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3D Printing in Compounding: One Pharmacy's Journey and a Discussion for the Industry | CurifyLabs Podcast Series · Pharmacy Podcast Network

• 0:05
  Speaker 1: You are listening to the global network of podcasters dedicated
• 0:09
  Speaker 1: to the pharmacy profession.
• 0:10
  Speaker 2: Welcome to the Pharmacy Podcast Network.
• 0:26
  Speaker 1: Welcome to the Curify Labs podcast series in partnership with
• 0:29
  Speaker 1: the Pharmacy Podcast Network. In today's episode, Todd Ury sits
• 0:35
  Speaker 1: down with Tennille Davis and T.W. Taylor to discuss the
• 0:38
  Speaker 1: state of the compounding industry, technology and compliance, and what
• 0:42
  Speaker 1: actually determines dose quality.
• 0:44
  Speaker 3: There's one place that I go to the subject that
• 0:48
  Speaker 3: is for independent community pharmacy and expansion of their business
• 0:52
  Speaker 3: and outreach to their public, outreach to their communities and
• 0:56
  Speaker 3: defining and demystifying some of the pharmacy services that you
• 1:00
  Speaker 3: provide in the realm of non-sterile compounding and the technology
• 1:05
  Speaker 3: that's available. If you've heard about Curify Labs on the
• 1:09
  Speaker 3: Pharmacy Podcast Network, it's unfolding this mystery. What is this
• 1:14
  Speaker 3: compounding printer, the compounding system that combines that advanced engineering
• 1:20
  Speaker 3: and the ingredients and the built-in intelligence from your pharmacy
• 1:24
  Speaker 3: management system? I have two people with me today that
• 1:27
  Speaker 3: I want to introduce. One is someone that I've looked
• 1:31
  Speaker 3: out and up to, our Chief Advocacy Officer for the
• 1:34
  Speaker 3: Alliance for Pharmacy Compounding, Tennille Davis. Welcome back to the
• 1:39
  Speaker 3: Pharmacy Podcast.
• 1:40
  Speaker 4: Thanks so much for having me, Todd. Good to see
• 1:42
  Speaker 4: you again.
• 1:43
  Speaker 3: You're very welcome. A new guy to the pods. I
• 1:45
  Speaker 3: want to introduce T.W. Taylor to the listeners. T.W., introduce
• 1:49
  Speaker 3: yourself and let us know what your role is in pharmacy.
• 1:53
  Speaker 2: Yeah. So I'm T.W. Taylor. I own Williamsburg Drug Company
• 1:56
  Speaker 2: in Williamsburg, Virginia. We've been in business since 1895. That's
• 2:00
  Speaker 2: longer than Ford and Goodyear and Harley-Davidson. So we specialize
• 2:04
  Speaker 2: in compounding, functional medicine, and supplements.
• 2:08
  Speaker 5: All right.
• 2:09
  Speaker 3: So I'm going to start back with Tennille because as
• 2:14
  Speaker 3: excited as I am, one of the first things I
• 2:17
  Speaker 3: think about around compounding is the safety and assurance. And
• 2:22
  Speaker 3: what's What is your views, Tennille, around the advent of
• 2:27
  Speaker 3: some of these advanced technologies in compounding, where compounding is,
• 2:32
  Speaker 3: we know, since the beginning of time of pharmacy, and
• 2:36
  Speaker 3: it's all been about ingredients and safety and compliance. However,
• 2:41
  Speaker 3: we do have to take a time out and say, hey,
• 2:43
  Speaker 3: all right, we'll look into the safety of all of this.
• 2:46
  Speaker 3: So technology and innovation is What do you see as
• 2:50
  Speaker 3: someone who has been razor sharp, laser sharp in the
• 2:53
  Speaker 3: realm of compliancy?
• 2:54
  Speaker 4: Sure.
• 2:54
  Speaker 5: You know, pharmacy compounding in my career has advanced significantly.
• 2:59
  Speaker 5: So I started in a compounding pharmacy in 1997, and
• 3:04
  Speaker 5: we were making capsules by hand, hand-packing capsules. And since
• 3:09
  Speaker 5: that time, there's been so much technology that has come out.
• 3:14
  Speaker 5: And even in the past couple of years, it's been exponential.
