20Ways WINTER Retail 2020 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 Winter 2020

Community • Specialty • LTC

20 Unique Products & Services

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

Cannabidiol (CBD) Resources & Products Industry Expert Q&A, Market Leaders Buyer’s Guide, and More page 46

8 Thought Leader Videos

Eight Video Series Including Parata, PharmaLink, Sentry Data Systems, and Pharmacy Consulting Broker Services

page 20

4 Case Studies

Care Services, Medicine Shoppe International, Noritsu Pharmacy Automation, and Temptime

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Contents WAY Omnicell

Single Dose Automation

Improve Profit and Reduce Labor Costs With the Omnicell E3 for Single Dose

Omnicell® E3 Single Dose Automation is the fastest fully automated solution that accurately fills and seals both patientspecific and prepack single dose cards, positioning you to grow your pharmacy business without adding personnel.

The Autonomous Pharmacy Is Here Take on the future with the Omnicell E3 Imagine a faster, fully automated, turnkey solution to fill and seal single dose blister cards. With a throughput of 10 cards per minute, the new Omnicell® E3 will save you time today and grow with you in the future.

That’s the power of autonomous pharmacy.

WAY Meet the point-of-sale partner that’s always in your corner.

Run your pharmacy business your way – RMS can help. Work with your choice of over 30 pharmacy management systems | Improve patient satisfaction and compliance through nutrient depletion notifications | Compete with Ecommerce | And much more!

Beyond the strip: Become your community’s hub for diabetes care. CMS

’ shift to value-based care payment models has created a billing opportunity for Medicare-approved DMEPOS providers and/or Medicare participating pharmacies. Typically, Medicare’s average reimbursement for providing Diabetes Self-Management Training (DSMT) services is $391.44 per patient. However, to bill for this service, CMS requires that participating

providers be successfully accredited by a Medicare-approved accreditation organization. No worries. The Compliance Team’s industry-leading Exemplary Provider® Award accreditation now includes a track for DSMT that can be bundled with our Medicare-approved programs for DMEPOS and community pharmacy; making it easier than ever for you to become a hub for diabetic care.

YEARS

1994-2019

Diabetes hub revenue opportunities DMEPOS/Rx Products & Services: • Diabetes Self-Managment Training • Glucose meters and strips • Diabetic shoes and socks • Insulin pumps • Foot and skin care products • Point of Care testing • Immunizations • Medication Therapy Management For more information: website: TheComplianceTeam.org, email: info@TheComplianceTeam.org call: (215) 654-9110

RMS works with your pharmacy to help you achieve the outcomes you desire through point-of-sale technology.

1.877.767.1060 | sales@rm-solutions.com | www.rm-solutions.com

page 15

WAY

Point-of-Sale Tailored to Your Pharmacy From Retail Management Solutions

page 19

TCT – Expanding Diabetes-Related Revenue Via Community Rx and DSMT Accreditations

The Compliance Team™ is out in front once again with a simplified, operations-based Diabetes SelfManagement Training (DSMT) accreditation process.

Thought Leader Video Series

page 17

page 20-21

*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.

WINTER 2020

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

We asked Community Pharmacists what they want... Insurance Co.

Better Reimbursements QS/1’s NRx® system includes a DIR fee estimator that predicts reimbursement before sale, and pre- and post-edits (PPE) streamline claims to help protect margins.

QS/1 offers 24/7 emergency customer support along with on-site and online training - with nationwide hardware support.

QS/1 is 100% focused on the success of Community Pharmacists Learn how QS/1 is ready to help you and your pharmacy do more by visiting qs1.com/NRx. * 2018 Independent Pharmacy Benchmark Study

#RedSetGo

Contents WAY

DOSIS Systems Automates Production 24/7 With Little Attention From Technicians

When they go home, We’re still working. DOSIS Systems run unattended day or night, fully automated, compact and fully integrated to match YOUR workﬂow, increase your output and decrease your labor costs.

The TracRx Portal Providing technology and process that brings ease, transparency, and efficiency to every phase of backup pharmacy management.

PRIMARY INTENDED OUTCOME

Our goal is to see your pharmacy thrive by automating, both day and night, your major blister card production.

Our autonomous workﬂow system handles your major blister card production with little attention from technicians. Take care of what really matters while we ﬁll your cycles and dailies.

Case Study: The TracRx Portal

CASE STUDY

Joe Boures CEO ~ Care Services, LLC

TracRx™, a secure, web-based portal by Care Services, parent company of MedCallRx and GeriScriptRx, allows LTC pharmacies to schedule backup medication fulfillment and delivery and provides visibility into the entire process – from order placement to point of delivery (POD) signature. Powerful analysis reporting identifies trends in drug use and provides opportunities to improve operational performance and manage costs.

Jay Palin President of Backup Pharmacy Services ~ Care Services, LLC

Providing technology and process that brings ease, transparency, and efficiency to every phase of backup pharmacy management.

THE CHALLENGE When a LTC pharmacy receives a stat or after-hours drug request, the need usually involves an urgent situation where a patient may be unable to wait until the next scheduled delivery to receive medications. In these situations, the drug may not be available in a facility’s on-site emergency kit or dispensing unit, and the industry practice for emergency medication delivery is less than four hours, or at the next scheduled dose.

Schedule a Demonstration Today! • www.dosis.com • 877-626-2422 www.careservicesllc.com

page 23

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

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

800.523.8966 EPS - Right Prescription O 8.5 x 11.indd 1

MediDose.com

page 26-29 WAY

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

Parata Offers Variety in Automation and Solutions for Your Pharmacy

From adherence packaging and vial-ﬁlling to workﬂow and patient experience solutions,

888.PARATA1

Parata’s got you covered. Our technology drives efﬁciencies and keeps your pharmacy teams

parata.com

engaged with patients to improve medication adherence and boost customer loyalty. Explore the most comprehensive pharmacy automation portfolio at parata.com. Adherence Packaging & Inspection

Workﬂow & Inventory Management

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QUARTERLY ISSUES Winter 2019 / 2020

Fall 2019

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

OVING PAT I E N T C A R E

Winter 2019

O F I TA B I L I T Y

Health System Winter 2020

•

Infusion

Fall 2019

Sentry Data Systems, and

Leaders Buyer’s Guide,

page 46

River, Visante and NuAire, Parata, Charles Retail Management Solutions

page 22

2 Case Studies

QS/1 and Dexcom

Care Services, Medicine Shoppe Noritsu Pharmacy Automation, International, and Temptime

Community • Specialty • LTC & Health System • Infusion

C O N TA I N M E N T Health System

•

Infusion

20 Unique Products & Services 340B Resources & Software

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

page 20

PHARMACY COST

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

8 Thought Leader Videos

and More

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

page 50

Including Parata, PharmaLink, Pharmacy Consulting Broker Services

PATIENT CARE

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

page 34

I M P R O V I N G

Summer 2019

20 Unique Products & Services

8 Thought Leaders 8 Thought Leader Videos 7 Case Studies 4 Case Studies

Pharmacy Services, Sentry Data Systems, Comprehensive ACHC, and More Verity Solutions, Eight Video Series

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

Community • Specialty • LTC

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

Spring 2019

Summer 2019

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

T & CPOHS A PHARMACY RMACY T C O N TA I N P RM E N

Industry Expert Q&A, Market

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

Secure Pick-Up Kiosks

page 31

and services that will help your Compounding pharmacy improve 503B Outsourcedpatient care or increase profitabilit Facilities & Services y. Market Leaders Cannabidio Industry Expert Q&A, l (CBD) More Guide, andResources Buyer’s & Products page 48

2020 CIRCULATION

Vial-Filling Robots

10/18/2019 4:13:36 PM

page 25

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.

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

Powering pharmacies to help people lead healthier lives.

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.

Community • Specialty • LTC

Industry Expert Q&A, Market Leaders Buyer’s Guide, and More page 38

8 Thought Leaders

Eight Video Series Including Visante, Verity Solutions, Rees Scientific, Acentrus Specialty, and More page 22

4 Case Studies

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

Health System • Infusion

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

Community • Specialty • LTC

20 Unique Products & Services

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

page 26

2 Case Studies

Liberty Software and Medicine Shoppe International

Community • Specialty • LTC

Visit 20Ways ONLINE at RXinsider.com/20Ways

WINTER 2020

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P H A R M A C I S T S W H O WA N T

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Behind Every Good Pharmacist, is a Great Resource. Pharmacy Case Studies take an in-depth look at specific products and services that help pharmacies improve patient care, profitability, and cost containment. Available in our digital library and within each issue of 20Ways.

RXinsider.com

MEDCOAT® is an amazing new product that will revolutionize the way you take medications. MEDCOAT covers pills and capsules with a coating camouflaging the bad taste of any medicine. It’s sugar free and has no artificial flavors or colors added. This coating stimulates saliva production aiding in the swallowing process. The special coating applicator is easy to use and can work on any size shaped pill or capsule. MEDCOAT alleviates the need of crushing tablets or adding flavoring which can alter medicines efficacy.

NATURAL GREAT TASTE • MEDCOAT covers pills and capsules with a coating camouflaging the bad taste of any medicine. • Sugar, Soy and Gluten Free • No artificial flavors or colors added.

EFFICACY • Pills and capsules are covered in a slippery coating making it easy to swallow them. • Perfect for coating pills with sharp edges or ones that have been halved or quartered. • The special coating applicator is easy to use and can work on any size and shape of pill or capsule. • Alleviates the need of crushing pills or adding flavoring which can alter medicines efficacy. • MEDCOAT dissolves in 47 seconds once swallowed.

SAFETY • Contains only food ingredients that are not known to interact with drugs. • No known contraindications with any drugs. • Many pills should not be crushed and using MEDCOAT will allow many patients to take the pill without the needing to do this first.

ADDED BENEFITS • Helps patients take the right dose of their prescribed medications by alleviating the need to crush or cut pills. • Encourages patients to complete their prescribed and non-prescribed medicine regimens. • One MEDCOAT applicator can coat up to three pills depending on the size. • Allows doctors to prescribe the pill version of a patient’s medication rather than the liquid form, which is often bad tasting and dosed improperly.

ORDERING INFORMATION Item Number 1018514 1018515 1018513

Product Citrus Flavor (lemon/lime) Strawberry Flavor Cola Flavor

Call us today to place your order or for a free sample at 1-888-832-0322, M-F: 8:00 a.m. – 4:30 p.m. ET. www.medcoatusa.com. MCA 849 0819C

Contents WAY

Yuyama’s Quiet and Intelligent Litrea III Pouch/Compliance Packaging Automation

WAY

Stericycle’s Mail Back and Take Back Solutions Keep Businesses and Communities Safe

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!

Stericycle’s turnkey programs support pharmacies in convenient and compliant disposal of sharps used in vaccinations and injectable medications, as well as offer pharmacy customers a safe method for disposing expired or leftover prescription medications.

page 33

The Advantages of Co-Branding With Medicine Shoppe International, Inc. How a strategic partnership can lead to operational efficiencies for independent pharmacies. PRIMARY INTENDED OUTCOME Independent pharmacy is one of the most competitive markets in healthcare. In any town or city, you’ll commonly find two (or more) competing big-name chain pharmacies located on the same block, vying for consumer loyalty. Despite this intense pressure, independent community pharmacies are not becoming a thing of the past. Participants in this nearly $80 million sector simply need to work smarter in order to rise above the noise. Co-branding with a larger, recognized organization is a tactical approach to retaining a pharmacy’s independent identity, while benefiting from a powerful partnership.

J.J. Bernabei Pharmacist and CEO/Owner ~ Tri-State Medical, A member of The Medicine Shoppe® Family

Cardinal Health offers independent pharmacies strategic co-branding opportunities through their Medicine Shoppe International, Inc. franchise which leverages both The Medicine Shoppe® and Medicap Pharmacy® national brands. Their value-added business services support high performing independent pharmacy ownership and provide the resources that can make community expansion possible.

THE CHALLENGE The Tri-State Medical Group comprises three independent pharmacies located in West Virginia and south eastern Ohio. “Our stores are within about 30 minutes of each other, of different sizes, and in very different locations,” said J.J. Bernabei, pharmacist and CEO/owner of Tri-State Medical. “Follansbee Pharmacy is in a strip mall, Tri-State Pharmacy is in a medical building attached to a hospital, and Value Leader Pharmacy is attached to a general practitioner and ob/gyn clinic.” All three

Case Study: The Advantages of Co-Branding With Medicine Shoppe International, Inc.

WAY CANNABIDIOL (CBD) RESOURCES & PRODUCTS

CASE STUDY

page 43

How a strategic partnership can lead to operational efficiencies for independent pharmacies.

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opportunities available. Call, or visit our website TODAY!

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page 34-37 WAY

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• 888.395.2221

TS Q & A

Associates of Cape Cod, Inc. w w w. a c c i u s a . c o m

page 39

WAY Formulated by pharmacists, for pharmacists Call 888.673.2729 for 15% off your first order!

100% Practitioner Exclusive CBD by Encore Life

Leading the way in quality, delivering premium value to our customers, and driving growth through business and educational support.

Buyer’s Guide Ananda Professional 1961 S. Edgewater Road Cynthiana, KY 41031 (888) 388-1119 Anandaprofessional.com

Anthony J,

Calamunci,

Letco Medical 460 E. Swedesford Road #2040 Wayne, PA 19087 (800) 378-0009 s www.letcocbd.com , FisherBroyle

Esq.

