20Ways WINTER Hospital 2015 by RXinsider

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

PHARMACY COST C O N TA I N M E N T Winter 2015

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

Eight Preceptors Recognized by Eight Colleges Including UNE, LIU, MCPHS, Union University and More page 46

Pharmacist Jobs Pharmacy Job Opportunities

page 70

Trade Show Calendar page 56

Contents WAY

RxASP 1000™ Adherence Packaging by RxSafe

Give your outpatients 30 days of medication at discharge with our most advanced strip packaging solution.

Don’t miss RxSafe at Booth #2460. ASHP 2015 • December 6-10 • New Orleans

RxASP 1000™

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

WAY

Here’s One Idea to Reduce Readmission Rates, While Improving Patient Adherence — EvolutionPOS From RMS

All you need is one.

The RxASP 1000 takes adherence packaging to a whole new level—no more trays. With complete security and confidence, pharmacies can increase profitability and improve productivity.

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

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

page 19

page 15

WAY

Grifols Introduces KIRO® Oncology — Automated Sterile Compounding of Hazardous Drugs

KIRO® Oncology The next-generation system for automated sterile compounding of hazardous drugs, including oncology and biologicals. KIRO® Oncology helps reduce medication errors and improve safety for pharmacy technicians by reducing their exposure to hazardous drugs.

WAY

Cold Storage for Patient Floors From Helmer Scientific Helping you protect valuable and sensitive medications stored on patient floors

The latest technology for automated sterile compounding of hazardous drugs, including oncology and biologicals.

UNIQUE FEATURES: Two robotic arms Self-cleaning Lean design

For a product demonstration, please visit us at booth #2613 at the ASHP Midyear Clinical Meeting

GRIFOLS’ STERILE MANUFACTURING EXPERTISE APPLIED TO THE COMPOUNDING PHARMACY

Ensure that medications and vaccines are stored according to manufacturer’s directions and maintain potency, even when they are stored outside the central pharmacy on patient floors.

Confidence Matters.

Medications and vaccines stored outside the central pharmacy require proper cold storage to maintain viability. Ensuring that the most stringent standards of storage are met reduces the risk that medications are compromised, achieving a high level of patient care and safety.

Focusing only on medical-grade refrigerated products for over 35 years.

Superior temperature uniformity with powerful forced-air refrigeration systems

Continuous monitoring provides early warning detection

Integrated access control maintains integrity of valuable medications and vaccines, increasing control, confidence, and security

Compatible with medication dispensing systems

Fo r m o re i nf o r m a t i o n o n H e l m e r S c i e n t i f i c P ha r m a c y R e f r i g e r a t o r s :

w w w. he l me ri nc . c om/me d -stora ge For more information: Grifols USA, LLC Tel. 1-800-379-0957 hospital.division@grifols.com

US/HP/1015/0010

TrueBlue™ Find us on

20Ways-Winter2015-A.indd 1 Anuncio Kiro Oncology_04.indd 1

10/24/2015 2:35:14 PM

23/10/15 16:26

page 17

page 21

WINTER 2015

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

Contents Case Study Treating Acute Uncomplicated Influenza with a Novel, One-Dose Intravenous Neuraminidase Inhibitor THE CHALLENGE: During the influenza season, which typically peaks in the winter months, doctors’ offices and emergency rooms see a great influx in patients presenting with influenza-like illness. Typically, the only available treatment option is to prescribe a multi-dose antiviral neuraminidase inhibitor which can alleviate the symptoms of influenza (headache, myalgias, fever, fatigue, cough, sore throat, and nasal congestion), on average, about a day sooner than standard of care. Many people are able to quickly recuperate from influenza; however, some segments of the population are at a higher risk of developing serious complications from the flu, leading to significant morbidity, hospitalizations, and even death.

WAY

Case Study: Rapivab™ (Peramivir Injection)

Clean Harbors — Providing Collection and Disposal Services for Safe Hospital Pharmacy Waste Management

Treating acute uncomplicated influenza with a novel, one-dose intravenous neuraminidase inhibitor.

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

Important Safety Information Rapivab™ (peramivir injection) is indicated for the treatment of acute uncomplicated influenza in patients 18 years and older who have been symptomatic for no more than 2 days. • Efficacy of Rapivab was based on clinical trials in which the predominant influenza virus type was influenza A; a limited number of subjects infected with influenza B virus were enrolled. • Influenza viruses change over time. Emergence of resistance substitutions could decrease drug effectiveness. Other factors (for example, changes in viral virulence) might also diminish clinical benefit of antiviral drugs. Prescribers should consider available information on influenza drug susceptibility patterns and treatment effects when deciding whether to use Rapivab. • Efficacy could not be established in patients with serious influenza requiring hospitalization.

page 22-25 WAY Connie reclaimed her health – and her life – from chronic sinus problems. For patients suffering from chronic, recurrent or resistant sinus conditions, LoxaSperse™ can be a real game changer. Case study: Connie’s story. After trying several surgeries and

page 29 WAY

Go Right to the Source of Sinus Problems With PCCA LoxaSperse™

LoxaSperse is a powder excipient base for nasal nebulization and irrigation compounds that will help your patients’ medicine go right to the source of sinus problems.

oral medications, Connie’s doctor prescribed a compounded nasal irrigation that has helped clear up her infection – and helped her regain her life.

I feel alive again.”

“

Connie, a Chronic Sinusitis patient

See how Connie got her life back and get the science behind LoxaSperse at pccarx.com/loxasperse.

TCGRx is a leading supplier of pharmacy solutions ranging from individual components to complete pharmacy design. Including automated adherence packaging, unit dose strip packaging, highdensity fixtures, and full perpetual inventory management.

3 Beacon® Inventory Management 3 ATP® 2: Barcoded Unit Dose 3 InspectRx™: Unit Dose & Adherence Packaging Quality Control & Electronic Inspection 3 Outpatient Adherence: 30-Day Discharge Adherence 3 HDStock™: High-Density Fixtures

www.TCGRx.com

LoxaSperse can only be compounded by PCCA Member pharmacies. To find out all the benefits of membership and see how you can join, visit pccarx.com/join-pcca.

20-ways-ads-Eagle-and-PCCA.indd 1

TCGRx is Your Partner for All Pharmacy Solutions

TCGRx: Integrated Solutions for Inpatient & Outpatient Pharmacy

info@TCGRx.com

262.279.5307

10/27/2015 4:57:08 PM

page 27

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. 2015 CIRCULATION Issue Focus: Hospital & Infusion Issue Frequency: Summer & Winter Circulation Per Issue: 19,000+ 6,500+ Hospital Directors 2,200+ Clinical Consultants 2,500+ Industry Executives 5,000+ College Preceptors 1,800+ College Faculty 1,000+ Trade Show Handouts Issue Focus: Retail, Specialty, & LTC Issue Frequency: Spring, Fall, & Winter Circulation Per Issue: 35,300+ 18,000+ Owners (Independents) 3,500+ Long-Term Care Pharmacies 2,500+ Retail Chain Executives 2,500+ Industry Executives 5,000+ College Preceptors 1,800+ College Faculty 2,000+ Trade Show Handouts

page 31

QUARTERLY ISSUES Winter 2015

Fall 2015

I M P R O VI IMN G P R O V I N G PAT I E N T PCAAT RI EE NT CARE & PHARMACY & PBHI A R TMYA C Y C O S T I L TA I PROF Winter 2015

C O N TA I N M E

• LTC Community • Specialty

Winter 2015

Health System

•

Fall 2015

PATIENT CARE &

PHARMACY COST C O N TA I N M E N T Summer 2015

Community • Specialty • LTC

20 Unique Products & Services

8 Preceptors 8d Preceptors

10 Preceptors

Health System

•

Infusion

20 Unique Products & Services

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

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

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

Recognize Reco

7 Preceptors Recognized

Recognized

gnized

Recognized by Eight Eight Preceptors LIU, MCPHS, Preceptors Recognized UNE,Eight Colleges Including by Eight 28 Colleges More pageIncluding UNE, LIU, MCPHS, Union University and Union University and More page 46

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

10 Preceptors Recognized by Eight Colleges Including UNC, Union, LIU, UCONN, Husson and More page 32

Jobs

Trade Show Calendar

page 70

page 46

Pharmacy Job Opportunities

I M P R O V I N G

IMPROVING PAT I E N T C A R E & PHARMACY P R O F I TA B I L I T Y Spring 2015

Community • Specialty • LTC

Infusion

20 Unique 20 Unique Products Products ices & Serv &andServices Discover 20 products that will help your

ar Calend 44 pageacist Trade Show Pharm

Spring 2015

Summer 2015

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

Trade Show Calendar

Pharmacist Jobs Pharmacy Job Opportunities

page 62

Trade Show Calendar

20 Unique Products & Services

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

7 Preceptors Recognized

Seven Preceptors Recognized by Seven Colleges Including Wingate, MCPHS, Campbell, UCONN, and More page 30

Trade Show Calendar page 46

page 46

page 56

Health System • Infusion & Community • Specialty • LTC

Community • Specialty • LTC

Health System • Infusion

Community • Specialty • LTC

Visit 20Ways ONLINE at RXinsider.com/20Ways

WINTER 2015

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

Compressor-Free Refrigeration The Evolve™ Difference • Superior temperature control and uniformity throughout the chamber • Lower operation and maintenance costs in a sustainable refrigeration system • Dependable operation with battery backup power compatibility during power outages • Whisper-quiet operation all the time • Absence of internal mechanical parts offering peace of mind reliability • 24/7 embedded temperature monitoring and data logging

A new cold has arrived. Designed to meet the stringent guidelines for controlled storage of pharmaceutical drugs, vaccines, and medical devices.

• www.phononic.com/evolve

Unit Do s Bar Cod e, in Pharma g, c Nursing y & Supp Experts ly !

There’s a label for that!

Scan to see these labels in action!

800.523.8966

Medi-Dose/EPS labels are specifically designed for every need…from solids to liquids, syringes to ampules, IV lines and bags to insulin and suppositories. Plus, with our MILT® software, you can even add optional bar codes. You name it. At Medi-Dose/EPS, there’s a label for that!

MediDose.com

<USP 800> Hazardous Drugs - Handling in Healthcare Settings Wipedown 1-2-3’s three unique sterile saturated wipes deactivate, decontaminate, and disinfect to address exposure to most cytotoxic drugs. Their 9” x 12” size provides optimal saturation & coverage.

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

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

Come see us at asHP BootH #624

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

Contents WAY RFID Solutions for Critical Inventory

R F I D - E nA b L E D

I nvE n TO Ry

M AnAg E M E nT

Intelliguard® RFID Solutions

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

Intelliguard® Kit and Tray Management System features countertop, under-counter or all-in-one cart workstation options to automate tray replenishment and approval processes. Intelliguard® Inventory Management System offers a perpetual inventory visibility solution with RFID-enabled pharmaceutical storage cabinets that automatically update inventory each time the door is opened and closed. Features settings for Cold (2° - 8°C) or Controlled Room Temperature (20° - 25°C) storage and comes in sizes from small under-counter to large-capacity. Intelliguard® Vendor Managed Inventory System provides manufacturers and distributors with a real-time visibility solution to enable consignment inventory and strict supply chain integrity. Features continuously monitored RFID-enabled cabinets for Cold (2° - 8°C) or Controlled Room Temperature (20° - 25°C) inventory storage. A web-based portal allows suppliers to manage inventory levels, loading and dispensing activity, expiry alerts and temperature excursions.

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.

900-0061 rev A

Intelliguard® RFID Solutions: Your Prescription for Medication Error Prevention, Reduced Costs, and Increased Efficiency

WAY

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

PYROSATE

RaPid ENdOTOxiN dETECTiON KiT ed

NOW

ens FDA Lic

DA WF

License

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

New Sensitivities Of 0.03, 0.125 and 0.25 EU/mL

Intelliguard® RFID Solutions are proven to eliminate errors, improve efficiency, and reduce costs related to critical drug inventory management and distribution processes.

Final Product Release Easy-To-Use Method Rapid Test Results ASSOCIATES OF CAPE CO D, INC.

ASSOCIATES OF CAPE CO D, INC.

Specialists in Endotoxin and Glucan Detection

ASSOCIATES OF CAPE CO D, INC.

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

page 41

page 33

CASE STUDY Reducing the Error Rate During IV Infusion Lancaster General Health implements the Medi-Dose Line Tracing Labels to reduce medication error rates and help create a standardization process.

Tina M. Suess, MHA, BSN, RN – BC, CPHIMS Manager of Medication Safety Integration ~ Lancaster General Hospital

PRIMARY INTENDED OUTCOME(s) Our goal was to reduce the error rate during IV infusion and create standardization of line tracing protocol on infusion pumps by implementing line tracing labels.

Amanda E. Prusch, PharmD, BCPS Clinical Pharmacy Specialist Medication Safety ~ PGY-1 Residency Program Director

Case Study: Reducing the Error Rate During IV Infusion

WAY

New Mouthwash Line From Humco Compounding

Mouthwash-GP Dye free. Flavor free. Container head space for mixing. Compatible with most common Magic Mouthwash actives.

Mouthwash bases created to simplify the extemporaneous compounding of formulations for delivery to the oral cavity.

Lancaster General Health implements the Medi-Dose Line Tracing Labels to reduce medication error rates and help create a standardization process. Humco Compounding | 512 E. 11th St, Ste 201, Austin, Texas 78701 - USA Tel. (512) 474-7400 | Fax (512) 474-7414 | compounding@humco.com www.HumcoCompounding.com

www.medidose.com

page 34-37

WAY 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.

SyrSpend® SF • All-in-one syrup suspending vehicle • Simple one-step compounding process • pH adjusted to 4.2 for maximum compatibility • Also available as powder for reconstitution (preservative-free) SyrSpend® SF Alka • Easy-to-use suspending powder for reconstitution • Provides an alkaline (>7) environment for acid-labile drugs • Preservative-free

fagron.us

SyrSpend® SF Vehicle benefits: • 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 • Maximum compatibility with APIs • Helps improve ease of administration with a pleasant mouth feel and taste masking • Pre-weighed convenience packs available to compound suspensions in minutes

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

Sugar-f ree Alcohol -free Gluten -fre Dye-fre e e

Introducing Fagron Hospital Solutions, the Latest Compounding Innovation From Fagron, Inc. Fagron Hospital Solutions provide time-saving options for compounding in a hospital setting.

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

page 43

WAY

SecurColor™ Inkjet On-Demand Color Label Printers From Epson

DISCOVER THE ADVANTAGES OF EPSON SECURCOLOR Prints color where you need it No preprinted labels required Prints variable length labels Prints auxiliary info on label Water and alcohol proof Reduces label costs

Epson’s SecurColor prints enhanced color pharmacy labels on-demand without the use of pre-printed labels. Unlike other label printers, SecurColor allows you to print color anywhere on a label and print variable length labels to meet your needs.

