The Arkansas Pharmacist Spring 2010 by Arkansas Pharmacists Association

The

Arkansas

Pharmacist

APAâ&#x20AC;&#x2122;s 128th Annual Convention Fort Smith, AR Registration Information ........................24

2010 Spring Quarterly Edition

Board of Directors

2008 - 2009 Officers

Area Representatives

President ......................................................Jan Hastings, Pharm.D., Benton President Elect ................................................Mike Smets, P.D., Fort Smith Vice President ..........................................Gary Bass, Pharm.D., Little Rock Past President........................................Paul Holifield, Pharm.D., Batesville

Area 1 (Northwest) ..................................Gary “Buzz” Garner, P.D., Mena Area 2 (Northeast) ..............................Dennis Moore, Pharm.D., Batesville Area 3 (Central) .............................Kenny Harrison, 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., Ed.D, Searcy UAMS College of Pharmacy Student Representative ........................................................................................................................Collin Ward, Little Rock Harding College of Pharmacy Student Representative........................................................................................................................Celia Proctor, Little Rock

District 1 Eddie Glover, P.D. U.S. Compounding 2515 College Ave. Conway, AR 72034

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 Brent Panneck, Pharm.D. St. Francis Pharmacy 210 Cobean Blvd. #10 Lake City, AR 72437

District 4 Laura Beth Martin, Pharm.D. Family Pharmacy 810 S. Main St. Hope, AR 71801

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..........................................................Jim Griggs, P.D., Fayetteville President Elect ..................................................................To Be Announced

President ..........................................Gary Butler, P.D., Hot Springs Village President Elect ..........................................Mark Shinabery, P.D., Maumelle

Arkansas State Board of Pharmacy

Arkansas Association of Health System Pharmacists

President ................................................Lenora Newsome, P.D., Smackover Vice President ....................................................Benji Post, P.D., Pine Bluff Secretary ..............................................................Marilyn Sitzes, P.D., Hope Member..........................................................Ronnie Norris, P.D., McGehee Member ..........................................................Steve Bryant, P.D., Batesville Member ..................................................Justin Boyd, Pharm.D., Fort Smith Sr. Citizen Public Member ..................................Ross Holiman, Little Rock Public Member............................................................Larry Ross, Sherwood

President ....................................................Jason Derden, Pharm.D., Benton President Elect ..........................................Rayanne Story, Pharm.D., Searcy Past President ......................................Maggie Miller, Pharm.D., Batesville Executive Director ............................Susan Newton, Pharm.D., Russellville Treasurer ..............................................Sharon Vire, Pharm.D., Jacksonville Secretary ............................................Marsha Crader, Pharm.D., Jonesboro Member at Large ............................Jody Smotherman, Pharm.D., Batesville Member at Large ................................Jennifer Priest, Pharm.D., Little Rock Member at Large ........................Andrea Donaldson, Pharm.D., Little Rock

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. Current edition issue number 50. POSTMASTER: Send address changes to The Arkansas Pharmacist 417 South Victory Little Rock, AR 72201. 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.

Features Special Honor ............................................................................................6 Healthcare Reform Update ........................................................................9 2010 UAMS Graduates ............................................................................16 2009 “Bowl of Hygeia” Recipients ..........................................................19 Mike Beebe for Governor ........................................................................20 2010 Convention Information ..................................................................24

Departments From the President......................................................................................4 The Executive’s Perspective ......................................................................5 Harding Report ..........................................................................................8 Safety Nets................................................................................................10 In Memoriam ............................................................................................11 Rx and the Law ........................................................................................12 AAHP Report ..........................................................................................13 UAMS Report ..........................................................................................17 Calendar of Events ..................................................................................18 Member Classified Advertising................................................................22 APA Board of Directors Minutes..............................................................36

Index to Advertisers Pharmacists Mutual ..................................................................................7 Logix, Inc.................................................................................................14 Arkansas Pharmacy Support Group ........................................................14 Cardinal Health........................................................................................15 RXMaster ................................................................................................18 Arkansas Pharmacy Foundation Legacy ................................................23 Pace Alliance ..........................................................................................31 Pharmacy Quality Commitment ..............................................................32

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

From the President As I contemplate what to say in this my final written message to the wonderful members of our Association, I am at a loss for words. And for those of you who know me that is a very unusual occurrence. I went into the year thinking that since it was only a budget session year for the Arkansas General Assembly that the year would be pretty uneventful as far as legislative issues were concerned. Boy was I wrong! I want to list just a few of the “minor” issues we have monitored and dealt with this year at the Association. The list is definitely not in order of importance!

