20Ways Winter Hospital 2018 by RXinsider

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

PHARMACY COST C O N TA I N M E N T Winter 2018

Health System

â&#x20AC;¢

Infusion

20 Unique Products & Services

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

16 Preceptors Recognized

16 Preceptors Recognized by Seven Colleges Including UCONN, West Coast University, SIUe, and More page 36

8 Thought Leaders

Eight Video Series Including Visante, Verity Solutions, Rite Aid, TCGRx, Rees Scientific, and More page 20

2 Case Studies

Two Case Studies: Supplylogix and Apexus

Contents WAY

PYROSATE

RAPID ENDOTOXIN DETECTION KIT ed

NOW

ens FDA Lic

Licen FDA

sed

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.

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.

Specialists in Endotoxin and Glucan Detection

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

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

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

WAY

RMS' Meds to Beds Program – Drive Hospital Revenue, Improve Patient Care, and Decrease Readmission Rates

Meet Bob. Bob just got promoted for increasing revenue and improving patient outcomes!

Celebrating our 20th year working with pharmacies. See why over 1,000 pharmacies depend on us as the experts in pharmacy point-of-sale innovation!

Be like Bob.

See how Bob got promoted...www.rm-solutions.com/bob

Celebrating 20 years of pharmacy point-of-sale innovation

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

page 15

WAY THE GRASS IS GREENER on the other side...

You deserve more out of your 340B software, not just empty promises Verity understands that no two Covered Entities are alike. Our trained industry professionals work closely with your Covered Entity to tailor our 340B solutions to your specific needs. Rapid Implementation - Average from contract signing to go live 75 days Real Customer References - Talk to Covered Entities just like yours Best-in-Class Support - Over 90% of support cases resolved (not just responded to) in under 24-hours Affordable Solutions - Wide range of pricing solutions to support every budget And SO much more! Verity offers a wide range of Split Billing and Contract Pharmacy solutions for all 340B entity types. Reach out to us today and experience the Verity difference.

RANKED #1 340B MANAGEMENT SYSTEM

verity340b.com | 800.581.1378

page 19

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

Verity Solutions is a leading provider of award-winning 340B software and services. Verity is driven to help healthcare organizations make the most out of their 340B program so they can extend care to those who need it most.

Thought Leader Video Series

page 17

page 20-21

WINTER 2018

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

WE ARE NOT JUST ABOUT HAVING FUN! •Most orders are shipped complete the same day! •Free Samples. 15-Day Product Evaluations. •Hassle-Free Returns... Period. •On Site Visits are available. Contact your Account Manager. •If you’re looking for a product you can’t ﬁnd anywhere else, our Resource Group will ﬁnd it for you!

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Contents WAY

Space Saving Medical-Grade Cold Storage by Helmer Efficient and effective. Save Space & Protect Your Products with slim-line refrigeration Pharmaceutical refrigerators at point of use enhance workflow and assist in meeting regulations such as USP <797> and USP <800>. The slim-line refrigerator saves space in smaller locations while providing highly reliable, medical-grade cold storage for vaccines and medications. The Helmer Scientific 11 cu ft refrigerator is designed specifically for the pharmacy, clean rooms and medication rooms.

F o r m o re i n fo rm a ti o n : h e l m e ri n c .c o m

Case Study: Supplylogix Pharmacy Inventory Management Solutions

CASE STUDY Supplylogix Pharmacy Inventory Management Solutions

Floor space is valuable; save space while protecting valuable medications and vaccines. Our slim-line medical-grade refrigerator is the perfect solution for pharmacy areas, clean rooms, and medication rooms which are tight on space.

A large health system gains valuable insights into pharmacy inventory management with supply-chain intelligence software.

PRIMARY INTENDED OUTCOME Hospitals and health care systems in the United States handle more than 35 million patients each year. These large operations are finding that the cost savings associated with effective pharmacy supply-chain management can have a big impact on the bottom line, as well as on patient care.

Carrie Boeckelman, RPh, BCACP Manager, Ambulatory Pharmacy Services ~ UW Health Pharmacy

Supplylogix offers a suite of software products that enables pharmacies to gain competitive advantages. Pharmacies can leverage Supplylogix's supply-chain tools to optimize their inventory replenishment, manage potential losses from unsaleable returns, and monitor their product movement.

THE CHALLENGE

Melissa Ngo, PharmD, BCACP Manager, Ambulatory Pharmacy Services

UW Health, an integrated health system associated with the University of Wisconsin-Madison, serves 600,000 patients each year in the Upper Midwest region of the country. With six hospitals and 15 dispensing sites, UW Health processes upwards of 44,000 prescriptions per month. A large portion of their services is related to specialty pharmacy items, including diabetes, transplant, and HIV care, making their inventory costs exceptionally high compared to standard retail pharmacy.

~ UW Health Pharmacy

www.supplylogix.com

9/27/2018 1:41:49 PM

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page 26-29 WAY

TCGRx – Solutions for Pharmacy, Solutions for Your Patients

Solutions for Pharmacy, Solutions for Your Patients

There’s just

one leader

TCGRx is a complete pharmacy solutions provider for all pharmacy markets, including hospital inpatient and outpatient settings.

START OR STREAMLINE YOUR ADHERENCE PROGRAM Options for oral solid prescriptions, supplements and OTC medications Pouch or blister formats 7-day, 14-day, 28-day, or 30–31-day increments

SCALABILITY OPTIONS ALLOW FOR EXPANSION Remote will-call solutions to expand your business reach Central fill automation to serve multiple sites or discharged patients at home

www.TCGRx.com

info@TCGRx.com

Providing the Highest-Quality Sterile Compounded Services — PharMEDium

in outsourced CSP production. From our rigorous FDA 503B compliance and validated quality manufacturing processes to our valued consultative

100% of PharMEDium CSP batches are tested. We put patient safety first. Because a life is touched by every preparation we produce.

services, one thing is certain: No compounder can serve you and your patients better than PharMEDium.

4 outsourcing facilities strategically located across the United States 150,000 units of finished compounded sterile preparations (CSPs) are produced daily 3,200+ hospitals, outpatient departments and ambulatory surgery centers served 2,800+ SKUs represent the largest portfolio of ready to use CSPs available 100% of PharMEDium CSP batches are tested according to United States Pharmacopeia (USP) standards

Rely on PharMEDium To learn how PharMEDium CSPs can benefit you, visit PharMEDium.com or call 1-800-523-7749.

page 25

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

page 31

QUARTERLY ISSUES Winter 2018 / 2019

Fall 2018

Winter 2019

C O N TA I N M E • LTC Community • Specialty

Winter 2018

Health System

•

Fall 2018

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

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

PATIENT CARE &

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

Community • Specialty • LTC

Summer 2018

20 Unique Products & Services

Health System

•

Infusion

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

23 Preceptors Recognized

15 Preceptors Recognized

23 Preceptors Recognized by 14 Colleges Including URI, NEOMED, Manchester University, and More

Recognized by Eight Colleges Including UNM, Harding, Binghamton, UCONN, and More page 36

page 42

8 Thought Leaders

16 Thought Leaders

Eight Video Series Including Premier, FisherBroyles, Mission Critical Delivery Solutions, CVS Health, The Compliance Team, and More

page 20

Video Series Including AmerisourceBergen, TCGRx, PharmaLink, CPS, Temptime, and More page 20

page 20

6 Case Studies

Pharmacist Jobs

Pharmacy Job Opportunities page 70

Six Case Studies: TCGRx, Medicine Shoppe, QS/1, Manchac Technologies, Temptime, and MedCall

and Apexus

Health System • Infusion & Community • Specialty • LTC

20 Unique Products & Services

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

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

23 Preceptors Recognized 16 Preceptors Recognized 8 Thought Leaders 8 Thought Leaders 6 Case Studies 2 Case Studies

16 Preceptors Recognized by Seven Colleges Including UCONN, West Coast University, SIUe, and More Premier, FisherBroyles, page 36 Eight Video Series Including Solutions, CVS Health, Mission Critical Delivery and More The Compliance Team, page 20 Eight Video Series Including Visante, Verity Solutions, Rite Aid, TCGRx, Rees Scientific, and More Medicine Shoppe, QS/1, Six Case Studies: TCGRx, Temptime, and MedCall Manchac Technologies, Two Case Studies: Supplylogix

I M P R O V I N G

IMPROVING PAT I E N T C A R E & PHARMACY P R O F I TA B I L I T Y Spring 2018

Community • Specialty • LTC

Infusion

by 14 Colleges Including 23 Preceptors Recognized University, and More URI, NEOMED, Manchester page 42

2018 CIRCULATION

Spring 2018

Summer 2018

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

VING I M P R OI M P R O ARE V I N G PAT I E NPTA C TIENT CAR E & P H A R M A C Y& P H A RI LMI A TCY Y C O S T B P R O F I TA

Community • Specialty • LTC

Health System • Infusion

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

11 Preceptors Recognized

Recognized by Seven Colleges Including SIUe, Wingate, UCONN, Manchester University, and More page 36

8 Thought Leaders

Eight Video Series Including BestRx, PharmaLink, CVS Health, Temptime, Albertsons Companies, and More page 20

Community • Specialty • LTC

Visit 20Ways ONLINE at RXinsider.com/20Ways

WINTER 2018

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

AR C

• NG

IJPC 19

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Every Issue Contains: • Peer Reviewed Scientific Articles • Sterile and Non-sterile Articles • Formulations with References and BUDs • Facilities and Equipment Compliance Articles • Case Studies

270

281

COMPOUNDED LOW-DOSE NALTREXONE FOR THE TREATMENT OF GUTTATE PSORIASIS: A CASE REPORT

284

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SUBSTANTIALLY REDUCE YOUR COST & RISK OF CARRYING NARCOTICS

Constant Supervision Security

Increase Patient Safety

Reduce Diversion & Liability

Scripps Safe is the hospital leader in DEA Compliant Walk-In and Free-Standing Narcotics Vaults, and Pharmacy and EMS/Ambulance Safes. All available with patent pending surveillance, audit, and anti-diversion analytics technology. “Our operational requirements required redundant diversion solutions at two different pharmacy locations, oncology and central fill. Scripps Safe had the answer that was well within our budget. The followup and level of service we got was most welcome.” — Jay Tipps, Director, Saint Francis Pharmacy Services

“While we were building a brand new health facility and pharmacy, Scripps Safe offered the most costeffective and compliant storage solution that was custom built around our casework.” — Carlo Lupano, Pharmacy Residency Director, Valley Health System

www.4SafeRx.com | 844-4Safe-Rx | info@4SafeRx.com SHIELDS™ Platform

MAX Series™

Guardian Series™

TRXP Series™

Rescue Series™

SAFEDISPENSE™

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 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

WAY

Pharmaceutical Inventory Management Services by Capital Inventory Pharmaceutical Inventory Experts:

Cover (Vert).indd 1

Precise, Efficient, and Confident

Why Outsource Your Inventory Needs? • Teams of experts conduct the inventory within a few hours. • Teams conduct inventories daily-not annually. • Minimal interruption to the pharmacy staff and operation. • Teams work seamlessly around the pharmacy staff ensuring that the “snapshot” is a true representation of the inventory on-hand. • Eliminate the need for overtime or coordination of staffing to accommodate inventory. • Expert valuation and pricing of the inventory by an independent party. • Competent inventory specialist that can work with finance and/or external audit firm to validate the inventory. • Collaboration with the pharmacy to provide an accurate report in a timely manner.

9/27/06 3:00:09 PM

WAY

Your Solution for Uncompromising Quality Compounding – Fagron Sterile Services /JCB Labs

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

FDA registered, 503B outsourcing facilities leading the future of compounding IV admixtures, OR syringes, pain management, ophthalmics, dialysis, urology, and adjunct solutions in sterile-to-sterile, API-to-sterile, and biologics.

To learn more about Capital Inventory and how we can help you with our inventory services please contact 1-800-345-0849 or Info@capitalinventory.com.

page 33

A culture based on

Quality.

Optimizing and innovating personalized pharmaceutical care.

Solutions

based on pharmacists.

Fagron quality commitment •

• • •

Three point quality assurance on all products: Vendor qualification, incoming raw materials and finished good testing APIs are exclusively sourced from FDA registered suppliers Rigorous on site audits of API manufacturers Test requirements and relevant manufacturing information is provided on all Certificates of Analysis for transparency

With Fagron, you can always be confident you are receiving the highest quality and fully tested compounding essentials.

Bases & Vehicles | Chemicals | Equipment & Supplies | Education | Technical Support

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

Hospital Solutions by Fagron, Inc.

WAY

fagron.us | 800.423.6967

MIUM

CERTIFIED UALITY

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

WAY

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Case Study: The PVP Provides Transparency in the 340B Drug Marketplace

CASE STUDY The PVP Provides Transparency in the 340B Drug Marketplace by Apexus

Preceptor Recognitions

Since 2004, Apexus has Served as The Federal 340B Prime Vendor Providing for Nearly

40,000

Covered Entities

$5.5 Billion in value to

PVP Participants

The 340B drug pricing world can be difficult to understand. It’s easy to get lost between the requirements and needs of the many different 340B stakeholders: manufacturers, wholesalers, distributors, state Medicaid programs, and all of the qualifying unique safety net provider types. Transparency is especially important in the health care industry, particularly in complex programs like 340B.

by Apexus

What are the 340B Drug Pricing Program and the 340B Prime Vendor Program? The 340B Drug Discount Program is a federal drug pricing program that allows qualified health centers and hospitals to purchase outpatient drugs at deeply discounted prices. The intent is for these health care providers to reinvest the savings into programs that benefit the very communities they serve. The 340B statute requires a Prime Vendor Program (PVP). The PVP acts as an intermediary through which covered entities may enter into contracts for the distribution of drugs and also provides additional valuable services to covered entities. The Health Resources and Services Administration (HRSA) administers the 340B Drug Pricing Program through its Office of Pharmacy Affairs. Apexus is in its third five-year contract term with HRSA. Since 2004, Apexus has served as the federal 340B Prime Vendor, providing nearly 40,000 covered entities with discounts on drug distribution services, branded and generic medications, vaccines, women’s health products, and diabetic supplies. In that time, Apexus has generated $5.5 billion in value to PVP participants. Since HRSA first implemented the PVP in 1999, it has awarded the PVP contract to a prime vendor. The utility of a prime vendor for administrative simplicity, negotiating

www.340bpvp.com

page 36-37

page 42-45

WINTER 2018

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

Delivering Pharmacy Innovation Together. Swisslog Healthcare customers have always been at the forefront of technology, disrupting the status quo through investments in pharmacy robotics. Together, we’re delivering innovation from the core— transforming the medication supply chain to create higher patient impact with fewer human touches.