All in a small footprint.

SecurColor. The smarter way to print pharmacy labels. Epson’s SecurColor® prints color-enhanced pharmacy labels without the expense and hassle of pre-printed labels. It is an ideal solution for retail and compounding pharmacies for printing crisp, clear color labels of variable length, including warning information, barcodes, text and graphics. And the labels are alcohol and water proof when printed on qualified media. It also complies with USP 797 standards for sterile preparations. Best of all it features the quality and reliability that Epson is known for.

pos.epson.com/healthcare

©2014 Epson America, Inc. Epson and SecurColor are registered trademarks and Epson Exceed Your Vision is a registered logomark of Seiko Epson Corporation. All other trademarks are the property of their respective owners.

page 39

page 45

WINTER 2015

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

   

Contents WAY

Talyst Delivers Medication Management and Complete Inventory Control Solutions

Medication Inventory Management For The Win AutoPharm® Enterprise software by Talyst provides enterprise-wide medication management across your entire health system to offer greater inventory control, enhanced workflow efficiency, and improved patient safety. Why simply manage your inventory when you can win inventory management?

Visit us in booth #1319 at the ASHP Midyear Meeting to learn more about how you can win inventory management in 2016. #TalystFTW

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

Preceptor Recognitions

page 46-47

WAY

AHP 20Ways November Ad_Unit Dose Plus.pdf

10/28/15

9:22 AM

NEW!

Announcing Unit Dose Plus

™

Available Exclusively from AHP! Patient care is your core focus. Packaging excellence is ours. We can remove the burden of in-house packaging from your pharmacy operations! AHP has long been the leader in supplying barcoded medications to health systems and LTC facilities nationwide. Our core UD line is the most comprehensive in the industry; and we launch more new products than any of our other competitors. In addition to the most commonly dispensed medications in a UD format, our customers have requested that we also address many of the lower-volume items that health systems dispense. You asked—we responded! Unit Dose Plus addresses the need for lower-volume items in a barcoded package format. These new UD items feature the same product quality and accurate, easily-scannable barcodes you expect from AHP. In addition, they are packaged in lower-count carton sizes to avoid both waste and returns. Let us focus on providing the barcoded medications you require, so you can best focus on delivering the exceptional care your patients expect.

Efficient Pharmacy:

americanhealthpackaging.com

page 53

WAY

Certified Geriatric Pharmacist Credential From CCGP

DOES YOUR PHARMACY HAVE A BOARD CERTIFIED GERIATRIC PHARMACIST?

Hospitals need board Certified Geriatric Pharmacists to manage the special needs of the increasing numbers of older adults — medication reconciliation, falls and other geriatric syndromes, and participating in geriatric teams (e.g. ACE, NICHE).

Only one credential has been established to recognize pharmacists with expertise in the care of older adults and the provision of medication therapy management services to geriatric patients— the Certified Geriatric Pharmacist (CGP), administered by the Commission for Certification in Geriatric Pharmacy. BECOME A CERTIFIED GERIATRIC PHARMACIST The CGP credential is ideal for the pharmacist who serves older adults, regardless of practice setting. Hospitals need CGPs because:

• The population is growing older. • Medicare reimbursement changes require more geriatric expertise. • Growing numbers of hospitals are establishing geriatric teams. • A recent review and meta-analysis has demonstrated the value of pharmacists on geriatric teams.

More details are available at: www.ccgp.org/hospital

page 49

WAY

page 55

Quality Compounding Certification Program (QCCP)

Check. Don’t Guess. State boards of pharmacy, the FDA, third-party payers and provider networks are demanding more rigorous USP <795> and <797> compliance. It’s training staff, quality assurance and creating internal standards. QCCP will help you stay on top of current guidelines and create an approach going forward. Our easy-to-navigate online process and personalized coaching will

Comply Verify Certify

QCCP is a new, online certification program to help you meet USP <795> and USP <797> compounding standards.

Trade Show & Meeting Calendar

page 51

page 56-61

help you take the guesswork out of compounding compliance. Certify your organization with QCCP. Turn speculation into certainty.

Visit QCCP.org/check or call 844.798.7227

WINTER 2015

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

Simple. Practical. Comprehensive.

The Buyer’s Guide for Pharmacy Management Known as the “Yellow Pages of Pharmacy,” the Pharmacy Platinum Pages is published annually and serves the profession as a high-quality and relevant buyer’s guide. The 2016 Pharmacy Platinum Pages features more than 350 company profiles and enhanced company sponsorships.

Download the Pharmacy Platinum Pages Mobile App

rxplatinumpages.com

Introducing the latest pharmacy solution from

ÂŠ2015 RxMedic Systems, Inc. RxMedic and RM200 are registered trademarks of RxMedic Systems, Inc. RxMedic Systems Inc., is a subsidiary of the J M Smith Corporation.

This wraps things up nicely. Auto-WrapTM Syringe Labeling System Manufactured by Medical Packaging Inc.

MPI’s Syringe Labeling System

Auto-Wrap™ is a semi-automatic system that will improve the process of manually labeling syringes by printing and wrapping the label that contains the medication information and barcode around the syringe. Optimum performance is achieved through the use of labels developed by MPI specifically for use in this labeling system and available in multiple different designs. Label content is managed through MPI’s exclusive Pak-EDGE™ UD Barcode Labeling Software, which offers the capability to print all linear and 2D barcodes and allows for customizable label formats. Medical Packaging Inc. | 8 Kings Court | Flemington, NJ 08822

To request information,

USA Toll free 800.257.5282| Phone.609.466.8991| Fax.609.466.3775 | www.medpak.com contact: sales@medpak.com

Contents WAY

PharmASSIST® High Volume Solutions by Innovation

Wellness Services

Patient Adherence

PharmASSIST High Volume Solutions help hospital pharmacies centralize Rx filling, increase patient safety, reduce Rx processing and labor costs, and free up outpatient staff to counsel patients, provide clinical services, and ultimately improve outcomes.

RAISING THE BAR ON HIGH VOLUME Medicare Star Ratings

Personalized Compounding

Medication Therapy Management

Our PharmASSIST® High Volume Solutions have set new standards for innovation, quality, versatility, scalability, and economic viability. We help you achieve your vision for serving your communities and employee prescription benefit program, and empower your outpatient staffs to deliver first-class patient-facing care. Invest in your future and help improve your patients’ outcomes. Call 607.798.9376 email sales@innovat.com or go to www.innovat.com.

WAY

Capital Inventory – Pharmaceutical Inventory Experts: Precise, Efficient, and Confident

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

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

Cover (Vert).indd 1

9/27/06 3:00:09 PM

page 63 WAY

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

H+H SYSTEM

WORKSTATION

Exchange Tray Preparation

EXCHANGE TRAY SYSTEM

“Used Tray” Return & Storage “Ready for Delivery” Tray Storage

Any Tray and any Configuration of Workstation possible.

Exchange Trays for Carts

H+H SYSTEM, Inc.

•

760 Beechnut Drive

•

Pittsburgh, PA 15205

•

Phone 800-477-2123

•

infousa@hhsystem.com

•

Mike Pierce President

Dell McCarley, Pharm D Raymond C. Anderson, PhD Chairman/CEO VP Quality Assurance & Regulatory Affairs

Pharmacy Job Opportunities

page 65

page 70-72

Cantrell Drug Company — Pharmaceutical Outsourcing Specialists

YOUR TRUSTED SOURCE

Tracye Easterly Administration

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

www.hhsystem.com

WAY

Lance Lanier, BS Pharmacy Director Business Development

page 69

Christen Butler Administration

Chris Hutts, Pharm D Pharmacist in Charge

FDA Registered 503B Human Drug Compounding Outsourcing Facility 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.

Quality • Service • Experience 877-666-5222 www.cantrelldrug.com

Download the 20Ways App

RXinsider.com/20ways

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.

page 67

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

Lora Sosa Eric Simmons

SALES AND BUSINESS DEVELOPMENT Chris Kolkhorst, Vice President chris.kolkhorst@rxinsider.com Shaun Russell shaun.russell@rxinsider.com Lindsey Kut lindsey.kut@rxinsider.com Evan Trifero evan.trifero@rxinsider.com Krystal Durning krystal.durning@rxinsider.com Email sales@rxinsider.com Phone 800.972.2083 Fax 646.329.9766 Website www.RXinsider.com

20Ways is an official publication of RXinsider

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

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

Editorial - views expressed in articles or profiles in the 20Ways are those of the author(s) and do not necessarily reflect the policies and opinions of RXinsider, our editorial board(s), our advisory board(s), or staff. Advertising - products, services and educational institutions advertised in 20Ways do not imply endorsement by RXinsider. Copyright © 2015 RXinsider LTD. All rights reserved. Reproduction without permission is prohibited.

WINTER 2015

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

Give your outpatients 30 days of medication at discharge with our most advanced strip packaging solution.

Don’t miss RxSafe at Booth #2460. ASHP 2015 • December 6-10 • New Orleans For more info: www.rxsafe.com | email: info@rxsafe.com | 877.797.2332

RxASP 1000™

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

RxASP 1000™ Adherence Packaging by RxSafe The RxASP 1000 takes adherence packaging to a whole new level—no more trays. With complete security and confidence, pharmacies can increase profitability and improve productivity. Get over 1,000 canisters at the highest speed and lowest consumables cost, plus free up floor space. President & CEO: William K. Holmes Founded: 2008

Employees: <100 Toll-free Phone:

(877) 797-2332 (760) 593-7161 Address: 2453 Cades Way, Suite A Vista, CA 92081 Website: www.rxsafe.com Email: info@rxsafe.com Phone:

Company Background

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

Product Overview

Technology sets our automated strip packager, the RxASP 1000™ apart — offering more than 1,000 canisters, it takes oral solid packaging to a whole new level. Our easy-to-use universal canister means there are no more trays or remote filling stations. Our RxSafe 1800 is the leader in automated, high-density robotic storage, and retrieval of stock bottles. It represents an evolutionary leap in pharmacy automation technology because it goes beyond drawerbased systems. Unlike vial filling robots that hold a small percentage of your formulary, an RxSafe system can securely hold virtually all of your oral solid stock bottles. When you’re busy, the RxSafe 1800 system really shines. Users report that a single operator can routinely fill at an effective rate of over 100 scripts per hour. If your space is tight, or there’s better use for the space, RxSafe is the solution. In a 3-tower system up to 5,400 stock bottle containers fit in 40 square feet of space.

Features & Options

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

What really stands out? This is the only strip packager with built-in vision inspection. Designed to be modular and scalable, the RxASP line has the smallest footprint of any strip packager on the market. Additionally, we offer the RxASP 20™ for entry-level packaging and retail adherence programs. n RxSafe 1800 Accuracy. Efficiency. Security. With only one technician and pharmacist, virtually every pharmacy, every day, can fill all prescriptions without extra filling staff. And, with one open bottle at a time, there’s less chance for error, no wasted inventory, and no narcotics theft. In fact, the RxSafe 1800™ is so secure it’s been approved by the U.S. Department of Defense for CII narcotics storage and dispensing. With the RxSafe 1800, inventory is 100% accurate because it stores stock bottles behind locked doors and forces workflow at one station without the added expense of other software or hardware. Remote Stock Management is another standard feature of the RxSafe 1800. n RxWillCall Still searching for the right will call system? RxSafe has the first “full service” solution. The RxWillCall™ features include: • One finished goods inventory location. • Secure storage (including narcotics). • Smallest footprint (highest density storage). • Fully automated, accurate package delivery and RTS. • Easy put away, fast loading. • Remote kiosk for after hours prescription access. Will call will never be the same again.

Testimonial

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

— Eric Black, R.Ph., Owner, Mt. Vernon Medicine Shoppe

Additional Product Lines

RxSafe 900™, RxVault 1800™, RxVault 900™, RxASP 600™, RxASP 300™, RxASP 20™, Pharmacy Design and Workflow Consulting

Ordering Information

To learn how your pharmacy can benefit from an RxSafe system, contact us by email at info@rxsafe.com, or call us at (877) 797-2332. WINTER 2015

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

UNIQUE FEATURES: Two robotic arms Self-cleaning Lean design

For a product demonstration, please visit us at booth #2613 at the ASHP Midyear Clinical Meeting

GRIFOLS’ STERILE MANUFACTURING EXPERTISE APPLIED TO THE COMPOUNDING PHARMACY For more information: Grifols USA, LLC Tel. 1-800-379-0957 hospital.division@grifols.com

US/HP/1015/0010

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

Grifols Introduces KIRO® Oncology — Automated Sterile Compounding of Hazardous Drugs The latest technology for automated sterile compounding of hazardous drugs, including oncology and biologicals. President & CEO: Victor Grifols Founded: 1940

Employees: 14,139 Stock Symbol: GRFS Toll-free Phone:

(800) 379-0957

Address: 2410 Lillyvale Avenue, Los Angeles, CA 90032 Email: hospital.division@grifols.com Website: www.grifols.com

Company Background

Grifols is a global healthcare company with more than 75 years of experience, and a proven track record for high standards of quality and safety in all its manufacturing processes. Grifols is therefore uniquely qualified to help make compounding safer. The correct preparation and administration of compounded sterile preparations (CSPs) is a complex process that requires highly-skilled professionals working in a very specialized environment. Grifols U.S. Hospital Division provides advanced solutions and cuttingedge technologies to enhance safety and efficiency in the hospital pharmacy. Our products are uniquely designed to improve institutional compliance with guidelines and regulations, while operating under high standards of quality and service. Our i.v.TOOLS® are a set of specialized products and consulting services that help optimize safety and efficacy throughout the compounding process.

Product Overview

KIRO® Oncology is the next-generation system for automated sterile compounding of individualized intravenous treatments. KIRO® Oncology optimizes safety, improves accuracy, and closely monitors the preparation of intravenous solutions for oncology patients, while protecting technicians against the risks associated with the handling of hazardous substances. KIRO Oncology helps you to be in compliance with USP regulations by standardizing the processes, and reducing errors and the risk of contamination in the preparation of hazardous admixtures. ®

Features & Options

n Unique Features of KIRO® Oncology • Two robotic arms perform separate tasks simultaneously. • Self-cleaning for decontamination of hazardous chemicals. • Lean design minimizes the movement of disposable items in the compounding area. • Syringes, final containers, and drugs from different manufacturers can be quickly and easily configured.

