Industry News
FDA Approved
Oct 31, 2023

Today, the U.S. Food and Drug Administration approved Wezlana (ustekinumab-auub) as a biosimilar to and interchangeable with Stelara (ustekinumab) for multiple inflammatory diseases. Wezlana, like Stelara, is approved to treat the following indications:

Adult patients with:

  • moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy;
  • active psoriatic arthritis;
  • moderately to severely active Crohn’s disease; and
  • moderately to severely active ulcerative colitis.

Pediatric patients 6 years of age and older with:

  • moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy; and
  • active psoriatic arthritis.

Health care professionals should review the prescribing information in the labeling for detailed information about the approved uses.

“Biosimilar medications offer additional safe and effective treatment options that have the potential to increase access for people requiring treatment for inflammatory diseases,” said Nikolay Nikolov, M.D., director of the Office of Immunology and Inflammation in the FDA’s Center for Drug Evaluation and Research. “Today’s approval could have a meaningful impact for patients managing their disease.”

Biological products include medications for treating many serious illnesses and chronic health conditions. A biosimilar is a biological product that is highly similar to, and has no clinically meaningful differences from, a biological product already approved by the FDA (also called the reference product). An interchangeable biosimilar is a biosimilar that has been shown to meet other requirements under the law and may be substituted for the reference product without consulting the prescriber. The substitution may occur at the pharmacy, subject to state pharmacy laws which vary by state, a practice commonly called “pharmacy-level substitution” — similar to how generic drugs are substituted for brand name drugs.

All biological products are approved only after they meet the FDA’s rigorous approval standards. This means health care providers and patients can expect the same safety and effectiveness from both a biosimilar and an interchangeable biosimilar, just as they would for a reference product. Biosimilar and interchangeable biosimilar products may cost less than the brand-name medicine.

“Today’s approval exemplifies the FDA’s longstanding commitment to support a competitive marketplace for biological products,” said Sarah Yim, M.D., director of the Office of Therapeutic Biologics and Biosimilars in the FDA’s Center for Drug Evaluation and Research. “This approval can empower patients by helping to increase access to safe, effective and high-quality medications at potentially lower cost.”

The FDA’s approval of Wezlana is based on a comprehensive review of scientific evidence demonstrating it is highly similar to Stelara and that there are no clinically meaningful differences between the two products in terms of safety, purity and potency (i.e., safety and effectiveness). This evidence included comparisons of the products on an analytical level using an extensive battery of chemical and biological tests and biological assays that confirmed similarity in the structural and functional features of Wezlana and Stelara (including those known to impact safety and efficacy), and comparative human pharmacokinetic data, clinical immunogenicity data, and other clinical safety and effectiveness data. The evidence also demonstrated that Wezlana met the other legal requirements to be interchangeable with Stelara at the pharmacy level.

Like Stelara, the most serious known side effect of Wezlana is infection. The most common adverse reactions with ustekinumab products are nasopharyngitis, upper respiratory tract infection, headache, fatigue, nausea, vomiting, injection site erythema, vulvovaginal candidiasis/mycotic infection, bronchitis, pruritus, urinary tract infection, sinusitis, abdominal pain, influenza, fever and diarrhea.

The labeling for Wezlana, like Stelara, contains a warning to alert health care professionals and patients about an increased risk of serious infections leading to hospitalization. There is also a warning that some malignancies, hypersensitivity reactions, and cases of Posterior Reversible Encephalopathy Syndrome  have been reported in patients who received Wezlana in clinical studies. Wezlana must be dispensed with a patient Medication Guide that describes important information about its uses and risks.

The FDA granted the approval of Wezlana to Amgen, Inc.

Walgreens
Oct 30, 2023

NASHVILLE, TN – In a show of unity and determination, pharmacy staff at CVS and Walgreens stores across the nation have embarked on a three-day walkout to demand fair wages and improved working conditions. The walkout, which began this morning, is expected to have a significant impact on both pharmacy giants as employees seek better compensation and benefits.

Pharmacists, pharmacy technicians, and support staff from various CVS and Walgreens locations gathered outside their respective stores, holding signs that read, "Fair Pay for Essential Workers" and "Our Health Matters Too." The walkout is organized by the United Pharmacy Workers Union, representing thousands of employees from both companies.

