46:56 I find it so fascinating that this guy claims to look at data and comes to a wildly different conclusion from reality. When an independent pharmacy opens a wing for LTC, DME, HIF, etc they obtain multiple NCPDP registrations. It's extremely dishonest to use number creation data to say independents are thriving when a quantity of 50 may represent just 10 pharmacies. That glaring error taints the entire video for me. You are biased, misleading, prejudicial, and the premise of this video is wrong IMO
@pharmacistplace21 күн бұрын
Happy to engage with anyone who is interested and open minded. But just dismissing everything and calling me dishonest & biased tells me you have no interest in engagement. But thanks for watching the video!
@Longhorn_Legend14 күн бұрын
@@pharmacistplace I am not interested in engagement or having a conversation and neither are you. My assessment of your presentation is a fair one. Sorry you disagree!
@verik2Ай бұрын
I would love to see point 4 updated with more recent data as the store closure rate sure seems to have increased. Thank you
@pharmacistplace21 күн бұрын
I’m definitely continuing to work through the data. It seems like there are years with bigger swings in both directions, but I agree we should watch for trends.
@Mahsa-ui1bx4 ай бұрын
could you say where that 455 mg came from?
@vanheath53824 ай бұрын
I just saw a video where the Prescription cost to the Pharmacy was $2, the cash cost to customer (without insurance) would be $4 ($2 profit), however if the customer says they have insurance, the Pharmacy has a Gag Clause with the PBM so they can not disclose the Cash price, the customer now has a $10 copay, the Pharmacy gets $3 ($1 profit) and the PBM gets $7 in clawback. So in this case, the customer pays more, the pharmacy makes less, and the excess money goes to the PBM
@tiffanitaylor97425 ай бұрын
Thank you
@chaimbochner74745 ай бұрын
Thanks for your wonderful demonstration. I’m wondering whether I need to use versa plus or can get away with using OraPlus; it’s hard to get the versa. Also, I assume that since you made a thick powder, the liquid has the active medicine equally distributed and there’s no worries about settling of med. Correct? I really need this information and would appreciate you responding to me on this, greatly. Thanks
@nishanbaral51247 ай бұрын
Hey, really late for the comment, but why don't independent pharmacies also extend their service for mail-order supplies in their local area. Or is it already commonly practiced? I assume after physicians, brick-and-mortar pharmacies are the second point of contact for patients to fill their first prescription. So why are independent pharmacies not able to keep these patients on supposed subscriptions for future prescription refills? If time permits, can you please reply to this comment?
@handleThis...8 ай бұрын
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@farnaznoohi92910 ай бұрын
Could you please describe your calculation, step by step? I am interested in knowing how this calculation ends up in 10 mg mexiletine based on prescription?
@Seebzters Жыл бұрын
Thanks for explaining this
@beautifulminded8672 Жыл бұрын
Thank you for sharing!! Confirms the services I'm providing are accurate and what more can I do in my role as a certified pharmacy techniciann
@blitxwhx_x Жыл бұрын
Thanks
@josephbrowncow1095 Жыл бұрын
That was so enjoyable to watch
@western42 Жыл бұрын
nice
@user-yq7nz1wl8z Жыл бұрын
thanks for the video. if i have 500mg metronidasole capsules available. how many am i supposed to use to make a 200mg/5ml 100 ml syrop?
@titus4166 Жыл бұрын
Closing time is a very low tolerance. However, being consistent and closing is very important. We usually have someone at the end of the line to cut it off, and have to turn patients away. Often times they get upset, but again; the pharmacy techs and pharmacist want to go home otherwise they'd be there all night. There's a boundary that has to be respected for the team in order to maintain and retain pharmacy technicians, as the turn over rate is currently very high. So, closing is very important to me and making sure we follow our open-to-close hours and keeping the team happy; along with constantly reminding patients when they have to return what our closing hours are at the pharmacy. Very good video though in terms of what you were teaching.
@anthonyniles7114 Жыл бұрын
Stability of final compound ??
