20Ways SUMMER Hospital 2014 by RXinsider

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

PHARMACY COST C O N TA I N M E N T Summer 2014

Health System

â&#x20AC;˘

Infusion

20 Unique Products & Services

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

8 Preceptors Recognized

8 Preceptors recognized by 7 colleges including Campbell University, URI, MCPHS, Rutgers and more. page 24

Pharmacist Jobs Pharmacy Job Opportunities

page 54

Trade Show Calendar page 38

Contents WAY

PIB PROGRAMMED INTERMITTENT BOLUS

Advancing labor analgesia and post-operative pain management through targeted distribution of medication

CADD®-Solis Ambulatory Pain Management System with Programmed Intermittent Bolus (PIB) Combines PCEA/PCA and PIB deliveries for an effective, innovative pain management solution

100 mL

NEW! CADD®-Solis V3 Pump Has

PIB

Running

1 mL

Epidural Labor and Delivery Fentanyl/Bupivacaine

Bolus Interval Next Bolus PCEA Dose

Stopped

54 mL

Bolus Interval

PCEA Attempted

PCEA Given

Intermittent Bolus

Continuous Rate

10 mL

Running

PCEA and Intermittent Graph

2 Hrs 0 Min mL

Home

Press ‘select’ to edit

Intermittent Bolus

10 8

2 mg/hr 1 Hrs 0 Min

1 Hrs 0 Min

6 4

3 Min

20 Min 0

2 mL

Reports

Tasks

Tailor patient and procedurespecific protocols

C o u n t

Don’t Save

Save

11:00

15:00

Back

Titrate dosing within userdefined programming limits

Track therapy progress with trend and log reports

> Controls pain before it escalates with programmed intermittent bolus delivery > Provides targeted medication distribution that knocks out the pain, not the patient

Effective pain management is pain relief without motor blocks, higher patient satisfaction and less drug consumption1,2

For more information call 1-800-258-5361 www.smiths-medical.com

1. Wong, Cynthia, A., et al. A Randomized Comparison of Programmed Intermittent Epidural Bolus with Continuous Epidural Infusion for Labor Analgesia. Anesth. Analg. 2006; 102:904-9. 2. Leo, S., Ocampo, C.E., Lim, Y., Sia, A.T., A randomized comparison of automated intermittent mandatory boluses with a basal infusion in combination with patient-controlled epidural analgesia for labor and delivery. International Journal of Obstetric Anesthesia (2010) 19, 357-364.

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WAY I wanted to thank you

IMI offers a complete range of products designed specifically for sterile compounding including our renowned line of Prep-LockTM Tamper Evident Caps for luer lock syringes and oral dispensers. Easy installation for the pharmacy and easy removal for the nurse...no more fumbling with shrink wrap or sticky, brittle tape. Secure your sterile IV preparations and enhance USP <797> compliance!

The NEW CADD -Solis v3 patient-focused infusion system allows Programmed Intermittent Bolus (PIB) delivery. ®

and your team for the outstanding support during our HRSA audit. We very much appreciated your on-site presence and active support both

”

before and during the audit.

Are You Audit Ready? Talyst is proud of our 100% 340B Audit Success Rate! What do all Talyst AutoSplit® Fully Managed customers have in common that have experienced a HRSA audit? With Talyst’s assistance, a perfect audit record! Audits can be stressful. With our fingers on the pulse of regulatory changes you can rely on Talyst to help your health system stay compliant with federal regulations while ensuring a successful audit experience. Talyst experts provide a multidisciplinary approach to ensure audit compliance including program set-up, administration, and legal and government affairs. Our experienced consultants are available to be on-site to partner with you throughout your audit process. Talyst is committed to improving healthcare with innovative medication management systems, software, and services to help caregivers serve patients. Are You Audit Ready? For more information, call 877.4.TALYST x1 or info@talyst.com

Talyst’s 340B Contract & Specialty Pharmacy Solutions

Innovative Sterile Products for Compounding Pharmacies

800-344-2554

www.imiweb.com

One device to take to a patient’s bedside. One device to ring up a prescription. One device to collect payment (cash, check or credit). One device to capture signatures. One device to print a receipt. With EvolutionPOS from RMS, one device can solve your patient discharge needs.

The Leader in Pharmacy Point-of-Sale Innovation

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

3/10/2014 4:23:04 PM

WAY Trust your vaccine storage to the Scientific Refrigeration Specialists

Protecting the Population from Health Risks Amidst the growing recognition of the need to protect the potency and viability of vaccines and other drugs during storage, it is more important than ever to have confidence in your pharmacy refrigerator.

Increase outpatient pharmacy revenue and patient compliance while reducing readmission rates and Medicare fines with EvolutionPOS! page 13

Air-cooled, forced air circulation maintains superior temperature uniformity and consistency, which is key to maintaining viability and efficacy.

Evaporator fans shut off during door openings to maintain stable temperatures.

Store vaccines and other pharma drugs with confidence, knowing they will maintain viability and efficacy in the most reliable pharmacy refrigerator in the industry.

Built-in monitoring systems provide continuous monitoring, real-time alarm notification, and status information for worryfree storage.

Additional Features x

Integrated Access Control ensures vaccine protection and integrity

Custom storage options include roll out baskets, drawers, and full or half-size shelves.

Low humidity levels create a dry storage environment which reduces condensation on boxes and other containers.

Adjustable LED lighting provides energy-efficient illumination.

Focused only on medical-grade refrigeration products for over 35 years.

TrueBlue.

For more information visit www.helmerinc.com 20 Ways Ad - Way 5A - April 2014.indd 1

page 15

Providing Protection Against Health Risks with Helmer Scientific Pharmacy Refrigerators

Confidence Matters.

Talyst understands a pharmacy’s need to optimize its 340B savings. For more than a decade, Talyst has supported over 400 health systems with their AutoSplit 340B software.

Capture More Scripts with Outpatient Bedside Discharge with RMS EvolutionPOS

International Medical Industries, Inc.

20 Ways Ad 2014.indd 1

page 11

All you need is one.

Enhance the security and integrity of your Compounded Sterile Preparations with the industry standard in Tamper Evidence.

FREE Sterile Samples for Evaluation!

Talyst.com | 877.4.TALYST

WAY

Sterile Compounding Devices – Prep-Lock™ Tamper Evident Syringe Caps by International Medical Industries, Inc.

What’s Under Your Hood?

page 9

“

CADD®-Solis Ambulatory Pain Management System with Programmed Intermittent Bolus by Smiths Medical

4/11/2014 3:27:08 PM

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page 17

PCCA: Delivering Quality Without Compromise

Only PCCA member pharmacies bring the highest quality chemicals, bases and training to your patients.

Quality. Lives depend on it. We know that quality isn’t a luxury. It’s a necessity – for the health of your customers and your business. That’s why we combine four variables – ingredients, formula development, education and consulting – to deliver quality without compromise to our member compounding pharmacists. And every chemical lot – not just the initial lot – is tested. In a time when the compounding industry is under scrutiny, that means real peace of mind. Learn more about PCCA’s commitment to quality at pccarx.com/quality and how to do everything you can to keep your customers safe and your business at full sail.

800.331.2498 l pccarx.com

Lifesaver_RxIinsider_8.5x10.875_UPD 04-14.indd 1

4/4/2014 6:26:52 PM

Summer 2014

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h e a lt h s y s t e m • i n f u si o n

Wa t

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og 1

Temperature Door Position Water Leaks Power Failure

Smoke Video

Colďż˝ Chaiďż˝

Temperature Monitoring

nvironment monitoring solutions for vaccine fridges, refrigerators, freezers and warehouses. Meet CFR 21 Part 11 compliance reporting requirements with web monitoring and real-time logging. Keep an eye on your critical inventory over web. Get alerts over email & texts when user-defined thresholds are breached.

24/7 MONITORING

ALERTS & LOGGING

NO Maintenance Fees FREE Tech Support Software NOT REQUIRED

Can you afford losing your inventory? Put your mind at ease. Contact us today for a free estimate.

512.257.1462 | sales@itwatchdogs.com | itwatchdogs.com

FREE Shipping

Promo Code: rxinsider

Contents WAY

The One-Container Pharmaceutical Waste Solution Simple, no worries, the highest level of technology, and best of all – full compliance. Clinicians simply put both the non-hazardous and the RCRA hazardous pharmaceutical waste in the same black container.* Clean Harbors, the largest hazardous waste incineration company in North America, will pickup, transport, dispose of, and keep you in full compliance. We own every step of the process and don’t broker your waste to someone else, like your red container medical waste provider has to. Ensuring compliance to waste segregation protocols can be difficult, both to train staff and to enforce. This can put your hospital at risk for regulatory action.

EPA and RCRA Compliance with One-Container by Clean Harbors

A single container system that is simple to implement for clinical staff and is safer for the environment.

Preceptor Recognitions

page 21

page 24-25

For more information: Call 800.645.8265 Email healthcareservices@cleanharbors.com www.cleanharbors.com * There are a few waste items that must be collected separately due to DOT regulations. Please contact Clean Harbors for more info.

EXPERT IN - HOUSE PHARMACEUTICAL & HAZARDOUS WASTE MANAGEMENT

WAY Freedom – Highest Quality Assured

To learn more about Freedom’s commitment to quality, our testing processes and how we provide you with peace of mind, visit freedomrxinc.com/quality. At Freedom, we are committed to providing only the highest quality Active Pharmaceutical Ingredients (APIs), excipients and pre-made bases. We know that quality and consistency gives our customers peace of mind, confidence, and a competitive advantage in their practice. To ensure the integrity of our chemicals, every lot and batch is rigorously screened to meet and exceed the most current requirements and specifications.

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Highest Quality Chemicals Assured by Freedom Pharmaceuticals

Freedom is committed to providing the highest quality Active Pharmaceutical Ingredients (APIs), excipients and bases.

The ultimate in operational flexibility for retail, long-term care and hospitals alike, the FastPak Elite packaging system offers unparalleled versatility to meet the needs of virtually any pharmacy operation. Whether you need an adaptable configuration that allows you to choose just the right size packager for your operation, half-tab canisters for high-quality, in-line pill cutting, customizable printing, or built-in intelligence that will select the appropriate bag size based on the order characteristics, FastPak Elite offers the ultimate in high-volume packaging technology. Capabilities include:

> Locking mechanisms provide maximum security > Swappable lower packaging unit reduces downtime > Specially designed user interface maximizes production > Bitmap printer allows for additional fonts and image creation

For more information on this and other technology solutions from ABTG, contact us at 877-781-ABTG (2284), email info@ABTG.com or visit www.ABTG.com

AmerisourceBergen. Where knowledge, reach and partnership shape healthcare delivery.

QUARTERLY ISSUES Summer 2014

Spring 2014

PATIENT CARE &

PHARMACY COST C O N TA I N M E N T Summer 2014

Health System

•

Spring 2014

Infusion

20 Unique Products & Services

Issue Focus: Retail, Specialty & LTC Issue Frequency: Spring & Fall Circulation Per Issue: 31,800+ 18,000+ Owners (Independents) 2,500+ Retail Chain Executives 2,500+ Industry Executives 5,000+ College Preceptors 1,800+ College Faculty 2,000+ Trade Show Handouts

PATIENT CARE &

PHARMACY COST C O N TA I N M E N T Winter 2013

Community • Specialty • LTC

Recognized

page 54

6 Preceptors Recognized by 7 Colleges Including Campbell University, UNE, MCPHS, UCONN, Roosevelt . . . page 24

Pharmacist Jobs Pharmacy Job Opportunities. . .

Trade Show Calendar

Community • Specialty • LTC

page 54

Trade Show Calendar

page 40

IMPROVING PAT I E N T C A R E & PHARMACY P R O F I TA B I L I T Y Fall 2013

Community • Specialty • LTC

20 Unique Products & Services

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

12 Preceptors Recognized

12 preceptors recognized by 11 colleges including Belmont, UNC, Campbell, UCONN, SIUe … page 24

Trade Show Calendar page 40

page 38

Health System • Infusion

Infusion

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

8 preceptors recognized by 7 colleges including UNE, MCPHS, Campbell, UCONN, SIUE . . . page 24

Pharmacist Jobs

•

6 Preceptors

8 Preceptors

Trade Show Calendar

Health System

20 Unique Products & Services

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

8 Preceptors recognized by 7 colleges including Campbell University, URI, MCPHS, Rutgers and more. page 24

Fall 2013

I M P R O V I N G

20 Unique Products & Services

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

Pharmacy Job Opportunities

Winter 2013

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

I M P R O V I N G

Recognized

Issue Focus: Hospital & Infusion Issue Frequency: Summer & Winter Circulation Per Issue: 19,000+ 6,500+ Hospital Directors 2,200+ Clinical Consultants 2,500+ Industry Executives 5,000+ College Preceptors 1,800+ College Faculty 1,000+ Trade Show Handouts

page 27

The AmerisourceBergen® logo and AmerisourceBergen® are registered trademarks of AmeriSource Heritage Corporation in the United States and/or other countries. FastPak® is a registered trademark of AutoMed Technologies, Inc.

8 Preceptors

2014 CIRCULATION

FastPak Elite is the newest and most advanced packaging innovation for retail, long-term care and hospital pharmacy settings.

> Specially designed features that save on consumable use

page 23

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

Introducing FastPak® Elite – the next generation packaging solution

> 100% smart canisters allow for a virtually endless formulary

Knowledge. Support. Supply.

freedomrxinc.com • 877.839.8547

FastPak Elite Delivers High-Volume Pouch Packaging Technology

Health System • Infusion

Community • Specialty • LTC

Visit 20Ways ONLINE at RXinsider.com/20Ways

Summer 2014

h e a lt h s y s t e m • i n f u si o n

USP <797> COMPLIANCE Why Test For Endotoxin? USP <797> requires that Compounding Pharmacists test certain high risk Compounded Sterile Preparations (CSPs).

What Are Your Options? Either send out to a contract lab, or test in-house. Associates of Cape Cod’s Pyros Kinetix® Flex Endotoxin Detection System provides a cost-effective, in-house endotoxin testing solution.

• Compliance: Meets USP requirements • Cost-Effective: Significant cost savings available • Rapid Turn-Around: Results possible in under 60 minutes

Cal l A ssociates of Ca pe Cod, I n c . F o r A Rapid A n d Cos t- E f f ec ti ve End otoxin Tes ti n g S ol u ti on Toda y.

