20Ways Winter Hospital 2012

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Trade Show Calendar

page 40

20 Unique

Products

& Services

Discover 20 products and

services that will help your

pharmacy improve patient

care or contain costs.

17 Preceptors

Recognized

17 preceptors recognized by 10 colleges

including University of Michigan, UNC,

Findlay, UCONN, Roosevelt… page 24

Pharmacist Jobs

Pharmacy Job Opportunities… page 60

Winter 2012

Health System • Infusion

I M P R O V I N G

P A T I E N T C A R E

PHARMACY COST

C O N T A I N M E N T

P: 888.909.7700

F: 858.675.9380

info@acutecareonline.com

www.Pharma-Choice.com

Pharma-Choice™

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Mops & Mop Covers

Sterile Chemo Safe Cleanroom Gloves

Sterile Chemo Prep Pads

“Head-to-Toe” Cleanroom Apparel

“Head-to-Toe” Cleanroom Apparel

Media Test Kits and more...

Winter 2012 i health system • infusion

Integrated Door

Level Access

Integrated door level access

control increases confidence

in the security of stored

pharmaceuticals and vaccines,

while eliminating the need for

3rd-party locks.

Contents

PillPick™

Pharmacy

Automation

by Swisslog

PillPick is a fully automated

unit dose packaging, storage,

and dispensing system

which improves pharmacy

productivity and enhances

patient safety.

PRE-PEN®:

Penicillin Allergy

Skin Testing

Implementing penicillin skin

testing throughout your health

system can lower antibiotic

costs, support stewardship

initiatives and allow access to

an affordable, well-tolerated

treatment option for patients.

EvolutionPOS

for Hospital

Pharmacies

by RMS

Increase outpatient

pharmacy revenue and

patient compliance using

the evolutionPos portable

point-of-sale system.

Fully Integrated and

Automated

Decreases human touches,

reduces medication errors,

and enhances patient safety

Multi-Tasking

Packages and dispenses frst

doses to cart fll or cabinets

simultaneously

Efcient

Improves staf utilization

while dispensing and

delivering medications at

faster rates

Inventory Management

Improves tracking and

minimizes waste

Manages Medication Returns

Automatically restocks

medications into PillPick and

credits the patient account

Patented PickRing™

Flexible plastic ring which

ensures Right Patient, Right

Drug, Right Dose, Right Route,

Right Time

Contact Swisslog for

more information

about how PillPick will

complete your medication

management cycle.

PillPick™

Pharmacy Automation System

Swisslog Healthcare Solutions | www.swisslog.com | 800.764.0300 | healthcare@swisslog.com

SwisslogHealthcareSolutions SwisslogNA SwisslogHCS

INSPIRED SOLUTIONS™

PRE-PEN®

Penicillin Skin Test Antigen

(benzylpenicilloyl polylysine injection USP)

The Leader in Pharmacy Point-of-Sale Innovation

AuToPhARm®

ENTERPRiSE

givES uS A

comPlETE

SNAPShoT

of ouR

ENTiRE dRug

iNvENToRy —

iN miNuTES.

Rafael Saenz

Director of Pharmacy

University of Virginia

Health System

The University of Virginia Health System (UVHS) adopted Talyst’s

automation technology in 2009. With AutoPharm® Enterprise,

UVHS has a perpetual inventory and a detailed tracking system that

prevents drug shortages and increases inventory turns. The result is

a decrease in inventory from an on-hand supply of 11 days down to

5 days and a reduced carrying cost of approximately $500,000.

Visit Talyst.com for more information.

Talyst.com | 877.4.TALYST

Visit us at

Booth #2255

for ASHP 2012

True Blue.

800.743.5637 · www.helmerinc.com

Integrated Door Level

Access Control

Increased Productivity.

Confidence in Secure Storage.

·

Integrated lock

·

Open architecture for remote access

·

On-screen, user-specific passwords

·

Time, date and duration of cabinet access are recorded

·

Download access log files

page 13

page 11

page 9

page 15

Quality Compounds

Start with PCCA

Quality Chemicals,

Bases & Education

only PCCa member

pharmacies bring the highest

quality chemicals, bases and

training to your patients.

