Latest / Pharmacy Podcast Network / NCPA Annual Meeting RECAP Show | Part Two

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NCPA Annual Meeting RECAP Show | Part Two · Pharmacy Podcast Network

• 0:07
  Speaker 1: You are listening to the Pharmacy Podcast Network.
• 0:22
  Speaker 2: Welcome to the Pharmacy Podcast Network's coverage of the NCPA
• 0:25
  Speaker 2: twenty twenty five Post Show. The NCPA Annual Conference is
• 0:29
  Speaker 2: the trailblazer for community pharmacy, bringing together the pharmacy community.
• 0:34
  Speaker 2: Our host Todd Yuri, founder and CEO of the Pharmacy
• 0:37
  Speaker 2: Podcast Network, took the microphone to the action right on
• 0:41
  Speaker 2: the show floor, capturing exclusive conversations with attendees, pharmacy students,
• 0:46
  Speaker 2: keynote speakers, vendors, and more. You don't want to miss
• 0:50
  Speaker 2: this three part series starting right now. Thank you You're
• 0:53
  Speaker 2: All Pharma for sponsoring this episode of the NCPA Post Show.
• 0:57
  Speaker 3: Hello, this is Tany Vonovic from You're al Pharma and
• 0:59
  Speaker 3: your listening to the Pharmacy Podcast Network.
• 1:06
  Speaker 4: Tanya, so good to have you on the show. This
• 1:08
  Speaker 4: is your first time on the show, even though we
• 1:11
  Speaker 4: work together all the time.
• 1:12
  Speaker 3: Yes, it's great to be here.
• 1:14
  Speaker 4: Thank is it is so New Orleans is an interesting place.
• 1:17
  Speaker 4: I'd much rather be here than Vegas. I don't like Vegas.
• 1:20
  Speaker 4: Not a fan of Vegas. What's the show been like
• 1:22
  Speaker 4: for you guys?
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  Speaker 3: Well, that makes two of us on location. I must
• 1:25
  Speaker 3: rather be here than Vegas. It's been a really great
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  Speaker 3: turnout of local pharmacist and active participation, getting them to
• 1:33
  Speaker 3: know who we are and just engaging.
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  Speaker 4: I see a mix of not only pharmacy owners in
• 1:39
  Speaker 4: the booth and talking with you, I also see partners
• 1:42
  Speaker 4: coming over and wanting to engage with you.
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  Speaker 1: Real value.
• 1:46
  Speaker 4: RX came over spent some time talk to me about
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  Speaker 4: coming to these conferences and the importance of blending meeting
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  Speaker 4: with pharmacy owners versus your partners.
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  Speaker 5: It's very important to have the full scope.
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  Speaker 3: So without our partners, we wouldn't be able to do
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  Speaker 3: half of what it is that we are able to do.
• 2:02
  Speaker 3: So it elevates the reach and also enable to get
• 2:05
  Speaker 3: in order to the pharmacist. A great interesting dynamic between
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  Speaker 3: us and our partners.
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  Speaker 4: Another thing that I want to point out, you're all pharma,
• 2:13
  Speaker 4: You're a generic supplier manufacturer. It's been so much fun
• 2:18
  Speaker 4: to work with you, so much education for me as
• 2:20
  Speaker 4: we're bringing in people like doctor mark Erra Foley talking
• 2:23
  Speaker 4: about pain. We're bringing in doctor Tamar Rugels talking about
• 2:27
  Speaker 4: the world of long term care. So it's interesting to
• 2:31
  Speaker 4: see a standout organization like YOUIRAU putting content out where
• 2:36
  Speaker 4: you would more think that that was coming from like
• 2:38
  Speaker 4: a brand manufacturer. But you guys have a real philosophy
• 2:42
  Speaker 4: of being much more engaging. Talk to me about like
• 2:45
  Speaker 4: that philosophy.
• 2:46
  Speaker 3: Well, I think starting with this organization in twenty twenty
• 2:49
  Speaker 3: two and with our CEO, Stephen Beckman, he definitely likes
• 2:53
  Speaker 3: to do things differently and that is the spen that
• 2:55
  Speaker 3: we have at yure Out and it's the dynamic has changed.
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  Speaker 3: It's almost a hybrid. You have all different types of companies,
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  Speaker 3: but we're able to encapsulate all of that and not
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  Speaker 3: just be a generic, a regular generic.
• 3:07
  Speaker 6: Or a branded.
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  Speaker 3: We are able to cover all that through the value
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  Speaker 3: of our CEO.
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  Speaker 7: It's great.
• 3:12
  Speaker 1: I love working with you guys.
• 3:14
  Speaker 4: If you're listening, you're curious about your working with your
• 3:17
  Speaker 4: al yourself, I want you to go to urupharma dot
• 3:21
  Speaker 4: com and eural is spelled y A R A L
• 3:25
  Speaker 4: pharma dot com.
• 3:27
  Speaker 1: Tanya Cool.
• 3:28
  Speaker 4: Next podcast coming up Executive Dose or maybe a special
• 3:33
  Speaker 4: EU episode.
• 3:33
  Speaker 1: But it's been wonderful working with you.
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  Speaker 5: It's great work with you, Todd.
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  Speaker 3: Thank you for having me.
• 3:43
  Speaker 8: Nnty two zoo w ze w Fair Hope Mobile good afternoon, everybody.
• 3:49
  Speaker 1: Donnie Calhoun used to be at what a DJ? Yeah huh, yeah,
• 3:54
  Speaker 1: I sure did.
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  Speaker 6: That is wild.
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  Speaker 4: That was before my pharmacy career, your pharmacy career, and
• 3:58
  Speaker 4: you hung up your micro for.
• 4:01
  Speaker 8: I sure did, I sure did it. It was a
• 4:04
  Speaker 8: kind of an opportunity to be able to go to
• 4:09
  Speaker 8: pharmacy school. Actually, so when I graduated from college, the
• 4:13
  Speaker 8: first time, I went to work for a drug company
• 4:16
  Speaker 8: and I was a drug salesman, so I called on
• 4:19
  Speaker 8: doctors and pharmacists, and I found out quickly that I
• 4:24
  Speaker 8: wanted to be a pharmacist just from talking to the
• 4:26
  Speaker 8: pharmacies that I called on. And I had to take
• 4:30
  Speaker 8: organic chemistry, Oh my goodness, you remember those.
• 4:33
  Speaker 6: Days and chemistry.
• 4:35
  Speaker 8: So I had to take organic chemistry. That was the
• 4:38
  Speaker 8: last two classes that I needed to qualify to go
• 4:42
  Speaker 8: to pharmacy school. And I took those, but I couldn't
• 4:45
  Speaker 8: work full time, so I was able to go back
• 4:48
  Speaker 8: into radio down in Mobile and take those courses at
• 4:52
  Speaker 8: Mobile College, and luckily Sanford University took those courses and
• 4:59
  Speaker 8: let me pharmacy school.
• 5:00
  Speaker 1: And rest is history, as they say, right, well, we
• 5:04
  Speaker 1: have history.
• 5:05
  Speaker 4: My first NCPA was twenty thirteen and you were president
• 5:09
  Speaker 4: and I had an opportunity interview, So it's kind of
• 5:12
  Speaker 4: like a.
• 5:12
  Speaker 1: Homecoming exactly, right. I remember that.
• 5:15
  Speaker 8: I remember that vividly, and that was in the beginning
• 5:18
  Speaker 8: of podcasts, true. Yeah.
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  Speaker 4: Yeah, we came out with the first one in two
• 5:22
  Speaker 4: thousand and nine, and then it really didn't start scaling
• 5:25
  Speaker 4: until about twenty eighteen. Yeah, Cardinal Health was like our
• 5:30
  Speaker 4: first paid sponsorship and then it's just grown from there.
• 5:34
  Speaker 4: Eighty thousand listeners now, that's awesome and just forty two
• 5:37
  Speaker 4: different shows that were kind of pumping content out, all
• 5:40
  Speaker 4: specifically to what pharmacists are doing in different facets of healthcare.
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  Speaker 8: Absolutely, I've listened to lots and lots of those podcasts,
• 5:48
  Speaker 8: and it's great to be able to find them, you know,
• 5:50
  Speaker 8: on Spotify and a lot of the other services, Apple
• 5:53
  Speaker 8: Music and a lot of the others, which has made
• 5:55
  Speaker 8: it easy. It's so easy to listen to a podcast
• 5:59
  Speaker 8: these days, exactly, and when we first started it was hard.
• 6:02
  Speaker 1: It was it was hard to find a podcast. It
• 6:04
  Speaker 1: was very hard.
• 6:05
  Speaker 4: I remember I had a doll in eight hundred number
• 6:07
  Speaker 4: and put everybody on the eight hundred number and then
• 6:09
  Speaker 4: record through that then it would give me a file
• 6:13
  Speaker 4: and it was very hard to get it out.
• 6:15
  Speaker 1: Yeah, all right, Hey, I have a question.
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  Speaker 4: So you use a system that's one of our sponsors
• 6:19
  Speaker 4: here for NCPA twenty twenty five called Nimble our ax.
• 6:23
  Speaker 1: Yes, so talk to me about your experience with Nimble.
• 6:26
  Speaker 8: So we actually signed up for Nimble at the pharmacy
• 6:31
  Speaker 8: back in the summer. So I actually knew about Nimble
• 6:35
  Speaker 8: for a while, but we were attending the McKesson Ideas
• 6:39
  Speaker 8: share and I was stopped by the booth to learn
• 6:42
  Speaker 8: more about it, and we brought it into the pharmacy
• 6:45
  Speaker 8: and it's it's really been good for us. It's really
• 6:49
  Speaker 8: exposed our patient population to a new way to communicate
• 6:54
  Speaker 8: with us, which we really didn't have before.
