20Ways FALL Retail 2019 by RXinsider

IMPROVING PAT I E N T C A R E & PHARMACY P R O F I TA B I L I T Y Fall 2019

Community • Specialty • LTC

20 Unique Products & Services

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

Pharmacy Return Solutions & Resources Industry Expert Q&A, Market Leaders Buyer’s Guide, and More page 50

8 Thought Leader Videos

Eight Video Series Including Medicine Shoppe International, Parata, Sentry Data Systems, and Pharmacy Consulting Broker Services page 22

2 Case Studies

QS/1 and Dexcom

SELLING YOUR PHARMACY? WHAT YOU DON’T KNOW CAN LOWER YOUR SALE PRICE.

EXPERTISE

ADDED VALUE

FREE CONSULTATION

Work directly with a licensed and insured broker, who is also a former pharmacy owner and who has personally sold and closed over 140 pharmacy transactions in 42 states.

Our proven, confidential, proprietary process brings value to the transaction. That means a higher price, less stress and lower risk for you.

Know your options. Call 888.808.4774 before disclosing any information to a potential buyer.

Daniel J. Lannon, RPh, Broker Representing pharmacy owners nationwide.

Call 888.808.4RPH (4774) Text 651.769.4932

Email dan@pharmacycbs.com

Web pharmacycbs.com

Contents WAY With over 400 reference sites SynMed® leads blister pack automation

For Pharmacies :

• Flexibility to provide optimal packaging to both retail and LTC patients • Peace of mind with proven precision • Unparalleled efficiency with production rates up to 200 bingo cards/hr and 100 multi-dose cards/hr.

synmedrx.com

info@synmedrx.com - 1 866 764 7966

SynMed® Blister Pack Automation by Synergy Medical

SynMed® is a proven way to scale blister card production. Whether kicking off an adherence program for community patients, or providing pharmacy services to LTC, SynMed® ensures accurate, efficient production of both single and multi-dose packs.

WAY

Parata/TCGRx Offer Variety in Automation and Solutions for Your Pharmacy

Better Together. Two industry favorites team up to offer the best of pouch packaging and vial filling. Together, we’re Parata Systems, the new industry leader focused on bringing you pharmacy technology solutions to support business growth and better health outcomes. Imagine how good it’s going to be. Discover how we’re better together at parata.com & tcgrx.com.

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WAY We Help You Deliver The Care Your Patients Need When They Need It Most.

Wholesale Sourcing Troubles? Here’s What We Can Offer You! • Thousands Of In-Stock Products • Initial Credit & 30 Day Terms* • No Minimum • FREE Shipping • Dedicated Account Representatives • Late Order Cut-Offs

Offer Vital Care To Your Patients And Business With Whole Care, Pharmaceutical Wholesale Sourcing Solutions. We offer a comprehensive range of wholesale pharmaceutical and healthcare products to independent retail pharmacies, hospitals, surgery centers, physicans, and compound specialty pharmacies. As your wholesale distribution specialists, we partner with you to provide necessary care to your patients and businesses. We deliver only the best: quality control, cost control, and efficiency control systems to ensure 100% on time fulfillment.

• 100+ Direct Manufacturer and Wholesaler Accounts Call Now To Connect With An Account Representative:

855.437.5727

Explore the technology, advice, and people you can count on.

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Safe Chain – Your Wholesale and Wholecare Distributor

Safe Chain delivers the support and pharmaceutical care you need when your patients need you most, safely and securely through our supply chain.

Thought Leader Video Series

855.437.5727 | SafeChain.com | 822 Chesapeake Drive | Cambridge, MD *Upon Approval

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R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C

Rees Scientific PHARMACY MONITORING SOLUTIONS AHEAD

Compounding Pharmacy Meet all the latest regulations from USP <800> and FDA

Chain Pharmacy

Monitor multiple locations right from your phone

Community Pharmacy Cost effective VFC refrigerator monitoring

Hospital Pharmacy Remain compliant with Joint Commission and other regulatory requirements

RSC

MONITORING

PHARMACY COMPLIANCE

PROTECT VALUABLE ASSETS

P. 800.327.3141 F 609.671.2751 www.reesscientific.com

NOTIFICATION

Contents WAY The DOSIS System Integrate

Automate

Filled, sealed and labeled blister cards

DOSIS will integrate with virtually any pharmacy management software on the market.

Quick Facts • Each DOSIS unit can confidently produce 10k cards per month with 1 hour of manned attention per shift in almost any pharmacy workflow. This is 3x faster than manual filling by an experienced tech. In many pharmacies, DOSIS units each produce 15k to 20k cards per month. • DOSIS is a turnkey workflow solution. From integration to automation to printing and adherence, we will scale with your business! • Many DOSIS pharmacies have automated more than 75% of their production with some DOSIS systems producing over 200k patient-labeled cards per month.

We’d love to give you a demonstration! Seeing is believing with the DOSIS System. We can give you a full demo of a working system so you can see for yourself the value of DOSIS workﬂow.

Industry-Leading Autonomous Workﬂow System

• DOSIS units are small enough to fit through standard doorways and plug into a normal 110v power outlet. No need to remodel your pharmacy to fit oversized equipment. Our units are 25"D x 43"W x 79"H. • Units act independently within each system which means all working units remain active during troubleshooting. • DOSIS systems produce more than 2 million blister cards every month in pharmacies large and small! • Add-on Features such as time-pass printing, pre-pack manager, and directional printing make tremendous impact on efficiency beyond the automation itself.

DOSIS units link together based on your volume. With real-work production up to 20k cards per month per unit, the only question is, "how many cards are you producing?". DOSIS will handle it!

www.dosis.com

DOSIS Systems is Evolving – Improved Bottom Line for Our Partner Pharmacies

Case Study: QS/1®

Look where we can go together From workflow to adherence and everything in between, the challenges of pharmacy owners are numerous – and in this ever-evolving industry, obstacles will only continue to appear. That’s why it’s more important than ever to have a reliable problem-solver by your side. For 40 years, QS/1 has partnered and traveled with community pharmacists like Jeff Beck, owner of Steve’s Pharmacy in Cumberland, MD, helping his business remain efficient, compliant, and competitive.

Our goal is to see your pharmacy thrive! We do this by customizing an efficient solution to your workflow, automating large volumes of your production, and increasing your profitability in the process.

Look where we can go together.

NRx® – Starting the pharmacy management engine.

It’s a common story – Jeff began using RxCare Plus® more than 30 years ago after he bought his pharmacy. Then, he upgraded to NRx. “My experiences taught me that NRx was the way to go.”

Point-of-Sale – Priming the front end.

Community pharmacists pride themselves on customer service and adding QS/1’s POS to NRx provides the right solution. Staff can access data from any terminal in real time, and it’s invaluable for inventory control.

Health-Minder® and InstantFill® – Getting ahead of adherence. Medication synchronization and compliance packaging have picked up speed. Jeff uses NRx tools like Health-Minder, and he’s seeing better Star Ratings and EQuIPP™ scores.

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RetailSTARx Pharmacy and Retail Software by CAM Commerce

MEDISCA Welcomes COPADERM™ Professional Scar Care to Its Growing Family of Proprietary Brands

FA D E S C A R S T O A M E M O R Y ™ reduce shown to scars of Clinically earance the app

One software to more effectively manage your pharmacy and retail sales.

COPADERM goes beyond silicone with a unique blend of premium skin-conditioning agents for a gentle, healing touch with a fresh organic scent. Another excellent addition to MEDISCA innovation – 30 years strong!

Fast-dry silky-sm ing & ooth feel

N O W AVA I L A B L E 1-800-932-1039 | sales_us@medisca.com www.medisca.com

DISCOVER THE AMAZON’S B E S T- K E P T S E C R E T

A brand by

PA-20 Ways Fall Retail Edition-19 - V06.indd 1

08/02/2019 3:33:57 PM

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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.

QUARTERLY ISSUES Fall 2019 IMPROVING PAT I E N T C A R E & PHARMACY P R O F I TA B I L I T Y Fall 2019

PATIENT CARE &

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

Community • Specialty • LTC

Summer 2019

20 Unique Products & Services

Spring 2019

Infusion

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.

Pharmacy Return Solutions & Resources

340B Resources & Software

page 50

Industry Expert Q&A, Market Leaders Buyer’s Guide, and More

8 Thought Leader Videos

8 Thought Leaders

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

Will Call Technology Industry Expert Q&A, Market Leaders Buyer’s Guide, and More page 42

8 Thought Leaders

Eight Video Series Including Visante, Rees Scientific, Pharmacy Consulting Broker Services, Rite Aid, and More

Eight Video Series Including Visante, Verity Solutions, Rees Scientific, Acentrus Specialty, and More

page 26

page 22

4 Case Studies

2 Case Studies

Liberty Software, GSL Solutions, Charles River, and Comprehensive Pharmacy Services

QS/1 and Dexcom

Community • Specialty • LTC

20 Unique Products & Services

page 38

page 22

Issue Focus: Retail, Specialty, & LTC Issue Frequency: Spring, Fall, & Winter Circulation Per Issue: 28,500+ 18,000+ Owners (Independents) 1,500+ Long-Term Care Pharmacies 2,500+ Retail Chain Executives 2,500+ Industry Executives 2,000+ Trade Show Handouts

•

20 Unique Products & Services

Eight Video Series Including Medicine Shoppe International, Parata, Sentry Data Systems, and Pharmacy Consulting Broker Services

Issue Focus: Hospital & Infusion Issue Frequency: Summer & Winter Circulation Per Issue: 12,200+ 6,500+ Hospital Directors 2,200+ Clinical Consultants 2,500+ Industry Executives 1,000+ Trade Show Handouts

Health System

Winter 2018 / 2019

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

I M P R O V I N G

Industry Expert Q&A, Market Leaders Buyer’s Guide, and More

2019 CIRCULATION

Spring 2019

Summer 2019

Liberty Software and Medicine Shoppe International

N G I M P R O VI IM P R RE PATIENT CA &

OVING PAT I E N T C A R E

Y CPOHS T PHARMAC& ARMACY ENT C O N TA I N P RMO F Winter 2018

Health System Winter 2019

•

I TA B I L I T Y

Infusion

Community • Specialty • LTC

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

16 Preceptors Recognized

by Seven Colleges Including 16 Preceptors Recognized SIUe, and More UCONN, West Coast University, page 36 Industry Expert Q&A, Market Leaders Buyer’s Guide, and More

Pharmacy Redesign

8 Thought Leaders 8 Thought Leaders

page 26 Visante, Verity Eight Video Series Including Rees Scientific, and More Solutions, Rite Aid, TCGRx, page 20 Eight Video Series Including FisherBroyles, Rite Aid, TCGRx, Rees Scientific, R.J. Hedges & Associates, and More

2 Case Studies InMedRx

page 20

and Apexus Two Case Studies: Supplylogix InMedRx Helps Correctional Institutions Reduce Pharmacy Spending With Innovative Release and Re-Entry Medication Programs

Case Study page 42

Community • Specialty • LTC

Health System • Infusion

Community • Specialty • LTC

Community • Specialty • LTC & Health System • Infusion

Visit 20Ways ONLINE at RXinsider.com/20Ways

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Pharmacy Benefit Management A reliable pharmacy claims processing platform coupled with a network of over 70,000 pharmacies

Courier Delivery Prescriptions are picked up at backup pharmacies and delivered to long-term care facilities

P E AC E O F M I N D, D E L I V E R E D. By partnering with the company who originated backup pharmacy services With around-the-clock backup pharmacy coverage, GeriScriptRx helps long-term care pharmacies reduce overall pharmacy costs, avoid staff burnout, extend pharmacy reach and provide continuous care.

275,000+ Backup medications processed annually

3,000+

Working with the GeriScriptRx team is easy. We provide: •

A designated account manager to serve as your primary point of contact

•

Client service representatives to answer calls 24/7

•

Our proprietary TracRx™ portal to make managing orders easy

•

Consolidated monthly invoices to simplify accounting processes

•

Comprehensive and customizable reports to deliver data in your preferred format

Credentialed courier partnerships

50 States where we provide pharmacy services

1,000 LTC facilities served nationwide

www.geriscriptrx.com | 888-896-1283 | info@geriscriptrx.com

With your reputation riding on each delivery,

Let our reputation ride with you. As the ambassadors of your pharmacy, you can trust the Mission Critical team to be the face of your organization that your customer interacts with every day. With Mission Critical, you’ll know that each delivery is being made with the same care and professionalism as if you were making the delivery yourself.

Professional Couriers • Certified Experts • Uniformed • Background & Drug Screened

Peace of Mind • 24/7 National Dispatch Center • State of The Art Real-Time Tracking • Dedicated Fleet Model

Experienced • Solid and Trusted Reputation • Deep Knowledge of LTC-Pharmacy • Best Delivery Practices Contact us today for a customized delivery solution.

1-866-717-5029 solutions@missioncriticaldelivery.com www.missioncriticaldelivery.com

When failure is not an option.

Contents WAY

Transaction Data Systems (Rx30/ Computer-Rx) Pharmacy Software Solutions

Your Total Pharmacy Solution

Discover the possibilities with Computer-Rx and Rx30 Computer-Rx and Rx30 software solutions move beyond traditional pharmacy dispensing software to ensure a total pharmacy solution for all aspects of your business. We are committed to providing you scalable software solutions to help you drive patient outcomes, increase revenue and maximize the success of your business.

Find out what a total pharmacy solution can do for your business. Ready to learn more? 800.647.5288 sales@computer-rx.net computer-rx.com

800.289.7930 sales@rx30.com rx30.com

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Save Money and Promote Your Compliance Packaging Program With Consumables From PAS

Compliance Packaging? Pharmacy Automation Supplies has that!

Help Your Patients Organize Their Medications BLISTER CARDS Easy-to-Use Med Organizer • NO Automation Required • Fully Customizable • Cold and Heat Seal Available

Providing innovative, robust, and easy-to-use pharmacy management, point-of-sale, multi-site management, and business management solutions to community pharmacies across the United States.

• Weekly and Monthly Options • Compatible with SynMed

A trusted name in healthcare supplies for over 100 years, our complete line of supplies is designed for you to help patients increase their medication adherence.

POUCH PACKAGING Branded Dispensing Boxes • Fully Customizable • Five Convenient Sizes • Fits Packaging From all Pouch Packagers • Stock Options Also Available

Let everyone know that your pharmacy does that! www.pharmacyautomationsupplies.com (800) 798-1401

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WAY Schedule a live demo or webinar today

(855) 544-2122

Smart system. Smart refrigeration. MinibarRx®, the SMART refrigeration system designed speciﬁcally for vaccines storage, handling and inventory management for healthcare providers so you have more time to focus on patient care. Schedule an appointment to learn more about our unique capabilities: • Forward-Deployed Inventory (FDI) Program: No risk to you for expired product inventory. Reduce your inventory investment by only paying for vaccines you use. • Intelligent PAR Management: Aligns with your current vaccine portfolio. Customize your system conﬁguration based on your current vaccine menu and inventory replenishment based on historical usage. • and much more! Learn more about MinibarRx® :

http://www.minibarrx.com/interest-form.php

info@MinibarRx.com MinibarRx.com info@MinibarRx.com f i ib || MinibarRx.com i ib

FFF Enterprises, Inc. – The Nation’s Most Trusted Specialty Distributor

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Our dedication to Helping Healthcare Care® means that we provide you with the products, programs, and services that give you the freedom to focus on patient care.

The Compliance Team – Celebrating 25-Years – Pharmacy Accreditation Without the Complexity

The USA’s only certified womanowned healthcare accreditation organization (AO) is nationally recognized and approved by Medicare to accredit both Part A and Part B providers.

Simplifying quality validation: Pharmacy’s path to value-based care. T he Compliance Team’s Exemplary Provider® accreditation program for Community Pharmacy is designed to set-inplace a simplified quality validation process that adapts to any pharmacy business model; no matter if it’s a small locally-owned independent, or a full-spectrum chain of stores.

Medicare approved to accredit all Part B—DMEPOS providers since 2006, our industry leading accreditation process is the first to feature operations-based plain language quality standards as well as include expert mentoring, access to hundreds of document templates, and a subscription to our Patient Quality Measurement™; the nation’s oldest satisfaction

reporting and benchmarking database service.

The Compliance Team is also the only national pharmacy accreditation organization to offer tracks for Compounding, Infusion, Specialty Drug, Travel/ Retail Clinic, Long-term Care, Telepharmacy™, Chronic Care Management (CCM), and Diabetes Self-Management Training (DSMT); topped off with our Patient-Centered Pharmacy Home™ accreditation program for advanced Rx practices. For more details, call us at 215 654 9110 or visit our web site: TheComplianceTeam.org.

YEARS

1994-2019

*The Compliance Team, Inc. is approved by the Centers for Medicare and Medicaid Services to accredit Part A-Rural Health Clinic, Patient-Centered Medical Home, and Part B-DMEPOS providers.

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CASE STUDY The New Standard of Diabetes Care: Continuous Glucose Monitoring in Pharmacy Practice

CHALLENGES FOR PATIENTS USING INTENSIVE INSULIN THERAPY Diabetes is a challenging disease for patients and caregivers to manage. For some patients, the use of insulin is required to achieve glycemic control but it can have significant adverse consequences if not used appropriately. Incorrect administration of insulin (too little, too much, or at the wrong times) can result in both transient and serious hypo- and hyperglycemia, severe hypoglycemia, and diabetic ketoacidosis.

Ronald Simbulan, RPh Director, Mail Order and Specialty Pharmacies ~ RWJBarnabas Health

Case Study: Dexcom®

The new standard of diabetes care: continuous glucose monitoring in pharmacy practice.

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WAY Medi-Dose

EPS ...thE right PrEScriPtion for PharmaciStS ®

EPS

High quality, safe and effective products for medication administration, preparation and dispensing...in stock for fast shipment worldwide.

® ®

Unit Dos Bar Cod e, ing, Pharma Nursing cy & Sup Experts ply !

