaceutical Manufacturer Consulting: Market access, contracting, pricing, distribution, compliance, therapy positioning, etc.

ComplySuite — Restore the Confidence in Your Compliance ®

For over 12 years, D2 has collaborated with major accreditation bodies, regulatory agencies, and our internal pharmacist consultants to identify gaps and streamline processes for staying ahead of accreditations, monitoring licenses company-wide, and more efficiently managing regulatory alerts.

ComplySuite® is comprised of three web-based platforms: n AccredComply: A centralized database for accreditation and reaccreditation management.

• Built-in global database of accreditation requirements.

• Automated, customizable, and auditor-ready reporting.

• Roles-based platform designed for cross-departmental communication. n RegComply: Novel regulatory alert management dashboard that ensures only the right alerts, go to the right people, every time.

• Customizable alert paths and intelligent triaging based on organizational structure.

• Automated alert response documentation and audit-ready reporting.

• Legislation tracking supported by real people. n LicenseComply: A single database for organizing, monitoring, and tracking licenses so you never miss a renewal.

• License storage with searchable license libraries.

• Live status tracking dashboard.

• Roles-based platform with custom admin views.

UltraTouch® — Reimagine the Patient Experience

UltraTouch® consists of patient engagement, prior authorization, and therapy management solutions designed to enhance the patient experience by integrating with your existing systems, increasing speed-to-therapy, and simplifying communication with patients, payers, prescribers, and team members alike. n UltraTouch® Verify: Revolutionary prior authorization management supported by real people.

• PAs, patient data, PA statuses, and all communication in one organized dashboard.

• Team efficiency reporting and payer behavior analysis.

• Agile integration with existing systems (EHR, APIs, Epic, FHIR, etc.) and existing PA processes. n UltraTouch® Engage: Automated, bi-directional patient communication.

• Custom digital outreaches for onboarding and collection of missing information.

• Multi-language compatible without data loss.

• Proven 53% increase in speed-to-therapy. n UltraTouch® Patient Management: Patient data optimized for accreditation.

• Provides forms and assessments aligned with current accreditation standards.

• Supports disease and drug-specific therapy programs.

• Hosts all patient data points in one place for simple outcome reporting.

Ordering Information

To request a demo or learn more about how we partner with organizations like yours, check out our website or email us at connect@d2rx.com.

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GX Solutions & OptiCool™ Technology Optimized Cold Storage

Engineered to provide 10-year service life.

HELMER’S EXCLUSIVE OPTICOOL™ TECHNOLOGY IS OFFERED ON GX SOLUTIONS MEDICAL-GRADE REFRIGERATORS AND FREEZERS SUPPORTS TEMPERATURE UNIFORMITY GX Solutions are the first cold-storage solutions to offer optimized control in three key temperature management areas: uniformity, stability, and recovery.

SUPPORTS ENERGY EFFICIENCY ENERGY STAR® certified and up to 50-65% more energy efficient than conventional medical-grade cold storage.

SUPPORTS SUSTAINABILITY Natural HC refrigerants reduce heat output, decrease the carbon footprint, and decrease global warming potential.

SUPPORTS RELIABILITY Designed and tested with Accelerated Life Testing (ALT) to provide a 10year service life.

Learn More helmerinc.com/gx-solutions

© 2023-24 Helmer Inc. All rights reserved

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GX Solutions From Helmer Engineered for a 10-Year Service Life GX Solutions refrigerators and freezers have undergone Accelerated Life Testing to ensure they meet the quality and reliability requirements to perform in the busy pharmacy environment.

General Manager: Matt Barga Sales Leader:

Betsy Cox (800) 743-5637 Address: 14400 Bergen Boulevard Noblesville, IN 46060 Website: www.helmerinc.com Toll-Free Phone:

Company Background Helmer Scientific, now part of Trane Technologies Life Science Solutions, is a U.S.-based manufacturer and worldwide distributor of medical-grade cold storage and laboratory processing equipment.

We have over 45 years of experience in providing high-quality temperature-controlled environments, with our products being used in over 125 countries. Precise temperature performance and control are essential to the successful storage of pharmaceuticals, and Helmer cold storage products are designed and developed with these considerations.

Product Overview n GX Solutions — Engineered to Perform, Engineered to Last GX Solutions refrigerators and freezers are designed and tested to deliver world-class temperature performance Helmer customers have come to trust from the leading manufacturer of pharmacy cold storage equipment.

n Performance Superior performance ensures that products are safely stored at the right temperature. GX Solutions refrigerators and freezers offer: • Tight temperature uniformity and stability.

• Fast temperature recovery after door openings.

• Configurable to meet most application requirements.

• Standard NSF/ANSI 456 Vaccine Storage Certification.

• Available in 5 cu ft to 58 cu ft footprints. n Efficiency & Sustainability GX Solutions refrigerators and freezers support sustainability initiatives without sacrificing performance.

• ENERGY STAR® certified.

•U tilize low-GWP natural hydrocarbon refrigerants with zero ozone depleting potential.

•M eet many energy standards including the EPA SNAP program.

Contact Information

Contact a Helmer sales representative at sales@helmerinc.com.

n Reliability GX Solutions refrigerators and freezers are manufactured in an ISO 13485 certified, FDA registered facility. They have undergone accelerated life testing to ensure they provide reliable performance and protection for the most sensitive pharmaceutical applications.

Accelerated Life Testing (ALT) is incorporated into the Helmer design process to ensure reliability: • Identifies and addresses possible failure modes prior to equipment release for general use.

• Exposes units to very high levels of stress to challenge the system down to the subassembly and component levels.

• Ensures the unit’s design can withstand the rigors of daily use through a 10-year life.

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Thought Leader s e i r Se o e d i V

What are the experts saying?

Visit the library at RXinsider.com

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Accelerating Your Specialty Pharmacy Program

Transforming Healthcare through Pharmacy

Nicole Faucher, President, Allison Arant, Senior Vice President of Client Development & Marketing, Mo Kharbat, Vice President of Industry Affairs, Alex Pham, Vice President of Client Strategy, Rusty Atkinson, Vice President of Information Technology, and Daniel Gladwell, Associate Vice President of Finance

Erick Siegenthaler, Senior Director of Infusion Strategy, Kristin Fox-Smith, Managing Director 340B ACE, Angela De Ianni, Senior Director, Angie Amado, Director of Specialty Pharmacy Services, and Herolind Jusufi, Consultant

Topics Include: • Clearway Health: Specialty Pharmacy Accelerator.

• Three key elements that establish a healthy and effective partnership.

• How the information technology team impacts patients’ lives.

Pharmacy Business Career Experiences With CVS Health Joshua Cahill, Lead Director of Talent Acquisition, Wendy Perreault, Experiential Learning and Residency University Relations Manager, Dominic Cava, Pharmacy Manager, John Cerni, Region Director, and Jessica Read, Region Director Topics Include: • What a Pharmacy Business Leadership Rotation looks like with CVS Health.

• How pharmacy students can develop their clinical and management skills.

Topics Include: • Five keys to success with specialty pharmacy.

• Partnering with Visante for infusion strategy.

• 340B optimization.

Pharmacy Careers With Rite Aid Kelson Record, PharmD, CDR, Marcus Weaver, Roya Naim, PharmD, AIRS-CDR, and Nathan Johnson, PharmD Topics Include: • Qualities recruiters look for in candidates.

• How Rite Aid leverages technology.

• Advice for new pharmacy school graduates.

• Career growth opportunities at Rite Aid.

• Who can complete a Pharmacy Business Leadership Rotation experience.

• How the PBLR exposes participants to unique pharmacist roles.

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Order Routing

Data Management

Dashboards

Management System

Blister Card Automation

Vial Filling

Pouch Automation

Pouch Inspection

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Introducing the Next Generation Pharmacy Automation and Software From JFCRx Conceived and operated by industry veterans, JFCRx helps pharmacies realize their vision for the future through analytics-driven automation. We connect data and leverage analytics to streamline pharmacy operations for efficiency and profitability.

Chairman: Duane Chudy Founded:

2020 (262) 729-9200 Address: N1671 Powers Lake Road Genoa City, WI 53128 Website: jfcrx.com Phone:

Company Background JFCRx is a pharmacy automation partner that offers a full suite of complementary pharmacy automation solutions: leadingedge equipment and software, business process improvement intelligence, comprehensive analytics, and superior customer service. Led by an experienced team of pharmacy industry veterans, JFCRx leverages real-world data to help pharmacy operations become more efficient, increase productivity, and reduce operational costs through “analytics-driven automation.”

More than a vendor of pouch and blister adherence packagers, inspection systems, and vial-filling automation solutions, JFCRx is a technology solutions partner that provides the tools pharmacies need to be successful.

Product Overview n The Groundbreaking Enlite™ Management System Only JFCRx offers a complete suite of pharmacy automation solutions managed through one cloud-based ecosystem, Enlite.

This transformative software turns any number of disparate systems into a single solution — and delivers an enterprise level of efficiency, analytics, and reporting not available before in the industry. Enlite addresses inefficiencies and communication barriers in the pharmacy industry’s existing hardware ecosystem.

Schedule a demo to learn more about Enlite’s current reporting and dashboard capabilities and the enterprise-level expansions in development.

n Adherence Pouch Packaging Managing medication adherence is a key challenge for patient outcomes and overall cost of care. We help pharmacies improve patient medication adherence while optimizing production and efficiencies. TruPak™ is the next evolution of adherence packaging and delivers labor-saving automated tablet pouch packaging for improved safety, efficiency, and medication adherence. n Pouch Verification TruCheck™ provides adherence pouch verification for product quality, accuracy, and traceability. Efficient and accurate verification, review, and storage of adherence pouches is critical to any pharmacy operation. TruCheck streamlines production and minimizes timely manual checks while ensuring patient safety. n Vial Filling Vial filling technology helps pharmacists dispense medications more efficiently and accurately versus traditional manual processes.

This means staff can spend more time on patient care and depend upon the accuracy and verification capabilities of their vial filling solution. TruScript™ provides easy, safe, and accurate semiautomated vial filling. With a user-friendly interface and scalable design, it is adaptable to any pharmacy and can link multiple devices together to expand formulary capacity.

Markets Served • Long-Term Care • Retail • Hospital Ordering Information

To learn how analytics-driven pharmacy automation can help you increase revenue, efficiency, and productivity, please contact us at (262) 729-9200 or info@jfcrx.com or visit jfcrx.com.

n Multi-Dose Blister Card Packaging TruCard™ is the industry’s only automated multi-dose blister card packaging solution with integrated image verification. Designed to fit the needs of any pharmacy through flexible configurations and workflows, the TruCard line provides accurate and efficient workflows to fill and check blister cards automatically.

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Ease the process.

Increase the care.

You Paladin Point of Sale for Rx Processing and OTC Inventory Paladin helps ease Rx processing with single-point checkout and makes OTC inventory control a breeze – freeing you up to address patient care needs without sacrificing efficiency and profitability.

With Paladin you’ll get a consolidated point-of-sale process, spend less time on OTC inventory management, and get unsurpassed US-based customer support.

Compliance adherence Wholesaler integrations Prescription status report OTC inventory management tools 100% SIGIS-certified and NPLEx integrated

“ "With so many regulations and requirements involved, Paladin POS made everything simple and effortless."

Michael Welsch Miller’s Pharmacy, West Henrietta, New York

Paladin integrates with many of the leading Rx Management Systems.

learn more at paladinrx.com

sales@paladinpos.com

800.725.2346

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Single-Point Checkout Built for Pharmacy by Paladin Data Corporation Paladin Point of Sale helps pharmacies run better by automating time-consuming processes.

President:

Dan Nesmith Founded: 1980 Employees: 70+ Toll-Free Phone: (800) 725-2346 Fax: (541) 383-3887 Address: 916 East Baseline Road, #101 Mesa, AZ 85204 Website: paladinrx.com

Company Background Paladin Data Corporation is a leading provider of retail technology that automates complex and time-consuming business operations.

For over 40 years, we have focused on helping independent retail businesses run better.

PaladinRX integrates with all leading pharmacy systems, helps ease Rx processing with single-point checkout, and makes OTC inventory control a breeze — freeing you up to address patient care needs without sacrificing efficiency and profitability.

Product Overview With Paladin Point of Sale, you get unsurpassed U.S.-based customer support and a consolidated point-of-sale process so you’ll spend less time on Rx processing and OTC inventory management and have more time to focus on patient care.

Paladin Point of Sale is a front-end pharmacy solution that integrates with your prescription management system to speed up prescription processing via single-point checkout.

Key Features Compliance Adherence

Paladin makes audits a breeze by ensuring your Rx processing adheres to federal regulations and insurance requirements like HIPAA signatures, FSA/HSA/HRA expenditures, and NPLEx tracking that includes enforcement on pseudoephedrine purchase limits and historical data.

Split Invoice Processing

Paladin is 100% SIGIS-certified and speeds up the checkout process with the ability to differentiate between IIAS-eligible vs. non-eligible products and split transactions across FSA, HRA, HSA, credit cards, and other forms of payment.

OTC Inventory Management Tools

PaladinNsight™ and Market Driven Inventory Management™ put your inventory data at your fingertips with real-time data that adds intelligence to the inventory process so you can easily and confidently determine stock needs and make quick purchasing decisions.

Wholesaler Integrations

Wholesaler integrations provide timely access to current pricing and allow stores to place electronic orders and receive invoices quickly and easily.

Prescription Status

Paladin provides reports to easily verify the prescription status for pending, filled, or picked-up prescriptions.

Paladin Point of Sale and OTC Inventory Management software ensures compliance by capturing final invoice amounts and signatures for both pharmaceutical and OTC items dispensed at checkout, then returns data back to the Rx management system for patient records. Paladin also: n Provides options for barcode integration. n 100% SIGIS-certified and NPLEx integrated. n Integrates with many of the leading Rx systems.

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CAS E S TU DY ACCREDITATION PUTS THE SPOTLIGHT ON QUALITY IMPROVEMENT Improving Your Business Through Accreditation BUILT ON A MISSION OF ‘PATIENTS FIRST’ Founded in 1942, Lewis Drug has been a trusted, family-owned neighborhood pharmacy for over 80 years. Today, the company has 60 locations throughout South Dakota, Minnesota, and Iowa, offering traditional pharmacy services to the surrounding communities. Many of their stores also support assisted living facilities, nursing homes, and other long-term care providers.

Jessica Strobl, PharmD Vice President of Professional Services ~ Lewis Drug

“

In the end, what TCT does for Lewis Drug,” says Strobl, “is help us put a spotlight on quality improvement.

That’s exactly what I’m looking for. That’s what it’s all about for us.”

26

thecomplianceteam.org

With a mission of putting patients first, Lewis Drug has a corporate team of experienced pharmacists and pharmacy technicians who provide guidance and support to each store. “We aim to give our pharmacists-in-charge the autonomy to run their stores in a way that meets the needs of their communities,” says Vice President of Professional Services for Lewis Drug, Jessica Strobl, PharmD. “Our goal is to take some of the day-to-day details of operating a pharmacy off their plates so they can focus on their patients.” That includes everything from establishing companywide safety protocols to staying on top of Medicare best practices and benchmarking requirements.

Lewis Drug knew accreditation would deliver incredible value in terms of operational efficiency, improving patient outcomes, and employee satisfaction. The challenge, Strobl says, is that the corporate team is relatively small. “The thought of putting all the pieces together for accreditation and keeping up with annual updates, especially where Medicare billing is concerned, is a bit overwhelming on top of our day-to-day responsibilities.”

That’s why in 2018, they turned to The Compliance Team (TCT).

LEWIS DRUG’S ACCREDITATION JOURNEY Working with pharmacies and healthcare providers nationwide, The Compliance Team is known for its industry-leading accreditation model. As a first step, Lewis Drug worked toward earning TCT’s Community Pharmacy Accreditation program, which includes DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) Part B. As an approved program by the Centers for Medicare & Medicaid Services (CMS), DMEPOS Part B accreditation was particularly important to the pharmacy. “I’d say there might have been a time when we considered not offering Medicare B billing because of the complexity,” says Strobl. “It can be a lot of extra work for low reimbursement rates.” Yet, not providing that service simply didn’t fit in with their philosophy of putting patients first. Added to that, she continues, Medicare B audits are pretty standard and require a lot of documentation. “Before working with The Compliance Team and earning accreditation, we

CAS E S TU DY

“

For us, being an Exemplary Provider means we’re delivering the most consistent and highest quality services possible.”

Jessica Strobl, PharmD Vice President of Professional Services ~ Lewis Drug

“

Not only has Accreditation resulted in better consistency across our 60 locations, but it has made us more self-aware of the things we needed to be accountable to.”

Mr. William Ladwig, RPh Senior Vice President, Professional Services ~ Lewis Drug

struggled with gathering all the information we needed on a consistent basis.” This made audits stressful. TCT helped the team create a standardized process for every Medicare Part B fill. Now, pharmacists use a simple form to capture all the details needed in the event of an audit and have patients sign off on it. “Having a partner, like The Compliance Team, who knows the nuances inside and out, who can break things down and explain it to you in plain language, is invaluable.”

Since then, Lewis Drug has added Long-Term Care Accreditation at various locations to support their partnerships with the local facilities they serve. This is in addition to TCT’s TelePharmacy Accreditation, explicitly designed to help pharmacies expand their reach in remote communities within state-specific regulations. Lewis Drug has earned TCT’s Exemplary Provider® status through these accreditations, demonstrating their commitment to quality and safety. “For us, being an Exemplary Provider means we’re delivering the most consistent and highest quality services possible,” explains Strobl.

REAPING THE REWARDS OF PHARMACY ACCREDITATION Accreditation certainly does take time and effort, but Strobl believes that not being accredited and trying to weed through standards and policies alone would be even more time-consuming. That’s why she feels having TCT’s compliance requirements written in a clear, straightforward way has been immeasurable for Lewis Drug’s small corporate team. “Knowing we can rely on their expertise means a lot to our pharmacists because they can concentrate on doing what they do best, taking care of their customers.” And it shows. Strobl says patients feel very comfortable coming into a Lewis Drug because they know pharmacists are always available to answer questions. “Our pharmacies are just getting busier and busier, and I think it’s because of the level of service our pharmacists provide – partly due to the efficiencies accreditation has afforded us.” Strobl says accreditation has also added a lot of value for the pharmacy where payers and State Boards of Pharmacy are concerned. “They know that as an accredited provider, we are already meeting many of their guidelines — and that we’re operating on a proven set of policies and best practices.”

“In the end, what TCT does for Lewis Drug,” says Strobl, “is help us put a spotlight on quality improvement. That’s exactly what I’m looking for. That’s what it’s all about for us.” She points to Medicare as an example, which requires that pharmacies document patient complaints. “The Compliance Team has helped us develop a process for gathering the information as required – through their patient satisfaction tool — but they’ve also shown us how to use the feedback as an asset to uncover opportunities to do better.”

Strobl adds that TCT also encourages the pharmacy to push the envelope with its quality improvement goals. “They dig deeper into where we are and where we want to be – even comparing quality improvement goals year after year to make sure we’re building on them.” She says this helps the pharmacy keep moving forward and stay true to its innovative nature.

A FOOLPROOF METHOD TO PROCESS IMPROVEMENT TCT’s programs are designed to provide third-party validation of processes based on operationsdriven standards, adapted to the unique aspects of each organization’s business model. Standards are written to be easy to understand – with the objective of establishing consistency of services, processes, and quality across all of Lewis Drug’s pharmacies. This is combined with TCT’s expert implementation guidance. Together, TCT’s model and its accreditation process help pharmacies streamline operations and improve patient and staff satisfaction.

When starting an accreditation process, TCT gives pharmacies access to a dedicated portal that provides checklists and details the standards to be met. “We usually start with a self-assessment to determine what we need to focus on,” says Strobl. To help them do this, TCT offers a series thecomplianceteam.org

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“

The Compliance Team’s approach gives us a foolproof way of ensuring we are operating up to all the appropriate standards.”

