Pharmacy Podcast Network

To MME or Not to MME, Is There a Question? | PAIN POD

Let’s face it, when it comes to pain management, one of the most painful efforts of the last few years has involved, in one way, shape, form, or fashion: Morphine Milligram Equivalents (MMEs). As we discussed with the PharmD author of the 2022 CDC Opioid Guideline Update , there are no MME factor changes on the horizon, so just when will we have our minds wrapped around the concept?!?
 
Join the Mark “Pain Guy” Garofoli on the Pain Pod for a dynamic discussion on wrestling (yes, you read that right!), pain management, our healthcare system, and the “street” version of MMEs. Wait, there’s a street version of MMEs? Yes, yes there is, so tune in now to the Pain Pod as you’ll only utilize the edge of your seat even though ya paid for the whole seat!
 
Come one, come all, to the Pain Pod!!!
 
Episode Notes
 
Pre-2016 MME Charts Review
2016 CDC Chronic Pain Opioid Guideline MME Chart
·      CDC Chronic Pain Opioid Guidelines: MMWR March 2016. Updated 2017.
o   Tramadol: 0.1
o   Codeine: 0.15
o   Tapentadol: 0.4
o   Morphine: 1
o   Hydrocodone: 1
o   Oxycodone: 1.5
o   Oxymorphone: 3
o   Hydromorphone: 4
o   Methadone (Up to: 20mg, 40mg, 60mg, >60mg): 4, 8, 10, 12
o   Transdermal Fentanyl: 7.2 (Divided by the # of Days Applied)
o   Transdermal Buprenorphine: 12.6 (Divided by the # of Days Applied)
o   Buprenorphine (SL or Buccal): 0.03 (for mcg calculations) or 30 (for mg calculations)
· Nielson S. et. al. A synthesis of oral morphine equivalents (OME) for opioid utilization studies. Pharmacoepidemiology and drug safety 2016; 25: 733–737
 
 
2015 Cat and Dog MME Article
· https://burrardvet.com/2015/04/08/pain-control-in-dogs-cats
 
2016 CDC Chronic Pain Opioid Guideline MME Chart
· CDC Chronic Pain Opioid Guidelines: MMWR March 2016. Updated 2017.
 
2022 CDC Opioid Guideline Revision Resources
· https://www.federalregister.gov/documents/2022/02/10/2022-02802/proposed-2022-cdc-clinical-practice-guideline-for-prescribing-opioids
 
2010 to 2014 MME Relative Risk of Overdose/Death
· https://i1.wp.com/face-facts.org/wp-content/uploads/2017/04/Opioid-dose-vs-overdose-risk.jpg
 
Missouri Marijuana Equivalents (MMEs)
· https://north.life/demystifying-missouri-medical-marijuana-equivalency-units-mmes/
 
 
Audio Add-in’s
Let’s Get Ready to Rumble (Michael Buffer)
· https://www.youtube.com/watch?v=jgopHWACUXs
 
Cash sound
· https://www.youtube.com/watch?v=ZeET7Z1ZGlw
 
Ron Burgundy “That Escalated Quickly”
· https://www.youtube.com/watch?v=FONN-0uoTHI
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The Impact of a Nitric Oxide Supplement | Pharmacy Profit Summit 2022

Your ability to produce Nitric Oxide (N-O) declines rapidly as you age. Berkeley Life Professional’s proprietary dietary nitrate blend provides the plant-based bio-equivalents of a leafy green diet in each two capsule dose helping you maintain Nitric Oxide levels as you age. This interview with Berkeley Life CEO John Halbert is a terrific testimonial to the importance of the supplement and to the revenue opportunity for community pharmacies. RxSafe, RMS, and Berkeley Life will be sponsoring the 2022 Pharmacy Profit Summit in Dallas Texas hosted by DiversifyRx.
Learn more: https://www.berkeleylife.com/
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How Interest Rate Hikes Affect Pharmacy Owners | Live Oak Bank

