20Ways SUMMER Hospital 2020 by RXinsider

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

PHARMACY COST C O N TA I N M E N T Summer 2020

Health System

•

Infusion

20 Unique Products & Services

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

Drug Diversion & Opioid Stewardship Industry Expert Q&A, Market Leaders Buyer’s Guide, and More page 46

8 Thought Leaders

ARxIUM, Sentry Data Systems, Comprehensive Pharmacy Services, ACHC, Parata, and More

page 32

3 Case Studies

Comprehensive Pharmacy Services, Charles River, and GSL Solutions

We’ve got you covered! When your safety and the safety of your staff matters.

Head to toe USP <797> & <800> Compliant Products Acute Care Pharmaceuticals’ Pharma-Brand™ products are accessible through your favorite wholesalers with next day delivery and free shipping:

AmerisourceBergen, Cardinal and McKesson 888-909-7700 info@acutecareonline.com

www.pharma-choice.com

PraxiFill ™

Automated syringe ller

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Filling speed is up to 8 syringes/minute depending on syringe size.

Small footprint

intended to increase productivity of the syringe lling process by eliminating the tedious manual task of aspirating solution into the syringe and capping the lled syringe. PraxiFill™ is designed to be used with MedXL pre-capped sterile syringes for increased eﬃciency and productivity.

Increase productivity

5cc,

10cc,

20cc

and

50cc

syringes

are available.

Easy to control with touch screen pad

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MIX - FILL - LABEL - USE

PraxiLabel™

Semi-automated syringe labeller

Syringe labelling made easy!

PraxiLabel™ is a semi-automatic tabletop syringe labeler intended to increase labeling productivity as it

Small footprint

eliminates the work related injuries due to frequent hand and wrist

The labels are pre-graduated and may be printed on any heat transfer label printer.

movements involved in the syringe labeling operation. Simple and fast change over between diﬀerent sizes

FILL YOUR NEEDS

www.praximedsystem.com

Quality Drug Supply Turning

Your World

Upside Down? API-to-Sterile | Sterile-to-Sterile | Biologic

Experience Partnership and Turn Things Around Fagron Sterile Services US integrates state-of-the-art quality to provide reliable 503B supply to hospitals, surgery centers, clinics and the patients they serve. We offer independent ISO 5 classified aseptic processing environments, industry leading automation, advanced environmental monitoring and FDA/DEA inspected quality testing labs, as well as top-tier customer service, streamlined shipping and 24/7 mobile friendly web shop access. Over 97% same-day fill rate on orders placed before cutoff times. Trusted by over 7,300 hospitals, surgery centers, clinics and physician offices.

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Contents WAY

Verity Solutions – An Innovator in 340B Program Optimization

Results you can believe in. Your true partner for 340B program administration and compliance.

Recognized as an industry leader in 340B management systems, Verity Solutions is your comprehensive solution for split billing, contract pharmacy, specialty contract pharmacy, compliance management, purchase analytics, and VHUB™ for contract pharmacies. Partner with us to simplify 340B program administration, confidently optimize federal pricing benefits, and leverage our expert team as your true 340B resource.

1.800.581.1378 info@verity340b.com www.verity340b.com

Partner with us to simplify 340B administration, confidently optimize federal pricing benefits, and benefit from the dedication and knowledge of our expert team.

WAY

Solutions Focused Point-of-Sale From Retail Management Solutions

Meeting you where patient care and pharmacy compliance come together.

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

Choosing point-of-sale for patient focused pharmacies has never been easier. Discover how your pharmacy can become the

driving force behind improved patient outcomes, reduced readmittance rates, and so much more.

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

The industry leader in pharmacy point-of-sale innovation

page 27

WAY

Powering hospital pharmacies to help people lead healthier lives.

An established pharmacy automation leader, Parata’s adherence packaging, vial-filling, and workflow solutions reduce costs and medication errors and improve medication adherence. Explore our full portfolio of pharmacy workflow solutions designed with your business, pharmacy teams, and patients in mind at parata.com.

Adherence Packaging & Inspection

Parata_Ad_HS_021420_8.5x10.875_Template_FINAL.indd 1

Workflow & Inventory Management

Vial-Filling Robots

866.251.6171 parata.com

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page 31

Parata’s Solutions Improve Operational Efficiencies to Reduce Medication Errors and Operating Costs

Thought Leader Video Series

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

4/15/2020 11:36:42 AM

page 32-33

page 29

SUMMER 2020

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

We understand... the serious challenges you face today. Lost Revenue from Limited Specialty Pharmacy Capabilities

Lack of Medical, Pharmacy and Patient Journey Insights

Lack of Access to Payers and Patient Lives

Barriers to Integrating Complex Patient Care

Limited Access to LDDs and Vital Medications

Inability to Control Costs and Manage Risk

The value we deliver to health systems. IMPROVE ACCESS

CAPTURE INSIGHTS

OPTIMIZE PERFORMANCE

Expert guidance to help you build and optimize specialty pharmacy operations as well as improve access to payers and vital medications.

Integrated medical, pharmacy and patient journey data, and insights you need to improve patient outcomes.

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HEALTH SYSTEM NETWORK

COMPLEX PATIENT DATA PLATFORM

INTEGRATED PHARMACY CARE PROGRAMS

www.excelerarx.com | info@excelerarx.com

340Basics offers the most dynamic and advanced 340B hospital contract pharmacy & split-billing software solution in the industry.

1·

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Contents WAY

Reduce Noise in Patient Rooms With GX Cold Storage Solutions – Helmer Scientific

Professional Medical-grade Refrigerators

Efficient and effective. GX Solutions from Helmer Scientific Featuring OptiCool™ Technology

GX Cold Storage Solutions Offer Quiet, Energy Efficient Performance OptiCool™ technology pairs a variable capacity compressor (VCC) and natural refrigerants to efficiently manage energy consumption x Quiet operation, 3X less than traditional models x 50% reduction in energy usage compared to conventional technology x Reduces operating costs and supports sustainability initiatives

En e rg y s a vi n g s Qu i e t Ope ra ti o n Su ppo rts s u s ta i n a bi l i ty i n i ti a ti ve s L e a r n more : w w w.h e lme r in c .c om/ gx- s olu tion s

20Ways-Ad-2020-Summer.indd 1

Case Study: Fagron Sterile Services Relies on Charles River for Critical QC Testing

CASE STUDY Fagron Sterile Services Relies on Charles River for Critical QC Testing

PRIMARY INTENDED OUTCOME

Jason McGuire Global Quality Director

The pharmaceutical industry is subject to numerous requirements put in place to ensure the safety of patients.

~ Fagron Sterile Services

GX Solutions Pharmacy Refrigerators are 3X quieter than conventional models with the use of OptiCool™ Technology.

Jason is currently the Global Quality Director for Fagron; an international company focused on personalized medicine. He has spent the last several years supporting the pharmaceutical, medical device, and compounding industries providing technical and regulatory guidance. Jason has nearly 20 years of experience serving in many roles with a particular focus on laboratory operations, quality assurance, and regulatory support. He is a microbiologist by education and expertise, and before joining the QA/QC world, he spent time researching and developing anaerobic microbial catalysts for fuel ethanol production.

One of those requirements centers around bacterial endotoxin testing (BET). The BET detects unsafe levels of microbial cell wall debris from live or dead Gram-negative bacteria. This bacteria has the potential to cause fever, and in the worse cases septic shock. Utilizing the Limulus ameboyte Lysate (LAL) assay, the BET is a mandatory quality control (QC) release test for injectable pharmaceutical products. Microbial identification is another mandatory component and requires a hard-to-find level of expertise, specialized and expensive equipment, and robust libraries that cover the specimen spectrum. Confident microbial identification is critical for an environmental monitoring program to ultimately confirm the security of a compounding area. Fagron Sterile Services (FSS), a leading 503B Outsourcing Facility company, has been able to meet all its needs for both rapid BET and accurate microbial identification through its partnership with Charles River. It’s parent company, Fagron, operates in 35 countries, and they leverage Charles River’s expertise and equipment to ensure their growing customer base is in safe hands. Jason McGuire, Global Quality Director at Fagron Sterile Services, has partnered with Charles River since 2003 when he first entered into the contract testing laboratory space.

THE CHALLENGE Fagron Sterile Services US (FSS), a division of Fagron, is centrally located in Wichita, KS, and operates two FDA and DEA registered and inspected 503B Outsourcing Facilities. FSS has been using Charles River’s Endosafe® rapid endotoxin testing instruments and Endosafe® EndoScan-V™, their endotoxin measuring and analysis software for its in-house program for years to achieve more control and better data integrity compliance. As a 503B outsourcer, quality is critical. FSS complies with all FDA and DEA regulations, cGMP and GDP. For FSS, utilizing a Biotek plate reader in combination with the Endosafe® Kinetic Turbidimetric LAL (KTA) and Endosafe® EndoScan-V™ software has proven to

www.criver.com

4/23/2020 9:05:25 AM

page 35

WAY We’ve Got You

Covered

Head-to-toe USP <797> & <800> Compliant Products

Call For a FREE Consultation! Acute Care Pharmaceuticals’ Pharma-Brand ™ products are accessible through your favorite wholesalers with next day delivery and free shipping

AmerisourceBergen, Cardinal and McKesson 888-909-7700 info@acutecareonline.com pharma-choice.com

page 38-41 WAY

Total-Shield™ Available Through Acute Care Pharmaceuticals

Q.I. Medical, Inc.™ Your Partner in USP <797> Pharmacy Compliance

When used as directed, Total-Shield is proven to be effective against bacteria and viruses. It uses a unique fastacting surface treatment that will kill for extended periods of time – seven days at 99.9999% per application.

Providing quality assurance products to hospitals and pharmacies practicing sterile compounding, with a singular focus on pharmacy compliance. Our long-standing regional distribution partners are able to provide exceptional in-person service and training.

page 37

page 43

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

QUARTERLY ISSUES Spring 2020

Summer 2020 PATIENT CARE &

PHARMACY COST C O N TA I N M E N T Summer 2020

Health System

•

Spring 2020

Infusion

20 Unique Products & Services

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

Issue Focus: Retail, Specialty, & LTC Issue Frequency: Spring, Fall, & Winter Circulation Per Issue: 26,500+ 18,000+ Owners (Independents) 1,500+ Long-Term Care Pharmacies 2,500+ Retail Chain Executives 2,500+ Industry Executives 2,000+ Trade Show Handouts

Health System • Infusion

increase patient care or that will help

and services your pharmacy

8 Thought Leaders 2 Case Studies 7 Case Studies

Sentry Data Systems, Comprehensive

page 30

Pharmacy Services, ACHC, and More

Verity Solutions, QS/1 and Dexcom

2 Case Studies

Medicine Shoppe International, Inc. and CPS SPARX

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

Community • Specialty • LTC

Infusion

8 Thought Leader Videos

Community • Specialty • LTC

•

Medicine Shoppe International, Buyer’s Guide, and More Eight Video Series Including Pharmacy Consulting Broker Services page 48 page 22 Sentry Data Systems, and

Eight Video Series Including Medicine Shoppe International, Inc., Comprehensive Pharmacy Services, Sentry Data Systems, and ACHC

page 32

Health System

improve patient & Resources care or contain costs. Solutions Pharmacy Return and More Leaders Buyer’s Guide, page 50 Industry Expert Q&A, Market503B Outsourced Compounding Facilities & Services Videos Industry Expert Q&A, Market Leaders Thought Leader Parata,

page 56

3 Case Studies

• LTC Community • Specialty

Winter 2019

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

Comprehensive Pharmacy Services, Charles River, and GSL Solutions

C O N TA I N M E

20 Unique ucts Unique Prod20 Products & Services services Discover 20 products &andServ improve ices pharmacy that will help yourDiscover y. profitabilit 20 products

Specialty Pharmacy Solutions (Technology & Software)

page 46

8 Thought Leaders

ARxIUM, Sentry Data Systems, Comprehensive Pharmacy Services, ACHC, Parata, and More

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

Winter 2020

Community • Specialty • LTC

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

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

Fall 2019

VING I M P R OI M P R O V I N G PAT I E NPTA TCIAE R E NT CARE & & PHARMACY P H ABRI LMI ATC YY C O S T TA I PROF

20 Unique Products & Services

Drug Diversion & Opioid Stewardship

2020 CIRCULATION

Winter 2019 / 2020

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

I M P R O V I N G

page 34

20 Unique Products & Services

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

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

8 Thought Leader Videos

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

2 Case Studies

QS/1 and Dexcom

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

Health System • Infusion & Community • Specialty • LTC

Community • Specialty • LTC

Visit 20Ways ONLINE at RXinsider.com/20Ways

SUMMER 2020

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

Helping you deliver better medicine to more people. With increasing regulatory pressure and drug shortages, access to quality medicine is more important than ever. Leiters is an FDA-registered 503B outsourcing provider of high-quality, compounded sterile preparations including: Pre-filled syringes, IV bags and vials ON-Q* Pain Relief System fill services Opioid-free surgical pain services medications Ophthalmology medications and services including FDA-compliant repackaged Avastin®

COMPOUNDING HEALTH™ www.leiters.com | 800.292.6772

ON-Q* is a registered trademark of Avanos Medical, Inc., or its affiliates. Avastin® is a registered trademark of Genentech, Inc.

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Primary Engineering Controls by NuAire.

Contents WAY

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“

DRUG DIVERSION & OPIOID STEWARDSHIP

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VERSI DRUG DI WA R IOID STE ON & OP

D R U G D I V E R S I O N & O P I O I D S T E WA R D S H I P Buyer’s Guide

DRUG DIVERSION & OPIOID STEWARDSHIP

Q&A

Buyer’s Guide Euclid Medical Products 339 Mill Street Apple Creek, OH 44606 (800) 727-2543 www.euclidmedicalproducts.com

Accu-Chart 1305 Remington Road, Suite I Schaumburg, IL 60173 (847) 252-7300 www.accuchart.com

Maxpert Medical P.O. Box 111 Galloway, OH 43119 (866) 231-1222 Maxpertmedical.com ential

Protenus 1629 Thames Street, 2nd Floor Baltimore, MD 21231 (410) 995-8811 www.protenus.com

or of Experi FairWarning, LLC sor and Direct Medacist Solutions Group American Health Packaging Profes 13535nt Feather Sound Drive 1492 2550-A John Glenn Avenue acyHighland Avenue li, Clinical Assista of Pharm Garofo Suite 600(WVU) School Cheshire, CT 06410 Columbus, 43217 Mark OH Dr. sity ia Univer Clearwater, FL 33762 (866) 633-5393 (800) 492-8177 ng, West Virgin Learni (866) 602-8433 www.medacist.com www.americanhealthpackaging.com on MMEs, debate

READINESS Opioid Education 1300 Division Road West Warwick, RI 02893 (401) 398-1142 Corereadiness.com

www.fairwarning.com there is great Medical Packaging, Inc. sounds like Q. It GSL Solutions, Inc. 8 Kings Court what’s better? your take? MMEs, but what’s 2414 SE 125th Avenue n issues withFlemington, NJ 08822 ly utilized

American RX Group 6321 Bury Drive, #19 lives are Edensaving Prairie, MN 55346 professionals (855)stewar dship Q. Healthcare opioid 269-1750 and successful Americanrxgroup.com examples, developing

Rx Destroyer 701 Blackhawk Drive, Suite F Burlington, WI 53105 (888) 608-5160 www.rxdestroyer.com

&A DSHIP Q

a half-doze are universal Vancouver, WA 98683 (800) 257-5282 are at least them, MMEs There the concept them, or dislike (360) 896-5354 absolutely avoid nal to www.medpak.com Like them, love urination contests www.gslcorp.com healthcare professio conversa NarcXtional RxDestruct today. For any left for on the uptake quickSuite shortfall better 523 were E 1750N, 300 $1/ 106 Capri Street MMEs, is a Returns (GRx), street chemists of Guaranteed ”, through 100patient Colin Drive Vineyard, UTe jumped 84059 from 1 Becton Drive Extremes never Sugar Land, TX 77478 are addictive care. Ironically oxycodon from “those in Y.”NJ 07417 than price of(800) Opioid endsLakes, Holbrook, as NYthe 11741 Franklin (832) 584-9224 day that We’ve navigated observed street briskly the 2016 CDC of307-2514 MMEs s released every of(800) , whereas jogging 473-2138g directly after the release Narcx.com re professional to (201) 847-6800 www.rxdestruct.com nowhere “opioid guideline ek say, healthca a circle gets one bd.com/diversion $1.50/m PAINWe a for to in at way mg Guaranteedreturns.com “1.5”, Inc. Safer Lock the folks e is nowReturns, g the easiest National Pharmaceutical work, and running progress. As for oxycodon es. Illustratin everyone should Guidelin line produces MME factor Health Care Logistics 4225 Northgate Boulevard, Suite 4 4164 NW Urbandale Drive the same tune, in a straight .” ToStryker “1.” ek, APhA, that the updated r analgesic both are best (PAINWe remembe one the ces Boulevard P.O. Box 25 2825 Airview Sacramento, CA 95834 Urbandale, IA 50322 is conferen out “Education e and hydrocod attend Kalamazoo, for risk instance, check Circleville, OH 43113 MI 49002 (844) 209-5044 (800) 470-7725 publications, whereas morphin education. For absolute need review various the ‘Pain thewww.npreturns.com continuing (269) (800) 848-1633 385-2600 Saferlockrx.com titled ned d online what , mentio develope that I etc.), and complete management e program www.gohcl.com www.stryker.com Q. Earlier you Stericycle hour certificat ies in painOmnicell g an opioid the FreeCE 20 ion strateg t utilizin reduct Pharmacist (PMSP)’. patien HelioMetrics Comprehensive Pharmacy 2355 Waukegan Road 590 East Middlefield Road a Kaiser for Specialty include mend Management recom nt examples 3440 Boulevard, Suite 20820 years? Services Bannockburn, IL 60015 Mountain View, CA 94043 youLine do Belt promine Centers. Kaiser Minneapolis, hip program that person for the past MN 55416 6409 QuailMedical Hollow Road (866) 783-7422 (800) 850-6664 benzo and a license, 500 Opioid stewards Affairs (VA) and pulse their a with to Veterans (612) 444-3242 re professional has Omnicell.comazepines) comes Memphis, 38120 www.stericycle.com and our entTNexperts Permanente managem If a healthca benzos (benzodi (800) 968-6962 best practices. The Heliometrics.net studies connected pain Swisslog Healthcare Pharma Logistics g opioids and to facilitate n risks. Multiple Permanente pain combinin ate members www.cpspharm.com depressio knows ry levels to dissemin MME 11325 Main Street Road respirato International Medical Industries, Inc. 1801 W. Butterfield and 12 million relative collaborated in sedation and pharmacies of respectivILe 60048 ons. Action Broomfield, CO 80020 inherent to clinicians 2981 Gateway Drive 3x, or even 5x Libertyville, ent of DefenseDatarithm ic Detailers” aFL2x, opioid medicati VA and Departm shown veterans with their “Academ d 7037 Fly Road (800) 764-0300 (888) 729-7427 Pompano Beach, 33069 via have s utilized. our amazing are combine guideline tion has been million of NY by 9 Syracuse, management East 13057 the only (800)(or344-2554 risks) when benzos how long www.pharmalogistics.com the combina such as www.swisslog-healthcare.com and clinics visited (877) 273-5112 Reps”). In fact, must be utilized & Imiweb.com regardless of 1,000 hospitals industry “Drug y s, needed, “Defense strategies TouchPoint Medical is Pharma Link the pharmac as of reduction gical screening www.datarithm.co today is known hip Invistics (mirroring efforts very least, risk Corporation 8285 Bryan psycholo Dairy Road #200 of cases, 2200 TouchPoint Drive storage, on At the I utilize in practice ).” These two opioid stewards naloxone, medicati Largo, the vast majority of 5155educatin DisposeRx Inc. Odessa, FL 33556 Peachtree Parkway FLIn 33777 pain scale that g on (DVPRS instead others. n begin Scale to utilizatio Rating will need 503 Street, Suite 202 (800) 947-3901 Suite 3200opioid risk screenings, amongst(800) 257-3527 for strategic Veterans Pain aim Carthage medications and Corners, GA 30092 of the sedative medications www.touchpointmed.com countless others, Sanford, NC 27330 Peachtree Pharmalinkinc.com programs, and tapering of one tapers of opioid rapid can gradual s. that (844) 456-1600 (800) 601-3456 benzos limitation keeping in mind PharmID rapid tapers of simple opioid primarily imminently, however, Disposerx.com Invistics.com effects, 2157 t opioid crisis N. Northlake Way, Suite 230 our curren cause very negative can should that s, seizures. DYNALABS LLC KeySource Seattle, WA 98103 from opioid Q. Given result in death from illicit actually 2327 Chouteau Drive (206) 922-3589 to limit opioid 7820 Palace what’re your ueAvenue involves deaths sionals contin education, ne Saint Louis, MO 63103 Cincinatti, OH 45249 Pharmid.com naloxo profes many of How healthcare Q. Speaking (888) 396-2522 (800) 842-5991 l dilemma. ? ons increases this ethica ne are opioid medicati www.dynalabs.us www.keysourceusa.com prescriptions thoughts on als with naloxo studies utilization of Other revers se chronic s > 3 days. a opioid overdo One study shows ion duration ? ions including the single initial prescript one person on prescript this is one of 100 drastically for enough for l opioid medicati greater than n, or even faith, individua debate between 48 S U M M E R 2 0t,2or 0 MME, I H Eof A LT H S Y S T E M • I N F U S I O N ss of your professio explain that ten-fold ever. The moral equivalen re. Regardle e milligram by more than debatable scenarios resonates everywhe daily morphin risk of overdose greatest somehow “Do No Harm” there are patients considering increases the . Conversely, enough” and struggle with and MMEs/day, “Enough is of people still are greatly debated) a diverse treatment plan condition, beyond the vast minority within (although MMEs n), as a medical Additionally, receive 5 dozen risk opioid doses has a 15th opioid never again disorder (addictio tolerant to higher If a person dad should t procedure substance use bad choices. strategy. My simple outpatien risk reduction making repeated ed pain of a people anticipat worths. the days’ opioid pills for ly need a few he may reasonab ever again, but

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SUMMER

2020

H E A LT H

SYSTEM

O • INFUSI

page 57

WAY DRUG DIVERSION & OPIOID STEWARDSHIP

No one makes pharmacy and business work together like Visante. Our consulting work with Integrated Delivery Networks, hospitals and health systems combines a wealth of expertise with personalized and comprehensive support so you can optimize your pharmacy operations and deliver better patient care.

