Retail Independent Pharmacy good medicine

good
medicine
Retail Independent Pharmacy | Celebrating Success
Steve L awrence
Community
Pharmacy
Advantage
Realizing the power
of independence.
Dear reader,
As I was sitting down to write this letter to those of you cracking the
spine of the 2014 Best Practices Guide, I thought to myself “What exactly
is a best practice?” It’s a buzzword used in industries across the globe,
but do I really know what it is? So I did what any good business leader
would do — I Googled it. Here’s what Wikipedia® told me:
A best practice is a method or technique that has consistently
shown results superior to those achieved with other means, and
that is used as a benchmark. In addition, a “best” practice can
evolve to become better as improvements are discovered.
So there I had it. It is so simple it’s genius. And it dawned on me that this
is what you do every day. As an independent pharmacist, you ensure that
your patients and your communities receive the best care every single
day. So when 40 of you submitted innovative and unique programs
and initiatives in your pharmacies we just had to share them all in this
year’s publication. These best practices define the spirit of independent
pharmacy. You define the spirit of independent pharmacy.
For almost 25 years I have been living, breathing and sleeping independent
pharmacy. There is no other healthcare provider I’d rather live, breath and
sleep for.
With that, I invite you to flip through these pages and read about the
great best practices in community pharmacy.
Steve Lawrence
Senior Vice President, Independent Sales
3
You’re invested in your pharmacy.
We’re invested in you.
We take a listening approach to meeting
your unique needs — you tell us where
you want to go and we’ll help you get
there. We support you with access to
flexible, customizable business solutions
that enable you to realize your unique
vision, expand your business and help
the people in your community live
healthier lives.
Retail Advantage
Make your store the preferred
destination for healthcare, wellness and
convenience in your community. Our
nimble solutions help you implement
retail best practices, from planograms
and point-of-purchase materials to
monthly ad programs.
Wellness Advantage
You care about your community. We
help you champion healthier lifestyles.
We’ll equip your pharmacy with the
programs and solutions to lead your
community in wellness.
Business Advantage
Our experts act as your allies in
effectively growing and managing
your business in a dynamic environment.
We support you with trusted expertise
and proactive solutions designed to
help you protect your core business —
the prescription.
INSIDE
2
Strategy to mitigate
competitive bidding
TLC Pharmacy’s solution
6
Pharmacist and RN —
more ways to
provide care
Mingo Pharmacy’s solution
8
Business Advantage
Synchronize refills, optimize
inventory, improve adherence
12
16
Wellness Advantage
Making patients healthy
Retail Advantage
Tips to expand your
front-end business
20
Boosting patient
adherence
Mac’s Pharmacy’s solution
24
Niche Markets
Listening to your
community opens
new opportunities
28
31
37
Raise your voice
Participate in the
legislative process
What do you do
when the corporate
life just isn’t for you?
You pivot: GallowaySands Pharmacy #2
Appendix
of Cardinal Health Solutions
1
2014
Top
Best
Practice
TLC Pharmacy
Joe Vargas
Mission, TX
956.583.2700
[email protected]
Years as Cardinal Health
customer — 5
Q&A
Strategy to mitigate
competitive bidding
TLC
Pharmacy’s
solution
When TLC Pharmacy saw that competitive
bidding was starting up, they strategized
and proactively built a plan to capitalize
on their ability to deliver high quality,
patient-focused care in order to continue
to meet the durable medical equipment
and supply needs of their patients.
Pharmacy Operations Manager Joe
Vargas explains TLC Pharmacy’s strategy
and approach.
Q
hat was your anticipated
W
impact of and approach to
competitive bidding?
With the roll out of competitive bidding in our area
in July of 2013, we decided to not submit a bid. As a
small provider, we knew if we were awarded a bid,
we would not be able to survive with the reduced
reimbursement rates. We understood that by not
submitting a bid, we would no longer be able to
provide certain products to Medicare beneficiaries.
This caused us to evaluate our current durable
medical equipment and supply offering, our desire
to provide high quality patient care and our ability
to sustain our business model. After really looking
at our business, we decided to focus our efforts
on other opportunities where we would still be
able to meet the needs of our patients.
We took the time to understand our patients’s
needs, our products and offerings, and our
suppliers. That is when we determined the answer
for us was focusing on the top needs of our patients
and how we can provide the greatest level of service
for them, while financially sustaining our business.
2
“We have made a commitment
to understanding our patients’
needs as well as what the market
may present to us. And we will
continue to evolve.”
Q
What was your strategy?
Analyzing our patient population, we saw that we
had a high proportion of Medicaid patients, as
well as Medicare patients who were diabetics. We
understood that some of the products that our
diabetic patients need require a higher level of
patient interaction. We offer compression garments,
enteral and nutritional products, diabetic shoes and
diabetic test strips, as well as incontinence supplies.
We understood that some of these products might
be impacted by competitive bidding, but we knew
they were complementary for the type of service
we wanted to offer — so we made sure to put our
focus there.
We are able to continue to meet the needs of
our large population of Medicaid patients, as they
remain unaffected by competitive bidding, since
Medicaid reimburses differently than Medicare.
A large focus for our Medicaid population is
enteral and nutritional and ostomy products.
We identified supplier partners who could
help us to best meet the needs of our patients.
One supplier, Independence Medical, was critical
in helping us to secure advantageous pricing
on some of our medical supplies.
Q
hat has been the impact
W
to your business?
The following steps
are advice on how
to get started in
your pharmacy:
Competitive bidding and the changes we made
has caused us to modify our business in a few ways.
We expanded our prescription delivery business
to include delivery of certain medical equipment.
We also provide incontinence supplies to adult day
cares, doubling the number of patients purchasing
incontinence supplies. We now have seven certified
diabetic shoe fitters which has helped us go from
selling one or two pairs of shoes a day to 20–30
pairs a day. These patients also pick up their diabetic
test strips and supplies when purchasing shoes.
Our patients can still get their durable medical
equipment and supplies from us, we just have a
more limited line on some of the products affected
by competitive bidding (wheelchairs, walkers,
hospital beds).
Understand the needs
of your patients
While many providers around us were closing
their doors, we were able to keep the same number
of staff, continue providing high quality patient
care and actually saw an increase in our business
(sales and patients). We anticipate that these
products — the products requiring a more personal
level of service — are less likely to be a part of
competitive bidding in the future. However, we
have learned not to get too comfortable. We have
made a commitment to understanding our patients’
needs as well as what the market may present to us.
And we will continue to evolve.
