20Ways SUMMER Hospital 2018 by RXinsider

I M P R O V I N G PATIENT CARE &

PHARMACY COST C O N TA I N M E N T Summer 2018

Health System

â&#x20AC;˘

Infusion

20 Unique Products & Services Discover 20 products and services that will help your pharmacy improve patient care or contain costs.

15 Preceptors Recognized Recognized by Eight Colleges Including UNM, Harding, Binghamton, UCONN, and More page 36

16 Thought Leaders

Video Series Including AmerisourceBergen, TCGRx, PharmaLink, CPS, Temptime, and More page 20

Pharmacist Jobs

Pharmacy Job Opportunities page 70

Contents WAY

Verity Solutions – We’re Your Experts in 340B Program Compliance

We strive to go the extra mile Verity delivers award winning 340B Solutions. Our goal is to exceed our customers’ expectations. That’s why we provide a multi-layered approach to service, where your business is assigned to a primary account manager as part of an account team. Our 340B experts not only help you maximize your 340B savings, they also conduct scheduled, formalized business reviews to assist in keeping your program on track. Our Account Management teams are also comprised of Pharmacy Program Analysts who provide deeper on-demand analytics to help improve your 340B program. Finally, our Support Team is available by phone, email or through our online customer community portal with 80% of all support cases resolved (not just responded to) in under 2-hours. Contact us today to learn more about our 340B solutions and how we are continuously improving our service and support programs.

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4 outsourcing facilities strategically located across the United States 150,000 units of finished compounded sterile preparations (CSPs) are produced daily 3,200+ hospitals, outpatient departments and ambulatory surgery centers served 2,800+ SKUs represent the largest portfolio of ready to use CSPs available 100% of PharMEDium CSP batches are tested according to United States Pharmacopeia (USP) standards

Rely on PharMEDium To learn how PharMEDium CSPs can benefit you, visit PharMEDium.com or call 1-800-523-7749.

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Providing the Highest-Quality Sterile Compounded Services — PharMEDium 100% of PharMEDium CSP batches are tested. We put patient safety first. Because a life is touched by every preparation we produce.

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Helmer Scientific — Efficient and Effective Vaccine Storage Efficient and effective. Tight on space? Stacking kits are the perfect solution The CDC encourages the use of stand alone pharmaceuticalgrade refrigerators and freezers, but this is often a challenge for areas tight on space. Helmer Scientific provides the perfect solution with the undercounter stacking kit. x

Save space in your pharmacy, medication room, or clinic

Meet CDC guidelines for stand alone refrigerators and freezers

Customize storage: stack 2 refrigerators, 2 freezers, or 1 refrigerator and 1 freezer

Separate private and VFC stock

This set up saves space like a combination unit, while providing the quality and reliability of true medical-grade cold storage. F o r m o re i n fo rm a ti o n : i n fo .h e l m e ri n c .c o m / h e l m e r-va c c i n e -s to ra g e

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Erin Patton Senior Product Specialist ~ Charles River St. Louis, Missouri

Erin received her Bachelor of Science degree in biology from Xavier University and her Master of Science degree in cell and molecular biology from the University of Illinois, Urbana-Champaign. Erin has over 15 years’ experience in molecular biology research, microbiology QC, and regulatory compliance. As a Senior Product Specialist for Charles River’s Microbial Solutions division, Erin provides innovative rapid micro solutions for endotoxin testing, microbial identification, and microbial detection (Celsis® rapid bioburden and sterility testing).

TrueBlue.

Advancing health by supporting safe pharmaceutical compounding.

PRIMARY INTENDED OUTCOME Human drug compounding is an important branch of pharmacy practice that creates medications tailored to the health needs of specific patients. Compounded drugs improve and save lives by providing medicines that may be unavailable or not commercially sold in a particular formulation. However, compounded drugs are generally not required to meet federal approval and can be at risk for contamination. Charles River provides a range of microbiological testing services and equipment to support drug discovery, development, and manufacturing that can be tailored to a facility’s specific needs and ensure patient safety.

THE CHALLENGE In 2012, an outbreak of fungal meningitis caused numerous cases of serious illness and more than 60 deaths, according to the CDC. The public health tragedy resulted from contaminated injectable steroids that were produced by the New England Compounding Center (NECC). Confusion over state and federal oversight was called out as a contributing factor. The NECC was also found to be acting, erroneously, as a drug manufacturer, which would be subject to different regulations than a compounding pharmacy. Compounding pharmacies are now divided into two sectors. Designated 503A facilities are limited to dispensing small amounts of drugs and must follow USP and state pharmacy guidelines. Larger 503B pharmacies are allowed to use bigger batches and must validate every process with current good manufacturing practices (cGMPs). These 503B requirements include more frequent environmental monitoring, on-site inspections, and submitting products for testing, which can result in longer lead times.

www.criver.com

Case Study: Charles River

CASE STUDY

4/16/2018 3:53:40 PM

page 23 WAY Revolutionize your pharmacy with the Beacon Inventory Management System ®

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Reduced technician script fill time by 15% and 75% reduction in pharmacists’ check and auditing time

The Beacon cabinet uses less space than traditional bookshelfstyle storage methods.

EXPIRED INVENTORY

EXPIRED INVENTORY ON-HAND INVENTORY ON-HAND INVENTORY

Chart from Beacon Case Study of Maury Regional, 2016

Before Beacon

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The nation’s leader in USP <797> and <800> compliant supplies specifically designed for your advanced environment.

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20Ways MISSION To educate pharmacy management on products and services that serve to improve patient care or improve a pharmacy’s financial bottom line, while distilling and presenting this relevant information via 20 product profiles.

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QUARTERLY ISSUES Spring 2018

Summer 2018 I M P R O V I N G PATIENT CARE &

PHARMACY COST C O N TA I N M E N T Summer 2018

Health System

•

Spring 2018

Infusion

Issue Focus: Hospital & Infusion Issue Frequency: Summer & Winter Circulation Per Issue: 19,000+ 6,500+ Hospital Directors 2,200+ Clinical Consultants 2,500+ Industry Executives 5,000+ College Preceptors 1,800+ College Faculty 1,000+ Trade Show Handouts Issue Focus: Retail, Specialty, & LTC Issue Frequency: Spring, Fall, & Winter Circulation Per Issue: 35,300+ 18,000+ Owners (Independents) 3,500+ Long-Term Care Pharmacies 2,500+ Retail Chain Executives 2,500+ Industry Executives 5,000+ College Preceptors 1,800+ College Faculty 2,000+ Trade Show Handouts

Fall 2013

Community • Specialty • LTC

20 .products and profitability or increase services that will help pharmacy improve your

page 36

8 Thought Leaders

Thought ar Leaders Calend Video Series Including Apexus 340B, 40eCare page Trade Show Avera Pharmacy, PharmaLink, Acentrus, ACHC, and More

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Community • Specialty • LTC

IMPROVING PAT I E N T C A R E & PHARMACY P R O F I TA B I L I T Y Fall 2017

Community • Specialty • LTC

Infusion

gnize 15 Precepto Reco rs Recognized

page 20

Pharmacist Jobs

Pharmacy Job Opportunities

Health System • Infusion

•

recognized by 11 Recognized 12 preceptors by Eight Colleges Including UAMS, SIUE, UNC, Belmont, Manchester University, UNE, colleges including SIUe … page 24and More page 38 Campbell, UCONN,

Eight Video Series Including BestRx, PharmaLink, CVS Health, Temptime, Albertsons Companies, and More

Pharmacist Jobs

Pharmacy Job Opportunities page 70

Health System

patient care or contain costs. 12 Preceptors d

11 Preceptors Recognized

16 Thought Leaders

• LTC Community • Specialty

Winter 2017

Recognized by Seven Colleges Including SIUe, Wingate, UCONN, Manchester University, and More

Video Series Including AmerisourceBergen, TCGRx, PharmaLink, CPS, Temptime, and More page 20

C O N TA I N M E

20 Unique ucts Prod20 Unique ices Prod & Serv and ucts Discover 20 products your help that will Serv services& patient care ices pharmacy improve Discover

Discover 20 products and services that will help your pharmacy improve patient care or increase profitability.

Discover 20 products and services that will help your pharmacy improve patient care or contain costs.

Recognized by Eight Colleges Including UNM, Harding, Binghamton, UCONN, and More page 36

Fall 2017

I M P R OI V I N G M P R O V I N G PAT I E NPTA TCI A R E ENT CARE & P H A R M A C &Y P H ABRI M Y A T I C L Y C O TA I S T PROF

20 Unique Products & Services

15 Preceptors Recognized

2018 CIRCULATION

Winter 2017 / 2018

IMPROVING PAT I E N T C A R E & PHARMACY P R O F I TA B I L I T Y

20 Unique Products & Services Discover 20 products and services that will help your pharmacy improve patient care or increase profitability.

14 Preceptors Recognized

14 Preceptors Recognized by Eight Colleges Including UAMS, Manchester University, WNE, and More page 38

8 Thought Leaders

Eight Video Series Including Temptime, BestRx, PharmaLink, ARxIUM, CVS Health, and More page 18

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y rug Case Stud /Antibiotic Desc ps Ste eals Rev Antimicrobial act Imp ribing r-Pr pitals on Antibiotic Ove %

C A S E S T U DY

by 11.4 Study of 180 U.S. Hos Overuse and Reduce Use e to Combat Antibiotic U.S. Hospitals Can Tak

Polk’s Drugs transitions to next generation of pharmacy management with the help of QS/1®

THE CHALLENGE:

CASE STUDY

ers se Control ice of medicine, the Cent The Centers for Disea transformed the pract iotics warn that Though antibiotics have that 20-50% of all antib and Prevention (CDC) Prevention (CDC) warn te. ropria inapp or for Disease Control and r unnecessary care hospitals are eithe antibiotic of em prescribed in U.S. acute probl ing grow has contributed to the Polk’s Drugs is a csmall h.1 healtchain of pharmacies The misuse of antibiotics in TICS ANTIBIO serious threats to publi OF ALLbased become one of the most s Mississippi.tant nismSprings Theorga Ocean store, which opened IN U.S. resistance, which has ted with antibiotic-resis infec IBED are le SCR peop n to in that PRE about a ally. year2 Acco ago, rding is unique More than two millio it also includes annu s a death 0 approximately 23,00 acute care hospitals are gasresis station. each year, resulting in tance threatens the icrobial nization (WHO), antim either unnecessary tions infec of e the World Health Orga rang asing treatment of an ever-incre or inappropriate. effective prevention and .3For manager Jesse Murphy, PharmD, choosing sites, viruses and fungi caused by bacteria, para the right technology wasntcrucial to ensuring his geme Medication Mana a new pharmacy not onlycente opened Commission published rs, with a strong start, In response, the Joint itals and nursing care grow and operate as efficiently itals, critical access hosp but continued toto (MM) standard for hosp ing the need reduce hasiz emp , as possible. and requiring January 1, 2017 tive effec me beca h whic care settings, icrobials in all health d on use of inappropriate antim hip program that is base antimicrobial stewards “Our greatest concerns as we look toward the future hospitals to have an 4 infected with ture. are litera looking for tific ways to improve our profiare scien nt tability, curre iotic -resistant new rule antib proposed maintain (CMS) patient safety ices and implement Serv technology, caid ” Medi and care The Centers for Medi organisms each year, order to participate Murphy use insaid. ce antibiotic redu to itals hosp ires , IN int designated (June 2016) requ ING appo ULT must RES itals hosp and states that in Medicare or Medicaid rams.5,6Murphy proghelped ip has QS/1 IMATELY 23,000 address many APPofROX those 2 antimicrobial stewardsh qualified leaders for those concerns. As the next generation ion of pharmacy DEATHS ANNUALLY. ting the Joint Commiss ms in mee syste h healt and managemen ital t software, ices To support hosp ensive Pharmacy ServSharpRx®’s powerful yet proposed rule, Compreh intuitive system made Solu a tion, lasting impression. “When standard and the CMS icrobial Stewardship first of its kind Antim they showed me ial icrob their new Antim product, SharpRx, I was its (CPS) laun ched the gh throu itals study of 180 U.S. hosp impressed and hoped to switch as soon as possible,” based on an expansive “ItHolt was obviously designed with the idea that you Cliff ram. he said. Stewardship Pilot Prog

20-50%

The TCGRx Beacon Pharmacy In ventory Managem MORE THAN TWO ent System PEO N lp He MILLIO inPLE g pharmacies do m ore business with le ss

Case Studies

SharpRx has a lot of the same power without the complexity. “It was obviously designed with the idea that you let the software do the work, and that’s probably what impressed me most,” he said. “Things

CaseStudy_F.indd 1

001058_CPS_RxInsider_

p on hand. Having ry can mean less ava too ilable cash; too little inability to fill pres inventory, howeve criptions in a timely r, creates an manner and a loss of that would have hidden patients. Success settings reliesoronwould berma difficult the pha cy manager’s ability to do with other systems records to maintain accurate areofvery easy druintuitive gs on theand shelves and current , as well as prescrip to figure out with SharpRx. manage tions filled. Effectiv ” ment accuracy ely, inventory is critical to ensurin g retail pharmacy One company, TCG profitability. Rx, is leading the way “I think an individualBea could with SharpRx in effortless perpet con sit systdown em makes it ual inventory control truly possible for pha and, after a few minutes, fill a prescription . Its easily. rmacies to do mor e with less. That’s not 4/21/17 something 10:51 AM thatCHA THE weLLE canNG sayE with other systems.” One of today’s grea test challenges in pharmacy is the con cost of drugs and tinued and growin an unprecedented g high boom in treatment drug spending in innovations. In 201 the United States 5, total reached $364 billi specialty drugs. By on, with $98 billion attr 2020, expenditures ibut ed to are expected to reac $212 billion for spe h $483 billion ove cialty meds. For pha rall and rmacy owners, this huge amount of ben environment equates eficial, valuable inve to a ntory to manage — and protect.

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Get the Most Out of Your Case Study You have invested in the development of a case study, don’t fall short on promoting it. RXinsider can help write and promote your case study to targeted practice settings throughout the pharmacy market via print, video, ebook, and web. Contact an RXinsider representative to learn more about our Case Study Promotional Services.

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ENDED OUTCOME let the software do Inve the nto work, and that’s probably ry is typically a reta il pharmacy’s largest what impressed mefor most.” financial asset. One every pharmacy man key decision ager is how much Jesse Murphy, PharmD inventory to kee much invento

President/P / harmacist www.c dc.gov August 15, 2016. https:// Progra ms. Access ed ~ Hurricane Family Pharm al Antibiotic Stewardship acy Core Elements of Hospit https:// Contro l and Prevention. ed April 4, 2017. Hurric 1 ane, Access UT 2013. Center s for Diseas e ts.html CDC; elemen 2013. Atlanta , GA: implementatio n/corein the United States, getsmart/healthcare/ tic Resistance Threats 4/en/# and Prevention. Antibio l ts/fs19 Contro e ctshee 2 Diseas ntre/fa for ediace Center s -508.p df http://w ww.who.int/m e/pdf/ar-threats-2013 Accessed April 4, 2017. l_Stewardship_ www.c dc.gov/drugresistanc /6/New_Antimicrobia nce. (Updated: Apr 2015.) missio n.org/assets/1 Antimicrobial Resista 3 2017. https:// www.jo intcom World Health Organization. rd. Accessed April 24, dship in U.S. robial Stewardship Standa 4 tes Antibio tic Stewar Approved: New Antimic Promo and ions, Condit s/2016 -06-13.html es Hospital-Acquired Standard.pdf /2016-Fact-sheets-item its Discrim ination , Reduc atabase/Fact- sheets Proposed Rule that Prohib re. Accessed April 24, oom/M ediaReleaseD 5 Medica exit /Newsr or CMS.g ov. CMS Issues use ms.gov tic www.c ls: Reduce antibio April 24, 2017. https:// proposed rule for hospita icare.html Hospitals. Accessed biotic-use-or-exit-med Clinical Quality: CMS’ . Infection Control & le-for-hospitals-redu ce-anti 6 Becker ’s Hospit al Review m/quality/cms -proposed-ru kershospitalreview.co 2017. http://w ww.bec

Intuitive and Easy-to-Use “SharpRx’s greatest benefit is how intuitive the system is,” Murphy said. “Some of the traditional pharmacy systems that have been around for many years may be very powerful, but a lot of that power comes at a cost of complexity.”

inventory.

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Contents WAY A culture based on

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WAY

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Stericycle’s CsRx Service is a safe and secure solution to dispose of your controlled-substance waste and help hospitals to mitigate the risk of diversion.

For over a quarter century, Fagron has had a continuous focus on high quality personalized pharmaceutical care, innovations, and solutionoriented thinking. With one of the largest quality networks in the world, Fagron utilizes a proprietary Quality Intelligence System (QIS) and publishes scientific data to ensure pharmacists feel confident in the products they rely on. For a spectrum of high quality compounding solutions, choose Fagron, Inc.

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page 33

WAY

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page 39

Medi-Dose, Inc./ EPS, Inc. Delivers Bar Coding, Packaging, and Labeling Pharmacy Solutions

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page 35

Case Study: Meeting Pharmacy Compliance and Regulatory Challenges

CASE STUDY

Meeting Pharmacy Compliance and Regulatory Challenges Comprehensive Pharmacy Services drives compliance with an end-to-end process: complete assessment, strategy development and implementation.

