20Ways WINTER Hospital 2023 by RXinsider

WINTER 2023

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

S Y S T E M

I N F U S I O N

E D I T I O N

20 Unique Products & Services 503B Outsourcing Facilities & Services

Industry Expert Q&A, Market Leaders Buyer’s Guide, and More pg. 44

Managing Condensation in Medical-Grade Refrigerators pg. 72

Mastering Cleanroom Gowning: Ensuring Quality & Sterility in High-Stakes Environments

pg. 88

PRESCRIPTION FOR SAFETY A Case Study From Bluesight pg. 36 Catherine Floroff, PharmD Pharmacy Manager ~ Sentara Norfolk General Hospital

3 Case Studies

CPS, Bluesight, and AmerisourceBergen

Our distribution partners:

Health Care Logistics®, Inc. 2023

Medication Workflow

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

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

LabGard ES AIR NU-543 Series Optimized for Sterile Hazardous Drug Compounding Systems Telescoping or Mechanical Auto-Rising Base Stand Options Optional IV Bar with 3 Height Locations and 6 SST Hooks Interior Duplex Outlets and Cord Pass-Through Ports Optional Back-Wall Viewing Window for PC Monitor Up to 12 inch (305 mm) Access Opening *Product shown with optional features

Non-Sterile Hazardous Workflow

Class I Containment Ventilated Enclosure

Containment Primary Engineering Control (C-PEC)

Protection: Personnel & Environmental

LabGard ES NU-813 Series Optimized for Non-Sterile Hazardous Drug Compounding Telescoping or Mechanical Auto-Rising Base Stand Options Optional Ergonomic Mount for PC Monitor, Keyboard, and Mouse Optional IV Bar with 3 Height Locations and 6 SST Hooks Double Exhaust Filter with Bag-In/Bag-Out Options Polycarbonate Viewing Window and Sidewalls Sidewall Waste Pass-Through Ports *Product shown wit

h optional featur es

Contents What would 5% in additional drug savings mean to you? Are you missing out on 340B savings? Does your TPA have a 97% highly satisfied customer rating?

Innovative.

Agile.

Verity Solutions — Rx Savings for 340B and Beyond

Authentic.

A Meds-to-Beds Program That Really Works From Retail Management Solutions

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

Verity Solutions® is a recognized leader in 340B program optimization and compliance. Our continually improved solutions and commitment to client satisfaction mean you can dedicate fewer resources to your 340B program administration and more resources to community wellness.

Results you can believe in. *with 97% highly satisfied clients rating!

Take the industry’s most powerful point-of-sale system directly to your patients with full till functionality that can be used in the pharmacy, bedside, curbside, and more.

Leave antiquated prescription deliveries behind...

Plan for the Now and the Future of the

Central Pharmacy FROM INVENTORY MANAGEMENT TO CSC

page 29

Plan for the Now and the Future With Medication Management Solutions That Optimize Workflows

Pharmacy Case Studies

Swisslog Healthcare delivers exceptional patient care with innovations from the core of the central pharmacy.

...with optimized pharmacy workflows.

For more information, visit: swisslog-healthcare.com/central-pharmacy-planning

20 Ways Ad.indd 1

page 25

Discover the stories, research, and reports from real pharmacies.

Pharmacyies Case Stud

Discover the stories, research, and reports from real pharmacies. Visit the library at RXinsider.com

10/19/2023 3:05:32 PM

page 27

page 30-31

WINTER 2023

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

Hairstyles have changed over the years. Shouldn’t your air sampler? Modernize your air sampling with TRIO.BAS™ today Hardy Diagnostics’ line of TRIO.BAS™ microbial impact air samplers has been designed specifically to bring air sampling up to date by addressing the drawbacks of older air sampling instruments. These lightweight and ergonomic instruments were designed with portability in mind. Three heads are better than one! The TRIO.BAS™ lineup features instruments with one, two, or even three heads so you have your entire process covered, start to finish. Multiple airflow rates are available to fit your specific need. Sample using standard or contact Petri plates. No proprietary media necessary. IQ/OQ/PQ documents available with purchase. Trade in that old air sampler and receive a discount upon purchase!

Scan to learn more

go.HardyDiagnostics.com/Triobas-Air-Sampling

Rooms Ready to Innovation and Style Work PHARMACY • CONSULTATION ROOMS MANAGER’S OFFICE • SHIPPING & RECEIVING • JANITORIAL ONLINE PICKUP • SPECIALTY DEPARTMENT ROOMS

RX Storage Features Future Ready Durable Limitless Designs

Prewired

High Density y Clutter-Free Powder Coated Rapid ROI

Corona CA American Made since 1970

WE CREATE NEW SPACE Design : Craft : Ship : Install uniwebinc.com 800.486.4932

FDA Registered | Iso Certified

Your partner in pharmacy compliance since 1992 USP <797> USP <71> USP <800>

Are you properly mimicking your

processes? Ask us about a custom media ﬁll solution for your facility.

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

Qimedical.com info@qimedical.com Tel. 800.837.8361 FDA Registered ISO Certiﬁed

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

RXinsider.com

The Optimal Temperature You Need, the Cold Storage Brand You Trust

50+

1st First to offer cold storage solutions certified to the NSF/ANSI 456 Standard

NSF /ANSI 456 D

At ABS, our focus goes beyond making a sale – we prioritize building a long lasting relationship, ensuring your vaccine storage needs are met with unwavering quality and expertise.

TIFIED TO V CER AC C

AGE STAN TOR DA ES R IN

American Biotech Supply (ABS) is more than just a provider of purpose-built refrigerators and freezers; we are your dedicated partner. ABS is committed to delivering top-quality, critical cold storage solutions for vaccines that safeguard public health.

Fastest Lead-times in the industry

Largest selection of refrigerators and freezers certified to the NSF/ANSI 456 Standard

American BioTech Supply | americanbiotechsupply.com | 800.648.4041

CRITICAL CLEANING SOLUTIONS FOR ANNEX 1 / USP COMPLIANCE How Saturix Reduces Risk for Surface Cleaning by 80%1

99.9% Particulate Residue Removal2 Saturix microfiber mops, pads and wipes are proven to mechanically remove 99.9%2 of particulate residue down to 0.1 micron in size. This minimizes chemical, microbial and particulate contamination during the cleaning process and prior to disinfection.

Precision Dosing The Saturix Mopping System and the ICT+ Isolator Cleaning Tool feature Precision Dosing to ensure every mop or pad is consistently saturated with the same amount of cleaning solution. This reduces chemical consumption by 90%1 and VOCs by 60%. 2

Touch-Free Operation Conventional cleaning tools require extensive handling to attach and remove mops and pads. The Saturix Mopping System and ICT+ Isolator Cleaning Tool offer touch-free attachment and disposal to significantly reduce risk for cross contamination.

1. Based on internal analysis of 5,000 ft2 ISO 7 facility. 2. Based on third party lab testing.

To learn more about our products, visit us online at Saturix.com or contact us at +1 (413) 598-8344 or info@saturix.com 2255 Westover Road, Chicopee, MA 01022 +1 (413) 598-8344

Particulate Matter MATTERS!

Complimentary Under the Hood Hanging Racks for our “Zero Paper” Customers!

Make the Move to

Zero Paper IV Seals with SecurSeal® IV Seals 100% Paper Free Seals, Including the Dispenser and Labeling! Vinyl Label, Not Paper

SecureSeal® IV Seals No Cardboard Insert

Chemotherapy Seals

Adhesive Free Area Eliminates Paper Dots

C-it ™ Syringe & Container Seal (You Can See Through It!)

Call (800) 527-4616 or visit Winfieldlabs.com If your wholesaler doesn’t carry SecurSeals ®, we will drop ship! Group Contracts Available | Complimentary Under Hood Hanging Racks & Samples

Pursue Your Pharmacy Career With one of the nation’s leading pharmacy management solutions providers

CPS is a trusted partner to hundreds of hospital and health system pharmacies nationwide. Come join our team! • We deliver robust analytics, impactful technologies, and expertise that help pharmacies run more efficiently. • We maintain a team-oriented work environment a partner-focused, patient-minded culture, competitive compensation and benefits, and continuing education. Search open positions and apply today at jobs.cps.com.

cps.com | contactus@cps.com | 800.968.6962

Contents 5 0 3 B O U T S O U R C I N G FA C I L I T I E S & S E R V I C E S

Elevating the Standards in 503B Pharmaceutical Outsourcing

Leiters Health is a trusted FDAregistered 503B outsourcing provider of ready-to-administer compounded sterile preparations committed to providing healthcare professionals and their patients with the highest-quality medications.

Pre-filled syringes and IV bags; pre-labeled and ready to administer. Opioid-free surgical pain services medications. ON-Q* Pain Relief System Pharmacy Fill Service. Ophthalmic medications including FDAcompliant repackaged Avastin

Leiters.com | 800.292.6772 | info@leiters.com ON-Q* is a registered trademark of Avanos Medical, Inc., or its affiliates. Avastin is a registered trademark of Genentech, Inc.

Unit Dose Done Right

Unit Dos e, Bar Cod ing,

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

Brightly Colored Labels Call Attention to Meds Requiring Special Handling

Scan QR Code for more information and pricing.

Simple. Reliable.

800.523.8966

MediDose.com

Unit Dose Done Right P 8.5 x 11.indd 1

6/1/20 2:02 PM

International Medical Industries — Innovation in Secure Drug Delivery

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

IMI designs innovative medical devices that enhance the security of medication from pharmacy to patient. Fifty years of product design exclusively focused on the needs of the compounding pharmacist means exceptional quality, reliability and customer-driven innovation. From Tamper Evident Caps to essential sterile compounding supplies, ensure the integrity and security of your medications with solutions from the leader in secure drug delivery. Over 50 Years Serving The Industry Exceptional Quality & Reliability Enhance Your Drug Security Program Strengthen USP <797> Practices To See All Our Products and Request Samples Visit IMIWEB.COM |

1.800.344.2554

MADE IN THE USA

IMI-501-AA-77 R1

page 67

page 75

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

ISO-MED Makes Your Job Easier and Easier

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

We make it easy to get it right.

As one of the top leading suppliers for pharmacy cleanroom supplies, we provide an unparalleled selection of specialized medical products, globally trusted quality and service, and delivery convenience for meeting USP <797> and USP <800> standards.

Keep patients safe with the full line of USP <797 revised> and <800> compliance products you need to maintain a sterile cleanroom. A quick click or call is all it takes to get them from our shelves to yours. See how easy ISO-MED makes it to get just the right products, right when you need them.

Get it right. Now.

Order online or call today. sales@iso-med.com | 800-797-1405 | www.iso-med.com

page 69

MOBILE PHARMACY COMPOUNDING CLEANROOMS

Whether you are planning a cleanroom renovation or building a new cleanroom, Modular Devices’ mobile cleanrooms provides an expedited option that combines a modular and prefabricated approach by delivering a ready-to-use, turnkey cleanroom that only requires utility connections upon being delivered. Our pharmacy compounding cleanrooms are available to rent or purchase! Experience unmatched quality, state-of-the-art materials and equipment, and a cleanroom that will not only exceed your expectations but USP 797/800 as well!

» Meets and Exceeds USP 797/800 » Hands-Free Interlocked Doors » Continuous Data Logging and Monitoring » 14' Wide x 48' Long » Includes 4' BSC’s and 4' LFH’s » Includes Dedicated Refrigerators » HEPA Filtered Interlocked Passthroughs » Hands-Free Scrub Sinks » Dedicated Haz and Non-Haz Gowning Rooms » USP 800 Negative Pressure Unpack / Storage Room » Hands-Free Flush Mount Intercoms » Guaranteed Environmental Control Anywhere in U.S. » Large Fleet and Nationwide Coverage » Guaranteed Certification

Full Compliance with USP 797 and USP 800 is one phone call away!

CALL FOR INFORMATION OR TO REQUEST A QUOTE 317-333-6001 www.portable-cleanroom.com

MANAGING CONDENSATION IN MEDICAL-GRADE REFRIGERATORS Contributor: Cindy Fitton Director of Marketing, Healthcare and Life Science ~ Follett

Controlling humidity in medical grade refrigerators is a vital aspect of maintaining the quality and safety of stored products, such as vaccines, blood products, and biological samples. High humidity levels can lead to condensation, frost formation, microbial growth, and corrosion, which can damage the refrigerators and their contents. Therefore, it is essential to monitor and regulate the humidity levels inside the refrigerators using suitable sensors, controllers, and dehumidifiers. This article will discuss some of the methods and challenges for controlling humidity in medical grade refrigerators, as well as some of the best practices and recommendations for optimal humidity management. Condensation is the process where water vapor in the air is changed into liquid water. It is the reverse action of evaporation, where liquid water becomes a vapor, and is brought about by a change in the pressure and temperature of the substance. You probably see condensation every day. If you wear glasses and go from a cold, air-conditioned room to outside on a humid day, the lenses fog up as small water droplets coat the surface via condensation. People buy coasters to keep condensed water from dripping off their chilled drink glass onto their coffee tables. Cold air holds less water vapor than warm air, and water leaving the vapor state and 72

WINTER 2023

condensing into liquid as it cools is a naturally occurring part of the refrigeration process. “Condensate” is the technical term for the liquid that forms when the temperature of the air becomes colder than the saturation temperature (the dew point) of the air-humidity mixture. Managing condensate is important to maintaining the integrity of refrigerated products. Following are some considerations for condensate management in the different types of refrigerators used in the storage of medications, vaccines, and other medical products. n Condensation Forms in all Refrigerators In a refrigerator, condensation is the conversion of water vapor in the air to liquid water drops and occurs when humid air in the ambient environment contacts the colder surfaces inside a refrigerator. This is the same effect as dew forming on the grass or on a car’s windshield on a cold morning. According to the laws of physics, all refrigerators will form condensate inside the storage compartment under the humidity levels found in a typical hospital (40-50% relative humidity) because the temperature inside the cabinet is lower than the saturation temperature (dew point) of the surrounding air. Condensation will be greater in humid areas and less in very dry climates or during winter months.

page 77

Mobile Pharmacy Compounding Cleanrooms by Modular Devices

Premanufactured mobile cleanrooms are available in a fraction of the time compared to traditional design/build projects. Fully engineered turn-key mobile cleanrooms designed to provide immediate compliance for USP 797/800.

Trade Show & Meeting Calendar

page 71

page 78-83

Managing Condensation in Medical-Grade Refrigerators

Reduce Theft and Misuse of Controlled Substances in Your Organization with Protenus Drug Diversion Surveillance

From contributor Cindy Fitton Director of Marketing, Healthcare and Life Science at Follett.

Utilize artificial intelligence and advanced analytics to audit 100% of medication use transactions — reducing the risk to your workforce, organization, and most importantly, your patients.

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

page 72-73

page 85

WINTER 2023

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

Behind Every Good Pharmacist ... is a Great Resource. Known as the “Yellow Pages of Pharmacy,” the Pharmacy Platinum Pages is published annually and serves the profession as a high-quality and relevant buyer’s guide featuring more than 450 company profiles and enhanced company sponsorships. Available in print and digital formats.

RXinsider.com

Stop b booth y our at ASH P

Booth

764

Best-In-Class Delivery • Largest Finished Goods Inventory

ncomycin is now Another smart solution from the ailableVancomycin in is now . team that brings you COMING SOON!

available in SMART THINKING Smart Thinking. . Smart Thinking.

Efficient

www.samsonmt.com

CEFEPIME 100g

FEATURED PRODUCT

Vancomycin FEATURED PRODUCT

www.samsonmt.com

Vancomycin NOW

Easy Ordering and Shipping

AVAILABLE

Propofol

Safe Eﬃcient Eﬃcient

Competitively Safe Safe Priced

Economical

Economical Economical

AVAILABLE PRODUCTS

Also available in SmartPak Also available AlsoAVAILABLE available in in SmartPak SmartPak Easy Ordering PRODUCTS • Cefazolin for Injection (100 & • Cefazolin for Injection (100 & 300 grams) AVAILABLE PRODUCTS • Cefazolin for Injection (100 & 300 300 grams) grams) Description NDC List# and Shipping Propofol Injectable Emulsion, USP supplied by Samson Medical •• Ceftriaxone grams) Description NDC • Ceftriaxone for Injection (100 grams) for Ceftriaxone for Injection Injection (100 (100 grams) List# AVAILABLE Technologies, under the Avet label, is the smart choice for your Cefazolin 100 grams PRODUCTS 66288-1100-1 1100 List# Propofol Injectable Description NDC 23155-345-44 A4544 pharmacy service, offering you the same formulation as Diprivan®, 200 mg/ 20 mL Emulsion, USP Cefazolin 300 grams 66288-1300-1 1300 Description NDC List# 7100 Vancomycin 100 grams 66288-7100-1 ® free of benzyl alcohol, sulfites, and latex, withsystem the easy Ceftriaxone 100 grams 66288-6100-1 6100 SmartPak provides a revolutionary delivery forordering these Propofol Injectable This important product now in the exclusive delivery system. 66288-7100-1 7100 Vancomycin 100 grams 23155-345-42 This product now in the exclusive delivery system. 66288-1100-1 ® important Cefazolin grams and excellent service that have come to expect from the Vancomycin 100 grams 66288-7100-1 7100 1100 A4542 SmartPak provides a you revolutionary delivery system for these essential drugs, offering faster, easier preparation more economically. 500 mg/ 50 mL Emulsion, USP100 66288-1100-1 1100 Cefazolin 100 grams SmartPak® provides a revolutionary delivery system for this essential drug, offering faster, easier essential drugs, offering faster, easier preparation more economically. providers of SmartPak®. SmartPak® provides revolutionary delivery system for this essential drug,300 offering It’s also safer. The SmartPak bag asystem is a convenient alternative 66288-1300-1 1300 Cefazolin grams faster, easier vides a revolutionary delivery system for this essential drug, offering faster, easier Propofol Injectable preparation more economically. It’s also safer. The SmartPak bag system is a convenient It’s also safer. The SmartPak bag system is a convenient alternative 66288-1300-1 1300 Cefazolin 300 grams SmartPak® aglass revolutionary delivery for these essential drugs, offering faster, easier 23155-345-43 A4543 to using multiple glassprovides vials. No economically. means noIt’s breakage duringThe preparation more also system safer. SmartPak bag system is a convenient 66288-6100-1 6100 Ceftriaxone 100 grams mg/ 100 mL USP 1000 to using multiple glass vials. Nolabor glass means nowaste. breakage during ore economically. It’s also The SmartPak bag system is SmartPak aEmulsion, convenient alternative to using multiple glass vials. No glass means no breakage SmartPak preparation more economically. It’s also safer. The bagduring system is a convenient 66288-6100-1 6100 handling. SmartPak saves time and with less — Ceftriaxone 100handling. grams alternative tosafer. using multiple glass vials. No SmartPak glass means no breakage during handling. SmartPak handling. SmartPak saves timewith and labor with less waste. SmartPak — 66288-8100-1 8100 Cefepime 100handling. grams SmartPak saves time and labor less waste. the choice your pharmacy service. sing multiple glass vials. No glass means no breakage during handling. SmartPak alternative to using multiple glass vials.SmartPak No glass— means no breakage during the smart choice for your pharmacy service. saves time and labor with less waste. SmartPak — the smart smart choice for for your pharmacy service. 66288-8100-1 8100 Cefepime 100 grams the smart choice for your pharmacy service. labor with less waste. — the choice for your service. saves SmartPak time and labor withsmart less waste. SmartPak —pharmacy the smart choice for your pharmacy service.

ortant product now in the exclusive delivery system.

