Latest / Pharmacy Podcast Network / Doing Things Differently: YARAL Pharma, Pennsylvania Policy, and the Birth Control Pharmacist | TWIRx

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Doing Things Differently: YARAL Pharma, Pennsylvania Policy, and the Birth Control Pharmacist | TWIRx · Pharmacy Podcast Network

• 0:07
  Speaker 1: Thanks for listening to the Pharmacy Podcast Networks. Welcome to
• 0:22
  Speaker 1: this Week in Pharmacy, Which works is the number one
• 0:25
  Speaker 1: week we talked show.
• 0:26
  Speaker 2: About the profession of pharmacy. And now here's our host
• 0:29
  Speaker 2: and founder of the Pharmacy Podcast Network, Todd Uri.
• 0:35
  Speaker 3: Hey, welcome to tworks. We have a huge show today.
• 0:50
  Speaker 3: This is going to be exciting. I have a lot
• 0:52
  Speaker 3: to talk about. I hope you had a great week.
• 0:55
  Speaker 3: I hope you are charged up for.
• 0:57
  Speaker 4: A new year.
• 1:00
  Speaker 5: And I know you hear me say this, but.
• 1:03
  Speaker 3: I believe that twenty twenty six will be a transformative
• 1:07
  Speaker 3: year for the pharmacy profession. And it's happening from within.
• 1:12
  Speaker 3: It's happening because more pharmacists are getting involved in leadership
• 1:17
  Speaker 3: and there's some exciting things happening. We have some very
• 1:20
  Speaker 3: interesting allies and I'd like you to listen to one
• 1:24
  Speaker 3: of those allies. This came out a while ago, but
• 1:27
  Speaker 3: I wasn't privy of it. I want you to listen
• 1:29
  Speaker 3: to this.
• 1:30
  Speaker 6: Good afternoon. I'm James, a dual degree medical student and
• 1:34
  Speaker 6: NBA student at Hopkins. Over the last few months, I've
• 1:38
  Speaker 6: really enjoyed the conversations on LinkedIn between doctor buy and mark,
• 1:42
  Speaker 6: especially around direct primary care and cash pay services in healthcare.
• 1:48
  Speaker 6: I'd be very curious to hear a little bit more
• 1:50
  Speaker 6: about your perspectives on the current barriers to actually implementing
• 1:54
  Speaker 6: more cash pay or pricing transparency for healthcare services. We've
• 1:59
  Speaker 6: talked a lot today about pharmaceuticals, but I'd really like
• 2:02
  Speaker 6: to hear more of your perspective on services.
• 2:05
  Speaker 7: You can go first, Okay, look first. At the risk
• 2:13
  Speaker 7: of annoying you on the physicition, this distinction does matter.
• 2:16
  Speaker 7: We employ ten to twelve thousand, then about eighty eight
• 2:19
  Speaker 7: thousand choose to work with us. That's what I was
• 2:21
  Speaker 7: trying to say.
• 2:22
  Speaker 8: Now, let's go to the people who took the actual job,
• 2:24
  Speaker 8: didn't choose to work for you.
• 2:25
  Speaker 7: Know, they're contracted with multiple entities. Optim pools and provides
• 2:30
  Speaker 7: them tools. That's why I choose. They actually tell you
• 2:33
  Speaker 7: which I actually they. They're independent, they choose what they do.
• 2:36
  Speaker 7: So let's answer your question on direct because I think
• 2:38
  Speaker 7: it's a really interesting one. Look, I think I think
• 2:43
  Speaker 7: that kind of innovation around sort of cash pay, et
• 2:46
  Speaker 7: cetera is super interesting. So we work with one hundred
• 2:49
  Speaker 7: plus payers at Optum, a number of them are even
• 2:52
  Speaker 7: saying like how do I use? And they all have
• 2:54
  Speaker 7: different names, various systems that are both on benefit and
• 2:57
  Speaker 7: off benefit. The price edge thing I mentioned earlier is
• 2:59
  Speaker 7: on ben off benefit for our X. When I say
• 3:02
  Speaker 7: off been at meaning in the cash market, I think
• 3:05
  Speaker 7: that you know, whether it's been various companies in direct
• 3:08
  Speaker 7: primary care that have subscription models or other models, I
• 3:11
  Speaker 7: think that's I think those models are super interesting to
• 3:13
  Speaker 7: think about implement, et cetera. The one caution I'd give
• 3:16
  Speaker 7: us is an equity issue, So you know, some of
• 3:19
  Speaker 7: those models have served a certain segment of the population
• 3:23
  Speaker 7: that has cash and resources and not other segments. I
• 3:26
  Speaker 7: just think then as a country, from a policy perspective,
• 3:28
  Speaker 7: we have to figure out, you know, how do we
• 3:31
  Speaker 7: address the whole population, not just the population that can
• 3:34
  Speaker 7: afford cash pay.
• 3:35
  Speaker 8: I'd say transparency, real transparency and simple things. And I'll
• 3:40
  Speaker 8: be curious what you think allowing people to go out
• 3:44
  Speaker 8: and get the best price for care and have it
• 3:46
  Speaker 8: automatically count against their deductible.
• 3:49
  Speaker 3: Are you for that?
• 3:50
  Speaker 9: Yeah?
• 3:51
  Speaker 7: I actually think some of your ideas of how you
• 3:52
  Speaker 7: have account against the deductible, both in pharmacy and medical
• 3:55
  Speaker 7: I think are very interesting interestin you would be I
• 3:58
  Speaker 7: don't run a payer anymore. If I ran a payer,
• 4:01
  Speaker 7: which I don't anymore because it's actually then yes, like
• 4:04
  Speaker 7: if you had intervention and I was running a payer
• 4:07
  Speaker 7: and I say, oh, I can put this in and
• 4:08
  Speaker 7: I'm account against deductible, yes, I would do that.
• 4:10
  Speaker 8: But you talk to the guy who does run the payer.
• 4:13
  Speaker 7: I serve one hundred payers, of which one is United Healthcare.
• 4:15
  Speaker 8: That is correct, right, So you talk to the guy
• 4:17
  Speaker 8: in charge of United Healthcare?
• 4:19
  Speaker 6: Right?
• 4:19
  Speaker 8: Yeah, So would you tell him that it's a great
• 4:22
  Speaker 8: idea that everybody who goes out there and if cost
• 4:25
  Speaker 8: plus is cheaper, great, If optimar Rix one of your
• 4:28
  Speaker 8: pharmacies is cheaper, no matter what. If you buy it
• 4:32
  Speaker 8: and have a receipt and send it to the payer,
• 4:35
  Speaker 8: to the insurance company, it counts against your deductible.
• 4:38
  Speaker 3: Yeah. Cool.
• 4:39
  Speaker 6: Are you going to tell them that I I do this?
• 4:42
  Speaker 7: Is this is fun for me?
• 4:44
  Speaker 4: I hope it's fun for you.
• 4:46
  Speaker 7: I don't get.
• 4:47
  Speaker 4: Attacked as much non attack.
• 4:49
  Speaker 8: It's a request to improve the system.
• 4:51
  Speaker 7: Yes, so yes, it is the short answer. So if
• 4:54
  Speaker 7: you think about to be clear.
• 4:56
  Speaker 8: Though, and I know you're I get invited to that
• 4:57
  Speaker 8: meeting time.
• 5:00
  Speaker 7: No problem. Uh, it's an actually interesting thing because people, look,
• 5:05
  Speaker 7: we partner with United Healthcare, but we do partner with
• 5:07
  Speaker 7: ninety nine plus other payers. Those conversations are pretty similar.
• 5:11
  Speaker 7: People think they are like literally like what happens is
• 5:14
  Speaker 7: not what you might imagine for United Healthcare. They are
• 5:17
  Speaker 7: pushing Optum very hard for the best deal possible on
• 5:20
  Speaker 7: all things, including optim r X. So is every other
• 5:23
  Speaker 7: payer in the country. So actually the dynamic is a
• 5:26
  Speaker 7: little different than people might have massin.
• 5:28
  Speaker 8: Yeah, but there's seventy five percent is it of your
• 5:30
  Speaker 8: no user base?
• 5:34
  Speaker 7: No, it's the short version. Depends on the various businesses.
• 5:37
  Speaker 7: But we're usually like in RX it's about fifty percent.
• 5:41
  Speaker 7: Extern health are harder just because they are large.
• 5:45
  Speaker 3: Wow. Wow to have Mark Cuban have the opportunity to
• 5:51
  Speaker 3: talk to the CEO of Optum and make that public
• 5:56
  Speaker 3: that true change is coming to the PBM model because
• 6:02
  Speaker 3: it's forced, it's being forced to change, and you see
• 6:06
  Speaker 3: that it is possible to gather together as a profession
• 6:13
  Speaker 3: as as associations that are out there. I think of
• 6:16
  Speaker 3: all the support that an any CDs gives to chain
• 6:21
  Speaker 3: pharmacy and how they stood up against a pharmacy giant
• 6:25
  Speaker 3: when they were seeing things that weren't good for the
• 6:28
  Speaker 3: industry and the profession. There's nothing wrong with doing that.
• 6:31
  Speaker 3: And I see that that there was some discomfort in
• 6:39
  Speaker 3: in the CEO of OPTIMS sitting there, doctor Patrick Conway,
• 6:43
  Speaker 3: and I understand why Mark Cuban was posing some very
• 6:49
  Speaker 3: real questions and based on just straight up and down,
• 6:54
  Speaker 3: black and white data. Doctor Conway was pretty nervous about that,
• 7:01
  Speaker 3: and and he and he has every right to be
• 7:03
  Speaker 3: based on the way the model was and not the
• 7:07
  Speaker 3: way it's going to have to turn, and how it's
• 7:10
  Speaker 3: going to have to involve much more transparency and much
• 7:14
  Speaker 3: more pharmacist involvement in much more medication management. And and
• 7:20
  Speaker 3: really they're going to have to change in order to
• 7:23
  Speaker 3: keep up with the changing of the times because the
• 7:25
  Speaker 3: market now is getting wind of what cost plus does
• 7:30
  Speaker 3: and what what it can do in.
• 7:33
  Speaker 5: And also.
• 7:35
  Speaker 3: Uh providing a lot of freedom in in providers. And
• 7:39
  Speaker 3: maybe is it the do I dare say, it's gonna
• 7:43
  Speaker 3: It's gonna resurrect the private practice that's out there, and
• 7:47
  Speaker 3: you'll have pharmacist and physicians partnering together just like they
• 7:51
  Speaker 3: are in many independent community pharmacies are opening up clinics
• 7:56
  Speaker 3: and they have their physicians working for them and that's
• 8:00
  Speaker 3: becoming a thing. Hey, I'm excited about today. I'm excited
• 8:03
  Speaker 3: about what's happening. Like I said in Pharmacy, it's January ninth,
• 8:07
  Speaker 3: twenty twenty five. It's time to twerks. We're going to
• 8:11
  Speaker 3: get into works news works news, twerks news we have.
• 8:24
  Speaker 5: We have a lot going on.
• 8:25
  Speaker 3: I think it was a the first big week back
• 8:30
  Speaker 3: from the holiday, and I tell you the truth, I
• 8:33
  Speaker 3: struggled even this week, and this week went incredibly fast.
• 8:38
  Speaker 3: But there is a lot of pharmacy conferences coming up.
• 8:43
  Speaker 3: I want everyone that's listening that if you are going
• 8:46
  Speaker 3: to any of the major conferences, the American Pharmacists Association,
• 8:52
  Speaker 3: if you're going to the NCPA in October, anything coming
• 8:56
  Speaker 3: up this this year, please reach out to us. Let's connect.
• 9:02
  Speaker 3: We're going to be doing a lot of interviews specific
• 9:04
  Speaker 3: to subjects and content, and one of the content is
• 9:09
  Speaker 3: the realm of the pharmacist in obesity. News came out
• 9:14
  Speaker 3: today that Amazon Pharmacy to offer Nova nor Disk's Wagovi pill.
• 9:19
  Speaker 3: It says the digital pharmacy will sell the newly FDA
• 9:23
  Speaker 3: approved weight loss pill nationwide, allowing patients to pay through
• 9:27
  Speaker 3: their insurance or in cash. So what is the opportunity
• 9:32
  Speaker 3: for pharmacists in in obesity and is there is there
• 9:39
  Speaker 3: an opportunity to build a clinic or a consultancy in
• 9:43
  Speaker 3: tandem with maybe a physician that specializes in it. But
• 9:47
  Speaker 3: what I'm already hearing about that happening in Tampa, in Austin,
• 9:52
  Speaker 3: in northern California. So why not expand that in and
• 10:00
  Speaker 3: keep growing the control your services and your independent community
• 10:06
  Speaker 3: pharmacy and your collaboration with physicians doing it all without
• 10:13
  Speaker 3: the PBM involved in some cases, and if they are involved,
• 10:17
  Speaker 3: it will be cash based costs plus terms. And this
• 10:23
  Speaker 3: is from Drugstore News. It says, as AI and online
• 10:27
  Speaker 3: pharmacy surge, the neighborhood pharmacist remains the most trusted. Why
• 10:32
  Speaker 3: pharmacy desert's reimbursement pressure in policy reform will shape twenty
• 10:37
  Speaker 3: twenty six You have to read this article by doctor
• 10:40
  Speaker 3: David Pope, chief Finance, chief Pharmacy Officer of Ziphin Incorporated.
• 10:51
  Speaker 3: I've watched David's career over the years. I've known him
• 10:55
  Speaker 3: for over fifteen years and he is dynamic.
• 11:00
  Speaker 5: He's just incredible.
• 11:02
  Speaker 3: Shout out to him, but definitely read through this and
• 11:06
  Speaker 3: understand his view on chat EPT and his view and
• 11:12
  Speaker 3: complex chronic needs and how once again pharmacists are going
• 11:17
  Speaker 3: to be doing different things in twenty twenty six and beyond.
• 11:22
  Speaker 3: And that's exciting to know and it's exciting to cover.
• 11:27
  Speaker 3: It's fun to be podcasting with people that really dial
• 11:31
  Speaker 3: into specifics and like Daniel Plumber with Maternal RX and
• 11:38
  Speaker 3: the team at Perfecting Peds. We have leadership coming out
• 11:45
  Speaker 3: all over in our industry. And I want to give
• 11:48
  Speaker 3: a shout out to doctor Rita mal Hatra. That's doctor
• 11:53
  Speaker 3: Rita Malhotra Fharmade. She is the new president of Illuminate
• 11:59
  Speaker 3: OURX and this is exciting to see someone leading a
• 12:03
  Speaker 3: pharm dye leading in the new age of pharmacy benefits.
• 12:07
  Speaker 3: And it's kind of playing into the opening with Mark
• 12:11
  Speaker 3: Cuban and doctor Conway, but this is this how we
• 12:15
  Speaker 3: change things. It's pharmacist start positioning themselves to become leaders.
• 12:21
  Speaker 3: Think of serving on boards, board of directors and places.
• 12:25
  Speaker 3: If you can reach out to organizations that you'd like
• 12:28
  Speaker 3: to work with and continue to push your leadership in
• 12:32
  Speaker 3: the profession and how you know you can change it
• 12:35
  Speaker 3: and reach out to obviously me anytime you want to
• 12:39
  Speaker 3: talk about it, will bring you on twerques and we'll
• 12:41
  Speaker 3: do exactly that.
• 12:43
  Speaker 5: Hey, this kind of last article ties.
• 12:46
  Speaker 3: Into the rest of today's other articles and how we're
• 12:51
  Speaker 3: wrapping them together and this stuff is all coming out
• 12:55
  Speaker 3: just this week, and it's just it's all merging together
• 12:58
  Speaker 3: that there's now a new it says a powerful this
• 13:02
  Speaker 3: comes from a healthcare dive dot com and this is powerful.
