The Pharmacy Podcast Show is the industry's first audio blog about the 'Business of Pharmacy'. The Pharmacy Podcast Network is dedicated to the pharmacy profession and is a collection of content with diverse topics within the pharmaceutical industry. The Pharmacy Podcast Show is about good useable content, information, and innovative ideas that we believe will advance the pharmacy profession. We are always expanding our programming to Independent Retail, Compounding, Long-term Care, Specialty, Hospital Systems, and Small Chain Pharmacy Businesses. We're expanding content for Patients and Pharmacy Students and encourage our listeners to submit ideas for future shows. The Pharmacy Podcast Show is about dynamic people in the pharmacy industry making a difference for our profession, customers, and patients.


Title: Beating Adversity

Amanda Cavness (email:

University of Tennessee College of Pharmacy


Guest’s Skype: umtiger1121 (I went to the University of Memphis!)

Tony’s Skype account: TonyPharmD


Welcome to the Pharmacy Podcast Network, I’m your cohost Tony Guerra for the PharmacyFutureLeaders podcast broadcasting from the Des Moines Health and Public Services Building at DMACC’s Ankeny Campus

Connect with me on Facebook at TonyPharmD1 or you can find over 800 pharmacy videos supporting my audiobook Memorizing Pharmacology and new book Goodnight Pharm: 350 Brand and Generic Names with Classifications read by James Gillies.

Today we're going to be talking with the dynamic Amanda Cavness, a 2016 Graduate of the University of Tennessee College of Pharmacy. She has served in various leadership roles with APhA-ASP, IPSF, and Tennessee Society of Student Pharmacists. She is currently a staff pharmacist with Kroger Pharmacy. Amanda is a patient advocate for health care providers being more compassionate and empathetic base on her personal experience as a breast cancer survivor.

Amanda Cavness (email:

University of Tennessee College of Pharmacy


Direct download: Pharmacy_Future_Leaders_-_Amanda_Cavness.mp3
Category:Pharmacy -- posted at: 9:18am EDT

Over the past year, video has quickly become an essential way to market your business. Dr. David Pope and Nicolle McClure talk about why it’s important for pharmacy owners to incorporate it as part of their overall marketing strategy, and how it can be used to tell a story about your pharmacy history, services and personal commitment to the community.  

They’ll give examples of how it can be used in a pharmacy settings and options for execution.

Reach out to the experts today:

Nicolle McClure

President - GRX Marketing 

2929 Westown Pkwy Suite 100

West Des Moines, IA 50266

515.440.1270 main |515.280.2913 dir

Direct download: 01_Video_Marketing_Rx_Marketing_Simplified.mp3
Category:Pharmacy -- posted at: 4:25pm EDT

Dear Class of 2017: CONGRATULATIONS!! 

Although, at least for now, I may not officially be in the classroom, I still am a full, tenured professor of a very highly prestigious institution: the School of Hard Knocks, at Real World University. And, now that we are nearing graduation season, I wanted to give you some solid career advice as you advance either into college, graduate school, or scarier still, the real world.

My advice is based upon decades of experimentation with my own career, which included enumerable blunders, bad ideas, and failures. While I certainly may not be one to predict the future, I do try my best to stay ahead of the curve and watch what's on the horizon in terms of career development. Based upon this passion, here's my best advice for you as you embark into the next phase of your career and life this spring:

