What if the future of healthcare was shaped by those who know it best – pharmacists? In this episode, we sit down with Theresa Tolle, Owner of Bay Street Pharmacy, to discuss how independent pharmacists are working to change the industry from the inside out. Theresa draws on her experiences as an independent owner and former APhA President to reflect on the past, present, and future of pharmacy. We dive into the latest updates in PBM legislation, opportunities for accreditations, and best strategies for administering (and billing) clinical services. We also discuss the importance of advocacy and how you can make a difference in changing the profession for the better. As Theresa explains it, change is coming; you just have to be ready.
NCPA Legislative Action Center: https://ncpa.org/legislative-action-center?vvsrc=%2fCampaigns%2f121272%2fRespond
Fight PBMs Now: https://www.fightpbms.com/
APhA Legislative Action Center: https://actioncenter.pharmacist.com/
NCPA | Friends in High Places: https://www.ncpa.org/newsroom/executive-update/2025/03/07/friends-high-places-ncpa-executive-update-march-7-2025
CDC DSMES Toolkit: https://www.cdc.gov/diabetes-toolkit/php/reimbursement/medicare-reimbursement-guidelines.html
00:00 - Introduction to Theresa Tolley and her background
04:28 - Discussion on PBM reform legislation and advocacy efforts
11:51 - Florida-specific legislative initiatives and provider status bill
19:39 - Overview of PQA (Pharmacy Quality Alliance) and its purpose
27:26 - Bay Street Pharmacy's combo shop model and LTC at home services
28:40 - Diabetes education program and Medicare billing details
40:26 - LTC at home implementation and compliance considerations
Hosted By: Mark Bivins | Chief Growth Officer, RedSail Technologies
Guest: Theresa Tolle | Owner of Bay Street Pharmacy
Looking for more information about independent pharmacy? Visit www.pioneerrx.com