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  Speaker 1: And it's also really soon.
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  Speaker 8: Going to give them the opportunity to pay for their
• 7:03
  Speaker 8: meds electronically using their telephone, which we've never had that
• 7:07
  Speaker 8: service available before. Now. I know it's going to be
• 7:10
  Speaker 8: a challenge for a lot of our older patients, but
• 7:13
  Speaker 8: our younger patient's going to eat that up. I mean,
• 7:15
  Speaker 8: just standing in line here, you know, at a coffee
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  Speaker 8: shop to buy coffee, everyone touches their phone, you know,
• 7:21
  Speaker 8: to pay for it right there, and so that is
• 7:24
  Speaker 8: what the younger generation is used to using as a
• 7:27
  Speaker 8: payment model. You know, our older folks, you know, they
• 7:29
  Speaker 8: still want write checks and those kind of things. So
• 7:32
  Speaker 8: we're excited about that that opportunity, you know, for for
• 7:35
  Speaker 8: that particular group, because you know, they're going to be
• 7:38
  Speaker 8: our patients for the future. So we've got to embrace
• 7:41
  Speaker 8: that technology to bring you know, those patients to us.
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  Speaker 8: It also keeps us competitive, you know, in the marketplace
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  Speaker 8: with all the other companies that offer that type of service.
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  Speaker 8: As I just mentioned a coffee shop. So if the
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  Speaker 8: coffee shop down the street is going to take that
• 8:00
  Speaker 8: and we don't, then you know, we're at a disadvantage
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  Speaker 8: because a lot of times you may be like me,
• 8:06
  Speaker 8: I have no cash in my wallet. I mean, if
• 8:09
  Speaker 8: I can't pay for it with my phone or with
• 8:12
  Speaker 8: a debit card or credit card, having my wallet, I
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  Speaker 8: I can't pay for anything.
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  Speaker 1: It's very true.
• 8:18
  Speaker 4: So we just brought on the Alliance for Pharmacy Compounding
• 8:22
  Speaker 4: as a brand new member of the Pharmacy Podcast Network.
• 8:25
  Speaker 4: You have a deep history in the world of compounding.
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  Speaker 4: Talk to our listeners about the future of compounding and
• 8:31
  Speaker 4: how that's a profit and business opportunity for our independent
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  Speaker 4: community pharmacy.
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  Speaker 1: Sure.
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  Speaker 8: So I've been compounding since nineteen ninety one, and everything
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  Speaker 8: we do is patient specific. So we actually got started
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  Speaker 8: in compounding because there was a patient need. I had
• 8:44
  Speaker 8: a physician call us to say he had a patient
• 8:47
  Speaker 8: that it had a couple of miscarriages and that the
• 8:50
  Speaker 8: family really wanted to have a child and wanted to
• 8:53
  Speaker 8: know if we could do progesterone suppository. And I'm going,
• 8:58
  Speaker 8: I'm not sure, but I'll if we can. I found
• 9:01
  Speaker 8: a little company called PCCA in Houston, Texas. This was
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  Speaker 8: back in nineteen ninety nineteen ninety one, and I went
• 9:08
  Speaker 8: to Texas. I went through the training program, I bought
• 9:11
  Speaker 8: the material, I bought the molds, I bought everything we.
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  Speaker 6: Needed to do it.
• 9:16
  Speaker 8: We actually made the product on the prescription of the
• 9:20
  Speaker 8: doctor wrote and I think her little girl is probably
• 9:23
  Speaker 8: forty five years old now.
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  Speaker 1: So it was very successful.
• 9:27
  Speaker 8: And we found out later on that that patient was
• 9:30
  Speaker 8: actually his nurse, and so we still feel prescriptions from
• 9:33
  Speaker 8: that doctor to this day. And then it just kind
• 9:36
  Speaker 8: of expanded from that. We actually started doing Dipper rash
• 9:42
  Speaker 8: creams because the commercial products for some patients just wasn't
• 9:45
  Speaker 8: working and so they wanted to try something more. So
• 9:50
  Speaker 8: everything we did over the course of my career has
• 9:53
  Speaker 8: been for a specific patient need. And once you start
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  Speaker 8: doing it for patients and you're doing it for that
• 9:59
  Speaker 8: reas and then you just expand your business as you
• 10:03
  Speaker 8: as you go, and then your formula database just keeps
• 10:06
  Speaker 8: growing and growing and growing, and it becomes a referral basis.
• 10:10
  Speaker 8: You know, you help me deliver my child with liprogesterone.
• 10:15
  Speaker 8: You helped me with the baby butter paste. You helped
• 10:19
  Speaker 8: me I had a used infection on my breast. You
• 10:20
  Speaker 8: made something for that. Now my son won't take his medicine,
• 10:23
  Speaker 8: so you're actually you know, making it into a liquid
• 10:26
  Speaker 8: from a tablet, or you're flavoring it a special flavor
• 10:30
  Speaker 8: so that it's good for them. And we do a
• 10:33
  Speaker 8: lot for special needs children. We had a down syndrome
• 10:36
  Speaker 8: child that wouldn't take medicine for any reason, and we
• 10:42
  Speaker 8: found out that the child really liked chocolate, and so
• 10:45
  Speaker 8: all of his medicine from that day forward became chocolate candy.
• 10:48
  Speaker 8: You know. So those are the kind of things we're
• 10:50
  Speaker 8: able to do on a patient specific basis, and that's
• 10:54
  Speaker 8: why I think that compounding in any community pharmacy is
• 10:57
  Speaker 8: really important because we're there to take care of those
• 11:00
  Speaker 8: patients in that community and there are needs. So if
• 11:04
  Speaker 8: you've got a diabetic patient, they need diabetic education, they
• 11:07
  Speaker 8: need access to insulin, they need all the new products
• 11:09
  Speaker 8: that are out there, they need testing supplies. But compounding
• 11:12
  Speaker 8: is kind of the same way. They are patients in
• 11:15
  Speaker 8: your community that need to be able to have medication
• 11:19
  Speaker 8: that maybe is not in the same form it comes
• 11:21
  Speaker 8: in commercially, so somebody's got to be able to convert
• 11:25
  Speaker 8: it from a commercial application or dosage form into a
• 11:29
  Speaker 8: dosage form a child can take or hospice patient can
• 11:33
  Speaker 8: take who may not be able to swallow anymore. So
• 11:37
  Speaker 8: I think the future for compounding is really, really bright.
• 11:39
  Speaker 8: I think it's a huge opportunity for community pharmacists to
• 11:43
  Speaker 8: get even more engaged. And what really sets us apart
• 11:46
  Speaker 8: a little bit is we get such positive affirmation from
• 11:51
  Speaker 8: our patient population. You know, I can't tell you how
• 11:54
  Speaker 8: many people have come up to me over the years
• 11:57
  Speaker 8: to thank me because if it wasn't for us, they
• 11:59
  Speaker 8: would not have their child. I mean, it's just you know,
• 12:02
  Speaker 8: It just brings tears.
• 12:03
  Speaker 6: To your us.
• 12:03
  Speaker 8: You know, when that happens, and when you are able
• 12:07
  Speaker 8: to help a family who has a special needs child
• 12:10
  Speaker 8: that has been frustrated at every turn. To be able
• 12:14
  Speaker 8: to say yeah, we can help you with that, you know,
• 12:16
  Speaker 8: it just means a lot.
• 12:17
  Speaker 4: That's so cool, Donnie Calhoun. This has been a very
• 12:20
  Speaker 4: special reunion for you and I. I really appreciate talking
• 12:23
  Speaker 4: here on the show. I'll probably be seeing you next year.
• 12:26
  Speaker 8: Yes, sir, all right, thank you so much.
• 12:29
  Speaker 4: All right, go back bye, you're all. Pharma has been
• 12:36
  Speaker 4: a member of the Pharmacy Podcast Network for about two
• 12:39
  Speaker 4: to three years. We really appreciate the content that they're driving.
• 12:42
  Speaker 4: Also a shout out to Steven Beckman. He's host of
• 12:46
  Speaker 4: the Executive Dose. If you're listening to the podcast and
• 12:49
  Speaker 4: you really want a perspective between pharma leadership and pharma
• 12:53
  Speaker 4: leaders please take a listen to Executive Dose, part of
• 12:57
  Speaker 4: the Pharmacy Podcast Network. One of our fellow pod master
• 13:02
  Speaker 4: casters is doctor Mark Garrelfoley.
• 13:04
  Speaker 1: He's known as Bopen.
• 13:07
  Speaker 9: Guy and was that sexy enough for almost sounded like
• 13:10
  Speaker 9: my voice.
• 13:11
  Speaker 1: She's a bullpen guy.
• 13:13
  Speaker 4: But wait a minute, I'll stop doing that. Hey, it's
• 13:16
  Speaker 4: good to have you back. It's good to be here
• 13:18
  Speaker 4: at the IRAU Pharma's booth. We're going to be talking
• 13:22
  Speaker 4: about some pain management stuff and what better person not
• 13:24
  Speaker 4: to have on the show than Mark Carefully.
• 13:27
  Speaker 9: Sounds good to me. Yeah, the you know, being as
• 13:30
  Speaker 9: usual being at NCPA. I believe you're the one that
• 13:34
  Speaker 9: calls it's the super Bowl, the super.
