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340B Unscripted

SpendMend Pharmacy

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Pharmacists and healthcare industry leaders Rob ‘Hoopi’ Nahoopii PharmD, MS, ACE and Greg Wilson PharmD, BCPS, ACE dive deeply into the complicated and contentious 340B Program as well as other pressing Pharmacy matters. Special guests and industry experts pop in frequently to add insights from all sides of the discussion. If you serve in the pharmacy sector, this podcast is a must-listen!
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Send us a text In one of the most heart wrenching stories in New England crime history, in 1976 Andy Puglisi, went to a neighborhood pool, located in Lawerence, Massachusetts and was never heard from again. A man had been taking Polaroid pictures of kids at the pool for several weeks. Andy had given his mother one. Andy disappeared and despite thou…
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In this Wellness Illuminated Episode, We take a fresh look at cancer from the perspective of functional medicine. Rather than focusing solely on traditional treatments, we explore a holistic approach that seeks to understand the root causes of cancer and the imbalances within the body that may contribute to its development. We dive into the princip…
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Send us a text Phillip Chism, committed one of the most heinous crimes in Massachusetts history. He raped and brutally murdered his high school teacher Colleen Ritzer in picturesque Danvers, Massachusetts. Chism's defense claims the exclusion of brain scan evidence at trial, is grounds for appeal. Chism is a Ted Bundy level sexual predator and rega…
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Hope Fitzgerald is a Spiritual Teacher, Intuitive Dowser, Coach and Author. She is also a healer, an End-of-Life Midwife, and a Certified Neurofeedback Practitioner. No matter where you are in your development, either a beginner or a recognized Starseed, you are on a trajectory of your own evolution - it's exciting work for you! Let's work together…
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In this episode, Greg and Rob discuss the various uses of 340B billing modifiers. They’ll discuss some general considerations around what billing modifiers are used for, highlight differences between hospital/clinic and pharmacy billing in terms of applying correct modifiers, and debate different aspects of Medicaid and Medicare billing modifier re…
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On this episode, we discuss dermatophyte infections. We review their clinical presentations, etiologies, and pathophysiology. We compare and contrast the efficacy, safety profiles, and appropriate use of antifungal therapies, lifestyle modifications, and patient monitoring involved with treatment. Cole and I are happy to share that our listeners ca…
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Send us a text The innocent men the FBI had knowingly imprisoned began getting out of jail in 1997, as this heinous story unraveled. Greco and Tamelo died in prison. H.Paul Rico retired from the FBI and became head of security for World Jai Lai, a gaming business, where he had the distinction of being the first FBI agent to provide information to o…
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In the latest episode of Wellness Illuminated, We explore the power of intentionality and strategic planning, guiding you through a dynamic 90-day framework designed to help you set meaningful goals and achieve them with clarity and purpose. We delve into practical tips, inspiring stories, and actionable strategies that empower you to take control …
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In this episode, we review the recommendations from the 2024 SCCM/ASHP stress ulcer prophylaxis guidelines and highlight three of the more recent landmark critical care trials investigating the role of stress ulcer prophylaxis. Key Concepts After 25 years, the stress ulcer prophylaxis guidelines have been updated by SCCM and ASHP. These guidelines …
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In this episode, Greg and Rob get back to 340B basics and have a conversation around the concept of “clean site” 340B-only locations. They discuss what “clean site” means in the world of 340B, what the benefits of the approach are, what some of the risks and obstacles are from a compliance perspective, and share some anecdotes from past experiences…
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Send us a text Robert Devine rose through the ranks at the Stoughton Police Department, he re-invigorated the Police Explorers program, the program, soon became a breeding ground for sexual abuse, that ensnared Sandra Birchmore. The program became an actual cornucopia of abuse. Documents suggest that Devine, Off. Matt Farwell, and his twin brother …
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Damla Aktekin is an Inner Child Energetic Wound Healer, Inner Child Intuitive Reader and Astrologer, Crystal Healing Teacher, Soul Healing Writer, and Podcaster who helps other self-healers and healers move beyond the energetic wounds of their inner children and shine brighter than they thought possible so that they can fully show up in their lives…
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On this episode, we discuss Crohn's disease. We describe the clinical presentations, etiologies, and the pathophysiology. We compare and contrast the efficacy, safety profiles, and appropriate use of biologic therapies, immunomodulators, and corticosteroids in treating Crohn's disease. We also review the development of patient-specific treatment st…
