Latest / Pharmacy Podcast Network / inSPire 2026 Rewind; The Hub of Specialty Pharmacy | Part Three
Transcript
- 0:00Speaker 1: A special thank you to our sponsors for this year's
- 0:02Speaker 1: coverage of Inspire 2026. Your support makes our coverage possible.
- 0:08Speaker 1: And now, a quick message before this episode begins.
- 0:11Speaker 2: This episode is brought to you by Hendren AI. Specialty
- 0:15Speaker 2: pharmacy teams are being asked to do more than ever before.
- 0:19Speaker 2: Between patient outreach, refill coordination, prior authorizations, and the endless
- 0:24Speaker 2: volume of phone calls, valuable clinical and operational time is
- 0:27Speaker 2: often consumed by administrative work. At Hendren AI, we believe
- 0:31Speaker 2: the people caring for patients should spend less time managing
- 0:34Speaker 2: workflows and more time delivering meaningful outcomes. That's why we
- 0:39Speaker 2: build AI-powered solutions designed specifically for specialty and infusion pharmacy organizations.
- 0:44Speaker 2: Our platform helps automate repetitive phone-based and administrative processes, streamline operations,
- 0:51Speaker 2: and improve the patient experience while fitting into existing workflows.
- 0:55Speaker 2: Hendren AI is focused on a simple mission, turning human
- 0:59Speaker 2: labor into software so healthcare organizations can scale more efficiently
- 1:03Speaker 2: while keeping patients at the center of care. To learn more,
- 1:07Speaker 2: visit Hendren.ai and discover how AI can help your team
- 1:11Speaker 2: work smarter, not harder.
- 1:20Speaker 3: You are listening to the global network of podcasters dedicated
- 1:23Speaker 3: to the pharmacy profession.
- 1:25Speaker 4: Welcome to the Pharmacy Podcast Network.
- 1:41Speaker 5: It's that time of year where the Pharmacy Podcast Network's
- 1:44Speaker 5: founder and CEO, Todd Uriek, lands where the hub of specialty.
- 1:48Speaker 2: Pharmacy hosts their annual meeting.
- 1:52Speaker 5: Introducing the Inspire 2026 Annual Expo.
- 1:56Speaker 3: That's right.
- 1:57Speaker 5: Specialty pharmacy is evolving, and so is the name of
- 2:00Speaker 5: its largest annual meeting. The NASP Annual Meeting and Expo
- 2:04Speaker 5: got an upgrade. Innovation, networking, specialty pharmacy expertise. insights, research,
- 2:11Speaker 5: and education come together to empower, educate, and connect our community.
- 2:16Speaker 5: Live in National Harbor, Maryland, tune in as Todd roams
- 2:20Speaker 5: the showroom floor, bringing you the inside coverage of this
- 2:23Speaker 5: year's event.
- 2:26Speaker 6: Jennifer Noonan is back.
- 2:28Speaker 7: NASP podcast here at Inspire 2026. Jennifer, it's so good
- 2:34Speaker 7: to see you.
- 2:34Speaker 4: Good to see you too.
- 2:35Speaker 8: And I'm having trouble remembering to say inspire, but it'll
- 2:39Speaker 8: be in place by next year.
- 2:40Speaker 6: All the new stuff, all the shifts.
- 2:42Speaker 7: I really like the fact that Sheila and the marketing
- 2:45Speaker 7: team have separated the event from the organization so that
- 2:50Speaker 7: they can put more flavor and marketing and messaging into
- 2:55Speaker 7: what it means to come together as an organization. And
- 2:57Speaker 7: we're inspiring not only each other, but we're inspiring the
- 3:01Speaker 7: next phase of what's happening in specialty pharmacy. Part of
- 3:04Speaker 7: that specialty pharmacy ecosystem, and I think the most difficult
- 3:08Speaker 7: part of it, other than realizing that you have a
- 3:11Speaker 7: pretty serious disease to handle, is the crushing fact of
- 3:17Speaker 7: what this is going to do to your finances as
- 3:19Speaker 7: a family, as an individual. That's where Accessia Health comes in.
- 3:23Speaker 7: In case the listener doesn't know about Accessia Health, that
- 3:27Speaker 7: means they don't listen to our podcast because you guys
- 3:30Speaker 7: have been on several times. You're like one of these
- 3:35Speaker 7: Saturday Night Live jacket wearers. We should make a jacket
- 3:39Speaker 7: that you get to wear if you're like a five-time... participant?
- 3:43Speaker 8: Well, I do recall yesterday seeing the specialty pharmacy certification
- 3:50Speaker 8: board has a suit that is embroidered with the SB,
- 3:56Speaker 8: whatever the next.
- 3:56Speaker 4: Initials are on their logo. It's kind of nice, but yeah,
- 4:00Speaker 4: we've been here quite a few years.
- 4:02Speaker 8: Thank you for helping introduce me to many folks in
- 4:05Speaker 8: the specialty pharmacy realm. As you remember, I'm a nurse
- 4:08Speaker 8: by trade and training, so this was a bit of
- 4:11Speaker 8: a different ecosystem for me coming from hospital and health
- 4:15Speaker 8: systems and then hospice. But one of the things I
- 4:18Speaker 8: believe Excessia Health has done differently in the last few years,
- 4:24Speaker 8: if you remember in 23, we revealed a different way
- 4:29Speaker 8: of setting up our programming.
- 4:30Speaker 4: We call it your assistance, your choice.
- 4:32Speaker 8: This allows patients to get assistance in the same amount
- 4:36Speaker 8: of their grant toward a multitude of things instead of
- 4:39Speaker 8: having to apply for separate types of assistance. So if
- 4:44Speaker 8: someone is in a program for, say, pulmonary fibrosis, and
- 4:49Speaker 8: they need help with their co-payments, but additionally they're struggling
- 4:52Speaker 8: with their premium payments, we can help with both or
- 4:56Speaker 8: either of those items as is needed for that patient individually.
- 5:00Speaker 8: And as you know, you probably have a different health
- 5:02Speaker 8: insurance than I have, and your out-of-pocket for one type
- 5:06Speaker 8: of treatment might be incredibly different than mine. And so
- 5:09Speaker 8: this allows our patients flexibility to have individualized care and
- 5:13Speaker 8: not have to feel back even more layers of resources.
- 5:18Speaker 8: If they're able to avoid those burdens, that's what we
- 5:21Speaker 8: want to do. Because as you know, rare disease and
- 5:24Speaker 8: chronic health conditions come with a lot of daily burdens already.
- 5:29Speaker 7: It's more than just the therapy itself. It's more than
- 5:32Speaker 7: the chronic condition that the patient, their family is dealing with.
- 5:36Speaker 7: It's also getting them to their appointments. It's Sometimes their
- 5:43Speaker 7: money going towards this disease is now extracting off of
- 5:48Speaker 7: their rent or off of their ability to continue to
- 5:51Speaker 7: go to school or whatever the issues are. You have
- 5:55Speaker 7: so many incredible stories. Some of them have brought me
- 5:58Speaker 7: to tears just over the years of things that you've shared.
- 6:01Speaker 7: But talk to us about some of the efforts of
- 6:04Speaker 7: AccessiHealth over the past year and what your plans are
- 6:07Speaker 7: upcoming in 2027.
- 6:09Speaker 8: Yeah, we're really starting to make a lot of connections
- 6:13Speaker 8: with our patients and their stories and how they can
- 6:16Speaker 8: create an impact on Capitol Hill. So we have really
- 6:21Speaker 8: increased our efforts and our resources in and around advocacy work.
- 6:26Speaker 4: It also is very empowering to.
- 6:27Speaker 8: Patients to be able to take something out of this
- 6:32Speaker 8: difficult time season or entirety of their life with the
- 6:36Speaker 8: disease and.
- 6:37Speaker 4: Have that be used for good for other people.
- 6:41Speaker 8: It also gives them a sense of empowerment to be
- 6:44Speaker 8: more involved in their own health care and learning about
- 6:47Speaker 8: it and making decisions. Today at 2.30, actually, we're going
- 6:50Speaker 8: to be on stage talking about One of the points
- 6:53Speaker 8: you just made, one of the most important, which is
- 6:55Speaker 8: social determinants of health. And as you know, since I
- 6:59Speaker 8: came into this industry five years ago, I'm focused a
- 7:02Speaker 8: lot on access. How are we going to ensure that
- 7:04Speaker 8: our patients get access to their medication. And one of
- 7:08Speaker 8: the pieces I hadn't really considered was that we see
- 7:11Speaker 8: the social determinants of health playing into getting access, but
- 7:16Speaker 8: there's also a whole piece along the trajectory of that
- 7:19Speaker 8: treatment where social determinants of health can actually cause a
- 7:23Speaker 8: patient to drop off of service. So just also working
- 7:28Speaker 8: heavily with all of the SPs and provider groups to
- 7:31Speaker 8: understand that ongoing check-ins with patients, especially around financial toxicity,
- 7:37Speaker 8: is important all the.