Priced low and ready to go! • Medi-Dose® Solid Oral Unit Dose Packaging • TampAlerT ® Liquid Unit Dose Packaging • MILT ® Software for Medication Identification and Bar Coding • LiquiDose® Labels • IV Additive Disposable Accessories • Steri-Dropper ® Sterile Ophthalmic Dropper Bottles • Compounding Products • Cleanroom Supplies • Ophthalmic Practice Accessories • Resealable and Ultraviolet Inhibitant Bags • Tamper-Evident Products • Bottles, Vials and Containers • Operating and Procedure Room Accessories • ShrinkSafe® Bands and Safety Products • Tapes and Labels • Maternity and Laboratory Products • Record Keeping and Identification Products • Storage and Transport Products

Visit our website for our EZ order system!

EPS

Due to the stress and consequences of hypoglycemia, many patients on intensive insulin and even their caregivers may develop a fear of hypoglycemia and will test with fingersticks throughout the night to prevent a seizure or even death due to a hypoglycemic episode. Unfortunately, most patients and caregivers then decide to use less insulin than prescribed, leaving the patient hyperglycemic with essentially uncontrolled diabetes.

Exceptional Products and Service A Member of The Medi-Dose® Group

For many patients and caregivers, monitoring with fingersticks is difficult and does not provide enough information to manage their diabetes with the stress affecting their sleep, quality of life, and productivity at school and work.

800.523.8966

www.dexcom.com

Medi-Dose, Inc./ EPS, Inc. Your Community Pharmacy Supply Experts

For over 40 years, Medi-Dose/EPS has been working with pharmacists to design and support cost-effective products, solving the specific needs of their pharmacies.

MediDose.com

EPS - Right Prescription O 8.5 x 11.indd 1

8/5/16 11:20 AM

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A different way to do business. Strong foundation, successful future

From our family to your pharmacy As a family owned and operated company, we know the value of a hard day’s work and believe good business starts with partnerships, not profits. Since 1985, BestRx has served the needs of independent pharmacies with innovative solutions to streamline business, increase revenue, and enhance the care you provide to patients. With BestRx, you can rest assured knowing our product isn’t a one and done deal - it’s an ongoing relationship to grow businesses and strengthen communities.

Let’s talk. 1200 Jorie Blvd Suite 310 Oak Brook, IL 60523 1-877-777-5758 sales@bestrx.com

10% OFF a new order* 1000s of generics. 100s of supply products.

1 TRUSTED PARTNER. As the trusted one-stop shop for pharmacies since 1985, we can supply all the essentials you need from one accredited source: custom and stock pharmacy supplies, high-quality generics, weekly specials, 24/7 online ordering, unrivaled customer service, and so much more. Only Integral Rx rewards you for ordering. Earn up to 10% in credits toward generic purchases with our bundle rewards program. Weâ&#x20AC;&#x2122;ll help you find the products you prefer. After all, thatâ&#x20AC;&#x2122;s what partners do.

Contact our team today to find out how we can be integral to your success. 844.345.3480 | integral-rx.com | info@integral-rx.com

*Exclusions apply. Offer expires Nov. 15, 2019. Not combinable with other offers. Integral Rx is a VAWD accredited facility and is authorized to sell generics in 47 states. Some restrictions may apply. Please call 844.345.3480 for details.

Welcome to the Higher Level...

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opportunities available. Call, or visit our website TODAY!

844.TO.IMBUE (844.864.6283) www.imbuebotanicals.com

Contents WAY

Quality is the most important thing is profitability. Compounding can pull you in different directions, but you shouldn’t have to choose between quality patient care and profitability. Letco’s high quality APIs, products and programs have been designed to help you provide the best possible patient care and maximize compounding as a profit center for your pharmacy. We’re Letco. Let us help.

Call or visit us online today 800-239-5288 letcomed.com/RxQuality

Letco Helps Compounding Pharmacies Stay Compliant and Profitable

WAY Providing a Clear Path Toward Operational and Financial Excellence

Innovatix member benefits extend beyond the significant savings we provide. While group purchasing is at the core of what we do, Innovatix is committed to developing programs that help our members thrive.

With changing regulations and an evolving market, Letco Medical understands the need for a new approach to compounding.

Our suite of pharmacy operations improvement programs are designed to address your operations needs without distracting from your main mission — providing high-quality patient care. Our suite of pharmacy operations improvement programs provides solutions in the following areas:

Accreditation

Medicare Part D reimbursement

Pharmacy credentialing

visit us at call

COMPOUNDING INGREDIENTS | ADVISORY SERVICES

Pharmacy operations support

NEW: USP <800> compliance

To join our GPO or to learn more about our suite of pharmacy operations improvement programs, innovatix.com, email

info@innovatix.com, or

(888) 258-3273.

| SUPPLIES | SPECIALTY PRODUCTS | EQUIPMENT

RN CY RETU IO S SOLUT

PHARMACY RETURNS SOLUTIONS & RESOURCES Buyer’s Guide

PHARMA

Q&A

Buyer’s Guide Achieva Group Returns 431 Ohio Pike Suite 311 Cincinnati, OH 45255 800-273-6317 www.achievagroupreturns.com

National Pharmaceutical Returns 4164 NW Urbandale Drive Urbandale, IA 50322 (800) 470-7725 www.npreturns.com

mental Pro

ncy tection Age

U.S. Environ

Rx Return Services 2140 Sunnydale Boulevard STE B & C Clearwater, FL 33765 (727) 754-7848 www.rxrs.com

SOUR NS & RE

Pharma Logistics American Security Cabinets 1795 N. Butterfield Road Rx Reverse Distributors 2605 5th Street North Suite 203 9255 US Highway 1 will keep more euticals, which Saint Cloud, MN 56303 Libertyville, IL 60048 Sebastian, FL 32958 us waste pharmac and sewers. www.rxdrugdrops.com (866) 388-7973 al waste landfills with their hazardo(888)of729-7427 al out municip www.americanrxgroup.com pharmaceuticals www.pharmalogistics.comof this final rule? www.Rxrd.com Pharmaceutic P ous Waste by Subpart the Hazard and reverse is affected Q. What is it do? Who does pharmacies) e Q. g and what (including retail the new Resourc s for managin Final Rule facilities EPA finalized DisposeRx ns for managing Pharmaceutical Service WasteWise tailored standard Healthcare new, Returns 22, 2019, follow these regulatio will ors (RCRA) On February 503 Carthage Streetof three 720 Heartland Drive 6054 Corte Del Cedro y Act distribut euticals. consists turers and Recover us waste pharmac The final rule Conservation eutical manufac Carlsbad, CA 92011 their hazardo Suite B or pharmaceuticals. Suite 202 apply to pharmac notGrove, on facilities, (866) 436-9264 hazardous waste does Sanford, NC 27330 Sugar IL 60554 producti P Code Subpart ents: distributors), farms nicotine (Waste euticals (e.g., primary compon act as reverse (844)for456-1600 www.wastewise.com patches, us waste listing (unless they (800) 215-5878 us waste pharmac other applicable the hazardo -counter nicotine waste rs of hazardo www.disposerx.com 1.) Amends subject to all us other generatowww.pharmreturns.net proved over-the

CES Q&A

remain hazardo FDA-ap Those facilities be considered P075) such that or ranches). will no longer regulations. WM PharmEcology Services us waste listing gums and lozenges hazardous waste P075 hazardo rt P”), or Fannin Street d. GRx, Returns PharmaLink Inc.to the re facilities1001 amendment Part 266 (“Subpa when discarde the CFRGuaranteed just healthca lly P in 40 100 In addition, 8285 Bryan d FDAColin Drive Dairy(i.e., Roadnot #200 Houston, TX 77002 tailored specifica new Subpart been applies to anyone manages discarde 2.) Creates ns that have for nicotine Largo, FLwho (i.e., 247-7430 generates or retail stores that new regulatio Holbrook, NYand 11741 therapies (877) ors) 33777 g pharmacies which contains us replacement reverse distribut ent of hazardo 473-2138 (800) 257-3527 www.pharmecology.com re sector (includin (800)managem -counter nicotine the to the healthca human approved over-the ). on www.pharmalinkinc.com euticals) to improve www.guaranteedreturns.com protection of and lozenges P is effective sell pharmac ry thereby enhance patches, gums, on in Subpart s the regulato euticals and P that prohibiti addresse P pharmac Subpart in waste sewering Subpart Finally, the through reverse environment. is the one provisionreverse distributors, euticals going health and the 2019. This ion pharmacInmar going through August 21,Qualanex facilities and Small re euticals prescript Very of as healthca status ion pharmac ALLHarris Road are classified applies to1410 are and non- prescript 635 Vine Street facilities that re facilities distribution healthcare IL Winston-Salem, NC 27101 60048 ). VSQG healthca including Libertyville, addresses ors (VSQGs of Subpart P. Policy, which reverse logistics. Generat Logistics (800) 765-1277 505-9291 the other provisions Quantity (800) retail items es EPA’s Reverse to comply with of all other unsold e 3.) Establish www.inmar.com www.qualanex.com not required under RCRA ter nicotin status ry e-coun over-th the regulato discarded reverse logistics. hazardous waste regulated? Q. How will going through to many of the g retail therapies be -counter nicotine ementSolutions provides solutions N3PR re facilities, includin retail replacReturn ) proved over-the This final rule healthca and lozenges exempts FDA-ap workers and issues facing 641 InvernessreRoad rule Dutchtown 10635 Road patches, gums This final management nicotine. euticals. Healthca hazardous s (i.e., nicotine for pharmac RCRA P075 therapie sell ent Lisle, IL 60532 Knoxville, TN 37932 us Waste Code ar with replacem stores that unfamili generators inadvertent Hazardo es are often RCRA regulations, (773) 349-3080 (800) 579-4804 leading to from the pharmacy employe as nonhazardous waste requirements, as municipal wastes federal ent the euticals these www.n3pr.com www.Drugreturns.com discard Thus, under waste managem us waste pharmac steps to hospitals) may the hazardo of hazardous facilities take P streamlines (e.g., retail stores, rs, mismanagement however, that burden waste. Subpart recommends, compliance containers, dumpste hazardous. EPA waste or medical these wastes, reduces the to the waste Nicotine ensures that rized access ns for dumpster diving). re facilities, and prevent unautho waste regulatio diversion (i.e., el and healthca properly. the waste code illicit with personn managed re prevent waste are toY • LT C on healthca hazardous 52 FA L L 2 0 1euticals 9 I R E TA I L / C O M M U Nent I T Y of • S P E etc., C I A LT patches, gums, us waste pharmac be a listed acute for the managem continues to more hazardo other than nicotine us waste (e.g., nicotine waste, a practical system easier to comply with hazardo P075, so any as P075 acute that is Subpart P provides ns. pesticides). , is still regulated pharmaceuticals generator regulatio and lozenges cigarettes, nicotine hazardous waste their hazardous waste in electronic manage to -oriented nicotine liquid re facilities than the industry along ges healthca the final rule, EPA encoura waste under Accordingly, pharmaceutical non-hazardous

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OMMUNI

C I A LT TY • SPE

Y • LT C

Innovatix offers differentiated, high-quality group purchasing and consultative services. We help members maximize their overall financial performance by providing the resources and educational support needed to enhance the delivery of quality patient care.

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PHARMACY RETURNS SOLUTIONS & RESOURCES

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PHARMACY RETURNS SOLUTIONS & RESOURCES Industry Expert Q&A, Pharmacy Returns Solutions and Resources Market Leaders Buyer’s Guide, and more.

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RETURNS SOLUTIONS & RESOURCES

How to Maximize Credit Recovery With PharmaLink

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FA L L 2 0 1 9

R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C 11

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

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THE CHALLENGE:

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

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 large health system antimicrobial stewards “Our greatest concerns as we look toward theAfuture hospitals to have an gains valuable insigh 4 infected with ture. are litera looking ts into ph for tific ways to improve our profiare armacy scien nt tability, curre inv t entor y managem -resistan rule iotic new antib proposed ent with supply-ch maintain (CMS) patient safety and implement technology, ices Serv caid ” int Medi elli and gence , tware ain care year sof ipate each s partic nism to r The Centers for Medi orga orde . in Murphy use said. itals to reduce antibiotic , (June 2016) requires hosp must appoint designated RESULTING IN and states that hospitals caid 5,6 Medi or care . Medi 00 in rams Murphy proghelped ip has QS/1 IMATELY 23,0 2 address many APPofROX those 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 Hospitals and hea proposed rule, Compreh intuitive system made Solu a tion, lasting impression. “When standard and the CMS lth care systems in icrobial Stewardship the United States first of its kind Antim they showed me ial 35 million patients icrob their handle more than new Antim product, SharpRx, I was its (CPS) laun ched the gh throu itals each year. These larg 180 U.S. hosp of study nsive expa e operations are find Carrie Boec” kelman, RPh impressed and hoped to switch as soon as possible, based on an sav ing s asso , ing that the cost BCAC ciat P ed “It was obviously designed with the idea withthat ram. effectiv you Manager, Ambulatory Pharm e pha he said. rma Stewardship Pilot Prog cy supply-chain ma acy Services have a big impact nagement / let the software do the dc.gov

20-50%

Supplylogix Pharm acy Inventory Manag ement S O o TW lu N ti THA ons MORE N PEOPLE MILLIO

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on the work, and that’s can probably bottom line, as wel l as on patient care what impressed meSup . most.” plylogix offers a suit e of software produc Jesse Murphy, PharmD ts that enables pha competitive advant rmacies to gain ages. Pharmacies can leverage Supplyl tools to optimize the ogix's supply-chain ir inventory replen that would have hidden ishment, manage or would be difficult unssettings aleable retu pot ent ial losses from rns, and monitor the to do with other systems are very intuitive ir product movem and easy ent. to figure out with SharpRx.” Ngo, PharmD, BCACP THE CHALLE

www.c https:// UW Healt h Pharm August 15,~2016. acy Progra ms. Access ed al Antibiotic Stewardship Core Elements of Hospit https:// Contro l and Prevention. Accessed April 4, 2017. Center s for Diseas e elements.html Atlanta , GA: CDC; 2013. implementatio n/corethe United States, 2013. in Threats getsmart/healthcare/ nce tic Resista l and Prevention. Antibio ts/fs19 4/en/# 2 Center s for Disease Contro -508.p df o.int/mediacentre/factshee e/pdf/ar-threats-2013 4, 2017. http://w ww.wh _ sistanc April ed ardship /drugre Access l_Stew dc.gov www.c /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 April 24, Proposed Rule that Prohib oom/M ediaReleaseD 5 Medicare. Accessed CMS.g ov. CMS Issues www.c ms.gov/Newsr antibiotic use or exit April 24, 2017. https:// for hospitals: Reduce tml Hospitals. Accessed : CMS’ proposed rule se-or-exit-med icare.h n Control & Clinical Quality s-redu ce-antibiotic-u Infectio ospital . le-for-h Review al 6 sed-ru Manager, Ambulatory Pharm Becker ’s Hospit ity/cms -propo spitalreview.co m/qual kersho acy Services ww.bec 2017. http://w

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.” Melissa

Case Studies

SharpRx has a lot of the same power without ~ UW the Health Pharmacy 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_

www.supplylogix .com

Take an in-depth look at the challenges, decisions, and results pharmacy professionals have experienced with leading products and services through a company case study. Case Studies can be viewed within each issue of 20Ways and on RXinsider.com.

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NGE

“I think an individualUW Heasitlth, could down with SharpRx an inte gra ted health system associated with the and, after a few minutes, fillsina prescription Wiscon easily. University of Madison, serv es 600,000 patients That’s not 4/21/17 something 10:51 AM that we can say with each year in the Upp region of the country er Midwest . Wit h other systems.” six hospitals and 15 disp

processes upward ensing sites, UW Hea s of 44,000 prescri lth ptions per month. services is related A large portion of to specialty pharma their cy items, including and HIV care, making diabetes, transpla their inventory cos nt, ts exceptionally hig standard retail pha h compared to rmacy.

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page 67 WAY ACCELERATE COMPLIANCE With Help From

NEW! DosePlanner Features & Resources • Expanded support for more brands of forms and blister cards. • Summary labels for the boxes for your Adherence Strip Pouches. • New marketing materials to help promote your Compliance/ Adherence program. • Integration with Zewa Medication Compliance system. • Multi-language support for the DosePlanner patient.

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Increase customer safety and convenience while increasing pharmacy productivity and profitability. Offering compliance packaging to your clients is smart business. Using DosePlanner makes it easy!

Introducing CircuPack! This innovative medical dispenser features a circular blister pack, scanner technology for quick and secure preparation, and our adherence software. Increase adherence, improve productivity, and enjoy greater pharmacy profitability with CircuPack.

We Support & Empower Pharmacists Our products, know-how, and assistance will better serve your business goals—especially as they relate to medication adherence and compliance packaging. With compliance packaging to fit every patient need and every pharmacy price point, technology solutions to streamline workflow, and a marketing and support team available at every turn, we help pharmacists realize bigger opportunities through better patient care.

Identify the products and practices that will help you realize greater success for your pharmacy—elevate your business by partnering with Medicine-On-Time today!

Comprehensive medication management solutions improving pharmacy operations and patient health.