• 3:18
  Speaker 5: So compounding pharmacies are becoming more and more sophisticated in
• 3:22
  Speaker 5: their techniques for compounding and the tools that they use in,
• 3:28
  Speaker 5: you know, the AI systems that are being employed for
• 3:32
  Speaker 5: both formulation development and even routine pharmacy tasks.
• 3:37
  Speaker 4: So, yeah. It's not the Wild West anymore.
• 3:40
  Speaker 5: We like to say the compounding used to be the
• 3:43
  Speaker 5: Wild West, but it's definitely not that way anymore. We've
• 3:46
  Speaker 5: got lots of tools at our disposal to help make
• 3:49
  Speaker 5: sure that the compounded products that we prepare are as
• 3:54
  Speaker 5: accurate and repeatable as possible.
• 3:58
  Speaker 3: TW, do you see the innovation and technology bringing more
• 4:05
  Speaker 3: consistency to the development of some of these compounds that
• 4:10
  Speaker 3: are non-sterile. What is your view as a pharmacy operator,
• 4:14
  Speaker 3: somebody who's been in this quite a long time where
• 4:18
  Speaker 3: it was very manual, but now we have technology like this?
• 4:23
  Speaker 6: What's your viewpoint on this innovation?
• 4:25
  Speaker 2: Well, when I started, we were taught on our counter.
• 4:28
  Speaker 2: We didn't know what a hood was. And back then
• 4:32
  Speaker 2: when I worked in hospitals, we barely had a hood
• 4:35
  Speaker 2: to make the Jackson injections with. So it's changed a
• 4:39
  Speaker 2: tremendous amount. And of course, you're right. Quality and accuracy
• 4:45
  Speaker 2: is one of the most important things that we can do.
• 4:48
  Speaker 2: And I think the printer was a big help for that.
• 4:53
  Speaker 2: I did not buy a 3D printer. I bought a
• 4:55
  Speaker 2: time-saving machine. And so I think that's why we're investing
• 5:00
  Speaker 2: in technology. And like Tennille said, whether it's AI or this,
• 5:04
  Speaker 2: you've got to be at the forefront. And that's what
• 5:07
  Speaker 2: we are.
• 5:10
  Speaker 3: So, Tennille, back to compliancy and safety, just based on
• 5:15
  Speaker 3: being around pharmacy technology since 2004. I'm wondering, does this
• 5:24
  Speaker 3: present us with a way to have consistency come out
• 5:29
  Speaker 3: in the production of some of our non-sterile compoundings? What
• 5:34
  Speaker 3: have you thought about these printing technologies from a compliancy perspective?
• 5:41
  Speaker 4: They're impressive.
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  Speaker 5: The repeatability of their measurements is a lot more precise
• 5:48
  Speaker 5: than people are able to achieve by hand. So it's
• 5:52
  Speaker 5: no substitute for a pharmacist's judgment by any means, or
• 5:57
  Speaker 5: it's no substitute to double check, do things like weight
• 6:01
  Speaker 5: variation testing.
• 6:02
  Speaker 4: But it's.
• 6:04
  Speaker 5: Just from looking at these machines and watching a trial
• 6:10
  Speaker 5: of these machines, the repeatability of the measurements is impressive
• 6:13
  Speaker 5: for these kind of machines to make oil-filled capsules, suppositories, lozenges, trochies,
• 6:20
  Speaker 5: anything that requires a repeatable measurement is quite impressive.
• 6:26
  Speaker 3: As everybody knows, I mean, you listen to the show,
• 6:29
  Speaker 3: last 17 years of podcasting, it's been centered around technology
• 6:32
  Speaker 3: have kind of followed through. How is the pharmacy management
• 6:36
  Speaker 3: system communicating back to our physicians through APIs with the
• 6:40
  Speaker 3: electronic health record? How are the packaging systems evolving for
• 6:44
  Speaker 3: multi-dose packaging so that we know during different doses at
• 6:48
  Speaker 3: 8 a.m., 12 p.m., and so on is being done correctly?
