Rank #1: How will USP 800 Impact My Retail and LTC Pharmacy - PPN Episode 850
How will USP 800 Impact My Retail and LTC Pharmacy?
USP-800 was designed to address the proper handling of hazardous drugs (HDs) in a pharmacy setting. Its guidelines are plainly aimed at promoting patient and worker safety in and around non- sterile and sterile compounding. The first section clearly covers compounding in its purest form.
However, when you move into section two, you quickly realize the dispensing of pills, capsules, liquids and manufactured packaged items are also covered by USP-800 Different types of terms are being used to describe types of hazardous drugs, such as: antineoplastic, non-antineoplastic, reproductive risk only; dosage form, risk of exposure, packaging and manipulation. This may sound like a whole lot of mumbo jumbo, but it is the new language of hazardous drugs.
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Aug 19 2019
Rank #2: Pharmacy Layoffs, Industry Changes, & Transformation: Are You Listening? - PPN Episode 845
ARE YOU LISTENING?
Ken Sternfeld RPh., sends YOU, the pharmacist, a WARNING about the Pharmacy Industry changes and how you can INSULATE your career and NEVER EVER worry about 1-INCOME but generate new additional income as a "Concierge Pharmacist" --get more information here:
email@example.com --Tell Ken you heard the podcast on the PPN!
Walgreens to close 200 US stores
Walmart Layoffs Impact Senior Staff
Can a CVS Loyalty Program Compete With Amazon Prime?
Pharmacists, Techs Discuss Pharmacy Retail Layoffs
Aug 07 2019
Rank #3: Residency 101 - the Luxe Pharmacist - PPN Episode 874
Introducing the Luxe Pharmacist Podcast with host Madeline Acquilano, PharmD. Madeline is a PGY1 Pharmacy Resident at St. Vincent's Health Services in Bridgeport CT.
This inaugural episode is about Residency in health system pharmacy.
Residency 101 is the first of many shows included in the Residency Series by The Luxe Pharmacist Podcast. Each show in the residency series is designed to tackle one specific focus of residency applications and life as a resident. Are you wondering what is a pharmacy residency is or why would someone choose to complete a residency over other jobs?
Residency 101 has you covered!
Madeline’s first episode is also in honor of the second annual Women Pharmacist Day. To celebrate she interviews, Suzanne Soliman, who is the Chief Academic Officer for the Accreditation Council for Medical Affairs (ACMA), the founder of the Pharmacist Moms group AND the creator of women pharmacist day!
Read more about the Luxe Pharmacist here:
Oct 10 2019
Rank #4: Managing Type 2 Diabetes in Long-term Care Residents Sponsored by Lilly Diabetes - PPN Episode 796
Managing Type 2 Diabetes in Long-term Care (LTC) Residents Sponsored by Lilly Diabetes
In this podcast, you will hear an interview between Dr Scott Drab, PharmD, an associate professor of pharmacy and therapeutics at the University of Pittsburgh School of Pharmacy, and Dr Chad Worz, PharmD, executive director and CEO of the American Society of Consultant Pharmacists, in which they discuss how type 2 diabetes impairs the normal regulation of glucose, specifically in the LTC population.
Apr 11 2019
Rank #5: To CBD or Not to CBD: Evidence Based Podcast - PPN Episode 827
Be Prepared for Patients to Ask About CBD
Cannabidiol (CBD) products are moving into some pharmacies and mainstream retailers...not just smoke shops, dispensaries, etc.
CBD and THC are cannabinoids found in two varieties of the cannabis plant...marijuana and hemp. CBD doesn't cause a "high" like THC.
Hemp with 0.3% THC or less is no longer a federally controlled substance and is a legal source of CBD...after last year's Farm Bill.
But cannabis STATE laws vary. For example, cannabis is fully legal in California...but all forms are illegal in Idaho.
FDA regulations add to the confusion. They say CBD can't be sold as a supplement...since it was first approved as an Rx drug (Epidiolex). But CBD is allowed in hemp-derived "cosmetics"...creams, lotions, etc.
This leaves a lot of murkiness with CBD...especially with orals, tinctures, foods, etc...and enforcement is spotty.
So far, the most conclusive evidence is with Epidiolex...a purified CBD solution approved for two rare and severe seizure disorders.
Emphasize that there's not good evidence yet to support popular CBD claims...such as relieving chronic pain, anxiety, or insomnia.
And the variety of CBD products leaves many unknowns about their safety, quality, dosing, etc.