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In the latest episode of Wellness Illuminated, we delve into the critical topic of insulin resistance. This condition has become increasingly prevalent in modern society and plays a significant role in metabolic health. This episode comprehensively explores the complex interplay between hormones, glucose regulation, and overall well-being. Dr Lara …
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Send us a text Apparently there are no competent homicide prosecutors in Norfolk's County's District Attorney's office! Elected DA Mike Morrissey has inexplicably hired a "Special Prosecutor" to retry Karen Read for 2nd degree murder. Are there no prosecutors willing to take this S-sandwich of a case? No one is prepared to commit career suicide per…
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In this episode, Greg and Rob catch up on developments surrounding the J&J 340B rebate proposal, including HRSA’s response. They’ll address some outstanding questions from the recent SpendMend webinar on the topic. In the intro, they recap some updates regarding contract pharmacy litigation and thoughts on how DSCSA and product serialization data m…
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Send us a text Sandra Birchmore’s homicide is a case for the ages in Metro Boston. She had a difficult life growing up, suffering the death of two close relatives in rapid succession. Sandra’s mother encouraged her to join the Stoughton Police Department Explorers program. The sexual grooming process allegedly began almost immediately. The next ste…
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Jane Barlow is a master herbalist known for her work with herbal remedies and natural healing, she is the author of Be Your Own Shaman. This book has beautiful photographs and illustrations as well as when and where to collect plants that heal. We are in such a critical time of taking ownership of our health and relying on Mother Nature and our int…
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On this episode, we discuss the management of migraines. We begin with background info including clinical presentations, potential triggers, and pathophysiology. We review the current guidelines and evidence-based treatment strategies, including pharmacological and non-pharmacological interventions. We then compare and contrast the efficacy, safety…
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It is a thought-provoking podcast dedicated to exploring the intricate relationships within our physiological systems. This episode delves into the remarkable ways various bodily functions interact, highlighting the harmony that sustains our health and well-being. Together, we’ll uncover the profound connections between our physical, mental, and em…
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Send us a text This tale of FBI corruption begins in the 1960's. H.Paul Rico was the FBI catalyst in this decades long endeavor. Infamous FBI agent John Connolly of Whitey Bulger infamy, was mentored by Agent Rico. H.Paul Rico may have been the most corrupt FBI agent in history. He was responsible for sending several men to prison for a crime the F…
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In this episode, Greg and Rob are joined by healthcare attorney and 340B veteran Barbara Straub Williams. They cover a variety of topics, including an update on litigation targeting state-level contract pharmacy laws (21:18), navigating manufacturer audits and ADR claim submissions (38:47), a recent court ruling related to exclusion of Section 1115…
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Send us a text The 1994 Movie Natural Born Killers, spurred many real life nightmares. Michael Freeman 21, of leafy Avon, Massachusetts, was apparently easily influenced. He recruited two dim witted friends Leonard Stanely 21, of Easton,Ma. and Patrick Morse 19, of Middleboro for murder. The mayberry-like town of Avon, would never be the same. Natu…
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Angela Beyer, a renowned trainer, online coach, and professional health coach has an extraordinary journey that led her to become a personal trainer and health coach specializing in helping women build muscle and achieve a healthy lifestyle. Angela isn't just about aesthetics; she empowers women to build muscle, cultivate healthy habits, and achiev…
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On this episode, we describe the clinical presentation, etiology, and pathophysiology of asthma. We review current guidelines and evidence-based treatment strategies for managing asthma, including pharmacological and lifestyle interventions. Our hope is that this material will help the listener to develop patient-specific treatment strategies consi…
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Susan Sophia James is a Doctor of Behavioral Health and Integrated Medicine who uses specific sound vibrations, patterns with protocols as systems for transforming our physical body, mind, emotions, and spirit. The 3Melete sound healing programs were transformed to online during the pandemic after using them for over 25 years with people in treatme…
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Send us a text One of the saddest cases in recent memory. Sandra Birchmore joined the Stoughton, Mass police explorers program at 13-14. Sandra's family had been looking for a positive male role model, for thirteen year old Sandra. She had a difficult home life and the family thought they had found, that role model, with the leader of the explorers…
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In this episode, Greg and Rob are joined by healthcare attorney Todd Nova to discuss a proposed rule change put forth by CMS in 2023 regarding the Medicaid Drug Rebate Program (MDRP), which includes a potential change to the definition of “covered outpatient drug”. They’ll discuss how covered entities have historically interpreted the definition of…
