Pharmacy Podcast Network

Leader, Visionary Conscious Pharmacist: Dr. Sandra Leal PharmD | The Conscious Pharmacist

Sandra Leal, PharmD, MPH, FAPhA, CDCES
Executive Vice President, Tabula Rasa HealthCare
President, American Pharmacists Association
Sandra Leal is an Executive Vice President for Tabula Rasa HealthCare and is serving as the 166th President for the American Pharmacists Association.
She is the past chair and current member of the National Center for Farmworker Health. She serves on the American Diabetes Association Diabetes is Primary group to highlights the impact that pharmacists can have on improving the care for people with diabetes.
Dr. Leal received her PharmD from the University of Colorado and her MPH in Public Health Practice from the University of Massachusetts. Dr. Leal completed her residency at the Southern Arizona VA Health Care System and a Primary Health Care Policy Fellowship with the Department of Health and Human Services.
She has published and presented her work in numerous national and international publications and venues. She has been recognized as the Good Government Pharmacist of the Year by the American Pharmacists Association (APhA) for her advocacy work on pharmacist provider status. Dr. Leal is a two-time recipient of the Pinnacle Award from the APhA Foundation for her progressive practice innovations and received the ASHP Best Practice Award for her leading practice in diabetes management.
Two themes that govern Dr. Leal’s professional life are a passion to eliminate barriers to care and to improve access and outcomes for patients. Dr. Leal has led efforts on both local and national levels to integrate pharmacy, public health, and advocacy to improve the healthcare system and to reduce health inequity.
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A Tale of Two Health Systems, Retail Pharmacy, & the Evolution of the CancelRx | UnScripted by Surescripts

The Un-Scripted Podcast, episode two is a conversation with: Charlie Oltman, Program Director, NCPDP Foundation Dr. Samantha Pitts, assistant professor, Division of General Internal Medicine, Johns Hopkins University School of Medicine Tolu Akinwale, Manager of E-Prescribing, Walgreens Michelle Chui, PharmD, PhD, FAPhA, Hammel-Sanders Professor, Social & Administrative Sciences Division, Director, Health Services Research in Pharmacy PhD Program, Director, Sonderegger Research Center for Improved Medication Outcomes, University of Wisconsin – Madison, School of Pharmacy Recently, a group of health IT leaders came together to discuss the need for CancelRx and the value it delivers far beyond the seemingly simple cancellation of a prescription. The participants in this podcast were part of a study in partnership with UW Health to evaluate the effectiveness of CancelRx to decrease medication discrepancies. Learn more: https://surescripts.com/enhance-prescribing This podcast is a call to action on the broader healthcare industry to standardize digital processes to help remove admin burden and increase patient safety. A highlight from the study: The results of UW Health’s system-wide CancelRx implementation were impressive. Before CancelRx, only about 34% of prescriptions that were discontinued in the clinical setting were also cancelled in the pharmacy. After CancelRx went live, the proportion of successful discontinuations jumped drastically to 93%. Additionally, the amount of time it took to discontinue a medication plummeted from approximately 12 hours to virtually no time at all.  Find more info here: https://surescripts.com/news-center/intelligence-in-action/prescription-accuracy/empowering-pharmacists-to-be-proactive-care-providers See omnystudio.com/listener for privacy information.
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Never Pay the First Bill | PBM Reform Podcast Series

Special interview w/  award-winning ProPublica reporter Marshall Allen, a primer for anyone who wants to fight the predatory health care system--and win.
We welcome back two patriots in PBM Reform on the interview w/ Marshall. 
Monique Whitney - CEO of Pharmacists United for Truth & Transparency and PUTT President and Pharmacy Owner Scott Newman.  
Every year, millions of Americans are overcharged and underserved while the health care industry makes record profits. We know something is wrong, but the layers of bureaucracy designed to discourage complaints make pushing back seem impossible. At least, this is what the health care power players want you to think.
Never Pay the First Bill is the guerilla guide to health care the American people and employers need. Drawing on 15 years of investigating the health care industry, reporter Marshall Allen shows how companies and individuals have managed to force medical providers to play fair, and shows how you can, too. He reveals the industry's pressure points and how companies and individuals have fought overbilling, price gouging, insurance denials, and more to get the care they deserve. Laying out a practical plan for protecting yourself against the system's predatory practices, Allen offers the inspiration you need and tried-and-true strategies such as:
Analyze and contest your medical bills, so you don't pay more than you should
Obtain the billing codes for a procedure in advance
Write in an appropriate treatment clause before signing financial documents
Get your way by suing in small claims court
Few politicians and CEOs have been willing to stand up to the medical industry. It is up to the American people to equip ourselves to fight back for the sake of our families--and everyone else.
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The Cure for Resource Headaches? Central Pharmacy Services

