Transcript Slide 1
Communication is the Key Pharmacy Purchasing Pearls Marvin Finnefrock, PharmD Steven L. Gratch, Pharm. B.Sc., R.Ph. Diane Daskey Joanie MacIntosh, CPhT Learning Objectives (for Technicians & Pharmacists) At the end of this activity, the participant will be able to: Describe the role of the pharmacy buyer in preparing for P&T meetings. Outline the communication relationships between manufacturer, wholesaler, GPO, pharmacy buyer, pharmacy staff, clinical pharmacists, and pharmacy director. Differentiate circumstances and situations that may be managed by the pharmacy buyer versus clinical pharmacists versus pharmacy management. Describe the “glue” required for effective communication within and outside of the pharmacy department. Presentation Overview Buyer and pharmacy team Vendors and GPO Patient Administration Medical and Nursing Staff Buyer Support for the Clinical Pharmacist The clinical specialist should work very closely with the Pharmacy buyer/purchasing agent Tell them what they do not know Think outside the package Know the formulary and empower yourself The Connection Between Pharma, Wholesaler, GPO & Pharmacy Buyer GPO Manufacturer Pharmacy Buyer Pharmacy Operations Wholesaler Group Purchasing Organization Contract Compliance Business Class DEA Status “Not for” or “For” profit status Group Purchasing Organization Robinson Patman Act Sets rules for discount pricings Litmus test = “Own Use” Business Class (DEA license status) Volume Discounts Formulary restrictions Patients register to the facility Employees Profit Status – exemptions for “Not for Profit” Limited dispensing – inpatient ED and hospital outpatients Wholesale Distributors Prescription Drug Marketing Act of 1987 Amended in 1992 and 2006 Regulates resale of drugs by hospitals States must license Wholesalers FDA 5% rules annual sales to other pharmacies without Wholesale License States may have a more stringent regulations Drug Pedigree Resale to hospital own outpatient pharmacy Resale to clinics and physician offices Pharmaceutical Sales Representatives An important role in providing medication information they are guest of the hospital and expected to follow hospital policies HIPPA, PHRMA Accepted Rules of Conduct and Security Verify contact information including representative’s district/regional manager Sign Acknowledgement of understanding hospital rules Pharmaceutical Sales Representatives Set the expectations for service: Contact with Physician and Staff Educational programs Information displays Location restrictions Discussion of P&T activities Penalties for inappropriate activities Pathway to P&T Preparation Tools Pharmacy Buyer Drug Shortages Analysis Preparation to bring a new drug onto formulary Manufacturer Contracts/LOP’s/LOC’s Reimbursement/HCPCS codes Storage and Handling Shelf life Patient Assistant Programs Educational plan for Medical and Pharmacy staff DOP or Clinical RPH Therapeutic Indication Where will item be stocked Suspected Usage Start up Min/Max levels Cost Analysis Cost Comparison to similar medications currently on formulary Correct Contract tiers based on market share. 340 pricing if eligible. Shortage Report New Shortages Ongoing Shortages Permanent Outages Resolved Shortages Reason for Shortage Expected Release Date Product Management Supply information Shortage Report - Sample Pharmacy Bulletin June 2011 National Backorders - Drug Shortages Medication Reason for Shortage Expected Release Date none given TBD Product Management Supply Information bisacodyl suppositories #6 in the pharmacy and #4 in pyxis New Shortages Bisacodyl Enema 10mg/30ml Ongoing Shortages Acetylcysteine 10% and 20% American Regent supply vials issues Late May for 10ml and larger ordered in 10ml and 30ml sizes; 4ml TBD vials to compound 4ml inhalation as needed 10% - #30 4ml vials; 9 10ml vials; 20 30ml vials; 20% - #12 4ml vials; #0 30ml vials Permanent Outages Baygam Discontinued Acyclovir Sodium Injection Intermittent shortages due to increased demand and mfr delays Gamastan 0 Resolved Shortages APP has product available for 10ml -30 vials on hand ;20ml direct ship 30 vials on hand The Buyer is the “Glue” Pharmacy Staff Medical Staff Pharmacy Management Team Patient Pharmacy Staff Ordering Shortages Two way Communication Shortages and Recalls Anticipated length Allocation Alternative item Recalls Anticipated length Pharmacy Staff Formulary Management Additions/Deletions New CDM’s Location of Product Location, Location, Location! Medical Staff Drug Shortages Recalls Anticipated Length Alternative Item Ancillary Departments Clinics Physician Offices Newsletters ISMP Pharmacy Newsletter Formulary Updates Pharmacy Management Team Pharmacy Buyer Drug Shortages Recalls Contract Updates Vendor Representative Update New products Pricing Availability Reports Budget Pharmacy Management Team DOP Clinical Budget New Services New Initiatives Technician Supervisor Automation Scheduling Patient Drug Shortages Recalls Non-Formulary Items Communication is the Key Pharmacy Purchasing Pearls