2Understand market trends
and regulatory impacts
3Understand how the
needs of your patients
align with your
organizational strengths
4Determine where you
want to be in the future,
how your patients’ needs
are met and how your
strengths are emphasized
5Determine the right
people, partners, education,
information, products and
technology necessary to
successfully implement
your future vision
3
QUICK
TIPS
What other pharmacies
are doing — security
Camelback Village Pharmacy
PROGRAM
Security best
practices
QUICK
TIPS
Phoenix, Arizona
After a recent armed robbery, Camelback Village
Pharmacy took several steps to better protect their
staff and customers. They installed a wide-angle
“fish-eye” video camera, a narcotics safe with built-in
delay, and stationary (under the counter) and mobile
(worn on the wrist) panic buttons. They also installed
a combination lock on the door between the store
and pharmacy. Camelback Village Pharmacy
implemented these ideas after attending a
Continuing Education class at RBC 2013.
What other pharmacies
are doing — making
connections
Central Utah Clinic Pharmacy
PROGRAM
Colonoscopy
prep kit
Provo, Utah
Central Utah Pharmacy developed a one-stop
colonoscopy prep kit to generate foot traffic for the
full-service pharmacy, which is located on a large
medical campus, but not in the main building.
Central Utah Clinic’s gastroenterology clinic averages
more than 100 colonoscopies a week. Today, 99 percent
of those patients stop by the clinic’s pharmacy for the
one-stop prep kit.
Dougherty’s Pharmacy-Forest Park
PROGRAM
Delivery
concierge
4
Dallas, Texas
Dougherty’s Pharmacy-Forest Park, located in a surgical
hospital, expanded its delivery to nearby office buildings.
Partnering with its insurance broker, Dougherty signed up
two companies with more than 500 employees to make
on-site deliveries during the workday. One day, during their
outreach, 140 employees got flu shots. Today Dougherty’s
Delivery Concierge program accounts for more than
50 percent of their sales.
Best practice suggestions
community
engagement
$1 Senior Breakfast
Herbst Pharmacy of Kokomo,
Indiana, partners with four other
local businesses to subsidize a
breakfast that attracts 100 to 125
seniors and caregivers to a local
event center on the first Wednesday
of every month.
One Penny Room
Jeffrey’s Drug Store of Canonsburg,
Pennsylvania, makes a conference
room in its new building available for
a penny to community groups, such
as those holding religious or weightwatcher meetings.
July 4th Extravaganza
CareFirst Pharmacy of Broken
Arrow, Oklahoma, attracts more
than 1,000 people to an annual
fireworks-viewing party that features
entertainment, food, snow-cones,
t-shirts and bouncy houses for kids
— all donated by the pharmacy
as a customer/community
appreciation event.
5
2014
Top
Best
Practice
Mingo Pharmacy
Frank Vostatek
Mingo Junction, OH
740.535.8069
[email protected]
mingopharmacy.com
Years as Cardinal Health
customer — 4
Q&A
Pharmacist and
RN — more ways
to provide care
Mingo
Pharmacy’s
solution
Pharmacists Frank and Melissa Vostatek
are expanding healthcare access in an
economically depressed steel town.
To make the business model work, Frank
went back to school to become a nurse
and may be the nation’s first pharmacist
to also practice as a Family Nurse
Practitioner. Frank explained his strategy.
Q
How did you make your
pharmacy a success in a
town of 3,400 residents?
We treat our customers as patients, not just
retail customers. This strategy is perfect for
Mingo Junction, Ohio because the lack of
access to healthcare here is extreme. There’s
nowhere to get a hot meal until the pizza
shop opens at 4 p.m. Residents depend
on the pharmacy for almost everything.
6
Q
How did you turn this into a
unique business opportunity?
I never wanted to be anything but a pharmacist.
Pharmacists have a wide scope of practice, but
unfortunately Medicare doesn’t currently consider
pharmacists as “providers.” Pharmacists can do a lot
of great stuff, but we can’t bill for it. That’s a hurdle
for a pharmacist like me who wants to practice at
a different level. I had to find an original solution
to a regulatory problem.
Explain what you did. I became a nurse. I went
back to school and got a bachelor of science in
nursing. I am now a registered nurse. In addition,
I’m finishing a master’s in nursing science and will
be a Family Nurse Practitioner (FNP) this summer.
I will be the only registered pharmacist in the
country who is also a FNP, as far as I know.
I also have an M.B.A.
Q
Was it hard to become a nurse?
As a pharmacist, I already had much of the
scientific knowledge needed. I attended Kent
State University, which is two hours away, because
they had a program that let me get a Bachelor of
Science degree in 18 months, going one or two
nights a week plus a clinical day. When I realized
I could finish my master’s in nursing in another
18 months, I decided to go for it. I did that through
Kent State’s online courses and Franciscan
University of Steubenville.
“Mingo Pharmacy is filling
nearly 300 prescriptions a day
and looking at double-digit
growth well into the future
because of the changes we’ve
been able to make.”
Q
Q
Q
Q
How does a nursing license
help you as an independent
pharmacist?
As a registered nurse, I can administer every
injection, not just ones allowed by boards of
pharmacy. As a Family Nurse Practitioner, I will
be able to provide continual and comprehensive
wellness and illness care to children and adults
through disease management, health education
and preventative services. In coordination with
a doctor, I will be able to write prescriptions
after a thorough medical analysis.
How are you leveraging your
nursing license at your pharmacy?
I’m adding 1,300 square feet to our pharmacy,
doubling its size. We’ll have four patient suites,
up from just one now. We’ll provide a broad
range of urgent care services. Also, the clinic
hosts a physician once a week for a Suboxone
clinic, serving a big need in our area.
How do you grow a pharmacy-clinic
in a small town?
The key is to build relationships in your community
— with schools, businesses and patients. We’ve
given more than 1,000 flu shots over the last two
years to faculty and staff at schools on-site. Schools
account directly for one-fifth of our flu shot business
and another one-fifth indirectly from spouses and
children. Because I’m a RN, there’s no restriction on
the age of patients who can get a flu shot from me.
o you see yourself mainly
D
as a nurse or a pharmacist?
I definitely see myself as a pharmacist. Being
a pharmacist is what I love. Mingo Pharmacy
is filling nearly 300 prescriptions a day and looking
at double-digit growth well into the future because
of the changes we’ve been able to make. But our
community needed me to practice pharmacy in
a different way. If that means becoming a nurse,
so be it. Innovation occurs in unexpected ways.