The Future of Pharmacy Podcast, presented by Omnicell
Pharmacy innovators are solving technician shortages with new, subscription models that include the technology, dedicated labor, integrated best practices, and expert services, to realize the promise of pharmacy automation.
Guests:  
Matt Baldwin, PharmD, System Pharmacy Director, Aultman Health Foundation 
Dave Young, PharmD, Network Director of Inpatient Pharmacy, Einstein Healthcare Network
Host:
Ken Perez, Vice President, Healthcare Policy and Government Affairs, Omnicell
All Episodes here: https://www.omnicell.com/podcast 
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More-On PBMs powered by Appro-Rx

This is the MORE-On PBMs Podcast.  This podcast digs into the dark corners of the unregulated PBM business practices & sets the record straight!
This lack of transparency in patients’ drug coverage can interfere with sound medical practice and may lead to delays in and other disruption to necessary medical treatment, thus, the ability of patients and their physicians to have the information and even the latitude they need to make key decisions regarding medication has been hampered by the sort of practices that state legislation of PBMs can properly address.
Our host has a family pedigree in Community Pharmacy, PBM practices, and working with employer insurance programs to help millions of people live better lives. 
Kyle Fields CEO - Appro-Rx 
Kyle has been the owner of Appro-Rx since 2008 and has served as President and COO since 2010 and CEO since 2016. Kyle oversees all aspects of the daily operations at Appro-Rx including sales, plan implementation, call-center operations, member and pharmacy help desk, contract negotiations, client retention and acquisition, government relations, and quality control. Kyle has an extensive background in Insurance and Insurance management, government relations, government finance, and extensive business and contract negotiating experience.
Kyle is a former Waynesville City Councilman and was named to the 2014 40 Under 40 of Dayton, Ohio. Kyle has also been featured as a contributor on Squawk Box on CNBC and speaks nationally on all matter pertaining to Pharmacy and Pharmacy Benefit Management.
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Celebrating Legislative Wins (and How to Make Them Happen!) | The PUTTcast

Listen in as PUTTcast host Lauren Young chats with pharmacists and lobbyists from Arizona, Maryland, and Texas about their recent legislative triumphs, the battles they waged to get there, and how you can do the same in your own state.
Host: Lauren Young
Guests: Monique Whitney, Executive Director, PUTT, Co-Chair, AIPC Mark Boesen, PharmD, JD, AIPC Sherine Joseph, PharmD, President IPMD Jim Doyle, Lobbyist, IPMD Miguel Rodriguez, General Counsel, APRx
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New Roles & Regulations for Pharmacy Technicians | Pharmacy Podcast Nation

The Role of the Pharmacy Technician is changing along with the new demands on pharmacists. We discuss the new regulations on Pharmacy Techs with James Broughel, Ph.D. Senior Research Fellow with Mercatus Center at George Mason University
Op-Ed Pharm. Tech Regulation
James recently wrote an op-ed in the Hill newspaper – a paper read by a lot of people working on Capitol Hill and in government – about putting President Biden’s pharmacy plan into action.  This was the President saying he wanted everyone to be able to receive the COVID vaccine by April 19.
In the article, James wrote that there is more “that can be done to improve the workings of the pharmacy program. One option is to expand the number of trained pharmacy staff allowed to perform vaccinations.” 
Have different states taken different approaches with respect to how they’ve treated pharmacies during the pandemic? Is there a best and/or worst approach?
Paper on Pharm. Tech Regulation
James also wrote a recent paper on Pharmacy Technician Ratio Requirements, which talks about how many states limit the number of pharmacy technicians permitted to work under the supervision of a licensed pharmacist at any given time. And we all probably know that with COVID-19, many states with these regulations have relaxed these rules.  You wrote that having less restrictive regulation could actually be an important way to advance public health. 
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POP CULTURE: Iron Man and the History of Pacemakers | Lets Pharmonize

