Podcasts about Pharmacy

 Independent pharmacies are dispensing more prescriptions than ever—but too many are seeing their profits shrink month after month. In this episode of This Week in Pharmacy, hosts Todd Eury and CEO of MatchRx Johny Kello sit down with Saeed Dinno Director of Pharmacy for a group of independent pharmacies in MI. For a practical, plain-English breakdown of one of the most overlooked metrics impacting pharmacy profitability: GCR, let's dive into this! This episode isn't about policy debates, compliance theory, or vendor hype. It's a real-world conversation designed to help pharmacy owners, managers, and buyers understand how everyday sourcing and dispensing behaviors directly influence margin—often without anyone realizing it. Saeed explains what GCR actually measures, what it does not measure, and why two pharmacies filling the exact same prescription can end up with completely different financial outcomes. From convenience buying and emergency orders that become routine, to default NDC selection and a disconnect between the buyer and the bench, the episode highlights the subtle habits that quietly erode profitability over time. More importantly, the conversation delivers actionable steps pharmacies can implement immediately. Saeed outlines the core disciplines that improve performance—smarter buying strategy, better alignment between purchasing and dispensing, and simple operational guardrails that don't slow workflow. The focus is not on “working harder,” but on working differently. The episode closes with a clear, clip-worthy takeaway: one specific action pharmacy leaders can take this month to start moving the needle. If you've ever wondered why your pharmacy is busy but the numbers don't reflect it, this is an episode you'll want to listen to twice—and put into practice the very next day. Second segment of TWIRx is with Jonathan Adly, CEO of TJM Labs, to discuss his powerful new book, The Innovative Pharmacy: How to Build an 8-Figure Pharmacy One Idea at a Time. At a time when independent pharmacies are being squeezed by rising labor costs, shrinking reimbursements, and increasing operational complexity, Adly delivers a refreshing message: success is still possible—but it requires innovation, clarity, and execution. Jonathan shares why this book is not a “one-size-fits-all” business blueprint, but a collection of real-world frameworks inspired by hundreds of high-performing pharmacies across the U.S. and Canada. We explore the principles behind sustainable growth, including identifying your ideal customer, building scalable systems through automation, simplifying operations, and playing offense when the math works. This conversation is a call to action for pharmacy leaders ready to build smarter, faster, and stronger—one bold idea at a time. This episode of TWIRx is sponsored by MatchRx, TJM Labs, Independent Pharmacy Cooperative (IPC) and Sykes & Company. 

