Latest / Pharmacy Podcast Network / OvaryIt: Breaking Barriers to Birth Control with Pharmacists at the Center | MaternalRx

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OvaryIt: Breaking Barriers to Birth Control with Pharmacists at the Center | MaternalRx · 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. Welcome to the Maternal
• 0:36
  Speaker 2: RX podcast on the Pharmacy Podcast Network. This show is
• 0:40
  Speaker 2: all about empowering pharmacists to make real impact across the
• 0:43
  Speaker 2: entire pregnancy journey, from family planning and preconception, through pregnancy
• 0:48
  Speaker 2: and into the postpartum period. We know maternal morbidity and
• 0:53
  Speaker 2: mortality are at a crisis level, and too many women
• 0:56
  Speaker 2: still fall through the cracks and care. But as pharmacists,
• 0:59
  Speaker 2: the most accessible and trusted healthcare professionals, we're in the
• 1:03
  Speaker 2: perfect position to help those close those gaps. And today
• 1:07
  Speaker 2: we're taking a step back to the very beginning of
• 1:09
  Speaker 2: that journey family planning. We'll talk about how pharmacists can
• 1:13
  Speaker 2: play a vital role in supporting patients before pregnancy even begins.
• 1:17
  Speaker 2: I'm your host, doctor Danielle Plumber, pharmacist and antipartum doula.
• 1:23
  Speaker 2: Just a quick disclaimer before we get started, this podcast
• 1:26
  Speaker 2: is for education only. Please consult your healthcare providers for
• 1:29
  Speaker 2: medical advice. Everything I share on this podcast is strictly
• 1:33
  Speaker 2: from my own experience and education and not a reflection
• 1:36
  Speaker 2: of any company.
• 1:37
  Speaker 3: Where I work.
• 1:38
  Speaker 2: So I am so so excited to jump into today's interview.
• 1:43
  Speaker 2: It's my first time interviewing somebody who is not a
• 1:47
  Speaker 2: pharmacist or a researcher. We have two other specialties and
• 1:52
  Speaker 2: expertise today. Mary is the founder and CEO of over It,
• 1:57
  Speaker 2: with an extensive background in business development and leading complex
• 2:01
  Speaker 2: software projects for government and corporate entities. She brings deep
• 2:05
  Speaker 2: technical and operational expertise to healthcare innovation. After personally experiencing
• 2:11
  Speaker 2: an adverse event from a contraceptive prescribed by a telehealth
• 2:14
  Speaker 2: company that failed to follow accepted safety guidelines, Mary became
• 2:19
  Speaker 2: a passionate advocate for women's health. She founded overiate to
• 2:23
  Speaker 2: bridge the safety and quality of in person care with
• 2:26
  Speaker 2: the affordability and convenience of telehealth. Recognizing that broader access
• 2:31
  Speaker 2: required the new care models, she adapted the technology her
• 2:35
  Speaker 2: team built for telehealth to pharmacist led services. This led
• 2:39
  Speaker 2: to the creation of PRISM, a pharmacist specific EHR designed
• 2:43
  Speaker 2: to expand safe, equitable, and accessible care nationwide. And Doctor
• 2:49
  Speaker 2: Devin Buston is the chief medical officer and co founder
• 2:53
  Speaker 2: of Overiate. He is a board certified emergency medicine physician
• 2:57
  Speaker 2: with over a decade of clinical experience to background in
• 3:00
  Speaker 2: clinical informatics. He has held enterprise leadership roles in clinical
• 3:05
  Speaker 2: operations across multiple healthcare organizations. His work bridges clinical practice, technology,
• 3:11
  Speaker 2: and systems design with a focus on leveraging innovation to
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  Speaker 2: lower costs while improving outcomes. At Overre, he serves as
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  Speaker 2: the informatics in clinical subject matter expert for PRISM, the
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  Speaker 2: company's pharmacist specific EHR platform, and contributes to NIH funded
• 3:29
  Speaker 2: research exploring pharmacist led care models that expand safe, efficient
• 3:33
  Speaker 2: and accessible health care. So so much information. Mary and Devin,
• 3:39
  Speaker 2: thank you so much for joining me this morning on
• 3:41
  Speaker 2: this podcast. You both bring expertise that I do not have.
• 3:45
  Speaker 2: When we can combine science, medical care, and informatics, this
• 3:51
  Speaker 2: is the world we live in now and it can
• 3:53
  Speaker 2: be read at our fingertips. So I'm going to let
• 3:55
  Speaker 2: you add to any introduction about yourself that I missed,
• 3:58
  Speaker 2: and then we have so much data in science and
• 4:00
  Speaker 2: innovation to share with our audience, and I want to
• 4:02
  Speaker 2: learn all about your company, your journey into launching it,
• 4:05
  Speaker 2: and where do we go from here.
• 4:08
  Speaker 1: Thank you so much for having us I've been following
• 4:11
  Speaker 1: you for quite some time, really excited to actually be
• 4:15
  Speaker 1: able to join you and get to hang out with you.
• 4:19
  Speaker 1: I just think the world of you. But I'd also
• 4:21
  Speaker 1: add that we have Overet. We also have the Oviate Foundation,
• 4:26
  Speaker 1: which is a passion project of us of ours to
• 4:29
  Speaker 1: help those that are suffering with domestic violence as well
• 4:34
  Speaker 1: as human trafficking, so getting them access to contraceptive care
• 4:37
  Speaker 1: and making sure that they don't slip between the cracks.
• 4:39
  Speaker 1: So if anybody ever wants to team up, if you're
• 4:42
  Speaker 1: a nonprofit who wants to team up our domestic violence shelter,
• 4:47
  Speaker 1: let us know. We're always trying to find partnerships to
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  Speaker 1: do more.
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  Speaker 4: Yeah, that's hard to follow that. We're very excited to
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  Speaker 4: be here.
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  Speaker 5: We're extremely excited to be launching PRISM and it's been
• 4:59
  Speaker 5: it's been quite a a journey.
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  Speaker 4: It's been a fun journey.
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  Speaker 5: We've learned so much and we've been able to collaborate
• 5:05
  Speaker 5: with hundreds of pharmacists and we feel welcomed. We're kind
• 5:09
  Speaker 5: of we feel like we're part of the community now.
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  Speaker 5: So thank you all all of our pharmacist colleagues out there.
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  Speaker 3: You're so welcome. Both of you.
• 5:18
  Speaker 2: And what's interesting is if you look at the background
• 5:20
  Speaker 2: of the pharmacy podcast network, it wasn't started by pharmacists, right.
• 5:24
  Speaker 2: We have Todd you're here, who understands the collaboration as
• 5:27
  Speaker 2: well and the expertise pharmacists can bring to the table.
• 5:30
  Speaker 2: So when we can combine all these different knowledges to
• 5:34
  Speaker 2: fill the gaps of the outcomes can be just magnificent.
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  Speaker 2: So let's start by taking a step back. What's the
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  Speaker 2: big picture now in reproductive healthcare across the United States?
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  Speaker 1: Well loaded question. But in June twenty twenty five, I
• 5:52
  Speaker 1: think we all know that the Supreme Court ruled that
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  Speaker 1: states can bar Medicaid payments to Planned Parenthood for non
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  Speaker 1: abortion type services, which really kind of destabilizes access throughout
• 6:06
  Speaker 1: the throughout the country, regardless of anybody's political beliefs or values.