• 13:35
  Speaker 1: Bowl of independent community apartments.
• 13:37
  Speaker 9: Absolutely, and it as usual has that vibe and it's
• 13:41
  Speaker 9: really you know, there's a lot of things in the
• 13:43
  Speaker 9: you know, pain perhaps even addiction space these days.
• 13:46
  Speaker 1: That's it's got people on the edge.
• 13:48
  Speaker 6: Of their seats.
• 13:49
  Speaker 9: There's there's undoubtedly conversations that are happening on this floor
• 13:54
  Speaker 9: right now, at this conference today, yesterday, tomorrow, and you
• 13:57
  Speaker 9: name it, that are going to be revolving around this
• 14:00
  Speaker 9: these pain there we say controversies for yes, pain consternations
• 14:05
  Speaker 9: not constipation.
• 14:06
  Speaker 4: That's no, constipations can be also be painful in times
• 14:09
  Speaker 4: and it's really intense. Hey, shout out to doctor daniel Plumber.
• 14:12
  Speaker 4: She is the host of Maternal RX. Danielle and Mark
• 14:17
  Speaker 4: came together, which was freaking two powerhouses like magnets, and
• 14:22
  Speaker 4: it was so fun to listen to you guys dig
• 14:24
  Speaker 4: into the tail and all controversies. So give us just
• 14:26
  Speaker 4: a short little overview of kind of what you guys
• 14:28
  Speaker 4: opened up about.
• 14:29
  Speaker 9: Well, I'm glad you enjoyed as the RX podfather, but
• 14:33
  Speaker 9: I hope everybody else you know, perhaps enjoyed it but
• 14:35
  Speaker 9: also got something from it.
• 14:37
  Speaker 6: There's you know town Allgate twenty twenty five.
• 14:41
  Speaker 9: Yeah, all things of ceedom minfn there was.
• 14:43
  Speaker 6: You know, there's a lot of things going on in
• 14:45
  Speaker 6: society these days.
• 14:46
  Speaker 9: But when it you know, came to the questions with
• 14:49
  Speaker 9: a sedom minifin immediately it was all about, you know,
• 14:52
  Speaker 9: our pregnant mothers that are out there, and there's a
• 14:55
  Speaker 9: lot going on with that and people need to get
• 14:57
  Speaker 9: the treatment that they need. And in the background, us clinicians,
• 15:02
  Speaker 9: we need to get.
• 15:02
  Speaker 6: A little nerdy. We need to read the articles. And
• 15:05
  Speaker 6: it actually doesn't stop there.
• 15:06
  Speaker 9: We got to know how to read them, you know,
• 15:09
  Speaker 9: part in my French since we're in Nola here, but
• 15:13
  Speaker 9: journal clubs.
• 15:14
  Speaker 6: You know, professors taught me back in the day too.
• 15:17
  Speaker 9: I might not have been an All Star and many
• 15:20
  Speaker 9: others you know, in the same accord, but as professionals
• 15:24
  Speaker 9: we have to know how to discern articles along the way,
• 15:28
  Speaker 9: and that's something that you know, Danielle and I attempted
• 15:31
  Speaker 9: to do recording and sharing with everybody of you know what,
• 15:34
  Speaker 9: how do you sort through all the everything that was
• 15:38
  Speaker 9: going on, everything that was said to just find the
• 15:39
  Speaker 9: facts along the way and it you know, one of
• 15:42
  Speaker 9: the bigger concernsreas you know days weeks later is all
• 15:46
  Speaker 9: of a sudden, it goes from and we multiple pharmacists,
• 15:50
  Speaker 9: so not just end of one here. I brought it
• 15:52
  Speaker 9: up with now other patients, non pregnant mothers, you know, male, female,
• 15:58
  Speaker 9: you name it whatever age.
• 15:59
  Speaker 6: We're like, oh, what what is going on with this?
• 16:01
  Speaker 6: A set of minifin like ooh, and it's like who wah, whoa.
• 16:03
  Speaker 9: Whoa pump bricks Like the original thing was in pregnancy
• 16:08
  Speaker 9: and concerns along the way and it's like we we
• 16:10
  Speaker 9: need not extracadly further when there was concerns even with
• 16:13
  Speaker 9: the initial things too so and that really brings up
• 16:16
  Speaker 9: I think, you know, what are the if you have
• 16:19
  Speaker 9: a patient you're talking to and they're like, hey, Mark,
• 16:23
  Speaker 9: it's just you know, share decision process. They're not going
• 16:26
  Speaker 9: to say that we do and it's like I'm not
• 16:28
  Speaker 9: using that. Well, then what you know and it we
• 16:32
  Speaker 9: still want to talk through and you know, keep that
• 16:35
  Speaker 9: door open. But then we've got to be armed with
• 16:37
  Speaker 9: what else is available as well too.
• 16:39
  Speaker 6: We see that, you know here at NCPA.
• 16:42
  Speaker 9: There's a lot of different booths, organizations, companies with different
• 16:46
  Speaker 9: products that are out there. You know, you're discerned to
• 16:48
  Speaker 9: see what's best for each individual patiently.
• 16:51
  Speaker 4: That's it's a big thing when I think of disease
• 16:54
  Speaker 4: state management and I think we take a blood test
• 16:58
  Speaker 4: and we can dial in is something because the position
• 17:02
  Speaker 4: can look at the results and really see something happening
• 17:07
  Speaker 4: if you have the medication involved. Pain is very subjective.
• 17:12
  Speaker 4: It's about what the patient is experiencing. There's no way
• 17:16
  Speaker 4: to technically take a blood swab or a saliva swab
• 17:20
  Speaker 4: or a piece you know, stick of some type and
• 17:23
  Speaker 4: be able to say, oh, yeah, your pain's a seven
• 17:25
  Speaker 4: out of ten. You know, it's all from the patient's perspective.
• 17:29
  Speaker 4: So Ural Pharma has patches that have been become very popular.
• 17:35
  Speaker 1: There's the topicals.
• 17:36
  Speaker 4: Now there's the world of cannabis topicals that are like
• 17:39
  Speaker 4: a whole nother thing. Talk to us about like some
• 17:42
  Speaker 4: of the other things that have come up. You were
• 17:44
  Speaker 4: talking about tramatall in an article that everybody was kind
• 17:47
  Speaker 4: of like chiming in on. But give us some overviews
• 17:50
  Speaker 4: from your perspective on the evolutions of pain.
• 17:53
  Speaker 9: Management, good Gully for our audience. I think you just
• 17:55
  Speaker 9: gave me the mic for forty.
• 17:56
  Speaker 4: Five to seven minutes and you only have one hundred
• 17:59
  Speaker 4: and twenty seconds to put it all together.
• 18:01
  Speaker 6: So there's that, you know, on the topic of topicals. Well,
• 18:05
  Speaker 6: that's that's a presentation title on.
• 18:07
  Speaker 1: The topic of topicals, good Gully.
• 18:11
  Speaker 9: You know, the whole point is not having systemic absorption,
• 18:14
  Speaker 9: not affecting the whole body that would be transdermal or
• 18:18
  Speaker 9: even the other formulations, but you're not getting that, so
• 18:21
  Speaker 9: you're just you know, where the pain is is what
• 18:24
  Speaker 9: you're aiming for.
• 18:25
  Speaker 6: That's for all topicals. It's the overall concept along the way.
• 18:28
  Speaker 9: So of course they're a viable option in many different
• 18:31
  Speaker 9: painful conditions. You know, we can walk down even on
• 18:35
  Speaker 9: the OTC aisles, there's a plethora. You can get quite confusing,
• 18:39
  Speaker 9: quite frankly for patients and pharmacists alike. There's just so
• 18:42
  Speaker 9: many products you dabbled into the cannabis realm there for
• 18:45
  Speaker 9: you know what, presumably topical CBD. There's a lot going
• 18:49
  Speaker 9: on with that too. You know, we have these options
• 18:52
  Speaker 9: that are out there, but we just have to do
• 18:54
  Speaker 9: our due diligence along the way to know what are
• 18:57
  Speaker 9: these you know, sometimes non pharmacological as well. We didn't
• 19:00
  Speaker 9: even mention that, but you know when we hone in
• 19:02
  Speaker 9: on multiple of those were topicals. It's the over idea
• 19:06
  Speaker 9: of if we can pinpoint where the pain is, if
• 19:10
  Speaker 9: there's not some sort of cut, you know, that would
• 19:12
  Speaker 9: open up the systemic absorption. We have options and that's
• 19:17
  Speaker 9: really important for different subsets of.
• 19:18
  Speaker 6: The population, you know, whether it's older patients.
• 19:21
  Speaker 9: Is the five and older, whether you know, even our
• 19:24
  Speaker 9: pregnant mother. You know, things came up within the you
• 19:26
  Speaker 9: know seedominifit concerns overall as far as alternatives.
• 19:30
  Speaker 6: There, and it's really important.
• 19:32
  Speaker 9: One of those last things you just mentioned that actually
• 19:34
  Speaker 9: was a pretty big one these days was the tramadol.
• 19:38
  Speaker 9: So what a recent study came out it big Pictures
• 19:43
  Speaker 9: Review article. When you put out you tally all the numbers,
• 19:46
  Speaker 9: you're looking at a decent amount of patients overall that
• 19:49
  Speaker 9: are involved, and you're comparing things like dramat all to
• 19:51
  Speaker 9: placebo even so that's that gets dicey really quick. You know,
• 19:54
  Speaker 9: we don't usually have head to head to other pain medications.