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

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

Telephone (856) 751-5051

PO BOX 2730, Cherry Hill, NJ 08034For more information visit pppmag.com/info Telephone (856) 751-5051 Toll Free (877) 418-3600 Fax (856) 751-5044 For more information visit pppmag.com/info For more information visit pppmag.com/info

For more information visit pppmag.com/info

Fax (856) 751-5044

Contents 5 0 3 B O U T S O U R C I N G FA C I L I T I E S & S E R V I C E S

STAQ Pharma — IV Bags Available Now and Oncology Drugs Coming Soon

Bringing safety, transparency, availability, and quality to compounded medications. Safety

Availability

Transparency

Quality

Providing the right dosage of medication available in pre-filled syringes produced in a sterile, cGMP-compliant 503B facility gives doctors — and their patients — an added level of safety and confidence in the operating room.

From the glass panes in our pharmaceutical facility to the COAs (certificate of analysis) we provide with every batch and detailed quarterly quality management reports we post online, STAQ is committed to transparency.

Having the IV push medication you need available when you need it is, simply put, essential. That’s why we’ve put systems in place to help support and even anticipate your compounded pharmaceutical needs.

STAQ’s goal from day one has been to help ensure the highest quality compounded medications for children and adults. Built brand new as a 503B, and focused on the most current FDA guidance, we’re poised to do just that.

(833) 397-0106 | staqpharma.com | staqpharma@staqpharma.com

MASTERING CLEANROOM GOWNING Ensuring Quality & Sterility in High-Stakes Environments

Cleanroom gowning is a crucial aspect of maintaining a clean and sterile environment to produce high-quality products. By following a strict set of guidelines, cleanroom gowning helps to minimize the risk of contamination from human skin, hair, and clothing. This is especially important in industries such as pharmaceuticals, electronics, and biotechnology, where even the slightest particle can have a significant impact on the final product. Proper cleanroom gowning ensures the safety of employees and customers, as well as the quality and reliability of the products being produced. Don’t underestimate the importance of cleanroom gowning —make sure your team is trained and following the proper procedures to ensure your products are of the highest quality. When it comes to cleanroom garments, it’s essential to use clothing that is specifically designed and approved for use in a cleanroom environment. These garments should be made of materials that minimize the shedding of particles and fibers, as well as being non-linting and non-shedding. Typically, cleanroom garments are made of synthetic materials such as reusable, polyethylene terephthalate (PET) 88

WINTER 2023

or single-use polypropylene (PP) and single-use high-density polypropylene (HDPE) as these materials have a tighter weave and produce fewer particles than garments with natural fibers. The level of cleanliness required in the specific cleanroom will dictate the gowning items necessary so you can create your gowning protocol. Cleanroom garments include: • Coveralls • Hoods • Goggles • Boots

• Gloves • Frocks • Shoe covers • Beard covers

• Bouffants • Face masks • Scrubs

In addition to extremely clean and particle-free gowns, many life science-sector cleanrooms require the outer garments to be sterile. It’s vital to select garments that are appropriate for the level of cleanliness required and to follow the proper gowning procedures to ensure maximum effectiveness in minimizing

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

On the frontlines to combat the ongoing drug shortage crisis, STAQ understands the operational and patient impacts when drugs are hard to find, and is working hard to ensure our products are always in stock and ready to ship when needed.

Zebra Temperature Monitoring & Sensing Solutions — Monitoring Devices & Integrated Solutions for Medication Shipments, Storage, & Pharmacy Facilities

TEMPERATURE INTELLIGENCE®

Peace of mind for your patients Temperature monitoring for direct-to-patient shipments Getting medication to patients in the right temperature range is critical for reducing unnecessary reshipments. Including a TransTracker® in outgoing medication shipments can help. These inexpensive, singleuse indicators monitor temperature exposures – letting your patients know at-a-glance whether medication has gotten too hot or too cold while in transit. Learn more about how TransTracker cards, manufactured by Temptime, can help you give your patients added peace of mind while helping you save money by avoiding medication replacements. zebra.com/transtracker

zebra.com

ad-RXInsider-TransTracker-winter-2022.indd 1

2/23/22 10:59 AM

Providing devices and information to accurately monitor temperature sensitive medications, indicating if they have been exposed to temperature events.

page 87

page 93

Mastering Cleanroom Gowning: Ensuring Quality and Sterility in High-Stakes Environments

Download the 20Ways App

RXinsider.com/20ways

From Contributor Myles Reukema Senior Director Cleanroom Sales at Prudential Cleanroom Services.

page 88-89 CHANGING THE GAME TO DELIVER A FULLY AUTONOMOUS PHARMACY ARxIUM integrates hardware and software solutions into a unified platform, facilitating seamless connectivity of pharmacy systems and workflows while achieving enterprise visibility and control over inventory management.

CENTRALIZED Command and Control

CONNECTED Smart Systems and Devices

COMPLIANT Regulatory Management

CONSOLIDATED Digital Ecosystem

COORDINATED Efficient Workflows

888-537-3102

Info@arxium.com

arxium.com

ARxIUM — Changing the Game to Deliver Solutions to Achieve the Fully Autonomous Pharmacy

ARxIUM delivers best-in-class technology and unparalleled expertise focused on helping all pharmacies with the primary goals of improving safety, productivity, and efficiency.

page 91

PUBLISHER RXinsider, LTD RXinsider CEO DESIGN AND PRODUCTION Design & Layout Multimedia Marketing and Operations

Gregory Cianfarani, RPh Lora Bourque Eric Simmons Samantha Roy Alexa DiLuca Kristin Fennessey

SALES AND BUSINESS DEVELOPMENT Chris Kolkhorst, EVP chris.kolkhorst@rxinsider.com Mike Rahme mike.rahme@rxinsider.com Shaun Russell shaun.russell@rxinsider.com Savannah DaSilva savannah.dasilva@rxinsider.com Jeff Rackliff jeff.rackliff@rxinsider.com Email sales@rxinsider.com Toll-Free Phone 800.972.2083 Fax 646.329.9766 Website www.RXinsider.com

20Ways is an official publication of RXinsider

NOTICE OF POLICY 20Ways is published quarterly by RXinsider LTD, 1300 Division Road, Suite 103, West Warwick, RI 02893. Postmaster: Send address changes to 20Ways/RXinsider, 1300 Division Road, Suite 103, West Warwick, RI 02893. Notification of address change must be made six weeks in advance, including old and new address with zip code.

GENERAL SUBSCRIPTION INQUIRIES RXinsider LTD c/o 20Ways 1300 Division Road, Suite 103 West Warwick, RI 02893 20Ways Online: www.RXinsider.com/20Ways General Information: 20Ways@RXinsider.com Circulation: See page 7

Editorial – views expressed in articles or profiles in the 20Ways are those of the author(s) and do not necessarily reflect the policies and opinions of RXinsider, our editorial board(s), our advisory board(s), or staff. Advertising – products, services, and educational institutions advertised in 20Ways do not imply endorsement by RXinsider. Copyright © 2023 RXinsider LTD. All rights reserved. Reproduction without permission is prohibited.

WINTER 2023

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

CLEANROOM VALIDATED REUSABLE STERILE & NON-STERILE PRODUCTS

VALIDATED REUSABLE MOP SYSTEMS

REUSABLE CLEANROOM HOOD MOPS & FRAMES GAMMA IRRADIATED POLYESTER & MICROFIBER

ADVACARE DISINFECTANT WASH FORMULA

AVAILABLE USP 797 RECOMMENDED STERILE GOWNING & ANCILLARY ITEMS • HOODS • COVERALLS • BOOTS • PROCESS & PACKAGED MASKS

• FROCKS • GOGGLES • INNERWEAR • SLEEVE COVERS • HOOD MOPS

CLEANROOM LAUNDRY SERVICES COMPLETE REUSABLE GARMENT - MOP - GOGGLE RENTAL PROGRAMS A Division of Prudential Overall Supply

PRUDENTIALUNIFORMS.COM

800-767-5536

ISO 9001 CERTIFIED Prudential Cleanroom Services has established and applies a Quality Management System for Providing Woven and Non-Woven Cleanroom Apparel and Contamination Control Products for Controlled Environments.

USP <800> RESOURCES Leading Pharmacy Suppliers of USP <800> Compliant Solutions

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

Rees Scientific

Innovative.

Agile.

Authentic.

Imagine flipping Consider 340B tools Picture expert a switch to get an updated every two account managers* added 5%+ in overall weeks focused on who are like extended drug savings. your needs. team members. Verity Solutions® is a recognized leader in 340B program optimization and compliance. Our continually improved solutions and commitment to client satisfaction mean you can dedicate fewer resources to your 340B program administration and more resources to community wellness.

Results you can believe in. *with 97% highly satisfied clients rating!

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

Verity Solutions — Rx Savings for 340B and Beyond Partner with us to simplify 340B administration, confidently optimize federal pricing benefits, and benefit from the dedication and knowledge of our expert team.

CEO:

George Puckett Founded: 2015 Employees: 120 Toll-Free Phone: (800) 581-1378 Phone: (425) 947-1922 Address: 12131 113th Avenue NE, #200 Kirkland, WA 98034 Website: www.verity340b.com

Company Background

Verity Solutions is a leader in 340B program administration. Recognized as Best in KLAS: 340B Management Systems for five years, our mission is to make every aspect of 340B program management clear and easy to understand. We believe in optimizing program benefits through predictable automation and outstanding support so that every customer can maximize their savings. We partner with integrated healthcare systems, acute-care hospitals, community health centers, federally qualified health centers, pharmacies, and other 340B-eligible covered entities throughout the U.S. who rely on Verity 340B® software and services to successfully manage their 340B program.

Product Overview

Our powerful V340B® cloud-based software platform provides comprehensive solutions for split billing, contract pharmacy, specialty contract pharmacy, gateway solution (VHUB®). Our purchase optimization product, VERISAVE™, automatically selects the best blended priced products available for your complete order before it is submitted, reducing tedious manual processes and dramatically decreasing your drug spend. Our depth of in-house technical and software development resources and our highly skilled account management team are closely aligned to swiftly adapt as changes arise in the 340B program. We offer: •A gile Software Platform: Built and deployed with security, performance, scalability, and agility as primary goals. The Verity 340B platform is HITRUST certified, demonstrating robust HIPAA compliance. • Intuitive Application: Designed with our users in mind, we maintain ongoing feedback and collaboration with our clients. This collaboration steers our continual software and services development. • Responsive Support: Designated account managers provide focused support, training, audit readiness, and regular business reviews to maximize your 340B program success and help you maintain compliance.

What Sets Verity Solutions Apart?

We continually invest in our technology and people to ensure 340B program success for our clients. With increasing 340B regulatory complexity and pressure for improved margins, it’s more important than ever to have the right solution for your 340B program management — and the right partner.

n Highlights • Industry leading core functionality of our V340B platform with optional, patent-pending add-on modules to enhance all aspects of 340B operations in challenging and unique environments. • Rapid 120-day average implementation time frame for both split billing and contract pharmacy solutions upon receipt of compliant dataset. • Access to your own unique 340B program test environment — before and after implementation. Test environment runs continually in parallel to your live system. • Easy and exportable reporting functionality including detailed data for manufacturer audits, HRSA audits, and UDS reporting. •N ew — Advanced Reporting Insights gives users rich data visualization, interactive reports, and performance trends to help drive strategic change. • Transition from one electronic medical record (EMR) to another without downtime (contingent upon receipt of dispense file from the covered entity). • Multiple vendor support with controlled substances ordering system (CSOS) — efficiently place orders with both EDI (electronic data interchange) and non-EDI vendors. • Two-week sprint release cycles ensure timely software updates driven by customer feedback, regulatory changes, and user needs. • F lexible and “winners only” contract pharmacy pricing models. No true-ups. • Verity Care Card Program — directly pass 340B savings to uninsured and underinsured patients. • Referral capture solutions, self-serve or full service, to compliantly add meaningful savings lift to your 340B program. • Responsive customer service provided by our in-house staff and the ability to submit and track issues in our online customer portal. • 80% of our customer support cases resolve within two hours, and 95% within 24 hours. • 97% highly satisfied rating of account management support. •N ew — Own Use Program for any non-profit hospital to optimize your owned outpatient pharmacy for additional savings.

WINTER 2023

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

Leave antiquated prescription deliveries behind...

Plan for the Now and the Future of the

Central Pharmacy FROM INVENTORY MANAGEMENT TO CSC

...with optimized pharmacy workflows.

For more information, visit: swisslog-healthcare.com/central-pharmacy-planning

2 0 WAY 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

Plan for the Now and the Future With Medication Management Solutions That Optimize Workflows Swisslog Healthcare delivers exceptional patient care with innovations from the core of the central pharmacy to enhance performance workflow efficiency, improve accuracy, and increase safety. President & CEO: Cory Kwarta Founded:

1915 Employees: 500-1000 Toll-Free Phone: (800) 396-9666 Address: 11080 Circle Point Road, #500 Westminster, CO 80020 Website: swisslog-healthcare.com

Company Background

Headquartered in Westminster, CO, Swisslog Healthcare has been delivering best-in-class automation solutions and services for more than 100 years. At Swisslog Healthcare, we lead change for better care. The core of this vision is a focus on improving workflows and reducing the time clinicians spend doing repetitive tasks — enabling more time to care for patient care. Learn more at swisslog-healthcare.com.

Product Overview

Hospitals today are held to increasingly higher accountability for the overall patient experience. The timely dispense and delivery of correct medications are critical to improving patient outcomes and fostering a positive experience. Whether on a large or small scale, the right automation can enhance patient safety, reduce medication waste and drug shortages, reduce costs, and enable staff to spend more time focusing on clinical activities. Discover how our pharmacy automation solutions can boost efficiency, improve care, and reduce costs at your healthcare facility.

Features & Options

n BoxPicker ® Automated Pharmacy Storage System provides pharmacies with secure, high-density, modular storage of medications, controlling access, improving pharmacy workflows, and expediting the picking process. The modular design of the BoxPicker enables hospitals to tailor the system to their exact needs. The ability to add multiple operator stations allows for simultaneous operations. This significantly increases efficiency as one technician can stock medications while another can complete dispensing activities. Automated medication storage and retrieval not only eliminates picking errors and increases safety at dispense, but also creates a more efficient pharmacy workflow. Designed to eliminate the need for static shelving, BoxPicker allows pharmacy staff to focus on clinical tasks and spend less time locating, picking, and verifying medications. n PillPick® Automated Packaging and Dispensing System is a completely automated solution that decreases human touches in packaging, storing, dispensing, and returning unit-dose medications. The patented PickRing® delivers patient-specific medication on a single ring

ready for administration, reducing the opportunity for missed medications and speeding up administration time. With the ultimate automated pharmacy system for patient safety and operational efficiency, nurses can spend more time delivering high-quality care. As healthcare systems have continued to merge, supply chain delivery has become increasingly complex. Forward-thinking organizations are addressing these challenges by centralizing supply chain and pharmacy operations off-site utilizing Consolidated Service Centers (CSCs) or Integrated Service Centers (ISCs). (ISCs) Partnering with Swisslog Healthcare for CSC implementations helps healthcare organizations actualize their CSC goals and maximize benefits from streamlined pharmacy operations. Effective CSCs automate manual processes, and proactively manage prescription drugs. n AutoPack™ Automated Oral Solid Packager is an oral solid packager that integrates easily with pharmacy operations to provide fully automated, patient specific, unit-dose or multi-dose oral solid medication packaging, ensuring that 100% of medications are scan-ready at the bedside. n AutoCarousel® Semi-Automated Pharmacy Storage System, together with medication management software, transforms medication management by reducing labor, drug waste, missing medications, and picking mistakes. AutoCarousel is accurate and reliable, and the vertical design ensures maximal storage in a compact footprint. In addition, AutoCarousel helps pharmacies ensure medication safety with password-protected access and barcode scanning during the stocking and dispensing processes to track the chain of custody and manage all items comprehensively.

Testimonial

As a trusted partner, Swisslog Healthcare pharmacy automation plays an essential role in safe, efficient, medication administration at the largest acute care center in the greater Toronto area. The state-of-the-art Humber River Hospital features two pharmacy automation solutions from Swisslog Healthcare, the PillPick® Automated Packaging and Dispensing System and the BoxPicker Automated Pharmacy Storage System. As a result, Humber River Hospital reports a reduction of more than 50% in medication picking errors. In addition, the deployment of the PillPick has also led to a 30%+ reduction in pharmacy technician labor, allowing for the redeployment of skilled staff to other higher-value and rewarding tasks.

“ T he whole solution helps us do our jobs better; this means safety and efficiency enterprise wide. We have a great relationship with our Swisslog Healthcare team.” — Albert Karas, Director, Pharmacy Services, Humber River Hospital

Markets Served

Swisslog Healthcare serves hospitals and health systems of all sizes across North America. WINTER 2023

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

2 0 WAY 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

A Meds-to-Beds Program That Really Works From Retail Management Solutions

Take the industry’s most powerful point-of-sale system directly to your patients with full till functionality that can be used in the pharmacy, bedside, curbside, and more. President & CEO: Brad Jones Founded:

1998 (877) 767-1060 Phone: (360) 438-8276 Fax: (360) 438-8284 Address: 4315 6th Avenue SE, Lacey, WA 98503 Website: www.rm-solutions.com Toll-Free Phone:

Company Background

Retail Management Solutions (RMS) was founded in 1998 with a mission to help pharmacies understand and use technology-based tools to run more profitable and customer-centric businesses. Today, RMS continues to prioritize technology innovation and strives to offer the most comprehensive point-of-sale solutions in the retail and outpatient pharmacy markets. RMS pioneered the first pharmacy management system integrations and proudly supports integrations with 30+ systems at no additional cost. RMS also created the very first meds-to-beds solution and continues to lead the industry in meds-to-beds technology.

Product Overview

RMS’ holistic approach is comprised of four major components: software, hardware, training, and support. Each component plays an important role. n Software: RMS’ software solutions are comprehensive, scalable, flexible, and easy to use. RMS’ software programs and their 30+ pharmacy system integrations go beyond the basics of what you might expect from a POS system. RMS empowers their users to work with the partners of their choosing and build a system that is tailored to their needs. There are a number of software capabilities built to help pharmacies grow profits and improve customer-centricity. • Meds-to-Beds by RMS: Leverage full transaction processing capabilities at the patients’ bedside. Scan prescriptions and OTC’s, capture electronic signatures, and process payments in real time. •R MS + UPS WorldShip: A fully integrated feature that allows streamlined preparation and processing of mail-order transactions. • WillCall by RMS: Saves time and your wallet by using built-in functionality to batch multiple prescriptions into a single bag. Scan a single barcode at checkout for faster transactions and no forgotten prescriptions. • RMS Delivery: Simplify management of the home delivery process. This essential service is streamlined with easy transaction prep and offline electronic signature capture. •N utriButler by RMS: Integrates supplement recommendations based on drug-induced nutrient depletions right into the transaction, making it easy to help improve patient outcomes and increase supplement sales.

• Centralized Management & Multi-Store: Enterprise-level, multilocation software can link any number of locations together for centralized management of products, customers, employees, and more. •P ayment Solutions: Flexible payment processing solutions include FSA, NFC, standard end-to-end encryption, as well as tokenization for compliant card-not-present transactions. Validated point-to-point encrypted solutions are also available. •C ustomer Loyalty: A fully integrated module that aids in strengthening customer relationships, including advanced promotion and rewards options that you can customize to suit your needs. Easily support charitable giving through any RMS’ system, strengthening your ties with the community you serve. • Inventory Management: For pharmacies managing retail departments, these solutions open the door for advanced management of front-end products. Wholesaler interfaces allow automated price updates and a streamlined purchasing and receiving process. Integrated shelf labels keep your shelf prices and system prices in sync. Advanced product reporting can help you reduce overhead costs by identifying products that aren’t selling, enabling you to take a more agile approach to the products you carry and make the most of your retail space. A host of additional reports, both canned and customizable, are also available; from cash management to employee performance, A/R balances, and more. RMS systems give you the data you need to drive important decisions and run a more profitable and efficient pharmacy. n Hardware: RMS’ flexible hardware options mean that there’s a solution for every scenario. Transactions can be processed in many different ways to meet the unique needs of your pharmacy. Whether you need standard retail lanes, an option for drive-thru payments and signatures, meds-tobeds hardware, curbside pickup solutions, or an easy way to track home deliveries, you can mix and match to create the perfect modern technology scheme. RMS works with your IT team to ensure the right infrastructure is in place to support your pharmacy and organization. n Training: RMS’ training programs are tailored to the needs of your pharmacy. In addition to product training and expert implementation, customers can choose one of our outcome-focused approaches. RMS Boost focuses on ways to make your pharmacy more profitable, and the RMS Care training program puts an emphasis on customer-centricity. If you’re not sure where you’re at, the RMS CLIMB Checkup will help you evaluate and create a road map to reach your goals. n Support: Every RMS customer has access to their 24/7 support line staffed by a team of U.S.-based technical specialists.

