Latest / Pharmacy Podcast Network / NOW, NEW, NEXT: NACDS TSE 2025 | Live Recap Part Three
Transcript
- 0:07Speaker 1: You are listening to the Pharmacy Podcast Network.
- 0:26Speaker 2: This year, the PPN partnered with key Source and nimble
- 0:29Speaker 2: RX and interviewed key leaders in retail pharmacy and the
- 0:32Speaker 2: impact they're making on public health. Here's the final episode
- 0:36Speaker 2: of the three part series of the Total Store Expots
- 0:38Speaker 2: twenty twenty five from the San Diego Convention Center.
- 0:42Speaker 3: Andy Crawford here with key Source and ACDs twenty twenty five.
- 0:47Speaker 3: It's been great spending time with you here in the booth.
- 0:49Speaker 3: There's been constant traffic. Your meetings are all over the place.
- 0:54Speaker 3: It's a busy time.
- 0:55Speaker 4: This is good. Yeah, I mean, this is the show.
- 0:58Speaker 5: This is our super Bowl of the year, back to
- 1:01Speaker 5: back meetings, and it's so great to talk to these
- 1:04Speaker 5: pharmacies from all across the country. You know, everybody's here
- 1:08Speaker 5: rallying around the cause. How can they buy better? What
- 1:12Speaker 5: strategies can they use to procure better? And really what's
- 1:15Speaker 5: going on, you know with reimbursement rates really putting a
- 1:18Speaker 5: lot of pressure on these guys and gals, and you know,
- 1:22Speaker 5: this is the place to be to talk about it.
- 1:23Speaker 5: And I think both from the manufacture side and from
- 1:26Speaker 5: the pharmacy procurement side.
- 1:29Speaker 3: So let's let's go with that word, because there's strategy
- 1:33Speaker 3: differences between our standalone independent community pharmacy that serve their
- 1:39Speaker 3: community for years and years, and some of them are struggling,
- 1:43Speaker 3: some of them are doing okay. Now we have our
- 1:45Speaker 3: regional chains, national chains. Some of the interesting stories that
- 1:52Speaker 3: you've told is the collapse of some of those chains
- 1:56Speaker 3: in many different ways right aid for example, some of
- 1:59Speaker 3: the us that Walgreens are experiencing in CBS, and now
- 2:03Speaker 3: this is giving an opportunity for the expansion of maybe
- 2:08Speaker 3: our smaller chains ten locations. Talk to us about that
- 2:12Speaker 3: and what you're noticing by talking to these operators and
- 2:17Speaker 3: owners the balance and struggle of that dynamic.
- 2:20Speaker 5: Yeah, I think you hit on something that's kind of
- 2:24Speaker 5: it's an interesting situation. You've got contraction and then you've
- 2:28Speaker 5: got expansion going on at the same time. The contraction
- 2:32Speaker 5: obviously of the store footprint of some of these larger
- 2:35Speaker 5: national chains the device stuture of write aid and you're
- 2:39Speaker 5: seeing these smaller regionals have opportunities to absorb these prescriptions
- 2:43Speaker 5: organically and these scripts organically and some to the tune
- 2:47Speaker 5: of hundreds, if not thousands coming in regionally and I
- 2:51Speaker 5: think most of that is oriented around demographic so it's
- 2:55Speaker 5: not necessarily nationwide. But if you have a higher concentration
- 2:59Speaker 5: of these store that you know are contracting in a
- 3:02Speaker 5: certain community, it gives a lot of opportunity for those
- 3:04Speaker 5: that are in the regional space and maybe in some
- 3:08Speaker 5: of those independents that might only have six to eight locations,
- 3:11Speaker 5: it's really nice because they're able to come in and
- 3:14Speaker 5: to provide a service that is lacking in that community
- 3:18Speaker 5: right for those that are contracting. So there's always opportunity
- 3:22Speaker 5: and chaos, and I think the best.
- 3:24Speaker 4: Out there are capitalizing on that right now. So it's
- 3:28Speaker 4: kind of an interesting situation.
- 3:30Speaker 3: So the mix of operators and operations and pharmacies that
- 3:35Speaker 3: you've met here at an A C D S, there's
- 3:39Speaker 3: energy and there's a there's an element of positive you know,
- 3:42Speaker 3: a lot of positivity going on. What what have you
- 3:45Speaker 3: been hearing that that is creating that hope and that
- 3:50Speaker 3: that opportunity for growth.
- 3:53Speaker 5: Yeah, I'd say there's always light at the end of
- 3:56Speaker 5: a dark tunnel, and I think that pharmacy has been
- 3:59Speaker 5: going through it right.
- 4:00Speaker 4: Everybody knows, it's nothing new.
- 4:02Speaker 5: I think the strain of reimbursements weighing on a lot,
- 4:05Speaker 5: But I think a lot of people, you know, have
- 4:07Speaker 5: a really good outlook on you know, new opportunities with
- 4:11Speaker 5: maybe some high dollar brands that have been genericized recently
- 4:14Speaker 5: that could open up some leverage for them to be
- 4:17Speaker 5: able to access more generics to the value and what
- 4:20Speaker 5: does that do for them? Increases their bottom line and profitability.
- 4:24Speaker 5: And I think that's the struggle right now in this
- 4:26Speaker 5: industry is how do you balance script volume and not
- 4:30Speaker 5: necessarily the increase of script volume doesn't always equate to profitability.
- 4:34Speaker 5: So if there's these you know, economic factors happening within
- 4:39Speaker 5: their procurement departments where they can buy better and have
- 4:42Speaker 5: access to products that have recently genericized, giving them more
- 4:47Speaker 5: leverage to be profitable and remain profitable, that's a that's
- 4:51Speaker 5: a huge benefit to them. So I think there's some
- 4:52Speaker 5: excitement around you know, what next year holds, the obvious
- 4:57Speaker 5: you know, ongoing you know effort for re form within
- 5:00Speaker 5: the PBMs, the PBM space. So I think there's a
- 5:03Speaker 5: lot of camaraderie at this show because you have an
- 5:08Speaker 5: independent pharmacy, you have a chain pharmacy might be regional,
- 5:12Speaker 5: might be national. So you have somebody down to the
- 5:14Speaker 5: single store Bob's Pharmacy on the corner, up to those
- 5:18Speaker 5: that have thousands of stores, right, and they all have
- 5:21Speaker 5: commonality between them, right, the betterment of the industry, the
- 5:25Speaker 5: betterment of pharmacy to ultimately do one thing, best care
- 5:29Speaker 5: for the patient.
