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Pharmacy Road-map for 2026 and New Opportunities for Growth | TWIRx · Pharmacy Podcast Network

• 0:05
  Speaker 1: You are listening to the global network of podcasters dedicated
• 0:09
  Speaker 1: to the pharmacy profession.
• 0:10
  Speaker 2: Welcome to the Pharmacy Podcast Network.
• 0:39
  Speaker 3: Hey, welcome to this Week in Pharmacy.
• 0:41
  Speaker 4: I'm your host and the founder of the.
• 0:44
  Speaker 3: Pharmacy Podcast Network, Todd Ury. Today, January thirtieth, It's Friday.
• 0:51
  Speaker 3: Can you believe the January is it's already over? Like
• 0:56
  Speaker 3: this is nuts of how fast? Twenty five was pretty fast,
• 1:01
  Speaker 3: but twenty twenty six is heating up. It's been a
• 1:03
  Speaker 3: good January. We've had the Pharmacy fifty Awards. It's just
• 1:08
  Speaker 3: amazing to see how that has grown and the connections
• 1:12
  Speaker 3: that are now being made with some of those winners,
• 1:15
  Speaker 3: and what that will do for their positioning, what it's
• 1:18
  Speaker 3: going to do for their careers, how it's going to
• 1:20
  Speaker 3: connect them to other people and opportunities. That is the
• 1:24
  Speaker 3: entire mission of what the Pharmacy fifty Awards is to do,
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  Speaker 3: is to accelerate people in our profession that are doing
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  Speaker 3: just that little bit more and they're much more innovative.
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  Speaker 3: And one of those people is joining me today on twerks.
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  Speaker 3: Pharmacy fifty alumni I think a two time alumni. My
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  Speaker 3: friend Sean Jensen, Sean, what's up?
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  Speaker 5: Hey, Todd's great to see you. How are you doing?
• 1:48
  Speaker 5: How May New Year?
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  Speaker 4: Happy New Year. You're a a two timer on Pharmacy fifty.
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  Speaker 5: I am very proud to be the last two years.
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  Speaker 6: And I was going to say congratulations, a great event,
• 2:00
  Speaker 6: a great award season for you, and yeah, I just
• 2:04
  Speaker 6: remember myself. I mean, it's so exciting when you get
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  Speaker 6: the email and all the connections. Like you said, I mean,
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  Speaker 6: it culminates a lot of hard work. It's kind of
• 2:12
  Speaker 6: like a recognition of that. But no, it's really awesome.
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  Speaker 6: I'm so excited for all the winners this year. Congratulations
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  Speaker 6: to all of them.
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  Speaker 4: Then too, you too, Oh yeah, I appreciate that.
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  Speaker 3: What I like is the Pharmacy fifty alumni who use
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  Speaker 3: that award to connect and to lift up other people.
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  Speaker 3: And that's exactly what you've been doing with educating our
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  Speaker 3: younger upcoming pharmacist and developers in the realm of artificial intelligence.
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  Speaker 3: It's kind of like why I wanted you be on
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  Speaker 3: twerks today because I wanted to kind of get into.
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  Speaker 4: A couple of things.
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  Speaker 3: But first of all, let's get some let's get the
• 2:45
  Speaker 3: important stuff.
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  Speaker 4: Out of the way.
• 2:46
  Speaker 3: The Philadelphia Eagles are not going to the Super Bowl
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  Speaker 3: this year, and neither are the Pittsburgh Steelers, So how
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  Speaker 3: do you feel about that?
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  Speaker 6: Yeah, big disappointment. I thought we might have a Steegele
• 2:59
  Speaker 6: super Bowl this year. But a lot of my a
• 3:02
  Speaker 6: lot of my closest friends are big Steelers fans. What
• 3:05
  Speaker 6: do you think about the coach McCarthy coming in?
• 3:07
  Speaker 4: You know, I don't know enough about him to tell
• 3:10
  Speaker 4: you the truth.
• 3:11
  Speaker 3: I've seen things that he did during Brett Farre's younger years,
• 3:15
  Speaker 3: and I think he does a really good job at
• 3:18
  Speaker 3: developing young quarterbacks.
• 3:21
  Speaker 4: I think his heart is in it.
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  Speaker 3: And you know what, really, I will take heart I
• 3:27
  Speaker 3: think over you know, sheer design or cold talent. It's
• 3:33
  Speaker 3: like the way I would the way that Bill Belichick
• 3:36
  Speaker 3: made me feel about being much more calculated and much
• 3:40
  Speaker 3: more about you know, I don't know, but that does
• 3:43
  Speaker 3: get you super Bowls too. But I like McCarthy's attitude.
• 3:47
  Speaker 3: I saw him on a press conference.
• 3:48
  Speaker 4: I saw him. He's extremely sincere.
• 3:50
  Speaker 3: He's very proud to be coming back to his hometown
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  Speaker 3: of Pittsburgh. And if you are, if you're winding down
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  Speaker 3: your career, as an NFL coach, and you would have
• 4:00
  Speaker 3: an opportunity to come back to your hometown and coach
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  Speaker 3: the freaking Pittsburgh Steelers that he grew up with. Like,
• 4:08
  Speaker 3: that's a dream come true for him and his family.
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  Speaker 4: So I think he has.
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  Speaker 3: An opportunity to build an outgoing legacy because I can't
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  Speaker 3: imagine he's going to be around the same time that
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  Speaker 3: the previous Steeler coaches have been in place for, you know,
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  Speaker 3: nineteen twenty plus years. But I think it gives him
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  Speaker 3: an opportunity to do something, you know, pretty cool in
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  Speaker 3: the sunset of his career.
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  Speaker 4: So I hope he takes advantage of it.
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  Speaker 3: I hope he surrounds himself with some really young, aggressive
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  Speaker 3: offensive coordination talent, and he has a lot of work
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  Speaker 3: to do.
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  Speaker 4: I mean, if maybe we can use his.
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  Speaker 3: Experience to kick in because the Steelers are a mess.
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  Speaker 6: Yeah, well, I mean, good best of luck to the city.
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  Speaker 6: And that's one of the most stable jobs in sports.
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  Speaker 5: There you alluded to there.
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  Speaker 6: I mean, it's three coaches in fifty sixty years or something.
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  Speaker 5: Crazy.
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  Speaker 3: Hey, the only people that want the New England Patriots
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  Speaker 3: to win the Super Bowl are New England people in
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  Speaker 3: New England fans because the rest of the nation would
• 5:16
  Speaker 3: much rather see the Seattle Seahawks. And and for me,
• 5:21
  Speaker 3: since the ref during the Super Bowl between the Steelers
• 5:27
  Speaker 3: and the Seahawks, there were a lot of very questionable calls.
• 5:32
  Speaker 3: It's you know, if they're gonna if they have an
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  Speaker 3: opportunity to get it, you know, let them let them
• 5:38
  Speaker 3: get it. Well, not let them get it, but they'll
• 5:40
  Speaker 3: have to fight for it. But I'd much rather see
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  Speaker 3: them win the New England Patriots just to be just
• 5:45
  Speaker 3: to be honest, I'll hear on twerks. Hey, we're looking
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  Speaker 3: at a video from the one and only Tom Brady,
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  Speaker 3: one of the greatest and arguably people could say the
• 5:57
  Speaker 3: greatest QB of all time, but is now on.
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  Speaker 4: Tom Brady Videos.
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  Speaker 7: Here today to talk about EMED, where I proudly serve
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  Speaker 7: as the founding Chief Wellness Officer. We're working on something
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  Speaker 7: that I believe really matters, improving population health at scale
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  Speaker 7: so that people can feel better, perform better, and protect
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  Speaker 7: their long term health.
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  Speaker 5: At EMED.
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  Speaker 7: The program is built around your biology. It's structured, it's accountable,
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  Speaker 7: and it's designed to help people stay on track that mindset, discipline, consistency,
• 6:35
  Speaker 7: showing up to find my career and it's the same
• 6:39
  Speaker 7: mindset that drives real change in health over time. We're
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  Speaker 7: just getting started and I'm proud to be part of it.
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  Speaker 7: EMED the science of you, clinical proven human.
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  Speaker 3: So I don't know mister Brady's background, but to be
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  Speaker 3: called the chief wellness officer, it's just it's just strange
• 7:02
  Speaker 3: to me because I didn't know. I haven't looked at
• 7:05
  Speaker 3: his education, but I didn't I didn't think he had
• 7:07
  Speaker 3: a medical background. And the way that you use terminology
• 7:11
  Speaker 3: in your background. However, you could be called a chief
• 7:15
  Speaker 3: strategy officer and do just about anything for a company.
• 7:19
  Speaker 3: So if you're the wellness officer, maybe he has a
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  Speaker 3: team of people under him. And by the way, to
• 7:24
  Speaker 3: tell you the truth, I don't even know what EMED
• 7:27
  Speaker 3: really does, but I do want to say this just
• 7:29
  Speaker 3: from a public relations perspective, if you know where Tom
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  Speaker 3: Brady is physically and where EMED is physically, as like
• 7:37
  Speaker 3: an organization, think it's down in Miami, Florida, and you're
• 7:40
  Speaker 3: an independent pharmacy, you're a you're an entrepreneurial pharmacist. You
• 7:45
  Speaker 3: you like medication management, or you're into mental health. Reach
• 7:50
  Speaker 3: out to the EMED team. They're on LinkedIn, so it's
• 7:54
  Speaker 3: right in his post you'll be able to see.
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  Speaker 4: But reach out to this organization called EMED.
• 7:59
  Speaker 3: Look this is them on on on LinkedIn and poke
• 8:03
  Speaker 3: around and see if you can't make connections, because wilder
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  Speaker 3: things have happened. I'd love to see some pharmacists involved
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  Speaker 3: in this if if there aren't, you know some already.
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  Speaker 4: And but Sean, have you heard of IMED.
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  Speaker 6: I mean it says they're the GLP one. That's I'd
• 8:18
  Speaker 6: heard of them through you know, the context of GLP one.
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  Speaker 6: I think Tom Brady hopefully you get a lot of
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  Speaker 6: recognition here.
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  Speaker 5: For him, it's probably the point.
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  Speaker 6: But I mean, hey, I'm sure the guy knows a
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  Speaker 6: ton about fitness, and like you said, I mean the
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  Speaker 6: figurehead or not the team around him is really what's
• 8:35
  Speaker 6: going to determine, you know, that impact. And with like
• 8:37
  Speaker 6: Mark Cuban jumping in, you know, I welcome any kind
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  Speaker 6: of celebrity or any kind of you know, spotlight that
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  Speaker 6: wants to get shown on the industry and any kind
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  Speaker 6: of attention we can get, you know, we'll take it.
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  Speaker 5: So sure Tom Brady wants to get involved in EMED,
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  Speaker 5: I welcome that. I think that's great.
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  Speaker 6: You know, let's let's contain the conversation.
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  Speaker 3: So we did some collaboration with BABS and Diagnostics, which
• 8:58
  Speaker 3: is a blood testing uh tech.
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  Speaker 4: It's blood tit.
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  Speaker 3: They put the freezer inside the community pharmacy or the
• 9:06
  Speaker 3: hospital system. They have a device that warms the fingers
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  Speaker 3: and then all of a sudden, it gives you a
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  Speaker 3: little prick.
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  Speaker 4: It extracts blood.
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  Speaker 3: At a at a minuscule amount in comparison to how
• 9:19
  Speaker 3: much blood that they normally take. When you go give blood,
• 9:21
  Speaker 3: you're giving sometimes two whole vials. I hate, I hate
• 9:24
  Speaker 3: giving blood, but absent is really onto something. It's like
• 9:28
  Speaker 3: where what's that Holmes Lady?
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  Speaker 2: That was?
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  Speaker 5: It sounds like the actual like fair nose.
• 9:34
  Speaker 3: Yeah, it's the literally it's it's the way that Saranos
• 9:39
  Speaker 3: should have been. Is exactly what baps and But when
• 9:43
  Speaker 3: you look up the EMD site, what do you know?
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  Speaker 4: They have a blood testing kit.
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  Speaker 3: So the future of blood testing and specialty pharmacy, I'm
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  Speaker 3: thinking about you and I go we're going to be
• 9:54
  Speaker 3: headed to Assembia this year, and I love talking with
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  Speaker 3: specialty pharmacy operations. But you organizations, you pharmacist consultants out there,
• 10:03
  Speaker 3: you community pharmacy owners, look into blood testing, but I
• 10:07
  Speaker 3: mean look into blood testing, look into be being a
• 10:10
  Speaker 3: place for people to come and ask lots of questions about, Hey,
• 10:14
  Speaker 3: what's the long term impact if I'm on.
• 10:19
  Speaker 4: What's one of those medications with goovy or.
• 10:23
  Speaker 3: Yeah, so what's the long term effect on bone density
• 10:26
  Speaker 3: or what's the long term effect on my on my longevity?
• 10:31
  Speaker 3: Is there a way to wean me off of this?
• 10:33
  Speaker 3: And then all of a sudden I transform into something
• 10:35
  Speaker 3: more holistic or something more Now with the food pyramid
• 10:39
  Speaker 3: being turned literally upside down, like, is this time for
• 10:43
  Speaker 3: pharmacists to rise and to say, hey, here's medication management,
• 10:50
  Speaker 3: here's holistic health, here's diet, here's exercise. Let's let's stop prescribing.
• 10:57
  Speaker 3: And all you do is not all you do, of course,
• 11:00
  Speaker 3: it's everything they do because they keep everybody alive with
• 11:02
  Speaker 3: triple checking and double checking. But the dispensing of that
• 11:06
  Speaker 3: med that's not the future of pharmacy. You know that
• 11:09
  Speaker 3: because of your work and artificial intelligence creation of where
• 11:13
  Speaker 3: that's going from workflows and things that you're doing.
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  Speaker 4: But share with us what you think.
• 11:18
  Speaker 3: What do you think of blood testing and the access
• 11:22
  Speaker 3: to the data and clarification of the medications that people
• 11:25
  Speaker 3: are on.
• 11:26
  Speaker 4: What do you think of that?
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  Speaker 6: Yeah, I mean it's just, you know, the pharmacist plays
• 11:30
  Speaker 6: a bigger role than most people think. I mean, even
• 11:32
  Speaker 6: look at the recent that pilot, I mean that was
• 11:34
  Speaker 6: not pharmacies, that was AI. And you know, doing renewals
• 11:38
  Speaker 6: to AI wasn't I believe in Utah, I mean, pharmacists
• 11:43
  Speaker 6: can't prescribe or.
• 11:44
  Speaker 5: Can't do, but the AI can.
• 11:46
  Speaker 6: I mean that's kind of getting a little wild that
• 11:48
  Speaker 6: they would trust the AI more than the pharmacists.
• 11:50
  Speaker 5: But yeah, I mean blood testing, holistic health.
• 11:53
  Speaker 6: I mean, there's so many avenues here, even just the
• 11:55
  Speaker 6: clinical support that's always been in specialty pharmacy. I mean,
• 11:59
  Speaker 6: there's so much more more the pharmacists do than just
• 12:01
  Speaker 6: you know, fill pill bottles and things like that. And
• 12:04
  Speaker 6: the technology is enabled it, you know, it's really given
• 12:06
  Speaker 6: a lot of the data and a lot of the
• 12:08
  Speaker 6: you know, it just facilitates much more communication and much
• 12:11
  Speaker 6: more quicker action.
• 12:13
  Speaker 4: Here you go, Yeah, you mentioned this to me.
• 12:16
  Speaker 3: Artificial intelligence begins prescribing thecations and medications in Utah. And
• 12:21
  Speaker 3: we heard about this several weeks back, maybe two weeks back,
• 12:25
  Speaker 3: and then really when I've read through this, I don't
• 12:30
  Speaker 3: completely understand what it's going to do. Obviously, there's no
• 12:34
  Speaker 3: way that it's extracting every final check and review of
• 12:40
  Speaker 3: a pharmacist based on the license needing to be you know,
• 12:45
  Speaker 3: present in every prescription that's been reviewed by a pharmacist.
