20Ways Summer Hospital 2021 by RXinsider

SUMMER 2021

I M P R O V I N G PAT I E N T CARE & PHARMACY COST CONTAINMENT H E A L T H

S Y S T E M

I N F U S I O N

E D I T I O N

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

Environmental Monitoring Industry Expert Q&A, Market Leaders Buyer’s Guide, and More page 52

4 Case Studies

Leiters, Stericycle, Shields Health Solutions, and Visante

Celebrating 10 Years

RXinsider Reflects on the Past Decade With Helmer Scientific

We’ve Got You

Covered

FULL LINE OF USP <797> & <800> COMPLIANT PRODUCTS

Pre-Saturated Wipers by Pharma-ChoiceTM

» » » » »

Cleaners & Disinfectants Sterile & Non-Sterile Wipers Disposable Cleanroom Apparel Environmental Controls Cleanroom Supplies

» » »

70% IPA / 30% WFI Available in multiple sizes Sterile & Non-sterile

In Stock & Available at

AmerisourceBergen Cardinal McKesson SPEAK DIRECTLY WITH A PRODUCT EXPERT 888.909.7700 | pharma-choice.com info@acutecareonline.com Poway, CA

Featured: Pharma-Sat Canister, Pharma-Sat Plus in Sterile & Non-sterile TM

COMPANY

SMART THINKING.

AVAILABLE PRODUCTS Description SmartPak® provides a revolutionary delivery system for these essential drugs, offering faster, easier preparation more economically. It’s also safer. The SmartPak bag system is a convenient alternative to using multiple glass vials. No glass means no breakage during handling. SmartPak saves time and labor with less waste. SmartPak — the smart choice for your pharmacy service.

Cefazolin 100 grams Cefazolin 300 grams

Ceftriaxone 100 grams

Vancomycin 100 grams Cefepime 100 grams

NDC

List#

66288-1100-1

1100

66288-1300-1

1300

66288-6100-1

6100

66288-7100-1

7100

66288-8100-1

8100

www.samsonmt.com Toll Free (877) 418-3600 PO BOX 2730, Cherry Hill, NJ 08034 Telephone (856) 751-5051 Fax (856) 751-5044

A Cleanroom Solution That Fits Your Needs Now and Beyond

QleanSpace™ Cleanrooms — More than just modular Our cleanrooms are an adaptable and

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customizable solution to meet your specific

our cleanrooms use HEPA-14 filtration with

needs and provide the peace of mind of

an airtight design to reduce bioburden and

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increase air exchanges, all while monitoring

alone system can be installed in virtually

and recording its own environmental

any space and offers flexibility of future

conditions.

modifications, expansion or relocation.

Please visit QleanSpace.com or contact us for more info. Phone: 614-954-1040 Email: infous@qleanair.com

Contents WAY

We’re here when you’re ready. Your true partner for 340B program administration and compliance.

Results you can believe in.

Verity Solutions is an innovator in 340B program optimization. We drive continually improved solutions and vigilantly address regulatory changes so that our customers can dedicate fewer resources to program administration and more resources to community wellness. Partner with us to simplify 340B program management, confidently optimize federal pricing benefits, and benefit from the knowledge of our expert team.

1.800.581.1378 info@verity340b.com www.verity340b.com

SPLIT BILLING | CONTRACT PHARMACY SPECIALTY CONTRACT PHARMACY | COMPLIANCE MANAGEMENT | PURCHASE ANALYTICS | VHUB ®

Verity Solutions — Invested in Your 340B Program Success

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

WAY

Point-of-Sale for Outpatient Pharmacy and Meds-to-Beds Programs From RMS

www.rm-solutions.com

Pharmacy point-of-sale for the bigger picture. Improve patient outcomes and grow profitability with RMS.

Improve patient outcomes, streamline pharmacy management, and meet pharmacy goals with a point-of-sale solution tailored for your organization and integrated to your choice of over 30 pharmacy management systems.

Call us today at 1-877-RMS-1060 Join us each month for our CLIMB Webinar Series where we give every pharmacy the opportunity to learn and grow with some of the industry’s very best. Learn more and register today at www.pharmacyclimb.com.

RxInsider Full Page Ad_20 Ways Summer_2021.indd 1

4/22/2021 11:52:36 AM

page 31

WAY Medication Workflow

Class II, Type A2 Biosafety Cabinet Protection: Product, Personnel, & Environmental

Sterile Hazardous Workflow Containment Primary Engineering Control (C-PEC)

Model: NU-543 Series Optimized for Sterile Hazardous Drug Compounding Systems IV Bar with 3 Height Locations and 6 Hooks for IV Preparation Back-Wall Cutout for Viewing Computer Monitor Interior Duplex GFCI Outlets and Cord Pass-Through Port Motorized Auto-Rising Base Stand for Optimal Comfort Up to 12 inch (305 mm) Access Opening

Sterile Non-Hazardous Workflow

Horizontal Laminar Airflow Workstation

Primary Engineering Control (PEC)

Protection: Product

Model: NU-240 Series Optimized for Sterile Non-Hazardous Compounding ErgotronTM Mount for Monitor, Keyboard, and Mouse Easy-to-Clean Stainless Steel Work Surface IV Bar with 3 Height Locations and 6 Hooks Telescoping Base Stand with Shelf Attachment Exterior Mounted Duplex GFCI Outlet Sidewall Cord Pass-Through Ports

Learn more or request a quote online at: www.nuaire.com

page 35

LabGard® ES AIR NU-543 Class II Type A2 Biosafety Cabinet by NuAire

The NU-543 is a Containment Primary Engineering Control (C-PEC) that can be connected to a facility HVAC system through an exhaust transition to meet USP <800>, and can be optimized for medication workflow.

Thought Leader Video Series

page 36-37

page 33

SUMMER 2021

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

Tell us about your project... our team does all the work. we make sure we’re giving you all the right ingredients!

30.0000

44.5000

30.4750

42.0000 W

30.0000 D

9.8125

40.0000 H

Handle Bracket Flush Under Top 8.0000 Shelf To Floor

7.0000 Frame To Floor

MANUFACTURING PROOF APPROVAL

450 TOWN STREET CIRCLEVILLE, OH 43113 1-800-848-1633 FAX: (740) 477-2923

ITEM #

DESIGNER

MFG-65546

AST

DESCRIPTION

THE INFORMATION CONTAINED IN THIS DRAWING IS THE SOLE PROPERTY OF HEALTH CARE LOGISTICS. ANY REPRODUCTION IN PART OR AS A WHOLE WITHOUT THE WRITTEN PERMISSION OF HEALTH CARE LOGISTICS IS PROHIBITED.

COMMENTS

REVISE

DATE CREATED

16GA Stainless Steel Storage

8/13/18

SS Cart 4 Shelves

more brilliant solutions from HCL®!

WAY

Cardinal Health # 5676846 5686407

McKesson # 1574078

Morris & Dickson # 927012

1581669

Product description

UD size

Strength

Acetazolamide ER Capsule

930750

500 mg

Atomoxetine Capsule

NDC 11

30 UD

25 mg

60687-0578-21

30 UD

10254220

3703665

2302917

981878

Budesonide Capsule

3 mg

20 UD

10251391

5682570

1578202

919258

Diltiazem HCl Tablet

30 mg

100 UD

60687-0567-21 60687-0596-32 60687-0562-01

10251956

5687223

1583525

921866

Diltiazem HCl Tablet

60 mg

100 UD

60687-0573-01

10251974

5687330

1584333

921882

Diphenoxylate HCl/Atropine Sulfate Tablet (C-V)

25 mg/0.025 mg

100 UD

60687-0569-01

10254113 10254284 10254285 10252050

5703590 5704150 5704143 5688189

3790623

981910

3901725

Famotidine Tablet

982025

3901741

20 mg

Fluphenazine HCl Tablet

982033

1584887

5 mg

Fluphenazine HCl Tablet

921783

10 mg

Gabapentin Capsule

100 mg

100 UD

60687-0595-01

100 UD

68084-0950-01 60687-0580-01

5688197

1584903

921791

Gabapentin Capsule

300 mg

100 UD

60687-0591-01

5688205

1584911

921817

Gabapentin Capsule

400 mg

100 UD

60687-0602-01

10254190

5703012

2302966

981886

Hydrochlorothiazide Tablet

25 mg

100 UD

60687-0593-01

10249773

5682661

1577048

927301

Isoniazid Tablet

300 mg

100 UD

60687-0553-01

10254966

5709282

2303436

45013

Ketorolac Tromethamine Tablet

10 mg

30 UD

60687-0104-21

10252801 10250600 10254155

5692983 5687215 5703574

1591213

944314

1575356

Levothyroxine Sodium Tablet

927640

3691490

200 mcg

Propafenone HCI Tablet

981803

150 mg

Rifampin Capsule

150 mg

A responsive line of barcoded unit-dose oral solutions, a growing liquid unit dose offering, as well as individually wrapped inhalants, AHP continues to deliver on their commitment to supporting pharmacy efficiency.

68084-0846-01

100 UD 100 UD

10252051 10252014

100 UD

60687-0552-01

100 UD

60687-0537-01

30 UD

60687-0575-21

10254131

5703582

3693793

981845

Rifampin Capsule

300 mg

100 UD

60687-0586-01

10180508

5391024

3700200

075291

Tolterodine Tartrate ER Capsule

4 mg

30 UD

60687-0330-21

Liquid unit dose AB 8-Digit #

Cardinal Health #

McKesson #

Morris & Dickson #

Product description

Unit strength

Cup Delivery

10249925

5676135

1574276

914382

Atovaquone Oral Suspension

750 mg/5 mL

5 mL

10251651

5699970

3579828

971820

Milk of Magnesia Saline Laxative

2400 mg/30 mL

30 mL

Cup strength 750 mg/ 5 mL 2400 mg/30 mL

Pack size

NDC 11

42 ct

60687-0534-78

100 ct

60687-0429-76

AH-100085 21.04

Hitting the mark AHP unit dose simplifies one of the most complex parts of your job – reliably obtaining needed treatments – in a format that promotes positive outcomes for your patients.

800.707.4621 americanhealthpackaging.com

4/15/21 3:06 PM

page 61

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ENVIRONMENTAL MONITORING B u y e r ' s G u i d e

ENVIRONMENTAL MONITORING

ENVI RON

Q&A

ENVIRONMENTAL MONITORING

Buyer’s Guide

MEN TAL MON ITOR

2DI / Two Dimensional Instruments, LLC 7311 Highway 329, Suite 910 Crestwood, KY 40014 (502) 243-0042 www.e2di.com

ING Q & A

Azzur Labs, LLC 4125 Independence Drive Schnecksville, PA 18078 (484) 550-7709 Azzurlabs.com

Hampshire Controls 1 Grove Street, P.O. Box 516 Dover, NH 03821 (603) 749-9424

ow.ly/E84650EnD9G PharmD ry Kalenze, Rosema Health Care Logistics ager macy Man 450tWPhar Town Street Outpatien Circleville, OH 43113 lth System Altru Hea (800) 848-1633 Gohcl.com

Smart Sense by Digi 186 Lincoln Street, 9th Floor Boston, MA 02111 (866) 806-2653 www.smartsense.co

Infinity Laboratories ology do you techn tal Q. What1585 South Perry Street rt environmen Castle Rock, CO facility 80104 ? use to suppo in your monitoring

Temptime, Now a Part of Zebra Technologies 116 American Road (303) 730-7330 are under Morris Plains, NJ 07950 storage areas www.infinitylaboratories.com ing. This (973) 984-6000 medication ture monitor All of our and tempera and Temptimecorp.com humidity Products Inc.system dashboard constant Marathon leaders Testo, Inc. e on a health 14500 Doolittle Driveto our facilities and data is availabl through allows 2 West Market Street, Suite 500 This pushed are range. CA 94577 alerts San Leandro,trendin g out of s are to keep our West Chester, PA 19382 (800) 858-6872 when reading an action plan activate to ns. (800) 227-0729 Marathonproducts.com our teams storage conditio ions in proper www.testo.us medicatPelican BioThermal Veracity Group, Inc. 3020 Niagara Lane N tal nmen 7575 E. Kemper Road Cold Chain Technologies Plymouth, MN 55447 enviro if there is a packaging Q. How does 135 Constitution yourBoulevard (763)are 235-4800 you contacted readings? Cincinnati, OH 45249 factor into Q. How tal monitoring Franklin, MA 02038 (888) 369-3601 www.pelicanbiothermal.com environmen ng processes? e to problem with and shippi (800) 370-8566rty vendor to validate a text messag Versatrak.com Primex Wireless a third-pa monitors relay sent out of with is ation ions worked freezer refriger www.coldchaintech.com Our 965 Wells Street a refrigerator or We have that all medicat make anytime models to ensure temperature to allow us to the leaders our shipping the acceptable Emanate the readings Lake Geneva, WI s53147 s day within Wireless of stay include include time This t. This range. to our patients 675 Alpha decision any the shipmen (262) 729-4858 y is out of d, immediate duration of Drive, Suite Gre products. an informe range for the Highland mperatu ture or humidit Heights, OH 44143 www.primexinc.com room-te tempera and room contact the ated or night. If both refriger team will either (844) EMANATE (362-6283) our facilities will be called Scientific range, theRees hours, the leader www.emanatewireless.com or if after 1007 Whitehead Road Ext plan. directly area made when action erations are initiate EoScene 08638an home toNJ ent? at Trenton, Q. What consid ation shipm Box 1740 (609) 530-1055 medic aP.O. packaging Renton, WA 98057 ly cold winters and www.reesscientific.com extreme ials have on we , mater ing Depend ology and In North Dakota (800) 541-0683 extreme heat. Q. What techn be quite s can also see our summer www.eoscene.com methods may in shipping? include do you use year, our packing at ideal temperatures. t methods we the time of s re our pack-ou which keep our product ated and room test shipments To initially configu different to our refriger n of trackers in the to validate a variety of for the duratio electronic data We worked shipments in t temperatureS U M M E R 2 0pack 2 1 IoutH E A LT H S Y S T E M • I N F U S I O N medication d packing record and transmi allows us to adjust our temperature reliable standar This determine a temperature the shipment. conditions to the desired we achieve season. materials until method for each CenTrak

oring tal monit 826 nmen Newtown-Yardley Road enviro Q. What does Suite 101acy settings? your pharm but is Newtown, PA 18940 look like in upon the setting

Industry Expert Q&A, Environmental Monitoring Products & Manufacturers Market Leaders Buyer’s Guide, and more.

SensoScientific 685 Cochran Street, Suite 200 Simi Valley, CA 93065 (800) 279-3101 www.sensoscientific.com

ing t depend (215) 860-2928In all settings we It looks differen d in each. require Centrak.com ture of the ambient important and tempera r monitor the . We also monito continuously Checkit ators, and freezers ion preparation spaces, refriger 485 Mariner Boulevard and medicat our storage humidity of Spring Hill, FL 34609 areas. (941) 462-1067 www.checkit.net/tutela

SUMMER

2021

H E A LT H

SYSTEM

O • INFUSI

Analysis shows that integrated specialty pharmacy model is associated with lower total cost of care.

Analysis shows that integrated specialty pharmacy model is associated with lower total cost of care1

Shields Health Solutions (SHS) recently partnered with Optum Advisory Services to evaluate the impact of the SHS integrated specialty pharmacy model on total costs of care for Medicare Advantage patients.

HYPOTHESIS SHS’s integrated specialty pharmacy (SP) model reduces total health care costs measured on a per member per month (PMPM) basis. METHODOLOGY Optum proprietary de-identified Normative Health Information claims database was used to identify patients enrolled in Medicare Advantage and pharmacy insurance coverage in 2018 and 2019. To be included in the data set, patients had to fill at least one self-administered specialty prescription in 2018. Patients were assigned to groups (as seen in the table on next page.) Total health care costs (including medical and pharmacy spending) were then compared. The authors used Centers for Medicare & Medicaid Services Hierarchical Condition Categories risk scores to adjust for differences in disease states, comorbidities, and demographic factors between patient groups.

1. Hellems S, Davidson J, Fasching D, Smith BS. Association of Use of the Integrated Specialty Pharmacy Model on Total Healthcare Cost. Accepted for poster presentation at the AMCP 2021 Virtual. April 13–14, 2021.

