In this episode of Pharmacy View Podcast’s Pharmacy Career, Resource & Training stream, host Kavita Nadan, Pharmacist and Founder at Locumate is joined by Ghassoub El Assaad, a Community Pharmacist and Founder of PharmacyDownUnder. Listen in as the episode seamlessly weaves Ghassoub’s journey, insights into the challenges and growth within the Pharmacy profession, and a forward-looking vision for the transformative future of Pharmacy services.

Ghassoub starts the conversation by reflecting on their transformative journey within the Pharmacy profession, shedding light on the evolving perception of the role over the past five years. Initially viewing Pharmacy as centered around routine tasks, Ghassoub now emphasizes its multifaceted nature, advocating for a broader understanding beyond dispensing and customer interactions.

The narrative delves into Ghassoub's personal and professional growth, shaped by a family deeply ingrained in healthcare and a mentoring experience that significantly impacted their career trajectory. Expressing gratitude for the impactful guidance received during their internship, Gus highlights the rarity of such supportive mentorship in the Pharmacy field, culminating in the creation of Pharmacy DownUnder—a platform aimed at filling the void in mentorship and knowledge-sharing for Pharmacy interns. COVID-19's impact on the Pharmacy profession becomes a focal point, with Ghassoub addressing the challenges faced by new graduates during the pandemic. The discussion pivots towards bridging the gap between clinical knowledge and effective communication, emphasizing the importance of balancing high-level clinical thinking with accessible language for community engagement.

Ghassoub then unfolds the intricacies of adapting to online platforms, sharing insights into content creation for Pharmacy interns and early career Pharmacists on platforms like LinkedIn and YouTube. The importance of maintaining a growth mindset and the power of delayed gratification is emphasized, offering practical advice for personal and professional development.

The episode concludes with Ghassoub's forward-looking perspective on the rapid evolution of Pharmacy, anticipating expanded prescribing rights and increased service accessibility. The overarching theme underscores the Pharmacist's role as a health professional, promoting a community-centric approach and positioning Pharmacies as pivotal contributors to healthcare services.

Ep 94 Ghassoub El Assaad's Pharmacy DownUnder: Bridging Gaps, Sharing Wisdom

In this episode of Pharmacy View Podcast’s Full Scope Pharmacy Leadership stream, host, Chantelle Turner, a Pharmacist Leadership and Business Coach at TURN Pharmacy Leadership, engages in a dynamic conversation with Maria Cooper, a Community Pharmacist and a PhD Candidate at the University of South Australia. Maria advocates for enhancing the mental health of the Pharmacy workforce through peer support, reflecting on their journey and the need for support during unprecedented challenges like the COVID-19 pandemic. The conversation spans topics from the transition of early-career Pharmacists to mid-career professionals to Cooper's serendipitous entry into research, leading to a Ph.D. focusing on peer support in community Pharmacies.

Maria delves into their ongoing research addressing the historical stigma towards Community Pharmacy, the challenges young Pharmacists face, and the unique role community Pharmacies play during crises. They stress the importance of recognizing the value of Community Pharmacy, especially in providing crucial in-person support during emergencies. The survey data presented highlights the job satisfaction of Community Pharmacists, emphasizing the need for acknowledgment, remuneration, and public awareness regarding the complexity of their work.

The conversation unfolds to encompass the necessity of substantial organizational and legislative changes within the Pharmacy profession, including a shift in workplace cultures. Maria advocates for equipping Pharmacists, especially recent graduates in leadership roles, with conflict resolution and leadership skills. The discussion underscores the importance of peer support among employee Pharmacists, drawing attention to the unique challenges those in Community Pharmacies face.

Maria provides historical context to peer support, tracing its presence in various forms for centuries. They highlight the feasibility study on peer support in early career Pharmacists, encouraging an open-minded and calm approach to maximize its benefits. The episode concludes with Cooper emphasizing the significance of longitudinal data in understanding changes in the Community Pharmacy climate and inviting participation in the survey, offering five $100 Visa gift cards as an incentive.

