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 2022
Defying Drug
Diversion
A Case Study From Medacist
pg. 42
20 Unique
Products
& Services
Discover 20 products and services
that will help your pharmacy improve
patient care or contain costs.
Refrigeration
Industry Expert Q&A, Market
Leaders Buyer’s Guide, and More
pg. 58
New Features
The Evolving Role of
Compounding Pharmacies
pg. 66
Trends to Watch as
340B Turns 30
pg. 87
4 Case Studies
CPS Solutions, Leiters, Wolters
Kluwer Health, and More
Brian O’Neal, PharmD, MS, FASHP
Senior Vice President
~ Allied Health at Children’s Mercy Kansas City
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WINTER 2022 I HEALTH SYSTEM • INFUSION
Contents
Leiters. We Are
Compounding
Health™
Leiters is a trusted FDA-
registered 503B outsourcing
provider of compounded
sterile preparations committed
to providing healthcare
professionals and their patients
with the highest-quality
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COMPOUNDING HEALTH™
www.leiters.com | 800.292.6772
Helping you deliver
better medicine to
more people.
With increasing regulatory pressure
and drug shortages, access to quality
medicine is more important than ever.
Leiters is an FDA-registered 503B
outsourcing provider of high-quality,
compounded sterile preparations
including:
Pre-filled syringes, IV bags and vials
ON-Q* Pain Relief System fill services
Opioid-free surgical pain services
medications
Ophthalmology medications and
services including FDA-compliant
repackaged Avastin®
ON-Q* is a registered trademark of Avanos Medical, Inc., or its affiliates.
Avastin® is a registered trademark of Genentech, Inc.
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page 29
Point-of-Sale
to Simplify Your
Pharmacy Operations
— Retail Management
Solutions
Pharmacy point-of-sale should
work for you, not the other way
around. Meet the solution that
helps you improve patient
outcomes, streamline operations,
and use your choice of pharmacy
management systems.
customized
software
turnkey
hardware
innovative
training
24/7 US-based
support
w w w . r m - s o l u t i o n s . c o m
MEET
YOUR
NEXT STAR
EMPLOYEE.
page 31
Verity Solutions
— Your Invested
Partner for 340B
Partner with us to simplify
340B administration,
confidently optimize federal
pricing benefits, and benefit
from the dedication and
knowledge of our expert team.
Results you can believe in.
1.800.581.1378 | info@verity340b.com | www.verity340b.com
© 2022 Verity Solutions Group, Inc.
Innovative. Invested. Proven.
Partner with us so that you can dedicate fewer resources
to your 340B program administration and more time to
community wellness.
SPLIT BILLING | CONTRACT PHARMACY | VERISAVE TM
SPECIALTY CONTRACT PHARMACY | COMPLIANCE MANAGEMENT
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For all healthcare systems who are challenged with the process of selecting the optimal drug that would
reduce spend, Verisave automatically selects the best priced product before your order is placed. With patented
technology, Verisave reduces tedious manual processes and dramatically decreases your drug spend.
page 27
Meeting Your USP<797> Requirements
Veltek Makes it Simple
CLEANING AND
DISINFECTING PRODUCTS
CLEANING AND
DISINFECTING PRODUCTS
ENVIRONMENTAL
MONITORING
EQUIPMENT
ENVIRONMENTAL
MONITORING
EQUIPMENT
GOWNING
GOWNING
Veltek Associates, Inc.
15 Lee Boulevard
Malvern, PA 19355-1234
1-888-4-STERILE
www.sterile.com
VAI covers every aspect necessary for full compliance including:
■ Consultation on setting up and maintaining aseptic processes
■ SimpleMix® – our easy to use disinfectants in pre-measured containers
■ Easy2Gown sterile garment system
■ Easy to use portable SMA air samplers
■ RTU Sterile & Non-Sterile cleaners & disinfectants available in a large assortment
of packaging sizes
With VAI’s innovative product line, Meeting USP<797> requirements
is just a phone call away…IT’S THAT SIMPLE!
Meeting Your USP <797> Requirements
Veltek Makes It Simple
CLEANING AND
DISINFECTING PRODUCTS
Saturated
WiperS
GOWNING
USP
800
Gown
Cleanroom
Garments
VAI covers every aspect necessary for full compliance including:
Consultation on setting up and maintaining aseptic processes
SimpleMix® – Veltek’s easy to use disinfectants in pre-measured RTU containers
Easy2Gown sterile garment system
Ready-to-use and saturated Process2Wipe® IPA70 wipes
Sterile cleaners & disinfectants available in a large assortment of packaging sizes
•
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SCAN HERE
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USP <797> & <800>
Solutions From Veltek
Associates, Inc.