- 5:30Speaker 3: So something that I've noticed in independence, and I'm wondering
- 5:34Speaker 3: since you talked to more regional change than we do
- 5:39Speaker 3: at the podcast network, and that is we have a
- 5:42Speaker 3: rise in independently owned pharmacies no longer using one of
- 5:48Speaker 3: the three primaries, and now they're one hundred percent collection
- 5:52Speaker 3: of a whole bunch of different secondaries and they're kind
- 5:55Speaker 3: of inventing their own contracting spins. So are you seeing
- 5:59Speaker 3: some of that in the in the realm of our
- 6:01Speaker 3: regional chains.
- 6:03Speaker 5: Absolutely, I'd say I highlighted it a little bit in
- 6:06Speaker 5: episode two of our three part podcast. I think the
- 6:09Speaker 5: biggest patterns I'd love to look for patterns. The biggest
- 6:11Speaker 5: patterns I see are those procurement departments that followed a
- 6:17Speaker 5: traditional channel and that might have been procure from the
- 6:19Speaker 5: primary through their PVA and maybe supplement direct if they can,
- 6:24Speaker 5: if they have self distribution But what I'm seeing now
- 6:28Speaker 5: is they have one thing that can control in the
- 6:31Speaker 5: uncontrollable world of pharmacy.
- 6:33Speaker 4: Right now, and that is buying better.
- 6:36Speaker 5: And diversification of supplier partners. Is it's not a hopeful
- 6:44Speaker 5: you know, do it if I can, It's a must
- 6:47Speaker 5: right now. It's no longer something that you know was
- 6:50Speaker 5: on the side. It's it's an integral part of a
- 6:53Speaker 5: strategy to procure. And I think you're going to see
- 6:57Speaker 5: continue growth, leveraging, you know, secondary suppliers, more strategic purchasing
- 7:03Speaker 5: initiatives that might not necessarily be leveraging a primary award
- 7:09Speaker 5: with one certain supplier partner, but maybe diversifying how can
- 7:14Speaker 5: I proactively procure items that are high volume movers at
- 7:19Speaker 5: a discount so I can impact my bottom line. So
- 7:23Speaker 5: I think, yeah, they're open a lot more open minded
- 7:29Speaker 5: than the traditional paths in the past. And I would say,
- 7:32Speaker 5: I know we're at an ACDs right now live podcasting,
- 7:35Speaker 5: but I'm starting to see this bleed into other classes
- 7:38Speaker 5: a trade within the pharmacy industry, which is kind of interesting.
- 7:42Speaker 3: Yeah, you've spoken to me about a mixture under the
- 7:46Speaker 3: same umbrella where there's the community business, the long term
- 7:50Speaker 3: care business, the specialty business, and it's starting to really
- 7:54Speaker 3: blend in differently than where the silos were very solid
- 7:58Speaker 3: five and ten years ago.
- 8:00Speaker 5: Yeah, yeah, i'd say specialty and institutional business. Health systems.
- 8:07Speaker 5: I think i'll talk a little bit aout now since
- 8:09Speaker 5: you brought it up. I think you know, I come
- 8:11Speaker 5: from the health system background. I used to you know,
- 8:13Speaker 5: be a buyer at a health system among other things.
- 8:15Speaker 5: And you know that's another area, another class of trade
- 8:18Speaker 5: that has been pretty pretty diplomatic about only using a
- 8:24Speaker 5: traditional sourcing path, and you know they're looking for ways
- 8:30Speaker 5: to improve the bottom line and it's outside that traditional path.
- 8:33Speaker 5: So now more than ever, you see these purchasing alignments
- 8:38Speaker 5: start to evolve and to single supplier to multi supplier
- 8:43Speaker 5: sort of arrangements.
- 8:45Speaker 3: Hey, if you're listening and you want an opportunity to
- 8:48Speaker 3: dig into your specific needs as a regional chain, as
- 8:54Speaker 3: an independent, as someone who's really planning on growth, reach
- 8:58Speaker 3: out to Andy Crawford at keysource dot com. Andy, what
- 9:02Speaker 3: has been interesting to you here at an a c
- 9:04Speaker 3: DS that that you you know, you've been surprised about,
- 9:08Speaker 3: or something that's really standing out.
- 9:11Speaker 5: I'd say, you know, the deadline for d s c
- 9:16Speaker 5: C implementation is Wednesday of next week in this industry,
- 9:20Speaker 5: so that's a huge talking point. And I'd say what
- 9:24Speaker 5: I'm surprised about, I guess, is how prepared some are
- 9:29Speaker 5: and how ill prepared others are. I'd say that most
- 9:33Speaker 5: of those that are, you know that are larger, very
- 9:36Speaker 5: well prepared. Key Source has been prepared for about a
- 9:40Speaker 5: year now, so we're in good position. But uh, you know,
- 9:43Speaker 5: I'd say that's somewhat surprising to think that we're only
- 9:46Speaker 5: what day is its Sunday, We're three days away from deadline,
- 9:49Speaker 5: and you got people that quite haven't figured it out yet.
- 9:51Speaker 5: So I know this has been a model that's been
- 9:57Speaker 5: kicked down the road a few times and delayed. But
- 9:59Speaker 5: this the party is starting Wednesday, so you better be ready.
- 10:04Speaker 3: We have a lot coming up here on the NACDS
- 10:06Speaker 3: Total Store Expo podcast series, brought to us by key Source.
- 10:12Speaker 3: Once again, thank you so much Andy for supporting us
- 10:15Speaker 3: here covering this event.
- 10:16Speaker 4: Absolutely Todd, thanks so much. Talk Say.
- 10:25Speaker 6: Hi, this is Luanne Myers live from NACDS.
- 10:33Speaker 3: Hey lou Ann, it's great to see you outcomes. We
- 10:37Speaker 3: were so excited to be with Outcomes at Thought Spot
- 10:40Speaker 3: twenty twenty five, and now we're here with you at
- 10:43Speaker 3: the NACDS Total Store Expo. It's good to see you.
- 10:46Speaker 1: Yeah, good to see you. Yeah, I was jealous.
- 10:48Speaker 6: It sounded like you had a great time in our
- 10:50Speaker 6: booth and had some good conversations with John Carlson.
- 10:54Speaker 3: And some of our team exactly. So that three part
- 10:57Speaker 3: series isn't even totally out yet. I think we're on
- 11:00Speaker 3: episode one or two as it rolls out. But something
- 11:03Speaker 3: that I'm excited to talk to you about. I want
- 11:05Speaker 3: our listeners to dial in and hear from you. You
- 11:11Speaker 3: have your finger on the pulse of trends, and there's
- 11:14Speaker 3: a different environment when we're talking about regional chains and
- 11:19Speaker 3: national chains versus an independent or a long term care
- 11:22Speaker 3: pharmacy or even a specialty pharmacy. So let's talk about
- 11:25Speaker 3: the trends that you're noticing in the space of chain pharmacy.