Maria's survey for ECPs: https://www.linkedin.com/posts/maria-cooper-130275253_hi-all-me-again-i-hope-youve-all-had-activity-7157920591243530240-Z8c8?utm_source=share&utm_medium=member_desktop

Dose of Insight: Maria Cooper's Prescription for Thriving in Pharmacy

In this episode of the Pharmacy View Podcast’s Rx to Riches stream, international host Michael Alexander, a Pharmacist, entrepreneur, digital health enthusiast, Co-Founder of Audrie, and the Regional Vice-President of Health Plans at Omada Health, interviews Dr. Drew Oliveira, Executive Director, Washington Health Alliance and Clinical Associate Professor, University of Washington; and Denise Giambalvo, Director, Member Engagement & Business Strategy, Washington Health Alliance. Together, they unravel the complexities of the U.S. healthcare system, exploring solutions and challenges in enhancing quality and affordability. 

Denise discusses their journey from the retail industry to their current role, focusing on enhancing healthcare quality and reducing costs. They emphasize the importance of employer-led coalitions and their commitment to improving employee care delivery, particularly in Seattle, where they are engaged in their third coalition endeavor.

Dr. Drew Oliveira shares their diverse background, transitioning from family physician to the insurance industry, gaining insights into U.S. healthcare practices. They highlight the employer's role in creating self-insured health plans and their current focus on improving quality, access, and affordability in healthcare. They are dedicated to addressing health disparities, especially within the employer community. Dr. Oliveira delves into the evolution of the U.S. healthcare system, from apothecary-driven care to the establishment of Medicare and Medicaid, while addressing persistent challenges like the uninsured population and rising healthcare costs.

Further, Dr. Oliveira explores historical attempts to implement national healthcare programs, highlighting resistance from various stakeholders and discussing proposed solutions like Medicare for All. They emphasize the importance of aligning physician workforce distribution with population needs to enhance healthcare quality and cost-effectiveness. Denise reflects on the cultural challenges associated with implementing a single-payer or government-led healthcare system in the United States, expressing concerns about government intervention potentially limiting individual freedom in healthcare decisions.

Additionally, Denise and Dr. Oliveira delve into the multifaceted role of Pharmacy Benefit Managers (PBMs), discussing their functions in claims adjudication, formulary development, and rebate negotiations. They highlight the complexities of formularies and rebate negotiations, shedding light on how these processes impact healthcare costs and patient access to medications. Overall, the episode provides insightful discussions on healthcare challenges and strategies for improvement.

Note: Stay tuned for Part 2 as we explore the American healthcare system with Dr. Drew and Denise next week.

Rx Unplugged: Insider Secrets from the Healthcare Frontlines in the U.S.

Episode: 98
Episode Title: Pharmacy Showdown: Inside the PBM Power Play in the U.S.

In this episode of the Pharmacy View Podcast’s Rx to Riches stream, international host Michael Alexander, a Pharmacist, entrepreneur, digital health enthusiast, Co-Founder of Audrie, and the Regional Vice-President of Health Plans at Omada Health, interviews Dr. Drew Oliveira, Executive Director, Washington Health Alliance and Clinical Associate Professor, University of Washington; and Denise Giambalvo, Director, Member Engagement & Business Strategy, Washington Health Alliance.  Together, they explore the intricate dynamics of the Pharmaceutical market, focusing on the impact of PBMs and the broader disparities in the U.S. healthcare system. Tune in to uncover how vertical integration, financial incentives, and payment model reforms could reshape patient care and outcomes.

Denise delves into the complexities of the pharmaceutical market, particularly focusing on the role and impact of PBMs. They highlight the dominance of three major PBMs that control 80% of the market, creating a system that often prioritizes profits over patient care. Denise explains how vertical integration enables PBMs to manipulate drug pricing, even within programs aimed at assisting low-income patients, and describes the financial challenges faced by Pharmacies due to PBM practices like clawbacks, which often result in financial losses for Pharmacies.

Denise elaborates on the challenges independent Pharmacies face due to PBMs' vertical integration, where PBMs own Pharmacies and manage the entire supply chain. This integration allows PBMs to benefit from practices like spread pricing, where they charge health plans more than they reimburse Pharmacies, pocketing the difference. Denise underscores the lack of transparency in PBM operations and its impact on costs for both employers and patients. Additionally, the discussion covers the significant role of specialty drugs in healthcare costs and how PBMs leverage their control to profit through rebates and preferred drug listings.

