communication is the key pharmacy purchasing pearls marvin finnefrock, pharmd steven l. gratch,...
TRANSCRIPT
Communication is the KeyPharmacy 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
Patient
Buyer and pharmacy team
Medical and Nursing Staff
Administration
Vendors and GPO
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
Pharmacy Buyer
GPO
Wholesaler
Pharmacy Operations
Manufacturer
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
Business Class (DEA license status) Volume Discounts Formulary restrictions
Litmus test = “Own Use” 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: Educational programs Information displays
Contact with Physician and Staff Location restrictions Discussion of P&T activities
Penalties for inappropriate activities
Pathway to P&T
Pharmacy Buyer
Preparation
Analysis
Drug Shortages
Tools
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 Product Management Supply Information
New Shortages
Bisacodyl Enema 10mg/30ml
none given TBD bisacodyl suppositories #6 in the pharmacy and #4 in pyxis
Ongoing ShortagesAcetylcysteine 10% and 20% vials
American Regent supply issues
Late May for 10ml and larger sizes; 4ml TBD
ordered in 10ml and 30ml 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 OutagesBaygam Discontinued Gamastan 0
Resolved ShortagesAcyclovir Sodium Injection Intermittent shortages due to
increased demand and mfr delays
APP has product available for direct ship
10ml -30 vials on hand ;20ml - 30 vials on hand
The Buyer is the “Glue”
Pharmacy Staff
Medical Staff
Pharmacy Management
Team
Patient
Pharmacy Staff
Ordering Two way Communication Shortages and Recalls
Shortages 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 Anticipated Length Alternative Item
Recalls 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
Budget New Services
Clinical New Initiatives
Technician Supervisor Automation Scheduling
Patient
Drug Shortages Recalls Non-Formulary Items
Communication is the KeyPharmacy Purchasing Pearls