20Ways SUMMER Hospital 2016

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

PHARMACY COST C O N TA I N M E N T Summer 2016

Health System

•

Infusion

20 Unique Products & Services

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

7 Preceptors Recognized

Seven Preceptors Recognized by Seven Colleges Including Wingate, UCONN, MCPHS, Campbell and More page 32

Pharmacist Jobs Pharmacy Job Opportunities

page 62

Trade Show Calendar page 50

Contents WAY

Verity Solutions — We’re Your Experts in 340B Program Compliance We're your experts in 340B program compliance New name, New Technology, Same trusted 340B solutions!

Verity Solutions (Formerly Talyst 340B) provides 340B software and services to hundreds of integrated healthcare systems, acute-care hospitals, pharmacies, and other 340B-eligible covered entities throughout the United States.

Our Verity 340BTM Split Billing, Contract Pharmacy, Specialty Pharmacy, and Audit & Compliance offerings work together hand-inhand to provide a holistic 340B solution set designed for program compliance, savings maximization, WAC spend reduction, and adherence to ever-changing regulations.

Cloud-based Enterprise Platform.

Analytics-driven Dashboards & Reports Typical Installation 90 days or less Proven HRSA Audit Success Rate.

Mega Guidance Compliant Dedicated Account Managers Assigned to You

verity340b.com 800.581.1378

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With the New Launch of EvolutionPOS v2, RMS Makes it Easier Than Ever to Improve Patient Care and Reduce Readmission Rates

Hospitals love mobile technology.

Verity Solutions products simplify the complex process of maintaining 100% 340B program compliance and results in critical cost savings.

Our services have saved our customers more than a billion dollars in drug purchases.

IT departments are nervous about it.

Our bedside discharge expertise coupled with our mobile POS solutions will allow you to increase outpatient pharmacy revenue and patient compliance!

We have the solution that makes everybody happy.

Introducing our latest mobile POS device, EvolutionPOSTM v2!

EvolutionPOS v2 builds upon our expertise in mobile bedside discharge, increasing efficiency with a WindowsTM tablet, while meeting the security requirements that your IT department demands, like support for P2PE* and PA-DSS compliance.

With EvolutionPOS from RMS, one device can solve your patient discharge needs.

1.877.767.1060 | sales@rm-solutions.com | www.rm-solutions.com | Follow us on Facebook, LinkedIn and Twitter *with certified merchant processors

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AVOID READMITTANCE Provide 30 days of prescribed medication at discharge in RxASP adherence strip packaging.

Get more. Do more. + Accuracy & Speed

“

Space Savings

Narcotics Security

Inventory Management

ROI

The RxASP is the best pharmacy automation I’ve seen— it’s more scalable, more accurate, and will handle larger pills than the competition. RxSafe entirely changed the way we do business for the better.

Gosney Long Term Care Pharmacy, Jordan Gosney Smith, Owner

For more info: www.rxsafe.com | email: info@rxsafe.com | 877.797.2332

RxASP 1000™ Adherence Packaging and RxSafe 1800™ Robotic Pharmacy Workflow Automation

by RxSafe

The RxASP 1000 takes adherence packaging to a whole new level — with built-in vision inspection and no more trays.

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Medical-Grade Refrigerators and Freezers From Helmer Scientific

Efficient and effective.

Reduce waste, shrink cost, and improve processes with true pharmaceutical-grade performance.

True Pharmaceutical-Grade Performance Proper storage of refrigerated drugs is a major responsibility. Don’t let compromised products and unnecessary waste affect the bottom line. Invest in reliable medical-grade refrigeration to keep products safe and costs down.

Focusing only on medical-grade refrigerated products for 40 years.

Helmer offers a wide range of refrigerators including undercounter, upright, double door, and pass-thru models for all your pharmacy needs.

For more information contact: www.helmerinc.com/med-storage

TrueBlue. © 2016 Helmer Inc. All rights reserved.

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SUMMER 2016

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1

PREPARE FOR USP

800

THE SAFER CHOICE FOR YOUR PHARMACY

Optional Motorized Butterfly Valve and Duct Connection Kit Available From NuAire

Optional Redundant HEPA Filters

LabGard® NU-813 Class I Biosafety Cabinet USP 800 compliant for compounding of non-sterile hazardous drugs. Model NU-813 can be exhausted through a facility’s HVAC system or recirculated into the laboratory environment through a redundant HEPA filter system.

Visit www2.nuaire.com/13406 for more information.

NuAire, Inc. | 2100 Fernbrook Lane | Plymouth, MN 55447 | 763.553.1270 | www.nuaire.com

Contents WAY

Lance Lanier, BS Pharmacy Director Business Development

Tracye Easterly Administration

Mike Pierce President

Dell McCarley, Pharm D Raymond C. Anderson, PhD Chairman/CEO VP Quality Assurance & Regulatory Affairs

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Cantrell Drug Company — Pharmaceutical Outsourcing Specialists

YOUR TRUSTED SOURCE

Christen Butler Administration

INNOVATION STERILE PRODUCTS FOR COMPOUNDING PHARMACIES

Our experience with cGMP focused policies and procedures along with carefully designed facilities, equipment, training, and testing provide confidence to our customers in the quality of our services.

Chris Hutts, Pharm D Pharmacist in Charge

FDA Registered 503B Human Drug Compounding Outsourcing Facility Our experience with cGMP-focused policies and procedures along with carefully designed facilities, equipment, training and testing, provide confidence to our customers in the quality of our services.

Quality • Service • Experience 877-666-5222 www.cantrelldrug.com

Innovation has been a hallmark of IMI since its introduction of the first Tamper Evident Cap for I.V. syringes over 30 years ago. Today, IMI is the pharmacist’s trusted source for sterile devices that help solve the challenges found in producing compounded sterile preparations.

CASE STUDY

Comprehensive Pharmacy Services customizes and implements hospital medication reconciliation program to drive transitions of care performance.

THE CHALLENGE: Patients often receive new medications or have changes made to their existing medications at times of transitions in care—upon hospital admission, transfer from one unit to another during hospitalization, or discharge from hospital to home or another facility. Caregivers at these transition points may inadvertently omit needed medications, unnecessarily duplicate existing therapies, or contain incorrect dosages.

These discrepancies place patients at risk for adverse drug events, which have been shown to be one of the most common types of adverse events after hospital discharge and a key driver of hospital readmissions (see Diagram A).1

6%

DIAGRAM A

More than half of patients have > 1 unintended medication discrepancy at hospital admission

Severe Harm Potential

61%

33%

No Harm Potential

About the JFK Medical Center:

A leading 498-bed community hospital (acute care and rehabilitation) in Edison, New Jersey, with more than 900 affiliated physicians providing general and specialized surgery, neurology, cardiac care, maternity and pediatric care, and emergency medicine.

Moderate Harm Potential

Source: Cornish PL, Knowles SR, Marchesano R, et al.

Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165:424-429.

Medication reconciliation refers to the process of avoiding such inadvertent inconsistencies across transitions of care by reviewing the patient’s complete medication regimen at the time of admission, transfer, and discharge and comparing it with the regimen being considered for the new setting of care.

Hospitals will lose a combined total of $420 million in reimbursements, penalized for failing to meet readmissions targets set by the Centers for Medicare and Medicaid Services (CMS). According to CMS, the average readmissions rate was 18.4 percent in 20122.

There’s a reason for the readmission problem. Studies show that patients are often discharged from the hospital confused and don’t know how to take their prescriptions properly3, and what’s worse, patients may duplicate, miss or take the wrong prescriptions that are not in the care plan4.

With maximum CMS penalties set at 3%, the financial consequences of failing to meet CMS targets for readmissions are very real. Statistics paint a bleak picture of the challenges confronting hospitals as they work to stem the tide of preventable readmissions: •

20% of Medicare patients will be readmitted to the hospital within 30 days of discharge5

•

66% of emergency readmissions for patients over 65 years old are due to adverse medication events6

•

19% of Medicare discharges are followed by an adverse medical event within 30 days, and 2/3 of these are preventable7

•

20% of patients do not fill their prescriptions

8

About Comprehensive Pharmacy Services: We help hospital pharmacy leadership increase quality, reduce readmissions and lower costs across the continuum of care.

• Founded 45 years ago and employing over 2,000 pharmacy professionals, CPS is the nation’s oldest and largest provider of pharmacy support services to more than 600 hospitals and healthcare facilities pharmacies.

• We offer industry leading analytics and expertise that help hospital pharmacists tackle complex problems such as medication reconciliation, hyper-inflated drug costs, standardization, centralized distribution, retail pharmacies, compliance, 340B programs, and much more.

All of these dynamics led to the pilot program outlined in this case study, where the leading community hospital sought to leverage pharmacy resources to build a medication reconciliation program during transitions of care, from hospital admissions to postdischarge to the patient’s home. The hospital wanted to manage the high risk and complex medication regimens, patient specific risk factors, comorbidities and adverse drug events associated with an increased rate of readmissions.

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Case Study: Medication Reconciliation During Transitions Of Care: How to Catch Errors, Improve Patient Safety and Reduce Readmissions

CPS customizes and implements hospital medication reconciliation program to drive transitions of care performance.

Increase pharmacy productivity and safety with high-quality and economical sterile products designed to meet the demands of sterile compounding.

From Connectors and Adaptors to Caps and Venting Needles, IMI manufactures products certified and inspected to the highest quality standards...right here in the USA. Contact us for FREE sterile samples and see for yourself.

1-800-344-2554 www.imiweb.com

Made in America

International Medical Industries, Inc.

SLUG Client: IMI Pub: [RXI] RX Insider File: L-130 IMI_PPPS.pdf

page 21

MEDICATION RECONCILIATION DURING TRANSITIONS OF CARE: How to Catch Errors, Improve Patient Safety and Reduce Readmissions

Innovative Sterile Products for Compounding and Hospital Pharmacies

by International Medical Industries, Inc.

DATE: 04-22-2016 Artist: TD Vendor: Wunderfy

page 27

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Offer Personalized Skin Care as Unique as Your Patients With Clarifying™ Base, PracaSil™-Plus, and XemaTop™

No two people are the same.

Their skin care shouldn’t be either.

Dermatology medication needs to be as unique as each person’s skin, and compounding can help.

With compounding, you can make the difference clear.

For patients with problem skin, Clarifying™ Base, PracaSil™-Plus and XemaTop™ can be real game changers.

These bases can only be compounded by PCCA member pharmacies.

To learn how you can join, visit pccarx.com/join-pcca.

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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.

QUARTERLY ISSUES Spring 2016

Summer 2016 I M P R O V I N G PATIENT CARE &

PHARMACY COST C O N TA I N M E N T Summer 2016

Health System

•

Infusion

Spring 2016

20 Unique Products & Services

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

Issue Focus: Hospital & Infusion

Issue Frequency: Summer & Winter

Circulation Per Issue: 19,000+ 6,500+ Hospital Directors 2,200+ Clinical Consultants 2,500+ Industry Executives 5,000+ College Preceptors 1,800+ College Faculty 1,000+ Trade Show Handouts

Issue Focus: Retail, Specialty, & LTC

Issue Frequency: Spring, Fall, & Winter

Circulation Per Issue: 35,300+ 18,000+ Owners (Independents) 3,500+ Long-Term Care Pharmacies 2,500+ Retail Chain Executives 2,500+ Industry Executives 5,000+ College Preceptors 1,800+ College Faculty 2,000+ Trade Show Handouts

page 62

Winter 2015

Health System

•

NT

8 Preceptors 8d Preceptors

10 Preceptors

gnized

ar Calend 44 pageacist Trade Show Pharm

Trade Show Calendar

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

Recognized

10 Preceptors Recognized by Eight Colleges Including UNC, Union, LIU, UCONN, Husson and More page 32

Jobs

Trade Show Calendar

page 70

page 46

Pharmacy Job Opportunities

page 50

Community • Specialty • LTC

20 Unique Products & Services

Recognized by Eight Eight Preceptors LIU, MCPHS, Preceptors Recognized UNE,Eight Colleges Including

by Eight 28 Colleges More pageIncluding UNE, LIU, MCPHS, Union University and Union University and More page 46

Trade Show Calendar

page 50

Fall 2015

Infusion

Recognize Reco

Recognized

Trade Show Calendar

C O N TA I N M E

• LTC Community • Specialty

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

20 Unique 20 Unique Products Products ices & Serv &andServices Discover 20 products that will help your services Discover 20 products patient care and pharmacy improve profitability services . that will help your or increase pharmacy improve patient care or contain costs.

8 Preceptors Eight Preceptors Recognized by Seven Colleges Including Campbell, UNE, Wingate, UCONN and More page 36

Pharmacist Jobs Pharmacy Job Opportunities

Winter 2015

Community • Specialty • LTC

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

Recognized

Seven Preceptors Recognized by Seven Colleges Including Wingate, UCONN, MCPHS, Campbell and More page 32

Fall 2015

I M P R O VI IMN G P R O V I N G PAT I E N T PCAAT RI EE NT CARE & PHARMACY & PBHI A R TMYA C Y C O S T I L TA I PROF

20 Unique Products & Services

7 Preceptors

2016 CIRCULATION

Winter 2015

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

page 56

Health System • Infusion

Community • Specialty • LTC

Health System • Infusion & Community • Specialty • LTC

Community • Specialty • LTC

Visit 20Ways ONLINE at RXinsider.com/20Ways

SUMMER 2016

I

H E A LT H S Y S T E M • I N F U S I O N

3

1/2 SECOND Spray is all it takes!

NEW pa NEW CKaGi NG FLa VOr

Available October 2015

Spray Kit - Multiple use • • • • • •

Eliminates pain and discomfort Fast onset (within 30 seconds) Short duration (15 minutes) Safe – available over the counter Best value among topical anesthetic sprays Great Cool Mint flavor!

Spray

ORDERING INFORMATION Spray Kit 2 oz. spray can and 100 individually sealed disposable extension tubes NDC 0283-0914-60 Spray 2 oz. spray can and 1 disposable extension tube NDC 0283-0914-02 Extension tubes Box of 100 individually sealed disposable extension tubes Product number 0283-0914-01

LLC

Extension Tubes

Ask your Beutlich® Representative for more information or contact us at 1-800-238-8542, M-F: 8:00 a.m. - 4:30 p.m. ET. www.beutlich.com HurriCaine® is a registered trademark of Beutlich Pharmaceuticals, LLC. HSMA 793 0815B

Better patient care starts with better quality assurance

We’re committed to meet strict specifications for sterility, endotoxin and potency release testing on every anticipatory compounded drug batch. And with our own Test, Hold and Release (THRsm) quality assurance program backed by a Certificate of Release, we’re at the forefront of addressing patient safety.

Insist on 100% testing for every batch.

Insist on Central Admixture Pharmacy Services, Inc. (CAPS®)—a market leader in the outsourcing of compounded sterile preparations.

To learn more, visit www.CAPSpharmacy.com Rx Only ©2016 CAPS® All rights reserved. 16-5451_20Ways_5/16_RTS3

Contents WAY

Medical Specialties Distributors, LLC (MSD) Improving Healthcare Quality and Effectiveness Through a Total Enterprise Solution

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WAY

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TCGRx is a complete pharmacy solutions provider for inpatient hospital pharmacies. TCGRx stays on the cutting edge of technology to provide products that are efficient, reliable, and patient-safety driven.

A Partner You Can Trust for All of Your Pharmacy Solutions Every product is scalable, mobile, and integrates with all of our solutions, so your pharmacy can be reconfigured at any time to fit your needs.

Realize financial and operational gains while better serving the needs of your patients.

ü

TCGRx is a Partner You Can Trust for All of Your Pharmacy Solutions

Pharmacy Dispensing Errors as a % of Total Medication Errors Reported 5 4.5 4 3.5

High-density storage including carousels

Refrigeration

2.5 2

Vial filling and will-call solutions for Outpatient pharmacies

1.5 1 0.5 0

Medication image verification

Inventory management

NOV 2010 - Beacon Implementation

3

Automated unit dose packaging

JAN 09 - DEC 09

JAN 10 - NOV 10

DEC 10 - DEC 11

JAN 12 - DEC 12

JAN 13 - DEC 13

Read our latest Case Study about Maury Regional Medical Center, and how TCGRx helped them maximize their space, reduce their carrying costs, and improved patient safety.

www.TCGRx.com

info@TCGRx.com

262.279.5307

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Pharma-Choice™ Brand of USP <797> and USP <800> Compliant Supplies

Improve facility operations with Acute Care Pharmaceuticals’ Pharma-Choice™ Brand of products.