At the ASHP Midyear Clinical Meeting, we’ll be sharing  KLAS-leading medication inventory management software  Industry first autonomous service robotics  Powerful business insights through pharmacy analytics

Visit Us Discover all the ways we are Delivering Pharmacy Innovation Together by joining us in booth 361 at ASHP and visit swisslog.com/ASHP18. Swisslog Healthcare swisslog.com/ASHP18 | 800.764.0300

Contents WAY

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

SECURE DRUG DELIVERY For 50 years IMI has manufactured innovative devices that help protect the delivery of drugs within the healthcare system. Pharmacists rely on Prep-Lock™ Tamper Evident Caps for ease of installation while clincians appreciate the simplicity of removal for drug administration. Prep-Lock Tamper Evident Caps for I.V. Syringes are the industry standard for guarding compounded sterile preparations from unauthorized access, diversion and misuse. IMI offers a variety of products that protect drug delivery including I.V., Oral and Enteral devices. CONTACT US FOR FREE EVALUATION SAMPLES

WAY

THE MOST INNOVATIVE SINGLE-USE SEALS IN HOSPITAL PHARMACY TODAY

Increase pharmacy productivity and safety with innovative and economical devices designed to protect your compounded sterile preparations.

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

The only single-use, tamperevident seal that both provides and maintains a 100% sterile barrier.

• Helps prevent contamination of drugs and provides added protection to pharmacists. • Will not fall off, even in cold storage conditions (down to -20 degrees centigrade). • Patented dual-layer indicates true tamperevidence, with “OPENED” marking.

Vial Seals

• Cost-effective, allows pharmacy to recycle medication and protects patients from dosing errors. • Dispensing and application training videos available on our website to help with

Check Out Our NEW Tamper-Clear Syringe Seal®

JCAHO training.

MADE IN THE USA

• Available in major wholesalers and distributors.

IM I

*Tested in Nelson Labs, Salt Lake City, UT

1.800.344.2554 WWW.IMIWEB.COM

L-134 R4 Innovation_20 Ways 8.5x10.875.indd 1

Steri-Tamp® Tamper-Evident Sterile Seals by Allied Pharmacy Products, Inc.

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

10/23/18 2:18 PM

page 47

WAY

Unit Dose Done Right

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

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

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 53

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

Trade Show & Meeting Calendar

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

page 49

WAY

Liquid Unit Dose Expands With a Growing Product Portfolio by AHP

Expanding Our Commitment to Patient Safety GROWING FORMULARY OF PRODUCTS

LIQUID UNIT DOSE CUPS From American Health Packaging You know AHP from our industry-leading line of unit dose oral solids. Our line stands at over 500 items across all major therapeutic groups. Customers have also asked us to deliver barcoded liquid UD that offers the same safety and efficiency benefits.

AHP is pleased to announce our newest addition - Potassium Chloride Oral Solution! Product Line Features Pull-tab label for ease of opening and administering product Thicker gauge cup with excellent seal integrity to avoid costly damage and clean up Differentiated labels using “tall man” lettering provide visual guidance to distinguish between look-alike, sound-alike drugs where applicable Cup and storage trays designed for limited pharmacy storage space

Product Description

Potassium Chloride Oral Solution, USP 10%

Unit Strength

Cup Delivery

20mEq/15mL

15mL 5mL

Cup Strength

Pack Size

20mEq/15mL

50 cups

20mg/5mL

50 cups

60687-0244-67

50 cups

60687-0249-67

50 cups

60687-0260-69

NDC

60687-0341-71

Fluoxetine Oral Solution

20mg/5mL

Levetiracetam Oral Solution, USP

100mg/mL

5mL

500mg/5mL

Ranitidine Syrup (Ranitidine Oral Solution, USP)

15mg/mL

10mL

150mg/10mL

80mg/15mL

15mL

80mg/15mL

50 cups

60687-0258-71

Theophylline Oral Solution, USP

Hitting the Mark AHP unit dose simplifies one of the most complex parts of your job reliably obtaining needed treatments - while promoting positive outcomes for your patients.

americanhealthpackaging.com

800.707.4621 T10149

With a growing line of unit dose oral solutions, AHP continues to expand on its commitment to patient safety. Recent market introductions include Potassium Chloride and Fluoxetine Oral Solutions.

page 54-57

WAY

ISO-MED, Inc. – Your One-StopShop for All Your Cleanroom and Medical Supply Needs

ISOlutions for Cleanroom & Medical Supplies ADHESIVE MATS ADHESIVE TAPES CLEANROOM APPAREL CLEANROOM LABELS CLEANROOM PAPER CLEANROOM SWABS DISINFECTANTS & CLEANERS MOPPING SYSTEMS

Call for fast reordering:

800-797-1405

STERILE SLEEVE SYSTEM STERILE CHEMO GLOVES STERILE CHEMO PREP MATS STERILE COMPOUNDING SUPPLIES STERILE 70% ISOPROPYL ALCOHOL TESTING SUPPLIES WIPERS

Providing an unparalleled level of products, service, and convenience for meeting USP <797> and USP <800> standards.

ISO-MED.com

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

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WINTER 2018

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

See what others have already discovered WITH AUTOLOG™ B Y

G S L

S O L U T I O N S

CONTROLLED DRUG STORAGE, PRESCRIPTION FILLING, AND RETRIEVAL SYSTEM • Eliminates shrink and drug loss by replacing today’s “open face / open access” controlled drug storage cabinets

BEFORE

• Replaces today’s error-prone and manual perpetual log book • Logs ALL transactions and user activities automatically • Replaces pharmacist labor with technician labor for C2 filling • Maintains complete chain of custody and pedigree from stock receiving to prescription filling and patient pick up • Payback from labor savings in as little as 1 year

AFTER ™

B Y

G S L

S O L U T I O N S

MEDS-TO-BED

NEW SYSTEM TO SUPPORT STREAMLINED DISPENSING OF PRESCRIPTION MEDICATIONS AT PATIENT’S BEDSIDE • Physical chain of custody is maintained from filling of prescription through receipt by the patient • Easy integration to RN notification system and dashboard when prescription is ready • Signature Capture stores the patient’s signature confirming receipt of medications from their bedside

See what others have already discovered

Contents WAY

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

WAY

Craneware Pharmacy ChargeLink®

Pharmacy ChargeLink® By synching your hospital’s chargemaster, formulary, and drug purchase history, Pharmacy ChargeLink helps you to address the data gaps that can cause revenue loss and compliance risk. Pharmacy ChargeLink enables you to proactively identify chargecapture problems, manage compliance risks, create defensible pricing strategies, and perform volume reconciliation to compare units purchased with the volume you’ve actually billed.

Providing quality assurance products to hospitals and pharmacies practicing sterile compounding, with a singular focus on pharmacy compliance.

Pharmacy ChargeLink has helped us improve pharmacy revenue, financial performance and compliance. – Director of Reimbursement Services

From a financial perspective, Pharmacy ChargeLink delivers all the pieces you need and puts them in one place to resolve issues. – Revenue Integrity Manager

We’ve all learned how important it is for pharmacy and revenue cycle to have the relationship that we now have – that’s what makes us so successful. – Pharmacy Analyst and Buyer

Applications like Pharmacy ChargeLink and Supplies ChargeLink allow us to marry together data and analyze it simply and effectively. – Revenue Cycle Integrity Analyst

Pharmacy ChargeLink is a powerful software solution that ensures pharmacy data is accurately represented in both the chargemaster and the hospital pharmacy system so hospitals receive optimal reimbursement for their pharmaceuticals.

Margins are critical to your healthcare mission. Value-based economics is the movement away from traditional revenue cycle management to understanding the underlying pressures on margin and its impact on patient outcomes. Craneware is uniquely qualified to partner with U.S. healthcare providers to plan, execute, and monitor the success of these emerging initiatives. Learn more at craneware.com

CHARGEMASTER MANAGEMENT

2018

Chargemaster Toolkit® is ranked No.1 in the Chargemaster Management category for the twelfth year in a row (2006 – 2018) in the “2018 Best in KLAS Awards: Software & Services” report, published January 2018. Data © 2017 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com

HFMA staff and volunteers determined that Craneware’s Chargemaster Toolkit® meets specific criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guarantee the use of this product.

Better Outcomes For All.

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Veltek Associates, Inc. — WipeDown® 1-2-3 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 12” x 12” & 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.

Sterile 3 Step Applicator Kit Step #1: Deactivate with HYPO-CHLOR® Wipe (5.25% Sodium Hypochlorite)

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

Step #2: Decontaminate with THIO-WIPE® (2% USP Sodium Thiosulfate)

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

WAY

Temptime – Cost-Effective, Wireless Temperature Monitoring Systems for Medication Storage and Transport

Increase your temperature intelligence Reduce the risk and cost of unpredictable temperature events in production, storage and shipment, and help protect patient outcomes.

End-to-end insights

Temperature Intelligence™

Step #3: Disinfect/ Clean with ALCOH-WIPE® (70% USP IPA)

Come see us at asHP BootH #755

Complete Specialty Pharmacy Monitoring Solutions EDGE™ Wireless Monitoring Systems

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

Time-Temperature Indicators for vaccines, pharmaceuticals and medical devices

Customized indicator products and logistical implementation plans

Tap into the future of temperature monitoring at temptimecorp.com/edge

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Adaptive

Analysis Workload Balancing

Transparency

simulation

Predictive

dynamic prioritization

Machine Learning

scalability Harness the Power of Intelligence Transform your patients’ experience

Managing the variability of your central fill or mail order’s prescription fulfillment demand requires intelligent technologies that continually optimize performance. Our highly adaptive PharmASSIST ® High Volume Solutions integrate machine learning and artificial intelligence, enabling real-time transparency, dynamic prioritization, and smart workload balancing. Incorporating this high level of intelligence into your pharmacy operation delivers unparalleled safety, maximizes throughput, drives down costs, and enables your pharmacists to be the caregivers your patients expect. Knowledge is power. Take advantage of that power. Call 607.352.2146 email sales@innovat.com visit www.innovat.com

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PharmASSIST® Pharmacy Automation Solutions From Innovation

Enabling pharmacists to evolve their roles to patient care providers so they can positively affect patient outcomes.

Pharmacy Job Opportunities

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

Electronic temperature and humidity monitoring solutions that meet emerging regulatory requirements and protect valuable medication inventory while in storage or transit.

Lora Sosa Eric Simmons Jay DiNardi Samantha Pirraglia Jillian Melly

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

20Ways is an official publication of RXinsider

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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 ©2018 RXinsider LTD. All rights reserved. Reproduction without permission is prohibited.

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

USP <800> RESOURCES Leading Pharmacy Suppliers of USP <800> Compliant Solutions The USP <800> compliance deadline goes into effect December 1, 2019. These leading pharmacy suppliers offer product and service solutions to help your pharmacy and/or cleanroom achieve USP <800> compliance. Contact these companies directly for more details on how they will help you meet the mandate of USP <800> compliance.

www.RXinsider.com/USP800

Rees Scientific

analyticallabgroup.com

PYROSATE

RAPID ENDOTOXIN DETECTION KIT nsed

e DA Lic OW F

cens i L FDA

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

OCIATES OF E CO D, IN C.

ASSOCIATES OF CAPE CO D, IN C.

ists in Endotoxin lucan Detection

Specialists in Endotoxin and Glucan Detection

OCIATES OF E CO D, IN C.

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

ASSOCIATES OF CAPE CO D, IN C.

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

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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:

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

Company Background Associates of Cape Cod, Inc. (ACC), is one of the world’s largest manufacturers of products developed to detect and quantify gram-negative bacterial endotoxins and (1g3)-ß-D-glucans. Our products are used worldwide by leading pharmaceutical and medical device companies to ensure the safety of their parenteral drugs, biological products, and medical devices. Our goal is to provide the best products 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.

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THE GRASS IS GREENER on the other side...

RANKED #1 340B MANAGEMENT SYSTEM

verity340b.com | 800.581.1378

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Verity Solutions – We’re Your Experts in 340B Program Compliance Verity Solutions is a leading provider of award-winning 340B software and services. Verity is driven to help healthcare organizations make the most out of their 340B program so they can extend care to those who need it most. Our trained industry experts work closely with Covered Entities to tailor our 340B solution options to meet their specific needs. President & CEO: George Puckett Founded: 2002 Toll-Free Phone:

(800) 581-1378 (425) 947-1922 Address: 12131 113th Avenue NE Kirkland, WA 98034 Website: www.verity340b.com Phone:

Company Background

Founded in 2002 Verity Solutions provides 340B software and services to all 340B Covered Entity types and pharmacies. Verity Solutions is located in Kirkland, WA with employees stationed all across the nation to best serve our widespread customer base.

Product Overview

Verity Solutions is an award-winning provider of 340B software and services. Verity offers configurable solutions to help stretch your scarce resources, foster compliance, respond quickly to changing regulations, and to simplify 340B program participation. Verity is your comprehensive solution for split billing, contract pharmacy, specialty/ hemophilia contract pharmacy, compliance management/tracking tools, and purchase optimization analytics.

Features & Options

n Split Billing • Customized Business Reviews • Central Distribution Solutions • Enterprise View for Multi-Site Covered Entities • Advanced CDM-NDC Mapping Functionality • Accumulator Sharing for Qualified Sites • Detailed WAC Spend Reporting • Designated Account Manager and Support • And Much More n Contract Pharmacy • Eligible Claim Capture Tools • No “True-Ups” • NPI Management Tools • Referral Capture Tools • Match Re-Evaluation Tools • Comprehensive Reporting • Streamlined Pharmacy Ordering Solutions • Pharmacy Inventory Management Tools In addition to our core solutions, Verity offers optional services that can add value to your existing 340B program as standalone options:

n Compliance Manager A web-based solution which stores your 340B program documentation and provides tools for you to fulfill your self-audit requirements. n Purchase Analytics Identifies the optimal NDC mix for significant savings opportunities. Your purchasing team can make quick and data-driven purchasing decisions creating an average savings of 10-13% of total drug spend.

Testimonial

“ We really like Verity 340B. We like that we can see our own data instead of relying on the vendor to send us reports. We also like that the data is real-time and up-to-date. The system is user friendly and simple. It is set up to make it easy for us to complete tasks. We have had a good experience transitioning to Verity 340B because Verity Solutions' team is phenomenal. Verity Solutions is very supportive. Their people are always ready to answer our questions via phone or email. We have a very good relationship with them.”

— Analyst/Coordinator

Key Business Partners

340B Health; National Rural Health Association; National Association of Community Health Centers.

