SOON: No longer made in the USA

Historically, the pharma industry has not functioned on a 20% gross margin profit, as was stated in this article I know when the brand name pharmas dominated the pharma industry, the industry – on the whole – had the highest NET PROFIT of any industry. This is just another casualty of the Insurance/PBM industry’s goal to take $$ from the medication side of healthcare to pad their bottom line. The only thing that the Insurance/PBM industry is interested in is THEIR PROFITS that they generate in the USA.

 

Another US drugmaker on the verge of closure

https://www.beckershospitalreview.com/pharmacy/another-us-drugmaker-on-the-verge-of-closure-report.html

A generic drugmaker likely will shut down if it does not receive federal assistance, The Wall Street Journal reported July 26.

USAntibiotics’ 394,000-square-foot plant in Bristol, Tenn., makes millions of amoxicillin presentations every day, but it is far from breaking even as the generic medication industry struggles to compete with overseas companies, whose costs often are lower.

The pharmaceutical company is the nation’s only manufacturer of amoxicillin products, according to its website. USAntibiotics’ branded presentations are Amoxil (amoxicillin) and Augmentin (amoxicillin clavulanate).

Its facility has made the crucial antibiotic since 1978, and in 2008, it was supplying nearly all amoxicillin doses in the U.S. Now, without an infusion of cash, it eventually will shut down, according to the Journal.

The drugmaker usually sells a 30-pill amoxicillin package for $5 to customers, such as pharmacies and other healthcare providers. It costs $4 to manufacture the package, but the extra $1 is not enough to cover facility costs and other expenses.

Since USAntibiotics’ amoxicillin patent expired in 2002, larger generic drugmakers have entered the amoxicillin industry — often offering lower prices.

The drugmaker all but closed the plant in 2020; five employees chose to keep the facility going in a temperature-controlled environment without pay. Rick Jackson, founder and CEO of Jackson Healthcare, then invested more than $8 million to revive the facility after fielding a call from a bankruptcy trustee in 2021.

If you manage a manufacturing facility, be sure to replace your filter bags regularly to improve the facility’s indoor air quality.

Mr. Jackson told the Journal it has been challenging to sell supply. Hospital leaders are in favor of buying pharmaceuticals manufactured in the U.S., but group purchasing organizations and wholesalers typically focus on the lowest price, he said.

Mr. Jackson said he is seeking help from the federal government, but if it does not come within the next 18 months, he plans to close the factory.

“It’s not a failure yet,” Mr. Jackson told the Journal. “If there is a way to do it, we’ll figure it out.”

A similar tale played out for Akorn Operating Co.

In February 2023, the Illinois-based drugmaker laid off all its workers and closed all manufacturing sites after years of financial struggles in the tumultuous generic industry. Akorn was the only U.S. manufacturer of four medications, and its sudden closure caused more drug shortages.

If history repeats, the current amoxicillin shortage might worsen.

Biden/Harris Admin Bans Senior Citizens From Holding Bible Studies

“The moral test of a government is how it treats those who are at the dawn of life, the children; those who are in the twilight of life, the aged; and those who are in the shadow of life, the sick and the needy, and the handicapped.” – Hubert Humphrey, VP Pharmacist

The residents of these Senior Citizen living centers are mostly low-income citizens. This administration is taking action against low-income citizens and their First Amendment freedom of religion rights. Knowing that it would involve $$$ and law firms to challenge this Administration’s dictates, knowing that the residents of these centers probably did not have the financial resources.

Thank goodness for https://aclj.org/  The American Center for Law and Justice came to the rescue of these poor Senior Citizens.

https://www.toddstarnes.com/faith/biden-admin-bans-senior-citizens-from-holding-bible-studies/

The Biden/Harris Administration is targeting Christian senior citizens

The American Center for Law and Justice ( https://aclj.org/) reports that the administration is banning elderly believers from holding Bible studies inside government-funded senior living centers. 

In just the past year at least 10 centers have banned Bible studies and other religious events. The complexes have told Christians that their facilities must be neutral.