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WAY E N V I R O N M E N TA L M O N I T O R I N G

Temptime Temperature Intelligence® Solutions — Monitoring Devices and Integrated Solutions for Medication Shipments, Storage, and Pharmacy Facilities

TEMPERATURE INTELLIGENCE®

Monitor your medication onsite and in transit Accurate temperature and humidity monitoring for home infusion providers Keeping infusion therapies at the right temperature is critical for quality patient care. In your facility, our electronic sensors monitor temperature and humidity in refrigerators, freezers and storage areas. Mobile solutions allow you to continue monitoring temperatures in transit. Plus, the information gathered can help with accreditation and compliance. Put Temptime’s more than 30 years of experience helping pharmacies of all types and sizes monitor medication to work for you: temptimecorp.com/infusion-pharmacy

zebra.com | temptimecorp.com

ad-RXInsider-home-infusion-spring-2021.indd 1

Case Study: Shields Health Solutions

E L E VAT I N G S P E C I A LT Y P H A R M A C Y

4/23/21 11:12 AM

Providing the devices and information to accurately monitor temperature-sensitive medications.

WAY

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

INNOVATION IN SECURE DRUG DELIVERY PREP-LOCK™ TAMPER EVIDENT CAPS

Help ensure the safe delivery of your compounds, comply with growing regulations, and enhance patient care.

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.

Strengthen <797> Compliance Ensure the integrity of your compounds with Prep-Lock™ Tamper Evident Caps.

Maintain Sterility Evidence of access indicates the potential compromise of content sterility.

Mitigate Diversion Serves as an active deterrent to potential diversion and misuse.

Prep-LockTM Tamper Evident Caps are available for a variety of devices. • IV Syringes • Oral Syringes • IV Bags

• ENFit® Syringes • CADD Cassettes

MADE IN THE USA

1.800.344.2554

IMI-501-AA-61 R2

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page 67 SUMMER 2021

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

VACCINE COLD CHAIN STORAGE THAT’S A STEP ABOVE THE STANDARD • • • • •

Meets CDC guidelines and prepared for NSF 456 standard Blu-Wave® cooling technology for precise temperature uniformity Low cost of ownership Unique sizes, combinations and customizations Made in the USA since 1955

Vaccine safety and integrity are at the forefront of a patient’s well-being and health. Migali Scientific® has been manufacturing high-performance refrigerators and freezers since 1955. Our cutting edge Blu-Wave® cooling technology delivers rapid temperature recovery and uniformity, ensuring vaccine and medication safety and efficacy. Scan QR CODE to learn why more hospitals and practitioners are choosing Migali Scientific refrigerators and freezers.

Committed to Sustainability We plant a tree for every product sold www.migaliscientific.com/whymigali • 855.462.4254

Introducing a New Partner Across the Continuum of Care

From adapting OTC products to unit-dose, barcoded format for professional pharmacies; to chronic and trauma care; to innovative sanitation solutions designed for a wide spectrum of needs; NorthStar Sales Alliance is working with trusted brands to bring new cost-effective solutions to your facility. Confronting some of the most intractable issues in healthcare, such as C. difficile, wound care, pain management, gastrointestinal distress and sanitation, we are working with major distributors and GPOs to bring these products to acute, chronic care, and clinic facilities. Visit our website for more information and to order directly.

Please mention code “NSAFIRST” to receive a 10% discount off your first order. NorthStar Sales Alliance John Linderman, President (203) 226-4449

northstarsalesalliance.com

MIX -MIX FILL - -LABEL - USE - FILL LABEL - USE Syringe ﬁlling & Syringe labelling made easy!

PraxiFill

PraxiLabel ™

™

Semi-automated syringe labeller

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intended to increase productivity of the

Fast, accurate, repeatable ﬁlling and capping.

syringe ﬁlling process by eliminating the

Increase productivity

PraxiFill™ is an automated syringe ﬁller

tedious manual task of aspirating solution into the syringe and capping the ﬁlled syringe. PraxiFill™ is designed to be used with MedXL pre-capped sterile syringes for increased eﬃciency and productivity. 5cc, 10cc, 20cc and 50cc syringes are available.

FILL YOUR NEEDS

PraxiLabel™ is a semi-automatic tabletop syringe labeler intended to increase labeling productivity as it eliminates the work related injuries

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

due to frequent hand and wrist

Easy to control with touch screen pad

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

Small footprint

movements involved in the syringe labeling operation.

Simple and fast change over between diﬀerent sizes Small footprint

www.praximedsystem.com

Contents WAY

Unit Dose Done Right

Unit Dos e, Bar Cod ing,

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

Brightly Colored Labels Call Attention to Meds Requiring Special Handling

Scan QR Code for more information and pricing.

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MediDose.com

Unit Dose Done Right P 8.5 x 11.indd 1

6/1/20 2:02 PM

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

WAY

Leiters. We Are Compounding Health™

Helping you deliver better medicine to more people.

Leiters is a trusted FDAregistered 503B outsourcing provider of compounded sterile preparations committed to providing healthcare professionals and their patients with the highestquality medications.

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:

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

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.

RXInsider 20 Ways Summer_April2020_FA1.indd 1

4/21/20 11:44 AM

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C AS E S T U DY

GREENVILLE MEMORIAL MEDICAL CENTER PHARMACEUTICAL WASTE SOLUTIONS OVERVIEW

Jay Terry Manager of Pharmacy Operations, GMMC

Greenville Memorial Medical Center (GMMC) is the 814-bed flagship facility of Greenville Health System (GHS), which is one of 12 hospitals that is now part of Prisma Health. Serving a variety of patient populations throughout the upstate and midlands regions of South Carolina, GMMC is committed to delivering the best possible patient care while promoting a safe, healthy, and efficient work environment for staff. This commitment holds true with regards to controlled substance waste disposal. In 2018, as the opioid epidemic continued to grow, GMMC, always cognizant of transforming health care for the benefit of the communities it serves, re-evaluated its processes to mitigate drug diversion, to ensure its controlled substance waste disposal methods were safe, compliant, and easy to implement.

Case Study: Stericycle and Greenville Memorial Medical Center

Pharmaceutical Waste Solutions

Trade Show & Meeting Calendar

page 70-73

page 80-85

According to Jay Terry, Manager of Pharmacy Operations at GMMC, “We were familiar with Stericycle’s work because the company already handled and disposed of the hospitals’ other pharmaceutical waste. Since Stericycle’s waste management programs complement each other, organization leaders felt it made good sense to shift controlled waste disposal to Stericycle.” With the help of Stericycle’s CsRx® Controlled Substance Waste Service, GMMC standardized its approach to controlled substance waste management, lessening the staff’s burden involved in the effort and implementing a reliable and proactive program that cost-effectively mitigates the risk of diversion, while preserving the environment. stericycle.com/CsRx

WAY

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

WAY

Follett Healthcare — With Vaccine Storage, There Is No Room for Error

Temperature consistency on every level

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

Follett high-performance refrigerators provide precise temperature control for your valuable vaccines and 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 75

WAY raising the bar

on 340B reporting Introducing Sentry 340B Business Intelligence™ running on Oracle Analytics. This advanced reporting solution is a central place to build system-wide, multiple-site reports on dispensations, claims and purchasing data — and gain immediate insight into your 340B program performance. Join us virtually for an interactive demo of Sentry 340B BI™ during the 2021 340B Coalition Summer Conference! For more information or to register, visit www.sentryds.com/raisingthebar.

One tool shows your 340B data

Data refreshed regularly

Easy-to-navigate dashboards

Multiple view drill-down

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

Sentry Data Systems is a pioneer in providing automated technology solutions that help providers manage 340B compliance, produce better quality, reduce the total cost of care, and reach more underserved patients.

page 87 WAY

CLH_Ad_OneContainer_012220.pdf

1/22/20

Clean Harbors — Experts in Pharmaceutical Waste Disposal and Environmental Services

4:35 PM

OneContainer®

The Solution to Prevent Pharmaceutical Waste from Winding Up Here.

Simple. No worries. The highest level of technology. Best of all — full compliance.

Clinicians simply put both the non-hazardous and the RCRA hazardous pharmaceutical waste in the same black container.* Clean Harbors, the largest hazardous waste incineration company in North America, will pickup, transport and dispose your pharmaceutical waste, while keeping you fully compliant. We handle every step of the process. Because we own several proprietary incinerators, we do not require the same segregation as other providers.

CMY

Here to help keep your healthcare facility in compliance with complex state and federal regulations — while managing your environmental and waste disposal needs.

Are you prepared for changes to subpart P in the EPA’s hazardous pharmaceutical regulations? Ensuring compliance with waste segregation protocols can be difficult, both to train and enforce, putting your facility at risk for non-compliance. * Due to DOT regulations, there are certain waste items that must be collected separately.

For more information: 855.MED.WSTE (633.9783) or healthcareservices@cleanharbors.com, www.CleanHarborsHealthcare.com

page 89

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SUMMER 2021

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

340B Program Results Delivered. Period.

Split-Billing

Contract Pharmacy

Superior Technology Intuitive Accumulation Optimize Purchase Orders

Dynamic Dashboard Real-Time Data Exceptional Reporting

Referral Program Increase Claim Capture Close the Loop Remain Compliant

Adding Value 340Basics will change the way your 340B program operates with superior customer service and complete program administration. Partnering with 340Basics will allow your organization more time to focus on patients while increasing 340B savings. This will enable you to invest in new technology, expand staff, improve and/or upgrade equipment, and grow services, all while increasing access to care in your community. www.340Basics.com || info@340Basics.com || 888-356-6225

Medication Workflow

Class II, Type A2 Biosafety Cabinet Protection: Product, Personnel, & Environmental

Sterile Hazardous Workflow Containment Primary Engineering Control (C-PEC)

Sterile Non-Hazardous Workflow

Horizontal Laminar Airflow Workstation

Primary Engineering Control (PEC)

Protection: Product

Learn more or request a quote online at: www.nuaire.com

REDEFINING THE RETURNS INDUSTRY The value of doing business with GRx far exceeds the industry standard. GRx offers a full suite of comprehensive business solutions and advanced data intelligence for pharmacy customers. INDUSTRY EXPERTS

35 years of industry experience as a leading returns service provider

ADVANCED ANALYTICS

Dynamic data analytics providing revenue producing strategies

VALUE THROUGH SERVICE

Brings financial optimization to the pharmacy to exceed its business goals

COMPLETE TRANSPARENCY

Fully transparent credit reconciliation with no hidden fees

SERVICE OPTIONS

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Contents C AS E S T U DY THE HIGH-PERFORMING PHARMACY Brought To You By Visante

“

UCSF thinks about Pharmacy from an advantage perspective, which is why we decided to invest now with a long-term strategy approach. The business of pharmacy is a value buy and a great investment for us.” Sheila Antrum

Case Study: The High-Performing Pharmacy

WAY

B Medical Systems’ U701 Ultra-Low Freezer — Flexibility, Performance, and Reliability

Brought To You By Visante

Leaders at UCSF believed that evolving the practice of pharmacy through management, optimization, business principles, and a radical redesign would result in a best-in-class pharmacy, giving them an unparalleled competitive advantage among health systems. Achieving the gold standard in pharmacy involved generating new revenue streams, eliminating inefficiencies, and contributing to excellence in patient experience. Moving forward, leaders specifically referred to the word radical to remind them to implement change in an unconventional and sweeping manner to elevate its pharmacy enterprise.

Protect your most temperaturesensitive drugs and vaccines with this innovative ultra-low freezer designed to offer optimal protection, overall reliability, and energy efficiency.

The extensive offerings of UCSF’s therapeutics — medications, medical devices, and diagnostic tests reside across multiple specialty areas. Organizationally, the pharmacy structure needed to support and compliment the overall care delivery and complex patient populations served by UCSF.

Chief Operating Officer; Senior Vice President ~ UCSF Health

UCSF leaders knew they had to question old processes and assumptions and exhaustively examine pharmacy positions and operations. At the time, job vacancies and standardizations needed focus to keep pace with UCSF’s new acquisitions and innovations. Drug pricing strategies and overall cost management needed assessment. And ambulatory staff required increased pharmacy support. The pharmacy enterprise had devolved into an undervalued and underutilized asset. This status was not the norm for the over-achieving UCSF global enterprise.

DECISION & APPROACH UCSF’s response was to lead and provide solutions. As a result, they initiated an intensive planning effort to transform pharmacy operations to add value to care delivery and to improve financial contribution to the organization. The pharmacy value improvement initiative involved assessing organizational structure, operations, financial stability, compliance, and safety across all points in the organization. The first move involved UCSF establishing a multidisciplinary steering committee to provide project oversight. The team members represented hospital senior leadership, finance, nursing, informatics, legal, compliance, and value improvement.

www.visanteinc.com

The committee decided that this wasn’t a minor redesign in one P&L center. This organizational change required big thinking and an outside perspective. The committee selected Visante to support UCSF in

page 90-93

WAY MOBILE PHARMACY COMPOUNDING CLEANROOMS Discover the advantages of our Mobile Cleanroom solutions. Pre-engineered and pre-manufactured mobile cleanrooms available in a fraction of the time it takes for a typical cleanroom design/build. We offer high-quality, cost-effective cleanroom solutions which are pre-built at our production facility and delivered as turn-key mobile cleanrooms operational immediately upon delivery. Our highly engineered mobile cleanrooms can be placed indoors or outdoors, and can even be relocated to a different location at a later date – offering the ultimate in flexibility and portability.

» USP 795, USP 797, USP 800, and 503B Compounding Pharmacies

» Airlock Entry for Added Safety » Purchase or Monthly Rentals » Large Fleet and Nationwide Coverage » Pre-built and Ready for Use Upon Delivery » Standard or Customized Layouts

Mobile Dual-Purpose USP 795, USP 797, and USP 800 or 503B Cleanrooms

Mobile Single-Purpose USP 795, USP 797, and USP 800 Pharmacy Cleanrooms

CALL FOR INFORMATION OR TO REQUEST A QUOTE (317) 333-8742 www.cleanroomdesignllc.com | www.portable-cleanroom.com

page 97

Mobile Pharmacy Compounding Cleanrooms by Mobile Cleanrooms, LLC and Cleanroom Design LLC

Pre-manufactured mobile cleanroom available in a fraction of the time compared to traditional design/build.

page 95

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 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 © 2021 RXinsider LTD. All rights reserved. Reproduction without permission is prohibited.

SUMMER 2021

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

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LAUNCH First issue of 20Ways SPRING Retail launches.

2011

2015

E X PA N D An additional issue of WINTER launches (Retail). Case studies are added to issues.

VIDEOS

2016

Thought Leader Video Series begin to be featured in the issues.

THEME

2019

LARGEST 20Ways WINTER Hospital becomes largest issue with 20 unique products/ services and nine case studies.

Issues become themed featuring popular market verticals.

2020

2021

A N N I V E R S A RY RXinsider celebrates 10-year anniversary of 20Ways.

To honor this milestone, we spoke with Helmer Scientific, a partner that has been participating in 20Ways since 2011.

Celebrating

10 YEARS Bruce King, CEO, Helmer Scientific reflects on the past decade, how their refrigerators and freezers have evolved with the ever-changing regulatory landscape, and how they are preparing for the future.

What is the history behind the growth of Helmer Scientific over the past 10 years? Integration Strategy Leads to Consistent Growth Over the past 10 years, Helmer has focused on a quality, reliability, and integration strategy to grow core competencies in software electronics, connectivity, and refrigeration engineering and manufacturing. These core competencies, combined with infrastructure changes and the creation of an R/D center, have led to robust quality and reliability improvements through our manufacturing process. Additionally, Helmer is an ISO 13485/FDA-registered manufacturing facility.

regularly to continue to increase the safety and efficacy of vaccine storage. Helmer products have been designed to meet these guidelines as they evolve. USP regulations have also led to product development needs. USP <797>, USP <800>, and USP <1079> have all had a significant impact on product development requirements for pharmacy storage. Patient safety initiatives for medication management and the protection of high-risk, refrigerated medications such as controlled substances have further impacted product development.

