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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June 15, 202637 min
The Bottom Line Catch Up | Ep. 1 | Tax Season, Transitions, and the Peptide Wave
Send us Fan MailSchedule an Rx AssessmentWelcome to the inaugural Bottom Line Catch Up and Hawaiian Shirt Friday at Sykes & Company, and the team is back together including Bonnie, who survived a grizzly bear encounter in Yellowstone for a wide-ranging post-tax season catch-up.In this episode, we break down the hottest topics right now in pharmacy including:Transition conversationsMulti-store expansion opportunitiesWhy peptides may be the biggest thing to ever hit compounding pharmacyAnd more!Stay connected with us: FacebookTwitterLinkedInScotty Sykes – CPA, CFP LinkedInScotty Sykes – CPA, CFP TwitterBonnie Bond – CPA LinkedInBonnie Bond – CPA TwitterMore resources on this topic:Podcast – Driving Independent Pharmacy Profitability in 2026 with Nicolette Mathey, PharmD, CEO of Atrium24Podcast – 2026 Quarter 2 Pharmacy UpdatePodcast – Building a Super Culture in Your Pharmacy
June 11, 202628 min
The Intentional Living Pharmacist with Dr. Emlah Tubuo, PharmD, MS, Owner of Powell Pharmacy
Send us Fan MailSchedule an Rx AssessmentWhat does it mean to truly build a pharmacy people are excited to walk into as employees and patients?In this episode of the Bottom Line Pharmacy Podcast Dr. Emlah Tubuo, PharmD, MS, Host of The Intentional Living Pharmacist and Owner of Powell Pharmacy sits down with us to discuss intentional living. We cover: The four pillars of intentional living How to apply that framework inside your pharmacy What it really takes to build a thriving independent pharmacyAnd more!Stay connected with Emlah, The Integrative Pharmacist, and The Intentional Living Pharmacist Podcast: Emlah's LinkedInEmlah's InstagramPowell Pharmacy FacebookIntentional Living PodcastThe Integrative Pharmacist WebsiteStay connected with us: FacebookTwitterLinkedInScotty Sykes – CPA, CFP LinkedInScotty Sykes – CPA, CFP TwitterBonnie Bond – CPA LinkedInBonnie Bond – CPA Twitter More resources on this topic: Podcast – Driving Independent Pharmacy Profitability in 2026 with Nicolette Mathey, PharmD, CEO of Atrium24Podcast – 2026 Quarter 2 Pharmacy UpdatePodcast – Building a Super Culture in Your Pharmacy
June 4, 202625 min
Data, Peptides, and AI: 2026 Quarter 2 Pharmacy Update with Dr. Nicolette Mathey, PharmD, Dotti CRM
Send us Fan MailSend us Fan MailSchedule an Rx AssessmentWhat's really going on with peptides, AI, and the future of independent pharmacy? Turns out, quite a lot.Dr. Nicolette Mathey, PharmD, Founder and CEO of Atrium24 and Dotti CRM, for her quarterly update on the independent pharmacy landscape.We talk about:Headwinds and tailwinds for Q2 of independent pharmacyUpcoming PCAC meeting and what it means for peptide compoundingThe dangerous peptide gray marketHow AI is eliminating inefficiencies and transforming pharmacy salesAnd more!Stay connected with Nicolette, Atrium24, and Dotti: Nicolette’s LinkedInAtrium24 WebsiteAtrium24 FacebookAtrium24 LinkedInStay connected with us: FacebookTwitterLinkedInScotty Sykes – CPA, CFP LinkedInScotty Sykes – CPA, CFP TwitterBonnie Bond – CPA LinkedInBonnie Bond – CPA Twitter More resources on this topic: Podcast – Driving Independent Pharmacy Profitability in 2026 with Nicolette Mathey, PharmD, CEO of Atrium24Podcast – A Pharmacists Run for Congress with Dr. Didi Okpareke, PharmD, RPhPodcast – KPIs for the Rapid Growth Pharmacy with Jim Hrncir, R. Ph, Owner of Las Colinas Compounding Pharmacy
May 22, 202631 min
From the Lab to Legislature: A Pharmacists Run for Congress with Dr. Didi Okpareke, PharmD, RPh