Further, Dr. Drew and Denise discuss the disparities and complexities within the U.S. healthcare system, emphasizing the dominance and profit mechanisms of PBMs at various stages of the pharmaceutical supply chain. The conversation reveals how PBMs and consultants create a biased market, influencing employer choices through back-end financial incentives, exacerbating the lack of transparency, and ultimately affecting drug costs. Denise also highlights the need for data-driven strategies to address health inequities, stressing the importance of removing financial and access barriers to improve patient outcomes.

In a thought-provoking exchange, host Michael Alexander asks Denise and Dr. Drew Rivera about the most impactful change that could improve patient care in the U.S. healthcare system. Both suggest that changing the payment model to a global or episode-based payment for primary care would be transformative. Dr. Rivera also proposes a federalized healthcare system as a controversial yet potentially effective solution for aligning incentives and enhancing care quality. The episode concludes on a lighter note, with Dr. Rivera sharing his passion for jazz music and Denise discussing their enjoyment of dancing and pickleball, highlighting the importance of balancing professional and personal interests.

Pharmacy Showdown: Inside the PBM Power Play in the U.S.

In this episode of Pharmacy View Podcast’s Full Scope Pharmacy Leadership stream, host, Chantelle Turner, a Pharmacist Leadership and Business Coach at TURN Pharmacy Leadership, welcomes Shaylee Mills. A Rural Pharmacist, Pharmacy Help Karratha, who is also the National PSA Intern Pharmacist of the Year 2022. Shaylee shares their unique journey into Pharmacy, their dedication to rural healthcare, and insights on mentoring future Pharmacists. Tune in to discover the challenges and rewards of a fulfilling career in Rural Pharmacy.

Shaylee shares their unexpected journey into Pharmacy, inspired by a love for organic chemistry found in university course books. They recount their diverse experiences across metropolitan, rural, and hospital Pharmacies, as well as their involvement in student advocacy and research. Shaylee’s passion for Rural Pharmacy was solidified during a placement in Karratha, leading them to return and continue their impactful work in the community.

Shaylee discusses their deep commitment to Rural Pharmacy, shaped by their upbringing in a rural area and professional experiences in rural healthcare. They emphasize critical challenges such as workforce shortages and limited access to doctors, highlighting Pharmacists' vital role in these communities. Shaylee advocates for increasing the rural healthcare workforce and shifting the Pharmacy model towards primary care to better support patients.

Shaylee shares insights on the distinct advantages of pursuing a career in Rural Community Pharmacy, highlighting the immense professional satisfaction and rapid career progression it offers. They address the misconception that Community Pharmacy lacks clinical opportunities, illustrating how rural settings provide a rich, clinical work environment. Additionally, Shaylee emphasizes the work-life balance and rewarding community connections that come with living and working in rural areas.

Chantelle and Shaylee discuss the importance of self-care and preventing burnout in early career Pharmacists. Shaylee emphasizes three key leadership skills: self-awareness, adaptability, and determination. They explain that self-awareness involves understanding one's emotions and reflecting on personal capacity and stress levels. Adaptability is crucial, especially in rural settings where circumstances can change rapidly. Determination helps push through challenging times until conditions improve, maintaining a sustainable and fulfilling career in Pharmacy.

Shaylee also discusses their role in nurturing early career Pharmacists within the Karratha community, emphasizing the importance of mentoring Pharmacy students. This mentorship leads to successful recruitment and retention of future Pharmacists. Shaylee shares their passion for providing students with positive experiences, inspired by their own journey and impactful mentors. They highlight the gratifying nature of this work, noting that about 50% of their current staff were once students who interned with them, underscoring the effectiveness of their mentorship and community-building efforts.

Additionally, Shaylee addresses the misconceptions and pain points that deter Pharmacists from pursuing rural positions, such as isolation, workload, and relocation challenges. They counter these concerns with their own positive experiences and the support systems available, including financial aid and unique professional opportunities. Shaylee emphasizes the importance of early conversations about rural healthcare careers at the university level to inspire and inform future Pharmacists, advocating for greater awareness and discussion about the benefits and unique experiences of Rural Pharmacy practice.

EP 99 - Pharmacy View Podcast - Championing Rural Pharmacy: The Shaylee Mills Story

In our 100th episode of the Pharmacy View Podcast, host Scott Carpenter, EVBC, interviews Michael Beck, Director of Med-ID for Australia and New Zealand. Michael shares their entrepreneurial journey from small business beginnings to spearheading innovation in the Pharmacy industry with SynMed robots. Join the two as they explore the transformative impact of automation and the future of medication safety and pharmacy operations.