- 7:39Speaker 4: Way along the lines.
- 7:40Speaker 7: Jennifer, I think of my own family, things that they've
- 7:45Speaker 7: gone through had nothing to do with their health per se,
- 7:47Speaker 7: but there've been some financial crisis over the years. And
- 7:50Speaker 7: then throwing a chronic disease on top of that would
- 7:54Speaker 7: be crushing, even for my own family. Think of the
- 7:57Speaker 7: money that goes out just in co-pays. Talk to us
- 8:00Speaker 7: about some of the other features, just so pharmacists listening in,
- 8:03Speaker 7: especially pharmacy operators, just understand and learn how to connect
- 8:08Speaker 7: with Accessia Health.
- 8:09Speaker 4: Yeah, that's a great question.
- 8:11Speaker 8: On our website, there is an opportunity for anyone to
- 8:15Speaker 8: apply on behalf of a patient, so provider groups, specialty pharmacies.
- 8:20Speaker 8: At this time, it's considered a guest application, but we
- 8:23Speaker 8: are working on the back side. as we speak for
- 8:26Speaker 8: some tech improvements. So we'll release that information when we
- 8:29Speaker 8: have more that we can share about it. But we
- 8:33Speaker 8: also want to make sure that people understand two important
- 8:36Speaker 8: pieces of education. When you navigate to accessiahealth.org and go
- 8:43Speaker 8: to the programs page, The default list that you see
- 8:47Speaker 8: might say open with green letters, and it might say
- 8:51Speaker 8: at capacity. We want to ensure that everyone knows that
- 8:54Speaker 8: at capacity means there might be one person or more
- 8:57Speaker 8: than one person in line, but that is when you
- 9:00Speaker 8: want to get on the wait list because we are
- 9:02Speaker 8: always working first come, first serve. So if we open
- 9:05Speaker 8: a few slots in a couple of weeks, and you're
- 9:08Speaker 8: not in line, you might never see that open sign
- 9:10Speaker 8: on the door. But additionally, we cover things outside of
- 9:14Speaker 8: the copay. So especially in specialty pharmacy, thinking about nursing services,
- 9:18Speaker 8: infusion costs, supplies related to those infusions, and an example, again,
- 9:23Speaker 8: for pulmonary fibrosis, even other things.
- 9:26Speaker 4: That are related to the disease itself, like oxygen.
- 9:29Speaker 8: If you have pulmonary fibrosis and you don't have a
- 9:31Speaker 8: portable concentrator, you can't leave the home to go get
- 9:34Speaker 8: your treatments. So those all cost money that patients often
- 9:37Speaker 8: struggle with, meet those needs.
- 9:40Speaker 7: Jennifer, we so much appreciate you. Big fans of what
- 9:43Speaker 7: Accessia Health has been doing. The growth of your organization
- 9:46Speaker 7: is just incredible. Every time I see posts on LinkedIn,
- 9:50Speaker 7: I'm thinking not only is Accessia Health growing, but that
- 9:53Speaker 7: means that you're reaching more patients that desperately need the
- 9:57Speaker 7: funding that you provide.
- 9:59Speaker 6: Thank you so much. for being on the NESP podcast.
- 10:02Speaker 4: Great to see you, Todd. See you next year for sure.
- 10:08Speaker 9: Hey, this is Christian Stauffer with First Data Bank, and
- 10:11Speaker 9: you're listening to the Pharmacy Podcast.
- 10:15Speaker 7: First Data Bank at Inspire 2026. We're so excited to
- 10:20Speaker 7: have First Data Bank as a sponsor of our press
- 10:23Speaker 7: coverage of this important show leading specialty pharmacy innovation.
- 10:29Speaker 6: Christian, it's so good to have you. Thank you.
- 10:31Speaker 9: Thank you, Todd.
- 10:32Speaker 6: All right.
- 10:33Speaker 7: So Meducation, which I love that word, the using of
- 10:40Speaker 7: high complexity substances, drugs that our public really doesn't understand,
- 10:45Speaker 7: putting the education behind it.
- 10:47Speaker 6: You've packetized that.
- 10:49Speaker 7: You've embedded that into pharmacy management system access, pharmacist follow-up.
- 10:54Speaker 7: Talk to us about that product from First Data Bank.
- 10:57Speaker 9: Yeah, it's kind of a product that's evolved over many years.
- 11:01Speaker 9: The original founder, Dr. Chuck Lee, is a first-generation Korean physician,
- 11:07Speaker 9: and he recognized that not only his patients but also
- 11:11Speaker 9: his own family members were struggling with understanding their medications.
- 11:16Speaker 9: after they left their doctor. Oftentimes someone who doesn't speak
- 11:19Speaker 9: English will go see a doctor that does, but then
- 11:22Speaker 9: when they get home, they don't have that support in
- 11:25Speaker 9: their language. So he launched the product to address first
- 11:29Speaker 9: the limited English proficiency. And then he recognized through work
- 11:34Speaker 9: with the FDA and he actually got a grant from
- 11:39Speaker 9: the Institutes of Health that the general population was struggling
- 11:44Speaker 9: with understanding medication information so it was just too complex
- 11:48Speaker 9: so he created a product that was geared towards not
- 11:52Speaker 9: only the limited english for proficient but also the low health.
- 11:55Speaker 7: Literate okay so in the specialty pharmacy realm we just
- 11:59Speaker 7: took that complexity level up oh yeah and it and
- 12:03Speaker 7: so i i want to pretend i'm a pharmacist for
- 12:07Speaker 7: a second i need to explain something to a spanish
- 12:10Speaker 7: speaking um client of mine patient of mine talk to
- 12:13Speaker 7: me about how education would fit into.
- 12:15Speaker 9: That Yeah, so what we've done is we provide a
- 12:21Speaker 9: lot of the education for the pharmacist from a referential
- 12:23Speaker 9: perspective with our underlying content already in many instances. But
- 12:29Speaker 9: for the consumer-facing information, you can share with them the
- 12:33Speaker 9: patient education information about that medication. So the therapy for
- 12:39Speaker 9: specialty is often intensive, and you want it to be
- 12:42Speaker 9: successful so the patient finishes whatever course they're in.
- 12:46Speaker 10: They're on.
- 12:47Speaker 9: And then the providers, the payers want that to be
- 12:52Speaker 9: successful because the cost is so high. So if the
- 12:55Speaker 9: patient gets off the phone with the pharmacist and they
- 12:58Speaker 9: don't remember what they're supposed to do for mitigation of
- 13:02Speaker 9: vomiting or diarrhea, then it's very clearly stated in our information.
- 13:07Speaker 9: And then they can see it in their own language.
- 13:11Speaker 7: Excellent. And is that passed through their mobile phone through
- 13:13Speaker 7: like a QR code or?
- 13:15Speaker 6: How are they accessing the information?
- 13:17Speaker 9: They can use either paper, like some low health literate
- 13:21Speaker 9: folks not to discriminate or anything, but they want paper.
- 13:25Speaker 4: So that's the first option.
- 13:27Speaker 9: We also have the ability to embed a QR code
- 13:30Speaker 9: or send it electronically.
- 13:32Speaker 11: Okay.
- 13:33Speaker 12: All right.
- 13:34Speaker 7: And then I'm thinking of all of the follow-up that
- 13:38Speaker 7: happens with the specialty medications. Is there any information that
- 13:43Speaker 7: continues to guide a patient through therapy that's tied to medication?
- 13:50Speaker 9: I would say that, let's say they start a course
- 13:54Speaker 9: of therapy and things are going well, but then they
- 13:58Speaker 9: have a new, you know, side effect that the pharmacist
- 14:01Speaker 9: prescribes something different. And then they need to understand the
- 14:05Speaker 9: complexity of their regimen changed. And so we can provide,
- 14:09Speaker 9: or the organization can provide them with an entire calendar.
- 14:13Speaker 13: Yep.
- 14:13Speaker 9: Of what they take. And so part of medication adherence is,
- 14:19Speaker 9: you know, prescribing using the universal medication schedule, UMS, which
- 14:24Speaker 9: is taught in pharmacy and medical school. And so it's
- 14:26Speaker 9: four dosing times per day. Sometimes specialty is very different.
