Latest / Pharmacy Podcast Network / DSCSA Compliance and Compounding Leadership | TWIRx

Transcript

DSCSA Compliance and Compounding Leadership | TWIRx · Pharmacy Podcast Network

• 0:47
  Speaker 1: Hey there, welcome to this Week in Pharmacy for April third,
• 0:53
  Speaker 1: twenty twenty six. It's April already, Jesse, What the hell.
• 0:57
  Speaker 2: Is going on?
• 0:58
  Speaker 3: How did that happen?
• 0:59
  Speaker 2: It's the second quarter of twenty twenty six.
• 1:03
  Speaker 3: That is amazing, isn't it. Time just continues to go
• 1:07
  Speaker 3: faster and faster, And if anything, I think that's the
• 1:11
  Speaker 3: invitation for us to you know, it's the invitation for
• 1:15
  Speaker 3: us to keep up right. You've got to keep moving
• 1:18
  Speaker 3: forward because otherwise you're going to get passed by real
• 1:21
  Speaker 3: real quick.
• 1:22
  Speaker 2: So Jesse had a.
• 1:25
  Speaker 1: He had a little confession and he didn't say I
• 1:27
  Speaker 1: wasn't allowed to say this to you know, thousands and
• 1:30
  Speaker 1: thousands of listeners. But Jesse said, hey, we just He
• 1:34
  Speaker 1: and I just got back from Los Angeles the APHA
• 1:37
  Speaker 1: American Pharmacist Association twenty twenty six Redefining Possible.
• 1:41
  Speaker 2: Which is kind of a cool theme.
• 1:43
  Speaker 1: I'm always a half glassful guy, and Jesse admitted that
• 1:47
  Speaker 1: he's feeling like an old guy.
• 1:49
  Speaker 3: Yeah, you know, Todd, It's it's interesting. During my time
• 1:54
  Speaker 3: with right Aid, we were at the annual APHA annual
• 1:59
  Speaker 3: meeting every year, you know, we were sort of part
• 2:02
  Speaker 3: of the presentation of the recruiting team, you know, to
• 2:07
  Speaker 3: be able to talk about the different things that we
• 2:09
  Speaker 3: were doing within clinical services back in the day. And
• 2:12
  Speaker 3: it was really interesting just to see how that conference
• 2:14
  Speaker 3: has changed and evolved right over the years. And so
• 2:19
  Speaker 3: I believe I had to get a calendar out. I
• 2:21
  Speaker 3: believe the last annual meeting I attended was back in
• 2:24
  Speaker 3: twenty sixteen. And in twenty sixteen, I sort of felt
• 2:28
  Speaker 3: like I was I was on the uphill climb, right,
• 2:32
  Speaker 3: you know, I felt like I was still one of
• 2:33
  Speaker 3: the young guys.
• 2:34
  Speaker 4: And then.
• 2:37
  Speaker 3: This year, ten years later, showing up in Los Angeles,
• 2:40
  Speaker 3: I didn't make it into town until Saturday night, and
• 2:44
  Speaker 3: of course there's receptions right away, so I did my
• 2:46
  Speaker 3: best to get get to some of those. And the
• 2:48
  Speaker 3: first thing that stuck out to me on the escalators
• 2:51
  Speaker 3: as Wow, there's a lot of young people here, and
• 2:56
  Speaker 3: that's on one. I don't know that I was mentally
• 2:59
  Speaker 3: prepared for that too. It is so exciting. It is
• 3:01
  Speaker 3: so exciting to see young people involved in caring and
• 3:05
  Speaker 3: active and you know, participating in that process, to be
• 3:09
  Speaker 3: involved in the conferences here at the national level, and
• 3:12
  Speaker 3: I'm sure at the state levels as well.
• 3:15
  Speaker 2: Yeah, embarrassing story too. I'm in the booth.
• 3:18
  Speaker 1: I have two people waiting for me for interviews. I'm
• 3:22
  Speaker 1: wrapping up with Walter Onsanier, who's known as the Fit Pharmacist.
• 3:28
  Speaker 1: He's amazing or your favorite fit pharmacist. And he's now,
• 3:33
  Speaker 1: you know, he's doing his own brand deals, he's he's building,
• 3:37
  Speaker 1: you know, his his own social media business, and he's
• 3:40
  Speaker 1: even doing some consulting. I'm so excited for him. And
• 3:43
  Speaker 1: as I turned there were two pharmacy students. I know
• 3:47
  Speaker 1: they were students because of their tags, thank goodness. And
• 3:50
  Speaker 1: then the next person that said hello was also very
• 3:54
  Speaker 1: young looking, and I just hurry up and said, so,
• 3:57
  Speaker 1: what school do you go to and she's like, yeah,
• 4:00
  Speaker 1: I've been practicing for like three years. And I'm just
• 4:03
  Speaker 1: like listen and she laughed and she's like I get
• 4:06
  Speaker 1: that all the time, don't worry. And I'm like, goodness, gracious,
• 4:08
  Speaker 1: like I do feel like I feel like an old
• 4:12
  Speaker 1: guy now.
• 4:14
  Speaker 5: I know.
• 4:16
  Speaker 3: I was out there. I had two sessions to present
• 4:20
  Speaker 3: at the annually I one on Sunday and one on Monday.
• 4:23
  Speaker 3: Both were looking at things through a generational lens, so Sunday,
• 4:28
  Speaker 3: I talked about generational leadership and how do you take
• 4:32
  Speaker 3: people from four different generations in the workforce and how
• 4:37
  Speaker 3: do we get those to harmonize and work together.
• 4:39
  Speaker 2: That was what we looked at.
• 4:40
  Speaker 3: And then on Monday it was very focused on how
• 4:46
  Speaker 3: do we reach and teach Generation Z because Generation Z
• 4:50
  Speaker 3: is coming into the workforce fast and furious here and
• 4:55
  Speaker 3: you know, they have a unique set of personalities and
• 4:59
  Speaker 3: needs and and so on, and how do we, you know,
• 5:02
  Speaker 3: engage them in ways to help them be successful? And
• 5:06
  Speaker 3: it was really interesting just to see, uh the mix
• 5:08
  Speaker 3: of people who showed up for for those for those sessions,
• 5:14
  Speaker 3: there's definitely an interest in uh in how we approach
• 5:18
  Speaker 3: things from a generational perspective.
• 5:21
  Speaker 1: What did you think of the overall conference in the
• 5:25
  Speaker 1: vibe and but what what was your feedback on on
• 5:29
  Speaker 1: conferences because obviously this isn't your first rodeo.
• 5:32
  Speaker 2: You've been to a lot of APHA events.
• 5:35
  Speaker 3: Yeah, you know when when the first one I went to,
• 5:39
  Speaker 3: I believe was two thousand and six, maybe back in Atlanta,
• 5:43
  Speaker 3: UH And it was interesting how the job market was
• 5:46
  Speaker 3: influencing things at the time. You know, people you you
• 5:50
  Speaker 3: would go there because you kind of wanted to be
• 5:52
  Speaker 3: found right you were looking for for you know, at
• 5:56
  Speaker 3: the time, the job market was just different, and then
• 5:59
  Speaker 3: that shifted. I can remember when you know, students were
• 6:03
  Speaker 3: showing up, began and began and began for internship and
• 6:06
  Speaker 3: that maybe that's not the friendliest language, but there were
• 6:09
  Speaker 3: some lean times there for people looking for work. One
• 6:15
  Speaker 3: of my old co workers made an observation on how
• 6:20
  Speaker 3: and how this year was so much better than last
• 6:24
  Speaker 3: year because she was talking about how joyful people were
• 6:29
  Speaker 3: to be there, and I thought that was such a
• 6:33
  Speaker 3: wonderful observation. So one of the things that I did
• 6:38
  Speaker 3: is I attended the Immunization Awards, which I believe was
• 6:42
  Speaker 3: Sunday night. I get my days and nights mixed up,
• 6:45
  Speaker 3: especially with the time zone change, But when you looked
• 6:49
  Speaker 3: at those folks and the impact across all the different areas,
• 6:55
  Speaker 3: they were genuinely happy and proud of the work that
• 6:58
  Speaker 3: they were doing. And my understanding was that, like that
• 7:02
  Speaker 3: is an example of how things were have ratcheted up. So,
• 7:07
  Speaker 3: you know, I think there was a lot of positive
• 7:08
  Speaker 3: energy around that. I don't know, uh, I don't know
• 7:11
  Speaker 3: that I had a good perspective to see how well
• 7:14
  Speaker 3: attended or anything like that the conference was. I'm sure
• 7:18
  Speaker 3: I missed some of the high parts getting in late
• 7:21
  Speaker 3: on late on Saturday, but from what I saw, you
• 7:25
  Speaker 3: know a lot of positive folks, a lot of folks,
• 7:29
  Speaker 3: you know, just marveling at the possibilities, right, you know,
• 7:34
  Speaker 3: the different possibilities that the conference presents to you, because
• 7:38
  Speaker 3: they have something for you. I think no matter which,
• 7:41
  Speaker 3: uh which, which direction you are involved with or looking
• 7:45
  Speaker 3: to go within the world of pharmacy.
• 7:47
  Speaker 1: Jesse, I talk a lot about conference in conference strategy
• 7:52
  Speaker 1: to my clients because I want I want them to
• 7:55
  Speaker 1: get the most out of it. You're al Pharma was
• 7:58
  Speaker 1: our sponsor so that we could go to the APHA
• 8:03
  Speaker 1: twenty twenty six and cover it as press as well
• 8:05
  Speaker 1: as IPC Independent Pharmacy Cooperative, and I'm so appreciative of
• 8:10
  Speaker 1: those organizations. Now there's two organizations that are impacted by
• 8:17
  Speaker 1: APHA differently based on what they do and what their
• 8:22
  Speaker 1: primary business is, even though they belong there. If you're
• 8:25
  Speaker 1: in pharmacy, you should go to a couple aphas over
• 8:28
  Speaker 1: the years, especially if you side more in building networking
• 8:33
  Speaker 1: for advocacy, politics and driving some of the policies that
• 8:37
  Speaker 1: are so important learning kind of like what's on the
• 8:42
  Speaker 1: cusp some of the new stuff that might be coming out.
• 8:45
  Speaker 1: But if you are really in pure business, meaning if
• 8:49
  Speaker 1: you are there to build your business, or you're there
• 8:52
  Speaker 1: to network in order to find a new career or
• 8:55
  Speaker 1: something like that, there are other conferences that you should
• 8:59
  Speaker 1: be dialed into on purpose to know which conference should
• 9:02
  Speaker 1: I be going to because you only have so much time.
• 9:05
  Speaker 1: I'm trying to keep it to eight conferences. Last year
• 9:08
  Speaker 1: we hit fourteen conferences, so it was like too many.
• 9:12
  Speaker 1: But I want to be picky about why I'm going
• 9:14
  Speaker 1: and why I'm showing up. The reason why I'm so
• 9:18
  Speaker 1: committed to continuously going to APHA is because they really
• 9:23
  Speaker 1: are the melting pot of the whole entire profession.
• 9:28
  Speaker 2: Because I saw everything there.
• 9:30
  Speaker 1: I saw long term care specialty, people in technology and
• 9:34
  Speaker 1: AI and people in education standards and compliance and I
• 9:40
  Speaker 1: mean pharmaceutical manufacturers. Like I love that, Like that's my
• 9:43
  Speaker 1: favorite part of APHA is the is the coming together
• 9:48
  Speaker 1: of the entire profession. I think it's badass, and really
• 9:51
  Speaker 1: that's really the only profession that really kind of does
• 9:54
  Speaker 1: that in a lot of ways, and you know NCPA
• 9:57
  Speaker 1: is all about the independent community pharmacy.
• 9:59
  Speaker 2: And now.
• 10:02
  Speaker 1: What was exciting for also for me is I only
• 10:06
  Speaker 1: had one day. I usually have two days that I
• 10:07
  Speaker 1: cover it in the APHA because it's such a big
• 10:10
  Speaker 1: freaking conference, I didn't have time. I had to split
• 10:13
  Speaker 1: my time between two conferences, so only a one days
• 10:16
  Speaker 1: and that really bothered me.
• 10:17
  Speaker 2: But I got so many interviews.
• 10:19
  Speaker 1: I got more interviews in one day than I'd ever
• 10:21
  Speaker 1: gotten any other time before at APHA because it was
• 10:25
  Speaker 1: so well attended.