• 6:53
  Speaker 3: The vision technology of these camera systems that are making
• 6:57
  Speaker 3: sure that each dose is passed, is going to be
• 7:01
  Speaker 3: correct and accurate and safe. Safety is always, of course,
• 7:04
  Speaker 3: at the center of everything. So when I think of
• 7:07
  Speaker 3: what you just said, Tennille, around the specifics, the ingredients,
• 7:12
  Speaker 3: the weight, the substance, so that everything's mixed correctly, it
• 7:17
  Speaker 3: opens my imagination up to an expansion of non-sterile compounding. TW,
• 7:23
  Speaker 3: this gets my imagination going about this technology. So The
• 7:28
  Speaker 3: Carify Labs compounding system combines that advanced engineering and premium
• 7:33
  Speaker 3: usability built in regulatory intelligence to refine non-sterile compounding.
• 7:40
  Speaker 6: Expand upon this. Tell us more about its application.
• 7:45
  Speaker 3: Well, yeah.
• 7:46
  Speaker 2: We just got our machine, our printer, in August. And
• 7:51
  Speaker 2: then I had people on vacation, so we're still getting
• 7:53
  Speaker 2: it up and running. And we're sending things back to
• 7:55
  Speaker 2: Eagle to be tested. But the other day, we had
• 7:58
  Speaker 2: to make 120 treats. Well, as you know, to make
• 8:01
  Speaker 2: a treat, you've got to weigh each one of them
• 8:03
  Speaker 2: and pack it. I mean, it's just extremely time-consuming. So
• 8:07
  Speaker 2: we decided to use Curify's veterinarian base. and print the treats.
• 8:15
  Speaker 2: And we printed 120 treats in about 10 minutes. So
• 8:20
  Speaker 2: the savings of time was just tremendous. And every treat
• 8:23
  Speaker 2: comes out, like Tenille was saying, repeatable. Everyone's exact. I mean,
• 8:27
  Speaker 2: everyone weighs the exact same. So, you know, when you
• 8:32
  Speaker 2: weigh capsules, you know, you have some variations because you
• 8:34
  Speaker 2: pack them by hand. And this will make sure that
• 8:37
  Speaker 2: everyone is the same. And so the repeatability and the
• 8:41
  Speaker 2: speed of it Is this unmatched?
• 8:46
  Speaker 4: Can I ask T.W. a question about the test?
• 8:51
  Speaker 5: So you're sending samples of these to a third-party analytical
• 8:55
  Speaker 5: lab to test these.
• 8:58
  Speaker 4: What other sorts of validation are you building into.
• 9:02
  Speaker 5: The process that you would repeat, say, every three months
• 9:06
  Speaker 5: or every six months to make sure that you know,
• 9:09
  Speaker 5: the machine continues to be as accurate as possible.
• 9:12
  Speaker 2: Yeah, so most everything that we make, we send out
• 9:16
  Speaker 2: for testing before we dispense it. And so that way
• 9:20
  Speaker 2: we know up front that the formulas and stuff are correct.
• 9:22
  Speaker 2: After that, we'll send it out every six months. We'll have,
• 9:25
  Speaker 2: you know, each technician make three, one of each of
• 9:28
  Speaker 2: the products, and then we'll send them out for testing.
• 9:31
  Speaker 2: And in between, we'll randomly send some things out as well,
• 9:34
  Speaker 2: We use the Eagle. We want to make sure everything
• 9:36
  Speaker 2: at that we dispense is correct. But the repeatability, like
• 9:39
  Speaker 2: in the capsules, I mean, you just can't get it
• 9:43
  Speaker 2: more accurate than that because every one will be exact.
• 9:47
  Speaker 2: One of the examples they gave us was a lot
• 9:49
  Speaker 2: of the pharmacists that were in Europe and America that
• 9:53
  Speaker 2: are attached to hospitals and they're cutting pills in the
• 9:56
  Speaker 2: fourths where you're not getting exactly a fourth of the
• 10:00
  Speaker 2: pill each time. When you make them with a machine,
• 10:04
  Speaker 2: every one is exact. And so the variability just goes away.