Jessica Strobl, PharmD Vice President of Professional Services ~ Lewis Drug

Benefits of Accreditation At-a-Glance 3rd Party Validation of Processes Improved Operational Efficiency Consistent Quality of Services Improved Patient Outcomes Increased Employee Satisfaction Medicare Compliance

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of tools and learning opportunities, such as accreditation webinars. Lewis Drug also has access to a dedicated accreditation expert so they can ask questions and get additional support. “Working closely with The Compliance Team throughout, we’re able to identify what we’re doing well and where we might be able to make process improvements – and map out a plan to make it happen.”

Once policies and procedures are in place, TCT conducts unannounced on-site visits to ensure Lewis Drug pharmacies adhere to all the accreditation standards. “That might be something as simple as making sure all appropriate signage is posted or that our staff have been recently trained on how to use fire extinguishers,” explains Strobl. “But The Compliance Team also confirms that policies needed for certain services are being followed and we are always compliant.” Pharmacy staff even enjoy the site visits, she adds. “Every store is very proud of how they operate and serve the community, and they look forward to showing The Compliance Team what they are doing.”

Lewis Drug maintains the standards and processes through periodic reviews with appropriate staff.

This helps the pharmacy keep up with policy changes and updates where needed. Employees at every store are required to review policies annually as well to ensure they are always up-to-speed.

“The Compliance Team’s approach gives us a foolproof way of ensuring we are operating up to all the appropriate standards,” Strobl explains.

A LOOK TOWARDS PHARMACY GROWTH AND PATIENT SATISFACTION Lewis Drug has expressed an interest in attaining additional accreditations and certifications from The Compliance Team. “We’re in the process right now of determining how other TCT programs fit into the pharmacy of the future – not only to our operation but pharmacy services in general,” explains Strobl.

This look ahead is one of the aspects the pharmacy appreciates most about TCT. “One of the reasons we chose The Compliance Team is because we felt they had very similar core values to us,” she says. “They are truly interested in helping us deliver the very best pharmacy services we can, and that adds a lot of value for our customers.”

Go beyond ordinary.

Be exemplary.

“In the end, what TCT does for Lewis Drug is

help us put a spotlight on quality improvement.

That’s exactly what I’m looking for. That’s what it’s all about for us.”

— Jessica Strobl, PharmD and VP of Professional Services at Lewis Family Drug - 60 locations accredited for Community Pharmacy/DMEPOS

Because every patient deserves Exemplary Care.

TheComplianceTeam.org 215-654-9110

Be an Exemplary Provider®.

Choose TCT.

From Walls to Counters to Rooms

We Do It All!

Modular and High Density For over 50 years, Uniweb, Inc. has manufactured domestically delivering durable products in weeks - not months.

Uniweb has proven to increase inventory capacity by 30% and reduce project costs by 15-20% over conventional millwork solutions. Designed with fewer components and engineered

with tight tolerances, Uniweb products are high density, will not rip or tear, and exceed stringent UL standards.

PreWired Rooms & Counters: UL listed, engineered, and factory built. All connecting cables provided.

Electrical outlets per your specification; regular, ISO, utility, clean, dedicated.

Future Ready Need more space or a change in operations layout? You are not locked into your original design.

Room sizes, counter run configurations, and accessories are unlimited!

For More Info

Made in the USA

Since 1970

uniwebinc.com 800.486.4932

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Retail Displays, RX Rooms, Storage, and Workstations Expertly Crafted by Uniweb, Inc. Since 1970, Uniweb has been factory-made domestically, delivering durable products in weeks, not months, manufacturing all-steel pharmacy systems, softened with unlimited choices of millwork décor and fabric panels.

Founded:

1970 Employees: 100+ Toll-Free Phone: (800) 486-4932 Address: 222 South Promenade Avenue Corona, CA 92879 Website: www.uniwebinc.com

Company Background

n Uniweb is the Multi-Tool of the Fixturing Industry Uniweb offers various retail, pharmacy, and millwork products for retailers looking to expand their departments without dramatically increasing space allocation. Uniweb RX systems hold more products in the same footprint over conventional systems, boosting profits!

Uniweb collaborates with designers and store personnel to craft visually appealing and practical pharmacies and consult spaces. They offer customizable surface options, materials, colors, and finishes coordinating with the surrounding store interiors.

Product Overview

Uniweb offers diverse, versatile, and modular solutions utilizing every inch of space with flexible room configurations, RX storage bays, and accessories. Designed with fewer components and engineered with tight tolerances, Uniweb’s American-made products exceed UL standards, deliver high-density storage, and will never rip or tear! Whether it’s new construction or renovations, Uniweb offers a comprehensive line of fixture solutions: • Complete Modular Rooms • Clean-Line Wall Storage Panels and End Caps • Consultation and Health Clinic Spaces • Will Call, Check-Out, and Queuing Systems • Workstations, Countertops, and Under-Counter Accessories • Locking Cabinets and Gondolas • OTC Systems and POP Displays • And so Much More ...

The walls, counters, cabinets, shelving, and accessories provide infinite versatility while allowing you to design and equip your space for expandability and appearance at an affordable price.

Features & Options

n Why use Uniweb RX systems?

Uniweb is synonymous with flexibility and durability. Retailers can futureproof their existing space by employing more profitable, high-density fixtures. These long-lasting units can be easily updated and reconfigured,

ensuring your space grows with your sales demands. Uniweb products are prewired with data and electrical, and are easy to install, reducing administrative and construction costs.

Uniweb RX bays maintain uninterrupted inventory shelving, with no breaks between or behind bays, and accommodates the tallest bottle, meaning no wasted space. Pharmacy staff does not need to remove drugs from the RX tray when repositioning on the panel. This system will increase product storage by a minimum of 17% and, in some cases, by as much as 50%. Uniweb RX systems are the smart choice for any retailer looking to optimize their space and increase profits.

Most importantly, Uniweb takes pride in its commitment to domestic sourcing and operations. From design to installation, Uniweb ensures that each room or fixture meets retailers’ operational requirements, helping merchants achieve their sales goals.

Product Lines

n Beyond The Pharmacy Looking to give your store a fresh new look? Uniweb’s Retrofit Crew can help!

Our retrofit options allow you to increase product facings without changing your existing fixtures.

Variety Panel: Continuous channels and no upright interruptions.

This all-steel merchandiser increases product facings by 17% or more!

Easy to install. Attach appropriate brackets and insert them into your existing upright unit.

Allied Panel: Short insert hooks welded onto the panel frame allow

panels to lock into existing uprights easily. Panels may also extend beyond gondola height, creating additional merchandising space.

Insert Panel: Replaces torn and inefficient pegboard. Simply remove

the pegboard and insert Uniweb into existing store uprights, permitting the use of existing shelving.

Pushing Density To The Limit!

Markets Served

We serve pharmacies, hospitals, clinics, general retail, universities, veterinarian offices, and convenience stores.

Ordering Information

Choose Uniweb for top-quality shelving and accessories made in the USA. Our expert sales team will help you find the best options. Contact us at (800) 486-4932 or visit uniwebinc.com to learn more. We’re here to help with any challenges you may have.

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2 0 WAY 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

EZ Grid™ From Health Care Logistics® Puts an End to Misaligned Blisters and Labels Built-in locator pins ensure precise label-to-blister alignment every time you repackage tablets or batch process prescriptions.

President & CEO: Gary Sharpe Founded:

1978 300+ Toll-Free Phone: (800) 848-1633 Phone: (740) 477-3755 Address: P.O. Box 25 Circleville, OH 43113 Website: GoHCL.com Employees:

Company Background What began in 1978 as a garage-based business at the home of HCL® owner Gary Sharpe now encompasses five well-equipped facilities in central Ohio and reaches customers around the globe. Employment has grown, with more than 300 employees dedicated to the company’s mission of providing unmatched customer service. Sharpe discovered early in his career the need for healthcare products in sizes, quantities, and materials not readily available and was determined to deliver. And has he ever. Today, HCL’s inventory includes more than 9,000 different products, all designed to provide “special answers to special problems.”

Most of these items are maintained locally in more than 320,000 square feet of warehouse space and meet the supply needs of hospitals, pharmacies, chain drug stores, pharmaceuticals, and many other facets of healthcare.

Product Overview n EZ Grid™ Unit-Dose Packaging System Achieve precise label-to-blister alignment every time you repackage tablets or batch process prescriptions with our exclusive EZ Grid unit-dose packaging system. Sheets for blisters and labels are available in 5 x 5 grids so there are no unused pieces and no waste to discard. The system is designed around a sturdy aluminum frame with two locator pins. It allows you to choose your inserts (pick from round, slot, and square; all are interchangeable), then choose the matching blister and label combination that meets your Class A or Class B package requirements. Select only the pieces that apply to your process. Blister and label combinations meet USP <671> so you can be confident in the quality of your unit-dose package from start to finish.

HCL® by Design Our manufacturing division encompasses 120,000 square feet of space dedicated to making exactly what you need. Because production capabilities are virtually unlimited, we can help healthcare professionals solve problems and improve performance, accountability, and reliability in ways previously unthinkable.

Additional Product Lines • Unit Dose • Storage • IV Accessories and Injectables • Compounding and Dispensing • Seals • Plastic Bags • Refrigerators, Freezers, and Accessories • Temperature Monitoring • Infection Prevention • Carts and Accessories • Pharmacy Supplies • Crushers, Cutters, and Organizers • Error Prevention Markets Served • Central Supply/Purchasing/MM • Emergency Department • Facilities/Engineering/Maintenance • Infection Control/Sterile Processing • Labs/Clinical • Nursing • Oncology/Hematology/Infusion • O.R. • Pharmacy • Surgery Center Ordering Information

We offer small package quantities, no order minimums, free samples, and ship most orders the same day. Our hassle-free return policy allows you to return any product, at any time, for any reason.

Connect with our live chat team from 8 a.m. to 8 p.m. EST, Monday through Friday.

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Crafting Success & MADE-TO-ORDER SODAS: The Unique Charm and Timeless Journey of Green Line Apothecary

On a crisp morning in Providence, we stepped through the doors of Green Line Apothecary, feeling like we had journeyed back in time — but with a delightful twist! Established in 2016 by Christina Procaccianti and her husband, Ken Procaccianti, this charming establishment graces a bustling street just outside downtown Providence. As we embarked on a tour of the facility, engaging in conversation with Christina herself, we were treated to a delightful surprise — homemade ice cream crafted with organic ingredients. Join us as we delve into the story behind this unique independent pharmacy and uncover the secrets to its enduring charm.

The Story Behind Green Line Apothecary You often hear, “my father was a pharmacist” or “my grandfather opened this pharmacy” but that is not the story behind Green Line Apothecary. Christina Procaccianti’s father was a greeting card salesman, and when she was young, he would get her jobs changing the cards over, where she found herself wandering to the store and falling in love with the environment. She grew up in the pharmacy world and after graduation, went to Northeastern University in Boston, Massachusetts. Procaccianti worked in chains and hospitals but always had a calling for independent pharmacy, especially after working for a familyowned independent chain based in Rhode Island. She had such a positive experience working there, but it was time to branch out and do her own thing, her version.

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Procaccianti and her husband, opened Green Line Apothecary in April 2016 in Wakefield, RI. Their modern interpretation of a classic American drugstore. A big part of that was the recreation of the soda fountain with real fountains from the 1940s that were rescued, restored, and brought back to life. After success with their initial location, they opened an additional pharmacy in Providence, RI, in 2019. In May 2021, they moved their flagship pharmacy in Wakefield into a larger facility a couple doors down.

Personalized Service at Green Line Apothecary vs. Traditional Independent Pharmacies With big chains vertically integrating, Green Line wants to be the alternative and create a different experience for patients and customers down to the soda fountain, a curated selection of products, and tailored relationships with patients. As a common phrase in pharmacy, “pharmacist-recommended,” Procaccianti takes pride that every product on the shelf is “Christinarecommended” and hand selected by herself and her staff of pharmacists. Due to her background in integrative medicine, they carry alternative, natural, or homeopathic brands.

At Green Line, pharmacists are powered to practice to the fullest extent of their licenses, making them a true piece of the continuum of care for the patient’s journey. Given these principles at the core, it’s only natural for Green Line to progress by expanding its operations and introducing a pharmacist-led medical clinic in 2024, Green Line Express.

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Balancing Innovation and Nostalgia While the interior of Green Line takes you back in time, the technology and management of the working pharmacy are very much in the future. Acquiring a robot proved immensely beneficial as they were overwhelmed by production demands. Now Procaccianti’s staff has the flexibility to do clinical services and have consultations with patients, allowing them to have that personalized service without being bogged down by production.

Green Line also integrates software with their adherence packaging Green Line Supply Pill Packs. Using technology to assist them and eliminate the manual process, ultimately helping their patients stay compliant with medication in vials, multi-dose, or single-pill packs.

Delivering Convenience — Exploring Green Line Apothecary’s Delivery Services Prior to COVID-19, Green Line was delivering to their customers in style in a ‘49 Chevy named “Clara,” and it was a busy part of their business. However, once COVID hit they were able to be nimble, and overnight they went from having one car to 13 cars on the road.

They now have a fleet of drivers and do hundreds of free deliveries a day. Being in the small state of RI with two locations, they are able to deliver state-wide quicker than Amazon!

“People want to support local businesses, but they don’t want to go without the convenience, they don’t want it to cost

The original delivery ‘49 Chevy, was turned into Clara’s Cart. A mobile cart serving scratch-made ice cream, floats, and vintage soda fountains to special events.

vaccines, she also encourages a balanced approach. While endorsing conventional treatments, she suggests exploring alternatives such as herbal remedies or eliminating additives like Red Dye 40.

more, and they like the convenience of what the large stores have to offer.

So Green Line is offering all those things”, said Procaccianti.

Owners Christina and Ken Procaccianti first crossed paths aboard the Green Line subway while in college, it was also where Ken proposed.

Advice for Pharmacy Diversification There’s no better way to wait for your prescription than with a fountain soda or homemade ice cream prepared the oldfashioned way, using the pump-and-jerk method.

At Green Line, they say the services speak for themselves. Procaccianti is a true believer that you cannot rely solely on your prescription volume, reimbursement are not trending positively these days, and you must diversify your other offerings. Examples Green Line sees success in includes customized OTC product selection, the fountain, and heading into the medical clinic space. “Just don’t get left behind”, Procaccianti declared with confidence.

Integrative Medicine Expertise Procaccianti’s approach to integrative medicine is “not about extremes.”

Whether it’s the realm of pharmaceuticals or the belief that rainbows and butterflies can solve all woes, she contends that the majority of practicing pharmacists occupy a middle ground. Specializing in preventative medicine and advocating for

Christina Procaccianti, PharmD, Founder, CEO, and Director of Pharmacy at Green Line Apothecary Inspired by her childhood, Dr. Procaccianti set out to reimagine the classic American drugstore.

In 2016, Dr. Procaccianti founded Green Line Apothecary, the fast-growing, independentlyowned healthcare company that combines the nostalgic personalized service of vintage drugstores with the efficiency of modern pharmacy. She leads a team of over 100 people that orchestrate its elegant brick-and-mortar stores, robust delivery and e-commerce infrastructure, long-term care SPRING 2024

pharmacy services, curated health and wellness products, and the scratch-made food and ice cream served at its retro soda fountains.

A 2007 graduate of Northeastern University with a Doctorate of Pharmacy, Dr. Procaccianti has been the recipient of numerous accolades and is a devoted member of the communities she serves.

She is a New Jersey native, now residing in RI with her husband and their three daughters.

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2 0 WAY 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

Return Solutions Offers Faster Credit, Easier Tracking, and Efficient Processing Reduce time spent tracking credits and get credit quickly with Return Solutions’ OneCheck Select program — the fastest Rx return credit reimbursement in the industry.

President & CEO: Michael Ayres Founded:

Toll-Free Phone: Phone: Fax: Address: Website:

1992 (800) 579-4804 (865) 675-1355 (865) 675-2474 10635 Dutchtown Road, Knoxville, TN 37932 www.drugreturns.com

Company Background

Founded in 1992, Return Solutions is one of the most experienced and trusted reverse distributors in the industry. Over the last 32 years, we have built relationships with group purchasing organizations across the country and are currently recommended by over 25 buying groups representing 20,000+ pharmacies. In 1998, we became the first returns company to issue checks to our customers for credit, and since then have paid customers over $1 billion.

Product Overview

The OneCheck Select program is tailored to independent and regional chain pharmacies and health systems. Over the past 32 years, we’ve perfected our pricing and reimbursement processes to ensure you receive maximum compensation for your outdated products. We optimize the reimbursement process, consolidating credit into one check and ensuring that you receive credit quickly — within as few as 10 days if you choose our 10-Day Pay program, or within no longer than 90 days with our most economical option. Credit values are listed on the check stub, so you know exactly how much you have received from each manufacturer.

Our all-inclusive fee, including shipping, CII-CV processing, destruction of non-returnable items, and extensive reporting available on our website, is a fixed percentage of your returnable product value and is deducted from the check we issue to you, so there are no hidden fees or surprise charges. Choose from our comprehensive On-Site Service and let our experienced representatives handle every aspect of your return or use our easy and economical web-based Mail-In Service if you prefer to complete your returns on your own time.

Features & Options

n OneCheck Select • Credit consolidated into one check.

• Choose your reimbursement time frame.

• Check issued within as few as 10 days.

• All-inclusive fee with no hidden charges. n On-Site Service • Experienced representatives scan all prescription shelves for short-dated and outdated items.

• All items are scanned into our proprietary valuation software.

• Items are packaged and prepared for FedEx pickup.

• Receive a credit estimate and detailed reporting before the rep leaves your store. n Mail-In Service • Easily inventory products on our online returns portal.

• Print return authorization forms and prepaid UPS shipping labels.

• Give boxes to any UPS driver.

• Receive a credit estimate and detailed reporting online within three to five business days. n Destruction Service • Safe, simple, and compliant destruction of unsaleable pharmaceuticals.

• Non-hazardous products destroyed by EPA-approved waste-toenergy incinerator.

• Controlled substance destruction witnessed by at least two employees.

• Proof of destruction and DEA forms included in pricing.

Product Specifications

Return Solution’s 24/7 online portal allows you to access your entire return history down to NDC level along with all credit information. We provide business analytics and trends so you can adapt purchasing habits to ensure maximum future ROI. You can print controlled substance reports and proof of destruction to ensure you are always in compliance in case of an audit.

Testimonials

“ T he rep and the company are very hardworking, honest, and straightforward about everything. There are no surprises. The rep is the best ever.”

— Gibson Discount Pharmacy, Birmingham, AL

“ Wonderful white glove customer service, robust website promoting transparency, where you can track your returns, and easy to understand reporting. 5-stars.” ­— Birdsongs Pharmacy, Baytown, TX

GPO Affiliations

• AAP • AIP • AlliantRx • American Pharmacies • APNI • APSC • All-Win Rx • CPA

• EPIC

Pharmacies • Gerimed • IPA • IPC • Keystone • LWD • Mutual Drug

• NPSC • PBA Health • PFOA • Pharmacy Plus • PPSC • PPOk • QualityCare Pharmacies

• RxPlus • Sav-Mor • SPC • UPNI • We Care

Pharmacy

• WSPC

Ordering Information

To learn how Return Solutions can help decrease time spent on returns and maximize your expired product credit, please call (800) 579-4804 or email support@drugreturns.com. You can also visit our website at drugreturns.com for additional information or to create an account.

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Precision cooling, Certified Confidence

NSF Certified Vaccine Cold Storage

Extensive selection of models ranging from 1 to 49 cu. ft.

Fastest lead times in the industry Temperature alarms with audible and visual indicators for product security Microprocessor temperature controller – superior temperature control and recovery EPA/SNAP compliant hydrocarbon, natural refrigerants; environmentally friendly and lowers energy expenses Temperature monitoring device included with 3-year certificate of calibration

Call Us : (843) 821-8010

Visit Us : www.americanbiotechsupply.com

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Precision Cooling, Certified Confidence With American BioTech Supply The NSF/ANSI 456 Standard for Vaccine Cold Storage ensures that certified units protect pharmaceuticals at optimal temperatures, prioritizing patient safety, preventing waste, lowering energy costs, and allowing for peak delivery of vaccines.

