Latest / Pharmacy Podcast Network / NOW, NEW, NEXT: NACDS TSE 2025 | Live Recap Part Two
Transcript
- 0:07Speaker 1: You are listening to the Pharmacy Podcast Network.
- 0:26Speaker 2: Welcome to the Pharmacy Podcast Network special coverage of the
- 0:29Speaker 2: NACDS Total Store Expo, the largest gathering of retailers and
- 0:34Speaker 2: suppliers in the health and wellness industry. This year, the
- 0:37Speaker 2: PPN partnered with key source in Nimble RX and interviewed
- 0:40Speaker 2: key leaders in retail pharmacy and the impact they're making
- 0:43Speaker 2: on public health. Here's part two of our podcast coverage
- 0:47Speaker 2: of the Total Store Expo twenty twenty five from Sunny
- 0:49Speaker 2: San Diego.
- 0:50Speaker 1: I ran into Scott von Dullan from nimb Rx here
- 0:55Speaker 1: at the NACDS twenty twenty five. Scott is so good
- 0:58Speaker 1: to see you here, Todd, It's all the pleasure.
- 1:00Speaker 3: Great to be here, great to be seen.
- 1:02Speaker 1: A shout out to Nimble RX for being a sponsor
- 1:06Speaker 1: of the NYCDS Total Store Expoke coverage. But there are
- 1:11Speaker 1: people that are listening to this podcast series right now
- 1:14Speaker 1: who might not know what Nimble's doing, and you're doing
- 1:17Speaker 1: a lot, so I want you to give our listeners
- 1:19Speaker 1: an overview of how Nimble is impacting pharmacy profitability.
- 1:25Speaker 3: My pleasure.
- 1:26Speaker 4: We are impacting profitability by what we call experience payments.
- 1:31Speaker 4: So when a pharmacy utilizes nimble rx's software with their
- 1:34Speaker 4: patients and patients check out with our mobile checkout solution,
- 1:39Speaker 4: we share that profit back to the store and the
- 1:41Speaker 4: form of a monthly.
- 1:42Speaker 1: Check And this is encouraging e commerce within the pharmacy
- 1:49Speaker 1: or is it everything from prescription payment?
- 1:52Speaker 4: The trigger for the experience payment is the actual checkout functionality. Okay,
- 1:57Speaker 4: We do offer an OTC component if pharmacies want participate,
- 2:00Speaker 4: where they can list OTC products that they sell in
- 2:03Speaker 4: store on the platform that patients can add increasing the
- 2:07Speaker 4: basket size.
- 2:08Speaker 1: So when someone is in a specific area Pittsburgh, Pennsylvania,
- 2:16Speaker 1: and they have a pharmacy and they are looking for things,
- 2:20Speaker 1: does this do like a geo fencing aspect to this
- 2:23Speaker 1: too good question.
- 2:25Speaker 4: We are not recruiting today, We're not recruiting new patients
- 2:29Speaker 4: from a marketing standpoint, you know, geofencing social media. What
- 2:33Speaker 4: we are doing is accessing the current patient population through
- 2:36Speaker 4: a direct API integration with the pharmacy management system, so
- 2:40Speaker 4: whether that's Pioneer Liberty, et cetera, and then sending messages
- 2:44Speaker 4: to the patients for will callbin meaning your prescription is
- 2:47Speaker 4: ready to be picked up.
- 2:48Speaker 3: You can pay now, have it delivered or pick it up.
- 2:51Speaker 4: And then we do refill reminders, so before the prescription
- 2:54Speaker 4: has been refilled and it's you know, a couple of
- 2:56Speaker 4: days out for being ready to be refilled, we send
- 2:59Speaker 4: those messages to patients as well, so there's two primary
- 3:01Speaker 4: communications as they're going through that checkout process. We list
- 3:06Speaker 4: OTC products there in the shopping experience. Okay, we are
- 3:10Speaker 4: looking into ways though to your question, because it's a
- 3:12Speaker 4: great one of how could we possibly recruit new patients
- 3:16Speaker 4: through online advertisements as well?
- 3:18Speaker 1: So if I have a specific medication I'm taking, does
- 3:22Speaker 1: Nimble also surround it with some ancillarias that kind of
- 3:26Speaker 1: complement that.
- 3:27Speaker 4: We are building out right now an NDC matching NDC
- 3:31Speaker 4: to OTC productses selection. It's not live yet, it's in
- 3:36Speaker 4: the sandbox, so should be out in twenty twenty six.
- 3:40Speaker 1: And then we're here at NACDS. So what's the dynamic
- 3:43Speaker 1: difference between I have thirty pharmacies that I'm operating versus one?
- 3:48Speaker 1: Is there an advantage to leveraging Nimbo RX within my empire,
- 3:55Speaker 1: within the growth of my pharmacy.
- 3:58Speaker 4: There is definitely differences as that you know, listeners are
- 4:02Speaker 4: aware between a one store owner, a five store owner,
- 4:05Speaker 4: a ten store owner, one hundred store owner. A lot
- 4:08Speaker 4: of the groups here run very much more like small corporations,
- 4:12Speaker 4: and you know, can can execute quickly. From an operational standpoint,
- 4:18Speaker 4: I think there are advantages that if you know you
- 4:20Speaker 4: have a large group of stores, let's just say one
- 4:22Speaker 4: hundred store group like that would be represented here. As
- 4:26Speaker 4: long as we have all of our ducks in a row,
- 4:27Speaker 4: we can turn it on at all the stores almost simultaneously. Okay,
- 4:30Speaker 4: so then the you know, the adoption immediately goes up.
- 4:34Speaker 3: You don't have this slow rollout.
- 4:35Speaker 4: We can also do a slow rollout, but the ability
- 4:39Speaker 4: to turn it on quickly to one hundred store group,
- 4:41Speaker 4: fifty store group and start making money immediately day one.
- 4:46Speaker 1: So take us through the Take the listener through how
- 4:48Speaker 1: they would enroll I have, let's say I'm a small chain,
- 4:52Speaker 1: I have ten pharmacies in a community. Talk to me
- 4:55Speaker 1: about the rollout.
- 4:56Speaker 3: How it work.
- 4:58Speaker 4: So generally we like to do we like to start
- 5:00Speaker 4: with one store just to get everyone on the same page.
- 5:03Speaker 4: Gives the owner confidence that hey, it's doing exactly what
- 5:06Speaker 4: we said it was going to do. We know that
- 5:08Speaker 4: we actually now start with messaging. We have two way
- 5:11Speaker 4: messaging that we start the pharmacies with, so it's you know,
- 5:15Speaker 4: it's a hip a compliant messaging platform. There's less of
- 5:18Speaker 4: an interruption to the workflow. And we start with messaging,
- 5:20Speaker 4: we get a high level of patient participation and adoption,
- 5:23Speaker 4: and then we slowly and organically roll over into the
- 5:26Speaker 4: we'll call bin and then the checkout. So we'll start
- 5:29Speaker 4: with one store, iron out any of the creases, so
- 5:32Speaker 4: to speak. Every staff is different, right, and we want
- 5:35Speaker 4: the staff to be confident, to be trained.