High-performing pharmacy is who we are • 340B Program

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Learn more at visanteinc.com, or contact us at solutions @ visanteinc.com or (866) 388-7583.

IntelliVault & IntelliCab Transform Prescription Management at OHSU

Industry Expert Q&A, Drug Diversion & Opioid Stewardship Market Leaders Buyer’s Guide, and more.

Oregon Health & Science University Pavilion Pharmacy

RFID-based technology from GSL Solutions delivers safety, efficiency, and financial benefits at health system. Michael Deam, RPh Assistant Director, Outpatient Pharmacy Service ~ Oregon Health & Science University Pavilion Pharmacy

Matthew Spinar, PharmD

PRIMARY INTENDED OUTCOME Safely, accurately, and efficiently dispensing medications to patients is the primary function of pharmacies. Oregon Health & Science University (OHSU) teamed up with GSL Solutions as a beta partner, utilizing its family of RFID products to physically track medications while achieving efficiency in operations, accountability, reduction of labor hours, increased compliance, and higher user and patient satisfaction. GSL Solutions IntelliCabs for filled prescriptions (Will Call) and IntelliVault for controlled substances (C2’s) stock storage are integrated in a single software for a fool-proof system. The IntelliCab Will Call storage cabinets replaced the manual “hanging bag” system, and the IntelliVault Controlled Drug storage cabinet replaced the manual biometric “steel safe” and manual perpetual log book.

Supervisor, Pharmacy Services ~ Oregon Health & Science University Pavilion Pharmacy

THE CHALLENGE

Staff members at “the pharmacy tell

With its manual “hanging bag” will call system, OHSU was prone to long patient wait time, lost or missing prescriptions, and labor-intensive return to stock activities. Controlled drug storage and management was heavily controlled by pharmacist time and process and procedures (P&P) to maintain inventory control and reporting requirements. OHSU pharmacy rules required pharmacy technicians to have a pharmacist be the only contact with controlled substances.

me they don’t know how they’d operate without that technology.” — Michael Deam, RPh

RFID-based technology from GSL Solutions delivers safety, efficiency, and financial benefits at health system.

“Before, the process was pharmacist driven because they were the only ones with access,” says Matthew Spinar, PharmD, pharmacy supervisor of the OHSU Physicians Pavilion Outpatient Pharmacy. If technicians saw an order for a narcotic, they put it to the side because they had to wait for an available pharmacist to actually retrieve the product from their steel safe that was enabled with fingerprint technology. This workflow process caused bottlenecks and periods of long wait times for patients. OHSU also wanted to improve its inventory management, replacing the error-prone manual perpetual log with an automated and electronic log – and also providing an electronic record of all transactions and user activities of anything that is touched, discretely and in real time.

THE DECISION Due to the success of the IntelliCab Will Call cabinet program at OHSU, the decision was made to install the IntelliVault Controlled Drug storage cabinet.

www.gslcorp.com

page 46-49

Visante – HighPerforming Pharmacy is Who We Are

Pharmacy & Business working together to optimize your results

Case Study: GSL Solutions – IntelliVault & IntelliCab Transform Prescription Management at OHSU

CASE STUDY

page 58-61 WAY

Unit Dose Done Right

We're in the business of advancing pharmacy. Our consultants work with hospitals and health systems combining a wealth of expertise with personalized and comprehensive support to optimize your pharmacy operations and deliver better patient care.

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

Unit Dose Bar Cod , ing, Pharmac Nursing y & Supply Experts!

• Ultraviolet Inhibitant • Moisture Resistant • Reduces Cross Contamination • Ideal for Meds Covered by USP 800 • Tamper-Evident • Cold Seal • 6 and 12-month Beyond-Use Dating • 1-D and 2-D Bar Coding • Flexible Label and Report Formatting • Multiple Sizes to Fit Your Meds and Storage Needs

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page 63

page 53 WAY DRUG DIVERSION & OPIOID STEWARDSHIP

Supporting Pharmacy Efficiency with an Evolving Product Offering

Liquid Unit Dose

from American Health Packaging American Health Packaging delivers unit-dose products supporting patient safety and pharmacy efficiency initiatives. Products come in multiple pack sizes to provide flexibility in managing local inventory. Liquid Unit Dose cups are available through partner wholesalers and GPOs. Pull-tab labels promote ease of opening and product administration Thick-gauge cups, excellent seal integrity aid in avoiding costly damage and clean up Cups and storage trays are designed to optimize limited shelf storage space

Cup Strength

ABC 8-digit #

Cardinal Item #

McKesson Item #

Morris & Dickson #

Product Description

10211921

5517206

3795689

584466

Fluoxetine Oral Solution, USP

20mg/5mL

5mL

20mg/5mL

40 cups

60687-0244-77

10188404

5465380

3917226

363275

Fluoxetine Oral Solution, USP

20mg/5mL

5mL

20mg/5mL

50 cups

60687-0244-67

7.25mg/325mg/15mL 15mL 7.25mg/325mg/15mL 50 cups

60687-0417-71

10228115

5552237

3968229

10211783

5517214

3901766

10183100

5430343

752410

Hydrocodone Bitartrate & APAP Oral Solution CII

584557

Levetiracetam Oral Solution, USP

3775822

238550

Levetiracetam Oral Solution, USP

10210354

5512413

3777034

568063

Ondansetron Oral Solution, USP

10219153

5528518

3949997

603993

Oxycodone HCl Oral Solution CII, USP

10219154

5528526

3950037

604306

Oxycodone HCl Oral Solution CII, USP

10209414

5508114

3751294

560649

Phenytoin Oral Suspension, USP

Unit Strength

Cup Delivery

100mg/mL

5mL

500mg/5mL

100mg/mL

5mL

500mg/5mL

Pack Size

NDC

40 cups

60687-0249-77

50 cups

60687-0249-67

4mg/5mL

5mL

4mg/5mL

30 cups

60687-0252-86

5mg/5mL

5mL

5mg/5mL

40 cups

60687-0406-77

5mg/5mL

5mL

5mg/5mL

50 cups

60687-0406-67

125mg/5mL

4mL

100mg/4mL

50 cups

60687-0275-66

10211558

5515705

3935129

575878

Potassium Chloride Oral Solution, USP 10%

20mEq/15mL

15mL

20mEq/15mL

30 cups

60687-0341-58

10212031

5520416

3909884

584904

Potassium Chloride Oral Solution, USP 10%

20mEq/15mL

15mL

20mEq/15mL

40 cups

60687-0341-64

10191061

5486220

3263035

321570

Potassium Chloride Oral Solution, USP 10%

20mEq/15mL

15mL

20mEq/15mL

50 cups

60687-0341-71

10211557

5515713

3935137

575894

Potassium Chloride Oral Solution, USP 10%

20mEq/15mL

15mL

20mEq/15mL

80 cups

60687-0341-07

10212749

5521521

3937786

591016

Potassium Chloride Oral Solution, USP 10%

20mEq/15mL

30mL

40mEq/30mL

40 cups

60687-0341-14

10191066

5487574

3266467

465344

Potassium Chloride Oral Solution, USP 10%

20mEq/15mL

30mL

40mEq/30mL

50 cups

60687-0341-72

10214626

5525027

3944592

594978

Ranitidine Syrup (Ranitidine Oral Solution, USP)

15mg/mL

10mL

150mg/10mL

40 cups

60687-0260-23

15mg/mL

10mL

150mg/10mL

50 cups

60687-0260-69

80mg/15mL

15mL

80mg/15mL

50 cups

60687-0258-71

10182932

5427489

3772381

231142

Ranitidine Syrup (Ranitidine Oral Solution, USP)

10182920

5427497

3772373

231159

Theophylline Oral Solution, USP

T10464 19.10

Hitting the Mark American Health Packaging is a leading manufacturer of serialized, barcoded unit-dose products for hospital, institutional, and long-term care pharmacy.

americanhealthpackaging.com

800.707.4621

AHP Supports Pharmacy Efficiency With an Evolving Barcoded Unit-Dose Product Offering

Improve your Solid Oral Unit Dose needs with our comprehensive Bar Coding, Packaging, and Labeling Solutions – designed by healthcare professionals, for healthcare professionals.

WAY

ScriptPro’s End-to-End Pharmacy Solutions Drive Health System Success

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

With a responsive line of barcoded unit-dose oral solutions – a growing liquid unit dose offering and now individually wrapped inhalants – AHP continues to deliver on their commitment to supporting pharmacy efficiency.

page 55

page 65 SUMMER 2020

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

Pharmaceutical Inventory Experts:

Cover (Vert).indd 1

Precise, Efficient, and Confident

Why Outsource Your Inventory Needs? • • • • • • • •

Teams of experts conduct the inventory within a few hours. Teams conduct inventories daily-not annually. Minimal interruption to the pharmacy staff and operation. Teams work seamlessly around the pharmacy staff ensuring that the “snapshot” is a true representation of the inventory on-hand. Eliminate the need for overtime or coordination of staffing to accommodate inventory. Expert valuation and pricing of the inventory by an independent party. Competent inventory specialist that can work with finance and/or external audit firm to validate the inventory. Collaboration with the pharmacy to provide an accurate report in a timely manner. To learn more about Capital Inventory and how we can help you with our inventory services please contact 1-800-345-0849 or Info@capitalinventory.com.

9/27/06 3:00:09 PM

PYROSATE

RAPID ENDOTOXIN DETECTION KIT nsed

e DA Lic OW F

cens i L FDA

New Sensitivities Of 0.03, 0.125 and 0.25 EU/mL Final Product Release Easy-To-Use Method Rapid Test Results

OCIATES OF E CO D, IN C.

ASSOCIATES OF CAPE CO D, IN C.

ists in Endotoxin lucan Detection

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OCIATES OF E CO D, IN C.

Bacterial Endotoxin Testing USP Chapter <85> Compliant Associates of Cape Cod, Incorporated

ASSOCIATES OF CAPE CO D, IN C.

124 Bernard E. Saint Jean Dr., East Falmouth, MA 02536 USA 888.395.2221 • INFO@ACCIUSA.COM • WWW.ACCIUSA.COM

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

CLEANROOM LAUNDERED & PACKAGED PRODUCTS REUSABLE - SAFER - HIGH QUALITY - COMFORTABLE CLEANROOM FACEMASKS Each of the four ties have a 17” length for proper fit

Durable continuous folded and bar-tacked ties for a stronger and longer life mask

2-Layered Soft Tricot fabric pleated so it may fit over nose, mouth and chin comfortably

2D Barcode for tracking and traceability

ISO CLASS 3 CLEANROOM PROCESSED AND PACKAGED MASKS ADVACARE DISINFECTANT WASH FORMULA

The wash formulas utilized for cleanroom garments meet the laundry disinfection requirements for the EPA registration guidelines for AdvaCare Disinfectant. AdvaCare Disinfectant utilized at a disinfection level of 4 oz per hundred pounds of laundry, the formulation meets the EPA requirements for laundry disinfection (complete kill) for ten different microorganisms: • Staphylococcus aureus

• Acinetobacter baumannii

• Klebsiella pneumoniae

• Listeria monocytogenes

• Pseudomonas aeruginosa

• Escherichia coli 0157:H7

• Methicillin-resistant Staphylococcus aureus (MRSA)

• Salmonella enterica

• Methicillin-resistant Staphylococcus aureus (CA-MRSA)

• HIV-1 Virus

Reusable Double Layered Cleanroom Facemask: • Double layer has better filtration than a single layered mask • Three pleats in mask center for a better fit Code: FM-71-79-ST Fabric: Soft Tricot – Double Layer Thread: 100% Polyester Seams: Preserge/Single Needle Size: 9” wide x 3 ¼” tall, Unisize, Four 17” adjustable ties Color: White

IEST-RP-CC003.4 is the IEST Recommended Practice Titled: Garment Considerations for Cleanroom and Other Controlled Environments; Facial Cover Not suitable for surgical use.

Meets the CDC’s recommendation for wearing cloth face coverings https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/cloth-face-cover.html

CLICK HERE to learn more about our PURMOP® CLEANROOM REUSABLE MOP PROGRAM - GAMMA IRRADIATED

AVAILABLE USP 797 RECOMMENDED GOWNING & ANCILLARY ITEMS • HOODS • COVERALLS • BOOTS

• FROCKS • GOGGLES • INNERWEAR

• SLEEVE COVERS • VALIDATED REUSABLE MOPS • HOOD MOPS

COMPLETE REUSABLE GARMENT RENTAL PROGRAMS

PRUDENTIALUNIFORMS.COM

A Division of Prudential Overall Supply

800-767-5536

WHY GUESS ON DOSAGE, JUST USE HURRICAINE ONE!

0.5 mL each

An Innovative Non-Aerosol Unit Dose Topical Anesthetic Spray

ORDERING INFORMATION

• Meets Joint Commission Standard for the most ready-to-administer form available.* • Fast onset. Short duration. Virtually no systemic absorption. • Utilizes bar code medication administration (BCMA) to accommodate point-of-care scanning. • Virtually eliminates adverse events resulting from preventable medication errors, ensuring the “5 Rights” are met: √ Right Drug √ Right Patient √ Right Dose √ Right Route √ Right Time • Single unit-of-use packaging eliminates the potential for cross-contamination.

NDC#

0283-0610-11

0283-0610-26

AMERISOURCE BERGEN

10090081

10090082

CARDINAL HEALTH

CIN 4362547

CIN 4363370

MCKESSON

1410125

1411925

MORRIS & DICKSON

086611

086629

PRODUCT

• Increases billing accuracy and improves supply chain costs. *Joint Commission Standard: MM.05.01.11, EP4

HurriCaine ONE® HurriCaine ONE Unit Dose Unit Dose Non-Aerosol Spray Non-Aerosol Spray Box of 2, 0.017 fl. oz. Box of 25, 0.017 fl. oz. (0.5 mL) each (0.5 mL) each

If HurriCaine ONE is not yet available through your wholesaler, request it by name and NDC Number.

MAKE THE SWITCH TODAY.

Call 1-800-238-8542 to place your order or for more information. www.beutlich.com HurriCaine ONE is a registered trademark of Beutlich® Pharmaceuticals, LLC. HCOA 650 0919

Contents WAY

Temperature Intelligence Solutions by Temptime – Monitoring Tools and Systems for Medication Shipments, Storage, and Pharmacy Facilities

TEMPERATURE INTELLIGENCE®

Protect the stability of your temperature sensitive medication Monitoring solutions for central pharmacy operations Getting medication and vaccines to your various sites within the right temperature range is critical to quality patient care. From single-use temperature indicators to reusable wireless dataloggers—Temptime offers monitoring solutions to meet the needs of every central pharmacy, no matter the size or reach. Learn more about how Temptime can help you improve efficiency and reduce costs while protecting your medication inventory from start to finish: temptimecorp.com/centralpharmacy

zebra.com | temptimecorp.com

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

page 67 CASE STUDY Contact Us 

Optimize Pharmacy Operations While Facilitating Successful Transitions of Leadership Comprehensive Pharmacy Services optimizes pharmacy operations while providing Interim Pharmacy Leadership

THE CHALLENGE As hospital and health system pharmacy operations continue to evolve, colleges and universities have focused pharmacists’ training on clinical skills, patient care and outcomes rather than financial, management and leadership development. As a result, when a hospital or health system has a vacancy in their pharmacy leadership, suitable pharmacy leaders can be difficult to find. The lack of expertise can jeopardize operations and harm a facility’s ability to perform across their full continuum of care. Leaving a key leadership position empty or promoting from within on an interim basis during an external search can create operational issues with cultural, clinical and financial consequences.

PAIN POINTS The process of locating an available pharmacy leader with the right skill set and experience takes time and presents a number of challenges:

In 2019,

CPS INTERIM

PHARMACISTS



It typically requires a national search



The process can take from three months to a year



The talent pool of qualified pharmacy leaders is often small

saved over

$3,019,000

WAY

ISO-MED, Inc. – Your Trusted Source for USP Safety-Compliant Medical and Cleanroom Products to Address a New Concern

Providing an unparalleled selection of specialized medical products, globally trusted quality and service, and delivery convenience for meeting USP <797> and USP <800> standards.

Comprehensive Pharmacy Services optimizes pharmacy operations while providing Interim Pharmacy Leadership.

for hospital and health system clients, all while running a

BEST-IN-CLASS daily pharmacy operation.

The right interim pharmacy leader creates an opportunity for the hospital to advance their pharmacy clinically, operationally and financially while waiting for their longterm replacement. When the permanent leader does come on board, they enter a better situation. The pharmacy is often functioning smoothly. The transition to an interim leader has even yielded benefits.

02716_CPS_RxInsider_20Ways_4Page_CaseStudy_Final_v2.indd 1

Case Study: CPS – Optimize Pharmacy Operations While Facilitating Successful Transitions of Leadership

page 76-79

4/20/20 10:19 AM

page 68-71 WAY

Primary Engineering Controls From NuAire

THE SAFER CHOICE FOR YOUR PHARMACY

page 81

WAY

Provide quality primary engineering controls at a competitive price with responsive service to lower your total cost of ownership, minimize downtime, and develop a longlasting relationship so you can concentrate on what matters, your work.

B I O S A F E T Y C A B I N E T S . H O R I Z O N TA L A N D V E R T I C A L L A M I N A R A I R F L O W W O R K S TAT I O N S . C O N TA I N M E N T V E N T I L AT E D E N C L O S U R E S . C O M P O U N D I N G I S O L AT O R S . C U S T O M S O L U T I O N S .

Primary Engineering Controls by NuAire.

Temperature Consistency on Every Level by Follett

Temperature consistency on every level

When it comes to product temperature accuracy, there is no room for error. Follett highperformance refrigerators provide precise temperature control for your valuable medications.

Protect your valuable temperature-critical items with Follett’s industry-exclusive plenum air delivery system, which distributes air evenly at every level to keep the entire cabinet in-temperature.

See our full line at folletthealthcare.com or call 800.523.9361 for more information

page 73 WAY DRUG DIVERSION & OPIOID STEWARDSHIP

Stryker's Cactus Smart Sink and Cactus PharmaLock OR

A better, greener waste solution

Stryker's Cactus Smart Sink System securely captures partially administered, non-hazardous controlled substances and renders them non-retrievable and unusable.

Cactus controlled substance waste management systems

Cactus Pharma Lock® OR System

Cactus Smart Sink® System

For more information, please call 800 253 3210.

