Pro Pharma Talks

Pro Pharma Talks

By Pro Pharma
Welcome to Pro Pharma Talks, where we bring clarity to a variety of healthcare topics -- from pharmacy to medical insurance, and more!
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Purchasing Drugs From Canada
 1. Quality of prescription drugs     a. Health Canada responsible for efficacy and safety of drugs marketed in Canada     b. Health Canada operates under the Food and Drugs Act and regulatory mandate under the Food and Drug Regulations     c. Most drugs are not manufactured in Canada      d. There is no parity between drugs available without a prescription in US vs. Canada 2. Availability of prescription drugs     a. US Rx received in Canadian pharmacy must be approved by a Canadian physician prior to it being filled – cosigning     b. Canada Health Act – drugs administered in Canadian hospitals are approved at no cost to patients     c. Employers cover many Canadians and their families     d. Drug Shortages Canada –           i. Website for reporting drug shortages and discontinuations in Canada          ii. Drug sellers must report that they cannot meet demand 3. Cost considerations     a. Canada          i. Most prescription drugs are imported          ii. Government places price ceilings on Brand name medications imported into Canada     b. Canadian internet pharmacies are suspect     c. Bricks and mortar pharmacies are same as US 4. Opportunity Savings     a. HIS Markit study – Abilify costs 87% less and Xarelto costs 60% less     b. Concerns that manufacturers will increase prices for drugs in US and Canada 5. State Plans     a. Florida     b. Vermont 6. Trump’s Plan     a. States, individual pharmacies, wholesalers can write proposals and submit for federal approval     b. Exclusions – biologics, medications created from living organisms     c. FDA would work with manufacturers to bring drugs made in foreign factories to the US (e.g., insulin) 7. Arguments Against – PhRMA     a. Counterfeit, dangerous medications     b. Canada drug market too small     c. Canada doesn’t have an unlimited supply of medications   ______ Make sure to subscribe to get the latest episode.  Contact Us: Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
33:54
August 15, 2019
Healthcare and Homelessness
1. Indigent / Homeless Population      a. No address      b. No phone      c. No income, or no money for health care      d. No transportation      e. No time management      f. Information varies dependent on associations      g. Information sharing is variable and frequently based on incorrect concerns, false conversations, etc. 2. Health Care Issues      a. Poor diet      b. Poor exercise program      c. Lack of follow up on relatively trivial problems that result in major complications      d. Poor historians      e. Frequently comorbid      f. Frequently have behavioral health problems      g. Inconsistent adherence – office visits, obtaining labs, picking up drugs 3. Medication Issues      a. Can’t afford copays      b. Frequently don’t have a watch for scheduling medication      c. Medications cannot be evaluated as the patient may not be available to identify side effects, etc.      d. Patients frequently cannot obtain labs to use for medication management      e. Adherence is a problem, especially if they stop taking the medications due to side effects, etc.   ______ Make sure to subscribe to get the latest episode.  Contact Us: Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
24:10
July 24, 2019
Travel Health
  Travel Health: 1. What are the most common health issues travelers may encounter?        a. Travelers diarrhea        b. In terms of “things that will kill you”, most travelers die from pre-existing medical conditions (MI) or accidents (specifically MVA) 2. Mentioned vaccines, are there other vaccines people will need to consider besides those for GI bugs?        a. Yellow fever… basically a mosquito-borne disease that destroys your liver and has a very high fatality rate. Found in South America (Amazon) and Sub-Saharan Africa. Mosquitoes bite during the day and can also carry dengue, chikungunya and zika… so still have to prevent mosquito bites.        b. Japanese encephalitis… similar to West Nile, it causes neurological symptoms. Found in Southeast Asia, mostly in rural parts. Need to have a travel health advisor assess whether or not you should get it.        c. Rabies… fairly expensive, but lifesaving if bit by a rabid animal.        