“

Because of the investment in core competencies, Helmer has been able to grow strategic partnerships to help promote patient safety. Partnerships with large corporations, Helmer is focused Helmer has also had a long-term focus on customers, such as BD, have resulted in products that focus on exclusively on the needs of taking a consultative approach to responding patient safety, such as the integrated, refrigerated to customer needs. Key account managers, customers in health care and medication dispensing solution that helps engineers, and technical service team members research. This makes us unique. ensure the right medication is provided to the collaborate with health systems to better Our product portfolio is focused right patient and helps prevent diversion of understand what is important to customers and refrigerated medications. particularly on smart, integrated how to meet those demands.

cold storage for medications,

How has Helmer Scientific

“Helmer is focused exclusively on the needs of responded to the COVID-19 vaccines, patient customers in health care and research,” said Bruce pandemic and how has that specimens, and blood King, CEO of Helmer Scientific. “This makes us unique. Our product portfolio is focused particularly on affected product development? storage.” smart, integrated cold storage for medications, vaccines, patient Leveraging Experience in COVID-19 Response specimens, and blood storage.” H1N1 significantly increased the need for pharmacy and laboratory refrigerators in domestic hospitals and state health departments. While What are the main influences that have H1N1 set a precedent for vaccine storage expansion, the COVID-19 shaped the landscape of Helmer product pandemic created a surge in demand for medical-grade cold storage. development? Helmer Scientific equipment was needed as healthcare providers expanded critical care areas, ramped up testing capacity, and began using COVID-19 Regulatory Changes, Partnerships, and Pharmacy Convalescent Plasma (CCP). Advocacy Shape Direction of Helmer The pharmacy regulatory landscape has changed significantly over the last 10 years. As risks of sub-standard cold storage became better understood, the CDC began creating new guidance for effective vaccine storage. The Storage and Handling Toolkit was developed and has been updated

More recently, Helmer Scientific continues to play a major role in providing vaccine refrigerators and freezers required to safely support national, state, and local efforts to rapidly administer COVID-19 vaccines. “This is a historic time for all of us,” said King. “Not only did we have to respond to SUMMER 2021

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

Success With

Helmer Scientific Moses H. Cone Memorial Hospital’s Inpatient Pharmacy Prepares for Regulation Changes and Enhances Workflows The Moses H. Cone Memorial Hospital, located in Greensboro, North Carolina, underwent a full inpatient pharmacy renovation to accommodate the addition of the new Cone Health Women’s & Children’s Center at Moses Cone Hospital. The pharmacy renovations were aligned to meet or exceed the recently revised compounding standards, USP <795>, <797>, and <800>, set by the United States Pharmacopeial Convention (USP). Two cleanroom workflow challenges from the previous pharmacy were addressed in the renovation; placement of a stand-alone refrigerator in the anteroom which required technicians to leave the cleanroom to retrieve drugs for compounding, and visibility to the refrigerator which was blocked from both the cleanroom staff and the technicians in the main pharmacy.

Increasing Efficiency With an Interlocking Pass-Thru Refrigerator

An interlock pass-thru refrigerator from Helmer was chosen to enhance their cleanroom workflows. The pass-thru sits between the positive pressure cleanroom and the main, non-classified pharmacy space. The location of the interlock pass-thru allows access to both the cleanroom personnel and the main pharmacy staff, reducing risk of contamination and optimizing the way drugs get to patients from a fast-paced, high-volume cleanroom. We asked Kevin Hansen, PharmD, MS, BCPS, Assistant Director of Pharmacy at Moses H. Cone Memorial Hospital, what advice he has for other facilitates going through a cleanroom renovation. Hansen said, “Understand your regulations and state requirements! When discussing pass-thru refrigerators there are some misconceptions about their appropriateness for use in a cleanroom. Understanding the bigger picture of quality standards and movement of air will lead you in the right direction.” 26

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urgent demand for the safe storage of new treatments and vaccines, but we had to do so all while redesigning our business and manufacturing processes to ensure our team could do so safely.” Because of Helmer’s investment in R&D and focus on designing medical-grade units that meet current and emerging guidelines, Helmer was ready to support customers with cold storage solutions that helped providers test, treat, and vaccinate patients during the COVID-19 pandemic.

Emerging Standards for Vaccine Storage A study completed by the Department of Health and Human Services in 2010 confirmed that vaccine stored by 76% of providers was stored at inappropriate and unsafe temperatures. As a result, new CDC recommendations for vaccine storage emerged, and hospitals and health departments quickly ramped up orders to safely store and administer vaccines. In addition to current CDC guidelines, a new vaccine storage standard is emerging to further define performance characteristics of cold storage units to safeguard vaccines. The NSF Joint Committee on Vaccine Storage has drafted new testing protocols and other recommendations to ensure vaccine storage safety. Manufacturers, including Helmer Scientific, will be able to submit their units for third-party testing and certification to this NSF standard once it is approved, which is expected in 2021. One of Helmer’s key differentiators is to focus solely on developing products for clinical and healthcare applications. Helmer Scientific cold storage products are designed and tested to meet existing guidelines, as well as emerging standards, such as NSF. “We are committed to serving healthcare providers that rely on our solutions to safely store critical medications and vaccines,” said King. “As part of that commitment we have prepared for emerging NSF vaccine standards through industry partnership and participation in the NSF Joint Committee.”

What is Helmer Scientific preparing for in the future? Looking Ahead As the COVID-19 vaccine rollout continues and the U.S. approaches the end of this pandemic, Helmer is preparing for what’s next. “The impact of COVID-19 will continue for years to come. I think a new awareness of the importance of vaccines has been brought to light,” said King. Supporting medication and vaccine compliance and safety, as well as ongoing investments to ensure quality and reliability, will continue to drive Helmer Scientific’s ongoing investment in R&D and new technologies. Beyond investments in the business, Helmer remains committed to their consultative approach with customers. “Customer loyalty remains our top priority,” said King. “We are here to protect what matters most to the world’s caregivers, so they can do what they do best — care for their patients and save lives.”

IMPROVING PAT I E N T C A R E & PHARMACY P R O F I TA B I L I T Y Spring 2012

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RXinsider is celebrating 10 years of producing 20Ways, the publication dedicated to educating pharmacy professionals about products and services IMPROVING PAT I E N T C A R E & PHARMACY P R O F I TA B I L I T Y Spring 2019

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that improve patient care and/or the pharmacy’s bottom line. I M P R O V I N G PATIENT CARE &

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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

PHARMECOLOGY®

We’re here when you’re ready. Your true partner for 340B program administration and compliance.

Results you can believe in.

1.800.581.1378 info@verity340b.com www.verity340b.com

SPLIT BILLING | CONTRACT PHARMACY SPECIALTY CONTRACT PHARMACY | COMPLIANCE MANAGEMENT | PURCHASE ANALYTICS | VHUB ®

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 — Invested in Your 340B Program Success 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: 2015 Employees: 100 Toll-Free Phone: (800) 581-1378 Phone: (425) 947-1922 Address: 12131 113th Avenue NE, #200 Kirkland, WA 98034 Website: www.verity340b.com

Company Background Verity Solutions is a leader in 340B program administration. Recognized as Best in KLAS: 340B Management Systems for the last four years, 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 outstanding support so that every customer can maximize their savings. Hundreds of integrated healthcare systems, acutecare 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. Product Overview Our powerful V340B® cloud-based software platform provides comprehensive solutions for split billing, contract pharmacy, specialty contract pharmacy, compliance management, purchase analytics, and pharmacy network management (VHUB®). Our depth of in-house technical and software development resources and our highly skilled account management team are closely aligned to adapt as changes arise in the 340B program swiftly. We offer: • Agile Software Platform: Built and deployed with security, performance, scalability, and agility as primary goals. The Verity 340B platform is HITRUST certified and HIPAA compliant. • 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.

What Sets Verity Solutions Apart? With increasing 340B regulatory complexity and demand for audit preparedness, it's more important than ever to have the right solution for your 340B program management — and the right partner. 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. • Rapid implementation for both split billing and contract pharmacy solutions to help covered entities meet challenging timeline needs. • 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 wholesaler 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. • F lexible 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. • 80% of our customer support cases resolved within two hours. 95% resolved within 24 hours.

• 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. SUMMER 2021

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

Medication Workflow

Class II, Type A2 Biosafety Cabinet Protection: Product, Personnel, & Environmental

Sterile Hazardous Workflow Containment Primary Engineering Control (C-PEC)

Sterile Non-Hazardous Workflow

Horizontal Laminar Airflow Workstation

Primary Engineering Control (PEC)

Protection: Product

Learn more or request a quote online at: www.nuaire.com

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

LabGard® ES AIR NU-543 Class II Type A2 Biosafety Cabinet by NuAire The NU-543 is a Containment Primary Engineering Control (C-PEC) that can be connected to a facility HVAC system through an exhaust transition to meet USP <800>, and can be optimized for medication workflow with a mounted IV bar, cord pass-through ports, back-wall monitor cut out, and/or Ergotron™ Arm options.

President & CEO: Bill Peters Founded: 1971 Employees: 150 Toll-Free Phone:

(800) 328-3352 (763) 553-1270 Fax: (763) 553-0459 Address: 2100 Fernbrook Lane, Plymouth, MN 55447 Website: www.nuaire.com

Features & Options LED interior lighting, interior duplex GFCI outlets, seamless stainless steel work zone wrap, easy-to-clean prop-up stainless steel work tray, and side-wall cord pass-through ports (NSF approved).

Phone:

Options/accessories: Mounted IV bar with three adjustable heights, motorized auto-lift base stand, backwall viewing window for PC monitor, Ergotron™ Arm for mounting a keyboard/mouse and PC monitor, variable flow exhaust canopy with flex duct, and silicone cushioned movable elbow rests.

Company Background For over half a century, NuAire has consistently led the industry in safety standards and customer satisfaction. We obsess over our customers’ needs and tailor unique solutions to meet those needs. With invaluable input from customers like you, we now offer a wide range of biological safety cabinets, CO2 incubators, animal handling devices, centrifuges, ultralow freezers, acid-resistant polypropylene cabinetry and fume hoods, hospital pharmacy compounding isolators, and much more.

Product Specifications 105 fpm [0.53 m/s] dynamic inflow, 60 fpm [0.30 m/s] true laminar downflow, ISO Class 5 air protection, 3 inch [76 mm] HEPA 99.99% efficient @ 0.3 microns supply filter, 11.5 inch [292 mm] HEPA 99.99% efficient @ 0.3 microns exhaust filter.

NuAire, Inc. has now sold more than 100,000 biosafety cabinets in more than 150 countries, spanning across all seven of the world’s continents. We pride ourselves on our products’ industry-leading quality, reliability, low cost of ownership, and environmental sustainability. All standard BSC units sold in the U.S. and Canada come with a five-year parts and labor warranty. As NuAire continues to grow, we are committed to continuously improving our products and expanding our offerings.

Additional Product Lines For strictly non-hazardous drug preparation, an AireGard® Laminar Airflow Workstation (LAFW) can function as a primary engineering control (PEC) for meeting USP <797> requirements as an alternative to a Class II biosafety cabinet. The AireGard® NU-240 also provides ISO Class 5 air product protection. Ordering Information

Request a quote online at www.nuaire.com.

Product Overview The LabGard® ES (Energy Saver) AIR Model NU-543 Class II, Type A2 Biosafety Cabinet is a tabletop model with available base stand options. The NU-543 functions as a containment primary engineering control (C-PEC) and complies with USP <800> requirements for sterile hazardous drug compounding. This BSC model also offers the greatest degree of versatility with available accessories and access openings of 8, 10, or 12 inches [203, 254, or 305 mm]. The FlowGard™ central control system utilizes a single airflow sensor with dual-thermistor IntelliFlow™ probes to monitor and display the airflow speed in real-time. As a Class II, Type A2 BSC, this unit can be hooked up to an HVAC exhaust system or directly exhaust HEPA filtered air back into the room. Learn more at: www2.nuaire.com/medication-workflow SUMMER 2021

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

www.rm-solutions.com

Pharmacy point-of-sale for the bigger picture. Improve patient outcomes and grow profitability with RMS.

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

Point-of-Sale for Outpatient Pharmacy and Meds-to-Beds Programs From Retail Management Solutions Improve patient outcomes, streamline pharmacy management, and meet pharmacy goals with a point-of-sale solution tailored for your organization and integrated to your choice of over 30 pharmacy management systems.

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-of-sale based solutions to solve the challenges faced by pharmacies today. At RMS, we believe that partnership is at the heart of successful pharmacy/vendor relationships. We aim to help customers work with the partners they choose while providing top-of-the-line point-of-sale solutions and robust integrations.

Product Overview

RMS offers a range of point-of-sale products that are both flexible and scalable to meet the needs of any pharmacy. While our easy-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 acknowledgment, 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-to-beds 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.

SUMMER 2021

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

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

THOUGHT LEADER VIDEO SERIES

SPARx

Join Michael Heinrichs, Senior Vice President of Business Development, Keith Cook, President, Doug Massey, Senior Vice President of Operations, and Eugene Queener, Vice President of Ambulatory & Infusion, as they discuss a specialty and ambulatory pharmacy solution designed to unleash the powerful potential inside hospitals and health systems.

THOUGHT LEADER VIDEO SERIES

Innovative Pharmacy Solutions 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.cpspharm.com/sparx

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THOUGHT LEADER VIDEO SERIES

Mission Critical Delivery Solutions: When Failure is Not an Option Join Kyle Janssen, President & Owner of Community Pharmacy, Mackenzie Farr, Chief Operating Officer & Pharmacist at Community Pharmacy, Ted Johanson, President & CEO, Mission Critical Delivery Solutions, Inc., and John Fiene, Medical Courier, Mission Critical Delivery Solutions, Inc., as they discuss Mission Critical Delivery Solutions: “When failure is not an option.”

www.MissionCriticalDelivery.com

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www.arxium.com

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THOUGHT LEADER VIDEO SERIES

Micro Merchant Systems Join Brian J. Courtney, Pharm.D., Chief Revenue Officer, Ketan Mehta, CEO, Samir Haleem, Director of IT, Sheila Dawalt, National Sales Manager, Heba Macksoud, Pharmacy Owner, and Boris Niyazov, Pharmacist, as they discuss Micro Merchant Systems, PrimeRx™ Pharmacy Management System in a 12-part video series.

www.micromerchantsystems.com

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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.

THOUGHT LEADER VIDEO SERIES

CPS TELEpharmacy Join Savannah Meier, Vice President of Business, Paresh Patel, Division President of Telepharmacy, Karen Alesch, Director of Pharmacy Operations, Bhavesh Patel, Director of Pharmacy Operations, Bob Phillips, Human Resources, and Aalap Modi, Director of Clinical Care Services as they discuss CPS TELEpharmacy solutions.

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

THOUGHT LEADER VIDEO SERIES

www.cpspharm.com/cps-telepharmacy

www.achc.org

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THOUGHT LEADER VIDEO SERIES

Sentry Data Systems | Expect More

Advancing the Business of Pharmacy

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

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

www.sentryds.com

www.visanteinc.com

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Professional Medical-grade Cold Storage

GX Solutions Freezers Round Out Vaccine Storage Portfolio There’s never been a more critical time to safeguard your vaccine inventory.

Meet existing CDC standards for safe vaccine storage Prepare for new NSF standards Eliminate costly temperature excursions Gain energy efficiency with OptiCool™ technology

GX Solutions: the first professional medical-grade refrigerators and freezers Energy savings | Quiet operation | Supports sustainability

Learn more: helmerinc.com/vaccine-refrigerators

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

GX Solutions Freezers Round Out Helmer’s Vaccine Storage Portfolio GX Solutions provide vaccine storage options to meet CDC guidelines and emerging NSF standards. President:

Bruce King

Vice President of Sales & Marketing: Lori Gabrek Founded: 1977 Employees: 300 Toll-Free Phone:

(800) 743-5637 (317) 773-9073 Address: 14400 Bergen Boulevard, Noblesville, IN 46060 Website: www.helmerinc.com 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 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 have been applied to the design and development of the Helmer pharmacy cold storage products.

Product Overview

GX Solutions professional medical-grade freezers launched early this year to complete Helmer’s line of vaccine storage options. GX Solutions freezers are designed for the unique needs of critical healthcare applications such as medication and vaccine storage. Only professional medical-grade freezers deliver optimized control in three important areas: temperature, noise, and energy management.

Additionally, GX Solutions are designed to meet CDC guidelines for vaccine storage, as well as emerging standards for vaccine storage through NSF. The CDC recommends using a purpose-built or medicalgrade vaccine storage unit with a digital data logger (DDL) to safeguard vaccines. Helmer’s next generation iSeries freezers provide temperature data in real-time and access to event logs to help providers meet CDC guidelines. The Joint Committee for Vaccine Storage, NSF, have drafted testing protocols and standards to ensure vaccines remain within required temperatures in real world conditions. GX Solutions have been designed and tested against this standard to meet NSF guidelines. It is expected these standards will be approved in 2021 and eventually adopted as part of the CDC guidelines.

