20Ways WINTER Hospital 2016

Page 1

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

PHARMACY COST C O N TA I N M E N T Winter 2016

Health System

•

Infusion

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

11 Preceptors Recognized

Eleven Preceptors Recognized by Eight Colleges Including FDU, UNC, Wingate, Findlay, and More page 36

8 Thought Leaders

Eight Video Series Including ScriptPro, TCGRx, Cardinal Health, Walmart, and More page 16

Pharmacist Jobs

Pharmacy Job Opportunities page 62


Pharma-Choice

TM

by: Acute Care Pharmaceuticals

USP <797> & USP <800> Compliant Supplies

12225 World Trade Drive, Ste. A San Diego, CA 92128


Contents WAY RFID Solutions for Critical Inventory

TM

R F I D -E NAB LE D I NVE NTO RY MANAG E M E NT

Your Prescription for Improved Medication Safety, Reduced Costs and Increased Efficiency Intelliguard® RFID Solutions provide unprecedented real-time visibility of your medications and pharmaceutical inventory: g

Optimize inventory management

g

Reduce human errors

g

Avert medication expiry waste

g

Prevent stock-outs

g

Enhance workflow efficiency

g

Increase patient safety

g

Improve caregiver satisfaction

g

Meet compliance requirements

Contact us today to learn how Intelliguard® RFID Solutions can give you confidence you’ll always have the right drugs, in the right quantities, when and where they’re needed. Phone 760-448-9500 Email info@intelliguardrfid.com Website www.intelliguardrfid.com

Intelliguard® RFID Solutions Ecosystem: Kit and Tray Management: Faster, Safer Replenishment in Seconds The Intelliguard® Kit and Tray Management System automates, validates and enables medication replenishment processes and is proven to reduce staff processing time and errors. Each task is performed with 100% accuracy—nothing missing, nothing expired. Inventory Optimization for the OR: Secure Access, Simple Workflow The Intelliguard® Linked Visibility Inventory System™ combines secure in-room access to medications and narcotics with true automated data collection. Anesthesiologists simply open a drawer, use what’s needed and close the drawer, while LVIS™ relays precise inventory details to the pharmacy in real time. Controlled Temperature Cabinets: Different Sizes. All Smart. Featuring real-time remote visibility enterprise-wide and 24/7 temperature monitoring, the Intelliguard® Inventory Management System offers optimal medication management for high value and critical dose drugs. Inventory details update automatically each time the cabinet is accessed, providing reliable usage data to optimize purchasing, eliminate waste and avoid stock outs, and the security needed to enable caregiver access when and where it’s needed.

MEPS, MEPS Real-Time and their logo versions, the blue wave circle logo, and Intelliguard are registered trademarks and RFID Solutions for Critical Inventory, Smart Tag Processing, Safe Tag Encoding, Smart Multi-Batch Approval and Dynamic Sensor Module are trademarks of MEPS Real-Time, Inc., Carlsbad, CA, in the United States and/or other countries.

Intelliguard® RFID Solutions for Critical Inventory by MEPS Real-Time, Inc. Intelliguard® RFID Solutions use patented technology and processes that improve medication management.

WAY

Leveraging Our Bedside Discharge Expertise, RMS’ Mobile Technology is One of the Easiest Ways to Improve Patient Adherence

The Meds to Beds Mobile Solution

Our bedside discharge expertise coupled with our mobile POS solutions will allow you to increase outpatient pharmacy revenue and patient outcomes!

We’ve taken another generational leap forward in improving what has become the go-to mobile POS device for pharmacies! In addition to scanning prescriptions and capturing signatures, you’ll be able to capture payment via credit card, complete the transaction by printing or emailing receipts, all while ringing customers up during your discharge process! Time for you to take an evolutionary step forward in patient care and staff efficiency, with EvolutionPOS v2! Learn more at: www.betterpharmacyPOS.com

DOWNLOAD What to Look for When Purchasing Point-of-Sale: 5 Must-Have Features: www.rm-solutions.com/musthave

1.877.767.1060 | sales@rm-solutions.com | www.rm-solutions.com | Follow us on Facebook, LinkedIn and Twitter 900-0061 Rev B

page 11

WAY

page 15

WipeDown 1-2-3™ From Veltek Associates, Inc. USP <800> Hazardous Drugs - Handling in Healthcare Settings Wipedown 1-2-3™’s three unique sterile saturated wipes deactivate, decontaminate, and disinfect/ clean to address exposure to most cytotoxic drugs. Their 9” x 12” size provides optimal saturation & coverage. “Cleaning” the surface may just transfer the hazardous drug residue to other sources. “Deactivation” as indicated in USP <800>, renders the hazardous drug inactive. Be safe and deactivate.

USP <797> Compounding Sterile Preparations Compliant to USP <797>, these non-shedding premium wipers are manufactured sterile for specific use in ISO 5 Cleanrooms.

TM

Sterile 3 Step Applicator Kit Step #1: Deactivate with HYPO-CHLOR® Wipe (5.25% Sodium Hypochlorite) Step #2: Decontaminate with THIO-WIPE™ (2% USP Sodium Thiosulfate) Step #3: Disinfect/ Clean with ALCOH-WIPE® (70% USP IPA)

Deactivate hazardous drugs from compounding surfaces for USP <800> compliance in a simple, sterile, three-step applicator kit.

Thought Leader Video Series

Come see us at asHP BootH #817

www.sterile.com • Veltek Associates Inc. 15 Lee Boulevard, Malvern, Pa 19355-1234 • Phone: 610-644-8335 • Fax: 610-644-8336 Patents: www.sterile.com/patents

page 13

page 16-17

WINTER 2016

I

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

1


NOW YOU HAVE A CHOICE!

0.5 mL each

1/2 SECOND SPRAY is all it takes!

UNIt DOSE – PAtIENt SAFEty An Innovative Non-Aerosol Unit Dose topical Anesthetic Spray • Meets Joint Commission Standard for the most ready-to-administer form available* • Fast onset • Short duration • Virtually no systemic absorption

SPRAy KIt – MUltIPlE USE 20% Benzocaine Oral Anesthetic • • • • • •

Eliminates pain and discomfort Fast onset (within 30 seconds) Short duration (15 minutes) Safe – available over the counter Best value among topical anesthetic sprays Great Wild Cherry flavor!

• Utilizes bar code medication administration (BCMA) to accommodate point-of-care scanning • Virtually eliminates adverse events resulting from preventable medication errors, ensuring the “5 Rights” are met: √ Right Drug √ Right Patient √ Right Dose √ Right Route √ Right Time • Single unit-of-use packaging eliminates the potential for cross-contamination • Increases billing accuracy and improves supply chain costs • Recyclable

Spray

ORDERING INFORMATION NDC#

AMERISOURCE CARDINAl MORRIS & BERGEN HEAltH MCKESSON DICKSON

ORDERING INFORMATION PRODUCt

0283-0610-11

10090081

CIN 4362547

1410125

086611

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

0283-0610-26

10090082

CIN 4363370

1411925

086629

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

Spray – 2 oz. spray can and 1 disposable extension tube ............................................NDC 0283-0679-02 Spray Kit – 2 oz. spray can and 200 disposable extension tubes ...............................NDC 0283-0679-60 Extension tubes – Box of 200 disposable extension tubes ..................Product number 0283-1185-20

If HurriCaine ONE is not yet available through your wholesaler, request it by name and NDC Number. *Joint Commission Standard: MM.05.01.11, EP4

LLC

Extension tubes

For more information, call us at 1-800-238-8542, M-F 8:00 a.m. – 4:30 p.m. ET. www.beutlich.com HurriCaine ONE and HurriCaine® are registered trademarks of Beutlich® Pharmaceuticals, LLC. HOSV 666 0916


Contents WAY

RxSafeHospital_20WaysWinter2016Final.pdf

1

10/21/16

Get more...

C

M

Y

CM

MY

+

CY

CMY

K

Accuracy & Speed

WAY

3:23 PM

Space Savings

Narcotics Security

Inventory Management

Do more. When we were broken into last year, the burglars took drugs off the pharmacy shelf, but they didn’t even touch the RxSafe. J & M Pharmacy, Kevin Faust, Owner

For more info: www.rxsafe.com | email: info@rxsafe.com | 877.797.2332

RxASP 1000™ Adherence Packaging and RxSafe 1800™ Robotic Pharmacy Workflow Automation by RxSafe

With PCCA, Membership Means Partnership

Leigh Ann Grasso, PharmD, RPh, Annie’s Apothecary owner, PCCA member since 2001

Avoid readmittance! The RxASP 1000 takes adherence packaging to a whole new level — with built-in vision inspection and no more trays.

Compounding pharmacists make a difference for patients. As the industry’s most comprehensive resource, PCCA makes a difference for compounding pharmacists, offering the highest quality products, education, and support.

There’s a reason our pharmacy consulting department is 30 experts strong. Her name is Leigh Ann. Because in the business of compounding, the bottom line is always personal.

Membership, for all the right reasons. pccarx.com l 800.331.2498

PCC-22205 2016 Journal Ads_20Ways.indd 1

10/18/16 10:10 AM

page 19 WAY

page 23

Protect Revenue With Helmer Scientific Countertop Refrigerators

CASE STUDY Refrigerator Eliminates Medication Waste, Saves Clinical Staff Time

Reduce noise in patient rooms and improve patient care, increase patient satisfaction, and raise HCAHPS scores.

Case Study: Refrigerator Eliminates Medication Waste, Saves Clinical Staff Time

PRIMARY INTENDED OUTCOME(s)

Dave Bowers Lead Biomed Technician

Our goal was to prevent refrigeration failures and inefficiencies that potentially result in decreased productivity, troubleshooting costs, product waste, and suboptimal medication effectiveness, which compromise patient safety.

~ Lehigh Valley Physicians Group (LVPG)

Julie Kaszuba, RN Clinical Procedure and Products Nurse ~ Lehigh Valley Physicians Group (LVPG)

THE CHALLENGE Mechanical failures and uneven cooling of medical refrigerators — a major pain point for staff at Lehigh Valley Physicians Group (LVPG) — increased product waste, revenue losses, labor, and down-production while delaying patient contact. “The refrigeration units we were using were malfunctioning on us. We had many issues with the refrigeration and the way they delivered cold air inside the unit,” said Dave Bowers, Lead Biomed Technician at LVPG, who services all the equipment in the nurse-supported physicians’ offices within the network. With more than 140 practices and 47 specialties serving eastern Pennsylvania’s BethlehemAllentown-Easton metroplex, LVPG, a subsidiary of Lehigh Valley Health Network (LVHN), needed to find a reliable solution — and fast.

www.follettice.com

page 21

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

page 24-27

QUARTERLY ISSUES Winter 2016

Winter 2016

C O N TA I N M E

• LTC Community • Specialty

Winter 2016

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

Health System

NT

Fall 2016

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

PHARMACY COST C O N TA I N M E N T Summer 2016

Community • Specialty • LTC

Health System

Infusion

IMPROVING PAT I E N T C A R E & PHARMACY P R O F I TA B I L I T Y Spring 2016

Community • Specialty • LTC

Infusion

20 Unique Products & Services

20 Unique Products & Services

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

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

20 products and pharmacy y. services or increase profitabilit that will help pharmacy improve your patient care or contain costs. Preceptors Recognized

11 Preceptors Recognized

7 Preceptors

7 Preceptors

by Eight Colleges Eight Preceptors Recognized and More Including UNE, LIU, MCPHS, page 32 Eleven Preceptors Recognized by Eight Colleges Including FDU, UNC, Wingate, Findlay, and More page 36

Recognized

Recognized

8 Thought Leaders 8 Thought Leaders

Seven Preceptors Recognized by Seven Colleges Including Wingate, UCONN, MCPHS, Campbell and More page 32

Seven Preceptors Recognized by Four Colleges Including Wingate, UCONN, MCPHS and More page 32

RxSafe, Rite Aid, Eight Video Series Including Eight Videoand MoreIncluding ScriptPro, TCGRx, Cardinal Health, ScriptPro, Series page 16 Cardinal Health, Walmart, and More page 16

Pharmacist Jobs Pharmacy Job Opportunities

Trade Show Calendar

Pharmacist Jobs

Pharmacy Job Opportunities

Spring 2016

Summer 2016

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

20 Unique 20 Unique Products ices Prod ucts & Serv and Discover 20 products & your help Serv ices services that will care improve patientDiscover

8

2016 CIRCULATION

Fall 2016

I M P R O VI IMN G P R O V I N G PAT I E N T PCA AT RI EEN T CARE & PHARMACY & P HIAL RI TMYA C Y C B OST TA I F PRO

page 62

Trade Show Calendar

page 50

20 Unique Products & Services

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

8 Preceptors Recognized

Eight Preceptors Recognized by Seven Colleges Including Campbell, UNE, Wingate, UCONN and More page 36

Trade Show Calendar page 50

page 50

page 62

Health System • Infusion & Community • Specialty • LTC

Community • Specialty • LTC

Health System • Infusion

Community • Specialty • LTC

Visit 20Ways ONLINE at RXinsider.com/20Ways

WINTER 2016

I

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

3


Available for all sizes. No matter the size of your hospital Cardinal Health Remote Pharmacy Services is available to support your hospital pharmacy in unexpected ways . • CPOE implementation • Meaningful Use compliance

• Transitions of care • Driving clinical initiatives

cardinalhealth.com/remotepharmacyservices Meet our experts Join us during ASHP in booth 1544 to connect with our experts on how you can leverage Remote Pharmacy Services for your hospital pharmacy.

© 2016 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners. Lit. No. 1OTH16-574898 (10/2016)


Contents WAY

A Partner You Can Trust for All of Your Pharmacy Solutions Medication image verification High-density storage including carousels Inventory management Secure med storage for Controls Refrigeration Vial filling and will-call solutions for Outpatient pharmacies

Automated unit dose packaging for inpatient services, multi-med packaging for outpatient locations

www.TCGRx.com

info@TCGRx.com

262.279.5307

Get Ahead of Your Competition With TCGRx, a Partner for All of Your Pharmacy Solutions

WAY

Mike Pierce President

TCGRx is a complete pharmacy solutions provider for hospital pharmacies. TCGRx stays on the cutting edge of technology to provide products that are efficient, reliable, and patientsafety driven.

Lance Lanier, BS Pharmacy Director of Business Development

503B Compounding Outsourcing Facility

Tracye Easterly Administration

Karen Koen, Pharm D Compounding Pharmacist

Brad Reece Director of Operations

FDA Registered 503B Outsourcing Facility by Cantrell Drug Company

Dell McCarley, Pharm D Chairman/CEO

Our experience with cGMP focused policies and procedures; along with carefully designed facilities, equipment, training, and testing; provide confidence to our customers in the quality of our services.

Chris Hutts, Pharm D Pharmacist in Charge

877-666-5222 www.cantrelldrug.com

page 29

WAY

Fagron SyrSpend® SF

Superior Suspending Technology Compounding pharmacists need to have quality stability and BUD data to support their efforts creating customized medications. Over 70 APIs with SrySpend® SF products have been studied and published in reputable peer review journals, including IJPC. Five of the top 10 drugs administered to 38 million beneficiaries enrolled in Medicare Part D have stability and BUD supporting data.1 To learn more about the APIs studied with SrySpend® SF products, visit us.fagron.com/en-us/syrspend.

SyrSpend® SF Vehicles • Extensive and growing database of scientific references for stability data and beyond-use dating • Pre-weighed convenience packs available to compound suspensions in minutes • Supports adjusted and flexible dosage regimens SyrSpend® SF • All-in-one syrup suspending vehicle • Simple one-step compounding process • pH adjusted to 4.2 for maximum compatibility • Also available as powder for reconstitution (preservative-free)

Stability Studies

Low Osmolality • <50 mOsm/kg • Minimizes GI upset and diarrhea • No sorbitol means lower osmolality to lessen laxative/diarrhea problems • Ideal for pediatric and geriatric patients

SyrSpend® SF Alka • Easy-to-use suspending powder for reconstitution • Provides an alkaline (>7) environment for acid-labile drugs • Preservative-free

1

New

Active Suspending Technology • Holds particles in suspension longer • Allows more accurate dosing

New Stu dies at us.fagr on.com

Sweetened without Sugar or Alcohol • Bitterness is masked • Pleasant taste enhances compliance

https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-08-18.html

fagron.us

Fagron, Inc. - 2400 Pilot Knob Road - St. Paul, Minnesota 55120 - USA Tel. (800) 423 6967 - Fax (800) 339 1596 - info@fagron.us

page 35

SyrSpend® SF From Fagron — Alternative Solutions for Convenient and Efficient Oral Liquid Dosing

Preceptor Recognitions

SyrSpend SF brings added value in compounding oral suspensions, superior suspendability for more accurate dosing, better taste, and extensive scientific stability studies. ®

page 36-37

page 31

WAY

H+H SYSTEM

FLEXSHELF FAMILY

H+H SYSTEM, Inc.