Ordering Information

To learn more about RMS and to schedule a free demo today, please visit www.rm-solutions.com or call (877) 767-1060. WINTER 2023

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

Pharmacyies d u t S Case

Discover the stories, research, and reports from real pharmacies. Visit the library at RXinsider.com

2 0 WAY 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

SUMMER HOSPITAL 2023

WINTER HOSPITAL 2022

UHS

Culturelle®

Simplifi+

UHS Expands Specialty Pharmacy Services to Improve Patient Care

The Role of Probiotics in Healthcare: Past, Present, and Future

Streamline Compounding and Medication Compliance with Simplifi+

AUTHOR: Trellis Rx, a division of CPS SUBJECT: Specialty Pharmacy SUMMARY: Trellis Rx, one of the country’s largest pharmacy and hospital service providers, works with UHS to expand integrated specialty pharmacy care to patients.

AUTHOR: i-Health SUBJECT: Culturelle® Probiotics SUMMARY: Hear from three healthcare professionals as they discuss their experience and research toward the value of probiotics.

AUTHOR: Wolters Kluwer SUBJECT: Compounding & Medication Compliance SUMMARY: Simplifying the complexities by building software that incorporates not only the minimum regulatory standards, but also the deep domain expertise from our industry, to guide completion of standardized workflows and competencies that deliver consistent compliance habits, excellent outcomes, and peace of mind.

READ STUDY

WINTER HOSPITAL 2022

Mobile Infirmary | Infirmary Health

Medacist

Holzer Health System

Mobile Infirmary Pilots Innovative Concentrated Norepinephrine Vials

Defying Drug Diversion

Strategic Partnerships Drive Inpatient and Outpatient Pharmacy Performance

AUTHOR: Leiters SUBJECT: FDA-registered 503B Outsourcing Provider | Concentrated Vials SUMMARY: Mobile Infirmary — Infirmary Health’s flagship hospital’s participation in a workflow study for new concentrated vials.

AUTHOR: Medacist SUBJECT: Drug Diversion SUMMARY: The pharmacy executive, nurse executive, and drug diversion analyst tell how: through insights, challenges within nursing departments, and analytics when managing a drug diversion program.

AUTHOR: CPS SUBJECT: Inpatient and Specialty Pharmacy Management SUMMARY: Over a 20+ year relationship, CPS has consistently driven value for Holzer through initiatives supporting clinical performance, cost savings, and operational expertise.

READ STUDY

WINTER 2023

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

Integrated Temperature Monitoring with i.C3® Information System

Optimize performance and efficiency with powerful, intuitive, secure data

Real-Time Monitoring Intuitive high-level and comprehensive performance data available at a glance.

Enhanced Alarm Capabilities View, acknowledge, and review alarm conditions in real-time.

Advanced Reporting Features Review up to 10 years of historical temperature, alarm, and other performance data on-screen, or via export.

FDA-Recognized Cybersecurity Conformity Tested and passed cybersecurity vulnerability testing aligned with FDA-recognized medical device cybersecurity standards.

Learn More: helmerinc.com/iC3

2 0 WAY 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

Helmer’s i.C3® Advanced Information Center — Powerful, Intuitive, Secure

Integrated intelligent diagnostic information, temperature data, and security features combine to optimize performance and efficiency at the touch of a finger.

General Manager: Matt Barga Sales Leader:

Betsy Cox (800) 743-5637 Address: 14400 Bergen Boulevard Noblesville, IN 46060 Website: www.helmerinc.com Toll-Free Phone:

Company Background Helmer Scientific, now part of Trane Technologies Life Science Solutions, is a U.S.-based manufacturer and worldwide distributor of medical-grade cold storage and laboratory processing equipment. We have over 45 years of experience in providing high-quality temperature-controlled environments, with our products being used in over 125 countries. Precise temperature performance and control are essential to the successful storage of pharmaceuticals, and Helmer cold storage products are designed and developed with these considerations. Product Overview The i.C3® Information Center delivers real-time intelligent diagnostic information and temperature data, while providing security features to keep your inventory safe. Integrated into i.Series® +4°C refrigerators, -30°C freezers, and -80°C ultra-low temperature freezers, the i.C3® Information Center provides a robust suite of features to optimize the worldclass medical-grade refrigeration technology pharmacists have come to expect from Helmer. n Real-Time Monitoring The i.C3® Information Center provides intuitive real-time monitoring at a glance. This includes high-level and comprehensive current and historical performance data.

n Enhanced Alarm Capabilities Users can view, acknowledge, and review alarm conditions in realtime. The event acknowledgement function captures corrective action with the necessary signature, date, and time stamps required for most SOPs. The internal event log can display the 100 most recent events, and provide detailed information about specific events, including: • Alarm Type • Alarm Start/End Date and Time • Minimum/Maximum Temperature Readings for Temperature and Compressor Probes n Advanced Reporting Features The i.C3® offers the ability to review historical temperature, alarm, and other performance data on-screen, or via export. Users can export up to 10 years of historical log data via CSV file or PDF reports. n FDA-Recognized Cybersecurity Conformity The i.C3® Information Center has passed cybersecurity vulnerability testing aligned with OWASP MSTG and in conformity with UL 2900-2-1 connected medical device cybersecurity standards. The UL 2900-2-1 cybersecurity standard for connected medical devices has been officially recognized by the FDA and granted consensus status by ANSI.

Contact Information

Contact a Helmer Scientific sales representative at sales@helmerinc.com.

• Current Temperature • Current Alarm Conditions • Unacknowledged Alarm Conditions • Minimum/Maximum Temperatures • Historical Temperature Data

WINTER 2023

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

Pharmacy consulting designed for optimal growth We help you achieve extraordinary results in all areas of health system pharmacy

Strategic Planning & Implementation

Compliance that Improves Care

Financial Results

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

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

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

Visante consultants bring you expertise in all areas of hospital and health system pharmacy: • Specialty Pharmacy and Prior Authorization Services • Pharmacy Revenue Cycle Optimization • Site of Care Strategy / Infusion Strategy • Home Infusion Therapy Implementation

• 340B Program Performance • Consolidated Service Center Business Planning, Design and Implementation • Employee Health Plan PBM Redesign • Pharmacy Informatics

• Pharmacy Structure and Strategy • Operations/Automation Optimization • Sterile Compounding and Compliance • Analytics Services • Drug Diversion

Transforming healthcare through pharmacy.

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

Visante — High-Performing Pharmacy is Who We Are We’re in the business of advancing pharmacy. Our consultants work with hospitals and health systems combining a wealth of expertise with personalized and comprehensive support to optimize your pharmacy operations and deliver better patient care.

President & CEO: James Jorgenson Founded:

1999 (866) 388-7583 Address: 101 East 5th Street, #2220 St. Paul, MN 55101 Website: www.visanteinc.com Toll-Free Phone:

Company Background

Visante is a specialized consulting firm focused exclusively on helping health systems accelerate strong financial and operational performance through pharmacy. Our team of professionals brings deep, contemporary expertise and innovation to optimizing all aspects of a fully integrated health system pharmacy program, driving significant value quickly. By providing customized solutions to fit the needs of our clients, we deliver sustained financial results through revenue growth, cost savings, and optimal business performance.

Featured Services

n Specialty Pharmacy Services A clearly defined specialty pharmacy strategy can help improve patient care and greatly improve your bottom line. Developing a specialty pharmacy strategy or expanding your existing services can be a complex process, but our team of experts guides you through each phase and delivers lasting ROI. Our specialty pharmacy consulting capabilities include: operational assessment and pro forma models; multi-year business and strategic plans; facility design including workflow and automation options; implementation and project management; accreditation support (URAC/ACHC/CPPA); contract pharmacy strategy, if applicable; wraparound strategy to include consideration for site of care challenges (infusion); and home infusion, DME strategies, and business planning. n 340B Solutions Visante’s independent, external audit support provides transparency to your 340B processes, allowing you to recognize compliance gaps while focusing on new opportunities within the program. Our 340B team offers unique expertise in supporting 340B ESP™ data submission and price restoration analysis. Our services include: internal and external audit support, on-site HRSA audit support, and corrective action plan guidance in the event of HRSA audit findings; gap analysis and targeted recommendations, focusing on long-term strategy in the mixed-use and contract pharmacy space to ensure program optimization; program implementation and development of internal oversight structure and maintenance; and split billing RFP guidance, implementation, and program re-designs.

n Infusion Solutions A comprehensive home infusion pharmacy business plan can help lower total cost of care, maximize patient outcomes and access to quality care, and optimize organizational financial performance. Visante infusion consulting helps with business planning, design, and implementation of comprehensive infusion care strategies using our deep and specialized expertise in all areas, including home infusion therapy, supply chain strategies, and innovative solutions to drug delivery and therapy administration. n Pharmacy Revenue Cycle Sustained financial growth is one of the top challenges for even the most successful organizations in the healthcare industry. Effective pharmacy programs can increase revenue by maximizing existing opportunities, creating new programs and services, and reducing costs. Our team of experts are here to help maximize financial performance within your organization through our mastery of both pharmacy and revenue cycle operations. Our consultants bring a wide range of experience to the table to assist each of our clients in a way that best fits them and their financial goals. n Pharmacy Supply Chain Optimization Supply chain and utilization management are complex and ever-changing functions of a pharmacy enterprise. To find success in these areas, disciplined focus and alignment must be prioritized. Visante’s supply chain experts help hospitals and health systems achieve reliable, safe, and efficient drug supply chain performance while also realizing significant financial returns. n Drug Diversion Our program takes a comprehensive multidisciplinary approach to identify drug diversion risk points in your medication use processes. Minimize risk through assessment of pharmacy operations, informatics, automation, nursing, and perioperative processes to identify and strengthen points of vulnerability. Our drug diversion experts have real-life experience in hospitals and health systems and understand the challenges hospitals face today and in the future. n Sterile and Non-Sterile Compounding Compliance Safely compounded medications are essential to quality patient care. Hospitals face the challenge of optimizing care while also meeting safety requirements and managing cost. We will prepare you for compliance with USP Chapters <795>, <797>, <800>, and <825>. We’ll also assist you in preparing for compounding related inspections by the CMS, FDA, DEA, and Joint Commission/DNV. Our consulting services include: USP <795>, <797>, <800>, and <825> as well as gap assessment and facility design; 503A, 503B assessment, facility design, and implementation support; and home infusion compounding services.

WINTER 2023

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

C ASE S T UDY PRESCRIPTION FOR SAFETY: TECHNOLOGY IS IMPERATIVE TO DETECT AND PREVENT DRUG DIVERSION Sentara and Bluesight Collaborate to Protect Patients, Staff, and the Community INTENDED OUTCOME

The first ‘Sentara Promise’ we make to patients is to always keep you safe. For patients who are prescribed controlled substances, the health system must account for every dose for every patient and prevent diversion of those drugs into the wrong hands. Drug diversion by healthcare workers can lead to patient harm. Sentara Health uses advanced medication intelligence software to detect and prevent drug diversion which protects patient safety.

Catherine Floroff, PharmD Pharmacy Manager ~ Sentara Norfolk General Hospital

“I oversee the diversion responsibilities for my hospital, and my charge is protecting patients and our community,” said Catherine Floroff, PharmD, Pharmacy Manager at Sentara Norfolk General Hospital, and lead for Sentara’s drug diversion program. Sentara’s initial success with ControlCheck in nursing care areas in 2019 led Sentra Norfolk General Hospital (SNGH) to add the pharmacy module in 2022, expanding their use of the solution within the hospital. After SNGH saw initial success post-implementation, the rest of Sentara Health adopted the pharmacy module across all 12 hospitals in June 2023. Specifically, Sentara’s leadership wanted complete visibility of all controlled substance transactions throughout the health system. They wanted to focus a spotlight wherever a risk of diversion was identified. “It comes down to knowing when, where, and why one employee is administering more narcotics than another,” said Floroff. “We want a trusted drug monitoring system to answer those questions.”

CASE STUDY SUBJECT

Sentara Health is an integrated, not-for-profit healthcare delivery system with 30,000 employees and 12 hospitals in Virginia and Northeastern North Carolina, serving patients across the Mid-Atlantic and Southeastern states. The health system is nationally known for its clinical quality and focus on safety. The health system pursues a disciplined strategy to achieve top 10% performance in key measures across the system. Central to that success is Sentara’s pharmacy services, which helps improve patient outcomes. The Sentara Norfolk General Hospital pharmacy department employs 55 clinical pharmacists and 45 pharmacy technicians. Pharmacy services houses the drug diversion program to protect the pharmacy supply chain across the system, reducing risk and protecting patients. Floroff has overseen Sentara’s drug diversion detection and prevention program for four years with interdisciplinary support from a variety of departments including executive leaders, nursing, anesthesia, security, and HR.

bluesight.com

Representing pharmacy services, Floroff meets quarterly with stakeholders from Sentara Norfolk General Hospital’s executive leadership, nursing administration, security, human resources, and facilities. During these meetings, she updates the multidisciplinary

CAS E S TU DY team on the status of the diversion program and reviews recent diversion cases and policies that need updates to strengthen the diversion prevention program. In 2019, Sentara Health implemented a diversion monitoring software solution from Bluesight for its nursing and OR patient care areas. Based on the software’s success and user satisfaction, Sentara’s leadership opted to expand ControlCheck into pharmacy in 2022. By expanding into pharmacy, Sentara could now have complete accountability for the movement of controlled substances from purchase to receipt into inventory and from dispense to the medication’s final disposition. In addition, the software provides reconciliation tools to close the loop when a discrepancy is identified. This case study details the decision by Sentara to expand drug diversion technology into pharmacies across their vast health system. This analysis profiles Floroff, who provided insight into Sentara’s diversion prevention program and the technology chosen to enhance controlled substance accountability.

THE CHALLENGES OF DRUG DIVERSION

“The threat of drug diversion always exists,” said Floroff. “You don’t know what is going on within the four walls of a room until you do. I am responsible for ensuring all rooms are diversion-free and that no narcotics get out onto the street.” Prior to implementing diversion prevention technology, unless a nursing leader brought forth a concern, uncovering medication misuse proved difficult because of the manual processes involved. Floroff had been a part of an investigation in which an employee was suspected of misappropriating drugs for their own use. However, the manual processes involved in evaluating medication transaction data were slow, inefficient, and not thorough or evidence based. An improvement was needed. “Diversion is a serious problem in the U.S. and more so in the last four years. Hospitals are still facing staff shortages and burnout. Onboarding and workflows require a faster pace,” said Floroff. “All these factors can lead to diversion. You need sufficient time to assess risk, or you might miss a link in the chain of custody. My constant worry is that medications can get into the wrong hands.”

ANALYSIS OF THE EXPANSION OF BLUESIGHT’S MEDICATION INTELLIGENCE SYSTEM ACROSS SENTARA HEALTH Sentara’s leadership wanted a comprehensive approach to managing diversion across its health system. The expansion of diversion software into the pharmacy aligned with their goals for systemwide standardization, integration, and emphasis on monitoring and reporting.

Floroff and her team assessed drug diversion technology vendors in 2019. Bluesight rose to the top based on its proven ability to identify risks, increase safety, improve workflows, and provide solid evidence-based reporting and analytics. The team also reviewed technology must-haves that addressed specific requirements related to Sentara, such as the need to: • Offer an integrated approach to other systems with nursing and pharmacy modules. • Provide opportunities for the anesthesia department. • Track formularies across 12 hospitals. • Customize dashboards and reports for leadership. • Provide strong customer support. Ultimately Bluesight’s ControlCheck was chosen as the drug diversion prevention software in 2019 and remains the solution of record today because of its proven capabilities and consistent outcomes. ControlCheck met Sentara’s need for a multi-pronged approach to preventing drug diversion. The software solution provides comprehensive audit coverage of nearly 100% of controlled substances across pharmacy, nursing, OR, procedural, and perioperative environments. bluesight.com 37

CAS E S TU DY

“

We didn’t want a plug-and-play approach, but rather a holistic, source-oftruth solution. We have more control with Bluesight and its integrations with Epic and Omnicell. We’re putting everything together and closing the loop with a wider net.” Catherine Floroff, PharmD Pharmacy Manager ~ Sentara Norfolk General Hospital

“Bluesight was always one step ahead. Technology allowed us to address vulnerabilities. Bluesight and ControlCheck had successfully delivered for leadership, which led us to select and onboard more of their products,” said Floroff. Bluesight harnesses the power of the latest drug diversion advancements with scalable riskreduction solutions for Sentara. Specifically, Bluesight provides unmatched technology and tools, resulting in the following advantages.

INCREASED PATIENT SAFETY

“I position myself as a family member. I would never want an impaired hospital employee treating my loved one,” said Floroff. “My responsibility is to keep patients safe every day, so we want the best surveillance and monitoring to detect misuse and prevent harm to our patients.” ControlCheck traces every drug dispensed through the corresponding administration, waste, and return to ensure the full dose is accounted for across all documentation systems, care providers, and handoffs. If there is a discrepancy in the math across these transactions, ControlCheck identifies it and provides reconciliation tools to close the loop. “In one facility, it takes 12 minutes to walk from the pharmacy to the ICU. These are the times and spaces where drug diversion can occur. That’s what I think about, day and night, and that’s why we needed advanced technology,” said Floroff.

ENHANCED STANDARDIZATION THROUGH SCALABILITY

“We didn’t want a plug-and-play approach, but rather a holistic, source-of-truth solution,” said Floroff. “We have more control with Bluesight and its integrations with Epic and Omnicell. We’re putting everything together and closing the loop with a wider net.” Bluesight pulls in data from automated dispensing cabinets and electronic medical records to provide controlled substance accountability and maintain uniform documentation practices and procedures across the entire health system. The solution proactively identifies users from high to low risk of diversion. Benchmarking reports identify patterns in medication documentation, allowing Sentara to standardize medication use and improve documentation in every corner of the healthcare facility.

IMPROVED PROCESSES

Drug diversion is complex, but the ControlCheck system is not. “I can access or switch from nursing to pharmacy modules from the same application,” Floroff said. “What I see is what I need to see. I don’t have to worry if I’m missing anything. It’s easy to filter data and add comments.” ControlCheck allows users to audit all controlled substance administrations and ensure bestpractice documentation across multiple and diverse clinical care areas. In the pharmacy module, the solution reconciles purchases of controlled substances from the wholesaler with electronic vault data to close the loop and identify if a purchase was not received into inventory. The wholesaler data is now delivered through an electronic data interchange (EDI) as shipments are delivered to the pharmacy. Before the EDI integration, 75% of variances were auto closed by ControlCheck. After the EDI integration, 97% are auto closed. “We have less manual auditing and improved medication mapping with the pharmacy module,” said Floroff.

ACCURATE RECONCILIATION AND TIME SAVINGS

bluesight.com

“The government requires a reconciliation record from when the facility receives and administers a drug. We can’t have any variation or medications missing,” said Floroff. “When we had

CAS E S TU DY

“

to conduct a manual reconciliation, there were lots of moving parts, which wasn’t efficient.”