Product Specifications

n Technical Information • Dimensions (length/height/depth): 6.9 ft x 7.2 ft x 3.6 ft • Weight: 2,245 Pounds • Electrical Requirements: Monophasic 110V/60Hz • Air Quality: Class II A2 Biosafety Cabinet. ISO5 classification and negative pressure in compounding area.

n Supported Materials • Vials: All Vial Sizes from 0.5 to 200 mL • Syringes: Luer Lock Syringes (1 mL, 3 mL, 10 mL, 20 mL, 50/60 mL) • Final Containers: Infusion bags, semi rigid bottles, syringes, elastomeric pumps, and cassettes.

Additional Product Lines

Grifols’ Hospital Division provides advanced and innovative solutions for the hospital pharmacy. n Misterium: Modular Clean Room System A new concept that offers a complete solution from initial design to the operation of a fully functioning clean room. n Phocus Rx: Camera-Based System A noninvasive solution for remote validation and documentation of sterile compounding processes. Phocus Rx can be used as a stand-alone system or embedded in Baker® Hoods. n Inventory Management Solutions Innovative solutions applying the latest technology for IV room, central pharmacy, investigational drug services (IDS), refrigerated drugs, and special inventory management needs. n Gri-fill: Semi-Automated Compounder System A unique solution for compounding medications safely and aseptically through sterile filtration and integrity testing. n Dosi-Fuser: Portable Elastomeric Infuser A single-use, continuous-infusion system for ambulatory patients that works without batteries or electricity. A portable infusion device designed to enhance patient comfort and mobility while providing accurate doses at a constant flow without adjustments.

Trade Shows/Meetings Attended

HOPA Congress, ASHP Midyear and Summer Meetings

Pricing Information

For more information, please contact customer service at (800) 379-0957 or hospital.division@grifols.com. US/HP/1015/0012

WINTER 2015

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

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

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

Here’s One Idea to Reduce Readmission Rates, While Improving Patient Adherence — EvolutionPOS From RMS 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. n EvolutionPOS Helps Hospital Pharmacies Participate More Proactively in the Discharge Process

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

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

Features & Options

EvolutionPOS Capabilities Include:

• Taking advantage of our 25+ dispensary system interfaces, the most in the industry!

• Barcode scanning of prescriptions and merchandise.

• Locating all available prescriptions for the patient.

• Capturing electronic signatures in real-time.

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

• Tendering options include debit/credit, cash, check, and house charge. 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. Client Base More than 1,000 pharmacy customers rely on RMS POS solutions. * Certified devices only.

WINTER 2015

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

Confidence Matters. Helping you protect valuable and sensitive medications stored on patient floors Medications and vaccines stored outside the central pharmacy require proper cold storage to maintain viability. Ensuring that the most stringent standards of storage are met reduces the risk that medications are compromised, achieving a high level of patient care and safety.

Focusing only on medical-grade refrigerated products for over 35 years.

Superior temperature uniformity with powerful forced-air refrigeration systems

Continuous monitoring provides early warning detection

Integrated access control maintains integrity of valuable medications and vaccines, increasing control, confidence, and security

Compatible with medication dispensing systems

F or mo re in for m a tion o n Helme r Sc ie n tific P h a r m a c y Re f r i g e r a t o r s:

w w w.he l m e r i nc .com/med-storage

TrueBlueâ&#x201E;˘ Find us on

ÂŠ2015 Helmer Inc. All rights reserverd.

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

Cold Storage for Patient Floors From Helmer Scientific Ensure that medications and vaccines are stored according to manufacturer’s directions and maintain potency, even when they are stored outside the central pharmacy on patient floors. President:

Bruce King

Vice President of Sales & Marketing: Lori Gabrek Founded: 1977 Employees: 250 Toll-free Phone:

(800) 743-5637 (317) 773-9073 Address: 14400 Bergen Boulevard, Noblesville, IN 46060 Website: www.helmerinc.com/med-storage Phone:

Company Background

Helmer Scientific is a manufacturer and worldwide distributor of cold chain storage and processing laboratory equipment. Helmer has over 37 years of experience providing high-quality temperature controlled environments, with products used in over 125 countries throughout the world. Helmer originated in the blood bank market where precise temperature control is essential to the successful storage and transfusion of products. These same principles have been applied to the design and development of Helmer pharmacy products.

Product Overview

Many central pharmacies have adopted medical-grade refrigeration to ensure medications are stored within specified temperature ranges, reducing the risk of lost product and supporting regulatory compliance. These same principles apply to medications and vaccines stored on patient floors and in clinics. There are significant differences between medical-grade and non-medical-grade refrigerators and freezers in terms of their ability to maintain the required temperature ranges. Nonmedical grade units are not designed to maintain uniformity throughout the storage space. While medications stored in some locations may stay within the recommended range, in other locations the temperature may routinely fluctuate outside of the acceptable limits. These temperature excursions are likely to go undetected because not all locations within the unit can be monitored, increasing the risk of administering compromised medications to patients. Medical-grade refrigerators and freezers are designed and validated to maintain stringent temperature ranges. They utilize powerful, forcedair refrigeration systems. This enables uniform temperatures throughout the cabinet and quick recovery after door openings. These units are also designed for reliable performance, which minimizes disruptions and eases the strain of ongoing repair costs. In addition, they reduce the financial risk of lost product, which can easily amount to thousands of dollars. They also help facilities maintain compliance with The Joint Commission and state Board of Health regulations.

In order to protect public health, the Centers for Disease Control and Prevention (CDC) developed recommendations for vaccine storage and handling. Failure to properly manage vaccine inventories can reduce potency, leading to ineffective vaccinations and poor protection against preventable diseases. The CDC’s Vaccine Storage and Handling Toolkit states that the storage of any vaccine in a dormitory-style refrigerator is not recommended under any circumstances. For facilities that participate in the Vaccines for Children (VFC) program, dorm-style refrigerators are not allowed. The CDC developed these recommendations to prevent the administration of mishandled vaccines, and to protect against the financial risk of lost vaccines. The same principles apply when considering medications stored on patient floors and clinics. Helmer Scientific routinely conducts temperature mapping studies to verify the uniformity of laboratory and pharmacy refrigerators. To assess uniformity throughout the storage space, a Helmer Scientific medical-grade refrigerator (undercounter model iLR105) was evaluated by measuring probe bottle temperatures at multiple locations inside the cabinet. The evaluation showed that the refrigerator, configured with a set point of 4ºC, maintained tight uniformity across all storage locations. Probe bottle temperatures never approached the lower or upper limits of the acceptable range (2ºC to 8ºC). The results of this evaluation indicate that the Helmer Scientific unit maintains the required temperature range for refrigerated medications and vaccines. When selecting refrigeration for sensitive vaccine or medication storage, true medicalgrade refrigerators support patient safety by protecting these expensive and life-saving products.

Graphs & Charts

Ordering Information

Please visit our website at www.helmerinc.com/med-storage for more information or call (800) 743-5637. WINTER 2015

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

Case Study Treating Acute Uncomplicated Influenza with a Novel, One-Dose Intravenous Neuraminidase Inhibitor THE CHALLENGE: During the influenza season, which typically peaks in the winter months, doctors’ offices and emergency rooms see a great influx in patients presenting with influenza-like illness. Typically, the only available treatment option is to prescribe a multi-dose antiviral neuraminidase inhibitor which can alleviate the symptoms of influenza (headache, myalgias, fever, fatigue, cough, sore throat, and nasal congestion), on average, about a day sooner than standard of care. Many people are able to quickly recuperate from influenza; however, some segments of the population are at a higher risk of developing serious complications from the flu, leading to significant morbidity, hospitalizations, and even death.

THE CASE: A 62-year-old male smoker with chronic bronchitis who was doing well prior to “catching a virus” presents with 12-hour history of fever, myalgia, sore throat, cough, and nausea. He states that he was feeling well the day before, but upon awakening that morning he “felt hot, had a cough, was nauseated and felt like every single muscle in his body was achy”. He called his doctor’s office but they were closed and the answering service advised him to go directly to the emergency department of his local hospital. Upon presentation to the emergency department, the patient denied any chest pain, dizziness or shortness of breath and reported that he had not been vaccinated this year for the flu. He states that he had the flu a couple years ago and was given an oral medication but admits he started feeling better a couple days after getting the prescription and did not complete the treatment course. Patient’s COPD is controlled with medication, and he does not require supplementary oxygen. His exam was notable for high fever and muscle aches and his chest X-ray was consistent with chronic COPD but showed no evidence of pneumonia. Important Safety Information Rapivab™ (peramivir injection) is indicated for the treatment of acute uncomplicated influenza in patients 18 years and older who have been symptomatic for no more than 2 days. • Efficacy of Rapivab was based on clinical trials in which the predominant influenza virus type was influenza A; a limited number of subjects infected with influenza B virus were enrolled. • Influenza viruses change over time. Emergence of resistance substitutions could decrease drug effectiveness. Other factors (for example, changes in viral virulence) might also diminish clinical benefit of antiviral drugs. Prescribers should consider available information on influenza drug susceptibility patterns and treatment effects when deciding whether to use Rapivab. • Efficacy could not be established in patients with serious influenza requiring hospitalization.

THE RESULTS: Patient was treated with one dose of Rapivab™ (peramivir injection), the complete treatment course for uncomplicated flu; this was deemed preferable due to his nausea and previous inability to comply with a multi-day oral antiviral regimen. The patient was also given IV hydration since he was not eating or drinking. The patient was then observed for the next ten hours and began to feel better, with diminished fever, and improvement in fatigue. His vital signs were stable, po intake was initiated, and he was able to ambulate. He was discharged from the emergency department’s observation unit with instructions to call his outpatient physician should symptoms not resolve completely over the next few days.

THE CONCLUSION: The CDC and IDSA recommend that among outpatients presenting with influenza-like illness during flu season, early (within the first 48 hours of onset of symptoms) antiviral treatment with a neuraminidase inhibitor is recommended for all persons who are at higher risk for influenza complications because of age or underlying medical conditions. Some selected high risk conditions include: • persons with chronic pulmonary (including asthma), cardiovascular (except hypertension alone), renal, hepatic, hematological (including sickle cell disease), metabolic disorders (including diabetes mellitus) or neurologic and neurodevelopment conditions (including disorders of the brain, spinal cord, peripheral nerve, and muscle such as cerebral palsy, epilepsy [seizure disorders], stroke, intellectual disability [mental retardation], moderate to severe developmental delay, muscular dystrophy, or spinal cord injury); • adults aged 65 years and older; • persons with immunosuppression, including that caused by medications or by HIV infection; • American Indians/Alaska Natives; • persons who are morbidly obese (ie, BMI is 40 or greater); and • residents of nursing homes and other chronic-care facilities. Important Safety Information Contraindications None Warnings and Precautions • Rare cases of serious skin reactions, including Stevens-Johnson syndrome and erythema multiforme have occurred with Rapivab. Appropriate treatment should be instituted if a serious skin reaction occurs or is suspected. • Patients with influenza may be at an increased risk of hallucinations, delirium and abnormal behavior early in their illness. There have been post-marketing reports (from Japan) of delirium and abnormal behavior leading to injury in patients with influenza who were receiving neuraminidase inhibitors, including Rapivab. Because these events were reported voluntarily during clinical practice, estimates of frequency cannot be made, but they appear to be uncommon. These events were reported primarily among pediatric patients. The contribution of RAPIVAB to these events has not been established. Patients with influenza should be closely monitored for signs of abnormal behavior. • Serious bacterial infections may begin with influenza-like symptoms or may coexist with or occur as complications during the course of influenza. Rapivab has not been shown to prevent such complications.

Neuraminidase inhibitors are the most effective treatment for acute uncomplicated influenza when given within 48 hours of onset of symptoms. Rapivab™, specifically, has been clinically shown to reduce the total time to alleviation of symptoms of influenza by a median of 21.5 hours sooner and resolution of fever a median of 12 hours sooner when compared to placebo. Also, the safety profile of RAPIVAB is comparable to placebo. The single dose, intravenous delivery of Rapivab makes it optimal for patients presenting to the emergency room with symptoms precluding them from taking oral antiviral therapy or for patients requiring IV hydration. Additionally, a high percentage of patients do not adhere to oral, multi-day neuraminidase inhibitor treatment making a one dose option like Rapivab™ the most fitting choice. Important Safety Information Adverse Reactions The most common adverse reaction was diarrhea (8% Rapivab vs 7% placebo). Lab abnormalities (incidence ≥ 2%) occurring more commonly with Rapivab than placebo were elevated ALT 2.5 times the upper limit of normal (3% vs 2%), elevated serum glucose greater than 160 mg/dL (5% vs 3%), elevated CPK at least 6 times the upper limit of normal (4% vs 2%) and neutrophils less than 1.0 x 109/L (8% vs 6%). Concurrent use with Live Attenuated Influenza Vaccine Antiviral drugs may inhibit viral replication of a live attenuated influenza vaccine (LAIV). The concurrent use of Rapivab with LAIV intranasal has not been evaluated. Because of the potential for interference between these two products, avoid use of LAIV within 2 weeks before or 48 hours after administration of Rapivab unless medically indicated. Please see full prescribing information for Rapivab. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

The first-and-only

ONE-DOSE IV TREATMENT FOR INFLUENZA It’s About Time • An IV neuraminidase inhibitor that exhibits broad activity against influenza A and B viruses • Effective in patients 18 years and older who have been symptomatic for less than 48 hours • Provides a full course of treatment in one 15-30 minute infusion

RAPIVAB™ (peramivir injection), for intravenous use Initial U.S. Approval: 2014

-------------------------------DOSAGE FORMS AND STRENGTHS-----------------------Injection: 200 mg in 20 mL (10 mg/mL) in a single-use vial.

BRIEF SUMMARY OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use RAPIVAB safely and effectively. See full prescribing information for RAPIVAB.

------------------------------------CONTRAINDICATIONS----------------------------------None

----------------------------------INDICATIONS AND USAGE-------------------------------RAPIVAB is an influenza virus neuraminidase inhibitor indicated for the treatment of acute uncomplicated influenza in patients 18 years and older who have been symptomatic for no more than two days. Limitations of Use: • Efficacy based on clinical trials in which the predominant influenza virus type was influenza A; a limited number of subjects infected with influenza B virus were enrolled. • Consider available information on influenza drug susceptibility patterns and treatment effects when deciding whether to use. • Efficacy could not be established in patients with serious influenza requiring hospitalization. ---------------------------------DOSAGE AND ADMINISTRATION-----------------------• Administer as a single dose within 2 days of onset of influenza symptoms. • Recommended dose is 600 mg, administered by intravenous infusion for a minimum of 15 minutes. • Renal Impairment: Recommended dose for patients with creatinine clearance 30-49 mL/min is 200 mg and the recommended dose for patients with creatinine clearance 10-29 mL/min is 100 mg. • Hemodialysis: Administer after dialysis. • RAPIVAB must be diluted prior to administration. • See the Full Prescribing Information for drug compatibility information.

