compound business€¦ · pain can be complex ! our compounds target two or more pain categories in...

Compound Business Sales Training Material

Confidential Information

Our Goal �  Partner with physicians to help them

�  Provide the best medical treatment available

�  Enhance their patients’ treatment options �  Medical therapies customized to their needs

�  Potentially limiting the dependency of oral opioids

�  Extended use of anti-inflammatories

�  Improve patient retention and referral �  Provide the best customer experience possible

�  Help the doctor grow THEIR business


Primary Practices to focus �  Bariatric Surgeons

�  Surgery �  Breast Augmentation

�  Orthopedic

�  Pain Management �  Saturated market

�  Family Physicians / General Practitioners

�  Others you have a relationship with currently �  Use your network


What sets us apart?

Customer Experience

�  Patient focused �  Consultations available

�  Patient follow-up care

�  Exceptional customer service �  Quick Rx turn around time

�  Free shipping & home delivery

�  Insurance accepted �  Receive their prescribed

treatment with our 3-Tier system

�  Rx Companion Copay System

Medical Professionals

�  Partner with you to design formulations that work for your patient situations

�  Customized reports �  Patient compliance

�  Full service pharmacy for your patience convenience �  Prescription medicines �  Compounds �  Consultations


We are not selling drugs, we are formulating patient outcomes

Our 3-Tier system �  We use a 3-tier system to service the patient

�  A – Premium compound

�  B – Alternative compound

�  C – Cash option

�  Allows the doctor to prescribe a compound for the patient

�  Allows the patient to utilize the medical therapy

�  Once the prescription is written, we take care of processing it through our system �  We work with the physician and patient to get the necessary

approvals


The Sales Process We are patient focused


Dr. faxes Rx HSP verifies insurance coverage for Cmpd

Yes HSP contacts patient* - “Thank you” & Confirm

address and delivery date

Day of Delivery - Contact patient to confirm delivery

and review usage.

If “No” - HSP contacts Prescriber to confirm

Tier-II Rx or TIA

Verifies Insurance will cover Tier-II Rx

If “No”, confirm Tier-III Rx with Dr. and patient*

If accepted, “Thank you” & Confirm address and

delivery date

HSP contacts patient* - “Thank you” & Confirm

address and delivery date

25th Day after treatment HSP - Customer follow-up* Confirm re-fill and delivery

Yes – Refill Enter into Ops schedule

No – Refill

Why? - Didn’t work? - Other issue?

Consult with patient to encourage correct usage for resolve issue.

See detailed process map

We maximize the number of patient “touch points”

* We will try 3 times to contact the patient

Are Topical Treatments Safe �  Compounds are not FDA approved, but:

�  Drugs are FDA approved for internal usage �  Topical applications result in less absorption minimizing systemic

issues �  Reduces (does not eliminate) side-effects due to systemic pathways.

�  No Gastrointestinal side-effects

�  Costs of GI‐related AEs with NSAIDs1

�  5‐year pharmacy cost �  NSAID + PPI vs. NSAID alone ($742,406 vs. $184,282)

�  5‐year medical costs �  NSAID + PPI vs. NSAID alone ($9,948,738 vs. $18,686,081)

�  Cost difference related to hospitalization due to NSAID‐related upper GI bleeding

�  For each $1 spent on NSAIDs, $0.66 spent on GI side effects2

�  Higher concentration of the active medicine at the application site for more effective results


1.  Abraham NS, et al. Clin Gastroenterol Hepatol. 2010;8:350‐356. 2.  Rahme E, et al. Arthritis Rheum. 2000;43;917‐924.

Compound Usage Information �  Remember: Compounds contain active pharmaceutical

ingredients and should be dosed on a scheduled application regime to: �  Achieve proper penetration through the skin

�  Achieve even concentration in the local area

�  Allow best possible outcome for the patient

�  Educate the physician �  Do not recommend – “Use as needed” as this will diminish the

outcome for the patient �  The patient will not experience the benefit and therefore, won’t

continue the treatment


Our Products Overview


Pain can be complex �  Our compounds target two or more pain categories in a single

therapy �  General Types of Pain

�  Inflammation �  Post surgical pain

�  Neuropathic pain �  A patient can have all of these at once

�  Three Therapeutic Pain Categories �  Opiates

�  Morphine

�  Anti‐Inflammatories �  NSAIDs and Corticosteroids

�  Neuropathics �  Ketamine, Gabapentin, Clonidine, Baclofen


Pain & Inflammation Indication BRP-DFBC* BRP-GDLP GPI-FBC1 GPI-FLC GPI-TMJ1

Epicondylitus ✔

Musculoskeletal & Myofascial Pain ✔

Sacroiliac joint ✔

Shoulder ✔

Knee ✔

Osteoarthritis ✔

Piriformis Syndrome ✔

Rheumatoid Arthritis ✔

Tendonitis ✔

Post Radiation Inflammation ✔

Axial Back-Post laminectomy (Controlled) ✔

Axial Back-Post laminectomy (Uncontrolled) ✔

Fibromyalgia ✔

Carpal Tunnel ✔

Radiculopathy ✔

Neck Pain ✔

TMJ ✔

Confidential Information * For active ingredient list – see Prescription pad

Applications BRP-DFBC

Formulated for back and neck pain. It helps to reduce pain at the site of injury and reduces the transmission of the pain signal

causing a reduction in hyperalgesia.