Markets Served

Eligible hospitals and clinics inclusive of the following: Disproportionate Share Hospital, Children’s Hospitals, Cancer Hospitals, Sole Community Hospitals, Rural Referral Centers, Critical Access Hospitals, FQHC’s, FQHC Look-Alikes, Ryan White HIV/AIDS Program Grantees, Hemophilia Treatment Centers, Tuberculosis Clinics, Black Lung Clinics, Family Planning Clinics, Sexually Transmitted Disease Clinics, Urban Indian Clinics, and Native Hawaiian Health Centers.

Trade Shows/Meetings Attended

340B Coalition Winter/Spring Conference – Pinnacle Partner; Spring/Fall Health Connect Partners – Hospital Pharmacy Conference; Asembia Specialty Pharmacy Summit; National Association of Community Health Centers Community Health Institute & Expo; Financial, Operations Management/ Information Technology Conference & Expo; NW Regional Primary Care Association Fall Primary Conference; California Primary Care Association Conference; Oklahoma Annual Convention and Trade Show; ASHP; 340B Health Round Tables.

GPO Affiliations

Verity Amerinet (Intalere); Ascension; Acurity. WINTER 2018

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

Meet Bob. Bob just got promoted for increasing revenue and improving patient outcomes! Be like Bob.

See how Bob got promoted...www.rm-solutions.com/bob

Celebrating 20 years of pharmacy point-of-sale innovation

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

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RMS' Meds to Beds Program – Drive Hospital Revenue, Improve Patient Care, and Decrease Readmission Rates Celebrating our 20th year working with pharmacies. See why over 1,000 pharmacies depend on us as the experts in pharmacy point-of-sale innovation!

CEO:

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

Company Background Retail Management Solutions is the industry leader in pointof-sale 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.

• 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 n EvolutionPOS v2 Capabilities Include: • Taking advantage of our 30+

dispensary system interfaces, the most in the industry!

• Barcode scanning of prescriptions and merchandise.

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.

• Capturing electronic signatures. • Swiping FSA/HSA benefit cards with real-

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.

• Point-to-Point Encryption for secure credit card processing.* • PA-DSS compliant.

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:

time verification of funds.

• Tendering options include: debit/credit, cash, check, and house charge.

Now Available Mobile delivery technology that captures electronic signatures when delivering prescriptions to patient's home. Now you can continue your patient's care beyond patient discharge! Client Base More than 1,000 pharmacy customers rely on RMS' POS solutions. * With certified merchant processors.

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Thought Leader Video Series

THOUGHT LEADER VIDEO SERIES

FisherBroyles, LLP Attorneys: Health And Pharmacy Group Brian E. Dickerson, JD, Partner, and Anthony J. Calamunci, JD, CFE, Partner, for FisherBroyles, discuss FisherBroyles, LLP Attorneys: Health and Pharmacy Group in a 12-part video series.

www.fisherbroyles.com

rxinsider.com/videosTLS.php

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

www.visanteinc.com

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THOUGHT LEADER VIDEO SERIES

TCGRx: Your Complete Pharmacy Solution

Connecting Manufacturers with Healthcare Providers Around the World

Matt Noffsinger, Senior Vice President, for TCGRx, discusses TCGRx: Your complete pharmacy solution in a 12-part video series.

www.tcgrx.com

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THOUGHT LEADER VIDEO SERIES

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Claire Biermaas, Vice President, Customer Insight & Innovation, Alex Minkoff, Vice President, Customer Strategy, Health Systems and Specialty Care Solutions, and Matt Wolf, RPh, MBA, Group Vice President, Consulting Practice, Pharmacy Healthcare Solutions, for AmerisourceBergen, discuss connecting manufacturers with healthcare providers around the world in a 12-part video series.

www.amerisourcebergen.com

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Thought Leader Video Series

THOUGHT LEADER VIDEO SERIES

Rees Scientific: Continuous Temperature Monitoring

Your Comprehensive 340B Partner

Join Michael Mothersbaugh, Vice President, Jose Martinez, National Service Manager, Michael Hanssens, Director of Business Development & Marketing, and Sameer Vyas, Engineering Manager, as they discuss Rees Scientific: Continuous Temperature Monitoring in a 12-part video series.

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

Rees Scientific www.reesscientific.com

www.Verity340B.com

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THOUGHT LEADER VIDEO SERIES

Make it Personal by Discovering a Career With Rite Aid

The Nation’s Premier Pharmaceutical Returns Processor in the Pharmacy Market

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

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

www.riteaid.com

www.pharmalinkinc.com

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Efficient and effective. Save Space & Protect Your Products with slim-line refrigeration Pharmaceutical refrigerators at point of use enhance workflow and assist in meeting regulations such as USP <797> and USP <800>. The slim-line refrigerator saves space in smaller locations while providing highly reliable, medical-grade cold storage for vaccines and medications. The Helmer Scientific 11 cu ft refrigerator is designed specifically for the pharmacy, clean rooms and medication rooms.

F o r more i n form atio n: h el meri n c.com

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Space Saving Medical-Grade Cold Storage by Helmer Floor space is valuable; save space while protecting valuable medications and vaccines. Our slim-line medical-grade refrigerator is the perfect solution for pharmacy areas, clean rooms, and medication rooms which are tight on space. President:

Bruce King

Founded:

1977

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

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

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 Having pharmaceutical refrigerators in key locations such as the central pharmacy, satellite pharmacies, clean rooms, and medication rooms enhances workflow and assists in meeting regulations such as USP <797> and USP <800>.

Features & Options Helmer Scientific pharmaceutical refrigerators are a result of over 37 years of proven refrigeration solutions and attention to detail. Superior temperature uniformity, outstanding reliability, and exceptional benefits bring value every day, leaving you free to focus on exceptional patient care. n Medical-Grade Performance • Heavy-duty, air-cooled refrigeration system helps exceed industry standards for medical-grade performance. • Forced-air circulation maintains chamber uniformity and provides quick recovery after door openings. n High-Quality Cabinet Construction • Bacteria-resistant powder coated interior and exterior helps keep units clean. • Front ventilation allows you to place units under counters and close to walls. n Customized Storage Options • Configure the inside of the cabinet to meet your needs with roll-out baskets, adjustable shelves, or pull-out drawers. n Safety and Security of Stored Product • i.C3® with 7" (177 mm) full-color touchscreen with advanced temperature monitoring, event logging, and data download. • Key lock or optional access control with password protected settings.

The Helmer Scientific slim-line refrigerator saves on space while providing highly reliable medical-grade cold storage for vaccines and medications. Features of these units include: • Powerful refrigeration system providing maximum temperature uniformity and quick recovery after door openings. • The innovative i.C3® Information Center offers advanced temperature monitoring for protection of vaccines. • Superior cabinet built with high-quality construction. Designed specifically for the pharmacy, clean rooms, and medication rooms, the Helmer Scientific slim-line refrigerator provides a great solution for areas tight on space.

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Solutions for Pharmacy, Solutions for Your Patients START OR STREAMLINE YOUR ADHERENCE PROGRAM Options for oral solid prescriptions, supplements and OTC medications Pouch or blister formats 7-day, 14-day, 28-day, or 30â&#x20AC;&#x201C;31-day increments

SCALABILITY OPTIONS ALLOW FOR EXPANSION Remote will-call solutions to expand your business reach Central fill automation to serve multiple sites or discharged patients at home

www.TCGRx.com

info@TCGRx.com

262.279.5307

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TCGRx – Solutions for Pharmacy, Solutions for Your Patients TCGRx is a complete pharmacy solutions provider for all pharmacy markets, including hospital inpatient and outpatient settings. We pride ourselves in helping our pharmacy partners grow their business with scalable solutions that are efficient, cost-effective, and help them to drive business, providing a faster ROI than ever before.

President:

Duane Chudy Founded: 2006 Employees: 120+ 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 an industry leader in automation and design services for all pharmacy markets. Backed by decades of experience, TCGRx utilizes the latest in technology to offer the most reliable pharmacy automation solutions on the market. Our staff designs and integrates automation and workflow solutions into every aspect of pharmacy dispensing. Product Overview n LocalRx™ LocalRx provides industry-leading technology to expedite the will-call process and expand your patient base. This secure system allows patients to pick up prescriptions in less than 10 seconds. Features & Options • Avoid lines and limited hours. • Online tracking. • Automated patient notification system via email or text message. • Patient retrieval via pick-up code or smart phone app. • Touch screen-enabled interface. • On-site convenient payment methods. • Barcode, credit card, and RFIDenabled readers. • Biometric identification.

Additional Product Lines n ATP® 2 The ATP 2 Automated Tablet Packager is the most versatile, industry-leading oral solid packager on the market. Engineered to provide improved performance, reliability, and flexibility, the ATP 2 is expandable for future growth or business needs from 64 to 480 medication canisters. Equipped with a dual tray system, you can now continuously run your ATP 2 without interruptions, making unit dose or multi-medication packaging practical for any pharmacy. The ATP 2 facilitates both unit dose in two sizes (short wide, or narrow) and also has the ability to produce multi-medication pouches for outpatient adherence programs. Hospitals can include barcodes for meds-to-bed programs, ensuring patient safety with checks against e-MARs. The ATP 2 integrates with a comprehensive suite of pharmacy solutions offered by TCGRx, including a fully automated image verification system, the InspectRx®. n SmartCardRx™ SmartCardRx works with a wide range of multi-med card formats to simplify medication management for patients with multiple prescriptions. Multi-med cards help patients improve adherence, leading to improved health outcomes. The patient card is printed with patient information and a full medication index. In addition, the patient blister card can be custom printed with pharmacy branding.

Markets Served • Hospital – Inpatient • Hospital – Outpatient • Central Fill • Specialty

• Independent Retail • Retail Chain • Long-Term Care • Nutraceuticals

Ordering Information

To learn more about how TCGRx pharmacy automation can improve your patients' medication outcomes, please contact us at (262) 279-5307 or info@TCGRx.com.

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CASE STUDY Supplylogix Pharmacy Inventory Management Solutions A large health system gains valuable insights into pharmacy inventory management with supply-chain intelligence software.

PRIMARY INTENDED OUTCOME

Carrie Boeckelman, RPh, BCACP Manager, Ambulatory Pharmacy Services ~ UW Health Pharmacy

Melissa Ngo, PharmD, BCACP Manager, Ambulatory Pharmacy Services ~ UW Health Pharmacy

www.supplylogix.com

Hospitals and health care systems in the United States handle more than 35 million patients each year. These large operations are finding that the cost savings associated with effective pharmacy supply-chain management can have a big impact on the bottom line, as well as on patient care. Supplylogix offers a suite of software products that enables pharmacies to gain competitive advantages. Pharmacies can leverage Supplylogix's supply-chain tools to optimize their inventory replenishment, manage potential losses from unsaleable returns, and monitor their product movement.

THE CHALLENGE UW Health, an integrated health system associated with the University of Wisconsin-Madison, serves 600,000 patients each year in the Upper Midwest region of the country. With six hospitals and 15 dispensing sites, UW Health processes upwards of 44,000 prescriptions per month. A large portion of their services is related to specialty pharmacy items, including diabetes, transplant, and HIV care, making their inventory costs exceptionally high compared to standard retail pharmacy.

CASE STUDY

“In the first

six months of using the software, we reduced our managed inventory dollars by 23%.” Carrie Boeckelman, RPh, BCACP Manager, Ambulatory Pharmacy Services ~ UW Health Pharmacy

THE DECISION Until 2016, the pharmacy inventory management at UW Health was largely a manual process. “The pharmacy software we were using did not give the whole picture of what we needed to know for inventory management,” said Carrie Boeckelman, RPh, BCACP, Manager of Ambulatory Pharmacy Services for UW Health. Staff members routinely made decisions regarding minimums and maximums, often ordering large amounts of a drug in response to running out of stock a single time. “They went for the worst-case scenario, and their choices contributed to overstocking,” said Melissa Ngo, PharmD, BCACPA, Manager of Ambulatory Pharmacy Services for UW Health. “As a result, we had a lot of inventory dollars on our shelves that we did not need to have there. We knew we had to dig deeper.” Boeckelman attended a conference where she was introduced to Supplylogix and was able to learn more about the software. “It sounded like it made great sense for us,” she said. Supplylogix later provided a demo including an overview of the specific opportunity benefits to UW Health, and the decision was made. “We were doing the best we could manually, but Supplylogix really spoke to us,” Boeckelman said.

THE RESULTS Among Supplylogix's software solutions, UW Health uses Pinpoint Order for replenishment management, Pinpoint Transfer for redistribution intelligence, Pinpoint Audit for assessing risk, and Pinpoint Monitor for tracking controlled substances. “The Pinpoint Order software allows us to set maximums and minimums systematically based on industry best practices,” said Ngo. This control prevents unauthorized changes to ordering amounts and has seriously streamlined their inventory costs. “In the first six months of using the software, we reduced our managed inventory dollars by 23%,” Boeckelman said.

www.supplylogix.com

CASE STUDY PINPOINT TRANSFER:

Reducing Waste Through Inventory Redistribution TIME SPENT = 30 Minutes Per Week $100,000 OF DRUGS REDISTRIBUTED IN FOUR WEEKS = $1.2M Redistributed in One Year 90% INVENTORY SELL THROUGH RATE (NOT GOING TO WASTE)

www.supplylogix.com

Even with a leaner inventory, UW Health distributes partial fills much less often than they had been before implementing Supplylogix. “What’s interesting is that we had more inventory on hand before, but it wasn’t the right inventory,” Ngo said. Pinpoint Transfer is another powerful technology tool that UW Health uses. “Prior to Pinpoint Transfer, each of our pharmacies used to send out emails to the other locations with a list of overstocked items to ask if they were in need,” Ngo said. “The system now shows us which drugs should be sent to which site.” The cost savings involved in redistributing pharmacy stock are very significant. “When it was a manual process we had very few transfers because no one had time to run each drug code to see if their site was using a particular medication,” said Boeckelman. “We now redistribute every week, and we sell through 90% of those drugs. Annualized, that’s $1.2 million not being lost to expirations.” Pinpoint Audit and Pinpoint Monitor offer UW Health a new level of security around sensitive drugs. “Our internal audit department conducts routine narcotic audits, and some drugs came back highlighted,” Ngo said. “When we dug into the reports, we were able to explain the issue. We have a high number of pediatricians who treat ADHD, and those were the drugs that were flagged.”

THE CONCLUSION UW Health implemented Supplylogix in 2016. Compared to manually managing inventory for 15 sites, the new tools have completely changed the way UW Health runs its pharmacies. Inventory costs are down, redistribution and sell-through rates are up, and workflow is optimized through automatic ordering and analytics report generation.