Stryker Corporation or its divisions or other corporate afﬁliated entities own, use or have applied for the following trademarks or service marks: Pharma Lock, Smart Sink, Stryker. All other trademarks are trademarks of their respective owners or holders. © 2019 Stryker | www.stryker.com | 9100-004-677 Rev none

Cactus_Print_AdResize_RXInsider_STR439.indd 1

page 83 WAY

Sentry Data Systems – Expect More With a Trusted Leader in 340B Management and Compliance

expect more with Sentry From innovative technology to expert knowledge and support, we stand ready to help you optimize your 340B benefit. Reset your expectations for what a 340B solution provider should offer, including the trusted leadership and insight needed to set you up for success!

Sentry Data Systems, the revolutionary leader in automated pharmacy procurement, helps healthcare providers reduce cost of care and manage compliance to build strong 340B programs and reach more underserved patients.

4/29/19 4:08 PM

page 75

page 85

SUMMER 2020

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

THE MOST INNOVATIVE SINGLE-USE SEALS IN HOSPITAL PHARMACY TODAY • Sterile & Paper Free (USP 797 Compliant). • Maintains a 100% sterile barrier* with 3X greater adhesion. IV Port Bag Seals

• Helps prevent contamination of drugs and provides added protection to pharmacists. • Will not fall off, even in cold storage conditions (down to -20 degrees centigrade).

Vial Seals

• Patented dual-layer indicates true tamperevidence, with “OPENED” marking. • Cost-effective, allows pharmacy to recycle medication and protects patients from dosing errors.

Check Out Our NEW Tamper-Clear Syringe Seal®

• Dispensing and application training videos available on our website to help with JCAHO training. • Available in major wholesalers and distributors. *Tested in Nelson Labs, Salt Lake City, UT

Visit our website to learn more: www.steri-tamp.com

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Contents WAY

USP 797 and USP 800 Compliant Mobile Pharmacy Compounding Cleanrooms by MDI and CRD

Pharmacy Job Opportunities

The partnership between MDI and CRD delivers best-in-class, turnkey mobile pharmacy compounding cleanrooms designed to meet and exceed USP 797 and USP 800 requirements.

page 90-91

page 87 WAY

Securing the Safe Storage and Transport of Your Vaccines – B Medical Systems

B Medical Systems’ temperaturecontrolled storage and transport solutions are designed to protect the integrity, stability, and shelf life of sensitive refrigerated vaccines and medicines, by maintaining an unbroken cold chain until administration.

page 89

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

Lora Sosa Eric Simmons Jay DiNardi Samantha Pirraglia Jillian Melly Kristin Fennessey

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

20Ways is an official publication of RXinsider

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.

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 7

Editorial – views expressed in articles or profiles in the 20Ways are those of the author(s) and do not necessarily reflect the policies and opinions of RXinsider, our editorial board(s), our advisory board(s), or staff. Advertising – products, services, and educational institutions advertised in 20Ways do not imply endorsement by RXinsider. Copyright © 2020 RXinsider LTD. All rights reserved. Reproduction without permission is prohibited.

SUMMER 2020

H E A LT H S Y S T E M • I N F U S I O N 21

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

making diversion prehistoric T-Rxâ&#x201E;˘

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USP <800> RESOURCES Leading Pharmacy Suppliers of USP <800> Compliant Solutions These leading pharmacy suppliers offer product and service solutions to help your pharmacy and/ or cleanroom achieve USP <800> compliance. Contact these companies directly for more details on how they can help you meet the mandate of USP <800> compliance.

www.RXinsider.com/USP800

Rees Scientific

Results you can believe in. Your true partner for 340B program administration and compliance.

Recognized as an industry leader in 340B management systems, Verity Solutions is your comprehensive solution for split billing, contract pharmacy, specialty contract pharmacy, compliance management, purchase analytics, and VHUBâ&#x201E;˘ for contract pharmacies. Partner with us to simplify 340B program administration, confidently optimize federal pricing benefits, and leverage our expert team as your true 340B resource.

1.800.581.1378 info@verity340b.com www.verity340b.com

ÂŠ 2020 Verity Solutions Group, Inc.

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

Verity Solutions – An Innovator in 340B Program Optimization Partner with us to simplify 340B administration, confidently optimize federal pricing benefits, and benefit from the dedication and knowledge of our expert team.

CEO:

George Puckett Founded: 2002 Employees: 85 Toll-Free Phone: (800) 581-1378 Phone: (425) 947-1922 Address: 12131 113th Avenue NE, Suite 200 Kirkland, WA 98034 Website: www.verity340b.com

Company Background Verity Solutions is an award-winning leader in software and services developed for administration of the federal 340B drug pricing program. Our mission is to make every aspect of 340B program management clear and easy to understand. We believe in optimizing program benefits through predictable automation and support so that every customer can maximize their savings. Verity Solutions is based in Kirkland, Washington, with remote employees stationed across the nation to best serve our widespread customer base. Product Overview Hundreds of integrated healthcare systems, acute-care hospitals, community health centers, federally qualified health centers, pharmacies, and other 340B-eligible covered entities throughout the United States rely on Verity 340B® software and services to successfully manage their 340B program. Our comprehensive solutions for split billing, contract pharmacy, specialty contract pharmacy, compliance management, purchase analytics, and pharmacy network management (VHUB™) all offer: • Agile Software Platform: Built and deployed with security, performance, scalability, ease of use, and agility as primary goals. • Intuitive Application: Designed with our users in mind, we maintain ongoing feedback and collaboration with our clients. This collaboration steers our continual software and services development. • Responsive Support: Designated account managers provide focused support, training, audit readiness, and regular business reviews to maximize your 340B program success and help you maintain compliance.

What Sets Verity Solutions Apart? Recognized as KLAS Category Leader for 340B Management Systems for the third year in a row, Verity Solutions is uniquely qualified to partner with your organization to ensure 340B compliance and optimized savings. n Highlights • Industry leading core functionality of our V340B® platform with optional, patent-pending add-on modules to enhance all aspects of 340B operations in challenging and unique environments. • 60 to 90-day implementation time frame for both split billing and contract pharmacy solutions upon receipt of compliant dataset. • Access to your own unique 340B program test environment – before and after implementation. Test environment runs continually in parallel to your live system. • Easy and exportable reporting functionality including detailed data for manufacturer or HRSA audits. • Transition from one electronic medical record (EMR) to another without downtime (contingent upon receipt of dispense file from the covered entity). • Multiple vendor support with controlled substances ordering system (CSOS) – efficiently place orders with both EDI (electronic data interchange) and non-EDI vendors. • Two-week sprint release cycles ensure timely software updates driven by customer feedback, regulatory changes, and user needs. • Flexible and 'winners only' contract pharmacy pricing models. No true-ups. • Verity Care Card Program – directly pass 340B savings to uninsured and underinsured patients. • Referral capture opt-in functionality to compliantly add meaningful savings lift to your 340B program. • Responsive customer service provided by our in-house staff and the ability to submit and track issues in our online customer portal. • 79% of our customer support cases resolved within two hours. 90% resolved within 24 hours.

Testimonial “ Verity Solutions keeps their promises. They have never let me down so far.”

— Analyst/Coordinator, January 2020

Selected commentary collected about Verity 340B January 2020 © KLAS 2020. Visit https://klasresearch.com for a complete view.

SUMMER 2020

H E A LT H S Y S T E M • I N F U S I O N 27

Powering hospital pharmacies to help people lead healthier lives.

An established pharmacy automation leader, Parataâ&#x20AC;&#x2122;s adherence packaging, vial-filling, and workflow solutions reduce costs and medication errors and improve medication adherence. Explore our full portfolio of pharmacy workflow solutions designed with your business, pharmacy teams, and patients in mind at parata.com.

Adherence Packaging & Inspection

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Vial-Filling Robots

866.251.6171 parata.com

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

Parata’s Solutions Improve Operational Efficiencies to Reduce Medication Errors and Operating Costs Explore the technology, expertise, and people you can count on.

CEO:

Rob Kill Founded: 2001 Employees: 400+ Toll-Free Phone: (888) 727-2821 Address: 106 Roche Drive, Durham, NC 27703 Website: www.Parata.com

employees are no exception. Expand your reach beyond the pharmacy counter and hours of operation without the traditional overhead costs with WellSpot, our remote prescription pickup locker. Provide 24/7 prescription access for late discharge patients and all shifts of employees. Improve transition of care and help increase script capture – all without increasing your physical pharmacy store hours. Convenient Solutions: WellSpot™

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.

n Ensure Safety, Accuracy, and Efficiency You get the fastest counting technology in the market automating 5060% of oral solids and 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.

Product Overview

Leading Solutions: Parata Max®, Parata Mini®, AccuCount® 2 Scale

Company Background

n Improve Medication Adherence Simplify adherence for your patients and take the guess work out of when they need to take their medications. With a medication adherence program, synchronize daily medications into med pass times improving compliance, outcomes, and readmission rates. Once patients experience the ease and efficiency of adherence packaging, vials and scattered refills are replaced with patient loyalty and long-term revenue. 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: ATP® 2, ATP® Mini, ATP® 2 Duo, InspectRx®, Parata Perl® Pouch Inspector n Drive Efficiencies to Impact Bottom Line We’re serious about pharmacy efficiency. That’s why we’ve taken best practices and real-world research – with more than a little feedback from pharmacists – to craft cost and space-saving strategies to drive efficiency and impact the bottom line. Your pharmacy’s inventory is its largest investment. Why not gain visibility and control of inventory to manage costs and offset increasing expenses of higher drug prices and specialty pharmaceuticals? Our solutions can reduce inventory carrying costs by more than 30% and expired medications by 80% – all while increasing inventory turns. The addition of our inventory management, enterprise software, light-guided high-density storage, and will call solutions allow for greater visibility and can help consolidate your pharmacy’s footprint by more than 50%. Smooth Solutions: Beacon® Inventory Management System, HD Stock™ Workstations and Shelving n Enhance Patient Experience and Access Everybody loves it when you can make things easier for them; patients and

n Optimize Your Operations Whether big or small, we’ve got ideas to help you optimize your pharmacy operations. Our experts and industrial engineers can work with you to analyze the specific needs of your pharmacy and help you design a workflow using solutions and technology able to scale and grow with your business. Top-Notch Solution: Parata Centralized Filling Solutions n Count On Support 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. We have more than 25 years of experience with the best industrial engineers in pharmacy, and we‘re ready to put that expertise to work by offering pharmacy design services whether it’s a new build, remodel, or optimization project. Helpful Solutions: Parata Performance Services, Parata Consulting

Testimonial

“ Beacon has allowed us, both on the quality side and on the financial side, to have a process of continual improvement. We’ve seen a reduction in dispensing errors. We have confidence in the accuracy of the products we dispense. In addition, we’ve been able to reduce our formulary size and reduce the inventory we have on hand.”

— Jeff Brinkley, Maury Regional Medical Center

Markets Served

Central Fill; Hospital – Inpatient; Hospital – Outpatient; Independent Retail; Long-Term Care; Mail Order; Nutraceuticals; Retail Chain; and Specialty. SUMMER 2020

H E A LT H S Y S T E M • I N F U S I O N 29

Meeting you where patient care and pharmacy compliance come together.

Choosing point-of-sale for patient focused pharmacies has never been easier. Discover how your pharmacy can become the

driving force behind improved patient outcomes, reduced readmittance rates, and so much more.

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

The industry leader in pharmacy point-of-sale innovation

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

Solutions Focused Point-of-Sale From Retail Management Solutions

RMS works with your organization to achieve the outcomes you desire through point-of-sale technology. President & CEO: Brad Jones Founded: 1998 Toll-Free Phone:

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

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, point-ofsale 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-touse till application is at the forefront of day-to-day activities, running a successful pharmacy goes far beyond collecting a payment. There are many ways in which an RMS system can help. 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. Payroll Deduct can be added to any implementation for easy employee sales. Sales can be processed in many different ways to meet the unique needs of your pharmacy. Whether you need standard retail lanes, Meds-tobeds technology, an option for drive-thru payments and signatures, curbside pickup solutions, or an easy way to track deliveries. You can mix and match to create the perfect technology scheme.

n Improving Patient Outcomes: Improving patient outcomes and increasing customer satisfaction are goals at the heart of most organizations today. Nutrient Depletion notifications at the register help you to improve patient wellness by making supplement recommendations based on prescription induced nutrient depletion. Meds-to-Beds technology and support help you to align your pharmacy with organizational goals. Point of sale tailored for bedside interactions and full transaction processing help you work towards increasing patient compliance and reducing readmittance rates as a result. n Easy Compliance: RMS offers multiple processing integrations with available validated P2PE, allowing the potential for reduced PCI scope, with your choice of partners. Processing integrations also include options for EMV, Tokenization, NFC, and FSA/HSA card acceptance. Every RMS system includes optional integration with NPLEx for Pseudoephedrine tracking as well as signatures, ID capture, and tracking for HIPAA, safety caps, prescription acknowledgment, etc.

n Headquarters

and Management: Point-of-sale applications extend beyond the customer interaction to help you run your pharmacies more efficiently. Enterprise-level multi-location management unlocks powerful tools for policy, pricing, employee, and customer management. Data fed back to the headquarters saves time and resources.

For pharmacies managing retail departments, RMS’ inventory management solutions open the door for advanced management of front-end product with wholesaler interfaces, automated purchasing and receiving, price updates, and integrated signs and labels. A host of reports, both canned and customizable, are available. From cash management and employee performance to A/R balances, and more. RMS systems give you the data you need to drive important decisions and run pharmacies efficiently. 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 knowledgebase, 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.

Key Business Partners

Offering integrations with over 30 pharmacy management system partners. SUMMER 2020

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

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

THOUGHT LEADER VIDEO SERIES

Comprehensive Pharmacy Services 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.

THOUGHT LEADER VIDEO SERIES

Accreditation Commission for Health Care (ACHC) 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.

www.cpspharm.com

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THOUGHT LEADER VIDEO SERIES

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

www.Verity340B.com

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SUMMER 2020

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

www.achc.org

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THOUGHT LEADER VIDEO SERIES

Medicine Shoppe International, Inc

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

www.cardinalhealth.com/franchise

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THOUGHT LEADER VIDEO SERIES

Advancing the Business of Pharmacy

Innovative Pharmacy Solutions

Join Jim Jorgenson, MS, RPh, FASHP, CEO, Greg Burger, MS, RPh, FASHP, Senior VP, Hospital & Health System Services, Fred Massoomi, RPh, PharmD, FASHP, Senior Director, Maureen Burger, MSN, RN, CPHQ, FACHE, Chief Nursing Officer, David Kvancz, MS, RPh, FASHP, Senior VP, Strategic Client Relations, and Ron Small, MBA ScD (Hon), RPh, FASHP, FAPHA, Regional Pharmacy Recruiter, as they discuss Advancing the Business of Pharmacy in a 12-part video series.

Join George Smith, Pharm.D., BCPS, BCSCP, Pharmacist Consultant of Sterile Compounding Automation and Craig Boyce, Director of Professional Services, as they discuss Innovative Pharmacy Solutions in a 12-part video series.

www.visanteinc.com

www.arxium.com

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THOUGHT LEADER VIDEO SERIES

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

THOUGHT LEADER VIDEO SERIES

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THOUGHT LEADER VIDEO SERIES

Sentry Data Systems | Expect More

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

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

www.parata.com

www.sentryds.com

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SUMMER 2020

H E A LT H S Y S T E M â&#x20AC;¢ I N F U S I O N 33

Professional Medical-grade Refrigerators

Efficient and effective. GX Solutions from Helmer Scientific Featuring OptiCool™ Technology

E nergy sav ing s Quiet Operatio n Supports sustainability in it ia t ive s L ea r n m o re : w ww.helmerin c.com/gx-s olu t ion s

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

Reduce Noise in Patient Rooms With GX Cold Storage Solutions From Helmer Scientific GX Solutions Pharmacy Refrigerators are 3X quieter than conventional models with the use of OptiCool™ Technology.

President:

Bruce King

Vice President of Sales & Marketing: Lori Gabrek Founded: 1977 Employees: 300 Stock Symbol:

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

Company Background

Helmer Scientific is a manufacturer and worldwide distributor of medical-grade cold storage and laboratory processing equipment. We have over 40 years of experience in providing high-quality temperature-controlled environments, with our products being used in over 125 countries throughout the world. Helmer originated in the blood bank market where precise temperature control is essential to the successful storage and transfusion of blood products. These same principles are applied to the design and development of the Helmer pharmacy cold storage products.

Product Overview

GX Solutions Professional Medical-grade Refrigerators are designed for the unique needs of critical healthcare applications such as medication and vaccine storage. Only professional medical-grade refrigerators deliver optimized control in three important areas: temperature, noise, and energy management. Noise management is important for the healthcare environment. Sound pollution is a common complaint among both patients and healthcare workers. There are various research studies that highlight the negative impact of noise on hospital patients. It is equally important to reduce the noise levels in pharmacies, medication rooms, laboratories, and patient rooms. GX professional medical-grade refrigerators are designed for noisesensitive areas. They utilize OptiCool™ refrigeration technology, which incorporates both Variable Capacity Compressor (VCC) technology and natural hydrocarbon (HC) refrigerants resulting in much quieter operation. When evaluating a conventional undercounter medical-grade refrigerator against the Helmer Scientific GX professional-grade refrigerator, the GX professional medical-grade refrigerator was 17 decibels lower than the conventional model. It is important to note that every increase or decrease on the decibel scale is equivalent to a 10-fold increase or decrease in sound intensity.

While the conventional medical-grade refrigerator operated at 59dB, the Helmer GX refrigerators operated at only 42dB. This is a similar sound level to a quiet office. The results show the GX Solutions refrigerator is 3X quieter than conventional models. Managing noise in hospitals is a critical issue as noise negatively affect patient health and the well-being of healthcare workers. Choosing quieter equipment, such as GX professional medical-grade refrigerators, can have a major impact on surrounding patient care and staff work areas, while still achieving industry leading uniformity, recovery, and stability.

Features & Options

n Professional, Medical-Grade Performance • Best-in-class temperature management, including uniformity, recovery, and stability, to safeguard medications and supply confidence that contents are stored at the precise temperature regardless of where they are placed within the unit. • Designed for noise-sensitive areas such as medication rooms, pharmacies, and patient rooms, GX Solutions are 3X quieter than traditional models leading to better rest for patients and fewer distractions for healthcare personnel. • Energy management reduces operating costs and supports sustainability initiatives by utilizing a variable capacity compressor (VCC) system and natural refrigerants to create a highly-efficient cooling system. n Continuous Monitoring Offers Safety and Security of Stored Product The i.C3® Information Center provides constant temperature monitoring and multiple information logs, plus security features to keep crucial refrigerator settings protected. • Information and Event Center records the performance history of the unit, as well as event acknowledgment. • Guardian Plus Protection offers protected settings and limits refrigerator access with a key lock or optional integrated electromagnetic access control. • Data Transfer Center offers data export of temperature, event, and access data via USB port as PDF reports or CSV files. n Medication and Vaccine Storage • Factory pre-set to 5°C for pharmacy applications. • Supports CDC guidelines for vaccine storage. • Remote lock adapter kits available for integration with automated dispensing cabinets. • Quiet operation for improved work environment (UC 42dB, Upright 47-50dB). • Standard configuration includes, ventilated pull-out pharmacy drawers and ventilated shelf. SUMMER 2020

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

We’ve Got You

Covered

Head-to-toe USP <797> & <800> Compliant Products

Call For a FREE Consultation! Acute Care Pharmaceuticals’ Pharma-Brand ™ products are accessible through your favorite wholesalers with next day delivery and free shipping

AmerisourceBergen, Cardinal and McKesson 888-909-7700 info@acutecareonline.com pharma-choice.com

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

Total-Shield™ Available Through Acute Care Pharmaceuticals Total-Shield is designed for use in hospital and health care facilities. When used as directed, Total-Shield is proven to be effective against bacteria and viruses. It uses a unique fast-acting surface treatment that will kill for extended periods of time – seven days at 99.9999% per application.