• 19:57
  Speaker 9: Sometimes we do, but and you know, the bottom line
• 20:01
  Speaker 9: was what they were looking after results was they use percentages,
• 20:03
  Speaker 9: and I think for folks listening, if you're like me.
• 20:07
  Speaker 6: Of like the bottom line.
• 20:08
  Speaker 9: So you can look at percentage change and pain. But
• 20:10
  Speaker 9: you can also just look at the age old pain scale.
• 20:12
  Speaker 9: You know, whichever one we pick shout out to the
• 20:15
  Speaker 9: DVPRS of course because it has function involved as well.
• 20:19
  Speaker 6: But there was a reduction basically with the use.
• 20:22
  Speaker 9: Of tramadol on average of about one point on that
• 20:25
  Speaker 9: ten point scale, whereas you know we're usually looking for
• 20:29
  Speaker 9: like two to three, preferably three. Quite frankly, placebo even
• 20:33
  Speaker 9: within the pain realm is it.
• 20:36
  Speaker 6: Can be amazing. That's a whole other topic.
• 20:39
  Speaker 9: But you know, the return on investment for the utilization
• 20:43
  Speaker 9: of tramadol, as illustrated in that one review, it raises
• 20:47
  Speaker 9: some questions of particularly when we live in the society
• 20:51
  Speaker 9: of opioid phobia and and I'm not even talking about
• 20:54
  Speaker 9: our country alone. If you look across the globe, tramadol
• 20:58
  Speaker 9: seems to be where it's at.
• 20:59
  Speaker 6: When people travel and clinicians go all over the world, you.
• 21:02
  Speaker 9: Could ask questions like, hey, what's pain management like in
• 21:05
  Speaker 9: XYZ country it typically peaks at tramata.
• 21:08
  Speaker 6: Well, that provokes a couple of.
• 21:09
  Speaker 9: Things like, well is that enough like this article was
• 21:13
  Speaker 9: talking about quite frankly, and you know, okay, well, then
• 21:16
  Speaker 9: they probably have like a little bit less diversion because
• 21:19
  Speaker 9: there's not as much of a supplied demand scenario there,
• 21:22
  Speaker 9: and then you know the other supply chain in that realm.
• 21:24
  Speaker 6: So you got goods and bads.
• 21:26
  Speaker 9: But the bottom line is, you know, a medication like
• 21:29
  Speaker 9: tramadol that is a mixed action opioid. It is an opioid,
• 21:33
  Speaker 9: it also works in other ways. It comes with its baggage.
• 21:36
  Speaker 6: You've todd heard me say that enough times, and medicines.
• 21:39
  Speaker 9: All have baggage. But in the big picture, it's you know,
• 21:43
  Speaker 9: there's serotonergic effects, there's noupin effort effects.
• 21:45
  Speaker 6: And there's the opioid new effects. That's a lot going on.
• 21:49
  Speaker 9: Perhaps could help with pain, but then you have to
• 21:51
  Speaker 9: mitigate and plan for those side effects along the way,
• 21:55
  Speaker 9: and that's something that I you know, it seems to
• 21:58
  Speaker 9: come across where that's something highlight within this most recent
• 22:01
  Speaker 9: tram at all you know, conversations that are going on
• 22:04
  Speaker 9: all throughout NCPA but across the country quite frankly too.
• 22:07
  Speaker 4: Ye all right, So you have a website that you've
• 22:10
  Speaker 4: developed that has a tremendous amount of information on it,
• 22:13
  Speaker 4: really dialed into pain. Please share that with our listeners
• 22:16
  Speaker 4: so they know that where they can get the resources.
• 22:18
  Speaker 9: Absolutely it's pain guy dot us so www dot p
• 22:21
  Speaker 9: A I N g U y dot us.
• 22:24
  Speaker 6: There's a lot of career adventures on there.
• 22:26
  Speaker 9: But the two main things that I would I would,
• 22:29
  Speaker 9: you know, say, folks get hone in on other than
• 22:31
  Speaker 9: being able to message me. If somebody messages me on
• 22:33
  Speaker 9: pain guy dot us, my phone actually vibrates.
• 22:36
  Speaker 6: Way cooler than email.
• 22:37
  Speaker 9: Also, give me like a has second to reply life
• 22:39
  Speaker 9: is he's got three to tea.
• 22:42
  Speaker 6: Yeah. But the two main things are really headlines.
• 22:45
  Speaker 9: So when there's a new article covered or there's you know,
• 22:49
  Speaker 9: some controversies, if there's been you know, interviews or whatever,
• 22:52
  Speaker 9: that's where that's at. But then there's also the resources tab,
• 22:56
  Speaker 9: which is my attempt, quite frankly, at a one stop
• 22:59
  Speaker 9: shop for all things pain, addiction, to version and beyond,
• 23:02
  Speaker 9: so that when someone needs a guideline, yes, you can
• 23:05
  Speaker 9: google the thing, but you might get all the ads
• 23:09
  Speaker 9: first and all that where you know, you can just
• 23:10
  Speaker 9: go to payout us, click on resources and there they
• 23:13
  Speaker 9: all are.
• 23:13
  Speaker 6: I actually witnessed somebody in a conference.
• 23:15
  Speaker 9: It wasn't here at NCPA, but I was in an audience,
• 23:18
  Speaker 9: you know, getting my nerd on learning about ostio or
• 23:21
  Speaker 9: thrice from another gentleman and a lady at a table
• 23:24
  Speaker 9: who I had never speaken to before. I saw on
• 23:25
  Speaker 9: her phone she was using my website to get the
• 23:27
  Speaker 9: OA guidelines, and ibout lost my mind because I was
• 23:29
  Speaker 9: so happy.
• 23:30
  Speaker 6: I'm like, that's the point. So yes, I would certainly
• 23:34
  Speaker 6: bring up the paygusly.
• 23:36
  Speaker 1: Pain guide dot us.
• 23:38
  Speaker 4: And if you want to listen to Mark's podcast, you
• 23:41
  Speaker 4: can go to painpod dot us. Mark, we really value
• 23:45
  Speaker 4: your membership with Pharmacy Podcast Network. You've been a beacon
• 23:49
  Speaker 4: of information for US, reference for us, and thanks for
• 23:53
  Speaker 4: being part of your Raw Pharma and their coverage of
• 23:56
  Speaker 4: the NCPA twenty twenty five always a pleasure.
• 23:59
  Speaker 7: Thank you so much.
• 24:00
  Speaker 10: Hi, I'm Dixie lay Cock with CPS and DMB and
• 24:07
  Speaker 10: PRR REX and I listened to the Pharmacy Podcast Network.
• 24:17
  Speaker 4: Dixie's back on the Pharmacy Podcast Network.
• 24:20
  Speaker 1: Dixie is so good to see you.
• 24:21
  Speaker 10: It's great to see you, Todd. Thank you for always
• 24:24
  Speaker 10: being supportive of our associations and coming out here and
• 24:27
  Speaker 10: getting all the different interviews and talking to getting everybody recognized.
• 24:32
  Speaker 1: And it's my life. I love doing this.
• 24:35
  Speaker 4: It's my favorite place to be is behind a microphone
• 24:37
  Speaker 4: talking to a pharmacist or somebody that's innovating pharmacy. And
• 24:41
  Speaker 4: you've been passionate about so many things that are impacting pharmacists, pharmacy,
• 24:47
  Speaker 4: pharmacy care. Just to let the listeners know know, Dixie
• 24:51
  Speaker 4: did a four part series on the ethics that are
• 24:54
  Speaker 4: involved in pharmacy. It was so interesting. It was the
• 24:56
  Speaker 4: first time we did anything like that. It's still on
• 24:59
  Speaker 4: the network. Talk talk to our listeners about some of
• 25:03
  Speaker 4: the projects that you're involved in now. In a shout
• 25:05
  Speaker 4: out to c PEESN I can never like that.
• 25:09
  Speaker 8: I know.
• 25:09
  Speaker 5: That's why I have to use my fingers.
• 25:12
  Speaker 1: So yeah.
• 25:13
  Speaker 5: So I'm the managing network.
• 25:14
  Speaker 10: Facilitator for the CPSN DMB, which is Delaware, d C
• 25:20
  Speaker 10: and Maryland and we're hoping to get some Eastern Shore Virginia,
• 25:23
  Speaker 10: So shout out if anybody's listening to that. We'd love
• 25:26
  Speaker 10: to get some presence down there. And we're working, you know,
• 25:29
  Speaker 10: kind of like you and I mostly talk about my
• 25:31
  Speaker 10: nonprofit and pharmacy ethics pure O X and that's where
• 25:35
  Speaker 10: the podcast came in.
• 25:36
  Speaker 5: We'd do the four thirty minute.
• 25:38
  Speaker 10: Sees which have been wildly popular, and shout out to
• 25:42
  Speaker 10: Teresa Toyle and Toasin David and Donna Horne who helped
• 25:45
  Speaker 10: me put those together and waitpoint O Rex who sponsored
• 25:48
  Speaker 10: that series. But just trying to use my ethics experience
• 25:52
  Speaker 10: and my previous owners independent pharmacy ownership and also working
• 25:57
  Speaker 10: with CPSN to how do we keep.
• 25:59
  Speaker 5: Independent pharmacy viable? How do we keep.
• 26:01
  Speaker 10: As honest and ethical you know, when the bottom line
• 26:05
  Speaker 10: starts shrinking, that tends to be when ethics starts slipping.