• 12:52
  Speaker 3: But what do you think of this as an evolution
• 12:55
  Speaker 3: in the use of AI.
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  Speaker 6: I mean, I'm surprised eyes how quickly it's moving forward, frankly,
• 13:03
  Speaker 6: and I say that in a good way. I think
• 13:05
  Speaker 6: people have always said the technology isn't going to be
• 13:08
  Speaker 6: limiting factor in terms of speed. It's going to be
• 13:11
  Speaker 6: you know, the regulations and kind of just the compliance
• 13:14
  Speaker 6: around it, the legal aspects. I mean, there's so much
• 13:17
  Speaker 6: more than just you know, hey, the AI can do
• 13:19
  Speaker 6: a lot of cool things. It's like, is it allowed
• 13:21
  Speaker 6: to do all those cool things? I believe that article
• 13:24
  Speaker 6: is kind of renewals only initially too, which at the
• 13:27
  Speaker 6: end of the day, you know, a doctor renewal isn't
• 13:30
  Speaker 6: much more than pushing a button in the EHR anyway,
• 13:32
  Speaker 6: especially like you know, there's renewal transaction sets, so maybe
• 13:37
  Speaker 6: it's not doing that much. But it's certainly like the
• 13:38
  Speaker 6: right direction of getting technology more involved in I think
• 13:42
  Speaker 6: it's it's going to expand to the pharmacist. I mean,
• 13:44
  Speaker 6: inevitably what we're seeing there on the doctor side will
• 13:47
  Speaker 6: be for the pharmacy as well.
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  Speaker 4: Hey, shifting gears.
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  Speaker 3: But just staying within Twerk's news is this this news
• 13:55
  Speaker 3: came out. The headline is and this came from health
• 13:58
  Speaker 3: care to dive. You can find more at healthcaredive dot com.
• 14:02
  Speaker 3: But the headline is CVS accused of shutting out rival
• 14:08
  Speaker 3: pharmacy hubs. In house judiciary investigation, the company's massive pharmacy
• 14:14
  Speaker 3: benefit manager changed its rules and weaponized audits to ensure
• 14:19
  Speaker 3: independent pharmacies couldn't work with competing pharmacy service companies, the
• 14:24
  Speaker 3: House Republicans said, And then it dives into the brief.
• 14:29
  Speaker 3: Definitely take a look at this of you know, I
• 14:34
  Speaker 3: love what the frame markets have done for entire economies
• 14:41
  Speaker 3: and building nations and the Industrial Revolution and everything that
• 14:46
  Speaker 3: the United States went through. Part of that Industrial Revolution,
• 14:50
  Speaker 3: there were horrible things that were done to human beings,
• 14:53
  Speaker 3: and you know, in the coal furnaces and all of
• 14:56
  Speaker 3: that stuff. So there's always going to be crappy ass
• 14:59
  Speaker 3: people who are going to take advantage of things. But
• 15:02
  Speaker 3: for the most part, and I know that's not excuse
• 15:05
  Speaker 3: for things that are done to people, because it's not.
• 15:08
  Speaker 3: But the evolution of innovation, there's good and bad that
• 15:12
  Speaker 3: are really a part of everything. And CBS Health had
• 15:17
  Speaker 3: such an opportunity backing up ten years ago when they
• 15:21
  Speaker 3: really started to get manipulative into Medicare Part D and
• 15:26
  Speaker 3: Medicaid and starting to scrape more and more of that money,
• 15:31
  Speaker 3: calling it a benefit, calling it medication management, calling it
• 15:34
  Speaker 3: formulary management. And now there's no money left to pay
• 15:40
  Speaker 3: pharmacists for clinical knowledge, there's no money left to pay
• 15:44
  Speaker 3: a dispensing, privately owned pharmacy in any of this space
• 15:48
  Speaker 3: is specialty, long term care, or even our community independence.
• 15:53
  Speaker 3: And now we've pulled back the covers. Everybody knows what
• 15:58
  Speaker 3: the truth is. It's it's right out there in the
• 16:01
  Speaker 3: black and white data that CBS Health, Optum, express Scripts
• 16:06
  Speaker 3: have all done things purposely to create a non competitive
• 16:12
  Speaker 3: advantage or a non competitive situation where they.
• 16:15
  Speaker 4: Don't have to compete.
• 16:16
  Speaker 3: They don't have to Well, you don't have to compete, Sean,
• 16:18
  Speaker 3: if you didn't have to compete with all the other
• 16:20
  Speaker 3: AI companies out there, and to the developers of software
• 16:23
  Speaker 3: out there. If you never had to compete, your software
• 16:26
  Speaker 3: would be crap because your development software would not have
• 16:30
  Speaker 3: any push to stay competitive.
• 16:33
  Speaker 4: And that's exactly in the free market.
• 16:36
  Speaker 3: That's exactly exactly how the pharmacy benefit managers have become
• 16:40
  Speaker 3: the bane of healthcare and they just suck out the
• 16:45
  Speaker 3: money in the form of just profit and not where
• 16:47
  Speaker 3: it needs to be applied, which you know, there's so
• 16:51
  Speaker 3: many things, but I hated seeing that article, so hey,
• 16:54
  Speaker 3: thanks for bringing it to my attention.
• 16:56
  Speaker 4: That was Sean's fault.
• 16:58
  Speaker 6: Yeah, I mean it's a house reports so far. So
• 17:01
  Speaker 6: I mean this comes around in cycles. We always think
• 17:03
  Speaker 6: they're going to do something and they don't always do.
• 17:06
  Speaker 6: But for sure, this is they're calling them out. And
• 17:08
  Speaker 6: I think just as an extension, like we said, like
• 17:10
  Speaker 6: you know, a lot of times it's technologies being stifled,
• 17:13
  Speaker 6: not because the tech isn't capable of doing it. It's
• 17:16
  Speaker 6: because the old guard doesn't want to allow it in.
• 17:18
  Speaker 6: It's because compliant you know, there's all these other like
• 17:21
  Speaker 6: human barriers, and if they're stifling competition, they're stifling it
• 17:25
  Speaker 6: even says like.
• 17:26
  Speaker 5: In the report.
• 17:27
  Speaker 6: I think on that PDF that the House report title
• 17:29
  Speaker 6: is something like how they protected themselves from competition and innovation,
• 17:34
  Speaker 6: And it's like, wow, you're purposely putting resources to try
• 17:37
  Speaker 6: to stifle innovation. So I think, as we shine a
• 17:41
  Speaker 6: flashlight on what's not we but you know, as everyone
• 17:43
  Speaker 6: kind of sees what's really going on, and you know,
• 17:45
  Speaker 6: more transparent PBMs and transparent processes take over, you know,
• 17:49
  Speaker 6: you'll see a wave of tech adoption. Mean, you look
• 17:51
  Speaker 6: at those other middle market PBMs, they're so tech forward
• 17:55
  Speaker 6: and tech you know friendly, there's so much more that
• 17:58
  Speaker 6: they're doing that you wonder why everyone else is doing it.
• 18:00
  Speaker 6: And you know, you got to wonder if they want
• 18:02
  Speaker 6: all that you know, tech to be as easy as
• 18:04
  Speaker 6: it could be in all that interoperability. Certainly it doesn't
• 18:07
  Speaker 6: seem like CBS care Mark wants interoperability with independent pharmacies
• 18:10
  Speaker 6: where you know there could be better collaboration.
• 18:13
  Speaker 5: So we'll see where this heads.
• 18:14
  Speaker 6: It's interesting, though, you know, my hat's off to the
• 18:17
  Speaker 6: House for doing something in this political climate.
• 18:20
  Speaker 5: I'll stay neutral overall, but you.
• 18:22
  Speaker 6: Know, I was definitely happy to see them making some
• 18:24
  Speaker 6: progress on the PBM reform and the investigation, so a great,
• 18:27
  Speaker 6: great step forward.
• 18:28
  Speaker 5: Sorry for sharing the article. At least it's a Friday.
• 18:31
  Speaker 3: That's all right, Thank god it's Friday, because at least
• 18:33
  Speaker 3: we got the weekend to maybe recover exactly except for
• 18:37
  Speaker 3: those pharmacists and technicians listening right now who probably have
• 18:40
  Speaker 3: to work over the weekend.
• 18:42
  Speaker 5: But it's it.
• 18:43
  Speaker 4: It makes me think.
• 18:47
  Speaker 3: The you know the quote from Spider Man, with great
• 18:51
  Speaker 3: power comes a great responsibility.
• 18:53
  Speaker 4: And that's what's.
• 18:54
  Speaker 3: Most disappointing to me in the cbs IS and the
• 19:00
  Speaker 3: the optims and the you know, the organizations who are
• 19:03
  Speaker 3: inside pharmacy and I I've been accused. My entire network
• 19:09
  Speaker 3: has been partially confused. We've we've lost sponsorships based on
• 19:14
  Speaker 3: People will be like, well, you're so heavy on PBMs,
• 19:18
  Speaker 3: and I'm like, no, I'm we need PBMs.
• 19:22
  Speaker 4: PBMs have their place.
• 19:23
  Speaker 3: There's a matter of fact, there's a wrap ton of PBMs.
• 19:27
  Speaker 3: There's at least a dozen, at least twelve national PBMs
• 19:31
  Speaker 3: that are fiduciary or cost plus or you know, transparent
• 19:36
  Speaker 3: or doing things that are exactly what where the value
• 19:40
  Speaker 3: you know, capital RX for example, They're doing things that
• 19:46
  Speaker 3: are helping the employer, helping the benefits manager, helping the
• 19:50
  Speaker 3: cost helping the patient much more inclusive.
• 19:54
  Speaker 4: And and we're we're seeing.
• 19:56
  Speaker 3: The beginning of the end of the current three PBMs.
• 20:01
  Speaker 3: Their model models will not sustain the mark Cuban and
• 20:05
  Speaker 3: Congress and people have just dug too deep. Now where Leadi,
• 20:09
  Speaker 3: Holy crap, Look at all this tax all this tax
• 20:13
  Speaker 3: benefit that's supposed to cover people that can't afford a medications,
• 20:17
  Speaker 3: All this tax money that's supposed to cover our seniors,
• 20:20
  Speaker 3: all this tax money that is reserved for specialty disease
• 20:25
  Speaker 3: states that could really help people live and survive better
• 20:29
  Speaker 3: has been sucked up in the form of freaking profit.
• 20:32
  Speaker 4: And Sean, I'm a capitalist.
• 20:34
  Speaker 3: I want to make some money, and I do make money,
• 20:37
  Speaker 3: you know, through pharmacy podcast network.
• 20:39
  Speaker 4: And it's my it's my livelihood.
• 20:42
  Speaker 3: But if if I were setting something up that was
• 20:47
  Speaker 3: taking advantage of a situation, especially in the form of
• 20:50
  Speaker 3: a tax matter, if I could find a way to
• 20:52
  Speaker 3: get podcasts taxed and make.
• 20:55
  Speaker 4: Some make some money, right.
• 20:57
  Speaker 3: But but if I were doing it and use it
• 21:00
  Speaker 3: in a way that was just for profiting my publication
• 21:04
  Speaker 3: or myself and not pushing it back to how do
• 21:07
  Speaker 3: we evolve the standard of podcasting and continuing education, how
• 21:10
  Speaker 3: do we advance the profession and what pharmacists are talking
• 21:14
  Speaker 3: about and what conversations they should be a part of.
• 21:17
  Speaker 3: How do we leverage the superstars of our industry and
• 21:21
  Speaker 3: get their names out there.
• 21:23
  Speaker 4: Like it's if.
• 21:24
  Speaker 3: You're in a profession, if you're if you're in if
• 21:26
  Speaker 3: you're a lifer, you're a lifer, sean in being in technology,
• 21:29
  Speaker 3: and if you're a lifer in healthcare tech and you
• 21:34
  Speaker 3: start doing things that are questionable, that is more about
• 21:38
  Speaker 3: just lining your pockets. Most likely, with how small this
• 21:42
  Speaker 3: industry is, and especially pharmacy, you're going to get burnt
• 21:46
  Speaker 3: out because people aren't going to do business with you anymore.
• 21:49
  Speaker 3: And that's literally what's happened to the three biggest PBMs
• 21:53
  Speaker 3: is we've uncovered the truth to their massive, massive, massive
• 21:59
  Speaker 3: profits in returns and people are suffering.
• 22:04
  Speaker 5: Yeah, I mean, this industry you can't hide for long.
• 22:06
  Speaker 6: It's that's why no one burns bridges and specialty pharmacy
• 22:10
  Speaker 6: and healthcare and pharmacy in general. I mean there's just
• 22:12
  Speaker 6: such a community and a brotherhood and sisterhood of you know,
• 22:16
  Speaker 6: just people taking care of each other, helping out for
• 22:18
  Speaker 6: each other. And you know, if someone's doing something wrong,
• 22:22
  Speaker 6: you know, be it a vendor company, whoever. You know,
• 22:24
  Speaker 6: word travels fast, and everybody's gonna know about it. I
• 22:27
  Speaker 6: would say as a lifer, you know, going back to
• 22:29
  Speaker 6: the like the nineties, like what the PBM scene looked
• 22:32
  Speaker 6: like before the rise of where we're at. I mean,
• 22:35
  Speaker 6: it was just as bad it was the Wild West.
• 22:36
  Speaker 6: I mean, it was the employers who were getting you know,
• 22:40
  Speaker 6: taking the brunt of just blank checks being written. You know,
• 22:44
  Speaker 6: any prescription that wants to get written, doesn't matter what
• 22:46
  Speaker 6: it is, the employer is going to pay for it.
• 22:48
  Speaker 6: Nobody had any incentive to not just write whatever they wanted.
• 22:51
  Speaker 6: And certainly some cost cutting measures had to come in.
• 22:54
  Speaker 6: And I mean I think, on the one hand, how
• 22:57
  Speaker 6: much money the PBMs are taking, stealing, pocket you know whatever,
• 23:01
  Speaker 6: people could say, all that money was also being wasted.
• 23:04
  Speaker 6: I mean, back in those days, that same money that
• 23:06
  Speaker 6: they're pocketing, you know, that was just going to you know,
• 23:10
  Speaker 6: it was always being paid by whoever had to pay
• 23:12
  Speaker 6: the bill, whether it was a health planner or an employer.
• 23:15
  Speaker 6: You know, they came in with a noble mission. They
• 23:17
  Speaker 6: did something some things right. They've certainly lost their way.
• 23:21
  Speaker 6: I think you said, you know, there's a lot of
• 23:22
  Speaker 6: new companies that are ushering in a new age, but
• 23:26
  Speaker 6: we certainly don't want to go back to the wild West.
• 23:28
  Speaker 6: There's a reason PBMs came about to begin with. And
• 23:31
  Speaker 6: you know, we'll see where we're all heads. But even
• 23:34
  Speaker 6: though it's Jay and j Dollar, you know, followed the
• 23:36
  Speaker 6: Dollar Report that they put out every year. Obviously the
• 23:39
  Speaker 6: PBMs are taking a cut, but you know, three point
• 23:41
  Speaker 6: forty b the government the government programs, and I support
• 23:45
  Speaker 6: all of them.
• 23:45
  Speaker 5: I'm not saying anything critical, but as a fact of.
• 23:47
  Speaker 6: The matter, you know, they do show that a lot
• 23:49
  Speaker 6: of the money that's being spent is going all over
• 23:51
  Speaker 6: the place. It's not just going to drug companies, it's
• 23:54
  Speaker 6: not just going to pharmacies. It's you know, it is
• 23:56
  Speaker 6: being wasted everywhere. So there's a lot of a lot
• 23:59
  Speaker 6: of Thing's the point too there, absolutely, But you know,
• 24:02
  Speaker 6: I'm I'm all aboard seeing what happened with this report
• 24:04
  Speaker 6: and seeing what happens from here.