"We're here because we care about our patients, our communities, and our own well-being. It's time for CVS and Walgreens to recognize the vital role we play and compensate us fairly," said Sarah Turner, a pharmacist with CVS and a union spokesperson.

Pharmacy staff cite several key issues that have led to their decision to strike, with fair compensation being at the forefront. Many argue that the demands placed on them have increased significantly during the COVID-19 pandemic, and yet, their salaries have not kept pace.

Pharmacy technician John Patel explained, "We've been on the front lines throughout the pandemic, working tirelessly to ensure people have access to essential medications. But while our responsibilities have grown, our wages have stayed the same. We deserve better."

The walkout also highlights concerns about staffing levels and working conditions, which many employees argue have deteriorated over time. "Pharmacy staff are overwhelmed. We're often short-staffed, which affects both the quality of service we can provide and our own well-being," said Maria Rodriguez, a Walgreens pharmacy technician.

The United Pharmacy Workers Union is demanding that both CVS and Walgreens address these concerns by offering a fair wage increase, better benefits, and improved working conditions. They also call for a reassessment of staffing levels to ensure that pharmacies can continue to provide the highest quality care to their customers.

In response to the walkout, CVS and Walgreens have released statements acknowledging the concerns raised by their employees and expressing a commitment to working toward a resolution.

A spokesperson for CVS stated, "We value our pharmacy staff and are committed to addressing their concerns. We understand the challenges they face, and we are actively engaged in discussions to find a mutually satisfactory solution."

Walgreens also released a statement saying, "We appreciate our employees' dedication and are committed to addressing their concerns. We are actively engaging with our staff and the United Pharmacy Workers Union to work towards a fair resolution."

The three-day walkout is expected to have an impact on pharmacy services at many CVS and Walgreens locations, potentially affecting customers who rely on these pharmacies for their essential medications and healthcare needs.

As the walkout continues, it remains to be seen how negotiations will unfold and whether CVS and Walgreens will meet the demands of their dedicated pharmacy staff. In the meantime, pharmacy employees across the nation stand united, determined to secure the fair wages and benefits they believe they deserve.

 
Sanofi
Oct 27, 2023

PARIS, FRANCE - Sanofi, a global pharmaceutical giant, has unveiled a comprehensive update to its "Play to Win" strategy, highlighting a renewed focus on research and development (R&D) investments, a separation of its Consumer Healthcare Business, and ongoing cost-saving initiatives. These strategic moves aim to accelerate innovation and long-term growth while enhancing shareholder value.

Under the leadership of CEO Paul Hudson, Sanofi has made significant progress since launching its Play to Win strategy in 2019, including 13 consecutive quarters of growth, the success of Dupixent with sales nearing €11 billion, and robust growth in its Vaccines business. The company also launched several new products and developed an impressive pipeline in immunology and neuro-inflammation.

In this new phase, Sanofi plans to boost its R&D investments to fully realize the potential of its pipeline, focusing on transformative medicines and vaccines. These investments are intended to fuel existing and new clinical developments and promote innovation. Sanofi will provide more insights into its pipeline and growth avenues during an R&D Day for investors in December 2023, featuring presentations from its new Head of R&D, Houman Ashrafian.

Houman Ashrafian, Head of R&D at Sanofi, emphasized the importance of doubling down on investments to unlock the pipeline's full potential and advance medicine through breakthrough science, ultimately benefiting patients and communities.

Sanofi is also taking strategic cost-saving measures across its Biopharma business, aiming to save up to €2 billion by the end of 2025. These savings will be reallocated to fund innovation and growth drivers.

Furthermore, the company has announced its intention to separate the Consumer Healthcare Business to enhance focus on innovative medicines and vaccines. Sanofi believes this separation will create two entities, each better equipped to pursue its unique business strategy, resource allocation, and capital allocation. This move will allow both entities to focus on long-term growth in their respective markets. Sanofi intends to pursue this separation through a capital markets transaction, likely creating a listed entity headquartered in France. The earliest possible timeframe for this separation is Q4 2024, subject to market conditions and consultation with social partners.

Julie van Ongevalle, Executive Vice President of Consumer Healthcare at Sanofi, highlighted the significant achievements of the Consumer Healthcare unit and expressed eagerness to become a standalone global leader in the consumer health market, equipped with greater agility and flexibility to grow its portfolio of brands.