- 5:37Speaker 3: We go through that implementation.
- 5:39Speaker 4: Process at the first store, make sure everything's solid, all
- 5:42Speaker 4: questions are answered, and then we roll out accordingly at
- 5:44Speaker 4: the other nine stores, and we'll do them usually in
- 5:46Speaker 4: batches of five, three or five depending on the size
- 5:50Speaker 4: of the group. Where the next you know, the next week,
- 5:53Speaker 4: we'll launch three in the same day, and then the
- 5:55Speaker 4: next week we'll launch three more and then until it's
- 5:58Speaker 4: until it's finished.
- 5:59Speaker 1: So talk to us about reporting too, and what we're
- 6:02Speaker 1: able to what metrics were able to collect month to.
- 6:05Speaker 4: Month, So reporting just on like the number of checkouts, yep, Yeah,
- 6:11Speaker 4: we can provide those numbers, they can actually see them
- 6:13Speaker 4: in the dashboard. How many checkouts they've had month over month,
- 6:16Speaker 4: it's all, it's all right there. How many prescriptions, what
- 6:20Speaker 4: the monetary value is to them in terms of the
- 6:22Speaker 4: form of the check they're going to get. How much
- 6:23Speaker 4: of their money was actually processed through Nimble because we
- 6:27Speaker 4: have our own merchants provider, we use Stripe for credit
- 6:31Speaker 4: card processing purposes, and so obviously giving them visibility and
- 6:35Speaker 4: transparency into how much money we've processed for them that
- 6:37Speaker 4: then we're also putting back into their account a daily basis.
- 6:41Speaker 1: So this is so interesting because I've been following Nimble
- 6:44Speaker 1: for quite some time, and every time I turn around,
- 6:47Speaker 1: I'm seeing more and more obviously pharmacies enrolling and engaging.
- 6:52Speaker 1: What is the suite spot? Where where are we seeing
- 6:55Speaker 1: increase in revenue or ease back to the back to
- 6:59Speaker 1: the patient, back to the user. What's kind of like
- 7:02Speaker 1: the winner circle a celebration message, like what is it
- 7:10Speaker 1: that our pharmacy operators are noticing about Nimble RX, you know,
- 7:15Speaker 1: after starting to use it.
- 7:17Speaker 3: I love this question.
- 7:18Speaker 4: I think the first the first round of winning, I
- 7:22Speaker 4: think is the patient experience, because when the patient gets
- 7:25Speaker 4: the message and goes through the checkout. It's so smooth,
- 7:28Speaker 4: it's intuitive, it's and they love it. In fact, some
- 7:32Speaker 4: of the partnerships that we've gotten over the last year
- 7:34Speaker 4: through the industry GPO partnerships, channel partnerships have occurred because
- 7:38Speaker 4: somebody on their executive team got a message from Nimble
- 7:41Speaker 4: and went through the patient experience and said, wait a second,
- 7:43Speaker 4: we've talked to Nimble, but I just used it and
- 7:45Speaker 4: it's amazing. On the on the flip side of that,
- 7:50Speaker 4: the staff buy in comes when we get fifteen to
- 7:53Speaker 4: twenty percent adoption in a given patient population, because the
- 7:56Speaker 4: workflow starts to transition, things start to smoothen out. There's
- 7:59Speaker 4: less phone calls coming into the pharmacy, happier patients, with
- 8:04Speaker 4: less friction at in store checkout because they're not waiting
- 8:07Speaker 4: in the line to pay right it's come in. They
- 8:09Speaker 4: can grab a bag out of the separate A lot
- 8:12Speaker 4: of our stores set up a completely separate Nimble line
- 8:14Speaker 4: where they can just come straight up, get their stuff
- 8:16Speaker 4: and go.
- 8:17Speaker 3: And so when.
- 8:18Speaker 4: That transition in the workflow takes place at that level
- 8:21Speaker 4: of adoption, the staff buy in is immediate and they say,
- 8:26Speaker 4: how did we do this before using Nimble and as
- 8:30Speaker 4: one of our clients here I won't name names, but
- 8:32Speaker 4: they call it nimbolizing patients.
- 8:34Speaker 1: And that's a.
- 8:35Speaker 4: Fun, fun term that a client just gave us today,
- 8:37Speaker 4: nimbolizing patients.
- 8:39Speaker 1: That's incredible. So getting I mean, we live on our
- 8:43Speaker 1: phones and I do everything on our phone from from
- 8:46Speaker 1: work to you know, obviously personal social media. So living
- 8:51Speaker 1: on our phones, you're meeting the patient. You're meeting people
- 8:54Speaker 1: where they're used to commerce, used to checking out, used
- 8:58Speaker 1: to online banking. Is is this an app on their
- 9:02Speaker 1: phone or is it just seamless into their text messages?
- 9:05Speaker 3: So it's either.
- 9:08Speaker 4: I think listeners would probably agree or understand that the
- 9:13Speaker 4: adoption of an app is tough. You know, I think
- 9:15Speaker 4: the whole salers of all tried apps at different points
- 9:17Speaker 4: in time and getting that download number, you know, to
- 9:21Speaker 4: where they want it, it's really tough. So the checkout,
- 9:24Speaker 4: when you get the text message, hey, you have a
- 9:26Speaker 4: message from Todd's Pharmacy, you click on that. It's in
- 9:29Speaker 4: the SMS that will open up your web browser Google
- 9:32Speaker 4: Chrome in ANET explorer and you can go through the
- 9:35Speaker 4: HIPPA compliant checkout process, right there if you want to
- 9:40Speaker 4: download the Nimble app, and we have an amazing app.
- 9:42Speaker 4: It's one of the highest in healthcare on the Apple Store.
- 9:45Speaker 4: It has like fifty thousand and five star reviews. You
- 9:49Speaker 4: can download the app. There's definitely a more robust experience
- 9:53Speaker 4: to the patient if you want to download the app.
- 9:55Speaker 4: There's other tools there. There's a patient information education, There's
- 9:58Speaker 4: all sorts of things in the app. You do not
- 10:00Speaker 4: have to download an app to go through the checkout experience.
- 10:03Speaker 1: As I'm listening to you, Scott, and I'm knowing what
- 10:06Speaker 1: little I know, and i keep learning more about nimbo
- 10:10Speaker 1: or x, I'm thinking of long term care at home,
- 10:13Speaker 1: and I'm thinking of the expansion of people being able
- 10:16Speaker 1: to do a telehealth engagement. I already have my prescription
- 10:23Speaker 1: sent in for my physician. Now I'm at home, and
- 10:26Speaker 1: I can pay for things without ever stepping into the
- 10:29Speaker 1: store and then get the delivery to my home based
- 10:32Speaker 1: on whatever that pharmacy sets up that ecosystem that I
- 10:37Speaker 1: just described, is there also another component to this that
- 10:40Speaker 1: ties into delivery.
- 10:43Speaker 4: So I think eighty percent is the number of independent
- 10:47Speaker 4: pharmacies that offer delivery.
- 10:48Speaker 3: So it's really high.
