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The Bottom Line Pharmacy Podcast: Sykes & Company, P.A.

Sykes & Company, P.A.
Independent Pharmacy
Pbms
Artificial Intelligence
Peptides
Compounding Pharmacy
Tax Planning
Pharmacy
Medicare
Infusion Pharmacy
PBM Reform Act
National Community Pharmacists Association
Maximum Fair Price (MFP)
Perpetual Inventory
PBM Reform
Social Engineering
PBM Invoice Audits
People Operations
R&D Tax Credit
Independent Pharmacy Sales
Compounding

Welcome to the Bottom Line Pharmacy Podcast! On this show, we bring you valuable insights from pharmacists, key vendors and other innovators to bring you pharmacy CPA advice and fuel your bottom line. Subscribe wherever you listen to podcasts for the latest in independent pharmacy!

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Finding the right pharmacy buyer isn’t just about the highest offer; its also about finding someone who would carry on the legacy you’ve built within your community.

In this episode, we sit down with Scot... more

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Spooky, Scary, Skeletons...and Peptides! 

On this Halloween episode of the Bottom Line Catch Up, we're talking about the new interim guidance on peptides, CMS survey, and tax tricks and treats.

Stay conn... more

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Invoice audits produce the largest recoupments of any PBM audit and they're on the rise. 

On this episode of the Bottom Line Pharmacy Podcast, we sit down with Trent Thiede, President of PAAS National to ... more

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A three-million-dollar pharmacy sale might now hinge on paperwork the seller doesn't even get to choose who orders. 

On this episode of the Bottom Line Pharmacy Podcast, we sit down with Greco De Valencia... more

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Are you treating your pharmacy management system as simply just software or as the nucleus of your business? 

In this episode of the Bottom Line Pharmacy Podcast, we’re joined by Johnathon Duhon, VP of Sa... more

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PBMs have spent years underpaying pharmacies and betting they won't fight back...but those days are over!

On this episode of The Bottom Line Pharmacy Podcast, we sit down with Kris Rhea, Director of Busin... more

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Your pharmacy purchase might close smoothly and still leave you personally on the hook for millions if the deal goes sideways.

On this episode of the Bottom Line Pharmacy Podcast, we sit down with Ryan Co... more

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Welcome to another episode of the Bottom Line Catch Up! This week our team is talking all about Peptides, Nexus Issues, and Trade Show Trends. 

In this episode, we break down:

- Where things stand with the FDA Bulks List and stat... more

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Recent Guests

Scott Welle
Pharmacy ownership consultant at Cencora
Cencora
Episode: More Than a Price Tag: Finding the Right Pharmacy Buyer
Tom Lamb
Pharmacy business coach at Cencora and former independent pharmacy owner
Cencora
Episode: More Than a Price Tag: Finding the Right Pharmacy Buyer
Trent Thiede
President of PAAS National
PAAS National
Episode: Invoice Audit’s Exposed: Surviving the Invoice Audit with Trent Thiede, President of PAAS National
Greco De Valencia
VP of Pharmacy Lending at Live Oak Bank
Live Oak Bank
Episode: From Retail to Reinvented: Financing Your Pharmacy's Growth Story with Greco De Valencia, Live Oak Bank
Johnathon Duhon
Vice President of Sales, PMS at RedSail Technologies
RedSail Technologies
Episode: Beyond Dispensing: Maximizing Your Pharmacy Management System with Johnathon Duhon, RedSail Technologies
Kris Rhea
Director of Business Development at Pharmacy Marketplace
Pharmacy Marketplace
Episode: Beyond Bully Tactics: A New Playbook for PBM Appeals with Kris Rhea, Director of Business Development at Pharmacy Marketplace
Ryan Conner
President of Braddock Road Insurance
Braddock Road Insurance
Episode: Personal Guarantee Insurance 101: Pharmacy Ownership's Hidden Price Tag with Ryan Conner
Michael Alexander
Attorney at Brown & Fortunato, healthcare regulatory counsel
Brown & Fortunato
Episode: Distributor Injunctive Relief: What Every Pharmacy Needs to Know with Brown & Fortunato
Jared Barton
CEO of InventoryIQ
InventoryIQ
Episode: Inventory Management in 2026: The Quasi-Perpetual Problem with Jared Barton, CEO of InventoryIQ

Hosts

Scotty Sykes
Host of The Bottom Line Pharmacy Podcast
Austin Murray
Co-host/analyst on The Bottom Line Pharmacy Podcast

Top Management Podcasts

Talking Points

Recent interactions between the hosts and their guests.

