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The Blueprint to Pharmacy Success in 2026 | Pharmacy Tech Trends: PrimeRx · Pharmacy Podcast Network

0:05
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0:27
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0:50
Speaker 1: Hey, welcome back to the Pharmacy podcast tech Trends. This
0:54
Speaker 1: is sponsored by Primurx. It's wonderful to have Caden made
0:59
Speaker 1: a back on the for twenty twenty six kicking this off.
1:03
Speaker 1: I cannot believe, Kayden, it's already February. Are you kidding me?
1:08
Speaker 1: And here we are and it's time to go. We're
1:12
Speaker 1: already running down the track of the independent community pharmacy
1:16
Speaker 1: and pharmacy in general and what AI is doing. But
1:19
Speaker 1: it's so good to see you, Kayden. How are you? I?
1:22
Speaker 4: Likewise, it's always fun to be over here. I think
1:26
Speaker 4: it brings a natural style of thinking about like what
1:30
Speaker 4: are the things happening, and you're right. I mean, the
1:32
Speaker 4: time couldn't be better. It's twenty twenty six, and I
1:36
Speaker 4: am already preparing for what should be the road map
1:40
Speaker 4: for Q two, And I was like, wait, why are
1:42
Speaker 4: we preparing for Q two. I'm like, oh my God,
1:44
Speaker 4: Like March is already here, so it is. Time is
1:48
Speaker 4: going fast, so is technology, so our rules, so our changes.
1:53
Speaker 1: I'm excited about who's joining us today because doctor Lisa
1:57
Speaker 1: Schwartz has had her finger on the pulse of policy
2:01
Speaker 1: and technology and strategy in the realm of independent community
2:07
Speaker 1: pharmacy and the evolution of where that's going and payment
2:11
Speaker 1: models and just welcome to the show, Lisa. It's so
2:14
Speaker 1: good to see you again. It's so good to have you.
2:16
Speaker 5: Thank you so much. I'm glad to be here.
2:19
Speaker 1: All right, Lisa, you are the senior director over at
2:22
Speaker 1: the National Community Pharmacist Association, the NCPA. I'm going to
2:27
Speaker 1: start with you. It's a brand new year. It's a
2:29
Speaker 1: good time to think about what direction we're going in.
2:32
Speaker 1: What's the blueprint for success in independent community pharmacy. Share
2:37
Speaker 1: with us a little bit about your vision for twenty
2:39
Speaker 1: twenty six in our independence out there.
2:42
Speaker 5: Well, we're pretty excited.
2:44
Speaker 2: We've had some bills that have been before Congress iterations
2:50
Speaker 2: the last several sessions, and just the update that I
2:55
Speaker 2: got from the Advocacy Center this morning helping prepare for
2:59
Speaker 2: this podcast. We're excited that it looks like some Medicare
3:03
Speaker 2: reform is finally going to move forward. It's never been controversial,
3:09
Speaker 2: but it just hasn't found the right package to advance.
3:12
Speaker 5: So we're seeing there's uh, it was not a like.
3:17
Speaker 2: Smooth progression because one of the one of the funding
3:21
Speaker 2: bills actually got pulled out before the Senate voted on it.
3:25
Speaker 2: They're going to handle that in a different process, I guess.
3:30
Speaker 2: But the remaining funding bills and and the this Medicare
3:36
Speaker 2: Part D reform is part of that will go back
3:39
Speaker 2: to the House. They have to they have to re
3:42
Speaker 2: kind of redo their vote because one of the funding
3:44
Speaker 2: bills was pulled out of the package. And we're we're
3:47
Speaker 2: expecting that to be pretty straightforward and to pass and
3:52
Speaker 2: to finally be able to move and have Medicare to
3:57
Speaker 2: have CMS define what reasonable and real and reimbursement looks like.
4:01
Speaker 2: For Part D to have oversided a little bit more transparency,
4:06
Speaker 2: to have a definition of what a essential retail pharmacy is,
4:14
Speaker 2: in shoring up what access looks like for underserved communities
4:19
Speaker 2: that don't have good pharmacy access across the country. Those
4:22
Speaker 2: are all things that we're looking forward to, you know,
4:27
Speaker 2: saying we've been we've been putting a lot of effort
4:30
Speaker 2: behind getting those getting good sponsorship, support and hopefully finally passage.
4:36
Speaker 2: So that's I mean, that's kind of the bright shining
4:40
Speaker 2: star in the first quarter of our year this year.
4:43
Speaker 2: And we have our Congressional Pharmacy fly in coming up
4:47
Speaker 2: in April, so I think there will be a lot
4:50
Speaker 2: of a lot of hopefully there'll be a lot of
4:53
Speaker 2: happy folks there, but with the ability to look at
4:56
Speaker 2: sort of what's next and maybe maybe to have some
5:01
Speaker 2: like thank you conversations when they make appointments and fewer
5:05
Speaker 2: of the like pass it already conversations.
5:09
Speaker 1: I love hearing Lisa.
5:10
Speaker 4: I love hearing that, Like I know you you said
5:14
Speaker 4: that you were excited about Lisa, like I want to
5:16
Speaker 4: share in that as well. You know, I think there
5:19
Speaker 4: is not a single tech vendor in the industry who
5:23
Speaker 4: does not know Lisa, or who Lisa has not communicated
5:26
Speaker 4: with right. One of the reasons why it is really
5:31
Speaker 4: she brings in a lot of these different kinds of
5:33
Speaker 4: things that the pharmacies are going through. It does not
5:36
Speaker 4: have to be necessarily technical, but she's keeping all the
5:39
Speaker 4: tech vendors and the general industry aware about this. So, Lisa,
5:43
Speaker 4: I mean, I just wanted to you know, on behalf
5:46
Speaker 4: of all the tech vendors for sure, I just wanted
5:49
Speaker 4: to thank you. I'm like, you bring a wealth of
5:51
Speaker 4: information that we all rely on.
5:54
Speaker 2: Well, this is such an I mean, it is integral
5:58
Speaker 2: part of community pharmacy practice. And as I say integol,
6:01
Speaker 2: I'm also picking like picturing the little proteins and the
6:04
Speaker 2: cell membrane, like there's you can't you know, pharmacy can't exist,
6:13
Speaker 2: Like our cell.
6:13
Speaker 5: Membrane would explode if we.
6:16
Speaker 2: Didn't have, you know, a solid backbone and we didn't
6:21
Speaker 2: have that like protein structure of the dispensing system. Vendors
6:25
Speaker 2: helping us keep our records straight, sending real time claims,
6:29
Speaker 2: doing the prescribing transactions, and then sort of all of
6:33
Speaker 2: the other bells and whistles that you all are able
6:36
Speaker 2: to support in our member stores.