Combining experience,
innovation, performance, GMP
manufacturing, GLP testing
services, and unrelenting service
has propelled VAI® as the ultimate
innovative leader in the market.
page 39
© 2022 Helmer Inc. All rights reserved.
GX Solutions Medical-grade Cold Storage
Pass-thru Refrigerators
Access from both sides of the unit for more
convenient access to stored products and
enhanced work flows
i.Lock™ interlock door technology available to
meet USP <797> clean room requirements
Extensive testing to provide optimal storage of
ambient product loads
Best-in-class temperature management of
uniformity, stability, and recovery
ENERGY STAR® certified and up to 50% more
energy efficient than conventional medical-grade
refrigerators and freezers
Workflow efficiency and
regulatory compliance for
clinical pharmacies
Learn More
helmerinc.com/gx-solutions
© 2022 Helmer Inc. All rights reserved
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GX Solutions
Pass-Thru
Refrigerators Offer
Clinical Pharmacy
Workflow Efficiency
Helmer Scientific offers the
only medical-grade pass-thru
refrigerator that meets the
proposed changes to
USP <797> for use in
cleanroom applications.
page 33
page 34-37
Case Study:
Strategic Partnerships
Drive Inpatient &
Outpatient Pharmacy
Performance
From CPS Solutions.
CASE STUDY
www.cps.com
STRATEGIC PARTNERSHIPS DRIVE
INPATIENT AND OUTPATIENT
PHARMACY PERFORMANCE
A DECADES-LONG PARTNERSHIP
Holzer Health System traces its roots back more than a century to when Dr. Charles E.
Holzer Sr. opened the first private hospital in southeastern Ohio. Located in Gallipolis, that
small, seven-bed hospital has grown into the multi-facility healthcare system it is today.
This includes a medical center and care center in Gallipolis, a medical center in Jackson,
and numerous walk-in clinics, retail pharmacies, wellness centers, and post-acute care
services, among other resources, across the region.
Holzer has remained true to the philosophy set forth by their founder — “The Patient is
at the Center of All We Do.” It is this outlook that led Executive Vice President and Chief
Operating Officer for Holzer, Todd Fowler, to continue building on the foundation of their
fruitful partnership with CPS for inpatient and specialty pharmacy management services.
Over the 20+ year relationship, CPS has consistently driven value for Holzer through
initiatives supporting clinical performance, cost savings, and operational expertise.
A RELATIONSHIP THAT CONTINUES TO EVOLVE
The partnership between Holzer and CPS, one of the country's largest pharmacy and
hospital services providers, reaches back to 1998 when CPS began helping the health
system manage its inpatient pharmacy operations. As the system has grown, CPS has
continued to deliver incremental value to Holzer’s leadership and staff. Based on these
successes, when Holzer chose to streamline their three retail pharmacies in Gallipolis,
Jackson, and Athens in 2014, they turned again to CPS as a partner.
Everything CPS brings to Holzer is focused on growing the impact of their partnership
while providing ongoing positive financial and quality outcomes for the health system.
One way the company drives value on a continual basis is through its Comprehensive
Pharmacy Assessment (CPA), a proprietary tool that audits over 450 points of a
pharmacy's operational health. During the company’s most recent analysis, they found
Holzer had successfully improved compliance metrics, decreased regulatory risk, and
increased alignment with ISMP best practices. Through the CPA, CPS helps the health
system maintain visibility to the performance of its pharmacy in accordance with current
Todd Fowler
Executive Vice President and
Chief Operating Officer
~ Holzer Health System
R E F R I G E R AT I O N
As health systems expand outside acute settings, you need
a partner that can help to optimize outpatient medication
management and drive clinical and business outcomes. Omnicell’s
Specialty Pharmacy Services brings together dedicated services
to launch, operate and optimize your specialty pharmacy program.
This comprehensive, turnkey solution delivers:
A Improved access to specialty medications to enhance care
and support patient outcomes
A Financial outcomes through a value-based service model
A Technology, services, and expertise to support medication
management from hospital to home
Learn More at Omnicell.com/products/specialty-pharmacy-services
Optimize Outcomes
with Specialty
Pharmacy Services
page 49
Capital Inventory, Inc.
— The Premier
Leader in Pharmacy
Inventory Services
Our decades of expertise, working
exclusively with pharmacies, makes
us uniquely qualified to provide
accurate and dependable inventory
valuations through a streamlined
process. Our clients can trust that
we will be transparent, supportive,
and reliable in every interaction.
Steri-Tamp®
Tamper-Evident
Sterile Seals by
Allied Pharmacy
Products, Inc.
The only single-use,
tamper-evident seal that
provides and maintains a
100% sterile barrier.
page 47
• Sterile & Paper Free (USP 797 Compliant).
• Maintains a 100% sterile barrier* with 3X greater adhesion.