The ACLJ says it’s nothing more than discrimination and they are demanding the Department of Housing and Urban Development cease and desist. 

Time and time again, senior citizens fall victim to illegal religious discrimination. Oftentimes, Bible studies and prayer groups are formed in complexes because many of the residents are physically unable to attend church. As discussed above, federal laws and regulations are already in place to combat religious discrimination by senior living facilities. The rise in the cases we have seen, however, seem to reflect more of a misunderstanding of the applicable statutes and regulations. For example, most residents we have assisted have been denied access to an apartment’s community room or prevented from having religious decorations in an effort by management to be “neutral” or “more inclusive.” In no way does the Fair Housing Act permit complexes to discriminate on the basis of religion, which would include preventing religious activity in the name of neutrality. We have explained to each complex that this practice of excluding religious groups while including any other groups violates federal law. Following these explanations, we have been able to reach quick resolutions in most of the matters after laying out the clear and longstanding Fair Housing Act. But nonetheless, the fact that such legal action was necessary demonstrates a widespread lack of awareness of what the Fair Housing Act actually prohibits.

ACLJ

Some senior centers have banned Christmas and Easter decorations and others have actually banned Bibles and other religious materials. 

It appears that HUD is violating its own policies which strictly forbid any discrimination based on religious beliefs. 

In their quest to be inclusive – the Biden/Harris Administration has excluded senior saints. There has to be a very special place in the afterlife for godless bureaucrats who bully Christian grandmothers – hopefully a tent next to the Lake of Fire.

Investigate TV on VA hiding paperwork on pt harm

Everyone should watch the first half of this TV show. Investigation of how military healthcare HIDES and refuses to disclose to families how the military healthcare system refuses to provide the medical records of their loved one who is harmed or dies under military healthcare.

 

 

 

This is why having 15% of product confiscated is just the cost of doing business

We bought everything needed to make $3 million worth of fentanyl.

All it took was $3,600 and a web browser

https://www.reuters.com/investigates/special-report/drugs-fentanyl-supplychain/

At the tap of a buyer’s smartphone, Chinese chemical sellers will air-ship fentanyl ingredients door-to-door to North America. Reuters purchased enough to make 3 million pills. Such deals are astonishingly easy – and reveal how drug traffickers are eluding efforts to halt the deadly trade behind the fentanyl crisis.

A cardboard box half the size of a loaf of bread bore a shipping label declaring its contents: “Adapter.” It was delivered in October to a Reuters reporter in Mexico City.

There was no adapter inside that package. Instead, sealed in a metallic Mylar bag was a plastic jar containing a kilogram of 1-boc-4-piperidone, a pale powder that’s a core ingredient of fentanyl. It was enough to produce 750,000 tablets of the deadly drug.

 Reuters reporter had ordered the chemical six weeks earlier from a seller in China. The sales assistant, “Jenny,” used a photo of a Chinese actress as her screen avatar. The price was $440, payable in Bitcoin, delivery by air freight included.

“We can ship safely to Mexico,” Jenny had written in Spanish on the encrypted message platform Telegram in July 2023, when the reporter first inquired about the chemical. “No one knows what we ship.”

Transactions like this are part of the biggest upheaval in the global narcotics trade since the war on drugs began half a century ago. The manufacturing of fentanyl, the synthetic opioid that’s killing tens of thousands of Americans a year, has become an endlessly inventive and ruthlessly efficient global industry.

The trade hinges on chemicals known as “precursors,” which are the drug’s essential ingredients. Compounds called piperidines are the core of fentanyl’s structure. Other precursors provide the remaining building blocks. Combined through chemical reactions, these precursors create a drug 50 times stronger than heroin.

The problem for regulators: Many of the same chemicals used to make fentanyl are also crucial to legitimate industries, from perfumes and pharmaceuticals to rubber and dyes. Tightly restricting all of them would upend global commerce. And because of fentanyl’s potency, even small quantities of these precursors can produce vast numbers of tiny pills using a simple manufacturing process – rendering the ingredients, the final product and the supply chain easy to conceal from authorities.

Anyone with a mailbox, an internet connection and digital currency to pay the tab can source these chemicals, a Reuters investigation found.