President:

Laura Steiner Founded: 1994 Employees: 150+ Toll-Free Phone: (800) 648-4041 Phone: (843) 821-8010 Address: 125 Varnfield Drive Summerville, SC 29483 Website: americanbiotechsupply.com

Company Background American BioTech Supply (ABS), a Horizon Scientific, Inc. brand, provides a full range of temperature-controlled equipment to our customers across the healthcare, laboratory and clinical research, pharmaceutical, and industrial segments. The extensive portfolio of quality products ranges from small capacity countertop refrigerators to freezers, including special purpose, applicationspecific models, as well as cryogenic freezers for long-term sample preservation. Ensuring customer requirements are met, all products are designed in a variety of configurations, from general purpose cold storage to medical and pharmaceutical storage with stringent temperature performance requirements. With over 25 years of experience, ABS excels at quickly developing customer solutions at competitive price points while providing industry-leading service levels. The ABS advantage includes a comprehensive array of products and services to meet your temperature-controlled storage needs, an industry leading warranty, a dedicated support team, and many models are available from in-stock inventory and are ready to ship.

Product Overview ABS is an active member of the committee that developed the NSF/ANSI 456 Standard, and our units incorporate the stateof-the-art technology specified by the CDC. We have the largest selection of cold storage certified to the NSF 456/ANSI Standard adhering to the specifications regarding temperature consistency, unit design, and product features. Refrigerator and freezer models in compliance with this standard provide a new level of vaccine preservation, optimizing cold storage performance, and maximizing safety.

ABS offers both small capacity undercounter models, as well as large capacity, upright units that meet or exceed the NSF 456/ ANSI Standard for Vaccine Storage. Our growing portfolio of models are tested and certified by a 3rd party laboratory to ensure all requirements are met. Rigorous testing covers the construction details, controller requirements, and temperature variation of each certified unit.

These premium models include user-friendly digital temperature displays for precise readings, audible and visual high/low temperature excursion alarms for added security, and self-closing doors to ensure temperature recovery after door openings. With ABS, each vaccine dose experiences the highest level of protection providing your facility and patients with peace of mind.

Features & Options • Compliant with the thermal performance requirements as

defined in the NSF/ANSI 456 Standard for Vaccine Storage.

• UL, C-UL, ETL, C-ETL listed (either single or dual agency listings).

• Various configurations available including undercounter,

countertop, and large capacity upright models ranging from 1 to 49 cu. ft. to accommodate diverse facility needs.

• Parametric, microprocessor temperature controller with LED

display and 0.1° C resolution for superior temperature control, verification, and recovery.

• High/low temperature alarms with audible and visual indicators for exceptional product security.

• Utilizes EPA/SNAP compliant, hydrocarbon, natural refrigerants that are environmentally friendly and lowers energy expenses.

• Temperature monitoring device included that complies with the

current CDC guidelines, with 3-years certification of calibration, “buffered” probe in the product simulated solution, min/max memory. °F/°C switchable, and field installable.

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CAS E S TU DY PHARMERICA’S JOURNEY TOWARDS PATIENT-CENTRIC CARE THROUGH BEST-IN-CLASS INVENTORY AUTOMATION Gabriel Toribio Central Purchasing Manager ~ PharMerica Industry: Long-term and post-acute care Number of Pharmacies: 180+ Facilities Served: 3,100 Number of Employees: 6,000+

THE COMPANY: PHARMERICA PharMerica is a national leader in pharmacy services, serving over 3,100 long-term care, senior living, IDD/behavioral health, home infusion, specialty pharmacy and hospital partners.

THE CHALLENGES • Manual inventory management processes • Limitations of tracking inventory accurately • Inefficient and decentralized processes

THE SOLUTIONS • Automated inventory management • Streamlining inventory management and purchasing processes

THE CHALLENGE PharMerica faced several challenges in their operations prior to implementing best-in-class inventory automation. One major challenge was the manual and time-consuming nature of their inventory management processes. With a vast range of medications, spread across multiple departments and locations, keeping track of stock levels, monitoring expiration dates and ensuring optimal stock levels became a complex and labor-intensive task. The pharmacy staff had to manually update inventory records, reconcile discrepancies between different systems and manually calculate reorder quantities. This reliance on manual data entry and paper-based systems led to inefficiencies, errors and increased labor costs.

Additionally, the lack of real-time visibility into inventory levels often resulted in stockouts, delays in medication delivery and frustrated patients. Without an efficient system in place, it was difficult to obtain accurate and up-to-date information on stock availability. This often meant critical medications weren’t readily available when needed, causing delays in patient care and impacting satisfaction. In addition, the absence of real-time data made it challenging to forecast demand accurately, resulting in overstocking or understocking of medications. These inconsistencies not only increased costs, but also led to potential waste and expiration of medications, further impacting the pharmacy’s financial health.

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www.surecost.com

CAS E S TU DY

“

Instead of looking at five different vendors’ websites, your pharmacy management system and your inventory, with SureCost you can see everything in one place.”

Gabriel Toribio Central Purchasing Manager ~ PharMerica

Furthermore, the decentralized nature of inventory management within PharMerica created additional complexities. Each department had its own unique stock requirements, replenishment schedules and ordering processes. Coordinating these various systems and ensuring efficient communication between departments became a time-consuming and error-prone task. The lack of integration between the pharmacy management system and the inventory management processes hindered seamless operations and limited the ability to make informed decisions based on accurate, real-time data.

THE SOLUTION PharMerica recognized that overcoming these challenges was essential to improve their operational efficiency, reduce costs, and ultimately enhance patient care. They sought a solution that could automate their Inventory Manager solution processes, streamline workflows, and provide comprehensive visibility into their inventory across departments and locations.

SureCost is a unified purchasing and inventory solution designed for pharmacies to harness insights from their entire vendor and wholesaler catalogs. This software empowers pharmacy teams to identify the best purchasing options while ensuring compliance and optimizing workflows. Over 5,000 pharmacy professionals across the country use SureCost every day to save more, stay compliant and work smarter.

By implementing SureCost, PharMerica aimed to eliminate manual tasks, reduce errors, optimize stock levels, improve order accuracy, and ultimately focus more on providing exceptional patient care.

BENEFITS Enhanced Operational Efficiency SureCost’s Inventory Manager™ solution proved to be a game-changer for PharMerica. The automation of previously manual tasks, such as maintaining up-to-date inventory records and reconciling discrepancies, eliminated the need for time-consuming manual data entry and delivered real-time visibility into inventory levels. With the system’s forecasting capabilities and dynamic midmax values, PharMerica can accurately project future demand based on historical data and adjust reorder quantities accordingly. This proactive approach to inventory management helps prevent stockouts and overstocking, ensuring that the pharmacy always has the right medications in the right quantities.

A Fully Integrated Solution Moreover, SureCost’s integration with PharMerica’s pharmacy management system facilitates seamless data flow and eliminates the need for redundant steps in the inventory management process. The system automatically updates inventory records and synchronizes information across all relevant platforms, eliminating the risk of data discrepancies or duplication. The integration also promotes better coordination between inventory management and medication dispensing, reducing the chances of errors and delays.

The implementation of inventory automation not only saves significant time for the pharmacy staff, but also reduces the burden of manual tasks, allowing them to focus on more critical aspects of their roles, such as patient care and medication counseling. The streamlined workflows and automated processes free up valuable resources, enabling PharMerica to operate more efficiently and deliver exceptional service to their patients.

www.surecost.com

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CAS E S TU DY

“

Cost Reduction

When I was a pharmacy technician, it took one to four hours on a good day to complete cycle counts.

Once we implemented SureCost’s perpetual Inventory Manager Solution, our counts were easily and accurately up to date. This cut down purchasing and inventory management-related tasks to 30 minutes for my cycle counts and 15 minutes to confirm my order is accurate and submit it. I spent less time on purchasing and freed up my time to help in other areas in the pharmacy.”

Gabriel Toribio Central Purchasing Manager ~ PharMerica

SureCost’s Inventory Manager Solution empowers PharMerica with the tools and functionalities needed to mitigate the challenges related to cost management and medication waste. The system’s dynamic mid-max values ensure that PharMerica maintains optimal inventory levels based on actual usage patterns and demand forecasts. By considering factors such as historical data, seasonality and anticipated business gains or losses, SureCost provides accurate recommendations for reorder quantities, minimizing the risk of overstocking or understocking.

Furthermore, with SureCost’s usage modifiers, PharMerica can adjust stock quantities based on anticipated changes in business volume. For example, if PharMerica expects a 20% increase in business, they could proactively adjust their stock levels by leveraging the usage modifier to increase the order quantities temporarily. The usage modifier then automatically decreases as the new usage increases and is automatically removed once that level is hit. This flexibility in managing stock levels prevent stockouts during periods of increased demand and minimizes the financial impact of excess inventory during slower periods.

The automation of reordering processes and the ability to set automated alerts for low stock or discontinued items also plays a significant role in cost reduction. PharMerica can proactively replenish their inventory, taking advantage of favorable pricing or contract terms, while avoiding rush orders or emergency purchases at higher costs. The system’s reporting capabilities provide valuable insights into inventory performance, enabling PharMerica to identify cost-saving opportunities, negotiate better contracts with suppliers, and optimize their overall purchasing strategies.

Improved Patient Care SureCost’s Inventory Manager Solution has proven to be instrumental in enhancing patient care for those PharMerica serves. By streamlining inventory management processes and ensuring accurate medication availability, PharMerica can prevent stockouts and delays in medication dispensing.

The automation of reordering processes and real-time visibility into inventory levels empower the pharmacy staff to proactively address potential supply shortages and fulfill patient needs promptly.

The system’s integration with PharMerica’s pharmacy management system enables seamless data flow, ensuring that accurate and up-to-date inventory information is readily available during the medication dispensing process. This integration eliminates the changes of errors caused by mismatched or outdated inventory records, enhancing medication safety and accuracy.

With the automation of manual tasks and the time saved through streamlined workflows, the pharmacy staff has more time and resources to dedicate to patient care activities. PharMerica can focus on providing personalized medication counseling, addressing patient concerns and ensuring proper medication adherence. With reduced administrative burden, the staff engages more directly with patients, fostering stronger relationships and promoting better health outcomes.

Join over 5,000 pharmacy professionals across the country who use SureCost every day to save more, stay compliant and work smarter.

Book an Inventory Manager demo today to learn more about what smarter inventory can do for your pharmacy. https://info.surecost.com/talk-to-a-purchasing-and-inventory-expert?utm_campaign=RX%20 Insider&utm_source=RX%20Insider%20Case%20Study%20Ad&utm_medium=PharMerica

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www.surecost.com

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 0 WAY 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 50 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 IV 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 10 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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2 0 WAY 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

Zebra Technologies Environmental Sensors Bring Visibility and Cold Chain Confidence to Environmentally Sensitive Products Zebra environmental sensors provide insights into products, such as biologics and pharmaceuticals when temperature limits have been exceeded during transit, storage, and utilization.

CEO:

Bill Burns Founded: 1969 Employees: 10,000 Toll-Free Phone: (877) 208-7756 Address: 3 Overlook Point, Lincolnshire, IL 60069 Website: www.zebra.com

monitoring temperature in medication storage areas between -40° F – +185° F (-40° C – +85° C) to help with accreditation, compliance, and regulatory requirements. Data is uploaded automatically via the ZB200 Bridge or mobile device which can be accessed remotely and provides customized alerts to notify users instantly if there have been any temperature excursions. It’s available with a full suite of enterprise software deveopment tools to easily integrate into existing software solutions.

Company Background

n Product Use Cases • Wireless Bluetooth electronic sensors to monitor medication, biologics, and other temperature-sensitive products during shipment and storage utilizing a cloud-based storage and alerting system.

Zebra is striving to improve supply chain efficiency, global health, and patient care through the effective deployment of devices and solutions that identify temperature excursions and provide information so that action can be taken.

Zebra (NASDAQ: ZBRA) helps organizations monitor, anticipate, and accelerate workflows by empowering their frontline and ensuring that everyone and everything is visible, connected, and fully optimised.

Our award-winning portfolio spans software to innovations in robotics, machine vision, automation, and digital decisioning, all backed by a 50+ year legacy in scanning, track-and-trace, and mobile computing solutions.

With an ecosystem of 10,000 partners across more than 100 countries, Zebra’s customers include over 80% of the Fortune 500. Newsweek recently recognized Zebra as one of America’s Most Loved Workplaces and Greatest Workplaces for Diversity, and we are on the Fast Company’s list of the Best Workplaces for Innovators. Learn more at zebra.com or sign up for news alerts. Follow Zebra’s Your Edge blog, LinkedIn, Twitter, and Facebook, and check out our Story Hub: Zebra Perspectives.

Product Overview

For more than 50 years, Zebra has delivered innovative solutions and technologies that help organizations manage their inventories and activities — from barcode printers and scanners to RFID tags and readers, to mobile and wearable computers, to enterprise software and more.

Ready to Use Environmental Indicators

TransTracker® visual temperature indicators monitor medication heat and freeze events during shipment. They are simple to read and understand, so patients can tell immediately if medication has been handled within the appropriate temperature range. These devices instill a higher level of patient confidence so that unnecessary, costly reshipments due to suspected temperature damage can be reduced or eliminated. These cost-effective, single-use indicators also help specialty pharmacies comply with state regulations.

Our comprehensive temperature monitoring and sensing portfolio meets the cold chain needs of specialty pharmacies and their patients.

This portfolio includes:

FREEZEmarker® easy-to-read freeze indicators provide supply chain intelligence and a visual indication when temperature-sensitive products are exposed to freeze events. With its advanced freeze detection technology, this temperature indicator monitors environmental conditions to help manage your environmentally sensitive supply chain.

• Visual, low-cost, chemically based heat and freeze indicators for blood products, vaccines, biologics, and other medication during shipment.

• Printable indicators for monitoring the temperature of medications during shipment.

LIMITmarker® provides an easy-to-read, irreversible visual signal within the specified response time that heat exposure at or above the response temperature has occurred. It is adhesive-backed and can be applied directly to product surfaces or packaging. The indicating “window” on the label changes color when the response temperature has been exceeded.

Wireless Bluetooth Electronic Sensor

The ZS300 wireless Bluetooth® enabled sensors monitor and record temperature at regular intervals in storage and shipping applications.

The ZS300 is a fully configurable datalogger which is ideal for monitoring temperatures during transport, allowing users to: • View and share temperature data via an Android mobile device.

• Customize alarm limits, datalogging intervals, startup options, and more.

• Securely store data in the cloud and generate reports.

It’s the perfect solution for conducting pack out testing or for use when couriering medications. Additionally, the ZS300 can be used for

Package Performance Qualification Testing

For specialty pharmacies, Packaging Qualification Field Testing (PQ) ensures that the shipment packaging can provide the necessary temperature range for the required period during transport of critical and often lifesaving medications to patients. More than that, PQ testing is also required for certain pharmacy accreditations, such as URAC. Customized 3rd-party PQ testing services also help meet the requirements of pharmacy networks that make third-party validation testing a condition of participation.

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2 0 WAY 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

McKesson’s Assist Line Offers Automation Tailored to Retail Pharmacies McKesson Pharmacy Automation is leading the way in automating how patients get their medication, enabling faster and safer treatment. a drastic reduction in the number of fill errors (due to bottle scanning and light-guided filling), and an average reduction in verification time of 70%!

VP/General Manager: Steve Dennison Founded:

1998 Stock Symbol: MCK Toll-Free Phone: (888) 606-6337 Address: 6555 State Highway 161, Irving, TX 75039 Website: www.mckesson.ca/assistline

Company Background

n CountAssist When it comes to vial filling, CountAssist makes counting technology more accessible than ever before. Each compact cabinet contains 18 canisters, typically loaded with the pharmacy’s fastest moving products.

All cells count individually, directly into their dedicated output chute. This means that multiple cells can count in conjunction, helping to minimize pharmacy wait times during a rush. Just one CountAssist cabinet can automate 35% of a pharmacy’s oral solid prescriptions, freeing up team members to focus on other value-added activities within the dispensary.

McKesson Pharmacy Automation has long been a market leader in providing automation technology to retail and institutional pharmacies.

With a reputation for providing unparalleled service — truly second to none — they lead the way in automating how patients receive medication, enabling faster and safer treatment.

How exactly do they deliver the best possible experience to pharmacies and their patients? It’s a precise mix of people, partners, and technology.

It’s common for pharmacies to install multiple CountAssist towers as the pharmacy’s prescription volume grows. Three towers automates up to 50% of oral solids, and that number increases with each tower — up to a maximum of 10 towers. Due to its compact design, it can be used as a bay end cap or simply mounted to the wall. There’s no end to the possible configurations. This technology can truly fit in any dispensary.

First and foremost are the people. People who understand what it’s like to count pills or have their eyes go blurry from filling seemingly endless blister cards. People who understand the ins and outs of pharmacy. Their collective goal is to make every process within a pharmacy’s operation safer, more accurate, and as efficient as possible.

Testimonials

Partners are the next ingredient in the mix: creative and enterprising engineering firms, best-in-class manufacturers, and premiere shipping and logistics companies.

“ Since installing BlistAssist, we’ve experienced a drastic reduction in the time required to produce and verify blister cards. The software provides security by guiding users through each step of the process, ensuring that cards are filled quickly and, more importantly, correctly.’’

— James Dumont, Pharmacy Owner

“ Since CountAssist is only accessed from the front and needs minimal space, I was able to install two cabinets in my pharmacy. It’s simple to use, so it got my staff comfortable with automation. Now our counts are more accurate, and our efficiency has improved thanks to the system’s reliability.’’

Adding the two together results in leading-edge technology that automates the repetitive and manual tasks that most commonly lead to medication errors. BlistAssist and CountAssist are two such technologies.

Product Overview n BlistAssist

When the team at McKesson Pharmacy Automation observed the extent to which pharmacists and technicians struggle with the tediousness of blister packaging and how easy it is for a pill to inadvertently end up in the wrong dosing slot, they knew there was a better solution. The idea for BlistAssist was born.

BlistAssist is a unique blister card production and verification unit ideal for small to medium-sized pharmacies that manually package blister cards.

Stock bottle scanning and light guided filling ensure patients receive the right drug and dose, at the right time. There’s a simplified verification process that photographs each medication added to a blister card and provides a large, clear view of each cell’s contents. The verification images can be accessed from anywhere within the pharmacy network, allowing team members to complete verification from a computer or portable tablet, away from the distractions of a busy dispensary.

The average pharmacy has seen an increase in production efficiency,

— Karim Merani, Pharmacist & Owner

“ McKesson Pharmacy Automation enables pharmacies to really get extra capacity from their workforce and allows them to do what they want to do — interact with people.

Relying on technology for behind-the-scenes work is a really efficient use of resources.”

— Georgina Gaudet, Pharmacy Owner

Trade Shows/Meetings Attended

We’re on the road! Stop by our booth to see CountAssist and BlistAssist in action at McKesson ideaShare, NACDS Total Store Expo, and various other shows throughout the summer.

Ordering Information

Whether a pharmacy owner is looking for efficiency solutions during the ongoing labour shortage, or streamlined verification and traceability for producing blister cards, there’s no doubt these innovative solutions are a must-have technology for today’s retail pharmacy. Get started at www.mckesson.ca/assistline.

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COMPOUNDING RESOURCES

& Q A

Joseph P. Navarra, R.Ph., FACA, FAPC

Owner of Town Total Compounding Center

Q. As both board chair of the Alliance for

Q&A

Pharmacy Compounding and a compounding pharmacy owner, what are you seeing lately in the world of pharmacy compounding?