The system-wide approach to drug diversion was vital to our constant focus on patient safety. The investment to expand with ControlCheck saves time, resources, and money. This initiative also resulted in greater cross-departmental collaboration to prevent diversion.” Catherine Floroff, PharmD Pharmacy Manager ~ Sentara Norfolk General Hospital

During the COVID-19 pandemic, ordering patterns changed, as did those who did the ordering and administering. The solution addresses these changes and catches discrepancies. Before leveraging the pharmacy module, reconciling controlled substance purchases took at least eight hours a month, adding to staff burnout. Thanks to ControlCheck’s pharmacy module, Sentara has shifted that time to patient care activities while still meeting all the requirements from the Board of Pharmacy and DEA. “The automatic medication mapping is a considerable time saver,” said Floroff. “After leveraging the pharmacy module, it now takes less than an hour a month.”

ANALYTICS AND REPORTING

Satisfying leadership entails having data from multiple sites in one place and a report with visuals that are easy to read. Bluesight provides this and more by continuously gathering and analyzing data on drug diversion trends, which allows Sentara to adapt strategies and policies effectively. The expansion of ControlCheck into the pharmacy has increased visibility for hospital leaders to know the status of purchasing, dispensing, and administering controlled substances in nearly real time. In addition, the technology identifies user behaviors that deviate from the norm, allowing prompt and appropriate intervention. “If the Department of Health Professions or the Boards of Nursing or Pharmacy require data, we can now provide it in a timely, easily interpreted manner, eliminating back-and-forth requests,” said Floroff. Accurate data is essential to prove diversion. ControlCheck uses sophisticated artificial intelligence algorithms to provide actionable analytics from multiple data streams. Some of these analytics include waste patterns, action times, and user mobility. Unusual patterns identified in these analytics could be indicative of diversion.

RESULTS

“The system-wide approach to drug diversion was vital to our constant focus on patient safety,” said Floroff. “The investment to expand with ControlCheck saves time, resources, and money. This initiative also resulted in greater cross-departmental collaboration to prevent diversion.” Sentara takes a multi-faceted approach to stop drug diversion, and its medication intelligence strategy has proven vital to leadership’s plan. The sophisticated algorithms and analytics deliver trusted answers, informing Floroff and the team when there is more to know. “We can rely on the accuracy of the data from ControlCheck to inform diversion cases. The analytics from multiple sources open our eyes and provide a 360-degree view of all our medications,” said Floroff.

CONCLUSIONS

The key takeaway is that Floroff and her team received buy-in from leadership to expand diversion software into the pharmacy because they understood the growing problem of drug diversion. They implemented technology to stop it in its tracks. Whether it is one hospital or a major health system, both require a proactive approach to drug diversion. Staying reactive can harm patients and reputations. ControlCheck provides advanced technology that takes diversion prevention to a new level while increasing efficiency for those who use it. “If you don’t uncover drug diversion, you’re doing something wrong,” said Floroff.

bluesight.com 39

EXPLORE OUR CAPABILITIES REAL SOLUTIONS, RIGHT AWAY Achieve measurable results with products designed to your exact specifi cations. The skilled technicians in our central Ohio facilities can convert your ideas into reality and won’t stop until you’re satisfi ed. Best of all, we deliver those made-to-order solutions in fi ve working days or less. Contact us for a no-obligation, no-cost digital proof today!

Health Care Logistics®, Inc. 2023

HCL® BY DESIGN

RETAIL PHARMACY

CABINETS

PLASTICS

METALS

GoHCL.com • 1.800.848.1633

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

Health Care Logistics® By Design — Real Solutions, Right Away Customers achieve measurable results with high-quality cabinets and storage containers, functional equipment, and full-color graphics designed to their exact specifications.

President & CEO: Gary Sharpe Founded:

1978 (800) 848-1633 Phone: (740) 477-3755 Address: P.O. Box 25 Circleville, OH 43113 Website: GoHCL.com Toll-Free Phone:

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

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

Ordering Information

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

WINTER 2023

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

The Most Innovative Tamper-Evident Seals In Hospital Pharmacy Today 28mm

20mm

IV Bag Port Seals

Syringe Seals

Vial Seals 13mm

Belly Button Bag Seal

• Sterile & Paper Free (USP 797 Compliant). • Maintains a 100% sterile barrier* with 3X greater adhesion. *Tested in Nelson Labs, Salt Lake City, UT • 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).

VIEW TRAINING VIDEOS HERE

• Patented dual-layer indicates true tamper-evidence with “OPENED” marking. Made in the USA

steri-tamp.com Visit Our Website to Request Samples

2 0 WAY 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 provides and maintains a 100% sterile barrier. National Sales Manager: Alex Meadow Phone:

(516) 374-8862

Address: 2905 South Congress Avenue, Suite A Website: Email:

Delray Beach, FL 33445 steri-tamp.com info@steri-tamp.com

Company Background

Established in 2010, Allied Pharmacy Products, Inc. was created from a commitment to enhance the preparation and distribution of intravenous medication within hospital pharmacies and compounding environments. The development of Steri-Tamp® stems from the insights of a pharmacist who recognized the imperative for improved tamper-evident measures and sterility in IV preparation. Throughout our journey, Allied Pharmacy Products, Inc. has remained dedicated to listening and responding to the needs of pharmacists. This ongoing responsiveness has been instrumental in our continuous product line expansion.

Product Overview

The Steri-Tamp® product line features seven cutting-edge tamperevident seals. Our IV bag port seals come in blue, red, and yellow (labeled CHEMO) variants. For vial seals, we offer options in 13 mm (red), 20 mm (silver), and 28 mm (blue). Among these, our belly button bag seals (green) stand out for their ability to adhere to both the ICU medical “belly button” bag port and the top of a 13 mm vial. Steri-Tamp® has introduced specialized IV bag port seals tailored to meet the labeling requirements of USP 800 and ISMP. These seals offer a streamlined solution for handling paralytic agents and hazardous drugs in a unified workflow. What sets Steri-Tamp seals apart is their true tamper-evident design. Utilizing dual-layer technology, these seals serve as a clear indicator to hospital staff if a bag or vial has been tampered with or used. Removing the top foil layer reveals an “opened” layer, after which it cannot be reapplied. Thanks to a 3X stronger adhesive, Steri-Tamp ensures a 100% sterile barrier. In addition to our sterile options, we also offer two non-sterile syringe seals. These seals boast increased tensile strength, making them easy to remove from the liner and apply to a wide range of containers, including syringes, inhalers, EpiPens, insulin pens, and more. Our latest innovation, the Tamper-Clear Syringe Seal®, enables visibility of syringe markings and barcode scanning on syringes, inhalers, insulin pens, and other related items.

Features & Options

n Steri-Tamp® IV Bag Port Seals: • Deliver a foolproof and potentially life-saving method to ascertain medication dispensing.

• Safeguard the IV admixture bag’s point of entry from contamination and accidental double dosing.

• Securely attach to the port through a simple “twist” mechanism, ensuring an airtight seal.

• The green belly button bag seal is purpose-built for the unique

“belly button” port on ICU medical bags and can also be used on 13 mm vial tops.

n Steri-Tamp® Vial Seals: • Designed to lie flat on the vial top, effectively preventing bacteria from entering the vial, without overlapping the edges.

• Preserve the medication’s integrity. • Specially sized for 28 mm, 20 mm, and 13 mm vial tops, ensuring the right seal for the corresponding vial size.

n Steri-Tamp® Syringe Seals: • Offer non-sterile solutions to provide tamper-evidence for syringes and other medical containers.

• The innovative Tamper-Clear Syringe Seal® provides clear visibility to the syringe barrel and facilitates barcode scanning, making it ideal for sealing small oral, pediatric, and NICU syringes.

n Available in rolls of 1,000 seals each. n All our seals contribute to reducing waste, streamlining workflow, and ultimately saving you time and money.

Testimonials

“ Tamper-Clear works great! Helps prevent the caps falling off the syringes.” — Lead Pharmacy Technician, Colorado Springs, CO

“ T hey’re the best seals we use. It’s a must have!” — Pharmacy Purchasing Specialist, Orangeburg, SC

“ Love the syringe seals. Able to remove them without them breaking beforehand. It really is a higher quality seal!” –– Pharmacy Tech/Purchasing Lead, Houston, TX

Additional Product Lines

Stay tuned for exciting updates to our products set to launch in 2024!

Trade Shows/Meetings Attended

ASHP Midyear, EAHP, NPPA Conference, and various ASHP state affiliate pharmacy conferences.

Ordering Information

Available through major wholesalers and distributors. Visit our “order info” page at steri-tamp.com to find Steri-Tamp® order numbers for your preferred vendor. WINTER 2023

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

5 0 3 B O U T S O U R C I N G FA C I L I T I E S & S E R V I C E S Q & A

Q&A

Barb Knightly, PharmD, RPh

VP Regulatory Affairs & Pharmacy Operations for Leiters Health

Q. What are the regulatory differences between an

outsourcing facility (503B) and how does it differ from a hospital pharmacy (503A)?

The Drug Quality and Security Act (DQSA) was signed into law in 2013, creating Section 503B, following a meningitis outbreak caused by contaminated mass-produced compounded medications. Regulations required of 503B outsourcing facilities are much more rigorous as compared to 503A pharmacies. n 503A Pharmacies • Dispense medications pursuant to a prescription. • Must comply with USP <797> when performing sterile compounding and <USP 800> when utilizing hazardous medications. • Licensed and inspected by state boards of pharmacy.

n 503B Outsourcing Facilities • Operate on a much larger scale by producing large batches of medications. • Must adhere to current Good Manufacturing Practices (cGMP) requirements (21 CFR Parts 210/211) (the same as drug manufacturers and much more rigorous than 503A requirements). • Registered and inspected by FDA. FDA has published many guidance documents and are holding 503B registrants accountable to cGMP requirements to ensure the health and safety of patients who are prescribed medications in a hospital setting receiving medications from an outsourcing facility. Additionally, health system pharmacies that undertake 503B activities are also becoming acclimated to FDA requirements requiring cGMP compliance.

Q. What are the USP (United States Pharmacopeia) requirements for compounding sterile products (CSPs)and when will they become effective?

The USP, founded in 1820, is a regulatory authority that establishes legally enforceable standards applying to medications prepared for patients. Health system pharmacies must abide by USP <797> and USP <800> for compounded medications intended to be sterile. USP <797> provides guidelines to reduce the contamination risk for compounded sterile preparations (CSPs). It is currently effective, however the version updated in 2019 will become enforceable in November 2023.

WINTER 2023

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

USP <800> provides guidelines for the safe handling of hazardous drugs to minimize occupational exposure risks to health care workers. Many states have opted to delay enforcement until the new version of USP <797> is effective.

Q. What are the key changes to USP <797>

and what are the challenges for hospital-based pharmacies in meeting these requirements?

Evolving regulatory oversight is making it more difficult and more costly to safely and effectively compound drugs in-house. Some of the key changes in USP <797>, effective November 2023, are as follows: • Any person entering a sterile compounding area, whether preparing a CSP or not, must meet the requirements. • Designated person(s) must be assigned to be responsible and accountable for facility operation and personnel preparing CSPs. • CSP Categories 1, 2, and 3 replace previous risk levels of low, medium, and high. • Garbing competency requires three successful gloved fingertip (GFT) samples in succession. • Media fill with post-GFT + surface sampling must be performed every six months (or every three months for Category 3). • GFT: incubate at 30-35˚C for no less than 48 hours and then 20-25˚C for no less than five additional days. • Media-fill: incubate at 20-25˚C and 30-35˚C for a minimum of seven days each (SOP defined order). • ISO 8: > 20 ACPH (air changes per hour). • Humidity: 60% or below. • Cleaning agents used within the PEC (primary engineer control) must be sterile. • Beyond Use Dating (BUD) maximum: 10 days refrigerated (unless additional testing performed to be Category 3). Some of the challenges hospital pharmacies are facing are physical facility limitations including renovations to HVAC systems, cost of required upgrades, and limitations within the facility for additional space necessary. Should a pharmacy choose to compound Category 3 medications to extend BUD, the following are additionally required: • Increase use of sporicidal disinfectants. • Increase in environmental monitoring.

Q. What medications are often outsourced to a

503B from hospital pharmacies?

Hospitals rely on outsourcing facilities to provide a variety of compounded medications, such as in the categories of pain management, anesthesiology/operating room, ophthalmic, antibiotics, and labor and delivery. Some of the most requested compounded medications include: Bupivacaine, Ephedrine, Epinephrine, Fentanyl, Morphine, Neostigmine, Norepinephrine, Oxytocin, Phenylephrine, Ropivacaine, Succinylcholine, and Vancomycin. Aside from these drugs, many hospital pharmacies may require other compounded medications when manufacturers of the comparable FDA-approved drug are unable to supply the market due to drug shortages. Inconsistent medication supply due to product recalls, drug shortages, and other drug supply chain disruptions, combined with the lack of visibility into drug supply and usage, create headaches for pharmacists and technicians, who waste valuable time hunting for new sources and changing suppliers, which also increases demands on other staff.

Q. Why can’t a 503B help as soon as a drug goes on shortage?

It can, but only if it has already developed the shortage drug as a compounded drug, which takes extensive time and money and which may or may not make sense if a drug is not yet on the FDA’s shortage list. The outsourcing facility must follow the process of the Drug Quality and Security Act, as well as guidance from the FDA, to commercializing a drug that complies with current Good Manufacturing Practice (cGMP). To fulfill these requirements, it usually costs approximately $160K and takes about six months to conduct the appropriate validation and stability studies before a 503B can bring a compounded drug to market with a reasonable expiry date. There is a risk the 503B assumes when investing the money and time to develop a drug that may only be on drug shortage for a short period of time (or may never go on shortage in the first place).

Q. What are some advantages to hospital pharmacies as a result of working with outsourcing facilities to provide medications?

Some advantages include a longer BUD as compared to USP <797>, as well as the assurance of a high-quality, reliable product due to the 503B employing repeatable, validated cGMP aseptic processes. The medications outsourcing facilities typically compound are provided in ready-to-use containers, with no additional compounding required by the hospital pharmacy or the clinician on the floor. These medications have been tested prior to distribution to ensure accuracy and reduce the risk of hospital-related compounding errors. Lack of standardization and inefficient in-house compounding can create waste, impact supply, and increase costs to health systems. A longer BUD reduces medication waste, which is critical during times of drug shortage. Additionally, pharmacists and technicians will spend less time compounding and more time participating in patient care activities. Staff shortages are currently at an all-time high and are exacerbated by allocating pharmacy staff to devote to compounding preparations.

Q. How do health-system pharmacies find a reliable 503B facility?

It is important for hospital pharmacies to know that not all 503Bs are equal when it comes to supply, quality and compliance, partnership, service, and innovation. A 503B organization with an experienced and trusted team of sterile manufacturing and pharmacy experts can be counted on to develop, compound/repackage, and deliver the high-quality, ready-to-use sterile products that health systems need. Be sure to engage 503B providers who are in good standing with state and federal regulatory agencies, such as FDA and state boards of pharmacy. It may be prudent to partner with several providers to meet the individual needs of health systems.

5 0 3 B O U T S O U R C I N G FA C I L I T I E S & S E R V I C E S Q & A

• Use of all sterile garb. • Stability determination. • Increased personnel qualification.

Q. Why do 503B have to allocate drugs to us when drugs go on shortage. Can’t they just make more?

The simple answer is yes, they can produce more. However, in addition to the up-front investment of time and money to develop the compounded drug for a shortage scenario in the first place, there is a lot of work that must happen first to be compliant with 21CFR Parts 210/211, and there are only so many production slots available per week. As an example, if you want to increase a batch size to produce more units, all the documents associated with that batch change must be edited, reviewed, and approved before they can be deployed. Also, the supply chain department must acquire additional supplies to accommodate the larger batch size, and these new supplies need to be on site prior to the production run is made. This usually takes four to six weeks. This is why a 503B may ask you for a standing order, so the production and batch size are correct in the first place to appropriately supply the needs of each facility. When a drug shortage does occur, it does take the 503B the four to six weeks to be able to adjust to help supply additional product into the marketplace.

BIOGRAPHY Barb Knightly, PharmD, RPh

VP Regulatory Affairs & Pharmacy Operations for Leiters Health

arb Knightly, PharmD, RPh has over 25 years of pharmacy B regulatory leadership experience, including sterile compounding, for both 503A pharmacies as well as FDA-registered 503B outsourcing facilities. Knightly completed her BS in pharmacy from Philadelphia College of Pharmacy and Science and received her doctor of pharmacy from the University of Kansas.

WINTER 2023

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

5 0 3 B O U T S O U R C I N G FA C I L I T I E S & S E R V I C E S B u y e r ' s G u i d e

503B OUTSOURCING FACILITIES & SERVICES Buyer’s Guide

13796 Compark Boulevard Englewood, CO 80112 (800) 292-6772 | leiters.com

14135 East 42nd Avenue, Unit 50 Denver, CO 80239 (833) 397-0106 | staqpharma.com

2512 South City Lake Road Fayetteville, AR 72701 (479) 313-8200 | Ourpharma.net

O T H E R O U T S O U R C I N G FA C I L I T I E S & S E R V I C E S Fagron Sterile Services 8710 East 34th Street North Wichita, KS 67226 (316) 247-6467 fagronsterile.com

WINTER 2023

King Guide Publications, Inc. P.O. Box 10317 Napa, CA 94581 (707) 257-7573 Kingguide.com

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

LDT Health Solutions 38 Cedar Place Wayne, NJ 07470 (201) 738-9125 Ldtrx.com

Medivant Healthcare 158 South Kyrene Road Chandler, AZ 85226 (888) 201-0688 Medivanthealth.com

Olympia Compounding Pharmacy 6700 Conroy Road, Suite 140 Orlando, FL 32835 (407) 673-2222 Olympiapharmacy.com

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

RXinsider.com

FDA Registered | Iso Certified

Your partner in pharmacy compliance since 1992 USP <797> USP <71> USP <800> Left: GM7030 PATT2®, Personal Aseptic Technique test kit, 3mL ampules, 20mL vials, 100mL partially filled minibag. Below: ET1000 EnviroTest® TSA with Lecithin & Tween 80 growth media paddles for surface, air, or glove fingertip sampling.

Media Fill Hazardous Drug Handling Validation Surface and Fingertip Testing Sterility Testing Qimedical.com

info@qimedical.com

Tel. 800.837.8361

2 0 WAY 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 (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 Toll-Free Phone:

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

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

Ordering Information

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

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

WINTER 2023

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

2 0 WAY 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

Capital Inventory, Inc. — The Premier Leader in Pharmacy Inventory Services Our decades of expertise, working exclusively with pharmacies, makes us uniquely qualified to provide accurate and dependable inventory valuations through a streamlined process. Our clients can trust that we will be transparent, supportive, and reliable in every interaction.

Founder:

William Straub Sr. President: Shannon McArthur 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 1970s in Alexandria, Virginia. The company relocated to Georgia in the early 1980s and serves the entire nation, including Alaska, Guam, Hawaii, Puerto Rico, and the U.S. Virgin Islands from its office in the Atlanta, GA area. Capital Inventory, Inc. has been in business for over 43 years, providing inventory services to thousands of hospitals, university medical centers, regional medical centers, and health systems. Capital Inventory exclusively services hospital, outpatient, specialty, and infusion pharmacies. Our expert on-site inventory teams conduct pharmacy inventories daily and are employed 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, and HIPAA regulations. You can be confident and secure as all of Capital Inventory’s employees undergo a thorough background check including felony, misdemeanor, and sex offender. Our employees are 12-panel drug tested regularly and at a minimum of twice a year. Third-party specialty companies conduct all testing. Additionally, our 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 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.