THE CHALLENGE:

Preceptor Recognitions

Achieving and sustaining compliance across the entire healthcare organization and lowering regulatory risk while improving operational efficiency and effectiveness are critical goals for hospital and health system pharmacies. When Dayton Children’s Hospital reached out to Comprehensive Pharmacy Services (CPS) for support in assessing compliance and regulatory issues for controlled substances, sterile compounding (USP <797> and <800>), The Joint Commission standards and 340B, CPS responded with custom solutions from its Compliance and Regulatory Services and 340B teams.

SOLUTIONS & RESULTS: Sterile Compounding (USP <797> and <800>) SOLUTIONS: In January 2018, the Compliance and Regulatory Services team provided a full assessment of compounding safety practices from procurement to administration in Dayton Children’s Hospital’s four compounding locations that included review of: •

Facility design

•

Workflow observations

•

Equipment and engineering controls

•

Environmental sampling

•

Cleaning and disinfection

•

Policy and procedures surrounding sterile compounding

Following the assessment, the Compliance and Regulatory Services team drafted a Compliance Report and developed a plan for process improvement designed to optimize safety, efficiency and effectiveness, and compliance. At the request of the organization, due to a plethora of ongoing projects on the current Director of Pharmacy’s agenda, the Compliance and Regulatory Services team offered a custom approach to managing the execution of

Comprehensive Pharmacy Services drives compliance with an end-to-end process: complete assessment, strategy development, and implementation.

the project plan remotely. Currently an ongoing project, the Compliance and Regulatory Services team is virtually managing implementation and execution of the line items in the plan, ensuring that timelines are met and freeing up the Director of Pharmacy for other responsibilities. RESULTS: As of March 2018, the project plan is approaching 25 percent completion. In February 2018, the Board of Pharmacy surveyed one of the organization’s four sterile compounding locations. Because some of the items identified in the project plan were being acted upon, the surveyor issued no further citations. At another location, guidance is currently being provided for a full remodel of the sterile compounding suite which includes working directly with the pharmacy team, architects, engineers and facility administration.

CPS’ 340B team was able to take a good 340B program to a great 340B program and

IDENTIFIED $500,000

IN ADDITIONAL 340B OPPORTUNITIES

01434_CPS_RxInsider_Compliance_Regulatory_FINAL.indd 1

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page 36-37

page 42-45

SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N

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ORDERING INFORMATION PRODUCt

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Contents WAY For over 40 years IMI has manufactured innovative devices that help protect the delivery of drugs within the healthcare system.

INNOVATION INDUSTRY LEADER IN SECURE DRUG DELIVERY

Also Available for Oral Dispensers:

Our Prep-Lock™ Tamper Evident Cap for I.V. syringes is the industry standard for guarding compounded sterile preparations from unauthorized access, diversion and misuse. Pharmacists rely on Prep-Lock Tamper Evident Caps for ease of installation while clinicians appreciate the simplicity of removal for drug administration. The Prep-Lock Tamper Evident Cap for I.V. syringes is available in both low and high volume package configurations with a choice 4 color options.

*IMPORTANT - Oral Tamper Evident Caps are not a universal fit. You must match your Oral Tamper Evident Cap to the dispenser manufacturer.

IMI offers a variety of products that protect drug delivery including I.V., Oral and Enteral devices. Contact us for FREE evaluation samples.

Prep-Lock™ From IMI Guards Against Drug Diversion and Misuse

WAY

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WAY

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3:39 PM

Expanding Our Commitment to Patient Safety NOW AVAILABLE!

LIQUID UNIT DOSE CUPS From American Health Packaging You know AHP from our industry-leading barcoded line of unit dose oral solid products. Our line stands at nearly 550 items across all major therapeutic groups. Customers have also asked us to deliver barcoded liquid UD that offers the same safety and efficiency benefits.

AHP is pleased to announce our NEW line of Liquid Unit Dose Cups! We’ve had many customer conversations and conducted thorough research in order to introduce products to best meet the dispensing needs of hospitals and LTC facilities nationwide. ■

Pull-tab label for ease of opening and administering product

■

Thicker gauge cup with excellent label seal integrity to avoid costly damage and clean up

■

Color-coded labels utilizing “tall man” lettering provide visual guidance to distinguish between sound-alike, look-alike drugs where applicable

■

LUD cup and storage trays designed for limited pharmacy storage space

■

Growing formulary of products

Product Description

Unit Strength

Levetiracetam Oral Solution Ranitidine Syrup Theophylline Oral Solution

Cup Delivers

Cup Strength

Pack Size

NDC

100mg/mL

5mL

500mg/5mL

50 cups

60687-0249-67

15mg/mL

10mL

150mg/10mL

50 cups

60687-0260-69

80mg/15mL

15mL

80mg/15mL

50 cups

60687-0258-71

A Story In Every Dose With every AHP unit dose dispensed, there is a patient depending on us to “get it right.” You could say there is a “story in every dose.” This is our daily mission at AHP.

page 53

americanhealthpackaging.com

| 800.707.4621

With a proprietary line of unit dose oral solutions, AHP expands its commitment to patient safety. Liquid Unit Dose offers the same safety and efficiency benefits that providers know from their oral solids products.

Trade Show & Meeting Calendar

page 49

WAY ISOlutions for Cleanroom & Medical Supplies ADHESIVE MATS ADHESIVE TAPES CLEANROOM APPAREL CLEANROOM LABELS CLEANROOM PAPER CLEANROOM SWABS DISINFECTANTS & CLEANERS MOPPING SYSTEMS

Call for fast reordering:

800-797-1405

STERILE SLEEVE SYSTEM STERILE CHEMO GLOVES STERILE CHEMO PREP MATS STERILE COMPOUNDING SUPPLIES STERILE 70% ISOPROPYL ALCOHOL TESTING SUPPLIES WIPERS

ISO-MED.com

1275 Graphite Drive, Corona, CA 92881 USA | 800-797-1405 | sales@iso-med.com | www.iso-med.com

ISO-MED, Inc. — Your One-StopShop for All Your Cleanroom and Medical Supply Needs

Providing an unparalleled level of products, service, and convenience for meeting USP <797> and USP <800> standards.

page 54-57

WAY

Pentec Health Omnisourcing™ Solutions Improve Your IV Room Workflow and Patient Care

IV sterile compounding solutions that enable hospital pharmacies to combine the control of insourcing with the flexibility to make doses from sterile, concentrated compounds.

When it comes to outsourced sterile preparations, we soar above the rest. Blazing a new trail that will become the road more often traveled takes innovative thinking, dedication to patient safety and an entrepreneurial mindset. Our products provide the control of insourcing with the convenience of outsourcing from a trusted 503B provider.

Learn more about how our Omnisourcing™ solutions can help improve your workflow and meet the needs of your patients at www.pentechealth.com

Large Enough to Serve

Small Enough to Care

(800) 223-4376

page 51

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SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N

O UR T E S T, YOU R CU RE ...

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Contents WAY

Pharmacy 4.0 From ARxIUM — The Next Evolution of Pharmacy is Here We’re in it to win it. He had a heart condition, his medication was delivered accurately, now he’s back on the team!

This win was made possible by ARxIUM and the pharmacy teams we support. For end - to - end solutions; improving patient safety; for managing inventory and workflow; and for enhancing operational performance, we’ll keep you, and your patients in the game.

Learn how ARxIUM can deliver measurable value today. 888.537.3102 ARxIUM.com info@ARxIUM.com

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340B Drug Discounts and Quality 503A, 503B Compounding Make Avella an Industry Leader

THE PREMIER OUTSOURCING PARTNER FOR HIGH-QUALITY 503B PREPARATIONS

The ARxIUM Pharmacy 4.0 vision helps pharmacies of all sizes make better decisions, improve quality, control costs, and leverage their infrastructure to deliver more value to their facilities and ultimately, their patients.

By partnering with Avella Specialty Pharmacy, hospitals have access to one partner for all of their specialty drug and 503A and 503B outsourcing needs.

• Serving hospitals, surgery centers and physician practices in all 50 states • State-of-the-art cGMP facilities in Arizona and Texas • Maximize efficiency and eliminate waste with ready-to-use unit dosed vials • Rigorous quality testing is overseen by a dedicated Q/A department including two microbiologists

To learn more, visit avella.com/SourceB

page 61 WAY

page 67

Transform Your Ambulatory Setting With ScriptPro’s Comprehensive Pharmacy Solutions

ScriptPro’s game-changing pharmacy solutions enable you to make pharmacy the biggest financial strength to your healthcare system — improving accuracy, patient care, and operational performance.

WAY

Excelera — The Leading National Network of Health Systems Operating Specialty Pharmacies

Excelera® is a national network of health systems that operate specialty pharmacies.

Excelera’s goal is to maximize its members’ specialty pharmacy opportunity, through payer and LDD access. Excelera acts as a single contracting entity and data aggregator.

YOUR PARTNER IN THE MANAGEMENT OF COMPLEX PATIENTS

The goal of the network is to help maximize our members’ specialty pharmacy opportunity, namely through payer and limited distribution drug (LDD) access. In addition, Excelera offers a range of services including start up and growth consulting, accreditation assistance, payer contracting and sophisticated data reporting and insights.

www.excelerarx.com

info@excelerarx.com | 612.293.0378

page 63 WAY

Temptime – Temperature Monitoring Solutions for Medication Shipments, Storage, and Pharmacy Facilities

Complete Specialty Pharmacy Monitoring Solutions

End-to-end insights Simplify PQ testing with inexpensive programmable wireless sensors

Remotely monitor pharmacy facilities 24/7

Track exposure to heat and cold throughout transit

Store data and generate critical accreditation and regulatory reports

Increase patient satisfaction and reduce expensive reshipments

Temperature Intelligence™

EDGE M-300 is an easy, cost-eﬀective way to log and retrieve data through packing materials, containers, and trucks for performance qualiﬁcation (PQ) testing.

Tap into the future of temperature monitoring at temptimecorp.com/edge

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page 69

4/23/18 12:12 PM

Pharmacy Job Opportunities

Providing the tools and knowledge to accurately monitor temperature sensitive medications.

page 65 PUBLISHER RXinsider LTD RXinsider CEO: Gregory Cianfarani RPh DESIGN AND PRODUCTION Design & Layout Multimedia

Lora Sosa Eric Simmons Jay DiNardi

SALES AND BUSINESS DEVELOPMENT Chris Kolkhorst, Vice President chris.kolkhorst@rxinsider.com Shaun Russell shaun.russell@rxinsider.com Mike Rahme mike.rahme@rxinsider.com Samantha Pirraglia samantha.pirraglia@rxinsider.com Email sales@rxinsider.com Phone 800.972.2083 Fax 646.329.9766 Website www.RXinsider.com

page 70-71 20Ways is an official publication of RXinsider

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Editorial - views expressed in articles or profiles in the 20Ways are those of the author(s) and do not necessarily reflect the policies and opinions of RXinsider, our editorial board(s), our advisory board(s), or staff. Advertising - products, services and educational institutions advertised in 20Ways do not imply endorsement by RXinsider. Copyright ©2018 RXinsider LTD. All rights reserved. Reproduction without permission is prohibited.

SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 11

USP <800> RESOURCES Leading Pharmacy Suppliers of USP <800> Compliant Solutions The USP <800> compliance deadline goes into effect December 1, 2019. These leading pharmacy suppliers offer product and service solutions to help your pharmacy and/or cleanroom achieve USP <800> compliance. Contact these companies directly for more details on how they will help you meet the mandate of USP <800> compliance.

www.RXinsider.com/USP800

Rees Scientific

We strive to go the extra mile Verity delivers award winning 340B Solutions. Our goal is to exceed our customersâ&#x20AC;&#x2122; expectations. Thatâ&#x20AC;&#x2122;s why we provide a multi-layered approach to service, where your business is assigned to a primary account manager as part of an account team. Our 340B experts not only help you maximize your 340B savings, they also conduct scheduled, formalized business reviews to assist in keeping your program on track. Our Account Management teams are also comprised of Pharmacy Program Analysts who provide deeper on-demand analytics to help improve your 340B program. Finally, our Support Team is available by phone, email or through our online customer community portal with 80% of all support cases resolved (not just responded to) in under 2-hours. Contact us today to learn more about our 340B solutions and how we are continuously improving our service and support programs.

RANKED #1 340B MANAGEMENT SYSTEM

verity340b.com | 800.581.1378

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Verity Solutions – We’re Your Experts in 340B Program Compliance Verity Solutions is a leading provider of 340B software and services. Verity Solutions is driven to help healthcare organizations save money so they can extend care to those who need it most.

President & CEO: George Puckett Founded: 2002 Toll-Free Phone:

(800) 581-1378

Address: 12131 113th Avenue

Suite 200 Kirkland, WA 98034 Website: www.verity340b.com

Company Background

Founded in 2002 Verity Solutions provides 340B software and services to hundreds of integrated healthcare systems, acute-care hospitals, pharmacies, and other 340B-eligible covered entities throughout the United States. Verity Solutions is located in Kirkland, WA, with employees stationed all across the nation to best serve our widespread customer base.

Product Overview

Verity Solutions is an award-winning provider of 340B software and services. We understand the importance of maintaining and growing the hospital's relationship with both independent and chain pharmacies in your community. Verity can help you maximize the performance and agility of your 340B program with a host of service and product offerings designed to help you stretch your scarce resources, foster compliance, respond quickly to changing regulations, and maximize your savings. Verity is your comprehensive solution for split billing, contract pharmacy, specialty/hemophilia contract pharmacy, audit and compliance services, compliance management and tracking tools, and purchase optimization analytics.

Features & Options

• 340B Centralized Distribution Solutions • Support for Mixed 340B and Non-340B Facilities • VHub for Pharmacy Chain 340B Replenishment Management

Testimonial

“ Verity Solutions is different from others because they have been a partner with us and with others around the country. Verity Solutions aims to find whatever solution or application may be needed. This often requires one-off programming to make the software work. That has been the real strength of Verity Solutions. That flexibility has given them a chance to grow in a lot of unexpected directions, and their competitors are trying to catch up. When Verity Solutions began to gain market share, their competitors came in and told us they could do the things Verity Solutions was doing, even though those vendors weren’t interested when I talked with them previously.”

— VP/Other Executive

Additional Product Modules • Split Billing • Contract Pharmacy • Audit and Compliance

Key Business Partners

• 340B Health • National Rural Health Association • National Association of Community Health Centers • KLAS

Markets Served

Eligible hospitals and clinics inclusive of the following: Disproportionate Share Hospital, Children’s Hospitals, Cancer Hospitals, Sole Community Hospitals, Rural Referral Centers, Critical Access Hospitals, FQHC’s, FQHC Look-alikes, Ryan White HIV/AIDS Program Grantees, Hemophilia Treatment Centers, Tuberculosis Clinics, Black Lung Clinics, Family Planning Clinics, Sexually Transmitted Disease Clinics, Urban Indian Clinics, and Native Hawaiian Health Centers.

Trade Shows/Meetings Attended

• 340B Coalition Winter/Spring Conference – Pinnacle Partner • Spring/Fall Health Connect Partners – Hospital Pharmacy Conference • Armada/Asembia Specialty Pharmacy Summit • National Rural Health Association – Pipeline Partner • National Association of Community Health Centers Community Health Institute and Expo • NW Regional Primary Care Association Fall Primary Conference • California Primary Care Association Conference • Oklahoma Annual Convention and Trade Show • ASHP • 340B Health Round Tables

GPO Affiliations

• Amerinet (Intalere) • Ascension • Acurity

Pricing Information

Affordable solutions appropriately priced for the smallest covered entity to the largest IDN.

Ordering Information

Verity Solutions would like to partner with you to create the right 340B solution for your health system. For more information, call (800) 581-1378 or email sales@verity340b.com. SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 15

Thereâ&#x20AC;&#x2122;s just

one leader

Rely on PharMEDium To learn how PharMEDium CSPs can benefit you, visit PharMEDium.com or call 1-800-523-7749.

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

President:

Jenn Adams Founded: 2003 Employees: 1,200+ Stock Symbol: ABC (NYSE) Toll-Free Phone: (800) 523-7749 Phone: (847) 457-2300 Fax: (847) 234-1363 Address: 150 North Field Drive, Suite 350 Lake Forest, IL 60045 Website: www.pharmedium.com

Company Background

PharMEDium was founded in 2003. Since then, the organization has focused relentlessly on patient safety, flawless quality, and exceptional customer service. Through these efforts and the talents of our team, we’ve grown to be the largest outsourcing compounder in the United States. PharMEDium was among the first to register our centers as FDA Registered 503B Outsourcing Facilities. Congress enacted the Drug Quality and Security Act, known as DQSA, in November 2013 to provide greater oversight to entities engaged in anticipatory compounding of sterile preparations. 503B registration is voluntary and requires compounders who register to follow applicable current Good Manufacturing Practices (cGMPs), meet detailed labeling and adverse reporting requirements, provide semi-annual reporting of all drugs, and submit to rigorous inspections by the FDA. PharMEDium commits to compliance with FDA’s 503B requirements, upholding the highest ethical standards in the industry. AmerisourceBergen’s acquisition of PharMEDium in November 2015 brought together two great brands with strongly aligned core values in patient safety and quality. Together, we are united in our responsibility to create healthier futures.