© 2015 bioCSL Inc. All rights reserved. bioCSL is a trademark of CSL Limited. bioCSL Pty Ltd. and bioCSL Inc. are subsidiaries of CSL Limited. 1020 First Avenue, PO Box 60446, King of Prussia, PA 19406-0446 www.biocsl-us.com US/RIV/1015/0032 10/2015

--------------------------------WARNINGS AND PRECAUTIONS--------------------------• Serious skin/hypersensitivity reactions such as Stevens-Johnson syndrome and erythema multiforme have occurred with RAPIVAB. • Neuropsychiatric events: Patients with influenza may be at an increased risk of hallucinations, delirium and abnormal behavior early in their illness. Monitor for signs of abnormal behavior. ---------------------------------ADVERSE REACTIONS-------------------------------------Most common adverse reaction (incidence >2%) is diarrhea. To report SUSPECTED ADVERSE REACTIONS, contact BioCryst Pharmaceuticals, Inc. at 1-844-273-2327 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch ---------------------------------------DRUG INTERACTIONS--------------------------------Live attenuated influenza vaccine (LAIV), intranasal: Avoid use of LAIV within 2 weeks before or 48 hours after administration of RAPIVAB, unless medically indicated. --------------------------------USE IN SPECIFIC POPULATIONS--------------------------• Pregnancy: Use if benefit outweighs risk. • Nursing mothers: Caution should be exercised when administered to a nursing woman.

Based on December 2014 Version

Connie reclaimed her health – and her life – from chronic sinus problems. For patients suffering from chronic, recurrent or resistant sinus conditions, LoxaSperse™ can be a real game changer. Case study: Connie’s story. After trying several surgeries and oral medications, Connie’s doctor prescribed a compounded nasal irrigation that has helped clear up her infection – and helped her regain her life.

I feel alive again.

“

”

Connie, a Chronic Sinusitis patient

See how Connie got her life back and get the science behind LoxaSperse at pccarx.com/loxasperse. LoxaSperse can only be compounded by PCCA Member pharmacies. To find out all the benefits of membership and see how you can join, visit pccarx.com/join-pcca.

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

Go Right to the Source of Sinus Problems With PCCA LoxaSperse™ LoxaSperse is a powder excipient base for nasal nebulization and irrigation compounds that will help your patients’ medicine go right to the source of sinus problems. President:

Benefits

Company Background

Validated Through Testing

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

At PCCA, we help pharmacists and prescribers create personalized medicine that makes a difference in patients’ lives. PCCA is America’s leading compounding resource for high-quality products, education, and support. 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.

Product Overview

For patients suffering from chronic, recurrent, or resistant sinus conditions, LoxaSperse can be a real game changer. That’s because this innovative powder excipient base for nasal nebulizations and irrigation compounds was created to go right to the desired site of action. Here’s how: n Improved Drug Delivery • LoxaSperse is used for intranasal formulations directly targeting sinus problems, in contrast to oral medications, which have to circulate throughout the entire body and may not adequately deliver the active pharmaceutical ingredient (API), and may create potential for systemic side effects. • Its proprietary blend of xylitol and poloxamers reduces particle size and increases the solubility and dispersibility of APIs, potentially enhancing drug delivery and absorption. n More Effective and Simplified Process • It is ideal for multi-drug therapy because it’s dispensed as a powder, which minimizes any drug compatibility and storage/stability concerns that come with water-containing bases, while helping practitioners better target their patients’ specific conditions. • As a powder preparation, it’s typically dispensed in convenient capsules that are more portable than liquid solutions, so it’s easier for patients to stay compliant with their regimens. • Additionally, the powder/capsule preparation provides a longer beyond-use date and requires neither refrigeration nor preservatives.

• Topical delivery to the nasal and sinus cavities when reconstituted. • Reduced particle size of APIs. • Increased dispersibility and solubility of APIs. • Enables multi-drug therapy. • Preservative-free. • Prolonged beyond-use date. • Easy to store and carry. • Antimicrobial synergy possible, as well as action against biofilms.

The proof is in the powder.

LoxaSperse has been validated via extensive third party in vitro testing:

• When mixed with LoxaSperse in suspension, the particle size of itraconazole was reduced from 30 microns to 18.645 microns.

• LoxaSperse formulated with itraconazole reduced the MBIC

(minimum biofilm inhibitory concentration) tenfold compared to that of itraconazole alone.

• Testing against eight microbial strains has shown that LoxaSperse

alone in solution at a concentration of 17 percent or above stopped the growth of all the microbial strains tested.

• Water activity testing performed on LoxaSperse alone as a dry powder concluded that no microbial growth was possible as bacteria cannot grow when water activity measures < 0.60.

For full studies, visit pccarx.com/loxasperse.

Testimonial

“ LoxaSperse really helps with the distribution of medicine in the nose and sinuses so the medicine can work better.”

— John W. Alldredge, MD, Lafayette Ear, Nose and Throat Specialists Lafayette, LA

Additional Product Lines

PCCA offers member pharmacies the most extensive product line in the industry. Our more than 7,000 products and 14,000 SKUs include fine chemicals, proprietary bases, devices and equipment, pharmacy software, as well as a nutraceutical line – all of which exceed industry standards for quality and purity.

Ordering Information

PCCA members can order on the Members-Only website at www.members.pccarx.com. Not a PCCA member yet? Visit pccarx.com/join-pcca today to learn more about how you can partner with us.

WINTER 2015

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

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

Clean Harbors — Providing Collection and Disposal Services for Safe Hospital Pharmacy Waste Management 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 Phone: (781) 792-5465 Address: 42 Longwater Drive Norwell, MA 02061 Website: www.cleanharbors.com

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.

This substantially reduces noncompliance with Environmental Protection Agency (EPA) and 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.*

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

WINTER 2015

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

TCGRx: Integrated Solutions for Inpatient & Outpatient Pharmacy

www.TCGRx.com

info@TCGRx.com

262.279.5307

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

TCGRx is Your Partner for All Pharmacy Solutions TCGRx is a leading supplier of pharmacy solutions ranging from individual components to complete pharmacy design. Including automated adherence packaging, unit dose strip packaging, highdensity fixtures, and full perpetual inventory management. President:

Duane Chudy Founded: 2006 Employees: 70+ Phone: (262) 279-5307 Address: N1671 Powers Lake Road Powers Lake, WI 53159 Website: TCGRx.com Email: info@TCGRx.com

Company Background

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

Product Overview

n Beacon® Inventory Management Beacon is a full inventory management system that supplements a pharmacy’s current process. Beacon is unique – tracking total pill quantity, inventory on hand, and usage. Additionally, Beacon provides bottle-specific information, including quantity and expiration date tracking. Using our unique barcode scanning and light-guided pick and put process, Beacon can direct technicians to fill scripts following the priority of open bottle first, shortest expiration date second. Beacon can also manage your will-call with DeliverRx™ using the same barcode and light guided system.

Additional Products

n PharmLoc™ Control and At-Risk Medications (ARMs) are securely stored and managed with PharmLoc. With access restricted to specified users, software controlled electronic locks require authentication for entry either through use of biometric scanning, personal token scanning, or password and login entry. The system tracks all activities, providing detailed documentation and auditing of all ARM related events, and includes who and when users accessed an ARM drawer. PharmLoc utilizes Beacon High-Density (HD) drawers – configurable for a few drawers, or an entire cabinet, and is easily integrated into the existing Beacon workflow.

available in a wide variety of sizes and is expandable for future growth or business needs with 64 – 480 medication canisters. When combined with AutoSense™ smart canister technology and half-tab canister dispensing, the ATP 2 has a limitless formulary capacity. Equipped with a dual tray system, you can now continuously run your ATP 2 without interruptions, making strip packaging and adherence packaging practical for any pharmacy. The ATP 2 facilitates both unit dose and multi-med packaging with multiple sizes, it can include color indicators to signify proper pass time, and various images and logos to give you maximum flexibility. The ATP 2 integrates with the comprehensive suite of pharmacy solutions offered by TCGRx including: InspectRx a fully automated image verification system, the Collector™ an automated collation system, BullsEye® automatic pill splitting, and non-canistered filling in our patented SmartTrayRx™ system. n InspectRx™/Collector™ InspectRx gives pharmacies the confidence of knowing that their AdherePacs™ are accurate while increasing the throughput of the checking process. Pills are verified by identifying 12 physical characteristics and highlighting potential issues for pharmacists. Pharmacies can track erroneous pouches and missing meds back to the source with an archived database of the front and back image of each AdherePac scanned. Adding the Collector enables the rolling, cutting, and taping of each patient or medication strip, vastly improving the speed of preparation for delivery.

Markets Served

Retail – Independent; Retail – Chain; Long-Term Care; Hospital – Inpatient; Hospital – Outpatient; Nutraceuticals; Central Fill; Specialty

Ordering Information

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

n ATP® 2 Our new Automated Tablet Packager, ATP® 2, is the most versatile, industry-leading oral solid packager on the market. Engineered to provide improved performance, reliability, and flexibility, the ATP 2 is WINTER 2015

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

RFID Solutions for Critical Inventory

R F I D- E n A b LE D

I n vE n TO Ry

M A nAg E M E nT

Reduce Cost. Increase Efficiency. Improve Patient Safety. Intelliguard® RFID Solutions provide unprecedented real-time visibility of your medications and pharmaceutical inventory: g Manage medication inventory and replenishment in minutes g Automate error-prone manual tasks g Optimize inventory levels and monitor expiration dates g Increase staff efficiencies and reduce costs g Meet compliance requirements g Enhance patient safety and focus on patient care Contact MEPS Real-Time® today and discover how our Intelliguard® solutions can increase your inventory visibility. Learn more at www.mepsrealtime.com. Phone 760-448-9500 Email info@mepsrealtime.com Website www.mepsrealtime.com

Intelliguard® RFID Solutions Intelliguard® Kit and Tray Management System features countertop, under-counter or all-in-one cart workstation options to automate tray replenishment and approval processes. Intelliguard® Inventory Management System offers a perpetual inventory visibility solution with RFID-enabled pharmaceutical storage cabinets that automatically update inventory each time the door is opened and closed. Features settings for Cold (2° - 8°C) or Controlled Room Temperature (20° - 25°C) storage and comes in sizes from small under-counter to large-capacity. Intelliguard® Vendor Managed Inventory System provides manufacturers and distributors with a real-time visibility solution to enable consignment inventory and strict supply chain integrity. Features continuously monitored RFID-enabled cabinets for Cold (2° - 8°C) or Controlled Room Temperature (20° - 25°C) inventory storage. A web-based portal allows suppliers to manage inventory levels, loading and dispensing activity, expiry alerts and temperature excursions.

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.

900-0061 rev A

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

Intelliguard® RFID Solutions: Your Prescription for Medication Error Prevention, Reduced Costs, and Increased Efficiency Intelliguard® RFID Solutions are proven to eliminate errors, improve efficiency, and reduce costs related to critical drug inventory management and distribution processes. President & CEO: Mr. Shariq Hussain Founded: 2001 Employees: 65 Phone:

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

Company Background

Every business started somewhere; some from more humble beginnings than others. For MEPS Real-Time, Inc., what started as a brilliant idea originally conceived on an airport napkin has evolved into a paradigmshifting technology. Today, the promise of a flourishing, global Radio Frequency Identification (RFID) industry is evident with use cases in the defense, manufacturing, retail, logistics, apparel, pharmaceutical, and healthcare industries. Headquartered in Carlsbad, California, MEPS Real-Time, Inc. (mepsrealtime.com) is a leading innovator of RFID solutions for the pharmaceutical and healthcare industries.

Product Overview

Every human error contributor that you can eliminate out of your process improves the safety, and quality of care you deliver. Intelliguard® RFID Solutions increase staff efficiency, and reduce human error by eliminating manual counting and item-level scanning; improve patient safety through machine-verified error prevention; and enhance diversion prevention with embedded security features. Pharmacy management and administration receive actionable data for evidencebased decision making to control expenditures, increase the overall efficiency of the organization, and ensure the right pharmaceutical inventory is available to meet patient needs. MEPS Real-Time, Inc. currently offers a suite of Intelliguard® RFID Solutions that employ radio frequency identification technology to manage pharmaceutical inventory, and enable workflow automation including: • Intelliguard® Kit and Tray Management System: RFID-enabled kit and tray management for faster replenishment and reduced errors. Inventories more than 150 items in seconds, providing details to what’s missing, expired, and soon-to-expire when medication kits, trays, tackle boxes, and fanny packs/duffel bags are returned to the pharmacy for replenishment. • Intelliguard® Inventory Management System: RFID-enabled Controlled Temperature Cabinets for high-value, critical-dose pharmaceuticals. No manual scanning or item-level counting, automatically updates inventory each time the door is opened/closed.

Web-based portal detects shortages against PAR levels and offers forward notifications of soon-to-expire inventory. • Intelliguard® Vendor Managed Inventory System: RFID-enabled Controlled Temperature Cabinets for manufacturers/distributors to confidently enable consignment. Continuously monitors inventory to provide tracking of products as they are used. Web-based portal detects shortages against PAR levels and offers forward notifications of soon-to-expire inventory.

Features & Options

n RFID Technology Innovation: Dynamic Sensor Module™ (DSM)

MEPS Real-Time, Inc. has integrated and brought to production two patented and exclusive DSM antenna solutions to provide excellent RFID system performance in a size-efficient, cost-effective manner. Our patented and exclusive intellectual property allow us to integrate antenna systems into challenging environments, providing RFID workstations that are 83% smaller than the leading competitor while still providing reliable 100% read rates.

n RFID Tag Innovation: Smallest RFID Tag On the Market With Comparable Functionality

Our Intelliguard® RFID Smart Tag is a full 65% smaller than the leading competitor for specific applications such as kits and trays used by anesthesiologists and other urgent-response healthcare providers. This single RFID Smart Tag works for all medication packaging including syringes, ampules, vials, boxes, IV bags, and foil wrapped packaging.

Testimonials

“ T his is an automated solution that prevents errors, improves inventory management, and optimizes labor use.”

— Pharmacist-in-Chief, Rady Children’s Hospital

“ T his system ensures that management sees that I’ve not only done my job, but it was done accurately and completely.”

— Pharmacy Tech II, Scripps Health

View Case Studies, White Papers, and Videos: www.mepsrealtime.com/ intelliguard-case-studies-whitepapers Join the Conversation: www.mepsrealtime.com/blog

Pricing Information

Flexible financing including Zero Capital option on the Intellguard® Kit and Tray Management System. Purchase direct or through our network of distribution partners and GPOs.