Your PCCA member pharmacist partner brings to the

triad relationship:

Access to the broadest range of active/non-active

chemicals available

Chemicals that go through an exhaustive 14-step quality

assurance process

Access to the largest clinical consulting team in the industry

The largest family of proven transdermals and bases

www.pccarx.com/prescribers

NOT ALL COMPOUNDING

PHARMACIES ARE CREATED

EQUAL. ONLY PCCA MEMBER PHARMACIES

HAVE ACCESS TO THE BEST EDUCATION,TRAINING

AND CHEMICALS AVAILABLE.

As the leader in compounding, PCCA stands behind

every pharmacist member with the most complete

offering of highest quality chemicals and accredited

education, all supported by the most dedicated team

in the industry.

www.findacompounder.com

The PCCA API

Difference

Every lot – not just the

initial lot – is tested

A total of 14 checks and

analyses are performed

before being sent out

PCCA rejects about 180

chemical lots per year, or just

over three lots received per

work week

© PCCA 2012

page 17

Talyst - Your

Enterprise Medication

Management Partner

We are committed to improving

health by providing automated

systems that ensure the precise

and consistent delivery of

medications across your

entire enterprise.

page 19

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It’s Here

Download the 20Ways App at

www.RXinsider.com/20ways/

Winter 2012 i health system • infusion

Contents

Four Gallon

Countertop Safety

Cabinet by Health

Care Logistics

Countertop cabinets make it

possible to store flammables

safely even when space is at

a minimum.

Health Care Logistics

(800) 848-1633

www.GoHCL.com

COUNTERTOP SAFETY CABINET

Countertop cabinets make it possible to store fammables

safely even when space is at a minimum. Supplied with

one adjustable shelf, these cabinets have the same

great features as larger cabinets without compromising

valuable foor space.

page 29

VigiLanz Dynamic

PharmacoVigilance®

Real-time Software.

Real-time Surveillance.

VigiLanz software dynamically

merges patient pharmacy, lab,

micro and diagnosis data in

real-time enabling pharmacists

to easily anticipate and...

VigiLanz Real-Time Surveillance Solutions

Improve patient care. Achieve core measures. Increase productivity.

VigiLanz Corporation

5775 Wayzata Boulevard Suite 970

Minneapolis, MN 55416

(855) 525-9078

connect@vigilanzcorp.com

VigiLanz delivers to clinicians today comprehensive software solutions and

services that merge hospital-based drug therapy, lab, micro results, surgery,

radiology, documentation and other clinical data to empower clinicians to

monitor infections, anticipate, identify and prevent adverse events, and

ensure adherence to best practices.

Adverse Drug Events

Infection Control

Quality Surveillance

Dynamic Reporting

Dynamic Mining

Intervention Tracking and Reporting

Please call or email us today for a web demo tailored to your needs!

Real-Time Software Surveillance Solutions.

Improved Clinical Outcomes.

page 23

Hazardous

Pharmaceutical

Waste Management

Program by

Clean Harbors

A single container system

that is easier and more cost

effective for clinical staff to

implement.

Ensuring compliance to waste segregation protocols can be difcult, both to train

staf and to enforce. Tis can put your hospital at risk for regulatory action.

Clinicians simply put both the non-hazardous and the RCRA hazardous pharmaceutical

waste in the same black container.* Clean Harbors, the largest hazardous waste incineration

company in North America, will pickup, transport, dispose of, and keep you in full

compliance. We own every step of the process and don’t broker your waste to someone

else, like your red container medical waste provider has to.

Simple, no worries, the highest

level of technology, and best of all –

full compliance.

For more information:

Call 800.645.8265

Email healthcareservices@cleanharbors.com

www.cleanharbors.com

* There are a few waste items that must be collected separately

due to DOT regulations. Please contact Clean Harbors for more info.

E X P E R T I N - H O U S E P H A R M A C E U T I C A L & H A Z A R D O U S W A S T E M A N A G E M E N T

The One-Container

Pharmaceutical Waste Solution

page 21

Preceptor

Recognitions

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.