In this episode, Greco DeValencia of Live Oak Bank and Owen BonDurant and Rich Danhof of Independent Rx discuss the recent rate hikes, how it affects current pharmacy owners and owners to be and what to be concerned about beyond just the headlines of rising rates.
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Use of Novel Therapies in Endometrial Cancer: Update for Managed Care | PTCE Pharmacy Connect

Accreditation and support statement:
· PTCE is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity is approved for 0.5 contact hours of knowledge-based credit.
· This activity is supported by educational grant from GlaxoSmithKline.
Objectives
• Review the guideline-recommended role of immune-based therapies in the management of endometrial cancer.
• Discuss access to care, cost of care and cost-effectiveness of Immune checkpoint inhibitors in the treatment of endometrial cancer.
 
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HIV Preexposure Prophylaxis (PrEP): Exploring the Current and Emerging Landscape | PTCE Pharmacy Connect

 Educational Objectives
·      Discuss currently available options for pre-exposure prophylaxis (PrEP) in the prevention of HIV.
·      Describe the role of pharmacists in improving PrEP uptake in the United States. 
 
 
Faculty:
Drew W. Cates, PharmD, AAHIVP,
Educational Manager
SynerGrx
Chamblee, Georgia 
Faculty, has the following financial relationships with commercial interests to disclose:
Speaker's Bureau: Gilead
 
Pharmacy Times Continuing Education™ is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity is approved for 0.75 contact hours (0.07 CEU) under the ACPE universal activity number 0290-0000-22-338-H02-P. The activity is available for CE credit through July 29, 2023.
This activity is supported by an educational grant from ViiV.
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Examining the Treatment Landscape of Metastatic NSCLC Expressing the Targetable Mutations RET, MET, and KRAS | PTCE Pharmacy Connect

Educational Objectives
• Review the targetable mutations RET, MET, and KRAS, including associated agents for the treatment of metastatic non-small cell lung cancer (NSCLC)
• Discuss the ways a pharmacist may improve adherence, toxicity management, and outcomes for patients with metastatic NSCLC expressing RET, MET, and KRAS mutations
 
Josiah D. Land, PharmD, BCOP
Clinical Pharmacy Specialist – Thoracic Medical Oncology
Department of Pharmacy
Memorial Sloan Kettering Cancer Center
New York, New York
 
Josiah D. Land, PharmD, BCOP, has the following financial relationship with a commercial interest to disclose:
Consultant (advisory board): Bristol Myers Squibb
 
Pharmacy Times Continuing Education™ is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity is approved for 0.5 contact hours (0.05 CEU) under the ACPE universal activity number0290-0000-22-388-H01-P. The activity is available for CE credit through July 29, 2023.
 
This activity is supported by educational funding provided by Amgen.
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”Sex Matters” with Dr Alyson McGregor | Sex PharmD

This episode interviews Dr Alyson McGregor, MD Professor of Emergency Medicine and Associate Dean of Clinical Faculty Affairs and Development at University of South Carolina School of Medicine Greenville. 
Dr McGregor is a sex and gender expert, educator and advocate. Dr McGregor discusses her book, Sex Matters: How Male-Centric Medicine Endangers Women's Health and What We Can Do About It. 
https://www.alysonmcgregormd.com/
@amcgregormd
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Continuing the Conversation: Optimizing Frontline Immunotherapy Outcomes in NSCLC and Managed Care Considerations | PTCE Pharmacy Connect

Educational Objectives
·      Review the efficacy and safety of emerging frontline immune checkpoint inhibitor (ICI) used as monotherapy and in combination regimens
·      Indicate the impact of ICIs and programmed death-ligand 1 testing on cost-effectiveness and patient reported outcomes related with frontline use of ICIs in advanced NSCLC
 
Faculty:
Paul Forsberg, PharmD, MHA, BCOP
Director of Pharmacy
Minnesota Oncology
St. Paul, Minnesota
 