The following is advice
on how to get started
in your pharmacy:
Think of your business
as providing access to
healthcare, not just as a retail
pharmacy. We offer free blood
pressure, heart rate, weight,
pulse oximetry and blood
sugar checks every day at the
pharmacy and on Wednesday
mornings at the senior center.
I take flu and pneumonia
shots with me. While there,
I identify patients for Zostavax
(a shingles vaccine) and have
a test claim run for their copay.
7
Business Advantage
Brad Tice, PharmD, MBA, FAPhA
Director, Marketing and Product Management, Cardinal Health
Billions of healthcare
for health plans. There are six
retail independent pharmacies. This
dollars are spent
pharmacy-related measures that
solution suite includes Medication
addressing issues around
impact Medicare Part D plans, and by
Therapy Management, the EQuIPP™
medication non-
contributing to higher Star Ratings
dashboard, the Compliance
adherence and many have identified
for plans, a pharmacy can potentially
Management Service and the
the need for adherence and
qualify for more narrow networks.
HIPAA Support Program.
these issues. In light of these facts,
In response to the CMS Star Ratings
Below are examples of pharmacies
the United States healthcare system is
and their impact on community
who have seen the advantage of
changing from providing transaction
pharmacy, Cardinal Health has
inventory optimization, often from
based incentives to value based
created a suite of solutions that
synchronizing a patient’s refills to
purchasing. This change is most
address medication adherence,
one day each month. Synchronization
evident in the implementation of the
pharmacy quality and integrity
and inventory management can
Centers for Medicare and Medicaid
and compliance. Reach for the Stars
deliver game-changing results in
Services (CMS) Star Ratings metrics
solutions are available to affiliated
patient adherence.
compliance programs to focus on
8
9
Business Advantage
Synchronize refills, optimize inventory,
improve adherence
The below pharmacies have enjoyed productivity gains from inventory optimization,
often by synchronizing a patient’s refills to one day each month. The Business Advantage
is powerful. Synchronization and inventory management can deliver game-changing
results in patient adherence and store profitability.
Billions of
healthcare dollars
are spent addressing
issues around
medication nonadherence and many
have identified the
need for adherence
and compliance
programs to focus
on these issues.
In light of these
facts, the United
States healthcare
system is changing
from providing
transaction based
incentives to value
based purchasing.
Westlake Drug
Westlake Drug in Portage, Michigan, combined the power
of Cardinal Health Inventory Manager (CIM) and the store’s
pharmacy benefit manager to push annual inventory
turnover to 16.5 days. The national average for prescription
drug inventory turnover is 12.6 days, according to the 2013
NCPA Digest. CIM performs audit counts and sets reorder
points. An SRS pharmacy management system shows the
prescription needs of patients. Pharmacist Derek Quinn
harmonized the data in an Excel spreadsheet.
The Medicine
Shoppe, Benson, AZ
Medicine Shoppe 1569 in Benson, Arizona, started a
medication synchronization program in 2010 that now
covers 350 patients and 1,400 prescriptions per year. In
Sync My Meds, a technician helps patients pick a monthly
“sync date.” One week before this date, the tech reviews
the list with the patient and the store orders what it needs.
Results have been amazing. Annual inventory turnover
rose from about 14 days to more than 20 days. The store
returned $8,000 worth of inventory. Labor needs shrank
because calls and fulfillment were done during slow times.
“We’ve gone from a demand pharmacy to more of an
appointment pharmacy,” says pharmacist Marla Trepanier.
10
Family Pharmacy
Family Pharmacy in Vidor, Texas, used the 80/20 principle —
80 percent of volume comes from 20 percent of customers — to
start synchronization. The pharmacy ranked customers by the
number of medicines taken and started at the top — a patient taking
27 medicines per day. Based on these changes their prescription
volume is up 25 percent among synchronized patients. Delivery
uses one less gas fill-up a week. Adherence? Before syncing, patients
failed to take medicines eight days per month on average; since
syncing, that’s fallen to 2.5 days. “Patients are feeling much better,
and we are filling more of their prescriptions,” says owner
$1.3M
The Audit Assistance
team helped retail
independent pharmacies
prevent $1.3 million
from being recouped
during third-party payer
audits in 2013.
David Haney.
Mac’s Pharmacy
Mac’s Pharmacy in Knoxville, Tennessee, has two synchronization
offerings. MediSync™ provides synchronization free to all patients.
MediSync Plus™ costs $10 per month to cover the cost of special
Dispill® packaging that organizes up to a month’s worth of
medication in a color-coded package. Adherence is 91.9 percent
in MediSync™ and 96.7 percent in MediSync Plus™.
Pharmnet
Pharmnet of Winona, Mississippi, uses synchronization for its ultralow inventory model. The majority of the pharmacy’s business is
from delivery, serving 18 rural counties from a 350-square-foot office.
“I’m not in the warehouse business,” says owner Stanley Devine.
“Cardinal Health delivers every day.”
Dougherty’s
Pharmacy-Forest Park
Dougherty’s Pharmacy-Forest Park, located in a surgical hospital
in Dallas, Texas expanded its bedside pharmacy business to nearby
hospitals. Because surgical hospitals operate on a regimented
schedule, Dougherty’s enjoys considerable ability to manage
inventory and staffing, Dougherty’s president Andy Komuves says.
41%
Customers
prevented 41% more
money from being
recouped compared
to customers who
did not use Audit
Assistance during
an audit.
$1.2M
2013 MAC value
was $1.2 million.
50%
By 2018 specialty
drugs are projected
to represent 50% of
all drug sales.
The Business Advantage of adherence, inventory management
and synchronization comes in many forms.
Sources: Cardinal Health; Prime
Therapeutics published whitepaper
of internal data
11
Wellness Advantage
Mark Pilkington, MS, RPh
Vice President, Strategic Sourcing and Product Management, Managed Care, Cardinal Health
The healthcare system
pharmacists will play a critical role
disease state screenings for issues
in the United States has
in the delivery of accountable
such as diabetes and hypertension.
been evolving at a
patient care.
In order to generate enough revenue
tremendous pace
The transformation of pharmacies into
to sustain and expand this model,
towards an environment rewarding
accountability for the outcomes of
patient care. As the expectations
of the healthcare system transform
the pharmacist from a dispenser
of medications to the role as a
healthcare professional, pharmacies
will become a healthcare destination
in the community. Going forward,
12
a healthcare destination will require
pharmacies must focus on a broad
a series of wellness offers in order
range of these wellness offerings.
to provide economic critical mass.