6:39
Speaker 4: Absolutely, I mean, like I remember you know, the MVP
6:43
Speaker 4: and the MFP and all those kind of things that
6:46
Speaker 4: actually have I mean, strangely enough, it looks like we
6:49
Speaker 4: were talking about it all the time and now they
6:50
Speaker 4: are actually into practice. And the thing is that NCP
6:55
Speaker 4: has done such a good job of communicating that between
6:58
Speaker 4: the NCPDP tech vendors and the pharmacists because most of
7:02
Speaker 4: the farmacies are busy running their businesses right and like
7:05
Speaker 4: dealing with all these challenges and most sometimes what happens
7:10
Speaker 4: is we come to know about these regulations from the
7:13
Speaker 4: pharmacist in the nick of time when they're going to
7:15
Speaker 4: be implemented and we're like, wait, what is that? But
7:18
Speaker 4: with you filling in those gaps, it has really become
7:21
Speaker 4: advantages and we have been able to deploy the changes
7:25
Speaker 4: much more effectively with reporting and then also use you
7:29
Speaker 4: as a sounding board to say, hey, how do pharmacists
7:31
Speaker 4: look at this rule versus that? And like it really
7:34
Speaker 4: has been a good union.
7:36
Speaker 5: So the collaboration is very much appreciated.
7:40
Speaker 2: You know, I have my experience behind the counter is
7:44
Speaker 2: now like seventeen years distant, but I do hang out
7:49
Speaker 2: with like one of my roles at NCPA is the
7:53
Speaker 2: staff liaison for the NCPA Technology Committee, and so that's
7:57
Speaker 2: a group of members that are very interested and leveraging
8:00
Speaker 2: technology to make both their business efficient but also their
8:05
Speaker 2: pharmacy practice efficient and high quality.
8:09
Speaker 5: And so having them as the sounding.
8:11
Speaker 2: Board as well, it just is it's it's honestly, it's
8:15
Speaker 2: fun to be the person that gets to interact with
8:18
Speaker 2: the technology vendors, but then also the technology enthusiast pharmacists.
8:25
Speaker 1: I think it's really cool, Lisa that you said, this
8:29
Speaker 1: is an opportunity for thanks where we always when we're
8:32
Speaker 1: going to Washington, d C. I was down with a
8:35
Speaker 1: whole bunch of pharmacists during the Pharmacist Fight Back Act
8:40
Speaker 1: that was proposed, and NCPA was there too, of course,
8:44
Speaker 1: and for you to say, hey, we're going to do
8:46
Speaker 1: a fly in it's time to continue the fight April
8:50
Speaker 1: fifteenth through sixteenth in Washington, d C. And this is
8:54
Speaker 1: a chance, obviously to get your voice heard, but it's
8:57
Speaker 1: also a chance to say thank you to those legs
9:00
Speaker 1: laders who have really jumped in. Jake Auchenklass and so
9:03
Speaker 1: many of the of our reps, state representatives and state
9:07
Speaker 1: senators and federal level that they finally understand I feel
9:12
Speaker 1: like I feel like this is the first time since
9:15
Speaker 1: I entered pharmacy that they really get it, and they're
9:19
Speaker 1: digging into the data and they're leveraging the knowledge, and
9:23
Speaker 1: they're comparing it back to their Medicaid budgets, and they're
9:26
Speaker 1: comparing it back to the impact of federal level Medicare
9:30
Speaker 1: party and they're seeing what's making sense, what isn't making sense,
9:34
Speaker 1: how the status quo is breaking our healthcare system from
9:39
Speaker 1: from the inside out. And now with all of this clarity,
9:44
Speaker 1: I feel like we are truly on the edge of
9:48
Speaker 1: building a new pharmacy care model and how it will
9:51
Speaker 1: be paid for, and how pharmacists are going to be
9:54
Speaker 1: leveraged to pull more data into clinical assessment drive of
10:01
Speaker 1: the entire treatment and I see the pharmacists becoming much
10:05
Speaker 1: more involved in the chronic management than ever before, and
10:11
Speaker 1: how tech kind of sets up for that. And I'm
10:13
Speaker 1: so glad you shot out shouted out NCPDP as well,
10:16
Speaker 1: because setting up how to collect the data, how to
10:20
Speaker 1: exchange the data, how to leverage the data from all
10:23
Speaker 1: the EHRs, and then getting pharmacists in front of it,
10:26
Speaker 1: this is seriously an exciting time. I know when you
10:29
Speaker 1: get punched in the face as many times as the
10:32
Speaker 1: pharmacist and our independent community pharmacies do, to the point
10:36
Speaker 1: that some of them, you know, went out of business unfortunately,
10:39
Speaker 1: just over the years. This is the time where we're
10:42
Speaker 1: seeing we're building a brand new ship and it's it's different,
10:47
Speaker 1: and I can I can feel the momentum growing. So
10:50
Speaker 1: I was so excited to see the fly in. I
10:53
Speaker 1: think it's going to be a celebration fly in in April.
10:55
Speaker 1: But I was also excited to see the NCPDP data
10:59
Speaker 1: come out and really getting the attention of Wall Street,
11:03
Speaker 1: where we're saying, hey, independence make up one hundred and
11:06
Speaker 1: three billion dollars of revenue in twenty twenty four. Talk
11:11
Speaker 1: to our listeners a little bit about all of those components.
11:14
Speaker 1: I know, I threw a lot of ingredients at you
11:16
Speaker 1: all at once.
11:18
Speaker 5: One of my.
11:20
Speaker 2: Department home at the Association is policy and for policy
11:24
Speaker 2: and pharmacy Affairs, and so I do a little bit
11:28
Speaker 2: of the straddle between pharmacy practice and then what we're
11:33
Speaker 2: seeing and legislation that's likely to be passed or the
11:37
Speaker 2: rulemaking that's going to happen once we have a law passed.
11:42
Speaker 2: But one of my interesting projects that gets used by
11:47
Speaker 2: just about everybody in the building is the NCPA Digest,
11:51
Speaker 2: which is sponsored by Cardinal Health every year.
11:54
Speaker 5: It's a huge amount of work to.
11:57
Speaker 2: Get like to collect the data that we use in
12:01
Speaker 2: the digest. It's a long survey that I'm very grateful
12:05
Speaker 2: for the number of pharmacies that filled that out and
12:08
Speaker 2: send that in. We do our survey collection in like
12:12
Speaker 2: May and June every year, so hugely important, hugely.