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  Speaker 1: Planned Parenthood provides over two million contraceptive prescriptions to women
• 6:17
  Speaker 1: throughout the country. So to kind of, for lack of
• 6:22
  Speaker 1: a better term, fracture that ability, there's a huge loss.
• 6:28
  Speaker 1: And so there are temporary injunctions that you know, blocks
• 6:34
  Speaker 1: full termination of the federal Medicaid reimbursements. But d HHS
• 6:39
  Speaker 1: has filed an appeal. So the long term stance right
• 6:43
  Speaker 1: now is a little uncertain of where things are going
• 6:46
  Speaker 1: to go. But right now it looks like about two
• 6:50
  Speaker 1: hundred or so planned parenthood clinics across twenty four different
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  Speaker 1: states are at risk of closure, which could bring with
• 6:57
  Speaker 1: it hundreds of thousands of options that and testing services
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  Speaker 1: that women need that are just you know, it's good
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  Speaker 1: to really have a huge gap and reproductive healthcare across
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  Speaker 1: the US, and.
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  Speaker 2: It really feels like this is under attack. We've been
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  Speaker 2: watching this develop for a very long time, now many years.
• 7:16
  Speaker 2: But as you two identified, pharmacists in many states now
• 7:21
  Speaker 2: have the ability and legality to prescribe contraception contraceptive methods
• 7:27
  Speaker 2: and discuss the clinical implications and the pros and cons
• 7:30
  Speaker 2: of each. What I have learned from other recent interviews, though,
• 7:33
  Speaker 2: is that not all the pharmacists have actually taken the
• 7:37
  Speaker 2: steps to get that extra training to do so, even
• 7:40
  Speaker 2: where the state allows, and you have a platform now
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  Speaker 2: that I think will make it really simple to do so.
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  Speaker 2: Circling back before we get to that, you mentioned in
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  Speaker 2: some communication we had earlier about Title ten. What is
• 7:53
  Speaker 2: Title ten? Yeah?
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  Speaker 5: So Title ten is federal funds that can be you know,
• 8:00
  Speaker 5: on reproductive and family planning care, and they fund a
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  Speaker 5: lot of a lot of women's access to family planning services.
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  Speaker 5: And as you know, those stop getting paid to providers
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  Speaker 5: of a boardive services such as plant parenthood, you know,
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  Speaker 5: that's really going to cause issues. You know, obviously Mary
• 8:20
  Speaker 5: had mentioned the closures, and you know, the closures are
• 8:23
  Speaker 5: a big deal, especially because sixty percent of the clinics
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  Speaker 5: that Planned Parenthood may need to close are actually located
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  Speaker 5: in already underserved areas. So you're taking what's already underserved
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  Speaker 5: and you're making it even further underserved, which is honestly
• 8:36
  Speaker 5: just devastating, you know. And then each of those closures,
• 8:40
  Speaker 5: it removes a critical access point for preventive care, so
• 8:43
  Speaker 5: things like contraception, STI testing and cancer screenings. Right, you know,
• 8:48
  Speaker 5: right now we have the ability to decrease the circle
• 8:51
  Speaker 5: cancer rates, but that's through screening, and so if you
• 8:53
  Speaker 5: don't have access to screening, you're likely to have worse outcomes.
• 8:58
  Speaker 4: And then even if clinics don't, right, but the patients were.
• 9:02
  Speaker 5: Relying on publicly funded assistants, you know, they're not maybe
• 9:06
  Speaker 5: going to get that anymore, and so they'll have to
• 9:08
  Speaker 5: pay more money and they may not be able to
• 9:10
  Speaker 5: afford that out of pocket, So that's another barrier. And
• 9:14
  Speaker 5: then I guess the other thing is just that, you know,
• 9:16
  Speaker 5: rural healthcare has been struggling for a long time to
• 9:19
  Speaker 5: begin with, and with the you know, current administration's you know,
• 9:23
  Speaker 5: big beautiful bill, they're going to be hurt even more
• 9:25
  Speaker 5: because the typical payer mix in rural areas is high,
• 9:29
  Speaker 5: is heavy medicaid, and Medicaid's getting cut, so it's going
• 9:33
  Speaker 5: to be hard to stay in business. A lot of
• 9:34
  Speaker 5: these kind of regional rural healthcare systems are going to
• 9:39
  Speaker 5: either go under or they're going to get bought for
• 9:40
  Speaker 5: pennies on the dollar by gigantic corporations that decrease you know,
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  Speaker 5: competitiveness and access.
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  Speaker 2: And the numbers that you just shared and the regions
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  Speaker 2: within the United States, you can look for those of
• 9:53
  Speaker 2: us who are very visual, there are maps that show
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  Speaker 2: it matches the increase and the risk of maternal more
• 10:00
  Speaker 2: morbidity and mortality in those exact regions, and they're color coded.
• 10:04
  Speaker 2: And when you see it so clearly in a map
• 10:09
  Speaker 2: matching what the statistics are that you read it, it's
• 10:13
  Speaker 2: on us. I guess at this point, right, we're at
• 10:14
  Speaker 2: a tipping point to then take matters into our own hands,
• 10:18
  Speaker 2: and you two did something quite magnificent and got NIH funding.
• 10:23
  Speaker 2: Tell me about what are the role of pharmacists. Let's
• 10:26
  Speaker 2: start with pharmacists that played a huge role during the
• 10:29
  Speaker 2: COVID pandemic, because this is when women now can no
• 10:33
  Speaker 2: longer go in person to get the care that you
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  Speaker 2: just described. How does that experience translate into today's access challenges.
• 10:41
  Speaker 4: Yeah, I mean I think you know, during COVID, pharmacists
• 10:44
  Speaker 4: proved that they could operate safely and efficiently as frontline providers,
• 10:47
  Speaker 4: you know, especially for protocolized care. They delivered over three
• 10:51
  Speaker 4: hundred million vaccinations. I mean, it really saved our butts
• 10:55
  Speaker 4: as a country.
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  Speaker 5: Right, There's no other way to scale that type of
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  Speaker 5: effort as quickly as with the infrastructure that exists in pharmacy,
• 11:03
  Speaker 5: and you know it, it really just completely saved the day.
• 11:08
  Speaker 5: And it's been acknowledged by a lot of policymakers because
• 11:13
  Speaker 5: if you really look at the adoption of you know,
• 11:16
  Speaker 5: state scope of practice laws pre and post COVID, you
• 11:19
  Speaker 5: can see an acceleration of you know, additional services being added,
• 11:23
  Speaker 5: like contraceptives. For example, many states adopted the ability to
• 11:27
  Speaker 5: prescribe contraceptives after the COVID pandemic because it's really hard
• 11:30
  Speaker 5: to argue against kind of how crucial that was during COVID,
• 11:35
  Speaker 5: and it just it made it very obvious that it's
• 11:38
  Speaker 5: an important public health apparatus that needs to be fully explored.
