The Bottom Line Pharmacy Podcast: Sykes & Company, P.A.

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Infusion 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 demand
One of the biggest operational bottleneck in Infusion pharmacies
Why “a prescription is not an order” and what that means for compliance
What “top notch care” really looks like from first referral to post-infusion follow-up
And 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 gaps
between 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 family

Stay connected with Jordan and FusionIQ Nursing:

Jordan's LinkedIn
FusionIQ Nursing Website
FusionIQ Nursing LinkedIn

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More resources on this topic:

Podcast - Driving Independent Pharmacy Profitability in 2026

Podcast – Opening an Infusion Pharmacy

Podcast – KPIs for the Rapid Growth Pharmacy

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With 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 today
Common pharmacy-specific scams, including fake refill notices, insurance requests, and ACH change attempts
How AI and deep-fake voices are raising the stakes
Practical steps pharmacies can take to slow down, verify requests, and protect PHI
And 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 LinkedIn

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More resources on this topic:

Podcast - AI, Audits, & Advocacy: The Pharmacy Survival Guide with Trenton Theide
Podcast - Navigating Cybersecurity, NIST and HIPAA
Blog - Technology, Security and Your Pharmacy
Blog - Protect You and Your Pharmacy: The Growing Threat of Ransomware
Blog - Backing Up Your Business Data
Blog - Spot a Hacked Email or Bad Website
Blog - Protect Your Pharmacy Data from Hackers

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Rapid growth is exciting but without the right metrics, culture, and plan, it can quietly put your pharmacy at risk.

In this episode, Scotty Sykes, CPA, CFP®, Bonnie Bond, CPA, MBA, and Austin Murray sit down with Jim Hrncir, R. Ph. FACP, Owner of Las Colinas Compounding Pharmacy and Wellness Center veteran compounding pharmacist and owner, to unpack what it really takes to run a sustainable compounding pharmacy through industry cycles, GLP-1 volatility, and ownership transitions.

We cover:
The KPIs Jim actually tracks to manage a complex compounding operation
Why cash position may be the most overlooked metric in pharmacy
How GLP-1s changed the business—and why diversification still matters
Internal succession vs. private equity: the real tradeoffs
And more!

More About Our Guest:

Jim Hrncir RPh and wife Jan founded Las Colinas Pharmacy, Compounding & Wellness in 1984. Recognized as one of the pioneers of modern pharmaceutical compounding, Jim’s 1986 creation of Estradiol Transdermal Gel was the first of its kind in the United States. He is responsible for the formulation of many Bio-Identical Hormone, Dermatological, Nutritional, and Anti-Aging compounds in wide use throughout the United States. Jim was named the 2017 Compounding Pharmacist of the Year by Professional Compounding Centers of America (PCCA) and is a Fellow of the Alliance for Pharmacy Compounding (FAPC). NCPA’s magazine America’s Pharmacist featured Jim and Las Colinas Pharmacy as the cover story for December 2018.

Jim has received extensive continuing education in the areas of Bio-Identical Hormones, Nutrition, Anti-Aging Medicine, Weight Management, Pain Management, Neurotransmitter Management, Natural and Functional Medicine including the use of botanical medicines, nutritional supplements, Detoxification and Purification, homeopathy and lab testing. He has lectured across the country on a variety of topics including Clinical Patient Consulting, BHRT Assessment and Case Management, Low Dose Naltrexone, Traumatic Brain Injury Treatment Protocols, and Ketamine for Treatment-Resistant Depression and PTSD.

Jim is a member of Professional Compounding Centers of America (PCCA), American Academy of Anti-Aging Medicine, Age Management Medical Group, Texas Pharmaceutical Association, Alliance for Pharmacy Compounding, and the National Association of Community Pharmacists.

Stay connected with Jim and Las Colinas Pharmacy:

Jim's LinkedIn
Las Colinas Pharmacy Website
Las Colinas Pharmacy Facebook
Las Colinas Pharmacy TikTok
Las Colinas Pharmacy Instagram
Las Colinas Pharmacy LinkedIn

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More resources on this topic:

Podcast - Driving Independent Pharmacy Profitability in 2026

Podcast – The Startup Compounding Pharmacy Playbook

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With TrumpRx officially live, the first major PBM reform in decades signed into law, and the FTC squeezing historic concessions out of Cigna/Express Scripts…Did independent pharmacy just have its “Super Bowl week?”

In this bonus episode, Scotty Sykes, CPA, CFP®, Bonnie Bond, CPA, MBA, and Austin Murray break down what these rapid-fire developments actually mean for pharmacy owners.

We cover:
MFP Updates
TrumpRx going live
FTC + Cigna/Express Scripts settlement
What new CMS transparency could mean for pharmacy reimbursement
And more!

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Scotty Sykes – CPA, CFP® LinkedIn

More on this topic:

Podcast: Business As Usual...Until It Isn't: MDPNP's Impact on 340B

Podcast: Driving Independent Pharmacy Profitability in 2026
Podcast - Maximizing Med Sync

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With Medicare’s Maximum Fair Price (MFP) rebates officially underway and the 340B rebate mechanism on hold, pharmacy owners are left navigating one of the grayest areas the industry has seen in years.

In this episode, Scotty Sykes, CPA, CFP®, Bonnie Bond, CPA, MBA, and Austin Murray sit down with Julie Crozier, CEO at  @secure340b to unpack how MDPNP is colliding with 340B and what pharmacies should be paying attention to right now.

We cover:
How MDPNP and MFP rebates are flowing today
The duplicate discount problem no one is reconciling
Beacon’s role and why future reconciliation risk matters
Dispensing fee pressure, CE relationships, and contract implications
Practical considerations if TPAs or covered entities push for carve-outs
And more!

More About Our Guest:

As CEO of Secure340B, Julie is responsible for formulating and executing strategic plans and technology to deliver critical and timely intel to 340B stakeholders.

Julie has over 25 years of pharmacy experience including co-founding, growing and leading a pharmacy software company, Macro Helix, which was acquired by McKesson Corp (NYSE: MCK) in 2012.

Julie also has experience in retail pharmacy, long-term care, state Medicaid programs and healthcare revenue cycle. She holds a Bachelor’s in Pharmacy and a Master’s in Pharmacy Administration from The University of Texas at Austin.

Julie serves on the board at Crossroads Community Services, a food pantry, and lives in Dallas, Texas with her husband and 2 daughters.

Stay connected with Julie and Secure340B:

Julie Crozier LinkedIn
Secure340B Website
Secure340B Facebook
Secure340B LinkedIn
Secure340B Instagram

Stay connected with us:

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YouTube 
LinkedIn
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More resources on this topic:

Podcast - Driving Independent Pharmacy Profitability in 2026

Podcast – The Startup Compounding Pharmacy Playbook

Podcast – Inside the Fight for Compounding: Advocacy, Growth, and Regulation