Product Overview

Quality. Supply. Assurance. No other compounder can serve you and your patients better than PharMEDium. Our 2,800+ SKUs represent the largest portfolio of ready-to-use compounded sterile preparations (CSPs) available. Over 3,200 hospitals, outpatient departments, and ambulatory surgery centers rely on PharMEDium for: operating room – anesthesia services; pain management – epidural, nerve block, and patient controlled analgesia (PCA); critical care – cardiac services, sedation services, antibiotic services, and electrolyte services; and labor and delivery services.

PharMEDium offers a wide variety of drug concentrations, fill volume options, and delivery systems for your ordering flexibility and convenience. All to give your clinicians the convenience and safety of the highest-quality ready-to-use medications — right when they need them.

Features & Options

PharMEDium has long been the industry leader in labeling and packaging of ready-to-use compounded sterile preparations. Our labels are designed to help eliminate the potential for errors in the process of dispensing and administering medications. PharMEDium labeling includes additional design enhancements, including the use of color coding and Tall Man lettering. On PharMEDium prefilled syringe labeling, the drug name appears up to eight times, making it viewable from any perspective. Our packaging is designed to ensure the integrity of chemical composition and sterility of the preparation through the shipping and storage process. PharMEDium CSPs are available in containers to fit all major infusion devices available today. Our ready-to-use syringes are compatible with the most commonly used anesthesia carts and automated dispensing cabinets, including mini-drawers for controlled substances.

Testimonial

“ As a pharmacist and former customer, I appreciate the role that compounded sterile products play in caring for patients. Now as a member of the leadership team at PharMEDium, I am proud to stand behind the services we deliver.” — Leigh Briscoe-Dwyer, PharmD, BCPS, FASHP Vice President, Clinical Affairs, PharMEDium

GPO Affiliations

PharMEDium has a national team of GPO/IDN managers who serve as liaisons between PharMEDium and group purchasing organizations so customers can take advantage of GPO volume discounts and the ease of ordering direct from PharMEDium. We currently have GPO contracts with: Vizient, HPG, Premier, The Resource Group (TRG), ROI, Intalere (formerly Amerinet), Cardinal, and Health Purchasing Alliance (HPA).

Ordering Information

Hospitals and ambulatory surgery centers considering PharMEDium are invited to visit our centers and learn about the processes that have been instrumental in helping us to attain and maintain our industry leadership position. Call (800) 523-7749 to order services or to learn how PharMEDium CSPs can benefit you. SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 17

Beyond Point-of-Sale

N Mob EW! ile Deliv Home ery

1.877.767.1060 | sales@rm-solutions.com | Follow us on Facebook, LinkedIn and Twitter

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Going Above and Beyond for Your Patients and Your Revenue, With RMS' Point-of-Sale Technologies Serve your customers wherever they are, whether at the outpatient pharmacy, bedside during discharge, or at their home! CEO:

Brad Jones Founded: 1998 Employees: 40+ Stock Symbol: Privately Held Toll-Free Phone: (877) 767-1060 Phone: (360) 438-8276 Fax: (360) 438-8284 Address: 4535 Lacey Boulevard SE Lacey, WA 98503 Website: www.rm-solutions.com

Company Background Retail Management Solutions is the industry leader in point-ofsale technology for retail and outpatient pharmacies and is the only POS supplier specializing strictly in pharmacies. Having installed more POS systems in the independent and institutional pharmacy markets than any other company, RMS systems have become the industry standard. For outpatient pharmacies, we provide a seamless, front-to-back transaction and information platform. Security and compliance are paramount, and our robust systems have built-in safeguards. Redundant storage, encrypted communications, and certified payment mechanisms ensure protection and confidence. You can count on us for prompt service in all 50 states, 24 hours a day, seven days a week. We are a privately held company with employees throughout the country — pharmacy technology professionals with hundreds of years of combined experience.

Product Overview Outpatient pharmacies should have a growing role in the health of your discharged patients, but seemingly most hospitals capture a small portion of their patient discharge prescriptions. The consequences of this include: reduced patient compliance, elevated risk of recurrence and readmission, and lost revenue. n EvolutionPOS Helps Hospital Pharmacies Participate More Proactively in the Discharge Process

Delivering the prescription to the patient’s bedside offers convenience for patients and their families. EvolutionPOS is easy-to-use and it places all the register functions in your hands. The mobile, handheld unit communicates immediately, wirelessly, and securely with your POS server. A single device accomplishes the customer check-out, including:

• Customers sign on EvolutionPOS for all signatures traditionally captured at your POS (HIPAA, prescription, credit card, etc.). • Print receipt on the spot. • Swipe credit card at the time of delivery. • Process payments, including FSA/HRA cards. • Real-time communication with store POS for transaction and signature look up. • Document pharmacist counseling. EvolutionPOS for pharmacy is based upon the success of our industry-leading POS offerings, Star-Plus, Star-Lite, and StarLink for enterprises with multiple locations. All are designed specifically to enable pharmacists and their staff members to provide excellent and efficient patient service.

Features & Options

EvolutionPOS v2 Capabilities Include:

• Taking advantage of our 30+ dispensary system interfaces, the most in the industry! • Barcode scanning of prescriptions and merchandise. • Capturing electronic signatures. • Swiping FSA/HSA benefit cards with real-time verification of funds. • Tendering options include: debit/credit, cash, check, and house charge. • Point-to-point encryption for secure credit card processing.* • PA-DSS compliant.

Now Available!

Mobile delivery technology that captures electronic signatures when delivering prescriptions to patient's home. Now you can continue your patient's care beyond patient discharge!

Client Base More than 1,000 pharmacy customers rely on RMS POS solutions. * With certified merchant processors.

SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 19

Thought Leader Video Series

THOUGHT LEADER VIDEO SERIES

Connecting Manufacturers with Healthcare Providers Around the World

Health System Solution for Specialty Pharmacy

Claire Biermaas, Vice President, Customer Insight & Innovation, Alex Minkoff, Vice President, Customer Strategy, Health Systems and Specialty Care Solutions, and Matt Wolf, RPh, MBA, Group Vice President, Consulting Practice, Pharmacy Healthcare Solutions, for AmerisourceBergen, discuss connecting manufacturers with healthcare providers around the world in a 12-part video series.

www.amerisourcebergen.com

rxinsider.com/videosTLS.php

www.acentrusrx.com

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THOUGHT LEADER VIDEO SERIES

The Nation’s Premier Pharmaceutical Returns Processor in the Pharmacy Market

Temperature Monitoring and Global Health

Thierry Beckers, President & COO, Gil Kanner, Vice President, Supply Chain Logistics, Hilmer Beckers, Chairman & CEO, and Adam Bottie, Vice President, Sales & Business Development, discuss PharmaLink: The Nation’s Premier Pharmaceutical Returns Processor in a 12-part video series.

Christopher Caufield, Vice President, Global Customer Development, Katie Kraverath, Business Development Manager, and Mark Eppedio, Senior Product Manager, for Temptime, discuss temperature monitoring and global health in a 12-part video series.

www.pharmalinkinc.com

www.temptimecorp.com

rxinsider.com/videosTLS.php 20

Kristin Fox-Smith, MPA, Account Implementation Manager for Acentrus, discusses the health system solutions, challenges, and strategies for specialty pharmacy in a 12-part video series.

SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N

rxinsider.com/videosTLS.php

Thought Leader Video Series

THOUGHT LEADER VIDEO SERIES

Analytics and Clinical, Operational and Regulatory Expertise in the Pharmacy Market

TCGRx: Your Complete Pharmacy Solution

Charles Fogle, Division Vice President, Robert Brower, Divisional Vice-President of Rx-Remote Solutions, and Brian Sayre, Health System Director (HSD) of Pharmacy at Charleston Area Medical Center (CAMC), for Comprehensive Pharmacy Services, discuss analytics and clinical, operational and regulatory expertise in the pharmacy market in a 12-part video series.

Matt Noffsinger, Senior Vice President, for TCGRx, discusses TCGRx: Your complete pharmacy solution in a 12-part video series.

www.cpspharm.com

www.tcgrx.com

rxinsider.com/videosTLS.php

THOUGHT LEADER VIDEO SERIES

Apexus 340B Prime Vendor Program

What Makes The Compliance Team Different

Rusol Karralli, PharmD, MS, 340B Education & Compliance Support Manager for Apexus, discusses the Apexus 340B Prime Vendor Program in a 12-part video series.

Sandy Canally, RN, Founder and CEO, Charlie Lager, RPh, MBA, Senior Pharmacy Advisor, and Steve Simmerman, Executive Vice President, for The Compliance Team, discuss what makes The Compliance Team different in a 12-part video series.

www.340bpvp.com

www.thecomplianceteam.org

rxinsider.com/videosTLS.php

rxinsider.com/videosTLS.php SUMMER 2018

H E A LT H S Y S T E M â&#x20AC;¢ I N F U S I O N 21

Efficient and effective. Tight on space? Stacking kits are the perfect solution The CDC encourages the use of stand alone pharmaceuticalgrade refrigerators and freezers, but this is often a challenge for areas tight on space. Helmer Scientific provides the perfect solution with the undercounter stacking kit. x

Save space in your pharmacy, medication room, or clinic

Meet CDC guidelines for stand alone refrigerators and freezers

Customize storage: stack 2 refrigerators, 2 freezers, or 1 refrigerator and 1 freezer

Separate private and VFC stock

This set up saves space like a combination unit, while providing the quality and reliability of true medical-grade cold storage. F o r more i n form a tio n: i n f o . h e l m eri n c.com/helmer-v accine-stor a g e

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Helmer Scientific — Efficient and Effective Vaccine Storage All the benefits of a combo unit with medical-grade performance. Stackable refrigerators and freezers provide the perfect solution for areas tight on space. They provide the ability to refrigerate and freeze while meeting CDC guidelines around standalone refrigerators and freezers for vaccine storage.

President:

Bruce King

Vice President of Sales & Marketing: Lori Gabrek Founded: 1977 Employees: 260 Stock Symbol:

Private Company Toll-Free Phone: (800) 743-5637 Phone: (317) 773-9073 Address: 14400 Bergen Boulevard Noblesville, IN 46060 Website: www.helmerinc.com

Company Background Helmer Scientific is a manufacturer and worldwide distributor of medical-grade cold storage and laboratory processing equipment. We have over 35 years of experience in providing high-quality temperature controlled environments, with our products being used in over 100 countries throughout the world. Helmer originated in the blood bank market where precise temperature control is essential to the successful storage and transfusion of blood products. These same principles have been applied to the design and development of the Helmer pharmacy cold storage products. Product Overview The Centers for Disease Control (CDC) recommends using purpose-built units designed to either refrigerate or freeze. Vaccines should never be stored in a dormitory style or bar-style combined refrigerator/freezer unit under any circumstances. These units have been shown to pose a significant risk of freezing vaccines, even when used for temporary storage. The need to use a separate refrigerator and freezer often creates a challenge for locations tight on space.

Designed specifically for vaccine and medication storage, the Helmer Scientific stackable refrigerators and freezers provide a solid solution for storing vaccines according to CDC guidelines even when you are tight on space.

Features & Options Helmer Scientific high-performance undercounter refrigerators and freezers are a result of over 37 years of proven refrigeration solutions and attention to detail. Superior temperature uniformity, outstanding reliability, and exceptional benefits bring value every day, leaving you free to focus on your critical work. n Medical-Grade Performance • Heavy-duty, air-cooled refrigeration system helps exceed industry standards for medical-grade performance. • Forced-air circulation maintains chamber uniformity and provides quick recovery after door openings. n High-Quality Cabinet Construction • Bacteria-resistant powder coated interior and exterior helps keep units clean. • Front ventilation allows you to place units under counters and close to walls. n Customized Storage Options • Configure the inside of the cabinet to meet your needs with roll-out baskets, adjustable shelves, or pull-out drawers. n Safety and Security of Stored Product • i.C3® with 7" (177 mm) full-color touchscreen with advanced temperature monitoring, event logging, and data download. • Key lock or optional access control with password protected settings.

The Helmer Scientific stackable refrigerators and freezers save on space while providing highly reliable medical-grade refrigeration. Features of these units include: • Powerful refrigeration system providing maximum temperature uniformity and quick recovery after door openings. • The innovative i.C3® Information Center offering advanced temperature monitoring for protection of vaccines. • Superior cabinet built with high-quality construction. SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 23

Revolutionize your pharmacy with the Beacon® Inventory Management System

Reduce space required for inventory

Reduced technician script fill time by 15% and 75% reduction in pharmacists’ check and auditing time

The Beacon cabinet uses less space than traditional bookshelfstyle storage methods.

EXPIRED INVENTORY

EXPIRED INVENTORY ON-HAND INVENTORY ON-HAND INVENTORY

Chart from Beacon Case Study of Maury Regional, 2016

Before Beacon

After Beacon

Fill scripts faster with more accuracy Increase patient safety with full barcoded process

www.TCGRx.com

Reduce labor costs

Improve inventory turns by using open bottles first, soon to expire second

info@TCGRx.com

262.279.5307

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

TCGRx is a Partner You Can Trust for All of Your Pharmacy Solutions TCGRx is a complete pharmacy solutions provider for inpatient and outpatient hospital pharmacies. TCGRx stays on the cutting edge of technology to provide products that are efficient, reliable, and patient-safety driven. President:

Duane Chudy Founded: 2006 Employees: 90+ Phone: (262) 279-5307 Address: N1671 Powers Lake Road Powers Lake, WI 53159 Website: www.TCGRx.com Email: info@TCGRx.com

Company Background TCGRx is a leading supplier of pharmacy automation and pharmacy design services. Our solutions range from individual components to address specific issues, to complete pharmacy design. TCGRx has an experienced staff and we pride ourselves on delivering high-quality, reliable products that can be used, improved, and scaled, for decades to come. Product Overview Beacon® Inventory Management organizes your inventory and utilizes it to its maximum potential. Beacon uses open bottles first, and soon-to-expire second. You can override the system to place your fastest moving inventory close at hand, or move seasonal medications to lesser used areas during non-peak times of the year. All parts of Beacon use pick-to-light technology for rapid location dispensing. Beacon also includes PharmLoc secure med storage and the DeliverRx™ will-call delivery system. These features create a safe, accurate, and efficient process from beginning to end to ensure patients receive not only the correct medications, but all medications in their prescription.

system and patented fill-to-light technology for improved productivity, accuracy, and safety. SmartCardRx works with a wide range of multi-med card formats to simplify medication management for patients with multiple prescriptions. Multimed cards help patients improve medication adherence, leading to improved health outcomes. The patient card is printed with patient information and a full medication index. In addition, the patient blister card can be custom printed with pharmacy branding, enabling each facility to uniquely align with their branding initiatives. n Blister Consumables Along with SmartCardRx, TCGRx proudly offers the following blister consumables: • Multi-Med 2-Piece • Unit Dose 1-Piece • Unit Dose 2-Piece • Control Blisters and Cards Our blister product line provides multi-medication and unit dose cards with blisters in a variety of sizes to fit the unique needs of each script-filling pharmacy. We provide cards in 28-, 30-, 31-, and 32-day doses, as well as weekly cards with multiple pass times.

Markets Served • Hospital – Inpatient • Hospital – Outpatient • Central Fill • Specialty

• Independent Retail • Retail Chain • Long-Term Care • Nutraceuticals

Ordering Information

To learn more about how TCGRx pharmacy automation can improve your patient’s medication outcomes, please contact us at (262) 279-5307 or info@TCGRx.com.

Additional Product Lines n SmartCardRx™ TCGRx is excited to offer the first multi-med blister adherence system to utilize advanced LED lighting and barcode technology to help facilitate the efficiency of blister card filling. SmartCardRx™ enables the pharmacist to fill up to four cards per patient, or four patients per tray, using a unique barcode SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 25

CASE STUDY Advancing Health by Supporting Safe Pharmaceutical Compounding

Erin Patton Senior Product Specialist ~ Charles River St. Louis, Missouri

www.criver.com

CASE STUDY Reliable & Rapid Endotoxin Testing When gram-negative bacteria are destroyed, they leave behind endotoxins. These cell wall fragments are capable of causing fever and septic shock in human and animals. Bacterial endotoxins are ubiquitous and can contribute to the contamination of IV drugs and vaccines. Product release testing for endotoxins is required for all sterile products. As the leader in the evolution of endotoxin testing, Charles River has developed revolutionary products and technologies that have increased both the quality and speed of testing. Traditional endotoxin testing can be performed in a 96well titer plate, which requires a trained analyst, can be very tedious and complicated, and ultimately opens up huge potential for human error. “This is generally a test for a scientist to perform,” Patton said. The Charles River Endosafe® nexgen-PTS™ (portable test system), in contrast, is a simple, handheld instrument specifically designed for non-scientists to perform endotoxin testing. The instrument utilizes FDA-licensed LAL cartridges, which contain all the necessary reagents to produce quantitative endotoxin results in as little as 15 minutes, making it simple and affordable enough for even very small pharmacies. There is no need to prepare endotoxin standards and no microbiology training required to run a test utilizing the Endosafe® cartridge technology. In fact, the test is so user-friendly that even personnel from different departments can be relied upon to carry it out. “One large client wanted to test their water early in the morning, so that they could save time in getting their manufacturing lines up and running,” Patton recalled. “They taught the first person who arrived each day to run the test; that just happened to be the janitor.”

www.criver.com

THE DECISION Erin Patton was a Charles River customer long before she was hired to work there as a senior product specialist. As a microbiologist and lab manager at a large analytical testing lab at the time of the NECC crisis, she performed and reviewed hundreds of thousands of tests, including potency and sterility testing. “I developed a very good understanding of the regulatory issues facing compounders today,” she said. At Charles River, Patton focuses on endotoxin testing, microbial detection, and microbial identification. These highly specialized tests often require expensive equipment and scientifically trained personnel to run them. It may not make sense for a compounder to take those functions on in-house. “A compounder’s expertise is in making drugs, not testing them,” Patton said. “We offer rapid and reliable technologies that remove the possibility of human error and increase operational efficiency, which ultimately saves money. Our purpose-built portfolio of progressive products and services are targeted toward large and small compounders as they deliver accurate, relevant, and measurable data to fuel confident decisions on product quality for release.”