Send us Fan MailSchedule an Rx Assessment: https://www.sykes-cpa.com/rx-assessment-service/Support Didi’s Campaign: https://www.didiforcongress.com/ What does it take for a pharmacist to go from opening a compounding pharmacy to running for U.S. Congress? Turns out, it takes a lot. In this episode, Austin and Scotty sit down with Dr. Ndidiamaka Okpareke, PharmD, Owner of Olive Tree Compounding, and U.S. Congressional Candidate for NM CD1 to find out. We talk about: - Didi’s path to pharmacy ownership - Top advocacy issues facing compounding pharmacies - Over-regulation of 503A compounding pharmacies and the peptide debate - Campaign updates And more! Stay connected with Dr. Ndidiamaka Okpareke: Didi’s website: https://www.didiforcongress.com/ Didi’s Instagram: https://www.instagram.com/didiforcongress/ Didi’s Facebook: https://www.facebook.com/DidiForCongress/ Didi’s Twitter (X): https://x.com/DidiForCongress Olive Tree Compounding: https://www.olivetreecompounding.com/ Check out all our social media:Facebook: https://www.facebook.com/sykesandcoTwitter: https://twitter.com/OllinSykesLinkedIn: https://www.linkedin.com/company/sykes-&-company-p-a-?trk=tyahScotty Sykes – CPA, CFP LinkedIn: https://www.linkedin.com/in/scottysykes/Scotty Sykes – CPA, CFP Twitter: https://twitter.com/ScottySykesCPAMore resources on this topic: Podcast – Inside the Fight for Compounding with Scott Brunner: https://www.youtube.com/watch?v=o5X4cfI9gY4&list=PLbdUM3PBAwLvuE95Acu1EbvpV_PUBqVfo&index=17 Podcast – And Out Came the PBM Reform: https://www.youtube.com/watch?v=f-dK5NBK4K8&list=PLbdUM3PBAwLvuE95Acu1EbvpV_PUBqVfo&index=7
May 14, 202632 min
Marketing That Moves the Needle with Bruce Kneeland, Independent Pharmacy Marketing Specialist
Send us Fan MailSchedule an Rx AssessmentWhat's the difference between marketing and advertising and why does it matter for your pharmacy? In this episode of the Bottom Line Pharmacy Podcast, Austin Murray sits down with Bruce Kneeland, longtime independent pharmacy advocate and host of the Pharmacy Crossroads podcast, for a candid conversation about what it really takes to grow an independent pharmacy in today's competitive landscape.Bruce shares his fascinating journey from a chance job posting at BYU that landed him in Fargo, North Dakota, to senior roles at Health Mart, AmerisourceBergen, and eventually becoming a consultant and road-tripper who has visited pharmacies coast to coast.In this episode, Bruce and Austin cover:Marketing vs. advertising and why confusing the two is costing pharmacies patientsThe word-of-mouth myth and why relying on it alone is "killing you slowly"Messaging that connects how to talk about complex services like compounding in language patients actually understandThe B2B opportunity and why your real customer for compounding and specialty services might be the prescriber, not the patientAnd more!Stay connected with Bruce Kneeland and his work:Pharmacy Crossroads Podcast | Bruce Kneeland LinkedIn | Dispense TimesCheck out all our social media:Facebook | Twitter | LinkedIn | YouTube | TikTok | Instagram More resources on this topic:Podcast - Marketing for Independent Pharmacies with Gabe Trahan
May 7, 202632 min
Pharmacy AI Compliance 101 with Josh Potter Director of Pharmacy Compliance, PRS Pharmacy Services
Send us Fan MailSend us Fan MailSchedule an Rx AssessmentAI is rapidly becoming part of the pharmacy workflow but when it comes to compliance, accuracy, and patient safety, there’s far more to consider than just efficiency gains.In this episode of The Bottom Line Pharmacy Podcast, Austin Murray sits down with Josh Potter, Director of Compliance at PRS Pharmacy Services, to break down how AI is actually being used in pharmacy today.They cover:Common use cases including workflow automation, patient engagement, inventory management, and pricing optimizationThe critical importance of HIPAA compliance, business associate agreements, and protecting patient PHI when using AI toolsState-level considerations, including emerging regulations around AI-generated healthcare contentAnd more!Stay connected with PRS Pharmacy Services:PRS Website | PRS Facebook | PRS Instagram | PRS LinkedIn | PRS Twitter | PRS YouTubeCheck out all our social media:Facebook | Twitter | LinkedIn | YouTube | TikTok | Instagram More resources on this topic:Podcast - AI, Audits, & Advocacy: The Pharmacy Survival Guide
April 23, 202618 min
The MFP Payment Puzzle with Katheryne Richardson, PharmD, CSO at Beacon Channel Management