@williamvanhuffel7793 Жыл бұрын
hello fellow yellow jackets
@docgreen12682 жыл бұрын
So I have a capsule press which allows me to load 100 capsules equally by pouring the mixture into the grid which evens each capsule to near exact equal amounts. My ingredients are 100% organically sourced and are mostly different herbal and mushroom blends which require specific amounts in each capsule i.e. 100mg x 7 different types of mushroom powders into one capsule. If all calculations and bulk measurements are done correct following the method in this video, then is this an efficient way to accurately make my capsules? Can I be assured that by adding the correct amount individually to the mixture and thoroughly mixing in as demonstrated here that my capsules would have the desired amount of ingredient per capsule? I'm based in the UK so industry standard's and regulations will need to be taken into account. Any feedback is greatly appreciated, thank you.
@arealhousewifeofdc Жыл бұрын
I'm trying to fill 5 different powders to one capsule but I have a stumbling block and need help. Can someone show me the way. The video is a bit too fast for me and I'm not understanding it very well. Thanks
@lilliankrazem67382 жыл бұрын
thank you ! can you provide me with the slides please !
@A_Flicker_of_Light2 жыл бұрын
I am so excited for my interview tomorrow at a compounding pharmacy after watching this video. Thank you for making me realize I want to do this as a living even more!
@DonnaAndCats2 жыл бұрын
Wow. Thanks for showing this. It's pretty mind-blowing for the layperson. It appears like there could be a lot of room for error. For instance, how can you be sure the mixed powder is mixed perfectly even? (What if there's more of one of the ingredients in one section of the glass mortar? Can't one of the capsules end up with more of one ingredient and less of another?) I guess my disconnect is because these are solids. To me, it would seem like liquids could be mixed more evenly, but of course I realize you can't put liquids in these capsules. I'm also curious, at 4:51 in the video, how is the +/-10% figure arrived at?
@Ambigulous2 жыл бұрын
PBMs are ripping off the pharmacies, and ripping us off too.
@mitchhess66742 жыл бұрын
Good Video. One mistake, you didn't measure the Versa Free in the graduated cylinder before using it to rinse the glass mortar
@swrwkfs Жыл бұрын
Versa Free is being used to qs to the final volume. You'd only measure the Vf first in a cylinder if you were afraid of using a larger volume rinsing than what you are allowed.
@constanciachiwera37552 жыл бұрын
Very good videos
@gyths73012 жыл бұрын
bro she bahhhhd
@MrUlaampara2 жыл бұрын
PBM s are basically bullies, destroying the health industries,
@syedmuhammadzubairhassan42433 жыл бұрын
I really appreciate your work... i want to see more and more. Keep it up
@pharmacistplace Жыл бұрын
Thank you so much 😀
@suga00163 жыл бұрын
Great video! Do you know how to compound Flagyl enema ? I was thinking just doing this and administer it PR
@dollfacejess3 жыл бұрын
A day in the life of a pharmacy operations manager ?
@vickigotha3183 жыл бұрын
Have a question related to pharmacy accounting, how can I contact you?
@carlosgarcia-jz3dq3 жыл бұрын
We need PBM regulation so that the mayor players in this industry don't continue their unscrupulous behavior, like SPREAD PRICING, DIR FEES, CLAWBACKS, GAG CLAUSES, STEERING. If this behavior sounds sounds unethical it's because it IS. Slowly states are outlawing these crimes, with heavy resistance for the PBM lobby. In business anyone that CAN cheat WILL, that's why we need LAWS!
@carlosgarcia-jz3dq3 жыл бұрын
The IDEA of PBM's was rational, in reality the bad players have taken over and gamed this industry to lie, cheat and steal, for the competition. The mayor national pharmacy chains learned that if they could own a PBM (which they do) they could leverage all the money to themselves and put the competition (small independent pharmacies) out of business.
@pharmacistfayadhaliahmed41113 жыл бұрын
I've been working as PBM /Chronic med officer ,is there any on for knowledge exchange pleas?