Acute Care Pharmaceuticals offers a full line of disinfectants and cleaners that are specifically designed to maximize the cleanliness of your sterile compounding areas.

Preceptor Recognitions

page 32-33

WAY Fagron Hospital Solutions

Fagron provides time-saving options for compounding in a hospital setting.

Fagron offers solutions that add significant value in the treatment of patients with unique needs. With a global focus on innovation, we are driven to continuously provide pharmacists with the best time-saving solutions in compounding.

SyrSpend® SF Vehicles Fagron’s SyrSpend® SF is a total solution that provides you with a convenient and efficient oral liquid dosage form. The unique starch-based suspending vehicle uses patented Active Suspending

Technology to assist in keeping the active pharmaceutical ingredients (APIs) in suspension longer, allowing for more accurate and consistent dosing for the duration of treatment. Formulated with meticulous attention to detail, without alcohol, parabens, sugars, gluten or dyes, SyrSpend® SF frequently is used for pediatrics and geriatrics.

proven option to provide rapid topical anesthesia. LETS is effective in providing and maintaining anesthesia, free of controlled substances, easy to use, and reduces the risk of adverse reactions.

LETS provides a cost-effective, simple package that contains all ingredients, and is easy to compound by the simple addition of water.

LETS Kit™ Convenience Pack LETS is a solution of lidocaine, epinephrine, tetracaine, and sodium metabisulfite and is an economical and

Contact Fagron today, (800) 423 6967 or info@fagron.us, to learn more about our Fagron hospital solutions.

Innovative Hospital Solutions

by Fagron

Through Fagron’s convenient, time-saving compounding solutions, you can provide tailor-made pharmaceutical patient care in just minutes.

page 39

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ready. set. migrate.

■

Two Point — Data Migration, Archiving, and Decommissioning Services

Migration for hospital, independent or chain pharmacies

■

Fast, secure and scalable migration

■

Image and data archiving: Rx hard copies, patient-level scanned images, pick-up and HIPAA signatures

■

Reduces IT maintenance costs, risk and burden

■

HIPAA compliant

DATA C O N V E R S I O N • M I G R AT I O N / A R C H I V I N G • BAC K U P • DATA M I N I N G / R E P O RT I N G fagron.us

Fagron, Inc. - 2400 Pilot Knob Road - St. Paul, Minnesota 55120 - USA Tel. (800) 423 6967 - Fax (800) 339 1596 - info@fagron.us

twopoint.com

847-780-6135

RX Insider 8.5 x 10.875.indd 1

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For 26 years Two Point has been the premier migration provider to pharmacies and hospitals across North America. Our specialists bring years of experience to every conversion, ensuring accurate, reliable, and secure conversions for independents, chains, and healthcare systems.

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SUMMER 2016

I

H E A LT H S Y S T E M • I N F U S I O N

7

O UR T E S T, YO U R CU RE ...

ENSURIN G A H E ALT H Y WO R L D YOUR Endotoxin Experts!

www. a c c ius a . c om

Contents PharMEDium — Compounding by 503B Registered Outsourcing Facilities

503B Outsourcing Facility

Experience how PharMEDium has simplified ready to use compounded sterile preparations.

O RD E R N O W AT:

pharmedium.com 800-523-7749

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THE SAFER CHOICE FOR YOUR PHARMACY

PharMEDium is the national leader in customized pharmacy sterile compounding for hospital intravenous and epidural therapies.

NuAire is committed to creating quality, long lasting products designed to cost less with an emphasis on your safety.

Put your trust in NuAire and see why NuAire is the safer choice for your pharmacy.

NuAire’s PharmaGard™ Compounding Isolators meet the USP 800 standard for Hazardous Drugs—Handling in Healthcare Settings.

PharmaGard™ Compounding Isolators Each PharmaGard can assist with your documentation and surveillance programs as proposed by USP 800 by mounting external cameras to monitor compounding, cleaning and more. Specialty ergonomic items such as a monitor and keyboard/mouse arm can be installed to easily view protocols, document procedures, and more.

Visit www2.nuaire.com/11496 to learn more.

P10701 © PharMEDium Services, LLC 2015

@pharmedium

Prepare for USP 800 — NuAire, Inc.

PREPARE FOR USP 800

© Copyright 2016. NuAire, Inc.

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NuAire, Inc. | 2100 Fernbrook Lane | Plymouth, MN 55447 | 763.553.1270 | www.nuaire.com

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Unit Dose Done Right

Unit Dose Bar Cod , ing, Pharmac Nursing y & Supply Experts!

• Ultraviolet Inhibitant • Moisture Resistant • Tamper-Evident • Cold Seal • 6 and 12-month Beyond-Use Dating • 1-D and 2-D Bar Coding • Flexible Label and Report Formatting • Multiple Sizes to Fit Your Meds and Storage Needs

Simple. Reliable.

800.523.8966

MediDose.com

page 49

Medi-Dose, Inc./ EPS, Inc. Delivers Bar Coding, Packaging, and Labeling Pharmacy Solutions

Trade Show & Meeting Calendar

Improve your Solid Oral Unit Dose needs with our comprehensive Bar Coding, Packaging, and Labeling Solutions — designed by healthcare professionals, for healthcare professionals.

page 50-53

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WAY Introducing Our Newest Family Member:

A Bigger and Better Medical-grade, Compressor-free Refrigerator 25% more space in an ADA compliant height dimension USP <797>

Cleanroom compatible Ultra quiet performance for comfortable patient recovery Meets NEC medical-grade requirements for patient isolation Meets global compliance criteria and compatible with global power supply (Al) Compatible with locking medication management systems

Experience the Evolve Difference!

The Evolve™ medical-grade undercounter refrigerator powered by a SilverCore™ advanced dual cooling system is designed to meet the stringent CDC guidelines for controlled storage of pharmaceutical drugs, vaccines, and medical devices.

From precise temperature control to advanced inventory protection, and from low energy consumption to non-toxic refrigeration, visit evolverefrigeration.com to learn more about the Evolve Difference.

A new cold has arrived.

Contact us today to learn more!

evolverefrigeration.com 919.908.6300

Evolve™ Medical-Grade Refrigeration — A New Cold Has Arrived

Evolve compressor-free refrigerators are designed to meet the stringent guidelines for controlled storage of pharmaceutical drugs, vaccines, and medical devices.

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Smart Sink® by Cactus® Renders Controlled Substance Waste Unusable and Non-Recoverable

WHERE ARE YOUR WASTE DRUGS?

CONVENIENT. SECURE. SAFE. GREEN.

Cactus® Smart Sink® and PharmaLock® systems bring your hospital into proper waste compliance for remaining portions of DEA Controlled Substances.

Render DEA Controlled Substance Waste Non-Retrievable and Unrecoverable INTRODUCING PharmaLock® for Operating Room Applications

1040 LeGrand Blvd., Charleston, SC 29492 | (843) 856-7400 | www.CactusLLC.net

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SUMMER 2016

I

H E A LT H S Y S T E M • I N F U S I O N

9

Rees Scientific

Rees Scientific and LPA Wireless, the leaders in Continuous Temperature Monitoring offer the most cost effective and compliant solutions for protecting your medication and vaccines. * Meet compliance for FDA, CDC, USP <797>, USP<800>, NIH, NIST, AAP, NAPRA, PHAC and more. * Eliminate manual recording, errors and labor. * Save time and money. * Easy to use and set up . * Fully scalable from 1 fridge/freezer to thousands of units.

1007 Whitehead Road Ext. Trenton NJ 08638 P. 800.327.3141 F 609.671.2751 www.reesscientific.com

Contents WAY

RM200 — The Latest Pharmacy Solution From RxMedic

Introducing the latest pharmacy solution from

Regain lost time and improve patient care with accurate, reliable, and affordable pharmacy solutions from RxMedic.

Pharmacy Job Opportunities

page 57

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©2015 RxMedic Systems, Inc. RxMedic and RM200 are registered trademarks of RxMedic Systems, Inc. RxMedic Systems Inc., is a subsidiary of the J M Smith Corporation.

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Grifols Introduces KIRO® Oncology — Automated Sterile Compounding of Hazardous Drugs

KIRO® Oncology The next-generation system for automated sterile compounding of hazardous drugs, including oncology and biologicals.

KIRO® Oncology helps reduce medication errors and improve safety for pharmacy technicians by reducing their exposure to hazardous drugs.

RXinsider.com/20ways

The latest technology for automated sterile compounding of hazardous drugs, including oncology and biologicals.

UNIQUE FEATURES: Two robotic arms Self-cleaning Lean design

For a product demonstration, please visit us at booth #2613 at the ASHP Midyear Clinical Meeting

GRIFOLS’ STERILE MANUFACTURING EXPERTISE APPLIED TO THE COMPOUNDING PHARMACY For more information: Grifols USA, LLC Tel. 1-800-379-0957 hospital.division@grifols.com

Download the 20Ways App

US/HP/1015/0010

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Craneware Pharmacy ChargeLink®

Don’t give drugs away

Pharmacy ChargeLink is a powerful software solution that ensures pharmacy data is accurately represented in both the chargemaster and hospital pharmacy system so that hospitals receive optimal reimbursements for their pharmaceuticals.

How do you know if ■ you are incorrectly coding drugs?

■ you have charge capture issues?

■ newly-purchased drugs are missing from the formulary or chargemaster?

■ you are using incorrect multipliers?

■ you have inappropriate NDCs captured on claims?

You’re controlling costs but cost is only part of the challenge.

The future is about value. Your pharmacy and your revenue cycle are now part of a larger value cycle, and your goal is to achieve the best outcome for the best cost.

Pharmacy ChargeLink® automatically audits drug purchase history, formulary, chargemaster and up-to-date regulatory reference, helping you address the revenue gaps that sabotage efforts at cost reduction. Learn more about our range of value cycle solutions at craneware.com and thevaluecycle.com.

The value cycle: quality patient outcomes and optimal financial performance

} Operational Data

Financial Data

Clinical Data

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Lora Sosa Eric Simmons Shawna Arnold

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SUMMER 2016

I

H E A LT H S Y S T E M • I N F U S I O N 11

We're your experts in 340B program compliance New name, New Technology, Same trusted 340B solutions!

Verity Solutions (Formerly Talyst 340B) provides 340B software and services to hundreds of integrated healthcare systems, acute-care hospitals, pharmacies, and other 340B-eligible covered entities throughout the United States.

Our Verity 340BTM Split Billing, Contract Pharmacy, Specialty Pharmacy, and Audit & Compliance offerings work together hand-inhand to provide a holistic 340B solution set designed for program compliance, savings maximization, WAC spend reduction, and adherence to ever-changing regulations.

Cloud-based Enterprise Platform.

Analytics-driven Dashboards & Reports Typical Installation 90 days or less Proven HRSA Audit Success Rate.

Mega Guidance Compliant Dedicated Account Managers Assigned to You

verity340b.com 800.581.1378

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

Verity Solutions — We’re Your Experts in 340B Program Compliance Verity Solutions products simplify the complex process of maintaining 100% 340B program compliance and results in critical cost savings. Our services have saved our customers more than a billion dollars in drug purchases — all while maintaining an impeccable HRSA-compliant audit record.

President & CEO: George Puckett Founded: 2002

(Previously Known as Talyst, Inc.) Toll-free Phone: (800) 581-1378 Address: 12131 113th Avenue, Suite 200 Kirkland, WA 98034 Website: verity340b.com

Company Background Founded in 2002 and previously known as Talyst Inc., Verity Solutions provides 340B software and services to hundreds of integrated healthcare systems, acute-care hospitals, pharmacies, and other 340B-eligible covered entities throughout the United States. Verity Solutions is located in Kirkland, WA with remote employees stationed all across the nation to best serve our widespread customer base.

Product Overview More 340B savings drives us to deliver the most up-to-date platform, written specifically to address the latest HRSA MegaGuidance. Our product offerings foster compliance, maximize savings, minimize WAC spend, and help you respond to everchanging regulations. Hundreds of health systems rely on the Verity 340B software platform, which is constantly updated with the latest features and business rules. We deliver comprehensive services to simplify complex challenges and accelerate implementation, where most installs go-live within 90 days.

We partner with customers over the long-term to support ongoing compliance and audit readiness. In addition, details about your orders and cost savings are always at your fingertips. Access right when you need it. Verity Solutions products simplify the complex process of maintaining 100% 340B program compliance and results in critical cost savings.

Key Customers • Hospitals • FQHC’s • Specialized Clinics

• Ryan White HIV/AIDS Program Grantees • Contract Pharmacies

Markets Served • 340B Split Billing • 340B Contract Pharmacy • 340B Audit Services

• 340B Compliance Services • 340B Purchase Optimization

Trade Shows/Meetings Attended • 340B Coalition Winter/ • Armada Specialty Spring Conference Pharmacy Summit • Spring/Fall Health • National Rural Connect Partners — Health Association Hospital Pharmacy • National Hemophilia Conference Foundation • World Congress • National Community 340B Summit Pharmacists Association • ASHP Midyear Meeting GPO Affiliations • Amerinet (Intalere)

• Ascension

Graphs & Charts

Ordering Information

Verity Solutions would like to partner with you to create the right 340B solution for your health system.

For more information, please call (800) 581-1378.

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AVOID READMITTANCE Provide 30 days of prescribed medication at discharge in RxASP adherence strip packaging.

Get more. Do more. + Accuracy & Speed

“

Space Savings

Narcotics Security

Inventory Management

ROI

The RxASP is the best pharmacy automation I’ve seen— it’s more scalable, more accurate, and will handle larger pills than the competition. RxSafe entirely changed the way we do business for the better.

Gosney Long Term Care Pharmacy, Jordan Gosney Smith, Owner

For more info: www.rxsafe.com | email: info@rxsafe.com | 877.797.2332

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RxASP 1000™ Adherence Packaging and RxSafe 1800™ Robotic Pharmacy Workflow Automation by RxSafe The RxASP 1000 takes adherence packaging to a whole new level — with built-in vision inspection and no more trays. With the RxSafe 1800 pharmacies can increase accuracy and speed, and improve inventory management.

President & CEO: William K. Holmes Founded: 2008

Employees: <100 Toll-free Phone:

(877) 797-2332 Phone: (760) 593-7161 Address: 2453 Cades Way, Suite A Vista, CA 92081 Website: www.rxsafe.com Email: info@rxsafe.com

Company Background

RxSafe began operations in 2008. Many of the principal employees have been innovating together since the early 90’s at companies such as Pyxis, Omnicell, and DDN where they have extensively contributed to the advancement of automation in the pharmacy industry. RxSafe’s founder and CEO, William Holmes has authored over 50 U.S. patents.

Product Overview

Join the other independents, chains, hospitals, clinics, military, and institutional pharmacies that have selected RxSafe automation in the quest for a better pharmacy.

Technology sets our automated strip packager apart. The RxASP line includes four models offering up to 1,000 smart canisters that take oral solid packaging to a whole new level. Our easy-to-use universal canister means there are no more trays or remote filling stations.

Our RxSafe 1800 is the leader in automated, high-density robotic storage and retrieval of stock bottles. It represents an evolutionary leap in pharmacy automation technology because it goes beyond drawerbased systems. Unlike vial filling robots that hold a small percentage of your formulary, a 3-tower RxSafe system can hold virtually all of your oral solid stock bottles.

When you’re busy, the RxSafe 1800 system really shines. Users report that a single operator can routinely fill at an effective rate of over 100 scripts per-hour. If your space is tight, or there’s better use for the space, RxSafe is the solution. In a 3-tower system up to 5,400 stock bottle containers fit in 40 square feet of space.

Features & Options

n RxASP 20 and RxASP 1000 The RxASP line breaks all the barriers of past strip packagers. Designed with the most versatile “hi-fidelity” pouch printing and the easiest to open pouches, it has the highest speed in the industry and the lowest operating cost. What really stands out? This is the only strip packager with built-in vision inspection.

Our entry-level strip packager, the RxASP 20™ is the perfect choice for launching your medication adherence program.

It’s semi-automated with manual cassette loading, producing up to 50 multi-dose pouches per-minute. No more trays or remote filling stations.

Designed to be modular and scalable, the RxASP line has the smallest footprint of any strip packager on the market. In fact, the RxASP 1000™ replaces 10 automatic strip packagers in half the space.

RxSafe provides you with a complete package to guide your patients to 100% adherence. Seven years in development, RxEnsure™ is an additional level of assistance for your patients — outperforming anything on the market. n RxSafe 1800 Accuracy. Efficiency. Security. With only one technician and one pharmacist, virtually every pharmacy, every day can fill all prescriptions without extra filling staff. And, with one open bottle at a time, there’s less chance for error, no wasted inventory, no narcotics theft. In fact, the RxSafe 1800™ is so secure its been approved by the U.S. Department of Defense for C2 narcotics storage.