PRS Pharmacy Services P.O. Box 852, 201 Depot Street Suite 200 Latrobe, PA 15650 (800) 338-3688 www.prsrx.com

CBDistillery Medella Sciences 1720 S Bellaire Street, Penthouse 6930 Signat Drive CBD they claimed Uleva the levels of d by FDA for 1770 Blake Street to not contain Denver, CO 80222 were found Houston, TXs 77041 are not approve ion CBD product nt, or prevent Denver, CO 80202 to contain. Medellasciences.com on, treatme to promised cure, mitigati the diagnosis, warnings related should be(720) 577-4448 s Notices and uleva.com of any disease. of CBD product effectiveness Medterra CBD product the offering any outcomes of inoid itself be a successf ing or how could promot Encore Life 9801 Research Drive idiol CBD or cannab before hearing on considered states with s CBD or cannab its first public in 805 New that Orleans Street Irvine, 92618 FDACAheld [2] haveW.shown research indicate 31, 2019 and for sale. The twenty-five ented on May ive. Recent studiesBroken have May implem alternat the CBD) be of Arrow, OK 74011 (800) 971-1288 and opioid goal regulation should na laws (THC products. The than states that the (800)deaths 454-2304 medterracbd.com regulate CBD medical marijua learn about elated CBD has the future will the FDA to fewer opioid-r that for show was (25%) quality, also www.myencore.life impact percent public hearing laws. Studies cturing, product

(855) 223-7766 ative gement altern a pain mana www.thecbdistillery.com Q. Is CBD e. Preliminary to opioids? is non-psychoactiv ul

CANNABIDIOL (CBD) RESOURCES & PRODUCTS

Industry Expert Q&A, Cannabidiol (CBD) Resources and Products Market Leaders Buyer’s Guide, and more.

2019 ented could manufa CBD. of the safety, have not implem cravings, which s containing ™ current status While some effect on drug byofCVproduct Sciences PlusCBD , andOilsale a diminishing ed with opioids. marketing, labeling rates associat Im-Bue Botanicals understand 10070 Barnes Canyon Road important to the high relapse bottle opioid ging, it’s also East to what’s in the fight the San Diego, know CA 92121 Research Drive, #4 studies are encouraso much 870 promise do you continues idiol92262 Q. How(855) PLUS-CBD (758-7223) PalmorSprings, cannabCA why CBD shows key as CBD an CBD? unregulated. on is . CBD offers (844) 864-6283 labeledwww.pluscbdoil.com of CBD is crisis. Educati ment solution (CDC), pain. Just manufacturing a pain manageimbuebotanicals.com Disease Control nt of chronic Currently the to emerge as for treatme the Centers showed at least 52 the ive for Journal of Pain According to as CBD sickened opioid alternat s marketed emergency from the European on the skin could 31 of them to synthetic product last year, a study CBD applied [1] last winter, sending animal model) creates a certain arthritis. people in Utah ry oversight that (using an ation due to [3] lack of regulato and inflamm rooms. This help lower pain risks. t high? level of ongoing get a patien less alone contain CBD ? Q. Will y, hemp plants or cannabidiol ment success cally and clinicall (“THC”), the psychoactive Q. Why CBD No. Scientifi d pain manage s rocannabinol have reporte on CBD product amount of THC Many patients than 0.3% tetrahyd This minute s. As research theft, in cannabis. e to monitor CBD product g the risks of must continu when using chemical found s high, reducin use. continues, owners ne if the CBD product a patient feel and effects ed with THC will not make to determi there is no diversion associat [4] published research and beneficial. To date, addiction, and use as an safe products for offered remain on on CBD? like to support CBD l conditions the FDA positi ion containing CBD zed research is medica recogni What serious Q. tion medicat treatment for to However, CBD one prescrip appropriate er’s disease. x, a drug used To date, only s, and Alzheim insomnia, with the FDA – Epidiolehistorically issued diabete and by d cancer, anxiety to address has been approve epilepsy. The FDA has s. unapproved commonly used 34 ofW I N T E R 2 0 2 0 I Rmarket C for these ailment that E TA I L / C O M M U N I T Y • S PisE C I A LT Y • LT treat some forms ive research (CBD). letters to firms some support cannabidiol several warning y contain l content of that allegedl new drugs tested the chemica s and many the FDA has product Interestingly, in some of the compounds cannabinoid

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CBD education and quality product selection by pharmacists for pharmacists!

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page 51 WINTER 2020

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

Behind Every Good Pharmacist, is a Great Resource. The Pharmacy Market BUZZ is a daily news feed, designed to keep the pharmacy community informed on the latest industry news, products, services, and trends that impact both patient care and the bottom line of a pharmacy.

RXinsider.com

Al & Laura Underwood, Owners of Franklin Eyewear.

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

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We offer a comprehensive range of pharmaceutical products to independent retail pharmacies, surgery centers, urgent cares, specialty pharmacies, hospitals, international research and government managed facilities as well as physicians. As your wholesale distribution specialists, we deliver the support and pharmaceutical care you need when your patients need it most, safely and securely through our supply chain. Safe Chain believes that your patients and business deserve the best care possible, and we assist in just that.

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BestRx Pharmacy Software – The Best Choice in Pharmacy Management Software

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.

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BestRx delivers the best value with easy-to-use, complete pharmacy management software solutions that can be tailored to the needs of independent community pharmacies.

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The Integra Suite provides its clients with everything they need to realize their full potential — allowing them to be more competitive, generate more proﬁts, and most importantly serve their patients better! Contact us today and learn how Integra can help you attain your business objectives.

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Pharma Logistics.

The Reverse Distribution Experts.

What Can Pharma Logistics Do For You? 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.

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

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Pharma Logistics Delivers Fast Pharmaceutical Returns, Credits, and ROI Pharma Logistics is your reliable partner in pharmaceutical reverse distribution.

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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.

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Modern Strip Packaging Automation Boosts Productivity, Accuracy, and Your Pharmacy’s Bottom Line PRIMARY INTENDED OUTCOME

Mick Blazier Pharmacy Director of Operations ~ EverSpring

Closed-door and long-term care pharmacies are relied upon heavily to provide and deliver medications safely and accurately. Their patients often have complex medication regimens, making dispensing an opportunity for increased efficiency and productivity. Automated strip packaging allows pharmacies to address customers’ needs while expanding their business reach and becoming more competitive against chain and mail order pharmacies. Customized packaging features also improve adherence as well as ease of use for patients and their caregivers. Noritsu Pharmacy Automation offers the latest in pharmacy automation technology, including strip pouch packaging systems that reduce labor and boost efficiency. Custom multi-dose medication packages address the specialized needs of closed-door and long-term care pharmacies and help patients reach compliance goals.

THE CHALLENGE In the age of online pharmacy giants, today’s closed-door pharmacies must function as distribution warehouses, while remaining focused on successful patient health outcomes. To grow a strong customer base, pharmacies constantly strive to improve accuracy and increase capacity, and at the same

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page 57

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Case Study: Modern Strip Packaging Automation Boosts Productivity, Accuracy, and Your Pharmacy’s Bottom Line

Trade Show & Meeting Calendar

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page 68-71

From Noritsu Pharmacy Automation

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WINTER 2020

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AON Pharmacy—Tools of the Trade for Keeping Patient Medication Stable

From Temptime

Douglas Braun, CSP, PharmD, RPh Pharmacy Manager, AON Pharmacy, LLC

Launched in September of 2018 as an oﬀshoot of the Florida Cancer Specialists & Research Institute, AON Pharmacy is a specialty pharmacy dedicated entirely to dispensing oral oncology medications. Based on their rapid growth, this type of “specialized” specialty pharmacy is clearly an idea whose time has come. “We started with just three employees, shipping medication to patients in about nine states via Fed Ex,” says Doug Braun, Pharmacy Manager for AON Pharmacy. “As we approached our first anniversary, we had 17 employees and plans in place to expand our reach to all 50 states.”

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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 Matt Payne matt.payne@rxinsider.com Email sales@rxinsider.com Toll-Free Phone 800.972.2083 Fax 646.329.9766 Website www.RXinsider.com

NOTICE OF POLICY 20Ways is published quarterly by RXinsider LTD, 1300 Division Road, Suite 103, West Warwick, RI 02893. Postmaster: Send address changes to 20Ways/RXinsider, 1300 Division Road, Suite 103, West Warwick, RI 02893. Notification of address change must be made six weeks in advance, including old and new address with zip code. Editorial – views expressed in articles or profiles in the 20Ways are those of the author(s) and do not necessarily reflect the policies and opinions of RXinsider, our editorial board(s), our advisory board(s), or staff. Advertising – products, services, and educational institutions advertised in 20Ways do not imply endorsement by RXinsider.

20Ways is an official publication of RXinsider

GENERAL SUBSCRIPTION INQUIRIES RXinsider LTD c/o 20Ways 1300 Division Road, Suite 103 West Warwick, RI 02893 20Ways Online: www.RXinsider.com/20Ways General Information: 20Ways@RXinsider.com Circulation: See page 3

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Omnicell

Single Dose Automation

The Autonomous Pharmacy Is Here Take on the future with the Omnicell E3 Imagine a faster, fully automated, turnkey solution to fill and seal single dose blister cards. With a throughput of 10 cards per minute, the new OmnicellÂŽ E3 will save you time today and grow with you in the future.

Thatâ&#x20AC;&#x2122;s the power of autonomous pharmacy.

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Improve Profit and Reduce Labor Costs With the Omnicell E3 for Single Dose

Omnicell® E3 Single Dose Automation is the fastest fully automated solution that accurately fills and seals both patient-specific and prepack single dose cards, positioning you to grow your pharmacy business without adding personnel.

CEO:

Randall A. Lipps Founded: 1992 Employees: 2,500+ Stock Symbol: OMCL Toll-Free Phone: (800) 671-0589 Website: Omnicell.com

Company Background Through our vision of the Autonomous Pharmacy, Omnicell is moving medication management forward to enable improved healthcare for everyone. Omnicell offers a powerful combination of advanced automation, data intelligence, and expert services to help improve patient safety, increase efficiency, lower costs, tighten regulatory compliance, and address population health challenges. Product Overview Imagine having a faster way to fill single dose blister cards, so you have more time for clinical work that helps patients. That’s what autonomous pharmacy is all about. With a throughput of 10 cards per minute, the new Omnicell® E3 Single Dose Automation is the fastest fully automated solution for single dose cards. It automates the fulfillment of both patient-specific and prepack cards, creating a turnkey solution for long-term care pharmacies and their customers. The Omnicell E3 provides a fully automated process from medication selection to the finished product, with highly accurate results. The time savings from the Omnicell E3 will allow you to work at the top of your license and grow your pharmacy business without adding personnel. You can increase profits by decreasing operational expenses and driving down cost per script associated with filling, sealing, labeling, and verifying single dose cards.

Features & Options The comprehensive Omnicell E3 system includes: • High-Speed Packaging Technology • Software • Reports • Formulary Management • Cassette Inventory Management • Foil Printing • Labeling Systems Omnicell provides installation, training, and support, so you will be up and running with the Omnicell E3 in no time.

Product Specifications The Omnicell E3 system offers: • Two, Seven-Axis Robots for Cassette Handling Inside the Machine • Improved Machine Graphical User Interface • Improved Reliability with Programmable Logic Controllers (PLCs) and Fewer Moving Parts • Increased User Software Capabilities • More User-Friendly Alerts and Recovery Workflows • 24" HD Monitor with Touchscreen Display

Ordering Information

To request a demo or purchase the E3 Single Dose Automation, contact Omnicell at (800) 671-0589.

Multiple workstations and 374 cassette locations allow staff to work more efficiently, maximizing pharmacy workflow. Improve pharmacy productivity with detailed, custom reports and automated barcode verification and tracking. The Omnicell E3 can interface with any pharmacy information system and enables customized labels and foils, allowing you to scale quickly and efficiently.

WINTER 2020

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Beyond the strip: Become your community’s hub for diabetes care. CMS

YEARS

1994-2019

Medicare billing provider requirements: Must have a Pharmacist, Nurse, Dietitian or certified diabetic educator; Assess community needs for diabetic education and structure of program; Evidence-based Curriculum; Individualized Care Plan; Individual and group training; Must be enrolled as a Medicare provider thru Pharmacy or DME *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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TCT – Expanding Diabetes-Related Revenue Via Community Rx and DSMT Accreditations

The Compliance Team™ (TCT) is out in front once again, with a simplified, operationsbased Diabetes Self-Management Training (DSMT) accreditation process that can be bundled with our Medicare-approved Exemplary Provider® Award program for community pharmacy and Part-B DMEPOS suppliers.

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 is a nationally recognized healthcare accreditation organization authorized by the Secretary of the Department of Health and Human Services (HHS) to accredit Medicare Part A – Rural Health Clinic (RHC) and Patient-Centered Medical Home (PCMH) providers, as well as for all Medicare Part B – Durable Medical Equipment, Prosthetics, Orthotics, Supplies (DMEPOS) providers.

Accreditation Process Overview

TCT’s Medicare-authorized Exemplary Provider® Award accreditation process is purposely designed to meld seamlessly with daily pharmacy operations, engendering buy-in from both staff and management so that our protocols become integral parts of a customized, measured, continuous, quality improvement program. Participants need not change their business models. On average, it takes four-hours/week over a fourmonth period for pharmacies to set everything in place. Expert-led implementation webinars, an online subscription to our secure Patient Quality Measurement national satisfaction reporting and benchmarking database, as well as hundreds of document templates, regular update notices, and excellent customer service are included. The net result is a dramatically simplified, cost-effective, Medicare-approved, verifiable, and validated accreditation process that leads pharmacies to Exemplary Provider® Award accredited recognition.

Bundling DSMT & DMEPOS Accreditations

The shift to value-based care models points to Diabetes Self-Management Training (DSMT) becoming a key pharmacy revenue driver. That is especially true when DSMT is offered in conjunction with other diabetes associated products and services. Providers offering DSMT services can be reimbursed by Medicare if they meet the quality standards of a CMS-approved national accrediting organization. (CMS in July confirmed that The Compliance Team’s application for DSMT accreditation “deeming authority” was complete. CMS’ formal approval of TCT is expected February 2020.)