- 11:30Speaker 1: Yeah, I think you know.
- 11:31Speaker 6: Being at Outcomes, we are interacting with over sixty five
- 11:34Speaker 6: thousand pharmacies, so it puts us in a unique place
- 11:37Speaker 6: to see what we're hearing from both retailers and independence.
- 11:42Speaker 6: My space being over enterprise is that I work mainly
- 11:45Speaker 6: with both retail and national chains. I've been at Outcomes
- 11:49Speaker 6: for about two months now, and so one of the
- 11:51Speaker 6: things I've done just coming into this position is kind
- 11:54Speaker 6: of getting.
- 11:54Speaker 1: To top to top trying to talk with all the leaders.
- 11:56Speaker 6: Of our accounts and understanding what are their goals for
- 11:58Speaker 6: twenty twenty five beyond. And I am seeing some common
- 12:02Speaker 6: themes and sharing back what we're hearing from other leaders
- 12:06Speaker 6: just so we can help inform them on what are
- 12:08Speaker 6: some areas they might want to invest in, because, as
- 12:11Speaker 6: you know, Todd, pharmacy has changed quite a bit. So
- 12:13Speaker 6: I'd say the three main areas that I'm seeing are one,
- 12:16Speaker 6: you have to diversify your prescriptions. Volume is not the answer.
- 12:21Speaker 6: We can't continue to just fill you know, cheap maintenance
- 12:24Speaker 6: meds and be profitable. So how do they bring in
- 12:27Speaker 6: more clinical services at a higher dollar rate, So maybe
- 12:31Speaker 6: doing tips around blood pressure where you can get a
- 12:33Speaker 6: high dollar rate for doing that tip versus you know,
- 12:36Speaker 6: getting a three dollars generic filled and trying to.
- 12:40Speaker 1: Get that with volume.
- 12:42Speaker 6: The other point that I see a lot of, and
- 12:44Speaker 6: I would say this is the number one thing that
- 12:46Speaker 6: I've heard from pharmacy leaders is we have to reduce
- 12:48Speaker 6: our cost to fill, so whether that is prioritizing high
- 12:52Speaker 6: dollar activities in the pharmacy or looking to automation. So
- 12:56Speaker 6: I know we've had a lot of boot traffic today
- 12:59Speaker 6: and yes, looking at our pill counts and virtual verification,
- 13:03Speaker 6: so looking at things like that or going paperless. Our
- 13:06Speaker 6: central fill is continuing to be an answer for how
- 13:09Speaker 6: do we free up or reallocate our pharmacy staff so
- 13:13Speaker 6: that they're working at the top of their license and
- 13:15Speaker 6: doing things that are more face to face in clinical
- 13:18Speaker 6: care versus kind of administrative work. And then I'd say
- 13:22Speaker 6: the third thing is really looking at strategic alliances or
- 13:26Speaker 6: community alliances. So we're seeing a lot of trends with
- 13:30Speaker 6: some of our retaillers working with.
- 13:32Speaker 1: Employers our local community. So that could be you know,
- 13:36Speaker 1: filling scripts for a local.
- 13:37Speaker 6: Employer and having lockers that could be doing meds to
- 13:41Speaker 6: beds for a local health system. Food as medicine, so
- 13:46Speaker 6: maybe connecting with a local meals on wheels provider and helping.
- 13:51Speaker 1: You know, a patient that might be food sensitive.
- 13:54Speaker 6: And so those are things that we're trying to help
- 13:56Speaker 6: with folks to really dig into those programs to see
- 14:00Speaker 6: maybe you are working with an employer today, But what
- 14:02Speaker 6: are some other things you could do outside of just
- 14:04Speaker 6: filling scripts with them?
- 14:06Speaker 1: Like would they be interested in maybe.
- 14:08Speaker 6: A smoking cessation program or other things there? So we
- 14:12Speaker 6: think there's there's The pharmacy is often kind of the
- 14:16Speaker 6: central point in the community, so what are some other
- 14:18Speaker 6: things that we can help our leaders have conversations with
- 14:21Speaker 6: some of those community partners since.
- 14:23Speaker 3: The theme here is obviously our regional change chain pharmacy
- 14:27Speaker 3: at any CDs Total STOREXPO. A question that I had
- 14:30Speaker 3: that I knew you were coming, so I was excited
- 14:32Speaker 3: about that was outcomes in a realm of a central
- 14:37Speaker 3: fill environment, but then knowing what the NDC is, knowing
- 14:41Speaker 3: what the therapy is, and now being able to put
- 14:44Speaker 3: the treatment tracking system on top of that. Does pill
- 14:49Speaker 3: account fit into that ecosystem?
- 14:52Speaker 6: Yeah, we've certainly had Pill count can certainly work both
- 14:55Speaker 6: at Central Pill and both at a local store. So
- 14:58Speaker 6: you know, at Central Pill, well, you know, we've certainly
- 15:01Speaker 6: had you know, you have your larger automation when you
- 15:05Speaker 6: think about you know, the canisters and things like that,
- 15:07Speaker 6: but they also have to identify and count those products
- 15:11Speaker 6: that go into that. But there's also things that don't
- 15:13Speaker 6: fit into the large products that you might have a
- 15:17Speaker 6: one off count. People are still manually counting for things
- 15:20Speaker 6: that maybe aren't fast movers. But then in the store,
- 15:23Speaker 6: having someone manually count and verify, you know, that's something
- 15:27Speaker 6: that you can take labor out of and have the
- 15:31Speaker 6: pill count.
- 15:31Speaker 1: Machine do that for you.
- 15:33Speaker 6: So and especially if you're thinking about like controls or
- 15:36Speaker 6: things that are double count like having a machine do
- 15:38Speaker 6: that and record that is a great service.
- 15:41Speaker 3: So some of the success that I'm hearing from pharmacies
- 15:44Speaker 3: is going into special themes, whether that's women's health, birth
- 15:51Speaker 3: control in some states because now pharmacists can prescribe it.
- 15:58Speaker 3: So is there any themes that you're noticing in the
- 16:02Speaker 3: trends that are that are having a lot of success
- 16:04Speaker 3: bringing new revenues into into into community pharmacies.
- 16:08Speaker 6: We're definitely seeing some trends. You know, we've seen a
- 16:12Speaker 6: lot of things in like blood pressure testing.
- 16:17Speaker 1: I think that's one.
- 16:18Speaker 6: That we can see pharmacies making some good revenue on.
- 16:23Speaker 6: We certainly aren't talking to payers to do a little
- 16:26Speaker 6: bit more of that in the future. So those are
- 16:29Speaker 6: things that you know, if they have the machine right there,
- 16:31Speaker 6: in the store, or they could get that value from
- 16:34Speaker 6: their doctor.