- 14:30Speaker 9: It'll be once a month or whatever. But if they
- 14:33Speaker 9: added Zofran, you know, to help with nausea, then that
- 14:38Speaker 9: would be updated.
- 14:39Speaker 2: Excellent.
- 14:40Speaker 8: So, yeah.
- 14:41Speaker 7: How does our listeners that want to engage with First
- 14:46Speaker 7: Data Bank, how do they get enrolled in helping their
- 14:51Speaker 7: patients access Medication?
- 14:54Speaker 9: The best place to start would be reaching out to
- 14:56Speaker 9: our customer success group, you know, via.
- 15:01Speaker 9: CS at FDB help.com. And then one of our business
- 15:04Speaker 9: development folks can get them in touch with the appropriate person.
- 15:09Speaker 9: I specialize in our provider space. So I work with
- 15:11Speaker 9: a lot of health systems and IDNs. And then we have, um,
- 15:17Speaker 9: I have colleagues that specialize in pharmacy. I have colleagues
- 15:20Speaker 9: that specialize in vendor management and technology. So they'll work
- 15:24Speaker 9: with like a lot of the vendors to integrate our
- 15:26Speaker 9: information or solutions. So there's, The best place to start
- 15:30Speaker 9: is at that baseline, cs at fdbhealth.com, and then we
- 15:33Speaker 9: can get you to the right folks.
- 15:36Speaker 8: Okay.
- 15:36Speaker 7: We're going to have a link to that site, to
- 15:39Speaker 7: that landing page in the show notes for the NASP's
- 15:43Speaker 7: coverage of Inspire 2026.
- 15:46Speaker 6: And Christian, we thank you for being here.
- 15:48Speaker 9: Todd, it was a pleasure. Thank you.
- 15:52Speaker 1: Healthcare innovation moves quickly, but innovation is only valuable when
- 15:56Speaker 1: clinicians can trust the information behind it. That is where FDB,
- 16:01Speaker 1: or First Data Bank, makes the difference. FDB provides trusted,
- 16:05Speaker 1: clinically validated medication knowledge and clinical decision support designed for
- 16:09Speaker 1: integration into modern healthcare technology. From electronic health records and
- 16:13Speaker 1: pharmacy systems to e-prescribing networks, artificial intelligence, payer platforms, and
- 16:18Speaker 1: patient-facing solutions, FDB helps turn complex drug data into actionable guidance.
- 16:23Speaker 1: FDB is also advancing the future of medication intelligence by
- 16:27Speaker 1: enabling AI-powered workflows to draw from reliable, expert-curated clinical content,
- 16:33Speaker 1: helping technology move beyond information towards safer, more useful action.
- 16:37Speaker 1: For pharmacists and clinicians, that means more relevant medication alerts,
- 16:41Speaker 1: stronger clinical decision support, improved reconciliation, clearer patient instructions, and
- 16:47Speaker 1: information that fits naturally into the workflow. For healthcare technology companies,
- 16:51Speaker 1: it means access to proven drug knowledge that can strengthen products,
- 16:55Speaker 1: support responsible innovation, and improve the decisions made at every
- 16:58Speaker 1: point of care. Learn how FDB is connecting trusted drug knowledge,
- 17:03Speaker 1: intelligent technology, and patient-centered care. Visit fdbhealth.com. First Data Bank,
- 17:09Speaker 1: powering the medication decisions that move healthcare forward every single day, worldwide.
- 17:26Speaker 13: Hey, this is Maggie Gann from Andel, and you're listening
- 17:29Speaker 13: to the Pharmacy Podcast.
- 17:34Speaker 7: Hey, Maggie, welcome to Inspire 2026. This is the NASP Podcast.
- 17:39Speaker 7: Thanks for coming on the show.
- 17:40Speaker 4: Yeah, thanks for having me.
- 17:42Speaker 6: Okay, right out of the gate, we.
- 17:43Speaker 7: Want to know what is Andel and why was it created?
- 17:47Speaker 4: Yeah, so Andel is.
- 17:48Speaker 13: A cooperative digital marketplace that enables employers to provide affordable
- 17:52Speaker 13: access to medications for their employees and their dependents. We
- 17:56Speaker 13: created Andal basically because the U.S. medication system, as well
- 18:00Speaker 13: as our healthcare system, is very broken today. So we
- 18:03Speaker 13: are able to partner directly with manufacturers to provide affordable
- 18:08Speaker 13: medications directly to employees and their dependents rather than through
- 18:12Speaker 13: the added intermediaries.
- 18:13Speaker 6: All right.
- 18:14Speaker 7: So what would you say the most important points are
- 18:18Speaker 7: for the listeners? We have pharmacists listening. We have specialty
- 18:22Speaker 7: pharmacy administrators, PBMs.
- 18:25Speaker 6: What do you want to tell them about Andal?
- 18:26Speaker 13: Yeah. So Andal really is created to take the complexity
- 18:30Speaker 13: out of filling a prescription. And then also to, like
- 18:33Speaker 13: I said, provide more affordable options to people. So sometimes,
- 18:37Speaker 13: you know, your doctor's writing you a prescription, you've gone
- 18:40Speaker 13: into your local retail pharmacy, or even you're ordering it
- 18:43Speaker 13: through your specialty pharmacy, and you're hit with that bill
- 18:46Speaker 13: at the end that says, oh, this medication can be
- 18:49Speaker 13: upwards of $ 1, 000 or even more because your insurance is
- 18:52Speaker 13: not going to cover it. And or the insurance is
- 18:56Speaker 13: going to cover it, but that bill is going to
- 18:58Speaker 13: be passed heavily back to your employer. And now the
- 19:02Speaker 13: employer's left with an unpredictable bill at the end of
- 19:05Speaker 13: the year. So what happens is Andel's stepping in directly
- 19:08Speaker 13: in the middle, getting rid of prior authorizations, getting rid
- 19:11Speaker 13: of utilization management, and allowing that process to be seamless
- 19:15Speaker 13: end-to-end for the patients, for the provider, for the employers,
- 19:20Speaker 13: and anybody else who's involved. I know the pharmacists get
- 19:23Speaker 13: really frustrated when they've worked really hard with a patient
- 19:25Speaker 13: to fill a medication, and then all of a sudden
- 19:27Speaker 13: that's abandoned at the end of the day because of
- 19:29Speaker 13: an affordability or coverage issue. So Andel has partnered directly
- 19:33Speaker 13: with the manufacturers. We've removed any sort of intermediary issues.
- 19:38Speaker 13: And that allows us to really lower.
- 19:40Speaker 4: The cost of the medication.
- 19:41Speaker 13: If the pharmaceutical company doesn't have to deal with pitching
- 19:45Speaker 13: to PBMs to get the top spot on their formulary
- 19:48Speaker 13: and spend years negotiating contracts, when they can just go
- 19:51Speaker 13: directly through Andal, they can lower the price for us.
- 19:54Speaker 4: We can work with our.
- 19:55Speaker 13: Own specialty pharmacists and get that medication delivered to the
- 19:58Speaker 13: patient next day.
- 20:01Speaker 6: This is revolutionary.
- 20:04Speaker 7: We launched a show called PBM Reform Podcast in 2019.
- 20:09Speaker 7: And it has been in our top three most popular
- 20:11Speaker 7: show out of our 40 plus shows that we've had
- 20:14Speaker 7: for the last five years.
- 20:16Speaker 8: Yes.
- 20:16Speaker 7: And the intensity, the heat that's being brought upon the
- 20:21Speaker 7: traditional three big PBMs who, you know, I'm not an
- 20:26Speaker 7: unrealist where I'm like.
- 20:27Speaker 6: Hey, they're the three big giants and monsters.
- 20:31Speaker 7: Like I understand things keep changing and adding and complexity
- 20:35Speaker 7: and especially in rare disease management and specialty. But Andal
- 20:40Speaker 7: is special. This is a different model for sure. There's
- 20:44Speaker 7: a bunch of pharmacies out there that are going cost plus.
- 20:47Speaker 7: There's pharmacies out there that are now taking only cash
- 20:50Speaker 7: to try to demystify the realm and be more transparent
- 20:54Speaker 7: about medication management. You fit right into that for employers.
- 20:58Speaker 13: That's the goal. Our goal is to break this system.
- 21:00Speaker 13: We really would like to push the boundaries a little
- 21:02Speaker 13: bit more. All of us on the team are ready
- 21:05Speaker 13: to see the marketplace change. And now that the times
- 21:08Speaker 13: are shifting and there's a lot more pressure on the
- 21:11Speaker 13: big three, like you just mentioned, things are changing. And
- 21:14Speaker 13: everybody is really interested in how they can make their
- 21:17Speaker 13: health care costs more predictable, how patients can actually afford
- 21:21Speaker 13: access to these revolutionary therapies. at the end of the day.
