The Arkansas Pharmacist Spring 2009

The

Arkansas

Little Rock

Pharmacist Arkansas Pharmacists Association 127th Annual Convention

June 11 - 13, 2009

2009 Spring Quarterly Edition

Board of Directors

2008 - 2009 Officers

Area Representatives

President................................................Paul Holifield, Pharm.D., Batesville President Elect ............................................Jan Hastings, Pharm.D., Benton Vice President ..................................................Mike Smets, P.D., Fort Smith Past President..................................Stephanie Goodart O’Neal, P.D., Wynne

Area 1 (Northwest)....................................Gary “Buzz” Garner, P.D., Mena Area 2 (Northeast) ..............................Dennis Moore, Pharm.D., Batesville Area 3 (Central).......................................Gary Bass, Pharm.D., Little Rock Area 4 (Southwest/Southeast) ......................Mike Stover, Pharm.D., Rison

Ex-Officio Members APA Executive Vice President ................................................................................................................................................ Mark Riley, Pharm.D., Little Rock Board of Health Member ...................................................................................................................................................................John Page, P.D., Fayetteville Board of Pharmacy Representative ..............................................................................................................................Charles Campbell, Pharm.D., Little Rock UAMS College of Pharmacy Representative (Dean)........................................................................................Stephanie Gardner, Pharm.D., Ed.D., Little Rock Harding College of Pharmacy Representative (Dean) ....................................................................................................Julie Hixson-Wallace, Pharm.D., Searcy UAMS College of Pharmacy Student Representative............................................................................................................................Collin Ward, Little Rock Harding College of Pharmacy Student Representative ..........................................................................................................................Celia Proctor, Little Rock

District Presidents District 1 Kenny Harrison, Pharm.D. Cornerstone Pharmacy 4220 N. Rodney Parham Little Rock, AR 72212

District 3 Danny Ponder, P.D. Ponder Economy Drug, Inc. 400 S College St, Mountain Home, AR 72653

District 5 Lynn Crouse, Pharm.D. Eudora Drug Store 140 S. Main St. Eudora, AR 71640

District 7 John Vinson, Pharm.D. Area Health Education Center 612 South 12th Street Fort Smith, Arkansas 72901

District 2 Brandon Cooper, Pharm.D. Soo’s Drug & Compounding Center 2905 E. Nettleton Ave. Jonesboro, AR 72401

District 4 Cliff Robertson, P.D. Robertson’s N. Heights Pharmacy 1201 E. 35th St. Texarkana, AR 71854

District 6 Michael Butler, Pharm.D. Village Health Mart Drug #1 4440 N. Highway 7 Hot Springs, AR 71909

District 8 Christy Campbell, P.D. Lowery Drug Mart #2 123 Central Ave. Searcy, AR 72143

APA’s Academy of Consultant Pharmacists

APA’s Academy of Compounding Pharmacists

President ................................................Muncy Zuber, P.D., Heber Springs President Elect ................................................Jim Griggs, P.D., Fayetteville

President ..........................................Gary Butler, P.D., Hot Springs Village President Elect ..................................................................To Be Announced

Arkansas State Board of Pharmacy

Arkansas Association of Health System Pharmacists

President ......................................................Bob Dufour, R.Ph., Bentonville Vice President ........................................Lenora Newsome, P.D., Smackover Secretary ............................................................Benji Post, P.D., Pine Bluff Member................................................................Marilyn Sitzes, P.D., Hope Member..........................................................Ronnie Norris, P.D., McGehee Member ..........................................................Steve Bryant, P.D., Batesville Sr. Citizen Public Member ..................................Ross Holiman, Little Rock Public Member ................................................Sharon Capps, R.N., England

President ..............................................Maggie Miller, Pharm.D., Batesville President Elect............................................Jason Derden, Pharm.D., Benton Past President ............................................Justin Boyd, Pharm.D., Ft. Smith Executive Director................................Dennis Moore, Pharm.D., Batesville Treasurer ..............................................Sharon Vire, Pharm.D., Jacksonville Secretary ..................................................Paula Price, Pharm.D., Sherwood Member at Large......................................Brandy Owen, Pharm.D., Conway Member at Large ............................Jody Smotherman, Pharm.D., Batesville Member at Large ................................Jennifer Priest, Pharm.D., Little Rock

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The Arkansas Pharmacist

Contents

Arkansas

Pharmacist The

Arkansas Pharmacists Association 417 South Victory Little Rock, AR 72201 501-372-5250 501-372-0546 Fax

The Arkansas Pharmacist (ISSN 0199-3763) is published quarterly by the Arkansas Pharmacists Association, Inc. It is distributed to members as a regular service paid for through allocation of membership dues ($5.00). Non-members subscription rate is $30.00 annually. Periodical rate postage paid at Little Rock, AR 72201.

Editorial Staff: Editor: Mark Riley, Pharm.D. Executive Vice President Art & Design Editor: Helen Hooks Communications Specialist Opinions and statements made by contributors, cartoonists or columnists do not necessarily reflect the attitude of the Association, nor is it responsible for them. All advertisements placed in this publication are subject to the approval of the APA Executive Committee.

POSTMASTER: Send address changes to The Arkansas Pharmacist 417 South Victory Little Rock, AR 72201.

Features CE at the Races ..........................................................................................7 Recognized ................................................................................................9 Awards Solicitation ....................................................................................7 2009 UAMS Graduating Class ................................................................12 2008 “Bowl of Hygeia” Recipients ..........................................................19 Honor Roll of Past Presidents ..................................................................20 Past Award Recipients ..............................................................................21 2009 APA Convention Registration Information......................................22

Departments From the President......................................................................................4 The Executive’s Perspective ......................................................................5 Safety Nets..................................................................................................6 AAHP Report ..........................................................................................10 UAMS Report ..........................................................................................13 Member Classified Advertising................................................................14 Rx and the Law ........................................................................................16 In Memoriam ............................................................................................17 Medicaid Alert ..........................................................................................17 Harding Report ........................................................................................18 Board of Directors Minutes ......................................................................33 Calendar of Events ..................................................................................35

Index to Advertisers Arkansas Pharmacy Support Group ..........................................................7 Pace Alliance ............................................................................................8 APF Legacy ............................................................................................11 Pharmacists Mutual ................................................................................32 Pharmacy Quality Commitment ..............................................................36

APA Staff Office E-mail Address apasupport@arpharmacists.org Mark S. Riley, Pharm.D. Executive Vice President mriley@arpharmacists.org

Scott Pace, Pharm.D. Associate Executive Vice President scott@arpharmacists.org

Helen Hooks Communications Specialist hhooks@arpharmacists.org

Barbara McMillan Director of Administrative Services & Meetings bmcmillan@arpharmacists.org

Debra Wolfe Director of Public Affairs dwolfe@arpharmacists.org

Celeste Reid Administrative Assistant creid@arpharmacists.org

The Arkansas Pharmacist

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From the President My father was a simple man without the luxury of an extensive education that so many of us take for granted. He lived by a philosophy of paying his bills, not buying more than he could afford, and that the little man should have a say in the politics that affect us all. Most profound was his belief about relationships with others. He thought, no matter the circumstance, one should always make a friend.

Never has there been more compelling evidence that my father was correct than in my experience with the Arkansas Pharmacists Association and our efforts to pass PBM legislation this session. Our success seemed to depend more on relationships with legislators than the merits of our bill. I am not saying this is entirely a bad thing. Pharmacists have a unique ability to establish and maintain relationships. And it does not hurt that curtailing the detrimental practices of PBMs is simply the right thing to do, not just to protect pharmacists, but the patients we care for as well.

Paul Holifield, Pharm.D. Econo Mart Pharmacy Batesville, AR

A valiant effort has been put forth by the Association and our members to pass the much needed PBM legislation this session. Mark Riley, our executive director, Debra Wolfe, our governmental affairs director, and our entire staff have worked very hard in this endeavor. Several Senators and Representatives have been incredible in this process, specifically lead sponsor Senator Percy Malone and Representative Allen Maxwell. In a session where we have seen many high profile issues such as the state lottery, grocery tax reduction, tobacco tax, and animal cruelty, the PBM bill should have been of little consequence. However, it was one of the most talked about, hardest fought pieces of legislation, and caused a very large expenditure of resources by the PBMs. Passage of a bill that only involved state dollars was not the outcome we had hoped for, but make no mistake, it was a huge victory. This type of state mandated disclosure for the PBMs will inevitably trickle down to the private sector in the future.

Our success during the session should serve as a reminder to us as pharmacists and citizens, that our involvement in the political process is not optional, it is essential to insure the continued advancement of the profession of pharmacy and the protection of our patients.

None of this would be possible without your prior and continued support for APA and our PAC, and the perseverance of our staff, members, and our friends. On behalf of the APA Board of Directors, I would like to extend heartfelt thanks for all of your support.

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The Arkansas Pharmacist

The Executives Perspective Hard Work, Teamwork, and Persistence Equals Success Hallelujah!! The 87th General Assembly of the Arkansas legislature closes today, April 9, 2009. The legislative process can be described with several adjectives: amazing, frustrating, mind boggling, exhilarating, depressing, and intense are just a few. While this was the hardest session of the three sessions in which I have been involved, it is clearly the most successful. Passage of the PBM bill requiring disclosure of the “spread” between what the pharmacy is paid and what the payer is charged is the first time that PBMs have been required to provide this particular kind of transparency anywhere in the nation.

The bill only applies to state funded entities but will give us two years to work with state agencies, colleges and universities, and others to refine and redefine the pharmacy benefit.

Other significant actions in this legislative session include: 1. Special language which requires Community Health Centers to work with local pharmacies when and if pharmacy benefits are widened to include 340B and other pharmacy related programs.

2. State Board Practice Act changes and budget approval.

3. Stopping a controlled substance reporting bill (the bill will be sent to an interim study).

4. Helping send a bill that would challenge the Evidence Based Medicine approach for use of drugs such as Advair inhalers to an interim study.

5. Working with other health care organizations to pass a bill which requires a rewrite of acupuncturists rules to be consistent with legislative statutory intent. This action will prohibit acupuncturists from writing prescriptions for legend drugs and giving injections. It also prohibits the use of the term “Doctor”.

Mark Riley, Pharm.D. Executive Vice President

6. Help block a bill which required, in violation of the conscience clause, a pharmacist to “distribute medically and factually accurate and unbiased information concerning the availability and use of emergency contraception” using the word “shall”. There is already a bill which uses the word “encourage”. We felt that pharmacists should have a personal right as to the extent of his/her involvement. This bill would have not only imposed a fine of $1000 but would have created a “duty” which could result in a civil lawsuit. NOTE: We will work with the Senator who proposed this to provide information for you to use IF APPROPRIATE AND IF YOU CHOOSE TO DO SO. So, as you can see, it was a busy session. And while the outlook looked grim at times, the end results ended up positive on all issues. Debra, Scott, and I thank each of you that responded with help when notified.

In closing, I would like to make a few observations. First of all, I personally and we as an association can’t thank Senator Percy Malone enough for all the help he has given the pharmacy community of Arkansas. He was actively involved in every issue that I listed earlier and lead Senate Sponsor on both the PBM bill and the acupuncture bill. He has “gone to the wall” for not only practicing pharmacists and the association, but also for the Colleges of Pharmacy and the State Board. I cringe to think of the day that he terms out of the legislature. I would like to encourage some of you to step up and run for the legislature so that we can have that critical inside help and perspective that Senator Malone has provided. I would also like to thank Rep. Allen Maxwell, lead sponsor on the House side for the PBM bill, for his relentless work on this bill for the last three sessions. There are many others, and you can find the names of our cosponsors on the Governmental Affairs section of the website.

And, finally, thanks to all of you who have made phone calls, sent emails, and given monetary contributions to help with our political initiatives. Your grassroots involvement is critical in the process, and gives us an advantage over many other groups.

The Arkansas Pharmacist

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Safety Nets

Safety Nets A hospital pharmacist working in the outpatient clinic received the original discharge prescription illustrated in Figure Figure One One. The pharmacist initially interpreted the order as Keppra® (levetiracetam) Oral Solution, 100 mg/5 mL, with directions to the patient of “take 12 mL (240 mg) by mouth two times a day”. From these directions, the pharmacist calculated that 720 milliliters of Keppra® Oral Solution would provide the patient with a 30 day supply of medication. As the pharmacist began to fill the order, he noticed that the concentration of Keppra® Oral Solution was actually 100 mg/mL, not 100 mg/5 mL as written by the prescriber.