Perry Larson | perry.larson@medicineontime.com 800.722.8824 ext. 841 | MedicineOnTime.com

page 69 WAY

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page 71 PUBLISHER RXinsider LTD RXinsider CEO: Gregory Cianfarani RPh DESIGN AND PRODUCTION Design & Layout Multimedia Marketing and Operations

Lora Sosa Eric Simmons Jay DiNardi Samantha Pirraglia Jillian Melly

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

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FA L L 2 0 1 9

R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C 15

With over 400 reference sites SynMed® leads blister pack automation

For Pharmacies :

synmedrx.com

info@synmedrx.com - 1 866 764 7966

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 P R O F I TA B I L I T Y

SynMed® Blister Pack Automation by Synergy Medical SynMed® is a proven way to scale blister card production. Whether kicking off an adherence program for community patients, or providing pharmacy services to LTC, SynMed® ensures accurate, efficient production of both single and multi-dose packs. President & CEO: Jean Boutin Founded: 2006

Employees: >140 Toll-Free Phone:

(866) 764-7966

Address: 2915 Ogletown Road, # 2565

Newark, DE 19713

Website: www.synmedrx.com Email: info@synmedrx.com

Company Background

For 12 years, Synergy Medical has been providing proven and reliable technology for blister card automation, now used daily for over 400,000 lives. We are dedicated to the design, manufacture, service, sale, support, and innovation of the SynMed® System – all here in North America.

n Accuracy

The system accuracy is 99.98%, as compared to manual production where one can expect a 5-10% error rate. Barcode scanning and on-screen guidance ensure secure production. Biometric scanning tracks responsibility. n Efficiency No automation is comparable to the flexibility and output of SynMed® ULTRA; with two operators, your pharmacy will produce: • Up to 100 multi-dose cards per hour. • Up to 200 single-dose cards per hour. The SynMed® generated label has a number of unique, customizable features that will improve patient outcomes, and enhance customer loyalty and retention. Your pharmacy can market this output to community patients, assisted living, retirement homes, and LTC facilities, all of whom highly value these label features:

Synergy Medical engineers are continuously working to upgrade our technology; our team is highly specialized.

• Color coded for time of administration. • Pictogram option representing time of administration. • Bold, large-font print further ensures proper medication adherence. • Patient picture ensures medication delivery to the right patient. • Medication images provide accuracy assurance, facilitate checking, and change management.

We pride ourselves on the close relationships we have formed with our customers – this allows the Synergy Medical team to evolve and ensure we provide the optimal solution for our pharmacy partners.

There is a SynMed® solution for all volumes of production: SynMed® XF, SynMed® ULTRA for high-volume environments, and SynMed® Assist for guided manual production.

Since our first installation in January 2008, there have been hundreds of SynMed® installations in retail drugstores, long-term care pharmacies, and in pharmacy chains that have centralized their blister card production service (central fill operations).

Product Overview

SynMed® is an automated dispensing system for solid oral medications in both single-dose and multimed blister packs. Our solution guarantees flexibility, accuracy, and efficiency. n Flexibility • SynMed® will integrate with your existing pharmacy management software, and interface with your eMAR systems. • SynMed® can adapt and interchange between both single-dose (bingo cards) and multi-dose blister packs (adherence packaging). • SynMed® is compatible with 40+ blister packs so it will easily adapt to each unique environment; that means pharmacies can automate with the blister card(s) their customers prefer to receive. • SynMed®’s patented pick and place technology minimizes cross contamination and ensures minimal maintenance required. • SynMed®’s vast store of containers optimizes automated production; these containers are easily calibrated on-site, at no cost, and with no time wasted.

Testimonials

“ We now produce cards for our 1,500 patients one full day before our delivery date and three full days before the patient’s actual start date. Production requires fewer FTEs, allowing us to perform more MTM related activities.”

— Barry Klein, M.S., R.Ph/Klein’s Pharmacy

“ T he accuracy of using SynMed automation is incomparable to manually filling cards. Automation is great for acquiring more business, and affords time for ensuring accuracy when filling calendar cards.”

— Melissa Gilkison, Pharm D. / Auburn Pharmacy

“ To have flexibility in how your product looks and is delivered to the consumer is very important. There’s a continuum of care, and with the SynMed-generated adherence packaging we can adapt to each setting; that’s why we thought SynMed fit our strategic plans.”

— Kevin Fearon, R.Ph, MBA / Absolute Pharmacy

Ordering Information

Don’t hesitate to contact us to learn more about adherence packaging, automation, and how we can help your business grow. Mark Rinker, Vice President of Sales, North America (519) 200-8338 | mark.rinker@synmedrx.com FA L L 2 0 1 9

R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C 17

We Help You Deliver The Care Your Patients Need When They Need It Most.

• 100+ Direct Manufacturer and Wholesaler Accounts Call Now To Connect With An Account Representative:

855.437.5727 855.437.5727 | SafeChain.com | 822 Chesapeake Drive | Cambridge, MD *Upon Approval

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 P R O F I TA B I L I T Y

Safe Chain – Your Wholesale and Wholecare Distributor Safe Chain delivers the support and pharmaceutical care you need when your patients need you most, safely and securely through our supply chain.

President & CEO: Charles Boyd Founded: 2011 Employees: 50+ Toll-Free Phone:

(855) 437-5727 Toll-Free Fax: (855) 614-4118 Address: 822 Chesapeake Drive Cambridge, MD 21613 Website: www.SafeChain.com

Company Background Safe Chain was founded by brothers, Charlie and Pat Boyd, in 2011. What started as a boutique logistics business and wholesale distribution to hospitals, has now transformed into a full-service pharmaceutical wholesaler. The company has grown from just two employees to over 50 with five locations. Our values are a vital link supporting the care we have for our customers and their patients. Company Values • Honesty: Being truthful to each other and our clients. • Humility: Maintaining high character throughout all situations. • Gratitude: Being grateful for our clients and everything we have and do each day. • Professionalism: Dedicating ourselves to a higher standard then what is expected. • Responsibility: Being accountable and taking ownership in our job roles. • Positive Attitudes: Maintaining a polite, pleasant, positive demeanor under the toughest of circumstances. • Grit: Will to succeed and persevere no matter what challenges are thrown our way. • Teamwork: Commitment to each other to accomplish our common goals or visions. • Moral Courage: Doing the right thing even when it might be unpopular. • Enjoyment: Have fun. Life’s too short not to.

Product Overview Safe Chain provides a wide range of pharmaceuticals and health care products and delivers them safely and securely to a diverse network of healthcare facilities nationwide. As your wholesale and wholecare pharmaceutical distribution specialists, we partner with you to help you deliver unparalleled vital care to your patients and businesses. Features & Options n What can Safe Chain offer you? • $20,000+ Initial Credit Upon Approval • 30-Day Terms • Nationwide Distribution Centers • 100+ Direct Manufacturer and Wholesaler Accounts • No Minimum • Free Shipping • Dedicated Account Representatives Markets Served We provide a comprehensive range of wholesale pharmaceutical and healthcare products to independent retail pharmacies, surgery centers, urgent cares, specialty pharmacies, hospitals, international research, and government-managed facilities as well as physicians.

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R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C 19

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 P R O F I TA B I L I T Y

Parata/TCGRx Offer Variety in Automation and Solutions for Your Pharmacy Explore the technology, advice, and people you can count on. President & CEO: Rob Kill Founded: 2001

Employees: 400+ Toll-Free Phone: Address: Website:

(888) 727-2821 106 Roche Drive, Durham, NC 27713 parata.com | www.tcgrx.com

Company Background

TCGRx and Parata have combined to create the new industry leader focused on providing pharmacy technology solutions to support business growth, better health outcomes, and lower medical costs. Joined in 2018 as Parata Systems, the company offers the most comprehensive pharmacy automation portfolio with pouch and blister medication adherence packaging, high-speed automated robotic dispensing technologies, and pharmacy workflow solutions. Discover how we’re better together at parata.com and tcgrx.com.

Product Overview

n Medication Adherence Solutions Simplify adherence for your patients and give them the confidence to take control of medication compliance. With a medication adherence program, you can differentiate from the competition and improve the financial health of your pharmacy. When patients enroll in your adherence program, they transfer all their prescriptions to your pharmacy and increase their refill rates. Our pharmacies see an average of 29 more scripts per patient per year. We’re proud to offer the most extensive adherence packaging solutions – for both pouch and blister – with inspection and workflow additions to support your growth.

Smooth Solutions:

• Parata Pivot® Workflow Software • Beacon® Inventory Management System • Central Fill Systems n Patient Experience Solutions Our customer experience solutions can give your pharmacy teams the tools they need to improve pick-up wait times and break barriers to pharmacy accessibility with products designed to improve your workflow and expand the pharmacy’s reach. Enhancing Solutions:

• SpotLight™ Will Call System • WellSpot™ Prescription Pick-Up Locker n Data Analytics and IoT Solutions Continually improve efficiency with our data wizards. We use the Internet of Things (IoT) to gather and interpret data from your pharmacy solutions. Our experts can work with you to analyze the story your data tells and optimize your pharmacy’s operations and business. Prominent Solutions:

• PharmAlytics™

Stand-Out Solutions:

• Parata PASS 208® Pouch Packager • Parata Perl® Pouch Inspector • ATP®2 Pouch Packager • ATP® Mini Pouch Packager • SmartCardRx™ Blister Packager n Vial Filling Solutions You get the fastest counting technology in the market, helping your team delight customers with timely service and a personal touch. We’re proud to offer the premier line of high-speed automation solutions to ensure safety, accuracy, and efficiency in every pharmacy setting. We make it – and make it better – because we’re driven to free your time so you can do what you do best – support your patients and lead your team. Leading Solutions:

• Parata Max®2

n Workflow Solutions We are serious about pharmacy efficiency. An efficient pharmacy is a patient-centered pharmacy. That’s why we’ve taken best practices and real-world research – with more than a little feedback from pharmacists – to craft workflow solutions to fit pharmacies across practice settings. Our inventory management, enterprise software, high-density storage, and will-call solutions allow more visibility into processes and dispensing progress with insights to help you improve safety and efficiency even as your business grows.

• Parata Max®

• Parata Mini®

• Parata Pulse™

n Consulting and Support Services Our customers love our technology, but that’s not the only reason they choose us as a partner. Our in-house experts offer a wealth of experience – and we’re with you every step of the way. When you choose Parata automation, you have our support from signing the contract through maximizing your technology to grow your business. Helpful Solutions:

• Parata Performance Services

• Parata Consulting

Testimonial

“ It’s made me a better pharmacist because the technology drives adherence. At the end of the day, that’s the ultimate goal of a pharmacist – to make sure patients take their meds.”

— John Gregg, Pharmacist & COO at Thrive Pharmacy Solutions on PASS Packagers FA L L 2 0 1 9

R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C 21

T H O U G H T L E A D E R Video Series

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Parata: Puts You Out in Front

Pharmacy Consulting Broker Services: A Fully Licensed Pharmacy Broker & Consultant

Join Lindsay Dymowski, President, Centennial Pharmacy, as she discusses Parata and their partnership with Centennial Pharmacy in a 12-part video series.

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FA L L 2 0 1 9

R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C

Join Daniel Lannon, CEO/Licensed Broker, as he discusses Pharmacy Consulting Broker Services in a 12-part video series.

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Make it Personal by Discovering a Career With Rite Aid Join Ryann Abrams, PharmD, Regional Pharmacy Recruiter, Steve Mataraza, Director, College Relations, Professional & Field Recruitment, and Heidi Peterson, PharmD, MBA, Director, College Relations & Professional Recruitment, as they discuss Making it Personal by Discovering a Career with Rite Aid in a 12-part video series.

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Verity Solutions: Your Comprehensive 340B Partner Join George Puckett, CEO, Scott LaChute, VP, Operations, Mark Cassidy, CTO, and Todd Behrman, VP, Product Management Marketing, as they discuss Verity Solutions: Your Comprehensive 340B Partner in a 12-part video series.

THOUGHT LEADER VIDEO SERIES

Medicine Shoppe International, Inc

Join Connie Lane, Director of Franchise Development, Jeff Monroe, Director of Pharma Product Development, Tricia Simpson, Director of Digital & eCommerce, Katie Schoessel, Director of Marketing, Chris Chappo, Director of Pharma Product Development, and Cindy Pigg, Vice President of Managed Care, as they discuss The Medicine Shoppe International: A Cardinal Health Company in a 12-part video series.

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Advancing the Business of Pharmacy

Sentry Data Systems | Expect More

Join Kristin Fox-Smith, MPA, Tammy Zukowski, MBA, and Jim Jorgenson, MS, RPh, FASHP, CEO, as they discuss Advancing the Business of Pharmacy in a 12-part video series.

Join Lidia Rodriguez-Hupp, Joel Hennenfent, PharmD, MBA, BCPS, FASHP, Lisa Scholz, PharmD, MBA, Kenosha Chastang, JD, PRS, MBA, Lateef Durosinmi, and Bill Sander, PharmD, as they discuss Sentry Data Systems.

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www.sentryds.com

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FA L L 2 0 1 9

R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C 23

The DOSIS System Integrate

Automate

Filled, sealed and labeled blister cards

DOSIS will integrate with virtually any pharmacy management software on the market.

We’d love to give you a demonstration! Seeing is believing with the DOSIS System. We can give you a full demo of a working system so you can see for yourself the value of DOSIS workﬂow.

Industry-Leading Autonomous Workﬂow System DOSIS units link together based on your volume. With real-work production up to 20k cards per month per unit, the only question is, "how many cards are you producing?". DOSIS will handle it!

www.dosis.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 P R O F I TA B I L I T Y

DOSIS Systems is Evolving – Improved Bottom Line for Our Partner Pharmacies Our goal is to see your pharmacy thrive! We do this by customizing an efficient solution to your workflow, automating large volumes of your production, and increasing your profitability in the process.

President:

Monroe Milton VP of Sales: Jade Sillavan Founded: 2006 Employees: >50 Toll-Free Phone: (877) MANCHAC | (877) 626-2422 Phone: (318) 442-3686 Fax: (318) 445-1268 Address: 1115 Second Street Alexandria, LA 71301 Website: www.dosis.com

Company Background DOSIS Systems is seeing pharmacies all over the country improve their efficiencies in workflow, increase production volumes, and become more profitable. We have a proven track record of automating up to 80% of a pharmacy’s blister card volume. This includes pharmacies that are currently producing over 250,000 blister cards per month. In order to do this, we focus on each pharmacy’s needs. This allows us to offer the best solution for each partner pharmacy and increase their efficiencies where it matters most. Product Overview DOSIS Systems starts with customer care to better understand your pharmacy’s workflow and efficiencies. We then integrate a seamless system to match your needs using the flexibility of our technology; this includes custom integrations with your inhouse software. Knowing that your workflow and integrations are efficient, we introduce autonomous blister card towers that produce a 24/7 product that becomes the muscle of your growth. From this system, we can continue to analyze your production volume to ensure that you are getting the most out of DOSIS Systems and generating more revenue, causing you to thrive! Features & Options By customizing the capacity, features, and workflow integration, DOSIS Systems can make a tremendous impact in a wide variety of pharmacies. For example, a 55,000-cards-per-month pharmacy serving mental health patients is producing 35,000 cards per month in DOSIS automation while providing different filling and labeling formats for their various customer facilities.

Another partner pharmacy is filling 250,000 cards per month for SNF patients with DOSIS Systems filling over 200,000 of these cards every month (dailies and cycles) – DOSIS automatically prints color-coded med-pass information on every label in this system based on the prescription data. A 48,000-card-per-month pharmacy is getting 37,000 cards per month via DOSIS Systems and is actively converting away from the cycle-fill model because it is more efficient for them to fill on-demand using their integrated DOSIS automation – they have already eliminated pre-packs from their workflow “to reduce inventory and extra touches.” Using DOSIS Systems to automate filling cards and printing time-pass labels, an 18,000-card pharmacy doubled in size without adding any staff on the floor. At another pharmacy doing 180,000 cards per month with 75% filled by DOSIS, the return-to-stock feature allows them to efficiently track and re-use cards filled for scripts that are canceled before shipping. For a pharmacy filling 97,000 on-demand cards each month, the pre-pack manager feature extends the productivity of the DOSIS Systems by automatically restocking prepack card inventory after hours – DOSIS produces 58,000 cards each month, and the pharmacy is open less than 60 hours per week. Every month, DOSIS Systems fill over 2-million cards in pharmacies large and small; SNF, mental health, and corrections; dailies, cycles, pre-packs; with and without med-pass and auxiliary label information; single- and multiple-tablet per blister; calendar-start and straight-fill.

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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 P R O F I TA B I L I T Y

RetailSTARx Pharmacy and Retail Software by CAM Commerce One software to more effectively manage your pharmacy and retail sales.

Director, Marketing: Michele Salerno Founded: 1983

Employees: <200 Phone:

(714) 338-0200 Fax: (714) 241-9893 Address: 5555 Garden Grove Boulevard, Suite 100 Westminster, CA 92683 Website: www.celerant.com/pharmacy

Company Background

CAM Commerce Solutions was founded in 1983. Throughout time, we have continued to develop, market, install, and service highly-integrated retail management and payment processing solutions for pharmacy retailers. These integrated solutions include: point-of-sale, electronic payment processing, inventory management, e-commerce shopping cart, customer management, mobile applications, and extensive management reporting. We have a variety of products and services that address the automation needs of the pharmacy industry. At CAM, we know service and ongoing updates to the software are important considerations in the purchase of a software system. It is important to know that the company behind the product will be around to protect and enhance your investment. CAM has more than 100 employees dedicated to improving our products and serving our customers. We offer phone support seven days a week, and ongoing program enhancements. Now we bring even more experience to our team with Celerant Technology Corporation. Celerant Technology’s acquisition of CAM brings to the table 10 years of reputable experience. Regardless of the size of your business, we have a solution for you!