  1. Sorry, but you're not really leaving the classroom. As much as I ran screaming from the building, several times, from institutions of higher knowledge, I'm both sorry and elated to state that you're never going to stop learning moving forward. Life is a great teacher--the best teacher of all. And even though you might not be inside a classroom per se, your brain should always be on and absorbing knowledge. The world is changing way too quickly today to NOT be learning constantly - and to shut your brain off from education is a very dangerous thing to do in this era. Keep your brain on. Keep learning. Watch youtube how to videos, take a Coursera class online, go to the library and sign up for a computer course, or go back to the ivory tower if you want formal learning. Just. Keep. Learning.
  2. The train to Awesometown goes through Suckville. Eventually, you will get your butt your career. You'll encounter a terrible boss or two that you can't quite figure out how to manage, you'll fail epically at a new idea you wanted to try, or you just won't pass something, or need to try something again before mastering it. I'm here to tell you that this is OK. In fact, if you're NOT failing enough, you're not trying hard enough, in my opinion. Push and challenge yourself to grow and go beyond your wildest dreams. And if you're embracing the suck of learning something new, it's not really failure anyway. In fact, recognizing it is a faster ticket to Awesometown. Be proud of the fact that you may suck at a few things, because that means you're trying, and trying means growing.
  3. Don't put all your career eggs in one basket. If you ignore the rest of this letter, with the exception of this point, please let this one stick: do NOT put all your eggs in one career basket. What I mean by this is: diversify and niche. In my first profession (pharmacy) there are now 290,000 of us in the US. That's a LOT of pharmacists! How do I stand out from the herd? Well, I narrowed my focus by going to law and business schools. There aren't many pharmacists at the intersection of business, law and pharmacy. Fewer still at the intersection of pharmacy, business, law and podcasting. Even fewer in the podcasting realm of career development. So, even though I went to school several times to study wide bodies of knowledge, I'm paring down my areas of expertise and arriving at a very quiet and complex intersection of my career. I'm also warning you here that your career path will be a lot more complicated and less linear than your parents' paths. Even MY path is going to be radically different than new generations, and I'm Gen X. What worked for the Greatest Generation, Baby Boomers, and Gen X probably won't work for you and your generation. Keep that in mind as you move through the 40+ years of the working world. The good news here is that you're more free than any other generation before! You don't have to work 40 hours a week. You may not need to live in a city for a particular job. You may be able to travel and see the world while you have a laptop and smartphone for work. Embrace this freedom!
  4. Your career is a portfolio of projects - not a resume. Think about the last 5 projects you worked on, that no one gave you permission or mandated you to develop or run with - what were those? Do more of that. Maybe something made you mad. Maybe you tried to get someone to change. Maybe you wanted to make the world a better place. Whatever that "it" is, go do more of that. You may not only make the world a better place, but you may invent a unique career opportunity for yourself that doesn't even exist on paper anywhere within the universe today. That is powerful, magical and unique. That energy we need more of in the universe. That's what you are here to do.
  5. You are like the 5 people you hang around the most - choose carefully. I didn't come up with this one - Jim Rohn did. If you don't know who he is, Google him. I'm sure your parents have cautioned many of you about this as well - but it is true. From your well-being, mindset, and even your physical health, the 5 people you hang around the most influence your life the most too. Do you want that very powerful influence to be positive, or negative? Do you want to be inspired and uplifted by those around you, or pulled back? Do you want to be energized when you leave a conversation with one of your top 5, or drained? Do you want to be challenged, or stay where you are, comfortably? Choose very, very carefully. And note that your top 5 may change over time - that's OK, just make sure you're carefully and wisely choosing those amazing influencers in your life, because they hold a lot of force over you and your empire....

This is the best I've got for you, dear future leaders of the universe. You will need to discover the other superpowers and sage advice on your own. But that's the wonderful thing about the real world - it's a fantastic teacher - OUTSIDE the classroom.

Congratulations and all the best,

Dr. Albert

Dr. Erin Albert is an author, preceptor, entrepreneur, podcaster and former professor. She's also at Twitter. And, just for this post, she has a few more bonus points over at her blog.

Direct download: CLASS_of_2017_CONGRATULATIONS.mp3
Category:Pharmacy -- posted at: 8:17am EDT

The latest Gavel & Pestle Podcast focuses on - 3 Tips for Buying a Pharmacy

Pharmacy Buyers must be careful when buying a pharmacy. An ill-advised pharmacy purchaser may find himself purchasing a headache, and a prepared pharmacy purchaser may find herself getting a better deal than originally anticipated.

The first 2 major questions to answer before beginning the process is to determine the type of pharmacy to purchase and the way you intend to purchase it.

  1. 503A v 503B
    1. Is there adequate space
    2. Compounding within state v out of state
    3. Patients in state v out of state
    4. Large volume compounding v small volume compounding
    5. Sterile v non sterile




Recommended Agreements

  • Agreements with various insurance providers
  • Lease on facility
  • Building/store lease
  • In-store vending machines, such as copiers or photo-processing kiosks
  • Collection service contracts, such as water, utility or phone
  • Business or franchise contracts with third parties, such as UPS or the United States Post Office
  • Building and/or parking lot maintenance contracts
  • Drop-ship vendors for front-end products
  • Direct accounts with suppliers of gifts, cards and so on
  • Pharmacy automation equipment
  • Pharmacy services, such as compounding



  1. Have SOPs in place
  2. Training required for SOPs


Laws of Interest

  1. HIPAA
  2. FCA
  3. Anti-Kickback
  4. Advertising and coupons


Audit the pharmacy

  • All prescriptions have valid prescriptions
  • Billing concerns


Some recommended clauses

  1. Indemnification
    1. Stock purchase v asset purchase
      1. License use/continuation of contracts
  2. Ownership of issues like name etc
    1. State v area of focus
  3. Non Compete/ Non Disparagement
  4. Likely involves some amount of employment by previous owner


Deal Exhaustion is a real thing!!