12:16
Speaker 5: Helpful for us.
12:17
Speaker 2: That's where we're able to say we know that the
12:20
Speaker 2: average pharmacy has about five point four million dollars in revenue.
12:25
Speaker 2: We know that there are eighteen nine hundred and some
12:29
Speaker 2: independent pharmacies out there, so you know, you know a
12:33
Speaker 2: times b We understand that there's a huge economic impact
12:38
Speaker 2: that is the result of independent pharmacies existing. We see
12:43
Speaker 2: click go one more do we get the one two more?
12:51
Speaker 5: Knew?
12:51
Speaker 2: This year we added a section about pharmacy. About Pharmacy
12:57
Speaker 2: Access Initiative, a collaboration between University's Southern California and NCPA.
13:03
Speaker 2: We wanted to help folks have a good visual for
13:06
Speaker 2: what parts of the country have good access to a
13:09
Speaker 2: brick and mortar pharmacy. There are certainly times where having
13:15
Speaker 2: medications delivered by mail help folks get by. But being
13:20
Speaker 2: able to go and get a prescription filled as soon
13:25
Speaker 2: as you need it and you address any issues with
13:29
Speaker 2: is this right, medication interactions, allergies and some of those
13:33
Speaker 2: mistakes still sneak through on the prescriptions. But you know,
13:38
Speaker 2: there are parts of the country, and I'm even thinking
13:42
Speaker 2: of where I have family In northern Minnesota, our local
13:46
Speaker 2: post office doesn't do the sorting anymore. The sorting happens
13:51
Speaker 2: and it's either Saint Cloud or Fargo, which is like
13:53
Speaker 2: a good two hours away from where my folks live.
13:57
Speaker 2: So for them, having independent pharmacy in town is very important.
14:01
Speaker 2: I'm glad that that owner is there. I know he
14:04
Speaker 2: takes good care of my parents. But they circle back.
14:10
Speaker 2: The NCPA digest I think, is an incredibly useful report
14:14
Speaker 2: that we put together every year and really helps us
14:16
Speaker 2: understand what all is going on in our members' stores.
14:21
Speaker 5: I guess.
14:21
Speaker 2: In preparing for this podcast, we talked a little bit
14:24
Speaker 2: about one of the interesting trends that we're seeing. We
14:27
Speaker 2: have long seen that independent pharmacies dispense medications to patients
14:32
Speaker 2: who live in skilled nursing facilities or assisted living facilities
14:37
Speaker 2: long term care. But we're also really starting to see
14:41
Speaker 2: that patients are getting these pharmacy services, long term care
14:45
Speaker 2: pharmacy services at their home. So we've added a whole
14:49
Speaker 2: program into our long term care division to help folks
14:52
Speaker 2: understand what's required to offer long term care pharmacy services
14:57
Speaker 2: to patients who are at their home. You know, it's
14:59
Speaker 2: not just putting them in packaging and delivering them. There
15:02
Speaker 2: are other services that wrap around to qualify and be
15:06
Speaker 2: long term care services.
15:08
Speaker 5: So we know we forgot about it is mark my
15:13
Speaker 5: page here.
15:14
Speaker 2: Fifty five percent of our members said that they do
15:17
Speaker 2: some sort of long term care services.
15:20
Speaker 5: But we also know that there's a.
15:23
Speaker 2: Range that skilled nursing facilities, assists in living facilities, might
15:27
Speaker 2: be correctional facilities. And we've also seen the number of
15:31
Speaker 2: beds that people are taking care of patients in their
15:34
Speaker 2: home row.
15:35
Speaker 5: By quite a bit.
15:36
Speaker 2: So I think that's a really good opportunity something that
15:40
Speaker 2: moving forward. A lot of pharmacies oners see long term
15:44
Speaker 2: care services as a very important part of their business
15:48
Speaker 2: model and source of revenue.
15:50
Speaker 4: To be honest, Yeah, and thought you did join a
15:55
Speaker 4: lot you know, there's something about mention about clinical services
15:59
Speaker 4: and I think are referred to it as well. You know,
16:02
Speaker 4: there's long term, there's long term care pharmacies in our
16:07
Speaker 4: network also, they have started utilizing this and the ability
16:11
Speaker 4: to provide clinical services is something that the pharmacistst coach for. However,
16:17
Speaker 4: in the day to day process of managing and running
16:20
Speaker 4: the business, sometimes they miss out on the opportunity because
16:24
Speaker 4: the mindset coached for all these decades is still into
16:29
Speaker 4: a fill in bill mode. So pharmacies that actually utilize
16:35
Speaker 4: you know, appropriate ihurocation or diversification within their businesses, they
16:40
Speaker 4: trend to thrive more because obviously because of profits. You know,
16:45
Speaker 4: the way that they get rembursed on LTC claim versus
16:48
Speaker 4: a regular claim, and then the way they get reimbursed
16:51
Speaker 4: for long term get at home services or a clinical
16:54
Speaker 4: service sources a regular blood pressure medication that they are
16:57
Speaker 4: transmitting is completely different. And this is where I think
17:00
Speaker 4: that the tech vendors can actually really them, Like, so,
17:07
Speaker 4: is there really in today's day and age with automation, AI,
17:11
Speaker 4: data hands is all behind this, is there really a
17:14
Speaker 4: need for them to be processing electronic prescription? So what
17:18
Speaker 4: are the things that we can do to map out
17:21
Speaker 4: a prescription that is coming electronically with the right data
17:25
Speaker 4: that's in your pharmacy, with the inventory, and then essentially
17:29
Speaker 4: reduce the time for them to process a perscription and
17:32
Speaker 4: the time that is saved can be used into those
17:35
Speaker 4: clinical services. Right. So we have actually launched complete automated
17:43
Speaker 4: processes and pharmacies that are actually utilizing them are saving.
17:49
Speaker 4: You know, there's various levels of tolean instead of pharmacy
17:52
Speaker 4: may want so from complete automation to partial automation, but
17:55
Speaker 4: on an average they'll save at least thirty five to
17:58
Speaker 4: forty percent of from the prescriptions that they would normally
18:01
Speaker 4: filled by using automation. And we've seen that data just
18:05
Speaker 4: in the initial stages, and I think we are trying
18:09
Speaker 4: to gather more and more of like what is it
18:11
Speaker 4: that we can do to automate? So the intent is
18:14
Speaker 4: save time, make rescription filling utility, and utilize the time
18:20
Speaker 4: to train your staff to provide those clinical services and
18:24
Speaker 4: generate the care plans and generate the medical building, right,
18:26
Speaker 4: because that's where I think the growth is moving towards.
