SlideShare a Scribd company logo
The Amazonification of Pharmacy
Darshan Kulkarni Pharm.D, MS, Esq
Principal Attorney, Kulkarni Law Firm
VP Reg Strategy/Policy, Synchrogenix
© Copyright 2015 Certara, L.P. All rights reserved. 2
Prescription Drug Filling Process
© Copyright 2015 Certara, L.P. All rights reserved. 3
© Copyright 2015 Certara, L.P. All rights reserved. 4
© Copyright 2015 Certara, L.P. All rights reserved.
How many people here
use technology as part
of their solution?
5
Headline
Text Here
Headline
Text Here
The Amazonian Threat
What have you heard about Amazon entering the
market?
© Copyright 2015 Certara, L.P. All rights reserved.
News We Already Have
© Copyright 2015 Certara, L.P. All rights reserved. 8
© Copyright 2015 Certara, L.P. All rights reserved. 9
© Copyright 2015 Certara, L.P. All rights reserved. 10
© Copyright 2015 Certara, L.P. All rights reserved.
Seems like there is a short period before Amazon
enters the market
11
© Copyright 2015 Certara, L.P. All rights reserved. 12
© Copyright 2015 Certara, L.P. All rights reserved. 13
© Copyright 2015 Certara, L.P. All rights reserved. 14
© Copyright 2015 Certara, L.P. All rights reserved. 15
© Copyright 2015 Certara, L.P. All rights reserved. 16
© Copyright 2015 Certara, L.P. All rights reserved. 17
© Copyright 2015 Certara, L.P. All rights reserved. 18
© Copyright 2015 Certara, L.P. All rights reserved.
Amazons Basic Strengths
1. The Power of Page Speed
2. Personalize the Shopping
Experience
3. Make searching a breeze
4. Users need reviews
5. Recommend similar products
6. Test, test, test
- Forbes: 6 Things Online Retailers
can Learn from Amazon
1. Management
2. Innovation
3. Customer Service
4. Execution
5. Diversification
6. Lack of a Fear Factor
7. In it to Win It Mindset
- 7 Reasons Why Amazon is So
Successful.
© Copyright 2015 Certara, L.P. All rights reserved.
Siloed Data
hospitals
pharmacies
patients
Pharma
MD offices
Government
Payors
© Copyright 2015 Certara, L.P. All rights reserved.
Howareyouprovidingvaluetoyourpatien
21
© Copyright 2015 Certara, L.P. All rights reserved. 22
© Copyright 2015 Certara, L.P. All rights reserved.
Pharmacist
• Pharma Co.
• PBM
• Physician
Physician
• Pharma Co.
• Device Co.
• Insurance Co.
• Nurses
• Dieticians/Nutritionists
• Pharmacists
The result is
manifest distrust
The relationship
with pharma has
soured
Patients don’t trust
insurers and
insurance
companies.
The relationship
with doctors has
soured (Sunshine
Act etc)
The relationship
with pharmacists is
souring (decrease
in trustworthiness)
© Copyright 2015 Certara, L.P. All rights reserved. 24
© Copyright 2015 Certara, L.P. All rights reserved.
Future-proofing your Pharmacy
Blockchain
AI & Virtual Assts
Patient centricism
Tele – medicine
Wearables
25
Headline
Text Here
Headline
Text Here
Can you outcompete Amazon
on technology?
No
Do you likely need to provide some conveniences lik
refills etc?
But here is where it gets interesting…
© Copyright 2015 Certara, L.P. All rights reserved. 27
© Copyright 2015 Certara, L.P. All rights reserved. 28
© Copyright 2015 Certara, L.P. All rights reserved. 29
© Copyright 2015 Certara, L.P. All rights reserved.
Questions?Questions?
30

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Amazonification of Pharmacy 6.1.18

