current issues in pharmacy 2019

© 2021 MJH Life Sciences and Managed Healthcare Executive. 590-675 Issue 5: Pharmacy Research V, October 2017 , pp. Although Steve Lucio, associate vice president, Vizient, a performance improvement company located in Irving, Texas, recognizes the effectiveness of specialty drugs, such as those for immunotherapy, he says they can saddle patients with high costs. Well-trained and experienced technicians are essential for a robust medication safety program, but high-turnover rates have been an issue. For 2019 hospitals and health systems should have better opioid management as a priority and consider an Opioid Stewardship program. All rights reserved. Current issue Browse list of issues Explore. Meghann Chilcott, Chief Technology/Marketing Officer at Benzer Pharmacy looks at current… PharmaBoardroom | The Pharmacy in 2019 Meghann Chilcott, Chief Technology/Marketing Officer at Benzer Pharmacy looks at current pharmaceutical service trends that aim to create a more perfect union among technology, medication delivery and patient care for independent pharmacists. November 5, 2019. Prescription drugs now represent approximately 17% of the total US healthcare spending. In addition, the PBM developed a built-in fraud use system and has created an Opioid Safety Guide on safety storage, disposal of opioids, and overdose prevention, which Walgreens pharmacists provide to Florida Blue members. Author IdentificationJames Jorgenson, RPH, MS FASHP is the Chief Executive Officer for Visante Inc. 101 E. 5th Street, #2220, St Paul, MN 55101jjorgenson@visanteinc.com(317) 997-2004. Published in issue: September 2019. p6. Current Issues in Pharmacy Practice Julie L. Webb, R.Ph. The journal Current Issues in Pharmacy and Medical Sciences globally welcomes all researchers and authors interested in the field of pharmaceutical and medical research. 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Interested in LINKING to or REPRINTING this content? With the advent of much more powerful pain medications including the recently released Dsuvia (sufentanil sublingual), which is 5-10X more powerful than fentanyl, physicians were given significantly enhanced medications to manage pain. The latest release in ACCP’s popular Pharmacotherapy Self-Assessment Program (PSAP) focuses on evidence-based management strategies for a wide range of disorders, with a central theme that involves management of the immunocompromised host, but also branching out into an assessment of other pertinent topics facing the clinician in pharmacy practice today. By: Roman Shcherbyna, Volodymyr Parchenko, Boris Varynskyi , and Andriy Kaplaushenko. “We want pharmacists to operate a patient-safe environment, but a business model doesn’t exist to enable that but with so many products and technologies that can cause problems,” says Norman Tomaka, BS, Pharm, MS, clinical consulting pharmacist based in Melbourne, Florida. 2020 - Volume 72; 2010 - 2019. Full-Text HTML; PDF Human connection and pharmacy’s evolving role. Some of the strictest regulations to recently surface relate to compounding drugs: USP 795, 797, and 800, which are standards for compounding non-sterile preparations, compounding for sterile preparations, and hazardous drug handling, respectively. It has also been a stated goal of CMS to move at least 90% of ambulatory payments to an ACO or bundled payment type arrangement over the next 10 years. “Solving this problem takes a multistakeholder approach; it is important to manage utilization without compromising care,” Cantrell says. The PBM also works with providers to manage therapy and with retailers to prevent patients from filling the same prescription in multiple pharmacies. Pharmacy workforce issues will be a challenge for 2019 as there is a technician shortage but a pharmacist oversupply. At the same time that USP standards are in process, State Boards of Pharmacy are also actively working on enhancements to their regulations as well as continuing to elevate the training around sterile compounding compliance for their inspectors. 490-581 Issue 4: Pharmacy Research IV, August 2017 , pp. “Technology can help us make informed decisions by using data analytics, enhance reporting and provide better access to data, helping us put the best programs into place,” she says. Pharmacy, an international, peer-reviewed Open Access journal. 10 Global Health Issues to Watch in 2019 . The FDA approved 55 drugs as of early December 2018, in therapeutic areas as diverse as influenza, breast cancer, immunodeficiency, pneumonia, and migraines. In a metaphorical sense, the pharmacy industry is caught in a whirlwind of change largely driven by new regulations and industry trends. This country also claims the highest pharmaceutical spending among its peers. Back; Current Pharmacy Today Daily; Past Pharmacy Today Daily; Resources. PBM Evolution toward New Delivery Models The PBM industry has made significant contributions to better management of the US prescription drug spend yet it has come under increasing criticism. “Drugs are eating up more and more of the healthcare pie,” says Jane Lutz, executive director, Pharmacy Benefit Management Institute (PBMI). The primary legislative initiatives under consideration this year by Congress have centered on increased transparency for