Michael recounts their early career in small business and retail before transitioning into medical radiation technology, where they played a pivotal role in the digital transformation of medical imaging. This journey eventually led Michael into the Pharmacy sector, where they pioneered the deployment of SynMed robots for medication packing. They highlight their collaboration with Lucy Walker, marking the first SynMed implementation in an Australian Pharmacy.

Scott and Michael further explore their efforts to revolutionize medication safety and Pharmacy operations. Michael discusses their partnership with Dr. Paul Gooden and the establishment of Med-ID, detailing their journey from conceptualization to navigating challenges like the COVID-19 pandemic. Despite obstacles, they successfully introduced SynMed robots across Australian Pharmacies, scaling their business significantly and eventually merging with BD Rowa to form BD Rowa SynMed.

The conversation shifts to the innovative aspects of SynMed technology, emphasizing its robust design with metal components and advanced pick-and-place mechanisms for precise and rapid medication packaging. Michael underscores SynMed's role in not only solving logistical challenges but also enhancing Pharmacy revenue streams through efficient service delivery. They highlight SynMed's seamless integration with major software systems and the support received from pioneers in Australian medication packing.

Scott reflects on his extensive tenure in the Pharmacy industry, focusing on the evolving landscape and the importance of customer relationships, particularly in aged care settings. Michael expands on the strategic implications of robotics and automation in pharmacies, advocating for models like the hub and spoke system to optimize efficiency and customer engagement. They conclude with a discussion on community engagement, emphasizing how Pharmacies can meet the growing demand for healthcare services among aging populations by offering enhanced, frequent services like health checks and consultations.

Overall, Scott and Michael underscore the transformative impact of automation on Pharmacy operations, envisioning a future where technological advancements not only streamline processes but also elevate patient care and business sustainability in the healthcare sector.

EP 100 - Pharmacy View Podcast - Pioneering Pharmacy Tech: Michael Beck's Journey with SynMed

In this episode of the Pharmacy View Podcast’s Rx to Riches stream, international host Michael Alexander, a Pharmacist, entrepreneur, digital health enthusiast, Co-Founder of Audirie, and the Regional Vice-President of Health Plans at Omada Health, interviews Kerri Barwick, GM of Education & Training at the Pharmaceutical Society of Australia (PSA). Kerri shares their unique journey from business studies to Pharmacy, highlighting their innovative approach to training and the evolving role of Pharmacists. Tune in for an inspiring discussion on overcoming industry challenges and the exciting future of Pharmacy.

Kerri shares their inspiring journey into the Pharmacy profession, starting as a casual Pharmacy Assistant in high school. Initially pursuing a business degree, Kerri found themselves drawn back to Pharmacy roles, eventually deciding to study Pharmacy while raising young children. This blend of business acumen and Pharmacy skills has enabled Kerri to create innovative training programs at PSA, leading to rapid career advancement into their current leadership role.

Kerri discusses how their unique career path has influenced their approach to Pharmacy. Unlike many who transition from Pharmacy to business studies, Kerri's journey began with a business degree. This provided them with a distinct perspective on the importance of business skills in Pharmacy. Kerri underscores the support banner groups offer to Pharmacists in areas like marketing and business management, although they believe more can be done to enhance Pharmacists' understanding of customer relationships and long-term business value.

In their role at PSA, Kerri oversees a wide range of responsibilities, emphasizing the importance of teamwork and collaboration. They manage the organization of major conferences like PSA-24, various educational workshops, and qualifications such as the Diploma of Leadership Management. Additionally, Kerri oversees CPD products and new credentials like Pharmacist Prescribing. Building relationships through meetings with partners, universities, and internal teams is crucial to achieving the department's goals, according to Kerri.

Kerri highlights the significant challenges faced by Pharmacists, including time constraints and workforce shortages, especially in rural and remote areas. They emphasize the need for flexible training programs that can be accessed anytime and anywhere to accommodate these challenges. Despite the increasing demand for Pharmacists due to expanded roles like immunization and aged care, the profession often struggles with recognition and respect. Nonetheless, Kerri remains optimistic about the positive changes and increased authority Pharmacists are beginning to experience.