• 10:28
  Speaker 2: The business side of it.
• 10:30
  Speaker 1: I love the exhibits, Like, if you want to find
• 10:33
  Speaker 1: me at a conference, just go into the exhibits and
• 10:35
  Speaker 1: you'll find me there because I can't.
• 10:36
  Speaker 2: I just have to hang out with that side of pharmacy.
• 10:40
  Speaker 1: It's were most comfortable, and the exhibits were much smaller
• 10:44
  Speaker 1: than what I remember, Like there were only so many vendors. However,
• 10:49
  Speaker 1: when you turned on exhibit time, it was packed. So
• 10:53
  Speaker 1: I'm like, what's better? Is it better to have like
• 10:56
  Speaker 1: too many exhibitors and then it's like a sparse or
• 10:59
  Speaker 1: was rather have less, you know, vendors, but it's just
• 11:03
  Speaker 1: packed Like that's that's the version of what it was
• 11:06
  Speaker 1: for for my perception.
• 11:08
  Speaker 3: Yeah, that's that That's an interesting observation because, yeah, I
• 11:11
  Speaker 3: I have been to conferences that have been both bigger
• 11:13
  Speaker 3: and smaller, right, you know, But to to your point,
• 11:18
  Speaker 3: you can get a flavor of a lot of different
• 11:21
  Speaker 3: disciplines within the world of pharmacy there, you know, and
• 11:23
  Speaker 3: I think you can get something that would allow you
• 11:28
  Speaker 3: to at least begin to expand your horizons. And and
• 11:32
  Speaker 3: you know that that that that's one of those things
• 11:35
  Speaker 3: that that stuck out to me. I would say that
• 11:40
  Speaker 3: I don't know that the trade floor seemed to be
• 11:41
  Speaker 3: as big as some that I remember in years gone by. Uh,
• 11:45
  Speaker 3: But as we already documented, I'm old, so you know,
• 11:49
  Speaker 3: memory is the first to go, right, But you know that.
• 11:55
  Speaker 3: And I didn't even make it into the trade floor
• 11:57
  Speaker 3: until an hour before it closed on Sunday. That's that's
• 12:03
  Speaker 3: whenever I was able to get in there, and it
• 12:05
  Speaker 3: was it was more than what I could process in uh,
• 12:09
  Speaker 3: in just that limited time. But was able to see
• 12:12
  Speaker 3: a lot of old old friends and and and just
• 12:16
  Speaker 3: some really neat things that are that are coming down
• 12:18
  Speaker 3: the road, and so very appreciative of everybody who was there.
• 12:22
  Speaker 3: And in attendance.
• 12:24
  Speaker 2: I was proud to see you there.
• 12:25
  Speaker 1: I was proud to see you speaking and you know,
• 12:28
  Speaker 1: a fellow Western Pennsylvanian on stage.
• 12:31
  Speaker 2: So I'm always I'm always ready and always for that.
• 12:35
  Speaker 1: All right, So up on Twerk's news, I want to
• 12:38
  Speaker 1: jump into this with you, Jesse.
• 12:40
  Speaker 2: It's exciting to have you here as a co host today.
• 12:42
  Speaker 1: First of all, we had some new episodes come out
• 12:44
  Speaker 1: from the Holistic Pharmacy podcast. Marina buscav is the best
• 12:48
  Speaker 1: of the best. She's inquisitive, she mixes farm d with holistic.
• 12:53
  Speaker 1: She has great guests. This kind of dives into the
• 12:57
  Speaker 1: athlete lifestyle and what that means and opportunities that you have.
• 13:02
  Speaker 1: Have you ever picked up one of her shows or
• 13:05
  Speaker 1: listened to any.
• 13:05
  Speaker 3: Of Actually, Marina and I go back a little ways.
• 13:09
  Speaker 3: She was actually one of my fellow challengers when I
• 13:12
  Speaker 3: did the thirty one Day American Pharmacist Month challenge last fall.
• 13:16
  Speaker 3: So yeah, I think the world of Marina just top
• 13:20
  Speaker 3: notch information and very much appreciate her perspectives and the
• 13:25
  Speaker 3: knowledge that she drops.
• 13:26
  Speaker 4: I do.
• 13:27
  Speaker 1: I very much appreciate her as well. And there's always
• 13:32
  Speaker 1: a shift to pharmacists that are building businesses consultants that
• 13:38
  Speaker 1: travel and go into their community and go to nursing
• 13:41
  Speaker 1: homes or go to private residences and they're kind of
• 13:44
  Speaker 1: like digging into some serious cases or even in our
• 13:47
  Speaker 1: independent community pharmacies that they're building their holistic side of
• 13:51
  Speaker 1: their business and there's money in it and there's opportunities
• 13:55
  Speaker 1: to become a subject matter expert in it. Because consumers
• 13:59
  Speaker 1: buy any thing. I mean, they're going to buy anything,
• 14:01
  Speaker 1: and they think just because it's a gunga route or
• 14:05
  Speaker 1: or something that it doesn't harm you, but in reality,
• 14:08
  Speaker 1: it very much does.
• 14:10
  Speaker 3: Yeah, just if if I can just give some encouragement
• 14:12
  Speaker 3: to the viewers and listeners here that your your statement
• 14:17
  Speaker 3: there is so true Todd. People will buy anything. And
• 14:21
  Speaker 3: all you have to do is look at the checkout
• 14:23
  Speaker 3: at your gas station, convenience store, Target, Walmart, whatever it is.
• 14:28
  Speaker 3: There's all sorts of stuff there, and you know, all
• 14:30
  Speaker 3: that stuff began with somebody having an idea.
• 14:32
  Speaker 1: Exactly right, and that astation crap is like you know, nobody,
• 14:36
  Speaker 1: nobody's there to tell you what's going on with taking.
• 14:39
  Speaker 3: Exactly exactly and some of that stuff has very little utility.
• 14:43
  Speaker 3: And you know, to to the audience here. I know
• 14:48
  Speaker 3: the ideas that you have have much greater utility and
• 14:50
  Speaker 3: can have much bigger impact in the world. So just
• 14:54
  Speaker 3: encouragement to everybody there. Be encouraged. When you stand at
• 14:57
  Speaker 3: the checkout line at the convenience store, you you'll find
• 15:01
  Speaker 3: something to inspire you.
• 15:03
  Speaker 2: We just said gas station.
• 15:04
  Speaker 1: So I got to give a shout out to doctor
• 15:06
  Speaker 1: Grant Harding, who was the Pharmacy fifty Award winner for
• 15:09
  Speaker 1: twenty twenty five most Influential because of his TikTok network.
• 15:13
  Speaker 1: He just eclipsed a million followers of how much impact
• 15:17
  Speaker 1: he has basically going to gas stations and literally buying
• 15:22
  Speaker 1: a whole bunch of different things, and then he takes
• 15:24
  Speaker 1: things on, you know, as he's like talking to the camera,
• 15:27
  Speaker 1: and then he comes back hours later and kind of
• 15:30
  Speaker 1: gives his you know, you know, I just think he's
• 15:33
  Speaker 1: a risk taker, but his followers love him because he
• 15:37
  Speaker 1: breaks it down from an evidence based perspective what some
• 15:40
  Speaker 1: of this stuff is and how dangerous it is. But
• 15:43
  Speaker 1: he'll turn around and put his money where his mouth.
• 15:47
  Speaker 2: Is, which is funny.
• 15:49
  Speaker 1: Hey, up in Twerk's News, it says over in Pharmacy Times,
• 15:52
  Speaker 1: there's an article that just came out titled the Hidden
• 15:55
  Speaker 1: impact of Supply chain disruption on Patient Care. I've done
• 16:00
  Speaker 1: several series on supply chain and how important it is
• 16:04
  Speaker 1: to have all aspects of the ecosystem of your wholesaler,
• 16:07
  Speaker 1: your buying group, where the ingredients is coming from, d
• 16:11
  Speaker 1: s CSA, issues, compliancy, all this stuff that that's part
• 16:15
  Speaker 1: of supply chain.
• 16:17
  Speaker 2: Back in your day.
• 16:20
  Speaker 1: And when you were you know, in retail, do you
• 16:22
  Speaker 1: remember times where you were just out of stuff forever
• 16:25
  Speaker 1: and the impact that it made on people's lives.
• 16:27
  Speaker 3: Oh yeah, yeah, I don't know that I'll remember any
• 16:30
  Speaker 3: of the specific well, I want, one specific product was
• 16:34
  Speaker 3: generic propoxyphene, which is no longer available, but you know,
• 16:41
  Speaker 3: at the time, man, you couldn't get it, like there
• 16:45
  Speaker 3: were limits on how much could be made in the
• 16:48
  Speaker 3: year and whatnot. And I remember getting into December and
• 16:51
  Speaker 3: not being able to get it, and man, the world
• 16:54
  Speaker 3: was ending for a lot of people, sending for a
• 16:57
  Speaker 3: lot of people then. And I can remember just different
• 17:00
  Speaker 3: disruptions with thyroid medication stuff like that, and it was Yeah,
• 17:07
  Speaker 3: there were some interesting times, to say the least. And
• 17:10
  Speaker 3: also just in the recalls that you would experience from
• 17:13
  Speaker 3: time to time, not just that. You know, sometimes those
• 17:15
  Speaker 3: things go hand in hand. It's not just the supply.
• 17:18
  Speaker 3: Sometimes I have to pull the supply out and do
• 17:20
  Speaker 3: some different things as well.
• 17:23
  Speaker 1: Look this article up, I'll have it in the show notes.
• 17:25
  Speaker 1: Once again from Pharmacy Times, the Hidden impact of Pharmacy
• 17:29
  Speaker 1: supply chain disruption on patient Care. We go to another
• 17:34
  Speaker 1: article in Pharmacy Times, just this week in Pharmacy it's
• 17:38
  Speaker 1: Sports Pharmacy Summit, expanding the pharmacist role in athlete health
• 17:43
  Speaker 1: and performance. And this is led by doctor Brandon Welsh.
• 17:50
  Speaker 1: I'm so proud of what he has built and how
• 17:54
  Speaker 1: he's shown up over and over again when people would
• 17:57
  Speaker 1: roll their eyes at him when he'd be like, Hey,
• 17:59
  Speaker 1: I'm going to be a sports pharmacists and they're like,
• 18:00
  Speaker 1: what does that even mean? And now this is a
• 18:05
  Speaker 1: national and international thing that there are pharmacists now being
• 18:09
  Speaker 1: leveraged for professional football teams and for and for the
• 18:13
  Speaker 1: you know, the United States Olympics, and for you know,
• 18:16
  Speaker 1: high schools.
• 18:17
  Speaker 2: But you what have you heard.
• 18:19
  Speaker 1: On the realm of the athlete in the crossing the
• 18:23
  Speaker 1: fusion of our pharmacies pharmacists.
• 18:25
  Speaker 3: Well, I tell you This is something that I don't
• 18:28
  Speaker 3: know that I gave a whole lot of consideration too.
• 18:30
  Speaker 3: But in the last I'm going to say, two years,
• 18:33
  Speaker 3: I've been seeing more and more information on this and
• 18:37
  Speaker 3: it's just really interesting, especially as we just went through
• 18:41
  Speaker 3: the Winter Olympics here whatever it was last month, the
• 18:44
  Speaker 3: month before now on just being able to navigate through
• 18:49
  Speaker 3: those banned substances and to not take something that could
• 18:52
  Speaker 3: disqualify you from competition at the highest levels, right, And
• 18:59
  Speaker 3: you know, I think there's there's a lot of things
• 19:02
  Speaker 3: that come into helping people perform and compete at that
• 19:09
  Speaker 3: highest level. I think this is a wonderful thing for
• 19:13
  Speaker 3: pharmacists to be and obviously we we have a particular
• 19:18
  Speaker 3: expertise that we bring to the table and the way
• 19:20
  Speaker 3: that we look at and evaluate those situations to be
• 19:25
  Speaker 3: able to help people, you know, perform to the best
• 19:28
  Speaker 3: of their ability whenever they have the opportunity to compete.