Sanofi's updated strategy underscores its commitment to advancing healthcare through innovation, cost efficiency, and strategic realignment, setting the stage for future growth and value creation. Shareholders and investors are keen to see how these initiatives will unfold and drive the company's future success.

 
drug pricing
Oct 26, 2023

Twin Cities, MN - For more than 30 years, section 340B of the Public Health Service Act has required drug manufacturers to sell outpatient drugs at discounted prices to certain safety-net hospitals and health care organizations that serve uninsured or low-income patients. 340B-eligible health care providers (called “covered entities”) contract with pharmacies to dispense the discounted drugs — a mutually beneficial relationship that increases revenue for providers and pharmacies. Today, about 40% of retail pharmacies across the country have at least one contract with a 340B-eligible health care provider.  

A new study from the University of Minnesota School of Public Health (SPH) examines recent trends in the relationship between pharmacies and 340B-eligible covered entities (CEs). The study takes an in-depth look at pharmacies’ relationship with health care providers by developing new measures to describe alternative forms of contract pharmacy growth beyond simple participation rates.  

Specifically, the study looked at how pharmacies’ involvement with 340B has changed between 2009 and 2022 in three key metrics developed by the researchers:

  • Depth, which measures the number of contracts each pharmacy in the US holds.
  • Spread, which measures how far pharmacies are geographically from the covered entity.
  • Safety-net composition, which is the proportion of a pharmacy's contracts that are with covered entities that are "essential community providers", as measured by the Medicaid and Children's Health Insurance Program Payment and Access Commission.    

The study, published in JAMA Health Forum, found:

  • The overall number of pharmacies participating in 340B increased dramatically, from 789 in 2009 to 25,775 in 2022. In 2009, 1.3% of retail pharmacies participated in 340B, compared to 40.9% in 2022.
  • Depth increased. In 2009, 81% of retail pharmacies had only one contract, and by 2022, 40% had one, 23% had two, 27% had three to five, 7% had six to nine, and 3% had 10 or more.
  • Spread also increased. In 2009, the farthest CE was within the same zip code for 48% of pharmacies. By 2022, only 9% of CEs were in the same zip code.
  • Safety-net composition decreased. In 2009, 95% of pharmacies contracted exclusively with safety-net hospitals and clinics. By 2022, only 54% of pharmacies contracted exclusively with safety-net facilities, and 16% contracted with no safety-net facilities.

“The 340B Drug Pricing Program aims to improve access to care for patients who rely on the health care safety net,” said Sayeh Nikpay, SPH associate professor and lead author of the study. “Historically this program has involved the hospitals and their clinics that participate in the program. However, our study documents that pharmacies are playing a growing role in the program. Whether this growing participation furthers the program’s goals of increasing access to the care for patients who rely on the safety-net has yet to be seen.”  

Limitations of the study include the lack of data on the volume of 340B drugs dispensed through retail pharmacies, which would have allowed the researchers to differentiate contracts by profitability. Also, the study’s focus on retail pharmacies meant that data on mail-order and specialty pharmacies was not included. Nikpay is currently working on research that would address specialty and mail-order pharmacies. 

USP <795>, <797>, and <800>
Oct 24, 2023

WALTHAM, MA - The United States Pharmacopeia (USP) recently revised General Chapters <795>, <797>, and <800> that dictate compliance standards for sterile and nonsterile pharmaceutical compounding, with enforcement starting November 1, 2023. But as this date draws near, only 31% of pharmacies are prepared for full compliance with the 2023 USP 797 reference standards. Taking action to ensure compliance amid this transition, Midwest Surgical Hospital has selected Wolters Kluwer Health’s Simplifi 797® technology, alongside the full Simplifi+® Pharmacy Compliance suite of solutions, to replace manual processes and support patient safety at its 25-bed ambulatory surgical center in Omaha, Nebraska.

Improving documentation efficiency to uplevel pharmacy teams

Prior to this shift, Midwest Surgical was utilizing paper-based records in its pharmacy for compounding documentation and medication inventory management across the facility. This placed an extreme administrative burden on pharmacists and led to inefficiency in medication compounding practices. By implementing the full suite of Simplifi+ Pharmacy Compliance solutions, including Simplifi 797, Simplifi+ MedTrays and Simplifi+ MedStorage, Midwest Surgical can proactively manage USP compliance, medication storage, and emergency cart medication inventory on one common platform.