- 16:35Speaker 1: That's something that they could report back on.
- 16:37Speaker 6: So those are some good things that we would like
- 16:39Speaker 6: to see grow for opportunities in the future.
- 16:42Speaker 3: How about testing, How does testing fit into the the
- 16:46Speaker 3: outcomes system?
- 16:47Speaker 6: We do have medical billings, so depending on your state.
- 16:51Speaker 6: There's a couple of new programs out in Pennsylvania in
- 16:55Speaker 6: Maryland that are coming out as we speak, so a
- 16:59Speaker 6: little bit more tells to come on that, but yeah,
- 17:01Speaker 6: it is specific to what state there is. There are
- 17:04Speaker 6: some testing that is like COVID and flu. Some of
- 17:09Speaker 6: those are across the country, but there's other specific things
- 17:13Speaker 6: more some states are a little bit more corrective, kind
- 17:16Speaker 6: of like this session today, it's kind of interesting per
- 17:18Speaker 6: board per state of what's allowed. So we'd like to
- 17:21Speaker 6: see that a little bit more expansive, but at least
- 17:25Speaker 6: in our system, if you go in you can see
- 17:27Speaker 6: what's applicable to your state to do medical billing. But
- 17:31Speaker 6: we are seeing a trend with cash medical billing. We're
- 17:34Speaker 6: certainly seeing that as a trend, especially for if you
- 17:37Speaker 6: think about STREP testing, especially for folks with children. The
- 17:43Speaker 6: daycare calls and says, you know, they've got strap. You
- 17:45Speaker 6: can't come back until you've proven that they don't have strap.
- 17:48Speaker 6: So to go in somewhere and get a cash strap
- 17:51Speaker 6: test is something that they're willing to do and pay
- 17:53Speaker 6: for so they can take them back to daycare quickly.
- 17:57Speaker 3: Right, And it's important a shout out to you pharmacy
- 18:00Speaker 3: owners and operators out there to communicate those services to
- 18:04Speaker 3: your to your community, to your patient base, to let
- 18:07Speaker 3: them know that that's available. Yeah, because the first thing
- 18:10Speaker 3: that a person's going to do that doesn't realize that
- 18:12Speaker 3: is they might call their primary care instead of their pharmacy,
- 18:16Speaker 3: and their pharmacy can interact and be that hub of
- 18:19Speaker 3: health care for them.
- 18:20Speaker 1: Yeah.
- 18:20Speaker 6: Absolutely, And I think it's it is important to share
- 18:23Speaker 6: that because you want to protect and defend your business
- 18:26Speaker 6: and there's no reason why you shouldn't be doing that
- 18:28Speaker 6: because you're they're already in your store, They're already familiar
- 18:32Speaker 6: to you. I know in my own pharmacy. You know,
- 18:34Speaker 6: I know both pharmacists by name. They wave to me
- 18:36Speaker 6: when I'm you know.
- 18:37Speaker 1: In there for shopping. I mean, they're who I would
- 18:40Speaker 1: want to treat.
- 18:40Speaker 6: And quite frankly, I think I could get in and
- 18:42Speaker 6: out a lot more quickly for something like that than
- 18:46Speaker 6: you know waiting, you know at Urgent Care where where
- 18:49Speaker 6: if I didn't have Strepp, that's definitely where I'm going
- 18:51Speaker 6: to get.
- 18:51Speaker 3: It exactly all right. So how has the show been
- 18:55Speaker 3: for outcomes and your meetings and how has this twenty
- 19:00Speaker 3: five event? Ben?
- 19:01Speaker 1: I think it's a great show.
- 19:03Speaker 6: It's definitely. I think we have the best spot on
- 19:05Speaker 6: the floor. We're right in the main alley and we've
- 19:08Speaker 6: been back to back, so it's been a great show.
- 19:11Speaker 1: We always enjoy, you know, seeing.
- 19:13Speaker 6: Our clients and friends and colleagues here, so we've just really.
- 19:18Speaker 1: Had a great time.
- 19:19Speaker 3: We so much appreciate you stopping by the press booth
- 19:23Speaker 3: and giving us a testimony of how pharmacy is evolving
- 19:27Speaker 3: through technology and pill count. We want to hear more
- 19:30Speaker 3: about that. Thank you so much for being part of
- 19:32Speaker 3: the NACDS TSSE Total Store Expo Posha.
- 19:36Speaker 7: Oh thanks, Hey.
- 19:51Speaker 3: We are here at the NACDS Total Store Expo twenty
- 19:54Speaker 3: twenty five and I've run into Crystal Leonards. It is
- 19:57Speaker 3: so good to have you back on the podcast.
- 20:00Speaker 7: Are you I'm doing well? Thanks so much for having me, Todd.
- 20:03Speaker 7: A lot of energy here at an ACTS Total Store Expo.
- 20:07Speaker 3: Absolutely, you were a big part of it. You had
- 20:11Speaker 3: some presentations, You were extremely busy, as is the team.
- 20:17Speaker 3: I went walked past the McKesson booth and it was
- 20:20Speaker 3: constantly stacked with curiosity and people and discussions. I didn't
- 20:26Speaker 3: get to see you at the booth, but I'm so
- 20:28Speaker 3: glad that you're making this time for us. Now for
- 20:30Speaker 3: the post show, let's jump right in because I know
- 20:35Speaker 3: that you have interesting insights and such an array of
- 20:39Speaker 3: how pharmacy is impacting our communities. You and I have
- 20:43Speaker 3: talked many times back at the Idea Share McKesson Ideas
- 20:46Speaker 3: here twenty twenty five about the independence and many of
- 20:49Speaker 3: the things that they're working on, and there's some similarities
- 20:53Speaker 3: between them and the chain, the regional chain and the
- 20:56Speaker 3: national chains. But then there's other things that are very
- 21:00Speaker 3: special to either of those categories. So talk to us
- 21:03Speaker 3: about regional chain and your emphasis and your excitement here
- 21:07Speaker 3: at NACDS twenty twenty five.
- 21:10Speaker 7: Yeah. So, I would say there are a lot of
- 21:12Speaker 7: similarities in pharmacy and particularly community community pharmacy right now,
- 21:18Speaker 7: regardless of if you're a large chain or a single
- 21:21Speaker 7: store independent. So As we've talked about before, Health Maart
- 21:25Speaker 7: is an independent pharmacy franchise, but we do support forty
- 21:28Speaker 7: three hundred pharmacies across all forty nine states. Most of
- 21:32Speaker 7: our pharmacies are located in rural and urban underserved areas,
- 21:36Speaker 7: so they're often the front door to care in their community.
- 21:41Speaker 7: And one of the things that's been really a focus
- 21:44Speaker 7: at an ACDs, and we talked about in a panel
- 21:47Speaker 7: earlier today, was around technology, in particular automation and central fill.