With the RxSafe 1800, inventory is 100% accurate because it stores stock bottles behind locked doors and forces workflow at one station without the added expense of other software or hardware.

Remote Stock Management is another standard feature of the RxSafe 1800. All pharmacy inventory is managed by the system whether it’s inside or outside the RxSafe. No more audits. No more overstocking or wasted inventory.

Testimonial

“ Our primary goals for making this automation investment were to increase our workflow and inventory management efficiency so we could free up staff to spend more time and attention on clinical services and other revenue generating activities.”

— Eric Black, R.Ph., Owner, Mt. Vernon Medicine Shoppe

Additional Product Lines • RxSafe 900™ • RxVault 1800™ • RxVault 900™

• RxASP 600™ • RxASP 300™ • RxASP 20™

• RxWillCall™ • Pharmacy Design & Workflow Consulting

Ordering Information

To learn how your pharmacy can benefit from an RxSafe system, contact us by email at info@rxsafe.com, or call us at (877) 797-2332.

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Hospitals love mobile technology.

IT departments are nervous about it.

We have the solution that makes everybody happy.

Introducing our latest mobile POS device, EvolutionPOSTM v2!

EvolutionPOS v2 builds upon our expertise in mobile bedside discharge, increasing efficiency with a WindowsTM tablet, while meeting the security requirements that your IT department demands, like support for P2PE* and PA-DSS compliance.

With EvolutionPOS from RMS, one device can solve your patient discharge needs.

1.877.767.1060 | sales@rm-solutions.com | www.rm-solutions.com | Follow us on Facebook, LinkedIn and Twitter *with certified merchant processors

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With the New Launch of EvolutionPOS v2, RMS Makes it Easier Than Ever to Improve Patient Care and Reduce Readmission Rates Our bedside discharge expertise coupled with our mobile POS solutions will allow you to increase outpatient pharmacy revenue and patient compliance!

CEO:

Brad Jones Founded: 1998 Employees: 40+ Stock Symbol: Privately held Toll-free Phone: (877) 767-1060 Phone: (360) 438-8276 Fax: (360) 438-8284 Address: 4535 Lacey Boulevard SE Lacey, WA 98503 Website: www.rm-solutions.com

Company Background Retail Management Solutions is the industry leader in point-ofsale technology for retail and outpatient pharmacy and is the only POS supplier specializing strictly in pharmacies. Having installed more POS systems in the independent and institutional pharmacy markets than any other company, RMS systems have become the industry standard.

For outpatient pharmacies, we provide a seamless front-to-back transaction and information platform. Security and compliance are paramount, and our robust systems have built-in safeguards.

Redundant storage, encrypted communications, and certified payment mechanisms ensure protection and confidence.

You can count on us for prompt service in all 50 states, 24 hours a day, seven days a week. We are a privately held company with employees throughout the country — pharmacy technology professionals with hundreds of years of combined experience.

Product Overview Outpatient pharmacies should have a growing role in the health of your discharged patients, but seemingly most hospitals capture a small portion of their patient discharge prescriptions.

The consequences of this include reduced patient compliance, elevated risk of recurrence and readmission, and lost revenue. n EvolutionPOS Helps Hospital Pharmacies Participate More Proactively in the Discharge Process

Delivering the prescription to the patient’s bedside offers convenience for patients and their families. EvolutionPOS is easy-to-use and it places all the register functions in your hands.

The mobile, handheld unit communicates immediately, wirelessly, and securely with your POS server. A single device accomplishes the customer check-out, including:

• Customers sign on EvolutionPOS for all signatures traditionally captured at your POS (HIPAA, prescription, credit card, etc.).

• Print receipt on the spot.

• Swipe credit card at the time of delivery.

• Process payments, including FSA/HRA cards.

• Real-time communication with store POS for transaction and signature look up.

• Document pharmacist counseling.

EvolutionPOS for pharmacy is based upon the success of our industry-leading POS offerings, Star-Plus, Star-Lite, and StarLink for enterprises with multiple locations. All are designed specifically to enable pharmacists and their staff members to provide excellent and efficient patient service.

Features & Options

EvolutionPOS v2 Capabilities Include: • Taking advantage of our 25+ dispensary system interfaces, the most in the industry!

• Barcode scanning of prescriptions and merchandise.

• Locating all available prescriptions for the patient.

• Capturing electronic signatures in real-time.

• Swiping FSA/HSA benefit cards with real-time verification of funds.

• Tendering options include debit/credit, cash, check, and house charge.

• Point-to-Point Encryption for secure credit card processing.* • PA-DSS compliant.

Additional Product Lines Star-Lite, Star-Plus, and Star-Link for real-time, multi-location communication.

Client Base More than 1,000 pharmacy customers rely on RMS POS solutions. * With certified merchant processors.

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Efficient and effective.

True Pharmaceutical-Grade Performance Proper storage of refrigerated drugs is a major responsibility. Donâ&#x20AC;&#x2122;t let compromised products and unnecessary waste affect the bottom line. Invest in reliable medical-grade refrigeration to keep products safe and costs down.

Focusing only on medical-grade refrigerated products for 40 years.

Helmer offers a wide range of refrigerators including undercounter, upright, double door, and pass-thru models for all your pharmacy needs.

Fo r m o re i n f o r mat io n co n t act : w w w. h e l m e r i n c.co m/med-s t orage

TrueBlue. Š 2016 Helmer Inc. All rights reserved.

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Medical-Grade Refrigerators and Freezers From Helmer Scientific Reduce waste, shrink cost, and improve processes with true pharmaceutical-grade performance.

President:

Bruce King

Vice President of Sales & Marketing: Lori Gabrek Founded: 1977 Employees: 260 Stock Symbol:

Private Company (800) 743-5637 Phone: (317) 773-9073 Address: 14400 Bergen Boulevard Noblesville, IN 46060 Website: www.helmerinc.com Toll-free Phone:

Company Background Helmer Scientific is a manufacturer and worldwide distributor of medical-grade cold storage and processing laboratory equipment.

We have over 35 years of experience in providing high-quality temperature controlled environments, with our products being used in over 100 countries throughout the world. Helmer originated in the blood bank market where precise temperature control is essential to the successful storage and transfusion of products. These same principles have been applied to the design and development of our pharmacy products.

Product Overview With the cost of pharmaceuticals on the rise, healthcare facilities must be efficient and effective when it comes to managing cold storage. Helmer pharmacy refrigerators and freezers provide superior temperature uniformity and reliability, advanced alarms and monitoring, and integrated access control to help your pharmacy reduce waste, shrink cost, and improve processes.

Pharmacy refrigerators are available in undercounter, upright, and pass-thru models, while pharmacy freezers are available in undercounter and upright models. Don’t wait until it’s too late.

Trust Helmer for the safe storage of your valuable drugs and vaccines.

Features n Superior Chamber Temperature Uniformity

Stable temperatures and quick recovery are achieved with a heavyduty, forced-air refrigeration system. Temperature is maintained to +/-1.5°C.

n Advanced Alarm Monitoring

i.Series® models feature the i.C3® User Interface which offers continuous temperature monitoring and control, access to multiple information logs, on-screen event acknowledgement for corrective actions, and downloading via a full-color touchscreen.

Horizon Series™ models include an integrated alarm monitor with visual and audible temperature alarms.

n Access Control

Integrated door level access control increases confidence in the security of stored pharmaceuticals and vaccines while eliminating the need for 3rd-party locks. The open architecture design can be connected to existing storage dispensing systems creating an integrated solution.

n Dry Storage Environment

Helmer has developed a refrigeration system that results in reduced humidity levels creating a drier storage environment, ideal for storing boxes and other containers.

n Custom Storage Options

Roll out baskets, stainless steel drawers, and wire shelves can be configured to the ideal storage arrangement for each facility.

Testimonial “ T he tipping point was when our outpatient clinics started losing money.

They came down pretty hard on us for losing inventory due to improper storage. Something that could have all been avoided with the proper equipment in the first place. At any rate, we finally got a second RXgrade refrigerator and a RX-grade freezer and are slowly converting all of our cold storage over to proper and safe RX-grade units.”

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YOUR TRUSTED SOURCE

Lance Lanier, BS Pharmacy Director Business Development

Tracye Easterly Administration

Mike Pierce President

Dell McCarley, Pharm D Raymond C. Anderson, PhD Chairman/CEO VP Quality Assurance & Regulatory Affairs

Christen Butler Administration

Chris Hutts, Pharm D Pharmacist in Charge

FDA Registered 503B Human Drug Compounding Outsourcing Facility Our experience with cGMP-focused policies and procedures along with carefully designed facilities, equipment, training and testing, provide confidence to our customers in the quality of our services.

Quality â&#x20AC;˘ Service â&#x20AC;˘ Experience 877-666-5222 www.cantrelldrug.com

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Cantrell Drug Company — Pharmaceutical Outsourcing Specialists Our experience with cGMP focused policies and procedures along with carefully designed facilities, equipment, training, and testing provide confidence to our customers in the quality of our services.

CEO:

Dell McCarley, Pharm D. President: Mike Pierce Founded: 1952 Employees: 100+ Toll-free Phone: (877) 666-5222 Phone: (501) 666-2020 Fax: (877) 666-8962 Address: 7321 Cantrell Road Little Rock, AR 72207 Website: www.cantrelldrug.com

Company Background Established in 1952, Cantrell Drug Company has a long and successful history. Amidst many changes in the field of pharmacy, Cantrell Drug Company has remained committed to a standard of quality that exceeds current compounding standards.

Innovation and investment in cutting-edge technology at Cantrell Drug Company is evidenced by being the first in the industry to utilize a Rapid Microbiological sterility testing technology.

Cantrell Drug Company is now in the process of being the first in the industry to implement an automated Closed Vial filling system from Aseptic Technologies. Our commitment to quality is readily apparent from our completely autonomous and independent Quality Assurance Department, as well as being the only company in the industry to list our labels with the FDA, and one of the first sterile compounders to register as a 503B with the FDA. Product Overview Cantrell Drug Company is an FDA registered 503B Human Drug Compounding Outsourcing Facility that specializes in providing customized IVs, OR syringes, epidural preparations, PCA syringes, and drug shortage solutions with the highest level of quality. Product lines are compounded under a comprehensive quality system model that supports and sustains robust quality systems consistent with cGMP-focused regulations. Cantrell provides sterile and non-sterile compounded preparations that meet the needs of patients, physicians, clinics, and health care institutions. Cantrell retains state licenses nationwide, a DEA manufacturing license and an FDA registration. When you need quality, service, and experience – trust Cantrell Drug Company.

Drug Shortage Solutions Drug shortages are occurring at historic rates. Shortages lead to increased cost for pharmacies to meet patient and physician needs, and much of the financial impact is felt in acute care divisions. Cantrell Drug Company offers compounded solutions to many of these shortages. We provide a weekly update to our customers, informing them about new and high demand shortage solutions. We give our clients a way to “fill in the gap” during their time of need for hard-to-find preparations.

Cutting Edge Technology Cantrell Drug Company was the first to adopt Rapid Microbiological sterility testing. We are once again leading the way in safety and quality as we become the first human drug compounding outsourcing facility to implement Aseptic Technologies’ Crystal® Closed Vial Technology. This technology was designed to increase patient safety by vastly reducing the risk of contamination during the complex filling process used by sterile compounding pharmacies and outsourcing facilities.

The new technology simplifies and reduces the risk associated with the glass vial filling process used by pharmaceutical manufacturers.

“This technology represents a revolutionary advance for Cantrell Drug Company, as well as for the sterile product industry in general,” said Dell McCarley, Chief Executive Officer of Cantrell Drug Company. “We decided to invest in the Crystal Closed Vial Technology because of the high level of quality assurance it will offer to our customers in the hospital market and, by extension, the patients they serve.”

Under the closed vial process, each vial will be assembled in a clean room and sterilized by gamma irradiation before being delivered, ready-to-fill, to Cantrell Drug Company.

A Crystalrobotic system in a SKAN isolator fills each vial by piercing the elastic stopper with a special needle, delivering the liquid, and quickly resealing the opening with the zap of a laser. Vials are covered with a specially designed cap, which health care providers eventually open, to withdraw the sterile medication and administer to patients.

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CASE STUDY

MEDICATION RECONCILIATION DURING TRANSITIONS OF CARE: How to Catch Errors, Improve Patient Safety and Reduce Readmissions Comprehensive Pharmacy Services customizes and implements hospital medication reconciliation program to drive transitions of care performance.

THE CHALLENGE: Patients often receive new medications or have changes made to their existing medications at times of transitions in care—upon hospital admission, transfer from one unit to another during hospitalization, or discharge from hospital to home or another facility. Caregivers at these transition points may inadvertently omit needed medications, unnecessarily duplicate existing therapies, or contain incorrect dosages.

These discrepancies place patients at risk for adverse drug events, which have been shown to be one of the most common types of adverse events after hospital discharge and a key driver of hospital readmissions (see Diagram A).1 DIAGRAM A

More than half of patients have > 1 unintended medication discrepancy at hospital admission Source: Cornish PL, Knowles SR, Marchesano R, et al.

Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165:424-429.

6%

Severe Harm Potential

61%

33%

No Harm Potential

A leading 498-bed community hospital (acute care and rehabilitation) in Edison, New Jersey, with more than 900 affiliated physicians providing general and specialized surgery, neurology, cardiac care, maternity and pediatric care, and emergency medicine.

Moderate Harm Potential

Medication reconciliation refers to the process of avoiding such inadvertent inconsistencies across transitions of care by reviewing the patient’s complete medication regimen at the time of admission, transfer, and discharge and comparing it with the regimen being considered for the new setting of care.

Hospitals will lose a combined total of $420 million in reimbursements, penalized for failing to meet readmissions targets set by the Centers for Medicare and Medicaid Services (CMS). According to CMS, the average readmissions rate was 18.4 percent in 20122.

There’s a reason for the readmission problem. Studies show that patients are often discharged from the hospital confused and don’t know how to take their prescriptions properly3, and what’s worse, patients may duplicate, miss or take the wrong prescriptions that are not in the care plan4.

With maximum CMS penalties set at 3%, the financial consequences of failing to meet CMS targets for readmissions are very real. Statistics paint a bleak picture of the challenges confronting hospitals as they work to stem the tide of preventable readmissions: •

20% of Medicare patients will be readmitted to the hospital within 30 days of discharge5

•

66% of emergency readmissions for patients over 65 years old are due to adverse medication events6

•

19% of Medicare discharges are followed by an adverse medical event within 30 days, and 2/3 of these are preventable7

•

20% of patients do not fill their prescriptions8

All of these dynamics led to the pilot program outlined in this case study, where the leading community hospital sought to leverage pharmacy resources to build a medication reconciliation program during transitions of care, from hospital admissions to postdischarge to the patient’s home. The hospital wanted to manage the high risk and complex medication regimens, patient specific risk factors, comorbidities and adverse drug events associated with an increased rate of readmissions.

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About the JFK Medical Center:

About Comprehensive Pharmacy Services: We help hospital pharmacy leadership increase quality, reduce readmissions and lower costs across the continuum of care.

• Founded 45 years ago and employing over 2,000 pharmacy professionals, CPS is the nation’s oldest and largest provider of pharmacy support services to more than 600 hospitals and healthcare facilities pharmacies.

• We offer industry leading analytics and expertise that help hospital pharmacists tackle complex problems such as medication reconciliation, hyper-inflated drug costs, standardization, centralized distribution, retail pharmacies, compliance, 340B programs, and much more.

CASE STUDY •

Medication Reconciliation During Transitions of Care: Pilot Goals • Reduce medication issues that could lead to readmissions • Improve patient outcomes by enhancing communication related to medications, pre- and post-discharge • Target Core Measure conditions for readmission scores, including congestive heart failure, chronic obstructive pulmonary disease, pneumonia and myocardial infarction patients discharged to home • Reduce CMS and commercial payer reimbursement penalties related to readmissions

THE SOLUTION

RESULTS Our program for medication reconciliation during transitions of care caught medication errors, improved patient safety and reduced readmissions across a number of the Core Measure units: •

44% of the targeted patients are discharged to home in our case study.

•

85% of patients, discharged to home, received pre-discharge medication counseling by a pharmacist.

•

82% of patients, discharged to home, were successfully contacted post discharge by a pharmacist.

•

13% of patients, during the post discharge follow up call, could not validate the filling of their discharge prescriptions.

•

11% of patients, during the post discharge follow up call, were identified by the pharmacist as having a significant clinical issue:

A study performed by the University of California found that engaging patients with credible information delivered by a pharmacist yields results, including reduced medication-related ER visits and unnecessary readmissions9.