Product Overview

CAM’s multi-channel solution has been automating pharmacies for over 30 years, maximizing on the technology needed to control inventory and streamline retail pharmacy processes. CAM meets or exceeds all industry standards and regulations while offering exceptional service and state-of-the-art technical support. The POS software for pharmacies from CAM Commerce Solutions interfaces in real time to pharmacy systems. Our software gathers signatures for pseudoephedrine, Rx signature logs, the HIPAA Notice of Privacy Policy (NOPP), and integrates this with our POS system for easy reference, reporting, and auditing. We offer a complete customer management program with

frequent buyer clubs, gift cards, email campaigns, and more. We also offer an offline delivery application which can be used with any tablet, as well as fully integrated e-commerce. Supported dispensing systems include: WinRx (Computer-Rx), Rx30, EnterpriseRx (McKesson), ScriptAssist (RS Software), The Compounder (PK Software), PharmacyRx (McKesson), GuardianRx (CarePoint), SuiteRx, QS/1, and custom barcodes. Whether your pharmacy falls under the 90% exemption rule or requires an IIAS approved system, we have you covered. CAM is the leader in ensuring pharmacies are compliant with IRS legislation. RetailSTAR’s all-in-one retail management system includes: inventory management, automatic ordering, customer management, and advanced reporting. RetailSTAR offers a very powerful custom report generator that allows users to create reports that make sense for their unique business – not limited to end-of-month/end-of-year. In addition to the custom report generator, the system also has dozens of very useful “canned reports” which can be printed or displayed in an easy-to-read Windows-style format. You will no longer have to purchase third party tools to get the advanced reporting you require. RetailSTAR’s on-board reporting tools are designed to give pharmacies the flexibility and power they need for managing their retail operations. To learn more about our pharmacy solution or to see a demonstration, contact our sales team.

Features & Options • Point-of-Sale with EMV • Dispensing System Integrations • Product Imports and Updates • Pseudoephedrine Tracking • Prescription Delivery Application • Multi-Store Communications • Electronic Purchase Orders

• IIAS Compliant • SIGIS Eligible List • Gift Cards • E-signature Capture • Appriss NPLEx

MethCheck Integration

Testimonial

“ Prescriptions ready for pick up will appear on the POS screen. When the initial Rx bar code is scanned, the patient’s name automatically appears. The nutritional supplements and any other general merchandise the customer wants to purchase can be scanned in the same transaction, and the system prompts the patient to sign for their prescriptions – saving us a massive amount of time so we can provide great customer service.”

— Doug Schultz, President, Tobin’s Pharmacy

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NRx® – Starting the pharmacy management engine.

It’s a common story – Jeff began using RxCare Plus® more than 30 years ago after he bought his pharmacy. Then, he upgraded to NRx. “My experiences taught me that NRx was the way to go.”

Point-of-Sale – Priming the front end.

CUSTOMER STORY CornerDrugstore. com® and mobileRx® – Reaching patients where they are.

Interfaces – Increasing speed with more options.

QS/1 lets pharmacists use more third-party vendors than anybody else. Take an example from Jeff – he integrated NRx with an Eyecon® pill counter and cut staff hours from 8 to 2 during mandated drug inventories.

Like any business, independent pharmacies need to be online. QS/1 can build your website and a mobile app for refills. We handle delivery, too – which Jeff knows has been good for customer service.

SystemOne® – Following different revenue paths.

Successful independent pharmacists often expand into HME/DME – oxygen, CPAP machines, hospital beds, and more. QS/1’s SystemOne, alone or in conjunction with NRx, handles all documentation required to bill Medicare Part B.

OPEN

Community Pharmac y

CUSTOMER STORY New SCRIPT Standard – All systems go.

2017071

NRx has been certified to send and receive electronic prescriptions using the new NCPDP® Standard. Pharmacists like Jeff can look forward to new data fields that share important patient health information.

Accelerate your success with QS/1.

We pride ourselves on listening to the needs of community pharmacists. Contact us today about how we can help accelerate your business goals.

qs1.com/NRx

Find out more about Steve’s Pharmacy at redsetgo.com. From the word go, NRx – the industry’s most comprehensive retail pharmacy management system – has the tools that simplify workflow, manage inventory, increase adherence, get pharmacies mobile, and more. With emergency 24/7 customer service and nationwide hardware support, QS/1 can go with you, wherever you decide to go. We’re an employeeowned business, so for us it’s a family road trip.

ommunity Pharmacy

O N OPEN

#redsetgo © 2019, J M SMITH CORPORATION. QS/1, the QS/1 logo, NRx, SystemOne, RxCare Plus, mobileRx, Health-Minder, InstantFill, and CornerDrugstore.com are registered trademarks of the J M Smith Corporation. QS/1 is part of Smith Technologies, LLC, a subsidiary of the J M Smith Corporation.

NRxÂŽ lets you be all the things you are â&#x20AC;&#x201C; and more. As a community pharmacist, you are patient-driven, pressed for time, and deserve a comprehensive system that runs your pharmacy productively while providing revenueboosting opportunities. Thatâ&#x20AC;&#x2122;s why we pack NRx with features to improve patient health outcomes, drive business goals, and set you apart from competitors. With the most interfaces and services in the industry, our integrated solutions help you enter the specialty market, offer compounding, and provide immunizations. NRx gives you more time for what matters most to you.

Go for NRx / qs1.com/NRx / 800.231.7776

FA D E S C A R S T O A M E M O R Y ™ e o reduc t n w o sh Clinically arance of scars e the app

Fast-dr y silky-sm ing & ooth fe el

N O W AVA I L A B L E

DISCOVER THE AMAZON’S B E S T- K E P T S E C R E T

1-800-932-1039 | sales_us@medisca.com www.medisca.com

A brand by

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MEDISCA Welcomes COPADERM™ Professional Scar Care to Its Growing Family of Proprietary Brands COPADERM goes beyond silicone with a unique blend of premium skin-conditioning agents for a gentle, healing touch with a fresh organic scent. Another excellent addition to MEDISCA innovation – 30 years strong!

President & CEO: Antonio Dos Santos Founded: 1989

Employees: 450+ Toll-Free Phone:

(800) 932-1039 (855) 850-5855 Address: 661 Route 3, Unit C Plattsburgh, NY 12901 Website: www.medisca.com Toll-Free Fax:

Company Background MEDISCA proudly celebrates 30 years of delivering quality service to the pharmaceutical compounding industry and allied healthcare professionals worldwide. Together, MEDISCA, MEDISCA Network, and LP3 Network support prescribers, pharmacists, and pharmacy technicians engaged in personalized medicine by offering products and equipment, advanced formulation support, and educational trainings, respectively. Product Overview MEDISCA is very excited to welcome COPADERM to its growing family of proprietary brands. The dermatologistrecommended topical gel is the first of its kind to combine the natural healing benefits of Amazonian copaiba oil, the protective barrier of high-purity silicone gel, and carefully selected ingredients to improve the appearance of scars. Copaiba oil is a renewable natural ingredient with a rich history dating back centuries ago. When combined with premium, synergistically acting ingredients including sweet almond oil, Lipactive Inch Inchi®, and the clinically proven efficacy of silicone gel1, they provide an optimal environment on the skin and promote the healing of old and new surgical scars, burns, cuts, keloid scars, stretch marks, acne scars, wounds, and tattoos. MEDISCA’s luxuriously packaged COPADERM Professional Scar Care is ready to be sold without prescription at compounding and retail pharmacies across North America.

Features & Benefits • Visible results within 28 days.2 • Helps soothe itching and discomfort associated with scars. • Clinically shown to improve patient’s quality of life.3 Testimonial “ In our clinical trial we saw great clinical efficacy with no adverse events and no sensitivities. Copaderm will help reduce the appearance of scars for many patients in years to come.”

— Dr. Jill Waibel, Board Certified Dermatologist, Miami Dermatology and Laser Institute

Ordering Information

COPADERM is available to order through MEDISCA and can be sold without a prescription at compounding and retail pharmacies across North America. To order, please call (800) 932-1039 or visit www.medisca.com/copaderm to learn more.

old, Micheal H., et al. G “Updated international clinical recommendation on scar management: part 2-algorithms for scar prevention and treatment.” Dermatologic Surgery 40.8(2014):825-831.

2,3

Data on file.

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Your Total Pharmacy Solution

Find out what a total pharmacy solution can do for your business. Ready to learn more? 800.647.5288 sales@computer-rx.net computer-rx.com

ÂŠ 2019 Transaction Data Systems, Inc. | tdsclinical.com

800.289.7930 sales@rx30.com rx30.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 P R O F I TA B I L I T Y

Transaction Data Systems (Rx30/Computer-Rx) Pharmacy Software Solutions Providing innovative, robust, and easy-to-use pharmacy management, point-ofsale, multi-site management, and business management solutions to community pharmacies across the United States.

President & CEO: Jude Dieterman Founded: 1977 Employees: 500 Toll-Free Phone:

(800) 289-7930

Address: 788 Montgomery Avenue Website:

Ocoee, FL 34761 www.rx30.com | www.computer-rx.com

Company Background

For more than four decades, TDS has been dedicated solely to the success of community pharmacy. Today, over half of all community pharmacies utilize our software for their prescription filling/management needs. With systems in all 50 states, ranging from Alaska to Hawaii and down to the Virgin Islands, TDS (Rx30/Computer-Rx) is the unquestioned leader in pharmacy management software. Unlike other pharmacy software companies, TDS focuses on the full daily business of running a pharmacy – everything from filling prescriptions and managing inventory to bringing you clinical opportunities to drive revenue, critical analytics for your business, management tools, and more.

Product Overview

n Computer-Rx is our Windows-based platform offering an easy-to-use interface and robust tools for pharmacy management, pharmacy point-ofsale, delivery, and centralized pharmacy management. The Computer-Rx platform is a one-size-fits-all solution, easily scalable to fit the demands of any independent pharmacy. Computer-Rx solutions offer dynamic reporting tools and easy claim reconciliation. Inventory management is made easy with EDI ordering and receiving through seamless integrations with all major wholesalers and dozens of regional wholesalers. Using Computer-Rx, patient care is taken to the next level with innovative, integrated clinical solutions available only to TDS pharmacies. n Rx30 is our Linux-based software solution, providing a robust, easyto-learn management platform, point-of-sale software, and central management solution. Rx30 solutions offer multiple applications available to pharmacies and their patients to make managing patient medication regimens easy and interactive. The Rx30 platform offers fully automated e-scripts, revenue opportunities through innovative clinical solutions, and 80+ integration partners. Whether your focus is an independent retail pharmacy, small retail chain pharmacy, nursing home, nursing home consulting, compounding, or IV processing, we have all the tools to make your job easier!

Features & Options

n TDS offers pharmacies a total pharmacy solution including robust pharmacy management software, integrated point-of-sale, centralized

pharmacy management for multiple locations, mobile/delivery tools, patient applications, integrated communication tools, integrated clinical opportunities portal, retail business services, state-of-the-art claims reconciliation services, business management tools, credentialing, and more. • Scalable Workflow • Robust Business Tools • In-Workflow Alerts • Built-In and Integrated MTM • Central Management • Controlled Substance Patient Monitoring Program • Automated, Off-Site Data Backup • E-Fax and Text • Cash Pricing Program • Cyber Security and Breach Protection • Patient-Focused Care • Integrated Point-of-Sale • One-Click PDMP Review • eCare Plans • Online Pharmacy Reporting Dashboard • Credentialing • Patient Targeting and Clinical Tools • 340B Analytics • Claim Reconciliation Services • Marketing Tools and Applications n Enhanced Medication Services (EMS) is an exclusive part of the TDS family and services all Computer-Rx and Rx30 users’ clinical needs. The EMS team of trained clinicians provides high-quality, clinical intervention outreach services to patients and providers in collaboration with pharmacies and health plans, working with patients to ensure they take their medications and resolve medication-related problems. EMS engages with providers in facilitating needed prescription updates and changes. These interventions provide “quality lift” for TDS partner pharmacies and health plans to achieve high-level performance on quality measures and improve health outcomes.

Key Customers

Independent pharmacies across the U.S. including retail, regional chain, hospital-owned, specialty, and compounding.

Ordering Information

For more information on TDS solutions and how they can help your independent pharmacy thrive, call (800) 647-5288 or visit www.rx30.com and www.computer-rx.com to learn more.

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Schedule a live demo or webinar today

(855) 544-2122

http://www.minibarrx.com/interest-form.php

info@MinibarRx.com MinibarRx.com info@MinibarRx.com f i ib || MinibarRx.com i ib

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FFF Enterprises, Inc. – The Nation’s Most Trusted Specialty Distributor Our dedication to Helping Healthcare Care® means that we provide you with the products, programs, and services that give you the freedom to focus on patient care. President & CEO: Patrick M. Schmidt Founded: 1988

Employees: 300+ Toll-Free Phone:

(800) 843-7477 (951) 296-2500 Toll-Free Fax: (800) 418-4333 Address: 44000 Winchester Road, Temecula, CA 92590 Website: www.fffenterprises.com Phone:

Company Background

FFF Enterprises was founded on our commitment to Guaranteed Channel Integrity®, our pledge to purchase product directly from the manufacturer, and ship only to a licensed healthcare professional. With a perfect safety track record of counterfeit-free product distribution since 1988, FFF continues to set the standard for patient safety, product efficacy, and fair pricing for the critical-care products that improve the quality of life for the patients we serve. Our mission of Helping Healthcare Care® is the benchmark by which we measure all our actions. We consider this not just the FFF way, but the only way.

Product Overview

FFF Enterprises is the largest and most trusted specialty distributor of flu vaccines, plasma products, adult and pediatric vaccines, biosimilars and other specialty biopharmaceuticals, and pharmaceuticals. Our customers, who include hospitals, physician practices, homecare companies, and other healthcare providers, receive products through an interactive allocation process. Additionally, we have the technology and equipment to place pharmaceuticals on-site at providers’ offices under our forwarddeployed inventory program, which enables providers to keep products readily available for their patients’ needs.

Additional Product Modules

n MinibarRx® combines over 30 years in distribution and over 40 years in smart refrigeration to bring you the strongest inventory management solution for vaccines and biologics. This no-cost, state-of-the-art medical grade refrigeration system that delivers 24/7 temperature monitoring, automated inventory management, and a record of all dispensed items. A fully customizable menu of vaccine presentations, including single-dose vials, multi-dose vials, and pre-filled syringes, gives clinicians flexibility to store vaccines by specialty. With our forwarddeployed inventory solution, today’s clinician will now have the ability to vaccinate any patient requiring a high-cost vaccine without worrying about their ability to stock the item. As a result, vaccine compliance will increase as clinicians now have access to vaccines, regardless of cost. A unique user ID secured door tracks users and their activity within the refrigerator, allowing for the tracking and controlling of vaccine

inventory and improved management. MinibarRx® is the smart refrigerator that helps make the management of your vaccine inventory worry-free. n Verified Inventory Program® is a forward-deployed inventory product program featuring specially equipped systems that continuously monitor critical-care product inventory and replenish products as they are used. Offering time and cost-savings among other benefits, this program streamlines inventory par management levels so that you can worry less about inventory and spend more time on patient care. n Nufactor is a specialty infusion company and a subsidiary of FFF Enterprises, Inc., the largest and most trusted distributor of plasma products, vaccines, biosimilars, and other specialty pharmaceuticals and biopharmaceuticals. Nufactor, established in 1995, specializes in the treatment of patients with chronic conditions, with concentration on treating rare disease states in neurology, immunology, hematology, oncology, dermatology, and rheumatology. The company also supports the immune globulin community through IG Living magazine, a publication devoted to promoting patient advocacy, education and communication. Nufactor is dedicated to solving the chronic problems of affordability, availability, and safety in disease state management for chronically ill patients. Nufactor is deeply committed to the philosophy of providing philanthropic support to the patient communities they serve, including hemophilia, immune deficiencies, and peripheral neuropathies, among others. n Through MyFluVaccine™ our revolutionary online vaccine ordering platform, we provide advantages that our competitors simply cannot match: 1) Choice – comprehensive all-products portfolio from the industry’s top manufacturers, 2) Convenience – pick your preferred delivery dates, and 3) Safety – Guaranteed Channel Integrity™ ensures a safe supply. With MyFluVaccine, you can take control and manage your flu inventory with ease by selecting multiple presentations from multiple manufacturers, thus mitigating the inherent risks associated with purchasing flu vaccines. n BioSupply® online ordering system makes ordering your products easy, fast, and convenient. This easy-to-use demand-based product distribution platform is your online portal for ordering FFF’s full portfolio of criticalcare biopharmaceuticals, including: adult vaccines, albumin, ancillaries, antithrombin, biosurgical, coagulation, hyperimmune globulin, influenza vaccines, immune globulins, pharmaceuticals, and pediatric vaccines. n Lot-Track® service tracks products by lot number and provides recall notification within four hours directly to those affected. Lot-Track electronically captures and permanently stores each product lot number, matched to customer information, for every vial of critical-care product we supply. Our Lot-Track team monitors manufacturer and FDA information sources for important product safety or recall notices. In the event of an FDA or manufacturer-initiated recall, Lot-Track searches for the affected lot numbers, retrieves the customer data and begins automatic notification, immediately upon receipt of a recall announcement. FA L L 2 0 1 9

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CASE STUDY The New Standard of Diabetes Care: Continuous Glucose Monitoring in Pharmacy Practice

Ronald Simbulan, RPh Director, Mail Order and Specialty Pharmacies ~ RWJBarnabas Health

Patients with Type 1 (T1D) and Type 2 diabetes (T2D) who are using intensive insulin, defined as three or more injections of insulin per day or the use of an insulin pump, may have frequent unrecognized episodes of hypoglycemia during the day and at night. These frequent episodes can result in a patientâ&#x20AC;&#x2122;s awareness of hypoglycemia becoming impaired, where they have trouble â&#x20AC;&#x153;feeling their lowsâ&#x20AC;? and leaving them more at risk for severe hypoglycemia and its potential consequences of seizures, coma, or even death. The American Diabetes Association recommends that patients using intensive insulin monitor their blood glucose levels at least 6 to 10 times per day in order to make diabetes treatment decisions regarding diet, lifestyle, and the safe and effective use of their treatment. Unfortunately, due to the pain, burden and inconvenience of fingerstick testing, many patients test far fewer times than recommended to successfully manage their disease. Due to the stress and consequences of hypoglycemia, many patients on intensive insulin and even their caregivers may develop a fear of hypoglycemia and will test with fingersticks throughout the night to prevent a seizure or even death due to a hypoglycemic episode. Unfortunately, most patients and caregivers then decide to use less insulin than prescribed, leaving the patient hyperglycemic with essentially uncontrolled diabetes. For many patients and caregivers, monitoring with fingersticks is difficult and does not provide enough information to manage their diabetes with the stress affecting their sleep, quality of life, and productivity at school and work.

www.dexcom.com

CASE STUDY REAL-TIME CONTINUOUS GLUCOSE MONITORING

vs. INTERMITTENTLY SCANNED CONTINUOUS GLUCOSE MONITORING There are differences in commercially available continuous glucose monitors (CGMs), which are available as real-time or intermittently scanned. Real-time CGM does not require any action on the user’s part for glucose data to be transmitted automatically to the receiver. An intermittently scanned CGM requires users to take an action to actively scan the sensor for their glucose data to be displayed. The Dexcom CGM system is the only real-time CGM available for patients 2 years and older. The user or caregiver is able to make diabetes treatment decisions with zero fingersticks and no calibrations.* The Dexcom G6 lets patients see their glucose numbers on their compatible smart device or receiver, receive alerts when their glucose levels are heading high or low, and share their data with up to 10 followers.

