By Michael Tetreault, Editor in Chief
MARCH 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.
Here are some highlights we discussed during the podcast today:
- 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
- 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
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.
- 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.
- 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.
- 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
d. Ask your patients, staff and peers for recommendations.