Latest / Pharmacy Podcast Network / TJM Labs, Chuck Melendi, and Bruce Kneeland | TWIRx

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TJM Labs, Chuck Melendi, and Bruce Kneeland | 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. Welcome to the Pharmacy Podcast Network.
• 0:22
  Speaker 2: Hey, today's This Week in Pharmacy March twenty seventh, twenty
• 0:28
  Speaker 2: twenty sixth is in dedication to doctor Eric Geyer pharmadee,
• 0:38
  Speaker 2: who we lost this Week in Pharmacy and we wanted
• 0:43
  Speaker 2: to bring attention to him and his I said legend
• 0:52
  Speaker 2: on an Instagram post because really it will lead to
• 0:55
  Speaker 2: some of the things that he's done that will carry on,
• 0:59
  Speaker 2: but I wanted to to play this little tribute to
• 1:03
  Speaker 2: him through Instagram. This is from the doctor of comedy,
• 1:07
  Speaker 2: doctor Maurice Shaw, who's actually one of our Pharmacy fifty
• 1:10
  Speaker 2: most influential people, and just listen to this.
• 1:14
  Speaker 3: This is just a very When I was first nominated
• 1:17
  Speaker 3: for this, my first thought was kind of like, Wow.
• 1:20
  Speaker 4: It's just nice to be able to kind of be
• 1:22
  Speaker 4: recognized for the things you do for patients. It weren't
• 1:24
  Speaker 4: for them, you wouldn't be there.
• 1:25
  Speaker 3: But they're also one to what they're trusting you, So
• 1:26
  Speaker 3: it's nice to have that recognition for the work you
• 1:29
  Speaker 3: do and that they trust you so much that they'd
• 1:31
  Speaker 3: even nominate me for an award. Pharmacy has been tough
• 1:34
  Speaker 3: over the past couple of years. The fact that we
• 1:36
  Speaker 3: were relying on so heavily to help end the pandemic.
• 1:38
  Speaker 3: I'm just seeing that we were that accessible and we
• 1:40
  Speaker 3: were relied on that much, not just by our patients,
• 1:42
  Speaker 3: but even by the federal government and state governments to
• 1:44
  Speaker 3: really help end the COVID pandemic or at least kind
• 1:47
  Speaker 3: of call it down is just.
• 1:49
  Speaker 4: Really awesome and inspiring.
• 1:51
  Speaker 3: It's probably one of the most memorable moments actually, was
• 1:53
  Speaker 3: this past year while growing up the vaccines for COVID
• 1:57
  Speaker 3: and some of the nursing homes.
• 1:58
  Speaker 4: There's the older gentleman.
• 1:59
  Speaker 3: I was giving the backs seem to you, and he
• 2:00
  Speaker 3: asked me specifically kind of well, I was looking forward
• 2:02
  Speaker 3: to when we were returning love and I said, you know,
• 2:05
  Speaker 3: it'd be nice to travel again my wife.
• 2:06
  Speaker 4: And then he asked my favorite place to travel was,
• 2:08
  Speaker 4: and I said Paris.
• 2:10
  Speaker 3: He said I've been to Paris, and so I asked
• 2:11
  Speaker 3: him what year did you go to Paris and he
• 2:13
  Speaker 3: said nineteen forty one, and it kind of dawned on.
• 2:15
  Speaker 4: Me, and even his look that, you know, he was
• 2:17
  Speaker 4: a world War two better, and so.
• 2:18
  Speaker 3: I thought it was really cool for me and like
• 2:20
  Speaker 3: people of my generation to be able to protect the
• 2:23
  Speaker 3: greatest generation and the grandparents from this disease that is
• 2:25
  Speaker 3: just ravaging people.
• 2:27
  Speaker 4: Their agent with their health issues.
• 2:30
  Speaker 3: What it means to me to be a pharmacist is
• 2:32
  Speaker 3: just that you have a duty to really try to
• 2:34
  Speaker 3: help protect people and then do what's right for them
• 2:36
  Speaker 3: both clinically, financially and kind of holistically for them as
• 2:39
  Speaker 3: a patient.
• 2:40
  Speaker 4: My favorite part of me is a pharmacist is honest.
• 2:42
  Speaker 4: Anytime I can have a good conversation with somebody about
• 2:45
  Speaker 4: their medication with.
• 2:45
  Speaker 3: Their health, I can use what I know and help
• 2:47
  Speaker 3: make their lives better and even it's only one percent
• 2:49
  Speaker 3: better and something we can do in pharmacy that very
• 2:52
  Speaker 3: few other people can do.
• 2:58
  Speaker 4: When I was first nominated.
• 3:01
  Speaker 2: So doctor Eric Ayer was recognized by as the best
• 3:05
  Speaker 2: of the best by Single Care and to get such
• 3:09
  Speaker 2: an honor at a national level because he was recognized
• 3:14
  Speaker 2: by people that he has worked with, and then as
• 3:17
  Speaker 2: a fellow podcaster, Eric was an extremely influential podcaster. He
• 3:22
  Speaker 2: had his own independent podcast called The Political Pharmacist Podcast,
• 3:27
  Speaker 2: and he's had some of the best absolute best episodes
• 3:31
  Speaker 2: in podcasting I've ever heard that were tied into how
• 3:35
  Speaker 2: politics are impacting our pharmacy profession and the insights that
• 3:40
  Speaker 2: he drove, as well as the good questions that he
• 3:44
  Speaker 2: that he asked from one reporter to the other, from
• 3:47
  Speaker 2: one podcaster to another. Eric was a master of his craft,
• 3:53
  Speaker 2: and he was an advocate, and he was a supporter
• 3:58
  Speaker 2: of of the start of Pizza Is Not Working, which
• 4:03
  Speaker 2: became if you see the legacy of how things have
• 4:06
  Speaker 2: gone have spiraled into convergence with Marie Shaw and the
• 4:12
  Speaker 2: accidental pharmacist Shane Yreminski and bled to NOE and patient advocacy,
• 4:18
  Speaker 2: Like this guy was a powerful, powerful change maker and
• 4:25
  Speaker 2: it wasn't it wasn't him out there. He was kind
• 4:27
  Speaker 2: of shy, to tell you the truth. I think he
• 4:29
  Speaker 2: was kind of shy. But when he did speak up
• 4:32
  Speaker 2: and he was able to take positions that he believed in,
• 4:36
  Speaker 2: he was going to be a future politician. And we
• 4:39
  Speaker 2: lost him too early this week. And we just wanted
• 4:43
  Speaker 2: to say from the Pharmacy Podcast Network and from our
• 4:47
  Speaker 2: network and the social media realm and the network that
• 4:51
  Speaker 2: we've all built together that I just wanted to say,
• 4:55
  Speaker 2: rest in peace, doctor Eric Geyer, and today's to work
• 5:00
  Speaker 2: is dedicated to you. This is March twenty seven, twenty
• 5:05
  Speaker 2: twenty six, and you gotta keep going.
• 5:09
  Speaker 5: Let's go. Hey there, Hey there, hey there.
• 5:44
  Speaker 2: This is Twerk's Todd Uriy, host founder of the Pharmacy
• 5:48
  Speaker 2: Podcast Network. So glad that you're here, that you're listening
• 5:51
  Speaker 2: share these shows that we we cover so many, so
• 5:56
  Speaker 2: many different things happening in our profession, and we're getting
• 6:00
  Speaker 2: so much interaction with our listeners. So if you hear
• 6:04
  Speaker 2: this and you want to promote something that's happening in
• 6:07
  Speaker 2: your sector of pharmacy, we want to build out this
• 6:11
  Speaker 2: Week in Pharmacy and get more expertise and digging down
• 6:15
  Speaker 2: into how a pharmacist changing the world. Hey, this weekend,
• 6:20
  Speaker 2: we're headed to Los Angeles for the American Pharmacists Associations
• 6:24
  Speaker 2: twenty twenty six gathering read Defining Possible, the twenty twenty
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  Speaker 2: six Annual Meeting and Exhibition. This thing is going to
• 6:32
  Speaker 2: be crazy awesome. We're headed out there to Los Angeles.
• 6:36
  Speaker 2: We will be out there, we will be covering this
• 6:38
  Speaker 2: as press. We'd like to give a shout out to
• 6:40
  Speaker 2: you Ral Pharma, who is supporting us in getting that
• 6:43
  Speaker 2: press coverage. We shout out to the entire profession going.
• 6:48
  Speaker 2: If you're listening to me, if you're able to hear
• 6:51
  Speaker 2: some of our shows, and you want to chime in
• 6:54
  Speaker 2: on something that you're doing to set the stage for
• 6:57
  Speaker 2: the next generation pharmacists and where pharmacies going as a profession,
• 7:01
  Speaker 2: please chime into our coverage of the APHA twenty twenty six.
• 7:05
  Speaker 5: We would love to hear from you.
• 7:08
  Speaker 2: Right after that, we are headed to Dallas, the big
• 7:12
  Speaker 2: state of Texas. We are going to the Pharmacy Owners
• 7:16
  Speaker 2: Pharmacy Profits Summit. This is all about growing profits. The
• 7:21
  Speaker 2: creativity that comes from the show for independent pharmacy owners
• 7:26
  Speaker 2: is just incredible. It's all application. It's everything they talk
• 7:31
  Speaker 2: about is already ready to be applied. It's not kind
• 7:35
  Speaker 2: of a just a brainstorm. It's really digging into what's
• 7:39
  Speaker 2: working to drive profit. We will have a guest today
• 7:44
  Speaker 2: Jonathan Adley, one of the founders CEO of TJM Labs,
• 7:51
  Speaker 2: which is sponsoring the segment on Twerks today. We just
• 7:55
  Speaker 2: want to shout you out. We can't wait to see
• 7:57
  Speaker 2: you and work with you this week in pharmacy throughout
• 8:03
  Speaker 2: the network. Sex farm D is back. Not sure if
• 8:06
  Speaker 2: you knew, Doctor Nadilla Archimbaugh is back with sex farm
• 8:10
  Speaker 2: D once again. Pharmacist, pharmacists, student, someone in the business
• 8:16
  Speaker 2: of pharmacy. If there is any sector of sexual health
• 8:20
  Speaker 2: and the ideas that you have, please bring them to us.
• 8:24
  Speaker 2: We like to work with our networks and strength and
• 8:27
  Speaker 2: other pharmacists in this space. And then digging down into
• 8:32
  Speaker 2: the study on soda and we call it pop in Pittsburgh,
• 8:42
  Speaker 2: but the study that says that soda boost testosterone. This
• 8:45
  Speaker 2: is a new episode from RX rated. You're really going
• 8:48
  Speaker 2: to enjoy this episode. It's fun to listen to. We
• 8:51
  Speaker 2: We love those guys on the network. They do an
• 8:54
  Speaker 2: incredible job as podcasters, very entertaining. We also heard from
• 8:59
  Speaker 2: Ryal Pharma. Had an opportunity to talk with the CEO,
• 9:03
  Speaker 2: Steven Beckmann.
• 9:04
  Speaker 5: They're doing things differently at your rale. They really are
• 9:07
  Speaker 5: there as.