- 21:25Speaker 13: And then manufacturers are also concerned, oh, it's taking so
- 21:28Speaker 13: long for these folks to get on their medication because
- 21:30Speaker 13: they're going through prior authorizations or step therapies or all
- 21:34Speaker 13: of these other roadblocks.
- 21:36Speaker 4: And no one's having a good time. It's very challenging.
- 21:39Speaker 4: And so Andal really.
- 21:40Speaker 13: Exists to try to remove as many of those barriers
- 21:43Speaker 13: as possible just to get medication as it was designed
- 21:46Speaker 13: directly to the patient.
- 21:48Speaker 7: We have special relationships with state representatives throughout several states
- 21:53Speaker 7: that are really championing PBM reform and change and medication spend.
- 21:59Speaker 7: I would love to get some podcasts put together with
- 22:02Speaker 7: Andal's team and some of those special politicians that are
- 22:07Speaker 7: very focused on medication management. So you and I have
- 22:10Speaker 7: to talk after the NASP for sure.
- 22:12Speaker 6: I'm going to follow up with you.
- 22:14Speaker 7: But for our listeners who are also going to want
- 22:16Speaker 7: to get in touch with you, talk to us about
- 22:18Speaker 7: how we access team members on Andal.
- 22:21Speaker 6: How do our listeners get a hold of you?
- 22:23Speaker 13: Yeah, so we're a small team right now, but rapidly growing,
- 22:26Speaker 13: which is really exciting because of all the interest in
- 22:28Speaker 13: this space. You can always reach out to us on
- 22:31Speaker 13: our website. It's andel.org, A-N-D-E-L.org. We have a place where
- 22:36Speaker 13: you can reach out if you would like our sales
- 22:38Speaker 13: team to talk to you, if you need just a demo.
- 22:41Speaker 13: of the app to further understand our offerings and how
- 22:44Speaker 13: our platform works. Or also, if you're an employer who's
- 22:48Speaker 13: looking to save money on prescription drug costs, we can
- 22:51Speaker 13: provide a list of medications that are already on our platform.
- 22:55Speaker 13: And the manufacturers are constantly knocking at our door, hey,
- 22:58Speaker 13: how can we get in on this too? And so
- 23:01Speaker 13: our list is ever-changing. So I encourage anybody, if they're
- 23:03Speaker 13: interested in Andal, reach out now and then also continue
- 23:07Speaker 13: to keep an eye on us because we're always expanding
- 23:10Speaker 13: our partnerships.
- 23:11Speaker 7: Maggie, thank you so much for signing up to be
- 23:13Speaker 7: on the NESP podcast and our podcast press coverage. We
- 23:17Speaker 7: look forward to seeing you. Are you going to go
- 23:19Speaker 7: to Assembia 2027?
- 23:20Speaker 13: Yes, our team will be at Assembia. We're at all
- 23:22Speaker 13: the major pharma conferences. And so, yeah, we're really looking
- 23:26Speaker 13: forward to that in Vegas next year.
- 23:28Speaker 11: All right.
- 23:28Speaker 7: We need to have you back on the show and
- 23:30Speaker 7: our coverage there, too.
- 23:31Speaker 6: So I'll follow up with you. But thanks for being
- 23:33Speaker 6: on the show.
- 23:34Speaker 4: Yeah, for sure.
- 23:37Speaker 10: Hey, this is Matt Savard, Vice President of Sales with Plentiful,
- 23:40Speaker 10: and you're listening to the Pharmacy Podcast Network.
- 23:45Speaker 6: Matt, welcome to Inspire 2026. How are you?
- 23:49Speaker 14: I'm doing great. How are you doing, Todd?
- 23:50Speaker 6: I'm doing great.
- 23:51Speaker 7: I am so honored to have worked with the NASP now.
- 23:55Speaker 7: This is my sixth event with them, supporting their podcast publication.
- 24:01Speaker 7: We're reaching 86,000 listeners now. Specialty pharmacy is one of
- 24:05Speaker 7: the hottest topics. There are so many pieces of the puzzle.
- 24:08Speaker 7: I was just talking with another specialty pharmacy yesterday, and
- 24:13Speaker 7: the hairs are being split between sectors of specialty. Infusion specialty,
- 24:19Speaker 7: health system specialty, standalone specialty. They even have something now
- 24:22Speaker 7: called specialty pharmacy light, if you've ever heard of specialty
- 24:26Speaker 7: pharmacy light.
- 24:27Speaker 14: Specialty light.
- 24:28Speaker 6: But talk to me about your background. How did you
- 24:30Speaker 6: get into specialty?
- 24:32Speaker 7: And talk to me about your role at Plentiful.
- 24:35Speaker 14: Yeah, well, I'm happy to. Thanks for having me on, Todd.
- 24:38Speaker 10: And I got into specialty pharmacy back in Boston, which
- 24:42Speaker 10: is where I'm from.
- 24:43Speaker 14: This is actually my eighth NASP. Okay.
- 24:45Speaker 10: So it's really good to see some friendly faces and
- 24:49Speaker 10: some folks that I've gotten to work with over the years,
- 24:51Speaker 10: but got into specialty pharmacy on the health system side.
- 24:55Speaker 14: And so working mostly.
- 24:56Speaker 10: With academic medical centers and IDNs and even some smaller players,
- 25:01Speaker 10: but primarily focused on health systems to start. And then
- 25:04Speaker 10: with Plentiful, we work with not only health system pharmacies
- 25:08Speaker 10: and specialty and infusion pharmacies and specialty light, like you said,
- 25:11Speaker 10: but we also work with the standalone or independent specialty
- 25:14Speaker 10: providers that are sometimes limited. vertically integrated with PBMs and payers,
- 25:19Speaker 10: which is a really interesting dynamic. Our goal is really
- 25:23Speaker 10: to help patients get into therapy faster and alleviate some
- 25:27Speaker 10: of the manual workflows that oftentimes bog down these pharmacy teams.
- 25:32Speaker 7: We talk a lot, Matt, about getting the patient on
- 25:35Speaker 7: therapy as soon as possible. They go through the horrendous
- 25:39Speaker 7: diagnosis sometimes, the stress that's putting on them, the stress
- 25:43Speaker 7: that's putting on their family. the stress that it puts
- 25:46Speaker 7: out on our physicians that are specialists. The physician writes
- 25:49Speaker 7: the prescription, gets it through maybe an EHR system or
- 25:55Speaker 7: hands it off to the pharmacy. Then there's the prior
- 25:58Speaker 7: authorization sometime that's taking place. Talk to us about how
- 26:02Speaker 7: Plentiful is helping in the intake authorizations in that aspect
- 26:07Speaker 7: of the jigsaw puzzle.
- 26:09Speaker 10: Yeah, Plentful really sits at the intersection of all of
- 26:12Speaker 10: that work. And we offer an end-to-end platform that doesn't
- 26:16Speaker 10: solve just one of the pain points, but actually connects
- 26:20Speaker 10: the team from intake through benefits investigation, through prior authorization,
- 26:25Speaker 10: through the appeal process if the PA is denied, all
- 26:29Speaker 10: the way through to making sure that not only the
- 26:31Speaker 10: patient gets on therapy, but that the pharmacy team or
- 26:34Speaker 10: the health system is getting paid properly for the care
- 26:37Speaker 10: that and the therapies that they're delivering. So it's a
- 26:41Speaker 10: holistic platform approach, and we're really excited about that because
- 26:45Speaker 10: today there's a lot of point solutions out there that
- 26:49Speaker 10: might solve for a piece of that and actually create
- 26:52Speaker 10: some more manual work and disconnected workflows across different teams.
- 26:56Speaker 10: So Plentil solves for that by putting everything through one
- 26:58Speaker 10: platform and standardizing those workflows, leveraging AI and automation.
- 27:04Speaker 7: All right, now talk to me how this all plugs into...
- 27:08Speaker 7: the production, behind the scenes, the pharmacy management system, the
- 27:12Speaker 7: hub system.
- 27:13Speaker 6: I mean, there's, once again, there's so many parts of it.
- 27:15Speaker 7: So take me through the process of how Plentiful kind
- 27:18Speaker 7: of ties into it all.
- 27:19Speaker 11: Yeah.
- 27:20Speaker 14: We've been doing this for a number of years now.
- 27:23Speaker 10: And I think one thing that sets Plentiful apart is
- 27:27Speaker 10: we have hundreds of integrations today, and we also have
- 27:30Speaker 10: clinical pharmacy expertise. So our founder, Joy Liu, was a
- 27:35Speaker 10: pharmacy operator within specialty pharmacy.