• 10:08
  Speaker 3: I was thinking of there's got to be ingredients cost
• 10:15
  Speaker 3: savings if in fact you aren't doing this manually. I
• 10:18
  Speaker 3: remember watching non-sterile compounds being put together at a pharmacy
• 10:24
  Speaker 3: where they were scraping ingredients over the tray, pushing the
• 10:28
  Speaker 3: ingredients into the, the molds. And now I'm looking at
• 10:34
  Speaker 3: this technology thinking, wow, how much of that substance, that
• 10:39
  Speaker 3: powder is being, you know, wasted because of the way
• 10:43
  Speaker 3: that you had to compound it. Um, TW, have you
• 10:46
  Speaker 3: noticed a, um, Any savings metrics per batch or something
• 10:53
  Speaker 3: that you're running through the Curify Lab system?
• 10:57
  Speaker 2: I mean, we expect that. Now, as far as when
• 11:02
  Speaker 2: you weigh everything, we're going to weigh the same amount.
• 11:06
  Speaker 2: But it's going to be more accurate because you're not
• 11:07
  Speaker 2: going to lose any. Where, like you were saying, you're
• 11:10
  Speaker 2: going to lose a little here and there. This, you
• 11:12
  Speaker 2: won't lose any. So it would be more exact. The
• 11:15
  Speaker 2: other thing is that when you're putting a liquid in
• 11:17
  Speaker 2: a capsule, it's not going to fill the capsule all
• 11:20
  Speaker 2: the way up, whether it's time-released or not. You can
• 11:22
  Speaker 2: make it either way with the printer. So now you're
• 11:25
  Speaker 2: going to have to use sometimes smaller capsules. Instead of
• 11:28
  Speaker 2: using a 1 or a 0 or something, you can
• 11:30
  Speaker 2: use a 3 or a 4. And the capsule.
• 11:35
  Speaker 2: Will be partially filled. So you have to educate your
• 11:37
  Speaker 2: patients on that because they won't be all the way
• 11:40
  Speaker 2: full again.
• 11:41
  Speaker 5: TW, I've seen a trial of these printers, but I've
• 11:46
  Speaker 5: never actually used one myself. How would they make a
• 11:49
  Speaker 5: liquid-filled capsule delayed release or extended release?
• 11:53
  Speaker 2: Yeah, you would mix it up like you would any
• 11:56
  Speaker 2: other compound, right? And so one of the challenges we
• 12:00
  Speaker 2: have is you have all these formulas in Curify software.
• 12:05
  Speaker 2: But you've got to get them over into your pharmacy
• 12:09
  Speaker 2: management system. We use Pioneer. And you've got to get
• 12:12
  Speaker 2: it over into Pioneer. And so let's say that you're
• 12:16
  Speaker 2: going to make progesterone trochies. And you could mix up,
• 12:21
  Speaker 2: let's say, a 200 milligram syringe of trochies. And you
• 12:26
  Speaker 2: can make 100 milligrams with it, 50 milligrams with it.
• 12:30
  Speaker 2: But you can't do that through your pharmacy management. So
• 12:33
  Speaker 2: you can only make 150 or you can only make 200.
• 12:36
  Speaker 2: You can't change the dose. And so some limitations that
• 12:41
  Speaker 2: you have with your system that Curify doesn't have. And
• 12:46
  Speaker 2: that's one of the things that we're running across now.
• 12:48
  Speaker 3: What other scalable opportunities are there from your perspective, TW,
• 12:54
  Speaker 3: this machine with the future of peptides, with the future
• 12:58
  Speaker 3: of other non-sterile compounding machines? substances, there's a way to, um,
• 13:07
  Speaker 3: to scale and what, you know, with, with a system
• 13:09
  Speaker 3: that can do, as you said, in 10 minutes, 120
• 13:12
  Speaker 3: treats versus however long, you know, it took before, but
• 13:16
  Speaker 3: what other, what other substances are you thinking that the
• 13:20
  Speaker 3: lights are going off that you're saying, wow, I can
• 13:22
  Speaker 3: really expand this side of the business.
• 13:25
  Speaker 2: Well, I mean, one example is ED meds. So we
• 13:28
  Speaker 2: can make a film with like Viagra, Cialis, apomorphine, oxytocin.