Since DSMT is not a separately recognized provider type, providers cannot enroll in Medicare for the sole purpose of providing DSMT. Participating Medicare pharmacies and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) suppliers can be reimbursed for this training if they are enrolled with the A/B MAC and meet the accreditation standards. In-depth white paper on DSMT accreditation link here: https://thecomplianceteam.org/dsmt-white-paper/ To maximize its impact both on their bottom lines as well as on the star ratings of referral sources, pharmacies should look at DSMT accreditation from an integrated perspective. For example, such training services can be bundled with diabetic supplies, insulin pumps, and diabetic shoes. Patient education and optimal experience for the patient is key for building your referrals and payers to recognize you as a Diabetic Care Hub. Follow this link to hear Sandy Canally’s recent podcast on DSMT: https://thecomplianceteam.org/podcasts/ Indeed, pharmacy providers now have the opportunity to offer the medications and products that diabetic patients need as well as services like Medication Therapy Management and DSMT. Having a direct influence on patient outcomes is key to improving star ratings for both plans and referring physicians that will help build your bottom line.

Pharmacy Services Accreditation Programs

Community Pharmacy – all Rx services including: Medicare-authorized DMEPOS, Patient-Centered Pharmacy Home (advanced Rx), telepharmacy, sterile and non-sterile compounding, long-term care, specialty drugs, infusion, DSMT, and retail clinic.

Testimonials

“ After going through the accreditation process with The Compliance Team, we’re not only a better business, but a better pharmacy.”

— John Richards, PharmD, Professional Village Pharmacy, Sacramento, CA

“ Being an Exemplary Provider® in specialty pharmacy has given me assurance that our patients and providers are receiving top-notch service. The standards provide a framework for me to build upon to meet the needs of my patients and comply with regulations.”

— Morgan Miller, PharmD, Alps Pharmacy, Springfield, MO

“ T he Compliance Team understands our business and was able to implement the program to our business model; not the other way around.”

— David Svenson, Discount Drug Mart, Medina, OH

WINTER 2020

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Meet the point-of-sale partner thatâ&#x20AC;&#x2122;s always in your corner.

Run your pharmacy business your way â&#x20AC;&#x201C; RMS can help. Work with your choice of over 30 pharmacy management systems | Improve patient satisfaction and compliance through nutrient depletion notifications | Compete with Ecommerce | And much more!

1.877.767.1060 | sales@rm-solutions.com | www.rm-solutions.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

Point-of-Sale Tailored to Your Pharmacy From Retail Management Solutions RMS works with your pharmacy to help you achieve the outcomes you desire through point-of-sale technology. President & CEO: Brad Jones Founded: 1998 Stock Symbol:

Privately Held Toll-Free Phone: (877) 767-1060 Phone: (360) 438-8276 Fax: (360) 438-8284 Address: 4535 Lacey Boulevard SE Lacey, WA 98503 Website: www.rm-solutions.com

Company Background

Founded in 1998 with a mission to help pharmacies understand and use technology-based tools to run a successful business, Retail Management Solutions is now one of the most respected point-of-sale providers in the industry. RMS’ POS systems are created exclusively for pharmacies. We listen to our customers, partners, and industry requirements to provide timely, pointof-sale based solutions to solve the challenges faced by pharmacies today. At RMS, we believe that partnership is at the heart of successful pharmacy/vendor relationships. We aim to help customers work with the partners they choose, while providing top of the line point-of-sale solutions and robust integrations.

Product Overview

RMS offers a range of point-of-sale products that are both flexible and scalable to meet the needs of any pharmacy. While our easy-to-use till application is at the forefront of day-to-day activities in the pharmacy, we know that running a successful pharmacy goes far beyond collecting a payment. There are many ways in which an RMS system can help your pharmacy. n At the Register RMS customers have freedom to choose from over 30 pharmacy system partners, all with integrations that make prescription sales fast, easy, and accurate. Signatures for HIPAA, safety caps, prescription acknowledgement, etc. are captured at the time of sale and are always easily accessible when needed for reporting and audits. Built in date of birth verification processes and additional prescription for pickup notifications bring added patient safety and convenience to every transaction. Beyond prescription sales, OTC product sales are as simple as scanning the item barcode. Custom items can also be created for easy sale of unique products, gift items, etc. Sales can be processed in many different ways to meet the unique needs of your pharmacy. Whether you need standard retail lanes, an option for drive-thru payments and signatures, curbside pickup solutions, or an

easy way to track home deliveries, you can mix and match to create the perfect technology scheme. As with our pharmacy system integrations, we also offer flexibility in your choice of credit card processors. Choose the partner that works best for you with all the functionality you need, including processing of FSA, EMV, and NFC transactions. Pharmacies working through PCI compliance will also find end-to-end and validated point-to-point encryption capabilities, which represent the most secure options for processing credit cards today. n Improving Customer Relationships Improving patient outcomes and increasing customer satisfaction are goals at the heart of most pharmacy businesses today. Nutrient Depletion notifications at the register help you to improve patient wellness by making supplement recommendations based on prescription induced nutrient depletion. Integrated customer loyalty aids you in strengthening customer relationships, including advanced promotion options and rewards options that you can customize to suit your needs. You can also support charitable giving easily through any RMS system, strengthening your ties with the community you serve. n Behind the Scenes Streamlining pharmacy operations is no small task. Point-of-sale applications extend beyond the customer interaction to help you run your business more efficiently. For pharmacies struggling to manage retail departments, RMS’ inventory management solutions open the door for advanced management of front-end products. Wholesaler interfaces allow automated price updates and a streamlined purchasing and receiving process. Integrated shelf labels keep your shelf prices and system prices in sync. And advanced product reporting can help you reduce overhead costs by identifying products that aren’t selling, enabling you to take a more agile approach to the products you carry and make the most of your retail space. A host of additional reports, both canned and customizable, are also available from cash management, to employee performance, to A/R balances, and more. RMS systems give you the data you need to drive important decisions and run a more profitable and efficient pharmacy. n When You Need Support All customers have access to the RMS support line 24 hours a day, seven days a week. The RMS customer center is available at any time to request support, access the customer knowledge base, and more.

Key Customers

RMS is proud to partner with over 1,000 independent, small chain, and outpatient pharmacy customers all over the United States. WINTER 2020

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

THOUGHT LEADER VIDEO SERIES

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

Accreditation Commission for Health Care (ACHC)

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www.pharmacycbs.com

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Parata: Puts You Out in Front

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WINTER 2020

www.achc.org

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

Join Josè Domingos, Matt Hughes, Renee White, Ralph McBride, Jon Pritchett, Megan Reed, and Greg Stowell as they discuss Accreditation Commission for Health Care (ACHC), for providers, by providers.

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

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

www.pharmalinkinc.com

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Advancing the Business of Pharmacy

THOUGHT LEADER VIDEO SERIES

Medicine Shoppe International, Inc

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 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.

www.visanteinc.com

www.cardinalhealth.com/franchise

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Sentry Data Systems | Expect More

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

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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.

Join Jody Miller, MBA, Business Development, Ambulatory & Specialty Pharmacy Division, Leza Hassett, RPh, MBA, Senior Director of Corporate Compliance, Karen Alesch, PharmD, Pharmacy Operations Manager, CPS Telepharmacy, and Marcia Gutfeld, Senior Regional Vice President, Operations, as they discuss how hospital pharmacy leaders drive transformation.

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WINTER 2020

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

Our autonomous workﬂow system handles your major blister card production with little attention from technicians. Take care of what really matters while we ﬁll your cycles and dailies.

Schedule a Demonstration Today! • www.dosis.com • 877-626-2422

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 Automates Production 24/ 7 With Little Attention From Technicians

Our goal is to see your pharmacy thrive by automating, both day and night, your major blister card production. 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 & CEO: Monroe Milton Founded: 2006 Employees: >50 Toll-Free Phone:

(877) MANCHAC | (877) 626-2422 (318) 442-3686 Fax: (318) 445-1268 Address: 1115 Second Street Alexandria, LA 71301 Website: www.dosis.com Phone:

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-permonth 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 pre-pack 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; calendarstart and straight-fill.

WINTER 2020

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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

® ®

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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.

WINTER 2020

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CASE STUDY

The TracRx Portal Providing technology and process that brings ease, transparency, and efficiency to every phase of backup pharmacy management.

PRIMARY INTENDED OUTCOME

Joe Boures CEO ~ Care Services, LLC

Jay Palin President of Backup Pharmacy Services ~ Care Services, LLC

When a long-term care (LTC) or closed-door pharmacy partners with a healthcare facility, a federally mandated requirement obligates the pharmacy to provide medications to that facility within a certain amount of time. To remain in compliance, the LTC pharmacy must be able to respond at any time of day. The process of fulfilling this requirement can be challenging for these pharmacies, both financially and logistically. TracRx™, a secure, web-based portal by Care Services, parent company of MedCallRx and GeriScriptRx, allows LTC pharmacies to schedule backup medication fulfillment and delivery and provides visibility into the entire process – from order placement to point of delivery (POD) signature. Powerful analysis reporting identifies trends in drug use and provides opportunities to improve operational performance and manage costs.

www.careservicesllc.com

CASE STUDY The Power of the Portal The TracRx portal provides real-time visibility into the entire backup medication ordering process, from start to finish. The portal’s userfriendly dashboard makes managing and monitoring a request easy and documenting important data simple. TracRx allows long-term care and closed-door pharmacists to: • View backup medication status. • Schedule and track deliveries. • Set customized notifications. • Analyze all medications and deliveries down to a facility level. • Create utilization and fulfillment reports.

For LTC pharmacies serving facilities in rural areas, or for requests that occur during off hours, driving into the pharmacy to fill and deliver medications is onerous and costly. “Choosing to partner with a backup pharmacy provider is an important business decision for many LTC pharmacies,” said Jay Palin, president of backup pharmacy services at Care Services. “Pharmacies have to weigh the cost of staffing an on-call or around-the-clock pharmacist versus using a backup pharmacy partner for after-hours or emergency support.” With standard backup pharmacy processes, following up on a medication order to check whether it has been filled, or to confirm pickup and delivery, is most often done by phone calls to both the delivery service and the dispensing retail pharmacy. “Typically pharmacy or delivery notifications are delayed,” said Palin. “In order to track status during the fulfillment and delivery process, the LTC pharmacist has to make several phone calls, which is clearly inefficient and time consuming.” Further, all too frequently, when LTC pharmacies decide a backup pharmacy order needs to be placed, decision points are not typically documented. “If the reason for using a backup pharmacy is not documented, it’s difficult for LTC pharmacy leadership to make operational decisions to improve future outcomes,” said Palin.

THE DECISION Care Services realized there was an opportunity to streamline the management of backup services and create more transparency in the process. “Given all that is on their [LTC pharmacies] plates, creating a new backup pharmacy process was not on the top of anyone’s list,” said Joe Boures, chief executive officer of Care Services. Boures decided to convene a client advisory council to learn more about the challenges faced by the company’s clients and tailor the company’s new technology portal to solve previously unmet needs. “Our clients were not bashful in providing a lot of insight about what would help them be more efficient and capture the data they needed.” The goal was to find the best entry point requiring the least amount of effort for LTC pharmacies with limited resources. To that end, Care Services created a user-friendly digital interface in TracRx that is poised to make backup pharmacy spreadsheets and duplicative data entry obsolete.

www.careservicesllc.com

CASE STUDY THE RESULTS A new learning curve is never appealing to pharmacists who are already busy. “The biggest challenge [to TracRx] is probably change management,” said Boures, “until our clients see how easy and intuitive the portal is to use, the benefits they receive through proactive notifications and reporting, and realize that it takes less than 10 extra seconds per order to save them multiple time consuming phone calls afterward.” The TracRx system automatically lists all pharmacies in network by proximity, eliminating the need to search manually. “We currently have 70,000 pharmacies in our network,” said Palin, “and the portal updates automatically to include any new ones. A spreadsheet can’t do that.” The TracRx system is also fully integrated with delivery services provided by Complete Delivery Solution, the medication delivery division of Care Services, enabling LTC pharmacies to schedule and track deliveries seamlessly. From the C-suite perspective, the ability to produce quarterly business reviews is invaluable. “Using old processes or systems, pharmacists wouldn’t be able to answer questions about why certain meds were being sent for backup or how long it was taking,” Palin said. “With TracRx, medication fulfillment and drug delivery data can be analyzed down to the facility level.”

THE CONCLUSION Following our initial roll-out to a small group of clients, upgrades to the TracRx system continue to happen in response to users’ priorities. “This is an ongoing process,” said Boures. “So far, we have been able to integrate the majority of requests.” Currently, the TracRx portal is available for clients of Care Services’ affiliate companies, GeriScriptRx and MedCallRx. “Our plans are to roll TracRx out to all of our clients, and simultaneously work with other companies to get this service out to another swath of pharmacies,” said Boures. Ultimately, Care Services sees the TracRx portal as a game changer that will provide big benefits to all of their clients. “ We want to make TracRx available to anyone [in the LTC pharmacy space] using backup pharmacy services,” said Palin.

www.careservicesllc.com

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, the Care Services family of companies 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 Care Services 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

Visit our website to learn more: www.careservicesllc.com

Credentialed courier partnerships

50 States where we provide pharmacy services

1,000 LTC facilities served nationwide

MedCallRx | GeriScriptRx | InMedRx Complete Delivery Solution | Hospice Pharmacy Solutions

Powering pharmacies to help people lead healthier lives.