In general, recommend avoiding CBD in pregnant or breastfeeding women...and lean away from it in patients taking multiple meds.
Educate that CBD may cause drowsiness, diarrhea, etc...and using it with CNS depressants (benzos, opioids, etc) may worsen sedation.
Be aware of many potential interactions. For example, CBD inhibits CYP2C8, 2C9, and 2C19...and might raise levels of meds such as amitriptyline, valproic acid, and warfarin. Or CBD levels might be increased by CYP3A4 inhibitors, such as clarithromycin.
Plus high CBD doses are linked to elevated liver function tests. Explain most urine drug tests check for THC...not CBD. But high CBD doses with trace amounts of THC...or impure products...could lead to a positive THC test.
If patients plan to try CBD, suggest checking the product for a "certificate of analysis" from an independent lab. This doesn't confirm safety or efficacy...but shows levels of CBD, THC, and contaminants.
Dive deeper with our chart, Comparison of Cannabinoids...and access our Natural Medicines for more on efficacy, safety, and interactions.
-Health Effects of Cannabis and Cannabinoids: National Academies Press (US); 2017
-Can Fam Physician 2018;64(2):111-20
Pharmacist's Letter. June 2019, No. 350604
Jun 25 2019
Rank #6: Walmart Layoffs? PBM Reform & Controlling Your Destiny - PPN Episode 828
What have you heard about the Walmart Pharmacy Layoffs?
PBM Reform, notes from Pharmacy Times June 26th 2019
PBMs have been the focus of increasing scrutiny as many blame their unregulated practices for contributing to increasing prescription drug costs. The perspective, which addresses several areas of concern and provides insight into PBM pricing practices, suggests that reform may lead to drug cost savings.
According to the authors, a 2018 independent audit examined the impact of Ohio Medicaid’s switch in 2011 from a fee-for-service model to a managed care model to administer its outpatient prescription drug benefits. To date, the Ohio audit is the first comprehensive review of PBM practices and incorporated 39 million drug transactions, the authors said.
Overall, the audit indicated that the switch to a managed care program, which uses PBMs, saved the Ohio Medicaid program $415 million annually. The savings were largely driven by the lower prescription claim prices billed to plans by PBMs, according to the report.
Music by (MD) Mystical Dominance vocals by Alan Walker Darkside
Jun 26 2019
Rank #7: ResilienceRX: Turning Failure into Success - PPN Episode 879
Fail Forward Interview with Mike Brownlee, Chief Pharmacy Office and Healthcare Executive at University of Iowa Healthcare. Mike shares insight on his professional failures such defending his own license amidst implementation of new operations within a pharmacy. Mike found purpose in what he was doing which drove his resiliency, leading to his many accomplishments today.
Failing Forward: Turning Mistakes into Stepping Stones for Success by John Maxwell
Grit by Angela Duckworth
Redefining Healthcare by Michael Porter and Elizabeth Teisberg
Oct 25 2019
Rank #8: the Ambition to Never Give Up - Rx Buzz - PPN Episode 812
Ashlee's best friend returns, Beth Cady. Beth is an ID Specialist and Assistant Professor, SIUE School of Pharmacy. We love Beth!! #BeLikeBeth
May 17 2019
Rank #9: Adherence Veterans Share Secrets: RxSafe Podcast Series Part Three - PPN Episode 841
Medication nonadherence is widely recognized as a common and costly problem. Approximately 30% to 50% of US adults are not adherent to long-term medications leading to an estimated $100 billion in preventable costs annually. The barriers to medication adherence are similar to other complex health behaviors, such as weight loss, which have multiple contributing factors. Despite the widespread prevalence and cost of medication nonadherence, it is undetected and undertreated in a significant proportion of adults across care settings. According to the World Health Organization, “increasing the effectiveness of adherence interventions may have far greater impact on the health of the population than any improvement in specific medical treatments.” How can adherence be improved? We propose that the first step is to view medication nonadherence as a diagnosable and treatable medical condition. We believe technology must be leveraged properly to impact this healthcare crisis.
Special Guest Benjamin Price
Benjamin Price, PharmD,BCGP
Pharmacist / Vice-President / Education Services Director
TigeRx Pharmacy, Inc.
5638 Redbud Highway/ P.O. Box 1887 Honaker, VA 24260
TigeRx Pharmacy has been serving the community of Honaker since 2001. They have three pharmacists with a combined 50 years of experience. At TigeRx Pharmacy, they believe that being a local Honaker pharmacy means providing healthcare services to our patients that are customized to meet their needs.