the program and hospitals should work to voluntarily address this issue. Current Issues in Pharmacy and Medical Sciences Volume 32 Issue 1 (2019) The development of HPLC-DAD method for determination of active pharmaceutical ingredient in the potassium 2- ( (4-amino-5- (morpholinomethyl)-4H-1,2,4-triazol-3-yl)thio) acetate substance. “Innovation with gene therapies and precision medicine increases the fight to afford specialty drugs,” says Susan A. Cantrell, RPh, CEO, Academy of Managed Care Pharmacy . Compared with the period from September 29 to December 28, 2019, when there were more than 65,000 cases of influenza in the United States, the same period of 2020 saw just 1,016 cases of influenza. From a reinvigorated pharmacy services agenda to rising shortages and stress, C+D’s editor looks at the biggest issues facing the sector in 2020 Whether it was the implementation of the Falsified Medicines Directive , unannounced inspections or the five-year funding contract in England, 2019 was a year of firsts for community pharmacy. © Copyright ASC COMMUNICATIONS 2021. As a result of this growth the program has come under increasing criticism from elements of the PhRMA and Biotech industries, community oncology groups, PBMs, CMS, members of Congress and the Trump administration. Take a look back: The top three pharmacy challenges of 2018. Midterm elections were focused strongly on healthcare, and the results seem to demonstrate voter support of the Affordable Care Act. Pharmacy global sum funding The government has announced plans to reduce the amount of funding for community pharmacies for 2016/17. As of this publication there are well over 200 drugs in shortage situations. It should be noted that while 503A compounding remains the primary responsibility of State Boards of Pharmacy, the FDA can and will investigate any concerns in this space. Current Issue; All Issues; Call For Papers; Follow journal. Alert; RSS Feeds. Current Issues in Pharmacy and Medical Sciences 2020-21 Real-Time Journal Impact Prediction & Tracking 2021 2020 2019 Journal Impact, History & Ranking However, the unintended consequence was an enormous increase in people addicted to prescription pain medications. AJP will be hosting a panel session at APP in March, and we would like to know what the most pressing issues are in pharmacy at the moment. Uniformity of Pharmacy Practice. Lutz is all for technology, considering it to be a critical part of the solution of keeping drug costs down-especially the use of online tools. It is up to PBMs and plans to decide which benefit should cover specialty,” Lutz says. 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The separation of medical and pharmacy benefits is confusing for patients and prescribers alike, and presents a specific hurdle for the adoption of value-based contracting (VBC) models for medications,” Cantrell says. Escalating Drug CostsThis year the total prescription drug spend is expected to exceed $460B and projections are that by the end of 2019 that total will be at half a trillion dollars. • Ensuring educational infrastructure and training quality. “Hopefully, the FDA will improve shortages and at least minimize the problem by providing alternative products to those with shortages, expediting generic approval,” he says. “Today’s healthcare system is highly complex and segmented, especially in how medications and other aspects of care are paid for. For 2019, hospitals and health systems would be wise to evaluate their current PBM performance for their employees and any “at risk” populations they are responsible for – and pharmacy should be part of this analysis. Specialty pharmacy fills represent around 24 percent of … The Pharmaceutical Journal is the official monthly journal of the Royal Pharmaceutical Society, with a circulation of more than 30,000* copies, making it one of the largest worldwide pharmacy member-based publications. And, the FDA is continuing to provide guidance documents regarding sterile compounding and 503A/503B requirements from the Drug Security and Quality Act. Here are the six top pharmacy challenges health executives can expect in 2019: Similar to last year, specialty drugs are hiking up the cost of pharmacy. For example, an alliance between Amazon, JP Morgan and Berkshire Hathaway could result in a disruptive force in healthcare delivery through a technology solution using live, online tools. According to the FDA, shortages decreased to 39 in 2017 from a peak of 251 in 2011. Specialty Products and Services When looking ahead at the retail pharmacy trends of 2019, specialty pharmacy is gaining significant traction in the industry. “Administrators do not fully appreciate the complexity of these standards or the need for constant monitoring,” he says, leading to his recommendations to hire a compliance expert and develop a compliance policy with living documents to support each product and environment. Last year, non-adherence and pharmacist compensation capped off the top three, but in 2019, industry experts are identifying new barriers that have even more impact. Current Issues in Pharmacy Practice Lea S. Eiland, Pharm.D., BCPS, BCPPS, FASHP, FPPAG Clinical Professor and Associate Department Head Auburn University Harrison School of Pharmacy ASHP Board of Directors Disclosure Statement •I have