• 9:08
  Speaker 2: You've never seen a generics company do what they're starting
• 9:10
  Speaker 2: to do with the kinds of outreach that they're how
• 9:14
  Speaker 2: they're doing Schools of pharmacy and Veterans support and pain
• 9:22
  Speaker 2: management and new ways of controlling pain and levothyroxine for
• 9:28
  Speaker 2: the Thyroid World and the evidence of some of the
• 9:31
  Speaker 2: studies that were able to reference through some of their guidance.
• 9:36
  Speaker 2: It's just been wonderful to work with them. Shout out
• 9:39
  Speaker 2: to fellow marketer, someone I've known way. I mean, I'm
• 9:43
  Speaker 2: starting to feel old with twenty plus years Jeez. Nicole McClure,
• 9:48
  Speaker 2: founder of Finch Marketing Marketing Vitals. They got to talk
• 9:53
  Speaker 2: with her on her show and we dug into how
• 9:56
  Speaker 2: important I know this is going to sound simple, but
• 9:58
  Speaker 2: you have to listen up how important your website is
• 10:01
  Speaker 2: and the next generation of website interaction and what a
• 10:05
  Speaker 2: website means today did not mean what it meant when
• 10:09
  Speaker 2: websites came out. Websites have changed in their meaning and
• 10:15
  Speaker 2: their positioning and your branding and your validity, your accuracy,
• 10:20
  Speaker 2: and your trust. You might want to think about upgrading
• 10:24
  Speaker 2: your website and we're going to talk more about that
• 10:27
  Speaker 2: and then Pharmacy Profit Summit. If you want to get
• 10:30
  Speaker 2: a sneak peek on the Profit Summit, listen up to
• 10:34
  Speaker 2: the episode we did through Primarx this podcast. We've loved
• 10:39
  Speaker 2: working on this podcast with primar X. Those are good people,
• 10:43
  Speaker 2: really care about their independent community pharmacies and we got
• 10:47
  Speaker 2: to talk with the one and only Lease a Fast
• 10:50
  Speaker 2: doctor Fast in previewing the event Pharmacy Profit Summit. Want
• 10:57
  Speaker 2: to get into some news. This is blowing my mind.
• 11:04
  Speaker 2: Want to uh just reference. This is a fizzorg dot news.
• 11:10
  Speaker 2: I'm sorry, fizz fizz dot org news and this just
• 11:16
  Speaker 2: came out today. Implantable implantable living pharmacy procedures, I'm sorry.
• 11:24
  Speaker 2: Implantable living pharmacy produces multiple drugs inside the body. And
• 11:30
  Speaker 2: the concept is is putting an implantable implanted device into
• 11:36
  Speaker 2: your body that if you had some chronic condition and
• 11:40
  Speaker 2: they were saying things like HIV, G LP ones and
• 11:44
  Speaker 2: peptides and all this ability to to inject this into
• 11:49
  Speaker 2: your body on the fly to kind of moderate and
• 11:54
  Speaker 2: bring back data.
• 11:55
  Speaker 5: But this is blowing my mind.
• 11:57
  Speaker 2: Imagine a pharmacist building a online connection and app or
• 12:04
  Speaker 2: something that you build a client base of patients that
• 12:09
  Speaker 2: need your help. Whether it's a specialty disease or whether
• 12:13
  Speaker 2: it's diabetes.
• 12:14
  Speaker 5: Or no matter what it is.
• 12:16
  Speaker 2: They can hire you and you can help monitor through
• 12:19
  Speaker 2: all of this dispensing or this automated dispensing and this
• 12:24
  Speaker 2: implantable reader.
• 12:27
  Speaker 5: This is fascinating.
• 12:28
  Speaker 2: Definitely look this up on this weekend Pharmacy from Drug
• 12:33
  Speaker 2: Topics that says research shows motivations behind the pharmacy work
• 12:37
  Speaker 2: force exodus, and this digs into the state of our
• 12:41
  Speaker 2: nation in the United States and how there are a
• 12:45
  Speaker 2: lot of pharmacies wanting to get out of pharmacy. This
• 12:48
  Speaker 2: is based on national chains, mostly grocery stores, big box,
• 12:53
  Speaker 2: but guess what, the independent pharmacies were not facing this,
• 12:58
  Speaker 2: So it's really interesting the sixteen seventeen thousand independents throughout
• 13:03
  Speaker 2: the country, they're doing just the opposite. They're trying to grow.
• 13:09
  Speaker 2: They're trying to recover from being shut down through some
• 13:13
  Speaker 2: of the PBM shenanigans, and they're the ones that want
• 13:16
  Speaker 2: to grow. And the other side of this and the
• 13:20
  Speaker 2: collapse of much of our pharmacies throughout the country and
• 13:23
  Speaker 2: the big box side of it was that was much
• 13:28
  Speaker 2: more stackable and an independent gets to pivot specific to
• 13:34
  Speaker 2: their own community. It's their own community style, it's their
• 13:37
  Speaker 2: own business style, it's their own flair. Twenty six pieces
• 13:43
  Speaker 2: of flair. Making sure that you just stand out in
• 13:46
  Speaker 2: your community. This should teach us something as a profession
• 13:50
  Speaker 2: to put more investment into personalization of pharmacy and pharmacy
• 13:54
  Speaker 2: care delivery, and I see some of the hospital systems
• 13:58
  Speaker 2: doing that starting to get real personal with follow up
• 14:01
  Speaker 2: in care that includes telehealth, that includes interaction, includes texting,
• 14:07
  Speaker 2: and we're going to see more and more of that
• 14:10
  Speaker 2: personalization and using technology to get closer to our patients
• 14:15
  Speaker 2: and not further away.
• 14:17
  Speaker 5: And AIO be part of that.
• 14:20
  Speaker 2: Hey up next on this week in Pharmacy News, something
• 14:26
  Speaker 2: that just came out in Pharmacy Times. It says navigating
• 14:30
  Speaker 2: BTK inhibitors in mantle cell liphoma and safety, sequencing and
• 14:37
  Speaker 2: evolving pharmacist roles. What I really like about this article
• 14:42
  Speaker 2: and the excitement that we feel shout out to doctor
• 14:46
  Speaker 2: Grace Bieck, pharm d It's an opportunity to dial into
• 14:52
  Speaker 2: the super specifics. And I see board of Specialties expanding
• 14:57
  Speaker 2: based on the knowledge of pharmacists in disease or or
• 15:01
  Speaker 2: some blood disease, or women's health or whatever it is
• 15:06
  Speaker 2: to you to really be able to become an expert
• 15:09
  Speaker 2: and a referenceable expert in your healthcare, whatever your community,
• 15:16
  Speaker 2: or your hospital system or specialty or the world of
• 15:20
  Speaker 2: our our representation from our pharma divisions with our msls
• 15:26
  Speaker 2: or medical Science, the aaisons, they're now being being looked
• 15:30
  Speaker 2: at as as thought leaders in spaces with the blogs
• 15:33
  Speaker 2: that they do and with social media and with podcasting.
• 15:37
  Speaker 5: Got to keep out there.
• 15:39
  Speaker 2: That's all part of, you know, coming back to Eric
• 15:43
  Speaker 2: Guy or doctor Guy or he stood up like he
• 15:46
  Speaker 2: stood pharmacy straight up, and it was always there. He
• 15:50
  Speaker 2: was always part of you know, his interconnections to what
• 15:54
  Speaker 2: he was doing and how he was supporting others and yeah,
• 15:59
  Speaker 2: so hey, we are excited about an announcement of Finch
• 16:05
  Speaker 2: Marketing and the Pharmacy Podcast Network are joining forces and
• 16:09
  Speaker 2: we're going to be doing some coverage together to get
• 16:13
  Speaker 2: more out and more communications out on the evolving role
• 16:18
  Speaker 2: of our special pharmacists and how specialty pharmacy is really
• 16:22
  Speaker 2: on fire. It's a fire of opportunity for pharmacy to grow.
• 16:26
  Speaker 2: And when you think of that, you'll be surprised that
• 16:31
  Speaker 2: fifty percent of what's happening in specialty pharmacy is really
• 16:35
  Speaker 2: drawn towards specifically how the pharmacist is, where the money's
• 16:40
  Speaker 2: coming from, the expertise, where that's connecting from. And then
• 16:43
  Speaker 2: there's a splattering of technology and processes and GPOs and
• 16:48
  Speaker 2: drug distribution and payment, getting things paid for. But the
• 16:53
  Speaker 2: super Bowl of Specialty Pharmacy is happening the end of
• 16:57
  Speaker 2: April and we'll be covering that Access to Pharmacy twenty
• 17:01
  Speaker 2: twenty six the Assembia Trade Show. We love going there,
• 17:05
  Speaker 2: but this will be a very unique coverage to get
• 17:09
  Speaker 2: more umph and more coverage and in the space of
• 17:12
  Speaker 2: reporting and engagement through Nicole McClure, founder of Finch Marketing.
• 17:19
  Speaker 2: Excited about that, Excited about you listening to today's interviews.
• 17:23
  Speaker 2: We have three special interviews and we really just want
• 17:30
  Speaker 2: to thank everybody that has reached out this week to
• 17:36
  Speaker 2: each other, supporting each other, reaching out to other pharmacists,
• 17:41
  Speaker 2: to new Eric Geyer and how special I've seen a
• 17:45
  Speaker 2: lot of the pharmacy profession come together to say goodbye
• 17:49
  Speaker 2: to Rek and give him our greatest of respects. Very sad,
• 17:56
  Speaker 2: but we are. We're excited about it and coming together
• 18:02
  Speaker 2: in Los Angeles. If you're out there, please look me up,
• 18:06
  Speaker 2: Please let us know if you have any ideas for
• 18:10
  Speaker 2: once again the future of pharmacy and what you're doing
• 18:15
  Speaker 2: to be part of that. I want to hear your stories.
• 18:18
  Speaker 2: I love your stories. That's why I'm doing what I'm doing. Hey,
• 18:22
  Speaker 2: we'll be right back with TJM Labs.
• 18:30
  Speaker 6: As frontline healthcare providers, pharmacists like you understand the importance
• 18:35
  Speaker 6: of personalized care, especially.
• 18:36
  Speaker 5: In acute pain management.
• 18:38
  Speaker 6: Your Royal Pharma is dedicated to providing high quality, generic
• 18:41
  Speaker 6: products tailored to meet your patient's needs. The company aims
• 18:45
  Speaker 6: to serve a diverse range of patient populations, including athletes
• 18:49
  Speaker 6: recovering from intense training, weekend warriors, managing minor injuries, and
• 18:54
  Speaker 6: those seeking a practical and mess free option for acute
• 18:57
  Speaker 6: pain management. Keep your all in your tool box of
• 19:00
  Speaker 6: pain management options and join the ranks of pharmacists leading
• 19:03
  Speaker 6: away in personalized care. To learn more about your rol
• 19:07
  Speaker 6: Pharma and its products, including full prescribing information, boxed warnings,
• 19:12
  Speaker 6: and important safety information, visit eurylpharma dot com That's why
• 19:17
  Speaker 6: a r L Pharma dot com and connect with them
• 19:20
  Speaker 6: on LinkedIn.
• 19:26
  Speaker 2: Hey, welcome back to this Week in Pharmacy. I have
• 19:29
  Speaker 2: a special guest that came into the studio at the
• 19:32
  Speaker 2: last minute. We got to stop doing this last minute stuff.
• 19:35
  Speaker 2: But I like it, Jonathan. I like talking with you.
• 19:38
  Speaker 7: Yeah.