“Pharmacists are an underutilized resource in many health systems and healthcare centers, and this is largely due to the inability to extract them from the daily documentation and minutiae in the pharmacy. With a lean pharmacy team, we’re always looking for ways to streamline our processes – and ultimately their workloads,” said Michael Labadie, PharmD, Director of Pharmacy at Midwest Surgical Hospital. “By bringing in automated solutions from Wolters Kluwer, we are able to minimize our manual documentation, limit medication waste, and allow our pharmacists to become more involved in patient care needs.”

 

“Healthcare facilities are being pushed to find new efficiencies in their current processes to balance increasing regulatory scrutiny and patient care responsibilities” - Karen Kobelski, Vice President and General Manager of Clinical Surveillance Compliance & Data Solutions, Wolters Kluwer Health

Midwest Surgical compounds many of its intraoperative medications on-site and, in light of the latest USP guidelines, was looking for a solution that would allow them to worry less about documentation requirements and focus on patient care. With Simplifi 797 in place, their pharmacy team now has a comprehensive view of their compounding compliance, including where they can take action to make improvements in real-time. The fully automated platform and expert guidance ensures the proper documentation is in place in case of a regulatory audit and allows for better tracking of wasted medication volumes, allowing their team to optimize compounding based on current usage levels.

“Healthcare facilities are being pushed to find new efficiencies in their current processes to balance increasing regulatory scrutiny and patient care responsibilities,” said Karen Kobelski, Vice President and General Manager of Clinical Surveillance Compliance & Data Solutions, Wolters Kluwer Health. “By using our Simplifi+ suite, Dr. Labadie and his team at Midwest Surgical are creating a more agile and efficient backbone for their pharmacy, allowing them to quickly onboard new staff, focus on patient programs, or navigate a regulatory inspection with ease.”

Beyond medication compounding, Simplifi+ MedTrays and Simplifi+ MedStorage enable the surgery center to more easily and efficiently manage medication stored throughout the facility. Simplifi+ MedTrays automates and standardizes emergency cart restocking to ensure accuracy and optimize the utilization of short-dated drugs. By automating inventory checklists, Simplifi+ MedStorage ensures medications stored across the facility are safe for patient use and achieve compliance standards so teams are inspection-ready.

Visit Wolters Kluwer Health’s website to learn more about the Simplifi+ Pharmacy Compliance suite.

management software
Oct 24, 2023

Clark, NJ – SoftWriters, Inc., the industry leader in long-term care (LTC) pharmacy technology, has announced a partnership with SDS Rx, the leading national provider of last-mile logistics solutions for the healthcare industry. This strategic alliance aims to streamline the delivery process for long-term care pharmacies by integrating SDS Rx’s cutting-edge technology with SoftWriters’ renowned long-term care pharmacy management software.

The integration will enable SDS and SoftWriters to seamlessly exchange all relevant Proof of Delivery (POD) data at the packing slip level, track delivery schedules, and confirm delivery status in real-time. The improved packing slip level data connectivity and POD association at the prescription level in FrameworkLTC will dramatically improve accountability and regulatory compliance. In addition, the integration will also support a more accurate and efficient delivery process, leading to heightened customer satisfaction and optimized pharmacy operations.

“We are thrilled to partner with SoftWriters to provide a seamless, end-to-end delivery solution for long-term care pharmacies,” said Drew Kronick, CEO of SDS Rx. “Our cutting-edge technology and logistics expertise combined with SoftWriters’ industry-leading software will revolutionize the way long-term care pharmacies operate. Our partnership will enhance efficiency, simplify compliance, and elevate patient care, creating an unparalleled customer experience for our clients.”

The synergistic combination of SDS Rx’s advanced technology and SoftWriters’ premier software empowers long-term care pharmacies to manage the delivery process with unprecedented precision and accuracy, thereby minimizing errors and enhancing patient safety. The integrated solution will be made available to FrameworkLTC customers through the FrameworkCourier API.

“Partnering with SDS Rx provides our customers with an innovative solution that streamlines their delivery process and optimizes overall operations,” stated Scott Beatty, President of SoftWriters, “By leveraging our collective strengths, we can offer a comprehensive solution tailored to the unique needs and challenges of long-term care pharmacies.”

Overall, the partnership between SDS Rx and SoftWriters represents another transformative step towards revolutionizing the delivery process for long-term care pharmacies. Through their combined expertise, they are committed to delivering exceptional value, operational efficiency, and outstanding customer experiences to their clients.