THE RESULTS When it comes to environmental monitoring, Charles River supports routine dayto-day microbial monitoring as well as more urgent investigations. Clients who may be concerned about an organism found in their clean room or, more urgently, a product sterility test result that did not pass, need detailed and rapid results. Genetic sequencing is considered the gold standard in microbial identification. An organism’s DNA will be the same regardless of phenotype or stress state. “It’s not enough to look at a sample and say ‘oh, there aren’t too many organisms,’” Patton said. “You need to know what species are present to learn how the problem happened and to understand potential patient risk downstream.” Charles River’s Accugenix® microbial identification and strain typing services deliver powerful genetic sequencing. This level of specificity, combined with the industry’s largest reference library of organisms relevant to drug manufacturing, provides the most advanced method of microbial identification available. The Charles River ID lab processes hundreds of samples per day and offers same-day and up to 5-day results, depending on the customer’s time frame. “We can take a sample plate and use genetic sequencing as well as MALDI-TOF technology to get a detailed result back within the day, if that’s what is needed,”

CASE STUDY Patton said. Those turnaround expectations are met 99.6% of the time with a 98% identification rate. Rapid testing turnaround is especially crucial when it comes to sterility testing and the impact on beyond-use dating. Confirming that a sterile product is saleable typically requires travel time to and from a lab and a sterility testing period of 14 days. This waiting period results in a shortened beyond-use dating window that may already be quite compressed. Charles River’s Celsis® rapid microbial detection systems deliver sterility testing results in 5 to 7 days, effectively cutting the waiting time in half. “This extra wiggle room allows more time to get the product to the hospital,” Patton said, which ultimately affects not only the bottom line but also patient well-being.

THE CONCLUSION Some compounding pharmacies still fall under state pharmacy board jurisdiction, but they are experiencing increasing scrutiny from the FDA that is not likely to change. When inspections happen, they are usually unannounced and will require the facility manager to produce records to prove that cGMPs are being followed. “We know it’s very important to able to produce documentation to show that a facility’s quality situation is tight,” Patton said. “Inspectors want to know what you are doing to assure quality and sterility, and they expect compounders to build quality into every procedure. This is one of the reasons the NECC got into trouble – their facility was not under control.” Testing can tell you when a problem exists with a product; it can also act as a valuable surveillance system. “You may get something in your microbial identification results that is not going to show up in your product, but they can correlate. This kind of data allows you to take action before a big problem occurs. This is the point of what we do.” Charles River clients are able to generate targeted reports through a web portal at any time. “Customers can do a deep dive into their own data,” Patton said. When it comes to proving compliance and control, she said, “it’s all about using that data to tell the story of your facility.”

www.criver.com

Compounding Solutions for Compounding Problems. With compounding pharmacy regulations under scrutiny,

Offering unmatched regulatory expertise and a portfolio

compliance has never been more important. Maintain

of FDA-licensed products and GMP-compliant services,

control and consistency in your compounding procedures

Charles River is the trusted partner who can help you

with solutions from Charles River.

align your operations with current regulatory standards.

Endotoxin Testing | Microbial Identification for Environmental Monitoring Programs | Sterility Testing | Microbial Limits Testing

Learn more at www.criver.com/compounding

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Pharma-Choice™ Brand of USP <797> and USP <800> Cleanroom Disposables Brought to You by Acute Care Pharmaceuticals The nation’s leader in USP <797> and <800> compliant supplies specifically designed for your advanced environment.

President & CEO: Thomas M. McGowan Founded: 1997 Toll-Free Phone:

(888) 909-7700 Fax: (858) 675-9380 Address: 12225 World Trade Drive Suite A San Diego, CA 92128 Website: www.pharma-choice.com

Company Background Acute Care Pharmaceuticals has been servicing the healthcare industry for over 20 years, delivering exceptional products and service to healthcare providers nationwide. We offer a wide range of USP <797> and <800> compliant disposable products that are manufactured under the highest standards. With numerous GPO and IDN contracts, our goal is to make your buying experience simple and easy. Our Pharma-Choice™ brand of products are stocked at AmerisourceBergen, Cardinal, and McKesson where you can receive your special discounted GPO contract pricing. Product Overview Improve facility operations with Acute Care Pharmaceuticals’ Pharma-Choice™ brand of products. The quality manufacturing of our Pharma-Choice™ brand of cleanroom disposables demonstrate our commitment to the continued success of USP <797> and the future success of USP <800>. From the inception of USP <797>, we have been a trusted provider for the majority of hospitals nationwide in cleanroom disposables. Our constantly expanding USP <797> product line includes sterile alcohol, non-shedding/non-linting wipers, disinfectants, gloves, media test kits, apparel, and more. Our USP <800> line of products was developed with you in mind, because your safety and the safety of your employees matters. Our USP <800> products include: chemo gowns, chemo gloves, chemo spill mats, goggles, respiratory masks, sterile apparel, and a two-step chemo neutralizing kit.

GPO Affiliations • APCI • Asembia (Armada) • GeriMed • HealthTrust (HPG) • Intalere/Amerinet • MHA

• Premier • ROi • The Resource Group (Ascension) • Vizient

Markets Served • Hospital/Acute • Clinic • HMO • HHC-Home Health Care

• Surgery Centers • Retail • Long-Term Care

Pharma-Choice™ Brand of Products Feature • Pharma-Hol™: 70% IPA / 30% USP WFI • Pharma-Wipe™: Multi-Purpose Wipers • Pharma-Sat Plus™: Pre-Saturated Wipers • Pharma-Apparel™: Disposable Apparel • Pharma-Mat™: Tacky Mats • Pharma-Glove™: Sterile and Chemo Approved • Pharma-Surface Guard™: Chemo Neutralizing Kit • Pharma-Chemo Mat™: Chemo Mats Ordering Information Pharma-Choice™ brand of products can be purchased at AmerisourceBergen, Cardinal, McKesson, or directly from Acute Care Pharmaceuticals. Acute Care Pharmaceuticals sales representatives can be reached at: P: (888) 909-7700 F: (858) 675-9380 E: info@acutecareonline.com Online Store: www.pharma-choice.com

If you want quality products and customer service you can count on, call us today at (888) 909-7700 for more information and your GPO contracted pricing, or email us at info@acutecareonline.com.

SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 31

A culture based on

Quality.

Solutions

based on pharmacists.

Bases & Vehicles | Chemicals | Equipment & Supplies | Education | Technical Support

fagron.us | 800.423.6967

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Hospital Solutions by Fagron, Inc. Optimizing and innovating customized pharmaceutical care.

President:

Teresa Fiedler Founded: 1980 Employees: 60+ Toll-Free Phone: (800) 423-6967 Fax: (800) 339-1596 Address: 2400 Pilot Knob Road St. Paul, MN 55120 Website: us.fagron.com Webshop: shop.fagron.us

Company Background

Fagron is the largest global compounding company that sets the standard for premium quality bulk drug and excipients. They manufacture innovative global brands in the form of creams, lotions, syrups, and suspending vehicles. Fagron, Inc. is a VAWD accredited, FDA-registered and inspected facility located in St. Paul, MN, that adheres to cGMP requirements. All incoming chemicals are checked to assure compliance with standards of the USP/NF and other compendia. Fagron is dedicated to widening the therapeutic scope of the prescriber to enable tailor-made pharmaceutical care. They offer a wide range of educational offerings through Fagron Academy and excellent technical support services. Fagron, Inc. is active in the following segments of pharmaceutical compounding: • Fagron Brands: Innovative concepts, bases, and vehicles for pharmaceutical compounding that are developed by Fagron, often in close cooperation with prescribers, pharmacies, and universities. • Fagron Essentials: Pharmaceutical raw materials, equipment, and supplies that pharmacists need in order to be able to prepare medication in the pharmacy.

Product Overview

n SyrSpend® SF Oral Suspending Vehicle SyrSpend® SF is a trusted, innovative oral suspending vehicle for the compounding of oral liquid dosage forms with over 96 stability studies1. Based on food starch, SyrSpend® SF’s superior suspending properties provide consistent, individual dosing throughout treatment. The effortless compatibility with a broad range of active pharmaceutical ingredients (APIs) and meticulous ingredients make SyrSpend® SF highly suitable for compounding stable tailor-made medication. SyrSpend® SF is a quick and easy compounding option that provides pharmaceutical stability and dosage consistency with each preparation. Its light texture, non-toxic ingredients, and neutral taste result in treatment that is comfortable and easy-to-swallow for all patient groups, from neonates

to elderly. Compatible with an extensive range of APIs, you can choose the most suitable product for compounding from both acid and alkaline options. UniSpend Anhydrous, a line extension to the SyrSpend family, is also available as an elegant easy-to-use, plant-based vehicle for waterunstable actives. n LETS GEL KIT™ Convenience Pack Fagron’s industry leading LETS GEL KIT™, a rapid topical anesthesia convenience pack, features SuturaGel™ Methylcellulose base, a specially formulated gel to minimize medication run-off. Pharmacists now can reliably prepare up to 33 unit-doses with 90-day beyond-use-dating (BUD) when stored in Fagron 3 mL unit-dose syringes1. Included in this easyto-use convenience pack are pre-weighed active ingredients: Lidocaine Hydrochloride, Epinephrine Bitartrate, Tetracaine Hydrochloride, Sodium Metabisulfite, topical syringes, and SuturaGel. n FagronLab™ FagronLab™ is the first global product line of compounding equipment. FagronLab™ is specially designed for the needs of modern compounding pharmacies. The operation and design of the equipment offers highlevel accuracy and ease-of-use, thus helping ensure repeatability for everyday compounding through a wide range of customized features. FagronLab™ offers accurate, safe, and quality solutions for patients through excellence in compounding preparation in pharmacies. n Drug Shortages Solutions Fagron carries a wide range of APIs to help you get through drug shortages. Our high-quality APIs can be used to compound capsules, oral solutions, topical preparations, and parenteral preparations (USP <797>). Before switching your patients to alternative therapies, Fagron is your go-to source when it comes to drug shortages. 1

Data available on request.

Ordering & Pricing Information

For product information and pricing, please contact Fagron, Inc. at (800) 423 6967, email: sales@fagron.us, or webshop: shop.fagron.us.

SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 33

THE SAFER CHOICE

FOR YOUR PHARMACY

CLASS II TYPE A2 BIOLOGICAL SAFETY CABINETS

NuAire, Inc. | 2100 Fernbrook Lane | Plymouth, MN 55447 | 763.553.1270 | www.nuaire.com

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

LabGard® Class II Biosafety Cabinets From NuAire™ Design, manufacture, and distribute quality laboratory products at an affordable price with responsive service to lower user’s overall cost of ownership, minimize downtime, and develop a long lasting relationship so they can concentrate on what matters, their research.

President & CEO: Richard Peters Founded: 197

Employees: 250+ Toll-Free Phone:

(800) 328-3352 Phone: (763) 553-1270 Address: 2100 Fernbrook Lane Plymouth, MN 55447 Website: www.nuaire.com

Company Background For more than 40 years, NuAire has been committed to bringing you the highest quality, most dependable laboratory products on the market. We are universally recognized as one of the world’s leading providers of reliable equipment for the most demanding environments. You can depend on our products to feature brilliant but practical design, and we pay keen attention to every step of the production process, from fabrication to assembly to thorough testing. As a NuAire customer, you can also rely on us for outstanding value and dependable service — the cornerstone of our reputation as the leading provider of laboratory products internationally. At NuAire, we create our high-quality products with your success in mind. This means that if you purchase a piece of laboratory equipment from us, we want to be completely happy while using it. NuAire will work hand-in-hand with you in order to ensure that your experience using our product meets your standards, and if you encounter any issues or difficulties along the way, we’ll help you work through them until you are 100% satisfied. Our philosophy is that we succeed only when you succeed — and we are committed to working hard to ensure you achieve your goals.

Product Overview The LabGard ES (Energy Saver) is a Class II, Type A2 Biological Safety Cabinet can be either exhausted back into the room or connected to a facility HVAC system. The cabinet’s airflow is 30% exhausted/70% recirculated to minimize cross-contamination of low to moderate risk biologicals in the absence of volatile toxic chemicals.

Standard Features • AeroMax Electronic Control System • Ultra High Efficiency DC/ECM Motor • Attenumont Vibration Control System • Motor Speed Controller • Internal Exhaust Damper • Monolithic Pressure Tight Design (Silicone Free) • Permanent Plenum with Quick Release Supply Filter • 3" (76 mm) Metal Frame Supply HEPA Filter 99.99% @ 0.3 Microns • 6" (152 mm) Metal Frame Exhaust HEPA Filter 99.99% @ 0.3 Microns • Metal Diffuser Over Supply Filter • 10" (254 mm) Window Sash Access Opening • Frame-Less Sliding Tempered Glass View Window • External Fluorescent Lighting Product Specifications Model

Width Size (Nominal)

NU-540-300

3 ft. [0.9 m ]

NU-540-400

4 ft. [1.2 m]

NU-540-500

5 ft. [1.5 m]

Electrical

Interior Dimensions

Exterior Dimensions

(W x D x H) in [mm]

34 ⅜ x 25 ¾ x 28 ½

41 5/8 x 31 7/16 x 61 7/8

[873 x 654 x 724]

[ 1057 x 799 x 1572]

46 ⅜ x 25 ¾ x 28 ½

53 5/8 x 31 7/16 x 61 7/8

[1178 x 654 x 724]

[1362 x 799 x 1572]

58 ⅜ x 25 ¾ x 28 ½

65 5/8 x 31 7/16 x 61 7/8

[1483 x 654 x 724]

[1669 x 799 x 1572]

(All Sizes)

Net Weight

400 lbs. [181 kg]

465 lbs. [211 kg]

550 lbs. [249 kg]

GPO Affiliations • Vizient™ • Intalere

• E & I • Premier

SUMMER 2018

• GSA • PCCA

H E A LT H S Y S T E M • I N F U S I O N 35

Preceptor Recognitions

University of New Mexico’s College of Pharmacy would like to recognize an Outstanding Preceptor — Dr. Daniel Co Dr. Daniel Co received his PharmD from The University of Georgia, completed a PGY1 residency at Northeast Georgia Medical Center, and is currently the Director of Pharmacy Services at the Advanced Care Hospital of Southern New Mexico, where his areas of interest are infectious disease, medication safety, and pharmacy practice experience. As a preceptor, Dr. Co focuses his rotations on fostering student growth. He is mindful that “oftentimes APPE rotations are the only opportunity many students have to focus on developing solid strategies for researching drug information questions, applying clinical guidelines to actual patients, and,” Dr. Co says, “present to and educate other healthcare providers.” Though Dr. Co has only been precepting students here for less than a year, feedback from students proves he is an inspiring preceptor and role model to his students. Dr. Co is valued for his investment in student learning, for the time he spends mentoring and guiding students, and for the way he challenges students to develop their critical thinking. As Dr. Co says, he wants to ensure students “leave the rotation with tangible, practical examples of how they used pharmacy knowledge to positively affect health system or patient outcomes.” The UNM College of Pharmacy would like to thank Dr. Co for all his hard work and dedication! “Dr. Co was a great preceptor. He genuinely wants to help students expand their knowledge and help them reach their full potential. He was always very professional and would be a great role model to students interested in pharmacy management as well.” — P4 Student Pharmacist

Dr. Daniel Co

Thank You Advanced Pharmacy Practice Experience (APPE) Preceptors The Class of 2018 graduation, on May 11, 2018, marked the fifth graduating class from Roosevelt University College of Pharmacy. We would like to thank all of our Advanced Pharmacy Practice Experience (APPE) preceptors, who have taken our students, at their sites, over these past five years. We could not have done this without all of your time and dedication to our students. Each and every one of you has added to the success of our graduates. Our students, past and present, are appreciative of all the opportunities that you have given them to learn and grow. Your demonstration of Competence, Commitment and Compassion, highlighted in the Roosevelt College of Pharmacy Pledge of Professionalism, has enabled our students to truly put these values into action while on their rotations.

Congratulations Amanda Williams, 2017 UConn Preceptor of the Year.