18:29
Speaker 4: And I think that the digest that a cardinal has
18:34
Speaker 4: graciually graciously been sponsoring for all these years shows that
18:39
Speaker 4: trend where the pharmacies that move into that kind of services,
18:44
Speaker 4: they are the ones that are driving more So, there's
18:46
Speaker 4: literally a shift in the industry where everybody has to
18:49
Speaker 4: understand and adjust onto where they should be focusing their
18:53
Speaker 4: efforts are.
18:54
Speaker 2: And sometimes the inertia is like I know, you know,
18:59
Speaker 2: if hypothetical pharmacy owner, I know that my dispensing system
19:04
Speaker 2: was support has the technology for me to do this better?
19:09
Speaker 2: I've been working with customers before me, people that are
19:12
Speaker 2: at the you know, like my technology committee, that are demanding,
19:16
Speaker 2: like I need this support, make it happen, And eventually
19:19
Speaker 2: rolls down to the average pharmacy owner who's like, yeah,
19:23
Speaker 2: I really need to figure this out now. Some of
19:26
Speaker 2: the innership comes over what how do I actually change
19:30
Speaker 2: my workflow?
19:32
Speaker 5: What staffing?
19:34
Speaker 2: How to identify somebody who's on staff who's going to
19:36
Speaker 2: be good at this particular role or this particular role,
19:40
Speaker 2: cross training them and a few years back, the Community
19:45
Speaker 2: Pharmacy Foundation gave a grant for Flip the Pharmacy, and
19:49
Speaker 2: through several cohorts of training groups of pharmacists, we helped them,
19:55
Speaker 2: you know, identify digestible bites of their workflow to tackle.
20:02
Speaker 5: Those materials are still online.
20:04
Speaker 2: You don't need to be part of a flip the
20:07
Speaker 2: pharmacy cohort to go out and look at the materials
20:10
Speaker 2: and you decide to work with your staff on doing
20:13
Speaker 2: some practice transformation to make sure that you have if
20:17
Speaker 2: you have the technology that supports freeing up this time,
20:22
Speaker 2: that you do it in a way that's smart. So
20:25
Speaker 2: the time isn't minutes here and there, it's a half
20:28
Speaker 2: hour here and there where you can actually do some
20:31
Speaker 2: focused work or start making some patient appointments.
20:36
Speaker 4: I think we can do chick vendors. We can actually
20:40
Speaker 4: do a better job at that.
20:41
Speaker 1: Right.
20:41
Speaker 4: That means what I'm trying to say is, yeah, we
20:44
Speaker 4: have had all these features and functions for so many years, right,
20:48
Speaker 4: but we were still focused on filling the need for
20:51
Speaker 4: fill and build. The reason is because that's what majority
20:53
Speaker 4: of the finnacies were doing. Right. So, yeah, you want
20:55
Speaker 4: to generate a medical building file, Okay, you can click
20:58
Speaker 4: here do this. You want to generate a chare or
21:00
Speaker 4: a clinical documentary, we can click here do this. So
21:02
Speaker 4: why all these options are available, we could actually do
21:05
Speaker 4: a better job of bringing them into the workflow along
21:08
Speaker 4: with the automation, so that way they don't have to
21:11
Speaker 4: remember to go and do something. It should be a
21:13
Speaker 4: part of their natural filling process workflow. So the fill
21:16
Speaker 4: in bill should include the ability to identify a new therapy,
21:19
Speaker 4: the ability to generate automated care plans, the ability to
21:22
Speaker 4: generate automatic automated building medical billing files. We should be
21:27
Speaker 4: able to integrate with the vendors that specialize in those
21:31
Speaker 4: kind of scenarios that are actually helping the finacies and
21:33
Speaker 4: then just keep on moving in that direction. And I
21:35
Speaker 4: think there is room for improvement and there's a lot
21:39
Speaker 4: of opportunity over there where VS techvendors can provide that
21:42
Speaker 4: or bridge that gap. Rather.
21:47
Speaker 1: I'm excited, Lisa, what I'm hearing from pharmacy owners and
21:51
Speaker 1: they're rolling out new programs that I've never heard pharmacists
21:55
Speaker 1: managing before. It all started with immunization programs and extension
22:01
Speaker 1: of long term care at home services. I heard more
22:05
Speaker 1: about remote remote patient monitoring systems and services that they're
22:09
Speaker 1: getting reimbursed for. And now I'm hearing about testing. I'm
22:13
Speaker 1: here about allergy management, contraception. I'm hearing about all these
22:19
Speaker 1: other services where we've always said that the community pharmacy
22:24
Speaker 1: was that healthcare hub of their community, but it literally is.
22:28
Speaker 1: I mean everything that's cultivating, everything's being tied in. It's
22:33
Speaker 1: not really about the prescription anymore standing alone. It's like
22:37
Speaker 1: that's a component of a bigger picture of what are
22:41
Speaker 1: community pharmacies are going to be able to dial into.
22:43
Speaker 1: And then you have the superduper stars that are then saying, hey,
22:48
Speaker 1: i want a physician assistant to be assigned to a
22:53
Speaker 1: clinic style environment where I'm actually offering general health care
22:59
Speaker 1: services that are a business that's attached to my pharmacy.
23:02
Speaker 1: And then long term care at home is opening deeper
23:06
Speaker 1: doors for bringing in light bathing and shopping and like
23:13
Speaker 1: having those home care services that are now being embedded.
23:17
Speaker 1: So I this is this realm and this part of healthcare,
23:23
Speaker 1: which is the long term, that long term effect in education.
23:28
Speaker 1: It's coming from our independent community pharmacy. It's going to
23:32
Speaker 1: be a whole different looking business. You know, five ten
23:36
Speaker 1: years from now.
23:39
Speaker 2: That the truth I'm thinking of things, you know, the
23:44
Speaker 2: different services that you would listen off and having a
23:47
Speaker 2: co located health clinic, you know, that's something that we've
23:51
Speaker 2: talked about for years. Members here and there, you know,
23:55
Speaker 2: ones and twos figure it out, but finding that scalable
24:01
Speaker 2: model has been something that is still super interesting, especially
24:05
Speaker 2: for some of the pharmacy shortage areas where it's a
24:08
Speaker 2: pharmacy shortage area and if a pharmacy were to open up, great,
24:14
Speaker 2: that addresses access to prescription medications. But there might also
24:18
Speaker 2: it's a really good chance actually that it's also a
24:21
Speaker 2: primary care shortage area. So even some of the things
24:26
Speaker 2: that are in scope for pharmacists to do can address
24:29
Speaker 2: some of those primary care gaps. But the opportunity to
24:34
Speaker 2: have you know, sort of a mid level practitioner there
24:36
Speaker 2: as well, super super exciting.