Free webinar
Oct 23, 2023

BROOMFIELD, CO - Swisslog Healthcare, a global industry leader in pharmacy and transport automation solutions, is hosting a free webinar designed to help central pharmacy leaders and healthcare executives realize the benefits of implementing consolidated service centers (CSCs), sometimes also called integrated service centers (ISCs), as part of their thought leadership sharing. The "CSCs & ISCs with SMEs" webinar will be held on November 1, 2023, at 1 PM EDT and will feature discussions from industry subject matter experts (SMEs) about the challenges, benefits, and best practices for centralizing supply chain and pharmacy operations at consolidated service centers.

A study from Swisslog Healthcare showed that healthcare facilities that implemented CSCs of all sizes saw improved inventory management and streamlined procurement processes. The study found that hospitals and healthcare systems are increasingly challenged to manage growing patient access demands, rising drug costs, increased regulatory oversight and outcomes-based reimbursement programs. With CSCs, hospitals and healthcare systems are enabled to automate and centrally manage inventory and associated management processes for all supply chain and ancillary support services.

"Central pharmacies are traditionally considered a significant cost center in healthcare facilities, so they feel pressure to contribute to cost-cutting mandates; however, they can’t sacrifice service levels or compromise medication availability," said Jon Brown, webinar panelist and Director of Pharmacy System Operations and Logistics for Indiana University Health. "Our discussion focuses on how healthcare facilities can better streamline these processes to help address those issues. When done right, healthcare facilities can simplify processes, minimize costly waste, and refocus their teams back toward patient-facing work."

The "CSCs & ISCs with SMEs" webinar is one of many thought leadership offerings from Swisslog Healthcare designed to enable healthcare facilities to lead change for better patient care outcomes. Notably, Swisslog Healthcare has offered webinars featuring various industry experts discussing topics such as combatting labor shortages, maneuvering through digital transformation, and more.

"Ultimately, our goal is to better support our customers in their efforts to provide the best possible care for their patients," said Lindsey DeFendi, webinar panelist and Region Director from Swisslog Healthcare. "As an industry leader in healthcare automation, we have the opportunity to improve the healthcare industry as a whole. If we can provide best practices for implementing streamlined technologies and processes, we can help our customers deliver quality care for their patients."

Swisslog Healthcare is dedicated to optimizing workflows inside the complex systems of healthcare facilities, and particularly for those seeking to build or optimize a CSC. To learn more about Swisslog Healthcare and how its automation technology enables healthcare workers to deliver better patient care, visit Swisslog-Healthcare.com. To register for this webinar or watch it on demand after it airs on November 1st, visit Swisslog Healthcare’s webinar webpage.

Sarah Driscoll
Oct 23, 2023

OSWEGO, NY - Oswego Health makes it a priority to recognize staff for their hard work and commitment to the organization and its patients. One key staff member who continues to shine and has truly stepped up is Sarah Driscoll.

Driscoll has been promoted to Director of Pharmacy at Oswego Health. Driscoll started at Oswego Health as a Staff Pharmacist in 2013, before transitioning in 2015 to the Pharmacy Operations Supervisor. In June of 2023 she was named Interim Director of Pharmacy.

Born and raised in Oswego, NY, Driscoll graduated with a Doctorate in Pharmacy in 2013 from Albany College of Pharmacy and Health Sciences. She has been a preceptor for the University of Buffalo School of Pharmacy, Albany College of Pharmacy, and St. John Fisher School of Pharmacy.

As the Director of Pharmacy, Driscoll will manage and direct the operations of the department to ensure that quality pharmaceutical services are provided to patients, in accordance with the mission and values of Oswego Health. Overseeing a department of seventeen, including six Pharmacists, Driscoll is looking forward to strengthening her team’s collaboration with providers and expanding the antibiotics stewardship program within the community.

The Oswego Hospital Pharmacy serves patients within the hospital, Fulton and Central Square Urgent Cares, Seneca Hill Manor, Lobdell Center for Mental Health & Wellness at Lakeview, as well as Physician Care, PC.

corporate citizen
Oct 18, 2023

FRANKLIN LAKES, NJ - BD (Becton, Dickinson and Company) (NYSE: BDX), a leading global medical technology company, today announced it has been named to the 100 Best Corporate Citizens List by 3BL, which recognizes outstanding environmental, social and governance (ESG) transparency and performance among 1,000 of the largest U.S. public companies. This year, BD ranked second in the health care equipment and services industry.