The

POWER

of Predictive Intelligence Right in Your Pharmacy

Weâ&#x20AC;&#x2122;ve helped more than 12,000 pharmacies improve their profitability by optimizing inventory replenishment, minimizing potential losses from unsalable returns and better monitoring of product movementâ&#x20AC;ŚYour Pharmacy could be next.

Changing the Way Pharmacies Do Business. Replenishment Management

Redistribution Intelligence

Inventory Reporting

Inventory Cycle Counting

& Regulatory Compliance

S U P P LY L O G I X . C O M

| I N F O @ S U P P LY L O G I X . C O M | 8 5 5 . 4 5 8 . 1 1 3 2

Thereâ&#x20AC;&#x2122;s just

one leader

in outsourced CSP production. From our rigorous FDA 503B compliance and validated quality manufacturing processes to our valued consultative services, one thing is certain: No compounder can serve you and your patients better than PharMEDium.

Rely on PharMEDium To learn how PharMEDium CSPs can benefit you, visit PharMEDium.com or call 1-800-523-7749.

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Providing the Highest-Quality Sterile Compounded Services — PharMEDium 100% of PharMEDium CSP batches are tested. We put patient safety first. Because a life is touched by every preparation we produce.

President:

Jenn Adams Founded: 2003 Employees: 1,200+ Stock Symbol: ABC (NYSE) Toll-Free Phone: (800) 523-7749 Phone: (847) 457-2300 Fax: (847) 234-1363 Address: 150 North Field Drive, Suite 350 Lake Forest, IL 60045 Website: www.pharmedium.com

Company Background

PharMEDium was founded in 2003. Since then, the organization has focused relentlessly on patient safety, flawless quality, and exceptional customer service. Through these efforts and the talents of our team, we’ve grown to be the largest outsourcing compounder in the United States. PharMEDium was among the first to register our centers as FDA Registered 503B Outsourcing Facilities. Congress enacted the Drug Quality and Security Act, known as DQSA, in November 2013 to provide greater oversight to entities engaged in anticipatory compounding of sterile preparations. 503B registration is voluntary and requires compounders who register to follow applicable current Good Manufacturing Practices (cGMPs), meet detailed labeling and adverse reporting requirements, provide semi-annual reporting of all drugs, and submit to rigorous inspections by the FDA. PharMEDium commits to compliance with FDA’s 503B requirements, upholding the highest ethical standards in the industry. AmerisourceBergen’s acquisition of PharMEDium in November 2015 brought together two great brands with strongly aligned core values in patient safety and quality. Together, we are united in our responsibility to create healthier futures.

Product Overview

Quality. Supply. Assurance. No other compounder can serve you and your patients better than PharMEDium. Our 2,800+ SKUs represent the largest portfolio of ready-to-use compounded sterile preparations (CSPs) available. Over 3,200 hospitals, outpatient departments, and ambulatory surgery centers rely on PharMEDium for: operating room – anesthesia services; pain management – epidural, nerve block, and patient controlled analgesia (PCA); critical care – cardiac services, sedation services, antibiotic services, and electrolyte services; and labor and delivery services.

PharMEDium offers a wide variety of drug concentrations, fill volume options, and delivery systems for your ordering flexibility and convenience. All to give your clinicians the convenience and safety of the highest-quality ready-to-use medications – right when they need them.

Features & Options

PharMEDium has long been the industry leader in labeling and packaging of ready-to-use compounded sterile preparations. Our labels are designed to help eliminate the potential for errors in the process of dispensing and administering medications. PharMEDium labeling includes additional design enhancements, including the use of color coding and Tall Man lettering. On PharMEDium prefilled syringe labeling, the drug name appears up to eight times, making it viewable from any perspective. Our packaging is designed to ensure the integrity of chemical composition and sterility of the preparation through the shipping and storage process. PharMEDium CSPs are available in containers to fit all major infusion devices available today. Our ready-to-use syringes are compatible with the most commonly used anesthesia carts and automated dispensing cabinets, including mini-drawers for controlled substances.

Testimonial

“ As a pharmacist and former customer, I appreciate the role that compounded sterile products play in caring for patients. Now as a member of the leadership team at PharMEDium, I am proud to stand behind the services we deliver.” — Leigh Briscoe-Dwyer, PharmD, BCPS, FASHP Vice President, Clinical Affairs, PharMEDium

GPO Affiliations

PharMEDium has a national team of GPO/IDN managers who serve as liaisons between PharMEDium and group purchasing organizations so customers can take advantage of GPO volume discounts and the ease of ordering direct from PharMEDium. We currently have GPO contracts with: Vizient, HPG, Premier, The Resource Group (TRG), ROI, Intalere (formerly Amerinet), Cardinal, and Health Purchasing Alliance (HPA).

Ordering Information

Hospitals and ambulatory surgery centers considering PharMEDium are invited to visit our centers and learn about the processes that have been instrumental in helping us to attain and maintain our industry leadership position. Call (800) 523-7749 to order services or to learn how PharMEDium CSPs can benefit you. WINTER 2018

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Pharmaceutical Inventory Experts:

Cover (Vert).indd 1

Precise, Efficient, and Confident

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

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

9/27/06 3:00:09 PM

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Pharmaceutical Inventory Management Services by 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, VA. The company relocated to Georgia in the early 1980’s and serves the entire nation, including Alaska, Hawaii, Puerto Rico, Guam, and the U.S. Virgin Islands from our office in the Atlanta, GA area. Capital Inventory, Inc. has been in business for over 38 years, providing service to thousands of hospitals, university medical centers, regional medical centers, and health systems. Capital Inventory exclusively services hospital, outpatient, and infusion pharmacies. Our inventory experts are in pharmacies daily and year round. Employees of Capital Inventory are employed full-time and receive complete benefit packages. Employees undergo extensive and continuing education including pharmacy practices, drug information, HIPAA regulations, and blood borne pathogen. Feel confident and secure as all of Capital Inventory’s employees undergo an extensive background check including felony, misdemeanor, and sex offender. Employees are 12 panel drug tested regularly and at a minimum of twice a year. All testing is conducted by third party specialty companies. Additionally, employees are required to be current with all vaccinations including yearly Influenza and TB testing.

Product Overview

Our people are the difference. Our teams speak “NDC fluently”, are CPhT’s, 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 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 is identified that adjustments are needed we have an easy step-by-step way to apply the indicated changes. When submitted the adjustments can be made and returned within 24-48 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.

GPO Affiliations • Premier • Vizient • Amerinet

• MHA • ROI • 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 customerservice@capitalinventory.com.

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

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

President & CEO: Patrick M. Schmidt Founded: 1988

Employees: 300+

biologics supply, smart refrigeration technology and optional EMR integration, MinibarRx® will transform how clinicians purchase, stock, and manage vaccines and biologics.

Toll-Free Phone:

Verified Inventory Program™

Company Background

MyFluVaccine™

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

A forward-deployed inventory product program featuring specially equipped systems that continuously monitor critical-care product inventory and replenish products as they are used. Offering time and cost-savings among other benefits, this program streamlines inventory management so that you can worry less about inventory and spend more time on patient care.

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

Through MyFluVaccine™ our revolutionary online vaccine ordering platform, we provide advantages that our competitors simply cannot match: 1) Choice – comprehensive all-products portfolio from the industry’s top manufacturers, 2) Convenience – pick your preferred delivery dates, and 3) Safety – Guaranteed Channel Integrity™ ensures a safe supply. With MyFluVaccine, you can take control and manage your flu inventory with ease by selecting multiple presentations from multiple manufacturers, thus mitigating the inherent risks associated with purchasing flu vaccine.

Product Overview

BioSupply®

FFF Enterprises is the largest and most trusted specialty distributor of flu vaccines, plasma products, adult and pediatric vaccines, biosimilars and other specialty biopharmaceuticals and pharmaceuticals. Our customers, who include hospitals, physician practices, homecare companies, and other healthcare providers, receive products through an interactive allocation process. Additionally, we have the technology and equipment to place pharmaceuticals on-site at providers’ offices under our forward-deployed inventory program, which enables providers to keep products readily available for their patients’ needs. Our strength is to build communities with patients and physicians by providing information regarding disease states and healthcare trends through our award-winning publications and other media.

Guaranteed Channel Integrity™

FFF’s commitment to Guaranteed Channel Integrity™ ensures that products are purchased only from the manufacturer and shipped only to licensed healthcare providers, with additional steps taken to safely store, handle, and ship products to ensure patient safety is never compromised.

MinibarRx®

Combining 30 years in specialty drug distribution and 40 years in smart refrigeration systems to bring you a reimagined cold supply chain inventory management solution for vaccines and biologics. By combining our no-cost forward-deployed inventory approach with vaccines and

Online ordering system makes ordering your products easy, fast, and convenient. This easy-to-use demand-based product distribution platform is your online portal for ordering FFF’s full portfolio of criticalcare biopharmaceuticals, including: adult vaccines, albumin, ancillaries, antithrombin, biosurgical, coagulation, hyperimmune globulin, influenza vaccines, immune globulins, pharmaceuticals, and pediatric vaccines.

Lot-Track®

Tracks products by lot number and provides recall notification within four hours directly to those affected. Lot-Track electronically captures and permanently stores each product lot number, matched to customer information, for every vial of critical-care product we supply. Our LotTrack team monitors manufacturer and FDA information sources for important product safety or recall notices. In the event of an FDA or manufacturer initiated recall, Lot-Track searches for the affected lot numbers, retrieves the customer data, and begins automatic notification, immediately upon receipt of a recall announcement.

Ordering Information

Place an order through our Wow! Customer Care team at: P: (800) 843-7477 | Emergency Ordering Available 24/7/365 F: (800) 418-4333 E: customerservice@fffenterprises.com Online Ordering: BioSupplyOnline.com | MyFluVaccine.com WINTER 2018

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

Preceptor Recognitions

Thank You Preceptors! Manchester University would like to congratulate Renee McCafferty, 2018 Preceptor of the Year! Excerpts from Renee’s student nomination include:

“I was a new and eager yet nervous APPE student that lacked the confidence in my abilities to interview patients, intervene and recommend therapies. Dr. McCafferty assured me on the first day of the rotation that I may observe her interactions with patients, review relevant content, and participate when I felt ready. After observing her confidence, clarity and compassion with patients for just one day, I immediately wanted to practice, and practice the way she did. She allowed me to see multiple patients each day, all who presented with diverse health conditions. Her instinct was to always hear my interventions and recommendations first, and would follow it up with her own reasoning and advice. She encouraged and empowered me to use knowledge and skills I gained in the classroom and gave me a comfortable platform to apply it. Regardless of how busy Dr. McCafferty’s day was, she never hesitated to stop what she was doing to answer any of my curiosities. This often led to impromptu topic discussions that made me develop excitement about lifelong learning by challenging me with things beyond what was covered in the classroom.” The following colleges and organizations would like to acknowledge and thank the following preceptors for their hard work and dedication.

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We would like to thank all of our preceptors for their hard work and dedication to our student pharmacists.

Preceptor Recognitions

Congratulations Dr. Natasha Niedbalec APPE Outpatient Preceptor of the Year The College of Pharmacy at Roosevelt University partners with many Community and Ambulatory Care pharmacists and sites to provide quality Core and Elective pharmacy experiences for our Advanced Pharmacy Practice Experience (APPE) students. Our recipient for this year’s APPE Outpatient Preceptor of the Year Award has been an APPE Preceptor for Roosevelt College of Pharmacy for the past three years. She is a preceptor that students enjoy having, because she challenges them to think about the whole patient. Dr. Natasha Niedbalec is recognized by her students as someone who motivates and provides helpful feedback. Because of her influence and involvement through her practice site, her students were able to experience many different settings during their rotation, including management, inpatient, and outpatient. Students are appreciative of the opportunities that she provided for them to do projects that helped both the site and the surrounding community. Dr. Natasha Niedbalec was presented her award at the Class of 2018 Awards and Hooding Ceremony. If you are a pharmacist interested in becoming a RUCOP preceptor for introductory and advanced experiential education, please contact: Joan Hardman, BPharm, RPh | Assistant Dean of Experiential Education (847) 330-4508 | jhardman02@roosevelt.edu | www.roosevelt.edu/pharmacy

The University of New Mexico College of Pharmacy Recognizes Outstanding Preceptor, Anh T. Tran, PharmD, PhC, BCGP Dr. Anh T. Tran’s commitment to the pharmacy profession, and to training the next generation of pharmacists, is obvious to New Mexico’s student pharmacists who learn at her side during rounds at the New Mexico VA Healthcare System’s Community Living Center. Dr. Tran is not only a responsive leader and preceptor who tailors her rotations to meet her students’ goals, but also a devoted professional who positively impacts her patients and their family members. During the geriatrics/hospice and palliative medicine rotation, Dr. Tran teaches student pharmacists the veteran centered care approach by demonstrating and guiding compassionate pharmaceutical care of elderly patients. Dr. Tran, a 2007 graduate of the UNM College of Pharmacy, clinical pharmacy specialist and pharmacist clinician of 11 years, appreciates the opportunity to give back to New Mexico communities, serve veterans and work with UNM’s professionally-oriented student pharmacists. In her own words, she is especially excited to see that [her] students are well-equipped and are genuine advocates for the patients. Thank you, Dr. Tran, for instilling the value of patient-oriented care in our students, and for guiding them in their endeavors. You are an outstanding preceptor. “The medical disorders her patients experience are quite varied, but she always explains the best way we as pharmacists can help them, even if sometimes the best care we can provide is just talking and letting them know we are here.” — P4 Student Pharmacist

Anh T. Tran, PharmD, PhC, BCGP

Thao Nguyen

2018 IPPE Preceptor of the Year Wingate University School of Pharmacy is proud to recognize Dr. Thao Nguyen as our student-selected 2018 IPPE Preceptor of the Year. Dr. Nguyen is a pharmacist with Harris Teeter Pharmacy in Matthews, NC and has precepted WUSOP students for eight years. Dr. Nguyen is highly regarded for providing exemplary patient care and creating a nurturing learning environment for students. Her desire to invest in the next generation of pharmacists is evident in consistent provision of availability for all rotation blocks and development of a challenging and inspiring pharmacy practice experience. When describing her rotation experience with Dr. Nguyen, one student recently wrote these kind words:

Thao Nguyen

“

Dr. Nguyen became a preceptor to pay it forward. When she was in pharmacy school, she had preceptors who demonstrated what being a great pharmacist meant. These experiences have influenced her in her career and I can truly say that she embodies the kind of pharmacist that I hope to one day become. She was understanding in making sure that I learned at a comfortable pace, but she also had great expectations of me. Prior to my rotation, I had a firm set of beliefs of what community pharmacy was, but I honestly have to say that my perception has completely changed because I had such a great experience at my rotation site. This experience showed me the possibilities of a nurturing work environment that enables a pharmacist to perform at a peak level.”