Kiera is joined by the tooth-healer himself, Jason Dent! Jason has an extensive background in pharmacy, and shares with Kiera where his pharmaceutical experience has bled over into dentistry. This includes the difference between anti-quag and anti-platelet and which medications are probably safe, what to do to shorten the drag time in the pharmacy, how to write prescriptions most efficiently, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and today is a really awesome and unique day. It is, think the second time I've had somebody in the podcast studio with me live for a podcast and it's the one and only Jason Dent. Jason, how are you? I'm doing well. Good morning. Thanks for having me. It is crazy. I I watch Instagram real like this all the time where people are like in the podcast and they're hanging out on two chairs and couches and now look at us. We're doing it. Cheers. Cheers.   That was a mic cheer for those of you who are only listening, but yeah, Jace, how does this feel to be on the podcast? It's weird. Like I was not nervous at all talking about it. I got really nervous as soon as you hit play. So if I stumble over my words, please forgive me ahead of time. Well, Jason, I appreciate you being on the podcast because marketing had asked me to do a topic about teledentistry and I was like, oh shoot, that's like not my forte at all. so   You and I were actually chatting in the hot tub. call it Think Tank session and you and I, we have a lot of good ideas that come from that Think Tank. A lot of business. no phones. That's why. We do leave our phones out. But I was talking to Jason and this is actually a podcast we had talked about quite a while ago. Jason has a lot of information on pharmacy. And if you don't know, Jason isn't really, we were going through all of it last night. It's kind of a mock in the tub. And I think it's going to be great because I feel like this is an area, I'm working at Midwestern and   knowing about how dentists, pharmacology was surely not your favorite one. Jason actually helps a lot of dentists with their clearances. And so we were talking about it and I like it will just be a really awesome podcast for you guys to brush up on pharmacology, different things from a pharmacist's side. So Jason, welcome. Thank you. Yeah, no, we were talking about it and here's like, what should I talk about on the podcast next? I have all these different topics and she's like, what do you know? And the only real interaction I have with dentists is doing clearances for procedures. We get them all the time, which makes sense.   Lots of people are on blood thinner, I've always told Kiera, like, hey, I could talk about that. Like, that's kind of a passion of mine. I'm not a dentist. Or my name is Jason Dent. So in Hebrew, Jason means tooth. No, no, no, sorry. Nerves are getting to me. Jason means healer and Dent means tooth. So my name means tooth healer. So, here's a little set. Hold on, on, hold Can we just talk about? I brought that up before you could talk about it more. So.   My name means tooth healer but I did not become a dentist. I know you wanted me to become a dentist. did. I don't know why. I enjoy medicine. I know what you're going to get to already. The things you're going to ask me. There's been years of this. But nevertheless, that's my name. We'll get that out of the way. But you did give me a great last name. So I mean, it's OK. You're All is fair and love here. SEO's up for that. But yeah, Jason, I'm going to get you right into the show. And I'm going to be the host. And we're going to welcome to the podcast show. Jace, how are you?   Good, good, good. Good, good, good. So by getting into clearances, right? This is what you're kinda talking about with you know, before we get to clearances, I actually wanted Jason, for the listeners who don't know you, who haven't talked to you, who don't know, let's kinda just give them like, how did you go from, Kiera wanted you to be a dentist, to now Jason, you are on the podcast talking as our expert on pharmacy. fantastic. I've always really loved medicine, a ton. As a kid getting headaches and taking Excedrin, like you just feel like a miserable pile of crap.   and then you take two pills and all of a sudden you feel better. Like that's amazing, like how does that happen? Also getting ear aches as a kid, just being in so much pain and then taking some medicine and you start feeling a lot better. I always had a lot of appreciation for that. I've always been mechanically inclined. I went to, started doing my undergrad and took biology and learned about ATP synthase, which is a spinning enzyme that's inside the mitochondria, like a turbine engine. I used to work on small engines on my dirt bike and thought that is so cool. So I really got wrapped up into chemistry.   All the mechanics of chemistry really pulled me in. I'm not getting goosebumps. checking. I usually get goosebumps when I think about chemistry. But it's so cool. You think an engine's awesome, like pistons and camshafts and pressures, the cell is the same thing. It's not as loud, so it's not as cool. But it's fascinating. that's why we're like. ⁓   chemistry and really got into coagulation. So I did my residency after pharmacy school. we went to Arizona for three years. ⁓ You did and your main focus, you were never wanting to be the guy behind the counter. No, I haven't done that. Yeah. No, I love them though. I've always really want to go clinical. ⁓ But I love my retail ⁓ pharmacists. They're amazing resources. And ⁓ I use the retail pharmacist every day still to this day, but I went more the clinical route, really love the chemistry aspect of it.   did my doctorate degree and then I did my residency in Reno. Reno's kind That's how we got here everybody. Welcome to Reno. Strategically placed because I was really interested in critical medicine and where we're located we cover a huge area. So we pull in to almost clear, we go clear to Utah, clear to California, all of Northern Nevada. We get cases from all over. So we actually are kind like the first hub of care for lot of areas. So we really get an eclectic mixture of patients that come in that need-   all kinds of different cases that are coming to them. So it's what I really wanted. So I did my residency in critical care there. And then for the next 10 years, I worked in vascular medicine with my final five years being the supervisor of the clinic. Ran all the ins and outs of that. So my providers, two doctors were on our view. So when we talk about dentistry, talk about production, those kinds of things, totally get it. My doctors were the exact same way, my vascular providers. ⁓   There's some pains there, right? You wanna be seeing patients as much as possible, being able to help as many people, keeping the billing up. And had other nurse practitioners, four practitioners, a fleet of MAs, eight pharmacists. We also had that one location we had, going off the top of my head, I think we had eight locations running as well. And we took care of all the different kinds of vascular cases that came to us. Most common was blood clots, ⁓ which is just a...   which is an easier way of saying VTE. There's so many different ways to say a blood clot. Like you might hear patients say, I've had a PE or a DVT or a venous thromboembolism or a clot in my leg, right? They're all clots, but in different locations. Same with an MI, and MI can be a clot as well. ⁓ there's a lot of, everybody's kind of saying the same thing, but sometimes the nomenclature can make it sound hard, but it really is actually pretty simple.   No. And Jason, I love that you went through, you've been in like, and even in your, ⁓ when you were getting your doctorate, you were in the ER. You also worked in retail pharmacy. remember you having a little sticker on your hand. And retail pharmacy, I have a lot of respect for those guys. They have a lot of pressure on them. and then you also, ⁓ what was that test that you had to take that? I don't know. You were like studying forever for it. ⁓ board certification for, ⁓ NABP. Yeah. So I did that board certification as well.   And now you've moved out of the hospital side onto another section in your career. Now in the insurance, right? So it's really, really interesting. So now I'm on the other side reading notes and evaluating clinical appropriateness and trying to help patients with getting coverage and making those kinds of determinations. So yeah, I've really jumped all over. Really love my clinical days. I know. don't I don't I do miss them. But yeah, kind of had a good exposure to a lot of.   pharmacy a lot a lot of dentists actually with all the places that come through which Jason I really appreciate that and honestly I know you are my spouse and so it's fun to have you on but when I go into conversations like this I don't know any of this information and so finding experts and Jason I think here's me talk more about dentistry and my business than I do hear about him on pharmacy so as we were chatting about this I really realized you are a wealth of knowledge because you've been on the clinical side so you've done a lot of patient care and you've seen how   medications interact and I know you've had a few scares in your career and ⁓ you've known some physicians that have had a few scares and ⁓ you've seen plenty of patients pass away working in the ER and gosh in Arizona drownings were such a big deal. I remember when you were in the ER on your rotations I'd be like who died today? Like tell me the stories and you've really seen and now going on to the insurance side I felt like you could just be such a good wealth of knowledge because I know dentists are sometimes so   I would say like maybe just a little more anxious when it comes to medications. I know that dental students from Midwestern were like here was like four months and we had to like pass it, learn it. And Jason, you've done four years plus clinical residency, plus you've been in it. And something I really love about Nevada Medicine is they've been so collaborative with you.   like your heart, your cardiologist, they diagnose and then they send to you to treat with medicine and... Yeah, I've been really lucky being here in Reno too. The cardiology team has been amazing to work with. We started a CHF program, sorry, congestive heart failure program for patients. So we would collaborate with cardiologists. They'd see the cardiologists and then they send them to the pharmacist to really manage all the medications. So there's pillars of therapy ⁓ called guideline directed medical therapy and the pharmacist would take care of all that. So that's gonna be your...   your beta blockers, your ACEs, your ARBs, your Entresto, which would be a little bit better, spironolactone. So just making sure that all these things are dosed appropriately, really monitoring the heart, and make sure that patients are getting better. we've had real positive outcomes when the, sorry, this is totally off topic. do, talk about that study. When we looked at when patients were coming to see our pharmacists in our clinic that we started up, the patients were half as likely to be readmitted. And this was in 2018, and our pharmacists,   We're thinking about all the medications. We're usually adjusting diabetes medications too at the same time. Just kind of naturally just taking care of all the medications because we kind of got a go ahead from the providers, a collaborative practice agreement that we could make adjustments to certain medications within certain parameters. So we weren't going rogue or maverick, but we were definitely trying to optimize our medications as much as possible. And then years later, some studies came out with, I'm sure you've seen Jardins and Farseegh. not trying to, I'm not.   I don't get any kickback from them. I have no conflicts to share. But because our pharmacists were really optimizing that medication, those medications were later shown to reduce hospitalizations and heart failure, even though they're diabetes medications. Fascinating. So it wasn't really the pharmacists. It was just the pharmacists doing as much as they can with all the tools that were in front of them. And then we found out that the patients were going back to the hospital.   half as much as regular patients. So, yeah, being here, it's been so amazing to work with providers here. the providers here want help, want to help patients, don't have an ego. I mean, I just, it's awesome. I love it. I do love how much I think Jason sees me geek out about dentistry and I watching Jay's geek about his pharmacy and how much he loves helping patients. And ⁓ really that was the whole idea of, all right.   Dentistry has pharmacy as a part of it. And I know a lot of dentists are sending in clearances and I know working in a chair side, it would be like, oh no, if they're on warfarin or on their own blood clot, you guys, honestly don't even know half of what I'm talking about because this is not my jam, which is why Jason's here. But I do know that there was always like, well, we got to talk with their provider. And so having Jason come in and just kind of explain being the pharmacist that is approving or denying or saying yes or no to take them off the blood thinners in different parts, because you have seen several dental   I don't know what they're called. What is it? Clarence's? that what comes to you? don't even know. All day my mind, it's like, here is the piece of paper that gets mailed to you to the pharmacist and then you mail it back. So whatever that is. But Chase, let's talk about it because I think you can give the dentist a lot of confidence coming from a pharmacist. What you guys see on that side. When do you actually need to approve or disapprove? Let's kind of dig into that. Yeah. Well, first of all, I think I'm not a replacement for any kind of clinical judgment whatsoever. Every patient's different. But the American Diabetes Association, you   I work with diabetes a lot. American Dental Association has some really great guidelines on blood thinners and I would always reference them. I actually looked at their website today. Make sure I'm up to speed before I get back on this again. They have resources all around making decisions for blood thinners. And I think the one real important thing in putting myself in the shoes of a dentist or any kind of staff that's around a patient that's in a chair, if they say I'm on a blood thinner, right, a flag goes up. At least in my mind, that's what goes up.   Like, okay, how do we get across this bridge? And I think the important thing to really distinct right then when they say they're on a blood thinner is that is kind of a slang word for a lot of different medications, right? Like it's the overarching word that everybody pulls up saying, I'm on a blood thinner. It's like, okay, but I don't know what say. It's like, I have a car. You're like, okay, do you have a Mazda? Do you have?   Toyota, Honda, what do you have? or even worse it'd be like saying I have a vehicle, right? So when somebody says they're on a blood thinner, it opens up a whole box of possibilities of what they're Blood thinners are also, doesn't, when they're taking these types of medications that are quote unquote a blood thinner, it doesn't actually thin the blood, like adding water to the blood, if that makes sense, or like thinning paint, or like thinning out a gravy, right? It doesn't do the same thing. Blood thinners, really what they're doing is they're working on the blood, which.   which is really cool, try not to tangent on that. ⁓ When they're working on the blood, it's not thinning it per se, but it's making it so that the proteins or platelets that are in it can't stick together and make a cloth quite as easy. So whenever somebody's on a blood thinner, I usually ask, what's the name of the blood thinner that you're on? It's not bad that they use that slang, that's okay, on the same page, but it's really broken into two different classes. There's anticoagulant and antiplatelet.   And a way to kind of remember which is which, when residents would come through our clinics, the way that I teach them is a clot is like a brick wall. You know, it's not always a brick wall. Usually the blood is a liquid going through. But once they receive some kind of chemical message, it starts making a brick wall with the mortar, which is the concrete between the and the bricks, the two parts. When it's an anti-quagent, it's working on that mortar part. When it's an anti-platelet, it's working on the bricks part, right? You need both to make a strong clot or strong brick wall.   But if you can make one of them not work, obviously like if your mortar is just water, it's not working, right? You're not gonna make a strong brick wall. So that's kind of the two deviants right there. So that's what I do in my mind real quickly to find out because antiplatelets are usually, so that's gonna be like your Plavix, Ticagrelor, Brilinta. And hold on, antiplatelets are bricks? Good job, bricks. They're the bricks. And so the reason I was thinking you could remember this because I'm, antiplatelets, it's a plate and a plate is more like a brick.   And anti coagulant, I don't know why quag feels like mortar to me, like quag, like, know, it's like slushy in the blood, like it's coagulating. It's a little bit of that, like, honestly, I'm just thinking like coagulated blood is a little bit more mortar-ish. And so platelet is your plate, like a brick, and anti-quag is like.   the gilly between the bricks. Okay, okay, I got it. Yeah, so there's an exception to every rule, but when they're on that Don't worry, this is Kiera, just like very basic. You guys are way smarter listening to this, and that's why Jason's here. No, no, you helped me pass pharmacy school. When we were doing all the top 200, you helped me memorize all know what flexorill is, all right? That's a muscle relaxant. Cyclo? I don't know that part. It's a cyclo, because you guys are cycling and flexing. I don't actually know. just know it's a muscle relaxant, so that's about as far as I got. When we're looking at antitick platelets, so that's the brick part, so that's going to be your, you know,   Hecagrelor, Breitlingta, Clopidogrel is the most common one. It's the cheapest one, so probably see that one the most. Those, I mean, there's an exception to every rule, but that's generally being used after like a stent's placed in the heart. It can be used for VTE, there's some out there, but that's pretty rare. But also for some valves that are placed in the hearts, it can be used for that as well. So antiplatelet, really thinking more like a cardiac event, right? Like I said, there's always an exception to every rule, but that's kind of where my mind goes real quickly, because we're gathering information from the patient.   They're on anticoagulant. Those are like going to be the new ones that you see commercials for all the time. So Xeralto, Alequis, those are the two big ones right now. They're replacing the older one. And also we were supposed to do a disclaimer of this is current as of today because the ADA guidelines do change. this will be current as of today. And Jason, as a pharmacist, is always looking up on that. I had no clue that you are that up to speed on dental knowledge. so just throwing it out there that if you happen to catch his podcast,   a few years back that obviously check those guidelines for sure. But the new ones are the Xarelto and Eloquist. They're replacing the older ones of warfarin. Warfarin's been around for a really long time. We've seen that one. Those are anti-coagulants. So when you're looking, when a patient says that, generally they're on that medication because they've possibly had a clot in the past or they have a heart condition called atrial fibrillation. Those are kind of the two big ones. Like I said, there's always caveats to it, but that's kind of where my mind goes real quickly. And then,   as far as getting patients cleared, the American Dental Association has really good resources on their website. You can look at those and they're always refreshing that up. They even say in their own words that there's limited data around studying patients in the dental chair and with anticoagulants or anti-platelets. It's pretty limited. There's a few studies, some from 2015, some from 2018. There's one as recent as 2021, which is nice. But really, all of those studies come together and it's really more of an expert consensus.   And with that expert consensus, they have kind of simplified things for dentistry, which is really nice. ⁓ comparing that to, we have more data for like total hip replacement, total knee replacement. We have a lot of data and we know really what we should be doing around then. But going back to dentistry, we don't have as much information, so they always say use clinical judgment, but they do give some really great expert guidance on that. So if a patient's on an anticoagulant, ⁓   they generally recommend that it doesn't need to be stopped unless there's a high bleeding risk for a patient. as a provider or as a clinician in the practice, you can be looking at high bleeding risk. Some things that make an oral procedure a little bit lower risk is one, it's in the compressible site, right? Like we can actually put pressure on that site. That's the number one way to stop bleeding is adding pressure. It's not like it's in the abdominal cavity where we can't get in and can't apply pressure. So number one, that kind of reduces the bleeding risk.   is number one. Two, we can add topical hemostatic agents. Dentists would know that better than me. There's a lot of topical ways to do that. So not only pressure, but there's those things as well. And also, but there are some procedures that are a little bit more likely to bleed. And that's where you and dentists would come in hand in What's the word in APO? Oh, the APOectomy. I got it right. Good job. like, didn't you tell me last night that the ADA guideline was like what?   three or four or more teeth? great question. So you can extract one to three teeth is what their expert consensus One to three teeth without. Without really managing or stopping anticoagulation or doing anything like that. I think that's some good guidance from them. I'm gonna add a Jasonism on that though. So with warfarin, I do see why dentists would be a little bit more conservative or worried about stopping the warfarin because warfarin isn't as stable as these newer agents. Warfarin, the levels.   quote unquote levels can go really high, they can go really low. And if the warfarin levels are high, they're more likely to bleed. So I do think it makes sense to have a really recent INR. That's how we measure what the warfarin's doing. I think that makes a lot of sense, but the ADA guidelines really go into the simplification version of all these blood thinners. Generally, it's recommended to not stop them because the risk of stopping them outweighs the benefit of stopping them in almost every case. Almost every case.   ⁓ So when you're with that patient, right, they say I'm on a blood thinner, finding out which kind of blood thinner that they're on, you find out that they're on Xeralto, right? How long have you been on Xeralto for? I've been on it for years. You don't know exactly why, but if they haven't had any recent bleeding, you're only gonna remove one tooth. ⁓ You can do what's called a HasBlood score. That kind of looks at the bleeding risk that they'd have. That'd be kind of going a notch above, but in my mind, removing one tooth isn't a real serious bleeding risk. I'd love to hear from my dentist friends if they...   disagree, right, but ADA says one to three tooth removals, extractions, that's the fancy word. Extractions, yeah, for extracting teeth out. Is not really that invasive. Sure. It's not that high risk, so it's usually perfectly fine. So if a patient was on Xarelto, ⁓ no other, this is in a vacuum, right? I'm not looking at any other factors, which you should be looking at other factors. I would be perfectly fine to just remove one to two.   And when those clearances come in, because dentists do send them, talk about what happens. You guys were working in the hospital and you guys would get these clearances all the time. do. We get them so often. I mean, we get like four or five a day. We'd love to give it to our students, student pharmacists, and ask them what to do. And they would usually look up the American Dental Association guidelines and come up with something. We're like, yep, that's what we say too. In fact, we say it so many times a day that we have a smart phrase.   which just blows in the information real quickly and faxes it right back to the So it's like a copy paste real quick. So what I wanted to point out when Jason told me this is dentists like hearing this and learning this, this can actually save you guys a ton of time to be able to be more confident, to not need to send those clearances on. And we were actually talking last night about how I think this might be a CYA for dentists. like, as we were talking, I think Jason, you seeing so many other aspects of medicine, like you've literally seen patients die, you've seen other areas.   And so coming from that clinical vantage point, we were realizing that dentists, we are so blessed to live in an injury. I enjoy dentistry because possibly there's someone dying, not super high, luckily in dentistry. The only time that I have actually had a doctor have a patient pass away, and it was only when they were completely sedated and doing ⁓ some other things, but that was under the care of an anesthesiologist. And so that's really our high, high risk. And so hearing this, Jason,   That was one of the reasons I wanted him to come on is to give you doctors more confidence of do we have to always send to a pharmacist? I mean, hearing that on the pharmacy side, they're just sending these back and not to say to not see why a to not cover this because you might be questioning like, well, do I really need to? But you also were talking about some other ways of so number one, you guys are just going to copy back the 88 guidelines. So so 88 guidelines. Yeah. And I think that that gives a lot of confidence to a provider or a dentist is that you can go to the 88 guidelines and read them, right? Like you're listening to some   nasally monotone pharmacist on a podcast. Rumor has it, people love him at the hospital. were like, you're the voice, he's been told he has a good radio So for the clinic, I was the voice. Like, yeah, you've reached the vascular clinic, right? And they're like, oh my gosh, you're the voice. But sorry, you me distracted. That'll be your next career, Jace. You're going to be a radio host. OK. I would love that. I love music. But you're hearing from a nasally guy, but you can actually read the ADA guidelines. You just go right to the ADA, click on Resources, and under Resources, it has the   around anticoagulants, I think that's the best way to get a lot of confidence about it because they have dentists who are the experts making calls on these. I'm just reiterating what they say, but I think it makes a lot of sense to help providers. And the reason why my heart goes out to you as well is having the providers that used to work underneath me, they're always looking for our views, which is a fancy way of making sure that they're drilling and filling. Can I say that? Yeah, can say drilling and filling. They're being productive, right? They're being productive, right?   They're always looking to make sure if a patient's canceling, like get somebody in here. Like I need to be helping people all day long. That's how I, we keep the lights on. That's how I help as many people. And so if you have a patient coming in the chair and it has an issue, they say I'm on Xeralto. Well, you can ask real quickly, why are you on Xeralto? I had a clot 10 years ago. my gosh. Well, yeah, we're pretty good to go. Then I'm not worried. We're only removing one tooth or we're just doing a cavity or a cleaning. Something like that. Shouldn't be an issue whatsoever because there's experts in the dental. ⁓   in the dental society, the ADA guidelines that recommend three teeth or less, minimally invasive. They really recommend if it's gonna be really high bleeding risk. And clinically, that's where you would come in, ⁓ or yourself. know, apioectomy is one that's like on the fence line. I don't know where implants set. though, and like we were talking, implants aren't usually like a date of procedure. Most people aren't popping in, having tooth pain, and we're like, let's do an implant. Now sometimes that can be the case, but typically that one's gonna have   a few other pieces involved. And so that is where you can get a clearance if you want to. ⁓ But we were really looking at this of like so many dentists that I know that you've seen will just send in these clearances because they are. And I think maybe a way to help dentists have more confidence is because you know, I love routines. I love to not have to remember things. So why don't we throw it in, have the team member set it up where every quarter we just double check the ADA guidelines. Are there any updates? Are there any other things that we need to do on that? That way you can just see like   getting into the language of this, of what do I need to do? Because honestly, you guys, know pharmacy was not a big portion for it, so, recommending different parts, but I think this is such a space where you can have confidence, and there's a few other things I wanna get to, and I you- I some pearls too. Okay, go. I'm so when she get me into talking about drugs, I'm not gonna stop. So, some other things around that too is these newer blood thinners like Xarelto Eloquist, they now have reversal agents, so a lot of providers in the past were really worried about bleeding because we can't turn it off. We can turn those off. Warfarin has reversal as well, right?   So I'm looking at these patients. It's really low risk. It's in the mouth, generally speaking. Very rarely are they a high bleeding risk. Now if you're doing maxillofacial surgery, this does not apply, right? This does not apply whatsoever. you're like general dentist, you're pediatric dentist. Yeah, yeah, and it's kind of on the fly. So just trying to really help you to be able to take care of those patients on the moment, have that confidence, look at the ADA guidelines, have that in front of you. I don't think it's a bad thing to ever...   check with their provider if you need to. If you're thinking, I feel like I should just check with the provider, I would never take that away from you. But I just want to kind of steer towards those guidelines that I have to help. But what did you want to share? No, yeah, I love that. And I think there were just a few other nuggets that we were chatting about last night that can help dentists just kind of get things passed a little bit easier. So you were mentioning that if they were named to their cardiologist, what was it? was like, who is the last? Great question. Yeah, when a patient's on a blood thinner,   It could be prescribed by the cardiologist. It could be prescribed by the family provider or could have been punted to like a vascular clinic like where I was working. It can go to any of those. And when you send that fax, right, if it goes to the cardiologist and it's supposed to go to the family care provider, like it just kind of goes, goes nowhere, right, from there. So I think it's a really good idea to find out who prescribed it last. If the patient doesn't know who prescribed their blood thinner last, you can call their pharmacy. I call pharmacies all day long.   I have noticed in the last year, they are way easier to get a hold of, which has made my job a lot easier, working on the insurance portion. So reaching out to the pharmacy, finding out who that provider is and sending it to them, because they should be able to help with that. I thought that was a good shift in verbiage that you had of asking instead of like the cardiologist, because that's who you would assume was the one. But you said like so many times you guys would take care of them, and then they go back to family practitioner, and you guys would get the clearances, but you couldn't clear because you weren't overseeing. So just asking the patient.   who prescribed their medication for them last time. That way you can send the clearance to the correct provider. then- And they might not know. You know patients, right? They're like, I don't know, my mom's or else, I don't know who gave it to me. Somebody told me I need to be on this. But at least that could be another quick thing. And then also we were talking last night about-   ⁓ What are some other things that dentists can do when like writing scripts to help them get what I think like overarching theme of everything we discussed is one how to help dentists have less I think drag through pharmacy. ⁓ Because pharmacy can take a little while and so perfect we now know the difference between anti-quag and anti-platelet. We know which medications are probably safe. We know we can check the ADA guidelines so that we were not having to do as many clearances. We also know if they're on a medication to find out and we do need a clearance.   who we can go to for the fastest, easiest result. And now, in talking about prescriptions, you had some really interesting tips that you could share with them. Yeah, so with writing prescriptions, right, pharmacies are pharmacies. So I'm not gonna say good thing or bad thing. There are challenges working with pharmacies. I'm not gonna play that down at all. ⁓ If you're writing prescriptions and having issues and kickbacks from pharmacies, there's some interesting laws around ⁓ writing prescriptions. Say that you're trying to ⁓ prescribe   augmentin, you know, 875 BID, and you tell the patient, hey, I want you to take this twice a day for seven days, and then you put quantity of seven, because you're moving fast, right? You want it for seven days, quantity of seven. Quantity would actually be 14, right? It's not that big of a deal. Anybody with common sense would say if you're taking a pill for twice a day for seven days, you need 14 tablets. But LAHA doesn't allow pharmacists to make that kind of a change, unfortunately. They have to follow what you're saying there. So you're going to get a...   An annoying callback that says, you wrote for seven tablets. I know you need 14. Is that OK? Just delays things, right? So ⁓ I really like the two letters QS. That's Q isn't queen. S isn't Sam. Yeah. It stands for quantity sufficient. So you don't have to calculate the amount of any medication that you're doing. So for me, as a pharmacist, when I was taking care of patients, I hated calculating the amount of insulin they would need for an entire month. So I would say.   Mrs. Jones needs 15, I'd say 15 units ⁓ QD daily. ⁓ And then I say QS, quantity sufficient, ⁓ 90 day supply through refills. So the pharmacy can then go calculate how much insulin that they need. I don't have to even do that. So anytime you're prescribing anything, I like that QS personally. So that lets the pharmacy use ⁓ common sense, as I like to call it, instead of giving you a call. I think that's super helpful. I also thought of one thing too.   going back to blood thinners is when it's kind of like a real quick, like they're not gonna have you stop the blood thinner at all. like you're seeing if you can stop the blood thinner for a patient, there's some instances it's just not gonna happen. And that's whenever they've been, they've had a clot or a stroke or a heart attack within the last three months. Three months. Yeah, that's kind of like the.   Because so many people are like, they had a heart thing like six years ago. And so I think a lot of my dentists that I worked with were like, we got to stop the blood thinners. But it sounds like it's within three months. Yeah, well, I'm just the time. Like this is general broad strokes. What I'm just trying to say is when you want to expect a no real quick. Got it. Right. So because benefits of stopping a blood thinner within those first three months of an event is very, very risky versus the, you know, the benefit of reducing a little bit of blood coming out of the mouth. Right. Like that's not that bad.   when somebody's had a stroke or a heart attack or pulmonary embolism, a clot in the lung, like we can't replace the lung, heart or brain very easily. We can replace blood a lot better. We've got buckets of it at most hospitals have buckets of it, right? So I'm always kind of leaning towards I'd rather replace blood than tissue at all times. So that's kind of a quick no. If they've had one those events in the last three months, we are really, really gonna watch their brain instead of getting.   root canal, right? Like really worried about them. So you'll just say no. And they could the dentist still proceed with the procedure or would you recommend like a three month wait? Or is it provider specific way the pros and cons because sometimes you need to get that tooth out. Great question. think then it's going to come into clinical. That's that's when you send in the clearance, right? Like, and it's great to reach out to the provider who's managing it for you. But I think it's kind of good to know exactly when you get a quick no quick no is going to be less than three months.   ⁓ Or when it's going to be like a kind of a typical, yeah, no problem. If it's been no greater than six months, they're on the typical anticoagulants or alto eloquence. Nothing crazy is going on for them. You're only removing two teeth. This is very, very low risk. But again, I'd urge everybody to read the ADA guidelines. That way you feel more comfortable with it. I'm not as eloquent as they do. They do a real good job. So I don't want to take any of their credit. I think they do a real good job of simplifying that and making you feel confident with providing.   more timely care for patients. Which is amazing. And Jayce, one last thing. I don't remember what it was. You were talking about the DEA and like six month rule. yeah. Let's just quickly talk about that and then we'll wrap this because this is such a fascinating thing for me last night. Yeah. So when comes to prescribing controlled substances, most providers have to have a DEA license. OK. First of all, though, what's your take on dentist prescribing controlled substances? ⁓ I don't think, you know, I worked on the insurance side of things. Right. And I look at the requirements for the   as the authorizations, what a patient, the criteria a patient needs to hit in order to qualify for certain medications. A lot of times for those controlled substances, they have pretty significant issues going on, like fibromyalgia or cancer-related pain or end-of-life care versus we don't, in all my scanning thread, I don't have a ⁓ perfect picture memory. Sure. But I don't usually see oral.   pain in there. There is some post-operative pain that can be covered for those kind of medications but I really recommend to keep those lower and in fact in a lot of our criteria it recommends you know have they tried Tylenol first, they tried, have they filled NSAIDs or are they contraindicated with the patient. So really they should be last line for patients in my two cents but there's always going to be a caveat to the rule right? Of course. comes through that has oral cancer and you're taking   like that would make sense to me. Got it, so then back to the DEA. Yeah, okay. Okay, ready. So as a provider, you should be checking the, if you're doing controlled substances, you should be checking the prescription drug monitoring program, or sometimes called the PDMP, looking to see if patients are getting ⁓ controlled substances from another provider. So it's really just a check and balance to make sure that they're not going from provider to provider to getting too many narcotics and causing self harm or harm to others.   And so with checking that PDMP before prescribing, I think a lot of providers do that. A lot of softwares that I'm aware of, EMRs, electronic medical records, sometimes have links so that you can do that more quickly. However, I don't think it's as intuitive that they need to be checking that every six months in some states. And like here in Nevada, you're supposed to be checking it every six months, not for a patient, but for your actual DEA registration to see if anybody else is prescribing underneath you. Because if you don't check that every six months, you could get in some serious trouble with...   not only DEA, but even more the Board of Pharmacy and your state. Now, I don't know all 50 states, so I check with your state to see if you need to be checking that every six months, but set an alarm just to check that real quickly, keep your nose clean. ⁓ I've had providers, I've had to remind to do that. And if somebody was using your account, prescribing narcotics, you'd never know unless you went and checked that PDMP.   Yeah, I remember last night you were like, and if that was you, I would not want to be you. The Board of Pharmacy is going to be real excited to find you. So that was something where I was like, got it. So, and we all know I'm big on let's make it easy. And Jason, I love that you love this so much and you just brought so much value today. And like also for me, it's just fun to podcast. fun. Yeah. But I got a nerd out on my world a little bit. Bring it into yours. I work with dentists or at least you know, when I was working in Vascular Clinic all day long. Great questions that would come through. Yeah.   So I think for all of us, as a recap on this is number one, I think setting yourself ⁓ some cadences. So maybe every quarter we check our ADA guidelines and we check our, what is it, PDMP. PDMP. so each state, so they call it Prescription Drug Monitoring Program. We need that. Yeah, but there are different acronyms in different states, though. That's just what it's called in Nevada. I forget what it is in California, but you can check your state's prescription monitoring program, make sure that opioids aren't being prescribed under your name. Got it. So we just set that as a cadence.   We know one to three teeth most likely if they're on a blood thinner is According to the 88 as of today is good to go You know things that are going to get a quick know are going to be within the last three months of the stroke the heart attack or the Clot I'm thinking like the pulmonary embolus. Yeah, that's what we're trying to prevent   Those are gonna be quick knows and then if we're prescribing, let's do QS. We've got quantity is sufficient so that we're not getting phone calls back on those medications that we are. And then on narcotics, just being a bit more cautious. Of course, this is provider specific and in no way, or form did Jason come on here to tell you you are the clinical expert.   Jason's the clinical expert on medications. And if you guys ever have questions, I know Jason, you geek out and you want to talk to people so that anyone wants to chat shop. Be sure to reach out and we'll be able to connect you in. we've even talked about possibly, so let me know listeners. You can email in Hello@TheDentalATeam.com of ask a pharmacist anything. I talked to Jason. I was like,   We'll just have them like send in questions and maybe get you back on the podcast or we do a webinar. But any last thoughts, Jace, you've got of pharmacy and dentistry as we as we wrap up today? No, I think that's pretty much it. So check the ADA guidelines. I think it's really good to have cross communication between professions. Right. If you're working with the pharmacy, CVS, Walgreens or something like that or Walmart, I know that it can be challenging. Right. They're under different pressures. You're under different pressure. So I think ⁓ just coming in with an understanding, not being angry at each other.   you know what mean, is super beneficial and working together. When it comes to it, every dentist that I've talked to is actually worried about their patient. Every pharmacist that I've worked with is really worried about the patient as well. So we're trying to accomplish the same thing, but we have different rules and our hands are bound in different ways that annoy each other, right? Like I know Dr. Jones, want 14 tablets, but you said seven. And I know Common Sense says I should give them 14, but I've got to make that change.   knowing that their hands are tied by the law. They can't use as much common sense, which is aggravating. I mean, that's why I love what I gotta do here. I gotta just kind of help a lot more and use common sense and improve patient care. But those kinds of things I think are really beneficial as you work together and then not being so afraid of blood thinners, right? So I think those guidelines do a great job of giving you confidence and not worrying about the side effects. And there's a lot of things that you can do locally for bleeding.   You have a lot of control over that. I think that's pretty cool, the tools they have. Yeah. And at the end of the day, yes, you are the clinician. You are the one who is responsible for this. so obviously, chat, but I think collaborating, talking to other pharmacists, talking to them in your state, finding out what are the state laws, things like that I think can be really beneficial just to give you peace of mind and confidence. And again, dentistry, are maybe a bit more risk adverse because luckily we don't have patients dying That's great thing. Yeah, that's fantastic. I want my dentists to be risk adverse. I think so too. But Jason, I appreciate you being on the podcast today.   And for all of you listening, ⁓ more confidence, more clarity, more streamline to be able to serve and help our patients better. if we can help you in any way or you've got more questions, reach out Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.  