• 19:38
  Speaker 2: Same here, Zath Hey, Pennsylvania Pharmacists Association Annual Meeting. Thanks
• 19:44
  Speaker 2: so much for your insights on that three part series.
• 19:47
  Speaker 2: You did in an amazing job, really getting a lot
• 19:50
  Speaker 2: of feedback in listener clicks and listener through We are
• 19:55
  Speaker 2: preparing this weekend for another special event that really centers
• 20:00
  Speaker 2: around revenue generation and new profits for independent community pharmacy,
• 20:06
  Speaker 2: and I'm so glad the TGM Labs is going. This
• 20:10
  Speaker 2: is the Pharmacy Profits Summit twenty twenty six in Dallas. Jonathan,
• 20:16
  Speaker 2: Why are you excited to attend this event?
• 20:18
  Speaker 8: Yeah?
• 20:18
  Speaker 7: So this is a great event.
• 20:19
  Speaker 9: Actually, the first conference I went to as the CEOFTGM
• 20:24
  Speaker 9: Labs was the Pharmacy Profit Summit. It is near and
• 20:27
  Speaker 9: dear to my heart. Last time I went, we were a
• 20:30
  Speaker 9: small company. We just had some a lot of informal
• 20:32
  Speaker 9: conversation and it was extremely successful. This time around, I'm
• 20:38
  Speaker 9: giving a talk called AI or Die. It sounds scary,
• 20:42
  Speaker 9: but we just want to people to show up.
• 20:43
  Speaker 5: It's not.
• 20:44
  Speaker 9: It's not that scary, and yeah, I'm excited for it
• 20:48
  Speaker 9: because it is, I believe, one of the best conferences
• 20:54
  Speaker 9: where you really feel the pharmacy community.
• 20:57
  Speaker 2: Well, you look good in a cowboy hat too. You're
• 21:00
  Speaker 2: watching us on YouTube or LinkedIn live. You see Jonathan
• 21:04
  Speaker 2: Adley and his black cowboy hat. It look like you
• 21:08
  Speaker 2: could be a US Marshall in that picture.
• 21:11
  Speaker 9: Yeah, that's an AI generated photo. I think you know,
• 21:15
  Speaker 9: Lisa Fast is probably the best pharmacy marketer out there,
• 21:20
  Speaker 9: and she does a great job getting people attention.
• 21:22
  Speaker 2: So yeah, absolutely, all right, So we're going to be there.
• 21:25
  Speaker 2: We're going to actually sit down. We're going to do
• 21:27
  Speaker 2: an interview with you or a member of your team
• 21:30
  Speaker 2: for the coverage of that event, which is quite important
• 21:33
  Speaker 2: to us. We have lots of questions. Definitely want to
• 21:38
  Speaker 2: let the listeners know there's a special episode coming from
• 21:41
  Speaker 2: this week in Pharmacy that is going to feature not
• 21:44
  Speaker 2: only Jonathan and what TJM Labs is doing, but also
• 21:50
  Speaker 2: a client of TJM Labs to really give us some
• 21:54
  Speaker 2: sticky testimony as to how this really applies to the
• 21:57
  Speaker 2: business of pharmacy.
• 22:00
  Speaker 7: Yeah, looking forward to it.
• 22:01
  Speaker 2: Thought looking forward to you too. Thanks for stopping by TWRUS.
• 22:04
  Speaker 2: We'll see you in Dallas.
• 22:06
  Speaker 9: Thank you.
• 22:10
  Speaker 6: Feeling lost with the complexities of pharmacy, accounting.
• 22:13
  Speaker 10: And pharmacy today, there's so many different variables and issues
• 22:19
  Speaker 10: that impact the pharmacy, books, records, accounting, the profitabilities, so
• 22:23
  Speaker 10: or so forth. There's different components of pharmacy that have
• 22:26
  Speaker 10: its own nuances from an accounting standpoint, and so it's
• 22:29
  Speaker 10: it's tricky, there's no doubt about it.
• 22:31
  Speaker 6: Ready to take your pharmacy to the next level, but
• 22:33
  Speaker 6: don't know where to start. Psychs and Company is here
• 22:36
  Speaker 6: to help, introducing the RX Assessment. With the RX Assessment,
• 22:41
  Speaker 6: the pharmacy CPAs and advisors at PSYCHS will do a
• 22:44
  Speaker 6: deep dive into your accounting and tax situation and give
• 22:47
  Speaker 6: you the action steps you need to take to take
• 22:50
  Speaker 6: your pharmacy to the next level.
• 22:52
  Speaker 10: If you're interested in, you know, working with a team
• 22:55
  Speaker 10: who understands the industry and how the accounting and tax
• 22:59
  Speaker 10: should really be in a pharmacy, this is your chance
• 23:02
  Speaker 10: to get an under the hood check of what's going
• 23:05
  Speaker 10: on and getting the feedback of any issues or concerns
• 23:08
  Speaker 10: or again things we think you're doing really well with.
• 23:10
  Speaker 6: Get the financial check up your pharmacy needs and head
• 23:13
  Speaker 6: over to Sykes HYPHENCPA dot com or call two five
• 23:17
  Speaker 6: to two four eight two seven six four to four.
• 23:27
  Speaker 2: Hey, Welcome to this week in pharmacy. My name is
• 23:31
  Speaker 2: Todd Urray, host of Twerks. It's March twenty seventh, twenty
• 23:34
  Speaker 2: twenty six. It's Friday. I'm working this weekend. I got
• 23:39
  Speaker 2: to go to the American Pharmacist Association annual event. It's
• 23:42
  Speaker 2: the super Bowl of the pharmacy profession. So this is
• 23:46
  Speaker 2: a celebration episode of someone in healthcare who has been
• 23:49
  Speaker 2: disrupting healthcare through his initiatives and his understanding, his full
• 23:55
  Speaker 2: of knowledge and directives from the world of the pharmaceutical industry.
• 24:00
  Speaker 2: I was so excited to have Chuck on my show
• 24:04
  Speaker 2: from Disruptive Dialogue. And by the way, you can find
• 24:08
  Speaker 2: Chuck Melandee from his website which is Disruptive Dialogue dot org.
• 24:15
  Speaker 5: Chuck, Welcome to Twerks.
• 24:17
  Speaker 7: Thanks Tod.
• 24:18
  Speaker 11: Looking forward to it and excited to have a conversation
• 24:23
  Speaker 11: with the Podfather.
• 24:25
  Speaker 2: Love the nickname the RX Podfather. Yeah, I don't know.
• 24:29
  Speaker 2: I don't know who the Podfather would be of all
• 24:32
  Speaker 2: things podcast. I think it's like the guy who is
• 24:35
  Speaker 2: probably like our first podcaster back in two thousand and six.
• 24:39
  Speaker 2: But I can definitely take the crown of our ex
• 24:43
  Speaker 2: podfather for sure.
• 24:45
  Speaker 7: Love it. Thanks for having me on the show.
• 24:48
  Speaker 11: Really appreciate it, enjoy your podcasts and the guests that
• 24:52
  Speaker 11: you've had on, and I'm just excited to be on
• 24:54
  Speaker 11: and chat with you a little bit.
• 24:56
  Speaker 5: Well, thank you.
• 24:57
  Speaker 2: I mentioned disruptive dialogue and your mission and what you've
• 25:01
  Speaker 2: done and the disarray and the dysfunction that you noticed
• 25:06
  Speaker 2: in the healthcare world, and it was all centered around
• 25:09
  Speaker 2: your understanding of how the patient wasn't part of many
• 25:13
  Speaker 2: of the conversations, and the patient's the most important part
• 25:17
  Speaker 2: and the most important person in healthcare. And you're speaking
• 25:20
  Speaker 2: from the heart, You're speaking from experience. So right out
• 25:24
  Speaker 2: of the gate, probably most of our listeners on this
• 25:27
  Speaker 2: Week in Pharmacy are a bunch of pharmacists, pharmacy owners,
• 25:30
  Speaker 2: pharmacy technicians. I want you to give them some of
• 25:33
  Speaker 2: your background and why I'm so excited to have you
• 25:35
  Speaker 2: here today.
• 25:36
  Speaker 11: Absolutely so. You know, first off, I've been in healthcare
• 25:40
  Speaker 11: for gosh over thirty five years back in the early nineties,
• 25:45
  Speaker 11: and you know, I've done everything from I used to
• 25:50
  Speaker 11: be an orthopedic implant rep, so I was in doing
• 25:53
  Speaker 11: devices and hips and knees in the hospital, started my
• 25:56
  Speaker 11: own medical equipment and supply business in the mid nineties
• 25:59
  Speaker 11: and sold that and then gotten to big pharma and
• 26:03
  Speaker 11: in two thousand joined Johnson and Johnson, a little known
• 26:08
  Speaker 11: drug at the time that we launched with Remickade.
• 26:11
  Speaker 7: And yeah, I was there for twenty five years.
• 26:14
  Speaker 11: Did everything from and seeing pharmacy s are your main audience,
• 26:20
  Speaker 11: they'll understand. I was in medical affairs, medical education, sales, marketing.
• 26:25
  Speaker 11: I actually lived in Europe for two years working on
• 26:28
  Speaker 11: Remickay with sharing plow across seventeen countries, and then the
• 26:32
  Speaker 11: last probably seventeen years. Half that time was negotiating drug
• 26:37
  Speaker 11: prices for Johnson and Johnson with insurers and PBMs, and
• 26:41
  Speaker 11: then the last eight years was on our policy and
• 26:45
  Speaker 11: advocacy team, working with medical societies, pharmacy associations, employer coalitions,
• 26:51
  Speaker 11: our lobbyists, trying to get legislation around patient access across
• 26:58
  Speaker 11: the finish line. And you said, you know it comes
• 27:02
  Speaker 11: from the heart, it really does. I wasn't playing I
• 27:04
  Speaker 11: should still be working for J and J. It didn't
• 27:07
  Speaker 11: work out with you know, with my plans. But you know,
• 27:11
  Speaker 11: when you sit at these tables and you're negotiating, or
• 27:15
  Speaker 11: you're up in a state capital and you hear the
• 27:19
  Speaker 11: other side. The insurance, the hospitals, the PBMs get up
• 27:22
  Speaker 11: there and literally life through their teeth. And when you
• 27:26
  Speaker 11: work for a large corporation, you cannot say what you
• 27:30
  Speaker 11: know unless it goes through our compliance teams.
• 27:33
  Speaker 7: You're getting hot water.
• 27:34
  Speaker 11: And so I was getting really frustrated. When I would
• 27:38
  Speaker 11: negotiate for drug pricing. It was all about how much
• 27:40
  Speaker 11: and rebase we would give and kick back and so
• 27:43
  Speaker 11: we could be on formularies and have preferred status. But
• 27:47
  Speaker 11: I went to a mental health conference about two years
• 27:50
  Speaker 11: ago and the keynote.
• 27:52
  Speaker 7: Speaker just struck me. One of young he was a
• 27:55
  Speaker 7: fairly young kid for me.
• 27:56
  Speaker 11: He's in his late twenties, and talked about he was
• 27:59
  Speaker 11: traveling the trying to find himself and got a call
• 28:02
  Speaker 11: from his mom and she basically told him, hey, you
• 28:05
  Speaker 11: know your.
• 28:05
  Speaker 7: Your lifelong friend, your best friend from growing up.
