Gavel & Pestle Podcast

Title: Darshan Kulkarni on Amazon Pharmacy

In 2017, Darshan Kulkarni PharmD, MS, Esq., predicted that Amazon would soon disrupt the pharmaceutical industry on the Gavel & Pestle Podcast. Three years later, his eerily accurate predictions are unfolding before us.

On this special episode of Gavel & Pestle, the FDA regulatory lawyer, author, professor, and speaker returns to pass the baton to the podcast’s new host Brooke Kulusich. They discuss Amazon Pharmacy’s potential to singlehandedly reshape the pharmaceutical supply chain, its implications for patient health data and drug prices, and the future of pharmacy from drone delivery to Alexa pharmacists. 

Listen to Darshan’s predictions here. 

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“If you think compliance is expensive, try non-compliance.” 

-Former U.S. Deputy Attorney, General Paul McNulty

On this episode of Gavel and Pestle, Natalia Mazina, Esq., regulatory counsel at Mazina Law and founder of RxPolicy, joins host Brooke Kulusich to share her expertise in pharmacy compliance, third-party payer audits, and pharmacy benefit manager (PBM) disputes. They discuss the most common compliance mistakes that pharmacies make, the REAL implications of the Rutledge v. PCMA decision, and how independent pharmacies can think outside-the-box in their approach to PBMs.

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We welcome our newest host, pharmacy student at the University of Pittsburgh School of Pharmacy ‘22 Ms. Brooke E. Kulusich

Brooke mentions: "Throughout pharmacy school, my passion for patient care has remained the driving force in my career. I have gained a deep appreciation for the vital role of pharmacists in the community and have been inspired to scale my impact beyond the individual patient level. As one of the most highly-regulated industries, pharmacy presents a unique opportunity to engage clinicians in shaping policies that carry our profession forward. Through Gavel & Pestle, I hope to share my passion for the intersection of healthcare and the law and look forward to learning alongside our audience through conversations with experts.

As a third-year student pharmacist, I am interested in a career in pharmacy law or association management that would enable me to leverage my patient care experiences to advance policy decisions and improve patient access to care. Upon graduation, I hope to pursue a clinical or commercial role in a healthcare, government, private sector or public sector leadership position." 

Contact us today for a Gavel & Pestle Podcast episode appearance. 

Today's episode is sponsored by CEimpact:  

https://www.ceimpact.com/marketplace 

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On this episode of the Gavel & Pestle Podcast, Darshan talks about the last mile of drug delivery and the challenges faced by patients getting their medications on time.

In the last mile, the efficacy of a medicine must still be maintained, but managing and controlling the delivery can be an issue. The cost of technology to monitor may not be justified given that the value of the medicines being shipped to the final destination might be much lower than the value that was initially bulk shipped from the manufacturer. In this article we will explore the challenges of deploying technology and the circumstances under which tech can be used to cost-effectively manage and control the last mile delivery of medicines. 

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The Purdue College of Pharmacy is proud to present BoilerWoRx: a multidisciplinary response to public health needs in Indiana, initially focusing on the opioid epidemic. BoilerWoRx is a strategic mobilehealth initiative that will bring vital services to communities across Indiana.

The BoilerWoRx program, in partnership with the Tippecanoe County Health Department and the Lafayette Transitional Housing Center, will be hosted their first event on Saturday, April 21, 2018 at Lafayette Transitional Housing at the Howarth Center in Lafayette, Indiana. 

The BoilerWoRx team will provide counseling, education, training, drug disposal and Hepatitis A immunizations. This event is open to everyone so come out and learn more about BoilerWoRx.

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Darshan and Major talk about 23 & Me Data collected and it's potential ramifications to our privacy. 

"Embedded in our genetic code is all kinds of sensitive data that could be compromising in the wrong hands without genetic privacy protections, the information stored in our genes might be used to discriminate against us or send us targeted ads.

For these reasons, some have said we should skip out on consumer DNA tests if we value our privacy. Last week, after the FDA gave DNA testing company 23andMe the greenlight to offer consumers disease risk assessments, there was a new wave of warnings.

“The product isn’t really a kit...the product is you,” Popular Science wrote after the announcement. Others have speculated that the company’s long-term goals include selling your data for advertising purposes.

Let’s be clear here. 23andMe definitely is selling your data to third party companies, research institutions and nonprofits. But it is not selling your genetic data to those entities in order for them to sell you things. It is selling de-identified, aggregate data for research, if you give them consent."

From original article, by Kristen V. Brown: 

https://gizmodo.com/23andme-is-selling-your-data-but-not-how-you-think-1794340474 

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Darshan talks about the Telemedicine effect on modern healthcare.

The term telehealth includes a broad range of technologies and services to provide patient care and improve the healthcare delivery system as a whole. Telehealth is different from telemedicine because it refers to a broader scope of remote healthcare services than telemedicine.

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Why Pharma Companies Should Be Scared Pharmaceutical companies have generally responded with an apathetic irreverence to Amazon’s entry into the pharmacy space. However, there are dramatic changes that may impact pharmaceutical companies....

Major & Darshan with the Gavel & Pestle Podcast talk about 'Patient Centricity' and being aware of the patient's experience and their pharmacy healthcare provider. 

Contact Darshan: 

https://www.linkedin.com/in/darshankulkarni/ 

@DarshanTalks 

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