More Than a Price Tag: Finding the Right Pharmacy Buyer
Q: What are some of the things that you're telling owners, hey, if you're looking to sell your pharmacy, you know, these are the things that are going to really help your valuation, you know, once you go to sell here?
Tom Lamb recommends getting a valuation and reviewing financials with pharmacy transition specialists. Scott Welle emphasizes clean financial records, planning ahead, and ensuring buyers can clearly assess adjusted EBITDA. They also note that a suitable buyer may be a better choice than the highest bidder.
More Than a Price Tag: Finding the Right Pharmacy Buyer
Q: Tom, if you're open to it, I know you sold your pharmacy. Tell us your story of what it was like to sell your pharmacy. What was the point where you made that decision or you were considering it?
Tom Lamb says he owned the pharmacy for 36 years and began planning for a transition about six and a half years before selling. He wanted the business to remain an important part of its community, so he pursued a gradual partnership with buyers he trusted rather than selling to a chain.
From Retail to Reinvented: Financing Your Pharmacy's Growth Story with Greco De Valencia, Live Oak Bank
Q: Do you mind elaborating a little bit more as to what exactly that difference there is and how does that affect an owner moving forward?
De Valencia explains that reported profit does not necessarily mean a business has cash available, since receivables, payables and liabilities affect cash flow. Retail and infusion businesses need to manage collection and payment timing, while compounding often receives payment immediately.
From Retail to Reinvented: Financing Your Pharmacy's Growth Story with Greco De Valencia, Live Oak Bank
Q: What are some of the trends that you're seeing this year? I'd love to hear your thoughts on compounding, some of the stuff you're seeing there and infusion.
De Valencia describes limited impact so far from manufacturer rebates and drugs on the IRA list, potential reimbursement improvements, and continued interest in diversifying into compounding and infusion. He advises owners to maintain working capital and monitor regulatory changes.
Invoice Audit’s Exposed: Surviving the Invoice Audit with Trent Thiede, President of PAAS National
Q: What can an owner do to minimize the risk of getting hit with an invoice audit, and if they do get hit with one, what steps can they take to fight back?
Thiede recommends staying organized, retaining invoices, limiting suppliers when practical, verifying supplier accreditation and licensing, documenting bulk purchases, and ensuring the dispensed NDC matches the billed NDC. He also advises gathering complete purchase records and relevant supporting documentation to explain discrepancies.

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Frequently Asked Questions About This Podcast

What is This Podcast about and what kind of topics does it cover?

A practical, industry-focused show that centers on independent and community pharmacy business strategy, operations, and policy. Across episodes, listeners are exposed to topics like centralized filling models, GLP-1 programs, compounding, AI tooling, AI compliance, and the evolving regulatory landscape (PBMs, 340B, MFP, and related reforms). The conversations blend hands-on operating advice with high-level policy implications, often featuring pharmacy owners, industry consultants, and technologists who share actionable steps for growing profitability, improving patient care, and staying compliant in a rapidly changing marketplace. Noteworthy is the consistent emphasis on practical revenue diversification (services beyond dispensing), data ... more

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this podcast launched 4 years ago and published 161 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 this podcast?

Recent guests on this podcast include:

1. Scott Welle
2. Tom Lamb
3. Trent Thiede
4. Greco De Valencia
5. Johnathon Duhon
6. Kris Rhea
7. Ryan Conner
8. Michael Alexander

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