Benefits

n Expertise: Our expert inventory teams consist of inventory specialists who speak ‘NDC’ fluently and are accustomed to working with finance and/or external auditors for validation. Our processes are streamlined for minimal interruption to the pharmacy staff and operations. n Analysis: Our expert analysis team of data specialists average over 15 years of experience, working in pharmacies and with pharmacy ADM data. All client data is analyzed and adjusted as needed to ensure the most accurate representation and valuation of your inventory. n Reporting: Final inventory data is provided in a clear, concise format across multiple mediums, all designed for maximum inventory management. Our secure online client portal allows you to access, view your data, and create customized reports and graphs. n Client Care: We provide friendly and personal experiences with highly knowledgeable and professional customer service-oriented personnel. Our pharmacies can trust that Capital Inventory will be transparent, supportive, and reliable every step of the way.

Why choose Capital Inventory for your inventory needs? • Pharmacies are our natural environment. Our expert on-site inventory teams specialize in conducting pharmacy inventories only and within a few hours. • Our on-site inventory teams work seamlessly around your pharmacy staff ensuring that the “snapshot” is a true and accurate representation of the inventory on-hand. • Eliminate the need for overtime, or coordination of staffing, to accommodate the inventory process with minimal interruption to the pharmacy staff and operations. • Our inventory specialists have the expertise and knowledge to work with finance and/or external audit firms to validate the inventory. • Our expert data processing team collaborates with the pharmacy to provide an accurate report in a timely manner. • Receive expert valuation and pricing of the inventory by an independent party.

GPO Affiliations

Premier, The Resource Group, HealthTrust

More Information

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

WINTER 2023

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

CAS E S TU DY CHRISTUS HEALTH EXPANDS USE OF INNOVATIVE RFID PHARMACY TECH Partners with AmerisourceBergen to automate and standardize pharmacy inventory management across enterprise. INTRODUCTION AND INTENDED OUTCOME Hospital pharmacists have incredibly challenging jobs. Focused on patient care, these dedicated healthcare professionals work fiercely to ensure the safe, effective use and distribution of medications, with their decisions impacting entire hospital ecosystems. Justin Simon, PharmD, MBA System Director, Pharmacy Network Operations ~ Division of Clinical Excellence, CHRISTUS Health

Cha Yang Director, Corporate Pharmacy Services ~ CHRISTUS Health

Unfortunately, nationwide healthcare workforce challenges are straining hospital pharmacies which are seeing shortages in entry-level pharmacy technicians, managers, and even front-line pharmacists.1 With labor at a premium, nearly 90% of highly trained pharmacists are now asked to take on the inventory management responsibilities usually performed by technicians,2 thus diluting their focus on patient care. Burnout — which can lead to medical errors, reduction in productivity, and increased job turnover — is a major problem, with a 2022 survey3 showing 60% of U.S. hospitals reporting shortages of frontline pharmacists and nearly 84% working to prevent and mitigate this operationally debilitating issue. Leading health systems are looking to technology to do more with less, helping pharmacists operate at the top of their license. CHRISTUS Health has long been committed to innovation and was an early adopter of next-generation Radio Frequency Identification (RFID) technology.

CHALLENGE An international, not-for-profit health system made up of more than 600 community hospitals, urgent care centers, and physician clinics, CHRISTUS Health employs nearly 50,000 associates and over 15,000 physicians. The organization is dedicated to elevating the health of the patients they serve — and willing to make investments that enable their staff to focus on that purpose. CHRISTUS Health decided to invest in RFID as a potential labor-saving pharmacy inventory management solution, choosing a commonly used technology vendor.

www.amerisourcebergen.com

CAS E S TU DY

“

AmerisourceBergen’s medication tray solution is a little more straight forward than [our previous system]. The techs like the system and its simplicity; it's self-explanatory.” Pharmacy Technician ~ CHRISTUS Health – Shoreline

“We needed a way to achieve maximum pharmacy safety for our patients while at the same time reducing the inventory management burden on our pharmacists so they could focus on essential, patient-facing activities,” said System Director of the Pharmacy Network Operations Division of Clinical Excellence at CHRISTUS Health, Justin Simon, PharmD, MBA. In theory, RFID inventory management technology would enable CHRISTUS Health pharmacists to optimize their medicine inventory in real time, increasing efficiency and decreasing costly mistakes. In practice, however, they discovered that pharmacy staff were still required to tag medications themselves with RFID labels, negating any added efficiency in their inventory management system. Hiring third party re-packagers to offset the pharmacy labor was deemed not viable due to cost, complexity, and delivery delays that require pharmacies to keep higher inventory on hand. After utilizing the RFID inventory management technology in nine hospitals, CHRISTUS Health stopped expansion to additional sites, reporting that the labor to tag medications offset the benefits of the system. This left the remaining CHRISTUS Health hospitals reliant on labor-intensive, error-prone processes for managing kits and trays.

SOLUTION

As new solutions came to market, CHRISTUS Health looked to move on from their previous technology vendor, choosing to convert to AmerisourceBergen’s medication tray solution and improve their pharmacy workflow with a cutting-edge RFID inventory management system and pre-tagging services. With the medication tray solution from AmerisourceBergen, products come pre-tagged, significantly reducing the need for pharmacy staff to manually tag medications. Ordering RFID-enabled products is simple and convenient in AmerisourceBergen’s ABC Order e-commerce platform. Fully complying with RAIN RFID industry standards, these pretagged medicines arrive within just two to three business days.

Customer feedback drove AmerisourceBergen to reimagine and simplify inventory management for kits and trays. Unlike traditional RFID shielding boxes that take up valuable pharmacy space, the system is comprised of a compact touchscreen kiosk, mini laser printer, and portable handheld scanner for easy scanning, regardless of item size. www.amerisourcebergen.com

CAS E S TU DY AmerisourceBergen has brought leading RAIN RFID-enabled inventory management solutions to the market for over a decade, with thousands of connected devices globally offering compliance rigor from cold chain to ambient pharmaceutical supply chain tracking.

Scan to learn more or request a demo.

Demonstrating AmerisourceBergen’s commitment to interoperability, the medication tray solution is tag-agnostic, recognizing RFID tags from other technology vendors conforming to the RAIN standard. This allows CHRISTUS Health and other customers unlimited access to pre-tagged medications from manufacturers or 503B vendors. In addition, it allowed CHRISTUS Health to utilize their inventory of self-tagged items from their previous technology system, eliminating the logistical nightmare of locating and collecting previously tagged medicines from multiple locations for re-tagging.

OUTCOME AmerisourceBergen’s medication tray solution provided CHRISTUS Health with a combination of product distribution capabilities and RFID technology expertise to enable pharmacy staff to save valuable time and focus on higher value tasks, eliminating the tagging labor historically associated with conventional kit and tray management systems. Building on their initial innovation, the medication tray solution team also incorporated feedback from the CHRISTUS Health team to deliver numerous system enhancements. “The Med Tray team has made it a priority to partner with CHRISTUS Health sites. They have taken all feedback seriously, often building enhancements,” said Director of Corporate Pharmacy Services at CHRISTUS Health, Cha Yang, adding, “Overall I’m very pleased with the AB Med Tray team for their professionalism and willingness to listen. Their demos of enhancements have also been very useful and well-received by the CHRISTUS Health users.” Ultimately, the elimination of manual RFID tagging drove CHRISTUS Health to expand their use of the inventory management from nine to 22 hospitals. Standardizing the medication tray solution across their health system minimized the opportunity for error that accompanies variation in medication management. Automating previously manual processes across multiple locations drove increased accuracy and efficiency, reduced the cost and risk of expired medications, and freed up valuable pharmacy resources for highvalue activities.

References 1

www.amerisourcebergen.com

American Society of Health-System Pharmacists. Health Systems Support Efforts to Prevent Burnout Among Pharmacy Staff. 19 April 2023. Accessed 3 October 2023. Available online at: news.ashp.org/news/ashp-news/2023/05/02/health-systems-support-efforts-to-prevent-burnoutamong-pharmacy-staff

American Society of Health-System Pharmacists. Pharmacy Technician Shortage Survey Findings Executive Summary. March 2022. Accessed 3 October 2023. Available online at: www.ashp.org/-/media/assets/pharmacy-technician/docs/Technician-Shortage-Survey-Exec-Summary.pdf

American Society of Health-System Pharmacists. National survey of pharmacy leaders shows progress towards practice advancement goals. 18 April 2023. Accessed 3 October 2023. Available online at: news.ashp.org/News/ashp-news/2023/05/02/health-systems-support-efforts-toprevent-burnout-among-pharmacy-staff

Check kit and tray management off the list

Ease the pain of manual RFID tagging with the next generation of kit and tray technology While some inventory management solutions rely on pharmacy staff to manually apply RFID tags to medications, pre-RFID tagged products from AmerisourceBergen save time, increase accuracy, and help improve patient safety. In addition, AmerisourceBergen’s medication tray solution is tag-agnostic, allowing you to read tags from any vendor, including 503B pharmacies and manufacturers.

Request a demo of AmerisourceBergen’s medication tray solution

Imagine eliminating errors and waste. Imagine achieving complete visibility and compliance. Imagine moving from manual tasks to top-of-license practice.

Real transformation can only be measured by the impact it has on your strategic goals. It’s why outcomes guide us through all we do. From defining where you are in the journey to building the road map to measurable change, our comprehensive solutions spanning robotics, smart devices, software, and expertise are helping to turn imagination into reality.

Outcomes. Defined and Delivered. See how at Omnicell.com/Outcomes

2 0 WAY 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

Omnicell — Outcomes. Defined and Delivered. Transforming pharmacy care starts with understanding where you are in the journey and then designing the right set of robotics, smart devices, software, and services, optimized by experts, to achieve your medication management goals.

President & CEO: Randall Lipps Founded:

1992 Employees: 4,000+ Stock Symbol: OMCL Toll-Free Phone: (877) 415-9990 Address: 4220 North Freeway Fort Worth, TX 76137

Company Background

Since 1992, Omnicell has been committed to transforming the pharmacy care delivery model in an effort to optimize financial and clinical outcomes across all settings of care. Through a comprehensive portfolio of robotics, smart devices, software, and expert services, Omnicell is uniquely positioned to address evolving healthcare challenges, connect settings of care, and streamline the medication management process. Healthcare facilities worldwide partner with Omnicell to help increase operational efficiency, reduce medication errors, improve patient safety, and enhance patient engagement and adherence, helping to reduce costly hospital readmissions.

Transforming Pharmacy

Today, medication management is driven by manual, error-prone processes that significantly impact patient care. Lack of inventory visibility means costly expired medications and waste, and pharmacists are spending an estimated 75% of their time on non-clinical activities, valuable time that could be spent supporting patient care initiatives. Omnicell’s comprehensive solutions — including robotics, smart devices, software, and expert services — are designed to improve safety and patient care, while delivering tangible financial outcomes and rapid return on investment. Our broad portfolio supports central pharmacy and pointof-care dispensing, IV compounding, inventory optimization, specialty pharmacy, and patient engagement/medication adherence, keeping the patient at the center of focus across the care continuum.

Delivering Outcomes

n Point-of-Care Service A combination of Omnicell’s market leading point-of-care automation that drives nursing and pharmacy efficiency, expertise to improve solution adoption and optimization, and data-driven performance optimization, this comprehensive service is enabling nurses to spend less time managing medication and more time with their patients. One health system has reduced nursing time at the cabinet by 54%.

n Central Pharmacy Dispensing Service Advanced central pharmacy robotics, dispensing optimization tools, and remote and on-site experts to automate and optimize medication dispensing, help to enhance patient safety and dispensing accuracy, while reducing medication expirations and optimizing pharmacy labor and workflows. Health systems are seeing a 75% reduction in pharmacist time spent on manual distribution tasks. n IV Compounding Service Combining next generation IV robotics, clinical data, and remote and onsite experts to optimize IV compounding operations, this service is designed to enhance patient safety through improved IV compounding accuracy, sterility, and supply chain control, while reducing 503B outsourcing expenses, and medication waste. One health system realized $1.6 million in annual savings by insourcing sterile compounding operations. n Inventory Optimization Service Inventory optimization helps health systems improve medication management efficiency by reducing medication waste, expirations, stockouts, and shortages. This comprehensive service combines advanced software, robust benchmarking, predictive and prescriptive analytics, and clinical experts to identify and execute potential inventory optimization opportunities. Enhanced inventory visibility helped one health system achieve $1.2 million in medication cost savings within 12 months of implementation. n Specialty Pharmacy Services Combining technology and deep industry expertise, Omnicell is empowering health systems to set up, manage, and optimize an in-house specialty pharmacy through a value-based model. These services are designed to help health systems maximize script capture and revenue associated with specialty medications, increase patient access to limited distribution drugs, and improve patient compliance, adherence, and outcomes. With this turnkey solution, a new specialty pharmacy program can become cash flow positive in less than four months. n Patient Engagement Services Omnicell offers a full suite of services to automate financial activities and deliver digital omnichannel patient engagement solutions to transform clinical and business results. Retail pharmacies are realizing improved operational efficiency, increased profitability and prescription retention, and improved patient medication adherence. Patients enrolled in a Med Sync engagement solution were three times more adherent, helping to improve health outcomes and reduce hospital admissions.

WINTER 2023

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

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

American Health Packaging is a Leading Manufacturer of Serialized Barcoded Unit-Dose Products With a responsive line of barcoded unit-dose oral solutions, a growing liquid unitdose offering, as well as individually wrapped inhalants, American Health Packaging continues to deliver on their commitment to supporting pharmacy efficiency.

Senior VP & General Manager: Sasha Kellerman Toll-Free Phone: Address: Website:

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

Company Background

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

Additional Product Modules

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

Benefits for Health Systems

n Patient Safety: Ensuring the right medication is given to the right

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

AHP’s reputation for quality is supported by a 30+ year history of broad manufacturing expertise — operating a facility that is registered with the FDA, fully adherent to cGMP guidelines, and licensed by the DEA to package Schedule II-V controlled substances. Synonymous with unit dose, following years of success and leadership in the production of oral solids, AHP expanded their offering in 2017 to include liquid unit-dose cups and inhalants in 2019.

n Pharmacy Efficiency: Pharmacies strive to process orders and supply

Product Overview

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

AHP is committed to supporting pharmacy efficiency through a diverse range of both high-utilization and niche treatments. Producing nearly 600 UD oral solid SKUs for the healthcare marketplace, AHP’s broad selection of products are produced with quality components and printed with legible barcodes that facilitate effective execution of BCMA initiatives. Their wide selection of products reduces the gap between what pharmacies are forced to repackage themselves, and what is commercially available on the market — supporting health systems nationwide in their efforts to create efficiencies throughout the chain of care. AHP’s tailored offering of UD oral liquids provide similar efficiency, safety, and cost-savings benefits as their oral-solids products. Product features include right-sized packaging, thoughtful tray design, differentiated labelling, and accurate barcodes. AHP’s unit-dose inhalants provide efficiency and feature individually-wrapped vials and pouches barcoded to the dose level. AHP oral solids, liquids, and inhalants include major therapeutic classes and product groups to meet unique pharmacy needs. They are continuously evolving to meet the changing demands of caregivers and staff to support more effective medication procurement strategies. As facilities nationwide compete to demonstrate they provide the highest quality of care, AHP UD supports caregivers as they strive to promote positive outcomes for patients. Pharmacies simultaneously strive to be cost-effective as they provide necessary resources for caregivers.

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

n Cost-Savings Opportunity: Health systems that choose to package

n Liability Management: Pharmacy repackaging operations can be subject to distractions from a variety of sources. An active pharmacy environment can encourage lapses in concentration and present opportunities for staff error. Since these errors may vary in gravity and place liability on the facility and caregivers, mitigation of risk is key. Unit dose from American Health Packaging can help shift liability burden away from staff.

Hitting the Mark for BCMA, USP <800> Support

Effective execution of BCMA initiatives require medications that scan correctly at the bedside. With a robust, and growing, unit-dose portfolio AHP provides reliable access to UD treatments. AHP products promote safety towards BCMA and efficiency in pharmacy while freeing up internal resources. AHP UD supports pharmacies as they strive for compliance with USP General Chapter <800> guidelines. As pharmacies craft effective procurement strategies to meet the needs of their facilities, protecting patients and caregivers alike from potential harm while handling hazardous drugs is a priority. AHP’s UD portfolio has a number of NIOSH/USP <800> products already packaged for bedside dispensing which supports compliance to USP <800> handling procedures. WINTER 2023

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

C AS E S T U DY TAKING OPERATIONAL EXCELLENCE TO THE NEXT LEVEL — ONE BUSINESS AREA AT A TIME Mark Podgorski Vice President of Hospital Operations ~ Goshen Health

Jon Yoder Vice President of Goshen Physicians ~ Goshen Health

Paul Lyons Director of Materials Management ~ CPS

A FOCUS ON BUILDING A HEALTHIER TOMORROW FOR THEIR COMMUNITIES Based in Goshen, Indiana — Goshen Health is a 100-bed non-profit community hospital. With an extensive network of healthcare providers across 39 locations in four counties, Goshen offers traditional hospital services and primary care. This is combined with an array of specialty care, including a highly respected cancer center, award-winning heart and vascular care, a growing orthopedics specialty, and more. Goshen has also earned four Magnet® designations, which means their nurses have been recognized for going above and beyond the standard of care. All of this supports their focus on preserving the health and well-being of the communities they serve — and has led to Goshen being consistently ranked among the best hospitals in the state. As an independent non-profit organization, the hospital has a volunteer board of directors made up of leaders from the community. One of these board members mentioned to Vice President of Hospital Operations, Mark Podgorski, that his daughter was working at a hospital who partnered with CPS Solutions, LLC., one of the country’s largest pharmacy and hospital solution providers. Podgorski was immediately interested. “We’re successful and run a tight ship,” he explains. “But we’re no different than any hospital today. It’s my job to turn every rock over to find any opportunity to cut costs and gain efficiency.” As a member of Goshen’s leadership team, that’s where he knew CPS could help. “We began with their pharmacy management solution, and once we saw the results we could achieve with their support — we expanded our relationship to include rehabilitation therapy and supply chain management.”

ENHANCED SUPPORT FOR COST-SAVING INITIATIVES Goshen started with CPS’ proprietary “Comprehensive Pharmacy Assessment,” which evaluates more than 750 standards based on nationwide best practices across the industry. “We scored well, which was no surprise to me,” says Podgorski. “We have a knowledgeable team, but we have limited resources.” That’s why the hospital initially decided to bring CPS on board. They knew there were initiatives the hospital could be exploring that would yield cost savings or increase revenue. “We simply didn’t have the bandwidth to do all the research and develop the clinical plan necessary to make a case for modifying existing practices for less expensive methods that would deliver the same, if not better, patient outcomes,” he explains. Working with CPS led to some significant financial and clinical wins for Goshen almost immediately. This is thanks to a combination of highly skilled pharmacists and technicians on-site who are backed by

www.cps.com

CAS E S TU DY 2022

Pharmacy Management Results FINANCIAL IMPACT $924,000+ BIOSIMILAR CONVERSIONS 80% Resulting in $385,000 Cost Savings COMPLIANCE SCORE Increased by 17%

2022

Rehabilitation Therapy Results

FINANCIAL CONTRIBUTION Increased by 62% INPATIENT-TO-OUTPATIENT CONVERSION Increased 7.2% FINANCIAL IMPACT $1.68 Million in the First 2 Years

leading-edge pharmacy management software (CPS Optimizer) and a national network of pharmacy experts. For example, one of CPS’ initiatives addressed the hospital’s historic use of a long-acting, non-opioid analgesic to help patients manage post-operative pain. While very expensive, they’d continued prescribing it based in part on the manufacturer’s claim that the medication could lower the need for opiate use and minimize the risk of dependency. “Through their research, CPS found study after study that refuted this claim,” Podgorski says. The company proposed a potential drug substitution that has a similar active agent and would be a therapeutic equivalent. This recommendation was accompanied by a detailed financial analysis mapping out the potential cost savings and a thorough evaluation of the efficacy of the replacement drug. “CPS found that not only could we save thousands of dollars each year — we’d continue to have favorable patient outcomes.” That got the attention of Goshen’s CEO and ultimately led to the hospital making the transition. That was early on — and ever since, CPS has been helping the hospital improve its bottom line, increase efficiency, and stay ahead of regulatory requirements. In 2022 alone, Goshen realized a financial impact of more than $924,000. Close to half of that is realized by their biosimilar program savings, which will continue to provide a financial benefit year-over-year. In addition, although their original compliance score on CPS’ Comprehensive Pharmacy Assessment was high, the company’s initiatives helped Goshen raise this by 17% in 2022. Based on the success of the relationship, says Podgorski, when CPS approached Goshen about doing the same for their rehabilitation therapy and materials management — they were eager to see what they could accomplish together.