Latha Radhakrishnan, PharmD, BCOP
Clinical Oncology Pharmacist
The University of Illinois Hospital and Health Sciences System
Clinical Assistant Professor
University of Illinois at Chicago College of Pharmacy
Chicago, Illinois
 
Paul Forsberg, PharmD, MHA, BCOP, has the following relevant financial relationships with commercial interests to disclose:
Consultant: Epizyme
Speakers Bureau: AstraZeneca
 
Latha Radhakrishnan, PharmD, BCOP, has the following relevant financial relationships with commercial interests to disclose:
Consultant: Taiho, Novartis, Exelixis
Speakers Bureau: BMS, AstraZeneca, Taiho, Exelixis
 
Pharmacy Times Continuing Education™ Planning Staff—Jim Palatine, RPh, MBA; Maryjo Dixon, RPh; Liza Patel, PharmD, RPh; Crissy Wilson; Susan Pordon; Brianna Winters; and Chloe Taccetta.
Anonymous peer reviewers have been used as part of content validation and conflict resolution. The peer reviewers have no relevant financial relationships with commercial interests to disclose.
Pharmacy Times Continuing Education™ is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity is approved for 0.5 contact hours (0.05 CEU) under the ACPE universal activity number 0290-0000-22-363-H01-P. The activity is available for CE credit through July 29, 2023.
 
This activity is supported by independent medical education grants from Merck Sharp & Dohme Corp., Regeneron Pharmaceuticals, Inc., and Sanofi Genzyme.
 https://www.pharmacytimes.org/courses/continuing-the-conversation-optimizing-frontline-immunotherapy-outcomes-in-nsclc-and-managed-care-considerations
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4 Can’t Miss Trends about Digital Engagement with Ritesh Patel | DarshanTalks

4 Can't Miss Trends about Digital Engagement! Coming up on Friday's livestream of the DarshanTalks Podcast with host Darshan Kulkarni and guest Ritesh Patel, originally streamed on July 15th, 2022. 
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Implementing G6 into Pharmacy Practice | Real Time Real Talk

Disclaimer: This podcast is not approved for CME credit. Every diabetes treatment plan is different, individual results may vary – nothing you hear on this podcast should be considered medical advice. All claims are supported by clinical evidence referenced in the show notes. For clinical study results, please refer to Dexcom G6 User Guide. For product-related questions, please refer to instructions for use. For complete safety information, go to dexcom.com/safety-information Smart devices are sold separately. For a list of compatible smart device visit Dexcom.com/compatibility
 Fingersticks required for diabetes treatment decisions if symptoms or expectations do not match readings.
 Data from collaborator devices and products must be verified by those collaborator devices and products. Users should confirm data and connections with their collaborator devices and products.
The Dexcom G6 Continuous Glucose Monitoring System (Dexcom G6 System) is a real time, continuous glucose monitoring device indicated for the management of diabetes in persons aged 2 years and older.
Dexcom G6 System User Guide
 Safety Information https://www.dexcom.com/safety-information
 Dexcom Follow app: The Dexcom G6 App allows you to share your glucose data with up to 10 people. By downloading the Dexcom Follow App, followers can view your glucose data directly from their smart device† whether they live down the street or across the country*.
Connectivity – basics (https://provider.dexcom.com/dexcom-cgm/collaborators)
About Dexcom https://www.dexcom.com/about-Dexcom
Beacon Health System Resources
Dexcom Patient Training and Resources
Dexcom Prescribing Information
Brief Safety Statement
Failure to use the Dexcom G6 Continuous Glucose Monitoring System (G6) and its components according to the instructions for use provided with your device and available at https://www.dexcom.com/safety-information and to properly consider all indications, contraindications, warnings, precautions, and cautions in those instructions for use may result in you missing a severe hypoglycemia (low blood glucose) or hyperglycemia (high blood glucose) occurrence and/or making a treatment decision that may result in injury. If your glucose alerts and readings from the G6 do not match symptoms or expectations or you’re taking over the recommended maximum dosage amount of 1000mg of acetaminophen every 6 hours, use a blood glucose meter to make diabetes treatment decisions. Seek medical advice and attention when appropriate, including for any medical emergency.
The web-based Dexcom CLARITY software is intended for use by both home users and healthcare professionals to assist people with diabetes and their healthcare professionals in the review, analysis, and evaluation of historical CGM data to support effective diabetes management. It is intended for use as an accessory to Dexcom CGM devices with data interface capabilities. Caution: The software does not provide any medical advice and should not be used for that purpose. Home users must consult a healthcare professional before making any medical interpretation and therapy adjustments from the information in the software. Caution: Healthcare professionals should use information in the software in conjunction with other clinical information available to them. Caution: Federal (US) law restricts this device to sale by or on the order of a licensed healthcare professional.
Dexcom, Dexcom Follow, Dexcom CLARITY, and Dexcom Share are registered trademarks of Dexcom, Inc. in the U.S., and may be registered in other countries.
References:
1.    William H. Polonsky, Emily C. Soriano, and Addie L. Fortmann. Diabetes Technology & Therapeutics. Ahead of print http://doi.org/10.1089/dia.2021.0526
2.    Shah VN, et al. Diabetes Technology & Therapeutics. 2018;20(S1):A-27 DOI: 10.1089/dia.2018.0143
3.    Kaushik S, et al. Diabetes. 2020 Jun;69(Supplement 1) https://doi.org/10.2337/db20-79-LB 
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The Good, The Bad, & The Ignorant: The Twisted World of PCMA Politics | PUTTcast

