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Patient Safety & the Direct to Consumer Factor | TWIRx · Pharmacy Podcast Network

• 0:05
  Speaker 1: You are listening to the global network of podcasters dedicated
• 0:09
  Speaker 1: to the pharmacy profession.
• 0:10
  Speaker 2: Welcome to the Pharmacy Podcast Network.
• 0:21
  Speaker 3: From manufacturer to patient, the direct to consumer approach. We're
• 0:25
  Speaker 3: going to be talking about this with Andy Crawford from
• 0:30
  Speaker 3: key Source today on twerks and why that's important, why
• 0:35
  Speaker 3: that's important to independent community pharmacy, why that's important to
• 0:39
  Speaker 3: pharmacy consultancy, and what that means to expand services and
• 0:45
  Speaker 3: access to medications. We also want to talk about Maternal
• 0:50
  Speaker 3: RX they featured over it, and the PRISM System with
• 0:56
  Speaker 3: Mary Cusick and doctor Devin Bustin, amazing interview that came
• 1:01
  Speaker 3: out this week. And tragedy which we're going to touch
• 1:06
  Speaker 3: on Twerk's news when a pharmacy student was shot and
• 1:10
  Speaker 3: killed by her friend who became paranoid after they smoked
• 1:14
  Speaker 3: pot together, which is a crazy story.
• 1:17
  Speaker 4: All this and more on twerks.
• 1:38
  Speaker 3: Hey, welcome to Twerks. Welcome to this Week in Pharmacy.
• 1:42
  Speaker 3: My name is Todd Ury, founder of the Pharmacy Podcast Network.
• 1:46
  Speaker 3: Today is November fourteenth, twenty twenty five. This year smoking hot,
• 1:54
  Speaker 3: fast year, crazy year, challenging year, challenging year for so
• 2:00
  Speaker 3: many entities and people in pharmacy myself included. Wouldn't say
• 2:05
  Speaker 3: it was a bad year, but certainly wouldn't say it's
• 2:08
  Speaker 3: been my favorite year either. It's been a punch in
• 2:11
  Speaker 3: the face kind of year, over and over and over again. Hey, yes,
• 2:15
  Speaker 3: I said, Andy Crawford's headed over from key Source to
• 2:19
  Speaker 3: talk to me about direct to consumer, the impact of
• 2:22
  Speaker 3: direct to consumer medications and selling medications. If that's a
• 2:27
  Speaker 3: good idea, if that's a bad idea, I think it's
• 2:31
  Speaker 3: half and half, and I'm sure you do as well.
• 2:35
  Speaker 3: But first, on Twerk's news. This is a horrible and
• 2:43
  Speaker 3: strange story from kpo P News KNOP News two.
• 2:54
  Speaker 5: Let's take a listen to.
• 2:54
  Speaker 6: The university pharmacy student and DeForest High School.
• 2:57
  Speaker 1: Graduate is being remembered tonight for her and an infectious smile.
• 3:01
  Speaker 5: Thanks for joining us at ten. I'm Mark McPherson and
• 3:03
  Speaker 5: I'm Mackenzie Davis.
• 3:04
  Speaker 6: Twenty six year old Ariel Spilner was killed in Milwaukee
• 3:08
  Speaker 6: last week, and a woman has now been charged in
• 3:10
  Speaker 6: connection to that shooting. WMTVS Nicole Herzog joins us live
• 3:14
  Speaker 6: in studio.
• 3:14
  Speaker 1: After sitting down with Ariel's family, Nicole and memorial service
• 3:18
  Speaker 1: and celebration of life were held tonight to honor her.
• 3:21
  Speaker 6: Loved Ones say Ariel's determination, kindness, and magnetic personality were unmatched.
• 3:27
  Speaker 6: As the case moves forward, her family says they're looking
• 3:31
  Speaker 6: for healing and justice. Friends and family of Ariel Spilner
• 3:37
  Speaker 6: gathered into Forest Munday honoring a promising life cut short.
• 3:42
  Speaker 7: She had the brightest smile the most infectious laugh.
• 3:46
  Speaker 6: A DeForest High School graduate, Ariels shined both on and
• 3:51
  Speaker 6: off the court.
• 3:52
  Speaker 7: She played basketball and soccer and volleyball and was in
• 3:55
  Speaker 7: cross country. She was just such a well rounded athlete.
• 3:59
  Speaker 6: Courtney is Ariel's older sister. She says she was in
• 4:02
  Speaker 6: her final year of pharmacy school at Concordia University and
• 4:06
  Speaker 6: dreamed of moving to Florida after graduation to start her career.
• 4:09
  Speaker 7: She was literally the best person you could ask for
• 4:12
  Speaker 7: as a friend, as a sister, as a tet, as
• 4:17
  Speaker 7: a daughter. She was the best to everyone. She would
• 4:20
  Speaker 7: be there for anyone, no matter what you needed, When
• 4:23
  Speaker 7: you needed it, she was there. She would call me
• 4:26
  Speaker 7: at the most random times for the most random things.
• 4:30
  Speaker 7: Oftentimes I was at work when she would call, or
• 4:32
  Speaker 7: it would be late nights, but I answered every single time,
• 4:37
  Speaker 7: and I'm going to miss that.
• 4:38
  Speaker 6: But Tuesday night would be their last phone call.
• 4:41
  Speaker 7: I talked to her about an hour and a half beforehand,
• 4:43
  Speaker 7: and the last thing we said to each other was
• 4:46
  Speaker 7: that we loved each other. So I am for ever
• 4:48
  Speaker 7: holding that memory close.