- 10:49Speaker 4: A lot of those stores only do ten deliveries a
- 10:51Speaker 4: day fifteen, but some of them do hundreds, you.
- 10:56Speaker 3: Know, the stores that do a lot of delivery.
- 11:00Speaker 4: The transitional workflow with utilizing Nimble is huge in a
- 11:04Speaker 4: very positive way. I don't know if I'm answering your
- 11:09Speaker 4: question though, the one thing. Did I answer your question?
- 11:13Speaker 4: I'm not sure it does.
- 11:14Speaker 1: Yeah, because my next question is a follow up to that,
- 11:16Speaker 1: and that is, if I have a delivery driver who
- 11:19Speaker 1: works for me, and he shows up at the home,
- 11:23Speaker 1: he may have a device himself, whereas in this case
- 11:27Speaker 1: with Nimble, he could just say, hey, you're going to
- 11:30Speaker 1: get a text from us. Just go through the prompts
- 11:33Speaker 1: to have this paid, or it might maybe it comes
- 11:35Speaker 1: to them before the driver gets there. But now they're
- 11:38Speaker 1: able to pay for their prescription, pay for their products,
- 11:41Speaker 1: and now there's a delivery that shows up that's already
- 11:45Speaker 1: paid for. I would think that that would be probably
- 11:48Speaker 1: what pharmacies want because then they're insured to get their
- 11:51Speaker 1: money before they drop off the prescription.
- 11:54Speaker 4: Correct and it helps out with some compliance issues too.
- 11:56Speaker 4: So one of the cool things with Nimble is there's
- 11:59Speaker 4: one hundred percent signature capture on every single order, which
- 12:01Speaker 4: they have to have for auditing purposes. Right, these pharmacies
- 12:03Speaker 4: can get in big trouble if they get audited. They
- 12:05Speaker 4: don't have a signature.
- 12:06Speaker 3: So you have to.
- 12:07Speaker 4: Sign a full autograph on every checkout, which is great,
- 12:12Speaker 4: and we force that back into the pharmacy management system
- 12:14Speaker 4: so it's there if they need it. And then also
- 12:17Speaker 4: from a compliance standpoint that they're not asking for a
- 12:19Speaker 4: payment at the door, right, there's some issues we don't
- 12:22Speaker 4: need to go in the weeds on that, but asking
- 12:24Speaker 4: for a card at the door. Even some other horror
- 12:27Speaker 4: stories where there's still stores out there that are writing
- 12:29Speaker 4: the credit card down on a post it note and
- 12:32Speaker 4: they're putting it behind the cast register. So when missus
- 12:35Speaker 4: Jones calls next you next week for whatever, they can
- 12:37Speaker 4: just run the card again because the credit card of
- 12:40Speaker 4: course is saved you know, safely in the application. So yeah,
- 12:46Speaker 4: from that standpoint, the stores love it. It really helps
- 12:49Speaker 4: out on multiple fronts.
- 12:50Speaker 1: How are we communicating, How are pharmacies communicating to patients,
- 12:55Speaker 1: to people, to their clients that this is available to them.
- 12:59Speaker 4: So the nice thing is because we've got that direct
- 13:02Speaker 4: API integration into you know, Pioneer as an example, from
- 13:05Speaker 4: day one, we can we have a conversation during the
- 13:08Speaker 4: onboarding process with an owner. How do we want to
- 13:11Speaker 4: start with the patient population? We want to just go ahead.
- 13:13Speaker 4: We call it tagging. Tagging a patient meaning that they're
- 13:16Speaker 4: going to be in the bucket of getting a communication
- 13:19Speaker 4: from Nimble from day one. So we can do a
- 13:21Speaker 4: slow rollout of a couple hundred patients you know, day
- 13:24Speaker 4: one and a couple hundred to following month, et cetera.
- 13:26Speaker 4: Or we can just go gangbusters and tag everyone that
- 13:30Speaker 4: qualifies for Nimble and send them a message and come
- 13:33Speaker 4: out of the gates.
- 13:34Speaker 1: And is this everything that is sellable through the pharmacy
- 13:39Speaker 1: or is it specifically prescriptions over the counter and other
- 13:43Speaker 1: things that they're selling.
- 13:45Speaker 3: Yeah, so mentioned earlier.
- 13:46Speaker 4: The OTC piece is available if the pharmacy wants to
- 13:49Speaker 4: utilize it. Most pharmacies they will. They list for six products,
- 13:53Speaker 4: you know, seasonal things, right, they can change them anytime
- 13:57Speaker 4: they want. But the main message going out or for
- 14:00Speaker 4: the prescriptions and the other exciting thing I'll tell you
- 14:03Speaker 4: real quickly is our two way messaging that I mentioned earlier.
- 14:08Speaker 4: We found out through our research and the you know,
- 14:11Speaker 4: tens of millions of messages that we've already had come
- 14:13Speaker 4: across our platform with pharmacies between pharmacists and patients is
- 14:18Speaker 4: the most popular question is when they call the sorry
- 14:22Speaker 4: over the messaging. The most popular question, and this will
- 14:24Speaker 4: come there's no surprise to your listeners is are you open?
- 14:28Speaker 4: And so that's number one. The second is is my
- 14:32Speaker 4: prescription ready? And the third is what are your hours
- 14:34Speaker 4: of operation? Or when do you close today? And so
- 14:38Speaker 4: through our two way messaging, we are now opening AI
- 14:42Speaker 4: to answer all of those basic questions. But I tread
- 14:46Speaker 4: lightly here because we've had lots of conversations with the
- 14:51Speaker 4: super users of Nimble and members of our advisory board.
- 14:54Speaker 4: We are going to put in our currently putting guardrails
- 14:57Speaker 4: in place to make sure that we don't get clinical
- 14:59Speaker 4: on the AI I piece that if a question comes
- 15:01Speaker 4: up that definitely needs a staff member or pharmacist intervention,
- 15:05Speaker 4: we alert them immediately so they can then take over
- 15:07Speaker 4: the conversation and the AI won't touch it. But the
- 15:10Speaker 4: AI can answer ninety five percent of the questions that
- 15:13Speaker 4: they're either calling into the pharmacy for traditionally over the messaging,
- 15:18Speaker 4: which is awesome because it's just going to help streamline
- 15:22Speaker 4: another piece of the workflow, you know, reducing phone calls,
- 15:24Speaker 4: answering those messages. It just runs immediately and in real
- 15:27Speaker 4: time in the background. So we're really excited about that.
- 15:30Speaker 1: Well, we're excited to be working with nimbar X. We're
- 15:32Speaker 1: going to have a new three part series. It's going
- 15:34Speaker 1: to be coming out from the team. We're going to
- 15:36Speaker 1: dig into some of the users and they're going to
- 15:39Speaker 1: talk through it from pharmacy owner to pharmacy owner. What
- 15:44Speaker 1: else do you want to share with our listeners that
- 15:46Speaker 1: are listening into the nacd IS show.
- 15:48Speaker 3: Well, I'm just happy to be here.
- 15:50Speaker 4: We're happy to support independent community and chain you know,
- 15:53Speaker 4: small regional chain pharmacies.