Kerri further discusses the complexities of training Pharmacy professionals in a demanding work environment, stressing the importance of balancing work and continuing education. They note the debate over the necessary training for Pharmacists to prescribe medications, pointing out that many Pharmacists already possess the required competencies. The competency framework helps identify training gaps, and Kerri stresses the importance of professional judgment and CPD in addressing these gaps. While acknowledging the differing views on training requirements, Kerri is hopeful about the evolving role of Pharmacists and the exciting opportunities on the horizon. 

Note: This insightful discussion is part one of the episode, with the second part to be released next week.

EP 101 - Pharmacy View Podcast - Evolving Roles: How Pharmacists are Meeting New Challenges

In this episode of the Pharmacy View Podcast’s Rx to Riches stream, international host Michael Alexander, a Pharmacist, entrepreneur, digital health enthusiast, Co-Founder of Audirie, and the Regional Vice-President of Health Plans at Omada Health, interviews Kerri Barwick, GM of Education & Training at the Pharmaceutical Society of Australia (PSA). In this episode, Kerri sheds light on the revolutionary AI-powered training simulation platform Audirie and its transformative impact on Pharmacy education. This episode delves into the journey of integrating AI into training, the challenges faced, and the remarkable benefits observed, offering listeners a glimpse into the future of Pharmacy training and education. Join us as we explore how Audirie is setting new standards in the industry and hear Kerri’s insights on the upcoming PSA National Conference and its focus on "Pathways to Progress."

Kerri delves into the innovative launch of Audirie, an AI-powered training simulation platform designed to enhance performance evidence in Community Pharmacy Training. This world-first initiative allows for realistic customer interactions, surpassing traditional methods like written evidence and phone simulations. It not only meets compliance requirements but also offers invaluable feedback for learners, marking a significant advancement in pharmacy education.

Kerri discusses the numerous advantages of the AI-powered training tool, Audirie, in enhancing Pharmacy education. They emphasize that the tool provides objective and constructive feedback, significantly improving Pharmacists' communication and counseling skills. While technical knowledge remains crucial, effective communication can greatly enhance patient interactions and overall professional satisfaction. The potential for Audirie to standardize training and boost confidence among Pharmacy interns is highlighted, leading to improved patient care and professional development.

Kerri also addresses the challenges and benefits of preceptor training in Pharmacy education. Despite PSA offering accredited preceptor training, it remains non-mandatory, resulting in many preceptors lacking formal teaching skills, which impacts the quality of intern training. Kerri underscores the value of AI-powered tools like Audirie in providing objective feedback, enhancing communication skills, and boosting confidence among pharmacy interns. They share personal experiences, noting the advantages of having clear, recorded assessments over subjective feedback, which can significantly enhance the learning experience.

Addressing the challenges and misconceptions surrounding AI in Pharmacy training, Kerri explains that some resistance stems from a lack of understanding of AI technology, particularly its ability to handle dynamic and natural conversations. Despite initial awkwardness, AI avatars have proven to be highly responsive and capable of managing complex scenarios and varied interactions. Kerri emphasizes the importance of continuous testing to fully understand AI’s capabilities and benefits in educational settings, encouraging organizations to embrace this technology.

In the final segment, Kerri offers advice to organizations considering AI-powered training solutions, stressing the importance of setting realistic timeframes and recognizing the technology's vast potential. They also preview the upcoming PSA conference, highlighting its theme "Pathways to Progress" and the exciting range of sessions and networking opportunities. Kerri emphasizes the value of connecting with peers and gaining inspiration from the event to rejuvenate one's passion for the Pharmacy profession, encouraging attendees to engage fully in this transformative experience.

EP 102 - Pharmacy View Podcast - AI in Action: Enhancing Pharmacy Training with Audirie

In this episode of the Pharmacy View Podcast, Founder Host Scott Carpenter is joined by Natalie Sirianni, Director & Officer in Effective Control of Attain Pty Ltd, Director of Musculoskeletal Australia, and a Board Member of the Australian Institute of Business Brokers (AIBB). As a leading expert in Pharmacy business brokerage, Natalie offers a deep dive into the current trends and transformations within the industry. From navigating the impacts of the 60-day dispensing policy to leveraging the benefits of the 8th Community Pharmacy Agreement (8CPA), Natalie provides a comprehensive analysis of how these changes are reshaping the market. Join us to explore how the enthusiasm of emerging Pharmacists and the resilience of the industry are creating new opportunities and driving growth in the Pharmacy business.