Breaking throughput barriers: A hospital’s AI-powered approach to improved efficiency

In the early 80’s we expanded our independent pharmacy into providing Home Medical Equipment as hospitals’ reimbursement was changed to a new prospective DRG program. Basically, the hospital was paid a flat $$ when the pt was admitted, based on the pt’s diagnosis.  If the hospital cost to treat the pt was more than the DRG amount – they lost money, if they spent less on treating this pt was less – they made money. Back then, the phrase came about of “discharging pts quicker and sicker”. It created a pt’s need for home medical equipment (HME). 

Our small 1200 sq ft pharmacy quickly grew to have 5,000 sq ft for retail/display area and office space for our customer service and billing staff along with a fitting room for our prosthetic, orthotic, and mastectomy fittings, and off-site 2,800 sq ft warehouse for storing rental equipment and a place to provide maintenance and repair of our rental equipment pool.

We eventually became the largest HME vendor in two counties.

Is this Mobile, ALA hospital using artificial intelligent software to re-invent the “discharge pts quicker and sicker” to a new level to add to their bottom line?

Breaking throughput barriers: A hospital’s AI-powered approach to improved efficiency

https://go.beckershospitalreview.com/hit/breaking-throughput-barriers-a-hospitals-ai-powered-approach-to-improved-efficiency

Mobile, Ala.-based Springhill Medical Center is among the forward-looking organizations identifying new ways to boost operational efficiencies.

In this session, Sharon Barincle, the hospital’s executive director of revenue cycle, will share their experience implementing predictive analytics and AI solutions to tackle operational challenges and increase patient throughput.

Find out how the 270-bed community hospital:

  • Aligned care teams around precise discharge targets for proactive planning based on forecasted demands
  • Streamlined patient discharges to reduce delays and optimize length of stay.
  • Expedited evaluation of outpatients in inpatient beds to reduce prolonged stays and increase capacity
  • Established effective communication between nursing, case management and administration to escalate barriers affecting length of stay and discharge planning

Compounded Semaglutide (GLP-1) Overdoses Tied to Hospitalizations

Compounded Semaglutide Overdoses Tied to Hospitalizations

https://www.medscape.com/viewarticle/compounded-semaglutide-overdoses-tied-hospitalizations-2024a1000dte

Patients are overdosing on compounded semaglutide due to errors in measuring and self-administering the drug and due to clinicians miscalculating doses that may differ from US Food and Drug Administration (FDA)–approved products.

The FDA published an alert on July 26 after receiving reports of dosing errors involving compounded semaglutide injectable products dispensed in multidose vials. Adverse events included gastrointestinal effects, fainting, dehydration, headache, gallstones, and acute pancreatitis. Some patients required hospitalization.

Why the Risks?

FDA-approved semaglutide injectable products are dosed in milligrams, have standard concentrations, and are currently only available in prefilled pens.

Compounded semaglutide products may differ from approved products in ways that contribute to potential errors — for example, in multidose vials and prefilled syringes. In addition, product concentrations may vary depending on the compounder, and even a single compounder may offer multiple concentrations of semaglutide.

Instructions for a compounded drug, if provided, may tell users to administer semaglutide injections in “units,” the volume of which may vary depending on the concentration — rather than in milligrams. In some instances, patients received syringes significantly larger than the prescribed volume.

Common Errors

The FDA has received reports related to patients mistakenly taking more than the prescribed dose from a multidose vial — sometimes 5-20 times more than the intended dose.

Several reports described clinicians incorrectly calculating the intended dose when converting from milligrams to units or milliliters. In one case, a patient couldn’t get clarity on dosing instructions from the telemedicine provider who prescribed the compounded semaglutide, leading the patient to search online for medical advice. This resulted in the patient taking five times the intended dose.

In another example, one clinician prescribed 20 units instead of two units, affecting three patients who, after receiving 10 times the intended dose, experienced nausea and vomiting.

Another clinician, who also takes semaglutide himself, tried to recalculate his own dose in units and ended up self-administering a dose 10 times higher than intended.