• 11:43
  Speaker 2: Thank you for sharing that. And I think a lot
• 11:45
  Speaker 2: of people don't realize the journey to become a doctor
• 11:48
  Speaker 2: of pharmacy, or for those who have been practicing many
• 11:51
  Speaker 2: years and have a bachelor's in pharmacy, have that extensive experience,
• 11:56
  Speaker 2: but now having the farm d degree, we have an
• 11:59
  Speaker 2: expert tease with pharmacology and pharmacokinetics and pharmacodynamics and personalized
• 12:04
  Speaker 2: medicine and understanding the hormones. That one of the big
• 12:10
  Speaker 2: pushes against pharmacists being able to do this came from
• 12:13
  Speaker 2: the American Medical Association because they think it's a scope.
• 12:19
  Speaker 3: For those I know you can't see us.
• 12:21
  Speaker 2: We want a partner and the doctors that I get
• 12:23
  Speaker 2: to work with, the mds and the apps and the nurses,
• 12:26
  Speaker 2: will we work collaboratively. The outcomes are best outcomes phenomenal,
• 12:30
  Speaker 2: but they call it scope of practice. But what we
• 12:32
  Speaker 2: want as pharmacists everyone to understand is we're not creeping
• 12:35
  Speaker 2: into your scope. These are patients who cannot get to
• 12:38
  Speaker 2: their doctor and then are going to end up going
• 12:40
  Speaker 2: to the pharmacy to have it dispensed. With care models
• 12:44
  Speaker 2: and retail pharmacy changing as well, having that pharmacist front
• 12:47
  Speaker 2: a line, trained extensively additional certifications to be able to
• 12:54
  Speaker 2: help that patient decide which is the best method of
• 12:57
  Speaker 2: contraceptive right there in their town, at their face tipping.
• 13:00
  Speaker 2: So why hasn't pharmacists prescribed contstruction scaled faster?
• 13:06
  Speaker 5: I mean, I think you know, we can all agree
• 13:08
  Speaker 5: that the current state of pharmacy in America is not ideal. Right,
• 13:11
  Speaker 5: we have PBMs squeezing dispensing margins. There's uncompensated care. So
• 13:15
  Speaker 5: a lot of pharmacists quote unquote like give away their
• 13:18
  Speaker 5: expertise without being compensated. And if you think about it,
• 13:21
  Speaker 5: they're really the only provider that does that. No one
• 13:24
  Speaker 5: else does that, and that makes it untenable, right, Like,
• 13:27
  Speaker 5: if you're not getting compensated for your time, how do
• 13:30
  Speaker 5: you keep the doors open and the lights on and
• 13:32
  Speaker 5: the staff paid? So it's made it a little bit
• 13:35
  Speaker 5: challenging because that's kind of been the norm, and you know,
• 13:39
  Speaker 5: we're I think most pharmacists would agree that change is needed.
• 13:43
  Speaker 5: And you see the younger generation of pharmacists, they seem
• 13:45
  Speaker 5: very motivated to practice at the top of their license
• 13:48
  Speaker 5: and provide the clinical services. There's definitely an old guard
• 13:51
  Speaker 5: as well, right, that says like, no, this is what
• 13:53
  Speaker 5: pharmacy is, like, we shouldn't have to do blah blah blah, right,
• 13:57
  Speaker 5: and that.
• 13:57
  Speaker 4: Exists, and there's a lot of inertia there.
• 14:00
  Speaker 5: So I think, you know, this is a transformation of pharmacy,
• 14:04
  Speaker 5: and not everyone is going to want to be a
• 14:06
  Speaker 5: part of that necessarily, and you know, change is scary,
• 14:11
  Speaker 5: but I think it's pretty clear that it's you know needed.
• 14:16
  Speaker 5: I also would say that the fact that the scope
• 14:18
  Speaker 5: of practice is regulated at the state level with pharmacists
• 14:21
  Speaker 5: makes it challenging because you really have to be almost
• 14:24
  Speaker 5: like a regulatory expert in a sense to initiate new services.
• 14:28
  Speaker 5: And you know, small medium pharmacies have trouble doing that.
• 14:32
  Speaker 5: You know, the cbs is of the world, they have
• 14:35
  Speaker 5: entire legal teams to look into this stuff. But if
• 14:38
  Speaker 5: your mom and pop shop, it's really hard. And then
• 14:41
  Speaker 5: there's the kind of the reimbursement stuff. Right you know,
• 14:46
  Speaker 5: cash pay is lucrative, honestly, cash pay is a way
• 14:49
  Speaker 5: to get started, but it is harder to get paid
• 14:52
  Speaker 5: by insurers as a pharmacist. Right now, there's just you know,
• 14:55
  Speaker 5: there's things that are still lacking that need to be
• 14:58
  Speaker 5: figured out. And there's been essentially a lack of digital infrastructure. Again,
• 15:02
  Speaker 5: unless you're one of these big corporations that could make
• 15:05
  Speaker 5: some custom application for twenty million dollars to do something with,
• 15:10
  Speaker 5: the small businesses really didn't have anything that they could
• 15:14
  Speaker 5: kind of plug and play and get started that actually
• 15:18
  Speaker 5: was efficient and could work for them absolutely.
• 15:21
  Speaker 2: So you just talked about reimbursement and infrastructure being major
• 15:24
  Speaker 2: pain points. Can you explain what makes billings so complicated
• 15:28
  Speaker 2: for pharmacists? Now, you did just mentioned retail pharmacists are
• 15:33
  Speaker 2: being paid like an hourly wage or a salary from
• 15:36
  Speaker 2: their corporation. But where other professions can build insurances for
• 15:41
  Speaker 2: the consultations, pharmacists haven't yet had that ability. Now I
• 15:45
  Speaker 2: have seen in other disease states, not women's health, but
• 15:49
  Speaker 2: when we look at mental health, when we look at cardiology,
• 15:53
  Speaker 2: when we look at oncology, even recovery, addiction recovery, pharmacists
• 15:59
  Speaker 2: are now being integrit into providers, offices or have collaborative
• 16:03
  Speaker 2: agreements and the outcomes are incredible. I'm hoping that's where
• 16:07
  Speaker 2: we can go with women's health as well, but I
• 16:10
  Speaker 2: haven't seen obgyns take that step at this point. And
• 16:15
  Speaker 2: as you mentioned earlier, organizations and nonprofits like Planned Parenthood,
• 16:20
  Speaker 2: the funding is just going away, the clinics are disappearing.
• 16:24
  Speaker 2: But again, you created this solution, so please tell me
• 16:27
  Speaker 2: what is the PRISM solution.
• 16:29
  Speaker 1: The PRISM solution is essentially the an integrated Electronic Health
• 16:35
  Speaker 1: record system so EHR that's built specifically for pharmacists, and
• 16:40
  Speaker 1: we designed this with inputs from hundreds of different pharmacy professionals,
• 16:47
  Speaker 1: and as you mentioned earlier, we are backed by the
• 16:49
  Speaker 1: NIH funded research. So we're currently in a clinical trial
• 16:54
  Speaker 1: and we're closing that out and hopefully all goes well.
• 16:58
  Speaker 1: All has been going well thus far. But realistically, it
• 17:02
  Speaker 1: gives pharmacists the tools to offer safe, efficient and compliant
• 17:07
  Speaker 1: clinical services that are all integrated. So where I would
• 17:12
  Speaker 1: say you know a lot of systems today, they're really
• 17:17
  Speaker 1: more of electronic medical records, which is very different from
• 17:21
  Speaker 1: a health record system. The medical records are kind of enclosed.