d. All the routine vaccines you thought you didn’t need… Tdap, meningitis, polio, MMRV and FLU! (because it looks like malaria and you will be treated as such in tropical countries) 3. What about malaria?        a. Parasitic disease that lays dormant for weeks to months and can result in death in 24-48 hours without treatment        b. Mosquitos bite at night so need modern housing or a bed net        c. Medication are typically taken before travel, while traveling and up to one month after 4. Anything else?        a. Lots of other things to consider… altitude sickness, other parasites (even those you can get from bathing in contaminated water like lakes and rivers), jet lag, etc.        b. Best to consult someone certified in travel health or tropical medicine… so they will have passed a competency exam  ______ Make sure to subscribe to get the latest episode.  Contact Us: Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
19:39
June 19, 2019
Medical Devices
Devices Used in Therapeutics 1. Types of devices used for TESTING / MONITORING and At-Home Test Kits discussed in this talk –      a. Blood Glucose monitors      b. Blood pressure monitors      c. Prothrombin Blood Coagulation monitors      d. Pregnancy test kits      e. and others 2. FDA Medical Device Classes      a. Class I = low to moderate risk to patient           i. 47% of devices           ii. 95% exempt           iii. Examples = Enema kits, elastic bandages, manual stethoscopes, and bedpans      b. Class II = moderate or high risk to patient           i. 43% of devices (most devices)           ii. Examples = powered wheelchairs, some pregnancy tests kits      c. Class III = high risk to patients           i. 10% of devices           ii. Examples = Implantable pacemakers, breast implants      d. FDA Regulatory Requirements           i. FDA Registration  (21 CFR Part 807)           ii. Medical Device Listing           iii. Premarket Notification 510(k) OR Premarket Approval (PMA)      iv. Investigational Device Exemption (IDE) for clinical studies                1. https://www.fda.gov/medical-devices/device-advice-comprehensive-regulatory-assistance/overview-device-regulation      v. Quality System (QS) regulation      vi. Labeling requirements      vii. Medical Device Reporting (MDR) 3. Over-the-Counter use Tests      a. Regulation by the FDA in the In Vitro Test Database (IVD) Over-the-Counter Database      b. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfIVD/Search.cfm 4. QS by FDA approved home and Lab Tests, laboratory validation      a.  https://www.fda.gov/industry/regulated-products/medical-device-overview      b. https://www.pharmacytimes.com/publications/issue/2013/september2013/at-home-test-and-monitor-kits ______ Make sure to subscribe to get the latest episode.  Contact Us: Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
24:11
June 11, 2019
Beliefs & Myths
 Beliefs: 1. Cold temperatures bring on cold/flu 2. Going outside with wet hair gives you a cold 3. The flu shot causes the flu 4. Coffee Can Stunt Childhood Development 5. Cracking Knuckles Leads to Arthritis 6. Starve a Fever, Feed a Cold 7. Gluten is Bad 8. Sitting is the New Smoking 9. Eating chocolate gives you acne. 10. Walking around barefoot on a cold floor will give you varicose veins 11. Sugar causes hyperactivity in children.  ______ Make sure to subscribe to get the latest episode.  Contact Us: Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
41:03
June 4, 2019
Remedies & Myths
Remedies & Myths: 1. Krazy Glue can be used to seal small wounds      a. Contains cyanoacrylate      b. Con – irritate skin, kill cells, and aggravate infections, poison if swallowed 2. Treatment of burns      a. Put Butter on a Burn      b. Toothpaste on a burn      c. Honey on a burn      d. Aloe Vera on a burn      e. For Cuts and Scrapes, Apply Peroxide and Leave Open to the Air 3. Throw Your Head Back to Stop a Nosebleed      a. Throwing your head back causes blood down to the back of the throat and you may swallow it.  Swallowed blood irritates your stomach and causes vomiting      b. Tx – tip head forward, pinch your nostrils together while leaning slightly forward 4. Vicks for Foot Fungus, Headaches, Ear Aches      a. Vicks increases circulation      b. Headaches      c. Nail fungus      d. Rub with Vicks in a cotton ball for ear aches      e. Rub Vicks for stomach aches 5. Witch hazel for headaches      a. Hot Tequila and honey for a sore throat      b. Purple onion tea for cough 6. Tomatoes for tonsil aches      a. Tomato juice is acidic so it is a poor choice for sore throats  ______ Make sure to subscribe to get the latest episode.  Contact Us: Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