Darshan Kulkarni, Pharm.D, MS, Esq.
The Kulkarni Law Firm
2929 Arch Street, Suite 1700 
Philadelphia, PA 19104
Office Number215-948-8183
Twitter: @FDALawyers
Direct download: 3_TIPS_on_BUYING_a_Pharmacy.mp3
Category:Pharmacy -- posted at: 10:52pm EDT

The Fit Pharmacist brings a valuable episode about 'Overcoming Emotional Eating' which impacts millions of people everyday. 

The Fit Pharmacist, Dr. Christina Tarantola and Dr. Adam Martin interview -- Kori Propst, PhD, LCMHC, LPC directs the nutrition and weight loss program as the Vice President and Wellness Director at The Diet Doc. She created the Mental Edge and Peak Performance consulting program tailored specifically for individuals interested in emotional agility and optimizing their potentials. 

Licensed in Clinical Mental Health Counseling and a Licensed Professional Counselor, Kori has earned a bachelor’s degrees in exercise physiology, a master of science in counseling, and a doctorate in Health Psychology and Behavioral Medicine. Her dissertation addressed the perceived threats to weight loss goals and their relationship to the basic psychological needs as outlined in Self-Determination Theory. Her education is enhanced by certifications in personal training, health coaching, and lifestyle and weight management consulting, and she is an ISSN (International Society of Sports Nutrition) clinician.

SIGN UP TODAY for a powerful 'Side Hustle' Business to Empower your Patients while making extra money: SIGN UP HERE!!


The Fit Pharmacist:

Direct download: Emotional_Eating_-_The_Fit_Pharmacist.mp3
Category:Pharmacy -- posted at: 12:54pm EDT


An extra year of pharmacy school


Dalton is a P3 Student at Drake University College of Pharmacy and Health Sciences who is interested in data analytics and health outcomes. He has served as president of the APhA-ASP chapter at Drake University, executive council of Phi Lambda Sigma, the pharmacy leadership society and was a two-time co-chair of Pharmacy and Health Sciences Day, as well as service chair of the Drake Pharmacy Unified Group of Students, with the apt acronym DRxugs.

  1. Everyone’s leadership road is a little different; tell us what you are doing now and how you got there.
  1. What do you feel is your area of expertise and what are two things that we can really learn from what you do?
  1. Tell us how you became a leader and how your perception changed when that happened.
  1. What’s the worst thing that’s happened to you as a leader and how did you get out of it? (Tuition)
  1. Tell us about a time when you had an epiphany that changed how you thought about something?
  1. What’s the one thing you’re most excited about now? 
  1. What blanket advice do you have for someone wanting to get to where you are?
  1. How do you prefer people contact you?



Guest: Dalton Fabian (email: )

P3 Drake University College of Pharmacy  




A couple of quick hit questions.


  1. What is your best daily ritual to keep your work on track?


  1. Best career advice you’ve ever received?


  1. What inspires you? 
Direct download: Pharmacy_Future_Leaders_-_Dalton_Fabian.mp3
Category:Pharmacy -- posted at: 8:49pm EDT


Diabetic Shoes – Do It Right the First Time 

Why would I ever consider doing Diabetic Shoes, Audits, insurance companies, and stinky feet? Is it not worth the hassle?

  • Diabetic shoes is the only preventive medicine Medicare and Medicaid pay for. If done correctly, the process is just that, a process. Just like filling any other prescription.

But it takes so much time

  • Yes, it does take time. But whose time does it take? This is not a requirement for the pharmacist to accomplish. Depending on the type of shoe and the state, a manufacturer trained individual may see and fit a patient for their shoes and inserts.

Then there is always the audits

  • Yes, there is a lot of fraud with shoes. But understanding the audit documentation process and the details the auditors are looking for before you see the patient makes all the difference.

OK, you make it sound simple. Then why are folks dropping diabetic shoes?

It all in the documentation, that is why you must do it right the first time.