• 17:24
  Speaker 1: They're not talking as much to outside systems, so you're
• 17:27
  Speaker 1: not able to talk to other doctor's offices or insurers
• 17:32
  Speaker 1: or get the information over to your PMS. That way,
• 17:35
  Speaker 1: you can dispense more easily without having to do duplicate
• 17:38
  Speaker 1: data entry. And with PRISM, it's connected so you can
• 17:45
  Speaker 1: write your own prescription. It goes through the share Script's network.
• 17:49
  Speaker 1: We have been approved for new prescriptions on the share
• 17:53
  Speaker 1: Scripts network. I want to make sure I always say
• 17:55
  Speaker 1: that properly. They're very serious about making sure you say
• 17:59
  Speaker 1: that right. And so once a pharmacist has that information
• 18:05
  Speaker 1: in their PMS, they even see their little name right
• 18:08
  Speaker 1: there is the prescriber, which a lot of people get
• 18:10
  Speaker 1: excited about the first time. I love watching pharmacists first
• 18:13
  Speaker 1: time seeing their name come across and they can dispense
• 18:17
  Speaker 1: the medication from there. So it's really unlike the traditional
• 18:22
  Speaker 1: massive EHRs out there, which I mean, who doesn't love EPIC,
• 18:26
  Speaker 1: But it is so big and you have to learn
• 18:31
  Speaker 1: all seven thousand boxes to click and touch points and
• 18:35
  Speaker 1: everything else. Realistically, what we tried to do is create
• 18:40
  Speaker 1: like a turbo tax model for pharmacists to just simplify things.
• 18:45
  Speaker 1: And by layering in that with all of the regulatory
• 18:50
  Speaker 1: and the USMEC guidelines. So you know the unfortunate thing
• 18:55
  Speaker 1: that you spoke about in the beginning of this that
• 18:57
  Speaker 1: happened to me where I was prescribed the wrong contraception
• 19:00
  Speaker 1: and I dealt with a heavy polegic migraine presenting as
• 19:05
  Speaker 1: a stroke because of it, and I couldn't lose, I
• 19:08
  Speaker 1: couldn't move the left side of my body. So husband,
• 19:12
  Speaker 1: who is an e AR doc, came to the rescue,
• 19:14
  Speaker 1: of course, but I don't want this whole thing came
• 19:19
  Speaker 1: about because I never want another woman to suffer like
• 19:21
  Speaker 1: I did. And so that us NEC guidelines really make
• 19:26
  Speaker 1: sure that no one can ever prescribe outside of those
• 19:29
  Speaker 1: guidelines in our system. So it's not only protecting the patient,
• 19:34
  Speaker 1: but it's also producting the pharmacist license. Like we know
• 19:38
  Speaker 1: that you guys are busy, it's easy to miss one
• 19:40
  Speaker 1: clickie box, It's easy to miss something even with the
• 19:43
  Speaker 1: best intentions. So by by really putting up the for
• 19:48
  Speaker 1: lack of a better term, like those guardrails to make
• 19:50
  Speaker 1: sure that.
• 19:51
  Speaker 3: We have your back.
• 19:52
  Speaker 1: There's an extra set of eyes on there. It's a
• 19:55
  Speaker 1: win win for the patient, the pharmacist, for everyone.
• 19:58
  Speaker 5: Yeah, and from an efficiency perspective, you know, the workflow
• 20:01
  Speaker 5: is automated too, so there's a front end for the
• 20:04
  Speaker 5: patients with the patient portal. You know, they can book
• 20:07
  Speaker 5: on an appointments, so we have the scheduling, you know, part
• 20:09
  Speaker 5: of it. Walk ins also accepted, so it can do
• 20:13
  Speaker 5: both those workflows. But the patient, you know, fills out
• 20:15
  Speaker 5: a dynamic form like they would at a doctor's office,
• 20:17
  Speaker 5: except that this time all of that data is repurposed, right,
• 20:21
  Speaker 5: and so the soap note for the pharmacist is already
• 20:23
  Speaker 5: done for you, like you don't even have to type
• 20:25
  Speaker 5: in anything essentially, and if they tell you something as
• 20:29
  Speaker 5: you're talking to them, that changes, you know, what should
• 20:32
  Speaker 5: go in there. You do a couple of clicks and
• 20:33
  Speaker 5: all of a sudden, the outputs change. You know, you
• 20:36
  Speaker 5: put in their blood pressure and their distolic blood pressure's
• 20:38
  Speaker 5: ninety one. Well they can't have estrogen. But oh you
• 20:41
  Speaker 5: waited twenty minutes, it came down. It's now seventy eight. Yeah,
• 20:45
  Speaker 5: they can have estrogen now. But the system will make
• 20:48
  Speaker 5: sure that you're compliant, which is really cool.
• 20:50
  Speaker 4: And then you.
• 20:51
  Speaker 5: Know, one of the kind of magical things about it
• 20:54
  Speaker 5: is that it's modular. As we mentioned earlier, the scope
• 20:58
  Speaker 5: of practice for doctors and other provider type is federal,
• 21:01
  Speaker 5: So EHR is like epic. They don't have to have
• 21:04
  Speaker 5: different rules per each state, per each service. If you
• 21:07
  Speaker 5: start getting into the pharmacy scope of practice, it's like, yeah,
• 21:10
  Speaker 5: you can do it, but you need this exact form.
• 21:14
  Speaker 5: You need to tell patients about long acting reversible contraceptives
• 21:17
  Speaker 5: and STI prevention. You need et cetera, et cetera, right,
• 21:20
  Speaker 5: and each state has different rules, so we build in
• 21:22
  Speaker 5: all of that regulatory compliance. So if you get audited, like,
• 21:26
  Speaker 5: you have proof that you've done all of it. You know,
• 21:29
  Speaker 5: provider notifications, if you prescribe something, you're supposed to notify
• 21:32
  Speaker 5: the PCP in most states automated, So it's kind.
• 21:36
  Speaker 4: Of like it's like the easy button.
• 21:38
  Speaker 5: One of our clients called it the easy button for
• 21:40
  Speaker 5: implementing clinical services, and I love that because it's true.
• 21:44
  Speaker 4: It's it's you know, you don't have to reinvent the wheel.
• 21:47
  Speaker 5: You get to kind of benefit from all of the
• 21:51
  Speaker 5: research and time that we have spent to make this
• 21:54
  Speaker 5: specifically work for pharmacies.
• 21:57
  Speaker 1: Shout out to the NIH.
• 21:58
  Speaker 4: Yeah, thank you.
• 22:00
  Speaker 2: Let's hope it keeps going in that direction. And when
• 22:02
  Speaker 2: I first met, I was just like, this is incredible.
• 22:05
  Speaker 2: You were able to get that grant because I've worked
• 22:07
  Speaker 2: with so many other clinicians or researchers and women's health
• 22:10
  Speaker 2: that just tried and tried and tried, and NIH was like, Nope,
• 22:13
  Speaker 2: we're not interested. And there were statistics I've read recently
• 22:17
  Speaker 2: like the percentage of NAH grants that go to men's
• 22:20
  Speaker 2: health compared to women's health. It's I mean, you're talking
• 22:23
  Speaker 2: none of it. It almost goes to women's health. And
• 22:25
  Speaker 2: you were able to push through this. So we have
• 22:27
  Speaker 2: a lot of listeners that may or may not be
• 22:30
  Speaker 2: in the United States or may or may not be
• 22:31
  Speaker 2: familiar with some of the acronyms or terms we use,
• 22:34
  Speaker 2: so I want to break those down a little bit. Sure, Scripts,
• 22:38
  Speaker 2: can you explain this please?