• 4:49
  Speaker 6: Prosecutors say Jamiga Mills claims to have accidentally shot and
• 4:53
  Speaker 6: killed Ariel, who was her friend. The criminal complaint says
• 4:57
  Speaker 6: she became paranoid that Ariel would stab her after the
• 5:00
  Speaker 6: two had smoked marijuana together.
• 5:02
  Speaker 7: I know she went over there to celebrate her birthday,
• 5:05
  Speaker 7: so she said, and I just can't believe this happened.
• 5:09
  Speaker 6: As her family processes the sudden loss, they say Ariel's
• 5:13
  Speaker 6: light will continue to touch those close to her.
• 5:16
  Speaker 7: I am so proud to be her sister. She I
• 5:19
  Speaker 7: think she touched more people than she even realized she did.
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  Speaker 6: Now, Ariel's family has set up a GoFundMe to pay
• 5:25
  Speaker 6: for funeral expenses. Her family tells me any extra money
• 5:29
  Speaker 6: will go towards a charity close to Arias.
• 5:34
  Speaker 5: It is crazy. What a horrible, horrible story.
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  Speaker 3: Remembering pharmacy student, future pharmacy leader, gone too soon. Ariel Spilner.
• 5:46
  Speaker 3: What a horrible tragic story. And you wonder, as pharmacists
• 5:52
  Speaker 3: out there, as you're listening people who are around psychotropics
• 5:57
  Speaker 3: and effects of thh see effects of marijuana maybe with
• 6:02
  Speaker 3: those who hadn't experienced it or whatever it was that
• 6:07
  Speaker 3: triggered that intense paranoia. That this teaches us that we
• 6:15
  Speaker 3: think in today's age, with so many states legalizing marijuana
• 6:21
  Speaker 3: for recreational use, that everything's just peach a king, And
• 6:25
  Speaker 3: as you can see, sometimes that's not the case. Sometimes
• 6:28
  Speaker 3: it's harmful, and we have to remember that we should
• 6:33
  Speaker 3: be counseling as pharmacists obviously you pharmacist, you pharmacy technicians
• 6:40
  Speaker 3: that come into play, all healthcare providers, that there are
• 6:43
  Speaker 3: always potential dangers to recreational drugs if you're using cannabis
• 6:51
  Speaker 3: as such. And what a horrible, horrible story. Our heart
• 6:56
  Speaker 3: goes out to Aeriel Spilner and her fan family. Rest
• 7:00
  Speaker 3: in peace, Aerial. Next up on twerks News, something I'm
• 7:07
  Speaker 3: quite proud about, and that is the news around Guardian
• 7:15
  Speaker 3: Pharmacy Services. Guardian Pharmacy is a long term care pharmacy
• 7:21
  Speaker 3: that started maybe fifteen, possibly even seventeen years ago, and
• 7:28
  Speaker 3: I sold them a pharmacy management system which was Softwriters
• 7:32
  Speaker 3: Framework Ltc. So excited to see that Guardian has made
• 7:38
  Speaker 3: the news the Motley Fool, Why Guardians Pharmacy Services stock
• 7:42
  Speaker 3: was on a tear Tuesday, and how the IPO was announced.
• 7:51
  Speaker 3: This was a strong evidence by a twenty percent revenue
• 7:55
  Speaker 3: jump in this news and how Guardian Pharmacy Services, the
• 8:00
  Speaker 3: stock symbol is gr d N, was a stock ideal
• 8:06
  Speaker 3: for ailing portfolios on the second trading day of the week,
• 8:10
  Speaker 3: thanks largely to better than expected annual guidance. In its
• 8:14
  Speaker 3: latest quarterly earnings report, the company shares we're motoring more
• 8:20
  Speaker 3: than seven percent higher in mid session training. That performance
• 8:24
  Speaker 3: was notably better than the zero point three percent advance
• 8:29
  Speaker 3: of the S and P five hundred. Congratulations to Guardian Pharmacy.
• 8:34
  Speaker 3: I love seeing success stories like that and I hope
• 8:40
  Speaker 3: them continues to success. They have to continue to be
• 8:44
  Speaker 3: successful because we need more long term care pharmacies doing
• 8:51
  Speaker 3: nothing but thriving and delivering services to your communities, and
• 8:57
  Speaker 3: long term care at home expansion.
• 8:58
  Speaker 5: You know, we like to talk about that.
• 9:01
  Speaker 2: Hey.
• 9:01
  Speaker 3: Next up from Pharmacy Times, met Foreman may diminish the
• 9:06
  Speaker 3: cardio metabolic benefits of exercise. This is something how many
• 9:13
  Speaker 3: times has conversations come up in long term care pharmacy,
• 9:20
  Speaker 3: geriatric care pharmacy. Shout out to doctor Tamara Ruggels. I'd
• 9:25
  Speaker 3: like to hear from Tamara on this article, and it
• 9:29
  Speaker 3: says that met foreman may reduce the metabolic benefits of exercise,
• 9:33
  Speaker 3: including improvements in blood vessel function and blood sugar control.
• 9:39
  Speaker 3: You're out there, you're trying to stay fit, you're eating better,
• 9:43
  Speaker 3: you're taking your met forman, you're exercising as you always
• 9:46
  Speaker 3: thought that you should be. And now it comes out
• 9:50
  Speaker 3: that it may be based on a double blind, placebo
• 9:53
  Speaker 3: controlled trial showed exercise without met forman led to significant
• 9:58
  Speaker 3: improvements to aerobic aerobic fitness and vascular health.
• 10:05
  Speaker 5: Very strange.
• 10:07
  Speaker 3: And that's it for short, short segment of torqux News
• 10:13
  Speaker 3: this week, because we got a lot going on this week.