• 13:07
  Speaker 3: PBM Lobby names new CEO, Darren Marin, will become President
• 13:13
  Speaker 3: and chief executive of the Pharmaceutical Care Management Association effective
• 13:19
  Speaker 3: January thirtieth. Do you know what kind of opportunity this
• 13:24
  Speaker 3: is for PCMA, Like, this is an opportunity with a
• 13:30
  Speaker 3: new fresh face of your leadership to transform what PCMA
• 13:38
  Speaker 3: has been doing in the realm of PBMs, not serving
• 13:44
  Speaker 3: all PBMs per se, but really concentrating on the three
• 13:48
  Speaker 3: largest and you know, doing more clean up for the
• 13:54
  Speaker 3: stories that have come out from the three largest and
• 13:59
  Speaker 3: really being able to transform what is the pharmacy, the
• 14:02
  Speaker 3: pharmaceutical care realm?
• 14:05
  Speaker 5: What is it?
• 14:06
  Speaker 3: What is the future of it and to have someone
• 14:08
  Speaker 3: like PCMA help to build that new front through public
• 14:14
  Speaker 3: relations and through communications and through being open to talking
• 14:18
  Speaker 3: with organizations like the NCPA and debates and get pharmacy
• 14:23
  Speaker 3: owners involved, get our hospital systems involved, directors there in
• 14:29
  Speaker 3: even specialty pharmacy, and really start dialing into the new
• 14:34
  Speaker 3: age of pharmacy care and how payment models are going
• 14:37
  Speaker 3: to change and how pharmacists being paid. That's going to
• 14:43
  Speaker 3: be changing, and it's coming faster than I think we
• 14:47
  Speaker 3: know because of the pressure it's now being put on
• 14:51
  Speaker 3: the PBMs, and I want to see it. It truly
• 14:56
  Speaker 3: transform pharmacy care and the access to pharmacy care and
• 15:03
  Speaker 3: the needs of our of our of our entire nation.
• 15:08
  Speaker 3: Who is in so much pain right now for more
• 15:11
  Speaker 3: reasons than than their health per se. It's it's also
• 15:14
  Speaker 3: the mental side of things. And we have some really
• 15:18
  Speaker 3: really powerful interviews today on twerques UH Steve Beckman from
• 15:23
  Speaker 3: Euryal Pharma. Pharma is going to be here CEO of
• 15:26
  Speaker 3: Uryl Pharma, really giving us some pathway to how a
• 15:31
  Speaker 3: generics manufacturer can can help shape a better pharmacy care
• 15:36
  Speaker 3: model and and be more supportive. UH Inservant Leader driven
• 15:41
  Speaker 3: as a pharma manufacturer. Imagine partnering down to the generics
• 15:46
  Speaker 3: level directly that you are now bypassing PBMs and you're
• 15:51
  Speaker 3: going right to someone like urral and UH and their
• 15:56
  Speaker 3: upstream and their networks and expansion into IBSA, who's their
• 16:00
  Speaker 3: parent company. There's a lot of opportunity there for pharmacies
• 16:03
  Speaker 3: and that's why I really like Steven's ideas around that.
• 16:07
  Speaker 3: So without any further ado, let's get on with the show.
• 16:12
  Speaker 3: I think they're I think this is one of the
• 16:17
  Speaker 3: best shows ever because we have such a mixture of
• 16:22
  Speaker 3: intelligence and of reference. I like bringing the references. Steve Beckman, Hey,
• 16:30
  Speaker 3: welcome to this Week in Pharmacy. I can't believe it's
• 16:33
  Speaker 3: January ninth, twenty twenty five already. I keep saying that
• 16:39
  Speaker 3: time is speeding up here with Steven Beckman, CEO of
• 16:43
  Speaker 3: or Euryal Pharma.
• 16:45
  Speaker 5: It's so nice to have you in the studio.
• 16:46
  Speaker 4: Steve, Oh, it's pleasure to be here. Dodd.
• 16:48
  Speaker 3: So, my grandmother made a statement before she passed away
• 16:51
  Speaker 3: to me about fifteen years ago, and she said life
• 16:57
  Speaker 3: is confusing and trust in God and all this. You know,
• 17:00
  Speaker 3: she's had the standards, but she said something because I
• 17:03
  Speaker 3: was very much into science fiction growing up. She's like,
• 17:06
  Speaker 3: can we prove that within our own world that time
• 17:10
  Speaker 3: isn't speeding up? And I'm like, yeah, we don't have
• 17:13
  Speaker 3: any instrumentation within earth to be able to see is
• 17:19
  Speaker 3: time actually? Like it's January ninth, Mean what is going on? Like,
• 17:25
  Speaker 3: I don't know what's it's too fast?
• 17:27
  Speaker 9: Yeah, I know, my grandparents and my folks always said
• 17:30
  Speaker 9: it's just you know, as you get older, time goes,
• 17:32
  Speaker 9: uh goes faster, and you know, link and it seems
• 17:35
  Speaker 9: to be true because you know, I'm in my fifties
• 17:37
  Speaker 9: now and time seems to be going faster than it
• 17:39
  Speaker 9: did when I was in my twenties. But I think
• 17:41
  Speaker 9: it's just a natural dynamic that as we get older,
• 17:44
  Speaker 9: we have more on our plates, whether it be taking
• 17:47
  Speaker 9: care of our house, our kids, our family, our interests,
• 17:50
  Speaker 9: our jobs, and you know, you know, I always said
• 17:54
  Speaker 9: I was going to slow down as I got older,
• 17:56
  Speaker 9: and now I look at my life and I've actually
• 17:58
  Speaker 9: added more things in and I literally am managing my
• 18:03
  Speaker 9: life by my days, not by my weeks or my months.
• 18:06
  Speaker 9: So I guess maybe it's just that we don't have
• 18:09
  Speaker 9: it in us to actually truly slow down.
• 18:12
  Speaker 3: You are going to be with us next week in
• 18:15
  Speaker 3: the studio. This is a special live event where we're
• 18:17
  Speaker 3: going to be celebrating the fifty most influential people in
• 18:21
  Speaker 3: the pharmacy profession. I'm so excited to announce on twerks
• 18:26
  Speaker 3: today that you're going to be our co host.
• 18:28
  Speaker 9: Yeah, I'm excited. I think we're sponsoring it too, so
• 18:30
  Speaker 9: I appreciate having the opportunity to co host. It's always
• 18:33
  Speaker 9: great sitting next to you, and I think it's a
• 18:35
  Speaker 9: great program, and that's one of the reasons why you
• 18:38
  Speaker 9: row wanted to sponsor and why I'm very happy to
• 18:41
  Speaker 9: be sitting across the table from you here. Look at
• 18:45
  Speaker 9: pharmacy is important. There's just no other way to say it.
• 18:49
  Speaker 9: And as a company, as if you followed us on
• 18:53
  Speaker 9: Executive Dose or any of the other podcasts we've done.
• 18:56
  Speaker 9: As an organization, it's really been driven with the focus
• 19:02
  Speaker 9: on pharmacy because the pharmacist and the pharmacy and that
• 19:07
  Speaker 9: means the collective team that sits behind that counter is
• 19:12
  Speaker 9: so so important and will continue to be important, and
• 19:15
  Speaker 9: in our business, we think it's a channel and a
• 19:19
  Speaker 9: part of the healthcare professional group that really has never
• 19:22
  Speaker 9: truly gotten all the attention and support it needs. So
• 19:26
  Speaker 9: one of the things we have tried to do as
• 19:27
  Speaker 9: an organization is to listen more, to engage more, and
• 19:32
  Speaker 9: through that, hopefully we will find better ways in which
• 19:36
  Speaker 9: we can not only do our primary business, which is
• 19:39
  Speaker 9: to manufacture deliver high quality drugs, but to do it
• 19:41
  Speaker 9: in a way that's more valuable, more meaningful, and more impactful.
• 19:45
  Speaker 9: So what better way than to be a part of
• 19:48
  Speaker 9: something celebrating those people that are delivering that value and
• 19:52
  Speaker 9: that promise down to patients.
• 19:53
  Speaker 3: Absolutely, What does it mean to be doing things differently
• 19:57
  Speaker 3: as as a generic manufacturer because that's your ner tagline?
• 20:01
  Speaker 9: Yeah, well, yeah, it kind of we kind of fell
• 20:03
  Speaker 9: into that, And I think it's really just the fact that,
• 20:07
  Speaker 9: you know, a lot of what we've said is generic
• 20:09
  Speaker 9: industry has all been the same for a long time.
• 20:12
  Speaker 9: And we just did another podcast and one of the
• 20:14
  Speaker 9: things I said was, you know, most generic companies use
• 20:17
  Speaker 9: the tagline or our objective is to deliver high quality
• 20:23
  Speaker 9: medicines at a more affordable price, right, And that's great,
• 20:26
  Speaker 9: that's important. That's how generic industry was born, that's how
• 20:31
  Speaker 9: it came to an existence. But you know, after twenty five,
• 20:36
  Speaker 9: thirty years or whatever it's been now since the generic
• 20:38
  Speaker 9: industry really is, you know, started, we can't be saying
• 20:42
  Speaker 9: the same thing anymore. You know, we can't times change things,
• 20:46
  Speaker 9: change policies, change whatever it is. And really doing things
• 20:50
  Speaker 9: differently for us is saying, Okay, we've done it this
• 20:55
  Speaker 9: way for a really long time. Just ask a simple question,
• 20:59
  Speaker 9: how can we do it different? How can we be better?
• 21:03
  Speaker 9: How do we put different lenses on, whether it be
• 21:05
  Speaker 9: looking at from a brand perspective, back to generics, or
• 21:08
  Speaker 9: something completely outside the box. But that the goal has
• 21:11
  Speaker 9: to be is that we have to be able to
• 21:15
  Speaker 9: create value and it can't just be pettig predicated on price,
• 21:20
  Speaker 9: because when it's just predicated on price. Within the generic industry,
• 21:26
  Speaker 9: we're now seeing the way the system, the overall healthcare
• 21:29
  Speaker 9: system works that is now causing big problems. We're seeing
• 21:34
  Speaker 9: companies stop manufacturing drugs because they can't make any money
• 21:37
  Speaker 9: because it's just on price. So we we have to
• 21:43
  Speaker 9: we have to reset that. I always say it's not
• 21:45
  Speaker 9: about the best price, it's the right price. And what
• 21:49
  Speaker 9: I mean by that at the right price means that
• 21:51
  Speaker 9: as a manufacturer, we have ability to be profitable and
• 21:55
  Speaker 9: continue to do what we're doing and continue to bring
• 21:57
  Speaker 9: new drugs and continue to invest or. All the organizations
• 22:02
  Speaker 9: in the middle, from wholesalers to PBMs to insurance companies,
• 22:07
  Speaker 9: they can continue to obviously operate and continue to be successful.
• 22:11
  Speaker 9: Some might argue they're more successful than other pieces in
• 22:14
  Speaker 9: the pie. But once we get down the people that
• 22:19
  Speaker 9: we really are hurting the most right now are at
• 22:21
  Speaker 9: the end of that right So, and what I mean
• 22:25
  Speaker 9: by that is pharmacists. Pharmacists are struggling to keep doors
• 22:27
  Speaker 9: open and be profitable so they can continue to service
• 22:31
  Speaker 9: their patients or increase services to their patients. And that's
• 22:35
  Speaker 9: ultimately what we're trying to do. We're always trying to
• 22:36
  Speaker 9: get better, not worse, and then ultimately how that translates
• 22:39
  Speaker 9: down to the access to patients. So when we think
• 22:43
  Speaker 9: about doing things differently, the question is that we just
• 22:45
  Speaker 9: can't sit here and continue to just operate the way
• 22:50
  Speaker 9: we do.
• 22:51
  Speaker 4: That means we.
• 22:52
  Speaker 9: Have to think differently how we engage with our direct customers.
• 22:55
  Speaker 9: We have to think about how we continue to manage
• 23:00
  Speaker 9: our businesses operationally differently to continue to give us the
• 23:03
  Speaker 9: ability to be as operationally sound and that obviously creates
• 23:07
  Speaker 9: value in many ways. And then we've got to continue
• 23:11
  Speaker 9: to think all the way through the system down to
• 23:14
  Speaker 9: the patient, and that's what we hope to do. And
• 23:17
  Speaker 9: one of those things that simply is as as a
• 23:18
  Speaker 9: generic company, we are investing. We are investing in ways
• 23:25
  Speaker 9: to educate, communicate and those are more traditionally branded type
• 23:30
  Speaker 9: investments that companies make. And we're finding some really cool
• 23:34
  Speaker 9: areas with our direct customers, some of our wholesalers and
• 23:37
  Speaker 9: distributors of how we can do some things different to
• 23:41
  Speaker 9: ensure effective communication. And that's really where it starts, is
• 23:45
  Speaker 9: when we think about what we do sales and marketing,
• 23:47
  Speaker 9: if we want to use those traditional terms, it's really
• 23:50
  Speaker 9: a dialogue as a platform of communication, and we need
• 23:54
  Speaker 9: to do it right. We need to do effectively, and
• 23:56
  Speaker 9: we need to do it differently, and that's what we're
• 23:57
  Speaker 9: trying to do.
• 23:59
  Speaker 3: Hey, tune in next week to this week in Pharmacy,
• 24:02
  Speaker 3: we're going to be live broadcasting live on LinkedIn, on Twitter,
• 24:06
  Speaker 3: on YouTube. Watch the awards program. It's the fifty most
• 24:11
  Speaker 3: influential people in our profession. You voted for them. Thank
• 24:14
  Speaker 3: you so much, Steven. We had a one hundred percent
• 24:18
  Speaker 3: increase in votes. We had over sixty three hundred people
• 24:22
  Speaker 3: make a vote for someone in the profession that they
• 24:24
  Speaker 3: thought was in impact to our profession.
• 24:27
  Speaker 9: So that's fantastic, that's huge. Well, what that tells you
• 24:30
  Speaker 9: is a couple of things, Todd. What you're doing as
• 24:33
  Speaker 9: it released the Pharmacy Podcast Network is impactful, and congratulations
• 24:38
  Speaker 9: to you and all that you do on that, because
• 24:41
  Speaker 9: that growth wouldn't have happened if this platform wasn't here
• 24:43
  Speaker 9: and these programs were put in. And hopefully it's a
• 24:47
  Speaker 9: positive sign that people are listening and people are dialoguing
• 24:50
  Speaker 9: and thinking and wanting to recognize and wanting to support
• 24:53
  Speaker 9: one another, because if we do that, then the outcomes
• 24:57
  Speaker 9: are likely to be better downstream, and that's what we're
• 24:59
  Speaker 9: all working for. So I'm very excited. I'm very humbled
• 25:02
  Speaker 9: and appreciate you inviting me to be a part of
• 25:05
  Speaker 9: that celebration and honoring those people that have been voted
• 25:08
  Speaker 9: on and are going to be presented to those awards.
• 25:12
  Speaker 9: And couldn't think of a better time. It is a
• 25:15
  Speaker 9: better thing to do to spend some of my time
• 25:18
  Speaker 9: than to represent not only you're out, but quite frankly
• 25:21
  Speaker 9: hopefully in a certain respect, that we're representing the industry.
• 25:24
  Speaker 9: When I say industry manufacturers and as a result of
• 25:28
  Speaker 9: my presence means that manufacturers do understand that we have
• 25:32
  Speaker 9: a role to play to support pharmacy and that we
• 25:36
  Speaker 9: recognize them absolutely.
• 25:37
  Speaker 3: All right, we'll talk with you, Stephen on twerks next week.
• 25:42
  Speaker 3: Hold on, we'll be right back with some more tworks.