760 Beechnut Drive

Pittsburgh, PA 15205

H+H STORAGE AND DISTRIBUTION CARTS

H+H WORKTABLES AND WORKSTATIONS

H+H DRUG & DISPOSABLES STORAGE

H+H DRUG PICKING STATIONS

Phone 800-477-2123

infousa@hhsystem.com

www.hhsystem.com

H+H System, Inc. Brings Standardization, Security, and Control to Your Facility

WAY

Unit Dose Done Right

Organization systems for carts, shelving, refrigeration, and bulk storage help manage stock levels and support your lean management initiative.

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

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

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

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

Simple. Reliable.

800.523.8966

MediDose.com

Unit Dose Done Right O 8.5 x 11.indd 1

5/18/16 10:23 AM

page 33

page 39

WINTER 2016

I

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

5


Your source for products to support compliance with USP 797, USP 71, USP 800

Hazardous Drug Handling Validation Surface and Fingertip Testing Sterility Testing Media Fill

www.qimedical.com info@qimedical.com

Tel. 800.837.8361 Fax 530.272.8702


Contents WAY Two layers of protection. One smart packaging system.

The innovative, easy-to-use packaging system ideal for large volume sterile product preparation.

SmartPak® is the new standard

SmartPak® by Samson Medical Technologies, L.L.C

WAY

The innovative, easy-to-use packaging system ideal for large volume sterile product preparation.

for large volume sterile product preparation. With a revolutionary dual bag design, each SmartPak® bag contains up to 300 grams of drug. SmartPak® has been proven as a cost-effective and safe packaging system for over 10 years. It saves time by eliminating the usual steps associated with reconstituting multiple 10 gram vials — and offers a sterile, reliable packaging system for large volume sterile product preparation that helps your

INSIGHT offers Temperature Monitoring along with Cloud-based Reporting

Develop response plans for all types of incidents. Setup standardized protocols by location, length of incident, type of product, and more with a few clicks of the system.

When a sensor falls outside of its threshold, notifications can be sent to recipients via Email, Text Message, On Premise Audible or Dashboard view.

AVAILABLE PRODUCTS DESCRIPTION

NDC

LIST#

Cefazolin 100 grams

66288-1100-1

1100

Cefazolin 300 grams

66288-1300-1

1300

Ceftriaxone 100 grams

66288-6100-1

6100

Vancomycin 100 grams

66288-7100-1

7100

Monitor critical drug temperature information to ensure safety and regulatory requirements. Provides real-time alerts, robust reporting capabilities, data logging, and remote management of devices.

Robust reporting capabilities with configurable and custom reports that can be accessed on demand.

operation run more efficiently.

Smart thinking.

Winland Electronics Insight Solution — Seamlessly Monitors and Manages Critical Drug Environment Conditions

Critical Condition Monitoring Specialists

Configurable Enterprise Structure simplifies remote management of devices.

Integrate Alert Relays into any wired or wireless Security System.

PO BOX 2730 Cherry Hill, NJ 08034 Telephone: 856-751-5051 Telephone: 877-418-3600 FAX: 856-751-5044

Robust System Security - protects stored and transmitted data’s security, integrity and privacy.

For more information visit: www.samsonmt.com

www.samsonmt.com

solutions@winland.com

800-635-4269

www.winland.com

page 41

WAY

page 47

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

verity340b.com | 800.581.1378

New Technology Platform Hundreds of health systems rely on the Verity 340BTM products to maintain compliance, maximize savings, and minimize WAC spend. Verity Solutions has a state of the art managed services split billing solution. This web-based solution will keep your organization on the cutting edge of 340B program compliance while maximizing potential 340B savings. This enterprise solution has been designed with responsiveness in mind to quickly react to ever-changing 340B regulations. This solution also allows for unlimited concurrent users with full or limited access to data and reports. By using our Verity 340BTM managed services split billing solutions, 340B entities can virtualize their inventory, negating the need to maintain costly and space-consuming 340B-dedicated inventory, all while maintaining complete 340B compliance. Key components include:

CLOUD BASED

DATA SECURITY

Most innovative platform in the market. Analytics-driven Dashboards & Reports.

HiTrust certified data center drives HIPAA compliance. Secure product platform. Peace of mind.

BUILT FOR TODAY'S 340B

ENTERPRISE VIEW

Flexible, responsive and reliable software platform carefully designed to accommodate the latest regulations.

Manage/Track user and site activity across locations and relationships. Customized organizational views and access.

PERFORMANCE

SIMPLIFICATION

System architecture utilized the latest technologies to maintain high performance as data grows.

An intuitive, process-centric user interface.

Verity Solutions is a leading provider of 340B software and services. We are driven to help healthcare organizations save money so they can extend care to those who need it most.

Trade Show & Meeting Calendar

Split Billing | Managed Services | Contract Rx | Specialty Contract Rx | Audit & Compliance | Purchase Analytics | 340B Registration Assistance

page 43

WAY

Health System — Pharmaceutical Inventory Experts: Capital Inventory

I N F O R M AT I O N F O R I N T E L L I G E N T P H A R M A C Y M A N A G E M E N T

Cover (Vert).indd 1

The nation’s leader in pharmaceutical inventory service, providing inventory data that is accurate and dependable.

page 48-51

WAY

Improve Patient Safety and Healthcare Outcomes With Talyst Medication Management

The View Is Better Up Here With Talyst, you can move your pharmacy from the basement to the C-Suite. We have no doubt you’ll get used to the view from the top.

Historically, inpatient hospital pharmacy has been considered a cost center relegated to the hospital basement. Today, the pharmacy is a financial driver responsible for moving your business forward while increasing patient safety and improving systemwide healthcare outcomes.

AutoPharm® Enterprise software by Talyst provides enterprise-wide medication management across your entire health system to offer greater inventory control, enhanced workflow efficiency, and improved patient safety.

Join Talyst at the 2016 ASHP Midyear Clinical Meeting in booth #1444 where we will debut our Analytics & Insights module. Discover actionable analytics that will enhance your decision-making, assisting you to drive your pharmacy forward (and upward).

9/27/06 3:00:09 PM

page 45

page 53

WINTER 2016

I

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

7


USP 800 COMPLIANT CLASS I

Optional Motorized Butterfly Valve and Duct Connection Kit Available From NuAire

Optional Redundant HEPA

Filters

BIOSAFETY CABINET NuAire’s LabGard® NU-813 is a Class I Biological Safety Cabinet (Containment Vented Enclosure) that meets the USP 800 standard for Hazardous Drugs—Handling in Healthcare Settings.

LabGard® NU-813 Class I Biosafety Cabinet USP 800 compliant for compounding of non-sterile hazardous drugs. Model NU-813 can be exhausted through a facility’s HVAC system or recirculated into the laboratory environment through a redundant HEPA filter system. Visit www2.nuaire.com/14219 for more information. NuAire, Inc. | 2100 Fernbrook Lane | Plymouth, MN 55447 | 763.553.1270 | www.nuaire.com


Contents WAY

PharmASSIST® High Volume Solutions by Innovation

Maximize

Enabling hospital pharmacies to centralize prescription filling and capture employee prescription business, while reducing overall costs, freeing up outpatient staff to deliver patient-facing care, and ultimately improve patient outcomes.

opportunities

by centralizing your technology investment Are your outpatient pharmacies achieving your objectives of delivering patient wellness, clinical services, MTM, and medication adherence programs? Centralized technologies help you unburden staff workloads, capture employee prescription business, and free up your teams to provide patient-facing care… not to mention reduce costs across the board and provide an attainable ROI. Our innately scalable PharmASSIST® High Volume Solutions help any size hospital pharmacy star t small and dream big.

You’re never too small to invest in Central Fill technologies. Call 607.798.9376 email sales@innovat.com or go to www.innovat.com.

WAY

DMEPOS and Infusion Pharmacy Accreditation by Healthcare Quality Association on Accreditation, HQAA Infusion risk shouldn’t go unchecked. Infusion pharmacy is complex and the risks are high. HQAA is a quality-focused accreditation program designed specifically for infusion. Our hands-on coaches are there to guide you through the process and help reduce risks and liabilities to improve your pharmacy practice.

Let us help you get your accreditation in check today. Talk to an accreditation coach to find out why companies like yours turn to HQAA for the gold check of accreditation.

Sign up and learn more at HQAA.org or 866-909-4722.

page 55 WAY

PYROSATE

®

RaPid ENdOTOxiN dETECTiON KiT ed

NOW

ens FDA Lic

®

NO

DA WF

License

d

New Sensitivities Of 0.03, 0.125 and 0.25 EU/mL Final Product Release Easy-To-Use Method Rapid Test Results ASSOCIATES OF C A PE CO D, I N C.

ASSOCIATES OF C A PE CO D, I N C.

ASSOCIATES OF C A PE CO D, I N C.

Specialists in Endotoxin and Glucan Detection

Specialists in Endotoxin and Glucan Detection

Specialists in Endotoxin and Glucan Detection

ASSOCIATES OF C A PE CO D, I N C.

ASSOCIATES OF C A PE CO D, I N C.

ASSOCIATES OF C A PE CO D, I N C.

Bacterial Endotoxin Testing USP Chapter <85> Compliant Associates of Cape Cod, Incorporated 124 Bernard E. Saint Jean dr., East Falmouth, Ma 02536 USa 888.395.2221 • INFO@aCCiUSa.COm • www.accIusa.com

page 61

Associates of Cape Cod — Delivering Rapid Endotoxin Testing Results for Compounding Pharmacies

Pharmacy Job Opportunities

Pyrosate® has been developed as an easy-to-use Limulus Amebocyte Lysate (LAL) gel-clot test that enables rapid testing and does not require special laboratory supplies.

page 57

WAY

When it comes to product temperature accuracy, there is no room for error. Follett upright refrigerators and freezers feature our exclusive back‑plenum air distribution which delivers cold air at six levels to ensure consistent top‑to‑bottom temperatures, even when heavily loaded with product. - Forced‑air cooling with maximum +/‑ 1C (1.8F) temperature variation throughout cabinet - Full‑featured alarming and monitoring - Quick recovery after door openings

Find out more at www.follettpharmacy.com

Follett has a full line of high performance countertop, undercounter and upright refrigerators and freezers

HQAA is an accreditation organization that will help your infusion business meet USP 797 requirements.

page 62-63

Consistent Temperatures With Follett Pharmacy Refrigerators — It’s a Cold, Hard Fact

Download the 20Ways App

RXinsider.com/20ways

Follett high-performance refrigerators provide precise temperature control throughout the storage area for your valuable medications and vaccines.

page 59 PUBLISHER RXinsider LTD RXinsider CEO: Gregory Cianfarani RPh DESIGN AND PRODUCTION Design & Layout Multimedia Marketing

Lora Sosa Eric Simmons Shawna Arnold

SALES AND BUSINESS DEVELOPMENT Chris Kolkhorst, Vice President chris.kolkhorst@rxinsider.com Shaun Russell shaun.russell@rxinsider.com Lindsey Kut lindsey.kut@rxinsider.com Sam Feinberg sam.feinberg@rxinsider.com Samantha Pirraglia samantha.pirraglia@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 3

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 © 2016 RXinsider LTD. All rights reserved. Reproduction without permission is prohibited.

WINTER 2016

I

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

9


RFID Solutions for Critical Inventory

TM

R F I D -E NAB LE D I NVE NTO RY MANAG E M E NT

Your Prescription for Improved Medication Safety, Reduced Costs and Increased Efficiency Intelliguard® RFID Solutions provide unprecedented real-time visibility of your medications and pharmaceutical inventory: g

Optimize inventory management

g

Reduce human errors

g

Avert medication expiry waste

g

Prevent stock-outs

g

Enhance workflow efficiency

g

Increase patient safety

g

Improve caregiver satisfaction

g

Meet compliance requirements

Contact us today to learn how Intelliguard® RFID Solutions can give you confidence you’ll always have the right drugs, in the right quantities, when and where they’re needed. Phone 760-448-9500 Email info@intelliguardrfid.com Website www.intelliguardrfid.com

Intelliguard® RFID Solutions Ecosystem: Kit and Tray Management: Faster, Safer Replenishment in Seconds The Intelliguard® Kit and Tray Management System automates, validates and enables medication replenishment processes and is proven to reduce staff processing time and errors. Each task is performed with 100% accuracy—nothing missing, nothing expired. Inventory Optimization for the OR: Secure Access, Simple Workflow The Intelliguard® Linked Visibility Inventory System™ combines secure in-room access to medications and narcotics with true automated data collection. Anesthesiologists simply open a drawer, use what’s needed and close the drawer, while LVIS™ relays precise inventory details to the pharmacy in real time. Controlled Temperature Cabinets: Different Sizes. All Smart. Featuring real-time remote visibility enterprise-wide and 24/7 temperature monitoring, the Intelliguard® Inventory Management System offers optimal medication management for high value and critical dose drugs. Inventory details update automatically each time the cabinet is accessed, providing reliable usage data to optimize purchasing, eliminate waste and avoid stock outs, and the security needed to enable caregiver access when and where it’s needed.

MEPS, MEPS Real-Time and their logo versions, the blue wave circle logo, and Intelliguard are registered trademarks and RFID Solutions for Critical Inventory, Smart Tag Processing, Safe Tag Encoding, Smart Multi-Batch Approval and Dynamic Sensor Module are trademarks of MEPS Real-Time, Inc., Carlsbad, CA, in the United States and/or other countries.

900-0061 Rev B


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

Intelliguard® RFID Solutions for Critical Inventory by MEPS Real-Time, Inc. Intelliguard® RFID Solutions use patented technology and processes that improve medication management and are proven to increase safety, reduce errors, ease staff workload, ensure safe and secure pharmaceutical storage, and automate data collection for evidence-based decision making. President & CEO: Shariq Hussain Founded: 2001 Employees: 85+ Phone:

(760) 448-9500 (760) 448-9599 Address: 6451 El Camino Real, Suite C, Carlsbad, CA 92009 Website: www.intelliguardrfid.com Fax:

Company Background

Every business starts somewhere — some from more humble beginnings than others. For MEPS Real-Time, Inc., what started as a brilliant idea originally conceived on an airport napkin has evolved into a paradigmshifting technology. Intelliguard® RFID Solutions can revolutionize your pharmacy, as they have, in hundreds of hospital pharmacies. The mission of MEPS Real-Time, Inc. is to develop and implement Intelliguard® RFID Solutions to increase patient safety and improve efficiency, inventory accuracy, and cost control related to pharmaceutical inventory management and processes in healthcare.

Product Overview

Intelliguard® RFID Solutions by MEPS Real-Time, Inc. provide unparalleled, real-time visibility for critical inventory management in healthcare. We develop and patent technology and processes with an unwavering commitment to accuracy to eliminate human error, improve cost control, reduce risk, and increase efficiency. The Intelliguard® RFID Solutions Ecosystem Includes:

• Intelliguard® Kit and Tray Management System • Intelliguard® Linked Visibility Inventory System™ •  Intelliguard® Controlled Temperature Inventory Management System • Intelliguard® Vendor Managed Inventory System Intelliguard® RFID Solutions increase staff efficiency by eliminating manual counting and item-level scanning through automation, improve patient safety through medication error prevention, and enhance diversion prevention with embedded security features. Pharmacy management and administration receive actionable data for evidencebased decision making to control expenditures, increase the overall efficiency of the organization, and ensure the right inventory is available to meet patient needs.

Features & Options

n Intelliguard® Kit and Tray Management System: RFID-enabled kit and tray management for faster replenishment and reduced errors. Inventories more than 150 items in seconds, providing details to what’s missing, expired and soon-to-expire, when medication kits, trays, tackle boxes, and fanny packs/duffel bags are returned to the pharmacy for reprocessing.

n Intelliguard® Linked Visibility Inventory System™: The first real-time inventory management system that offers secure storage and access of medication and narcotics in the operating room while providing accurate utilization data without impact to anesthesia care team workflows. Using patented and exclusive RFID technology, LVIS™ automatically collects actionable medication inventory usage details without the need for restricted access, repeated computer requests, barcoding or manual recording. n Intelliguard® Controlled Temperature Inventory Management System: RFID-enabled Controlled Temperature Cabinets monitor storage conditions for high-value, critical-dose pharmaceuticals. With no manual scanning or item-level counting, the system automatically updates inventory each time the door is closed. Web-based portal provides realtime visibility of remote inventory, detects and alerts on shortages against par levels, and offers forward notifications of soon-to-expire inventory. n Intelliguard® Vendor Managed Inventory System: RFID-enabled Controlled Temperature Cabinets monitor storage conditions and allow manufacturers/distributors to confidently enable consignment. They also remotely monitor inventory to provide tracking of products as they are used. The web-based portal offers continuous updates of inventory details to automate re-ordering, detect shortages against par levels for emergency replenishment, and offer forward notifications of soon-to-expire inventory.