Ordering Information

www.mepsrealtime.com | info@mepsrealtime.com | (760) 448-9500 WINTER 2015

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

CASE STUDY Reducing the Error Rate During IV Infusion Lancaster General Health implements the Medi-Dose Line Tracing Labels to reduce medication error rates and help create a standardization process.

Tina M. Suess, MHA, BSN, RN â&#x20AC;&#x201C; BC, CPHIMS Manager of Medication Safety Integration ~ Lancaster General Hospital

Amanda E. Prusch, PharmD, BCPS Clinical Pharmacy Specialist Medication Safety ~ PGY-1 Residency Program Director

www.medidose.com

PRIMARY INTENDED OUTCOME(s) Our goal was to reduce the error rate during IV infusion and create standardization of line tracing protocol on infusion pumps by implementing line tracing labels.

CASE STUDY THE CHALLENGE As one of the first hospitals in the nation to integrate their smart pumps with EHR (Epic), Lancaster General Hospital was using stickers, masking tape, and other variations to handwrite and label IV lines and infusion pumps. Using more than 900 pumps (2-6 channels/ pump), this caused confusion, creating the need for LGH to reduce their error rate when pushing and switching lines. Medi-Dose Line Tracing Labels

“Line trace itself is never something that technology is going to be able to do,” says Tina Suess, Manager of Medication Safety for Lancaster General Hospital. “The technology cannot make sure that the tubing is placed through the correct cassette or channel in the pump.”

THE DECISION

“

We determined that the Medi-Dose Line Tracing Labels would create ease-of-use for nurses tracing lines on our high-risk medications:

Medi-Dose turned something around for us very quickly to adopt.

“

Amanda Prusch , PharmD, BCPS

• Heparin

• Insulin

• Oxytocin

• TPN

“The line trace labels actually help us draw attention to an area in the process where technology can exist, but we still need the human to do the right thing which is follow the tubing from the bag through the pump to the patient,” Suess says. After identifying a number of errors within their internal error report, Lancaster General Hospital realized with proper line trace, errors could be prevented.

Clinical Pharmacy Specialist Medication Safety

THE RESULTS

~ PGY-1 Residency Program Director

We established a line trace process, which began with the question, “how are we going to label the line?” Lancaster General Hospital consulted Medi-Dose, where the two helped establish a label standard concept. At LGH, line trace needs to be done a minimum of every eight hours. Protocol dictates after the nurse hangs the bag in the patient room, the label is placed on the bag, at the top of the line, as well as the distal end of the line. The nurse’s hand should not leave the line during the trace process, which allows for rapid identification of the correct line. Medi-Dose Line Tracing Labels are flexible, offering color-coded or pre-printed customized options. Effectively, the risk of misreading a label due to penmanship is eliminated. Implementation of Medi-Dose 3-Part Piggy-Back Line Tracing Labels offer three important benefits, including: facilitation of easy line trace, improved accuracy and minimization of IV line confusion.

www.medidose.com

CASE STUDY

“

Every hospital has unique requirements. Currently, our 100 High Alert Tracing Labels cover the most common High Alert medications. The new Customizable Line Tracing Label extends line traces to all IV and catheter lines. With MILT, on-demand printing of labels can now match each hospital’s exacting standards.

“

Robert Braverman President ~ Medi-Dose

www.medidose.com

In addition to the pre-printed High Alert Line Tracing Labels, Medi-Dose offers Customizable Line Tracing Labels with its MILT software, allowing for such customization as: • Bar Codes • Graphics • Special Fonts • Colors • Tall-Man Lettering (TML) • Shapes and/or Logos • Symbols and/or Pictures “We can say that when we have taken that deep dive and really looked at all of our errors related to heparin and adopted a couple different things, one was a line tracing process and these [Medi-Dose line tracing] labels, overall our error rate definitely decreased,” said Amanda Prusch, Clinical Pharmacy Specialist - Medication Safety for Lancaster General Hospital. Prusch continues, “after putting in several technologies, mostly manual-type processes, the [Medi-Dose Line Tracing Labels] were part of the overall rate in dropping that number.”

THE CONCLUSION Medi-Dose Line Tracing Labels is the tool that allowed Lancaster General Hospital to standardize their line labeling process, according to Suess. While looking to drive consistent workflow, the line label facilitates an easy-to-use fashion for the nurse. “We’re very interdisciplinary here. The pharmacist facilitates those labels for nursing. The nurse doesn’t have to go run someplace else to get the labels. So our approach that the product actually gets dispensed with the bag when the nurse pulls it from Pyxis, is actually saving the nurse a few footsteps and we always appreciate that,” said Suess. Pharmacist oversight is now protocol for adjustments made by the nurse, including pharmacy validation and confirmation. “Line trace is something technology will never be able to do. Technology can’t make sure tubing is placed through the correct channel of a pump. [Medi-Dose] Line Tracing Labels helped us draw attention to area where technology exists but we still need humans to practice following the line from pump to bag to human,” Suess said.

Innovative 3-part piggyback label design. Just peel & apply!

Epidural Heparin • Insulin • Chemo • Narcotic • IV Nutrition • Oxytocin • Paralytic • Magnesium Sulfate • Intrathecal • High Alert • Blank • •

Visit our website to see our newest stock additions…or easily customize your own for any medication with our exclusive MILT ® software.

EPS , INC. ®

Simplicity by Design...from EPS. A Member of The Medi-Dose® Group.

Milton Building, 70 Industrial Drive Ivyland, PA 18974 800-523-8966 Fax: 800-323-8966 215-396-8600 Fax: 215-396-6662 E-mail: info@medidose.com

www.medidose.com

1 3-part Line Tracing Label is placed on infusion container.

2 Line Tracing Label is easily removed and placed at the top of the line.

3 Second Tracing Label is placed at the bottom of the line.

Fagron SyrSpend® SF

fagron.us

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

Sugar-f r Alcoho ee l-free Gluten -fre Dye-fre e e

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

Introducing Fagron Hospital Solutions, the Latest Compounding Innovation From Fagron, Inc. Fagron Hospital Solutions provide time-saving options for compounding in a hospital setting. Founded: 1980 Employees:

50 + (800) 423-6967 Fax: (800) 339-1596 Address: 2400 Pilot Knob Road St. Paul, MN 55120 Website: Order online at fagron.us Toll-free Phone:

Company Background

Fagron continuously introduces innovative products based on research done in our own R&D center. We work together with pharmacists, universities, physicians, and other healthcare providers to deliver optimized products and solutions. We continuously perform studies on our products, and are dedicated to providing you with innovative compounding solutions. Fagron’s strategy is focused on the optimization and innovation of pharmaceutical compounding. As an R&D scientific pharmaceutical compounding company, Fagron wants to widen the scope of the prescriber to provide tailor-made pharmaceutical care. Through its activities, Fagron supports the unique selling point of the pharmacist and improves the patient’s quality of life. 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 2,000 employees in 30 countries worldwide, the Fagron Group provides over 200,000 pharmacists with superior compounding products every day.

Product Overview

SyrSpend® SF is an innovative vehicle for the compounding of oral liquid dosage forms. Based on food starch, SyrSpend® SF’s superior suspending properties provide consistent, individual dosing throughout treatment. The excellent compatibility with a broad range of active pharmaceutical ingredients (APIs) and meticulous ingredient selection make SyrSpend® SF highly suitable for compounding stable tailor-made medication. SyrSpend® SF is quick and easy to compound with and provides pharmaceutical stability and dosage consistency with each preparation. Its light texture, meticulous ingredient selection, and neutral taste results in treatment that is comfortable and easy to swallow for all patient groups, from neonates to the elderly. Compatible with an extensive range of APIs, you can choose the most suitable product for compounding with both acid and alkaline options.

n Superior Suspending Technology • Innovative and highly stable suspensions based on modified food starch. • Formulated using only well-tolerated ingredients. • Optimal palatability and taste-masking properties for improved compliance. • Compatibility with a broad range of APIs. • API stability supported by peer-reviewed scientific articles. • Convenient vehicles for efficient and high-quality compounding.

Additional Product Modules

n SyrSpend® SF Convenience Packs Fagron is proud to introduce a new line of products adding to the Fagron Hospital Solution assortment. SyrSpend® SF Convenience Packs. The SyrSpend® SF Convenience Packs contain all pre-weighed materials needed to prepare a 120 or 240 mL oral suspension. SyrSpend® SF is a unique preservative-free, starch-based, patented vehicle that provides increased suspendability of active pharmaceutical ingredients to assist with consistent dosing. The sugar-free, sorbitol-free, dye-free suspension allows for administration ease in a much larger number of patients. n LETS KIT® Convenience Pack LETS – a solution of lidocaine, epinephrine, tetracaine, and sodium metabisulfite – is an economical, proven1, innovative, safe1, and effective1 alternative to provide rapid topical anesthesia without the use of a controlled substance. The easy-to-use Fagron LETS KIT® Convenience Pack simplifies the compounding process by offering a convenient package containing pre-weighted quantities of all the ingredients. With the addition of water, each kit is designed to make 100 milliliters of anesthetic solution. This solution, once compounded, has extended stability of up to six months refrigerated2. If desired, the LETS KIT® Convenience Pack can also be compounded into a gel preparation. Fagron provides small quantities of methylcellulose to ease in compounding the gel. Compact packaging allows the kits to be stacked easily for quick access and inventory control.

Literature: 1: Schilling CG, Bank DE, et al., Tetracaine, Epinephrine (Adrenalin), and Cocaine (TAC) Versus Lidocaine, Epinephrine, and Tetracaine (LET) for Anesthesia of Lacerations in Children, Ann. Emerg. Med., 1995, 25:2, pp203-208. 2: Larson JA, Uden DL, Schilling CG. Stability of epinephrine hydrochloride in an extemporaneously compounded topical anesthetic solution of lidocaine, racepinephrine, and tetracaine, Am J Health Syst Pharm., 1996, 53:6, pp659-662.

WINTER 2015

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

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

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

Associates of Cape Cod — Delivering Rapid Endotoxin Testing Results for Compounding Pharmacies Pyrosate® has been developed as an easy-to-use Limulus Amebocyte Lysate (LAL) gel-clot test that enables rapid testing and does not require special laboratory supplies. The Pyrosate kit provides rapid results and is especially convenient for research, testing water, and dialysate. Toll-free Phone: (888) 395-2221 Phone:

(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

Company Background Associates of Cape Cod, Inc. (ACC), is one of the world’s largest manufacturers of products developed to detect and quantify gram-negative bacterial endotoxins and (1g3)-ß-D-glucans. Our products are used worldwide by leading pharmaceutical and medical device companies to ensure the safety of their parenteral drugs, biological products, and medical devices. Our goal is to provide the best products and services, as well as the best technical support and customer service in our industry, to enhance the productivity and efficiency of all our customers. We are ISO 13485: 2003 certified, our laboratories are FDA inspected and DEA licensed. Our Beacon Diagnostics® laboratory is CLIA certified. Product Overview Associates of Cape Cod, Inc., (ACC) is pleased to introduce Pyrosate® a new FDA licensed version of our rapid endotoxin detection kit. Pyrosate is well suited for performing endotoxin assays in full compliance with the Bacterial Endotoxins Test, USP chapter <85>. Pyrosate has been developed as an easy-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, and pharmaceutical and medical device companies.

Performing the Test

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

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

WINTER 2015

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

Mouthwash-GP Dye free. Flavor free. Container head space for mixing. Compatible with most common Magic Mouthwash actives.

Humco Compounding | 512 E. 11th St, Ste 201, Austin, Texas 78701 - USA Tel. (512) 474-7400 | Fax (512) 474-7414 | compounding@humco.com www.HumcoCompounding.com

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

New Mouthwash Line From Humco Compounding Mouthwash bases created to simplify the extemporaneous compounding of formulations for delivery to the oral cavity. Chairman & CEO: Greg Pulido Founded: 1872

Employees: 120+ Toll-free Phone:

(855) 925-4736 Phone: (512) 474-7400 Fax: (512) 474-7414 Address: 512 E 11th Street, Suite 201 Austin, TX 78701 Website: www.humcocompounding.com

Company Background

Humco Compounding is built on a proud history of more than 142 years of manufacturing quality products for the pharmaceutical industry. Through our innovative spirit and continued investment in research and development, we have established a reputation for creating, developing, and manufacturing a diversified line of high-quality, non-sterile, topical, and oral pharmaceutical compounding bases. Our compounding bases are tailored to meet the non-sterile needs of compounding pharmacists while reducing the compounding preparation time, along with the goal of improving the therapeutic outcome for your patients. In addition to our innovation, we take pride in our exceptional customer service and our product quality. Our products are developed and manufactured adhering to the highest product quality standards. Humco is an FDA-registered establishment, in compliance with current Good Manufacturing Practices (cGMP). We are committed to research and development, leading the way in Beyond-Use-Date (BUD) testing, absorption, and transdermal penetration studies. We are continually conducting scientific testing and studies, providing a valuable resource to our compounding pharmacists.

Product Overview

Mouthwash-GP is a mouthwash base designed to simplify and standardize the extemporaneous compounding of formulations for delivery to the oral cavity. The pH of Mouthwash-GP is buffered to match the natural pH of saliva. The viscous nature of the Mouthwash-GP product allows the pharmacist to dissolve and/or suspend most of the common actives that are prescribed in “Magic Mouthwash”. Mouthwash-GP is designed to dissolve or suspend a high amount of active ingredients - maintaining its viscosity when actives are added - such that the oral cavity is coated with medication. Mouthwash-OM is a mouthwash base designed to aid symptoms of Oral Mucositis associated with cancer therapy and certain dental conditions. In addition to being alcohol-free, Humco™ Mouthwash-OM contains

excipients that are compatible with water-soluble drugs for the treatment of oral pain, mouth sores, and oral infections. Humco™ Mouthwash-AF is a mouthwash base designed to provide solubility of hydrophobic active ingredients while being compatible with the oral mucosa. In addition to being alcohol-free, Humco™ MouthwashAF contains excipients that dissolve and coat the mouth with drugs for the treatment of oral pain, mouth sores, and oral infections. All mouthwash product packaging containers have added head space which allows for mixing of actives by shaking the container.

Mouthwash Line Benefits

• Oral Moisturizer • Coats the Mouth • Container Head Space for Mixing • Dye and Flavor Free • Easily Tailored with Flavors and Colors to Improve Palatability • Compatible with Flavors/Dyes that are Available for Taste-Masking of Bitter or Unpleasant Tasting Actives

• Alcohol Free – No Burn (Mouthwash-OM and AF)

Product Specifications

We are dedicated to developing and delivering innovative solutions to compounding pharmacists. For additional product information or to request our new compounding catalog, contact our Compounding Resource Center at (855) 925-4736 or visit us online at humcocompounding.com.