• 24:07
  Speaker 3: Yeah, those good insights, especially from someone who when you
• 24:13
  Speaker 3: design systems and software, there's a lot of black and
• 24:17
  Speaker 3: white that goes into that because it's very factual. It
• 24:20
  Speaker 3: either works or it doesn't. It's either going to corrupt
• 24:23
  Speaker 3: later based on something else that you're plugged into it,
• 24:26
  Speaker 3: or it's going to be stable, you know, and it's
• 24:27
  Speaker 3: going to So it's like, I think, from your mind
• 24:30
  Speaker 3: and your perspective, it really makes sense the way that
• 24:33
  Speaker 3: even business should be and business people that are in business,
• 24:38
  Speaker 3: people that are lifers. You're doing what's best for the
• 24:42
  Speaker 3: whole ecosystem. There's no reason that you can't make money
• 24:44
  Speaker 3: at it, but it's got to be cyclical and giving
• 24:49
  Speaker 3: value back.
• 24:50
  Speaker 4: And yeah, that's it said.
• 24:52
  Speaker 3: Hey, last up on twerqu's news. Not sure if you
• 24:57
  Speaker 3: saw this, but this is from across the Pond. Pharmacy
• 25:01
  Speaker 3: business over in London put out an article. It says
• 25:06
  Speaker 3: pharma companies embrace AI to speed up clinical trials and
• 25:10
  Speaker 3: regulatory processes. AI helps the pharmaceutical companies to fulfill tedious
• 25:15
  Speaker 3: tasks as well as submission submissions using less time. This
• 25:20
  Speaker 3: absolutely makes sense to me. Here here's where in law
• 25:24
  Speaker 3: you know AI lies. It can really speed up access,
• 25:30
  Speaker 3: you know, accessing information and looking at data over millions
• 25:34
  Speaker 3: of cases. Of the same you know, variation and something
• 25:39
  Speaker 3: that changes very minute in a small percentage. Let's pretend
• 25:44
  Speaker 3: that they do a million people on a specific drug
• 25:48
  Speaker 3: and they saw this tiny, tiny two percent of this
• 25:52
  Speaker 3: horrible outcome. Right now you're able to kind of basically
• 25:57
  Speaker 3: take that same data and now leap frog the speed
• 26:01
  Speaker 3: of clinical research because now you're relying on the data
• 26:07
  Speaker 3: that AI has brought to the table. Because of all
• 26:09
  Speaker 3: the outcomes of a million people. It's like basically saying, Wow,
• 26:14
  Speaker 3: that's an opportunity to to speed things up. And instead
• 26:18
  Speaker 3: of spending that money all over again starting from scratch,
• 26:21
  Speaker 3: you could start from a start studying the two percent
• 26:25
  Speaker 3: that had an adverse reaction and really dial into what
• 26:28
  Speaker 3: happened with them and getting more data out of it.
• 26:31
  Speaker 3: But what do you think of this, this impacting clinical trials?
• 26:35
  Speaker 6: I mean, that's one of the areas pharmaceuticals are benefiting
• 26:38
  Speaker 6: in a practical way from AI more than almost anyone
• 26:41
  Speaker 6: else in the healthcare ecosystem. I mean, there's so many
• 26:44
  Speaker 6: areas where pharma is using AI right now, and I
• 26:47
  Speaker 6: mean this is to help well, I think you spelled
• 26:49
  Speaker 6: down that second bulletpoint said something as you were scrolling
• 26:52
  Speaker 6: like at Nevardes from a selection time from weeks to
• 26:56
  Speaker 6: a two hour meeting. I mean that I think that
• 26:58
  Speaker 6: headline right there kind of says it. I mean, that's
• 27:01
  Speaker 6: that's what happens. But even like on the formulation side,
• 27:04
  Speaker 6: I've heard of you know, they're able to I'm not
• 27:08
  Speaker 6: sure the right word for it, but like create the
• 27:11
  Speaker 6: molecules or synthesiz it's like they're able to hit the
• 27:14
  Speaker 6: mark in like hours, days, weeks rather than years. Where
• 27:19
  Speaker 6: you know, AI is just looking at this data and
• 27:21
  Speaker 6: it's putting together models, and it's doing so much so
• 27:24
  Speaker 6: quickly that you know, they're they're able to bring these
• 27:26
  Speaker 6: drugs to market, not just because they're making manpower you
• 27:30
  Speaker 6: know and doing efficiency gains, but even in the research,
• 27:33
  Speaker 6: like AI is finding you know, better products to build
• 27:37
  Speaker 6: you know, lack of a better word, you know, so
• 27:40
  Speaker 6: quickly that it's like drugs are coming to market and
• 27:42
  Speaker 6: they are being found. You know, it's crazy how much
• 27:45
  Speaker 6: the pharma is being impacted right now.
• 27:47
  Speaker 8: Yeah, yep, yep.
• 27:50
  Speaker 5: We're really exciting.
• 27:51
  Speaker 4: We're going to be talking more about this. We would
• 27:54
  Speaker 4: like to.
• 27:57
  Speaker 3: Put together this mind share of people that are getting
• 28:01
  Speaker 3: much deeper into using artificial intelligence for different components of
• 28:07
  Speaker 3: the entire pharmacy care ecosystem, pharma research, clinical trials, and
• 28:14
  Speaker 3: even the specific player. I think of Daniel Plummer dialing
• 28:18
  Speaker 3: into pregnancy. I think of Jenna Quinn and pediatrics, and
• 28:22
  Speaker 3: I'm thinking of Tamar Rugel's and senior care and so
• 28:25
  Speaker 3: on and so forth, where we now have experts that
• 28:28
  Speaker 3: can start using some of these tools that people like you,
• 28:32
  Speaker 3: Sean are building to really help accelerate their capacity as
• 28:37
  Speaker 3: a pharmacist that's dialed into very specific things that people
• 28:42
  Speaker 3: go through, and we need the insights of those pharmacists
• 28:45
  Speaker 3: to leverage. AI shout out to my guys over at
• 28:48
  Speaker 3: Nested Knowledge. We're going to be working on some releases
• 28:52
  Speaker 3: coming up the evidence based podcasting concept, and Sean, we're
• 28:59
  Speaker 3: going to be working with JB Consulting in the future too,
• 29:02
  Speaker 3: just to do more extraction of data and resource and
• 29:06
  Speaker 3: reference and connection by the use of artificial intelligence. So
• 29:11
  Speaker 3: what other organizations have you ever heard about doing stand
• 29:16
  Speaker 3: up jobs in specifically around pharmacy care in any of
• 29:20
  Speaker 3: the sectors.
• 29:23
  Speaker 6: I mean, I see just there's there's probably more to
• 29:26
  Speaker 6: even thing to mention, like there's so many AI companies.
• 29:29
  Speaker 6: Go to any trade show, go in the exhibit booth,
• 29:32
  Speaker 6: and it's like you can't throw you can't throw something
• 29:35
  Speaker 6: without hitting an AI booth or hitting hitting.
• 29:38
  Speaker 5: Some kind of a demo. There's just so much.
• 29:41
  Speaker 4: I don't want to say it's becoming a commodity.
• 29:42
  Speaker 6: It's not like the right, that's not fair to say,
• 29:44
  Speaker 6: but it is going to really be not like, you know,
• 29:48
  Speaker 6: can AI do it? Like Ai'll be able to do it.
• 29:50
  Speaker 6: People have a million choices, they can do it themselves.
• 29:52
  Speaker 6: It al wayd be like how are people choosing to
• 29:55
  Speaker 6: use it? You know, and like they said that the
• 29:57
  Speaker 6: pharmacists who uses AI will replace the pharmacists who doesn't
• 30:01
  Speaker 6: use AI or the company rather than you know, AI
• 30:05
  Speaker 6: replacing everyone. Hopefully it's the people who are leveraging it
• 30:08
  Speaker 6: are you know, I don't want to say replacing, but
• 30:09
  Speaker 6: they're the ones who are going to thrive, you know,
• 30:11
  Speaker 6: in the economy and in the environment where you know,
• 30:14
  Speaker 6: imagination and things like that are really the only limiting factor.
• 30:18
  Speaker 5: Really really exciting times.
• 30:19
  Speaker 4: Yeah, it really is.
• 30:21
  Speaker 3: So we have a episode coming out on Twerks with
• 30:25
  Speaker 3: j M or TJM Labs, which is an AI group
• 30:30
  Speaker 3: that is doing more about workflow and they're kind of
• 30:34
  Speaker 3: dialing into different things in the independent community pharmacy space,
• 30:38
  Speaker 3: but they'll be definitely an organization that I kind of
• 30:41
  Speaker 3: want to mix in so that we have nights of
• 30:43
  Speaker 3: the roundtable of organizations that are trusted not only in
• 30:47
  Speaker 3: the strengths that they bring to the table in the
• 30:49
  Speaker 3: reference and the usage of artificial intelligence, but more specifically,
• 30:54
  Speaker 3: I think of like you, Sean and your group, you
• 30:57
  Speaker 3: have such a niche in special pharmacy over the years
• 31:01
  Speaker 3: where you were it wasn't you weren't even calling it
• 31:05
  Speaker 3: AI back back when you were doing it. It was
• 31:08
  Speaker 3: more like a workflow, custom workflow. But you could really
• 31:12
  Speaker 3: see as it as the as the beginnings of using
• 31:17
  Speaker 3: AI on artificial intelligence. It's probably more like artificial reference
• 31:21
  Speaker 3: back then to reference data and stuff like that. But yeah,
• 31:26
  Speaker 3: you guys have come a long way. It's it's pretty
• 31:29
  Speaker 3: pretty neat to see how to where you are today.
• 31:31
  Speaker 3: When when did you start really dialing into specialty pharmacy.
• 31:37
  Speaker 6: Our first project was I think nineteen ninety eight. We
• 31:41
  Speaker 6: were building a workflow automation and optimization tool for an
• 31:45
  Speaker 6: infusion site down in Delaware and they were explaining to us,
• 31:49
  Speaker 6: you know, all the different workflows and why you know,
• 31:52
  Speaker 6: they're doing more than just filling prescriptions, and they explained
• 31:56
  Speaker 6: kind of what we do. They didn't say specialty, but
• 31:59
  Speaker 6: you know, they were explaining that the clinical management and
• 32:01
  Speaker 6: how after it goes out, we saw have to call
• 32:02
  Speaker 6: the patient and we have these reminders to reach out
• 32:05
  Speaker 6: and questions we ask and they're explaining therapy management to
• 32:08
  Speaker 6: us back then. So we're building tools out, you know,
• 32:12
  Speaker 6: back then to help you know, with prior off automation
• 32:15
  Speaker 6: when that started coming out, and you know, all the
• 32:18
  Speaker 6: things everyone has seen. But it's been a it's been
• 32:21
  Speaker 6: a great journey. I mean, it's such a it's such
• 32:22
  Speaker 6: a fun rewarding industry to be in. I mean the work,
• 32:25
  Speaker 6: it lines people's pockets. Like you said, it's capitalists, but
• 32:29
  Speaker 6: really at the end of the day, I mean it's patients,
• 32:31
  Speaker 6: it's pharmacists, it's caregivers, it's families. I Mean there's a
• 32:34
  Speaker 6: lot of great things that can you know, warm the
• 32:36
  Speaker 6: heart to say, you know, within the pharmacy industry as
• 32:39
  Speaker 6: a whole. And when you know, my team's staying up
• 32:41
  Speaker 6: late and writing lots of code and automating something.
• 32:44
  Speaker 5: Sure, that's fun, that's awesome. We're all challenged by it.
• 32:47
  Speaker 6: But when you actually see the result and like you know,
• 32:49
  Speaker 6: family members, their children are getting medications sooner, you know,
• 32:53
  Speaker 6: in some cases the same day, not like weeks or
• 32:55
  Speaker 6: months later, because we're just smashing these barriers, you know,
• 32:58
  Speaker 6: to access and these things that just.
• 32:59
  Speaker 5: Took so much time.
• 33:01
  Speaker 6: Technology is moving it forward every step of the way
• 33:03
  Speaker 6: so that people don't have to wait weeks and months
• 33:05
  Speaker 6: to start a therapy. I mean, you don't used to
• 33:07
  Speaker 6: hear that and just blew your mind how that could happen.
• 33:09
  Speaker 5: It still happens, but.
• 33:10
  Speaker 6: Technology is really accelerating, you know, in so many good
• 33:13
  Speaker 6: ways the patient experience and also for the caregivers and
• 33:16
  Speaker 6: the family. So our company here at JB we always
• 33:19
  Speaker 6: think about the caregivers, the family, the patients, and that's
• 33:22
  Speaker 6: obviously why we're here. I know every other pharmacist that's
• 33:25
  Speaker 6: how they feel as well.
• 33:28
  Speaker 3: All right, so you have to promise to get back
• 33:33
  Speaker 3: on twerks, let's dig into let's build another conversation with
• 33:37
  Speaker 3: someone else that's out there that's doing it, using it.
• 33:40
  Speaker 3: And then also the tools that you're developing in specialty pharmacy, Sean,
• 33:46
  Speaker 3: let's get a couple of your pharmacy clients to come
• 33:51
  Speaker 3: on and really talk about how this impacts workflow, patient care,
• 33:56
  Speaker 3: the dreaded prior authorization processes. Hey, if you're watching us
• 34:02
  Speaker 3: live on LinkedIn, on Instagram YouTube, thanks so much for
• 34:07
  Speaker 3: watching tworks today. Today's Twerks is going to be brought
• 34:11
  Speaker 3: to you, brought to you by multiple organizations, but a
• 34:14
  Speaker 3: shout out to IPC Independent Pharmacy Cooperative. I was talking
• 34:18
  Speaker 3: to Marcus Senza. You're going to hear that interview I
• 34:22
  Speaker 3: think coming next. He's coming on, coming in the studio,
• 34:25
  Speaker 3: going to be talking with us. Marcus Senza, the CEO
• 34:28
  Speaker 3: of IPC.
• 34:29
  Speaker 4: This is a guy that.
• 34:30
  Speaker 3: I want you to meet up with, Sean when we're
• 34:32
  Speaker 3: all at the Assembia twenty the Access twenty sixth summit.
• 34:37
  Speaker 3: This is like my Super Bowl business drill down in
• 34:42
  Speaker 3: specialty pharmacy and it's one of my most favorite conferences.
• 34:47
  Speaker 4: That you cannot beat the food.
• 34:48
  Speaker 5: There.
• 34:50
  Speaker 3: A shout out to our team over at at Assembia
• 34:54
  Speaker 3: and what they do and how hard they work. Shout
• 34:58
  Speaker 3: out to Chris Ben's He's just amazing. But talk to
• 35:02
  Speaker 3: us a little bit about Access twenty six. What do
• 35:04
  Speaker 3: you want to do when you're you and I are
• 35:06
  Speaker 3: going to have a segment on the on the show floor,
• 35:10
  Speaker 3: But what do you what do you want to accomplish
• 35:11
  Speaker 3: it at Access this year?
• 35:14
  Speaker 5: I can't wait.
• 35:14
  Speaker 6: I mean, this is this is like you said, this
• 35:16
  Speaker 6: is the super Bowl. Everyone loves it out there, and
• 35:20
  Speaker 6: you know, I think just hearing what people are actually doing,
• 35:23
  Speaker 6: Like last year, there was a lot of people talking
• 35:25
  Speaker 6: about what they plan to do, what they're hoping to do,
• 35:28
  Speaker 6: a lot of follow the leader in.
• 35:29
  Speaker 5: Terms of tech adoption.
• 35:31
  Speaker 6: You know, I can't wait to kind of talk to
• 35:33
  Speaker 6: some of the companies about what they.
• 35:35
  Speaker 5: Have been doing last year. Yeah, we got Charlie Sheen
• 35:39
  Speaker 5: and Elvis duran Do you know how to speak for itself?