There are big changes and great opportunities right now in pharmacy compounding, both for 503As and 503Bs. With updated USP chapters, some pharmacies that do a small volume of compounding in addition to traditional dispensing are deciding that the cost of compliance isn’t worth it — particularly hazardous drug compounding. They’re passing that portion of the business along to pharmacies who specialize in compounding.

Pharmacy compounding is also getting more media attention lately, especially with compounded GLP-1s, but a lot of the stories miss the nuance or report inaccurate information. APC is focused on cultivating more balanced and factual news coverage of compounding this year. We have a program where we’re bringing healthcare reporters into compounding pharmacies (particularly sterile compounding pharmacies) to allow them to see what compounders actually do. It shows them that compounding isn’t mixing random ingredients together in barrels out back but is a highly regulated industry held to rigorous standards, all in the interest of keeping patients safe and well. We’ll be doing more of those tours for reporters as the year progresses.

Q. Are you seeing anything that could interrupt

patient access to compounded medications?

There is always a concern that legislation and regulation — or sometimes, a lack of it — could affect patient access. Right now, there are two main issues on the federal level that APC is addressing to maintain patient access to medications. First is legislation modifying how “drug shortage” is defined in federal law. We want to authorize the Food & Drug Administration (FDA) to collect information on drug shortages not only from manufacturers, but from health care practitioners and others.

Combined, these changes will make the FDA shortage list more accurate and current and will enable drug manufacturers, pharmacies, and health care practitioners to more quickly identify and address drug shortages as they arise.

The other major issue is one the compounding industry has been dealing with for over 25 years — the MOU requirement in the Food, Drug & Cosmetic (FD&C) Act which would restrict 50

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shipments. The 5% cap on shipments by pharmacies in states that don’t sign the MOU — and about 10 states are saying they can’t or won’t — would significantly interrupt patient access to care. Since DQSA makes the need for an MOU obsolete, APC is proposing eliminating the MOU and replacing it with a framework for mandatory reporting by pharmacies that ship more than 50% of their production out of state. The proposal also includes reporting of serious adverse events by all 503A pharmacies, which is already required for 503Bs, and which we think will enhance our profession’s credibility.

The possibility that the FDA may move to restrict access to compounded hormones, based on a flawed and discredited 2020 report it commissioned from the National Academies of Sciences, Engineering, and Medicine (NASEM), is also an ongoing concern.

The FDA has stated publicly and in correspondence with Members of Congress that it intends to use the flawed NASEM study’s recommendations to inform the agency’s policies on compounded hormones going forward. APC has an ongoing media campaign to preserve patient access to compounded hormones, and more information can be found at compounding.com.

Q. What can pharmacy compounders do to

help ensure patient access isn’t interrupted?

There are three big things compounders can do. One, join an industry trade association. Being a member of organizations like APC can help assure you are informed about laws, standards, and trends in compounding — so that you can practice at the top of your expertise. Two, involve yourselves in advocacy on the part of your profession. Our collective strength as compounders depends on how engaged you are in helping shape legislation and regs in Congress and in the states where your licensed.

And three, which should be a given, comply with all local and federal laws, adhere to USP standards, and follow best practices.

In 2020, APC adopted a new Compounder Code of Ethics, and it requires members to commit themselves to the Code of Ethics when they join or renew their APC membership. I urge compounders to use that code and the training materials that go along with it to continually remind their compounding teams about their ethical obligations.

Q. What has been the impact of compounded GLP-1s on the compounding industry?

It has been an opportunity to show that compounding pharmacies

Compounded GLP-1s have garnered a lot of media attention, too. Like I mentioned before, a lot of the reporting right now misses nuance or repeats inaccuracies. But I think it also provides a huge opportunity for us to educate the media on the integral role compounding plays in the health of patients. Many reporters don’t seem to know compounding is authorized in the FD&C Act or that compounding “essentially” copies of FDA-approved drugs in shortages is allowed under FDA guidance.

Q. What other trends do you see in the

near future for pharmacy compounding, especially 503A compounders?

Another issue on the horizon is expected final guidance from FDA on 503B wholesaling. The agency issued draft guidance last year that would allow 503B outsourcing facilities to distribute compounded drugs to 503A pharmacies for patient-specific dispensing. While some states may already allow this, final guidance would make it legal across the country. We think the guidance has huge implications on the competitive landscape of compounding. At a minimum, it will help strengthen the business model for 503As. It could also serve to level the playing field between sterile and non-sterile 503A compounding pharmacies — something that some people love and others are concerned about. It bears watching, for sure.

A couple of other trends that I believe will really take off in the near future are small, local clinical trials and the collection of patientreported outcomes for compounded medications. In order to continue to demonstrate the value and importance of pharmacy compounding, we have to move past relying on anecdotes and start collecting data showing outcomes and how compounds

Q. What else do you want compounding pharmacy owners and managers to know?

I highly encourage compounding pharmacists to access available APC resources. We have resources for advocacy — briefing papers and other support on federal and state issue priorities — plus several education webinars and opportunities designed to support your whole compounding team. One important education tool is APC’s 15-hour online continuing education program called “The Ethical, Legal, & Regulatory Foundations of Pharmacy Compounding,” developed in partnership with the Pharmacy Compounding Foundation and the Virginia Commonwealth University School of Pharmacy. It’s a solid foundational course for entry-level learning for compounding pharmacists and technicians and a great refresher for seasoned compounders.

In addition to resources for compounders, we also have resources for prescribers. Most prescribers are unfamiliar with the laws and standards compounders have to adhere to, much less the threats pharmacy compounding faces. Our ‘Prescriber Briefs’ series helps pharmacy compounders educate and inform the prescribers they work with on a variety of topics, ranging from the regulatory framework of pharmacy compounding to a brief on GFI 256 to a primer on peptide compounding.

Q&A

With the updated USP compounding standards, I see a lot of opportunity for compounding pharmacies to start specializing in certain practice areas — veterinary, HRT, ophthalmics/sterile meds, and others — to reduce costs and increase access. I see pharmacies moving to concentrate in a certain area so they can focus on producing high-quality, specialized service. I also see there continuing to be consolidation in the industry, which is an opportunity for owners who are looking for an exit strategy or who want to expand the scope of their practice and business.

affect patients in the short and long term. APC has a partnership with OutcomeMD, a patient-reported outcome platform, to help compounders with tracking and trending data to demonstrate the positive outcomes from compounded medications.

COMPOUNDING RESOURCES

can meet a need — short or long term — during drug shortages.

We can help ensure patients don’t lose access to important medications. The role compounders have played during the GLP-1 shortage also shows why it is so important to address how shortages are defined and what compounders are allowed to do.

Q. Would you recommend a career in pharmacy compounding to student pharmacists?

Absolutely, positively. I’m a preceptor for a number of schools of pharmacy across the country, and we constantly have students at Town Total Compounding Center interning and learning. In fact, all of our current pharmacists are previous interns. I highly encourage students to look into compounding if they think they may be interested. It’s a completely different experience from traditional community or hospital pharmacy practice. ___________________________________________________ The Alliance for Pharmacy Compounding is the voice for pharmacy compounding, representing more than 500 compounding small businesses — including compounding pharmacists and technicians in both 503A and 503B settings — as well as prescribers, educators, researchers, and suppliers.

BIOGRAPHY

Joseph P. Navarra, R.Ph., FACA, FAPC, Owner of Town Total Compounding Center Joseph P. Navarra, R.Ph., FACA, FAPC is the owner of Town Total Compounding Center, a PCAB/ACHC Accredited compounding pharmacy providing sterile and non-sterile patient specific prescriptions, following USP <795> , <797>, and <800> guidelines. He was previously the executive vice-president of Town Total Health, independent pharmacies that had a focus on specialty pharmacy. He graduated from St. John’s University College of Pharmacy in Queens, New York in 1992. Joseph has been very involved in professional organizations promoting and enhancing the practice of pharmacy at a high level. He is a past president and past chairman of the

Pharmacists Society of the State of New York, and a past president and past chairman of the Italian-American Pharmacists Society. He is a current board member of the New York City Pharmacists Society and the current chairman of the Alliance for Pharmacy Compounding. His awards while practicing pharmacy include the Distinguished Young Pharmacists Award, Preceptor of the Year Awards, and Innovative Pharmacy Practice Award. Some of his other interests include classic car restoration, and he has been an active, long time martial artist ranked in multiple styles.

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COMPOUNDING RESOURCES Buyer’s Guide

COMPOUNDING RESOURCES Buyer’s Guide AirClean Systems

CriticalPoint, a TRC Healthcare Brand

ISO-MED, Inc.

Revelation Pharma

1720 S. Bellaire Street, Suite 1250 Denver, CO 80222 trchealthcare.com/criticalpoint

1220 Graphite Drive Corona, CA 92881 (800) 797-1405 iso-med.com

Alliance for Pharmacy Compounding (APC)

Eagle Analytical Services

Jays Company

SpecializedRx Products, LLC

American College of Apothecaries (ACA)

EXAKT Technologies, Inc.

LifeFile

Spectrum Pharmacy Products

Medi-Dose/EPS

TICKERWORKS (formerly BiosRx)

2179 East Lyon Station Road Creedmoor, NC 27522 (919) 255-3220 www.aircleansystems.com

100 Daingerfield Road, Suite 100 Alexandria, VA 22314 (281) 933-8400 www.a4pc.org

2830 Summer Oaks Drive Bartlett, TN 38134 (901) 383-8119 acainfo.org

ARL Bio Pharma

840 Research Parkway, Suite 546 Oklahoma City, OK 73104 (800) 393-1595 www.arlok.com

Associates of Cape Cod, Inc.

13501 Railway Drive Oklahoma City, OK 73114 (800) 866-7172 exaktusa.com

Fagron

2400 Pilot Knob Road St. Paul, MN 55120 (651) 681-9517 fagron.us

Galenova, Inc.

124 Bernard E. Saint Jean Drive East Falmouth, MA 02536 (888) 395-2221 www.acciusa.com

4555 Avenue Beaudry Saint-Hyacinthe, QC J2S 8W2 Canada (855) 866-0866 www.galenova.com/en

Azurity Pharmaceuticals

Health Care Logistics

Charles River

International Journal of Pharmaceutical Compounding (IJPC)

8 Cabot Road, Suite 2000 Woburn, MA 01801 (800) 461-7449 firstkits.com

251 Ballardvale Street Willmington, MA 01887 (877) 274-8371 www.criver.com/industry/ compounding-pharmacy

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11111 S. Wilcrest Drive Suite S1000 Houston, TX 77099 (800) 745-8916 www.eagleanalytical.com

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P.O. Box 25 Circleville, OH 43113 (800) 848-1633 gohcl.com

122 N. Bryant Avenue, Suite B4 Edmond, OK 73034 (405) 330-0094 x1 ijpc.com

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14400 James Road Rogers, MN 55374 (763) 557-0056 www.jayscompany.com 501 W. Broadway, Suite 800 San Diego, CA 92101 (800) 902-6048 www.lifefile.net 70 Industrial Drive Ivyland, PA 18974 (800) 523-8966 medidose.com

Pharma Source Direct 8591 Prairie Trail Drive Suite C600 Englewood, CO 80112 (866) 404-0846 pharmasd.com

Pharmacy Stars, LLC P.O. Box 28020 Green Bay, WI 54324 (608) 351-2664 pharmacystars.com

Prompt Praxis Laboratories

150 N Fairway Drive, Suite 148-154 Vernon Hills, IL 60061 (847) 859-3850 www.promptpraxislabs.com

P.O. Box 3556 Greenwood Village, CO 80155 revelationpharma.com/ revcustomrx-partner-pharmacies 3787 95th Avenue NE, Suite 100 Circle Pines, MN 55014 (888) 512-1209 specializedrx.com 777 Jersey Avenue New Brunswick, NJ 08901 (800) 370-6231 www.spectrumrx.com

1300 E. Bidwell Street, Suite 105 Folsom, CA 95630 (800) 280-9277 www.tickerworks.com

Topi-CLICK | TEAM Technologies

300 Parkbrooke Place, Suite 140 Woodstock, GA 30189 (877) 870-8448 topi-click.com

Compounding Resources www.RXinsider.com

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COMPOUNDING RESOURCES Market Leaders

Visit RXinsider’s Pharmacy Market BUZZ to Research the Leaders in

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Cardinal Health™ Medical Benefit Billing

Track your claims in real time Cardinal Health™ Medical Benefit Billing enables you to bill and track your medical benefit claims in real time, giving you visibility into submissions, denials and rejections. This holistic view empowers you to expand your pharmacy capabilities.

Gain visibility, save time, gain additional billing flexibility and real-time claim verification.

Gain visibility into all applicable medical claims, including missing secondary claims and pre-submission edits

Flexibility to bill through your pharmacy management system or directly through the online portal

• Existing daily dashboard features including OrderExpress single sign-on and queues to assist with claim submission

Real-time claim verification with the Centers for Medicare and Medicaid Services, which includes:

Save time from manual medical billing processes with:

• Patient deductible balance

• Automated rental and secondary claim billing • Dedicated billing support team • Queues and quick actions

To learn more, visit cardinalhealth.com/medbilling

© 2024 Cardinal Health. All Rights Reserved. CARDINAL HEALTH and the Cardinal Health LOGO are trademarks of Cardinal Health and may be registered in the US and/or in other countries. All other trademarks are the property of their respective owners. Patent cardinalhealth.com/patents. Lit. No.1PD24-2811658 (02/2024)

• Patient coverage

2 0 WAY 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

Cardinal Health™ Medical Benefit Billing Bill and track your medical benefit claims in real time, giving you visibility into submissions, denials, and rejections. This holistic view empowers you to expand your pharmacy capabilities.

Product Specifications Cardinal Health Pharmaceutical Distribution customers; For Medicare Part B, PTAN is required. Pharmacist NPI is required for clinical service billing.

CEO:

Jason Hollar Founded: 1971 Employees: 46,500 Stock Symbol: CAH Toll-Free Phone: (800) 926-3161 Phone: (614) 757-5000 Address: 7000 Cardinal Place Dublin, OH 43017 Website: Cardinalhealth.com

Company Background Cardinal Health is a distributor of pharmaceuticals, a global manufacturer and distributor of medical and laboratory products, and a provider of performance and data solutions for healthcare facilities. With more than 50 years in business, operations in more than 30 countries and approximately 46,500 employees globally, Cardinal Health is essential to care.

Product Overview Cardinal Health Medical Benefit Billing enables pharmacies to bill and track their medical benefit claims in real time. With multiple tiers to fit every pharmacy’s need, save time and improve patient care with this innovative solution to diversify revenue streams.

Testimonials “ Rechelle has been an integral part of helping us manage our medical Part B billing. She made things easier to understand and helped us fix our rejected claims. She makes the system work seamlessly and is very knowledgeable in all things billing. Everyone needs a Rechelle.”

— Josie Phillips-Ross, PharmD, Owner, Phillips Family Pharmacy

“ Cardinal Health Medical Benefit Billing has saved a tremendous amount of time, the platform is very user-friendly and ultimately increased our percent of claims paid.”

— Chris L., Coborns

Key Business Partners Cardinal Health™ Medical Benefit Billing is powered by Enliven Health.

Ordering Information Please contact your Cardinal Health sales representative to learn more.

Features & Options •G ain visibility into all applicable medical claims, including missing secondary claims and pre-submission edits.

• Save time from manual medical billing processes with: • Automated rental and secondary claim billing.

• A dedicated billing support team.

• Queues with quick actions (e.g. incomplete, rejected, secondary, refill, and hold).

•F lexibility to bill through your pharmacy management system or directly through the online portal.

• Real-time eligibility verification which includes: • Patient coverage.

• Patient deductible balance.

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2 0 WAY 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

Eyecon® — The Most Advanced Technology in Counter-Top Prescription Dispensing Automation The Eyecon, with visual precision counting, eliminates the burden of prescription filling with a 99.99% count accuracy. It’s easy to access, has digital records for audits and patient claims present, speeds up the Rx filling process, reduces patient wait time, and increases accuracy of inventory and pill count.

Sales Manager: Founded:

Employees: Toll-Free Phone: Address: Website:

Matt Deeringer 2009 1000+ (833) 260-6540 1000 Armstrong Drive, Fairmont, MN 56031 eyeconvpc.com

Company Background

We’re excited to announce that Illinois Tool Works Inc. (ITW), a global industrial leader, has acquired RxSafe, the innovation leader in pharmacy automation technology. This acquisition marks a significant milestone, as RxSafe will join Eyecon, another ITW business as part of Avery Weigh-Tronix.

RxSafe and Eyecon, under the umbrella of ITW, are set to continue revolutionizing pharmacy operations. This union combines RxSafe’s innovative automated technology solutions with Eyecon, the established leader in precision pill counting and prescription validation. The result is a portfolio of pharmacy automation solutions that will continue to elevate the standards of efficiency, accuracy, and patient safety.

RxSafe and Eyecon improve patient health by partnering with retail pharmacies nationwide. Our technological solutions accelerate your pharmacy’s success and transform the way you do business. We develop long-term partnerships with pharmacies and other industry innovators to enable patient adherence, attract new customers, create additional revenue streams, and boost profitability. Eyecon™ 9420 and 9430 visual precision counting devices, our visionary RapidPakRx™ adherence strip packager, RapidCardRx™ blister card filler, and RxSafe 1800™ automated storage and retrieval system, provide unparalleled accuracy and speed, increased safety and security, and compact size, at the lowest possible cost.

Product Overview

Building on the revolutionary technology of the original Eyecon, the Eyecon 9430 takes the system to the next level. Featuring a unique visual counting system, the Eyecon 9430 is faster and more accurate than manual counting, reducing tedium and freeing employees to spend more time with customers. The capacitive touchscreen provides improved touch accuracy as well as support for multi-touch and pinch and zoom on a bright, widescreen, color display so more information can be displayed in a single view. Eyecon is the first vision-based validation and pill counting system that also saves a photo of every transaction. If a count is questioned, the photo can be viewed and/or printed. Every pill is sequentially numbered, and all the prescription data is annotated onto the photos.

How will the Eyecon help you?

•S afety Brings Peace of Mind: The Eyecon features automatic, visual warnings which notify the operator when specific situations occur.

• Wrong fill quantity; double-count and back-count; partial fills; generic substitutions; Eyecon networked for success; connectivity; PMS integration; inventory updates; and telepharmacy.

• Physical Inventory: Reduce the time to complete a physical inventory and cycle count by over 70%. Fast and exact counting along with digital recording.

• Unit of Use: Allows for the operator to record full bottles and non-pill inventory.

• Audit Reports: Allow staff to view multiple data points to verify accuracy and analyze various aspects of each prescription filled.

•Q uarterly Updates: Provide the latest drug database and new features to continue.

Features & Options

n Eyecon® is the preferred choice of pharmacies looking to: • Ease pharmacy workload.

• Improve pharmacy profitability.

• Focus on patient safety.

• Eliminate dispensing errors and enhance customer satisfaction.

• Reduce workplace stress.

• Improve work life balance.

Product Specifications

n Eyecon by Design • Platter Surface Area: 48" Sq. • Dimensions: 28" H x 11" W x 17.5" D • Screen: 7" Color LCD Flat Panel Touch Screen • Barcode Scanner: Integrated 1D and 2D Scanner • Supply Voltage: 100 VAC - 240 VAC • Frequency Range: 50/60 Hz • Current: 0.75 A • Temperature Range: 50-90º F • Connectivity: (2) USB, (1) Ethernet • Relative Humidity: Up to 70% at 90º F • Altitude of Use: Up to 6,000 Feet • Interfaces: Support for Over 35 PMS Interfaces Built-In • Accuracy: 99.99% Count Accuracy • Design: Open Flow, Easy to Clean

Testimonial

“ T he first piece of equipment I purchased for my pharmacies was an Eyecon.

I have 10 Eyecons in my stores and cannot imagine what life would be like without them. They are an integral part of our processes and workflow!”