Jan Hastings, 1. The H1N1 virus started out the year with a potential crisis. In early fall, I participated in a NASPA teleconference that updated me on issues we were facing like shortages in Pharm.D. vaccine, issues about how we would be reimbursed, who could get the vaccine and when Associate Professor it would be available. 2. Federal Health Care is still a hugely unknown entitiy. Who knows when or what will UAMS be decided on that issue. I do know that Mark and Scott are working closely with nagroups to maintain our presence and be sure our issues are heard. Mark and Scott College of Pharmacy tional put together a list of our Principles of Pharmacy Reform. Many of you heard Mark’s presentation of these at our District meetings last fall. A few of the issues within the Federal Health care debate that are of interest to pharmacy are AMP, DMEPOS, prompt pay and MTM. 3. State Budget concerns are still facing us. In September, Mark attended a CMS hearing about our proposed reimbursement request. We are still waiting to hear a decision. AWP reimbursement issues also are concerning. We have formed an AdHoc Committee to determine ways in which pharmacists can assist the state with concerns of shortfalls in Medicaid budget. The innovative ideas which arose from this meeting are a win situation for everyone. Thank you to this committee for their hard work. The issues I listed are just the tip of the iceberg as far as what the Association is doing on your behalf. I know that the coming year will bring opportunities and challenges of its own. But we are in good hands. I know that incoming President Mike Smets will do a great job! We have a huge opportunity this year to make an impact in the State Legislature by supporting our two pharmacists that are running for office- Drs. Karrol Fowlkes, Scott Pace, and Raymond Robertson. If you have not made your contribution to their campaign, it is NOT too late! Now for the part that is really hard!! I knew this year would be a fantastic experience but I had no idea how fantastic! I have been humbled by the words of encouragement sent to me via phone calls, emails and cards this year. I have been encouraged by the strength not only of our pharmacist’s support for the Association but our student support and enthusiasm. And I have been awestruck by the talented team we have representing us at the office. Every single person at the office pours their heart and soul into making this organization so successful and I thank each of them tremendously for making my year as President so enjoyable. It has been an honor and a privilege to represent you this year as President of the Arkansas Pharmacists Association. I am not quite ready to let go, so I am glad I have a little time left until June. But when you think of this year at the Association, I hope that you will remember being encouraged and energized. Positivity has been my theme and I guarantee you that I am positive it has been one of the best years of my life! Thank you and I pray that God will continue to bless this Association in the years to come! PS. This has been President doesn’t intend to just disappear into the wind. I will be glad to assist you and our Association however I can - even after June 25th.

The Arkansas Pharmacist

The Executive’s Perspective 2010: A Year of Political Change “When it rains, it pours” certainly is a fitting axiom as we look at the number of new faces that will become elected officials this year. Senator Blanche Lincoln, who has consistently supported our issues, is facing a hotly contested race with two additional Democrats and eight Republicans vying for that seat. One of the Republican challengers, Third District Congressman John Boozman, will be our AP-PAC speaker at this year’s convention. His entry into the senate race, means that the Third District will have a new Congressman in 2011. The race includes one Democrat and eight Republicans. Congressman Vic Snyder has decided to forego seeking a seventh term for the Second Congressional District to devote more time to his family, which includes four children under the age of four (you have to respect that decision). And, finally, our great friend and colleague, Congressman Marion Berry has decided to retire back to the farm in Gillette after serving seven terms representing the First Congressional District. Marion has been a staunch supporter (and frequent lead sponsor) of pharmacy legislation, and I, personally, can’t express strongly enough what he has meant to me and Arkansas pharmacy. There are five Democrats and two Republicans who have filed for that seat. The good news is that Congressman Mike Ross is vying to return to Congress in the Fourth Congressional District. Mike has also been a huge supporter of pharmacy, and I encourage you to support him in every way you can.

Mark Riley, Pharm.D. Executive Vice President

At the state level, we are expecting approximately 40 new House of Representative members (out of a total of 100), and 12 or more new Senate members (out of 35). This means that a new face will occupy approximately 38 percent of the Arkansas Legislature. Your grassroots involvement in the process is more important now than ever. We need to build good relationships with as many of these new members as possible. Please let us know of ANY connection you have with ANY legislator or candidate. Having an opportunity for the legislator to meet the APA and his local pharmacist, helps us create a “bond” that will last throughout their tenure. We try to schedule these types of meetings while we are out on District Meetings in September, but I am happy to make a special trip to your area to meet with you and your legislator. Again, please contact us and let us know about your relationship with your local legislator. APA is also particularly proud that many candidates with pharmacy connections are involved in this year’s races. Ben Ponder (son of APA member Danny Ponder) is running for the First Congressional District. David Boling, (brother to APA members Dr. Elaine Bultena and brother-in-law to Drs. Loyd Bultena and Dr. Robert Jordin) is running for the Second Congressional District. David Whitaker (husband of APA member, Dr. Lisa Whitaker) is running for the Third Congressional District. At the state level, APA members Dr. Scott Pace (District 31), Dr. Karrol Fowlkes (District 82), and Dr. Raymond Robertson (District 4) are running for the state House of Representatives. In addition, Tommy Wren (son-in-law of Dr. Royce Wilson and brother-in-law of Dr. Lee Wilson, both APA members) is vying for the house seat in District 71. As you can see, we have a great opportunity to educate these new legislators about the importance of pharmacy. Talk to these candidates and get involved in their campaigns by donating your time and money to pharmacy-friendly candidates. I know you will; you always do. The Arkansas Pharmacist

