EP. 105 | DocPreneur Podcast: Compound Pharmacy and “Precision Medication”

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By Michael Tetreault, Editor in Chief

JANUARY 12, 2018 – Author and Editor, Michael Tetreault catches up with Emily Durham on this weeks DocPreneur Podcast. Emily is the Network Liason for CPESN (Community Pharmacy Enhanced Services Networks).

Emily Durham, MS has ten years of pharmaceutical experience in community pharmacies and physician offices. Currently she is the Network Liason for CPESN (Community Pharmacy Enhanced Services Networks). She earned a B.A. in Global Health and M.S. in Health Care Delivery from Arizona State University in 2015. During her studies she dedicated her time to studying how to improve the communication between physicians and pharmacist. Over the last four years, she has worked directly with physicians to connect them with community pharmacy services to improve patient health care outcomes. She is passionate about preserving community pharmacies in the changing health care system.

Emily Durham, MS has ten years of pharmaceutical experience in community pharmacies and physician offices. Currently she is the Network Liason for CPESN (Community Pharmacy Enhanced Services Networks)

Here are some highlights we discussed during the podcast today:

  1. Emily Durham, MS of Premier Specialty Pharmacy
    a. Masters in Science of Health Care Delivery
    b. 10 years of community pharmacy, compounding and physician dispensing
  2. What is compounding?
    a. Compounding is the art and science of preparing medications tailored to the
    patient’s need and specification.
    b. All medications were compounded before the raise of big pharma in the early
    c. We are able to tailor strengths and dosage forms that fit the individual needs of
    the patient.
    d. Since we start from scratch, we are able to eliminate dyes, fillers and common
    allergens that exist in mass manufactured medication.
    e. For example, if a patient has horrible GI side effects from certain medications we
    are able to try alternative dosage forms.
    f. Areas we specialize in hormone replacement, pediatric dosages/flavoring, GI,
    infertility, pet medications, dermatology, weight loss.
  3. Precision Medication
    a. One size does not fit all
    b. Tailored dosage forms based on patient need.
    c. Compounding pharmacist can make recommendations based on the patient’s
    medication history, symptoms, or lab results.
  4. How we can help physicians?
    a. Expensive medications. We are able to access the active ingredients and make
    similar medications. For example, we can make hemorrhoidal suppositories that
    have additional soothing ingredients than what is available commercially for a
    fraction of the price.
    b. Tailored solutions. We are able to compound formulations to the strength that fits
    the patient. This is very important when starting patients on hormone
    replacement therapy for men and women. These formulations are also less
    expensive than a brand name copay. Ex. Some patients do not absorb topical creams, so we are able to use
    alternative forms. Such as capsules, troches, suppositories, etc.
    c. Recommendations. Some compounding pharmacist have the expertise to make
    recommendations based on symptoms and lab results. Ex. dermatological
    conditions, local pain management, and hormone replacement.
    d. Triage. We have extensive follow up programs and more patient touchpoints than
    physicians appointments. We are able to give periodic therapy updates or make
    recommendations based on interactions. Especially important when starting
    hormone replacement on patients.
  5. Choosing a compounding pharmacy
    a. Search local- If you in Mesa visit Community Clinical Pharmacy, Metro Atlanta
    visit Premier Specialty Pharmacy, or in Tucson visit Acacia Pharmacy. Support
    pharmacist that are already engaged in the community. They also will refer
    patients to your practice.
    b. Grassroots method. We encourage physicians to go the pharmacy and visit the
    lab to view what is happening. Take time to meet the pharmacist to ensure they
    are able to work well with yourself, your staff and patients
    c. Search compounding pharmacy associations and registries. For example, IACP
    or PCCA.
    d. Ask your patients, staff and peers for recommendations.


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