• 13:35
  Speaker 2: You can put that all in a film and flavor
• 13:39
  Speaker 2: it and you're good to go. But I think as
• 13:42
  Speaker 2: far as peptides, some of them are small enough to
• 13:45
  Speaker 2: go through the oral mucosa. So some of them you
• 13:47
  Speaker 2: may be able to do a film as opposed to
• 13:49
  Speaker 2: an injection, which would be good for the patient and
• 13:53
  Speaker 2: for us because then it opens it up to a
• 13:55
  Speaker 2: lot more people to be able to make it and
• 13:56
  Speaker 2: not have to restore a lab. And it looks like
• 13:59
  Speaker 2: of the six that's been approved, I think a few
• 14:03
  Speaker 2: of those will go through. So maybe up to five
• 14:05
  Speaker 2: of them you can use with a film.
• 14:11
  Speaker 3: Tamil, I really liked your question that you posed to
• 14:14
  Speaker 3: TW with regards to, on a cyclical basis, coming back
• 14:19
  Speaker 3: for accuracy and doing some testing on the machine, on
• 14:24
  Speaker 3: the instrumentation, on this technology. Is there a standardization that
• 14:29
  Speaker 3: you feel NABP or some other organization, APC for that matter,
• 14:35
  Speaker 3: you guys have always been ahead of the curve, where
• 14:38
  Speaker 3: you're going to say, hey, this technology is great, Let's
• 14:41
  Speaker 3: come up with a standardization to ensure that we're always
• 14:44
  Speaker 3: coming back for a specific timed audit on this tech.
• 14:48
  Speaker 5: Well, the industry is moving faster than the regulators, as
• 14:52
  Speaker 5: always happens. So there's nothing on the books for these
• 14:56
  Speaker 5: kind of machines yet. But I would probably extrapolate the
• 15:00
  Speaker 5: way that regulators treat like Kirby Lester types of machines
• 15:04
  Speaker 5: as to how often they need to be calibrated. I'm
• 15:09
  Speaker 5: sure that these 3D printers come with some sort of
• 15:12
  Speaker 5: recommendation for how often to recalibrate.
• 15:15
  Speaker 4: The machine as well. So obviously that has to be met.
• 15:18
  Speaker 5: But I think that a board of pharmacy inspector wants
• 15:21
  Speaker 5: to see that the machine doesn't show up, you give
• 15:24
  Speaker 5: it to a compounding technician, then never think about it again.
• 15:27
  Speaker 5: Like the responsibility for compounding still lies with the pharmacist.
• 15:31
  Speaker 5: The pharmacist still has to ensure that all the tools
• 15:34
  Speaker 5: that are.
• 15:34
  Speaker 4: Being used are being used appropriately.
• 15:38
  Speaker 5: And that includes routine maintenance and calibration to make sure
• 15:41
  Speaker 5: that it still performs in six months like it performed
• 15:44
  Speaker 5: the day you got it.
• 15:45
  Speaker 2: Well, you know, the printer does have a set of
• 15:49
  Speaker 2: scales built into it, and that's how it measures. And
• 15:53
  Speaker 2: so the analytical scale, so they need to be calibrated
• 15:55
  Speaker 2: like you would any other scale in your pharmacy.
• 15:58
  Speaker 3: This technology always gets me excited to think, where can
• 16:03
  Speaker 3: we apply this to expand business and TW got me
• 16:09
  Speaker 3: thinking about the realm of our pets and how cash
• 16:14
  Speaker 3: based business is just, you know, so much different than
• 16:17
  Speaker 3: having to rely on reimbursement business. However, explaining that, communicating
• 16:24
  Speaker 3: that and marketing it to your public is just as
• 16:27
  Speaker 3: important as being able to pump out a specific number of,
• 16:31
  Speaker 3: of traits in, in your example. So TW, how have
• 16:35
  Speaker 3: you thought about what are you doing to get ready
• 16:39
  Speaker 3: and communicate with your potential customer base on top of
• 16:45
  Speaker 3: your existing customer base who probably have pets to be
• 16:48
  Speaker 3: able to say, hey, we now can do this, this,
• 16:50
  Speaker 3: or this in either, obviously, human medication is primary, but
• 16:56
  Speaker 3: secondary as a business builder for our, um, for our,
• 17:01
  Speaker 3: our veterinarian and our, our business for our pets.
• 17:04
  Speaker 2: Oh yeah. So about a third of our compounds are
• 17:07
  Speaker 2: veterinarian right now. So we do all the animals at
• 17:11
  Speaker 2: the local bush gardens and we have a large group
• 17:14
  Speaker 2: called the Virginia living museum that has about 1200 animals.