BRP-GDLP

Formulated for back and neck pain with a focus on better neuropathic and inflammatory components. The Gabapentin will

help to better control recruitment of nerve fiber bundles for reduced pain sensory transmission. This formula could also be

beneficial in relieving carpal tunnel symptoms.

GPI-FBC1

Formulated for general pain and inflammation and is designed to offer a good choice for arthritis, tendonitis, muscle sprains, and

inflammatory injuries.

GPI-FLC

This formula provides more immediate relief from pain while still having an inflammatory component. The Lidocain is a rapid acting anesthetic that has a half life of around 2 hours which is when the

Flurbiprofen should be reaching full effect.

GPI – TMJ1

This formula provides relief with dual acting pain relief components while still having an inflammatory component.


Active Pharmaceutical Ingredients

•  Amitriptyline – Na+ channel blockade

•  Baclofen – muscle relaxant that helps with spasticity

•  Bupivacaine – long acting anesthetic

•  Clonidine – Alpha 2 agonist, potentiates anesthetic effects

•  Cyclobenzaprine – muscle relaxant

•  Dextromethorphan – NMDA receptor antagonist

•  Diclofenac - NSAID

•  Flurbiprofen - NSAID

•  Gabapentin – mimics GABA to block NMDA and AMPA receptors

•  Lidocaine – rapid acting anesthetic

•  Pentoxifylline –increases blood flow to the surrounding tissues.

Neuropathic & Chronic Pain Indication NP-Complex-1* NP Complex-4

Musculoskeletal Pain & Inflammation ✔

Peripheral Neuropathy ✔

Complex Regional Pain Syndrome – Reflex Sympathetic Dystrophy

✔

Developing Neuropathy – Acute Phase w/Inflammation ✔

Diabetic Peripheral Neuropathy ✔

General Neuropathy ✔

Trigeminal Neuralgia (Non-Controlled) ✔


Active Pharmaceutical Ingredients

•  Amitriptyline – Na+ channel blockade

•  Baclofen – muscle relaxant that helps with spasticity

•  Bupivacaine – long acting anesthetic

•  Cyclobenzaprine – muscle relaxant

•  Flurbiprofen – NSAID

•  Gabapentin – mimics GABA to block NMDA and AMPA receptors

•  Lidocaine – rapid acting anesthetic

•  Nifedipine – Ca channel blocker, increases blood flow to the area

•  Pentoxifylline – improves the rate of wound healing, by increasing blood flow to the surrounding tissues.

Applications NP-COMPLEX-1

Good combination of ingredients for use in patients with chronic

neuropathic symptoms such as; diabetic neuropathy, post herpetic neuralgia, and phantom limb pain.

NP-COMPLEX-4

Formulation designed with acute neuropathic pain in mind.


Specialty Indication Scar Care* Wound Care-UIM Derma CD-1 Plus Derma AF-2

Scar Cream – Radiation & Post-Op ✔

Scar Remediation ✔

Plantar Fasciitis ✔

Fungal Dermatitis ✔

Contact Dermatitis ✔

Contact Dermatitis w/ Pain ✔

Dermal Ulcers ✔

Diabetic Ulcers ✔

Pressure sores ✔

Burns / Scaldings ✔


Applications SCAR CARE: TOPICAL SCAR CARE

These ingredients are combined to alleviate the itching and inflammation associated with post surgical healing. We utilize scar care bases to help speed the healing process and minimize scarring as much as possible. If

there is nerve pain associated with the incision the “plus pain” option allows for pain signal reduction and a topical anesthetic to help reduce any

pain during the healing process.

WOUND CARE-UIM: POST-OP WOUND CARE

This formula is made using a special wound care base that is occlusive and water washable which is useful for cleansing and debridement. It is also

formulated without polyethylene glycol making it a good choice for patients that are elderly or have renal impairment. The ingredients we add are

designed to speed healing while providing some pain control and decreasing inflammation.

DERMA CD-1 PLUS: CONTACT DERMATITIS

This formula has synergistic ingredients that work to help mediate and stop the immune/inflammatory response associated with contact

dermatitis. The Lidocaine helps to anesthetize the area to further help control the itching.

DERMA AF-2: ANTI-FUNGAL CREAM

This antifungal formula provides pain and itching relief in addition to the antifungal medication. It also has a steroid and Pentoxifylline which will

help to reduce inflammation and speed the healing process.