888.395.2221 • www.acciusa.com

Contents WAY

AHP Full Pg Ad Sum2014.pdf

4/8/14

EXCLUSIVE Unit Dose from AHP Enhances Pharmacy Efficiency

10:25 AM

Our latest market introductions include: Duloxetine DR Capsules, Fluoxetine Capsules, Isosorbide Dinitrate Tablets, Metaxalone Tablets, Methylprednisolone Tablets, Naproxen Tablets, and Trazodone HCI Tablets

American Health Packaging can support you at this ”key intersection” of patient safety and operational efficiency. Our unit dose line is the largest in the industry, with continued growth to support your needs and many of our items are industry exclusives.

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PYROSATE

RaPid ENdOTOxiN dETECTiON KiT ed

NOW

AHP Exclusive unit dose SKUs are the only commercially available bar-coded offering in the marketplace.

License

Final Product Release Easy-To-Use Method Rapid Test Results

Visit our website to view a complete list of all UD offerings.

americanhealthpackaging.com

WAY

ASSOCIATES OF CAPE CO D, INC.

Specialists in Endotoxin and Glucan Detection

ASSOCIATES OF CAPE CO D, INC.

page 37

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

Trade Show & Meeting Calendar

• Maximum compatibility with APIs • Ease of administration with a pleasant mouth feel and taste masking • Pre-weighed kits available to compound suspensions in minutes Contact us now, (800) 423 6967, to order Fagron’s SyrSpend® SF superior suspending technology or online at fagron.us.

page 31

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

WAY

Scalable Solutions for Your Hospital Pharmacy from TCGRx

page 38-41

WAY The MIC isolators are validated to meet FDA guidance. Your Complete MIC Family of Isolators Advanced Aseptic Fully validated to meet the FDA’s guidance for Compounding™ closed system aseptic processing isolators: Solutions Provider ▶ Provides for superior airflow in a continuous ISO

Reduce spending in inpatient and outpatient hospital pharmacies while improving patient outcomes.

TCG Solution

Inpatient Pharmacies

Outpatient Pharmacies

Adherence Packaging

From pharmacy design to inventory management and unit dose packaging, TCGRx offers you a comprehensive solution to help ensure the right medications get to the right patient, at the right time, in the right dose.

For outpatient pharmacies, TCGRx workflow engineers and consulting staff can maximize space and control inventory to help you build an effective MTM program or increase services such as vaccine programs and consultation.

Medication compliance heavily impacts patient success and recovery. TCGRx helps your pharmacy promote patient compliance and greatly reduce hospital readmissions by offering safe and costeffective adherence solutions.

www.TCGRx.com

Associates of Cape Cod, Incorporated

page 29

SyrSpend® SF brings added value in compounding oral suspensions.

Superior Suspending Technology Benefits of SyrSpend® SF include: • Convenient, all-in-one suspending vehicles for compounding • Supports adjusted and flexible dosage regimens • Low osmolality, which minimizes gastrointestinal upset and diarrhea • Extensive and growing database of scientific references for stability data and beyond-use dating

Bacterial Endotoxin Testing USP Chapter <85> Compliant

Fagron’s SyrSpend® SF: Innovative Compounding Suspension Concept

Fagron SyrSpend® SF

the

FDA

New Sensitivities Of 0.03, 0.125 and 0.25 EU/mL

Safety & Efficiency. In Every Dose.

fagron.us

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

W NO

AHP Unit Dose Products Feature: • Easy to Read & Scan Bar Codes • Color Coded Labels • “Tall Man“ Lettering • Extended Shelf Life

Fagron SyrSpend® SF is a total solution that provides you with a convenient and efficient oral liquid dosage form. It uses patented Active Suspending Technology™ holding APIs in suspension longer for more accurate and consistent dosing. Formulated with meticulous attention to detail, no alcohol, parabens, sugars, gluten or dyes, SyrSpend® SF frequently is used for young and old.

ens FDA Lic

Pyrosate® – Rapid Endotoxin Detection Kit by Associates of Cape Cod, Inc.

info@TCGRx.com

262.279.5307

Containment Technologies Group, Inc. Class 5 or better compounding zone encompasses much more than just

compounding aseptic isolator ▶ Validation of transfer ofsuperior materials and supplies

technology. We have grown to become

your one-stop provider ▶ Produces decontamination levels that far for all of your USP<797> needs. at a exceed standard procedures, producing minimum a 4 log reduction with Advanced Aseptic known for with our expertise in CAI’s Compounding™ and a 5We logarereduction and CACI’s with our Mobile Isolation Automated Advanced Aseptic Compounding™ Chamber (MIC) family of isolators (MIC-

Single, MIC-Dual, MIC-TPN ▶ Testing, procedures, protocols that exceed USPand MIC-EDU Systems). standards and state board regulations We offer service plans and complete certification programs including viable and non-viable testing for all of your pharmacy and laboratory primary engineering control needs.

MIC Single

MIC Dual

On-site training is included with every MIC purchase. We also provide customized training from our diverse MIC EDU educational curriculum.

We also offer extensive stock of Containment Technologies Group, Inc.an | www.mic4.com

5460 Victory Dr., Ste. 300pharmacy | Indianapolis,supplies. IN 46203 | p These 317.713.8200 supplies

can be ordered in any quantity from just one piece to multiple cases.

page 33

Please contact CTG, Inc. for all your USP<797> needs.

Closed System Isolators Validated to Meet FDA Guidance by Containment Technologies Group, Inc. The MIC Family of Isolators have been validated to meet FDA guidance. page 43

Protecting the provider, the patient and the environment since 1994. 5460 Victory Drive ■ Suite 300 Indianapolis, Indiana 46203 317.713.8200 Fax 317.713.8201 www.mic4.com

WAY

Unit Dose Done Right

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

• Ultraviolet Inhibitant • Moisture Resistant • Tamper-Evident • Cold Seal • 6 and 12-month Beyond-Use Dating • 1-D and 2-D Bar Coding • Flexible Label and Report Formatting • Multiple Sizes to Fit Your Meds and Storage Needs

Simple. Reliable.

800.523.8966

MediDose.com

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

WAY

Pharma™-Wipe Plus - USP <797> Compliant Wipers by Acute Care Pharmaceuticals

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

Acute Care Pharmaceuticals manufactures advanced USP <797> compliant disposables for advanced environments.

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Summer 2014

h e a lt h s y s t e m • i n f u si o n

Mobilize. IMPROVE COMMUNICATION STRENGTHEN APPLICANT ENGAGEMENT PROJECT A PROGRESSIVE IMAGE

Offer Your Own Mobile Jobs App To maintain a recruiting edge with the “mobile generation”, your company or institution will require a mobile app for job seekers to quickly and conveniently monitor your career opportunities. We can help. Our experienced team will have your mobile jobs app ready within seven days, with minimal time investment, and at an affordable price. Please have your recruiting department contact us to learn more about our simple, affordable, and headache-free mobile app development services. CEAppCenter.com | (800) 972-2083 | AppSupport@RXinsider.com

Contents WAY

Minimize Risk. Maximize Compounding Accuracy. With NuAire Inc.’s PharmaGard NU-797 Isolators.

MINIMIZE RISK MAXIMIZE COMPOUNDING ACCURACY NuAire’s PharmaGard™ ES (Energy Saver) NU-797 Compounding Aseptic and Containment Isolators offer both a positive pressure and negative pressure ISO Class 5 clean air controlled environment for the aseptic compounding of non-hazardous or hazardous drugs utilizing TruLaminar™ Airflow. • Ergonomic Design Reduces User Fatigue • Large Oval Glove Ports Extend Users’ Reach • Sliding Sharps and Waste System makes Routine Container Removal and Replacement a Breeze • Counter Balance Inner Transfer Window and Sliding Work Tray provides a Seamless Transition when Entering Compounding Materials into the Work Zone NuAire manufactures a wide range of clean air equipment to fit your pharmacy needs. NuAire manufactures at three separate locations in Minnesota to create a true made-in-America product sold in over 150 countries worldwide.

Find all your PharmaGard™ accessories online - www.nuaire.com/04944 ®

@nuaire

/nuaire

2100 Fernbrook Lane | Plymouth, MN 55447 | U.S.A. | 763.553.1270 | WWW.NUAIRE.COM

NuAire_PharmaGardES_RX_FP__2014_v1.indd 1

4/9/2014 4:02:19 PM

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Tracye Easterly Regulatory Coordinator

Mike Pierce President

Dell McCarley, Pharm D Chairman/CEO

Kim McDonough, Pharm D Compounding Pharmacist

Chris Hutts, Pharm D Pharmacist in Charge

S M A R T

R F I D

Three Systems. Unlimited Visibility. From pharmacy to point-of-care, Intelliguard® RFID Management Systems improve patient safety, reduce costs, and increase staff efficiency.

Contact MEPS Real-Time® today and discover how our Intelliguard® solutions can increase your inventory visibility. Learn more about the Intelliguard® Product Suite at www.tinyurl.com/mepsthreesystems Phone 760-448-9500 Email info@mepsrealtime.com Website www.mepsrealtime.com

Intelliguard® Kit and Tray Management System features countertop enclosure or all-in-one cart options to automate tray inventory, replenishment and approval processes while significantly reducing required labor. Intelliguard® Inventory Management System features Controlled Temperature Cabinets with preset temperature settings for Cold (2° - 8°C) or Controlled Room (20° - 25°C) storage. Available sizes are from small undercounter to large-capacity models. Intelliguard® Medication Management System features an Automated Dispensing Cabinet (ADC) with single and double-drawer options including Cold (2° 8°C) storage.

page 51

900-0029 rev A

WAY

QS/1®’s NRx® Pharmacy Management System for Outpatient Pharmacies QS/1 provides the country's most comprehensive pharmacy management systems with technology and services to manage the entire pharmacy, with total solutions for retail, LTC, HME and multi-site management.

“You can handle so many different scenarios with just one system.” – Chuck Gordon

“

We have so many different environments, they could be a nightmare to manage. But QS/1 systems are so customizable, they can be easily

tweaked for different situations. More important, QS/1 stays ahead of our needs. We know they will be ready with any regulatory changes in the

”

industry well before we need them.

Learn how QS/1 products and services can make your job easier. Call 866.752.2898 or visit www.qs1.com/outpatient today.

866.752.289

page 49

The Intelliguard® suite of pharmacy automation and inventory management systems provide unprecedented real-time visibility of high-value, critical-dose medication inventory.

Intelliguard® Product Suite

Our suite of systems provide unprecedented real-time visibility of your high-value, critical-dose medication inventory. g Automate error-prone tasks and processes g Eliminate manual counting and item-level scanning g Optimize inventory levels g Monitor expiration dates and lot numbers g Meet compliance requirements g The right drugs, in the right doses — when and where you need them

page 47

Our experience with cGMP focused policies and procedures along with carefully designed facilities, equipment, training and testing, provide confidence to our customers.

Intelliguard® RFID Management Systems for Critical Inventory by MEPS Real-Time®

S O L U T I O N

MEPS®, MEPS Real-Time® and Intelliguard® are registered trademarks and RFID Solutions for Critical Inventory™ is a trademark of MEPS Real-Time, Inc., Carlsbad, CA.

FDA Registered 503B Outsourcing Facility by Cantrell Drug Company Lance Lanier, BS Pharmacy Business Development

T H E

NuAire’s mission has always been to develop and deliver innovative products and communicate the latest technologies.

GUARANTEED TO MEET YOUR USP 797 COMPLIANCE REQUIREMENTS

/nuaire

WAY

www.qs1.com

page 53

Visit 20Ways Online

Pharmacy Job Opportunities

RXinsider.com/20ways

page 54-56

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

Lora Sosa Stefanie Carr

SALES AND BUSINESS DEVELOPMENT Vice President, Chris Kolkhorst chris.kolkhorst@rxinsider.com Senior Manager, Shaun Russell shaun.russell@rxinsider.com Manager, Erica McKnight erica.mcknight@rxinsider.com e-mail sales@rxinsider.com Phone 800.972.2083 Fax 646.329.9766 Website www.RXinsider.com

NOTICE OF POLICY 20Ways (ISSN 1533-2258) 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. Periodical postage is paid in New York.

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GENERAL SUBSCRIPTION INQUIRIES RXinsider LTD c/o 20Ways 1300 Division Road, Suite 103 West Warwick, RI 02893 20Ways Online: www.RXinsider.com/20Ways General Information: 20Ways@RXinsider.com Circulation: See page 3

Editorial - views expressed in articles or profiles in the 20Ways are those of the author(s) and do not necessarily reflect the policies and opinions of RXinsider, our editorial board(s), our advisory board(s), or staff. Advertising - products, services and educational institutions advertised in 20Ways do not imply endorsement by RXinsider. Copyright © 2014 RXinsider LTD. All rights reserved. Reproduction without permission is prohibited.

Summer 2014

h e a lt h s y s t e m • i n f u si o n

PIB PROGRAMMED INTERMITTENT BOLUS

Advancing labor analgesia and post-operative pain management through targeted distribution of medication

CADD®-Solis Ambulatory Pain Management System with Programmed Intermittent Bolus (PIB) Combines PCEA/PCA and PIB deliveries for an effective, innovative pain management solution

100 mL

NEW! CADD®-Solis V3 Pump Has

PIB

Running

1 mL

Epidural Labor and Delivery Fentanyl/Bupivacaine Press ‘select’ to edit

Bolus Interval Next Bolus PCEA Dose Reports

54 mL

10 mL

Bolus Interval

PCEA Attempted

PCEA Given

Intermittent Bolus

Continuous Rate

Running

PCEA and Intermittent Graph

2 Hrs 0 Min mL

Home

Intermittent Bolus

Stopped

10 8

2 mg/hr 1 Hrs 0 Min

1 Hrs 0 Min

6 4

3 Min

20 Min 0

2 mL Tasks

Tailor patient and procedurespecific protocols

C o u n t

Don’t Save

Save

Titrate dosing within userdefined programming limits

11:00

15:00

Back

Track therapy progress with trend and log reports

> Controls pain before it escalates with programmed intermittent bolus delivery > Provides targeted medication distribution that knocks out the pain, not the patient

Effective pain management is pain relief without motor blocks, higher patient satisfaction and less drug consumption1,2

For more information call 1-800-258-5361 www.smiths-medical.com

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CADD®-Solis Ambulatory Pain Management System with Programmed Intermittent Bolus by Smiths Medical The NEW CADD®-Solis v3 patient-focused infusion system allows Programmed Intermittent Bolus (PIB) delivery along with PCA/PCEA in the same protocol. Additionally, existing v1 pumps are upgradeable at your facility, utilizing SureLink™ Remote Support Software from Smiths Medical! President & CEO:

Jeff McCaulley Founded: 1940 Employees: 7,500 Stock Symbol: London Stock Exchange: SMIN Toll-free Phone: (800) 258-5361 Phone: (214) 618-0218 Fax: (614) 734-0254 Address: 1265 Grey Fox Road St. Paul, MN 55112 Website: www.smiths-medical.com

Company Background Smiths Medical is a leading global provider of medical devices for the hospital, emergency, home and specialist environments. Our products are used during critical and intensive care, surgery, post-operative care during recovery and in a series of high-end home infusion therapies. Smiths Medical employs some 7,500 people, with manufacturing concentrated in the US, the UK, Mexico and Italy. Most territories are serviced through wholly-owned local sales and distribution companies. As part of Smiths Group plc, a FTSE 100 UK based company; Smiths Medical is well positioned to invest in continuous improvement, technological innovation and customer service.