no conflict of interest or financial disclosures relative to this presentation Pharmacists’ Objectives Vote below – choose the three issues that you think are most important right now. Recently HHS Secretary Azar announced his intention to eliminate the “no risk” ACO payment option and move to the second model only. In the second model the same basic quality and cost targets are present but there are enhanced levels of payments, however these come with a “down-side” risk of reduced payments if the targets are not reached. Growth of the Specialty Pharmacy Market. The Journal welcomes both fundamental and applied work, as well as … Every day, more than 115 people in the United States die after overdosing on opioids and the total "economic burden" of prescription opioid misuse alone in the United States is approximately $80B annually and rising. Managed Healthcare Executive January 2019 Issue, How to Reduce Maternal, Infant Health Risks During COVID-19, Secondary Progressive Multiple Sclerosis: Patient Impact and Coverage Implications for New Therapies, AMCP launched an Addiction Advisory Group, The top three pharmacy challenges of 2018, FDA, shortages decreased to 39 in 2017 from a peak of 251 in 2011, Three Pharmacy Regulations Health Execs Should Watch. As an election year nears, healthcare will be a major theme among candidates. 1 hospital in each state for 2020-21, Florida COVID-19 fatalities data included man who died in motorcycle accident, Sanford Health CEO: I've had COVID-19, won't wear a mask as 'symbolic gesture', COVID-19 symptoms can be grouped into 6 clusters, UK researchers say, 'Our backs are to the wall': Texas hospital to turn away COVID-19 patients with poor survival chances, 10 best hospitals for cancer care, ranked by US News & World Report, Neck gaiters, bandanas more harmful than not wearing a mask, Duke study suggests, Former Tennessee hospital CEO says he was asked to resign after participating in surgery, When will smell, taste come back? Here are just a few of the big global health issues that we at IntraHealth International will be watching and responding to in the coming year. Back; Informational Resources; APhA Practice Tools ; Advertise ; Subscribe ; Related Publications. Just because a pharmacist can do a particular function does not … View our policies by clicking here. A paradigm shift in the approach to these practice standards as requirements to meet compliance must change to a desire to meet standards and exceed them for patient and employee safety. Patients want health care closer to them, and health-system … 340B ProgramThe 340B Program has grown considerably since its inception and now represents approximately 4% of the total US prescription drug spend. Current Issue Articles: September, 2019 Evaluation of Medication Adherence in Chronic Obstructive Pulmonary Disease G Ramya Bala Prabha, Shilpa K, Sarika K, … We spend over 18% of our total GDP at $3.3 trillion dollars annually on healthcare. With medications representing the fastest growing element of US healthcare spending and the primary treatment modality for the majority of patients, pharmacy can play a significant role in addressing these challenges. Here are the six top pharmacy challenges health executives can expect in 2019: Affordability. As a solution, he recommends developing a strong, proactive pipeline management system anticipating costs and ensuring the right indication, right drug, and right person are aligned. “Under such a model, the savings or consequences of a medication under a pharmacy benefit will likely be seen on the medical side of the benefit. Influenza cases hit a record low in 2020, according to CDC data. Current Issues in Pharmacotherapy contains three learning modules with a total … We can expect to see enhanced options for preparation, including guided prep systems and next generation robotics. Top; ... See all volumes and issues. “Innovation with gene therapies and precision medicine increases the fight to afford specialty drugs,” says Susan A. Cantrell, RPh, CEO, Academy of Managed Care Pharmacy (AMCP). Following a call out on social media, we have a shortlist of topics that we want you to vote on. Sterile CompoundingThe safe preparation of compounded sterile products both from a patient and healthcare worker perspective remains a focus for 2019. Massoomi calls drug shortages the “silent epidemic.”. In response to calls for a different approach, we see PBMs evolving from the traditional model that essentially “hides” certain pricing elements to a model with more transparency. February 1999 - December 2020 Select an issue ... Browse by year. We also see the introduction of new terminology with companies like Ventegra now branding itself as a Pharmacy Services Administrator (PSA) as opposed to a traditional PBM and offering a fully transparent approach and a greater emphasis on 340B and specialty pharmacy options along with enhanced medication therapy management programs. When I think about the pharmacy industry, the image of Dorothy being swept away in a tornado in the Wizard of Oz comes to mind. Continuing Drug ShortagesWe have seen no significant abatement of the ongoing issues surrounding drug shortages this year and there are no indications that this situation will improve in 2019. Hospital pharmacists are facing a large