Then let’s start at the beginning by asking, who is eligible?

We are talking about Medicare patients billing through their Part B coverage because this is the most restrictive and most audited process.

  • The patient must be diabetic
  • The patient must have at least one of the following conditions documented by their physician
    • History of partial or complete amputation of the foot
    • History of previous foot ulceration
    • Peripheral Neuropathy with evidence of callus formation
    • Foot deformity
    • Poor circulation

Who can sign the prescription for diabetic shoes and inserts?

The patient must see a MD, DO, PA, CNPT or Podiatrist for a face-2-face visit and receive a prescription for diabetic shoes and inserts. Once the prescription is received from the patient, a Detailed Written Order is completed and faxed to the individual writing the prescription requesting their signature and their clinical notes. If the prescription was signed by a PA, CNPT or Podiatrist, then the patient must be seen by a MD or DO for another face-2-face visit and a Physician Certification of Therapeutic Footwear is needed along with their clinical notes.

If the initial visit was with a MD or a DO, then the Physician Certification of Therapeutic Footwear can be faxed with the Detailed Written Order.

You mention clinical notes, pharmacists normally don’t deal with physician’s clinical notes. Why is importation for shoes?

Clinical notes are a Medicare Part B, DMEPOS requirement. Almost all audits are lost on the clinical notes. The pharmacist, fitter or billing clerk do not need to be a medical expert to identify what is needed or the problem in the notes. The notes must state:

  • The patient is diabetic
  • Has an approved medical condition that requires the need for diabetic shoes
  • The patient must have at least one of the following conditions documented by their physician
    • History of partial or complete amputation of the foot
    • History of previous foot ulceration
    • Peripheral Neuropathy with evidence of callus formation
    • Foot deformity
    • Poor circulation
  • Prescription was written for both shoes and inserts.

You mentioned fitter, can all pharmacists fit diabetic shoes and insert?

The fitter is designated by state law, licensure and CMS rules. In every state except Illinois, a Pharmacist Scope of Practice covers the dispensing of a medical device with a legal prescription. All that is needed is manufacturer’s training and a training certificate. Pharmacy technician and other staff also require manufacturer’s training and can fit diabetic shoes under the supervision of the trained pharmacist. DME facilities must follow state licensure requirements when applicable and an in most instances will only dispense heat moldable inserts.

When can the initial fitting occur?

The initial fitting can occur at any time after receipt of the initial prescription. The initial fitting is an assessment of the patient to ensure the patient meets the requirements for diabetic shoes and can be safely fitted. The assessment includes the entire foot and every aspect is document. Once the assessment is completed, the fitter and patient pick the best style of shoe and complete the order forms.

Where can the fitting occur?

At your pharmacy, DME facility, assisted living facility, senior center or the patient’s residence. You are not limited to stay within your facility. This is a wonderful way to get into your community.

When is the final assessment / fitting completed?

This is a scheduled appointment. When you have received the diabetic shoes from the manufacturer and have received all of correct documentation:

  • Detailed Written Order
  • Physician Certification of Therapeutic Footwear
  • Clinical notes from all healthcare providers indicating
    • Face-2-Face visits
    • Needs for Diabetic Shoes
  • Orders for Diabetic shoes and type of inserts
  • One of the conditions that authorize diabetic shoes

What happens if you don’t or can’t get the documentation?

You use your biggest resource, contact the patient and ask for assistance. Explain what you need from the specific physician or licensed practitioner and ask if they can call. If it is a document that needs completed, you can give the patient the document and ask them to take it to the physician for signatures. The patients are motivated to get their shoes so they are motivated to their paperwork.

There seems to be a lot of diabetic shoe manufactures and they all have their own documentation and they are all different. Which documents should be used?

Shoe manufacturers are experts in manufacturering diabetic shoes and inserts. They market shoes to suppliers and provide a quality product to be dispensed to the patient. They provide documentation from what they feel is appropriate that meets the CMS guidelines but how up to date is it? There are a lot of regulations that must be followed for all Medicare Part B dispensing. If the claim is rejected, the manufacturer really doesn’t have any skin in the game. They have already been paid. It is always the responsibility of the supplier to follow all of the LCD requirements and CMS regulations.

Jeff, you sound very confident on these processes. Why?