Our healthcare system will
Customized to local market demand,
challenge every provider to offer a
pharmacies will offer a mix of patient
value proposition and community
care services including, but not limited
pharmacies have the opportunity
to Medication Therapy Management
to create that value as a healthcare
(MTM), immunization services for
destination in their communities.
vaccinations and travel needs and
13
Wellness Advantage
Making patients healthy
The Best Practices featured here demonstrate your peers pursuing innovative strategies that
implement wellness offerings into their pharmacies to give themselves a competitive advantage
within their communities. Pharmacies like these and yours have the unique opportunity of aligning
core values of treating patients and becoming stewards of a healthy community.
The healthcare system
in the United States
has been evolving at
a tremendous pace
towards an environment
rewarding accountability
for the outcomes of
patient care. As the
expectations of the
healthcare system
transform the pharmacist
from a dispenser of
medications to the role as
a healthcare professional,
pharmacies will become
a healthcare destination
in the community.
Barney’s Pharmacy
Barney’s Pharmacy in Augusta, Georgia, advocates wellness
on a grand scale. Every year, the five-store pharmacy holds
a large health fair inside its flagship store. Last year, 50
vendors bought space and more than 400 visitors checked
out healthcare products and services. “The event has
brought countless people into the store who were not
Barney’s customers but ended up transferring prescriptions
after seeing what we have to offer,” says owner Barry Bryant.
Waterfront Family
Pharmacy
Waterfront Family Pharmacy in Morgantown, West
Virginia, took wellness into its community with the help
of a new Community Pharmacy Residency Program, in
conjunction with West Virginia University. The pharmacy
resident focuses on community wellness: health screenings,
education, Medicare Part D enrollment sessions and
vaccination clinics. This helps both the community and the
pharmacy. In seven months, enrollment in the pharmacy’s
diabetes management program increased 30 percent and
flu shots soared 160 percent.
14
45
annual prescriptions
A heart disease
patient fills an average
of 45 prescriptions
annually and spends
69 percent more in a
pharmacy than nonheart disease patients.
Newport Lido Pharmacy
When surfers asked where to get yellow fever vaccinations so they
could attend international competitions, pharmacist Gerard Rivera
decided to make his pharmacy the answer to that question. He
created a wonderful niche business in the process.
Newport Lido Pharmacy’s Travel Clinic now serves the many world
travelers in his affluent beachfront community — from surfers to
retirees to student medical missionaries attending Loma Linda
University. The pharmacy has a sign on the door, but most business
comes by word of mouth. The pharmacy obtained a special license
to provide yellow fever vaccines in California and established a
relationship with a doctor in its building to smooth the process
of getting the proper prescriptions.
Mingo Pharmacy
Pharmacist Frank Vostatek is the all-purpose wellness leader in his
3,400-resident hometown, Mingo Junction, Ohio. Frank, a registered
pharmacist, went back to school to become a registered nurse and
a Family Nurse Practitioner. He’s expanding a one-suite clinic into
a four-suite wellness and clinical care center at his pharmacy. “The
biggest wellness need in my town is access,” Vostatek says. “I want
to deliver that.”
4X
Adults with diabetes
are two to four times
more likely to have
heart disease or a
stroke than adults
without diabetes.
$40B
Immunization and
vaccination global
market is predicted
to be a 40 billion
enterprise by 2015.
30%
Americans that
develop shingles
at some time in
their lives.
Source: Rx Impact Medical Expenditure
Panel Survey 2008, NACDS Economic
Department; cdc.gov
15
Retail Advantage
Shaun Young
Vice President, Consumer Health, Cardinal Health
16
Healthcare in the
When your patients and other
competitive pricing, the consumer
United States is changing.
consumers enter your store, it is vital
experience and an efficient supply
The role consumers play
to provide them with products and
chain — will position you and your
in healthcare is changing.
solutions which encompass their
business to succeed.
The role you play, as an independent
entire healthcare needs. There are
pharmacist, with your patients
a number of ingredients needed
and within your community is
to build a successful front-end for
changing. How you respond to that
your pharmacy, and there are many
change will impact your patients
different combinations of these
and your business. Cardinal Health
ingredients which will fit your business
has responded. Cardinal Health is
model and your patients. The blending
transforming our retail solutions and
of these ingredients — including store
offerings to help you serve today’s
operations, ordering systems, financial
consumer and grow your business.
tools, merchandising, marketing,
Cardinal Health has the retail
experience, supply chain excellence,
and front-end solutions which will
transform your store to a healthcare
destination and position you to be
the healthcare provider of choice
for your patients.
17
Retail Advantage
Tips to expand your front-end business
The best-practice pharmacies below are finding innovative ways to pivot toward
opportunities that leverage a store’s retail advantage, including reputation, unmatched
knowledge of its market and an ability to adapt quickly to changing customer desires.
While the very best front-end strategy depends on the unique opportunities presented
in a particular market, this year’s best practice nominees are innovators within their
communities to provide a rich inventory of retail ideas to power front-end growth.
Independent
pharmacists
maximize their retail
advantage when
they find unique
opportunities to
generate foot traffic
that complement the
pharmacy business.
“We owe it to our
customers to stay
with the times,” says
Miles Bailey of bestpractice nominee
Loris Drug Store in
Loris, S.C.
Loris Drug Store
Loris Drug Store, a traditional small town, Main Street
pharmacy, re-invented its gift shop to meet the unique
needs of local shoppers and to introduce a new segment
of customers to the pharmacy. Bailey remodeled the stores,
front-end to emphasize his town’s southern charm and
updated inventory to include trendy items, such as Heybo,
Duck Commander, Ginger Snaps, and Tervis Tumblers®.
This resulted in the gift section revenue soaring above
$350,000 annually.
Bailey has created attention-grabbing window displays
that have incorporated vintage collectibles. Bailey’s talent
for merchandizing and using social media has not gone
unnoticed. He was recognized as “Merchant of the Year”
by the Loris Chamber of Commerce.
Hobbs Pharmacy
Hobbs Pharmacy in Merritt Island, Florida, is redesigning
and featuring an advanced wound care section in the
front-end of their store. This innovation will make Hobbs
the go-to retail place in its community for these higherend products, helping to differentiate the store. Working
with Independence Medical and Cardinal Health, Hobbs
is creating a 12-foot planogram with signage to show
customers the right products for different stages of
wound care. A motorcycle accident victim alerted the
store’s owners of the need to better educate the retail
consumer on wound care products.