• 17:16
  Speaker 2: So we do everything from rats and possums to Eagles
• 17:20
  Speaker 2: and wolves and everything in between. And of course, a
• 17:23
  Speaker 2: lot of dogs and cats, um, And so the vet
• 17:28
  Speaker 2: is very important to us. And this machine is going
• 17:31
  Speaker 2: to allow us to give the dosage forms to the
• 17:36
  Speaker 2: animals much faster and more accurate than we could before.
• 17:41
  Speaker 2: And it will give us new opportunities. So instead of making,
• 17:45
  Speaker 2: let's say, a tiny tab, which is time consuming and
• 17:48
  Speaker 2: difficult to deal with, we'll be able to make a film. or,
• 17:53
  Speaker 2: or a little gummy that you can just feed the animal.
• 17:56
  Speaker 2: So it'll be much easier for both the, uh, we
• 18:00
  Speaker 2: got the owner of the animal and us to deal with.
• 18:04
  Speaker 2: And we are actually going to have next week, a, uh,
• 18:08
  Speaker 2: veterinarians will be invited to our pharmacy to see our
• 18:11
  Speaker 2: printer as an introduction. And, uh, we can call it, uh,
• 18:15
  Speaker 2: marks and beers. And, um, We're going to invite them over.
• 18:19
  Speaker 2: And then the next night, we're going to have a
• 18:21
  Speaker 2: hormone replacement for men and women and all the physicians
• 18:24
  Speaker 2: and practitioners. And then the third night will be everybody else.
• 18:29
  Speaker 2: And so it'll be fun to introduce the printer and
• 18:32
  Speaker 2: get their feedback and what they would like for us
• 18:34
  Speaker 2: to make.
• 18:35
  Speaker 5: I can see big opportunities for LDN in a 3D printer,
• 18:39
  Speaker 5: especially LDN, just so the listeners know, typically the dose
• 18:44
  Speaker 5: is worked up slowly from 1.5 to 4.5 milligrams a day.
• 18:49
  Speaker 5: And if a patient has to purchase or get a
• 18:52
  Speaker 5: prescription for three different types of capsules, that's inconvenient and expensive.
• 18:57
  Speaker 5: And if a patient can titrate up with a dosage
• 19:00
  Speaker 5: form that's in quarters or thirds, then it's going to
• 19:06
  Speaker 5: make everything a lot easier for the prescriber and the patient.
• 19:10
  Speaker 2: Yeah, LDN, some of that real high-volume stuff that most
• 19:15
  Speaker 2: of us do is like LDN, progesterone. We do a
• 19:18
  Speaker 2: ton of beta-histine, methylene blue, all these things, especially the
• 19:23
  Speaker 2: high-volume ones. So we probably make 70,000 croquis a month
• 19:27
  Speaker 2: or more. And we buy progesterone at 20 kilograms at
• 19:30
  Speaker 2: a time. And so when you're doing that much volume,
• 19:35
  Speaker 2: if you can have something that speeds the process up,
• 19:37
  Speaker 2: I mean, it's just crazy. It's gold, and that's why
• 19:39
  Speaker 2: you buy this technology is to increase the quality and
• 19:43
  Speaker 2: the speed.
• 19:44
  Speaker 6: I love it.
• 19:45
  Speaker 3: I love the meticulousness of our compounding pharmacy. married to
• 19:52
  Speaker 3: technology and innovation and then turning that around, marketing it
• 19:56
  Speaker 3: to our communities. TWU are the playbook of how to
• 20:02
  Speaker 3: expand this business to invite physicians into your pharmacy and
• 20:08
  Speaker 3: invite the veterinarians into your pharmacy, when they see it,
• 20:12
  Speaker 3: it's a game changer. They'll be like, I can rely
• 20:15
  Speaker 3: on this organization. I can ask for scale. We even
• 20:21
  Speaker 3: have creativity between our pharmacy operators and owners with a
• 20:26
  Speaker 3: veterinarian to do an expansion of some custom stuff for
• 20:30
  Speaker 3: them that they could announce to the patient.
• 20:33
  Speaker 6: Through their business. So it's a business... multiplier when you're
• 20:40
  Speaker 6: doing it correctly.