OPPORTUNITY FOR PHARMACISTS Pharmacists are considered one of the most trusted and accessible health care professionals. For this reason, they are afforded the opportunity to identify patients and caregivers who may be struggling with diabetes management and offer solutions such as real-time continuous glucose monitoring (CGM). CGM is increasingly recognized as the standard of care for people with T1D and insulin-requiring T2D and one of the most important advances in managing T1D since the discovery of insulin. Ronald Simbulan, RPh, Director, Mail Order and Specialty Pharmacies at RWJBarnabas Health in West Orange, New Jersey conducted an outreach program to employees and dependents who were using mealtime insulin. Patients were informed that CGM could help them manage their diabetes and if they agreed, the pharmacy would contact their provider to obtain a prescription for CGM. “We needed to help our employees and dependents with diabetes manage a difficult disease and, based on the evidence, we felt that recommending real-time CGM to those who could benefit was important,” Simbulan noted. The education and outreach by the pharmacy was appreciated, with many patients agreeing to have the pharmacist discuss CGM with their provider and to request a prescription. “Don’t assume that the patient’s doctor discussed CGM – we found that most patients who could benefit from CGM weren’t even aware that it was available as an option for them,” Simbulan advised.

DEXCOM REAL-TIME CONTINUOUS GLUCOSE MONITORING The Dexcom G6 is the only real-time CGM that is FDA approved for patients ages 2 and older. The user or caregiver can make diabetes treatment decisions without confirmatory fingersticks or calibrations.* The Dexcom G6 is approved for patient self-start and uses a simple one-touch auto-applicator to insert a small water-resistant sensor just beneath the skin. The sensor continuously measures glucose levels and sends data wirelessly to a display device through a transmitter. The display device is either a small touch screen receiver or a compatible smart device, which displays realtime glucose data with rate and direction 24 hours a day. The system alerts patients when it is time to change sensors and transmitters; the sensor is replaced every 10 days and transmitters are replaced every 90 days. The glucose readings with rate and direction help Dexcom CGM users proactively manage glucose highs and lows, plus give added insight into the impact that meals, treatment, exercise, and illness may have on their glucose levels. Dexcom CGM users are also notified with customizable alerts and alarms if their glucose is heading high or low, allowing them to take action to prevent and/or treat the high or low glucose levels. The CGM data can also be shared with up to 10 followers who will receive the user’s glucose data in real time and can then check in or assist if needed. Users can also allow their providers access to the last 90 days of their glucose readings via CLARITY software reports. The diabetes management application, CLARITY, lets providers and patients identify glucose trends and patterns to assist in making changes to the diabetes management plan.

www.dexcom.com

*If your glucose alerts and readings from the G6 do not match symptoms or expectations, use a blood glucose meter to make diabetes treatment decisions.

CASE STUDY Who Should Use Continuous Glucose Monitoring? Continuous glucose monitoring (CGM) is recommended for patients with type 1 and type 2 diabetes who use any form of mealtime insulin (with or without a pump). Pharmacists can expand their patient-care relationships to identify, educate, and advocate for those who may benefit from CGM, as conversations and screening of hypoglycemia and suboptimal compliance can occur at the pharmacy quite readily.

Pharmacy profile-related indicators to identify patients who may benefit from CGM include: • Use of multiple daily insulin injections • Use of mealtime insulin • Use of an insulin pump • Fills for glucagon or glucose tablets • Excessive test strip use • Low test strip use • Erratic insulin fills • Reduced insulin fills

IN CONCLUSION There have been tremendous advances in CGM technology; in fact, CGM is an emerging standard of care in diabetes management, particularly for patients with T1D and T2D using three or more insulin injections per day or receiving insulin through a pump. Pharmacists are uniquely positioned to identify patients with diabetes who are struggling with the challenges of using their insulin safely and effectively and could benefit from continuous glucose monitoring. The value of real-time CGM glucose data cannot be understated, as studies have shown that CGM use can result in lower A1c values and reductions in hypoglycemia and hyperglycemia for patients of all ages, education levels, and mathematical ability. The Dexcom system is available through all pharmacy wholesalers, and access and coverage are increasing, with many insurers covering the technology through the pharmacy benefit. Additionally, Medicare currently covers CGM for patients with T1D and T2D who are using intensive insulin treatment. To learn more, Dexcom’s website (https://www.dexcom.com) offers a wealth of educational content, videos, and promotional print materials to share with patients, which are available upon request. Also, CGM continuing education for pharmacists is available on https://cgmeducation.net/ and https://www.powerpak.com/course/preamble/118584. Please contact Roy Thomas, PharmD at roy.thomas@dexcom.com for more information on how CGM can be incorporated into your pharmacy practice for patients with diabetes.

REFERENCES Trief PM, Cibula D, Rodriguez E, Akel B, Weinstock RS. Incorrect insulin administration: a problem that warrants attention. Clin Diabetes. 2016 Jan; 34(1):25-33. doi: 10.2337/diaclin.34.1.25. American Diabetes Association. Standards of Medical Care in Diabetes—2019. Diabetes Care. 2019 Jan; 42(suppl 1). https://care. diabetesjournals.org/content/42/Supplement_1. Accessed August 1, 2019. Petrie JR, Peters AL, Bergenstal RM, et al. Improving the clinical value and utility of CGM systems: issues and recommendations. Diabetologia. 2017;60:2319. https://doi.org/10.1007/s00125-017-4463-4. Fonseca VA, Grunberger G, Anhalt H, et al on behalf of the Consensus Conference Writing Committee. Continuous glucose monitoring: a consensus conference of the American Association of Clinical Endocrinologists and American College of Endocrinology. Endocr Pract. August 2019;22(8):1008-1021. https://doi.org/10.4158/EP161392.CS. Accessed August 1, 2019. Welsh JB. Role of Continuous Glucose Monitoring in Insulin-Requiring Patients with Diabetes. Diabetes Technol Ther. 2018;20(S2):S242-S249. Edelman SV, Hirsch IB, Pettus JH. Practical management of type 1 diabetes. Professional Communications, Inc.; 2014. Juvenile Diabetes Research Foundation Continuous Glucose Monitoring Study Group, Tamborlane WV, Beck RW, Bode BW, et al. Continuous glucose monitoring and intensive treatment of type 1 diabetes. N Engl J Med. 2008;359(14);1464-1476. Beck RW, Riddlesworth T, Ruedy K, et al. Effect of continuous glucose monitoring on glycemic control in adults with type 1 diabetes using insulin injections. The DIAMOND Randomized Clinical Trial. JAMA. 2017;317(4):371-378. doi:10.1001/jama.2016.19975. Beck RW, Riddlesworth TD, Ruedy K, et al. Continuous glucose monitoring versus usual care in patients with type 2 diabetes receiving multiple daily insulin injections: a randomized trial. Ann Intern Med. 2017;167:365-374. doi: 10.7326/M16-2855. Lind M, Polonsky W, Hirsch IB, et al. Continuous glucose monitoring vs conventional therapy for glycemic control in adults with type 1 diabetes treated with multiple daily insulin injections. The GOLD Randomized Clinical Trial. JAMA. 2017;317(4):379-387. Šoupal J, Petruželková L, Flekač M, et al. Comparison of different treatment modalities for type 1 diabetes, including sensor-augmented insulin regimens, in 52 weeks of follow-up: a COMISAIR Study. Diabetes Technol Ther. 2016;18(9):532-538.

www.dexcom.com

SMARTPHONE COMPATIBILITY † WATER-RESISTANT WEARABLE ‡

zero fingersticks with the DExcom G6 Continuous Glucose monitoring (CGM) system. *

SMALL SENSOR SIMPLE AUTO-APPLICATOR 10-DAY SENSOR WEAR ALERTS AND ALARMS SHARE GLUCOSE DATA § AGES 2 YEARS AND UP *If your glucose alerts and readings from the G6 do not match symptoms or expectations, use a blood glucose meter to make diabetes treatment decisions. † For a list of compatible devices, visit www.dexcom.com/compatibility. ‡ The Dexcom G6 Sensor and Transmitter are waterresistant and may be submerged under eight feet of water for up to 24 hours without failure when properly installed. §Separate Follow app required. Available by prescription only. Failure to use the Dexcom G6 Continuous Glucose Monitoring System (G6) and its components according to the instructions for use provided with your device and available at https://www.dexcom.com/safety-information and to properly consider all indications, contraindications, warnings, precautions, and cautions in those instructions for use may result in you missing a severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose) occurrence and/or making a treatment decision that may result in injury. If your glucose alerts and readings from the G6 do not match symptoms, use a blood glucose meter to make diabetes treatment decisions. Seek medical advice and attention when appropriate, including for any medical emergency. Dexcom and Dexcom G6 are registered trademarks of Dexcom, Inc. in the U.S., and may be registered in other countries. ©2019 Dexcom, Inc. All rights reserved. This product is covered by U.S. patent. LBL017519 Rev001

Always know your glucose level and where it’s heading with just a glance at your smartphone or watch.† Smart devices sold separately.

For more information, visit provider.dexcom.com

For the Pharmacist: Dexcom G6 Ordering Information QUANTITY

REFILLS

NDC

CARDINAL

MCKESSON

AMERISOURCE BERGEN

DEXCOM G6 RECEIVER KIT

1-PACK

ONCE A YEAR

08627-0091-11

5447537

3788783

10186954

DEXCOM G6 TRANSMITTER KIT

1-PACK

EVERY 3 MONTHS

08627-0016-01

5447545

3788841

10186958

DEXCOM G6 SENSOR KIT

3-PACK

EVERY 30 DAYS

08627-0053-03

5447552

3788858

10186959

PRODUCT

If your patient does not have pharmacy beneﬁt coverage: Have them call Dexcom at 888-738-3646 for a durable medical equipment (DME) beneﬁts check or FAX the order to Dexcom at 877-633-9266.

Voucher Oﬀer—Up to $140 in Co-Pay Savings!†

Commercially insured patients may be eligible to save up to $140 in co-pays on the Dexcom G6 components.† If they have not activated their offer, have them visit dexcom.com/pharmacyoffer or offer to register for them. For more information about Dexcom CGM, visit provider.dexcom.com. Smart device sold separately.*

* For a list of compatible devices, visit dexcom.com/compatibility † Maximum Savings Limit applies. Patient out-of-pocket expense may vary. Please visit dexcom.com/pharmacyoﬀer for program terms, conditions, and elibility criteria. BRIEF SAFETY STATEMENT Failure to use the Dexcom G6 Continuous Glucose Monitoring System (G6) and its components according to the instructions for use provided with your device and available at https://www.dexcom.com/safety-information and to properly consider all indications, contraindications, warnings, precautions, and cautions in those instructions for use may result in you missing a severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose) occurrence and/or making a treatment decision that may result in injury. If your glucose alerts and readings from the G6 do not match symptoms or expectations or you’re taking over the recommended maximum dosage amount of 1000 mg of acetaminophen every 6 hours, use a blood glucose meter to make diabetes treatment decisions. Seek medical advice and attention when appropriate, including for any medical emergency. ©2018 Dexcom Inc. All rights reserved. This product is covered by U.S. patent.

LBL016867 Rev001 MT25652

Compliance Packaging? Pharmacy Automation Supplies has that!

Help Your Patients Organize Their Medications BLISTER CARDS Easy-to-Use Med Organizer • NO Automation Required • Fully Customizable • Cold and Heat Seal Available • Weekly and Monthly Options • Compatible with SynMed

POUCH PACKAGING Branded Dispensing Boxes • Fully Customizable • Five Convenient Sizes • Fits Packaging From all Pouch Packagers • Stock Options Also Available

Let everyone know that your pharmacy does that! www.pharmacyautomationsupplies.com (800) 798-1401

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 P R O F I TA B I L I T Y

Save Money and Promote Your Compliance Packaging Program With Consumables From PAS A trusted name in healthcare supplies for over 100 years, our complete line of supplies is designed for you to help patients increase their medication adherence. President & CEO: Michael Wortel Founded: 1902

Employees: 100+ Stock Symbol:

Private Company (800) 798-1401 Phone: (630) 953-0485 Fax: (630) 953-0489 Address: 146 S. Pinnacle Drive Romeoville, IL 60446 Website: www.pharmacyautomationsupplies.com Toll-Free Phone:

Company Background

Pharmacy Automation Supplies (PAS) has been using our manufacturing capabilities to support pharmacies for over 100 years. We began as a small local print manufacturer addressing the label and bag needs of a few regional pharmacies, but have grown to one of the largest and most relied upon suppliers in the country as a result of our dedication to competitive pricing, reputation for quality, and consistent industryleading turnaround times. In addition to a traditional retail pharmacy, we focus on supporting the evolving needs of all the unique and dynamic segments of pharmacy (including retail, LTC, hospital, specialty, central fill, institutional, nuclear, and much more). We know our products are counted on to perform in the most demanding pharmacy environments every day. We hold ourselves to the same high standards of accuracy, consistency, and execution that pharmacies do themselves. Our state-of-the-art manufacturing and distribution facilities feature 20 high-speed flexographic printing presses, PVC blister thermoforming machines, an in-house art and graphics department, plate manufacturing, inside sales division, customer service, and over 30,000 square feet of warehouse space devoted to addressing the needs of pharmacies. PAS’s newest initiative to support our clients has been a significant capital investment to offer new products to pharmacies with strip/pouch packagers. We offer five sizes of fully customizable boxes (with more in development) in addition to thermal transfer ribbons, spools, and the fastest winder on the market to help you get the most out of your investment in automation, reduce the time it takes to check/pack boxes, and promote your program to the communities you serve.

Why PAS?

In what’s become an increasingly competitive marketplace, Pharmacy Automation Supplies recognizes that reducing costs on supplies is essential to the long-term success of all pharmacies. PAS’s goal is to help your pharmacy save time and money with our high-volume lowmargin business model and by being the only supplier needed for the most frequently used packaging consumables in your daily operations.

With our short and long-run custom manufacturing capabilities on pharmacy labels, prescription bags, and blister cards, PAS can help pharmacies of all sizes and volumes achieve branding consistent with how they want to market/promote the most visible parts of the prescription to patients. Through continued investments in tooling and machinery, we continue to demonstrate that our efficiencies and run speeds allow us to set industry pricing without ever sacrificing the quality and lead times that have fueled our growth over the last 100 years. In addition to our print capabilities, and in response to repeated customer requests over the years, we’ve leveraged our warehouse space to provide a one-stop-shop and wholesale pricing on other commonly used products in the industry. While we’re always adding new products in response to changes in the industry, our most popular warehoused products include: authentic Lexmark toners, thermal transfer ribbons, and strip/pouch packaging supplies.

Product Overview

Pharmacy Automation Supplies Specializes in the Manufacturing and Distribution of:

n NEW – Ask us about the Smarxt Winder and Spool System n Blister Cards • Unit Dose Heat and Cold Seal Cards • Qube and Qube Mini Weekly Multi-Dose Cards • Qube31 Monthly Multi-Dose Cards • FlexRx and FlexRx Lite Weekly Multi-Dose Cards n Strip/Pouch Packaging Supplies • Thermal Transfer Ribbons • Paper/Foil Rolls for Strip and Pouch Filling Automation • Stock and Custom Boxes to Hold and Dispense Pouches • Smarxt Spool System for Organizing, Reviewing, and Dispensing Rolls

n Pharmacy Labels • Direct Thermal and Thermal Transfer Labels • Specialty LTC Labels with Re-Order Pull Tabs

• Direct Thermal Kits for Vial Filling Robots • Laser Labels n Prescription Bags • Eight Sizes of Pharmacy Paper Bags • Two Sizes of Plastic OTC T-Shirt Style Bags

n Pharmacy Vials/Bottles n Lexmark Toners for Label Application FA L L 2 0 1 9

Smarxt Spool System

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reporting and benchmarking database service.

YEARS

1994-2019

*The Compliance Team, Inc. is approved by the Centers for Medicare and Medicaid Services to accredit Part A-Rural Health Clinic, Patient-Centered Medical Home, and Part B-DMEPOS providers.

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The Compliance Team – Celebrating 25-Years Pharmacy Accreditation Without the Complexity The USA’s only certified woman-owned healthcare accreditation organization (AO) is nationally recognized and approved by Medicare to accredit both Part A and Part B providers.

Founder & CEO: Sandra C. Canally, RN Founded: 1994 Employees: 35 Toll-Free Phone:

(888) 291-5353 (215) 654-9110 Fax: (215) 654-9068 Address: P.O. Box 160, 905 Sheble Lane, Suite 102 Spring House, PA 19477 Website: www.TheComplianceTeam.org Phone:

Company Background The Compliance Team, Inc. (TCT) is the “brainchild” of Sandra (Sandy) C. Canally, RN. The pioneer nurse oncologist, passionate life-long patient care advocate, and indefatigable optimist established TCT in 1994. Sandy was convinced back then that the legacy healthcare accreditation programs of the day had grown needlessly complex and caused distractions that often led to sub-par patient care. “The starting point for improvement is to recognize the need.”