Additional Product Lines

Humco Compounding offers a diversified line of non-sterile, topical, and oral pharmaceutical compounding bases and vehicles. To see our full line of products visit our new website at humcocompounding.com.

Trade Shows/Meetings Attended • APhA • NCPA • ACA • IACP • Compounder’s on Capitol Hill

Ordering Information

Place Your Orders Online 24/7: www.humcocompounding.com Phone Orders: (855) 925-4736 Email Orders: compounding@humco.com

WINTER 2015

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

All in a small footprint.

pos.epson.com/healthcare

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

SecurColor™ Inkjet On-Demand Color Label Printers From Epson Epson’s SecurColor prints enhanced color pharmacy labels ondemand without the use of pre-printed labels. Unlike other label printers, SecurColor allows you to print color anywhere on a label and print variable length labels to meet your needs. President & CEO: John Lang Founded: 1975

Employees: 70,000 Phone:

(562) 290-5317

Address: Epson America

3840 Kilroy Airport Way Long Beach, CA 90806 Website: pos.epson.com/healthcare

Company Background

Epson is one of the world’s leaders in printing and digital imaging technologies for a wide range of industries and applications. For over 40 years, Epson’s advanced technology has been at work in millions of retail, banking, and healthcare organizations around the world. Epson’s products are known for their advanced technology, reliability, and value. Epson has leveraged its expertise in printing and imaging to deliver highquality solutions for the healthcare industry from pharmacy label and wristband color printers to medical imaging devices and storage.

Product Overview

Now retail and compounding pharmacies have a fast, reliable way to produce color-enhanced labels with Epson's SecurColor inkjet printer. Unlike current cumbersome label printing solutions that use pre-printed labels or blank label sheets, SecurColor's on-demand color printer allows you to print a wide range of labels on the same media, greatly reducing the cost and hassle of printing labels. With SecurColor, you can generate labels systematically from popular software applications, increasing pharmacy labeling efficiency and accuracy with updated warnings and critical alerts printed directly on the pharmacy label, doing away with warning stickers. Because you can print one color label at a time, or as many labels as needed, pharmacies gain all the benefits of color with the flexibility to support changing medication labeling requirements and volume. SecurColor prints vibrant, smudge-proof text and graphics with qualified label media from 1.2" to 4.4" wide. In addition, with SecurColor you can print variable length labels without any media changes. The SecurColor printer complies with USP 797 standards for clean room environments.

Features & Options

• Custom on-demand printing of color-enhanced pharmacy labels. • Can print color whenever you need it anywhere on the label. • No preprinted labels required. • Can print variable length labels to meet every need. • Can print auxiliary sticker messages directly on labels. • Automatic Nozzle Checking technology ensures color accuracy. • Pigment inks are water and alcohol resistant.

• Supports leading barcode formats. • High print speeds of up to 3.7"/second. • Handles wide range of media sizes and stock. • Reduces label costs. • Small footprint easily fits on desk or shelf.

Epson SecurColor – Selected Printer Specifications • Epson MicroPiezo® inkjet printer technology; 3 colors with pigment ink. • Selectable resolution up to 720 dpi x 360 dpi. • Interface options: USB 2.0, Ethernet. • Print speeds up to 3.7 inches/second. • Media handling capabilities for roll-fed or fanfold, die cut or continuous (plain paper or adhesive on liner).

• Media guide: Continuous (stepless) adjustment with no tool up to 4.4". • Media sensors: “Gap” and “black mark sensor”; “paper end” sensor. • Auto cutter: Standard, reliability up to 1.5 million cuts. • Overall dimensions: 10.0 x 10.6 x 10.0" (W x D x H).

Testimonial

“ We are very impressed with Epson’s SecurColor label printer. It has eliminated multiple steps for us. You can print barcodes and auxiliary information right on the label! The quality of the labels are great and they are very durable. We have tried everything to destroy them, water, alcohol, vaseline, and we can’t.”

— Billings Clinic and Hospital, Billings, MT

Additional Product Modules

SecurColor LT Label Printer: Epson’s SecurColor-LT features a high-

speed CPU, an easy-to-use 12.1" TFT color LCD touch panel, and a SecurColor high-quality color label printer all in one compact unit. No PC connection, keyboard, or mouse is required, which makes it the perfect choice for locations where space is at a premium.

Additional Product Lines

For pharmacies with multiple printing and scanning needs, Epson also offers receipt printers, document scanners, mobile printers, check and ID scanners, and full-page color printers for information and instructions.

Key Business Partners

Visit pos.epson.com/healthcare/colorpartners.htm for the latest list of Epson partners.

Markets Served

Hospital and Retail Pharmacies

Ordering Information

For more information on Epson’s SecurColor™ on-demand color inkjet label printers visit: pos.epson.com/healthcare. Email: Kelly_Ng@ea.epson.com WINTER 2015

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

Preceptor Recognitions

MCPHS University Thanks Saumil J. Patel., PharmD. Saumil J. Patel graduated from MCPHS University with his PharmD degree in 2007 and has developed a successful Medication Therapy Management (MTM) service for Walgreens in Roslindale, Massachusetts. He is currently the District MTM Leader for Walgreens in the Boston district. He is energetic and passionate about providing MTM throughout his tenure at Walgreens and has been an advocate of changing our culture to relational from transactional. The formation of Medication Therapy Management has been the niche of his practice. He realizes as the pharmacy profession continues to evolve, and as pharmacists keep pushing to become recognized as health care providers, MTM will very likely prove to be at the foundation of such growth. Saumil is offering MCPHS University students, both IPPE and APPE, the opportunity to be involved in MTM delivery while completing community rotations. He also offers a specialty APPE elective rotation in MTM and depending on the ability of the APPE student, to be involved in the completion of the entire MTM case. Utilizing pharmacy students and offering the students the opportunity to practice MTM will benefit not only a pharmacy and its MTM-eligible patients, but it will also help pharmacy students learn and be able to utilize MTM in their future. MCPHS University would like to thank Saumil for his dedication to providing students this MTM rotation opportunity.

Thank You to Our Preceptor of the Year James Berghelli

Beth Israel Deaconess Hospital Plymouth The Preceptor of the Year Award is given to a preceptor who demonstrates high standards of professionalism, commitment to students as a professional mentor and a spirit of cooperation with the College of Pharmacy.

Pictured left to right: Assistant Dean of Experiential Education James Krebs, Pharm D and James Berghelli RPh, MS

“Jimmy provided opportunities that brought out the best in me and built up my confidence as a future healthcare provider ... by taking the time to give one-on-one feedback and to listen to what his students have to say-whether they may be suggestions or complaints.” — Student Remarks

If You are Interested in Joining the UNE Team as a Preceptor, Please Contact the Office of Experiential Education at (207) 221-4500 or preceptorinfo@une.edu

WINTER 2015

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

The PREP Team PREP • Providing Practice Experience for Pharmacy Students School of Pharmacy, University of Waterloo

Thank you Co-op Supervisors, 4th year Patient Care Rotations Preceptors, and Bridging Program Preceptors! Thank you for hosting and supervising our pharmacy students. Assuming the role of preceptor can be an immensely rewarding experience for pharmacists and the students they teach. We understand that your primary responsibility is caring for your patients and that teaching takes time. Many preceptors find that working with students is a superb way to continue their own education, as explaining, demonstrating, and critiquing a student reinforces what you know, uncovers what you don’t and provokes you to rethink your day to day practice! We want to thank you again for your support and involvement. Without you, we could not offer these important experiences to our Waterloo Pharmacy students!

2015 Preceptor of the Year Rosina M. Stamati The Preceptor of the Year award is bestowed upon one exceptional volunteer faculty preceptor. Recipients are superlative role models who exhibit a genuine interest in teaching, developing trusting relationships, fostering respect, and encouraging learning. Preceptors are selected through nominations received from students and by having outstanding evaluations. The 2015 Preceptor of the Year, Rosina M. Stamati is Clinical Coordinator, Pharmacy Program; Director of the PGY-1 Pharmacy Practice and PGY-2 Geriatrics Pharmacy Practice Residency Programs; and Coordinator of the Pharmacy Palliative Care Fellowship Program at the James J. Peters Veterans Affairs Medical Center in Bronx, NY. She has been a Certified Geriatric Pharmacist since 1997 and a boardcertified Pharmacotherapy Specialist since 2004. Ms. Stamati has presented national and local education programs in geriatrics and medication-related issues for pharmacists, physicians, nurses, and other health care providers. She has also served as a poster reviewer for the American Society of Consultant Pharmacists and a journal reviewer for Gerontology and Geriatrics Education. Ms. Stamati has been a preceptor for LIU Pharmacy students in both IPPEs and APPEs for over 20 years. If you are interested in becoming a preceptor for LIU Pharmacy and would like more information please contact the Office of Experiential Education at (718)780-6095 or bkln-OEE@liu.edu

Preceptor Recognitions

Congratulations 2014-2015 Preceptors of the Year! Dr. Hoover is the first Union University undergraduate and Dr. Pierce is the first Union University School of Pharmacy graduate to be named Preceptors of the Year. They were recognized at the Preceptor Appreciation Banquet, which is held each Spring in honor of all Union preceptors for the outstanding work they do for our students. Dr. Jonathan Hoover, Pharm.D., BCPS APPE Preceptor of the Year Dr. Hoover is a 2001 graduate of Union University and a 2005 graduate of the University of Tennessee College of Pharmacy. He serves as a Clinical Pharmacy Specialist in Internal Medicine at the Veteran’s Affairs Medical Center, Memphis, TN. Letters of support for this award written by students display his impact on them: “Hands down the best preceptor I have ever had!” “He truly cared about my learning…” “He enjoys teaching and students are a priority to him…” and “He exemplified the kind of preceptor I want to be.” Dr. Brent Pierce, Pharm.D. – IPPE Preceptor of the Year Dr. Pierce graduated from Lambuth University prior to being a part of the inaugural class of 2012 of the Union University School of Pharmacy. Dr. Pierce currently practices at Walgreens Pharmacy in Humboldt, TN. Being a recent graduate may serve our current students well, as evidenced by their comments explaining why Dr. Pierce is deserving of this award: “He asked me question after question and made me learn...” “He helped me to review OTC drugs…” “He answered my questions willingly and thoughtfully” and “he let me know areas I need to work on in a constructive manner.” If you are interested in serving as a Union preceptor, please contact Janie Steinbach at jsteinbach@uu.edu or Carol Courtner at ccourtner@uu.edu.

The University of the Incarnate Word, Feik School of Pharmacy congratulates Dr. Kimberly A. B. Cauthon, Pharm.D., CGP as the 2014-2015 Faculty Preceptor of the Year. The Class of 2015 selects one faculty preceptor to receive this honor. Dr. Cauthon precepts ambulatory care pharmacist interns in the South Texas Veterans Affairs Frank Tejada outpatient clinic located in San Antonio, Texas. Dr. Cauthon attended St. Louis College of Pharmacy where she received her Pharm D. Following graduation she completed her residency at the Madison, Wisconsin William S. Middleton VA. Dr. Cauthon was at Midwestern University College of Pharmacy in Glendale, Arizona for seven years prior to joining the faculty at the University of the Incarnate Word in 2012. Dr. Cauthon’s courses include teaching patient assessment in the second year and coordinating pharmacotherapy seminar, a capstone course, in the fourth year. She is a Certified Geriatric Pharmacist and is serving as a Board of Commissioners member. Her research interests include assessment of teaching practices for students and residents, treatment of diabetes, and geriatrics. If you are interested in being a preceptor for the University of the Incarnate Word Feik School of Pharmacy and would like more information, please contact: Dr. Jeffrey Copeland | Assistant Dean of Experiential Programs 210-883-1050 jtcopela@uiwtx.edu

Thank you to our Paoloni Preceptors of the Year! Roosevelt College of Pharmacy appreciates the time and dedication of all of our preceptors. Each and every one of them plays a critical role in the education of our students. At the College of Pharmacy’s 2014-2015 Awards Banquet in May, we were honored to recognize two of our outstanding preceptors.

Ouita Gatton Community Preceptor of the Year Preceptor for 13 years

“

The Introductory Pharmacy Practice Experience (IPPE) Preceptor of the Year was awarded to Dr. Barry Morrison from Presence St. Joseph Hospital. Students spoke of Dr. Morrison’s talent for making Pharmacy an important part of the patient care team at his practice site. Dr. Morrison was commended for his one on one interaction with the students and his ability to always allow opportunity for discussion. All of his students most appreciated Dr. Morrison ability to challenge them.

Student Comment

I’ve never met anyone so impassioned for better recognition, representation and respect of the pharmacist.

”

Holly Causey PharmD

Health System Preceptor of the Year Preceptor for 3 years

“

Student Comment

She continually puts forth time and effort into making her rotation an educational and enriching experience for her students.

”

Want to join the preceptor team at the University of North Carolina at Chapel Hill? Please contact Kim Leadon at 919-966-3023 or kim_leadon@unc.edu. 15-004

The Advanced Pharmacy Practice Experience (APPE) Preceptor of the Year was awarded to Dr. Joseph Levato from Advocate Christ and Hope Children’s Hospital. Dr. Levato received outstanding accolades from all the students that he precepted this past year. Among the feedback that was received was: “His love of teaching and his knowledge of Infectious Disease made me excited to come to rotation every day and excited to learn”. Dr. Levato was also acknowledged for his ability to make time for students, his approachable manner, and his enthusiasm for patient care and teaching. Roosevelt College of Pharmacy’s Office of Experiential Education values all of their preceptor partnerships. We look forward to continuing to work with all of our preceptors in preparing our students to become the next generation of competent, committed, compassionate, patientcentered Pharmacists. 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

WINTER 2015

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

NEW!

Announcing Unit Dose Plus

â&#x201E;˘

Available Exclusively from AHP! Patient care is your core focus. Packaging excellence is ours. We can remove the burden of in-house packaging from your pharmacy operations! AHP has long been the leader in supplying barcoded medications to health systems and LTC facilities nationwide. Our core UD line is the most comprehensive in the industry; and we launch more new products than any of our other competitors. In addition to the most commonly dispensed medications in a UD format, our customers have requested that we also address many of the lower-volume items that health systems dispense. You askedâ&#x20AC;&#x201D;we responded! Unit Dose Plus addresses the need for lower-volume items in a barcoded package format. These new UD items feature the same product quality and accurate, easily-scannable barcodes you expect from AHP. In addition, they are packaged in lower-count carton sizes to avoid both waste and returns. Let us focus on providing the barcoded medications you require, so you can best focus on delivering the exceptional care your patients expect.