Jul 25 2019
Rank #10: Preparing the Hazardous Drugs Assessment of Risk - PPN Episode 863
Today's Pharmacy Compliance Guide is the second part of our series on preparing for USP <800> Hazardous Drugs (HD). In our last podcast, titled: “How will USP <800> Impact My Retail and LTC Pharmacy?” we addressed what each pharmacy must do to prepare for implementation of these guidelines. We covered these topics:
- How to identify hazardous drugs through the NIOSH List
- Segregating hazardous drugs from regular stock
- Proper handling of hazardous drugs
- When pill scanners and robots are permitted to be used
- Special handing of hazardous drugs that require alterations
- Determining Personal Protective Equipment by using Safety Data Sheets
- Which agencies will enforce these guidelines?
Sep 16 2019
Rank #11: Millennial Pharma Leader - Special Guest Briana Santaniello - PPN Episode 804
In this episode, Jeff is joined by Briana Santaniello, a newly trained medical science liaison (MSL). They discuss Briana’s path from dual PharmD/MBA, to managed care residency, to landing an MSL role 3 years out of school. Briana gives the low-down on what life is like on the job during the first year of an MSL career, shares all the soft and hard skills she has honed in the role, and shares her take on the many different career pathways that can lead into the position.
Apr 29 2019
Rank #12: VacciNation - Evidence Based Podcast - PPN Episode 799
VACCINE MYTHS DEBUNKED
U.S. public health officials and physicians have been combating misconceptions about vaccine safety for over twenty years. They’ve had mixed success. Despite the fact that numerous studies have found no evidence to support the notion that vaccines cause autism and other chronic illnesses, a growing number of parents are refusing to vaccinate their children.
Researchers now link falling immunization rates to recent resurgences of vaccine-preventable diseases. In 2010, California saw 9,120 cases of whooping cough, more than any year since the whooping cough vaccine was introduced in the 1940s. Ten infants too young to be vaccinated died of whooping cough during the outbreak. The CDC warns that events like these will become more frequent and harder to control if vaccination rates continue to fall.
Fears over the safety of vaccines are understandable. The CDC vaccination schedulecalls for children to receive up to 14 inoculations by the age of six – many of them vaccines developed within the last twenty years. Many parents distrust these vaccines; worried about the potential for risks and long-term side effects. Research, however, shows that most of our biggest fears about vaccinations are unfounded. These eight major vaccine myths that research has shown to be baseless:
Myth #1: Vaccines cause autism.
The widespread fear that vaccines increase risk of autism originated with a 1997 study published by Andrew Wakefield, a British surgeon. The article was published in The Lancet, a prestigious medical journal, suggesting that the measles, mumps, rubella (MMR) vaccine was increasing autism in British children.
The paper has since been completely discredited due to serious procedural errors, undisclosed financial conflicts of interest, and ethical violations. Andrew Wakefield lost his medical license and the paper was retracted from The Lancet.
Nonetheless, the hypothesis was taken seriously, and several other major studies were conducted. None of them found a link between any vaccine and the likelihood of developing autism.
Today, the true causes of autism remain a mystery, but to the discredit of the autism-vaccination link theory, several studies have now identified symptoms of autism in children well before they receive the MMR vaccine. And even more recent researchprovides evidence that autism develops in utero, well before a baby is born or receives vaccinations.
Myth #2: Infant immune systems can’t handle so many vaccines.
Infant immune systems are stronger than you might think. Based on the number of antibodies present in the blood, a baby would theoretically have the ability to respond to around 10,000 vaccines at one time. Even if all 14 scheduled vaccines were given at once, it would only use up slightly more than 0.1% of a baby’s immune capacity. And scientists believe this capacity is purely theoretical. The immune system could never truly be overwhelmed because the cells in the system are constantly being replenished. In reality, babies are exposed to countless bacteria and viruses every day, and immunizations are negligible in comparison.
Though there are more vaccinations than ever before, today’s vaccines are far more efficient. Small children are actually exposed to fewer immunologic components overall than children in past decades.
Myth #3: Natural immunity is better than vaccine-acquired immunity.
In some cases, natural immunity — meaning actually catching a disease and getting sick– results in a stronger immunity to the disease than a vaccination. However, the dangers of this approach far outweigh the relative benefits. If you wanted to gain immunity to measles, for example, by contracting the disease, you would face a 1 in 500 chance of death from your symptoms. In contrast, the number of people who have had severe allergic reactions from an MMR vaccine, is less than one-in-one million.
Myth #4: Vaccines contain unsafe toxins.
