Although he has no pharmaceutical or veterinary background, Branson Bruce’s connections to the veterinary industry and love of pets give him a unique advantage in his role at Epicur. Learn more about how he made his way into veterinary pharmaceuticals and how he helps veterinary professionals understand the importance of veterinary drug manufacturing.
Get to know Branson!
We’re excited to learn more about your role, Branson! Can you tell us about your work with Epicur?
I am a Veterinary Specialty Sales Rep and I’ve been with Epicur for almost seven years now. As Sam mentioned in her blog, the regions we each cover are large. I cover Florida all the way to Washington State and work with clients all over the country except for the Northeast.
In general, my responsibilities include meeting with specialty and emergency veterinary hospitals. But I also work closely with university vet schools and build relationships with the doctors and purchasers at those teaching hospitals too.
In talking with Sam, we know she really enjoys the veterinary ophthalmology specialty. Is there a certain specialty that you’re drawn to?
Ophthalmology and oncology are probably the specialties that get the most focus because those are our biggest markets and they use Epicur products the most. Cardiology is starting to grow, but we’ve always had a major focus on ophthalmology.
I enjoy working with both specialties for different reasons. They each bring something unique to their patients with such different personalities. Oncologists deal with death all the time because of the severity of their specialty, but they are upbeat and positive about their work. The ophthalmologists I work with are very low-key and bring their own sense of calm positivity to practice settings. Both have high-stress specialties but consistently make positive patient outcomes their priority and goal.
What did you do prior to joining Epicur?
I have a degree in business, but I went to culinary school and worked in hospitality for the vast majority of my career prior to Epicur, with a few other things here and there. So, it was a very interesting transition joining Stokes Healthcare without working in a medical setting before.
Interesting! How did your career in hospitality end up leading you to Epicur?
I chose to join Epicur/Stokes because of my wife; she’s a veterinarian. We had been living in the Florida Keys and she was working all kinds of crazy hours. She was ready for a change, so we moved up to Tampa. One of our good friends worked for BluePearl and had a close relationship with Stokes Healthcare. The opportunity presented itself, and I was kind of ready to get out of hospitality and sales felt like a natural fit. Hospitality is sales just in a different light.
Oh, your wife is a veterinarian? Do you guys have a house full of pets?
Yes, we have a mini array of pets! We have three tortoises, a rabbit, our dog, and many others. It was funny, I had been at home a lot because of the pandemic and not traveling, and then I was away at one of the first conferences and got a text asking, “what do you think of this cute rabbit?” I said, “I guess it’s cute,” and the next thing I know I come home and we have a rabbit! I go out of town after the pandemic and suddenly, we end up with another one.
From hospitality to veterinary pharmaceuticals is a big change in industries. Was there a big learning curve for you?
Yeah, for sure because it’s a different type of sales; in hospitality, people are coming to you and you don’t really have to seek them out whereas at Epicur, I’m going out and actually engaging prospects trying to ask for the sales. But I’m a people person and I love talking to people, so that part wasn’t much of a difference.
Learning the pharmaceutical world though, that was huge. I “cheated” a lot because my wife’s a veterinarian—I texted or called her anytime I had questions. Sometimes I still text her about answers when I get asked a tricky question. I learn a lot through her.
That’s a nice advantage that she’s a veterinarian! She has a unique influence on your work it seems, but do you also influence her work? Does she ask about products or regulations?
Yeah, when Stokes Healthcare started our new division Epicur Pharma, like many veterinarians, she didn’t know anything about 503Bs, so she had a lot of questions and she got to learn from me in those cases. It’s nice for us to be able to ask each other questions and gain insight from a vendor’s perspective, or vice versa, from a veterinarian’s perspective.
We know Epicur is dedicated to helping vets better understand 503B manufacturing and the benefits of using manufactured products. How has having a personal relationship with a veterinarian influenced your approach in educating about 503B manufacturing?
My wife has helped a lot because whenever I would talk to clients about 503B and the cGMP process they all have this glazed look on their faces. A lot of times they have no clue what you’re talking about or what those terms mean.
In talking with my wife, she recommended putting a focus more on the Food and Drug Administration (FDA) portion of our process. Veterinarians know the FDA; they don’t know cGMP. So, when I talk to clients and say we’re regulated by the FDA that seems to connect better than trying to talk about all the different requirements we have to follow. Saying Epicur is regulated by the FDA is enough to let them know our products are manufactured against strict processes.