- 27:37Speaker 14: And health systems.
- 27:38Speaker 10: We also have amazing clinical pharmacists and pharmacy strategists on
- 27:42Speaker 10: Plentful's team. And they'll oftentimes talk with our customers and
- 27:48Speaker 10: figure out how does their workflow operate today? What PMS
- 27:52Speaker 10: are they using in specialty or retail or inpatient someplace?
- 27:57Speaker 10: So all those different pharmacy settings, we have to have
- 27:59Speaker 10: a deep understanding of how do the prescriptions flow today
- 28:03Speaker 10: and how is the team doing the work? And then
- 28:05Speaker 10: Plentiful will sit on top and integrate with all those
- 28:07Speaker 10: different systems. So it's a seamless process now for everybody
- 28:10Speaker 10: using the platform. But that is a core component. And
- 28:13Speaker 10: I do think it's important for anybody that's considering an
- 28:17Speaker 10: AI platform, really understanding who is the company that you're
- 28:21Speaker 10: going to be partnering with.
- 28:22Speaker 14: Because it's not just technology. You have to also understand.
- 28:25Speaker 6: Application.
- 28:26Speaker 12: Exactly.
- 28:27Speaker 1: Context.
- 28:28Speaker 8: Exactly.
- 28:29Speaker 10: The context and then the application of that technology is
- 28:32Speaker 10: just as important as the technology itself. So we bring
- 28:35Speaker 10: all that to the table, including our expertise.
- 28:38Speaker 9: All right.
- 28:38Speaker 7: Someone's listening. They're interested in learning more. How do they
- 28:41Speaker 7: find more about Plentful?
- 28:42Speaker 14: You can go to plentful.com. So really easy to find
- 28:45Speaker 14: us on our website.
- 28:46Speaker 10: You could also reach out to partnerships at plentful.com if
- 28:50Speaker 10: you want to email us. I'm Matt at Plenful.com.
- 28:54Speaker 6: That's easy to remember.
- 28:55Speaker 14: That's an easy one.
- 28:56Speaker 7: Plenful is P-L-E-N-F-U-L.com. So Matt at Plenful.com.
- 29:02Speaker 14: That's right.
- 29:02Speaker 6: Excellent. I'm going to remember that myself. I will be
- 29:04Speaker 6: reaching out to you.
- 29:05Speaker 7: We have a special series coming up on specialty pharmacy
- 29:08Speaker 7: in health systems.
- 29:10Speaker 6: It's going to be starting in November.
- 29:12Speaker 7: And I'd like to reach out to Plenful because you
- 29:13Speaker 7: guys probably know a lot of health systems we could
- 29:16Speaker 7: tap into to get their intelligence.
- 29:17Speaker 6: So I'll be reaching out to you on that.
- 29:19Speaker 14: Yeah, thanks, Todd. We're excited. We just hit a milestone
- 29:21Speaker 14: of 110.
- 29:22Speaker 10: We're over 110 health systems and enterprise customers using Plentful today,
- 29:27Speaker 10: which we're really excited about. And yeah, if anybody's interested,
- 29:31Speaker 10: please reach out. We'd love to talk to you and
- 29:33Speaker 10: tell you more about Plentful.
- 29:34Speaker 6: Thanks, Matt. Hope you enjoy the rest of Inspire 2026.
- 29:36Speaker 15: All right.
- 29:36Speaker 6: Thank you, Todd.
- 29:41Speaker 11: Hi, Maya Hachizada with Rx2Go, and you're listening to Pharmacy Podcast.
- 29:50Speaker 7: Maya here at Inspire 2026.
- 29:53Speaker 6: Welcome to the NASP podcast.
- 29:56Speaker 4: Thank you.
- 29:57Speaker 6: All right.
- 29:57Speaker 7: So specialty, super complex situations, fragile clients and customers, patients
- 30:04Speaker 7: that are relying on us to fill in the gaps
- 30:07Speaker 7: of their care, assuring things like compliance and technology platforms
- 30:13Speaker 7: and workflow and the actual clinical information. Your organization and
- 30:18Speaker 7: your family have invested millions and millions of dollars into
- 30:22Speaker 7: infrastructure for the logistics side, and the delivery side of
- 30:27Speaker 7: what is happening in specialty pharmacy. Give our listeners a
- 30:31Speaker 7: little preview of who is Rx2Go.
- 30:35Speaker 11: Rx2Go is a logistics company, courier service, and we have
- 30:39Speaker 11: been out since 2015. And we were founded in New
- 30:44Speaker 11: York City, servicing specialty pharmacies, compounding pharmacies, and healthcare-owned pharmacies.
- 30:51Speaker 11: and servicing all of healthcare systems in New York City,
- 30:55Speaker 11: and having our own dashboard where it gives a real-time
- 31:01Speaker 11: transparency visibility in regards to the deliveries, orders, communications that
- 31:05Speaker 11: we are doing between the patients and the pharmacy when
- 31:09Speaker 11: it comes to day deliveries. having the integration with Epic
- 31:16Speaker 11: and Pioneer and all the other pharmacy software. So that's
- 31:20Speaker 11: what Rx2Go is. We stand out, not just in delivery,
- 31:24Speaker 11: but it's all hands-on and caring, last-mile delivery service.
- 31:29Speaker 7: Yes, and so it's also emergency situations that you've actually
- 31:33Speaker 7: shared with me where a health system client has a
- 31:37Speaker 7: specialty pharmacy embedded. They reach out to you because there's
- 31:40Speaker 7: some special situation happening.
- 31:42Speaker 6: What their patients need.
- 31:43Speaker 7: Talk to us a little bit about the emergency opportunities
- 31:46Speaker 7: that you have for health systems.
- 31:49Speaker 11: We know how to take care of the staff orders
- 31:53Speaker 11: as well as same-day deliveries and hospice patients, oncology patients,
- 32:00Speaker 11: and we can go on the list. And we have
- 32:04Speaker 11: a system of technology in place where they can just
- 32:08Speaker 11: go and request it directly.
- 32:09Speaker 4: From the pharmacy software.
- 32:11Speaker 11: And then we get that alert and right away within
- 32:14Speaker 11: 30 minutes to the max of an hour, they have
- 32:17Speaker 11: the driver already picking up and delivering those medications to
- 32:21Speaker 11: the patient's head.
- 32:23Speaker 15: All right.
- 32:23Speaker 7: So let's also talk about the sensitivity of our medications
- 32:29Speaker 7: in the realm of temperature control and how you've worked
- 32:33Speaker 7: in order to deliver things that are sensitive and So
- 32:37Speaker 7: how are you handling that?
- 32:39Speaker 11: And since all of the clients, they package them in
- 32:44Speaker 11: the cold boxes that are good, let's say 36 or
- 32:47Speaker 11: 48 hours. And we already know the package when it
- 32:51Speaker 11: was packed. And when we're out for the delivery, and
- 32:55Speaker 11: there are some times, very rare, it happens where patients
- 32:58Speaker 11: reschedule or it's the wrong address or, you know, it
- 33:03Speaker 11: happens and we... bring it back to the pharmacy before
- 33:07Speaker 11: it reaches the hour whether it's 36 or 48 hours
- 33:11Speaker 11: so they can repack it or resell it so now
- 33:15Speaker 11: pharmacy does not have a wasted product.
- 33:18Speaker 7: Okay let's talk about your markets so you mentioned the
- 33:22Speaker 7: state of new york and obviously new york city is
- 33:25Speaker 7: probably the biggest of those markets what other states and
- 33:28Speaker 7: markets are you covering We at the moment.
- 33:31Speaker 11: We do the tri-state New York, New Jersey, Connecticut, partial Pennsylvania.
- 33:36Speaker 11: And we are in Massachusetts, Rhode Island. And we are
- 33:40Speaker 11: in Maryland, Delaware, and partial Virginia. We're in the state of.
- 33:44Speaker 4: Florida, Texas. We're in California.
- 33:48Speaker 11: And the upcoming will be in Chicago.
- 33:52Speaker 6: Very good. Thank you.
- 33:54Speaker 7: Florida and Pittsburgh represent the beginnings of specialty pharmacy. Actually,
- 34:01Speaker 7: my hometown, Pittsburgh, was where the first specialty pharmacy started.
- 34:06Speaker 7: And then it blew up in the Orlando area because
- 34:09Speaker 7: of a relationship between FedEx and a specialty pharmacy and
- 34:13Speaker 7: understanding how sensitive and time sensitive that the shipment had
- 34:18Speaker 7: to be. So, specialty pharmacy way, way back when it
- 34:22Speaker 7: kind of like started getting its legs, the reason why
- 34:25Speaker 7: it was considered specialty was really tied to the delivery.