"As a global organization serving health systems in nearly 200 countries around the world, we are contributing meaningful, positive change on the global societal and environmental issues most relevant to our business, customers and stakeholders," said Tom Polen, chairman, CEO and president of BD. "As we've done throughout our history, we continue to build on these contributions to enable a healthier, more equitable world - from minimizing our environmental footprint to empowering an inclusive workforce, and advancing health equity and access in under-resourced areas of the world."

The 100 Best Corporate Citizens ranking is based on 184 ESG factors in seven pillars – climate change, employee relations, environment, governance, human rights, stakeholders and society, and ESG performance.

Dave Armon, CEO of 3BL said, "Achieving the transformational targets of the Paris Agreement and UN Sustainable Development Goals in this decisive decade requires all companies to truly embed ESG issues into the core of their business. The 100 Best Corporate Citizens of 2023 are answering the call by demonstrating the societal and bottom-line value of leadership and transparency around ESG topics. They are setting ambitious goals outlining robust strategies for achieving them, disclosing data to measure progress."

BD continues to be recognized for its commitment to being an employer of choice, transparency and progress toward the company's 2030 ESG goals. For more information about these awards, visit news.bd.com/Award-news.

drone delivery
Oct 18, 2023

Amazon will soon make prescription drugs fall from the sky when the e-commerce giant becomes the latest company to test drone deliveries for medications.

The company said Wednesday that customers in College Station, Texas, can now get prescriptions delivered by a 

The drone, programmed to fly from a delivery center with a secure pharmacy, will travel to the customer’s address, descend to a height of about four meters — or 13 feet — and drop a padded package.

Amazon says customers will be able to choose from more than 500 medications, a list that includes common treatments for conditions like the flu or pneumonia, but not controlled substances.

The company's Prime Air division began testing drone deliveries of common household items last December in College Station and Lockeford, California. Amazon spokesperson Jessica Bardoulas said the company has made thousands of deliveries since launching the service, and is expanding it to include prescriptions based in part on customer requests.

Amazon Prime already delivers some medications from the company’s pharmacy inside of two days. But pharmacy Vice President John Love said that doesn’t help someone with an acute illness like the flu.

“What we’re trying to do is figure out how can we bend the curve on speed,” he said.

Amazon Pharmacy Chief Medical Officer Dr. Vin Gupta says the U.S. health care system generally struggles with diagnosing and treating patients quickly for acute illnesses, something that was apparent throughout the COVID-19 pandemic.

Narrowing the window between diagnosis and treating makes many treatments more effective, he said.

Amazon is not the first company to explore prescription deliveries by drone. The drugstore chain CVS Health worked with UPS to test deliveries in 2019 in North Carolina but that program has ended, a CVS spokesman said.

Intermountain Health started providing drone deliveries of prescriptions in 2021 in the Salt Lake City area and has been expanding the program, according to Daniel Duersch, supply chain director for the health care system. Intermountain is partnering with the logistics company Zipline to use drones that drop packages by parachute.

Companies seeking to use drones for commercial purposes have faced hurdles from regulators who want to make sure things are operating safely. Amazon founder Jeff Bezos had predicted a decade ago that drones would be making deliveries by 2018. Even now, the e-commerce giant is only using the technology in two markets.

Lisa Ellman, the executive director of the Commercial Drone Alliance, an industry group that counts Amazon as one of its members, said to date, regulatory approvals have been limited to specific geographic areas and “in terms of their scope and usefulness to companies.”

That said, she noted regulators have also been issuing more approvals. Last month, the FAA gave the OK for Zipline and UPS to fly longer-range drones.

Walmart has also been working to expand its own drone deliveries.

Amazon says its drones will fly as high as 120 meters, or nearly 400 feet, before slowly descending when they reach the customer’s home. The done will check to make sure the delivery zone is clear of pets, children or any other obstructions before dropping the package on a delivery marker.

The company said it hopes to expand the program to other markets, but it has no time frame for that.

Amazon has been growing its presence in health care for a few years now.

Aside from adding a pharmacy, it also spent nearly $4 billion to buy primary care provider One Medical. In August, the company added video telemedicine visits in all 50 states.