President & CEO: Tom Friedl Founded: 1992 Employees: 16 Phone:

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

Company Background For over 20 years, Acute Care Pharmaceuticals has been servicing the healthcare industry by delivering exceptional products and services to healthcare providers nationwide. Our disposables are manufactured under the highest standards, resulting in reliable and 100% compliant products that you can trust. Product Overview Total-Shield is a ready-to-use broad-spectrum hospital grade cleaner and deodorizer. It utilizes a unique chemical, electrical, and mechanical modes of bacterial and viral control. Bleach and chlorine-free, making it non-toxic, non-corrosive, and odorless. It is environmentally safe while also being safe on surfaces and for your employees. Total-Shield will help control, inhibit, and remove pathogens on porous and non-porous surfaces. Features & Options • 16 oz. Bottle with Trigger Sprayer • 9 Bottles/Case • Active Ingredients: Isopropyl Alcohol 20.00%, Zestrisil 0.75%, Other Ingredients 79.25% • Persistent Activity for Seven Days Per Application • Tested and Shown Effective Against H1N1, Hepatitis A Virus, Polio Virus 1, Norovirus, Feline Calicivirus (Strain F-9), Bovine Viral Diarrhea Virus, S. Aureus, E. Coli, VRE, CRE, Pseudomonas Aeruginosa Additional Product Lines Pharma-Choice™ Brand – USP <797>/<800> compliant products. Key Business Partners • Cardinal • AmerisourceBergen • McKesson

Markets Served • Hospital/Acute • Clinic • HMO • Home Health Care (HHC) • Home Infusion • Surgery Centers • Retail • Long-Term Care Trade Shows/Meetings Attended MHA Business Summit; Vizient Reverse Trade Show; ONS; Asembia Summit; Elevate; Premier’s Breakthrough Conference; HealthTrust University Conference; IDN Summit and Reverse Expo; CSHP Market Show; ASHP Clinical Meeting and Exhibition; and AORN Global Surgical Conference & Expo. GPO Affiliations • APCI • Asembia • GeriMed • HealthTrust (HPG) • Intalere (Amerinet) • MHA • Premier • The Resource Group (Ascension Health) • ROi • Vizient (Novation) Ordering Information

Pharma-Choice™ Brand of products along with USP <797> and <800> compliant products made available by Acute Care Pharmaceuticals can be purchased at AmerisourceBergen, Cardinal, McKesson, or directly from Acute Care Pharmaceuticals. Direct orders can be placed by email, phone, or online at www.Pharma-Choice.com.

• Medline • AvMedical

SUMMER 2020

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

CASE STUDY Fagron Sterile Services Relies on Charles River for Critical QC Testing

Jason McGuire Global Quality Director ~ Fagron Sterile Services

PRIMARY INTENDED OUTCOME The pharmaceutical industry is subject to numerous requirements put in place to ensure the safety of patients. One of those requirements centers around bacterial endotoxin testing (BET). The BET detects unsafe levels of microbial cell wall debris from live or dead Gram-negative bacteria. This bacteria has the potential to cause fever, and in the worse cases septic shock. Utilizing the Limulus ameboyte Lysate (LAL) assay, the BET is a mandatory quality control (QC) release test for injectable pharmaceutical products. Microbial identification is another mandatory component and requires a hard-to-find level of expertise, specialized and expensive equipment, and robust libraries that cover the specimen spectrum. Confident microbial identification is critical for an environmental monitoring program to ultimately confirm the security of a compounding area. Fagron Sterile Services (FSS), a leading 503B Outsourcing Facility company, has been able to meet all its needs for both rapid BET and accurate microbial identification through its partnership with Charles River. It’s parent company, Fagron, operates in 35 countries, and they leverage Charles River’s expertise and equipment to ensure their growing customer base is in safe hands. Jason McGuire, Global Quality Director at Fagron Sterile Services, has partnered with Charles River since 2003 when he first entered into the contract testing laboratory space.

www.criver.com

CASE STUDY CHARLES RIVER

ACCUGENIX® PROCESSES UP TO

1,500

SAMPLES A DAY With over 450,000 samples processed annually, more than 99,000 samples are processed with a same-day turnaround time.

They also offer a

99% On-Time Delivery Rate and 90% Species Identification Rate.

be more cost-effective than outsourcing to a contract lab. Charles River provides FDA-licensed LAL reagents, instruments, and tracking and trending software to make endotoxin testing as simple and reliable as possible. Other companies in the Fagron family have also had great success with the Endosafe® nexgen-PTS™ cartridge technology instrument. It is user-friendly, reliable, and quickly delivers consistent results. As LAL is the most sensitive and specific method for the detection of endotoxins, Charles River has developed and optimized a range of quantitative and qualitative LAL formulations for increased sensitivity and superior interference resistance. Using a combination of these products, FSS has built up a strong and efficient endotoxin testing operation as well as a successful relationship with Charles River. With a new need to explore the services of outsourcing for microbial identification, McGuire knew exactly where to turn. Testing many varieties and materials in a timely and efficient manner while taking in the consideration the volume and dedicated time of personnel are challenges many 503B facilities experience. To that end, “it pays to outsource” microbial identification services, McGuire says. Fagron Sterile Services chose Charles River’s Accugenix® because “the costs of conducting these tasks in-house, particularly maintaining everything needed for a comprehensive identification program are prohibitive.” The equipment alone can cost hundreds of thousands of dollars.

THE DECISION Charles River acquired Accugenix® in 2012. This acquisition included accurate microbial identifications and strain typing solutions to fill out its quality control program and expand beyond endotoxin testing. FSS already had “great faith” in the services of Charles River through its experience with Endosafe®. So, “knowing that they acquired this organization gave us extra confidence that Accugenix® was the place to go for environmental identifications and general identifications as well.” Sample management is challenging and intense, he adds. “When you’re taking hundreds of samples a day or even a week, it’s very challenging to maintain control over those plates and determine whether you need a subculture or not. It’s better for us to send it out. Having a reliable partner to handle all of this was key for us. We can be confident about Accugenix® sample management.” Accugenix® has more than 12,000 unique bacterial and fungal species entries in its proprietary libraries for the most robust offering on the market. Accugenix® specializes in bacterial and fungal identification and strain typing of environmental monitoring isolates. They use the latest DNA sequence-based and MALDI-TOF technologies to provide accurate and reliable microbial identification services. The library, combined with the sophisticated lab management system the company maintains, serves as a powerful data-analysis tool. A customer portal lets clients access their information, submit and check the status of samples, download test results, and more. McGuire uses the tracking and trending tool to see what organisms his company most often encounters over a period of time. This tool allows the team to quickly investigate potential excursions and provide insight to making critical day to day decisions. And, instead of sifting through pages of reports, he and his team can easily crunch the data and use them to improve operations.

www.criver.com

CASE STUDY Fagron Sterile Services is a U.S. FDA and DEA-registered 503B Outsourcing Facility that adheres to current Good Manufacturing Practices. All batches are tested for identity, strength, quality, purity, and compliance in its in-house analytical laboratory.

In fact, Accugenix® was started by a process engineer who set up a very controlled workflow to deliver better than 99% on-time delivery. McGuire also notes that Accugenix® has never lost a sample.

THE RESULTS Partnering with Accugenix® for microbial identification helps FSS maintain compliance. Quality control tests must comply with regulatory requirements enforced by the FDA and other local national health authorities, for instance in Europe. “It can make the regulators feel more comfortable during inspections to be able to see firsthand that you have control over your products. When they see the Charles River brand, they’re absolutely comfortable as long as qualified people are using it.” Reliability and ease-of-use is a major component of FSS’ partnership with Charles River. “It’s easy for us to track and trend our data,” says McGuire. They can easily pinpoint the where and when of a problem area in the plant. “We nearly have complete traceability to come up with a root-cause so we can put corrective action in place.” His quality control teams also find the solution very user-friendly, the technology easy to maintain and says its customer service is what “really drove Charles River over the top for me. Being able to call in and speak to a live person every single time and come up with a solution” makes all the difference. From reliable in-house endotoxin testing solutions with Endosafe® instruments and software, to outsourced microbial identification services through Accugenix®, Charles River has gone above and beyond to meet FSS’ QC testing needs.

THE CONCLUSION Charles River Accugenix® market-leading library and valuable data-analysis tools were yet another factor making FSS decision to expand its relationship with Charles River, simple. McGuire knows that they have the information and ability to make timely decisions on both endotoxin testing and microbial identification. Charles River’s Endosafe® nexgen-PTS™ endotoxin testing system in particular produces results in about 15 minutes, offering faster production, improved sample management, portability and greater accuracy, and reproducibility. Meanwhile, Accugenix® offers a customer portal that allows his colleagues to quickly address anything related to their microbial identification concerns. McGuire has since spread the word that companies, especially compounders, that don’t have the volume to support in-house testing should consider Charles River for both quality and the opportunity for savings. But, they also go beyond that: “For me, the ultimate benefit isn’t just cost savings. That’s a nice piece of it, but the fact that we could test many varieties of materials and have great integration with the systems we’re using on top, made me a believer.” Since Fagron is selling to clients all over the world, “it’s important to be able to trust the information,” says McGuire. “Charles River is definitely the most reliable company that we’ve used from an endotoxin testing and microbial identification standpoint.” To learn more about Fagron Sterile Services US, visit fagronsterile.com, or call (877) 405-8066 to set up a free consultation.

www.criver.com

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

Offering unmatched regulatory expertise and a portfolio

compliance has never been more important. Maintain

of FDA-licensed products and GMP-compliant services,

control and consistency in your compounding procedures

Charles River is the trusted partner who can help you

with solutions from Charles River.

align your operations with current regulatory standards.

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

Learn more at www.criver.com/compounding

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

Q.I. Medical, Inc.™ Your Partner in USP <797> Pharmacy Compliance Providing quality assurance products to hospitals and pharmacies practicing sterile compounding, with a singular focus on pharmacy compliance. Our long-standing regional distribution partners are able to provide exceptional in-person service and training. President & CEO: Brady K. Schwarz Founded: 1992 Toll-Free Phone:

(800) 837-8361 Phone: (530) 272-8700 Fax: (530) 272-8702 Address: 1415 Whispering Pines Lane, Suite 150 Grass Valley, CA 95945 Website: www.qimedical.com

Company Background Q.I. Medical, Inc. was founded in 1992 with a focus on providing the sterile compounding industry with testing kits and products to assure proper technique and quality is maintained in their facility. We have a broad network of distribution partners throughout North America, Canada, and other international markets. These distribution partners provide in-person servicing and education to accounts to comply with USP guidelines.

Additional Product Lines Additional products are available for validation of hazardous drug handling, automated compounder manipulation validation, filter integrity testing, and vial adaptors. n Support Equipment Includes: • Incubators • Sterile Filters • Vial Blocks • UV Lights

Ordering Information

To learn more about how Q.I. Medical, Inc. can help your facility, please contact us at (800) 837-8361 or email info@qimedical.com.

Product Overview Our cost-effective, disposable products are available for various needs in the compounding pharmacy. Aseptic technique validation kits are available for low, medium, and high-risk settings. We also sell multiple ala carte sizes of vials, bags, tubes, and syringes of growth media for facilities looking to create a custom media fill test that mimics their day-to-day practice. In regard to environmental monitoring/gloved fingertip sampling, our EnviroTest™ paddle is ideal for both. The rectangle shape and built in hinge allow for testing critical areas such as edges and corners of a hood and behind latch handles. Sterility testing products are available in both USP 71 approved methods of testing. For the full filtration method, the QT Micro™ and QT Junior™ systems work for both small and large volume solutions. For the direct inoculation methods, our TuffTest 2™ product is ideal. All Q.I. Medical growth media is challenged with a battery of USP specified organisms and lot specific Certificate of Analysis (CofA) are available for download. All products are sold through regional stocking distributors in order to provide fast local service and support.

SUMMER 2020

H E A LT H S Y S T E M • I N F U S I O N 43

GREAT REASONS TO DO BUSINESS WITH HEALTH CARE LOGISTICS®! HEALTH CARE LOGISTICS HAS BEEN A VETERAN-OWNED, INDUSTRY LEADER IN THE DISTRIBUTION AND MANUFACTURE OF MEDICAL SUPPLIES SINCE 1978.

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AFTER BUSINESS HOURS CALL OUR EMERGENCY PHONE: 1.740.207.4293

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GoHCL.com • 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 C O S T C O N TA I N M E N T

Your One-Stop Source for All Tamper Evident Needs – Health Care Logistics® Find a diverse selection of USP <800> and infection prevention solutions in one convenient location. In addition to stock items such as cleaning tools and infection control mats, HCL can manufacture stainless steel containers and trays to help achieve your compliance goals.

President & CEO: Gary Sharpe Founded: 1978

Employees: 300+ Toll-Free Phone:

(800) 848-1633 (740) 477-3755 Address: P.O. Box 25 Circleville, OH 43113 Website: goHCL.com Phone:

Company Background

What began 40+ years ago as a garage-based business at the home of founder Gary Sharpe, now encompasses five well-equipped facilities in Central Ohio and reaches customers around the globe. Employment has also grown, with more than 300 employees now dedicated to HCL’s mission of providing unmatched customer service. Complete customer satisfaction is at the heart of everything HCL does.

Product Overview

Containing HD surface contamination is a tough job. While there’s no single solution to effectively deactivate all chemo agents, Health Care Logistics offers the RXGon® Pad HD Prep Mat to significantly simplify the process. This innovative mat combines the absorption of a standard prep mat with the power of activated carbon to form a protective barrier between HD solutions and work surfaces. RXGon Pad HD Prep Mat is proven to prevent surface contamination from common marker HDs cyclophosphamide and fluorouracil by using the activated carbon in the mat to encapsulate and absorb liquids. Likewise, the poly backing shields surfaces from leaks or “bleed through.” Efficacy data and lint test results can be found at goHCL.com. The 12"x12" low-lint mat is a versatile tool that can be used anywhere HD contamination is possible, including: • Shipping, Transport, and Storage: Studies indicate that shipping containers, transport totes, and carousel bins are a major source of HD contamination. RXGon Pad HD Prep Mat can be used to line these containers to protect staff against leaking containers and broken vials. • Compounding and Dispensing: RXGon Pad HD Prep Mat can be used to line work surfaces in the nonsterile prep area, limiting unnecessary contamination. • Administration: The RXGon Pad HD Prep Mat can line work surfaces to prevent contamination of the drug administration area. Users may also place it under the I.V. drip to catch any accidental leaks. • Home Health: Patients may be instructed to use the RXGon Pad HD Prep Mat under their medication bottles and when prepping pumps to limit contamination in the home.

HCL offers a complete inventory of infection prevention solutions to reduce the risk of contamination and help users improve the quality of patient care. Look for the RXGon Pad HD Prep Mat along with PPE, disinfectants and cleaners, surface and fingertip test kits, HD waste disposal options, hygiene stations, and more. Visit goHCL.com to see how HCL can be the single-source resource for all your pharmacy essentials.

Additional Options

In addition to stock items designed to help customers achieve USP compliance, HCL provides a variety of in-house specialty design services. Design consultations are always free, there are no minimum order requirements, and orders ship within seven days of approval. • Cabinets by Design: Cabinets, shelving, and storage units for those who want to renovate existing spaces or outfit newly constructed areas with high-quality pieces made to their exact specifications. • Metals by Design and Plastics by Design: One-of-a-kind items manufactured to match individual customer requests. Product modifications are also possible. These allow customers to work more efficiently and produce better results. • Printing and Graphics: From labels, magnets, and clings to banners, signs, and stamps, HCL’s print specialists can create solutions for any situation.

Product Specifications

HCL’s inventory includes compounding and dispensing items, infection prevention supplies, unit dose packaging materials, and much more. The company offers small package quantities, free samples, and ships most orders the same day. HCL’s hassle-free return policy allows customers to return any product, at any time, for any reason.

Additional Product Lines

Unit Dose; Storage; I.V. Accessories and Injectables; Compounding and Dispensing; Seals; Plastic Bags; Refrigerators, Freezers and Accessories; Temperature Monitoring; Infection Prevention; Carts and Accessories; Pharmacy Supplies; Crushers, Cutters, and Organizers; and Error Prevention.

Ordering Information

Health Care Logistics offers small package quantities, no minimum order requirements, free samples, and ships most orders the same day. The company’s hassle-free return policy allows customers to return any product, at any time, for any reason. HCL’s Live Chat customer service team is available from 8 a.m. to 8 p.m. EST Monday - Friday. *FDA-approved drug products include otherwise legally marketed sterile drug products in finished dosage form. Such commercially available drugs are produced in FDA-registered facilities subject to FDA inspection.

SUMMER 2020

H E A LT H S Y S T E M • I N F U S I O N 45

D R U G D I V E R S I O N & O P I O I D S T E WA R D S H I P Q & A

& Q A

Dr. Mark Garofoli, Clinical Assistant Professor and Director of Experiential Learning, West Virginia University (WVU) School of Pharmacy

Q. Healthcare professionals are saving lives by developing successful opioid stewardship programs. Do you know of some examples, and what creates the success? We’ve navigated from “those are addictive”, through “no pain >2”, and “opioid guidelines released every day that ends in Y.” Extremes never work, and running in a circle gets one nowhere, whereas jogging briskly in a straight line produces progress. As the folks at PAINWeek say, “Education is the best analgesic.” To the same tune, everyone should review various publications, attend conferences (PAINWeek, APhA, etc.), and complete online continuing education. For instance, check out the FreeCE 20 hour certificate program that I developed titled the ‘Pain Management Specialty Pharmacist (PMSP)’. Opioid stewardship program prominent examples include Kaiser Permanente and our Veterans Affairs (VA) Medical Centers. Kaiser Permanente connected pain management experts to their 500 pharmacies and 12 million members to facilitate best practices. The VA and Department of Defense collaborated to disseminate pain management guidelines via their “Academic Detailers” to clinicians in 1,000 hospitals and clinics visited by 9 million of our amazing veterans (mirroring efforts of pharmacy industry “Drug Reps”). In fact, the only pain scale that I utilize in practice today is known as the “Defense & Veterans Pain Rating Scale (DVPRS).” These two opioid stewardship programs, and countless others, aim for strategic utilization instead of simple opioid limitations.

Q. Given that our current opioid crisis primarily involves deaths from illicit opioids, should healthcare professionals continue to limit opioid prescriptions? One study shows chronic utilization of opioid medications increases drastically for initial prescription durations >3 days. Other studies explain that individual opioid medication prescriptions including a daily morphine milligram equivalent, or MME, of greater than 100 MMEs/day, increases the risk of overdose by more than ten-fold (although MMEs are greatly debated). Conversely, there are patients tolerant to higher risk opioid doses within a diverse treatment plan and risk reduction strategy. My dad should never again receive 5 dozen opioid pills for the anticipated pain of a simple outpatient procedure ever again, but he may reasonably need a few days’ worths. 46

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

Q. It sounds like there is great debate on MMEs, what’s your take? There are at least a half-dozen issues with MMEs, but what’s better? Like them, love them, or dislike them, MMEs are universally utilized today. For any healthcare professional to absolutely avoid the concept of MMEs, is a shortfall better left for conversational urination contests than patient care. Ironically, street chemists were quick on the uptake of MMEs as the observed street price of oxycodone jumped from $1/mg to $1.50/mg directly after the release of the 2016 CDC Opioid Guidelines. Illustrating the easiest way for a healthcare professional to remember that the updated MME factor for oxycodone is now “1.5”, whereas morphine and hydrocodone are both “1.”

Q. Earlier you mentioned the absolute need for risk reduction strategies in pain management, what do you recommend for a patient utilizing an opioid and benzo for the past 20 years? If a healthcare professional has a pulse and a license, that person knows combining opioids and benzos (benzodiazepines) comes with inherent sedation and respiratory depression risks. Multiple studies have shown a 2x, 3x, or even 5x of respective relative MME levels (or risks) when benzos are combined with opioid medications. Action is needed, regardless of how long the combination has been utilized. At the very least, risk reduction strategies must be utilized such as educating on naloxone, medication storage, psychological screenings, and opioid risk screenings, amongst others. In the vast majority of cases, gradual tapering of one of the sedative medications will need to begin imminently, keeping in mind that rapid tapers of opioid medications can cause very negative effects, however, rapid tapers of benzos can actually result in death from seizures.

Q. Speaking of naloxone education, what are your thoughts on this ethical dilemma. How many opioid overdose reversals with naloxone are enough for one person? Regardless of your profession, or even faith, this is one of the single greatest somehow debatable scenarios ever. The moral debate between “enough is enough” and “do no harm” resonates everywhere. Additionally, the vast minority of people still struggle with considering substance use disorder (addiction), as a medical condition, beyond people making repeated bad choices. If a person has a 15th opioid

around for best prices, and sometimes people utilize higher-risk doses of controlled substances within a diverse pain management treatment plan that also includes a verbose risk reduction strategy. Some in our society are aiming to divert medications, yet not everyone. Regardless, people respect what you inspect, not what you expect.

Q. After those profound thoughts on naloxone, anything to say about Medication Assisted Treatment (MAT) the panacea of addiction treatment?