The FDA previously warned about potential risks from the use of compounded drugs during a shortage as is the case with semaglutide. While compounded drugs can “sometimes” be helpful, according to the agency, “compounded drugs pose a higher risk to patients than FDA-approved drugs because compounded drugs do not undergo FDA premarket review for safety, effectiveness, or quality.”

Medscape Medical News recently reported on how some endocrinologists are addressing the ongoing shortage.

Does This Single Fact Signal Our Imminent Financial Collapse?

https://americanliberty.news/economics/does-this-single-fact-signal-our-imminent-financial-collapse/phouck/2024/07/

Interest on the federal debt in June was equivalent to 76% of all personal income collected, which is the Treasury’s largest revenue source, with three-quarters of it being used solely for interest.

The current state of dollar value destruction:

The fact 76% of all personal income tax collected last month was allocated to servicing the $34 trillion national debt has profound implications for America’s financial security. Analyzing different aspects of fiscal policy, economic stability and future financial planning is essential to understand the consequences.

Financial Security Concerns

  1. Reduced Fiscal Flexibility
    • Impact on Budget Allocation: With the majority of personal income tax revenue being used to pay off debt, less money is available for other essential government services and programs. This can lead to underfunding in critical areas such as healthcare, education, infrastructure and social services.
    • Increased Borrowing: The need to service such a large debt may force the government to borrow even more, creating a vicious cycle of debt dependency. Increased borrowing can lead to higher interest rates, further exacerbating the debt crisis.
  2. Economic Stability Risks
    • Investor Confidence: High levels of debt and significant portions of tax revenue going towards debt servicing can undermine investor confidence. If investors perceive the national debt as unsustainable, they may demand higher interest rates for government bonds, increasing the cost of borrowing.
    • Inflationary Pressures: Large-scale borrowing and debt servicing can lead to inflation if the government resorts to printing more money to meet its obligations. This devalues the currency and erodes purchasing power, impacting the overall economy.
  3. Long-term Financial Health
    • Intergenerational Equity: High debt levels burden future generations with repayment obligations, potentially limiting their economic opportunities and financial security. This raises ethical concerns about intergenerational equity and the responsibility of current policymakers.
    • Potential for Austerity Measures: To manage the debt, the government might implement austerity measures, including cuts to public spending and increased taxes. Austerity can slow economic growth and lead to social unrest, as seen in other countries with high debt burdens.

 

CenterWell to open 23 senior primary care centers at Walmart locations in four states

CenterWell to open 23 senior primary care centers at Walmart locations in four states

https://drugstorenews.com/centerwell-open-23-senior-primary-care-centers-walmart-locations-four-states

The centers will be located in a clinical office space formerly occupied by Walmart Health.

CenterWell, the health care services business of Humana plans to lease clinical space and open senior-focused primary care centers at 23 Walmart Supercenter retail stores in Florida, Georgia, Missouri and Texas. 

The centers will operate under the CenterWell Senior Primary Care and Conviva Care Centers brand names and will provide seniors in these communities with greater access to primary care services designed specifically for older adults. 

The new centers will be conveniently located next to Walmart stores in clinical office space that was formerly occupied by Walmart Health. CenterWell expects the centers to be equipped, staffed and opened no later than the first half of 2025. Financial terms of the agreement were not disclosed.

“CenterWell is committed to providing seniors with high quality health care that is accessible, comprehensive, and most of all, personalized. We are excited by the unique opportunity to lease space from a world-class community partner such as Walmart and offer seniors in these four states greater access to our integrated approach to care,” said Sanjay Shetty, president of CenterWell. “These nearly two dozen primary care centers are specifically designed for seniors, and each location’s design, including dedicated entrances and easy parking, offers patients the access that they have come to expect at our clinics across the nation. We are eager to expand on our mission to help patients lead happier, healthier lives.”

“We are looking forward to welcoming CenterWell into these purpose-built healthcare spaces to offer quality care to communities in four states,” said Brian Setzer, executive vice president of Walmart Health & Wellness. “Leasing these spaces to a well-known and successful healthcare delivery organization is a win for customers and patients, as we continue to focus on our core health & wellness business of Pharmacy and Optical.”

