Dynamed Releases New Standalone App - How to Install

Full Disclosure: I love Dynamed. It may be the EBM (Evidence-Based Medicine) side talking, but Dynamed is one reference I turn to routinely, primarily because it is also available as an App. Omnio previously hosted the Dynamed system within it's app, but recently Dynamed released a new and standalone app platform. For those that are looking to get Dynamed on their mobile device, I prepared a 'How-To' guide for your reference.

1. Download Dynamed App (Here)

Get the app on your device, and make sure you have sufficient space to host the app and its database on your device. 

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2. Go To Your Institutions Library and Access Dynamed and Select the Mobile Tab on the Top Menu Bar

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3. Enter in Personal Institution Email Address

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4. Wait for Email to Arrive in Mailbox. Open the Email from Dynamed on Your Device and It Will Launch The App

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5. And You are Ready to Go!

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Hope this guide helped you get started!

Will the new ".Pharmacy" domain help reduce fake online pharmacies?

In all honesty, I was surprised to read in the December (2014) issue of the American Journal of Health-System Pharmacy (AJHP) that the National Association of Boards of Pharmacy (NABP) were pursuing a domain name of ".Pharmacy" which they recieved on September 5 of this year. 

NABP has done alot of research into bogus pharmacies and related products online, and the results have been dismal. Their research of over 10,000 drug outlets found 97% to be bunk, which is quite distressing. This is especially the case when you take into consideration that many patients are looking to cut medical costs, and finding cheaper alternatives to their medications is often an identified outlet. That being the case, helping consumers identify reputable online pharmacies may help reduce patient harm and negative health outcomes.

The AJHP article indicates the process of applying for a '.Pharmacy' domain includes a $750 dollar payment for the domain, and a further $2000 to NABP for evaluation and what I envision a stamp of approval for backing as a trustworthy online pharmacy (Traynor, 2014). However, where I think a big problem will be, will be a proposed tiered system, where some big name strings will go for alot (i.e. "Diabetes.pharmacy" or "immunization.pharmacy") which could fetch more than $50,000 according to AJHP (Traynor, 2014). This seems like something only industry or similar organizations will be able to pay. 

Overall, I think this may be a good thing, especially if NABP does a good enough job evaluating the applicants and teasing out the bogus pharmacies. However, patient buyin will be paramount in order to make it work, and I will be curious to see the marketing campaign that will most likely start coming after there are enough applicants.

Source: Traynor K. New internet domain launched for pharmacy community. Am J Health Syst Pharm. 2014 71(24), 2100-2104. 

Are Drug-Dispensing Kiosks Coming to Pharmacy?

When I was a resident several years ago, I remember having a discussion with my co-residents. It was one of those moments where you try to think of a get-rich-schemes that come about when stress is present and deadlines are due and beepers paging. 

What it boiled down to was the creation of a 'Redbox' for pharmacy, that instead of giving out movies and games, dispensed medications. This wasn't necessarily revolutionary, and we knew it. There were machines at local hospitals that could dispense medications, and we had heard about a few physicians who had machines installed in their offices to dispense medications. But we were thinking of a community/box pharmacy-backed device available on every corner. It was a pipe dream, but lately it seems it may become a reality...

Walgreens Invests $30 Million into Drug Kiosks

This month [October,2014] Walgreens invested in a Series C round with MedAvail Technologies Inc. Essentially, MedAvail is making a kiosk that they compare to an ATM to dispense medications to patients, with counseling provided by a pharmacist digitally.

There is not much information on how this works, but I think it could be useful in certain situations. If it stored the top 100-200 most commonly prescribed medications, it could be beneficial for first-time fills when a pharmacy could be closed. Most chain pharmacies keep a 24-hour pharmacy operated in a district for that purpose, such as patients leaving the ER or being discharged from the hospital, or getting off an odd shift of work. Using these devices could reduce the cost of running such 24-hour pharmacies.

What are Some Drawbacks to Drug-Dispensing Kiosks?

Limitations I see of this would be drugs that need to be prepared. Such as children's antibiotics that often have to mixed and stored in the pharmacy until a patient's parents picks them up. I am unsure if this would be possible. Refills I do not think would be practical, as it would cause some logistical nightmares in a pharmacy processing autofills on their own.

Would these kiosks store controlled substances? I would hate to see them being smashed for their precious drugs, and can only imagine the security cameras showing individuals utilizing a sledgehammer to get at the drugs within.

Lastly, I do not see these kiosks being utilized by patients using another pharmacy. For instance, I cannot imagine them conducting transfers from CVS to Walgreens easily or in a timely manner, as it would still rely on the human interaction and law functions to contact and transcribe such prescriptions.

Lasting Thoughts

I will not be surprised to see these drug-dispensing kiosks being brought to the market in the near future. Providers would most likely enjoy them, especially at certain locals such as minute clinics. They could use e-prescribing to send the prescription directly to the kiosk for the patient to pick up the medication.

I feel that pharmacists themselves will have mixed feelings. This could open up a nice part-time job perhaps for individuals that want to work at home, similar to pharmacists who process prescriptions in hospitals in other states from home. Other issues would be the job aspect in terms will it replace certain job opportunities. 

Please feel free to write you comments below!

Launching a Pharmacy Tech Column

Due in part to my interests I have decided to launch a column on my website dedicated towards anything tech related in the field of pharmacy. Primarily I look to write upon:

  • Mobile (e.g. new devices, apps)
  • Informatics
  • Social Media
  • Logistics in Pharmacy Operations
  • EHR & Documentation

If you have any good ideas, feel free to contact me. If you would like to contribute an article, feel free to send me an email in the contact form.