• 22:39
  Speaker 3: Yeah.
• 22:40
  Speaker 1: Surescripts is essentially the prescribing electronic prescribing mechanism in the
• 22:48
  Speaker 1: United States that allows for essentially every hospital, doctor's office,
• 22:54
  Speaker 1: pharmacy in America to be connected to the pharmacies so
• 22:58
  Speaker 1: any electronic person description is going through the surescripts network
• 23:04
  Speaker 1: and lands at the patient's desired pharmacy. So they hold,
• 23:09
  Speaker 1: they hold, they know every prescription ever written in America
• 23:13
  Speaker 1: for the most part.
• 23:15
  Speaker 5: Ye.
• 23:16
  Speaker 1: So yeah, they they rule the roost when it comes
• 23:18
  Speaker 1: to that kind of workflow. And God bless them because
• 23:24
  Speaker 1: it's a lot.
• 23:25
  Speaker 5: It's a lot, and it's you know, it's not too
• 23:29
  Speaker 5: you know, it's tough to work with big companies with
• 23:32
  Speaker 5: all the rules and stuff, and we we got to
• 23:34
  Speaker 5: do it and it was great.
• 23:35
  Speaker 1: They were so sweet, like you know, you think of
• 23:38
  Speaker 1: a company that size and that large that oversees every
• 23:42
  Speaker 1: prescription in America. Right.
• 23:43
  Speaker 2: Okay, my next question is MEC is an acronym.
• 23:46
  Speaker 3: What is that?
• 23:47
  Speaker 5: Yeah, so MEC stands for Medical Eligibility Criteria And so
• 23:52
  Speaker 5: the CDC created safety guidelines for contraceptive methods. So my methods,
• 23:57
  Speaker 5: we mean combined hormonal contraceptives. So once methods that have
• 24:01
  Speaker 5: both estrogen and a progestin right, and that can be
• 24:05
  Speaker 5: a hormonal patch, a pill, right, a vaginal ring, then
• 24:09
  Speaker 5: progestin only options right, including progestin only pills depot. A
• 24:14
  Speaker 5: lot of people know depot et cetera, IUDs, et cetera.
• 24:19
  Speaker 5: So they created all of the guidelines to try to
• 24:22
  Speaker 5: prevent what happened to Mary, quite frankly, because we know
• 24:24
  Speaker 5: that exogenous estrogen specifically has certain risks for different people,
• 24:29
  Speaker 5: and there are certain medical criteria that make those risks
• 24:32
  Speaker 5: more likely.
• 24:33
  Speaker 2: And Mary, would you be open to sharing more of
• 24:36
  Speaker 2: your story because this is fundamental and what happened to you,
• 24:40
  Speaker 2: I have to believe is not a solo event. When
• 24:43
  Speaker 2: we hear telemedicine access, it sounds great, but it's usually
• 24:48
  Speaker 2: not an MD or a medical doctor on the other
• 24:52
  Speaker 2: end that's reviewing your medical history and deciding what prescription
• 24:55
  Speaker 2: to get. So if you're open to it, let's go
• 24:59
  Speaker 2: to the beginning. It was during COVID you had this
• 25:03
  Speaker 2: doctor you wanted to get on birth control.
• 25:06
  Speaker 1: Tell me, yeah, So you know, I was newly married,
• 25:13
  Speaker 1: and so I was like, let's get I need a
• 25:16
  Speaker 1: new prescription for contraception. And I was working full time job,
• 25:21
  Speaker 1: you know, wearing my big girl hat being a consultant
• 25:25
  Speaker 1: back in the day for it, and I didn't have time.
• 25:30
  Speaker 1: I had insurance, I had money for cash pay, but
• 25:34
  Speaker 1: I did not have time. So I was like oh,
• 25:36
  Speaker 1: let me just go online. And the site that I
• 25:40
  Speaker 1: used only asked me like, realistically four questions. None of
• 25:44
  Speaker 1: it was really about my health. It was mostly about
• 25:47
  Speaker 1: like liability insurance thinking hindsight, and I filled out the form.
• 25:53
  Speaker 1: Never talk to anybody. I assumed that they either like
• 25:58
  Speaker 1: my insurance didn't accept it, or my you know, request
• 26:02
  Speaker 1: didn't go through. Wow, And so I didn't think anything
• 26:06
  Speaker 1: of it. Like I didn't even get an email saying
• 26:08
  Speaker 1: that anything went through. So I was just like, all right,
• 26:10
  Speaker 1: well that's gone. And a few days later, like four
• 26:16
  Speaker 1: or five days later, I got a mystery pill pack
• 26:19
  Speaker 1: in the mail, and I did what any psychopath that
• 26:23
  Speaker 1: was newly married and death for it would do, which
• 26:26
  Speaker 1: was I started taking those pills. And a couple weeks later,
• 26:31
  Speaker 1: I woke up to feed our dogs and Devin was
• 26:36
  Speaker 1: still sleeping. At that point, I think he had come
• 26:39
  Speaker 1: off like a pretty late shift at the hospital, and
• 26:43
  Speaker 1: all of a sudden, like I went to take a
• 26:44
  Speaker 1: step and my left leg just dragged across the ground
• 26:48
  Speaker 1: and I didn't realize it necessarily, so I fell and
• 26:52
  Speaker 1: I realized I couldn't look, I couldn't move the left
• 26:54
  Speaker 1: side of my body. Anymore. So I started screaming for him,
• 26:58
  Speaker 1: and he got me care I needed. Obviously, fortunately it
• 27:03
  Speaker 1: was temporary, but it was a hemiplegic migraine presenting as
• 27:06
  Speaker 1: a stroke. So in the moment, it was, oh no,
• 27:11
  Speaker 1: am I ever going to gain function back? Like that
• 27:14
  Speaker 1: was the oh no moment? But it just turns out
• 27:16
  Speaker 1: I wasn't ever, never meant to have estrogen containing medication.
• 27:23
  Speaker 1: But I never I never knew that, and nor did
• 27:25
  Speaker 1: they really ask those questions to ever find out. So
• 27:29
  Speaker 1: we learned that, you know, I had essentially sacrificed my
• 27:34
  Speaker 1: own safety for like convenience and access. And that's where
• 27:39
  Speaker 1: our whole thesis came around, was, you know, we want
• 27:43
  Speaker 1: to encourage people to get contraception, but how do you
• 27:48
  Speaker 1: bring that safety element to it without ever having to
• 27:51
  Speaker 1: sacrifice your safety for convenience. So that's where we were, like, Okay,
• 27:55
  Speaker 1: let's try to build a different type of telehealth mechanism.