42:01
May 28, 2019
Medication Rebates
 Rebates  • Spin – Rebates are a villain in producing higher drug costs • What are they?  --    o Discounts for favorable formulary placement   o Rebates are like discounts based on the volume of sales • Entities involved – PBM, rebate aggregator, Health Plan, drug manufacturer • What is rebated?  -- brand name drugs only • Contract between PBM or payer and drug manufacturer   o Terms of contracts are secret   o Manufacturers don’t want other manufacturers to know what they have guaranteed for discounts   o PBMs don’t want clients to know how much they keep   o PBMs negotiate discounts so the overall cost is lower, but they keep a percentage of the savings • Largest contractor for rebates is Medicare • Response   o CVS is giving patients a lower cost by giving rebates/discounts at point-of-sale   o Walgreens and others are doing the same • Industry question – Are rebates going away, or are they just being moved to another cost that ultimately the patient or insurer still pays  ______ Make sure to subscribe to get the latest episode.  Contact Us: Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
28:34
May 22, 2019
The Opioid Crisis
 This Weeks Topic: 1. Opiate issue      a. Scale of problem      b. Who is to blame?  PhRMA, doctors, patients      c. Sites of Care – surgery, ER, dentists, primary care 2. Responses       a. Discontinuation of therapy – CDC response to taper       b. Opiate Stewardship      c. State Programs to intervene  ______ Make sure to subscribe to get the latest episode.  Contact Us: Pharmacy Benefit News: http://www.propharmaconsultants.com/pbn.html Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
26:20
May 14, 2019
Consumer Driven Healthcare
• Are all consumers the same? • Deloitte/ Four Consumer Classifications    • Trailblazers       o Younger, higher income, excellent health, more men, use report cards of doctors, hospitals, will change doctors if dissatisfied    • Prospectors       o 2nd youngest group, high income, men=women, open to wearable tech & virtual office visits, use quality ratings      • Homesteaders       o 2nd oldest, low income, women>men, not open to tech, avg. wellness, convenience > OOP, don’t change providers    • Bystanders       o Oldest, poorest, women > men, not open to tech, avg. wellness, don’t share info with doctor, least likely to follow healthy diet, choose doctor on OOP and convenience • Why are we talking about this?         o If consumer can pick their health care option, then who are the consumers, i.e., what types do they fit?       o What do they want?       o With Congress and the States trying to model health care as ACA or an alternative, then what patient types should they consider? • In actuality, the US already has a multi-tiered health care system –       o Healthy, young people can buy commercial insurance or not       o Poor people and children have Medicaid or County hospitals/clinics for caring for the poor and uninsured       o General Public has the ACA       o Older people have Medicare       o Injuries have Workers Comp • If we use the Deloitte Consumer Classifications, then we have one method of classifying different patient types. • For other than Medicaid/Medicare, Workers Comp, and Commercial Insurance, the law of large numbers prevails.  To provide insurance for people with pre-existing conditions, healthy and sick people must participate.  Options include:       o Modifying the ACA – produced low ER, low hospital, downward drug spend – needs alternative options for healthy individuals       o Aggregating populations with sick and poor to contribute to insurance       o Various per-capita formulae for different segments of the population       o State or Federal government re-insurance programs       o National health care       o Other options  ______ Make sure to subscribe to get the latest episode.  Contact Us: Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