Features & Options GX Solutions Offer:

• Professional, medical-grade performance including optimal temperature uniformity, recovery, and stability; noise reduction; and decreased energy usage. • Continuous monitoring by the i.C3® Information Center which provides safety and security for the stored products, performance history records, and data download. • Customized storage options which include ventilated, pull-out pharmacy drawers, ventilated shelves, and solid drawers to maximize facility storage needs. • Medication and vaccine storage optimization supporting CDC guidelines for vaccine storage, and integration with automated dispensing systems.

Graphs & Charts

GX Solutions are powered by OptiCool™ technology and pairs a variable capacity compressor (VCC) and natural hydrocarbon refrigerants to efficiently manage energy consumption. VCC and evaporator fans ensure temperature-sensitive products and samples remain stored under the appropriate conditions. For example, when doors of a medicalgrade freezer are opened, or product with heat-load is introduced into the cabinet, it is critical that the cold storage unit recovers temperature quickly. In this case, the VCC and evaporator fan will run at the highest speed possible to rapidly bring temperatures into range. When cold storage is not used for extended periods, the VCC and evaporator fan will run at very low speeds to efficiently maintain temperatures. OptiCool™ technology uses a naturally occurring refrigerant that is U.S. Environmental Protection Agency (EPA) and Significant New Alternatives Policy (SNAP) compliant. This natural refrigerant is environmentally friendly, having no impact on ozone depletion and an astonishingly low Global Warming Potential (GWP) grade. SUMMER 2021

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We’ve Got You

Covered

FULL LINE OF USP <797> & <800> COMPLIANT PRODUCTS

Pre-Saturated Wipers by Pharma-ChoiceTM

» » » » »

Cleaners & Disinfectants Sterile & Non-Sterile Wipers Disposable Cleanroom Apparel Environmental Controls Cleanroom Supplies

» » »

70% IPA / 30% WFI Available in multiple sizes Sterile & Non-sterile

In Stock & Available at

AmerisourceBergen Cardinal McKesson SPEAK DIRECTLY WITH A PRODUCT EXPERT 888.909.7700 | pharma-choice.com info@acutecareonline.com Poway, CA

Featured: Pharma-Sat Canister, Pharma-Sat Plus in Sterile & Non-sterile TM

COMPANY

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Acute Care Pharmaceuticals — Leader in USP <797> and <800> Compliant Products Your one-stop shop for all things USP <797> and <800>. We make your buying experience easy with multiple GPO contracts and products available at your favorite wholesaler.

President & CEO: Tom Friedl Founded: 1992 Employees: 17 Phone:

(888) 909-7700 Address: 12195 Dearborn Place Poway, CA 92064 Website: pharma-choice.com

Company Background

For decades, Acute Care Pharmaceuticals has been the pharmacy cleanroom supplier of choice, delivering exceptional products and service to healthcare providers nationwide. We have been pioneers in the industry long before the guidelines became requirements. This has put us at the forefront of the pharmacy compounding market and made us true experts in the day-to-day real-world requirements of USP <797> and <800> regulations. We offer an unparalleled range of USP <797> and <800> compliant disposable products that are manufactured under the highest standards. This unique dedication to compliance, coupled with our decadeslong commitment to partner with hospital pharmacies and critical environments, has helped make Acute Care a market leader. As part of the Hospeco Brands Group, Acute Care Pharmaceuticals has access to the entire Hospeco family of cleaning and safety products making us even better equipped to satisfy your facilities critical environment needs. This new broader range of products has given us the ability to be the supplier of choice to a wide range of healthcare related entities, including independent (non-hospital) pharmacies, labs, veterinary pharmacies, nursing homes, aerospace manufacturing, food processing, medical device manufacturing, and more.

Product Overview

Our broad range of products and services affords us the opportunity to supply your facility with all your most important safety and cleaning needs. With 20 GPO and IDN contracts in place, our goal is to make your buying experience simple and easy. Our Pharma-Choice™ brand of products are stocked at a variety of national distribution partners including among others, AmerisourceBergen, Cardinal, and McKesson where you can receive your special discounted contract pricing. We supply: • Sterile Alcohol • Non-Linting Wipers (Dry and Pre-Saturated) • Disinfectants • Media Test Kits

• Gloves • Disposable Apparel • Personal Protective Equipment • Crash Cart Kits

Key Business Partners • AmerisourceBergen • Cardinal • McKesson • Medline • AvMedical

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 • AORN Global Surgical Conference & Expo

GPO Affiliations

• APCI • Asembia • GeriMed • HealthTrust (HPG) • Intalere (Amerinet) • MHA • Premier • The Resource Group (Ascension Health) • Vizient SUMMER 2021

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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

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 à la 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.

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CAS E S TU DY SUMMA HEALTH AND LEITERS COLLABORATE TO REDUCE OPIOID USE BACKGROUND For a patient, the statistics paint a grim picture regarding the effects of opioids. Every day, more than 115 people die from opioid overdoses.1 A one day use of an opioid prescription may pose a six percent risk of long-term opioid use, and dependency can start within three days of initial opioid use.2 Opioid addiction invades homes, schools, and communities, leaving devastated lives in its wake. Summa Health, a nonprofit integrated healthcare delivery system in Northeast Ohio, is more committed than ever to conquer the opioid crisis. To support this commitment, it has set a goal to eliminate opiates from its operating rooms completely.3 While Summa Health has already made significant headway on achieving this goal, additional help combating opioid use came from Thomas Mark, M.D. Chair, Department of Anesthesia, with the concept of a compounded multi-drug nerve block using three non-opioid drugs: bupivacaine HCI, dexamethasone sodium phosphate, and epinephrine.4 “Summa Health’s intent for this combination drug product is to reduce opioid use, improve patient outcomes and satisfaction, minimize complications, and shorten hospital stays,” said Dr. Mark. Initially, Dr. Mark collaborated with his pharmacy colleagues, John Feucht, Vice President of Pharmacy Services, and Glenn Huth R.Ph., Director of Pharmacy Operations, to compound this formulation in-house. However, as demand for the combination product increased, it brought new challenges for the hospital and pharmacy. Quality assurance, increased regulatory compliance, capital expenditures, drug shortages, and a national scarcity of pharmacy technicians make it difficult for hospitals, surgery centers, and clinics to compound higher volumes of complex combination drugs in-house. Furthermore, the increased expectations of regulatory agencies, accreditation organizations, and consumer groups lead many pharmacists to outsource their drug compounding to a high-quality 503B organization. Summa Health realized that collaboration was essential for success in reaching its goal to eliminate opiates from its operating rooms. The team at Summa Health understood that

www.leiters.com

CAS E S TU DY

“

We required a compounding pharmaceutical company that received high grades in quality, compliance, consistency, service, and standardization. This endeavor could not produce variation in the product. Our decision to choose Leiters ultimately came down to their overall expertise. John Feucht Vice President of Pharmacy Services ~ Summa Health

this combination drug product would require heightened regulatory oversight to ensure a robust formulation that delivered the required dosage of each of the three drugs, as well as consistency and quality of supply. Summa Health decided it would need to collaborate with an innovative, forward-thinking partner with superior capabilities to fully develop and manufacture the product under current Good Manufacturing Practices (cGMP) regulations. This case study details the extensive efforts that Mark, Feucht, and Huth applied to find an FDAregistered 503B outsourcing partner that could efficiently and effectively manufacture and deliver the opioid-free nerve block agent to their health system.

DECISION TO OUTSOURCE The Summa Health team defined the necessary criteria and conducted comprehensive due diligence that ultimately led them to an innovative, reliable partner. However, the path presented problems. Feedback from prospective 503B partners ranged from a lack of capabilities and confidence to formulate the combination drug product with the requisite quality and testing to vendors not having the operational and production resources to meet demand. After expanding the outreach, the team’s research led them to Leiters — an FDA-registered 503B outsourcing provider of high-quality ready-to-use (RTU) compounded sterile preparations (CSPs). Leiters state-of-the-art facility located in Denver, Colorado follows cGMP and employs a multidisciplinary team with deep experience in cGMP, sterile pharmaceutical product development, manufacturing, compounding, and repackaging that ensures all products are released under the highest quality and regulatory compliance standards. “We required a compounding pharmaceutical company that received high grades in quality, compliance, consistency, service, and standardization. This endeavor could not produce variation in the product,” said Feucht. “Our decision to choose Leiters ultimately came down to their overall expertise in sterile manufacturing, quality, compliance, and capacity.” Moreover, Leiters demonstrated they could deliver consistent, high-quality pharmacy and sterile compounding services, including extended beyond-use dating and proof of batch-level sterility, potency, and endotoxin testing. As a pharmacist and Vice President of Business Development at Leiters, Steven D’Amico RPh, understood the challenges facing Summa Health. Leiters spent significant time with the stakeholders at Summa Health to understand their requirements in order to begin the product development process. The Leiters research and development team, involving scientists, microbiologists, pharmacists, and engineers, follows a robust product development process5 consisting of — but not limited to — the following activities: • Feasibility testing on varying formulations, components, and processes. • Initial purity and stability testing for the chosen formulation. • Full stability studies to assess product formulation, purity, and stability to determine Beyond Use Date (BUD). • Testing for potency, lack of impurities, pH, clarity, visible and subvisible particles, sterility, endotoxin, container closure integrity, and other needs required for each product formulation. “Leiters is committed to collaborating with our healthcare partners to support their clinical needs by providing the highest quality compounded sterile preparations,” said D’Amico.

www.leiters.com

CAS E S TU DY

“

Leiters is committed to collaborating with our healthcare partners to support their clinical needs by providing the highest quality compounded sterile preparations. Steven D’Amico, RPh Vice President of Business Development ~ Leiters

KEY BENEFITS OF OUTSOURCING TO LEITERS Leiters, founded in 1926, has a long history of evolving and innovating to meet the latest regulatory requirements and market needs. They produce all of their sterile preparations under Section 503B of the FD&C Act (503B Guidance), cGMP, and USP <797>. Their facility consistently upholds all standards based on the audits conducted by the FDA, States of California and Florida Boards of Pharmacy, multiple health systems, group purchasing organizations, and other independent accreditation organizations. Partnering with Leiters provides the following benefits to partners: • Decreasing the compounding burden on pharmacists and pharmacy technicians, allowing them to focus on essential pharmacy tasks and their patients. • Providing a consistent and reliable supply of high-quality RTU pre-packaged and labeled CSP’s. • Inherent safety factors by using repeatable validated cGMP aseptic processes. • Supporting your facility during drug shortages. • Extended Beyond Use Dates (BUD) to enable better inventory management and reduce waste. • Documented quality reporting. Quality Assurance and Laboratory Testing Every product produced at Leiters goes through rigorous quality assurance processes, and all testing is completed by independent laboratories. • Prior to commercialization, each new product completes a development process including independent laboratory confirmation of identity, potency, and sterility. • Independent laboratory testing of chemical and microbiological characteristics, including identification, bioburden, and endotoxin of all incoming active and inactive ingredients. • Use of aseptic processes and sterile filtration during production to enhance Sterility Assurance Level (SAL). • Stability testing is performed before producing batches. • BUDs are established based on product-specific stability testing of both chemical and microbiological characteristics. • Microbiological and chemistry testing (including sterility, endotoxin, potency, identification, impurities, particulate-sub visible, visual appearance, and pH testing) is completed before any product release. In addition, Leiters provides a Certificate of Analysis (CoA) with every shipment, detailing all the requisite testing. Leiters uses state-of-the-art equipment and automation throughout their sterile manufacturing process including — but not limited to — vertical laminar flow hoods, bio-decontamination system, negative-pressure isolators, laboratory fume hoods, biosafety cabinets, automated syringe filling and inspection, and automated labeling machines. “Leiters consistently meets or exceeds all requirements, regulations, demands, and reformulations. They have safely made changes with us to tailor a drug that consists of one compounded formula that we use for 19 different nerve blocks,” said Feucht.

www.leiters.com

CAS E S TU DY

“

Leiters consistently meets or exceeds all requirements, regulations, demands, and reformulations. They have safely made changes with us to tailor a drug that consists of one compounded formula that we use for 19 different nerve blocks. John Feucht Vice President of Pharmacy Services ~ Summa Health

www.leiters.com

RESULTS Summa Health and Leiters have collaborated for over two years on this compounded nerve block agent. Leiters has consistently provided Summa with a high-quality compounded formulation in a RTU pre-filled syringe that has allowed Summa to provide their patients with an opioid-free drug. By outsourcing the compounding of this drug to Leiters, Summa Health has realized many positive improvement in their pharmacy operations. They entail: • Improved shelf life. Leiters service offers a 90-day shelf life, a substantial increase over previous in-house nine-day shelf life. • Procurement of the RTU syringes, removed a vast compounding burden from the pharmacy technicians enabling enhanced patient care and safety by providing medicines in a dose that is ready to administer. • Streamlined and improved the previous time-consuming effort of compounding in house. • Consistent and reliable delivery. • Decreases the potential for medication error by providing a pre-printed and labeled RTU syringe.

CONCLUSION The partnership between Summa Health and Leiters exemplifies a successful collaboration between the surgical department, hospital pharmacy, and a 503B outsourcing facility. D’Amico summarizes the relationship with Summa Health as, “A great collaboration across the continuum of care. Together, we are improving patient care and pharmacy operations. While this project began as a formulation for one health system, we see this as a broader opportunity for many physicians and health systems.” “Summa Health and Leiters are well on the way to eliminate opiates from the operating room,” said Dr. Mark. “Their services have been critical to our success.”

References: 1 https://www.summahealth.org/flourish/entries/2018/11/eliminating-the-need-for-opioids-in-surgical-procedures 2 https://leiters.com/on-q-pain-relief-system-fill-service/ 3 https://www.cleveland19.com/2019/02/21/summa-health-working-eliminate-opioids-all-surgeries/ 4 A provisional patent for the combination product was filed by Leiters on April 14, 2021 5 Contact Leiters for additional information about our new product development process

TRANSFORM YOUR INPATIENT PHARMACY ü Improve Financial Performance ü Enhance Operational Capabilities ü Better the Patient Experience

CONSIDER SOME OF OUR RESULTS

•

Revealed a $28 million cost savings opportunity for a large hospital

•

Addressed hyperinflated drug use and reduced costs by more than $6 million

•

Captured $11.9 million in cost savings for a mid-sized hospital

•

Reduced readmissions from 15% to 2% through medication management

PHARMACY MANAGEMENT

PHARMACY CONSULTING

BEHAVIORAL HEALTH

SUPPLY CHAIN/ MATERIALS MANAGEMENT

TELEPHARMACY

REHABILITATION SERVICES

340B SOLUTIONS

SPECIALTY & AMBULATORY

Interested in discussing how our solutions can help your pharmacy staff, caregivers, and patients?

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

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Comprehensive Pharmacy Services

A leader in providing pharmacy management services, CPS empowers hospitals and healthcare organizations to advance the performance standards of their pharmacy as champions of clinical, operational, and financial excellence. verification of incoming orders. Transitions of Care supports existing admission, discharge, and follow-up care routines. Telepharmacy solutions have been proven to reduce readmissions, lower costs, and improve clinical outcomes. The CPS TELEpharmacy team serves hospitals and healthcare organizations nationwide by enabling their inhouse pharmacy teams to streamline how they operate while committing greater focus to clinical care.

President & CEO: Frank Segrave Founded: 1971

Employees: 2,500 Phone:

(800) 968-6962

Address: 655 Metro Place S., Suite 450

Dublin, OH 43017

Website: www.cpspharm.com

Company Background

Founded 50 years ago, Comprehensive Pharmacy Services, LLC (CPS) is one of the nation’s largest providers of pharmacy services for hospitals and healthcare facilities. Serving more than 800 partners with the best in technology, resources, and process solutions, CPS empowers healthcare leaders to tackle complex challenges affecting their pharmacies. Through a suite of value-added solutions, CPS provides support for inpatient pharmacy management, pharmacy consulting, 340B, telepharmacy, specialty pharmacy, material management, rehabilitation, and more. These solutions position healthcare leaders to realize excellence within their pharmacy — clinically, operationally, and financially — all while supporting patients, caregivers, and staff.

Product Overview

A national leader in pharmacy management solutions, CPS delivers expertise and resources to ensure that pharmacies reach their full potential.