Amanda Williams, has been named the University of Connecticut’s 2017 Adjunct Faculty Preceptor of the Year for Advanced Pharmacy Practice Experiences (APPE). She is an ambulatory care pharmacist at the Gengras Ambulatory Clinic at St. Francis Hospital in Hartford, Connecticut. “I am invested in [students’] learning and want to set them up for success. Everything I ask I follow up on. I think it’s important that students know it is OK to make mistakes as long as they learn from the experience.” - A. Williams

pharmacy.uconn.edu

69 NORTH EAGLEVILLE RD, U-3092 STORRS, CT 06269-3092

PRECEPTOR HIGHLIGHT

Tom Giovinazzo, RPh The Medicine Shoppe, Binghamton, N.Y.

If you are a pharmacist interested in becoming a RUCOP preceptor for introductory and advanced experiential education, please contact:

One may have to go far to find someone as excited as Tom Giovinazzo about the new School of Pharmacy and Pharmaceutical Sciences (SOPPS) at Binghamton University. A community and consultant pharmacist at The Medicine Shoppe on Vestal Avenue in Binghamton, N.Y., Giovinazzo can hardly wait to work directly with SOPPS PharmD students during their internships. “I’ve been very excited about it,” he said. “When students are around, they’re always excited, have a good attitude and their outlook is positive. It rejuvenates my passion for the profession every time. Plus, this is my hometown and to put the pharmacy school in a seemingly overlooked area of Johnson City, N.Y., is very inspiring. It’s why I feel so compelled to be involved.” As a community and consultant pharmacist, Giovinazzo divides his time between working with patients at The Medicine Shoppe and consulting in long-term care settings such as nursing homes and adult care facilities. As a preceptor, Giovinazzo said, “We want SOPPS students to have a valuable experience and for us to be able to give them enough of our time. We want to be a premier preceptor site for these students.”

Joan Hardman, BPharm, RPh | Assistant Dean of Experiential Education (847) 330-4508 | jhardman02@roosevelt.edu | www.roosevelt.edu/pharmacy

Interested in being a preceptor for SOPPS? Contact Ms. Jeannette Cardi at oee@binghamton.edu

SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N

Preceptor Recognitions

Dr. Eric Shoffner 2018 Preceptor of the Year

CONGRATULATIONS SARAH JUSTICE ACP Preceptor of the Year

Harding University College of Pharmacy, located in Searcy, Arkansas, is proud to announce Dr. Eric Shoffner as our inaugural Preceptor of the Year. Dr. Shoffner has been associated with the college since its inception, serving on the Board of Visitors for the Dean and precepting both IPPE and APPE students since 2011. Dr. Shoffner has past experience in high volume chain pharmacy and now owns two independent pharmacies. His students state they are challenged professionally, personally, and spiritually. “What stood out most to me about Dr. Shoffner is his transparency and the desire to make my APPE experience about more than just pharmacy. I felt comfortable asking him questions about pharmacy practice, real world work experience, and life. He was very honest about his personal successes and struggles. It is obvious that he truly cares for his students and genuinely enjoys precepting.” — Bryana Gregory, Class of 2018 “Dr. Shoffner is an excellent, well rounded individual as well as a pharmacist. He gives me so much confidence and has restored my dreams of owning an Independent Pharmacy.” — Schrell Crockett, Class of 2018

Sarah Justice, RPh, the pharmacy manager at Tidelands Waccamaw Oncology at Georgetown, located in Georgetown, SC, was named the ACP Preceptor of the Year. Justice is pictured here with Regina Horn, from the ACP office of experiential education. Justice offers an APPE Elective Oncology rotation to ACP students. Nominations for the preceptor of the year award are made by ACP P3 students.

Sarah Justice, RPh

Pharmacy Manager at Tidelands Waccamaw Oncology at Georgetown

Pictured left to right: Dr. Eric Shoffner and Randy Dumornay (Class of 2018).

Thank you to all of our preceptors!

Thank you to our Preceptor of the Year Mallory Sherwood, PharmD Pharmacist, Portsmouth Regional Hospital

The Preceptor of the Year Award is given to a preceptor who demonstrates high standards of professionalism, commitment to students as a professional mentor and a spirit of cooperation with the College of Pharmacy.

“We cannot always build the future for our youth, but we can build our youth for the future.” —Franklin D. Roosevelt

On behalf of the faculty and staﬀ at Southern Illinois University Edwardsville School of Pharmacy, the and mentors for our students and help in shaping the future of the profession of pharmacy. The

Pictured left to right: Dr. Sharon Cross (Class of 2017) and Dr. Mallory Sherwood

“Dr. Sherwood consistently pushed me to think on my feet and apply my knowledge in an acute care setting. She gave me real-time feedback after every patient encounter so that I could improve my skills as a future pharmacist. After finishing five out of my six rotations, I can confidently say that I learned more than I could have imagined with Dr. Sherwood and I feel very fortunate to have had this rotation and her as a preceptor.”

Jill Kellerman, RPh

Steve Wightman, RPh

Pinckneyville Community Hospital Pinckneyville, Illinois Health System APPE

Wightman Pharmacy Waterloo, Illinois Community IPPE

Kris Keplar, Pharm.D

Todd Davis, RPh

HSHS St. Anthony’s Memorial Hospital Eﬃngham, Illinois

If you are interested in joining the UNE team as a preceptor, please contact the Office of Experiential Education at (207)221-4500 or preceptorinfo@une.edu

SSM St. Mary’s Hospital Centralia, Illinois Health System IPPE

If you are interested in becoming a preceptor for SIUE School of Pharmacy, please call us at (618) 650-5126 or email eeoﬃce@siue.edu

SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 37

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Stericycle’s CsRx® Service Makes Disposing of Controlled-Substance Waste Easy Stericycle’s CsRx Service is a safe and secure solution to dispose of your controlled-substance waste and help hospitals to mitigate the risk of diversion. President & CEO: Charlie Alutto Founded: 1989

Employees: 23,200+ Stock Symbol: SRCL Toll-Free Phone:

(866) 289-5193

Address: 28161 N. Keith Drive, Lake Forest, IL 60045 Website:

www.Stericycle.com/rxjune

Company Background

Since our founding over 25 years ago, Stericycle has grown from a small start-up in medical waste management into a leader across a range of increasingly complex and highly regulated arenas, including compliance and sustainability waste services, brand protection solutions, and customer contact solutions. Every organization today must comply with increasingly strict regulatory guidelines and quality controls in the delivery of their core businesses. Large or small, businesses can’t always do it on their own. They seek out Stericycle to help them. We have the expertise and passion to take on many complicated and often behind-the-scenes services our clients don’t always know how to do well but ultimately make their businesses better.

Product Overview

Hospitals and healthcare personnel recognize the risks associated with controlled-substance diversion and have procedures and policies in place to prevent it from occurring. Stericycle’s CsRx Service is designed for hospitals to enhance their existing security procedures to dispose of controlled substance waste in a safe and secure manner. Each CsRx container will contain a pre-loaded deactivating agent and deterrent, which will require water to activate. The deactivating agent and deterrent permanently alters the substance’s chemical condition rendering the substance non-retrievable; this includes: pills, patches, tablets, and IV solutions. Our proprietary containers are designed with a one-way disposal path allowing substances to enter the container but not be removed, preventing any possible diversion opportunities. The unique lid opening is designed to prevent a sharp, vial or ampoule from entering the container so that the deactivating agent can interact with the disposed controlled substance. Only our turnkey CsRx Service includes lockable wall brackets at no additional charge. All controlled substance waste is incinerated at a permitted Stericycle facility, keeping controlled substances out of our communities and waterways. CsRx Service is your secure solution for disposing of controlled substance waste, keeping your patients and staff safe.

Features & Options

n Deactivates and Deters The activated carbon as well as the deterrent will arrive in a dry form at the bottom of the containers contained in pods. Once the activated carbon and deterrent have been activated, the containers are now ready for controlled substance waste to be added. The activated carbon will deactivate all forms of controlled substances including pills, patches, tablets, and IV solutions. The deterrent is a precaution for the unlikely occurrence of someone attempting to drink the liquid content, as it will physically prevent the drinking of the liquid in the container. n Containers and Brackets Our containers were designed with a one-way disposal path which allows for medications to go into the containers but not be removed. In addition, the lid is designed to prevent a sharp vial or ampoule from entering the container. The medication will not be deactivated if the denaturant does not come into contact with the disposed medication. This design feature prevents possible diversion opportunities from occurring. Our turnkey system includes lockable wall brackets at no extra charge. n Disposal The CsRx Service includes the handling of the controlled substance waste to final disposal. All controlled substance waste will be incinerated as a best management practice.

CsRx (Full-Service) Service Value Offering

• Mitigate diversion of controlled substance waste by having outside monitoring of containers.

• Relieves pharmacy staff from monitoring and exchanging the containers.

• Implementation done via live training. • Built in security to ensure low potential for diversion. • Staff training provided on how to properly use the containers. • Independent company helping hospital to stay compliant with current and future regulations.

• Product and all servicing materials provided by Stericycle. • Proactive exchange of containers for reducing diversion and improving safety of containers.

• Flat-monthly fee for easy budgeting.

Markets Served

Acute Care Hospitals; Non-Acute Healthcare Facilities

GPO Affiliations

Vizient; Intalere; Premier

Ordering Information

Phone: (866) 289-5193 | Web: www.Stericycle.com/rxjune SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 39

Unit Dose Done Right

Unit Do se Bar Cod , ing, Pharma cy & Nursing Supply Experts !

Simple. Reliable.

800.523.8966

MediDose.com

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Medi-Dose, Inc./EPS, Inc. Delivers Bar Coding, Packaging, and Labeling Pharmacy Solutions Improve your Solid Oral Unit Dose needs with our comprehensive Bar Coding, Packaging, and Labeling Solutions — designed by healthcare professionals, for healthcare professionals. President:

Robert Braverman

Founded: 1971 Employees: Private Toll-Free Phone: (800) 523-8966 Phone:

(215) 396-8600 (800) 323-8966 Address: 70 Industrial Drive Ivyland, PA 18974 Website: www.medidose.com Fax:

Company Background Medi-Dose/EPS was founded in 1971 when Milton Braverman, a former pharmaceutical company territory manager, saw the need for inexpensive, manual unit dose packaging allowing a hospital to convert from traditional dispensing. He developed the Medi-Dose System to package, handle, and dispense predetermined amounts of medication so they would be accessible for one regular dose. Comprehensive bar coding and labeling identification is accomplished using our innovative MILT 4 software. Because of the continued success of the MediDose System, Medi-Dose/EPS expanded its product line to include the TampAlerT System, offering tamper-evident liquid packaging without the need for heat tunnels and accessory sealing equipment, as well as a full line of supplies and disposable products designed specifically for the pharmacy and health care professional. Product Overview Medi-Dose provides Tamper-Evidence as well as UV and Moisture Resistance for one-year beyond-use dating. Our MILT® 4 software maintains packaging logs and lets you design and print your Lid-Label® Covers with color, bar codes, tall man lettering, and graphics. You can format the labels any way you want, directly from your own computer and printer! Medi-Dose works well in any pharmacy operation and can be used with all classifications of drugs (chemo meds, meds covered by USP 800, compounded drugs, controlled substances, etc.). It’s affordably priced for all pharmacy budgets. For the best in manual unit dose packaging, check out Medi-Dose!

Features & Options

n Packaging and Labeling Solutions

• Simple to use — no extensive training needed. • 1-D and 2-D bar coding — including NDC, lot numbers, and expiration dating.

• Ideal for hazardous medications and USP 800 drugs. • Tall Man Lettering and dynamic formatting options. • Built-in NDC lookup database and extensive image library. • Packaging logs and error reporting. • Six-month and one-year beyond-use dating. • UV and moisture resistance. • Tamper-Evidence. • 15 styles of blisters to accommodate virtually all meds. • No machinery or space requirements. • Inexpensive — no capital outlay required.

Product Specifications

n Accompanying Labeling Software

• MILT 4 • MILT 3.0 • MILT 2.6 • Medi-Dose 2000

Trade Shows/Meetings Attended ASHP Midyear, ASHP Summer, Joint Forces Pharmacy Seminar, National Pharmacy Purchasing Association, EAHP, IACP and various state, regional and pharmacy compounding conferences. Ordering Information For additional information, please contact us at (800) 523-8966, visit our website at www.medidose.com or email us at info@medidose.com.

SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 41

CASE STUDY

Meeting Pharmacy Compliance and Regulatory Challenges Comprehensive Pharmacy Services drives compliance with an end-to-end process: complete assessment, strategy development and implementation.

THE CHALLENGE: Achieving and sustaining compliance across the entire healthcare organization and lowering regulatory risk while improving operational efficiency and effectiveness are critical goals for hospital and health system pharmacies. When Dayton Children’s Hospital reached out to Comprehensive Pharmacy Services (CPS) for support in assessing compliance and regulatory issues for controlled substances, sterile compounding (USP <797> and <800>), The Joint Commission standards and 340B, CPS responded with custom solutions from its Compliance and Regulatory Services and 340B teams.

Facility design

•

Workflow observations

•

Equipment and engineering controls

•

Environmental sampling

•

Cleaning and disinfection

•

Policy and procedures surrounding sterile compounding

CPS’ 340B team was able to take a good 340B program to a great 340B program and

IDENTIFIED $500,000 IN ADDITIONAL 340B OPPORTUNITIES

CASE STUDY

CONTROLLED SUBSTANCE COMPLIANCE SOLUTIONS: In August 2017, CPS’ Compliance and Regulatory Services team performed a complete controlled substance assessment at the request of hospital leadership. Utilizing the Controlled Substance Diversion Prevention Assessment tool in the Comprehensive Pharmacy Assessment Platform, the Compliance and Regulatory Services team identified opportunities across the healthcare organization for improvement in management of controlled substances processes and developed an action plan, timeline and tools to track and manage implementation of the overall strategy. RESULTS: From August 2017 when the initial assessment was made until to February 2018, the Compliance and Regulatory Services team worked with the hospital and pharmacy leadership to identify 105 opportunities for process changes, including several best practices. While still an ongoing project, the team has implemented process to address 63 of these opportunities. Of the remaining 42 opportunities, all but 9 are currently in the process of being addressed.

340B SOLUTIONS: In October 2017, CPS’ 340B team per formed an initial evaluation, looking at both compliance and business opportunities. After digging deep into the on-site processes, the 340B team identified a number of manual functions that had not been evaluated previously. From the assessment, they put together a road map defining what needed to be done in what timeframe. The team ensured that the organization was hitting timelines for establishing policies and procedures as well as internal audit processes. The plan also identified ways to optimize 340B benefits and save significant dollars for the hospital. RESULTS: CPS’ 340B team was able to take a good 340B program to a great 340B program and identified $500,000 in additional 340B opportunities. The hospital has engaged CPS with a 3-year Continuous Readiness program to help the organization maintain a state of continuous audit preparedness. The 340B team meets with the pharmacy leadership every quarter to update where they are and provide assistance as needed.

THE JOINT COMMISSION SOLUTIONS: In February 2018, the Compliance and Regulatory Services team conducted a comprehensive assessment and follow-up with a gap analysis, and then drafted a strategy for meeting The Joint Commission Accreditation Medication Management standards. RESULTS: The strategic plan has been delivered to the on-site pharmacy director, and the Compliance and Regulatory Services team is assisting with implementation of that plan.

CASE STUDY SUMMARY In each of the Compliance and Regulatory areas, CPS’ Compliance and Regulatory Services and 340B teams: •

Assessed the current pharmacy situation

•

Drafted a strategy with a customized approach designed to meet the specific needs of the hospital

•

Worked alongside the Pharmacy Director to engage the pharmacy team and drive accountability and execution of the outlined strategy

•

Utilized proven tools, including Gantt charts, to assign timelines and virtually manage implementation

The agility shown by CPS Compliance and Regulatory Services and 340B teams in designing strategies to meet the specific needs of Dayton Children’s Hospital helped improve and maintain regulatory compliance and medication safety, mitigate risk and promote operational integrity in the current complex regulatory healthcare environment.

ABOUT DAYTON CHILDREN’S HOSPITAL Located in Dayton, Ohio, Dayton Children’s Hospital is the only pediatric hospital in the Dayton region. The hospital serves more than 300,000 patients each year including infants, children and teens, and provides services in more than 35 specialties. Dayton Children’s Hospital recently received the 2018 Women’s Choice Award ® as Best Children’s Hospital and the 7th Annual Dr. Frank Dono Best Practice Award in 2016 from the Ohio Patient Safety Institute.

ABOUT CPS Founded nearly 50 years ago, and employing over 2,500 pharmacy professionals, Comprehensive Pharmacy Services is the nation’s oldest and largest provider of pharmacy support services to more than 700 hospitals and healthcare facilities’ pharmacies. CPS helps hospital pharmacists tackle complex problems such as hyperinflated drug costs, medication reconciliation, specialty pharmacy, operational effectiveness and staffing efficiencies, centralized distribution, ambulatory/retail pharmacies, compliance, 340B programs and much more, leading to increased quality, reduced admissions and lower costs.

800.968.6962 | contactus@cpspharm.com | cpspharm.com 44

EVERY SUPERHERO HAS A SUPPORT TEAM. For Hospital Pharmacies, it’s CPS. The challenges never get easier. The tasks never cease. Every day operations require a lot of time, resources and expertise. When your pharmacy needs support, CPS is there. We provide industry-leading support services for areas including 340B, antimicrobial stewardship and sterile compounding. We arm you with the smartest analytics, high-performing tools, experts, and proven pharmacy best practices that will help you leap—as high as you want to go.