Description: Justin Frederick joins us again with another look into the Marvel Cinematic Universe, this time with Iron Man and his fascinating Arc Reactor located in the center of his chest. Besides being a flashy target for the bad guys, the Arc Reactor serves a purpose in keeping Tony alive. In this episode, we discuss the physiological plausibility of an Arc Reactor in your chest as well as the history of pacemakers throughout the past few hundred years.
This is NOT your physician's podcast. Hosts Shane Garrettson and Cal Vandergrift dive into the pharmacy world with fun, interesting, and downright weird topics!
Tune in for NEW episodes, available on Spotify, Apple, Anchor, and more! Check out our Facebook, Twitter, and Instagram pages at Let's Pharmonize to view videos and images relevant to every episode! If you have any questions, comments, or even corrections, e-mail us at pharmonization@gmail.com.
PLEASE READ: Shane, Cal, Mickey and Justin are NOT medical professionals. DO NOT USE the information presented in this podcast to aid in your own personal health or medicinal benefit. This is a light-hearted podcast that should not be taken with the same seriousness as your own personal health.
This episode is sponsored by the Ultiguard Safe Pack. UltiGuard Safe Pack is the only pen needle product that comes with an all-in-one sharps container. Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy., 
Learn more about the UltiGuard Safe Pack: 
https://www.ulticare.com/ultiguard-safe-pack/podcast
A special thanks to Kelly Kerr for creating the music used in the intro and outro.
Additional music by Feslyan Studios.
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The Pharmacist - Dan Schneider | PAIN POD

How many times a day are YOU asked if you’re the pharmacist? Countless!
Well join us in this episode of the PAIN POD while Mark “Pain Guy” Garofoli chats with literally THE Pharmacist, Dan Schneider, famous for all of his amazing efforts within the Opioid Crisis, as highlighted on the Netflix series “THE Pharmacist”.
Every 7 minutes an American dies of a drug overdose, and that’s soon to be every 5 or 6 minutes based on upcoming data confirmation. Conversely, every 30 minutes a baby is born dependent, not addicted, to opioids. Headline after headline sensationalizes a reality that many times heroin utilizers begin their respective diacetylmorphine (that’s Heroin folks!) utilization via prescription opioids. Check out this JAMA article as the foundation for so very many headlines: https://jamanetwork.com/journals/jamapsychiatry/fullarticle/1874575.
Dan Schneider’s life work, and “story”, were first highlighted in this article: https://www.nola.com/news/crime_police/article_934b7d20-a78a-535a-8691-26cfc7f9bee7.html, and he joins us in this podcast to dive much, much deeper into the saga, culminating with avenues for all of us to join the efforts, via his “Tunnel of Hope” organization: https://tunnelofhope.org/.
How did we get into the “War on Drugs”, or perhaps better yet, how in the world do we get ourselves out? There’s 330 million Americans waking up everyday, living day in and day out as the solution. If every one of us helped one person, imagine the world.
So listen in to this episode of the PAIN POD now, to hear THE Pharmacist chat with the Pain Guy, in an effort to do just that, help save and improve lives, one at a time!
This episode is sponsored by the Ultiguard Safe Pack. UltiGuard Safe Pack is the only pen needle product that comes with an all-in-one sharps container. Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy., 
Learn more about the UltiGuard Safe Pack: 
https://www.ulticare.com/ultiguard-safe-pack/podcast
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Pharmacy Industry Living Legend: Joe Moose | Pharmacy Crossroads