• 19:31
  Speaker 1: Exactly right out of the Hill. Just this week in pharmacy,
• 19:35
  Speaker 1: the headline reads, Washington is getting drug pricing wrong. Here's
• 19:40
  Speaker 1: how states can get it right. And this is by
• 19:43
  Speaker 1: Naomi Lopez with the Hill and it goes down through
• 19:48
  Speaker 1: you know, the once again, from a writer's perspective, I
• 19:52
  Speaker 1: think she does a really good job giving the kind
• 19:57
  Speaker 1: of like the Wall streety kind of confusion of what
• 20:00
  Speaker 1: it all means. You know, trump our X came out,
• 20:02
  Speaker 1: it really didn't do much. PBM reform is in the
• 20:07
  Speaker 1: hottest stage it's ever been in. You know, there's there's
• 20:11
  Speaker 1: organizations that are setting fire to their contracts and and
• 20:14
  Speaker 1: they're they're seeking out alternative pharmacy benefits that are fiduciary
• 20:18
  Speaker 1: that they give one of rebate and things back, and
• 20:22
  Speaker 1: all they do is charge of flat fee. It really
• 20:25
  Speaker 1: simplifies the way it should have been. But where do
• 20:28
  Speaker 1: you think we are with with true transparency in in
• 20:34
  Speaker 1: drug pricing? And then my follow up question, Jesse is
• 20:38
  Speaker 1: how do you how do we communicate that better to
• 20:41
  Speaker 1: the public so that we can demystify it.
• 20:44
  Speaker 3: You know, those those are two excellent questions, and I'm
• 20:47
  Speaker 3: going to forget them here at Todds. So you're gonna
• 20:50
  Speaker 3: have to keep me honest on this one. I I
• 20:52
  Speaker 3: I still think we have a ways to go, you know,
• 20:55
  Speaker 3: any step that we take, you know, I'm suspicious that
• 20:58
  Speaker 3: that's going to uncover couple of things that perhaps we
• 21:01
  Speaker 3: haven't considered before. So it's like, you know, as you
• 21:06
  Speaker 3: progress down the road, you see there's a couple more
• 21:10
  Speaker 3: different streets that you could turn off to. So I
• 21:12
  Speaker 3: think we still have a ways to go with that.
• 21:15
  Speaker 3: But your second question, how do we demystify that. Part
• 21:23
  Speaker 3: of that is, you know, the open and transparency that
• 21:26
  Speaker 3: we can offer from our vantage points to make people
• 21:30
  Speaker 3: aware of that. But the other part of it is
• 21:33
  Speaker 3: is that I think it needs to be repeated, right.
• 21:36
  Speaker 3: You know, one of my mentors uses the phrase, jes
• 21:39
  Speaker 3: people need to People need to be reminded more than
• 21:42
  Speaker 3: they need to be taught, And I think that's one
• 21:45
  Speaker 3: of the big things that I would just share with
• 21:48
  Speaker 3: people in general, is that, you know, don't expect that
• 21:52
  Speaker 3: because you told somebody something once about any of this,
• 21:56
  Speaker 3: that they're going to remember it, especially when it's in
• 21:58
  Speaker 3: a state of change, right because they you know, you
• 22:02
  Speaker 3: need to keep them up to date on those different
• 22:04
  Speaker 3: things that that are coming down the pike and can
• 22:09
  Speaker 3: you know, give them some perspective on it all.
• 22:12
  Speaker 4: Right?
• 22:13
  Speaker 1: Last up on Twerk's News, this is actually kind of
• 22:15
  Speaker 1: special because I had a super duper mighty part of
• 22:20
  Speaker 1: kind of this because of being on the show exhibit
• 22:24
  Speaker 1: floor at the APHA. Shane Jereminsky, one of pharmacy fifties
• 22:28
  Speaker 1: most influential, as well as Marie Shaw. We did an
• 22:32
  Speaker 1: interview with them together and doctor Shaw and doctor Jerminsky
• 22:36
  Speaker 1: did an amazing job. I can't wait for everybody to
• 22:38
  Speaker 1: hear this interview, but I want everybody to hear what
• 22:41
  Speaker 1: Shane had to say this week in pharmacy.
• 22:45
  Speaker 6: Okay, kids, story time, it's Shane's accidental Pharmacist.
• 22:49
  Speaker 5: Now.
• 22:50
  Speaker 6: I know a lot of you have been asking since
• 22:51
  Speaker 6: my return home from APHA to recount that interaction that
• 22:55
  Speaker 6: happened on opening night between myself and the director of
• 22:59
  Speaker 6: Pharmacy Operations and Specialty Services at CBS Pharmacy, Lucille Arshetta.
• 23:04
  Speaker 6: There are some things I can talk about and some
• 23:06
  Speaker 6: things I can't, but I will try my best to
• 23:08
  Speaker 6: recount that story for you now if you're completely lost.
• 23:11
  Speaker 6: For those of you who don't know, myself and the
• 23:14
  Speaker 6: Pharmacy Guild was at APHA's annual meeting in Los Angeles.
• 23:19
  Speaker 6: We had a tiny little booth in the corner in
• 23:21
  Speaker 6: a sweet spot next to Sarabi and we had myself
• 23:26
  Speaker 6: the other co founders, doctor Lonnie Duong and doctor Maurice
• 23:29
  Speaker 6: Schaff from RX Comedy Bled could not make it, but
• 23:32
  Speaker 6: we also had our team of organizers both with i
• 23:35
  Speaker 6: AM Healthcare and the Pharmacy Guild there to help spread
• 23:39
  Speaker 6: the word about unionization of pharmacy professionals across the country.
• 23:43
  Speaker 6: And we paid a lot for our tiny little booth,
• 23:46
  Speaker 6: not as much as the big players in the center
• 23:49
  Speaker 6: with puppies and shit like that, but we had a
• 23:52
  Speaker 6: lot of traction because myself and Maurice were there and
• 23:56
  Speaker 6: all of our friends like doctor Katie Forbes and the
• 23:59
  Speaker 6: Fit Pharmacy Walter, so it was a pretty hot spot
• 24:03
  Speaker 6: and our job there, our primary goal was to educate pharmacists,
• 24:07
  Speaker 6: technicians and student pharmacists who may not have known that
• 24:10
  Speaker 6: we're organizing stores across the country, not just stores, but
• 24:14
  Speaker 6: facilities and locations and hospitals anywhere that's interested in bettering
• 24:18
  Speaker 6: their workplace, making.
• 24:20
  Speaker 7: It safer, having better staffing, better paying benefits. They all.
• 24:23
  Speaker 7: We can do that all with the Pharmacy Guilders. Now,
• 24:26
  Speaker 7: for those of you who don't.
• 24:27
  Speaker 6: Know, we are already in active negotiations in places like
• 24:31
  Speaker 6: Rhode Island, omni caare in Las Vegas, a store in Arizona,
• 24:35
  Speaker 6: some places in Washington, and one of our largest locations
• 24:38
  Speaker 6: are all the technicians at CBS Specialty.
• 24:41
  Speaker 7: In Redlands, California.
• 24:42
  Speaker 6: There's about one hundred and twenty technicians there that we represent,
• 24:45
  Speaker 6: and we've been at the table bargaining their first contract
• 24:47
  Speaker 6: for next month.
• 24:48
  Speaker 7: It'll be a year that we've been actually bargaining. We
• 24:51
  Speaker 7: won the election before that.
• 24:52
  Speaker 6: But you know, they make it as slow and difficult
• 24:54
  Speaker 6: as possible, and now that we're getting close CBS is,
• 24:58
  Speaker 6: I think that they've given the directive to their labor
• 25:00
  Speaker 6: relations department to just be as slow as possible. I
• 25:03
  Speaker 6: went there last month for three days and we hardly
• 25:07
  Speaker 6: got anything accomplished because I think they just want to
• 25:09
  Speaker 6: slow it down and make it difficult. So one of
• 25:13
  Speaker 6: our other goals there was we were going to have
• 25:15
  Speaker 6: a call to action explaining to everybody what's going on,
• 25:18
  Speaker 6: and then if they supported it, to take their signature,
• 25:21
  Speaker 6: and we were going to submit this to where the
• 25:24
  Speaker 6: person we thought was ultimately in charge, the Chief Pharmacy
• 25:28
  Speaker 6: Officer and Director of Pharmacy Operations and Specialty Services, who
• 25:32
  Speaker 6: seal our shut up. We did not know I did
• 25:35
  Speaker 6: not know that she was going to be in attendance.
• 25:37
  Speaker 6: Maurice and I actually had a conversation about this, and
• 25:40
  Speaker 6: I'm like, there's no efin way she's going to be
• 25:42
  Speaker 6: here because she's too far up on the food chain.
• 25:45
  Speaker 7: Now I guess she was.
• 25:48
  Speaker 6: But the plan was to collect these signatures and then
• 25:51
  Speaker 6: give them all to her, but she decided she would
• 25:55
  Speaker 6: come to us first.
• 25:57
  Speaker 7: I don't know how.
• 25:58
  Speaker 6: We weren't giving out the to anybody. We're having them
• 26:01
  Speaker 6: sign them right there. Somehow someone got a hold of
• 26:05
  Speaker 6: one of these blank copies and took it over to her.
• 26:08
  Speaker 6: Maybe they came to investigate because we had these little
• 26:11
  Speaker 6: stickers that we were putting on people like CBS listened
• 26:13
  Speaker 6: to pharmacists and technicians and it was like this these
• 26:16
  Speaker 6: stickers and lots of people were wearing them. I also
• 26:19
  Speaker 6: had a CBS receipt jacket on and we were kind
• 26:22
  Speaker 6: of across from them in a way. So maybe somebody said, hey,
• 26:24
  Speaker 6: there's a guy over there wearing a CBS jacket. Anyway, Lucille.
• 26:29
  Speaker 6: I'll play some clips of Lucille. Lucille like seems like
• 26:32
  Speaker 6: she's a I don't know, I'm just surprised a woman
• 26:35
  Speaker 6: that would approach me the way that she did actually
• 26:38
  Speaker 6: elevated herself to the position that she's in.
• 26:41
  Speaker 3: CVS says the bill would force it to close the
• 26:43
  Speaker 3: one hundred and nineteen stores it operates in Louisiana, affecting
• 26:47
  Speaker 3: about one million patients.
• 26:49
  Speaker 4: You can imagine a million patients.
• 26:53
  Speaker 6: Are you petitioning me? And she got like this, She's like, well,
• 26:55
  Speaker 6: why are you petitioning me? And I'm like, I'm sorry,
• 26:59
  Speaker 6: who are you? And then she turns her badge over
• 27:02
  Speaker 6: and she points to the thing and she says, that's me.
• 27:05
  Speaker 6: My name is on the top of there. Why is
• 27:07
  Speaker 6: my name on the top of there? And it really
• 27:09
  Speaker 6: took me off guard because I had to go from
• 27:11
  Speaker 6: like that, really open and vulnerable and engaging, to wait
• 27:16
  Speaker 6: a minute, I have to try and.
• 27:19
  Speaker 7: Put a cogent thought together here and.
• 27:21
  Speaker 6: Defend the organization that I'm trying to build and what
• 27:25
  Speaker 6: we stand for. And all I could get out was
• 27:31
  Speaker 6: we have active tables that are bargaining.
• 27:33
  Speaker 7: Your employees voted for a union over a year.
• 27:37
  Speaker 6: Ago in multiple places, and you are withholding wages and
• 27:43
  Speaker 6: you're not bargaining in good faith, Like, who are we
• 27:47
  Speaker 6: supposed to address it to if labor relations has been
• 27:49
  Speaker 6: given a directive to slow the process down. I thought,
• 27:53
  Speaker 6: that's your job as the director of pharmacy operations. And
• 27:58
  Speaker 6: she didn't really know what to say, but she was
• 28:00
  Speaker 6: still super aggressive. She's like, you know, you can't do this,
• 28:03
  Speaker 6: and I'll make sure that we shut it down, and
• 28:06
  Speaker 6: she kind.
• 28:06
  Speaker 7: Of stormed off, and I'm like, oh my god.
• 28:10
  Speaker 6: Now, at the time, it was only me and Chris Egman,
• 28:13
  Speaker 6: who's a pharmacist for CBS that's actively bargaining in Rhode Island,
• 28:18
  Speaker 6: who is out there is one of the first stores
• 28:19
  Speaker 6: to win their election, and it is still in this process, and.
• 28:26
  Speaker 7: I'm like, I can't believe that happened.