Q. Were prescription opioid medications directly prescribed and dispensed by healthcare professionals the root of the opioid crisis facing our nation today?

I’m not convinced that nutritionists are well settled with diabetes management guidelines recommending metformin first line, jumping past diet and exercise, in our global society mantra of “a pill for every ill.” MAT options (methadone, naltrexone, and buprenorphine), by title alone, but also by FDA approval convey a concentration on the psychological and group therapy so pivotal for success, which is assisted with medication. Medication Assisted Treatment (MAT), even if used as sole treatment (technically off-label), is improving and saving lives every single day across our globe. However, as with any medication, there are concerns with these medications such as have a relative possible level of misuse, abuse, and diversion (as with any controlled substance) and a lack of need for dosing more than once daily (given the long half-life). In order to best help everyone, we simply must proceed with the utmost respect for any medication’s respective pharmacology.

There’s enough responsibility to go around for everyone including particular (but not all) poppy growers, manufacturers, distributors and wholesalers, prescribers, dispensers, insurance companies, government, street dealers, cartels, and even patients. Headlines everywhere contain unfounded “jabs” to our professional/patient relationships (except the vast minority involving criminal activity). Who hasn’t seen the headline “75% of Heroin Utilizers Began with Prescription Opioids” dozens of times? However, details matter, as yes, prescription opioids, but from what source? Another study shows that two-thirds actually attained said prescription opioids from family, friends, or street dealers for free or cash. Yet, we never read those headlines. Regardless, we still have a responsibility to utilize diverse treatment plans and risk reduction strategies. Not to mention the huge need for healthcare professionals to have more discussions on illicit substances with our patients, given that numerous nonopioid substances of abuse are raging our globe.

Q. Drug diversion happens every day across the globe and many times involves the healthcare system. What are the biggest signs of drug diversion that healthcare professionals should be looking for at all times? We as healthcare professionals are on the front lines of the infamous “war on drugs” and have an innate or acquired sixth sense for realizing potential diversion concerns. We would be best served by discussing what to do with the car once the dog catches it, but for the sake of conversation, let’s mention a few red flag concerns. Concerns include cash payments, patients traveling far distances, repetitive prescribing/ dispensing medication patterns, doctor/pharmacy shopping, and early refills, amongst many others. When suspicions arise or are even confirmed, proceeding with professionalism is of utmost importance. People travel, people do not always have insurance, people shop

BIOGRAPHY

Q. Care to highlight some of the most popular substances of abuse across the globe? Everything and anything. I like to paraphrase Paracelsus, “It’s all about the dose!”. Did you know that even nutmeg, that innocent spice in everyone’s pantry, is actually a hallucinogen? Well, if one were to “crank the dose,” they’d see, literally (hallucinogens cause visual disturbances)! A few groups of substances of abuse include hallucinogens, stimulants, marijuana and cannabinoids, sedatives, alcohol, inhalants (or sometimes even inhaled alcohol, it’s a thing, a deadly thing!). I invite you to continue this conversation in my FreeCE 20-hour certificate program, the “Substances of Abuse Specialty Pharmacist (SASP), or perhaps in Las Vegas at PAINWeek (or a regional PAINWeekEnd), but at the very least, on LinkedIn right now!

D R U G D I V E R S I O N & O P I O I D S T E WA R D S H I P Q & A

overdose, would withholding naloxone cause harm? If someone eats an unhealthy daily diet and has multiple heart attacks, would withholding nitroglycerin for any of the heart attacks cause harm? For a more succinct response, I’ll stick with the words of a favorite character of my son, Buzz Lightyear, “To infinity, and beyond!”

Dr. Mark Garofoli, Clinical Assistant Professor and Director of Experiential Learning, West Virginia University (WVU) School of Pharmacy

Dr. Mark Garofoli is a Clinical Assistant Professor and Director of Experiential Learning for the West Virginia University (WVU) School of Pharmacy, along with being a Clinical Pain Management Pharmacist at the WVU Medicine Center for Integrative Pain Management. Dr. Garofoli received his PharmD at the University of Pittsburgh School of Pharmacy in 2004 and his MBA from Strayer University in 2008. He is board-certified in Geriatric Care (BGCP) along with being a certified pain educator (CPE). Dr. Garofoli began his career with CVS Health in community pharmacy and field management, then transitioned to being a Humana Healthcare MTM clinical pharmacist, which lead him to developing and coordinating the WVU Opioid-Centered MTM program

and the Safe & Effective Management of Pain Program and guidelines (www.sempguidelines.org). Mark is a pain management consultant as a CDC grant reviewer, an expert witness, has authored many professional articles, and conducted numerous interviews. Mark’s professional passions are interprofessional live and online education, most notably with PAINWeek (www.painweek.org) and www.freece.com (including two pain management and substances of abuse certificate programs). He enjoys the many blessings in his life with his beautiful and beyond intelligent wife, Dr. Gretchen Garofoli, and his son in Morgantown, West Virginia.

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

D R U G D I V E R S I O N & O P I O I D S T E WA R D S H I P Buyer’s Guide

DRUG DIVERSION & OPIOID STEWARDSHIP Buyer’s Guide Accu-Chart 1305 Remington Road, Suite I Schaumburg, IL 60173 (847) 252-7300 www.accuchart.com

Euclid Medical Products 339 Mill Street Apple Creek, OH 44606 (800) 727-2543 www.euclidmedicalproducts.com

Maxpert Medical P.O. Box 111 Galloway, OH 43119 (866) 231-1222 Maxpertmedical.com

Protenus 1629 Thames Street, 2nd Floor Baltimore, MD 21231 (410) 995-8811 www.protenus.com

American Health Packaging 2550-A John Glenn Avenue Columbus, OH 43217 (800) 492-8177 www.americanhealthpackaging.com

FairWarning, LLC 13535 Feather Sound Drive Suite 600 Clearwater, FL 33762 (866) 602-8433 www.fairwarning.com

Medacist Solutions Group 1492 Highland Avenue Cheshire, CT 06410 (866) 633-5393 www.medacist.com

READINESS Opioid Education 1300 Division Road, Suite 303 West Warwick, RI 02893 (401) 398-1142 coreREADINESS.com

Medical Packaging, Inc. 8 Kings Court Flemington, NJ 08822 (800) 257-5282 www.medpak.com

Rx Destroyer 701 Blackhawk Drive, Suite F Burlington, WI 53105 (888) 608-5160 www.rxdestroyer.com

NarcX 523 E 1750N, Suite 300 Vineyard, UT 84059 (800) 307-2514 Narcx.com

RxDestruct 114 Terry Street Sugar Land, TX 77478 (832) 584-9224 www.rxdestruct.com

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

Safer Lock 4225 Northgate Boulevard, Suite 4 Sacramento, CA 95834 (844) 209-5044 Saferlockrx.com

Omnicell 590 East Middlefield Road Mountain View, CA 94043 (800) 850-6664 Omnicell.com

Stericycle 2355 Waukegan Road Bannockburn, IL 60015 (866) 783-7422 www.stericycle.com

Pharma Logistics 1801 W. Butterfield Road Libertyville, IL 60048 (888) 729-7427 www.pharmalogistics.com

Swisslog Healthcare 11325 Main Street Broomfield, CO 80020 (800) 764-0300 www.swisslog-healthcare.com

PharmaLink 8285 Bryan Dairy Road, Suite 200 Largo, FL 33777 (800) 257-3527 Pharmalinkinc.com

TouchPoint Medical 2200 TouchPoint Drive Odessa, FL 33556 (800) 947-3901 www.touchpointmed.com

PharmID 2157 N. Northlake Way, Suite 230 Seattle, WA 98103 (206) 922-3589 Pharmid.com

Visante 101 East Fifth Street, Suite 2220 St. Paul, MN 55101 (866) 388-7583 www.visanteinc.com

American RX Group 6321 Bury Drive, Suite 19 Eden Prairie, MN 55346 (855) 269-1750 Americanrxgroup.com BD (Becton, Dickinson and Company) 1 Becton Drive Franklin Lakes, NJ 07417 (201) 847-6800 bd.com/diversion

Guaranteed Returns (GRx) 100 Colin Drive Holbrook, NY 11741 (800) 473-2138 Guaranteedreturns.com

Stryker 2825 Airview Boulevard Kalamazoo, MI 49002 (269) 385-2600 www.stryker.com

Health Care Logistics P.O. Box 25 Circleville, OH 43113 (800) 848-1633 www.gohcl.com

Comprehensive Pharmacy Services 6409 Quail Hollow Road Memphis, TN 38120 (800) 968-6962 www.cpspharm.com

HelioMetrics 3440 Belt Line Boulevard, Suite 208 Minneapolis, MN 55416 (612) 444-3242 Heliometrics.net

Datarithm 7037 Fly Road East Syracuse, NY 13057 (877) 273-5112 www.datarithm.co

GSL Solutions, Inc. 2414 SE 125th Avenue Vancouver, WA 98683 (360) 896-5354 www.gslcorp.com

International Medical Industries, Inc. 2981 Gateway Drive Pompano Beach, FL 33069 (800) 344-2554 Imiweb.com

DisposeRx Inc. 503 Carthage Street, Suite 202 Sanford, NC 27330 (844) 456-1600 Disposerx.com

Invistics Corporation 5155 Peachtree Parkway Suite 3200 Peachtree Corners, GA 30092 (800) 601-3456 Invistics.com

DYNALABS LLC 2327 Chouteau Avenue Saint Louis, MO 63103 (888) 396-2522 www.dynalabs.us

KeySource 7820 Palace Drive Cincinnati, OH 45249 (800) 842-5991 www.keysourceusa.com

SUMMER 2020

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

Drug Diversion & Opioid Stewardship www.RXinsider.com

D R U G D I V E R S I O N & O P I O I D S T E WA R D S H I P Market Leaders

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

READINESS SUMMER 2020

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

Does Your Hospital Struggle With Drug Diversion?

Drug Diversion Intellect Transforming the Future of Healthcare

· Target diversion risk at a single glance Across all levels of your organization

· Streamline investigation By eliminating unnecessary manual auditing

· Reduce statistical false positives By curating a list of targeted at-risk individuals

· Save time and resources 70% reduction of statistical outliers

· Establish a diversion management portal From which unified and confidential collaboration is conducted

· Adhere to regulatory compliance By promoting patient safety and reducing liability

Schedule a demo of RxAuditor Investigate today, please call 866.633.5393 or email sales@medacist.com © 1997-2020, Medacist Solutions Group, LLC. All rights reserved. U.S. Patent No. 6,842,736 entitled “Drug Auditing Method and System”

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-OF T ID OUT PAT IEN AVO G TO ULT S AND NDI NG OFTIN POU EMP D OUTN RES ENT ATT TIO RIL E COM TO AVOI PATI ICA NG LTS AND DING CIF IN STE MPTI SPE ATTE TION RESU M POUN OUT-OF HAR T ILE COM TO AVOID IFICA TING SPEC OF IN STER S AND PATIEN ATTEMP ION N RESULT HARM NS OF UNDING ICATIO ZAT TIO E COMPO SPECIF RDI ICA IZAT ION IONSION OF TO AVOID OUT-OFSTERIL NDA D MEDDARD ICAT HARM IN ATTEMPTING STA AND PATIENT MED RDIZAT STAN TIONS N OF STANDA STANDARDIZATIO SPECIFICATION RESULTS MEDICA TOPICAL POU NDE POUN DED TOPICAL TREATMENT TREATME UNDED COMPOUNDING OF PRIMARY PRIMARY MEDICATIONS OFYCOM COM NT OF PRIMARY COMPO COMPOUNDED STANDARDIZATION HARM IN STERILE FOCAL OF TOPICAL TREATMENT FOCAL ATTEMPTING TO AVOID OUT-OFHYPERHID HYPERHIDROSIS, 1 PART 1 OF PRIMAR PART ARY ENT ROSIS, PART COMPOUNDED MEDICATIONS HYPERHIDROSIS, 1 FOCAL Y PRIM SPECIFICATION RESULTS AND PATIENT L TREATM 1 STANDAR 1 S, PART T OF IDROSI TOPICA MAR DIZATION PART PRI HYPERH TMEN OF HARM IN STERILE COMPOUNDING COMPOUN T 1 S, OF TREA FOCAL ROSI DED MEDICAT PAR CAL ENT RHID S, ATTEMPT TOPI IONS ATM L HYPE OSI ING TO AVOID IDR L TRE SPECIFIC FOCA ERH ATION RESULTS OUT-OFICA TOP AL HYP AND HARM IN STERILE COMPOUNPATIENT FOC DING

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Pharmacy & Business working together to optimize your results No one makes pharmacy and business work together like Visante. Our consulting work with Integrated Delivery Networks, hospitals and health systems combines a wealth of expertise with personalized and comprehensive support so you can optimize your pharmacy operations and deliver better patient care.

High-performing pharmacy is who we are • 340B Program • Specialty Pharmacy • Sterile Compounding & USP Excellence • Drug Diversion Prevention

• Comprehensive Pharmacy Assessments • Pharmacy Finance and Reimbursement • Pharmacy Stars TM Compliance Tools

Learn more at visanteinc.com, or contact us at solutions @ visanteinc.com or (866) 388-7583.

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

Visante – High-Performing Pharmacy is Who We Are We're in the business of advancing pharmacy. Our consultants work with hospitals and health systems combining a wealth of expertise with personalized and comprehensive support to optimize your pharmacy operations and deliver better patient care. President & CEO: James Jorgenson Founded: 1999 Toll-Free Phone:

(866) 388-7583

Address: 101 E 5th Street, #2220

St. Paul, MN 55101 Website: www.visanteinc.com

Company Background

Visante is a multidisciplinary, clinician-composed consulting firm specializing in all aspects of the business of pharmacy. We believe in moving the practice of pharmacy forward through innovative solutions that deliver lasting results. Far too often we’ve seen pharmacy and medication management underutilized or under-resourced, resulting in a negative impact on finances and patient care. We’re in the business of reversing that. We’re in the business of advancing pharmacy. By diagnosing and solving complex problems, we help organizations more effectively deliver optimized and compliant medication related services. Our 60-plus consultants include experienced pharmacists, nurses, physicians, IT professionals, and business experts, all working together to ensure you get the right solutions for your unique needs. No matter what your specific challenge is, we always know what matters most – delivering safe, high-quality, cost-effective patient care so you can continue to grow.

Featured Services

n Comprehensive Pharmacy Assessment Optimizes Financial and Clinical Results

We put our extensive experience and knowledge to work to assess your current operations and help you take your pharmacy to the next level. We have the right combination of skills to evaluate all the moving parts and recommend improvements that will help you provide better patient care while improving your bottom line. We listen and work closely with you to support your objectives, delivering a personalized pharmacy plan for optimal growth, including a complete evaluation of your current program; opportunity analysis for safety, clinical, operational, and financial improvements; strategic planning support based on identified opportunities; and program enhancement design and implementation. n 340B Solutions for Total Compliance and Lasting Success Visante’s independent, external audit support continues to provide transparency to your 340B processes, allowing you to recognize compliance gaps while also focusing on new opportunities within the program. Visante provides: internal and external audit support, on-site HRSA audit support, and corrective action plan guidance in the event of HRSA audit findings; gap analysis and targeted recommendations, focusing on

long-term strategy in the mixed-use and contract pharmacy space to ensure program optimization; program implementation and development of internal oversight structure and maintenance; and split billing RFP guidance, implementation, and program re-designs. Visante’s experienced team members are all Apexus 340B University graduates, many of whom have completed the Advanced Ops Certificate. n Sterile and Non-Sterile Compounding Compliance That Drives Safe, High-Quality, Cost-Effective Care

Safely compounded medications are essential to quality patient care. Hospitals face the challenge of optimizing care while also meeting safety requirements and managing cost. We will prepare you for compliance with USP Chapters <795>, <797>, <800>, and <825>. We’ll also assist you in preparing for compounding related inspections by the CMS, FDA, DEA, and Joint Commission/DNV. Our consulting services include: USP <795>, <797>, <800>, and <825> gap assessment and facility design; 503A, 503B assessment, facility design, and implementation support; and home infusion compounding services. When it comes to pharmacy compounding, we don’t settle for basic compliance – and you shouldn’t either. Our processes are designed to assist you and your team to be successful. n Drug Diversion Prevention Protects Your Patients and Yourself Drug diversion problems continue to escalate with opioid addiction at epidemic levels. Our program takes a comprehensive multidisciplinary approach to identify drug diversion risk points in your medication use processes. Minimize risk through assessment of pharmacy operations, informatics, automation, nursing, and perioperative processes to identify and strengthen points of vulnerability. Our drug diversion experts have real-life experience in hospitals and health systems and understand the challenges hospitals face today and in the future. n Expand Your Specialty Pharmacy Services and Quality of Care A clearly defined specialty pharmacy strategy can help improve patient care and optimize your bottom line. Developing a specialty pharmacy strategy or expanding your existing services can be a complex process, but our team of experts guides you through each phase and delivers lasting ROI. Our specialty pharmacy consulting capabilities include: operational assessment and pro forma models; multi-year business and strategic plans; facility design including workflow and automation options; implementation and project management; accreditation support (URAC/ ACHC/CPPA); contract pharmacy strategy, if applicable; wraparound strategy to include consideration for site of care challenges (infusion); and home infusion and DME strategies and business planning.

SUMMER 2020

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

Supporting Pharmacy Efficiency with an Evolving Product Offering

Liquid Unit Dose

McKesson Item #

Morris & Dickson #

Product Description

5517206

3795689

584466

Fluoxetine Oral Solution, USP

20mg/5mL

5mL

5465380

3917226

363275

Fluoxetine Oral Solution, USP

20mg/5mL

5mL

5552237

3968229

752410

Hydrocodone Bitartrate & APAP Oral Solution CII

ABC 8-digit #

Cardinal Item #

10211921 10188404 10228115

Cup Strength

Pack Size

NDC

20mg/5mL

40 cups

60687-0244-77

20mg/5mL

50 cups

60687-0244-67

7.25mg/325mg/15mL 15mL 7.25mg/325mg/15mL 50 cups

60687-0417-71

Unit Strength

Cup Delivery

10211783

5517214

3901766

584557

Levetiracetam Oral Solution, USP

100mg/mL

5mL

500mg/5mL

40 cups

60687-0249-77

10183100

5430343

3775822

238550

Levetiracetam Oral Solution, USP

100mg/mL

5mL

500mg/5mL

50 cups

60687-0249-67

10210354

5512413

3777034

568063

Ondansetron Oral Solution, USP

4mg/5mL

5mL

4mg/5mL

30 cups

60687-0252-86

10219153

5528518

3949997

603993

Oxycodone HCl Oral Solution CII, USP

5mg/5mL

5mL

5mg/5mL

40 cups

60687-0406-77

10219154

5528526

3950037

604306

Oxycodone HCl Oral Solution CII, USP

5mg/5mL

5mL

5mg/5mL

50 cups

60687-0406-67

10209414

5508114

3751294

560649

Phenytoin Oral Suspension, USP

125mg/5mL

4mL

100mg/4mL

50 cups

60687-0275-66

10211558

5515705

3935129

575878

Potassium Chloride Oral Solution, USP 10%

20mEq/15mL

15mL

20mEq/15mL

30 cups

60687-0341-58

10212031

5520416

3909884

584904

Potassium Chloride Oral Solution, USP 10%

20mEq/15mL

15mL

20mEq/15mL

40 cups

60687-0341-64

10191061

5486220

3263035

321570

Potassium Chloride Oral Solution, USP 10%

20mEq/15mL

15mL

20mEq/15mL

50 cups

60687-0341-71

10211557

5515713

3935137

575894

Potassium Chloride Oral Solution, USP 10%

20mEq/15mL

15mL

20mEq/15mL

80 cups

60687-0341-07

10212749

5521521

3937786

591016

Potassium Chloride Oral Solution, USP 10%

20mEq/15mL

30mL

40mEq/30mL

40 cups

60687-0341-14

10191066

5487574

3266467

465344

Potassium Chloride Oral Solution, USP 10%

20mEq/15mL

30mL

40mEq/30mL

50 cups

60687-0341-72

10214626

5525027

3944592

594978

Ranitidine Syrup (Ranitidine Oral Solution, USP)

15mg/mL

10mL

150mg/10mL

40 cups

60687-0260-23

10182932

5427489

3772381

231142

Ranitidine Syrup (Ranitidine Oral Solution, USP)

15mg/mL

10mL

150mg/10mL

50 cups

60687-0260-69

10182920

5427497

3772373

231159

Theophylline Oral Solution, USP

80mg/15mL

15mL

80mg/15mL

50 cups

60687-0258-71

T10464 19.10

Hitting the Mark American Health Packaging is a leading manufacturer of serialized, barcoded unit-dose products for hospital, institutional, and long-term care pharmacy.

americanhealthpackaging.com

800.707.4621

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

AHP Supports Pharmacy Efficiency With an Evolving Barcoded Unit-Dose Product Offering With a responsive line of barcoded unit-dose oral solutions – a growing liquid unit dose offering and now individually wrapped inhalants – AHP continues to deliver on their commitment to supporting pharmacy efficiency.