Efficient Pharmacy:

americanhealthpackaging.com

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

Support Safety and Avoid In-House Packaging with Unit Dose Plus From AHP Known for leadership in providing unit dose products, AHP recently launched a new UD line extension. It’s comprised of lower volume, “difficult-to-find” items. These products will help to avoid cumbersome packaging tasks to allow pharmacy staff to focus on other critical patient care duties. 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: www.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. American Health Packaging is licensed by the Drug Enforcement Administration to package Schedule II to V controlled substances. Leadership in Unit Dose When hospitals think of unit dose products, they think of American Health Packaging. As the respected market leader, we launch more products than any of our competitors. In addition, many of our items are industry exclusives — the only pre-packaged UD barcoded product available in the healthcare marketplace.

and staff tasked with packaging duties which provides invaluable peace-of-mind when dispensing critical medications.

Introducing Unit Dose Plus Feedback from customers has consistently indicated that in addition to the larger-volume items AHP currently offers, hospitals also require lower-volume products in a barcoded format. Customers have repeatedly asked for these less frequently administered items in our convenient pre-packaged blister format. You requested and we responded! Unit Dose Plus is a new line of “difficult-to-find” unit dose products. Much like our core UD line, these products will help to ensure patient safety, accurate scanning, and will aid in avoiding unwanted pharmacy packaging tasks. In addition, to best support operational efficiency, they are packaged in smaller-count carton sizes. This will help to avoid pharmacy waste as well as the time-consuming processing of returns. AHP is the only unit dose supplier offering a speciallytailor UD line of this nature. Like our core UD products, our items are stocked across all major wholesalers for easy ordering and are routinely awarded by top GPO’s to ensure contract compliance.

With accurate, easily scannable barcodes, our items support BCMA initiatives in hospitals and LTC facilities. Packaged in a cGMP facility, providers can rest assured our products are safe and packaged correctly. In the end, the patient benefits from the strict protocols that our packaging standards ensure. We hear frequently that most hospitals prefer to avoid in-house packaging tasks when possible. Our pre-packaged products allow staff to better focus on other critical patient-care duties. Therefore, our unit dose promotes efficiency in pharmacy operations, while supporting enhanced patient care. And, when all infrastructure costs are considered (e.g. space, technology, staff time, and materials), our products are often determined to be a lower cost alternative to cumbersome in-house packaging. Finally, AHP’s readily available, pre-packaged unit dose shifts the liability burden away from administering healthcare providers

WINTER 2015

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

Check. Donâ&#x20AC;&#x2122;t Guess. State boards of pharmacy, the FDA, third-party payers and provider networks are demanding more rigorous USP <795> and <797> compliance. Itâ&#x20AC;&#x2122;s training staff, quality assurance and creating internal standards. QCCP will help you stay on top of current guidelines and create an approach going forward. Our easy-to-navigate online process and personalized coaching will

Comply Verify Certify

help you take the guesswork out of compounding compliance. Certify your organization with QCCP. Turn speculation into certainty.

Visit QCCP.org/check or call 844.798.7227

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

Quality Compounding Certification Program (QCCP) QCCP is a new, online certification program to help you meet USP <795> and USP <797> compounding standards.

President & CEO: Mary Nicholas Founded: 2015 Toll-free Phone:

(844) 798-7227 Address: 114 East 4th Street Suite 200 Waterloo, IA 50703 Website: www.qccp.org

Company Background QCCP helps compounding organizations ensure they are meeting the rigorous USP <795> and USP <797> regulatory guidelines. Benefiting from a decade of experience of its parent organization, Healthcare Quality Association on Accreditation (HQAA), you will find the same convenient, web-based, step-by-step, on-demand process, and the guidance of a personal resource technician are what sets this certification approach apart. Product Overview We at QCCP understand your struggles to maintain compliance with USP sterile compounding, and are here to help. Sterile compounding is more than just clean room compliance - it’s staff training, quality assurance, and following parent organization policies. We’re here to take the guesswork out of compounding compliance and to ensure that your next and subsequent state audits prove you’re doing things right. Markets Served Compounding sterile and non-sterile organizations.

Question 1: What is QCCP?

Answer: QCCP provides the guidelines of certification for compliance with USP <797> and <795> via an online program. We prepare you for on-site surveying and potential outside audits. Each customer is assigned a QCCP resource technician to help them through the steps of the certification process. The process is easy to navigate, allowing you to self-audit your organization as you work through the process. A QCCP surveyor will team up with you to verify your compliance by performing an on-site visit.

Question 2: Why obtain QCCP certification?

Answer: The State Boards of Pharmacy have upped their game

and are demanding more rigorous compliance. Now is the time to work with a partner to navigate the regulatory requirements and earn organizational certification showing that you are compliant. The certification process is comprehensive, thorough, and designed logically to fit the needs of your organization.

Question 3: How will my organization benefit from QCCP certification?

Answer: Certification with QCCP will give you peace of mind

that you’ve gone through the guidelines in detail with a trusted partner and have applied the requirements to your organization. All organizations benefit from pinpointing areas that can be improved. It creates an atmosphere of team goals, opportunities, and continuous improvement.

Question 4: Where can I get more information or apply for QCCP?

Answer: To inquire about certification with QCCP, visit qccp.org/check

and fill out the contact form to request further information, or call (844) 798-7227 to speak to your future partner directly.

WINTER 2015

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

Medication Inventory Management For The Win AutoPharmÂŽ Enterprise software by Talyst provides enterprise-wide medication management across your entire health system to offer greater inventory control, enhanced workflow efficiency, and improved patient safety. Why simply manage your inventory when you can win inventory management?

Visit us in booth #1319 at the ASHP Midyear Meeting to learn more about how you can win inventory management in 2016. #TalystFTW

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

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

President & CEO: Carla Corkern Founded: 2002

Employees: 100+ Toll-free Phone:

(877) 4-TALYST (425) 289-5400 Fax: (425) 289-5401 Address: 11335 NE 122nd Way, Suite 200 Website: www.talyst.com Phone:

Company Background

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

Product Overview

Talyst is the only company that wakes up thinking about inpatient hospital pharmacy. All we do is inpatient hospital pharmacy. It is our mission to improve healthcare with innovative medication management systems, software, and services to help caregivers serve patients. Our AutoPharm® Enterprise software provides enterprise-wide medication management across your entire health system to offer greater inventory control, enhanced workflow efficiency, and improved patient safety. Combined with our carousel technology, controlled access storage, oral solid packagers, refrigerated storage solutions, and full integration with our best-in-breed partners – we own the inpatient hospital pharmacy experience.

Features & Options

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

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

Additional Product Lines

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

Trade Shows/Meetings Attended

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

Ordering Information

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

WINTER 2015

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

DOES YOUR PHARMACY HAVE A BOARD CERTIFIED GERIATRIC PHARMACIST? Only one credential has been established to recognize pharmacists with expertise in the care of older adults and the provision of medication therapy management services to geriatric patients— the Certified Geriatric Pharmacist (CGP), administered by the Commission for Certification in Geriatric Pharmacy. BECOME A CERTIFIED GERIATRIC PHARMACIST The CGP credential is ideal for the pharmacist who serves older adults, regardless of practice setting. Hospitals need CGPs because:

More details are available at: www.ccgp.org/hospital

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

Certified Geriatric Pharmacist Credential From CCGP Hospitals need board Certified Geriatric Pharmacists to manage the special needs of the increasing number of older adults â&#x20AC;&#x201D; medication reconciliation, falls and other geriatric syndromes, and participating in geriatric teams (e.g. ACE, NICHE). President & CEO: Thomas R. Clark, RPh,

MHS, CGP

Founded: 1997 Employees: 3 Phone:

(703) 535-3036 Fax: (703) 739-1500 Address: 1321 Duke Street Alexandria, VA 22314 Website: www.ccgp.org/hospital

Company Background The Commission for Certification in Geriatric Pharmacy was created by the American Society of Consultant Pharmacists in 1997. CCGP is a nonprofit corporation, autonomous from ASCP and with its own governing Board of Commissioners. CCGP offers a voluntary board certification examination for pharmacists in geriatric pharmacy practice and was accredited by the National Commission on Certifying Agencies in 2012. CCGP is a member of the Institute for Credentialing Excellence and the Council on Credentialing in Pharmacy. Product Overview The Certified Geriatric Pharmacist examination is computerbased and is offered at computer test centers throughout the United States and Canada and in a number of other countries around the world. The exam is administered in four test windows throughout the year. The test is 150 questions in multiple-choice format. The initial certification period is five years, and periodic recertification is required. This may be accomplished by retaking the examination or by the Professional Development Program, with continuing education of 75 credit hours over the five-year period. ASHP is one of the approved Professional Development Providers for CCGP. Benefits of CGP Credential With the rapid growth in numbers of older adults in hospitals, and changes in Medicare reimbursement, the need for hospital pharmacists with the Certified Geriatric Pharmacist credential is growing rapidly. Hospitals need pharmacists who understand the unique medication-related needs of the elderly, including Beers criteria, geriatric syndromes, prescribing cascades, and issues related to transitions of care and medication reconciliation.

Hospitals also need pharmacists to participate in geriatric interprofessional teams, such as ACE, HELP, and NICHE programs. A pharmacist with the CGP credential should be a part of every hospital pharmacy team.

Self-Assessment Examination CCGP offers an online practice test, or Self-Assessment Examination, with the same number of items as the actual examination. Many candidates like to use this SAE as a way to help prepare for the actual examination. In addition, CCGP has compiled a list of resources that some candidates have found useful in exam preparation. The list is on the CCGP website at www.ccgp.org/exam/prepare. Students and Residents Two years of experience as a pharmacist is required for eligibility to take the CGP examination. One year of residency counts as one year of practice experience. Pricing Information The fee to register for the initial examination is $600, and the fee for periodic recertification is $400, either by exam or by CE. In addition, a certification administration fee of $250 per five years is required, payable after meeting requirements for certification or recertification. Quarterly Registration Deadlines to Take the CGP Exam REGISTER BY:

NEXT EXAM WINDOW:

December 15

January/February

March 15

April/May

June 15

July/August

September 15

October/November

Candidates are eligible to take the examination for two consecutive test windows following the registration deadline. A list of resources to prepare for the CGP examination is available at www.ccgp.org/exam/prepare.

WINTER 2015

H E A LT H S Y S T E M â&#x20AC;˘ I N F U S I O N 55

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

APhA Annual Meeting & Exposition March 4 - 7, 2016 Baltimore, MD www.pharmacist.com

2015 ASHP Midyear Clinical Meeting and Exhibition December 6 - 10, 2015 New Orleans Ernest N. Morial Convention Center New Orleans, LA www.ashp.org

NHIA Annual Conference & Expo March 21 - 24, 2016 New Orleans, LA www.nhia.org/

ECRM - The Retail Pharmacy Branded Pharmaceuticals EPPS January 10 - 13, 2016 Westin Hilton Head Island Resort & Spa Hilton Head Island, SC ecrm.marketgate.com/events

Annual Seminar by the Sea Northeast Regional Conference March 30 - April 1, 2016 Newport, RI www.uri.edu

Continued on page 61 WINTER 2015

NACDS Annual Meeting April 16 - 19, 2016 The Breakers Palm Beach, FL annual.nacds.org

ACA, IACP, ACVP Educational Conference AMCP’s Annual Meeting February 24 - 27, 2016 & Expo San Diego, CA April 19 - 22, 2016 www.educationalconference.org Moscone West Convention Center HIMSS Annual San Francisco, CA Conference & Exhibition www.amcp.org February 29 - March 4, 2016 Las Vegas, NV Veterinary Compounding www.himssconference.org Conference April 22 - 23, 2016 MHA Annual New Orleans, LA Business Summit www.vetmeds.org March 2 - 4, 2016 Las Vegas, NV CPhA Annual Meeting (West www.mhainc.com Coast Pharmacy Exchange) April 28 - May 1, 2016 San Francisco Marriott Marquis San Francisco, CA www.cpha.com

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

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

Simple. Practical. Comprehensive. The Buyer’s Guide for Pharmacy Management

Known as the “Yellow Pages of Pharmacy,” the Pharmacy Platinum Pages is published annually and serves the profession as a high-quality and relevant buyer’s guide. The 2016 Pharmacy Platinum Pages will feature more than 350 company profiles and enhanced company sponsorships.

rxplatinumpages.com

A Better Way To Do Businessâ&#x201E;˘

Attend the Specialty Pharmacy Event Where specialty pharmacy providers meet with manufacturers, distributors and service companies during one-on-one, pre-qualified meetings. Jan 25-27, 2016

Renaissance Ross Bridge Golf Resort & Spa

Birmingham, AL

Join fellow industry professionals in a small group setting to discuss relevant topics during several round table discussions called Thought Interaction Pods (TIP). Conversation topics will focus on Pharma/Biotech/Biosimilars & Specialty Services/Technology.

For more information about how to participate in this event please contact: Michael Castillo, Senior VP of Pharmacy & Medical Markets | (440) 528-0441 | mcastillo@ECRM.MarketGate.com ECRM.MarketGate.com/Events

RXinsider’s Annual Texas Hold’em Poker Tournament The Venetian Las Vegas 7.24.2015

YOU ARE

TEXAS HO INVITED! POKER TOLD’EM URNAMEN 2015 Card T inal He alth RBC

Hosted by

No entranc

e fee! $300

RXinsider

You and a

’s TEXAS

guest are

at Cardina

first prize

invited to

HOLD’EM

payout!

play in

POKER TO

l Health RB

URNAMEN

Friday, Ju ly 24, 8:3 0 to 11:30 The Vene p.m. tian Reso rt & Casin Excellent opportunity o Poke

to network r with collea ary cockta gues! ils

Compliment

Room

will be ser No entranc ved. e fee for this Tables” will complimenta be availab ry tourname le from 8:30 nt (sponsore tournament to 9 p.m. to starts at 9 d by RXinsid review rule p.m. Please er). “Trainin the tourna s and strateg arri ment as sea g y for first-tim ts are availab ve by 8:30 p.m. Late ers. arrivals ma le. Payout: y need to rota The Top ten finis te into hers ranging from $300 to $25.

Matthew Stewart (left) congratulates Dr. Gilbert Mettler (right) on his win.

The entire RXinsider staff would like to thank our friends and clients who attended Cardinal Health RBC in Las Vegas and participated in RXinsider’s annual VIP Invitational Poker Tournament held at the Venetian Resort and Casino.