• 10:17
  Speaker 3: Shure Cost I don't know if you've heard about shir Cost,
• 10:21
  Speaker 3: but they are an analytics engine and analytics company. What
• 10:27
  Speaker 3: a wonderful, fun organization I get to work with this
• 10:31
  Speaker 3: week today Friday and being able to be part of
• 10:37
  Speaker 3: a panel on an AI discussion and understand just how
• 10:45
  Speaker 3: powerful data can become to you as a pharmacy operator,
• 10:51
  Speaker 3: and how there's a lot of data that you're not
• 10:56
  Speaker 3: taking advantage of and there's organizations out there who are
• 11:02
  Speaker 3: ready to help you leverage your data better and more.
• 11:06
  Speaker 3: We just did an episode that just came out, I
• 11:12
  Speaker 3: think earlier this week from once Again the softwareters team
• 11:16
  Speaker 3: Framework LTC with their system called Framework Insights, and once
• 11:21
  Speaker 3: Again it's an embedded data analytics system that tells several
• 11:28
  Speaker 3: things about your operations, from the performance of your team,
• 11:32
  Speaker 3: better drug buying, profitability studies, financial reporting, even report portals,
• 11:39
  Speaker 3: reporting portals back to the facilities that they serve and
• 11:43
  Speaker 3: communicating better efficiency and better operations. I love this kind
• 11:48
  Speaker 3: of stuff. I love where it's going. And then put
• 11:50
  Speaker 3: AI on top of that and watch what happens, Watch
• 11:53
  Speaker 3: how powerful it is. Hey, I'll be right back. We
• 11:56
  Speaker 3: have a special interview with Andy Crawford from key Source.
• 12:06
  Speaker 2: Hey.
• 12:07
  Speaker 3: Everyone, it's Todd Urie with the Pharmacy Podcast Network. I
• 12:10
  Speaker 3: could not be more excited to talk to you that
• 12:12
  Speaker 3: we're going to be doing the Surecast with sure Cost
• 12:16
  Speaker 3: at the Insights User Conference on November thirteenth and fourteenth.
• 12:21
  Speaker 3: I'm going to be part of this event. I cannot
• 12:22
  Speaker 3: wait to meet with you, talk with you, leverage data together,
• 12:27
  Speaker 3: learn how to use data better. And it's going to
• 12:30
  Speaker 3: be an incredible opportunity to connect with other pharmacy owners
• 12:34
  Speaker 3: and innovators, colleagues who are all working together for the
• 12:37
  Speaker 3: same goal helping pharmacies thrive. And what better way to
• 12:40
  Speaker 3: capture those conversations than a live event.
• 12:44
  Speaker 5: That's your cast and.
• 12:46
  Speaker 4: I can't wait to bring this to you, sit down
• 12:47
  Speaker 4: with so many of you.
• 12:48
  Speaker 5: This is going to be in.
• 12:49
  Speaker 1: Nashville, don't forget on November thirteenth through fourteenth, and there
• 12:54
  Speaker 1: will be a link to go to the registration and
• 12:57
  Speaker 1: we'll see you there.
• 13:07
  Speaker 3: Hey, welcome to this Weekend Pharmacy. We have a lot
• 13:11
  Speaker 3: going on.
• 13:11
  Speaker 5: I tell you what.
• 13:12
  Speaker 3: It's last quarter of twenty twenty five. It went way
• 13:16
  Speaker 3: too fast for me. Hopefully you had a good year.
• 13:19
  Speaker 3: It's been a wonderful year. It's been a very difficult
• 13:22
  Speaker 3: year transitioning from podcasts.
• 13:28
  Speaker 5: And content that is changing.
• 13:33
  Speaker 3: It needs to be packed with more trust, more reference.
• 13:39
  Speaker 3: I've been working on what does it mean to deliver
• 13:43
  Speaker 3: evidence based podcasting for continuing education versus just podcasting to
• 13:50
  Speaker 3: talk with a friend or to teach each other something
• 13:53
  Speaker 3: that is maybe not clinical. And I think twenty twenty
• 13:58
  Speaker 3: six is going to be a steel sharpening, steel year
• 14:05
  Speaker 3: that if you're in content development, a shout out to you,
• 14:09
  Speaker 3: if you're in public relations, communications, marketing, I want to
• 14:13
  Speaker 3: work with you, I want to do some projects. I
• 14:14
  Speaker 3: want to hear from you, because we have a lot
• 14:19
  Speaker 3: more responsibility in the new year coming than ever before
• 14:23
  Speaker 3: because of the trust levels. Our B to B trust
• 14:27
  Speaker 3: will spill over into our B to C trust, our
• 14:31
  Speaker 3: business to consumer, business to patient. And part of that
• 14:36
  Speaker 3: evolution is what's happening in our markets and how medications
• 14:40
  Speaker 3: are getting to our patients and hymn's and hers delivering
• 14:44
  Speaker 3: directly to patients versus versus going through a pharmacy or
• 14:51
  Speaker 3: going through a PBM. And there was an article written
• 14:54
  Speaker 3: and it's the reason that I've invited my friend Andy
• 14:58
  Speaker 3: Crawford back from key Source, and the article was a
• 15:04
  Speaker 3: direct to patient market is expected to hit twenty one
• 15:08
  Speaker 3: billion with.
• 15:09
  Speaker 5: A B twenty one billion million.
• 15:13
  Speaker 3: You put your thumb up to your Austin Power's lip,
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  Speaker 3: Andy Crawford, Welcome back to twerks.