• 27:58
  Speaker 1: Let's try. Okay, like you can only do so much
• 28:01
  Speaker 1: within telehealth, why don't we meet people where they are
• 28:04
  Speaker 1: in these rural settings that might not you know, be
• 28:07
  Speaker 1: able to get their prescription mail to them easily or
• 28:11
  Speaker 1: effectively and let's look at how we can repurpose the
• 28:16
  Speaker 1: safety criteria that we build out in that algorithm to
• 28:21
  Speaker 1: allow pharmacists to do the same thing. So, you know,
• 28:24
  Speaker 1: it's just been a long journey, and fortunately I have
• 28:27
  Speaker 1: no long term repercussions from any of my side effects
• 28:31
  Speaker 1: that I had to deal with. But it was that
• 28:34
  Speaker 1: oh no moment that I hope no pharmacist ever has
• 28:38
  Speaker 1: to face, no patients have to face. And it's always
• 28:41
  Speaker 1: interesting to me because I get to talk with so
• 28:44
  Speaker 1: many doctors and even you know, Obigin's are always kind
• 28:48
  Speaker 1: of like, hey, what are you guys doing? And I
• 28:50
  Speaker 1: find out very quickly that they're all in like they are.
• 28:55
  Speaker 1: They think it's so important as well. They're not looking
• 28:59
  Speaker 1: at it as like, oh, this is competition, right, Like
• 29:01
  Speaker 1: I know we talked about the AMA earlier, but a
• 29:04
  Speaker 1: lot of these OBE guydes a lot of these other
• 29:06
  Speaker 1: providers are like, we need this. We're too busy, we
• 29:11
  Speaker 1: are overwhelmed with patients. And if you guys can take
• 29:14
  Speaker 1: some of these things off of our plate and do
• 29:16
  Speaker 1: it in a safe way rather than kind of the
• 29:18
  Speaker 1: wild wild west that's been telehealth, do it.
• 29:22
  Speaker 4: Yeah.
• 29:23
  Speaker 5: And I think we also kind of just realized that, like,
• 29:25
  Speaker 5: from a modality perspective, telehealth is great, it should exist, right,
• 29:29
  Speaker 5: but it is not the only modality that helps increase access.
• 29:33
  Speaker 5: And ninety percent of Americans live within five miles of
• 29:35
  Speaker 5: a pharmacy. It's the most convenient care location and touch point.
• 29:40
  Speaker 5: And there's something different about in person care that is beneficial, right.
• 29:45
  Speaker 4: And there's also the aspect of like, hey, I don't
• 29:48
  Speaker 4: need to go to two buildings.
• 29:49
  Speaker 5: I don't have to go to an appointment and then
• 29:50
  Speaker 5: go to a pharmacy to pick up my meds. I
• 29:52
  Speaker 5: can just walk into a pharmacy, speak with you know,
• 29:55
  Speaker 5: a pharmacist using prism, and get prescribed to contraceptive and
• 29:59
  Speaker 5: go home.
• 30:01
  Speaker 2: And that's it incredible And so many people who have
• 30:04
  Speaker 2: dealt with this is a horror story. What you could
• 30:08
  Speaker 2: have died like you could You don't know. You happen
• 30:11
  Speaker 2: to have an emergency medicine physician in your house right
• 30:15
  Speaker 2: that you fell.
• 30:15
  Speaker 3: In love with.
• 30:16
  Speaker 2: I mean what about those people that don't have that.
• 30:19
  Speaker 2: And you said I was a psychopath I took the med. No,
• 30:22
  Speaker 2: that's not being a psychopath. That's trusting the system that
• 30:26
  Speaker 2: was built to support us and that's what we do.
• 30:29
  Speaker 2: And it's interesting when I look at my parents' generation.
• 30:32
  Speaker 2: They trusted their accountants and their doctors and their financial
• 30:37
  Speaker 2: planners and whoever was there with the advanced degrees to
• 30:43
  Speaker 2: support them their health, their lifestyle. My generation became a
• 30:47
  Speaker 2: little bit more weary, but not until recently, when I
• 30:52
  Speaker 2: think as we get more advanced in our careers and
• 30:54
  Speaker 2: we see just because you have a degree doesn't make
• 30:57
  Speaker 2: you the best person. You know, there's that old joke,
• 31:00
  Speaker 2: the last person in your class, you still call them doctor, right,
• 31:03
  Speaker 2: I mean, yeah, you know, as long as they can
• 31:06
  Speaker 2: pass their boards. We have different personalities, some of great
• 31:10
  Speaker 2: bedside manners, some don't. But that doesn't always mean that
• 31:14
  Speaker 2: they understand the science and they've gone through the steps
• 31:18
  Speaker 2: I say they, but it could.
• 31:19
  Speaker 3: Be in the future a robot.
• 31:21
  Speaker 2: Right with AI coming and there's medicine is complicated. The
• 31:26
  Speaker 2: human body is extremely complicated. And I work with a
• 31:31
  Speaker 2: lot of functional medicine pharmacists that are like, oh, oral
• 31:35
  Speaker 2: contraceptives are you really need to understand which synthetic, what's natural,
• 31:42
  Speaker 2: what levels are in each And when we look at
• 31:44
  Speaker 2: the oral birth controls, going back to when they first
• 31:47
  Speaker 2: came out decades ago, the amount of estrogen in them
• 31:51
  Speaker 2: was so high, and at the time society were smokers,
• 31:57
  Speaker 2: and you did see women having strokes right from your
• 32:01
  Speaker 2: case presented as a stroke, but it wasn't. But I
• 32:06
  Speaker 2: can't even fathom how terrifying that must have been to
• 32:09
  Speaker 2: suddenly not have feeling and so grateful that you had
• 32:12
  Speaker 2: an expert right there in the house with you. What
• 32:14
  Speaker 2: if you work?
• 32:16
  Speaker 1: You know, it wasn't pretty, but I'm glad that it
• 32:19
  Speaker 1: all worked out. But yeah, to your point, I mean,
• 32:22
  Speaker 1: if I am a for lack of better terms, privileged
• 32:26
  Speaker 1: white woman like I said, that was employed, had insurance,
• 32:29
  Speaker 1: had money, I just didn't have time, what about you know,
• 32:36
  Speaker 1: majority of America right like I had every benefit towards me,
• 32:41
  Speaker 1: and I still kind of slip between the cracks. So
• 32:45
  Speaker 1: I know that the majority of America. You know, when
• 32:48
  Speaker 1: we hear ladies reeling against contraception online, like know that
• 32:57
  Speaker 1: it's it's understandable. And I think a lot of people
• 33:01
  Speaker 1: have been placed on the same exact contraceptive over and
• 33:04
  Speaker 1: over and over again. That's the same active pharmaceutical ingredients,
• 33:09
  Speaker 1: and you know, we they think that they're not a
• 33:14
  Speaker 1: good fit for any contraceptive because of it. And reality
• 33:17
  Speaker 1: is there's a bunch of different types, but there's like
• 33:20
  Speaker 1: a few favorites that prescribers generally have and you just you,
• 33:24
  Speaker 1: you kind of got put on the same thing. So
• 33:28
  Speaker 1: like if you, if you, it's understandable to dislike the
• 33:33
  Speaker 1: idea of hormonal contraception, but know that there's non hormonal options.
• 33:37
  Speaker 1: There's the hormonal options. You can mix and match as
• 33:40
  Speaker 1: long as you have a contraceptive plan that works for you.