SOPHISTICATED METRICS FOR ACTIONABLE INSIGHTS The main objective for Goshen’s Rehabilitation Therapy in working with CPS was to identify new efficiencies in managing patient flows — helping increase revenue and efficiency without compromising their commitment to high-quality care. “Our partnership with CPS helps us do this,” explains Vice President of Goshen Physicians, Jon Yoder. “We stay focused on our performance indicators, that include insight to staffing levels, staff efficiency, [and] waitlist length to ensure that patients are getting the care they need in the time they need it.” Data is presented in dashboards that give near real-time actionable insights on revenue and expense benchmarking, key performance indicators, efficiency monitoring, and predictive analysis. This eliminates the need to request and wait for traditional hospital reporting — facilitating fast, wellinformed decision-making. The dashboard also allows leadership to get an at-a-glance view of the department, including the volume and types of patients they are seeing. “[CPS] serves as a resource for our on-site leadership to work collaboratively when it comes to addressing the day-to-day challenges that come with getting patients timely and complete care,” says Yoder. Because Goshen is always seeking to improve the health of their community, the rehab area of the hospital is also always looking to continue expanding its reach and growing its outpatient services. With this, the CPS team developed patient awareness initiatives and attended community events to help spread the word and maximize referral volume to further add to the bottom line. Since working with CPS, Goshen has improved inpatient-to-outpatient conversion by 7.2%, and launched a new Pelvic Floor Rehab service line to serve a need in the community. As a result, CPS helped rehabilitation therapy increase their financial contribution to the hospital by 62%. These successes have allowed Goshen to maintain an excellent standard of patient quality and safety, while also achieving increased efficiency and a financial impact of $1.68 million to date.

www.cps.com

CAS E S TU DY NEW AVENUES FOR IMPROVING THE BOTTOM LINE

2022

Materials Management Results INVENTORY REVIEW 9,000 Surgical Services Items BOTTOM LINE SAVINGS Nearly $400,000

Hospitals everywhere face the same challenge regardless of size or scope: to minimize costs and streamline operations. With today’s ongoing supply chain inflation, many are turning to materials management to uncover significant financial savings. That’s why Goshen decided to continue its journey with CPS in this area, beginning with a supply benchmarking project. “Our operational benchmarking score was very good,” says Director of Materials Management for Goshen and CPS employee, Paul Lyons. However, the process did reveal an opportunity to conduct a more thorough inventory review of roughly 9,000 items in surgical services. “It took a team to cull through all the data and make recommendations to surgery leadership,” explains Lyons. The analysis concluded that initiatives like discarding expired medications and making returns to manufacturers would have a significant impact. “In just that first area of focus, we realized a reduction in surgical services inventory of close to $400,000 from write-offs and credits from manufacturers.” The hospital is also planning to do a similar deep dive into the cath lab inventory. By collaborating with ECRI, an independent healthcare technology and safety authority, CPS also helps Goshen analyze potential capital acquisitions. For example, if the hospital plans to buy a new CT machine, they can request an ECRI review of the vendors and gather additional insight into what they should consider. “Through CPS, ECRI delivers a detailed plan that maps out which modalities we should include and which we can exclude.” Lyons’ access to supply chain peers across the range of healthcare organizations that CPS supports has also been invaluable to Goshen. “A group of us meet every other week to discuss supply chain challenges, whether they are due to product availability or manufacturing issues, and share best practices on what we’re doing to overcome them,” he says. “As an independent hospital, we haven’t necessarily had that in the past.”

THE FOUNDATION FOR A LONG-LASTING RELATIONSHIP Once part of a statewide health system, Goshen decided to leave in 2016 — in part to honor their history of independence but also to serve the community in the way that met their mission and vision. “Being part of a larger organization just wasn’t in line with our culture,” Podgorski explains. “We don’t want to be put into a box. We have our own strategy and mission, and CPS respects that. They don’t offer a one-size-fits-all solution – but work closely with our teams to deliver on our specific objectives.” Yoder says, “CPS gives us insight into multiple areas of our business that include customer service, financial success, personnel expertise and quality, and patient safety. These areas of focus are consistent with our own organizational pillars of excellence. By comparing ourselves to their standards we can quickly ensure that we are being successful across all pillars and not sacrificing one aspect of our practice for another.” Like Goshen, he adds, CPS’ focus is results-driven and patient-centric. “We want to improve bottom line savings, and do that while improving patient outcomes. CPS brings such a breadth and depth of support, it allows us to investigate and execute new initiatives to achieve these goals that we might not have been able to on our own.”

www.cps.com

Pharmacy and Hospital Solutions Across the Continuum of Care Years of Industry Experience

Healthcare Customers Nationwide

Pharmacy Management

Driving clinical, operational, financial, and regulatory excellence

Rehabilitation

Transforming a cost center into a revenue generator

Supply Chain

Identifying, implementing, and sustaining best-in-class processes

Learn more about our suite of solutions at cps.com

Cleanroom Resources Gowning Service to Help Keep Your Controlled Environment Ready for the Workday®

COVERALLS

Get the right Coverall for your specific controlled environment, delivered by Cintas.

LEARN MORE

FROCKS, ESD LAB COATS & SPECIALTY GARMENTS Frock options to keep your employees in the cleanroom Ready™.

BOOTS AND SHOE COVERS The right footwear for your controlled environment.

ACCESSORIES

Additional cleanroom products/services delivered with your gowning.

PROCESS IMPROVEMENT SOLUTIONS BY

Health Care Logistics®, Inc. 2023 ©

DUSTRY ST E IN H A T

RFID TECHNOLOGY TO STREAMLINE AND REFINE CRASH CART STOCKING

ARD ND

TW IC E

WIRELESS TEMPERATURE MONITORING

NO SUBSCRIPTIONS!

NO CONTRACTS!

StatTemp.io

StatStock.io

GoHCL.com • 1.800.848.1633

Elevating the standards in 503B pharmaceutical outsourcing. With increasing drug shortages and supply chain disruptions, access to quality medicine is more important than ever. Leiters Health is an FDA-registered 503B outsourcing provider of high-quality compounded sterile preparations and pharmacy services including: Pre-filled syringes and IV bags; pre-labeled and ready to administer. Opioid-free surgical pain services medications. ON-Q* Pain Relief System Pharmacy Fill Service. Ophthalmic medications including FDAcompliant repackaged Avastin

Leiters.com | 800.292.6772 | info@leiters.com ON-Q* is a registered trademark of Avanos Medical, Inc., or its affiliates. Avastin is a registered trademark of Genentech, Inc.

2 0 WAY 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

Elevating the Standards in 503B Pharmaceutical Outsourcing Leiters Health is a trusted FDA-registered 503B outsourcing provider of ready-to-administer compounded sterile preparations committed to providing healthcare professionals and their patients with the highest-quality medications. President & CEO: Joseph C. Cosgrove Founded:

1926 375 Toll-Free Phone: (800) 292-6772 Phone: (720) 697-5140 Fax: (408) 288-8252 Address: 13796 Compark Boulevard Englewood, CO 80112 Website: www.leiters.com Employees:

Company Background

Leiters Health, founded in 1926, is an FDA-registered 503B outsourcing provider of high-quality compounded sterile preparations and pharmacy services. We have a long history of evolving and innovating to meet the latest regulatory requirements and market needs. All sterile preparations are produced under Section 503B of the FD&C Act (503B Guidance), follow current Good Manufacturing Practices (cGMP), and USP <797>. Our facility consistently upholds all standards based on the audits conducted by the FDA, the states of California and Florida Boards of Pharmacy, multiple health systems, group purchasing organizations, and other independent accreditation organizations. Our team of experts in sterile pharmaceutical manufacturing, repackaging, and compounding provide a sophisticated understanding of what it takes to elevate the quality and consistency of supply in pharmaceutical outsourcing. We combine a highly experienced team, with robust processes, in stateof-the-art outsourcing facilities to ensure delivery of the highest quality products and services. As part of our ongoing commitment to quality, compliance, and sterile manufacturing excellence, we continue to invest in our state-of-the-art 503B facilities, including two existing facilities in Denver, Colorado, and a new facility in Buena, New Jersey, which will be operational in 2024. We stand ready to support the needs of the healthcare community now and in the future.

Product Overview

Leiters Health provides ready-to-use compounded sterile preparations and pharmacy services across the continuum of healthcare, including hospitals, surgery centers, physician offices, and clinics. n Hospital and Surgery Center Products and Services • Prefilled syringes, vials, and bags. • Ready-to-administer Pain Services portfolio to support ERAS and opioid reduction strategies. • Pharmacy fill service for the Avanos Medical opioid sparing ON-Q* Pain Relief System (bupivacaine HCl and ropivacaine HCl).

n Ophthalmic Products and Services • Prefilled syringes, vials, and dropper bottles including: injections, antibiotics, and dilating agents. • FDA-Compliant Repackaged Avastin® Service. Multiple presentations available based on physician preference.

Key Business Partners

Leiters Health is partnered with many market leading innovative healthcare companies that compliment what we do. The products and services offered by these companies may provide additional value to your organization. Our key business partners include: Angels for Change, Avanos Medical, Besse Medical, Bluesight, Cardinal Health, End Drug Shortages Alliance, Eye Connect International, Prodigy Health, and The Academy.

GPO Affiliations

Leiters Health provides our products and services to many leading health systems, community hospitals, clinics, and physician offices. In addition, we currently have national contracts with: AmerisourceBergen, Captis, Cardinal Health, EyePro, Healthtrust, Premier, US Retina, and Vizient. Please contact us for additional information regarding our contracts.

Collaborating With Leading Health Systems

Leiters Health is committed to new product development in collaboration with its customers to meet evolving market needs. We work closely with our nine strategic health system investors to evaluate, create, and deploy solutions that enable pharmacy efficiencies. Pharmacy leaders from each of our investor health systems hold a seat on the Leiters Health Strategic Pharmacy Advisory Board. We meet with this group regularly to understand and nimbly respond to pharmacy challenges with real-world, innovative solutions. This allows us to offer a meaningful portfolio across the continuum of care to all of our customers and ultimately ensure that healthcare providers and their patients have a continuous supply of critically needed drugs.

Site Visits

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

WINTER 2023

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

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

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

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

Scan QR Code for more information and pricing.

Simple. Reliable.

800.523.8966

MediDose.com

2 0 WAY 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 Toll-Free 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 (meds covered by USP 800, chemo meds, 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. • MPB® — Multi-purpose blisters to easily package large

medications, compounded drugs, double and triple “0” capsules, unit-of-use packaging, repackaged medications, and suppositories.

• New Ointment Lid-Label Covers to package ointments in all Medi-Cup Blisters.

• 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 2023

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

MOBILE PHARMACY COMPOUNDING CLEANROOMS

Full Compliance with USP 797 and USP 800 is one phone call away!

CALL FOR INFORMATION OR TO REQUEST A QUOTE 317-333-6001 www.portable-cleanroom.com

2 0 WAY 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

Mobile Pharmacy Compounding Cleanrooms by Modular Devices Premanufactured mobile cleanrooms are available in a fraction of the time compared to traditional design/build projects. Fully engineered turn-key mobile cleanrooms designed to provide immediate compliance for USP 797/800. Rent one today as an interim solution, or purchase one as your new permanent, state-of-the-art cleanroom. We make compliance as simple as a phone call.

President & CEO: Greg Mink Founded:

1987 Toll-Free Phone: (800) 456-3369 Phone: (317) 333-6001 Address: 1515 Brookville Crossing Way Indianapolis, IN 46239 Website: www.portable-cleanroom.com

Company Background

Modular Devices is based in Indianapolis, Indiana, and offers short and long-term mobile cleanroom solutions for any industry or application that requires controlled environments throughout the U.S. and North America. Every cleanroom that we offer meets our high-quality standard commitment, has the most state-of-the-art materials and equipment, and includes unmatched customer service. We have all the required expertise under one roof. This includes architects, engineers, construction disciplines, and cleanroom experts that can guide you through the entire project. As the race continues to become compliant with USP 797 and USP 800, our primary focus as a company is to provide solutions for our clients by solving problems. We are a company that puts your needs first and takes care of the many complexities of building a compliant cleanroom so that you can focus on what is most important to you, your patients, and your staff!

Product Overview

We offer high-quality, cost-effective mobile cleanroom solutions which are pre-engineered and pre-built, then delivered as turnkey compounding cleanrooms ready for use immediately upon delivery. Compared to traditional design/build, our mobile cleanrooms can be built in a fraction of the time as we control the entire production at our facility — eliminating delays and wasted capital, and providing immediate compliance and peace of mind.

What sets Modular Devices Mobile Cleanrooms apart? • Pre-certified prior to delivery and guaranteed to pass third-party inspection. • 14' wide mobile cleanrooms, up to 40% larger than 8' wide trailers. • Short or long-term rentals, or as permanent additions. • Cloud-based control and monitoring system with real-time data-logging and alarms.

Product Specifications

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

Testimonial

“ T hank you for the excellent service Modular Devices has provided to us for the temporary pharmacy compounding cleanrooms for the Staten Island University Hospital Campus. Upon delivery the NYS Board of Pharmacy conducted an inspection and approved the unit for operation in the capacity of compounding both hazardous and traditional IV solutions for patients. The unit surpassed our expectations and was able to maintain the high-volume production necessary during the recent COVID-19 outbreak.” — Otto VonEilbergh, Director — Capital Projects, Corporate Facilities Services, Northwell Health

Ordering Information

To learn how our mobile cleanrooms can assist with your pharmacy upgrade or expansion, or to help meet new USP 797 or USP 800 standards, contact us by phone at (317) 333-6001 or visit our website for a free quote, www.portable-cleanroom.com. WINTER 2023

H E A LT H S Y S T E M • I N F U S I O N 71

MANAGING CONDENSATION IN MEDICAL-GRADE REFRIGERATORS Contributor:

Cindy Fitton Director of Marketing, Healthcare and Life Science ~ Follett

WINTER 2023

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

condensing into liquid as it cools is a naturally occurring part of the refrigeration process. “Condensate” is the technical term for the liquid that forms when the temperature of the air becomes colder than the saturation temperature (the dew point) of the air-humidity mixture. Managing condensate is important to maintaining the integrity of refrigerated products. The following are some considerations for condensate management in the different types of refrigerators used in the storage of medications, vaccines, and other medical products. n Condensation Forms in All Refrigerators In a refrigerator, condensation is the conversion of water vapor in the air to liquid water drops and occurs when humid air in the ambient environment contacts the colder surfaces inside a refrigerator. This is the same effect as dew forming on the grass or on a car’s windshield on a cold morning. According to the laws of physics, all refrigerators will form condensate inside the storage compartment under the humidity levels found in a typical hospital (40% to 50% relative humidity) because the temperature inside the cabinet is lower than the saturation temperature (dew point) of the surrounding air. Condensation will be greater in humid areas and less in very dry climates or during winter months.

n Why Condensation Removal is Important The management of condensation inside a refrigerator is important for several reasons. First, molds and other biofilms can grow in wet environments. Small microscopic water droplets forming on the walls or shelving inside a refrigerator can be an ideal site for the growth of molds, yeasts, and bacteria that are in the ambient air. The drier the environment, the less likely this is to occur. In addition, packaging inside the units can be moist and soggy if the condensate is not adequately removed from the storage cabinet. n Condensation Management Approaches Different technologies have different approaches to managing condensation. To manage the condensate that will inevitably form inside a refrigerator storage compartment, it is best to accumulate it and let it drain outside the refrigerator where it can evaporate into the air as opposed to having it form inside the refrigerated compartment and potentially compromise any stored products. The technology that is best for minimizing condensation inside a refrigerator is one with forced air circulation inside the refrigerator. Forced-air refrigeration, coupled with a fin and tube type evaporator, provides the maximum protection against condensation inside the cabinet because the fan forces air through the evaporator, where it condenses on the evaporator coils and fins and drains outside the cabinet where it can evaporate. The additional surface area provided by fin and tube evaporators provides increased cooling capacity and condenses excess water vapor quicker than comparable cold plate or cold wall type evaporators. Depending on how cold the evaporator is operating, a defrost routine can then also be added to clear the evaporator of any frost or ice.

application is the first step to managing potential humidity issues. •P lace the refrigerator in a well-ventilated area that has a stable temperature and low humidity. A good operating environment will promote stable operation. •A void frequent opening and closing of the refrigerator door, which can introduce moisture and warm air into the refrigerator. Keeping warm, humid air out of the refrigerator by efficient use of door openings will reduce the demand on any humidity control approach. •U se sealed containers or bags to store products that are sensitive to humidity or moisture. Extra care of moisture sensitive products will provide an additional measure of protection. •E nsure the door has been closed tightly. Most purpose-built or medical-grade refrigerators include a door-open alert/ alarm to notify the user that the door is ajar. • Check the seal or gasket to be sure it is sealing properly. There are two simple tests you can employ to verify that your gasket is performing properly. The first is to inspect the gasket for any blackening caused by mold. The second involves closing the refrigerator door on a sheet of paper between the gasket and the refrigerator. If you can pull the paper out with no resistance, the gasket isn’t creating a good seal. • Make sure the refrigerator has adequate room to breathe by following the air clearances provided in your manual. • Be sure your refrigerator is level, so condensate flows to the drain pan as it should.

Refrigerators with a cold plate, cold wall evaporator, or thermoelectric-cooled wall technology will be less effective at removing the condensate from the cabinet because there is no forced air circulation pattern. This introduces the risk of the condensate undesirably accumulating on any internal cold surfaces and inviting the growth of unwanted contaminants inside the storage cabinet. Some manufacturers recommend the use of passive dehumidification using desiccants, such as silica gel or calcium chloride, to absorb moisture from the air inside the refrigerator. The desiccants need to be replaced or regenerated periodically to maintain their effectiveness. Passive dehumidification is a simple and low-cost method, but it may not be sufficient for very high humidity levels or large refrigerators. Additionally, the desiccants may also become a source of contamination. Others recommend wiping down the inside of the cabinets every day to prevent the adverse effects of condensation. This is a laborintensive, time-consuming process that does not assure complete dehumidification. n Possible Mitigations for Managing & Reducing Condensation • Select a refrigerator that has a low humidity range and a high cooling capacity. Selecting the right equipment for your

n Summary In summary, it is important to note that all refrigerators will generate condensation. The key is to select the right equipment and implement the appropriate maintenance practices for your specific application to assure the safety of medicines, vaccines, and other valuable medical products that are stored inside. References

Condensation – The Water Cycle; USGS, https://water.usgs.gov/edu/ watercyclecondensation

SW U IMNM TER 2022 3

H E A LT H S Y S T E M • I N F U S I O N 73

1.800.344.2554

MADE IN THE USA

IMI-501-AA-77 R1

2 0 WAY 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

International Medical Industries — Innovation in Secure Drug Delivery Increase pharmacy productivity and safety with economical, American-made devices designed to advance the safety and security of your drug products and ultimately, your patients. President:

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

Company Background

Founded in 1967 and exclusively devoted to the needs of the compounding pharmacist, at IMI, creating products for the compounding pharmacist is our sole focus. As a result, our customers experience the quality, service, and value that only a specialized partner can offer. Through our partnerships with compounding professionals, we continue to advance our devices to serve the healthcare community. From new product developments to customized packaging configurations, IMI’s customer-focused ethos and superior engineering capabilities allow us to be responsive to the needs of our partners and customers. Our capabilities and highly trained teams are why we have remained the industry standard for tamper-evident cap technology and how we continue delivering customer-focused products to enhance pharmacy productivity, safety, and security. All IMI products are manufactured in the U.S. at our FDA-registered, ISO 13485-certified facility under the strictest quality standards.