• 15:21
  Speaker 8: Todd, Thanks for having me again. I appreciate it, and
• 15:23
  Speaker 8: I love the Austin Powers reference.
• 15:27
  Speaker 2: Very well timed.
• 15:28
  Speaker 3: I love that that whole movie, that whole show Doctor
• 15:31
  Speaker 3: Evil and the Evil.
• 15:33
  Speaker 5: For us is a couple things.
• 15:36
  Speaker 3: It's distrust, it's misinformation, it's acceleration of markets, it's catching
• 15:41
  Speaker 3: up with so many things and challenges. But let's focus
• 15:44
  Speaker 3: on your post. You put this out about a week ago.
• 15:48
  Speaker 3: Pharmacy evolving, we know it. Direct to consumer brands they're
• 15:53
  Speaker 3: moving in. Pharmacies have a choice to compete or collaborate.
• 15:57
  Speaker 3: I loved this. That's why you're here, So Andy Crawford
• 16:01
  Speaker 3: talk to us about this.
• 16:03
  Speaker 2: Sure.
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  Speaker 8: I mean that's uh, you know, it's a big it's
• 16:06
  Speaker 8: a big aspect of the evolution of pharmacy. I mean
• 16:10
  Speaker 8: we've seen this, you know, direct to patient vanity, you know,
• 16:16
  Speaker 8: mail order model for some years.
• 16:18
  Speaker 2: Right. You know we're talking about ed hair loss. That
• 16:22
  Speaker 2: isn't new this year.
• 16:24
  Speaker 8: But I think what we're seeing is an expansion of
• 16:28
  Speaker 8: direct to patient, direct consumer. With g LP ones, you're
• 16:33
  Speaker 8: starting to see Lily Direct trying to figure out how
• 16:37
  Speaker 8: can they get probably products directly to consumers that maybe
• 16:41
  Speaker 8: aren't required to have as much patient counseling through either
• 16:47
  Speaker 8: a physician and or a pharmacist. And you know what
• 16:51
  Speaker 8: is basically the article is just what do we expect
• 16:54
  Speaker 8: in the coming months, in the coming years. And I'm
• 16:58
  Speaker 8: more curious to hear what a community pharmacists think of this,
• 17:02
  Speaker 8: you know, trend. As I spoke to you before, there's
• 17:06
  Speaker 8: there's never going to be, I think a replacement for
• 17:08
  Speaker 8: chronic illness and medication therapy management and the.
• 17:13
  Speaker 2: Role of the pharmacist.
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  Speaker 8: But I think the big aspect is, you know, the
• 17:17
  Speaker 8: drug pricing system is extremely complex. You know, direct to
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  Speaker 8: consumer sales are merging as more of like a transparency play.
• 17:28
  Speaker 8: I know, not everybody sees direct to consumers a fix,
• 17:30
  Speaker 8: you know, they a lot of people argue that, you know,
• 17:33
  Speaker 8: the deeper problem is the insurance systems and PBMs, Right,
• 17:39
  Speaker 8: and then you have trump r X, which is a
• 17:41
  Speaker 8: big aspect of of jumping on the train of direct
• 17:44
  Speaker 8: to consumer. And nobody really knows what's the impact of
• 17:48
  Speaker 8: this going to be on PBMs and pharmacies.
• 17:51
  Speaker 2: Nobody knows.
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  Speaker 8: There's a lot of you know, guesswork in you know,
• 17:56
  Speaker 8: could it pull scripts away from independent reall just as
• 18:00
  Speaker 8: mailord is right now, that was really the question I posed,
• 18:04
  Speaker 8: is we're do we're do independent community pharmacies and pharmacy
• 18:08
  Speaker 8: in general.
• 18:09
  Speaker 2: How can they collaborate.
• 18:12
  Speaker 8: Instead of just compete with this model and what is
• 18:15
  Speaker 8: it going to look like in a couple of years.
• 18:17
  Speaker 3: So, yeah, do you remember we were talking about this
• 18:21
  Speaker 3: story and an extension of the story, And I'm going
• 18:26
  Speaker 3: to read something posted on June seventeenth, twenty twenty five.
• 18:31
  Speaker 3: Just this summer, Medicure announces closing of purchase agreement for
• 18:35
  Speaker 3: the acquisition of West Olympia Pharmacy.
• 18:39
  Speaker 5: And this is happening several times.
• 18:43
  Speaker 3: Medicure bought Dave Marley's pharmacy Marlee Drug, back in December
• 18:48
  Speaker 3: of twenty twenty, and now we have manufacturers who are
• 18:53
  Speaker 3: using the strategy of let me just purchase a pharmacy
• 18:58
  Speaker 3: that has a trusted reputation. It already has a customer base,
• 19:01
  Speaker 3: it's already licensed in several states, if not all fifty states,
• 19:06
  Speaker 3: like Marley Drug was. And I'm not sure if Dave
• 19:09
  Speaker 3: positioned it that way, but this is not a trend
• 19:14
  Speaker 3: that is novel. It's going to keep happening, and I'm
• 19:18
  Speaker 3: wondering how that changes the mix for the growth of
• 19:23
  Speaker 3: independent community pharmacies that are still looked at in their
• 19:27
  Speaker 3: community as independent and as the the the hometown pharmacy store.
• 19:34
  Speaker 5: Drug store.
• 19:35
  Speaker 3: However, have infrastructure and have a little bit more depth
• 19:40
  Speaker 3: and power because a medication manufacturer just purchased you and
• 19:47
  Speaker 3: pushing you forward and positioning you in your communities beyond
• 19:53
  Speaker 3: just where you started. And now and now they're I
• 19:57
  Speaker 3: don't know how many pharmacies they bought, but at least organizations.