- 34:29Speaker 7: So you guys are in an interesting part of the
- 34:32Speaker 7: markets of specialty pharmacy, really. However, I know Rx2Go serving
- 34:40Speaker 7: other sectors of pharmacy. You're serving the long-term care pharmacy sector.
- 34:45Speaker 7: You're also serving the community pharmacy sector. So if I'm
- 34:49Speaker 7: listening and I'm a pharmacy operator and I'm operating multiple
- 34:54Speaker 7: types of pharmacies, you could be a service provider, a
- 34:58Speaker 7: vendor for me in all of those.
- 34:59Speaker 6: Absolutely.
- 35:01Speaker 11: And we have a variety of delivery options you can choose.
- 35:06Speaker 11: choose from depending on your patient needs read it same
- 35:08Speaker 11: day next day or stat orders and we also have
- 35:13Speaker 11: delivery methods you can choose from some patients might want
- 35:16Speaker 11: it to be confidential they say hey make sure it's
- 35:18Speaker 11: hand delivered to me only and When we're there, we
- 35:21Speaker 11: ask for the ID, and if it's someone else, we
- 35:24Speaker 11: give a call to the patient. If the patient isn't available,
- 35:26Speaker 11: we give a call to the pharmacy while the driver
- 35:29Speaker 11: is still present at the patient's door. For us, our
- 35:32Speaker 11: goal is to get these deliveries to the patient's hand
- 35:35Speaker 11: on the day and the time that it has been
- 35:37Speaker 11: scheduled for, and that's why we send text messages. We
- 35:40Speaker 11: do give a call to the patient. There's always communication happening.
- 35:44Speaker 11: On top of that, all the calls are recorded, text
- 35:46Speaker 11: messages are visible real-time, and on the patient's pharmacy's.
- 35:52Speaker 4: End as well.
- 35:53Speaker 6: That's very good.
- 35:55Speaker 7: Maya, I appreciate you coming over to the booth here
- 35:59Speaker 7: at the NASP, giving us some insights into the realm
- 36:03Speaker 7: of logistics as a big part of specialty pharmacy. We
- 36:07Speaker 7: hope to work with you in the future, Maya, and
- 36:08Speaker 7: see you at the next conference.
- 36:10Speaker 4: Absolutely.
- 36:10Speaker 11: Looking forward to it.
- 36:11Speaker 6: Thank you. Thank you.
- 36:14Speaker 3: Clearway Health is transforming specialty pharmacy for hospitals, health systems,
- 36:19Speaker 3: and the patients they serve. More than a specialty pharmacy partner,
- 36:23Speaker 3: Clearway Health is an extension of the care team. Working
- 36:26Speaker 3: directly with hospitals and health systems across the country, Clearway
- 36:30Speaker 3: Health helps plan, design, build, and optimize specialty pharmacy programs
- 36:35Speaker 3: that improve access, reduce barriers, and deliver better outcomes for
- 36:38Speaker 3: patients with complex medical conditions. Through their embedded care model,
- 36:43Speaker 3: Clearway Health places pharmacists and patient liaisons directly into clinical workflows,
- 36:48Speaker 3: supporting providers with prior authorizations, financial assistance coordination, and patient education,
- 36:54Speaker 3: freeing up care teams to focus on what matters most,
- 36:57Speaker 3: the patient. Powered by advanced technology and real-time data insights,
- 37:02Speaker 3: Clearway Health streamlines the entire medication journey, ensuring patients receive
- 37:06Speaker 3: the right medications at the right time. Clearway Health brings
- 37:10Speaker 3: real-world experience and proven results, helping health systems unlock new
- 37:14Speaker 3: revenue streams while expanding access to life-changing specialty medications. Clearway
- 37:19Speaker 3: Health is leading the way in transforming specialty pharmacy. Learn
- 37:23Speaker 3: more at clearwayhealth.com.
- 37:38Speaker 7: Back on the NASP podcast here at Inspire is Mei Tang.
- 37:44Speaker 6: Welcome back.
- 37:45Speaker 12: Thank you very much. It's always great to see you.
- 37:47Speaker 6: It's great to see you too. So lots has happened
- 37:51Speaker 6: since the last time we talked.
- 37:52Speaker 7: So proud of you and what you've built through the
- 37:54Speaker 7: consultancy organization. How many of your customers and clients are
- 37:58Speaker 7: relying on you to develop pathways for them so they're
- 38:02Speaker 7: not falling off and not hitting the right accreditation standards
- 38:05Speaker 7: that they need, um, just being a double checker for
- 38:09Speaker 7: them and keeping them on path.
- 38:13Speaker 6: And on schedule. So you have a special announcement. I'm excited.
- 38:17Speaker 7: It's probably the first podcast that you've been on to
- 38:19Speaker 7: actually make the announcement. But talk to us about the
- 38:22Speaker 7: new system that you've launched.
- 38:23Speaker 12: Yes, I am so excited this year. We hear the
- 38:27Speaker 12: buzzword innovation. We hear AI for the last couple of
- 38:32Speaker 12: years and innovation. Coming to NASP as a pharmacist and
- 38:38Speaker 12: accreditation consultant, for the first time, we are presenting a
- 38:44Speaker 12: technology platform built on AI technology, automating compliance tasks, and
- 38:51Speaker 12: it's super exciting for us. And we're so proud of
- 38:56Speaker 12: what we are able to identify as an pain point
- 39:00Speaker 12: from our pharmacies and healthcare organizations and turn it into
- 39:06Speaker 12: a real world solution. So we're so proud of launching
- 39:11Speaker 12: ToVerify here at NASP Inspire 2026.
- 39:14Speaker 6: It's called ToVerify.
- 39:18Speaker 4: That is correct.
- 39:18Speaker 6: That's awesome. So talk to me about.
- 39:21Speaker 7: The components within that system that does keep our specialty
- 39:25Speaker 7: pharmacies on track through what you're doing.
- 39:28Speaker 12: Absolutely.
- 39:29Speaker 8: Amen.
- 39:32Speaker 12: Organizations require pharmacies to verify pharmacist, pharmacy technician licenses. And
- 39:38Speaker 12: then payers also want to make sure that pharmacies are
- 39:41Speaker 12: dispensing valid prescriptions regularly. issued by prescribers. So all require,
- 39:50Speaker 12: requires pharmacies and healthcare organizations verify licenses through issuing organizations.
- 39:58Speaker 12: So currently it's extremely manual process. It takes about someone
- 40:03Speaker 12: five to six minutes to go through Each issuing organizations
- 40:07Speaker 12: take a snapshot of that and then keep a copy
- 40:10Speaker 12: of that and file it away. And then have to
- 40:14Speaker 12: find it during the time of accreditation or audit. So
- 40:18Speaker 12: we automated that entire process and turned it into a
- 40:22Speaker 12: few second of task using AI technology. And not only
- 40:27Speaker 12: we are protecting revenue, ensuring compliance, and this is extremely important,
- 40:36Speaker 12: especially when we look at OIG, SEM, additional regulatory compliance requirement.
- 40:43Speaker 7: So I think of after I've gotten my accreditation, I'm
- 40:49Speaker 7: up and running, how many times should I be coming
- 40:52Speaker 7: back to you to just make sure that we're doing
- 40:55Speaker 7: everything that we're supposed to be up keeping?
- 40:57Speaker 12: That's a great question. From an accreditation standpoint, it's only
- 41:01Speaker 12: required at two points. One is before you hire someone,
- 41:06Speaker 12: and then second is before the license expires.
- 41:09Speaker 4: Now, from a.
- 41:12Speaker 12: Prescription validation process standpoint, you want to make sure that
- 41:17Speaker 12: pharmacist and pharmacy technician checking that prescription holds a valid license. So,
- 41:25Speaker 12: and if there are any disciplinary actions against their license
- 41:30Speaker 12: you want to know and remove them, from the protection line.
- 41:35Speaker 12: Now today it relies on someone to volunteer that information.
- 41:39Speaker 12: With our system, we are able to detect that and
- 41:44Speaker 12: notify organizations ahead of time. So this protect companies and
- 41:50Speaker 12: pharmacies with their revenue because those prescriptions can be at
- 41:55Speaker 12: risk for reimbursement.
- 41:57Speaker 4: So our frequency.
- 41:59Speaker 12: For verification is monthly, so on a monthly basis you
- 42:05Speaker 12: verify their license is still valid and there is no
- 42:10Speaker 12: disciplinary action against their license. We also verify prescribers. So
- 42:16Speaker 12: many of the pharmacy claim system do not verify prescriber
- 42:21Speaker 12: licenses or their PICOs or their MPI numbers, so we
- 42:27Speaker 12: actually automatically verify their license and PICOs MPI, OIG, and SAM.