If you are a pharmacist 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

CONGRATULATIONS PRECEPTORS OF THE YEAR Harjeet “Micki” Singh, RPh (IPPE 1- Community Pharmacy Practice)

Dr. Singh is a partner and pharmacist in charge at Medical Arts Pharmacy in Bell, California. Medical Arts Pharmacy is an independent community pharmacy that services patients of all ethnicities and backgrounds with chronic conditions and acute self-care ailments. He received his pharmacy training from the University of Delhi, India. Dr. Singh is an active member of the California Pharmacists Association (CPhA) and National Community Pharmacists Association (NCPA). He has also served as a board member for nine years with the Indian Pharmacists Association and two years as the secretary. Dr. Singh is the former President of South East Pharmacy Association. He remains active in the community by providing monthly blood pressure screenings to senior centers and conducting health fairs. When he is not working, Dr. Singh enjoys traveling and spending time with his wife and two beautiful daughters.

Sofia Gezalyan, PharmD, BS, RPh, APh (IPPE 2- Institutional Pharmacy Practice)

Dr. Gezalyan received her Bachelor of Science in Health Promotion and Disease Prevention from USC in 2002 then earned her Doctor of Pharmacy degree from USC in 2006. Upon completion of her PharmD in 2006, Dr. Gezalyan started her career at Hollywood Presbyterian Medical Center (HPMC) as a Clinical/Quality Assurance Pharmacist. In 2007 she was promoted to Clinical Coordinator of Pharmacy Services. In that position, she aggressively expanded the Clinical Pharmacy program. Dr. Gezalyan was promoted a dual role, as the Manager of Inpatient Pharmacy Services and the Clinical Coordinator where she developed and implemented the Bedside Pharmacy Program. This concept was well received and adapted by many hospitals since then. In 2017, she was further promoted to Director of the Inpatient Pharmacy Services. In 2018, she became a licensed Advance Practice Pharmacist.

Lawrence Thompsen, BSc, RPh, MBA (IPPE 3- Selective Elective Pharmacy Practice)

Dr. Thompsen is a licensed pharmacist in multiple states and has more than 40 years of experience in hospital practice, management, home infusion, hospice care, nuclear pharmacy, and state and federal drug law enforcement. He has been a pharmacy lecturer and preceptor for more than 35 years. Dr. Thompsen is a member of numerous national, state and local pharmacists associations. He is also a dedicated member of the California Disaster HealthCare volunteers, and LA County EMS Agency. He is currently the Sr. Clinical Director and Vice President of Operations at a national home infusion provider in Los Angeles. Dr. Thompsen received his pharmacy degree from the University of Illinois, and later earned his Nuclear Pharmacist certification at Purdue University. Dr. Thompsen went on to earn MBA in International Health Care Finance from Keller Graduate School of Management.

Angela Villasenor, PharmD (APPE- Advanced Pharmacy Practice)

Dr. Villasenor graduated from Cal State University Long Beach in 2009 with a Bachelor of Science in Microbiology with a Minor in Chemistry, and a Bachelor of Arts in Spanish Language. She went on to work as a pharmacy technician for one year at County LAC+USC before returning to school to pursue her doctor of pharmacy. In 2014, Dr. Villasenor earned her PharmD from Loma Linda University with aspirations to enter into the ambulatory care field. Dr. Villasenor is also a certified pharmacist in the American Academy of HIV Medicine. She is currently working as the Pharmacist in Charge at Aids Healthcare Foundation. In her spare time, Dr. Villasenor teaches Pharmacotherapy in Infectious Disease as an adjunct professor at Charles Drew University in the Physician Assistant program. She joined West Coast University School of Pharmacy as an Advanced Pharmacy Practice Experience preceptor in 2016.

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

Your Solution for Uncompromising Quality Compounding – Fagron Sterile Services /JCB Labs FDA registered, 503B outsourcing facilities leading the future of compounding IV admixtures, OR syringes, pain management, ophthalmics, dialysis, urology, and adjunct solutions in sterile-to-sterile, API-to-sterile, and biologics.

President:

Kevin Mohler Founded: 1990 Employees: 200+ Toll-Free Phone: (877) 405-8066 Fax: (866) 405-8066 Address: 8710 E 34th Street North Wichita, KS 67226 Website: fagronsterile.com

Company Background Founded in 1990, Fagron engineered one of the largest quality networks, with certified auditors performing supplier qualifications, serving 35 countries, to provide superior products for more than 200,000+ customers worldwide. In doing so, Fagron became the world's leading pharmaceutical company dedicated to safe, quality compounding. In 2010, Fagron entered the North American market. As part of the only vertically integrated pharmaceutical company dedicated to sterile compounding, their 503B facilities drive pharmaceutical outsourcing solutions on a comprehensive level to meet customer needs across the continuum of care. As a forward-thinking pharmaceutical supplier, Fagron recognized the opportunity to serve you and your patients better by acquiring JCB Laboratories. JCB has been at the forefront of shaping industry standards in sterile preparations for nearly two decades and was one of the first companies in the country to register with the FDA. Together, JCB Laboratories is Fagron Sterile Services – a solution you can rely on.

Product Overview Fagron Sterile Services can serve you better than any other compounder – putting you and your patients first. They offer significant capabilities in research, development, manufacturing and distribution. They have invested heavily in their state-of-theart facilities because of a shared belief in the need for regulated compounded sterile preparations (CSPs). Markets Served • Acute Care Hospitals • Ambulatory Surgery Centers • Physician Offices

Features & Options n Delivering World-Class Sterile Preparations Nationwide • Corticosteroids • OR Syringes • Dialysis • Pain Management • Drug Shortage Solutions • Urology • Ophthalmology Fagron Quality Fagron complies with all FDA guidelines, cGMP, GDP, cGLP, and strives to achieve the highest-quality standards within the industry. Ready-to-use compounded sterile preparations are designed to support decentralized medication distribution with extended expiration dates and high-quality labels helping you focus on your patients needs while improving efficiency. n A Leader in Quality Oversight • Industry-Leading Automation • 18 Isolated cGMP Clean Rooms • Continuous Environmental Monitoring • Every Batch 100% Tested for Sterility, I.D., and Potency • Real-Time Stability Indicating Test Methods for Extended Expiration Dating • Two State-of-the-Art, FDA Registered 503B Outsourcing Facilities

Fagron Sterile Services/JCB Laboratories R&D

Innovation is an essential element of Fagron’s global strategy. Worldwide, Fagron has over 200 pharmacists and 20 researchers working to continually develop innovative concepts and solutions to meet the growing need for ready-to-use medications worldwide. Fagron’s research and development is focused on working with pharmacists and clinicians to identify requirements in a variety of markets leading to the integration of solutions across geographical regions. Fagron is uniquely positioned to bring world-class innovation to support the highest-quality preparations for hospitals, surgery centers, and physician offices across the U.S.

Ordering Information Contact customer care today for all your 503B outsourcing needs at (877) 405-8066 or visit fagronsterile.com.

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A culture based on

Quality.

Solutions

based on pharmacists.

Fagron quality commitment •

• • •

With Fagron, you can always be confident you are receiving the highest quality and fully tested compounding essentials.

Bases & Vehicles | Chemicals | Equipment & Supplies | Education | Technical Support MIUM

CERTIFIED Q

UALITY

fagron.us | 800.423.6967

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

Hospital Solutions by Fagron, Inc. Optimizing and innovating personalized pharmaceutical care.

President:

Teresa Fiedler Founded: 1990 Employees: 60+ Toll-Free Phone: (800) 423-6967 Fax: (800) 339-1596 Address: 2400 Pilot Knob Road St. Paul, MN 55120 Website: us.fagron.com Webshop: shop.fagron.us

Company Background

Fagron, Inc., a Fagron global company, is a leading developer and supplier of innovative delivery vehicles (creams, syrups, and lotions), bulk pharmaceutical ingredients, excipients, and high-quality compounding equipment. Fagron, Inc., is a VAWD accredited, FDA and DEAregistered pharmaceutical manufacturer that strictly adheres to current Good Manufacturing Practices (cGMP). We conduct an extensive vendor validation program, including on-site manufacturer audits to verify product quality. During vendor qualification, full monograph analysis is completed to verify the strength, purity, and quality of sourced active pharmaceutical ingredients (APIs). Fagron, Inc. only sources APIs from FDA registered suppliers. You can always be confident you are receiving the highest-quality and fully tested compounding essentials with Fagron's three point quality assurance. Each ingredient lot undergoes robust vendor qualification and rigorous testing of raw material and finished goods prior to customers receiving product. In addition to Fagron's quality promise, we offer a wide range of educational offerings through Fagron Academy and provide excellent technical support services.

Product Overview

n SyrSpend® SF Family of Oral Suspending Vehicles SyrSpend® SF is a trusted, innovative oral suspending vehicle for the compounding of oral liquid dosage forms with over 96 stability studies1. Based on food starch, SyrSpend® SF’s superior suspending properties provide consistent, individual dosing throughout treatment. The effortless compatibility with a broad range of active pharmaceutical ingredients (APIs) and meticulous ingredients make SyrSpend® SF highly suitable for compounding stable tailor-made medication. SyrSpend® SF is a quick and easy compounding option that provides pharmaceutical stability and dosage consistency with each preparation. Its light texture, non-toxic ingredients, and neutral taste result in treatment that is comfortable and easy-to-swallow for all patient groups, from neonates to elderly. Compatible with an extensive range of APIs, you can

choose the most suitable product for compounding from both acid and alkaline options. UniSpend Anhydrous, a line extension to the SyrSpend family, is also available as an elegant easy-to-use, plant-based vehicle for waterunstable actives. n LETS GEL KIT™ Convenience Pack Fagron’s industry leading LETS GEL KIT™, a rapid topical anesthesia convenience pack, features SuturaGel™ Methylcellulose base, a specially formulated gel to minimize medication run-off. Pharmacists now can reliably prepare up to 33 unit-doses with 90-day beyond-use-dating (BUD) when stored in Fagron 3 mL unit-dose syringes.1 Included in this easy-to-use convenience pack are pre-weighed active ingredients: Lidocaine Hydrochloride, Epinephrine Bitartrate, Tetracaine Hydrochloride, Sodium Metabisulfite, topical syringes, and SuturaGel™. n FagronLab™ Introducing a growing line of high-value pharmacy solutions: • Maximum Performance Mixing Machines and Accessories • Reliable and Sophisticated Hotplate Stirrers • Easy and Precise Liquid Dispensers • Professional Laboratory Robot Vacuum • Time Saving Capsule Filling Systems FagronLab™ is the first global product line of compounding equipment. FagronLab™ is specially designed for the needs of modern compounding pharmacies. The operation and design of the equipment offers highlevel accuracy and ease-of-use, thus helping ensure repeatability for everyday compounding through a wide range of customized features. FagronLab™ offers accurate, safe, and quality solutions for patients through excellence in compounding preparation in pharmacies. 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, Fagron is your go-to source when it comes to drug shortages. 1

Data available on request.

Ordering & Pricing Information

For product information and pricing, please contact Fagron, Inc. at (800) 423-6967, email: sales@fagron.us, or webshop: shop.fagron.us.

WINTER 2018

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

CASE STUDY The PVP Provides Transparency in the 340B Drug Marketplace by Apexus Since 2004, Apexus has Served as

The Federal 340B Prime Vendor Providing for Nearly

40,000

Covered Entities

$5.5 Billion in value to

PVP Participants

The 340B drug pricing world can be difficult to understand. Itâ&#x20AC;&#x2122;s easy to get lost between the requirements and needs of the many different 340B stakeholders: manufacturers, wholesalers, distributors, state Medicaid programs, and all of the qualifying unique safety net provider types. Transparency is especially important in the health care industry, particularly in complex programs like 340B.

What are the 340B Drug Pricing Program and the 340B Prime Vendor Program? The 340B Drug Discount Program is a federal drug pricing program that allows qualified health centers and hospitals to purchase outpatient drugs at deeply discounted prices. The intent is for these health care providers to reinvest the savings into programs that benefit the very communities they serve. The 340B statute requires a Prime Vendor Program (PVP). The PVP acts as an intermediary through which covered entities may enter into contracts for the distribution of drugs and also provides additional valuable services to covered entities. The Health Resources and Services Administration (HRSA) administers the 340B Drug Pricing Program through its Office of Pharmacy Affairs. Apexus is in its third five-year contract term with HRSA. Since 2004, Apexus has served as the federal 340B Prime Vendor, providing nearly 40,000 covered entities with discounts on drug distribution services, branded and generic medications, vaccines, womenâ&#x20AC;&#x2122;s health products, and diabetic supplies. In that time, Apexus has generated $5.5 billion in value to PVP participants. Since HRSA first implemented the PVP in 1999, it has awarded the PVP contract to a prime vendor. The utility of a prime vendor for administrative simplicity, negotiating

www.340bpvp.com

CASE STUDY HOW APEXUS SUPPORTS THE PRIME VENDOR PROGRAM CONTRACTING DISTRIBUTION EDUCATION ASSISTANCE MANUFACTURER REFUND SERVICE

effectiveness, and program integrity has proven to be an effective model. It’s important to note that all HRSA-registered 340B covered entities have access to 340B pricing through their distributors and can sign up with the Prime Vendor Program at no charge to access additional savings. Apexus works with the entire 340B stakeholder community. It provides tools and resources for health care providers to identify best prices and product alternatives, and provides 340B Program technical assistance; in addition, Apexus manages the only HRSA-aligned national call center for the program. Manufacturers trust Apexus in its role as the 340B Prime Vendor, managing program discounts and serving as a business partner to all 340B stakeholders to improve the program’s overall integrity. More than 80 manufacturers have engaged Apexus as the 340B Prime Vendor to voluntarily extend additional discounts on their drugs within the program. Apexus provides suppliers with unique contract administration services and drug pricing expertise to efficiently access nearly 11,000 hospital patient site and health center purchasers. In addition, Apexus leaders regularly speak at many manufacturer forums and national conferences where the challenges and opportunities of the 340B Program are discussed. Apexus provides a distribution infrastructure that ensures program integrity. The Prime Vendor Program supports accountability from wholesalers and ensures that pricing is consistent, accurate, and transparent. The Prime Vendor Program holds wholesalers to industry standards and performs regular audits of their compliance. In addition to lowering 340B drug prices for safety net providers, the Prime Vendor also brings transparency to all stakeholders in ways that no one else can. Here’s how:

www.340bpvp.com

CASE STUDY 340B EDUCATION PROGRAMS Apexus offers a number of educational offerings in support of HRSA's directive to help improve 340B program compliance and integrity.