Markets Served

Healthcare, including hospitals and health system pharmacies, pharmaceutical manufacturers, and distributors.

GPO Affiliations

We work with leading technology, service, and distribution partners to make a wide range of purchasing options available to meet your preferred method of operation. Contact us directly for the most up-todate list of GPO affiliations and distribution partners.

Pricing Information

We offer lease, purchase, and proof-of-concept contract options to meet your needs. Contact us directly to discuss your goals, budget, and preferred purchasing option and we’ll develop a customized proposal for you.

Contact Intelliguard® RFID Solutions Phone: (760) 448-9500 Email: info@intelliguardrfid.com Website: www.intelliguardrfid.com WINTER 2016

I

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


USP <800> Hazardous Drugs - Handling in Healthcare Settings Wipedown 1-2-3™’s three unique sterile saturated wipes deactivate, decontaminate, and disinfect/ clean to address exposure to most cytotoxic drugs. Their 9” x 12” size provides optimal saturation & coverage. “Cleaning” the surface may just transfer the hazardous drug residue to other sources. “Deactivation” as indicated in USP <800>, renders the hazardous drug inactive. Be safe and deactivate.

USP <797> Compounding Sterile Preparations Compliant to USP <797>, these non-shedding premium wipers are manufactured sterile for specific use in ISO 5 Cleanrooms.

TM

Sterile 3 Step Applicator Kit Step #1: Deactivate with HYPO-CHLOR® Wipe (5.25% Sodium Hypochlorite) Step #2: Decontaminate with THIO-WIPE™ (2% USP Sodium Thiosulfate) Step #3: Disinfect/ Clean with ALCOH-WIPE® (70% USP IPA)

Come see us at asHP BootH #817

www.sterile.com • Veltek Associates Inc. 15 Lee Boulevard, Malvern, Pa 19355-1234 • Phone: 610-644-8335 • Fax: 610-644-8336 Patents: www.sterile.com/patents


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

WipeDown 1-2-3™ From Veltek Associates, Inc. Deactivate hazardous drugs from compounding surfaces for USP <800> compliance in a simple, sterile, three-step applicator kit.

President & CEO: Arthur Vellutato Jr. Founded: 1981 Employees: 150 Toll-Free Phone:

(888) 4-STERILE (610) 644-8335 Fax: (610) 644-8336 Address: 15 Lee Boulevard Malvern, PA 19355-1234 U.S.A Website: www.sterile.com Phone:

Company Background

Veltek Associates, Inc. (VAI) is the leader in contamination control for pharmaceutical, biotechnology, medical device, and USP <797> industries worldwide. We design innovative solutions to address the control of particulate and microbial contamination while striving to develop meaningful technical relationships with our clients. VAI has been an industry leader since 1981 and owns over 60 U.S.A and foreign patents. VAI’s comprehensive USP <797> contamination control program provides a guide to assuring patient protection of compounding sterile preparations. Our Full Circle Approval addresses the practices and conditions required by USP to maintain a safe and compliant compounding environment. For each condition and practice required, VAI has an answer. VAI is committed to continual innovation and improvement in our products to satisfy current and future regulatory requirements. Our corporate capabilities and industry experience provide the framework for continuing our leadership in contamination control. VAI’s product lines include: environmental monitoring equipment, laboratory services including antimicrobial testing, saturated wipers, dry wipers, a USP <800> compliance wipe kit, sterile disinfectants, sterile sporicides, cleaning agents, cleaning application equipment, personnel gowning, and consulting and training services.

Product Overview

VAI’s WipeDown 1-2-3™ has been specifically designed to address the risk of occupational exposure to most hazardous drugs during compounding sterile preparations, and administering, as outlined in USP <800>. WipeDown 1-2-3 is a sterile, three-step application wipe kit. When used in sequence, it provides deactivation, decontamination, and disinfection/cleaning of sterile compounding surfaces from most hazardous drugs. WipeDown 1-2-3 satisfies both USP <797> compounding sterile preparations and USP <800> hazardous drugs — handling in healthcare settings.

Each Sterile WipeDown 1-2-3 Kit Includes:

•  Packet One: HYPO-CHLOR®, 5.25% Sodium Hypochlorite for deactivation. •  Packet Two: THIO-WIPE™, 2% USP Thiosulfate for decontamination. •  Packet Three: ALCOH-WIPE®, 70% USP Isopropyl Alcohol for disinfecting/cleaning. All three packets consist of premium wiper material that is nonwoven, non-shedding, and 9" x 12" for optimal use and saturation. Each chemical component is formulated with water for injection and filtered at 0.2 microns with sterility assurance via aseptic fill into gamma irradiated sterile components or through gamma irradiation. Individual kits, containing all three packets, are individually bagged and packaged into a liner bag for easy transport into sterile areas. Each kit is individually labeled with lot number and expiration and each shipment of WipeDown 1-2-3 is supported by lot specific documentation.

Product Specifications

n Quality and Manufacturing • Lot sterility tested according to current USP compendium. • Filtered at 0.2 microns. • Completely lot traceable. • Double bagged sterile. •  All three chemicals are assayed according to current USP compendium. • Gamma irradiated or aseptically filled into sterile components. • Delivered with lot specific documentation. n Features and Benefits • Packaged neatly folded for easy removal. • Easy tear perforations on each wiper packet for easy open. • Ready-to-use. • 9" x 12" size. • Wiper material is low in particulate shedding and soluble extracts. •  Deactivates most hazardous drugs present on compounding surfaces.

Trade Shows/Meetings Attended

VAI will be attending ASHP’s Midyear 2016 Meeting where we will be displaying our WipeDown 1-2-3 and other USP <797> compliance products. Please come visit us at booth #817!

Ordering Information

Contact VAI or one of VAI’s numerous healthcare distributors for ordering information on WipeDown 1-2-3 or any of our other USP <797> contamination control products.

WINTER 2016

I

H E A LT H S Y S T E M • I N F U S I O N 13


The Meds to Beds Mobile Solution

We’ve taken another generational leap forward in improving what has become the go-to mobile POS device for pharmacies! In addition to scanning prescriptions and capturing signatures, you’ll be able to capture payment via credit card, complete the transaction by printing or emailing receipts, all while ringing customers up during your discharge process! Time for you to take an evolutionary step forward in patient care and staff efficiency, with EvolutionPOS v2! Learn more at: www.betterpharmacyPOS.com

DOWNLOAD What to Look for When Purchasing Point-of-Sale: 5 Must-Have Features: www.rm-solutions.com/musthave

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


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

Leveraging Our Bedside Discharge Expertise, RMS’ Mobile Technology is One of the Easiest Ways to Improve Patient Adherence Our bedside discharge expertise coupled with our mobile POS solutions will allow you to increase outpatient pharmacy revenue and patient outcomes! CEO:

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

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

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

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

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

Features & Options

EvolutionPOS v2 Capabilities Include: •  Taking advantage of our 25+ dispensary system interfaces, the most in the industry!

•  Barcode scanning of prescriptions and merchandise.

•  Locating all available prescriptions for the patient.

•  Capturing electronic signatures in real-time.

•  Swiping FSA/HSA benefit cards with real-time verification of funds.

•  Tendering options include debit/credit, cash, check, and house charge. • Point-to-Point Encryption for secure credit card processing.* • PA-DSS compliant.

Additional Product Lines Star-Lite, Star-Plus, and Star-Link for real-time, multi-location communication. Client Base More than 1,000 pharmacy customers rely on RMS POS solutions. * With certified merchant processors.

WINTER 2016

I

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


Thought Leader Video Series

THOUGHT LEADER VIDEO SERIES

THOUGHT LEADER VIDEO SERIES

Robotics, Pharmacy Management, & Innovation in the Pharmacy Market

Application and Interviewing Advice for New Graduates

Mike Coughlin, Shafi Shilad, and Brian Glaves for ScriptPro, discuss robotics, pharmacy management, and innovation in this 12-part video series.

www.scriptpro.com

rxinsider.com/videos.php

THOUGHT LEADER VIDEO SERIES

Automation in the Pharmacy Market William Holmes, President and CEO for RxSafe, discusses automation in the pharmacy market in a 12-part video series.

www.rxsafe.com

rxinsider.com/videos.php 16

WINTER 2016

I

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

Vince Williams, Senior Manager Talent Acquisitions for Walmart, discusses application and interviewing advice for new graduates in a 12-part video series.

www.walmart.com

rxinsider.com/videos.php

THOUGHT LEADER VIDEO SERIES

Compounding in the Hospital Pharmacy Market Lance Lanier, RPh and Director of Business Development for Cantrell Drug Company, discusses compounding in the hospital pharmacy market in a 12-part video series.

www.cantrelldrug.com

rxinsider.com/videos.php


Thought Leader Video Series

THOUGHT LEADER VIDEO SERIES

THOUGHT LEADER VIDEO SERIES

Workflow in the Pharmacy Market

Application and Interviewing Advice for New Graduates

Duane Chudy, CEO of TCGRx, discusses pharmacy automation and the future of pharmacy workflow in a 12-part video series.

Alicia Clark, Talent Acquisition Manager for Cardinal Health, discusses application and interviewing advice for new graduates in a 12-part video series.

www.tcgrx.com

www.cardinalhealth.com

rxinsider.com/videos.php

rxinsider.com/videos.php

THOUGHT LEADER VIDEO SERIES

THOUGHT LEADER VIDEO SERIES

Solid-State Refrigeration in the Pharmacy Market Mike Demasi, Vice President and General Manager of Cold Products for Phononic, discusses solid-state refrigeration in the pharmacy market in a 12-part video series.

Compounding in the Hospital Pharmacy Market Juan Cana, General Manager, USA Hospital Division for Grifols, discusses compounding in the hospital pharmacy market in a 12-part video series.

www.phononic.com

www.grifolsusa.com

rxinsider.com/videos.php

rxinsider.com/videos.php WINTER 2016

I

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


Get more... + Accuracy & Speed

“

Space Savings

Narcotics Security

Do more. When we were broken into last year, the burglars took drugs off the pharmacy shelf, but they didn’t even touch the RxSafe. J & M Pharmacy, Kevin Faust, Owner

For more info: www.rxsafe.com | email: info@rxsafe.com | 877.797.2332

Inventory Management


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

RxASP 1000™ Adherence Packaging and RxSafe 1800™ Robotic Pharmacy Workflow Automation by RxSafe Avoid readmittance! The RxASP 1000 takes adherence packaging to a whole new level — with built-in vision inspection and no more trays. With the RxSafe 1800, pharmacies can increase accuracy and speed; free up floor space; eliminate waste, theft and diversion; and improve inventory management. President & CEO:

William K. Holmes Founded: 2008 Employees: <100 Toll-Free Phone: (877) 797-2332 Phone: (760) 593-7161 Address: 2453 Cades Way, Suite A, Vista, CA 92081 Website: www.rxsafe.com Email: info@rxsafe.com

Company Background

RxSafe began operations in 2008. Many of the principal employees have been innovating together since the early 90’s at companies such as Pyxis, Omnicell, and DDN where they have extensively contributed to the advancement of automation in the pharmacy industry. William Holmes, RxSafe’s founder and CEO, has authored over 50 U.S. patents.

Product Overview

Join the hospitals, clinics, military and institutional pharmacies, independents, and chains that have selected RxSafe automation in the quest for a better pharmacy. Technology sets our automated strip packager apart. The RxASP line includes four models offering up to 1,000 smart canisters that take oral solid packaging to a whole new level. Our easy-to-use universal canister means there are no more trays or remote filling stations. Our RxSafe 1800 is the leader in automated, high-density robotic storage and retrieval of stock bottles. It represents an evolutionary leap in pharmacy automation technology because it goes beyond drawerbased systems. Unlike vial filling robots that hold a small percentage of your formulary, a three-tower RxSafe system can hold virtually all of your oral solid stock bottles. When you’re busy, the RxSafe 1800 system really shines. Users report that a single operator can routinely fill at an effective rate of over 100 scripts per-hour. If your space is tight, or there’s better use for the space, RxSafe is the solution. In a three-tower system, up to 5,400 stock bottle containers fit in 40 square feet of space.

Features & Options

n RxASP 20 and RxASP 1000 The RxASP line breaks all the barriers of past strip packagers. Designed with the most versatile “hi-fidelity” pouch printing and the easiest to open pouches, it has the highest speed in the industry and the lowest operating cost. Plus, our consumables cost is the lowest in the industry. Why? Automatically and dynamically, the RxASP creates a single or multi-dose pouch that exactly fits the contents — saving material and time. No machine configuration required.

What really stands out? This is the only strip packager with built-in vision inspection. Designed to be modular and scalable, the RxASP line has the smallest footprint of any strip packager on the market. Our entry-level strip packager, the RxASP 20™, is the perfect choice for launching your medication adherence program. It’s semi-automated with manual “Smart” cassette loading, producing up to 50 multi-dose pouches per minute. No more trays or remote filling stations. Designed to be modular and scalable, the RxASP line has the smallest footprint of any strip packager on the market. In fact, the RxASP 1000™ replaces up to 10 automatic strip packagers in half the space. Guide your patients to 100% adherence with RxEnsure™ — a complete package that provides an additional level of administrative assistance for your patients. n RxSafe 1800 Accuracy. Efficiency. Security. With only one technician and one pharmacist, virtually every pharmacy, every day can fill all prescriptions without extra filling staff. And, with one open bottle at a time, there’s less chance for error, no wasted inventory, and no narcotics theft. In fact, the RxSafe 1800™ is so secure it’s been approved by the U.S. Department of Defense for C2 narcotics storage. With the RxSafe 1800, inventory is 100% accurate because it stores stock bottles behind locked doors and forces workflow at one station, without the added expense of other software or hardware. Remote Stock Management is another standard feature of the RxSafe 1800. All pharmacy inventory is managed by the system whether it’s inside or outside the RxSafe. No more audits. No more overstocking or wasted inventory.

Testimonial

“ Our primary goals for making this automation investment were to increase our workflow and inventory management efficiency so we could free up staff to spend more time and attention on clinical services and other revenue generating activities.”

— Eric Black, RPh, Owner, Mt. Vernon Medicine Shoppe

Additional Product Lines • RxSafe 900™ • RxVault 1800™ • RxVault 900™

• RxASP 600™ • RxASP 300™ • RxASP 20™

• RxWillCall™ •  Pharmacy Design & Workflow Consulting

Ordering Information

To learn how your pharmacy can benefit from an RxSafe system, contact us by email at info@rxsafe.com, or call us at (877) 797-2332. WINTER 2016

I

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



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

Protect Revenue With Helmer Scientific Countertop Refrigerators Reduce noise in patient rooms and improve patient care, increase patient satisfaction, and raise HCAHPS scores.

Bruce King

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

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

Company Background

Helmer Scientific is a manufacturer and worldwide distributor of medical-grade cold storage and laboratory processing equipment. We have over 35 years of experience in providing high-quality temperature controlled environments, with our products being used in over 100 countries throughout the world. Helmer originated in the blood bank market where precise temperature control is essential to the successful storage and transfusion of blood products. These same principles have been applied to the design and development of the Helmer pharmacy cold storage products.

Product Overview

Choosing quiet equipment is one way to help reduce noise levels. Helmer Scientific has optimized a new point-of-care, medical-grade refrigerator for increased patient satisfaction and recovery. The MLR102 is designed for installation in sound-sensitive locations, including patient rooms. It takes noise out of the equation, operating under 40 decibels, thanks to AdvanceCore™ cooling technology, meaning patients and care givers are never disrupted by the refrigerator. The MLR102 provides superior temperature uniformity for the safe and secure storage of valuable medications near the bedside without the noise. Traditional compact medical-grade refrigerators may be loud and disruptive to patients. A recent evaluation of a common compact, medical-grade refrigerator used inside of patient rooms showed that the MLR102 was significantly quieter. The results of the evaluation are shown on the graph. Hospitals across the country know that noise is negatively effecting patient satisfaction and recovery. Studies show that dropping noise levels by simply five decibels is extremely noticeable to the human ear. The Helmer MLR102 is almost 10 decibels quieter than a traditional compact refrigerator. This quiet refrigerator supports patient comfort, healing, and satisfaction; leading to increased HCAHPS scores and higher levels of reimbursement.