• 26:09
  Speaker 10: And if we can bring in some more clinical work
• 26:12
  Speaker 10: things we're doing any way, we've been doing for years
• 26:14
  Speaker 10: for free, and if we can find a way that
• 26:17
  Speaker 10: you know, payers are finally recognizing what pharmacists can bring
• 26:21
  Speaker 10: to the table and what good we can do for
• 26:23
  Speaker 10: our patients and our communities that CPSN is a way
• 26:27
  Speaker 10: to bring that into the community pharmacy and provide support
• 26:30
  Speaker 10: for you know, it isn't each one of us trying
• 26:32
  Speaker 10: to figure out medical billing or long term care and
• 26:35
  Speaker 10: all that on our own. We've got a whole network literally,
• 26:39
  Speaker 10: a network of you know, peers that we can bounce
• 26:42
  Speaker 10: ideas off of and people who are doing it in
• 26:45
  Speaker 10: other places where we can bring all that brain power
• 26:49
  Speaker 10: together into one place.
• 26:51
  Speaker 5: So so kind of all weaves together.
• 26:53
  Speaker 4: When someone's listening to the show and they're not a
• 26:56
  Speaker 4: member of CPSN, talk to me about a program within
• 27:01
  Speaker 4: within CPSN that seems to always be one of the
• 27:06
  Speaker 4: better programs that show a pharmacy owner that hey, this
• 27:09
  Speaker 4: doesn't this this works, that's what's working.
• 27:12
  Speaker 10: So I think right now the biggest thing we have
• 27:15
  Speaker 10: going on, or what these special purpose efforts that are
• 27:19
  Speaker 10: going on. We have pharmacy care at home, we have
• 27:22
  Speaker 10: medical billing support. You know, there's community health clinic, like
• 27:26
  Speaker 10: there's there's so many different ones now that if you're
• 27:29
  Speaker 10: not part of CPSN, you can't take advantage of any
• 27:32
  Speaker 10: of these. So that's that's and that's something anybody that's
• 27:36
  Speaker 10: in CPSN can get involved in. You know, some of
• 27:39
  Speaker 10: the challenge has been every network has different payer programs
• 27:43
  Speaker 10: and different payer opportunities, and sometimes that's just geographic, you know,
• 27:48
  Speaker 10: it just imagine, depends on what state you're in and
• 27:51
  Speaker 10: sometimes what your State Practice Act lets you do, and
• 27:55
  Speaker 10: so there are some limitations sometimes with that. You know,
• 27:58
  Speaker 10: we're fortunate in Maryland to have a couple really good
• 28:01
  Speaker 10: payer programs that we can use to attract pharmacies to
• 28:05
  Speaker 10: join and say, you know, I can get you making
• 28:08
  Speaker 10: money right away extra by getting involved in these programs.
• 28:12
  Speaker 5: But from the other piece of.
• 28:14
  Speaker 10: It, kind of that indirect support, like I mentioned, having
• 28:18
  Speaker 10: other pharmacy owners, innovative pharmacy owners to work with and
• 28:22
  Speaker 10: bounce ideas up, so we're not all recreating the wheel.
• 28:26
  Speaker 10: But then also having this you know, this group of
• 28:31
  Speaker 10: different ways to either maximize what you're already doing and
• 28:36
  Speaker 10: make that either better or more profitable, or you know,
• 28:40
  Speaker 10: adding on a new service that maybe you've thought about
• 28:43
  Speaker 10: for a while but you didn't know how to get started.
• 28:46
  Speaker 10: They know exactly what you need to do when you
• 28:48
  Speaker 10: need to do it. So I like the special purpose
• 28:51
  Speaker 10: efforts because they really give every pharmacy that's participating in
• 28:55
  Speaker 10: CPSN a benefit with you know, without having to be
• 29:02
  Speaker 10: dependent on their geography. And we just started something called
• 29:06
  Speaker 10: business and it's been going on for a while, but
• 29:09
  Speaker 10: now it's included in the CPSN membership is business Intelligence
• 29:14
  Speaker 10: and Pharmacy Care at Home. Both of those are included
• 29:17
  Speaker 10: in the price of your monthly participation fee. And business
• 29:22
  Speaker 10: intelligence helps you really see what your payer opportunities are
• 29:26
  Speaker 10: for your pharmacy and kind of really what those patients
• 29:30
  Speaker 10: are and not specifically, but you know where the dollars
• 29:33
  Speaker 10: are and what efforts would be more worth your time,
• 29:37
  Speaker 10: you know, if we all have limited time and resources,
• 29:40
  Speaker 10: so if you can identify, well, this is where I
• 29:43
  Speaker 10: should go first for the biggest bang for my buck.
• 29:46
  Speaker 10: And so that's something that's just the infrastructure and technology
• 29:50
  Speaker 10: that CPSN is putting together right now. There are a
• 29:52
  Speaker 10: lot of changes going on, but the pharmacies are going
• 29:55
  Speaker 10: to really have access to a lot of their information
• 29:59
  Speaker 10: at their fingertips.
• 30:00
  Speaker 5: So it's exciting.
• 30:01
  Speaker 1: Dixie.
• 30:02
  Speaker 4: We so much appreciate you stopping by the booth and
• 30:04
  Speaker 4: spending time with us here at the NCPA twenty twenty five.
• 30:08
  Speaker 4: We have to catch up for our new season in
• 30:10
  Speaker 4: twenty twenty six, so I'm looking forward to talking more
• 30:13
  Speaker 4: with you.
• 30:18
  Speaker 2: As frontline healthcare providers, Pharmacists like you understand the importance
• 30:22
  Speaker 2: of personalized care, especially in acute pain management. Euryal Pharma
• 30:26
  Speaker 2: is dedicated to providing high quality generic products tailored to
• 30:30
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• 30:56
  Speaker 2: prescribing information, boxed warnings, and importance say the information, visit
• 31:01
  Speaker 2: ur rolpharma dot com. That's why a r a l
• 31:05
  Speaker 2: pharma dot com and connect with them on LinkedIn.
• 31:12
  Speaker 4: Hey, I'm standing with a pharmacist pharmacy owner who won
• 31:17
  Speaker 4: an award for Tampa's Best and it was shot a
• 31:21
  Speaker 4: childry with Palm's pharmacy she's here in the booth with
• 31:25
  Speaker 4: me right now.
• 31:27
  Speaker 1: I'm so proud of you, thank.
• 31:28
  Speaker 5: You, thank you for having us.
• 31:30
  Speaker 1: Yeah, your whole cruise here. They're not miked up. We
• 31:33
  Speaker 1: only have so many mics.
• 31:35
  Speaker 4: If you guys can say hi, and you've got to
• 31:37
  Speaker 4: get closer to the mic. Oh, Hi, here it is
• 31:40
  Speaker 4: now I can hear you. We also have doctor Mark
• 31:44
  Speaker 4: Garrol Foley in the booth. He's here hanging out with us. Mark.
• 31:47
  Speaker 6: It's so good to see you as always.
• 31:49
  Speaker 9: Thank you very much, and wonderful to be here with
• 31:51
  Speaker 9: an award winner too.
• 31:52
  Speaker 1: Hello the pain guy. Trademark, Yeah, guy, I like it.
• 31:56
  Speaker 9: I mean there's even a shirt so it's legit, right,
• 31:59
  Speaker 9: is this it?
• 32:00
  Speaker 4: I'm I'm going through a trademark situation right now. How
• 32:05
  Speaker 4: did you guys used to have? You have the C
• 32:07
  Speaker 4: now or still the TM?
• 32:09
  Speaker 6: I believe it's.
• 32:10
  Speaker 4: TM because you haven't made it to the sort of
• 32:13
  Speaker 4: for the copy actual copyright, right, But.
• 32:16
  Speaker 1: Can't you just put make it yourself like.
• 32:19
  Speaker 4: You need to use TM as we do laws and
• 32:21
  Speaker 4: stuff in laws and stuff. Sorry, Hey, you just don't
• 32:28
  Speaker 4: have any If there's any if there's any trademark lawyers listening, I.
• 32:33
  Speaker 11: Just spoke to my attorney. I said, is it very
• 32:38
  Speaker 11: like you know? He's like, it's called the loophole.
• 32:40
  Speaker 1: Okay.
• 32:41
  Speaker 11: I'm like, okay, legally it's loophole, loopholes.
• 32:44
  Speaker 5: Work around.
• 32:45
  Speaker 1: He says, no, use the word loophole, loophole.
• 32:48
  Speaker 4: Hey, talk to me about So we have this field.
• 32:51
  Speaker 4: I feel like we're entering like a bar joke where
• 32:54
  Speaker 4: we say, an academia, a pharmacy owner, and a podcaster
• 32:58
  Speaker 4: walk into a bar and we got like, there's no punchline,
• 33:01
  Speaker 4: not on a bourbon.
• 33:01
  Speaker 1: Street, right, No, exactly. Please. However, I am very curious.
• 33:07
  Speaker 1: So we're moving away from.
• 33:09
  Speaker 4: Just prescription revenue getting into cash based building the revenue.
• 33:14
  Speaker 4: You know, you pretend that you're not like a superstar,
• 33:17
  Speaker 4: but you really are in Tampa with palms. What are
• 33:20
  Speaker 4: you guys doing to generate extra money, extra dollars that
• 33:23
  Speaker 4: are that's a benefit to your to your people, to
• 33:26
  Speaker 4: your patients, to your community. Talk to me about cash
• 33:29
  Speaker 4: based growth.