• 35:42
  Speaker 3: When I see when I see superstars, you know, showing
• 35:46
  Speaker 3: up at at Access to Pharmacy and they get some
• 35:51
  Speaker 3: really good people, I'll give.
• 35:52
  Speaker 4: It to him.
• 35:52
  Speaker 9: They do.
• 35:53
  Speaker 5: She certainly didn't.
• 35:54
  Speaker 3: I would rather meet up with Sheila Arquette, or I
• 35:57
  Speaker 3: would rather meet up with Harry Travis, or I would
• 36:00
  Speaker 3: rather meet up with you then then get an opportunity
• 36:04
  Speaker 3: to talk with Elvis Durant. Not that not that he's
• 36:07
  Speaker 3: not cool and what he's done and everything, but like
• 36:09
  Speaker 3: when I go to these business conferences, like I want
• 36:12
  Speaker 3: to get I want to get in the heads and
• 36:14
  Speaker 3: I want to talk to the movers and shakers inside
• 36:18
  Speaker 3: specialty pharmacy and Charlie Sheen.
• 36:20
  Speaker 4: I mean, if I.
• 36:21
  Speaker 3: Could get a photo op, that might be cool, But
• 36:23
  Speaker 3: that's the guy I want to talk to.
• 36:27
  Speaker 6: I mean, it's the good news that you can do both.
• 36:30
  Speaker 6: You can still talk to Sheila and Harry because they'll
• 36:33
  Speaker 6: all still be out there.
• 36:36
  Speaker 5: I mean, hey, they get star power is what Mbia
• 36:38
  Speaker 5: has always done. They do a great job.
• 36:42
  Speaker 6: You got Fish actually bookending at the Sphere too, the
• 36:45
  Speaker 6: band Fish for the fish heads out there.
• 36:48
  Speaker 4: I know that.
• 36:49
  Speaker 6: Yeah, they're going to be at the Sphere the weekend
• 36:51
  Speaker 6: before and the weekend after for anyone who's going to
• 36:54
  Speaker 6: be in Vegas. But yeah, Chris Ben's I mean, he
• 36:56
  Speaker 6: does such a great job. He's a friend of mine
• 36:57
  Speaker 6: as well. Yeah, he such a such a good job.
• 37:01
  Speaker 6: I mean that thing it wouldn't be what it is
• 37:03
  Speaker 6: without him. And I mean I always joke like I
• 37:05
  Speaker 6: see him on the way out when the show is over,
• 37:08
  Speaker 6: and I swear he's already working on the next year's show.
• 37:11
  Speaker 6: He like, he says he's gonna go take some time
• 37:13
  Speaker 6: and relax, but he doesn't. You can tell he's already
• 37:15
  Speaker 6: doing it, so he doesn't. He never stand And there's
• 37:17
  Speaker 6: George Bush, I mean, Brett Bear. Look at all these guys.
• 37:20
  Speaker 6: So they bring out the star power for sure. But
• 37:22
  Speaker 6: it's a great opportunity to meet with, you know, all
• 37:24
  Speaker 6: the stakeholders. If there's anyone you want to meet with,
• 37:26
  Speaker 6: they'll be out there. So you know, I can't wait
• 37:28
  Speaker 6: to sit down. You know, pharma clients, the pharmacies, all
• 37:32
  Speaker 6: the tech vendors. Just really check in and see what's
• 37:34
  Speaker 6: going on, get some good food, and you know, have
• 37:36
  Speaker 6: a great time out there.
• 37:37
  Speaker 4: It is It's a very good time.
• 37:39
  Speaker 3: The party that they have is a big deal. I
• 37:43
  Speaker 3: always enjoy it. I enjoy seeing people. But yeah, Acembia
• 37:48
  Speaker 3: is coming. If you are going to Assembia twenty twenty
• 37:52
  Speaker 3: six Access to Pharmacy April twenty sixth through thirtieth at
• 37:58
  Speaker 3: the Win and on or Las Vegas, we will be
• 38:01
  Speaker 3: set up, we will be pressed, we will be hot,
• 38:03
  Speaker 3: we will be talking about all kinds of subjects. If
• 38:07
  Speaker 3: you want to get involved in the show. Reach out
• 38:10
  Speaker 3: to us. Go to pharmacypodcast dot com, go to the
• 38:14
  Speaker 3: the contact page. Let me know that you're going to
• 38:16
  Speaker 3: be there and tell me what it is that you're
• 38:18
  Speaker 3: doing in the specialty pharmacy space, because that's that's why
• 38:23
  Speaker 3: we cover these shows. We always interview people who are
• 38:26
  Speaker 3: talking about that cutting edge and what's working and what's
• 38:29
  Speaker 3: not working and how to improve it and yeah, talk
• 38:33
  Speaker 3: with us.
• 38:33
  Speaker 4: Meet up with Sean too.
• 38:34
  Speaker 3: Sean, you'll have a segment there that will be we'll
• 38:38
  Speaker 3: be digging into some of the things that you're you're exploring.
• 38:42
  Speaker 5: Yeah, I'll be out there.
• 38:43
  Speaker 6: I'd love to meet with anybody you know coming up.
• 38:45
  Speaker 6: And Todd, I can't wait to see you out there too.
• 38:47
  Speaker 6: It'll be a lot of fun.
• 38:48
  Speaker 3: Thank you. All Right, Well that's it for Tork's News.
• 38:52
  Speaker 3: We're going to take a quick break and you're going
• 38:54
  Speaker 3: to hear from Marcus Senza here with a IPC see
• 38:58
  Speaker 3: a chef.
• 39:06
  Speaker 10: This episode is sponsored by Independent Pharmacy Cooperative, widely known
• 39:10
  Speaker 10: as IPC. Established in nineteen eighty three, IPC is the
• 39:14
  Speaker 10: nation's largest group purchasing organization owned by Independent Pharmacy with
• 39:18
  Speaker 10: a mission of maximizing the success of community pharmacists. IPC
• 39:22
  Speaker 10: works to provide members with access to effective programs and
• 39:26
  Speaker 10: services designed to enhance profitability for independent pharmacy.
• 39:30
  Speaker 5: Read more about our mission.
• 39:31
  Speaker 10: By checking out our website at ipcurx dot com. That's
• 39:35
  Speaker 10: ipcarx dot com.
• 39:51
  Speaker 3: Hey on this weekend, pharmacy lots going on, kicking off
• 39:55
  Speaker 3: of the what is this? This is? You know whose
• 40:00
  Speaker 3: track of time? With how fast it goes? Today is
• 40:04
  Speaker 3: the thirtieth Oh my goodness, gracious Friday, January thirtieth, the
• 40:10
  Speaker 3: last this Week in Pharmacy of January twenty twenty six.
• 40:13
  Speaker 3: Where did this month go? This is incredible. I think
• 40:18
  Speaker 3: with the Pharmacy Fifty Awards, we really spend so much
• 40:22
  Speaker 3: time in celebrating that and reviewing the connections of some
• 40:28
  Speaker 3: of the most influential people in pharmacy that by the
• 40:31
  Speaker 3: time I get to the end of the month, I
• 40:32
  Speaker 3: forgot that we we're here and we're heading into February.
• 40:40
  Speaker 3: I'd like to welcome back to This Week in Pharmacy
• 40:43
  Speaker 3: the CEO of Independent Pharmacy Cooperative IPC, my friend Mark Essenza. Mark,
• 40:48
  Speaker 3: how are you?
• 40:52
  Speaker 8: Oh, good to see you, and happy New Year to
• 40:54
  Speaker 8: you and all your viewers and listeners.
• 40:56
  Speaker 1: Nice to see you.
• 40:57
  Speaker 3: Nice to see you too. Lots happening such a short
• 41:00
  Speaker 3: amount of time. I think that it's February already. I
• 41:06
  Speaker 3: can't believe that it's gone that fast. We're in the
• 41:10
  Speaker 3: midst of snowmageddon here in western southwestern Pennsylvania. How are
• 41:16
  Speaker 3: you guys holding up where you're at. I know that
• 41:18
  Speaker 3: I think your whole family is off today because of
• 41:21
  Speaker 3: the weather.
• 41:21
  Speaker 8: Yeah, we've definitely had an ice ster if. I live
• 41:24
  Speaker 8: in Dallas, although our corporate offices are in Madison, Wisconsin.
• 41:27
  Speaker 8: But both locations are having challenges. But I've got the
• 41:30
  Speaker 8: whole family home and it's been nice as much as
• 41:32
  Speaker 8: I travel to actually have the kids in the house
• 41:35
  Speaker 8: and although they're always wondering what Dad's doing in his
• 41:39
  Speaker 8: office all day.
• 41:41
  Speaker 3: All right, let's get into business. So this Week in Pharmacy,
• 41:44
  Speaker 3: we'd very much like to talk about the future of
• 41:48
  Speaker 3: independent community pharmacy, some of the focuses that you amplify
• 41:51
  Speaker 3: the success of our independent community pharmacies throughout the nation.
• 41:55
  Speaker 3: But before that, there was some news that just came
• 41:58
  Speaker 3: out in this Week in Pharmacy, and that was the
• 42:03
  Speaker 3: story of the payment cards settlement, and you guys did
• 42:07
  Speaker 3: a great job on the blog. I'm going to have
• 42:09
  Speaker 3: this blog link in the show notes where it says
• 42:11
  Speaker 3: the payment cards settlement a practical guide, but give us
• 42:16
  Speaker 3: an overview of this mark.
• 42:17
  Speaker 8: I mean, we're very excited that we've been listening to
• 42:20
  Speaker 8: other courts and getting the settlement down for independent pharmacy
• 42:23
  Speaker 8: where we've been cut out of these payment cards in
• 42:25
  Speaker 8: the past, and what we've tried to do is on
• 42:27
  Speaker 8: our own website is exactly how do you log in
• 42:29
  Speaker 8: and start directing your funds back to you. We've already
• 42:33
  Speaker 8: had a couple of manufacturers that we've already received notice
• 42:38
  Speaker 8: exactly what the dollar figures are back of the IPC office,
• 42:40
  Speaker 8: because we also get it not only at the individual level,
• 42:43
  Speaker 8: but at the corporate level. But what we're trying to
• 42:46
  Speaker 8: do is get the word out to make sure that
• 42:48
  Speaker 8: you go out and you claim the money that is
• 42:51
  Speaker 8: owed to you because of these practices that were being
• 42:54
  Speaker 8: done that we're unfair to independent pharmacy.
• 42:57
  Speaker 3: Yeah, I think of business that are are doing an
• 43:04
  Speaker 3: increasing amount of business through through their credit cards and
• 43:08
  Speaker 3: debit cards, and for something like this to happen, it's
• 43:11
  Speaker 3: like just one more strat or one more struggle that
• 43:16
  Speaker 3: you have to deal with, but for them to come
• 43:17
  Speaker 3: to to a claims and being able to get dollars back,
• 43:22
  Speaker 3: that's so important. I'm glad that you guys are reporting
• 43:24
  Speaker 3: on this. This practical guide takes you through step by
• 43:27
  Speaker 3: step of what you should be doing as an independent
• 43:30
  Speaker 3: pharmacy owner. So once again, I'm going to have this
• 43:32
  Speaker 3: link in the show notes. But let's get to more fun,
• 43:37
  Speaker 3: fun things to talk about. I love talking about business development.
• 43:39
  Speaker 3: I love talking about cash based programs of where a
• 43:44
  Speaker 3: community pharmacy is and engaging their community through services that
• 43:47
  Speaker 3: are needed. IPC has been supportive of all of your
• 43:51
  Speaker 3: members and doing such things. But what's at the top
• 43:54
  Speaker 3: of your mind as we go into February twenty twenty
• 43:57
  Speaker 3: six for our for our community market But.
• 44:01
  Speaker 8: What's really been prevalent out of the marketplace? And are
• 44:05
  Speaker 8: seeing this all over social media, You're seeing this through
• 44:08
  Speaker 8: the government. But is a lot of this direct consumer
• 44:11
  Speaker 8: based marketing that is happening right now. A lot of that,
• 44:17
  Speaker 8: you know, is both an opportunity and a risk for
• 44:19
  Speaker 8: independent pharmacy where we get disintermediated to these mail orders
• 44:24
  Speaker 8: because there is some massive mail orders and hubs that
• 44:27
  Speaker 8: are being put out there, hundreds of millions of dollars
• 44:29
  Speaker 8: being spent on these on these uh these buildouts by
• 44:31
  Speaker 8: these PE firms. But what we believe is and what
• 44:36
  Speaker 8: we've been pitching to the to our manufacturer community, and
• 44:38
  Speaker 8: we've been working hard on this since we already see
• 44:40
  Speaker 8: our end brand UH here a couple of weeks ago
• 44:43
  Speaker 8: in Austin, Texas, and we're starting to get interraction with
• 44:45
  Speaker 8: the manufacturers, is that is there a direct community rather
• 44:48
  Speaker 8: than a direct to consumer program. And typically what we
• 44:52
  Speaker 8: were working on and where we've had the most traction
• 44:55
  Speaker 8: is into two forms. One is is being able to
• 44:58
  Speaker 8: get a brand manufacturer to start to give us actual
• 45:03
  Speaker 8: discounts or actual contracts at retail. So if you're a
• 45:06
  Speaker 8: retailer and you're able to get a contracted price on
• 45:08
  Speaker 8: a brand drug and then you're still able to apply
• 45:10
  Speaker 8: your whack minus discount with your primary wholesaler and stack it,
• 45:14
  Speaker 8: then all of a sudden, when you're at a WP
• 45:16
  Speaker 8: minus twenty four, which is a typical reimbursement, you can
• 45:20
  Speaker 8: actually be in the black on those types of brand prescriptions.
• 45:23
  Speaker 8: So that's one portion of it. The other portion is
• 45:26
  Speaker 8: is that disintermediating the PBMs of this chain is these
• 45:32
  Speaker 8: directly to the consumer cards where there will be a
• 45:35
  Speaker 8: buydown of the products. In other words, you've seen all
• 45:38
  Speaker 8: over the place these GLP ones being sold at one
• 45:40
  Speaker 8: hundred and forty nine dollars even though whack we know
• 45:43
  Speaker 8: is at thirteen hundred. Well, there are mechanisms that we're
• 45:46
  Speaker 8: currently working on where we'll be able to introduce to
• 45:49
  Speaker 8: those types of pricings in community pharmacy and through a
• 45:53
  Speaker 8: specific bin in the adjudication side. On the cash side,
• 45:58
  Speaker 8: we can buy those down and avoid the PBMs and
• 46:01
  Speaker 8: be able to get those prices out of the consumers
• 46:03
  Speaker 8: and still have those particular drugs at a profit for
• 46:08
  Speaker 8: the pharmacy. As we see more and more of these
• 46:11
  Speaker 8: things coming along with Trump our X, we don't know
• 46:12
  Speaker 8: how that's going to come come to fruition, but we
• 46:16
  Speaker 8: believe it's going to be a direct consumer model and
• 46:18
  Speaker 8: being able to play in that space, have the logistics,
• 46:22
  Speaker 8: have the infrastructure for independent pharmacy, and we're doing back
• 46:26
  Speaker 8: at the office to make sure that we're ready for
• 46:28
  Speaker 8: us and we can take advantage of as it comes along.
• 46:33
  Speaker 3: Yeah, I like the direct community. The news that came
• 46:38
  Speaker 3: out a couple of weeks ago with nine of the
• 46:42
  Speaker 3: largest pharma companies inc Deals with Trump to lower drug prices.
• 46:47
  Speaker 3: There's a lot of misconceptions of what this means, but
• 46:51
  Speaker 3: it's the community of pharmacy that already has a trust
• 46:54
  Speaker 3: and relationship with their community and their and their people
• 46:57
  Speaker 3: to demystify stuff like this and then bring them back
• 47:01
  Speaker 3: to the community of pharmacy and say, hey, we can
• 47:04
  Speaker 3: set up models in our own community to make sure
• 47:07
  Speaker 3: that you're taking medications safely. But you're getting great pricing
• 47:12
  Speaker 3: based on the relationships that they have with their community pharmacy.