Product Features

AdvanceCore™ Technology efficiently powers the MLR102 with solid-

state thermoelectric cooling to efficiently create a uniformly cold internal chamber through the use of solid-state thermoelectric technology.

n Near-Silent Operation •  Eliminates noise caused by traditional systems, resulting in low sound levels (<40db).

•  Install in sensitive patient care and staff work areas without causing distractions due to noise.

n Medical-Grade Performance •  Reliable temperature uniformity through the use of solid-state heat pumps with forced-air circulation.

• Quick recovery after door openings. •  Heat transferred through non-hazardous, HFC free, natural refrigerants.

n Energy-Efficient •  Electronic control system optimizes energy efficiency to provide an extremely low energy rating.

• Lower energy use than traditional compact units. • Lower long-term cost of ownership. n Optimized for Small Spaces •  Requires less clearance than traditional compact countertop units. • Limited heat output into environment. • Small footprint.

Compact Refrigerator Noise 50

Decibel Level

President:

48 46 44 42 40 38 36

Competitor’s Unit

WINTER 2016

I

MLR102

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


Leigh Ann Grasso, PharmD, RPh, Annie’s Apothecary owner, PCCA member since 2001

There’s a reason our pharmacy consulting department is 30 experts strong. Her name is Leigh Ann. Because in the business of compounding, the bottom line is always personal.

Membership, for all the right reasons. pccarx.com l 800.331.2498


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

With PCCA, Membership Means Partnership

Compounding pharmacists make a difference for patients. As the industry’s most comprehensive resource, PCCA makes a difference for compounding pharmacists, offering the highest quality products, education, and support.

President:

Jim Smith CEO: David Sparks Founded: 1981 Employees: 250+ Toll-Free Phone: (800) 331-2498 Phone: (281) 933-6948 Fax: (800) 874-5760 Website: www.pccarx.com Email: coremarketing@pccarx.com

Company Background

PCCA provides member pharmacists and prescribers more products, education, and support than any other organization. We have been the innovative compounding leader for 35 years, developing new industrychanging bases and equipment. With studies to back up our quality products, we are proud to have helped compounders solve some of the toughest patient challenges. At PCCA, we have made it our business to support compounding pharmacists every step of the way – and then some. What began in 1981 as a small network of pharmacists, has grown to over 3,900 member pharmacies worldwide.

Product Overview

While our members have access to over 4,560 active and non-active chemicals — more than any other compounding pharmacy supplier — the competitive advantage we bring to our members is the industry’s most comprehensive quality control and assurance program we bring to those chemicals every day. Find out more at: www.pccarx.com/quality.

Here is the Quality Difference that PCCA Brings to Member Pharmacies Every Day n Every Lot — Not Just the Initial Lot — is Tested •  We do not solely rely upon the USP or manufacturer’s label to ensure the quality of the chemicals received. •  Every lot received is tested using Fourier Transform Infrared Spectroscopy, ultraviolet-visible analysis, melting point, specific gravity, solubility, and chemical identifications. •  Additional testing of APIs is done using actual formulations.

n 14 Checks and Analyses are Performed on Each Chemical Lot •  Nine qualitative and quantitative analyses are performed on every incoming chemical lot before it is released for repacking or sale. •  Each lot is tested against the certificate of analysis (C of A), including: USP, EP, NF, FCC, ACS, and PCCA standards.

•  After initial testing, all results are reviewed for accuracy by a second QC analyst. • Chemicals are tested only by degreed Chemical Analysts. n PCCA Rejects 250+ Chemical Lots Per Year •  PCCA is fully registered by the FDA, DEA, and State of Texas as a manufacturer and follows current Good Manufacturing Practices (cGMP). •  Only FDA-registered and GMP-certified manufacturers are used for the purchase of active pharmaceutical ingredients (APIs). • Exclusive, proven bases and formulas. n Proven Bases for More Patient Options With access to more than 60 proprietary bases — unavailable to other compounders — your PCCA pharmacy will have more options to treat patients, from VersaBase® topicals, specifically designed for compounded HRT delivery, to Lipoderm®, the industry’s only transdermal proven to deliver four drugs simultaneously, to PracaSil®-Plus, our base for scar therapy backed by a number of studies showing its effectiveness. n Comprehensive Education is the Key to Compounding Continuing education is the key to quality compounding solutions. Your PCCA pharmacy has access to more Accreditation Council for Pharmacy Education (ACPE)-accredited continuing education than anyone else. In 2017, PCCA will conduct more than 130 ACPEaccredited sessions across the United States, Canada, and Australia, as well as scores of other training sessions from clinical and technician related topics to sales and marketing. n Complete Support Member pharmacies have access to the industry’s best support with more than 30 pharmacists and pharmaceutical chemists on-hand to answer the toughest compounding and clinical questions. n Advocacy Through our dedicated Public Affairs group, PCCA advocates for each member’s right to compound through such things as regulatory and insurance support, product availability, and crisis intervention. We work hard on your behalf to raise awareness of compounding and to protect your practice and your patients.

Testimonials

Learn more about PCCA membership and how it can benefit your practice at: www.pccarx.com/join-pcca.

WINTER 2016

I

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


CASE STUDY Refrigerator Eliminates Medication Waste, Saves Clinical Staff Time

Dave Bowers Lead Biomed Technician ~ Lehigh Valley Physicians Group (LVPG)

Julie Kaszuba, RN

PRIMARY INTENDED OUTCOME(s) Our goal was to prevent refrigeration failures and inefficiencies that potentially result in decreased productivity, troubleshooting costs, product waste, and suboptimal medication effectiveness, which compromise patient safety.

Clinical Procedure and Products Nurse ~ Lehigh Valley Physicians Group (LVPG)

THE CHALLENGE Mechanical failures and uneven cooling of medical refrigerators — a major pain point for staff at Lehigh Valley Physicians Group (LVPG) — increased product waste, revenue losses, labor, and down-production while delaying patient contact. “The refrigeration units we were using were malfunctioning on us. We had many issues with the refrigeration and the way they delivered cold air inside the unit,” said Dave Bowers, Lead Biomed Technician at LVPG, who services all the equipment in the nurse-supported physicians’ offices within the network. With more than 140 practices and 47 specialties serving eastern Pennsylvania’s BethlehemAllentown-Easton metroplex, LVPG, a subsidiary of Lehigh Valley Health Network (LVHN), needed to find a reliable solution — and fast.

24

www.follettice.com


CASE STUDY THE DECISION A stable temperature is critical to maintaining product efficacy when storing high-dollar biologics and other medical products that require refrigeration. However, certain variables can threaten temperature uniformity and product stability — one of the most crucial being the delivery of cold air into a concentrated area. Uneven or inconsistent air distribution decreases the potential for temperature homogeneity throughout refrigeration unit’s internal casing. Such fluctuations in air flow increase the likelihood for out-of-range readings, which could jeorpardize product effectiveness —regardless of their shelf level. Temperature instability always demands immediate attention. A temperature excursion often pulls clinical staff away from patient care in order to follow specific protocols necessary to ensure product quality and efficacy. As a result, refrigerator failures prove as critical as inconsistent temperatures.

Now we have few breakdowns, less product waste. In fact, we haven’t had any breakdowns with the new Follett units since we’ve been using them over the last two years. It saves nurses and other clinical staff time.

Dave Bowers Lead Biomed Technician ~ Lehigh Valley Physicians Group (LVPG)

In the instance of an out-of-temperature reading, mechanical malfunction, or process failure, the integrity and potency of vaccines and other biologics could be compromised. “Either way, your vaccine could be weak. You might have to discard everything in your refrigerator,” explains Julie Kaszuba, RN, Clinical Procedure and Products Nurse. The cabinets in LVPG’s existing refrigerators employed top-mounted hanging evaporators inside the storage cabinet, which concentrated cold air at the top. Bowers and his biomedical team explored a variety of options capable of sustaining cold chain specification requirements. However, each option utilized a similar hanging evaporator air distribution system. Fearing similar mechanics might create all-too-familiar challenges with temperature instability, they continued their search for a solution. Bowers and Kaszuba were then introduced to Follett’s medical grade upright refrigerators. They found these refrigerators to offer several unique features that best addressed LVPG’s needs including: • Back-plenum air distribution — an industry-exclusive feature • Convenient installation • Similar floor space • Comparable pricing (within $200) • A multi-device compatible alarm • Client product customization For Bowers and Kaszuba, their customer experience with Follett — which included product demos and the company’s reception to consumer feedback — also helped to seal their decision. Kaszuba found Follett’s receptivity helpful in finalizing the team’s product selection. “They are very customer-oriented and very open to feedback: ‘What did you like about the product? “What could you improve in time?’ They listen to recommendations to make the product better.” So receptive are the manufacturers to feedback, in fact, that Follett will be implementing one of Bowers’ suggestions to offer larger units bearing the same controls as the manufacturer’s smaller, under-the-counter refrigerators to make the units more user-friendly for smaller practices.

www.follettice.com

25


CASE STUDY

Any time we add a new practice or renovate a practice, if they don’t have it [Follett], we make sure it [Follett] gets put in as part of the budget.

THE RESULTS Bowers noticed an immediate difference in temperature stability after the Follett units were installed. The medications remained within temperature regardless of shelf level. Follett’s unique back-plenum air distribution circulated air more evenly to multiple levels within the cabinet, providing temperature uniformity that ensured product efficacy. An additional feature Bowers’ team found useful is Follett’s compatibility with third party external alarm systems that send alerts to the user’s email or phone. The simple installation process proved to be another major time and money-saver.

The benefit is two- fold: “Nurses don’t have to spend time worrying about having to check failures or checking to see whether the product is stored properly,” Bowers noted.

Lead Biomed Technician

Bowers summarized the results, stating, “Now we have few breakdowns, less product waste. In fact, we haven’t had any breakdowns with the new Follett units since we’ve been using them over the last two years. It saves nurses and other clinical staff time.”

Dave Bowers ~ Lehigh Valley Physicians Group (LVPG)

“The modular refrigeration unit can be unbolted, swapped, and unplugged within an hour by a mechanical person, but it doesn’t have to be a refrigeration specialist,” Bowers pointed out. He also noted that the unit installation does not require a refrigeration specialist, which makes the setup process more user-friendly.

THE CONCLUSION Having a product that supports best practice plays a significant role in providing quality care. Follett’s industry-exclusive back-plenum air distribution helps ensure temperature stability and medication efficacy while the external alarm system gives users additional assurance that the cold chain remains in spec. As a result, the reliability of Follett’s medical grade upright refrigerators helps improve patient care while elevating the user’s experience. For a seamless roll-out, Bowers aims to make sure LVPG incorporates renovations and upgrades planning for floor space to accommodate Follett’s slightly larger refrigerator. Although no exact timeline has been established, Bowers eventually plans to replace all older refrigerator models with Follett units throughout the LVPG system. “Any time we add a new practice or renovate a practice, if they don’t have it, we make sure it gets put in as part of the budget,” Bowers stressed. “Also, the external alarm system allows us to monitor the temperature closely and make recommendations to management to swap out systems sooner. If we see a pattern of out-or-range temperatures, we try to get the old units changed out to Follett.” “Generally speaking, any time that there is not waste, there is a win. Any time waste is avoided, it’s speaking to a level of quality and following a best practice,” Bowers concluded. Kaszuba echoed Bowers’ sentiments on quality, stating, “I think clinically, it’s about safety, so your medications are only as good as maintaining the efficacy of your products.”

26

www.follettice.com


Temperature consistency on every level

Ever see shelves loaded heavily or unevenly? Blocked airflow in other manufacturers’ refrigerators and freezers could leave areas out-of-temperature. Protect your valuable temperature-critical items with Follett’s patented dual-duct air delivery system, which distributes air evenly at every level to keep the entire cabinet in-temperature.

See our full line at follettice.com/upright or call 800.523.9361 for more information


A Partner You Can Trust for All of Your Pharmacy Solutions Medication image verification High-density storage including carousels Inventory management Secure med storage for Controls Refrigeration Automated unit dose packaging for inpatient services, multi-med packaging for outpatient locations

Vial filling and will-call solutions for Outpatient pharmacies

www.TCGRx.com

info@TCGRx.com

262.279.5307


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

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

Duane Chudy Founded: 2006 Employees: 80+ Phone: (262) 279-5307 Address: N1671 Powers Lake Road Powers Lake, WI 53159 Website: www.TCGRx.com Email: info@TCGRx.com

Company Background

TCGRx is a leading supplier of pharmacy automation and pharmacy design services. Our solutions range from individual components to address specific issues, to complete pharmacy design. TCGRx has an experienced staff and we pride ourselves on delivering high-quality, reliable products that can be used, improved, and scaled for decades to come.

Product Overview

n HDStock™ HDStock™, high-density fixtures from TCGRx, create an organized and tailored storage system for your pharmacy. This pharmacy storage solution will free up space and reduce technician filling time while creating a clean and bright design for a professional setting. All of our fixtures are available with unique labeling and dividing features that make finding medications quick and easy. A wide array of available colors and styles allows you to customize not only the layout of your pharmacy, but also the look. Options for the HDStock include: carousels, high profile shelving, bulk shelving, and workstations.

Additional Products

n Beacon® Inventory Management Beacon is unique — tracking total pill quantity, inventory on hand, and usage. Additionally, Beacon provides bottle-specific information, including quantity and expiration date tracking. Using our unique barcode scanning and light-guided pick and put process, Beacon can direct technicians to fill scripts following the priority of open bottle first, shortest expiration date second. Beacon can also manage your will-call with DeliverRx™, using the same barcode and light guided system. n ATP® 2 The ATP® 2 Automated Tablet Packager is the most versatile, industryleading oral solid packager on the market. Engineered to provide improved performance, reliability, and flexibility, the ATP 2 is available in a wide variety of sizes and is expandable for future growth or business needs with 64 to 480 medication canisters. When combined with AutoSense™ smart canister technology and ½ tab canister dispensing, the ATP 2 has

a limitless formulary capacity. Equipped with a dual tray system, you can now continuously run your ATP 2 without interruptions, making strip packaging and adherence packaging practical for any pharmacy. The ATP 2 facilitates both unit dose and multi-med packaging with multiple sizes, and can include color indicators to signify proper pass time and various images and logos to give you maximum flexibility. The ATP 2 integrates with the comprehensive suite of pharmacy solutions offered by TCGRx, including a fully automated image verification system, the InspectRx, automated collation system, the Collect™, BullsEye® automatic tablet splitter, and noncanistered filling with our patented SmartTrayRx™ system. n InspectRx™/Collector™ InspectRx gives pharmacies the confidence of knowing that their AdherePac™ pouches are accurate while increasing the throughput of the checking process. Pills are verified by identifying 12 physical characteristics and highlighting potential issues for pharmacists. Pharmacies can track erroneous pouches and missing meds back to the source with an archived database of the front and back image of each AdherePac scanned. Adding the Collector enables the rolling, cutting, and taping of each patient or medication strip, vastly improving the speed of preparation for delivery.

Markets Served • Retail — Independent • Retail — Chain • Long-Term Care • Hospital — Inpatient

• Hospital — Outpatient • Nutraceuticals • Central Fill • Specialty

Ordering Information

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

WINTER 2016

I

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


Fagron SyrSpend® SF

Superior Suspending Technology Compounding pharmacists need to have quality stability and BUD data to support their efforts creating customized medications. Over 70 APIs with SrySpend® SF products have been studied and published in reputable peer review journals, including IJPC. Five of the top 10 drugs administered to 38 million beneficiaries enrolled in Medicare Part D have stability and BUD supporting data.1 To learn more about the APIs studied with SrySpend® SF products, visit us.fagron.com/en-us/syrspend.