Active Pharmaceutical Ingredients •  Bupivacaine – long acting anesthetic •  Coenzyme Q10 – antioxidant •  Fluconazole – antifungal •  Fluticasone Propionate – corticosteroid •  Gabapentin – mimics GABA to block NMDA and AMPA

receptors •  Hydroxyzine – antihistamine •  Levocetirizine – histamine (H1) receptor antagonist •  Lidocaine – rapid acting anesthetic •  Methylcobalamin – useful in mediating the inflammatory/

immune response •  Pentoxifylline – improves the rate of wound healing, by

increasing blood flow to the surrounding tissues. Also blocks TGF-beta 1 which decreases the formation of collagen

•  Prilocaine – medium acting anesthetic •  Triamcinolone – synthetic steroid used as an anti-

inflammatory

Metabolic Supplements What happens if the patients don’t take their bariatric vitamins as prescribed? �  Not routinely having your blood tested or ignoring the doctor’s supplementation guidelines can

lead to significant problems up to and including death1,2…

Actives �  Calcium deficiency – leads to osteoporosis. �  Iron deficiency – can cause anemia (when your body does not have enough red blood cells to carry oxygen

throughout the body), increased feelings of fatigue and hair loss. �  Folate (folic acid) deficiency – can also lead to anemia. �  Protein deficiency – protein is one of the most important components of your body as it makes up most of

your major organs. Not getting enough can lead to a myriad of problems, including muscle deterioration, organ failure, gallstones and even death.

�  Thiamin (Vitamin B1) deficiency – affects the heart, digestive system and nervous system. If not caught and treated quickly, learning and memory could be permanently affected. Ultimately, coma and death could be the result.

�  Vitamin A deficiency – can lead to night blindness and increases the risk of disease and death from severe infections. During pregnancy and after weight loss surgery, it increases the risk of night blindness and child mortality.

�  Vitamin B12 deficiency – can cause fatigue and tingling in the hands and can eventually lead to anemia and neurological disorders.

�  Vitamin D deficiency – can lead to liver and kidney disorders and bone softening diseases. �  Vitamin E deficiency – causes neurological problems, anemia and can cause wounds to heal more slowly. �  Vitamin K deficiency – increases the risk of osteoporosis and heart disease and can cause you to bruise

more easily. �  Zinc deficiency – will give you brittle nails and can lead to hair loss.


Metabolic Supplements META A-1* META A-2 META B-1 META B-2

Anemias ✔ ✔

Post surgery - general ✔

Post surgery - bariatric ✔

Fatigue ✔ ✔

Lethargy ✔ ✔

Hyperhomocysteinemia ✔

Muscular degeneration ✔

Diabetic neuropathies ✔ ✔

Cell protection from antioxidants ✔ ✔

Immune system disorders ✔

Liver toxicity ✔

Cystic fibrosis ✔

Confidential Information * For ingredient list – see Prescription pad

Applications Meta Duo-A

Meta-A1 is a combination of active, easily absorbable forms of Vitamin B-12, Vitamin B-6, and Folic acid. These are commonly used for treatment/prevention of anemias especially in the context of post-bariatric surgery when nutritional consumption and absorption is decreased. They are also effective for general energy boosting as a treatment for fatigue/lethargy. It is also an effective treatment for hyperhomocysteinemia and protecting against age-related macular degeneration.

Meta-A2 is a combination of antioxidants and free radical scavengers. It is formulated to promote healing and wellness. The ingredients work synergistically to protect organs and tissues from the effects of aging and radiation and function together to promote post surgical healing. Alpha lipoic acid has been used to treat the neuropathies associated with diabetes and works to protect the brain and liver from damage. N-acetylcysteine is used for a variety of organ protecting treatments specifically helping with liver toxicities and cystic fibrosis. Vitamin D3 is useful in this formulation as a building block in rebuilding tissue and bone.

Meta Duo-B

Meta-B1 uses resveratrol to protect a cell's DNA. It is a powerful antioxidant. Antioxidants can help prevent cell damage caused by free radicals. Free radicals are unstable atoms caused by pollution, sunlight and our bodies natural burning of fat that can lead to cancer, aging and brain degeneration. Piperine inhibits the glucoronidation of resveratrol to increase its bioavailability when taken orally.

Meta-B2 is a combination of antioxidants and vitamins. It is formulated to promote wellness and immune protection. The ingredients work synergistically to protect organs and tissues as well as providing energy and immune support. Hydroxocobalamin an alternative Vitamin B-12 analogue is also useful to treat anemias, chronic fatigue syndrome, and possibly immune system disorders. Alpha lipoic acid has been used to treat the neuropathies associated with diabetes and works to protect the brain and liver from damage. N-acetylcysteine is used for a variety of organ protecting treatments specifically helping with liver toxicities and cystic fibrosis. Vitamin D3 is useful in this formulation as an immune booster working well with the hydroxocobalamin.


Active Ingredients

•  Alpha Lipoic Acid – antioxidant

•  Coenzyme Q10 (Ubiquinone) – antioxidant

•  Folic Acid – Water soluble form (absorption) of Vitamin B

•  Hydroxocobalamin – vitamin B-12 analogue

•  Methylcobalamin – Vitamin B-12 analogue

•  N-Acetylcysteine – amino acid derivative

•  Piperine – enzyme inhibitor

•  Pyridoxal-5-Phosphate – Vitamin B-6 analogue

•  Resveratrol –antioxidant

•  Vitamin D3 – Ca+ absorption aid for bones

Primary Actives & Mode of Action


Any Questions?


compound business€¦ · pain can be complex ! our compounds target two or more pain categories in...

Documents