• 47:16
  Speaker 3: And there's going to be a continued mix between our
• 47:19
  Speaker 3: traditional transactions that are backed by a PBM executing the funds,
• 47:29
  Speaker 3: and then the realm of the cash based and the
• 47:31
  Speaker 3: opportunity to grow your cash base and the opportunity to
• 47:34
  Speaker 3: grow memberships. I think of memberships in healthcare, counseling in
• 47:40
  Speaker 3: diabetes and hypertension and different maybe a high blood pressure,
• 47:45
  Speaker 3: glucose monitoring, how to best use your glucose monitor, whatever
• 47:49
  Speaker 3: it is. There is opportunities that IPC has always had
• 47:53
  Speaker 3: these programs that are supportive to community pharmacies to do
• 47:57
  Speaker 3: more to extend more healthcare services through the transaction, so
• 48:01
  Speaker 3: that it's not just a commodity. It's saying, hey, your
• 48:04
  Speaker 3: prescription is just the start of this. And especially if
• 48:08
  Speaker 3: you're in a chronic condition, to do more with the
• 48:13
  Speaker 3: communications that you have with your community. How what are
• 48:17
  Speaker 3: some ways that you can talk to the listener right now?
• 48:20
  Speaker 3: How should they be communicating best with their community to
• 48:24
  Speaker 3: once again demystify the news that might be confusing, or
• 48:29
  Speaker 3: or just general communications to stay in touch with their
• 48:33
  Speaker 3: people in their community.
• 48:35
  Speaker 8: Well, I think a lot of these independent pharmacies many
• 48:39
  Speaker 8: times are at times even the social hubs or the
• 48:43
  Speaker 8: gathering points, and a lot of these in a lot
• 48:44
  Speaker 8: of these smaller communities. So as a matter of just
• 48:48
  Speaker 8: having those conversations one on one of those patients as
• 48:50
  Speaker 8: to what's coming down, especially as they recognize somebody coming
• 48:53
  Speaker 8: into the high copay that hey, you know what, there's
• 48:56
  Speaker 8: a there's now a brand discount buydown on this particular drug.
• 48:59
  Speaker 8: That it may not count towards your towards your yearly
• 49:03
  Speaker 8: maximum out of pocket, but it will certainly save you money,
• 49:06
  Speaker 8: you know, in the in the short term. Here and
• 49:08
  Speaker 8: and really going through and helping to manage the members
• 49:11
  Speaker 8: that are coming in UH to look for the guidance
• 49:15
  Speaker 8: not only of the clinical guidance from the from the
• 49:17
  Speaker 8: from the pharmacy, but also what's the financial guidance. Because
• 49:20
  Speaker 8: these the ubiquitousness of these discount cards, you're spending almost
• 49:24
  Speaker 8: as much time trying to adjudicate and put something down
• 49:26
  Speaker 8: the right byplan at this at this at the the
• 49:29
  Speaker 8: counter as you are on the right medication and making
• 49:31
  Speaker 8: sure they're adherent to it. The other thing is is
• 49:34
  Speaker 8: that what we want to do is we want to
• 49:36
  Speaker 8: continue to make sure that we got these adherence markers
• 49:40
  Speaker 8: out there in the marketplace. So we have at i
• 49:42
  Speaker 8: PC a new program that was a pilot out in
• 49:45
  Speaker 8: New Jersey where we were working specifically with one provider
• 49:49
  Speaker 8: that was a Part D plan where they were looking
• 49:53
  Speaker 8: for help specifically on their patient population that was non adherent,
• 49:57
  Speaker 8: and they gave us, they gave us the Independent Pharmacy
• 50:00
  Speaker 8: these almost eight hundred prescriptions of patients in December that
• 50:03
  Speaker 8: were non adherent to their you know, to their program,
• 50:07
  Speaker 8: and by the end of by the end of December,
• 50:08
  Speaker 8: we had well over six hundred those patients back on
• 50:11
  Speaker 8: a regiment and doing you know, doing what they were
• 50:13
  Speaker 8: supposed to be doing as part making sure they're taking
• 50:15
  Speaker 8: their medications. That not only gets the pharmacy uh, you know,
• 50:19
  Speaker 8: the patient interactions. Uh, there's there's also revenue chains that
• 50:23
  Speaker 8: come along with that for that particular pharmacy, but it
• 50:26
  Speaker 8: also helps the the part deep plan in making sure
• 50:29
  Speaker 8: that they're securing their their star rating, to make sure
• 50:32
  Speaker 8: that their adherent skills are being taken care of, and
• 50:34
  Speaker 8: working collaboratively with some of these organizations as to where
• 50:38
  Speaker 8: are the value chains uh in you know, in the
• 50:41
  Speaker 8: pockets of these big payers that make sense to them
• 50:44
  Speaker 8: that they may not have these interactions directly with independent
• 50:47
  Speaker 8: pharmacy or any any pharmacy by that matter, that we're
• 50:49
  Speaker 8: starting to give them programs and services where we can
• 50:52
  Speaker 8: actually impact things such as star ratings and patient outcomes.
• 50:56
  Speaker 3: Mark, It's funny to think that big organization that drill
• 51:01
  Speaker 3: down into local representation value the relationships that the community
• 51:09
  Speaker 3: pharmacies have with their patients and how that means better
• 51:12
  Speaker 3: health care overall. You know, we've always talked about our
• 51:16
  Speaker 3: community of pharmacies reaching out to their local state representatives
• 51:21
  Speaker 3: on a yearly basis to give them updates of what's happening,
• 51:24
  Speaker 3: either through a tour or through a legislative day or something.
• 51:28
  Speaker 3: But doing that same thing for your insurers, especially if
• 51:32
  Speaker 3: there's local representation, to bring them into your pharmacy and
• 51:35
  Speaker 3: say here's what's going on if they work with them
• 51:38
  Speaker 3: as a payer. It's the human to human connection that
• 51:42
  Speaker 3: all of a sudden people are like, Wow, there's ideas
• 51:45
  Speaker 3: that start going off, and then these payers start leaning
• 51:48
  Speaker 3: into these community of pharmacies that have these strong relationships.
• 51:53
  Speaker 3: I think that's important. I think the creativity that's coming
• 51:55
  Speaker 3: out of your team and what you guys are constantly
• 51:58
  Speaker 3: seeing because you're not just seeing it from one community.
• 52:01
  Speaker 3: IPC is seeing it from the entire nation and being
• 52:04
  Speaker 3: able to see what's working in San Francisco versus what's
• 52:08
  Speaker 3: working in Camden, New Jersey. And I think that there's
• 52:13
  Speaker 3: a lot of data and there's a lot of qualifiable
• 52:17
  Speaker 3: ways of accelerating success, especially with the mixture of direct
• 52:23
  Speaker 3: to consumer and cash based and what Mark Cuban is doing,
• 52:28
  Speaker 3: and so the public ends up scratching their head a
• 52:32
  Speaker 3: lot and not really understanding what's going on. And I
• 52:34
  Speaker 3: think that that trust that's already there is so important
• 52:38
  Speaker 3: for education and communication.
• 52:40
  Speaker 5: Yeah, absolutely.
• 52:41
  Speaker 8: I mean one of the thing is is that every
• 52:43
  Speaker 8: channel partner needs to be educated is to what's happening
• 52:46
  Speaker 8: in community pharmacy. So for instance, here Friday afternoon, I
• 52:49
  Speaker 8: have a manufacturer's meeting and it's specifically around why there's
• 52:54
  Speaker 8: script abandonment in independent pharmacies sometimes or that they get
• 52:59
  Speaker 8: switched over to another formula or therapy because of the
• 53:02
  Speaker 8: economics of their particular branded product and they.
• 53:06
  Speaker 5: Have no under no understanding that.
• 53:08
  Speaker 8: Well, you do realize that, you know, the PBMs are
• 53:10
  Speaker 8: reimbursing at AWP minus twenty four twenty six, so unless
• 53:15
  Speaker 8: you're buying from your wholesale at whack minus twelve, which
• 53:18
  Speaker 8: doesn't exist anywhere, those are always underwater. So of course
• 53:21
  Speaker 8: these trusted advisors out in the community are going to
• 53:25
  Speaker 8: make sure that the doctors are writing for the scripts
• 53:28
  Speaker 8: that make you know, makes sense for the patient, makes
• 53:30
  Speaker 8: sense for the pharmacy to be able to support these
• 53:32
  Speaker 8: patients through their you know, through their health journey. So
• 53:36
  Speaker 8: between manufacturers, you know, lawmakers, payers, employers, all those types
• 53:43
  Speaker 8: of things, it's a matter of you know, never stopping
• 53:46
  Speaker 8: the education and never stop, you know, flying the flag
• 53:49
  Speaker 8: as to exactly what it is, because a lot of
• 53:51
  Speaker 8: people have absolutely no clue as to what's happening out
• 53:54
  Speaker 8: in the marketplace. Because it's a very complex.
• 53:56
  Speaker 3: Thing it is. It's confusing, and with confusion comes is
• 54:00
  Speaker 3: trust and therein lies a way to capitalize on your
• 54:04
  Speaker 3: relationship with your community as a pharmacy owner, reaching out
• 54:07
  Speaker 3: to a mayor, reaching out to a state rep, reaching
• 54:10
  Speaker 3: out to a community, a health community center, grow beyond
• 54:16
  Speaker 3: pharmacy advertising to attract new growth. With IPC, there's a
• 54:21
  Speaker 3: place on the website of the IPC Cooperative where you
• 54:25
  Speaker 3: can go and you can find some guidance about marketing,
• 54:29
  Speaker 3: about communications. The team at IPC has a deep understanding
• 54:34
  Speaker 3: and knowledge not only in general but even regional and
• 54:38
  Speaker 3: being able to tap into something that's happening regionally. But
• 54:43
  Speaker 3: take advantage of that. If you're listening and you don't
• 54:45
  Speaker 3: have that kind of relationship with a buying group or
• 54:49
  Speaker 3: an organization that you're working with, check them out and
• 54:52
  Speaker 3: see if there's someone on the team that can bring
• 54:55
  Speaker 3: some light and a new way of turning a new
• 54:57
  Speaker 3: program that will equal new foot traffic to your pharmacy
• 55:01
  Speaker 3: As well as new engagement and those relationships and building
• 55:05
  Speaker 3: is so important for growth. Mark, That's why I love
• 55:09
  Speaker 3: being in touch with so many of your team members
• 55:13
  Speaker 3: and how important it is to have the right mix
• 55:17
  Speaker 3: of people on your team between government relations and business
• 55:20
  Speaker 3: development and marketing and account management and even the warehouse
• 55:24
  Speaker 3: of what you guys are doing this This is awesome.
• 55:27
  Speaker 8: Yeah, It's been definitely a journey the last several years
• 55:31
  Speaker 8: as we try to we try to reimagine what IPC
• 55:35
  Speaker 8: is from being a volume aggregator to being a pharmacy
• 55:38
  Speaker 8: services company. I think we've done a lot of We've
• 55:40
  Speaker 8: taking a lot of steps and making sure that we're
• 55:42
  Speaker 8: able to give our members practical items that they can
• 55:46
  Speaker 8: implement within workflow that will affect the bottom line, will
• 55:50
  Speaker 8: increase patient traffic, will improve reimbursements. But it's a continuing journey. So,
• 55:55
  Speaker 8: I mean, twenty twenty six is a very unique year.
• 55:58
  Speaker 8: I think the IRA drugs at the beginning of this
• 56:00
  Speaker 8: month and now that we're thirty days in there, we
• 56:06
  Speaker 8: were looking at it being you know, quite potentially even catastrophic,
• 56:09
  Speaker 8: but it seems to have been quite muted and it
• 56:12
  Speaker 8: seems to be working. The things that are on Beacon
• 56:15
  Speaker 8: seem to be showing up and luckily, knock on Wood,
• 56:18
  Speaker 8: we weren't. We weren't impacted by any of the WAG
• 56:22
  Speaker 8: decreases where we were sitting on any inventory where we
• 56:25
  Speaker 8: ended up losing money. And I know we advertise that
• 56:27
  Speaker 8: heavily to the members to make sure they did the same.
• 56:29
  Speaker 8: So those are the types of things where you've got
• 56:31
  Speaker 8: the ira A drugs, You've got the next set of
• 56:33
  Speaker 8: ira A drugs coming in. You've got the Trump RX
• 56:36
  Speaker 8: coming in, which will be a buydown program. A lot
• 56:39
  Speaker 8: of these things will be rebated on this MFN or
• 56:41
  Speaker 8: Most Favored Nation with the drugs that the administration is
• 56:46
  Speaker 8: talking about. So there's going to be implications on your GCR,
• 56:50
  Speaker 8: you know, from the rara A drugs. There's going to
• 56:52
  Speaker 8: be certainly cash flow implications from some of these other
• 56:56
  Speaker 8: programs where you're going to have to be making sure
• 56:58
  Speaker 8: that you're putting in for these rebates or buydowns. But
• 57:03
  Speaker 8: it's never not changing. But I think that what we're
• 57:06
  Speaker 8: trying to do with IPC is help everybody navigate through
• 57:08
  Speaker 8: it and create programs to maximize the benefit of the
• 57:12
  Speaker 8: stores but also become an important partner to manufacturers, insurers
• 57:16
  Speaker 8: and whatnot, so we actually get paid for what we do,
• 57:18
  Speaker 8: and that's kind of what we're trying to do.
• 57:20
  Speaker 5: And part of that is is, you.
• 57:21
  Speaker 8: Well know, with the the latest bill that hopefully passes
• 57:25
  Speaker 8: the Senate here, we do have a Medicare part D
• 57:29
  Speaker 8: implication to that which will be fairly positive for us.
• 57:32
  Speaker 8: It's got some any willing provider status, it's recognized as
• 57:36
  Speaker 8: reasonable and relevant drug pricing reimbursements delinks some of the
• 57:40
  Speaker 8: compensation that's out there with the PBMs. So it's not
• 57:43
  Speaker 8: PBM reform, but certainly we're excited that it's a step
• 57:47
  Speaker 8: forward in the right direction, and we continue to fight
• 57:49
  Speaker 8: PBM reform where we can get read of spread pricing,
• 57:52
  Speaker 8: get the Nate Act pricing in for pharmacies, as well
• 57:55
  Speaker 8: as at some point getting into provider status where we
• 57:59
  Speaker 8: can start to manage at the top of our license
• 58:01
  Speaker 8: and become an important part of the healthcare destination in
• 58:04
  Speaker 8: America because we are the most successible part of the ecosystem.
• 58:08
  Speaker 8: I mean, most people see their pharmacist at least once
• 58:11
  Speaker 8: a month, and maybe their doctors once, you know, once
• 58:13
  Speaker 8: a quarter or twice a year, so We're trying to
• 58:16
  Speaker 8: make sure that we give everybody the tools as well
• 58:19
  Speaker 8: as the legislation behind it to be able to manage
• 58:21
  Speaker 8: to the top of their licenses as they do in
• 58:23
  Speaker 8: other countries.
• 58:25
  Speaker 3: Absolutely, thank you, Mark, thank you so much for giving
• 58:30
  Speaker 3: us an update and preparing us for twenty twenty six.
• 58:33
  Speaker 3: I cannot wait to see you at some of the
• 58:36
  Speaker 3: upcoming national conferences that are that are going to be
• 58:40
  Speaker 3: popping up. I can't believe how fast things are coming.