18
74%
of viewers think
product ads are more
believable when
viewed in a pharmacy.
TLC Pharmacy
TLC Pharmacy pivoted to high-touch medical products after
Medicare started competitively bidding durable medical equipment.
Instead, they started focusing on a popular, profitable product in
diabetes shoes. The store now has seven certified fitters and sells
49%
of PHN viewers are
open to discussing a
product/brand with
their pharmacist.
as many as 30 pairs of diabetes shoes daily. “Business is growing
every day,” says Joe Vargas, co-owner.
10,000
people who reach the
age of 65 every day in
the U.S.
12.9%
The elderly account
for 12.9% of the
U.S. population,
but consume
approximately
34% percent of
total prescriptions.
Sources: American Society of Consultant
Pharmacists Fact Sheet; DeciBio Durable
Medical Equipment: U.S. Market Size,
Segments; Bain Alternate Care Study
for Cardinal Health, 2011; 2013 Nielsen in
store study at PHN™ enabled locations.
19
2014
Top
Best
Practice
Mac’s Pharmacy
Mike and Mac Wilhoit
Knoxville, TN
865.524.3453
www.macspharmacy.com
Years as Cardinal Health
customer — 21
Q&A
Boosting patient
adherence/pharmacy
revenue
Mac’s Pharmacy
synchronization
solution
Q
How does your program work?
Mac’s Pharmacy in Knoxville, Tennessee
created a synchronization and packaging
program that greatly improved medication
adherence, especially among elderly
patients. Pharmacist Mike Wilhoit explains
how his four-store family business found
an opportunity in adherence.
Q
Q
How was your innovation born?
In 2009, we saw a need to synchronize
medicine schedules and use packaging to
take the guesswork out of taking prescription
drugs. The need was especially great for
patients treated at home for chronic conditions.
Of those patients being treated for chronic
conditions, clinical trials show average
adherence rates of 43–78 percent.
20
We use MediSync™ which is our medication
management service to manage our adherence
program. Under MediSync™ the pharmacy takes
full control of a patient’s medication management
by handling refills, prior authorizations and
medication changes. Each patient is assigned a
Mac’s Pharmacy MediSync™ Coordinator who calls
each month for pill counts to check adherence and
to go over all of the patient’s medication needs.
Participants in this program get their maintenance
medications filled on the same day each month.
The routine is convenient for patients and
maximizes efficiency at the pharmacy.
How did you change patient
behavior at home?
We’ve changed behavior through our packaging.
We knew there had to be a better way of packaging
drugs than traditional Rx bottles. For an additional
small monthly fee through our MediSync PLUS™
program we package their medications through
Dispill®, a multi-dose packaging solution. Dispill®
organizes up to a month’s worth of medicine into a
single package. Color codes simplify the schedule
and our Mac’s Pharmacy MediSync™ Coordinator
takes the time to explain how to use this packaging
to achieve maximum benefits. Using Dispill® helps
patients know what to take and when. We’ve
actually received written thank you notes from
family members. One woman was near tears
when thanking us for helping her mother.
“When we started, we didn’t
have any long-term business.
Now, we have a separate
pharmacy dedicated to that
business, serving 10 communities
and growing.”
Q
Q
Q
Q
Q
How is the packaging done?
We started with a packaging system that was
labor intensive and not as user-friendly. Then, we
found the Dispill® system. It’s fantastic! Our staff
required almost no training other than watching
a five-minute video. It lowered the cost of
providing the service to our patients dramatically
and allowed us to do compliance packaging at
each of our stores.
How did Dispill® affect adherence?
A pharmacy resident designed a study to measure
the adherence level of our patients. He measured
proportion of days covered, based on a 30-day
medication cycle. In the study of 51 patients, those
enrolled for 90 days or more had a 91.9 percent
adherence rate in MediSync™ and 96.7 percent
in MediSync Plus™, compared to clinical trials
showing typical adherence rates of 43–78 percent
for chronic conditions.
What are the business implications?
That level of compliance means six more refills in
a calendar year. MediSync™ also has helped us
partner with home health care providers, assisted
living facilities and nursing homes. When we started,
we didn’t have any long-term care business. Now, we
have a separate pharmacy dedicated to that business,
serving 10 communities and growing.
What challenges have you overcome?
Medicare and Medicaid don’t pay for packaging.
MTM has a billing code that can be used once to start
the service. We charge patients $10 per month for
MediSync Plus™, roughly breaking even when labor
and material are considered.
How have your marketed MediSync™?
We’ve marketed our program through flyers, brochures
and sample packs provided during counseling sessions.
We also hired a marketing representative to explain
the program to physicians, nursing agencies and other
healthcare providers. Word of mouth is what turned
the corner for us. Providers began reaching out to us
to enroll patients. Also, the first month of MediSync
Plus™ is free so people can see its benefits. Customers
are amazed at what they get for $10.
The following is advice
on how to get started in
your pharmacy:
Do it! There are so many
resources that can assist you
with basic synchronization.
All you need is a computer
and the ability to download
software. You can start in 10
minutes. At first, our program
was very labor intensive, but
it’s become simplified and
efficient over time. I know
pharmacy owners have a lot
on their plate. If someone
thinks, “I just don’t have the
time,” I suggest identifying
a program leader for it at
your pharmacy. You can
synchronize prescriptions to
the slower parts of the month,
adding volume without
adding labor.
21
QUICK
TIPS
What other pharmacies are doing — technology
Medicine Shoppe #708
Sherman, Texas
PROGRAM
RxSafe
After suffering a break-in, Medicine Shoppe #708
owners Jana and Randy Bennett bought the RxSafe
system to improve security. The decision paid off.
RxSafe cost the pharmacy roughly the same as a
part-time technician, yet it improved workflow
enough to reduce the need for technician labor
by 45 hours.
Medicine Shoppe #1096
PROGRAM
CIM your way
Hobbs Pharmacy
PROGRAM
Meds OnCue
Tablet-based
ordering
22
Pharmacist Yehia Aryan maximized the power
of Cardinal Health Inventory Manager (CIM)
by using more of its features. For example,
all drugs that are ranked A and B by CIM
should be ordered every two weeks. This
keeps the 70 or 80 most used drugs in stock
at all times while reducing staff time spent
stocking shelves. As a result, the pharmacy
decreased waste from outdated medicines
and improved cash flow.