Solid PR practices call for changing the conversation to one's advantage, but PCMA's recent OpEds based on a paid-for white paper are more than suspect. 
Listen in as lobbyist & managing partner of Public Policy Partners Meghaen Della'Artino, and General Counsel for American Pharmacies Miguel Rodriguez, speak with PUTTcast host Monique Whitney about strategy, the current political arena, and how the power of grassroots and a constituent's voice can overcome the most well-funded PBM politics.
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Diagnostic Testing in Community Pharmacies | Pharmacy Podcast Nation

Babson Diagnostics and Pharmacy Podcast Network Announce Partnership That Will Take Listeners Inside Largest Retail Pharmacy Trade Show
Babson to host popular podcast from its booth at the Total Store Expo
July 26, 2022
Austin, Texas– Babson Diagnostics, a science-first, health care technology company, today announced a media partnership with the Pharmacy Podcast Network in connection with the 2022 National Association of Chain Drug Stores’ Total Store Expo, the largest gathering of retailers and suppliers in the health and wellness industry. 
As part of the partnership, the Pharmacy Podcast Network, the most popular and downloaded podcast about the pharmacy industry, will be integrated into Babson Diagnostics’ booth at the Total Store Expo. Todd Eury, founder and chief executive officer of the media company, will host podcasts from the booth featuring industry leaders attending the trade show.
In addition, Babson will sponsor two podcasts that will be broadcast prior to the expo, which takes place Aug. 27 through Aug. 29 in Boston. The first of those shows, “Diagnostic Testing in Community Pharmacies” went live today.
“Babson is excited to be collaborating with one of the leading media outlets aimed at community pharmacists, who are the face of neighborhood healthcare, said David Stein, CEO of Babson Diagnostics. “Babson is working with pharmacies to offer medically accurate blood testing that is easier, more convenient and less invasive than traditional methods.”
Launched in 2009, the Pharmacy Podcast Network reaches more than 80,000 listeners per month with audio content focused on the critical role pharmacists play in the healthcare industry.
“I look forward to bringing exciting new content to my audience through this partnership with Babson Diagnostics,” Eury said. “The Total Store Expo is a one-of-a-kind opportunity to bring insights to pharmacists about new and innovative products and services in health and wellness, such as Babson’s blood-testing ecosystem.”
Please visit the Babson at booth #359 at the Total Store Expo to see Eury’s interviews, view the blood testing ecosystem, experience the collection technology, meet the team and more. Sign up at www.babsondx.com/nacds
About Babson Diagnostics
Babson Diagnostics is a science-first healthcare technology company bringing convenient, medically accurate diagnostic blood testing to the local pharmacy. We are the first and only company to do broad blood panels from a capillary microsample, collected from a finger, at a retail setting.
Our core technology was incubated at Siemens Healthineers ​in 2015, and we became Babson Diagnostics in 2017. We have exclusive partnerships with Siemens Healthineers and BD (Becton, Dickinson and Company), two global leaders in healthcare innovation and medical technology. Together we are reimagining the entire blood testing process, helping people get the care they need, when they need it.
Babson, based in Austin, Texas, is named in honor of Art Babson, whose legacy of scientific innovation and excellence is the foundation on which the company is built. For more information visit www.babsondx.com and find us on Facebook (@babsondx), Twitter (@babsondx) and LinkedIn (@babsondx).
About Pharmacy Podcast Network
Pharmacy Podcast Nation is the flagship show hosting all of the Pharmacy Podcast Network 1400+ episodes. With more than 30 different podcast programs and some 40 different co-hosts helping to develop audio content about the pharmacy sector, its reach includes communities, hospitals, senior-care residences, military and public health settings that meet the information needs of 300,000 pharmacists with more than 100,000 monthly listeners. PPN also delivers a unique publication called Rx Influencer to all healthcare professionals with a specific focus on pharmacy.
For more information visit: https://pharmacypodcast.com/
Contacts:
Babson
Joe Foster
Babson Diagnostics
babsonDX@finnpartners.com
323-572-5361
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Facing the Nursing Shortage Head-on | The Future of Pharmacy Podcast