• 28:27
  Speaker 6: That everyone was We got everybody back there, and before
• 28:31
  Speaker 6: you know it, first someone comes over that's in charge
• 28:35
  Speaker 6: of like the the expo, not the highest on the
• 28:42
  Speaker 6: chain of command, but she came over and she said,
• 28:43
  Speaker 6: you can't have anybody walking around. You have to stay
• 28:45
  Speaker 6: right in your area. And I'm like, that's fine. We
• 28:48
  Speaker 6: will make sure that we keep everybody over here. We're
• 28:50
  Speaker 6: not walking around or anything. And so we did that
• 28:54
  Speaker 6: and that's fine, and then people were still coming over
• 28:57
  Speaker 6: because it's the first night, and we're it's around that
• 29:01
  Speaker 6: myself or Maurice is there and they're still coming over.
• 29:06
  Speaker 6: Then the director of Expositions for APHA, John Russell, comes over,
• 29:12
  Speaker 6: and I'll show you the picture of what it looks like.
• 29:14
  Speaker 6: Because CBS is in the background, you can see me
• 29:17
  Speaker 6: and he's looking down at me like everyone else does.
• 29:23
  Speaker 7: And basically saying, you can't do this. You can't take signatures.
• 29:26
  Speaker 6: And at this point now I'm in the mode to
• 29:29
  Speaker 6: like defend this. I'm like, hey, wait a minute, you
• 29:31
  Speaker 6: know everyone here.
• 29:32
  Speaker 7: Is collecting signatures. He's like, no, you have to use the.
• 29:34
  Speaker 6: Badge and scan it, and you can't do this, and
• 29:36
  Speaker 6: like you're not going to do this anymore. And this
• 29:40
  Speaker 6: is when the director of i AM Healthcare, who was
• 29:44
  Speaker 6: also present there, who worked with me to help start
• 29:47
  Speaker 6: this organization and reports to a giant union with a
• 29:51
  Speaker 6: lot of resources, said no, wait a minute.
• 29:55
  Speaker 7: You know we are allowed to do this. We have
• 29:57
  Speaker 7: paid to be here.
• 30:00
  Speaker 6: Need to speak to someone higher than you, and he
• 30:04
  Speaker 6: was basically like no. But it was a back and
• 30:06
  Speaker 6: forth and the first night kind of ended with us
• 30:11
  Speaker 6: like sort of being in There was some other stuff
• 30:13
  Speaker 6: that happened, but I can't talk about it right now,
• 30:15
  Speaker 6: but it kind of ended like that.
• 30:17
  Speaker 7: Now.
• 30:18
  Speaker 6: Doctor Hogue, the CEO of APHA, came by to get
• 30:22
  Speaker 6: some stuff from Saravey next to us, and then he
• 30:24
  Speaker 6: was talking to me for a minute or two and
• 30:26
  Speaker 6: I told him what happened.
• 30:27
  Speaker 7: He's like, I think everything will just be fine, and
• 30:29
  Speaker 7: showed him what was going on.
• 30:31
  Speaker 6: It finishes and I get a call from him immediately
• 30:34
  Speaker 6: when the expo ends. Basically because probably if someone from
• 30:38
  Speaker 6: CBS higher up there said hey, we spend a lot
• 30:41
  Speaker 6: of money to support your organization, shut this down or else,
• 30:46
  Speaker 6: and that's basically all I can talk about at this point.
• 30:51
  Speaker 7: APHA did everything that they.
• 30:54
  Speaker 6: Could to support pharmacists and technicians and the Far Fancy
• 31:00
  Speaker 6: Guild while keeping a safe enough distance to still take
• 31:05
  Speaker 6: the money from CBS for the things that they do.
• 31:08
  Speaker 7: But I want to give I want.
• 31:09
  Speaker 6: To give APHA a shout out because I feel like
• 31:11
  Speaker 6: they really did stand up to just saying hey, like
• 31:16
  Speaker 6: we pay the most money, so we make the rules.
• 31:19
  Speaker 6: That's all I'm going to give you guys for right now.
• 31:21
  Speaker 6: I'm going to show you a couple of pictures and
• 31:24
  Speaker 6: a few videos of Lucille Archetta and some of the
• 31:30
  Speaker 6: things she's done on television to talk about how CBS
• 31:35
  Speaker 6: is going to pull out a Louisiana and just some
• 31:38
  Speaker 6: really shitty interviews on television. I mean, I've been on
• 31:41
  Speaker 6: live TV before and I think I've done better than
• 31:43
  Speaker 6: she has. So if CBS is looking for a new
• 31:46
  Speaker 6: director of pharmacy operations, I'm your guy. When I could
• 31:50
  Speaker 6: fully talk about everything, it's gonna be on twerks. So
• 31:54
  Speaker 6: if you don't follow the pharmacy podcast network and listen
• 31:57
  Speaker 6: to Tworks, you need.
• 31:57
  Speaker 7: To do just that. Have a great day, guys and
• 32:01
  Speaker 7: pharmacy on.
• 32:07
  Speaker 1: That was the best, Like I was, I was blown
• 32:11
  Speaker 1: away by that story. I got to hear it before
• 32:14
  Speaker 1: people hear it today on twerks. But listen, this is
• 32:18
  Speaker 1: just basic stuff. We're not even an opinion. If you're
• 32:21
  Speaker 1: in pharmacy, Jesse as big and as prominent that CBS
• 32:26
  Speaker 1: Health is in pharmacy, and you show up at the APHA,
• 32:30
  Speaker 1: it's not your industry, meaning CBS Health. As much as
• 32:34
  Speaker 1: they think, in my opinion, they think they own pharmacy.
• 32:37
  Speaker 1: They think they can do whatever they want. They get
• 32:39
  Speaker 1: away with every whatever they want. I can tell by
• 32:42
  Speaker 1: the personalities of the people that engaged Shane. They're not
• 32:46
  Speaker 1: very PR savvy by the way. They need PR training,
• 32:49
  Speaker 1: but they really have an attitude that they own the industry,
• 32:54
  Speaker 1: they own the profession, and they're going to do whatever
• 32:58
  Speaker 1: they want and your text and your farm sister gonna
• 33:00
  Speaker 1: have to put up with it.
• 33:03
  Speaker 3: Yeah, were you there? Did you witness Were you at
• 33:07
  Speaker 3: the conference when that happened.
• 33:08
  Speaker 1: That happened the first night, and it is before you
• 33:11
  Speaker 1: got there there the second night.
• 33:13
  Speaker 3: Okay, okay, Yeah. I I didn't catch any win to that,
• 33:20
  Speaker 3: you know, on on the in the hallways or wherever
• 33:25
  Speaker 3: during my time there, so I had seen some comments
• 33:30
  Speaker 3: and whatnot on on social media. So yeah, that's I
• 33:36
  Speaker 3: do find that interesting. I do find that conduct interesting
• 33:41
  Speaker 3: to say the least.
• 33:43
  Speaker 2: Yeah.
• 33:43
  Speaker 1: And and Shane and I we talked a lot, and
• 33:46
  Speaker 1: I trust him, and he says, I want pharmacy to win.
• 33:49
  Speaker 1: I want CVS Health to win because if they win,
• 33:53
  Speaker 1: that means that we're getting pharmacy services to more people
• 33:56
  Speaker 1: and more communities. And they have the infrastructure and they're
• 34:00
  Speaker 1: big and you know, powerful, But I don't want them
• 34:02
  Speaker 1: to crush the souls of the pharmacists and technicians and
• 34:07
  Speaker 1: using their PBM to suck out all the profits that
• 34:09
  Speaker 1: they are. So there's some adjusting to do, and that
• 34:12
  Speaker 1: in of itself ties back to how you talk about
• 34:16
  Speaker 1: leadership and what that means. And and thank goodness, you
• 34:19
  Speaker 1: know that the APHA took a leadership position of saying, hey, listen,
• 34:24
  Speaker 1: you know it's a melting pot of the entire profession,
• 34:28
  Speaker 1: and the profession is not perfect. There's good things about
• 34:30
  Speaker 1: what's happening in pharmacy, and there's absolute shitty things that
• 34:33
  Speaker 1: are happening in pharmacy. And if we work, if we
• 34:37
  Speaker 1: honestly work together, we're gonna we're gonna make it better.
• 34:39
  Speaker 1: But you have to be able to take criticism from
• 34:43
  Speaker 1: inside your family and an inside the profession, and and
• 34:47
  Speaker 1: then you know, at least react to it in a
• 34:51
  Speaker 1: strategic way instead of the way that yeah.
• 34:55
  Speaker 3: I can, I can tell you. And this is a
• 34:58
  Speaker 3: fragment of a story that well, I mean, I'll share
• 35:01
  Speaker 3: it on the podcast, but I'll deny it if anybody
• 35:03
  Speaker 3: ever says this, So amongst friends here, I'll share this.
• 35:07
  Speaker 3: But I can remember a story years ago that my
• 35:12
  Speaker 3: supervisor had he was he was actually on stage for
• 35:15
  Speaker 3: a session, and during the Q and A somebody got
• 35:19
  Speaker 3: up who was representing a union somewhere that may have
• 35:23
  Speaker 3: been for the truck drivers. That doesn't doesn't so much matter,
• 35:28
  Speaker 3: but like sometimes there's appropriate times and appropriate places for
• 35:33
  Speaker 3: some of those things to be had. I appreciate that
• 35:37
  Speaker 3: people are passionate about their about their organizations and the
• 35:42
  Speaker 3: stance that they have, but especially in healthcare, I just
• 35:49
  Speaker 3: feel the need to call out that our competition is
• 35:55
  Speaker 3: not the pharmacy down the street. Our competition is poor health.
• 36:01
  Speaker 3: And we we like you know, and and the people
• 36:04
  Speaker 3: that come into the pharmacies, that's that's who they're worried about.
• 36:09
  Speaker 3: They're worried about poor health. If they weren't worried, they
• 36:11
  Speaker 3: you know, they probably don't come back in right. You know,
• 36:15
  Speaker 3: there's there's that whole conversation, and that's that's another subject
• 36:19
  Speaker 3: for another time. But you know, if if if we
• 36:23
  Speaker 3: take the perspective of of how are we tackling poor
• 36:27
  Speaker 3: health and are we you know, are we we're getting
• 36:29
  Speaker 3: the resources to the right place, uh to allow that
• 36:32
  Speaker 3: to happen. I think that's really you know, part of
• 36:35
  Speaker 3: the conversation that we need to have and Todd, I'll
• 36:38
  Speaker 3: just throw this out maybe for a future twerks, you
• 36:41
  Speaker 3: and I get together and we talk about the law
• 36:43
  Speaker 3: of compensation. I'm big. I'm big on leadership laws, and
• 36:48
  Speaker 3: this isn't necessarily a leadership law, but I believe it was.
• 36:50
  Speaker 3: Emerson uh wrote at length about the law of compensation,
• 36:55
  Speaker 3: and I think pharmacists would be well served to understand
• 37:00
  Speaker 3: and how that principle works and the role that we
• 37:05
  Speaker 3: can play within working in a lawful way. And by lawful,
• 37:09
  Speaker 3: I don't mean legal, I mean, you know, as far
• 37:12
  Speaker 3: as natural law goes to serve the communities in which
• 37:16
  Speaker 3: we operate.
• 37:18
  Speaker 1: I love that you are always welcome back on too works.
• 37:20
  Speaker 1: I'd love to dig down into compensation. Let's reach out
• 37:23
  Speaker 1: to some of the associations and get like, for example,
• 37:27
  Speaker 1: maybe we give Mike Johnston from the NPTA a shout
• 37:30
  Speaker 1: out from the National Pharmacy Technician Association, and then maybe
• 37:34
  Speaker 1: we get somebody from APHA and we do a panel discussion.
• 37:38
  Speaker 2: But I think that'd be an awesome discussion.
• 37:40
  Speaker 3: Yeah, like this this is you know, this was a
• 37:43
  Speaker 3: subject that I didn't learn about till I don't know,
• 37:46
  Speaker 3: it was probably ten or fifteen years after I graduated,
• 37:49
  Speaker 3: but it was something that dramatically changed my perspective on
• 37:55
  Speaker 3: you know, and just how things should be. There's a
• 37:59
  Speaker 3: lot of things that distort how things should be, and
• 38:02
  Speaker 3: I think if that gives us a bit of a
• 38:04
  Speaker 3: north star to move towards, it's definitely worth I would
• 38:08
  Speaker 3: encourage everybody to at least check it out you can.
• 38:11
  Speaker 3: You can reject the idea whenever it's all said and done,
• 38:14
  Speaker 3: but I would encourage you to at least hear it out.