CenterWell Senior Primary Care, along with its sister brand Conviva Care Centers, represents the largest, fastest-growing senior-focused, value-based primary care provider in the country. Together, the businesses comprise Humana’s Primary Care Organization, delivering care to about 318,000 seniors in nearly 300 centers across 15 states as of March 31, 2024.

CenterWell Senior Primary Care and Conviva Care Centers locations are designed specifically with the needs of seniors in mind, and include a staff of board-certified physicians, nurse practitioners and medical assistants that coordinate care alongside care coaches, social workers, behavioral health specialists and clinical pharmacists. These teams are dedicated to treating the unique medical and social needs of seniors and take the time to listen to and partner with patients on their healthcare journey, collaborating on a care plan that is evidence-based and centered on the patient. 

[Read more: Pharmacy Innovator of the Year 2021: Walmart connects with communities]

CenterWell Senior Primary Care and Conviva Care Centers locations accept patients on many different Medicare Advantage health plans, as well as those who have Original Medicare.

In connection with this lease agreement, CenterWell plans to open senior-focused primary care centers adjacent to Walmart Supercenter locations in the following metropolitan areas:

  • Tampa/St Petersburg
  • Orlando
  • Jacksonville
  • Atlanta
  • Dallas/Fort Worth
  • Kansas City

Greater than 50% of Honeymoons end in divorce


This blog post is not about a particular politician but about the TERRIBLE financial state that all politicians have put our country in – THAT IS NOT TALKED ABOUT!

In 2009 when Pres Obama came to office, our country had amassed a 9 trillion dollar national debt since our founding in 1776 – (233 yrs). https://www.usdebtclock.org/ When Obama left office we were nearly 20 Trillion in debt and when Trump left office, we were 25 Trillion in debt, we are now 35 TRILLION in debt. In 16 yrs – abt 6% of our entire timeline history – our national debt has nearly QUADRUPLED. In 12 of those 16 yrs, There is a common denominator in 75% of this time, Joe Biden was part of the administration. In 2008 our interest on our national debt was $380 billion.

Next year (2025) the interest on our national debt is projected to approach ONE TRILLIONhttps://www.pgpf.org/budget-basics/what-are-interest-costs-on-the-national-debt

And it is projected that within the next decade, our national debt may exceed 50 TRILLION.

Just watch the first video and this presidential candidate is promising all sorts of benefits to just about every segment of our population and a “promise of freedom” with our society being shackled to that much increasing national debt and increasing interest payments that we have to make on that debt?

Please watch the second video starting at ~ 3 minutes with a scrolling part of the screen with all the things that have happened in spending money we don’t have.

Please watch the third video at 7:30 where there seemed to be support of a 70%-80% federal tax level to help pay for all these promises.

When will this honeymoon be over and when irreconcilable differences between promises and reality come home to roost?

 

 

 

 

Pharmacists & techs – urgent request to speak with a national reporter!

Pharmacists & techs – urgent request to speak with a national reporter!

 

Dear pharmacists and technicians, especially chain pharmacists. I have a one day deadline on this one. It’s a tough one, but I’ll ask. I’ve had CVS pharmacists from locations across the nation say that they also get medications hot to touch that are coming from hot UPS and USPS trucks from central fill locations to the local pharmacies.
These medication are then put on shelves and given to patients without considering the impacts on heat. Is there anyone who is willing to speak to a reporter on this issue? I can ask for anonymity from the public for those who are willing to speak.
Sadly, some of the pharmacists or techs ask me to report to the state boards, but I know most state boards already know this is happening and turning their heads. Some also want to see a better future of medication handling but some are afraid to speak to a reporter. Will you be brave with me?
Maybe, I’ve almost sadly given up home especially here in Missouri.
I have more hope in reporters sharing the stories of patients and pharmacists to apply the pressure on state boards over many (not all) state boards doing the right thing and ensuring safe temperature storage on their own.
If you’re willing to speak message me or email loretta@uniteforsafemeds.com