Special Honor

Washington Regional Foundation Announces 2010 Eagle Award Winners (Fayetteville, AR) Three Eagle Award recipients were formally recognized during the Washington Regional Foundation’s Gala 2010, “An Evening with Kenny Loggins,” on Tuesday, April 6 at the Walton Arts Center. Established in 1994, the Eagle Award For Outstanding Health Leadership is given to individuals or organizations that make outstanding contributions to the improvement of healthcare in Northwest Arkansas. This year’s recipients are Dan Bell, M.D., Carl Collier, P.D. and David McClinton. This is the 17th year that the Gala has been a successful contributor to the Foundation’s efforts to provide necessary funding for a variety of healthcare programs. Over the past 17 years, the Foundation has provided through Gala proceeds more than $900,000 for specific healthcare projects and programs through the phenomenal generosity of countless donors and volunteers throughout Northwest Arkansas. The beneficiary of this year’s Gala proceeds is the new Washington Regional Hospice Home, an inpatient facility that will provide a tranquil, home-like environment for patients who need more end-of-life care than they can receive at home, and will specialize in symptom control and comfort. With a family name that is synonymous with service and trust, Carl Collier has made caring for the health and well being of Northwest Arkansas his priority for more than 45 years. Collier’s grandfather opened Red Cross Drug Store on the Fayetteville Square in 1917, establishing the family’s commitment to quality care and efficient service by offering home delivery and charge accounts. After Carl graduated from pharmacy school in 1964, he joined his brother Morris and their father in the family business. In 1973, Collier’s Drug Store became just the fourth pharmacy in the nation to implement computerized prescription tracking and record-keeping—another example of the family’s commitment to providing quality care and efficient service. Widely known for his ready smile and cheerful personality, Collier also epitomizes the serious and scientific nature of a pharmacist. He works diligently to create therapeutic solutions to patient dilemmas, and has been an especially compassionate friend to many Hospice patients. Collier has supported Washington Regional Hospice for more than 25 years, both as a generous financial sponsor of the organization’s fundraising efforts as well as with his time and attention to Hospice patients. He even makes sure a Collier’s pharmacist attends weekly Hospice team meetings in an effort to stay familiar with particular patient needs. “Carl is one of those rare individuals that is genuinely concerned and shows support for anyone and everyone that he encounters,” says Paula Hartz, director of Washington Regional Hospice. “It is not unusual for Carl to get out in the middle of the night to get medications for a patient that is in acute distress or pain.” In addition to his vast responsibilities as a pharmacist, Collier has been active in several national pharmacy organizations, as well as the American Red Cross, Juvenile Diabetes Research Foundation, Rotary, United Way and Dickson Street Improvement Committee. He and his wife, Janet, married since 1965, have two children: Meredith Dowse and Mel Collier. 6

The Arkansas Pharmacist

Harding Report The Creation of Student Chapters of Pharmacy Professional Organizations: Starting From Scratch If your college of pharmacy experience was like mine, you went to a school or college of pharmacy where there were numerous pharmacy professional organizations to choose from ranging from a student chapter of the Academy of Managed Care Pharmacy to a pharmacy fraternity like Phi Delta Chi. There were also opportunities to become part of a pharmacy honor society like Rho Chi or Phi Lambda Sigma. But how did all those chapters get started? What if you were at a new school and were its first or second class of students? What considerations need to be made to establish strong student chapters of pharmacy organizations? This is the position we have found ourselves in at Harding University College of Pharmacy. With the creation of a new college of pharmacy not only do the faculty and staff need to be in place to provide all the academic pieces of the curriculum puzzle, but also a plan must be put into place to establish student chapters of professional organizations. The first decisions to be made are which organizations to start with and the order of their implementation. As we surveyed colleges and schools of pharmacy across the country, we found that the most student-centered professional organization was the American Pharmacy Association-Academy of Student Pharmacists (APhA-ASP). In fact, at many colleges of pharmacy APhA-ASP serves as the umbrella left: Mallory Garfield (P2) right: organization under which all other student chapters fall. In some cases, the APhA-ASP leadJanice McKean (P2) represented ership group also serves as the collegeâ&#x20AC;&#x2122;s student government. HUCOP at the 2009 national ASHP Clinical Skills Competition