— Cliff Holt, R. PH.D, Owner of Utah Family Pharmacy, Hurricane, UT

Let’s Talk

To learn how Eyecon can bring your pharmacy to the next level, contact our sales department by calling (866) 260-6540, emailing EyeconOrders@ awtx-itw.com, or visiting eyeconvpc.com.

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Revolutionizing Long-Term Care: Navigating the Next Five Years of Transformation Contributed by: Chad Worz, PharmD, BCGP, FASCP Chief Executive The American Society of Consultant Pharmacists (ASCP)

The long-term care industry will be completely transformed over the upcoming 5-year span. This transformation is influenced by seismic shifts in almost every business sector. Technology, workforce, and services that “follow the patient” are all shifting at an exponential rate.

Technology is always changing but now that it influences every aspect of care, innovations in pharmacy packaging, storage, and logistics will continue and new strategies and products will evolve to meet the needs of the individual and in the setting of care they choose to reside.

Additionally, innovations in data sharing and artificial intelligence will begin to influence medication selection and care planning designed to maximize desired outcomes.

The convergence of information and analytical systems will yield efficiencies that will help other areas of significant change like the workforce. Since the pandemic, the long-term care environment has struggled with staffing shortages. Some estimate long-term care lost over 210,000 jobs, reverting to 1994 levels. Even with efficiencies from technology, staffing shortages and retention issues are still significant challenges. Facilities and pharmacies are exploring innovative recruitment and retention strategies, investing in staff training and development, and advocating payers for better reimbursement to support better wages and staffing ratios.

At the center of all this change is the patient. The elephant in the room is growth in the older adult population in terms of both the over 65 58

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years individuals and those over 85. In 2022, the U.S. Census Bureau reported almost 58 million people in the United States over the age of 65 and 6.1 million over the age of 85. These numbers are anticipated to swell to 73.1 million and 9.1 million respectively. This decade will see the largest percentage increase in these populations of any decade this century. Roughly 2% of the over 65 population use nursing home services each year, if that percentage holds, in 2030, over 300,000 more people will require nursing home services per year.

There is a growing emphasis on person-centered care, which prioritizes the individual preferences, needs, and goals of residents. Facilities and pharmacies are moving away from a one-size-fits-all approach and focusing on creating personalized care plans that respect what matters to residents and supports their autonomy and their dignity. For years, the John A. Hartford Foundation has been investing in aging experts and practice innovations that transform how the care of older adults in delivered. Nearly $700 million dollars has been provided in grants to create age-friendly systems, to support the role of caregivers, and to preserve dignity and honor during serious illness and end of life.

Taking together, these significant sectors within long-term care are driving change. Determining how your pharmacy supports these rapidly moving issues is paramount to success into this medically complex, growing age group. The following are some specific examples of what is coming next for long-term care pharmacy:

2 0 WAY 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

11. Reimbursement

No one ever complains that their reimbursement is sufficient, but the historical downward pressure on pharmacy reimbursement, its link to the dispensing of a product and the increased pressure on the price/cost ratio of those products is making pharmacies unsustainable.

The drug pricing aspects of the Inflation Reduction Act of 2022 may be well intended but their impact on pharmacy threatens pharmacy survival. Volume and through put of prescriptions continues to be the only way for pharmacies to survive.

This threatens smaller service and quality-oriented pharmacies, and larger pharmacies have a one-sizefits-all philosophy necessary for survival but at the expense of patient choice and satisfaction. Payers must be forced to pay reasonable rates for individual services like dispensing,

per year, 10% of all hospitalizations and underlie $100-$300 billion of avoidable health-care costs.

Skilled nursing homes and some assisted living centers administer medications via nurses and nurse aids. This provides assurances that medications are given. In community settings where medications are self-administered, compliance and adherence must be reliably assessed and measured. This is a challenge that innovative pharmacists and pharmacies must tackle.

vaccination, reconciliation, regimen reviews, therapy management, and patient specific accommodations like compliance packaging, deliveries, and medication administrations.

22. Utilization Management

Pharmacists and pharmacies will be asked to help make drug selections and tailor medications to people not just based on their diagnosis but also their living situation and what matters to them. The best treatment regimens will change based on whether the person lives in a nursing center, or they live independently at home.

Pharmacists and pharmacies that can navigate the payer systems and balance the needs of the patient with the sustainability of the services they provide will succeed.

The baby boomer generation has transformed American life since they were born into it, they now will take aim at health care for themselves as older adults. Pharmacies and pharmacists that embrace the transformation, demand fair reimbursement, and carve out services within and outside of traditional payer systems will continue to find ways to survive.

33. Compliance and Adherence

In the U.S., poor adherence is estimated to cause 125,000 deaths SPRING 2024

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TRADE SHOWS, MEETINGS, & EXPOSITIONS RXinsider’s Virtual Pharmacy Trade Show 24 / 7 / 365 450+ Booths, 80+ Aisles www.rxinsider.com NACDS Annual Meeting April 27-30, 2024 The Breakers Palm Beach, FL Annual.nacds.org Asembia’s AXS24 Summit April 28-May 2, 2024 Wynn & Encore Las Vegas Las Vegas, NV Assembiasummit.com ESTECH 2024 May 6-9, 2024 Las Vegas, NV www.iest.org/Meetings/ ESTECH Pharmacy Futures 2024 (Formerly ASHP Summer) June 8-12, 2024 Portland, OR www.ashp.org/meetingsand-conferences/summermeetings-and-exhibition

ECRM Health System/ Institutional Pharmacy Session June 10-13, 2024 JW Marriott Starr Pass Resort & Spa Tucson, AZ ecrm.marketgate.com/ Sessions/Category/ HealthSystems Florida Pharmacy Association Annual Meeting & Convention June 13-16, 2024 Tampa, FL floridapharmacy.org/ event/134th-annualmeeting-and-convention McKesson ideaShare 2024 June 23-26, 2024 New Orleans, LA Mckessonideashare.com 340B Coalition Summer Conference July 8-10, 2024 Washington, DC 340bsummerconference.org Cardinal Health RBC July 24-27, 2024 Chicago, IL rbc.cardinalhealth.com NACDS Total Store Expo August 17-19, 2024 Boston, MA Tse.nacds.org APC’s Compounders on Capital Hill September 17-18, 2024 Washington, DC a4pc.org/cch

Continued on pg. 67 60

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JOIN TODAY!

Since 1940, the American College of Apothecaries has empowered passionate pharmacy professionals to provide exceptional patient care in thriving community practices. acainfo.org/joinaca

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Your Peace of Mind®

The first step to truly helping your patients regain or maintain their health is not your depth of understanding of chemistry or pharmaceuticals or compounding. It’s trust. We earn that trust through our actions, by consistently operating our pharmacies to the highest ethical, legal, and regulatory standards. Every day. With every prescription we fill.

The Ethical, Legal, and Regulatory Foundations of Pharmacy Compounding A 15-hour foundational curriculum aimed at equipping you to earn your patients’ trust.

Earning their trust takes more than your technical expertise. It’s equally important that patients know that you and your teammates have an essential understanding of the laws, regulations, and policies that govern pharmacy compounding. That you operate in compliance with those rules. It’s critical for compounding well.

But you can’t comply with rules and regulations that you don’t know.

certificate.a4pc.org

Education to enhance your expertise.

To provide your team the know-how to operate at the highest ethical and legal standards, we’ve created a 15-hour online continuing education program of foundational learning for new compounders. It’s also an excellent refresher for those who’ve been in the business awhile.

The Ethical, Legal, and Regulatory Foundations of Pharmacy Compounding is an ideal place to build your team’s fundamental knowledge that will help you earn and keep the trust of your patients. And because it’s a collaboration between APC, Virginia Commonwealth University School of Pharmacy, and the Pharmacy Compounding Foundation, you can be confident that the modules are aimed at ensuring your compounding operation is not just compliant, but excellent.

Online. Affordable.

This is an online CE course, allowing you to complete the certificate at your own pace. It’s also priced well below most CE courses. Every pharmacist and pharmacy technician involved in compounding should earn this essential certificate. Because it’s that important.

PHARMACISTS/PHARMACY TECHNICIANS........................ $495/ea PHARMACISTS/PHARMACY TECHNICIANS EMPLOYED

BY AN APC PHARMACY/FACILITY MEMBER....................... $395/ea

STAND OUT FROM THE CROWD PITCH YOUR PRODUCT ONE-ON-ONE TO THE RIGHT BUYERS 2024 PHARMACY SESSIONS Explore Sessions Related to: • Pharmaceuticals • Contract Packaging • Health Systems • Home Health & Diabetes Care • Pharmacy Technology

For more information contact: Michael Castillo Senior Vice President of Pharmacy & Medical at mcastillo@ECRM.MarketGate.com or call 440-528-0441.

YOU are a HERO. We are here to support you.

As a pharmacist who serves aging patients, you are often the last line of defense for a population that is at a significantly higher risk for medication-related problems. Your service as a clinician and patient advocate deserves support and recognition. ASCP salutes your efforts!

WHO WE ARE: Empowering Pharmacists. Transforming Aging.

ASCP is a membership association that represents pharmacists, health care professionals, and students serving the unique medication needs of older adults. ASCP is an international organization with members located in all 50 states, Puerto Rico, and 12 countries. The society’s mission is to promote healthy aging by empowering pharmacists with education, resources, and innovative opportunities.

Visit ascp.com to learn more.

Join Today and Save!

Take advantage of our Membership Special and get $50 off.

Use promo code INSIDER50, when you join online at ascp.com/joinnow.

Save $50!

Use promo code INSIDER50

Benefits The following benefits are FREE with an ASCP Membership: • Monthly CE webinars (1.0-1.5 CPE each) • Online access to The Senior Care Pharmacist, ASCP’s award-winning, peer-reviewed journal • Biweekly issues of ASCP’s eNewsletter, ASCP Now • Members-only access to articles, guidelines, and other helpful information in ASCP’s online Practice Resource Centers • Free upgrade to get listed on ASCP’s Senior Care Pharmacist Directory • Members-only access to select toolkits and ASCP’s blog • Access to post or find jobs on ASCP’s Career Center • Members-Only Focus Groups for individuals in the same practice setting • Volunteer & Recognition Opportunities

Join us November 7-10, 2024 for our in person 2024 Annual Meeting & Exhibition at the Gaylord Rockies & Convention Center, Aurora, Colorado ascp.com

TRADE SHOWS, MEETINGS, & EXPOSITIONS Continued from pg. 60

FOR MORE INFORMATION ABOUT BOTH EVENTS VISIT www.floridapharmacy.org

OR CONTACT US AT fpa@pharmview.com

BENEFITS OF ATTENDING INCLUDE: Diverse CE opportunities Networking with colleagues Be the first to know about cutting edge products and services Tailored programming for students and technicians

NASP 2024 Annual Meeting & Expo October 6-9, 2024 Gaylord Opryland Resort & Convention Center Nashville, TN naspnet.org/annualmeeting NCPA Annual Convention October 26-29, 2024 Columbus, OH ncpa.org/annualconvention ASCP 2024 Annual Meeting & Exhibition November 7-10, 2024 Gaylord Rockies Resort & Convention Center Aurora, CO Annual.ascp.com

ECRM Pharmacy Technology, Services, Supplies, & Automation Session November 13-15, 2024 ecrm.marketgate.com/ Sessions/2024/11/ PharmacyTechnology ServicesandAutomation EPPS ASHP Midyear Clinical Meeting and Exhibition December 8-12, 2024 New Orleans, LA www.ashp.org/meetingsand-conferences/midyearclinical-meeting-andexhibition

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UPCOMING EVENTS

Awards banquet

For listing and advertising details, please contact sales@RXinsider.com or call (800) 972-2083.

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EXTENDING LEADING EDGE SOLUTIONS TO GOVERNMENTS, CORPORATIONS AND INSTITUTIONS AROUND THE WORLD innovamedgroup.us

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Innova’s Innovations for Global Benefit At Innova Medical Group, we are powered by our vision to be a global health outcome innovator that provides local solutions to global problems.

President & CEO: Dr. Charles Huang Founded:

2020 200 Toll-Free Phone: (888) 939-6601 Phone: (626) 239-0025 Address: 800 E. Colorado Boulevard, Suite 888 Pasadena, CA 91101 Website: www.innovamedicalgroup.com Employees:

Company Background Innova Medical Group, Inc. delivers better global health outcomes with its deep expertise in testing and unique offerings in diagnostic medical devices and services that help tackle some of the world’s most challenging healthcare problems. Innova specializes in innovative screening, testing, and diagnostics for cancer, heart disease, arterial calcification, stroke, and virus detection focused on infectious diseases. In response to the global pandemic, Innova developed an end-to-end ecosystem of rapid diagnostic and screening tests, along with digital reporting and tracing applications to help organizations manage the COVID-19 crisis. In 2020, Innova delivered more than 220+ million COVID-19 test kits to over 20 countries around the globe, including the United Kingdom, Hungary, Singapore, United Arab Emirates, and Myanmar.

This test is authorized for non-prescription home use with selfcollected anterior nasal (nares) swab samples from individuals aged 14 years or older or with adult-collected anterior nasal (nares) samples from individuals aged 2 years or older. This test is authorized for individuals with symptoms of COVID-19 within the first seven days of symptom onset when tested at least twice over three days with at least 48 hours between tests, and for individuals without symptoms or other epidemiological reasons to suspect COVID-19, when tested at least three times over five days with at least 48 hours between tests.

Contact Information

Contact us at info@innovamedgroup.com to learn more!

Product Overview The Advin COVID-19 Antigen Test @Home is a lateral flow immunoassay device intended for the qualitative detection of nucleocapsid protein antigens from SARS-CoV-2.

• Simple, Quick, Accurate • Rapid Result in 10 Minutes

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the most accurate CGM powering AID systems

1,2

SEE WHY DEXCOM CGM IS THE CLEAR CHOICE FOR AUTOMATED INSULIN DELIVERY (AID) SYSTEMS Smart device sold separately.

Patients have more options for managing their diabetes.

AID COMPATIBLE SENSORS Warmup

30 min

1 hour

Share/Follow while using an AID system* The only CGM with no fingersticks from day 1 †

Urgent Low Soon and Delay 1st alerts: App features that help protect from severe hypoglycemia and diabetic ketoacidosis Accuracy 1,2 in moments that matter most including: Most accurate1,2 in hypoglycemia <70 mg/dL‡ Most accurate1,2 in all rates of change in pediatrics§,1,2 Smallest CGM sensor currently powering AID systems Connects to multiple AID pump brands Fingersticks required for diabetes treatment decisions if symptoms or expectations do not match readings.

†

DEXCOM CGM POWERS THE MOST AID SYSTEMS CLINICALLY PROVEN TO IMPROVE GLYCEMIC OUTCOMES. 3,4 DEXCOM HAS NEARLY 3X MORE PATIENTS PAYING $0 THAN FREESTYLE LIBRE ||

Learn more at provider.dexcom.com/aid Separate Follow app and internet connection required. ‡Based on evaluation of %15/15 according to iCGM criteria. %15/15 is the proportion of the CGM system values that were within 15% of paired YSI values >70 mg/dL or ± 15 mg/dL of laboratory reference method values ≤ 70 mg/dL. §Freestyle Libre ages: 6-17, Dexcom ages:7-17. ||Individual pricing may vary depending on insurance coverage. IQVIA FIA retail data, paid sensor claims from 1/1/2022 to 2/28/2023.

*

1 U.S. Food and Drug Administration, 510(k) Substantial Equivalence Determination Decision Summary, K213919. Published December 7, 2022. https://www.accessdata.fda.gov/cdrh_docs/reviews/K213919.pdf.

2 U.S. Food and Drug Administration, 510(k) Substantial Equivalence Determination Decision Summary, K222447. Published March 3, 2023. https://www.accessdata.fda.gov/cdrh_docs/reviews/K222447.pdf.

3 Peacock S, et al. Diabetes Ther. 2023;14(5):839-855. 4 Dexcom, data on file, 2023.

BRIEF SAFETY STATEMENT: Failure to use the Dexcom Continuous Glucose Monitoring System and its components according to the instructions for use provided with your device and available at https://www.dexcom. com/safety-information and to properly consider all indications, contraindications, warnings, precautions, and cautions in those instructions for use may result in you missing a severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose) occurrence and/or making a treatment decision that may result in injury. If your glucose alerts and readings from the Dexcom CGM do not match symptoms, use a blood glucose meter to make diabetes treatment decisions. Seek medical advice and attention when appropriate, including for any medical emergency.

Dexcom, Dexcom Clarity, Dexcom Follow, Dexcom One, Dexcom Share, and any related logos and design marks are either registered trademarks or trademarks of Dexcom, Inc. in the United States and/or other countries. ©2023 Dexcom, Inc. All rights reserved. MAT-1599

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Dexcom G7 is the Most Accurate, Simple, and Most Affordable* CGM, Leading to Lasting Adherence for Patients1,2 Dexcom G7 is the most accurate continuous glucose monitoring (CGM) system1 that leads to proven results.3-7 As the most covered CGM brand,8 Dexcom offers affordable care without compromising quality for the broadest audience of people with diabetes.

President & CEO: Kevin R. Sayer Founded:

Employees: Stock Symbol: Toll-Free Phone: Website:

1999 >8,000 globally DXCM (888) 738-3646 Dexcom.com

Company Background Dexcom, Inc. empowers people to take control of health through innovative CGM systems. Headquartered in San Diego, California, Dexcom has emerged as a leader of diabetes care technology. By listening to the needs of users, caregivers, and providers, Dexcom simplifies and improves diabetes management around the world.

Product Overview Dexcom G7 is the next-generation CGM system for patients with all types of diabetes and treatments, so they can more confidently manage it each day. Dexcom G7 is the simple CGM for effortless diabetes management. The low-profile, all-in-one wearable sensor warms up in only 30 minutes, 2x faster than any other CGM on the market.† Users will receive real-time glucose readings automatically on their compatible smart device‡ or Dexcom receiver, no fingersticks§ required. Dexcom G7 also offers a suite of customizable alerts that can warn of high or low glucose levels with a predictive low alert that can recognize potentially dangerous hypoglycemic incidents before they occur.

Dexcom G7 is the most accurate CGM system1 for reliable treatment decisions that lead to proven results.3-7 Dexcom G7 is clinically proven to lower A1C,3-7 increase time in range,4 reduce hyper- and hypoglycemia,4,5 increase adherence,9 and improve quality of life.10 Dexcom G7 is the preferred CGM of national payors on the pharmacy benefit. As the most covered CGM brand,8 Dexcom requires only one prescription for Dexcom G7 to be sent directly to the pharmacy for a quick, simple start and low out-of-pocket costs with most patients paying $0 at the pharmacy.1* Dexcom G7 is an integrated CGM (iCGM) indicated for the widest age range and across diabetes types (type 1, type 2, and gestational diabetes) and treatment types (basal insulin, noninsulin, GLP-1). Dexcom G7 is covered by Medicare for qualifying patients11,|| For more information on affordability programs, please visit dexcom.com/savings.

Features & Options Dexcom G7 features the most accurate CGM powering automated insulin delivery (AID) systems: • Two times faster warmup than any other CGM.† • Only CGM with share/follow while using an AID system.

• Only CGM with no fingersticks from day one.§ • Only CGM with app features that help protect from severe hypoglycemia and diabetic ketoacidosis.

• Smallest CGM sensor currently powering AID systems.

• Over 1 million patient-years on AID systems.12 Testimonials

Dexcom G7 is the simple and most affordable CGM:

• 96% of patients say Dexcom G7 is easy to use.13 • Nine out of 10 Dexcom users stay on product after one year.1 • Dexcom is #1 in patient satisfaction,14,¶ adherence,15,# and retention.15,#

• Dexcom is the preferred CGM of national payors on the pharmacy benefit.

• 90% of commercial patients have coverage at the pharmacy and the majority do not have a manual prior authorization.

• Most Medicare Advantage patients have coverage at the pharmacy.

• Savings programs are available for patients without CGM coverage.

Ordering Information To order, please contact your pharmacy wholesale partner.