• 25:50
  Speaker 10: As frontline healthcare providers, pharmacists like you understand the importance
• 25:54
  Speaker 10: of personalized care, especially in acute pain management. Your role
• 25:58
  Speaker 10: Pharma is dedicated to providing high quality, generic products tailored
• 26:02
  Speaker 10: to meet your patient's needs. The company aims to serve
• 26:05
  Speaker 10: a diverse range of patient populations, including athletes recovering from
• 26:09
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• 26:14
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• 26:17
  Speaker 10: Keep your all in your toolbox of pain management options
• 26:21
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• 26:25
  Speaker 10: To learn more about Euryl Pharma and its products, including
• 26:28
  Speaker 10: full prescribing information, boxed warnings, and important safety information, visit
• 26:34
  Speaker 10: urlpharma dot com. That's why aurl Pharma dot com and
• 26:39
  Speaker 10: connect with them on LinkedIn.
• 26:45
  Speaker 3: Hey, welcome back to the Executive Dose. This is special
• 26:49
  Speaker 3: kicking off twenty twenty six with a very powerful interview.
• 26:52
  Speaker 3: I think of our independent community pharmacies, I think of
• 26:55
  Speaker 3: our hospital systems. I'm thinking of specialty pharmacy. So many
• 26:58
  Speaker 3: things that are that are changing within the nation, and
• 27:01
  Speaker 3: I think how important it is if you are a
• 27:04
  Speaker 3: pharmacy operator owner to engage and educate and partner with
• 27:10
  Speaker 3: your state representatives. Well, Steven Beckman, host of the Executive Dose,
• 27:16
  Speaker 3: we are proud to have our own state representatives in
• 27:20
  Speaker 3: the studio State Representative fifty first District in the state
• 27:25
  Speaker 3: of Pennsylvania.
• 27:26
  Speaker 5: Charity Krupa Charity. This is that you're here.
• 27:30
  Speaker 11: Thank you so much for having me. I'm really you know, Todd.
• 27:33
  Speaker 12: When I first took office, and I've been in now
• 27:35
  Speaker 12: about three years, just over three years, and I never
• 27:40
  Speaker 12: intended to be on this side of politics. It was
• 27:43
  Speaker 12: an opportunity when the time came that I looked around
• 27:47
  Speaker 12: and the people that were stepping up to be in
• 27:49
  Speaker 12: this position. Most of them were people I knew and
• 27:52
  Speaker 12: I didn't necessarily trust, and I thought, you know what,
• 27:55
  Speaker 12: now's the time to step up. But Todd, what I
• 27:58
  Speaker 12: remember about you is you were one of the very
• 28:00
  Speaker 12: first people who reached out to my office. And I'm
• 28:04
  Speaker 12: not sure if you remember or not, but you came
• 28:06
  Speaker 12: to my office out on twenty one and we had
• 28:08
  Speaker 12: a conversation about pharmacy issues. And I really really appreciate
• 28:12
  Speaker 12: both of your experience and your education, and you're willing
• 28:16
  Speaker 12: to talk about these issues. So thank you so much
• 28:18
  Speaker 12: for having me. I'm excited to be here.
• 28:20
  Speaker 9: Well, Charity, we are very happy to have you. And
• 28:23
  Speaker 9: you know, I think what's first of all is our
• 28:25
  Speaker 9: thanks to you. We always thank our veterans and our
• 28:28
  Speaker 9: first responders, but I think we should always extend it
• 28:31
  Speaker 9: to the people that give of themselves to serve others.
• 28:34
  Speaker 9: And obviously you do that within your role as state representative. So,
• 28:38
  Speaker 9: as Todd said, the executive DOS is really about dialogue,
• 28:44
  Speaker 9: taking forward ideas, sharing them, opening the doors, letting people
• 28:48
  Speaker 9: see more of what's happening so that we can find
• 28:51
  Speaker 9: more reasonable and powerful outcomes of change that we want
• 28:56
  Speaker 9: to make. And obviously healthcare, there's a lot of things
• 28:59
  Speaker 9: that are good, and there's a lot of things that
• 29:01
  Speaker 9: we probably want to change and make better. So maybe
• 29:05
  Speaker 9: we just start and give the audience a little bit
• 29:07
  Speaker 9: about your passion for this area and healthcare and what
• 29:11
  Speaker 9: do you hope to hopefully accomplish in terms of your
• 29:14
  Speaker 9: role as representative, and then we'll talk about a couple
• 29:16
  Speaker 9: of specific topics that are near and dear to you.
• 29:19
  Speaker 11: Good, thank you. So just a tiny bit about my background.
• 29:22
  Speaker 12: I am attorney by trade, farm girl at heart. So
• 29:26
  Speaker 12: my family and I, both my husband and I grew
• 29:29
  Speaker 12: up on farms.
• 29:30
  Speaker 11: We're more hobby.
• 29:31
  Speaker 12: Farmers now, but we may call our own Hey have beef, cattle,
• 29:34
  Speaker 12: have horses, dogs, pigs, pheasants, you name it. And I
• 29:39
  Speaker 12: really really believe that we need people in Harrisburg and DC,
• 29:43
  Speaker 12: on our school boards, on our local councils that don't
• 29:45
  Speaker 12: necessarily want to be there, but they're there because it
• 29:49
  Speaker 12: often a personal sacrifice, because they want to serve the community.
• 29:52
  Speaker 12: So as much as I nothing would bring me more
• 29:55
  Speaker 12: pleasure than never leaving the farm, but I think that
• 29:58
  Speaker 12: we need people to step up.
• 30:01
  Speaker 11: And one of my goals is state representative.
• 30:04
  Speaker 12: And I represent the fifty first House District, which is
• 30:06
  Speaker 12: the southern half of Faith County.
• 30:08
  Speaker 11: Which is very rural we're underprivileged.
• 30:11
  Speaker 12: And you really have to fight, so to speak, to
• 30:13
  Speaker 12: get your piece of the pie. And sometimes that fight
• 30:15
  Speaker 12: is in Harrisburg. Sometimes that fight is locally. But in
• 30:21
  Speaker 12: rural America right now, healthcare is such a hot topic.
• 30:24
  Speaker 11: It is.
• 30:25
  Speaker 12: It is even in your in your cities, and your
• 30:27
  Speaker 12: your blighted areas everywhere right now.
• 30:29
  Speaker 11: So I know that.
• 30:32
  Speaker 12: We have Uniontown Hospital in my district, which was in
• 30:36
  Speaker 12: the last few years, WU Medicine has stepped in, and
• 30:39
  Speaker 12: I give WU Medicine all just so much gratitude that
• 30:43
  Speaker 12: they came in and stepped in. Since they've come in,
• 30:46
  Speaker 12: they've reopened the labor and delivery unit, and that's another
• 30:49
  Speaker 12: hot topic across Pennsylvania right now. So there's certain places
• 30:52
  Speaker 12: in rural Pennsylvania that you can't even deliver a baby
• 30:56
  Speaker 12: in a hospital in your home county, that you have
• 30:58
  Speaker 12: to go out of county to do that, and obviously
• 31:00
  Speaker 12: there's so many issues with that. But I do serve
• 31:06
  Speaker 12: on the Health Committee in Harrisburg, so a lot of
• 31:09
  Speaker 12: these issues I get an opportunity to do a deep
• 31:12
  Speaker 12: dive in.
• 31:12
  Speaker 11: But my goal is always always to be educated.
• 31:16
  Speaker 12: Three hundred and sixty degrees around the issue, and healthcare
• 31:20
  Speaker 12: should be a truly bipartisan issue.
• 31:22
  Speaker 9: I couldn't agree with you more. And I think you know,
• 31:25
  Speaker 9: the supply chain or value chain of healthcare from manufacturers
• 31:30
  Speaker 9: like myself, down through physicians and nurses, physician assistants, all
• 31:35
  Speaker 9: the healthcare workers down to pharmacy, and ultimately patient has
• 31:40
  Speaker 9: to be improved. We need to do things that are
• 31:43
  Speaker 9: better and it's going to take the village in this case,
• 31:46
  Speaker 9: it's not going to take any one industry or any
• 31:49
  Speaker 9: one area. And we have a lot of dynamics now
• 31:51
  Speaker 9: because we do have things that are being influenced at
• 31:53
  Speaker 9: the federal level, but we're also see a lot of
• 31:56
  Speaker 9: changes at the state level. And then a lot of
• 31:58
  Speaker 9: the questions from a business like mine is how we
• 32:01
  Speaker 9: handling that, you know, how we handle all the changes
• 32:03
  Speaker 9: of the state want or can quite frankly, a state
• 32:07
  Speaker 9: start the momentum on something in terms of good change,
• 32:10
  Speaker 9: whether it be PBM reform or other things that we
• 32:13
  Speaker 9: need to address to ultimately serve the patient away because
• 32:17
  Speaker 9: in the United States of America, no patient should be
• 32:20
  Speaker 9: go out without being able to get good health care,
• 32:22
  Speaker 9: as you mentioned, So let's stop start with a couple
• 32:25
  Speaker 9: of topics that I know you've been involved when and
• 32:28
  Speaker 9: you know this one is obviously an interesting one for
• 32:32
  Speaker 9: a lot of reasons, and that is medical marijuana. And
• 32:37
  Speaker 9: a lot of states have taken charge and made available
• 32:41
  Speaker 9: both from medical marijuana as well as recreational and obviously
• 32:45
  Speaker 9: Pennsylvania is now going through the process there, so want
• 32:48
  Speaker 9: to want we talk a little bit about your thoughts
• 32:50
  Speaker 9: on medical marijuana, where you believe it should be, and
• 32:54
  Speaker 9: how it might or might not help what we're doing,
• 32:57
  Speaker 9: and then the impact that there might be if recreational
• 33:00
  Speaker 9: marijuana is is passed in the state.
• 33:04
  Speaker 12: So I am it is no secret that I am
• 33:08
  Speaker 12: a strong advocate against legalizing recreational marijuana for for a
• 33:13
  Speaker 12: host of reasons. And you know, if you look at
• 33:16
  Speaker 12: of studies that have come out of Colorado, Colorado has
• 33:19
  Speaker 12: been the test subject right for legalizing recreational marijuana. And
• 33:23
  Speaker 12: there's there's a that you see for every in Pennsylvania.
• 33:28
  Speaker 12: Governor Shapiro says, you know, likes to tut that this
• 33:31
  Speaker 12: will be a huge tax revenue increase if we would
• 33:35
  Speaker 12: if we would legalize it, and we would tax it.
• 33:38
  Speaker 11: And his budget.
• 33:38
  Speaker 12: Address in twenty twenty five, he included the idea that
• 33:42
  Speaker 12: revenue is from marijuana, you know, into his budget, which
• 33:46
  Speaker 12: is just like fairy tale budgeting. You don't you don't
• 33:50
  Speaker 12: include in your budget figures that for something that's currently illegal,
• 33:54
  Speaker 12: both on the state and federal level.
• 33:56
  Speaker 11: But so for every and out of the studies that.
• 33:58
  Speaker 12: Have come out of Colorado forever, every dollar that it
• 34:01
  Speaker 12: generated in tax revenue.
• 34:04
  Speaker 11: It costs society.
• 34:04
  Speaker 12: I can't remember if it was four dollars and sixty
• 34:06
  Speaker 12: cents or four dollars and eighty cents in societal harms
• 34:10
  Speaker 12: such as everything from traffic accidents, homelessness, truancy issues, addiction
• 34:16
  Speaker 12: issues obviously, And what people don't realize is the THHC
• 34:19
  Speaker 12: that's being manufactured and processed and sold now is not
• 34:23
  Speaker 12: the same marijuana that your grandma has.
• 34:25
  Speaker 11: Grown in the backyard. I don't think either my grandma's
• 34:27
  Speaker 11: were growing up. But you guys know what I mean.
• 34:30
  Speaker 12: And there's and there is, so there's this level of
• 34:32
  Speaker 12: toxicity that people don't understand, and there's all these studies
• 34:37
  Speaker 12: about it leading to psychosis and mental health issues and suicide.
• 34:42
  Speaker 12: And it's interesting, tragically, it seems to have an increased
• 34:48
  Speaker 12: effect on adolescent males. That group really gets hit hard
• 34:53
  Speaker 12: with the suicide and the psychosis. And I firmly believe
• 34:57
  Speaker 12: too that it just it leads to to bad decision.
• 35:00
  Speaker 12: So that being said, though, I do think that there
• 35:05
  Speaker 12: is a legitimate purpose for medicinal marijuana. And so I've
• 35:10
  Speaker 12: got so many nurses in my immediate family.
• 35:12
  Speaker 11: My mom's and nurse, and I grew up with her.
• 35:15
  Speaker 11: She's done everything.
• 35:16
  Speaker 12: She worked two jobs when I was in elementary school
• 35:18
  Speaker 12: to put my dad through law school. So she worked
• 35:20
  Speaker 12: at the trauma unit in Ruby and Morgantown. She worked
• 35:23
  Speaker 12: home health care in a hospice unit. She's working a
• 35:27
  Speaker 12: nursing home now. My daughter's in her final semester at
• 35:31
  Speaker 12: nursing school at Penn State Fayette. My best friends and nurse,
• 35:34
  Speaker 12: my sister in laws and nurse, so I really appreciate
• 35:36
  Speaker 12: having them behind me. And I remember one of the
• 35:38
  Speaker 12: first times I talked this has been years ago, before
• 35:40
  Speaker 12: I was even thinking about being in this position, talking
• 35:43
  Speaker 12: to my mom about medical marijuana.
• 35:45
  Speaker 11: And she she's worked was Virginia.
• 35:50
  Speaker 12: Don't quote me on this, but I think they actually
• 35:51
  Speaker 12: legalized medicinal marijuana before we did. And one of the
• 35:55
  Speaker 12: things that she talked about, particularly in the nursing home setting,
• 35:58
  Speaker 12: was when you had patients.
• 35:59
  Speaker 10: With the men.
• 36:01
  Speaker 11: Or cancer that you know, with.
• 36:03
  Speaker 12: The dimentia patients, it would increase their appetites. With the
• 36:06
  Speaker 12: cancer of patients.
• 36:07
  Speaker 11: Obviously in terms of pain control, you will you know,
• 36:10
  Speaker 11: the one.
• 36:10
  Speaker 12: Story that always I've got three children, the story about
• 36:12
  Speaker 12: the child or children that have epilepsy.
• 36:17
  Speaker 11: You know, those are legitimate reasons why we should be
• 36:20
  Speaker 11: doing this.
• 36:20
  Speaker 12: But what has happened in Pennsylvania is it's become a
• 36:24
  Speaker 12: free for all. And even in my private law practice
• 36:26
  Speaker 12: before stepping into this role, I have clients tell me
• 36:29
  Speaker 12: that they would do one telehealth visit, claim that they
• 36:32
  Speaker 12: had some kind of anxiety and boom, They've got a
• 36:35
  Speaker 12: prescription for medical marijuana. So one thing that I've learned
• 36:40
  Speaker 12: since being which I mean that's even as a lay person,
• 36:43
  Speaker 12: you know, before stepping into the public role, you know,
• 36:45
  Speaker 12: there were a lot of red flags with that. And
• 36:48
  Speaker 12: so when I when I this term is the first
• 36:50
  Speaker 12: term I've served on the Health Committee, and you know,
• 36:53
  Speaker 12: one of the big concerns, and again this was bipartisan
• 36:56
  Speaker 12: people on both sides of the out recognize this is an.
• 36:58
  Speaker 11: Issue that I'm to pull up.
• 37:00
  Speaker 12: There was a January twenty twenty five Spotlight article that
• 37:04
  Speaker 12: talked about a small number of doctors were approving the
• 37:10
  Speaker 12: medical marijuana cards, and forgive me a fight if I
• 37:13
  Speaker 12: I don't want to misquote this so that.
• 37:15
  Speaker 9: In terms of whether it's drugs or miracle marijuana, and
• 37:18
  Speaker 9: I agree with you, there are legit My daughter suffers
• 37:22
  Speaker 9: from chronic migraine since she was six years old. Yeah,
• 37:25
  Speaker 9: I think that's the challenge is how can we continue
• 37:30
  Speaker 9: to service patients their need, whether it be pain management,
• 37:34
  Speaker 9: legitimate anxiety or mental health and things like epilepsy or migraine.