COVID-19 has reminded us of the importance of nurses in our lives and why we must invest in them. Healthcare is one of the hardest-hit areas of the Great Resignation, with stress and burnout leading to nurses leaving the profession in high numbers. Learn from prominent healthcare experts how to limit the impact of nursing shortages by leveraging intelligent infrastructure, automation, and data intelligence.
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Caring for Patients With Multiple Myeloma Through Pharmacist-Directed Supportive Care and Toxicity Management Strategies | PTCE Pharmacy Connect

Introduction of faculty and disclosures: 
Dr. Kathryn Maples is a clinical pharmacy specialist in multiple myeloma at the Winship Cancer Institute with Emory Healthcare in Atlanta, Georgia.
Dr. Maples has the following relevant financial relationships with commercial interests to disclose: consultant for GlaxoSmithKline, Janssen, Karyopharm, and Sanofi.
Accreditation and support statement: 
PTCE is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity is approved for 0.5 contact hours of knowledge-based credit.
This activity is supported by an educational grant from Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC
 https://www.pharmacytimes.org/courses/multiple-myeloma-pharmacists-as-therapy-experts
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Caring for Patients With Multiple Myeloma Through Pharmacist-Directed Supportive Care and Toxicity Management Strategies | PTCE Pharmacy Connect

Introduction of faculty and disclosures: 
Dr. Kathryn Maples is a clinical pharmacy specialist in multiple myeloma at the Winship Cancer Institute with Emory Healthcare in Atlanta, Georgia.
Dr. Maples has the following relevant financial relationships with commercial interests to disclose: consultant for GlaxoSmithKline, Janssen, Karyopharm, and Sanofi.
Accreditation and support statement: 
PTCE is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. This activity is approved for 0.5 contact hours of knowledge-based credit.
This activity is supported by an educational grant from Janssen Biotech, Inc., administered by Janssen Scientific Affairs, LLC
https://www.pharmacytimes.org/courses/multiple-myeloma-recognizing-treatment-options
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Trading Grenades for Medicine | Transforming a Nation