- 21:53Speaker 7: And this is an area that is important regardless of
- 21:57Speaker 7: if you're a small chain, a regional chain, or an
- 22:01Speaker 7: independent pharmacy. I would say pharmacies are increasingly embracing automation
- 22:07Speaker 7: and central fill. They're looking to enhance their operational efficiency
- 22:11Speaker 7: and be able to elevate their patient care. We saw
- 22:16Speaker 7: at NECDS around solutions like mckessons Central Pill as a Service,
- 22:22Speaker 7: which is really a full service pharmacy automation solution. It
- 22:26Speaker 7: helps organizations to scale their prescription dispensing programs and do
- 22:31Speaker 7: it cost effectively. And in particular, this is important for
- 22:35Speaker 7: smaller chains or independence because they don't have as much capital, right,
- 22:40Speaker 7: and so you can use this service without that burden
- 22:44Speaker 7: of capital to build your own central pill and oftentimes
- 22:48Speaker 7: our smaller pharmacies, our rural locations might operate with leaner
- 22:52Speaker 7: staff and tighter margins, So this helps to free up
- 22:56Speaker 7: the pharmacist and technicians time so they can focus on
- 23:00Speaker 7: more patient care services. And then we also talked about
- 23:07Speaker 7: an appetite for other types of automation like inventory optimization
- 23:12Speaker 7: tools and analysis. I think anything where pharmacies can free
- 23:16Speaker 7: up cash flow right now that might be sitting on
- 23:18Speaker 7: their shelves, like inventory, that's definitely been a focus.
- 23:24Speaker 3: So I know that the team is helping to implement automation,
- 23:30Speaker 3: taking it step by step, helping those pharmacies to grow
- 23:33Speaker 3: based on the planning. And then you just hit on
- 23:37Speaker 3: something as I'm listening to you, when you are expanding
- 23:41Speaker 3: or when you are growing or even adding automation, it's
- 23:44Speaker 3: making differences in your workflow, which is impacting our technicians
- 23:49Speaker 3: and how well they're used, how they're leveraged, how their
- 23:53Speaker 3: roles are also changing, just like our pharmacist roles are
- 23:56Speaker 3: changing and they're doing more even treatment management, relying on
- 24:00Speaker 3: our technicians to do more of these operational and customer
- 24:05Speaker 3: service and even revenue generating opportunities through what the patient's needing.
- 24:11Speaker 3: To talk to us about how technicians are being leveraged today.
- 24:16Speaker 7: Yeah, so I've really seen the technology technician role evolve
- 24:22Speaker 7: and change, and you talked about some of them being
- 24:24Speaker 7: the operational backbone a little bit, and I believe that's true.
- 24:28Speaker 7: So whether it's in dispensing or also helping with things
- 24:32Speaker 7: like inventory management. We've seen many of our member pharmacies
- 24:38Speaker 7: match kind of the interest and abilities the technicians have
- 24:40Speaker 7: and assign them even responsibilities beyond the counter. So whether
- 24:44Speaker 7: that's managing the fun end department or one of our
- 24:47Speaker 7: Pharmacy of the Year finalists, how a lead technician who's
- 24:50Speaker 7: responsible for marketing and social media. And then just increasingly
- 24:56Speaker 7: if technology or automation or centralfill are helping take care
- 24:59Speaker 7: of some of that dispensing. I'm also seeing technicians increasingly
- 25:03Speaker 7: involved in whether it's immunization delivery and support, point of
- 25:08Speaker 7: care testing, remote monitoring, and so they might be able
- 25:12Speaker 7: to help with documentation, medical billing processes, or in the
- 25:16Speaker 7: case of immunizations, the actual delivery to the patient. And
- 25:21Speaker 7: then the third area I'd love to touch on is just
- 25:24Speaker 7: when technicians are able to be cross trained. We're seeing
- 25:29Speaker 7: a growing area is technicians as community health workers, and
- 25:33Speaker 7: they've really always been at the center of their communities
- 25:36Speaker 7: and oftentimes they're the first base or voice that you
- 25:40Speaker 7: would see when you go into the pharmacy. So I
- 25:42Speaker 7: think they already have those deep that deep trust, and
- 25:45Speaker 7: providing the community health worker training just allows them to
- 25:48Speaker 7: connect in a different way and more meaningful to be
- 25:51Speaker 7: able to match that patient with needed resources. So whether
- 25:55Speaker 7: it's tools like health mart dot findhelp dot com, which
- 25:59Speaker 7: is of closed loop zip code based social determines of
- 26:02Speaker 7: health resource, or other resources that might be in their
- 26:06Speaker 7: community like transportation, childcare and nutrition services, food banks, diperbanks,
- 26:12Speaker 7: and I'm just really excited. We just recently had our
- 26:17Speaker 7: third round of mckinsson funded scholarships for community health worker
- 26:22Speaker 7: training focused on technicians, and it's been amazing to see
- 26:27Speaker 7: just the impact that they can have. Some of our
- 26:30Speaker 7: first round of technicians have already made thousands of referrals
- 26:34Speaker 7: and are continuing to serve as those frontline advocates. And
- 26:38Speaker 7: from a health Mark perspective, we're actively supporting expanding technicians
- 26:42Speaker 7: scope even beyond what I talked about today through advocacy
- 26:47Speaker 7: and also through preparing the technicians from a training perspective.
- 26:53Speaker 3: I love that, Christ and how you even touched on
- 26:56Speaker 3: such an array. We started with operations, but you're also
- 26:59Speaker 3: mentioning things like customer service, engaging the patient wellness follow up.
- 27:04Speaker 3: And then you touched on what I like to do
- 27:07Speaker 3: and I don't have enough time to do it, which
- 27:09Speaker 3: is social media.
- 27:10Speaker 4: So our own.
- 27:13Speaker 3: Shot a coouldry, champion pharmacist owner in Tampa, our champion
- 27:18Speaker 3: Dave Randolph, his technician team, both of those independent community
- 27:23Speaker 3: pharmacies are leveraging that social media. And then now we're
- 27:27Speaker 3: seeing we're seeing other organizations, bigger chains, starting to get
- 27:31Speaker 3: into it because people are realizing now it's such an
- 27:36Speaker 3: important part of our communications to our public and reaching
- 27:39Speaker 3: out to them through social and making it fun but
- 27:42Speaker 3: making it educational. Part of that reminds me of how
- 27:46Speaker 3: artificial intelligence is impacting all of us, including some marketing campaigns.
- 27:51Speaker 3: Definitely in my team really helping me with assuring transcriptions
- 27:57Speaker 3: and leveraging the data.
- 27:59Speaker 4: We talk about.