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Natalie Bedard, also known as NatNat, a beacon of resilience and empowerment. In 2019, she founded Lift OneSelf, offering profound energy healing services. Despite grappling with life-threatening illness and single parenthood to three boys, Natalie is a steadfast mentor on the journey of self-discovery and healing. With her profound understanding o…
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Send us a text (REPLAY) In order to believe Sean Ellis is innocent, you'd have to believe, the Boston Police Forensic Unit, took Letia Walker's fingerprints at the courthouse and then proceeded to place a print on the gun that killed Det Mulligan. Did the technology to conduct this conspiracy exist in 1993? Does it even exist now? Letia Walker, Sea…
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On this episode we discuss the management of opioid use disorder. We begin by describing its clinical presentations, etiologies, and pathophysiology. We then compare and contrast the efficacy, safety profiles, and appropriate use of medications for opioid use disorder, behavioral therapies, and patient monitoring in treating opioid use disorder. Co…
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Send us a text Several jurors contacted the defense and prosecution with basically the same story. The jury had voted UNANIMOUSLY to acquit on the murder and leaving the scene of an accident, charges. Somehow that intent did not make it to the jury form? Judge bee did not poll the jury, denied the defense an opportunity to do so. 4-5 jurors have no…
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With a journey rooted in personal transformation, Marjorie Nass embarked on a path of healing that led her away from the pressures and confines of corporate life to discover yoga and its wellness branch, Ayurveda. She healed from her health challenges through holistic practices, combining yoga, nutrition, movement and breath techniques. But learnin…
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In this episode, we discuss the approach to deprescribing for several drugs such as benzodiazepine receptor agonists, cholinesterase inhibitors, memantine, antipsychotics, and antihyperglycemics. Key Concepts Medication appropriateness including indication and risk vs. benefit should be evaluated for all stages of life; however, more importantly in…
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This is our 50th episode, and it marks the 2 year anniversary of the 340B Unscripted Podcast. To mark the occasion, Greg asks Rob a hodgepodge of 340B-related questions including entity-owned vs contract pharmacy considerations, out-of-state Medicaid carve-out challenges, “class of trade”, referral capture documentation standards and how CEs should…
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Send us a text Keith Luke 22, appeared to be a somewhat conflicted white supremacist, he claimed to have committed this murderous act over racial animosity, however in the days before this madness, he tried, persistently to date at least two women of color. His racism seemed to be a symptom of him being an "incel", involuntary celibate. He had appr…
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Gao Motsemme is a Freedom Illuminator Embodiment Queen, some call her a visionary DOULA, she helps Individuals finally break free from generational toxic relationships, Imprints and curses, connect to their highest selves and cultivate healthy, meaningful and fulfilling connections so they can radiate true confidence, crush it in the boardroom, bed…
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On this episode, we review the treatment options and management strategies for primary hypertension. Cole and I are happy to share that our listeners can claim ACPE-accredited continuing education for listening to this podcast episode! We have continued to partner with freeCE.com to provide listeners with the opportunity to claim 1-hour of continui…
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In this episode, we delve into the vital topic of protecting your energy and maintaining a positive vibration, especially when navigating diverse environments. We'll discuss how different energies around you can sometimes feel uncomfortable and disorienting, and why it's crucial to discern your own energy from others'. Learn practical tips on how t…
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Send us a text Don't miss this interview! Boston Confidential was fortunate enough to snag an interview with Jess Machado, of the Fall River Reporter. We cover a great deal of the Karen Read Trial. Jess, was in the court room most days and was up close and personal, watching jurors and their reactions to testimony. She also discusses the oddest har…
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Michael is a ceremonialist & healer with extensive experience in guiding transformative journeys. He is a mesa holder for a mestizo plant medicine lineage, certified Master Practitioner of Shamanic Energy work through the Four Winds Society, certified Level 2 Holographic Sound Practitioner, ADAPT Certified Functional Health Coach, and Gene Keys Gui…
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Send us a text Local authorities believe that Attorney Gary Zerola, raped and or sexually assaulted more than 20 women, since the 1990's. Zerola, was just convicted of rape and burglary, he was sentenced to 5-10 years in prison. This sentence comes on the heels of him, beating two separate rape trials, previously. Zerola's M.O. Gary flirts with pre…
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