- 15:56Speaker 3: So, you know, we know so many people here. I know,
- 15:58Speaker 3: you know probably.
- 15:58Speaker 4: Everybody, but you know, working for a company like Nimble
- 16:02Speaker 4: and being a part of helping support the mission of
- 16:04Speaker 4: independent pharmacies, which I think, ultimately, and I'm not a
- 16:07Speaker 4: pharmacy owner, is to do the best that they can
- 16:09Speaker 4: do to take care of the health and wellness of
- 16:12Speaker 4: their patients and the communities that they reside in. And
- 16:16Speaker 4: having a tool like Nimble that streamlines their workflow that
- 16:20Speaker 4: hopefully you know, I know for a fact, freeze up
- 16:22Speaker 4: time to give these independent pharmacy owners. And one of
- 16:25Speaker 4: the things that we talk about with our advisory board
- 16:28Speaker 4: is giving them, you know, the time that they need
- 16:30Speaker 4: to work on the business and not in the business.
- 16:34Speaker 4: And I think, I think Nimble's a wonderful technology.
- 16:38Speaker 3: And if you don't have Nimble yet, please contact us.
- 16:41Speaker 1: We're going to find that the website is nimblearx dot com.
- 16:44Speaker 4: It is nimblearx dot com and I'm Scott at nimblearx
- 16:49Speaker 4: dot com, so you can email me there as well.
- 16:52Speaker 1: Excellent. Well, like I said, listeners, be on the lookout.
- 16:55Speaker 1: We're going to be tuning in deeper into these conversations
- 16:59Speaker 1: and unpacking more of the Nimbo rx advantages. And Scott,
- 17:03Speaker 1: thank you so much for helping us be here at
- 17:05Speaker 1: the NACDS Total Store X.
- 17:06Speaker 3: But Todd, thank you for having me. It's a pleasure,
- 17:08Speaker 3: Thank you having.
- 17:16Speaker 5: Hey.
- 17:16Speaker 6: This is Chris Silevitch with Flavor RX and Filmmaster and
- 17:19Speaker 6: we're here at tse A ACDs and San Diego.
- 17:27Speaker 1: Hey, Chris, it's so good to see you. How are you.
- 17:29Speaker 5: I'm doing great, How are you?
- 17:31Speaker 1: Very good? Flavor RX. I remember when I first learned
- 17:36Speaker 1: about you. It has to be it's more than ten years,
- 17:41Speaker 1: and because it's making me fooled, but your organization has
- 17:46Speaker 1: come so far and you've been a major part of that.
- 17:50Speaker 1: What's been going on to Flavor RX.
- 17:52Speaker 6: Well, it's actually we just had our thirtieth anniversary, Michael.
- 17:54Speaker 6: I don't feel really old. I've been there for almost
- 17:58Speaker 6: twenty five of those years. So thinking back and actually
- 18:01Speaker 6: hearing the presentations this week about how much the industry
- 18:04Speaker 6: has evolved. And when we started, we were using droppers
- 18:07Speaker 6: to count drops of strawberry and bubblegum flavor and using
- 18:10Speaker 6: a paper recipe book, you know, doing formulations by hand.
- 18:14Speaker 5: So fast forward to today. The whole thing is automated.
- 18:18Speaker 6: You scan the barcode of an NDC and let our
- 18:20Speaker 6: machine reconstitute with purified water as well as customizing the taste.
- 18:25Speaker 1: That's incredible. I know I've seen the device. It doesn't
- 18:29Speaker 1: have a huge footprint in is that the main dispenser
- 18:34Speaker 1: system that I see? And I think you have one
- 18:36Speaker 1: over at the booth too, right.
- 18:37Speaker 5: Yep, we're over at a booth thirty two sixteen.
- 18:40Speaker 6: The dispenser's actually formatted to fit on an end cap,
- 18:43Speaker 6: so it's no more than twenty inches wide, it's got
- 18:46Speaker 6: six inches deep compatible with uniweb shelving, so it fits
- 18:50Speaker 6: perfectly in one of their trays. And yeah, that's pretty
- 18:53Speaker 6: much the standard for what most of our top customers
- 18:56Speaker 6: are using today.
- 18:57Speaker 1: So where's the growth right now for Flavor of OURX
- 19:00Speaker 1: is it? Are you announcing these types of things to
- 19:04Speaker 1: pharmacists that get into these specialities like I think of pediatrics,
- 19:10Speaker 1: or I think of senior care or something. Do you
- 19:13Speaker 1: go and start building those verticals or is it still
- 19:18Speaker 1: primarily like our chain pharmacies.
- 19:20Speaker 6: Now it's actually go in a few different directions with
- 19:22Speaker 6: that question. But for our existing customers, what we're trying
- 19:25Speaker 6: to do is make it easier. Not just automating the
- 19:28Speaker 6: task of making flavoring effortless and zero seconds on your
- 19:32Speaker 6: dispensing workflow, we're also trying to automate the ask and
- 19:35Speaker 6: so using technology through different partners, Pioneer RX now their
- 19:39Speaker 6: members can have a text message automatically sent to mom
- 19:42Speaker 6: and dad saying your Maxiscillin's ready for pickup and you
- 19:46Speaker 6: can have your medication flavored for whatever that price.
- 19:48Speaker 5: Point might be.
- 19:50Speaker 6: So that's one of the things we're trying to help
- 19:52Speaker 6: our existing customers with.
- 19:53Speaker 5: But also this year, more than.
- 19:55Speaker 6: I can remember in the past few years, with so
- 19:58Speaker 6: many store closures from some of the nast chains, independence
- 20:01Speaker 6: have a great opportunity to attract that next generation of
- 20:05Speaker 6: new shoppers. And pediatrics and acute care is often overlooked
- 20:09Speaker 6: because it might not be the most high dollar rate away.
- 20:12Speaker 5: But if you can use that as a hook to.
- 20:14Speaker 6: Get the customers in and offer a service to make
- 20:16Speaker 6: medicine time less stressful, we think you got a great
- 20:18Speaker 6: chance to keep that customer sticky for the next you know,
- 20:20Speaker 6: twenty years to come.
- 20:22Speaker 1: What about the world of the cash based pet meds.
- 20:27Speaker 1: Do you guys get into flavoring of pet meds at all?
- 20:30Speaker 6: Yeah, we've got some savory flavors, grilled tuna, red angus beef.
- 20:34Speaker 6: Back in the early days, if you left your coffee
- 20:36Speaker 6: at your desk unattended, you might come back with a
- 20:38Speaker 6: couple drops of some vet flavors in there to wake
- 20:41Speaker 6: you up. But not as many pharmacies are in the
- 20:46Speaker 6: dispensing or flavoring or compounding. I think the compounding regulations
- 20:49Speaker 6: have kind of shifted that business and there's been quite
- 20:52Speaker 6: an uptick of the one eight hundred pet meds and
- 20:54Speaker 6: chewies out there, to be honest, but there are certainly
- 20:57Speaker 6: some compounding pharmacies that do a tremendous amount of business
- 21:00Speaker 6: and you know, use our flavors to make those pet
- 21:03Speaker 6: meds a little more palatable.