- 28:00Speaker 3: And we're going to start doing some cataloging of podcasts,
- 28:04Speaker 3: But talk to me about AI. I mean, I can
- 28:06Speaker 3: only imagine in the hands of your technology team in
- 28:10Speaker 3: automation and the systems that you're putting into place. How
- 28:13Speaker 3: do you think AI is going to affect our chain
- 28:16Speaker 3: pharmacies throughout the nation.
- 28:18Speaker 7: Yeah, maybe I'll just start with marketing. How you mentioned
- 28:22Speaker 7: we have our health Mart marketing edge platform for pharmacies,
- 28:26Speaker 7: and we're seeing a lot more engagement in digital and
- 28:30Speaker 7: SEO optimization and there's a lot of practical applications there
- 28:34Speaker 7: from using AI to help develop content. So that's one space.
- 28:39Speaker 7: I'm also seeing a lot of applications when it comes
- 28:42Speaker 7: to the pharmacy and also back office support areas. One
- 28:48Speaker 7: in particular that we have a partnership with as an
- 28:51Speaker 7: AI powered virtual assistant. So really it unifies the traditional
- 28:56Speaker 7: IVR web mobile chat interfaces, and it'll allows patients to
- 29:00Speaker 7: interact with the pharmacies in the way that they want to,
- 29:05Speaker 7: even after hours. So our pharmacies are very focused on
- 29:08Speaker 7: that direct patient interaction and pick up their phone, but
- 29:11Speaker 7: they're not always there twenty four to seven, so this
- 29:14Speaker 7: allows that extended reach, and then it also reduces technician
- 29:19Speaker 7: workload and prioritizes some of those more complex cases for
- 29:23Speaker 7: the pharmacists attention. So we've seen in pharmacies that have
- 29:27Speaker 7: implemented this up to seventy percent reduction than calls without
- 29:31Speaker 7: disrupting that workflow. And it is integrated with pharmacy systems,
- 29:35Speaker 7: including the custom pharmacy systems, so that just frees up
- 29:38Speaker 7: the pharmacies time to focus where patients need the most
- 29:42Speaker 7: and not have all those distractions in terms of their workflow.
- 29:46Speaker 7: And then just for our back office teams, we're actively
- 29:50Speaker 7: engaging with my even Microsoft Copilot for example, using chat
- 29:54Speaker 7: and agents, and I've seen many of our customers do
- 29:58Speaker 7: the same. And for us, those back office teams are
- 30:01Speaker 7: saving on average three hours a week, you know, so
- 30:03Speaker 7: that can be reallocated towards higher level tasks. And last year,
- 30:08Speaker 7: my favorite thing coming out of an ACBS TSC was
- 30:11Speaker 7: that AI powered virtual assistant. And this year it was
- 30:14Speaker 7: just incredible the amount I think I counted at least
- 30:17Speaker 7: twenty myself different vendors that tied back to AI related services.
- 30:22Speaker 7: So I think if we have this conversation even six
- 30:25Speaker 7: or twelve months from now, you know, just a myriad
- 30:28Speaker 7: of changes are coming in this space.
- 30:31Speaker 3: Well you your whole team that is paying attention to
- 30:36Speaker 3: those trends, which is going to support our next gen pharmacist,
- 30:39Speaker 3: our pharmacists that are starting to get more into clinical services.
- 30:42Speaker 3: They're going to need organizations, their supporters, their infrastructure to
- 30:47Speaker 3: be plugged in and ready and not, you know, because
- 30:51Speaker 3: you were otherwise, we're going to be left behind. And
- 30:53Speaker 3: like you said, six months from now, Crystal, it's going
- 30:55Speaker 3: to be a whole nother thing, and it's going to
- 30:57Speaker 3: be you know, a whole other level of intelligence and
- 31:00Speaker 3: keeping up with this. This is exciting, it's so it's
- 31:03Speaker 3: so much fun to be able to interview you in
- 31:06Speaker 3: these different settings. I got to talk to you in
- 31:08Speaker 3: the independent Community Pharmacy space at IDEA Share. Now we're
- 31:13Speaker 3: talking at NACDS Total Store Expo really about how these
- 31:18Speaker 3: the chains are reaching out and filling in pharmacy deserts
- 31:21Speaker 3: and supporting their communities and how mckesson's part of that.
- 31:24Speaker 3: And now we're going to the NASP twenty twenty five,
- 31:28Speaker 3: we're gonna be talking about specialty. So I can't wait
- 31:31Speaker 3: to engage with your team there. But where are you
- 31:34Speaker 3: off to next? Because I know you're always busy too, Crystal.
- 31:37Speaker 7: Yeah, I'm actually off to our National Independent Advisory Board
- 31:41Speaker 7: meeting coming up soon, and that's where we engage over
- 31:45Speaker 7: a dozen owners, some of the names you actually mentioned
- 31:47Speaker 7: today on the podcast. They're across the country and they
- 31:52Speaker 7: really help give the voice of community pharmacy and the
- 31:55Speaker 7: programs and support solutions that mccusson provides on their behalf.
- 31:59Speaker 7: It's we engage with them usually at least four times
- 32:02Speaker 7: a year, and that it's just one of my favorite
- 32:05Speaker 7: meetings to hear about what they're doing to serve their
- 32:07Speaker 7: patients and their community and also where they may need
- 32:10Speaker 7: our help. So I always leave that meeting really energized
- 32:13Speaker 7: and with a list full of ideas, and I have
- 32:16Speaker 7: a feeling we have a focus on that agenda on
- 32:19Speaker 7: technology and AI. So I'm hoping to you know, many
- 32:23Speaker 7: of the themes that we talked about today ty to
- 32:25Speaker 7: what we'll be discussing with our pharmacies there in Phoenix.
- 32:30Speaker 3: Phoenix, all right, thank you so much for making this
- 32:34Speaker 3: time for us putting this information out on the coverage
- 32:37Speaker 3: that we're doing here at the ANA CDs Total Store Expo, Crystal.
- 32:41Speaker 3: This has been this has been exciting to talk with you.
- 32:44Speaker 4: Thank you so much.
- 32:45Speaker 7: Thanks so much, Tod to appreciate the opportunity As always.
- 32:51Speaker 2: Patient safety and health are top priorities for pharmacies across
- 32:55Speaker 2: the nation. Pharmacies exist as a result of the trust
- 32:58Speaker 2: that patients place in them. Pharmacies rely on and appreciate
- 33:01Speaker 2: the respected professionalism and dedication of the pharmacists and pharmacy
- 33:05Speaker 2: technicians who earn that trust every day while.
- 33:08Speaker 8: Filling prescriptions accurately and helping patients take them correctly and safely.