The pharmacist immediately realized the prescriber had calculated the number of milliliters per dose (i.e. 12 mL) based on the incorrect Keppra® concentration of 100 mg/5 mL. After informing the prescriber of the correct concentration for Keppra® Oral Solution, the pharmacist changed the directions to the patient to “take 2.4 mL (240 mg) by mouth two times day” to accurately reflect the number of milliliters that would contain the prescribed 240 mg dose. He also changed the quantity to dispense (i.e. 144 mL) to provide a 30 day supply of medication.

Even though the prescriber wrote the wrong concentration of Keppra® Oral Solution on the prescription, he did include an important safety net for the patient – the milligram dose (i.e. 240 mg). By including this dose in the patient directions, he provided the pharmacist with an avenue to check the accuracy of the order. An additional safeguard would have been available to the pharmacist if the prescriber had included the patient’s weight on the order. In this case, a dose of 240 mg every 12 hours indicates a total daily dose of 480 mg. This dose is recommended for a child weighing 12 Kg on the basis of 40 mg/Kg/day. Including the patient’s weight makes the pharmacist a partner in checking the accuracy of the dose calculation.

In some busy pharmacy practice settings, it is very easy for a pharmacist to work in a robotic fashion rather than concentrating on the immediate task at hand. While working this way may in certain instances promote efficiency and workflow, its consistent use does not promote patient safety. Fortunately for the patient in this case, the pharmacist was concentrating on the task at hand and realized the actual concentration of Keppra® Oral Solution was vastly different than what was actually prescribed. If the pharmacist had been working in a robotic fashion and not detected this error, the patient would have received 1200 mg of levetiracetam per dose – a five-fold overdose. Overdoses of levetiracetam have been associated with somnolence and coordination difficulties.

In some busy pharmacy practice settings, it is very easy for a pharmacist to work in a robotic fashion rather than concentrating on the immediate task at hand.

Pharmacists are dispensing more prescriptions than ever before. As the United States population continues to age, this trend will likely continue. In some practice settings, pharmacists are working ten-hour shifts - with no breaks – in order to keep up with the increasing prescription volume. In some locations, technician hours have been reduced as a cost-saving measure. The combination of increased prescription volume with staff reductions may translate into increased patient wait times (up to one hour or more). Tempers may flare on both sides. These types of practice settings do not promote patient safety. A pharmacy must always have adequate staffing to operate efficiently. Adequate staffing will make prescription workloads more manageable and allow pharmacists more time to concentrate on patient safety. Pharmacy owners and managers must create work environments that go beyond assembly line operations.

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The Arkansas Pharmacist

CE at the Races

On Friday, March 20, 2009, the Arkansas Pharmacy Foundation hosted “CE at the Races” at the Oaklawn Jockey Club in Hot Springs.

Legendary Oaklawn track announcer Terry Wallace started off the day with his picks for the 10 races of the day. Dr. Justin Boyd presented a program on “Pharmacist In-patient Rounding Programs” and Dr. John Vinson presented a program entitled “OTC Alternatives for Lowering Cholesterol.” Over 80 pharmacists and guests enjoyed a terrific day at the races.

The third race was featured as the Arkansas Pharmacists Classic.

This event was sponsored by the UAMS College of Pharmacy Alumni Association represented by Ann Turney and Discount Imaging represented by Darin and Kari Shea. They were honored by being photographed in the winners circle.

The Arkansas Pharmacist

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Recognized Ken Couch Wins HDMA’s Highest Honor, The NEXUS Award for Lifetime Achievement Ken Couch, president of Smith Drug Company in currently, president of Smith Drug Company, a Spartanburg, S.C., was the recipient of the division of JM Smith Corporation. Couch brings Healthcare Distribution Management Associaan invaluable perspective to the healthcare intion’s highest honor, the 2008 NEXUS Award for dustry as a result of his diverse background.

Lifetime Achievement. HDMA’s Center for Ken and his wife, Susan, also a pharmacist, will Healthcare Supply Chain Research and Wyeth be celebrating their 30th wedding anniversary Pharmaceuticals honored Couch during the assothis year. They are the proud parents of three ciation’s Annual Leadership Forum Awards Banchildren, Melissa, a Montessori teacher, folquet in National Harbor, Md. lowed by second daughter Kelly, a practicing Over the past decade, Couch has been pharmacist and son Kenneth, called K.C., who actively involved with HDMA and the Center, works for J M Smith. serving two terms as HDMA chairman — the “The Center and the NEXUS Award supporter, first term from 1999-2000 and the second from Wyeth Pharmaceuticals, Inc., are pleased to rec2007-2008. He also served a term as chairman of ognize Ken for this lifetime achievement HDMA’s Government and Public Policy Council award,” said Karen Ribler, executive vice presiand has been an engaged participant on several dent and COO, Center for Healthcare Supply HDMA Committees, including the Executive Chain Research. “Ken truly defines the essence Ken Couch Committee, the Federal Government Affairs of this award — and we are delighted to spotPresident, Smith Drug light his leadership, passion, service, and comCommittee and the Investment Committee.

“Ken’s leadership, experience, knowlmitment to excellence in his profession and in edge and enthusiasm have been tremendous assets to the healthour community.” care industry,” said John M. Gray, HDMA president and CEO, and the Center for Healthcare Supply Chain Research president.

When asked about the evening Ken said, “As I listened to the “The numerous accolades and awards he has received throughout background of the recipient, it narrowed down pretty quickly. At his life for his work and dedication to excellence on behalf of pa- that point, two things jumped into to my head. First, I wanted to tients, trading partners, employees, family and friends, further “drag” Susan to the stage with me so I could publicly thank her demonstrate why he is the recipient of this year’s NEXUS for the support, sacrifices, and understanding that she had given Award.” me through out my career. Secondly, I wanted to express the Couch is no stranger to leadership roles. He began early, honor of being included into a group of icons of our industry, serving as president of his high school student body and of the who had been examples and mentors to me, and who had been student pharmacy association at his alma mater, the University of shapers and defenders of the supply chain. While not usually South Carolina. He followed that up with service in various roles being at a shortage for words, I fear that I expressed neither point for regional, state and national pharmacy associations, including as well as I would have liked. After I shook hands with everyone a stint as president of the South Carolina Pharmacy Association. on stage and turned to the microphone, all superlatives for the He’s been recognized by the American Pharmaceutical Associapeople behind me escaped into the brightness of the spotlight, tion having been named an APhA Fellow for his work as an offiand I forgot to mention Susan at all.” cer in the Academy of Pharmacy Practice and Management, and has served on policy and reference committees to the associa“I am deeply honored to have received the Nexus Award. My ention’s House of Delegates. tire career has been devoted to pharmacy, and to the positive Couch is an active business and civic leader in Spartanhealth benefits that our industry offers. To be recognized by burg, South Carolina, and he believes strongly in giving back to highly esteemed industry leaders for “lifetime achievement” in his community and to the industry. He has been president of the that effort is certainly a pinnacle in my career. It also represents a Spartanburg Rotary Club, and he was the first chairman of the springboard of encouragement toward the accomplishment of Spartanburg County Alcohol and Drug Abuse Commission. Most some things that remain to be done. recently, he was awarded the honorary Doctor of Humane Letters from Wingate University for his help in starting Wingate’s new It is quite apparent that our profession and industry face some School of Pharmacy. Additionally, he received the Morgan Award significant challenges in the near future. These opportunities will from the United Way of Piedmont for his civic contributions. require the very best of our professional efforts and innovation, During his impressive career, he has held positions as a applied in a spirit of collaboration. I look forward to being part pharmacist, computer systems manager, marketing director and of that process.”

The Arkansas Pharmacist

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AAHP Report

Arkansas Association of Health-System Pharmacists (AAHP)

by Maggie Miller, President

Fall Seminar 2009 The 43rd Annual AAHP Fall Seminar will be held October 8-9, 2009, at the Holiday Inn Airport in Little Rock. There will be over 11 hours of live continuing education provided. Please check our website at www.aahponline.org for more information.

The Fall Seminar Committee, Drs. Jennifer Priest, Lanita Shaverd, Marsha Crader, Rob Christian and Andrea Donaldson and Janet Liles, continue to do an excellent job planning this event. We appreciate their work and know that their efforts will yield another successful seminar!

Committee on Membership and Communication Dr. Sherrie Lane from Johnson Regional Medical Center is now serving as the new Membership and Communication Chair. She is developing a list of Pharmacy Directors in Arkansas to increase communication within the state. Please contact Dr. Lane with your information if you have not been contacted and would like to be included. Her email is pharmacy@arkansas.net.

APA 127th Annual Convention at the Double Tree Hotel The topics for the AAHP portion of the APA Convention will be Update: 2009 Chest Guidelines and Perioperative Bridging by Dr. Holly Rickman from the CAVHS – Little Rock and Zero Tolerance for Failure: Pharmacists Fight Back Against Hospital-acquired Infections (speaker to be announced). The presentations take place on Thursday June 11th from 8:00 – 11:30 am. AAHP wishes to extend our appreciation to Drs. Scott Pace and Kimberly Watson for their efforts in planning this education session.

AAHP 43rd Annual Fall Seminar October 8-9, 2009 Holiday Inn Airport Little Rock, AR

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The Arkansas Pharmacist

2009 UAMS Graduates

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The Arkansas Pharmacist

UAMS Report Experiential Education Prepares Students for Pharmacy Careers A Message from UAMS College of Pharmacy Assistant Dean for Experiential Education Schwanda Flowers, PharmD, Assistant Professor, Pharmacy Practice

In my work at the College, I oversee student clerkships which are now called Advanced Pharmacy Practice Experiences for our senior students. Each senior pharmacy student is required to complete nine month-long experiences in a variety of different practice areas. Seven of the months are required experiences for all students, with an additional two months of electives. I work closely with more than 400 preceptors across Arkansas to plan all facets of these experiences.

Students are required to have three month-long experiences in an acute care environment, typically a hospital. They participate in direct patient care through the provision of clinical services.

They round with an interdisciplinary patient care team and make recommendations to improve patient care. If an acute care facility does not have interdisciplinary team rounds, students can conduct patient interviews, review charts, and make evidence-based medication decisions to design patient care plans. They can provide drug information and medication safety information to healthcare professionals, patients and families.

Schwanda Flowers, Pharm.D. Acute care APPEs can occur in small community-based hospitals as well as large research hospitals. Regardless of the acute care setting, they provide opportunities for students to contribute directly to patient care. I believe it is important to have diversity in these experiences so students see a variety of patients and practice sites.

Another required month is an Ambulatory Care experience that focuses on the pharmacist’s role in an outpatient clinical or physician office setting. Opportunities within these settings include participation in diabetes clinics, anticoagulation services, and rural health clinics. I am always looking to identify other opportunities in community practice for our students to be involved in an ambulatory care environment.

A month-long experience in Hospital/Health System management also is required. It concentrates on healthcare delivery including medication distribution, formulary issues, reimbursement, automation, information technology and human resource management.

Two months of community rotations are required, with one in Community Management. This relates to managing resources in a community pharmacy through inventory control, personnel management, efficiency and cash flow. Many of these experiences teach students important lessons in entrepreneurship.

The second community rotation is Advanced Community Pharmacy Practice, with options for study of nonprescription medication or medication therapy management. Students provide self care recommendations, document their recommendations, and provide information on self care issues. In the medication therapy management experience, student pharmacists manage patients with multiple disease states and multiple maintenance medications. They interact with physicians when medication changes are needed and work directly with patients to improve compliance.

The last two experiences are electives from a broad range of choices including managed care, compounding and informatics. I would encourage practicing pharmacists to look at their sites and find a specialty area they could offer as an elective to senior pharmacy students.

Managing this variety of student experiences makes my job interesting and rewarding. I believe there is a place in our experiential program for all pharmacists interested in precepting students. I invite you to contact me at SKFlowers@uams.edu if you interested in serving as a preceptor or if you have questions regarding the APPE program.