Dexcom G7 is available to order from all major wholesalers. *Individual pricing may vary depending on commercial insurance coverage. † Dexcom G7 can complete warmup within 30 minutes, whereas other CGM brands require up to an hour or longer. ‡ Smart devices sold separately. For a list of compatible devices, visit dexcom.com/compatibility. § Fingersticks required for diabetes treatment decisions if symptoms or expectations do not match readings. || Coverage criteria may vary by plan. ¶Based on net promoter score Dexcom 81 vs. Abbott 27 (Medtronic 10). #Based on use out of 30 days.

1 Dexcom, data on file, 2023. 2 Dexcom, data on file, 2022. 3 Welsh JB, et al. J Diabetes Sci Technol. 2022.

Published online June 13, 2022. doi:10.1177/19322968221099879 4 Beck RW, et al. JAMA. 2017;317(4):371378. 5 Beck RW, et al. Ann Intern Med. 2017;167(6):365-374. 6 Martens T, et al. JAMA. 2021;325(22):22622272. 7 Laffel LM, et al. JAMA. 2020;323(23):2388-2396. 8 Managed Markets Insights & Technology, LLC. MMIT Analytics, June 2022. 9 Nemlekar PM, et al. Diabetes Ther. Published online January 30, 2024. doi:10.1007/s13300-023-01529-8. 10 Gilbert TR, et al. Diabetes Technol Ther. 2021;23(S1):S35-S39. 11 Dexcom. Accessed February 16, 2024. https://investors.dexcom.com/news/news-details/2023/DexcomG7-Continuous-Glucose-Monitoring-System-Will-Be-Available-to-Medicare-Beneficiaries-at-Launch/ default.aspx. 12 Dexcom. Accessed February 16, 2024. https://investors.dexcom.com/news/newsdetails/2023/Dexcom-G7-the-Smallest-Most-Accurate-Easy-to-Use-CGM-Now-Connects-to-the-Tandemtslim-X2-Insulin-Pump/default.aspx 13 Dexcom G7 CGM System User Guide, 2023. 14 IQVIA, February 2022. 15 Seagrove Patient Perspectives 2020.

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CAS E S TU DY HOW TECHNOLOGY AND VISUAL VERIFICATION HELPED TRANSFORM MEDICINE EXPRESS’ LONG-TERM CARE BUSINESS MODEL THE JOURNEY TOWARD AUTOMATION When Emily Powers, Pharm. D. took the reins as president in 2018 – Medicine Express, a long-term care pharmacy, was a relatively small operation servicing roughly 300 beds. Their vision, however, was to increase that number to 1,000 beds. In fact, the owner had purchased an automated filling machine just ahead of Powers’s arrival to help them move away from their traditional paper-based processes.

Emily Powers, Pharm. D. President ~ Medicine Express

Since then, Medicine Express has grown to service 2,700 beds at assisted living and memory care facilities across 14 states and today process 27,000 prescriptions monthly out of its Bellville, Illinois, location. The path, however, was not always a straightforward one, says Powers.

THE CHALLENGE – SCALING TECHNOLOGY TO MATCH GROWTH With experience working at larger pharmacy operations using advanced technology and computer systems, Powers was well-equipped to help Medicine Express staff adapt to the new automated filling machine. The original automation worked well with their volume at the time, she reports.

However, once they reached their growth projections by adding 1,000 more beds in 2019 – they began to experience challenges. “The system just couldn’t keep up with our growth,” says Powers.

Plus, as they added more beds, it became clear they would need an automated visual verification process to reduce the need for pharmacy staff to validate each prescription manually.

“We were happy with our existing vendor, so we upgraded to one of their systems designed to handle the volume,” Powers explains. The company also had a visual verification product slotted for release in early 2020 that would give Medicine Express the improved efficiency and medication accuracy they wanted. “That didn’t happen because the global pandemic shut down production and development across various industries – including ours.”

Despite the pandemic, however, Medicine Express continued to grow — and by the end of 2020 had added another 1,000 beds. “We knew we really needed an established visual verification process to deliver the level of service our patients had come to rely on - so decided to make a change.”

THE SOLUTION — PARTNERING WITH NORITSU

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noritsu-rx.com

While attending an industry conference, Powers met the Noritsu Pharmacy Automation team. “What caught my attention was a case study they had displayed featuring a pharmacy similar to ours – so we started talking.” They continued to keep in touch as Powers

CAS E S TU DY

“

The quality assurance we gain from the NV’s visual verification is something I can’t imagine doing without now.”

Emily Powers, Pharm. D. President ~ Medicine Express

“

explored other options. “Let’s just say all the research I did and references I spoke with kept pointing to Noritsu being the right choice for us.” As a bonus, the company had St. Louis-based technicians less than an hour away.

Ultimately, Medicine Express opted for two NX4000 strip pouch packagers for high-volume dispensing and two Benjamin Tray stations for split-dose, one-off or less frequently used medications. They also have an NV 3 verification system for visual verification, which checks the contents of each pouch against a library of images uploaded by the pharmacy.

Once the system was installed, Noritsu sent a technician out to train pharmacy staff how to export prescriptions to the machine and begin transitioning long-term communities. “He taught us how to keep the system going, the types of service messages we might see and how to clean the machine,” says Automation Lead Technician, Carly Thomas. According to Powers, the trickiest part of their implementation was that they weren’t ready to transition every community until they were completely comfortable. “I wanted to be sure we knew this one inside and out before we transitioned fully.” Some facilities and patients were also not comfortable moving to Noritsu’s strip pouches at first anyway because they’d gotten familiar with the traditional blister packs. So, in the beginning, the pharmacy had six employees simultaneously operating the two systems – old and new – which made scheduling difficult. “At the end of the day, however, because Noritsu’s technology was so user-friendly, and the margins were telling us that it was a well-oiled machine, we were able to transition fully about a month earlier than planned,” says Powers.

THE RESULT – ENHANCED EFFICIENCY AND ACCURACY

We've reduced labor by 15% and cut production time for multidose cycles by 66%.”

Emily Powers, Pharm. D. President ~ Medicine Express

First and foremost, the NX strip packaging machines deliver an incredibly efficient process, Powers says. Where previously it might have taken hours to run a single community – it now takes about 45 minutes with Noritsu’s system and strip pouches. It’s also easier for long-term care nurses to make medication changes. “Most of our communities were on a standard 28- or 30-day cycle,” she explains. “Noritsu’s technology allows us to run shorter cycles for them – and we’ve successfully converted everyone to a 14-day cycle with no impact to our bottom line.” This reduces medication waste when changes are needed, or a medication is discontinued. The strip pouches are also extremely easy to use, which makes them ideal for assisted living or long-term care at home patients who are independent with their medications.

According to Powers, it’s Noritsu’s NV verifier that’s been a game changer for Medicine Express’s business model. During implementation, the pharmacy team took several images from various angles of each pill they dispense to record the unique markings, size and color. They now repeat this process with each new medication they offer. “When we run a patient or a community cycle, we feed each strip pouch into the NV,” explains Powers. The NV takes a picture of every pouch and can identify what should be inside from the barcode printed on it. The system then references the images of the pills in the pouch with actual images in Medicine Express’s library. When that’s complete, pharmacists can review computer images of all pouches – including those flagged in red that the NV couldn’t verify. “Before Noritsu’s visual verification, we had to physically look at every pill in every bubble for every patient to verify that it was correct,” says Powers. “Now we only have to look at about 4%, our average pouch check rate.” And even with that rate, she says, the issues are usually unrelated to an inaccuracy but have been flagged for things like a broken tablet or an oil-filled pill like Vitamin D that doesn’t reflect the light correctly.

Not only is the NV faster and more accurate than relying on a pharmacist’s manual checks, but images of pouches are stored so it’s easy to go back and review what was delivered if a nurse or patient has a question. “The quality assurance we gain from the NV’s visual verification is something I can’t imagine doing without now,” Powers states.

noritsu-rx.com

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CAS E S TU DY

“

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THE END RESULT – EFFICIENCY AND SCALABILITY

What’s nice about this system, though, is that it’s so userfriendly. So most of the time, a technician can troubleshoot to help us solve the problem over the phone or FaceTime.”

“We knew from our research that Noritsu was the most efficient and cost-effective solution, even before we started working with them,” says Powers. Now that they’ve been using the system for a year, she says it’s far exceeded our expectations. “We’ve reduced labor by 15% and cut production time for multidose cycles by 66%.”

Carly Thomas Automation Lead Technician ~ Medicine Express

In the midst of all this, Medicine Express upgraded their software as well. That means over the course of less than five years – they implemented new automation, upgraded that automation again, added a visual verification system, grew from 300 to 2,700 beds and installed a new software platform. And they aren’t done yet, Powers says. While they no longer have a retail counter, retail and long-term care at home clients with higher medication needs have been coming to them based on recommendations from existing patients. They’ve also been exploring working with correctional pharmacies. “Regardless of what’s next for us, I know that with Noritsu’s automation, visual verification, and support in place, we’ll be able to scale and grow at any pace.” Added to that, Powers says Medicine Express now has a strong automation team in place with Pharmacist Alex Dow and Certified Pharmacy Technicians, Cody Boswell, Kathy Frazier, and Jody Munyon. Rounding out the team is a family affair – with Powers’s sister, Thomas, cousin Mikey Crotty, and mother Liz Thomas, who all joined the pharmacy to help during COVID-19 and have stayed on to contribute to its growth.

noritsu-rx.com

Noritsu’s automation is so simple to use that anyone can be trained to use it. “We can pull anyone from the pharmacy if we’re shorthanded – like someone from my billing team – and teach them how to use the system in a day.” The system also gives them a great deal of data for measuring their progress, including how many pouches they’re filling each day and for how many patients, what the pouch check rate is and what they spend on supplies.

Even with all the added efficiency and accuracy, Powers and Thomas agree that what sets Noritsu apart for them is the customer support. “We just fill in a customer support ticket online along with the issue’s priority,” Thomas describes. “We normally get a call within 10 minutes!” If a technician visit is necessary, Noritsu gets someone onsite the next day. “What’s nice about this system, though, is that it’s so user-friendly,” Thomas continues. “So most of the time, a technician can troubleshoot to help us solve the problem over the phone or FaceTime.” As a result, she says they rarely see a technician outside of regular preventative maintenance, and they seldom have downtime anymore.

“The people who work at Noritsu are awesome.”

LOOKING AHEAD FOR MEDICINE EXPRESS

cademy of Managed Care Pharmacy AMCP)

BestRx

DosePlanner

ccreditation Commission for Health Care, nc

BetterRx

Dr.Reddy’s Laboratories Ltd.

Beutlich Pharmaceuticals, LLC

DrFirst

Biolife Solutions Inc.

DRX SOFTWARE LLC

Blue Thunder Technologies Inc.

Dycem Ltd

Bluesight

Eagle Analytical Services

BluPax Pharma

Eagle Pharmaceuticals, Inc

Board of Certification/Accreditation (BOC)

Ecolab

Board of Pharmacy Specialties (BPS)

ECRM

Bonita Pharmaceuticals

Elsevier

dvasur LLC

Bureau Veritas

Emporos

egis

Buy-Sellapharmacy.com

EnlivenHealth

ir Link International

CAM Commerce Solutions / Celerant Technology

EPIC Rx

Capital Inventory, Inc

Epicor Software Corporation

ccreditation Council for Pharmacy ducation

ccu-Chart Plus Health Care Systems

ccucold

cute Care Pharmaceuticals

dheris Health

dvanceNet Health Solutions, Inc

irCare Automation

irClean Systems, Inc.

Capital Wholesale Drug Company

IS Healthcare

Capsa Healthcare

kro-Mils

CaptureRx

lignRX

Cardinal Health

lliance for Pharmacy Compounding

Care Services, LLC.

llied Pharmacy Products

CarepathRx

ltium Packaging

CarePoint

merican Analytics

merican Associated Pharmacies (AAP)

merican Association of Colleges of harmacy

Carter Health CEImpact Cencora / American Health Packaging

merican Association of Health-System harmacists (ASHP)

Cencora / AmerisourceBergen

merican BioTech Supply

merican College of Apothecaries

Central Admixture Pharmacy Services, Inc. (CAPS)

merican College of Clinical Pharmacy

Cervey

merican College of Veterinary Pharmacists

Change Healthcare

merican HealthCare Capital

Charles River Laboratories

merican Pharmacies, Inc.

ChemoGLO

merican Pharmacists Association (APhA)

CINTAS Corporation

merican Pharmacy Cooperative, Inc.

Cipla, Inc.

merican Rx Group

Civica

merican Society of Consultant Pharmacists ASCP)

Clean Harbors, Inc.

mericorp Financial, LLC

Clearway Health

mneal Pharmaceuticals LLC

Cloudmed

nda Inc.

Codonics

NiGENT LLC

Cold Chain Technologies

nimal Med Express

ComCo Systems

pexus LLC

CompleteRx

pothecary Products, LLC.

ConsortiEX Inc.

PS - Advanced Pharmacy Solutions

Containment Technologies Group, Inc.

RL Bio Pharma

Contec, Inc.

Centor

Cleanetics

epocrates / Athenahealth EQUASHIELD Esco Euclid Medical Products Eurofins Analytics EveryDose Everyware EzriRx EZSCRIPTRx Fagron FFF Enterprises, Inc. FG Clean Wipes First Databank, Inc. First Financial Bank Flash Returns, LLC FLAVORx Flexible Pharmacy Services, PLLC Flowsell Follett Healthcare Franklin Eyewear Fresenius Kabi Group Frier Levitt Genetco Inc. GeriMed, Inc. Germfree Grifols H+H System, Inc. Hardy Diagnostics Hayslip Pharmacy Brokers Inc. HealNow Health Care Logistics, Inc.

InstyMeds Integrated Medical Systems, Inc. (IMS) Integrity Pharmacy Consultants Intelliguard / MEPS Real-Time, Inc. Interlink AI, Inc. International Journal of Pharmaceutical Compounding (IJPC) International Medical Industries ISO-MED, Inc. IsoTech Design Jackson Pharmacy Professionals Jays Company JFCRx Jones Healthcare Group Keycentrix, LLC KeySource Keystone Folding Box Co. KNAPP Labconco Lakeland Industries, Inc. Legacy Pharmacy Group Leiters Health Liberty Software Liebherr LifeFile Lincoln Savings Bank Live Oak Bank Loopback Analytics LSPediA, Inc. Lumistry Lupin Pharmaceuticals Inc. Macro Helix (McKesson Corporation)

Managed Health Care Associates, Inc. (MH Manchac Technologies Masters Pharmaceutical MatchRX Maximum Rx Credit, Inc. Maxor National Pharmacy Services, LLC Maxpert Medical MaxQ McKesson Corporation Medi-Dose, Inc./EPS, Inc. Medical Information Technology, Inc. Medical Packaging Inc., LLC

I M PA C T I N G P H A R M A C E U T I C A L C A R E

RxIUM

CORE Higher Education Group

sembia

CORMED

spen RxHealth

COSHATT

ssistRx

ssureCare LLC

steres Inc.

tlas Health

vel eCare

Health Connect Partners, Inc. HealthTrust

HelioMetrics Hematology/Oncology Pharmacy Association

RXinsider proudly presents the Pharmacy500 of 2024.

(HOPA) CPESN USA, LLC The Pharmacy500 is awarded toHikma 500Pharmaceuticals pharmacy supply chain CPS Solutions, LLC Hudson Headwaters 340B CriticalPoint, LLC businesses and associations withiAthe most significant impact Crocus Medical Inc. on dispensing pharmacies in the U.S. over the past year.

ICU Medical CoverMyMeds (McKesson Corporation)

ssociates of Cape Cod, Inc

CuraScriptSD

venti Health

Cypress Software, Inc.

very Weigh-Tronix

D2 Solutions

vKARE, LLC

Datarithm

iLocalBox Imprivata / FairWarning IND Consulting

Medicine-On-Time, LLC Medility Inc. Medisca Inc. Medivant Healthcare MediZap MedSafety Solutions MedShorts Medtel Communications MedXL Inc. Merative Mesmerize Micro Merchant Systems, Inc.

Independent Pharmacy Cooperative (IPC)

MIDAS Healthcare Solutions

Infinity Laboratories

Migali Scientific

Datascan Pharmacy, Mideast Delivery Solutions For the full Pharmacy500 list, Inc. selection criteria, and details, please visit www.rxinsider.com.

InfiniTrak, LLC

zurity Pharmaceuticals, Inc.

zzur Group

Epic Systems Corporation

Institute for Safe Medication Practices (ISMP)

Dexcom, Inc.

Medical Systems

Dickson

. Braun Medical Inc.

Digital Business Solutions, Inc.

A Sciences

DisposeRx, Inc.

axter

DiversifyRx

InfoWerks Inmar Inc. Innova Medical Group Inc. Innovatix, LLC

Mobile MediClaim, Inc. Modern Designs, Inc. Moderna, Inc. Modular Cleanrooms, Inc.

2 0 WAY 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

Introducing the Pharmacy500 of 2024 500 of the most impactful pharmacy supply chain companies and associations in the U.S.

Founder & CEO: Gregory Cianfarani, RPh Toll-Free Phone:

(800) 972-2083 Address: 1300 Division Road, Suite 103 West Warwick, RI, 02893 Website: RXinsider.com

Company Overview RXinsider is a marketing/communications, market intelligence, and technology company dedicated to the pharmacy supply chain.

We educate pharmacy management across every practice setting about products and services that impact pharmacy operations and patient care. Additionally, we offer market insights and educational resources to pharmacy supply chain companies and their staff.

Overview The Pharmacy500 is awarded to 500 pharmacy supply chain businesses and associations that had a significant impact on dispensing pharmacies in the U.S. over the past year.

Who are the Pharmacy500 and what are the selection criteria? n The Pharmacy500 include: • Companies in the Pharmacy Supply Chain • National Pharmacy Trade Associations The Pharmacy500 selection committee applies the following criteria to determine the list of 500:

• Offers and actively markets at least one product or service to dispensing pharmacies.

• Dispensing pharmacies comprise at least 25% of their customer base.

• Has an estimated annual revenue exceeding $500,000.

• Has five or more full-time employees, and has been in business for more than two years.

• Has a national presence.

• Exhibited at one of the following national conferences in the previous year: APhA; ASCP Annual Meeting & Exhibition; Asembia’s Summit; ASHP Midyear Clinical Meetings & Exhibition; Cardinal Health RBC; McKesson ideaShare; NACDS Total Store Expo; NASP Annual Meeting & Expo; NCPA Annual Convention and Expo; Pharmacy Futures (ASHP Summer); ThoughtSpot.

The following supply chain segments are critical to pharmacy operations but are excluded from the Pharmacy500 simply due to volume: • Manufacturers and Merchandisers of Pharmaceuticals • Manufacturers and Merchandisers of Devices and OTC Products • Colleges of Pharmacy • State Associations • Government Agencies and State Boards of Pharmacy • Pharmacy Fraternities and Sororities • Dispensing Pharmacies, Health Systems, Chains, Payors, and PBMs “ With such a historical focus on the clinical aspects of pharmacy, it’s exciting to recognize a segment of the supply chain that impacts pharmacies from an operational standpoint, enabling pharmacies to operate efficiently and profitably while providing exceptional and innovative pharmaceutical care.”

— Gregory Cianfarani, RPh, Founder and CEO

Practice Settings • Community/Retail • Long-Term Care • Hospital/Health System • Home Infusion and Compounding • Managed Care/PBM • Specialty • Nuclear More Information For the 2024 Pharmacy500 list, selection criteria, and details, please visit www.rxinsider.com/Pharmacy500.

SPRING 2024

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A Abbott Academy of Managed Care Pharmacy (AMCP) Accreditation Commission for Health Care, Inc Accreditation Council for Pharmacy Education Accu-Chart Plus Health Care Systems Accucold Acute Care Pharmaceuticals Adheris Health AdvanceNet Health Solutions, Inc Advasur LLC

Board of Certification/Accreditation (BOC)

Anda Inc.