In the case of Harding, we chose to start with a Council of Students (COS) to serve as the student government. The COS is composed of officers elected from the entire student body, representatives from each class, and representatives from each of the student professional organization chapters. During our first accreditation visit from the Accreditation Council for Pharmacy Education (ACPE), we shared a list of pharmacy professional organizations we envisioned eventually starting student chapters of at Harding. ACPE strongly urged us to limit the list to one or two organizations to begin with to prevent a small number of students and faculty getting spread too thinly by trying to start too many student chapters. At that point, we chose APhA-ASP as our first student organization. This fit nicely with the way professional organizations are organized within Arkansas as well, since the Arkansas Pharmacists Association (APA) is a state affiliate of APhA. For the second student chapter of a professional organization we chose to form the Student Society of Health-System Pharmacists (SSHP) in collaboration with the American Society of Health-System Pharmacists (ASHP), again mimicking the pattern already established at the state level with the Arkansas Association of Health-System Pharmacists (AAHP). When you consider the fact that there are approximately 60 students in each entering pharmacy class at Harding, having three organizations (COS, APhA-ASP, and SSHP) that each require eight to ten individuals to serve in leadership positions is an ambitious undertaking. Not to mention the fact that all of the students working to establish the student chapters are first and second year pharmacy students with no one ahead of them to have already paved the way or established policies and procedures to get things done. The administration of the Harding student performs blood pressure check at Get college made every effort to assist the students as they worked Down Downtown festival. through this process. The Director of Student Affairs, Mrs. Susan Grace, along with faculty chapter advisors offered counsel and guidance to the students as they wrote the constitution and bylaws for each group and began recruiting members.

left to right: Pamela Pinkerton (P1), Awung Asong (P1), Rami Beiram (P2), Dr. Rayanne Story, Dr. Julie Hixson-Wallace (Dean), Emily Roberts (P1), and Celia Proctor (P2) and Region 6 APhA-ASP representative.

So while our APhA-ASP and SSHP chapters are both relatively new, they are already making great impressions and efforts to become involved at the local, state, and national levels. The APhA-ASP chapter hosted a diabetes and blood pressure screening at Get Down Downtown, a Searcy city festival in September. Student representatives from Harding have attended the annual national meeting of APhA for the last two years and the summer and midyear national meetings of ASHP in the last year. StuThe Arkansas Pharmacist

Healthcare Reforem Update dents have also attended the APA and AAHP meetings and presented posters at the AAHP meeting and served as meeting volunteers. Harding has had national competitors in the 2009 ASHP Clinical Skills Competition and the 2010 APhA Patient Counseling Competition and presented a poster at the 2009 ASHP midyear in Las Vegas as well. One of our students, Celia Proctor, has been elected Region 6 APhA-ASP representative (covering AR, OK, KS, TX, and LA) and is serving in this role at the national APhA-ASP student caucus in Washington, DC March 12-15, 2010. What’s next on the horizon? A student chapter of the National Community Pharmacists Association (NCPA) is in the beginning stages of formation. The faculty advisor for this group will be Dr. Jeff Mercer. Harding is also anxious to establish a pharmacy honor society chapter of Rho Chi, but their regulations will not permit a student chapter until the college has graduated its first class (which will occur in May 2012) and attained ACPE full accreditation. The student pharmacists at Harding have done an excellent job of laying the groundwork for a legacy of student pharmacy professional organization chapters that are anticipated to do nothing but grow and flourish in coming years as the student body continues to grow along with them. We appreciate all the assistance we have received from APA, AAHP, UAMS, and individual pharmacists who have provided guidance and support for our student organizations along the way. Our sincere desire is to become a productive and active part of the pharmacy community in Arkansas and we cherish the opportunities to serve! Julie A. Hixson-Wallace, Pharm.D., BCPS

Congress Passes Healthcare Reform

After many months of debate, Congress passed health insurance reform legislation. The President signed the legislation into law on March 23, 2010. At its core, the legislation is designed to extent health insurance coverage to most of the 30 million plus Americans that currently have no insurance. The new law marks some of the most sweeping changes to healthcare in America since the creation of Medicare and Medicaid. Included in the new law are several provisions that the pharmacy community has been working on for several years, including: • Durable Medical Equipment Exemption (DME) – eliminates the requirement for small pharmacies to be accredited to sell DME supplies; only pharmacies selling greater than five percent of their total sales volume in DME are required to become accredited. • Average Manufacturers Price (AMP) fix – cleans up language that was passed as part of the Deficit Reduction Act of 2005 that would have gutted pharmacy reimbursement on generic drugs in Medicaid. • Pharmacy Benefit Manager (PBM) Transparency – imposes mandatory transparency requirements on PBMs operating in the newly created healthcare exchanges. Because most provisions of the new law do not begin until 2014, it may be several years before we know the full impact of the bill. As always, APA will monitor and respond to any impact on the pharmacy community. The Arkansas Pharmacist