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Member Classifieds Relief Pharmacist Needed Relief pharmacist needed for independent pharmacy in Van Buren. We need someone 1 or 2 days per week and 1 or 2 Saturdays per month. Please call 479-474-3431 or 479-806-4365/email Elizabeth Morrison.

Full Time Pharmacist Needed Immediate opportunity exists for Pharmacists to join our team on a full time basis. We are a community based acute care hospital in Jacksonville, AR. Please contact Amy Arnone, Recruiter at aarone@northmetromed.com or 501-985-7249.

Staff Pharmacist Needed Johnson Regional Medical Center, a growing eighty-bed hospital located in Clarksville, Arkansas is seeking a staff Pharmacist 24 hours/week for our Pharmacy Department.

Our pharmacy provides coverage from 7:30 am to 5:00 pm, seven days a week in a Meditech environment. We have an excellent and supportive medical staff and successfully completed a recent State Health Department Inspection.

Future pharmacy developments include EMAR’s, barcoding and our automated dispensing system (Omnicell) will go live in June 2009. Clarksville, a community of 8,000 is located in the beautiful Arkansas River Valley, at the foothills of The Ozarks. Quality schools, community support, affordable housing and a stable economy make Clarksville a great place to live and work. JRMC offers competitive wages, flexible scheduling and a comprehensive benefit package, including health, dental, vision, Life, Disability, 401(k) with matching contributions, child care assistance, discounts on hospital services and over-the-counter medication, continuing education, paid license renewal and Arkansas Pharmacists Association membership, plus a minimum of 13 days of paid time off per year. If you or anyone you know will like to learn about the staff Pharmacist position at JRMC, call Sherrie Lane at 479-754-5382 or 479-477-0160.

University of Arkansas for Medical Sciences College of Pharmacy Hospital Experiential Director Rank: Assistant Professor (non-tenture track), Pharmacy Practice Individual being sought to oversee hospital/institutional component of UAMS College of Pharmacy Experiential Education Program. Candidate will also contribute to the college’s service and scholarly missions. For more information contact:Schwanda K. Flowers, PharmD. at 501-686-7920 office skflowers@uams.edu.

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Pharmacist Looking for Work Full time pharmacist looking for work in the Mountian Home/Harrison area. Contact Paul Scott 870-449-6692.

Part-time Pharmacist Needed Part-time pharmacist needed in Pine Bluff/Monticello area.

Send resume to rxnseark@yahoo.com or call 870-510-8050.

Pharmacists Needed 1. Evening shift, 40 hours per week, Monday - Friday, 1:30 p.m. - 10:00 p.m.

2. Rotating day shift, rotating weekends, 30 hours per week with extra hours possible.

Baxter Regional Medical Center provides a competitive compensation and benefit package with sign-on bonus available. Apply online at www.baxterregional.org. You may contact Sheila Wilson, Employment Coordinator at 888-723-5673 or by email at swilson@baxterregional.org We look forward to receiving your application.

Pharmacist Needed A new Orthopedic and Spine Specialty Hospital located in Northwest Arkansas is actively seeking a full-time Pharmacist. The hospital is scheduled to open on March 15th, 2009. Hospital experience is preferred, but not necessary. All interested candidates call Kelley Oliver, R.N., CNO at 479-527-7004 or email your resume’ to HR@pscfay.com.

Pharmacist Needed Assessing appropriate and cost-effective use of medications, committee service, patient rounds, drug information, pharmacokinetics, education presentations, and decentralized order entry. Contact Romona McLean, Washington Regional Medical Center 479-463-1102 Pharmacist Needed Pharmacist needed to work Saturdays 9am-3pm (or even 2 Saturdays/month)!! Independent pharmacy in Van Buren, AR with great tech help, great atmosphere and great extra cash! E-mail resume to kbarlow@pharmacyexpressvanburen.com, fax 479-474-3131 or call 479-462-1269.

Technician Needed Independent pharmacy in Little Rock looking for pharmacy technician with experience in compounding. Position is full time Monday - Friday. Contact Kenny at 501-223-2224.

The Arkansas Pharmacist

Independent Pharmacies Wanted Independent pharmacist interested in purchasing independent pharmacies in Arkansas. Pharmacies will remain independent after purchase. Purchaser has solid independent pharmacy background. If interested in selling your pharmacy, please contact Vance at 870-897-1204 or via e-mail at VanPark@aol.com.

Technician Needed Immediate opening for full time compounding technician.

Monday - Friday 9:00 a.m. - 5:30 p.m., benefits included.

Please call Lynn at 501-374-2207.

Volunteer Pharmacists Needed Shepherd’s Hope Neighborhood Health Clinic is a ministry of Fellowship Bible Church and Oak Forrest United Methodist Church serving uninsured and indigent patients in the South Midtown area of Little Rock. The Clinic is located at 2404 Tyler Street (behind Oak Forrest). The hours of operation are 6:00pm to 8:30pm every Tuesday and Thursday night. Current needs are pharmacists willing to volunteer every 4 weeks. If you are available to volunteer and help with this ministry, please contact Bren May at 501-993-0729. Thank you!

Pharmacists Needed Full time pharmacists needed in Hot Springs and Little Rock. Central Arkansas Veterans Healthcare System (VA Hospital) has immediate openings for a full-time pharmacist in the Hot Springs clinic and positions at the Little Rock hospital. Competitive salary and federal employee benefits. Applicants are eligible for a sign on bonus and to apply for the Employee Debt Reduction Program (school loan reimbursement). For more information and to apply, go to www.usajobs.gov. Under the search option, type in pharmacist and Little Rock, AR. You may call the VA pharmacy office at 501-257-6330; ask for Gigi or Jane for questions.

For Sale Laminar Flow Glove Box/Isolator made by Germfree Labs, Inc. Six foot stainless steel 1 or 2 person unit. Certified on 6/12/2008. Call Jim, Layton or Stan at 501-315-7700 for more information.

IVANRX4U, Inc., Pharmacist Relief Services, Career Placements.

Relief pharmacists needed - FT or PT. Based in Springfield, MO and now in Arkansas. Staffing in Missouri, Arkansas, Eastern Kansas and Oklahoma. We provide relief pharmacists for an occasional day off, vacations, emergencies --

ALL your staffing needs. Also seeking pharmacists for full or part-time situations. Please contact Tracy Byrd, Marketing and Recruiting Director, or Mike Geeslin, President for information regarding current openings throughout Arkansas - temporary as well as permanent placements. Let IvanRx4u help staff your pharmacy, call 417-888-5166. We welcome your email inquiries, please feel free to contact us at: Ivanrx4u@aol.com or Ivanrx4u-tracy@hotmail.com.

Pharmacist in Charge Wanted Competitive salary with up to 3 weeks paid vacation and major medical coverage plus 401K plan. Great schedule Monday thru Friday, hours 9:00 a.m. to 6:00 p.m. Contact Alan Tweddell at 870-931-2881 or send resume to: Country Mart Pharmacy, 208 Lincoln Dr., Fredericktown, MO 63645 Positions to be filled in N.E. Arkansas and S.E. Missouri.

Pharmacists Needed Part time pharmacist needed in Danville. Full time pharmacists needed in Hot Springs. Competitive salary with excellent benefit package. No nights or Sundays. Contact Alvin Groves at 479-619-6343.

Relief staffing available through Staff RPh, Inc. We provide quality pharmacists and technicians that you can trust for all your staffing needs. Our current service area includes AR, TX, OK and TN. For more information call Rick Van Zandt at 501-847-5010 or email staffrph@comcast.net.

Pharmacists Needed Kroger is looking for part-time pharmacist in Hot Springs and a full time pharmacist in Russellville. Please contact Jamie Shoemaker at 501-650-1715 or Julie Dean at 901-765-4204.

Pharmacy for Sale In beautiful North Arkansas. Established in 1974. Family owned with exceptional reputation in dynamic community.

Excellent schools, recreational & retirement center, golf courses, lakes, rivers, 2.5 hours from Little Rock, AR; Memphis, TN; and Springfield, MO. Pharmacy is ideally located: a) across from doctor’s complex and new treatment, diagnostic, and emergency facility, b) next door to ophthalmologist and optometrist. Contact Mike Sprague at 512-799-5265.

Pharmacy for Sale North Central Arkansas, owner retiring. Clinic setting next to two MDs & one nurse practioner. Call Charlie at 870-895-2143 days and 870-895-2361 nights.

The Arkansas Pharmacist

15

Rx and the Law

PHARMACY MARKETING GROUP, INC

AND THE LAW

By Don. R. McGuire Jr., R.Ph., J.D. This series, Pharmacy and the Law, is presented by Pharmacists Mutual Insurance Company and your State Pharmacy Association through Pharmacy Marketing Group, Inc., a company dedicated to providing quality products and services to the pharmacy community.

JOINT AND SEVERAL LIABILITY Previous articles in this series have dealt with the elements of negligence and the concept of comparative fault. This edition will deal with another closely-related concept, Joint and Several Liability. Joint and Several Liability may apply only when there are multiple defendants in a case. We have seen this in our cases when a pharmacy is a co-defendant with a physician and/or a hospital.

The concept of Joint and Several Liability allows a plaintiff to sue some or all of the defendants together, or to sue each one separately. If the plaintiff wins their case, the plaintiff may collect equal or unequal amounts from each defendant. While the plaintiff has a choice from whom to collect their judgment, the plaintiff cannot collect more than the total amount of the judgment.

The reason for Joint and Several Liability is to increase the chances that an injured person can collect the money they are due. It allows the plaintiff to collect from the more solvent or better insured defendant. For example, a pharmacy and a physician are co-defendants in a case. The jury renders a verdict for $100,000 and assigns 75% of the fault to the physician and 25% to the pharmacy. But if the physician is bankrupt and/or not insured, the plaintiff could then attempt to collect the entire $100,000 from the pharmacy. While this may be seen as unfair from the pharmacy’s point of view, the system is set up to maximize the chances for the injured person to be compensated.

Joint and Several Liability is governed by state law and as you might expect, there is a lot of variation in how the concept is applied in each state. Generally, the majority of states do not apply the concept, but then create 2 exceptions where Joint and Several Liability does apply. The exceptions that most states allow are when the defendants act in concert (as in a conspiracy) or when 1 person acts as the agent or servant of another.

There are a number of singular exceptions where it also applies.

In Illinois, general negligence cases are not Joint and Several, but medical malpractice cases are (medical malpractice usually includes cases against pharmacies). However, in West Virginia, medical malpractice is specifically not Joint and Several. Michigan medical malpractice cases allow Joint and Several Liability if the plaintiff is found to be without fault.

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Other states apply Joint and Several Liability depending on the percentages of fault attributed to the parties under Comparative Fault. For example, in Iowa, Joint and Several Liability doesn’t apply if a defendant is 50% or less at fault. Minnesota does apply it if a defendant is more than 50% at fault. In Missouri, it is applied if a defendant is more than 51% at fault. New Jersey raises the ante and applies Joint and Several Liability if a defendant is 60% or more at fault.

Nebraska takes a rather unique approach. It applies Joint and Several Liability to economic damages (e.g., medical expenses, lost wages, etc.), but not for non-economic damages (e.g., pain and suffering). Two other states have a different approach. Joint and Several Liability generally doesn’t apply in Connecticut and Oregon, unless amounts of the judgment are uncollectible. The uncollectible amount is reallocated amongst the remaining defendants based on their percentage of fault. However, this reallocation won’t occur in Oregon to a defendant who is 25% or less at fault or whose fault is equal to or less than the fault attributed to the plaintiff.

As you can see, Joint and Several Liability is intricately involved with the concepts of negligence and comparative fault. In many cases, its application is dependent on comparative fault. This basic concept can take many forms and applications depending on the law of the jurisdiction where the case is heard. It is just one factor to consider in defending and/or settling negligence claims. Failure to consider Joint and Several Liability early could lead to a significant financial impact once the judgment is entered.

© Don R. McGuire Jr., R.Ph., J.D., is General Counsel at Pharmacists Mutual Insurance Company.

This article discusses general principles of law and risk management. It is not intended as legal advice. Pharmacists should consult their own attorneys and insurance companies for specific advice. Pharmacists should be familiar with policies and procedures of their employers and insurance companies, and act accordingly.