• 28:08
  Speaker 11: He died, And you know, the speaker just talked about
• 28:14
  Speaker 11: things he wanted to do while he was on earth,
• 28:17
  Speaker 11: because what he realizes, nothing is guaranteed.
• 28:21
  Speaker 7: You are not promised tomorrow.
• 28:22
  Speaker 11: And so his take home was, look, if you have
• 28:27
  Speaker 11: something you're passionate about, unless there was something that's preventing
• 28:31
  Speaker 11: you to do it.
• 28:32
  Speaker 7: You absolutely can't do it. Tomorrow's not guarantee you should
• 28:34
  Speaker 7: try to do it.
• 28:35
  Speaker 11: So I literally got up, walked out, called my financial
• 28:39
  Speaker 11: planner and said, hey, if I leave eighteen months early,
• 28:42
  Speaker 11: can I do that? And he said, yep, you're okay.
• 28:44
  Speaker 11: So then I called the most important person of my wife.
• 28:47
  Speaker 11: I said, honey, David said that I could go it,
• 28:51
  Speaker 11: said okay if I do this. She goes, if you're
• 28:52
  Speaker 11: passionate about it, and he says, it's okay, I'm okay
• 28:55
  Speaker 11: with it.
• 28:56
  Speaker 7: And thus started disrupt the dialogue.
• 28:58
  Speaker 11: And now I've got a platform where I follow leaders
• 29:02
  Speaker 11: like you in the podcast world, try to bring you know,
• 29:05
  Speaker 11: the inequities of what's happening in healthcare to light and
• 29:09
  Speaker 11: really and truly focus more on the common person out
• 29:13
  Speaker 11: There's someone who is not an employer, c suite or
• 29:16
  Speaker 11: healthcare professional, just you know, the police officer, the teacher,
• 29:21
  Speaker 11: the garbage men, your neighbor, people who just sit back
• 29:25
  Speaker 11: and they just.
• 29:26
  Speaker 7: Do what they're told because healthcare is too confusing.
• 29:28
  Speaker 11: And so that is my platform, that is my passion,
• 29:32
  Speaker 11: and that's what I'm doing right now.
• 29:35
  Speaker 5: I love it, and I love your passion.
• 29:37
  Speaker 2: We've talked before, we've planned some follow up opportunities to
• 29:41
  Speaker 2: share and to interconnect our networks. I'm not naive in
• 29:47
  Speaker 2: being in this industry now for twenty two years, podcasting
• 29:51
  Speaker 2: for seventeen of those years, I'm not naive to say
• 29:55
  Speaker 2: everything's rosy. And I'm certainly not die you know, a
• 29:58
  Speaker 2: negative where I'm saying everything horrible. And I've learned that
• 30:02
  Speaker 2: every single organization that I've worked with, in whether it's
• 30:07
  Speaker 2: a sponsorship or we're building content for them, there's always
• 30:11
  Speaker 2: facets of the balance beam of what's in the best
• 30:16
  Speaker 2: interest of our patients and the people that we're supposed
• 30:19
  Speaker 2: to be caring for. And I think of big organizations
• 30:23
  Speaker 2: like Etna and CBS Healthcare where they're going through growing
• 30:27
  Speaker 2: pains and transforming out of what they're doing in how
• 30:31
  Speaker 2: PBMs have kind of jacked up our system and our
• 30:34
  Speaker 2: health care industry. And when I meet pharmacists that work
• 30:38
  Speaker 2: for bigger organizations, and maybe some of those organizations have
• 30:42
  Speaker 2: been called out by either the press or a story
• 30:46
  Speaker 2: is broke or something they got to find or something.
• 30:49
  Speaker 2: And we talked to pharmacists. A lot of msls, like
• 30:52
  Speaker 2: you said, medical science Liaison. There's so many pharmacists now
• 30:57
  Speaker 2: going into the MSL world because of their expertise in
• 31:01
  Speaker 2: the pharmacological side of things, and they've said, you know,
• 31:04
  Speaker 2: sometimes I feel ashamed of the organization, and I'm like,
• 31:07
  Speaker 2: you shouldn't.
• 31:09
  Speaker 5: You're the balance.
• 31:09
  Speaker 2: You're the one that's bringing light to things to assure
• 31:12
  Speaker 2: that the patient still is the center. And every corporation
• 31:16
  Speaker 2: falls into potential mistakes, and they can either stay in
• 31:20
  Speaker 2: the mistakes and keep making things bad for people that
• 31:23
  Speaker 2: are trying to live their lives and take medications and
• 31:26
  Speaker 2: afford medications and stay adherent on medications.
• 31:30
  Speaker 5: And then there's the good side.
• 31:31
  Speaker 2: And I see the good side of what is happening
• 31:34
  Speaker 2: in healthcare and how there's politicians that are finally understanding
• 31:39
  Speaker 2: vernacular and terminology and how things are interconnecting and they're
• 31:44
  Speaker 2: trying to make policy to kind of align. And then
• 31:46
  Speaker 2: you obviously have kickback from many of the lobbyists that
• 31:50
  Speaker 2: are hired to keep their clients profits at the levels
• 31:55
  Speaker 2: that they are.
• 31:56
  Speaker 5: And then I read.
• 31:57
  Speaker 2: Books from Gilbash and the Healthcare Sickness and what's happening
• 32:04
  Speaker 2: in John Nosta, who's like a digital philosopher, and people
• 32:07
  Speaker 2: who are seeing it from the outside, who are not
• 32:10
  Speaker 2: Like you said, when you were with your company, you
• 32:13
  Speaker 2: could only do so much and if you did anything
• 32:17
  Speaker 2: that crossed the line from a legal perspective, you could
• 32:20
  Speaker 2: have lost your position, You could have lost your job.
• 32:22
  Speaker 2: And it's these standards that are like, well, who are
• 32:25
  Speaker 2: we protecting? Are we protecting the stock or the price?
• 32:29
  Speaker 2: And are we protecting the profits or are we protecting
• 32:32
  Speaker 2: the patient? And I believe I know from watching the
• 32:37
  Speaker 2: world of healthcare for this long that there's a balance
• 32:40
  Speaker 2: and we can stay balanced, and you can still make
• 32:43
  Speaker 2: gobs of money, and you can still be profitable, and
• 32:45
  Speaker 2: you can still do things to be prosperous without running
• 32:50
  Speaker 2: over in burying the families and the patients that are
• 32:56
  Speaker 2: at the center of all this.
• 32:59
  Speaker 11: Yeah, I couldn't agree more. I mean, look, and it's funny,
• 33:02
  Speaker 11: you know. All the msls are what we call medical
• 33:05
  Speaker 11: science liaisons. They are some of my best friends, super smart.
• 33:09
  Speaker 11: I always used to joke that I would go in
• 33:11
  Speaker 11: there and I was a negotiator, and then my MSL,
• 33:14
  Speaker 11: she was the brains of the outfit when we'd go
• 33:16
  Speaker 11: in because if they wanted to dig down into the
• 33:19
  Speaker 11: clinical peace that's what she was there for. And you know,
• 33:22
  Speaker 11: there's so many things and like one of the things
• 33:26
  Speaker 11: that I do, and I don't have a sponsor to
• 33:28
  Speaker 11: my podcast, I don't want sponsor my podcast. I wanted
• 33:31
  Speaker 11: to be completely unbiased there. I do not protect any aspect.
• 33:37
  Speaker 11: While I was proud to work for, you know, a
• 33:40
  Speaker 11: drug manufacturer at the time because quite honestly, we create
• 33:44
  Speaker 11: research and created and brought to market life changing medications
• 33:48
  Speaker 11: that changed how people live. And actually if you talk
• 33:51
  Speaker 11: about oncology or saving lives.
• 33:54
  Speaker 7: But to your point, we're in a capitalist system and
• 33:57
  Speaker 7: they're going to try and make money. They're not perfect.
• 34:01
  Speaker 11: We have you know, evergreening patent, thickets, you know, all
• 34:05
  Speaker 11: kinds of games that they play. That's there. As I
• 34:09
  Speaker 11: like to say, don't hate the player, hate the game.
• 34:11
  Speaker 11: So you know you want to fix that, then fix it.
• 34:14
  Speaker 11: But at the end of the day, I do think
• 34:16
  Speaker 11: that drug manufacturers, if you want to look at the
• 34:19
  Speaker 11: lesser of evils, they're one of the lesser ones because
• 34:22
  Speaker 11: number one, they actually make something and they have to.
• 34:25
  Speaker 7: Invest in it and they take a risk and all
• 34:27
  Speaker 7: those kind of things.
• 34:29
  Speaker 11: Number Two, I do believe because it was part of
• 34:32
  Speaker 11: my job, which was trying enact legislation, like trying.
• 34:35
  Speaker 7: To get rid of a lot of utilization management.
• 34:38
  Speaker 11: You know, the gimmicks that are played, getting rid of
• 34:41
  Speaker 11: gad clauses in pharmacy contracts, PBM reform, Enhanced Transparency three
• 34:48
  Speaker 11: forty B reform.
• 34:49
  Speaker 7: I mean, there's a lot.
• 34:50
  Speaker 11: Of things that you know, at the end of the day, personally,
• 34:54
  Speaker 11: I think we need to scrap the whole system. I
• 34:58
  Speaker 11: think the challenge that we've run into is since the
• 35:01
  Speaker 11: early seventies, we have been enacting state and federal laws,
• 35:06
  Speaker 11: rules and regulations almost in a patchwork system. We healthcare
• 35:12
  Speaker 11: is now were quilt with hundreds of different programs and
• 35:16
  Speaker 11: thousands of benefit designs. It is just way too complicated,
• 35:21
  Speaker 11: and I think that works to the advantage of organizations
• 35:26
  Speaker 11: that prefer complexity, prefer opaqueness and lack of transparency because
• 35:33
  Speaker 11: they're able to hide money and at the end of
• 35:37
  Speaker 11: the day, the c suite. You know, look, I don't
• 35:42
  Speaker 11: care what it is. Almost any organization I've worked with,
• 35:45
  Speaker 11: whether it's the pharmacists at CBS, whether.
• 35:48
  Speaker 7: It's the person on the other end of the table
• 35:50
  Speaker 7: that I.
• 35:50
  Speaker 11: Was negotiating for one of the blues or even hospital.
• 35:56
  Speaker 7: You know employees that I go and I work with
• 35:58
  Speaker 7: in physicians and nurses and.
• 35:59
  Speaker 11: From they're all doing the right thing. They're all doing
• 36:03
  Speaker 11: what they're told. They are delivering healthcare, and they are
• 36:06
  Speaker 11: focused on the patient. But man, when you get into
• 36:08
  Speaker 11: the upper level management, especially if it's a publicly traded company,
• 36:12
  Speaker 11: their fiduciary duty is to the shareholder and that is
• 36:16
  Speaker 11: their bottom line, and they are so far away from
• 36:18
  Speaker 11: the patient. They absolutely lose that perspective. And I don't
• 36:23
  Speaker 11: know how we get that back, but I know a
• 36:25
  Speaker 11: lot of us are fighting for it.
• 36:27
  Speaker 2: You're fighting for it for sure. On the website that
• 36:31
  Speaker 2: we're mentioning, and if you're listening, you're not watching us
• 36:34
  Speaker 2: on YouTube or LinkedIn or something.
• 36:36
  Speaker 5: Just listen.
