10/1/2018 1 10/1/2018 Patient Care and Profits in Nutrient - - PDF document

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10/1/2018 1 10/1/2018 Patient Care and Profits in Nutrient - - PDF document

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10/1/2018 1 10/1/2018 Patient Care and Profits in Nutrient Depletion and Vitamin Supplementation NCPA 2018 Annual Convention Josh Rimany, RPh, FACA Founder, Chief Wellness Officer Dilworth Drug & Wellness Center Disclosure Josh Rimany

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Josh Rimany, RPh, FACA Founder, Chief Wellness Officer Dilworth Drug & Wellness Center NCPA 2018 Annual Convention

Patient Care and Profits in Nutrient Depletion and Vitamin Supplementation Disclosure

Josh Rimany has no conflicts of interest or financial interest in any product or service mentioned in this program, including grants, employment, gifts, stock holdings, and honoraria.

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Learning Objectives

  • 1. Summarize 10 common drug-induced or disease-induced

nutrient deficiencies and the impact on the body.

  • 2. Discover best practices for getting staff buy-in for

recommendations and workflow tools for implementation.

  • 3. Outline marketing and branding ideas to position yourself

as the go-to source for vitamin supplementation.

Just before we get started……

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The 3 Areas we are going to explore……

Message #1

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We (pharmacists) need to own the space

  • f clinical nutrition!!!!

Drug-Nutrient-Depletion is a side effect of a medication!

  • Almost all medications

deplete the body of some nutrient

  • It’s our duty to educate our

patients!

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The supplement market is HUGE!

  • $50 billion dollar/year

market!

  • At least half your patients

take vitamins and supplements

  • Do they take your vitamins

and supplements?

The Top 5 most common Nutrient-Depleting drugs

  • 1. Antibiotics
  • 2. Statins
  • 3. PPI’s
  • 4. Oral BCP’s
  • 5. Metformin
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My antibiotic story…..

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Antibiotics deplete

  • healthy beneficial intestinal bacteria
  • Vit B12, B6, Biotin, B1, B3
  • Vit K
  • potassium
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Depletion or side effect?

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PPI’s deplete

  • Magnesium
  • Calcium
  • folate
  • B12
  • iron
  • zinc
  • protein

Oral BCP’s (estrogens)

Deplete

  • Vit B6
  • Vit B12
  • Vit D
  • Calcium
  • Magnesium
  • Zinc
  • folic acid
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Metformin depletes

  • B12
  • folic acid

My metformin story…..

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Top 5 Conditions to recommend supplements for synergy to medication

1.Diabetes 2.Blood pressure/CVD 3.Stress 4.Sleep 5.Mood

Let’s do the math…..

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300 antibiotic Rx/month @ 30% buy-in probiotic=90 units/month GM increase $10/unit=$900/month or $10800/year 100 statin Rx/month @ 20% buy-in CoQ10=20 units/month GM increase $10/unit=$200/month or $2400/yr 200 PPI Rx/month @ 20% buy-in MVI=40 units/month GM increase $10/units=$400/month or $4800/yr 150 OCP’s Rx/month @ 20% buy-in MVI=30 units/month GM increase $10/unit=$300/month or $3600/yr 50 metformin Rx/month @ 30% buy-in B12=15 units/month GM increase $10/unit=$150/month or $1800/yr

That’s $23,400 a year!!!

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Everyone of your patients needs your supplements with their Rx!!! Message #2

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Pills don’t pay the bills……..anymore DIR fees suck!

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What’s even scarier than PBM’s and DIR fees?

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AND there is an answer…. Use the AND approach………

  • Improve BOTH patient AND business outcomes with

everything you do!

  • Never one without the other
  • Use this as your driver for your interactions with patients
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You might be thinking…… Staff buy-in is key!

  • daily huddles
  • weekly team training
  • track opportunities
  • consistency is crucial
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Messaging works wonders

  • bag tags work
  • in store signage
  • email list
  • newsletter
  • FB posts

Use the Good, Better, Best strategy

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Always have a Plan B Compassion makes the difference!

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Improve patient outcomes and make $$$ doing it! Message #3

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Don’t be better…..be different! What’s my different?

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People are flocking to Wellness

  • Yoga
  • Personal trainers
  • Nutritionist
  • Vegan
  • Gluten free
  • Gym/Crossfit

The cash model is here to stay

  • Millennials-want to live better, not longer
  • Baby boomers- want to stay well
  • Concierge practices are booming
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Remember……Don’t be better, be different It’s time…..

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Go beyond the pill in EVERYTHING you do

Josh Rimany RPh,FACA

Founder, Chief Wellness Officer Dilworth Drug & Wellness Center Josh@dilworthdrug.com

Thank You!

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