Board of Pharmacy Specialties (BPS)

ANiGENT LLC

Bonita Pharmaceuticals

Animal Med Express

Bureau Veritas

Apexus LLC

Buy-Sellapharmacy.com

Apothecary Products, LLC.

C

APS - Advanced Pharmacy Solutions ARL Bio Pharma ARxIUM Asembia Aspen RxHealth AssistRx

Aegis

Associates of Cape Cod, Inc

Air Link International

AssureCare LLC

AirCare Automation

Asteres Inc.

AirClean Systems, Inc.

Atlas Health

AIS Healthcare

Avel eCare

Akro-Mils

Aventi Health

AlignRX Alliance for Pharmacy Compounding Allied Pharmacy Products Altium Packaging

Avery Weigh-Tronix AvKARE, LLC Azurity Pharmaceuticals, Inc. Azzur Group

American Analytics

78

Amneal Pharmaceuticals LLC

CAM Commerce Solutions / Celerant Technology Capital Inventory, Inc Capital Wholesale Drug Company Capsa Healthcare CaptureRx Cardinal Health Care Services, LLC. CarepathRx CarePoint Carter Health CEImpact Cencora / American Health Packaging Cencora / AmerisourceBergen Centor Central Admixture Pharmacy Services, Inc. (CAPS) Cervey

American Associated Pharmacies (AAP)

B

American Association of Colleges of Pharmacy

B Medical Systems

Charles River Laboratories

American Association of Health-System Pharmacists (ASHP)

B. Braun Medical Inc.

ChemoGLO

BA Sciences

CINTAS Corporation

American BioTech Supply

Baxter

Cipla, Inc.

American College of Apothecaries

BD

Civica

American College of Clinical Pharmacy

Berkshire Corporation

Clean Harbors, Inc.

American College of Veterinary Pharmacists

Berry Global Inc.

Cleanetics

American HealthCare Capital

BestRx

Clearway Health

American Pharmacies, Inc.

BetterRx

Cloudmed

American Pharmacists Association (APhA)

Beutlich Pharmaceuticals, LLC

Codonics

American Pharmacy Cooperative, Inc.

Biolife Solutions Inc.

Cold Chain Technologies

American Rx Group

Blue Thunder Technologies Inc.

ComCo Systems

American Society of Consultant Pharmacists (ASCP)

Bluesight

CompleteRx

Americorp Financial, LLC

BluPax Pharma

ConsortiEX Inc.

SPRING 2024

I

R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C

Change Healthcare

Containment Technologies Group, Inc. Contec, Inc.

Euclid Medical Products

InfoWerks

Eurofins Analytics

Inmar Inc.

EveryDose

Innova Medical Group Inc.

Everyware

Innovatix, LLC

EzriRx

Inovalon

EZSCRIPTRx

InsightRX, Inc.

CORE Higher Education Group

F

CORMED

Fagron

COSHATT

FFF Enterprises, Inc.

Integrated Medical Systems, Inc. (IMS)

CoverMyMeds (McKesson Corporation)

FG Clean Wipes

Integrity Pharmacy Consultants

CPESN USA, LLC

First Databank, Inc.

Intelliguard / MEPS Real-Time, Inc.

CPS Solutions, LLC

First Financial Bank

Interlink AI, Inc.

CriticalPoint, LLC

Flash Returns, LLC

Crocus Medical Inc.

FLAVORx

International Journal of Pharmaceutical Compounding (IJPC)

CuraScriptSD

Institute for Safe Medication Practices (ISMP) InstyMeds

International Medical Industries

Flexible Pharmacy Services, PLLC

ISO-MED, Inc.

Cypress Software, Inc.

Flowsell

D

Follett Healthcare

D2 Solutions

Franklin Eyewear

J

Fresenius Kabi Group

Jackson Pharmacy Professionals

Frier Levitt

Jays Company

G

JFCRx

Datarithm Datascan Pharmacy, Inc. Dexcom, Inc. Dickson

IsoTech Design

Jones Healthcare Group

Genetco Inc. GeriMed, Inc.

K

Germfree

Keycentrix, LLC

Grifols

KeySource

DoseMe

H

Keystone Folding Box Co.

DosePacker, Inc.

H+H System, Inc.

DosePlanner

Hardy Diagnostics

L

Dr.Reddy’s Laboratories Ltd.

Hayslip Pharmacy Brokers Inc.

Labconco

DrFirst

HealNow

Lakeland Industries, Inc.

DRX SOFTWARE LLC

Health Care Logistics, Inc.

Legacy Pharmacy Group

Dycem Ltd

Health Connect Partners, Inc.

Leiters Health

E

HealthTrust

Liberty Software

HelioMetrics

Liebherr

Hematology/Oncology Pharmacy Association (HOPA)

LifeFile

Hikma Pharmaceuticals

Lincoln Savings Bank

Hudson Headwaters 340B

Live Oak Bank

Elsevier

I

Loopback Analytics

Emporos

iA

EnlivenHealth

ICU Medical

EPIC Rx

iLocalBox

Epic Systems Corporation

Imprivata / FairWarning

M

Epicor Software Corporation

IND Consulting

Macro Helix (McKesson Corporation)

epocrates / Athenahealth

Independent Pharmacy Cooperative (IPC)

Managed Health Care Associates, Inc. (MHA)

EQUASHIELD

InfiniTrak, LLC

Manchac Technologies

Esco

Infinity Laboratories

Masters Pharmaceutical

Digital Business Solutions, Inc. DisposeRx, Inc. DiversifyRx

Eagle Analytical Services Eagle Pharmaceuticals, Inc Ecolab ECRM

KNAPP

LSPediA, Inc. Lumistry Lupin Pharmaceuticals Inc.

SPRING 2024

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MatchRX

NuAire, Inc.

PharmCon

Maximum Rx Credit, Inc.

Nuvem

PharmEcology

Maxor National Pharmacy Services, LLC

O

Pharmetric Laboratory

Maxpert Medical

Omega Pharmacy Group

MaxQ

Omnicell

McKesson Corporation

OmniSYS (XiFin Pharmacy Solutions)

Medi-Dose, Inc./EPS, Inc. Medical Information Technology, Inc. Medical Packaging Inc., LLC

Oracle Health / Cerner

Pharmpilot Pharmsource, LLC PharmWaste Technologies, Inc. PHC Corporation of North America

OrderInsite, LLC

Pine Pharmaceuticals

OurPharma LLC

PipelineRx

Outcomes

PK Telehealth (TCE Group)

Owen Mumford

Plenful

MediZap

P

PointClickCare

MedSafety Solutions

P&C Pharma

MedShorts

PAAS National LLC

Medtel Communications

Paladin Data Corporation

MedXL Inc.

Par Pharmaceutical, Inc.

Merative

Paragon Ventures

Mesmerize

Parasol Medical, LLC

Micro Merchant Systems, Inc.

Parata Systems (BD)

MIDAS Healthcare Solutions

ParcelShield

Mideast Delivery Solutions

PCCA

Migali Scientific

PDM Healthcare

Mobile MediClaim, Inc.

PDR / ConnectiveRx

Modern Designs, Inc.

Pentapack

Moderna, Inc.

PEPID, LLC

Modular Cleanrooms, Inc.

Perfex Corporation

Modular Devices

Pevco

Modular Pharmacy Solutions, LLC

phactMI

Moog, Inc.

Pharma Logistics, LLC

Morris & Dickson

QleanAir Scandinavia AB

Pharma Source Direct

QRx Solutions

Pharmacists Mutual Insurance Company

QuicksortRx, Inc.

PharmaComplete

QuidelOrtho Corporation

Pharmacy Automation Supplies

QuVa Pharma

Medicine-On-Time, LLC Medility Inc. Medisca Inc. Medivant Healthcare

N N3PR NarcX National Association of Boards of Pharmacy (NABP) National Association of Chain Drug Stores (NACDS) National Association of Specialty Pharmacy (NASP) National Community Pharmacists Association (NCPA) National Council for Prescription Drug Programs (NCPDP)

80

Onset Computer Corporation / InTemp

PharmID, Inc.

Pharmacy Brokers

Powerpak (Postgraduate Healthcare Education) PreciseRX Precision Dose, Inc. Premier Prescryptive Health, Inc. Primex Inc. Prompt Praxis Laboratories ProPharma Cleanrooms Protenus, Inc. ProxsysRx PRS Pharmacy Services Prudential Cleanroom Services Pure Microbiology, LLC Pyrls (Cosmas Health, Inc)

Q Q.I. Medical Inc

Pharmacy Consulting Broker Services

R

Pharmacy First

R.C. Smith

Pharmacy Podcast Network

R.J. Hedges & Associates

Pharmacy Quality Alliance (PQA)

R&S Northeast LLC

Pharmacy Quality Solutions (PQS)

RD Plastics Company, Inc.

National Home Infusion Association (NHIA)

Pharmacy Stars, LLC

Real Value Rx

National Pharmaceutical Returns, Inc.

Pharmacy Technician Certification Board (PTCB)

Recovered Health

National Pharmacy Purchasing Association (NPPA)

Pharmacy Times (MJH Life Sciences)

Redsail Technologies, LLC

National Pharmacy Technician Association (NPTA)

Pharmacy-Lite Packaging

Rees Scientific

Nephron Pharmaceuticals Corporation

PharmaForce

Relay Robotics, Inc.

Net-Rx (an MHA Solution)

PharmaLink Inc.

Retail Designs Inc.

Nimble

PharmaPoint, LLC

Retail Management Solutions, LLC

Noritsu Pharmacy Automation

Pharmathek

Return Solutions, Inc.

SPRING 2024

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R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C

Revelation Pharma

Speed Script

TruMed Systems, Inc.

Robotik Technology

SpendMend

Turbare Manufacturing

Roemer Industries

SpotSee

RPh on the Go

SRS Pharmacy Systems

U

Rx Advisors

STACK, LLC

RX Destroyer

STAQ Pharma, Inc.

Rx relief

Stäubli

Rx Return Services, LLC.

STChealth

Rx Reverse Distributors, Inc.

Stericycle, Inc.

Rx Systems, Inc.

Stratix Labs Corporation

RxConnexion

SuiteRx, LLC

V

RxDispense

Suncrest Solutions

Value Drug Company

RXinnovate Consulting

SUNRx

Veltek Associates, Inc.

RXinsider

Supplylogix (McKesson Corporation)

Veracity Group, Inc.

RxLive, Inc.

SureCost, LLC

Veridikal

RxOwnership (McKesson Corporation)

Surescripts

Verity Solutions

RxPreferred

Swisslog Healthcare

VigiLanz Corporation

RxRise

Sykes & Company, P.A.

Vileda Professional

RxSafe, LLC.

T

VIP Pharmacy Systems

RxScan RXshelving.com (Surplus Equipment Company) RxStrategies, Inc.

S SafeChain Solutions, LLC Safecor Health Samson Medical Technologies, LLC

U.S. Micro-Solutions, Inc. Unidoses United Pharmacy Network (UPN) UNITED Staffing Network, Inc. United States Pharmacopeia (USP) UNIWEB, Inc.

Virtue Technologies

Tabula Rasa HealthCare

Visante

TEAM Technologies, Inc.

VIVID (Scientific Industries, Inc.)

Teknipure

Vizient, Inc.

TelNet-Rx

VMI Care

Tension Packaging & Automation

VPL, Inc.

Terso Solutions, Inc.

W

Sanford Guide

Texwipe (ITW)

SCA Pharma

The Baker Company

Well-Served Pharmacy Community (WSPC)

ScriptPro LLC

The Compliance Team, Inc.

Wellgistics

SDS Rx

The Craneware Group

Wellpartner

SensoScientific, Inc.

The Medicine Shoppe Pharmacy

Wells Pharma

The Relief Products

West Pharmaceutical Services, Inc.

Shamrock Labels Sharps Medical Waste Services Shepard Medical Products Shields Health Solutions SKY Packaging (McKesson Corporation)

WeInfuse, LLC

Winfield Laboratories Inc

Thermo Fisher Scientific, Inc.

Wolters Kluwer

ThoroughCare, Inc.

Workflow Services

TICKERWORKS

WorkingBuildings

Skyline Pharmaceuticals

TopRx, LLC

SmartCells (SATECH, Inc.)

Total Pharmacy Supply, Inc.

SmartSense (Digi International)

Total-Shield PLUS (McGowan Industries, Inc.)

Smith Drug Company

TouchPoint Medical

So-Low Environmental Equipment Co.

TraceLink, Inc.

SoftWriters, Inc Soliant Health Source Communications LLP South Pointe Wholesale, Inc.

Y Yardi Systems, Inc. Yukon Medical, LLC Yuyama Usa, Inc.

Z

TrackTraceRx, Inc.

Zebra Technologies Corp.

Trane Technologies

#

TransferMyRx

SpecializedRx Products, LLC

Travis CleanAir, Inc.

Specialty Medical Staffing

TRC Healthcare

Spectrum Pharmacy Products

Trilogy MedWaste, Inc.

340B Health 340BDirect | Procuity

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WHAT WE DO FOR PHARMACY SUPPORT WITH LTC SET UP (NPI, GPO) CERTIFY PHARMACY CERTIFY PHARMACIST CHAMPION CERTIFY TECHNICIAN CHAMPION EDUCATE BEST PRACTICES SUPPORT COMPLIANCE BUSINESS GROWTH RESOURCES

hello@LTCAH.com www.LTCAH.com

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LTC@H Pharmacy Network is The Resource for Long-Term Care at Home Practice Whether you are looking for patient identification tools, billing procedures, compliance documentation, or valuable insights into best practices and marketing support, LTC@Home is here to provide support to the entire long-term care at home sector.

Features & Options

President: Lindsay Dymowski

Constantino Founded: 2023 Employees: 11 Email: hello@ltcah.com Website: www.ltcah.com

Company Background & History

Long Term Care at Home Pharmacy (LTC@H) network was conceived to fill a significant void in the market, offering education, support, and guidance tailored specifically to the long-term care at home sector.

Through the seamless integration of The Centennial Group’s understanding of the long-term care at home pharmacy market and the multidisciplinary pharmacy experience of the PharmaComplete Team, a powerful synergy was formed that empowers LTC@H|Pharmacy Network to advance the long-term care at home sector, while equipping members with the tools they need to thrive.

We are deeply committed to driving innovation, fostering collaboration, and creating impactful change within the pharmacy industry. With our unwavering dedication and 150+ years of combined expertise, we are poised to lead the way in enhancing patient care, expanding opportunities, and shaping the future of long-term care at home.

Product Overview

Embarking on long-term care at home can feel daunting, which is why we’ve designed accessible resources to simplify managing your LTC@ Home pharmacy. Our comprehensive portal facilitates everything from initial setup with combo-shop and acquiring NPIs to compliance tools, identification guides, CE education, and marketing support, ensuring you’re equipped to deliver top-tier LTC@Home care.

Recognizing the importance of documentation and collaboration in long-term care at home, we offer educational resources, identification guides, attestation forms, and other essential tools to support your pharmacy’s compliance with payer and regulatory standards.

Remaining abreast of developments in the pharmacy industry is paramount, particularly in long-term care at home. Our members receive regular updates, and membership grants you access to weekly lunchand-learns, ongoing educational materials, and exclusive partnerships aimed at bolstering your pharmacy’s revenue and capabilities.

• Comprehensive Portal Access: Gain entry to a user-friendly portal offering a wide array of resources tailored to managing LTC@Home pharmacies effectively.

• Initial Setup Assistance: Step-by-step guidance for setting up your pharmacy, including assistance with combo-shop initiation and obtaining necessary National Provider Identifiers (NPIs).

• Compliance Tools: Access to tools and resources designed to ensure compliance with payer and regulatory guidelines, simplifying the process of meeting industry standards.

• Identification Guides: Detailed guides to aid in the identification of various medications, facilitating accurate dispensing and patient care.

• Continuing Education (CE): Engage in CE education opportunities specifically geared towards LTC@Home pharmacists, ensuring ongoing professional development and competency.

• Marketing Support: Tools and resources to help promote your LTC@Home pharmacy services effectively within the community and among potential clients.

• Documentation Assistance: Templates and guidance for essential documentation requirements, streamlining the process of maintaining accurate records.

• Collaborative Tools: Resources to facilitate collaboration with healthcare professionals involved in the long-term care of patients at home.

• Regular Updates: Stay informed about industry developments and best practices through regular updates and access to the latest information relevant to LTC@Home pharmacy services.

• Exclusive Partnerships: Benefit from exclusive partnerships aimed at providing additional support and resources to enhance the capabilities of your pharmacy network.

• Weekly Lunch-and-Learns: Participate in weekly educational sessions to stay current with industry trends, best practices, and innovations in LTC@Home pharmacy care.

• Networking Opportunities: Connect with other professionals in the LTC@Home Pharmacy network to share insights, experiences, and strategies for success.

• 24/7 Access: Enjoy round-the-clock access to resources and support, ensuring that assistance is available whenever it’s needed.

Markets Served

• Independent Community Pharmacies • Long-Term Care Pharmacies • Payers • Plans SPRING 2024

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Specialty Pharmacy Outlook 2024 Contributed by: Sheila M. Arquette, RPh President & CEO, National Association of Specialty Pharmacy

Specialty pharmacy continues to be dynamic, demanding, and disruptive.

As the market continues to demand specialization in drug distribution and clinical management of complex patients and therapies, specialty pharmacy continues to evolve. Keeping pace with scientific discovery and medical innovation is relentless and challenges all providers along the care continuum to find new ways to support specialty patients and control costs.

Specialty pharmacies connect patients diagnosed with life altering and often life-threatening complex health conditions with the medications prescribed for their conditions. The expert services that specialty pharmacies provide drive adherence, proper management of medication dosing and side effects, and ensure safe and appropriate medication use. Specialty pharmacy’s patientcentric model is designed to provide a comprehensive and coordinated model of care ensuring patients achieve superior clinical and economic outcomes while expediting their access to care. Specialty pharmacy is defined not by the site of care but the model of care and the type of patient management and care coordination services it provides.

2024 key trends, challenges, and opportunities to watch include: Pipeline Specialty, niche, and orphan disease drugs comprise the largest proportion of new medicines launched in the past decade. Specialty medicines account for 84

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around 75% of the approximately 7,000 new drugs under development.

This tremendous growth presents us with incredible benefits but also some compelling challenges. Specialty pharmacy delivers significant value as an integral member of the patient’s healthcare delivery team. Medication access and affordability issues compounded by our aging population and an increased number of specialty drugs being approved for conditions traditionally treated with small molecule therapies, signal the specialty market will remain strong; but the stakes are high, not only for those inside the specialty arena, but for all of us.

Drug Shortages Over the past five-and-a-half years, an average of more than 25 new molecule shortages have occurred each year, with 160 in total added through June of 2023 and only 51 resolved.

Oncology has experienced a growing number of shortages since 2020, with four new molecule shortages between March and June 2023 alone.

Drug shortage associated treatment delays, therapy interruptions, clinical complications, suboptimal treatment and adverse drug reactions coupled with increased medication costs and patient financial toxicity can all negatively impact patient outcomes.

As trusted medication experts, specialty pharmacists serve as critical interdisciplinary team members working

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collaboratively to identify and approve alternative therapeutic regimens to address drug shortages, mitigate their impact and promote optimal, clinical, and cost-effective outcomes.

Cell and Gene Therapies Today, there are 27 FDA-approved cell and gene therapies in the United States, with more than 2,000 therapies in development worldwide. Just as the biologic landscape has evolved over the last decade, so too will gene therapy.

Recent research suggests that the number of gene therapies on the market is likely to increase to over 60 by 2030, and today’s $5.2 billion gene therapy market is estimated to grow tenfold by 2031.

Specialty pharmacy has the unique opportunity to demonstrate and define how their white glove, patient centric model of care can contribute to the optimal management of these patients.