Ready for the next level? Send us a signal and we’ll be there 800.968.6962 | contactus@cpspharm.com | cpspharm.com

For over 40 years IMI has manufactured innovative devices that help protect the delivery of drugs within the healthcare system.

INNOVATION INDUSTRY LEADER IN SECURE DRUG DELIVERY

Also Available for Oral Dispensers:

Our Prep-Lockâ&#x201E;˘ Tamper Evident Cap for I.V. syringes is the industry standard for guarding compounded sterile preparations from unauthorized access, diversion and misuse. Pharmacists rely on Prep-Lock Tamper Evident Caps for ease of installation while clinicians appreciate the simplicity of removal for drug administration. The Prep-Lock Tamper Evident Cap for I.V. syringes is available in both low and high volume package configurations with a choice 4 color options.

*IMPORTANT - Oral Tamper Evident Caps are not a universal fit. You must match your Oral Tamper Evident Cap to the dispenser manufacturer.

IMI offers a variety of products that protect drug delivery including I.V., Oral and Enteral devices. Contact us for FREE evaluation samples.

1 .8 0 0.344.2554 www.imiweb.com

International Medical Industries, Inc. Made in USA

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Prep-Lock™ From IMI Guards Against Drug Diversion and Misuse

Increase pharmacy productivity and safety with innovative and economical devices designed to protect your compounded sterile preparations.

President:

Jonathan Vitello

Founded: 1969 Employees: 100+ Toll-Free Phone:

(800) 344-2884 Phone: (954) 917-9570 Fax: (954) 917-9244 Address: 2981 Gateway Drive Pompano Beach, FL 33069 Website: www.imiweb.com

Company Background

For nearly 50 years, IMI has worked closely with pharmacists and compounding professionals to create innovative sterile products that meet very specialized needs. Throughout this time, IMI has established long standing partnerships with some of the biggest names in healthcare. Through these partnerships and directly, IMI is delivering the kind of high-quality and high-value products that pharmacy operations demand. All IMI products are manufactured in the USA under the strictest quality standards at their FDA registered, ISO 13485 certified facility.

Product Overview

n Prep-Lock Tamper Evident Caps — for Sterile I.V. Luer Lock Syringes Compounded sterile preparations (CSPs) are at their greatest risk when they leave the custody of your pharmacy. The Prep-Lock Tamper Evident Cap greatly reduces the risk of your CSP being compromised either accidentally or intentionally. It ensures that product integrity is maintained from the time it leaves the sterile hood until it is administered by an authorized clinician. If your facility uses an outsource compounder, chances are you are already familiar with IMI’s tamper evident cap technology. You can easily incorporate the use of this cap for your in-house preparations which will provide standardization of all syringes throughout your hospital. Installing the tamper evident cap in your compounding operation is highly efficient. Each sterile tray of 10 caps offers the pharmacist the ability to quickly install the cap with a simple twist of the syringe. This helps to reduce the risk of touch contamination and enhances aseptic technique. Administering a syringe is very easy for the authorized clinician. Simply pull-off the outer sleeve of the tamper evident cap, unscrew the remaining luer-lock cap and discard. A choice of four different colored caps and two outer sleeve styles allows the pharmacy the ability to color code either specific drug classes or processes.

n Prep-Lock Tamper Evident Caps — for ENFit® Syringes The new ENFit® connector standard (ISO 80369-3) for enteral feeding devices is a welcomed feature for mitigating potential misconnections. IMI is pleased to introduce a tamper evident cap for ENFit syringes that further enhances patient safety. These innovative caps help guard against drug diversion and misuse from the time the syringe leaves the pharmacy until the time it is administered. The tamper evident cap is compatible with both standard and low dose ENFit syringes. n Prep-Lock Tamper Evident Caps — for Oral Dispensers

The Prep-Lock Tamper Evident Cap for Oral Dispensers offers the same kind of tamper evident protection found in the sterile IV syringe model. It is the only tamper evident cap for oral dispensers available today. Since oral dispenser tips are unique to each dispenser manufacturer, the Prep-Lock Tamper Evident Cap for Oral Dispensers is offered in four different versions, for use with the Baxter EXACTAMED oral dispenser, the Comar® oral dispenser, the BD oral dispenser, and the NeoMed® oral dispenser. Unlike standard oral tip caps which can easily dislodge and fall off, the Prep-Lock oral cap provides a more secure capping of the oral dispenser.

Additional Product Lines

IMI offers a variety of sterile devices designed for the compounding pharmacist: • Prep-Seal™: Sterile Luer Lock Caps and Plugs • Prep-Fill™: Sterile Luer Lock Connectors • Rx-Vent™: Sterile Venting Needles • Rx-Tract™: Sterile Aspirating Needles

Trade Shows/Meetings Attended

IMI regularly participates at a variety of industry trade shows and conferences including:

• American Society of Health‑System Pharmacists (ASHP) • European Association of Hospital Pharmacists (EAHP) • National Pharmacy Purchasing Association (NPPA) • International Health Facility Diversion Association (IHFDA) • Hospital Pharmacy Conference (Health Connect Partners) Contact the event website or IMI for dates and booth numbers. SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 47

Expanding Our Commitment to Patient Safety NOW AVAILABLE!

Pull-tab label for ease of opening and administering product

■

Thicker gauge cup with excellent label seal integrity to avoid costly damage and clean up

■

Color-coded labels utilizing “tall man” lettering provide visual guidance to distinguish between sound-alike, look-alike drugs where applicable

■

LUD cup and storage trays designed for limited pharmacy storage space

■

Growing formulary of products

Product Description

Unit Strength

Cup Delivers

Cup Strength

Pack Size

NDC

Levetiracetam Oral Solution

100mg/mL

5mL

500mg/5mL

50 cups

60687-0249-67

Ranitidine Syrup

15mg/mL

10mL

150mg/10mL

50 cups

60687-0260-69

80mg/15mL

15mL

80mg/15mL

50 cups

60687-0258-71

Theophylline Oral Solution

americanhealthpackaging.com

| 800.707.4621

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Liquid Unit Dose Cups Are Now Available From AHP With a proprietary line of unit dose oral solutions, AHP expands its commitment to patient safety. Liquid Unit Dose offers the same safety and efficiency benefits that providers know from their oral solids products.

President & CEO: Bruce Bennett Toll-Free Phone:

(800) 707-4621

Address:

Columbus, OH 43217

Website: www.americanhealthpackaging.com

Company Background Located in Columbus, Ohio, American Health Packaging is a subsidiary of AmerisourceBergen. Our manufacturing facility is registered with the FDA and fully adheres to cGMP. American Health Packaging is licensed by the Drug Enforcement Administration to package Schedule II to IV controlled substances. Known widely for its success and leadership in unit dose, AHP has vast packaging capabilities including blistering, bottling, carding, kitting, and more. Product Overview With nearly 550 unit dose SKUs in the marketplace, customers are very well aware of AHP’s commitment to bedside scanning and patient safety. For some time, providers have asked AHP to deliver a line of unit dose liquid cups with the same safety standards and accurate barcodes they are accustomed to from AHP’s oral solids products. We listened. After many conversations with key customers to understand their exact needs, Liquid Unit Dose cups are now available to be ordered from American Health Packaging through partner wholesalers and GPOs.

n Scannability It is imperative that barcodes be both accurate and easily scannable. AHP has built its business around superior blister quality and barcodes. The same relentless eye to accuracy can be found in our new Liquid Unit Dose cup barcodes. They feature a linear barcode format, as well as a lid with human-readable lot and expiration dates. n Cost As always, cost is a concern for health systems — especially as budgets come under more scrutiny. We know our customers must answer to pharmacy costs daily. AHP strives to always ensure costcompetitiveness with all of our products.

A Story in Every Dose

Our motto at AHP is that there is a “Story in Every Dose.” We are reminded daily that for every dose we produce, there is a patient depending on us to deliver accuracy in our barcodes and correctness in packaging. Healthcare providers also depend on us to “get it right.” With the many patient care duties being juggled, product safety should be a given. We work every day to deliver just that.

Benefits for Health Systems n Waste Avoidance Over and over again, customers spoke to the need for high standards of quality of packaging materials. When cups buckle or lids tear unexpectedly, costly waste results and clean-up time is required. We know that staff time is precious in the pharmacy. Therefore, we went to great lengths to source high-quality materials and diligently test the lid seal to ensure excellent adherence. n Space and Storage Space is another premium in a hospital pharmacy. Therefore, our cups come in three sizes in order to avoid waste in pharmacy cabinets. In addition, trays come in two sizes to also avoid wasted storage space on the pharmacy shelf.

SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 49

ISOlutions for Cleanroom & Medical Supplies ADHESIVE MATS ADHESIVE TAPES CLEANROOM APPAREL CLEANROOM LABELS CLEANROOM PAPER CLEANROOM SWABS DISINFECTANTS & CLEANERS MOPPING SYSTEMS

Call for fast reordering:

800-797-1405

STERILE SLEEVE SYSTEM STERILE CHEMO GLOVES STERILE CHEMO PREP MATS STERILE COMPOUNDING SUPPLIES STERILE 70% ISOPROPYL ALCOHOL TESTING SUPPLIES WIPERS

ISO-MED.com

1275 Graphite Drive, Corona, CA 92881 USA | 800-797-1405 | sales@iso-med.com | www.iso-med.com

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

ISO-MED, Inc. — Your One-StopShop for All Your Cleanroom and Medical Supply Needs Providing an unparalleled level of products, service, and convenience for meeting USP <797> and USP <800> standards. Davie Lowrie Founded: 2010 Toll-Free Phone: (800) 797-1405 Fax: (951) 547-1681 Address: 1275 Graphite Drive Corona, CA 92881 Website: www.iso-med.com

Additional Product Lines • Pharmacy Labels • Akro-Mils Storage Bins • Pill Crushers and Splitters • Tamper Evident Locks and Tape • Safety Containers • Skin and Wound Care • Unit Dose Packaging

Company Background ISO-MED, Inc., a medical supply distributor, was formed to supply quality products for pharmacy cleanrooms and other medical industries in the United States. You will find ISO-MED as your one-stop-shop for all your USP <797> and USP <800> needs.

Markets Served • Hospitals • Compounding • Infusion • Retail

President:

Product Overview ISO-MED's brand of products are manufactured at the highest quality levels and meet or exceed USP <797> and USP <800> standards for labs, compounding pharmacies, homecare, and more. ISO-MED provides an unparalleled level of service and convenience, and as a result, we offer a unique opportunity to provide top-quality products, responsive customer service, and highly cost effective purchasing options for all of our valued customers!

Ordering Information

ISO-MED, an industry leader for all of your USP <800> needs, provides an unparalleled level of service and convenience for all medical industries. Whether it’s for the pharmacy cleanroom environment, laboratory, or homecare, ISO-MED is known for developing and distributing products that meet or exceed USP <800> compliance. We offer a unique opportunity to provide topquality products and are driven to help healthcare organizations save money. n Our USP <800> Compliant, Innovative Products Include: • Sterile Chemo Prep-Mats • Sterile and Non-Sterile Chemo Gloves • Wipes • Sterile Alcohol • Apparel (Both Sterile and Non-Sterile) for Compounding Hazardous Drugs • Chemo Technique Testing Kits • USP <800> Compliance Wipe Kits SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 51

Temperature consistency on every level

NEW Double door models follettice.com/double

Protect your valuable temperature-critical items with Follett’s industry-exclusive plenum air delivery system, which distributes air evenly at every level to keep the entire cabinet in-temperature. See our full line at folletthealthcare.com or call 800.523.9361 for more information.

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Take the Worry Out of Medication Storage With Follett's Refrigerators and Freezers When it comes to product temperature accuracy, there is no room for error. Follett high-performance refrigerators provide precise temperature control for your valuable medications.

CEO:

Steve Follett Founded: 1948 Employees: 500+ Toll-Free Phone: (800) 523-9361 Phone: (610) 252-7301 Fax: (610) 250-0169 Address: 801 Church Lane Easton, PA 18040 Website: www.follettpharmacy.com

Company Background

Follett LLC is a leading manufacturer of innovative equipment for the healthcare market, including medical-grade refrigerators and freezers, ice and water dispensing equipment, and ice machines. Our focus on 100% customer satisfaction results in equipment that provides outstanding innovation and design excellence to meet the specific needs of each healthcare facility.

Product Overview

Follett medical-grade pharmacy refrigerators and freezers maintain precise and consistent temperatures for your valuable medications and vaccines. Powerful forced air refrigeration enables quick recovery after door openings, ensuring medications are stored at specified temperatures and reducing the risk of lost product. n Follett upright refrigerators and freezers feature a powerful topmounted refrigeration module and innovative plenum air distribution systems for superior temperature consistency. • Industry-exclusive ducted air distribution delivers cold air at six different levels for top-to-bottom temperature uniformity, allowing full utilization of the storage space. • Modular refrigeration system with microprocessor controller provides a ±1⁰C temperature consistency throughout the storage cabinet, ensuring all product is stored within the proper range. • Intuitive, full-color touchscreen user interface features enhanced data management, providing the ultimate in user convenience.

n Choice of storage options provide interior configuration flexibility. • Industry-exclusive “floating” basket system on pharmacy models. • Full extension, epoxy-coated “floating” baskets move with a gentle push or pull. • Baskets and slide assemblies lift out without tools for full cleaning access. • Heavy-duty epoxy-coated shelves, adjustable in ½" (1 cm) increments are standard on laboratory models. n Follett’s innovative modular refrigeration system provides outstanding serviceability. • Top-mounted modular design allows the refrigeration system to be removed as one unit without cutting refrigerant lines. If needed, a spare system can slide into place, virtually eliminating downtime. n High-performance countertop refrigerators and freezers offer superior temperature performance in space-saving configurations. • 1 and 2 cu ft models fit on standard 24" deep counters. • Forced-air cooling provides cabinet-wide temperature consistency and quick recovery after door openings. • External digital temperature display offers user-selectable F or C with integral high/low alarming and display sleep mode. • Keyless entry via keypad and electronic lock is available as an option. n Powerful undercounter refrigerators and freezers are designed for use below standard and lower ADA-compatible counters. • Heavy-duty forced air cooling for quick recovery after door openings. • External digital temperature display in user-selectable F or C with integral high/low alarming and display sleep mode. • Keyless entry via keypad and electronic lock option.

Contact Information

For more information, contact Follett LLC at (800) 523-9361 or visit www.follettpharmacy.com. Follett is a registered trademark of Follett LLC, registered in the U.S.

n Full stainless steel cabinets and high-quality components are designed with the user in mind. • Heavy-duty, self-closing doors provide important energy savings and locks open at 90 degrees to allow easy product loading.

SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 53

Trade Show & Meeting Calendar

Event Calendar

Trade Shows, Meetings & Expositions For listing and advertising details, please contact Sales@RXinsider.com or call 800.972.2083

RXinsider’s Virtual Pharmacy Trade Show 24 / 7 / 365 450+ Booths, 130 Aisles www.rxinsider.com

ASHP Summer Meeting June 2 - 6, 2018 Denver Convention Center Denver, CO www.ashp.org

ECRM Hospital and Alternate Site Pharmacy EPPS

2018 TPA Conference & Expo

July 13 - 15, 2018 The Woodlands Waterway Marriott The Woodlands, TX www.texaspharmacy.org

AACP Annual Meeting July 21 - 25, 2018 Sheraton Boston Hotel & Hynes Convention Center Boston, MA www.aacp.org

June 19 - 21, 2018 Grand Hyatt Tampa Bay Tampa, FL www.ecrm.marketgate.com/ Events

NACDS Total Store Expo

IACP Annual Compounders on Capitol Hill

NASP Annual Meeting and Expo

June 23 - 26, 2018 Renaissance Washington DC Downtown Hotel Washington, DC www.iacprx.org/cch

McKesson ideaShare

NCPA Annual Conference

October 5 - 6, 2018 Oklahoma City, OK www.qcsummitrx.org

October 6 - 9, 2018 Hynes Convention Center Boston, MA www.ncpanet.org/meetings/ annual-convention

continued on page 57 54

SUMMER 2018

RXinsider’s Thought Leader Video Series are informative video series comprised of multiple interviews with thought leaders throughout the pharmacy profession. Explore niche subject matter and gain insight through hundreds of thought leader videos hosted on RXinsider.com. © 2018 RXinsider LTD. All rights reserved.

September 24 - 26, 2018 Marriott Wardman Park Washington, DC www.naspnet.org/annualmeeting

Quality Compounding Summit

July 8 - 12, 2018 Las Vegas, NV www.mckessonideashare.com

What are the pharmacy experts saying?

August 25 - 27, 2018 Colorado Convention Center Denver, CO www.Tse.nacds.org

Cardinal Health RBC

June 27 - 30, 2018 San Diego, CA www.rbc.cardinalhealth.com

Thought Leader Video Series

H E A LT H S Y S T E M • I N F U S I O N

Vintage Pharmacy Vintage Pharmacy Ads & Images

ECRM’s 15th Annual Hospital and Alternate Site Pharmacy EPPS This session provides a unique opportunity for sourcing personnel to participate in prescheduled meetings with suppliers of multi-source injectables, branded and generic pharmaceuticals and vaccines to discuss new products, contracting strategies, and future business planning activities.