  • 1. The Amazonification of Pharmacy Darshan Kulkarni Pharm.D, MS, Esq Principal Attorney, Kulkarni Law Firm VP Reg Strategy/Policy, Synchrogenix
  • 2. © Copyright 2015 Certara, L.P. All rights reserved. 2 Prescription Drug Filling Process
  • 3. © Copyright 2015 Certara, L.P. All rights reserved. 3
  • 4. © Copyright 2015 Certara, L.P. All rights reserved. 4
  • 5. © Copyright 2015 Certara, L.P. All rights reserved. How many people here use technology as part of their solution? 5
  • 6. Headline Text Here Headline Text Here The Amazonian Threat What have you heard about Amazon entering the market?
  • 7. © Copyright 2015 Certara, L.P. All rights reserved. News We Already Have
  • 8. © Copyright 2015 Certara, L.P. All rights reserved. 8
  • 9. © Copyright 2015 Certara, L.P. All rights reserved. 9
  • 10. © Copyright 2015 Certara, L.P. All rights reserved. 10
  • 11. © Copyright 2015 Certara, L.P. All rights reserved. Seems like there is a short period before Amazon enters the market 11
  • 12. © Copyright 2015 Certara, L.P. All rights reserved. 12
  • 13. © Copyright 2015 Certara, L.P. All rights reserved. 13
  • 14. © Copyright 2015 Certara, L.P. All rights reserved. 14
  • 15. © Copyright 2015 Certara, L.P. All rights reserved. 15
  • 16. © Copyright 2015 Certara, L.P. All rights reserved. 16
  • 17. © Copyright 2015 Certara, L.P. All rights reserved. 17
  • 18. © Copyright 2015 Certara, L.P. All rights reserved. 18
  • 19. © Copyright 2015 Certara, L.P. All rights reserved. Amazons Basic Strengths 1. The Power of Page Speed 2. Personalize the Shopping Experience 3. Make searching a breeze 4. Users need reviews 5. Recommend similar products 6. Test, test, test - Forbes: 6 Things Online Retailers can Learn from Amazon 1. Management 2. Innovation 3. Customer Service 4. Execution 5. Diversification 6. Lack of a Fear Factor 7. In it to Win It Mindset - 7 Reasons Why Amazon is So Successful.
  • 20. © Copyright 2015 Certara, L.P. All rights reserved. Siloed Data hospitals pharmacies patients Pharma MD offices Government Payors
  • 21. © Copyright 2015 Certara, L.P. All rights reserved. Howareyouprovidingvaluetoyourpatien 21
  • 22. © Copyright 2015 Certara, L.P. All rights reserved. 22
  • 23. © Copyright 2015 Certara, L.P. All rights reserved. Pharmacist • Pharma Co. • PBM • Physician Physician • Pharma Co. • Device Co. • Insurance Co. • Nurses • Dieticians/Nutritionists • Pharmacists The result is manifest distrust The relationship with pharma has soured Patients don’t trust insurers and insurance companies. The relationship with doctors has soured (Sunshine Act etc) The relationship with pharmacists is souring (decrease in trustworthiness)
  • 24. © Copyright 2015 Certara, L.P. All rights reserved. 24
  • 25. © Copyright 2015 Certara, L.P. All rights reserved. Future-proofing your Pharmacy Blockchain AI & Virtual Assts Patient centricism Tele – medicine Wearables 25
  • 26. Headline Text Here Headline Text Here Can you outcompete Amazon on technology? No Do you likely need to provide some conveniences lik refills etc? But here is where it gets interesting…
  • 27. © Copyright 2015 Certara, L.P. All rights reserved. 27
  • 28. © Copyright 2015 Certara, L.P. All rights reserved. 28
  • 29. © Copyright 2015 Certara, L.P. All rights reserved. 29
  • 30. © Copyright 2015 Certara, L.P. All rights reserved. Questions?Questions? 30

Editor's Notes

  1. http://slideplayer.com/slide/9762320/
  2. https://www.pppmag.com/article_print.php?id=749
  3. https://www.toptal.com/finance/mergers-and-acquisitions/cvs-aetna
  4. http://thinkrevivehealth.com/2018/04/walmart-humana-merger/
  5. https://medium.com/@taposhdr/walmarts-eye-on-humana-right-or-wrong-65563d2c22ac
  6. What is not on here? Clinical Patient connection What are their advantages? Strong e-presence Established distribution Last mile distribution Convenience
  7. This is current siloed data and it is being re-siloed. You already have access. Break through those boundaries.
  8. Engagement - Newsletters Twitter Online refills Last Mile: Reminders Refills Delivery Community participation: Sponsorships Brown bag lunches Student athletes Nutraceuticals Internships Connect with patients: Working with doctors Policy 70 Engagement
  9. American Journal of Health System Pharmacy, http://www.ajhp.org/content/72/6/494/tab-figures-data?sso-checked=true
  10. https://www.wsj.com/articles/the-health-care-industry-is-pushing-patients-to-help-themselves-1402065145
  11. Blockchain Tracking patient use PDMPs AI & Tele Assistants - Pillo Alexa Tele-medicine Telepharmacy Virtual Studies Delivery: Drones Alternative services: Vet compounding Nutraceuticals Wearables: Who is tracking it? Collecting information?
  12. https://www.pharmaceutical-journal.com/learning/learning-article/covert-administration-of-medicines-in-care-homes/20201536.article Is this good? (Yes) I disagree. Notice that most of the interaction comes from telling the patient what to do. It is a one way discussion. Tell me whats wrong, I will tell you what’s right.