*Tested in Nelson Labs, Salt Lake City, UT
• Helps prevent contamination of drugs and provides added protection to pharmacists.
• Will not fall off, even in cold storage conditions (down to -20 degrees centigrade).
• Patented dual-layer indicates true tamper-evidence, with “OPENED” marking.
The Most Innovative Tamper-Evident
Seals In Hospital Pharmacy Today
VIEW TRAINING VIDEOS HERE
steri-tamp.com
Visit Our Website to Request Samples
Made in the USA
Syringe Seals
IV Bag Port Seals
Belly Button
Bag Seal
Vial Seals
28mm
20mm
13mm
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: 26,500+
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
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. 54
New Features
NSF/ANSI 456 Vaccine
Storage Standard
page 46
CSTDs (Closed System
Transfer Devices)
pg. 84
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
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
Qimedical.com
info@qimedical.com Tel. 800.837.8361
Media Fill
Hazardous Drug
Handling Validation
Surface and
Fingertip Testing
Sterility Testing
USP <797> USP <71> USP <800>
Your partner in pharmacy
compliance since 1992
FDA Registered | Iso Certified
Left: GM7030 PATT2®, Personal Aseptic Technique test kit, 3mL
ampules, 20mL vials, 100mL partially flled minibag.
Below: ET1000 EnviroTest® TSA with Lecithin & Tween 80 growth
media paddles for surface, air, or glove fngertip sampling.
Q.I. Medical, Inc.™
Your Partner in USP
<797> Pharmacy
Compliance
Providing quality assurance
products to hospitals and
pharmacies practicing sterile
compounding, with a singular
focus on pharmacy compliance.
page 42-45
Case Study:
Defying Drug
Diversion
The pharmacy executive,
nurse executive, and drug
diversion analyst tell how.
Sponsored by Medacist.
CASE STUDY
www.medacist.com
• Receive insights from Senior Vice President of Allied Health, Brian O'Neal, PharmD, Children's
Mercy Kansas City.
• Understand how nursing deals with diversion given unprecedented challenges from Retired
Chief Nurse Officer, Barbara Jacobs, MSN, at Anne Arundel Medical Center.
• Learn about analytics when managing a drug diversion program from Retired Drug Diversion
Surveillance Analyst, Patricia Penland, RN, at Wake Forest Baptist Health.
Diversion threatens patient safety and a hospital's reputation. According to the National Council of
State Boards of Nursing, approximately 15% of healthcare workers struggle with drug dependence
at some point in their careers. Drug diversion among healthcare workers is substantially
underestimated, undetected, and underreported.
And if diversion hasn’t wreaked enough havoc, healthcare professionals have endured upheaval like
never before because of an unprecedented pandemic. Hospitals were already dealing with rising
stress levels, burnout, and staff shortages, which can exacerbate drug diversion.
Diversion poses risks to patients, including inadequate pain relief and exposure to infectious
diseases from contaminated needles and drugs. A healthcare worker’s impaired state also creates
an unsafe environment.
However, solutions and strategies exist to combat it, and hospitals are winning the battle.
A pharmacy executive, chief nurse officer, and drug diversion analyst share insights on the state of
drug diversion and the tools to detect it.
Profile: Senior Vice President of Allied Health, Brian O’Neal, PharmD, Children's Mercy
Kansas City
Q. How does your role relate to preventing diversion and protecting patients?
My responsibility is to ensure we have the resources needed to stop anyone looking to divert drugs.
The likelihood is there. Prevention and detection are a priority for me.
My guidance is to focus on fundamentals, which means consistent quality checks, audits, and
reliance on a strong drug diversion system. But software doesn’t run itself. It takes personnel to
understand how it informs possible problems and how to pull the right data.
Q. Thoughts on the state of drug diversion at hospitals given COVID and staff shortages?
Our hospital, like the industry, is experiencing shortages, especially in pharmacy technicians, due
to the pandemic and job hopping. And how it correlates to diversion is not entirely clear because
we are still dealing with all those issues and current prevalence data. We are dealing with a gap in
scientific evidence.
Q. How does Children’s Mercy Kansas City deal with diversion?
We developed a controlled substance oversight council led by pharmacy and nursing that includes
members from security, human resources, and other hospital departments who meet regularly to
review transactions and approve policies.
DEFYING DRUG DIVERSION
Brian O’Neal, PharmD, MS, FASHP
Senior Vice President
~ Allied Health at Children’s Mercy
Kansas City, MO
Barbara Jacobs, MSN
Retired Chief Nurse Officer
~ Anne Arundel Medical Center,
Annapolis, MD
Patricia Penland, RN
Retired Drug Diversion
Surveillance Analyst
~ Wake Forest Baptist Health,
Winston-Salem, NC
The Pharmacy Executive, Nurse Executive, and Drug Diversion Analyst Tell How
Sponsored by an Educational Grant From Medacist
page 41
Health System • Infusion &
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
WINTER 2023
20 Unique
Products &
Services
Discover 20 products and services
that will help your pharmacy improve
patient care or increase profitability.