People have concerns over the use of formaldehyde, mercury or aluminum in vaccines. It’s true that these chemicals are toxic to the human body in certain levels, but only trace amounts of these chemicals are used in FDA approved vaccines. In fact, according to the FDA and the CDC, formaldehyde is produced at higher rates by our own metabolic systems and there is no scientific evidence that the low levels of this chemical, mercury or aluminum in vaccines can be harmful. See section III of this guide to review safety information about these chemicals and how they are used in vaccines.
Myth #5: Better hygiene and sanitation are actually responsible for decreased infections, not vaccines.
Vaccines don’t deserve all the credit for reducing or eliminating rates of infectious disease. Better sanitation, nutrition, and the development of antibiotics helped a lot too. But when these factors are isolated and rates of infectious disease are scrutinized, the role of vaccines cannot be denied.
One example is measles in the United States. When the first measles vaccine was introduced in 1963, rates of infection had been holding steady at around 400,000 cases a year. And while hygienic habits and sanitation didn’t change much over the following decade, the rate of measles infections dropped precipitously following the introduction of the vaccine, with only around 25,000 cases by 1970. Another example is Hib disease. According to CDC data, the incidence rate for this malady plummeted from 20,000 in 1990 to around 1,500 in 1993, following the introduction of the vaccine.
Myth #6: Vaccines aren’t worth the risk.
Despite parent concerns, children have been successfully vaccinated for decades. In fact, there has never been a single credible study linking vaccines to long term health conditions.
As for immediate danger from vaccines, in the form of allergic reactions or severe side effects, the incidence of death are so rare they can’t even truly be calculated. For example, only one death was reported to the CDC between 1990 and 1992 that was attributable to a vaccine. The overall incidence rate of severe allergic reaction to vaccines is usually placed around one case for every one or two million injections.
Myth #7: Vaccines can infect my child with the disease it’s trying to prevent.
Vaccines can cause mild symptoms resembling those of the disease they are protecting against. A common misconception is that these symptoms signal infection. In fact, in the small percentage (less than 1 in one million cases) where symptoms do occur, the vaccine recipients are experiencing a body’s immune response to the vaccine, not the disease itself. There is only one recorded instance in which a vaccine was shown to cause disease. This was the Oral Polio Vaccine (OPV) which is no longer used in the U.S. Since then, vaccines have been in safe use for decades and follow strict Food and Drug Administration (FDA) regulations.
Myth #8: We don’t need to vaccinate because infection rates are already so low in the United States.
Thanks to “herd immunity,” so long as a large majority of people are immunized in any population, even the unimmunized minority will be protected. With so many people resistant, an infectious disease will never get a chance to establish itself and spread. This is important because there will always be a portion of the population – infants, pregnant women, elderly, and those with weakened immune systems – that can’t receive vaccines.
But if too many people don’t vaccinate themselves or their children, they contribute to a collective danger, opening up opportunities for viruses and bacteria to establish themselves and spread.
Not to mention, as the Centers for Disease Control (CDC) warn, international travel is growing quickly, so even if a disease is not a threat in your country, it may be common elsewhere. If someone were to carry in a disease from abroad, an unvaccinated individual will be at far greater risk of getting sick if he or she is exposed.
Vaccines are one of the great pillars of modern medicine. Life used to be especially brutal for children before vaccines, with huge portions being felled by diseases like measles, smallpox, whooping cough, or rubella, to name just a few. Today these ailments can be completely prevented with a simple injection.
So as science continues to advance and tackle new challenges, people should not forget how many deaths and illnesses vaccines have prevented, and how they continue to protect us from potentially devastating forms of infectious disease.
Apr 18 2019
Rank #13: The Entrepreneurial Mindset - Rx Buzz - PPN Episode 836
Ashlee from Rx Ashlee & host of the Rx Buzz Podcast interviews fellow entrepreneur Brandon Dyson with "tldr pharmacy” about the entrepreneurial spirit and drive to succeed from your passion.
The entrepreneurial drive is a characteristic that flourishes within us. Entrepreneurial tendencies thrive in those who can seemingly build something great from nothing. These are the people who will continue to push themselves to their very limits to accomplish the largest of goals.
Brandon Dyson, PharmD, BCOP, BCPS Works as a Clinical Pharmacist and as an Adjunct Assistant Professor. Completed a PGY1 Pharmacy Residency at a major academic hospital.
He can be reached at firstname.lastname@example.org
Jul 10 2019
Rank #14: The China Rx Story on SenioRx Radio - PPN Episode 858
China Rx: Exposing the Risks of America's Dependence on China for Medicine.