1. The Prime Vendor communicates the 340B selling prices on its secure website, 340Bpvp.com, for 340B providers to verify. a. The Prime Vendor audits its distributor partners to ensure that the pricing is correct. b. When selling prices differ among wholesalers, the Prime Vendor reaches out to help solve the problem and get the correct pricing loaded so that safety net providers are paying the right price. This also reduces the administrative burden for all parties in minimizing credits and rebills. c. For some products, the manufacturer provides the ceiling price to the Prime Vendor Program directly, and this is shared with Prime Vendor participants. 2. The Prime Vendor is paid only through administrative fees from distributors and manufacturers; it doesn’t charge any fees to hospitals or clinics. This model is a great example of a public–private partnership: it costs the government and taxpayers nothing. 3. The 340B Program is a complex government program that can be intimidating. The Prime Vendor works closely with the government to develop award-winning educational tools for all 340B stakeholders to ensure that the rules are clear.

340B UNIVERSITY 340B UNIVERSITY ON DEMAND 340B TOOLS

a. The Prime Vendor offers the only free, confidential, nationwide 340B call center aligned with HRSA. b. Any stakeholder can ask a 340B question and receive a consistent answer that it knows and trusts is aligned with HRSA policy. Apexus Answers call center is the primary distribution avenue for HRSA’s frequently asked questions (FAQs) to be communicated to stakeholders to help them navigate the program. c. In addition, the Prime Vendor provides free 340B University training sessions—where any stakeholder can learn from experts how to follow the program rules. There are monthly live sessions, as well as an online version where 340B stakeholders can learn at their own pace in the privacy of home or office. These are all examples of how the Prime Vendor lowers drug pricing and adds transparency to the 340B program. Whether it is ensuring visibility and accuracy to drug pricing, making it easier to follow the 340B rules, or sharing the value with safety net providers, the Prime Vendor partners with stakeholders to bring transparency and value. More information about the Apexus Prime Vendor Program can be found at www.340BPVP.com/about.

www.340bpvp.com

Apexus, the 340B Prime Vendor, helps stakeholders in three key ways: 1 2 3

Lower drug pricing for program participants. Provide transparency for 340B selling price information and data. Support 340B compliance through education and assistance with 340B University and the Apexus Answers national call center.

Q: How does the PVP lower drug pricing? A:

Apexus provides drug pricing transparency in the 340B marketplace on 340Bpvp.com, with no rebates or fees charged to hospitals or clinics, or use of taxpayer dollars.

The PVP leverages the collective purchasing volume of all 340B safety-net providers to negotiate discounts on 340B drugs.

888.340.BPVP (2787)

@Apexus340B Apexus LLC

340Bpvp.com

INNOVATION IN

SECURE DRUG DELIVERY For 50 years IMI has manufactured innovative devices that help protect the delivery of drugs within the healthcare system. Pharmacists rely on Prep-Lockâ&#x201E;˘ Tamper Evident Caps for ease of installation while clincians appreciate the simplicity of removal for drug administration. Prep-Lock Tamper Evident Caps for I.V. Syringes are the industry standard for guarding compounded sterile preparations from unauthorized access, diversion and misuse. IMI offers a variety of products that protect drug delivery including I.V., Oral and Enteral devices. CONTACT US FOR FREE EVALUATION SAMPLES MADE IN THE USA

IM I

1.800.344.2554 WWW.IMIWEB.COM

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

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

Increase pharmacy productivity and safety with innovative and economical devices designed to protect your compounded sterile preparations.

President:

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

Company Background

IMI is celebrating 50 years of working closely with pharmacists and compounding professionals to create innovative sterile products that meet very specialized needs. Throughout this time, IMI has established long standing partnerships with some of the biggest names in healthcare. Through these partnerships and directly, IMI is delivering the kind of high-quality and high-value products that pharmacy operations demand. All IMI products are manufactured in the USA under the strictest quality standards at their FDA registered, ISO 13485 certified facility.

Product Overview

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

n Prep-Lock™ Tamper Evident Caps (for ENFit® Syringes) The ENFit® connector standard (ISO 80369-3) for enteral feeding devices is a welcomed feature for mitigating potential misconnections. IMI is pleased to offer a tamper evident cap for ENFit Syringes that further enhances patient safety. These innovative caps help guard against drug diversion and misuse from the time the syringe leaves the pharmacy until the time it is administered. The tamper evident cap is compatible with both standard and low dose ENFit Syringes. n Prep-Lock™ Tamper Evident Caps (for Oral Dispensers)

The Prep-Lock Tamper Evident Cap for Oral Dispensers offers the same kind of tamper evident protection found in the sterile IV syringe model. It is the only tamper evident cap for oral dispensers available today. Since oral dispenser tips are unique to each dispenser manufacturer, the PrepLock Tamper Evident Cap for Oral Dispensers is offered in four different versions, for use with the Baxter EXACTAMED Oral Dispenser, the Comar® Oral Dispenser, the BD Oral Dispenser, and the NeoMed® Oral Dispenser. Unlike standard oral tip caps which can easily dislodge and fall off, the Prep-Lock Oral Cap provides a more secure capping of the oral dispenser.

Additional Product Lines

IMI offers a variety of sterile devices designed for the compounding pharmacist: • Prep-Seal™: Sterile Luer Lock Caps and Plugs • Prep-Fill™: Sterile Luer Lock Connectors • Rx-Vent™: Sterile Venting Needles • Rx-Tract™: Sterile Aspirating Needles

Trade Shows/Meetings Attended

IMI regularly participates at a variety of industry trade shows and conferences including:

• American Society of Health‑System Pharmacists (ASHP) • European Association of Hospital Pharmacists (EAHP) • National Pharmacy Purchasing Association (NPPA) • International Health Facility Diversion Association (IHFDA) • Hospital Pharmacy Conference (Health Connect Partners) Contact the event website or IMI for dates and booth numbers. WINTER 2018

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

Unit Dose Done Right

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

Simple. Reliable.

800.523.8966

MediDose.com

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

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

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

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

Features & Options

n Packaging and Labeling Solutions

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

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

Product Specifications

n Accompanying Labeling Software

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

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

WINTER 2018

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

Expanding Our Commitment to Patient Safety GROWING FORMULARY OF PRODUCTS

AHP is pleased to announce our newest addition - Potassium Chloride Oral Solution! Product Line Features Pull-tab label for ease of opening and administering product Thicker gauge cup with excellent seal integrity to avoid costly damage and clean up Differentiated labels using â&#x20AC;&#x153;tall manâ&#x20AC;? lettering provide visual guidance to distinguish between look-alike, sound-alike drugs where applicable Cup and storage trays designed for limited pharmacy storage space

Product Description

Unit Strength

Cup Delivery

Cup Strength

Pack Size

NDC

20mEq/15mL

15mL

20mEq/15mL

50 cups

60687-0341-71

Fluoxetine Oral Solution

20mg/5mL

5mL

20mg/5mL

50 cups

60687-0244-67

Levetiracetam Oral Solution, USP

100mg/mL

5mL

500mg/5mL

50 cups

60687-0249-67

Ranitidine Syrup (Ranitidine Oral Solution, USP)

15mg/mL

10mL

150mg/10mL

50 cups

60687-0260-69

80mg/15mL

15mL

80mg/15mL

50 cups

60687-0258-71

Potassium Chloride Oral Solution, USP 10%

Theophylline Oral Solution, USP

Hitting the Mark AHP unit dose simplifies one of the most complex parts of your job reliably obtaining needed treatments - while promoting positive outcomes for your patients.

americanhealthpackaging.com

800.707.4621 T10149

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

Liquid Unit Dose Expands With a Growing Product Portfolio by AHP With a growing line of unit dose oral solutions, AHP continues to expand on its commitment to patient safety. Recent market introductions include Potassium Chloride and Fluoxetine Oral Solutions.

President & CEO: Bruce Bennett Toll-Free Phone:

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

Company Background Located in Columbus, Ohio, American Health Packaging is the leader in providing serialized, barcoded unit dose medications to the health care marketplace. As a unit dose manufacturer, our manufacturing facility is registered with the FDA and fully adheres to cGMP guidelines. American Health Packaging offers products from all major therapeutic classes and is licensed by the Drug Enforcement Administration to package Schedule II to IV controlled substances. Known widely for its years of success and leadership in unit dose oral solids, AHP expanded its offering to include oral liquids in 2017. Product Overview With an industry-leading offering of 500 unit dose SKUs in the marketplace, AHP is commited to facilitating bedside scanning and patient safety through products that ensure efficiency along the chain of care. In 2017, AHP delivered a line of unit dose liquid cups with the same safety benefits and accurate barcodes they are accustomed to from AHP’s oral solids products. After many conversations with customers, Liquid Unit Dose cups were introduced and have been well-received. AHP has since expanded Liquid Unit Dose to provide high-utilization treatments for customers – with plans to expand further in 2019 and beyond. Benefits for Health Systems n Waste Avoidance Customers repeatedly spoke to the need for high standards of packaging materials. When cups buckle or lids tear unexpectedly, costly waste results and clean-up time is required. We know that staff time is precious in the pharmacy. Therefore, we went to great lengths to source high-quality materials and diligently test the lid seal to ensure excellent adherence.

n Space and Storage Space is another premium in a hospital pharmacy. Therefore, our cups come in three sizes to avoid waste in pharmacy cabinets. In addition, trays come in two sizes to also avoid wasted storage space on the pharmacy shelf. n Scannability It is imperative that barcodes be both accurate and easily scannable. AHP has built its business around superior blister quality and barcodes. The same relentless eye to accuracy can be found in our new Liquid Unit Dose cup barcodes. They feature a linear barcode format, as well as a lid with human-readable lot and expiration dates. n Cost As always, cost is a concern for health systems – especially as budgets come under more scrutiny. We know our customers must answer to pharmacy costs daily. AHP strives to always ensure cost-competitiveness with all products.

Hitting the Mark for Continued BCMA Support

Safety and efficiency. Two things that are always in the forefront of any health system professional’s mind. So, while your facility is trying to patch together a consistent and safe supply of unit dose medications, stop and consider AHP’s line of pre-packaged, barcoded unit dose products – the industry’s largest with more on the way. Effective execution of BCMA programs require medications that scan correctly at bedside. With our robust oral solids portfolio – and growing offering of Liquid Unit Dose oral solutions – AHP UD promotes safety and efficiency with consistent supply and broad access to treatments. All while freeing up internal resources. So, make the smart choice with AHP to simplify what is the most complex tasks related to inpatient care, while promoting positive outcomes for patients.

WINTER 2018

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

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

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

Vial Seals

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

Check Out Our NEW Tamper-Clear Syringe Seal®

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

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

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

Steri-Tamp® Tamper-Evident Sterile Seals by Allied Pharmacy Products, Inc. The only single-use, tamper-evident seal that both provides and maintains a 100% sterile barrier.

National Sales Manager: Alex Meadow Founded: 2010 Phone:

(516) 374-8862

Address: 100 Tec Street, Unit F

Hicksville, NY 11801

Website: www.steri-tamp.com Email: info@steri-tamp.com

Company Background

Allied Pharmacy Products, Inc. was founded in 2010 with the focus on improving the preparation and dispensing of intravenous medication in the hospital pharmacy and compounding settings. Steri-Tamp® was developed by a pharmacist who understood the need for better tamperevidence and sterility in IV preparation. Allied Pharmacy Products, Inc. has always been responsive to pharmacists’ requests, which continues to contribute to expanding our product line.

Product Overview

The Steri-Tamp® sterile product line is comprised of seven innovative tamper-evident seals. Steri-Tamp IV Bag Port Seals are available in blue, red, and CHEMO (yellow). The vial seals are available in 13 mm (red), 20 mm (silver) and 28 mm (blue). Steri-Tamp Belly Button Bag Seals (green) are the only seals that will adhere to the port of a Hospira “belly button” bag as well as the top of a 13 mm vial. Unlike other seals on the market, Steri-Tamp seals provide true tamperevidence. Using dual-layer technology, the seals help to alert hospital staff if a bag or vial has been used or modified. If the top foil layer is removed, the "opened" layer is revealed and the top layer cannot be reapplied. Due to the 3X stronger adhesive, Steri-Tamp is able to provide a 100% sterile barrier. Steri-Tamp also offers two non-sterile syringe seals. Their increased tensile strength allows you to easily remove them from the liner and manipulate over any desired container (syringes, pill bottles, inhalers, EpiPens, insulin pens, medication boxes, etc.) without the seal breaking before it is applied. Our new Tamper-Clear Syringe Seal® will now allow you to see through to the markings on the syringe and scan the barcodes on inhalers, insulin pens, etc.

Features

n Steri-Tamp® IV Bag Port Seals • Offers the most fool-proof, potentially life-saving way of clarifying whether or not medication has been dispensed. • Protects the point of entry of IV admixture bags from contamination and accidental double dosing.

• Using a simple “twist” method, the seal adheres to itself and the port ensuring no air channels. • The green belly button bag seal is the only seal specifically designed to cover the “belly button” port, which is located in the middle of the Hospira bag. The seal can also be used on a 13 mm vial top. n Steri-Tamp® Vial Seals • Designed to lay flat on the vial top preventing bacteria from entering the vial. The seal should not overlap the edges. • Helps to maintain the integrity of the medication. • Sized specifically to fit 28 mm, 20 mm and 13 mm vial tops. A seal should only be applied to its corresponding vial size. n Steri-Tamp® Syringe Seals • Non-sterile solutions to provide tamper-evidence for syringes and other medical containers. • The new Tamper-Clear Syringe Seal® provides clear visibility to the barrel of the syringe and allows barcodes to be scanned. Perfect for sealing small oral, pediatric, and NICU syringes. n Available in 1,000 Seals Per Roll n All Seals Help to Reduce Waste, Improve Workflow, and Save You Time and Money

Testimonials

“ I really love that Steri-Tamp Seals stay on in refrigeration.”

— Pharmacy Technician

“ T he secondary layer is truly unique. I like that the top layer cannot be reapplied.”

— Pharmacist

“ Steri-tamps Clear Syringe Seal is the perfect solution for those small syringes – the nurses are happy to receive them without the graduations being covered.”

— Pharmacy Resident

Trade Shows/Meetings Attended

We attend ASHP Midyear, EAHP, CPC (United Kingdom), CSHP (Canada), and various state pharmacy conferences.