• 33:31
  Speaker 11: It's not the same like it used to be a
• 33:32
  Speaker 11: couple of years ago, before you know, yay, and then
• 33:36
  Speaker 11: the GLP one compounds. Everything was it was great and
• 33:40
  Speaker 11: that went away ish, right, So we're staying away from
• 33:43
  Speaker 11: that right now. So, I mean there are certain add
• 33:47
  Speaker 11: ons that you can add on to prescriptions, like alcohol
• 33:50
  Speaker 11: pads and certain other things.
• 33:52
  Speaker 6: You can do.
• 33:53
  Speaker 11: But we also are focusing on our white label, private
• 33:57
  Speaker 11: label supplements. That's what we're doing, and we're promoting the
• 33:59
  Speaker 11: soil media, which I'm sure maybe one or two people
• 34:03
  Speaker 11: have seen, so we promote them on social media and
• 34:06
  Speaker 11: we did.
• 34:07
  Speaker 1: We've done pretty well. We did six.
• 34:08
  Speaker 11: Figures last year and this year we're getting up there.
• 34:12
  Speaker 11: So sorry, private label, A lot of pharmacy owners do
• 34:16
  Speaker 11: not take advantage of that and the educating their patients
• 34:19
  Speaker 11: and their staff that has.
• 34:20
  Speaker 1: Worked for us.
• 34:21
  Speaker 4: If they're on a prescription and it's some kind of
• 34:25
  Speaker 4: medication that's deteriorating a vitamin or a nutrient, you're automatically
• 34:30
  Speaker 4: teaching the texts or the team to say, hey.
• 34:33
  Speaker 1: Do you know about this supplement?
• 34:34
  Speaker 11: Yes, our supplement usually because we have about I think
• 34:38
  Speaker 11: we have nine nine skews right now, and so like
• 34:42
  Speaker 11: you know, we're magnesum milter in magnesem, we have magnese
• 34:45
  Speaker 11: and glacinate, we have preteen, we have all this other
• 34:48
  Speaker 11: stuff that we can definitely add on and all the
• 34:50
  Speaker 11: you know nad and all that stuff.
• 34:52
  Speaker 12: We have.
• 34:52
  Speaker 4: What's the magnesium that makes you crap your pants?
• 34:55
  Speaker 1: Maga reel, Magareea, magnesium box. There's always somebody.
• 34:59
  Speaker 11: Yeah, there's so many different ones. I need to situate
• 35:03
  Speaker 11: the glass bottle, you know.
• 35:04
  Speaker 4: I text you every once in a while and ask
• 35:07
  Speaker 4: you like pharmacy questions. Yes, and you've always told me
• 35:10
  Speaker 4: what to buy. And then I go to Jason's Pure
• 35:13
  Speaker 4: Encapsulations and Jay's.
• 35:15
  Speaker 1: Stuff exact shout out to Jason. Sorry.
• 35:19
  Speaker 4: So another kind of tie into this conversation. I spend
• 35:24
  Speaker 4: time at WVU School Pharmacy with the p threes. Mark
• 35:27
  Speaker 4: invites us in every year to talk with what's the
• 35:30
  Speaker 4: future of pharmacy looking like Mark? We were talking with
• 35:34
  Speaker 4: the p threes recently and I was getting into entrepreneurial
• 35:37
  Speaker 4: ship kind of questions, and I can't.
• 35:39
  Speaker 7: Believe how many of the students.
• 35:41
  Speaker 1: Are actually interested in that.
• 35:43
  Speaker 9: It's, you know, everything ebbs and flows and the pendulum
• 35:47
  Speaker 9: seems to be coming back for the perhaps entrepreneur spirits,
• 35:51
  Speaker 9: but also just the like, hey there's other things, what
• 35:54
  Speaker 9: else is out there? You know, perhaps even earlier in
• 35:57
  Speaker 9: a career and then figuring it out later so you know,
• 36:01
  Speaker 9: lots of opportunities. We don't know what the future holds.
• 36:04
  Speaker 9: One of my favorite interview questions that was asked of
• 36:08
  Speaker 9: me one time, many moons ago.
• 36:10
  Speaker 6: A gentleman said, Hey, what's your five year plan? And
• 36:13
  Speaker 6: I remember, you know, you.
• 36:14
  Speaker 9: Got your cookie cutter ready and all that, and I
• 36:17
  Speaker 9: was like, you know what, we're going a little off
• 36:18
  Speaker 9: script here. It was like, this job didn't exist five
• 36:22
  Speaker 9: years ago. What are you going to do to make
• 36:24
  Speaker 9: it exist ten years from now? Side note, I got
• 36:27
  Speaker 9: the job nice, you like really flipped that. But the
• 36:30
  Speaker 9: whole point is like we there's things we're gonna know
• 36:33
  Speaker 9: of what's coming, but we're not always.
• 36:34
  Speaker 13: Going to know.
• 36:35
  Speaker 9: Like I heard a buzzword earlier, loophole like a maybe
• 36:40
  Speaker 9: it's not a loophole disclaimer, I don't have a JD.
• 36:43
  Speaker 1: Most people don't.
• 36:46
  Speaker 6: All this cannabis stuff.
• 36:48
  Speaker 9: Yeah, now, regulation changes coming, what about enforcement?
• 36:51
  Speaker 6: There's a lot going on. Kind of weird to talk
• 36:53
  Speaker 6: about a different.
• 36:54
  Speaker 9: Conference when you're at a conference here at NCPA, but
• 36:57
  Speaker 9: like you'll be speaking at ASHB midyear and than cannabis canabinoids.
• 37:02
  Speaker 9: But you know, any day we could be changing the regulations.
• 37:04
  Speaker 9: But what does that actually mean, particularly the pharmacy. There's
• 37:08
  Speaker 9: like an ancient law that's out there. I cannot quote
• 37:11
  Speaker 9: the numbers and letters, but it's basically like, hey, if
• 37:13
  Speaker 9: there's something that's not available, we pharmacy, particularly.
• 37:18
  Speaker 6: You and others can make it.
• 37:20
  Speaker 9: Then So is there going to be this not loophole
• 37:23
  Speaker 9: but door opening of are we going to have something there?
• 37:26
  Speaker 6: But who knows?
• 37:28
  Speaker 1: Yeah?
• 37:29
  Speaker 4: Yeah, So you work with pharmacy students every once in
• 37:32
  Speaker 4: a while as interns. What school of pharmacy are you
• 37:35
  Speaker 4: working with USF And this last batch is it P
• 37:39
  Speaker 4: three's P two's where we've.
• 37:41
  Speaker 11: Had p once p ones and we're having P fours
• 37:45
  Speaker 11: come through?
• 37:45
  Speaker 7: And what are you teaching in pharmacy ownership or something?
• 37:48
  Speaker 5: Can clinical and ownership?
• 37:51
  Speaker 11: Do they come in shadow me?
• 37:53
  Speaker 5: They're like, oh my god, there's.
• 37:54
  Speaker 11: So many things, like it's not just behind the bench
• 37:57
  Speaker 11: and they see they get to see me and negotiating contract,
• 38:00
  Speaker 11: actually get to sit in on my meetings with providers
• 38:03
  Speaker 11: and they love that.
• 38:04
  Speaker 6: Yeah, I'm interested in hearing that and I could into
• 38:07
  Speaker 6: a career.
• 38:10
  Speaker 11: So social media come on. So with social media, have
• 38:14
  Speaker 11: you noticed even my kids like they watch social media
• 38:17
  Speaker 11: and a lot of them out there is entrepreneurial spirits
• 38:21
  Speaker 11: out there, so that's I think that's really being embedded
• 38:24
  Speaker 11: in them. And so I see that's why.
• 38:26
  Speaker 6: It's the exposure. It's I love my targeted ads. Those
• 38:30
  Speaker 6: algorithms know me, but we know you now, Okay.
• 38:34
  Speaker 9: It's good to know pharmacies in that realm too, though
• 38:37
  Speaker 9: everybody else is.
• 38:38
  Speaker 4: So I have a shout out to IPC Independent Pharmacy Cooperative.
• 38:44
  Speaker 4: You've been on the board now for three years. Careers,
• 38:47
  Speaker 4: It's been wonderful to.
• 38:49
  Speaker 1: Be working with them.
• 38:51
  Speaker 4: A big part of why I'm working with them was
• 38:54
  Speaker 4: your assistance and kind of more introductions to bringing creative
• 38:58
  Speaker 4: content to amplify some things that they're doing. I loved it,
• 39:02
  Speaker 4: so I really appreciate that. My question for twenty twenty
• 39:05
  Speaker 4: six is like, what's next? What are you?
• 39:08
  Speaker 1: What are we going to do to be more profitable
• 39:10
  Speaker 1: to thrive for you?
• 39:11
  Speaker 4: I know what the answer is, by the way, because
• 39:13
  Speaker 4: I'm staging you for this, but are you able to
• 39:15
  Speaker 4: talk about the other business that you're kind of building
• 39:18
  Speaker 4: that is really exciting because it kind of kind of
• 39:21
  Speaker 4: ties into pharmacies.
• 39:22
  Speaker 1: Which one it's it's the physician and quick Oh.
• 39:27
  Speaker 11: Yes, Okay, So yeah, I just wanted to make.
• 39:29
  Speaker 9: Sure it's which is like the Mafia, which one?
• 39:35
  Speaker 2: You know which one?
• 39:37
  Speaker 11: So I am opening another primary care clinic and this
• 39:40
  Speaker 11: one will be internal. Well it's primary care and pediatrics,
• 39:43
  Speaker 11: and this one is with an MD. So this will
• 39:47
  Speaker 11: be my second. The first one is a nurse practitioner
• 39:50
  Speaker 11: base practice.