- 21:04Speaker 1: So I do think of compounding a lot. So that
- 21:08Speaker 1: would be a perfect addition to a compounding pharmacy when
- 21:11Speaker 1: they're dealing with especially compound that they're really going after
- 21:16Speaker 1: a certain demographic and announcing that they could be flavored.
- 21:19Speaker 6: Yeah, I'll also use that as an opportunity to segue.
- 21:22Speaker 5: We are really.
- 21:24Speaker 6: Trying to educate our customers across the country. After the
- 21:27Speaker 6: last few years of you know, USP seven ninety five
- 21:30Speaker 6: and kind of where flavoring stands in that conversation, forty
- 21:34Speaker 6: eight out of the fifty states have now written through
- 21:37Speaker 6: the Board of Pharmacy some policies that have separated flavoring
- 21:41Speaker 6: out from those regulations. We're still facing some challenges in
- 21:44Speaker 6: California and Washington State, but the other forty eight states
- 21:47Speaker 6: there's some confusion out there of whether you know this
- 21:50Speaker 6: complies or not. You can absolutely still flavor if you
- 21:53Speaker 6: have any questions, you can go to the flavor x
- 21:55Speaker 6: dot com website and we have a chart which will
- 21:57Speaker 6: show you state by state exactly what the language looks like.
- 22:00Speaker 1: It's excellent. What else like being here at ANACDS A
- 22:04Speaker 1: little bit different pace? All business? Really, I heard a
- 22:08Speaker 1: couple people kind of reviewing some clinical but this is
- 22:11Speaker 1: more about Hey, this is like new markets, this is
- 22:14Speaker 1: new business, this is new products and services. Why do
- 22:18Speaker 1: you guys come to an ACDs.
- 22:20Speaker 6: Well, I mean just you can't have a better opportunity
- 22:22Speaker 6: to visit with I think we had forty total combined
- 22:26Speaker 6: meetings over the course of three days, so I mean
- 22:28Speaker 6: the value of that making that impact and really, you know,
- 22:31Speaker 6: it's one thing to go there and do a business
- 22:33Speaker 6: review face to face, but in this environment, not only
- 22:35Speaker 6: do you get to see folks on the dance on
- 22:37Speaker 6: the dance floor, well that's where I was going on
- 22:39Speaker 6: the trade show for and maybe on the dance floor,
- 22:41Speaker 6: and you know, I have a couple.
- 22:42Speaker 1: Of chants for tonight. We were going to party tonight
- 22:45Speaker 1: at any CDs.
- 22:46Speaker 5: Yeah, and counting crows should be a fun one.
- 22:48Speaker 1: Yeah, I know that's actually true. I haven't seen or
- 22:50Speaker 1: heard counting Crows since my I think late college days.
- 22:55Speaker 5: Yeah, well, let's.
- 22:55Speaker 6: Hope they go back and play some of the nineties
- 22:57Speaker 6: hits because I haven't heard too much of the new
- 22:59Speaker 6: starf but I'm sure it's all great.
- 23:02Speaker 1: Chris. This has been wonderful to catch up with you.
- 23:04Speaker 1: I always like watching how you guys are doing and
- 23:07Speaker 1: growing and assisting independent community pharmacies, our chain pharmacies to
- 23:12Speaker 1: really stand out.
- 23:13Speaker 6: So yeah, one last thing I would like to mention
- 23:16Speaker 6: for customers even that aren't flavoring the film master side
- 23:19Speaker 6: of our business. We now service about twenty three thousand
- 23:22Speaker 6: pharmacies where we're maintaining the water quality that's.
- 23:25Speaker 5: In their stores.
- 23:26Speaker 6: So even if there's pharmacies out there that may not
- 23:28Speaker 6: be dipping their toe and providing the flavoring service, our
- 23:32Speaker 6: automation will just reconstitute effortlessly, and our technicians use a
- 23:36Speaker 6: white glove to come in and we change out the.
- 23:38Speaker 5: Filters every year.
- 23:40Speaker 6: So that's a great opportunity for folks that you just
- 23:42Speaker 6: want to get more efficient with reconstitution.
- 23:45Speaker 1: Yeah, and I think of that being in compounding pharmacies too.
- 23:49Speaker 3: Yep.
- 23:49Speaker 1: Absolutely all right, Chris, thank you so much for being
- 23:52Speaker 1: part of the show.
- 23:53Speaker 5: YEP, always a pleasure, Todd.
- 23:54Speaker 7: Thanks, Hi, This is Sarah Rozac. I'm senior vice president
- 24:05Speaker 7: of Health and Wellness Strategy and Policy with NACDS, and separately,
- 24:10Speaker 7: I serve as the president of the NACBS Foundation.
- 24:18Speaker 1: Hey, Sarah, welcome to the show. How are you.
- 24:20Speaker 7: I'm doing great.
- 24:22Speaker 1: Great to be back here at NACDS Total Store Expo
- 24:25Speaker 1: twenty twenty five, San Diego. It's a little hard for
- 24:29Speaker 1: US East Coasters, but I'm already time adjusted. I got here.
- 24:35Speaker 1: What is today Monday? I think I got here Thursday
- 24:39Speaker 1: Friday and got adjusted pretty quickly. But what part of
- 24:43Speaker 1: what part of the country are you in?
- 24:45Speaker 7: I'm right outside of Washington, d C in northern Virginia.
- 24:49Speaker 7: Thanks so much for having me on.
- 24:51Speaker 1: Absolutely so, Total Storexpo for US is pretty special because
- 24:56Speaker 1: it's very business intensive. It's the innovation of our chain industry.
- 25:01Speaker 1: But what I want to talk about and what I
- 25:02Speaker 1: want our listeners to understand is the foundation and how
- 25:06Speaker 1: that's really part of the ecosystem of the NACDS. So
- 25:10Speaker 1: please please share a little bit about that.
- 25:13Speaker 7: Absolutely so. The NACDS Foundation is a five oh one
- 25:17Speaker 7: c three nonprofit that is separate from, but affiliated with NACDS,
- 25:22Speaker 7: and we're really focused on cultivating innovation and care. It
- 25:26Speaker 7: means that we're the engine that enables experts to advance
- 25:30Speaker 7: public health and our presence at TSEC is a fairly
- 25:34Speaker 7: new one. A couple of years back, we moved our
- 25:37Speaker 7: annual fundraiser, our annual dinner to be held at the
- 25:42Speaker 7: Total Store expos So we were thrilled on Saturday night
- 25:46Speaker 7: to have our twenty seventh annual Foundation dinner.
- 25:49Speaker 1: Congratulations, thank you. So what's happening in the foundation. What
- 25:54Speaker 1: sort of programs are you concentrating on? The Foundation helps
- 26:00Speaker 1: to helps to get out there.
- 26:02Speaker 7: Sure, so we're seeing growing momentum around the role that
- 26:06Speaker 7: pharmacies are providing in offering localized care. And the Foundation
- 26:12Speaker 7: is first supporting academic institutions who are updating curricula to
- 26:19Speaker 7: reflect the expanding paradigm. We're also working with academic institutions
- 26:23Speaker 7: on mentorship programs and offering scholarships. And we support research
- 26:30Speaker 7: too that's defining the pathway to achieve ideal health outcomes.
