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

Sykes & Company, P.A.
Independent Pharmacy
Pbms
Artificial Intelligence
Compounding Pharmacy
Peptides
Pharmacy
Medicare
Infusion Pharmacy
PBM Reform Act
Tax Planning
National Community Pharmacists Association
Maximum Fair Price (MFP)
PBM Reform
Social Engineering
People Operations
Compounding
Vaccine Services
Glp-1
Human Resources
Leadership Growth Formula

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!

PublishesTwice weeklyEpisodes155Founded4 years ago
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Artwork for The Bottom Line Pharmacy Podcast: Sykes & Company, P.A.

Latest Episodes

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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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Your pharmacy's controlled substance monitoring might not be enough and your distributor may be watching too.

On this episode of the Bottom Line Pharmacy Podcast, we sit down with Michael Alexander of Bro... more

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Your infusion pharmacy is scaling fast, but is your legal foundation keeping up? 

On this episode of the Bottom Line Pharmacy Podcast, we sit down with Chris Pucillo and Patrick Carpenter of Boesen & Snow... more

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A LOT has happened recently in the Peptide market, but what exactly is new with peptides, the FDA, and the future of independent pharmacy?

On this episode of the Bottom Line Pharmacy Podcast, we're joine... more

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Welcome to another episode of the Bottom Line Catch Up and the team is buzzing about Taylor Swift's wedding and World Cup fever! 

In this episode, we break down:

• R&D tax credit documentation requiremen... more

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Your pharmacy has a bottleneck so naturally, you list a job! But what if the bottlenecks in your pharmacy come down to software, not staffing?

On this episode of the Bottom Line Pharmacy Podcast, we sit d... more

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What if your pharmacy's biggest cash flow drain is sitting right there on the shelf?

On this episode of the Bottom Line Pharmacy Podcast, we sit down with Jared Barton of Inventory IQ to break down:

• Wh... more

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Recent Guests

Ryan Conner
President of Braddock Road Insurance
Braddock Road Insurance
Episode: Personal Guarantee Insurance 101: Pharmacy Ownership's Hidden Price Tag with Ryan Conner
Jen Whalen
Representative of MedSense Health
MedSense Health
Episode: RTM and RPM: Turning Medication Adherence Into a Revenue Stream with MedSense Health
Matt Gilbert
Representative of MedSense Health
MedSense Health
Episode: RTM and RPM: Turning Medication Adherence Into a Revenue Stream with MedSense Health
Oliver Hoopes
Owner, Cache Valley Pharmacy; involves in hormone clinics, GLP-1 programs, central fill
Cache Valley Pharmacy
Episode: The Central Fill Model: Owning the Compounding Game with Oliver Hoopes, Owner, Cache Valley Pharmacy
Dr. Emlah Tubo
Integrative Pharmacist, TEDx Speaker, and Intentional Living Advocate
Powell Pharmacy
Episode: The Intentional Living Pharmacist with Dr. Emlah Tubuo, PharmD, MS, Owner of Powell Pharmacy
Nicolette Mathe
Founder and CEO of Atrium24 and Dotti CRM
Atrium24 | Dotti CRM
Episode: Data, Peptides, and AI: 2026 Quarter 2 Pharmacy Update with Dr. Nicolette Mathey, PharmD, Dotti CRM
Dr. Didi Okpareke
Pharmacist, owner of Olive Tree Custom Compounding; candidate for Congress ( NM-1 )
Olive Tree Custom Compounding; Campaign for Congress
Episode: From the Lab to Legislature: A Pharmacists Run for Congress with Dr. Didi Okpareke, PharmD, RPh
Bruce Neeland
Independent pharmacy advocate and marketing consultant; host of Pharmacy Crossroads podcast
Independent Pharmacy Marketing
Episode: Marketing That Moves the Needle with Bruce Kneeland, Independent Pharmacy Marketing Specialist
Josh Potter
Director of Compliance at PRS Pharmacy Services
PRS Pharmacy Services
Episode: Pharmacy AI Compliance 101 with Josh Potter Director of Pharmacy Compliance, PRS Pharmacy Services

Hosts

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

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Talking Points

Recent interactions between the hosts and their guests.

RTM and RPM: Turning Medication Adherence Into a Revenue Stream with MedSense Health
Q: How do you decide which patients to enroll first when both RTM and RPM are possible?
Medicare often allows billing for only one program per patient, so we prioritize RPM for hypertensive patients due to obvious familiarity with blood pressure monitoring and the value of giving them a free monitor. If a patient qualifies for both, RPM is typically pursued first for higher engagement and perceived benefit.
RTM and RPM: Turning Medication Adherence Into a Revenue Stream with MedSense Health
Q: What exactly are you seeing with the RTM and RPM space right now?
We are seeing strong growth in RPM, especially among hypertensive patients, with end-to-end hypertension programs that combine RTM and RPM. Pharmacies are increasingly able to onboard quickly, educate patients, and leverage a per-patient monthly reimbursement model to sustain monthly check-ins and clinical insights.
Personal Guarantee Insurance 101: Pharmacy Ownership's Hidden Price Tag with Ryan Conner
Q: What are the main questions owners should be asking before they sign a personal guarantee?
Owners should ask about caps or limits on the guarantee, whether it is joint and several or several only, how the guarantee interacts with real estate collateral, and what protections exist (like partial guarantees or alternatives) especially if real estate is involved.
Stock & Awe: A Masterclass in Pharmacy Inventory Featuring Wade Hinkle and Jared Barton
Q: What's new in the inventory world from your perspective?
The core development is expanding automated tools like Athena to better optimize purchasing across primary and secondary markets, with emphasis on understanding rebate structures and how to avoid rebate cliffs while maintaining supplier compliance.
The Intentional Living Pharmacist with Dr. Emlah Tubuo, PharmD, MS, Owner of Powell Pharmacy
Q: How do you define intentional living in the context of running a pharmacy?
Intentional living is about envisioning the life and business you want, then taking concrete steps toward that vision, ensuring every action aligns with that direction and avoiding paths that pull you away from it.

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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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1. DiversifyRx
2. Independent Rx Forum
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this podcast launched 4 years ago and published 155 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. Ryan Conner
2. Jen Whalen
3. Matt Gilbert
4. Oliver Hoopes
5. Dr. Emlah Tubo
6. Nicolette Mathe
7. Dr. Didi Okpareke
8. Bruce Neeland

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