@DannyTVoriginal3 жыл бұрын
In germany we compound capsules a little bit different. We don't calc the amount for the filling agent. We "dilute" the active ingredients a little bit and fill it in the capsules, then we fill up all capsule before dumpung it all back in the mortar to homogenize. Then we fill em up. Sometimes we also have graduated cylinders with a mark (10 cps, 20 cps, 100 etc) and fill it up 3/4 w/ the filler, add the diluted active ingredients and fill it up to the mark, homogenize and fill. We never hand punch, even when its just like 10 caps. We just stick some tape over the remaining holes in the capsule filler😅
@thiru_cuts55233 жыл бұрын
Hi sir . Very informative. I wants to know about the patient wait time control in hospital op pharmacy. I need your suggestions and ideas .My mail id [email protected] Please send me any documents or material about to handling hospital pharmacies ip and op
@geraldkwbrown79433 жыл бұрын
You failed to mention drug company rebates, that affect drug formularies, drug access, congressional over sight, PBM’s CEO’s Bonuses, mandatory mail order pharmacy usage policies, copay economic dis-incentives to use local pharmacies, who to complain to if you are dissatisfied. How do we change these policies. What about PBMs that own brick and mortar stores, mail order pharmacies,? Discriminatory prices by PBM’s to their own stores or mail order verses local pharmacies, and negative revenue pricing to local pharmacies.
@Ramonmieses274 жыл бұрын
I would like to watch more video about desmopressin oral basic compounds.
@mrwaffleman87322 жыл бұрын
L + ratio + you're white
@enockikonye82194 жыл бұрын
👀
@kde5fan7375 жыл бұрын
Where are the insurance companies in all of this? The Insurance company is in between "you/employer" and the PBM. The pharmacy deals with the PBM to verify coverage and if there is anything "special" about the prescription, like "brand necessary" or the patients needs more than "allowed" amount (b/c gov is now sticking it's nose into things) then the insurance company is contacted for an over-ride. Then the insurance company contacts the PBM and doctor to say yes/no, and then the PBM contacts the pharmacy to either fill the script or deny it. It's actually more complicated than that, but that is how I've seen it work and each year, it's getting worse and worse with more parties involved.
@katherinelayden29105 жыл бұрын
Interesting and informative video. Lots of shady practices being employed by the PBM's here.
@user-sx9py2kd2r5 жыл бұрын
Thanks for sharing
@pharmacistplace3 жыл бұрын
Thanks for watching!
@bookbookism5 жыл бұрын
Poor explanation of a Gantt chart because it does not distinguish the key characteristics of a Gantt chart from any other horizontal bar chart from the get go.
@hebao_maria42465 жыл бұрын
Hello, do you have email, I want to ask you something about marketing, could you please give me your email?
@samfawaz93125 жыл бұрын
When making videos like this explaining pbm practice and business, one must never forget to mention that pbms (the big three) profit 300 billion a year AND drug prices and premiums continue to climb “Saving” money by underpaying independent pharmacies isn’t to save anyone money, it’s to run them out of business (since they’re the easiest target) the proof is in the numbers Follow the dollar Also don’t neglect to mention what pbms actually pay their own mail order pharmacy and other chains Reports show astronomical profits on drugs that independent pharmacies lose money on Here’s a solution, either pay independent pharmacies what they pay themselves , or pay themselves what they pay us . That’s fair !!
@kimberlymcclelland25 жыл бұрын
Did it hurt
@sunilrohra50975 жыл бұрын
Thank you joey!! I got lot of info from this video thank you so much.
@BryanAgapito6 жыл бұрын
Thank you for the vids!!
@davidlanday61026 жыл бұрын
Hi, I was watching this at work so I needed to watch with subtitles and if this question is not fully developed I apologize. What prevents a PBM from becoming a pharmacy when the rebate directly from pharmaceutical company is better than what the Pharmacy is willing to provide?