The Experts in Tamper Evidence

Compounded preparations are at their greatest risk when they leave the custody of your pharmacy. The benefits of tamper-evident products to address this risk have been recognized within the standards and guidelines of multiple influential organizations, including ASHP and the FDA. Tamper-evident products increase overall accountability in the chain of custody of mediation, maintain sterility, prevent leakage, ensure patients receive the full intended dose, and reduce the risk of contamination. IMI’s Prep-Lock™ line of products provide high-value and quality, tamperevident closures devices for a variety of drug delivery containers including IV, enteral and oral syringes, medication cassettes, and IV bags. n Prep-Lock™ Tamper Evident Caps for IV Syringes If your facility uses an outsourced compounder, chances are you are already familiar with IMI’s Tamper Evident Cap technology. Over 85% of the top outsource compounders choose IMI Tamper Evident Caps to secure their IV syringe. You can easily incorporate the use of this cap for your in-house preparations to 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 tamperevident 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 Additive Port Caps Provide remarkable protection, and protocol assurance to the medication ports of a variety of IV bags, including Baxter, B. Braun, Fresenius Kabi, ICU Medical, and more. The simple one-handed installation and considerable contributions to the integrity of IV compounds have gained acclaim with pharmacists and healthcare professionals. These products extend the intention of USP <797> from pharmacy to patient by providing last-mile security that strengthens pharmacist and HCP confidence and reduces the risk of contamination and diversion. n Prep-Lock™ Tamper Evident Caps, Male Luer Lock for CADD Cassettes Drugs are prepared in a variety of devices with different connector types. When those devices feature a female luer lock connector, the Prep-Lock Tamper Evident Cap with Male Luer Lock Connector can provide all the same safety and protection benefits found in IMI’s entire family of tamper-evident products. n Prep-Lock™ Tamper Evident Caps for ENFit® Syringes The ENFit® connector standard (ISO 80369-3) for enteral feeding devices is a welcomed feature for mitigating potential misconnections. IMI offers a tamper-evident cap for ENFit syringes that further enhances patient safety. These innovative caps help guard against drug diversion and misuse, and increase confidence in your enteral medications by ensuring content’s integrity from the time the syringe leaves the pharmacy until the time it is administered. The caps are compatible with both standard and low dose ENFit syringes.

Testimonial

“ I find their [tamper-evident] products to be the best on the market in terms of the device itself, the functionality, and the securement.” — Neil Colby, RPh, Director of Infusion Pharmacy Services, CDRX Infusion

Additional Product Lines

IMI manufactures a variety of high-quality devices for the compounding pharmacist including: Prep-Lock™ Tamper Evident Caps, Prep-Seal™ Caps and Plugs, Prep-Fill™ Sterile Connectors, Rx-Vent™ Filtered Venting Needles, and Rx-Tract™ Aspirating Needles.

Trade Shows/Meetings Attended

American Society of Health‑System Pharmacists (ASHP), European Association of Hospital Pharmacists (EAHP); National Pharmacy Purchasing Association (NPPA); International Health Facility Diversion Association (IHFDA); and Hospital Pharmacy Conference (Health Connect Partners). Visit the event website or contact IMI for dates and booth numbers. WINTER 2023

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

We make it easy to get it right. Keep patients safe with the full line of USP <797 revised> and <800> compliance products you need to maintain a sterile cleanroom. A quick click or call is all it takes to get them from our shelves to yours. See how easy ISO-MED makes it to get just the right products, right when you need them.

Get it right. Now.

Order online or call today. sales@iso-med.com | 800-797-1405 | www.iso-med.com

2 0 WAY 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 Makes Your Job Easier and Easier As one of the top leading suppliers for pharmacy cleanroom supplies, we provide an unparalleled selection of specialized medical products, globally trusted quality and service, and delivery convenience for meeting USP <797> and USP <800> standards. President:

David Lowrie Founded: 2010 Toll-Free Phone: (800) 797-1405 Fax: (951) 547-1681 Address: 1220 Graphite Drive Corona, CA 92881 Website: www.iso-med.com

Company Background Since 2011, ISO-MED, Inc., a medical supply distributor, has been a trusted hospital supplier with a solid combination of quality, selection, service, and convenience. We supply quality products for pharmacy cleanrooms and other medical industries in the U.S. Providing high-grade supplies for cleanrooms, laboratories, homecare, and more, we are dedicated to achieving and maintaining compliant sterile compounding environments.

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

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

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

Markets Served • Hospital • Compounding • Infusion • Retail Ordering Information

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

WINTER 2023

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

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

UPCOMING EVENTS TRADE SHOWS, MEETINGS, & EXPOSITIONS RXinsider’s Virtual Pharmacy Trade Show 24 / 7 / 365 450+ Booths, 89 Aisles www.rxinsider.com

NHIA 2024 Annual Conference March 23-27, 2024 Austin, TX Conference.nhia.org

ASHP Midyear Clinical Meeting and Exhibition 2023 December 3-7, 2023 Anaheim, CA www.ashp.org/Meetingsand-Conferences/MidyearClinical-Meeting-andExhibition

NACDS Annual Meeting April 27-30, 2024 The Breakers Palm Beach, FL Annual.nacds.org

340B Coalition Winter Conference January 29-31, 2024 San Diego, CA 340bwinterconference.org APhA 2024 March 22-25, 2024 Orlando, FL pharmacist.com/ Conferences/AnnualMeeting

Asembia’s AXS24 Summit April 28-May 2, 2024 Wynn & Encore Las Vegas Las Vegas, NV asembiasummit.com ESTECH 2024 May 6-9, 2024 Las Vegas, NV www.iest.org/Meetings/ ESTECH ASHP Summer Meetings and Exhibition June 8-12, 2024 Portland, OR www.ashp.org/meetingsand-conferences/summermeetings-and-exhibition ECRM Health System/ Institutional Pharmacy Session June 10-13, 2024 JW Marriott Starr Pass Resort & Spa Tucson, AZ ecrm.marketgate.com/ Sessions/Category/ HealthSystems

Continued on pg. 83

WINTER 2023

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

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

RXinsider.com

Come find your way in the future of 340B. 2024 will be another pivotal year for you and everyone working in the 340B world.

Conference sessions will provide you with the guidance you need on 340B operations and compliance topics.

That’s why we warmly invite you to attend the 340B Coalition Winter Conference, January 29-31 in sunny San Diego, California.

You’ll also hear the newest developments from Washington, the courts, and statehouses throughout the nation. Stakeholder breakout sessions, exhibit hall events, and networking receptions will enable you to connect with your peers and expand your 340B acumen.

Registration is OPEN NOW for you to attend one of the year’s most important and anticipated 340B events. Come together with other members of the 340B community to learn the latest intelligence, connect with experts, and share best practices.

Days of Activities

40 +

Insight-Packed Sessions

Join us at the 340B Coalition Winter Conference to take advantage of all these opportunities to engage on all the 340B topics that matter the most to you. We can’t wait to see you in January!

Pre-Conference Workshops

Networking Breaks

LEARN MORE AND REGISTER FOR THE PREMIER 340B EVENT TODAY! WWW.340BWINTERCONFERENCE.ORG / RXINSIDER

PHARMACISTS W H O WA N T

800-757-4572 EXT 1

Peace of Mind

ION

AL JOU

IONAL JOU

V. 2 6 N O

TIONAL JO

THE IN ING T

•

TIONAL J

•T

TIONAL

V. 2 6 N O .1

O UOur R C OCompounding MPOUNDING K N OW L E D G E , Knowledge, C

Y 202 2

IJPC 97

•U

L O

AL COM

PHA

Peace of Your YourPeace

•

E Your YourPeace ofMind Mind® Peace of U FEBR UAR UT ® G PO ICA IN G JANU ARY | L COM N D IN ING OU ND O UOur POU MP OU ND JANUARY | FEBRUARY 2022 R C OComp CO MP G MPOUN D I Nng oundi G K TIC AL CO C O M UT IC AL N OWledge, ICAL COMPO UNDIN Know LEDGE, Your YourPeace PHARM INTE A L MACE INTERNATIONA OF Peace of ALCEU RNATIOACEUT L JOURNAL ofMind Mind ® PH AR MA OF PHARMACEUTIC AL COMPOUNDING L JOURN NAL ATIONA U T IC ® JOU RNA L JANUARY | FEBRUARY 2022 PH AR RN AL OF C EINTERN AON OF PHA RMA MNA AL JOU L OF RATI AUR CEU TICA H ERN P INT JO L COM POU O FL NDI NG IOLNA NA JANUA RY | FEBRU RNRAT ARY 2022 JO U IN TE NAL A

AT IO

| FEB RU

ERN

JAN UA RY

Y 20 22

IN T

AR Y |

20 22

JA NU

RY FE BR UA

V. 2 6 N O .1

IJPC

•

EUTICAL

•

M R P 19 M M A E, , CO D GC M L Ege E U T I C A L 97 P AG E , 19 owled N OW D M CE K L Ege, Kn d® UTICAL CO owled N OW inGg Mnd in® DIN Kn G K N nd A D I Nng ofMi O Uou O nd of U N ndi C ®® , mp Mind P MP OCo acee ofMi M P Opou L E D G,EEU Peac ce of N OWledge R Cr TICAL COM ace R CrOCom Pe Know 19 ururPe ING K O UOu O UOu YoYo U N Dding ur r Pea M P Opoun YoYou Min®d® R C OCom ofMind O UOur cee of A Peac r Pea Your , E, You N OW L E CDEG G K Knowledge ing MPOUNDIN R C OCompound O UOur UT IC Mind® ofMind

V. 2 6 N O .1

•

to IJPC

C I IJ C P J P CC C J I P P C J P I J P I J I •

TH D I N GE I N

•

THE D I N G INT

NO.1

IJPC IJPC IJPC IJPC V. 2 6

•

THE IN

NO.1

T DI HE N G IN

AL JOUR

V. 2 6

The ONLY PUBLICATION focusing on QUALITY PHARMACEUTICAL COMPOUNDING.

1/16/22 10:29 AM

EMAIL US for a FREE SAMPLE COPY at IJPC-SUBSCRIPTIONS@IJPC.COM

IJPC 19

• NG

IJP

IJPC

1/16/22 10:29 AM

COMPO UNDIN 10:29 AM G STERIL 1/16/22 PREPA RATIO E NS WITH CYCLO DEXTR INS

b_2

_Fe

Jan

PATIEN TS SUPPO SITOR IES

COMPO UNDED

Jan_Feb_2022_C Jan_Feb_2022_Covers.indd overs.ind d 1 1 1

Jan_Feb_2022_Covers.indd 1

10:29 AM

SH PHA CO TS MACIS

dd 22_Covers.in Jan_Feb_20 d 1 s.ind 2_Cover 1 Feb_202 Jan_ rs.indd _Cove 022

IJPC.com

and Compo

ONAL

om undingToday.c

gToday.com IJPC.com and Compoundin

ngToday.com

y.co ngToda

Compoundi

m and IJPC.co

and IJPC.com

m day.co

ndi Compou

ingTo ound Comp and C.com

10:29

AT I

1/16/22

PH AR

•

29 2 10:

1/16/2

41 STERILEEXTRINS IN G CLOD 41 RILE S OU ND TH CY CO MP NS WI RIN ING STE IO LOD EXT OU ND AR AT H CYC 41 CO MP S WIT PR EP ILE ATI ON ND S DING STER PRE PAR GR OU NTS OU ND COM POUN 34 D BACK34 CYCLODEX 41 TRIN TIE KGR TS PA IONS WITH G D BAC S 34PAT IEN34 AN RIE PREPARAT GROU ND NS SE LINS AN ITO SEL INGAND BACK COMPOUND ING STERILE UN ATI ON NTS OS AT IO CO UN NS SITOR IES G PATIE ND 24 PP DER 24NSIDER24 CO ATIO R CYCLODEXT RINS BACKGROU 34 NSI SU SELINAND TIONS FO FORIDERCONSIDERA PREPARATI ONS WITH SUP POCOUN S EDNCONS NCO 41 CO SHOULD 24 SHOULD NDTIO ND ED OSITORIE G PATIENTS ALL MA SHOUL ION FOR ON AT IO OR ALL OU FOR SUPPCOUNSELIN CONSIDERATIONS DMP RMAT ALL AND BACKGROUND MP OU CO INF INFORMATI FO RM G PHARM 24 SHOU POUN DED CO COMPOUNDING STERILE 34 PHARMACISTS ? NG SINFO G COM IN COMPOUND? SUPPOSITO RIES ACIST LD ALL TS COMPOUND USI IN COMPO COMPOUND ED FOR COUNSELING PATIENTS USIN UND? USINGINFORMATION CONSI USD? ALL PHARMACIS PREPARATIONS WITH CYCLODEXTRINS DERAT IONS ? POUN COM ND ULD 24 ALSHO STS USING COMPOUNDED AND BACKG INFOR MATIO SUPPOSITORIES MACI MP OU L PHAR ? ROUN CO 41 N FOR COUNS D ND STS USING ELING OU LDRM ACI MP OU

IJPC.com and CompoundingToday.com

www.IJPC.com

TIC

M AL CO

O U R C O M P O U N D I N G K N OW L E D G E ,

O U R C O M PYour OUN D I NofGMind® K N OW L E D G E , Peace

Your Peace of Mind®

Behind Every Good Pharmacist ... is a Great Resource. Subscribe to RXinsider’s 411 Email Alerts and receive our weekly What’s the BUZZ Newsletter with up-to-date pharmacy news, products/services announcements, trends, and more. Join thousands of pharmacy professionals who depend on 411 Email Alerts to stay informed on the market.

RXinsider.com

STAND OUT FROM THE CROWD PITCH YOUR PRODUCT ONE-ON-ONE TO THE RIGHT BUYERS 2024 PHARMACY SESSIONS Explore Sessions Related to: • Pharmaceuticals • Contract Packaging • Health Systems • Home Health & Diabetes Care • Pharmacy Technology

For more information contact: Michael Castillo Senior Vice President of Pharmacy & Medical at mcastillo@ECRM.MarketGate.com or call 440-528-0441.

TRADE SHOWS, MEETINGS, & EXPOSITIONS APC’s Compounders on Capital Hill September 17-18, 2024 Washington, DC a4pc.org/cch

Continued from pg. 78

McKesson ideaShare 2024 June 23-26, 2024 New Orleans, LA Mckessonideashare.com

NASP 2024 Annual Meeting & Expo October 6-9, 2024 Gaylord Opryland Resort & Convention Center Nashville, TN naspnet.org/annualmeeting

340B Coalition Summer Conference July 8-10, 2024 Washington, DC 340bsummerconference.org ACVP Veterinary Pharmacy Conference July 11-13, 2024 Indianapolis Zoo Indianapolis, IN vetmeds.org/vpc

NCPA Annual Convention October 26-29, 2024 Columbus, OH ncpa.org/annualconvention

Cardinal Health RBC July 24-27, 2024 Chicago, IL rbc.cardinalhealth.com

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

UPCOMING EVENTS

ASCP 2024 Annual Meeting & Exhibition November 7-10, 2024 Gaylord Rockies Resort & Convention Center Aurora, CO Annual.ascp.com

NACDS Total Store Expo August 17-19, 2024 Boston, MA Tse.nacds.org

Learn more at certificate.A4PC.org

For listing and advertising details, please contact sales@RXinsider.com or call (800) 972-2083. WINTER 2023

H E A LT H S Y S T E M • I N F U S I O N 83

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

Reduce Theft and Misuse of Controlled Substances in Your Organization with Protenus Drug Diversion Surveillance Utilize artificial intelligence and advanced analytics to audit 100% of medication use transactions — reducing the risk to your workforce, organization, and most importantly, your patients.

President & CEO: Nick Culbertson Founded:

2014 110 Phone: (410) 995-8811 Fax: (410) 995-8842 Address: 1629 Thames Street, Suite 200 Baltimore, MD 21231 Website: www.protenus.com Employees:

Company Background

Founded in 2014, Protenus is an innovative, technology-first company headquartered in Baltimore. Our team of problem solvers, subject matter experts, and support stewards spans the entire country. Protenus was born of a determination to solve problems in healthcare that would provide better patient outcomes and increase patient trust in the healthcare organizations where they sought care. Although hospitals in the U.S. spend $39B per year to maintain compliance, most of it goes towards time-consuming, inefficient manual tasks. We thought the money could be better allocated to improving patient outcomes, so through innovation we began to tackle common healthcare compliance challenges. First focusing on protecting patient privacy, we then broadened our scope to issues of healthcare workers stealing or misusing controlled substances. In the years since, we’ve empowered hundreds of healthcare organizations to reduce risk. We’ve also cultivated the largest collaborative user community of healthcare compliance peers and experts from Protenus, PANDAS, that continues to move healthcare forward. That same innovation, determination, and community are still the pillars of Protenus today and carry us forward in our belief that the delivery of care should be without risk.

Partner With A Vendor You Can Trust

It’s important to partner with a vendor who understands current industry drivers and challenges, is aligned with your organization’s compliance and risk strategies, and is focused on providing the guidance and solutions to help you achieve your goals. Our powerful healthcare compliance platform harnesses the power of artificial intelligence (AI) to identify and surface inappropriate behavior that may otherwise go unnoticed as it happens, reducing risk to your workforce, your organization, and most importantly, the patients you serve. When you choose Protenus as your partner, you are choosing a company that makes a commitment to innovation, determination, and community to better protect your organization, workforce, and patients. When working with Protenus, you will benefit from cutting-edge technology and a team that is dedicated to helping you navigate the complex landscape of healthcare compliance and risk management.

Who We Serve: Our sole focus is on healthcare organizations such as hospitals, health systems, AMCs, and large physician groups, supporting their risk elimination and compliance efforts as well as strategic initiatives like reducing costs, maintaining a stellar organizational reputation, and protecting their patients, workforce, and community at-large. Our Vision: We believe that the delivery of care should be without risk. Our Mission: We empower healthcare organizations with AI-powered, scalable risk-reduction solutions built to deliver cohesive and actionable data when and where needed. Ultimately, protecting the delivery of care while challenging the industry to focus on what matters most by driving the safest, highest quality patient outcomes.

Product Overview

Drug Diversion Surveillance, developed by Protenus, identifies and helps prevent clinical drug diversion incidents that occur within healthcare organizations. Awarded 2023 Best in KLAS for Drug Diversion Monitoring, the Protenus solution uses the power of artificial intelligence (AI) to monitor up to 100% of medication use transactions, it identifies unseen behavior as it happens, reducing risk to workforces, organizations, and most importantly, patients.

n Protenus Drug Diversion Surveillance Offers • Visibility Into Incident Generation: Platform is powered by data

covering 100% of medication use transactions to give investigators complete visibility into potential drug diverters’ behavior patterns that may otherwise go unnoticed.

• Time Savings and Efficiencies: Each incident is surfaced along

with clear and concise background information to allow investigators to resolve incidents quickly. Customers have reported a 5-15 minute incident evaluation time using the Protenus platform.

• Flexible, User-Friendly Analytics and Dashboards: User-friendly

dashboards reduce the need for manual analytics and report creation. Our File and Error Delivery dashboards empower IT end users to monitor and troubleshoot the robust set of data feeds that power the Protenus platform.