The Arkansas Pharmacist

In Memoriam Dr. Donald Moody Magnolia, AR

Medicaid Alert As professionals you are all aware of the national attention that has been focused on the atypical antipsychotic medications and their use in pediatrics. There has been a great concern in the Medicaid arena which includes the state’s foster children.

Several years ago we embarked on a project to educate providers regarding children and mental health drugs.

The outcome was not as we had anticipated.

We recently have been involved in discussions regarding possible safeguards to assure the wellbeing of the state’s children. The April 15th meeting of our Drug Utilization Review Board (DUR) will be reviewing the atypical antipsychotic medications as it relates to our pediatric population. This information is to alert you that you can be anticipating a memo regarding the outcome of the discussions with the DUR board.

The Arkansas Pharmacist

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Harding Report Harding College of Pharmacy Forming Student Organizations Harding University College of Pharmacy’s (HUCOP) inaugural class is excited to be kicking off its first professional organization. Over the past thirtynine years, the American Pharmacsists Association-Academy of Student Pharmacists (APhA-ASP) has been dedicated to improving medication use and advancing patient care. Harding University is excited to become involved with a campus chapter. APhA-ASP plays an important role in helping students navigate through the challenges of pharmacy school, explore careers in pharmacy, and connect with other professionals. APhA-ASP also provides optimal networking opportunities and career guidance for students, leadership development, professional liability insurance, scholarships and awards, and a chance to connect with over 30,000 student pharmacists from 101 schools of pharmacy. In December elections were held for APhA-ASP offiAPhA-ASP Harding chapter members and the Dean, Dr. Julie cers with the following results: President, Celia Proctor; Vice President, Matt Hixson-Wallace, at a skating event in Little Rock.

Jones; Vice President of Membership, Lee Reeves; Vice President of Finance, Brittany Todd; Vice President of Professional Projects, Candice Simmons; Vice President of Public Relations, Crystal Payton; Vice President of Student Activities, Aakash Patel; Secretary, Mallory Garfield.

Officers meet for retreat. Officers include: Matt Jones, Mallory Garfield, Brittany Todd, Candice Simmons, Dr. Smith (sponsor), Crystal Payton, Celia Proctor, Aakash Patel, and Lee Reed.

The Council of Students is an organization of elected pharmacy students working for the futherment of programs set forth by the student body. All students of the College of Pharmacy are included in the student body organization. The Council of Students acts as the official voice of the student body. Its objectives include establishing two-way communication expressing views on pharmacy education between students and educators. Elections were also held for the Council of Students in December with these results: President, Blake Miller; Vice President, Brian Grace; Secretary, Melinda Monroe; Treasurer, Jack Lin; Parliamentarian, Abiel Tsegai.

In January, the officers of the two organizations in the college of pharmacy, APhA-ASP and Council of Students, met for an officer retreat. The officers worked on their leadership skills, as well as discussed their strengths and how they can be used to benefit the student body. Each organization also met individually to plan events for the semester.

The HUCOP APhA-ASP officers successfully conducted a membership drive in January. They are now fifty-one members strong. That is over 85% of the inaugural class! This participation rate shows the excitement of the inaugural class to be involved in the profession.

The faculty advisor to the chapter is Dr. Jeanie Smith.

First order of business – a professional project collaboration with UAMS APhA-ASP. A solid idea of healthcare screenings along the I40 corridor has been proposed. Both UAMS and HUCOP APhA-ASP officers are working on details and logistics of this project. An expected launch date for providing these services is fall 2009.

Second order of business – a fundraiser: Rx for Love was a project where individuals purchased an “Rx for Love” for $2.00 in return for a candyfilled goody bag just in time for Valentine’s Day. It was a huge success!

Vice President for Fundraising, Brittany Todd says, "Fundraising is a large part of getting our organization established and is a large platform for the future of the organization. This semester we hit the ground running with a Valentine's Rx for Love fundraiser. This also helped raise awareness of our organization not only to pharmacy students but also to the undergraduate students to whom we also advertised the fundraiser. I am really excited to be a part of the founding APhA-ASP Harding chapter and cannot wait to see what services it will provide not only future pharmacy students but the Searcy community."

Candice Simmons and Brittany Todd prepare Rx for Love bags for APhA-ASP fundraiser.

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The Arkansas Pharmacist

The Arkansas Pharmacist

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Honor Roll of Past Presidents *Dr. J.J. McAlmont, Little Rock ....................................1883-84 *Dr. John B. Bond, Sr., Little Rock ................................1884-87 *W.W. Kerr, Batesville....................................................1887-91 *E.E. Shendall, Hot Springs............................................1891-92 *John W. Morton, Fort Smith..........................................1892-93 *G.N. Hart, Pine Bluff ....................................................1893-94 *J.M. Anderson, Pine Bluff ............................................1894-95 *A.L. Morgan, Camden ..................................................1895-97 *J.F. Dowdy, Little Rock ................................................1897-99 *E.F. Klein, Hot Springs ............................................1899-1901 *W.R. Appleton, El Dorado ............................................1901-03 *R.B. King, Helena ........................................................1903-05 *W.H. Skinner, Pocahontas ............................................1905-07 *Frank Schachleiter, Hot Springs....................................1907-09 *O.O. Lumpkin, Texarkana ............................................1909-10 *Henry Weimer, Hot Springs ..........................................1910-11 *John J. Ward, Hope........................................................1911-13 *R.A. Warren, Fort Smith ..............................................1913-14 *Roy Chamberlin, Little Rock ........................................1914-15 *Booker Latimer, Dewitt ................................................1915-17 *Jesse D. Hodges, Little Rock ........................................1917-18 *W.C. Hogan, Atkins ......................................................1918-19 *Col. W.G. Ownbey, Springdale ....................................1919-21 *W.J. Conery, Pine Bluff ................................................1921-22 *Edward Bradley, Hot Springs........................................1922-25 *P.R. Turner, Marianna ..................................................1925-27 *Herbert W. Parker, Jonesboro........................................1927-28 *Max D. Daggett, Marianna............................................1928-30 *Iri Brite, Fort Smith ......................................................1930-31 *Frank G. Ward, Hope ....................................................1931-32 *L.K. Snodgrass, Little Rock..........................................1932-33 *V.M. Harrington, Marianna ..........................................1933-34 *John P. Cox, Hope ........................................................1934-35 *J.E. Berry, Smackover ..................................................1935-36 *Harold Lawson, Little Rock..........................................1936-37 *Roger M. Martin, Norphlet ..........................................1937-38 *G.M. Eisele, Hot Springs ..............................................1938-39 *G.M. “Buddy” Marks, Little Rock................................1939-40 *Purcell Smith, Little Rock ............................................1940-41 *Jim Ketchum, Newark ..................................................1941-43 *J.B. Harris, Foreman ....................................................1943-44 *Troy D. Churchman, Little Rock ..................................1944-45 *G.B. Stovall, Wilmot ....................................................1945-46 *Gordon C. Hunt, North Little Rock ..............................1946-47 *Wilkes Crume, Hot Springs ..........................................1947-48 *Maynard Lyons, Lonoke ..............................................1948-49 *A.L. Waddle, Harrisburg ..............................................1949-50 *Wade Willis, Magnolia..................................................1950-51 *Glenn C. Ricketts, Fayetteville ....................................1951-52 *L.J. Clarke, Marked Tree ..............................................1952-53 *Frank Headlee, Searcy ..................................................1953-54 *W.M. Cox, North Little Rock........................................1954-55 *J. Hunter Hollaway, Lake Village ................................1955-56 20

L.H. Haines, Marianna ....................................................1956-57 *S.A. Walker, Russellville ..............................................1957-58 *Morris G. Collier, Fayetteville ......................................1958-59 Harold Crall, Jonesboro ..................................................1959-60 Hanks Spikes, Crossett....................................................1960-61 *Morris H. Rosen, Pine Bluff..........................................1961-62 *Leon Holsted, North Little Rock ..................................1962-63 *Harrel P. Hesterly, Camden ..........................................1963-64 Fred Ragland, Jr., Stuttgart..............................................1964-65 *Ivan Rose, Rogers ........................................................1965-66 L.D. Horn, North Little Rock..........................................1966-67 Roger G. Williams, Searcy..............................................1967-68 Bill D. Plunkett, Mena ....................................................1968-69 *Guy Newcomb, Osceola................................................1969-70 *Joe Owen, Texarkana ....................................................1970-71 James Latture, Jr., Hot Springs........................................1971-72 Donald W. Stecks, Little Rock ........................................1972-73 *Luther Hodge, Clarksville ............................................1973-74 Charles M. West, Little Rock ..........................................1974-75 *Lowell Mikles, Booneville............................................1975-76 Milton H. Miller, Little Rock ..........................................1976-77 Larry Holcomb, Piggott ..................................................1977-78 Robert Evans, Murfreesboro ..........................................1978-79 John T. Douglas, Jonesboro ............................................1979-80 R. Eugene Graves, Little Rock........................................1980-81 Larry C. Wamble, Osceola ..............................................1981-82 Thomas N. O’Donell, Morrilton ....................................1982-83 Norman Canterbury, Magnolia........................................1983-84 Mark Riley, Little Rock ..................................................1984-85 Tery Baskin, Little Rock ................................................1985-86 Reid Holiman, Springdale ..............................................1986-87 Reed Perryman, Calico Rock ..........................................1987-88 Roger Harmon, Jonesboro ..............................................1988-89 Bill Groves, Pine Bluff....................................................1989-90 Larry Autry, DeQueen ....................................................1990-91 Thomas Wood, Judsonia ................................................1991-92 Bobby Evans, Jonesboro ................................................1992-93 Vicki Fowlkes, Little Rock ............................................1993-94 Larry Bell, Lincoln..........................................................1994-95 Ronnie Norris, McGehee ................................................1995-96 John Page, Fayetteville....................................................1996-97 Richard Hanry, El Dorado ..............................................1997-98 Gary Lee, Fort Smith ......................................................1998-99 Dean Sikes, Pine Bluff ................................................1999-2000 Don Curran, Springdale ..................................................2000-01 David Smith, Conway ....................................................2001-02 Michael Smith, Russellville ............................................2002-03 Gary Fancher, Flippin ....................................................2003-04 Billy Gammel, Crossett ..................................................2004-05 Gary Butler, Hot Springs Village ....................................2005-06 Wayne Padgett, Glenwood ..............................................2006-07 Stephanie Goodart O’Neal ..............................................2007-08

The Arkansas Pharmacist

PHARMACIST OF THE YEAR AWARD The Pharmacist of the Year Award was established in 1959 by action of the Association’s Executive Council. Nominations for the award are submitted to a three-member committee, made up of a member from the UA School of Pharmacy and two past presidents of the Association. According to the original guidelines, “Those nominated should possess professional standards beyond reproach, a record of outstanding civic service in the community, and be a member of the APA, who has contributed his efforts toward the progress of the profession through the state association.” Winners of the award are as follows: 1959 S.A. Walker . . . . . . . . . . . . . . Russellville 1960 Thomas E. Mattax . . . . . . . . . Little Rock 1961 Joe Harris . . . . . . . . . . . . . . . . Fort Smith 1962 Morris H. Rosen. . . . . . . . . . . . Pine Bluff 1963 Gordon Hunt . . . . . . . . North Little Rock 1964 Ivan Rose . . . . . . . . . . . . . . . . . . . Rogers 1965 Fred Ragland . . . . . . . . . . . . . . . Stuttgart 1966 Dr. W.A. Strickland . . . . . . . . Little Rock 1967 Harrell Hesterly. . . . . . . . . . . . . . Camden 1968 L.D. Horn . . . . . . . . . . . North Little Rock 1969 Dr. James E. Dusenberry . . . . Little Rock 1970 Donald W. Stecks . . . . . . . . . . Little Rock 1971 S. Don Phillips . . . . . . . . . . . Arkadelphia 1972 Luther Hodge . . . . . . . . . . . . . Clarksville 1973 Charles West. . . . . . . . . . . . . . Little Rock 1974 Walter J. Morrison . . . . . . . . . Little Rock 1975 Ivan W. Rose . . . . . . . . . . . . . . . . . Rogers