That was the premise for piloting a medication management program customized to JFK Medical Center’s needs. The CPS telepharmacy team had access to the hospital’s EHR, the ability to document patient interactions within the hospital’s system and provide customized reporting to the primary care physician or case manager.

We chose to target the JFK Medical Center’s Core Measure patient population units including congestive heart failure, pneumonia, COPD, and myocardial infarction, driven by a three-part program:

Medication Reconciliation •

•

•

•

We built an admission and discharge medication reconciliation process that delivered a more complete picture of inpatient, outpatient and retail prescription history, which enabled more accurate reconciliation, variance identification and reporting.

We used a proprietary medication reconciliation process; including access to a national pharmacy claims database as well as medication lists and medical chart information from the hospital’s electronic health record to identify and correct variances.

CPS pharmacists made evidence-based disease state intervention recommendations to the hospital care team for therapy optimization and greater patient safety.

Discharge medication education is provided by a licensed pharmacist, not a nurse or pharmacy technician

Post-Discharge Support •

Pharmacist review of discharge medication orders

•

48 hours post discharge patient support includes phone conversation with patient to assess filling of discharge meds and understanding of medication therapies, as well as identification of significant clinical issues that might lead to readmission

• •

Information gathered from patient coaching is submitted to hospital pharmacists, nurses, and physicians

P 96% were referred to their primary care physician P 4% were referred to the emergency room for further care •

Readmission rates declined for the AMI/CHF patient populations, COPD rates increased (however, that was driven by an anomaly staff shortage in that particular unit), while pneumonia readmission rates were relatively unchanged.

More broadly outside this case study, CPS has driven successful outcomes across transitions of care programs, which have reduced readmissions by over 30% in certain disease states and increased HCAHPS scores as much as 13%.

Our programs have reduced CMS penalties and unscheduled visits to emergency departments and urgent care, increased early identification of therapy failures post-discharge, enhanced the patient experience, improved clinical outcomes, and lowered total cost of care.

Medicare 30 Day Readmission Rates!

30.0%

MEDICARE 30 DAYS READMISSION RATES

25.0% 20.0% 15.0% 10.0% 5.0% 0.0% AMI

CHF

COP D

PN

Baseline Medicare 11/2013-3/2014

26.5% 20.2% 16.0% 14.8%

TOC Medicare 11/2014-3/2015

19.4% 15.4% 21.4% 14.6%

All Payers 30 Day Readmission Rates!

ALL PAYERS 30 DAYS READMISSION RATES

25.0% 20.0% 15.0% 10.0% 5.0% 0.0%

AMI

CHF

COPD

PN

24/7 access to a clinical pharmacist via phone or multi-media communications

Baseline All Payers 11/2013-3/2014

16.0% 19.8% 14.1% 12.3%

Scheduling calls to patient’s home

TOC All Payers 11/2014-3/2015

11.9% 16.4% 20.5% 13.1%

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CASE STUDY

8 STEPS TO AN EFFECTIVE MEDICATION MANAGEMENT PROGRAM 1. TARGET PATIENT POPULATION Identify high-risk, high-value patient populations, likely the core measures: congestive heart failure, chronic obstructive pulmonary disease, pneumonia and myocardial infarction.

2. CREATE CONTINUUM OF CARE WORKFLOW Multidisciplinary team including pharmacists, nurse managers, nursing staff, case management, social work, patient care services, care coordination lead, project red coordinator, information systems, and operations leadership.

3. DESIGN INFRASTRUCTURE Provide secure, remote access to enable offsite transition of care pharmacists to view and utilize specific hospital applications.

4. DEVELOP AND LAUNCH TRAINING Intensive nursing education on processes, procedures, contacts and using applications, via webinars and training materials created by nurses with IT support.

5. INTERNAL COMMUNICATION Create and post a comprehensive list of patient rooms and phone numbers, including CPS Telepharmacy phone/fax numbers and onsite support.

6. PATIENT COMMUNICATION Develop a patient flyer with the help of patient care services and share with patients at discharge.

7. ACTIVATE PROGRAM Transition of care pharmacists review patient admission and/or discharge medication lists, work with nursing to address discrepancies and counsel patients on medications prior-to and post-discharge.

8. ESTABLISH BEST PRACTICES Form an interdisciplinary team to immediately address issues deemed critical by the reviewing pharmacist, on an ongoing basis.

800.968.6962 | csinfo@cpspharm.com | cpspharm.com/medicationmanagement

1 2

3 4 5

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Agency for Healthcare Research and Quality; Patient Safety (PSNet); March 2015 Data shows reduction in Medicare hospital readmissions rates during 2012.

Medicare & Medicaid Research Review. 2013: Volume 3, Number 2 Dartmouth Atlas project Health Research and Educational Trust Medicare hospital readmissions: Issues, Policy options and PPACA.

6

7 8 9

Budnitz DS, Lovegrove MC, Shehab N, Richards, CL. Emergency hospitalizations for adverse drug events in older Americans. N Engl J Med. 2011;365:2002-2012.

Medicare hospital readmissions: Issues. Policy options and PPACA Ibid.

The Impact of Follow-up Telephone Calls to Patients After Hospitalization. Dudas, Bookwalter, Kerr, Pantilet. Am J Med. 2001:111 (98): 26S-30S.

Every Superhero Has A Side Kick.

CPS IS YOURS. Your pharmacy team probably knows how to reduce medication errors, improve patient safety and decrease readmissions. What you could be missing are the resources needed to extend your good work as patients are admitted and after discharge.

That’s where we can help, with CPS’ proven medication reconciliation program that spans the continuum of care even after discharge. You can lower readmissions by 30% and bring your HCAHPS scores up in the first year alone. So keep elevating your performance. We’ll be your trusted sidekick, every step of the way.

Send us a signal by visiting CPSPharm.com/med-rec. We’re ready when you are.

Employing over 2,000 pharmacy professionals, CPS is the nation’s largest provider of pharmacy support to more than 600 hospitals and healthcare facilities leading to increased quality, reduced readmissions and lower costs. CPS services include pharmacy consulting, inpatient and outpatient pharmacy management, telepharmacy and medication related transition of care services.

INNOVATION STERILE PRODUCTS FOR COMPOUNDING PHARMACIES

Innovation has been a hallmark of IMI since its introduction of the first Tamper Evident Cap for I.V. syringes over 30 years ago. Today, IMI is the pharmacistâ&#x20AC;&#x2122;s trusted source for sterile devices that help solve the challenges found in producing compounded sterile preparations.

From Connectors and Adaptors to Caps and Venting Needles, IMI manufactures products certified and inspected to the highest quality standards...right here in the USA. Contact us for FREE sterile samples and see for yourself.

1-800-344-2554 www.imiweb.com International Medical Industries, Inc.

Made in America

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Innovative Sterile Products for Compounding and Hospital Pharmacies

by International Medical Industries, Inc. Increase pharmacy productivity and safety with high-quality and economical sterile products designed to meet the demands of sterile compounding. Easy-tofind and easy-to-order through IMI or one of our valued distribution partners.

President:

Jonathan Vitello Founded: 1969 Employees: 100+ Toll-free Phone: (800) 344-2884 Phone: (954) 917-9570 Fax: (954) 917-9244 Address: 2881 West McNab Road Pompano Beach, FL 33069 Website: www.imiweb.com

Company Background

For over 45 years, IMI has worked closely with pharmacists and compounding professionals to create innovative sterile products that meet very specialized needs. A prime example is the Prep-Lock™ Tamper Evident Syringe Cap technology. The Prep-Lock™ product family has become the tamper evidence standard among hospital pharmacies and outsource compounders everywhere. IMI remains at the forefront of developing new products specifically designed for the compounding industry. In addition, IMI has established long standing partnerships with some of the biggest names in healthcare. Through these partnerships and directly, IMI is delivering the kind of highquality and high-value products that pharmacy operations demand.

All IMI products are manufactured in the USA under the strictest quality standards at their FDA licensed, ISO 13485 certified facility.

Product Overview

n Prep-Lock Tamper Evident Caps — for Sterile Luer Lock Syringes Compounded sterile preparations (CSPs) are at their greatest risk when they leave the custody of your pharmacy. The Prep-Lock Tamper Evident Cap greatly reduces the risk of your CSP being compromised either accidentally or intentionally. It insures that product integrity is maintained from the time it leaves the sterile hood until it is administered by an authorized clinician.

If your facility uses an outsource compounder, chances are you are already familiar with this tamper evident cap technology. You can easily incorporate the use of this cap for your in-house preparations which will provide standardization of all syringes throughout your hospital.

Your clinicians will not have to deal with managing or training for administering syringes with multiple tamper evident methods.

Installation of the Prep-Lock Tamper Evident I.V. Syringe Cap in your compounding operation is highly efficient. Each sterile tray of 10 caps offers a unique “keyed” feature allowing the pharmacist the ability to quickly install the cap with a simple twist of the syringe. This helps to reduce the risk of touch contamination and enhances aseptic technique.

Best of all, you save time when compounding several syringes at once.

Administering a syringe is very easy for the authorized clinician.

Simply pull-off the outer sleeve of the tamper evident cap, unscrew the remaining luer-lock cap and discard. Clinicians appreciate not having to deal with sticky tamper evident tape or frustrating shrink wrap.

A choice of four different colored caps and two outer sleeve styles allow the pharmacy the ability to color code either specific drug classes or processes.

When you consider the cost of ordinary syringe caps combined with the cost of other tamper evident methods, the Prep-Lock Tamper Evident Syringe Cap offers extraordinary value. More importantly, it makes a clear statement about how seriously your facility takes drug safety. n Prep-Lock Tamper Evident Caps — for Oral Dispensers The Prep-Lock Tamper Evident Cap for Oral Dispensers offers the same kind of tamper evident protection found in the sterile IV syringe model.

It is the only tamper evident cap for oral dispensers available today.

Since oral dispenser tips are unique to each dispenser manufacturer, the Prep-Lock Tamper Evident Cap for Oral Dispensers is offered in four different versions, for use with the Baxter EXACTAMED Oral Dispenser, the Comar® Oral Dispenser, the BD Oral Dispenser, and the NeoMed® Oral Dispenser. Unlike standard oral tip caps which can easily dislodge and fall off, the Prep-Lock Oral Cap provides a more secure capping of the oral dispenser.

Additional Product Lines

IMI offers a variety of sterile devices designed for the compounding pharmacist:

• Prep-Seal™: Sterile Luer Lock Caps & Plugs • Prep-Fill™: Sterile Luer Lock Connectors • Rx-Vent™: Sterile Venting Needles • Rx-Tract™: Sterile Aspirating Needles

Trade Shows/Meetings Attended

IMI regularly participates at a variety of industry trade shows and conferences including: • American Society of Health‑System Pharmacists (ASHP) • National Pharmacy Purchasing Association (NPPA) • Compounders on Capitol Hill (IACP) • Hospital Pharmacy Conference (Health Connect Partners) Visit the event website or contact IMI for dates and booth numbers.

Ordering Information

For more information on pricing, packaging, or to place an order, contact IMI sales. You may order directly or through one of our valued distributors. FREE product samples available for evaluation upon request.

Call (800) 344-2554 | www.imiweb.com | sales@imiweb.com

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No two people are the same.

Their skin care shouldn’t be either.

With compounding, you can make the difference clear.

For patients with problem skin, Clarifying™ Base, PracaSil™-Plus and XemaTop™ can be real game changers.

These bases can only be compounded by PCCA member pharmacies.

To learn how you can join, visit pccarx.com/join-pcca.

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Offer Personalized Skin Care as Unique as Your Patients With Clarifying™ Base, PracaSil™-Plus, and XemaTop™ Dermatology medication needs to be as unique as each person’s skin, and compounding can help.

President:

Jim Smith CEO: David Sparks Founded: 1981 Employees: 250+ Toll-free Phone: (800) 331-2498 Phone: (281) 933-6948 Fax: (800) 874-5760 Website: www.pccarx.com Email: coremarketing@pccarx.com

Company Background

At PCCA, we help pharmacists and prescribers create personalized medicine that makes a difference in patients’ lives. We serve as the complete resource for independent compounding pharmacies, providing high-quality products, next-level education, and above-and-beyond support.

What began in 1981 as a small network of pharmacists is now 4,000 members strong, with 360 employees worldwide and five distribution centers serving the United States, Canada, and Australia.

Product Overview

There are over 3,000 different kinds of skin diseases,1 many of which are chronic and interfere with quality of life.2 Dermatologists have long recognized compounding as a productive avenue for medications, and dermatology patients are also familiar with having medications custom made for their specific skin care needs.

PCCA has developed a number of dermatology-focused bases designed to make a difference for your patients and your practice.

Clarifying Base

This non-comedogenic cream base is ideal for patients suffering from acne or rosacea. Clarifying Base contains natural ingredients that may improve red, blotchy skin, including a unique avocado extract that nourishes the skin and decreases oil formation.

• May reduce the chances of irritation that are often seen with acne medications.

• May help promote faster release and improved delivery of common APIs. • Can also be used in anti-aging formulations for patients with acne-prone skin.

• Has shown great stability when compounding with benzoyl peroxide.

PracaSil-Plus

Created for scar formulations and scar prevention, PracaSil-Plus features a proprietary blend of ingredients, including silicones and pracaxi oil.

• Appropriate for new or old scars.

• Rich in skin-friendly fatty acids and lipids.

• Can be used with or without active ingredients.

• Formulated without gluten, casein, dye, and parabens, among other allergens.

Whether a scar is caused by surgery, trauma, infection, or burns, PracaSil-Plus can make a dramatic difference.

XemaTop

Created for formulations targeting eczema, psoriasis, and xerosis (dry skin), XemaTop helps improve the appearance of red and irritated skin.

• Replenishes the lipids within the skin.

• Nourishes the skin’s structural integrity.

• Helps restore the skin’s barrier and prevent water loss.

• May improve the delivery of common APIs.

References

1. American Academy of Dermatology 2. Julian CG (1999) Dermatology in general practice. British Journal of Dermatology. 141: 518–520.

Additional Product Lines

PCCA member pharmacies have exclusive access to compounding products that raise the game when it comes to quality and innovation.

Our product line — the most extensive in the industry — includes more than 7,000 products, 14,000 SKUs and features our exclusive bases, fine chemicals, devices and equipment, and proprietary formulas.

Ordering Information

PCCA members can order online through the Members-Only Website at members.pccarx.com.

Not a PCCA member yet? Visit pccarx.com/join-pcca today to learn about how you can partner with us.

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

Medical Specialties Distributors, LLC (MSD) Improving Healthcare Quality and Effectiveness Through a Total Enterprise Solution Realize financial and operational gains while better serving the needs of your patients.

President & CEO: James Beck Founded: 1984

Employees: 500+ Toll-free Phone:

(800) 967-6400 Phone: (781) 344-6000 Fax: (781) 344-7244 Address: 800 Technology Center Drive Stoughton, MA 02072 Website: www.msdonline.com

Company Background

For thirty plus years Medical Specialties Distributors, MSD, has been serving the alternate site market with a commitment to improving healthcare quality and effectiveness through a Total Enterprise Solution.

MSD utilizes an innovative Total Enterprise Solution to deliver an integrated offering of medical device, technology, and supply chain solutions to help non-acute healthcare providers better serve the needs of their patients, and realize financial and operational gains in the process.

This Total Enterprise Solution is delivered by a community of more than 500 employees committed to caregivers and the patients they serve.

MSD’s Total Enterprise Solution combines the company’s areas of expertise to provide a holistic approach in improving provider operating and financial performance in areas that include equipment management and tracking, patient direct “white glove” delivery programs, and an accredited ambulatory pump program serving the oncology marketplace.

MSD’s dedication to customers begins with an unwavering promise to quality. That promise is put into practice by adhering to rigorous quality standards through our ISO certifications in supply chain (ISO 9001:2008) and medical device practices (ISO 134585:2003). This ensures that the products and services customers receive from MSD will be of the highest quality. MSD’s dedication to customers is further demonstrated with a unique, automated “First Touch Resolution” to customer service.

Product Overview

MSD’s Total Enterprise Solution combines areas of expertise within medical device service, technology, and supply chain to provide a holistic approach in improving provider performance.

and peak need medical equipment rental services ensure customers get the right equipment where and when they need it. New or pre-owned device purchasing is also available on a wide variety of brands.

An inescapable fact is that healthcare reform continues to challenge providers to reduce costs. MSD’s e-commerce solutions provide efficiencies that save time and money. OneTrack software solution provides unparalleled visibility to device status, location, and patient usage.