• 39:51
  Speaker 13: It's full.
• 39:52
  Speaker 11: I mean I have three full timers, and we have
• 39:54
  Speaker 11: a pharma, a clinical pharmacist on staff to do RPM,
• 39:57
  Speaker 11: which is fantastic. And so the new clinic we'll also
• 40:01
  Speaker 11: have another pharmacist there, but we'll offering physical and occupational
• 40:04
  Speaker 11: therapy in addition to that, aesthetics and other great stuff.
• 40:09
  Speaker 6: Oh and i'd be infusion.
• 40:10
  Speaker 11: That's a big that's a big clinic infusion.
• 40:13
  Speaker 4: We should talk to the students about that next time,
• 40:15
  Speaker 4: because that's a business in and of itself. Yes, it
• 40:18
  Speaker 4: is both the vitamin side of it, but also the
• 40:21
  Speaker 4: prescription subscription side.
• 40:22
  Speaker 11: That's what we're focusing on, is the prescription side. We
• 40:25
  Speaker 11: have the room for it. We already have the room
• 40:27
  Speaker 11: set up. Hopefully we'll be opening.
• 40:29
  Speaker 6: Mark you build it, they will come exactly.
• 40:31
  Speaker 11: Or we'll just force them to come.
• 40:34
  Speaker 1: Them come some way somehow it's fine.
• 40:37
  Speaker 11: There's always violence, just beating up the customers.
• 40:42
  Speaker 3: That's it.
• 40:43
  Speaker 1: Hey, thanks for being.
• 40:44
  Speaker 4: On the show twenty five.
• 40:47
  Speaker 1: Thanks guys, thank you, Thank you.
• 40:53
  Speaker 4: Don Meredith here at NCPA twenty twenty five.
• 40:57
  Speaker 1: It's great to run into you.
• 40:58
  Speaker 14: It was great running into you as well.
• 41:00
  Speaker 13: Todd.
• 41:00
  Speaker 4: All right, we were catching up and I remember when
• 41:03
  Speaker 4: you were CEO of a PSAO that had something to
• 41:06
  Speaker 4: do with HG.
• 41:07
  Speaker 1: Smith. HG.
• 41:08
  Speaker 4: Smith was very special to us because we built a
• 41:11
  Speaker 4: buying group on top of them as our backbone. That's
• 41:14
  Speaker 4: where I kind of remember you and talk to you
• 41:17
  Speaker 4: back in other endcpas. But you've come out with something
• 41:20
  Speaker 4: and are part of something that's next gen in the
• 41:23
  Speaker 4: realm of where we're all going, and talk to us
• 41:26
  Speaker 4: about Align OURX.
• 41:27
  Speaker 1: Talk to us about what it is.
• 41:28
  Speaker 14: So what align OURX likes to do is it likes
• 41:30
  Speaker 14: to help the independent pharmacy out. Too often times the
• 41:34
  Speaker 14: PSAO is saying no to contracts and therefore the PBMs
• 41:37
  Speaker 14: have to go directly to the to the store to
• 41:40
  Speaker 14: get them to sign the contracts, and stores feel overwhelmed
• 41:42
  Speaker 14: that they have to accept the terms. And that's where
• 41:45
  Speaker 14: we step in and.
• 41:46
  Speaker 7: Help them out as well.
• 41:46
  Speaker 14: We offer them the ability to send us that contract,
• 41:49
  Speaker 14: we'll look at their data, we'll use the same approach
• 41:52
  Speaker 14: we did to negotiate on their behack to help them
• 41:54
  Speaker 14: negotiate with the PBM so that they can as well
• 41:57
  Speaker 14: improve on the rates of the PBMs offering them. And
• 41:59
  Speaker 14: we see access in that market today with stores getting
• 42:03
  Speaker 14: that response back from the PBMs where they're getting better reimbursements.
• 42:07
  Speaker 4: This seems like it would really help because some of
• 42:09
  Speaker 4: those contracts become they're just hard to read, you know,
• 42:14
  Speaker 4: they're hard to go through. So if your organization's constantly
• 42:18
  Speaker 4: understanding them, you're able to pull out maybe some of
• 42:21
  Speaker 4: the red flags or something and let the pharmacy owner
• 42:24
  Speaker 4: know what's going on.
• 42:25
  Speaker 1: That's important.
• 42:26
  Speaker 14: So, yes, you're right, there's a lot of legal language
• 42:28
  Speaker 14: inside of those contracts and the pharmacy owners as well, right,
• 42:31
  Speaker 14: their main focus is patient care and they don't tend
• 42:33
  Speaker 14: to look at the contracts and trying to understand that's
• 42:35
  Speaker 14: again what we bring that knowledge gap for them, and
• 42:37
  Speaker 14: we help them understand the t's disease redline as well.
• 42:40
  Speaker 14: The poor suggest areas where they can improve upon that
• 42:44
  Speaker 14: and make sure that they understand their risks that they
• 42:46
  Speaker 14: get into that contract.
• 42:47
  Speaker 4: All right, So if I'm listening, I'm a pharmacy owner,
• 42:50
  Speaker 4: I know I'm going through this. I know that the
• 42:52
  Speaker 4: new year's coming and I'm probably going to be reviewing
• 42:55
  Speaker 4: even more contracts. How do we reach out to you
• 42:58
  Speaker 4: and work with a line RX?
• 42:59
  Speaker 14: So if you're and just remember you, just reach out
• 43:01
  Speaker 14: to our payer Contracting team through Payer Contracting and the
• 43:04
  Speaker 14: liner X dot Org. They'll take the ball from there
• 43:06
  Speaker 14: and they will help you and guide you through that
• 43:07
  Speaker 14: entire process. Any questions, reach out to our customer support team.
• 43:11
  Speaker 14: They can answer those questions and then they can also
• 43:13
  Speaker 14: direct you into our contracting team. If you're not a
• 43:15
  Speaker 14: member of a Line of X, then will gladly sign
• 43:18
  Speaker 14: you up for a line of X and then offer
• 43:19
  Speaker 14: you this service as well as part of our based
• 43:21
  Speaker 14: services we provide.
• 43:22
  Speaker 6: All of our stories.
• 43:23
  Speaker 4: Don thank you for stopping by at the NCPA's podcast
• 43:27
  Speaker 4: show for our twenty twenty five season.
• 43:30
  Speaker 14: Thanks Todd for having us on and we really appreciate
• 43:31
  Speaker 14: the time today.
• 43:32
  Speaker 4: Thank you Kyle Parker, p r X Wholesale and it's okay,
• 43:43
  Speaker 4: I'm talking to a fellow Cincinnatian. You're probably a Bengals fan.
• 43:48
  Speaker 4: I'm a Pittsburgh Steeler fan. We just lost against you.
• 43:52
  Speaker 4: Not very happy, Kyle.
• 43:54
  Speaker 13: I know, I'm sorry for that loss.
• 43:56
  Speaker 7: I really am. Holy cal what a game it was.
• 43:59
  Speaker 4: I went to sleep after the first quarter and I
• 44:01
  Speaker 4: was like, Ah, we got this.
• 44:02
  Speaker 1: It's not going to be a big deal. I woke
• 44:04
  Speaker 1: up the next morning and I'm like, what happened?
• 44:06
  Speaker 7: A nice trade that they received from the Browns?
• 44:09
  Speaker 13: With that?
• 44:10
  Speaker 4: All right, So we're here at the NZPA twenty twenty
• 44:13
  Speaker 4: five all about the survival and thriving of independent community pharmacy.
• 44:18
  Speaker 4: There's an interesting story that you were sharing with me,
• 44:21
  Speaker 4: the fact that you're a pharmacist, You've been pharmacy owners,
• 44:24
  Speaker 4: you've worked in pharmacies. This is an interesting secondary wholesaler
• 44:29
  Speaker 4: that really has a lot of validity and trust built
• 44:32
  Speaker 4: into your mission. Talk to our listeners about that. Yeah,
• 44:36
  Speaker 4: thanks talk so yeah, peer X.
• 44:39
  Speaker 13: Wholesale And again we're family owned. We're pharmacists. Husband and
• 44:46
  Speaker 13: wife owned the company, and previously, like we were practicing pharmacists,
• 44:53
  Speaker 13: worked retail independent as well as in hospital.
• 44:56
  Speaker 7: But yeah, we we've lived it, we've done it. I
• 45:02
  Speaker 7: also teach.
• 45:03
  Speaker 13: I'm on faculty at the Ravy College of Pharmacy, Ohio
• 45:06
  Speaker 13: Northern go Bears, so yeah, I teach all the federal
• 45:11
  Speaker 13: and state law up there. Previously, I was a regulator
• 45:15
  Speaker 13: and I was executive director of the Ohio State Board
• 45:18
  Speaker 13: of Pharmacy. So kind of a unique story because I
• 45:22
  Speaker 13: was in practice for most of my career and this
• 45:25
  Speaker 13: company spurred up in twenty seventeen and I was asked
• 45:29
  Speaker 13: to help them with their regulatory and licensing and accreditations.
• 45:35
  Speaker 13: Did all those things and got license in all the
• 45:37
  Speaker 13: states and the accreditations we needed from NAVP and things,
• 45:41
  Speaker 13: and through that process, that's how the change happened with
• 45:46
  Speaker 13: the ownership, and it's been a great, great story. I
• 45:50
  Speaker 13: love sharing, you know, the information. I've learned so much
• 45:56
  Speaker 13: from the supply chain side. I've done pretty much all
• 45:59
  Speaker 13: the other things practice wise, but this was very unique
• 46:03
  Speaker 13: as well as my wife, who's in different sectors of pharmacy,
• 46:08
  Speaker 13: so this is it's been a great learning experience. But
• 46:11
  Speaker 13: we've we've been able to do pretty cool things and
• 46:14
  Speaker 13: it's it's nice. I mean, I'm obviously a champion of pharmacy.