• 37:41
  Speaker 9: But I want before you go onto that before I
• 37:43
  Speaker 9: wanted to go back to one thing you said, because
• 37:44
  Speaker 9: I didn't want to lose the thought of it. You
• 37:47
  Speaker 9: were making the comment about the governor's budget, and one
• 37:53
  Speaker 9: of the questions I always had is it's always great
• 37:55
  Speaker 9: when you say, hey, we do X, and we'll get
• 37:58
  Speaker 9: why and it will go to where it should go.
• 38:02
  Speaker 9: I think one of the challenges I always assume as
• 38:04
  Speaker 9: a resident of the state is that they generate all
• 38:08
  Speaker 9: this money, but it's not really appropriated or allocated back
• 38:13
  Speaker 9: to the things that they really are selling it for
• 38:15
  Speaker 9: So in case if you were going to do something
• 38:17
  Speaker 9: like make a marijuana legalize, then it should go back
• 38:21
  Speaker 9: to the health. But there's a good chance that allowed
• 38:24
  Speaker 9: that money, if it was actually taxed and received, would
• 38:26
  Speaker 9: be going to all kinds of places. But not Well
• 38:29
  Speaker 9: is that a pair of statement.
• 38:31
  Speaker 11: Oh, it absolutely is.
• 38:32
  Speaker 12: And I think it's very telling that in these conversations
• 38:35
  Speaker 12: about legalizing it, part of that tax revenue is always
• 38:39
  Speaker 12: ear marked for a certain amount of societal harms, you know,
• 38:44
  Speaker 12: such as the addiction issues.
• 38:46
  Speaker 11: And so, I mean, so.
• 38:48
  Speaker 12: It amazes me that as the Commonwealth and the commonwealth
• 38:54
  Speaker 12: and I'm an idealist, so I'm always disappointed. I wish
• 38:56
  Speaker 12: I was a realist, but I'm not. But is that really?
• 39:00
  Speaker 12: Is that really where we want to build Pennsylvania?
• 39:04
  Speaker 11: And I mean right now? And they'll argue that.
• 39:06
  Speaker 12: All the states around us, or most of the states
• 39:08
  Speaker 12: around us have legalized it. We're supposedly losing that tax
• 39:11
  Speaker 12: revenue because people are going across the borders.
• 39:14
  Speaker 11: But two things that come to mind with that.
• 39:17
  Speaker 12: I would love it if Pennsylvania became the place that
• 39:20
  Speaker 12: families wanted to move to as the safe haven. So
• 39:24
  Speaker 12: you can walk up the street with your family and
• 39:26
  Speaker 12: people aren't, you know, visibly high and that you've got
• 39:29
  Speaker 12: this st and forgive me.
• 39:30
  Speaker 11: And I am Sibethic, you know.
• 39:32
  Speaker 12: And you mentioned your daughter, So I don't mean to stereotype,
• 39:36
  Speaker 12: but I think with broad recreational use, and yeah, I
• 39:39
  Speaker 12: hear people talking about certain beaches that they like to
• 39:41
  Speaker 12: go to that now it's no longer what they perceive
• 39:44
  Speaker 12: as a family. We're in a place because when you're
• 39:45
  Speaker 12: walking up to the boardwalk, the smell of marijuana is
• 39:50
  Speaker 12: so overpowering. And I'll tell you, even right in Uniontown,
• 39:53
  Speaker 12: we've got a medical marijuana facility and the dispensary and
• 39:56
  Speaker 12: it's just up the road from our election bureau and
• 40:00
  Speaker 12: and it is an overpowering odor that that I can't
• 40:05
  Speaker 12: imagine how much worse that would be. And in some
• 40:08
  Speaker 12: of these proposals one that was rammed through the House
• 40:11
  Speaker 12: this session, they wanted to basically put a plot shop
• 40:15
  Speaker 12: on every corner, and they wanted to take away local
• 40:18
  Speaker 12: municipalities rights.
• 40:19
  Speaker 11: And I believe in local controls.
• 40:21
  Speaker 12: So right now in my district, there's several municipalities that
• 40:23
  Speaker 12: are dry municipalities. They don't want you know, alcoholic beverages served,
• 40:29
  Speaker 12: you know, within their within their jurisdiction. Why would we
• 40:33
  Speaker 12: want to take the right away for a municipality to
• 40:35
  Speaker 12: be able to say that they that they.
• 40:37
  Speaker 11: Can do that or can't do that with respect to marijuana.
• 40:40
  Speaker 4: Yeah, I agree with you.
• 40:41
  Speaker 9: I do believe that most people would agree with the
• 40:45
  Speaker 9: concept that there is enough data now to suggest that
• 40:49
  Speaker 9: marijuana does play a medicinal role in very specific areas.
• 40:55
  Speaker 9: So that's channel one. Channel two is the abuse of
• 40:59
  Speaker 9: that to kind of rodden out to less very specific
• 41:03
  Speaker 9: management in healthcare, that people are getting cards and we
• 41:07
  Speaker 9: should try to control that and reduce that. And then
• 41:09
  Speaker 9: there's recreational and I think people do see that there's
• 41:12
  Speaker 9: a clear difference between recreational and medicinal marijuana, and we
• 41:16
  Speaker 9: should continue to be able to find ways to manage
• 41:20
  Speaker 9: that more effectively. And oh, I'm sorry, go ahead, Oh
• 41:23
  Speaker 9: don't go ahead, please.
• 41:24
  Speaker 11: Yeah. Well, and so, and back to the Spotlight article.
• 41:27
  Speaker 12: And this was when House Built twenty eight came into play,
• 41:30
  Speaker 12: which I'm a co sponsor on. So with the Spotlight article,
• 41:34
  Speaker 12: and I think there were some other articles around that time,
• 41:37
  Speaker 12: but there were it indicated that there were nineteen hundred
• 41:41
  Speaker 12: approved practitioners who were eligible or you know, approved to
• 41:46
  Speaker 12: do prescriptions for the medical marijuana.
• 41:49
  Speaker 11: And then when you look at.
• 41:50
  Speaker 12: The data of about thirteen hundred those doctors who issued
• 41:55
  Speaker 12: at least one medical marijuana certificate, and this is twenty
• 41:58
  Speaker 12: twenty two data, most issued fewer than one hundred, but
• 42:02
  Speaker 12: there were three doctors who each issued more than eleven
• 42:07
  Speaker 12: thousand certifications individually.
• 42:10
  Speaker 11: So Matt, you're talking about one year.
• 42:12
  Speaker 12: There is no physical way possible that these medical providers
• 42:15
  Speaker 12: had had an opportunity to interact with eleven hundred patients
• 42:19
  Speaker 12: in a meaningful way that would have justified, you know,
• 42:22
  Speaker 12: this type of prescription. So the lawmakers and again bipartisan
• 42:28
  Speaker 12: focus on this is that the way we are doing
• 42:31
  Speaker 12: medical marijuana and Pennsylvania has huge issues. And in in
• 42:35
  Speaker 12: addition to the prescription issue, there's also an issue with
• 42:38
  Speaker 12: that the that the labs and the actual content of
• 42:42
  Speaker 12: the substance that's being produced and given out to the
• 42:45
  Speaker 12: public that there is major inconsistencies and no requirements that
• 42:49
  Speaker 12: that meet particular lab test work. So there's an inconsistency
• 42:53
  Speaker 12: that although it's although it's being prescribed and a particular
• 42:56
  Speaker 12: product is being labeled as X, Y or Z. There's
• 43:00
  Speaker 12: not that safeguard of ensuring that that's actually what it is,
• 43:03
  Speaker 12: like a quality control kind of issue. And when in
• 43:06
  Speaker 12: the pharmacy world, I would think that you guys, you
• 43:08
  Speaker 12: know that that would be very frightening to you.
• 43:10
  Speaker 5: I want to make a comment of book.
• 43:12
  Speaker 3: I feel like I'm the lorax of the trees and
• 43:15
  Speaker 3: the pharmacists. And there's an endocannabinoid system in every single
• 43:20
  Speaker 3: human being and it plays part in how you react
• 43:24
  Speaker 3: to THHC as well as CBD, which is the other
• 43:27
  Speaker 3: side of the cannabis plant, and it's the it's the
• 43:33
  Speaker 3: pharmacist that could dial into how a topical cream or
• 43:39
  Speaker 3: a ingesting the vapor or taking in some other maybe
• 43:45
  Speaker 3: it's a tablet. The administration of cannabis in any of
• 43:50
  Speaker 3: the forms is so tied into the specific disease state,
• 43:54
  Speaker 3: whether that's pain, whether that's mental health, whether that's like
• 43:57
  Speaker 3: you were saying, charity with epilepsy. And we're giving these
• 44:02
  Speaker 3: cards out based on the rubber stamp mentality of these
• 44:06
  Speaker 3: physicians who aren't even medical medication experts.
• 44:11
  Speaker 5: So if I were a ruler of.
• 44:13
  Speaker 3: The country, I would say, hey, Number one, it should
• 44:16
  Speaker 3: be medicinal only. Number two, it needs to be governed
• 44:20
  Speaker 3: by our pharmacists who understand how is this impacting you
• 44:25
  Speaker 3: based on sugar intake and other medications you're on and
• 44:29
  Speaker 3: other things that you're experiencing. And and if you if
• 44:32
  Speaker 3: we could control it, even at the Pennsylvania level where
• 44:35
  Speaker 3: our pharmacists should be leading some of those decisions, then
• 44:38
  Speaker 3: we're truly using it for medicinal and truly using it
• 44:42
  Speaker 3: for health.
• 44:43
  Speaker 4: That's a really good point.
• 44:45
  Speaker 9: Dispensaries are are not run by medical professionals, right, They're not,
• 44:51
  Speaker 9: And I think there is a way to control that.
• 44:53
  Speaker 9: And to your point, Charity, you know, we operate in
• 44:56
  Speaker 9: the pharmaceutical world under GMP Good Manufacturing Practice and we
• 45:00
  Speaker 9: are held to extremely high standards through the FDA and
• 45:03
  Speaker 9: others to ensure the quality of our of our product
• 45:06
  Speaker 9: meets the expectations. And I think there are things that
• 45:09
  Speaker 9: we can do, and I think it starts with fixing
• 45:12
  Speaker 9: or continue to fix and continue to evolve to your point,
• 45:15
  Speaker 9: to make sure how we are supporting medical marijuana properly. Yes,
• 45:21
  Speaker 9: the second step, if if there ever comes to point
• 45:24
  Speaker 9: where it does become legalized, we still have to do
• 45:27
  Speaker 9: the same thing.
• 45:28
  Speaker 4: At some point.
• 45:28
  Speaker 9: We have to make sure that the product that's being
• 45:31
  Speaker 9: produced is being produced under GMP, it's meeting the qualifications,
• 45:36
  Speaker 9: and then it is dispensed through appropriate and Todd, I'm
• 45:40
  Speaker 9: glad you said, because I never even thought, never crossed
• 45:42
  Speaker 9: my mind what they are and we should put in
• 45:46
  Speaker 9: through pharmacy.
• 45:46
  Speaker 11: Go ahead, check and well that makes me think of
• 45:48
  Speaker 11: a broader issue too.
• 45:49
  Speaker 12: And I'd never thought about a net lens and I
• 45:51
  Speaker 12: appreciate that, but that that what that makes me immediately
• 45:56
  Speaker 12: kind of flip to is how sad it is our small,
• 46:01
  Speaker 12: mom and pop pharmacies are have been the victim of
• 46:05
  Speaker 12: so much bad policy at the state and federal level.
• 46:08
  Speaker 12: So the relationship, so I'm from Smithfield, grew up in Smithfield,
• 46:12
  Speaker 12: you know, Jimmy Lynn's pharmacy. That's where we went, you know,
• 46:14
  Speaker 12: most of most of our life until until you know,
• 46:17
  Speaker 12: they closed Geese. It seems like yesterday, but it's probably
• 46:19
  Speaker 12: been ten years ago or more.
• 46:21
  Speaker 11: But the relationship that.
• 46:23
  Speaker 12: My family and I had with him, and I remember
• 46:25
  Speaker 12: a particular prescription that I think I think it might
• 46:29
  Speaker 12: have been for acne or something that when I was
• 46:30
  Speaker 12: in high school. I remember him pulling my mom aside,
• 46:33
  Speaker 12: and my my dermatologists prescribed it, and I.
• 46:36
  Speaker 11: Remember him, you know, telling my mom, do not give.
• 46:39
  Speaker 12: This to her, that this is linked to suicide and
• 46:42
  Speaker 12: all these terrible, terrible things.
• 46:44
  Speaker 11: And I just don't And I don't want to say
• 46:46
  Speaker 11: what chain pharmacy I use now, But you don't. You
• 46:49
  Speaker 11: don't get that same interaction.
• 46:52
  Speaker 12: And I think that that our our policies need to
• 46:55
  Speaker 12: start focusing on our small businesses, whether they're pharmacies or
• 47:00
  Speaker 12: or dentists or whatever it is, because.
• 47:03
  Speaker 11: You don't, you just become a number.
• 47:06
  Speaker 12: And what you said about the you know, our dispensaries,
• 47:09
  Speaker 12: you know, in the labs that grow the medicinal the
• 47:12
  Speaker 12: alleged medicinal marijuana, we are just the population is just
• 47:16
  Speaker 12: a number.
• 47:16
  Speaker 11: The individual is just a number. And you don't have
• 47:18
  Speaker 11: that individual relationship, and you don't get you don't get.
• 47:21
  Speaker 12: I don't think that there's that follow up in terms
• 47:25
  Speaker 12: of and everybody's is different, so their reaction to the
• 47:28
  Speaker 12: product is going to.
• 47:29
  Speaker 11: Be different as well.
• 47:30
  Speaker 12: And I hear nobody talking about, well, you know, my
• 47:34
  Speaker 12: medicine is being adjusted accordingly, and I think it's because
• 47:36
  Speaker 12: of the lack of that relationship.
• 47:38
  Speaker 9: Well, look at we know that there is a lot
• 47:40
  Speaker 9: of issues and things that are broken in our system
• 47:43
  Speaker 9: to deliver healthcare in the US, and that's that's the
• 47:45
  Speaker 9: responsibility of drug manufacturers, to insurance companies, PBMs, pharmacists, doctors, nurses, everybody.
• 47:53
  Speaker 9: But we have to It's it's such a big thing.