In the earliest days of Disneyland, guests could visit a replica of a pharmacy on Main Street, replete with artifacts and exhibits. In the new book A Spoonful of Sugar: The Story of the Upjohn Pharmacy in Disneyland author and historian Stephen Hall pours out lots of new knowledge about how the Upjohn Pharmacy worked with Disney to create this special spot in the Happiest Place on Earth. It's an intricate and insightful new title from The Old Mill Press. Listen in to find out how this pharmacy replica in Disneyland provided fun finds and facts about pharmacy life to millions of Guests. Purchase a copy of A Spoonful of Sugar from The Old Mill Press or wherever you find books. Check out more about The Coit Museum of Pharmacy & Health Sciences at the University of Arizona to check out the Upjohn Pharmacy collection in person! Feel free to reach out to Brett via Bluesky @drnachman and Instagram @drnachman, subscribe to the podcast, and send your feedback to notablydisney@gmail.com  New episodes of Notably Disney debut on the first Tuesday of each month.

Why did Henry David Thoreau care so much about pencils—and why did some phone numbers keep ringing long after they were disconnected? In this episode of The Box of Oddities, Kat and Jethro wander into two stories that shouldn't be connected… but somehow are. First, we look at the surprising industrial legacy of Henry David Thoreau, long before Walden Pond. As a young man working in his family's pencil business, Thoreau applied chemistry, precision, and quiet rebellion to fix America's worst pencils—changing how graphite was processed, how pencils were graded, and why most pencils are still yellow today. It's a story about innovation, independence, and how financial stability made room for deep thinking… and eventually, deliberate living. Then, the episode takes a darker turn. During the 1960s and 70s, people across the U.S. reported receiving phone calls from businesses that had been closed—sometimes for decades. Funeral homes. Pharmacies. Local shops. Callers insisted they had just spoken to someone on the line. Engineers found nothing. Phone companies found no active service. The FCC investigated. No explanation stuck. What emerged instead was something stranger: the idea of telecom afterimages—echoes of human habit lingering in old copper wire. Conversations without ghosts. Voices without intent. Systems that didn't quite know how to forget. This episode explores how infrastructure remembers, how absence isn't always clean, and why the most unsettling stories are often the quietest ones—ordinary conversations that shouldn't exist, but somehow do. Learn more about your ad choices. Visit megaphone.fm/adchoices

Disney Parks Podcast Show #907 – Interview with Author Stephan Hall and his book Spoonful of Sugar Author On today's episode, we're joined by Stephen Hall, MA — museum curator, historian, and storyteller of history's hidden gems. Stephen's path into pharmacy history started almost by accident, volunteering at the University of Arizona's History of Pharmacy... The post Disney Parks Podcast Show #907 – Interview With Author Stephan Hall and his book Spoonful of Sugar appeared first on Disney Parks Podcast.

The Pharmacy 50 Awards are back for the 2025 season, celebrating the people who are pushing the profession forward through leadership, innovation, advocacy, education, and patient care. In Part 2 of this 4-part series, we spotlight an incredible group of pharmacy professionals and industry leaders representing the full spectrum of pharmacy—from independent practice and health systems to digital health, specialty pharmacy, philanthropy, and beyond. This series is designed to recognize the voices shaping the future of pharmacy and to inspire the next wave of leadership across healthcare.   Walter Oronsaye PharmD — Social Media Influencer Emily Durham, MS, CPhT — Compounding Christopher Bowens, PharmD — Health System Hospital Pharmacy Mark Duman, MRPharmS — Technology & Digital Health Greg Reybold — Advocacy, Policy, Regulation or Government Dave Randolph, BSPharm — Independent Pharmacy Kelley D. Carlstrom, PharmD — Specialty Pharmacy Andy Crawford — Independent Pharmacy Brandi Chane, CPhT — Independent Pharmacy Mayank Amin, PharmD — Independent Pharmacy Chris Antypas, PharmD — Specialty Pharmacy Tarah Slusher Davis, PharmD — Independent Pharmacy

In this episode, Sahil Sheth, PharmD, BCCCP, Senior Director of Pharmacy Services at Luminis Health, discusses restructuring pharmacy leadership, expanding ambulatory and clinical pharmacy services, and strengthening operations across the system.

TWIRx – January 30 | Special Guest: Marc Essensa, CEO of IPC On this episode of This Week in Pharmacy, we welcome Marc Essensa, President and CEO of the Independent Pharmacy Cooperative (IPC), to discuss timely strategies and resources helping independent pharmacies strengthen their businesses in today's challenging environment. Building Your Independent Pharmacy Business Marc shares insights on navigating reimbursement pressure, improving margins, and leveraging IPC's purchasing power, data, and strategic tools to support long-term sustainability. The Payment Card Settlement: A Practical Guide We break down IPC's guidance on the Payment Card Interchange Fee Settlement, which may allow pharmacies that accepted Visa or Mastercard between 2004–2019 to recover funds. Marc explains eligibility, next steps, and how recovered dollars can support cash flow, staffing, technology, or inventory investments. IPC Member Support Services The conversation highlights IPC's expanded member support offerings, including business consulting, strategic partnerships, wholesale access, and operational resources designed to help independents stay competitive. Legislative & Advocacy Updates Marc also provides updates on IPC's advocacy efforts at both the state and federal levels, focused on protecting independent pharmacy interests and addressing ongoing policy and reimbursement challenges.

In this powerhouse segment from The Clay Edwards Show, host Clay Edwards sits down with State Rep. Fred Shanks for a no-holds-barred chat on hot Mississippi and national issues. They kick off with the "Kraken" finally unleashing in Fulton County—six years after 2020—with DNI Director Tulsi Gabbard on the ground auditing ballots amid desperate reactions from election officials that scream guilt. Clay and Fred speculate on potential foreign ties (Venezuela? China?) and celebrate the momentum, even floating a bold "Trump 2028" reclaim.   Shifting to local streets, they break down Rep. Shonda Yates' bill to seize vehicles in drag racing busts. As fellow reformed South Jackson car guys, they support hitting organized chaos—like trailer queens flipping on Medgar Evers—while protecting casual enthusiasts from overreach. No more shutting down city blocks for high-stakes bets; it's time for real teeth in enforcement, inspired by JPD and Capitol PD feedback.   Finally, Fred draws from his 30 years as a pharmacist to expose the PBM racket—pharmacy benefit managers owned by big insurers and chains like CVS, clawing back millions and forcing independents to close. They call for transparency and reform to save community lifelines that sponsor Little Leagues, deliver midnight meds, and beat big-box prices. Listeners: Contact your reps to push PBM changes before independents vanish.   Unfiltered insights on accountability, street safety, and small-business survival—straight talk from two Mississippi originals.