Natalie outlines their work in Pharmacy valuations and brokerage, including the impact of recent legislative changes such as the 60-day dispensing policy. Natalie explains the cyclical nature of Pharmacy valuations, influenced by economic conditions, community Pharmacy agreements, and interest rates. They highlight the industry's resilience during downturns and how its performance through events like COVID-19 has showcased its stability. Despite challenges such as the 60-day dispensing legislation, banks remain confident in lending to Pharmacies due to their consistent financial performance.

The discussion turns to the 60-day dispensing policy, which initially caused uncertainty and panic in the market. As the policy was implemented, the industry began to recover as the financial impacts became clearer. Natalie notes that while the new system introduced challenges, it allowed for better quantification and adjustment, showcasing the industry's ability to navigate changes with resilience and a historical perspective.

Natalie also addresses the broader impacts of the 8th Community Pharmacy Agreement (8CPA) and the new payments related to the 60-day dispensing policy. The 8CPA provides increased funding and stability, contrasting with the initial uncertainty of the transition period. This agreement has bolstered market confidence, leading to increased buyer interest and a resurgence in Pharmacy transactions. Sellers, particularly those nearing retirement who had previously postponed sales, are now re-engaging with the market, and valuations are expected to stabilize as confidence returns.

Natalie further talks about the invaluable role of young Pharmacists entering the industry through mentorship and succession plans. They describe this dynamic as mutually beneficial: younger Pharmacists gain essential knowledge and business acumen from their more experienced counterparts, while seasoned professionals receive fresh energy and enthusiasm. Natalie believes this intergenerational collaboration is crucial for the continued growth and vitality of the Pharmacy sector, fostering a positive transition and ensuring that the industry remains vibrant and forward-looking.

EP 103 - Pharmacy View Podcast - Pharmacy Valuations & Trends: What’s Hot in the Industry?

In this episode of Pharmacy View Podcast’s Full Scope Pharmacy Leadership stream, host, Chantelle Turner, a Pharmacist Leadership and Business Coach at TURN Pharmacy Leadership, speaks with Curtis Ruhnau, Pharmacist, a partner at Emerton Pharmacy and President of the Pharmacists' Support Service (PSS). Curtis reflects on their journey into the pharmacy profession, driven by a passion for chronic care management and a commitment to supporting both patients and fellow Pharmacists. They share insights into Emerton Pharmacy’s recent dual recognition in 2024, winning Excellence in Community Engagement and Excellence in Harm Minimisation, demonstrating their dedication to patient care and public health.

Curtis discusses the increasing importance of mental health and self-awareness within the Pharmacy profession, particularly post-COVID, where many Pharmacists face stress, uncertainty, and isolation. Drawing from their experience teaching medical students about self-awareness, Curtis highlights the need for greater advocacy around mental well-being in Pharmacy. They address how these challenges manifest in the evolving landscape of full-scope Pharmacy practice and emphasise the value of honest communication and proactive strategies for maintaining mental health.

Curtis shares personal insights into managing stress, emphasising the importance of acknowledging imposter syndrome and viewing it as a prompt for continuous learning. They describe their own approach to upskilling and self-care, sharing personal practices like reflection and stress management techniques. Curtis further underscores the role of mentorship, community, and teamwork in professional success, acknowledging that leadership often involves collective effort and support.

The episode concludes with a powerful discussion on the value of "listening with intention" in leadership. Curtis recounts lessons learned from Indigenous elders about the significance of deep listening and emotional intelligence in building empathetic and supportive teams. They highlight how small, intentional actions can strengthen the pharmacy community and foster a culture of care, reinforcing that empathy and active listening are essential for effective leadership and long-term growth in the profession.

EP 104 -Pharmacy View Podcast -Navigating Full-Scope Pharmacy:Teamwork, Mentorship, & Self-Awareness

Welcome to Pharmacy View – Technology in Pharmacy Business Podcast Series where we provide regular interviews with Pharmacists and key industry people within the Australian Pharmacy and associated industry. In each podcast we look to discuss aspects of Pharmacy operation and how technology is improving or interacting with each guest’s current role or Pharmacy related business.

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