SyrSpend® SF Vehicles • Extensive and growing database of scientific references for stability data and beyond-use dating • Pre-weighed convenience packs available to compound suspensions in minutes • Supports adjusted and flexible dosage regimens SyrSpend® SF • All-in-one syrup suspending vehicle • Simple one-step compounding process • pH adjusted to 4.2 for maximum compatibility • Also available as powder for reconstitution (preservative-free) SyrSpend® SF Alka • Easy-to-use suspending powder for reconstitution • Provides an alkaline (>7) environment for acid-labile drugs • Preservative-free

Active Suspending Technology • Holds particles in suspension longer • Allows more accurate dosing Low Osmolality • <50 mOsm/kg • Minimizes GI upset and diarrhea • No sorbitol means lower osmolality to lessen laxative/diarrhea problems • Ideal for pediatric and geriatric patients Sweetened without Sugar or Alcohol • Bitterness is masked • Pleasant taste enhances compliance

https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-08-18.html

1

fagron.us

Fagron, Inc. - 2400 Pilot Knob Road - St. Paul, Minnesota 55120 - USA Tel. (800) 423 6967 - Fax (800) 339 1596 - info@fagron.us

N ew

Stabilit y Studies N ew S t

udies at us.fagr on.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

SyrSpend® SF From Fagron — Alternative Solutions for Convenient and Efficient Oral Liquid Dosing SyrSpend® SF brings added value in compounding oral suspensions, superior suspendability for more accurate dosing, better taste, extensive scientific stability studies, and can improve compliance, all while reducing inventory and carrying costs. Founded: 1980 Employees: 300+ Toll-Free Phone:

(800) 423-6967 (800) 339-1596 Address: 2400 Pilot Knob Road St. Paul, MN 55120 Website: Order online at shop.fagron.us Fax:

Company Background

Fagron’s strategy is focused on optimizing and innovating customized pharmaceutical care in order to widen the therapeutic options of prescribers worldwide. As the leading global company in pharmaceutical compounding, we are supporting the unique selling point of customized medication and improving patients’ quality of life. As the leading company in pharmaceutical compounding, Fagron develops innovative concepts and solutions that respond to the specific and individual wishes of compounding pharmacies all over the world. In Fagron’s Innovation department, over 200 pharmacists are dedicated to developing and providing innovative concepts, products, and formulas that will meet the demands of the pharmacist, prescriber, and patient.

Product Overview

SyrSpend® SF is an innovative vehicle for the compounding of oral liquid dosage forms. Based on food starch, SyrSpend® SF’s superior suspending properties provide consistent, individual dosing throughout treatment. The excellent compatibility with a broad range of active pharmaceutical ingredients (APIs) and meticulous ingredient selection make SyrSpend® SF highly suitable for compounding stable tailor-made medication. SyrSpend® SF is quick and easy to compound with and provides pharmaceutical stability and dosage consistency with each preparation. Its light texture, safe ingredients, and neutral taste results in treatment that is comfortable and is easy to swallow for all patient groups, from neonates to the elderly. Compatible with an extensive range of APIs, you can choose the most suitable product for compounding with both acid and alkaline options. n Our Product Line Consists of: •  SyrSpend® SF, a sugar-free suspending vehicle buffered to a pH of 4.2 for maximum compatibility with active pharmaceutical ingredients. Preservative-free version available. •  SyrSpend® SF Alka, an easy-to-use powder for reconstitution that provides an alkaline environment for acid-labile drugs such as omeprazole. n Superior Suspending Technology •  Innovative, highly stable suspensions based on modified food starch. • Formulated using only well-tolerated ingredients.

•  Optimal palatability and taste-masking properties for improved compliance. • Compatibility with a broad range of APIs. • API stability supported by peer-reviewed scientific articles. • Convenient vehicles for efficient and high-quality compounding.

Benefits of SyrSpend®

• Optimizes ease of administration, mouth feel, and taste masking. •  Formulated without alcohol, parabens, sorbitol, sugars, gluten, or dyes. •  Low osmolality (<50 mOsm), minimizing gastrointestinal upset and diarrhea. •  Holds API particles in suspension longer for more accurate and consistent dosing during treatment. • Suitable for diabetic patients. • Extensive and growing database of stability data.

Additional Hospital Solutions

n SyrSpend® SF Convenience Packs SyrSpend® SF offers a line of convenience packs that add to Fagron’s Hospital Solution assortment. The SyrSpend® SF Convenience Packs contain all pre-weighed materials needed to prepare a 120 or 240 mL oral suspension. SyrSpend® SF is a unique preservative-free, starch-based, patented vehicle that provides increased suspendability of APIs to assist with consistent dosing. The sugar-free, sorbitol-free, and dye-free suspension allows for administration ease in a much larger number of patients. n LETS KIT® Convenience Pack LETS is a solution of lidocaine, epinephrine, tetracaine, and sodium metabisulfite — an alternative to commercially available topical anesthesia products without the use of a controlled substance. The easy-to-use Fagron LETS KIT® Convenience Pack simplifies the compounding process by offering a convenient package containing preweighed quantities of all ingredients. With the addition of water, each kit is designed to make 100 milliliters of anesthetic solution. If desired, the LETS KIT® Convenience Pack can also be compounded into a gel preparation. Fagron provides small quantities of methylcellulose to ease in compounding a gel. Compact packaging allows the kits to be stacked easily for quick access and inventory control. n Drug Shortages Solutions Fagron carries a wide range of APIs to help you get through drug shortages. Our high-quality APIs can be used to compound capsules, oral solutions, topical preparations, and parenteral preparations (USP <797>). Before switching your patients to alternative therapies, contact Fagron.

Ordering Information

Contact us for information regarding our hospital solutions and other innovations at fagron.us, customer.service@fagron.us, or (800) 423 6967. WINTER 2016

I

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


H+H SYSTEM

FLEXSHELF FAMILY

H+H SYSTEM, Inc.

760 Beechnut Drive

Pittsburgh, PA 15205

H+H STORAGE AND DISTRIBUTION CARTS

H+H WORKTABLES AND WORKSTATIONS

H+H DRUG & DISPOSABLES STORAGE

H+H DRUG PICKING STATIONS

Phone 800-477-2123

infousa@hhsystem.com

www.hhsystem.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

H+H System, Inc. Brings Standardization, Security, and Control to Your Facility Organization systems for carts, shelving, refrigeration, and bulk storage help manage stock levels and support your lean management initiative.

General Manager: Mitch Bernett Toll-Free Phone: Phone: Fax: Address:

Website:

(800) 477-2123 (412) 922-4437 (800) 477-9364 H+H System, Inc. 760 Beechnut Drive Pittsburgh, PA 15205 www.hhsystem.com/en_us

Company Background

H+H System, Inc. has been providing the healthcare industry with storage solutions in the United States for over 20 years. Our products are now distributed in more than 50 countries either directly or via our partners. H+H System is now used by a large range of people from the healthcare sector to shop fitters of all types of businesses. We work with pharmacy, anesthesia, operation, and emergency room personnel to ensure they have the specific storage solution they require. The original concept of flexible storage dividers has now been incorporated in our shelving, FlexModul, and FlexShelf product lines.

Product Overview

Our family of H+H System products organize your inventory and help with workflow efficiency. Flexible storage systems can be adapted to changing inventory needs. Labeling options are available to help with inventory counts and product expirations. The H+H System brings the standardization, security, and control that the joint commission expects! The H+H System offers shelving organization for pharmacy stock, (movable) shelves, nursing stock, bulk storage, and unit dose storage. Sliding dividers provide a place for everything and keep everything in its place. Dividers and attached label holders slide into position along with stock. Compact storage assures instant recognition of missing items and guarantees: • Clear visibility, easy access, and better security. • Increased efficiency of inventory and restocking. • Improved accuracy and reduce risk of med errors.

Additional Product Lines

n Picking Stations and Work Stations New for 2016 are the H+H System picking stations and work stations. Picking stations organize and simplify the restocking of drugs for your exchange trays. By having the storage of items (both small dosages and bulk) in close proximity to the work surface, increased efficiency is achieved. Different height trays with customizable divider configurations allow the picking station to fit your specific needs. Our work stations, with an IT Configuration or work top, are ideal compliments for your scanning stations.

n Exchange Trays H+H System exchange trays give hospital personnel the ability to standardize their medication storage in all medical carts and drawers. Standard heights include 1⅜", 2 5⁄16", 4", and 5". Standard size trays are available, but custom sizes can be produced for any quantities. Flexible dividers on the inside of the tray allow the end user to compartmentalize the tray based on their needs. If the need for more storage space arises for a particular item, just slide the divider and a larger storage compartment is now created. Trays can be produced in different colors, which allow it to be quickly identified for different hospital departments. n FlexModul The FlexModul product line is designed to give the user ideal storage for bulk goods. Our side panels can be mounted inside an existing casework and allows the trays to be hinged 10 or 30 degrees for viewing while still being stored horizontally. This allows for the storage to be optimized in the existing space. Trays are available in 2", 4", and 8" heights in either gray ABS plastic or clear polycarbonate plastic. FlexModul dividers can be added to the inside of trays to further divide the space. Labeling options are also available so the items are easily and quickly identified. n FlexShelf FlexShelf is an expandable open rack storage system that allows for products to be stored in a viewable manner. When accompanied with the FlexModul trays, the system can be adjusted as your storage needs change. Accessories such as fixed shelves, pull-out shelves, pull-out drawers, and solid worktops allow for numerous configurations and the perfect solution for any need. Additional storage columns can be added at any time, as needed. For a mobile storage option, castors can be used instead of the adjustable leveling feet. This can be used as a distribution cart when restocking exchange trays on your medical carts.

Upcoming Trade Shows

•  2016 American Society of Hospital Pharmacists Midyear Meeting & Exhibition, Las Vegas, NV, Booth #2165

•  2017 Association of periOperative Registered Nurses Surgical Conference & Expo, Boston, MA, Booth #1832

•  2017 Association for Healthcare Resource & Material Management AHRMM17, Washington, DC, Booth #1015

Ordering Information

Please contact H+H System by calling (800) 477-2123 or by emailing our sales department at salesus@hhsystem.com. Inquiries can also be faxed to (800) 477-9364. WINTER 2016

I

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


Mike Pierce President

Lance Lanier, BS Pharmacy Director of Business Development

503B Compounding Outsourcing Facility

Tracye Easterly Administration

Karen Koen, Pharm D Compounding Pharmacist

Brad Reece Director of Operations

Dell McCarley, Pharm D Chairman/CEO

Chris Hutts, Pharm D Pharmacist in Charge

877-666-5222 www.cantrelldrug.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

FDA Registered 503B Outsourcing Facility by Cantrell Drug Company Our experience with cGMP focused policies and procedures; along with carefully designed facilities, equipment, training, and testing; provide confidence to our customers in the quality of our services. CEO:

Dell McCarley, Pharm.D. President: Mike Pierce Founded: 1952 Employees: 150+ Toll-Free Phone: (877) 666-5222 Phone: (501) 666-2020 Fax: (877) 666-8962 Address: 7700 Northshore Place North Little Rock, AR 72218 Website: www.cantrelldrug.com

Company Background Established in 1952, Cantrell Drug Company has a long and successful history. Amidst many changes in the field of pharmacy, Cantrell Drug Company has remained committed to the highest standard of quality. Innovation and investment in cutting-edge technology at Cantrell Drug Company is evident by being the first in the industry to utilize a rapid microbiological sterility testing program. Our commitment to quality is readily apparent from a completely autonomous and independent Quality Assurance Department and one of the first sterile compounders to register as a 503B with the FDA. Product Overview Cantrell Drug Company is an FDA registered 503B Human Drug Compounding Outsourcing Facility that specializes in providing customized IVs, OR syringes, epidural preparations, PCA syringes, and drug shortage solutions with the highest level of quality. Product lines are compounded under a comprehensive quality system model that supports and sustains robust quality systems consistent with cGMP-focused regulations. Cantrell provides sterile and non-sterile compounded preparations that meet the needs of patients, physicians, clinics, and health care institutions. Cantrell retains a DEA manufacturing license, an FDA registration, and is appropriately licensed in all 50 states. When you need Quality, Service, and Experience — Trust Cantrell Drug Company.

Drug Shortage Solutions Drug shortages lead to increased cost and procurement challenges for pharmacies to meet patient and physician needs, and much of the financial impact is felt in acute care settings. Cantrell Drug Company offers compounded solutions to many of these shortages. We give our clients a way to “fill the gap” during their time of need for hard to find preparations. Cantrell Drug Compounds From Active Pharmaceutical Ingredients (API) Whenever Possible for a Number of Reasons n Drug Shortage Insulation Utilizing API helps ensure we will be able to supply our customers even when commercial products cannot be sourced.

n Commercial Price Insulation The commercial drug market is in a constant state of flux. By utilizing API we are able to keep our costs consistent so our clients can better plan their pharmacy spending.

n Reduced Bioburden in the Hood API allows us to prepare a single bag and limit the number of nonsterile commercial containers in our clean room area thus reducing the bioburden. Cantrell Drug prepares a single bag vs. hundreds of vials in the class five environment.

n Fewer Controlled Movements in the Hood API allows a more efficient process, removing the need of pooling commercial vials. Fewer manipulations saves time and operator fatigue.

WINTER 2016

I

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


Preceptor Recognitions

Thank you to our 2016 Paloni Preceptors of the Year!

APPE & IPPE Preceptor of the Year Every year, University of Findlay Pharmacy students nominate a preceptor that they found to be an outstanding teacher outside of the typical class room setting. This year, we had copious nominations from students, showing us how greatly UF preceptors impact our students. This year, the awards went to Rachel Rocha of Toledo (APPE) and Sheri Sponsler of Arlington (IPPE) who are both pictured below. UF appreciates the time all of our preceptors take out of their schedules to enhance the experiential education of our students.

Ian Hollis Pharm.D.

Health-System Preceptor of the Year Preceptor for nine years - Mentored over 50 students

Student Comment

“Dr. Hollis’ ability to ask a series of questions to allow a learner to reason through an answer, rather than simply lecturing, results in an unparalleled learning experience.”

Amy Sauls Pharm.D.

Community Preceptor of the Year Preceptor for four years - Mentored 30 students

Student Comment

UF APPE Preceptor of the Year Rachel Rocha

UF IPPE Preceptor of the Year Sheri Sponsler

Promedica Pharmacy Counter at The Mary Ellen Falzone Diabetes Medical Center, Toledo, Ohio

Arlington Pharmacy, Arlington, Ohio (Pictured with Sheri: UF Pharmacy student Gyen Musgrave, PharmD Candidate 2019)

“I truly felt that Dr. Sauls was 100 percent dedicated to my month at campus health... She is a kind, effective and dedicated preceptor who is fully worthy of recognition for her time and effort invested in student learning.” Want to join the preceptor team at the University of North Carolina at Chapel Hill? Please contact Kim Leadon at 919-966-3023 or kim_leadon@unc.edu. 16-007

Faculty Preceptor of the Year Dr. Sheron Chen The mission of Roosevelt College of Pharmacy is to embrace a patient centered approach to learning that will graduate pharmacists who are competent, committed, and compassionate. The Office of Experiential Education is fortunate to have an outstanding group of Clinical Faculty who precept our Advanced Pharmacy Practice Students on their rotations and ensure that the College of Pharmacy is living their mission. At the Class of 2016 Awards Banquet in May, Dr. Sheron Chen received the very first Faculty Preceptor of the Year award. Dr. Chen recently completed her first year as a faculty member at Roosevelt College of Pharmacy. Her clinical site is Elmhurst Clinic, which is an Ambulatory Care Clinic. She has been acknowledged by her students as an exceptional preceptor who takes the time work with students in areas that are challenging to them. Dr. Chen is an educator who is encouraging, positive in feedback, and enthusiastic. Her students are all in agreement that she goes above and beyond, while always having the best interest of the students that she precepts. If you are a pharmacist interested in becoming a RUCOP preceptor for introductory and advanced experiential education, please contact: Joan Hardman, BPharm, RPh | Director of Experiential Education (847)330-4508 | jhardman02@roosevelt.edu www.roosevelt.edu/pharmacy

36

WINTER 2016

I

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

2016 Preceptor of the Year The Fairleigh Dickinson University School of Pharmacy & Health Sciences is proud to acknowledge Dr. Ralph Bury as our 2016 Preceptor of the Year! Dr. Bury is currently the pharmacy manager at Walgreens Store #3146 located in Newark, NJ. He was nominated for this award by the Class of 2016 and was honored at our school’s annual White Coat Ceremony this past August. He has participated in a wide array of community events including HIV awareness and education, flu and meningitis clinics, and senior outreach programs. Dr. Bury encourages his students to think outside the box and has them travel on field trips to see the variety of roles within the retail setting including, but not limited to, Hepatitis C, HIV, and transplant specialties. Since the inception of our program, he has proudly precepted 20 FDU students and counting. Dr. Bury has been praised by students for being a great preceptor who always encourages students and finds unique opportunities for them to learn!

I always remind my students that the rotation does not end on the last day. I make myself open to any questions and guidance even when the rotation is through on paper. “ ~ Dr. Ralph Bury

The FDU School of Pharmacy & Health Sciences’ Experiential Education department sincerely thanks all of our preceptors who have precepted students in the 2015-2016 academic year. Become a FDU Preceptor! Please call us at (973) 443 8411 to join our team!


Preceptor Recognitions

Robert Smith

2016 Preceptors of the Year Campbell University College of Pharmacy & Health Sciences would like to congratulate Mrs. Rebecca Chater and Dr. Brian Jenkins as our student selected 2016 Preceptors of the Year. Mrs. Chater and Dr. Jenkins provide outstanding contributions to the education development of our students and demonstrate high standards of professionalism, ethics, and clinical practice. Mrs. Chater is the Executive Healthcare Strategist at Ateb in Raleigh, NC. Dr. Jenkins is the Assistant Director of Pharmacy at Columbus Regional Healthcare System in Whiteville, NC.