• 20:01
  Speaker 5: And so.
• 20:03
  Speaker 3: The direct consumer is hymns hers to the consumer. But
• 20:07
  Speaker 3: then we have the new middleman, the new middlemen and
• 20:10
  Speaker 3: middle women, and that are these pharmacy owners that are
• 20:13
  Speaker 3: also getting direct access to manufacturers. There's going to be
• 20:18
  Speaker 3: a disruption and there's going to be some changes of
• 20:20
  Speaker 3: what that means. What's that mean to you? Because I'm
• 20:24
  Speaker 3: a it's a sometimes it's a head scratcher. We can speculate,
• 20:27
  Speaker 3: but I like hearing from you better.
• 20:29
  Speaker 8: Yeah, I mean, of all people, I mean I'm in
• 20:33
  Speaker 8: direct contact with manufacturers, so I am the in between
• 20:36
  Speaker 8: right as a wholesale distributor distributors, So.
• 20:40
  Speaker 2: There's you know, some know and some don't.
• 20:42
  Speaker 5: You know.
• 20:42
  Speaker 2: I would have been with key source nearly twenty years.
• 20:45
  Speaker 8: We work directly with our manufacturer partners, basically any from
• 20:49
  Speaker 8: agency that have a genericized FDA approved product, and we're
• 20:52
  Speaker 8: providing them to pharmacies all across the United States. I
• 20:57
  Speaker 8: think the bigger question that I you with this whole
• 21:00
  Speaker 8: subject is what do community pharmacies stand to lose? And
• 21:06
  Speaker 8: what do community pharmacy stand to gain?
• 21:09
  Speaker 2: And I think, you.
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  Speaker 8: Know, if I could break it down into you know,
• 21:14
  Speaker 8: the top you know subjects of what do they stand
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  Speaker 8: to lose? Well, the obvious is prescription volume and foot traffic.
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  Speaker 8: Right second would be is there a you know, pharmacies
• 21:27
  Speaker 8: are often the most frequent face to face touch point
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  Speaker 8: and healthcare. You know, you go direct to consumer, you
• 21:34
  Speaker 8: reduce those interactions and that in essence, you know, kind
• 21:39
  Speaker 8: of weakens the role as a counselor. And that's the
• 21:42
  Speaker 8: most important aspect of I believe the community pharmacy and
• 21:45
  Speaker 8: the trust that they've gained through the patient base is
• 21:49
  Speaker 8: you know, being somebody that a patient can go to
• 21:51
  Speaker 8: and and talk about drug interactions and maybe look at
• 21:54
  Speaker 8: the whole patient's health profile and not just one or
• 21:58
  Speaker 8: two products. Loss of that, you know, visibility of care
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  Speaker 8: and decisions.
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  Speaker 2: That's maybe what they stand to.
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  Speaker 8: Lose, as you know, more traction of direct consumer, direct
• 22:08
  Speaker 8: patient might happen, and then influence and medication management.
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  Speaker 2: As I spoke to is if.
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  Speaker 8: You bypass the pharmacy, and it's when we say pharmacy,
• 22:18
  Speaker 8: let's say community pharmacy, will that pose maybe more misses
• 22:24
  Speaker 8: and you know, counter indications or duplications drug interactions that
• 22:29
  Speaker 8: maybe you can be missed. And then on the more
• 22:33
  Speaker 8: of the upper you know, optimistic side is you know,
• 22:36
  Speaker 8: what can pharmacies gain from this is you know, obviously
• 22:40
  Speaker 8: there's when you have a model that exposes drug pricing, transparency,
• 22:47
  Speaker 8: right is what you really see a lot more transparency
• 22:50
  Speaker 8: and pricing exposes pricing of maybe where consumers should expect
• 22:56
  Speaker 8: to pay for certain goods, specifically patients. And my biggest
• 23:02
  Speaker 8: I think my biggest point being in what can they
• 23:05
  Speaker 8: gain is this is an opportunity for community pharmacies. You know,
• 23:08
  Speaker 8: an opportunistic aspect is to really reinforce their value as
• 23:14
  Speaker 8: a care provider. There's a lot missed in just having
• 23:19
  Speaker 8: something two up to your doorstep. And I think that
• 23:21
  Speaker 8: we have to carve out some of these you know,
• 23:24
  Speaker 8: vanity based products that don't necessarily require as much counseling,
• 23:31
  Speaker 8: but that's huge, right, Vaccinations, human connection, chronic care management,
• 23:38
  Speaker 8: personalized medication counseling, you know, and coherent support. Those are
• 23:42
  Speaker 8: all huge as a value, you know, value as a
• 23:46
  Speaker 8: care provider being a pharmacist. And I think, you know,
• 23:49
  Speaker 8: lastly is just what do they stand to gain? And
• 23:53
  Speaker 8: as you brought in here, as you know manufacture relationships
• 23:56
  Speaker 8: directly with pharmacies on certain products is you know, channel integration,
• 24:03
  Speaker 8: fulfillment partners. So if you're a community pharmacy, you know,
• 24:08
  Speaker 8: for those that know or not don't know, there's a
• 24:10
  Speaker 8: big aspect of demographic right of dispensing, a demographic of hey,
• 24:15
  Speaker 8: we need channel partners to get these medications out to
• 24:19
  Speaker 8: maybe some of these direct consumer, direct to patient models
• 24:24
  Speaker 8: and can you know, Bob's pharmacy on the corner help
• 24:27
  Speaker 8: it facilitate that. And maybe that's what pharmacy continues to
• 24:32
  Speaker 8: evolve towards, is they don't lose these aspects of a
• 24:38
  Speaker 8: care provider, but they're just adding a different channel on
• 24:41
  Speaker 8: which the medications get to the consumer or the patient.