24:43
Speaker 1: It really is, Kayden. We've set the stage over the
24:47
Speaker 1: years of building a system that is now like a
24:51
Speaker 1: Lego machine that you just snap on the next thing
24:54
Speaker 1: in the you know, on the legos, so that you
24:56
Speaker 1: can actually execute. Talk to us a little bit of
25:00
Speaker 1: about the realm of artificial intelligence and where AI ties
25:04
Speaker 1: into the success of our independent community pharmacies.
25:10
Speaker 4: Yes, so we have actually started working on the there
25:15
Speaker 4: are three passages to AI. From where we stand, we
25:19
Speaker 4: see that AA can actually help the pharmacy if you
25:22
Speaker 4: actually break it up into those three dimensional facets. So
25:24
Speaker 4: the first one is the consumer facing side. So you
25:28
Speaker 4: know the consumer of today needs everything on their phone
25:32
Speaker 4: and text messages, etc. I mean like most of the
25:34
Speaker 4: times they like to talk and if so, then on
25:38
Speaker 4: a secure line. You know, people want just convenience, right,
25:41
Speaker 4: So we are trying to bring in that that kind
25:45
Speaker 4: from model to the patients where they go through an
25:49
Speaker 4: appless environment where everything is initiated through text. And then
25:53
Speaker 4: essentially what the pharmacist does is when they call, pharmacists
25:56
Speaker 4: are looking at the screen and then interpreting the data
25:59
Speaker 4: that has been relied to them from a farmacy envinagement
26:02
Speaker 4: system and then talking about that to a patient.
26:05
Speaker 1: Right.
26:05
Speaker 4: So some of the stuff we can automate because we
26:08
Speaker 4: have that, we can actually authenticate the patient in a
26:12
Speaker 4: secure manner. Once the patient is authenticated, we can talk
26:15
Speaker 4: to them about their medications, is it ready or not,
26:17
Speaker 4: if they have a copay and they'd like to pay
26:19
Speaker 4: for it or that's four hours. All this information is
26:23
Speaker 4: what typically the pharmacism is on the phone line for right,
26:27
Speaker 4: So we are trying to bring air into that kind
26:31
Speaker 4: of mechanism for the phones. And also we are allowing
26:34
Speaker 4: them to chat with the AI bot that can securely
26:39
Speaker 4: send that message that like, hey these are these are
26:41
Speaker 4: your refils? Do you want to authorize? Pay for it?
26:44
Speaker 4: And all that kind of stuff. So with the phone
26:46
Speaker 4: and the chat, that's what we're doing. The second one
26:48
Speaker 4: is the product site where we are putting in AI
26:54
Speaker 4: into the system. So, for example, a lot of the
26:56
Speaker 4: electronic prescriptions come through, we see that the the day's
27:00
Speaker 4: supply is missing, right, and most of the time the
27:03
Speaker 4: system usually prompts it like, hey they supply missing, please enter.
27:06
Speaker 4: But you could actually use AI by looking at the directions,
27:10
Speaker 4: knowing the medication and like automatically populating that kind of data. Right,
27:14
Speaker 4: So those are the kind of stuff that we can
27:16
Speaker 4: actually bridge into the pull into the product so that
27:21
Speaker 4: way the AI can utilize for the pharmacy. And the
27:24
Speaker 4: third facet is the service side. So pharmacyse callars for
27:28
Speaker 4: support and service. Most of the times is the same
27:32
Speaker 4: scenario that is happening in one pharmacy, and the same
27:34
Speaker 4: solution that is happening in one pharmacy is being applied
27:37
Speaker 4: to thousands of them. Right, So you are getting on
27:38
Speaker 4: the same phone call and you are just answering the
27:40
Speaker 4: same thing. So we are using the knowledge based articles
27:44
Speaker 4: that we have to generate the AI bought that can
27:47
Speaker 4: respond to the standard questions that typical pharmacies have. Beyond these,
27:53
Speaker 4: they if a patient wants to speak with the pharmacist,
27:55
Speaker 4: we are not stopping that. We are still allowing the
27:58
Speaker 4: patient to communicate effectively, just trying to utilize the time
28:02
Speaker 4: for the farms smartly. If they are interpreting the same
28:05
Speaker 4: data to their mouth, you're simply using AIO the same
28:09
Speaker 4: thing that we are doing. Support things.
28:13
Speaker 2: That's exciting being able to some pharmacies talk about having
28:19
Speaker 2: you know, switching on an iv O or switching IVR providers,
28:23
Speaker 2: something along those lines, and just noticing how much quieter
28:29
Speaker 2: and calmer the pharmacy feels without a phone constantly ringing.
28:34
Speaker 2: I think that makes a big difference if a lot
28:37
Speaker 2: of the calls can be handled with an AI agent.
28:41
Speaker 2: You know, refills get processed, prescribers get to leave messages
28:46
Speaker 2: whatever it looks like, you know, easy, easy questions. Are
28:49
Speaker 2: you open today? What are your hours handled? Without having
28:53
Speaker 2: to talk to a live person?
28:55
Speaker 4: You know, I want my prescription delivered? Versus pective, do
28:58
Speaker 4: you really need people to be on that call for
29:01
Speaker 4: those three minutes. And you know what, I think, as
29:05
Speaker 4: this technology matures and more and more pharmacies atop, I
29:09
Speaker 4: actually think it will aid in less errors as well,
29:13
Speaker 4: because what happens is when you're filling up prescription and
29:16
Speaker 4: then you're distracted by phones, that's what actually breaks your
29:19
Speaker 4: thought of like thought pattern into a clinical decision. Right,
29:23
Speaker 4: So if we allow less and less noise into the
29:26
Speaker 4: pharmacy and let the pharmacies being more hammer I think
29:28
Speaker 4: they'll make less errors as well, So it will actually
29:31
Speaker 4: help them.