- 33:12Speaker 8: Pharmacists also provide to patients other health and wellness services
- 33:16Speaker 8: that they need and desire in a highly accessible setting
- 33:18Speaker 8: that is committed to quality. The NACDS Total Store Expo
- 33:22Speaker 8: brings together the leaders in chain pharmacy, and our time
- 33:25Speaker 8: in San Diego was nothing short of historical.
- 33:28Speaker 2: Don't miss the NACDS Total Store Expo twenty twenty six
- 33:31Speaker 2: coming to Boston on August fifteenth through the seventeenth. And
- 33:35Speaker 2: now here's our special and final interview with CEO of NACDS,
- 33:39Speaker 2: Steven Anderson.
- 33:44Speaker 3: NACDS twenty twenty five. What an amazing opportunity to gather
- 33:48Speaker 3: together here in San Diego. I'm here with Steve Anderson,
- 33:52Speaker 3: CEO of the NACDS. Steve, this is one of my
- 33:56Speaker 3: favorite parts of the trip. Is meeting up with you
- 34:00Speaker 3: every year, So thank you for doing this.
- 34:01Speaker 9: It's great to be have you back here on our
- 34:04Speaker 9: trade show floor, and we value our relationship with you
- 34:06Speaker 9: because you bring great insights to all people, from all
- 34:10Speaker 9: watchers and all listeners. So it's great.
- 34:12Speaker 3: Thank you. Yeah, all right, what an exciting time in pharmacy.
- 34:16Speaker 3: As much as there is strife and struggles, there is
- 34:21Speaker 3: excitement and moving forward in the role of our pharmacist.
- 34:25Speaker 3: There were some technology discussions that were here, the innovation
- 34:30Speaker 3: of artificial intelligence, kind of moving things forward. Give our
- 34:33Speaker 3: listeners a little overview of NACDS twenty twenty five.
- 34:37Speaker 9: Yeah, this is a really exciting time in pharmacy and
- 34:39Speaker 9: healthcare generally, and particularly as it relates to the health ecosystem.
- 34:44Speaker 9: On this trade show floor, we have a lot of
- 34:47Speaker 9: different companies. I've just talked to a couple of them.
- 34:50Speaker 9: There's seven of them that their sales are increasing seventy
- 34:53Speaker 9: five percent a year, which is pretty amazing, and their
- 34:56Speaker 9: startups and doing really well. We have a lot of
- 34:59Speaker 9: big companies here, but the whole focus of this, the
- 35:03Speaker 9: theme of the conference is now, new and next, and
- 35:06Speaker 9: that sums it up. We're here now we're dealing with
- 35:09Speaker 9: a lot of different issues, a lot of activities in
- 35:12Speaker 9: retail health and pharmacy. But what's new, and that was
- 35:16Speaker 9: the whole purpose of this discussion we had Peter Diamandis
- 35:20Speaker 9: come in from Singularity University that just blew everybody's mind
- 35:23Speaker 9: in terms of AI and what's going to happen with
- 35:26Speaker 9: automation and robotics and all kinds of different aspects of AI.
- 35:30Speaker 9: So we're all going to live longer, by the way,
- 35:31Speaker 9: so starting Belsting now, they're going to be around a
- 35:34Speaker 9: long time. But at the same time, there's a lot
- 35:38Speaker 9: of activity going on in addition to that technology. There's
- 35:41Speaker 9: a confluence of other events and a lot of it
- 35:44Speaker 9: is what's coming out of Washington right now. We kind
- 35:47Speaker 9: of have a sense now we're not quite at the
- 35:51Speaker 9: first year of this term, far from it, but we
- 35:55Speaker 9: get this sense that it's the centers for Medicare and
- 35:58Speaker 9: Medicaid services HHS are really focusing on the technology ecosystem
- 36:04Speaker 9: of health. We were a early founder of sure Scripts
- 36:08Speaker 9: back in two thousand and one. My first job when
- 36:11Speaker 9: I got here was to merge with our ex hub
- 36:14Speaker 9: that was a similar had a similar platform and they're
- 36:18Speaker 9: playing a huge role in this effort by the administration,
- 36:23Speaker 9: along with the likes of the early adopters. As the
- 36:26Speaker 9: administration said, it's Amazon, Google, Anthropic Chat, GPT, Shurskrips. That's
- 36:34Speaker 9: a pretty good company in terms of what we're doing.
- 36:36Speaker 9: So we're really focusing on how do we advance healthcare?
- 36:40Speaker 9: You know, And it's not you know, we have to
- 36:44Speaker 9: you know, I love Jim Collins who wrote all the
- 36:47Speaker 9: books good to great and you protect the core. You
- 36:49Speaker 9: still what you got to do, but you have to
- 36:51Speaker 9: stimulate progress and almost focus as it is a different
- 36:57Speaker 9: subject similar to what Clayton Christensen was talking about than
- 37:00Speaker 9: the innovators deliver. So there's a lot of activity here,
- 37:04Speaker 9: a lot of really great discussions, and I can't tell you.
- 37:07Speaker 9: I mean the fact that we are all going to
- 37:09Speaker 9: have all these AI agents on each phones with all
- 37:13Speaker 9: of our healthcare records. That plays really well in terms
- 37:16Speaker 9: of what we've been doing in NECs for about the
- 37:19Speaker 9: last twenty.
- 37:19Speaker 3: Years, plugging that technology into our pharmacy systems to be
- 37:24Speaker 3: able to bring services that are more clinical and treatment
- 37:28Speaker 3: management and digging down into diabetes. Our nation needs pharmacies
- 37:34Speaker 3: more than ever before. Because some of our pharmacies, the attrition,
- 37:39Speaker 3: the pullback, the pharmacy deserts creeping in NACDS is an
- 37:44Speaker 3: important organization to camaraderie and pulling together and brain trust
- 37:49Speaker 3: and thinking like, how do we move forward, how do
- 37:54Speaker 3: we actually in some in some cases, how do we
- 37:57Speaker 3: expand you know, pharmacy in different parts of the nation.
- 38:00Speaker 3: So what has the total store expo where these people
- 38:04Speaker 3: are all coming together. Have you heard any conversations about
- 38:08Speaker 3: expansion in certain areas and what are those areas that, oh, yes,
- 38:12Speaker 3: probably we're tearing them.
- 38:13Speaker 9: A lot of the topics that I just covered, you know,
- 38:15Speaker 9: agenic AI is really where it's going to be at
- 38:18Speaker 9: in the future, and all the aspects of that would
- 38:21Speaker 9: come out of this initiative from the Trump administration focuses
- 38:27Speaker 9: on interoperability, which we need to expand pharmacy services in
- 38:31Speaker 9: this country, and so there's all kinds of aspects of
- 38:35Speaker 9: that that really relate well. And you know ninety percent
- 38:40Speaker 9: of all Americans that within five miles of pharmacy. You've
- 38:42Speaker 9: heard me say this about a thousand times and you
- 38:44Speaker 9: can't say it enough. But at the same time, there's
- 38:49Speaker 9: really I focused in my remarks yesterday in the General
- 38:52Speaker 9: Session about the pharmacy deserts and you know, pharmacy closures.