26:51
April 16, 2019
The Flu Vaccine
 Topic: The Flu Vaccine Influenza: 1. Why do we need a flu shot every year?      a. Virus and vaccine           i. Virus is constantly mutating/changing           ii. Vaccine only works against one portion of a protein on the surface           iii. WHO/CDC basically makes an educated guess as to which virus will be the most likely      b. Even in a “bad” year when the vaccine doesn’t match well, the effectiveness is still about as good as most medications at preventing/treating their corresponding diseases. 2. Why should people get the flu shot?      a. Because it decreases your chance of getting flu, getting a severe case of the flu, being hospitalized for the flu and even dying from the flu      b. The “but I am a healthy adult” excuse…           i. Healthy adults can die from influenza (e.g., WWI and many cases reported with H1N1)           ii. Some evidence that certain strains can cause more severe disease in adults versus elderly or children due to a more robust immune response that causes more lung damage           iii. You can still spread influenza even if you only have mild to almost no symptoms 3. So what are the symptoms of influenza?      a. First, it isn’t a cold… typically no runny nose, doesn’t start slowly and take a few weeks to kick      b. It also isn’t the “stomach flu”… this is caused by enteroviruses and other pathogens.             i. Patients with influenza may have vomiting and diarrhea, but it isn’t a classical symptom.  (also can have multiple viruses circulating)      c. Influenza is typically fever (therefore chills), malaise, sore throat and headache.  If someone comes in and says they don’t feel well and is sniffling/sneezing, it isn’t the flu.  If they come in and say they feel like they are going to die, that’s the flu. 4. Who is most at risk for having complications or more severe influenza?      a. Age… young children and elderly      b. Other diseases… asthma, COPD, diabetes, heart disease, basically any other chronic disease that compromises any organ, including taking medications that lower your immune system.      c. What else? Morbid obesity, neurological compromise,   PREGNANCY! 5. Why is pregnancy a risk?      a. Basically causes both immunosuppression and puts strain on the mother’s organs      b. We saw very high rates of hospitalization and mortality with H1N1.      c. Numerous studies have shown it is safe and also protects the baby after birth (along with Tdap!) ______ Make sure to subscribe to get the latest episode.  Contact Us: Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
19:39
April 2, 2019
Generic Vs Brand
 Topic: Generic Vs. Brand Vs. Biosimilars Top 10 Generic Pharmaceutical Companies – many are branded companies, e.g., 1, 2, 3, 9, 10      1. Pfizer Established Pharma      2. Teva Generics (including Allergan Gx)      3. Sandoz / Novartis      4. Sun Pharma – Indian multinational pharmaceutical company      5. CR Pharmaceuticals – second largest distributor in Chinese pharmaceutical market      6. Yangtze River Pharma – Chinese multinational pharmaceutical corporation      7. Mylan – Morgantown      8. EMS – largest pharmaceutical company in Brazil      9. Abbott Established Pharma      10. Hengrui Therapeutics in Princeton, NJ = Jiangsu Hengrui Medicine Co. Ltd. Is largest ethical pharmaceutical company in China Effectiveness / Risk / Safety      • Identical to brands      • Possibly different fillers, color or shape Cost      • First 6 months -- 10-15% discount      • After 6 months -- >=70% discount Biosimilars      • Highly similar, but not identical      • No clinically meaningful differences in efficacy, safety, and potency vs. reference product      • Reviewed and approved through an abbreviated FDA review process = 351(k) pathway      • FDA guidance  the Agency reviews the totality of evidence and does not necessarily focus on one type of study to evaluate a manufacturer's application for demonstration of biosimilarity      • The manufacturer of a biosimilar demonstrates biosimilarity primarily from nonclinical analyses in a stepwise approach that includes examining the structure and functional nature of the biosimilar molecule Cost      1. Europe about 15% discount      2. US = 15% to 50% ______ Make sure to subscribe to get the latest episode.  Contact Us: Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