Ordering & Information

Available through major wholesalers and distributors. Visit our website for ordering information, dispensing, and application training videos at www.steri-tamp.com. WINTER 2018

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

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, 88 Aisles www.rxinsider.com

ASHP Midyear Clinical Meeting and Exhibition

December 2 - 6, 2018 Anaheim Convention Center Anaheim, CA www.ashp.org/Meetings-andEvents

IACP Educational Conference

January 16 - 19, 2019 Sonesta Fort Lauderdale Beach Hotel www.iacprx.org/page/EduCon2019

ECRM Speciality Pharmacy EPPS

January 27 - 29, 2019 San Antonio, TX ecrm.marketgate.com/sessions

American College of Apothecaries: ACE Annual Conference & Expo 2019 February 6 - 9, 2019 The Don Cesar St. Pete Beach, FL www.acainfo.org/ace

HIMSS19 Conference & Exhibition February 11 - 15, 2019 Orange County Convention Center Orlando, FL www.himssconference.org

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 RXinsider.com. © 2018 RXinsider LTD. All rights reserved.

PDS Super-Conference 2019 February 21 - 23, 2019 Orange County Convention Center Orlando, FL www.pdsconference.com

2019 FAH Public Policy Conference and Business Exposition

March 3 - 5, 2019 Marriott Wardman 340B Coalition Park Hotel Winter Conference Washington, DC January 30 - February 1, 2019 www.fah.org/conference/ San Diego, CA fah-public-policy-conferencewww.340bwinterconference.org and-business-exposition

Vintage Pharmacy Vintage Pharmacy Ads & Images

As a complimentary service, RXinsider is providing FREE, high-resolution downloads of vintage pharmacy ads and imagery.

continued on page 57 54

WINTER 2018

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

ECRM.MARKETGATE.COM/PHARMACY

CONNECTING PRODUCTS, SERVICES AND PHARMACY PROFESSIONALS TO BETTER ALIGN WITH MARKET NEEDS Discover new products, technology and services Productive communication Unprecedented results

Seeking a job candidate experienced in 340B? Don’t miss this amazing opportunity to find the best.

GET INCREDIBLE REACH AT AN INCREDIBLE PRICE 340B Employed is offering 25% OFF* on up to five 30–, 60–, or 90–day job listings on 340B Health’s online career center. Job posts reach over 2.5 million healthcare professionals through our partnership with the National Healthcare Career Network.

Use code FALLSAVE18 at check out.

FALL SAVINGS PROMOTION

25% OFF! Hurry! Offer ends December 15.

ATTENTION JOB SEEKERS! Don’t forget, if you’re looking for a job, the time is now to revitalize your search. Visit 340BEmployed.org and post your resume for free and let employers find you! If you have any questions, please contact us at careers@340bhealth.org.

*Offer expires on December 15, 2018. Promotional offers cannot be combined and apply to select 30, 60, and 90-day listings.

ABOUT 340B HEALTH

As a nonprofit membership association, we represent more than 1,400 hospitals participating in 340B and are the only advocacy organization focused exclusively on 340B hospitals. We provide program support through a variety of resources, services, and technical assistance around operations and compliance tailored just to hospitals. 340B Health is independent from both the drug industry and the federal government, serving our members since the program’s inception. Learn more and become a member today at 340Bhealth.org/join.

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

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

continued from page 54

NHIA Annual Conference & Expo

McKesson ideaShare 2019

APhA 2019

AACP Annual Meeting

March 9 - 13, 2019 Gaylord Palms and Convention Center Orlando, FL www.nhia.org/ac19

March 22 - 25, 2019 Washington State Convention Center Seattle, WA aphameeting.pharmacist.com

NACDS Annual Meeting

April 27 - 30, 2019 Palm Beach, FL annual.nacds.org

Asembia Specialty Pharmacy Summit

April 29 - May 2, 2019 Wynn & Encore Las Vegas, NV www.asembiasummit.com

ASHP Summer Meeting June 8 - 12, 2019 Boston, MA www.ashp.org

June 26 - 30, 2019 Orange County Convention Center Orlando, FL Mckessonideashare.com

July 13 - 17, 2019 Chicago, IL www.aacp.org

Cardinal Health RBC July 17 - 20, 2019 Nashville, TN rbc.cardinalhealth.com

NACDS Total Store Expo

August 24 - 26, 2019 Boston, MA Tse.nacds.org

Virtual Trade Show All in One Convenient Location

More than 50,000 annual visitors turn to the Virtual Pharmacy Trade Show to research and connect with leading providers of products and services throughout every segment of pharmacy.

NCPA Annual Conference

October 26 - 29, 2019 San Diego, CA Convention.ncpanet.org

Virtual Pharmacy Trade Show For information on advertising opportunities within the trade show, contact our sales team. RXinsider

800.972.2083

All shows are subject to change.

WINTER 2018

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ISOlutions for Cleanroom & Medical Supplies ADHESIVE MATS ADHESIVE TAPES CLEANROOM APPAREL CLEANROOM LABELS CLEANROOM PAPER CLEANROOM SWABS DISINFECTANTS & CLEANERS MOPPING SYSTEMS

Call for fast reordering:

800-797-1405

STERILE SLEEVE SYSTEM STERILE CHEMO GLOVES STERILE CHEMO PREP MATS STERILE COMPOUNDING SUPPLIES STERILE 70% ISOPROPYL ALCOHOL TESTING SUPPLIES WIPERS

ISO-MED.com

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

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

ISO-MED, Inc. – Your One-StopShop for All Your Cleanroom and Medical Supply Needs Providing an unparalleled level of products, service, and convenience for meeting USP <797> and USP <800> standards. David Lowrie Founded: 2010 Toll-Free Phone: (800) 797-1405 Fax: (951) 547-1681 Address: 1220 Graphite Drive Corona, CA 92881 Website: www.iso-med.com

Additional Product Lines • Pharmacy Labels • Akro-Mils Storage Bins • Pill Crushers and Splitters • Tamper Evident Locks and Tape • Safety Containers • Skin and Wound Care • Unit Dose Packaging

Company Background ISO-MED, Inc., a medical supply distributor, was formed to supply quality products for pharmacy cleanrooms and other medical industries in the United States. You will find ISO-MED as your one-stop-shop for all your USP <797> and USP <800> needs.

Markets Served • Hospital • Compounding • Infusion • Retail

President:

Product Overview ISO-MED's brand of products are manufactured at the highest quality levels and meet or exceed USP <797> and USP <800> standards for labs, compounding pharmacies, homecare, and more. ISO-MED provides an unparalleled level of service and convenience, and as a result, we offer a unique opportunity to provide top-quality products, responsive customer service, and highly cost-effective purchasing options for all of our valued customers!

Ordering Information

ISO-MED, an industry leader for all of your USP <800> needs, provides an unparalleled level of service and convenience for all medical industries. Whether it’s for the pharmacy cleanroom environment, laboratory, or homecare, ISO-MED is known for developing and distributing products that meet or exceed USP <800> compliance. We offer a unique opportunity to provide topquality products and are driven to help healthcare organizations save money. n Our USP <800> Compliant, Innovative Products Include: • Sterile Chemo Prep-Mats • Sterile and Non-Sterile Chemo Gloves • Wipes • Sterile Alcohol • Apparel (Both Sterile and Non-Sterile) for Compounding Hazardous Drugs • Chemo Technique Testing Kits • USP <800> Compliance Wipe Kits WINTER 2018

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

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

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

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

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

Ordering Information

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

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

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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 12” x 12” & 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.

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 #755

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

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

President & CEO: Arthur Vellutato Jr. Founded: 1981 Employees: 215 Toll-Free Phone:

(888) 4-STERILE (610) 644-8335 Fax: (610) 644-8336 Address: 15 Lee Boulevard Malvern, PA 19355-1234 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. VAI designs 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 numerous USA and foreign patents. VAI’s comprehensive USP <797> contamination control program provides a guide to assuring patient protection in compounding sterile preparations. Our full circle approach addresses the practices and conditions required by USP to maintain safe and compliant aseptic compounding. For each condition and practice required, VAI has a solution. VAI is committed to continual innovation and improvement of our products to satisfy current and future regulatory requirements. Our industry experience and corporate capabilities 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, that when used in sequence, 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.

n Each Sterile WipeDown 1-2-3 Kit Includes: • Packet #1: HYPO-CHLOR®, 5.25% Sodium Hypochlorite for Deactivation • Packet #2: THIO-WIPE®, 2% USP Sodium Thiosulfate for Decontamination • Packet #3: ALCOH-WIPE®, 70% USP Isopropyl Alcohol for Disinfecting/Cleaning All three packets consist of premium wiper material that is, non-woven, non-shedding, and 12" x 12" (#1) or 9" x 12" size (#2 and #3) 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. • Formulated with water for injection. • 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. • Designed to comply with USP <797> Sterile Kit. • Ready-to-use. • 12" x 12" (#1) or 9" x 12" size (#2 and #3). • 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 2018 Meeting in Anaheim, CA from December 2nd-6th. We will be displaying our WipeDown 1-2-3 and other USP <797> compliance products. Please come visit us at booth #755.

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 2018

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risk assessment

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Managing the variability of your central fill or mail orderâ&#x20AC;&#x2122;s prescription fulfillment demand requires intelligent technologies that continually optimize performance. Our highly adaptive PharmASSIST ÂŽ High Volume Solutions integrate machine learning and artificial intelligence, enabling real-time transparency, dynamic prioritization, and smart workload balancing. Incorporating this high level of intelligence into your pharmacy operation delivers unparalleled safety, maximizes throughput, drives down costs, and enables your pharmacists to be the caregivers your patients expect. Knowledge is power. Take advantage of that power. Call 607.352.2146 email sales@innovat.com visit 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® Pharmacy Automation Solutions From Innovation Enabling pharmacists to evolve their roles to patient care providers so they can positively affect patient outcomes. CEO:

Mary Reno Founded: 1972 Employees: 175 Stock Symbol: Private Phone: (607) 798-9376 Fax: (607) 729-5008 Address: Innovation Way Johnson City, NY 13790 Website: www.innovat.com

Company Background Innovation is the leading provider of pharmacy automation and process optimization solutions to the retail, hospital, government, and mail order pharmacy markets. As your pharmacy automation partner, we help you define a clear vision of where you’re going and how to get there. We work closely with your team to develop a comprehensive plan that addresses your goals and requirements with an integrated platform of pharmacy automation offerings and consultative design services so you can transform your prescription fulfillment. Product Overview Our PharmASSIST® product suite encompasses everything from workflow and operations management software to counting technologies, robotic dispensing, and next-generation highvolume systems for central fill/mail order sites. As your health system network looks to serve your communities and employee prescription benefit program, our comprehensive suite helps you standardize your technology infrastructure and seamlessly scale your automation with minimal operational disruption. n PharmASSIST High Volume Solutions

Completely integrated and configurable collection of highvolume robotic dispensing, workflow and operations management, conveying, collation, packing, and shipping technologies. Whether your site aims to fill several hundred or several thousand Rxs a day, our scalable solutions address the entire range of prescription volumes, physical space, staffing, workflow, and other pharmacyspecific requirements. Our high-volume systems deliver the best square foot to Rx ratio and lowest labor cost/Rx processing cost in the industry. • Quick Start: A pragmatic starting point for small to mid-sized sites that fill 500 to 6,000 Rxs per-shift.

• Mid-Size: Known as the “workhorse” system for mid-size sites that fill 2,000 to 12,000 Rxs per-shift. • Large/Custom: Customized, next-generation designs for large sites that fill 12,000 to 100,000 Rxs per-shift. n PharmASSIST SmartCabinet® Automates the counting of your outpatient pharmacy’s topmoving countable drugs and greatly enhances the quality of your prescription filling process. SmartCabinet’s small footprint delivers an unparalleled dispenser/space ratio with 50 dispensers in just 3 square feet, and the system easily scales by adding standard cabinets each with 50 dispensers. When integrated with a central fill/ mail order solution, SmartCabinet can help decrease wait times and increase patient consultations at your outpatient pharmacy. n PharmASSIST ROBOTx® The only truly scalable robotic dispensing system in the industry with a capacity range of 70-140 dispensers. This enables your outpatient pharmacy to “right-size” your system for your current volume and seamlessly scale up as your volume increases. The system’s simultaneous counting, first-class quality controls, and continuous operation, helps you increase productivity, enhance patient safety, and deliver timely patient-facing care.

Additional Product Lines • PharmASSIST Symphony® workflow and operations

management software, and PharmASSIST Light-Way™ will call and storage/retrieval technology.

• Compliance packaging, unit of use automation, and tabletop counting technologies.

• Consultative Design Services: wide range of services to help pharmacies optimize their pharmacy operations related processes.

Ordering Information To learn how our PharmASSIST pharmacy automation solutions can transform your pharmacy operation, call (607) 352-2146 or email sales@innovat.com. WINTER 2018

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

Pharmacy ChargeLink has helped us improve pharmacy revenue, financial performance and compliance. – Director of Reimbursement Services

From a financial perspective, Pharmacy ChargeLink delivers all the pieces you need and puts them in one place to resolve issues. – Revenue Integrity Manager

We’ve all learned how important it is for pharmacy and revenue cycle to have the relationship that we now have – that’s what makes us so successful. – Pharmacy Analyst and Buyer

Applications like Pharmacy ChargeLink and Supplies ChargeLink allow us to marry together data and analyze it simply and effectively. – Revenue Cycle Integrity Analyst

CHARGEMASTER MANAGEMENT

2018

Better Outcomes For All.

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

Craneware Pharmacy ChargeLink® Pharmacy ChargeLink is a powerful software solution that ensures pharmacy data is accurately represented in both the chargemaster and the hospital pharmacy system so hospitals receive optimal reimbursement for their pharmaceuticals.

President & CEO: Keith Neilson Founded: 1999 Employees: 325 Stock Symbol:

AIM: CRW.L (877) 624-2792 Phone: (404) 364-2032 Fax: (404) 364-2033 Address: 3340 Peachtree Road, NE, Suite 850 Atlanta, GA 30326 Website: www.craneware.com Toll-Free Phone:

Company Background

Founded in May 1999 by CEO Keith Neilson and co-founder Gordon Craig, Craneware launched its first product in October 1999 after signing its first customer contract the previous month. By the end of 2000, more than 20 customers were signed, establishing the strong growth pattern that continues today. In September 2007, Craneware was listed on the AIM market of the London Stock Exchange. Today, Craneware is headquartered in Edinburgh, Scotland, with U.S. offices in Georgia and Pittsburgh. Employing more than 300 staff, Craneware serves almost a third of all registered U.S. hospitals and is respected as a healthcare business partner known to deliver value, quality, and outstanding customer service as evidenced by KLAS results.* In June 2017, Craneware launched its new Trisus® platform enabling the next generation of innovation for the value cycle. This new platform is designed to be versatile and expandable, growing along with our customers as the healthcare industry continues to evolve. Trisus provides an environment to gather, process, and deliver data across the continuum of care allowing for synergies between multiple applications. Craneware continues to provide innovative solutions to healthcare providers allowing them to identify and address risks related to revenue, cost, and compliance. These value cycle solutions help providers improve margins, so they can invest in quality patient outcomes.