Joe Moose, R.Ph., is the co-owner of 8 community pharmacies in North Carolina.  He is a true innovator and leader in pharmacy.  He was honored in 2015 as the NCPA Independent pharmacist of the year.  In this episode of PharmacyCrossRoads, Joe shares examples of how and why independent community pharmacy can play a critical role in helping control the opioid pandemic.  He says while COVID has dominated the profession for a year or more that the opioid issue is still a critical issue and deserves the attention and offers a few ideas on what types of things can be done.
Joe also is also a proponent of pharmacies working together to perform healthcare services and capture the data that demonstrates that community pharmacy can be beneficial to payers.  His point being that only by having hundreds of pharmacies doing this in a coordinated fashion can we capture the attention of payers. 
He also shares creative ideas on how personal home delivery, if done right, can help open the door for performing health risk assessments and also allow community pharmacies to being reimbursed for supporting the emerging field of social determinates of health. 
And, while not a topic of the podcast Joe Moose is a leader in the CPESN movement.  I was able to write a two-part article – Six Things Every Pharmacist Should Now About CPESN – for ComputerTalk for the Pharmacist Magazine where I quote Joe on a few issues.  A digital copy of both articles is available to PharmacyCrossRoads listeners by emailing BFKneeland@gmail.com with CPESN Article in the subject line. 
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Holistic Medicine and Striving for Great Health - Why it’s so Important to Treat the ”Whole” Patient | The Public Health Pharmacist

Dr. Richard Harris
Dr. Harris is an expert in Holistic medicine who believes that public health means - The advancement of policy and research for the benefit of society.
Bio: Dr. Richard Harris is a board-certified internal medicine physician, pharmacist, and entrepreneur. Dr. Harris has a client-centric view focusing on building relationships and trust through a comprehensive lifestyle medicine system. He currently hosts the Strive for Great Health Podcast, has several online wellness courses, and consults for several companies.  He is an avid reader, weight lifter, video game enthusiast, and author in his spare time. Dr. Harris also enjoys sports, traveling, philanthropy, church, and keto donuts.  
Social Media Handles@Drharrismd on IG & twitter
Website: https://www.theghwellness.com/
Podcast - Strive for Great Health Podcast https://theghwellness.com/podcast
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SPOTLIGHT SHORT: Tuskegee and HeLa Cells | Lets Pharmonize

Today's episode is a 2-part round-table discussion between Cal, Shane, and Mickey about two of the most controversial pieces of medicine known to the modern world. 
This is NOT your physician's podcast. Hosts Shane Garrettson and Cal Vandergrift dive into the pharmacy world with fun, interesting, and downright weird topics!
Tune in for NEW episodes, available on Spotify, Apple, Anchor, and more! Check out our Facebook, Twitter, and Instagram pages at Let's Pharmonize to view videos and images relevant to every episode! If you have any questions, comments, or even corrections, e-mail us at pharmonization@gmail.com.
PLEASE READ: Shane and Cal are NOT medical professionals. DO NOT USE the information presented in this podcast to aid in your own personal health or medicinal benefit. This is a light-hearted podcast that should not be taken with the same seriousness as your own personal health.
A special thanks to Kelly Kerr for creating the music used in the intro and outro.
Additional Music from DS Productions
This episode is sponsored by the Ultiguard Safe Pack. UltiGuard Safe Pack is the only pen needle product that comes with an all-in-one sharps container. Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy., 
Learn more about the UltiGuard Safe Pack: 
https://www.ulticare.com/ultiguard-safe-pack/podcast
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From ACPHS to Paratek Pharaceuticals | Occupation Station

Growing up, Steve St. Onge saw his grandfather working in his pharmacy and thought he would follow in his footsteps. Like his grandfather, he set out to graduate from ACPHS.  But shortly later St. Onge started following a different path.  In this episode of Occupation Station, he talks about why he decided to pursue interests both in drug development and in business, ultimately adding an MBA to his credentials.  St. Onge is now director of business development for Paratek Pharmaceuticals.  He wears a lot of hats at Paratek and says he gets great satisfaction in knowing that he is part of a team helping to deliver life-saving remedies to people in need.  The 2009 grad has great advice for ACPHS students about seeking out mentors, taking risks, and using rotations as a way to grow.  He sees a bright future for ACPHS alumni, saying the sky is the limit for those with a PharmD.
This episode is sponsored by the Ultiguard Safe Pack. UltiGuard Safe Pack is the only pen needle product that comes with an all-in-one sharps container. Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy., 
Learn more about the UltiGuard Safe Pack: 
https://www.ulticare.com/ultiguard-safe-pack/podcast
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The Pharmacogenomics Fellowship| PGX For Pharmacists