Safety Nets

Safety Nets This issue of Safety Nets describes the continuing problem of look-alike, sound-like medications. Thank you for your continued support of this column. A pharmacy technician received the original prescripclearly lead a reader astray. The “V” is clearly a “V”. Figure One tion illustrated in Figure One. After What was intended as “es” certainly resembles “al”, obtaining the required patient infor- with a sort of tail off the “l”. The “i” stands alone and mation from this new patient, the is clear, with its dot floating some distance away, but technician entered the prescription still associated with the base of the letter. The element information into the computer as meant to be read “care” certainly resembles either Valium® (diazepam), 10 mg “un” or “um”. The confirmation bias formed from Tablets, quantity 30, with directions to the patient of decades of dispensing Valium®, and the additional “take one tablet by mouth daily”. The same technician confirmation bias of the 10 mg strength leads the filled the prescription and placed it in line reader to perceive an order for an old Patient for pharmacist verification. The pharmacist standby, diazepam 10 mg tablets. The Sig verified the prescription had been correctly does not assist the pharmacist. The precounseling filled and began to counsel the patient scriber wisely avoided the dangerous abbrewill remain viation “QD” and stated to take the dose about diazepam. When the pharmacist explained to the patient that diazepam was “daily”. This is a good practice, but it is the best usually prescribed for anxiety, the patient not carried to completion. A once-daily protection for dose could have several purposes. Someimmediately stated she was being treated for an overactive bladder. When the pharmore is needed. The best practice is to our patients” thing macist re-examined the medication order, include the intended use of the medication he realized the order could also be interpreted as Vesi- as part of the Sig. Had this been implemented here, care® (solifenacin) 10 mg Tablets. A telephone call to the technician or the pharmacist would surely not have the prescriber confirmed the prescription was written provided a finished prescription of diazepam for treatfor Vesicare®, not Valium®. After this, the order was ment of an overactive bladder. correctly filled and the patient appropriately counseled. In the second case (Figure Two), a pharmacist entered the prescription information into the computer as simIn this first example, the prescriber’s letter formations vastatin 80 mg tablets, quantity 30, with directions to 10

The Arkansas Pharmacist

In Memorium the patient of “take one tablet daily”. The prescription was filled by a technician and placed in line for counseling. During the counseling session, the patient interrupted the pharmacist and stated he was supposed to receive a prescription to “help me concentrate”. After re-examining the prescription a second time, the pharmacist Figure Two realized the order could also be interpreted as Strattera® (atomoxetine) 80 mg Capsules. A telephone call to the prescriber confirmed Strattera®, not simvastatin. The second example contains real difficulties. It is nearly impossible to see “Strattera”® in the written order. The word clearly begins with “S”. Unfortunately, the letter “t” is formed in three different fashions. The first “t” very much resembles “i”, for the crossbar floats above the stem. The second “t” (standing after what appears to be “ua” or “ud”, has a connecting mark between the base of the upright and the bar (which again does not cross the upright). The elements that the prescriber intended to be read “tera” contain a crushed “t” which looks more like “a” or “o” preceding what looks to be “ld”. No technician or pharmacist is quite able to cope at first reading with an order for what looks like “Siuatald”.

The Sig here again does not indicate the intention of the prescriber. There is no indication that the patient is being treated for some defect of concentration. Indeed, the intended “qd” looks a great deal like “qid”. Even had the proper drug/strength been selected, a four-fold overdose remains a real possibility. The guidance is clear. This prescription is not legible. A community pharmacist well familiar with the prescribing habits of a local physician might satisfactorily interpret this prescription, based on long experience with the physician. However, the order here offered for study cannot be considered a model of safe writing practices. As we make a transition toward more computer-generated prescriptions, we may indeed hope to see illegible drug names result in fewer errors reaching patients. The same will be true for confusion of unofficial Latin-derived Sigs. However, we will all be challenged to provide appropriate vigilance against drug and dose instructions that are inappropriate for our patients, even though those doses come from a computer screen or a print-out with no flaws in spelling. Patient counseling will remain the best protection for our patients.

In Memorium Dr. Samuel Watson Arkadelphia, AR Dr. Ken Culpepper, Sr. Hot Springs Village, AR The Arkansas Pharmacist

Rx and the Law

PHARMACY MARKETING GROUP, INC

AND THE LAW By Don McGuire, 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.

