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

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 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. 2

10/1/2018 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…… 3

10/1/2018 The 3 Areas we are going to explore…… Message #1 4

10/1/2018 We (pharmacists) need to own the space of 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! 5

10/1/2018 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 6

10/1/2018 My antibiotic story….. 7

10/1/2018 Antibiotics deplete • healthy beneficial intestinal bacteria • Vit B12, B6, Biotin, B1, B3 • Vit K • potassium 8

10/1/2018 Depletion or side effect? 9

10/1/2018 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 10

10/1/2018 Metformin depletes • B12 • folic acid My metformin story….. 11

10/1/2018 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….. 12

10/1/2018 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!!! 13

10/1/2018 Everyone of your patients needs your supplements with their Rx!!! Message #2 14

10/1/2018 Pills don’t pay the bills……..anymore DIR fees suck! 15

10/1/2018 What’s even scarier than PBM’s and DIR fees? 16

10/1/2018 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 17

10/1/2018 You might be thinking…… Staff buy-in is key! • daily huddles • weekly team training • track opportunities • consistency is crucial 18

10/1/2018 Messaging works wonders • bag tags work • in store signage • email list • newsletter • FB posts Use the Good, Better, Best strategy 19

10/1/2018 Always have a Plan B Compassion makes the difference! 20

10/1/2018 Improve patient outcomes and make $$$ doing it! Message #3 21

10/1/2018 Don’t be better…..be different! What’s my different? 22

10/1/2018 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 23

10/1/2018 Remember……Don’t be better, be different It’s time….. 24

10/1/2018 Go beyond the pill in EVERYTHING you do Thank You! Josh Rimany RPh,FACA Founder, Chief Wellness Officer Dilworth Drug & Wellness Center Josh@dilworthdrug.com 25

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