I think people are starting to understand more about what 503B means to veterinary care, but we still get a lot of questions, and we still have a long way to go.
What do you see as the biggest challenges in 503B education? Where do those gaps still exist?
Unfortunately, some other 503B manufacturers cause confusion by trying to say 503Bs are the same as 503As when they aren’t, so it muddies the waters a lot. That’s one of our hindrances—veterinary professionals are hearing two different stories.
Another big gap is when veterinary professionals believe the only 503B difference is testing. It’s not just about the testing, anybody can say they test a product; it’s more about validation throughout the entire process. 503B outsourcing facilities adhere to current Good Manufacturing Practices which are the same regulations followed by commercial manufacturers. 503B products must meet strict FDA regulations and potency variance must fall within +/- 10%. Compounding pharmacies, unlike 503Bs, are not required to test the final product.
When you’re working with a new veterinary practice how do you explain that value to them?
The big thing is letting them know that because Epicur is an outsourcing facility they’re getting a quality product. The product is what it says it is on the label, it’s 100% manufactured and we’re giving them a product that they can use for office administration and dispensing so they can start patient care immediately.
That’s the biggest thing a lot of these doctors, technicians, or even purchasers need to hear. They know in certain states they can’t dispense products from a compounding pharmacy, or even keep them in stock, but Epicur is able to provide a product that they can actually start patient care with immediately. They don’t have to wait a couple of days for that patient to get it. That’s always the hardest thing to say, “Hey, your dog needs to be on this eye drop and you need to start it right away…but it’s going to take three days to get it.” Or “your dog’s throwing up, but you have to wait for that medication.”
The value is in our ability to help them start patient care immediately and give them a comfort level in the quality of care that they have in a commercial product.
There are obvious differences between 503A compounders and 503B manufacturers, but it can be confusing to understand what types of products come from each facility. Why is staying educated on the difference so important for veterinary practices?
Unfortunately, I had a recent case that highlighted the importance of knowing where your veterinary drugs come from. The doctor specifically uses Epicur, but a colleague in her practice had ordered a product from a compounding pharmacy and, sadly, the pet died.
Because the veterinarian at the practice advocates for using Epicur’s 503B manufactured products, she asked us to do a presentation for her staff to help them better understand the importance. We are one of the only 503B manufacturers that are offering oncology products, and she only prescribes commercial or 503B manufactured medications.
What would you say are your favorite aspects of your job?
When you get into sales, you’re wanting to sell and to make money, but when I started with Stokes Healthcare, one of the things I started to enjoy most was building relationships. And now that I’ve been here a while it’s not just the relationships, but the friendships I’ve made with all these doctors and technicians. A lot of them I consider true friends at this point. Yes, obviously, I’m trying to sell our products, but I’ve just really developed close bonds with a lot of these doctors and technicians. That’s probably my favorite aspect, just getting to know these people on a personal level.
How do you build that trust that takes you from salesperson and customer to friends?
Well, there’s always the normal sales conversation, but it’s really just getting to know them on a personal level and really trying to connect with them. Telling them you have a great product and a tested product only goes so far, you know, you need to take ownership of it and build that relationship to let them know that you’re there for them. I want them to know that if anything were to happen, they have a person to reach out to. They want to know that they can contact you anytime there is a need.
This was several years ago, but one of my ophthalmologists texted me and asked if I had a moment. I said of course and she explained she had her technician call our office, but the tech felt like she wasn’t getting the answers she needed. So, the doctor just reached out to me. She said she knew she could just talk to me and get an answer immediately and we were able to get it all worked out. That’s the kind of relationship I try to build, with doctors knowing they can reach out at any time and feel comfortable communicating with me, regardless of what the issue is.
It’s about reachability. Patients need medication right away, so they need answers right away. They know they can call and talk to our customer service team, and very rarely do they need to reach out to us directly, but having that direct line is reassuring.
Obviously, you cover a lot of territories and customers can find you at a lot of shows. Where will you be kicking off 2023?
This year is going to be crazy! I know we’re doing VMX, we’re going to the Western Veterinary Conference (WVC), and then a big one for us is going to be the mid-year combined oncology meeting by the Veterinary Cancer Society and The Veterinary Society of Surgical Oncology (VSSO) in April.