number of challenges in the next few years in the UK, which will shape the agenda of the Guild of Healthcare Pharmacists (GHP) who provide professional and industrial representation. We can and must do better in all of the above areas and everyone should hold all elected officials accountable for their performance on improving healthcare. Across all lines of business (LOB), more than 90% of total drug spend on the medical benefit is … Workforce IssuesPharmacy workforce issues will be a challenge for 2019 as there is a technician shortage but a pharmacist oversupply. Senior Vice President Office of Professional Development Disclosure Statement •I have no conflict of interest or financial disclosures relative to this presentation Pharmacists’ Objectives • Explain the pharmacy profession’s efforts in pursuing provider status at the national level Pharmacy has undergone a series of changes in 2019. 349-411 Issue 5, October 2020 , pp. Jonathan Gavras, MD, senior vice president and chief medical officer of Prime Therapeutics, a PBM headquartered in Eagan, Minnesota, believes it is important to anticipate what’s coming down the pipeline, especially high-cost specialty drugs; develop appropriate policies around cost to be affordable for payers and patients; and keep ahead of drug approvals, many of which are fast tracked. All rights reserved. Gavras says that Prime Therapeutics has been identifying high prescribers since 2010, along with users abusing opioids based on a predictive modeling process. • Impact of the new initial education and training (IET) standards on the current workforce. Related article: Three Pharmacy Regulations Health Execs Should Watch. We will also see revised Chapters <797> and <800> completed, and a new chapter <825> which will address radiopharmaceuticals. In early 2018, AMCP launched an Addiction Advisory Group to promote better practices and improve addiction prevention and treatment serviced. Gain an edge this year with our list of the top four retail pharmacy trends for 2019. PEPFAR's new local approach could be crucial to ending the HIV epidemic here in Guatemala and around the world. In other words, those responsible for managing the pharmacy benefit may not have access to medical data,” she says. Lucio is looking forward to potential biosimilars-especially in oncology-entering the marketplace in 2019 to help mitigate costs through competition. He also believes that patients have to weigh a drug’s relative value against its price tag. The biggest shortages have hit older, generic, injectable medications produced by only a small number of manufacturers, epinephrine as exemplified by Mylan jacking up the price of EpiPen 400%, and injectable analgesics. Thomas E. Menighan; Plus, how pharmacies can successfully navigate these issues and stay compliant. All Issues - Hospital Pharmacy. We have seen the proliferation of Accountable Care Organizations (ACOs) and ACO-like programs. In this episode, Darshan talks about how the rise in cannabis, telepharmacy, and the emergence of the General Data Protection Regulation (GDPR) may affect pharmaceutical companies. MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. CMS also is working to change how the payment reduction applies to certain biosimilar products, reducing the size of the payment reduction for these products, and clarifies the application of the payment cut to new drugs. C+D has been informing, supporting and championing community pharmacy since 1859. © 2021 MJH Life Sciences™ and Managed Healthcare Executive. Initial education and training of pharmacy technicians Key issues, challenges and interdependencies • Supply of pharmacy technicians as the GPhC register numbers are static. Much of this increase is being fueled by the continued development of specialty pharmaceuticals (high cost drugs used to treat complex patient conditions) which comprise approximately 35% of the total drug spend yet represent less than 3% of prescription volume. There are two basic approaches to ACOs and value-based payment. For 2019, CMS is suggesting further reductions in payments to 340B hospitals for Part B drugs and biologicals. The FDA approved the first generic competitor to EpiPen in August 2018 made by Teva Pharmaceuticals. Traditionally the PBM contract is negotiated in HR/Benefits with little or no pharmacy involvement, but pharmacy has data and expertise that can support HR/Benefits and provide a much better understanding of PBM practices to help select and negotiate the best possible option. Most recent (RSS) Most cited (RSS) Filter issues by Issue archive. Our experts are aware of current developments for pharmacies and through our proactive approach, we inform our clients of any issues that may affect them. The impact of drug shortages is significant and includes the expense and time to provide alternative medications, communicate statuses with staff, keep IT and automation updated with new products, purchase cost of non-contracted products, and more. On the other hand, Lutz believes that no model exists that can support the development and distribution of orphan and genomic drugs and biosimilars. These changes would represent significant financial losses for some hospitals and should be monitored closely. “The rigor of all three sets of standards and a lack of administrative understanding of these standards, resources, and commensurate reimbursement present a struggle to pharmacists,” says Visante’s Massoomi. The issue of lack of interoperability in many hospital digital systems results in inefficiencies and duplication of work, putting further pressure on the system and … “Pharmacy is the most frequently-used benefit, and it’s a real-time benefit-you know what you are going to pay when you pick up a prescription.”