From adherence packaging and vial-ﬁlling to workﬂow and patient experience solutions,

888.PARATA1

Parata’s got you covered. Our technology drives efﬁciencies and keeps your pharmacy teams

parata.com

engaged with patients to improve medication adherence and boost customer loyalty. Explore the most comprehensive pharmacy automation portfolio at parata.com. Adherence Packaging & Inspection

Workﬂow & Inventory Management

Vial-Filling Robots

Secure Pick-Up Kiosks

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 Offers Variety in Automation and Solutions for Your Pharmacy Explore the technology, expertise, and people you can count on. President & CEO: Rob Kill Founded: 2001

Employees: 400+ Toll-Free Phone:

(888) 727-2821

Address: 106 Roche Drive, Durham, NC 27712 Website: parata.com

Company Background

Parata provides pharmacy technology solutions to reduce costs, improve health outcomes, and enhance the patient experience by offering the most comprehensive pharmacy automation portfolio with medication adherence packaging, high-speed robotic dispensing technologies, and pharmacy workflow solutions. Discover how pharmacies across all practice settings use our solutions to stay out in front at parata.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. Stand-Out Solutions: • SmartCardRx™ • ATP® 2 • ATP® Mini • Parata PASS 208® Pouch Packager

• Parata PASS 300VP™ • InspectRx® • Parata Perl® Pouch Inspector

Smooth Solutions: • SpotLight™ Will Call System • Parata Pivot™ Workflow Software • Beacon® Inventory Management System 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™ • 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 Mini®

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

• Parata Consulting

Testimonials

“ 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.”

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

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.

— John Gregg, Pharmacist and COO at Thrive Pharmacy Solutions on PASS Packagers

“ We can label AdherePac packages with Spanish language and comfort our patients whose primary language is now reflected on their medication packaging – that’s the type of pharmacy product we’re especially proud to produce.”

— Lawrence Margolis, CEO at PersonalRX on ATP 2

Markets Served • Central Fill • Hospital – Inpatient • Hospital – Outpatient • Independent Retail • Long-Term Care WINTER 2020

• Mail Order • Nutraceuticals • Retail Chain • Specialty

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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 • GeriMed 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

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.

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 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.

WINTER 2020

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CASE STUDY The Advantages of Co-Branding With Medicine Shoppe International, Inc. How a strategic partnership can lead to operational efficiencies for independent pharmacies. PRIMARY INTENDED OUTCOME

J.J. Bernabei Pharmacist and CEO/Owner ~ Tri-State Medical, A member of The Medicine Shoppe® Family

Independent pharmacy is one of the most competitive markets in healthcare. In any town or city, you’ll commonly find two (or more) competing big-name chain pharmacies located on the same block, vying for consumer loyalty. Despite this intense pressure, independent community pharmacies are not becoming a thing of the past. Participants in this nearly $80 million sector simply need to work smarter in order to rise above the noise. Co-branding with a larger, recognized organization is a tactical approach to retaining a pharmacy’s independent identity, while benefiting from a powerful partnership. Cardinal Health offers independent pharmacies strategic co-branding opportunities through their Medicine Shoppe International, Inc. franchise which leverages both The Medicine Shoppe® and Medicap Pharmacy® national brands. Their value-added business services support high performing independent pharmacy ownership and provide the resources that can make community expansion possible.

www.cardinalhealth.com/MSIfranchise 34

CASE STUDY THE CO-BRANDING ADVANTAGE Co-branding with The Medicine Shoppe® provides partners with powerful tools and support, including: • A flat $599 monthly fee to join the network. • Five-year licensing agreement with a 90-day out. • Use of the franchise brand name alone or co-branded with your pharmacy name. • Best-practice sharing from a recognized, high-performing franchise system. • Ability to offer patient care services like immunizations and point-of-care testing.

pharmacies are Members of The Medicine Shoppe® Family franchise network and are open to the public, and Bernabai employs 80 staff members, including 12 full-time pharmacists. In 2013, Tri-State’s contract with Leader Drug Stores (a network of independent pharmacies affiliated with Cardinal Health) was expiring. Bernabei was deciding whether or not to continue that connection as he opened his third pharmacy location. He knew that going it alone was not a real option. “To succeed, you need to really push your operation to the limit and take advantage of all the technology in the marketplace,” he said. Independent pharmacy owners do not usually retain specialized marketing or technical staff, however. “We did it all ourselves,” said Bernabei. “That’s nearly an impossible feat for one store, so when you have three, it’s even more difficult.”

THE DECISION When Bernabei looked into co-branding, Cardinal Health’s Medicine Shoppe franchise option stood out. “We did not have anyone appeal to us on the cobranding side the way Cardinal Health did,” he said. "The potential partnership showed itself to be a positive prospect in many ways, including what is usually one of the biggest concerns for any business owner – cost."

• Business coaching from a dedicated pharmacy Franchise Business Consultant.

“We did our due diligence first, and found that the fees were actually a minimal part of the process.” Bernabei said. “Ultimately, the costs of the programs we purchased [as part of the Leader network] before co-branding were virtually the same after co-branding with The Medicine Shoppe® but we got so much more value.”

• Digital marketing tools that drive refills and patient engagement.

THE RESULTS Co-branding provides advantages that go beyond aligning with a national brand name that customers recognize and trust. According to the National Community Pharmacists Association, 91% of prescriptions are covered by third-party contracts, making contract management an important challenge for independent pharmacies to master. “Rarely do I come across a contract that The Medicine Shoppe® is not already involved with and has vetted,” said Bernabei. “It can be difficult for independent pharmacies to establish contracts, so co-branding delivered a robust advantage for us. We are still three independent pharmacies, and now we contract along with several thousand others through The Medicine Shoppe® PSAO.”

www.cardinalhealth.com/MSIfranchise

CASE STUDY The co-brand connection also offers a wealth of marketing support, from store signage to social media branding. “We utilize just about every marketing piece they afford us,” Bernabei said. “The co-branding for the appearance of the stores is seamless, and our co-branded electronic signs are a big driver. Their in-store radio program comes with templates for ads that play automatically in our stores and on our hold messages; I would have had to create these myself or go without and miss the opportunities.”

THE CONCLUSION Owners who join The Medicine Shoppe® franchise can retain their existing independent pharmacy names and simply add “A Member of The Medicine Shoppe Family,” to their brand identity. “People in our area recognize The Medicine Shoppe® as a credible brand,” Bernabei said. “They don’t see it as a mass merchandiser or an operation that is not independently owned.” If connecting to a recognized brand name boosts a community pharmacy’s visibility and trustworthiness, co-branding with The Medicine Shoppe® offers even more. “For us, the name was not the main benefit,” Bernabei said. “We saw the big advantages in what cobranding would do for our business model. It helps us operate more efficiently and lets us take advantage of programs that we otherwise wouldn’t have access to without being part of a bigger operation, including contract management. The Medicine Shoppe® is leading the pack on this.” Co-branding also makes his business more attractive to potential future owners. “Our plan is to expand our ownership [team] to a couple of our younger pharmacists, and their vision is to open even more co-branded locations,” Bernabei said. Through co-branding, Bernabei’s pharmacies all belong to the same PSAO, which allows for a simple purchasing model and consistent pricing. “These advantages are very attractive to younger pharmacists who want to be owners, but don’t have much experience on the business side. When we sell the business, the new owners can take comfort in knowing all they have to do is follow the code.” The information provided is not intended as an offer to sell or the solicitation of an offer to buy a franchise. The offer of a franchise can only be made through the delivery of our franchise disclosure document. Medicine Shoppe International, Inc. (MN Franchise Reg. #F-145) Medicap Pharmacies Incorporated (MN Franchise Reg. #F-884) 7000 Cardinal Place Dublin, OH 43017 New York: This advertisement is not an offering. An offering can only be made by a prospectus filed first with the Department of Law of the State of New York. Such filing does not constitute approval by the Department of Law. © 2019 Cardinal Health. All Rights Reserved. The Medicine Shoppe, Medicap Pharmacy, CARDINAL HEALTH are trademarks or registered trademarks of Cardinal Health.

www.cardinalhealth.com/MSIfranchise 36

Reach more patients through expansion. Becoming a pharmacy franchise can help facilitate your path to multi-store ownership.

• Flexibility to use the franchise brand name alone or to co-brand with your pharmacy name • Flat $599/month franchise fee that includes core business services • Expert coaching from Franchise Business Consultants • Expansion support: Market evaluations, location scouting, operations and marketing

Learn more at cardinalhealth.com/MSIfranchise

© 2019 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO, THE MEDICINE SHOPPE and MEDICAP PHARMACY are trademarks of Cardinal Health and may be registered in the US and/or in other countries. All other marks are the property of their respective owners. Lit. No. 1PD19-1057658 (10/2019)

Medicine Shoppe International, Inc., is celebrating 50 years of service helping independent pharmacy owners become the healthcare destination for personalized care for families in their communities.

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

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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 (1g 3)-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.

WINTER 2020

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100% Practitioner Exclusive CBD by Encore Life Leading the way in quality, delivering premium value to our customers, and driving growth through business and educational support. CEO:

Sean DeWitt Founded: 2016 Toll-Free Phone: (888) 673-2729 Address: 805 W. New Orleans Street Broken Arrow, OK 74011 Website: www.myencore.life

Company Background

Established in 2016, Encore Life offers an unmatched line of oral, sublingual, topical, and transdermal products with a continuous R&D process for further innovation. Encore Life is the only truly practitioner exclusive, pharmacist-formulated CBD company in the United States. We are committed to protecting the practitioner/patient relationship. We will not sacrifice the importance of this relationship by offering our products through any other sales channel.

Product Overview

Hemp OneThirteen by Encore Life is a line of premium CBD products derived from agricultural hemp, available in sublingual, oral, topical, and transdermal dosage forms. We use USA grown, non-GMO, CO2 extracted CBD oil in the manufacturing process to provide the purest products possible. Extensive third-party laboratory testing procedures verify the concentration of the product as well as the absence of any chemicals, herbicides, and pesticides. Certificates of Analysis are available on every lot of Encore Life products.

Topical Products

n Soothe Cream: Experience all-natural relief with our pharmaceutical grade Soothe Cream. Our proprietary blend of essential oils work to deliver an immediate cooling sensation when applied, and long-lasting targeted therapy as the fast absorbing transdermal liposomal cream penetrates to the deep tissue layers. Available in 30-gram and 60-gram pumps, Soothe Cream contains 10 mg CBD per gram of cream. n Calm SKN CBD: Our extra strength Calm SKN CBD gel is formulated with an array of specialty ingredients designed to gently stimulate the healing process on sensitive, post-procedure skin. Its restorative and anti-inflammatory properties calm hyper-sensitive nerves as a result of laser procedures and burns. The 60-gram pump contains 8.33 mg CBD per gram of gel. n Smooth S.C.R.: Smooth S.C.R. gel is an innovative formulation featuring a luxurious pharmaceutical gel base. Infused with humectants, antioxidants, and other specialty ingredients, Smooth S.C.R. deeply conditions the skin, while utilizing silicone occlusive sheeting to shield the application site from irritants and promote healing. The 30-gram pump contains 3 mg CBD per gram of gel. n Soothing Stick: This convenient, mess-free applicator delivers a specially formulated array of all-natural fatty acids to offer quick relief directly to

the sites of pain and inflammation. Once applied, you will immediately feel the cooling effects of peppermint and menthol. Long lasting, soothing, and convenient. The 3-ounce stick contains 4 mg CBD per gram of salve.

Oral Products

n Full Spectrum CBD Oil: Our most popular oil, the full spectrum CBD oils boast several naturally occurring phytocannabinoids and terpenes, promoting the entourage effect of multiple cannabinoids working together for the best therapeutic outcome. This unflavored oil contains no additives for a truly natural wellness regimen. CBD 375 and CBD 750 contain 25 mg CBD per 1 mL, and CBD 1500 contains 50 mg CBD per 1 mL. n Broad Spectrum CBD Oil: Our broad spectrum PRO series oils provide the highest concentration of CBD for the most efficient sublingual delivery. This formula contains a proprietary phytocannabinoid and terpene blend plus added CBG for a truly unique therapeutic effect. The PRO 750 and PRO 1500 contain 50 mg CBD per 1 mL, and PRO 3000 contains 100 mg CBD per 1 mL. n 25 mg Softgel: Our 25 mg softgels are the most convenient way to get your consistent daily dose of CBD. Each softgel contains a complex of full spectrum hemp material synergized with beta-caryophyllene and MCT oil, assisting in greater absorption within the gut and small intestine. Available in 10, 30, and 60 count bottles.

Quality By Design

n Our Ingredients: Vendors undergo a strict qualification process before we allow the ingredient in our Hemp OneThirteen formulas. n Raw CBD Oil Tested: Raw material is third-party tested by an ISO/ IEC 17025 accredited lab for CBD potency, terpene analysis, pesticides, heavy metals, residual solvents, mycotoxins, and microbial Contamination. n Precision Manufacturing: The finished oils and creams are carefully manufactured in small batches in our facility following good manufacturing processes. We use all-natural ingredients with no additional fillers or supplements. n Checks and Balances: Our finished product undergoes an additional third-party lab test to validate the CBD potency and terpene analysis, ensuring you receive exactly what our label states. n Wellness Delivered: Finally, your product is carefully packaged, hand-picked, and prepared for prompt delivery. Never skipping a step, we ensure you receive a consistent experience with every order.

Ordering Information

All Encore Life products are available exclusively via healthcare practitioners. Apply online by completing the registration form at www.myencore.life/practitioners. For more information about becoming a practitioner partner, call (888) 673-2729 or email info@myencore.life. WINTER 2020

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Stericycle’s Mail Back and Take Back Solutions Keep Businesses and Communities Safe

25,500+ (worldwide)

Stock Symbol: SRCL Toll-Free Phone:

(866) 783-9816 (844) 752-6211 Address: 2355 Waukegan Road Bannockburn, IL 60015 Website: www.stericycle.com Phone:

Company Background

For 30 years, Stericycle has delivered innovative medical waste solutions that protect patients and healthcare workers, promote community health, and preserve the environment. To meet the needs of pharmacies, they offer simple, convenient, and compliant waste disposal options. Whether it’s the safe disposal of contaminated needles, eco-conscious disposal of medications, or the segregation and disposal of hazardous waste from retail pharmacies, Stericycle has the tools to enable reliable waste management. When pharmacies use their products, they can ensure they meet regulatory requirements while reducing the risk of staff injury, mitigating the threat of drug diversion, and preventing hazardous materials from harming the environment and community.