Product Overview The CADD®-Solis ambulatory pain pump is a state-of-art, smart pain management system that meets industry recognized standards for advance error-reduction features in PCA pumps. It has led the U.S. ambulatory market in new placements since its launch in 2008. In December, 2013, the Version 3.0 CADD®Solis ambulatory infusion system received FDA 510(k) clearance, enabling Programmed Intermittent Bolus (PIB) delivery along with PCA/PCEA in the same protocol. This multi-therapy infusion system is used for epidurals, IV PCA, subcutaneous, nerve blocks, and surgical site infusion therapies for labor and delivery, post-op, trauma and pediatrics. Features & Options • PIB protocol capability mimics the latest published clinical findings for better pain management.

• Smart pump technology promotes patient safety utilizing programming limits, clinical advisory notes and best practice protocols with an intuitive user interface. • Large color screen differentiates therapies and displays infusion settings.

Product Specifications • Provides delivery via continuous infusion and/or PIB and/ or PCA-PCEA and/or Clinician Bolus. All parameters can be combined into a single protocol. • Stores up to 500 therapy/qualifier/drug protocols. • Operates on 4 AA Alkaline Batteries with approximate life of 113 hours at 10 mL/hr. AC Power optional. • Maximum Continuous Rate: 100 mL/hr. Maximum rate for PIB, Clinician Bolus, and PCA/PCEA Dose: 40-250 mL/hr. with standard volume tubing, 40-500 mL/hr. with high volume tubing.

Additional Product Modules Exclusive CADD™ medication cassette reservoirs keep medications secure and promote patient mobility. Available in 50, 100 and 250 mL sizes, in clear, yellow and blue colors. CADD® standard administration sets with bag spikes are also available. Additional Product Lines The Medfusion® 4000 Syringe Infusion Pump is now available with wireless capability and +/- 2% accurate delivery at 0.01 mL/hr. to 1130 mL/hr. flow rates. We offer 12 of the most respected and easily recognizable brands within our portfolio: Portex®, Medex™, Deltec®, Level1®, Graseby™, Pneupac™, Wallace™, CADD®, BCI®, Jelco®, Medfusion™ and Surgivet®.

Ordering Information • 21-2111-0300-01 CADD®-Solis Ambulatory Infusion Pump – Grey keypad

• 21-2112-0300-01 CADD®-Solis Ambulatory Infusion Pump – Yellow keypad

• 21-2199-0301-01 CADD®-Solis Medication Safety Software License For more information call (800) 258-5361 or visit: www.smiths-medical.com

Summer 2014

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“

I wanted to thank you and your team for the outstanding support during our HRSA audit. We very much appreciated your on-site presence and active support both

”

before and during the audit.

Talyst.com | 877.4.TALYST

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Talyst’s 340B Contract & Specialty Pharmacy Solutions Talyst understands a pharmacy’s need to optimize its 340B savings. For more than a decade, Talyst has supported over 400 health systems with their AutoSplit 340B software. Carla Corkern Founded: 2002 Employees: 100+ Toll-free Phone: 1.877.4.TALYST Phone: (425) 289-5400 Fax: (425) 289-5401 Address: 11335 NE 122nd Way Suite 200, Kirkland, WA 98034 Website: www.talyst.com

AutoSplit's 3-way splitting is compliant with the recent HRSA policy. It works with multiple wholesalers simultaneously and has exportable reports to help maintain compliance. Talyst will assess and select 340B solutions and tools to help you develop a complete Audit Program that specifically addresses the following: 1) Patient Eligibility 2) Duplicate Discounts 3) GPO Exclusion 4) Contract Pharmacy Arrangements 5) Recertification

Company Background

Features & Options

President & CEO:

Talyst is a market leader in pharmacy automation and your partner in pharmacy operations. Our solutions provide enterprise-wide medication management across your entire health system to offer greater inventory control, enhanced workflow efficiency and improved patient safety. Talyst has installed automated systems in more than 700 integrated healthcare systems, acute care hospitals, long-term care facilities and correctional institutions. Talyst is dedicated to improving healthcare with innovative medication management systems, software and services to help caregivers serve patients.

Product Overview

With increasing complexity across the 340B program as well as the growing number of HRSA and manufacturer audits, it’s critical to have the right solution. More than half of the top Health Care Systems utilize Talyst solutions such as our AutoSplit® Contract Pharmacy and 340B Compliance Services. Our AutoSplit Contract Pharmacy program allows Covered Entities to affordably capture additional 340B savings from hospital scripts dispensed at retail and specialty pharmacies. Talyst has a number of unique program features that focus on making the process as easy as possible for the Covered Entity and the pharmacy. Features include immediate auditing, compliance and detailed reports showing the total scripts captured, total 340B savings and the total cost. In addition, Talyst offers 340B Compliance Services, which is an end-to-end managed service to ensure 340B compliance. With Talyst’s AutoSplit Fully Managed Solution, Talyst experts manage all facets of your 340B program. This allows health systems, IDNs and their contract pharmacies to boost savings by having dedicated 340B experts run the program and ensure audit compliance. Talyst's powerful AutoSplit® 340B software automatically monitors all pharmaceutical usage in 340B eligible healthcare organizations, optimizing returns on qualified transactions while maintaining compliance.

Talyst can help take the stress out of the auditing process. Our team of experts is available to be on-site at your location to assist you through your audit, helping to ensure a positive outcome for your organization. Talyst currently maintains a 100% success rate in customers who have been audited, having experienced no adverse findings to date. Additionally, we utilize our experts to stay abreast of regulatory changes – so you can have the piece-of-mind to know that you are on top of the ever changing requirements that govern the 340B program.

Testimonial

“ I wanted to thank you and your team for the outstanding support during our HRSA audit. We very much appreciated your onsite presence and active support both before and during the audit.”

Additional Product Lines

AutoPharm® Enterprise, AutoPharm® Mobile, AutoCarousel® HD, Refrigerated AutoCarousel® HD, AutoVault®, AutoPack®, AutoLabel®, AutoPack® TableTop, InSite® Remote Dispensing, AutoSplit® Fully Managed, AutoSplit® Contract Pharmacy and 340B Compliance Services.

Trade Shows/Meetings Attended

340B Coalition Winter Conference, Spring Hospital Pharmacy Conference, ASHP Summer Meeting, Cardinal Apps Café, 340B Coalition Summer Conference, NPPA, Fall Hospital Pharmacy Conference and ASHP Midyear Meeting.

Ordering Information

Talyst would like to partner with you to create the right 340B solution for your health system. For more information, please call: 1-877-4-TALYST x1 Summer 2014

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All you need is one.

One device to take to a patientâ&#x20AC;&#x2122;s bedside. One device to ring up a prescription. One device to collect payment (cash, check or credit). One device to capture signatures. One device to print a receipt. With EvolutionPOS from RMS, one device can solve your patient discharge needs.

The Leader in Pharmacy Point-of-Sale Innovation

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

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Capture More Scripts with Outpatient Bedside Discharge with RMS EvolutionPOS Increase outpatient pharmacy revenue and patient compliance while reducing readmission rates and Medicare fines with EvolutionPOS! CEO:

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

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

Product Overview Outpatient pharmacies should have a growing role in the health of your discharged patients, but seemingly most hospitals capture a small portion of their patient discharge prescriptions. The consequences of this include reduced patient compliance, elevated risk of recurrence and readmission, and lost revenue. EvolutionPOS helps hospital pharmacies participate more proactively in the discharge process.

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

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

Features & Options

EvolutionPOS capabilities include: • Taking advantage of our 25+ dispensary system interfaces, the most in the industry! • Barcode scanning of prescriptions and merchandise. • Locating all available prescriptions for the patient. • Capturing electronic signatures real-time. • Swiping FSA/HSA benefit cards with real-time verification of funds. • Tendering options include debit/credit, cash, check and house charge. Management capabilities include: • Employee payroll deduction integration. • OTC Inventory management and wholesaler ordering right from the handheld. • Custom report builder to help understand the business.

Additional Product Lines Star-Lite; Star-Plus; Star-Link for real-time multi-location communication. Key Customers Client Base: More than 1,000 pharmacy customers rely on RMS POS solutions.

Summer 2014

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Whatâ&#x20AC;&#x2122;s Under Your Hood?

Innovative Sterile Products for Compounding Pharmacies

800-344-2554

www.imiweb.com

International Medical Industries, Inc.

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Sterile Compounding Devices – Prep-Lock™ Tamper Evident Syringe Caps by International Medical Industries, Inc. Enhance the security and integrity of your Compounded Sterile Preparations with the industry standard in Tamper Evidence. President:

Jonathan Vitello Founded: 1969 Employees: 40+ Toll-free Phone: (800) 344-2884 Phone: (954) 917-9570 Fax: (954) 917-9244 Address: 2881 West McNab Road Pompano Beach, FL 33069 Website: www.imiweb.com

Company Background For over 45 years, IMI has worked closely with pharmacists and compounding professionals to create innovative sterile products that meet very specialized needs. A prime example is the PrepLock™ Tamper Evident Syringe Cap technology that has become a standard among hospital pharmacies and outsource compounders everywhere. In addition, IMI has developed long standing relationships with some of the biggest names in healthcare. Through these partnerships and directly, IMI is delivering the kind of high quality and high value products that pharmacy operations demand. All IMI products are manufactured in the USA under the strictest quality standards at their FDA licensed, ISO 13485 certified facility. Product Overview Compounded sterile preparations (CSPs) are at their greatest risk when they leave the custody of your pharmacy. The PrepLock Tamper Evident IV Syringe Cap from IMI greatly reduces the risk of your CSP being compromised either accidentally or intentionally. It insures that product integrity is maintained from the time it leaves the sterile hood until it is administered by an authorized clinician. Installation of the Prep-Lock Tamper Evident IV Syringe Cap in your compounding operation is highly efficient. Each sterile tray of 10 caps offers a unique “keyed” feature allowing the pharmacist the ability to quickly install the cap with a simple twist of the syringe. This helps to maintain aseptic technique and saves time when compounding several syringes at once. Administering a syringe is very easy for the authorized clinician. Simply pull-off the outer sleeve of the tamper evident cap, unscrew the remaining luer-lock cap and discard. Clinicians appreciate not having to deal with sticky tamper evident tape or frustrating shrink wrap.

A choice of four different colored caps allows the pharmacy the ability to color code either specific drug classes or processes. When you consider the cost of ordinary syringe caps combined with the cost of other tamper evident methods, the PrepLock Tamper Evident Syringe Cap offers extraordinary value. More importantly, it makes a clear statement to accreditation and regulatory agencies about how seriously you take delivering high quality and compliant CSPs. The Prep-Lock Tamper Evident Cap for Oral Dispensers offers the same kind of tamper evident protection found in the sterile IV syringe model. It is the only tamper evident cap for oral dispensers available today. Since oral dispenser tips are unique to each dispenser manufacturer, the Prep-Lock Tamper Evident Cap for Oral Dispensers is offered in two different versions, one compatible with the Baxter EXACTAMED Oral Dispenser and one for the Comar Oral Dispenser. Unlike standard oral tip caps which can easily dislodge and fall off, the Prep-Lock Oral Cap provides a more secure capping of the oral dispenser.

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

• Prep-Seal™ - Sterile Luer Lock Caps & Plugs • Prep-Fill™ - Sterile Luer Lock Connectors • Rx-Vent™ - Sterile Venting Needles • Rx-Tract™ - Sterile Aspirating Needles

Ordering Information For more information on pricing, packaging or to place an order, contact IMI sales. You may order directly or through one of our valued distributors. FREE product samples available for evaluation upon request. Call (800) 344-2554, visit our website at www.imiweb.com or e-mail us at sales@imiweb.com.

Summer 2014

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Confidence Matters. Trust your vaccine storage to the Scientific Refrigeration Specialists

Air-cooled, forced air circulation maintains superior temperature uniformity and consistency, which is key to maintaining viability and efficacy.

Evaporator fans shut off during door openings to maintain stable temperatures.

Built-in monitoring systems provide continuous monitoring, real-time alarm notification, and status information for worryfree storage.

Additional Features x

Integrated Access Control ensures vaccine protection and integrity

Custom storage options include roll out baskets, drawers, and full or half-size shelves.

Low humidity levels create a dry storage environment which reduces condensation on boxes and other containers.

Adjustable LED lighting provides energy-efficient illumination.

Focused only on medical-grade refrigeration products for over 35 years.

TrueBlue.

For more information visit www.helmerinc.com

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Providing Protection Against Health Risks with Helmer Scientific Pharmacy Refrigerators Store vaccines and other pharma drugs with confidence, knowing they will maintain viability and efficacy in the most reliable pharmacy refrigerator in the industry. President:

Bruce King

Vice President of Sales and Marketing: Lori Gabrek Founded: 1977 Employees: 175 Stock Symbol:

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

Company Background Helmer Scientific is a manufacturer and worldwide distributor of cold chain storage and processing laboratory equipment. We have over 35 years of experience in providing high-quality temperature controlled environments, with our products being used in over 100 countries throughout the world. Helmer originated in the blood bank market where precise temperature control is essential to the successful storage and transfusion of products. These same principles have been applied to the design and development of our pharmacy products. Product Overview The Vaccine Market is the most rapidly expanding pharmaceutical market. According to UNICEF, vaccines currently save an estimated three million lives annually. The dangers of improperly stored vaccines are many. High-value and fragile biological samples need proper storage, and without the proper equipment, can be wasted. Likewise, ineffective vaccines as a result of improper storage can be a risk to the health population, leading to revaccination, or worse, an increase in the number of preventable diseases. Storing vaccines in controlled and constant temperature conditions reduces the risk of accidental freezing of freeze-sensitive vaccines, loss of efficacy and potency, and efficient use of the storage device. Helmer Scientific has been focused only on medical-grade refrigeration products since 1977. Our pharmacy refrigerators maintain superior temperature uniformity and consistency through the use of air-cooled, forced air circulation, which allows air to circulate throughout the entire chamber without blowing directly on stored product. The uniform temperature allows the use of all storage areas within the refrigerator, maximizing the useable space.