- 42:36Speaker 12: So that really is a missing piece from pretty much
- 42:41Speaker 12: most of the pharmacy claim systems.
- 42:44Speaker 7: Very good. I really appreciate the update of what's happening
- 42:49Speaker 7: in compliance, accreditation, keeping our specialty pharmacies on task, and
- 42:56Speaker 7: from making mistakes that are just, there's so much to
- 42:59Speaker 7: think about in running a specialty pharmacy.
- 43:01Speaker 6: So This is.
- 43:02Speaker 7: One of the most important criterias of running a specialty pharmacy.
- 43:08Speaker 7: What's next for Two Trees Consulting? Where are you guys
- 43:12Speaker 7: going next other than we're here in Washington, D.C.
- 43:15Speaker 4: Yeah, absolutely.
- 43:16Speaker 12: We're looking at innovation. What else can we do to
- 43:20Speaker 12: really take the extremely manual process out of the daily operations?
- 43:26Speaker 12: So we're looking at adding additional training. So we're building courses.
- 43:31Speaker 12: within to verify to help pharmacy staff and healthcare organizations
- 43:38Speaker 12: learn and make sure everybody is competent with their job
- 43:42Speaker 12: related training. We are also adding on additional regulatory compliance
- 43:48Speaker 12: elements from these various boards across 50 states and DC.
- 43:55Speaker 12: So that will be really, really helpful when pharmacies are Increasingly,
- 44:00Speaker 12: having their footprint nationally, it becomes really, really difficult to
- 44:05Speaker 12: track everything, so our system will be able to automatically alert, hey,
- 44:09Speaker 12: your license is expiring in 30 days, and you can't
- 44:13Speaker 12: just change your pharmacist in charge because this person is
- 44:17Speaker 12: also licensed in another state, and they require notification, they
- 44:21Speaker 12: require pharmacist to also be licensed in that state before
- 44:24Speaker 12: you make a change. So we're really excited to add
- 44:28Speaker 12: additional value to our customers, taking the manual process away
- 44:34Speaker 12: from their, helping them to really enhance their monitoring alerts
- 44:41Speaker 12: so that they can focus their time on doing clinical screening,
- 44:46Speaker 12: improving patient safety. So we're really excited on what's to come.
- 44:50Speaker 12: And next year when we're returning here, I hope to
- 44:54Speaker 12: share with you more exciting news about two trees and
- 44:59Speaker 12: to verify.
- 45:00Speaker 7: Well, we're looking forward to that May. You've been wonderful
- 45:06Speaker 7: on the show. Thank you for sharing with us. We'll
- 45:08Speaker 7: see you in Orlando at Inspire 2027.
- 45:13Speaker 12: It's always great to come up on your podcast. And
- 45:16Speaker 12: I love following you on LinkedIn and all your podcasts.
- 45:20Speaker 12: So thank you so much for having me.
- 45:22Speaker 6: Thank you.
- 45:25Speaker 11: Dr.
- 45:26Speaker 6: Michael DePaz back on the pods.
- 45:29Speaker 7: You were with Lumicera and now you're with a new
- 45:31Speaker 7: company called Clairventa.
- 45:32Speaker 6: Michael, talk to us about that.
- 45:34Speaker 16: Yeah, absolutely. So Clairventa is under the same umbrella as
- 45:38Speaker 16: Navitas and Lumicera.
- 45:39Speaker 8: Okay.
- 45:39Speaker 14: So we are one of the sister companies.
- 45:41Speaker 16: So Navitas is our PBM, Lumicera is our specialty pharmacy,
- 45:45Speaker 16: and then we have Clairventa, which is our new procurement
- 45:48Speaker 16: GPO and supply chain company. solution for really the industry.
- 45:53Speaker 14: As it's changing.
- 45:53Speaker 6: It's like the new baby of the family, huh?
- 45:55Speaker 14: Oh, absolutely.
- 45:56Speaker 6: Is it the cutest part of the family?
- 45:58Speaker 14: We are the cutest part of the family.
- 46:00Speaker 16: Absolutely.
- 46:01Speaker 1: Yeah.
- 46:01Speaker 16: So we're super excited to be able to launch ClearVenta
- 46:04Speaker 16: here in March and are working on ultimately building out
- 46:07Speaker 16: kind of this solution with two separate pathways. So one
- 46:11Speaker 16: pathway being kind of those traditional GPO services on How
- 46:15Speaker 16: can we ultimately support kind of our pharmacy membership in
- 46:18Speaker 16: the independent pharmacy space, health systems, really piggybacking off of
- 46:22Speaker 16: the work that Lumis Air has done.
- 46:23Speaker 1: That's terrific.
- 46:24Speaker 14: Which is fantastic.
- 46:25Speaker 16: And then our second solution is really kind of our
- 46:28Speaker 16: key disruptor, I'd say, within the industry and market. So
- 46:31Speaker 16: with all of the changes that are coming around in
- 46:33Speaker 16: the PBM industry, we are ultimately creating kind of a new,
- 46:38Speaker 16: I'd say, rebate type of model. So we're doing point-of-sale
- 46:42Speaker 16: discounts and point-of-sale rebates, so ultimately taking a look at
- 46:47Speaker 16: those payer rebates and applying them on the front end
- 46:50Speaker 16: through kind of our pharmacy network. So really everything at
- 46:54Speaker 16: the point-of-sale, all value for our clients, patients, pharmacies, is
- 46:59Speaker 16: recognized up front versus that very antiquated rebate model where
- 47:04Speaker 16: there's no transparency, no clarity in pricing. That's our entire goal,
- 47:08Speaker 16: and that's been the Navitas Lumisera model as well. How
- 47:12Speaker 16: do we just increase transparency and pricing within the market?
- 47:16Speaker 7: Can the PBM be connected maybe to another organization, but
- 47:21Speaker 7: you still play into a piece of it? Or does
- 47:24Speaker 7: it have to kind of take the whole model where
- 47:27Speaker 7: you're not able to?
- 47:28Speaker 6: No, absolutely.
- 47:29Speaker 16: Yeah, so we can plug in in multiple different ways, right?
- 47:32Speaker 16: So we can work with that pharmacy partner that they're
- 47:35Speaker 16: working with, just to be able to help provide kind
- 47:37Speaker 16: of better cogs, improve their pricing, right, make it more
- 47:41Speaker 16: affordable for patients, or we can work directly with that
- 47:44Speaker 16: PBM partner to be able to kind of provide that
- 47:47Speaker 16: true net pricing model, right? And ultimately, that's kind of,
- 47:51Speaker 16: you know, starts to get away from the traditional just
- 47:55Speaker 16: rebate model of the big three, where there's value captured
- 47:58Speaker 16: all the way at the top that never gets passed
- 48:00Speaker 16: through to clients. So that's our entire goal is negotiate
- 48:03Speaker 16: for that value and make sure it applies to those
- 48:06Speaker 16: key stakeholders who are doing all of the work downstream.
- 48:09Speaker 6: That's incredible.
- 48:10Speaker 7: So I want to congratulate you on helping to launch
- 48:14Speaker 7: this company and be a part of this company. Talk
- 48:16Speaker 7: to me about young pharmacists that might be listening that,
- 48:22Speaker 7: They're in their career. They want to get deeper into specialty.
- 48:25Speaker 7: What's the opportunity with an organization like Clairventa?
- 48:28Speaker 6: Yeah, absolutely.
- 48:30Speaker 16: So, yeah, so as we get growing, right, one of
- 48:33Speaker 16: the things that we'll be looking at is collaborating with different,
- 48:36Speaker 16: you know, pharmacy schools. So I'm in the Pittsburgh region
- 48:41Speaker 16: as well, so working through kind of Duquesne, University of Pittsburgh,
- 48:46Speaker 16: but then also with Lumicera and Clairventa being based out
- 48:49Speaker 16: of Madison. We also have close ties to UW, right,
- 48:53Speaker 16: as well. So I think reaching out to us, getting
- 48:56Speaker 16: that interaction with us on LinkedIn to identify how can
- 48:59Speaker 16: we get you into an internship, an Appy-like rotation. Those
- 49:04Speaker 16: opportunities are available through Lumicera today.
- 49:06Speaker 14: And as we grow, we're going to continue to have that.
- 49:08Speaker 6: Available through Clevento.