• 33:43
  Speaker 1: And like a natural family planning, it doesn't like, just
• 33:46
  Speaker 1: do what works best for you, just make sure that
• 33:49
  Speaker 1: you're protected. That's like what I always tell people because
• 33:52
  Speaker 1: they everyone automatically assumes I'm just the birth control you know,
• 33:57
  Speaker 1: prescription girl, and I'm like, no, no, no, no, no, Like,
• 34:01
  Speaker 1: figure out what works best for you, and that can
• 34:03
  Speaker 1: be hormonal, non hormonal, or a mix of both. Right, Like,
• 34:06
  Speaker 1: emergency contraceptives exist. If you want to do natural family
• 34:10
  Speaker 1: planning and just have an emergency contraceptive as a backup,
• 34:14
  Speaker 1: that's totally okay too, And in a lot of states
• 34:17
  Speaker 1: pharmacists can help with that as well, with emergency contraception.
• 34:20
  Speaker 1: So it's like there's no one size fits all and that,
• 34:24
  Speaker 1: you know, I think that's something that pharmacists can really
• 34:27
  Speaker 1: bring to the table because they already have a relationship
• 34:30
  Speaker 1: with their patients and that trust is already there, so
• 34:34
  Speaker 1: you know, where a lot of patients might not want
• 34:36
  Speaker 1: to tell their doctor everything, there's just this innique trust
• 34:40
  Speaker 1: because your pharmacist is like so accessible and always right
• 34:43
  Speaker 1: there and you get to see them a lot more
• 34:45
  Speaker 1: often and they're just a more common touch point. So yeah,
• 34:49
  Speaker 1: pharmacists just know that there's no one size fits all
• 34:52
  Speaker 1: for this one.
• 34:52
  Speaker 5: Yeah, and you know, from a prism perspective, we also
• 34:55
  Speaker 5: built that stuff in too, so we have clinical decisions
• 34:57
  Speaker 5: support to what Mary said, there's sometimes there's many different
• 35:00
  Speaker 5: contraceptives that are the same thing under a different name,
• 35:03
  Speaker 5: and those names change on an annual basis. It's damn
• 35:06
  Speaker 5: near impossible to memorize them all. Most bgian's will admit
• 35:09
  Speaker 5: that they also don't know them all. So when someone says, oh,
• 35:12
  Speaker 5: I had a bad experience with you know brand X,
• 35:16
  Speaker 5: do you know every single other equivalent off top of
• 35:19
  Speaker 5: your head? No, because no one does, but our system
• 35:21
  Speaker 5: does because computers are very good at that. So we
• 35:25
  Speaker 5: help with decision making, you know, clinical decision making from
• 35:28
  Speaker 5: that perspective as well. So it's not just you know,
• 35:31
  Speaker 5: are they qualified for the method, but it's hey, are they.
• 35:34
  Speaker 4: Qualified for the method?
• 35:34
  Speaker 5: And hey, here's some insights of what may be a
• 35:37
  Speaker 5: good or bad idea and.
• 35:38
  Speaker 3: Why so I want to tie it in.
• 35:41
  Speaker 2: Prism is the electronic health record over it is the
• 35:45
  Speaker 2: name of the company. Walk me through a patient journey
• 35:49
  Speaker 2: if they wanted to get contraception through your platform.
• 35:55
  Speaker 1: Yeah, so a patient can go to my prism health
• 36:00
  Speaker 1: dot com and they just fill out It takes about
• 36:05
  Speaker 1: ten to fifteen minutes to create an account aka like
• 36:08
  Speaker 1: you know your basic name, address, all that fun information,
• 36:11
  Speaker 1: your insurance and then you answer about depending on the state,
• 36:18
  Speaker 1: at about fifteen to twenty questions online and you select
• 36:24
  Speaker 1: which pharmacy that you want the services to be rendered
• 36:27
  Speaker 1: to you. So like, if you know, we have a
• 36:30
  Speaker 1: couple pharmacies right now in California, so you can search
• 36:34
  Speaker 1: that you want contraception in California. You can put in
• 36:37
  Speaker 1: additional information and just sign up online right there on
• 36:41
  Speaker 1: the spot, and if you know you can do that
• 36:43
  Speaker 1: if you're being proactive or if you're already at the pharmacy.
• 36:47
  Speaker 1: We've been providing like QR codes and stuff like that
• 36:50
  Speaker 1: for our early adopters. So you can just snap a
• 36:52
  Speaker 1: QR code if you're a patient and just fill out
• 36:55
  Speaker 1: all the forms online. But it doesn't It takes maybe
• 36:59
  Speaker 1: ten fifteen minutes for a patient to complete everything, and
• 37:03
  Speaker 1: then that's what automates all the workforce behind for the
• 37:07
  Speaker 1: pharmacists to complete.
• 37:08
  Speaker 4: Yeah, and we're starting with contraception.
• 37:10
  Speaker 5: But the vision is, you know that prism will health
• 37:13
  Speaker 5: will help retail pharmacies be kind of public health access
• 37:16
  Speaker 5: points for essential health services. So you know, we expect
• 37:20
  Speaker 5: that we will expand to other services, you know, test
• 37:22
  Speaker 5: to treat imagine, you know STI screening and treatment, self
• 37:27
  Speaker 5: PAP right, like HPV screening. Wow, you know, all sorts
• 37:32
  Speaker 5: of cool things that affect women's health. And quite frankly,
• 37:35
  Speaker 5: maybe we'll expand to mails at some point as well.
• 37:38
  Speaker 1: Man, you guys have had enough.
• 37:41
  Speaker 3: You have all that NAH funding at least you used to.
• 37:44
  Speaker 4: Yeah, THATIH funding is all women focused for sure.
• 37:49
  Speaker 3: Really incredible.
• 37:50
  Speaker 2: And if a pharmacist or a pharmacy owner would like
• 37:53
  Speaker 2: to participate in this, how do they go about doing so.
• 37:57
  Speaker 1: They can visit get prism r X to learn more.
• 38:01
  Speaker 1: We're happy to provide like any demos or anything like that.
• 38:07
  Speaker 1: And you know, realistically, you can also follow follow our
• 38:10
  Speaker 1: socials whether you're a patient or pharmacist. It's under overreate
• 38:15
  Speaker 1: and uh we do a lot of patient like patient
• 38:19
  Speaker 1: education which can help pharmacists as well along the way.
• 38:23
  Speaker 1: And uh, yeah, we try to have fun. I do.
• 38:27
  Speaker 1: I'm a little sassy or on the socials I guess
• 38:30
  Speaker 1: to be a little bit more reckless.
• 38:34
  Speaker 2: If you wanted to bring out your sassy on this,
• 38:37
  Speaker 2: but we say very professional.
• 38:40
  Speaker 1: I try. I'm trying.
• 38:42
  Speaker 5: Yeah, i'd say like our professional counts are like relatively professional.
• 38:46
  Speaker 4: You know, I mean, I'm sorry this business account.
• 38:48
  Speaker 5: But if you know our LinkedIn pages, we are pretty candid,
• 38:52
  Speaker 5: you know, we'll tell you what we think.