• 36:37
  Speaker 2: We'll have a show. We'll have a link into the
• 36:39
  Speaker 2: show notes. But it's disruptive dialogue dot org. And here
• 36:42
  Speaker 2: you have a take actions section which which lists to
• 36:46
  Speaker 2: contact legislators. You're even giving glossary of terms, which is
• 36:50
  Speaker 2: wonderful because there's too many alphabet soups out there sample
• 36:54
  Speaker 2: letters on issues. Can you take our listeners through how
• 36:57
  Speaker 2: this helps patients, families, healthcare providers, even listeners. We have
• 37:02
  Speaker 2: listeners who have supported people like Bill Schmidtnick who lost
• 37:06
  Speaker 2: his son to the most bullshit or situation where his
• 37:12
  Speaker 2: son went into the pharmacy, big box pharmacy obviously process driven,
• 37:18
  Speaker 2: asked for his inhaler. The cost went up from sixty
• 37:22
  Speaker 2: dollars or eighty dollars the whole way up to like
• 37:24
  Speaker 2: six hundred bucks. He's like, I don't have it. I
• 37:26
  Speaker 2: have to pay rent this month. They're like, well, we
• 37:29
  Speaker 2: don't know what to do. He walks out, and he
• 37:32
  Speaker 2: passes away within forty eight hours because of an attack
• 37:35
  Speaker 2: he had, which is horrific. If he would have went
• 37:38
  Speaker 2: to an independent, by the way, just as a side note,
• 37:40
  Speaker 2: they would have given him the Hailer inhaler and then
• 37:43
  Speaker 2: they would have found out how to straighten it out
• 37:45
  Speaker 2: on Monday instead of it being the situation.
• 37:47
  Speaker 5: But those are the kinds of people I want to
• 37:49
  Speaker 5: push to your site.
• 37:50
  Speaker 2: But talk to our listeners about this site and what
• 37:54
  Speaker 2: opportunities they have to use it to make change and
• 37:58
  Speaker 2: to do.
• 37:58
  Speaker 11: Something absolutely so, you know, one of the things that
• 38:03
  Speaker 11: I have found is that you know, I used to
• 38:06
  Speaker 11: talk to physicians and in my last role at Johnson
• 38:08
  Speaker 11: and Johnson and docs are burning out, pharmacists are burning out,
• 38:12
  Speaker 11: and studies have shown that if healthcare professionals actually get
• 38:17
  Speaker 11: involved in advocacy, it helps with burnout because it makes
• 38:22
  Speaker 11: them feel like they're not helpless, that they might make
• 38:24
  Speaker 11: a difference, that there was hope. And so, you know,
• 38:27
  Speaker 11: quite honestly, when I started this endeavor, I took a
• 38:30
  Speaker 11: couple pages from the Johnson and Johnson book.
• 38:32
  Speaker 7: And you know, I used to train people that came
• 38:36
  Speaker 7: into our department.
• 38:37
  Speaker 11: How to be an advocate, how do you do this
• 38:41
  Speaker 11: other things that we had. You know, at the end
• 38:43
  Speaker 11: of the day, we are all really busy, and if
• 38:46
  Speaker 11: you don't make something fairly easy and accept accessible, people
• 38:51
  Speaker 11: usually aren't going to get around to it.
• 38:53
  Speaker 7: And so one thing that I do, unfortunately I don't
• 38:55
  Speaker 7: have my phone on me, but it's easy. You can
• 38:56
  Speaker 7: just google it. It's easy.
• 38:58
  Speaker 11: But if if you go to Google and say give
• 38:59
  Speaker 11: me the Washington DC switchboard.
• 39:03
  Speaker 7: It'll give you the phone number to the DC switchboard.
• 39:06
  Speaker 11: After every one of my podcasts, I give that number
• 39:09
  Speaker 11: out and I tell people you can call that phone
• 39:11
  Speaker 11: number right now and you can ask for your senator,
• 39:15
  Speaker 11: your House of representative, and you can tell them I
• 39:18
  Speaker 11: need you to fix the insurance companies or the PBMs.
• 39:20
  Speaker 7: It's hurting me and I am a constituent of yours.
• 39:23
  Speaker 7: That's all it takes. Advocacy is not hard. And I'm
• 39:26
  Speaker 7: sure you know this, Todd legislators. They'll be going around
• 39:30
  Speaker 7: all day and then they'll come and they'll see their
• 39:32
  Speaker 7: staff and they go, what's hot today. We get any emails,
• 39:35
  Speaker 7: and we get any letters, and we get any phone calls.
• 39:37
  Speaker 7: It matters. Another thing that I have on.
• 39:40
  Speaker 11: The site, there is a section for how to be
• 39:44
  Speaker 11: an advocate. You could read that, but people are like, well,
• 39:46
  Speaker 11: maybe I just want to send an email. Well, I
• 39:48
  Speaker 11: have emails and their templates, and basically it says, if
• 39:52
  Speaker 11: you want to send an email on prior authorization form,
• 39:56
  Speaker 11: on step therapy, on copay accumulators, type of issues that
• 40:01
  Speaker 11: we all run into every day that hurts patient care
• 40:05
  Speaker 11: and patient access, you can take it right off of there.
• 40:08
  Speaker 7: What do they call it? You can Joe Biden me
• 40:10
  Speaker 7: all day long. Man, I don't mind.
• 40:11
  Speaker 11: That's that's fine, But you know, I do think that
• 40:17
  Speaker 11: as healthcare professionals, it's our job to get the information
• 40:21
  Speaker 11: out there. It's our job to also provide the tools.
• 40:25
  Speaker 11: If we're going to ask people to take time out
• 40:26
  Speaker 11: of their busy day to help not just them, but us,
• 40:31
  Speaker 11: we need to make it as easy as possible.
• 40:33
  Speaker 7: And so that's what we're trying to do.
• 40:35
  Speaker 2: What about the whistleblower side of all of this. The
• 40:39
  Speaker 2: there's two kinds. There's the whistleblower that will give their name,
• 40:42
  Speaker 2: and then there's the one that wants to keep there.
• 40:45
  Speaker 2: They want to keep their job because they're scared that
• 40:47
  Speaker 2: they're going to lose their job. They're scared of being sued.
• 40:50
  Speaker 2: Do you have any kind of funnel or kind of
• 40:52
  Speaker 2: system that they like, Hey, listen, if you want to
• 40:54
  Speaker 2: tell a story and you want your name involved, great,
• 40:57
  Speaker 2: fill this out. If you don't fill this out, and
• 40:59
  Speaker 2: we'll keep you, you know, hitting from it all.
• 41:01
  Speaker 5: But do you have anything like that?
• 41:03
  Speaker 7: So I don't. What I what I do is there's
• 41:07
  Speaker 7: on my side.
• 41:08
  Speaker 11: It says how you can get in touch with me,
• 41:10
  Speaker 11: whether through my email or you send me something on LinkedIn.
• 41:15
  Speaker 7: I you know, people ask me, are you a whistleblower?
• 41:18
  Speaker 11: And like not really, I mean, I'm not doing any
• 41:21
  Speaker 11: whistle blowing On Jay and Jay, I would say I'm
• 41:23
  Speaker 11: whistle blowing on the entire industry. Unlike a Wendell Potter
• 41:27
  Speaker 11: who used to work for you know, Big Insurance as
• 41:31
  Speaker 11: a PR guy, and he used to talk about and
• 41:33
  Speaker 11: he still does about the bad things that they do.
• 41:35
  Speaker 11: But I don't have anything that says, you know, you
• 41:40
  Speaker 11: want a whistle blow. But I do have a lot
• 41:42
  Speaker 11: of people starting to reach out to me going I
• 41:44
  Speaker 11: have a story I'd like to share, and a lot
• 41:47
  Speaker 11: of those are patients.
• 41:49
  Speaker 7: I will say.
• 41:50
  Speaker 11: I've got quite a few nurses and some of my
• 41:52
  Speaker 11: old physicians that I used to work with, you know,
• 41:54
  Speaker 11: I've had a lot of them on his guests. I've
• 41:56
  Speaker 11: had a gentleman, doctor Seth Clickman, he used to work
• 42:00
  Speaker 11: not He used to run health Plan in Virginia as
• 42:04
  Speaker 11: a medical director of their CMO and they was a
• 42:07
  Speaker 11: medical director in a mount of health in Utah.
• 42:09
  Speaker 7: He came on and he talked about all the stuff
• 42:12
  Speaker 7: that he.
• 42:12
  Speaker 11: Used to do and how the c suites they just
• 42:15
  Speaker 11: lose touch.
• 42:17
  Speaker 7: And it was interesting talking to him because he.
• 42:20
  Speaker 11: Actually got sick and caught his carrier after he had left,
• 42:24
  Speaker 11: and he was independent, and they gave him the list
• 42:27
  Speaker 11: of doctors he goes Chuck they gave me a ghost network.
• 42:29
  Speaker 11: I had to make like twelve phone calls to find
• 42:31
  Speaker 11: a doctor, and he's like, I'm someone that knows the system.
• 42:36
  Speaker 11: So I just sit back sometimes and it breaks my
• 42:39
  Speaker 11: heart to think about a little old man or a
• 42:42
  Speaker 11: little old lady, or someone who has a single parent
• 42:45
  Speaker 11: with four kids and they're struggling and they get an illness,
• 42:49
  Speaker 11: or they have a sick kid and they don't know.
• 42:51
  Speaker 7: What to do and they get a bill and the
• 42:54
  Speaker 7: bill's outrageous.
• 42:55
  Speaker 11: And they don't know what to do, and it's just
• 42:59
  Speaker 11: it makes me sick, and so, like you, I'm gonna
• 43:03
  Speaker 11: scream from the mountaintops. Actually, my wife is making me
• 43:08
  Speaker 11: get involved with social media, and even I think she's
• 43:11
  Speaker 11: going to make me.
• 43:12
  Speaker 7: Do some TikTok.
• 43:14
  Speaker 11: She's not my business manager, and I hate social media,
• 43:17
  Speaker 11: but she's like, you can scream it to the void
• 43:19
  Speaker 11: and no one hears you, or you.
• 43:20
  Speaker 7: Can expand your audience.
• 43:22
  Speaker 11: Is okay, I will try, So, yeah, you gotta play
• 43:25
  Speaker 11: the game, I guess.
• 43:26
  Speaker 2: Well, speaking of social media, that has become one of
• 43:30
  Speaker 2: the biggest ways of getting things changed, and it didn't
• 43:35
  Speaker 2: used to be like that. I remember, I don't want
• 43:38
  Speaker 2: to sound. I don't want to sound like the old guy.
• 43:40
  Speaker 2: But back then, I mean I was in we I
• 43:43
  Speaker 2: was working in the realm of healthcare before the website
• 43:47
  Speaker 2: even was as popular as it has become. But doctor
• 43:50
  Speaker 2: Will Flannery, who's known as doctor glacamac Fleckin, is one
• 43:55
  Speaker 2: of the most powerful social media personalities.
• 43:59
  Speaker 5: I want our list to take a listen to this.
• 44:04
  Speaker 12: And I am not leaving until somebody comes up with
• 44:08
  Speaker 12: a plan to break up vertical integration and healthcare. Now,
• 44:11
  Speaker 12: this might take weeks or months, or I have a
• 44:14
  Speaker 12: plan for that. Senator Warren, Wow, that was quick. What's
• 44:21
  Speaker 12: your plan?
