News & Events

ComputerTalk for the Pharmacist September/October 2021

PHSL President Ann Johnson contributed to the September/October 2021 edition of ComputerTalk for the Pharmacist. In her Viewpoints article, Ann reviews the history of 340B and provides an overview of recent manufacturer push-back that could lead to legislative changes in the future.

Click here to read the article “Changes for 340B Coming?” You can read full versions of current and past ComputerTalk issues at

ComputerTalk for the Pharmacist July/August 2021

PHSL Vice President Melissa Krause and PHSL Intern & Pharm.D. Candidate Emmanuel Anderson contributed to the July/August 2021 edition of ComputerTalk for the Pharmacist. In their Viewpoints article, Melissa and Emmanuel discuss unbranded biologics, including how unbranded biologics are being displayed in pharmacy management systems and what pharmacists need to do to make sure they are being reimbursed appropriately.

Click here to read the article “How Should Pharmacies Handle Unbranded Biologics?” You can read full versions of current and past ComputerTalk issues at

Jeff Cook joins PHSL as Director of Business Development

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Media Contact:
Terry Johnston

For Immediate Release
Pharmacy Healthcare Solutions, LLC of Pittsburgh
Adds Experienced Industry Commercial Thought Leader to Staff

Jeff Cook joins PHSL as Director of Business Development

PITTSBURGH (September 8, 2021) – Pharmacy Healthcare Solutions, LLC (PHSL) is pleased to announce the addition of Jeff Cook as Director of Business Development.

JeffCookJeff has over 30 years of commercial biopharmaceutical and medical device experience with notable companies such as Upjohn, Genentech, Johnson & Johnson/Cordis, Centocor, Possis Medical, CellzDirect, Acorda Therapeutics, and Ony Inc., and has experience with launching over 12 new biopharma and medical device products.

Prior to joining PHSL, Jeff has served in various roles and senior positions ranging from sales, sales management, marketing, managed markets, trade and distribution, and national accounts/contracting. He has worked extensively with physicians, retail and hospital pharmacies, managed care organizations, health systems/IDNs, and wholesalers. His well-rounded commercial experience will bring an additional perspective to the PHSL team and their clients.

PHSL President Ann Johnson notes that “Jeff’s background and past experiences will enable him to be a great asset to our organization.”

“We are thrilled to have Jeff join our team as we look forward to upcoming conferences and the opportunities they bring to connect with clients and colleagues,” said Melissa Krause, Vice President of PHSL.


Founded in 1996, Pharmacy Healthcare Solutions provides pharmacy consulting solutions in a variety of areas including, but not limited to, product and program development, market research, operational efficiency, claims-data analysis, and training program construction.

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Pharmacy Healthcare Solutions Celebrates 25 Years of Business

PHSL logo

Media Contact:
Terry Johnston

For Immediate Release
Pharmacy Healthcare Solutions Celebrates 25 Years of Business

Pittsburgh, PA (September 1, 2021) –  Pharmacy Healthcare Solutions announces its 25th anniversary as a pharmacist-led business consulting firm.

Co-Founders Tim Kosty and Don Dietz established Pharmacy Healthcare Solutions, Inc. (PHSI) in 1996, applying a wealth of knowledge and experience from pharmacy and management roles to address clients’ business issues. In 2019, PHSI transitioned to Pharmacy Healthcare Solutions, LLC (PHSL) under new ownership, with consultants Ann Johnson, Pharm.D. and Melissa Krause, Pharm.D. taking the helm as President and Vice President, respectively.

“The business has steadily grown and evolved over the past two and half decades,” noted Ann Johnson, PHSL President.  “Moving forward, we will continue to offer our clients the high-touch level of consulting services that they’ve come to expect from PHSL.”

“We are excited to celebrate 25 years of Pharmacy Healthcare Solutions.  This milestone illustrates the commitment our team has made to providing custom solutions built for our clients’ businesses.  We’re thankful to our founders, Tim and Don, for setting the company up for success,” stated Melissa Krause, PHSL Vice President.