How does it feel to be torn between two vastly different worlds: the one you were born to, and the one you fled to and eventually thrived in? What does it mean to become an American? 
Trading Grenades for Candy is a memoir of a Kurdish woman who fled war and turmoil in Iraqi Kurdistan as a young child and transformed herself into a quintessential American success story. Hers is a richly expressed and deeply personal journey from barely surviving in a mud house amidst landmines, to evolving into an independent, world-traveling pharmacist. By understanding her personal story of hardship and perseverance, readers will come to understand not only her personal triumph, but the wider story of the Kurdish people.
This memoir will change the way one looks at what it means not only to be an American, but a fellow human being in our diverse world. 
This special edition of 'Transforming a Nation' is with Dr. Helen Sairany, PharmD., author of Trading Grenades for Candy: A Kurdish Refugee's American Journey
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Osteopathic Medicine and Surviving Your Second Year of Medical School with Dr. Bryce Brohol | The Physician Pharmacist Podcast

Have you ever wondered what the life of a Second Year Medical School Student is like? Check out today's show to find out! Topics covered include basic medical school application recommendations, an in-depth look at what Osteopathic Medical school is like, the importance of conducting research, an introduction of the national medical boards (USMLE STEP 1), and finishing up with expectations for clinical rotations!
Links:
1. Difference Between DO and MD Degrees: https://www.usnews.com/education/best-graduate-schools/top-medical-schools/articles/2019-11-07/the-difference-between-do-and-md-degrees
2. Medical School Application Platform; AMCAS - https://students-residents.aamc.org/
3. American Association of Colleges of Osteopathic Medicine (AACOM): - https://www.aacom.org/
4. The Physician Pharmacist: www.PhysicianPharmacist.com
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Fulfilling the Promise of Medications: Spencer Health Solutions

Optimal medication use is multi-faceted in its dependencies on regimens, prescribing physicians, clinical oversight by pharmacists and behavior of individuals; and suboptimal medication use is broad and far-reaching in clinical, quality of life and economic consequences. 
Suboptimal use of medications is not only prevalent and consequential, but also represents a significant portion of the aggregate risk for poor events in a population that can be reduced through intervention and proper application of patient supports. This is an environmental scan of the existing aids and devices along with synchronization strategies intended to support optimal medication use. 
To date, multiple but disparate approaches to influence and achieve optimal medication use have been deployed. They lack unifying modalities and interventions that can be applied broadly. We have used this analysis to bring forth a roadmap for a best in class solution that connects healthcare to the home, with access that extends into the daily lives of patients, creating a passive omnipresence and connectedness with healthcare team members and family caregivers.
https://spencerhealthsolutions.com/wp-content/uploads/2021/02/Fulfilling-the-Promise-of-Medications.pdf?utm_campaign=Thought%20Leadership%20-%20External&utm_content=203395111&utm_medium=social&utm_source=twitter&hss_channel=tw-1097123424395292673 
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Insights into Buying and Selling a Pharmacy | CounterTalk Podcast

Host Jason Callori talks with Chad Sanders, Director of Pharmacy Acquisition at Cardinal Health, about the current landscape of buying and selling pharmacies, and what you need to know to be successful. 
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Building Your Home-Care Pharmacy Business | RxSafe

We believe that local independent community pharmacy has a much wider role to play in future home-care. Historically, pharmacists have not been included on home care teams, despite the fact that home care patients require more pharmacy care services and frequently experience medication errors.
There’s an opportunity for Community Pharmacies to deliver more in-home care services. LTC pharmacies are compensated for services which many community pharmacies provide to their home-bound patient base.
The optimal service delivery model of community pharmacies and distribution of additional clinical care for home care is a prime opportunity. 
Special thanks to our episode sponsor RxSafe, leaders in Medication Adherence packaging & partners of Independent Community Pharmacy. 
Guests: 
Ronna Hauser, PharmD
SVP Policy & Pharmacy Affairs at NCPA
Susan Rhodus, BS Pharm 
Senior Vice President, Contracts and Advocacy at GeriMed
Joe Williams, PharmD
Owner at Brisson Drugs
References: 
https://ncpa.org/medical-home-mah 
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