The software provides alerts to scheduled preventative maintenance and assists in compliance of medical device reporting requirements.

Online and mobile ordering solutions enable you to order medical supplies, manage inventory, and find new business solutions. Electronic commerce solutions through EDI and system integrations help to further streamline processing and reduce errors.

MSD has a complete medical supply portfolio from all major manufacturers supporting all types of therapies and quality care initiatives. Customized distribution solutions to fit your business needs from our network of coast-to-coast distribution centers provide the flexibility you need to efficiently serve your patients.

Markets Served • Home Infusion Therapy • Home Medical Equipment

• Oncology

Trade Shows/Meetings Attended • National Home Infusion Association (NHIA) Annual Meeting • MedTrade Spring • MedTrade • Armada • Oncology Nursing Society Annual Congress • AAHomecare GPO Affiliations • MedAssets • Innovatix • Premier • MHA

• Novation/Vizient • Amerinet • Intalere • Provista

A comprehensive asset management program reduces capital expenditures by maximizing device utilization and minimizing device loss. MSD also works to ensure equipment is maintained to manufacturer specifications.

Wide-ranging repair and preventative maintenance solutions are provided by 11 ISO certified and CHAP accredited facilities. Long-term

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Preceptor Recognitions

Thank You Preceptors!

The following colleges and organizations would like to acknowledge and thank the following preceptors for their hard work and dedication.

Ashley Garling

2015 APPE Preceptor of the Year Wingate University School of Pharmacy is proud to recognize Dr. Ashley Garling as our student selected 2015 APPE Preceptor of the Year. Dr. Garling serves as the pharmacist manager at Ingles Pharmacy in Lincolnton, NC. She has formally precepted for WUSOP since 2014, but she was also involved with Wingate students in a previous position for several years. Dr. Garling is highly regarded for her level of clinical practice in community pharmacy and her encouragement to student pharmacists to go above and beyond in providing optimal care for patients and finding fulfillment in their career.

When describing her rotation experience with Dr. Garling, one student recently wrote these kind words:

“

Ashley Garling

Dr. Garling has made me realize that community pharmacy is what you make of it.

Once she realized I had already covered the topics she was going to have me do presentations over, she completely adjusted her rotation schedule/plans. She asked about my future rotations and decided that it would be most beneficial to cover topics that will help me prepare for them. Not only am I learning from a preceptor that goes above and beyond to make sure the needs of her patients are met, she is also making sure the needs of her students are met as well. There is not a day that goes by without her asking me if I have learned something today. I can see joy in her smile as I am able to explain to her what I have learned and how it will help me in the future.”

If you are a pharmacist interested in becoming a Wingate University preceptor and would like information, please contact: Wesley Haltom, PharmD APPE Director 704-233-8343 wrhaltom@wingate.edu

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Lisa Dinkins, PharmD IPPE Director 704-233-8348 l.dinkins@wingate.edu

H E A LT H S Y S T E M • I N F U S I O N

The FDU School of Pharmacy would like to extend our sincere appreciation to all of our preceptors and their Directors of Pharmacy. Your ongoing efforts and support have contributed to the success of our students and program.

We are excited to welcome our first graduating class into the profession of pharmacy, and we thank you for all you’ve done to make our students’ experiences worthwhile and engaging!

Yours in Pharmacy, The FDU School of Pharmacy

Preceptor Recognitions

Campbell University College of Pharmacy would like to say “Thank You” to all of our preceptors! We wish to congratulate Dr. Amanda Vaughn and Dr. Drew Kessell for being awarded Preceptors of the Year by the Class of 2015.

The School of Pharmacy and Class of 2015 Congratulate the 2015 Preceptors of the Year Husson University School of Pharmacy is pleased to present its third Community Practice Preceptor of the Year Award and third Institutional Practice Preceptor of the Year Award. These awards are presented to a pharmacy preceptor who demonstrates exemplary commitment as a role-model and mentor for pharmacy students in patient-centered education within the practice of pharmacy.

Dr. Tri Cao Walgreens Pharmacy in Ellsworth, ME is the recipient of the Community Practice Preceptor of the Year

Pictured are Dr. Amanda Vaughn, Preceptor of the Year, Dr. Paige Brown, Director of Experiential Education, and Dr. Drew Kessell, Preceptor of the Year. Photo courtesy of North Carolina Association of Pharmacists.

If preceptors have any questions, please contact one of our Experiential Education program team members.

Paige Brown: brownp@campbell.edu | Jean White: whitej@campbell.edu Tina Thornhill: thornhillt@campbell.edu

Dr. Tyson Thornton Sebasticook Valley Hospital in Pittsfield, ME, is the recipient of the Institutional Practice Preceptor of the Year

If you are interested in serving as a Husson Preceptor, please contact the Office of Experiential Education at: 1 College Circle, Bangor, ME 04401 (207) 992-1974 or rossignolk@husson.edu

MCPHS University Thanks Saumil J. Patel., PharmD. Saumil J. Patel graduated from MCPHS University with his PharmD degree in 2007 and has developed a successful Medication Therapy Management (MTM) service for Walgreens in Roslindale, Massachusetts. He is currently the District MTM Leader for Walgreens in the Boston district. He is energetic and passionate about providing MTM throughout his tenure at Walgreens and has been an advocate of changing our culture to relational from transactional. The formation of Medication Therapy Management has been the niche of his practice. He realizes as the pharmacy profession continues to evolve, and as pharmacists keep pushing to become recognized as health care providers, MTM will very likely prove to be at the foundation of such growth. Saumil is offering MCPHS University students, both IPPE and APPE, the opportunity to be involved in MTM delivery while completing community rotations. He also offers a specialty APPE elective rotation in MTM and depending on the ability of the APPE student, to be involved in the completion of the entire MTM case. Utilizing pharmacy students and offering the students the opportunity to practice MTM will benefit not only a pharmacy and its MTM-eligible patients, but it will also help pharmacy students learn and be able to utilize MTM in their future. MCPHS University would like to thank Saumil for his dedication to providing students this MTM rotation opportunity.

The PREP Team PREP • Providing Practice Experience for Pharmacy Students School of Pharmacy, University of Waterloo

Thank you Co-op Supervisors, 4th year Patient Care Rotations Preceptors, and Bridging Program Preceptors!

Thank you for hosting and supervising our pharmacy students. Assuming the role of preceptor can be an immensely rewarding experience for pharmacists and the students they teach. We understand that your primary responsibility is caring for your patients and that teaching takes time. Many preceptors find that working with students is a superb way to continue their own education, as explaining, demonstrating, and critiquing a student reinforces what you know, uncovers what you don’t and provokes you to rethink your day to day practice!

We want to thank you again for your support and involvement. Without you, we could not offer these important experiences to our Waterloo Pharmacy students!

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Fagron Hospital Solutions

Fagron provides time-saving options for compounding in a hospital setting.

Fagron offers solutions that add significant value in the treatment of patients with unique needs. With a global focus on innovation, we are driven to continuously provide pharmacists with the best time-saving solutions in compounding.

SyrSpend® SF Vehicles Fagron’s SyrSpend® SF is a total solution that provides you with a convenient and efficient oral liquid dosage form. The unique starch-based suspending vehicle uses patented Active Suspending

fagron.us

Technology to assist in keeping the active pharmaceutical ingredients (APIs) in suspension longer, allowing for more accurate and consistent dosing for the duration of treatment. Formulated with meticulous attention to detail, without alcohol, parabens, sugars, gluten or dyes, SyrSpend® SF frequently is used for pediatrics and geriatrics.

proven option to provide rapid topical anesthesia. LETS is effective in providing and maintaining anesthesia, free of controlled substances, easy to use, and reduces the risk of adverse reactions.

LETS provides a cost-effective, simple package that contains all ingredients, and is easy to compound by the simple addition of water.

LETS Kit™ Convenience Pack LETS is a solution of lidocaine, epinephrine, tetracaine, and sodium metabisulfite and is an economical and

Contact Fagron today, (800) 423 6967 or info@fagron.us, to learn more about our Fagron hospital solutions.

Fagron, Inc. - 2400 Pilot Knob Road - St. Paul, Minnesota 55120 - USA Tel. (800) 423 6967 - Fax (800) 339 1596 - info@fagron.us

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Innovative Hospital Solutions

by Fagron Through Fagron’s convenient, time-saving compounding solutions, you can provide tailor-made pharmaceutical patient care in just minutes.

Founded: 1980 Employees:

50 + (800) 423-6967 Fax: (800) 339-1596 Address: 2400 Pilot Knob Road St. Paul, MN 55120 Website: Order online at shop.fagron.us Toll-free Phone:

Company Background

Fagron continuously introduces innovative products based on research done in our own R&D center. We work together with pharmacists, universities, physicians, and other healthcare providers to deliver optimized products and solutions. We continuously perform studies on our products, and are dedicated to providing you with the most innovative compounding solutions.

Fagron’s strategy is focused on the optimization and innovation of pharmaceutical compounding. As an R&D scientific pharmaceutical compounding company, Fagron wants to widen the scope of the prescriber to provide tailor-made pharmaceutical care. Through its activities, Fagron supports the unique selling point of the pharmacist and improves the patient’s quality of life.

Based in St. Paul, MN, Fagron, Inc. is part of the Fagron Group, a global market leader in pharmaceutical compounding, headquartered in the Netherlands. With over 2,100 employees in 32 countries worldwide, the Fagron Group provides over 200,000 pharmacists with superior compounding products every day.

Product Overview

SyrSpend® SF is an innovative vehicle for the compounding of oral liquid dosage forms. Based on food starch, SyrSpend® SF’s superior suspending properties provide consistent, individual dosing throughout treatment.

The excellent compatibility with a broad range of active pharmaceutical ingredients (APIs) and meticulous ingredient selection make SyrSpend® SF highly suitable for compounding stable, tailor-made medication.

SyrSpend® SF is a quick and easy compounding option that provides pharmaceutical stability and dosage consistency with each preparation.

Its light texture, non-toxic ingredients, and neutral taste results in treatment that is comfortable and easy to swallow for all patient groups, from neonates to the elderly. Compatible with an extensive range of APIs, you can choose the most suitable product for compounding with both acid and alkaline options.

n Our product line consists of: • SyrSpend® SF, a sugar-free suspending vehicle buffered to a pH of 4.2 for maximum compatibility with APIs. Preservative-free version available.

• SyrSpend® SF Alka, an easy-to-use powder for reconstitution that provides an alkaline environment for acid-labile drugs such as omeprazole.

Additional Product Modules

n SyrSpend® SF Convenience Packs

SyrSpend® SF offers a line of convenience packs to the growing assortment of Fagron Hospital Solutions. The SyrSpend® SF Convenience Packs contain all pre-weighed materials needed to prepare a 120 or 240 mL oral suspension. SyrSpend® SF is a unique preservative-free, starch-based, patented vehicle that provides increased suspendability of APIs to assist with consistent dosing. The sugar-free, sorbitol-free, dye-free suspension allows for administration ease in a much larger number of patients.

n LETS KIT™ Convenience Pack

LETS is a solution of lidocaine, epinephrine, tetracaine, and sodium metabisulfite and is an economical and effective alternative to provide rapid topical anesthesia without the use of a controlled substance.

The easy-to-use Fagron LETS KIT™ Convenience Pack simplifies the compounding process by offering a convenient package containing pre-weighed quantities of all the ingredients. With the addition of water, each kit is designed to make 100 mL of anesthetic solution. This solution, once compounded, has extended stability of up to six months when refrigerated.1 If desired, the LETS KIT™ Convenience Pack can also be compounded into a gel preparation. Fagron provides small quantities of methylcellulose to ease in compounding the gel. Compact packaging allows the kits to be stacked easily for quick access and inventory control.

n Drug Shortages Solutions Fagron carries a wide range of APIs to help you get through drug shortages. Our high-quality APIs can be used to compound capsules, oral solutions, topical preparations, and parenteral preparations (USP <797>). Before switching your patients to alternative therapies, Fagron is your go-to source when it comes to drug shortages.

Ordering Information

Contact Fagron for information regarding our hospital solutions and other Fagron innovations at fagron.us, customer.service@fagron.us, or (800) 423-6967.

Literature: 1: Larson JA, Uden DL, Schilling CG. Stability of epinephrine hydrochloride in an extemporaneously compounded topical anesthetic solution of lidocaine, racepinephrine, and tetracaine, Am J Health Syst Pharm., 1996, 53:6, pp659-662.

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A Partner You Can Trust for All of Your Pharmacy Solutions Every product is scalable, mobile, and integrates with all of our solutions, so your pharmacy can be reconfigured at any time to fit your needs.

Pharmacy Dispensing Errors as a % of Total Medication Errors Reported 5 4.5 4 3.5

High-density storage including carousels

Refrigeration

2.5 2

Vial filling and will-call solutions for Outpatient pharmacies

1.5 1 0.5 0

Medication image verification

Inventory management

NOV 2010 - Beacon Implementation

3

Automated unit dose packaging

JAN 09 - DEC 09

JAN 10 - NOV 10

DEC 10 - DEC 11

JAN 12 - DEC 12

JAN 13 - DEC 13

Read our latest Case Study about Maury Regional Medical Center, and how TCGRx helped them maximize their space, reduce their carrying costs, and improved patient safety.

www.TCGRx.com

info@TCGRx.com

262.279.5307

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TCGRx is a Partner You Can Trust for All of Your Pharmacy Solutions TCGRx is a complete pharmacy solutions provider for inpatient hospital pharmacies. TCGRx stays on the cutting edge of technology to provide products that are efficient, reliable, and patient-safety driven.

President:

Duane Chudy Founded: 2006 Employees: 70+ Phone: (262) 279-5307 Address: N1671 Powers Lake Road Powers Lake, WI 53159 Website: TCGRx.com Email: info@TCGRx.com

Company Background

TCGRx is a leading supplier of pharmacy automation and pharmacy design services. Our solutions range from individual components to address specific issues, to complete pharmacy design. TCGRx has an experienced staff and we pride ourselves on delivering high-quality, reliable products that can be used, improved, and scaled, for decades to come. We listen to our pharmacy partners’ concerns, and develop new products to meet the ever-changing demands our customers require.

Every product is scalable, mobile, and integrates with all of our solutions, so your pharmacy can be reconfigured at any time to fit your needs.

Product Overview

n Beacon® Inventory Management Beacon is a full inventory management system that supplements a pharmacy’s current process.

Beacon is unique — tracking total pill quantity, inventory on hand, and usage. Additionally, Beacon provides bottle-specific information, including quantity and expiration date tracking. Using our unique barcode scanning and light-guided pick and put process, Beacon can direct technicians to fill scripts following the priority of open bottle first, shortest expiration date second. Beacon can also manage your will-call with DeliverRx™ using the same barcode and light guided system.

Additional Products

n HDStock™ HDStock™, high-density fixtures from TCGRx, creates an organized and tailored storage system for your pharmacy. This pharmacy storage solution will free up space and reduce technician filling time while creating a clean and bright design for a professional setting. All of our fixtures are available with unique labeling and dividing features that make finding medications quick and easy. A wide array of

available colors and styles allow you to customize not only the layout of your pharmacy, but also the look. Options for the HDStock include: a carousel large, carousel small, high profile, bulk shelving, speed shelving, and workstations. Please contact us today to learn more about HDStock. n ATP® 2 Our new Automated Tablet Packager, ATP® 2, is the most versatile, industry-leading oral solid packager on the market. Engineered to provide improved performance, reliability, and flexibility, the ATP 2 is available in a wide variety of sizes and is expandable for future growth or business needs with 64 – 480 medication canisters. When combined with AutoSense™ smart canister technology and ½ tab canister dispensing, the ATP 2 has a limitless formulary capacity. Equipped with a dual tray system, you can now continuously run your ATP 2 without interruptions, making strip packaging and adherence packaging practical for any pharmacy. The ATP 2 facilitates both unit dose and multimed packaging with multiple sizes, and can include color indicators to signify proper pass time and various images and logos to give you maximum flexibility. The ATP 2 integrates with the comprehensive suite of pharmacy solutions offered by TCGRx including a fully automated image verification system, the InspectRx, automated collation system, the Collector™, BullsEye® automatic pill splitting, and non-canistered filling in our patented SmartTrayRx™ system. n InspectRx™/Collector™ InspectRx gives pharmacies the confidence of knowing that their AdherePacs™ are accurate while increasing the throughput of the checking process. Pills are verified by identifying 12 physical characteristics and highlighting potential issues for pharmacists.