- 38:57Speaker 9: And we came up with some new Holling data through
- 39:01Speaker 9: our polling firm, the well respected Morning Console, so we
- 39:04Speaker 9: can sharpen our image even and our action even more.
- 39:09Speaker 9: And you know, it's amazing. I mean, eighty three percent
- 39:13Speaker 9: love their pharmacist. That that is clear. But it was
- 39:15Speaker 9: really interesting that ninety seven percent of the Americans that
- 39:19Speaker 9: were polled in this firm said that we need public
- 39:23Speaker 9: policy to keep the pharmacies open. And ninety seven percent.
- 39:27Speaker 9: When do nearly one hundred percent of Americans agree on anything,
- 39:31Speaker 9: I've never heard of that before. That's but that's pretty study.
- 39:34Speaker 9: And in the big beautiful bill that was enacted that
- 39:38Speaker 9: was signing the law on the fourth of July this year,
- 39:41Speaker 9: there's provisions in there focusing on real retail, on rural health,
- 39:46Speaker 9: and that's where you know, some of the biggest intractable
- 39:49Speaker 9: problems that we had. We launched this food as Medicine
- 39:52Speaker 9: initiative two years ago. Right, somebody said, how did you
- 39:56Speaker 9: know Kennedy was going to be Secretary of HHS when
- 39:58Speaker 9: you launched that whole is and the role that nutrition plays,
- 40:03Speaker 9: and we're doing, you know, a lot of nutrition consoling
- 40:06Speaker 9: in our stores because we represent drug stores, food and
- 40:10Speaker 9: mass and a lot of those are the largest retailers
- 40:13Speaker 9: in the country and on the grocery side. But the
- 40:18Speaker 9: drug stores are doing screenings and doing all kinds of
- 40:20Speaker 9: things and doing baseline data analysis of for folks. So
- 40:26Speaker 9: it's really, really, really exciting right now. We're right at
- 40:30Speaker 9: the right place because we have to break the paradigm
- 40:33Speaker 9: and that's what we're seeing here. These are a bunch
- 40:36Speaker 9: of paradigm busters. From my perspective, their disruptors in terms
- 40:39Speaker 9: of what we can do. And they understand because one
- 40:43Speaker 9: thing we gave retail pharmacy gave about three hundred and
- 40:46Speaker 9: eighty million COVID shots and I think we open it
- 40:49Speaker 9: seemed to me we opened the country as fast as
- 40:51Speaker 9: we closed with COVID and that is because of what pharmacy.
- 40:55Speaker 9: Did you know, we were yelling at the Biden administration saying,
- 40:58Speaker 9: give us a vaccines, don't send it the governors.
- 41:01Speaker 4: We modeled it.
- 41:02Speaker 9: We could do one hundred million shots in thirty days
- 41:05Speaker 9: and that's what we did. Incredible, So it's great, So
- 41:08Speaker 9: everybody understands that the American people value their pharmacies. So
- 41:12Speaker 9: it's just as you can tell, it's really exciting for
- 41:15Speaker 9: any time for any CDs in the industry.
- 41:18Speaker 3: All Right, if listeners are listening in, they didn't get
- 41:20Speaker 3: to attend, they didn't get to come to San Diego.
- 41:24Speaker 3: Talk to us about the event. How did Total Store
- 41:27Speaker 3: x W go this year?
- 41:28Speaker 9: Well, really, really well. We have a large the largest
- 41:31Speaker 9: percentage of retailers at this meeting that we've ever had
- 41:35Speaker 9: a third of the third of the attendees. And when
- 41:38Speaker 9: retailers come to suppliers come and our associate members come,
- 41:41Speaker 9: so that's really encouraging as well. And there's a lot
- 41:44Speaker 9: of new people here they've never one thing about TC.
- 41:48Speaker 9: We have two major meetings. We have our annual meeting
- 41:50Speaker 9: in April and then we have Total Store Expo in August.
- 41:54Speaker 9: And at this meeting, we have a lot of entrepreneurs
- 41:56Speaker 9: and a lot of people that are new to this
- 41:59Speaker 9: Indian street and new to any CDs, and they come
- 42:02Speaker 9: here and we help them. It's not a competitive thing.
- 42:05Speaker 9: We want every one of these companies to succeed, even
- 42:08Speaker 9: though they may be competitors on the floor. But we
- 42:10Speaker 9: do everything we can to embrace them and encourage them
- 42:15Speaker 9: and make introductions with retailers or whatever customers they want
- 42:18Speaker 9: to meet. And that's what's really exciting about the whole thing.
- 42:21Speaker 9: It just continues that, as I said, we have paradigm
- 42:24Speaker 9: you know busters here, right, and they all realize that,
- 42:28Speaker 9: they all they all understand that, and it's pretty extraordinary.
- 42:32Speaker 9: And you know, I've been doing association with for a
- 42:34Speaker 9: long time as you very well know. And that's what
- 42:36Speaker 9: I love about it because you can change entire industries
- 42:41Speaker 9: through an association because they represent everybody they and they
- 42:45Speaker 9: check their competitive differences at the door and they come
- 42:48Speaker 9: into the ballroom or they come in our boardroom that
- 42:50Speaker 9: I'm responsible for the board, and they do check their
- 42:54Speaker 9: differences at the door and say, how can we unite
- 42:56Speaker 9: together to grow the industry and to make it more
- 43:00Speaker 9: relevant to the American people. And they're doing it and
- 43:03Speaker 9: that's what the value of associations.
- 43:05Speaker 3: I love it all Right, An A CDs Total STOREXPO
- 43:09Speaker 3: twenty twenty six. Where are we going?
- 43:10Speaker 9: We're going to be in Boston. We alternate back and
- 43:13Speaker 9: forth become Boston and San Diego, two great cities. So yeah,
- 43:16Speaker 9: we'll be there in August next year, and we're excited
- 43:18Speaker 9: to come back.
- 43:19Speaker 3: Well, I can't wait to be back and be among
- 43:23Speaker 3: the superstars in our chain pharmacies throughout the nation. But
- 43:26Speaker 3: I want to say a special thank you to any
- 43:28Speaker 3: CDs for making us part of the show. We love
- 43:31Speaker 3: being here and I always like ending the three part
- 43:35Speaker 3: series with an interview from Steve Anderson, So thank you.
- 43:38Speaker 9: Thanks, I'm glad to have you here. See you in Boston,
- 43:40Speaker 9: if not before, see in Boston. Yeah,