- 49:11Speaker 7: All right, Michael, let's plan to meet up at the
- 49:14Speaker 7: Pittsburgh Pharmacy Network maybe sometime. They're a great organization that's
- 49:18Speaker 7: been growing. We been there a couple meetings now over
- 49:21Speaker 7: the last five years, but let's do some Pittsburgh-ing together.
- 49:27Speaker 6: Absolutely.
- 49:28Speaker 1: Would love nothing more.
- 49:28Speaker 16: All right.
- 49:29Speaker 6: Thanks for being on the show.
- 49:30Speaker 16: Thanks for having me.
- 49:34Speaker 7: Michael Heimel with HealthWell Foundation. You and I talked at
- 49:39Speaker 7: Assembia 2026, just.
- 49:41Speaker 16: Earlier this year, right?
- 49:43Speaker 15: I think it was about a year ago when I
- 49:44Speaker 15: first started with HealthWell Foundation.
- 49:46Speaker 6: It just all runs together. It's like a blend of
- 49:49Speaker 6: where am I?
- 49:50Speaker 7: Sometimes I remember during conference season in the fall, I
- 49:55Speaker 7: think I was in Vegas, but the time difference was
- 49:57Speaker 7: messing with me. I woke up in the middle of
- 49:59Speaker 7: the night, and I'm like, I actually was.
- 50:02Speaker 6: In the middle of a dream. I didn't know where
- 50:03Speaker 6: I was. It's like all of the traveling that we do.
- 50:07Speaker 6: All right, you were on a panel.
- 50:08Speaker 7: Discussion here at Inspire 2026. Share with us how patient
- 50:15Speaker 7: assistance programs and some of the things that you guys
- 50:18Speaker 7: are doing. Talk to us about what's changed, what's upcoming.
- 50:23Speaker 7: and refresh us on this panel discussion if the listener
- 50:26Speaker 7: didn't get to hear it.
- 50:27Speaker 15: Yeah, we talked on a panel about the, from regulatory
- 50:30Speaker 15: changes to the pharmacy counter and what that all really
- 50:34Speaker 15: means for the patient as well as for specialty pharmacies.
- 50:39Speaker 15: As you go through it, we had representatives from another
- 50:42Speaker 15: independent charitable co-pay foundation as well as specialty pharmacy representation,
- 50:49Speaker 15: Andrew Babb from Biotech Remedies, And one of our grant recipients,
- 50:54Speaker 15: Janelle Bush, who is a two-time cancer survivor, was stage
- 50:58Speaker 15: four ovarian cancer when she had to find her way
- 51:01Speaker 15: to HealthWell for financial assistance. And so there's been a
- 51:05Speaker 15: lot of changes really since the Inflation Reduction Act was
- 51:08Speaker 15: passed and the caps on Medicare Part D, and then
- 51:12Speaker 15: the change in the administration and all of the changes
- 51:15Speaker 15: around the Affordable Care Act subsidies expiring, people falling off
- 51:20Speaker 15: of the ACA marketplace, what that does to Medicaid.
- 51:23Speaker 14: Enrollment and uninsured.
- 51:26Speaker 15: But also looking forward in 2027, the Part D caps
- 51:32Speaker 15: for Medicare beneficiaries are going to go up to $ 2, 400.
- 51:36Speaker 15: The administration has telegraphed that they intend to sunset the
- 51:43Speaker 15: subsidies for Medicare Part D insurance companies, which is probably
- 51:48Speaker 15: going to introduce a lot of turmoil into that market
- 51:51Speaker 15: and increase premiums. And I would expect we'll probably see
- 51:55Speaker 15: some of the insurers leave the market as part of that.
- 51:58Speaker 15: So things are going to get a lot more expensive
- 52:01Speaker 15: for patients, despite all of the focus that there has
- 52:06Speaker 15: been on the affordability of pharmaceuticals in particular. And so
- 52:12Speaker 15: taking into consideration Kaiser Family Foundation's It estimates the median
- 52:17Speaker 15: income for Medicare recipients about $ 47, 000, $ 48, 000 a year. But
- 52:23Speaker 15: one in four Medicare recipients have an income of about $ 24, 000
- 52:28Speaker 15: a year. So they're living below the federal poverty limit, $ 2, 400
- 52:33Speaker 15: a month. They're going to have a $ 2, 400 Part D cap.
- 52:38Speaker 15: If it's a Part D formulary drug, if it's not,
- 52:41Speaker 15: they're going to have to pay cash. And if they're
- 52:45Speaker 15: on a Part B drug, they still are going to
- 52:46Speaker 15: face their 20% co-pays along the way with rising premiums
- 52:51Speaker 15: in the Medicare Part D market as well as premiums
- 52:54Speaker 15: that may go up in the Medicare Advantage market.
- 52:58Speaker 7: So is it the specialty pharmacy that's working directly with
- 53:02Speaker 7: you introducing their patient to your organization? Is it the
- 53:06Speaker 7: health systems? Is it a combo of those? How are
- 53:10Speaker 7: patients getting a hold of you?
- 53:11Speaker 15: It's a combination of both. But an overwhelming majority of
- 53:15Speaker 15: patients that come to us are referred by specialty pharmacies
- 53:19Speaker 15: because that's where you really begin to see the financial
- 53:22Speaker 15: impact of the treatment plan on the patient. Many times,
- 53:26Speaker 15: providers' offices don't have time to work through that. They
- 53:30Speaker 15: don't have the staff to work through that. And I
- 53:33Speaker 15: think as somebody who came out of the hospital and
- 53:36Speaker 15: health system industry after almost 40 years, I don't want
- 53:40Speaker 15: my providers to have to think about the affordability of
- 53:44Speaker 15: the prescription they're writing. I want providers focused on making
- 53:48Speaker 15: sure the patient's going to get the best treatment for
- 53:51Speaker 15: their disease that they can. And so the script comes
- 53:55Speaker 15: into the specialty pharmacy and they start working with the patient.
- 53:59Speaker 15: And the shock happens when they get told what their
- 54:01Speaker 15: copay is going to be. And specialty pharmacists have been
- 54:05Speaker 15: wonderful partners for us over the years in referring patients
- 54:09Speaker 15: into us and really helping those patients find financial assistance.
- 54:15Speaker 15: But there's still too many patients out there that don't
- 54:17Speaker 15: know this kind of assistance exists. Janelle Bush, our grant
- 54:22Speaker 15: recipient that was on the panel with us, you know,
- 54:25Speaker 15: Jeanette's a wonderful story because she.
- 54:29Speaker 1: She's very educated.
- 54:31Speaker 15: She was a state and city attorney in Minnesota and
- 54:35Speaker 15: Minneapolis for a number of years. She's informed, and she
- 54:41Speaker 15: went through cancer treatment, didn't need financial assistance or didn't
- 54:47Speaker 15: think about financial assistance, found a way to make it
- 54:49Speaker 15: work with her insurance, and then several years later gets
- 54:53Speaker 15: diagnosed with ovarian cancer and begins to realize that She
- 54:58Speaker 15: spent a lot of her savings and other funds on
- 55:01Speaker 15: her first go-around with cancer, and now it was going
- 55:04Speaker 15: to be more challenging. And she was going to do
- 55:07Speaker 15: everything that she could to figure out how she was
- 55:10Speaker 15: going to be able to get the drugs that they
- 55:12Speaker 15: were recommending for her treatment plan. And she found her
- 55:16Speaker 15: way to health well, not through a pharmacy, not through
- 55:19Speaker 15: a provider group. But that's really the thing is, how
- 55:23Speaker 15: do we make sure patients know that That assistance that
- 55:27Speaker 15: we offer is available to them before they really get
- 55:32Speaker 15: hit in the face with this huge bill that sends them.
- 55:36Speaker 15: The shock of being told you have cancer is devastating enough.
- 55:42Speaker 15: The shock of being told you may not be able
- 55:45Speaker 15: to afford the specialty drugs that you need to cure
- 55:50Speaker 15: your cancer or treat your cancer or improve your.
- 55:52Speaker 1: Quality of life.
- 55:54Speaker 15: Really just adds to that devastation and creates a really
- 55:59Speaker 15: toxic condition for the patient from a social, economic, mental,
- 56:07Speaker 15: spiritual well-being standpoint.
- 56:10Speaker 6: Michael, this has been good.
- 56:12Speaker 7: Appreciate you giving us an update on the NASP podcast,
- 56:16Speaker 7: inviting you back if you're going to be at Assembia again,
- 56:20Speaker 7: just if there's any updates that you can bring to
- 56:22Speaker 7: our listeners.
- 56:23Speaker 6: But thank you so much for this update.
- 56:25Speaker 14: Yeah, thanks Tom for
- 56:26Speaker 15: Having me and I'll see you at Assembia in April.