• 58:44
  Speaker 3: We know that you'll be at a Sambia, your team
• 58:47
  Speaker 3: will be obviously at the NCPA. I think we're going
• 58:52
  Speaker 3: to be reconvening in the IPC booth at at the
• 58:57
  Speaker 3: Big mckesson's show. And now it's the idea share there
• 59:03
  Speaker 3: in Jaim, Yes, idea share. That's the idea. But I
• 59:07
  Speaker 3: also wanted to make an announcement that we have a
• 59:11
  Speaker 3: special new team member of IPC coming on who I've
• 59:15
  Speaker 3: known since twenty thirteen through LinkedIn, which is Shelley Bailey
• 59:20
  Speaker 3: in your strategy department. And I would just want to
• 59:22
  Speaker 3: say congratulations to Shelley. I can't wait to have her
• 59:25
  Speaker 3: on this week in Pharmacy and dial in and connect
• 59:30
  Speaker 3: with her and get some of her ideas. I think
• 59:32
  Speaker 3: that's a strong, strong person have on your team.
• 59:36
  Speaker 8: Absolutely. She's an independent pharmacy owner. At a time she
• 59:41
  Speaker 8: owned a very large specialty pharmacy. She was on the
• 59:44
  Speaker 8: national Advisory Board for independent Pharmacies for McKesson. She's had
• 59:49
  Speaker 8: her own her own business of doing in viature fertilization
• 59:54
  Speaker 8: and she's been a consult for a lot of years
• 59:56
  Speaker 8: and just a great talent and we're excited to have
• 59:58
  Speaker 8: her join the team here at IBC.
• 1:00:00
  Speaker 3: We're excited too, can't wait till once again have her
• 1:00:03
  Speaker 3: on the show. So we have targeted you, Shelley. A
• 1:00:06
  Speaker 3: shout out to Shelley Bailey, You're coming on twerks. We've
• 1:00:08
  Speaker 3: got to get to a TOWRKS event for you. But Mark,
• 1:00:12
  Speaker 3: this has been special. Thank you so much for being
• 1:00:14
  Speaker 3: on this Week in Pharmacy.
• 1:00:16
  Speaker 8: Thank you for having me, and thank you for all
• 1:00:17
  Speaker 8: that you do on a daily basis and a weekly
• 1:00:19
  Speaker 8: basis for all those independent pharmacists that are out there
• 1:00:21
  Speaker 8: to keep them informed and keep our chins up.
• 1:00:25
  Speaker 3: Absolutely, take a look at ipcrx dot com once again,
• 1:00:31
  Speaker 3: that's ipcarx dot com. And we thank you IPC for
• 1:00:36
  Speaker 3: sponsoring today's tworks, and we're going to take a short
• 1:00:40
  Speaker 3: break and we'll be right back.
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• 1:01:30
  Speaker 3: Hey, welcome back to twerks this Week in Pharmacy, January thirtieth.
• 1:01:36
  Speaker 3: I hope you if you are week working this weekend,
• 1:01:41
  Speaker 3: I hope you stay warm. It's going to get frigid.
• 1:01:43
  Speaker 3: I think tonight Friday is negative eight, negative eight, negative
• 1:01:50
  Speaker 3: freakin' eight here in west southwestern Pennsylvania and the Pittsburgh area.
• 1:01:54
  Speaker 5: Hey, I have.
• 1:01:57
  Speaker 3: A interview with some one. At the last minute I
• 1:02:01
  Speaker 3: was able to get on this week in pharmacy and
• 1:02:04
  Speaker 3: take advantage of LinkedIn and of Instagram. The power of
• 1:02:09
  Speaker 3: social media when it's used correctly is is just freaking amazing.
• 1:02:13
  Speaker 3: And I looked into Saki Patel in her background in
• 1:02:20
  Speaker 3: the formation of something called Cure Voice, and how she's
• 1:02:24
  Speaker 3: gonna be leveraging AI and and of course consultancy internally
• 1:02:29
  Speaker 3: with her partner to build this system that helps pharmacy students,
• 1:02:34
  Speaker 3: young pharmacists learn better communication skills. This freaking idea set
• 1:02:40
  Speaker 3: my head on fire. So I'm I'm so excited to
• 1:02:43
  Speaker 3: welcome to twerks today, Saki. It's so good to see you.
• 1:02:48
  Speaker 3: Welcome to twerks.
• 1:02:50
  Speaker 13: Hi, so good to be here. Thanks for having me.
• 1:02:53
  Speaker 3: Yeah, do you do you can you twerks? You can't
• 1:02:57
  Speaker 3: tworx No, not gonna do it. Maybe someday when we're
• 1:03:02
  Speaker 3: all together, maybe at eight one of these days, we'll
• 1:03:05
  Speaker 3: go out to the club or something like that. And
• 1:03:09
  Speaker 3: in sunny, sunny California. Can't wait. I need some sunny California.
• 1:03:12
  Speaker 3: Negative eight. What's the coldest it is where you're at
• 1:03:16
  Speaker 3: right now?
• 1:03:17
  Speaker 13: Sixties? Oh shut, I hate to rub salt in the wound.
• 1:03:21
  Speaker 9: But yeah, when you said negatively I was like, yeah,
• 1:03:23
  Speaker 9: that couldn't be us.
• 1:03:26
  Speaker 3: My poor puppies will go out in the morning to
• 1:03:29
  Speaker 3: go to the bathroom first thing in the morning, and
• 1:03:31
  Speaker 3: they run. They're not even out there, not even two minutes.
• 1:03:34
  Speaker 3: They're like right back to the door. They're like, uh ah,
• 1:03:37
  Speaker 3: this is this is too cold. It's so good that
• 1:03:41
  Speaker 3: my preface and you being a co founder of Cara Voice,
• 1:03:46
  Speaker 3: You're you're at UCI Pharmaceutical Sciences. This is your third
• 1:03:51
  Speaker 3: year going in twenty twenty six. You're gonna graduate what
• 1:03:55
  Speaker 3: twenty twenty seven? Yes, okay, so goodness gracious, how are
• 1:04:00
  Speaker 3: you building a company and freaking go into pharmacy school?
• 1:04:05
  Speaker 3: Like do you need any more stuff to think about
• 1:04:08
  Speaker 3: and to do? Like that's crazy.
• 1:04:11
  Speaker 9: Yeah, It's definitely been a process, but I think it
• 1:04:15
  Speaker 9: helps that I'm extremely passionate about what I'm building, so pretty.
• 1:04:19
  Speaker 13: Much my free time that I spend on doing this,
• 1:04:21
  Speaker 13: like it doesn't really feel like work. So I do
• 1:04:23
  Speaker 13: appreciate that.
• 1:04:26
  Speaker 3: Well, what I'm what I'm excited about is how much
• 1:04:28
  Speaker 3: this makes sense in this age, And so lots of
• 1:04:32
  Speaker 3: discussion and lots of debate on a group of people
• 1:04:37
  Speaker 3: in media and public relations. I talk with him and
• 1:04:41
  Speaker 3: we post about how AI is going to impact the
• 1:04:45
  Speaker 3: realm of communications and how someone like myself, who gen
• 1:04:52
  Speaker 3: x or I, was born without the Internet, I integrated
• 1:04:55
  Speaker 3: it into my life. Now all of a sudden, I'm
• 1:04:58
  Speaker 3: full using as full as much of it as I can.
• 1:05:01
  Speaker 3: I'm not a programmer. I wish I wish I was,
• 1:05:05
  Speaker 3: but it's it's interesting to see that this is such
• 1:05:10
  Speaker 3: a good time to slow everybody down with so much
• 1:05:13
  Speaker 3: access to so much information. Say, how are you going
• 1:05:16
  Speaker 3: to communicate with someone that is very scared they're at
• 1:05:20
  Speaker 3: you know, they're in their emergency room. You're an emergency
• 1:05:23
  Speaker 3: room pharmacist. Is there is there like a lesson that
• 1:05:27
  Speaker 3: I could listen to from other emergency room pharmacists that
• 1:05:32
  Speaker 3: could be like, Hey, here's what to remember in these
• 1:05:35
  Speaker 3: cases about communications or dealing with patients or so open
• 1:05:40
  Speaker 3: up about the philosophy of Cure of Voice, and I'm
• 1:05:44
  Speaker 3: blown away by it. I think it's amazing. So definitely
• 1:05:46
  Speaker 3: tell us.
• 1:05:48
  Speaker 13: Yeah, for sure.
• 1:05:49
  Speaker 9: So where CUA Voice kind of started, It was very
• 1:05:53
  Speaker 9: much built from my experience as a pharmacy student. My
• 1:05:57
  Speaker 9: co founder and I are very good friends, and we
• 1:06:00
  Speaker 9: were I was studying one day with him, not together
• 1:06:03
  Speaker 9: because you know, he's a computer science guy.
• 1:06:05
  Speaker 13: But we were studying. I was studying around him, and
• 1:06:08
  Speaker 13: you know, he was looking at my notes and he.
• 1:06:09
  Speaker 9: Goes, hey, you know, there has to be a better
• 1:06:11
  Speaker 9: way for you to practice this, right, Like, how are
• 1:06:13
  Speaker 9: you supposed to know what to say in your verbal
• 1:06:16
  Speaker 9: exams and your oscies if you guys don't even like
• 1:06:19
  Speaker 9: regularly do that in class.
• 1:06:20
  Speaker 13: And I was like, yeah, but you know, it is
• 1:06:23
  Speaker 13: what it is, like, that's.
• 1:06:23
  Speaker 9: Kind of just how it's been. You know, you practice
• 1:06:25
  Speaker 9: for your osci, you take it, it's over. And he's like, well,
• 1:06:29
  Speaker 9: what if I built a voice spot that simulated a patient?
• 1:06:32
  Speaker 9: Would that help you? And I said, I mean, I
• 1:06:34
  Speaker 9: don't think you can, but sure you can try, right,
• 1:06:37
  Speaker 9: And you know, a few days later he comes back
• 1:06:39
  Speaker 9: with a very you know, element rudimentary prototype of you know,
• 1:06:43
  Speaker 9: this patient simulator and I used it a few times
• 1:06:46
  Speaker 9: and I thought, wow, like this, if I had this
• 1:06:49
  Speaker 9: earlier when I was doing my oscies, you know, my
• 1:06:51
  Speaker 9: p one year, this would have made it so much
• 1:06:54
  Speaker 9: less intimidating. And if I had this practice before I
• 1:06:57
  Speaker 9: went on my IPPI rotations, this would have made talking
• 1:07:00
  Speaker 9: to patients way less intimidating, because you know, you can
• 1:07:03
  Speaker 9: have all the knowledge in the world, and school does
• 1:07:05
  Speaker 9: an excellent job of teaching you everything, right, teaching you
• 1:07:07
  Speaker 9: all the drug interactions and teaching you all the side
• 1:07:09
  Speaker 9: effects and all the wonderful things we need to know
• 1:07:12
  Speaker 9: as pharmacy professionals, but we don't get a lot of
• 1:07:15
  Speaker 9: practice on how to say those things.
• 1:07:18
  Speaker 2: Right.
• 1:07:19
  Speaker 9: When a patient asks, you know, how does my ozembic work,
• 1:07:22
  Speaker 9: I can't tell them it's a golp one, right.
• 1:07:25
  Speaker 13: They're not going to know what to do with that information.
• 1:07:28
  Speaker 9: And obviously, as students, sometimes I think we're not challenged
• 1:07:31
  Speaker 9: enough to think of these things in layman terms and
• 1:07:33
  Speaker 9: to think of them in a way where we can
• 1:07:34
  Speaker 9: explain it to patients.
• 1:07:35
  Speaker 13: So, you know, we took this idea with Cure of Voice.
• 1:07:39
  Speaker 9: We entered a few demo competitions and entrepreneurship, and that
• 1:07:42
  Speaker 9: was kind of my first intro into the world of entrepreneurship,
• 1:07:45
  Speaker 9: was these like startup competitions. We got some funding through
• 1:07:49
  Speaker 9: some of those. We were lucky enough to secure that,
• 1:07:51
  Speaker 9: and so we've just kind of been building the tool
• 1:07:53
  Speaker 9: ever since, and we've been getting more pharmacy students on
• 1:07:56
  Speaker 9: the platform, and they've been seeing a true benefit with
• 1:07:59
  Speaker 9: how something like this a very low stakes environment to
• 1:08:02
  Speaker 9: practice their patient interactions. And the tool has even grown
• 1:08:05
  Speaker 9: to not just be a patient simulator, but it's also
• 1:08:08
  Speaker 9: grown to be a study platform where students can upload
• 1:08:12
  Speaker 9: their notes and they can get custom study materials. They
• 1:08:15
  Speaker 9: can get quizzes that don't just ask recall questions, they're
• 1:08:17
  Speaker 9: all case based questions. You know, fifty five year old
• 1:08:20
  Speaker 9: male comes into the pharmacy as XYZ symptoms, what do
• 1:08:23
  Speaker 9: you do?
• 1:08:25
  Speaker 10: You know?
• 1:08:25
  Speaker 9: And it's there's a bunch of different ways that we
• 1:08:28
  Speaker 9: attune to different learning styles, So we have quizzes, flash cards,
• 1:08:31
  Speaker 9: mind maps, soap notes, so it does generate custom soap
• 1:08:34
  Speaker 9: notes based on whatever lectures you upload.
• 1:08:37
  Speaker 13: And then of course the simulation features, so you.
• 1:08:39
  Speaker 9: Can either practice with very specific ones catered to your
• 1:08:42
  Speaker 9: slide deck, or you can just you know, go nuts
• 1:08:44
  Speaker 9: and go random and you can type in your own
• 1:08:46
  Speaker 9: scenario if you really want.
• 1:08:47
  Speaker 13: To, and the tool goes practice with both clinical scenarios
• 1:08:50
  Speaker 13: and non clinical scenarios.
• 1:08:51
  Speaker 9: So you know, sometimes patients ask why did I pay
• 1:08:55
  Speaker 9: this much it?
• 1:08:56
  Speaker 13: Or copaid this?
• 1:08:57
  Speaker 9: In January but I didn't pay anything last month, right,
• 1:09:00
  Speaker 9: So it's a skill being able to explain those things.
• 1:09:02
  Speaker 9: And I think that's definitely not a portion we really
• 1:09:04
  Speaker 9: get talked to you enough about in school, So I
• 1:09:07
  Speaker 9: think having that kind of on the side is a
• 1:09:08
  Speaker 9: junk practice can definitely help us prepare for the real world.
• 1:09:12
  Speaker 9: So that's kind of Cure Voice's origin story and where
• 1:09:15
  Speaker 9: we stand as a company right now.
• 1:09:17
  Speaker 13: Pretty much.
• 1:09:18
  Speaker 3: I love it, Saki. This is visionary and it's I
• 1:09:23
  Speaker 3: think it could continue to grow. I see applications for
• 1:09:26
  Speaker 3: this and so many learning instances, and not only for
• 1:09:30
  Speaker 3: pharmacy students and for new pharmacy students, but for our
• 1:09:34
  Speaker 3: pharmacy technicians and understanding how to handle certain certain difficult cases.
• 1:09:40
  Speaker 3: And you know, if you exercise a muscle and then
• 1:09:44
  Speaker 3: you go out for competition, or you go out for
• 1:09:48
  Speaker 3: a triathlon and you've done a lot of training and
• 1:09:51
  Speaker 3: a lot of stretching, guess what you're You're probably not
• 1:09:55
  Speaker 3: going to get injured most likely because your body's ready
• 1:09:58
  Speaker 3: for it and your performed for that actual event is huge.
• 1:10:03
  Speaker 3: And that's exactly what Cure of Voice is. It's an
• 1:10:06
  Speaker 3: exercise machine to uh hit a portion of what it
• 1:10:11
  Speaker 3: means to be a pharmacist, and probably just about any
• 1:10:15
  Speaker 3: setting because I can see this. We go to every
• 1:10:19
  Speaker 3: conference on the sun for specialty pharmacy, for community, for
• 1:10:23
  Speaker 3: long term care, for technology, and even even the big
• 1:10:28
  Speaker 3: events like like h l t H Health, which it's
• 1:10:32
  Speaker 3: a it's a mashup of every person, even the financing
• 1:10:35
  Speaker 3: organizations and the the big businesses and the VC companies.