1976 Guy Newcomb. . . . . . . . . . . . . . . Osceola 1977 William S. Baggett . . . . . . . . . Fort Smith 1978 B. Reid Holiman . . . . . . . . . . . Springdale 1979 James S. Latture . . . . . . . . . . Hot Springs 1980 Larry N. Holcomb. . . . . . . . . . . . . Piggott 1981 John T. Douglas. . . . . . . . . . . . Jonesboro 1982 Gene Graves . . . . . . . . . . . . . . Little Rock 1983 Lester Hosto . . . . . . . . . . . . . . Little Rock 1984 Jerry Stephens . . . . . . . . . . . . Little Rock 1985 B. Reid Holiman . . . . . . . . . . . Springdale 1986 George Wimberly . . . . . . . . . . Little Rock 1987 Bill Groves . . . . . . . . . . . . . . . . Pine Buff 1988 Mark Riley . . . . . . . . . . . . . . . Little Rock 1989 Larry Wamble . . . . . . . . . . . . . . . Osceola 1990 Bill Bloodworth . . . . . . . . . . . Little Rock 1991 Charles Campbell . . . . . . . . . . Little Rock 1992 J. Thomas Tapp. . . . . . . . . . . . Little Rock

1993 Ed. Henley . . . . . . . . . . . . . . . Smackover 1994 C.A. Kuykendall . . . . . . . . . . . . . . . Ozark 1995 Dana L. Woods . . . . . . . . Mountain View 1996 Tery Baskin . . . . . . . . . . . . . . Little Rock 1997 Roger Williams . . . . . . . . . . . . . . . Searcy 1998 Ronnie E. Norris . . . . . . . . . . . . McGehee 1999 Joe E. Larkin . . . . . . . . . . . . . . Charleston 2000 Jeff Fenton Dunn. . . . . . . . . . . . . Dermott 2001 Gayle Fowlkes . . . . . . . . . . . . . . Conway 2002 Percy W. Malone . . . . . . . . . Arkadelphia 2003 Larry Autry. . . . . . . . . . . . . . . . . DeQueen 2004 Stephanie Gardner . . . . . . . . . Little Rock 2005 Charles Smith . . . . . . . . . . . . . . . . Benton 2006 V. Alton Chambless . . . . . . . . . . . . Dewitt 2007 Steve Bryant . . . . . . . . . . . . . . . Batesville 2008 Michael Smith . . . . . . . . . . . . Russellville

DISTINGUISHED YOUNG PHARMACIST AWARD The time has come, once again, to select an outstanding young pharmacist for Marion Merrell Dow’s “Distinguished Young Pharmacist Award.” This award is given annually to an outstanding young pharmacist in each state, selected by his or her peers. The young pharmacist receiving this award best represents not only their profession, but also their quality of life. Our previous recipients of this distinguished award are as follows: 1987 Robna Wiles Pfeifler, P.D. . . . Fayetteville 1988 Mike Smets, P.D. . . . . . . . . . . . . Fort Smith 1989 Kelly Callan, P.D. . . . . . . . . . . . Little Rock 1990 Nancy Williams, P.D. . . . . . . . . . . . Searcy 1991 Rob Evans, Jr., P.D. . . . . . . . Murfreesboro 1992 Michael Scribner, P.D. . . . . . . . Springdale 1993 Michael Brown, P.D. . . . . . . . . Little Rock 1994 Dell McCarley, P.D. . . . . . . . . . Little Rock

1995 Robert A. Cotton, P.D. . . . . . . Little Rock 1996 Melissa Liddle, P.D. . . . . . . . . . . . . . Cabot 1997 Shelly Tucker, Pharm.D. . . . . . Little Rock 1998 Ed Pat Wright, Pharm.D.. . . . . . . . . Helena 1999 James W. Bethea, Pharm.D. . . . . Stuttgart 2000 Denise Roark, Pharm.D. . . . . . Springdale 2001 Trey Gardner, Pharm.D. . . . . . Little Rock 2002 Dosha Cummins, Pharm.D. . . . Jonesboro

2003 Justin Boyd, Pharm.D.. . . . . . . Fort Smith 2004 Jeanie Horton, Pharm.D.. . . . . . . Dennard 2005 Aaron Brown, Pharm.D. . . . . . Little Rock 2006 Lindsey Way, Pharm.D. . . . . . Little Rock 2007 Brandon Cooper, Pharm.D. . . . Jonesboro 2008 John Kirtley, Pharm.D. . . . . . . Little Rock

COMMUNITY SERVICE AND BOWL OF HYGEIA AWARD The Bowl of Hygeia Award was established by the A.H. Robins Company to honor pharmacists who have contributed to the progress of their community. Past recipients of the award are: 1959 Gordon C. Hunt . . . . . . North Little Rock 1960 Hank Spikes . . . . . . . . . . . . . . . . . . Crossett 1961 Willis Rickettes . . . . . . . . . . . . Fayetteville 1962 Burl Foster . . . . . . . . . . . . . . . . . . Ashdown 1963 Frank L. Qualls . . . . . . . . . . . . Russellville 1964 Nathan M. Barrett . . . . . . . . . . . . . . Warren 1965 Harvey B. Shehane . . . . . . . . . . El Dorado 1966 Leon Holsted . . . . . . . . . North Little Rock 1967 John T. Douglas . . . . . . . . . . . . . Jonesboro 1968 Benny Ray Post . . . . . . . . . . . . Smackover 1969 Luther E. Hodge . . . . . . . . . . . . Clarksville 1970 Bill D. Plunkett . . . . . . . . . . . . . . . . . . Mena 1971 Reed Mack Perryman . . . . . . Calico Rock 1972 Jack Charles Irvine . . . . . . . . . . . . Dermott 1973 Lester E. Hosto . . . . . . . . . . . . . Little Rock 1974 Edgar F. Henley, Jr. . . . . . . . . . Smackover 1975 Edward P. Buerkle . . . . . . . . . . . . Stuttgart

1976 Samuel H. Alexander . . . . . . . . . . Harrison 1977 Roger G. Williams . . . . . . . . . . . . . . Searcy 1978 Carl M. Collier . . . . . . . . . . . . . Fayetteville 1979 Roger Harmon . . . . . . . . . . . . . . . Jonesboro 1980 Larry Wamble . . . . . . . . . . . . . . . . . Osceola 1981 Donald Wayne Stecks . . . . . . . Little Rock 1982 Charles Bishop . . . . . . . . . . . . . . . . . . Dover 1983 George Wimberly . . . . . . . . . . . Little Rock 1984 Tommy O’Donell . . . . . . . . . . . . Morrilton 1985 James S. Latture, Jr. . . . . . . . . Hot Springs 1986 Frank M. Cole . . . . . . . . . . . . . . . Jonesboro 1987 Oscar Paul Clayton . . . . . . . . . Tuckerman 1988 A.C. Tygart . . . . . . . . . . . . . . . . . . . Sheridan 1989 R. Eugene Graves . . . . . . . . . . . Little Rock 1990 Jeffery F. Dunn. . . . . . . . . . . . . . . . Dermott 1991 Randy Shinabery . . . . . . . . . . Marked Tree 1992 Bobby Joe Clark . . . . . . . . . . . . Bald Knob

1993 Samuel R. “Bob” Lyon North Little Rock 1994 Jack Coker . . . . . . . . . . . . . . . . . . . Stuttgart 1995 Wm. Percy Malone . . . . . . . Arkadelphia 1996 Ron Teasley . . . . . . . . . . . . . . . . . . Gravette 1997 Mark Meeker . . . . . . . . . . . . . . Hot Springs 1998 Donald F. Johnson . . . . North Little Rock 1999 John R. Page . . . . . . . . . . . . . . . Fayetteville 2000 Alvin Simmons. . . . . . . . . . . . Little Rock 2001 Danny Ponder. . . . . . . . . Mountain Home 2002 Joe Larkin . . . . . . . . . . . . . . . . Charleston 2003 Don Curran . . . . . . . . . . . . . . . Springdale 2004 Thomas Wood. . . . . . . . . . . . . . . Judsonia 2005 Andy Blansett . . . . . . . . . . . . . . . . . Cabot 2006 John A. Vinson . . . . . . . . . . . . Van Buren 2007 Dosha Cummins. . . . . . . . . . . . Jonesboro 2008 Robert Richardson . . . . . . . . . Little Rock

INNOVATIVE PHARMACY PRACTICE AWARD This award is newly established by the Arkansas Pharmacists Association in cooperation with the National Council of State Pharmacy Association Executives and DuPont Pharmaceuticals to recognize, annually, a pharmacist who has demonstrated a prominent spirit of innovation and entrepreneurship in the practice of pharmacy.

1993 Gary Lee, P.D. . . . . . . . . . . . . . . . Fort Smith 1994 Steve Bryant, P.D. . . . . . . . . . . . . Batesville 1995 Julia Reddmann, P.D. . . . . . . . . . Jonesboro 1996 Lyn Fruchey, P.D. . . . . . . . . . . . Little Rock 1997 Guy Lessenberry, P.D. . . . . . . . . Berryville 1998 Wayne Schulte, P.D. . . . . . . . . . . . . . . Mena

1999 Tom Frank, Pharm.D. . . . . . . . . . Jonesboro 2000 Debbie Bastian, P.D. . . . . . . . . . . . Rogers 2001 Lonnie McClure, P.D. . . . . . Greers Ferry 2002 R. Lee Shinabery, Jr., Pharm.D. Jonesboro 2003 Kristen Riddle, Pharm.D. . . . . . . Conway 2004 Gary Bass, P.D.. . . . . . . . . . . . Little Rock

The Arkansas Pharmacist

2005 Laura Beth Martin, Pharm.D. . . . . . Hope 2006 Michael Butler, Pharm.D. Hot Springs Village 2007 Gene Graves, P.D.. . . . . . . . . . Little Rock 2008 Dell McCarley, P.D. . . . . . . . . Little Rock

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2009 APA Convention Wednesday , June 10, 2009 9:00 a.m. - 12:00 noon

APA Board of Directors Meeting DoubleTree Hotel - Riverside West

1:30 p.m.

APA Annual Golf Tournament Country Club of Arkansas Sponsored by: AmerisourceBergen

A Review of Expert Panel 3: Guidelines for the Diagnosis and Management of Asthma 004-999-09-009-L01-P....(0.15 CEUs) Speaker: Jeanie Smith, Pharm.D. Assistant Professor, Harding College of Pharmacy Supported by: Harding College of Pharmacy

Thursday , June 11, 2009 7:00 a.m. - 11:30 a.m.

Registration

4:00 p.m. - 5:00 p.m.

Past Presidents’ Meeting

7:00 a.m. - 8:00 a.m.

Hot Buffet Breakfast Sponsored by: Vemco

5:00 p.m. - 5:30 p.m.

Past Presidents’ Reception

5:30 p.m. - 7:30 p.m.

Exhibitors’ Opening Reception

7: 30 p.m. - 9:30 p.m.

Wholesaler Appreciation Karaoke Honoring: AmerisourceBergen, McKesson, Morris & Dickson, and Smith Drug Featuring: Sound Xtreme DJ & Karaoke

CONTINUING EDUCATION SESSION Arkansas Association of Health System Pharmacists (AAHP) Maggie Miller, Pharm.D., Presiding 8:00 a.m. - 11:30 a.m.

Zero Tolerance for Failure: Pharmacists Fight Back Against Hospital-acquired Infections 473-999-09-004-L01-P....(0.20 CEUs) Speaker: TBD Supported by: Vemco Update: 2009 Chest Guidelines and Perioperative Bridging 004-999-09-007-L01-P....(0.15 CEUs) Speaker: Holly Rickman, M.S., Pharm.D. Director of CAVHS Warfarin Management Clinic Supported by: AAHP 8:30 a.m. - 5:00 p.m.

State Board Meeting

10:00 a.m. - 5:30 p.m.

Exhibitors Set-Up

12:00 noon - 2:30 p.m.

AAHP Board Meeting

1:30 p.m. - 3:00 p.m.

Registration

FIRST GENERAL SESSION President Paul Holifield, Presiding 1:00 p.m. - 4:00 p.m.

Dyspepsia & H.pylori Eradication Guidelines: A Case-based Approach 004-999-09-008-L01-P....(0.15 CEUs) Speaker: Sheila Wilhelm, Pharm.D., BCPS Assistant Professor, Wayne State University Eugene Applebaum College of Pharmacy Supported by: Conexus Health 22

Friday, June 12, 2009 7:00 a.m. - 10:00 a.m.