• Commitment to Continuous Innovation: Our product and

engineering teams partner to receive feedback directly from our customers and deliver maximum value. Customers have forwardlooking visibility into planned feature and functionality enhancements.

Additional Services

The Drug Diversion Checkup [DDC] offers a quarterly or annual review of a healthcare organization’s overall drug diversion surveillance program, answering the question, “how is our program doing and how can we improve?” The DDC is included as part of the Premium Services Package or can be purchased as an add-on.

Key Business Partner Inmar Intelligence

WINTER 2023

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

Bringing safety, transparency, availability, and quality to compounded medications. Safety

Availability

Transparency

Quality

(833) 397-0106 | staqpharma.com | staqpharma@staqpharma.com

2 0 WAY 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

STAQ Pharma — IV Bags Available Now and Oncology Drugs Coming Soon On the frontlines to combat the ongoing drug shortage crisis, STAQ Pharma understands the operational and patient impacts when drugs are hard to find, and is working hard to ensure our products are always in stock and ready to ship when needed.

CEO:

Joe Bagan President: Mark Spiecker Founded: 2018 Employees: 150 Phone: (833) 397-0106 Locations: Columbus, OH and Denver, CO Website: staqpharma.com Email Address: staqpharma@staqpharma.com

Company Background

In 2019, STAQ Pharma opened its first facility in Denver, Colorado. STAQ was created as a 503B from the start, meaning the 27,000 sq. ft. Denver facility was specifically built and designed to meet the highest safety and regulatory requirements — as a pharmaceutical manufacturer to make compounded medications. After realizing the market demands and critical needs for a safe and trusted 503B, STAQ opened its second location in Columbus, Ohio in 2022. The newest facility is approximately 10 times larger than the Denver location, with 225,000 effective square feet of space. STAQ pioneered the hospital-owned and directed 503B Outsourcing Facility, with over 10 hospital equity owners. STAQ adheres to cGMP (current Good Manufacturing Practices), has been inspected by the FDA and is licensed from coast to coast. Our customers guide us through formal feedback on everything from product selection and final packaging, to our state-of-the-art ordering portal, where customers see what they are getting before it ships.

Product Overview

STAQ is consistently and regularly adding to an already extensive product portfolio. STAQ was on the frontlines during the Desmopressin Intra Nasal Spray and Electrolyte shortages, and developed responses in partnership with the Hemophilia Alliance and Angels for Change. STAQ also intervened in the concentrated Albuterol shortage with several pediatric hospitals and the Children’s Hospital Association. More recently, STAQ has added shortage products to address the Methadone shortage and will add products soon to address the oncology drug shortage. In the current product portfolio, STAQ offers a vast list of syringes, ON-Q Pain Relief Systems, nasal sprays, and IV bags. n IV Bags • Fentanyl Citrate in sodium chloride PF. • Ketamine HCI in sodium chloride PF. • Ropivacaine HCI 0.2% in 0.9% sodium chloride. n Oncology Drugs STAQ will be one of the very few 503Bs with the capacity and physical plant necessary to produce hazardous drugs. As the shortage for oncology

drugs increases, STAQ will add three widely needed and necessary oncology products, in standard vial presentations, to its portfolio. • Carboplatin, Cisplatin, and Methotrexate The Columbus facility has state-of-the-art cleanroom space that is dedicated for producing hazardous drugs. STAQ will begin production for these drugs in the first quarter of 2024, beginning with Cisplatin, then Methotrexate, then Carboplatin. STAQ has started conversations with hospitals on the next critical oncology shortage products as well.

Additional Information

STAQ’s mission from day one has been to help ensure the highest quality medications for all patients. Our trusted reputation demonstrates our commitment to the safety, transparency, availability, and quality of the products we produce. We offer our partners full access to our facilities and quality systems via in person visits or though video tours. Contact us and schedule a site visit with our Columbus or Denver facilities today!

Industry News

STAQ received local and national recognition for the work done in the area of drug shortages, with features in publications like CNN and The Washington Post. In some cases, STAQ was the only manufacturer with product available in the U.S. for certain medications on the shortage list. More recently, STAQ has started efforts to address oncology drug shortages in the U.S. STAQ started working with the Hemophilia Alliance in 2021 to address the Desmopressin Intra Nasal Spray shortage that impacts Von Wildebrand’s patients in the U.S. STAQ then replicated the shortage model with Angels for Change Foundation in February of 2022 to combat Electrolyte shortages and help supply more than half a million life-saving treatments across the country. To learn more about this project, visit angelsforchange. org/project-protect. STAQ was also featured in a press release from Children’s Hospital Association for its work on creating a dependable supply of Albuterol for pediatric patients during the critical shortage. To learn more about how STAQ was able to partner and help, visit childrenshospitals.org/news.

Trade Shows/Meetings Attended

You can connect with the STAQ team at several meetings throughout the year! The team attends conferences and trade shows across the U.S. To see where STAQ will be at this year, visit staqpharma.com, or scan the QR code on our ad.

Ordering Information

Reach out to STAQ today to connect and become a customer! staqpharma.com | (833) 397-0106 | staqpharma@staqpharma.com

WINTER 2023

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

MASTERING CLEANROOM GOWNING Ensuring Quality & Sterility in High-Stakes Environments

Cleanroom gowning is a crucial aspect of maintaining a clean and sterile environment to produce high-quality products. By following a strict set of guidelines, cleanroom gowning helps to minimize the risk of contamination from human skin, hair, and clothing. This is especially important in industries such as pharmaceuticals, electronics, and biotechnology, where even the slightest particle can have a significant impact on the final product. Proper cleanroom gowning ensures the safety of employees and customers, as well as the quality and reliability of the products being produced. Don’t underestimate the importance of cleanroom gowning — make sure your team is trained and following the proper procedures to ensure your products are of the highest quality. When it comes to cleanroom garments, it’s essential to use clothing that is specifically designed and approved for use in a cleanroom environment. These garments should be made of materials that minimize the shedding of particles and fibers, as well as being nonlinting and non-shedding. Typically, cleanroom garments are made of synthetic materials such as reusable, polyethylene 88

WINTER 2023

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

terephthalate (PET) or single-use polypropylene (PP) and single-use high-density polypropylene (HDPE) as these materials have a tighter weave and produce fewer particles than garments with natural fibers. The level of cleanliness required in the specific cleanroom will dictate the gowning items necessary so you can create your gowning protocol. Cleanroom garments include: • Coveralls • Hoods • Goggles • Boots

• Gloves • Frocks • Shoe covers • Beard covers

• Bouffants • Face masks • Scrubs

contamination. Based on the applicable standards and practices, ISO recommendation per ISO Standard 14644-1 Classification of Air Cleanliness by Particle Concentration. For example, an ISO Class 5 Cleanroom is equal to FED-STD 209 Class 100 and approximately equal to EU Grade A. Common cleanroom classifications for pharmaceuticals, compounding, and medical device areas are ISO Class 8, ISO Class 7, ISO Class 6, and ISO Class 5 cleanrooms. To maintain a sterile environment in certain cleanrooms, it’s important to follow specific gowning protocols for aseptic manufacturing. These protocols are outlined for cGMP,

may include cleaning supplies, such as disinfectants and cleaning wipes, to maintain a sterile environment. Sterile reusable microfiber mop systems with one-step, precise touch-free mop wetting and discarding of the aseptic reusable mops are identified for dedicated usage locations to clean floors, walls, and ceilings. There are similar disposable single-use mops with a similar system and for the same surfaces. Isolator cleaning systems with reusable or disposable micro mop heads allow you to clean the hoods effectively and ergonomically; the need to reach all the way into the hood, shoulder deep, using your hand to wipe clean the

USP <797>, USP <800>, or EU Annex 1, and are designed to ensure the safety and efficacy of the manufacturing process.

inside of the hood potentially increases the risk of contamination compared improved methods and tools. Using these tools reduces the risk of contaminating the hood while cleaning.

Establishing a suitable cleanroom gowning procedure is critical to maintaining the integrity of your products and ensuring the safety of your customers and colleagues. By prioritizing safety and quality, you can create a work environment that inspires confidence and trust, strengthening your commitment to excellence and the quality that catapults you forward. Additionally, cleanroom environments require specialized equipment such as ULPA and HEPA air filters to ensure the air is clean and free of particles. Specific water is of great importance and USP purified water is needed to manufacture pharmaceuticals; for example, water for injection (WFI) USP sterile water for injectable drug manufacturing is a key component. Other products needed

It’s essential to select appropriate products that are for use in a cleanroom environment to ensure maximum effectiveness in minimizing contamination. Following the correct cleanroom protocols and using best-in-class cleanroom products like the items above will help to reduce contamination risk exponentially within your controlled cleanroom space. It is recommended that you contact expert consultants to help guide you in developing quality best practices in the management of your cleanroom process. Contributor: Myles Reukema, Senior Director Cleanroom Sales, Prudential Cleanroom Services

SW U IMNM TER 2022 3

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

CHANGING THE GAME TO DELIVER A FULLY AUTONOMOUS PHARMACY ARxIUM integrates hardware and software solutions into a unified platform, facilitating seamless connectivity of pharmacy systems and workflows while achieving enterprise visibility and control over inventory management.

CENTRALIZED Command and Control

CONNECTED Smart Systems and Devices

COMPLIANT Regulatory Management

CONSOLIDATED Digital Ecosystem

COORDINATED Efficient Workflows

888-537-3102

Info@arxium.com

arxium.com

2 0 WAY 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

ARxIUM — Changing the Game to Deliver Solutions to Achieve the Fully Autonomous Pharmacy ARxIUM delivers best-in-class technology and unparalleled expertise focused on helping pharmacies of all sizes and types, with the primary goals of improving safety, productivity, and efficiency. CEO & Owner:

Nhat H. Ngo Founded: 1994 Employees & Contractors: 500+ Toll-Free Phone: (888) 537-3102 Phone: (847) 808-2600 Fax: (847) 215-1838 Address: 1000 Asbury Drive, Suite 4 Buffalo Grove, IL 60089 Website: www.ARxIUM.com

Company Background

ARxIUM™ was formed on March 7, 2015, when Intelligent Hospital Systems acquired AutoMed Technologies, Inc., Telepharmacy Solutions, Inc., and AutoMed Technologies (Canada) from AmerisourceBergen Corporation. All of the merged entities are well-established technology companies in the pharmacy automation industry with AutoMed Technologies originally incorporating in 1992, Telepharmacy Solutions incorporating in 1994, and Intelligent Hospital Systems incorporating in 2004. In 2022, Nhat H. Ngo, a seasoned healthcare executive, acquired ARxIUM, given his passion for technology and desire to change the game for pharmacy. As CEO and owner, Ngo is collaborating with health systems to take pharmacy operations to the next level and to achieve the goals of a fully autonomous pharmacy. ARxIUM has over 500 employees and contractors based in the U.S., Canada, and Europe.

Product Overview

n Complete Pharmacy Automation, Inventory and Workflow Management Solutions

ARxIUM solutions are scalable to support the needs of pharmacies of all sizes and designed to optimize operational efficiencies and enhance workflows and business processes. ARxIUM’s comprehensive portfolio of industry-leading pharmacy automation technologies can operate in standalone environments and can also be configured as a component of an overall fully integrated enterprise solution. n Pharmacy Inventory Management RxWorks™ Pro is the comprehensive pharmacy software platform that serves as the central hub that consolidates all functional assets into an integrated solution. It enables clients to centralize operations and achieve enterprise level visibility and control of medication inventory. n High Volume Capabilities and Smart Conveyance OptiFill™ is our high-volume automated dispensing system of choice because of its robust capabilities and scalability. The prescription fulfillment hardware works directly with proprietary software to process

high-volume orders. Combined with RxWorks Pro, Smart Conveyance delivers a connected system to enable a centralized pharmacy service center to streamline and automate the order fulfillment process from order creation all the way to delivery to any inventory-carrying site. n Pharmacy Carousels and Vertical Storage The FastFind™ Carousel is designed to increase your vertical storage capabilities, while also improving pharmaceutical dispensing speeds. Batch processing, barcode scanning, robotic programming of routine tasks — this carousel solution is another key component in the complete automation of your pharmacy fulfillment process. n Automated Dispensing Cabinets (ADCs) The MedSelect™ Flex system is ARxIUM’s go-to ADC solution. This modular and scalable solution offers hospitals and long-term care pharmacy providers a modular design that helps reduce medication errors, control costs, comply with regulatory agencies and increase staff productivity. This is accomplished through multiple levels of security, best-in-class data storage, robust reporting capabilities, true unit-dose dispensing and single item access capabilities. n IV Room RIVA™ is the automated IV compounding systems industry standard. This robotic IV room solution reliably and accurately prepares intravenous syringes and bags within your pharmacy, decreases errors, increases safety, overall efficiency, and proactively addresses the everevolving regulatory environment. n Medication Packaging ARxIUM offers a comprehensive line of FastPak™ solutions to tackle all of your pharmacy’s packaging needs. This system not only automates the prescription fulfillment packaging process but can also verify and inspect pouches to ensure the utmost quality and consistency each time. n High-Speed Vial Filling The FastFill™ vial filling machines are designed to perform at the highest production level without diminishing quality or precision. No matter if your pharmacy must fill 100 prescriptions a day or thousands a week, ARxIUM has the right vial filling automation solution for your operation. n Actionable Insights | Reporting and Analytics ARi™ is ARxIUM’s latest pharmacy reporting and analytics platform, designed to deliver actionable intelligence from pharmacy operations data. Whether you are analyzing automated dispensing cabinet data in your hospital, managing inventory in disparate locations, or operating a centralized pharmacy service center, ARi™ is scalable and flexible to accommodate your reporting and analytics needs from a single platform.

Trade Shows/Meetings Attended

Come meet the new CEO and owner at this year’s ASHP Mid-Year Clinical Meeting, booth number #1731. WINTER 2023

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

TEMPERATURE INTELLIGENCE®

zebra.com

2 0 WAY 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

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

CEO:

Anders Gustafson Founded: 1969 Employees: 8,800 Phone: (847) 634-6700 Fax: (847) 913-8766 Address: 3 Overlook Point Lincolnshire, IL 60069 Website: www.zebra.com

Company Background

Zebra empowers organizations to thrive in the on-demand economy by making every front-line worker and asset at the edge visible, connected, and fully optimized. With an ecosystem of more than 10,000 partners across more than 100 countries, Zebra serves customers of all sizes — including 94% of the Fortune 100 — with an award-winning portfolio of hardware, software, services, and solutions that digitize and automate workflows. Supply chains are more dynamic, customers and patients are better served, and workers are more engaged when they utilize Zebra innovations that help them sense, analyze, and act in real time. In 2021, Zebra expanded its industrial automation portfolio with its Fetch Robotics acquisition and increased its machine vision and AI software capabilities with the acquisitions of Adaptive Vision and antuit.ai.

Product Overview

Zebra’s portfolio of solutions includes: specialty printing and supplies, barcode scanning, mobile computing and rugged tablets, RFID and real-time location systems (RTLS), intelligent workforce management and execution solutions, data services and prescriptive analytics, support, managed and professional services, intelligent automation systems, and temperature monitoring and sensing solutions. Our comprehensive temperature monitoring and sensing portfolio, manufactured by Temptime, meets the cold chain needs of specialty pharmacies and their patients. This portfolio includes: • Visual, low-cost, chemically-based heat and freeze indicators for blood products, vaccines, biologics, and other medication during storage. • Heat and freeze indicators for monitoring medication during shipment. • Sophisticated electronic, wireless temperature and humidity monitoring systems with cloud-based data storage and sharing. Zebra is striving to improve supply chain efficiency, global health, and patient care through the effective deployment of devices and solutions that identify temperature excursions and provide information so that action can be taken.

Product Specifications

n Wireless Monitoring Systems The family of wireless Bluetooth®-enabled sensors monitor and record temperature data 24 hours a day, seven days a week. The W-200 is designed for facilities and warehouses, monitoring both temperature and humidity in medication storage areas to help with accreditation compliance and regulatory requirements. Data can be accessed remotely using a web-based application and customized alerts notify users instantly if any areas have exceeded temperature limits. The M-300 and S-400 programmable dataloggers are ideal for monitoring temperatures during transport or storage, letting users: • View and share temperature data with a free mobile app. • Customize alarm limits, datalogging intervals, startup options, and more. • Store unlimited data on the cloud and generate reports with a complementary web app. n Package Performance Qualification Testing For specialty pharmacies, package performance qualification (PPQ) testing ensures that the shipment packaging is able to provide the necessary temperature range for the required period of time during transport of critical and often lifesaving medications to patients. More than that, PPQ testing is also required for certain pharmacy accreditations, such as URAC. These wireless monitoring devices help specialty pharmacies simplify PPQ testing while providing data and information to optimize packouts. Customized third-party PPQ testing services also help meet the requirements of pharmacy networks that make third-party validation testing a condition of participation. n TransTracker® Shipment Indicators TransTracker® visual temperature indicators monitor medication heat and freeze events during shipment. They are simple to read and understand, so patients can tell at a glance if medication has been handled within the appropriate temperature range. These devices instill a higher level of patient confidence so that unnecessary, costly reshipments due to suspected temperature damage can be reduced or eliminated. These cost-effective, single-use indicators also help specialty pharmacies comply with state regulations.

Testimonial

97% of medication recipients said they prefer a specialty pharmacy that uses the TransTracker® indicator in its shipments.* * Based on “Experience of Specialty Pharmacies in TransTracker Product-in-Use Patient Research” with over 8,000 patient responses.

WINTER 2023

H E A LT H S Y S T E M • I N F U S I O N 93

RXinsider.com

Why Your 340B Hospital Can And Should Have An Onsite Specialty Pharmacy

An onsite specialty pharmacy beneﬁts your hospital’s patients by —

What’s more, some covered entities generate as much as 600% in revenue from 340B specialty drugs as they do in traditional retail / outpatient

Ensuring that oversight of care for the sickest

pharmacy 340B prescriptions.

patients stays within your system In short, your patients beneﬁt — and so does

Overcoming many of the manufacturers’ 340B-eligibility restrictions

your health system. Learn how ProxsysRx can optimize your 340B

Improving eligible patients’ access to

revenue, and make a specialty pharmacy possible

340B-prescription savings

and aﬀordable for your health system.

Contact Howard Hall: 214.808.2700 howard.hall@proxsysrx.com

For Better Outcomes. And Better Incomes.

Behind Every Good Pharmacist ... is a Great Resource. RXinsider’s Thought Leader Video Series are informative videos comprised of multiple interviews with thought leaders throughout the pharmacy profession. Explore niche subject matter and gain insight through hundreds of thought leader videos.

RXinsider.com

Consistent supply, proven quality and reliable service

Amneal has it all in the bag A US-based company with strong roots in generic pharmaceuticals, Amneal is growing its Biosciences portfolio to include ready-to-use IV bags. We’re committed to ready-to-administer presentations like bags and preﬁlled syringes, ensuring availability and quality for years to come. This is how we make healthy possible.

More IV bag selections coming soon.

Learn more about new launches and all our products by scanning the QR code or visiting amneal.com. Order from your wholesaler/distributor or contact sales@amneal.com Images are for reference only; actual product may vary. © 2023 Amneal Pharmaceuticals LLC. All rights reserved. PP-ADP-BIOSC-US-0002 10.23

Count on generics. Now more than ever. Dr. Reddy’s generic medications have been making life more affordable for patients for over 40 years. Today, our commitment to providing access to high quality, more affordable medications that patients and their doctors can count on remains unchanged. Why? Just ask the more than 23,000 committed employees at Dr. Reddy’s who know that Good Health Can’t Wait.

Dr. Reddy’s Laboratories, Inc. | 107 College Road East, Princeton, NJ 08540 | Tel: 866-733-3952