Pharmacies can track erroneous pouches and missing meds back to the source with an archived database of the front and back image of each AdherePac scanned. Adding the Collector enables the rolling, cutting, and taping of each patient or medication strip, vastly improving the speed of preparation for delivery.

Markets Served • Retail — Independent • Retail — Chain • Long-Term Care • Hospital — Inpatient

• Hospital — Outpatient • Nutraceuticals • Central Fill • Specialty

Ordering Information

To learn more about how TCGRx adherence packaging solutions can improve your patient’s medication outcomes, please contact us at (262) 279-5307 or info@TCGRx.com.

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Pharma-Choice™ Brand of USP <797> and USP <800> Compliant Supplies Improve facility operations with Acute Care Pharmaceuticals’ Pharma-Choice™ Brand of products. Acute Care Pharmaceuticals offers a full line of disinfectants and cleaners that are specifically designed to maximize the cleanliness of your sterile compounding areas.

Founded: 1997 Employees: 20+ Toll-free Phone:

(888) 909-7700 (858) 675-9380\ Address: 12225 World Trade Drive, Suite A San Diego, CA Website: www.Pharma-Choice.com Email: Info@acutecareonline.com Fax:

Company Background

Acute Care Pharmaceuticals has been servicing the healthcare industry for over 18 years, delivering exceptional products and service to healthcare providers nationwide. We offer a wide range of USP <797> and <800> compliant disposable products that are manufactured under the highest standards.

Our USP <797> compliant product line includes: sterile alcohol, nonshedding wipers, disinfectants, gloves, media test kits, apparel, and more.

Pharma-Hol™ is a validated sterile 70% isopropyl alcohol 30% USP WFI cleaner/disinfectant that comes in 16 and 32 ounce spray bottles and gallon containers. It is the only disinfectant mentioned in the USP <797> regulation. It removes many surface contaminants and can be used for disinfecting gloved hands, vials, counter tops, and more.

Pharma-D Surface Disinfectant™ is an EPA registered, validated sterile, cleaner/disinfectant that is available in 16 ounce RTU spray bottles.

Pharma-D™ is a validated sterile quaternary ammonium designed to remove surface contaminants and disinfect hard, non-porous surface areas.

Call today for a full list of alternate disinfectants!

IDN Contracts

• Aurora Healthcare • AvKare • Fairview Medical Services • Kaiser Permanente • Northside Hospital System

Looking towards the future and developing products that exceed your expectations is our number one goal. Our new USP <800> line of products was developed with you in mind, because your safety and the safety of your employees matters. Our USP <800> products include: chemo gowns, chemo gloves, chemo spill mats, goggles, respiratory masks, sterile apparel, and a two-step chemo neutralizing kit.

Markets Served

With 20 GPO and IDN contracts, our goal is to make your buying experience simple and easy. Our Pharma-Choice™ Brand of products are stocked at AmerisourceBergen, Cardinal, and McKesson where you can receive your special discounted contract pricing.

GPO Affiliations

If you want quality products and customer service that you can count on, call us today at 1 (888) 909-7700 for more information and your GPO contracted pricing.

Product Overview

Acute Care Pharmaceuticals offers a wide range of disinfectants to support the cleanliness of your sterile compounding areas, including: biosafety cabinets (BSCs), compounding aseptic isolators (CAIs), compounding aseptic containment isolators (CACIs), and laminar airflow workbenches (LAFWs), as well as buffer areas, ante-areas, and segregated compounding areas. Cleaning and disinfecting these controlled environments is required to minimize the risk of microbial contamination of CSPs. Acute Care Pharmaceuticals’ two best-selling disinfectants include: Pharma-Hol™ Sterile Alcohol and Pharma-D™ Quaternary Ammonium.

• Hospital/Acute • Clinic • HMO • HHC _ Home Health Care

• Surgery Centers • Retail • Long-Term Care

• APCI • Asembia • GeriMed • HealthTrust (HPG) • Innovatix • Intalere (Amerinet) • MedAssets • MHA

• PACT • Premier • The Resource Group (Ascension Health) • ROi • TempestMed • Vizient (Novation)

Ordering Information

Pharma-Choice™ Brand of products can be purchased at AmerisourceBergen, Cardinal, McKesson, or directly from Acute Care Pharmaceuticals. Direct orders can be placed via fax, email, by phone, or online at www.Pharma-Choice.com.

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ready. set. migrate.

■

Migration for hospital, independent or chain pharmacies

■

Fast, secure and scalable migration

■

Image and data archiving: Rx hard copies, patient-level scanned images, pick-up and HIPAA signatures

■

Reduces IT maintenance costs, risk and burden

■

HIPAA compliant

DATA C O N V E R S I O N • M I G R AT I O N / A R C H I V I N G • BAC K U P • DATA M I N I N G / R E P O RT I N G

twopoint.com

847-780-6135

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

Two Point — Data Migration, Archiving, and Decommissioning Services For 26 years Two Point has been the premier migration provider to pharmacies and hospitals across North America. Our specialists bring years of experience to every conversion, ensuring accurate, reliable, and secure conversions for independents, chains, and healthcare systems.

President & CEO: Phil Lisitza Founded: 1993 Employees: 40 Toll-free Phone:

(800) 276-4689 (773) 252-2844 Fax: (773) 252-3909 Address: 1820 W. Webster #450 Chicago, IL Website: twopoint.com Phone:

Company Background Phil Lisitza, the company’s president, CTO and founder, grew up working in his dad’s small town pharmacy. In 1990, while upgrading to a new pharmacy system Phil’s dad was shocked he would have to move his data manually and implored his son, a computer geek at heart, to help. Phil, then a chemistry student at University of Illinois, developed what would become the first pharmacy data conversion. When the new vendor asked if he wanted to do it again an industry was born. Since then, Two Point has been steadfastly dedicated to solving even the most complex pharmacy data challenges.

Two Point has worked with nearly every top 50 drug chain, independent vendor, and hospital system over the past 26 years as the leading provider of data services for pharmacies, chains, medical centers, and hospitals. With an array of system knowledge in the hundreds, Two Point’s core competency is the ability to get into any system and extract the data and images required to get the job done. Our employees are hard working, caring, and average over 10 years of service. A culture of collaboration and education allows the Two Point team to provide exceptional products and superior service to customers with integrity.

Product Overview ACERT™ allows independent pharmacies, retail chains, and hospitals with large datasets to have ready-access to seldom-used, closed, or acquired facility system data after the data migration process is complete. Reports and images can be produced on the fly in PDF form delivered to end users.

Features & Options n ACERT™ provides hospitals with: • User-defined validation metrics and failure thresholds for migration.

• Hardware failover and optimization.

• Quick, intuitive web-based roll-out control for automated migration and daily backup for large scale migrations.

• Enterprise-wide and drill-down reporting in multi-location settings.

• Single location for housing multiple systems from the entire hospital organization.

n Three Reasons to Archive Data Using ACERT™ 1. ACERT eliminates annual maintenance contracts, saving

hospitals thousands of dollars with a single investment.

2. By mimicking legacy system interfaces, ACERT™ reduces

users’ learning curves.

3. Unlike HL7, ACERT™ supports images, doesn’t have data field

limitations, and is remarkably faster.

Additional Product Modules • Migration: ACERT™ allows for migration of thousands of stores or legacy systems.

• Archiving: ACERT™ can archive systems across the hospital to allow decommissioning of legacy systems from pharmacy, EMR, practice management, document management, accounts receivables, medication order systems, radiology, automatic dispensing cabinets, POS, etc.

Key Business Partners Two Point can extract data from any known pharmacy system and has more than 26 years of experience collaborating with the nation’s premier pharmacy system vendors.

Trade Shows/Meetings Attended Visit Two Point at NACDS, HCP, HIMSS, and AHIMA. Ordering Information Call (800) 276-4689 or email sales@twopoint.com.

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503B Outsourcing Facility

Experience how PharMEDium has simplified ready to use compounded sterile preparations.

O R D E R N O W AT:

pharmedium.com 800-523-7749 @pharmedium

P10701 Š PharMEDium Services, LLC 2015

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

PharMEDium – Compounding by 503B Registered Outsourcing Facilities PharMEDium is the national leader in customized pharmacy sterile compounding for hospital intravenous and epidural therapies.

PharMEDium has been committed to developing quality processes that facilitate the highest level of safety.

Founded: 2003 Toll-free Phone:

(800) 523-7749 Fax: (847) 234-1363 Address: 150 North Field Drive, Suite 350 Lake Forest, IL 60045 Website: www.pharmedium.com

Company Background PharMEDium is the nation’s leading provider of pharmacyoutsourced, ready-to-use sterile compounded preparations.

PharMEDium helps to: mitigate medication supply issues, enhance patient safety efforts, reduce drug waste, and simplify regulatory compliance. Our commitment to advancing patient safety is embodied through enhanced labeling, packaging, and bar code scanning technology designed to help reduce the potential for medication errors.

As a trusted partner, PharMEDium reliably and consistently works to meet our customers’ need for customized, ready-to-use admixtures for critical medication therapies. PharMEDium, a part of AmerisourceBergen, serves over 3,000 acute care hospitals and ambulatory surgery centers through its four state-of-the-art FDA Registered 503B Outsourcing Facilities, which are also licensed as applicable by the States. Compounding centers processing controlled substances are registered with the U.S. DEA. At PharMEDium, highly trained and qualified personnel adhere to rigorous quality standards and applicable cGMPs using only FDA-approved sterile drugs and FDA-cleared sterile containers to prepare our products. We monitor the process to detect and eliminate variances, all of which allows us to achieve high-quality, safe compounded sterile preparations.

PharMEDium helps meet the demands placed on hospitals and surgery centers to ensure that patients receive their medications on time and as prescribed. PharMEDium provides a broad portfolio of medications used for pain management, operating room anesthesia, intensive care, nerve block, and labor and delivery to hospital pharmacies and surgery centers as an extension of their sterile I.V. and epidural programs. PharMEDium’s robust supply chain, redundant centers, and strict allocation process help us to provide for superior continuity of service during drug shortages, natural disasters, or local disruptions.

Customer Support As a PharMEDium customer, you not only deserve the highest level of quality, you deserve the highest level of service. That’s why we assign a team of professionals to ensure each customer receives the same high level of support and that it continues in effect over the course of our relationship. Your team will supply what you need — from the emergency room to the operating room to the patient’s room. Our team is here to provide: • 24/7 Customer Support • Evaluation of Drug Usage and Waste • Clinical In-Service Resources • Medication Tray Standardization and Configuration • Answers to Clinical Inquiries and Documentation Requests • GPO/IDN Contract Support

Ordering Information

With multiple ways to purchase, including Electronic DEA Form 222 controlled substance ordering system (CSOS), getting compounded admixture services from PharMEDium is simple and easy. To learn more, please call PharMEDium customer service at (800) 523-7749 or visit www.pharmedium.com.

Product Overview PharMEDium is committed to patient safety. Our approach to developing state-of-the-art compounded sterile preparations involves a complete analysis of the medication use process and hospital pharmacy requirements. We invest in understanding all aspects of drug therapies, drug dispensing, and emerging technologies to deliver solutions that reduce the potential for mediation errors and the associated costs.

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Unit Dose Done Right

Unit Do se Bar Cod , ing, Pharma cy & Nursing Supply Experts !

• Ultraviolet Inhibitant • Moisture Resistant • Tamper-Evident • Cold Seal • 6 and 12-month Beyond-Use Dating • 1-D and 2-D Bar Coding • Flexible Label and Report Formatting • Multiple Sizes to Fit Your Meds and Storage Needs

Simple. Reliable.

800.523.8966

MediDose.com

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

Medi-Dose, Inc./EPS, Inc. Delivers Bar Coding, Packaging, and Labeling Pharmacy Solutions Improve your Solid Oral Unit Dose needs with our comprehensive Bar Coding, Packaging, and Labeling Solutions — designed by healthcare professionals, for healthcare professionals.

President:

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

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 allowing a hospital to convert from traditional dispensing. He developed the Medi-Dose System to package, handle, and dispense predetermined amounts of medication so they would be accessible for one regular dose. Comprehensive bar coding and labeling identification is accomplished using our innovative MILT 4 software. Because of the continued success of the MediDose System, Medi-Dose/EPS expanded its product line to include the TampAlerT System, offering tamper-evident liquid packaging without the need for heat tunnels and accessory sealing equipment, as well as a full line of supplies and disposable products designed specifically for the pharmacy and health care professional.

Product Overview Medi-Dose provides Tamper-Evidence as well as UV and Moisture Resistance for one-year beyond-use dating. Our MILT® 4 software maintains packaging logs and lets you design and print your Lid-Label® Covers with color, bar codes, tall man lettering, and graphics. You can format the labels any way you want, directly from your own computer and printer!

Features & Options

n Packaging and Labeling Solutions

• Simple to use — no extensive training needed.

• 1-D and 2-D bar coding — including NDC, lot numbers, and expiration dating.

• Ideal for hazardous medications and USP 800 drugs.

• Tall men lettering and dynamic formatting options.

• Built-in NDC lookup database and extensive image library.

• Packaging logs and error reporting.

• Six-month and one-year beyond-use dating.

• UV and moisture resistance.

• Tamper-Evidence • 13 styles of blisters to accommodate virtually all meds.

• No machinery or space requirements.

• Inexpensive — no capital outlay required.

Product Specifications

n Accompanying Labeling Software

• MILT 4 • MILT 3.0 • MILT 2.6 • Medi-Dose 2000

Trade Shows/Meetings Attended ASHP Midyear, ASHP Summer, Joint Forces Pharmacy Seminar, National Pharmacy Purchasing Association, EAHP, and various state and regional pharmacy conferences.

Ordering Information For additional information, please contact us at (800) 523-8966, visit our website at www.medidose.com or email us at info@medidose.com.

Medi-Dose works well in any pharmacy operation and can be used with all classifications of drugs (chemo meds, meds covered

by USP 800, compounded drugs, controlled substances, etc.).

It’s affordably priced for all pharmacy budgets. For the best in manual unit dose packaging, check out Medi-Dose!

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Introducing Our Newest Family Member:

A Bigger and Better Medical-grade, Compressor-free Refrigerator 25% more space in an ADA compliant height dimension USP <797>

Cleanroom compatible Ultra quiet performance for comfortable patient recovery Meets NEC medical-grade requirements for patient isolation Meets global compliance criteria and compatible with global power supply (Al) Compatible with locking medication management systems

Experience the Evolve Difference!

The Evolveâ&#x201E;˘ medical-grade undercounter refrigerator powered by a SilverCoreâ&#x201E;˘ advanced dual cooling system is designed to meet the stringent CDC guidelines for controlled storage of pharmaceutical drugs, vaccines, and medical devices.

From precise temperature control to advanced inventory protection, and from low energy consumption to non-toxic refrigeration, visit evolverefrigeration.com to learn more about the Evolve Difference.

A new cold has arrived.

Contact us today to learn more!

evolverefrigeration.com 919.908.6300

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

Evolve™ Medical-Grade Refrigeration — A New Cold Has Arrived Evolve compressor-free refrigerators are designed to meet the stringent guidelines for controlled storage of pharmaceutical drugs, vaccines, and medical devices. Evolve delivers accurate temperature control, superior reliability, remote monitoring, and whisper-quiet operation.

President & CEO: Tony Atti, Ph.D. Founded: 2009

Evolve™ Products

Employees: 100+

Specs

Toll-free Phone:

(844) 476-4202 (919) 908-6300 Address: 800 Capitola Drive, Suite 7 Durham, NC 27713 Website: evolverefrigeration.com Email: info@phononic.com Phone:

Company Background Phononic is revolutionizing cooling and heating with solid state thermal management solutions. Headquartered in the heart of North Carolina’s Research Triangle Park, the company provides solid state semiconductor technology that can be applied to everything from refrigeration to fiber optics, removing the barriers of traditional approaches and ushering in a new era of cooling and heating. The result is a solution to this age-old challenge that is distributed, convenient, sustainable, and connected. Phononic launched its first Evolve™ product in 2015.

Product Overview The Evolve family of products dramatically modernizes cold storage technology for medical and healthcare facilities.

The refrigerators operate without the traditional vapor compression system by using Phononic’s SilverCore™ refrigeration system, a solid-state system using non-toxic refrigerants. Evolve refrigerators are a complete cold storage and temperature monitoring solution that includes both USB accessible local data storage and Wi-Fi-enabled remote data logging. The temperature control and monitoring systems are fully compliant with CDC recommendations for vaccine storage. As a result of operating without compressors, the Evolve performance difference includes superior temperature control and uniformity throughout the chamber; lower operation and maintenance costs in a sustainable refrigeration system; dependable operation with battery backup power compatibility during power outages; whisper-quiet operation all the time; absence of internal mechanical parts offering peace of mind reliability. Because Evolve’s refrigerators have no internal moving parts and consume 50% less energy, it translates to being compliant with USP <797> requirements and emits less heat into a room.