- 26:36Speaker 7: And we contract with various schools and colleges of pharmacy
- 26:42Speaker 7: and they serve as principal investigators and execute that research
- 26:46Speaker 7: for us.
- 26:47Speaker 1: So how long have you been in the healthcare industry
- 26:50Speaker 1: at healthcare space?
- 26:52Speaker 7: Oh gosh, well, I've been at ANACBS and the Foundation
- 26:55Speaker 7: about eleven years now. I've been in these roles, serving
- 27:01Speaker 7: as the president of the Foundation since the middle of
- 27:04Speaker 7: twenty twenty one. But it's definitely been an evolution. I mean,
- 27:08Speaker 7: before I came to an ACDs, I worked in public
- 27:13Speaker 7: health more broadly, thinking about how health departments and pharmacies
- 27:18Speaker 7: can collaborate during emergency responses. And that was back in
- 27:23Speaker 7: the days of the H one N one pandemic.
- 27:26Speaker 1: Oh my goodness.
- 27:27Speaker 7: So I actually left that job and came over here
- 27:30Speaker 7: thinking that I wanted to do broader things beyond pandemics,
- 27:35Speaker 7: and somehow history had something else in mind. But no,
- 27:40Speaker 7: I've loved being in the pharmacy world. In the pharmacy
- 27:45Speaker 7: space is a public health person and seeing the connection
- 27:48Speaker 7: between public health and pharmacy, having aligned aligned in shared goals.
- 27:55Speaker 1: It's so important because there's turbulence in the profect where
- 28:01Speaker 1: a lot of our pharmacies, the chain pharmacies, for example,
- 28:05Speaker 1: write aid with some of their closing of the stores
- 28:09Speaker 1: in the some of the independence or closing issturs. So
- 28:13Speaker 1: when we have this, when we can strengthen our existing
- 28:18Speaker 1: regional chains and national chains so important because sometimes that's
- 28:22Speaker 1: the only healthcare that a community has. How does the
- 28:26Speaker 1: foundation kind of plug into the future of pharmacy, because
- 28:30Speaker 1: you mentioned some of your scholarships, so talk to us
- 28:33Speaker 1: about that.
- 28:33Speaker 3: A little bit.
- 28:34Speaker 7: Absolutely, so the Foundation is very much focused on innovation
- 28:40Speaker 7: and collaboration with schools and colleges of pharmacy is definitely
- 28:45Speaker 7: at the center of that. And actually at the annual meeting,
- 28:50Speaker 7: we host deans from schools and colleges of pharmacy to
- 28:56Speaker 7: be part of a program with us, and we gave
- 28:59Speaker 7: out ten scholarships earlier this year trying to remember now
- 29:05Speaker 7: with two hundred or two hundred and fifty thousand dollars.
- 29:08Speaker 1: Annual meeting with.
- 29:11Speaker 7: Deans, and then even at our dinner last night, you know,
- 29:16Speaker 7: we raised with folks from the industry. We were able
- 29:20Speaker 7: to raise one point four million dollars this year that
- 29:23Speaker 7: benefits that education and research. And we also at our
- 29:28Speaker 7: annual dinner now include not only deans, but also faculty
- 29:34Speaker 7: and students from partner schools. So we had about ten
- 29:41Speaker 7: schools and Colleges of Pharmacy at.
- 29:42Speaker 1: Our event.
- 29:44Speaker 7: A couple of days ago, who have been at TSC
- 29:47Speaker 7: as well.
- 29:48Speaker 1: This is exciting, so we are very proud to be
- 29:52Speaker 1: here covering the na CDs. It's one of the conferences
- 29:55Speaker 1: we constantly put on our list. We are already talking
- 30:01Speaker 1: about Boston twenty twenty six, so we'll have to make
- 30:06Speaker 1: sure that we follow up with you and learn some
- 30:08Speaker 1: of the progression of your programs. And I love reaching
- 30:12Speaker 1: out to pharmacy students and letting them know that there's
- 30:16Speaker 1: resources they may not even know about. And there's a
- 30:20Speaker 1: tremendous amount of pharmacists that their future will start in
- 30:24Speaker 1: a chain pharmacy environment and then evolve or stay or
- 30:27Speaker 1: do whatever. But it's an important part is this kind
- 30:30Speaker 1: of support. So very excited to have this interview an
- 30:33Speaker 1: opportunity to talk with you, Sarah.
- 30:35Speaker 7: Thank you, thanks so much, appreciate it.
- 30:44Speaker 8: One of the most important missions of the NACDS is
- 30:47Speaker 8: to help reform our current pharmacy benefit manager's impact on
- 30:50Speaker 8: pharmacy care nationwide. The Pharmacy Benefit Manager Reform Act of
- 30:54Speaker 8: twenty twenty five is a direct response to these urgent challenges.
- 30:58Speaker 2: Yes, you're right, the bill require PBMs to open their
- 31:02Speaker 2: networks to any willing pharmacy under fair and relevant contract
- 31:05Speaker 2: terms as determined by the Secretary of Health and Human Services.
- 31:09Speaker 5: This bill would establish.
- 31:11Speaker 2: Powerful transparency requirements, ban spread pricing, a sure fair reimbursement
- 31:16Speaker 2: for pharmacies, and tackle anti competitive practices that drive up
- 31:19Speaker 2: drug costs and limit patient choice.
- 31:22Speaker 8: The legislation also empowers the Centers for Medicare and Medicaid
- 31:25Speaker 8: Services and the Office of Inspector General to enforce these reforms,
- 31:30Speaker 8: ensuring PBMs are held accountable and cannot retaliate against pharmacies
- 31:34Speaker 8: or withhold critical information. And now back to the show.
- 31:37Speaker 1: Pharmacies Incorporated. Brian Hose and Peter Starfest Welcome to the
- 31:43Speaker 1: NACDS Total Store Expo post show podcast series. As excited
- 31:49Speaker 1: to have both of you here. I've known about EPIC
- 31:52Speaker 1: for years. As a matter of fact, when I started
- 31:54Speaker 1: in pharmacy in long term care, I had pharmacies that
- 31:58Speaker 1: were both long term care and community that we're EPIC
- 32:02Speaker 1: clients and customers. That's how I learned from my customers.
- 32:06Speaker 1: But introduce yourselves, and I want to I have some
- 32:09Speaker 1: questions for you about the evolution of Epic certainly so.
- 32:14Speaker 9: I'm Pete Starfus. I'm the vice president of Contracts and
- 32:17Speaker 9: Trade Relations for Epic. I've been with Epic now for
- 32:20Speaker 9: about eight years. I've been in the industry, though my
- 32:23Speaker 9: whole career been on the manufacturing side. I've been on
- 32:26Speaker 9: the wholesaler side, and now I'm on the retail side,
- 32:29Speaker 9: and we service. We're a cooperative, We service retail independent
- 32:33Speaker 9: pharmacy community, and what my job is is to provide
- 32:36Speaker 9: value to my members and to make sure that they
- 32:39Speaker 9: manage a lot of the challenging headwinds that they have
- 32:43Speaker 9: in the industry today, whether it's on the reimbursement side
- 32:46Speaker 9: or whether it's on the pricing side with you wholesale
- 32:50Speaker 9: relationships and sourcing products and that sort of thing. So
- 32:55Speaker 9: keeping community pharmacy alive and well is arming focus.