29:32
Speaker 2: I think the pharmacists feel like they're having a better
29:35
Speaker 2: interaction with the patients that are in the store too,
29:39
Speaker 2: when there's less distraction behind the pharmacy counter. You know,
29:43
Speaker 2: most of the time, it's really nice to have a
29:45
Speaker 2: conversation with a patient, even if it's not you know,
29:49
Speaker 2: once we've taken care of any questions that they have
29:51
Speaker 2: about medications or first aid or you know, if I'm
29:54
Speaker 2: doing some sort of triage question that they have about
29:58
Speaker 2: symptoms that have shown up, but to also you know,
30:02
Speaker 2: ask about family or other events that are going on
30:05
Speaker 2: in town. I was, you know, I grew up in
30:08
Speaker 2: a small business my parents owned a small business and
30:11
Speaker 2: then worked for my next door neighbor when I was
30:14
Speaker 2: in high school in his pharmacy, and you know, it
30:17
Speaker 2: was just it was nice to be able to have
30:19
Speaker 2: those sorts of conversations when when patients came in there.
30:22
Speaker 2: I mean, there was one gentleman who had come in
30:25
Speaker 2: and he he had a different magic trick every time
30:29
Speaker 2: he came in. So I always got a little magic
30:31
Speaker 2: trick from Bill.
30:34
Speaker 1: That's cool. That's the specialness of the relationships that are
30:38
Speaker 1: built with people in the community, and and then the
30:41
Speaker 1: networking that happens within the community. To understand, I had
30:45
Speaker 1: no idea my independent community pharmacy did this, this or this,
30:49
Speaker 1: and it's it's that continuing banging of the of that
30:53
Speaker 1: steady drum for being the advocate of their patient and
30:58
Speaker 1: fighting for their patient. And you just don't get that
31:01
Speaker 1: with some of the you know, I'm a fan of
31:04
Speaker 1: the big chain pharmacists out there because I want them
31:08
Speaker 1: to succeed too, But there's just a flavor difference of
31:12
Speaker 1: it all. It's almost like, you know, you can eat
31:16
Speaker 1: Chick fil A, which is my most favorite you know,
31:19
Speaker 1: fast food, ever it'll always i mean nothing beats it
31:23
Speaker 1: for me at least, But I'm not eating that every day.
31:25
Speaker 1: I'm gonna go home and get some nutritional food. And
31:30
Speaker 1: I just feel like that's it's a difference in pharmacy
31:33
Speaker 1: of what our independence are able to do because it's customization.
31:36
Speaker 1: Everybody keeps saying this buzzwords precision medicine, Well what does
31:39
Speaker 1: that mean? That means personalization. That means, hey, you are
31:43
Speaker 1: you are patient. You might have a number in my system,
31:46
Speaker 1: but you're completely different needs than anyone else that's coming
31:50
Speaker 1: into my opportunity to engage you and talk to you
31:53
Speaker 1: about better health. And then that trickles down into the
31:55
Speaker 1: entire families that these people are talking taken care of.
31:59
Speaker 1: If one family member has diabetes and the rest of
32:02
Speaker 1: the family is, you know, is accessible, there's lots of
32:07
Speaker 1: questions that can be asked, Hey, how's everything going with
32:09
Speaker 1: your children, or how's you know, how's your grandmother doing?
32:12
Speaker 1: And that inclusiveness is is what healthcare is missing when
32:19
Speaker 1: it's being pushed into fast bang bang bang bang bang.
32:23
Speaker 1: Let's do a thousand prescriptions a day and barely make it.
32:27
Speaker 1: Now we're being drawn back. I don't want to say
32:30
Speaker 1: the old fashioned days, but drawn back to a time
32:33
Speaker 1: where things were just a little bit more slowed down,
32:36
Speaker 1: but it was the quality of the healthcare being provided
32:39
Speaker 1: versus the quantity.
32:41
Speaker 2: You mentioned precision medicine, you know. So that that makes
32:45
Speaker 2: me think of one of the interoperability challenges that we
32:48
Speaker 2: have right now. I was working earlier today on a project.
32:54
Speaker 2: NCPA has an elective rotation, So right now we have
32:58
Speaker 2: pharmacy students are on rotation with NCPA. We do it
33:03
Speaker 2: virtual and then also in person in DC. But one
33:06
Speaker 2: of them is very interested in technology and how pharmacy
33:11
Speaker 2: is practice management can be assisted by technology, and I said, well,
33:16
Speaker 2: let's look at this list of sixty some and so
33:20
Speaker 2: there's sixty two approved message codes that exist in the
33:24
Speaker 2: NCPDP standard to tell the pharmacist in a codified, specific way.
33:30
Speaker 5: So it's not free text.
33:31
Speaker 2: It's like a two character code numbers one through sixty two.
33:35
Speaker 2: Presently something about the approved claim response.
33:40
Speaker 5: It's come back.
33:41
Speaker 2: So most recently with Maximum Fair Price the drug Negotiation program,
33:47
Speaker 2: we all got real attuned to the approved message code
33:51
Speaker 2: zero six one right that this claim is eligible for
33:54
Speaker 2: the maximum Fair pricing. There's a different approved message code
33:58
Speaker 2: that would tell the pharmacy see that refills for particular
34:02
Speaker 2: medication are going to be dependent on the patient having
34:08
Speaker 2: a match with their pharmacogenomic panel. So how does the
34:15
Speaker 2: pharmacy know what the patient's pharmacogenomics are if they've ever
34:19
Speaker 2: had testing period, or maybe testing needs to be ordered.
34:23
Speaker 2: So I think that gets at my point of something
34:26
Speaker 2: that's an interoperability gap that we're experiencing right now. I
34:30
Speaker 2: don't know that pharmacogenomic results are are well standardized. I
34:37
Speaker 2: think there exists some standardization for you know, the metabolizer
34:42
Speaker 2: status on the various sip enzymes or other enzymes that
34:45
Speaker 2: we're curious about for pharmacogenomics, but that's really important information
34:50
Speaker 2: and could be really useful to have available, Like if
34:54
Speaker 2: the testing has been done, how can it be incorporated
34:58
Speaker 2: into the patient's prescription profile, well, sort of along the
35:01
Speaker 2: lines of an allergy status or some other intolerance, so
35:06
Speaker 2: that anytime a new prescription comes in, the pharmacy can
35:09
Speaker 2: screen for that right away. We know some health plans
35:13
Speaker 2: like can do that, but that's probably in a case
35:15
Speaker 2: where they required and then paid for the particular test,
35:21
Speaker 2: and it could be specific gene, it might be a
35:24
Speaker 2: panel we don't know.