ASCP's SenioRx Radio Veronica Charles, Government Affairs, interviewing special guest and best selling author Rosemary Gibson.
About China Rx:
Millions of Americans are taking prescription drugs made in China and don't know it--and pharmaceutical companies are not eager to tell them. This is a disturbing, well-researched wake-up call for improving the current system of drug supply and manufacturing.Several decades ago, penicillin, vitamin C, and many other prescription and over-the-counter products were manufactured in the United States. But with the rise of globalization, antibiotics, antidepressants, birth control pills, blood pressure medicines, cancer drugs, among many others are made in China and sold in the United States. China's biggest impact on the US drug supply is making essential ingredients for thousands of medicines found in American homes and used in hospital intensive care units and operating rooms. The authors convincingly argue that there are at least two major problems with this scenario.
Sep 08 2019
Rank #15: What Every Pharmacist Needs to Know About Sleep: SenioRx Radio - PPN Episode 793
What Every Pharmacist Needs to Know About Sleep: SenioRx Radio
Emily Kryger, PharmD, BCGP
Geriatric Clinical Pharmacist & Owner, PharmRecs, LLC
Meir Kryger, MD, FRCPC
Professor of Medicine (Pulmonary) and Clinical Professor of Nursing, Yale University School of Medicine
Justin Rash, PharmD, BCGP
Chair, ASCP Social Media Committee
Medical Science Liaison, LTC
You won't fall asleep during this podcast! Renowned sleep expert and author of Principles and Practice of Sleep Medicine and The Mystery of Sleep, Dr. Meir Kryger, illuminates sleep disorders in the elderly with his daughter, senior care pharmacist Dr. Emily Kryger.
Apr 09 2019
Rank #16: Women Leadership in Pharmacy - Rx Talk w/ Suzy -PPN Episode 814
Suzy welcomes Pharmacy Leader Laly Havern PharmD, 12 year veteran and Manager of Clinical Integrity at Walgreens.
May 21 2019
Rank #17: Jerrica Dodd - Pharmacy Future Leaders - PPN Episode 837
Pharmacy Future Leaders host Joanne Pauyo interviews a very special Pharmacist and Entrepreneur who's a disruptor of the 'pharmacy model' status quo, Dr. Jerrica Dodd.
Dr. Jerrica Dodd is a pharmacist, educator and coach who empowers individuals to transform their lives through coaching, teaching and speaking. Through her integrative company, JerricaSpeaks.com, she combines her pharmacy administration, pharma-medical affairs and managed care expertise with her passion for service. She teaches healthcare professionals, individuals and organizations on up-to-date drug interaction considerations when treating chronically ill patients and consults with practices on drug safety. In addition to her pharmaceutical services, she empowers women to live healthier and happier from the inside out as a coach and licensed Zumba instructor. From medicine to ministry, Jerrica is undeniably passionate about people—and it radiates through every aspect of her work.
Jerrica cares. Jerrica listens. And Jerrica speaks.
Jul 11 2019
Rank #18: Antonio Ciaccia on PBMs - PolitiTalkRx - PPN Episode 810
PolitiTalkRx host Scott Kjelson, PharmD welcomes special guest ANTONIO CIACCIA CEO of 46brooklyn Research.
46brooklyn Research is an Ohio non-profit corporation whose purpose is to improve the accessibility and usability of U.S. drug pricing data. 46brooklyn takes the myriad drug pricing data sources scattered across the web and stitches them together into data visualizations that can be used by the public to better understand how the drug supply chain functions. 46brooklyn also writes and publishes original research that uses the data within its public data visualizations to shine light on the hidden and complex underbelly of the drug supply chain.
Contact the show:
May 16 2019
Rank #19: Conscious Pharmacist Podcast - Joins the Pharmacy Podcast Network - PPN Episode 860
The Pharmacy Podcast Network welcomes Michelle J. Sherman, RPh, APh, FASCP, host of the Conscious Pharmacist Podcast.
The Conscious Pharmacist Podcast a show for pharmacist healthcare providers who have answered the call to practicing “ON PURPOSE”.
As pharmacists what we do matters, how we practice matters and how we take care of patients matters.
Be the change you wish to see in the world- Gandhi
The Conscious Pharmacist Podcast is a production of MichRx Pharmacist Consulting Services by Michelle Sherman, your HIV pharmacist and pharmacy experts.
Listen to all the episodes here:
Sep 11 2019