SilverCore Refrigeration System Evolve Countertop

Evolve Undercounter

Internal Capacity

1.8 ft

5.5 ft3

Outer Dimensions (Area ft2)

20.5"W x 22.1"D x 23"H (3.1 ft2)

23.6"W x 26"D x 31.8"H ADA Compliant (4.2 ft2)

75 lbs.

135 lbs.

<30dBA @ 1m

<32dBA @ 1m

0.6 kWh/Day @ 4°C

<1.2 kWh/Day @ 4°C

3

Weight Noise Level Energy Requirements Compliance

Medical-Grade/Patient Isolation

Refrigeration System

SilverCore™ Refrigeration System With R744 Refrigerant

Center Air Temperature Variability From Set Point Temperature

+/- 0.5°C

Power

+/- 1.0°C

Universal Input for Global Usage; NEMA Hospital-Grade Plug

Temperature Monitoring System

SilverPoint Embedded With Local and Remote Data Management/Access Port for External Probe

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PREPARE FOR USP 800

© Copyright 2016. NuAire, Inc.

THE SAFER CHOICE FOR YOUR PHARMACY

NuAire’s PharmaGard™ Compounding Isolators meet the USP 800 standard for Hazardous Drugs—Handling in Healthcare Settings.

PharmaGard™ Compounding Isolators Each PharmaGard can assist with your documentation and surveillance programs as proposed by USP 800 by mounting external cameras to monitor compounding, cleaning and more. Specialty ergonomic items such as a monitor and keyboard/mouse arm can be installed to easily view protocols, document procedures, and more.

Visit www2.nuaire.com/11496 to learn more.

NuAire, Inc. | 2100 Fernbrook Lane | Plymouth, MN 55447 | 763.553.1270 | www.nuaire.com

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

Prepare for USP 800 — NuAire, Inc. NuAire is committed to creating quality, long lasting products designed to cost less with an emphasis on your safety. Put your trust in NuAire and see why NuAire is the safer choice for your pharmacy.

President & CEO: Richard Peters Founded: 1971 Employees: 300 Toll-free Phone:

(800) 328-3352 Phone: (763) 553-1270 Fax: (763) 553-0459 Address: 2100 Fernbrook Lane North Plymouth, MN 55447 Website: www.nuaire.com

Company Background For over 40 years, NuAire has been recognized as the leader in providing pharmacy professionals with reliable products with the best performance and best protection for the most demanding environments.

Max D. Peters founded NuAire in 1971, on the principle: “the best in industry service, expert knowledge, and consistently providing quality laboratory equipment.” Every product is built exactly to your order. NuAire builds integrity and reliability into every product utilizing True Laminar Airflow, the HEPEX™ Zero Leak Airflow System, state-of-the-art electronic systems, and ergonomic design.

Features & Benefits n NuAire offers a Class I Biological Safety Cabinet (BSC) that can be exhausted or recirculated back into a negative pressure room through a redundant HEPA filter system.

n NuAire’s Compounding Aseptic Containment Isolators (CACI) and Class II BSCs allow cameras to be externally mounted to support surveillance and documentation programs. A computer monitor with keyboard/mouse arm can be added to your CACI or BSC allowing technician’s easy access to compounding and cleaning SOPs.

n NuAire is also a manufacturer of Laminar Airflow Workstations

(LAFWs), Compounding Aseptic Isolators (CAIs), and custom airflow solutions designed to meet the needs of USP 797 and the proposed USP 800.

n NuAire’s PharmaGard™ Compounding Isolators meet the USP

800 standard for Hazardous Drugs — Handling in Healthcare Settings. Each PharmaGard can assist with your documentation and surveillance programs as proposed by USP 800 by mounting external cameras to monitor compounding, cleaning, and more.

Specialty ergonomic items, such as a monitor and keyboard/ mouse arm, can be installed to easily view protocols, document procedures, and more.

Product Overview NuAire’s PharmaGard Compounding Isolators meet the USP 800 standard for Hazardous Drugs — Handling in Healthcare Settings. PharmaGard Isolators create an ISO Class 5 sterile environment, meeting the requirements of USP Std. 797 for the compounding of sterile products. NU-PR797 Positive Compounding Aseptic Isolator, NU-NR797 Negative Pressure Re-circulating Compounding Aseptic Containment Isolator, and NU-NTE797 Negative Pressure Total Exhaust Compounding Aseptic Containment Isolator. NuAire also offers energy efficient biological safety cabinets and laminar flow clean benches for use in ISO Class 7 cleanrooms.

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Trade Show & Meeting Calendar

It’s Here

Event Calendar

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

RXinsider’s Virtual Pharmacy Trade Show 24 / 7 / 365 450+ Booths, 130 Aisles www.rxinsider.com NCPA Annual Legislative Conference May 24 - 25, 2016 Arlington, VA www.ncpanet.org IACP Annual Meeting (Compounders on Capitol Hill) June 11 - 14, 2016 Renaissance Marriott Washington, DC www.iacprx.org ASHP Summer Meetings June 11 - 15, 2016 Baltimore Convention Center Baltimore, MD www.ashp.org McKesson ideaShare June 26 - 30, 2016 McCormick Place Lakeside Building Chicago, IL www.mckessonideashare.com

AACP Annual Meeting July 23 - 27, 2016 Anaheim Marriott & Anaheim Convention Center Anaheim, CA www.aacp.org Good Neighbor Pharmacy ThoughtSpot July 27 - 30, 2016 MGM Grand Las Vegas, NV thoughtspot2016.com

Download the 20Ways App at www.RXinsider.com / 20ways / © 2016 RXinsider LTD. All rights reserved.

ASCP’s 23rd Annual Mid-Atlantic Conference August 5 - 7, 2016 Alexandria, VA www.ascp.com/chapters/ maryland-chapter NACDS Total Store Expo August 6 - 9, 2016 Boston, MA tse.nacds.org ACA 2nd Annual Fall Pharmacy Conference August 19 - 20, 2016 St. Louis, MO acainfo.org/fallpharmacyconference

Pharmacy Platinum Pages The Buyer’s Guide for Pharmacy Management

Cardinal Health RBC July 20 - 23, 2016 Chicago, IL rbc.cardinalhealth.com

The Buyer’s Guide for Pharmacy Management

Known as the “Yellow Pages of Pharmacy,” the Pharmacy Platinum Pages is published annually and serves the profession as a high-quality and relevant buyer’s guide. The 2016 Pharmacy Platinum Pages will feature more than 450 company profiles and enhanced company sponsorships.

Continued on page 53 50

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H E A LT H S Y S T E M • I N F U S I O N

© 2016 RXinsider LTD. All rights reserved.

rxplatinumpages.com

Case Study

CASE STUDY C

ASE STUaDNovel, Y nza with ue fl In ed at Uncomplic r to bi hi In e Treating Acute as inid enous Neuram One-Dose Intrav Reducing the

Error Rate During IVand Infusion offices

months, doctors’ Lancaster Gene winter ral aks the Healt in h Typically, imple ment ess. Line suethe Dose -like illn nzaMediTracin ich typically pe wh infl , h son wit or g Labels to reduce g sea tin nza medic presen ation error minidase inhibit tients rates andltineura During the influe help alstand create a antivir at influx in pa ardiza se gre tion a do proce see , soress. mu ms a is to prescribe er, fatigue, cough emergency roo

E: THE CHALLENG

Leading S pecialty P harmacy Patient S Puts afety and Satisfactio While Red n First ucing Cos ts

tion e, myalgias, fev le treatment op of care. Many uenza (headach the only availab symptoms of infl ner than standard lation the soo y te da via a t alle ou nts of the popu rage, ab me which can ave seg e on som n), , stio t ; however al conge ding to significan throat, and nas te from influenza lea era u, up fl rec the ly m ick fro to qu ations people are able serious complic risk of developing . are at a higher and even death ns, tio iza tal spi morbidity, ho to “catching a doing well prior Tina M. Suess, MHA, o wasRY sea. He states nchitis whPRIMA INTEND nau THE CASE: bro ED ic OUTCO and , on ME(s) gh chr h cou BSN, RN – BC, CPHIMS e throat, le smoker wit “felt hot, had a er, myalgia, sor he fev of ng A 62-year-old ma y rni tor mo t his Manager of ur Medication tha Our g was to reduce the errorcal goal nin Pharm with 12-ho aw led his IV infusion and create acake y Ad e, but upon virus” presents vantbo forIntegration s achy”. He rate duringthe wa y beSafety agedy im pl e in his ly to ling well the da em musclstanda rdizati direct entracing on goprotoc ofed Lancaster line ts to single Hospital ryGeneral Tran him that he was fee on pack infusion pumps by like~ eve sT vis ad felt ra e ag ® en ckolrtm vic and in ser g ted g to reduce sea F tet,mpera answerinimplem ency depaer re cough, was nau enting emderglabels. ture indica line the ipstracing tosh re closed and the ion an we y tat the sen t as tors and re pre bu he had soed tco on ciatha Up . te tal ort d spi rep ho doctor’s office visits al st and s, whi breath rtment of his locAmanda E. Prusch, or shortness of years ago andle also improving ess ple zin cou emergency depa a diz u fl in, pa PharmD, pa the BCPS tient satis had chest he g t any d ttin tha ge nie tes er de faction. sta aft nt flu. He the patie thePharmacy Clinical a couple days Specialist ated this year forMedication Safety d feeling better lled with not been vaccin admits he starte s COPD is contro t nt’ bu tie on Pa . ati er rse dic fev h l me ent cou ~ PGY-1 Residency s notable for hig was given an ora plete the treatm n. His exam wa and did not com Program Director wed no evidence mentary oxyge the prescription ic COPD but sho t require supple on no chr es h do wit he t ten Goals medication, and X-ray was consis es and his chest and muscle ach Pharmac . nia mo y Advant of pneu age’s goals we ients re to: d influenza in pat • Give pa te uncomplicate Information tients adde treatment of acu the Important Safety for s. d ted pe day 2 ica ace-of-mind dewa e re than nce sin the n) is ind mo typ ctio s no inje viru and increa for za ivir tic int uen ram egrity of nt infl sed confi specialty Rapivab™ (pe er who have been symptoma an objectiv the predominas were enrolled.

Da pharmace e, easy-tol Kuls s in which l tria uticals us icanie understan 18 years and old turegmonit ing influenza B viru based on clinB.S h d yet scien s dru wit wa se d b . ori rea Ph cte iva ng arm dec infe Rap ld tific tempe ., RPh, ns cou subjects efitdevice of utio ben • Efficacy of l ber stit raica sub num clin h nce VP ited of Am resista ofSe eory bulat ht also diminis • cep enc erg influenza A; a lim lity tibi rvices Mitig r time. Em l virulence) mig uenza drug sus ate poten for vira Pharmacy nges in tial healt ses change ove infl cha Advantag h risks res e le information on taking comp • Influenza viru Other factors (for example, er availab ulting fro romised me m patients effectiveness. gs. Prescribers should consid g whether to use Rapivab. dicines, an patie . nts to tak tion d support liza idin pita dru al dec hos e ivir medicine en ng the ability of ant requiri za effects wh Abou as prescribe uen for ent infl atm s tre iou d h ser tien Pharm ts wit patterns and ac pat in y • Ad ed Reduce vantage Pharmacy costs ass not be establish Advantag ociated • Efficacy could pharm e wit

Case Studies

provides services to pharmace some 18,00 utical de 0 patients fill 1000 livery in the U.S prescription . With thi s per day, s, they pharmace 60% of wh uticals. Th ich irty are speci percent of are tempe alty these speci rature sen alty medic sitive. ines

www.medidose.com Temptim

e Corpor

ation tem ptime

Get the Most Out of Your Case Studies You have invested in the development of a case study, don’t fall short on promoting it. RXinsider can help write and promote your case study to targeted practice settings throughout the pharmacy market via print, video, ebook, and web. Contact an RXinsider representative to learn more about our Case Study Promotional Services.

For information contact our sales team.

RXinsider

800.972.2083

sales@RXinsider.com RXinsider.com 1300 Division Road, West Warwick, RI 02893 © 2016 RXinsider LTD. All rights reserved.

corp.com

h patient acy/manufa inquiries cturer ab medicine to out the s exposed safety of to extreme specialty heat or co ld • Minim ize waste resulting from unus need to res ed medic hip due to ine and the uncertain “last mile” temperat of transpo ures durin rt g the • Maintain and impro ve patient mance rat satisfaction ings to su and perfo pport UR JCAHO acc rAC, Medic reditations are STAR and

Pharmacy Trade Show Job & Meeting Opportunities Calendar

Connecting product and service suppliers with pharmacy decision-makers.

Event Calendar

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

continued from page 50 National Association of Specialty Pharmacy (NASP) September 26 - 28, 2016 Washington, D.C. www.naspnet.org ECRM - Diabetes/Clinical Programs, Health & Wellness Solutions EPPS October 2 - 4, 2016 Chandler, AZ ecrm.marketgate.com/events NCPA Annual Convention & Trade Expo October 15 - 19, 2016 New Orleans, LA www.ncpanet.org/meetings/ annual-convention

American Society of Health Systems Pharmacists (ASHP MidYear) December 4 - 8, 2016 Las Vegas, NV www.ashp.org/menu/events/ conferences#midyear HIMSS Annual Conference & Exhibition February 19 - 23, 2017 Orlando, FL www.himssconference.org

Virtual Pharmacy Trade Show

RXinsider’s B2B product portfolio combines with additional social, mobile, SEO, web, and live trade show channels to form the pharmacy B2B ECOSYSTEM.

© 2016 RXinsider LTD. All rights reserved.

RXinsider • 800.972.2083 • sales@RXinsider.com • 1300 Division Road, West Warwick, RI 02893

ASCP 2016 Annual Meeting & Exhibition November 4 - 6, 2016 Dallas, TX www.ascp.com/about-us/ our-meetings ECRM - The Retail Pharmacy Services, Patient Programs, Technology & Automation EPPS November 13 - 15, 2016 San Antonio, TX www.ecrm.marketgate.com/ Events

Multimedia Videos Maximize Audience Engagement Through Video

Video is the most powerful digital marketing tool available.

Whether your audience is in the office (desktop), or on the go (mobile), video delivers engaging, persuasive, and credible marketing content. Maximize your communication and audience engagement with Multimedia Animation Videos in the Pharmacy B2B Ecosystem, from RXinsider.

All shows are subject to change.

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SUMMER 2016

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WHERE ARE YOUR WASTE DRUGS?

CONVENIENT. SECURE. SAFE. GREEN. Render DEA Controlled Substance Waste Non-Retrievable and Unrecoverable INTRODUCING PharmaLock® for Operating Room Applications

1040 LeGrand Blvd., Charleston, SC 29492 | (843) 856-7400 | www.CactusLLC.net

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Smart Sink® by Cactus® Renders Controlled Substance Waste Unusable and Non-Recoverable Cactus® Smart Sink® and PharmaLock® systems bring your hospital into proper waste compliance for remaining portions of DEA Controlled Substances. This industry-leading Go Green system can be installed anywhere medications are administered to patients, and provides a safe and secure system for proper drug disposal.

Founder & CEO:

Dave Maness Founded: 2010 Employees: <50 Phone: (843) 856-7400 Fax: (843) 856-7408 Address: 1040 LeGrand Boulevard Charleston, SC 29492 Website: www.CactusLLC.net

Company Background

Cactus® and the Smart Sink® system was created in early 2010 by its founder and CEO, Dave Maness. In an effort to reduce opportunities for illegal drug diversion, he developed an environmentally-friendly, easy-touse narcotic disposal system for hospitals. Located in Charleston, South Carolina, Cactus® is nationally recognized as the most effective “Go Green” solution for medication waste. Now deployed in all 50 States, Cactus® is the industry standard for secured medication disposal in medical facilities.

Cactus® … “Making a Difference in Healthcare.”

Product Overview

The Cactus® Smart Sink® system safely and securely renders remaining portions of controlled substances unusable and non-recoverable. It is wall or countertop mounted, includes a locking system, security alerts and alarms, and can be conveniently located anywhere medications are administered to patients. This state-of-the-art wasting system utilizes replaceable deactivation cartridges which are constantly monitored for capacity and expiration.

PharmaLock® is a secured compact liquid medication waste system designed for anesthesia carts or remote areas such as special procedures and operating rooms which require liquid drug disposal. The Smart Sink® and PharmaLock® technologies protect the environment, keep unused drugs out of red sharps bins, and help reduce opportunity for illegal drug diversion in medical facilities.