2012 CIRCULATION

issue focus: hospital & infusion

issue frequency: summer & Winter

Circulation per issue: 19,000+

6,500+ hospital Directors

2,200+ Clinical Consultants

2,500+ industry executives

5,000+ College Preceptors

1,800+ College faculty

1,000+ trade show handouts

issue focus: retail, specialty & ltC

issue frequency: spring & fall

Circulation per issue: 31,800+

18,000+ owners (independents)

2,500+ retail Chain executives

2,500+ industry executives

5,000+ College Preceptors

1,800+ College faculty

2,000+ trade show handouts

Health System • Infusion

Summer 2012

Trade Show Calendar

page 42

20 Unique

Products

& Services

Discover 20 products and

services that will help your

pharmacy improve patient care

or increase profitability.

17 Preceptors

Recognized

17 preceptors recognized by 11

colleges including Colorado, Arizona,

UNC, Charleston… page 24

Pharmacist Jobs

Pharmacy Job Opportunities… page 58

Summer 2012

Health System • Infusion

I M P R O V I N G

P A T I E N T C A R E

PHARMACY COST

C O N T A I N M E N T

page 24-27

QUARTERLY ISSUES

Community • Specialty • LTC

Spring 2012

Tradeshow Calendar

page 42

20 Unique

Products

& Services

Discover 20 products and

services that will help your

pharmacy improve patient care

or increase profitability.

17 Preceptors

Recognized

17 preceptors recognized by 11

colleges including Colorado, Arizona,

UNC, Charleston… page 24

Pharmacist Jobs

Pharmacy Job opportunities… page 58

I M P R O V I N G

PATIENT CARE

& P H A R M A C Y

PROFITABILITY

Spring 2012

Community • Specialty • LTC

Health System • Infusion

Winter 2012

Trade Show Calendar

page 40

20 Unique

Products

& Services

Discover 20 products and

services that will help your

pharmacy improve patient

care or contain costs.

17 Preceptors

Recognized

17 preceptors recognized by 10 colleges

including University of Michigan, UNC,

Findlay, UCONN, Roosevelt… page 24

Pharmacist Jobs

Pharmacy Job Opportunities… page 60

Winter 2012

Health System • Infusion

I M P R O V I N G

P A T I E N T C A R E

PHARMACY COST

C O N T A I N M E N T

Community • Specialty • LTC

Fall 2012

Community • Specialty • LTC

Trade Show Calendar

page 40

20 Unique

Products

& Services

Discover 20 products and

services that will help your

pharmacy improve patient care

or increase profitability.

8 Preceptors

Recognized

8 preceptors recognized by 5 colleges

including Belmont, UNC, Findlay,

UCONN, Roosevelt… page 24

I M P R O V I N G

PATIENT CARE

& P H A R M A C Y

PROFITABILITY

Fall 2012

Visit 20Ways ONLINE at

RXinsider.com/20Ways

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We’ve been helping

customers do it for

over a century.

attaining

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is easy...

• Pharmacists Mutual Insurance Company

• Pharmacists Life Insurance Company

• Pro Advantage Services®, Inc.

  d/b/a Pharmacists Insurance Agency (in California)

  CA License No. 0G22035

Pharmacists Mutual Insurance Company is a nationally 

recognized leader and provider of insurance products and

financial services to pharmacists, pharmacies and associated 

businesses and professionals. Rated A (Excellent) by A.M. Best 

rating organization, Pharmacists Mutual provides business and 

personal insurance and risk management services throughout

49 states and the District of Columbia. 

Committed to the pharmacy profession, Pharmacists Mutual 

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the Distinguished Young Pharmacist Award nationwide, 

lectures, continuing education, risk management, legislative

assistance, and financial support through Pharmacy Marketing 

Group (PMG) and state pharmacy associations. Call today and 

let us help you attain peace of mind.

Not licensed to sell all products in all states.

800.247.5930

www.phmic.com

Winter 2012 i health system • infusion

CE Mobile Apps

by RXinsider

Visit the CeappCenter

to access and download

Continuing education

Mobile Web Apps from

your favorite Ce providers.

Contents

Monitoring & Logging

Temperatures for

Compliance Reporting

with Winland’s

EnviroAlert®

Protect valuables like medicine,

blood and samples, while

lowering labor costs with

24/7 remote monitoring,

logging and...

Prepackaged

Unit-Dose

Products by

American Health

Packaging

Bar-coded to the dose level,

our unit dose line continues

to grow! The line now

contains over 370 sKus.