Over the years, I have worked with the shoe manufacturers, CMS, DME MAC auditors, inspectors, accreditation organizations and many other groups. We have developed a deep understanding of what is required to dispense diabetic shoes and more importantly how to win audits. It is always about the documentation. If you know what everyone wants before you start, it is easy to meet the requirements. The problem is all the requirements are not written down. You have to talk to all the people involved. Once you do and the process developed, our process done the right way the first time never has an issue with DME MAC or insurance audits.

So does R.J. Hedges have a solution?

Yes, we actually have several solutions.

First, if the pharmacy is exempt, you can still add diabetic shoes to you CMS 855S application. All you need is manufacturer training and an amended CMS 855S application. There is NO fee

Second, we have a Diabetic Shoe program that focus’ just on the dispensing of diabetic shoes. It comes with all of the documentation, DWOs, Physician Certification of Therapeutic Footwear, Assessments, delivery receipts and compliance training. The cost is $500.00 for the first year and $100.00 for every year thereafter.

Our final option for DMEPOS products is a full DMEPOS compliance program that comes fully customized for the facility. Our sales team will work with the facility to set up the best solution for the program and then one of our Project Managers will be assigned and will create the program and become the facility’s Go To Person or what I like to say, your Assistance Compliance Officer.

Direct download: Diabetic_Shoes.mp3
Category:Pharmacy -- posted at: 7:27pm EDT

Patient's Podcast host Kristy Sobel interviews Sibylle Spühler-Moran who suffered a similar injury and operation as Kristy. 

Sibylle’s Story –Artificial Disc Replacement Failure 

Relentless neck or back pain . . . with stabbing nerve pains . . . can be unbearable and debilitating. We try every alternative therapy until surgery becomes the last remaining option. If you are in this predicament, please listen to my story. It could just change your mind about your next steps.

I’d like to provide you with the INISIGHTS and WARNINGS that I wish I had prior to going down the surgical path. My story is quite complex. However, everyone deserves the truth vs. only partial information, in order to make the right decision.

Please be AWARE of the Spinal Kinetics M6 artificial disc replacement product that will be available in the USA, as soon as the FDA approval is complete. I believed this product was solid and fail-proof, but the exact opposite is true . . . . Their product does NOT live up to their “motion for life” tagline.


Direct download: What_you_dont_know_WILL_hurt_you.mp3
Category:Pharmacy -- posted at: 7:02pm EDT

Dr. Christina Tarantola & Dr. Adam Martin return with the Fit Pharmacist Podcast segment part of the Pharmacy Podcast Network. Adam & Christina interview Kamala who holds a PhD in Counseling Education and is a licensed professional counselor, practicing for the last 10 years.

Kamala specializes in grief and loss, marital counseling, depression and anxiety, eating disorders, spiritual formation, life transition, and growing in personal awareness and wholeness. She loves research and teaching and the process of transformation. Fighting for joy and pursuing wisdom with the unique and complex people she meets in counseling is one of the things she enjoys most.  She is also an avid reader, outdoorsy person, a mother of four amazing little people, wife of a pretty incredible fellow, and lover of God.      

"Be the change you wish to see in the world"-Ghandi
Dr. Christina Tarantola 
Licensed Pharmacist, Certified Health Coach & Author 
The Diet Doc LLC
Direct download: Stress_Management_-_the_Fit_Pharmacist.mp3
Category:Pharmacy -- posted at: 7:14pm EDT

420, 4:20, or 4/20 (pronounced four-twenty) is a code-term that refers to the consumption of cannabis, especially smoking cannabis around the time 4:20 p.m./a.m. (or 16:20 in some European nations) and smoking and celebrating cannabis on the date April 20 (which is 4/20 in U.S. form).

Today's Pharmacy Podcast Episode 420 is a special show dedicated to an update on Medical Cannabis and our GO-TO EXPERT - Joseph Friedman with PDI Medical.

This is Joe's 4th Pharmacy Podcast, our Leading Guest of reoccurring spots for our 420th Episode Published on April 20th 4-20  

  • The History // Explanation of 4-20 ?
  • "State of the nation" from Joe's insights  
  • Latest summary on PDI, experiences, ideas, innovation, conferences, on all things Medical Cannabis  
  • Latest News on the Medical Cannabis front  
Joseph Friedman Rph MBA
Chief Operations Officer
PDI Medical
1623 Barclay Blvd
Buffalo Grove, IL. 60089
224-377-9PDI (9734) Office
Direct download: 411_on_420_Medical_Cannabis_Update.mp3
Category:Pharmacy -- posted at: 12:01am EDT