Merritt Island, Florida
Hobbs Pharmacy provides patients with Quick
Response (QR) codes on all prescription labels
so that patients or caregivers can access
medication specific videos and other features
anytime on their smart phones. Pharmacy
management system Rx30 redesigned their
system to print the QR codes on the labels. VUCA
Health provides the content for the videos from
its information library. Hobbs has received great
feedback from the program especially from
moms learning about antibiotics for their children.
One of the features Hobbs is excited about is the
ability for patients to receive text reminders for
doses and refills, helping improve adherence.
Miller Drug
PROGRAM
West Hartford, Connecticut
Bangor, Maine
Miller Drug’s two-person IT staff tweaked
a Samsung Galaxy tablet and blue-tooth
commercial scanner to work seamlessly
with Order Express. The tablet-based system
lets employees go up and down aisles
reordering without going back to Order
Express or downloading an order through
a telzon unit.
Gillespie’s Drugs
PROGRAM
Facebook
contest
Caldwell, Ohio
In an effort to boost the pharmacy’s social
networking presence, the pharmacy raffled
off an iPad mini to people who “liked” and
“shared” the pharmacy’s Facebook page.
This resulted in their Facebook followers
growing from 100 to 1,100 in two weeks and
the post had over 40,000 hits! Now, for free,
the pharmacy delivers promotions, such
as a Yankee Candle sales, Flu Shot Clinics
and over the counter specials to a receptive
Facebook audience who see the information
immediately. Many times such a promotion
will get 700 views in just a couple of hours.
Facebook also offers the ability to “boost”
a post to a target audience for as little as
$10; this puts your post on the top of your
audience’s newsfeed. Facebook provides
helpful demographic info, such as age,
gender and zip codes of viewers, says
the pharmacy’s Kyle Huck.
“We worked with Dean
Lawyers to make sure
physicians can grant
pharmacists authority and
to draft the documents
to change therapeutically
equivalent drugs with patient
consent. It turns out in
Wisconsin, physicians can do
this. It would be nice if every
state gave this authority.”
Brian Apel
Dean Pharmacy
“People tend to shop more
when they get something
back in return.”
Eric Haas
Doc’s Drugs, Vice President of Marketing,
on loyalty programs
“Facebook advertising is easier
and more effective than most
pharmacies realize. You can
tell immediately how many
people saw a promotion and
what town they’re from. And
it’s free.”
Kyle Huck
Gillespie’s Drugs, Director of Operations
23
Niche
Markets
Niche markets and niche
products are powerful ways
to make your store more
successful. It’s not one size
fits all, it’s taking time to
listening to your community
and then responding. Learn
from your peer’s creative
examples and you can
achieve remarkable results.
.
24
Listening to your community
opens new opportunities.
Dean Clinic
Pharmacy
Madison, Wisconsin
PROGRAM
Collaborative
practice
therapeutic
substitutions
As a retail pharmacy that’s part of a large,
physician-led health system and insurer,
Dean Clinic Pharmacy created a program that
lets the pharmacy substitute dose-equivalent
formulary drugs for those outside the
formulary. The program covers 15 therapeutic
classes, including nasal corticosteroids,
proton-pump inhibitors, angiotensin II receptor
blockers, SSRIs, statins, triptans and fibrates.
The goal is to create a niche that makes the
pharmacy a center of pharmaceutical cost
effectiveness in the health system.
Zale Drugs
Warsaw, Indiana
PROGRAM
Bio-identical
Hormone
Replacement
Therapy
(BHRT)
This classic hometown pharmacy
provides BHRT to restore needed
hormones to menopausal women. Pharmacist
Becky Shroyer built the BHRT niche and a
larger compounding business through her
passion and commitment. She has worked
with the physicians of hundreds of patients
to treat them with BHRT. Patients complete
a five-page medical history for a consultation
costing $75 for an initial visit and $35 for a
follow-up. Zale Drugs charges $140 for a
basic hormone panel that tests estradiol,
progesterone, testosterone, DHEA and
morning Cortisol levels and $200 for more
sophisticated monitoring. “Most doctors
don’t have time to deal with this — and
don’t want to,” Becky Shroyer says. With
the program, Zale’s has experienced
improved customer retention and success
in cross-selling vitamins.
When a patient presents a prescription that
is not in the formulary or more expensive than
a formulary drug, the pharmacist discusses the
change with the patient and makes the switch
if the patient agrees — all without going back
to the physician. The health system’s physicians
signed forms in advance providing the
pharmacists legal authority to make these costeffective changes. These changes have resulted
in $10,000 in savings during one month for
Dean Clinic Pharmacy’s insurer, plus savings
of $4,500 for their patients.
25
Listening to your community
opens new opportunities.
Niche
Markets
26
PROGRAM
Care through
compounding
Welcare Pharmacy
San Marcos, California
Pharmacist Claire Vo, a cancer survivor, started a new pharmacy
and compounding business specifically to tailor products and
services closely to the needs of patients. Using compound
topical creams to help patients reduce dependence on narcotic
drugs has become an especially important and successful niche
within her compounding business.
In collaboration with doctors, she helps create individualized
treatment plans that use compound topical creams to wean
patients off painkillers. This has resulted in increased referrals
and improved customer retention at her pharmacy, all while
fighting prescription drug abuse.
PROGRAM
Prescription
drug
awareness
Greenbrier Medical Arts Pharmacy
Lewisburg, West Virginia
Greenbrier Medical Arts Pharmacy took its knowledge and influence into the
local school system to fight an increase in the abuse of illegal and prescription
drugs among youths. For seven years, the pharmacy has partnered with the
local police department to educate middle school students about the potential
dangers of all drugs, including over-the-counter medications.
In its first year, the program focused on eighth-graders. The pharmacy decided
that was too late to start, so it successfully tailored the program to seventhgraders. According to the school reporting system, the number of school
incidents related to drugs has fallen since Greenbrier started their program.
Medicap
Pharmacy 8142
Burlington, North Carolina
PROGRAM
Menopause
Mondays
“Hot Flashes? Night sweats? Insomnia?” This powerful advertising
copy invites women to a free Menopause Monday seminar at the
Medicap Pharmacy. Held every three months, Menopause Monday
boosted the pharmacy’s compounding business, including an
existing BHRT service.
By making recommendations to a patient’s physician on the best
BHRT compounds to use for a patient, a Medicap pharmacist helps
patients who don’t benefit from traditional therapy. Menopause
Monday has increased the pharmacy’s total compounding
business and lifted the number of patients sticking with the
therapy and coming in for follow-up consultations.