2016 APPE Preceptor of the Year Wingate University School of Pharmacy is proud to recognize Robert Smith as our student-selected 2016 APPE Preceptor of the Year. Dr. Smith serves as the Director of Clinical Services for Neil Medical Group in Mooresville, NC, and has served as a dedicated WUSOP preceptor for the last 3 years. Dr. Smith holds both the Board Certified Pharmacotherapy Specialist (BCPS) and Certified Geriatric Pharmacist (CGP) credentials. He is recognized as a Fellow of the American Society of Consultant Pharmacists (FASCP). He has also been honored with the Omnicare Clinical Manager’s Award. Students praised Dr. Smith for his extensive knowledge base and detailed approach to precepting. When describing the rotation experience with Dr. Smith, the following comment was written by a student.

Robert Smith

This has probably been the most challenging and rewarding rotation I have had thus far. Robert is extremely professional, knowledgeable, and courteous; a role model in the field. Conversations with Robert one-on-one helped me to gain a better understanding of the field, his professional experience, and thought processes for therapeutic decisions regarding patients.”

Rebecca Chater

Brian Jenkins

If you are interested in becoming a pharmacy preceptor for Campbell University and would like more information, please contact: Tina Thornhill, PharmD, FASCP, CGP Vice Chair for Professional Education and Associate Professor of Pharmacy Practice thornhillt@campbell.edu

If you are interested in becoming a Wingate University preceptor and would like information, please contact: Wesley Haltom, PharmD - APPE Director 704-233-8343 | wrhaltom@wingate.edu Lisa Dinkins, PharmD - IPPE Director 704-233-8348 | l.dinkins@wingate.edu

The School of Pharmacy and Class of 2016 Congratulate the 2016 Preceptors of the Year Husson University School of Pharmacy is pleased to present its fourth Community Practice Preceptor of the Year Award and fourth Institutional Practice Preceptor of the Year Award. These awards are presented to a pharmacy preceptor who demonstrates exemplary commitment as a role-model and mentor for pharmacy students in patient-centered education within the practice of pharmacy.

Michael Harris, RPh. Harris Drug in Greenville, ME is the Recipient of the Community Practice Preceptor of the Year

Kate Rattray, Pharm D. Cary Medical Center in Caribou, ME, is the Recipient of the Institutional Practice Preceptor of the Year If you are interested in serving as a Husson Preceptor, please contact the Office of Experiential Education at: 1 College Circle, Bangor, ME 04401 (207) 992-1974 or rossignolk@husson.edu

Contact us: pharmacyee@mcw.edu WINTER 2016

I

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


Unit Dose Done Right

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

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

Simple. Reliable.

800.523.8966

MediDose.com


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

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

Robert Braverman

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

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

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

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 men 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. • 13 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, and various state and regional pharmacy 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.

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!

WINTER 2016

I

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


Two layers of protection. One smart packaging system.

The innovative, easy-to-use packaging system ideal for large volume sterile product preparation.

SmartPak® is the new standard for large volume sterile product preparation. With a revolutionary dual bag design, each SmartPak® bag contains up to 300 grams of drug. SmartPak® has been proven as a cost-effective and safe packaging system for over 10 years. It saves time by eliminating the usual steps associated with reconstituting multiple 10 gram vials — and offers a sterile, reliable packaging system for large volume sterile product preparation that helps your operation run more efficiently.

Smart thinking.

AVAILABLE PRODUCTS DESCRIPTION

NDC

LIST#

Cefazolin 100 grams

66288-1100-1

1100

Cefazolin 300 grams

66288-1300-1

1300

Ceftriaxone 100 grams

66288-6100-1

6100

Vancomycin 100 grams

66288-7100-1

7100

PO BOX 2730 Cherry Hill, NJ 08034 Telephone: 856-751-5051 Telephone: 877-418-3600 FAX: 856-751-5044 For more information visit: www.samsonmt.com

www.samsonmt.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

SmartPak® by Samson Medical Technologies, L.L.C The innovative, easy-to-use packaging system ideal for large volume sterile product preparation.

CEO:

Marvin Samson Vice President: Scott Samson Founded: 1999 Toll-Free Phone: (877) 418-3600 Phone: (856) 751-5051 Fax: (856) 751-5044 Address: 2050 Springdale Road, Suite 400 P.O. Box 2730 Cherry Hill, NJ 08034 Website: www.samsonmt.com

Company Background Samson Medical Technologies, L.L.C. is a privately-held company founded in 1999 by Marvin Samson, a world-renowned leader in injectable manufacturing and delivery systems, to provide hospital and alternate site pharmacists with safe, convenient, sterile dosage preparation systems and products. The company was established in response to requests by leading health-system pharmacists to develop an alternative to cumbersome pharmacy bulk package vials. Samson Medical Technologies has worked with these leaders and a major supplier of anti-infective active ingredients to develop the SmartPak® system that enables pharmacy professionals to prepare sterile dosage forms with a great degree of safety, accuracy, and ease. Product Overview Available as a sealed, additive-free, latex-free, polymer bag, each SmartPak® bag contains up to 300 grams of a sterile powder protected from light, moisture, and oxidation by a foil overwrap. SmartPak® is an easy-to-use, space-saving, patented packaging system for injectable drugs, ideal for sterile product preparation. It is a totally closed system, and its polymer construction avoids breakage and potential injury. Its design eliminates the usual timeintensive steps associated with reconstituting multiple 10 gram vials of drugs, resulting in fewer manipulations, which, in turn, reduces the risk of contamination of product that is administered to a patient. SmartPak® is compatible with commerciallyavailable pumps, tubing sets, cassettes, and syringes.

Features • SmartPak® is composed of two sterile bags. •  An inner bag is in direct contact with sterile drug product and is made of an additive-free polymer to ensure maximum stability and shelf life. •  Sealed double port on the bottom allows for introduction of diluent and subsequent withdrawal of the bag contents. • A labeled, filled bag is placed into an outer foil bag. •  This outer bag protects the inner bag from light, moisture, and oxidation, maximizing stability of the drug product. Benefits •  Elimination of the usual steps associated with reconstituting multiple 10 gram vials of drug. • Totally closed system. • Fewer manipulations. • Greater assurance of sterility. • No glass means no breakage. • Reduced storage space requirements. • Reduced waste disposal. Testimonials “ Having bulk antibiotics in sterile form via SmartPak, enables us to maintain inventory of critical products at times of short supply. It has also reduced our batch preparation time and storage space required.”

— Rich Paoletti, MBA, RPh

“ Our Staff reconstitutes over 800,000 doses of IV sterile products annually. SmartPak reduces time, manipulation, and potential for contamination.”

— Kevin Kyle, Pharmacy Buyer

WINTER 2016

I

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


verity340b.com | 800.581.1378

New Technology Platform Hundreds of health systems rely on the Verity 340BTM products to maintain compliance, maximize savings, and minimize WAC spend. Verity Solutions has a state of the art managed services split billing solution. This web-based solution will keep your organization on the cutting edge of 340B program compliance while maximizing potential 340B savings. This enterprise solution has been designed with responsiveness in mind to quickly react to ever-changing 340B regulations. This solution also allows for unlimited concurrent users with full or limited access to data and reports. By using our Verity 340BTM managed services split billing solutions, 340B entities can virtualize their inventory, negating the need to maintain costly and space-consuming 340B-dedicated inventory, all while maintaining complete 340B compliance. Key components include:

CLOUD BASED

DATA SECURITY

Most innovative platform in the market. Analytics-driven Dashboards & Reports.

HiTrust certified data center drives HIPAA compliance. Secure product platform. Peace of mind.

BUILT FOR TODAY'S 340B

ENTERPRISE VIEW

Flexible, responsive and reliable software platform carefully designed to accommodate the latest regulations.

Manage/Track user and site activity across locations and relationships. Customized organizational views and access.

PERFORMANCE

SIMPLIFICATION

System architecture utilized the latest technologies to maintain high performance as data grows.

An intuitive, process-centric user interface.

Split Billing | Managed Services | Contract Rx | Specialty Contract Rx | Audit & Compliance | Purchase Analytics | 340B Registration Assistance


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

Verity Solutions — We’re Your Experts in 340B Program Compliance Verity Solutions is a leading provider of 340B software and services. We are driven to help healthcare organizations save money so they can extend care to those who need it most. We partner with customers over the long-term to support on-going compliance and audit readiness.

Trade Shows/Meetings Attended

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

(800) 581-1378 Address: 12131 113th Avenue Suite 200 Kirkland, WA 98034 Website: www.verity340b.com

•  340B Coalition Winter/Spring Conference — Pinnacle Partner •  Spring/Fall Health Connect Partners — Hospital Pharmacy Conference

Company Background

•  National Home Infusion Association •  Asembia Specialty Pharmacy Summit •  World Congress 340B Summit • National Hemophilia Foundation •  Pharmacy Society of WI Annual Meeting •  Fall IDN Summit •  Minnesota Pharmacists Association • National Rural Health Association — Pipeline Partner •  National Association of Specialty Pharmacy •  Pharmacy Systems Inc. NW Regional Primary Care Association

Product Overview

•  California Primary Care Association Fall Conference •  Oklahoma Annual Convention and Trade Show •  ASHP Midyear Meeting & Expo

Founded in 2002 and previously known as Talyst Inc., Verity Solutions provides 340B software and services to hundreds of integrated healthcare systems, acute-care hospitals, pharmacies, and other 340B-eligible covered entities throughout the United States. Verity Solutions is located in Kirkland, WA with remote employees stationed all across the nation to best serve our widespread customer base. More 340B savings drives us to deliver the most up-to-date platform, written specifically to address the latest HRSA Mega-Guidance. Our product offerings foster compliance, maximize savings, minimize WAC spend, and help you respond to ever-changing regulations. Hundreds of health systems rely on the Verity 340B software platform, which is constantly updated with the latest features and business rules. We deliver comprehensive services to simplify complex challenges and accelerate implementation, where most installs go-live within 90 days. We partner with customers over the long-term to support on-going compliance and audit readiness. In addition, details about your orders and cost savings are always at your fingertips. Access right when you need it. Verity Solutions products simplify the complex process of maintaining 100% 340B program compliance and results in critical cost savings.

Key Customers

• Hospitals • FQHC’s • Specialized Clinics

Markets Served

• 340B Split Billing • 340B Managed Services •  340B Contract Pharmacy •  340B Specialty Contract Pharmacy

Fall Primary Conference

GPO Affiliations

• Amerinet (Intalere) • Ascension

Graphs & Charts

•  Ryan White HIV/AIDS Program Grantees • Contract Pharmacies

Ordering Information •  340B Audit & Compliance Services •  340B Registration Assistance • 340B Purchase Analytics

Verity Solutions would like to partner with you to create the right 340B solution for your health system. For more information, please call (800) 581-1378.

WINTER 2016

I

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


I N F O R M AT I O N F O R I N T E L L I G E N T P H A R M A C Y M A N A G E M E N T


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

Health System — Pharmaceutical Inventory Experts: Capital Inventory The nation’s leader in pharmaceutical inventory service, providing inventory data that is accurate and dependable.

Founder:

William Straub Sr. President: Duran Dunn Founded: 1979 Employees: 75 Toll-Free Phone: (800) 345-0849 Phone: (770) 928-7202 Fax: (770) 928-2287 Address: 9725 Main Street Woodstock, GA 30188 Website: www.capitalinventory.com

Company Background

Capital Inventory, Inc. was founded by William Straub Sr. during the late 1970’s in Alexandria, Virginia. The company relocated to Georgia in the early 1980’s, and serves the entire nation including Hawaii, Puerto Rico, and the U.S. Virgin Islands from our office in Atlanta. Capital Inventory, Inc. has been in business for over 35 years, providing service to thousands of hospitals, university medical centers, regional medical centers, and health systems. We work exclusively in hospital, outpatient, and infusion pharmacies. Our team leaders are inventory experts, CPhTs, and in the pharmacies daily and year round. All employees of Capital Inventory are employed full-time and receive complete benefit packages. Feel confident and secure as all of Capital Inventory’s employees are regularly drug screened and background checked by third party vendors.

Product Overview

Our people are the difference. Our teams speak "NDC" fluently, are CPhTs, and understand the dynamics of pharmacy operations. The physical inventory process is seamless and unobtrusive as team leaders strategically place the team in locations throughout the pharmacy to ensure accuracy and efficiency. Before completion of an inventory service, our teams actively work with finance and/or independent auditors while on site to validate the accuracy of the inventory data collected. Beyond the physical inventory, the data is then received, analyzed, and formatted into a report that includes all pertinent information to allow for accurate and precise analysis of the inventory data. Let our team of experts provide your next inventory valuation with precision, accuracy, and confidence. Now is the time to get to know Capital Inventory, Inc. The following will briefly explain our procedures and service capabilities. n What to Expect on Inventory Day Upon arrival, the Capital Inventory team will be introduced to the pharmacy and staff. Our team leader and a pharmacy representative

will map the pharmacy and its respective areas. Team members are then assigned to the designated areas and proceed entering each NDC number and QTY into a hand-held data-gathering computer. Once all areas are completed, the raw inventory data is then transmitted to an independent team for review and analysis. n What to Expect Post Inventory Day Items will be priced according to GPO/Wholesaler Cost Data and Direct Purchase/Secondary Wholesaler Cost Data. Upon review and analysis, the data will be adjusted, compiled, and valuated. Finally, the inventory data will be delivered electronically as an Excel file. n What to Expect After Receipt of Inventory Data If it’s identified that adjustments are needed, we have an easy stepby-step way to apply the indicated changes. When submitted, the adjustments can be made and returned within 24 to 48 hours. Unlike other companies that do not allow adjustment to the inventory data, we will make adjustments to the data as requested to ensure the final value is a true representation of the on-hand inventory.

Features & Options

Why outsource your inventory needs?

• Teams of experts conduct the inventory within a few hours. • Teams conduct inventories daily, not annually. • Team Leaders are Certified Pharmacy Technicians. • Minimal interruption to the pharmacy staff and operation. •  Teams work seamlessly around the pharmacy staff ensuring that

the “snapshot” is a true representation of the inventory on-hand.

•  Eliminate the need for overtime or coordination of staffing to accommodate inventory.

•  Expert valuation and pricing of the inventory by an independent party.

•  Competent inventory specialist that can work with finance and/or external audit firm to validate the inventory.

•  Collaboration with the pharmacy to provide an accurate report in a timely manner.

GPO Affiliations • Premier • Vizient • Amerinet

• The Resource Group • Health Trust

Ordering Information

To learn more about Capital Inventory and how we can help you with our inventory services, please contact us at (800) 345-0849 or info@capitalinventory.com.

WINTER 2016

I

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


Critical Condition Monitoring Specialists

INSIGHT offers Temperature Monitoring along with Cloud-based Reporting

Develop response plans for all types of incidents. Setup standardized protocols by location, length of incident, type of product, and more with a few clicks of the system.

When a sensor falls outside of its threshold, notifications can be sent to recipients via Email, Text Message, On Premise Audible or Dashboard view.

Robust reporting capabilities with configurable and custom reports that can be accessed on demand.

Configurable Enterprise Structure simplifies remote management of devices.

Integrate Alert Relays into any wired or wireless Security System.

Robust System Security - protects stored and transmitted data’s security, integrity and privacy.

solutions@winland.com

800-635-4269

www.winland.com


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

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

Brian Lawrence

Stock Symbol:

WELX (800) 635-4269 1950 Excel Drive, Mankato, MN 56001 www.winland.com solutions@winland.com

Founded: 1972 Toll-Free Phone: Address: Website: Email:

Company Background Winland Electronics is the industry specialist regarding critical condition monitoring, offering the most advanced and comprehensive critical-environment monitoring solution in the market. Headquartered in Mankato, MN, with products made in the U.S.A. for over 40 years, Winland brings peace of mind to healthcare and pharmaceutical professionals worldwide. Product Overview With the CDC recommending the use of continuous monitoring devices for temperature monitoring, now is the time to invest in Winland’s EnviroAlert® EA800-ip and Insight. The EA800-ip allows multiple conditions including temperature, humidity, and/or water presence to be monitored with a single device. Incorporate a 4-20 mA sensor to monitor advanced conditions including pressure, flow, critical gases, and more. With the EA800-ip, you can collect and view data from up to twelve sensors (eight wireless, four wired). Cloud-based Insight* allows you and your staff to focus on treating your patients without worrying about time-consuming steps needed to meet your regulatory compliance. Insight enables remote access to monitor multiple sites from any location, ability to receive emails or text messages of alarm conditions, and robust reporting capabilities. Use the Acknowledgment function to quickly record temperatures systematically vs. manually. Build a response plan to allow your staff to react quickly and document actions taken should an alarm condition arise. Our clients experience a higher ROI due to the prevention of inventory loss, regulatory fines, and potentially costly lawsuits. Relax knowing your vaccines and medications are being protected, while complying with CDC recommendations.