• 38:53
  Speaker 1: Yeah, like our personal ones will be candid. But yeah, no,
• 38:57
  Speaker 1: if you find us on TikTok or Instagram or anything
• 39:00
  Speaker 1: like that, you'll see me casually threatening people who are
• 39:05
  Speaker 1: just being mean or rude or inappropriate about women's health
• 39:09
  Speaker 1: or anything like that.
• 39:11
  Speaker 2: And yes, shaming what's your Instagram handled?
• 39:16
  Speaker 1: So everything is over it. So if you think about
• 39:21
  Speaker 1: it like this, if you're over the patriarchy. If you're
• 39:24
  Speaker 1: over it and we're over.
• 39:25
  Speaker 4: It and spelled O V A R Y I T and.
• 39:30
  Speaker 3: Sharing that p R I S M perfect.
• 39:34
  Speaker 2: And if listeners want to expand access to contraceptive care,
• 39:38
  Speaker 2: what can they do right now?
• 39:41
  Speaker 5: Yeah, So, I mean, you know, we you know, we're
• 39:44
  Speaker 5: finishing up our clinical trial and we're launching PRISM, so
• 39:47
  Speaker 5: we'll be commercially ready.
• 39:49
  Speaker 4: In the next couple of weeks.
• 39:51
  Speaker 5: We're going to be out in California talking to pharmacists
• 39:56
  Speaker 5: if they'd schedule a demo, that'll get you know, get
• 39:59
  Speaker 5: them in with us. And you know, we're happy to
• 40:01
  Speaker 5: help anyone implement contraceptive services.
• 40:04
  Speaker 4: At this point, we've done clinical trials.
• 40:07
  Speaker 5: I would say we're essentially world experts on implementation of
• 40:10
  Speaker 5: contraceptive services.
• 40:12
  Speaker 4: And the other thing that.
• 40:12
  Speaker 5: I would just say from a system's perspective is that
• 40:16
  Speaker 5: right now there's a bipartisan bill it's called the ECAPS
• 40:20
  Speaker 5: Act ECAPS, and that would allow pharmacists to be recognized
• 40:26
  Speaker 5: federally as providers under Medicare Part B. That's huge and
• 40:32
  Speaker 5: if we want to you know, get pharmacists doing clinical
• 40:36
  Speaker 5: services and getting reimbursed appropriately as they should for them.
• 40:41
  Speaker 5: I would contact my local representatives to try to get
• 40:45
  Speaker 5: them to support that.
• 40:46
  Speaker 4: I guess when the government reopens whenever the hell that is.
• 40:49
  Speaker 2: Yeah, So for those listening to this episode at a
• 40:52
  Speaker 2: later time, currently our US government is shut down. So
• 40:56
  Speaker 2: that's what Devin's referring to. And I still have one
• 41:01
  Speaker 2: hundred other questions for you, But what would be the
• 41:03
  Speaker 2: one social we should go to to stay up to
• 41:06
  Speaker 2: date on this rollout and when it goes live?
• 41:09
  Speaker 1: So from a business perspective, for sure, LinkedIn over it
• 41:14
  Speaker 1: on LinkedIn is going We're going to be posting exactly
• 41:19
  Speaker 1: like you know what states how things are rolling out,
• 41:22
  Speaker 1: and a bunch of additional information and we're actually about
• 41:27
  Speaker 1: to go live with a new site over a fund
• 41:31
  Speaker 1: dot org if there's any interest there for you, and
• 41:34
  Speaker 1: that's going to have a lot of education for pharmacists prescribing.
• 41:39
  Speaker 1: You know, you see a lot of pharmacists education courses
• 41:44
  Speaker 1: that are kind of behind a paywall. And I love
• 41:48
  Speaker 1: you know, everybody gets you know, gets your money, gets
• 41:50
  Speaker 1: your bag. But as a foundation, we wanted to make
• 41:54
  Speaker 1: sure that this information is free and accessible. So if
• 41:57
  Speaker 1: you're trying to start clinical services and contraception. It's essentially
• 42:02
  Speaker 1: like cheat sheets and here's how you can get started.
• 42:05
  Speaker 1: And everything is completely one hundred percent free on that site.
• 42:10
  Speaker 1: And we're also, you know, just trying to encourage pharmacists
• 42:14
  Speaker 1: to prescribe there as well.
• 42:16
  Speaker 4: So yeah, we don't gatekeep. So you know, we're an
• 42:19
  Speaker 4: open book.
• 42:19
  Speaker 5: You know, we're a software as a service solution, but
• 42:22
  Speaker 5: we're also helpful with implementation and we're trying to make
• 42:25
  Speaker 5: that as attainable as possible. And you know, I'm happy
• 42:29
  Speaker 5: to talk to anybody that wants to do it and
• 42:31
  Speaker 5: give them free advice.
• 42:32
  Speaker 4: I mean, we don't care. We want this.
• 42:35
  Speaker 5: To work from a public health perspective, and we want
• 42:38
  Speaker 5: the incentives to align for pharmacists, pharmacy, other pharmacy staff
• 42:42
  Speaker 5: and pharmacies.
• 42:43
  Speaker 4: Right, everyone has to win or it's not going to happen.
• 42:46
  Speaker 2: You see a vision that I am on the same
• 42:49
  Speaker 2: page what you shared today is so incredible. I see
• 42:52
  Speaker 2: where we are now, where we've been, and where this
• 42:55
  Speaker 2: can go, and I want to see it happen quickly
• 42:58
  Speaker 2: so that patients everywhere right can get access to whichever
• 43:03
  Speaker 2: type of birth control or family planning is best for
• 43:07
  Speaker 2: each of them and Mary, I get what you're saying.
• 43:10
  Speaker 2: If you get branded as a certain way online, right
• 43:13
  Speaker 2: then yeah, But the truth is you want access in choice,
• 43:16
  Speaker 2: and that's one of the beauty, beautiful things about being
• 43:20
  Speaker 2: a woman in America is that we have these options.
• 43:23
  Speaker 2: Women around the world in many places don't. A lot
• 43:27
  Speaker 2: of the things that we get that are at our
• 43:29
  Speaker 2: fingertips are insurance driven, and I think you found a
• 43:33
  Speaker 2: way to to navigate the access by partnering with every
• 43:38
  Speaker 2: step along the way, including the insurances and the like.
• 43:42
  Speaker 2: You mentioned the birth controls that come under so many
• 43:45
  Speaker 2: different names and different generic equivalents, and really a tiny
• 43:49
  Speaker 2: bit can affect a woman's cycle and their body processes
• 43:54
  Speaker 2: when those hormones change. So unfortunately you had to go
• 43:57
  Speaker 2: through a really horrific, very scary, life threatening experience to
• 44:02
  Speaker 2: get to where we are. But where it's going to go,
• 44:05
  Speaker 2: the sky's the limit. Thank you both, Mary, Devin, any
• 44:09
  Speaker 2: last things you'd like to share.
• 44:10
  Speaker 1: No, thank you so much. We had so much fun
• 44:13
  Speaker 1: talking with you.
• 44:14
  Speaker 2: It's absolutely my pleasure and again to have an IT specialist,
• 44:19
  Speaker 2: emergency medicine physician all working together to improve patient care
• 44:24
  Speaker 2: and women's health in the pregnancy journey beginning with family planning.
• 44:28
  Speaker 2: It's just been a dream.
• 44:29
  Speaker 3: Thank you again, Thank you doctor Plummer.