Registration

7:30 a.m. - 8:00 a.m.

Continental Breakfast Sponsored by: The Health Law Firm

CONTINUING EDUCATION SESSION APA Academy of Consultant Pharmacists Muncy Zuber, P.D., Presiding 8:00 a.m. - 11:00 a.m.

New Trends in Osteoporosis Management in the Long Term Care Setting 004-999-09-010-L01-P....(0.15 CEUs) Speaker: Hosam K. Kamel, MD, MPH, CMD Director of Geriatrics and Extended Care, St. Joseph’s Mercy Health Center Vitamin D: Its Role in Osteoporosis Management and Beyond 004-999-09-011-L01-P ....(0.15 CEU) Speaker: Scott Harris, Pharm.D. Regional Scientific Director, Novartis 8:30 a.m. - 5:00 p.m.

State Board Meeting

9:00 a.m. - 11:00 a.m.

Spouse Event (Meet in the lobby at 8:30 a.m.)

11:00 a.m. - 1:30 p.m.

Exhibitors’ Luncheon

The Arkansas Pharmacist

2009 APA Convention 1:00 p.m. - 3:30 p.m.

Registration

CONTINUING EDUCATION SESSION President Paul Holifield, Presiding 1:00 p.m. - 5:00 p.m.

Pancreatic Enzymes: FDA-mandated Changes and Challenges in Patients with Pancreatic Insufficiency 004-999-09-012-L01-P....(0.15 CEUs) Speaker: Sheila Wilhelm, Pharm.D., BCPS Assistant Professor, Wayne State University Eugene Applebaum College of Pharmacy Supported by: Conexus Health FEATURED SPEAKER Good to Great: Key Concepts to Transform Your Practice 004-999-09-013-L05-P....(0.15 CEUs) Speaker: Becky Snead, RPh Executive Vice President, National Alliance of State Pharmacy Associations Supported by: NASPA Arkansas Pharmacy Law Update 004-999-09-014-L03-P....(0.10 CEUs) Speaker: John C. Kirtley, Pharm.D. Assistant Director, Arkansas State Board of Pharmacy

SECOND GENERAL SESSION President Jan Hastings, Presiding 8:00 a.m. - 12:00 noon Appropriate Usage of Methadone 004-999-09-015-L01-P ........(0.15 CEUs) Speakers: Dennis Moore, Pharm.D. & Jon Wolfe, PhD Director AHEC North Central & Associate Dean for Development, UAMS COP Supported by: UAMS College of Pharmacy 9:30 a.m. - 10:30 a.m.Awards Ceremony 2009 OTC Self Care Championship 004-999-09-016-L01-P ........(0.15 CEUs) Speaker: Jan Hastings, Pharm.D. Associate Professor, UAMS College of Pharmacy Supported by: NASPA & Nonprescription Medicines Academy 12:00 noon - 1:30 p.m.AP-PAC Luncheon Speaker: TBD Supported by: AP-PAC (Special ticket purchase required.)

AP-PAC Board of Directors Meeting directly following the luncheon.

1:00 p.m. - 2:30 p.m. Registration

6:30 p.m. - 7:15 p.m.

Presidents’ Reception

7:30 p.m.

Banquet Special Entertainment by: Hypnotist Kevin Lepine Supported by: H & H Wholesale Services President’s Farewell Reception Dessert Extravaganza Sponsored By: Pace Alliance

CONTINUING EDUCATION SESSION APA Academy of Compounding Pharmacists Gary Butler, P.D., Presiding 1:30 p.m. - 4:30 p.m.

The Validity and Clinical Relevance of Testing Hormone Levels 004-999-09-017-L01-P ........(0.15 CEUs) Speaker: Lee Shinabery, Pharm.D. Sponsored by: ZRT Labs Niche Expansion Marketing: Relationship Marketing 004-999-09-018-L04-P ........(0.15 CEUs) Speaker: Ed Hesterlee, Pharm.D. Associate Professor, UAMS College of Pharmacy Supported by: UAMS College of Pharmacy

Saturday, June 13, 2009 7:00 a.m. - 12:00 noon

Registration

7:30 a.m. - 8:00 a.m.

Continental Breakfast

Indicates a “Drug Therapy or Patient Care” Oriented Program

THIS IS A PRELIMINARY PROGRAM. ALL INFORMATION IS SUBJECT TO CHANGE. The Arkansas Pharmacist

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LEARNING OBJECTIVES Thursday Zero Tolerance for Failure: Pharmacists Fight Back Against Hospital-acquired Infections Speaker: TBD 473-999-09-044-L01-P Learning Objectives: 1. Discuss the prevalence and impact of bacterial resistance in HAIs. 2. Evaluate antimicrobial dosing strategies that minimize resistance development and achieve optimal clinical outcomes.

3. Recognize how clinical pharmacists can play an active role in the management of patients with HAIs

Update: 2009 Chest Guidelines and Perioperative Bridging Speaker: Holly Rickman, M.S., Pharm.D. 004-999-09-007-L01-P Upon completion of this Application-based lecture, this participant should be able to: 1. Discuss recent changes in Chest guidelines.

2. Discuss appropriate use of anticoagulants (warfarin, heparin, LMWHs, and others).

3. Discuss CHAD scoring for atrial fibrillation patients.

4. Discuss appropriate perioperative bridging.

Dyspepsia & H. pylori Eradication Guidelines: A Case-based Approach Speaker: Sheila Wilhelm, Pharm.D., BCPS 004-999-09-008-L01-P Upon completion of this Application-based lecture, the participant should be able to: 1. Highlight the importance of H. pylori screening and select the most appropriate diagnostic test for specific patients.

2. Describe the impact of antibiotic resistance on H. pylori eradication.

3. Identify the link between H. pylori associated conditions.

4. Discuss the clinical trial results with various antibiotic therapies in the eradication of H. pylori.

5. Review the various clinical practice guidelines for dyspepsia and H. pylori treatment.

A Review of Expert Panel 3: Guidelines for the Diagnosis and Management of Asthma Speaker: Jeanie Smith, Pharm.D. 004-999-06-009-L01-P Upon completion of this Application-based lecture, the participant should be able to: 1. Define the pathophysiology and pathogenesis of asthma.

2. Review the natural history of asthma.

3. Define the asthma step guidelines.

4. Identify the key differences in Expert Panel 3.

5. Define the mechanism of action, place in therapy, drug interactions, and absolute contraindications of medications used to treat asthma.

Friday New Trends in Osteoporosis Management in the Long Term Care Setting Speaker: Hosam K. Kamel, MD, MPH, CMD 004-999-09-010-L01-P Upon completion of this Knowledge-based lecture, the participant should be able to: 1. Appreciate that osteoporosis is a very common problem among nursing home residents.

2. Realize that osteoporosis is under-diagnosed and under-treated in the nursing home setting.

3. Realize the serious consequences to the resident and facilities of not addressing the issue of osteoporosis in nursing home residents.

4. Define osteoporosis and explains who to diagnose this condition with special emphasis on nursing home residents.

5. Summarize the role of calcium and vitamin D in osteoporosis management.

6. Review the therapies currently approved by the FDA for osteoporosis prevention and treatment.

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The Arkansas Pharmacist

Vitamin D: Its Role in Osteoporosis Management and Beyond Speaker: Scott Harris, Pharm.D. 004-999-09-011-L01-P Upon completion of this Knowledge-base lecture, the participant should be able to: 1. Briefly describe the importance of non-vertebral fractures as related to osteoporosis screening.

2. Recognize the true therapeutic range for Vitamin D. 3. List three roles for Vitamin D, other than bone metabolism.

4. Outline a treatment regimen for Vitamin D insufficiency.

5. Differentiate compliance versus persistence.

6. Describe three drug-food interactions with oral bisphosphonates.

7. Develop an outline for counseling the patient receiving osteoporotic therapy.

Pancreatic Enzymes: FDA-mandated Changes and Challenges in Patients with Pancreatic Insufficiency Speaker: Sheila Wilhelm, Pharm.D., BCPS 004-999-09-012-L01-P Upon completion of this Knowledge-based lecture, the participant should be able to: 1. Describe pancreatic insufficiency and malabsorption related conditions such as pancreatitis and cystic fibrosis (CF).

2. Be familiar with the impact malabsorption plays in patient outcomes.

3. Discuss clinical application of PEPs in pancreatic insufficiency / malabsorption disorders.

4. Highlight issues concerning pancreatic enzyme biological activity and bioavailability.

Arkansas Pharmacy Law Update Speaker: John C. Kirtley, Pharm.D. 004-999-09-014-L03-P Upon completion of this Knowledge-based lecture, the participant should be able to: 1. Analyze recent changes in Pharmacy regulations in Arkansas.

2. Discuss the reasoning behind changes to pharmacy regulations.

3. Have participants demonstrate understanding of recent pharmacy regulatory changes and challenges.

Good to Great: Key Concepts to Transform Your Practice Speaker: Becky Snead, RPh 004-999-09-013-L05-P Upon completion of this Knowledge-based lecture, the participant should be able to: 1. Describe trends in continuous quality improvement (CQI) and the implications of the Patient Safety Act of 2005 on CQI activity.

2. Explain the implications of the development and reporting of quality measures by the Pharmacy Quality Alliance and the integration with other quality alliances through the Quality Alliance Steering Committee.

3. Briefly discuss the potential impact on the patient of technology trends such as personal health records (PHR), Electronic Health Records (EHR), Electronic Prescribing, and Automation.

4. Discuss how these quality and technology relate to the Action Plan for Implementation of the JCPP Future Vision of Pharmacy Practice.

Saturday Appropriate Usage of Methadone Speakers: Dennis Moore, Pharm.D. & Jon Wolfe, Ph.D. 004-999-09-015-L01-P Upon completion of this Application-based lecture, the participant should be able to: 1. Discuss the historical role that methadone has played in the treatment of addiction.

2. Separate the concepts of physical dependency and addiction, and the role they play our approach to the illness.

3. Articulate some of the difficulties identifying behaviors associated with the criminal justice versus the mental health system, and the role stereotypes play in such decisions.

2009 OTC Self Care Championship Speaker: Jan Hastings, Pharm.D. 004-999-09-016-L01-P Upon completion of this Application-based lecture, the participant should be able to: 1. Identify and explain aspects of the effective and safe practice of pharmacy self-care treatments by means of an interactive learning experience.

2. Analyze the usage and effectiveness of over the counter medications.

3. Classify different groups of over the counter medications based on drug treatment class.

4. Apply effective counseling techniques for use with self-care patients.

Niche Expansion Marketing: Relationship Marketing Speaker: Ed Hesterlee, Pharm.D. The Validity and Clinical Relevance of Testing Hormone Levels 004-999-09-018-L04-P Speaker: Lee Shinaberry, Pharm.D. Upon completion of this Knowledge-based lecture, 004-999-09-017-L01-P the participant should be able to: Upon completion of this Application-based lecture, the participant 1. Develop a relationship marketing business should be able to: plan based on the identity of the new niche 1. Describe the differenct methods for testing hormones and expansion marketing project. explain the advantages and disadvantages of each.

2. Create an account team management model to 2. Explain the various prodecures for measuring and analyzing be used to execute the relationship marketing hormones with saliva testing. business plan.

3. Discuss the interpretation of hormone testing results and 3. Evaluate the overall success of the clinical relevance to dosing, symptons, and therapeutic outcome. relationship marketing business plan from 4. Provide data supporting the use of saliva testing for accurate both an organizational and individual benefit hormone level assessment. perspective.

The Arkansas Pharmacist 25

4 - MAN SCRAMBLE GOLF TOURNAMENT

Wednesday, June 10, 2009 1:30 p.m.

Country Club of Arkansas

3 Country Club Circle, Maumelle, AR

Registration Fee: $50.00 per player

Tournament Information

Shotgun Start at 1:30 p.m.

BE ON PREMISES BY 12:45 p.m.