Product Overview

n Facilitating Safer Vaccination Programs Pharmacies are taking the lead in improving the health and wellness of their communities with immunization programs. Not only do these programs benefit patients, they support revenue growth. The global vaccination market is almost $40 billion and is projected to grow to $50 billion in the next five years. Since sharps are still the primary method of vaccination for 10 out of 11 recommended adult vaccines, a robust immunization program can lead to an overabundance of contaminated sharps. Without a plan to safely dispose of these items, a pharmacy can run the risk of OSHA and other compliance violations. This is where Stericycle comes in. Stericycle serves as a reliable partner in a pharmacy’s immunization strategy – their convenient sharps mail back solution and container design keeps facilities compliant while limiting the likelihood of needlestick injuries. The program includes all materials required for proper shipping and documentation. Containers accommodate various types of sharps, including needles, lancets, and syringes. Prepaid shipping boxes and return labels are USPS-compliant and are serialized for easy tracking and proof of waste destruction. Regular reporting lets pharmacies monitor disposal status. Plus, a pharmacy only pays for the waste it generates, allowing flexibility depending on the season and the natural fluctuations involved in vaccinations.

Helping to Curb the Opioid Crisis

In addition to simplifying sharps disposal, Stericycle can also help pharmacy customers safely and anonymously dispose of unused or expired medications, including prescription painkillers and other dangerous drugs that serve as a gateway to opioid addiction. Oftentimes when patients don’t know where and how to dispose of these leftover medications, they hold on to them, flush them down the toilet, or throw them in the regular trash. This increases the risk that someone will steal the drugs for personal use or that hazardous chemicals will leach into the environment, including a community’s drinking water. Stericycle’s kiosks and Seal&SendSM envelopes ensure proper unused medication disposal. Not only can these solutions keep patients and their loved ones safe, they can mitigate some of the risks fueling the opioid crisis.

Award-Winning Pharmaceutical Collection Kiosks

When pharmacies place a Stericycle Collection Kiosk at a key point in their facility, patients simply drop their leftover medications in the kiosk, which securely holds the drugs and prevents further access. Once the kiosk is full, a light notifies pharmacy staff that the container is ready for disposal. The kiosks follow ADA recommendations for disabled customers and are also DEA and DOT compliant. Stericycle supplies documentation, so the pharmacy can demonstrate compliance.

Seal&SendSM Controlled Substance Envelopes

Stericycle’s Seal&Send program allows consumers to directly mail unused medications for secure destruction via incineration using prepaid envelopes. This solution can be especially valuable if patients live in rural communities or are homebound and unable to make regular trips to the pharmacy. DEA registration is not necessary to distribute these envelopes. Pharmacies can provide them to patients when they fill their prescriptions. Each prepaid envelope holds up to eight ounces of consumer medication, and there are simple instructions in English and Spanish of how to use and mail back the envelope.

Stericycle – A Key Partner in Helping the Community

Stericycle’s suite of Retail Hazardous Waste Services delivers industryleading expertise designed specifically to help retailers reduce risk of noncompliance and protect the trusted role in the community they serve. Recognizing that pharmacies are leaders in community health through, for example, vaccination programs and providing opportunities to safely return unused medications. Stericycle services and products support pharmacies in their community stewardship, providing compliant, easyto-use waste solutions that keep patients, staff, and the environment safe.

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Welcome to the Higher Level...

opportunities available. Call, or visit our website TODAY!

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

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Imbue Botanicals – The Most Extensive, Clinically Efficacious CBD Product Line Available Imbue Botanicals offers the most extensive line of premium, clinical-grade CBD products, including tinctures, capsules, and topical lotions and salves, all available in multiple strengths for people and pets.

President/CEO: Tom Bauer Founded: 2016 Employees: 12 Toll-Free Phone: (844) 864-6283 Address: 870 E Research Drive #4

Palm Springs, CA 92262 Website: www.imbuebotanicals.com

Company Background Imbue Botanicals started in 2016 as hemp began to gain limited legal status in the United States. Imbue Botanicals was founded first and foremost to provide an effective treatment for one of the founder’s severe neuropathy. The search for a treatment turned into a product line which became the basis for the company. Imbue was one of the very earliest companies in the CBD space to utilize U.S. sourced and grown hemp so it could verify the safety and quality of its products. It’s continued to lead the way in providing quality products that truly perform.

Product Overview Imbue Botanicals is quickly becoming the CBD brand pharmacists trust. We offer the most extensive line of premium, clinical-grade CBD products for both people and pets. Our premium Colorado grown hemp products are non-GMO, cruelty-free, and vegan. Our products offer exceptional quality, superb packaging, and unmatched value. Perfectly designed for the retail pharmacy market, our products are gaining strong attention and interest as a way of offering patients more holistic, effective alternatives as well as increasing store profitability. With nearly three decades of experience, the founders of Imbue Botanicals are passionate about utilizing our expertise and know-how to deliver exclusive, proprietary products, designed and envisioned to provide outstanding results. Our “earth first” approach to business, as well as consumer well-being, is fundamental to all that we do. We carefully extract and formulate our products for optimal concentrations and superb clinical efficaciousness. We provide the most comprehensive product training and support in the industry to ensure our pharmacy partners’ success. We also perform some of the most extensive product quality testing in the industry, and all of our products are batch tested by independent laboratories prior to shipment to ensure quality and consistency.

Product Specifications Imbue Botanicals offers the most extensive CBD product line available in the pharmacy space, including: • Proprietary full spectrum CBD tinctures in four different strengths. • Vegan CBD capsules in three separate strengths. • Exclusive CBD lotion available in multiple sizes. • Proprietary CBD salves available in multiple sizes and strengths. • Exclusive CBD beauty products including face creams, eye cream, and lip balms. • Fully infused gummies available in multiple strengths and package sizes. • Comprehensive CBD product lines for canines, felines, and equines.

Testimonials “ Imbue is the best packaged, most comprehensive, most clinically efficacious product line I have found. They provide amazing support and education to understand the products and CBD industry. A real winner for you and your customers!”

— Svetislav Milic, R.Ph., Colonia Pharmacy, NJ

“ In doing a thorough research in the hemp based cannabidiol (CBD) market, Imbue Botanical’s CBD is the best I have found in terms of quality and price point. As of right now, there is no quality standardization available in the hemp industry. As a result, I found some CBD companies have poor extraction processes and charge a fortune! Not Imbue! This is a true full spectrum CBD product in the market. Imbue’s education and training material for pharmacist and staff have been great as well. Again and again, I am amazed by the CBD product Imbue provides because I see great results and are changing my patients’ lives.”

— D.H. John Kim, Pharm.D., FAARFM, Robinson Drug & Compounding Center, NJ

Markets Served U.S. and International Independent Pharmacies Ordering Information For more information or to order, call (844) 864-6283 or visit our website at imbuebotanicals.com/wholesale-opportunities.

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C A N N A B ID IOL ( C B D ) R E S OU R C E S & P RO DUCT S Q & A

& Q A

Anthony J, Calamunci, Esq., FisherBroyles

Q. Is CBD a pain management alternative to opioids?

CBD or cannabinoid itself is non-psychoactive. Preliminary research indicates CBD or cannabidiol could be a successful opioid alternative. Recent studies have shown that states with medical marijuana laws (THC and CBD) have twenty-five percent (25%) fewer opioid-related deaths than states that have not implemented laws. Studies also show that CBD has a diminishing effect on drug cravings, which could impact the high relapse rates associated with opioids. While some studies are encouraging, it’s also important to understand why CBD shows so much promise to fight the opioid crisis. Education is key as CBD or cannabidiol continues to emerge as a pain management solution. CBD offers an opioid alternative for the treatment of chronic pain. Just last year, a study from the European Journal of Pain showed that (using an animal model) CBD applied on the skin could help lower pain and inflammation due to arthritis.[1]

Q. Will CBD alone get a patient high?

No. Scientifically and clinically, hemp plants contain less than 0.3% tetrahydrocannabinol (“THC”), the psychoactive chemical found in cannabis. This minute amount of THC will not make a patient feel high, reducing the risks of theft, addiction, and diversion associated with THC use.

Q. What is the FDA position on CBD?

To date, only one prescription medication containing CBD has been approved by the FDA – Epidiolex, a drug used to treat some forms of epilepsy. The FDA has historically issued several warning letters to firms that market unapproved new drugs that allegedly contain cannabidiol (CBD). Interestingly, the FDA has tested the chemical content of cannabinoid compounds in some of the products and many

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were found to not contain the levels of CBD they claimed to contain. CBD products are not approved by FDA for the diagnosis, cure, mitigation, treatment, or prevention of any disease. Notices and warnings related to promised outcomes of the effectiveness of CBD products should be considered before promoting or offering any CBD product for sale.[2] The FDA held its first public hearing on how regulation should be implemented on May 31, 2019, and in the future, will regulate CBD products. The goal of the May 2019 public hearing was for the FDA to learn about the current status of the safety, manufacturing, product quality, marketing, labeling, and sale of products containing CBD.

Q. How do you know what’s in the bottle labeled CBD?

Currently the manufacturing of CBD is unregulated. According to the Centers for Disease Control (CDC), synthetic products marketed as CBD sickened at least 52 people in Utah last winter, sending 31 of them to emergency rooms.[3] This lack of regulatory oversight creates a certain level of ongoing risks.

Q. Why CBD or cannabidiol?

Many patients have reported pain management success when using CBD products. As research on CBD products and effects continues, owners must continue to monitor published research to determine if the CBD products offered remain safe and beneficial.[4] To date, there is no recognized research to support CBD products for use as an appropriate treatment for serious medical conditions like cancer, diabetes, and Alzheimer’s disease. However, CBD is commonly used to address anxiety and insomnia, with some supportive research for these ailments.

Before implementation of a CBD regimen, patients should consult his/her primary care physician for guidance. Once approved, patients should start usage of CBD in small doses, after first confirming the CBD product is a “quality product.”

Q. How do you determine whether a CBD product is a quality product?

Before offering a CBD product for sale, check the manufacturer, source, or grower of the CBD, and the amount of THC present. Additionally, it is important to check for a “Whole Plant” or “Full Spectrum” Label (another quality of a good CBD oil is that it is manufactured using the whole plant). Finally, verify the existence of thirdparty lab results. Consulting and offering CBD products can feel intimidating at first, but with due diligence you’ll be ready to advise and assist patients seeking a quality product.

Q. Should owners know the laws in their state?

All 50 states have laws legalizing CBD with varying degrees of restriction and, while the federal government still considers CBD in the same class as marijuana, it doesn’t habitually enforce regulations against CBD distribution and/or usage. Owners interested in offering CBD products should verify legal restrictions in their respective state and understand that the laws regulating CBD sale and usage are constantly changing.[5] [1] https://www.health.harvard.edu/blog/cannabidiol-cbd-what-we-know-andwhat-we-dont-2018082414476 [2] https://www.fda.gov/news-events/public-health-focus/warning-letters-and-testresults-cannabidiol-related-products [3] https://www.cdc.gov/mmwr/volumes/67/wr/mm6720a5.htm?s_ cid=mm6720a5_x [4] https://www.mayoclinic.org/healthy-lifestyle/consumer-health/expertanswers/is-cbd-safe-and-effective/faq-20446700

https://hempmedspx.com/states-cbd-oil-legal-purchase/

[5]

Q. What are best practices when offering CBD Products?

Always verify that the individual has sought the counsel and guidance of his/her primary care physician; research origins of all products being offered; review and provide the user with literature from lab, manufacturer, and grower; recommend the user to start out with small doses; and advise the user of any potential side effects which may include nausea, fatigue, and irritability.

BIOGRAPHY

C A N N A B ID IOL ( C B D ) R E S OU R C E S & P RO DUCT S Q & A

Q. Demand for CBD products?

Anthony J, Calamunci, Esq., FisherBroyles

Anthony’s 24 years of healthcare law experience includes the representation of healthcare clients, such as pharmacies, drug manufacturers, wholesalers, distributors, physicians, physician groups, imaging centers, sleep centers, and laboratories relating to compliance, litigation, and regulatory matters. He also provides clients with strategic advice on how to adjust their operations to keep pace with the always changing healthcare industry. Anthony further has become active in the hemp, CBD, or cannabidiol industry advising growers, processers, manufactures, and providers. Anthony works

with clients assisting as litigation counsel in adversary proceedings against third-party payers, PBMs, Government Agencies, and BOP. He also counsels on practice formations and sales, fraud and abuse, and Stark counseling, buy-sell agreements, employment issues, large group practice mergers, HIPAA compliance, and governmental, professional board, and medical staff investigations. Because so much of healthcare law is federal in nature, Anthony has clients across the country, and has a national presence.

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C A N N A B ID IOL ( C B D ) R E S OU R C E S & P RO DUCT S Buyer’s Guide

CANNABIDIOL (CBD) RESOURCES & PRODUCTS Buyer’s Guide Ananda Professional 1961 S. Edgewater Road Cynthiana, KY 41031 (888) 388-1119 Anandaprofessional.com

Letco Medical 460 E. Swedesford Road #2040 Wayne, PA 19087 (800) 378-0009 www.letcocbd.com

CBDistillery 1720 S Bellaire Street, Penthouse Denver, CO 80222 (855) 223-7766 www.thecbdistillery.com

Medella Sciences 6930 Signat Drive Houston, TX 77041 Medellasciences.com

Encore Life 805 W. New Orleans Street Broken Arrow, OK 74011 (800) 454-2304 www.myencore.life Imbue Botanicals 870 East Research Drive, #4 Palm Springs, CA 92262 (844) 864-6283 imbuebotanicals.com

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Medterra 9801 Research Drive Irvine, CA 92618 (800) 971-1288 medterracbd.com PlusCBD™ Oil by CV Sciences 10070 Barnes Canyon Road San Diego, CA 92121 (855) PLUS-CBD (758-7223) www.pluscbdoil.com

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PRS Pharmacy Services P.O. Box 852, 201 Depot Street Suite 200 Latrobe, PA 15650 (800) 338-3688 www.prsrx.com Uleva 1770 Blake Street Denver, CO 80202 (720) 577-4448 uleva.com

CANNABIDIOL (CBD) RESOURCES & PRODUCTS www.RXinsider.com

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C A N N A B ID IOL ( C B D ) R E S OU R C E S & P RO DUCT S Market Leaders

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

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NCPA CBD Source Powered by PRS CBD education and quality product selection by pharmacists for pharmacists!