Dr. Jai Patel, PharmD, BCOP, CPP
Chair of Department of Cancer Pharmacology & Pharmacogenomics
Dr. Jai Patel is a pharmacist who help create a pharmacogenomics fellowship which was not available at his school. He finished the Oncology/Pharmacogenomics Postdoctoral Fellowship at the UNC Eshelman School of Pharmacy.
Dr. Patel: “I approached my mentor and said, ‘this is what I want to practice. I have the ambition and drive.’ I had to convince him I was a good investment. Just because something doesn’t exist, doesn’t mean it isn’t possible. That’s what will set you apart from others when trying to build something new. Health care is always changing. Position yourself to be in the forefront of medicine.
Dr. Patel serves as Chair of the Department of Cancer Pharmacology and Pharmacogenomics at Levine Cancer Institute. He is also the associate Professor in the Division of Hematology/Oncology. Dr. Patel’s research focuses on translational and clinical pharmacogenomics and pharmacokinetics of anticancer therapies. 
Behnaz Sarrami, MS, PharmD
Pharmacogenomics (PGx) coach and consultant | MSL at Atheadx
Behnaz Sarrami is the co-host to the PGx for Pharmacist Podcast. She is an expert in the field of PGx and mentor to pharmacist who are establishing their own PGx consulting business. She believes in personalizing a patient’s medication based on each individual’s genetic makeup and is keen in helping overcome barriers for both pharmacist and providers who want to implement PGx in any clinical setting.
Behnaz received her Master’s degree in Biochemistry from Georgetown University and her Doctorate in Pharmacy from Creighton University. Behnaz has been a contributor of Washington University’s Public Health blog. She also serves as a consultant for a grant-funded research project which aims to increase medication adherence in older adults who suffer from mental health.
This episode is sponsored by the Ultiguard Safe Pack. UltiGuard Safe Pack is the only pen needle product that comes with an all-in-one sharps container. Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy., 
Learn more about the UltiGuard Safe Pack: 
https://www.ulticare.com/ultiguard-safe-pack/podcast
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PharmGrad Wishlist | Pharmacy Podcast Nation

We are a group of practicing pharmacists throughout the U.S. who have organized a mutual aid movement entitled #PharmGradWishlist (Twitter: @PharmGradWish) that aims to support emerging pharmacist trainees who identify as BIPOC (Black, Indigenous, and Persons of Color). People who identify as Black, Hispanic/Latinx, and American Indian/Alaska Native are underrepresented in the Pharmacy profession, which can perpetuate health disparities. 
WEBSITE: https://www.pharmgradwishlist.org/ 
This pharmacist campaign was inspired by the successful movement of our physician colleagues (@MedGradWishlist).
This episode is sponsored by the Ultiguard Safe Pack. UltiGuard Safe Pack is the only pen needle product that comes with an all-in-one sharps container. Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy.
Learn more about the UltiGuard Safe Pack: 
https://www.ulticare.com/ultiguard-safe-pack/podcast
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Building Strong Pharmacy Teams through Leadership and Training | RMS CLIMB

Introducing Terri Norvell -- the Inner Prize 
On June 10th at 8am Pacific/11am Eastern RMS’ CLIMB welcomes back Leadership and Business Growth Expert Terri Norvell. Terri will be talking with dynamic leaders who’ll share their real-world struggles and successes with CLIMB attendees. These leadership and pharmacy industry experts will help attendees uncover what’s at the root of day-to-day challenges faced by pharmacies every day as well as providing key takeaways to elevate team engagement, solve problems with scalability, and ultimately grow pharmacy businesses.
Attendees are encouraged to bring their challenges for a dynamic presentation and Q&A session. As always, AAP members register for free ($199.00 annual value) using this link:
https://www.crowdcast.io/e/7rayzvde/register?utm_campaign=RMSCLIMB&utm_source=PPN&session=1 
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Introducing RxRise | Direct Access to Short-dated & Surplus Stock