• 1:10:39
  Speaker 3: But this, this makes sense, and this is this is
• 1:10:43
  Speaker 3: coming from your perspective, which is very important because you're
• 1:10:47
  Speaker 3: you're doing it from Hey, this is what I was
• 1:10:51
  Speaker 3: going through at the time. And and like you said,
• 1:10:54
  Speaker 3: imagine that at P one level, you already you know,
• 1:10:56
  Speaker 3: had something like this which you could feed and have
• 1:10:59
  Speaker 3: it feedback to you extra questions from a lesson that
• 1:11:03
  Speaker 3: you just learned, and having the voice start interacting with
• 1:11:07
  Speaker 3: that data. So this is this is brilliant.
• 1:11:11
  Speaker 13: Thank you, thank you so much.
• 1:11:14
  Speaker 3: So you told me before you came into the studio
• 1:11:18
  Speaker 3: that you're headed to APHA twenty twenty six. So tell
• 1:11:24
  Speaker 3: our listeners where you're going to be and how they
• 1:11:26
  Speaker 3: can meet up with you if they're going to go.
• 1:11:29
  Speaker 9: Yes, So we'll be in Los Angeles for APHA twenty
• 1:11:32
  Speaker 9: twenty six. We'll be at Booth eight twenty three in
• 1:11:34
  Speaker 9: the exhibitor hall. So if you are going, please stop buy.
• 1:11:37
  Speaker 9: I would love to say hi and just talk to
• 1:11:39
  Speaker 9: you about the tool and you know, whatever else do
• 1:11:41
  Speaker 9: you want to talk about. I just love meeting other
• 1:11:43
  Speaker 9: pharmacy people really, so yeah, come see us if you
• 1:11:46
  Speaker 9: have the.
• 1:11:47
  Speaker 3: Time, that's awesome. So what part of the country are
• 1:11:51
  Speaker 3: you in right now?
• 1:11:52
  Speaker 13: I'm in Irvine, California, so so kel.
• 1:11:55
  Speaker 3: So, this is how far for you of a trip.
• 1:12:00
  Speaker 13: If traffic is forgiving about forty five minutes.
• 1:12:04
  Speaker 3: That's nice. I've never I'm from Pittsburgh, so we have
• 1:12:08
  Speaker 3: a huge conference center down you know, in the downtown,
• 1:12:13
  Speaker 3: and no one ever comes to Pittsburgh in the farmery world,
• 1:12:16
  Speaker 3: I don't. I always have to go the closest conferences
• 1:12:20
  Speaker 3: I get are if there's one in Harrisburg, which is
• 1:12:23
  Speaker 3: usually the Pennsylvania Pharmacists Association, or maybe like Columbus or
• 1:12:28
  Speaker 3: Cleveland that is about two hours away. And if I
• 1:12:31
  Speaker 3: can drive to a conference, it's my favorite because I
• 1:12:34
  Speaker 3: don't have to put up with airports. I don't have
• 1:12:37
  Speaker 3: to put up with like, you know, the bag stuff,
• 1:12:39
  Speaker 3: and I get to carry more stuff, and so I'd
• 1:12:42
  Speaker 3: much rather drive.
• 1:12:43
  Speaker 13: Oh yeah, one hundred percent.
• 1:12:46
  Speaker 3: All right, Well, I so excited that you got to
• 1:12:49
  Speaker 3: come on this week in pharmacy. You have to promise
• 1:12:51
  Speaker 3: me that you'll be coming back to Twerks in the
• 1:12:53
  Speaker 3: future to talk more with us.
• 1:12:55
  Speaker 13: Yes, for sure, we'll be back.
• 1:12:58
  Speaker 3: We'll be right back as well. So hang on.
• 1:13:03
  Speaker 10: Feeling lost with the complexities of pharmacy accounting and.
• 1:13:06
  Speaker 14: In pharmacy today, there's so many different variables and issues
• 1:13:11
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• 1:13:18
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• 1:13:22
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• 1:13:26
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• 1:13:33
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• 1:13:40
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  Speaker 14: If you're interested in you know working with a team
• 1:13:47
  Speaker 14: who understands the industry and how the accounting and tax
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  Speaker 10: Get the financial check up your pharmacy needs and head
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  Speaker 10: over to Seychs HYPHENCPA dot com or call two five
• 1:14:09
  Speaker 10: to two four eight two seven six four four.
• 1:14:24
  Speaker 3: Hey, welcome back to this week in pharmacy. And what
• 1:14:28
  Speaker 3: a day it's been. Holy cow, it's the weekend. I
• 1:14:33
  Speaker 3: hope you pharmacists listening. I hope you're you're taking time
• 1:14:37
  Speaker 3: to get some rest. It's chili cold here in western Pennsylvania.
• 1:14:40
  Speaker 3: I think I woke up this morning to negative two.
• 1:14:44
  Speaker 3: And I have three Corgis, and we have a baby
• 1:14:49
  Speaker 3: Corgi right now. He's only about sixteen sixteen months versus
• 1:14:56
  Speaker 3: sixteen weeks. He's not that he's not that young. It
• 1:14:59
  Speaker 3: has to be months anyway, So I'm teaching him to
• 1:15:02
  Speaker 3: go outside with the other two adult corgis. It's so
• 1:15:04
  Speaker 3: easy to potty train dogs that can follow other dogs.
• 1:15:10
  Speaker 3: And I don't know if anyone has a puppy right now,
• 1:15:12
  Speaker 3: but if you can team up with the adult dog,
• 1:15:16
  Speaker 3: it takes I think it takes training to a much
• 1:15:20
  Speaker 3: more accelerated level. But my one middle aged Corgie, she's
• 1:15:26
  Speaker 3: about five or six, she held her pop this morning
• 1:15:30
  Speaker 3: while she was outside, and I've never seen her do that,
• 1:15:33
  Speaker 3: and it was because of how freaking cold it was
• 1:15:36
  Speaker 3: outside this morning. So if you're dealing with the cold,
• 1:15:40
  Speaker 3: no that I'm thinking about you and we tell us
• 1:15:44
  Speaker 3: what you went through, send us some pictures of shoveling
• 1:15:47
  Speaker 3: your walkway. You know, it's a way to get through it.
• 1:15:52
  Speaker 3: I like the personalization of what our network has created.
• 1:15:55
  Speaker 3: Thank you so much for all of your feedback from
• 1:15:58
  Speaker 3: the pharmacy fifty A ward wards. We're getting so much
• 1:16:02
  Speaker 3: attention from LinkedIn and through Instagram. Thank you so much
• 1:16:07
  Speaker 3: for recognizing people in our profession that are really changing
• 1:16:12
  Speaker 3: the game and really trying to do more with less.
• 1:16:16
  Speaker 3: That's what our independent communities are going through. That's with
• 1:16:19
  Speaker 3: some of our health systems and hospitals are going through.
• 1:16:23
  Speaker 3: They have to turn over high quality care with less
• 1:16:27
  Speaker 3: resources and sometimes staffing. So it's changing. I see twenty
• 1:16:31
  Speaker 3: twenty six is going to be a great year. Hey,
• 1:16:35
  Speaker 3: I want to talk about change. I want to talk
• 1:16:38
  Speaker 3: about expertise today, and if you listened in on the
• 1:16:42
  Speaker 3: last several months, I think starting in July twenty twenty five,
• 1:16:48
  Speaker 3: the Pharmacy Podcast Network has been talking more and more
• 1:16:52
  Speaker 3: and featuring more people, more pharmacists who are dialing into
• 1:16:56
  Speaker 3: contraception and birth control and how important that is, especially
• 1:17:00
  Speaker 3: with some of the shutdown that we saw happening with
• 1:17:03
  Speaker 3: planned parenthoods throughout the country. I don't really care at
• 1:17:08
  Speaker 3: all what your politics are. I'm more concerned with where
• 1:17:12
  Speaker 3: is our people? Where are where are women? Where are men?
• 1:17:17
  Speaker 3: Where are families accessing contraception consultancy and oversight? And I
• 1:17:24
  Speaker 3: was like, what better provider who already has access to
• 1:17:29
  Speaker 3: all the knowledge around other medications that that patient might
• 1:17:33
  Speaker 3: be going through or their family or whatever that could
• 1:17:36
  Speaker 3: impact so many things in their life, but now put
• 1:17:40
  Speaker 3: birth control in their hands and especially where they're able
• 1:17:43
  Speaker 3: to prescribe. So I'm really excited about this whole concept,
• 1:17:47
  Speaker 3: and we're going to have more and more content on
• 1:17:50
  Speaker 3: dialing into the clinical, the research, the technology. It's going
• 1:17:57
  Speaker 3: to be involved the engagement, the educator. So stay tuned
• 1:18:01
  Speaker 3: to More Pharmacy podcast Network and This Week in Pharmacy.
• 1:18:05
  Speaker 3: But on this Week in Pharmacy, I'm welcoming doctor Jenny
• 1:18:10
  Speaker 3: Nowlan onto the show from the birth control pharmacist community.
• 1:18:16
  Speaker 3: Welcome Jenny, Hi, thanks so much for having me, absolutely
• 1:18:22
  Speaker 3: so Sally as a hero of mine. She was the
• 1:18:26
  Speaker 3: first pharmacist, Sally Raffie. Doctor Raffie brought us much of
• 1:18:32
  Speaker 3: the information that helped kick us off with understanding how
• 1:18:35
  Speaker 3: more pharmacists, how more community pharmacy, how more consultant pharmacists
• 1:18:41
  Speaker 3: can get involved in contraception and family planning. And like
• 1:18:46
  Speaker 3: I said, it doesn't it make sense as a farm
• 1:18:49
  Speaker 3: d to use pharmacist to use all of that other
• 1:18:53
  Speaker 3: information points about a patient's total health. And now we
• 1:18:58
  Speaker 3: dial into country expand on on your vision of how
• 1:19:02
  Speaker 3: a pharmacist can blow that up.
• 1:19:06
  Speaker 2: Yeah, I think pharmacists are really well positioned. There's over
• 1:19:10
  Speaker 2: three hundred and fifty different FDA prove birth control. So
• 1:19:15
  Speaker 2: who would know better about what's best for an individual
• 1:19:18
  Speaker 2: patient than drug experts because there are so many different
• 1:19:21
  Speaker 2: options that each have their own little nuances and you know,
• 1:19:24
  Speaker 2: things that may make them the best choice for a
• 1:19:26
  Speaker 2: patient or not. And so with my work with Birth
• 1:19:30
  Speaker 2: Control Pharmacist, we're really focused on working with people on
• 1:19:34
  Speaker 2: the ground who are providing care and figuring out what
• 1:19:38
  Speaker 2: do they need to be able to do this because
• 1:19:40
  Speaker 2: previous research has shown the majority of pharmacists think this
• 1:19:44
  Speaker 2: is a good idea. They want to provide access for
• 1:19:46
  Speaker 2: their patients. They're very interested in it. They have the
• 1:19:50
  Speaker 2: educational background and preparation, but the problem is not many
• 1:19:55
  Speaker 2: are doing it. So we're really interested in kind of
• 1:19:58
  Speaker 2: partnering with those who are providing care and figuring out
• 1:20:03
  Speaker 2: what is it that you need to be able to
• 1:20:05
  Speaker 2: actually put this into action.
• 1:20:09
  Speaker 3: All right, let's talk about the research side of it,
• 1:20:12
  Speaker 3: because you are the director of research for the Birth
• 1:20:15
  Speaker 3: Control Pharmacist, which is freaking cool. Shout out to our
• 1:20:20
  Speaker 3: pharmacists out there who are wanting to make a career
• 1:20:24
  Speaker 3: change or pharmacy students who are thinking I'd love to
• 1:20:29
  Speaker 3: go into research. I want you to listen in to
• 1:20:32
  Speaker 3: what Jenny has to share, and I also want you
• 1:20:35
  Speaker 3: to connect with her on LinkedIn. So if you go
• 1:20:37
  Speaker 3: to LinkedIn, put in Jenny and it's new one. It's
• 1:20:40
  Speaker 3: an e WLN connect with her. Let her know that
• 1:20:43
  Speaker 3: you heard her on This Week in Pharmacy, but talk
• 1:20:46
  Speaker 3: to us about the research side of this.
• 1:20:49
  Speaker 2: Yeah. So one of the first things that I did
• 1:20:52
  Speaker 2: with birth Control Pharmacist was there was funding an opportunity
• 1:20:57
  Speaker 2: from the CDC, and the CDC was really wanting to
• 1:21:00
  Speaker 2: figure out how to implement pharmacists prescribe birth control. And
• 1:21:04
  Speaker 2: so what we did was we put together a study
• 1:21:07
  Speaker 2: where we actually spoke with a number of different stakeholders.
• 1:21:11
  Speaker 2: We talked to pharmacists, we talked to staff, we talked
• 1:21:15
  Speaker 2: to pharmacy owners, we talked to pharmacy executives, and we
• 1:21:19
  Speaker 2: were trying to figure out what do you need to
• 1:21:22
  Speaker 2: be able to provide this service, and then out of
• 1:21:25
  Speaker 2: all the ideas that you have, which seem the most feasible,
• 1:21:29
  Speaker 2: because we really wanted our research to translate into action,
• 1:21:33
  Speaker 2: which is sometimes a gap that we kind of see
• 1:21:35
  Speaker 2: coming out of academia. We see lots of research that
• 1:21:38
  Speaker 2: looks into all these great things, and we learned amazing things,
• 1:21:42
  Speaker 2: but then there's kind of that gap where things aren't
• 1:21:44
  Speaker 2: always being translated into practice, and so we wanted to
• 1:21:48
  Speaker 2: see of all the ideas of how we can actually
• 1:21:51
  Speaker 2: implement this service which seemed most feasible to you. So
• 1:21:56
  Speaker 2: from that we were able to collect some really actionable
• 1:21:59
  Speaker 2: items and some of the things that came out of that.
• 1:22:03
  Speaker 2: We then moved on into our next phase of research,
• 1:22:05
  Speaker 2: which we're currently doing, which is to actually build those
• 1:22:08
  Speaker 2: resources for people and put it into practice in the
• 1:22:11
  Speaker 2: real world. So we're actually going to be launching a
• 1:22:16
  Speaker 2: software soon and pharmacists will be using that software and
• 1:22:20
  Speaker 2: we're going to see the impact that that has on
• 1:22:23
  Speaker 2: patients access to care, as well as pharmacists comfort with
• 1:22:27
  Speaker 2: providing a service, like how easily they are able to
• 1:22:30
  Speaker 2: integrate it into their workflow and address all those barriers
• 1:22:33
  Speaker 2: that we've seen prior.
• 1:22:36
  Speaker 3: So, Jenny, we're noticing the rise of the consultant pharmacists
• 1:22:42
  Speaker 3: out there. When I first knew what I thought consultant
• 1:22:46
  Speaker 3: pharmacist was, and this is the way that it was originally,
• 1:22:51
  Speaker 3: was Hey, you're in long term care pharmacy. You're taking
• 1:22:54
  Speaker 3: care of our seniors. You dial into dementia or you're
• 1:22:59
  Speaker 3: dialing into joint issues. And now you become this expert,
• 1:23:02
  Speaker 3: which is freaking amazing. And shout out to doctor Tamar Rugels,
• 1:23:06
  Speaker 3: who's our podcaster. That's all about senior care. I love it. However,
• 1:23:10
  Speaker 3: the consultant pharmacist of today is getting into balancing integrative
• 1:23:16
  Speaker 3: medicine in the pharmaceutical lines. They're getting into healthcare coaching,
• 1:23:22
  Speaker 3: which now makes sense because now it's not only it's
• 1:23:27
  Speaker 3: taking into account your asthma medication or your diabetes or something.
• 1:23:31
  Speaker 3: So then I heard about, you know, Jenna Quinn, doctor
• 1:23:36
  Speaker 3: Quinn dialing into pediatrics, and so when you start dialing
• 1:23:39
  Speaker 3: in specifically into birth control and to build the trust.