Inflation Reduction Act The Inflation Reduction Act of 2022 includes several provisions to lower prescription drug costs for Medicare beneficiaries and reduce the federal government’s drug spending. The Congressional Budget Office estimates that the drug pricing provisions in the law will reduce the federal deficit by $237 billion over 10 years (2022-2031).

Will restructuring the Medicare Part D standard benefit and the $2,000 beneficiary out-of-pocket limit reduce affordability-related non-adherence and

2 0 WAY 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

increase overall utilization of specialty drug therapies? Will Part D Plans increase the use of prior authorization, step therapy, and other utilization management tools to try to control drug spending?

Only time will tell.

potentially life-saving options for patients, they can be extremely expensive and require the high touch, white glove level of service, intensive patient management, and care coordination that only specialty pharmacy can provide.

DSCSA

Artificial Intelligence

The Drug Supply Chain Security Act (DSCSA) requires manufacturers, distributors, and pharmacies required to track, trace, and verify down to the unit level every prescription product they handle and maintain records of such for a minimum of six years. Could the serialized data being created and shared as a part of DSCSA legislation be an opportunity for specialty pharmacy to capitalize and commercialize this data to provide new value to upstream stakeholders? With the enforcement of certain Drug Supply Chain Security Act (DSCSA) requirements delayed until November 27, 2024, now is the perfect time for all specialty pharmacy stakeholders to engage in the discussion.

Emerging and evolving technologies are driving exponential change in the delivery of specialty pharmacy care.

By helping to streamline pharmacy processes and automate labor intensive tasks, artificial intelligence has the potential to revolutionize medication management and clinical decision making, promote the delivery of personalized therapeutic regimens, enhance clinical and cost-effective outcomes, and increase operational efficiencies and patient satisfaction. Specialty pharmacies continue to invest heavily in technology to better engage patients, decrease total cost of care and enhance patient satisfaction while complying with all laws designed to protect patient privacy and safety.

Biosimilars Biosimilar adoption is key to delivering on the promise of reduced health care costs.

An estimated $21 billion in savings to healthcare systems over the past six years has been attributed to biosimilar competition with savings over the next five years projected to exceed $100 billion. In the U.S., there are 40 FDA-approved biosimilars across 15 reference biologic products.

Specialty pharmacists continue to lead educational efforts to help increase confidence and improve uptake of biosimilars across the health care continuum, with the realization of significant savings that can be directed to newer and innovative therapies.

Rare and Orphan Drugs These products are no longer niche. The orphan drug market is growing over twice as fast as the traditional drug market. By 2026, orphan drug therapies will be 20% of all prescription drug sales, and almost a third of the global drug pipeline’s value.

While these treatments represent new and

connected to specialty pharmacies that serve constituents in their districts and states to ensure its priorities are addressed before Congressional policymaking is taken over by 2024 election year politics.

Scientific innovation and medical advancements allow us to live longer, healthier lives but the ethical and financial challenges caused by access and affordability issues necessitate crucial conversations about how healthcare is delivered. It is critical that all specialty pharmacy industry stakeholders continue to work collaboratively to embrace challenges that become opportunities, and opportunities that become solutions, all designed to advance and enhance patient care.

The future of specialty pharmacy is a future we all share. From our perspective, there is so much to look forward to.

ABOUT NASP

The National Association of Specialty Pharmacy (NASP) is a 501(c)(6) non-profit trade organization and is the only national association representing all stakeholders in the specialty pharmacy industry. The mission of NASP is to elevate the practice of specialty pharmacy by developing and promoting continuing professional education and certification of specialty pharmacists while advocating for public policies that ensure patients have appropriate access to specialty medications in tandem with critical services. The association provides an online education center offering accredited continuing pharmacy education programs, hosts an Annual Meeting & Expo that offers educational sessions and continuing education credits, and is the only organization that offers a certification program for specialty pharmacists. NASP members include the nation’s leading specialty pharmacies, pharmaceutical and biotechnology manufacturers, group purchasing organizations, patient advocacy groups, integrated delivery systems and health plans, technology and data management vendors, wholesalers/ distributors, logistics providers and practicing pharmacists, pharmacy technicians, nurses, and healthcare professionals.

Federal and State Legislation and Regulations The new year brings both promise and challenge for specialty pharmacy as the community braces for the official implementation of the Medicare Part D rule that revised the definition of negotiated price and pharmacy price concessions and moved all price concessions to the point of sale to reduce beneficiary cost sharing. NASP spent 2023 diligently working to advance legislative reforms to protect pharmacy from unreasonable reimbursement rates and to establish protections for pharmacy reimbursement, allow for pharmacy appeals of terms against these protections, and standardize and oversee pharmacy performance measures, among other reforms. In 2024, specialty pharmacy needs to be persistent and vocal, focusing efforts to continue improving lawmaker awareness of the important role specialty pharmacy plays in the management of some of our most vulnerable patients and helping more Members of Congress feel SPRING 2024

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FRANKLIN EYEWEAR ®

Sun & Reading Glasses $9.99 Retail / $4.50 Cost Each Deal Price $648 144 Pair @ $4.50 a Pair Sunglasses price tags color coded by category Reading glasses price tags color coded by strength Easy Merchandising & Re-Ordering Great Variety Of Quality Styles Free Display | Free Shipping

Associated with most buying groups ... probably yours too!

C ALL (87 7 ) 76 6 -0 3 21 OR VI S I T W W W.F R A NK L I NE Y E W E A R .C OM

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Color Coded Sun and Reading Glasses Program

by Franklin Eyewear®

Reading glasses price tags are color coded by strength and sunglasses price tags by category. This makes it easy to keep your displays organized and makes re-ordering simple!

President & CEO: Al Underwood Founded:

1975 Toll-Free Phone: (877) 766-0321 Toll-Free Fax: (877) 766-9542 Address: 260 Christopher Cove Ridgeland, MS 39157 Website: www.franklineyewear.com

Company Background Franklin Eyewear evolved as Al Underwood drove from drugstore to drugstore in his home state of Mississippi in the early 1980s.

Al had developed a sunglasses program that he started selling to convenience stores in 1975, and soon after, he added independent pharmacies due to the need for a reading glasses program.

Al added reading glasses in 1985, naming his line after Ben Franklin, who invented bifocals. After the advent of the baby boomers into reading glasses consumers, it was no longer just about function as fashion became a driving force for the forever young crowd buying them.

Product Overview Franklin Eyewear displays are merchandised by strength, so the consumer can turn to the panel with their strength, and see a selection of frame styles and colors. Each panel has a color coded label designating the strength. The glasses price tags are color coded to match! The $9.99 retail price opens the door to multiple sales as people have a hard time picking just one, and they want to keep them in many places for easy access.

In addition to reading glasses, Franklin Eyewear offers a corresponding sunglasses program, color coded by category — sports, trendy, and fashion all at $9.99 retail. Also included in the sunglasses program for $9.99 are polarized sunglasses and sun-bifocals. Sunglasses with bifocals make it easy to read your smartphone in the sunlight.

Testimonials “ I was convinced no one would buy readers or sunglasses from an independent pharmacy when so many other places carry them. Boy was I wrong. I first carried Franklin Readers and they flew off the rack.

I have people that come just for the trendy, good quality, reading glasses we sell. So I decided to try carrying the sunglasses as well. These have also been a great seller and a convenience for people.”

— Jennifer Palazzolo, Flatiron Pharmacy, Longmont, CO

“ Our customers resoundingly say ‘great price, great style, and great products!’ We have fortunately noticed repeat business from these customers who are referring others to our pharmacy for your product.

CVS is right across the street from our location and charges over $20 for glasses that are inferior and unattractive. We are now proud and happy to carry Franklin Eyewear in our community pharmacy.”

— Francis DiMarco, Pharm.D., Wilmont Pharmacy & Surgicals, Scarsdale, NY

“ Franklin Eyewear has been a great addition to our front store.

Customers love the quality and price of the eyeglasses and Al is extremely knowledgeable and will get you everything you need to start selling glasses. From counter displays to full floor models, they have everything you need. It’s always nice to walk by Franklin Eyewear at a trade show or conference because Al always remembers his customers and makes a point to say hello. We highly recommend Franklin Eyewear, I wish all our vendors were this great!”

— Alex Doyle, Conley’s Drug Store, Ipswich, MA

Ordering Information Order online at www.franklineyewear.com or call (877) 766-0321.

Franklin Eyewear’s easy-to-maintain color coded program with quality and style at reasonable retails and a 50% margin, makes you competitive in today’s market and keeps your customers coming back for more.

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You trusted the PBMs when they said they were on your side.

You trusted your wholesaler when they said you were getting the best deal.

You trusted your GPO when they said the power was in the GCR. You believed your rep when they said ‘Trust the process’.

Now it’s time to trust the over 6,000 pharmacies that say...

Without EzriRx we would have been in the negative.

-Suburban Pharmacy

EzriRx unleashes prices we never knew we could get.

-Levys Pharmacy

With the DIR apocalypse, it’s the only way to survive.

-The Medicine Chest

We were finally profitable on so many negative reimbursements.

-SHP Pharmacy

Friends help friends. At EzriRx we work with you, not against you.

2 0 WAY 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

EzriRx Connects 30+ NABPAccredited Wholesalers With 1,000’s of Pharmacies in the US EzriRx is a technology-friendly and advanced marketplace that makes it incredibly easy for pharmacies to shop and save on brands, generics, OTC, HBA, pet meds, and more on a single easy-to-use platform. The time wasted dealing with reps adds up to real dollars. EzriRx is simple. EzriRx is free.

President & CEO: Ezriel Green Founded:

2017 25+ Phone: (718) 502-6610 Fax: (718) 414-1474 Address: 2360 Route 9 Suite 3 #171 Toms River, NJ 08755 Website: EzriRx.com Employees:

Company Background & History EzriRx was built with a mission to bring the latest available e-commerce technology to U.S. pharmacies. Our goal was to lower the cost of goods by providing the easiest-to-use, bestdesigned, and most advanced marketplace solution to date.

While pharmacies have a fundamental responsibility to patients, we wanted to eliminate their purchasing pains. We created the algorithm to get the best price so they can forget about their GCR, ratios, and minimums and continue focusing on their patient.

Product Overview We began by contracting with 30+ NABP-accredited wholesalers and added 60,000 unique items. We created a two-minute signup process and eliminated all the paperwork needed to apply and open new accounts with wholesalers. We then added the ability to pay wholesalers (through the platform) via ACH, credit cards, terms, and statements and manage all invoices in a central location. We added the ability to make offers on every product and created an easy, free solution for audits. We built a mobile website to search and buy on the go, and allow pharmacies to connect to their pharmacy software provider for easy inventory management. We even keep records of all the DSCSA files and do so much more!

Features & Options • 30+ NABP-accredited wholesalers.

• Two-minute, free sign-up process.

• Electronic applications and e-signature.

• Add a payment method and never share it with wholesalers.

• Make offers on all products.

• Short-dated items.

• Multi-store login.

• Audit help.

• Track DSCSA/T3/pedigree documents.

• Connect your pharmacy software for inventory.

• Rewards on every generic purchase.

• Select primary connections available.

Markets Served • Independent • Long-Term Care • Chain • Hospital • Closed Door Trade Shows/Meetings Attended • DiversifyRx • NCPA

For pharmacies in select states, we offer a pharmacy-to-pharmacy solution to get rid of excess inventory, and for pharmacies with an awaiting patient to buy products from another pharmacy at a deep discount. We think win-win.

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CAS E S TU DY HOW SMITH PHARMACY FINDS BETTER PURCHASING OPTIONS AND PASSES THE SAVINGS ALONG TO PATIENTS THE COMPANY: SMITH PHARMACY

“

Nic Smith Founder and Owner ~ Smith Pharmacy

We needed to know if the switch was worthwhile, so we did an analysis. It turned out SureCost was saving us over $200,000 a year. And it’s probably closer to $300,000 now.”

Nic Smith Founder and Owner ~ Smith Pharmacy

Smith Pharmacy is an independent, full-service, family-owned and operated retail pharmacy. Their mission is to provide a low-cost, service-oriented pharmacy to their community. The team takes pride in providing excellent care in a complex healthcare environment. They are dedicated to providing patients with quality service. Patients single out Smith Pharmacy for their trusted guidance with medications while getting the best prices.

THE CHALLENGE The pharmacy purchasing ecosystem is not designed for transparency or ease.

The best purchasing options — which account for patient needs, low COGS, primary vendor compliance, rebate potential and other factors — are usually hidden within a mass of data spread across multiple catalogs from a variety of vendors using different interfaces.

Smith Pharmacy experienced this challenge firsthand. As Founder and Owner Nic Smith explained: “We used to get phone calls every day from all these vendors about specials and sales, and we just didn’t have time to sit and compare. And we don’t want to switch manufacturers all the time. We don’t want someone’s mother coming in, getting their medication, and it looks different for the third time in a row.”

Managing up to four secondary wholesalers at once was also labor-intensive for the team. Without an effective solution to compare products, they would rely on manual processes (like physically sorting items on the shelves) to determine which vendor had the best price.

“Even then,” Nic adds, “prices change all the time, so there wasn’t a great way to make sure that was still the best price. And we didn’t have the time to sit back and verify a source price versus a secondary price. Our original process was very labor-intensive, and it wasn’t very accurate!”

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www.surecost.com

CAS E S TU DY

“

It’s a godsend.

Honestly, the best thing that we’ve ever done in our pharmacy is setting up SureCost.”

Nic Smith Founder and Owner ~ Smith Pharmacy

HOW SURECOST HELPED Smith Pharmacy uses an integrated purchasing solution to find the best option for their patients and their business.

THE SOLUTION SureCost is a unified purchasing and inventory management solution designed for pharmacies to harness insights from their entire vendor and wholesaler catalog.

This software empowers pharmacy teams to identify the best purchasing options while ensuring compliance and optimizing workflows. Over 5,000 pharmacy professionals across the country use SureCost every day to save more, stay compliant and work smarter.

Smith Pharmacy now uses SureCost to efficiently expand its purchasing portfolio through multiple secondary vendors in addition to their primary wholesaler.

With SureCost, they can easily compare prices and purchasing options. Among other benefits outlined below, using this solution has led to savings for Smith Pharmacy and their patients.

See how much your pharmacy can save with SureCost. Calculate in Seconds. https://info.surecost.com/roi-savings-calculator

THE BENEFITS OF USING SURECOST Saving Time and Money SureCost has eliminated the time and labor Smith Pharmacy previously spent just comparing catalogs and fielding vendor offers. “SureCost helped us tremendously streamline our purchasing. You don’t have to go on to the other third party websites to order. You do it all on one platform. And vendors know not to bother calling us because if their pricing is good, it’s going to be reflected in SureCost.”

SureCost’s pricing transparency has significantly lowered the COGS for Smith Pharmacy.

They can now quickly identify the best purchasing options. For example, a primary wholesaler might keep the same price on a generic drug while secondaries drop the price. Nic shares how he showed their primary wholesaler a dermatological drug listed at $190 while six other vendors were selling it for just ten dollars.

SureCost identifies overpriced drugs and shows the better option — without you having to keep checking and cross-referencing multiple catalogs. Nic points out how “you can have hundreds of dollars of savings on just one drug.”

Supporting Patients Smith Pharmacy passes these savings along to their customers. Patients consistently note the low prices at Smith Pharmacy, and Nic says that SureCost is an important part of staying competitive in this area. SureCost also supports Smith Pharmacy in meeting their patients’ health needs by reducing out-of-stocks.

As Nic explains, that means patients get the medications they need: “If a vendor doesn’t have that drug, we can look and find somebody that does. We’re a large-volume store.

www.surecost.com

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CAS E S TU DY

“

Basically, the savings from SureCost allow us to have another two pharmacists on staff. It more than pays for itself.”

Nick Smith Founder and Owner ~ Smith Pharmacy

On average, pharmacies save MORE THAN

2-5%

on the cost of goods annually using SureCost.

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www.surecost.com

We do over 1,500 prescriptions a day, and we get a lot of unusual requests. A patient may have an infection and need that medicine today. If it wasn’t for SureCost, I’d have to log in to ten different wholesalers, sit there, and look individually at each one to see if they have it.”

Increasing Business Intelligence Nic and his team rely on SureCost’s flexible reporting to enhance several areas of their operations. As just one example, by using the purchase history, when Nic has to return something, he doesn’t have to search through all his vendors to find where he last ordered it. If he notices a drug price trending high, he can also easily look back to see when he got a better price and from which vendor. And SureCost’s flexible reporting allows the pharmacy to ensure compliance with their primary wholesaler, even as they expand their purchasing options.

Achieving Immediate ROI With a Reliable Partner Smith Pharmacy began seeing ROI with SureCost within a week of implementation.

Nic points out that it took two weeks to configure SureCost with his catalog of vendors, internal systems and processes. Nic and his team worked closely with SureCost’s team, whom he found “very responsive, and we bothered them a lot!”

In terms of how much SureCost has saved Smith Pharmacy, Nic has already done the math: “About three years ago, we were debating switching to a different buying group.

It had better pricing than our current group but was more rigid in allowing us to buy outside. We needed to know if the switch was worthwhile, so we did an analysis. It turned out SureCost was saving us over $200,000 a year. And it’s probably closer to $300,000 now.”

Join over 5,000 pharmacy professionals across the country who use SureCost every day to save more, stay compliant and work smarter.

Book a Purchase Manager™ demo today to learn more about what smarter purchasing can do for your pharmacy. https://info.surecost.com/talk-to-a-purchasing-and-inventory-expert?utm_ campaign=RX%20Insider&utm_source=RX%20Insider%20Case%20Study%20Print%20 Ad&utm_medium=Smith%20Pharmacy

to Keep Pace?

Let’s team up to accelerate innovation. frameworkltc.com | sales@softwriters.com

Case Studies

Pharmacy

Behind Every Good Pharmacist ... is a Great Resource Take an in-depth look at specific products and services that help pharmacies improve patient care, profitability, and cost containment. Available in our digital library and within each issue of 20Ways.

BD NanoTM 2nd Gen Pen Needles help patients deliver their insulin correctly BD Nano™ 2nd Gen Pen Needles have a unique contoured base to help compensate for too much injection force, a common challenge for patients injecting insulin.1*

CONTOURED

POSTED

BD NanoTM 2nd Gen Pen Needle

Conventional 4mm pen needle

VS Skin

Skin

Fat (target zone)

Fat (target zone)

Muscle

Muscle

BD Nano™ 2nd Gen Pen Needles are estimated to reduce intramuscular injection risk by 2-8x vs 4mm posted base pen needles.2† Intramuscular injections have been shown to lead to increased pain and greater risk of hypoglycemia.3

FORMULARY PLAN UPDATE FOR 2024 NDC: 08290-3205-50

BD Pen Needles and Insulin Syringes have preferred coverage for Medicare Part D patients.

Consider dispensing BD Nano™ 2nd Gen Pen Needles.

Experience the difference of a contoured needle base.

go.embecta.com/pharmacypartner *N=230 patients with diabetes across Canada. Participants answered a survey as part of the cross-sectional observational behavioral study. BD helped fund this study. †The study used in-silico probability model of needle penetration depth for posted-hub 4mm pen needles and average human tissue thickness measurements across a range of injection forces and recommended sites, pooled across gender and BMI. 1. Bari B, Corbeil MA, Farooqui H, et al. Insulin injection practices in a population of Canadians with diabetes: an observational study. Diabetes Ther.

2020;11(11):2595-2609. 2. Rini C, Roberts BC, Morel D, et al. Evaluating the impact of human factors and pen needle design on insulin pen injection. J Diabetes Sci Technol. 2019;13(3):533-545. 3. Frid AH, Kreugel G, Grassi G, et al. New insulin delivery recommendations. Mayo Clin Proc. 2016;91(9):1231-1255. embecta, formerly part of BD. BD is the manufacturer of the advertised products. embecta and the embecta logo are trademarks of Embecta Corp.

BD and the BD Logo are trademarks of Becton, Dickinson and Company. All other trademarks are the property of their respective owners. © 2024 Embecta Corp. All rights reserved. 2305585393PRXI

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