27:56
March 27, 2019
Amazon Tackles Healthcare
Episode Outline: Topic: Amazon, Berkshire Hathaway, and JP Morgan Chase Tackle Healthcare Goals       •Save money      •Ensure Quality      •Satisfy patients Employers buy health care      •Cost           •Single Plan = $5,700 / employee           •Family Plan = $14,900 / family      •Employee pays = 28% of premium cost Problems      •Employer sponsored health care      •Volume over Value      •Patient not involved Remember, Potential Solutions?      •Patients get a seat at the table      •Fixed fees for clinicians      •Integrated care      •Health coach ______ Make sure to subscribe to get the latest episode.  Contact Us: Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
32:40
March 19, 2019
Universal Healthcare
Episode Outline: Topic: How other countries handle Universal Health Care?         • APPROACHES TO UNIVERSAL HEALTH CARE                o Public Insurance -- United Kingdom                o Private Insurance – Netherlands                o Mixed Public-Private Insurance – France         • PUBLIC INSURANCE                o Single payer                o Government finances with taxes                o Direct contracting with providers                o All care is provided         • PRIVATE INSURANCE                o Government sets policy and regulates private insurance                o Insurance & delivery of care are run by private sector                o Everyone required to have healthcare                o Patients must buy supplementary insurance for glasses & dental         • MIXED PUBLIC-PRIVATE                o Government taxes support public and private insurance                o Government manages 3 major non-profit funds who pay providers                o All citizens must be covered                o Cost-sharing for doctor visits, inpatient, dental and vision         • REMEMBER…                o Public Insurance – financed with tax revenues - Direct contracts with providers, everything covered, no co-pays                o Private Insurance - Government sets policy and regulation - Private insurance and delivery of care are left to private sector - Supplementary insurance for glasses & dental                 o  Mixed Insurance - Government taxes support both public & private insurance -  Cost-sharing for doctor visits, inpatient, dental & vision ______ Make sure to subscribe to get the latest episode.  Contact Us: Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation  
31:26
March 12, 2019
Fentanyl
 Episode Outline: FENTANYL – USE VS. ABUSE Bottomline – When used appropriately (surgery, cancer) it is very beneficial!  Approach:  How to balance benefits vs. risks? What it is?        • Synthetic narcotic painkiller and anesthetic – created 1960        • Pharmacology – binds to opiate receptors in brain – fast and in small doses 50-100x > morphine, 50x > heroin        • Dosage forms – injection, patch, sublingual, tablet, film, lozenges, lollipops        • Rx pain after surgery, severe cancer pain               o Rx requires enrollment in program to decrease risk of medication                o NMT 4x/day        • Drug Interactions –               o Heart:  Amiodarone, Diltiazem               o Antibiotics: Clarithromycin, Erythromycin               o Antifungals:  antifungals (fluconazole, itraconazole, ketoconazole)               o Heart burn:  Cimetidine                o HIV drugs               o Depressants: Benzodiazepines, muscle relaxants, sedatives, tranquilizers Risks?        • Narrow therapeutic index!        • Withdrawal – muscle pain, diarrhea, vomiting, nausea, sweating, abdominal pain, cramping, tachycardia, insomnia, tremors, anxiety        • NIH – 9580 deaths in 2015        • Illegal – cut heroin        • Addiction Treatment –                o Methadone, buprenorphine, naltrexone               o Recovery, professional therapy, group counseling _______ Make sure to subscribe to get the latest episode.  Contact Us: Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma/ Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation  
27:35
March 5, 2019
The Rising Cost of Insulin