• 38:17
  Speaker 2: To begin with Jesse McCullough, thank you so much for.
• 38:22
  Speaker 3: Thank you for the invitation to I went to Los
• 38:25
  Speaker 3: Angeles thinking I'm going to stop by the booth and
• 38:27
  Speaker 3: maybe Todd will throw a microphone my way and I'll
• 38:30
  Speaker 3: just start interviewing people. I'll be the man on the
• 38:33
  Speaker 3: street running around. But we were ships passing in the
• 38:37
  Speaker 3: night we missed, so I apologize for that, but I'm
• 38:40
  Speaker 3: so glad we were able to reconnect here.
• 38:43
  Speaker 2: I know I appreciate you.
• 38:44
  Speaker 1: Yeah, we we have an upcoming interview with Johnny Kello
• 38:49
  Speaker 1: and Ria Chow from ls PDS. You're not gonna want
• 38:55
  Speaker 1: to miss this. We have a quick advertisement and we'll
• 38:58
  Speaker 1: be right back with March Works.
• 39:03
  Speaker 8: Running a pharmacy means juggling a lot, patient care, inventory,
• 39:07
  Speaker 8: and now compliance. That's where match our x comes in.
• 39:10
  Speaker 8: Match our x is an online marketplace where independent pharmacies
• 39:13
  Speaker 8: buy and sell their overstocks safely, quickly, and affordably.
• 39:17
  Speaker 3: You can also.
• 39:18
  Speaker 8: Shop from eleven plus trusted secondary wholesalers, all in one place.
• 39:23
  Speaker 8: We're here to make pharmacy ownership easier, connecting you to savings,
• 39:27
  Speaker 8: trusted partners, and simple tools that help you stay compliant
• 39:30
  Speaker 8: with confidence. Match our x where pharmacy meets trust, compliance
• 39:34
  Speaker 8: and opportunity. Visit matchurx dot com to learn more. That's
• 39:40
  Speaker 8: matchrx dot com.
• 40:02
  Speaker 1: Hey, welcome back to this week in Pharmacy. This has
• 40:05
  Speaker 1: been a tiring week for me, as I've told you
• 40:08
  Speaker 1: in the news segment getting back from the American Pharmacist
• 40:12
  Speaker 1: Association twenty twenty six and then also headed I went
• 40:17
  Speaker 1: from Los Angeles to.
• 40:20
  Speaker 2: The profits somebody in Dallas.
• 40:23
  Speaker 1: And what I'm excited about being back in the studio
• 40:25
  Speaker 1: is to start gathering preparation for a compounding expansion as
• 40:31
  Speaker 1: well as the subject around specialty pharmacy. And there's something
• 40:35
  Speaker 1: that keeps sticking out in every segment of pharmacy that
• 40:38
  Speaker 1: I've talked to, hospital system administrators and VP the pharmacy
• 40:42
  Speaker 1: compounding obviously in our community independence, the compliance aspect of
• 40:48
  Speaker 1: your business, it's something that you do not want to
• 40:51
  Speaker 1: have to worry about. It should just in my opinion,
• 40:54
  Speaker 1: you should have a team behind you and just kind
• 40:56
  Speaker 1: of set in place and concentrate on building your business.
• 40:59
  Speaker 1: But as a pharmacy owner, you do have to be
• 41:03
  Speaker 1: tied into what's best. Johnny Kello is back in the
• 41:06
  Speaker 1: studio and Johnny Kello and the matro X team brought
• 41:11
  Speaker 1: us our first dig down deep into what the heck
• 41:15
  Speaker 1: the updates on DSCSA and you're back, Johnny.
• 41:19
  Speaker 2: It's so good to see you.
• 41:20
  Speaker 9: Hey, Thanks, thanks for having me back and excited because
• 41:24
  Speaker 9: this kind of ties back, like you said to our
• 41:26
  Speaker 9: original series with Alisa Bernstein.
• 41:29
  Speaker 4: Who headed the launch of the DSCSA for the FDA.
• 41:33
  Speaker 9: And now bringing it full circle on introduced Riha chaw
• 41:39
  Speaker 9: Ria is the founder CEO of elis Pedia and they're
• 41:44
  Speaker 9: a remarkable company because all the issues that we think
• 41:47
  Speaker 9: about and worry about in the space for the independence,
• 41:51
  Speaker 9: I think they've got a good grip on and they've
• 41:53
  Speaker 9: made it easy for the independence to be able to
• 41:56
  Speaker 9: solve this whole track and trace or you knows whatever
• 42:02
  Speaker 9: they're calling it this day, but it's a matter of compliance,
• 42:05
  Speaker 9: and I think they've done a heck of a job
• 42:07
  Speaker 9: of helping these independents get there.
• 42:10
  Speaker 2: Yeah, Rieah, welcome to Twerks.
• 42:13
  Speaker 1: Your team is just as tired as I am this
• 42:15
  Speaker 1: week because they made the track out to Los Angeles.
• 42:19
  Speaker 2: I actually got to have them on my post show.
• 42:21
  Speaker 1: So the post show for APHA twenty twenty six will
• 42:25
  Speaker 1: feature a segment on LSPDIA.
• 42:27
  Speaker 2: So it's so good to see you.
• 42:30
  Speaker 5: Thank you, Johnnie, thank you Todd, thank you for welcoming here.
• 42:33
  Speaker 5: And I'm really excited to be here at the als pedia.
• 42:36
  Speaker 5: All MISHI is quite simple, is to make pharmaceutico supply
• 42:39
  Speaker 5: chain safer, easier, and the more effective. So we spend
• 42:43
  Speaker 5: the years, I mean really years helping manufactures and wholesalers
• 42:49
  Speaker 5: to comply with DSSA, and now we bring the same
• 42:54
  Speaker 5: robust solution and the computing power to the pharmacies. And
• 42:59
  Speaker 5: because pharmacies are the last mile to the patients, and
• 43:04
  Speaker 5: we want to make this DSSA implementation easy, smooth, effortless
• 43:09
  Speaker 5: and build into their workflow. And how easy if you
• 43:14
  Speaker 5: can take a picture with your phone, you would know
• 43:17
  Speaker 5: how to use our solution, which is called the web
• 43:20
  Speaker 5: Skin Pharmacy.
• 43:20
  Speaker 1: Pro Johnny, how do you see this tying into the
• 43:27
  Speaker 1: technology that Mattrax has invested in quite some time?
• 43:32
  Speaker 2: Long time?
• 43:33
  Speaker 1: I think you and I When I first remember match
• 43:35
  Speaker 1: Tracks coming to market?
• 43:36
  Speaker 2: Is that fifteen years ago?
• 43:39
  Speaker 4: Yeah?
• 43:39
  Speaker 9: Sixteen, Actually it's twenty ton and this really again I
• 43:44
  Speaker 9: hate to be redundant, but this really does bring us
• 43:46
  Speaker 9: full circle because we started at the DQSA level when
• 43:53
  Speaker 9: this was just ideas about track and trace, it was
• 43:56
  Speaker 9: what they called it back in the day. We visited
• 43:59
  Speaker 9: DC on many affronts on behalf of independent Pharmacies and
• 44:03
  Speaker 9: collectively we you know, helped formulate some of the ideas
• 44:08
  Speaker 9: behind the solutions here. But you know, we're not that smart,
• 44:13
  Speaker 9: so we needed Lispedia to actually put it together. Ideas
• 44:17
  Speaker 9: are ideas, but actually execution is a lot bigger. But
• 44:20
  Speaker 9: I want to I want to dress something with RHEA
• 44:22
  Speaker 9: because for independent pharmacies, like the word d s CSA. Uh,
• 44:26
  Speaker 9: we've heard about it for a long time, literally since
• 44:29
  Speaker 9: twenty twelve. The can has been kicked down the road,
• 44:32
  Speaker 9: but now it's real and now it can feel overwhelming,
• 44:37
  Speaker 9: and there's a lot of technology, a lot of terminology.
• 44:40
  Speaker 9: But tell us about, you know, the actual needs and
• 44:44
  Speaker 9: why there's uncertainty and why LEDA was able to solve
• 44:48
  Speaker 9: for it.
• 44:50
  Speaker 5: Great question, Johnny. Yes, So the SSA has been a
• 44:54
  Speaker 5: regulatory requirement for a long long time, and this requirement
• 45:00
  Speaker 5: was designed to be phaced approach initially with manufacturers, the
• 45:05
  Speaker 5: hotel distributors, the large healthcare systems, and large dispensers. Now
• 45:11
  Speaker 5: it's coming down to the last deadline, which is the
• 45:15
  Speaker 5: small independent dispensers. Well, it is already happening. Serialization is
• 45:21
  Speaker 5: already happening. Products are coming into pharmacies with two debarcodes.
• 45:26
  Speaker 5: So those two debacos looks like QR code, but they
• 45:29
  Speaker 5: embed a lot of product data including an NDC expiration date,
• 45:34
  Speaker 5: blot number, and the serial number. So the expectation from
• 45:38
  Speaker 5: the FDA and from the entire industry is really for
• 45:42
  Speaker 5: the pharmacies to be able to trace who they bother
• 45:46
  Speaker 5: from what products are they can they be verified authenticated
• 45:51
  Speaker 5: if there's an issue such as counterfeit suspect products or
• 45:56
  Speaker 5: illegitimate products, can the pharmacy validated and if there's an issue,
• 46:01
  Speaker 5: report it through a reporting tool called the thirty nine
• 46:04
  Speaker 5: eleven through the FDA. And the gap I'm really seeing
• 46:08
  Speaker 5: in many pharmacies is still that they don't really know
• 46:12
  Speaker 5: that they need to do this. There's a lot of
• 46:15
  Speaker 5: the misconceptions. I think Johnny and I will definitely talk
• 46:18
  Speaker 5: about this war. There's quite a bit of the pharmacies
• 46:23
  Speaker 5: that's still in the dark, which this podcast will help address.
• 46:28
  Speaker 9: Right, Well, thanks and so, and you're right, you're spot on.
• 46:31
  Speaker 9: When something you know they promised you know that it's
• 46:35
  Speaker 9: going to happen, and then they move it another year,
• 46:37
  Speaker 9: and then they promise that they move it two more years,
• 46:41
  Speaker 9: and that finally in November twenty seventh, twenty twenty six,
• 46:45
  Speaker 9: it's actually going to be trickling down to the independence
• 46:49
  Speaker 9: and independence with under.
• 46:51
  Speaker 4: Twenty five full time employees.
• 46:53
  Speaker 9: If you're an independent and you have twenty five or more,
• 46:55
  Speaker 9: you're under the obligation to follow the guidelines of the
• 46:59
  Speaker 9: DC SAY and all the all the requirements for reporting
• 47:04
  Speaker 9: your products that are coming into your system.
• 47:06
  Speaker 4: So tell us a little bit.
• 47:07
  Speaker 9: About why the hesitancy because as we know, timesaks up
• 47:14
  Speaker 9: on us.
• 47:14
  Speaker 4: So November is right around the corner.
• 47:17
  Speaker 9: And what is it lack of understanding or is it
• 47:21
  Speaker 9: just that they don't want to they want to wait
• 47:22
  Speaker 9: to the last minute because they don't want to pay,
• 47:24
  Speaker 9: or a certain that may or may not need.
• 47:30
  Speaker 5: You. You you brought up really important points. Is why
• 47:34
  Speaker 5: are the small pharmacies not taking actions? And it's interesting,
• 47:38
  Speaker 5: actually not taking action doing nothing is doing something right.
• 47:43
  Speaker 5: So that's one thing I want to point out. And
• 47:45
  Speaker 5: twodays just de myth some of the misunderstandings out there.
• 47:49
  Speaker 5: You know, some pharmacies think that they're they are on
• 47:52
  Speaker 5: the exemption, but the exemption is expiring, right, so small
• 47:57
  Speaker 5: pharmacies are on the exemption. The exemption is not really
• 48:01
  Speaker 5: a strategy for the pharmacy. To rely on the exemption
• 48:06
  Speaker 5: is simply a legal leeway to say, Okay, we're not
• 48:10
  Speaker 5: gonna FDA is not going to come in and then
• 48:13
  Speaker 5: panealize pharmacies because larger amount of pharmacies still need time.