- 32:59Speaker 10: Brian, Yeah, I'm Brian Hose.
- 33:01Speaker 11: I'm the CEO of EPIC Pharmacies, which encompasses both our
- 33:05Speaker 11: our buying group, our GPO, our p SAO, and then
- 33:08Speaker 11: our compliance arm as well. I am a pharmacy owner originally,
- 33:13Speaker 11: the CEO gig is a relatively new one for me.
- 33:15Speaker 11: In the past the past two and a half years,
- 33:18Speaker 11: but again it's it's it's all about helping independent pharmacies
- 33:21Speaker 11: survive and doing what we can as pharmacy owners to
- 33:25Speaker 11: make that happen.
- 33:26Speaker 1: There's an advantage to EPIC members with the p SAO
- 33:30Speaker 1: that that you're also bringing value to the to the member.
- 33:35Speaker 1: Can you go through some of the strategies and things
- 33:37Speaker 1: that you're doing.
- 33:38Speaker 11: Yeah, Historically the p SAO was reserved for for our
- 33:41Speaker 11: buying group members. It was really a you know, a
- 33:43Speaker 11: very small group that that we were we.
- 33:45Speaker 10: Were targeting with that.
- 33:46Speaker 11: Most recently we've we've opened that up and become agnostic
- 33:49Speaker 11: because that's what the industry was telling us that they wanted.
- 33:52Speaker 10: So we're we're open to all.
- 33:54Speaker 11: All pharmacies that that would want to join the p SAO.
- 33:58Speaker 11: I think what really sets us apart is our entire
- 34:01Speaker 11: board is as pharmacy owners were not owned by a
- 34:04Speaker 11: wholesale or influenced by a wholesaler.
- 34:06Speaker 10: In any way.
- 34:06Speaker 11: We really are completely agnostic when it comes to that
- 34:09Speaker 11: PSAO space now, and I feel like we work hard
- 34:13Speaker 11: to provide value there for those members doing those back
- 34:15Speaker 11: office services that they really, you know, otherwise would spend
- 34:19Speaker 11: more on if they had to piece them out, doing
- 34:22Speaker 11: the reconciliation, providing audit support, the compliance arm all of
- 34:26Speaker 11: those types of things kind of come together to be
- 34:28Speaker 11: a one stop shop for them in their contractor.
- 34:31Speaker 2: Peter.
- 34:32Speaker 1: When I entered pharmacy, it was hard to learn because
- 34:36Speaker 1: I was on the long term care side. I wasn't
- 34:37Speaker 1: even in community, and the PBM didn't make any sense
- 34:41Speaker 1: to me. I don't think it makes sense to anybody,
- 34:44Speaker 1: tell you the truth. But what I did understand was
- 34:47Speaker 1: the value that the pharmacists provided, the consultant pharmacists that
- 34:51Speaker 1: dug into the disease state. A lot of that's now
- 34:54Speaker 1: blending over into community too with disease state management. So
- 34:57Speaker 1: talk to me about some things that EPIC and EPICS
- 35:00Speaker 1: members are doing that's standing out. That isn't just about
- 35:04Speaker 1: the dispensing fee. There's other things happening to draw revenue
- 35:07Speaker 1: into the pharmacies.
- 35:08Speaker 9: There is, and I think you're seeing an evolution now
- 35:11Speaker 9: a lot of younger pharmacists that are buying stores and
- 35:14Speaker 9: understanding what you need to do that it's not just
- 35:17Speaker 9: filling scripts, right, You're going to provide a lot of
- 35:20Speaker 9: other services for your patient, whether it's immunization, whether it's
- 35:23Speaker 9: home infusion, whatever you're doing, and that also provides other
- 35:27Speaker 9: revenue streams into the pharmacy. That's going to help community
- 35:31Speaker 9: pharmacies grow. And I think we've seen that with some
- 35:34Speaker 9: of our members that are engaging in programs like that
- 35:38Speaker 9: that are thriving and they're opening up news stores and
- 35:41Speaker 9: multiple stores versus some of the older thinking where they're saying,
- 35:46Speaker 9: you know, gee, I don't know why I'm not making it. Well,
- 35:49Speaker 9: you've got to, you know, reach out and we try
- 35:51Speaker 9: to help each other and try, you know, if we
- 35:54Speaker 9: find out one store is successful doing something kind of
- 35:57Speaker 9: trying to share the news and get the word out, Hey,
- 36:00Speaker 9: maybe you want to look at doing xyz to make
- 36:04Speaker 9: it more profitable. Me.
- 36:05Speaker 11: Independent pharmacy owners are scrappy and right now, you know,
- 36:07Speaker 11: making money from PBM contracts is really challenging. So when
- 36:10Speaker 11: they can find ways to do it more clinically get
- 36:13Speaker 11: paid on the medical side, you know, anyone that they
- 36:16Speaker 11: can work with to provide healthcare in their communities and
- 36:19Speaker 11: get paid for it fairly, I think is what you're
- 36:21Speaker 11: seeing is they're really they're scrappy.
- 36:23Speaker 10: They're they're going to find.
- 36:24Speaker 11: A way to survive and this is one of the
- 36:27Speaker 11: ways that they're able to do that.
- 36:28Speaker 3: I think.
- 36:29Speaker 1: So, what opportunities are now out there for the well
- 36:32Speaker 1: positioned community pharmacies, independents that are out there. With the
- 36:36Speaker 1: collapse of rite Aid and with the downsizing of some
- 36:41Speaker 1: of the other nationals Walgreens and CBS, what is that
- 36:46Speaker 1: presenting your membership? What are you hearing from your membership
- 36:48Speaker 1: and some of the more aggressive stores to capitalize on
- 36:51Speaker 1: that situation.
- 36:52Speaker 11: I mean, the script volume is out there because you know,
- 36:55Speaker 11: those stores were servicing a population of people who are
- 36:57Speaker 11: filling lots of prescriptions. And the problem I think independent
- 37:00Speaker 11: pharmacy is do they want that VODU?
- 37:01Speaker 5: Yeah?
- 37:02Speaker 11: I mean I feel like sometimes you're you're the hamster
- 37:05Speaker 11: and you're on the wheel. Do you want to run
- 37:06Speaker 11: faster for the same dollars or do you want to
- 37:08Speaker 11: find a way to get out of the hamster wheel?
- 37:10Speaker 11: And I think that that some of that volume is
- 37:13Speaker 11: good volume and some of that volume is bad volume.
- 37:15Speaker 11: And I think independent pharmacies are trying to figure out,
- 37:19Speaker 11: you know, what can they do to help those communities
- 37:22Speaker 11: and what can't they do to help those communities.