Send us Fan MailMFP is officially here and for many pharmacies, the biggest challenge isn’t the pricing, it’s understanding how the money actually flows and making sure you’re getting paid correctly.In this episode of The Bottom Line Pharmacy Podcast, Austin Murray sits down with Katheryne Richardson, Chief Strategy Officer at Second Sight Solutions (Beacon Channel Management) to break down the mechanics of Maximum Fair Price (MFP), how reconciliation works, and what pharmacies need to be watching closely in this evolving reimbursement landscape.They cover:What MFP is and why it’s impacting pharmacies for the first time in 2026How the Beacon platform provides visibility into the MFP rebate lifecycleCommon misconceptions around payment timing and reconciliationThe critical differences between MFP rebates and 340B claimsPractical tips for resolving payment discrepancies and staying proactiveAnd more!More About Beacon Channel Management:Beacon Channel Management is and innovative technology that reimagines how drug discount data is exchanged, establishing new connections and improving transparency for drug manufacturers and 65,000 of their customers.Stay connected with Beacon Channel Management:Beacon WebsiteCheck out all our social media:FacebookTwitterLinkedInScotty Sykes – CPA, CFP LinkedInScotty Sykes – CPA, CFP Twitter More resources on this topic:Beacon Rebate Model: https://cm.beaconchannelmanagement.com/Podcast - MDPNP's Impact on 340B: https://youtu.be/rJWNA7hHThY
March 12, 202642 min
Inside NCPA: Advocacy Wins, Owner Resources, Real-World ROI with Mark Ey and Hashim Zaibak
Send us Fan MailSend a textSchedule an Rx AssessmentIs NCPA really worth it for independent pharmacy owners? What's the real world ROI of being apart of NCPA? In this episode, Scotty Sykes, CPA, CFP, Bonnie Bond, CPA, MBA, and Austin Murray sit down with Mark Ey, COO of NCPA and Hashim Zaibak, PharmD, CEO of Hayat Pharmacy to break down what NCPA actually does for independent community pharmacies and why so many owners miss the real value hiding in plain sight.We cover:Why NCPA advocacy matters (and how it amplifies the patient voice in Washington)Ownership Workshop and other owner resourcesThe biggest business lesson many owners learn too late: profit ≠ cash flowWhy LTC is a major opportunity for the next 5–10 yearsStudent and young pharmacist pathways (school visits, internships, and building the next generation)And more!More About NCPA:Founded in 1898, the National Community Pharmacists Association is the voice for the community pharmacist, representing over 18,900 pharmacies that employ more than 235,000 individuals nationwide.They are rooted in the communities where they are located and are America’s most accessible health care providers.Likewise, they are community leaders actively involved in community-oriented public health, civic, and volunteer projects. Many hold local elected offices; others serve as state legislators.Stay connected with NCPA:NCPA WebsiteNCPA LinkedInNCPA InstagramNCPA FacebookNCPA Twitter (X)NCPA YouTubeCheck out all our social media:FacebookTwitterLinkedInScotty Sykes – CPA, CFP LinkedInScotty Sykes – CPA, CFP Twitter More resources on this topic:NCPA Membership portalPodcast - Pharmacy Leadership Amplified with Dr. Hashim Zaibak, PharmDPodcast - From Zero to Community Pharmacy Hero Featuring Hashim Zaibak, PharmD
March 5, 202623 min
Infusion Revolution Series | Building a Resilient Infusion Business Model with Jordan Akers VanName
Send us Fan MailInfusion is booming and it’s not just because of an aging population. As technology unlocks new gene therapies, autoimmune treatments, and ultra-rare specialty drugs, infusion pharmacies are being pushed to scale faster, operate tighter, and deliver a better patient experience than ever.In this episode of The Bottom Line Pharmacy Podcast, Scotty Sykes, CPA, CFP® and Austin Murray sit down with Jordan VanName, RN, Owner of FusionIQ Nursing to talk about what separates a high-performing infusion operation from one that gets stuck in bottlenecks, delays, and compliance headaches.We cover:Why infusion growth is accelerating and what’s driving demandOne of the biggest operational bottleneck in Infusion pharmaciesWhy “a prescription is not an order” and what that means for complianceWhat “top notch care” really looks like from first referral to post-infusion follow-upAnd more!More About Our Guest:Jordan VanName is a seasoned healthcare