While attending this EPPS, save a spot on your calendar for the following CE session:

DRUG SHORTAGES: INNOVATIONS IN MANAGEMENT THROUGH ADVANCED TEAM MEMBER ROLES AND STRUCTURE June 26, 2018 @ 8:00 AM | Braselton, GA

Joe Maki, Sr. Director of Pharmacy Procurement and Contracting, Novant Health

Brandon Gillis, Pharmacy Distribution Specialist, Novant Health

For more information about ECRM’s Pharmacy EPPS, visit www.ecrm.marketgate.com or contact Scott Porter at SPorter@ecrm.marketgate.com. This activity will be eligible for 1.0 contact hours of ACPE credit. See ProCE.com/ECRM18 for specific details. ProCE is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Learn new skills with readiness courses. Preparing students, practitioners, and professionals for the future of pharmacy.

For Learners

For Pharmacies

For Pharmacy Schools

For Businesses

COREreadiness allows pharmacies to proactively train incoming students and staff to help build confidence, professional skills, and market knowledge. Decrease the training burdens on your preceptors by building and sharing custom Learning Paths for IPPE and APPE students with niche courses focused on the issues and skills required for your specific pharmacy setting. www.COREreadiness.com

Unlimited Learning

Guest Speakers

Mobile Learning

Short Courses

Micro-Credentials

Trade Show & Meeting Calendar

Event Calendar

Trade Shows, Meetings & Expositions For listing and advertising details, please contact Sales@RXinsider.com or call 800.972.2083

continued from page 54

2018 ASCP Annual Meeting & Exhibition

November 1 - 4, 2018 Gaylord National Harbor Oxon Hill, MD www.ascp.com/events/event_ list.asp

ECRM Pharmacy Technology, Services, Supplies, and Automation EPPS

November 12 - 14, 2018 Westin Cape Coral Resort at Marina Village Cape Coral, FL www.ecrm.marketgate.com/ Events

2019 FAH Public Policy Conference and Business Exposition March 3 - 5, 2019 Marriott Wardman Park Hotel Washington, D.C. www.fah.org/conference/fahpublic-policy-conference-andbusiness-exposition

APhA 2019

March 22 - 25, 2019 Seattle, WA www.aphameeting.pharmacist. com

ASHP Midyear Clinical Meeting and Exhibition

Virtual Trade Show All in One Convenient Location

More than 50,000 annual visitors turn to the Virtual Pharmacy Trade Show to research and connect with leading providers of products and services throughout every segment of pharmacy.

December 2 - 6, 2018 Anaheim Convention Center Anaheim, CA www.ashp.org/Meetings-andEvents

HIMSS19 Conference & Exhibition

February 11 - 15, 2019 Orange County Convention Center Orlando, FL www.himssconference.org/ about/general-info/himss-global-conference-save-date

Virtual Pharmacy Trade Show For information on advertising opportunities within the trade show, contact our sales team. RXinsider

800.972.2083

All shows are subject to change.

SUMMER 2018

H E A LT H S Y S T E M â&#x20AC;˘ I N F U S I O N 57

Learn more about how our Omnisourcingâ&#x201E;˘ solutions can help improve your workflow and meet the needs of your patients at www.pentechealth.com

Large Enough to Serve

Small Enough to Care

(800) 223-4376

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Pentec Health Omnisourcing™ Solutions Improve Your IV Room Workflow and Patient Care IV sterile compounding solutions that enable hospital pharmacies to combine the control of insourcing with the flexibility to make doses from sterile, concentrated compounds from a trusted 503B outsourcing provider, a concept that we call Omnisourcing.

President & CEO: Joseph Cosgrove Founded: 1983

Employees: 600+ Toll-Free Phone:

(866) 956-4376 Fax: (844) 742-6150 Address: 9 Creek Parkway, Boothwyn, PA 19061 Website: www.pentechealth.com

Company Background

A commitment to patients, safety, and quality. For over 35 years, we have been an industry-leading provider for patient-specific compounded sterile medications in renal dialysis and targeted drug delivery. We have leveraged our expertise, which we have built over the years, and worked hand-in-hand with hospital pharmacy leaders across the nation to gather insights on their concerns and needs. Based on these insights, we have designed and built a separate state-of-the-art, sterile compounding facility located in the same corporate park in Boothwyn, PA. Our dedicated 503B facility now enables us to provide non-patient-specific compounded sterile preparations to hospitals and other institutional pharmacies. It’s registered with the U.S. Food and Drug Administration (FDA) as a Human Drug Outsourcing Facility under Section 503B of the Federal Food, Drug, and Cosmetic Act and has been inspected for compliance with that agency’s stringent current Good Manufacturing Practice (cGMP) in both its design and operation. Additionally, through the insight we gathered from industry experts, we have developed and patented innovative products that change the way sterile preparations are managed and prepared. We have built our 503B facility and our products with Quality and Safety by Design.

Product Overview

Our Snap-N-Go® and Dilute-N-Go® products reduce the time it takes for pharmacists, technicians, and nurses to compound and administer drugs by reducing >85% of the manual error prone steps. Pentec Health’s sterile compounding solutions enable hospital pharmacies to combine the control of insourcing with the flexibility of outsourcing. Snap-NGo and Dilute-N-Go, our Omnisourcing solutions, make compounding safer, faster, and more precise while helping pharmacy and nursing staffs maintain control of patient administered medication.

Features & Options

Omnisourcing solutions improve compounding by enabling your hospital to: 1. Increase the use of existing technologies while improving efficiencies of existing workflows and processes. 2. Minimize human manipulations during compounding to maintain a final product’s sterility and accuracy.

3. Maximize storage and security by deploying products in automated dispensing cabinets and utilizing barcoding technology from the pharmacy to patient bedside.

Product Specifications

Snap-N-Go products are concentrated, sterile solutions that come in single-dose vials. Each vial delivers a precise dose or desired concentration, that is not available commercially, when introduced into a diluent bag of choice. In the forward positions, the vials can be stored in automated dispensing machines (ADMs) for rapid retrieval, dose tracking, and subsequent administration to a patient by a nurse utilizing a standard vial-to-bag adaptor/activation process. Dilute-N-Go products are concentrated, sterile solutions that come in single-use syringes. Each syringe delivers a precise dose or desired concentration, not commercially available, when its contents are introduced into a diluent bag of choice. Dilute-N-Go products reduce the number of error-prone steps and the time associated with manual compounding by up to 85%. For added safety, each Snap-N-Go vial and Dilute-N-Go syringe is barcoded and includes GS1 barcode for track and trace and TALLman lettering to distinguish sound-alike, look-alike drugs from one another to prevent medication errors. We proactively provide a certificate of analysis and certificate of conformity detailing each product's purity, potency, sterility, and stability prior to receipt of the product.

Testimonial

“ If your Snap-N-Go norepinephrine 8 mg is docked in my hood but not activated, that means I can get about 30 days instead of 24 hours and I don’t have to track down an amber bag? That’s just phenomenal!”

— DOP at Large Health System

Awards & Recognition

n Snap-N-Go and Dilute-N-Go have received the following accolades: • Finalist: 2017 Health Trust Innovation Summit: Innovation of the Year • Finalist: 2018 Process Excellence Network Awards: Best Project Contributing to Customer Excellence

• Finalist 2018 and Nominee 2017 Premier GPO: Innovation of the Year

GPO Affiliations

We currently have GPO contracts with Intalere, ROi, and PDM Healthcare and are working with others to finalize contracts.

Ordering Information

(866) 956-4376 | www.pentechealth.com SUMMER 2018

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We’re in it to win it. He had a heart condition, his medication was delivered accurately, now he’s back on the team!

Learn how ARxIUM can deliver measurable value today. 888.537.3102 ARxIUM.com info@ARxIUM.com

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Pharmacy 4.0 From ARxIUM — The Next Evolution of Pharmacy is Here The ARxIUM Pharmacy 4.0 vision helps pharmacies of all sizes make better decisions, improve quality, control costs, and leverage their infrastructure to deliver more value to their facilities and ultimately, their patients. President & CEO: Dr. Niels Erik Hansen Founded: 1992

Employees: 200+ Toll-Free Phone:

(888) 537-3102 Phone: (847) 808-2600 Fax: (947) 215-1869 Address: 1400 Busch Parkway, Buffalo Grove, IL 60089 Website: www.ARxIUM.com Email: info@ARxIUM.com

Company Background

ARxIUM provides customers in all pharmacy environments with proven solutions for improving patient safety, enhancing operational efficiency, and reducing operating costs. We are committed to delivering unmatched quality, delivering innovative pharmacy value chain solutions, and making it easy for our customers and partners to do business with us. Our goal is to be known globally as the company that revolutionized the pharmacy value chain by optimizing resources, minimizing costs, and eliminating non-value added processes. We also want to be known as the creator of Pharmacy 4.0. with installations and partnerships around the world, ARxIUM has a global presence with international headquarters in Canada and the United States.

Product Overview

Pharmacy 4.0 is a vision and a concept, not a product. It is an approach to addressing the changing trends in pharmacy and the challenges those trends present. At ARxIUM, we believe that from its inception, pharmacy has been evolving to accommodate rising medication demands, increased safety awareness, greater needs for efficiency, and demands of regulatory agencies. The first evolution of pharmacy was moving to a clinical role, where pharmacy became a more significant part of the patient care cycle. The second evolution was central production, where economies of scale, quality assurance, and reactive planning were prevalent. Finally, the third evolution was the introduction of automation for increased quality control, demand-based planning, and to free-up more resources for clinical activities. Throughout these evolutions, pharmacy has been asked more and more to reduce delivery time, staff time, errors, and cost. In response to these challenges, pharmacies are centralizing, consolidating, and making more manufacturing and industry-like advances to further evolve. "The question is what will the next evolution look like?" The state of pharmacy today drove ARxIUM to look at how industry has evolved to see if there was anything we could glean that would help

pharmacy address these challenges. What we found is that industry has evolved in much the same way, converging on automation to meet rising demands for quality, output, efficiency, etc. However, industry has taken it a step further. They are now finding ways to connect all these pieces to achieve true interoperability and data-driven decision making across the entire system, whether manual or automated. They call it Industry 4.0 … the 4th evolution of industry. Pharmacy is not there ... yet. We believe if we apply the same concepts that industry has applied in their fourth evolution, we will yield the same benefits: smarter decision making, higher output and quality, lower costs, less waste, better use of resources, and flexible production. This is what inspired us to develop our Pharmacy 4.0 vision, utilizing our unique blend of pharmacy and manufacturing experience, as well as the interoperable foundation of our solutions to lead pharmacy partners through this next evolution. www.arxium.com/index.php/arxium-launches-pharmacy-4-0-to-meetgrowing-demands-of-patient-care-and-medication-delivery

Our Core Solutions

n OptiFill™: Custom-designed for virtually any market, including mail

order, central fill, government, specialty, corrections, hospitals, and more. OptiFill can manage every aspect of your physical fulfillment process, from host system handoff to order delivery. But more than that, it employs advanced validation and digital imaging processes that help ensure every patient receives the right medication, at the right time — every time. So whether you want to process 1,000 or 100,000 prescriptions per day, ARxIUM can design a custom solution for you.

n RIVA™: A fully automated IV compounding system used by hospital

pharmacies to automatically and accurately prepare IV syringes and bags. By automating the preparation of IV syringes and bags, RIVA addresses the issues of safety for the patient and the pharmacy technician, efficiency and effectiveness in the pharmacy and the challenges of a changing regulatory environment. Whether your main focus is to improve the safety of IV admixtures, improve the efficiency and effectiveness of pharmacy operations, or meet regulatory compliance, RIVA addresses your unique concerns and challenges.

n RxWorks™ Pro: RxWorks Pro software allows the health system

pharmacy to implement a system of integrated tools to manage the business of the pharmacy and automate inventory and workflow functions. Whether the pharmacy uses a primary supplier or many suppliers, RxWorks Pro helps automate the purchasing, receiving, and invoicing processes to maintain accurate, real-time inventory and help buyers make informed, data-driven decisions.

Markets Served

Hospitals – Inpatient and Outpatient; Central Processing and Mail Order; Specialty Pharmacy; Long-Term Care; Retail – Independent and Chain. SUMMER 2018

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2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Transform Your Ambulatory Setting With ScriptPro’s Comprehensive Pharmacy Solutions ScriptPro’s game-changing pharmacy solutions enable you to make pharmacy the biggest financial strength to your healthcare system — improving accuracy, patient care, and operational performance.

President & CEO: Michael E. Coughlin Founded: 1994 Stock Symbol:

Privately Held Toll-Free Phone: (800) 673-9068 Phone: (913) 384-1008 Address: 5828 Reeds Road Mission, KS 66202 Website: www.scriptpro.com Email: BDC@scriptpro.com

Company Background

ScriptPro is a technology company founded in 1994, with corporate headquarters in the Kansas City area. The company's initial product, the SP 200 Robotic Prescription Dispensing System, pioneered the use of robotics in community pharmacies. Today, ScriptPro offers a comprehensive line of over 200 pharmacy automation and management system products that have revolutionized pharmacy operations worldwide. ScriptPro products operate in thousands of independent, chain, hospital, supermarket, and government pharmacies. Leading hospitals in the U.S. and around the world use ScriptPro systems to ensure accuracy and patient safety. Mike Coughlin is the founder of ScriptPro, and President and CEO of the company. His vision for “Perfect Integration” for pharmacy systems puts the company at the forefront of the industry.

Product Overview

ScriptPro provides a comprehensive, integrated platform of roboticsenabled systems to optimize retail and ambulatory pharmacy operations — promoting safe and effective medication use and adherence, including support for specialty pharmacy services, high-risk/high-cost medications, 340B dispensing, and third-party financial management. ScriptPro technology enables pharmacies to participate in their patients’ healthcare at the highest levels, as well as cultivate new revenue streams and offer expanded services that meet the needs of the ever-evolving industry. n Pharmacy Robotics and Workflow ScriptPro is the leader in pharmacy automation with thousands of robotic, workflow, and pharmacy management software installs worldwide. For over 20 years, ScriptPro’s state-of-the-art robotic prescription dispensing systems have been improving accuracy and patient care. Robotic dispensing fills 30-60% of your daily prescription volume, giving pharmacists more time for additional patient care.

ScriptPro’s suite of six robot sizes enables any ambulatory setting to find the right fit for capacity needs and space constraints. ScriptPro robots seamlessly integrate with our SP Central Workflow System, allowing you to track 100% of your prescriptions. n Comprehensive Pharmacy Software Solutions The unique needs of ambulatory pharmacy have met their match with ScriptPro’s SP Central Pharmacy Management System. It does it all — patient, prescriber, and prescription feeds from your EHR system, full POS integration, and real-time opioid risk. From clinical program management, 340B, third party solutions, and meds to beds protocols, ScriptPro gives you the tools to make pharmacy your health system’s biggest financial strength, while dramatically improving the patient experience. n Real-Time 340B. No Gimmicks. 340B is complicated, so just imagine an automated, intelligent 340B engine that qualifies and processes prescription data and delivers configurable, real-time accuracy today, not tomorrow. That’s what ScriptPro’s 340B Management Package can do for you. Constant analytics monitor and clean data to ensure compliance and program integrity. Maximize profits, minimize paperwork, and streamline workflow by automating everything you need to fill, track, order, and maintain compliance when processing prescriptions from segregated inventories. n Advanced Pharmacy Clinical Services (APCS) Take control of your complex pharmacy clinical needs. With APCS, you can easily manage elaborate data configurations, multiple workflows, and comprehensive documentation — giving you advanced control over your patients’ complete care. Fully customizable, APCS streamlines your dispensing of Investigational Study prescriptions, high-risk REMS, and Specialty Pharmacy drugs. Our system also supports advanced MTM and patient disease state management services. Let ScriptPro’s APCS handle your most complex specialty pharmacy needs. n Meds to Beds M2B programs are changing the patient discharge experience, improving the quality of patient care and overall hospital experience. Use ScriptPro’s SP Central Pharmacy Management System to interface with your health system EHR to receive patient, prescriber, and discharge prescription information, and process prescriptions. Pharmacy staff then utilize our PharmacyPro Mobile Dispense app to deliver medications directly to the patient’s bedside. By providing timely compliance, lowered readmissions, and increased revenue capture, ScriptPro’s integrated M2B system is a key component of a comprehensive health system pharmacy strategy.

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Complete Specialty Pharmacy Monitoring Solutions

End-to-end insights Simplify PQ testing with inexpensive programmable wireless sensors

Remotely monitor pharmacy facilities 24/7

Track exposure to heat and cold throughout transit

Store data and generate critical accreditation and regulatory reports

Temperature Intelligence™

EDGE M-300 is an easy, cost-eﬀective way to log and retrieve data through packing materials, containers, and trucks for performance qualiﬁcation (PQ) testing.

Tap into the future of temperature monitoring at temptimecorp.com/edge

Increase patient satisfaction and reduce expensive reshipments

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Temptime – Temperature Monitoring Solutions for Medication Shipments, Storage, and Pharmacy Facilities Providing the tools and knowledge to accurately monitor temperature sensitive medications, ensuring that they have not been exposed to temperature events that could impact their effectiveness in treating patients.