- 37:24Speaker 1: So what's your opinion? Peter of the rise of that
- 37:28Speaker 1: cash based player, the cost plus player that's out there,
- 37:32Speaker 1: like shout out to Blueberry Pharmacy out of Pittsburgh. But
- 37:36Speaker 1: there's a there's a that's a growth point where now
- 37:40Speaker 1: it's some of these independents are like, that's it. I
- 37:42Speaker 1: don't want anything to do with the PBM, And contracts
- 37:46Speaker 1: with partnerships and contracts with organizations like EPIC are even
- 37:50Speaker 1: more important in some ways in those models because you
- 37:55Speaker 1: are the whole steller and they don't have to worry
- 37:57Speaker 1: about necessarily the reimbursement I back. But what do you
- 38:01Speaker 1: think of that?
- 38:02Speaker 9: Well, depending on your you know, your dispense, you know,
- 38:08Speaker 9: and what drugs you're dispensing, and you know, a lot
- 38:10Speaker 9: of pharmacies are being forced to kind of look at
- 38:13Speaker 9: options like what Blueberry is doing and saying I'm going
- 38:16Speaker 9: to do a cash base only patient you know, engagement
- 38:20Speaker 9: or that sort of thing, and some of them are
- 38:22Speaker 9: finding it very successful. But it's another way that pharmacists
- 38:26Speaker 9: are being kind of forced to look into other avenues
- 38:29Speaker 9: and to other streams, and they're seeing what's working for
- 38:33Speaker 9: other people and sometimes, you know, unfortunately we have to
- 38:37Speaker 9: turn you know, some some things away and say, you know,
- 38:41Speaker 9: I'm not going to play in that sandbox and maybe
- 38:43Speaker 9: I'm going to service my patients a different way.
- 38:47Speaker 11: Yeah, I mean it definitely limits what what what the
- 38:49Speaker 11: pharmacy is able to stock, what products that.
- 38:52Speaker 10: That people are willing to pay for.
- 38:53Speaker 11: I know that, you know, expensive branded medications are not
- 38:56Speaker 11: good cash cash sales. That just that not many patients
- 38:59Speaker 11: are able to were that. So you're you're looking at
- 39:02Speaker 11: mostly generic based businesses at that point, And is that
- 39:05Speaker 11: really you know, is that the best shift for your community?
- 39:08Speaker 10: Is that the best shift for your business? It's really tough.
- 39:10Speaker 10: I mean it's a lot of tough decisions.
- 39:11Speaker 1: Yeah, it is. We're going through an evolution for sure.
- 39:14Speaker 1: Has there been anything in the technology space that stood
- 39:17Speaker 1: out to some of your memberships that you're excited about?
- 39:20Speaker 10: I think to our.
- 39:21Speaker 11: Membership, they're they're they're excited about some of the things
- 39:23Speaker 11: that make purchasing easier for them. There's lots of platforms
- 39:27Speaker 11: out there now. I feel like there's lots of platforms
- 39:29Speaker 11: for medical billing where that wasn't.
- 39:30Speaker 10: The case before.
- 39:31Speaker 11: So these are these are complicated things for them, and
- 39:34Speaker 11: if they can make it easier, So we're seeing a
- 39:35Speaker 11: lot of that that type of thing we're we're tapping
- 39:38Speaker 11: into into new ways to do things, more effishing ways
- 39:40Speaker 11: to do things, but also access to two dollars they
- 39:44Speaker 11: didn't have before. Because I'm not an expert in medical billing.
- 39:47Speaker 11: A lot of pharmacists, you know, we're not experts in
- 39:50Speaker 11: medical billing, but I think it's opened up a good
- 39:51Speaker 11: bit of opportunity for them with some of these companies
- 39:54Speaker 11: that are willing to help.
- 39:55Speaker 1: Yeah, and I also think of the rise of long
- 40:01Speaker 1: term care at home and how people don't want to
- 40:04Speaker 1: lose that what will leave their home and or there's
- 40:06Speaker 1: no nursing home availability. So this community pharmacies are are
- 40:12Speaker 1: now taking the steps to act as a more of
- 40:15Speaker 1: a long term care esque and get paid like that
- 40:17Speaker 1: for the services being provide, the emergency services provide. Are
- 40:21Speaker 1: any of your members kind of digging into the long
- 40:24Speaker 1: term care at home pharmacy models.
- 40:26Speaker 10: Yeah, we definitely have a couple that have really adopted that.
- 40:29Speaker 11: I mean, CPSN has been a big driver for that
- 40:32Speaker 11: and for a lot of those pharmacies, and it's they've
- 40:34Speaker 11: kind of had an easy button for them to help
- 40:36Speaker 11: them get involved in that excuse me some of the
- 40:39Speaker 11: ones that were already doing long term care services, the
- 40:41Speaker 11: assistant living facilities and things.
- 40:43Speaker 10: It's a really good fit for them.
- 40:44Speaker 11: It makes makes a lot of sense because they're already
- 40:46Speaker 11: dealing with those patients and there's needs now.
- 40:50Speaker 1: Peter, is there a favorite conference that's coming up for
- 40:54Speaker 1: the rest of the year that you're going to be
- 40:56Speaker 1: getting ready for or is does EPICH have your own
- 41:00Speaker 1: conference for the members.
- 41:01Speaker 9: Well, we just did ours in conjunction with our wholesale partner,
- 41:05Speaker 9: mckessinger and Kiss and Idea Share. But coming up, we
- 41:08Speaker 9: have NCPA in October, which is all EPIC members. That's
- 41:12Speaker 9: one of the benefits of being an EPIC members. You
- 41:14Speaker 9: get your NCPA membership paid for and we're looking forward
- 41:18Speaker 9: to that conference in October, just collaborating with all the
- 41:23Speaker 9: pharmacists and pharmacists from other areas and groups and regions
- 41:26Speaker 9: and finding out what we can do to better serve
- 41:30Speaker 9: them and serve our members.
- 41:32Speaker 1: Brian and Peter, this has been good to talk with
- 41:35Speaker 1: you here at any CDs Total storexpo. If there is
- 41:38Speaker 1: a pharmacy owner listening, curious about your services and working
- 41:42Speaker 1: with you as they're buying, group what's the best way
- 41:45Speaker 1: to get a hold of you.
- 41:47Speaker 9: You could reach us at epic ARX dot com is
- 41:50Speaker 9: our website and I'm at p starfus st A P
- 41:54Speaker 9: s t A r fas at epic rx dot com.
- 42:00Speaker 11: Yeah, I mean that's probably the best way to reach
- 42:01Speaker 11: out through our website. We can route it to the
- 42:03Speaker 11: right place because again we've got you know, a couple
- 42:05Speaker 11: of different a couple different avenues for for helping independent
- 42:08Speaker 11: pharmacies and make sure we get you to the right
- 42:09Speaker 11: place and get someone on it for you.
- 42:11Speaker 1: Hey, thanks for jumping on the show here at an
- 42:13Speaker 1: A c DS. I appreciate you both.
- 42:15Speaker 9: Thanks Tom,