leader and clinical expert with nearly two decades of experience on the frontlines of patient care and specialized medical operations. As the founder of FusionIQ Nursing Solutions, Jordan leverages her extensive background to bridge the gapsbetween clinical excellence, operational efficiency, and regulatory compliance. Jordan’s career began in 2007 at UNC Chapel Hill, where she developed a foundation in complex healthcare environments. After graduating from Alamance Community College and later South University, she began her nursing practice in 2011 at the prestigious North Carolina Jaycee Burn Center.The inspiration for FusionIQ Nursing Solutions came from Jordan’s firsthand observation of a fragmented industry. Following her career into specialty pharmacy nursing agencies, she identified a critical void: many organizations lacked the cohesive clinical and operational leadership necessary to keep pace with the rapid growth of specialty pharmaceuticals.Driven by a mission to eliminate operational inefficiencies and improve data utilization, Jordan founded FusionIQ. Today, she consults for healthcare agencies, pharmacies, and manufacturers, helping them navigate the complexities of modern medicine through innovation and high-standard clinical leadership.Beyond her professional achievements, Jordan is a dedicated wife and a mother to three children under the age of ten. She finds balance and rejuvenation through her love for the outdoors, often spending her free time gardening or enjoying the beach with her familyStay connected with Jordan and FusionIQ Nursing: Jordan's LinkedInFusionIQ Nursing WebsiteFusionIQ Nursing LinkedInStay connected with us: FacebookTwitterLinkedInScotty Sykes – CPA, CFP LinkedInScotty Sykes – CPA, CFP Twitter More resources on this topic: Podcast - Driving Independent Pharmacy Profitability in 2026Podcast – Opening an Infusion PharmacyPodcast – KPIs for the Rapid Growth Pharmacy
February 19, 202621 min
Protecting Pharmacy Data in the Age of Social Engineering with Chris Sykes, IT Director, MCSA, MS
Send us Fan MailSchedule an Rx AssessmentWith cybercriminal activity accelerating and AI making scams more sophisticated by the day, one of the greatest threats facing pharmacies is through social engineering. Not by hacking systems, but by manipulating people.In this episode, Austin Murray and Scotty Sykes are joined by Chris Sykes, IT Director at Sykes & Company, to break down what social engineering really is, why pharmacies are prime targets, and how these attacks are evolving through email, phone calls, text messages, and even deep-fake technology.We cover:What social engineering is and how pharmacies are being targeted todayCommon pharmacy-specific scams, including fake refill notices, insurance requests, and ACH change attemptsHow AI and deep-fake voices are raising the stakesPractical steps pharmacies can take to slow down, verify requests, and protect PHIAnd more!More About Our Guest:Chris Sykes is the Director of IT at Sykes & Company, P.A., where he has been a key part of the team since 2006. With nearly 25 years in the IT industry, Chris combines deep technical expertise with a passion for helping both the firm and its clients become more efficient, secure, and technology-driven. Chris holds a Bachelor of Science in Business Administration with a concentration in Management Information Systems and a Master of Science in Technology Systems, both from East Carolina University. Outside of work, Chris enjoys running marathons, fishing and hunting with his boys, and spending quality time with his family at the beach.Learn more about Chris Sykes:Chris Sykes LinkedInCheck out all our social media:FacebookTwitterLinkedInScotty Sykes – CPA, CFP LinkedInScotty Sykes – CPA, CFP TwitterMore resources on this topic:Podcast - AI, Audits, & Advocacy: The Pharmacy Survival Guide with Trenton TheidePodcast - Navigating Cybersecurity, NIST and HIPAABlog - Technology, Security and Your PharmacyBlog - Protect You and Your Pharmacy: The Growing Threat of RansomwareBlog - Backing Up Your Business DataBlog - Spot a Hacked Email or Bad WebsiteBlog - Protect Your Pharmacy Data from Hackers
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