Suite of Solutions

n CPS Inpatient Solutions CPS Inpatient Pharmacy Management and Consulting Solutions support pharmacies in achieving performance excellence. For leaders seeking to revitalize their pharmacies, these solutions leverage expertise, proprietary technologies, and resource solutions delivered by subject matter experts to generate transformational improvements and measurable ROI. Inpatient management and consulting solutions are tailored to meet the unique needs of each partner site and prioritize their initiatives, such as cost savings, regulatory compliance, waste mitigation, and antimicrobial stewardship. CPS delivers advanced pharmacy performance and excellence across the continuum and grants healthcare leaders the vision and support required to make the most of their pharmacies. n CPS TELEpharmacy CPS TELEpharmacy delivers seamless 24 hours a day, a week, 365 days per year, remote licensed pharmacy provide local pharmacy teams with additional supportive bandwidth. Remote order entry and verification provides HIPAA-compliant connections to help with processing,

seven days support to operational support via entry, and

n CPS 340B Solutions Leverage exceptional 340B program knowledge and expertise to make the most of your 340B program. A leader in 340B program compliance since inception in 1992, CPS 340B teams guide covered entities in achieving compliance while maintaining a constant state of readiness for audit. CPS 340B Optimization further supports covered entities as they strive to make the most of their program via improved referral capture, program expansion, identification of purchasing opportunities, and more. n Specialty and Ambulatory Solutions — SPARx SPARx empowers healthcare leaders to realize their vision for specialty and ambulatory pharmacy through best-in-class processes, software, and expertise. SPARx provides a comprehensive set of solutions addressing all facets of the outpatient pharmacy ecosystem including retail, specialty pharmacy, and infusion. SPARx partnerships bring commercial, independent, and hospital-owned specialty pharmacy expertise to bear to empower healthcare organizations to own their specialty pharmacy and associated revenue stream. SPARx also drives access to payer networks, LDDs, and reimbursement optimization. n CPS Rehabilitation Services The CPS Rehabilitation Services team brings a patient-focused, datadriven approach for departments seeking to improve performance and outcomes. With an emphasis on compliance and operational efficiency, the CPS Rehabilitation Services team delivers excellence while exceeding expectations to delivering operational excellence through physical, occupational, speech rehabilitation, and management services. n CPS Supply Chain Solutions The CPS Supply Chain Solutions team guides materials management in helping facilities achieve new levels of quality and performance through best-in-class solutions. CPS leverages proprietary software to maintain visibility to performance via real-time cost savings monitoring, department goal tracking, KPI benchmarking, and vigilance to upcoming contract renewals. The CPS team positions materials management teams for success by ensuring communication with supply chain partners when shortages and other critical issues arise.

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Tell us about your project... we will make your vision a reality! CABINETS, METALS, PLASTICS, & PRINT BY DESIGN

WATCH YOUR STEP

WATCH more brilliant solutions from HCL®!

GOHCL.COM

DIY LABELS

1.800.848.1633

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Health Care Logistics® By Design: Real Solutions, Right Away Customers achieve measurable results with high-quality cabinets and storage containers, functional equipment, and full-color graphics designed to their exact specifications. President & CEO: Gary Sharpe Founded: 1978 Toll-Free Phone:

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

Company Background Unique and hard-to-find products are the lifeblood of our business. That includes manufactured solutions made by skilled technicians in our central Ohio facilities. By Design is where our manufacturing talent converts customer ideas into highquality cabinet, metal, plastic, or print products made to their exact specifications. Best of all, we deliver those made-to-order solutions in five working days or less. Product Overview Our goal is firm — create functional products to improve everyday workflow — there are no limits to our design capabilities. We can turn virtually any idea into reality without outrageous upcharges or extended shipping schedules. Start with a no-obligation, no-cost digital proof for a cabinet, metal, plastic, or print project today! Product Specifications n 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. The process starts with our free 3D Design Service, which provides a virtual layout of the targeted space paired with unique solutions that showcase specific design goals. We can create performancerich products in multiple sizes, styles, and colors that make it easier than ever to achieve a customized brand. Cabinets by Design offers the quickest, easiest, and most affordable way to maximize organization and efficiency. All units ship in five working days or less so customers can get the look they want without the wait.

n Metals by Design and Plastics by Design One-of-a-kind items manufactured to match individual customer requests. Modifications to stock products are also available. These allow customers to work more efficiently and produce better results. From stainless steel storage containers, lock boxes and utility trays to specially sized plastic lock boxes and dividers, we have the engineering and manufacturing capabilities to design and modify products or create affordable replacements that meet the everyday needs of our customers. We can create and modify functional products using stainless steel, aluminum, acrylic, PETG, polycarbonate, polystyrene, HDPE, and PVC. There are no limits to our design capabilities. Whether customers want to simplify USP compliance or better manage changing trends, we can design a solution and deliver it quickly. n Printing and Graphics by Design From labels, magnets, and clings to banners, signs, and stamps, our print specialists can create solutions for any situation. Prevent the confusion that results from the unknown by communicating a consistent message for all products across all departments. Choose the size, color, and style of your message and our print team will create it. Kicking off a marketing campaign? We can help with an assortment of fun promotional materials. Our print experts can hot stamp a customer logo, message, or facility information on a variety of products. Our process ensures a professional finish with lasting results. We can print as few as 50 or as many as 1,000+ — and quick!

Ordering Information

It’s easy for customers to begin their design journey. Complete a cabinets, metal, or plastics options request form, view our Print By Design options, or call our product specialists at (800) 848-1633 to discuss options.

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ENVIRONMENTAL MONITORING Q & A

Q&A

Rosemary Kalenze, PharmD Outpatient Pharmacy Manager Altru Health System

Q. What does environmental monitoring look like in your pharmacy settings? It looks different depending upon the setting but is important and required in each. In all settings we continuously monitor the temperature of the ambient spaces, refrigerators, and freezers. We also monitor humidity of our storage and medication preparation areas.

Q. How does environmental monitoring factor into your packaging and shipping processes? We have worked with a third-party vendor to validate our shipping models to ensure that all medications sent to our patients stay within the acceptable temperature range for the duration of the shipment. This includes both refrigerated and room-temperature products.

Q. What considerations are made when packaging a medication shipment? In North Dakota, we have extremely cold winters and our summers can also see extreme heat. Depending on the time of year, our packing methods may be quite different to keep our products at ideal temperatures. We worked to validate our refrigerated and room temperature medication shipments in a variety of conditions to determine a reliable standard packing method for each season.

SUMMER 2021

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

Q. What technology do you use to support environmental monitoring in your facility? All of our medication storage areas are under constant humidity and temperature monitoring. This data is available on a health system dashboard and alerts are pushed through to our facilities and leaders when readings are trending out of range. This allows our teams to activate a corrective action to keep our medications in proper storage conditions.

Q. How are you contacted if there is a problem with environmental readings? Our refrigeration monitors relay a text message to the leaders anytime a refrigerator or freezer is out of range. This includes the readings to allow us to make an informed, immediate decision any time of day or night. If room temperature or humidity is out of the range, our facilities team will either contact the area directly or if after hours, the leader will be called at home to initiate a corrective action.

Q. What technology and materials do you use in shipping? To initially configure our pack-out methods we include electronic data trackers in the test shipments which record and transmit temperature for the duration of the shipment. This allows us to adjust our pack out materials until we achieve the desired temperature

Q. How do you determine the safe limits for temperature and humidity? We look to USP 659 Packaging and Storage Requirements, USP 795 for nonsterile compounding, as well as specific product manufacturer guidance.

Q. Why is environmental monitoring important in your work? We need to be sure that the medications we give our patients are in perfect condition. Our patients trust that we are giving them medication that has been handled properly and is going to be effective. Tight environmental monitoring allows us the confidence to know we are meeting this expectation.

Q. Who in your health system is involved with environmental monitoring? Our facilities team is in charge of the maintenance and monitoring of environmental controls. Leaders of all

BIOGRAPHY

areas are responsible for determining their parameters, creating policies to ensure compliance with regulatory bodies and for activating emergency plans when needed. Our inpatient pharmacy IV room coordinator is responsible for validating and monitoring staff competency, developing and maintaining policies, and collaborating with facilities on all cleanroom USP 797/800 activities.

ENVIRONMENTAL MONITORING Q & A

range for a given duration. We use frozen and/or room-temperature ice packs, bubble wrap, boxedStyrofoam coolers, or padded mailing envelopes. We spot check our methods semi-annually using electronic data trackers.

osemary Kalenze, PharmD R Outpatient Pharmacy Manager, Altru Health System

Rosemary Kalenze, PharmD is the manager of outpatient pharmacy services at Altru Health System in Grand Forks, North Dakota. This includes specialty pharmacy, retail pharmacy, home infusion

and ambulatory care pharmacy. Rosemary has been an outpatient pharmacist for 19 years in Alaska, New York, and North Dakota.

SUMMER 2021

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

ENVIRONMENTAL MONITORING B u y e r ' s G u i d e

ENVIRONMENTAL MONITORING Buyer’s Guide 2DI / Two Dimensional Instruments, LLC 7311 Highway 329, Suite 910 Crestwood, KY 40014 (502) 243-0042 www.e2di.com Azzur Labs, LLC 4125 Independence Drive, Suite 5 Lehigh Valley, PA 18078 (484) 550-7709 Azzurlabs.com CenTrak 826 Newtown-Yardley Road Suite 101 Newtown, PA 18940 (215) 860-2928 Centrak.com Checkit 485 Mariner Boulevard Spring Hill, FL 34609 (941) 462-1067 www.checkit.net/tutela Cold Chain Technologies 135 Constitution Boulevard Franklin, MA 02038 (800) 370-8566 www.coldchaintech.com

SUMMER 2021

Emanate Wireless 675 Alpha Drive, Suite G Highland Heights, OH 44143 (844) EMANATE (362-6283) www.emanatewireless.com

ISO-MED 1220 Graphite Drive Corona, CA 92881 (800) 797-1405 www.iso-med.com

EoScene P.O. Box 1740 Renton, WA 98057 (800) 541-0683 www.eoscene.com

Marathon Products Inc. 14500 Doolittle Drive San Leandro, CA 94577 (800) 858-6872 Marathonproducts.com

Hampshire Controls Corp. 1 Grove Street, P.O. Box 516 Dover, NH 03821 (866) 469-9424 ow.ly/E84650EnD9G

Pelican BioThermal 3020 Niagara Lane N Plymouth, MN 55447 (763) 235-4800 www.pelicanbiothermal.com

Health Care Logistics 450 W Town Street Circleville, OH 43113 (800) 848-1633 Gohcl.com

Primex Wireless 965 Wells Street Lake Geneva, WI 53147 (262) 729-4858 www.primexinc.com

Infinity Laboratories 1585 South Perry Street Castle Rock, CO 80104 (303) 730-7330 www.infinitylaboratories.com

Rees Scientific 1007 Whitehead Road Ext Trenton, NJ 08638 (609) 530-1055 www.reesscientific.com

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

SensoScientific 685 Cochran Street, Suite 200 Simi Valley, CA 93065 (800) 279-3101 www.sensoscientific.com SmartSense by Digi 186 Lincoln Street, 9th Floor Boston, MA 02111 (866) 806-2653 www.smartsense.co Temptime, Now a Part of Zebra Technologies 116 American Road Morris Plains, NJ 07950 (973) 984-6000 Temptimecorp.com Testo, Inc. 2 West Market Street, Suite 500 West Chester, PA 19382 (800) 227-0729 www.testo.us Veracity Group, Inc. 7575 E. Kemper Road Cincinnati, OH 45249 (888) 369-3601 Versatrak.com

ENSURING THE SA FE T Y O F YO U R PAT I E N T S – T H AT ’ S W H AT M AT T E R S .

Our experts will partner with you throughout every step of the development process to validate everything from your environmental monitoring and aseptic compounding procedures to the integrity of your finished product.

SERVICES • • • •

USP <797> Compliance Environmental monitoring Compliance on Demand ™ aseptic compounding test kits USP <71> and Rapid Sterility testing

Analytical Lab Group is now Element – allowing us to offer expanded testing options to better serve our clients. Contact us today to learn more or to get your project started. contact.us@element.com

element.com

+1 888 786 7555

TEMPERATURE INTELLIGENCE®

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

Temptime Temperature Intelligence® Solutions — Monitoring Devices and Integrated Solutions for Medication Shipments, Storage, and Pharmacy Facilities Providing the devices and information to accurately monitor temperaturesensitive medications, indicating if they have been exposed to temperature events that could impact their effectiveness in treating patients.

President:

Anders Gustafson Founded: 1987 Employees: 90 Phone: (973) 630-6000 Fax: (973) 630-6100 Address: 116 The American Road Morris Plains, NJ 07950 Website: www.temptimecorp.com

Company Background

More than 30 years ago, Temptime Corporation 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-to-use, patient-centric temperature monitoring solutions to include those designed for both pharmacy and patient use. In 2019, Zebra — an innovator at the edge of enterprise solutions with expertise in healthcare, among other industries — acquired Temptime.

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: • Visual, low-cost, chemically-based heat and freeze indicators for blood products, vaccines, biologics, and other medication during storage. • Heat and freeze indicators for monitoring medication during shipment. • Sophisticated electronic, wireless temperature and humidity monitoring systems with cloud-based data storage and sharing. Zebra is striving to improve supply chain efficiency, global health, and patient care through the effective deployment of devices and solutions that identify temperature excursions and provide information so that action to be taken.

Product Specifications

The M-300 and S-400 programmable dataloggers are ideal for monitoring temperatures during transport or storage, letting users: • View and share temperature data with 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 Package Performance Qualification Testing

For specialty pharmacies, Package Performance Qualification (PPQ) testing ensures that the shipment packaging is able to provide the necessary temperature range for the required period of time during transport of critical and often lifesaving medications to patients. More than that, PPQ testing is also required for certain pharmacy accreditations, such as URAC. These wireless monitoring devices help specialty pharmacies simplify PPQ testing while providing data and information to optimize packouts. Customized Third-Party PPQ 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. They are simple to read and understand, so patients can tell at a glance if medication has been handled within the appropriate temperature range. These devices instill a higher level of patient confidence so that unnecessary, costly reshipments due to suspected temperature damage can be reduced or eliminated. These cost-effective, single-use indicators also help specialty pharmacies comply with state regulations.

n Wireless Monitoring Systems The family of wireless Bluetooth®-enabled sensors monitor and record temperature data 24 hours a day, seven days a week.

Testimonial

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.

* Based on “Experience of Specialty Pharmacies in TransTracker Product-in-Use Patient Research” with over 8,000 patient responses.

97% of medication recipients said they prefer a specialty pharmacy that uses the TransTracker® indicator in its shipments.*

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

Trusted Hospitals put their trust in Comprehensive environmental monitoring is critical to a hospital’s ability to earn trust in its adherence to safety protocols. ISO-MED is your trusted partner in that effort, with a full range of products that not only maintain a sterile cleanroom, but test for compliance with a clean compounding environment.

See why ISO-MED has been a trusted hospital supplier for over a decade with our solid combination of quality, selection, service and convenience.

Order online:

iso-med.com

Call for fast reordering:

800-797-1405

1220 Graphite Drive, Corona, CA 92881 USA | 800-797-1405 | sales@iso-med.com | www.iso-med.com

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

Trusted Hospitals Rely on ISO-MED Comprehensive environmental monitoring is critical to a hospital’s ability to earn trust in its adherence to safety protocols. ISO-MED is your trusted partner in that effort, with a full range of products that not only maintain a sterile cleanroom, but test for compliance with a clean compounding environment.

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 a trusted hospital supplier with a solid combination of quality, selection, service, and convenience. We supply quality products for pharmacy cleanrooms and other medical industries in the United States. We provide high-grade supplies for cleanrooms, laboratories, home-care, and more. We strive to achieve and maintain compliant sterile compounding environments.

Product Overview ISO-MED maintains the largest and broadest portfolio of on-theshelf warehouse supplies. We offer customized supply plans, a seamless e-commerce customer experience, easy ordering with matching manufacturer, and dependable purchasing/supplier aggregation services. With one-on-one scheduled training services, we increase the efficiency of your purchasing processes, consolidate your portfolio, and link your on-site supply demand to your inventory management processes. Offering value-added services, we provide consistent customer service and on-time delivery with a streamlined transaction process. We are driven to help healthcare-oriented organizations save money.

Features & Options ISO-MED not only has products that help a hospital conform to cleanroom standards, but we also offer the following products for testing cleanliness. n ICR Plus TSA LT Contact Plates Environmental monitoring for isolators and cleanrooms (surface and air monitoring). n Tryptic Soy Agar Added measure to assure sterility in your environmental monitoring program! Hardy Diagnostics contact plates are recommended for use in the cultivation of microorganisms from environmental surfaces.

