Contents
20Ways MISSION
To educate pharmacy management on
products and services that serve to improve
patient care or improve a pharmacy’s financial
bottom line, while distilling and presenting this
relevant information via 20 product profiles.
2022 CIRCULATION
Issue Focus: Hospital & Infusion
Issue Frequency: Summer & Winter
Circulation Per Issue: 12,200+
6,500+ Hospital Directors
2,200+ Clinical Consultants
2,500+ Industry Executives
1,000+ Trade Show Handouts
Issue Focus: Retail, Specialty, & LTC
Issue Frequency: Spring, Fall, & Winter
Circulation Per Issue: 28,500+
18,000+ Owners (Independents)
1,500+ Long-Term Care Pharmacies
2,500+ Retail Chain Executives
2,500+ Industry Executives
2,000+ Trade Show Handouts
QUARTERLY ISSUES
Visit 20Ways ONLINE at
RXinsider.com/20Ways
Helmer Scientific
— NSF/ANSI 456
Certified Vaccine Cold
Storage Solutions
Protect Vaccines and
Pharmaceuticals
Helmer Scientific GX Solutions
professional, medical-grade
refrigerators and freezers
are certified to the stringent
requirements of NSF/ANSI 456.
© 2020-2021 Helmer Inc. All rights reserved.
NSF/ANSI 456 Vaccine Certified
GX Solutions Medical-grade Cold Storage
GX Solutions professional, medical-grade
refrigerators and freezers are designed
for the safe storage of critical vaccines,
pharmaceuticals, chemotherapies, and
other medical/pharmaceutical materials.
Certified to the NSF/ANSI 456 Vaccine
Storage Standard and help you meet
guidelines from the CDC and other
regulatory bodies.
Offer best-in-class temperature
optimization of uniformity, stability,
and recovery.
ENERGY STAR® certified, 50-60% more
energy efficient than conventional medical-
grade refrigerators and freezers, and are
environmentally sustainable.
Ensuring safety and efficacy of
stored samples and vaccines
Learn More
helmerinc.com/vaccine-storage
© 2022 Helmer Inc. All rights reserved
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DOSIS Systems
— Automation
Subscription Puts
an Emphasis on
Results
Month-to-month contracting
allows the pharmacy to ensure
they are getting results from
automation. No more empty
promises, DOSIS Systems
works to deliver more blister
cards with less effort.
100’s of
pharmacies
are subscribing to
DOSIS Systems
automation...
Automating the pharmacy. www.dosis.com • (877-626-2422)
learn more!
What is DOSIS Systems?
Benefits of the DOSIS Systems Subscription
Month-to-month agreement allows you to analyze the
effectiveness of automation
Scale the system up or down per your production needs
No need to raise large amounts of capital
Replace components with newer versions over time
Regular optimization reviews with your Account Manager
DOSIS Systems’ pharmacies focus on workflow optimization and utilize
automation as a tool to produce more blister cards with less effort.
Additionally, they are able to scale the system to match their
production needs.
Integrated workflow software and autonomous hardware for blister card
producing pharmacies.
page 31
Case Study:
Altru Specialty
Pharmacy
Keeping medication in
proper temperature range
— winter, spring, summer,
and fall with Zebra’s
third-party Packaging
Performance Qualification
(PPQ) testing.
SUCCESS STORY
ALTRU SPECIALTY
Altru Specialty Pharmacy
Keeping medication in proper temperature range –
winter, spring, summer, and fall
About Altru Specialty Pharmacy
Altru Specialty Pharmacy is a part of Altru Health System, which serves
people in North Dakota and parts of Minnesota. What began in 2014 as
a grassroots effort with one technician working in partnership with the
PharmD has grown to include three full-time technicians and three full-
time pharmacists. Still, the specialty pharmacy’s mission has remained
the same: to enhance care and improve the overall health and well-
being of its patients.
Background
According to Rosemary Kalenze, PharmD, Outpatient Pharmacy
Manager for Altru, the pharmacy initially thought it would be
best to test the performance of its medication packages using
Joint Commission accreditation requirements in addition to US
Pharmacopeia (USP) best practices for good storage and distribution
of drug products, which many accreditation agencies use as a
guideline. “We live and work in a climate that can be -40ºF in the
winter and 100ºF in the summer,” explains Kalenze. “To be sure we
are giving our patients the best possible care, it’s important to know
we are sending drug products in such a way that they remain both
effective and safe.”
Altru ultimately chose Zebra’s third-party Package Performance
Qualification (PPQ) testing to show that its packouts were configured
and performing correctly.
Package Performance Qualification
The specialty pharmacy did its first round of testing in 2019. “We
started with our refrigerated packouts, which need to be kept between
2°C and 8°C. We tested in cold weather to make sure packages were
staying in range for the amount of time we anticipated shipments to
take,” says Kalenze. In phase one, Altru included two different wireless
sensors. An M-300 measured temperatures inside the medication
packaging at regular intervals and an S-400 monitored the external
ambient temperature in the outer box. Test packages were sent to
Zebra, which analyzed the captured data.
“We learned a lot in that initial evaluation of our packaging,” Kalenze
says. Zebra gave Altru guidance on coolers and other packing
materials best for cold chain shipments to help improve its packout
design. “We made a few tweaks with the intent of giving patients even
greater confidence in the medications we deliver – and Zebra was
a great help through the entire process,” Kalenze says. Altru then
moved on to phase two for further testing of the passing phase one
package design.
SUMMARY
Customer
Altru Specialty Pharmacy
Altru Health System
Industry
Specialty Pharmacy
Challenge
After seven years of growth, the pharmacy
began to explore the performance of its
shipping packouts to make sure it could
maintain its mission: to enhance care and
improve the overall health and well-being of its
patients.