Undaunted by the many naysayers, Sandy started work on SafetyHonesty-Caring®, her series of operations-based quality standards and evidence of compliance that serve to drive The Compliance Team’s Medicare-approved Exemplary Provider® Award accreditation programs. Following four-years of development and field testing, her program for Durable Medical Equipment (DME) was filed at the Library of Congress in November 1998; five-years prior to the passage of the Medicare Modernization Act of 2003 that mandated accreditation for DME providers. Product-line and service specific, all 36-pages were presented in plain easy-to-understand terms; in sharp contrast to the densely written 300+ page AO standards of the time. “ Were there none who were discontented with what they have, the world would never reach anything better.”

― Florence Nightingale

TCT’s quality standards are coupled with a dramatically simplified implementation process to make accreditation less of a burden to providers seeking a low-cost way to validate their quality claims. Presently, in addition to being recognized by managed care

entities nationwide, The Compliance Team has been approved by Medicare to accredit Part A-Rural Health Clinic (RHC) and Patient-Centered Medical Home (PCMH) practitioners; as well as all Part B-Durable medical equipment, prosthetics, orthotics, supplies (DMEPOS) providers. TCT is also the only national accreditation organization authorized by the Secretary of Health and Human Services to confer Exemplary Provider® Award accredited status. “ It is not enough to do your best; you must know what to do, and then do your best.”

― W. Edward Deming

Rx Accreditation Services The Compliance Team’s accreditation programs for pharmacy include on-going mentoring, policy and procedure templates; self-assessment checklists, and corporate compliance/anti-fraud plans. Also included is a subscription to TCT’s Patient Quality Measurement™ web portal, the DMEPOS industry’s oldest national patient satisfaction reporting and benchmarking database. An expert Accreditation Advisor is assigned to each new pharmacy program participant. A series of comprehensive implementation webinars take place covering all relevant day-to-day business practices that involve: administration, patient services, infection control, risk management, corporate compliance, human resources, and government regulatory measures. In addition, TCT’s Community Pharmacy plus DMEPOS accreditation program can expand to include tracks for infusion, compounding, specialty drugs, in-store clinic, longterm care, telepharmacy™, chronic care management, diabetes self-management training, and patient-centered pharmacy home™; TCT’s advanced Rx program focusing on patient care management and planning, as well as, pharmacist/prescriber communications and coordination. It all adds up to an unrivaled pharmacy accreditation value that gives independents and chains a cost-effective means to validate quality claims across the full spectrum of their patient care practices to go along with the consumer-friendly Exemplary Provider®-accredited moniker they justly deserve.

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Medi-Dose

EPS ...thE right PrEScriPtion for PharmaciStS ®

EPS

High quality, safe and effective products for medication administration, preparation and dispensing...in stock for fast shipment worldwide.

Unit Do s Bar Co e, ding, Pharm a Nursin cy & g Supp ly Expert s!

Visit our website for our EZ order system!

EPS

Exceptional Products and Service A Member of The Medi-Dose® Group

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 P R O F I TA B I L I T Y

Medi-Dose, Inc./EPS, Inc. Your Community Pharmacy Supply Experts For over 40 years, Medi-Dose/EPS has been working with pharmacists to design and support cost-effective products, solving the specific needs of their pharmacies.

Robert Braverman Founded: 1971 Employees: Private Toll-Free Phone: (800) 523-8966 Phone: (215) 396-8600 Toll-Free Fax: (800) 323-8966 Address: 70 Industrial Drive Ivyland, PA 18974 Website: www.medidose.com Email: info@medidose.com

Product Specifications n Sterile IV Accessories • Safety Products • Labeling Products • Filtering Products • Dispensing Products

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. He developed the Medi-Dose System to package, handle, and dispense predetermined amounts of medication so they would be accessible for one regular dose.

n Labeling • Pharmacy Auxiliary Labels • Liquid Packaging Labels • Tamper-Evident Labels

President:

Because of the continued success of the Medi-Dose System, Medi-Dose/EPS expanded its product line to include a full-line of compounding supplies, disposable products, liquid packaging, labeling, and oral syringes designed specifically for the pharmacy professional. We pride ourselves on being the “old friend of the family” and have long-standing products designed to meet the needs of your retail, community, and compounding pharmacy.

Product Overview n Products for the Compounding Pharmacist With Steri-Dropper Bottles, liquid packaging, oral syringes, labeling, safety products, and software, Medi-Dose/EPS is your pharmacy’s source for compounding supplies! The science of pharmaceutical compounding poses unique challenges to pharmacists in the community setting. Whether caring for people or animals, pharmacists have to meet the stringent requirements of USP 797, 800, and other pertinent guidelines, address the unique concerns and conditions of their patients and do it economically and efficiently. Medi-Dose/ EPS compounding products are integral solutions helping you manage this vital but complex process while providing the care and protection your patients need.

n Steri-Dropper • Sterile Packs of Either Two or Ten Bottles, Tips, and Caps • Special Zinc Stearate-Free Resin • Four Sizes: 3, 7, 10, and 15 mL

n Safety Products • Care Giver Protection • Identification • Disposal

Additional Products We are the source for all your pharmacy’s ancillary products! Bags, bottles, trays, and totes are among a few of the many other supplies we carry. Anything that’s necessary for proper handling in a retail pharmacy setting – you can count on Medi-Dose/EPS! Ordering Information For additional information, please call us at (800) 523-8966, visit our website at medidose.com, or email us at info@medidose.com.

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Call or visit us online today 800-239-5288 letcomed.com/RxQuality COMPOUNDING INGREDIENTS | ADVISORY SERVICES

| SUPPLIES | SPECIALTY PRODUCTS | EQUIPMENT

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 P R O F I TA B I L I T Y

Letco Helps Compounding Pharmacies Stay Compliant and Profitable

With changing regulations and an evolving market, Letco Medical understands the need for a new approach to compounding. They believe in truly partnering with pharmacies, not just as a supplier, to help you take full advantage of your profit potential.

President & CEO: Doug Bowman Founded: 1993

Employees: 100+ Toll-Free Phone:

(800) 239-5288

Address: 1316 Commerce Drive

Decatur, AL 35601

Website: www.letcomed.com

Company Background Since 1993, Letco Medical has built a reputation as one of the most innovative companies in the compounding industry. An employee-owned company with locations across the U.S., Letco is the supply partner of choice for profit-conscious compounding pharmacies. With a dedicated focus on the compounding market and an unsurpassed record in quality assurance, Letco provides a wide and comprehensive portfolio of top-quality chemicals, compounding supplies, and equipment. Their extensive catalog and complementary programs and services have been designed to serve the needs of compounding pharmacies today, tomorrow, and into the future. Letco is focused on unwavering quality, exemplified by the company’s industry-leading quality control procedures and an unmatched record with the FDA. • We are an FDA-registered cGMP facility with VAWD accreditation. • We are committed to an ethical standard that begins and ends with quality. • The solutions we provide, and our operations to provide them, push us towards perfection. • Our commitment to every customer is to provide the highest level of service.

Product Overview Letco’s product line includes hundreds of chemicals and APIs covering a broad range of therapeutic categories as well as supplies, equipment, capsules, and pre-made topical bases. An extensive range of dosage forms and delivery systems are available including topicals, injectables, liquids, transdermals, inhalation, oral solids, and controlled-release.

Proprietary Programs & Services In addition to safe and consistent chemicals, bases and other supplies, Letco provides a wide array of services to serve compounders’ growing needs: • Compounding Support Services: Provided to customers at no additional charge – we have you covered for pharmacy consultation, formulas, formulation support, lab design, USP <800>, and a variety of other expert technical support. • Education Value Program: Save up to 60% on continuing education thanks to Letco’s partnership with the American College of Apothecaries to provide quality training at a great value. • Quality Savings Program: Save up to 20% on laboratory services and testing costs with our exclusive partnership with ARL Bio Pharma, the nation’s leading analytical laboratory. • Regulatory Solutions Program: Get expert regulatory consulting and deliverables, including USP readiness assessments, customized SOP libraries, and more. • Financial Services Program: Finance 100% of the cost of the equipment with flexible payment programs to suit your business. • ValueVue: A proprietary process to assess your pharmacy’s purchasing efficiency, so you can save up to 30% on compounding purchases. Letco takes pride in delivering the products, services and support needed to meet today’s challenges, and they are equally committed to facing the future as your trusted partner. With complete dedication and focus on customers, Letco is the ideal partner to help you take full advantage of significant profit opportunities and fill all of your compounding pharmacy’s needs. We Are Letco. Let Us Help. For more information, visit letcomed.com.

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PHARMACY RETURNS SOLUTIONS & RESOURCES Q&A

& Q A

U.S. Environmental Protection Agency

Q. What is the Hazardous Waste Pharmaceutical Final Rule and what does it do?

with their hazardous waste pharmaceuticals, which will keep more pharmaceuticals out of municipal waste landfills and sewers.

On February 22, 2019, EPA finalized the new Resource Conservation and Recovery Act (RCRA) regulations for managing hazardous waste pharmaceuticals. The final rule consists of three primary components:

Q. Who is affected by Subpart P of this final rule?

1.) Amends the hazardous waste listing for nicotine (Waste Code P075) such that FDA-approved over-the-counter nicotine patches, gums, and lozenges will no longer be considered hazardous waste when discarded. 2.) Creates new Subpart P in 40 CFR Part 266 (“Subpart P”), which contains new regulations that have been tailored specifically to the healthcare sector (including pharmacies and retail stores that sell pharmaceuticals) to improve the management of hazardous waste pharmaceuticals and thereby enhance protection of human health and the environment. Subpart P addresses the regulatory status of prescription pharmaceuticals going through reverse distribution and non- prescription pharmaceuticals going through reverse logistics. 3.) Establishes EPA’s Reverse Logistics Policy, which addresses the regulatory status under RCRA of all other unsold retail items going through reverse logistics. This final rule provides solutions to many of the hazardous waste management issues facing healthcare facilities, including retail stores that sell pharmaceuticals. Healthcare workers and retail pharmacy employees are often unfamiliar with RCRA hazardous waste management requirements, leading to inadvertent mismanagement of hazardous waste pharmaceuticals as municipal waste or medical waste. Subpart P streamlines the hazardous waste regulations for these wastes, reduces the compliance burden on healthcare personnel and healthcare facilities, and ensures that more hazardous waste pharmaceuticals are managed properly. Subpart P provides a practical system for the management of hazardous waste pharmaceuticals that is easier to comply with than the industry-oriented hazardous waste generator regulations. Accordingly, EPA encourages healthcare facilities to manage their non-hazardous pharmaceutical waste under the final rule, along

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Healthcare facilities (including retail pharmacies) and reverse distributors will follow these new, tailored standards for managing their hazardous waste pharmaceuticals. Subpart P does not apply to pharmaceutical manufacturers (unless they act as reverse distributors), production facilities, or other generators of hazardous waste pharmaceuticals (e.g., farms or ranches). Those facilities remain subject to all other applicable hazardous waste regulations. In addition, the amendment to the P075 hazardous waste listing for nicotine applies to anyone (i.e., not just healthcare facilities or reverse distributors) who generates or manages discarded FDAapproved over-the-counter nicotine replacement therapies (i.e., patches, gums, and lozenges). Finally, the sewering prohibition in Subpart P is effective on August 21, 2019. This is the one provision in Subpart P that applies to ALL healthcare facilities and reverse distributors, including healthcare facilities that are classified as Very Small Quantity Generators (VSQGs). VSQG healthcare facilities are not required to comply with the other provisions of Subpart P.

Q. How will discarded over-the-counter nicotine replacement therapies be regulated? This final rule exempts FDA-approved over-the-counter nicotine replacement therapies (i.e., nicotine patches, gums, and lozenges) from the RCRA Hazardous Waste Code P075 for nicotine. Thus, under the federal hazardous waste regulations, generators (e.g., retail stores, hospitals) may discard these wastes as nonhazardous. EPA recommends, however, that facilities take steps to prevent unauthorized access to the waste containers, dumpsters, etc., to prevent illicit diversion (i.e., dumpster diving). Nicotine continues to be a listed acute hazardous waste with the waste code P075, so any nicotine waste, other than nicotine patches, gums, and lozenges, is still regulated as P075 acute hazardous waste (e.g., liquid nicotine in electronic cigarettes, nicotine pesticides).

Subpart P protects human health and the environment by improving compliance at healthcare facilities (including hospitals, clinics, and retail stores with pharmacies) and reverse distributors that generate and manage hazardous waste pharmaceuticals. Specifically, the rule decreases the risk of illicit diversion of unused prescription hazardous waste pharmaceuticals by requiring basic tracking of these pharmaceuticals from healthcare facilities to reverse distributors. Subpart P will reduce the negative impacts caused by hazardous waste pharmaceuticals that enter the environment through flushing down the sink or toilet, and is projected to prevent the flushing of 1,600 to 2,300 tons of hazardous waste pharmaceuticals annually.

Q. What is the definition of healthcare facility under Subpart P of the final rule? In Subpart P of the final rule, a healthcare facility is defined as any person who is lawfully authorized to: (1) provide preventative, diagnostic, therapeutic, rehabilitative, maintenance or palliative care, and counseling, service, assessment or procedure with respect to the physical or mental condition, or functional status, of a human or animal or that affects the structure or function of the human or animal body; or (2) distribute, sell, or dispense pharmaceuticals, including overthe-counter pharmaceuticals, dietary supplements, homeopathic drugs, or prescription pharmaceuticals. This definition includes, but is not limited to, wholesale distributors, third-party logistics providers that serve as forward distributors, military medical logistics facilities, hospitals, psychiatric hospitals, ambulatory surgical centers, health clinics, physicians’ offices, optical and dental providers, chiropractors, long-term care facilities, ambulance services, pharmacies (including long-term care and mail-order), retailers of pharmaceuticals, veterinary clinics, and veterinary hospitals. This definition does not include pharmaceutical manufacturers, reverse distributors, or reverse logistics centers.

Q. What is the definition of pharmaceutical under Subpart P of the final rule? In Subpart P of the final rule, pharmaceutical is defined as: any drug or dietary supplement for use by humans or other animals; any electronic nicotine delivery system (e.g., electronic cigarette or vaping pen); or any liquid nicotine (e-liquid) packaged for retail sale for use in electronic nicotine delivery systems (e.g., pre-filled cartridges or vials). This definition includes, but is not limited to, dietary supplements, as defined by the Federal Food, Drug and Cosmetic Act; prescription drugs, as defined by 21 CFR 203.3(y); over-the-counter drugs; homeopathic drugs; compounded drugs; investigational new drugs; pharmaceuticals remaining in non- empty containers; personal protective equipment contaminated with pharmaceuticals; and clean-up material from spills of pharmaceuticals.

This definition does not include dental amalgam or discarded needles (“sharps”).

Q. Which pharmaceuticals are considered hazardous waste? A solid waste is considered hazardous waste if it meets a hazardous waste listing or exhibits a hazardous waste characteristic described in title 40 of the Code of Federal Regulations Part 261. It is the generator’s responsibility to determine whether the waste that they generate is hazardous under RCRA. There are approximately 30 commercial chemical products listed on the P and U hazardous waste lists (see 40 CFR §261.33) that have pharmaceutical uses; however, this number does not completely represent the total number of brand name pharmaceuticals that may actually be listed hazardous wastes when discarded. Waste pharmaceuticals may also be hazardous because they exhibit one or more of the four characteristics of hazardous waste: ignitability, corrosivity, reactivity, and toxicity.

Q. What is the difference between Reverse Distribution and Reverse Logistics? Subpart P adopts the terminology commonly used in the industry. “Reverse distribution” is used to refer to the reverse flow of prescription pharmaceuticals. Unused prescription pharmaceuticals are sent to reverse distributors to determine if they are eligible to receive manufacturer credit. Because they are not redistributed by the reverse distributor for reuse, the prescription pharmaceuticals are considered waste at the healthcare facility before they are sent to a reverse distributor. That said, these wastes have value in the form of potential manufacturer credit, which has allowed EPA to take a more tailored and flexible regulatory approach for this particular type of hazardous waste pharmaceuticals.

PHARMACY RETURNS SOLUTIONS & RESOURCES Q&A

Q. What benefits does EPA expect from the new management standards for hazardous waste pharmaceuticals in Subpart P?

“Reverse logistics” is used to refer to the reverse flow of nonprescription pharmaceuticals and other unsold retail items. Reverse logistics centers evaluate whether items can be sold on the secondary market, donated or recycled. If non-prescription pharmaceuticals and other unsold retail items have a reasonable expectation of being legitimately used/reused (e.g., sold or donated) or reclaimed, then they can be sent to a reverse logistics center without being considered waste at the healthcare facility. On the other hand, if the non-prescription pharmaceutical or other unsold retail item does not have a reasonable expectation of being legitimately used/reused or reclaimed (e.g., it is broken or leaking), then it is considered a waste at the healthcare facility and may not be sent to a reverse logistics center. If the waste is a hazardous waste pharmaceutical, then the healthcare facility must manage the non-prescription hazardous waste pharmaceutical under the new Subpart P regulations for pharmaceuticals. Other unsold retail items that are considered hazardous waste (i.e., non-pharmaceutical hazardous waste) at the healthcare facility must be managed under the existing applicable hazardous waste regulations.