CEO: Doug Hoey, NCPA

Harry Lattanzio, PRS Employees: 100+ Toll-Free Phone: (833) 786-6522 Address: 201 Depot Street Latrobe, PA 15650 Website: www.ncpacbdsource.com

Company Background

NCPA has been the voice of independent pharmacists for over 100 years. PRS has been the name brand in pharmacy consulting since 1982. Now, NCPA has collaborated with PRS to create a digital resource for CBD products and an educational platform for pharmacists. CBD Source is a trusted source of CBD education and products for independent retail pharmacists, giving them the tools and information they need to confidently counsel patients about CBD.

Product Overview

n CBD Belongs in a Pharmacy The CBD market is growing fast with little regulation. We found thousands of products and hundreds of manufacturers, many with fraudulent, contaminated, or mislabeled products. Finding quality products and sifting through all of the claims and misinformation can be daunting. NCPA CBD Source alleviates these issues by doing the research for you, giving pharmacists a reliable source of CBD information, resources, and quality products they can trust recommending to their patients. In addition, we have CBD trained pharmacists and specialists available to answer questions and assist as needed.

Our Process

n Screening NCPA and PRS combined resources to screen and verify the quality of dozens of CBD brands and selected the manufacturers whose products and philosophy support independent pharmacy owners. n Lab Analysis In addition to Certificates of Analysis (CoA) submitted by manufacturers, NCPA CBD Source engaged an independent lab to conduct initial and then future ongoing random testing of products to confirm purity and potency. n Education Your patients rely on you for their health. It’s vital as the trusted community pharmacist that you become the community CBD expert. We provide you with accurate, up-to-date CBD education and product information, so you can confidently counsel your patients on CBD and recommend products.

Features

n Pharmacist Specific CBD Education Pharmacist-centric education in a quick and easy format. You will learn about: • Why CBD Belongs in a Pharmacy • Endocannabinoid System • Mechanisms of Action • Drug Interactions • Adverse Drug Reactions • Side Effects • Suggested Dosing • Product and Dosage Form Education • Links to Pharmacist CE • Selected Brand Information and Much More n Carefully Selected Manufacturers and Products Our selected products were tested for purity and potency and each brand was screened to ensure it belongs in your pharmacy. Products include: • Sublingual Oils (Including Liposomal) • Oral Delivery Methods • Pet Products • Topical Creams • Cosmetics and Much More n Pharmacy Marketing Program We will provide resources and training to help sell CBD in your pharmacy and make you the recognized CBD expert in the community. We provide the following materials: • Patient Information, Bag Stuffers, Brochures, etc. • Media and Public Relations Information • Advertising Materials and Information for Your Website • Signage, Radio, IVR, and Newspaper Ads NCPA CBD Source ... the trusted source for pharmacist CBD education and quality product selection. This project is dedicated to the continuing growth and prosperity of independent community pharmacy in the United States.

Contact Information

Call (833) 786-6522 or visit us on the web at www.ncpacbdsource.com for details. Supporting NCPA’s CBD product partners benefits independent pharmacists everywhere.

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available

Q1 2020

Higher efficacy and CBD concentration Exclusive to medical professionals and independent pharmacies

Advanced CBD & MCT Oil Tincture

Advanced Cannabinoid Blend CBD Oil Tincture

Advanced Cooling Blend CBD Topical Cream

Advanced Cooling Blend CBD Roll On Cream

LIPOSOME PRODUCTS

Liposomal technology for greater bioavailability

CBD Sleep Blend Liposomal Oil Tincture

CBD Wellness Blend Liposomal Oil Tincture

CBD Sleep Blend Liposomal Dry Capsules

CBD Wellness Blend Liposomal Dry Capsules

www.medterracbd.com

*packaging subject to change*

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Medterra – Our CBD, Your Health. Started by a Group of Individuals Passionate About the Power of CBD Products As experts in the health and wellness space, we understand the demanding and expanding needs of community pharmacists and their patients. Through our innovation pipeline we have created patent pending technology that will enable pharmacists to provide high-quality care at low cost!

President & CEO: Jay Hartenbach Founded: 2017 Employees: 84 Toll-Free Phone:

(800) 971-1288 (949) 377-3399 Website: www.medterracbd.com Fax:

Company Background Medterra provides customers with true seed-to-sale purchases. Our industrial hemp is grown and extracted in accordance with the strict guidelines of the Kentucky Department of Agriculture. Each and every product that leaves the facility must be third-party tested to ensure consistency and quality.

Key Customers Independent Pharmacies and Co-Ops Trade Shows/Meetings Attended • Medtrade Spring • Value Drug Expo • NCPA Annual Convention • NACDS – TSE Ordering Information

For more information or to order, email Pharmacy@medterracbd.com or call (800) 203-2575.

Product Overview Medterra Pharmacy advanced line will consist of advanced delivery methods and advanced cannabinoid blends, along with stronger strengths in our topicals. The broad spectrum tinctures offer an advanced cannabinoid blend, including cannabinoids found within full spectrum oil-with Zero THC. These tinctures provide stronger concentrations of CBG, CBN, and CBC than most full spectrum products in the market. Our liposome technology increases the bioavailability of our products making CBD more efficacious at lower concentrations. We are excited to release this advanced line in Q1 2020 for all independent pharmacies to offer for their patients. Additional Product Lines • Advanced Cannabinoid Blend Zero THC Tinctures • Liposome Wellness Blend Tincture • Liposome Sleep Blend Tincture • Liposome Dry Capsule Wellness Blend • Liposome Dry Capsule Sleep Blend • 1,000 mg 1.7 oz Topical Cream • 1,000 mg 2.0 oz Roll-On

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

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

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BestRx Pharmacy Software – The Best Choice in Pharmacy Management Software BestRx delivers the best value with easy-to-use, complete pharmacy management software solutions that can be tailored to the needs of independent community pharmacies. Our goal is to help pharmacies enhance efficiency and profitability, leaving more time for what matters most – patients.

President & CEO: Hemal Desai Founded: 1985 Employees: 40 Toll-Free Phone:

(877) 777-5758 Phone: (630) 893-9210 Fax: (630) 339-3171 Address: 1200 Jorie Boulevard, Suite 310 Oak Brook, IL 60523 Website: www.bestrx.com

Company Background

Our company began in 1985 when computer programmer, and BestRx founder, Yogesh Desai, helped his pharmacist friend by designing a simple pharmacy software system to help manage his business more efficiently. They worked together on sharing ideas, problem-solving, and creating, which is still our standard practice today. For two generations, we have studied the unique needs of independent pharmacy owners, staff, and patients. We are dedicated to delivering the best value in innovative, easyto-use, complete pharmacy solutions tailored to your business needs. We always put you and your patients at the center of everything we do. Our expertise is informed by our strong connection to our family of pharmacists. We know what you need, and we work closely with you and our partners to ensure we’re always providing the best solutions possible. We are relentlessly committed to your success.

Product Overview

Our product suite is designed to help your business be more profitable and competitive. The BestRx™ Pharmacy Management System, our signature product, is a Windows-based pharmacy management system that will help you manage your pharmacy more effectively by simplifying tasks such as claims processing, inventory management, reporting, and much more. BestRx™ is powerful, feature-rich, and easy to use; a complete pharmacy software solution. We are moving from a pill-centric model to a more patient-centric model focusing on patient engagement, pharmacy growth, adherence, star ratings, chronic care management, easy reimbursement, and comprehensive medical reviews.

Features & Options

n BestPOS: We deliver tailored, easy-to-use solutions for the best value in the industry. Our point-of-sale system is a Windows-based application that is fully integrated with our BestRx Pharmacy Software system to help boost your efficiency and profitability. BestPOS is reliable and easy to use; minimal training is needed to familiarize yourself with the software. Pairing the BestPOS system with the BestRx system is a smart way to maximize your pharmacy’s efficiency and customer satisfaction.

n Electronic Signature Capture: Capture signatures electronically with an electronic sig pad for in store pickups, or a mobile tablet device for delivery prescriptions. n Rx Image Scanning and Document Management: With the Rx Image scanning feature, you can store prescription images on your computer. This feature expedites and simplifies the prescription verification workflow, as well as securely retains your prescription images digitally. In addition to scanning Rx images, you can also scan and attach specific documents to a patient’s file, drug’s file, prescriber’s file, insurance plan’s file, or prescriptions themselves. n Nursing Home Module: Pharmacists can maintain multiple nursing homes’ information in BestRx. Patients can be assigned to a unique nursing home, while pharmacists can print medication administration records (MAR’s), physician’s order forms, and multi-dose or unit-dose packaging using the Dispill or Parata PASS Interface. We even offer E-MAR subscription services. n Messaging Services: This feature allows you to send automated and customized email or text messages to your patients to provide pertinent information to them. This information can vary including their medications, refills, or insurance coverage changes. Messaging interface will increase customer interaction and engagement and inspire patient retention. n Cloud Backup: Performed nightly after your pharmacy has closed, this additional feature helps ensure you never lose data again. It’s simple to setup and very affordable. It even sends notifications to your email regarding your data backup. n Med-Sync: Align patient refills to provide convenience and increase medication adherence.

Testimonial

“ I used many different software programs in my 30+ years as an independent pharmacy owner. There are many outfits trying to get clients for their program, so the decision should be based on needs. After considering other systems, I happened to mention that I was shopping for a system to a pharmaceutical sales rep. He recommended BestRx. I called and found that the price was the most competitive and that the system had enough bells and whistles so that a practitioner could do just about anything needed. Having the system for just one day, I knew that it was the most user-friendly program I had ever owned.”

— Terry Gratzhofer, Vine Pharmacy, Chicago, IL

Trade Shows/Meetings Attended

PDS Super-Conference, American Pharmacist Association Annual Meeting, Cardinal Health RBC Conference, Thoughtspot AmerisourceBergen, NCPA, and various state pharmacy association shows.

Ordering Information www.bestrx.com/contact WINTER 2020

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Pharma Logistics.

The Reverse Distribution Experts.

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.

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

Pharma Logistics Delivers Fast Pharmaceutical Returns, Credits, and ROI Pharma Logistics is your reliable partner in pharmaceutical reverse distribution. Our Rapid Credit, Onsite, and Box and Ship services ensure hospital and pharmacy organizations can optimize inventory and supply chain, remain compliant, and boost their return on investment.

President & CEO: Michael Zaccaro Founded: 1996 Employees: 170 Toll-Free Phone:

(888) 729-7427 (847) 837-1226 Address: 1795 N. Butterfield Road, Suite 203 Libertyville, IL 60048 Website: www.pharmalogistics.com Fax:

Company Background

Founded in 1996 by Michael Zaccaro, Pharma Logistics is a pharmaceutical returns company dedicated to client-focused service. Our mission is to make the returns process as easy as possible for our clients. Our superior service has earned the trust of a broad range of clients including hospital pharmacies, the VA Health System, independent pharmacies, pharmacy chains, and physicians’ offices. Our services help ensure customer compliance with federal and state regulations, and improve their investment on the credit return process.

Product Overview

We offer easy and hassle-free services to streamline your facility’s pharmaceutical returns process to save you time and labor. Our online client portal provides real-time tracking of open return projects and analytics on expected returns. n Reverse Distribution Services • Rapid Credit: Reimbursement in as little as 14 days from the date the items are received. • Onsite Service: Trained representatives come onsite to check paperwork, ensure proper packaging, and prepare shipments for carrier pickup. • Box and Ship Service: Manually pack and ship your own returns with prepaid labels and boxes.

Features & Options

At Pharma Logistics we specialize in pharmaceutical reverse distribution, handling the return credit process for retail pharmacies, hospital pharmacies, and other healthcare providers across the nation. Whether you need to get your credits more quickly, are looking for a convenient way to ship your expired drugs, or would like more visibility into your returned products, Pharma Logistics delivers seamless service to ensure compliance and improve profitability.

n Pharma Logistics Benefits for Pharmacies • Faster Credits: Supports cash flow and ROI for your organization. • Boost cash flow more quickly. • Spend less time on accounting – reduce your reconciliation time up to 25 hours per month. • Precision processing allows for line item reconciliation, delivering greater return credit accuracy. • Our 100% Credit Promise: If you don’t receive 100% of the estimated return value, we’ll pay the difference of your service fee. • Online client portal offers real-time visibility and return analytics.

Online Analytics

Beware, not every vendor can show exactly where your credit is in the return process and how much you can expect to collect. Unlike most vendors, Pharma Logistics provides you with our online client portal for 24/7 data access. Our portal improves your ROI by saving hours of labor, and enables your organization to quickly track your return jobs and credits in real-time. n Real-Time Analytics Include • Expected Return Value (ERV) Calculation • Dashboard Showing Status of all Returns and Disposals • Line-Item Reporting • Credit Tracking  • Expected and Paid Credits  • Data Export to Support Compliance and Financial Reporting

Additional Product Lines

n Consumer Drug Take-Back Services Pharma Logistics provides your pharmacy with secure bins to help your pharmacy coordinate a community “drug take-back” program. Consumers are encouraged to safely dispose of unwanted pharmaceutical products. • Benefit: Helps protect your community from prescription drug abuse and accidental poisoning; reduces the dangers of pharmaceutical waste.

Markets Served

We serve hospitals, independent pharmacies, retail pharmacies, government, and closed door pharmacies.

Ordering Information

Call (888) 729-7427, email plcustomerservice@pharmalogistics.com, or visit www.pharmalogistics.com. We will make sure you get all the information you need to make the best decision for your pharmacy.