Prizes awarded for 1st, 2nd, 3rd places, (1) Longest Drive, (1) Closest To The Pin (no duplicate winners on special events)

26

Prizes will be presented at Country Club of Arkansas Golf Club

Sponsored by:

The Arkansas Pharmacist

Please complete and return along with $50.00 registration fee by June 1st to: Arkansas Pharmacists Association 417 S. Victory Little Rock, AR 72201

Handicap__________________________

City__________________________________________________State_________________Zip_________________

Address ________________________________________________________________

Name_______________________________________Phone_____________________Fax________________________

REGISTER TO PLAY Fee $50.00 (Includes green fee, golf cart, and land range balls) Limited to the first 72 players

GOLF REGISTRATION FORM

Arkansas Pharmacists Association

2009 Registration Form Last Name Please check title:

First Name

P.D.

Ph.D.

Pharm.D

Technician

Student

Other____________

Nickname (for badge) Affiliation (pharmacy, hospital name, etc.)

Address City

State

Phone

Zip

AR License No.

E-mail Membership Status:

APA Member

APA Non-Member

Past President

Please check if this is your first APA Convention to attend.

FULL REGISTRATION PACKAGE APA MEMBERS ONLY

NON MEMBERS

INCLUDES: All education sessions, continental breakfasts, receptions, exhibits, prize drawings, breaks, and social event tickets for Thursday through Saturday.

INCLUDES: All education sessions, continental breakfasts, receptions, exhibits, prize drawings, breaks, and social event tickets for Thursday through Saturday.

(AP-PAC luncheon tickets must be purchased separately.)

APA Member Full Registration Package

By May 29, 2009 ................................................$195.00

After May 29, 2009 ............................................$225.00 * If you and your spouse are pharmacists, separate registration forms and fees are required.

APA Member and Spouse/Guest Full Registration Package (Best Value)

By May 29, 2009 ................................................$295.00

After May 29, 2009 ............................................$325.00 Spouse/Guest Name _____________________________ DAILY REGISTRATION PACKAGE INCLUDES: All education sessions, continental breakfasts, receptions, exhibits, prize drawings, breaks, and social event for that day. (Special event tickets for that day are included in this price.)

Non-Member Full Registration Package:

By May 29, 2009 ................................................$285.00

After May 29, 2009 ............................................$315.00 Non-Member and Spouse/Guest Full Registration Package

By May 29, 2009 ................................................$385.00

After May 29, 2009 ............................................$405.00 Spouse/Guest Name______________________________ DAILY REGISTRATION PACKAGE INCLUDES: All education sessions, continental breakfasts, receptions, exhibits, prize drawings, breaks, and social event tickets for that day. (Special event tickets for that day are included in this price.)

(Please select the day you will attend.)

Non-Member Daily Package Thursday Friday Saturday ........................$185.00

(Please select the day you will attend.)

APA Member Daily Package Thursday Friday Saturday ........................$155.00 APA Member and Spouse/Guest Daily Package

Thursday Friday Saturday ........................$195.00 Spouse/Guest Name______________________________

Non-Member and Spouse/Guest Daily Package Thursday Friday Saturday ........................$230.00 Spouse/Guest Name______________________________ For Office Use Only Received______________________________ Amount Paid _____________ Method _____________

Registration Form TECHNICIAN REGISTRATION PACKAGE

_____ Quantity $_______Total ADDITIONAL ACTIVITIES

Pharmacy Technician Full Registration Package (All social event tickets are included in this price.) ............................................................$135.00 Member .....................................................$170.00 Non-Member

Wednesday Golf Tournament ....................................................$50.00 _____ Quantity $_______Total

Pharmacy Technician Daily Registration Package (Special event tickets for that day are included in this price.)

Thursday Friday Saturday ............$80.00/daily - Member Thursday Friday Saturday.....$100.00/daily - Non-Member

Handicap _____________________________________ Friday Spouse Event(s) Name _________________________________________ Home Decoration Class (9:00 a.m.) ......................$10.00

(Please select the day you will attend.)

PHARMACY STUDENT SPONSORSHIP Pharmacy Student Sponsorship ............................$75.00 This will give any UAMS College of Pharmacy or Harding College of Pharmacy student a chance to attend convention. _____ Quantity $_______Total

PAYMENT METHOD

Check Payable to APA Check#_______________ (Please enter your credit card number below)

EXTRA SOCIAL EVENT TICKETS

Discover Card_________________________________

Tickets for the following events are included in the convention registration package. Extra tickets may be purchased for additional guests.

Visa/MasterCard_______________________________

Tickets must be purchased 24 hours prior to the event.

Cardholder’s Name______________________________

American Express_____________________________

Thursday Wholesaler Appreciation Karaoke ........................$10.00 _____ Quantity $ ______Total Friday President’s Banquet ..............................................$50.00 Special dinner and entertainment included.

Expiration Date_____________ Total Amount Enclosed $______________________

No refunds can be made for cancellation after May 29th.

ETC. HOTEL INFORMATION Doubletree Hotel Markham & Broadway Little Rock, AR Phone: (501) 372-4371 Website: www.doubletree.com To receive convention group rate, please mention APA. Cut off date is May 19, 2009

CONTINUING EDUCATION HIGHLIGHTS Expanding continuing education hours based on continued demand.

ATTIRE Convention Business Casual Thursday Night - Opening Exhibits Friday Night - Presidents’ Banquet Saturday - Awards Ceremony

REGISTER ONLINE You may choose to complete our new online registration form. It’s as easy as clicking on this button.

www.arpharmacists.org

For more information contact: Arkansas Pharmacists Association 417 South Victory, Little Rock, AR 72201-2923 (501) 372-5250 Fax (501) 372-0546 www.arpharmacists.org

Spouse Event

SPONSOR A STUDENT Several pharmacy students have shown an interest in attending the APA Convention this year. We will need sponsors for these students.

Please support these students by making time off available to them, as well as being a student sponsor.

Sponsorship is $75 per student.

If you are interested in sponsoring a student, please complete the form below and return it to the APA office as soon as possible.

Please detach and return this form with your check I will sponsor _____ student(s) to attend the 127th APA Annual Convention.

My check in the amount of $__________ is enclosed. ____________________________ Pharmacist Sponsor Signature

Meet in the lobby at 8:30 a.m.

Coordinator: Patty Young

The Pottery Barn presents...

Design & Decorating The challenge is to create a beautiful outdoor party inviting to your guests and unique and fun for you.

The Pottery Barn will show you how to bring your outdoor party to life whether you are having a casual barbeque, a festive poolside party or an elegant cocktail.

You will not want to miss out on this decorating fun.

Discount coupons will be available for purchase items.

You must be registered for this event. Please complete the reverse side of this form and return to the APA office with payment to register.

The Arkansas Pharmacist

29

Get ready to rock the night away as Sound Xtreme presents...

Karaoke Night

Thursday, June 11, 2009 7:30 p.m. - 9:30 p.m.

Come join the fun as we honor APA’s Wholesale Partners

Call for Reservations Mention Arkansas Pharmacists Association for group rate.

1-800-222-8733 or 501-372-4371 (Please have credit card information available.)

DoubleTree Hotel Reservation Information Arkansas Pharmacists Association

30

Room Rates: Guest Room Rates start at $121.00 Executive Level Rates start at $141.00 Suite Rates start at $161.00

127th Annual Convention

Special Request - Non-smoking, Smoking, Wheelchair Accessible, Other

June 11 - 13, 2009

Hotel Reservation Deadline - May 19, 2009 (If in doubt, please make your reservation now.

You can always cancel up to 48hrs at no cost.)

The Arkansas Pharmacist

The Arkansas Pharmacists Political Action Committee will be hosting a luncheon Saturday, June 13th at 12:00 noon during the APA 2009 Annual Convention at the DoubleTree Hotel in Little Rock.

Speaker: TBD DON’T MISS IT! Tickets are $60 each.

AP-PAC Luncheon Please send me _____ ticket(s) @ $60 each for a total of $________.

Name: ________________________ Address: ______________________ City: _________________________ State: ______________ Zip: ________ Phone: _______________________ Email: _____________________________

Please make check payable to AP-PAC. Do not include in convention registration payment.

Mail this form along with your check to: AP-PAC 417 South Victory Little Rock, AR 72201 AP-PAC ticket(s) will be included in your convention registration packet.

Tickets will also be sold at convention.

AP-PAC Metals of Honor Gold

Platinum Dr. Ralph Blansett Dr. Steve Bryant Dr. Christy Campbell Dr. Lynn Crouse Dr. Michelle Crouse Drs. Kelly & Scott Curd Fred's Pharmacy Dr. Donald Hedden Dr. Paul Holifield Dr. Tom Johnson Dr. Joe Larkin Dr. Keith Larkin Dr. Guy Lessenberry Dr. Belinda McVey Dr. Billy Newton Drs. Rick & Tony Rogers Dr. Steven Smoker Super Market Investors, INC Super-Sav Drug No. 3 Dr. Larry Thomerson Dr. Phillip Tygart Dr. Wendall Workman

Dr. Sam Alexander Dr. Chris Bennett Buerkle Drug Co. Dr. Mary Davis Dr. Jeff Fenwick Dr. Gary Flippo Dr. Jeff Foote Dr. Lisa Gardner Dr. Stephanie Goodart

Dr. Richard Hanry Dr. Jan Hastings Dr. Mark Herrington Dr. Pat Ingalls Dr. Bonnie Johnson Lee Pharmacy, Inc. Dr. Ken Miller Dr. Jeff Prince Dr. Kristy Reed

Dr. Chad Register Dr. Frank Schmidt Dr. Randy Shinabery Dr. William Slaughter Dr. Mike Smets Dr. Michael Smith Dr. Krystal Soo Dr. Mike Soo Dr. Laura Wagner

Dr. Deborah Bastian Dr. LaDonna Bennett Dr. Bill Bloodworth Dr. Justin Boyd Dr. Joseph Burrow Dr. Gary Butler Dr. Michael Butler Dr. William Carpenter Dr. Jack Coker Dr. Carl Collier Dr. Shelia Collins Dr. Brandon Cooper

Dr. Bill Crabtree Dr. Don Curran Delta Drug, INC. Dr. Billy Gammel Dr. Stephanie Gardner Dr. Gene Graves Dr. John Gray Dr. Thomas Green Dr. John Griffin Hamilton West Family Pharmacy Dr. Charles Hon Dr. Michael Jeffery

Dr. Thomas Warmack Dr. Dean Watss Dr. Karen Watts Dr. Jon Wolfe Dr. Betsy Wright Dr. Ed Pat Wright Dr. Rebecca Wright Dr. Robert Wright

Silver Dr. David Jennings Dr. James Kelley Dr. Kas Lomax Dr. Kenny Lomax Sen. W.P. Malone Dr. James McCarley Dr. Connie Medsker Dr. Maggie Miller Dr. Sarah Mitchell Dr. Robert Mosby, III Dr. Wayne Padgett Dr. Mike Pinegar

Dr. Eugenia Raper Rector Drug & Medical Supply Dr. Danny Smith Dr. David Smith Dr. Melissa Smith Dr. Ronald Smith Dr. Ronald Teasley Dr. Adam Wheeler Dr. Muncy Zuber

Bronze Dr. John Armstrong Dr. Edwin Arnold Dr. Charles Bari Dr. Donald Barr Dr. Rush Barrett Drs. Dennis & Natalie Bean Dr. James Beard Dr. Robert Beard Dr. Gary Beasley Dr. William Bell Bethea Bros. Drug C. Dr. Jerry Blsnkenship Dr. Lisa Blanton Dr. Gene Boeckmann Dr. Stacy Boeckmann Dr. Steven Bowdle Dr. Joy Bowen Dr. Krista Brown Dr. Richard Buchanan Dr. Randall Burge Drs.Angela & Larry Burns Dr. Bill Burrows Dr. John Butterfield Dr. Jerry Byrd Dr. Randall Caldwell Caldwell Discount Drugs, INC.