Find us at the

Intersection of

Patient Safety

and Pharmacy

Efficiency

Hospital pharmacies juggle many critical

tasks. The top priority is patient safety.

Operational efficiency is important too;

institutions seek to provide bar-coded

medications while minimizing packaging

tasks to enable BCMA.

American Health Packaging can support

you at this “key intersection” of patient

safety and operational efficiency. The AHP

unit dose line is the fastest growing in the

industry. And we offer many exclusive

items to eliminate pharmacy packaging

on lower-volume items.

Easy-to-read bar codes ensure both

accurate and easy scanning. In addition,

our cartons feature color-coded labels

to more easily distinguish between similar

items on the pharmacy shelf.

Recent product introductions

include Escitalopram tablets,

Montelukast Sodium tablets,

Nifedipine ER tablets and

Pioglitazone HCl tablets.

Safety & Efficiency.

In Every Dose.

800.707.4621

americanhealthpackaging.com

page 31

page 33

Emdeon Clinical

Exchange Medication

History™

emdeon Clinical exchange

Medication History enables

hospitals to obtain pharmacy

sourced medication history

through a single, real-time inquiry

via their ePrescribing application,

EHR or web portal.

RxSafe™ High Density

Robotic Storage &

Retrieval by Innovation

rxsafe delivers unparalleled

inventory control and dispensing

accuracy to help outpatient

pharmacies reduce on-hand

inventory, increase operational

efficiency, decrease labor costs,

& eliminate theft and diversion.

Simplifying the Business of Healthcare

Simplify medication reconciliation. Access pharmacy sourced patient

information to help improve patient safety, quality scores and reduce

readmissions. To discover how Emdeon can improve your patient

intake and discharge processes, call 877.562.5987 or visit

www.emdeon.com/medrec.

EMDEON CLINICAL EXCHANGE MEDICATION HISTORYTM

MORE QUALITY. MORE EFFICIENCY.

TURN IT UP

To learn how your pharmacy can take complete control of

your inventory and realize a dramatic operational cost savings,

call 607.624.3567 or

email institutionalsales@innovat.com

Scalable Pharmacy Automation Solutions

www.innovat.com

Rx Safe delivers total inventory control.

• Automates up to 95% of your daily fills.

• Virtually eliminates internal theft and diversion.

• Eliminates the dispensing of expiring product.

• Increases inventory turns with less

on-hand inventory.

• Maintains accurate perpetual inventory

for all medications down to the dose level.

The

ofControl

page 35

page 37

Labeling Solutions

by Medi-Dose,

Inc. / EPS, Inc.

Improve patient safety and

team communication with bar

coding & labeling solutions

designed by healthcare

professionals for healthcare

professionals.

Unit Dose,

Bar Coding,

Pharmacy &

Nursing Supply

Experts!

800.523.8966

MediDose.com

Medi-Dose/EPS labels are speci fically designed for every

need…from solids to liquids, syringes to ampules, IV lines

and bags to insulin and suppositories. Plus, with our

MILT® software, you can even add optional bar codes.

You name it. At Medi-Dose/EPS, there’s a label for that!

Unit Dose,

Bar Coding,

Pharmacy &

Nursing Supply

Experts!

There’s a label for that!

Scan to see these labels in action!

MD Label For That 9x10.875_F:Layout 1 4/21/11 8:35 PM Page 1

Anywhere

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CONTINUING EDUCATION APPS

FOR HEALTHCARE PROFESSIONALS

n Quick and convenient access to available and upcoming CE

n Access via any mobile device (iPhone, iPad, Android, Blackberry, etc.)

n Filter options to identify courses of interest

n Calendar views for monitoring upcoming events

n RSVP options for live events, webinars, and seminars

n Sharing capabilities via Facebook, Twitter, and LinkedIn

Through CEAppCenter.com, discover and download mobile web apps offered

by your favorite continuing education providers.

Ment...CE/CME

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CE MOBILE WEB APPS OFFER HEALTHCARE PROFESSIONALS:

© 2012 RXinsider LTD. All rights reserved.