Features & Options n EA800-ip • Intuitive user interface. •  LCD display with blue backlight that flashes under alarm condition. • Accommodates 4-20 mA sensors (pressure, airflow, CO2, etc.) • Wireless frequency 2.405 GHz - 2.480 GHz, 16 channels. n Insight • Alarm notification via text message or email. •  Remote configuration of sensors for temperature, humidity, water presence, gases, and dry contact.

• Sensor, alarm, and event data logs for audit trail. • Auto report generation when alarm is activated. • Logging collection frequency five to 120 minutes. •  Monitoring of multiple sites from any location (with the purchase of additional EA800-ip consoles and sensors).

Additional Product Modules n Wireless Sensors •  EA-WTS (Wireless Temperature Sensor): Monitors ambient room temperature.

•  EA-WMFS (Wireless Multi-Function Sensor): Requires remote probe to detect various conditions (probes sold separately).

•  EA-WHS (Wireless Humidity Sensor): Monitors ambient room relative humidity.

Other Accessories •  TEMP-L-S (Low Temperature Sensor): Stainless Steel (Blue) Range -58 to 158˚F (-50 to 70˚C)

•  TEMP-G-B (6oz Bottle of Glycerin): Temperature Probe Buffer Kit To learn how Insight can improve your pharmacy operations and save you time and money, contact us via email at solutions@ winland.com or by phone at (800) 635-4269.

Pricing Information Pricing can be obtained through our distributors worldwide. Visit www.winland.com then on the home page, click on our “Where To Buy” button to see all distributors in your area.

* Insight access requires a fee-based subscription.

WINTER 2016

I

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


Trade Show & Meeting Calendar

Event Calendar

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

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

American Society of Health Systems Pharmacists (ASHP MidYear) December 4 - 8, 2016 Las Vegas, NV www.ashp.org/menu/events/ conferences#midyear

HSCA/HISCI National Pharmacy Forum

January 30 - February 1, 2017 Renaissance Tampa International Plaza Hotel Tampa, FL www.supplychainassociation.org/ event/Forum17

HIMSS Annual Conference & Exhibition February 19 - 23, 2017 Orange County Convention Center Orlando, FL www.himssconference.org

ACA/IACP/ACVP Educational Conference

February 22 - 25, 2017 Loew’s Coronado Bay Resort San Diego, CA www.educationalconference.org

CPhA Annual Meeting (West Coast Pharmacy Exchange)

February 23 - 26, 2017 Palm Springs Convention Center & Renaissance Palm Springs Hotel Palm Springs, CA www.cpha.com

Annual Seminar by the FAH Public Policy Conference and Business Exposition

March 5 - 7, 2017 Marriott Wardman Park Hotel Washington, DC fah.org/conference/2017-fah-public-policy-conference

WINTER 2016

I

The Buyer’s Guide for Pharmacy Management

The Buyer’s Guide for Pharmacy Management

Known as the “Yellow Pages of Pharmacy,” the Pharmacy Platinum Pages is published annually and serves the profession as a high-quality and relevant buyer’s guide. The 2017 Pharmacy Platinum Pages will feature more than 450 company profiles and enhanced company sponsorships.

Sea Northeast Regional Conference

March 15 - 17, 2017 Hyatt Regency Newport Hotel Newport, RI www.uri.edu

rxplatinumpages.com

© 2016 RXinsider LTD. All rights reserved.

APhA Annual Meeting & Exposition

It’s Here

March 24 - 27, 2017 Moscone Convention Center San Francisco, CA aphameeting.pharmacist.com

AMCP’s Annual Meeting & Expo

March 27 - 30, 2017 Colorado Convention Center Denver, CO www.amcp.org

MHA Annual Business Summit

March 29 - 31, 2017 Bellagio Resort & Casino Las Vegas, NV www.mhabizsummit.com

Veterinary Compounding Conference April 20 - 22, 2017 Memphis, TN www.vetmeds.org

NACDS Annual Meeting April 22 - 25, 2017 The Phoenician Scottsdale, AZ www.annual.nacds.org

Continued on page 51 48

Pharmacy Platinum Pages

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

Download the 20Ways App at www.RXinsider.com / 20ways / © 2016 RXinsider LTD. All rights reserved.



Program Highlights • • • • • • •

The one opportunity for health care suppliers to meet directly with key purchasing representatives from GPOs and IDNs. Approximately 90% of the buying power in the healthcare industry in one location. Widely recognized reverse expo for health care buyers and suppliers. Valuable GPO breakout sessions. Dedicated time for suppliers to schedule private one-on-one meetings with buyers. Informative educational sessions addressing current issues and trends in National Accounts, Capital Equipment, Pharmacy and Purchased Services. Attend the Supply Chain Forum session in which key leaders from GPOs and IDNs will share their visions on where the industry is headed. This session was developed in conjunction with HSCA and HISCI.

Featured Keynote Speaker Chuck Todd, host of Meet the Press and MTP Daily, will serve as keynote speaker on Tuesday, March 7th. Mr. Todd's up-to-the-minute poll analysis and insightful commentary have made him one of the most sought-after voices in American political coverage. Conference attendees will be treated to a comprehensive overview of the current political landscape and will gain valuable insights for the year ahead. Chuck Todd Host of Meet the Press and MTP Daily, NBC News Political Director

Who Should Attend?

Health care executives responsible for the sales, marketing or management of buyer relationships representing the areas of: Health Care Suppliers, Manufacturers, Distributors, National or Corporate Accounts, Sales and/or Marketing Executives, Specialty Sales or Services, Health Care Policy, and Government Affairs.

Sponsorship Opportunities Sponsoring a conference function is an excellent opportunity to maximize your brand visibility and gain additional exposure. For sponsorship information, please contact Kerry Price at (202) 624-1510 or kprice@fah.org.

Buyer Exposition Format The annual FAH Public Policy Conference and Business Exposition provides a unique executive format designed to offer an exceptional opportunity for quality networking and meaningful interaction with health care purchasing decision makers from key hospital systems, group purchasing organizations (GPOs) and integrated delivery networks (IDNs).

Conference Information For further information on the 2017 FAH Public Policy and Business Exposition including agenda, speakers, educational programs and participating buyers and suppliers, visit our conference website at http://fah.org/conference/fah-public-policy-conference-and-business-exposition.

Questions?

Please contact Kerry Price at (202) 624-1510 or via email at kprice@fah.org.


Pharmacy Trade Show Job & Meeting Opportunities Calendar

Event Calendar

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

continued from page 48 Asembia Specialty Pharmacy Summit

April 30 - May 3, 2017 Wynn & Encore Las Vegas, NV www.asembiasummit.com

Wellness + Nutrition Solutions Seminar

May 4 - 6, 2017 Chicago, IL www.acainfo.org/nutrition

NHIA Annual Conference & Expo May 22 - 25, 2017 Orlando, FL www.nhia.com

ASHP Summer Meetings

June 3 - 7, 2017 Minneapolis Convention Center Minneapolis, MN www.ashp.org

IACP Annual Meeting (Compounders on Capitol Hill) June 10 - 13, 2017 Marriott Wardman Park Washington, DC www.iacprx.org

ECRM - Hospital and Alternate Site Pharmacy EPPS June 12 - 14, 2017 Westin Chicago Northwest Itasca, IL www.ecrm.marketgate.com/events

McKesson ideaShare

July 12 - 16, 2017 New Orleans, LA www.mckessonideashare.com

AACP Annual Meeting July 15 - 19, 2017 Gaylord Opryland Resort & Convention Center Nashville, TN www.aacp.org

Cardinal Health RBC July 26 - 29, 2017 San Antonio, TX rbc.cardinalhealth.com

NACDS Total Store Expo

August 19 - 22, 2017 San Diego Convention Center San Diego, CA tse.nacds.org

reCHARGE: Electrifying Independent Pharmacy Through Innovation — ACA Fall Pharmacy Conference August 24 - 26, 2017 Philadelphia, PA www.acainfo.org/fallpharmacy

Quality Compounding Summit September 8 - 9, 2017 Oklahoma City, OK www.qcsummitrx.org

NASP Annual Meeting & Expo

September 17 - 20, 2017 Marriott Wardman Park Washington, DC www.naspnet.org

NCPA Annual Conference October 14 - 18, 2017 Orlando, FL www.ncpanet.org

ASCP’s 23rd Annual Mid-Atlantic Conference TBD www.ascp.com

All shows are subject to change.

Thought Leader Video Series What are the pharmacy experts saying?

RXinsider’s Thought Leader Video Series are informative video series comprised of multiple interviews with thought leaders throughout the pharmacy profession. Explore niche subject matter and gain insight through hundreds of thought leader videos hosted on the RXinsider.com website. www.rxinsider.com/videos.php

RXinsider.com

© 2016 RXinsider LTD. All rights reserved.

Case Study

CASE STUDY

a Novel, Influenza with Uncomplicated Treating Acute ase Inhibitor nous Neuraminid ave Intr se -Do One

and doctors’ offices winter months, ally, ally peaks in the -like illness. Typic season, which typic nting with influenza inhibitor neuraminidase During the influenza a great influx in patients prese -dose antiviral sore s see multi h, a room coug ribe y e, genc presc emer n is to fever, fatigu treatment optio ache, myalgias, Many (head care. of uenza ard infl the only available of than stand ate the symptoms population t a day sooner ge, abou General which can allevi Lancaster averaHealth segments of the implement sver, thesome Medi-Dose howe Line Tracing congestion), on cantLabels to reduce from influenza; throat, and nasal medication eraterates flu, leading to signifi error and help create ns froma the to quickly recup standardiza tion process. people are able serious complicatio risk of developing are at a higher even death. and tions, taliza morbidity, hospi a prior to “catching was doing well a. He states THE CASE: ic bronchitis who cough, and nause smoker with chron had a ia, sore throat, A 62-year-old male ing he “felt hot, y of fever, myalg ening that morn with 12-hour histor . He called his but upon awak e, virus” presents achy” befor was day g well the muscle in his body ed him to go directly to the that he was feelin felt like every single ated and ering service advis y department, Tina M.close Suess,d and the answ MHA, cough, was nause to the emergenc PRIMARY INTENDED ntationOUTCOME(s) prese but they were BSN, RNlocal ted that he had hospital. Upon doctor’s office his – BC, CPHIMS of breath and repor years ago and rtment of Manager of Medication or shortness was to reduce emergency depa a coup the fluerror pain, dizziness Our goalthat rateleduring IV infusion chest he had the g and create any Safety Integration d states le days after gettin the patient denie the flu. Hestandardizati a coup ongof Lancasterfor line rtracing bette General Hospital this ~year protocol feelin on nated infusion d olled with pumps by vacci starte not been admits he implementin e. Patient’s COPD is contr medication but g line tracing labels. notable for high fever treatment cours was given an oral was lete Pha rmathe not comp cy lemen evidence oxygen. His exam Advanttary and didAmanda n no ed riptio E. Prusch, show age presc but supp the implement ic COPD re not requi s TransTrac he doesPharmD, stent with chron pac BCPS kagwas medication, and ing toconsi ker ® F tem X-ray chest reduce resh and his perature ind Clinical Pharmacy Specialist ips and ass and muscle aches icators and ociated cos Medication Safety revisits ts, while also of pneumonia. ~ PGY-1 Residency patien rovtsing pat in imp Program Director ient satisfac plicated influenza uncom ation acute Inform of tion. ent Important Safety ted for the treatm 2 days.

GE: THE CHALLEN

CASE STU DYDuring IV Reducing the Error Rate Infusion

Leading Sp ecialty Ph armacy P Patient Sa uts fety and Sa tisfaction While Red First ucing Cos ts

indica virus type was c for no more than ivir injection) is minant influenza Rapivab™ (peram who have been symptomati which the predoB virus were enrolled. clinical trials in 18 years and older drug ab was based onsubjects infected with influenza t s could decrease • Efficacy of Rapiv number of nce substitution also diminish clinical benefi ence of resista might influenza A; a limited susceptibility over time. Emergchanges in viral virulence) Goa e drug chang ls uenza s le, on infl • Influenza viruse ble information ab. factors (for examp consider availa Rapiv effectiveness. Other on. Pharmacy . Prescribers should deciding whether to use alizati Advantag of antiviral drugs requiring hospit effects when uenza e’s ent infl goals s treatm seriou were to: patterns and in patients with • Give patie not be established nts added • Efficacy could

peace-ofdence in mind and the integrity increased of specialty confian objective, pharmace easy-to-un uticals using derstand ture mon yet scien itoring devic tific temp e era-

Daniel Kus

B.S. Pharm., RPh, VP of Amb ulatory Servi ces for Pharmacy Advantage

Case Studies

About Phar macy Adva ntage Pharmacy Advantage provides services to pharmace some 18,00 utical deliv 0 patients fill 1000 ery in the U.S. prescriptio With this, ns per day, pharmace they 60% of which uticals. Thirt are speci y percent www.medidose. are temperatu alty com of these speci re sensitive. alty medi cines

Temptim

e Corporati

on temptimec

orp.com

Mitigate potential health risks taking comp resulting romised medi from patie cines, and patients to nts support the take medi cine as presc ability for ribed

Reduce costs assoc iated with pharmacy patient /manufact inquiries urer abou medicines to t the safet exposed to y of speci extreme heat alty or cold Minimize waste resul ting from need to reshi unused medi p due to cine and uncertain “last mile” the temperatu of transport res durin g the • Maintain and impr ove patie mance ratin nt satisfactio gs to supp n and perfo ort URAC JCAHO accre r, Medicare ditations STAR and •

Get the Most Out of Your Case Studies

You have invested in the development of a case study, don’t fall short on promoting it. RXinsider can help write and promote your case study to targeted practice settings throughout the pharmacy market via print, video, ebook, and web. Contact an RXinsider representative to learn more about our Case Study Promotional Services. © 2016 RXinsider LTD. All rights reserved.

WINTER 2016

I

RXinsider.com

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


The View Is Better Up Here With Talyst, you can move your pharmacy from the basement to the C-Suite. We have no doubt you’ll get used to the view from the top.

Historically, inpatient hospital pharmacy has been considered a cost center relegated to the hospital basement. Today, the pharmacy is a financial driver responsible for moving your business forward while increasing patient safety and improving systemwide healthcare outcomes.

Join Talyst at the 2016 ASHP Midyear Clinical Meeting in booth #1444 where we will debut our Analytics & Insights module. Discover actionable analytics that will enhance your decision-making, assisting you to drive your pharmacy forward (and upward).


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

Improve Patient Safety and Healthcare Outcomes With Talyst Medication Management AutoPharm® Enterprise software by Talyst provides enterprise-wide medication management across your entire health system to offer greater inventory control, enhanced workflow efficiency, and improved patient safety.

President & CEO: Carla Corkern Founded: 2002

Employees: 100+ Toll-Free Phone: Phone: Fax: Address: Website:

(877) 4-TALYST (425) 289-5400 (425) 289-5401 11335 NE 122nd Way, Suite 200 Kirkland, WA 98034 www.talyst.com

Company Background

Talyst is a market leader in pharmacy automation and your partner in pharmacy operations. Our solutions provide enterprise-wide medication management across your entire health system to offer greater inventory control, enhanced workflow efficiency, and improved patient safety. Talyst has installed automated solutions in more than 500 integrated healthcare systems, acute care hospitals, long-term care facilities, and correctional institutions. We are dedicated to improving healthcare with innovative medication management systems, software, and services to help caregivers serve patients.

Product Overview

Talyst is the only company that wakes up thinking about inpatient hospital pharmacy. All we do is inpatient hospital pharmacy. It is our mission to improve healthcare with innovative medication management systems, software, and services to help caregivers serve patients. Our AutoPharm® Enterprise software provides enterprise-wide medication management across your entire health system to offer greater inventory control, enhanced workflow efficiency, and improved patient safety.