Camp's Medical Pharmacy Dr. Billy Canada Dr. Nancy Carlton Dr. Cathy Castleman Dr. Carolyn Cathey Dr. Alton Chambless Dr. Lynette Chastain Dr. Wendall Chitmon Dr. Karen Christian Dr. Rob Christian Dr. Van Clayton Dr. John Cobb Dr. Richard Coles Dr. Van Cooper Dr. Karen Cree Dr. David Eubanks Dr. Edra Davis Dr. Jon Dean Dr. Gary Denton Dr. J. Dudley Dr. Jeff Dunaway Dr. Larry Dunn Dr. Danny Eaker Dr. David Eddington Dr. Eric Shoffner Dr. Gary Fancher Dr. Billy Fergerson

Dr. Karen Ferren Dr. J. Fong Dr. Frank Fowler Dr. Gayle Fowlkes Dr. Ronald Galloway Dr. Shelly Gardner Dr. Kenneth Gibson Dr. William Graves Dr. Russell Green Dr. Buddy Grifford Dr. William Hamill Dr. Rebecca Hancock Dr. W.E. Hardcastle Dr. Richard Harmon Dr. Ann Harris Dr. Billy Haynes Dr. Ronny Hefner Dr. Elwayna Helm Dr. Leon Hines Dr. Samuel Holcomb Dr. A.J. Hood Dr, Michael Horn Dr. Robert Horn Dr. Tommy Jackson Dr. Dennis Jackson, III Dr. Lonnie Jaskson, III Dr. Benjamin Johnson

Dr. Dolores Jones Dr. Wayne Jones Dr. Patricia Kauffman Dr. William Kueter Dr. Eddy Lemon Dr. Thomas Lowery Drs. Ginger & Mike Marshall Dr. Marcia Martin Dr. William Matthews Dr. Alan Maxwell Dr. Bren May McFarland Pharmacy, INC. Dr. Ramona McLean Dr. Milton McMillan Dr. Stepahnie Melchert Dr. Julie Mellenthin Dr. Charles Miller Dr. Joy Miller Dr. Mike Miller Dr. Rama Miller Dr. Lynn Miller, Jr. Dr. Dennis Moore Dr. Lisa Morrison Dr. Bruce Moyer Dr. Gevan Murphy Dr. Gordon Mutters

The Arkansas Pharmacist

Dr. Nicole Nichols Dr. Harold Norman Dr. William Nosek Dr. Russell O'Glee Dr. Jimmy O'Quinn Dr. Charles Orrell Dr. Jeff Patterman Dr. Baker Peebles Dr. Terry Perkins PHC Pharmacies, INC. Dr. Patricia Pierini Dr. Jane Pigue Pleasant Grove Pharmacy Dr. Charity Pumphrey Dr. Ashley Rector Dr. Spencer Reed Dr. Mike Richardson Dr. Denise Roark Dr. Robert Rosen Dr. Gary Russell Dr. Michael Scribner Dr. Harvey Shehane Dr. Don Sloat Dr. Charles Smets Dr. Don Smith Dr. Daniel Spadaro Dr. Misty Sparks

Dr. Aduston Spivey Dr. Carrie Steele Dr. Keith Sterns Dr. Cheryl Stimson Dr. Stan Taylor Dr. Audra Thomas Dr. Stephen Thomas Dr. Holly Vansandt Dr. Thomas Wagster Dr. Diana Waldrip Dr. Julie Wallace Weiner Pharmacy Dr. Gary Whittigham, Jr. Dr. Charles Wimberly Dr. Paul Winborn Dr. Thomas Wolford Dr. Harriet Yarbrough

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APA Board of Directors Minutes Minutes Arkansas Pharmacists Association Board of Directors December 14, 2008 Hosto Center – Little Rock Members Dr. Paul Holifield-presiding Dr. Kenny Harrison Dr. Brandon Cooper Dr. Danny Ponder Dr. Buzz Garner Dr. Gary Butler Dr. Jan Hastings Dr. Stephanie Goodart-O’Neal Dr. Lynn Crouse Dr. Michael Butler Dr. Mike Stover Mrs. Christina Easterling

Dr. Gary Bass Dr. Dennis Moore Dr. Christy Campbell Dr. John Vinson Dr. Stephanie Gardner Dr. Mark Riley Dr. Cliff Robertson Dr. Mike Smets Dr. Muncy Zuber Dr. Julie Hixson-Wallace Dr. Maggie Miller

Guests and Staff Dr. Richard Hanry - treasurer Harold Simpson – legal counsel Dr. Joe Larkin Barbara McMillan Dr. Scott Pace Debra Wolfe

CONSENT ITEMS President Paul Holifield called the meeting to order at 9:49 a.m.

President Holifield asked Dr. Buzz Garner to lead the invocation.

Dr. Cliff Robertson made a motion to approve minutes from the August 7, 2008 meeting. The motion passed.

Mr. Harold Simpson reviewed the Conflict of Interest Policy and the Antitrust Policy of the APA. President Holifield introduced Dr. Maggie Miller as the new AAHP President and new APA Board Member.

DISCUSSION ITEMS Upcoming Events and CE Meetings Barbara McMillan announced that the 2010 APA Annual Convention will be held in Fort Smith at the Convention Center. The Board approved the meeting location. The 2009 Annual Convention will be at the newly renovated DoubleTree Hotel in downtown Little Rock. The Board decided to accept negotiated contracts with the Peabody Hotel for the 2011 and 2013 APA Conventions.

Dr. Scott Pace reported that the Golden Certificate Program was held in October at the UAMS College of Pharmacy. The program had approximately 30 attendees and provided 6 hrs of continuing education to pharmacists who have held their Arkansas pharmacists license for more than 50 years.

Dr. Pace also reported that a CE program provided by PharmCon was promoted by the APA and was held at the DoubleTree Hotel in Little Rock on November 23, 2008. 225 pharmacists attended the event and received 7.5 hours of CE. Dr. Pace also reported that an Immunization Certification Program is currently under development and is scheduled for Saturday and Sunday March 7th & 8th. The program will consist of a home-study and live program.

A CE at the Races is currently under discussion for the end of March. Planning for the 2009 convention CE programs are currently underway.

Arkansas State Board of Pharmacy Report Dr. Mark Riley reported on behalf of Dr. Charlie Campbell. Dr. Riley reported on the ASBP’s priorities, including updating the state’s collaborative practice language. The Board of Pharmacy is also wanting to explore new ways to have increased oversight protection for out-of-state pharmacists.

Arkansas Academy of Health-System Pharmacists (AAHP) Report Dr. Maggie Miller reported that AAHP held their Fall Seminar in Tunica. The 2009 Fall Seminar will be in Central Arkansas, and The Arkansas Pharmacist

33

Board of Directors more information will be available soon. AAHP will also be conducting a technician survey in the coming months. AAHP will also be focusing on increasing communication to Directors of Pharmacy around the state.

Arkansas Academy of Consultant Pharmacists Dr. Muncy Zuber reported that the consultant seminar in October was a success. Dr. Zuber also requested a full list of the Consultant Academy members.

UAMS College of Pharmacy Report Dean Stephanie Gardner reported that a summative exam will now be offered to the students. Students must pass the summative exam to progress through the curriculum. Dean Gardner also reported that 100 percent of the 2008 graduating class passed the NAPLEX. Harding School of Pharmacy Report Dean Julie Hixson-Wallace reported that the first class at Harding is finishing their first semester. The students have elected their first class officers.

Academy of Compounding Pharmacists Dr. Gary Butler reported that the FDA is asserting that it has jurisdiction over compounding pharmacy and that compounders continue to fight this issue. There is currently an ongoing legal battle over this issue. The Compounding Academy is looking at possibly having meetings on weekends over the coming year.

Arkansas Board of Health Report Dr. John Page provided statistics reported at the last Board of Health Meeting. He noted that the US ranks 45th in the world in life expectancy and Arkansas ranks 48th in the nation in health rankings.

Financial Committee Update Dr. Joe Larkin reported that the investments were down this year, however, the investments exceeded the predicted benchmarks. The investments were down 37 percent this year. Dr. Larkin indicated the extensive process that the APA Finance Committee goes through to make decisions for the APA. Medicaid Update Dr. Mark Riley reported on the status of the Medicaid Dispensing Fee. APA has applied to be a participant in the CMS appeals hearing and is currently working on this issue. The appeal hearing was recently delayed by the state.

State Legislation Update • PBM Bill Update – Dr. Riley provided an update on the draft PBM bill that the APA may run during the 2009 Arkansas Legislative Session.

• 2009 Legislative Reception will take place on Wednesday, February 18th at Trappnall Hall in Little Rock.

•State Board Appointment Legislation is being discussed.

•Auditing – Dr. Riley discussed the possibility of amending our current auditing Bill of Rights.

Federal Legislation Update Dr. Scott Pace reported on federal legislation. All pending federal legislation that has not passed prior to the new Congress will go away, such as AMP Fix and Negotiations Rights. These and other pharmacy related bills will have to be re-introduced in the new Congress.

The Obama Administration has named healthcare reform as one of its top 3 priorities in the coming year, and the President-elect recently named former Senator Tom Daschle as the new Secretary of Health and Human Services as well as the chief legislative architect of any health reform. The national organizations, including APhA, NCPA, ASHP, and NACDS have all formed a partnership and have adopted “Pharmacy Principles for Health Care Reform.” These principles were released on Friday, December 12, 2008 and signifies the professions unified efforts to be a part of any pending healthcare reform on the national level. APA will continue to work with the Arkansas delegation to ensure that Arkansas pharmacy is heard in the national debate.

Dental Dispensing Update Dr. Mark Riley reported that the Arkansas Dental Board changed their rules to require dentists to apply for a dispensing permit and to demonstrate that there is a need in their area before a permit is given.

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The Arkansas Pharmacist

Board of Directors Miscellaneous Dr. Mark Riley reported on an issue that has arisen with the Doctors of Oriental Medicine. The DOMs are prescribing legend medications for patients. The Arkansas State Board of Pharmacy has stated a position that it does not believe that the DOMs have the ability to prescribe medications. The question has been submitted to the Attorney General for an official opinion.

Dr. Riley told the Board about RxResults, which is a consulting company owned by Tery Baskin, that is attempting to help move pharmacy benefits in a positive direction. The APA has been invited to have a seat on the Board of Directors of this company, and Dr. Riley asked the APA Board if they have any problem with him serving on the Board representing APA. President Holifield asked the Board if anyone has objection to the APA and Dr. Riley having a seat on this Board. The Board had no objections.

Dr. Stephanie O’Neal discussed the results from the Professional and Ethical Affairs Committee meeting on Saturday, December 13, 2008. The committee recommends to the Board that the APA solicit bids from PR companies to look at a coordinated advertising campaign to promote the profession. President Holifield recommended having staff explore a long-term, longitudinal PR campaign to promote the value, expertise, knowledge, etc‌ to decision makers and the public.

ACTION ITEMS Board of Directors Changes Dr. Lynn Crouse made a motion that a Harding student be placed on the APA Board of Directors. The motion passed.

Financial Report Dr. Mark Riley reported on the financials of the APA. Dr. Riley provided an explanation about the delay in receiving certain income from the wholesalers.

Dr. Crouse made a motion to approve the financials. The motions passed.

A motion was made and seconded to go into the Executive Committee session. Mark presented recommendations for employee raises and bonuses. A motion was made and seconded to approve the raises as recommended. Motion passed. Bonuses were discussed. Motion was made and seconded to approve bonuses as discussed. Motion passed.

Motion made and seconded to approve the 2009 Budget as it has been proposed and discussed.

Adjournment A motion was made and seconded to adjourn the meeting at 3:15 p.m. The motion passed.

APA Foundation Board December 14, 2008 Dr. Paul Holifield convened the Foundation Board at 3:16 p.m. on December 14, 2008.

The Board made a motion to accept the actions of the Foundation Board. The motion was passed.

A motion was made to adjourn the meeting at 3:30 p.m., motion passed.

Calendar of Events May 11 - 13, 2009 NCPA Legislative Conference Hyatt Regency Washington on Capitol Hill

June 13 - 16, 2009 2009 Annual Meeting and Compounders on Capitol Hill Washington, D.C.

October 8 - 9, 2009 AAHP 43rd Annual Fall Seminar Holiday Inn Airport Little Rock, AR

June 11 - 13, 2009 127th Arkansas Pharmacists Association Annual Convention DoubleTree Hotel Little Rock, AR

September 8 - 30, 2009 Arkansas Pharmacists Association District Meetings Watch for complete schedule.

October 17 - 21, 2009 NCPA 111th Annual Convention and Trade Exposition Ernest N. Morial Convention Center New Orleans, LA

The Arkansas Pharmacist

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