Mobile apps offer busy healthcare professionals a convenient and straightforward

tool to quickly research available and upcoming continuing education activities by

accredited CE and CME providers (live seminars, online activities, webinars, etc.).

page 49

page 51

The MIC EDU

System by

Containment

Technologies

Group, Inc.

the miC eDu system

provides the utmost in patient

safety - achieving one of the

highest sterility assurance

levels currently available.

CLIMB THE LADDER OF STERILITY ASSURANCE

TO ACHIEVE GREATER PATIENT SAFETY.

Containment Technologies Group, Inc. | 5460 Victory Drive Suite 300 | Indianapolis, IN 46203 | 317.713.8200 | www.mic4.com

MIC DUAL EDU SYSTEM

The MIC EDU System by Containment

Technologies Group, Inc. provides the

utmost in patient safety – achieving one of

the highest sterility assurance levels currently

available in the open market. The MIC EDU

System uses automated processing to

sterilize all materials inside the manipulation

chamber with vapor-phase hydrogen peroxide.

The MIC EDU System achieves a validated

sterility assurance level of 10-5 – this equals

no more than 1 contaminated vial out of

100,000 preparations.

page 39

Trade Show

& Meeting

Calendar

page 40-47

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Simple.

Practical.

Comprehensive.

For more information, or to register

for your FREE subscription, visit:

rxplatinumpages.com

The Resource Guide for Pharmacy Management

Known as the “Yellow Pages of Pharmacy,” the Pharmacy Platinum

Pages is published annually and serves the profession as a high-

quality and relevant research guide. The 2013 Pharmacy Platinum

Pages features more than 350 company profiles and enhanced

company sponsorships.

RXinsider is a multi-media and software development company providing innovative solutions to a variety of healthcare disciplines and higher education markets. Our six divisions include:

Academic Software, Job / Career Solutions, Continuing Education Solutions, B2B Solutions, Credential ePortfolios, and B2C Solutions.

© 2012 RXinsider LTD. All rights reserved.

Connecting Healthcare Through Innovation

Winter 2012 i health system • infusion

Apexus Invites

You to Attend

340B University

apexus offers 340B

university, an in-depth

educational program designed

for all 340B stakeholders to

learn 340B compliance from

industry experts.

Three Compartment

Refrigerator Box

with Dial Combination

Lock by Health Care

Logistics

Controls costs and helps keep

temperature-sensitive medication

sorted, secure and allows users

to control access to temperature

sensitive drugs.

page 59

WAY

NOTICE OF POLICY

20Ways (ISSN 1533-2258) is published quarterly by RXinsider LTD, 1300

Division Road, Suite 103, West Warwick, RI 02893. Postmaster: Send address

changes to 20Ways / RXinsider, 1300 Division Road, Suite 103, West Warwick,

RI 02893. Notification of address change must be made six weeks in advance,

including old and new address with zip code. Periodical postage is paid in

New York.

Editorial - views expressed in articles or profiles in the 20Ways are those of the

author(s) and do not necessarily reflect the policies and opinions of RXinsider, our

editorial board(s), our advisory board(s), or staff. Advertising - products, services

and educational institutions advertised in 20Ways do not imply endorsement

by RXinsider.

Copyright © 2012 RXinsider LTD. All rights reserved. Reproduction without

permission is prohibited.

Contents

TexQ™ Disinfectant

by Texwipe

texQ™ Disinfectant is a

one-step cleaner/disinfectant

with 25% more Kill Claims than

any other cleanroom quat.

It’s all about the numbers with disinfectants.

TexQ™ Disinfectant is a quaternary ammonium compound (quat) offering broad spectrum

germicidal activity. It is a one-step cleaner/disinfectant and is available in convenient

ready-to-use and concentrate formulations.

• 1-Step Cleaner & Disinfectant

• 25% more Kill Claims

• 2 Solutions, 1 Qualification

• 10324-85 EPA Registered

North America Office (800) 839-9473 | Europe/Middle East Office +31.88.1307.410 | Asia/Pacific Office +65 6468 9433 | www.texwipe.com

Scan the QR Code for more information

or contact us at one of the numbers below.