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CASE STUDY Modern Strip Packaging Automation Boosts Productivity, Accuracy, and Your Pharmacy’s Bottom Line PRIMARY INTENDED OUTCOME

Mick Blazier Pharmacy Director of Operations ~ EverSpring

noritsu.com

NORITSU Pharmacy Automation

CASE STUDY Pill and NDC Management

time manage labor costs and reduce operational hours. To accomplish these goals, high-volume pharmacies are challenged to find the right equipment that can automate drug packaging efficiently and reliably while ensuring accuracy.

Tools Which Help Deliver Continuous Production

THE DECISION

When interfaced with EverSpring’s pharmacy management system, Noritsu’s software helps the pharmacy generate a pill report that is continuously aggregated and monitored, helping to identify the fastest-moving medications that are in high demand across facilities and patients to better optimize production. The Xana strip packager then utilizes active cassette and tray management to better dispense medications in an uninterrupted workflow. In advance of a batch run, the number of NDC’s allocated as cassette-loaded drugs can be placed (expandable up to 1,000 unique NDCs), thereby minimizing the labor previously required to be delivered manually via tray.

noritsu.com

Automated pharmaceutical packaging technology is a growing industry, aiming to address the needs of an increasingly large population of complex patients and the pharmacies that serve them. Numerous manufacturers are vying for prized pharmacy space. “I was in the market for new automation,” said Mick Blazier, Pharmacist-in-Charge at EverSpring Pharmacy in St. Louis. “There are a number of big players in the field, of course. Another pharmacy that I had a relationship with used Noritsu, so I also included them in my search.” EverSpring exclusively targets long-term care, including assisted-living facilities and developmentally disabled group homes, so Blazier’s interest in improving the pharmacy’s adherence packaging was strategic. During the course of his research, he met with a handful of pharmacy automation market leaders, including Noritsu. “I was most impressed with what Noritsu offered, both in terms of their machinery and their customer support.” EverSpring ultimately made the decision to purchase two Noritsu Xana 4001 strip packagers as well as their MDM-3 medication detection machine.

THE RESULTS The addition of Noritsu’s technology resulted in substantial improvements in EverSpring’s production time, workflow, and overhead costs. “We were running 16-hour days on average; sometimes we were so behind, we had to run 20 or 24 hours a day with the older machines,” said Blazier. “The new machines decreased our run time to an average of 10 hours a day and increased our output by 25%, while decreasing our payroll hours by about 50%.”

NORITSU Pharmacy Automation

CASE STUDY EverSpring’s new packagers combine lower labor costs and improved features. Custom-labeled medication pouches provide important information in clear, crisp detail, making it easier for patients and caregivers to read. The Noritsu equipment also allows EverSpring’s staff members to make more efficient use of their work time. When the outdated machines filled pouches, they still had to be hand-checked by a pharmacist for safety. With the addition of medication and pouch detection through the MDM workstation, a digital image and associated data are archived for every pouch ever produced. “A pharmacist sees all of [the images] on screen and can visually inspect a blown-up image of each pouch if necessary,” Blazier said. The MDM workstation has reduced staffing needs by two FTE pharmacists and also allows seamless connectivity between EverSpring’s existing pharmacy management system and eMar administration. EverSpring’s accuracy has also benefited. “The combination of Noritsu equipment we selected has tremendously cut down on medication errors leaving the pharmacy,” Blazier said.

THE CONCLUSION Ultimately, customer service was the main driver in Blazier’s choice of Noritsu Pharmacy Automation, and he has not been disappointed. “They had an onsite presence here for two weeks after the installation, and we are always communicating with Noritsu about ways to make the system even better,” said Blazier. “If we ever have a problem, they either log in remotely to take a look immediately or send one of their dedicated field techs here within a couple of hours.” As pharmacy growth continues, Blazier acknowledged that EverSpring would turn to Noritsu again for additional packaging machines. “They are so efficient, and the support is that good.”

noritsu.com

NORITSU Pharmacy Automation

Strip Pouch Packagers

From start-up to high production, Noritsu has automation solutions to ﬁt your needs

NORITSU Pharmacy Automation

Reliability - it’s what drives us. It’s what inspires us every day to be the best business partner to our customers. It’s what we expect of our products, of our employees, and of the entire company. And, it’s why we’ve had customers stay with us for over 50 years.

Detection and Accessories

MDM Series detection machines to automate your veriﬁcation process

800-521-3686 • sales@noritsu.com • www.noritsu.com

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 WholeCare, Pharmaceutical Wholesale Sourcing Solutions. We offer a comprehensive range of pharmaceutical products to independent retail pharmacies, surgery centers, urgent cares, specialty pharmacies, hospitals, international research and government managed facilities as well as physicians. As your wholesale distribution specialists, we deliver the support and pharmaceutical care you need when your patients need it most, safely and securely through our supply chain. Safe Chain believes that your patients and business deserve the best care possible, and we assist in just that.

• 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: (866) 930-1128 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 act as a vital link to support 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, and physicians.

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The

Potential of

Blue

COMPREHENSIVE LTC Pharmacy Management System

END-TO-END Workﬂow Solution

Realize Your Potential

EFFICIENT Process Automation

COMPLIANT Pharmacy Logistics

INTELLIGENT Business Analytics

SECURE Information Sharing

www.integragroup.com / (866) 257-4279 / sales@integragroup.com Integra is part of Smith Technologies, LLC, a subsidiary of the J M Smith Corporation.

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

Kevin Welch Founded: 1997 Employees: 160+ Toll-Free Phone: (866) 720-6846 Phone: (360) 588-0574 Address: 317 Commercial Avenue Anacortes, WA 98221 Website: www.integragroup.com

Company Background

In 1997, the initial creators at Integra, who had backgrounds in closeddoor pharmacy and acute and long-term care solutions, drew on their collective experiences to develop a product that eliminated the need for paper records in the pharmacy. Then, our industry-leading company expanded by developing an entire suite of solutions to meet and advance the operational and financial goals of our clients.

Product Overview

The Integra Suite is an industry-tested set of institutional pharmacy solutions. Our suite is designed to give you a comprehensive, flexible, compliant, efficient, and intelligent toolbox to meet your specific needs. Match our innovative, interface-friendly suite with our top-notch customer service and you get functional, intuitive software that fits like a glove.

Features & Options

n What are the components of the Integra Suite? We lead the industry with a proven pharmacy management system – PrimeCare® – that is the most comprehensive and interface-friendly institutional software in America. PrimeCare enables you to process orders quickly, efficiently, and safely, streamlining your daily processes. Experience our Pharmacy at a Glance dashboard, versatile dispensing options, and complete financial data management. Communicate safely and simply with Cloud Fax, Secure Messaging, and WebConnect® (interactive facility portal). WebConnect provides access to pharmacy information at your facilities from the nurses’ station or at the patient’s bedside using any tablet with internet access. We connect you to your patients and vendor partners securely, so you can exchange sensitive information using email, fax, and internet tools that work best for your pharmacy. DocuTrack® is our industry-standard flexible content management software. Receive, manage, organize, route, retrieve, and track phone, fax, and email documents. Focus your staff’s attention on patient care and processing orders instead of pushing paper. Plus, simplify audits and experience intuitive search functionality.

Take advantage of compliant pharmacy logistics with DeliveryTrack®. Track your prescriptions from input to facility delivery, keeping the chain of custody secure. Now you can take the panic, overtime hours, and financial strain out of the audit process, while maximizing route options and keeping your facility patients informed in real time. Logix® provides efficient automated solutions that eliminate repetitive manual processes across our software suite, freeing pharmacy staff for more productive output and faster service. Reduce errors and experience consistent, error-free facility communication. For intelligent analytics, Mevesi® ensures you know your data. Access, filter, and analyze data to improve your customers’ experiences, recognize bottlenecks before they occur, monitor revenue, and predict and stay in front of future needs. Mevesi converts your existing pharmacy management system financials into actionable information you can use to guide business decisions. Integra is synonymous with world-class support. Our team is always just a phone call away!

Testimonials

“ We operate a large LTC pharmacy, servicing assisted living, skilled nursing, behavioral health, and residential care settings. We use the entire suite of Integra products (PrimeCare, DocuTrack, DeliveryTrack, Direct Print, eRx Module, Cloud Fax, Secure Messaging, and Logix). This allows us to optimally streamline our operations, easily retrieve information, minimize errors, and create economies of scale. We have worked with Integra for over 10 years and have never been disappointed with their responsiveness, flexibility, and customer service.”

— John Saliba, RPh, President, Saliba’s Extended Care Pharmacy, A Guardian Pharmacy

“ Using Integra’s Suite ensures a seamless flow of pharmacy content and delivery logistics through PrimeCare, DocuTrack, and DeliveryTrack, and provides valuable business analytics with Mevesi. Integra products give us reliable, comprehensive visibility across our entire company.” — Mark McKee, RPh, Director of Pharmacy, Korman Healthcare

Trade Shows/Meetings Attended

• 2019 NCPA® Annual Convention & Expo, October 26-29, 2019, at the San Diego Convention Center, San Diego, CA • 2019 Innovatix + Essensa National Meeting & Expo, October 2830, 2019, at the Atlanta Hilton, Atlanta, GA • 2019 ASCP Annual Meeting & Exhibition, November 7-10, 2019, at the Gaylord Texan Resort & Convention Center, Grapevine, TX

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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, went 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

Behind Every Good Pharmacist, is a Great Resource.

Event Calendar

Trade Shows, Meetings, & Expositions

RXinsider.com

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, 91 Aisles www.rxinsider.com ECRM Specialty Pharmacy Program January 8-10, 2020 Hilton Head Marriott Resort & Spa Hilton Head, SC 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 HIMSS20 Conference & Exhibition March 9-13, 2020 Orange County Convention Center Orlando, FL www.himssconference.org

WINTER 2020

CASE STUDY VIDEO SERIES

APhA 2020 March 20-23, 2020 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

continued on page 71

The RXinsider eLearning Center is an educational and training resource for pharmacists, technicians, professionals, and students interested in the “business of pharmacy.”

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

Southern Ohio Medical Center Join leadership at Southern Ohio Medical Center, as they discuss beginning their clinic-based specialty pharmacy services in partnership with Trellis Rx, and how it has significantly enhanced the specialty medication experience for patients and providers.

trellisrx.com

DRIVE YOUR BUSINESS FORWARD Connecting products, services and pharmacy professionals to better align with market needs

UNCOVER NEW PRODUCTS, TECHNOLOGY AND SERVICES DRIVE EFFECTIVE INTERACTIONS BETWEEN QUALIFIED PARTNERS GAIN MARKET INSIGHT AND EDUCATION Contact Michael Castillo, SVP of Pharmacy & Medical Markets for more information 440-528-0441 | MCastillo@ECRM.MarketGate.com | ECRM.MarketGate.com

IMPROVE PROFITABILITY IN AN UNFAIR GAME You Canâ&#x20AC;&#x2122;t Afford to Miss PDS 2020 PDSCONFERENCE.COM February 27-29 Orlando, Florida

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

continued from page 68 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

NACDS Total Store Expo August 8-10, 2020 San Diego Convention Center San Diego, CA tse.nacds.org IACP Compounders on Capitol Hill September 9-10, 2020 Washington, DC www.iacprx.org

LEARN MORE: www.acainfo.org/education

FEBRUARY 19-22, 2020

THE DON CESAR

ST. PETE BEACH, FLORIDA

T R A D E S H O W & M E E T I N G E v e n t Calendar

Event Calendar

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.

NCPA Annual Conference October 17-20, 2020 Nashville, TN convention.ncpanet.org

McKesson ideaShare 2020 July 12-16, 2020 Austin Convention Center Austin, TX mckessonideashare.com

ASCP Annual Meeting & Exhibition November 12-15, 2020 Gaylord Palms Resort Kissimmee, FL annual.ascp.com

Cardinal Health RBC July 15 -18, 2020 Colorado Convention Center Denver, CO rbc.cardinalhealth.com

ASHP Midyear Clinical Meeting December 6-10, 2020 New Orleans, LA midyear.ashp.org

AACP July 18 -22, 2020 Long Beach, CA www.aacp.org/event/ pharmacy-education-2020

All shows are subject to change.

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TAMPER RESISTANCE. ANY QUESTIONS?

GOHCL.COM â&#x20AC;¢ 1.800.848.1633

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

Health Care Logistics – Your Small Friend, Indeed Discover an unmatched inventory of unique and hard-to-find solutions for nearly every facet of the healthcare industry. President & CEO: Gary Sharpe Founded: 1978 Employees: 325 Toll-Free Phone:

(800) 848-1633 (800) 447-2923 Address: P.O. Box 25 Circleville, OH 43113 Toll-Free Fax:

Company Background

What began 40 years ago, as a garage-based business at the home of founder Gary Sharpe, now encompasses five facilities in central Ohio and reaches customers around the globe. Health Care Logistics is a privately owned company specializing in manufacturing, packaging, and distributing unique and hard-to-find products for nearly every facet of the health care industry. HCL also offers complimentary search and development services for non-inventory items customers want but can’t find. Meeting the needs of its customers is the driving force behind the success of Health Care Logistics.

Product Overview

HCL’s inventory includes more than 10,000 different products such as boxes, bins, security seals, compounding and dispensing products, infection prevention solutions, and unit dose supplies. In addition to stock items, HCL offers manufacturing divisions for cabinets, plastics, and metals to create specialty solutions with short lead times. An in-house print division is also available to custom print labels, magnets, banners and clings, and to laser mark products with names, departments, and bar codes to help professionals improve performance, reliability, and accountability. HCL will manufacture or modify existing products to meet your needs. We work with you to make products work for you.