Product Overview

Pharmacy ChargeLink software audits data to provide analytics to integrate the various sources of pharmaceutical information from the distributor or wholesaler, the pharmacy, clinical departments, and financial systems. Validating and auditing the relationship between the pharmacy and charge data master (CDM) gives hospitals the ability to accurately validate HCPCS codes with National Drug Codes (NDCs) * Chargemaster Toolkit® is ranked No.1 in the Chargemaster Management category for the twelfth year in a row (2006 – 2018) in the "2018 Best in KLAS Awards: Software & Services" report, published January 2018. Data © 2017 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com

in the formulary, correct the formulary NDC units and costs, identify chargeable drugs in appropriate billable units of measure, ensure enforcement of policy pricing markups, and ensure adequate margin and charge capture. Pharmacy ChargeLink also identifies regulatory compliance risks that may cause Recovery Audit Contractor (RAC), Office of Inspector General (OIG), and Health Resources and Services Administration (HRSA) audit issues.

Features & Options

n Identify Missing, Inaccurate, and Incomplete Codes: For optimal

reimbursement, hospitals must enter the correct HCPCS and revenue codes for drugs. Pharmacy ChargeLink automates this process and audits against the most current and accurate reference data. n Identify Charge Capture Issues: Volume reconciliation analytics identify differences between the volume of drugs purchased and the volume of the same drugs that have been billed. Large discrepancies are often traced back to charge capture issues. Due to the differences in dispensed units and billed units, these issues can occur frequently. Volume reconciliation helps ensure optimal reimbursement for the drugs that have been dispensed. n Find Newly Purchased Drugs that are Missing from the Formulary or Chargemaster: Quickly and accurately identify visibility into purchases of drugs. With new and specialty drugs frequently coming onto the market, it is imperative to have visibility into these purchases. With one click you can access descriptions, HCPCS, revenue codes, and billable units of measure to add drugs to both the formulary and chargemaster. n Determine Correct Multipliers: Since medication dosages are often different than billable units, hospitals need to ensure multipliers are correct for optimal reimbursement. Pharmacy ChargeLink automates this analysis to identify exceptions and provides the correct multipliers along with the potential dollar impact for corrective action. n Ensure Correct NDCs are Captured on Claims: Accurate NDCs improve cost management and claims processing. NDCs set up in the formulary can become out-of-sync with purchases, and the NDCs on the claim eventually do not match what was purchased and administered. Pharmacy ChargeLink identifies these areas of compliance risk for correction, which also ensures the quality of the data used for clinical efficacies in population health management.

Testimonial

“ Not only has the analytics software met our needs from a data integrity standpoint, but partnering with Craneware's team of industry leading experts has also been instrumental to our success. Careful alignment of our key stakeholders, HIS workflows and Craneware's analytics platform remains a focus to ensure our success is sustainable.”

— Tara Hanuscak, Director of Special Projects, Ohio Health Research and Innovation Institute WINTER 2018

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Increase your temperature intelligence Reduce the risk and cost of unpredictable temperature events in production, storage and shipment, and help protect patient outcomes.

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Customized indicator products and logistical implementation plans

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

Temptime – Cost-Effective, Wireless Temperature Monitoring Systems for Medication Storage and Transport Electronic temperature and humidity monitoring solutions that meet emerging regulatory requirements and protect valuable medication inventory while in storage or transit. President & CEO: Renaat Van den Hooff Founded:

1987 Employees: 80 Phone: (973) 630-6000 Fax: (973) 630-6100 Address: 116 The American Road Morris Plains, NJ 07950 Website: www.temptimecorp.com

Company Background

Founded in 1987, Temptime scientists developed the first miniaturized technology to monitor time-temperature exposure of vials containing the oral polio vaccine. Our commitment to public health is reflected in our dedication to being on the leading edge of understanding pharmacy needs, and bringing new and patient-centric temperature monitoring solutions both to the pharmacy operation and into the patient’s home.

Product Overview

Temptime partners with small, medium, and large national specialty pharmacies in mail order, retail, and hospitals to control escalating specialty drug costs by reducing returns and reships. Our EDGE wireless electronic monitoring solutions are allowing pharmacies to monitor storage facilities, meet the requirements for accreditation and emerging state regulations, and protect valuable medication inventory. Our products include: • Low cost, chemically-based heat indicators and freeze indicators for application to temperature sensitive medication and biologicals. • Heat and freeze shipment indicators for medications. • Electronic EDGE wireless temperature and humidity sensing systems with cloud-based data storage and sharing.

EDGE™ Wireless Sensing Systems

The EDGE™ family of sensors and software provide wireless temperature tracking, mobile connectivity, and data-sharing for temperature-sensitive products. For use in production, storage, and shipment, EDGE devices log and retrieve data through packing materials, containers, trucks, cold equipment, and temperature-controlled rooms without jeopardizing environmental integrity. EDGE wireless sensors feature:

EDGE W-200 Wireless Temperature & Humidity Sensors Pharmacists are taking on an ever-growing responsibility of assuring that highly valued, temperature sensitive medications are received by the patient per the manufacturer’s temperature specifications. In a growing number of states, the requirements of the state board of pharmacy are also generating a need for effective monitoring and reporting tools. The EDGE W-200 sensor (with LoRaWAN™ technology) and EDGEConnect™ are innovative solutions that make facility monitoring simple. With EDGEConnect, the W-200 modules can be configured, managed and monitored. The wireless sensor modules automatically collect data from integrated or connected sensors and transmit the information to the cloud so it can be accessed remotely from anywhere.

EDGE M-300 Mobile Temperature Sensors

Temptime’s EDGE M-300 makes it easy for pharmacies to conduct accurate performance qualification (PQ) testing of an insulated shipper. EDGE M-300 is a wireless, Bluetooth-enabled mobile temperature sensor that can be placed in the package and will capture and transmit temperature data throughout transportation and storage. The M-300 can be monitored from a smartphone or tablet with the free, easy-to-use EDGEVue mobile app.

TransTracker® Shipment Indicators

TransTracker® temperature indicators are placed inside shipments of temperature-sensitive medications to monitor heat, freeze, or dual heatfreeze exposures during shipping, providing an easy-to-read visual signal of these events. TransTracker® visual temperature indicators are easyto-read and let patients see if a shipment has been exposed to potentially damaging temperatures.

• Bluetooth technology for wireless connectivity. • LoRaWAN™ technology for long-distance wireless applications. • Smartphone or mobile device setup, remote monitoring, and tracking with the free EDGEVue™ mobile and web applications. • Cloud data-sharing and storage with EDGECloud™ services.

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Pharmacy Job Opportunities

Be the Most Counted on Superhero for More Than 700 Hospitals. We are considered one of the most trusted partners in the industry, to hundreds of hospital pharmacies and health systems across the country. We provide tier-one analytics, robust technology solutions and deep expertise to every client we serve. For our team, we deliver unparalleled best practices, competitive benefits and continuing education, giving us all the superpowers we need to help our clients succeed. Join the CPS team and specialize in operations, clinical, regulatory, safety, purchasing, 340B, antimicrobial and more. Find available positions at jobs.cpspharm.com today.

Stop by booth #701 at ASHP Midyear 800.968.6962 | contactus@cpspharm.com | cpspharm.com

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• • • • •

Case Study Antibiotic Drug als Steps Antimicrobial/ Prescribing Impact Reve itals on Antibiotic Over-

11.4% Study of 180 U.S. Hosp use and Reduce Use by to Combat Antibiotic Over U.S. Hospitals Can Take

THE CHALLENGE:

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

CA20-5 SE0%STUDY

s Control e of medicine, the Center The Centers for Disease transformed the practic ics warn that Though antibiotics have that 20-50% of all antibiot and Prevention (CDC) Prevention (CDC) warn priate. for Disease Control and unnecessary or inappro care hospitals are either ic antibiot of prescribed in U.S. acute problem the growing 1 ics has contributed to public health. The misuse of antibiot threats Polk’s seriousDrugs ALL inANTIBIOTICS is to a small chain of pharmacies OFbased become one of the most organisms resistance, which has antibiotic-resis Mississippi. The tant Ocean Springs store, which CRIBED IN U.S. people are infected with opened PRES ly.2 According to More than two million deathsa annual ls are year ago, is unique imately 23,000about in that care it approx also in includes acute g a hospita the resultin ns each year, resistance threate robial gas station. ation (WHO), antimic either unnecessary of infections the World Health Organiz an ever-increasing range of nt inappropriate. treatme or and 3 effective prevention fungi. For manager and Jesse viruses Murphy, es, PharmD, choosing caused by bacteria, parasit the right technology was ement crucial to ensuring his a new Medication Manag Commission publishedpharmacy not only opened with, a strong start, In response, the Joint ls and nursing care centers ls, critical access hospita but continued to growto reduce (MM) standard for hospita emphasizing the need and operate as efficiently 2017, 1, y Januar e as possible. g which became effectiv settings, and requirin robials in all health care based on use of inappropriate antimic dship program that is antimicrobial stewar“Our greatest concerns as we look toward the hospitals to have an future are infected with re.4 are looking for ways to improve our profi current scientific literatu tability, new rule antibiotic-resistant maintain s (CMS) proposedand implement technology,” re and Medicaid Service patient safety The Centers for Medica organisms each year, in order to participate use Murphy ic said. antibiot reduce ls to ted, (June 2016) requires hospita RESULTING IN ls must appoint designa id and states that hospita s.5,6 in Medicare or Medica program ship QS/1 has helped Murphy address many of those APPROXIMATELY 23,000 2 antimicrobial steward qualified leaders for those concerns. As the next Comm issionof pharmacyDEATHS ANNUALLY. g the Joint generation meetin in s system health management software,cy SharpRx®’ss To suppor t hospital and ehensive Pharma Service powerful yet proposed rule, Compr intuitive system made n, a lasting Solutio impression. dship standard and the CMS “When Stewar robial they showed me their first of its kind Antimic robial SharpRx, I was new product, (CPS) launched the hospitals through its Antimic study of 180 U.S. impressed and hoped to switch as soon as possible, based on an expansive ” “It was obviously designed with the idea m. he said. Stewardship Pilot Progra

The TCGRx Beacon Ph armacy InvMOReEnTHAN TWO tPEOP o r y M a n LE a g ION ement Syst HelpiMILL ng pharmac ies do more em business Cliff Holt

with less in ventory.

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that you let the software the work, and that’s probably PRIMARdo Y INT ENDED OUTCO what impressed me most.” Invent ME is typ ical Jesse Murphy,ory PharmD ly a retail

w.cdc.gov/ August 15, 2016. https://ww ip Programs . Accessed President/Pharmacist Antibiotic Stewardsh . Core Elements of Hospital ~ Hurricane Control and Prevention April 4, 2017. https:// Accessed Family Phar .html Centers for Disease Atlanta, GA: CDC; 2013. macy implementation/core -elements the United States, 2013. Hurricane, UT getsmart/healthcare/ Resistance Threats in and Prevention. Antibiotic s/fs194/en /# Control /factsheet 2 Disease for ediacentre 8.pdf Centers http://www.who.int/m istance/pd f/ar-threats-2013-50 dship_ Accessed April 4, 2017. www.cdc.g ov/drugres /6/New_A ntimicrobial_Stewar e. (Updated: Apr 2015.) mission.org/assets/1 ion. Antimicrobial Resistanc https://ww w.jointcom 3 World Health Organizat Accessed April 24, 2017. ial Stewardship Standard. Stewards hip in U.S. 4 Approved: New Antimicrob s, and Promotes Antibiotic Hospital-A cquired Condition 6-Fact-sheets-items/2016-06-13.html Standard.pdf Discrimination, Reduces heets/201 April 24, easeDatabase/Fact-s Proposed Rule that Prohibits 5 Medicare. Accessed exit /Newsroom /MediaRel or CMS.gov. CMS Issues use w.cms.gov antibiotic April 24, 2017. https://ww rule for hospitals: Reduce Hospitals. Accessed r-exit-med icare.html Quality: CMS’ proposed duce-antibiotic-use-o Infection Control & Clinical 6 -proposed -rule-for-hospitals-re Becker’s Hospital Review. ospitalreview.com/quality/cms 2017. http://www.beckersh

Intuitive and Easy-to-Use “SharpRx’s greatest benefit is how intuitive the system is,” Murphy said. “Some of the traditional pharmacy systems that have been around for many years may be very powerful, but a lot of that power comes at a cost of complexity.”

SharpRx has a lot of the same power without the complexity. “It was obviously designed with the idea that you let the software do the work, and that’s probably what impressed me most,” he said. “Things

for every pha pharmacy’s largest fina rmacy manag ncial asset. er is how mu much invent One key dec ch inventory ory can me ision an less ava to keep on inahave that would bilityhidden settings or would ilab to fill pre hand. Having le cas be diffi culth; too littl scriptions in too e inventory to do with a timand systems are very intuitive ely easy Sucother , however, manner and cess reli es creates an on a to figure out with SharpRx. loss of patien the ” pharmacy ma records of ts. nager’s abi drugs on the lity to mainta shelves, as management in acc we urate and cur ll as accurasit “I think an individual could cydown rent is critical withtoSharpRx prescriptions filled. Effe ensuring reta Onaefew ctively, invent comminutes, and, after pany, TCGfiRx, ll a prescription easily. il pharmacy ory is leading the profitability. Beasomething con systemthat we That’s not AM can say with way in effo 10:51 4/21/17ma kes rtless perpet it truly pos other systems.” ual inventory sible for pha rmacies to control. Its THE CHALLEN do mo re GE with less. One of tod ay’s greate st challenges cost of dru in pharmacy gs and an unp is the continu recedented drug spendi ed and gro boom in trea ng in the Uni wing high tme ted States rea nt innovation specialty dru ched $364 s. In 2015, tota gs. By 2020, billion, with expenditur l $212 billion $98 billion es are expect for specialty attributed ed to reach meds. For pha huge amoun to $48 3 bill rma t of benefic ion overall cy owners, ial, valuabl and this environ e inventory ment equate to manage s to a — and pro tect.

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