Typical Hospital Locations/Applications

Nursing Stations, Med Rooms, Near Medication Dispensing Systems, O.R., E.R., Cath Labs, Special Procedures, Surgery Centers, Radiology, Portable Carts, Anesthesia, Hospital Pharmacies, ICU, CCU, Oncology, or anywhere medications are administered to patients.

• Saves nursing time.

• Protects the environment.

• Quick and easy to install.

• Meets regulatory agency requirements for safe and secure drug disposal.

Product Specifications

• Countertop or wall mounted.

• Accepts liquids, tablets, and patches.

• Smart Sink Dimensions: 15 ½" wide by 12 ½" tall by 9 ½" deep.

• PharmaLock: Compact design for Operating Room applications (cart-based, wall or countertop mounted).

• Smart Sink: Requires one liquid and one solid cartridge.

Markets Served • Hospitals • Surgery Centers • EMS • Long-Term Care • Hospice • Mental Health • Correctional Facilities • Coroners

• Veterinary Medicine • Law Enforcement • Labs • Home Infusion • Assisted Living • Military • Container Ships • Other

Trade Shows/Meetings Attended • ASHP • AORN • NASCSA • HCP (Health Connect Partners)

• AONE • ASA (American Society of Anesthesiologist) • IHFDA • BuzzeoPDMA (Diversion Prevention and Monitoring)

Ordering Information

Web Site: www.CactusLLC.net Email: Info@CactusLLC.net Phone: (843) 856-7400 Fax: (843) 856-7408

Key Benefits

• Forces proper “witness and waste” protocol.

• Securely renders unused narcotics unusable and non-recoverable.

• Keeps drugs out of red sharps containers and trash bins.

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Introducing the latest pharmacy solution from

Š2015 RxMedic Systems, Inc. RxMedic and RM200 are registered trademarks of RxMedic Systems, Inc. RxMedic Systems Inc., is a subsidiary of the J M Smith Corporation.

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RM200 — The Latest Pharmacy Solution From RxMedic Regain lost time and improve patient care with accurate, reliable, and affordable pharmacy solutions from RxMedic.

President & CEO: William R. Cobb Founded: 2007 Toll-free Phone:

(800) 882-3819 Phone: (919) 882-2322 Fax: (800) 882-3818 Address: 2701 Leighton Ridge Drive Wake Forest, NC 27587 Website: www.rxmedic.com

Testimonials

“ Automation, such as the RxMedic ADS, allows the pharmacist to do what they’ve really been trained to do, which is to be engaged in patient care management. You don’t really have to go to school to put pills in the bottle. You go to school to know exactly what the pills in the bottle are going to do to achieve a health outcome.” ­

Company Background

Based in Wake Forest, North Carolina, RxMedic provides leading edge dispensing technology to pharmacies. Each RxMedic product is strategically engineered to increase productivity and enhance patient safety while providing pharmacy staff more time for customer service.

Offering automation from a tabletop unit up to a fully automated 256 cell dispensing robot, RxMedic has an affordable solution for every pharmacy.

Product Overview

The RM200 from RxMedic is the newest product in the full line of pharmacy automation solutions. Automate your top 200 medications with the ease of auto calibrating cell technology. RM200 gives you greater accuracy and efficiency, so you can give your patients greater safety and service. Filling up to two prescriptions a minute, RM200 brings speed and accuracy while automating up to 65% of your most common oral solids.

Features & Options

• Fills up to two prescriptions a minute.

• Automates 200 of your top drugs.

• Auto calibrating cells allow for quick medication changes.

• Utilizes RxMedic’s unique photo verification of vial contents.

• 24 vial collating area capacity.

• Replenish vials with ease by pouring into new vial storage area.

• Immediate remote support via in-system video capabilities.

Product Specifications

n Footprint • 17.4 Sq-ft Footprint (2.4' W x 7.25' L x 6.9' H) n Cell Count and Capacity • 176 Standard Cells • 24 Super Cells • Standard Cell Volume: 550cc • Super Cell Volume: 1350cc n Electrical • Dedicated 20 amp 110v service with NEMA L5-20R receptacle.

— Kevin B. Sneed, Pharm. D., Senior Associate Vice President, University of South Florida College of Pharmacy

“ I can see from the numbers how I’m getting my investment covered, but just as important, I can also see how we have more time for critical clinical activities like MTM and our med sync adherence program. I knew there’d be these soft benefits beforehand, but they’ve really exceeded my expectations.”

— Dave Lutz, R.Ph., Rhoads Pharmacy & Gift Shop, Hummelstown, PA

Additional Product Lines

Offering automation from a tabletop unit up to a fully automated 256 cell dispensing robot, RxMedic has an affordable solution for every pharmacy.

n Automated Counting System — ACS

Scalable counting solution from 24 to 96 cells that simultaneously counts multiple prescriptions.

n Automated Dispensing System — RM64

Compact 64 cell robot with the fastest dispensing rate on the market at five prescriptions a minute.

n Automated Dispensing System — ADS

Fully automated 256 cell robot with completed capped prescriptions collected in a 200+ finished script collation area.

n Automated Dispensing System — RM200

Automate up to 65% of your daily oral solid volume, filling up to two prescriptions a minute.

n Affordable Will Call Solution — ARS

Light will call bags on demand for efficient prescription retrieval.

n Visual Counting System — Eyecon®

RxMedic proudly sells the Eyecon® tabletop counter that counts pills at a rate of 200ms.

Wholesaler Order Numbers

For more information, call RxMedic at (800) 882-3819 or email us at sales@rxmedic.com.

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KIRO® Oncology The next-generation system for automated sterile compounding of hazardous drugs, including oncology and biologicals.

KIRO® Oncology helps reduce medication errors and improve safety for pharmacy technicians by reducing their exposure to hazardous drugs.

UNIQUE FEATURES: Two robotic arms Self-cleaning Lean design

For a product demonstration, please visit us at booth #2613 at the ASHP Midyear Clinical Meeting

GRIFOLS’ STERILE MANUFACTURING EXPERTISE APPLIED TO THE COMPOUNDING PHARMACY For more information: Grifols USA, LLC Tel. 1-800-379-0957 hospital.division@grifols.com

US/HP/1015/0010

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Grifols Introduces KIRO® Oncology — Automated Sterile Compounding of Hazardous Drugs The latest technology for automated sterile compounding of hazardous drugs, including oncology and biologicals.

President & CEO: Victor Grifols Founded: 1940

Employees: 14,139 Stock Symbol:

GRFS Toll-free Phone: (800) 379-0957 Address: 2410 Lillyvale Avenue, Los Angeles, CA 90032 Website: www.grifols.com Email: hospital.division@grifols.com

Company Background

Grifols is a global healthcare company with more than 75 years of experience, and a proven track record for high standards of quality and safety in all its manufacturing processes. Grifols is therefore uniquely qualified to help make compounding safer.

The correct preparation and administration of compounded sterile preparations (CSPs) is a complex process that requires highly-skilled professionals working in a very specialized environment.

Grifols U.S. Hospital Division provides advanced solutions and cuttingedge technologies to enhance safety and efficiency in the hospital pharmacy. Our products are uniquely designed to improve institutional compliance with guidelines and regulations, while operating under high standards of quality and service.

Our i.v.TOOLS® are a set of specialized products and consulting services that help optimize safety and efficacy throughout the compounding process.

Product Overview

KIRO® Oncology is the next-generation system for automated sterile compounding of individualized intravenous treatments.

KIRO® Oncology optimizes safety, improves accuracy, and closely monitors the preparation of intravenous solutions for oncology patients, while protecting technicians against the risks associated with the handling of hazardous substances.

KIRO Oncology helps you to be in compliance with USP regulations by standardizing the processes, and reducing errors and the risk of contamination in the preparation of hazardous admixtures. ®

Features & Options

n Unique Features of KIRO® Oncology • Two robotic arms perform separate tasks simultaneously.

• Self-cleaning for decontamination of hazardous chemicals.

• Lean design minimizes the movement of disposable items in the compounding area.

• Syringes, final containers, and drugs from different manufacturers can be quickly and easily configured.

Product Specifications

n Technical Information • Dimensions (length/height/depth): 6.9 ft. x 7.2 ft. x 3.6 ft.

• Weight: 2,245 Pounds • Electrical Requirements: Monophasic 110V/60Hz • Air Quality: Class II A2 Biosafety Cabinet. ISO5 classification and negative pressure in compounding area.

n Supported Materials • Vials: All Vial Sizes from 0.5 to 200 mL • Syringes: Luer Lock Syringes (1 mL, 3 mL, 10 mL, 20 mL, 50/60 mL) • Final Containers: Infusion bags, semi rigid bottles, syringes, elastomeric pumps, and cassettes.

Additional Product Lines

Grifols’ Hospital Division provides advanced and innovative solutions for the hospital pharmacy. n Misterium: Modular Clean Room System A new concept that offers a complete solution from initial design to the operation of a fully functioning clean room. n Phocus Rx: Camera-Based System A noninvasive solution for remote validation and documentation of sterile compounding processes. Phocus Rx can be used as a stand-alone system or embedded in Baker® Hoods. n Inventory Management Solutions Innovative solutions applying the latest technology for IV room, central pharmacy, investigational drug services (IDS), refrigerated drugs, and special inventory management needs. n Gri-fill: Semi-Automated Compounder System A unique solution for compounding medications safely and aseptically through sterile filtration and integrity testing. n Dosi-Fuser: Portable Elastomeric Infuser A single-use, continuous-infusion system for ambulatory patients that works without batteries or electricity. A portable infusion device designed to enhance patient comfort and mobility while providing accurate doses at a constant flow without adjustments.

Trade Shows/Meetings Attended

HOPA Congress, ASHP Midyear and Summer Meetings

Pricing Information

For more information, please contact customer service at (800) 379-0957 or hospital.division@grifols.com.

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Don’t give drugs away How do you know if ■ you are incorrectly coding drugs?

■ you have charge capture issues?

■ newly-purchased drugs are missing from the formulary or chargemaster?

■ you are using incorrect multipliers?

■ you have inappropriate NDCs captured on claims?

You’re controlling costs but cost is only part of the challenge.

The future is about value. Your pharmacy and your revenue cycle are now part of a larger value cycle, and your goal is to achieve the best outcome for the best cost.

Pharmacy ChargeLink® automatically audits drug purchase history, formulary, chargemaster and up-to-date regulatory reference, helping you address the revenue gaps that sabotage efforts at cost reduction. Learn more about our range of value cycle solutions at craneware.com and thevaluecycle.com.

The value cycle: quality patient outcomes and optimal financial performance

} Operational Data

Financial Data

Clinical Data

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Craneware Pharmacy ChargeLink®

Pharmacy ChargeLink is a powerful software solution that ensures pharmacy data is accurately represented in both the chargemaster and hospital pharmacy system so that hospitals receive optimal reimbursements for their pharmaceuticals.

CEO:

Keith Neilson Founded: 1999 Employees: 230+ Stock Symbol: AIM: CRW.L Toll-free Phone: (877) 624-2792 Phone: (404) 364-2032 Address: 3340 Peachtree Road NE, Suite 850 Atlanta, GA 30326 Website: Craneware.com

Company Background Founded in May 1999 by CEO Keith Neilson and CTO Gordon Craig, Craneware launched its first product in October 1999 after signing its first customer contract the previous month. By the end of 2000 more than 20 customers were signed, establishing the strong growth pattern that continues today. In September 2007, Craneware was listed on the AIM market of the London Stock Exchange.

Features & Options n Identify Potential Compliance Issues for Charge Capture Violations “What you’ve bought vs. what you’ve sold.” Pharmacy ChargeLink breaks down purchases into billable units to compare to billed units for charge capture violations. This unique benefit identifies charge capture issues based on drug purchases and CDM charges. n Identify the Impact of Missing Reimbursable Drugs The power of Pharmacy ChargeLink allows you to immediately see the bottom-line impact of reimbursable drugs that are missing coding. n Determine Correct Drug Multipliers Providers are challenged to capture and manage the many multipliers in their organization to understand where they have exceptions. Pharmacy ChargeLink audits this information and provides the correct multiplier for accurate reimbursement along with the potential total dollar impact for corrective action.

Today, Craneware is headquartered in Edinburgh, Scotland, with U.S. offices in Georgia, Massachusetts, and Arizona. Employing over 200 staff, Craneware serves more than one-quarter of all registered U.S. hospitals and is respected as a healthcare business partner known to deliver value, quality, and outstanding customer service as evidenced by KLAS results*.

Testimonial “ T he revenue impact of using Pharmacy ChargeLink was nearly immediate. We discovered an increase of $1.5 million in gross revenue per month during the first six months.”

Product Overview Pharmacy ChargeLink software audits data to provide analytics to integrate the various sources of information from the distributor or wholesaler, the pharmacy, clinical departments, and financial systems. Validating and auditing the relationship between the pharmacy and CDM gives hospitals the ability to accurately validate HCPCS codes with National Drug Codes (NDCs) in the formulary, correct the formulary NDC, units and costs, identify chargeable drugs in appropriate billable units of measure, ensure enforcement of policy pricing markups, ensure adequate margin and charge capture and identify regulatory compliance risks that may cause Recovery Audit Contractors (RAC), Office of Inspector General (OIG), and Health Resources and Services Administration (HRSA) audit issues.

Additional Product Lines Craneware’s value cycle solutions span four product families: • Patient Engagement • Charge Capture & Pricing • Coding Integrity • Revenue Recovery & Retention

— Kathy Huston, Charge Capture Coordinator Hendrick Medical Center

Trade Shows/Meetings Attended • ASHP Summer • HFMA MAP • ASHP Midyear • Intalere Member Conference • HFMA ANI • NAHAM

*Chargemaster Toolkit® is ranked No.1 in the Revenue Cycle – Chargemaster Management market category for the tenth year in a row (2006 – 2015/2016.) “2015/2016 Best in KLAS Awards: Software & Services” report, published January 2016. Data © 2016 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com

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Pharmacy Job Opportunities

Take Your Career Further

With The Company That’s Really Going Places.

COMPREHENSIVE PHARMACY SERVICES is growing. We provide pharmacy services to over 600 hospitals and healthcare facilities across 48 states, including Washington D.C. and Puerto Rico, the largest in the industry.

We are looking for talented pharmacy professionals to join our team of more than 2,000 employees as we lead the way in the pharmacy services Industry.

Help Us Lead the Way. See current openings and apply at www.cpspharm.com today.

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Whether your audience is in the office (desktop), or on the go (mobile), video delivers engaging, persuasive, and credible marketing content. Maximize your communication and audience engagement with Multimedia Animation Videos in the Pharmacy B2B Ecosystem, from RXinsider. © 2016 RXinsider LTD. All rights reserved.

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RXinsider.com

800.553.7359 • www.rphonthego.com

Pharmacy Job Opportunities

Your development, your well-being, your opportunity starts here • Expertise in supporting hundreds of hospitals of every size and type, and outpatient pharmacies across the country • One of the largest employers of acute-care pharmacists in the United States • Employer of choice for pharmacists because we offer a variety of career opportunities • Please visit our careers page for current openings

© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners. Lit. No. 1OTH16-504428 (04/2016)

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Career need a refill?

A healthy career awaits.

As one of our pharmacists, you’re on the frontline of personal healthcare, providing valuable service, award-winning clinical care programs and counsel to a wide variety of patients. With 1,947 pharmacies, opportunities exist to accommodate virtually every lifestyle.

Expectations are fulfilled here.

In addition to the staff and management positions, 21 PGY1 community residency programs are also available. To join our talent network please visit www.kroger.com/careers. EOE.

THE KROGER CO. FAMILY OF PHARMACIES

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DOES YOUR HOSPITAL HAVE A BOARD CERTIFIED GERIATRIC PHARMACIST? Only one credential has been established to recognize pharmacists with expertise in the care of older adults and the provision of medication therapy management services to geriatric patients— the Certified Geriatric Pharmacist (CGP), administered by the Commission for Certification in Geriatric Pharmacy.

BECOME A CERTIFIED GERIATRIC PHARMACIST The CGP credential is ideal for the pharmacist who serves older adults, regardless of practice setting.

Hospitals need CGPs because: • The population is growing older.

• Medicare reimbursement changes require more geriatric expertise.

• Growing numbers of hospitals are establishing geriatric teams.

• A recent review and meta-analysis has demonstrated the value of pharmacists on geriatric teams.

More details are available at: www.ccgp.org/hospital Phone: (703) 535-3036 | Email: info@ccgp.org