In this episode, Detective Ev sits down with Alisa, a Doctor of Pharmacy with over 25 years of experience who made the courageous leap from conventional medicine into the world of functional health. After years of dispensing medications to manage symptoms, Alisa began to question the system—and her role in it. What she discovered changed everything. Alisa opens up about her personal and professional journey, including the stress, burnout, and gut health crisis that led to an emergency room visit in 2023. That wake-up call forced her to prioritize her own health and ultimately guided her toward becoming a Functional Diagnostic Nutrition® (FDN) Practitioner. Today, she's on a mission to help others understand how deeply lifestyle choices impact the body—and how true healing happens when we address root causes, not just diagnoses. This conversation explores the powerful shift from a pharmaceutical mindset to a functional, lifestyle-based approach, emphasizing how everything in the body is connected. Alisa breaks down why focusing on DRESS (Diet, Rest, Exercise, Stress Reduction, and Supplementation) is foundational for long-term health and why having real data about how your body is functioning can be truly life-changing.     Want to watch this episode on YouTube? Click here. Subscribe if you'd like to catch all new episodes live and participate with our guests directly.   Want to learn more about becoming an FDN? Go to fdntraining.com/resources to get our best free workshops and mini-courses! Where to find Alisa Berteau: Website: healthanalyzers.com Instagram: @health_analyzers Facebook: @Health Analyzers LLC  

There is still a lot more you should know about drastic price reductions on key brand name drugs.   The Manufacturer Fair Price (MFP) price reductions have now hit, but there are still things a pharmacy can do to mitigate gross profit loses.  Jay Blackburn, CEO of the Compliant Pharmacy Alliance (CPS) shares several tips, tactics and techniques that he suggests you understand.  It will pay for you to understand and act on now! More information can be had on the CPA website:  www.compliantrx.com 

This week, we sat down with Valley Apothecary co‑owner Paula Shaffer to talk about building a community‑focused independent pharmacy in Ketchum, Idaho. Paula shares how their team expanded services like compounding, testing, supplements, and vaccinations—plus how they became a critical resource during COVID‑19. Along the way, she reflects on challenges facing independent pharmacies, the impact of technology on workflow, and how she supports better health in even the most remote of mountain towns.  00:00 - Introducing Valley Apothecary 03:15 - Paula's path to pharmacy ownership 07:58 - Serving a small mountain community 12:34 - Compounding, supplements & added services 15:40 - Becoming the town's primary vaccinators 18:56 - Overcoming barriers in independent pharmacy 23:42 - Switching to new technology & workflow gains 32:10 - The future of community-focused pharmacy care  Hosted By: Johnathon Duhon | VP of PMS Sales, RedSail Technologies Guest: Paula Shaffer | Owner, Valley Apothecary  Looking for more information about independent pharmacy? Visit https://www.redsailtechnologies.com 

Billing opportunities in ambulatory care can often be complicated to navigate, and annual changes in the physician fee schedule can both add opportunities and create confusion. This podcast provides an overview of the 2026 physician fee schedule as it relates to current billing practices, potential new opportunities for pharmacy billing, and other information relevant to ambulatory practice.  The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

Could medications originally designed for diabetes actually help treat addiction, eating disorders, and the biology of cravings?In this part 2 of 2-part episode of Succeed In Medicine Podcast, Dr. Bradley Block sits down with Dr. Sean Wharton, to dig deeper into the science, myths, and emerging uses of GLP-1 agonists. Dr. Wharton explains that these medications don't simply reduce appetite, they calm what he calls “food noise,” the constant mental pull toward eating that many people with obesity experience. This neurological effect has opened the door to exciting possibilities: early research suggests GLP-1 drugs may also reduce cravings for alcohol and other addictive behaviors.  Dr. Wharton also clarifies the confusing world of brand names. Ozempic and Wegovy are both semaglutide; Mounjaro and Zepbound are tirzepatide. The differences are largely about FDA indications and insurance coverage, not completely different medications.The episode tackles common fears patients and clinicians hear every day. Do these medications cause eating disorders? No, in fact, they may help treat them. Are the side effects dangerous? Usually not, and most are manageable with proper dosing. Is “Ozempic face” real? It's simply normal fat loss, not a drug-specific problem. Most importantly, Dr. Wharton reinforces a compassionate, evidence-based message: obesity is a chronic, biological disease, and GLP-1 medications are tools to treat it, just like medications for blood pressure or diabetes.Three Actionable TakeawaysGLP-1 Medications Affect the Brain as Much as the Stomach: These drugs reduce “food noise” and cravings, helping patients regain control over eating behaviors. Their impact is neurological, not simply about willpower or restriction.Side Effects Are Real—but Usually Manageable: Nausea, constipation, and GI symptoms are the most common issues, especially early on. Starting low and increasing doses slowly makes treatment far more tolerable.Treatment Decisions Should Be Individualized:  Not every patient must stay on these medications forever. Conversations about duration, goals, and expectations should be collaborative and tailored to each person.About the Show:Succeed In Medicine covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!About the Guest:Dr. Sean Wharton holds doctorates in Pharmacy and Medicine from the University of Toronto. He is the Director of the Wharton Medical Clinic, a community-based weight management and diabetes clinic, and serves as Assistant Professor at the University of Toronto and Adjunct Professor at McMaster and York Universities.Dr. Wharton is the lead author of the 2020 Canadian Obesity Guidelines, recognized worldwide, and has published extensively in major medical journals including the New England Journal of Medicine. He is a passionate advocate for health equity and improving the way obesity is understood and treated in healthcare.LinkedIn: linkedin.com/in/drseanwhartonWebsite: whartonmedicalclinic.comAbout the Host:Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts Succeed In Medicine podcast, focusing on personal and professional development for physiciansWant to be a guest?Email Brad at brad@physiciansguidetodoctoring.com  or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter  This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This episode features the 2025 ASHP Best Practice Award winning team at New York Presbyterian Hospital, recognized for their program focusing on ambulatory care pharmacist embedded in clinics improved access to patient care. Listeners will learn how ambulatory care pharmacists created a critical role in promoting equitable, patient-centered care, and how they improved care outcomes among underserved populations.  The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

Nutritional rickets is caused by a vitamin D deficiency, and people figured out two ways to treat it before we even knew what vitamin D was. Research: “Oldest UK case of rickets in Neolithic Tiree skeleton.” 9/10/2015. https://www.bbc.com/news/uk-scotland-glasgow-west-34208976 Carpenter, Kenneth J. “Harriette Chick and the Problem of Rickets.” The Journal of Nutrition, Volume 138, Issue 5, 827 – 832 Chesney, Russell W. “New thoughts concerning the epidemic of rickets: was the role of alum overlooked?.” Pediatric Nephrology. (2012) 27:3–6. DOI 10.1007/s00467-011-2004-9. Craig, Wallace and Morris Belkin. “The Prevention and Cure of Rickets.” The Scientific Monthly , May, 1925, Vol. 20, No. 5 (May, 1925). Via JSTOR. https://www.jstor.org/stable/7260 Davidson, Tish. "Rickets." The Gale Encyclopedia of Medicine, edited by Jacqueline L. Longe, 6th ed., vol. 7, Gale, 2020, pp. 4485-4487. Gale OneFile: Health and Medicine, link.gale.com/apps/doc/CX7986601644/GPS?u=mlin_n_melpub&sid=bookmark-GPS&xid=811f7e02. Accessed 7 Jan. 2026. Friedman, Aaron. “A brief history of rickets.” Pediatric Nephrology (2020) 35:1835–1841. https://doi.org/10.1007/s00467-019-04366-9 Hawkes, Colin P, and Michael A Levine. “A painting of the Christ Child with bowed legs: Rickets in the Renaissance.” American journal of medical genetics. Part C, Seminars in medical genetics vol. 187,2 (2021): 216-218. doi:10.1002/ajmg.c.31894 Ihde, Aaron J. “Studies on the History of Rickets. I: Recognition of Rickets as a Deficiency Disease.” Pharmacy in History, 1974, Vol. 16, No. 3 (1974). https://www.jstor.org/stable/41108858 Ihde, Aaron J. “Studies on the History of Rickets. II : The Roles of Cod Liver Oil and Light.” Pharmacy in History, 1975, Vol. 17, No. 1 (1975). https://www.jstor.org/stable/41108885 Newton, Gil. “Diagnosing Rickets in Early Modern England: Statistical Evidence and Social Response.” Social History of Medicine Vol. 35, No. 2 pp. 566–588. https://academic.oup.com/shm/article/35/2/566/6381535 O'Riordan, Jeffrey L H, and Olav L M Bijvoet. “Rickets before the discovery of vitamin D.” BoneKEy reports vol. 3 478. 8 Jan. 2014, doi:10.1038/bonekey.2013.212. Palm, T. “Etiology of Rickets.” Br Med J 1888; 2 doi: https://doi.org/10.1136/bmj.2.1457.1247 (Published 01 December 1888) Rajakumar, Kumaravel and Stephen B. Thomas. “Reemerging Nutritional Rickets: A Historical Perspective.” Arch Pediatr Adolesc Med. Published Online: April 2005 2005;159;(4):335-341. doi:10.1001/archpedi.159.4.335 Swinburne, Layinka M. “Rickets and the Fairfax family receipt books.” Journal of the Royal Society of Medicine. Vol. 99. August 2006. Tait, H. P.. “Daniel Whistler and His Contribution to Pædiatrics.” Edinburgh Medical Journal vol. 53,6 (1946): 325–330. Warren, Christian. “No Magic Bolus: What the History of Rickets and Vitamin D Can Teach Us About Setting Standards.” Journal of Adolescent Health. 66 (2020) 379e380. https://www.jahonline.org/article/S1054-139X(20)30038-0/pdf Wheeler, Benjamin J et al. “A Brief History of Nutritional Rickets.” Frontiers in endocrinology vol. 10 795. 14 Nov. 2019, doi:10.3389/fendo.2019.00795 World Health Organization. “The Magnitude and Distribution of Nutritoinal Rickets: Disease Burden in Infants, Children, and Adolescents.” 2019. Via JSTOR. https://www.jstor.org/stable/resrep27899.7 Zhang, M., Shen, F., Petryk, A., Tang, J., Chen, X., & Sergi, C. (2016). “English Disease”: Historical Notes on Rickets, the Bone–Lung Link and Child Neglect Issues. Nutrients, 8(11), 722. https://doi.org/10.3390/nu8110722 See omnystudio.com/listener for privacy information.

The Pharmacy 50 Awards are back for the 2025 season, celebrating the people who are pushing the profession forward through leadership, innovation, advocacy, education, and patient care. In Part 1 of this 4-part series, we spotlight an incredible group of pharmacy professionals and industry leaders representing the full spectrum of pharmacy! From independent practice and health systems to digital health, specialty pharmacy, philanthropy, and beyond. This series is designed to recognize the voices shaping the future of pharmacy and to inspire the next wave of leadership across healthcare.

Cigna is reshaping the healthcare system by tackling affordability through innovation, transparency, and patient-first solutions. President and COO Brian Evanko goes Inside the ICE House to discuss the forces driving higher healthcare costs, from demographic shifts to drug pricing, and how Cigna is working to realign incentives across the system. He also explains how data, AI, and pharmacy benefit reform are positioning the company to deliver better outcomes as healthcare enters its next phase of change.

A controversial bill that involves the country's largest incinerator has been put on hold. Pharmacies are closing at a rapid pace, nationwide, but this community just got a new one. Pennsylvania's apparently a terrible state for drivers. And a man hiked the entire Appalachian trail — all 2,198 miles of it.