Episode Outline: Insulin Prices & What To Do About It Sky rocking cost of insulin        -  ADA and Health Care Cost Institute – prices 2x between 2012 and 2016, 3x in decade before 2012        -  100 year history – R&D is over – price changes are PhRMA increases        -  Sanofi        -  Novo Nordisk        -  Eli Lilly Insulins        -  Old – Humulin, Novolin        -  New Analog insulins – Lantus, Levemir, Novolog, Humalog – less hypoglycemia Harvard Study        -  Type 2 diabetes        -  JAMA recent study        -  Anthem patients witched from new to old insulins        -  Outcomes:  Patients less likely to reach Med D donut hole (80% vs. 53% after the switch), no increased risk of dangerously high/low BS, no increase in ED or hospital stays House and Senate targeting cost of insulin        -  House Energy & Commerce Committee         -  Senate Finance Committee  Options:        -  PhRMA regulations        -  Legalize Canadian imports – patients, wholesalers, pharmacists        -  PhRMA self-regulation        -  Competition from human insulins _______ Make sure to subscribe to get the latest episode.  Contact Us: Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation 
26:21
February 26, 2019
Government Innovates and PhRMA Profits
Episode Outline: Issues       - Government through NIH grants provides money for investigators to find new drugs       - PhRMA takes these findings and builds new drugs       - Taxpayers don’t benefit from innovation, but pay high prices for drugs       - Safe harbors for physicians and pharmacist who participates in studies       - Safe harbor for physicians and pharmacist who participate in studies PhRMA Issues       - Development to production is costly       - Research leads to many failures       - Patent monopolies       - Marketing is costly Remember who benefits       - Rare for counties to participate in profits of new drugs, either directly or indirectly       - Universities profit from new drugs       - Countries may provide tax incentives to help drug industry develop cheaper alternatives.  _______ Make sure to subscribe to get the latest episode.  Contact Us: Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
23:51
February 21, 2019
Skinny Health Plans
 Pro Pharma Talks - Episode 002 Topic: Skinny Health Plans Episode Outline: 1. Skinny Health Plans = Short Term Health Plans    -Sell for 365 days up from 90 days    -Renew for 36 months    -High Out-of-Pocket (OOP) Expenses    -Premium = 20% of lowest priced ACA Bronze Plan    -Don't Cover Pre-Existing Conditions 2. Benefits are Restricted    -Don't C over:         -1. Maternity Care         -2. Outpatient Prescription Drugs         -3. Substance Abuse         -4. Mental Health Treatment 3. Impact on ACA Plans    -Higher Costs:         -CMS Projected 1% Increase         -Urban Institute 18% Increase    -Injured Individuals will return to ACA - leading to higher costs    -Brokers make 20% commissions on Skinny vs. 5% on ACA 4. Remember     -Skinny = Lower Cost/ Higher OOP    -Prohibit Underwriting = Pre-Existing Conditions NOT COVERED    -Outpatient prescription Medications NOT COVERED    -Brokers Make MORE Selling Skinny _______ Make sure to subscribe to get the latest episode.  Contact Us: Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
19:56
February 5, 2019
What to Expect in 2019
Pro Pharma Talks - Episode 001 Topic: What to Expect in 2019 Healthcare 1. Uncertainty vs. Stabilization of the Healthcare Market 2. Healthcare: Volume vs Value 3. Consolidation of Stakeholders 4. Retail"ization" of Healthcare Delivery Drug Pricing 1. Drug Pricing Transparency 2. Drug Price Vs. Value 3. Specialty Drug Cost vs. Value 4. International Drug Pricing vs. US innovation Pricing _______ Make sure to click that subscribe button and click the bell icon to receive notifications when we post new videos. Contact Us: Email: info@propharmaconsultants.com Website: http://www.propharmaconsultants.com/ Facebook: https://www.facebook.com/propharmainc Twitter: https://twitter.com/ProPharma Instagram: https://www.instagram.com/propharmainc/ LinkedIn: https://www.linkedin.com/company/pro-pharma-pharmaceutical-consultants-inc/ Podcast: https://anchor.fm/pro-pharma-talks YouTube: https://www.youtube.com/user/ProPharmaEducation
21:57
January 29, 2019
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