Available Until 12/31/2024

Cancer Drug Dose Rounding - Decreasing Drug Cost, Minimizing Waste and Improving Efficiency

Course Description: 

There is a current mismatch between cancer drug dosing and the vial sizes, resulting in a significant amount of waste. Estimates are that the U.S. wastes billions of dollars per year. This session will review issues around drug waste, how dose rounding can reduce this, why dose rounding is appropriate, and how we can be more efficient in our care processes.

Faculty will present Mayo Clinic data on cost savings from a dose rounding program and show how using an automated dose rounding process can improve efficiency. They will summarize possible policy solutions to address the issue of drug waste and how institutions can begin to implement some of these now. The session will also include a payer perspective, reflecting and reacting to the work done at Mayo Clinic and how it may be applied elsewhere.

Learning Objectives:

At the completion of this activity, participants should be able to:
  1. Explain reasons for cancer drug waste and the cost impact.
  2. Discuss a rationale for why dose rounding is appropriate for cancer patients.
  3. Describe how automated dose rounding within an electronic health record can improve workflow efficiency for an infusion center.


Tracy McDowd, PharmD, FAMCP

Manager, Clinical Pharmacy

BlueCross BlueShield of Tennessee

Hendersonville, TN

Vishal Shah, PharmD, MBA

Pharmacy Supervisor, Cancer Center & Investigational Drug Services

Mayo Clinic

Phoenix, AZ

Scott A. Soefje, PharmD, MBA, BCOP, FCCP, FHOPA

Director, Pharmacy Cancer Care

Mayo Clinic

Rochester, MN


Scott A. Soefje, PharmD, MBA, BCOP, FCCP, FHOPA

Director, Pharmacy Cancer Care

Mayo Clinic

Rochester, MN


The Academy of Managed Care Pharmacy (AMCP) is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

ACPE UAN:0233-0000-23-016-H04-P • Activity Type: Knowledge-Based
Contact Hours: 1.25
Release Date: March 23, 2023 •  Expiration Date: December 31, 2024
Activity Fee: Free for Members and $30 for Non-Members

Participants should claim continuing pharmacy education (CPE) credit for this home study activity only if they have not claimed credit for the live activity presented at AMCP 2023. CPE credit will be processed through the AMCP Learn portal and reported directly to CPE Monitor. Please allow 72 hours for processing and posting in your NABP account.

To receive credit for an online activity you must:

  • Review the full content of the activity.
  • Successfully complete the post-test (required to pass with a score of 70% or higher, it may be taken a maximum of three times).
  • Complete a specific activity evaluation.

System Technical Requirements/Viewing Requirements:

System Requirements Courses and learning activities are delivered via your Web browser and Acrobat PDF. For all activities, you should have a basic comfort level using a computer and navigating websites. View the minimum technical and system requirements for continuing education online learning activities

Credit Information

Activity Number Credit Amount Accreditation Period
ACPE UAN #0233-0000-23-016-H04-P 1.25 Contact Hours March 23, 2023 - December 31, 2024