• 47:56
  Speaker 9: It's hard, but we have to keep attacking it. And
• 47:58
  Speaker 9: one of the things is that whether it's rural America
• 48:02
  Speaker 9: or whether it's just pharmacy in general, is that the
• 48:05
  Speaker 9: pharmacists used to play a huge role and then they
• 48:08
  Speaker 9: kind of went away. And now what we're going to
• 48:11
  Speaker 9: see is, I believe a renaissance with some of these
• 48:13
  Speaker 9: small independent pharmacies because we've seen even the large chains
• 48:17
  Speaker 9: like Write eight close. So what we're going to do
• 48:20
  Speaker 9: is we're going to the dependency on a pharmacist to
• 48:24
  Speaker 9: be able to extend and have additional certifications, which we
• 48:28
  Speaker 9: talked on another podcast to make them even more valuable
• 48:31
  Speaker 9: is going to be very important. But I want to
• 48:33
  Speaker 9: wrap up the medical cannabis, so I think in summary
• 48:35
  Speaker 9: and charity, I want you to have a final comment
• 48:37
  Speaker 9: to is, look at a medical marijuana is not going
• 48:41
  Speaker 9: to weigh quite frankly, and marijuana is not going to
• 48:44
  Speaker 9: go away now. But I think what we've heard today
• 48:48
  Speaker 9: is what's really really important is that we still have
• 48:50
  Speaker 9: work to do. If it was my humble opinion, let's
• 48:54
  Speaker 9: let's do what's right first. Let's let's get the medical
• 48:56
  Speaker 9: marijuana thing better than it is now, because there's still
• 48:59
  Speaker 9: wholes in the system and how we're doing it, and Charity,
• 49:02
  Speaker 9: you are great to bring those up. Whether or not
• 49:05
  Speaker 9: recreational is going to happen is something that either any
• 49:09
  Speaker 9: one of us as an individual, even as a representative,
• 49:12
  Speaker 9: because Charity, I think what there's two hundred and three
• 49:14
  Speaker 9: state represents. Yes, yes, you're a voice of one and
• 49:18
  Speaker 9: a very important one. But you know, so if that
• 49:21
  Speaker 9: does happen, if we have the medical marijuana side managed
• 49:25
  Speaker 9: more properly, and then some of those lessons learned and
• 49:28
  Speaker 9: things like that could probably have some positive influence if
• 49:31
  Speaker 9: by chance, something would happen on the recreational side. But
• 49:35
  Speaker 9: I do think there are still significant concerns, as you
• 49:38
  Speaker 9: pointed out to just opening up the doors, and if
• 49:41
  Speaker 9: we're making decisions on the health of our constituents based
• 49:45
  Speaker 9: on generating tax revenue, and that's the only reason we're
• 49:49
  Speaker 9: doing it. It doesn't seem to me to be the
• 49:51
  Speaker 9: best reason.
• 49:51
  Speaker 4: To do it. So let's a transition. I know that.
• 49:56
  Speaker 9: There's a house built one four four four which is
• 49:58
  Speaker 9: really focused on small business and the ability to help
• 50:01
  Speaker 9: provide health insurance, and that's something I know that you're
• 50:04
  Speaker 9: also involved in, and that's important for a lot of reasons,
• 50:07
  Speaker 9: one ensuring employees working for small companies have access to healthcare,
• 50:13
  Speaker 9: to making those companies competitive. So why don't we switch
• 50:17
  Speaker 9: to that and give us some thoughts on where you
• 50:19
  Speaker 9: think the importance of this bill and where it's going
• 50:21
  Speaker 9: and what still needs to be done.
• 50:23
  Speaker 11: Yeah, so a a couple things. And I want to
• 50:25
  Speaker 11: go back, just for one second, House Bill twenty.
• 50:27
  Speaker 12: Eight that was the co prime sponsor on That was
• 50:30
  Speaker 12: my colleague Tim towards it, so I just want to
• 50:31
  Speaker 12: give him credit for that.
• 50:32
  Speaker 11: The bill that you just.
• 50:33
  Speaker 12: Mentioned, the prime sponsor is Valerie Gatos, and she really
• 50:39
  Speaker 12: is well versed and educated on this issue, and it
• 50:42
  Speaker 12: was a good I think it's a good transition that
• 50:44
  Speaker 12: we were just talking about.
• 50:45
  Speaker 11: And I pray that there is a renaissance of.
• 50:47
  Speaker 12: The of the local mama pop pharmacist, and I think
• 50:52
  Speaker 12: that this bill could help them in that pursuit.
• 50:56
  Speaker 11: And what this bill.
• 50:57
  Speaker 12: Really the goal is is basic to give small businesses
• 51:02
  Speaker 12: the opportunity to join together in order to be more
• 51:08
  Speaker 12: competitive in the market for health premiums or healthcare plans
• 51:12
  Speaker 12: and premiums for their employees. And I think that that's
• 51:15
  Speaker 12: an issue when you have a small pharmacy and you
• 51:18
  Speaker 12: only have a handful of employees and your premiums are
• 51:21
  Speaker 12: based on that number rather than a larger number that
• 51:24
  Speaker 12: your chain pharmacists have the advantage of having those bigger numbers,
• 51:28
  Speaker 12: which makes their prices more competitive. This bill, if we
• 51:33
  Speaker 12: were able to get it across the finish line, would
• 51:35
  Speaker 12: give our small businesses, whether they were pharmacists, dentists, whatever, farmers,
• 51:40
  Speaker 12: the opportunity to join together so that it would make
• 51:44
  Speaker 12: their finances go even further. And the small businesses across
• 51:47
  Speaker 12: America are just under attack, restaurants, you name it. So
• 51:51
  Speaker 12: I think that this would be a really great thing.
• 51:53
  Speaker 12: And I never looked at the lens from the pharmacy,
• 51:55
  Speaker 12: but I.
• 51:55
  Speaker 11: Think it could help them get back on their feet
• 51:57
  Speaker 11: as independence.
• 51:59
  Speaker 9: Well I think again, and well said, I mean when
• 52:01
  Speaker 9: when I look at my own my own career, my
• 52:03
  Speaker 9: own life. I work for a company where I get
• 52:05
  Speaker 9: a salary and I also get benefits, and those benefits
• 52:09
  Speaker 9: are actually very very valuable. Sometimes it gets in the
• 52:12
  Speaker 9: shuffle because when people are looking at jobs, they're looking
• 52:15
  Speaker 9: at what their you know, their annual compensation is. But
• 52:18
  Speaker 9: and they lose sight of the wheather whatever they might be. Educational, UH.
• 52:23
  Speaker 9: Support obviously, healthcare and we need to make and and
• 52:27
  Speaker 9: and that becomes something most people do look at and
• 52:30
  Speaker 9: look at it because I I know the value of
• 52:33
  Speaker 9: what that is. So that also is a big reason
• 52:36
  Speaker 9: we do is because it retains high quality people. So
• 52:40
  Speaker 9: to your point, if we're trying to strengthen local small
• 52:44
  Speaker 9: business where turnover is probably more significant, yeah, because they
• 52:50
  Speaker 9: don't have some of these benefits. If we can create
• 52:52
  Speaker 9: that dynamic, it's going to create more stability for the
• 52:54
  Speaker 9: business or better profitability, retention of employees.
• 53:00
  Speaker 3: Uh.
• 53:00
  Speaker 9: And when all that stuff comes together, quality always goes up.
• 53:04
  Speaker 9: I've never not seen in any business I've ever worked.
• 53:06
  Speaker 9: And if I have, if I can retain my best employees,
• 53:09
  Speaker 9: that's a good thing. If I if I can create sustainability, uh,
• 53:14
  Speaker 9: consistency in my business, that's a really good thing. When
• 53:17
  Speaker 9: those things start to pile up, the profit takes care
• 53:20
  Speaker 9: of itself easy, or the ability to run a successful
• 53:23
  Speaker 9: business takes care of itself.
• 53:25
  Speaker 12: I do think the people that are when health care
• 53:28
  Speaker 12: benefits and coverage become ultra important is sadly when somebody
• 53:34
  Speaker 12: is sick, when when you've got you know, a spouse
• 53:36
  Speaker 12: is sick, a child is sick. And I'm convinced that
• 53:39
  Speaker 12: this is why a lot of people work for Faye County,
• 53:41
  Speaker 12: you know, the the their their wages are very low,
• 53:44
  Speaker 12: but they get benefits with no you know, you know,
• 53:47
  Speaker 12: pre Obamacare there you had to find a plan that
• 53:49
  Speaker 12: didn't have pre existing coverage. And a lot of times
• 53:52
  Speaker 12: that meant tooking a job, taking a job that you
• 53:54
  Speaker 12: otherwise not.
• 53:55
  Speaker 11: Be happy with, might not be happy with. But I'll
• 53:57
  Speaker 11: tell you a.
• 53:58
  Speaker 12: Heartbreaking story I had with a constituent went a few
• 54:02
  Speaker 12: weeks ago, and I won't mention any names, but he
• 54:04
  Speaker 12: and his wife have both been successful small business owners
• 54:08
  Speaker 12: and he unfortunately has been diagnosed with some pretty significant
• 54:13
  Speaker 12: and pretty rare medical issues and now so he's unable
• 54:18
  Speaker 12: to maintain his small business because he was the heart
• 54:22
  Speaker 12: of it.
• 54:22
  Speaker 11: It was basically a one man show.
• 54:25
  Speaker 12: And now his wife, who has had an extremely successful business,
• 54:29
  Speaker 12: that she really is the integral part of it as well.
• 54:32
  Speaker 11: She's contemplating closing down.
• 54:34
  Speaker 12: Her business and taking a job just so that they
• 54:37
  Speaker 12: have the benefits they need. And this is where it
• 54:39
  Speaker 12: breaks my heart that it's the middle class American that
• 54:44
  Speaker 12: ends up and I'm gonna be.
• 54:44
  Speaker 11: Vulgar for a second, it ends up being screwed, so
• 54:46
  Speaker 11: to speak.
• 54:47
  Speaker 12: You know, because if you are if you're in the
• 54:49
  Speaker 12: poverty level and you're getting the state medical benefits, you're
• 54:52
  Speaker 12: not worried about it. If you're independently wealthy, you're not
• 54:55
  Speaker 12: worried about it. But it's the middle class person that
• 54:58
  Speaker 12: has worked hard all their lives. Maybe they've maybe they've
• 55:01
  Speaker 12: been able to pay off their own home, and then
• 55:03
  Speaker 12: a lot of times you'll see that maybe they have
• 55:04
  Speaker 12: a rental which then that rental property makes them ineligible
• 55:08
  Speaker 12: for anything, and you end up that they want illness
• 55:12
  Speaker 12: if they can end up bankrupting them. And then when
• 55:15
  Speaker 12: they've worked so hard to pass something on to their
• 55:17
  Speaker 12: to their kids, that's all out the window.
• 55:19
  Speaker 11: And that it's just that and it's it's so wrong.
• 55:22
  Speaker 12: We should be catering to the middle class, working American
• 55:26
  Speaker 12: who's gone out and busted their butt every day because
• 55:29
  Speaker 12: they they because they are responsible, and they're good community members,
• 55:33
  Speaker 12: good constituents, and they are trying to do the best
• 55:36
  Speaker 12: for themselves and their family.
• 55:37
  Speaker 9: Yeah, you know, it's amazing that one major event could
• 55:40
  Speaker 9: have such a significant impact. Again in in the in
• 55:43
  Speaker 9: the US, we should really not see that. And I
• 55:47
  Speaker 9: I have a significant other that works for the government
• 55:50
  Speaker 9: and she doesn't make a lot, but she has tremendous
• 55:53
  Speaker 9: but she actually has better health care than I do. Yeah,
• 55:56
  Speaker 9: and you know that is a real value. And and
• 55:58
  Speaker 9: and she's very happy to service service, serve people. And
• 56:03
  Speaker 9: the real value to her is the great healthcare insurance
• 56:06
  Speaker 9: herself and her family. So that's really awesome. So I
• 56:11
  Speaker 9: think when it comes to this type of thing is
• 56:14
  Speaker 9: what it represents to me. And what's really important is
• 56:17
  Speaker 9: that healthcare is extremely complicated. There is very large groups
• 56:21
  Speaker 9: of influencers from insurance to drug manufacturers, to physicians and
• 56:28
  Speaker 9: the healthcare providers. And what we know is that this
• 56:32
  Speaker 9: is tough, but the goal has to be is at
• 56:35
  Speaker 9: the end of the day, people can find insurance so
• 56:39
  Speaker 9: that they can have good health care. We have to
• 56:42
  Speaker 9: continue to provide products at a make medicine affordable and
• 56:47
  Speaker 9: then accessible, and we have to fix the system that
• 56:51
  Speaker 9: patients can also get to providers that you need. And
• 56:54
  Speaker 9: we have to keep pharmacists like independent pharmacists. I actually
• 56:58
  Speaker 9: go to an independent pharmacy and Perry Town, and I
• 57:01
  Speaker 9: switched all my prescriptions from one of the big national
• 57:06
  Speaker 9: change to them because when I go in there now
• 57:09
  Speaker 9: and I've I've lost sight of that, they say, hey, Steve,
• 57:13
  Speaker 9: and you do have a chance. But at the same time,
• 57:16
  Speaker 9: because I'm in the industry, I'm in I asked the
• 57:18
  Speaker 9: owner of the pharmacy, I said, so, how many of
• 57:21
  Speaker 9: your prescriptions that you're feeling do you make a profit?
• 57:26
  Speaker 9: And he said maybe fifty percent. So when you think
• 57:29
  Speaker 9: about this, we have to understand that a pharmacist still
• 57:33
  Speaker 9: has to be profitable, otherwise they can be doors open.
• 57:36
  Speaker 9: It has to be there. So we have to understand
• 57:39
  Speaker 9: that the discourse and the dialogue and the interface really
• 57:43
  Speaker 9: has to be robust, it has to be broad, and
• 57:46
  Speaker 9: we have to get all the pieces together and start
• 57:48
  Speaker 9: really talking about how afx B and BFx c and
• 57:52
  Speaker 9: it's only by that that we're going to start making
• 57:55
  Speaker 9: a change. So charity one of the last topics I wanted.
• 57:59
  Speaker 9: I'm going to prize on you a little bit because
• 58:01
  Speaker 9: it's a little bit maybe more dear to me as
• 58:03
  Speaker 9: a manufacturer. One of the challenges that we're seeing out
• 58:08
  Speaker 9: there is the impact in the industry between the federal
• 58:13
  Speaker 9: and state. And obviously federal we're talking about things like
• 58:18
  Speaker 9: FDA and all the things that we have to do, Medicaid,
• 58:20
  Speaker 9: Medicare CMS and all the things that we do. But
• 58:23
  Speaker 9: on the state level, one of the things that has
• 58:25
  Speaker 9: become challenging for us, but also I think an opportunity
• 58:29
  Speaker 9: in other area. The challenging area is things like now
• 58:33
  Speaker 9: states are looking for ways to generate income and many
• 58:37
  Speaker 9: of the states around the country we have to pay
• 58:39
  Speaker 9: state licensing and now we're paying for SHARPS programs and
• 58:44
  Speaker 9: we're paying for this as a manufacturer. So as a manufacturer,
• 58:49
  Speaker 9: we're starting to get killed by a thousand cuts, and
• 58:53
  Speaker 9: when we're trying to keep costs low and the system
• 58:58
  Speaker 9: is obviously it's that we were not to talk to
• 59:01
  Speaker 9: doubt today about the influence of wholesalers and PBMs and
• 59:04
  Speaker 9: how they play a role in this whole process. Is
• 59:07
  Speaker 9: that something that you see the state continue to look
• 59:10
  Speaker 9: at that to generate revenue like an absence of not
• 59:14
  Speaker 9: doing marijuana or recreational marijuana. The states are obviously are
• 59:20
  Speaker 9: always challenged with budgets. What do you think about things
• 59:24
  Speaker 9: like where the state comes in in terms of continuing
• 59:27
  Speaker 9: to layer on these type of costs That does make
• 59:29
  Speaker 9: it difficult for certain businesses, whether it's for other to
• 59:34
  Speaker 9: actually operate successfully in the.
• 59:35
  Speaker 5: State, you know what.
• 59:36
  Speaker 12: So, as a fiscally conservative representative, when I came into office,
• 59:41
  Speaker 12: I was approached by a particular group to sign an
• 59:43
  Speaker 12: oath and I this is the only oath that I've
• 59:46
  Speaker 12: taken because I'm not going to box myself.
• 59:48
  Speaker 11: I make decisions based on what.
• 59:50
  Speaker 12: I think is the right thing, on the merit of
• 59:52
  Speaker 12: the language of the bill itself. And so but the
• 59:56
  Speaker 12: oath that I took, when I looked at it, it was.
• 59:58
  Speaker 11: Like, well, I agree with all this anyway, you know.
• 1:00:01
  Speaker 12: And it was basically limited government, not increasing taxes, not
• 1:00:05
  Speaker 12: increasing fees, and where the and this isn't just a.
• 1:00:09
  Speaker 11: Healthcare issue, it's across the board.
• 1:00:12
  Speaker 12: And and until we take and what kind of a
• 1:00:16
  Speaker 12: doge look at things?