AutoPharm® Enterprise software, it offers greater inventory control, enhanced workflow efficiency, and improved patient safety. The AutoCarousel HD improves patient safety with accurate order filling including pick-to-light indicators and bar code verification. It enables comprehensive, accurate tracking, and control of all stored items and enhanced security with physical barriers and password-protected access. Additionally, increased efficiency is achieved by decreasing the number of staff and hours required to stock items, fill orders, and reduce the space required for storage by 30% to 50%. The technology also allows you to streamline your returns process to save time and reduce errors. AutoPack Medication Packagers ensure all oral medications are unitdose and barcoded at the bedside. Combined with AutoLabel, it’s a cost-effective way to ensure that virtually 100% of the medications leaving your pharmacy are scan-ready at the bedside. The AutoSecure® and AutoSecure Mini provide secured medication management in one or more cabinets based on your storage requirements. Various cabinet configurations are available to help optimize your pharmacy storage requirements. AutoSecure’s seamless integration with AutoPharm® Enterprise provides one system that controls your entire medication inventory. The AutoCool®+H and AutoFreeze®+H deliver access-controlled refrigerated and frozen storage, and computer driven dispensing for your chilled and frozen medications that improves patient safety, provides complete inventory control, and enhances efficiency. Through integration with Talyst AutoPharm® Enterprise, you can achieve complete management of your medication inventory from arrival at the pharmacy to delivery to the patient care area.

Additional Product Lines

Combined with our carousel technology, controlled access storage, oral solid packagers, refrigerated storage solutions, and full integration with our best-in-breed partners — we own the inpatient hospital pharmacy experience.

AutoPharm® Enterprise, AutoPharm® Mobile, AutoCarousel® HD, Refrigerated Auto Carousel® HD, AutoSecure®, AutoPack®, AutoLabel®, AutoPack® Tabletop, InSite® System, AutoCool®+H, and AutoFreeze®+H.

Features & Options

HIMMS (Intelligent Hospital Pharmacy Booth), Spring Hospital Pharmacy Conference, Cardinal Apps Café, ASHP Summer Meeting, Fall Hospital Pharmacy Conference, Health Achieve Conference, ASHP Midyear Meeting, and the Intelligent Pharmacy Pavilion.

AutoPharm Enterprise allows you to manage your complete pharmacy inventory from arrival in the pharmacy to the patient care area. The powerful software platform also helps you reduce medication waste by adopting package-sharing and centralized distribution methods. The solution provides a complete view of purchasing, dispensing, and productivity data ensuring inventory and drug shortages are more effectively managed. Talyst’s award winning technology, AutoCarousel® HD, provides heavyduty secure automated storage for all your medications. Driven by

Trade Shows/Meetings Attended

Ordering Information

Talyst would like to partner with you to create the right solutions to meet the needs of your pharmacy. For more information, please call (877) 4-TALYST.

WINTER 2016

I

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


Maximize opportunities

by centralizing your technology investment Are your outpatient pharmacies achieving your objectives of delivering patient wellness, clinical services, MTM, and medication adherence programs? Centralized technologies help you unburden staff workloads, capture employee prescription business, and free up your teams to provide patient-facing care… not to mention reduce costs across the board and provide an attainable ROI. Our innately scalable PharmASSIST® High Volume Solutions help any size hospital pharmacy star t small and dream big.

You’re never too small to invest in Central Fill technologies. Call 607.798.9376 email sales@innovat.com or go to www.innovat.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

PharmASSIST® High Volume Solutions by Innovation Enabling hospital pharmacies to centralize prescription filling and capture employee prescription business, while reducing overall costs, freeing up outpatient staff to deliver patient-facing care, and ultimately improve patient outcomes. CEO:

Mary Reno Founded: 1972 Employees: > 150 Stock Symbol: Private Phone: (607) 798-9376 Fax: (607) 729-5008 Address: 530 Columbia Drive Johnson City, NY 13790 Website: www.innovat.com

Company Background

Innovation is the leading provider of Pharmacy Intelligence™ and pharmacy automation to the retail, hospital, government, and mail order pharmacy markets. Our PharmASSIST® suite of pharmacy automation and process optimization solutions enable all types of pharmacies to increase operational efficiency, enhance patient safety, and provide a higher quality of patient care. Leveraging our unparalleled Pharmacy Intelligence, pharmacies can right-size their automation, map out an attainable growth path, and optimize their entire operation, all while developing a proven ROI that validates their decision before investing.

Product Overview

Your organization may have one or multiple outpatient pharmacies serving your communities and employee prescription benefit program. Our breadth of technology and professional services offerings can address your complete healthcare network by providing a holistic platform that provides real-time status and full visibility into your operation’s prescription fulfillment activities. We deploy “right-sized” workflow management and dispensing technologies at the outpatient pharmacy level, and deliver our next-generation, PharmASSIST High Volume Solutions for central fill environments. PharmASSIST High Volume Solutions are a completely integrated and configurable collection of high-volume dispensing, workflow and operations management, conveying, collation, and packaging technologies. Whether your central fill aims to fill several hundred or several thousand prescriptions a day, our scalable solutions address the entire range of prescription volumes, physical space, staffing, workflow, and other pharmacy-specific requirements. n Reduces Costs Across the Board •  Achieves measurable labor savings and decreases prescription processing costs. •  Encompasses a small physical footprint with a high throughput-tospace ratio. •  Provides a definitive financial return on investment through compelling data and quantifiable results in a defined time period.

n Advances Patient Safety •  Delivers unmatched dispensing accuracy with our PharmASSIST dispenser. •  Provides barcode-driven quality checkpoints throughout your entire pharmacy workflow. •  Prevents dispensing of expired medications by tracking all lot codes and expiration dates. n Enables Total Process Control •  Tracks virtually every event and provides customer-specific dashboards that display real-time status throughout your environment. •  Delivers full visibility into your daily activity, helping you tightly manage and optimize your formulary, workflow, staff, and automation. n Delivers Unmatched Versatility •  Offers the complete range of order transport (vials, totes, and pucks), dispensing (robotic, cabinet-based, scalebased), collation (RxCollect™) packaging, and workflow/operations management technology tailored to your requirements. n Provides Technology Growth Path •  Facilitates a clear path for expansion by building on your initial technology investment regardless of your ever-growing prescription volumes and enterprise complexity.

Additional Product Lines

•  PharmASSIST Pharmacy Automation Solutions: Workflow management systems, countertop and cabinet-based counting technologies, and robotic dispensing and collation systems. •  BD Rowa® Systems: High-density robotic storage/retrieval of all formulary including narcotics/high-shrink inventory. •  Professional Services: Wide range of services to help pharmacies optimize their pharmacy operations related processes.

Key Business Partners

Apexus, the Health Resources and Services Administration’s (HRSA) awarded prime vendor for the 340B Program. As a 340B Program participant, you can purchase/lease our products at preferred prices through Apexus.

Ordering Information

To learn how our PharmASSIST High Volume Solutions can transform your pharmacy operation, call (607) 352-2146 or email sales@innovat.com.

WINTER 2016

I

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


PYROSATE

®

RaPid ENdOTOxiN dETECTiON KiT nsed

e DA Lic OW F

N

®

NO New Sensitivities Of 0.03, 0.125 and 0.25 EU/mL Final Product Release Easy-To-Use Method Rapid Test Results

OCIATES OF E CO D, I N C.

ASSOCIATES OF C A PE CO D, INC.

ists in Endotoxin lucan Detection

Specialists in Endotoxin and Glucan Detection

OCIATES OF E CO D, I N C.

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

ASSOCIATES OF C A PE CO D, INC.

124 Bernard E. Saint Jean dr., East Falmouth, Ma 02536 USa 888.395.2221 • INFO@aCCiUSa.COm • www.accIusa.com

W

icense L A FD

d


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

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

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

Website:

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

Company Background Associates of Cape Cod, Inc. (ACC), is one of the world’s largest manufacturers of products developed to detect and quantify gram-negative bacterial endotoxins and (1g3)-ß-D-glucans. Our products are used worldwide by leading pharmaceutical and medical device companies to ensure the safety of their parenteral drugs, biological products, and medical devices. Our goal is to provide the best products and services, as well as the best technical support and customer service in our industry, to enhance the productivity and efficiency of all our customers. We are ISO 13485: 2003 certified, our laboratories are FDA inspected and DEA licensed. Our Beacon Diagnostics® laboratory is CLIA certified. Product Overview Associates of Cape Cod, Inc., (ACC) is pleased to introduce Pyrosate®, a new FDA licensed version of our rapid endotoxin detection kit. Pyrosate is well suited for performing endotoxin assays in full compliance with the Bacterial Endotoxins Test, USP chapter <85>. Pyrosate has been developed as an easy-touse Limulus Amebocyte Lysate (LAL) gel-clot test that enables rapid testing and does not require special laboratory supplies. The easy-to-follow, step-by-step illustrated instructions allow the user to set up assays within minutes. In addition to FDA licensure, the Pyrosate® Kit is now available in sensitivities of 0.03 EU/mL, 0.125 EU/mL and 0.25 EU/mL, in both 10-pack and 30-pack formats. With the introduction of this licensed version, in addition to research and water testing, Pyrosate is ideal for dialysis centers, compounding pharmacies, and pharmaceutical and medical device companies.

Performing the Test

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

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

WINTER 2016

I

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


When it comes to product temperature accuracy, there is no room for error. Follett upright refrigerators and freezers feature our exclusive back‑plenum air distribution which delivers cold air at six levels to ensure consistent top‑to‑bottom temperatures, even when heavily loaded with product. - Forced‑air cooling with maximum +/‑ 1C (1.8F) temperature variation throughout cabinet - Full‑featured alarming and monitoring - Quick recovery after door openings

Find out more at www.follettpharmacy.com

Follett has a full line of high performance countertop, undercounter and upright refrigerators and freezers


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

Consistent Temperatures With Follett Pharmacy Refrigerators – It’s a Cold, Hard Fact When it comes to product temperature accuracy, there is no room for error. Follett high-performance refrigerators provide precise temperature control throughout the storage area for your valuable medications and vaccines.

CEO:

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

Company Background

Founded in 1948, Follett LLC is a leading manufacturer of highperformance, medical-grade refrigerators and freezers. Follett's commitment to superior design and construction, as well as outstanding customer service, has resulted in our unparalleled reputation for excellence with customers around the world. Follett occupies over 200,000 square feet of manufacturing and office space in the Lehigh Valley, Pennsylvania, with a manufacturing facility in Gdansk, Poland to support global customer growth.

Product Overview

Follett medical-grade refrigerators and freezers maintain precise and consistent temperatures for your valuable medications and vaccines. Powerful forced air refrigeration enables quick recovery after door openings, ensuring medications are stored at specified temperatures and reducing the risk of lost product. n Follett upright refrigerators and freezers feature a powerful topmounted refrigeration module and innovative back plenum air distribution system for superior temperature consistency. •  Custom-designed, modular refrigeration system with microprocessor controller provides a ±1⁰C temperature consistency throughout the storage cabinet, ensuring all product is stored within the proper range. •  Industry-exclusive plenum air distribution delivers cold air at six different levels for top-to-bottom temperature uniformity, allowing full utilization of the storage space. n Full stainless steel cabinet, high-quality components, and an intuitive control panel designed with the user in mind. •  7" full-color LCD capacitive touchscreen user interface for easy access to settings and data management. •  Dished stainless floor contains spills for easy clean-up. • Heavy-duty dual casters roll easily and lock securely.

n Heavy-duty doors provide ease-of-use and important energy savings. •  Full view locking glass doors with ADA-compliant full length handle standard on refrigerators; solid stainless steel doors are available as an option. •  Energy-efficient, dual-pane glass with low-E coating reduces energy loss by 30-50%. •  Solid stainless steel doors on upright freezers feature 2.6" thick insulation. •  Self-closing door locks open at 90 degrees to allow easy product loading. n 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. •  Shielded stainless steel bearings and stainless steel S-track design eliminate binding and uneven wear found with loose bearing systems. •  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. n High-performance countertop refrigerators and freezers offer superior temperature performance in space-saving configurations. • One and two cu ft models fit on standard 24" deep counters. •  Forced-air cooling provides cabinet-wide temperature consistency and quick recovery after door openings. •  External digital temperature display in user-selectable F or C with integral high/low alarming and display sleep mode. • Keyless entry via keypad and electronic lock option.

n Powerful undercounter refrigerators and freezers are designed for use below standard and lower ADA-compatible counters. •  Heavy-duty forced air cooling for quick recovery after door openings. •  External digital temperature display in user-selectable F or C with integral high/low alarming and display sleep mode. • Keyless entry via keypad and electronic lock option.

Contact information

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

Follett is a registered trademark of Follett LLC, registered in the U.S.

WINTER 2016

I

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


Infusion risk shouldn’t go unchecked. Infusion pharmacy is complex and the risks are high. HQAA is a quality-focused accreditation program designed specifically for infusion. Our hands-on coaches are there to guide you through the process and help reduce risks and liabilities to improve your pharmacy practice.

Let us help you get your accreditation in check today. Talk to an accreditation coach to find out why companies like yours turn to HQAA for the gold check of accreditation.

Sign up and learn more at HQAA.org or 866-909-4722.


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

DMEPOS and Infusion Pharmacy Accreditation by Healthcare Quality Association on Accreditation, HQAA HQAA is an accreditation organization that will help your infusion business meet USP 797 requirements.

Executive Director: Rhonda Pearce Founded: 2005 Toll-Free Phone:

(866) 909-4722 (877) 226-5564 Address: 114 East Fourth Street Suite 200 Waterloo, IA 50703 Website: www.hqaa.org Fax:

Company Background HQAA has been offering accreditation services for companies and pharmacies that provide DME and infusion services for more than 10 years.

Question 3: How will I benefit from HQAA accreditation? Accreditation with HQAA will give you peace of mind that you’ve gone through the guidelines in detail with a trusted partner and have applied the requirements to your organization. All organizations benefit from pinpointing areas that can be improved. It creates an atmosphere of team goals and opportunities for continuous improvement. Question 4: Where can I get more information or apply for HQAA? To inquire about accreditation with HQAA visit www.hqaa.org or call (866) 909-4722

Product Overview State boards of pharmacy, CMS, third party payers, and provider networks are demanding more rigorous compliance. Now is the time to make sure you are on top of the current guidelines. Our easy-to-navigate online process and personalized coaching will help you take the guesswork out of compliance. Each customer is assigned a HQAA coach to help them through each step of the accreditation process. The process is entirely online and easy-to-navigate, allowing you to self-audit your organization as you work through the process. A HQAA surveyor will team up with you to verify your compliance by performing an on-site visit.

Question 1: What is HQAA? HQAA provides accreditation for durable medical providers, pharmacies, and infusion providers. Question 2: Why obtain HQAA accreditation? HQAA provides a more efficient accreditation and postaccreditation services with an online process and individualized coaching. This unique approach, managed by you, reduces the challenges and headaches of the accreditation process, helping you feel secure, supported, and successful.

WINTER 2016

I

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


Pharmacy Job Opportunities

Take Your Career Further

With The Company That’s Really Going Places. COMPREHENSIVE PHARMACY SERVICES

is growing. We provide pharmacy services to over 600+ hospital and healthcare facilities across the U.S. and in Puerto Rico, the largest in the industry. We are looking for talented pharmacy professionals to join our team of more than 2,000 employees as we lead the way in the pharmacy services industry.

Help Us Lead the Way. See current openings and apply at www.cpspharm.com today. Going to ASHP MidYear? Stop and see us at Booth #1055.

Get all of your pharmacy staffing needs filled by the pharmacy experts. RPh on the Go has more than 33 years of experience delivering premier temporary and permanent pharmacists to facilities throughout the country.

Multimedia Videos

We place talented temporary and direct hire pharmacists across all pharmacy specialties. To start your search, contact us today.

Maximize Audience Engagement Through Video

Video is the most powerful digital marketing tool available. Whether your audience is in the office (desktop), or on the go (mobile), video delivers engaging, persuasive, and credible marketing content. Maximize your communication and audience engagement with Multimedia Animation Videos in the Pharmacy B2B Ecosystem, from RXinsider. © 2016 RXinsider LTD. All rights reserved.

62

WINTER 2016

I

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

RXinsider.com

800.553.7359 • www.rphonthego.com


Pharmacy Job Opportunities

• • • • •

Career need a refill? A healthy career awaits. As one of our pharmacists, you’re on the frontline of personal healthcare, providing valuable service, award-winning clinical care programs and counsel to a wide variety of patients. With 1,947 pharmacies, opportunities exist to accommodate virtually every lifestyle.

Expectations are fulfilled here. In addition to the staff and management positions, 21 PGY1 community residency programs are also available. To join our talent network please visit www.kroger.com/careers. EOE.

THE KROGER CO. FAMILY OF PHARMACIES

WINTER 2016

I

H E A LT H S Y S T E M • I N F U S I O N 63




Ointment Blisters and beyond... We are here to help. HCL

EXCLUSIVE

19339

Video @ youtu.be/MkNFN3euQ3U

19610


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.