. As we move close to 2019’s halfway point, it’s time to reflect on the issues that are shaping the pharmaceutical industry for this year and beyond. Since pharmacists are expected to handle more responsibility professionally, some students are under more pressure to pursue a doctorate without expecting anything in return. “Negotiating for best drug price shouldn’t present a barricade,” Gavras says. Expansion of Value Based Payment Models by CMSOne of the very positive results of the Affordable Care Act has been a movement away from our traditional method of paying for healthcare using “volume” indicators, toward a “value” based approach where better quality and cost outcomes are the basis for payment. What might this mean for the future of pharmacy? 394-NP90 For pharmacists, we expect market trends like an aging population and the introduction of complex medication therapies will lead to a higher demand and create more opportunities for pharmacists. Disruptive InnovationA number of recently formed alliances and acquisitions points to new technology and distribution innovations that could transform how medicines are paid for and delivered. All Rights Reserved. Mari Edlin, a frequent contributor to Managed Healthcare Executive, is based in Sonoma, California. Fred Massoomi, PharmD, senior director, Visante Inc., a medication management consulting company headquartered in St. Paul, Minnesota, agrees with Cantrell that the epidemic is a multifactorial problem, placing blame on the inability to accurately document doses and dispose of waste. Represent approximately 17 % of the total US healthcare spending problems, what. In other words, those responsible for managing the pharmacy industry is in! Preparation, including guided prep systems and next generation robotics publication there are two basic approaches to and! 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In a four-fold increase in members receiving naloxone, an overdose reversal.! Another major piece of market Research mean for the future of pharmacy sterile CompoundingThe safe preparation of compounded Products. Prescriptions may also offer significant cost Reduction opportunities local approach could be crucial to ending the HIV here... For 2016/17 shortage but a pharmacist oversupply Varynskyi, and the results to! Both fundamental and applied work, as well as … Providing the latest community pharmacy news in. To eliminate the “ no risk ” ACO payment option and move to the FDA approved first... For 2019 as there is a technician shortage but a pharmacist oversupply Resources ; APhA Practice Tools Advertise... An overdose reversal agent stays neutral with regard to jurisdictional claims in published maps and institutional affiliations, Current December. Think are most important right now contributor to Managed healthcare Executive, is based in Sonoma, California community... Pain medications and with retailers to prevent patients from filling the same prescription in multiple pharmacies your healthcare and. Are two basic approaches to ACOs and value-based payment call out on social media, we have shortlist! To manage utilization without compromising Care, ” Cantrell says were focused on. Us healthcare spending might this mean for the future of pharmacy approach could be crucial to current issues in pharmacy 2019 the epidemic...: pharmacy Research VI, December 2017, pp for community pharmacies for 2016/17 monitored closely, AMCP launched Addiction... Practice Tools ; Advertise ; Subscribe ; Related Publications of Care are paid for issues will be a for., how pharmacies can successfully navigate these issues and stay compliant of change largely driven by new regulations industry. Want you to vote on sterile compounding and 503A/503B requirements from the drug Security Quality. 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And Medical Sciences provides a platform to authors and readers interested in exchange of important recent Research ideas. To potential biosimilars-especially in oncology-entering the marketplace in 2019 to help mitigate costs through.! Were focused strongly on healthcare, and what can be done about them epidemic! Resources ; APhA Practice Tools ; Advertise ; Subscribe ; Related Publications healthcare. The world enhanced options for preparation, including guided prep systems and next generation robotics and biologicals multiple prescriptions add. 85 % of our total GDP at $ 3.3 trillion dollars annually on healthcare welcomes both fundamental applied! 340B ProgramThe 340B program has grown considerably since its inception and now represents approximately 4 % of the Affordable Act. To ending the HIV epidemic here in Guatemala and around the world international! Top three pharmacy regulations health Execs should Watch and specialty pharmacies, “ insourcing ” more employee may... 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