• 44:22
  Speaker 1: I have a bill with Senator Josh Holly, and it
• 44:25
  Speaker 1: would break up these giant healthcare corporations that are driving
• 44:29
  Speaker 1: up the cost of healthcare for everybody in our country.
• 44:33
  Speaker 5: That sounds amazing.
• 44:36
  Speaker 7: I thought it would take longer. I guess I should
• 44:39
  Speaker 7: just leave now.
• 44:41
  Speaker 1: Well, do you want me to show you the gift
• 44:42
  Speaker 1: shop first?
• 44:43
  Speaker 8: Yes?
• 44:43
  Speaker 5: Please?
• 44:44
  Speaker 7: Hey, everybody, I.
• 44:48
  Speaker 5: Think he's just he's he's just a gift He's hilarious.
• 44:53
  Speaker 2: He's been doing he actually has a podcast with his
• 44:56
  Speaker 2: wife that they're kind of working on. But he really
• 45:00
  Speaker 2: started out just using social media as as a way
• 45:04
  Speaker 2: to get frustration off of what he was experiencing. But
• 45:08
  Speaker 2: now it's become his business where he's he's starting to
• 45:11
  Speaker 2: pull away from his primary work in optimology and now
• 45:17
  Speaker 2: he's really getting into terminology, understanding the insides of the
• 45:21
  Speaker 2: system and these big gargantuan healthcare gods that control the
• 45:28
  Speaker 2: insurance worlds to control everything that absolutely shouldn't. They hate him,
• 45:33
  Speaker 2: not necessarily personally, but they certainly hate his platform because
• 45:36
  Speaker 2: he's getting so much attention that now he has the
• 45:40
  Speaker 2: senators who are reaching out to him and saying, we
• 45:44
  Speaker 2: want to work with you because we know that social
• 45:46
  Speaker 2: media gets the attention of the public. It educates the public,
• 45:50
  Speaker 2: especially when you're doing it the right way, and it's
• 45:53
  Speaker 2: it's moving the needle.
• 45:55
  Speaker 7: Yeah.
• 45:56
  Speaker 11: And how do you say his because I used to
• 45:57
  Speaker 11: go and doctor glock and flockin.
• 45:59
  Speaker 2: I don't think glock a flecking Yeah.
• 46:03
  Speaker 11: So what you showed with him with Elizabeth Warren, he
• 46:07
  Speaker 11: actually has And it just hit TikTok last night and
• 46:10
  Speaker 11: I listened to it because my wife loves him. It's
• 46:15
  Speaker 11: a conversation between her and him, and he is posing
• 46:20
  Speaker 11: as an insurre a pbium a pharmacist and it is
• 46:24
  Speaker 11: absolutely hilaric, hysterical. So your listeners should listen to him,
• 46:28
  Speaker 11: and he and you have a tremendous story. I heard
• 46:31
  Speaker 11: him speak at a conference one time, but it was
• 46:34
  Speaker 11: really funny. He during the conference, he said, you know,
• 46:39
  Speaker 11: and his he had a skit about United Healthcare and
• 46:43
  Speaker 11: and it's and and it was just absolute hilarious. And
• 46:47
  Speaker 11: he said that he got a call that United Healthcare.
• 46:50
  Speaker 11: Basically the CEO heard it and said, we need I
• 46:54
  Speaker 11: want him off, I want him off, I want that stop.
• 46:58
  Speaker 11: And and his response was apparently he doesn't know how
• 47:00
  Speaker 11: the internet works. So so you know, he is making
• 47:05
  Speaker 11: a difference and he does it in a very entertaining
• 47:08
  Speaker 11: way and as.
• 47:09
  Speaker 7: You say, a very impactful way. Or blessed to have him.
• 47:12
  Speaker 2: So we do an awards program every year for the
• 47:15
  Speaker 2: pharmacy industry called the Pharmacy Fifty. And what we do
• 47:19
  Speaker 2: is we leave it up to the industry to vote,
• 47:22
  Speaker 2: so it's peer reviewed, it's peer voted, you know, votes
• 47:26
  Speaker 2: and whoever you think is really innovating, we you know,
• 47:29
  Speaker 2: and it exploded this year with the twenty twenty five awards,
• 47:33
  Speaker 2: we had an increase in votes we went from three
• 47:36
  Speaker 2: thousand votes the last year, we're over sixty eight hundred
• 47:38
  Speaker 2: votes that you know this last year and six of
• 47:41
  Speaker 2: the top six of the top fifty we're social media influencers.
• 47:46
  Speaker 5: And that just shows you that I.
• 47:48
  Speaker 2: Don't want to add another social platform on our you know,
• 47:52
  Speaker 2: our services that we help with our client's exposure. But goodness, gracious,
• 47:56
  Speaker 2: it's it's just it's the way that the public consumes
• 48:00
  Speaker 2: information and unfortunately human beings. You and I can remember,
• 48:05
  Speaker 2: you know, having to go to our TV sets and
• 48:09
  Speaker 2: we had maybe maybe four or five stations maybe, you know,
• 48:14
  Speaker 2: and you had to watch it at eight o'clock at
• 48:16
  Speaker 2: night Buck Rogers or Duke as the Dukes of Hazard
• 48:19
  Speaker 2: or something.
• 48:20
  Speaker 5: And now it's like the attention span is so short.
• 48:24
  Speaker 2: So these small platforms that are doing thirty second sixty
• 48:28
  Speaker 2: second clips are gaining so much attention, and if it's
• 48:32
  Speaker 2: done right, it can really become a catalyst of education
• 48:36
  Speaker 2: to get the public to say that sucks or I
• 48:39
  Speaker 2: didn't know that, or I didn't.
• 48:40
  Speaker 5: If you said PBM.
• 48:42
  Speaker 2: If you said PBM five years ago, you know, people
• 48:45
  Speaker 2: are like, what the hell is the PBM?
• 48:47
  Speaker 4: Now?
• 48:47
  Speaker 2: If you say PBM even on like Facebook, I've noticed
• 48:51
  Speaker 2: people are like, oh, that's an insurance component of the
• 48:54
  Speaker 2: pharmacy land, and we're like, exactly, that's that's who controls.
• 48:57
  Speaker 5: Your money so that your drugs get paid for work.
• 49:00
  Speaker 2: And it's just helping to unravel Mark Cuban's helping to unravels.
• 49:07
  Speaker 2: It's the culture that's finally helping to unravel where we're like,
• 49:11
  Speaker 2: no more are we standing waiting for an insurance company
• 49:16
  Speaker 2: to deny access to coverage or deny access to a medication,
• 49:20
  Speaker 2: And the only reason they're denying it is because it's
• 49:23
  Speaker 2: part of their algorithm to deny it, so that they're
• 49:26
  Speaker 2: trying to trying to basically say, we hope you give up.
• 49:31
  Speaker 5: We've denied claim. We hope you give up.
• 49:34
  Speaker 2: We hope you won't follow up with this, and if
• 49:36
  Speaker 2: you do follow up with it, then of course most
• 49:39
  Speaker 2: of the time you can win.
• 49:40
  Speaker 5: But it's education, education, education.
• 49:43
  Speaker 2: So yeah, I'm on your wife's side where you're going
• 49:45
  Speaker 2: to have to do a little bit more TikTok.
• 49:48
  Speaker 11: Usually everyone's on my wife's side, So I'm used to it,
• 49:51
  Speaker 11: and that's fine, and you're absolutely right. You know, one
• 49:54
  Speaker 11: of the things that people get overwhelmed. To your point
• 49:58
  Speaker 11: is that with you know, utilization management and now AI
• 50:02
  Speaker 11: and the denials. The bad news about that is the
• 50:07
  Speaker 11: denial rate. It's in the millions, how many denials they
• 50:10
  Speaker 11: do every year, the insurance and the PBMs, and the
• 50:13
  Speaker 11: appeal rate unfortunately is less than one percent. Now that
• 50:18
  Speaker 11: being said, the success if you appeal it usually goloes
• 50:22
  Speaker 11: to eighty percent. So people just need to start to
• 50:25
  Speaker 11: appeal and don't let them beat you down. It's yes,
• 50:29
  Speaker 11: it's a pain, but your health is worth it and
• 50:31
  Speaker 11: you need.
• 50:32
  Speaker 7: To do it.
• 50:32
  Speaker 11: But yeah, I'll be not sure, I'll be a social
• 50:36
  Speaker 11: media maniac doctor Glockhampicken, but I'm definitely. My friends want
• 50:43
  Speaker 11: me to be Fireball Chuck because I like Fireball. So
• 50:46
  Speaker 11: if you see me with a little cap with a
• 50:47
  Speaker 11: little fire coming out of my hair, I have gone
• 50:50
  Speaker 11: to the dark side.
• 50:52
  Speaker 5: That's wild.
• 50:52
  Speaker 2: My favorite cousin who's more like a brother to me,
• 50:56
  Speaker 2: Chuck Mottleone his favorite drink is firewall, So maybe it's
• 51:00
  Speaker 2: something about the Chucks.
• 51:02
  Speaker 7: There you go, There you go. We're kind of crazy,
• 51:04
  Speaker 7: that's why you're hey.
• 51:05
  Speaker 2: The website is disruptive dialogue dot org once again that's
• 51:10
  Speaker 2: disruptive dialogue.
• 51:11
  Speaker 5: Doug org I want you to reach out to Chuck.
• 51:13
  Speaker 2: I want you to say hello, let him know that
• 51:16
  Speaker 2: you heard him on this Week in Pharmacy. Chuck, you
• 51:20
  Speaker 2: have to promise me that you're going to come back,
• 51:23
  Speaker 2: maybe you know, bring a guest of someone that we
• 51:26
  Speaker 2: can some unravel and demystify aspects of healthcare. And I
• 51:31
  Speaker 2: want to let you know to our listeners and I
• 51:34
  Speaker 2: want to let check know you are you are uh.
• 51:37
  Speaker 2: You are encouraged to use this platform and ask for
• 51:41
  Speaker 2: access to anybody in pediatrics or or geriatrics, or drug development,
• 51:47
  Speaker 2: anybody that we can connect you with or get more information,
• 51:50
  Speaker 2: even for your podcast. I'm on your side. I'm on
• 51:53
  Speaker 2: your team. So so thank you for being on TRKS today.
• 51:57
  Speaker 11: Thank you so much, Todd. I appreciate the time and
• 52:01
  Speaker 11: let me you know what, let's all just keep fighting
• 52:03
  Speaker 11: a fight. I think we'll make a difference and it's worth.
• 52:06
  Speaker 2: It, so thank you solutely. Hey, we'll be right back.
• 52:10
  Speaker 2: We'll be right back with more tworks. Hey, welcome back
• 52:30
  Speaker 2: to this Week in Pharmacy. We have a special guest
• 52:34
  Speaker 2: that just stopped by the studio, the Virtual Studio. I'm
• 52:37
  Speaker 2: excited to have you here. Bruce Neeland's good. Good to
• 52:40
  Speaker 2: have you on twerks.
• 52:42
  Speaker 13: Hey Todd, it's great to be here, and I'm anxious
• 52:47
  Speaker 13: to hear what you're going to ask me. So I've
• 52:49
  Speaker 13: got no script and we'll just kind of chat it
• 52:51
  Speaker 13: off off our experience in the past.