-Step

2 Solutions,

1 Qualification

Cleaner & Disinfectant

1-Step Cleaner & Disinfectant

1-Step Cleaner

& Disinfectant

1-Step Cleaner

& Disinfectant

Registered

EPA

-Step

Solutions,

Solutions,

EPA Registered

2 Solutions,

1 Qualification

Registered

Registered

EPA

EPA

EPA

(10324-85)

(10324-85)

(10324-85)

(10324-85)

Qualification

Qualification

Cleaner

Disinfectant

25%

25%

25%

25%

more kill

Claims

more kill

Claims

more kill

Claims

more kill

Claims

(10324-85)

(10324-85)

EPA Registered

(10324-85)

(10324-85)

25%

EPA

Registered

Registered

page 55

simplifyingsavings

Apexus | 340B Prime Vendor Program

(888) 340-2787 | ApexusAnswers@340BPVP.com | www.340BPVP.com

Prime Vendor Program

nderstand the basics of managing a compliant 340B program!

The 340B University sessions include:

• 340B Basics-Introduction to the 340B Drug Pricing Program

• Program Integrity & Audits

• Contract Pharmacy Implementation & Compliance

• Optimizing Pharmacy Savings & Value While Ensuring Compliance

• 340B & Medicaid: Overview on Billing & Duplicate Discount Policies

Apexus ofers a comprehensive review of the 340B Discounted Drug Pricing Program. The training session

will provide practical information about 340B program fundamentals, which will enable stakeholders to

participate with integrity.

For additional information and registration, please contact

Apexus Answers at ApexusAnswers@340BPVP.com

* Continuing education for pharmacists and pharmacy technicians is available.

page 53

PUBLISHER

RXinsider LTD

RXinsider CEO: Gregory Cianfarani RPh

DESIGN AND PRODUCTION

Production

Stefanie Carr

Design & Layout

Lora Sosa

MULTIMEDIA

Multi-Media Production

Dustin Maines

Multi-Media Production

Richard Soares

SALES AND BUSINESS DEVELOPMENT

Chris Kolkhorst

chris.kolkhorst@rxinsider.com

Shaun Russell

shaun.russell@rxinsider.com

Hillary Bullard

hillary.bullard@rxinsider.com

Erica McKnight

erica.mcknight@rxinsider.com

Email

sales@rxinsider.com

Phone

800.972.2083

Fax

646.329.9766

Website

www.RXinsider.com

WAY

Visit 20Ways Online

RXinsider.com/20ways

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Natural Standard

The Authority on

Integrative Medicine

Natural Standard provides

high-quality, evidence-

based information about

complementary and alternative

medicine including dietary

supplements and integrative

therapies.

page 57

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The 20Ways is an official publication of RXinsider

GENERAL SUBSCRIPTION INQUIRIES

RXinsider LTD

c/o 20Ways

1300 Division Road, Suite 103

West Warwick, RI 02893

20Ways Online: www.RXinsider.com/20Ways

General Information: 20Ways@RXinsider.com

Circulation: See page 3

Dietary supplements

and natural therapies…

Are they safe?

Do they work?

Drug interactions?

NaturalStandard.com has the answers

Natural Standard

The Authority on Integrative Medicine

Health Care Logistics

(800) 848-1633

www.GoHCL.com

THREE COMPARTMENT

REFRIGERATOR BOX

Controls costs and helps keep temperature-sensitive

medication sorted, secure and allows users to control

access to temperature sensitive drugs.

Pharmacy Job

Opportunities

page 60-64

Fully Integrated and

Automated

Decreases human touches,

reduces medication errors,

and enhances patient safety

Multi-Tasking

Packages and dispenses frst

doses to cart fll or cabinets

simultaneously

Efcient

Improves staf utilization

while dispensing and

delivering medications at

faster rates

Inventory Management

Improves tracking and

minimizes waste

Manages Medication Returns

Automatically restocks

medications into PillPick and

credits the patient account

Patented PickRing™

Flexible plastic ring which

ensures Right Patient, Right

Drug, Right Dose, Right Route,

Right Time

Contact Swisslog for

more information

about how PillPick will

complete your medication

management cycle.

PillPick™

Pharmacy Automation System

Swisslog Healthcare Solutions | www.swisslog.com | 800.764.0300 | healthcare@swisslog.com

SwisslogHealthcareSolutions SwisslogNA SwisslogHCS

INSPIRED SOLUTIONS™

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68

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