Additional Product Lines

n HCL Wipes: Disinfecting medical surfaces is serious business; only the strongest ingredients are worthy of the fight. Bring more muscle to the table with germicidal cleaners and wipes from Health Care Logistics. They’re made to wipe out the risk of HAIs and improve infection control initiatives for you and your team. This line of wipes is made of the highest-quality material to ensure the highest level of clean in your facility. n IV Supplies: Eliminate drug dispensing errors, improve accuracy, and protect patients from the risk of infection with the complete line of IV supplies and accessories from Health Care Logistics. Solutions include: IV bag covers and accessories; IV locking boxes; IV poles and accessories; IV inspection light boxes and accessories; IV labels; mini-bag applicator; carry caddies and accessories; phlebotomy workstations and accessories;

sterile glass vials and accessories; tamper-evident tip caps; tamper-resistant add-port caps; tube and cable organizers; transfer needles; needlestick prevention and more! n Carts and Accessories: From code carts to treatment carts, anesthesia carts, and more, Health Care Logistics offers an extensive line of durable, dependable crash carts and mobile workstations that keep supplies organized and secure. Cart accessories focus on security, organization, and accessibility, and include everything from crash cart boxes, lids, and dividers to foam inserts, security bags, and security seals. In-stock or specially designed labels and vinyl graphics help maximize productivity by making it easy to identify drawer contents, departments, and types of equipment. n Cleanroom Supplies: Health Care Logistics offers a variety of readyto-use, USP <797>-friendly sterile cleaning products to kill bacteria and maintain a clean medical environment free of contaminants and debris. This series of powerful sanitizers and disinfectants include sprays, wipes, and polish individually bagged and ready for immediate introduction into the controlled area. Premixed concentrations are formulated with Sterile Water For Injection (WFI), sterilized and filtered to eliminate any trace of particulate matter inside the container. Two-part SimpleMix solutions measure and mix the appropriate amount of concentrate at the time of use to guarantee a fresh, full-strength solution every time. In addition, our sterile cleanroom wipes are great for cleaning lab equipment and medical instruments in areas where bacteria, particulate, and extractable levels are critical concerns. Our cleaning tools and supplies can help you achieve quick, effective cleaning and disinfecting in critical areas while infection control mats remove dirt, dust, and lint on contact from shoes, making it easier than ever to comply with USP <797> mandates. n Refrigerators and Freezers: Cold drug storage can be complicated. And expensive. And it can give some people chills. We aren’t those people. At Health Care Logistics, we make it easy to manage any critical drug storage situation. From compact countertop units to full-size appliances, our inventory is overflowing with solutions for pharmaceutical, dietary, and laboratory use. All pharmacy-grade refrigerators come equipped with digital microprocessor temperature controls, temperature alarms, and port access. In addition, multiple locking options are available so you can choose the level of security and accessibility to match your facility’s needs. As an added layer of protection, we offer refrigerator locking boxes to keep supplies secure, prevent drug diversion, and enable users to control access while keeping contents stored at a regulated temperature.

Ordering Information

Call: (800) 848-1633 | Web: www.goHCL.com | Fax: (800) 447-2923 Email: hcl@gohcl.com | Electronically: GHX and EDI | Chat Online HCL’s Live Customer Service Staff is on Duty: 8:00 a.m. - 8:00 p.m., EST After Business Hours Call Our Emergency Phone: (740) 207-4293 WINTER 2020

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DRIVE UP

5'-0"

4'-0"

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WILL CALL / BTC

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6'-0"

10'-2 1/4"

4'-1 1/4"

COFFEE

WELLNESS

DIA

TIC

& DM E

Experience the Value of Quality Service EC KO

2'-0"

14'-10"

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6'-6 3/4"

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DRIVE UP

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Design. Supply. Support.

T. 800.934.6798 5'-0"

7'-0"

6'-6 3/4"

3'-10"

38'-0"

F. 314.534.0583

10'-0"

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

Lozier Store and Pharmacy Fixtures – Free Layout and Design by RxShelving.com RxShelving.com provides an easy-to-use, one-stop shop for all your healthcare related equipment needs.

President & CEO: Patti Pettibone Toll-Free Phone:

(800) 934-6798 (314) 534-1081 Fax: (314) 534-0583 Address: 4216 W. Dr. ML King St. Louis, MO 63113 Website: www.rxshelving.com Phone:

Company Background RxShelving.com is a division of Surplus Equipment Company, a leading distributor of Lozier Store and Pharmacy Fixtures. For over 26 years, we have been serving the retail, long-term care, and community pharmacy sector. We provide everything for complete pharmacy systems, including shelving, pharmacy cabinets, and OTC fixtures. We understand the challenge of getting everything you need while staying within your budget. Our goal, like yours, is to provide our customers with the best products, fair prices, and excellent customer service. Product Overview Lozier is our preferred partner for retail store and pharmacy fixtures. They have been the favorite among retailers for over 60 years. Lozier shelving is based on standard components that withstand the test of time. Our shelves and accessories can be used on shelving you bought 40 years ago or last month. Other manufacturers change designs forcing you to upgrade everything. We will work with you to incorporate your existing fixtures into your new design, so you only replace what you need. We think you will like our approach, it’s good for you, it’s good for us, and it’s good for the environment! Pharmacy Product Lines Our Classic Rx Shelving Units are a two-piece modular design with closed backs and sides. They are an economical choice when space is not limited. Clean white shelving with shelves included. Add a touch of color with wall and island end panels.

Our Flex Rx Shelving features open backs and sides. Shelves have an upturned lip on all sides. This allows you to reposition the shelves without having to remove the product; it’s a real timesaver. Plus, the tray-style shelf meets the USP 800 requirement for raised front lips. The Lozier Metal Undercounter Cabinets come in a variety of units to meet your individual needs. Choose from narcotics cabinets, bottle dispenser units, open and closed storage cabinets, and more! RxShelving.com is a premier stocking distributor of Monaco HangUp Bags and accessories. Prescription hang bags have been proven to save 25% in retrieval time, help reduce errors, and improve customer service. We offer convenient online ordering. These items are in stock and ready to ship.

Long-Term Care For our LTC clients we have pill card carts and cabinets. Facilities love our in-room patient narcotics cabinets and bedside medication carts that look like classic wood furniture. We specialize in designing med rooms for long-term care facilities and make sure to utilize every inch of space. Our linen carts, trucks, and hampers make handling soiled linen a breeze. Ordering Information

We are happy to help with layout and design. Just provide us with a rough sketch of your space, including room dimensions and locations of doors and windows, as well as any obstructions (column, etc.). We will create a suggested layout drawn to scale and send it back with a quote. You can fax your sketch to (314) 534-0583 or email them to patti@rxshelving.com.

WINTER 2020

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CASE STUDY

AON Pharmacy—Tools of the Trade for Keeping Patient Medication Stable

Douglas Braun, CSP, PharmD, RPh Pharmacy Manager, AON Pharmacy, LLC

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ike any specialty pharmacy, many of the medica“We knew what we wanted to do, but tions they send to patients are temperature senPag I wasn’t sure how to go about it,” says sitive. “Some need refrigeration while others simTemperature Profile Summary Report Doug. “Just out of theTesting normal course of ply need to maintain a recommended temperature Year-round Small Shipping Boxes, range to avoid degradation,” he explains. To monitor conversation with my rep at Temptime, I AON Pharmacy, July 2019 temperatures during shipment, AON opted for Tempdiscovered that they offered third-party time’s TransTracker® indicators from the start. TransTrackers are single-use devices that give patients a PQ testing services.” 5. Experimental Design and Constants During the Study: Each of the shipping boxes were packed separately to each contain: visual indication of whether or not their medication • One (1) EDGE M-300 to measure and record the temperature at 10-minute has gotten too hot or reached freezing temperatures inside the interior payload during transit. The pharmacy includes a TransTracker In the end, Temptime a two-phase • One (1) EDGE S-400 to measure andrecommended record the ambient temperature profile at 10 in all shipments that require refrigeration. process. During the first phase, Temptime sent EDGE® intervals inside the exterior corrugated box. M-300 and S-400 temperature sensors to AON along Each box was packed using the same number of frozen pre-conditioned gel packs. Once fu “We chose TransTracker because Florida Cancer Spefor programming todifferent locat packed, the boxeswith were instructions sealed at the customer’s facility andthe thensensors shipped to cialists were already using the technology,” says Doug. shipping profile was generated from the temperature data obtained from each shipment loc monitor a specific temperature range. “We knew first-hand from their experience the value of the product as well as the good service Temptime 6. Sample Preparation Procedure: Prior to shipping, each of the three (3) small boxes were packed according to their Year-rou provided.” This level of service, he says, is vital to AON. out shown “Getting the right help from people we need to lean on in Figure 1. is what matters to us.”

Figure 1. Small Box-Year-round Pack-Out with EGDE Monitoring Devices

That’s why when it came time to conduct performance qualification (PQ) testing with their packaging, the pharmacy turned to Temptime for guidance.

Performance Qualification (PQ) Testing Adding new patients in states across the country means AON will be shipping to a greater variety of climates. “We wanted to be sure our shipments were maintaining proper temperatures so the medications we provide arrive within their stability profile,” Doug says. This was the impetus for their decision to conduct PQ testing.

Having already achieved their ACHC accreditation, AON began the process to attain URAC accreditation as well. URAC’s current guidelines require pharmacies to conduct PQ testing annually or any time a change is made to their packout. “The difference is that ACHC simply wants to know that you have processes and(3) 20.5 oz frozen gel packs pre-conditioned at room temp (laid out individually) prior Three shipment. One (1) M-300 and payload were pre-conditioned in refrigerator thirty (30) minut procedures in place for monitoring and maintaining to packing. After packing, the boxes were sealed the and temperature monitoring missions AON followed their current SOP forand packing included the temperatures,” Doug explains. “URAC requires docEDGE devices were initiated. When the boxes arrived at each of internal the three (3) ship-to locati EDGE sensors within their packouts to monitor both and umented proof and reports that show the results.” EDGE devices were interrogated, and the data was sent to the EDGE Cloud system for da ambient temperatures. It was important to AON that their PQ testing storage. procedures resulted in data that was detailed enough to satCUST Temperature Profile Testing Summary Report: Year-round Small Shipping Boxes, isfy URAC’s requirements while also being usable and AON Pharmacy, July 2019 easy to interpret for the pharmacy staff.

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CASE STUDY AON followed their current SOP for packing and included the EDGE sensors within their packouts to monitor both internal and ambient temperatures. The packages were then shipped to Temptime HQ for an initial performance evaluation. Sensors recorded temperatures every 10 minutes from the time they left AON’s facility until they arrived at their final destination. Temptime then downloaded and analyzed the data from the sensors and provided initial data and feedback to AON. All shipments must maintain the temperature range being tested for a specified duration in order to pass Temptime’s Phase 1 evaluation and move on to Phase 2.

In the second phase of PQ testing, Temptime personnel visited AON onsite to assist with testing and documenting procedures. “Our Temptime rep observed our refrigerated packout procedure and made sure that we were putting the temperature sensors in the correct spot,” says Doug. “She also made sure the sensors were active, programmed with the correct parameters and ready to start recording data so that we would get the information we needed.” The pharmacy sent several test packages out to various locations and climates. Even though they send temperature-sensitive medications overnight, AON requested Temptime provide performance data for 48 hours to see what might happen in the case of shipping delays.

Shipment 1: AON-NJ-Temperature Proﬁle (24hrs)

Shipment 2: AON-IN-Temperature Proﬁle (24hrs)

Test results demonstrated that the AON Pharmacy “Small” shipping boxes are capable of providing the desired temperature environment for shipment of temperature sensitive products, maintaining temperature within 2°C to 8°C for a minimum of 24-hours.

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“We found the EDGE sensors super straightforward to set up,” Doug explains. “We had no issues, no need to call tech support—everything was easy and worked well. That’s exactly what we were looking for.”

The Results The biggest surprise for the pharmacy was that their packouts were really getting the job done. “I thought we’d see medication start in a normal range and then warm up some,” says Doug. “That didn’t happen – and if anything, some packages actually got colder than I expected for brief periods.” Still, no medications ever fell out of range. “The PQ testing was a great way to validate that our packages were configured properly and didn’t need modifications,” he says.

Looking Forward “We do know that as we expand our footprint, we are going to have to be prepared for all kinds of temperature extremes,” says Doug. “We hadn’t thought about medication getting too cold or freezing when we were only shipping throughout the Southeast.” AON plans to add additional packout configurations that protect both refrigerated and room temperature medications shipped to colder climates, into Alaska for instance. The pharmacy has purchased EDGE M-300 and S-400 programmable temperature sensors from Temptime to use for future internal PQ testing since URAC doesn’t require that testing be conducted by a third party. “We found the EDGE sensors super straightforward to set up,” Doug explains. “We had no issues, no need to call tech support – everything was easy and worked well. That’s exactly what we were looking for.” They plan to wait until winter before testing any new packouts. They’ll also conduct PQ testing regularly, both to ensure they are meeting patient needs as well as to comply with URAC accreditation requirements.

Right now, the pharmacy only uses TransTracker for monitoring heat exposure. “I expect we’ll be evaluating if we want to monitor both heat and freeze events based on our expansion plans,” he says. It just makes sense to give patients that peace of mind since exposure to both excessive heat or freezing temperatures can be detrimental to medication stability. “We explain to our patients what they’ll be getting and what they need to look for before we send them their medication.” So far, they’ve had no patients calling in to say medication has gone out of range. Doug says this is critical to AON since the oncology medications they distribute can cost anywhere from $7,000 to $20,000. “Having to replace even one shipment would have significant financial consequences for us not to mention inconveniencing our patients.” Confirming that their packouts worked as needed wasn’t the only validation AON got out of the PQ testing. “Working with Temptime through this process just solidified my confidence in them,” Doug says. “We’re in this day and age where customer service is lacking. It’s become the new norm, but not with Temptime. When I call, I get a callback – usually the same day. If they say they are going to do something, they follow through. It’s refreshing.”

To learn more about EDGE PQ Testing visit temptimecorp.com/edge-pq

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