Precise temperature control is maintained by a microprocessor temperature controller with programmable setpoints and built-in monitoring systems. Temperature is displayed on the front of the unit and provides continuous monitoring and feedback. Multiple alarms alert users in real-time of out-of-range temperature conditions, open doors, power failures and other conditions so that action can be taken to ensure that product is not lost or compromised. Integrated access control offers multiple security levels that can be tailored to individual requirements, further ensuring the safety of vaccines and samples. Security levels include full access, password protected setpoints, or fully restricted access requiring PIN entry via a keypad.

Features n Superior Chamber Temperature Uniformity Stable temperatures and quick recovery are achieved with a heavyduty, forced-air refrigeration system. Temperature is maintained to +/-1.5°C.

n Advanced Alarm Monitoring i.Series® models feature the i.C3® User Interface which offers constant temperature monitoring and control, access to multiple information logs, on-screen event acknowledgement for corrective actions and downloading via a full-color touchscreen. Horizon Series™ models include an integrated alarm monitor with visual and audible temperature alarms.

n Dry Storage Environment Helmer has developed a refrigeration system that results in reduced humidity levels, creating a drier storage environment ideal for storing boxes and other containers.

n Custom Storage Options Roll out baskets, stainless steel drawers and wire shelves can be configured to the ideal storage arrangement for each facility.

Summer 2014

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800.331.2498 l pccarx.com

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PCCA: Delivering Quality Without Compromise Only PCCA member pharmacies bring the highest quality chemicals, bases and training to your patients.

President:

Jim Smith CEO: David Sparks Founded: 1981 Employees: 250+ Toll-free Phone: (800) 331-2498 Phone: (281) 933-6948 Fax: (800) 874-5760 Address: 9901 South Wilcrest Drive Houston, TX 77099 Website: www.pccarx.com e-mail: coremarketing@pccarx.com

Company Background

At PCCA, we help pharmacists and prescribers create personalized medicine that makes a difference in patients’ lives. Our members solve some of their customers’ toughest medical challenges – all while running their own businesses. That’s why we provide more products, more education and more support than any other organization. We’re always working to help our members grow, and we’ve grown, too. What began in 1981 as a small network of pharmacists is almost 4,000 members strong, with 360 employees worldwide and five distribution centers serving the United States, Canada and Australia. At PCCA, we’ve made it our business to support compounding pharmacists every step of the way – and then some. It’s all about bringing a level of service that makes you say, “WOW.”

Product Overview

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

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

n 14 Checks and Analyses are Performed on Each Chemical Lot • Nine qualitative and quantitative analyses are performed on every incoming chemical lot before it is released for repacking or sale. • Each lot is tested against the certificate of analysis (C of A), including: USP, EP, NF, FCC, ACS and PCCA standards. • After initial testing, all results are reviewed for accuracy by a second QC analyst. • Chemicals are tested only by degreed Chemical Analysts. n PCCA Rejects Almost 200 Chemical Lots Per Year • PCCA is fully registered by the FDA, DEA and State of Texas as a manufacturer and follows current Good Manufacturing Practices (cGMP). • Only FDA-registered and GMP-certified manufacturers are used for the purchase of active pharmaceutical ingredients (APIs). • Exclusive, proven bases and formulas. n Proven Bases for More Patient Options With access to more than 60 proprietary bases – unavailable to other compounders – your PCCA pharmacy will have more options to treat your patients, from VersaBase® topicals, specifically designed for BHRT delivery, to Lipoderm®, the industry’s only transdermal proven to deliver four drugs simultaneously. n Comprehensive Education is the Key to Compounding Continuing education is the key to quality compounding solutions. Your PCCA pharmacy has access to more Accreditation Council for Pharmacy Education (ACPE)-accredited continuing education than anyone else. In 2014, PCCA will conduct more than 115 ACPEaccredited sessions across the United States, Canada and Australia, as well as scores of other training sessions from clinical and technicianrelated topics to sales and marketing. n Complete Support Member pharmacies have access to the industry’s best support with more than 30 pharmacists and pharmaceutical chemists on-hand to answer the toughest compounding and clinical questions. PCCA has more pharmacy consultants on staff than any other competitor, answering more than 500 calls a day from members with an average response time of less than 30 minutes.

Testimonials

Find out how PCCA quality makes a difference in patients’ lives at: www.pccarx.com/qualitytestimonial

Summer 2014

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The One-Container Pharmaceutical Waste Solution Simple, no worries, the highest level of technology, and best of all â&#x20AC;&#x201C; full compliance. Clinicians simply put both the non-hazardous and the RCRA hazardous pharmaceutical waste in the same black container.* Clean Harbors, the largest hazardous waste incineration company in North America, will pickup, transport, dispose of, and keep you in full compliance. We own every step of the process and donâ&#x20AC;&#x2122;t broker your waste to someone else, like your red container medical waste provider has to. Ensuring compliance to waste segregation protocols can be difficult, both to train staff and to enforce. This can put your hospital at risk for regulatory action.

EXPERT IN - HOUSE PHARMACEUTICAL & HAZARDOUS WASTE MANAGEMENT

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EPA and RCRA Compliance with One-Container by Clean Harbors A single container system that is simple to implement for clinical staff and is safer for the environment. It eliminates the need for waste segregation and reduces RCRA hazardous waste disposal errors and potential liability costs. Founder & CEO: Alan McKim Founded: 1980 Employees: 13,500 Stock Symbol: CLH Toll-free Phone:

(800) 282-0058 x5465 (781) 792-5465 Address: 42 Longwater Drive Norwell, MA 02061 Website: www.cleanharbors.com Phone:

Company Background Clean Harbors is the leading provider of environmental, energy and industrial services throughout North America. The Company serves over 250,000 customers, including a majority of the Fortune 500 companies and numerous federal, state, provincial and local governmental agencies. For over 30 years, Clean Harbors has been helping pharmacies and healthcare institutions manage their environmental services, emergency response and waste disposal needs. Our programs are designed to improve safety, achieve regulatory compliance and reduce your risk. Clean Harbors is the only environmental services provider that has the ability to manage 100% of your pharmaceutical and hazardous waste, spill cleanups, lab decontamination and facility maintenance within a companyowned network of over 250 service centers, over 50 hazardous waste disposal facilities and the largest hazardous waste incineration capacity in North America. We will also leverage our sophisticated recycling facilities to reduce the volume and cost of your hazardous waste. At Clean Harbors our mission is to help protect our customers and the environment.

Protection Agency (EPA) Resource Conservation and Recovery Act (RCRA) waste disposal rules that can result from waste segregation disposal systems. The Clean Harbors One Container Program is a comprehensive collection system that is customized for each organization. Clean Harbors staff, of hazardous waste experts, work with healthcare facilities to design waste management systems that improve safety, compliance, and environmental impact. They will also develop schedules and procedures for the collection, transportation, management, documentation, and destruction of each unique waste profile. In addition to the reduction in liability, the One Container Program “blended” disposal cost is cost competitive and often cost neutral because Clean Harbors, as the largest hazardous waste incineration company in North America, owns and operates every step of the hazardous waste disposal process.

Testimonial “ Clean Harbors brings a lot of value to the relationship. I know that I can count on them to efficiently handle the collection and disposal responsibilities. I also know that Mellissa (Clean Harbors Project Manager) is always there to do the special projects that keep us moving forward in reducing our waste and finding new efficiencies.” — Crystal Saric, Coordinator of Waste Services and Waste Reduction, Fairview Health Service, Minneapolis, MN

Product Overview Clean Harbors offers the simplest and most compliant pharmaceutical waste program available - the One Container Program. Frontline clinicians at hospitals, clinics and other healthcare facilities simply put both hazardous and nonhazardous pharmaceutical wastes in the same black container.* This substantially reduces noncompliance with Environmental

* There are a few items that must be collected separately due to DOT regulations. Please contact Clean Harbors for more information.

Summer 2014

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Freedom – Highest Quality Assured

Knowledge. Support. Supply.

freedomrxinc.com • 877.839.8547

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Highest Quality Chemicals Assured by Freedom Pharmaceuticals Freedom is committed to providing the highest quality Active Pharmaceutical Ingredients (APIs), excipients and bases. We know that quality and consistency gives our customers peace of mind, confidence and a competitive advantage. General Manager: Tiffany Turner Founded: 2010 Employees: 50+ Toll-free Phone:

(877) 839-8547 (918) 615-6228 Fax: (918) 615-6248 Address: 801 W. New Orleans Street Broken Arrow, OK 74011 Website: www.freedomrxinc.com Phone:

Company Background Freedom Pharmaceuticals specializes in the custom wholesale distribution of premium compounding chemicals – active pharmaceutical ingredients (APIs), excipients and pre-made bases – to independent compounding pharmacies throughout the United States. Since founded in 2010, our goals have remained the same: supply your compounding pharmacy with the highest quality chemicals available and give your staff the personalized customer service you deserve. Built on the belief that customer service and quality chemicals are paramount, Freedom Pharmaceuticals is committed to meeting the ever-changing demands of independent compounding pharmacies and their patients. Product Overview As a proven pharmaceutical resource, Freedom provides the highest quality pharmaceutical compounding chemicals available, delivered on a consistent and reliable basis, for a fair and reasonable price. We are continually expanding our product offering based on our customer’s needs. At Freedom, we strive to be your support system, not just your supplier. n Highest Quality Chemicals Freedom is committed to providing the highest quality chemicals, excipients and compounding bases available. At Freedom, we know that quality and consistency gives our customers peace of mind, confidence and a competitive advantage in their practice. Freedom Pharmaceuticals is an FDA registered and inspected supplier. Freedom is also licensed by the DEA and maintains a cGMP compliant facility. We provide high-quality chemicals supplied only by FDA registered and inspected manufacturers that adhere to cGMP standards. n Product Assurance Screening System (P.A.S.S.) • Every item is screened to meet the most current USP/NF/ BP/EP/JP or other specifications.

• Each lot is quarantined and subjected to a comprehensive, in-house identification analysis using various testing methods including FTIR and LOD. • Once the in-house analysis is approved, chemicals are sent to an independent analytical laboratory for further purity verification. • Each chemical lot is evaluated for color, appearance, solubility and application-specific requirements. • Only chemical lots that perform optimally to this point will be scheduled for distribution. • All Freedom products are shipped with a lot specific Certificate of Analysis (CoA), which are also available online and upon request. • MSDS are available online and upon request. n Comprehensive Pharmacy Support Freedom Pharmacy Support Services (FPSS) offers comprehensive pharmacy compounding support, providing the knowledge, tools and counsel needed to make compounding pharmacies prosper. n FPSS Services Extensive online formula database, formulation research and development, application troubleshooting, physical chemistry information, clinical data research, chemical selection, equipment/ device selection and application, calculation support, marketing support, formulation templates and technical documents. n Freedom Bases Freedom Pharmaceuticals provides high performance, ready-touse compounding bases designed to help our clients provide the most state-of-the-art preparations on the market. These bases offer formulation flexibility with stable emulsions, pharmaceutically elegant appearances and lab test functionality. Freedom also offers paraben, dye, gluten, fragrance and petrolatum free base options to meet a vast variety of patient-specific needs. Base studies are available for select bases. n Insurance/Third-Party Guidance, Support & Consulting CPCSI Consulting, a division of Freedom Pharmaceuticals, consists of pharmacists, former PBM auditors and lawyers. The team of CPCSI consultants are trained to educate, guide and assist you and your pharmacy staff on how to properly bill third parties for compounded prescriptions. As a CPCSI member, our consultants will work with your pharmacy to ensure that proper audit response techniques are being utilized to significantly increase your chances of a successful audit result. Summer 2014

h e a lt h s y s t e m • i n f u si o n 23

Preceptor Recognitions

Thank You Preceptors! MCPHS University Thanks Timothy Aungst, PharmD Tim is an Assistant Professor at MCPHS University who maintains a Transitions of Care practice site at the University of Massachusetts, Ambulatory Care Clinic. Tim graduated in 2011 from Wilkes University Nesbit School of Pharmacy. Post-graduation he completed a PGY1 residency at St Lukes University Hospital in Bethlehem, PA and a Geriatric Fellowship at MCPHS University. Tim has published a book, authored multiple articles, and has made numerous presentations dealing primarily with Mobile Timothy Aungst, PharmD Medical Applications. His clinical focus is Congestive Heart Failure (CHF). Tim explains that the literature shows the positive impact of having a pharmacist on a multidisciplinary team to treat CHF. Pharmacists play an integral role in medication adherence by customizing therapy for each patient through careful review of the patient’s education level, potential language barriers, diet, cost of therapy, and timing of medications. It is also important to consider the patient’s lifestyle when making treatment decisions.

The following colleges & organizations would like to acknowledge & thank the following preceptors for their hard work & dedication.

Tim views “Lifestyle Coaching” as an important facet to the transitions of care when working with CHF patients. Educating patients on diet and fluid restrictions is important. Teaching patients what to look for on a nutrition label will ultimately help in treating the whole patient. Students on rotation with Tim complete medication reconciliation on each new CHF discharge, ensuring that patients understand their treatment plans and individualized goals for managing CHF. Tim coaches his patients on medication therapies as well as appropriate diet and lifestyle modifications, which can impact the patient’s ability to achieve their overall treatment goals.

2013 Preceptor of the Year Award The Ernest Mario School of Pharmacy would like to thank Frank Iannarone III, for his hard work and dedication. On May 20, 2013, Frank Iannarone III was recognized for his outstanding service and commitment the students of the Ernest Mario School of Pharmacy by being awarded the 2013 the Ernest Mario School Preceptor of Year Award at Rutgers, The State University of New Jersey’s commencement ceremony in New Brunswick, NJ. As Preceptor of the Year, Mr. Iannarone was selected from hundreds of pharmacy preceptors Frank Iannarone III and acknowledged by the school for his dedication to developing and mentoring pharmacy students at his independently owned Madison Pharmacy. Having graduated from the School of Pharmacy at Rutgers University, Mr. Iannarone has seen the value of practice experience and has continued to be a tremendous advocate of student development through community outreach programs and one-on-one interactions with his patients. During the four or five week rotation segments, students are given opportunities to apply information learned in school and gain hands-on experience through patient interactions and prescription processing. Students have created and delivered a variety of programs over the year covering specific disease states such as diabetes and high blood pressure to more general programs on medication disposal and Medicare prescription program information. In addition to training students at his pharmacy and in the community, Mr. Iannarone has also supported student learning during student organization meetings at the school by providing his insights on the value of owning a pharmacy. Based on his commitment to the students of Rutgers University and excellence in the profession of pharmacy, Mr. Iannarone was awarded the prestigious designation of Preceptor of the Year for 2013.