• 48:19
  Speaker 5: That's precisely why there's an exemption. That why there was
• 48:23
  Speaker 5: exemption for the small pharmacies is because FDA really understood
• 48:28
  Speaker 5: that dispensers, especially smaller dispensers, need the time, and so
• 48:33
  Speaker 5: that's myths. Number two is pharmacies think that they can
• 48:37
  Speaker 5: get out the bandwagon November twenty six, like switch it up, right,
• 48:45
  Speaker 5: So that's that's a misconception because this is really DSCSA
• 48:48
  Speaker 5: is really deep. You think about it, pharmacy going from
• 48:53
  Speaker 5: paper and pencil to absolutely everything digital. Right, that's a
• 48:58
  Speaker 5: huge transformation. And this transformation doesn't come with the filip
• 49:02
  Speaker 5: of a button. If you think about pharmacy by from
• 49:06
  Speaker 5: their primary wholesalers and several other secondary wholesalers. So all
• 49:12
  Speaker 5: these wholesalers or distributors need to be switched down. So
• 49:16
  Speaker 5: it's not one button, right, I'd say they have many,
• 49:18
  Speaker 5: many buttons, and each button is not a click, right,
• 49:21
  Speaker 5: each button is various communications data exchange until the data
• 49:26
  Speaker 5: start to flow. So I would say waiting creates operational risks.
• 49:32
  Speaker 5: What if you read all the time and your whole
• 49:34
  Speaker 5: sellers have not switched data. Now you have stuck your
• 49:38
  Speaker 5: toes are sitting there, you can receive it in because
• 49:41
  Speaker 5: under the law, every single product coming into your pharmacy
• 49:45
  Speaker 5: needs to have the digital EBCIS data to support it
• 49:50
  Speaker 5: so seeing pharmacies in the past that have been hey,
• 49:55
  Speaker 5: i'm small, I'm just going to do nothing. But a
• 49:57
  Speaker 5: lot of pharmacy got hurt during the openoid the epidemic
• 50:01
  Speaker 5: because they didn't do anything right, because they didn't track,
• 50:04
  Speaker 5: because they didn't manage the control of products. So we
• 50:08
  Speaker 5: don't want this to happen for Drugs of National Security Act.
• 50:13
  Speaker 5: We want pharmacies to be proactive. So if a pharmacy
• 50:16
  Speaker 5: can verify a product, if they don't know it's if
• 50:20
  Speaker 5: it's suspect or illegitiment, if they don't have visibility and
• 50:27
  Speaker 5: they do nothing, and that will create a non compliance exposure.
• 50:32
  Speaker 5: And it's not just about inspections, right, it's early about
• 50:36
  Speaker 5: day to day operations. What happens when something goes wrong.
• 50:40
  Speaker 5: The pharmacist that our DSSA ready will move much faster, right,
• 50:46
  Speaker 5: they will be able to receive a toe in a minute.
• 50:49
  Speaker 5: And that's what we've seen. Pharmacies that adopted our Pharmacy
• 50:53
  Speaker 5: pro solution. They save ninety minutes a day every day,
• 50:57
  Speaker 5: and that's a huge add on or pharmacies who overworked, Right,
• 51:04
  Speaker 5: they can't use the ninety minutes actually helping patients actually do.
• 51:09
  Speaker 5: What they love to do is to take care of patients.
• 51:12
  Speaker 9: Yeah yeah, and not to say nothing to say of
• 51:15
  Speaker 9: the fact that it's not one person that needs to
• 51:17
  Speaker 9: learn this process. It's the entire team for each pharmacy.
• 51:20
  Speaker 9: So as your point is flipping the switch isn't good enough,
• 51:24
  Speaker 9: it's it's a lead time. It's having standard operating procedures
• 51:28
  Speaker 9: which LSPDA provides as part of the pharmacy pro.
• 51:31
  Speaker 4: Piece of the equation.
• 51:33
  Speaker 9: And so it's not a one trick pony what you
• 51:36
  Speaker 9: guys are offering. It's several pieces of the puzzle that
• 51:39
  Speaker 9: really put the pharmacy in compliance. And to your point,
• 51:43
  Speaker 9: having this onboarded now so that you can train, so
• 51:47
  Speaker 9: you can onboard the wholesalers that you're buying from or
• 51:49
  Speaker 9: anywhere else that you're buying from, including mat r X,
• 51:53
  Speaker 9: it makes life.
• 51:53
  Speaker 4: A lot easier for everybody.
• 51:56
  Speaker 9: Talks to us about a little bit about the risk
• 51:58
  Speaker 9: though of the pharmacy isn't really I know you touched
• 52:02
  Speaker 9: on a little bit, but you know, what are the
• 52:04
  Speaker 9: repercussions and where does that hit the most. Is it
• 52:08
  Speaker 9: like a state board audit, is it a PBM audit?
• 52:11
  Speaker 9: Talk to us a little bit about that.
• 52:13
  Speaker 5: Absolutely. So the states have incorporated the d SSA requirement
• 52:18
  Speaker 5: into their inspections, right, the states that ivy in communication with,
• 52:23
  Speaker 5: including the state of Michigan, State of North Dakota, state
• 52:27
  Speaker 5: of Florida, state of you name it, right, we have
• 52:30
  Speaker 5: fifty states. Every single state has incorporated d s CSA
• 52:34
  Speaker 5: into their inspections, and n IPP has to incorporate uh
• 52:39
  Speaker 5: the inspections into their accreditation programs. So obviously you know FDA.
• 52:46
  Speaker 5: So FDA's approach about inspections is if there is an issue, right,
• 52:52
  Speaker 5: they are definitely issue driven. If there's an issue, they'll
• 52:55
  Speaker 5: definitely look into it. They also have routine inspections, I
• 52:59
  Speaker 5: think for pharmacies and wholesalers, Like FDA is a new concept,
• 53:04
  Speaker 5: but if you look at the manufacturers, they've been under
• 53:06
  Speaker 5: the FDA jurisdiction for a very long time and they
• 53:10
  Speaker 5: know like this is not no joke, Like well, FTA
• 53:13
  Speaker 5: shows up and they see things that's non compliant, they
• 53:18
  Speaker 5: call observations. When they have those observations is serious business. Right.
• 53:23
  Speaker 5: So for those pharmacies that have gone through state inspections,
• 53:30
  Speaker 5: they probably already know that the state asked this question,
• 53:35
  Speaker 5: can you show me the trace records? Can you show
• 53:38
  Speaker 5: me the product verification records? These are very much anticipated
• 53:43
  Speaker 5: from all levels of inspectors. So there is are on
• 53:48
  Speaker 5: the state level, you know, fine level, but on the
• 53:51
  Speaker 5: federal level, it's really about the continuity of your business.
• 53:56
  Speaker 9: Good and so a lot of these pharmacies assume compliance
• 53:59
  Speaker 9: only matters during inspections. But it's more than that, right,
• 54:02
  Speaker 9: it's operationally and so just again, I know you touch
• 54:06
  Speaker 9: on it just a little bit. It's not just when
• 54:08
  Speaker 9: an inspector comes through or an audit comes through. Just
• 54:12
  Speaker 9: from an operational standpoint, talk about receiving product and being
• 54:16
  Speaker 9: able to track it.
• 54:18
  Speaker 5: Yeah, it is operational. So it's every day, right for
• 54:22
  Speaker 5: every toad that comes into your pharmacy backdoor, all those
• 54:27
  Speaker 5: products have a specific serial number and a record tracking it.
• 54:32
  Speaker 5: That is the This is a great way to utilize
• 54:36
  Speaker 5: this moment to digitalize your pharmacy. So I would just
• 54:41
  Speaker 5: say most of the pharmacy owners really don't know what's
• 54:44
  Speaker 5: on their shelf. Right, Why don't they know because everything's
• 54:48
  Speaker 5: pavement and pencil, right, They may know anecdotally, but not
• 54:52
  Speaker 5: to the details that this track and tracer program is requiring.
• 54:57
  Speaker 5: So the risks are for you are if you don't
• 55:01
  Speaker 5: have a system, right and you think, oh, why don't
• 55:04
  Speaker 5: I just track it with an Excel spreadsheet, that would
• 55:07
  Speaker 5: be hours, hours and hours of work. And can you
• 55:10
  Speaker 5: can do this in one day? Can you do this
• 55:12
  Speaker 5: scene three hundred and sixty five days?
• 55:14
  Speaker 3: Right?
• 55:15
  Speaker 5: Having a system make it make it so easy. So
• 55:18
  Speaker 5: we have a video on the YouTube, feel free to
• 55:22
  Speaker 5: watch it. So we have a pharmacist from a long
• 55:29
  Speaker 5: term care pharmacyas is so huge, huge operations twenty four
• 55:32
  Speaker 5: seven and there's huge amount of receipts and they show
• 55:37
  Speaker 5: us how they do it. It's so easy, right. He
• 55:39
  Speaker 5: gets us told he can scan the toe, there's a
• 55:42
  Speaker 5: tote label. They just scans it. It's in or he
• 55:47
  Speaker 5: picks web product from the toe. He scans that web
• 55:50
  Speaker 5: product and the Pharmacy prosystem finds all other products in
• 55:54
  Speaker 5: a tote. So this technology is really amazing. It has
• 55:58
  Speaker 5: this parent child, the relationship ship, so it always knows
• 56:02
  Speaker 5: whether a product belongs to a purchase order or tote
• 56:05
  Speaker 5: belongs to a purchase order, or how many to the
• 56:08
  Speaker 5: products that's a purchase order have, so it ties everything together.
• 56:12
  Speaker 5: Makes this incoming in taking process super easy for the pharmacies,
• 56:19
  Speaker 5: and then from there there are lots of different places
• 56:22
  Speaker 5: serial numbers are needed. As of today, traceability for sure,
• 56:27
  Speaker 5: product verification for sure. But in the future optim RX
• 56:32
  Speaker 5: is talking about that they want a serial number for
• 56:36
  Speaker 5: medical rembursement, right, so you think about what this serial
• 56:40
  Speaker 5: number can be functional in other areas. This is why
• 56:47
  Speaker 5: we need to get started. So ail Humitary has zero number.
• 56:52
  Speaker 5: So in the future, if you want to return something,
• 56:55
  Speaker 5: a serial number is required. If there's a recall, a
• 56:57
  Speaker 5: serial number is required, right if you well you said
• 57:00
  Speaker 5: the claims.
• 57:03
  Speaker 4: Required.
• 57:03
  Speaker 5: So this is going to be tied into every fabric
• 57:06
  Speaker 5: of a pharmacy operation every single day.
• 57:09
  Speaker 9: So so talk to us about when somebody says, oh, well,
• 57:12
  Speaker 9: you know, do I really need a solution like LSPED.
• 57:15
  Speaker 4: Could I could my.
• 57:16
  Speaker 9: Pharmacy software provider provided for me or could my wholesaler
• 57:20
  Speaker 9: provided for me? Tell us a little bit about you know, yes,
• 57:25
  Speaker 9: is that possible, but is the extra work that needs
• 57:28
  Speaker 9: to be done or it really you really do need
• 57:32
  Speaker 9: a solution provider?
• 57:34
  Speaker 5: Great question. We get this question a lot, right, So
• 57:37
  Speaker 5: we have customers who said that, hey, we buy from
• 57:40
  Speaker 5: one primary wholesaler, Our primary wholesaler is telling us that
• 57:45
  Speaker 5: we can go to their porto. This is great, you
• 57:48
  Speaker 5: can go to their porto, but you also buy from
• 57:50
  Speaker 5: other distributors. Right, how many portos can you go to?
• 57:54
  Speaker 5: If you have to receive a toe, go into a porto,
• 57:57
  Speaker 5: receive a box, going to another portal, receive the other boxes,
• 58:00
  Speaker 5: going to twenty different photos. That's a whole day. So
• 58:04
  Speaker 5: it really comes down to how much time do you
• 58:08
  Speaker 5: want to use in this compliance?
• 58:10
  Speaker 3: Right?
• 58:11
  Speaker 5: So having a solution that you pay I would say
• 58:15
  Speaker 5: three dollars a day that can save you ninety minutes
• 58:18
  Speaker 5: a day definitely is the words of the time. Also,
• 58:23
  Speaker 5: people also say, you know what, my PMS can do this,
• 58:27
  Speaker 5: but the reality is PMS doesn't.
• 58:30
  Speaker 3: Right.
• 58:30
  Speaker 5: That's why we integrate with PMS because PMS loves us.