Additional Product Modules n Premier Product Offerings • PPE Product Selection • HD Spill Kit • Chemotherapy Gowns and Supplies • Cleaning and Disinfection Solutions For every cleanroom or critical environment cleaning and disinfection program, ISO-MED offers several brands and ISO-MED, INC. formularies.

Markets Served • Hospital • Compounding • Infusion • Retail 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.

SUMMER 2021

H E A LT H S Y S T E M • I N F U S I O N 59

New products Reference guide | April 2021

Hospital unit dose AB 8-Digit #

Cardinal Health #

McKesson #

Morris & Dickson #

Product description

Strength

UD size

NDC 11

10250428

5676846

1574078

927012

Acetazolamide ER Capsule

500 mg

30 UD

60687-0578-21

10251783

5686407

1581669

930750

Atomoxetine Capsule

25 mg

30 UD

60687-0567-21

10254220

3703665

2302917

981878

Budesonide Capsule

3 mg

20 UD

60687-0596-32

10251391

5682570

1578202

919258

Diltiazem HCl Tablet

30 mg

100 UD

60687-0562-01

10251956

5687223

1583525

921866

Diltiazem HCl Tablet

60 mg

100 UD

60687-0573-01

10251974

5687330

1584333

921882

Diphenoxylate HCl/Atropine Sulfate Tablet (C-V)

25 mg/0.025 mg

100 UD

60687-0569-01

10254113

5703590

3790623

981910

Famotidine Tablet

20 mg

100 UD

60687-0595-01

10254284

5704150

3901725

982025

Fluphenazine HCl Tablet

5 mg

100 UD

68084-0846-01

10254285

5704143

3901741

982033

Fluphenazine HCl Tablet

10 mg

100 UD

68084-0950-01

10252050

5688189

1584887

921783

Gabapentin Capsule

100 mg

100 UD

60687-0580-01

10252051

5688197

1584903

921791

Gabapentin Capsule

300 mg

100 UD

60687-0591-01

10252014

5688205

1584911

921817

Gabapentin Capsule

400 mg

100 UD

60687-0602-01

10254190

5703012

2302966

981886

Hydrochlorothiazide Tablet

25 mg

100 UD

60687-0593-01

10249773

5682661

1577048

927301

Isoniazid Tablet

300 mg

100 UD

60687-0553-01

10254966

5709282

2303436

45013

Ketorolac Tromethamine Tablet

10 mg

30 UD

60687-0104-21

10252801

5692983

1591213

944314

Levothyroxine Sodium Tablet

200 mcg

100 UD

60687-0552-01

10250600

5687215

1575356

927640

Propafenone HCI Tablet

150 mg

100 UD

60687-0537-01

10254155

5703574

3691490

981803

Rifampin Capsule

150 mg

30 UD

60687-0575-21

10254131

5703582

3693793

981845

Rifampin Capsule

300 mg

100 UD

60687-0586-01

10180508

5391024

3700200

075291

Tolterodine Tartrate ER Capsule

4 mg

30 UD

60687-0330-21

Liquid unit dose AB 8-Digit #

Cardinal Health #

McKesson #

Morris & Dickson #

Product description

Unit strength

Cup Delivery

10249925

5676135

1574276

914382

Atovaquone Oral Suspension

750 mg/5 mL

5 mL

10251651

5699970

3579828

971820

Milk of Magnesia Saline Laxative

2400 mg/30 mL

30 mL

Cup strength 750 mg/ 5 mL 2400 mg/30 mL

Pack size

NDC 11

42 ct

60687-0534-78

100 ct

60687-0429-76

AH-100085 21.04

Hitting the mark AHP unit dose simplifies one of the most complex parts of your job – reliably obtaining needed treatments – in a format that promotes positive outcomes for your patients.

800.707.4621 americanhealthpackaging.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

American Health Packaging, Offering A Broad Portfolio Of Barcoded Unit-Dose Products With a responsive line of barcoded unit-dose oral solutions, a growing liquid unit dose offering, as well as individually wrapped inhalants, American Health Packaging continues to deliver on their commitment to supporting pharmacy efficiency.

President:

Bruce Bennett Toll-Free Phone: (800) 707-4621 Address: Columbus, OH 43217 Website: www.americanhealthpackaging.com

Company Background

Located in Columbus, Ohio, American Health Packaging (AHP) is an industry leader in manufacturing serialized, barcoded unit-dose (UD) medications provided for the healthcare marketplace. As a UD manufacturer, AHP’s commercially-available UD products are available to hospital, institutional, and long-term care pharmacies nationwide through partner GPOs and wholesalers. 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 and inhalants in 2019.

Product Overview

AHP is committed to supporting pharmacy efficiency through a diverse range of both high-utilization and niche treatments. Producing nearly 600 UD 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. AHP’s tailored offering of UD 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 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. As facilities nationwide compete to demonstrate they provide the highest quality of care, AHP UD 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.

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

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 “rights” by providing caregivers with as many products in a pre-packaged UD format as possible. Removing repackaging tasks from the pharmacy eliminates a potential point of failure during the UD process as medications arrive to pharmacies ready to dispense.

n Pharmacy Efficiency

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.

n Cost-Savings Opportunity

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. AHP UD 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 that may result from utilizing third-party repackaging services.

Hitting the Mark for BCMA, USP <800> Support

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 UD 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 has a number of NIOSH/USP <800> products already packaged for bedside dispensing which supports compliance to USP <800> handling procedures.

SUMMER 2021

H E A LT H S Y S T E M • I N F U S I O N 61

E L E VAT I N G S P E C I A LT Y P H A R M A C Y

Analysis shows that integrated specialty pharmacy model is associated with lower total cost of care1

62 62

Increasing participation in integrated SP model

Control group

Provider integrated group 2

Fully integrated pharmacy care model group

Filled Rx at SHS-affiliated SP

Yes

Specialty prescriber participated in SHS model

Yes

Risk-adjusted PMPM costs in 2019

$8,149

$7,683

$7,061

RESULTS In 2019, risk-adjusted PMPM costs were 13% lower for the intervention group as compared to the control group ($7,061 vs. $8,149 respectively). Patients whose specialty prescriber participated in the SHS care model but did not fill their prescription at an SHS-affiliated pharmacy had 6% lower risk-adjusted PMPM costs ($7,683 vs. $8,149 respectively).

13%

lower risk-adjusted PMPM costs for the intervention group compared to the control group Data from 2019; $7,061 vs. $8,149 respectively.

2. Patients in this group were seen by the same group of prescribers as patients in the integrated group. These patients received the initial benefits investigation, prior authorization support, and financial assistance from the integrated SP, but they did not receive pharmacy care beyond therapy initiation.

JOHN COURIS CEO OF TAMPA GENERAL

“Integrated specialty pharmacy is one of the most critical drivers of improved quality and economic outcomes for patients and health systems. In partnership with Shields, we have developed a program that delivers market leading medication adherence, which is critical for a specialty hospital and transplant center such as Tampa General. In addition, our program is now a new source of growth for our organization, enabling Tampa General to invest in new initiatives for patient care.”

THE SHIELDS CARE CONTINUUM

Shields Health Solutions’ dedicated clinical team of pharmacists, liaisons and patient support advocates, engages patients and their families to help educate, coordinate care and ensure patients receive specialty medication without significant delays.

Engage

Renew

Enhance

Intervene

Coordinate

Download the White Paper Breakthrough Strategies for Growth WHITE PAPER

Breakthrough Strategies for Growth How hospital owned specialty pharmacy can improve patient outcomes and total healthcare costs

DOWNLOAD

INNOVATION IN SECURE DRUG DELIVERY PREP-LOCK™ TAMPER EVIDENT CAPS

Help ensure the safe delivery of your compounds, comply with growing regulations, and enhance patient care. Strengthen <797> Compliance Ensure the integrity of your compounds with Prep-Lock™ Tamper Evident Caps.

Maintain Sterility Evidence of access indicates the potential compromise of content sterility.

Mitigate Diversion Serves as an active deterrent to potential diversion and misuse.

Prep-LockTM Tamper Evident Caps are available for a variety of devices. • IV Syringes • Oral Syringes • IV Bags

• ENFit® Syringes • CADD Cassettes

MADE IN THE USA

1.800.344.2554

IMI-501-AA-61 R2

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.

Product Overview

n Prep-Lock™ Tamper-Evident Caps for I.V. Syringes Compounded sterile preparations (CSPs) are at their greatest risk when they leave the custody of your pharmacy. The Prep-Lock TamperEvident 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 outsourced 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 Luer Lock 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 can provide 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 Prep-Lock Tamper-Evident Additive Port Cap provides remarkable protection and protocol assurance to the medication port of IV bags. They provide visual evidence that medication has been added, tamperevident protection, and reduce the risk of contamination. The simple one-handed installation and considerable contribution to the integrity of IV compounds have made these caps a favorite of pharmacist everywhere. 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 and increase confidence in your enteral medications by ensuring content's integrity from the time the syringe leaves the pharmacy until the time it is administered. The Prep-Lock TamperEvident Cap for ENFit Syringes 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 2021

H E A LT H S Y S T E M • I N F U S I O N 67

Unit Dose Done Right Brightly Colored Labels Call Attention to Meds Requiring Special Handling

Unit Dos e Bar Cod , ing, Pharma c Nursing y & Supply Experts !

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

Scan QR Code for more information and pricing.

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.

SUMMER 2021

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

CAS E S TU DY

GREENVILLE MEMORIAL MEDICAL CENTER PHARMACEUTICAL WASTE SOLUTIONS Jay Terry Manager of Pharmacy Operations, GMMC

OVERVIEW Greenville Memorial Medical Center (GMMC) is the 814-bed flagship facility of Greenville Health System (GHS), which is one of 12 hospitals that is now part of Prisma Health. Serving a variety of patient populations throughout the upstate and midlands regions of South Carolina, GMMC is committed to delivering the best possible patient care while promoting a safe, healthy, and efficient work environment for staff. This commitment holds true with regards to controlled substance waste disposal. In 2018, as the opioid epidemic continued to grow, GMMC, always cognizant of transforming health care for the benefit of the communities it serves, re-evaluated its processes to mitigate drug diversion, to ensure its controlled substance waste disposal methods were safe, compliant, and easy to implement. According to Jay Terry, Manager of Pharmacy Operations at GMMC, “We were familiar with Stericycle’s work because the company already handled and disposed of the hospitals’ other pharmaceutical waste. Since Stericycle’s waste management programs complement each other, organization leaders felt it made good sense to shift controlled waste disposal to Stericycle.” With the help of Stericycle’s CsRx® Controlled Substance Waste Service, GMMC standardized its approach to controlled substance waste management, lessening the staff’s burden involved in the effort and implementing a reliable and proactive program that cost-effectively mitigates the risk of diversion, while preserving the environment.

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stericycle.com/CsRx

CAS E S TU DY

“

Not only has the program been cost-effective and easy to implement, but the day-to-day aspects do not pull staff away from patients because Stericycle provides an end-to-end service.” Jay Terry Manager of Pharmacy Operations, GMMC

S O LV I N G C H A L L E N G E S Before turning to Stericycle, GMMC used another waste management company for controlled waste disposal and found several challenges with the equipment. First, the hospital’s pharmacy staff were tasked with servicing the waste containers, which entailed periodically emptying them, replacing batteries, setting up new receptacles, and so on. “Not only was this onerous, it also pulled staff away from their patient-focused duties, which was frustrating for both patients and staff,” said Terry. In addition, because the receptacles were relatively small, they often overflowed, resulting in an increased diversion risk as well as a safety hazard. By switching to CsRx, GMMC was able to remove the burden of servicing the containers from staff. Trained Stericycle technicians pick up the containers at predetermined times, and staff members do not need to be involved in the process. At the time of pickup, technicians add a solidifying agent to the waste to make it solid prior to shipping, preserving safety and further preventing diversion. They then replace used containers with new ones that are ready for immediate use. Once the technician removes the waste from the facility, it is completely disposed of through incineration, which is recommended by the Environment Protection Administration (EPA) and the Drug Enforcement Agency (DEA). Along with its superior service and reliability, GMMC was also attracted to Stericycle’s simple-to-use containers that automatically deactivate controlled substances on contact without requiring batteries or other tools. The specially designed receptacles render waste unusable, curtailing the chances of diversion. Because Stericycle technicians proactively pickup and dispose of the receptacles, they never overflow, maintaining a safe working environment.

stericycle.com/CsRx 71

CAS E S TU DY R E S U LT S By switching to Stericycle’s CsRx service, GMMC now has a streamlined and reliable process for disposing of controlled substance waste. “Not only has the program been cost-effective and easy to implement, but the day-to-day aspects do not pull staff away from patients because Stericycle provides an end-to-end service,” said Pearson. The program has reduced the risk of drug diversion through its proactive disposal processes and its use of waste containers that are engineered to mitigate theft. The service is environmentally friendly as well, using incineration to limit the possibility of controlled substances leaching into the surrounding environment. To further strengthen and increase mitigation of drug diversion, the participating Prisma hospitals utilize the product training that Stericycle provides, which involves an expert coming on-site to fully brief staff on how to properly dispose of controlled substance waste. Stericycle also offers posters, instruction sheets, and other collateral to easily remind staff how to follow procedures. By partnering with Stericycle, GMMC and its partner Prisma hospitals safeguard staff, patients, and the environment by employing Stericycle’s CsRx and other waste disposal services. Staff find CsRx to be safe and efficient, and organization leaders are confident that the hospital’s controlled substance waste disposal is reliable, consistent, and compliant. For more information, visit stericycle.com/CsRx or call (866) 338-5120.

stericycle.com/CsRx

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. ScriptPro solutions drive the success of thousands of independent, chain, hospital, supermarket, and government pharmacies around the world.

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 successfully 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 Comprehensive Pharmacy Software Solutions The unique needs of ambulatory pharmacy are easily handled with ScriptPro’s comprehensive pharmacy software solution. 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 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 vial-filling and adherence packaging robots enable any ambulatory setting to find the right fit for capacity, space constraints, and patient needs. Our robots are fully integrated with ScriptPro Workflow System, allowing you to track 100% of your prescriptions in your pharmacy. 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 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 2021

H E A LT H S Y S T E M • I N F U S I O N 75

raising the bar

One tool shows your 340B data

Data refreshed regularly

Easy-to-navigate dashboards

Multiple view drill-down

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

Sentry Data Systems — Expect More With a Trusted Leader in 340B Management and Compliance Sentry Data Systems is a pioneer in providing automated technology solutions that help providers manage 340B compliance, produce better quality, reduce the total cost of care, and reach more underserved patients. President & CEO: Travis Leonardi Founded: 2003

Employees: 350+ Toll-Free Phone:

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

Company Background

Since 2003, Sentry Data Systems has been providing healthcare organizations with 340B management and compliance solutions that help you make better business decisions. We deliver passion, expertise, and partnership every step of the way. As a company always at the forefront of innovation, we pair our solutions with a strong support team that helps you navigate complex waters and deliver on your mission. One example of our commitment to innovation is our standalone sister company, Agilum Healthcare Intelligence. Agilum’s revolutionary, proprietary longitudinal database combines objective, near real-time data with actionable analytics to deliver real-world evidence and enable the leap to value-based care.

Product Overview

Sentry can help you maximize your 340B benefit with powerful solutions that deliver the precision, compliance, insight, and savings you need to run a successful program. We offer: • The only fully integrated, longitudinal 340B audit record. • The industry’s only dedicated, 100% Apexus-certified audit team. • Proactive support, with almost 30% of our staff focused on customer success. • Longstanding industry leadership and advocacy on Capitol Hill. n Sentinel Hospital Procurement and 340B Compliance Sentinel uses proven methodologies and a robust feature set to 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. • Tracks dispensations from multiple sources, connecting the dots in the data and offering in-depth insights into the inventory. ®

n 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, and prescription type. n Sentrex330™ for Clinics Sentrex330™ helps community health centers expand 340B benefits to as many eligible patients as possible and remain compliant while reducing burden on staff. • Automates tracking of 340B dispensations and replenishment with the ability to review and adjust claims eligibility. • Supports patient assistance plans to allow for sliding scale fee. • Manages patients and providers in real time to ensure prescription eligibility.

Expect Innovation

n Claims Manager Plus: A solution to help you accelerate payment and minimize denials of pharmacy claims while managing complex reporting requirements. n CRCA ™ P&T: Agilum’s proprietary, longitudinal database provides real-world, near real-time data to deliver actionable insight into drug spending, utilization, and outcomes.