• 52:54
  Speaker 8: So let's go.
• 52:56
  Speaker 2: Yeah, when I win that three hundred million dollar power,
• 53:01
  Speaker 2: I'm going to do a couple things. But one of
• 53:03
  Speaker 2: the things I'm going to do is put you on
• 53:04
  Speaker 2: the road permanently with the most luxurious laid out traveling office, studio, bedroom,
• 53:13
  Speaker 2: living room and a driver. By the way, we'll get
• 53:16
  Speaker 2: you a driver and we'll just take the Pharmacy road
• 53:20
  Speaker 2: show everywhere. But you kind of did a mini road show,
• 53:23
  Speaker 2: and that's why I'm interested in having you here. You
• 53:26
  Speaker 2: were at the Atrium X, which the first time that
• 53:29
  Speaker 2: conference happened last year we got to attend, and it's
• 53:33
  Speaker 2: the conference on the Fly slash Mastermind, and I just
• 53:37
  Speaker 2: wanted to since you were there covering it through Dispense Times,
• 53:40
  Speaker 2: which is one of our partnering publications that we very
• 53:44
  Speaker 2: much appreciate, tell us a little bit about that conference.
• 53:48
  Speaker 13: The experience, well, I mean you know, just a couple things.
• 53:52
  Speaker 13: It was a delight to be there, a genuine delight.
• 53:58
  Speaker 13: Nicolette matthew is got a magnetic personality and she's created
• 54:04
  Speaker 13: a little consulting business on steroids that's kind of fascinating.
• 54:10
  Speaker 13: And you know, I've seen and heard her on LinkedIn
• 54:14
  Speaker 13: and her videos and that kind of stuff and become
• 54:16
  Speaker 13: an admirer. So it was fun to get to this meeting.
• 54:20
  Speaker 13: And it's a it's a boutique meeting. I think they
• 54:24
  Speaker 13: had about two hundred and twenty two hundred and thirty
• 54:27
  Speaker 13: people and close knit, very very interactive, and it was
• 54:34
  Speaker 13: just a fun place to be and it's it's a
• 54:36
  Speaker 13: great meeting. I would, you know, encourage your listeners to
• 54:41
  Speaker 13: at least investigate it and we'll get a little more detail.
• 54:45
  Speaker 13: It's kind of special. It's not for everybody, so we'll
• 54:48
  Speaker 13: talk a little bit about that.
• 54:50
  Speaker 8: In a minute.
• 54:51
  Speaker 5: Yeah. I really like the.
• 54:55
  Speaker 2: The anyone and someone that understands pharmacy even better. I
• 55:00
  Speaker 2: like these people, these innovators who are changing the conference
• 55:06
  Speaker 2: from what it was twenty years ago, thirty years ago,
• 55:09
  Speaker 2: even forty years ago. And you could attest that the
• 55:13
  Speaker 2: conference in the pharmacy space. And I hope the associations
• 55:18
  Speaker 2: are listening to me because I've attended the conferences that
• 55:21
  Speaker 2: will rock your socks, like HLTCH and VIBE and all
• 55:26
  Speaker 2: these conferences that are outside of pharmacy industry that are
• 55:31
  Speaker 2: doing things much differently, who are engaging the audience more
• 55:37
  Speaker 2: on the fly, who have stages in multiple places that
• 55:41
  Speaker 2: are within the conference hall, so that while you're talking
• 55:44
  Speaker 2: to a vendor, you can walk right over to a
• 55:47
  Speaker 2: stage that's basically surrounded by food tables and drinks and
• 55:52
  Speaker 2: listen to kind of an impromptu discussion on digital health
• 55:56
  Speaker 2: or something. And I just we need to break the
• 55:59
  Speaker 2: common difference model from what I entered pharmacy twenty two
• 56:04
  Speaker 2: thousand and four, and the conferences in that twenty years
• 56:08
  Speaker 2: twenty two years have not changed. So it's a shout
• 56:11
  Speaker 2: out to all the associations. It's a shout out to
• 56:15
  Speaker 2: you know, NCPA, for example, who has the super Bowl
• 56:20
  Speaker 2: of Community Pharmacy, the Independent Community Pharmacy, that it's time
• 56:23
  Speaker 2: to change the conference. It's time to make it a
• 56:27
  Speaker 2: little bit more engaging. In another thing, Bruce is there
• 56:31
  Speaker 2: were digital walls at HLTCH all over the place, and
• 56:35
  Speaker 2: these walls were twelve feet by twelve feet, huge digital walls,
• 56:42
  Speaker 2: and they would encourage you to interact on social media
• 56:47
  Speaker 2: on the fly live by posting content about the event.
• 56:52
  Speaker 2: And it was almost like they were making the audience.
• 56:55
  Speaker 2: They were making the intendee an immediate advertise of what
• 57:01
  Speaker 2: was happening in the conference, which does two things. Number one,
• 57:04
  Speaker 2: it engages your attendees to be involved with a hashtag
• 57:07
  Speaker 2: or whatever.
• 57:08
  Speaker 5: Yeah too.
• 57:09
  Speaker 2: Think about the content that just flows out of that
• 57:11
  Speaker 2: conference as it's happening, which is saying to everybody that's
• 57:15
  Speaker 2: looking at the Instagram or the Twitter, the or the LinkedIn,
• 57:19
  Speaker 2: they're saying, boy, I should have been there.
• 57:23
  Speaker 13: That's fascinating. And you know, I know nothing of the
• 57:26
  Speaker 13: health conference. So that's a watch for that. But to
• 57:31
  Speaker 13: your point about breaking the model, the Atrium X conference
• 57:35
  Speaker 13: is taking some bold steps in that direction. And it
• 57:39
  Speaker 13: was these two things that most intrigued me about getting
• 57:43
  Speaker 13: an opportunity to go there. So, uh, you know, the
• 57:46
  Speaker 13: first broad stroke is they like to market this meeting
• 57:50
  Speaker 13: as the UN conference, and part of what that means
• 57:55
  Speaker 13: is that they are not doing the standard you know,
• 57:58
  Speaker 13: four or five people sit down in a room and
• 58:00
  Speaker 13: say we're going to do a meeting in eight months.
• 58:03
  Speaker 13: You know, what's the theme or what you know, what
• 58:04
  Speaker 13: are we going to do? And then they, you know,
• 58:08
  Speaker 13: stretch themselves with all the contacts, they know, all the
• 58:11
  Speaker 13: people they know, and they come up and invite speakers
• 58:14
  Speaker 13: and create an agenda.
• 58:15
  Speaker 8: So you when you go.
• 58:16
  Speaker 13: There, you know, at eight o'clock you're going to listen
• 58:18
  Speaker 13: to Harry Bonzel and ten thirty you're going to listen
• 58:21
  Speaker 13: to Steve Jobs or you know whatever it may be.
• 58:24
  Speaker 8: You know, with with with.
• 58:25
  Speaker 13: Niccolette, in this meeting, they had almost to know speakers.
• 58:31
  Speaker 13: And the idea is you come trusting that stuff, good
• 58:36
  Speaker 13: stuff will happen. And one of the first things they
• 58:39
  Speaker 13: do is they get everybody in a room, vendors and
• 58:43
  Speaker 13: pharmacy owners and pharmacy staff. And I love how they
• 58:48
  Speaker 13: include the vendors and you know, they just handed out
• 58:53
  Speaker 13: big sticky notes and they ask you to write down three,
• 58:58
  Speaker 13: four or five toppy you want to pursue at the meeting.
• 59:03
  Speaker 13: Then they collect those and kind of organize them into
• 59:06
  Speaker 13: groups and then decide, Okay, thirty seven people wanted to
• 59:13
  Speaker 13: talk about AI, Twenty five people wanted to talk about peptides,
• 59:18
  Speaker 13: and so they set up sessions where you could go
• 59:22
  Speaker 13: to that session if that was a topic he wanted
• 59:24
  Speaker 13: to talk about, and in a room with twenty to
• 59:27
  Speaker 13: thirty people, you would talk about this for ninety minutes
• 59:31
  Speaker 13: and there was no speaker, no PowerPoint presentation. And what
• 59:38
  Speaker 13: I loved was, you know, Harry would make some comment
• 59:45
  Speaker 13: and Jill would challenge him or amplify it, and then
• 59:51
  Speaker 13: John would say, well, you know, I tried that and
• 59:54
  Speaker 13: this is what I found out.
• 59:56
  Speaker 8: And you know, the one of the.
• 59:58
  Speaker 13: Sessions that was most intriguing me was on social media,
• 1:00:01
  Speaker 13: how to profitably use social media, and you know, I
• 1:00:06
  Speaker 13: learned a lawful lot of things about that that I know.
• 1:00:08
  Speaker 13: I'm not a social media guru by all, but you know,
• 1:00:12
  Speaker 13: these guys were talking about, hey, you know I did
• 1:00:15
  Speaker 13: this and I got kicked off Facebook for three months,
• 1:00:18
  Speaker 13: and uh, you know, and you got to be careful
• 1:00:21
  Speaker 13: about this that or whatever it was.
• 1:00:23
  Speaker 8: Detailed stuff.
• 1:00:25
  Speaker 13: And then in the environment, the one that impressed me
• 1:00:28
  Speaker 13: the most was, you know, people, it wasn't a CE session,
• 1:00:32
  Speaker 13: so people could talk about vendors that they used or liked,
• 1:00:37
  Speaker 13: and or vendors that they used who they thought screwed them.
• 1:00:40
  Speaker 13: So it was it was down and dirty.
• 1:00:43
  Speaker 2: That's interesting and I think it has its place, and
• 1:00:46
  Speaker 2: I think it's a wonderful use of the more aggressive
• 1:00:51
  Speaker 2: pharmacy owners time where they can kind of mastermind with
• 1:00:54
  Speaker 2: other high level performers that are doing things out of
• 1:00:58
  Speaker 2: the ordinary for their communities.
• 1:01:00
  Speaker 5: And yeah, I'd like to see more of it.
• 1:01:02
  Speaker 2: Maybe it's a maybe one of the big national conferences
• 1:01:06
  Speaker 2: will build sessions that collect operators together.
• 1:01:11
  Speaker 13: It would be easy enough to do, you know. And
• 1:01:16
  Speaker 13: the big abandonment is CE. I mean, you know, I've
• 1:01:20
  Speaker 13: been planning pharmacy meetings for forty years, and you know,
• 1:01:24
  Speaker 13: you always had to have CE. You always had to
• 1:01:26
  Speaker 13: have CE. But you know, they can seee completely and
• 1:01:32
  Speaker 13: you get down and dirty and people say good or
• 1:01:35
  Speaker 13: bad things about the vendors. It's very socially appropriate stuff.
• 1:01:39
  Speaker 13: There was no bad mouthing, but it was well done.
• 1:01:44
  Speaker 5: Yeah, it's tough love.
• 1:01:46
  Speaker 2: I mean, the vendors that are in our industry, including myself,
• 1:01:50
  Speaker 2: have to pay attention to their audience, their clients, their consumers,
• 1:01:55
  Speaker 2: and make the pivots and adjustments that are demanded based
• 1:01:58
  Speaker 2: on the value that they deliver. And I've seen that
• 1:02:01
  Speaker 2: happen in real time. I've I've worked with several pharmacy
• 1:02:05
  Speaker 2: software vendors that immediately responded to the criticism of the
• 1:02:13
  Speaker 2: of the group, you know, and it's the best thing
• 1:02:16
  Speaker 2: in the world. That's free advancement of your product in
• 1:02:22
  Speaker 2: product improvement strategies coming right from your So I always
• 1:02:26
  Speaker 2: welcome criticism. I'm definitely I'm not afraid of it and
• 1:02:31
  Speaker 2: have gotten a lot of it over the years, and
• 1:02:33
  Speaker 2: I'm sure you have as well.