President & CEO: Bruce Bennett Toll-Free Phone:

(800) 707-4621 Columbus, OH 43217 Website: www.americanhealthpackaging.com Address:

Company Background

AHP UD supports these objectives while providing cost-savings opportunities. Sourcing pre-packaged UD allows pharmacies to obtain adequate supply while mitigating capital expenses, such as those related to repackaging equipment, bulk supply, and labor.

Benefits for Health Systems n Patient Safety

Located in Columbus, Ohio, American Health Packaging is an industry leader in manufacturing serialized, barcoded unit-dose medications provided for the healthcare marketplace. As a unit-dose manufacturer, AHP’s commercially-available unit-dose products are available to hospital, institutional, and long-term care pharmacies nationwide through partner GPOs and wholesalers.

Ensuring the right medication is given to the right patient at the right time – and in the right strength – is imperative. Pharmacies can facilitate effective execution of these “Five Rights” by providing caregivers with as many products in a pre-packaged unit dose format as possible. Removing repackaging tasks from the pharmacy eliminates a potential point of failure during the unit-dosing process as medications arrive to pharmacies ready to dispense.

AHP’s reputation for quality is supported by a 30+ year history of broad manufacturing expertise – operating a facility that is registered with the FDA, fully adherent to cGMP guidelines, and licensed by the DEA to package Schedule II-V controlled substances. Synonymous with unit dose, following years of success and leadership in the production of oral solids, AHP expanded their offering in 2017 to include liquid unit dose cups.

n Pharmacy Efficiency

Product Overview

Pharmacies strive to process orders and supply the proper medications to caregivers for their patients as quickly as possible. Adding potentiallycomplex repackaging steps to the procurement process not only harms the ability of pharmacy to supply caregivers effectively, but also removes clinicians from their core patient care competencies. In addition, prepackaged UD often allows for products to be sourced more quickly than third-party repackaging can support.

AHP is committed to supporting pharmacy efficiency through a diverse range of both high-utilization and niche treatments. Producing over 450 unit-dose oral solid SKUs for the healthcare marketplace, AHP’s broad selection of products are produced with quality components and printed with legible barcodes that facilitate effective execution of BPOC initiatives. Their wide selection of products reduces the gap between what pharmacies are forced to repackage themselves, and what is commercially available on the market – supporting health systems nationwide in their efforts to create efficiencies throughout the chain of care.

n Cost-Savings Opportunity

AHP’s tailored offering of unit-dose oral liquids provide similar efficiency, safety, and cost-savings benefits as their oral-solids products. Product features include right-sized packaging, thoughtful tray design, differentiated labelling, and accurate barcodes. AHP’s new unit-dose inhalants provide efficiency and feature individually-wrapped vials and pouches barcoded to the dose level. AHP oral solids, liquids, and inhalants include major therapeutic classes and product groups to meet unique pharmacy needs. They are continuously evolving to meet the changing demands of caregivers and staff to support more effective medication procurement strategies.

Hitting the Mark for BCMA, USP <800> Support

As facilities nationwide compete to demonstrate they provide the highestquality of care, AHP unit dose supports caregivers as they strive to promote positive outcomes for patients. Pharmacies simultaneously strive to be cost-effective as they provide necessary resources for caregivers.

Health systems that choose to package on-site must consider all direct costs, such as purchasing capital equipment for packaging areas and paying highly-trained clinical professionals to perform, manage, and support non-core work. American Health Packaging unit-dose products allow for pharmacies to avoid these costs while also shifting the potential costs associated with packaging errors. The pre-packaged format also prevents additional fees than may result from utilizing third-party repackaging services.

Effective execution of BCMA initiatives require medications that scan correctly at the bedside. With a robust oral-solids portfolio – and growing offering of unit-dose liquids – AHP UD provides reliable access to unit-dose treatments. AHP products promote safety towards BPOC and efficiency in pharmacy while freeing up internal resources. AHP UD supports pharmacies as they strive for compliance with USP General Chapter <800> guidelines. As pharmacies craft effective procurement strategies to meet the needs of their facilities, protecting patients and caregivers alike from potential harm while handling hazardous drugs is a priority. AHP’s UD portfolio supports compliance to USP <800> by featuring many relevant treatments.

SUMMER 2020

H E A LT H S Y S T E M • I N F U S I O N 55

MADE IN THE USA

INNOVATION IN

SECURE DRUG DELIVERY

For 50 years IMI has designed and manufactured high-quality, American made devices to help protect the delivery of drugs within the healthcare system.

PREP-LOCK™ TAMPER EVIDENT CAPS The industry standard for guarding compounded sterile preparations from unauthorized access, diversion and misuse.

AVAILABLE FOR • IV Syringes • Oral Dispensers • Select IV Bags

• Enteral Dispensers • CADD Cassettes

1.800.344.2554 | IMI-501-Spec.A-181 L-134 R8

WWW.IMIWEB.COM

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

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

Increase pharmacy productivity and safety with economical, American-made devices designed to advance the safety and security of your drug products and ultimately your patients. President:

Jonathan Vitello Founded: 1969 Employees: 100+ Toll-Free Phone: (800) 344-2554 Phone: (954) 917-9570 Fax: (954) 917-9244 Address: 2981 Gateway Drive Pompano Beach, FL 33069 Website: www.imiweb.com

Company Background

For over 50 Years, IMI has worked closely with pharmacist and compounding professionals to create innovative, American-made, sterile devices that meet very specialized needs. Throughout this time, IMI has established long standing partnerships with some of the biggest names in healthcare. Through these partnerships and directly, IMI is delivering the kind of high-quality and high-value products that pharmacy operations demand. All IMI products are manufactured in the USA under the strictest quality standards at their FDA registered, ISO 13485 certified facility. IMI is pleased to announce that it has received certification for the successful completion of a Quality Management System audit under the Medical Device Single Audit Program (MDSAP).

Product Overview

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

n Prep-Lock™ Tamper Evident Caps – with Male Connector for CADD Cassettes

Drugs are prepared in a variety of devices with different connector types. When those devices feature a female luer lock connector, the Prep-Lock Tamper Evident Cap with Male Luer Lock Connector can provide all the same safety and protection benefits found in IMI’s entire family of tamper evident products. n Prep-Lock™ Tamper Evident Additive Port Cap The Tamper Evident Additive Port Cap for select Baxter containers offers your I.V. bag preparations unparalleled protection against potential tampering or misuse. They perfectly complement your overall drug safety program. The advanced design ensures a secure closure. Once the additive port cap is applied, it cannot be removed without damage to the bag. The simple one-handed installation is a preferred solution over sticky foil seals. The Additive Port Cap also serves as an indicator that medication has been added. n Prep-Lock™ Tamper Evident Caps – for ENFit® Syringes The ENFit® connector standard (ISO 80369-3) for enteral feeding devices is a welcomed feature for mitigating potential misconnections. IMI is pleased to offer a tamper evident cap for ENFit syringes that further enhances patient safety. These innovative caps help guard against drug diversion and misuse from the time the syringe leaves the pharmacy until the time it is administered. The tamper evident cap is compatible with both standard and low dose ENFit syringes.

Additional Product Lines

IMI offers a variety of sterile devices designed for the compounding pharmacist:

• Prep-Lock™: Tamper Evident Caps for Oral Syringes • Prep-Seal™: Sterile Luer Lock Caps and Plugs • Prep-Fill™: Sterile Luer Lock Connectors • Rx-Vent™: Sterile Venting Needles • Rx-Tract™: Sterile Aspirating Needles

Trade Shows/Meetings Attended

IMI regularly participates at a variety of industry trade shows and conferences including: • American Society of Health‑System Pharmacists (ASHP) • European Association of Hospital Pharmacists (EAHP) • National Pharmacy Purchasing Association (NPPA) • International Health Facility Diversion Association (IHFDA) • Hospital Pharmacy Conference (Health Connect Partners) Visit the event website or contact IMI for dates and booth numbers.

SUMMER 2020

H E A LT H S Y S T E M • I N F U S I O N 57

CASE STUDY IntelliVault & IntelliCab Transform Prescription Management at OHSU

Oregon Health & Science University Pavilion Pharmacy

Matthew Spinar, PharmD Supervisor, Pharmacy Services ~ Oregon Health & Science University Pavilion Pharmacy

members at “Staff the pharmacy tell

me they don’t know how they’d operate without that technology.” — Michael Deam, RPh

THE CHALLENGE With its manual “hanging bag” will call system, OHSU was prone to long patient wait time, lost or missing prescriptions, and labor-intensive return to stock activities. Controlled drug storage and management was heavily controlled by pharmacist time and process and procedures (P&P) to maintain inventory control and reporting requirements. OHSU pharmacy rules required pharmacy technicians to have a pharmacist be the only contact with controlled substances. “Before, the process was pharmacist driven because they were the only ones with access,” says Matthew Spinar, PharmD, pharmacy supervisor of the OHSU Physicians Pavilion Outpatient Pharmacy. If technicians saw an order for a narcotic, they put it to the side because they had to wait for an available pharmacist to actually retrieve the product from their steel safe that was enabled with fingerprint technology. This workflow process caused bottlenecks and periods of long wait times for patients. OHSU also wanted to improve its inventory management, replacing the error-prone manual perpetual log with an automated and electronic log – and also providing an electronic record of all transactions and user activities of anything that is touched, discretely and in real time.

THE DECISION Due to the success of the IntelliCab Will Call cabinet program at OHSU, the decision was made to install the IntelliVault Controlled Drug storage cabinet.

www.gslcorp.com

CASE STUDY BEFORE

Similar to the IntelliCab’s RFID-based random storage and “pick to light” technology, the IntelliVault system provides discrete stock storage and prescription filling of controlled medications (C2-C5), therefore helping OHSU meet several objectives. First, because users must use their badge to open the IntelliVault and can only access the specific medication that is needed, loss is virtually impossible. Simply using the system creates an automatic log without repetitive scanning. An automated C2 log, “AutoLog”, with 100 percent user accountability and medication product tracking vastly increased efficiency and any potential for diversion. This real-time tracking capability provided the level of security that empowered OHSU management to let technicians fill C2 prescriptions, freeing pharmacists to work to their licensure and focus on skilled clinical work. Michael Deam, RPh, Assistant Director of Outpatient Pharmacy, likes that the IntelliVault system allows for tracking of every single drug movement. He also appreciates that they no longer need to spend as much time in the perpetual inventory log manually recording each prescription dispensed. He estimates savings of up to an hour a day just on the log. Installation of IntelliVault took some work but it went off without a hitch, says Spinar, thanks to thorough planning. Spinar oversaw extensive dry testing to make sure the server they set up was going to work. Closer to the transition, they integrated the system with OHSU firewalls and brought the physical piece of hardware on site. During an overnight installation, Spinar and his team, as well as a GSL Solutions crew put the new IntelliVault safe in place. “We prepared for a long time to make sure it would go as planned.” The staff had an adjustment period, he says, mostly due to the changed workflow. IntelliVault provides “full autonomy for technicians. It put pressure on the technicians at first because there’s really no excuse for them not to integrate any prescription [narcotic] into their normal workflow,” Spinar says. “We had to get them to build that into their mindset.” It only takes one time to see just how easy it is to use IntelliVault, he adds. Users simply scan the prescription label and the appropriate drawer and cell lights up. “It’s so simple. It tells you what to do next. Staff-wise, the learning curve is very, very small.”

THE RESULTS Spinar’s pharmacy is right on the hospital’s main campus and dispenses a lot of medications for postsurgical patients. While they don’t handle a large quantity of narcotics, Spinar says the volume of prescriptions is high. This means they might fill up to 100 prescriptions for 10 oxycodone pills a day, which represented a lot of pharmacist time. Shifting this workload onto technicians was meaningful, along with pharmacist time saved from eliminating the manual perpetual log and providing better user accountability. By utilizing technicians to fill C2’s, “we’ve definitely seen a lot less people waiting in the waiting room,” he says. Prescriptions are now ready for pick up by the time the patient comes down from the floor. “We didn’t imagine before the installation how much of a difference this would really make, but it’s huge.” Another benefit centers around reconciling inventory. Before partnering with GSL Solutions, Spinar says they spent more time auditing errors that were self-inflicted than actual discrepancies in that manual log. “All it takes is one prescription you forgot to log,” says Deam. “The counts are off and you’re spending [pharmacist] time trying to figure out the missing prescription so your counts balance at the end of the day. You just don’t have that with IntelliVault,” says Deam, illustrating the high intelligence of the system that enables everything to be accounted for and resolved in real time.

www.gslcorp.com

CASE STUDY AFTER

Return to stock processes have been simplified as well, Spinar says. Only the user conducting the return to stock function can pull medications from the IntelliCabs for will call. When a prescription is pulled from will call, the user has one-time access to the IntelliVault C2 safe. The return goes into the IntelliVault, and the door closes back up for a closed loop. The system then automatically increments the correct NDC inventory. IntelliVault’s receiving process adds another layer of safety check, Spinar says. The staff now scans and links the stock to RFID-enabled SmartBaskets, and the system automatically knows the drug name, strength, and more. They also can enter in the lot and expiration date. The linked basket is returned to the IntelliVault anywhere it fits, and this worklow alleviates time spent manually logging the right NDC, doing the math, and rotating stock. “We’ve eliminated sifting through our physical inventory to find any outdated or recalled lots,” Spinar says, since they now can easily track lot and expiration dates. We do a simple electronic database search when there is a recall and mark the product for destruction or return to vendor, he says. They can even track if someone historically received a recalled medication. IntelliVault provides immediate reports of what the pharmacy has on hand. “It’s nice to have a system that’s always tracking real time what’s available in your safe to be dispensed,” says Spinar. Prior to implementing IntelliVault, OHSU saw great success with the IntelliCab Will Call solution. The system provided for more efficient and accurate prescription filling and retrieval of prescriptions ready for patient pick-up, says Spinar. IntelliCabs eliminated misfiling, picking errors, and wasted space while reducing wait times and improving patient satisfaction. Spinar also appreciates the clean, professional appearance of the system. Staff no longer rummage through dozens of bags to find the right prescription. In the past, they used clear hanging bags, which were very error prone and inefficient. People in the lobby could potentially see identifying patient information through the clear bags. Now, with IntelliCabs, randomly filed prescriptions ensure patient privacy. If a staff forgets to link a prescription to a RFID SmartBasket, the system automatically alerts to help correct the issue. The system is self healing and self correcting.

THE CONCLUSION It’s hard to put a specific number on the time and cost savings OHSU has experienced with GSL Solutions, Spinar says. Preventing miss-sells and bundling errors with IntelliCabs “is worth its weight in gold for patient safety.” Improvements in turnaround at the pharmacy counter are hard to measure “but I know it’s a lot faster.” Implementing IntelliVault allows OHSU to use its staff members more efficiently. “Pharmacists don’t have to mess around with the C2 safe all day,” he says. “It’s a great product,” says Deam. “We’ve definitely streamlined our workflow and become more efficient [on how we use our staff ]. I would certainly recommend.” OHSU has plans to implement IntelliCab at its second busiest location on campus, which fills 400-500 prescriptions a day. Spinar and Deam both say the systems have more than met their needs and goals. “Staff members at the pharmacy tell me they don’t know how they’d operate without that technology,” says Deam.

www.gslcorp.com

Safety, Accountability, Efficiency and Compliance See what others have already discovered WITH AUTOLOG™ B Y

G S L

S O L U T I O N S

CONTROLLED DRUG STORAGE, PRESCRIPTION FILLING, AND RETRIEVAL SYSTEM • Eliminates shrink and drug loss by replacing today’s “open face / open access” controlled drug storage cabinets • Replaces today’s error-prone and manual perpetual log book • Logs ALL transactions and user activities automatically • Replaces pharmacist labor with technician labor for C2 filling • Maintains complete chain of custody and pedigree from stock receiving to prescription filling and patient pick up

BEFORE

AFTER

• Payback from labor savings in as little as 1 year

™

B Y

G S L

MEDS-TO-BED

S O L U T I O N S

NEW SYSTEM TO SUPPORT STREAMLINED DISPENSING OF PRESCRIPTION MEDICATIONS AT PATIENT’S BEDSIDE • Physical chain of custody is maintained from filling of prescription through receipt by the patient • Easy integration to RN notification system and dashboard when prescription is ready • Signature Capture stores the patient’s signature confirming receipt of medications from their bedside • Real-time inventory of cabinet contents • Secure storage of patient’s home medications • Patient monographs printed on demand

STANDS ALONE OR INTERGRATES WITH INTELLICAB

THE LEADER IN WILL-CALL STORAGE

• Secure storage for will-call • Proven ROI based on labor cost savings • Improves customer service through a decrease in wait time • Sends the patient a text message when RXs are ready with AutoNotify

BEFORE

AFTER

• Integrates with Central fill • Maintains drug pedigree, lot, and expiration date when integrated with IntelliVault

See our full suite of products online Contact us: www.gslcorp.com |360.896.5354

Unit Dose Done Right

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

Simple. Reliable.

800.523.8966

MediDose.com

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

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

Robert Braverman

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

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

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

Features & Options

n Packaging and Labeling Solutions

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

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

Product Specifications

n Accompanying Labeling Software

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

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

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

ScriptPro’s End-to-End Pharmacy Solutions Drive Health System Success ScriptPro’s game-changing pharmacy solutions enable you to make pharmacy the biggest financial strength of your healthcare system — improving accuracy, advancing patient care, and raising operational performance.

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

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

Company Background

ScriptPro is a technology company founded in 1994, with corporate headquarters in the Kansas City area. The company's initial product, the SP 200 Robotic Prescription Dispensing System, pioneered the use of robotics in community pharmacies. Today, ScriptPro’s innovative, end-to-end pharmacy automation and management system products have revolutionized pharmacy operations worldwide. ScriptPro solutions drive the success of thousands of independent, chain, hospital, supermarket, and government pharmacies.

Product Overview

ScriptPro provides a comprehensive, integrated platform of roboticsenabled systems to optimize retail and ambulatory pharmacy operations – promoting safe and effective medication use and adherence, including support for specialty pharmacy services, high-risk/high-cost medications, 340B dispensing, and third-party financial management. With ScriptPro, health system pharmacies are able to run state-of-theart and profitable pharmacy operations while simultaneously managing revenues and costs. With the most advanced features pharmacy staff and patients want, ScriptPro's full EHR integration ensures continuum of care. And that's just the beginning.

Features & Options

n Pharmacy Robotics and Workflow ScriptPro is the leader in pharmacy automation with thousands of robotic, workflow, and pharmacy management software installations worldwide. For over two decades, ScriptPro’s robotic prescription dispensing systems have been improving accuracy and patient care. Robotic dispensing fills 30-60% of your daily prescription volume, giving pharmacists more time for expanded patient services.

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

SUMMER 2020

H E A LT H S Y S T E M • I N F U S I O N 65

TEMPERATURE INTELLIGENCEÂŽ

Protect the stability of your temperature sensitive medication Monitoring solutions for central pharmacy operations Getting medication and vaccines to your various sites within the right temperature range is critical to quality patient care. From single-use temperature indicators to reusable wireless dataloggersâ&#x20AC;&#x201D;Temptime offers monitoring solutions to meet the needs of every central pharmacy, no matter the size or reach. Learn more about how Temptime can help you improve efficiency and reduce costs while protecting your medication inventory from start to finish: temptimecorp.com/centralpharmacy

zebra.com | temptimecorp.com

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

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

CEO:

Anders Gustafson Founded: 1969 Employees: 7,400 Phone: (973) 630-6000 Fax: (973) 630-6100 Address: 116 The American Road Morris Plains, NJ 07950 Website: www.temptimecorp.com

Company Background In 2019 Zebra – an innovator at the edge of enterprise solutions with expertise in healthcare, among other industries – acquired manufacturer Temptime Corporation. More than 30 years ago, Temptime developed the first miniaturized technology to monitor time-temperature exposure of vials containing the oral polio vaccine. Since then, the company has deepened its commitment to public health by expanding its suite of easy-touse, patient-centric temperature monitoring solutions to include those designed for both pharmacy and patient use. Product Overview Through Temptime’s manufacturing facility, Zebra offers a comprehensive range of temperature monitoring solutions to meet the cold chain needs of specialty pharmacies and their patients. Their products include: • Low-cost, chemically-based heat and freeze indicators for blood products, vaccines, biologics, and other medication. • Heat and freeze indicators for monitoring medication during shipping. • Sophisticated electronic, wireless temperature and humidity monitoring systems with cloud-based data storage and sharing. By reducing the risk and cost associated with unpredictable temperature events in production, storage, and shipment – Zebra is striving to improve supply chain efficiency, global health, and patient care.