• 1:00:17
  Speaker 11: And I get so upset about fraud, waste and abuse.
• 1:00:20
  Speaker 12: You know, before they we we need to take a
• 1:00:23
  Speaker 12: hard look at how we're spending money and great programs
• 1:00:26
  Speaker 12: sometimes and.
• 1:00:27
  Speaker 11: I've seen this even in my own district.
• 1:00:30
  Speaker 12: And and again, you know, it goes back to the
• 1:00:34
  Speaker 12: middle class person becomes the victim because you see some
• 1:00:37
  Speaker 12: welfare fraud and abuse on one end of the spectrum.
• 1:00:40
  Speaker 12: And as bad as that is, if you're able bodied
• 1:00:42
  Speaker 12: and you're cheating the system and you could be out
• 1:00:44
  Speaker 12: working and you choose not to, as bad as that is,
• 1:00:47
  Speaker 12: it makes me a hundred times angrier to see a
• 1:00:51
  Speaker 12: rich person or a wealthy individual who gets richer on
• 1:00:54
  Speaker 12: the taxpayer dime because the government is is divvying money,
• 1:01:00
  Speaker 12: often via some kind of a grant program or a contract,
• 1:01:04
  Speaker 12: and and so that type of you know, that's abuse,
• 1:01:07
  Speaker 12: you know when you are and at the national level,
• 1:01:10
  Speaker 12: what when we were paying for transgender studies and third
• 1:01:13
  Speaker 12: world countries, I mean, why don't they eliminate some of
• 1:01:16
  Speaker 12: that instead of overburdening our businesses with excessive fines and fees.
• 1:01:22
  Speaker 12: Now I can I can understand having a license fee
• 1:01:25
  Speaker 12: that may that may make a particular agency fund itself.
• 1:01:31
  Speaker 12: But but I mean, do we not already pay enough taxes?
• 1:01:33
  Speaker 12: So so no, I I you're yes.
• 1:01:35
  Speaker 11: I agree with you. Thank you for bringing that up.
• 1:01:37
  Speaker 12: And I think this is just one example of where
• 1:01:40
  Speaker 12: in America and the Commonwealth of Pennsylvania we need to
• 1:01:43
  Speaker 12: tighten our belt and we need to let free market.
• 1:01:46
  Speaker 11: Go and we need to stop putting excessive red.
• 1:01:49
  Speaker 12: Tape and fees on our on our people so that
• 1:01:51
  Speaker 12: they can go out and flourish.
• 1:01:53
  Speaker 11: Yeah.
• 1:01:53
  Speaker 9: I appreciate that position that you have because I think
• 1:01:56
  Speaker 9: for me, I always said, you know, I have never
• 1:02:00
  Speaker 9: been overly political in my life, but being around it
• 1:02:05
  Speaker 9: a lot more given my who I live with and
• 1:02:09
  Speaker 9: getting involved with it. I think we all have a responsibility.
• 1:02:12
  Speaker 9: I've always voted, I've always took that responsibility seriously.
• 1:02:16
  Speaker 4: But I think we all have a.
• 1:02:16
  Speaker 9: Responsibility to continue to engage in our community at some level.
• 1:02:21
  Speaker 9: And that means you have to be involved in politics
• 1:02:23
  Speaker 9: a little bit. But I think I always thought that
• 1:02:26
  Speaker 9: the most important thing, and I think that's what you
• 1:02:28
  Speaker 9: were saying, Charity, is that get your house in order
• 1:02:32
  Speaker 9: first and then worry about what else you can do
• 1:02:34
  Speaker 9: to help and will always help, because that's the spirit
• 1:02:36
  Speaker 9: of America and everything else, whether it's domestically or foreign.
• 1:02:40
  Speaker 9: And so for me, I think that's what's really important
• 1:02:42
  Speaker 9: about what you said. Let's make sure the stuff that
• 1:02:44
  Speaker 9: we've already had in place and the things that we do,
• 1:02:47
  Speaker 9: let's make sure that's working well and being managed well
• 1:02:49
  Speaker 9: in effective, because then you don't have to keep adding
• 1:02:51
  Speaker 9: on and adding on and adding on and adding on
• 1:02:54
  Speaker 9: a different thing here, which makes it more difficult or
• 1:02:56
  Speaker 9: minimum make it's more frustrating now the business as they
• 1:03:00
  Speaker 9: are trying to determine how they can continue to be successful.
• 1:03:04
  Speaker 9: But if we if we can make it more simple,
• 1:03:06
  Speaker 9: if we can make sure the things that we do
• 1:03:07
  Speaker 9: have in place that are not going to change, and
• 1:03:09
  Speaker 9: we know certain things aren't going to change and we
• 1:03:11
  Speaker 9: make them right, then you won't have to do all
• 1:03:12
  Speaker 9: these other things. And it makes the free market, makes
• 1:03:15
  Speaker 9: the economy work better, makes the access to medicine better,
• 1:03:18
  Speaker 9: all those things that I do. So I appreciate that. Really,
• 1:03:21
  Speaker 9: your position, I think is very consistent with what we had.
• 1:03:24
  Speaker 9: Hope you know on our side as an industry, is
• 1:03:26
  Speaker 9: that we can we can make sure that we can
• 1:03:29
  Speaker 9: continue to invest in new drugs, invest in new ways
• 1:03:33
  Speaker 9: to create value around not just on price, but on
• 1:03:36
  Speaker 9: the value that we give down to patients. And that's
• 1:03:38
  Speaker 9: one of the things that we're trying to do at
• 1:03:40
  Speaker 9: your rouse that where our new corporate tagline is doing
• 1:03:43
  Speaker 9: things differently. And as a company, our company, our industry
• 1:03:47
  Speaker 9: is always based on lowest price. Well, we kind of
• 1:03:50
  Speaker 9: use that up right. Access to affordable, high quality medicines
• 1:03:55
  Speaker 9: is the mantra that everybody's used for twenty five years.
• 1:03:57
  Speaker 9: So my question to myself and to my team is
• 1:03:59
  Speaker 9: we can't keep using that. So it's me on that now. Okay,
• 1:04:02
  Speaker 9: that's like the ticket into the game. So how we
• 1:04:05
  Speaker 9: continue to look at ways to improve the way we
• 1:04:07
  Speaker 9: can help our role in delivering healthcare in a more
• 1:04:11
  Speaker 9: positive and more expansive way that actually reaches the patient.
• 1:04:14
  Speaker 9: So that's one of the things we do. So I'm
• 1:04:16
  Speaker 9: always here to to dialogue with you and hopefully the
• 1:04:19
  Speaker 9: chance to collectively maybe put our brains together and do
• 1:04:22
  Speaker 9: some good things. So with this, what I'd like to
• 1:04:25
  Speaker 9: do is close here's an opportunity just for you to
• 1:04:28
  Speaker 9: share with the community any final thoughts you want. It
• 1:04:31
  Speaker 9: has been amazing opportunity to talk to you. I hope
• 1:04:35
  Speaker 9: that we will schedule this again and cost these topics,
• 1:04:39
  Speaker 9: but I want to give you the floor and let
• 1:04:42
  Speaker 9: you have a chance to say what you would like
• 1:04:44
  Speaker 9: to finish this podcast on.
• 1:04:48
  Speaker 11: Question that you're not anticipating.
• 1:04:49
  Speaker 12: And then I find myself saying this anytime I get
• 1:04:52
  Speaker 12: to talk to a crowd. I think for generations Americans
• 1:04:56
  Speaker 12: have had the benefit of sitting back and trusting their
• 1:04:58
  Speaker 12: elect to the leaders and you know what was going
• 1:05:01
  Speaker 12: on at the different levels of government.
• 1:05:04
  Speaker 11: Yeah, just it ran the way it was supposed to.
• 1:05:08
  Speaker 12: And right now, whether it's I mean everything from our
• 1:05:10
  Speaker 12: local townships, the municipalities, our school boards, our water authorities,
• 1:05:15
  Speaker 12: county level government, state, federal, it seems to be dysfunctional.
• 1:05:19
  Speaker 12: And I think going back to for generations, people could
• 1:05:22
  Speaker 12: turn a blind eye and maybe didn't think about it.
• 1:05:24
  Speaker 12: I was one of those people until about ten years
• 1:05:27
  Speaker 12: ago when I decided to run for office. I lost,
• 1:05:30
  Speaker 12: but God works some mysterious ways because it opened my
• 1:05:32
  Speaker 12: eyes to politics. So my call to action if if
• 1:05:36
  Speaker 12: whether you're you, whether it's either either of you, or
• 1:05:39
  Speaker 12: whether it is somebody listening at home, you know, I've
• 1:05:44
  Speaker 12: met some people in Harrisburg that are absolutely genius. I've
• 1:05:47
  Speaker 12: met some elected officials that I would not trust a
• 1:05:50
  Speaker 12: babysit my cows. So you know, if you, if you
• 1:05:53
  Speaker 12: feel and if you and I'm looking for I'm not
• 1:05:55
  Speaker 12: looking for more people that are corrupt.
• 1:05:58
  Speaker 11: I'm not looking for more people that don't have a brand.
• 1:06:00
  Speaker 12: But if you have a backbone and you're honest, and
• 1:06:03
  Speaker 12: you're ethical, and you're not afraid to take a hard
• 1:06:06
  Speaker 12: stance when you're doing it based on truth and principle,
• 1:06:09
  Speaker 12: think about stepping up and running for office.
• 1:06:11
  Speaker 11: Because until good.
• 1:06:12
  Speaker 12: Honest, ethical people step up and start taking a stance,
• 1:06:16
  Speaker 12: people that want you know, the things that you were
• 1:06:18
  Speaker 12: talking about are basic transparency and account fiscal accountability. Every
• 1:06:23
  Speaker 12: nickel of taxpayer dime we should know exactly where it's going,
• 1:06:27
  Speaker 12: and it needs to go for appropriate stuff.
• 1:06:29
  Speaker 11: Uh, not not to line some wealthy individual's pockets.
• 1:06:34
  Speaker 12: So this is if you feel it in your heart,
• 1:06:37
  Speaker 12: you know, maybe step up, get involved, even if it's
• 1:06:40
  Speaker 12: just going to your meetings and holding your elected officials accountable.
• 1:06:43
  Speaker 11: That's that's how I want to end this.
• 1:06:45
  Speaker 12: Please please do and hopefully even if I reach one
• 1:06:48
  Speaker 12: set of ears that that you know that I can
• 1:06:50
  Speaker 12: get to come out of their box and step up,
• 1:06:53
  Speaker 12: that would be that would be wonderful.
• 1:06:54
  Speaker 9: Well, Jerry, first of all, I agree, I hear the passion,
• 1:06:58
  Speaker 9: and you're obviously reper is in it, no pun intended.
• 1:07:03
  Speaker 5: Thank you for doing it.
• 1:07:04
  Speaker 9: And I think Todd's like his legs shaken over here,
• 1:07:07
  Speaker 9: so I think he's actually ready to gear up and
• 1:07:09
  Speaker 9: go down and on local councilor by the end of January. Listen,
• 1:07:15
  Speaker 9: thank you so much. At the end of the day,
• 1:07:17
  Speaker 9: you made one one word in your closing remarks that
• 1:07:21
  Speaker 9: really struck me, is that dysfunctional. And you know, I
• 1:07:25
  Speaker 9: think the fact is that most of us probably believe,
• 1:07:29
  Speaker 9: whether it's healthcare delivery, whether it's state government, federal government,
• 1:07:37
  Speaker 9: whatever it might be, that we we still seem to
• 1:07:41
  Speaker 9: be in this this this season or this phase of dysfunction.
• 1:07:46
  Speaker 9: And if we could at least agree with something like that,
• 1:07:48
  Speaker 9: that hey, there is dysfunction. Okay, it's not bad, it's
• 1:07:51
  Speaker 9: not like the you know, the worst thing in the world.
• 1:07:53
  Speaker 9: It is, it's true. But then to your point, okay,
• 1:07:56
  Speaker 9: if we all accepted there's dysfunction, that's that's all put
• 1:07:59
  Speaker 9: a little effort and to start removing that dysfunction and
• 1:08:03
  Speaker 9: will be pretty damn impressed, excuse my language, you know
• 1:08:06
  Speaker 9: in two years, three years, four years, that we can
• 1:08:09
  Speaker 9: overcome this function, because I do believe that, you know,
• 1:08:11
  Speaker 9: the US represents a lot of really good things, and
• 1:08:15
  Speaker 9: you know, and you know, we still feel that we're
• 1:08:18
  Speaker 9: the greatest country in the world, but there's probably an
• 1:08:20
  Speaker 9: argument to suggests that we're not the greatest country in
• 1:08:22
  Speaker 9: certain things. And and maybe, you know, just fixing dysfunction
• 1:08:26
  Speaker 9: something as simple and common and can make a huge difference.
• 1:08:30
  Speaker 9: So thank you for all that you do for your
• 1:08:35
  Speaker 9: for your community and your constituents. Thank you for stepping
• 1:08:38
  Speaker 9: up and walking the walk or walking to talk. Yeah,
• 1:08:42
  Speaker 9: I guess that's a better way of saying it. And
• 1:08:44
  Speaker 9: we trually all the best and we look forward to
• 1:08:46
  Speaker 9: talking to you again real soon.
• 1:08:47
  Speaker 11: Thanks so very much anytime.
• 1:08:50
  Speaker 3: Thank you you for listening to the Executive those with
• 1:08:52
  Speaker 3: hosts Steven Beckman, and we had a special episode with
• 1:08:57
  Speaker 3: state Representative Charity.
• 1:09:00
  Speaker 5: Thank you so much.
• 1:09:01
  Speaker 3: We look forward to hearing from other state representatives. A
• 1:09:05
  Speaker 3: shout out to you if you're listening, if you want
• 1:09:08
  Speaker 3: to get involved and you want to bring on your
• 1:09:10
  Speaker 3: state representative to the Executive Dose, please do so. Please
• 1:09:13
  Speaker 3: reach out to The Pharmacy Podcast and we will talk
• 1:09:16
  Speaker 3: to you next time on the Executive Dose.
• 1:09:19
  Speaker 4: Take care.
• 1:09:38
  Speaker 10: This episode is sponsored by Independent Pharmacy Cooperative, widely known
• 1:09:42
  Speaker 10: as IPC. Established in nineteen eighty three, IPC is the
• 1:09:45
  Speaker 10: nation's largest group purchasing organization owned by independent Pharmacy with
• 1:09:50
  Speaker 10: a mission of maximizing the success of community pharmacists. IPC
• 1:09:54
  Speaker 10: works to provide members with access to effective programs and
• 1:09:58
  Speaker 10: services designed to enhance offit ability for independent pharmacy. Read
• 1:10:02
  Speaker 10: more about our mission by checking out our website at
• 1:10:04
  Speaker 10: ipcrx dot com. That's ipcrx dot com.
• 1:10:29
  Speaker 3: Hey, welcome back to this Week in Pharmacy. I hope
• 1:10:32
  Speaker 3: you had a good week. I hope that the This
• 1:10:36
  Speaker 3: is like the first real week back for me from
• 1:10:39
  Speaker 3: the holidays.
• 1:10:40
  Speaker 5: It's always a rough week.
• 1:10:41
  Speaker 3: And I've tortured myself in my family by getting not.
• 1:10:47
  Speaker 5: One new puppy, but two new puppies.
• 1:10:50
  Speaker 3: And they're Corgis, and they're added to our family of
• 1:10:55
  Speaker 3: two existing corgies. So now we have a pack of dogs.
• 1:10:59
  Speaker 3: We have a pack four Corkis and it's been hard.