NEVADA RULES ON PHARMACIST’S DUTIES The Nevada Supreme Court has ruled on the case asking whether seven chain pharmacy owners and one independent owner were rightfully dismissed from the civil case, Sanchez v. Wal-Mart Stores, et al1. The case arises from a June 2004 car accident caused by Patricia Copening. She was driving along a busy Nevada highway while under the influence of prescription medications. The accident killed one man, Gregory Sanchez, Jr., and injured another, Robert Martinez. Prior to the accident, in June 2003, the Nevada Prescription Controlled Substance Abuse Prevention Task Force sent letters to 14 Las Vegas area pharmacies informing them that Copening may be abusing drugs. The letter informed the pharmacies that Copening had received approximately 4,500 hydrocodone tablets from 13 different pharmacies during the previous year. She continued to receive multiple prescriptions for hydrocodone-acetaminophen and carisoprodol between June 2003 and June 2004 when the accident occurred. She appeared confused. The police found prescription bottles and loose tablets in the vehicle. She was found to have hydrocodone in her system. She served nine months in jail after pleading guilty to reckless driving. A civil case was filed by the Sanchez family, Mr. Martinez and his family against Copening, the doctors prescribing for her, and the pharmacies. The district court dismissed the pharmacies because Nevada law did not impose a duty on the pharmacies to take action after receiving the Task Force letter. The Supreme Court of Nevada reviewed the case and answered two questions; First, did the pharmacy have a duty to act to prevent their patient from injuring members of the general public, and Second, did Nevada law allow third parties to maintain a negligence per se claim. The case was decided by a 5-2 margin, with a strong dissent. 1. Sanchez, et al. v. Wal-Mart Stores, Inc., et al., 2009 WL 5030703 (Nev.), December 24, 2009. 12

The majority and the dissent agreed that under Common Law principles, a person has no duty to control the dangerous conduct of another person or to warn others of the dangerous conduct. There is an exception to this rule however. If there is a special relationship and the harm is foreseeable, the there is a duty to act. The majority and dissent diverged on the analysis of whether a special relationship existed in this case because they weren’t consistent on which parties form this special relationship. The majority talked about the relationship between the pharmacy and the victim, while the dissent talked about the relationship between the pharmacy and the patient. The majority notes that the pharmacy had no relationship with the victims and that they were, in fact, unidentifiable prior to the accident. This is an important point in the analysis because it is clear that there is a special relationship between a pharmacy and its patients. The majority noted that the pharmacy had no requirement to act after it received the Task Force letter. However, they pointed out in a footnote that the regulations had changed since this incident, but declined to opine as to whether the decision would be different because of the rule changes. The ruling in the case was that the pharmacies had no duty to act because the law didn’t require them to act and there was no special relationship formed that would require them to act. The majority also ruled that a negligence per se claim could not be maintained because the laws in question were not intended to protect against the injuries that the plaintiffs had sustained. While the pharmacies were dismissed in this case, the case should serve as a wakeup call to pharmacists. The dissent made some strong arguments, and even the majority hinted that the answer might be different under today’s laws. The court here said that the pharmacies did not have a duty to act upon information received from the task force, so they never provided guidance as to what a pharmacy should do if it were

The Arkansas Pharmacist

AAHP Report required to act. This issue is very likely to come up again and the next court could find that the pharmacy was required to act. Prescription drug monitoring programs work by providing information that a single pharmacy or prescriber is unlikely to obtain on their own. In the past, a single pharmacy was usually unaware of all of a patient’s activities in acquiring controlled substances and didn’t have enough information to take any action. In the present case, the pharmacies were notified that the patient was getting prescriptions filled at 12 other pharmacies around town. It is very possible that this additional information might provide the basis for a court or legislature to make a major change in the law of negligence.

© Don McGuire, R.Ph., J.D., is a Professional Liability Claims Attorney 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 the policies and procedures of their employers and insurance companies, and act accordingly.

AAHP Report By: Jason Derden, President

AAHP 2010 Annual Fall Seminar The Arkansas Association of Health-System Pharmacists (AAHP) will host its 44th Annual Fall Seminar on October 7th and 8th, 2010 at the Holiday Inn Airport Conference Center in Little Rock, Arkansas. AAHP will offer over 10 hours of live ACPE accredited continuing education. The program will include an exhibitor session, pharmacy technician and student sessions, poster presentations, awards luncheon and more. The American Society of Health-System Pharmacists (ASHP) will have representatives at the fall seminar including a visit by the ASHP President. Please mark your calendar for the AAHP 44th Annual Fall Seminar to be held on October 7th and 8th, 2010 at the Holiday Inn Airport Conference Center in Little Rock, Arkansas. Visit our website at www.aahponline.org for future program details. AAHP/SSHP Scholarship AAHP would like to congratulate Trinity Lahti from UAMS College of Pharmacy. Trinity is the 2010 AAHP/SSHP scholarship winner. APA Annual Convention at the Fort Smith Holiday Inn Dr. Jennifer Priest is working with APA for the AAHP sponsored educational event at the Annual APA Convention on June 24-26, 2010. Three live continuing education hours are being planned. Listserver of AAHP Members AAHP in conjugation with ASHP is offering a Listserve for AAHP members. Many pharmacists are already taking advantage of this key resource. The majority of challenges we face within our individual organizations are the same across the state. The Listserve can be your lifeline to connect with other pharmacist and share your experiences. To join the Listserve, visit our website at www.aahponline.org.

