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Briefing No. 34 · Telepharmacy

Ohio Wants Machines to Dispense at 99.985% Accuracy. Its Own Rule Can't Measure That.

Ohio's August 2026 rules set a 99.985% accuracy gate for machines that dispense without a pharmacist. Its 45-day window cannot resolve that number.

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No. 33 · AI Strategy

Medicare Started Paying for Clinical AI. Every Product It Named Reads a Scan.

CMS created a standalone Medicare payment category for clinical software in July 2026. The section is titled SaMS Diagnostic Services, and pharmacy AI is not in it.

August 29, 2026 · 6 min read
No. 32 · Medical Affairs

FDA Says Interim Trial Data Should Stay Sealed. Its Real-Time Trials Ship It Out Live.

FDA's own guidance says confidentiality of interim results decides whether a trial is adequate and well-controlled. Its real-time trials pipe signals out mid-study.

August 22, 2026 · 6 min read
No. 31 · Clinical AI

Houston Methodist's AI Surgery Study Made Headlines. Its P-Value Didn't Make the Cut.

Houston Methodist called its Apella OR-AI study independent proof of a surgery-volume gain. The paper's own significance test falls short at p=0.182.

August 15, 2026 · 6 min read
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Where AI is actually changing pharmacy, clinical operations, and medical affairs, plus the regulation moving underneath it.

Who Writes This

Clinical judgment,
not AI hype.

Shan Siddique, PharmD
Shan Siddique, PharmD · Chicago

TheraIntel is shorthand for therapeutic intelligence: clinical judgment brought to the AI reshaping pharmacy and care. It is an independent publication covering AI across pharmacy, telepharmacy, clinical operations, and medical affairs, written by Shan Siddique, PharmD, a practicing clinical pharmacist with over a decade of frontline healthcare operations experience.

The healthcare AI conversation is loud, and most of it is written by people who have never verified an order, run a pharmacist schedule, or briefed a clinician on the evidence. This is the operator's read: what the technology actually does, what the regulation actually says, and what it means for the people doing the work.

TheraIntel is an independent publication. The analysis here is editorial, written on personal time, and the views expressed are the author's own. They do not represent any employer.

More about TheraIntel
PharmDWritten by a practicing clinical pharmacist
10+ yrsFrontline healthcare operations experience
34Briefings published, every claim cited