President & CEO: Renaat Van den Hooff Founded: 1987 Employees: 80 Phone:

(973) 630-6000 (973) 630-6100 Address: 116 The American Road Morris Plains, NJ 07950 Website: www.temptimecorp.com Fax:

Company Background

Founded in 1987, Temptime scientists developed the first miniaturized technology to monitor time-temperature exposure of vials containing the oral polio vaccine. Our commitment to public health is reflected in our dedication to being on the leading edge of understanding pharmacy needs, and bringing new and patient-centric temperature monitoring solutions both to the pharmacy operation and into the patient’s home.

Product Overview

Temptime partners with small, medium, and large national specialty pharmacies in mail order, retail, and hospitals to control escalating specialty drug costs by reducing returns and reships. Our EDGE wireless electronic monitoring solutions are allowing pharmacies to monitor storage facilities, meet the requirements for accreditation and emerging state regulations, and protect valuable medication inventory. Our products include: • Low cost, chemically-based heat indicators and freeze indicators for application to temperature sensitive medication and biologicals. • Heat and freeze shipment indicators for medications. • Electronic EDGE wireless temperature and humidity sensing systems with cloud-based data storage and sharing.

TransTracker® Shipment Indicators

TransTracker® temperature indicators are placed inside shipments of temperature-sensitive medications to monitor heat, freeze or dual heatfreeze exposures during shipping, providing an easy-to-read visual signal of these events. TransTracker® visual temperature indicators are easyto-read and let patients see if a shipment has been exposed to potentially damaging temperatures.

equipment, and temperature-controlled rooms without jeopardizing environmental integrity. EDGE wireless sensors feature: • Bluetooth technology for wireless connectivity. • LoRaWAN™ technology for long-distance wireless applications. • Smartphone or mobile device setup, remote monitoring, and tracking with the free EDGEVue™ mobile and web applications. • Cloud data-sharing and storage with EDGECloud™ services.

EDGE M-300 Mobile Temperature Sensors

Temptime’s EDGE M-300 makes it easy for pharmacies to conduct accurate performance qualification (PQ) testing of an insulated shipper. EDGE M-300 is a wireless, Bluetooth-enabled mobile temperature sensor that can be placed in the package and will capture and transmit temperature data throughout transportation and storage. The M-300 can be monitored from a smartphone or tablet with the free, easy-to-use EDGEVue mobile app.

EDGE W-200 Wireless Temperature & Humidity Sensors

Pharmacists are taking on an ever-growing responsibility of assuring that highly valued, temperature sensitive medications are received by the patient per the manufacturer’s temperature specifications. In a growing number of states, the requirements of the state board of pharmacy are also generating a need for effective monitoring and reporting tools. The EDGE W-200 sensor (with LoRaWAN™ technology) and EDGEConnect™ are innovative solutions that make facility monitoring simple. With EDGEConnect, the W-200 modules can be configured, managed and monitored. The wireless sensor modules automatically collect data from integrated or connected sensors, and transmit the information to the cloud so it can be accessed remotely from anywhere.

EDGE™ Wireless Sensing Systems

The EDGE™ family of sensors and software provide wireless temperature tracking, mobile connectivity, and data-sharing for temperature-sensitive products. For use in production, storage, and shipment, EDGE devices log and retrieve data through packing materials, containers, trucks, cold SUMMER 2018

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THE PREMIER OUTSOURCING PARTNER FOR HIGH-QUALITY 503B PREPARATIONS

To learn more, visit avella.com/SourceB

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

340B Drug Discounts and Quality 503A, 503B Compounding Make Avella an Industry Leader By partnering with Avella Specialty Pharmacy, hospitals have access to one partner for all of their specialty drug and 503A and 503B outsourcing needs. We’ve become a recognized industry leader by providing premier service, rapid turnarounds, and rigorous quality assurance.

President & CEO: Rebecca Shanahan Founded: 1996 Employees: 600 Toll-Free Phone:

(877) 546-5779 (877) 546-5780 Address: 24416 N 19th Avenue, Phoenix, AZ 85085 Website: www.avella.com Fax:

Company Background

Avella is a leading, omni-channel provider of innovative compounding services and breakthrough specialty drugs. In addition to our community pharmacy locations in multiple states, Avella has a national distribution facility and two cGMP compliant clean rooms in TX and AZ. In fact, we were one of the first organizations to become a registered 503B facility through the FDA. In 2017, Avella purchased Advanced Pharma, securing our position as an industry leader in providing both 503A and 503B compounded therapies. We also work with hospitals as an extension of their 340B drug discount programs, helping these organizations secure valuable discounts that allow them to better support underserved populations. With more than 20 years of experience in this space, we have the clinical expertise and industry understanding needed to be a true partner to hospitals and health systems of all sizes.

Product Overview

Just like the organizations we serve, Avella is laser-focused on improving quality, health outcomes, and patient safety. All of our products are developed with these priorities in mind. n SourceB 503B Products: Avella’s SourceB sterile preparations include IV injectable drugs such as PCAs, epidurals, admixtures, nerve blocks, and OR syringes used within the acute care setting. These include many difficult-to-source products. All of these therapies are produced in one of our two cGMP-compliant clean rooms. Together, these facilities encompass more than 80,000 square feet. Avella leverages this operational redundancy to ensure we can always deliver on-time and on-demand for our customers. Avella’s FDA-registered 503B outsourcing facilities maintain compliance with all cGMP requirements for safety and quality. This mentality is embedded within all of our standard operating procedures. • Both the AZ and TX facilities exceed USP Chapter <797> and cGMP standards. • Avella only procures sterile drugs and reservoirs from the most reputable, FDA-registered manufacturers. • We employ state-of-the-art automation resources to improve production efficiency and maintain unsurpassed quality.

• We perform potency, sterility, and endotoxin testing on all end-products. • Our quality assurance team oversees all of the processes related to development, quality, and distribution of these products. • We go above-and-beyond in the area of patient safety. Avella also extends our commitment to quality beyond these clean rooms. Our premier service, intuitive online ordering, rapid turnarounds, and dynamic product portfolio are all designed to streamline and ease the workload of your pharmacy staff, meeting even the most challenging outsourcing demands. n 503A Patient-Specific Compounding: In addition, Avella offers patient-specific, specialty infusion products for 503A which include the latest breakthrough oncology drugs. These patient-specific, unit-dosed chemotherapy drugs are used in IV or other specialized administration. They are formulated by Avella’s highly trained pharmacy staff, clinical experts with extensive experience producing high-risk oncology compounds. All of our 503A products are produced in a USP 800-compliant, 5,000 square-foot facility. n 340B Drug Discount Program Partnerships: Finally, Avella is a designated 340B contract pharmacy, collaborating with qualifying organizations across the country to provide valuable drug discounts. The government’s 340B program promotes access to affordable medications for vulnerable or underserved patient populations while helping stretch federal resources. The program meets this goal by mandating that drug manufacturers must provide outpatient drugs at discounted prices to certain qualifying hospitals and healthcare organizations, often provided through designated 340B pharmacies. For hospitals that are qualified entities, this potential savings can be significant. According to the American Hospital Association, 340B already saves hospitals $1.6 - 3.8 billion per year.

Products

n Sterile IV Injectable Products Include: OR Syringes, PCA, Epidural, Nerve Blocks, Admixtures, and Elastomeric Pumps. We offer specialty drugs across a variety of therapeutic areas including: oncology, infectious diseases (HIV, Hepatitis C), addition management, pain management, urology, cardiovascular disease, rheumatology, MS, gastroenterology, RSV, asthma, dermatology, IG therapy, and transplant.

Contact Information

To learn more about this program or Avella’s 503A and 503B compounding capabilities, please visit www.avella.com/hospitals.

SUMMER 2018

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ExceleraÂŽ is a national network of health systems that operate specialty pharmacies.

YOUR PARTNER IN THE MANAGEMENT OF COMPLEX PATIENTS

The goal of the network is to help maximize our membersâ&#x20AC;&#x2122; specialty pharmacy opportunity, namely through payer and limited distribution drug (LDD) access. In addition, Excelera offers a range of services including start up and growth consulting, accreditation assistance, payer contracting and sophisticated data reporting and insights.

www.excelerarx.com

info@excelerarx.com | 612.293.0378

2 0WAY S TO I M P R O V E PAT I E N T C A R E & P H A R M A C Y C O S T C O N TA I N M E N T

Excelera — The Leading National Network of Health Systems Operating Specialty Pharmacies Excelera’s goal is to maximize its members’ specialty pharmacy opportunity, through payer and LDD access. Excelera acts as a single contracting entity and data aggregator, making it easier for manufacturers to reach a multitude of health systems.

Board of Directors Chair: Robert Beacher Founded: 2013 Employees:

< 25 Toll-Free Phone: (888) 921-3307 Phone: (612) 293-0378 Website: www.excelerarx.com

Company Background

Excelera started in 2013 when several health systems came together to create the network concept. As this group traveled the country recruiting members, it quickly concluded that few health systems operated specialty pharmacies. For this reason, Excelera created a consulting offering to help health systems get into the business, become accredited, and truly maximize the opportunity. As the early adopters came on board, it didn’t take long for manufacturers to take notice. Pfizer was an early subscriber to the Excelera network model, and agreed to provide access to its oral oncology medications to participating network members with the expectation that Excelera would satisfy the data reporting requirements. This relationship shaped Excelera’s offering moving forward. Excelera learned the importance of data to manufacturers and invested significant resources into a proprietary platform to meet the needs of nearly all manufacturers. This platform is a key differentiator for Excelera members because it enables a manufacturer to reach a multitude of health systems under a single agreement and a single data feed.

Product Overview

Excelera membership offers health systems a comprehensive specialty pharmacy solution. Regardless of a given health system’s stage, Excelera helps to drive specialty pharmacy performance to the next level. n Not in the business yet? Excelera helps health systems understand the financial opportunity and build a business plan. n Starting a specialty pharmacy? Excelera consultants have helped existing members build some of the most robust and high performing specialty pharmacies across the industry. Excelera also provides consulting services for accreditation. n Growing a specialty pharmacy? From capturing prescriptions to payer access to drug access, Excelera consultants have engaged with members across the country to grow specialty pharmacy revenues. By bringing together shared learnings and experiences, Excelera partners with health systems to grow their programs. n Drug Access Strategy: The drug pipeline is filled with specialty products, many of which are moving toward ultra-orphan status. By participating in the Excelera network, members become part of a

cohesive group that offers manufacturers access to a significant number of patients under a single agreement with guaranteed data reporting. n IT Platform: As more and more stakeholders require data reporting from specialty pharmacies (manufacturers, payers, URAC), health system IT teams become burdened with projects. By sending a single data set to Excelera, Excelera’s IT team can satisfy its members’ reporting responsibilities. Excelera’s data platform is source system agnostic. Members across the country run on a wide array of dispensing systems, clinical management systems, and EMRs. In addition, Excelera’s IT team has developed proficiency at helping members find and report on required data.

Features & Options

In addition to consulting, drug access, and data reporting, Excelera produces benchmarking reports to help members understand where they rank relative to other IDNs on key performance indicators. Many manufacturers and payers score specialty pharmacies participating in their limited networks and often remove low performers. The founding members of Excelera firmly believed a key Excelera differentiator is high performing network pharmacies. For this reason, Excelera provides benchmarking reports to members and actively works with members to improve performance.

Testimonials

“ With the help of Excelera, we were able to open a robust specialty pharmacy in less than nine months.” “ By joining Excelera, my program was able to get access to a number of limited distribution drugs.” “ Excelera was able to help me sell the idea of a specialty pharmacy to my C-Suite and presented what turned out to be a very accurate portrayal of our financial opportunity.”

Key Customers

Current members include: Fairview (MN), Intermountain (UT), Banner (AZ), Catholic Health Initiatives (CO), Yale-New Haven (CT), Partners Healthcare (MA), OHSU (OR), Billings Clinic (MT), Avera Health (SD), Regional Health (SD), Henry Ford (MI), Ochsner (LA), Novant (NC), Sentara (VA), Keck Medicine of USC (CA), Loma Linda (CA), St. John Providence of Ascension (MI), Unity Point (IA), and Northwestern (IL), and over 300 hospitals nationwide.

Pricing Information

To learn more about Excelera or becoming a member of the Excelera network, email info@excelerarx.com. SUMMER 2018

H E A LT H S Y S T E M • I N F U S I O N 69

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Case Study Antibiotic Drug als Steps Antimicrobial/ Prescribing Impact Reve itals on Antibiotic Over-

11.4% Study of 180 U.S. Hosp use and Reduce Use by to Combat Antibiotic Over U.S. Hospitals Can Take

THE CHALLENGE:

Get the Most Out of Your Case Study C A S E S T U DY

Polk’s Drugs transitions to next generation of pharmacy management with the help of QS/1®

CA20-5 SE0%STUDY

s Control e of medicine, the Center The Centers for Disease transformed the practic ics warn that Though antibiotics have that 20-50% of all antibiot and Prevention (CDC) Prevention (CDC) warn priate. for Disease Control and unnecessary or inappro care hospitals are either ic antibiot of prescribed in U.S. acute problem the growing 1 ics has contributed to public health. The misuse of antibiot threats Polk’s seriousDrugs ALL inANTIBIOTICS is to a small chain of pharmacies OFbased become one of the most organisms resistance, which has antibiotic-resis Mississippi. The tant Ocean Springs store, which CRIBED IN U.S. people are infected with opened PRES ly.2 According to More than two million deathsa annual ls are year ago, is unique imately 23,000about in that care it approx also in includes acute g a hospita the resultin ns each year, resistance threate robial gas station. ation (WHO), antimic either unnecessary of infections the World Health Organiz an ever-increasing range of nt inappropriate. treatme or and 3 effective prevention fungi. For manager and Jesse viruses Murphy, es, PharmD, choosing caused by bacteria, parasit the right technology was ement crucial to ensuring his a new Medication Manag Commission publishedpharmacy not only opened with, a strong start, In response, the Joint ls and nursing care centers ls, critical access hospita but continued to growto reduce (MM) standard for hospita emphasizing the need and operate as efficiently 2017, 1, y Januar e as possible. g which became effectiv settings, and requirin robials in all health care based on use of inappropriate antimic dship program that is antimicrobial stewar“Our greatest concerns as we look toward the hospitals to have an future are infected with re.4 are looking for ways to improve our profi current scientific literatu tability, new rule antibiotic-resistant maintain s (CMS) proposedand implement technology,” re and Medicaid Service patient safety The Centers for Medica organisms each year, in order to participate use Murphy ic said. antibiot reduce ls to ted, (June 2016) requires hospita RESULTING IN ls must appoint designa id and states that hospita s.5,6 in Medicare or Medica program ship QS/1 has helped Murphy address many of those APPROXIMATELY 23,000 2 antimicrobial steward qualified leaders for those concerns. As the next Comm issionof pharmacyDEATHS ANNUALLY. g the Joint generation meetin in s system health management software,cy SharpRx®’ss To suppor t hospital and ehensive Pharma Service powerful yet proposed rule, Compr intuitive system made n, a lasting Solutio impression. dship standard and the CMS “When Stewar robial they showed me their first of its kind Antimic robial SharpRx, I was new product, (CPS) launched the hospitals through its Antimic study of 180 U.S. impressed and hoped to switch as soon as possible, based on an expansive ” “It was obviously designed with the idea m. he said. Stewardship Pilot Progra

The TCGRx Beacon Ph armacy InvMOReEnTHAN TWO tPEOP o r y M a n LE a g ION ement Syst HelpiMILL ng pharmac ies do more em business Cliff Holt

with less in ventory.

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that you let the software the work, and that’s probably PRIMARdo Y INT ENDED OUTCO what impressed me most.” Invent ME is typ ical Jesse Murphy,ory PharmD ly a retail

w.cdc.gov/ August 15, 2016. https://ww ip Programs . Accessed President/Pharmacist Antibiotic Stewardsh . Core Elements of Hospital ~ Hurricane Control and Prevention April 4, 2017. https:// Accessed Family Phar .html Centers for Disease Atlanta, GA: CDC; 2013. macy implementation/core -elements the United States, 2013. Hurricane, UT getsmart/healthcare/ Resistance Threats in and Prevention. Antibiotic s/fs194/en /# Control /factsheet 2 Disease for ediacentre 8.pdf Centers http://www.who.int/m istance/pd f/ar-threats-2013-50 dship_ Accessed April 4, 2017. www.cdc.g ov/drugres /6/New_A ntimicrobial_Stewar e. (Updated: Apr 2015.) mission.org/assets/1 ion. Antimicrobial Resistanc https://ww w.jointcom 3 World Health Organizat Accessed April 24, 2017. ial Stewardship Standard. Stewards hip in U.S. 4 Approved: New Antimicrob s, and Promotes Antibiotic Hospital-A cquired Condition 6-Fact-sheets-items/2016-06-13.html Standard.pdf Discrimination, Reduces heets/201 April 24, easeDatabase/Fact-s Proposed Rule that Prohibits 5 Medicare. Accessed exit /Newsroom /MediaRel or CMS.gov. CMS Issues use w.cms.gov antibiotic April 24, 2017. https://ww rule for hospitals: Reduce Hospitals. Accessed r-exit-med icare.html Quality: CMS’ proposed duce-antibiotic-use-o Infection Control & Clinical 6 -proposed -rule-for-hospitals-re Becker’s Hospital Review. ospitalreview.com/quality/cms 2017. http://www.beckersh

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