C O N G R AT U L AT I O N S TO T H E TO P T E N W I N N E R S 1. Dr. Gilbert Mettler Q-In Medical

6. Vikas Desai

Best Computer Systems

2. Matthew Stewart

Letco Medical

7. Michael Cutter

Facet Technologies

3. Nina Dadgar

NCPA

8. Mitesh Patel

Medicine Shoppe Pharmacy, PA

4. Clarence Lea

Lagniappe Pharmacy Services

9. Jane Patel

Medicine Shoppe Pharmacy, PA

5. Brian Courtney

DripDrop

10. Hemal Desai

Best Computer Systems

NATIONAL PHARMACY

FORUM

FEBRUARY 8-10, 2016 | SCOTTSDALE, AZ SCOTTSDALE MARRIOTT MCDOWELL MOUNTAINS

LEADING THE FUTURE OF PHARMACY POLICY

130 aisles. 450 booths. One location.

Virtual Pharmacy Trade Show Pharmacy’s Leading Product and Service Providers in One Convenient Location The Virtual Pharmacy Trade Show is pharmacy’s one-stop resource destination to research and connect with leading providers of products and services throughout every segment of pharmacy. Due to its accessibility, relevancy, and focus, more than 250,000 annual visitors depend on the Virtual Pharmacy Trade Show to conduct preliminary and advanced research on industry leaders. RXinsider currently manages five healthcare Virtual Trade Shows in the disciplines of pharmacy, informatics, therapy, continuing education, and general healthcare.

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

Pharmacy Trade Show Job & Meeting Opportunities Calendar

Connecting product and service suppliers with pharmacy decision-makers.

Event Calendar

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

continued from page 56 Armada Specialty Pharmacy Summit May 2 - 6, 2016 Las Vegas, NV www.armadasummit.com

Good Neighbor Pharmacy ThoughtSpot July 27 - 30, 2016 MGM Grand Las Vegas, NV

NCPA Annual Legislative Conference TBD, 2016 www.ncpanet.org

NACDS Total Store Expo August 6 - 9, 2016 Boston, MA tse.nacds.org

IACP Annual Meeting (Compounders on Capitol Hill) June 11 - 14, 2016 Renaissance Marriott Washington, DC www.iacprx.org

ACA 2nd Annual Fall Pharmacy Conference August 19 - 20, 2016 Marriott Renaissance St. Louis Grand Hotel St. Louis, MO www.facebook.com/ events/870953079667427/

ASHP Summer Meetings June 11 - 15, 2016 Baltimore Convention Center Baltimore, MD www.ashp.org McKesson ideaShare June 26 - 30, 2016 McCormick Place Lakeside Building Chicago, IL www.mckessonideashare.com

RXinsider’s B2B product portfolio combines with additional social, mobile, SEO, web, and live trade show channels to form pharmacy’s B2B ECOSYSTEM.

RXinsider • 800.972.2083 • sales@RXinsider.com • 1300 Division Road, West Warwick, RI 02893

Save the Date!

ECRM - The Retail Pharmacy Services, Patient Programs, Technology & Automation EPPS November 14 - 17, 2016 Location TBD www.ecrm.marketgate.com/ Events

Cardinal Health RBC July 20 - 23, 2016 Chicago, IL rbc.cardinalhealth.com

LOEWS CORONADO BAY RESORT SAN DIEGO, CALIFORNIA

AACP Annual Meeting July 23 - 27, 2016 Anaheim Marriott & Anaheim Convention Center Anaheim, CA www.aacp.org

FEBRUARY 24-27, 2016

Bringing the pharmacy profession together in paradise.

EducationalConference.org Scan the meeting QR code and stay in touch with the latest meeting activities, videos, speaker bios, and more. All shows are subject to change.

Qtr Page Ad – 3.5” x 4.625” 2016_EduConf_QtrPage Ad.indd W I N T1E R

2015

PM H E A LT H S Y S T E M • I N F8/5/15 U S I O10:08 N 61

Wellness Services

Patient Adherence

RAISING THE BAR ON HIGH VOLUME Medicare Star Ratings

Personalized Compounding

Medication Therapy Management

Our PharmASSISTÂŽ High Volume Solutions have set new standards for innovation, quality, versatility, scalability, and economic viability. We help you achieve your vision for serving your communities and employee prescription benefit program, and empower your outpatient staffs to deliver first-class patient-facing care. Invest in your future and help improve your patientsâ&#x20AC;&#x2122; outcomes. Call 607.798.9376 email sales@innovat.com or go to www.innovat.com.

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

PharmASSIST® High Volume Solutions by Innovation PharmASSIST High Volume Solutions help hospital pharmacies centralize Rx filling, increase patient safety, reduce Rx processing and labor costs, and free up outpatient staff to counsel patients, provide clinical services, and ultimately improve outcomes.

CEO:

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

Company Background

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

Product Overview

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

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

Additional Product Lines

• PharmASSIST pharmacy automation solutions – workflow management systems, countertop and cabinet-based counting technologies, and robotic dispensing systems. • Rowa® systems – high-density robotic storage/retrieval of all formulary including narcotics/high-shrink inventory. • Professional Services – wide range of services to help pharmacies optimize their pharmacy operations related processes.

Key Business Partners

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

Ordering Information

To learn how our PharmASSIST High Volume Solutions can transform your pharmacy operation, call (607) 798-9376 or email sales@innovat.com.

WINTER 2015

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

H+H SYSTEM

WORKSTATION

Exchange Tray Preparation

EXCHANGE TRAY SYSTEM

“Used Tray” Return & Storage “Ready for Delivery” Tray Storage

Any Tray and any Configuration of Workstation possible.

Exchange Trays for Carts

H+H SYSTEM, Inc.

•

760 Beechnut Drive

•

Pittsburgh, PA 15205

•

Phone 800-477-2123

•

infousa@hhsystem.com

•

www.hhsystem.com

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

H+H System, Inc. Brings Standardization, Security, and Control to Your Facility Organization systems for carts, shelving, refrigeration, and bulk storage help manage stock levels and support your lean management initiative. General Manager: Mitch Bernett Toll-free Phone:

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

Company Background

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

Product Overview

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

Additional Product Lines

n Exchange Trays H+H System exchange trays give hospital personnel the ability to standardize their medication storage in all medical carts and drawers. Standard heights include 1 3/8", 2 5/16", 4", and 5". Standard size trays are available but custom sizes can be produced for any quantities. Flexible dividers on the inside of the tray allow the end user to compartmentalize the tray based on their needs. If the need for more storage space arises for a particular item, just slide the divider and a larger storage compartment

is now created. Trays can be produced in different colors which allow it to be quickly identified for different hospital departments. n FlexModul The FlexModul product line is designed to give the user ideal storage for bulk goods. Our side panels can be mounted inside existing casework and allows the trays to be hinged 10 or 30 degrees for viewing while still being stored horizontally. This allows for the storage to be optimized in the existing space. Trays are available in 2", 4", and 8" heights in either gray ABS plastic or clear polycarbonate plastic. FlexModul dividers can be added to the inside of trays to further divide the space. Labeling options are also available so the items are easily and quickly identified. n FlexShelf The newest innovative product line offered is our H+H System FlexShelf. FlexShelf is an expandable open rack storage system that allows for products to be stored in a viewable manner. When accompanied with the FlexModul trays, the system can be adjusted as your storage needs change. Accessories such as fixed shelves, pull-out shelves, pull-out drawers, and solid worktops allow for numerous configurations and the perfect solution for any need. Additional storage columns can be added at any time, as needed. For a mobile storage option, castors can be used instead of the adjustable leveling feet. This can be used as a distribution cart when restocking exchange trays on your medical carts.

Trade Shows/Meetings Attended

Please visit us at the following trade show exhibitions:

• 2015 – American Society of Hospital Pharmacists – Midyear Meeting & Exhibition – New Orleans, LA

• 2016 – Association of periOperative Registered Nurses – Surgical Conference & Expo – Anaheim, CA

• 2016 – American Association for Clinical Chemistry - Annual Meeting & Clinical Lab Expo – Philadelphia, PA

• 2016 – Association for Healthcare Resource & Material Management – AHRMM16 - San Diego, CA

Ordering Information

Please contact H+H System by calling (800) 477-2123 or by emailing our sales department at salesus@hhsystem.com. Inquiries can also be faxed to (800) 477-9364. WINTER 2015

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

YOUR TRUSTED SOURCE

Lance Lanier, BS Pharmacy Director Business Development

Tracye Easterly Administration

Mike Pierce President

Dell McCarley, Pharm D Raymond C. Anderson, PhD Chairman/CEO VP Quality Assurance & Regulatory Affairs

Christen Butler Administration

Chris Hutts, Pharm D Pharmacist in Charge

Quality â&#x20AC;˘ Service â&#x20AC;˘ Experience 877-666-5222 www.cantrelldrug.com

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

Cantrell Drug Company — Pharmaceutical Outsourcing Specialists Our experience with cGMP focused policies and procedures along with carefully designed facilities, equipment, training, and testing, provide confidence to our customers in the quality of our services.

CEO:

Dell McCarley, Pharm D. President: Mike Pierce Founded: 1952 Employees: 100+ Toll-free Phone: (877) 666-5222 Phone: (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 a standard of quality that exceeds current compounding standards. Innovation and investment in cutting-edge technology at Cantrell Drug Company is evidenced by being the first in the industry to utilize a Rapid Microbiological sterility testing technology. Cantrell Drug Company is now in the process of being the first in the industry to implement an automated Closed Vial filling system from Aseptic Technologies. Our commitment to quality is readily apparent from our completely autonomous and independent Quality Assurance Department, as well as being the only company in the industry to list our labels with the FDA, and one of the first sterile compounders to register as a 503B with the FDA. Product Overview Cantrell Drug Company is an FDA registered 503B Human Drug Compounding Outsourcing Facility that specializes in providing customized IVs, OR syringes, epidural preparations, PCA syringes, and drug shortage solutions with the highest level of quality. Product lines are compounded under a comprehensive quality system model that supports and sustains robust quality systems consistent with cGMP-focused regulations. Cantrell provides sterile and non-sterile compounded preparations that meet the needs of patients, physicians, clinics, and health care institutions. Cantrell retains state licenses nationwide, a DEA manufacturing license and an FDA registration. When you need quality, service, and experience – trust Cantrell Drug Company.

Drug Shortage Solutions Drug shortages are occurring at historic rates. 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 shortages. We provide a weekly update to our customers informing them about new and high demand shortage solutions. We give our clients a way to “fill in the gap” during their time of need for hard to find preparations. Cutting Edge Technology Cantrell Drug Company was the first to adopt Rapid Microbiological sterility testing. We are once again leading the way in safety and quality as we become the first human drug compounding outsourcing facility to implement Aseptic Technologies’ Crystal® Closed Vial Technology. This technology was designed to increase patient safety by vastly reducing the risk of contamination during the complex filling process used by sterile compounding pharmacies and outsourcing facilities. The new technology simplifies and reduces the risk associated with the glass vial filling process used by pharmaceutical manufacturers. “This technology represents a revolutionary advance for Cantrell Drug Company, as well as for the sterile product industry in general,” said Dell McCarley, Chief Executive Officer of Cantrell Drug Company. “We decided to invest in the Crystal Closed Vial Technology because of the high level of quality assurance it will offer to our customers in the hospital market and, by extension, the patients they serve.” Under the closed vial process, each vial will be assembled in a clean room and sterilized by gamma irradiation before being delivered, ready to fill, to Cantrell Drug Company. A Crystalrobotic system in a SKAN isolator fills each vial by piercing the elastic stopper with a special needle, delivering the liquid, and quickly resealing the opening with the zap of a laser. Vials are covered with a specially designed cap, which health care providers eventually open, to withdraw the sterile medication and administer to patients.

WINTER 2015

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

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

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

Capital Inventory – Pharmaceutical Inventory Experts: Precise, Efficient, and Confident The nation’s leader in pharmaceutical inventory service providing inventory data that is accurate and dependable. President & CEO: Duran Dunn Founded: 1979 Employees: 75 Toll-free Phone:

(800) 345-0849 (770) 928-7202 Fax: (770) 928-2287 Address: 9725 Main Street Woodstock, GA 30188 Website: Capitalinventory.com Phone:

Company Background

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

Product Overview

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

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

Features & Options

Why outsource your inventory needs?

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

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

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

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

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

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

GPO Affiliations

Premier, MedAssets, Amerinet, The Resource Group, Health Trust, Novation

Ordering Information

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

n What to Expect On Inventory Day Upon arrival the Capital Inventory team will be introduced to the pharmacy and staff. Our team leader and a pharmacy representative will map the pharmacy and its respective areas. Team members are then assigned to the designated areas and proceed entering each NDC number and QTY into a hand-held data gathering computer. WINTER 2015

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

Pharmacy Job Opportunities

Take Your Career Further

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

is growing. We provide pharmacy services to over 400+ hospital and healthcare facilities across the U.S. and in Puerto Rico, the largest in the industry. We are looking for talented pharmacy professionals to join our team of more than 2,000 employees as we lead the way in the pharmacy services industry.

Help Us Lead the Way. See current openings and apply at www.cpspharm.com today. Going to ASHP MidYear? Stop and see us at Booth #1547.

Get all of your pharmacy staffing needs filled by the pharmacy experts.

Simple. Practical. Comprehensive.

RPh on the Go has more than 33 years of experience delivering premier temporary and permanent pharmacists to facilities throughout the country.

The Buyer’s Guide for Pharmacy Management

WINTER 2015

rxplatinumpages.com

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

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

800.553.7359 • www.rphonthego.com

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 Stop by booth #1619 at the ASHP Midyear Clinical Meeting and Exposition in New Orleans to learn more

© 2015 Cardinal Health. All Rights Reserved. CARDINAL HEALTH, the Cardinal Health LOGO and ESSENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. Lit. No. 1ACP15-411038 (10/2015)

cardinalhealth.com/ASHPCareers

Cardinal Health is an Equal Opportunity/Armative Action employer. All qualied 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

WINTER 2015

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

Unit Dose Solutions

for ALL of Your Needs! Wide Range of Blisters

Versatile Flag Labels

NEW Ointment Blisters!

Huge Assortment of Oral Dispensers

Large Selection of Labels FREE

Labeling Program W: GoHCL.com E: hcl@GoHCL.com P: 800.848.1633 F: 800.447.2923

ISOlutions FOR YOUR CLEANROOM

Adhesive Mats Adhesive Tapes Cleanroom Apparel Cleanroom Labels Cleanroom Paper Cleanroom Swabs Disinfectants and Cleaners Mopping Systems Sterile Sleeve System Sterile Chemo Gloves Sterile Chemo Prep Mats Sterile Compounding Supplies Sterile 70% Isopropyl Alcohol Testing Supplies Wipers

ISO-MED

ISO-MED.com|800.797.1405