Over the last 25 years, PHSL has grown to a team of fifteen employees.  All of PHSL’s consultants are pharmacists with a wide range of experience and expertise. Our consultants utilize their extensive pharmacy experience to provide innovative solutions for our clients. PHSL provides services for pharmacies, pharmaceutical manufacturers, PBMs, and technology companies related to business and marketing issues.

For more information on Pharmacy Healthcare Solutions and our consulting services please visit PHSL at

About Pharmacy Healthcare Solutions, LLC
Pharmacy Healthcare Solutions, LLC is a Pittsburgh, PA-based consulting company. PHSL consults with pharmaceutical manufacturers, PBMs, pharmacies (retail, specialty, mail service, LTC, and hospital outpatient), and technology companies on strategic business and marketing issues. Consulting projects across these market segments provide PHSL with the latest information on emerging trends, as well as new products and services. Our consultants have extensive retail, mail service, and managed care experience to create actionable recommendations for our clients’ challenging business issues.

PHSL is a nationally certified Women’s Business Enterprise (WBE) and Women-Owned Small Business (WOSB) by WBENC East, a regional certifying partner of the Women’s Business Enterprise National Council (WBENC).  For additional information, please visit

Nebraska Moves to Change PDMP

Nebraska is the first state to leverage the capabilities of a Prescription Drug Monitoring Program (PDMP) to require pharmacies to report all prescriptions using the ASAP standard format.  A PDMP helps healthcare providers identify patients at risk of drug misuse or abuse, prevent drug overdoses due to taking multiple prescriptions for the same condition, and flag patients who have been prescribed multiple drugs with abuse potential.  Most states currently only utilize PDMPs for tracking controlled substance prescriptions.

Nebraska’s PDMP, a public health model focusing on patient safety, is a statewide tool that collects dispensed prescription medication information that is housed on the CyncHealth (formerly known as the Nebraska Health Information Initiative or NeHII)[1] Health Information Exchange (HIE) platform.  DrFirst, an electronic health records (EHR) and health information systems IT company, manages the pharmacy data by capturing it and moving it to the PDMP.[2]

The Nebraska PDMP was launched in the beginning of 2017 as a stand-alone medication query platform.  Starting January 1, 2018, all dispensed prescriptions filled in the state have been reported to the PDMP so that clinicians can better monitor the care and treatment of their patients.  The PDMP is integrated within the CyncHealth HIE with the query platform to facilitate improved workflow for providers.[3]  DrFirst has focused efforts on integration with EHRs in Nebraska.[4]  This information is housed in a secure database and is available to healthcare professionals as authorized by law.  The PDMP allows prescribers and pharmacists to view those prescriptions to prevent the misuse of controlled substance prescriptions.[5]

If a prescription is dispensed by a pharmacy, it will be reported to the PDMP and show for other healthcare providers with access to review.  However, pharmaceuticals administered in a healthcare provider’s office or in the hospital will not be on the PDMP.  Also, anything administered in the pharmacy, such as vaccines, will not be on the PDMP.  Medical marijuana, CBD, and illicit drugs will also not be on the PDMP.[6]  Patients cannot opt out of the PDMP, and all prescriptions must be entered into the PDMP, even if the patient pays cash for the prescription and does not use a third-party payer.[7]

For healthcare providers, the PDMP provisioning and related registration processes may take approximately two weeks to complete.  Registration requires that all correct information is received and mandatory PDMP training is completed.[8]  In addition, healthcare providers must complete one-half hour of continuing education covering PDMP.  This requirement can be satisfied by watching the PDMP video on the Nebraska Department of Health and Human Services’ website and completing the training acknowledgment form and prescriber CME assessment.[9]


CyncHealth cites that the overall value of their PDMP process is in providing a comprehensive medication history of dispensed prescriptions from all dispensers within one day of dispensing.  The database will contain ten times the data compared to a normal PDMP used only for controlled substances.  This could allow healthcare providers to identify potential drug interactions involving medications from multiple prescribers filled in multiple pharmacies, although the ease of accessing this information will play a key role in its use.  There is no cost for healthcare providers to access and query the PDMP.  Its ease of access and the ability to integrate the PDMP into workflow will promote informed decisions by healthcare providers and encourage better conversations with patients to improve patient safety.[10]