Transforming Pharmaceutical Obsolescence into Opportunity
RxRise is a revolutionary marketplace platform that lists pharmaceutical manufacturers short-dated and surplus stock directly to pharmacies.
Adam has gained a keen understanding of the pain points surrounding short-date and surplus products in the pharmaceutical sector. Having worked in various leadership roles in his almost 18 year pharma career, he understands the challenges these products bring to the entire pharmaceutical supply chain, from manufacturer down to the pharmacy. His passion for business, healthcare, technology and the environment gives RxRise a unique perspective on getting rid of the billions of dollars worth of short-dated and surplus stock from going to waste.
Today's guest is Adam Gladieux Founder and CEO of RxRise. 
When he’s not working on the latest project, Adam enjoys spending time with his wife and four kids. He also enjoys basketball, running and has a passion around all things growth mindset.
This episode is sponsored by the Ultiguard Safe Pack. UltiGuard Safe Pack is the only pen needle product that comes with an all-in-one sharps container. Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy., 
Learn more about the UltiGuard Safe Pack: 
https://www.ulticare.com/ultiguard-safe-pack/podcast
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From ACPHS to Cara Therapeutics Terrillion | Occupation Station

Graduating from either pharmacy or law school is an admirable achievement. Graduating from both is a rare accomplishment indeed! That’s just what 1985 ACPHS grad Scott Terrillion did, despite having more than a few people advising him against it. In this episode of Occupation Station, Scott talks about why he made such an unusual move. He says his education at ACPHS prepared him to take on the new challenge of law school by teaching him about the scientific method, understanding logic and problem solving. Drawing on his experience at places like Boehringer Ingelheim and Cara Therapeutics, where he is now General Counsel, Secretary and Chief Compliance Officer, Scott shares advice about finding the right fit with an employer to maximize both your talents and your desire to grow. He also notes the many ways pharmacists are in prime positions to make big career moves.
This episode is sponsored by the Ultiguard Safe Pack. UltiGuard Safe Pack is the only pen needle product that comes with an all-in-one sharps container. Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy., 
Learn more about the UltiGuard Safe Pack: 
https://www.ulticare.com/ultiguard-safe-pack/podcast
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Study Finds Potential for Billions in Prescription Drug Savings with Transparent Pricing Practices | PBM Reform Podcast

Capital Rx and 3 Axis Advisors Study Finds Potential for Billions in Prescription Drug Savings With Transparent Pricing Practices
Mandatory NADAC responses by pharmacies for 1,600 unique oral solid products could create additional savings of $1.5 billion over 10 years
Comparing generic drug costs with NADAC and Alabama actual acquisition cost, study finds $937 million in potential annual savings across Medicaid
Implementing and improving transparency in pricing practices can restore public trust in U.S. drug pricing system, results suggest
CMS proposes delaying drugmaker rule days after PhRMA suesThe lawsuit also casts blame on health plans and pharmacy benefit managers that allegedly "siphon the benefits" meant for consumers.
Today's guests: 
Antonio Ciaccia
3 Axis Advisors www.3axisadvisors.com 
A. J. Loiacono
CEO at Capital Rx
https://www.healthcarefinancenews.com/news/cms-proposes-delaying-drugmaker-rule-days-after-phrma-sues
This episode is sponsored by the Ultiguard Safe Pack. UltiGuard Safe Pack is the only pen needle product that comes with an all-in-one sharps container. Learn more about why UltiGuard Safe Pack is the best choice for your patients and your pharmacy., 
Learn more about the UltiGuard Safe Pack: 
https://www.ulticare.com/ultiguard-safe-pack/podcast
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Bill and Will Lockwood -- The American Society For Automation In Pharmacy (ASAP) | Pharmacy Crossroads

The American Society For Automation In Pharmacy – or ASAP – could be the pharmacy organization that most directly effects the daily practice of pharmacy.  And, it is very likely that you, as a practicing pharmacist, have never heard of this important organization. 
In this episode of PharmacyCrossRoads we talk with Bill Lockwood, founder and Executive Director ASAP.  Joining in the program is Will Lockwood, Assistant Director of ASAP and Bill’s son.  These two industry experts explain how the standard settings services ASAP provides make it possible for your pharmacy system to provide a variety of services, without which, modern day pharmacy practice would not be possible.
You’ll learn how ASAP brings industry competitors together, in a carefully coordinated and legal manner, to address issues that make it possible for Prescription Drug Monitoring programs to work, for interfaces between various pharmacy systems and services to work.  And, how the organization works with the FDA, CMS and other government agencies to insure you can fill scripts quickly and accurate and that all your systems “play nice” with one another. 
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