• 1:23:45
  Speaker 3: Pharmacists very trusted anyway, but now you have research that
• 1:23:50
  Speaker 3: can be can be accessed by a pharmacist or a
• 1:23:54
  Speaker 3: physician or a specialist, and that's a big part of
• 1:23:58
  Speaker 3: trust building. It's also a big part of the evolution
• 1:24:02
  Speaker 3: of what pharmacists are going to be doing in the future.
• 1:24:06
  Speaker 3: Pharmacists today, some of them will never touch on medication
• 1:24:09
  Speaker 3: or never dispense the medication. It has to do with
• 1:24:12
  Speaker 3: the ongoing impact of a certain substance or the pharmacological
• 1:24:17
  Speaker 3: or the pharmacogenomics or the allergy or whatever it is
• 1:24:21
  Speaker 3: the testing that's going to be coming in. Would you
• 1:24:23
  Speaker 3: expand upon where you see the opportunity for our consultant
• 1:24:28
  Speaker 3: pharmacists going in the realm of contraception.
• 1:24:32
  Speaker 2: Yeah, I think that instead of looking at birth control
• 1:24:36
  Speaker 2: as its own isolated service. I mean, I do think
• 1:24:40
  Speaker 2: looking at it as an isolated service might be the
• 1:24:43
  Speaker 2: easiest way for many independent pharmacies to start providing the service.
• 1:24:47
  Speaker 2: But I think if you want to be more specialized,
• 1:24:50
  Speaker 2: I think there's definitely opportunity to look at the patient
• 1:24:54
  Speaker 2: more holistically. It's not just birth control, but if they
• 1:24:58
  Speaker 2: need birth control, the the first easiest step is should
• 1:25:01
  Speaker 2: they have advanced provision emergency contraception that may be needed.
• 1:25:05
  Speaker 2: Also looking at vaccinations, you know, have they had the
• 1:25:09
  Speaker 2: HPV vaccine? Are there other risk factors or other things
• 1:25:13
  Speaker 2: that they should be looking into if they're getting birth control,
• 1:25:17
  Speaker 2: maybe you know, for certain patients, depending on risk factors,
• 1:25:21
  Speaker 2: that might open up conversation about PEP prep for HIV prevention.
• 1:25:25
  Speaker 2: So I think it's really about looking at the patient
• 1:25:28
  Speaker 2: as a whole. And so many of these services. If
• 1:25:31
  Speaker 2: you figure out one, if you figure out what's allowed
• 1:25:33
  Speaker 2: in your state documentation billing, it's much easier to continue
• 1:25:38
  Speaker 2: to expand that to the other services that you're allowed
• 1:25:41
  Speaker 2: to do. So I think it's don't just look at
• 1:25:44
  Speaker 2: us birth control and isolation. I think there's opportunities to
• 1:25:48
  Speaker 2: sort of bundle all the services together, thinking about the patient. Yeah,
• 1:25:53
  Speaker 2: I know pharmacists are encountering a lot of different barriers,
• 1:25:56
  Speaker 2: but they're super motivated.
• 1:25:58
  Speaker 1: To carry You're in, Sally, Yeah, I wanted to play
• 1:26:04
  Speaker 1: something for our listeners, and of course technology did not
• 1:26:10
  Speaker 1: did not help me.
• 1:26:12
  Speaker 3: But there was an article that came out in the
• 1:26:15
  Speaker 3: news just this week. It was all about birth control
• 1:26:21
  Speaker 3: and pharmacist in the opportunity, and I think, once again
• 1:26:25
  Speaker 3: that's super important because the consultant pharmacist who is listening
• 1:26:33
  Speaker 3: right now, who's building their business, who's building their practice,
• 1:26:36
  Speaker 3: who's reaching out to primary care, who's reaching out to
• 1:26:39
  Speaker 3: pediatrics or a specialist of some kind in their community
• 1:26:43
  Speaker 3: where they have a mile radius that's expanding. We have
• 1:26:46
  Speaker 3: pharmacists who are driving sixty miles to meet with a
• 1:26:50
  Speaker 3: group of physicians that are dialing into something very specific.
• 1:26:54
  Speaker 3: That's where a huge portion of the future of pharmacists.
• 1:27:00
  Speaker 3: I can't stand the naysayers, Jenny. I'm always a half
• 1:27:03
  Speaker 3: glassful kind of guy, and when I hear them, well,
• 1:27:07
  Speaker 3: what about the future pharmacists and our jobs? And there's
• 1:27:10
  Speaker 3: all these closings of stores, and we are in a
• 1:27:14
  Speaker 3: crappy time right now in the profession. It's just it's
• 1:27:17
  Speaker 3: just the way it is right now. There's but guess
• 1:27:19
  Speaker 3: what's happening. It's the plate tectonics of our profession where
• 1:27:24
  Speaker 3: things are changing permanently. Where the pharmacist is now is
• 1:27:31
  Speaker 3: now saying to a thirty six year old woman, she's
• 1:27:35
  Speaker 3: ready to become pregnant, she has asthma, she likes doing triathlons,
• 1:27:41
  Speaker 3: you know, she's talking more about her holistic health. All
• 1:27:47
  Speaker 3: of a sudden, the pharmacy enters the chat, has the
• 1:27:51
  Speaker 3: experience with the birth control, has the experience with asthma medication,
• 1:27:56
  Speaker 3: and which one she should be doing in what dosing form,
• 1:27:59
  Speaker 3: and blah blah blah. Like goodness, gracious, what a time
• 1:28:03
  Speaker 3: to think of being and building your non traditional career path.
• 1:28:12
  Speaker 2: Yeah, there's really lots of opportunities, I think, you know,
• 1:28:16
  Speaker 2: pharmacy has so long relied on, you know, one stream
• 1:28:19
  Speaker 2: of income and through dispensing fees and everything, and it's
• 1:28:23
  Speaker 2: hard to sort of move beyond that, especially when there's
• 1:28:28
  Speaker 2: not a great place to land. In many states, medical
• 1:28:32
  Speaker 2: billing is very complicated, and pharmacists are seeing that they're
• 1:28:37
  Speaker 2: running into a lot of issues with contracting and credentialing.
• 1:28:40
  Speaker 2: Even if the state says pharmacists must be paid, there's
• 1:28:43
  Speaker 2: not always a straightforward path to actually getting paid. And
• 1:28:47
  Speaker 2: so I think that unfortunately a lot of pharmacists have
• 1:28:50
  Speaker 2: running that and it is discouraging. But I don't think
• 1:28:54
  Speaker 2: it's time to give up because I've also heard a
• 1:28:56
  Speaker 2: lot of pharmacists say things that you know, they sort
• 1:28:59
  Speaker 2: of dis count it. They say, oh, well, my patient
• 1:29:02
  Speaker 2: population there's not that many young people. Well, there probably
• 1:29:06
  Speaker 2: are young people in your community, they're just not coming
• 1:29:09
  Speaker 2: into your pharmacy because they don't know that you're offering
• 1:29:11
  Speaker 2: services that them, like birth control. I've also heard, well
• 1:29:16
  Speaker 2: there's a clinic down the street, so they'll just go there. Well,
• 1:29:20
  Speaker 2: maybe the patient would prefer to come into your pharmacy.
• 1:29:22
  Speaker 2: And with the way things are now, that clinically lose
• 1:29:25
  Speaker 2: funding and may not be available for long. So it
• 1:29:28
  Speaker 2: is good to continue to explore these new ways that
• 1:29:32
  Speaker 2: you can sort of adapt your front sea to me,
• 1:29:34
  Speaker 2: you know, today's needs.
• 1:29:37
  Speaker 3: It's an opportunity also to stand out as a provider
• 1:29:43
  Speaker 3: as a pharmacist and let your community, not only the
• 1:29:48
  Speaker 3: people obviously the patient opportunity of course, but let the
• 1:29:52
  Speaker 3: nurse practitioner who's building their own practice, let the you know,
• 1:29:57
  Speaker 3: the state associations know what you're doing, because they like
• 1:30:01
  Speaker 3: to write press on it, or they like to put
• 1:30:03
  Speaker 3: the peace out there, they get your name out there.
• 1:30:05
  Speaker 3: Like there's a whole system to this, and it's where
• 1:30:08
  Speaker 3: a bunch of salmon swimming upstream of the profession of
• 1:30:13
  Speaker 3: the entire profession of healthcare. But by the time we
• 1:30:17
  Speaker 3: get to the point where now it's a fluid way
• 1:30:20
  Speaker 3: that pharmacists are now being paid for their knowledge and
• 1:30:24
  Speaker 3: their expertise because they're dialing into disease state or a
• 1:30:27
  Speaker 3: condition or multiple conditions in one situation. And you are
• 1:30:31
  Speaker 3: being paid for that expertise, and you're getting paid better
• 1:30:37
  Speaker 3: because now you're starting to develop a reputation with you
• 1:30:40
  Speaker 3: in your region as that expert. The reason why I'm
• 1:30:44
  Speaker 3: giving shout outs to our young pharmacists, to our students
• 1:30:47
  Speaker 3: right now, start following experts in this spaces of different things,
• 1:30:52
  Speaker 3: and in this case, follow Jenny Newland from birth control
• 1:30:56
  Speaker 3: pharmacists and connect with Jenny and ask questions. But start
• 1:31:00
  Speaker 3: blogging more of yourself. Start getting your paperwork. I'm sorry,
• 1:31:06
  Speaker 3: your research, get it, even if it's not published yet.
• 1:31:10
  Speaker 3: Start writing a little bit more on it, and pack
• 1:31:12
  Speaker 3: yourself so that your resume and the search engines on
• 1:31:16
  Speaker 3: your name and your Instagram that this is all tying
• 1:31:19
  Speaker 3: back to your brand too, and how important that is
• 1:31:22
  Speaker 3: as part of this because going back to Sally, Sally
• 1:31:25
  Speaker 3: built a brand, but it took her to do this
• 1:31:29
  Speaker 3: alongside her primary position at the time to feed her
• 1:31:32
  Speaker 3: family and keep her going. And then she transformed into
• 1:31:37
  Speaker 3: what now is known as the birth control pharmacist, which
• 1:31:40
  Speaker 3: is crazy, but a shout out to those pharmacists out
• 1:31:43
  Speaker 3: there who if you want to make a move into
• 1:31:45
  Speaker 3: your career, you have to always be working at that.
• 1:31:50
  Speaker 3: It's like you always have to keep in mind what's
• 1:31:53
  Speaker 3: my move of where my heart's at and your heart,
• 1:31:56
  Speaker 3: Jenny is definitely in research, because I see your eyes
• 1:31:58
  Speaker 3: light up when.
• 1:32:00
  Speaker 5: You talk about it.
• 1:32:02
  Speaker 2: Yeah, I was very excited to make a change when
• 1:32:06
  Speaker 2: I went back to grad school. I actually didn't originally
• 1:32:10
  Speaker 2: know research was what I was going to do. I
• 1:32:12
  Speaker 2: thought I would go back and teach, and that's how
• 1:32:14
  Speaker 2: I would make a difference. And change the profession. But
• 1:32:18
  Speaker 2: along the way I realized research was a great way
• 1:32:20
  Speaker 2: to do that, because great way to make change is
• 1:32:21
  Speaker 2: to have evidence to support it.
• 1:32:24
  Speaker 3: Absolutely. I love that. All right, well, you have to
• 1:32:28
  Speaker 3: promise that you'll come back to this week in pharmacy
• 1:32:31
  Speaker 3: and bring us bring us another pharmacist or bring us
• 1:32:34
  Speaker 3: a hey. The evolution of the technician and supporting our
• 1:32:37
  Speaker 3: pharmacists who are now more clinical. I think of the
• 1:32:41
  Speaker 3: future of technicians where they become your assistance in your consultancy,
• 1:32:48
  Speaker 3: and it has once again nothing to do with dispensing
• 1:32:51
  Speaker 3: the physical medication. To get our brains around what the
• 1:32:54
  Speaker 3: future of pharmacy can hold, it must involve reproductive health.
• 1:33:00
  Speaker 3: It must involve expertise, It must involve personalization of medication,
• 1:33:06
  Speaker 3: and start marketing that in your own community so people
• 1:33:10
  Speaker 3: know that of you. That either brings more attention to
• 1:33:12
  Speaker 3: the pharmacy itself as a value op, or if you're
• 1:33:16
  Speaker 3: a hospital system pharmacist, it's now putting your reputation out
• 1:33:19
  Speaker 3: there so that now you start getting asked by other
• 1:33:23
  Speaker 3: ogb yns and physicians and specialists and pregnancy experts. They
• 1:33:27
  Speaker 3: start coming to you and saying, hey, you know you
• 1:33:30
  Speaker 3: wrote a paper, or you put a blog out, or
• 1:33:32
  Speaker 3: you had a podcast that was out a year ago,
• 1:33:35
  Speaker 3: and it was like, what my patient's going through? Can
• 1:33:39
  Speaker 3: you look at this and kind of give us your oversight?
• 1:33:41
  Speaker 3: So and it's like, why not. That's that's the future
• 1:33:44
  Speaker 3: of pharmacy in my book. Yeah, what's next for you?
• 1:33:49
  Speaker 3: Where are you going to be at any conferences coming up?
• 1:33:51
  Speaker 3: Or does anyone going to the APHA this year?
• 1:33:54
  Speaker 2: Yes, I'm going to APHA. I'm actually receiving an award
• 1:33:58
  Speaker 2: for best Paper of the Year. I did some work
• 1:34:00
  Speaker 2: on pharmacy working conditions, so it kind of ties into again,
• 1:34:04
  Speaker 2: I'm very interested in working with frontline pharmacists and figuring
• 1:34:07
  Speaker 2: out what will practically work for them.
• 1:34:10
  Speaker 3: Congratulations, Yeah, thank you. Well, I think we're going to
• 1:34:14
  Speaker 3: be there. I'm pretty sure based on we have clients
• 1:34:18
  Speaker 3: that we follow around sometimes and you know, build and
• 1:34:21
  Speaker 3: cover events. But I'm going to reach back out to
• 1:34:23
  Speaker 3: you because if I'm there, I definitely want to get
• 1:34:25
  Speaker 3: a quote from you and and and see the experience
• 1:34:29
  Speaker 3: that you're having in Los Angeles this year.
• 1:34:32
  Speaker 2: Actually, yes, yep.
• 1:34:34
  Speaker 3: So much sunnier than in Los Angeles and so much
• 1:34:37
  Speaker 3: warmer I'm sure in LA right now than Pittsburgh, Pennsylvania. Yeah.
• 1:34:42
  Speaker 2: Yeah, it will be a short trip for me this
• 1:34:44
  Speaker 2: year since I'm based in Socole.
• 1:34:47
  Speaker 9: There you go.
• 1:34:47
  Speaker 3: What's the weather like in Soco right now?
• 1:34:50
  Speaker 2: Very sunny and not windy at the moment, so that's good.
• 1:34:54
  Speaker 3: Shut up, Jenny, I don't want to talk about it.
• 1:34:57
  Speaker 2: I know I've been very quiet this week. I'm trying
• 1:34:59
  Speaker 2: not to make my friends and family jealous that are
• 1:35:02
  Speaker 2: spread out in dealing with this ice storm.
• 1:35:04
  Speaker 3: So yeah, all right, Well, thank you for being on
• 1:35:07
  Speaker 3: this week in Pharmacy. Thank you to our pharmacists out
• 1:35:11
  Speaker 3: there who are changing the game and are working at this.
• 1:35:14
  Speaker 3: If you ever want any ideas about how to build
• 1:35:18
  Speaker 3: your brand or connecting with pharmacists that are in a
• 1:35:22
  Speaker 3: space that you want to get into, reach out to
• 1:35:25
  Speaker 3: us at the Pharmacy Podcast Network and we'll get you
• 1:35:28
  Speaker 3: in touch with somebody. But Jenny, thanks for being on twerks.
• 1:35:31
  Speaker 2: Yep, thank you for having me.