Pharmacy
Returns
Services
Industry Expert Q&A, Market
Leaders Buyer’s Guide, & More
Pg. 48
8 Thought Leader Videos
Micro Merchant Systems, Surescripts,
The Compliance Team, & CPS
Noritsu Pharmacy
Case Study
Automating Long-Term Care
Pharmacy Services
Pg. 37
Winter 2022/2023
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 2022
Defying Drug
Diversion
A Case Study From Medacist
pg. 42
20 Unique
Products
& Services
Discover 20 products and services
that will help your pharmacy improve
patient care or contain costs.
Refrigeration
Industry Expert Q&A, Market
Leaders Buyer’s Guide, and More
pg. 58
New Features
The Evolving Role of
Compounding Pharmacies
pg. 66
Trends to Watch as
340B Turns 30
pg. 87
4 Case Studies
CPS Solutions, Leiters, Wolters
Kluwer Health, and More
Brian O’Neal, PharmD, MS, FASHP
Senior Vice President
~ Allied Health at Children’s Mercy Kansas City
Pre-assembled kits and a la carte components
for infusion pharmacists.
Compliance was never so easy!
Hardy Diagnostics is a proud
Corporate Member of the National
Home Infusion Association.
Contact us today for more information about our HardyVal™ products!
800.266.2222 Sales@HardyDiagnostics.com
HardyDiagnostics.com/HardyVal
Member
USP <797> changes are coming.
Are you ready?
Take a closer look at all the benets a PraxiJect™ SF 0.9% NaCl
prelled syringe offers you.
PraxiJect™ SF 0.9% NaCl prelled syringes set the standard for
quality and safety.
No other company offers you all these advantages in a cost
effective product. Manufactured according to internationally
recognized technical standards, current Good Manufacturing
Practices and ISO 13485 Quality Management System require-
ments.
Discover the advantage many of the largest hospital institutions
have realized work best for them.
“
”
Syringes that set the standard
for quality and safety
Precise graduation
Pharmaceutical
grade plunger
Color coded
cap and label
PraxiJect SF
0.9% NaCl Prelled Syringes
™
Designed for use in a sterile eld
Precise graduations
Meets USP specications
Latex and preservative free
Screw on luer lock cap for additional safety
Terminal sterilization, provides the highest degree
of sterility available
Easy glide piston. No lock effect or inadvertant
solution leaking during priming.
Features & Benets
Zero reux
design
Respects ISO
specication
Praxiject.com
INNOVATING FOR HEALTH
SECONDARY
Engineering
Control
(SEC)
For BUD > 12 hrs
ENGINEERING CONTROL REQUIREMENTS
for USP-797 and USP-800 Compliance
ALSO AVAILABLE FROM ESCO
Sterile Non-Hazardous
Cleanroom Pass Boxes
Non-Sterile Hazardous
Downflow Booth
Sterile Hazardous
503B cGMP Isolators
PRIMARY
Engineering
Control
(PEC)
Esco Models:
LHG (Horizontal): General compounding
LVG (Vertical): Put large machine inside
Esco Models:
PW1 (Compact): Single exhaust HEPA
ADC (Full-sized): Double exhaust HEPA
Esco Model:
DFB: Downflow Booth
Esco Models:
AC2 (Compact): Low ceiling, Mobile labs
LA2 (Full-sized): Best comfort & safety
DRUG TYPE
USP 797: Applies to Non-hazardous and Hazardous Drugs
USP 800: Additional Requirements for Hazardous Drugs
Horizontal Laminar Flow
Cabinet
Powder Weighing Station
with Ducting
Class II A2 Biosafety
Cabinet w/Ducting
Esco Models:
EPB-SS: Passbox, Full Stainless Steel
BIOPASS: Passbox, with H2O2 Decon
Esco Models:
GPPI: General Processing Isolator
ACTI: Aseptic Containment Isolator
215-441-9661 • Horsham, PA, USA • ETI.Admin@escolifesciences.com • www.escolifesciences.com
Compounding
Ventilated
Enclosure
Biosafety
Cabinet,
Ducted
Laminar
Flow
Cabinet
ISO 7 buffer
12 ACPH
0.01-0.03 “WG
neg. pressure
ducted
ISO 7 buffer
30 ACPH
0.02 “WG
positive
pressure
ISO 8 ante
20 ACPH
0.01 “WG
positive
pressure
ISO 7 buffer
30 ACPH
0.01-0.03 “WG
neg. pressure
ducted
ISO 7 ante
30 ACPH
0.02 “WG
positive
pressure