35:28
Speaker 4: I think and all those you knows as the standards evolve,
35:33
Speaker 4: sotus technology, right. You know that EHL seven used to
35:37
Speaker 4: be the mainstay, and now everything's fired because the expanded
35:40
Speaker 4: data sets and all that's sometimes I wish you would
35:46
Speaker 4: go into something and break it and restructure it with
35:49
Speaker 4: the modern or the current reamborsement and the modern pharmacy inside, right,
35:55
Speaker 4: and then also centralize that data feeds so that way
35:59
Speaker 4: all these clinical decis can be made appropriately by the pharmacy,
36:03
Speaker 4: by the prescriber or any of the caregivers, right, and
36:07
Speaker 4: patients being center. And there are a lot of organizations
36:11
Speaker 4: that have started doing this. I think adoption is primarily
36:18
Speaker 4: an issue. The reason is because the reimbursement cycles have
36:21
Speaker 4: not necessarily callven through that right. So what happens is
36:24
Speaker 4: you may have the best intention, but the technology the
36:27
Speaker 4: ability for you to coach your staff in a particular
36:30
Speaker 4: manner and then provide that patient the care that they
36:34
Speaker 4: are supposed to get, right, is where I think the
36:37
Speaker 4: opportunities are. Like the pharmacutenomics code that you're referring to,
36:41
Speaker 4: you could have a code, but as you said, in
36:43
Speaker 4: absence of data, then like what do you do with
36:46
Speaker 4: that right, Like, you have the ready to communicate, but
36:48
Speaker 4: then you still have half of the other standards that
36:50
Speaker 4: are not merging. So you know, there will be a
36:54
Speaker 4: point in time and when you know, the policy people,
36:59
Speaker 4: legislators that take vendors and everybody will come and agree
37:02
Speaker 4: on a communicating standard and all the things that need
37:06
Speaker 4: to happen in place for the modern polacy. And I
37:10
Speaker 4: think I'm looking forward to that day when that happened.
37:13
Speaker 4: But I think if that were to happen, that will
37:15
Speaker 4: be a perfect kind of match and help.
37:20
Speaker 1: Lisa. You have an opportunity to connect with so many
37:24
Speaker 1: different pharmacies at different stages of their evolution and being
37:30
Speaker 1: more profitable and setting up maybe to buy other pharmacies
37:34
Speaker 1: or expanding their long term care pharmacy at home. Is
37:38
Speaker 1: there anything that's a that's very bright to you right now?
37:42
Speaker 1: Very you know, you're like, wow, this is a space
37:46
Speaker 1: that more and more of our independent community pharmacies they
37:50
Speaker 1: have to adopt this, uh, this service or this one thing,
37:54
Speaker 1: just to give them a direction as to what they
37:57
Speaker 1: should spend be spending more time on of what the
38:01
Speaker 1: next evolution of their business looks like.
38:04
Speaker 2: Yeah, the first thing that comes to mind is long
38:09
Speaker 2: term care, long term care at home. I think a
38:14
Speaker 2: lot of it just sort of the way that long
38:17
Speaker 2: term care facilities are operated, staffed, funded.
38:24
Speaker 5: You know, there were there's some were probably not fully
38:29
Speaker 5: on the.
38:29
Speaker 2: Other side of whatever the disruption event that the pandemic
38:35
Speaker 2: was for those sorts of entities, but you know, the workforce,
38:42
Speaker 2: the long term healthcare workforce suffered a bit. But I
38:47
Speaker 2: think long term care in particular, so I think we
38:51
Speaker 2: are seeing a lot of folks that are much more
38:53
Speaker 2: interested in aging at home and how you know, between
38:59
Speaker 2: any any private long term care insurance or medicare or
39:04
Speaker 2: even self pay, how that how that comes together financially.
39:10
Speaker 2: But then also there still needs to be a workforce
39:13
Speaker 2: for somebody to have long term care at home. So
39:17
Speaker 2: I think that pharmacy potentially adds the ability to really
39:22
Speaker 2: support high quality long term care at home services, you know,
39:28
Speaker 2: being able to provide consistent, high quality of medication services,
39:32
Speaker 2: you know, sort of the never out situation, the quick
39:35
Speaker 2: response when meds change is super important.
39:40
Speaker 5: That's the I guess that's what comes to mind first.
39:43
Speaker 2: You know, I think another thing that even has crossed
39:47
Speaker 2: the administrations and remains a high interest from HHS is
39:54
Speaker 2: identifying and trying to help folks have like a void
40:00
Speaker 2: to diabetes diagnosis, but once a diabetes diagnosis exists, manage
40:05
Speaker 2: blood sugar and avoid consequences of poorly controlled diabetes. So
40:10
Speaker 2: I think that's another you know, we have been helping
40:13
Speaker 2: pharmacies stand up programs that they're pharmacy that meet the
40:17
Speaker 2: National Diabetes Prevention Program criteria. You know, that's a that's
40:22
Speaker 2: a formal program that CMS recognizes and would open up
40:26
Speaker 2: to pharmacies additional UH revenue revenue sources for having a
40:32
Speaker 2: recognized program and offering those services. So you know, I
40:35
Speaker 2: think diabetes prevention, diabetes self management is the one that
40:42
Speaker 2: is going to stand the test of time, that will
40:44
Speaker 2: always be an opportunity for pharmacies.
40:46
Speaker 1: I think agreed. I just want to shout out and say,
40:51
Speaker 1: you know, thank you Lisa for for being a part
40:55
Speaker 1: of this change and this sustainable change, this this change
41:00
Speaker 1: growth where it's it's it's not just a change in
41:03
Speaker 1: the same model that you and I entered when we
41:07
Speaker 1: entered pharmacy originally, it's really new. If you were if
41:11
Speaker 1: you're graduating pharmacy school in twenty twenty five, twenty twenty six,
41:16
Speaker 1: twenty twenty seven. Your pharmacist's career is you know, drastically
41:22
Speaker 1: different than what a pharmacist that graduated twenty thirty years ago.
41:27
Speaker 1: And the evolution of how the government, how payment systems,
41:33
Speaker 1: how private insurance, how HHS looks at community pharmacy will
41:38
Speaker 1: never be the same. Since the pandemic shows that you know,
41:42
Speaker 1: ninety three percent of all of your immunizations, of your
41:46
Speaker 1: flu shots, ninety three fricking percent, my goodness, is coming
41:51
Speaker 1: through our community pharmacies. Like that is like, if you're
41:53
Speaker 1: keeping the nation safe, if you're keeping the nation healthy,
41:59
Speaker 1: it's coming from your community pharmacy. And that of all
42:03
Speaker 1: of the stats, that's one I was most proud of
42:06
Speaker 1: to see within the latest digest.
42:09
Speaker 2: Yeah, one thing they'll be really exciting you talk about
42:12
Speaker 2: folks that are graduating now and what practice can look
42:15
Speaker 2: like for them in the in the coming years. You know,
42:17
Speaker 2: there are you know, task groups that NCPDP that are
42:22
Speaker 2: looking at what does the standardized medication profile look like?