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h e a lt h s y s t e m • i n f u si o n

The University of Rhode Island College of Pharmacy would like to thank Mark E. Rogers, PharmD, CDOE, CVDOE, and Stephen R. Cofone, RPh, for their continuous hard work and dedication. Mark R. Rogers, PharmD, CDOE, CVDOE, is the Clinical Pharmacist Supervisor, at The Westerly Hospital, Westerly, RI, and displays exceptional dedication to his students. Dr. Rogers serves as the Chairman of the Medication Safety Committee, the hospital’s Diabetes Education Program Coordinator and is the application champion for the pharmacy information system. Stephen R. Cofone, RPh, is a Clinical Pharmacist at Lawrence and Memorial Hospital, in New London, CT, and has spent numerous years mentoring to our students. Mr. Cofone serves on the Complementary and Alternative Medicine, the Best Practice, the Emergency Preparedness Committees and is Editor of the Department of Pharmacy’s Newsletter, “The Capsule”. Kathleen O. Fisher, RPh, MBA Director of Experiential Education Brett Feret, Pharm.D. Clinical Associate Professor Introductory Experiential Education Director Phone: (401) 874-2320 | bferet@uri.edu

Preceptor Recognitions

The Roosevelt University College of Pharmacy would like to take this opportunity to recognize the growing number of independent pharmacists who have become preceptors for our students. Independent pharmacies provide unique experiences to students that the larger chain pharmacies cannot Dr. George MacKinnon match. They have the flexibility to adapt to the needs of the patients in their particular neighborhood, and to offer the products and services most useful to the area in which they operate. Independent pharmacists can focus on a particular area of interest, such as compounding, pet medications or the treatment of migraine headaches. Often, an independent pharmacist has the ability to put more focus on counseling and MTM. For all of these reasons, Roosevelt University has worked to cultivate relationships with independent pharmacists, and we encourage our students to actively seek out rotations at neighborhood pharmacies. Often, they report that they thoroughly enjoyed the experience and learned so much more than they thought possible. Therefore, thank you to our independent pharmacist partners for giving our students a glimpse of their world and showing them another aspect of retail pharmacy. If you are a pharmacist interested in becoming a RUCOP preceptor for introductory and advanced experiential education, please contact: Joan Hardman, BPharm, RPh | Director of Experiential Education (847)330-4508 | jhardman02@roosevelt.edu www.roosevelt.edu/pharmacy

The Campbell University Experiential Education team would like to thank all of our preceptors for their dedication and contribution in the education and training of student-pharmacists for Campbell University College of Pharmacy and Health Sciences.

Stan Edmundson, B.S. Pharm. Community Preceptor of the Year

Tim Lassiter, Pharm.D., M.B.A Hospital Preceptor of the Year

If preceptors have any questions, please contact one of our Experiential Education program team members. Paige Brown: brownp@campbell.edu | Jean White: whitej@campbell.edu Valerie Clinard: clinardv@campbell.edu

Summer 2014

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Introducing FastPak® Elite – the next generation packaging solution

> Specially designed features that save on consumable use > 100% smart canisters allow for a virtually endless formulary > Locking mechanisms provide maximum security > Swappable lower packaging unit reduces downtime > Specially designed user interface maximizes production > Bitmap printer allows for additional fonts and image creation

For more information on this and other technology solutions from ABTG, contact us at 877-781-ABTG (2284), email info@ABTG.com or visit www.ABTG.com

AmerisourceBergen. Where knowledge, reach and partnership shape healthcare delivery. AmerisourceBergen®

AmerisourceBergen®

The logo and are registered trademarks of AmeriSource Heritage Corporation in the United States and/or other countries. FastPak® is a registered trademark of AutoMed Technologies, Inc.

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FastPak Elite Delivers High-Volume Pouch Packaging Technology FastPak Elite is the newest and most advanced packaging innovation for retail, long-term care and hospital pharmacy settings. This next generation packaging solution offers unparalleled versatility and modular configuration providing virtually limitless formulary capabilities. Vice President/ General Manager: Tony Guarino Founded: 1994 Employees: 250+ Toll-free Phone:

(877) 781-ABTG (2284)

Address: AmerisourceBergen Technology Group

1400 Busch Parkway Buffalo Grove, IL Website: www.abtg.com

Company Background

AmerisourceBergen Technology Group (ABTG) is a business of AmerisourceBergen Drug Corporation and has been a leader in the pharmacy automation industry for nearly 20 years. From small community pharmacies dispensing a few dozen prescriptions per shift, to multi-facility health systems supporting thousands of lives, ABTG has technology solutions that will help increase patient safety, streamline medication management processes and control costs. The ultimate goal is to provide our business partners with safer and smarter ways to care for their patients, customers and communities.

Product Overview

FastPak Elite automates 100% of oral solid prescription medications and boasts an exceptional and industry-leading workflow software system for maximum efficiency. FastPak Elite also features a specially designed user interface that simplifies the production process.

Smart Canisters Provide for a Virtually Unlimited Formulary

Factory-calibrated smart canisters accurately count and dispense nearly all sizes and shapes of oral solid medications. Intelligent design features provide the ability to place the smart canisters anywhere in the machine for automatic detection. Each smart canister is easy to secure and equipped with an RFID chip and barcode identification capabilities to ensure that the correct medication is contained in each canister.

Swappable Lower Packaging Unit Minimized Downtime

Another exclusive feature of the device is the swappable lower packaging unit that will help minimize downtime during cleaning or service and eliminate unwanted disruptions in pharmacy operations. This exclusive feature will help keep you up and running to best utilize staff time and to provide consistent service to your customers!

FastPak Elite Pill Cutter

FastPak Elite also incorporates an exclusive in-line pill cutter to dispense half tab medications. Tablets can be cut in half on demand and dispensed directly from the canister, thereby reducing the manual labor required to fill external trays with partial tablets. The ondemand, in-line pill-cutting capability of FastPak Elite is an industry first and is only available from the AmerisourceBergen Technology Group.

Maximum Security

Access is restricted through a user name and password software interface. In fact, access to each module can be programmed for specific user rights and privileges. The device is able to lock each of the separate modules independently through hardware and software features. This ability, combined with the safety of all smart canisters, allows pharmacies to package controlled substances with the highest level of safety.

FastPak Elite Specs & Features

• Unit Dose and Multi-Dose Pouches: 60/Minute • Automation Determination of Package Length • Printer Supports 1D/2D Barcodes, Variety of Fonts, Graphics and Logos

• Smart Canisters (Up to 580cc) • In-line Pill Cutter • Detachable Tablet Adapter Tray • Swappable Lower Packing Unit Fast, accurate, efficient, user-friendly, customizable, safe and secure, the FastPak Elite is truly the industry leader in high-volume unit and multidose pouch packaging for in-patient pharmacy or retail facilities. With so many exclusive features, this new pharmacy packaging technology solution truly is “Elite!”

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Find us at the Intersection of Patient Safety and Pharmacy Efficiency Pharmacies juggle many critical tasks. Patient safety is top priority and operational efficiency is important too. Institutions seek to provide bar-coded medications, while minimizing packaging tasks to enable BCMA. American Health Packaging can support you at this ”key intersection” of patient safety and operational efficiency. Our unit dose line is the largest in the industry, with continued growth to support your needs and many of our items are industry exclusives.

AHP Unit Dose Products Feature: • Easy to Read & Scan Bar Codes • Color Coded Labels • “Tall Man“ Lettering • Extended Shelf Life

Safety & Efficiency. In Every Dose. Visit our website to view a complete list of all UD offerings.

americanhealthpackaging.com

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EXCLUSIVE Unit Dose from AHP Enhances Pharmacy Efficiency AHP Exclusive unit dose SKUs are the only commercially available bar-coded offering in the marketplace. This group of 90+ items are an attractive offering to hospitals seeking reliably safe and easily scannable prepackaged unit dose items to support BCMA. General Manager: Rick Knight Business Division of AmerisourceBergen Toll-free Phone:

(800) 707-4621 (614) 492-8177 Fax: (614) 492-0448 Location: Columbus, OH Website: americanhealthpackaging.com Phone:

Company Background Located in Columbus, Ohio, American Health Packaging is a subsidiary of AmerisourceBergen. Our manufacturing facility is registered with the FDA and fully adheres to current cGMP. Industry veterans with over 100 years of collective experience, lead the quality and manufacturing departments. American Health Packaging is licensed by the Drug Enforcement Administration to package Schedule II to V controlled substances. Product Overview Hospital pharmacies juggle many critical tasks. The top priority is patient safety. Operational efficiency is important too as institutions seek to provide bar-coded medications to enable BCMA in the most efficient and cost effective way possible. American Health Packaging supports this health systems' priority with its growing line of prepackaged unit dose products.

American Health Packaging's easy-to-read bar codes ensure both accurate and easy scanning. In addition, our cartons feature colorcoded labels with “tall man” lettering to more easily distinguish between similar items on the pharmacy shelf. Pharmacy efficiency. Pharmacies are concerned with the timely

processing of orders to supply the proper medications to patients as quickly as possible. Adding a multitude of steps to package and check commercially available products in-house not only slows down this process, it also takes those clinicians away from their core competency - patient care.

Liability management. Packaging products within health system

pharmacies can be met with various distractions in terms of quality systems and process controls. Errors that arise can place the liability on the hospital, as well as the caregivers themselves. Mitigation of risk is key. Purchasing medications from a highly regulated, cGMP compliant company such as AHP shifts some of the burden of responsibility from the health system. Cost savings. In addition to shifting the potential costs of errors, health systems that choose to package onsite must consider other direct costs such as establishing the packaging infrastructure as well as paying the highly trained professional staff to perform, manage and support non-core work.

Market Leadership in Providing Unit Dose Bar-coded to the dose level, our unit dose line continues to grow! The line now contains over 400 SKUs. And, nearly a third are industry exclusives - only available from American Health Packaging in a unit dose bar-coded package format. Our products support all the major therapeutic classes. Recently launched AHP exclusives include: Fenofibrate 48 mg and 145 mg tablets, Irbesartan 150 mg tablets, Naltrexone HCl 50 mg tablets and Sildenafil Citrate 20 mg tablets. Features & Benefits

There are many benefits to American Health Packaging prepackaged unit-dose products: Safety. Companies that specialize in pharmaceutical packaging are

highly regulated and scrutinized by the FDA. Good Manufacturing Practices (cGMP) compliance ensures that products are packaged in a regulated and safe environment. Packaging professionals are adept at ensuring the product’s lot number, National Drug Code and expiration date are recorded correctly and legibly.

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Fagron SyrSpend® SF

Superior Suspending Technology Fagron SyrSpend® SF is a total solution that provides you with a convenient and efficient oral liquid dosage form. It uses patented Active Suspending Technology™ holding APIs in suspension longer for more accurate and consistent dosing. Formulated with meticulous attention to detail, no alcohol, parabens, sugars, gluten or dyes, SyrSpend® SF frequently is used for young and old.

fagron.us

Benefits of SyrSpend® SF include: • Convenient, all-in-one suspending vehicles for compounding • Supports adjusted and flexible dosage regimens • Low osmolality, which minimizes gastrointestinal upset and diarrhea • Extensive and growing database of scientific references for stability data and beyond-use dating

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

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Fagron’s SyrSpend® SF: Innovative Compounding Suspension Concept SyrSpend® SF brings added value in compounding oral suspensions: superior suspendability for more accurate dosing, better taste, extensive scientific stability data and can improve compliance, all while reducing inventory and carrying costs. General Manager:

Marije van Dalen Founded: 1980 Employees: 60+ Toll-free Phone: (800) 423-6967 Fax: (800) 339-1596 Address: 2400 Pilot Knob Road St. Paul, MN 55120 Website: Order online at fagron.us

Company Background

Fagron, Inc. provides pharmacists in the United States with high quality compounding products and solutions. Fagron continuously introduces innovative products based on research done in our own R&D center. We work together with our customers, universities, physicians and other healthcare providers to deliver optimized compounding solutions with high quality results. We continuously perform studies on our products, dedicated to providing you with innovative compounding solutions. Based in St. Paul, MN, Fagron, Inc. is part of the Fagron Group, the global market leader in pharmaceutical compounding, headquartered in the Netherlands. With over 1,300 employees in 30 countries worldwide, Fagron Group provides over 200,000 pharmacists with high quality compounding products every day.

Product Overview

• Meticulous ingredient choice: formulated without alcohol, parabens, sorbitol, sugars, gluten or dyes. • Ideal for individualized dosage regimens. • Low osmolality (<50 mOsm), minimizing gastrointestinal upset and diarrhea. • Patented Active Suspending Technology™ to hold API particles in suspension longer for more accurate and consistent dosing during treatment. • Suitable for diabetic patients. • Extensive and growing database of stability data. • Produced in a GMP-certified and FDA registered facility with pharmaceutically-tested ingredients.

Stability Studies

Fagron, Inc. continuously performs stability studies to provide our customers with extended beyond-use dating. The studies are being published in renowned peer-reviewed journals.

n Documented Beyond Use Date (BUD) in SyrSpend® SF Studied Drugs Include:*

• Vancomycin - 90 Days Refrigerated • Verapamil HCI - 60 Days Refrigerated • Metronidazole Benzoate - Two Years Refrigerated, One Year Room Temperature

The SyrSpend® SF family of products is an innovative line of oral suspension vehicles. SyrSpend® SF’s patented Active Suspending Technology™ holds API particles in suspension longer and accelerates redistribution of suspended medication with a simple shake for more accurate dosing at each administration.