Expect Service

Senturion™ Services is a trusted extension of your team, with over 20 years of hospital pharmacy operations experience. We offer consulting expertise in areas including: orphan drugs, audit compliance, and data integrity.

Expect Transparency

n 340B Business Intelligence™: Our new Oracle-powered BI tool combines intuitive, drag-and-drop functionality that retrieves enterprise-wide data on factors like drug claims, dispensations, and total spend to provide advanced reporting, and insight into your 340B program performance. n Referral Verification System™: This service reviews referral prescriptions initially marked as ineligible to connect the dots, ensure 100% compliance and help you maximize 340B benefits.

Sentry Is Raising the Bar On 340B Reporting

Join us virtually at 340B Summer, where Sentry will demonstrate our latest 340B product enhancements including our new Business Intelligence solution, 340B BI™. Not attending? Join us for a virtual lunch and learn with live updates from the conference, insights from Sentry executives, and an interactive demo of 340B BI. SUMMER 2021

H E A LT H S Y S T E M • I N F U S I O N 77

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.

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

Leiters. We Are Compounding Health™ Leiters is a trusted FDA-registered 503B outsourcing provider of compounded sterile preparations committed to providing healthcare professionals and their patients with the highest-quality medications.

President & CEO: Robin Smith Hoke Founded:

1926 Employees: 200 Toll-Free Phone: (800) 292-6772 Phone: (720) 697-5140 Fax: (408) 288-8252 Address: 13796 Compark Boulevard, Englewood, CO Website: www.leiters.com

Company Background

Leiters, founded in 1926, is an FDA-registered 503B outsourcing provider of high-quality compounded sterile preparations and pharmacy services. Leiters has a long history of evolving and innovating to meet the latest regulatory requirements and market needs. All sterile preparations are produced under Section 503B of the FD&C Act (503B Guidance), follow Current Good Manufacturing Practices (cGMP) and USP <797>. The Leiters facility consistently upholds all standards based on the audits conducted by the FDA, States of California and Florida Boards of Pharmacy, multiple health systems, group purchasing organizations, and other independent accreditation organizations. The Leiters team of experts in sterile pharmaceutical manufacturing, repackaging, and compounding provide a sophisticated understanding of what it takes to elevate quality and consistency of supply in pharmaceutical outsourcing. Leiters combines a highly experienced team, with robust processes, in a new state-of-the-art outsourcing facility, to ensure delivery of the highest quality products and services.

Product Overview

Leiters provides ready-to-use compounded sterile preparations and pharmacy services across the continuum of healthcare, including hospitals, surgery centers, physician offices, and clinics. n Hospital Products • Prefilled operating room syringes and I.V. bags. • PCA (patient-controlled analgesia) prefilled syringes. • Surgical Pain Services portfolio including opioid free medications. n Ophthalmology Products • Prefilled syringes, vials, and dropper bottles including: injections, antibiotics, dilating agents, and topical anesthetics. • FDA-Compliant† Repackaged Avastin® Service. n ON-Q* Pump Fill Service • Pharmacy fill service for the Avanos Medical opioid sparing ON-Q* Pain Relief System. • Prefill pump services offered for both Bupivacaine HCl and Ropivacaine HCl.

Additional Information

We combine our team, our robust processes, and our state-of-theart outsourcing facility to ensure the highest-quality medications for healthcare professionals and their patients. Through three key pillars, people, place, and product, we are elevating the standards in pharmaceutical outsourcing.

Key Business Partners

Leiters is partnered with many market leading innovative healthcare companies that compliment what we do. The products and services offered by these companies may provide additional value to your organization. Our business partners include: Avanos Medical, Besse Medical, Cardinal Health OptiFreight®, Comprehensive Pharmacy Services, Eye Connect International, Hibernation Therapeutics, Kit Check, and Prodigy Health.

Trade Shows/Meetings Attended

Leiters supports and attends a variety of regional and national industry trade shows and conferences. Please visit leiters.com to view a list of 2021 events we’ll be attending.

GPO Affiliations

Leiters provides its products and services to many leading health systems, community hospitals, clinics, and physician offices. In addition, we currently have national contracts with: HealthTrust, Intalere, JDJ Consulting, Kaiser, Premier, The Resource Group, and US Retina. Please contact us for additional information regarding our contracts.

Ordering Information

Leiters offers four convenient ways to place your order: 1. Phone: (800) 292-6772 2. Fax: (408) 288-8252 3. Email: orders@leiters.com 4. Visit the Leiters Online Ordering Portal: orders.leiters.com

Site Visits

We don’t want to simply tell you about what we do, we want to show you! We invite you to visit our facility to better understand the cGMP regulations, sterile manufacturing processes, and automation we use to elevate the quality of our products and services. Come join the growing list of organizations who have visited our facilities. To schedule a site visit or learn more about how Leiters is Compounding Health™, please visit leiters.com. COMPOUNDING HEALTH™ is a registered trademark of Leiters. Avastin® is a registered trademark of Genentech, Inc. ON-Q* is a registered trademark of Avanos Medical, Inc., or its affiliates. 1BUD is from date compounded. † Mixing, Diluting, or Repackaging Biological Products Outside the Scope of an Approved Biologics License Application Guidance for Industry https://www.fda.gov/downloads/drugs/guidances/ucm434176.pdf

SUMMER 2021

H E A LT H S Y S T E M • I N F U S I O N 79

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.

RXinsider’s Virtual Pharmacy Trade Show 24 / 7 / 365 450+ Booths, 91 Aisles www.rxinsider.com 2021 FAH Conference and Business Exposition June 6 - 8, 2021 Gaylord Opryland Resort & Convention Center Nashville, TN www.fahexpo.com ACVP Veterinary Pharmacy Conference 2021 June 11 - 12, 2021 Livestream & On-Demand vetmeds.org/vpc McKesson ideaShare Summer 2021 Virtual Event Mckessonideashare.com Cardinal Health RBC July 14 - 17, 2021 Virtual Event Rbc.cardinalhealth.com

AACP Annual Meeting 2021 July 19 - 22, 2021 Virtual Event aacp.org/events 340B Coalition Summer Conference July 20 - 28, 2021 Virtual Event 340bcoalition.org/events 2021 HIMSS Global Health Conference & Exhibition August 9 - 13, 2021 Las Vegas, NV www.himss.org/events NACDS Total Store Expo August 21 - 23, 2021 Denver, CO Tse.nacds.org ECRM - Health System/ Institutional Pharmacy Program September 27 - 30, 2021 Location Coming Soon ecrm.marketgate.com/ sessions

Continued on page 85 For listing and advertising details, please contact sales@RXinsider.com or call 800.972.2083.

SUMMER 2021

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

Pharmacy Case Studies take an in-depth look at specific products and services that help pharmacies improve patient care, profitability, and cost containment.

RXinsider.com

The National Association of Specialty Pharmacy is the only non-profit organization representing ALL specialty pharmacy industry stakeholders

We are 1,800+ Members Strong and We Need YOU!

• Continuing Education & Online Education Tools & Resources NEWS

• Advocacy & Federal & State Monitoring • Stay Informed: Timely Industry News, Information & Resources • Specialty Pharmacist Certification (CSP)

The UNIFIED VOICE of Specialty Pharmacy

• Patient Satisfaction Surveys • Committee Participation • Networking & Connectivity • Student Chapter • Promote Your Products and Reach Decision Makers • NASP Annual Meeting & Expo Speaking Opportunities

NASP 2021 Annual Meeting & Expo September 27-30, 2021, Marriott Marquis, Washington, DC Register by June 30 to receive early bird pricing: NASPNET.ORG/ANNUAL-MEETING/REGISTRATION

Become a NASP Member TODAY!

NASPnet.org • info@naspnet.org • 703.842.0122

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Connecting Products, Services & Pharmacy Professionals ECRM’s Pharmacy & Medical Programs oﬀer a unique, intimate environment in which providers join quali�ied partners in the discovery of solutions, technology and services.

Achieve unprecedented results with ECRM. Contact our Pharmacy & Medical SVP, Michael Castillo at 440-528-0441 or mcastillo@ecrm.marketgate.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 hospital’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 80

NASP Annual Meeting September 27 - 30, 2021 Washington, DC naspnet.org/annual-meeting NCPA Annual Conference October 9 - 12, 2021 Charlotte, NC Convention.ncpa.org

With 80+ aisles, the Virtual Pharmacy Trade Show is pharmacy’s one-stop destination to research and connect with leading providers of products and services.

RXinsider.com

ASHP Midyear Clinical Meeting and Exhibition December 5 - 9, 2021 Orlando, FL www.ashp.org/Meetingsand-Conferences/MidyearClinical-Meeting-andExhibition

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.

Asembia 2021 Specialty Pharmacy Summit October 26 - 29, 2021 Wynn Las Vegas Las Vegas, NV Asembiasummit.com ASCP Annual Meeting & Exhibition November 4 - 7, 2021 Town and Country San Diego, CA www.ascp.com ECRM - Pharmacy Technology, Services, Supplies, and Automation Program November 8 - 10, 2021 Location Coming Soon ecrm.marketgate.com/ sessions

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

SUMMER 2021

H E A LT H S Y S T E M • I N F U S I O N 85

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

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Follett Healthcare — With Vaccine Storage, There Is No Room for Error Follett high-performance refrigerators provide precise temperature control for your valuable vaccines and 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 Products 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 your critical products 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. 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.

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 modular 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 cubic feet 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 by phone at (800) 523-9361 or visit www.follettpharmacy.com.

FOLLETT HEALTHCARE is a trademark of Follett Products, LLC. FOLLETT is a registered trademark of Follett Products, LLC, registered in the US.

SUMMER 2021

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OneContainer®

The Solution to Prevent Pharmaceutical Waste from Winding Up Here.

Simple. No worries. The highest level of technology. Best of all — full compliance. Clinicians simply put both the non-hazardous and the RCRA hazardous pharmaceutical waste in the same black container.* Clean Harbors, the largest hazardous waste incineration company in North America, will pickup, transport and dispose your pharmaceutical waste, while keeping you fully compliant. We handle every step of the process. Because we own several proprietary incinerators, we do not require the same segregation as other providers.

For more information: 855.MED.WSTE (633.9783) or healthcareservices@cleanharbors.com, www.CleanHarborsHealthcare.com

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Clean Harbors — Experts in Pharmaceutical Waste Disposal and Environmental Services Here to help keep your healthcare facility in compliance with complex state and federal regulations — while managing your environmental and waste disposal needs from beginning to end.

President & CEO: Alan S. McKim Founded: 1980

Employees: 14,000+ Stock Symbol: CLH Toll-Free Phone:

(855) 633-9783 (781) 792-5000 Address: 42 Longwater Drive Norwell, MA 02061 Website: healthcare.cleanharbors.com Phone:

Company Background For more than 40 years, Clean Harbors has helped thousands of healthcare institutions of all sizes manage their environmental and waste disposal needs. Our programs indemnify your institution and reduce your risk. We have the in-house experience, expertise, and resources to handle your complete pharmaceutical and hazardous waste program — beginning to end. Clean Harbors is the only environmental services provider that has the ability to manage 100% of your pharmaceutical and hazardous waste, spill cleanups, and facility maintenance within a company-owned network of 100+ service centers, 50 hazardous waste disposal facilities, and the largest hazardous waste incineration capacity in North America. This ability helps keep transportation and disposal costs down. You can also leverage our recycling facilities to reduce the volume of hazardous waste. Clean Harbors employees have one goal: to deliver the highest level of service to protect your institution and the environment.

and federal levels. And because our pharmaceutical waste programs are managed 100% in-house, you are ensured the most reliable “hands-on” service in the industry, customized for your operation — whether you’re a single hospital or a network of facilities in an IDN or GPO.

Services • Pharmaceutical Waste Management • Hazardous Waste Management • OneContainer Pharmaceutical Waste Program • Formulary/Inventory Review • InSite Services • Sharps Management • Medical Mailback • Emergency Response Services • Transportation and Disposal Services • Field Services • Employee Training and Storage Area Setup Ordering Information For additional information or to order, call us at (855) 633-9783 or email healthcareservices@cleanharbors.com.

Compliance Management Made Easy As a healthcare provider, we recognize that providing quality care to patients and their families is your utmost concern. When faced with so many state and federal regulations, hospitals can’t afford to compromise their operations. The Environmental Protection Agency (EPA) and your state environmental regulatory agency requirements pose significant compliance challenges to hospitals, which can impact efficiency and your bottom line. Clean Harbors is well-versed and stays current in environmental standards and regulations at the state

SUMMER 2021

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CAS E S TU DY THE HIGH-PERFORMING PHARMACY Brought To You By Visante

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$80 MILLION IMPACT TO BOTTOM LINE The University of California at San Francisco (UCSF) reviewed all aspects of pharmacy operations to uncover long-term value drivers. This hospital, ranked among the best hospitals by U.S. News, didn’t hesitate to transform when needed. Transformation required change, and change meant confronting challenges to provide the best outcomes for patients, specifically involving their pharmaceutical needs. Leaders at UCSF believed that evolving the practice of pharmacy through management, optimization, business principles, and a radical redesign would result in a best-in-class pharmacy, giving them an unparalleled competitive advantage among health systems. Achieving the gold standard in pharmacy involved generating new revenue streams, eliminating inefficiencies, and contributing to excellence in patient experience. Moving forward, leaders specifically referred to the word radical to remind them to implement change in an unconventional and sweeping manner to elevate its pharmacy enterprise.

CHALLENGE UCSF wasn’t immune to the cost and efficiency challenges found in many pharmacy operations. A one-size-fits-all solution would not work at an institution with more than 20 locations throughout San Francisco and beyond. UCSF is an industry of its own, contributing to the intellectual rigor and economic vitality of San Francisco. The extensive offerings of UCSF’s therapeutics — medications, medical devices, and diagnostic tests reside across multiple specialty areas. Organizationally, the pharmacy structure needed to support and compliment the overall care delivery and complex patient populations served by UCSF. UCSF leaders knew they had to question old processes and assumptions and exhaustively examine pharmacy positions and operations. At the time, job vacancies and standardizations needed focus to keep pace with UCSF’s new acquisitions and innovations. Drug pricing strategies and overall cost management needed assessment. And ambulatory staff required increased pharmacy support. The pharmacy enterprise had devolved into an undervalued and underutilized asset. This status was not the norm for the over-achieving UCSF global enterprise.

www.visanteinc.com

CAS E S TU DY

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The statements of work focused on righting the ship. There was also a financial component to this project. Our target was to produce, at a minimum, a 10:1 return on investment.” James Jorgenson Chief Operating Officer ~ Visante, Inc.

UCSF Pharmacy Improvement Initiatives 1

Interim Leadership

Leadership Recruitment

Owens Central Service Center

Prior Authorization/Refill Center

Regulatory Compliance

340B Program Optimization

Specialty Pharmacy

Business Operations

Pharmacy Informatics

Patient Medication Assistance

Infusion & Sterile Compounding

Contingency Programs

this initiative. This consulting company in addition to a national profile and deep pharmacy expertise had a history of several successful pharmacy projects with UCSF. The committee engaged Visante because they had demonstrated their capabilities time and again by moving to quickly identify and solve issues. Trust and results were the deciding factors in turning to Visante to help transform UCSF healthcare through pharmacy. “Visante is known to accelerate the business of pharmacy and provide a sustainable proposition. This is a partnership like no other, and is an integral part of UCSF in many ways,” said Sheila Antrum, Chief Operating Officer; Senior Vice President, UCSF Health. Visante delivered 12 statements of work that detailed the rationale and approach to achieve UCSF’s strategic imperatives on pharmacy. Before developing these improvement initiatives, Visante conducted a comprehensive program assessment and gap analysis. Following the assessment, Visante defined a budget and created scorecards to track outcomes and financial performance, which the steering committee monitored monthly. The decision on the statements of work reinforced the following four themes with clear deliverables:

FORTIFYING THE ORGANIZATIONAL STRUCTURE Visante immediately put interim leadership in place to move on urgent projects quickly, while assessing staffing requirements and developing processes. The team at Visante worked alongside UCSF executives to help recruit, coach, and develop staff in pharmacy leadership and operations. “People are the biggest assets and we will invest in our team,” said Sheila Antrum, Chief Operating Officer; Senior Vice President, UCSF Health. Having a detailed understanding of the culture at UCSF and the specific skills necessary for success, Visante tapped into its vast network of hospital and health system pharmacy contacts to hire a new UCSF pharmacy leadership team. The investment in personnel covered every level of the new organizational chart. The new structure emphasized culture, patient care, efficient performance, and financial accountability.