The Arkansas Pharmacist

Medicaid Alert

Now that Spring has finally sprung, many of us and our patients are suffering from seasonal allergy symptoms. Arkansas Medicaid would like to take a minute and remind you of some evidence based treatments for the symptoms associated with the beautiful Spring weather. Allergic rhinitis is a collection of symptoms, mostly in the nose and eyes, which occur when you breathe in something you are allergic to, such as dust, dander, or pollen. Symptoms include but are not limited to itchy and/or runny nose, itchy mouth and skin, itchy and/or tearing eyes, itchy and/or sore throat, nasal congestion, sneezing, and coughing. • Nasal corticosteroid sprays are the most effective treatment for allergic rhinitis. They work best when used nonstop, but they can also be helpful when used for shorter periods of time. • Studies show that for the treatment of allergic rhinitis, intranasal steroids are more effective than Montelukast (Singulair®) monotherapy or Montelukast plus an antihistamine. • Montelukast (Singulair®) is not the most effective therapy for allergic rhinitis. • Nasal corticosteroid sprays that are available as preferred medications on the Arkansas Medicaid Preferred Drug List include: Fluticasone Furoiate (Veramyst®), Fluticasone Propionate (Flonase®), Mometasone (Nasonex®), and Triamcinnolone (Nasacort AQ®). **http://www.nlm.nih.gov/medlineplus/ency/article/000813.htm; http://emedicine.medscape.com/article/134825-print; https://www.medicaid.state.ar.us/InternetSolution/Provider/pharm/scripinfo.aspx#Evidence; The Diagnosis and Management of Rhinitis: An Updated Practice Parameter. J Allergy & Clin Immunol. 2008;122:S184; Lambert M. Practice Guidelines: Practice Parameters for Managing Allergic Rhinitis. Am Family Physician. July 2009;80(1): 79-85.

The Arkansas Pharmacist

2010 UAMS Graduates

The Arkansas Pharmacist

UAMS Report As one of its missions, the University of Arkansas for Medical Sciences (UAMS) College of Pharmacy keeps a steady and watchful eye on efforts that can be made to improve the health care of Arkansas’ patients and families. By identifying particular patient and pharmacist needs, we then are eager to find solutions by offering specific programs or working corrective steps into our ever-evolving curriculum. A perfect example of the effect the College of Pharmacy can have on health care in Arkansas is the recent reemergence of Disease State Management (DSM) practices among pharmacists and prescribers in our state. We’ve been called on to revitalize a program that began nearly a decade ago. The original DSM regulation came into play in Arkansas around 2000, and was specific to credentialing pharmacists to enter into written protocol agreements with prescribers in just four defined areas, including anticoagulation, diabetes, asthma and hyperlipidemia. This credentialing is important to not only improve patient care, but to give practicing pharmacists increased efficiency in the management and distribution of medicine. Over the years, the original governing body of the credentialing slowly dissolved requiring revision of the regulation in November 2009. The revised regulation allows the ASBP to make the UAMS College of Pharmacy a credentialing body, and no longer limits DSM to the previous four specific areas. The new guidelines allow credentialed pharmacists to enter into written protocol agreements with prescribers for any disease state. These agreements with physicians allow pharmacists to provide targeted interventions within specific disease states that require complex medication regimens. However, the regulation also allows for protocols directed at therapeutic interchange of prescribed medications that may not be preferred by insurance plans. Another reason the College of Pharmacy is well positioned to help manage this innovative program is because of the strong support system already in place with our Drug Information Center (DIC). This service component of our College is available to health care professionals and receives and answers drug information questions of all types. If pharmacists or prescribers have questions about implementation of a written protocol agreement, our DIC will offer any support necessary. We’re equipped for the DIC to be the “go to” place to support this new credentialing effort. The UAMS College of Pharmacy has moved quickly to offer this credentialing service to both current and future pharmacists in Arkansas. We’ve created a 3.5-hour credentialing program that has been offered twice so far, with more planned for the future. The next program will be offered in June at the Arkansas Pharmacists Association Meeting. Currently, more than 120 pharmacists have completed the training, and we have received fantastic feedback from those who attended the program. Perhaps the most exciting feature of this new program is that we plan to have it permanently incorporated into our curriculum by 2011 so that every student is credentialed upon graduation. For pharmacists already in practice, we’ll not only continue offering live credentialing opportunities, but we’ll also streamline the process for online completion. By doing this, it’s just another way we’re helping Arkansas meet its future health care needs. We hope all pharmacists in Arkansas will take advantage of the opportunities that this revised regulation allows! College of Pharmacy Dean Stephanie Gardner

The Arkansas Pharmacist

Calendar of Events

Calendar of Events MAY May 10 - 12, 2010 NCPA Annual Legislative Conference Washington, DC JUNE June 24 - 26, 2010 APA Annual Convantion Fort Smith Holiday Inn Fort Smith, AR