• Oseltamivir Phosphate - 30 Days Refrigerated

Our Product Line Consists of:

• Rifampin - 60 Days Refrigerated and Room Temperature

• SyrSpend® SF, a sugar-free suspending vehicle buffered to a pH of 4.2 for maximum compatibility with active pharmaceutical ingredients. Preservative-free version available. • SyrSpend® SF Alka, an easy-to-use powder for reconstitution that provides an alkaline environment for acid-labile drugs such as omeprazole. • Omeprazole + SyrSpend® SF Cherry Alka Kit, an all-in-one compounding kit for preparing a pleasant-tasting 2 mg/ml omeprazole suspension in minutes. It comes with pre-weighed ingredients and preparation and administration tools, eliminating weighing and saving time.

Benefits of SyrSpend® SF

• Gabapentin - 120 Days Refrigerated, 90 Days Room Temperature • Propranolol HCI - 90 Days Refrigerated • Ursodiol - 66 Days Refrigerated • Midazolam - 58 Days Refrigerated and Room Temperature • Captopril - 14 Days Refrigerated n Documented Beyond Use Date (BUD) on SyrSpend® SF Alka Studied Drugs Include:*

• Omeprazole - 60 Days Refrigerated Visit fagron.us for more information. * Literature references available.

Specific questions with regard to the products or their beyond use date should be directed solely to Fagron, Inc., its representatives or distributors.

• Convenient, all-in-one suspending vehicles. • Optimizes ease of administration, mouth feel and taste masking. Summer 2014

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the

TCG Solution

Inpatient Pharmacies

Outpatient Pharmacies

Adherence Packaging

www.TCGRx.com

info@TCGRx.com

262.279.5307

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Scalable Solutions for Your Hospital Pharmacy from TCGRx

Reduce spending in inpatient and outpatient hospital pharmacies while improving patient outcomes. President:

Duane Chudy Founded: 2006 Employees: 60+ Phone: (262) 279-5307 Address: N1671 Powers Lake Road Powers Lake, WI 53159 Website: TCGRx.com e-mail: info@TCGRx.com

Company Background TCGRx is a leading supplier of pharmacy automation. Our solutions can be scaled from simple packaging technology to enterprise-level perpetual inventory management. That means providing not just the tools to make your pharmacy more efficient, but also the thinking behind those tools. TCG provides design and consultation services for solution integration in all pharmacy markets. Product Overview n Pharmacy Design: TCGRx engineers work with you to develop the best layout for your workflow within your space constraints. Our process begins with an evaluation of your existing setup, an understanding of your needs and concerns, and an analysis of your current workflow process. Our designers will develop a plan that fits your unique pharmacy, including incorporating your existing fixtures and machines while integrating TCG equipment to maximize your results. You will immediately see a decrease in time spent moving between stations, a reduction in inventory, a drop in fill times and an increase of space in your pharmacy. n Adherence Packaging: The AdherePacRx™ solution offers a unit dose or multi-med pouch containing all of a patient’s medications for a given pass time. The pouches are automatically generated from one of our ATP-Rx™ pouch packaging solutions through an interface with your current pharmacy information system. The pouches have a serrated edge and are easy to open, helping ensure the patient takes the medications as directed. The AdherePacRx solution provides the ability to generate reminder pouches for non-oral solids such as inhalers or topical creams, so every medication prescribed is prompted at the correct time.

Our Automated Tablet Packager (ATP-Rx) is the industry-leading oral solid packager. Engineered to provide better performance and reliability, ATP-Rx facilitates both unit dose and multimed packaging with simple-to-use software. Working in tandem with the SmartTrayRx™, ATP-Rx is the only system on the market allowing 100% automation of formulary medications. Additionally, we have designed the ATP-71™, offering the same great features within a smaller footprint. n Image Verification: InspectRx™ closes the loop to deliver accurate and safe results to patients by using electronic verification. Images are archived of every pouch, front and back, for future reference. InspectRx features a corrector camera, which allows for updated pouches to also be documented. The optional CollateRx enhances the capabilities of InspectRx by cutting, rolling and taping pouches by patient, drug or med cabinet. n Inventory Management: Beacon® transforms a pharmacy into a superbly efficient pick and storage center, with pick-and-put-to-light LEDs, barcode confirmation and image verification of every med, allowing rapid location and dispensing. TCG inventory management systems provide visibility, at the touch of a button, to the location of a specific medication, how long it has been stocked, the exact bottle quantity, if it is opened or unopened and its expiration date. Beacon can also manage unit dose pouches for inpatient workflow, easily integrating with carousel storage. n High-Density Storage: HDStockRx™ storage system provides dense storage capacity, easy access and clear visibility. No other system offers drawers to store more packages in the same space and configure to your pharmacy’s needs. HDStockRx is organized and tailored to your pharmacy, with labeling and dividing features to make finding medications quick and easy.

Ordering Information To learn more about how TCGRx inventory management solutions can improve your pharmacy’s workflow, please contact us at (262) 279-5307 or info@TCGRx.com. Summer 2014

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Unit Dose Done Right

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

Simple. Reliable.

800.523.8966

MediDose.com

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

President:

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

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 3.0 software. Because of the continued success of the Medi-Dose 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® 3.0 software maintains packaging logs and lets you design and print your Lid-Label® Covers, with color, bar codes, tall man lettering and graphics. You can format the labels any way you want, directly from your own computer and printer!

Features & Options

n Packaging and Labeling Solutions

• Simple to Use – No Extensive Training Needed • 1-D & 2-D Bar Coding – Including NDC, Lot Numbers and Expiration Dating

• Tall Men Lettering and Dynamic Formatting Options • Built-in NDC Lookup Database and Extensive Image Library • Packaging Logs and Error Reporting • Six-month and One-year Beyond Use Dating • UV and Moisture Resistance • Tamper – Evidence • 13 Styles of Blisters to Accommodate Virtually All Meds • No Machinery or Space Requirements • Inexpensive – No Capital Outlay Required

Product Specifications

n Accompanying Labeling Software

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

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

Medi-Dose works well in any pharmacy operation and can be used with all classifications of drugs (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!

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PYROSATE

RaPid ENdOTOxiN dETECTiON KiT nsed

e DA Lic OW F

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

OCIATES OF E CO D, I N C.

ASSOCIATES OF C A PE CO D, INC.

ists in Endotoxin lucan Detection

Specialists in Endotoxin and Glucan Detection

OCIATES OF E CO D, I N C.

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

ASSOCIATES OF C A PE CO D, INC.

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

icense L A FD

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

Toll-free Phone:

(888) 395-2221 (508) 540-3444 Fax: (508) 540-8680 Address: Falmouth Technology Park 124 Bernard E. Saint Jean Drive E. Falmouth, MA 02536 Website: www.acciusa.com Phone:

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

Performing the Test

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

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

Summer 2014

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Trade Show & Meeting Calendar

It’s Here

Event Calendar

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

RXinsider’s Virtual Pharmacy Trade Show 24 / 7 / 365 450+ Booths, 130 Aisles www.rxinsider.com IACP Annual Meeting (Compounders on Capitol Hill) May 17 - 20, 2014 Crystal Gateway Marriott Arlington, VA www.iacprx.org

HSCA 2014 Healthcare Supply Chain Expo October 15 - 17, 2014 JW Marriott Washington, DC www.supplychainassociation.org NCPA Annual Convention October 18 - 22, 2014 Austin Convention Center Austin, TX www.ncpanet.org

ASHP 2014 Summer Meeting May 31 - June 4, 2014 The Mirage Las Vegas, NV www.ashp.org

New England Pharmacists Annual Convention October 23 - 24, 2014 Mashantucket, CT www.nepharmacists.org

McKesson ideaShare 2014 July 20 - 24, 2014 Gaylord Palms Resort Orlando, FL www.mckessonideashare.com

NASP Strategic Business Exchange October, 2014 (Date TBD) Orlando, FL www2.nasprx.org

Cardinal Health RBC July 23 - 26, 2014 Gaylord National Resort & Convention Center Washington, DC rbc.cardinalhealth.com

CSHP Seminar 2014 Oct. 30 - Nov. 2, 2014 Hilton San Francisco Union Square San Francisco, CA www.cshp.org/seminar

AACP Annual Meeting and Seminars July 26 - 30, 2014 Gaylord Texan Hotel & Convention Center Grapevine, TX www.aacp.org

AACP Annual Meeting ACICS Professional Development Conference November 3 - 5, 2014 Ritz Carlton New Orleans, LA www.acics.org

Good Neighbor Pharmacy ThoughtSpot July 30 - August 2, 2014 MGM Grand Las Vegas, NV www.thoughtspot2014.com

Download the 20Ways App at www.RXinsider.com / 20ways /

130 aisles. 450 booths. One location.

Virtual Pharmacy Trade Show All in One Convenient Location All shows are subject to change.

continued on page 41

More than 250,000 annual visitors turn to the Virtual Pharmacy Trade Show to research and connect with leading providers of products and services throughout every segment of pharmacy. © 2014 RXinsider LTD. All rights reserved.

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h e a lt h s y s t e m • i n f u si o n

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Join us in Washington, D.C. for the Most Influential Supply Chain Event of the Year

1 20 4 H e a l T H c a R e s u p p ly c H a I n

c o - H o s T e d B y H s c a a n d H I s c I

october 15-17, 2014 • Build connections with industry leaders during nine hours of networking • Increase your knowledge of best practices and industry trends during our education sessions • Meet key players and strengthen your bottom line at the two-day Reverse Tradeshow For more information, visit www.supplychainassociation.org/2014Expo

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continued from page 38 2014 ASCP Annual Meeting & Exhibition November 5 - 7, 2014 Gaylord Palms Resort & Convention Center Orlando, FL www.ascp.com American Society of Health Systems Pharmacists (ASHP MidYear) December 7 - 11, 2014 Anaheim Convention Center Anaheim, CA www.ashp.org APhA Annual Meeting & Exposition March 27 - 30, 2015 San Diego, CA www.pharmacist.com HIMSS Annual Conference & Exhibition April 12 - 16, 2015 McCormick Place Chicago, IL www.himssconference.org MHA Annual Business Summit TBD, 2015 www.mhainc.com

Innovatix + Essensa National Meeting & Exhibition TBD, 2015 www.innovatix.com NASP Specialty Pharmacy EXPO TBD, 2015 meetings.nasprx.org NHIA Annual Conference & Expo TBD, 2015 www.nhia.org

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AMCP’s Annual Meeting & Expo TBD, 2015 www.amcp.org CPhA’s Annual Meeting TBD, 2015 www.cpha.com Armada Specialty Pharmacy Summit TBD, 2015 www.armadasummit.com NCPA Annual Conference on National Legislation & Government Affairs TBD, 2015 www.ncpanet.org

Annual Seminar by the Sea Northeast Regional Conference TBD, 2015 www.uri.edu

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The MIC isolators are validated to meet FDA guidance. Your Complete MIC Family of Isolators Advanced Aseptic Fully validated to meet the FDA’s guidance for Compounding™ closed system aseptic processing isolators: Solutions Provider ▶ Provides for superior airflow in a continuous ISO

Containment Technologies Group, Inc. Class 5 or better compounding zone

▶ ▶

encompasses much more than just compounding aseptic isolator Validation of transfer ofsuperior materials and supplies technology. We have grown to become your one-stop provider Produces decontamination levels that far for all of your USP<797> needs. at a exceed standard procedures, producing

minimum a 4 log reduction with Advanced Aseptic known for with our expertise in CAI’s Compounding™ and a 5We logarereduction and CACI’s with our Mobile Isolation Automated Advanced Aseptic Compounding™ ▶

Chamber (MIC) family of isolators (MICSingle, MIC-Dual, MIC-TPN Testing, procedures, protocols that exceed USPand MIC-EDU Systems). standards and state board regulations We offer service plans and complete certification programs including viable and non-viable testing for all of your pharmacy and laboratory primary engineering control needs.

MIC Single

MIC Dual

On-site training is included with every MIC purchase. We also provide customized training from our diverse MIC EDU educational curriculum.

We also offer extensive stock of Containment Technologies Group, Inc.an | www.mic4.com

5460 Victory Dr., Ste. 300pharmacy | Indianapolis,supplies. IN 46203 | p These 317.713.8200 supplies

can be ordered in any quantity from just one piece to multiple cases.

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Closed System Isolators Validated to Meet FDA Guidance by Containment Technologies Group, Inc. The MIC Family of Isolators have been validated to meet FDA guidance. This allows your facility the peace of mind in knowing that a closed system isolator from CTG provides the utmost in patient safety. President & CEO: Michele Moore

R.Ph., MBA Founded: 1994 Employees: Private Stock Symbol: Private Phone: (317) 713-8200 Fax: (317) 713-8201 Address: 5460 Victory Drive, Suite 300 Indianapolis, IN 46203 Website: www.mic4.com

Company Background Containment Technologies Group, Inc. provides isolation technology to a broad range of the healthcare industry including pharmaceutical, medical devices, compounding and hospital pharmacies. Our President and CEO is an active hospital pharmacist and is fully committed to providing innovative isolation systems focused on both patient safety and containment of hazardous materials. The MIC family of isolators have been validated to meet FDA expectations for sterility assurance while protecting the provider and the environment. Our engineering staff designed the MIC family of isolators based on extensive experience gained in developing advanced aseptic processing and containment solutions in FDA regulated industries. The MIC family of isolators is widely accepted in a variety of settings in the United States as well as a number of facilities internationally. Containment Technologies Group, Inc. remains committed to our goal of protecting the patient, the health care provider and the environment. Product Overview Did You Know?

That using current manual decontamination techniques such as wipe or spray will still leave significant micro-contamination on the component surfaces being placed into an ISO class 5 environment. The manual decontamination also creates variability in the sterility assurance levels of the preparations leading to unknown levels of sterility. Good News! Containment Technologies Group, Inc. has validated

the MIC Family of Isolators to meet FDA guidance for closed system isolators. The validation not only includes confirmation of an ISO class 5 environment but also incorporates procedures

that when followed confirm FDA acceptable sterility assurance levels for components being placed into the direct compounding zone of the isolator. The Sterility Assurance Levels That are Validated Include:

• The standard MIC Isolator configuration incorporates procedural spray down of components in the static airlock. Providing a defined area, decontamination solution, plus entry and exit protocols results in exceeding published data contamination rates expected in a USP <797> compliant clean room with open primary engineering controls. • The standard MIC configuration can be modified to incorporate an automated decontamination airlock. The vapor phase hydrogen peroxide is an effective decontaminate with a broad range of capabilities that leaves no residue. The validation of this onsite modification demonstrates a sterility assurance level that meets the FDA expectation for sterility assurance (10-4) of product produced by aseptic processing in approximately two minutes. • The MIC-EDU System is our most advanced closed system isolator. It uses batch decontamination technology that allows for continuous compounding with no downtime. The vapor phase hydrogen peroxide provides a repeatable method of reaching all interior surfaces contained within the closed system isolator. This unit has been validated to show sterility assurance levels at 10-5.