• 1:11:03
  Speaker 3: I've been getting up at three am and four am,
• 1:11:07
  Speaker 3: and it's all on their sleep schedule because they're outside
• 1:11:10
  Speaker 3: of our door inside a cage, and they start wailing
• 1:11:13
  Speaker 3: and screaming, and sometimes they bite each other and fight,
• 1:11:16
  Speaker 3: and it's just it's nuts. So it's it's been a
• 1:11:21
  Speaker 3: hard week back. I can imagine how things are for
• 1:11:24
  Speaker 3: you listening if you're watching us on YouTube live, if
• 1:11:27
  Speaker 3: you're watching us on LinkedIn, you can't see the bags
• 1:11:31
  Speaker 3: under my eyes. But I have not been sleeping exactly
• 1:11:34
  Speaker 3: the way that I need to be. Hopefully i'll catch
• 1:11:37
  Speaker 3: up over this weekend. But on this week in Pharmacy
• 1:11:40
  Speaker 3: and this special segment, you know, we hear a lot
• 1:11:45
  Speaker 3: about the dismay of our industry, and I think there's
• 1:11:49
  Speaker 3: a lot of positivity going into two thousand and twenty
• 1:11:52
  Speaker 3: twenty six. And I think back on the last seventeen
• 1:11:57
  Speaker 3: years that we've been podcasting of how many people have
• 1:12:01
  Speaker 3: grown their own businesses over the years. And someone that
• 1:12:05
  Speaker 3: I interviewed, probably for the at least the second or
• 1:12:08
  Speaker 3: third time, was the birth control pharmacist, doctor Sally Raffi.
• 1:12:14
  Speaker 3: And this was on June twenty fourth, twenty twenty. Goodness, gracious,
• 1:12:18
  Speaker 3: it makes me feel old how fast time goes by.
• 1:12:23
  Speaker 3: But I want to welcome back to the Pharmacy Podcast
• 1:12:26
  Speaker 3: Network in twerks the first time on this Week in Pharmacy.
• 1:12:29
  Speaker 5: Sally, Welcome to the show.
• 1:12:31
  Speaker 2: Thanks so much for having me, Todd, great to.
• 1:12:33
  Speaker 5: Be here, great to see you.
• 1:12:36
  Speaker 3: Congratulations on growing the birth control pharmacists.
• 1:12:39
  Speaker 5: It started out, just like my passion.
• 1:12:42
  Speaker 3: You started out as a side hustle, so something that
• 1:12:44
  Speaker 3: was not necessarily primary, and now it's transformed into this
• 1:12:48
  Speaker 3: enormous consultancy with so many people on your team.
• 1:12:52
  Speaker 5: I'm so proud of what you've created.
• 1:12:53
  Speaker 3: And I like the fact that we're talking today about
• 1:12:57
  Speaker 3: how pharmacists can leverage the the world of family planning
• 1:13:02
  Speaker 3: and birth control and contraception as an extension of health
• 1:13:06
  Speaker 3: care services, being a healthcare provider destination for their community.
• 1:13:11
  Speaker 3: And in my mind, I like the fact that it
• 1:13:13
  Speaker 3: can be away from the PBM revenue, and it can
• 1:13:16
  Speaker 3: be cash based, and it can be more consulting based.
• 1:13:20
  Speaker 3: But before we get any further, just in case listeners
• 1:13:22
  Speaker 3: don't know you, I don't know how they wouldn't know you,
• 1:13:27
  Speaker 3: because you really led in this space. But just give
• 1:13:29
  Speaker 3: us some background on the birth control pharmacists.
• 1:13:32
  Speaker 6: Yeah.
• 1:13:33
  Speaker 2: Absolutely, birth Control Pharmacist has been around for over a
• 1:13:36
  Speaker 2: decade now, and we serve as the coordinating center sort
• 1:13:40
  Speaker 2: of nationally for all of the work that's being done
• 1:13:43
  Speaker 2: to expand access to birth control and reproductive health products
• 1:13:48
  Speaker 2: and services in pharmacies and via pharmacist and all the
• 1:13:51
  Speaker 2: different places that pharmacists practice.
• 1:13:55
  Speaker 3: So there was a recent article that came out just
• 1:13:59
  Speaker 3: this week in Pharmacy and it was from Drug Topics
• 1:14:03
  Speaker 3: Love their work, and it was it was it was
• 1:14:06
  Speaker 3: titled a Q and A Reproductive Health Training equips pharmacists
• 1:14:11
  Speaker 3: to close care gaps. And you know, if I would
• 1:14:16
  Speaker 3: have read that, I don't know, a year ago, maybe
• 1:14:20
  Speaker 3: two years ago, I would have been like, okay, yeah,
• 1:14:22
  Speaker 3: that makes sense. But today, with the closing of so
• 1:14:26
  Speaker 3: many centers that were nothing but contraceptive centers and family
• 1:14:32
  Speaker 3: planning centers, this is crazy important. And I if I'm
• 1:14:37
  Speaker 3: if I'm talking to, and I want to shout out
• 1:14:39
  Speaker 3: to every single pharmacy owner listening right now. You should
• 1:14:44
  Speaker 3: be doing birth control, you should be doing contraception. You
• 1:14:47
  Speaker 3: should be doing events in your community that let them know, hey,
• 1:14:51
  Speaker 3: you can come to your local community independent pharmacy to
• 1:14:56
  Speaker 3: talk with your teens, or talk with your yourself, or
• 1:14:59
  Speaker 3: or or sit and consult with a pharmacist who understand this.
• 1:15:03
  Speaker 3: But it really starts first with the training and understanding
• 1:15:07
  Speaker 3: actually how to do that.
• 1:15:08
  Speaker 5: And if you're.
• 1:15:10
  Speaker 3: Listening in the show notes, in our show notes, you're
• 1:15:12
  Speaker 3: going to see birth Controlpharmacist dot com. If you're watching
• 1:15:16
  Speaker 3: us on YouTube, you'll see on the screen it says
• 1:15:19
  Speaker 3: birth control Pharmacists the Reproductive Health Certificate, Sally. This is exciting,
• 1:15:24
  Speaker 3: This is exactly what I'm talking about. Talk to our
• 1:15:26
  Speaker 3: listeners a little bit more about the certificate.
• 1:15:30
  Speaker 2: Yeah, so we get a lot of requests for training
• 1:15:33
  Speaker 2: and education and help in getting going with reproductive health services,
• 1:15:37
  Speaker 2: and doing a scan of the landscape, we sort of
• 1:15:41
  Speaker 2: found a gap. There were no really other certificate programs
• 1:15:45
  Speaker 2: and comprehensive training programs that could prepare folks to do
• 1:15:48
  Speaker 2: these services. And it's not just about the clinical piece.
• 1:15:53
  Speaker 2: We also wanted to prepare pharmacists and really equip them
• 1:15:57
  Speaker 2: to be able to have those conversations and feel comfortable
• 1:16:02
  Speaker 2: in not only having the clinical information, but also being
• 1:16:05
  Speaker 2: able to have patient centered conversations taking into account any
• 1:16:10
  Speaker 2: patient specific factors, community factors that might be impacting their
• 1:16:15
  Speaker 2: access to care, their individual situations at home, within their
• 1:16:19
  Speaker 2: families and relationships. So, really we want pharmacists to feel
• 1:16:23
  Speaker 2: comfortable providing this care. They've got the foundation, they know
• 1:16:28
  Speaker 2: how to do this innately based on the basics that
• 1:16:31
  Speaker 2: we learn in pharmacy school, and so this is just
• 1:16:34
  Speaker 2: a way to really refresh the clinical information and learn
• 1:16:37
  Speaker 2: some of those other sort of adjacent elements to care
• 1:16:42
  Speaker 2: that'll really make you a competent and confident prescriber and
• 1:16:46
  Speaker 2: provider of care.
• 1:16:48
  Speaker 3: Sally, how many I always get this number, It's like
• 1:16:52
  Speaker 3: either thirty eight or forty. But how many states in
• 1:16:54
  Speaker 3: the United States now enable or allow permit the pharmacists
• 1:16:59
  Speaker 3: to prescribe birth control?
• 1:17:01
  Speaker 2: Yeah, it depends on your definition of where they're at.
• 1:17:05
  Speaker 2: So many states every year we get about a handful
• 1:17:08
  Speaker 2: more that are passing the laws after the laws comes
• 1:17:12
  Speaker 2: the regulation piece and writing protocols or getting standing orders signed,
• 1:17:17
  Speaker 2: and so states are in different points in the process
• 1:17:21
  Speaker 2: of actually implementing these policies. But it's yeah, it's in
• 1:17:25
  Speaker 2: at least thirty five states, to varying degrees, and that's
• 1:17:29
  Speaker 2: something we're always working on because yes, we celebrate the
• 1:17:33
  Speaker 2: pharmacies that are doing this, but also we know we
• 1:17:36
  Speaker 2: have work to do to get it available in more pharmacies.
• 1:17:40
  Speaker 3: And I guess it depends on the individual pharmacy owner,
• 1:17:44
  Speaker 3: and let's talk about them first, because it's easy to
• 1:17:47
  Speaker 3: conceptualize that over a chain. But so if it were
• 1:17:53
  Speaker 3: a physical tablet, which is the most probably the most
• 1:17:56
  Speaker 3: well known birth control, but then we get into the shot,
• 1:18:00
  Speaker 3: we get into depot, we get into many different variations
• 1:18:04
  Speaker 3: depending on the individual.
• 1:18:06
  Speaker 5: Does that mean more and.
• 1:18:08
  Speaker 3: More ongoing training to kind of layer the services that
• 1:18:11
  Speaker 3: you could provide to a community.
• 1:18:14
  Speaker 2: So we cover all of that in our training program.
• 1:18:17
  Speaker 2: So the pharmacist, whether your state scope or practice allows
• 1:18:21
  Speaker 2: you to prescribe those methods or directly provide them is
• 1:18:25
  Speaker 2: almost irrelevant because you still want to be able to
• 1:18:28
  Speaker 2: counsel your patients about all of their options and whether
• 1:18:32
  Speaker 2: it's something that you have to refer them out for
• 1:18:35
  Speaker 2: or you're able to help them with directly, it should
• 1:18:38
  Speaker 2: still be part of the conversation. So our flagship training
• 1:18:41
  Speaker 2: program is our hormonal contraception training. We have a core
• 1:18:45
  Speaker 2: program and then we have one for most states where
• 1:18:49
  Speaker 2: the policies exist, and that gives folks all the information
• 1:18:53
  Speaker 2: they need from the protocol or policy that's in their state,
• 1:19:00
  Speaker 2: how to do the screening for patients, how to determine
• 1:19:02
  Speaker 2: their eligibility, how to do the counseling for all the
• 1:19:05
  Speaker 2: different methods, help them pick the method they want to use,
• 1:19:09
  Speaker 2: and then all of the procedures if it requires notification
• 1:19:12
  Speaker 2: to the patient's PCP or any other kind of restrictions
• 1:19:17
  Speaker 2: on reporting or which methods or for how many months.
• 1:19:21
  Speaker 2: All of that is covered in the training program. Ultimately,
• 1:19:26
  Speaker 2: the vast majority of patients do use pills, and every
• 1:19:29
  Speaker 2: state that has enabled pharmacists to prescribe birth control includes pills.
• 1:19:33
  Speaker 2: So that's good news because it means we can help
• 1:19:36
  Speaker 2: most people. Now, it's best practice to allow all the
• 1:19:39
  Speaker 2: methods to be prescribed by the pharmacists, so patches, rings,
• 1:19:44
  Speaker 2: the depot injection, and even non hormonal methods. There are
• 1:19:48
  Speaker 2: diaphragms and cervical caps and the vaginal gel. We want
• 1:19:52
  Speaker 2: pharmacists to be able to do all of that and
• 1:19:55
  Speaker 2: more and more. States are whether they use a standard
• 1:19:59
  Speaker 2: of care approach or whether they actually specifically itemize those
• 1:20:03
  Speaker 2: different methods.
• 1:20:05
  Speaker 3: If I'm a pharmacy owner, I'm listening to this, I'm like, Okay,
• 1:20:07
  Speaker 3: I'm interested, I want to do something. Could we could
• 1:20:11
  Speaker 3: you share some metrics from a perspective of time. So
• 1:20:15
  Speaker 3: for example, I know, I think of our busier pharmacies,
• 1:20:21
  Speaker 3: the three hundred, five hundred, maybe eight hundred prescriptions a day.
• 1:20:25
  Speaker 5: That's a lot of work. There's people coming and going.
• 1:20:28
  Speaker 3: However, if you had a pharmacist on staff, a secondary,
• 1:20:32
  Speaker 3: a tertiary pharmacist on staff that was doing more of
• 1:20:35
  Speaker 3: the consulting, the medication reviews, the pharmacogenomics, and kind of
• 1:20:39
  Speaker 3: like the services aspect, that's where that pharmacist could really
• 1:20:43
  Speaker 3: become the contraception and birth control expert and then market
• 1:20:48
  Speaker 3: that throughout the community and let them know that this
• 1:20:50
  Speaker 3: person's doing it. But talk to me about the timing
• 1:20:52
  Speaker 3: of it, because I know with medication reviews, in order
• 1:20:56
  Speaker 3: to get compensated for it, that's like a thirty minute
• 1:20:59
  Speaker 3: or an hour or whatever it is. Talk to us
• 1:21:01
  Speaker 3: about this specifically contraception specifically.
• 1:21:05
  Speaker 2: Yeah, you bring up a good point about what is
• 1:21:07
  Speaker 2: the right model in the pharmacy. Is it a second
• 1:21:10
  Speaker 2: pharmacist who does more clinical services, and there's no right
• 1:21:13
  Speaker 2: answer for that. It depends on the pharmacy, it depends
• 1:21:17
  Speaker 2: on their resources, it depends on their community. So there's
• 1:21:20
  Speaker 2: lots of different ways of doing this, and you don't
• 1:21:23
  Speaker 2: have to be an expert in birth control to provide
• 1:21:25
  Speaker 2: birth control. The majority of patients coming in for this
• 1:21:29
  Speaker 2: are just going to want to refiel what they're already on.
• 1:21:32
  Speaker 2: It ends up being a very quick visit, sometimes five minutes,
• 1:21:36
  Speaker 2: and there's no minimum time requirement for the visit, so
• 1:21:40
  Speaker 2: you don't have to spend thirty minutes to meet some metric.
• 1:21:43
  Speaker 2: You just help the patient with what they need, meet
• 1:21:46
  Speaker 2: your state's requirements, and you're done. Now.
• 1:21:50
  Speaker 5: I get creative in my mind and my thinking. If
• 1:21:53
  Speaker 5: the patient is on.
• 1:21:56
  Speaker 3: Maybe multiple medications, it could give you an opportunity to
• 1:21:59
  Speaker 3: add in in a med review so that you could
• 1:22:01
  Speaker 3: get compensated for that, and then tie in birth control
• 1:22:05
  Speaker 3: is kind of an all encompassing and then advertise that
• 1:22:08
  Speaker 3: to the public to say, because that's just thing Sally.
• 1:22:11
  Speaker 5: You know better than I do that.
• 1:22:13
  Speaker 3: People don't know that pharmacists can do this. People don't
• 1:22:17
  Speaker 3: know that pharmacists can do so many things that pharmacists
• 1:22:20
  Speaker 3: can do so, where would a where would a pharmacy
• 1:22:25
  Speaker 3: get started? As a matter of fact, I'd want them
• 1:22:28
  Speaker 3: to take this Reproductive Health Certificate course just to get
• 1:22:32
  Speaker 3: a refresher on. It's twenty hours, it's accredited, it's actually
• 1:22:38
  Speaker 3: it also mentions the California Pharmacists Association, but that's not limited.
• 1:22:43
  Speaker 5: It's any of the states that are open to.
• 1:22:45
  Speaker 2: This, right, that's right, Yeah, anybody from any state can
• 1:22:48
  Speaker 2: take it. We developed it in partnership with the California
• 1:22:51
  Speaker 2: Pharmacist Association, and pharmacists in any state can benefit from this,
• 1:22:56
  Speaker 2: whether you have the direct prescribing authority enabled or not.