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PHARMACY RETURNS SOLUTIONS & RESOURCES Buyer’s Guide

PHARMACY RETURNS SOLUTIONS & RESOURCES Buyer’s Guide Achieva Group Returns 431 Ohio Pike Suite 311 Cincinnati, OH 45255 (800) 273-6317 www.achievagroupreturns.com American Security Cabinets 2605 5th Street North Saint Cloud, MN 56303 (800) 538-7898 www.rxdrugdrops.com www.americanrxgroup.com DisposeRx 503 Carthage Street Suite 202 Sanford, NC 27330 (844) 456-1600 www.disposerx.com GRx 100 Colin Drive Holbrook, NY 11741 (800) 473-2138 www.guaranteedreturns.com Inmar 635 Vine Street Winston-Salem, NC 27101 (800) 765-1277 www.inmar.com N3PR 641 Inverness Road Lisle, IL 60532 (773) 349-3080 www.n3pr.com

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National Pharmaceutical Returns 4164 NW Urbandale Drive Urbandale, IA 50322 (800) 470-7725 www.npreturns.com Pharma Logistics 1795 N. Butterfield Road Suite 203 Libertyville, IL 60048 (888) 729-7427 www.pharmalogistics.com Pharmaceutical Returns Service 720 Heartland Drive Suite B Sugar Grove, IL 60554 (800) 215-5878 www.pharmreturns.net PharmaLink Inc. 8285 Bryan Dairy Road #200 Largo, FL 33777 (800) 257-3527 www.pharmalinkinc.com Qualanex 1410 Harris Road Libertyville, IL 60048 (800) 505-9291 www.qualanex.com Return Solutions 10635 Dutchtown Road Knoxville, TN 37932 (800) 579-4804 www.Drugreturns.com

R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C

Rx Return Services 2140 Sunnydale Boulevard STE B & C Clearwater, FL 33765 (727) 754-7848 www.rxrs.com Rx Reverse Distributors 9255 US Highway 1 Sebastian, FL 32958 (866) 388-7973 www.Rxrd.com WasteWise 6054 Corte Del Cedro Carlsbad, CA 92011 (866) 436-9264 www.wastewise.com WM PharmEcology Services 1001 Fannin Street Houston, TX 77002 (877) 247-7430 www.pharmecology.com

PHARMACY RETURNS SOLUTIONS & RESOURCES www.RXinsider.com

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PHARMACY RETURNS SOLUTIONS & RESOURCES Market Leaders

Visit RXinsider’s Virtual Trade Show to Research the Leaders in

R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C 53

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 P R O F I TA B I L I T Y

How to Maximize Credit Recovery With PharmaLink PharmaLink’s innovative approach to pharmacy returns provides the most cost effective, accurate, and compliant solutions to safely remove unsaleable pharmaceuticals from pharmacies, hospitals, and other healthcare organizations.

President & COO: Thierry Beckers Founded: 2000

Employees: 125+ Toll-Free Phone:

(800) 257 3527 (727) 669-8327 Address: 8285 Bryan Dairy Road #200 Largo, FL 33777 Website: www.pharmalinkinc.com Fax:

Company Background

Founded in 2000, PharmaLink is the nation’s premier pharmaceutical returns and disposal provider. Our progressive operations model offers custom solutions to ensure maximum returns credits and regulatory compliance. With our unique advanced web-based reporting platform, Encore®, we provide an analysis of your returned pharmaceuticals to help you make better financial business decisions for your pharmacy. With both mail-in and on-site return services nationwide, we offer maximum credit with every return, personalized customer service, guaranteed compliance, and advanced reporting tools to provide you with the best returns and disposal services.

Service Overview

PharmaLink offers on-site and mail-in returns services nationwide utilizing our custom operations model to ensure compliance and maximum credit recovery. All members of the PharmaLink team are trained in every aspect of our operations process and exhibit extensive knowledge relative to the reverse logistics industry. We prepare regulatory paperwork, including DEA 222 Forms and provide real-time reports through Encore®, our web-based returns management platform. Whether you choose to have us service your facility on-site, or mail-in your returns for processing, you will receive the highest standard of service, excellence, and expertise with PharmaLink.

Features & Options

n On-Site Service Features • Segregate products to be inventoried for processing. • Prepare regulatory paperwork including DEA 222 Form. • Inventory and ship product to processing facility. • Process returnable and recalled products. • Returns authorization management. • Disposal of non-returnable product via incineration. • Access to detailed processing reports and analytics via web-portal. • Credit reporting and reconciliation. n Mail-In Return Service Features • Upload inventory for return via web-portal.

• Ship product to processing facility. • Online preparation of regulatory paperwork including DEA 222 Form. • Process returnable and recalled products. • Returns authorization management. • Disposal of non-returnable products via incineration. • Access to detailed processing reports and analytics via web-portal. • Credit reporting and reconciliation. n Company Advancements • Capture 2D serialization data during returns processing. • Streamline operations by implementing new automated equipment and technologies. • New partnerships with manufacturers and wholesalers. • New security and data warehouse technology systems. • Provided input by speaking before congress and OMB on new agency regulations that monitor the reverse pharmaceutical distributor industry.

Testimonials

“ PharmaLink provides exceptional service for on-site returns. With each service, my representative removes expired product from the shelves, creates an inventory, and packs and ships product back to PharmaLink, giving me more time to continue to work and service my customers.”

— Maura, New York

“ T he electronic record keeping and access to reports on Encore® allows me to track all of my inventory that is being processed for credit any time. I can see which products yielded higher return values, which in turn, enabled me to make better financial purchasing decisions for my pharmacy.”

— Mary Jane, Arizona

“ Mailing in my returns is extremely easy with PharmaLink. I enter my inventory for return online and ship the box to their facility. If I have any questions, the customer solutions team provides quality service to address all of my inquiries.”

— Hanh, California

“ PharmaLink has provided me with a cost-effective, accurate, and compliant returns solution that is quick and efficient.”

— Gladys, Chicago

Additional Product Lines n RxTakeBack®

Keep your existing customers returning to your pharmacy by introducing RxTakeBack®, a compliant and responsible drug disposal solution for the consumer. With our RxTakeBack® kiosk, the independent pharmacy can run its own drug take back program while helping to fight against the opioid crisis. RxTakeBack® provides a safe disposal outlet for the consumer that is DEA compliant and will help make a difference in your community. FA L L 2 0 1 9

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Providing a Clear Path Toward Operational and Financial Excellence

Our suite of pharmacy operations improvement programs are designed to address your operations needs without distracting from your main mission â&#x20AC;&#x201D; providing high-quality patient care. Our suite of pharmacy operations improvement programs provides solutions in the following areas:

Accreditation

Medicare Part D reimbursement

Pharmacy credentialing

Pharmacy operations support

NEW: USP <800> compliance

To join our GPO or to learn more about our suite of pharmacy operations improvement programs, visit us at call

innovatix.com, email

(888) 258-3273.

info@innovatix.com, or

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 P R O F I TA B I L I T Y

Strategic Purchasing and Operations Improvement Solutions by Innovatix Innovatix offers differentiated, high-quality group purchasing and consultative services. We help members maximize their overall financial performance by providing the resources and educational support needed to enhance the delivery of quality patient care.

Founded: 1993

Pharmacy Management Solutions

Toll-Free Phone:

Our suite of pharmacy operations improvement programs are designed to address your operations needs without distracting from your main mission – providing high-quality patient care.

Company Background

n Innovatix Accreditation Advisory Services: Third-party accreditation has become increasingly important – particularly with respect to reimbursement rates – to payers for verifying quality and patient safety. The Innovatix Accreditation Advisory Services program is designed to support pharmacies in achieving recognition from various accrediting bodies.

Employees: 180

(888) 258-3273 Fax: (646) 638-2641 Address: 555 West 57th Street, 12th Floor New York, NY 10019 Website: innovatix.com

Innovatix is a national group purchasing organization that has evolved to provide strategic purchasing solutions and operational support to help pharmacies and other non-acute healthcare providers thrive. We supplement our industry-leading purchasing program with a consultative approach, in-depth analytics, vast healthcare expertise, and value-added and fee-based services speciﬁc to our members’ needs. Innovatix works tirelessly to deliver savings and value to members.

Product Overview

Innovatix offers one of the most extensive, competitive purchasing portfolios available today. We provide members access to a $60 billion purchasing portfolio comprising over 2,000 contracts through 900-plus suppliers.

Value-Added Services

Innovatix member benefits extend beyond the significant savings we provide through our group purchasing services. While group purchasing is at the core of what we do, Innovatix is committed to offering additional value to help our members grow and excel. n Innovatix Educational Institute: Each month, Innovatix offers free accredited Continuing Education (CE) opportunities. Members can take advantage of these learning sessions from the convenience of their own computers. n Government Affairs: To help our members navigate the complex healthcare regulatory environment and ensure that their concerns are properly addressed, the Innovatix Government Affairs program has continued to develop as an important value-added service, particularly for our long-term care pharmacy and infusion members. We keep members informed and advocate on their behalf, working closely with national advocacy organizations. n Clinical Experts: Innovatix staff includes clinical pharmacists and physician consultants who provide members with best practice studies, disease state management information, formulary management, and medication error reduction strategies.

n Innovatix Credentialing Counsel: Innovatix Credentialing Counsel is our solution for pharmacies facing payer credentialing challenges. This service provides guidance for each task in the credentialing process and helps users navigate the evolving payer landscape. n Innovatix Preferred Provider Network: Successfully navigating Medicare Part D to maximize reimbursement on Medicare prescription drug benefit claims is a major challenge for many pharmacies today. The Innovatix Preferred Provider Network provides pharmacies access to Medicare Part D contracts with the nation’s largest prescription drug plans and pharmacy benefit managers. n Scriptmax®: Scriptmax offers the most complete pharmacy claim support in the industry. Through a comprehensive suite of pre-edit, postedit, and reconciliation services, Scriptmax empowers pharmacies with actionable claims review data during every step of adjudication. n Innovatix USP <800> Compliance Services: USP <800>, the new standard for handling hazardous drugs, goes into effect December 2019. Drawing on our extensive experience supporting non-acute healthcare providers with USP <795> and <797> compliance, Innovatix launched a flexible, fee-for-service program to help healthcare facilities nationwide successfully comply with the new standard.

Key Business Partners

Innovatix is a wholly-owned subsidiary of Premier, a healthcare improvement company uniting an alliance of approximately 4,000 U.S. hospitals and more than 181,000 other provider organizations.

Ordering Information

Innovatix GPO membership is free. To learn more about our group purchasing services and suite of pharmacy operations improvement programs, visit us at innovatix.com, email info@innovatix.com, or call (888) 258-3273.

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T R A D E S H O W & M E E T I N G E v e n t 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, 88 Aisles www.rxinsider.com NCPA Annual Conference October 26-29, 2019 San Diego Convention Center San Diego, CA convention.ncpanet.org 2019 ASCP Annual Meeting & Exhibition November 7-10, 2019 Gaylord Texan Resort Grapevine, TX www.ascp.com/page/events ECRM Pharmacy Technology, Services, Supplies, and Automation Program November 11-13, 2019 Hyatt Regency Intercontinental Houston Airport Houston, TX ecrm.marketgate.com/sessions ASHP Midyear Clinical Meeting and Exhibition December 8-12, 2019 Mandalay Bay Convention Center Las Vegas, NV ashp.org/Meetings-and-Events

ECRM Specialty Pharmacy Program January 26-28, 2020 Hyatt Regency Lost Pines Resort & Spa Lost Pines, TX ecrm.marketgate.com/ sessions 340B Coalition Winter Conference February 10-12, 2020 Hilton San Diego Bayfront San Diego, CA 340bwinterconference.org ACA | ACVP Annual Conference & Expo 2020 February 19-22, 2020 The Don Cesar St. Pete Beach, FL acainfo.org/ace PDS Super-Conference 2020 February 27-29, 2020 Rosen Shingle Creek Orlando, FL www.pdsconference.com/ 2020-conference 2020 FAH Public Policy Conference and Business Exposition March 1-3, 2020 Marriott Wardman Park Hotel Washington, DC fah.org/conference/fahpublic-policy-conference-andbusiness-exposition

continued on page 63

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R E TA I L / C O M M U N I T Y • S P E C I A LT Y • LT C

The American College of Apothecaries is the best value in the industry for accredited continuing education, pharmaceutical compounding training, and professional development conferences for pharmacists, technicians, marketers, and students. LEARN MORE: www.acainfo.org/education

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Event Calendar

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

continued from page 60 HIMSS20 Conference & Exhibition March 9-13, 2020 Orange County Convention Center Orlando, FL www.himssconference.org APhA 2020 March 20-23, 2020 Gaylord National Resort National Harbor, MD Aphameeting.pharmacist.com NHIA Annual Conference April 5-9, 2020 Gaylord Rockies Resort & Convention Center Aurora, CO www.nhia.org NACDS Annual Meeting 2020 April 25-28, 2020 Scottsdale, AZ Annual.nacds.org Asembia Specialty Pharmacy Summit May 4-7, 2020 Wynn & Encore Las Vegas, NV www.asembiasummit.com

2020 ACVP Veterinary Pharmacy Conference June 2020 vetmeds.org/vpc ASHP Summer Meetings & Exhibition 2020 June 6-10, 2020 Seattle, WA Summer.ashp.org McKesson ideaShare 2020 July 12-16, 2020 Austin Convention Center Austin, TX mckessonideashare.com Cardinal Health RBC July 15-18, 2020 Colorado Convention Center Denver, CO rbc.cardinalhealth.com AACP July 18-22, 2020 Long Beach, CA www.aacp.org/event/ pharmacy-education-2020 IACP Compounders on Capitol Hill September 9-10, 2020 Washington, DC www.iacprx.org

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

E NSURIN G A H E ALT H Y WO R L D A C C combi nes robust reagent s, analy sis and tech n i cal servi ce exper t ise, t o prov ide y ou wit h div er se so l uti o n s for e ndot ox in and gluc an t est ing.

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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 P R O F I TA B I L I T Y

The Pyrosate® Kit by Associates of Cape Cod Delivers Rapid Endotoxin Testing Results for Compounding Pharmacies Pyrosate® has been developed as an easy-to-use Limulus Amebocyte Lysate (LAL) gel-clot test that enables rapid testing and does not require special laboratory supplies. The Pyrosate kit provides rapid results and is especially convenient for research, testing water, and dialysate.

Toll-Free Phone: (888) 395-2221 Phone:

(508) 540-3444 Fax: (508) 540-8680 Address: Falmouth Technology Park 124 Bernard E. Saint Jean Drive E. Falmouth, MA 02536 Website: www.acciusa.com

Company Background Associates of Cape Cod, Inc. (ACC), is one of the world’s largest manufacturers of products developed to detect and quantify gram-negative bacterial endotoxins and (1g3)-ß-D-glucans. Our products are used worldwide by leading pharmaceutical and medical device companies to ensure the safety of their parenteral drugs, biological products, and medical devices. Our goal is to provide the best products, services, technical support, and customer service in our industry, to enhance the productivity and efficiency of all our customers. We are certified to I.S. EN ISO 13485:2016 and ISO 13485:2016, our laboratories are FDA inspected, and DEA licensed, and our Beacon Diagnostics® laboratory is CLIA certified. Product Overview Associates of Cape Cod, Inc. (ACC), is pleased to offer Pyrosate®, an FDA licensed version of our rapid endotoxin detection kit. Pyrosate is well-suited for performing endotoxin assays in full compliance with the Bacterial Endotoxins Test, USP chapter <85>. Pyrosate has been developed as an easy-to-use Limulus Amebocyte Lysate (LAL) gel-clot test that enables rapid testing and does not require special laboratory supplies. The easy-tofollow, step-by-step illustrated instructions allow the user to set up assays within minutes. The Pyrosate® Kit is available in sensitivities of 0.03 EU/mL, 0.125 EU/mL, and 0.25 EU/mL, in both 10-pack and 30-pack formats. In addition to research and water testing, Pyrosate® is ideal for dialysis centers, compounding pharmacies, and pharmaceutical and medical device companies.

Performing the Test

The Pyrosate® kit is a rapid gel-clot test that contains a 2λ* endotoxin tube (PPC) matched to the sample (SPL) tube for each sensitivity. This feature is unique to the Pyrosate assay. The endotoxin tube (PPC) assures that the sample does not interfere with the test, ruling out false negatives. Pyrosate is formulated to eliminate false positives due to (1g3)-ß-D-glucans. This endotoxin specific reagent does not require additional blocking buffers.

Reconstitution Pyrosate® is reconstituted directly with the sample by adding 0.5 mL to the sample tube (SPL). After approximately 60 seconds of gentle mixing, 0.25 mL is transferred to the endotoxin tube (PPC). The lot-specific incubation time at 37±1°C is given on the Certificate of Compliance. Stability Pyrosate® is stable at room temperature and does not require refrigeration for shipping or storage. Product Applications • Hemodialysis • Water and Water Systems • Filter Industry • Research • Final Product Release Product Benefits • Shorter Assay Time • Endotoxin Specific • No Dilutions Required • No Refrigeration Required • Matched Positive Product Control * λ (lambda) is the lowest concentration of endotoxin to cause a positive test result under standard conditions.

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Critical Environment Monitoring

INSIGHT

TEMPERATURE MONITORING WITH CLOUD-BASED REPORTING

Email and Text Alerts Real-Time Data Logging Customizable Reporting

WWW.WINLAND.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 P R O F I TA B I L I T Y

Winland Electronics INSIGHT Solution – Seamlessly Monitors and Manages Critical Drug Environment Conditions Monitor critical drug temperature information to ensure safety and regulatory requirements. Provides real-time alerts, robust reporting capabilities, data logging, and remote management of devices. President:

Brian Lawrence Founded: 1972 Stock Symbol: WELX Toll-Free Phone: (800) 635-4269 Address: 1950 Excel Drive Mankato, MN 56001 Website: www.winland.com Email: info@winland.com

Company Background Winland Electronics is the industry specialist regarding critical condition monitoring, offering the most advanced and comprehensive critical-environment monitoring solution in the market. Headquartered in Mankato, MN with products made in the U.S.A. for over 45 years, Winland brings peace of mind to healthcare and pharmaceutical professionals worldwide. Product Overview With the CDC recommending the use of continuous monitoring devices for temperature monitoring, now is the time to invest in Winland’s EnviroAlert® EA800-ip and INSIGHT. The EA800-ip allows multiple conditions including temperature, humidity, and/or water presence to be monitored with a single device. Incorporate a 4-20 mA sensor to monitor advanced conditions including pressure, flow, critical gases, and more. With the EA800-ip you can collect and view data from up to twelve sensors (eight wireless, four wired). Cloud-based INSIGHT* allows you and your staff to focus on treating your patients without worrying about time-consuming steps needed to meet your regulatory compliance. INSIGHT enables remote access to monitor multiple sites from any location, the ability to receive emails or text messages of alarm conditions, and robust reporting capabilities. Use the acknowledgment function to quickly record temperatures systematically vs. manually. Build a response plan to allow your staff to react quickly, and document actions taken should an alarm condition arise. Our clients experience a higher ROI due to the prevention of inventory loss, regulatory fines, and potentially costly lawsuits. Relax knowing your vaccines and medications are being protected, while complying with CDC recommendations. *INSIGHT access requires a fee-based subscription.