42:27
Speaker 2: You know, there's there's a fire resource for that, but
42:31
Speaker 2: what does adoption? You know, what does a healthcare environment
42:36
Speaker 2: look like when pharmacies patients, primary care, the patient themselves,
42:41
Speaker 2: and any specialists all have access to the same medication
42:45
Speaker 2: profile for the patient. What's active, what allergies do they have,
42:49
Speaker 2: what have they taken in the past, what was the
42:51
Speaker 2: reason something was discontinued? Super exciting. I mentioned the diabetes
42:55
Speaker 2: prevention program. There's also exists a transaction for between any
43:02
Speaker 2: healthcare providers to make a referral. There's no reason that
43:05
Speaker 2: a primary care can't make a referral to a pharmacy
43:09
Speaker 2: that has a diabetes prevention program. You know, say a patient,
43:13
Speaker 2: I need you to go and get enrolled in this
43:16
Speaker 2: patient's pharmacy. Pharmacy can accept the referral, they can report back,
43:21
Speaker 2: they could use a care plan to do that.
43:23
Speaker 5: Potentially.
43:24
Speaker 2: There's also a standard for a pharmacy consultation. Note it's
43:28
Speaker 2: used in long term care much more than in community
43:32
Speaker 2: regular pharmacy, But those all exist and could be really
43:36
Speaker 2: exciting ways of making sure everybody has the same information
43:41
Speaker 2: about the patient that we're all caring for.
43:47
Speaker 1: Absolutely, Kaiden, what do you want to shout out to
43:51
Speaker 1: the listeners right now with regards to plans for twenty
43:55
Speaker 1: twenty six Things that you've seen become successful programs for
44:01
Speaker 1: our independent community pharmacies in twenty twenty five, what have
44:04
Speaker 1: you seen standing out and shining in the clients that
44:10
Speaker 1: you serve and help?
44:12
Speaker 4: So, I mean, I think the pharmacists know this business
44:17
Speaker 4: better than anyone else. The main challenge for them has
44:21
Speaker 4: been just time and the effort to have this mind
44:24
Speaker 4: shift right. I mean, all the opportunities are that they,
44:27
Speaker 4: you know, like us, a lot of other organizations have
44:29
Speaker 4: been speaking about the care plans and the medical building
44:32
Speaker 4: and the nursing home at sorry LTC at home options.
44:38
Speaker 4: So they are aware, but they are just plagued with
44:41
Speaker 4: the amount of work that they are doing. And I
44:43
Speaker 4: think if they start investing more into the automation and
44:48
Speaker 4: the AI pieces of it to free up their time,
44:51
Speaker 4: right so that way they can then take advantage of
44:54
Speaker 4: those kind of opportunities, that would be helpful. I think
45:00
Speaker 4: three and MFP has tons of changes that are coming
45:04
Speaker 4: down the road. I know the standards are changing in
45:07
Speaker 4: twenty twenty January for e prescribing and subsequently for the
45:12
Speaker 4: DZER transmissions as well the telecom communication standards, so that's
45:17
Speaker 4: changing and those things are going to actually impact Those
45:24
Speaker 4: things are going to impact the farmcis a lot more
45:27
Speaker 4: down the road, right, So we as tegmndors are trying
45:29
Speaker 4: to do everything that we need to do to bring
45:32
Speaker 4: these changes in the most seamless manner as possible. As
45:36
Speaker 4: long as they are invested into making sure that these works,
45:40
Speaker 4: it will help.
45:40
Speaker 1: The mighty Well. I tell you what, it's exciting time.
45:45
Speaker 1: It's time to plug in. It's time to learn from
45:48
Speaker 1: other organizations as well as our independent community pharmacy owners
45:53
Speaker 1: and operators that are doing things differently. They flip their
45:57
Speaker 1: pharmacies years ago and now they're ready to bring on
46:02
Speaker 1: the new services that are going to be provided by independence.
46:07
Speaker 1: But a shout out to you also to our technicians.
46:10
Speaker 1: The role of the technician is going to change, just
46:13
Speaker 1: like the role of our pharmacists are going to change
46:15
Speaker 1: and become enhanced with with a dig down into treatment
46:19
Speaker 1: and a dig down into holding the hand of the
46:22
Speaker 1: patient a little closer, and also backfilling so many of
46:27
Speaker 1: the sections of our nation that now have healthcare deserts,
46:34
Speaker 1: health care service deserts, and pharmacy deserts. There's an opportunity
46:38
Speaker 1: for our well positioned independent community pharmacies to backfill and
46:43
Speaker 1: to grow. So you know we've been through a lot
46:47
Speaker 1: over the last three years with d R fees and
46:51
Speaker 1: things that are that are happening in our in our markets.
46:53
Speaker 1: But I think we're through the worst of it all,
46:56
Speaker 1: and I think what's coming now is going to be
46:59
Speaker 1: a rebuilding of what is our independent community pharmacy's purpose
47:03
Speaker 1: and how have we communicated that purpose out to the communities,
47:07
Speaker 1: out to our people, into our nations and our news
47:09
Speaker 1: organizations to finally tell the public what pharmacists are capable
47:14
Speaker 1: of doing. This is awesome. But thank you Kaden for
47:17
Speaker 1: being part of this. And Lisa, this is so good
47:20
Speaker 1: to see you. I hope we have you back sooner
47:23
Speaker 1: than later. For sure.
47:25
Speaker 5: Paul's like a plan.
47:28
Speaker 4: Louis fun to be here.
47:29
Speaker 1: Don Thank you so much for listening to Pharmacy Podcast
47:34
Speaker 1: Tech Trends sponsored by primar X. For more information on
47:38
Speaker 1: primar X, please take a look at primearx dot io
47:42
Speaker 1: and there's a podcast tab there too. To listen to
47:45
Speaker 1: other shows. Reach out to your NCPA contact. If you
47:50
Speaker 1: are not a member, please look at the news services
47:53
Speaker 1: being offered through the NCPA, starting with the powerful data
47:57
Speaker 1: coming from the NCPA. Do I just and get ready
48:01
Speaker 1: for the super Bowl of Independent Community Pharmacy and get
48:05
Speaker 1: togethers and in conferences in October in Kansas City. I
48:10
Speaker 1: think it's in Kansas City this year, is.
48:11
Speaker 5: That right, that's correct.
48:13
Speaker 1: Yeah, I can't wait. All right, Thank you both for
48:16
Speaker 1: being here.