• 1:02:35
  Speaker 13: Well, yeah, you know, you just mentioned something that will
• 1:02:39
  Speaker 13: kind of migrate into what I see is coming down
• 1:02:41
  Speaker 13: the pike that people should watch for at this meeting.
• 1:02:45
  Speaker 13: The core product that Nicolette Matthew has is software as
• 1:02:51
  Speaker 13: a service product.
• 1:02:52
  Speaker 8: She calls it Dottie do O T T I.
• 1:02:55
  Speaker 13: I don't know that that stands for anything or not,
• 1:02:58
  Speaker 13: but it's She builds it as the first customer relationship
• 1:03:03
  Speaker 13: management system for pharmacy. And you know, I've had I've
• 1:03:09
  Speaker 13: been a marketing guy for twenty five years in this profession,
• 1:03:13
  Speaker 13: and I'm a big fan of CRM, and it mystifies
• 1:03:17
  Speaker 13: me that the pharmacy management system vendors haven't included this
• 1:03:23
  Speaker 13: concept into their into their software because you know, as
• 1:03:29
  Speaker 13: pharmacy continues to evolve, marketing is going to become more
• 1:03:36
  Speaker 13: and more important. And when you say marketing, I'm not
• 1:03:38
  Speaker 13: talking about advertising, I'm talking about strategic thinking, targeted, you know, targeted,
• 1:03:43
  Speaker 13: you know, selecting the right people to go after, the
• 1:03:45
  Speaker 13: right message to go after, and just as importantly inverse,
• 1:03:49
  Speaker 13: the right new service to bring into your pharmacy. You know,
• 1:03:52
  Speaker 13: what will your community support? You know, how do you
• 1:03:55
  Speaker 13: reach or identify those people? And this dotty system has
• 1:03:59
  Speaker 13: done that. And the biggest Aha moment I had was
• 1:04:04
  Speaker 13: with Dottie Hrium X and Atrium twenty four the parent
• 1:04:09
  Speaker 13: company is big into compounding they you know, so that's
• 1:04:14
  Speaker 13: the niche market that they're after, and she just completely
• 1:04:18
  Speaker 13: redefines and had to explain it a couple of times.
• 1:04:21
  Speaker 8: You know, we built Dottie to help you with.
• 1:04:24
  Speaker 13: Your customers, and your customers are the prescribers, not your consumers.
• 1:04:31
  Speaker 13: And you know, that's just another turn things upside down
• 1:04:35
  Speaker 13: approach to stuff and figuring out how to get to
• 1:04:38
  Speaker 13: the right doctor with the right message on the right person.
• 1:04:43
  Speaker 13: And you pull that together in this customer relationship management
• 1:04:47
  Speaker 13: system which the pharmacy vendors could do in a New
• 1:04:50
  Speaker 13: York minute. So you know, it's just a fascinating thing.
• 1:04:54
  Speaker 13: And I would predict that the pharmacy vendors are going
• 1:04:58
  Speaker 13: to jump on this cr idea and that will be
• 1:05:03
  Speaker 13: the next new wave and the paradigm shift that I
• 1:05:06
  Speaker 13: have preached to these guys as I've told this all
• 1:05:09
  Speaker 13: the technology company or hey, we do things faster, cheaper,
• 1:05:13
  Speaker 13: we help you save money, but nobody's creating a system
• 1:05:17
  Speaker 13: that brings you profitable new customers. And you know, and
• 1:05:21
  Speaker 13: I think that's a wide open field for some pharmacy
• 1:05:25
  Speaker 13: vendor to create to do that. So that's my two
• 1:05:30
  Speaker 13: cents on that product or subject.
• 1:05:33
  Speaker 5: I agree.
• 1:05:33
  Speaker 2: I think that the pharmacy management system needs to bring
• 1:05:37
  Speaker 2: in a client relationship management, a patient relationship management system.
• 1:05:43
  Speaker 2: And the first sector of our pharmacy industry that took
• 1:05:48
  Speaker 2: advantage and did build a CRM. It don't call it
• 1:05:52
  Speaker 2: CRM by the way, Bruce, they actually call it a
• 1:05:55
  Speaker 2: workflow is in the specialty space. So that auly a
• 1:06:00
  Speaker 2: pharmacists knew that a patient was going to require specific
• 1:06:05
  Speaker 2: things throughout their treatment and they started proactively reacting to it,
• 1:06:09
  Speaker 2: which yep, the patient feel much more trusting of the
• 1:06:13
  Speaker 2: pharmacy tech on the phone or the pharmacist on the phone,
• 1:06:16
  Speaker 2: or a lot of telehealth was being used. Or if
• 1:06:19
  Speaker 2: you did show up at at a pharmacy, which was
• 1:06:21
  Speaker 2: very infrequent in comparison, it's usually with the physician involved,
• 1:06:25
  Speaker 2: there was an opportunity to ask questions and it demystified
• 1:06:29
  Speaker 2: the treatment. And so the future of pharmacy is definitely
• 1:06:34
  Speaker 2: not just the dispensement, and it will involve CRM, and
• 1:06:38
  Speaker 2: it will involve instead of having six hundred prescriptions a
• 1:06:42
  Speaker 2: day times five, you're going to maybe drop down to
• 1:06:46
  Speaker 2: three hundred prescriptions a day, but each of those patients
• 1:06:49
  Speaker 2: are going to be so much more profitable because of
• 1:06:52
  Speaker 2: what you pull out of them when you're doing a
• 1:06:55
  Speaker 2: med review, when you're doing contemption, when you're doing counseling,
• 1:06:58
  Speaker 2: when you're doing nutrition testing, when you're doing all of
• 1:07:02
  Speaker 2: this stuff. That would lead to a bigger profit opportunity
• 1:07:07
  Speaker 2: for individualized medicine and taking advantage of that buzzword that
• 1:07:12
  Speaker 2: they always say, that's precision medicine and personalized medicine. Well,
• 1:07:16
  Speaker 2: stop talking about it and do it. Because the independent
• 1:07:19
  Speaker 2: community pharmacy has every ability to pull those levers and
• 1:07:23
  Speaker 2: put those packages together for people.
• 1:07:26
  Speaker 8: It's a huge opportunity.
• 1:07:27
  Speaker 13: My mind immediately goes to the corollary to the specialty
• 1:07:31
  Speaker 13: pharmacy and all that stuff would be drug nutrient depletion.
• 1:07:35
  Speaker 13: How do you know the idea that when missus Jones
• 1:07:38
  Speaker 13: walks into the pharmacy and picks up her script, that
• 1:07:41
  Speaker 13: the pos is going to pop up and say, ask
• 1:07:43
  Speaker 13: her about coke Q ten.
• 1:07:45
  Speaker 8: The likelihood that.
• 1:07:46
  Speaker 13: She's going to be in the mood and interested to
• 1:07:48
  Speaker 13: talk about coke Q ten at that point is minimal.
• 1:07:52
  Speaker 13: But if you prepped her with text and emails and
• 1:07:56
  Speaker 13: maybe even hard copy mailings, you know, weeks ahead of time,
• 1:08:00
  Speaker 13: I'm say, missus Jones, you know just a couple of
• 1:08:02
  Speaker 13: things that you might expect on this medical.
• 1:08:05
  Speaker 8: Treatment that your your journey is.
• 1:08:08
  Speaker 13: You know, there's depletion, and you know, ask me about
• 1:08:11
  Speaker 13: what that means and what you can do about it,
• 1:08:14
  Speaker 13: or you know, all these we call them ad on
• 1:08:20
  Speaker 13: sor RX to OTC buckling, and that makes it a
• 1:08:24
  Speaker 13: sales thing. But if we're really thinking for the consumer.
• 1:08:28
  Speaker 13: You know, the classic example, you go to the hardware store,
• 1:08:30
  Speaker 13: you're going to paint your bedroom. You buy the paint
• 1:08:33
  Speaker 13: and you buy the brushes. You know, if the clerk
• 1:08:36
  Speaker 13: reminds you you're going to need some blue tape to
• 1:08:39
  Speaker 13: do the edging.
• 1:08:40
  Speaker 8: That's not sales, that's helping.
• 1:08:43
  Speaker 2: Exactly, exactly, exactly, Bruce, You've been talking about this for years.
• 1:08:49
  Speaker 2: I encourage everyone that's listening to this podcast if you
• 1:08:52
  Speaker 2: have not taken advantage of Bruce Nalan's ability to extract
• 1:08:57
  Speaker 2: data and information from subject matter, ex especially some of
• 1:09:01
  Speaker 2: your writings and interviews, shout out to Dispense Times. By
• 1:09:05
  Speaker 2: the way, Bruce will be having an article it will
• 1:09:07
  Speaker 2: be coming out and doing some of that review. I
• 1:09:09
  Speaker 2: also want to give a shout out Bruce to the
• 1:09:12
  Speaker 2: listeners about Pharmacy Crossroads. Once again, the interviews and the
• 1:09:17
  Speaker 2: extraction of intelligence that Bruce has done through Pharmacy Crossroads
• 1:09:22
  Speaker 2: is like no other podcast in the independent pharmacy community space.
• 1:09:26
  Speaker 5: I think this is the best podcast.
• 1:09:28
  Speaker 2: I'm very biased Bruce in the community pharmacy space, but
• 1:09:33
  Speaker 2: just came out with an episode. The title was why
• 1:09:36
  Speaker 2: taking fuller advantage of technology you already own could be
• 1:09:39
  Speaker 2: your most profitable strategy. You've done so many of these
• 1:09:45
  Speaker 2: over the years. We absolutely love working with you on
• 1:09:48
  Speaker 2: Pharmacy Crossroads.
• 1:09:49
  Speaker 5: But yeah, you have.
• 1:09:51
  Speaker 2: Any ideas of anything coming up on Pharmacy Crossroads you
• 1:09:54
  Speaker 2: want to share.
• 1:09:55
  Speaker 13: I'm hoping to get a testing company retail take home
• 1:10:03
  Speaker 13: test kits, and we're talking about how we can turn
• 1:10:07
  Speaker 13: a pharmacy into a headquarters for testing issues and coupling
• 1:10:14
  Speaker 13: it with special orders so you don't need to stock them.
• 1:10:17
  Speaker 13: You need to advise people have conversations. You order them
• 1:10:21
  Speaker 13: and you get them from your wholesaler and person can
• 1:10:23
  Speaker 13: come in and pick them up tomorrow year deliver them.
• 1:10:26
  Speaker 13: So it'll be fascinating. Cross my fingers that I may
• 1:10:29
  Speaker 13: get this guy to pull the trigger. I'm in love
• 1:10:32
  Speaker 13: with the subject.
• 1:10:34
  Speaker 2: All right, Bruce Nalan Pharmacy Crossroads, thanks so much.
• 1:10:38
  Speaker 5: For being on twerks. We appreciate you.
• 1:10:40
  Speaker 8: Yep, take care of