Solution
Altru ultimately chose Zebra* package
performance qualification (PPQ) testing to show
that packouts were configured and performing
correctly. Testing is conducted in two phases to
allow Zebra to capture and thoroughly analyze
all the information required to prepare the PPQ
report.
Results
Altru has instituted best practices throughout
the shipping process that deliver peace of
mind for the pharmacy, as well as its patients.
Another benefit is that the PPQ testing will help
the pharmacy achieve URAC accreditation.
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page 37-38
TheComplianceTeam.org
215-654-9110
Accreditation Organization
Benefi ts of accreditation/certifi cation:
• Identify gaps in operations/service
• Identify opportunities for improvement
• Ensure consistency of processes
• Improve patient outcomes
• Enhance business practices
“After going through The Compliance
Team’s accreditation process, we’re
not only a better business, we’re a
better pharmacy.”
Strengthen your
pharmacy with
accreditation and
certification.
Operational excellence leads to clinical excellence.
CHOOSE TO BE EXEMPLARY.
The Compliance Team’s simplifi ed, operations-
based standards are what set us apart from
other accreditation organizations. That and the
Exemplary Provider® designation you obtain when
you successfully complete the program.
— John Richards, Pharm.D.,
Professional Village Pharmacy,
Sacramento, CA
“When we are audited by the
DEA and PBMs, our Community
Pharmacy Accreditation gives us
the confi dence that our paperwork
is complete and accurate.”
— Trish White, RPh,
Harry Race/Whites
Pharmacy and Home Medical
Equipment, Sitka, Alaska
The Compliance
Team’s Accreditation
Strengthens Your
Pharmacy
Operational excellence leads to
clinical excellence and saves
you time and money.
page 35
Community • Specialty • LTC
IMPROVING PATIENT
C A R E & P H A R M A C Y
P R O F I T A B I L I T Y
C O M M U N I T Y , S P E C I A L T Y , & L T C E D I T I O N
FALL 2022
20 Unique
Products &
Services
Discover 20 products and services
that will help your pharmacy improve
patient care or increase profitability.
Pharmacy
Automation
& Robotics
Technology
Industry Expert Q&A, Market Leaders
Buyer’s Guide, & More
Pg. 48
8 Thought Leader Videos
Micro Merchant Systems, Surescripts,
The Compliance Team, & CPS
Zebra Case Study
A Success Story with
Altru Specialty Pharmacy
Pg. 37
Fall 2022
Health System • Infusion
IMPROVING PATIENT
C A R E & P H A R M A C Y
COST CONTAINMENT
H E A L T H S Y S T E M & I N F U S I O N E D I T I O N
SUMMER 2022
20 Unique
Products &
Services
Discover 20 products and services
that will help your pharmacy improve
patient care or contain costs.
Clean Air Technology
& Supplies
Industry Expert Q&A, Market Leaders
Buyer’s Guide, and More
pg. 56
New Features
NSF/ANSI 456 Vaccine
Storage Standard
pg. 46
CSTDs (Closed System
Transfer Devices)
pg. 86
3 Case Studies
CPS, Liberty Software,
and Rees Scientific
Follett Refrigerators are
Omnicell FlexLock-Ready
A 20Ways Profile by Follett pg. 43
Summer 2022
Community • Specialty • LTC
Pharmacy
Management
Software
Industry Expert Q&A, Market
Leaders Buyer’s Guide, and More
page 56
IMPROVING PATIENT
C A R E & P H A R M A C Y
P R O F I T A B I L I T Y
C O M M U N I T Y , S P E C I A L T Y , & L T C E D I T I O N
SPRING 2022
20 Unique
Products
& Services
Discover 20 products and services
that will help your pharmacy improve
patient care or increase profitability.
3 Case Studies
McKesson, Liberty Software,
and Innovatix
8 Thought Leaders
CPS, Micro Merchant Systems,
The Compliance Team, and Surescripts
Spring 2022
Health System • Infusion &
Community • Specialty • LTC
Robert Fink, Pharm.D., MBA,
FACHE, FASHP, BCNSP, BCPS
Chief Pharmacy Executive
~ UofL Health, Louisville, KY
IMPROVING PATIENT
C A R E & P H A R M A C Y
COST CONTAINMENT
H E A L T H S Y S T E M & I N F U S I O N E D I T I O N
WINTER 2021
Decision-Making
for Drug Diversion
A Case Study From Medacist
page 70
20 Unique
Products &
Services
Discover 20 products and
services that will help your
pharmacy improve patient
care or contain costs.
Drug Diversion
Industry Expert Q&A,
Market Leaders Buyer’s
Guide, and More
page 60
7 Case Studies
Waste Management,
Veltek Associates, Inc.,
Culturelle, IMI, Azina,
Modular Devices Inc.,
and More
Winter 2021/2022
20 Unique
Products &
Services
Discover 20 products and
services that will help your
pharmacy improve patient care
or increase profitability.
IMPROVING PATIENT
C A R E & P H A R M A C Y
P R O F I T A B I L I T Y
C O M M U N I T Y , S P E C I A L T Y , & L T C E D I T I O N
WINTER 2022
Adherence Packaging
Industry Expert Q&A, Market
Leaders Buyer’s Guide, and More
page 48
3 Case Studies
Temptime, Epicor, and
Noritsu Pharmacy Automation
8 Thought Leaders
Including Surescripts, Micro Merchant
Systems, The Compliance Team, and Azina
PHARMACY AUTOMATION & ROBOTICS TECHNOLOGY