• 58:35
  Speaker 5: PFS love to have LA Pharmacy Pro to be the
• 58:38
  Speaker 5: front of DSCSA compliance as well as being the receiving
• 58:42
  Speaker 5: operation where we can just push inventory received into PMS
• 58:47
  Speaker 5: and making this entire IMBUK process seamless.
• 58:51
  Speaker 9: Yeah great, all right, so we've heard about one scan
• 58:54
  Speaker 9: and Pharmacy Pro and all those cool things that you know,
• 58:58
  Speaker 9: you guys put together exadly is it talk to us
• 59:01
  Speaker 9: about like what are the key points and how are
• 59:04
  Speaker 9: people using I Know you again, you've touched on you
• 59:07
  Speaker 9: know when the tote comes in, But how does it
• 59:09
  Speaker 9: integrate with their software?
• 59:11
  Speaker 4: Why is it so easy?
• 59:13
  Speaker 9: And then why do I absolutely have to get it
• 59:16
  Speaker 9: before November twenty seven so that I'm ready for November
• 59:19
  Speaker 9: twenty seven?
• 59:22
  Speaker 5: Happy to Pharmacy Pro is a solution that we designed
• 59:29
  Speaker 5: specifically for dispensers. One skin is a bigger suite. Wed
• 59:33
  Speaker 5: skin is what we cater to manufacturers and wholesalers. Manufacturers
• 59:39
  Speaker 5: and wholesalers have very complex operations, mostly inbound and outbound,
• 59:43
  Speaker 5: and also their connections with cmos, and it's just different,
• 59:47
  Speaker 5: like a different operation right for pharmacies. We know like
• 59:52
  Speaker 5: pharmacies don't have a team of I TA right, they
• 59:55
  Speaker 5: don't have a team of a Cereal Serialized Expert. But
• 1:00:02
  Speaker 5: what we really understand is pharmacies want to have a
• 1:00:05
  Speaker 5: streamlined workflow. They want their they want their time to
• 1:00:11
  Speaker 5: be in the front room, not in the back room.
• 1:00:13
  Speaker 5: So we created Pharmacy Pro in twenty twenty three and
• 1:00:17
  Speaker 5: it's just really leveraging a very large engine, which is
• 1:00:20
  Speaker 5: called web skin. Right, we're leveraging all the functionalities that
• 1:00:25
  Speaker 5: can operate very large companies as well as very small companies,
• 1:00:30
  Speaker 5: and we made a workflow specifically for dispensers. So this
• 1:00:34
  Speaker 5: is purpose built, right, This is not like afterthought reverse engineered, right,
• 1:00:39
  Speaker 5: this is purpose built for pharmacies. And it's a browser
• 1:00:44
  Speaker 5: based solution, and it's also responsive, so you can around
• 1:00:47
  Speaker 5: us on your computer. You can also just around us
• 1:00:50
  Speaker 5: on your phone, are your iPad. It's device agnostic, and
• 1:00:55
  Speaker 5: we really leveraged the ability for the device to turn
• 1:00:59
  Speaker 5: the camera right or have connect wirelessly Bluetooth with a scanner.
• 1:01:05
  Speaker 5: So either way, it's about how does the software interact
• 1:01:10
  Speaker 5: with the product. And for us, interaction is super easy.
• 1:01:13
  Speaker 5: Turn around the camera or use the scanner to scan
• 1:01:16
  Speaker 5: that to debacode. That is the number one interaction the
• 1:01:21
  Speaker 5: pharmacy and the products are happening in our solution. So
• 1:01:27
  Speaker 5: when a uh pharmacy, tack pharmacist, where step scancer to debacode? Right,
• 1:01:34
  Speaker 5: we from that pild relationship, we know precisely what the
• 1:01:39
  Speaker 5: product is from. It's people, it's purchase order, it's total,
• 1:01:45
  Speaker 5: so no way tie them altogether. Right, from a product
• 1:01:48
  Speaker 5: we can find a toe from a toad that we
• 1:01:50
  Speaker 5: can see all the products, so vice versa, making this
• 1:01:54
  Speaker 5: really seamless and toward the end is a full set
• 1:01:58
  Speaker 5: of digital records. I know for some of the pharbacies
• 1:02:02
  Speaker 5: this sounds complex, but you think about very large pharmacies
• 1:02:06
  Speaker 5: such as you know, Amazon and health systems out there,
• 1:02:11
  Speaker 5: these digital records they live and die for, right. They
• 1:02:15
  Speaker 5: do all their planning according to these digital records, including
• 1:02:20
  Speaker 5: the projected the receiving time, their reorder time, their restock time,
• 1:02:25
  Speaker 5: the quantity for the stocking, what is the thirdity purchase projection.
• 1:02:29
  Speaker 5: So there's a lot of things that you can do
• 1:02:31
  Speaker 5: with it. And this is precisely why would love pharbacy
• 1:02:35
  Speaker 5: pro and our customers because we really want to help
• 1:02:38
  Speaker 5: our customers. If you're not really using technology, this is
• 1:02:42
  Speaker 5: step number one for you to get there. Get provocy
• 1:02:45
  Speaker 5: pro that you can start using technology and will help you.
• 1:02:49
  Speaker 4: Well.
• 1:02:49
  Speaker 9: Yeah, So on that note, you know, we've been a
• 1:02:52
  Speaker 9: little bit ahead of the game ourselves. We've probably given
• 1:02:55
  Speaker 9: away I would say, a couple of thousand two D
• 1:02:58
  Speaker 9: scanners from a rush for free to our members, knowing
• 1:03:03
  Speaker 9: the VRS system is going to be coming into play,
• 1:03:06
  Speaker 9: posting a product on our site is going to require
• 1:03:08
  Speaker 9: ultimately a scan so that the serialization number is specifically
• 1:03:13
  Speaker 9: tied to that product and it can be it can
• 1:03:15
  Speaker 9: be verified.
• 1:03:15
  Speaker 4: Against the system.
• 1:03:17
  Speaker 9: So what we've done just for the audience sake is
• 1:03:20
  Speaker 9: that we've created a partnership with Elispedia to really help
• 1:03:25
  Speaker 9: our members and help Elispedia. One is that we're a
• 1:03:29
  Speaker 9: reseller for Elispeeda. We're proud of that because we know
• 1:03:33
  Speaker 9: we got seven thousand independents and that's a new frontier
• 1:03:37
  Speaker 9: for Elispedia. And I think that we can really help
• 1:03:40
  Speaker 9: our members really get adoption into something that's going to
• 1:03:43
  Speaker 9: be a needed tool.
• 1:03:44
  Speaker 4: So we're excited to be partners with you guys on
• 1:03:47
  Speaker 4: that front.
• 1:03:49
  Speaker 9: So yeah, that's what makes this partnership so easy for
• 1:03:54
  Speaker 9: us and you guys is I think we're serving the
• 1:03:56
  Speaker 9: same master, which is the independent pharmacies and try to
• 1:04:00
  Speaker 9: help them ease their way through this kind of convoluted,
• 1:04:04
  Speaker 9: whatnot what seems to be a confusing process. I think
• 1:04:09
  Speaker 9: we're excited mostly by being able to actually be able
• 1:04:12
  Speaker 9: to do that for them, so really quick, we're gonna
• 1:04:16
  Speaker 9: I think we've got a great framework of what Pharmacy
• 1:04:20
  Speaker 9: Pro is what Elipedia.
• 1:04:22
  Speaker 4: Is being able to do with independence.
• 1:04:23
  Speaker 9: It's a few quick, rapid for your questions now, all right,
• 1:04:27
  Speaker 9: So this is for you, all right. So what's the
• 1:04:29
  Speaker 9: single biggest d ss A misconception among pharmacies today is.
• 1:04:34
  Speaker 5: That DSSA is still coming. It's not coming, It's already here.
• 1:04:38
  Speaker 5: So that's about the demiss that.
• 1:04:41
  Speaker 4: All right.
• 1:04:41
  Speaker 9: So what's the one thing that pharmacies should start doing
• 1:04:44
  Speaker 9: immediately if they haven't already adopted some solution?
• 1:04:48
  Speaker 5: They should go to lspdia dot com slash pharmacy pro
• 1:04:51
  Speaker 5: to sign up. Oh, sign up through match a trust
• 1:04:55
  Speaker 5: the brand nature wide, thank.
• 1:04:57
  Speaker 4: You, Uh yeah, and we get it.
• 1:04:59
  Speaker 9: We've been lucky enough where lsped has been providing our
• 1:05:02
  Speaker 9: match arx members at discount for their service, and so
• 1:05:06
  Speaker 9: we're excited.
• 1:05:06
  Speaker 4: About offering that.
• 1:05:08
  Speaker 9: So how complicated is DSA compliance really when the right
• 1:05:12
  Speaker 9: tools are in place.
• 1:05:15
  Speaker 5: With all the right tools. Very complex and impossible with
• 1:05:18
  Speaker 5: the right tool, very simple. Easy West scan does many
• 1:05:22
  Speaker 5: things for you.
• 1:05:24
  Speaker 9: And then you mentioned thirty nine eleven, So what happens
• 1:05:26
  Speaker 9: if something gets scanned and it's not right?
• 1:05:28
  Speaker 4: What's that? What are they supposed to do?
• 1:05:30
  Speaker 9: You have a process, an SOP that you hand over
• 1:05:34
  Speaker 9: to the pharmacy so that they can track because not
• 1:05:38
  Speaker 9: everybody's going to be able to create their own.
• 1:05:41
  Speaker 4: SOP.
• 1:05:42
  Speaker 9: I mean, like, I'm not an expert in SOPs, and
• 1:05:44
  Speaker 9: I don't think independents are. But I'm assuming that you
• 1:05:47
  Speaker 9: guys have already, you know, created something that pharmacies can
• 1:05:51
  Speaker 9: help fill in the blank, so to speak, for their
• 1:05:53
  Speaker 9: own benefits, so that they have a process that they
• 1:05:56
  Speaker 9: can share with any audit auditor.
• 1:05:58
  Speaker 4: That comes to their store.
• 1:06:00
  Speaker 5: Precisely, we have a SOP templates that it's right in
• 1:06:05
  Speaker 5: the software itself, so which is really great. You don't
• 1:06:08
  Speaker 5: have to go somewhere else to look for a paper
• 1:06:11
  Speaker 5: or look for a file. It's built right into the software.
• 1:06:14
  Speaker 5: And pharmacies can adopt those templates into their own, adding
• 1:06:19
  Speaker 5: their own operational specialties. So this makes everything altogether. Scanning
• 1:06:25
  Speaker 5: SOP reporting right, it's all you want.
• 1:06:29
  Speaker 2: It's awesome.
• 1:06:31
  Speaker 9: Like we've covered a ton. I can ask another ten
• 1:06:34
  Speaker 9: more questions, but I'll leave you alone right now.
• 1:06:35
  Speaker 4: So yeah, the takeaway here is simple.
• 1:06:39
  Speaker 9: It's the DSA say, is something isn't something that pharmacies
• 1:06:42
  Speaker 9: can just put off much longer. It's here, like you
• 1:06:46
  Speaker 9: just mentioned.
• 1:06:47
  Speaker 4: But the cool thing is that.
• 1:06:48
  Speaker 9: LSPDA is here as well, Matro actions here as well,
• 1:06:51
  Speaker 9: and collectively, I think we're happy to help, if nothing else,
• 1:06:57
  Speaker 9: just to guide and whether it's an LSPDIA solution or
• 1:06:59
  Speaker 9: an other solution, get a solution is my advice.
• 1:07:03
  Speaker 5: I completely agree.
• 1:07:06
  Speaker 9: Any closing thoughts for you that you want to share
• 1:07:08
  Speaker 9: with the team or with the audience, and Todd, you've
• 1:07:11
  Speaker 9: been a lot of help doing nothing here today.
• 1:07:15
  Speaker 2: I like to step away and you got to take
• 1:07:16
  Speaker 2: over the show. I like that.
• 1:07:19
  Speaker 5: Well, what I can't say is MATS is really a
• 1:07:22
  Speaker 5: trusted brand for independent pharmacies, and we are very excited.
• 1:07:28
  Speaker 5: As you know, Pharmacy Pro is a trusted brand as well.
• 1:07:32
  Speaker 5: When you put two great brands together, we can do
• 1:07:35
  Speaker 5: great things. And I love how match Acts and Johnny
• 1:07:41
  Speaker 5: they want to solve a problem, right, They are not
• 1:07:43
  Speaker 5: just putting them on picks. They really want to solve
• 1:07:47
  Speaker 5: a problem for their customers, and so do we, So
• 1:07:51
  Speaker 5: let's do this together.