• 24:46
  Speaker 3: I see an increase Hymn's hers and I guess you
• 24:50
  Speaker 3: could categorize that in sexual health. You continue on that theme,
• 24:56
  Speaker 3: and we see that there is an ability for pharmacy
• 25:00
  Speaker 3: is to prescribe birth control and manage that. We have
• 25:04
  Speaker 3: a brand new client three part series coming out from Prism,
• 25:08
  Speaker 3: which is an EHR system that's built specifically for birth
• 25:12
  Speaker 3: control and for counseling and for dialing into what a
• 25:17
  Speaker 3: woman's system needs. That gets a little bit more detailed
• 25:21
  Speaker 3: than just doing a telehealth Hello, I'm your physician slash
• 25:28
  Speaker 3: pharmacist now, and here's.
• 25:30
  Speaker 5: Your birth control.
• 25:31
  Speaker 3: I mean the team at over it, which is the
• 25:36
  Speaker 3: developers of PRISM, they're really spending time with pharmacists, training
• 25:41
  Speaker 3: them not only on the platform, but on the whole
• 25:44
  Speaker 3: category of birth control and women's health. And so I
• 25:51
  Speaker 3: see opportunity. And if you can align with a direct
• 25:57
  Speaker 3: to a manufacture relationship, like you said, I think there's
• 26:00
  Speaker 3: more transparency, there could be more savings. But I don't
• 26:03
  Speaker 3: want it to spiro atic out of control. Because big
• 26:06
  Speaker 3: business stock prices all this influence, they start to pervert
• 26:11
  Speaker 3: the quality that you just aligned with. And you just
• 26:14
  Speaker 3: said that it's the trust factor, it's the safety factor.
• 26:18
  Speaker 3: In your blog the line I like the most is
• 26:20
  Speaker 3: the pharmacy is being redefined as the bridge that keeps
• 26:25
  Speaker 3: care personal safe and local. So I think it's we
• 26:31
  Speaker 3: could have the best of both worlds. That if the
• 26:34
  Speaker 3: pharmacy owners out there shout out to these cash based
• 26:38
  Speaker 3: pharmacies that are popping up that are direct directly dealing
• 26:41
  Speaker 3: with sometimes manufacturers, they rely on you and key source
• 26:45
  Speaker 3: more than ever in that model, but they're able to
• 26:50
  Speaker 3: keep the personal, the safe, in the local in check
• 26:54
  Speaker 3: without it running crazy just because people want to make
• 26:58
  Speaker 3: some money. And there's a balance there, and I think
• 27:01
  Speaker 3: that balance is pharmacist fighting at the policy level, talking
• 27:06
  Speaker 3: to policy makers and your state representatives, your state senators,
• 27:12
  Speaker 3: because those people don't understand necessarily the accelerated dangers and
• 27:18
  Speaker 3: allowing disease states or disease conditions, or any condition for
• 27:22
  Speaker 3: that matter, to be taken over by the Amazon pharmacy
• 27:27
  Speaker 3: model that is doing things from the very beginning that
• 27:31
  Speaker 3: we just need to slow down sometimes and we need
• 27:34
  Speaker 3: to be a little bit more detailed sometimes. And there
• 27:38
  Speaker 3: isn't no I'm not saying there's not a place for that,
• 27:41
  Speaker 3: but it's a slippery slope.
• 27:44
  Speaker 5: It pushs into a danger zone.
• 27:49
  Speaker 2: Yeah, and I think.
• 27:49
  Speaker 8: I mean, the bottom line I think is this is,
• 27:52
  Speaker 8: you know, direct to consumer, direct to patient, you know channels.
• 27:57
  Speaker 8: They don't eliminate pharmacies, but they do you shift the
• 28:00
  Speaker 8: competitive advantage away from simply just filling prescriptions, right, And
• 28:04
  Speaker 8: it goes back to what you said before is you know,
• 28:07
  Speaker 8: community pharmacies they win by leaning into really what are
• 28:11
  Speaker 8: their core differentiators, and that's clinical service, patient relationships, and
• 28:16
  Speaker 8: ultimately trust because pharmacists have you know, one of the
• 28:21
  Speaker 8: highest trust ratings of any profession right out there, and
• 28:25
  Speaker 8: I think that's something that price alone can't you overtake,
• 28:31
  Speaker 8: especially when you're talking about your health.
• 28:34
  Speaker 5: I hope the public continues.
• 28:36
  Speaker 3: To realize that because as much as we all want
• 28:39
  Speaker 3: to save money, would I pay a slightly higher dispensing
• 28:45
  Speaker 3: fee if I knew my pharmacist and if I trusted
• 28:50
  Speaker 3: the pharmacist guidance, Because if I get a vaccine, I'm
• 28:55
  Speaker 3: going to a independent community pharmacy to get that done right,
• 29:00
  Speaker 3: look them in the face, and I can feel I
• 29:03
  Speaker 3: can feel safe.
• 29:04
  Speaker 5: I can sure feel safe when I.