• 46:18
  Speaker 13: We've it's been an incredible profession for our family and
• 46:24
  Speaker 13: so you know, and and being in academia as well.
• 46:30
  Speaker 13: It's it's it's a big, big deal what's going on
• 46:33
  Speaker 13: right now with pharmacy deserts and independence going out of business.
• 46:38
  Speaker 1: So I mean, it's it's terrible.
• 46:41
  Speaker 7: So how can we help we?
• 46:45
  Speaker 13: You know, we try to offer We do offer some
• 46:48
  Speaker 13: innovative approaches to our independent pharmacies. You know, upfront pricing.
• 46:54
  Speaker 13: We don't play games with threebates. We can give you
• 46:56
  Speaker 13: the upfront best price and and work with them on
• 47:01
  Speaker 13: terms and do the best we can there. And that's
• 47:05
  Speaker 13: bringing a lot of value. Profit margins are improved from
• 47:10
  Speaker 13: our partners, and that independent pharmacy base that we have
• 47:15
  Speaker 13: developed has grown immensely over the last year and a half.
• 47:21
  Speaker 7: So we're really excited. It's really kind of cool.
• 47:24
  Speaker 13: To be able to to do this business and also
• 47:29
  Speaker 13: feel good about it and bring legitimacy and value to
• 47:32
  Speaker 13: our counterparts.
• 47:33
  Speaker 4: It sounds like it sounds like you live the profession
• 47:37
  Speaker 4: and as a secondary wholesaler that gives our pharmacy owners
• 47:41
  Speaker 4: an opportunity to increase profitability in certain sections or on
• 47:45
  Speaker 4: disease states that they're managing or announcing things to the
• 47:49
  Speaker 4: community and then going back to the whole seller and saying, listen,
• 47:52
  Speaker 4: we're going to need an increase in this NDC or
• 47:55
  Speaker 4: something else that's happening.
• 47:57
  Speaker 1: So what do you.
• 47:58
  Speaker 4: Think of the the trends and trends becoming hardened to
• 48:03
  Speaker 4: help our independent community pharmacies survive. One of those trends
• 48:08
  Speaker 4: is the expansion into long term care at home. So
• 48:12
  Speaker 4: talk to us about what trends that you're seeing where
• 48:15
  Speaker 4: your organization can really help.
• 48:17
  Speaker 13: Well, that is one trend for sure, the long term
• 48:20
  Speaker 13: care sector. Pharmacies can.
• 48:26
  Speaker 7: Have to look for ways.
• 48:29
  Speaker 13: To improve profitability because everything's so crazy right now.
• 48:33
  Speaker 7: So that's one thing.
• 48:35
  Speaker 13: Obviously, compounding is another area, but there are other things.
• 48:41
  Speaker 6: There are.
• 48:43
  Speaker 13: There niche products sectors that independent pharmacies can do very
• 48:48
  Speaker 13: well in.
• 48:51
  Speaker 7: All of those things.
• 48:52
  Speaker 13: Clinical services, which really does not fall into what we offer,
• 48:56
  Speaker 13: but as a pharmacist in an academia person, it's another
• 49:01
  Speaker 13: thing that they should.
• 49:01
  Speaker 7: Be leveraging, and a lot of them are.
• 49:04
  Speaker 13: So you know, all of those things we have special
• 49:10
  Speaker 13: I would say areas that we focus in that we
• 49:13
  Speaker 13: have incredible contracts with with some of our best manufacturers
• 49:18
  Speaker 13: and frankly because we are smaller as the independent guys
• 49:25
  Speaker 13: are in the pharmacy role, I have the ability be
• 49:30
  Speaker 13: innovative with pricing. I don't have a I don't have
• 49:33
  Speaker 13: to have a fixed uh profit that we make and
• 49:37
  Speaker 13: sometimes you know, well we work with with our with
• 49:40
  Speaker 13: our customers to just to help them. So that's that's what.
• 49:45
  Speaker 1: We do, all right. So how's a listener get a holding?
• 49:48
  Speaker 4: You give us your website or something so that a
• 49:50
  Speaker 4: listener could reach out.
• 49:52
  Speaker 13: Yeah, and it's it's interesting at the show today also,
• 49:56
  Speaker 13: and we would honor this as well.
• 49:58
  Speaker 7: We have a promotion going on was finding Waldo.
• 50:02
  Speaker 1: Where's Walda?
• 50:03
  Speaker 7: And we have one of our sales reps walking around
• 50:06
  Speaker 7: looks just like Waldo with the outfit. But yeah, it was.
• 50:10
  Speaker 13: Celebrating eight years of congratulations being being open in three
• 50:15
  Speaker 13: fifty states to surviving COVID. Survieting COVID was tough. But
• 50:20
  Speaker 13: we're in Cincinnati, Ohio. Our website's www dot PRX Wholesale
• 50:26
  Speaker 13: dot com and you can reach us there. You can
• 50:30
  Speaker 13: you can literally register right there at the website and
• 50:35
  Speaker 13: if you can mention the NOLA NCPA meeting Finding Waldo,
• 50:43
  Speaker 13: we're offering eight percent for eight years, eight percent off
• 50:47
  Speaker 13: of your first order for new customers, and we'd love
• 50:50
  Speaker 13: to help you.
• 50:51
  Speaker 7: And also I have a lot.
• 50:54
  Speaker 13: Of pharmacy's pharmacists. They also can use me if they
• 50:59
  Speaker 13: have any I don't know how to say this.
• 51:02
  Speaker 7: I'm not an attorney.
• 51:05
  Speaker 13: But I ran the board of pharmacy for all I
• 51:07
  Speaker 13: so a lot of folks will ask me, hey, we
• 51:09
  Speaker 13: don't understand this regulation.
• 51:10
  Speaker 7: Well, I teach it. So I will help as much
• 51:13
  Speaker 7: as I can in that space too. That's obviously not
• 51:15
  Speaker 7: a chargeable thing.
• 51:16
  Speaker 13: I just like helping people, so that that comes into
• 51:20
  Speaker 13: play with some of our customers too. And so you know,
• 51:24
  Speaker 13: we're a full service wholesale of generic oral Solace is
• 51:28
  Speaker 13: our primary. We do injectibles as well for you know,
• 51:32
  Speaker 13: hospital systems.
• 51:33
  Speaker 7: And physician offices.
• 51:35
  Speaker 13: So we do have a kind of a neat breath
• 51:38
  Speaker 13: of products that we're offering now and would love to help.
• 51:41
  Speaker 13: So yeah, our our website phone numbers are on there,
• 51:45
  Speaker 13: and we are definitely one of you.
• 51:48
  Speaker 4: Excellent Kyle Parker with p r X Wholesale. Learn more
• 51:53
  Speaker 4: at p r X Wholesale dot com. Thanks Kyle, Thank you.
• 51:56
  Speaker 7: Tom.
• 52:02
  Speaker 4: Mary McGonagall, Hi you are from the University of Pittsburgh
• 52:05
  Speaker 4: as well.
• 52:06
  Speaker 1: We're's Springfield, Pennsylvania.
• 52:08
  Speaker 12: It's outside of the Philadelphia area, about thirty minutes outside
• 52:11
  Speaker 12: of the city.
• 52:12
  Speaker 4: Okay, So what maybe you want to pursue pharmacy and
• 52:14
  Speaker 4: being a pharmacy.
• 52:15
  Speaker 12: Yeah, So I always knew that I wanted to do
• 52:18
  Speaker 12: something in the medical field, and I had a project
• 52:22
  Speaker 12: in eighth grade where we had to present a career
• 52:25
  Speaker 12: interest that we might have, and so I did a
• 52:27
  Speaker 12: little research, and I thought pharmacy might sound interesting, and
• 52:31
  Speaker 12: so I researched more about it, and I really like
• 52:35
  Speaker 12: the impact that pharmacists can make from their communities in healthcare.
• 52:39
  Speaker 1: So I've stuck with that since that's awesome.
• 52:41
  Speaker 4: So we're here and in New Orleans, we're at the NCPA.
• 52:44
  Speaker 4: What is it about the National Community Pharmacists Association's that's
• 52:48
  Speaker 4: interesting to you?
• 52:49
  Speaker 5: Yeah.
• 52:49
  Speaker 12: So I have worked since high school at the same
• 52:52
  Speaker 12: chain pharmacy back at home near Springfield, and I think
• 52:56
  Speaker 12: it is really important to keep updated about all things
• 52:59
  Speaker 12: that are happening in independent pharmacy and all of the
• 53:02
  Speaker 12: areas that pharmacists are utilizing to increase services and be
• 53:07
  Speaker 12: able to better their patient.
• 53:08
  Speaker 5: Populations, and I think that's something that's.
• 53:11
  Speaker 12: Important for chain pharmacies to take into account as well,
• 53:14
  Speaker 12: because those services also could be expanded and implemented. For sure.
• 53:18
  Speaker 1: Excellent.
• 53:18
  Speaker 4: I hope to see you at the conference and the exhibits,
• 53:21
  Speaker 4: and please make sure you subscribe to the Pharmacy Podcast Network.
• 53:24
  Speaker 5: Yeah, definitely, thank you, thank you,