Raise your voice
28
Participate in the
legislative process
Now, more than ever, community pharmacists must raise their voices and participate in the
legislative process. Issues such as Medication Therapy Management (MTM), reimbursement rates
and the implementation of healthcare reform are on the minds and desks of policy makers in every
state and in our nation’s capital. As state and federal policies evolve, retail independent pharmacists
like you can make a difference. Here are some suggestions on how you can get involved:
Find out who represents you
From a state and federal level it’s important
to know who your representatives are.
Visit an elected official
A key goal in advocacy is to develop a
long-term relationship with your legislator. A
personal meeting, ideally while your legislator
is at home in the district, is the best way to build
that relationship and communicate your views
on an issue. After a face-to-face meeting with
your legislator, follow-up communications are
even more effective.
Call your elected official
Telephone calls have the benefit of immediacy.
While the need to be brief works against
providing much supporting information,
telephone calls are most effective when time
is short.
Write your elected official
Another effective way to communicate your
concerns with your elected official is by writing
a letter. Phone calls are the quickest method of
communication, but unless your elected official
is available to speak with you, your concerns will
be relayed to him or her through a staff member.
In this way, neither your message nor your
personal touch reaches your legislator directly.
Host a meet and greet
A meet and greet is an event that a pharmacy
hosts with other pharmacists to exchange views
with legislators on issues of concern. A meet
and greet provides the pharmacy community
with an opportunity to develop relationships
and discuss issues with individuals who are
in positions to make decisions affecting
your pharmacy.
Conduct a pharmacy tour
Often your Federal legislator is in his or her
district office during congressional recesses,
which are especially good times to schedule
a pharmacy tour. Visits by legislators to your
pharmacy are an effective way for you and
your staff to build relationships with legislators.
Pharmacy tours illustrate first-hand how your
processes relate to legislative issues.
Check out the Cardinal Health
Legislative toolkit for more tips
on how you can get involved
in the legislative process.
legislativetoolkit.com
What makes someone
a healthcare expert?
Take a brilliant mind
and add education
and experience.
Mark Pilkington,
MS, RPh
John Fiacco, RPh
Ron Clerico, R
Ph
Retail
Vice President,
gy
te
Marketing Stra
ah o u ,
Elie M. B BA
,M
PharmD
Meet our Experts
on Essential Insights
cardinalhealth.com/
pharmacyexperts
›
dent,
Vice Presi
Care and
M ana g e d
ent
Developm
Business
bout
A sk me a
ain
PBMs, ch
ac y
ies; pharm
c
pharma
within
benefits
, Medicaid
Medicare
mercial
and com
an d
markets;
nit y
g commu
in
g
levera
y as a
pharmac
asset.
strategic
t
Ask me abou
orks,
Preferred netw
acy,
m
specialty phar
alth
population he
and
management
re
Ca
e
bl
ta
Accoun
.
ns
io
Organizat
Vice President,
Pharmacy Operations
Management, Medicine
Shoppe, Independent
Sales and Sales
Operations
Department
Ask me about
MTM, medication
synchronization,
pharmacy
accreditation and
the business of
Vice President,
Strategy Sourcing and
Product Management,
Managed Care
Ask me about
Leveraging community
pharmacy as a strategic
asset; pharmacy
benefits within
Medicare, Medicaid and
commercial markets.
Brad Tice, Pha
rmD,
MBA, FAPhA
Director, Marke
ting and
Product Manag
ement,
Performance an
d
Clinical Outco
mes
Ask me abou
t
MTM, PHM, m
anaged care,
CMS Star Ratin
gs, pharmacy
clinical services
, outcomes
measurement
and quality
measurement.
independent
pharmacy.
A variety of perspectives,
a wealth of experience.
Only at Cardinal Health.
29
High fives, hugs
and healthy food
Simple changes in everyday living make all
the difference to help a child be healthier,
more resilient and smarter.
Cardinal Health is going upstream … helping children develop to their fullest
potential and, long-term, reducing chronic diseases.
We are all aware that how we live our lives and how we raise our children
makes a big difference in our long-term health. The exciting news is there is
new science that confirms access to good nutrition, creative play and caring
adults not only lead to better health but also shape a child’s personality and
helps them to be more resilient, and more successful in school. Even more
encouraging — it is never too late to begin.
Good4Growth is a new partnership between the Cardinal Health Foundation,
American Association of Pediatrics, American Dairy Association Mideast,
and Action for Healthy Kids that gets this new science, put into very simple
language, into the hands of everyday people. Good4Growth includes practical
tools and tips to help anyone who touches a child’s life give that child a great
start. We invite health care providers, dietitians, pharmacists, the business
community to help spread the word in local communities.
Visit Good4Growth.com to
Visit good4growth.com
more. the
get the tools,to learn
share
story, and be part of a
movement for kids.
Our Partners
30
What to do when...
the corporate life just isn’t for you?
You pivot: Galloway-Sands Pharmacy #2
When a local independent pharmacy was being
The team leveraged their existing name
purchased by a chain, business partners Joey
that was well known in the community and
Galloway and Kevin Sands saw an opportunity
Galloway-Sands Pharmacy #2 opened its doors
to pivot. The business partners developed
in January 2013. Brad handpicked a staff of
their plan for opening a second independent
experienced pharmacy technicians and cashiers
pharmacy location in Southport, North Carolina
who go above and beyond to take care of their
with Brad Narron as the lead pharmacist. Brad
patients. One month later, the pharmacy had
was previously the pharmacist at the pharmacy
858 patient profiles and averaged more than
that was bought out by a chain and he wanted
100 scripts per day; they just recently filled over
to stay close to his long-time customers. While
200 scripts in one day. One thankful customer
they were working on opening the store,
made the pharmacy a bench for the front of
there were several community members
the store. Brad explained his switch to the
(roughly 20 in one day) who were anxious to
local newspaper: “It’s (about) the latitude and
continue having their prescriptions filled by an
freedom to do things the way you think they
independent pharmacist and stopped by to ask
ought to be done and taking care of people
when they could start getting their prescriptions
the way you want to.”
filled at the new pharmacy.
“It’s (about) the latitude and freedom
to do things the way you think they
ought to be done and taking care of
people the way you want to.”
Brad Narron
Lead Pharmacist
31
“The goal of improving the
security of a store is not
to have perfect security.
That’s impossible. The goal
is to make the store as
difficult a target as possible,
encouraging criminals
to go elsewhere.”
Dennis Meyers
Camelback Village Pharmacy, Pharmacist
“Remember the caretakers!