• 29:07
  Speaker 8: Do that right, right, and you wrap that you know,
• 29:10
  Speaker 8: clinical service around you know the whole you know, continuum
• 29:15
  Speaker 8: of care for that patient, and that would be you know,
• 29:18
  Speaker 8: is this you know, is Todd not only getting his
• 29:21
  Speaker 8: vaccinations that he needs, but is he also getting his
• 29:25
  Speaker 8: maintenance medication or his acute medication for his children or
• 29:30
  Speaker 8: his family. So I think, you know, there's a lot
• 29:32
  Speaker 8: of intertwined aspects of how community pharmacy can will continue
• 29:38
  Speaker 8: to win. But I mean this is this is the
• 29:40
  Speaker 8: elephant in the room right and how it grows over
• 29:43
  Speaker 8: the next couple of years, and how pharmacy competes or
• 29:47
  Speaker 8: collaborates is I think a big aspect of who's gonna
• 29:51
  Speaker 8: seek opportunity in the chaos.
• 29:55
  Speaker 3: Shout out to our pharmacy owners out there, to our
• 29:57
  Speaker 3: technicians out there. You want to build trust, you want
• 30:00
  Speaker 3: to understand things from the inside out wholesale. Reach out
• 30:05
  Speaker 3: to Andy Crawford. You've become kind of a Jedi night
• 30:09
  Speaker 3: of the roundtables and you have such a trusted source
• 30:14
  Speaker 3: of people that surround you on your team. I love
• 30:19
  Speaker 3: working with key Source and what you guys are doing
• 30:22
  Speaker 3: for independent community pharmacy. But check them out keysource dot
• 30:26
  Speaker 3: com once again, keysource dot com. But reach out to
• 30:29
  Speaker 3: Andy Crawford specifically on LinkedIn, easy name to remember and
• 30:33
  Speaker 3: to spell Andy.
• 30:35
  Speaker 5: I appreciate you being here on twerks again.
• 30:38
  Speaker 2: Hey Todd, thanks so much. Appreciate it too, Talk soon.
• 30:41
  Speaker 5: All right, we'll be right back with more twerks.
• 30:50
  Speaker 9: As frontline healthcare providers, pharmacists like you understand the importance
• 30:54
  Speaker 9: of personalized care, especially in acute pain management. Your role
• 30:58
  Speaker 9: Pharma is dedicated to provide high quality, generic products tailored
• 31:02
  Speaker 9: to meet your patient's needs. The company aims to serve
• 31:05
  Speaker 9: a diverse range of patient populations, including athletes recovering from
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  Speaker 9: intense training, weekend warriors, managing minor injuries, and those seeking
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  Speaker 9: a practical and mess free option for acute pain management.
• 31:18
  Speaker 9: Keep your all in your toolbox of pain management options
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  Speaker 9: and join the ranks of pharmacists leading away in personalized care.
• 31:25
  Speaker 9: To learn more about your yal Pharma and its products,
• 31:28
  Speaker 9: including full prescribing information, boxed warnings, and important safety information,
• 31:33
  Speaker 9: visit Eurylpharma dot com That's why Aurl Pharma dot com
• 31:39
  Speaker 9: and connect with them on LinkedIn.
• 31:45
  Speaker 3: And we're back more tworks. Hey, I want to share
• 31:50
  Speaker 3: some things with you. I hope that you had a
• 31:54
  Speaker 3: great week. I hope you're listening now. Hope you're on
• 31:56
  Speaker 3: your way home, getting ready for the weekend, to be
• 32:00
  Speaker 3: able to chill out a little bit and get some rest,
• 32:02
  Speaker 3: get ready for the next week.
• 32:04
  Speaker 5: Those weeks just keep coming. You just keep coming.
• 32:08
  Speaker 3: But I hope you're gonna get some rest. Hey, I
• 32:10
  Speaker 3: do want to point out the network is just swelling
• 32:15
  Speaker 3: with such excellent information. If you're listening, I need you
• 32:19
  Speaker 3: to do me a favor. Send the Pharmacy Podcast Network
• 32:24
  Speaker 3: to your school of pharmacy, to the exponential department, or
• 32:29
  Speaker 3: to the dean of pharmacy and let them know of
• 32:32
  Speaker 3: such an amazing resource of thousands of interviews over the years.
• 32:39
  Speaker 3: More recently, the convention press coverage of the NCPA twenty
• 32:46
  Speaker 3: twenty five convention is coming out. It'll be out all
• 32:50
  Speaker 3: next week, but the first episode just dropped. Shout out
• 32:53
  Speaker 3: to your Ral Pharma for sponsoring today's tworks as well
• 32:58
  Speaker 3: as us being at the New Orleans NCPA twenty twenty five.
• 33:02
  Speaker 3: Shout out to Real Value, Real Value OURX, thank you
• 33:06
  Speaker 3: so much for your support and Nimble RX changing the
• 33:11
  Speaker 3: way people can pay for their medications and services through
• 33:15
  Speaker 3: your pharmacies using their mobile phone.
• 33:18
  Speaker 5: Because we want to use our mobile phone for everything.
• 33:21
  Speaker 3: I do want to point out over it has just
• 33:26
  Speaker 3: done a podcast that doctor Daniel Plumber. I absolutely love
• 33:29
  Speaker 3: this discussion between them talking about birth control and their
• 33:34
  Speaker 3: platform called PRISM Electronic Health Record for Pharmacist. If you're listening,
• 33:39
  Speaker 3: you got to take a look at this. Just go
• 33:41
  Speaker 3: to getprism dot com, get prismarx dot com. Once again,
• 33:48
  Speaker 3: that's get prism rx dot com. If you're a consultant pharmacist,
• 33:54
  Speaker 3: if you're a community pharmacist, independent even a chain, small
• 33:58
  Speaker 3: chain pharmacy, you're going to want to look at this
• 34:01
  Speaker 3: prison system starting into women's health and pregnancy planning and
• 34:09
  Speaker 3: how pharmacists can become a big part of that. And
• 34:12
  Speaker 3: they're going to continue building modules out of the PRISM system,
• 34:17
  Speaker 3: digging down into management, disease, state management, and even testing
• 34:26
  Speaker 3: and what all that means for data and control and
• 34:29
  Speaker 3: being able to access your pharmacists versus your primary care physician,
• 34:34
  Speaker 3: always keeping them in touch, but sometimes you can't see
• 34:38
  Speaker 3: your primary care For thirty forty fifty days.