Product Specifications n Wireless Monitoring Systems The Temptime family of wireless Bluetooth enabled sensors monitor and record temperature data 24/7.

The W-200 is designed for facilities and warehouses, monitoring both temperature and humidity in medication storage areas to help with accreditation compliance and regulatory requirements. Data can be accessed remotely using a web-based application and customized alerts notify users instantly if any areas have exceeded temperature limits. The M-300 and S-400 programmable data loggers are ideal for monitoring temperatures during transport or storage, letting users: • View and share temperature data using a free mobile app. • Customize alarm limits, datalogging intervals, startup options, and more. • Store unlimited data on the cloud and generate reports with a complementary web app. n Performance Qualification Testing For specialty pharmacies, performance qualification (PQ) testing ensures that the critical and often lifesaving medications they send to patients have not been exposed to unsafe temperatures, which could impact their effectiveness. More than that, PQ testing is also required for certain pharmacy accreditations and participation in some pharmacy networks. These wireless monitoring devices help specialty pharmacies simplify PQ testing to optimize pack-outs. Customized ThirdParty PQ Testing services also help meet the requirements of pharmacy networks that make third-party validation testing a condition of participation. n TransTracker® Shipment Indicators TransTracker® visual temperature indicators monitor medication heat and freeze events during shipment and storage. They are simple to read and understand so patients can tell at-a-glance if medication has been exposed to extreme temperatures – cutting down on unnecessary, costly reshipments due to suspected temperature damage. These cost-effective, single-use indicators also help specialty pharmacies comply with state regulations.

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CASE STUDY Contact Us 

Optimize Pharmacy Operations While Facilitating Successful Transitions of Leadership Comprehensive Pharmacy Services optimizes pharmacy operations while providing Interim Pharmacy Leadership

PAIN POINTS The process of locating an available pharmacy leader with the right skill set and experience takes time and presents a number of challenges: 

It typically requires a national search



The process can take from three months to a year



The talent pool of qualified pharmacy leaders is often small

Competition is heavy for filling these positions temporarily. Rural hospitals and small facilities often choose to promote a pharmacy high performer from within, even if the individual lacks the managerial and financial expertise necessar y to run the pharmacy. Larger hospitals and health systems typically need months to fill the void with an appropriate candidate. The right interim pharmacy leader creates an opportunity for the hospital to advance their pharmacy clinically, operationally and financially while waiting for their longterm replacement. When the permanent leader does come on board, they enter a better situation. The pharmacy is often functioning smoothly. The transition to an interim leader has even yielded benefits.

68 68

In 2019,

CPS INTERIM

PHARMACISTS saved over

$3,019,000 for hospital and health system clients, all while running a

BEST-IN-CLASS daily pharmacy operation.

CASE STUDY Contact Us 

EXPERIENCE A suitable interim pharmacy leader should be able to hit the ground running with little to no learning curve. In your search, look for someone who has a history of high performance in an interim role. They should not only possess deep pharmacy knowledge but also be proven and tested in challenging situations related to patient safety, operational efficiency, cultural issues and more.

SKILL SET Interim leaders should be versatile and skilled in operational and strategic leadership, as well as in managerial, administrative and financial areas. Typically, this individual would possess an MBA, Health Administration degree or has completed a residency in Health Management.

BANDWIDTH BEHIND THE INTERIM LEADER Look for an interim leader who has a support team behind them that can expand their capabilities, including: 

Clinicians



Operational experts



Finance experts



Purchasing team to support GPO performance

With a team of experts backing the interim leader, the pharmacy benefits exponentially from access to a broad range of resources.

ASSESSMENT AND STRATEGIC PLANNING CAPABILITIES The interim leader should be able to assess the pharmacy’s current state, draft an action plan and implement that plan to advance the pharmacy clinically, operationally and financially.

COMPREHENSIVE PHARMACY SERVICES (CPS) INTERIM PHARMACY LEADERSHIP SOLUTION CPS Interim Pharmacy Leadership provides proven pharmacy expertise through experts that require no learning curve and are able to fill a variety of interim pharmacy positions, including:  Health System Director  VP of Pharmacy  Chief Pharmacy Officer  Director of Pharmacy CPS Interim Pharmacy Leadership draws from an expert pool of interim pharmacy leaders with years of training and proven leadership and covers hospitals of all sizes, from rural facilities to large health systems. Nationwide reach allows CPS to rapidly deploy interim leaders who can step into the role. CPS Interim Pharmacy Leadership typically covers engagements of three months or longer. This allows the enterprise to take the requisite amount of time to conduct a proper search and permanently fill the leadership position or, in the absence of the pharmacy leader, provides stability and continuation of ongoing deliverables.

CASE STUDY Contact Us 

SHARED SAVINGS CPS Interim Pharmacy Leadership strives to position pharmacies for long-term success by targeting savings through improvements in purchasing, clinical utilization and more. CPS processes the pharmacy’s data through its clinical analytics tools to generate a strategy of initiatives and cost reductions. CPS then operationalizes those initiatives to drive savings. Savings are split between the pharmacy and CPS. At the end of the day, the capture on shared savings for the enterprise far outpaces the cost of the service. In the first year, CPS identifies 4%-6% in clinical savings on average. In 2019, CPS interim pharmacists saved over $3,019,000 for hospital and health system clients, all while running a best-in-class daily pharmacy operation.

CPS Interim Pharmacy Leadership has saved over $3M for hospitals & health system clients RESULTS With nearly 50 years of comprehensive pharmacy leadership expertise, CPS Interim Pharmacy Leadership ensures seamless system performance operationally, clinically and financially by: 

Driving operational efficiencies



Fueling clinical savings through analytics and best practice implementations



Improving financial health for the broader hospital and health system



Supporting better patient outcomes

Not only can CPS support a smooth transition to a full-time pharmacy leader, CPS can identify and implement improvements across the pharmacy that positively impact patient care, operations, financial health and clinical goals.

ABOUT COMPREHENSIVE PHARMACY SERVICES Founded nearly 50 years ago and employing over 2,500 pharmacy professionals, Comprehensive Pharmacy Services, LLC is one of the nation’s largest providers of pharmacy services to more than 800 hospitals and healthcare facilities nationwide. CPS helps their clients tackle complex problems such as rising drug costs, specialty pharmacy, ambulatory/ retail strategy, operational effectiveness and staffing efficiency. In addition, they address 340B programs, a variety of compliance concerns and much more. CPS helps pharmacy leaders drive cost, quality and safety improvements across the continuum of care. For more information, visit www.cpspharm.com.

(800) 968-6962 | www.cpspharm.com

Gaps in Leadership Can Negatively Impact Pharmacy Operations At CPS, We Make You Better.

CPS Interim Pharmacy Leadership delivers proven pharmacy expertise to ensure system performance during gaps in leadership. CPS: 

DRAWS from a pool of licensed, qualified pharmacy experts



COVERS small hospitals to large health systems



DELIVERS seamless nationwide coverage with rapid deployment



PROVIDES experienced leaders with years of training that require little to no learning curve

In 2019, CPS interim pharmacists saved over $3,019,000 for our hospital and health system clients, all while running best in class daily pharmacy operations. Ensure a seamless transition to your next permanent hire while maintaining operational, clinical and financial integrity.

contactus@cpspharm.com | 800.968.6962 | www.cpspharm.com

THE SAFER CHOICE FOR YOUR PHARMACY

Primary Engineering Controls by NuAire.

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

Primary Engineering Controls From NuAire

Provide quality primary engineering controls at a competitive price with responsive service to lower your total cost of ownership, minimize downtime, and develop a long-lasting relationship so you can concentrate on what matters, your work. President & CEO: Richard Peters Founded: 1971

Employees: 250+ Stock Symbol:

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

Company Background For more than 45 years, NuAire has been committed to bringing you the highest-quality, most dependable pharmacy products on the market. We are universally recognized as one of the world’s leading providers of reliable equipment for the compounding pharmacy. You can depend on our products to feature brilliant but practical design, and we pay keen attention to every step of the production process, from fabrication to assembly to thorough testing. As a NuAire customer, you can also rely on us for outstanding value and dependable service – the cornerstone of our reputation as the leading provider of pharmacy products internationally. At NuAire, we create our high-quality products with your success in mind. This means that if you purchase a piece of equipment from us, we want you to be completely happy while using it. NuAire will work hand-in-hand with you in order to ensure that your experience using our product meets your standards, and if you encounter any issues or difficulties along the way, we’ll help you work through them until you are 100% satisfied. Our philosophy is that we succeed only when you succeed – we are committed to working hard to ensure you achieve your goals.

Product Overview n Biosafety Cabinets (BSC) • Class II, Type A2 • Class II, Type B1 • Class II, Type B2

n Redistricted Access Barriers (RABS) • Compounding Aseptic Isolators (CAI) • Compounding Aseptic Containment Isolators (CACI)

Features & Options The Safer Choice for Your Pharmacy. NuAire designs products specifically for the pharmacy environment. Smooth interior options make a great addition to any biosafety cabinet (BSC) allowing for enhanced cleanability. Add an Ergo-Tron arm to our airflow products to house a computer monitor with keyboard and mouse for your medication workflow or add a back wall cutout to a BSC to view documentation while compounding. Customize your product to enclose a TPN machine for a sterile environment. Our products are designed to lower your total cost of ownership and minimize downtime so you can concentrate on your work. Our products are second to none when it comes to quality, longevity, and service. Testimonials

Product: NU-430 Class II, Type B2 Biosafety Cabinet Source: www.selectscience.net

“ Reliable hood for preparation of chemotherapy. We have never had a problem with performance. Does an excellent job of keeping the chemotherapy contained."

— Helena White, Cooperhealth System

Product: NU-PR797 Compounding Aseptic Isolator Source: www.selectscience.net

“ One of the friendliest and most knowledgeable companies I've dealt with in my pharmacy practice. Very helpful in my efforts to provide patients with safe, quality products for their care."

— Gerald (Jerry) Carlson, IU Health Blackford Hospital Pharmacy

GPO Affiliations Vizient, Intalere, E&I, Premier, MHA, GSA, and PCCA. Pricing Information For pricing and ordering information, or to learn more, please visit www.nuaire.com.

n Containment Ventilated Enclosures (CVE) n Laminar Airflow Workstations (LAFW) • Vertical Airflow • Horizontal Airflow SUMMER 2020

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A better, greener waste solution Cactus controlled substance waste management systems

Cactus Pharma Lock® OR System

Cactus Smart Sink® System

For more information, please call 800 253 3210.

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

Stryker's Cactus Smart Sink and Cactus PharmaLock OR Stryker's Cactus Smart Sink System securely captures partially administered, nonhazardous controlled substances and renders them non-retrievable and unusable. The Cactus Smart Sink System helps reduce drug diversion and improve patient safety while also reducing the impact on the environment.

President & CEO: Kevin A. Lobo Founded: 1941

Employees: 36,000+ Stock Symbol: SYK Toll-Free Phone:

(800) 367-5690 Phone: (269) 385-2600 Fax: (269) 385-2300 Address: 2825 Airview Boulevard Kalamazoo, MI 49002 Website: www.stryker.com

Company Background

When Dr. Homer Stryker, an orthopaedic surgeon from Kalamazoo, Michigan, U.S.A., found that certain medical products were not meeting his patients’ needs, he invented new ones. As interest in these products grew, Dr. Stryker started a company in 1941 to produce them. Today, we are one of the world's leading medical technology companies. Our growth is based on a diverse array of innovative products and services in orthopaedics, medical and surgical, and neurotechnology and spine that help improve patient and hospital outcomes – which we achieve through the dedication of our more than 33,000 employees globally. We are well-positioned to continue serving the worldwide medical community for generations to come. We think Dr. Stryker would be pleased.

Product Overview

Stryker’s Cactus Smart Sink System is an easy-to-use, “green” waste solution for partially administered, non-hazardous controlled substances pharmaceuticals. It accepts unused portions or partial doses of controlled substances and provides for a secure alternative to a sink, toilet, red sharps container, or waste bin for drug waste. This innovative and compact system helps bring medical facilities into compliance by eliminating the impact to our environment while preventing unauthorized use of partially administered DEA-regulated controlled substances. The Cactus Smart Sink System automatically secures and renders controlled substance waste unusable and non-recoverable while providing a secured bridge from traditional drug disposal to proper and responsible disposal. This system utilizes two replaceable cartridges: one liquid cartridge for liquid waste and one solid cartridge for capsules, tablets, and patches. Both cartridges allow for continuous disposal over time and are designed to last up to 90 days. The system utilizes automatic timers and weight indicators providing notice when cartridges are full or have expired. The system also allows you to choose a preferred expiration date by using the built-in timer selector switch.

The Cactus Smart Sink System helps bring medical facilities into compliance by providing a secured and environmentally friendly method of disposal. • It facilitates properly witnessed wasting of narcotics in the open and near the drug dispensing systems where needed, improving safety and saving time. • It allows for up-front waste documentation and facilitates this process to be completed immediately (when controlled substances are dispensed) rather than later. • It provides for secure disposal of partially administered, nonhazardous controlled substances, as opposed to the insertion of drugs into red sharps containers. • It reduces the opportunities for drug diversion by facilitating twoperson witnessed-wasting and by keeping partially filled vials and syringes out of red sharps containers, which have become a key source for drug diversion in medical facilities.

Features & Options

n Cactus Exclusives • Patented Proprietary Mixture: This patented technology uses a combination of denaturants and deterrents to render drugs unusable and non-recoverable in accordance with the DEA standards for controlled substance disposal.

• Secure System: The Smart Sink and PharmaLock OR are fully

locking systems, complete with universal key sets. Additionally, the Smart Sink has an alarm system with both audible and visual alerts that notify the user when the lid is unlocked and when the cartridges have reached roughly 90% of their wasting capacity.

n Technology: Offers both audible and visual alerts that notify the user when the cartridges are roughly 90% full.

Product Specifications

n Cactus Smart Sink • Accepts both liquid and solid pharmaceutical waste. Solids are accepted in the form of tablets, capsules, and patches. • Liquid cartridge solidifies drugs within 15 seconds with a wasting capacity of 3.6 L. • Solids cartridge features a uniquely designed pill maze and patch slot, rendering drugs acutely non-divertible with a max wasting volume of 1.7 L (approximately 1,500 pills). • Locking lid with a universal key set for added security. • Audible and visual alarm system that alerts user when lid is locked. • Audible and visual alerts to notify user when cartridges are full. • Can be wall or countertop mounted. • Comes with antimicrobial, wipeable exterior. • Powered by either a battery or AC adaptor unit.

D0000020373 AA.1

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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 Due to COVID-19, all trade shows and meetings are subject to change. Please confirm with the individual organization for updates.

RXinsiderâ&#x20AC;&#x2122;s Virtual Pharmacy Trade Show 24 / 7 / 365 450+ Booths, 91 Aisles www.rxinsider.com AACP Annual Meeting July 18-22, 2020 Long Beach, CA www.aacp.org 340B Coalition Summer Conference July 20-22, 2020 Marriott Wardman Park Hotel Washington, DC 340bsummerconference.org 2020 TPA Conference & Expo July 24-26, 2020 Hyatt Regency Austin Austin, TX www.texaspharmacy.org/ page/CONFEXPO NACDS Total Store Expo August 8-10, 2020 San Diego, CA Tse.nacds.org APC Compounders on Capitol Hill September 9-10, 2020 Omni Shoreham Hotel Washington, DC A4pc.org

NASP Annual Meeting & Expo 2020 September 14-17, 2020 Marriott Wardman Park Washington, DC Naspmeeting.com NCPA Annual Conference & Expo October 17-20, 2020 Nashville, TN Convention.ncpanet.org Quality Compounding Summit November 5-7, 2020 JW Marriott Hill Country Resort & Spa San Antonio, TX qcsummitrx.org ECRM Pharmacy Technology, Services, Supplies, and Automation Program November 9-11, 2020 Hyatt Regency Tamaya Resort & Spa Santa Ana Pueblo, NM ecrm.marketgate.com/ sessions ASCP Annual Meeting & Exhibition November 12-15, 2020 Gaylord Palms Resort Kissimmee, FL Annual.ascp.com continued on page 79

For listing and advertising details, please contact sales@RXinsider.com or call 800.972.2083.

SUMMER 2020

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

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.

RXinsider.com

We provide support in addressing your 340B operational and compliance challenges Prepare for a government or manufacturer audit

Stay compliant with changes to Medicare Part B reimbursements

Compare split-billing software vendors

Connect with 340B hospitals around the country

Member Benefits Advocacy

As your voice in Washington, we encourage you to join our advocacy efforts to protect 340B, which includes creating an Impact Profile document illustrating how your savings support your safety-net mission. Our staff is ready to help your hospital engage in advocacy through the development of op-eds and social media campaigns.

Webinars

You and your staff will be invited to 340B related webinars throughout the year on topics ranging from audit prep and findings to recertification. We host over a dozen webinars each year and encourage your team to join us.

Individual Membership

Through your hospitalâ&#x20AC;&#x2122;s membership, you are eligible to join this supplemental program which provides professional development and networking opportunities.

Real-Time 340B Information

Stay in-the-know and up to date through our email alerts, members-only bi-weekly Bulletin, and the 340B Informed blog.

Technical Assistance (TA) Calls

Take advantage of this invaluable resource by speaking with a member of our legal and/or pharmacy teams. Our staff is able to answer questions on topics ranging from audit prep and diversion to adding child sites and drafting policies and procedures.

National Conferences

340B Health, along with our 340B Coalition partners, provides you unparalleled access to information and networking opportunities at our summer and winter conferences. 340B Health and 340B Coalition members receive discounts to both events.

340B Health Website

The website has sample forms, letters and P&Ps, as well as policy guides and member best practices. Miss a webinar? No problem, past webinars are housed on our website. Find our audit and compliance resource centers along with a calendar of upcoming events.

The Exchange

Access our secure online member discussion forum 24/7 for answers to your most pressing 340B related questions, hear ideas and best practices, and grow your network.

Roundtables

340B Health hosts interactive roundtables throughout the year. In 2018 alone, roundtables were conducted in nearly a dozen states. These half-day seminars provide vital 340B information, create a forum for idea generation, and are always free to attend.

Questions? Contact Shane Kelley at (202) 552-5864 or email shane.kelley@340bhealth.org.

Event Calendar

Trade Shows, Meetings, & Expositions Due to COVID-19, all trade shows and meetings are subject to change. Please confirm with the individual organization for updates.

continued from page 76

Annual Compounding Pharmacy Compliance November 16-17, 2020 The Westin Arlington Gateway Arlington, VA informaconnect.com/ compounding-pharmacycompliance ASHP Midyear Clinical Meeting & Exhibition December 6-10, 2020 New Orleans, LA midyear.ashp.org PDS Super Conference February 11-13, 2021 Disney's Coronado Springs Resort Orlando, FL pdsconference.com American College of Apothecaries Annual Conference & Expo 2021 February 23-27, 2021 Wyndham Grand Rio Mar Puerto Rico acainfo.org/ace

With 80+ aisles, the Virtual Pharmacy Trade Show is pharmacyâ&#x20AC;&#x2122;s one-stop destination to research and connect with leading providers of products and services.

RXinsider.com

APhA 2021 March 12-15, 2021 Los Angeles, CA Aphameeting.pharmacist.com Asembia 2021 Specialty Pharmacy Summit May 2-5, 2021 Las Vegas, NV asembiasummit.com

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.

ASHP Summer Meetings and Exhibition June 5-9, 2021 Long Beach, CA www.ashp.org/Meetingsand-Events McKesson ideaShare June 23-27, 2021 San Diego, CA mckessonideashare.com Cardinal Health RBC July 14-17, 2021 Orlando, FL rbc.cardinalhealth.com

2021 FAH Public Policy Conference and Business Exposition March 7-9, 2021 Washington Hilton Hotel Washington, DC www.fah.org/conference/ FAH-Conference-andBusiness-Exposition For listing and advertising details, please contact sales@RXinsider.com or call 800.972.2083.