In 2019, lawmakers in Nebraska began work to allow sharing patient prescription data between states and to improve interoperability between EHRs.  They also were working to add information like the number of refills to the data, which would benefit pharmacists.[11]

Based on the success of Nebraska’s PDMP expansion, PHSL expects that additional states could follow suit in the future, but data storage space requirements and patient privacy concerns may be a limiting factor.  Nebraska mentioned that they expect to use ten times more storage space for the PDMP expansion; for more populous states, this may be prohibitive.  Furthermore, getting all stakeholders to trust each other with access to this information will be a challenge.  Based on how the PDMP is configured and what safeguards are implemented, retailers may have concerns that the data they share could be used to identify their customers or what products they are dispensing.  Before more widespread PDMP usage is adopted, users will want to ensure their data is protected and cannot be used by competitors.



Posted August 18, 2021

2021 Summer Newsletter:

340B Market Dynamics: Role of Systems and Strategic Tactics presented at ASAP by Ann Johnson

PHSL to Attend AMCP Nexus 2021

PHSL President Ann Johnson, Senior Consultant Patty Milazzo, and Director of Business Development Jeff Cook will be attending AMCP Nexus 2021 in Denver, Colorado on October 18-21. According to AMCP, the conference is expected to attract over 2,500 attendees, and will include 21 education sessions, 3 keynote presentations, and over 70 exhibitors.

To schedule a meeting with Ann, Patty, or Jeff during the conference, click here to contact PHSL.

PHSL Attending Asembia’s 2021 Specialty Pharmacy Summit

PHSL Vice President Melissa Krause and Director of Business Development Jeff Cook will be attending Asembia’s 2021 Specialty Pharmacy Summit in Las Vegas on October 26-29.  According to Asembia, the Summit welcomes thousands of attendees including senior executives and key decision makers from pharmacies, pharma/biotech manufacturers, payers, wholesalers/distributors, health systems, consultants, healthcare technology companies and other industry stakeholder organizations.

Contact PHSL to schedule a meeting with Melissa and Jeff at the conference.

340B Market Dynamics: Role of Systems and Strategic Tactics presented at ASAP by Ann Johnson

PHSL President Ann Johnson presented at the American Society for Automation in Pharmacy (ASAP) 2021 Virtual Midyear Conference. Ann’s presentation reviewed the basics of the 340B drug program, the role of third-party administrators (TPAs) and accumulator software in managing 340B Program requirements for covered entities and contract pharmacies, and conflicting industry perspectives on the topic.

Click here to view Ann’s presentation slides or on the image below to watch Ann’s presentation.

ASAP 2021 Midyear

You can access all of the 2021 ASAP Virtual Midyear Conference presentations at


2021 Summer Newsletter:

Nebraska Moves to Change PDMP

ComputerTalk for the Pharmacist May/June 2021

PHSL Vice President Melissa Krause and Senior Consultant Patricia Milazzo contributed to the May/June 2021 edition of ComputerTalk for the Pharmacist. In their Viewpoints article, Melissa and Patty discuss opportunities for pharmacists to leverage their role in the COVID-19 pandemic response in order to expand and be reimbursed for clinical services.

Click here to read the article “The Pandemic: An Opportunity for Pharmacy?” You can read full versions of current and past ComputerTalk issues at

ComputerTalk for the Pharmacist January/February 2021

PHSL President Ann Johnson and Co-founder Tim Kosty contributed to the January/February 2021 edition of ComputerTalk for the Pharmacist. In their Viewpoints article, Ann and Tim discuss the operational challenges of COVID-19 vaccine administration likely to be encountered, including patient acceptance, distribution challenges, administration reimbursement, billing guidance, and NDC code differences for EUA and commercial products.

Click here to read the article “COVID-19 Vaccines – Operational Considerations”. You can read full versions of current and past ComputerTalk issues at