1. Pharmacy Transformation Changing Practices/Challenges COL Isiah M. Harper Jr. Army Pharmacy Consultant and Pharmacy Program UNCLASSIFIED 7-11 January 2007

2. BRIEFING OUTLINE 1.Pharmacy In the Past 2.Pharmacy Today 3.Issues impacting Pharmacy 4.Conclusion 5.Question PURPOSE: To provide information how pharmacy transformation impacts the Military Treatment Facilities (MTFs).

3. Pharmacy In the Past

4. Pharmacy Formulary

5. Impact Slower process Increase in errors Requires more people (?) One formulary Fenced budget

6. Pharmacy Yesterday and Today

7. Outpatient Robot

8. Outpatient Baker Cells

9. Outpatient Accumed

10. FlexRx

11. IMPACT Reduction in errors Better utilization of pharmacists Mail Order Pharmacy Program

12. The Challenge Pharmacy Technician’s Role Pharmacist’s Role Command Thinking Dual Formulary

13. Two Formulary Systems Local Formulary System DoD Formulary System $$$$$ Savings Strain on the MTF Two Formularies increases rate of Non-Formulary Items Policy Challenges

14. CONCLUSION “If it’s not broken, break it and make it better, or someone else will!” Isiah M. Harper Jr.