• 20:42
  Speaker 3: And when you're putting this in the hands of the
• 20:45
  Speaker 3: entrepreneurial-minded pharmacy business owner, I think the possibilities are endless.
• 20:54
  Speaker 3: And I like the fact also that we're always looking
• 20:58
  Speaker 3: back on um on your experiences to keep things safe
• 21:03
  Speaker 3: to keep things compliant it's it's no new um it's
• 21:09
  Speaker 3: not really i mean it's innovation it's new technology but
• 21:12
  Speaker 3: it's not new in some ways it's it's just another
• 21:14
  Speaker 3: instrumentation and technology that you're using it always comes back
• 21:19
  Speaker 3: to the pharmacist expertise to to keep things and keep
• 21:22
  Speaker 3: the rails on and and and keep safety in mind um.
• 21:27
  Speaker 6: Tennille, this has been wonderful to have you on.
• 21:30
  Speaker 3: A shout out to the Alliance for Pharmacy Compounding, a
• 21:34
  Speaker 3: member of the Pharmacy Podcast Network. We love the Essentials Podcast.
• 21:39
  Speaker 3: It brings so much information to the network. Appreciate the
• 21:42
  Speaker 3: work that you're doing and always staying ahead. I think
• 21:46
  Speaker 3: APC and the members are always ahead of even the
• 21:50
  Speaker 3: NABP in standardization of safety and things that you're looking
• 21:53
  Speaker 3: out for. And I don't think it's going to be
• 21:55
  Speaker 3: any different when we really start putting more of the
• 21:59
  Speaker 3: technology out in place, measuring it back against some of
• 22:02
  Speaker 3: the instrumentation and the weights and the measures, coming up with, hey,
• 22:06
  Speaker 3: if you have this check in three, five years from now,
• 22:10
  Speaker 3: how are we assuring that safety and bringing our legislators
• 22:15
  Speaker 3: in for like these tours and giving them a feeling that, hey,
• 22:20
  Speaker 3: it's a compounding pharmacy, it's adhering to these standards and
• 22:24
  Speaker 3: these safety protocols and That's so important just for public
• 22:28
  Speaker 3: safety as well as just for that assurance.
• 22:37
  Speaker 5: One thing, Todd, I would like to add, if I could,
• 22:40
  Speaker 5: is that the United States Pharmacopoeia is thinking about technology,
• 22:45
  Speaker 5: and they're requesting comments right now for using alternative technologies
• 22:49
  Speaker 5: for process validation. So if your pharmacy has a U
• 22:54
  Speaker 5: account where you have access to the compounding compendium, keep
• 22:58
  Speaker 5: a lookout for that. They're requesting comments by the end
• 23:01
  Speaker 5: of November.
• 23:02
  Speaker 6: Thank you.
• 23:02
  Speaker 3: And T.W., thank you for the real-life examples and the
• 23:07
  Speaker 3: trenches of what's happening at your compounding pharmacy. We're definitely
• 23:12
  Speaker 3: going to have you back so that we can glean
• 23:15
  Speaker 3: more information from you and share this with other pharmacy
• 23:18
  Speaker 3: owners and operators who really want to expand and using
• 23:21
  Speaker 3: technology in the right way to do so.
• 23:23
  Speaker 6: So thank you, T.W.
• 23:25
  Speaker 2: If you want to really have an on-it pharmacy, Technology
• 23:29
  Speaker 2: is important, but personal contact is still the key. I
• 23:33
  Speaker 2: have a pharmacist that does all of our marketing, and
• 23:36
  Speaker 2: she's in practitioners' offices every day. And she goes in
• 23:40
  Speaker 2: as a partner with them to help their patients, and
• 23:43
  Speaker 2: that makes all the difference. She's not a salesman. And
• 23:47
  Speaker 2: so that's the key is personal contact.
• 23:51
  Speaker 6: I agree. Builds trust. Well, thank you. Appreciate you both.
• 23:56
  Speaker 3: Listeners, if you have questions, please reach out to the
• 24:00
  Speaker 3: Pharmacy Podcast Network. There's going to be a link to CurifyLabs.com.
• 24:05
  Speaker 3: Once again, in our show notes, you'll see CurifyLabs.com. And
• 24:09
  Speaker 3: we thank you, Curify Labs. We'll talk to you next time.