• 34:41
  Speaker 5: Out shout out to.
• 34:44
  Speaker 3: All of our hosts, thank you so much for the
• 34:47
  Speaker 3: work that you're putting in to the Pharmacy Podcast Network.
• 34:52
  Speaker 3: We're so excited about this year, so excited about what's coming.
• 34:57
  Speaker 3: I do want to make an announcement that the Pharmacy Fifty,
• 35:01
  Speaker 3: the Pharmacy fifty most Influential People in our profession, the
• 35:07
  Speaker 3: awards are coming out. We cannot wait to release. I
• 35:10
  Speaker 3: think it's going to be coming up this week, which
• 35:13
  Speaker 3: is next week on Monday, We're going to be announcing
• 35:17
  Speaker 3: the voting or voting is going to be open. I
• 35:20
  Speaker 3: want you to share the voting link. Nominate somebody that
• 35:24
  Speaker 3: you feel has made an impact and who is influential
• 35:28
  Speaker 3: to shaping better pharmacy care. Doesn't have to be just pharmacists.
• 35:33
  Speaker 3: You can nominate people that you know are dedicated to
• 35:37
  Speaker 3: our profession and moving it forward and really changing things.
• 35:41
  Speaker 5: Shout out to.
• 35:43
  Speaker 3: So many of you who are working so hard, the
• 35:46
  Speaker 3: entrepreneurs that are out there that are working so hard
• 35:50
  Speaker 3: to change the game and just what that just what
• 35:55
  Speaker 3: that means for the future of our profession and the
• 35:58
  Speaker 3: medical science Liaisons. Cannot wait to do a special series
• 36:02
  Speaker 3: on our msls and dig down into opportunities for pharmacists
• 36:07
  Speaker 3: out there. I mentioned WVU School of Pharmacy. Thank you
• 36:12
  Speaker 3: to the Pain Guy for always involving me with his
• 36:14
  Speaker 3: P three class.
• 36:16
  Speaker 5: We want a.
• 36:17
  Speaker 3: Pitt University of Pittsburgh P three's I want to get
• 36:21
  Speaker 3: in front of you as well as Duquane University School
• 36:24
  Speaker 3: of Pharmacy P threes. I want to start a P
• 36:28
  Speaker 3: three engagement and expansion telling you what's happening in the
• 36:33
  Speaker 3: real world of pharmacy and giving you insights into the
• 36:37
  Speaker 3: trenches and understanding what we're doing as a profession and
• 36:42
  Speaker 3: how things are dramatically changing so quickly.
• 36:46
  Speaker 5: Today is a short TRS. Like I said, we got
• 36:49
  Speaker 5: a lot going on.
• 36:50
  Speaker 3: I very much appreciate shout out to everyone listening. We
• 36:55
  Speaker 3: hope you have a fantastic week coming up. Please, if
• 37:00
  Speaker 3: you'd like to be a guest on twerqus, reach out
• 37:02
  Speaker 3: to me Uri. That's eu r Y at pharmacypodcast dot com.
• 37:09
  Speaker 3: That's eu r y at Pharmacy podcast dot com. My
• 37:14
  Speaker 3: email easy to remember and shoot me an idea of
• 37:19
  Speaker 3: what you'd like to talk about, dig down into it.
• 37:22
  Speaker 3: Not sure if you knew this, but the Rated RX Podcast,
• 37:28
  Speaker 3: Sam and Robbie and Xavier are joining the Pharmacy Podcast network.
• 37:33
  Speaker 3: That's going to be an expanded show. We cannot wait
• 37:37
  Speaker 3: to full blast The Rated RX Podcast absolutely love those guys.
• 37:42
  Speaker 3: Look them up, just google Rated RX podcast. They're on TikTok,
• 37:48
  Speaker 3: they're on Instagram, they're active. They really have the fingers
• 37:52
  Speaker 3: on the pulse of the industry as well as health
• 37:56
  Speaker 3: system pharmacy. We have to dig more into health system
• 37:59
  Speaker 3: pharmacy if you like. That's probably the anemic side of
• 38:03
  Speaker 3: our content is health system pharmacy. We definitely want to
• 38:08
  Speaker 3: engage more of you pharmacists out there who are working
• 38:11
  Speaker 3: in our hospital systems. I think of doctor Laura Mark
• 38:15
  Speaker 3: leading things at our own.
• 38:17
  Speaker 5: In the Burg Pittsburgh Alleghany Health Network.
• 38:22
  Speaker 3: We can't wait to re engage with her, hopefully in
• 38:26
  Speaker 3: an upcoming series for the new year, and go through
• 38:32
  Speaker 3: what your career looks like as a health system pharmacist
• 38:35
  Speaker 3: and even the informatics side of it, the technology side
• 38:40
  Speaker 3: of it, and how that's going to transform the roles
• 38:44
  Speaker 3: and the opportunities that pharmacists have. Hey, it's been a
• 38:49
  Speaker 3: great this week in pharmacy. A short this week in pharmacy,
• 38:53
  Speaker 3: but we wish you the best week and like I said,
• 38:56
  Speaker 3: to reach out to me and we hope you have
• 38:59
  Speaker 3: a great We'll talk to you soon here on this
• 39:02
  Speaker 3: week in pharmacy go to works