Features & Options • Fully validated to meet the FDA’s guidance for closed system aseptic processing isolators.

• Provides for superior airflow in a continuous ISO Class 5 or better compounding zone.

• Produces decontamination levels that far exceed standard procedures.

• Validated 4 log reduction with the MIC Family of Isolators and a 5 log reduction with the MIC EDU Systems.

• Testing, procedures, protocols that exceed USP standards and state board regulations.

Additional Product Lines MIC Family of Isolators (hazardous and non-hazardous solutions): MIC Single, MIC Dual, MIC TPN, MIC 797P, MIC Nuclear and MIC EDU Systems

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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 acy c o s t c o n tai n m e n t

Pharma™-Wipe Plus - USP <797> Compliant Wipers by Acute Care Pharmaceuticals Acute Care Pharmaceuticals manufactures advanced USP <797> compliant disposables for advanced environments. Founded: 1997 Phone:

(888) 909-7700 Fax: (858) 675-9380 Address: 12225 World Trade Drive Suite A San Diego, CA 92128 Website: www.Pharma-Choice.com

Company Background Since 1997, Acute Care Pharmaceuticals has been servicing the healthcare industry by delivering exceptional products and services to healthcare providers nationwide. Acute Care Pharmaceuticals manufactures their own full line of USP <797> compliant disposable products under the brand name Pharma-Choice™. ACP is continually improving the quality of their products making them one of the cleanest USP <797> disposables vendors.

Product Overview Pharma™-Plus cleanroom wipers are the cleanest USP <797> compatible wipers available for use in your cleanroom, barrier isolator, or other compounding areas. They are available in dry and pre-saturated, sterile and non-sterile versions, and in a wide range of sizes. The Pharma™-Plus line of ISO Class 5 wipers have gone through additional cleansing and gamma irradiation processes to reduce the number of endotoxins which have been found to induce fever. Features & Options • USP <797> Compliant • Meets USP <161> endotoxin limit for medical devices of 0.06 EU/mL. • Picks up hazardous spills without spread of contamination. • Lint less, durable, soft and engineered tear resistant. Product Specifications • PSPW5VS797 - Pharma™-Sat Plus: Sterile, Pre-Saturated 9x9 Wiper • PSPW5IR-11 - Pharma™-Sat Plus: Sterile, Pre-Saturated 9x11 Wiper • PSPW5NS-11 - Pharma™-Sat Plus: Non-Sterile, Pre-Saturated 9x11 Wiper • PWP5NS797 - Pharma™-Wipe Plus: Non-Sterile, Dry 9x9 Wiper

Additional Product Lines Acute Care offers a wide range of USP <797> compliant disposables. They truly are a one-stop shop. • Sterile Alcohol Made with USP WFI • Low Endotoxin Dry or Pre-Saturated Wipers • Sterile Gloves • Sterile Chemo Neutralizing Kit (ISO Class 5 Wipers) • Sterile Chemo Safe Spill Mats • Mops and Mop Covers • Tacky Mats • Testing Kits • Safety Seals • “Head-to-Toe” Apparel

GPO Affiliations • Amerinet • Armada Health Care • HealthTrust (HPG) • Innovatix • MedAssets • MHA • Novation • PACT • Premier • ROi • TempestMed Pricing Information Acute Care Pharmaceuticals holds over 11 GPO and 7 IDN contracts. For more information and for your facilities contracted pricing please contact an Acute Care Sales Representative. Ordering Information Orders can be placed through AmerisourceBergen, Cardinal, McKesson or direct from Acute Care. Acute Care Pharmaceuticals Sales Representatives can be reached at: P: (888) 909-7700 F: (858) 675-9380 E: Info@acutecareonline.com Online Store: www.Pharma-Choice.com Summer 2014

h e a lt h s y s t e m • i n f u si o n 45

MINIMIZE RISK MAXIMIZE COMPOUNDING ACCURACY GUARANTEED TO MEET YOUR USP 797 COMPLIANCE REQUIREMENTS NuAire’s PharmaGard™ ES (Energy Saver) NU-797 Compounding Aseptic and Containment Isolators offer both a positive pressure and negative pressure ISO Class 5 clean air controlled environment for the aseptic compounding of non-hazardous or hazardous drugs utilizing TruLaminar™ Airflow. • Ergonomic Design Reduces User Fatigue • Large Oval Glove Ports Extend Users’ Reach • Sliding Sharps and Waste System makes Routine Container Removal and Replacement a Breeze • Counter Balance Inner Transfer Window and Sliding Work Tray provides a Seamless Transition when Entering Compounding Materials into the Work Zone NuAire manufactures a wide range of clean air equipment to fit your pharmacy needs. NuAire manufactures at three separate locations in Minnesota to create a true made-in-America product sold in over 150 countries worldwide.

Find all your PharmaGard™ accessories online - www.nuaire.com/04944 ®

/nuaire

@nuaire

/nuaire

2100 Fernbrook Lane | Plymouth, MN 55447 | U.S.A. | 763.553.1270 | WWW.NUAIRE.COM

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Minimize Risk. Maximize Compounding Accuracy. With NuAire Inc.’s PharmaGard NU-797 Isolators. NuAire’s mission has always been to develop and deliver innovative products, communicate the latest technologies and product improvements, establish trust in products, personnel, to seek customer satisfaction and continuously improve our mission. President:

Richard Peters Founded: 1971 Employees: 300+ Stock Symbol: Private Toll-free Phone: (800) 328-3352 Phone: (763) 553-1270 Fax: (763) 553-0459 Address: 2100 Fernbrook Lane, Plymouth, MN 55447 Website: www.nuaire.com e-mail: nuaire@nuaire.com

Company Background

In 1971 Max D. Peters Founded NuAire on the principle: “The best in industry service, expert knowledge and consistently providing quality laboratory equipment.” NuAire builds integrity and reliability into every product utilizing True Laminar Airflow, the HEPEX™ Zero Leak Airflow System, State-of-the-Art Electronic Systems and Ergonomic Design. That is why for over 40 years NuAire has been recognized as the leader in providing laboratory professionals with reliable products with the best performance and best protection for the most demanding environments.

Product Overview

NuAire’s PharmaGard Isolators are available in 4 foot and 6 foot models, providing personnel, product and environmental protection, creating an ISO Class 5 sterile environment, meeting the requirements of USP Std. 797 for the compounding of sterile products. NU-PR797 Positive Compounding Aseptic Isolator, NU-NR797 Negative Pressure Re-circulating Compounding Aseptic Containment Isolator and NUNTE797 Negative Pressure Total Exhaust compounding Aseptic Containment Isolator. PharmaGard CAI and CACI Isolators are CETA CAG-002-2006, ISO Class 5, UL, UL-C, CE, RoHS and USP 797 Compliant. NuAire also offers energy efficient Biological Safety Cabinets and Laminar Flow Clean Benches for use in ISO Class 7 Clean Rooms. Under the work surface sharps and waste system saves pharmacy space. Containers are held in place by guides to create an air tight seal. Releasing the locking mechanism frees containers moving them down and closer to the user for easy replacement. The counter balance system is hidden within the inter-chamber wall away from sterile product. The window is easily moved up and down with the use of one finger. Located in the transfer compartment, the sliding work tray provides a seamless transition when entering compounding materials into the work zone. The HEPEX™ plenum inflates to provide quiet uniform air without transferring vibration. Positive pressure chambers and ducts are surrounded by negative pressure eliminating potential leaks.

HEPEX fabrics are durable, impregnable and flameproof, with antibacterial properties. Resistant to chemicals, oils and greases, also provides a barrier against water, gases, fluid and dust. An ultra-high efficiency motor saves on your energy bills while increasing filter life lowering your total cost of ownership. With a three (3) year warranty on parts and labor for the United States and Canada; four (4) years for international parts only.

Standard Features

• Supply HEPA Filter 99.99%

• Flexible Two-Piece Nitrile

@ 0.3 Microns

Sleeve and Glove

• Solid State Motor

• 3 IV Bar Locations • IV Bar with 6 Hooks • Hospital Grade Duplex

Voltage Regulators

• Hinged Slanted Window • 3/8" (10 mm) Thick Scratch Resistant Polycarbonate Window

Optional Features • Bench Mount Support • Telescoping Basestand • Additional IV Bar with 6 Hooks • Auto Lift Basestand • Pull Out Stainless Steel Tray • Cord Pass Through • Right Side Transfer Compartment • Storage Trays

• Dual Side Transfer Compartments (6 ft. Model Only)

• PharmaGard Digital Monitor • Three or Four Glove Ports (6 ft. Model Only)

• Seismic Brackets • Additional Hospital Grade Duplex

Key Customers

NuAire's extensive client list includes the National Institutes of Health, Centers for Disease Control, Mayo Clinic, Procter & Gamble and several leading pharmaceutical manufacturers including Eli Lilly, SmithKline Beecham, Pfizer, Merck and Wyeth-Ayerst.

Additional Information

In every NuAire product, Biological Safety Cabinets, Animal Handling Products, Incubators, Freezers, Polypropylene Fume Hoods, Laminar Airflow Products, or Centrifuges you will find brilliant but practical design, keen attention to detail in every phase of the fabrication and assembly process, thoroughly tested, outstanding value and dependable service. These are the foundation for NuAire's reputation, and practical reasons why NuAire is universally recognized as the finest. NuAire is an ISO 9001:2008 and ISO 13485:2003 certified company. NuAire® provides the best in the industry sales and service support, through our in house Sales & Service Departments, application engineering, submittal documentation and drawings, as well as a network of manufacturers’ representatives, distributors and dealers. Summer 2014

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Lance Lanier, BS Pharmacy Business Development

Tracye Easterly Regulatory Coordinator

Mike Pierce President

Dell McCarley, Pharm D Chairman/CEO

Kim McDonough, Pharm D Compounding Pharmacist

Chris Hutts, Pharm D Pharmacist in Charge

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

Dell McCarley, P.D. Founded: 1952 Employees: <100 Toll-free Phone: (877) 666-5222 Phone number: (501) 666-2020 Fax: (877) 666-8962 Address: 7321 Cantrell Road Little Rock, AR 72207 Website: www.cantrelldrug.com

Company Background

Established in 1952, Cantrell Drug Company has a long and successful history. Amidst many changes in the field of pharmacy, Cantrell Drug Company has remained committed to maintain a standard of quality exceeding current compounding standards. Pharmacist and CEO, Dell McCarley P.D., has led the privately owned and operated corporation to become one of the nation's most advanced compounding companies. Innovation and investment in cutting-edge technology at Cantrell Drug Company is evidenced in the Rapid Microbiological sterility testing program and an autonomous and independent Quality Assurance department. Advances in technical processes and programs like these are tangible indicators of our level of commitment to quality and the pharmaceutical sciences.

Service Overview

Cantrell Drug Company is a multi-faceted specialty pharmaceutical company providing sterile and non-sterile pharmaceutical preparations to meet the needs of patients, physicians, clinics and healthcare institutions throughout the United States. Cantrell Drug Company is comprised of two divisions: a custom compounding division primarily designed to “bridge the gap” with commercial product drug shortages and a standard admixture line for every day hospital pharmacy needs. The goal of Cantrell Drug Company is to provide the highest quality pharmaceutical preparations. We accomplish this with an extensive and continuous quality assurance/quality control program focusing on strict compliance with current Good Manufacturing Practices (cGMP) and U.S. Pharmacopeia Guidelines (USP) standards. We strive to conduct business in an ethical manner, comply with all applicable federal, state and local statutes and regulations; maintain a high level of consistency and efficiency and assure quality in each and every compounded medication. Cantrell Drug Company is an FDA registered 503B Human Drug Compounding Outsourcing Facility that specializes in providing customized IVs, OR syringes, epidural preparations, PCA syringes and drug shortage solutions with the highest level of quality. Cantrell meets

the daily needs of patients, physicians, clinics and health care institutions nationwide and retains state licenses nationwide, a DEA manufacturing license and an FDA registration.

Drug Shortages

Every healthcare institution is sure to feel the effects of shortages in the coming months; in fact, the amount of shortages has more than tripled since 2005. Over 75% of these shortages were for sterile injectable medications. Of these, 42% were due to product quality issues such as the “presence of particulates, microbial contamination, newly identified impurities, and stability changes.” Another 18% were due to product discontinuations where prior notification to the FDA was not required. The shortages lead to increased cost for pharmacies to meet patient and physician needs, and much of the financial impact is felt in acute care divisions. Cantrell Drug Company offers compounded solutions to many of these drug shortages. Currently, we are providing many of the “hard to find” products - please contact us for more information and to see if the product you need is available for compounding. We will help you “fill in the gap” during the time period the shortages are in effect.

Testimonial

“ Cantrell Drug Company has been a lifesaver when it comes to drug shortages. A quick e-mail to Cantrell, and more often than not, they are able to provide the needed product. A couple of weeks ago, our metoclopramide injection supply was critically low. Cantrell saved the day by providing what commercial vendors could not. I am confident that the products we receive from Cantrell Drug Company are sterile and accurate because of the rigorous quality control tests that are performed on every batch. It is comforting to know that Cantrell Drug Company will provide a quality product at a fair price.” –– Angela N. Powell, PharmD, Director

Quality Control & Quality Assurance

Cantrell Drug Company’s FDA Registered Product Lines are produced under a comprehensive Quality System model that supports and sustains robust quality systems consistent with cGMP regulations. These products are produced in an FDA registered facility using current Good Manufacturing Practices. Cantrell’s Quality Control and Quality Assurance (QC/QA) program monitors the quality of Cantrell’s preparations through testing, documentation and continuous quality improvement procedures and ensures compliance with applicable state and federal regulations. Cantrell Drug Company utilizes a formalized QA program, which encompasses all aspects of preparation and testing to ensure accuracy and precision of weighing and measuring, and methods of sterilization. Summer 2014

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T H E

S M A R T

R F I D

S O L U T I O N

Three Systems. Unlimited Visibility. From pharmacy to point-of-care, Intelliguard® RFID Management Systems improve patient safety, reduce costs, and increase staff efficiency. Our suite of systems provide unprecedented real-time visibility of your high-value, critical-dose medication inventory. g Automate error-prone tasks and processes g Eliminate manual counting and item-level scanning g Optimize inventory levels g Monitor expiration dates and lot numbers g Meet compliance requirements g The right drugs, in the right doses — when and where you need them Contact MEPS Real-Time® today and discover how our Intelliguard® solutions can increase your inventory visibility. Learn more about the Intelliguard® Product Suite at www.tinyurl.com/mepsthreesystems Phone 760-448-9500 Email info@mepsrealtime.com Website www.mepsrealtime.com

Intelliguard® Product Suite Intelliguard® Kit and Tray Management System features countertop enclosure or all-in-one cart options to automate tray inventory, replenishment and approval processes while significantly reducing required labor. Intelliguard® Inventory Management System features Controlled Temperature Cabinets with preset temperature settings for Cold (2° - 8°C) or Controlled Room (20° - 25°C) storage. Available sizes are from small undercounter to large-capacity models. Intelliguard® Medication Management System features an Automated Dispensing Cabinet (ADC) with single and double-drawer options including Cold (2° 8°C) storage.