340B Insight wants to make our podcast the best it can be. To help us succeed, we'd like to hear your thoughts. Please take just a few minutes to complete our listener survey, and we will enter you in a drawing to win a $100 gift card! To participate, please go to 340bpodcast.org/survey.January was set to be the first month of a new 340B rebate pilot program, marking a seismic shift in how the drug discount program functions. But a flurry of court activity just before and after the new year put a sudden pause on the rebate program and left the future of the rebate pilot in question. Amanda Nagrotsky, vice president of legal and policy with 340B Health, joins the show to fill us in on the latest.HRSA Pauses Rebate Implementation After Court RulingIn late December, a federal court in Maine issued a ruling that temporarily blocks the Health Resources & Services Administration (HRSA) from moving forward with the 340B rebate pilot. HRSA then announced it was pausing the pilot and instructed drug companies to continue providing 340B pricing through the traditional upfront discount model. Nagrotsky says the judge found that hospitals had demonstrated a high likelihood of irreversible harm if rebates went forward.Government Appeals, Then ReconsidersImmediately after the ruling, HRSA unsuccessfully argued to the Maine court and an appeals court that the agency still should be able to implement the 340B rebate pilot program while it appealed the initial ruling. After the courts denied that request, the government agreed to voluntarily dismiss its appeal and said it would reconsider its rebate program approvals. Nagrotsky stresses that it is unclear what this means. It could mean the government might overhaul or scrap the rebate program, or it might issue revised approval notices to better explain the rebates' purpose and address concerns of potential harm to 340B hospitals.Medicare Maximum Fair Price Provisions Still Take EffectDespite the legal questions surrounding the 340B rebate pilot program, new Medicare maximum fair price (MFP) provisions did take effect at the beginning of January for the drugs that would have been subject to the rebates. Nagrotsky says that while 340B still can be used for these drugs, covered entities are not entitled to MFP refunds from drug companies in those scenarios. She recommends hospitals closely track expected MFP rebates to identify any missing refunds for claims that did not use 340B drugs.ResourcesDismissal of Appeal Sets Stage for HRSA Reconsideration of 340B Rebates

Dear listener, Having an obligation to Gumpendorf, and promising to help the young man at the inn, the four travellers take the opportunity to kill two birds with one stone by Reclaiming an old Pharmacy - which includes breaking into the secure section where the controlled substances would be. Breaking into a place untouched by humanity for nearly a centuary will no doubt holding untold treasures by today's standard, but will everything be still in date? I guess you're about to find out. Use by dates, best befores dates... strange really, that some things rot and become toxic to your biology, and that other things just lose thier potency all together, becoming next to useless. Of course other things never rot down - they'll be finding blue patterned china, plastic toys and jewellry for millenia. Useful if you're in an apocalypse for sure, but in your timeline... maybe less so? --- You can help support the show and get ad free episodes on ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Patreon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.Patreon.com/blighthouse⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠ Find the authors: Email: sprouting@blighthouse.studio Website: ⁠⁠⁠⁠⁠⁠⁠⁠https://linktr.ee/thesprouting⁠⁠⁠⁠⁠⁠⁠⁠ Discord: ⁠⁠⁠⁠⁠⁠⁠⁠https://discord.gg/vtgnVAZY44 ⁠⁠⁠⁠⁠⁠⁠⁠ This is a ⁠⁠⁠⁠⁠⁠⁠⁠Blighthouse Studio⁠⁠⁠⁠⁠⁠⁠⁠ production. --- Our Amazing Affliates If you want to buy our eldritch plant themed merch, head over to our ⁠⁠⁠Teepublic⁠⁠⁠ store page - www.teepublic.com/stores/blight-house. Or if ⁠⁠Displate⁠⁠ is more your aesthetic, check out Kessir's incredible designs - www.displate.com/artist/BlighthouseStudio Want awesome WOODEN dice? Use code BLIGHTHOUSE10 to get 10% off ⁠⁠UrWizards⁠⁠ dice - www.urwizards.com/?ref=BLIGHTHOUSESTUDIO Visit ⁠⁠https://www.questportal.com/⁠⁠⁠ to use the awesome Virtual Tabletop system that allows us to play across the globe. Use Sprout10 for 10% off at ⁠⁠⁠www.sybotanica.de⁠⁠ to start your botanical adventures! --- Find and support our sponsors at: ⁠⁠⁠fableandfolly.com/partners⁠⁠ ⁠⁠Transcript⁠⁠ - Apparently transcription services can't cope with our non US accents, so beware. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Justin L. Vesser, PharmD, MS, Director of Ambulatory Pharmacy at UVA Health, shares how his team expanded clinical pharmacy services, improved medication access, and grew retail operations to better serve patients across Virginia. He also discusses navigating reimbursement pressures, regulatory headwinds, and leading through change by anchoring pharmacy teams in a clear mission.

In this episode, Bethanie Stein, PharmD, Segment President of Pharmacy at Humana, discusses how employers are approaching GLP-1 coverage and why partnerships with manufacturers like Eli Lilly and Novo Nordisk matter now. She shares how CenterWell Pharmacy is using transparency, clinical oversight, and adherence focused models to expand access while managing costs.

In this episode of This Week in Pharmacy, we explore how the Pharmacy Podcast Network (PPN) is deepening connections across healthcare by elevating pharmacists' voices in the conversations that matter most. Inspired by the recent partnership between podcasting giant PodcastOne and the AI-driven analytics platform Listener, we highlight how PPN is using the same type of advanced engagement metrics—combining podcast listener data, social media signals, and network insights—to measure true influence, not just downloads.  With Listener's powerful data, PPN can now identify where pharmacists are making the greatest impact and uncover new opportunities to expand pharmacist positioning with other providers, industry leaders, and the public. Plus, Todd sits down one-on-one with Kris Rhea of Pharmacy Market Place for an insightful conversation on AI in pharmacy—exploring how artificial intelligence is shaping workflow, clinical decision-making, business operations, and what pharmacists need to know to stay ahead in a rapidly changing healthcare landscape.

In this episode, Edith Okolo, PharmD, RPh, Director of Pharmacy at Cedar Crest Hospital, joins the podcast to discuss pharmacy priorities heading into 2026, with patient safety at the forefront. She shares insights on improving workflow efficiency, addressing medication affordability—particularly long-acting injectables—and navigating ongoing medication shortages and broader industry challenges.

In this podcast, Drs. Joe DiPiro and James Hoffman discuss the ASHP/ASHP Foundation 2026 Pharmacy Forecast Report with host and AJHP Editor in Chief Dr. Daniel Cobaugh. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

In this segment of The Convoluted Podcast, we examine a quiet but serious issue affecting healthcare workers and the systems around them.⚠️ This episode addresses heavy topics related to workplace stress and mental health. Viewer discretion is advised.

In this episode, Nick Gazda, PharmD, MS, BCPS, CSP, Director of Pharmacy Oncology and Infusion at Cone Health, discusses how standardized infusion services, centralized medication access, and technology integration have improved patient care and operational efficiency. He also shares strategies for navigating financial and regulatory headwinds while pursuing growth and value-based opportunities in 2026.

Send us a textSchedule an Rx AssessmentAI in pharmacy isn't about prompts, dashboards, or “nice-to-have” tools, it's about execution.In this episode of the Bottom Line Pharmacy Podcast, Austin Murray sits down with Natalie Park, PharmD, co-founder and CEO of Pharmesol, to break down what AI agents actually are and why they represent a major shift in how pharmacies operate, scale, and compete.We uncover: What an AI agent really isHow AI agents can execute workflowsHow automation is driving real revenue growthWhere pharmacies are seeing the biggest early winsAnd more!More About Our Guest:Dr. Natalie Park, Pharm.D. is a pharmacist, entrepreneur, and health technology innovator who exemplifies how a pharmacy degree can become a launchpad for transformative impact.A proud graduate of The Ohio State University College of Pharmacy, Natalie brings a bold, initiative-driven mindset to everything she does embracing challenges, valuing diverse experiences, and firmly believing that practice, not theory alone, drives meaningful change.Fueled by a passion for digital health, innovation, and health policy, Natalie is the founder and CEO of Pharmesol, an AI-powered pharmacy assistant designed to strengthen connections between practitioners and patients while improving access to care. Her interests span comparative effectiveness research, health technology assessment, and healthcare innovation, all with a focus on practical, real-world application.Natalie's journey into pharmacy is deeply personal. After moving to the U.S. as a teenager, she struggled to navigate the healthcare system. When she experienced an allergic reaction for the first time, she turned to a pharmacy—simply because she didn't know where else to go. That moment shaped her purpose and inspired her to pursue pharmacy as a pathway to accessible, patient-centered care.Today, as a technology CEO serving pharmacies, Natalie's work blends strategy, customer engagement, and problem-solving. She partners closely with pharmacy leaders to understand their needs, guides product innovation with intention, and keeps her team focused on delivering meaningful value. Her career is a testament to lifelong learning—not as something additive, but transformative—and to the idea that pharmacy isn't just a profession, but a platform for limitless possibilities.Stay connected with Natalie and Pharmesol:Natalie's LinkedInPharmesol WebsitePharmesol LinkedInStay connected with us:FacebookTwitterLinkedInScotty Sykes – CPA, CFP LinkedInScotty Sykes – CPA, CFP TwitterBonnie Bond – CPA LinkedInBonnie Bond – CPA TwitterMore resources on this topic:Podcast - Driving Independent Pharmacy Profitability in 2026Podcast – The Startup Compounding Pharmacy PlaybookPodcast – Inside the Fight for Compounding: Advocacy, Growth, and Regulation

Send us a textDr. Cory Jenks is a returning guest on our show! Be sure to check out his first appearance on episode 440 of Boundless Body Radio! He also appeared with his wife Cassie on episode 475!Dr. Cory Jenks earned his Doctor of Pharmacy degree from the University of South Carolina in 2011. Since then, he has practiced as a retail pharmacist, outpatient clinical pharmacist, and inpatient clinical pharmacist. His most recent practice was as an ambulatory care clinical pharmacy specialist, where he applied his passion for lifestyle interventions in the management of chronic disease.In addition to his career as a pharmacist, Cory is also an accomplished improv comedian, having started on his comedy journey in 2013. Since then, Cory has coached, taught, and performed improv for thousands of people. He is the author of two books, including his first book Permission to Care- Building a Healthcare Culture that Thrives in Chaos.Today, Cory travels around the country speaking and teaching other healthcare professionals how to apply the valuable skills of improv comedy to create a more adaptable, empathetic, and humanizing healthcare experience. Cory lives in Tucson, Arizona with his family!Find Cory at-https://www.coryjenks.com/TW- @PharmacomedianFind Boundless Body at- myboundlessbody.com Book a session with us here!