• 1:07:52
  Speaker 2: Awesome. Well, thank you very much, Ria, I love it.
• 1:07:56
  Speaker 9: I love it.
• 1:07:57
  Speaker 1: I appreciate you Johnny bringing us all these good information.
• 1:08:00
  Speaker 2: Appreciate you Rhea. I promise this won't be the last
• 1:08:02
  Speaker 2: time you're back on twerqus.
• 1:08:04
  Speaker 5: Love to come back.
• 1:08:05
  Speaker 2: Thank you, hey, we will be right back.
• 1:08:18
  Speaker 10: This episode is sponsored by Independent Pharmacy Cooperative, widely known
• 1:08:22
  Speaker 10: as IPC. Established in nineteen eighty three, IPC is the
• 1:08:26
  Speaker 10: nation's largest group purchasing organization owned by independent pharmacy with
• 1:08:31
  Speaker 10: a mission of maximizing the success of community pharmacists. IPC
• 1:08:35
  Speaker 10: works to provide members with access to effective programs and
• 1:08:38
  Speaker 10: services designed to enhance profitability for independent pharmacy. Read more
• 1:08:43
  Speaker 10: about our mission by checking out our website at ipcurx
• 1:08:46
  Speaker 10: dot com. That's ipcarx dot com.
• 1:09:01
  Speaker 1: Hey on this weekend, this week in pharmacy, we're welcoming
• 1:09:04
  Speaker 1: Scott Brunner, CEO of the APC.
• 1:09:07
  Speaker 2: Scott is good to see you.
• 1:09:09
  Speaker 5: It's good to be here.
• 1:09:10
  Speaker 11: Thank you.
• 1:09:11
  Speaker 2: Hey.
• 1:09:11
  Speaker 1: You had a special event. You had a conference that
• 1:09:15
  Speaker 1: was dedicated to pharmacy owners and the fusion of everything
• 1:09:20
  Speaker 1: that's happening in technology and AI and operations in growing
• 1:09:25
  Speaker 1: your compounding business. And when I heard about this, I
• 1:09:28
  Speaker 1: was very upset that I wasn't able to go with
• 1:09:31
  Speaker 1: some other commitments and other conferences, but I want to
• 1:09:34
  Speaker 1: give you the mic and have you share with our listeners.
• 1:09:37
  Speaker 2: How did the Owners Summit twenty twenty six. How did
• 1:09:40
  Speaker 2: it go?
• 1:09:41
  Speaker 11: It was extraordinary. We began this event six years ago
• 1:09:46
  Speaker 11: recognizing that while there were an awful lot of events
• 1:09:50
  Speaker 11: and continue education courses for compounders on the clinical side
• 1:09:57
  Speaker 11: of compounding the practice of compounding, there was not much
• 1:10:00
  Speaker 11: out there on the business of compounding, and so we
• 1:10:04
  Speaker 11: created an event exclusively for compounding pharmacy owners and managers
• 1:10:09
  Speaker 11: and it's just grown every year since. We were frankly
• 1:10:12
  Speaker 11: blown away by our numbers. This year we had nearly
• 1:10:15
  Speaker 11: four hundred folks there, and that's attendees plus exhibitors. We
• 1:10:20
  Speaker 11: sold out the trade show portion of the event, sixty
• 1:10:26
  Speaker 11: exhibitors there, and we had industry leaders from across compounding
• 1:10:30
  Speaker 11: to talk about all those things you said. Particularly a
• 1:10:34
  Speaker 11: front of mind is the regulatory environment, some state legislative
• 1:10:39
  Speaker 11: threats that we are confronting, but also issues like appropriate marketing.
• 1:10:46
  Speaker 11: How do you market your compounding pharmacy, How do you
• 1:10:49
  Speaker 11: create a brand? How do you provide exceptional customer service
• 1:10:54
  Speaker 11: for pharmacies that are interested in doing fulfillment, For instance,
• 1:10:59
  Speaker 11: for telehealp platforms. We had a session about that. We
• 1:11:03
  Speaker 11: had a session about positioning your pharmacy for sale, and
• 1:11:08
  Speaker 11: there were some of our attendees who were interested in that.
• 1:11:11
  Speaker 11: So it was just it's a cram packed day and
• 1:11:15
  Speaker 11: a half. Literally about twenty seven twenty eight different sessions
• 1:11:21
  Speaker 11: within that day and a half and they're just all
• 1:11:24
  Speaker 11: over the map related to the business of compounding, compliance
• 1:11:29
  Speaker 11: and the regulatory framework.
• 1:11:32
  Speaker 1: Scott, if I'm listening am pharmacy operator owner and I
• 1:11:36
  Speaker 1: missed out on this owner's summit, what key takeaways can
• 1:11:40
  Speaker 1: you kind of shout out that you say, hey, here's
• 1:11:43
  Speaker 1: how to get engaged, here's what you should be thinking
• 1:11:45
  Speaker 1: about and growing your compounding business, and maybe even throw
• 1:11:50
  Speaker 1: in a legislative support request so that we can make
• 1:11:54
  Speaker 1: sure that the momentum that the APC has helped to
• 1:11:58
  Speaker 1: help to get going that it keeps.
• 1:12:00
  Speaker 11: Yeah. Well, one of the key takeaways from the conference
• 1:12:06
  Speaker 11: is that operating incompliance with federal and state law and
• 1:12:11
  Speaker 11: USB standards is your best defense, it's your best marketing strategy.
• 1:12:15
  Speaker 11: And so we talked about some of the excesses in
• 1:12:20
  Speaker 11: the compounding marketplace right now, to the extent that we
• 1:12:24
  Speaker 11: basically said you know pharmacies that are preparing compounded drugs
• 1:12:29
  Speaker 11: with unauthorized ingredients, including just to put a point on it,
• 1:12:34
  Speaker 11: certain peptides that aren't authorized for compounding, are not helping
• 1:12:38
  Speaker 11: the reputation of the industry. A lack of attention to
• 1:12:43
  Speaker 11: insanitary conditions is not helping the industry. And frankly, being
• 1:12:48
  Speaker 11: divided big pharmacies versus small pharmacies, traditional compounding pharmacies versus
• 1:12:54
  Speaker 11: telehealth platforms, Pointing fingers at one of another is just
• 1:12:59
  Speaker 11: not helpful right now. I think the threats that compounding
• 1:13:03
  Speaker 11: is facing affect all compounders, regardless of your you know
• 1:13:07
  Speaker 11: your market focus or you know your your your structure.
• 1:13:13
  Speaker 11: These legislative threats that I've mentioned are very real and
• 1:13:17
  Speaker 11: they will affect all of compounding, and so we have
• 1:13:19
  Speaker 11: to stand together. If if you have listeners who are
• 1:13:22
  Speaker 11: are not members of a PC and are doing any
• 1:13:26
  Speaker 11: amount of compounding at all, I strongly urge them to
• 1:13:30
  Speaker 11: look at joining us. We are stronger together, and frankly,
• 1:13:34
  Speaker 11: I think they're going to be better informed, their teams
• 1:13:37
  Speaker 11: are going to be smarter about compliance and trends and
• 1:13:40
  Speaker 11: all of those things. Uh, and we may be able
• 1:13:43
  Speaker 11: to save them from a lawsuit or an unpleasant interaction
• 1:13:46
  Speaker 11: with the Board of Pharmacy.
• 1:13:48
  Speaker 1: I want to shout out two things about a PC.
• 1:13:51
  Speaker 1: Number One, you have an amazing podcast. You do a
• 1:13:54
  Speaker 1: great job. We're very proud that you're members of the
• 1:13:58
  Speaker 1: of the Pharmacy podcast network. The Lay podcast dug into
• 1:14:01
  Speaker 1: the world of compounding in artificial intelligence with TGAM Labs
• 1:14:06
  Speaker 1: Jonathan Adley. His team has been popular among different sectors
• 1:14:12
  Speaker 1: of pharmacy. And then the second thing to follow up
• 1:14:14
  Speaker 1: what you just said, Scott, is the Compounders on Capitol Hill,
• 1:14:19
  Speaker 1: which APC is a huge part of, is going to
• 1:14:22
  Speaker 1: be taking place this September. So if you didn't get
• 1:14:25
  Speaker 1: a chance to go to the Owner Summit, but you
• 1:14:27
  Speaker 1: really want to support the evolution of some of the
• 1:14:31
  Speaker 1: legislation that is always on the block, and it can
• 1:14:35
  Speaker 1: be cut off or it can keep going. And if
• 1:14:37
  Speaker 1: we get more and more people involved in coming together
• 1:14:41
  Speaker 1: and reaching out to legislators and being very positive and
• 1:14:45
  Speaker 1: being very educational and sticking to the facts, I think
• 1:14:48
  Speaker 1: this is a big opportunity.
• 1:14:49
  Speaker 9: Scott.
• 1:14:49
  Speaker 11: Yeah, and this is our event as well. So Owner
• 1:14:52
  Speaker 11: Summit and Compounders on Capitol Hill are our premier conferences.
• 1:14:57
  Speaker 11: Compounders on Capitol Hill is another day and a half
• 1:15:01
  Speaker 11: little more than a day and a half in DC,
• 1:15:03
  Speaker 11: we will have our third annual legal symposium, Legal Issues
• 1:15:07
  Speaker 11: in Compounding, with a number of prominent attorneys in the space.
• 1:15:10
  Speaker 11: We will spend some time prepping attendees on so that
• 1:15:14
  Speaker 11: they're conversant on issues that are threats to compounding, and
• 1:15:20
  Speaker 11: then we will send them to Capitol Hill. We will
• 1:15:22
  Speaker 11: schedule for you your meeting with your members of Congress
• 1:15:26
  Speaker 11: so that you can share with them concerns about issues
• 1:15:30
  Speaker 11: confronting your business, and not just your business, but more
• 1:15:32
  Speaker 11: importantly your patients. I expect, with the you know, the
• 1:15:39
  Speaker 11: magnifying lens that is own compounding. Right now, there is
• 1:15:44
  Speaker 11: no better time to come to d C and make
• 1:15:48
  Speaker 11: your case to your members of Congress because they're hearing
• 1:15:51
  Speaker 11: from drug makers and drug maker lobbyists. They are seeing
• 1:15:54
  Speaker 11: misrepresentations in media and elsewhere, and we believe compounding pharma
• 1:16:00
  Speaker 11: sees from their districts. Constituents are the right people to
• 1:16:04
  Speaker 11: set them straight, to tell them what law and policy
• 1:16:07
  Speaker 11: actually says, how compliance is done in compounding pharmacies, so
• 1:16:11
  Speaker 11: that we're not facing legislation that unduly infringes on patient's
• 1:16:19
  Speaker 11: ability to access compound drugs. When the prescriber says that's
• 1:16:22
  Speaker 11: the right drug for that patient.
• 1:16:25
  Speaker 2: That's terrific.
• 1:16:25
  Speaker 1: Okay, So listeners, by the way, go to a four
• 1:16:29
  Speaker 1: PC dot org once again, that's a for the number
• 1:16:32
  Speaker 1: four PC dot Org, the Alliance for Pharmacy Compounding Scott,
• 1:16:38
  Speaker 1: I really appreciate you stopping by on this week in pharmacy.
• 1:16:41
  Speaker 1: It's so important to keep our operators and our owners
• 1:16:45
  Speaker 1: fused with good information, evolving and encouraging because we know
• 1:16:50
  Speaker 1: communities and we know what the sparseness of some of
• 1:16:53
  Speaker 1: our areas without the throughout the United States, without pharmacy
• 1:16:56
  Speaker 1: services nearby. That once again, that pushes compound betting further
• 1:17:00
  Speaker 1: down from being accessible by patients. And we need educated
• 1:17:05
  Speaker 1: compounders and compounders who know how to market this stuff
• 1:17:08
  Speaker 1: correctly and getting the educational to their community. But then,
• 1:17:12
  Speaker 1: of course, of course our legislators. So thank you so
• 1:17:15
  Speaker 1: much for this time.
• 1:17:16
  Speaker 11: Thanks for having me. It's good to see you.
• 1:17:18
  Speaker 2: It's good to see you. Hey.
• 1:17:19
  Speaker 12: We'll be right back with more on twerks.
• 1:18:09
  Speaker 6: J J joh