MEPS®, MEPS Real-Time® and Intelliguard® are registered trademarks and RFID Solutions for Critical Inventory™ is a trademark of MEPS Real-Time, Inc., Carlsbad, CA.

900-0029 rev A

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Intelliguard® RFID Management Systems for Critical Inventory by MEPS Real-Time® The Intelliguard® suite of pharmacy automation and inventory management systems provide unprecedented real-time visibility of high-value, critical-dose medication inventory. President & CEO: Shariq Hussain Founded: 2001 Employees: 40 Phone:

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

Company Background

MEPS Real-Time, Inc., located in Carlsbad, CA, is a leading provider of Radio Frequency Identification (RFID) solutions for the pharmaceutical and healthcare industries. What started as an idea conceived by two business associates on an airport napkin to develop a Medication Error Prevention System, has evolved into a company with a focus on RFID as an enabling technology for pharmacy automation and inventory management systems. Today, with Intelliguard® RFID Management Systems in major medical centers in the U.S., MEPS® is on the leading edge of the change necessary to make healthcare more efficient and less costly, while providing the best care for patients. We hope to be a part of your future.

Product Overview

Our suite of Intelliguard® RFID Management Systems offer unprecedented real-time visibility of critical pharmaceutical inventory to reduce costs through inventory management and monitoring of expiration dates, NDCs, lot numbers and temperature; increase staff efficiency by eliminating manual counting and item-level scanning through automation; improve patient safety through medication error prevention; and enhance diversion prevention with embedded security features. Pharmacy management and administration receive actionable data for evidence-based decision making. The Intelliguard® suite of systems includes: • Intelliguard® Kit and Tray Management System • Intelliguard® Inventory Management System • Intelliguard® Medication Management System A recent study with Sharp Memorial Hospital in San Diego showed significant improvements in accuracy and an average 80% reduction in pharmacy replenishment times of medication kits and trays when using the Intelliguard® Kit and Tray Management System. In a previous study utilizing an Intelliguard® Medication Management System for a selection of high-cost medications, Sharp realized an initial inventory reduction of nearly 25% and an additional 17% reduction in average daily inventory over the 14-month study due to reduced par levels, with no expirations or stock-outs.

Features & Options

Next Generation RFID Smart Label Product Development We are always innovating and always listening to our clients. Based on clinical research, MEPS Real-Time® recently developed and introduced a new Intelliguard® RFID Smart Label - 65% smaller than our competitorfor specific applications such as kits and trays used by anesthesiologists and other urgent response healthcare providers. The new Intelliguard® RFID Smart Label is easier to handle and less intrusive, and alleviates the potential for medication to become stuck in smaller cart drawers and trays. The new Intelliguard® RFID Smart Label:

• Provides a 100% accuracy rate when combined with our patented antenna system and our software replenishment process.

• Is less obtrusive when manually reading the FDA-approved label provided by the drug manufacturer.

• Does not need to be wrapped around the vials, and more easily fits on ampules and small vials.

• Allows for ampules and vials to more easily fit in pockets of trays, kits and boxes.

• Is a single smart label solution for all medication packaging including syringes, ampules, vials, boxes and bags.

Testimonial

“ T he Intelliguard® Kit and Tray Management System has significantly improved accuracy and reduced pharmacy replenishment time from between 5 to 45 minutes to three minutes, even with trays containing more than 120 items. My staff can now focus more on patient care and I have more confidence that important floor stock medication, including many that are used in critical emergencies, are properly replenished.”

— Shannon “JJ” Johnson, Pharm.D., Director of Pharmacy, Sharp Memorial Hospital, San Diego, CA

Ordering Information

To contact MEPS Real Time®: (760) 448-9500, info@mepsrealtime.com, mepsrealtime.com THE SAFE SOLUTION. THE SMART RFID SOLUTION. THE RIGHT SOLUTION.

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h e a lt h s y s t e m • i n f u si o n 51

“You can handle so many different scenarios with just one system.” – Chuck Gordon

“

We have so many different environments, they could be a nightmare to manage. But QS/1 systems are so customizable, they can be easily tweaked for different situations. More important, QS/1 stays ahead of our needs. We know they will be ready with any regulatory changes in the

”

industry well before we need them.

Learn how QS/1 products and services can make your job easier. Call 866.752.2898 or visit www.qs1.com/outpatient today.

866.752.2898

www.qs1.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 acy c o s t c o n tai n m e n t

President & CEO: Tammy Devine Founded: 1977 Employees: 550+ Toll-free Phone:

(800) 231-7776 (864) 253-8600 Fax: (864) 253-8690 Address: 201 West St. John Street, Spartanburg, SC 29306 Website: www.qs1.com Phone:

Company Background

QS/1, a division of the J M Smith Corporation, is one of the 10 largest healthcare software providers in the country. It provides products, services and support for independent retail, hospital outpatient, long-term care pharmacies and HME providers. QS/1 offers integrated IVR, Internet refills, Medicare Part B compliance documentation, integrated POS and tools to prevent medication errors and aid adherence. QS/1’s service and support are available via a toll-free call and WebChat. Training is available through self-paced learning programs and interactive training sessions. Learning opportunities are available through webinars and an annual Customer Conference. QS/1’s regional offices also provide training and support.

Product Overview

QS/1’s NRx is a complete retail pharmacy management system that adapts to evolving business needs. It’s the only pharmacy management system with built in Medicare Part B documentation tools. Process new prescriptions and refills with minimal keystrokes or mouse clicks. As businesses grow or change, add Workflow, Will-Call, Accounts Receivable, Document Management, and Central Profiles. NRx integrates with QS/1’s other systems and services, including Remote Checkout®, inbound/outbound IVR, POS, Web Refill Services and Multi-Site Management (MSM™). QS/1’s technology is based on 35 years of experience and support.

Features & Options

NRx supports documentation for specialized services, such as 340B, MTM and immunizations. Remote Checkout adds portability to pharmacy checkout via a wireless tablet, making it the perfect solution for outpatient pharmacies to provide prescription checkout at bedside, on deliveries or anywhere in the pharmacy. Process credit and FSA cards, capture signatures, scan barcodes and print receipts with an optional printer. Adherence tools include MTM and Health-Minder® and refill reminders via text, e-mail or phone. Patients can use our mobileRx® smartphone app to refill prescriptions and review their profiles.

Testimonials

“ Our QS/1 system built the confidence of both the staff and our customers. The integration of the products makes things so much easier.”

— Stacie Ling, CPhT, Lake Regional Health System, Lake Ozark, MO

“ You can handle so many different scenarios with just one system.” — Chuck Gordon, Carolinas Healthcare, Charlotte, NC

“ What I like most about QS/1 is the stability, reliability and continuity of the products.” — Chad Corwell, MBA, The PharmaCare Network, Cumberland, MD

Additional Product Modules

n Workflow: QS/1’s Workflow module ensures safety, balances workloads and efficiently manages multiple queues. The Prescription Intake queue allows staff to scan prescriptions and process them later. View documents and pill images, scan barcodes and utilize reports on the workflow monitor. Track each step of the dispensing process to ensure HITECH compliance.

n Will-Call Bin Management: Enjoy fast, efficient prescription storage and retrieval with QS/1’s RetrieveRx®. Prescriptions and batch barcodes can be scanned, stored and quickly located to reduce patient wait times. n NRx Delivery®: The NRx Delivery shipping solution

organizes and manages multiple credit cards, delivery addresses and individuals within one account. It’s also the perfect solution for payroll deductions as it tracks payroll balances and automatically charges accordingly.

Additional Product Lines

n Long-Term Care: PrimeCare® is flexible, making it

excellent for pharmacies serving skilled nursing, mental health, assisted living or board-and-care facilities. It allows staff to customize software parameters to fit their unique needs . The WebConnect® iPad® app is easy to use and provides web access to pharmacy information from the nurses’ station or anywhere in the facility. It saves time, increases efficiency and productivity, and allows the pharmacy to improve customer service by sharing information.

n HME/DME: SystemOne® is an affordable way to manage HME operations

and ensure complete Medicare compliance. It integrates seamlessly with QS/1’s Pharmacy Management and POS systems and is available as an online or installed solution.

n Multi-Site Management: MSM manages multiple pharmacies from one

location. Central management eliminates redundancies and streamlines distribution of pricing, third-party plans, drugs, clinical updates, employee access, staffing, drug price updates, reward programs and more by sharing information in real time.

Key Business Partners

QS/1 develops and maintains interfaces using government and industry standards, such as HL7, XML, Web Services and NCPDP SCRIPT, to ensure reliable, accurate communications and to protect your investment.

Markets Served

QS/1 serves independent retail, outpatient, long-term care, mental health, skilled-nursing and assisted-living facilities and HME/DME providers. Summer 2014

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Pharmacy Job Opportunities

CAREERS IN HOSPITAL PHARMACY With Comprehensive Pharmacy Services (CPS), you will have the opportunity to experience many aspects of hospital pharmacy practice including clinical practice, regulatory & compliance, and formulary management in a supportive and expanding environment. Grow your career with us!

Acute Care, Long-term Acute Care, Behavioral, Specialty, Integrated Health Systems Inpatient and Outpatient Director of Pharmacy, Clinical Coordinator, Pharmacist, Technician + others Locations across the U.S. and in the Virgin Islands and Puerto Rico

VISIT OUR CAREERS SITE TO GET MORE INFORMATION ON THE LATEST JOB OPENINGS: HTTP://JOBS.CPSPHARM.COM

job is not just helping people “toMyfeel better, but to live better. ” I’m Making Better Possible. Leigh Ann, Pharmacist

You chose a career in Pharmacy because you wanted to help people and make a real difference. Walmart and Sam’s Club Pharmacies are built on this very same principle. Our unmatched ability to deliver vital medicine, preventative care and prescriptions at lower costs means we help our customers live better. And we give our Pharmacists every available new technology and tool in order to deliver the best care possible. Combined with competitive wages, room for advancement and generous benefits, joining a Walmart or Sam’s Club Pharmacy means serving your community and unlimited opportunities for your career. To learn more about Walmart or Sam’s Club Pharmacies, go to walmart.com/rxcareers Wal-Mart Stores, Inc. is an Equal Opportunity Employer - By Choice.

Making Better Possible 54

Summer 2014

walmart.com/rxcareers

h e a lt h s y s t e m • i n f u si o n

Pharmacy Job Opportunities

Your development, your well-being, your opportunity starts here

Innovative Delivery Solutions • Over 40 years of experience in helping hundreds of hospital and outpatient pharmacies • One of the largest employers of acute-care pharmacists in the United States • Employer of choice for pharmacists because we offer a variety of career opportunities • Please visit our careers page for current openings at CardinalHealth.com/careers

cardinalhealth.com/us/en/ innovative-delivery-solutions/ our-strategic-approach

© 2014 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners. Lit. No. 5HR11434 (03/2014)

Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status.

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

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

THE KROGER CO. FAMILY OF PHARMACIES

Summer 2014

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Pharmacy Residency At Cleveland Clinic

Grow Faster. Go Farther.

The time is right to apply for a residency at Cleveland Clinic. We offer 11 distinct PGY-1 and PGY-2 pharmacy residency programs on the main Cleveland Clinic campus and seven PGY-1 programs at our Community Hospitals and Cleveland Clinic Florida. You’ll be immersed in real world patient care situations, educational programs and research at one of the world’s most advanced and sophisticated hospitals. You’ll teach at medical and nursing in-services and co-precept students from colleges of pharmacy. And you’ll attend high-level conferences including the ASHP Midyear Clinical Meeting and the Great Lakes Residency Conference. Start your pharmacy career at one of the top four hospitals in the USA!* It can all begin with an email to pharmacycareers@ccf.org or a visit to www.clevelandclinic.org/pharmacy/career online. * U.S. News and World Report’s ‘Best Hospitals’ 2011-12

Medical Packaging Inc.

Manufacturing the packaging solutions to deliver bar-coded, unit-dose medication to the bedside.

Oral Solids

MPI Auto-PrintTM and Oral Solid Feeder (OSF)

Standard package size of 2.0” x 1 ½”. Class A and B materials available.

Oral Liquids

MPI FluidoseTM

Three standard cup sizes available – 15ml, 25ml, 35ml.

MPI Auto-PrintTM Bagging System

Many bag sizes available for packaging all types of ancillary medications.

MPI Pharmacy Accessory Label Printer

Multiple label offerings to create bar-coded labels.

Overwrapping

Labeling

• 1D and 2D Barcode Capabilities and Advanced Barcode Builder • Enhanced Security and Password Controls • Label Designer and Label Preview Tools • Comprehensive Management Reports and Digital Package Retention (Included with all MPI packaging systems.)

• Optionally integrated with First DataBankTM drug database and image library

Medical Packaging Inc. • 470 Route 31 • P.O. Box 500 • Ringoes, NJ 08551 Toll Free. 800.257.5282 | Fax. 609.466.3775 | www.medpak.com

CLIMB THE LADDER OF STERILITY ASSURANCE TO ACHIEVE GREATER PATIENT SAFETY.

MIC DUAL EDU SYSTEM

The MIC EDU System by Containment Technologies Group, Inc. provides the utmost in patient safety – achieving one of the highest sterility assurance levels currently available in the open market. The MIC EDU System uses automated processing to sterilize all materials inside the manipulation chamber with vapor-phase hydrogen peroxide. The MIC EDU System achieves a validated sterility assurance level of 10-5 – this equals no more than 1 contaminated vial out of 100,000 preparations.

Containment Technologies Group, Inc. | 5460 Victory Drive Suite 300 | Indianapolis, IN 46203 | 317.713.8200 | www.mic4.com