The American Diabetes Association's 2026 Standards of Care in Diabetes are here! Let's talk about what's changed and how to better care for our older adults living with diabetes. 2026 Standards of Care in Diabetes:  https://diabetesjournals.org/care/issue/49/Supplement_1 Tamara Ruggles, PharmD, BCGP, FASCP:  www.linkedin.com/in/tamara-ruggles-491882251 Diana Isaacs, PharmD, BCPS, BCACP, BC-ADM, CDCES:  https://www.linkedin.com/in/diana-isaacs-pharmd-bcps-bcacp-bc-adm-cdces-45803426/  

Are GLP-1 medications truly revolutionizing medicine—or are we just seeing the latest healthcare hype cycle?In this part 1 of 2- part episode of Succeed In Medicine Podcast, Dr. Bradley Block sits down with Dr. Sean Wharton, to explore the real story behind GLP-1 agonists, how they were discovered, how they work, and why they suddenly became cultural blockbusters. Dr. Wharton explains that while the public sees these drugs as new, clinicians in diabetes care have been using them for over a decade. Originally developed to treat type 2 diabetes, GLP-1 medications revealed an unexpected benefit: meaningful weight loss. What began as a “sleeper drug” for glucose control became a global phenomenon once their impact on appetite and cravings was understood.A major theme of the discussion is the concept of “food noise”—the relentless mental pull toward food that many patients experience. Dr. Wharton describes how this biological drive makes long-term weight loss extraordinarily difficult and why willpower alone is rarely enough. GLP-1 medications work by quieting this food noise, helping patients regain control over their eating behaviors.The conversation also tackles tough questions clinicians and patients ask every day:Why do people need to stay on these medications long-term? Why do patients with diabetes lose less weight than those without? Is obesity truly a disease, and how should doctors talk about it? Are the benefits due to the drug itself or simply the weight loss? Dr. Wharton breaks down the biology of GLP-1 hormones, their role in insulin regulation and appetite control, and why these drugs have been such rare “unicorns” in medicine, highly effective with relatively few side effects.This episode sets the stage for Part 2, where they will dive deeper into myths, side effects, and practical prescribing guidance.Three Actionable TakeawaysObesity Is a Biological Disease, Not a Willpower Problem: Food noise and cravings are driven by hormones and brain chemistry. GLP-1 medications treat these biological mechanisms, not a character flaw.Long-Term Treatment Is Often Necessary: Just like medications for blood pressure or cholesterol, GLP-1 drugs address a chronic condition. Stopping treatment usually means the underlying biology—and weight—returns.Language Matters in Patient Care: Clinicians should approach weight with empathy and humility. Inviting patients into a respectful conversation about options is far more effective than blaming or shaming.About the Show:Succeed In Medicine covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!About the Guest:Dr. Sean Wharton holds doctorates in Pharmacy and Medicine from the University of Toronto. He is the Director of the Wharton Medical Clinic, a community-based weight management and diabetes clinic, and serves as Assistant Professor at the University of Toronto and Adjunct Professor at McMaster and York Universities.Dr. Wharton is the lead author of the 2020 Canadian Obesity Guidelines, recognized worldwide, and has published extensively in major medical journals including the New England Journal of Medicine. He is a passionate advocate for health equity and improving the way obesity is understood and treated in healthcare.LinkedIn: linkedin.com/in/drseanwhartonWebsite: whartonmedicalclinic.comAbout the Host:Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts Succeed In Medicine podcast, focusing on personal and professional development for physiciansWant to be a guest?Email Brad at brad@physiciansguidetodoctoring.com  or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter  This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

At Michigan Medicine, every team member is committed to supporting you — those who provide or support world-class patient care, education and research. To make managing your health (and your family's health) easier, U-M Health offers a robust network of pharmacy services designed for maximum convenience and integration. Learn more about the pharmacies and how they can help your patients or you live life to the fullest! Hosted on Acast. See acast.com/privacy for more information.

Please share this episode if you liked it. To support the podcast, the best cost-free way is to subscribe and please rate the podcast 5* wherever you find your podcasts. Thanks for watching.To be part of any Q&A, follow trensparentpodcast or nylenayga on instagram and watch for Q&A prompts on the story  https://www.instagram.com/trensparentpodcast/Huge Supplements (Protein, Pre, Defend Cycle Support, Utilize GDA, Vital, Astragalus, Citrus Bergamot): https://www.hugesupplements.com/discount/NYLESupport code 'NYLE' 10% off - proceeds go towards upgrading content productionYoungLA Clothes: https://www.youngla.com/discount/nyleCode ‘NYLE' to support the podcastLet's chat about the Podcast:Instagram: https://www.instagram.com/trensparentpodcast/TikTok: https://www.tiktok.com/@transparentpodcastPersonalized Bodybuilding Program:  https://www.nylenaygafitness.comThe Bodybuilding-friendly HRT Clinic - Get professional medical guidance on peptides AND optimizing your health as a man or bodybuilder: [ Pharma Test, IGF1, Tesamorelin, Glutathione, BPC, Semaglutide, Var troche, etc]http://www.transcendcompany.com/nylenaygaRP Hypertrophy Training App: rpstrength.com/nyleTimestamps:00:00:00 - Intro00:03:19 Father Steve00:05:28 Banned on Social Media00:07:45 Raving00:12:06 Harm Reduction for Partying00:13:36 Alcohol Toxicity & "Cocaethylene"00:15:25 The Ultimate Hangover Stack00:18:54 Injectable Glutathione & NAC00:23:00 Rave Fashion: Cyclops Shades00:24:34 The Lifestyle Cutting Stack (TRT + GLP-1)00:26:58 The Crackdown on Peptides00:27:53 Cagrilintide Nightmares00:29:29 Orlistat & "Oily" Disasters00:31:36 Peptides for Naturals?00:33:57 The Sting of GHK-Cu00:35:23 Injectable Winstrol00:36:16 YK-11 vs. Superdrol00:39:21 Follistatin: Hype or Real?00:43:04 Mitochondrial Health Stack00:46:24 When to Start TRT?00:47:30 Adding Primo or Masteron00:50:36 My Tequila Mistake00:51:14 My Full Health Protocol00:53:11 What NOT to Take at Parties00:59:11 GHB vs. Alcohol01:00:00 High-Dose Melatonin01:02:17 Competitive Prep Stacks01:06:21 Nyle's Contest Cycle Revealed01:07:24 The "Pharmacy" Load01:13:38 Protecting the Brain (Neuroprotection)01:16:54 Epitalon & Longevity01:20:12 SGLT2 Inhibitors ("Biker Flows")01:21:15 Methylene Blue & Serotonin Syndrome01:24:42 Nootropics: Alpha GPC & Choline01:27:00 Noopept & Bromantane01:30:03 Tanner's Aston Martin01:34:55 Chinese Generics & Heavy Metals01:38:14 1000ng/dL Naturally?01:44:06 Underrated Meds (Telmisartan)01:46:24 Managing Cholesterol01:50:41 Equipoise Anxiety & Kidneys01:56:53 Hair Loss Prevention02:04:33 The "Femboy" Aesthetic Trend02:07:33 Future Drugs (Retatrutide)02:20:58 GLP-1s Saving Marriages02:23:18 Training Volume in Prep02:24:53 Low Iron in Bodybuilders02:27:12 Top 3 Steroids Ranked02:28:55 Substitutes for Primo/Mast02:30:52 Best Beginner Cycle02:34:44 Conceiving on Cycle02:38:16 Post-Cycle Muscle Retention02:41:40 Steve's Ladyboy Story02:50:49 NPP & Neurotoxicity02:52:10 Closing Wisdom

In this episode, Shawn Myers, Vice President of Pharmacy and Ancillary Clinical Services at Encompass Health, discusses initiatives to improve medication reconciliation and patient safety across post-acute care hospitals. He shares strategies for implementing effective workflows, leveraging data, and managing pharmacy operations during rapid organizational growth.

  In this episode of Minnesota Military Radio, we explore two critical advancements in Veteran healthcare at the Minneapolis VA Health Care System: a major shift toward digital pharmacy services and a proactive approach to limb preservation. Guests Include: Dr. Lisa Anderson – Chief of Pharmacy, Minneapolis VA Stephanie Walek – Pharmacy Program Manager, Minneapolis […] The post Pharmacy Innovations and Amputation Prevention at the Minneapolis VA appeared first on Minnesota Military Radio.

On today's Executive Dose, host Stephen Beckman is joined by Representative Charity Grimm Krupa, who serves Pennsylvania's 51st District in the House of Representatives, for a timely and insightful discussion on the evolving healthcare policy landscape in the Commonwealth. Together, they explore recent legislative developments in Pennsylvania that are shaping healthcare delivery, access, and affordability, with a particular focus on how state-level decisions often serve as early indicators for broader national trends. Stephen and Representative Grimm Krupa also examine the ripple effects Pennsylvania healthcare policy can have beyond state borders, highlighting why pharmacists, healthcare leaders, and industry stakeholders across the country should be paying close attention. From regulatory considerations to workforce challenges and patient-centered care initiatives, this episode offers valuable perspective on the intersection of policy, leadership, and healthcare innovation—and what it could mean for the future of healthcare nationwide.

In this month's podcast episode, The Standards, hosts Neil Skolnik, MD, and Sara Wettergreen, PharmD, BCACP, BC-ADM, explain the Standards of Care in Diabetes from the American Diabetes Association® in clear, plain terms. This conversation is designed to help you better understand the guidance that shapes diabetes and obesity care. Presented by: Neil Skolnik, MD, Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health, Abington, PA Sara Wettergreen, PharmD, BCACP, BC-ADM, Assistant Professor, Department of Clinical Pharmacy, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences; and Ambulatory Care Clinical Pharmacist, UCHealth Lone Tree Primary Care, Aurora, CO Do you have questions or comments you'd like to share with Neil and Sara? Leave a message at (703) 755-7288. Thank you for listening, and don't forget to "follow" Diabetes Day by Day!   Additional resources: Access the Standards of Care in Diabetes—2026 Access sections 1-3 of the Standards of Care in Overweight and Obesity Access Your Rights and Care Standards: A Guide for People with Type 2 Diabetes          

Send us a textSchedule an Rx AssessmentLevi is hiring! Interested in working for a pharmacy that runs on structure, relationships, and a high-performance Med Sync model (not “rat race” retail)? Click hereIf you really want to maximize your Med Sync program, you need to shift your mindset from "Med Sync is a “program” to "Med Sync is our culture and a competitive advantage."In this episode of the Bottom Line Pharmacy Podcast, Scotty Sykes, CPA, CFP®, Bonnie Bond, CPA, MBA, and Austin Murray sit down with Dr. Levi Ellison, PharmD, Owner of Ellison Family Pharmacy to discuss his Med Sync operation, how it's driving 42 inventory turns and creating a smoother, calmer experience for patients and staff.We break down:Med Sync as opt-out, not opt-inHow Med Sync creates financial leverageWhy Levi believes Med Sync benefits everyoneThe Med Sync workflow driving above average inventory turnsAnd more!More About Our Guest:Dr. Levi Ellison, PharmD is the owner of Ellison Family Pharmacy. An independent pharmacy located in Mena Arkansas.Levi's roots run deep in Polk County with his family going back six or more generations on both sides. Both Levi graduated with a Doctor of Pharmacy degree in 2018 from UAMS College of Pharmacy in Little Rock, AR. Levi serves as the pharmacist in charge of Ellison Family Pharmacy and Jessica works part time as a pharmacist.Levi is a very active member of Salem Baptist Church located in the community of Nunley just outside Mena. He is also a member of the Arkansas Pharmacists Association and the National Community Pharmacists Association. In his limited free time he enjoys spending time with wife Jessica hiking and with their children.Stay connected with Levi and Ellison Family Pharmacy: Levi's LinkedInEllison Rx WebsiteEllison Rx Facebook Stay connected with us: FacebookYouTube LinkedInInstagramMore resources on this topic: Podcast - Driving Independent Pharmacy Profitability in 2026Podcast – The Startup Compounding Pharmacy PlaybookPodcast – Inside the Fight for Compounding: Advocacy, Growth, and Regulation

Send us a textAnnie Lampella is the creator behind KetoFocus, a trusted resource for easy, family-friendly low-carb and high-protein recipes. With over 13 years of experience developing keto-friendly meals—long before keto became mainstream—Annie's mission has always been to make low-carb living simple, sustainable, and full of flavor.As a pharmacist with a Doctorate in Pharmacy from the University of the Pacific (Magna Cum Laude) and a Bachelor's degree in Genetics from the University of California, Davis, Annie leaned on her background in science and human metabolism to fully understand the benefits of a low-carb, high-fat lifestyle.Annie has been a practicing pharmacist since 2008 and brings a unique blend of medical knowledge and real-world experience to her content. Her goal is to empower others to feel their best—without complicated ingredients or extreme restrictions.In her debut cookbook, Protein Packed: 100 Low-Carb, High-Protein Recipes to Build Strength, Health, and Longevity Annie shares the high-protein, low-carb meals that have transformed her own health—recipes designed to help you build strength, regain energy, and enjoy the foods you love!Find Annie at-https://www.ketofocus.com/YT- @Keto FocusIG- @ketofocusAmazon- Protein Packed: 100 Low-Carb, High-Protein Recipes to Build Strength, Health, and Longevityhttps://proteinpackedbook.com/Find Boundless Body at- myboundlessbody.com Book a session with us here!

