By Kevin Tierney, Pharmacy Client Manager
When I joined SpendMend as a Pharmacy Client Manager in April 2024, I knew I was stepping into a company with a strong reputation for client success and a commitment to excellence. After more than 90 days on the job, I’m excited to reflect on my journey so far. With my background as Chief Customer Officer at Secure340B and Senior Manager of Strategic Accounts at Macro Helix, I felt prepared for the challenges ahead, but I quickly realized that SpendMend operates on an entirely different level. The past few months have been an incredible learning experience, immersing myself in a client-centric culture and navigating an extensive suite of solutions that tackle the complex challenges of 340B program management.
Throughout this short period, I’ve been struck by the dedication and expertise of the SpendMend team. They’ve made my transition seamless, allowing me to ramp up quickly and hit the ground running. As I continue to get my bearings, several key themes have stood out to me, reaffirming why joining SpendMend has been one of the most rewarding steps in my career.
1. Customers love us
Can you believe that we have over 650 CEs that trust our expertise? Our clients not only use us once and find value, but they appreciate our expertise year after year. We grow about 15% each year and lose less than a dozen clients each year.
2. Customers continue to struggle with what the world keeps throwing at them
Our clients continue to come to us because we have a pulse of everything happening in the 340B world. They know we are the largest 340B team in the country and that there is very little happening that catches us by surprise. Many rely on our biweekly podcast, 340B Unscripted, for the most up to date program insights.
3. SpendMend solves a lot of problems and saves customers a lot of money and resources
SpendMend has so many solutions to our customers problems. In fact, I had to make a chart to keep it clear in my mind. I thought I would share it:
| Problem | Solution |
| Need program audit to get snapshot of program compliance | Annual 340B mock HRSA audit (over 500 audits in ’23 and trending 20%+ in ’24) |
| Need help with a HRSA audit | HRSA audit support (150+ supported and we can manage the engagement as well) |
| Need help with a manufacturer audit | 340B Manufacturer support |
| Need monthly help making program decisions | 340B Maintenance (211 clients and climbing) |
| Need full 340B program oversight | 340B Management |
| Need day to day 340B program analytic support | 340B Staff Augmentation |
| Need 340B program leadership support | 340B Leadership Augmentation |
| Need help capturing compliant referral claims | 340B Referral Capture |
| Need help navigating 340B ESP | 340B ESP Support (Experts on restricted MFR variations and ramifications, growing fast with State legislation changes) |
| Need help assess and/or implementing a specific pharmacy project | Professional Services |
| Need help saving money | Trulla Analytics |
| Need help buying the right drugs on the right account | Trulla Procurement |
| Need help buying drugs that aren’t available at your wholesaler | Trulla Direct |
4. SpendMend hires good, knowledgeable people and customers enjoy working with them
I’ve been very fortunate to work with some great companies throughout my career, but the customer conversations and engagement with SpendMend is next level. Every customer has built a deep relationship with a different SpendMend team member. At the recent 340B Coalition, it was incredible to witness clients approaching our booth, eagerly asking to see specific SpendMend auditors and praising them as “the absolute best.” And each time someone came up to the booth, it was a different auditor they were inquiring about. Our team is an All-Star group. It really stands out when you look at it from this perspective:
- Three Time Apexus ACE Content Contributor-No other firm has that title
- 35+ ACE Team Members
- Multiple past 340B University Faculty
- And all of our auditing team came from a Covered Entity
As a Pharmacy Client Manager, my role is all about aligning customer needs with the right SpendMend resources—those who are ready, able, and proven successful in solving complex problems while improving care and well-being. Guided by my personal philosophy of always leaving things better than I found them, I’m committed to making a positive impact every day.
I’m incredibly proud to be part of a team that is truly making healthcare a little better, and I’m excited for what lies ahead.
Cheers to the next 90 days and beyond!