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ISO-MED, Inc. – Your Trusted Source for USP Safety-Compliant Medical and Cleanroom Products to Address a New Concern Providing an unparalleled selection of specialized medical products, globally trusted quality and service, and delivery convenience for meeting USP <797> and USP <800> standards. President:

David Lowrie

Founded: 2010 Toll-Free Phone:

(800) 797-1405 Fax: (951) 547-1681 Address: 1220 Graphite Drive Corona, CA 92881 Website: www.iso-med.com

Company Background

Since 2011, ISO-MED, Inc., a medical supply distributor, has been supplying quality products for pharmacy cleanrooms and other medical industries in the United States. We are dedicated to achieving and maintaining compliant sterile compounding cleanroom environments, laboratories, homecare, and more.

Product Overview

ISO-MED's brand of products are manufactured at the highest-quality levels and meet or exceed USP <797> and USP <800> standards for labs, compounding pharmacies, homecare, and more. Providing an unrivaled level of customer service and delivery convenience, we offer highly cost-effective purchasing options for all our valued customers! Whether solutions are needed for the pharmacy cleanroom environment, laboratory, or homecare, ISO-MED is known for developing and distributing superior products that meet or exceed USP <800> compliance. We are driven to help healthcare-oriented organizations save money.

USP <800> Compliant Products

n Our USP <800> Compliant, Innovative Products Include: • Apparel (Both Sterile and Non-Sterile Disposable) for Compounding Hazardous Drugs • ChemoChek Refill Kits • Chemo Spill Absorbent Pads and Prep Mats • Chemo Preparation, Administration, and Safety Spill and Technique Testing Kits • Cleanroom Wipes • SafeChemo Analysis HD's • Sterile Alcohol • Sterile Chemo Prep-Mats • Sterile and Non-Sterile Chemo Gloves • Sterile Chemo Gowns • Wipe Sampling and Analysis Kits

Additional Product Lines

• Akro-Mils Storage Bins • Bottles and Adapters • Disinfectants • Gamma Irradiatable Goggles • Healthcare Plastic Bags • Malt Extract Agar • Medi-Cup Blisters: Accommodates Virtually any Medication or Storage System

• Pharmacy Bins, Labels, and Supplies • Pill Crushers and Splitters • Proximal and Distal Luer Lock Connections • Respirators • Safety, Sharps, and Biohazard Containers • Shoe Inn – Automatic Bootie • Skin and Wound Care • Sterile and Non-Sterile Gloves • Sterile Apparel for Beards, Heads, Faces, Sleeves, Feet, and Entire Body Wear

• Sterile Isopropyl Alcohol • Syringes • Tackey Mats • Tamper-Evident Locks and Tape • Unit Dose Packaging: Tamper-Evident, Bar Code Ready, Inhibits Ultraviolet, and Resists Moisture

Markets Served • Hospital • Compounding • Infusion • Retail • Life Science

Ordering Information

Contact us by phone at (800) 797-1405 or email sales@iso-med.com to gain access to our exclusive online ordering platform.

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Temperature consistency on every level

Protect your valuable temperature-critical items with Follett’s industry-exclusive plenum air delivery system, which distributes air evenly at every level to keep the entire cabinet in-temperature.

See our full line at folletthealthcare.com or call 800.523.9361 for more information

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

Temperature Consistency on Every Level by Follett When it comes to product temperature accuracy, there is no room for error. Follett high-performance refrigerators provide precise temperature control for your valuable medications.

CEO:

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

Company Background Follett LLC is a leading manufacturer of innovative equipment for the healthcare market, including medical-grade refrigerators and freezers, ice and water dispensing equipment, and ice machines. Our focus on 100% customer satisfaction results in equipment that provides outstanding innovation and design excellence to meet the specific needs of each healthcare facility. Product Overview Follett medical-grade pharmacy refrigerators and freezers maintain precise and consistent temperatures for your valuable medications and vaccines. Powerful forced air refrigeration enables quick recovery after door openings, ensuring medications are stored at specified temperatures and reducing the risk of lost product. Follett upright refrigerators and freezers feature a powerful top-mounted refrigeration module and innovative plenum air distribution system for superior temperature consistency. • Industry-exclusive ducted air distribution delivers cold air at multiple levels for top-to-bottom temperature uniformity, allowing full utilization of the storage space. • Proprietary microprocessor controller provides a ±1⁰C temperature consistency throughout the storage cabinet, ensuring all product is stored within the proper range. • Intuitive full-color touchscreen user interface features enhanced data management with data downloading capability, providing the ultimate in user convenience.

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

Contact Information

For more information, contact Follett LLC at (800) 523-9361 or visit www.follettpharmacy.com.

Full stainless steel cabinet and high-quality components designed with the user in mind. • Heavy-duty, self-closing doors provide important energy savings and lock open at 90 degrees to allow easy product loading. SUMMER 2020

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Sentry Data Systems – Expect More With a Trusted Leader in 340B Management and Compliance Sentry Data Systems, the revolutionary leader in automated pharmacy procurement, helps healthcare providers reduce the cost of care and manage compliance to build strong 340B programs and reach more underserved patients. • Integrates with any wholesaler to import data automatically. • Qualifies dispensations automatically by leveraging multiple CDM and location-mapping scenarios.

President & CEO: Travis Leonardi Founded: 2003

Employees: 350+ Toll-Free Phone:

(800) 411-4566 Toll-Free Fax: (866) 221-4337 Address: 800 Fairway Drive, Suite 400 Deerfield Beach, FL 33441 Website: www.sentryds.com

Sentrex® 340B Contract Pharmacy Management

Simplifying an array of complex compliance challenges, Sentrex helps you manage your 340B contract pharmacy relationships and expand medication access to more patients. • Automates 340B drug replenishment to help reduce inventory cost. • Offers flexible configuration options that can be tailored to reflect each organization’s own unique processes and parameters. • Tracks drug cost savings by NDC, pharmacy location, prescription type. • Reduces burden on hospital and pharmacy staff with robust reporting capabilities and analytics. • Includes the option to extract e-prescription data to connect prescribing events, improving accuracy and reducing audit risk.

Company Background

Since 2003, Sentry has been providing healthcare organizations with 340B management and compliance solutions to help you make better business decisions. We bring you more than just software solutions and technology – we deliver passion, expertise, and partnership, every step of the way. And as a company always at the forefront of innovation, it’s both our opportunity and our responsibility to pair our solutions with a strong analytical team that helps you navigate complex waters and continue to meet the needs of your underserved populations.

Product Overview

With Sentry, you can expect more. From innovative technology to expert knowledge and support, we stand ready to help you optimize your 340B benefit with powerful solutions that deliver the precision, compliance, insights, and savings you need to run a successful program. • The only 340B vendor that can provide a fully integrated and longitudinal 340B audit record. • Superior, proven technology and data integrity behind a robust and easy-to-use interface. • Over 40 years cumulative audit and compliance experience with the industry’s only dedicated, 100% Apexus-certified audit team. • Proactive support focused on your performance, with almost 30% of our staff dedicated solely to customer success. • Long-standing industry leadership and advocacy on Capitol Hill.

Sentry Claims Manager Plus™

Designed to help you accelerate payments and minimize denials for pharmacy claims, Claims Manager Plus processes claims quickly and efficiently while allowing you to remain compliant and in control for both Medicaid and Medicare 340B modifiers. • Streamlines the adjudication process by automatically modifying claims based on your configurations. • Identifies errors and rejections and then re-validates with real-time edits made directly in the application. • Incorporates modifications to automatically adjust future claims without manual intervention.

Senturion™ Professional Services

Comprised of some of the industry’s most educated, credentialed, and experienced pharmacy experts, our Senturion Professional Services team is an elevated resource to help you maximize your 340B program operations. • Delivers actionable insights to help you identify additional savings opportunities and capture more 340B-eligible prescriptions. • Supports you with 340B best practices, software configuration optimization, and solution-specific maintenance and analysis. • Facilitates remote or on-site mock 340B audits to help you remain prepared and compliant.

Sentinel® Hospital Procurement & 340B Compliance

Using proven methodologies and a robust feature set, Sentinel helps you take control of hospital pharmacy mixed-use costs, contracts, and compliance. • Offers full visibility into hospital pharmacy operations and more control of the procurement cycle, with advanced ordering, auditing, inventory management, and reporting functions. • Optimizes 340B programs with a longitudinal patient database, providing a larger and more precise pool of eligibility for more accurate determinations. • Tracks dispensations from multiple sources, connecting the dots in the data and offering in-depth insights into the inventory.

Testimonial

“ Sentry Data Systems is the undeniable premier leader in 340B compliance solutions. Whether it’s their account managers, their IT team, or upper management, they are all very responsive and knowledgeable. I am very pleased to have experienced their dedication to my complete satisfaction.”

— Alexander Mansour, Director and 340B Compliance Officer, Henry Ford Health System SUMMER 2020

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

USP 797 and USP 800 Compliant Mobile Pharmacy Compounding Cleanrooms by MDI and CRD The partnership between MDI and CRD delivers best-in-class, turnkey mobile pharmacy compounding cleanrooms designed to meet and exceed USP 797 and USP 800 requirements. We have mobile solutions available for safe and secure sterile non-hazardous and hazardous compounding for short or long-term projects, as well as permanent solutions.

President & CEO: Greg Mink Founded: 1987 Employees: 30 Toll-Free Phone:

(800) 456-3369 (317) 818-4477 Address: 6678 Guion Road Indianapolis, IN 46268 Website: www.portable-cleanroom.com Phone:

President & CEO: Brian Clark Founded: 2013 Employees:

15 (844) 213-1323 Address: 4830 W Kennedy Boulevard, Ste 600 Tampa, FL 33609 Website: www.cleanroomdesignllc.com Toll-Free Phone:

Company Background

MDI Mobile Cleanrooms and Cleanroom Design LLC have combined their expertise and partnered to create a new industry leading joint venture focused on providing USP 797 and USP 800 compliant mobile pharmacy compounding cleanrooms. Formed in 2017, the joint venture, offers the largest most state-of-the-art and highest-quality of engineered mobile cleanrooms in the industry with additional safety measures including an airlock entry, redundant hazardous exhaust systems, and a fully automated cloud-based control and monitoring system. Discover how we’re better together at www.cleanroomdesignllc.com and www. portable-cleanroom.com.

Product Overview

MDI/CRD is very excited about the explosive growth we've seen since the recent addition of mobile pharmacy compounding units to our family of cleanroom solutions. Our clients utilize our mobile cleanrooms as an immediate solution for safe compounding during the current COVID-19 crisis, as a temporary solution to use while upgrading an in-house cleanroom to USP 797 and USP 800 standards, and as a permanent alternative to building-out a new cleanroom inside of a hospital or clinic. Our materials of construction are of the highest quality and our customer service is second to none. MDI/CRD’s mobile cleanrooms are available for purchase or for short and long-term temporary or permanent placements.

Features & Options

Our turnkey mobile cleanrooms are the largest in the industry. Compared to a “trailer” or chassis-based platform which are 8' wide, our units are

much wider with a 14' width throughout either a 30' length or a 48' long unit. The larger width means our mobile pharmacy cleanrooms meet and exceed the requirements of the USP Chapter 797 Pharmaceutical Compounding-Sterile Preparations and USP 800 Chapter for handling sterile hazardous drugs. As an added level of safety, we offer an industry-exclusive airlock entry to all of our mobile pharmacy cleanrooms for additional protection against contamination. USP standards weren’t written with the thought of entering a pharmacy compounding cleanroom from the outside, or from a parking lot, so we include a HEPA filtered airlock entry prior to entering the workroom. Our units also include general workrooms for computers and non-compounding activities, dedicated gowning rooms, and USP 800 compliant drug storage and receiving rooms.

What sets MDI/CRD Mobile Pharmacy Cleanrooms apart?

• Pre-Certified Prior to Delivery and Guaranteed to Pass Third-Party Inspection • 14' Wide Mobile Cleanrooms, Up to 40% Larger Than What Others Offer • Airlock Entry • Large Fleet of Mobile Pharmacy Cleanrooms • Short or Long-Term Rentals, or Available for Purchase • Cloud-Based Control and Monitoring System With Real-Time Data-Logging and Alarms • Nationwide Coverage • Full-Service Support

Testimonial

" T hank you for the excellent service Cleanroom Design and MDI Mobile Cleanrooms has provided to us for the temporary Pharmacy Compounding Cleanrooms for the Staten Island University Hospital Campus. Upon delivery the NYS Board of Pharmacy conducted an inspection and approved the unit for operation in the capacity of compounding both hazardous and traditional I.V. solutions for patients. The unit surpassed our expectations and was able to maintain the high-volume production necessary during the recent Covid-19 outbreak."

— Otto VonEilbergh, Director – Capital Projects, Corporate Facilities Services, Northwell Health

Ordering Information

To learn how MDI/CRD Mobile Cleanrooms can assist with your pharmacy upgrade or expansion, or to help meet new USP 797 or USP 800 standards, contact us by phone at (317) 333-8742 or email at markk@modulardevices.com. SUMMER 2020

H E A LT H S Y S T E M • I N F U S I O N 87

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

Securing the Safe Storage and Transport of Your Vaccines – B Medical Systems B Medical Systems’ temperature-controlled storage and transport solutions are designed to protect the integrity, stability, and shelf life of sensitive refrigerated vaccines and medicines, by maintaining an unbroken cold chain until administration.

President & CEO: Luc Provost Founded: 1979 Toll-Free Phone:

(888) 456-7099 Address: 14560 Bergen Boulevard, Suite 200 Noblesville, IN 46060 Website: www.bmedicalsystems.com

Company Background

B Medical Systems is a manufacturer and global distributor of medical devices, with 40 years of industry experience in medical refrigeration. Our company has a long history in vaccine cold chain. In 1979, we invented the very first vaccine cold chain equipment able to protect the potency of temperature-sensitive vaccines in extreme weather environments. Today, global humanitarian procurement organizations and ministries of health across the world rely on our technological innovations – e.g. solar-powered refrigerators – to roll out effective immunization programs. Besides vaccine cold chain, B Medical Systems offers a wide range of blood management and medical refrigeration solutions. Those include medicalgrade refrigerators, freezers, and transport systems for pharmacies.

Product Overview

B Medical Systems offers an end-to-end solution – of medical-grade refrigerators, freezers, and transport systems – to safely store and transport your temperature-sensitive medications. Maintaining an unbroken cold chain is essential to preserve their integrity, stability, and shelf life. You can trust B Medical Systems to provide an accurate temperature-controlled environment for your pharmacy. While our WHO PQS (Performance, Quality, Safety) certified transport boxes are able to secure stable temperatures for extended periods of up to six days, our medical-grade refrigerators and freezers provide precise temperature control and uniformity via an even distribution of cold air throughout the entire cabinet. Despite frequent door openings, our solutions maintain stable temperature, thanks to a cooling system enabling rapid recovery times. All storage solutions are equipped with the °B Connected remote temperature monitoring software, which gives you an extra layer of safety and a greater peace of mind. In case of any unexpected temperature deviations, °B Connected will transfer digital alerts via text messages or emails, while the alarm system integrated in the units emits audiovisual signals. Thanks to the optimal insulation of our devices and their prolonged hold over time, you can rest assured that your medication will remain at the right temperature for several hours until corrective action is taken. The °B Connected software is universal and can be integrated to all your cold storage devices. At any time, from anywhere, you can track the

performance of your entire refrigeration system. Be it on your mobile, tablet, or laptop, °B Connected will allow you to: • Visualize real-time temperature data. • Generate reports in compliance with the FDA regulation 21 CFR Part 11. • Centralize all data for long-term archiving.

Features & Options

n Comfortable and User-Friendly • The accurate temperature control along with the remote temperature monitoring give you a greater peace of mind. • Access to the refrigerated content is protected by password or NFC enabled card, as well as the access to all parameters on the 7" touchscreen located at eye level on the door handle. • The Premium models are built with high-quality stainless steel and coated with an antibacterial protection. The Precision models are manufactured with the unique technique of rotomolding, which provides greater durability and a lifetime warranty on corrosion. n Sustainable for Greener Operations • The natural refrigerants increase the overall cooling efficiency while minimizing your carbon footprint. • The high-performing compressor brings greater energy efficiency and fewer operational costs. • The sealed gaskets and polyurethane foam provide a strong thermal insulation, reducing the frost build-up and increasing the energy efficiency. n Flexible and Customizable • Our portfolio includes undercounter, upright, and combo models, as well as transport boxes, covering a wide range of temperature requirements and storage volume. • The position of the door handle is interchangeable, and the alarm limits are adjustable. • The interior storage options are standardized, and include a variety of drawers and wire shelves, allowing you to optimize storage capacity based on your needs.

Additional Product Lines

n Blood Management: Safe solutions to secure an unbroken blood

cold chain from donor to patient. The portfolio includes ultra-quiet blood bank refrigerators, anti-frost plasma storage freezers, -86°C ultra-low temperature freezers, transport boxes for all blood components, and contact shock freezers – an innovative patented technology ensuring fast freezing of blood plasma.

n Vaccine Cold Chain: Reliable solutions to protect vaccine potency to

the last mile. The portfolio includes ice-lined refrigerators and freezers for health centers with unreliable electricity, solar-powered vaccine storage equipment, and robust transport systems for lengthy journeys to remotest communities on earth. SUMMER 2020

H E A LT H S Y S T E M • I N F U S I O N 89

P H A R M A C Y Job Opportunities

We Make It Better For More Than 800 Hospitals. And So Could You. Comprehensive Pharmacy Services: We Make It Better for Our Clients … AND our Employees •

CPS is considered one of the most trusted partners to hundreds of hospital and health system pharmacies across the country.

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We deliver tier-one analytics, robust technology solutions and deep expertise to every client we serve.

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For our own employees, we provide a team-oriented work environment within a culture of support and best practices, competitive compensation and benefits, and continuing education.

Join the CPS team and begin a better pharmacy career in operations, clinical, regulatory, safety, purchasing, 340B, antimicrobial and more. Search open positions and apply today at jobs.cpspharm.com.

contactus@cpspharm.com | 800.968.6962 | cpspharm.com

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Say Hello to a Pharmacy Partner you can Trust

10/18/19 9:55 AM

to Nice You t Mee

We only work with pharmacy professionals we can believe in—the most credible and reliable experts around. And we’ve been doing it for nearly 40 years!

When you’re looking for pharmacy professionals you can trust, you can trust in us. 800.553.RELY rphonthego.com

SUMMER 2020

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

Behind Every Good Pharmacist, is a Great Resource.

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www.epcpharmacystaffing.com Toll-free: 855-374-1029 Owned & Operated by a Pharmacist Dr. Michael Chen PharmD., CPH, CDR President/CEO ADDITIONAL – SEE for OUR ADinformation IN THE CONSULTING CATEGORY **Please see SERVICES the careers section more on pharmacy staffing.**

SUMMER 2020

H E A LT H S Y S T E M • I N F U S I O N 91

Increase Safety in Your Hospital and Community Stericycle’s CsRx containers mitigate drug diversion in your hospital. Our award-winning consumer drug take back Kiosk and mail back envelopes provide your community with safe drug disposal. Our suite of sharps management solutions bring safety and efficiency to your pharmacy’s immunization programs. We protect what matters.

Comprehensive Regulated Waste Management for your Pharmacy

Seal&SendSM Medication Mail Back Envelopes and Drug Take Back Kiosk • Increases your organization’s community stewardship • Mitigates drug diversion in your community • Protects the environment, keeping drugs out of waterways and landfills • DEA Compliant

Controlled Substance Waste Service (CsRx) • Heightens your organization’s drug diversion program • Renders controlled substance waste unusable

Sharps Mail Back Containers • Cost effective and convenient • USPS and OSHA Compliant

Learn more at Stericycle.com

INNOVATION IN

SECURE DRUG DELIVERY IMI believes that our customers and the patients they serve deserve only the highest level of quality and security. For 50 years, we have worked closely with pharmacists and compounding professionals to create innovative, American made, sterile devices that meet very specialized needs. Throughout this time, IMI has established long-standing partnerships with some of the biggest names in healthcare. Through these partnerships and directly, IMI is delivering the kind of high-value products that pharmacy operations demand. Our comprehensive portfolio of products offers economical solutions to increase pharmacy productivity and safety. For more information, visit IMIweb.com.

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