They work hard and are an
important connection to
your elderly customers. We
make sure they know they’re
welcome at our
$1 Senior Breakfasts.”
Craig Bone
Herbst Pharmacy, Pharmacist
32
QUICK
TIPS
What other pharmacies are doing — marketing
Andrews Pharmacy
PROGRAM
The delivery
truck as
billboard
Shelbyville, Kentucky
When Matthew and Morgan Andrews opened
their two pharmacies, they realized that not
only would their delivery service set them apart
from the competition, but it would also be the
most effective and efficient way to advertise in
the community. They wrap each of their Nissan
Cubes to look like old fashioned delivery trucks
and advertise the pharmacy’s name and contact
information on delivery runs.
PROGRAM
A personal
touch
Arrow Prescription Center #17
Healthy hands
An apothecary style pharmacy located in a
medical office building between two trauma
hospitals, Arrow Prescription Center #17 gives
away one-ounce hand sanitizer clips and
offers free refills. The clip-on sanitizers provide
customers with access to “healthy hands”
when and where they need it. It’s a great for
advertising, because customers and hospital
workers attach the clips to their lab coats,
backpacks and purses.
Happy
Valentine’s
Day!
Kuna, Idaho
Every year, pharmacist Travis Walthall puts
on a tuxedo and personally delivers 500
roses to physicians’ offices and a local senior
center. “Nurses usually say thank you for
weeks or months afterwards when they
call in prescriptions,” he says.
When Rajesh Chotalia was a child, his mother
had medical problems, including Angina. He
wanted to be able to help his mother but didn’t
know how, so he decided to study medicine
and eventually became a pharmacist. His
mother inspired him to take care of the mothers
of the world as well as all human beings, and
that is exactly what they do as a team at Roger’s
Professional Pharmacy.
Ross Drugs
Custom Rx Pharmacy
PROGRAM
Chicago, Illinois
Bolstered by his mother’s advice, Rajesh’s daily
goal is to assist his patients in achieving a better
quality of life. Rajesh has found that simply
greeting his patients with a positive attitude
can completely change his patients’ day for
the better. For example, Rajesh personally calls
every customer on his or her birthday. More
specifically, for more than a decade, he’s made
five to 10 calls per day to reach his nearly 1,500
to 2,000 customers in one of Chicago’s poorest
neighborhoods. “This personal touch, letting
them know I care, goes a long way,” he says.
Hartford, Connecticut
PROGRAM
Roger’s Professional
Pharmacy, Inc.
PROGRAM
New customer
competition
Mt. Sterling, Kentucky
Ross Drugs found a creative way to encourage
their employees to find new business by paying
them. Employees get the first month’s profit
for all new patients they bring in. Every month,
an extra $100 bonus is awarded to the staffer
who brings in the most business. For winning
a large facility, such as a nursing home,
employees get a $1,000 bonus, plus the first
month’s profit from prescriptions.
33
Reach for the Stars:
Pharmacy Performance, Quality and Outcomes Metrics
Lead
the way.
CMS Star Ratings
With the future of pharmacy
heavily dependent on the
Centers for Medicare and
Medicaid Services (CMS) Star
Ratings attached to Medicare Part
D plans, it’s more important than
ever for you to prove the quality
of your pharmacy.
That’s why we’ve developed a comprehensive
set of solutions designed to help you stay
compliant and not get left behind. We’ll
provide the support you need while you
maintain your focus on your patients, enabling
you to be a distinguished health destination
for your community.
34
Understand pharmacy performance
with EQuIPP™ dashboard
This user-friendly, performance-benchmarking
dashboard not only helps you track and measure
your performance, but also connects your
pharmacy to relevant information and tools to
help you succeed. It’s a way to measure your
overall performance against CMS measures
and gain access to more narrow networks.
Improve performance and
medication adherence
with Medication Therapy
Management (MTM) Solution
As an extension of your pharmacy team, we’ll
work with your patients to help ensure they are
complying with their medication regimen. We’ll
handle the paperwork and documentation while
you maintain your relationship with the patient.
With three of the measures within Star Ratings
based on adherence, MTM plays an important role
in improving the performance of your pharmacy.
Comply with CMS Standards
through ACPE-accredited training
on our online Learner Community
A partnership between Cardinal Health and
LearnSomething Inc., Learner Community
is a one-stop shop for accredited courses
and training accepted by all third-party
payers and necessary for compliance.
Maintain HIPAA compliance with
our HIPAA Support Program
Compliance requirements are always changing.
Our HIPAA Support Program provides updated
policy manuals, training and guidance for
meeting all the requirements.
The right medication,
the right dose, the right time.
Increase your customer base and diversify your business.
Dispill® is ideal for patients with multi-dose requirements, alternate or
long-term care sites, or patients with over-the-counter (OTC) regimens,
such as fitness or dietary supplements. Dispill® eliminates the need for
pillboxes and single-dose bingo cards. Most of all, you’ll give your highest
risk patients a simple, safe and easy way to ensure they take the right
medication and the right dose at the right time.
In partnership with
Learn more about Dispill® at cardinalhealth.com/dispill.
35
“I did patient adherence work
when I started out in 1973
but was told to knock it off
because I wasn’t paid to spend
time with patients. How
times have changed! Now,
it’s a hot topic in pharmacy
magazines and I’ve started
a synchronization program
that’s improving adherence.”
David Haney
Family Pharmacy , Pharmacist,
“‘It’s a great day at Roger’s
Professional Pharmacy!’
That’s how we’ve answered
the phone ever since we
opened the pharmacy. People
need to feel warmth and care
coming from the phone.”
Rajesh Chotalia
Roger’s Professional Pharmacy, Pharmacist
36
Appendix of
Cardinal Health Solutions
Cardinal Health Inventory Manger (CIM) – 10, 22
Cardinal Health Security Solutions – 4
Dispill® – 11, 20, 21, 35
Independence Medical – 3, 18
Legislative toolkit – 28
Medicap – 27
Medicine Shoppe – 10, 22
Order Express – 22
Cardinal Health, in recognizing our independent pharmacists in
our “Best Practices Guide,” makes no representation or gives any
guarantee that these practices will result in any particular level
of success for any one pharmacy.
37
Best Practices Guide 2014
Retail Independent Pharmacy
Celebrating Success
© 2014 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO, ESSENTIAL TO CARE, DISPILL AND EQUIPP are trademarks
or registered trademarks of Cardinal Health. All other marks are the property of their respective owners. Lit. No. 1RBC14-12865 (07/2014)
cardinalhealth.com