Features & Options n EA800-ip • Intuitive user interface. • LCD display with blue backlight that flashes under alarm condition. • Accommodates 4-20 mA sensors (pressure, airflow, CO2, etc.). • Wireless frequency 2.405 GHz - 2.480 GHz, 16 channels. n INSIGHT • Alarm notification via text message or email. • Remote configuration of sensors for temperature, humidity, water presence, gases, and dry contact. • Sensor, alarm, and event data logs for audit trail. • Auto report generation when alarm is activated. • Logging collection frequency five to 120 minutes. • Monitoring of multiple sites from any location (with the purchase of additional EA800-ip consoles and sensors).

Additional Product Modules n Wireless Sensors • EA-WTS (Wireless Temperature Sensor): Monitors ambient room temperature. • EA-WMFS (Wireless Multi-function Sensor): Requires remote probe to detect various conditions (probes sold separately). • EA-WHS (Wireless Humidity Sensor): Monitors ambient room relative humidity. Additional Product Lines n Other Accessories • TEMP-L-S (Low Temperature Sensor): Stainless Steel (Blue) Range -58 to 158° (-50 to 70°C). • TEMP-G-B (6 oz. Bottle of Glycerin): Temperature Probe Buffer Kit. Pricing Information Pricing can be obtained through our distributors worldwide. Visit www.winland.com and click on “Where To Buy” to see all distributors in your area. Ordering Information

To learn how INSIGHT can improve your pharmacy operations and save you time and money, contact us by phone at (800) 635-4269 or via email at solutions@winland.com. FA L L 2 0 1 9

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ACCELERATE COMPLIANCE With Help From

www.doseplanner.com | 860.584.2284 | sales@doseplanner.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 P R O F I TA B I L I T Y

Accelerate Compliance With Help From DosePlanner Increase customer safety and convenience while increasing pharmacy productivity and profitability. Offering compliance packaging to your clients is smart business. Using DosePlanner makes it easy! President & CEO: Richard Munger Founded: 2004 Employees: 4 Stock Symbol:

Privately Owned (860) 584-2284 Fax: (860) 584-9922 Address: P.O. Box 136 42 Patricia Drive Bristol, CT 06011 Website: www.DosePlanner.com Phone:

Company Background

Eiger Creative LLC was founded in 2004 as a software development and consulting company. Its founder and employees have been involved in IT for over 30 years. Together, they bring a rich variety of skills in the areas of retail, healthcare, pharmacy, marketing, accounting, and customer service. Throughout the many changes in the IT landscape, Eiger Creative has maintained a commitment of delivering best of breed solutions to its clients. The DosePlanner family of products and services exemplify our commitment to bringing products to the pharmaceutical market that can truly help our clients grow their business.

Product Overview

The DosePlanner system of software products can help you easily manage your compliance packaging tasks while helping your business grow. DosePlanner supports several packaging styles and is compatible with many of the most popular pharmacy management systems. At DosePlanner, we are constantly upgrading our systems to incorporate features that will help your business be more productive. DosePlanner can support your compliance packaging operation from the smallest start-up to a large production operation. DosePlanner is there to help make your job easy.

Product Specifications

With DosePlanner, you get: • An easy-to-use design, providing a high-level of confidence in packing accuracy. • Support for a variety of packaging styles. • The flexibility to create labeling on-demand. • Integration with many popular pharmacy management software systems. • Integration with Zewa™ Medication Compliance system. • Reporting tools to help streamline business operations. • A selection of reports to aid you and your customers.

DosePlanner software is cloud-based and can be accessed from any workstation in your pharmacy. No extra equipment to purchase! DosePlanner interfaces with many popular pharmacy management systems software packages, providing greater options and flexibility to meet your customer demand. DosePlanner is dedicated to providing best-in-class technology, solution consulting, and hands-on support, ensuring our customers are equipped with the resources to advance pharmacy practice.

Testimonial

“ We needed a compliance packaging solution with emphasis turning to adherence and compliance for a particular client and for our regular customers as well. I have turned to DosePlanner and have never looked back. The software is easyto-use, integrates with most pharmacy platforms, and has saved us countless hours of time. DosePlanner is an important part of our growth strategy. Their customer support is extremely reliable, and they have the personnel with expertise to handle our technical needs. If there was an issue, I could call, email, or text Rick and the issue was resolved quickly. Our client has been very pleased with our solution to their needs, and our ‘walk in’ customers are finding this a useful alternative to the pill boxes we have been using. I can’t recommend the DosePlanner software enough.”

— Chris Hampel R.Ph, Family Prescription Counter, Duryea, PA

Additional Product Modules

n DosePlanner PMS Interface An optional module to automatically capture patient and Rx data from the pharmacy management software. This reduces the need for double data entry and keeps the systems synchronized. n DosePlanner Yuyama Interface A program to operate Yuyama Robotic Blister Card Filling Systems easily combines with DosePlanner to allow simultaneous automation of blister-filling and label printing.

Contact Information

To learn how DosePlanner can help your pharmacy grow, contact us by email at info@DosePlanner.com or by phone at (860) 584-2284.

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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 P R O F I TA B I L I T Y

Yuyama’s Quiet and Intelligent Litrea III Pouch/Compliance Packaging Automation The robustness and versatility of the quiet Litrea III will deliver you accuracy, speed, and technician relief in addition to saving you money and time. Your silent partner in success!

Hiroyuki Yuyama Founded: 1964 Employees: 51 Phone: (847) 593-1005 Fax: (847) 593-1210 Website: www.yuyamarx.com President:

Company Background Yuyama, founded in 1964 in Osaka, Japan, specializes in medical and pharmaceutical automation. It is the largest pharmacy automation company worldwide, and the first company to introduce an automated prescription filling machine to the market. Yuyama started its USA division in 1996 and now has over 2,200+ machines in the U.S. market. Since our inception, we continue to grow. Innovation drives our growth, and our solutions have proven to be exceptionally reliable, user-friendly, and safe. Product Overview Litrea Ⅲ is the perfect solution for small to middle scale pharmacies. This product will help increase your accuracy and improve patient safety. Improve medication and patient safety with universal canisters that are designed to save you money during manufacture drug changes.

n Half-Cutter Function Yuyama has designed special canisters which are capable of cutting a tablet in half, and packing it in a pouch automatically. n Automatic 4-Color Penliner For additional adherence, Yuyama can provide the helpful solution for your patient in the form of the 4-color penliner. Your patients will more-easily understand when to take medication by referencing the colorful line.

Additional Product Modules n Blient • Yuyama’s Blient, single-dose, multi-dose, and semiautomated dispensing system, enables users to automate through variable dispensing styles and realize increased operational efficiency. • The Blient will accommodate various single-dose blister cards regardless of size or number. Additional Product Line Fully Automated and Robotic Vial Filling Solution: EV-180 Markets Served • Central Fill • Independent Retail • Retail Chain

• Long-Term Care • Nutraceuticals

Features & Options n Verification Process for Drug Replenishment The packager prevents users from refilling the medication incorrectly by scanning the barcode for replenishment.

Trade Shows/Meetings Attended • NACDS Total Store Expo • Geri Med Annual Conference • NCPA Annual Convention • Cardinal Health RBC

n RFID Function Achieve higher levels of safety management. Every single RFID on the canisters is recognized automatically, which allows the users to set the canister wherever they want.

Ordering Information

For additional information, please contact us by phone at (847) 593-1005, visit our website at www.yuyamarx.com, or email Byron.furdge@yuyama-usa.com.

n DTA Tray Function for Manual Fills Medication that cannot be automatically-halved or stored in canisters can be dispensed from the DTA tray by the proud. n Universal Canister The universal canister can dispense various medications that were previously dispensed by hand. Freedom from manual-filling saves pharmacists’ time and guarantees accurate dispensing.

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WHERE DO YOU START IMPROVING EFFICIENCY? Reduce risk and improve profitability with our Modular Pole Systems:™ • Adaptable as Your Needs Change • Adjusts to Fit Any Hardware or Peripheral • Completely Customizable • Easy-to-Adjust, Maintenance-Free Hinges • Durable, All-Metal Construction

Source Communications. Start Here. ModularPoleSystem

303-466-8925 source-communications.com Salesteam@source-communications.com

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Start Streamlining Your Pharmacy With Modular Pole Systems From Source Communications

Modular Pole Systems™ from Source Communications can improve your customer experience, bolster staff morale, and increase productivity by streamlining processes across your facilities. President & CEO: Jeff Ditges Founded:

Employees: Toll-Free Phone: Phone: Website:

1987 11-50 (800) 831-6669 (303) 466-8925 www.source-communications.com

Company Background Source Communications has been providing services and products to the nation’s top retailers since 1987. We are a single vendor solution for certified technology services and products to improve your businesses’ productivity, profitability, security, and sustainability across the complete physical infrastructure of your facilities. We provide custom products and services supporting point of sale equipment and computer systems nationwide. We believe in providing extras that help make you operate more smoothly, more efficiently, and more economically than you’ve ever experienced. Start Here.

Product Overview Modular Pole Systems (MPS) will streamline your pharmacy counter to improve employee productivity and silently suggest to the customer that your pharmacy is a modern, efficient facility. These customized metal poles consolidate all of your POS + RX hardware, like keyboards, touch screens, pin pads, hand scanners, and printers all into one vertical area. It saves counter space and economizes the efforts of your employees. Features & Options n Improved Customer Engagement When your equipment is organized and mounted, employees spend less time away from their customers and more time taking care of them. n Easy to Use, Inexpensive to Own The modular aspect of the design allows you to add and subtract from the pole as you see fit, you don’t need an entirely new system if your equipment changes.

Product Specifications n In Stores Across the Country You can buy with confidence because our systems were named by a top, national retailer as their enterprise solution for mounting touch screens. n Patented Dual Tilting Tension Our never fail constant friction hinge technology ensures it will never become loose. The dual tilting tension makes a touchscreen easy to relocate and stay in place with consistent use. n Mount More Equipment Get more U.S.M.A (Usable Surface Mount Area). We have more surfaces to hold more equipment then a round pole. Our poles are easy to reconfigure, so when your needs change, it’s easy to upgrade or reconfigure your Modular Pole Systems™ products.

Testimonial “ Quality solutions, flexibility, engineering excellence, and fantastic customer service. In my mind, no other ‘stand’ competitor could stand up to your solutions.”

— Senior Sales Engineer for a Leading Payment Terminal Manufacture

Additional Product Lines n UnderStands™ UnderStands are the most secure, most versatile, and easiest to use card reader stands available today. They provide tilting and swiveling options while maintaining PCI compliance and ADA standards. n Wireless Cash Carts™ The Wireless Cash Cart™ is a portable, self-contained cash register with a robust internal power system. The cart is configurable to hold all types of point-of-sale equipment.

Ordering Information Visit our website at www.source-communications.com or call us at (303) 466-8925.

n Easily Adaptable Our products are reconfigurable, so as your needs or equipment changes, the product can change along with it. This provides a more cost-effective and environmentally friendly solution. FA L L 2 0 1 9

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A C S S H E A LT H C O M PA N Y

New Products & Services Introducing CircuPack! This innovative medical dispenser features a circular blister pack, scanner technology for quick and secure preparation, and our adherence software. Increase adherence, improve productivity, and enjoy greater pharmacy profitability with CircuPack.

We Support & Empower Pharmacists Our products, know-how, and assistance will better serve your business goalsâ&#x20AC;&#x201D;especially as they relate to medication adherence and compliance packaging. With compliance packaging to fit every patient need and every pharmacy price point, technology solutions to streamline workflow, and a marketing and support team available at every turn, we help pharmacists realize bigger opportunities through better patient care.

Identify the products and practices that will help you realize greater success for your pharmacyâ&#x20AC;&#x201D;elevate your business by partnering with Medicine-On-Time today!

Perry Larson | perry.larson@medicineontime.com 800.722.8824 ext. 841 | MedicineOnTime.com

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Medicine-On-Time Empowers Pharmacies to Simplify Complex Medication Regimens Comprehensive medication management solutions improving pharmacy operations and patient health. CEO:

Guy Bryant COO: Perry Larson Founded: 1984 Employees: 70 Toll-Free Phone: (800) 722-8824 Address: 11461 US Highway 301 N, Suites 101-104 Thonotosassa, FL 33592 Website: www.medicineontime.com

Company Background

Medicine-On-Time, A CSS Health Company, improves population health through customizable medication management for patients and intuitive software for pharmacies. CSS Health’s unique combination of technology, personal engagement, and proven processes helps health plans, pharmacies, and partners to simplify complex medication regimens, manage costs, and improve lives.

• Charting forms (MAR, MSR, MOR, TSR, facility/physician order sheet). • Patient/facility/provider management tools. • Individual and facility level visibility, for managing residential facility patients. • Template sizing for medications with our “smart packaging” system, saving space and packaging. • Remote and on-site support and comprehensive training for the system.

Product Specifications Item Description MOT 130-17

30 Dose Cold Seal Countdown Card (Blue)

MOT 130-39

30 Dose Cold Seal Countdown Card (Red)

MOT 130-59

31 Dose Cold Seal Calendar Card (#1)

MOT 130-58

31 Dose Cold Seal Countdown Card

MOT 130-07

30 Dose Heat Seal Countdown Card

MOT 130-25

31 Dose Heat Seal Countdown Card

Medicine-On-Time serves a wide variety of pharmacy and facility patients with integrated software, superior packaging, robust workstations, and automation integrations that enable pharmacies to expand business and improve patient lives.

MOT 130-16

31 Dose Heat Seal Calendar Card (#1)

MOT 130-17

30 Dose Cold Seal Countdown Card

MOT 130-07-30S

30 Dose Heat Seal Countdown One Piece Card W/ Sm. Blisters

MOT 130-07-30M

30 Dose Heat Seal Countdown One Piece Card W/Med. Blisters

Medicine-On-Time solutions simplify and synchronize prescriptions through detachable dose cups in color-coded blister packs containing the exact medications each patient needs, individually marked with name, contents, and dosage time.

MOT 130-07-30L

30 Dose Heat Seal Countdown One Piece Card W/Lg. Blisters

MOT 130-25-31S

31 Dose Heat Seal Countdown One Piece Card W/ Sm. Blisters

MOT 130-25-31M

31 Dose Heat Seal Countdown One Piece Card W/Med. Blisters

MOT 130-25-31L

31 Dose Heat Seal Countdown One Piece Card W/Lg. Blisters

Easy-to-read labels including patient image and easy-to-follow colorcoded card times ensure proper patient care, charting forms provided within the software as well as communication between pharmacy, prescriber, and patient ensure better adherence.

200-30S-1000

30 Dose Small Blisters

200-30M-1000

30 Dose Medium Blisters

200-30L-1000

30 Dose Large Blisters

200-31S-1000

31 Dose Small Blisters

MOT Software

200-31M-1000

31 Dose Medium Blisters

200-31L-1000

31 Dose Large Blisters

KIT-3332MOT

7 Day Volume Plus Card/Blister

KIT-MBM-32

7 Day Compliance Card/Blister

Product Overview

MOTNext is the next generation of patient management software from Medicine-On-Time. This powerful software helps pharmacists and technicians serve more patients through improved workflows, additional features, and new medication compliance blister cards. MOTNext guide technicians through the pharmacy workflow by providing simple prompts generated by the workflow calendar, which prioritizes packaging based on patient cycle fill dates. The workflow calendar identifies problem prescriptions and patients who may require additional refills. MOTNext is based on the framework of the original Medicine-OnTime software with an updated user interface and added functionalities such as:

Medicine-On-Time offers a comprehensive list of rapidly expanding products to suit all pharmacy needs and price points.

Ordering Information

For more information on how Medicine-On-Time improves patient care, saves time for staff, and improves pharmacy profitability, contact your Medicine-On-Time specialist at (800) 722-8824.

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What Can Pharma Logistics Do for You? Find out how Pharma Logistics can improve your business Your patients depend on you for prescription drugs but administering care is both exacting and timeconsuming. Pharma Logistics gets you credits for expired drugs and keeps you compliant with all federal and state regulations. Let us provide ROI while you concentrate on providing good healthcare. For thousands of pharmacies across the country, Pharma Logistics delivers a range of services, including:

Rapid Credit

Receive reimbursement within 14 days from the day your product arrives at our facility.

Onsite Service

Trained and licensed representatives come onsite to check paperwork, ensure proper packaging, and prepare shipments for carrier pickup.

Box & Ship Service

Manually pack and ship your own returns with prepaid labels and boxes.

clean

collect

comply

Pharma Logistics brings efficiency and 24/7 visibility to the returns process so you can focus on patient care and the community. Call 888-729-7427 or visit www.pharmalogistics.com.

TEMPERATURE INTELLIGENCEÂŽ Increase your temperature intelligence and save valuable medication while helping protect patient outcomes.

Give patients peace-of-mind by using an easy-to-read temperature monitoring device that indicates if a heat, freeze, or dual heat-freeze event has occurred during shipment.

Remotely monitor medication storage 24/7 and get real-time notification of temperature excursions. Record and store data in the cloud to automate processes and meet pharmacy board requirements.

Tap into the future of temperature monitoring. zebra.com | temptimecorp.com