The Fall is always packed with the Veterinary Cancer Society show, ACVO ophthalmology meeting, and New York Vet in November. We wrapped up 2022 at Fetch San Diego in December last year. I’m sure this year will look similar.
Thanks, Branson!
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Mickey O’Connor has been part of the Stokes and Epicur story from the beginning. With his background as a pharmacist, Mickey brings a unique perspective and advantage to his role as Director of Business Development—both to customers and the company. Read our interview with Mickey to learn more about his role and his insights into all that’s happening at Epicur and in the veterinary field! Mickey, thanks for sharing more about your role on the team. Can you start by telling readers about how you got started with Stokes Healthcare and your current role? I’ve been with the company since the early 2000s. I worked with Emmett and Michael in retail pharmacy in the 90s before they purchased Stokes Pharmacy. My first job here with Stokes was as a sales rep selling human compounded medication. I worked as a pharmacist and as a sales rep for several years, and then, as we grew, I took on several different roles and grew into the role of business development. I’ve done everything from being a sales rep and a pharmacist to working in business development with individual veterinarians, practice managers, and purchasers for veterinary hospitals. Currently, I work with corporate groups to help them better manage their inventory and understand why it’s a benefit to utilize Epicur and Stokes Pharmacy. Can you tell us more about those specific benefits and the work you’re doing with corporate groups? A lot of times, the people who are involved from the corporate groups, whether it’s purchasing or management, are unfamiliar with the medication part. In years past, individual purchasers for the hospitals did a lot of the work as far as ordering medication. But, as the veterinary industry has grown, medication has become more important in the sense that there’s a lot more of it and a lot more options. The purchasing groups started to realize that they needed to look at how their individual locations were getting medication for their hospitals, and how to coordinate it so that there’s consistency throughout each hospital to ensure better medication management and purchasing. So, that’s a lot of the conversations I have with them. There’s still a lack of understanding of the difference between a 503A traditional compounding pharmacy versus a 503B outsourcing facility. When I bring up that topic, most of the time they either know very little about those two or nothing at all about 503B. When I explain it, they start to get a better understanding of the differences and can see how Epicur products can help their overall process of managing medication for the hospitals. A Partner for Better Quality At Stokes Healthcare, our mission is to advance the quality of care in veterinary medicine. We support all clinics, whether independent or part of a corporation, with the highest quality medications that your patients deserve. No matter your practice type, we will make sure your practice needs are our priority! The differences in 503A and 503B can be confusing and there’s still a learning curve to it. Why do you think that is? I think it’s because there’s been a lot of change in the veterinary space over the last 20 years, but more recently, over the last five years. Some veterinarians still want to do things the old way, it’s comfortable and what they are used to. Previously we heard vets and their staff say they used to be able to get whatever they wanted when they wanted it, and there was no problem. There was longer dating on compounded products, and individual pharmacists could kind of do things without certain checks and balances, meaning they were able to put a beyond-use date of six months when the product really wasn’t good for six months. So, really, the industry needed some more regulation. Even though that’s frustrating, we did need that and it’s taking time to educate everyone in the field. Jumping back to your previous experience, it is interesting that you started as a pharmacist. What kind of advantage does your background as a pharmacist give you in Business Development? When we talk about medication, it does give me some more credibility as a pharmacist when I explain why our products are more advantageous. For example, the buprenorphine 0.5 mg/ml injection specifically. I talk about the concentration being different, but it’s an easy calculation for a veterinarian or vet tech to make. And if you’re able to get everyone on board using the buprenorphine injection that Epicur makes, then you have more consistency across all of your facilities. You can put out memos on how to use it, train, and teach. Using that medication is going to help your clinic or corporation as a whole. Plus, there’s the fact that the buprenorphine that Epicur makes has never been out of stock. So, when I share this message, coming from a pharmacist, it does carry more weight. They know I understand the medication, how it works, different concentrations, and they feel like, ‘okay, this is a professional who knows both the business side and the medicine side.’ What was it like switching from human to veterinary medications? It was challenging. Going into compounding was challenging because compounding is different than traditional retail. But the veterinary side was even more challenging because you’re dealing with different strengths and concentrations. A medication that may be good for a human may not be good for a cat or a dog. The hardest part about the compounding side was working as a sales rep. Back when I started with Stokes, around 2002, when you talked to a human medicine doctor about compounding, they didn’t really know what compounding was. 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