CONCENTRATING ON COMPLIANCE Visante experts assessed, addressed, and prioritized medication-related compliance activities. From clinic licensure to controlled substance diversion assessment, the Visante approach complemented UCSF’s well-developed system compliance team to tighten compliance around medication use even tighter. Visante also provided program management and analyst support for the UCSF 340B program which delivered insight on evolving regulations and guidance on implementing needed processes, ensuring transparency, compliance, and optimization of program financial performance. For infusion and sterile compounding, the Visante team prepared UCSF for compliance with USP Chapters 795, 797, 800, and 825. Visante assisted the staff with preparing for inspections by the CMS, CA Board of Pharmacy, DEA, and Joint Commission. The Visante team also support the physical and operational upgrade of the UCSF Pharmacy Central Service Center (CPSC) to achieve licensure by the CA State Board of Pharmacy as a central hospital packaging operation allowing the center to operate as a true CPSC for the system.

APPLYING BUSINESS RIGOR TO PHARMACY OPERATIONS Pharmacy informatics played a crucial role for Visante to strengthen existing practices and expand growth areas that could produce higher returns on investments. Visante provided a team of Epic certified programmers to address multiple informatics projects that were behind schedule.

www.visanteinc.com

Specialty pharmacy represented a very significant business opportunity and Visante worked with UCSF to improved discharge Rx capture rates and expand the specialty program service as well as attain URAC accreditation. 91

CAS E S TU DY

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Our new structure involves a compliance oversight committee a multidisciplinary group, which is co-chaired by our medication safety officer and chief compliance officer.” Desi Kotis Chief Pharmacy Executive, UCSF Health; Associate Dean, UCSF School of Pharmacy

“

At the end of 12 months, I’m happy to report that all of the CPSC initiatives have been successfully completed. It is now a fully functioning central hospital pharmacy packaging operation licensed appropriately. Shortly thereafter, UCSF had a surprised inspection by the State Board of Pharmacy and UCSF passed with flying colors.” James Jorgenson Chief Operating Officer ~ Visante, Inc.

Visante oversaw a new drug pricing scheme, reviewed drug utilization and purchasing strategies and revenue cycle strategies, and optimized dispensing cabinet inventory. These multiple initiatives resulted in a net margin enhancement of $38 million. With sterile compounding, business decisions included acquiring community-based oncology infusion practices to create a network of sites around the Bay area. To support these new operations Visante worked to establish a contract with a local 503A pharmacy operation that could centrally fill and transport the drugs to the community sites. "Working with Visante was a true partnership. We experienced big growth in our specialty pharmacy. Uncovered inventory and supply chain opportunities. We overcame hurdles in 340B to where the performance is now extremely strong. Throughout this initiative, the focus was always on our patients and our staff,” said Desi Kotis, Chief Pharmacy Executive, UCSF Health; Associate Dean UCSF School of Pharmacy.

PUTTING PATIENTS FIRST One of the most patient-oriented needs that pharmacy can address is eliminating wait times for authorizations and refills. Visante dove deeper into timing concerns by interviewing each clinic to understand their unique needs. The team then created a plan to centralize functions by using pharmacy technicians and pharmacists working under a set protocol for refill management. "Physicians were spending too much time with the management of refilling prescriptions, detracting from seeing patients. It was a big dissatisfier and an inefficient process for patients. Our plan involved transitioning that process from physicians to pharmacy, emphasizing the philosophy that medical professionals should be practicing at the top of their license,” said James Jorgenson, CEO Visante, Inc. UCSF is steadfast in the philosophy that no patient should go without needed medications regardless of their financial condition. To ensure this promise, a new program with a dedicated fulltime medication assistance specialist was implemented and integrated with the UCSF Community Benefit Program.

RESULTS This multi-year plan sets a trajectory to drive transformation while managing costs and increasing revenue. The initiatives involved intentional disruption in rethinking where and how UCSF operated all its pharmacy areas. The bottom line, the collaboration between UCSF and Visante built a more vital pharmacy platform by redesigning the organizational structure and instilling strong quality and value initiatives to guide the new team. The enhanced interdisciplinary pharmacy support and interactions established financial performance exceeding targets with a 30:1 return on investment with Visante’s engagement and approach. Specifically, at the conclusion of the initial 12-month engagement, the improvements to the University Medical Center’s net operating margin from pharmacy operations exceeded $80 million and the organization improved service delivery, safety and compliance around medication use.

CONCLUSION The multidisciplinary steering committee accepted responsibility for the economic risk of innovation and improved operations. The pragmatic risk-taking approach demonstrated that transformation happens with a patient-centered mindset and a business within a business philosophy.

www.visanteinc.com

Throughout the entire implementation process, the team never lost sight that the business of pharmacy must extend across the entire continuum of care. Visante remained nimble to remove any roadblocks to implement the twelve statements of work. They proved that it is possible to overhaul a critical health system service area completely while providing seamless patient care.

Pharmacy consulting designed for optimal growth

We help you achieve extraordinary results in all areas of health system pharmacy

Strategic Planning & Implementation

Compliance that Improves Care

Financial Results

We collaborate with you to deliver innovative solutions that will elevate your organization to peak performance levels.

Our team of compliance experts will improve confidence, enhance care and ensure patient, worker and community safety.

Making the most of opportunities to manage costs and increase revenue is core to our consulting. We help you improve financial performance across your organization.

Visante consultants bring you expertise in all areas of hospital and health system pharmacy: • • • •

Comprehensive Strategic Assessments 340B Program Solutions Specialty Pharmacy Programs Revenue Cycle and Drug Reimbursement Strategies

• Supply Chain Strategies • Drug Diversion Programs • Drug Compounding Excellence

Transforming healthcare through pharmacy.

MOBILE PHARMACY COMPOUNDING CLEANROOMS Discover the advantages of our Mobile Cleanroom solutions. Pre-engineered and pre-manufactured mobile cleanrooms available in a fraction of the time it takes for a typical cleanroom design/build. We offer high-quality, cost-effective cleanroom solutions which are pre-built at our production facility and delivered as turn-key mobile cleanrooms operational immediately upon delivery. Our highly engineered mobile cleanrooms can be placed indoors or outdoors, and can even be relocated to a different location at a later date – offering the ultimate in flexibility and portability.

» USP 795, USP 797, USP 800, and 503B Compounding Pharmacies

» Airlock Entry for Added Safety » Purchase or Monthly Rentals » Large Fleet and Nationwide Coverage » Pre-built and Ready for Use Upon Delivery » Standard or Customized Layouts

Mobile Dual-Purpose USP 795, USP 797, and USP 800 or 503B Cleanrooms

Mobile Single-Purpose USP 795, USP 797, and USP 800 Pharmacy Cleanrooms

CALL FOR INFORMATION OR TO REQUEST A QUOTE (317) 333-8742 www.cleanroomdesignllc.com | www.portable-cleanroom.com

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Mobile Pharmacy Compounding Cleanrooms by Mobile Cleanrooms, LLC and Cleanroom Design LLC Pre-manufactured mobile cleanroom available in a fraction of the time compared to traditional design/build. Fully engineered turn-key mobile cleanrooms designed to meet a variety of applications including USP 795, USP 797, USP 800, and 503B Compounding Pharmacies.

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

The partnership between Mobile Cleanrooms, LLC and Cleanroom Design LLC leverages our years of industry experience, combining our industry-leading modular building methods with a state-of-theart cleanroom engineering group to create highly-engineered premanufactured mobile pharmacy compounding cleanroom solutions ready for use upon delivery. We are the only mobile cleanroom provider that offers standard and customized mobile cleanrooms which are equally suited as either short or long-term rentals or as purchased permanent additions. Discover how we’re better together at www.cleanroomdesignllc.com and www.portable-cleanroom.com.

Product Overview

We offer high-quality, cost-effective mobile cleanroom solutions which are pre-engineered and pre-built, then delivered as turnkey compounding cleanrooms ready for use immediately upon delivery. Compared to traditional design/build, our mobile cleanrooms can be built in a fraction of the time as we control the entire production at our facility — eliminating delays caused by local permit approvals, subcontractor scheduling, etc.

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 8' wide trailers. • Short or long-term rentals, or as permanent additions. • Cloud-based control and monitoring system with real-time datalogging and alarms.

Product Specifications

n Safety • All rooms have hands-free interlocking doors with red and green light indicators to ensure the integrity of differential pressures. • USP compliant hazardous unpack/storage room, dedicated gowning rooms, HEPA filtered pass-throughs, and gowning room sinks deep enough for fingertip to elbow scrubbing. n Productivity • Our mobile cleanrooms are 14' wide, 6' wider with over 40% more space than other mobile cleanroom trailers (on wheels). This provides a much more functional environment for personnel and workflow. • Each compounding room comes equipped with two 4' wide biosafety cabinets and/or two 4' wide laminar flow hoods. n Flexibility • Two standard size mobile pharmacy cleanroom products. • Single purpose: Either USP 797 or USP 800. • Dual-purpose: Larger size engineered for USP 797 and USP 800. • Turnkey building and HVAC systems designed and engineered to be placed in locations anywhere in the U.S. • Custom HEPA-filtered pass-through designs include single- and double-door, through-the-wall pass-throughs, cart pass-throughs, and pharmacists’ checking pass-throughs. n Security • Real-time data-logging and alarming for out-of-range temperatures, humidity, and pressures. • Video recording systems and fire protection systems included.

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 our 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 us at markk@modulardevices.com. SUMMER 2021

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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

B Medical Systems’ U701 Ultra-Low Freezer — Flexibility, Performance, and Reliability Protect your most temperature-sensitive drugs and vaccines with this innovative ultra-low freezer designed to offer optimal protection, overall reliability, and energy efficiency. Capable of storing at temperature setpoints of -86C to -20C.

President & CEO: Luc Provost Founded: 1974

Employees: 250+

with the structural advantages tied to the materials used for the construction of the body of the product and the multiple internal doors, ensures that this model can provide superior energy efficiency to its users.

(888) 456-7099 Phone: +352 92 07 31 1 Address: 14560 Bergen Boulevard, Suite 200 Noblesville, IN 46060 Website: www.bmedicalsystems.com

The U701 from B Medical Systems is also designed with integrated audio-visual alarms indicating high/low temperatures, etc. It has builtin compatibility with °B Connected, a cloud-based remote monitoring software that enables the remote monitoring of the ultra-low freezer including the recording and visualization of the temperature data. This software can provide alarm notifications via email or SMS.

Company Background

B Medical Systems’ U701 also comes with access card entry protection that prevents unauthorized access and an optional CO2 backup system.

Toll-Free Phone:

Based in Hosingen, Luxembourg with a U.S. location in Noblesville, IN, B Medical Systems was founded in 1979, when the World Health Organization (WHO) approached the Swedish manufacturing giant Electrolux to provide a solution to safely store and transport vaccines around the world. Across the three major business portfolios of vaccine cold chain, medical refrigeration, and blood management solutions, the company currently offers more than 100 models. B Medical Systems’ major products include vaccine refrigerators, laboratory refrigerators, laboratory freezers, pharmacy refrigerators, ultra-low freezers, plasma freezers, contact shock freezers, and transport boxes. All products have integrated 24 hours a day, seven days a week remote monitoring capabilities that further ensure that these products offer the highest level of safety and reliability.

Product Overview

B Medical Systems currently produces five different models of ultra-low freezers, with storage capacities ranging from 7.5 to 31.6 cubic feet. These products feature storage temperatures ranging from -86°C and -20°C, meaning that they can be used both as ultra-low and standard freezers should the need arise. The U701 is the flagship ultra-low freezer produced by B Medical Systems and is renowned worldwide for its safety, quality, reliability, and energy efficiency. The U701 uses a static cooling system to ensure a constant and even temperature distribution across the entire cabinet. The optimized refrigeration system allows even cooling and maximizes the surface area of contact between the coils containing the refrigerants and the cabinet. This, along with the insulated inner doors, improved gasket seals, frames, robust cabinet insulation, and vacuum relief ports, enables the uniform temperature distribution required to provide a reliable storage environment and optimal sample safety. The model offers impressively fast pull down, recovery, and holdover times thanks to its structure and composition, designed to maintain the cabinet at the correct temperatures even in strenuous circumstances. This ultra-low freezer also uses natural refrigerants to reduce the environmental impact and increase overall cooling efficiency. This, coupled

This robust and secure ultra-low freezer is built to ensure a reliable environment for any type of biological sample needing storage temperatures between -86°C and -20°C, while providing energy efficiency and a low environmental impact. In North America, U701 models are available directly from B Medical Systems’ logistics hub in Noblesville, IN and can be ordered by contacting the company’s U.S. team for immediate delivery.

°B Connected

The U701 includes B Connected, B Medical Systems’ software for remote monitoring, reporting, and long-term archiving. This program utilizes the data coming from the ultra-low freezer to generate extensive reports on the functioning of the machine and the safety of the biologics stored inside it. The software features: • Web-based interfaces for computers and mobile devices. • A modern design for simple and intuitive use. • A graphic display of temperature performance curves. • Integrated event and activity history of the model’s components. • Data recording on a server for long-term archiving. • The easy configuration of specific alarm notifications via email or SMS. • The generation of reports compiling crucial data and events. • A temperature and detailed device data export for third-party software. • REST API to access raw data directly from the database in read-only mode.

GPO Affiliations

Premier; CHAMPS; Capstone

Ordering Information

BMedicalUSA@bmedicalsystems.com | (888) 456-7099 SUMMER 2021

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THE MOST INNOVATIVE TAMPER-EVIDENT SEALS IN HOSPITAL PHARMACY TODAY NEW ISMP & USP 800 IV Bag Seals

IV Bag Port Seals

• Sterile & Paper Free (USP 797 Compliant). • Maintains a 100% sterile barrier* with 3X greater adhesion. • 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.

Tamper-Clear Syringe Seal®

Red 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

PharmEcology’s NEW USP <800> Assessment of Risk Portal...

...Clarity in a world of gray. Your data... Your decisions... PharmEcology’s Custom Portal… Done! Call 877-247-7430 or email info@pharmecology.com for a free demo.

PHARMECOLOGY®

WasteLog® can verify the identity and concentration of liquid controlled substances in an instant. Preventing drug diversion in the OR requires a quick and reliable method of monitoring and controlling your wastes and returns. With its flexibility, efficient workflow and ease of use, WasteLog® can become an essential part of any Drug Diversion Program. • Instant verification of narcotics prior to waste procedure. • Non-destructive sample allows for follow-up testing. • Mobile for use between departments or facilities. • Export test results to Data Analytics software.

• Low dose concentrations can be analyzed. • Measurement graphics immediately available on screen for qualitative analysis. • Uses the latest absorption spectroscopy technology. • Creation of new calibrations on-site. • No monthly subscription fees.

www.pharmacolog.com | +1 708 359 7302

INNOVATION IN SECURE DRUG DELIVERY PREP-LOCK™ TAMPER EVIDENT CAPS

Help ensure the safe delivery of your compounds, comply with growing regulations, and enhance patient care. Strengthen <797> Compliance. Ensure the integrity of your compounds with Prep-Lock™ Tamper Evident Caps.

Maintain Sterility. Evidence of access indicates the potential compromise of content sterility.

Mitigate Diversion Serves as an active deterrent to potential diversion and misuse.

Prep-LockTM Tamper Evident Caps are available for a variety of devices. • IV Syringes • Oral Syringes • IV Bags

• ENFit® Syringes • CADD Cassettes

MADE IN THE USA

1.800.344.2554

IMI-501-AA-66 R1

An integrated array of products connecting compounding touchpoints

COMPLIANT COMPREHENSIVE

FLEXIBLE

HIGH-QUALITY

PROACTIVE

SMART

PREDICTIVE

FUNCTIONAL

INTUITIVE

Grifols inclusiv® offers a complete portfolio of integrated technology, software, and service solutions designed to help keep your staff and patients safe. We work interactively with you and your team to provide an integrated IV compounding solution designed to help promote safety and compliance. We customize to your current needs with the scalability to meet your demands for the future while helping ensure compliance

Design & Build

Prepare & Verify

Manage & Optimize

with relevant USP <795>, <797>, <800>, and state regulations. With a thorough understanding of your business, from cleanroom design to your everyday IV compounding activities, you can lean on Grifols’ 75 years of experience in sterile manufacturing as your trusted IV compounding partner.

Modular Cleanroom Systems and Consulting

IV Workflow Management Systems

Robotics and Other Compounding Devices

Pharmacy Operations Software

Visit grifolsinclusiv.com to learn more.