• 1:23:00
  Speaker 2: And we're not just talking about contraception in this certificate program.
• 1:23:04
  Speaker 2: We're also talking about STI pre and post treatment as
• 1:23:10
  Speaker 2: well as prevention. We're talking about HIV pre impost exposure, prophylaxis,
• 1:23:16
  Speaker 2: talking about different services that you can bundle that might
• 1:23:21
  Speaker 2: include vaccinations, it might include tobacco cessation. Patients, of course,
• 1:23:27
  Speaker 2: don't have needs in a silo, and we encourage pharmacies
• 1:23:31
  Speaker 2: to engage in all the opportunities that present and get
• 1:23:36
  Speaker 2: as many services and interventions taking care for that patient
• 1:23:39
  Speaker 2: as possible.
• 1:23:41
  Speaker 3: Sally, I'm also thinking of our consultant pharmacists. That's a
• 1:23:45
  Speaker 3: space that has really expanded. I remember entering pharmacy in
• 1:23:48
  Speaker 3: two thousand and four. The first consulting pharmacy organization that
• 1:23:51
  Speaker 3: I knew about was the AACP and the American Society
• 1:23:56
  Speaker 3: Consultant Pharmacists. Now they're growing so much more because now
• 1:24:01
  Speaker 3: they're finding that pharmacists are building their own practices in
• 1:24:04
  Speaker 3: their communities. It has nothing to do with the brick
• 1:24:06
  Speaker 3: and mortar. So talk to me a little bit about
• 1:24:09
  Speaker 3: the consultant pharmacist adding this into their regiment and their offerings.
• 1:24:15
  Speaker 2: Yeah. I think that the possibilities are there. They have
• 1:24:19
  Speaker 2: to look at their own state scope of practice, of course,
• 1:24:23
  Speaker 2: but the opportunities are there. Many states have enabled at
• 1:24:27
  Speaker 2: least some of these services, and there are a lot
• 1:24:30
  Speaker 2: of billing opportunities if folks want to explore third party billing.
• 1:24:35
  Speaker 2: But the patient demand is there. To look at the
• 1:24:38
  Speaker 2: last ten years of the service being provided, especially with
• 1:24:41
  Speaker 2: birth control, it's been primarily cash pay. I mean, patients
• 1:24:45
  Speaker 2: are willing to pay for the convenience, the expertise that
• 1:24:49
  Speaker 2: pharmacists provide.
• 1:24:51
  Speaker 3: Sally, I can't think of I always think of business
• 1:24:54
  Speaker 3: development as soon as I hear a pharmacist talking. So
• 1:24:57
  Speaker 3: a little imprompt to business plan right out of the
• 1:25:02
  Speaker 3: gate is number one. Listeners, reach out to birth control
• 1:25:07
  Speaker 3: Pharmacists dot com, get your certificate just so that you
• 1:25:11
  Speaker 3: can refresh yourself, get in touch with Sally. But then
• 1:25:14
  Speaker 3: I'm thinking announce it to your community through press, reach
• 1:25:19
  Speaker 3: out to the local paper, reach out, but also reach
• 1:25:23
  Speaker 3: out to your state representatives, especially the state representatives that
• 1:25:27
  Speaker 3: are in districts where planned Parenthood has been shut down,
• 1:25:32
  Speaker 3: and say to them, hey, representative, blah blah blah, we
• 1:25:37
  Speaker 3: are now offering birth control and contraceptive counseling consulting services.
• 1:25:45
  Speaker 3: So that now the state rep is like, wow, this
• 1:25:49
  Speaker 3: could become like a gold star in their you know,
• 1:25:52
  Speaker 3: in their output and their press release and their public relations.
• 1:25:56
  Speaker 3: So I think that there is a big opportunity for sure,
• 1:26:01
  Speaker 3: are independent community pharmacies to expand services in their community,
• 1:26:05
  Speaker 3: especially those that are so hungry and thirsty for services
• 1:26:10
  Speaker 3: that are now no longer there.
• 1:26:12
  Speaker 2: That's right, and pharmacies can fill some of those gaps.
• 1:26:16
  Speaker 2: And what we've heard from some of the pharmacies that
• 1:26:19
  Speaker 2: have actually already adopted these services is that's part of
• 1:26:23
  Speaker 2: why they do it is because it increases their reputation,
• 1:26:26
  Speaker 2: it increases trust within the community, and they just become
• 1:26:29
  Speaker 2: a go to place for prescribers know that they can
• 1:26:33
  Speaker 2: send their patients there for comprehensive care, and then of
• 1:26:36
  Speaker 2: course community members will come in directly as well.
• 1:26:39
  Speaker 3: So what else is the birth control pharmacists doing in
• 1:26:42
  Speaker 3: support of pharmacists and our independent community pharmacy And then.
• 1:26:46
  Speaker 5: Talk to me about other sectors.
• 1:26:47
  Speaker 3: Are you working with health systems, are you working with
• 1:26:51
  Speaker 3: health and human service areas or clinics, or talk to
• 1:26:54
  Speaker 3: me about other things that you guys are doing.
• 1:26:57
  Speaker 2: Yeah, I mean I and our whole team works with
• 1:27:01
  Speaker 2: all sorts of different stakeholders when it comes to this.
• 1:27:03
  Speaker 2: I have testified in front of the FDA, I've talked
• 1:27:07
  Speaker 2: to folks at the White House, and try to really
• 1:27:11
  Speaker 2: influence policy not only on a federal level, but in
• 1:27:14
  Speaker 2: many many states. So we have a lot of collaborators
• 1:27:18
  Speaker 2: in different states, whether it's nonprofit organizations who are really
• 1:27:22
  Speaker 2: leading policy change, whether it's departments of health, So we
• 1:27:27
  Speaker 2: work with all of them. State pharmacist associations of course,
• 1:27:31
  Speaker 2: really trying to advance the policies because that really sets
• 1:27:35
  Speaker 2: folks up for what they can do. So that's the
• 1:27:37
  Speaker 2: first step is getting the policy in place to enable
• 1:27:41
  Speaker 2: pharmacists to do what they can do, and then from there,
• 1:27:44
  Speaker 2: working on payment for services, working on we do a
• 1:27:48
  Speaker 2: lot of marketing support, public awareness, and a lot of
• 1:27:51
  Speaker 2: pharmacist training. So our core contraception training program it's only
• 1:27:56
  Speaker 2: two hours. If you're not ready to commit to a
• 1:27:59
  Speaker 2: twenty hour certific program, you can go through our two
• 1:28:01
  Speaker 2: hour contraception training program and that'll get you started with contraception.
• 1:28:06
  Speaker 3: Very cool, very excited about what you've built. How many
• 1:28:10
  Speaker 3: years has this been now that you started birth control pharmacists.
• 1:28:14
  Speaker 2: Yeah, it's been a decade. Hard to believe time has flown.
• 1:28:18
  Speaker 2: I feel like there was the pre COVID, and then
• 1:28:20
  Speaker 2: there was pre twenty twenty five. There's been all these
• 1:28:23
  Speaker 2: different chapters. But this last year was a big year
• 1:28:26
  Speaker 2: of growth for us, and we're also now going into
• 1:28:30
  Speaker 2: a new area, which is developing software for pharmacies as well.
• 1:28:35
  Speaker 2: So two of the things that we've been really two
• 1:28:37
  Speaker 2: initiatives we've had this last year is one creating a
• 1:28:40
  Speaker 2: digital community practice for pharmacists because they kept telling us,
• 1:28:44
  Speaker 2: I want to be able to talk to other pharmacists
• 1:28:46
  Speaker 2: who are doing this. I want to hear what's working
• 1:28:48
  Speaker 2: for them, what's not working for them, how did they
• 1:28:51
  Speaker 2: overcome this hurdle, And so we've created that space for
• 1:28:54
  Speaker 2: them to be able to connect with each other virtually.
• 1:28:58
  Speaker 2: You don't have to be in the same physical room.
• 1:29:01
  Speaker 2: You can connect and exchange ideas in our online space.
• 1:29:06
  Speaker 2: And then the software. Again, hearing from pharmacists that they
• 1:29:09
  Speaker 2: need digital tools, so we have created the digital tool
• 1:29:13
  Speaker 2: for them that will really help create some efficiencies for
• 1:29:17
  Speaker 2: them because there are quite a few steps involved, and
• 1:29:20
  Speaker 2: we want to make sure that our pharmacists are able
• 1:29:22
  Speaker 2: to work within their legal scope or practice and parameters
• 1:29:27
  Speaker 2: and do this in a way that's safe and legal
• 1:29:30
  Speaker 2: and creates the access that's great.
• 1:29:34
  Speaker 3: I love it and congratulations on all your work for
• 1:29:37
  Speaker 3: our listeners. Once again, it's birth birth controlpharmacist dot com.
• 1:29:42
  Speaker 3: Very easy to remember. Birth Controlpharmacist dot com link will
• 1:29:45
  Speaker 3: be in our show notes. If you're driving, jogging, doing
• 1:29:49
  Speaker 3: something with your toddler, like Sally has her hands full
• 1:29:53
  Speaker 3: right now, all the information will be in the show notes.
• 1:29:57
  Speaker 5: Sally, how is your toddler? Half?
• 1:30:03
  Speaker 2: I love it though I love it.
• 1:30:04
  Speaker 3: I know. I have a grandchild. I have a five
• 1:30:08
  Speaker 3: year old grandchild, two year old, and one year old.
• 1:30:11
  Speaker 3: And the two year old is the is the craziest
• 1:30:14
  Speaker 3: of the three. The one year old is just perfect.
• 1:30:18
  Speaker 3: He doesn't make any sounds, he just sits there and smiles.
• 1:30:20
  Speaker 3: And of course the five year old, can you can
• 1:30:22
  Speaker 3: at least talk to them and reason a little bit.
• 1:30:25
  Speaker 3: But that two year old, she's uh, he's like the
• 1:30:28
  Speaker 3: Tasmanian devil in the room.
• 1:30:31
  Speaker 2: Yeah, I'm pretty sure your dogs might be a little
• 1:30:33
  Speaker 2: bit more energy right now than a two year old.
• 1:30:35
  Speaker 5: Even so, Yeah, like I said, I'm exhausted.
• 1:30:38
  Speaker 3: I'm gonna be getting up in the in the middle
• 1:30:41
  Speaker 3: of the night when they're screaming and I have to
• 1:30:43
  Speaker 3: go calm them down, and it's like having babies again.
• 1:30:46
  Speaker 5: But at least doesn't last as long.
• 1:30:48
  Speaker 3: I got three to six months of this and then
• 1:30:51
  Speaker 3: he'll be over.
• 1:30:52
  Speaker 5: That's awesome.
• 1:30:53
  Speaker 2: Well, it's great chatting with you as always.
• 1:30:55
  Speaker 5: It is great chatting with you. Thank you so much.
• 1:30:57
  Speaker 5: Let's not make it five years again. Let's have you
• 1:30:59
  Speaker 5: back sooner.
• 1:31:00
  Speaker 2: Than that sounds great.
• 1:31:02
  Speaker 5: Hey, We'll be right back with more this week in pharmacy.
• 1:31:07
  Speaker 10: Feeling lost with the complexities of pharmacy accounting.
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  Speaker 3: Great twerks, thank you so much for tuning in on
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  Speaker 3: your end of a week. I like I said, I
• 1:32:40
  Speaker 3: hope it was a hope it was a good week.
• 1:32:43
  Speaker 3: Hope it wasn't too stressful. I hope you are doing well.
• 1:32:47
  Speaker 3: If there's anything that this organization can do for you,
• 1:32:51
  Speaker 3: if you want a public relations agency style group of
• 1:32:57
  Speaker 3: people who are dedicated to their clients and growing not
• 1:33:01
  Speaker 3: only your business, but I'm talking to the individuals out there.
• 1:33:04
  Speaker 3: I'm talking about you, the consultant pharmacist. I mentioned building
• 1:33:10
  Speaker 3: your consultancy for birth control and contraception and family planning
• 1:33:16
  Speaker 3: in your community. That is real and it's happening right now,
• 1:33:21
  Speaker 3: and there are systems out there that you can implement.
• 1:33:24
  Speaker 3: Sally mentioned one. We have someone that we've partnered with
• 1:33:29
  Speaker 3: through prism. You can go to get PRISMX, get prism
• 1:33:37
  Speaker 3: rx dot com. Once again, that's get prism rx dot com.
• 1:33:42
  Speaker 3: We can put you in touch with that organization. There's
• 1:33:44
  Speaker 3: a tech platform that helps get paid for consultancy services
• 1:33:48
  Speaker 3: that are tied into contraception. But then we're also going
• 1:33:51
  Speaker 3: to be working then that same platform in building revenues
• 1:33:55
  Speaker 3: for diabetes, I think hypertension and some other chronic conditions.
• 1:34:01
  Speaker 3: But hey, there is ways to make money. There's ways
• 1:34:05
  Speaker 3: to make side hustle money, There's ways to make direct
• 1:34:10
  Speaker 3: consultant money. I'm talking to you independent community pharmacy owners,
• 1:34:13
  Speaker 3: and I'm talking to you consultant pharmacists that are out there.
• 1:34:17
  Speaker 3: There's a lot going on twenty twenty six. Don't let
• 1:34:19
  Speaker 3: this be a year of the same. Let's change some
• 1:34:23
  Speaker 3: things in twenty twenty six. Let's start with you. Let's
• 1:34:25
  Speaker 3: start with your business. And I'm excited. So reach out
• 1:34:30
  Speaker 3: to me and let's work together our ex Like I
• 1:34:34
  Speaker 3: always say, together.
• 1:34:37
  Speaker 5: OURX. It's a hashtag, it's a way of thinking. But
• 1:34:41
  Speaker 5: I'm here.
• 1:34:41
  Speaker 3: I want to build business with you. I want to
• 1:34:43
  Speaker 3: do things with you. I want to see our profession excel.
• 1:34:48
  Speaker 3: That's it for Tworks. We'll see you next week. Hey,
• 1:34:51
  Speaker 3: do not miss the Pharmacy fifty next week. This is
• 1:34:54
  Speaker 3: going to be the biggest show of the year for us.
• 1:34:57
  Speaker 3: Do not miss the Pharmacy fifty Words next Friday at
• 1:35:02
  Speaker 3: two pm Eastern Live. We're going to have the winner here,
• 1:35:07
  Speaker 3: the guy who is the gave it away that it's
• 1:35:10
  Speaker 3: a it's a it's a male pharmacist. But there's a
• 1:35:15
  Speaker 3: pharmacist out there who is doing some amazing things to
• 1:35:19
  Speaker 3: bring forward pharmacist knowledge, and he has done an amazing
• 1:35:26
  Speaker 3: job at advocate advocating for the safety that pharmacists can
• 1:35:29
  Speaker 3: bring in your life. You have to attend or watch
• 1:35:34
  Speaker 3: the Pharmacy Fifty Awards next week. Do not miss it
• 1:35:38
  Speaker 3: and have a wonderful weekend. Reach out to me. My
• 1:35:43
  Speaker 3: email is Uri at pharmacypodcast dot com. That is Uri
• 1:35:49
  Speaker 3: eu r Y at pharmacypodcast dot com. Let's connect on LinkedIn.
• 1:35:54
  Speaker 3: Let's get involved. Let me help you do something. You
• 1:35:57
  Speaker 3: want to grow your business, you want to grow your consultancy.
• 1:36:00
  Speaker 3: I will help you accelerated, I promise. I'm like the
• 1:36:03
  Speaker 3: salt on the potatoes or steak. I'm actually hungry for
• 1:36:06
  Speaker 3: steak right now.
• 1:36:08
  Speaker 5: But you have a great weekend.
• 1:36:09
  Speaker 3: We'll see you next week on This Week in Pharmacy.