Rephonic
Artwork for iForumRx.org
Ambulatory Care Pharmacy
COPD
Diabetes
Type 2 Diabetes
Semaglutide
Atrial Fibrillation
Glp-1 Agonists
Cardiovascular Disease
Obesity
Warfarin
Gold Guidelines
Chronic Obstructive Lung Disease
Dementia
Inhaled Corticosteroids
Pharmacotherapy
Eosinophils
Social Determinants Of Health
Direct Oral Anticoagulants
LABA Therapy
LAMA Therapy

We explore the evidence that informs ambulatory care pharmacy practice. Check out our website & podcasts, & consider submitting a commentary!

PublishesMonthlyEpisodes111Founded11 years ago
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Health & FitnessMedicine

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Artwork for iForumRx.org

Latest Episodes

This podcast was planned in collaboration with the American College of Clinical Pharmacy (ACCP) Ambulatory Care PRN. The glucagon-like peptide-1 (GLP-1) receptors agonists have documented benefits in an expanding array of patient populations are not ... more

Payment for clinical pharmacy services remains a significant challenge, but your odds of success are increased if you know the rules of engagement with various stakeholders.

Guests: John Gums, PharmD and Jonathan Hughes, PharmD, BCACP

Music by Goo... more

For patients with overweight or obesity and type 2 diabetes seeking weight reduction and improved glycemic control, the REDEFINE 2 study supports cagrilintide-semaglutide as an effective option. But is it better than other incretin-based therapies al... more

As methods for estimating kidney function continue to evolve, it's increasingly clear that the venerable Cockroft-Gault equation isn't always the best way to make drug dosing decisions. Here are the top ten things every clinician should know about es... more

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Recent Guests

Lauren Cunningham
Clinical pharmacist, University of Illinois at Chicago, Retsky College of Pharmacy; CKM-focused ambulatory care clinician
University of Illinois at Chicago
Episode: The Expanding Indication Map for GLP-1 Receptor Agonists
Kylee Funk
Faculty at University of Minnesota College of Pharmacy; leads diabetes/metabolic curriculum
University of Minnesota College of Pharmacy
Episode: The Expanding Indication Map for GLP-1 Receptor Agonists
John Gums
Professor of Pharmacy and Medicine; author of the commentary Top 10 Things Every Clinician Should Know About Payment for Pharmacy Services
University of Florida
Episode: Top Ten Things Every Clinician Should Know about Payment for Pharmacy Services
Jonathan Hughes
Ambulatory Care Pharmacy Manager
Ascension St. Thomas Medical Partners, Middle Tennessee
Episode: Top Ten Things Every Clinician Should Know about Payment for Pharmacy Services
Francesca Reilly
PGY2 ambulatory care resident
Hospital of the University of Pennsylvania; Philadelphia College of Pharmacy
Episode: The Race is On! Cagrilintide-Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes
Ashley Gosner
Colleague of Francesca Reilly, co-writer of commentary
Unknown from transcript
Episode: The Race is On! Cagrilintide-Semaglutide in Adults with Overweight or Obesity and Type 2 Diabetes
Michelle Fravel
Clinical professor and ambulatory care clinical specialist
University of Iowa Health Care; University of Iowa College of Pharmacy
Episode: Top Ten Things Every Clinician Should Know About the Assessment of Kidney Function
Isabel Wedig
PGY2 ambulatory care residency candidate
University of Iowa Health
Episode: Top Ten Things Every Clinician Should Know About the Assessment of Kidney Function
Dr. Anna Love
Ambulatory care clinical pharmacy specialist
University Health Network
Episode: Give It a Shot! Can Zoster Vaccination Prevent CV Events?

Host

Stuart Haynes
Editor-in-Chief of iForumRx and host of the show

Reviews

4.9 out of 5 stars from 46 ratings
  • Concise and interesting

    Appreciate the fact that always start with case study and try to relate study to actual practice.

    Apple Podcasts
    5
    DavRAla2
    United States6 years ago
  • Great!