Hey everybody! Episode 180 of the show is out. This episode is a podcast I was interviewed on called Beyond the Pills hosted by Josh Rimany. I was really happy with the interview. It was fairly concise and covered a lot of aspects of my work, predominantly with tobacco and tree medicines. We also spoke about ayahuasca, dieta, and some of Josh's insights as well. I hope you all gain from this episode. Consider checking out and supporting Josh's work as well. As always, to support this podcast, get early access to shows, bonus material, and Q&As, check out my Patreon page below. Enjoy!To learn more about or contact Jason, visit his website at: https://NicotianaRustica.orgTo view Josh's podcast on YouTube, visit: https://www.youtube.com/@BeyondThePillsTo view the recent documentary, Sacred Tobacco, about my work, visit: https://youtu.be/KB0JEQALI_wI will be guiding our next plant medicine dietas with my colleague Merav Artzi (who I interviewed in episode 28) in:February 2026: Sacred Valley of PeruJune 2026: Remote Online Dieta July 2026: Westport, IrelandNovember 2026: Sacred Valley of PeruIf you would like more information about joining us and the work I do or about future retreats, visit my site at: https://NicotianaRustica.org Integration/Consultation call: https://jasongrechanik.setmore.comPatreon: https://patreon.com/UniverseWithinYouTube join & perks: https://bit.ly/YTPerksPayPal donation: https://paypal.me/jasongrechanikWebsite: https://jasongrechanik.comInstagram: https://instagram.com/JasonGrechanikFacebook: https://facebook.com/UniverseWithinPodcastMusic: Nuno Moreno: https://m.soundcloud.com/groove_a_zen_sound & Stefan Kasapovski's Santero Project: https://spoti.fi/3y5Rd4H

Supporting a patient who needs medication does not end when they receive their prescription. Many patients struggle with living in pharmacy deserts, have further questions when their local pharmacies are closed or have difficulty remembering when and what medications to take. Family nurse practitioner Hiva Kolondrubetz and Tess Carey — senior pharmacist and clinical advisor at Amazon Pharmacy — are today's guests on NP Pulse, and they tackle the concerns NPs face when getting their patients to not only receive but also successfully take their prescribed medications. This podcast is made possible by Amazon.

Lucy Malmberg: Cradled in a Box, Carried by FaithLucy Malmberg's life began in the shadow of World War II. Born in a refugee camp and carried onto a plane bound for America inside a handmade box, she traveled hidden beneath a blanket with nothing but a handwritten birth certificate and her father's whispered prayer. Her parents had fled the devastation of Ukraine with no home, no country, and little more than their steadfast faith in Jesus. That improbable journey — marked by desperation, courage, and divine protection — became the opening chapter of a life defined by God's unwavering faithfulness.From her earliest memories, Lucy recognized God's fingerprints on every detail of her story. He met her family with miracles both great and small, providing exactly what they needed when they needed it. Through seasons of hardship and abundance, Lucy learned to trust His timing, His provision, and His plan.Pharmacy eventually became Lucy's calling, but it was never just about medicine. She approached her work as a ministry, caring for the whole person — body, mind, and soul. Together with her late husband, George, she founded Wedgewood Pharmacy and helped build it into one of the nation's most respected veterinary compounding pharmacies. Yet professional achievement was never her ultimate goal. What mattered most was stewarding the platform God had given her to share the hope of Jesus.Lucy inherited her passion for introducing people to Christ from her father, a man whose ever-present smile opened the door to countless Gospel conversations in grocery lines, gas stations, and diners. She carries that same joyful boldness. More than anything, Lucy longs to live a life that helps populate heaven.When the opportunity arose to invest in Christian pharmacy education, she didn't hesitate. Her recent $1 million gift to Cedarville University's School of Pharmacy will equip future pharmacists to serve as both excellent clinicians and courageous ambassadors for Christ. Meeting students whose lives were transformed through the scholarship moved Lucy to tears. For her, it was unmistakable confirmation that God was at work.Lucy recently shared her testimony on the Cedarville Stories podcast. With warmth and humility, she reflected on a life shaped by hardship, hope, and the joy of Jesus. She sees Cedarville as a place where students are not only trained with excellence but also sent out to share the Gospel wherever God leads.For Lucy, that is the legacy that matters most: hearts turned toward heaven, one faithful life at a time.https://share.transistor.fm/s/09c46197https://youtu.be/nd03ddxGU5w

Dr. Mandip Sachdeva is currently a Professor and Section leader, Pharmaceutics at College of Pharmacy at Florida A & M University (FAMU), Tallahassee, Florida. Over his career, Mandip has delivered more than 250 plenaries, keynote and invited talks in international events and meetings and produced more than 190 original publications.His research interests include cancer drug delivery, 3D-printing of tumor cells, and formulating and developing targeted nanoparticles, exosomes and cannabinoids for cancer treatments. During our conversation, Mandip previews his CannMed 26 oral presentation titled, “Cannabigerol Potentiates Chemotherapy through Multi-Modal Tumor Suppression in Pancreatic Cancer“, which includes insights into his research on using cannabinoids (particularly CBG) to treat pancreatic cancer—one of the most difficult cancers to treat. We cover:  The process Mandip's team used to determine CBG had the best anti-cancer effects against pancreatic cancer  CBG's mechanism of action, which targets multiple pathways related to immune regulation, cell death, and tumor migration control Why cannabinoids are best used as adjuncts to chemotherapy and not as a standalone treatment  Higher doses of CBG (up to 100 mg/kg) were non-toxic and further extended survival when combined with reduced chemo doses Future research directions, including new combinations of cannabinoids and chemotherapy as well as new formulations for better absorption and bioavailability  Thanks to This Episode's Sponsor: Healer  Healer is a trusted, physician-developed medical cannabis brand founded to address the challenges of helping patients and health providers get the best results with safe, reliably dosable products and education on how to best use them. Healer's distinctive product formulations and educational material are based on the work of leading cannabis clinician, Dr. Dustin Sulak, D.O.  Learn More at healer.com

Pharmacy Radio 114 January 2026 Welcome to episode 114 of Pharmacy Radio. I have a fantastic show for you this month featuring an amazing live set from Argentine DJ and Producer, Javier Bussola, in the second hour. Javier is legendary for his ten hour sets at Groove in Buenos Aires and he has an amazing ear for track selection. In the first hour I have put together a banging mix of techno, trance and lots of psy trance including tracks form some of favorite artists like GMS and Avalon, No Comment, Mind Benderz, and a track off the amazing new Reaky Reakson album titled Spacetime Roundabout! First Hour: Christopher Lawrence Boundless, Luis M - Voices - IbogaTech Echonomist - Dominator - HABITAT Records YellowHeads - Fireline (Original Mix) - Replicate Records Belocca, HOF(DE) - Bringing It Back - Mainground Music Daniel Weirdo, Norvis - Phones Away - IbogaTech PAPI JOE - For You - Set About Music Reaky Reakson - Progressive Psychoanalysis Kuni, Miles From Mars - Kameeldoring - Digital Structures No Comment - Body ROX!! - ZooZ Records Mindbenderz - Paradox - Iono Music Bellatrix - Kaleidoscope - Iono Music GMS, Avalon - Machines - KNTXT Guest Mix: Javier Bussola Live Mix

This podcast is brought to you by Outcomes Rocket, your exclusive healthcare marketing agency. Learn how to accelerate your growth by going to⁠ outcomesrocket.com Embedding trusted clinical evidence directly into everyday workflows is becoming critical to reducing burnout and improving clinical decision-making. In this episode, Christopher Sullivan, Vice President and General Manager of Pharmacy and Health Technology Solutions for Wolters Kluwer, discusses how the company is transforming from a traditional publishing company into a software-driven healthcare intelligence partner. He explains how products like UpToDate, Medi-Span, and Sentri7 function as an insight layer across retail pharmacies, hospitals, and the broader digital health ecosystem. A significant focus is UpToDate Connect, an API-based solution that embeds trusted clinical evidence directly into third-party platforms, keeping clinicians in workflow while reducing context switching. Christopher also shares early market feedback, highlighting efficiency gains, clinician confidence, and the importance of trusted content in an AI-driven world. Finally, he examines the future of agentic AI, non-clinical workflows, and the expanding role of partnerships in driving innovation.  Tune in and discover how evidence-based insights are shaping faster, more innovative, and more sustainable healthcare! Resources Connect with and follow Christopher Sullivan on LinkedIn.Follow Wolters Kluwer Health on LinkedIn and visit their website!

Plus: Andreessen Horowitz raises over $15 billion across several funds. And LG Electronics expects to post a quarterly operating loss for the first time since 2016. Julie Chang hosts. Learn more about your ad choices. Visit megaphone.fm/adchoices

President and chief executive officer of the National Psoriasis Foundation (NPF) Leah M. Howard discusses her article "Pharmacy benefit manager reform vs. direct drug plans." Leah analyzes the recent emergence of direct-purchase drug programs and argues that while innovative thinking is welcome, it cannot replace the need for deep systemic change. She advocates for bipartisan legislative solutions such as the Safe Step Act to address the root causes of high costs in the U.S. health care system rather than relying on siloed fixes that may not help everyone. The conversation emphasizes that true relief for patients with chronic diseases requires transparent pharmacy benefit manager reform and a move away from profit-driven incentives that punish the sick. Join us to learn how we can push for lasting policies that prioritize patient health over corporate profits. This episode is presented by Scholar Advising, a fee-only financial advising firm specializing in providing advice for DIY investors. If you want clear, actionable strategies and confidence that your financial decisions are built on objective advice without AUM fees or commissions, Scholar is designed for you. Physicians often navigate complex compensation structures, including W-2 income, 1099 work, production bonuses, and practice ownership. Scholar's highly credentialed advisors guide high-earners through decisions like optimizing investments for long-term tax efficiency and expert strategies for financial independence. Every recommendation is tailored to the financial realities physicians face. VISIT SPONSOR → https://scholaradvising.com/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Dive into the career journey of Zach Lewis, CISO and CIO of the University of Health Sciences and Pharmacy, as he explores the intersection of technical resilience and the "human" element of leadership. This episode serves as a tactical guide for navigating the high-stakes world of cybersecurity while staying grounded in curiosity and connection. Key Insights Include: The Power of Curiosity: Why inquisitive hiring is the secret to building high-performing, adaptable teams. Ransomware Reality Checks: Lessons from Lewis's book, Locked Up, on surviving a cyber crisis and coming out stronger. AI's Educational Shift: Understanding how emerging tech is reshaping the classroom and the future job market. Combating Burnout: Practical approaches to sustaining a long-term career in a high-pressure industry. Whether you're looking for leadership strategies in tech or a firsthand account of surviving a ransomware attack, Lewis's blueprint emphasizes that professional success is built on a foundation of authentic relationships. Listen now to discover why intellectual curiosity is the ultimate asset for the modern C-suite leader.