    A very informative and concise podcast to help keep updated on ambulatory care areas

    Apple Podcasts
    5
    RxLaura
    United States6 years ago
  • Must have podcasts - from an Irish GP

    Fabulous podcasts - I much appreciate the work and time of the contributors and presenter. Constant high standards.

    Apple Podcasts
    5
    KimOscar
    Ireland6 years ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

The show is informative and keeps ambulatory care updates concise and applicable.
Listeners appreciate concise case-study driven discussions and practical practice guidance.
Experts and presenters are consistently high quality, with strong clinical relevance.

Chart Rankings

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Talking Points

Recent interactions between the hosts and their guests.

The Expanding Indication Map for GLP-1 Receptor Agonists
Q: What advice can you give on navigating payer coverage for these therapies?
Documentation should anchor on FDA-approved indications and use CV risk and CKD criteria when applicable, avoid framing as weight management; create EHR templates to streamline future PA requests, and be proactive in discussing trade-offs and long-term adherence with patients.
The Expanding Indication Map for GLP-1 Receptor Agonists
Q: What unmet needs do GLP-1 therapies address in the future, and how should pharmacists prepare?
Unmet needs include extending GLP-1 benefits to conditions like peripheral artery disease and substance use disorders, as well as accelerating integration into care pathways through collaboration with surgery, cardiology, and hepatology. Pharmacists should build workflows, document clearly for prior authorizations, and educate teams about new indications.
The Expanding Indication Map for GLP-1 Receptor Agonists
Q: Can you share a trial or guideline update that significantly altered your decision-making?
The Essence trial and FLOW trial have been particularly influential. Essence showed semaglutide benefits in liver inflammation and fibrosis, while FLOW provided strong CKD progression data with semaglutide, which together push GLP-1s further into organ-protective roles beyond glycemic control.
The Expanding Indication Map for GLP-1 Receptor Agonists
Q: Tell me how you're using GLP-1 receptor agonists in your practice and how that's changed recently.
GLP-1 therapies have shifted from niche glucose-lowering drugs to platform therapies addressing cardiovascular, kidney, and metabolic risks. In practice, we select agents based on strongest cardiovascular or kidney data, tailor by comorbidities like sleep apnea or obesity, and incorporate payer and formulary considerations early to support long-term use.
Building Sustainable Pharmacist-Led Clinical Services: Payment, EHR Optimization, Patient Trust, and Managing Workloads
Q: Beyond traditional billing codes, what innovative payment models have you seen or perhaps personally developed that offer a sustainable financial foundation for pharmacists led care program?
The panel discussed moving beyond strictly fee-for-service by adopting blended funding approaches, including value-based care arrangements and shared savings, coupled with incident-to billing where appropriate. This combination aims to align reimbursement with quality outcomes (like improved A1C and blood pressure control) and reduce overall costs through lower readmission rates, while still maintaining some service billing for certain workflows.

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Frequently Asked Questions About iForumRx.org

What is iForumRx.org about and what kind of topics does it cover?

A fast-moving, clinically focused show that centers ambulatory care pharmacy, real-world practice, and pharmacotherapy advances. Across episodes, the conversations span obesity and diabetes treatments (notably GLP-1/GIP dual agonists), kidney function assessment for dosing, pharmacist-led clinical services and reimbursement, vaccination and cardiovascular risk discussions, and practical pharmacy operations like layered learning and EHR optimization. Guests range from clinicians to researchers offering actionable insights, practical tips, and case-based commentary that helps practitioners translate evidence into patient care. A notable strength is the consistent emphasis on applying evolving guidelines and emerging therapies in everyday ambu... more

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2. Stuff You Should Know
3. Hidden Brain
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iForumRx.org launched 11 years ago and published 111 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on iForumRx.org?

Recent guests on iForumRx.org include:

1. Lauren Cunningham
2. Kylee Funk
3. John Gums
4. Jonathan Hughes
5. Francesca Reilly
6. Ashley Gosner
7. Michelle Fravel
8. Isabel Wedig

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