JULY July 16 - 25, 2010 2010 CE in Paradise Hawaii Island Hopping AUGUST August 12 - 14, 2010 APA Board of Directors Retreat Rockwall, TX

The Arkansas Pharmacist

SEPTEMBER September 7 - 30, 2010 APA Annual District Meetings September 22 - 24, 2010 NCPA Annual Convention Silverado Resort, Napa OCTOBER October 7 - 8, 2010 AAHP Annual Fall Seminar Holiday Inn Airport Little Rock, AR

The Arkansas Pharmacist

Mike Beebe for Governor The Arkansas Pharmacists Association on March 25 held a fund raiser and reception for Governor Mike Beebe. Seventy four pharmacists from across the state were official hosts of the event which raised $60,000.00 for Governor Beebe's re-election campaign. There were over 200 total in attendance. First Lady Ginger Beebe accompanied the Governor at the event which was held at La Vada's, a beautiful Victorian home and banquet hall in North Little Rock. Senate and House Public Health Committe Chairmen Senator Percy Malone and Representative Greg Reep were also in attendance. APA sincerely thanks all of the hosts and attendees of the event.

The Arkansas Pharmacist

Member Classifieds Best Relief Pharmacist In Arkansas Available I am available to do relief work Mondays through Thursdays. I will of course work an occasional Friday and Saturday on special request and will of course work vacations. Would prefer Little Rock metropolitan area and as far south as my license is legal. If your customers and staff don't tell you the next day that I was the best relief pharmacist that ever worked for you, the day is FREE. You can reach me at 870-543-0841 or by e-mail at frankwill2@hotmail.com - Frank Williams Relief Pharmacist Pharmacist available for relief for vacations or occasional day off. I have over 40 years retail experience with 25 years as the owner of an independent compounding pharmacy. Can cover the River Valley and Ouachita areas. Call John Csiha; cell number: 479-355-0371 Pharmacist Needed Looking for part time pharmacist for an independently owned pharmacy in Searcy, Arkansas. Please contact Scott Stanley, Pharm.D. at the following contact information; 501-281-1374, Stanley Pharmacy P.O. Box 2039 Searcy, AR 72145, or stanleycorporate@centurytel.net. Pharmacist Needed We are looking for a full-time or part-time pharmacist for an independently owned pharmacy in Paris, AR. Please call Elizabeth at 479-963-1555. For Sale All items located in Rison, AR Lighted wall fixtures - 70 total feet 5 ft gondolas - 10 total lexmark T640 printer - 1 total credit card terminal - 1 total Contact: Roth E. Rabb, P.D. @ 870-718-9482 or after 6:00 p.m. 870-325-6836 Independent Pharmacies Wanted Independent pharmacist interested in purchasing independent pharmacies in Arkansas. Pharmacies will remain independent after purchase. Purchaser has solid independent pharmacy background.

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 S.E. Missouri. 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 . 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 doctorâ&#x20AC;&#x2122;s complex and new treatment, diagnostic, and emergency facility, b) next door to ophthalmologist and optometrist. Contact Mike Sprague at 512-799-5265.

If interested in selling your pharmacy, please contact Vance at 870-897-1204 or via e-mail at VanPark@aol.com. Volunteer Pharmacists Needed Shepherdâ&#x20AC;&#x2122;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! 22

The Arkansas Pharmacist

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 24

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, Wynne ................................2007-08 Paul Holifield, Batesville ................................................2008-09

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 2009 Tony Bari . . . . . . . . . . . . . . . . . Jonesboro

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 2009 Sarah Frank, Pharm.D.. . . . . . Fayetteville

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 2009 Eddie Dunn . . . . . . . . . . . . . . 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

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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 2009 Michael Thames, Pharm.D.. . . Fort Smith

2010 APA Annual Convention

Schedule at a Glance Wednesday , June 23, 2010 9:00 a.m. - 12:00 noon APA Board of Directors Meeting Marriott Hotel 1:30 p.m.

APA Annual Golf Tournament Hardscrabble Country Club Sponsored by: AmerisourceBergen

Thursday , June 24, 2010 7:00 a.m. - 11:30 a.m.

Registration

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

Continental Breakfast

CONTINUING EDUCATION SESSION Arkansas Association of Health System Pharmacists (AAHP) Jason Derden, Pharm.D., Presiding 8:00 a.m. - 12:00 noon Hyperglycemic Crisis 0004-9999-10-005-L01-P....(0.10 CEU) Speakers: Eric Schneider, Pharm.D. Associate Dean, UAMS College of Pharmacy - Northwest Supported by: AAHP Where’s the Plumber? Overflowing Resistance with a Dripping Pipeline 0004-9999-10-006-L01-P....(0.10 CEU) Speaker: Holly Maples, Pharm.D. Assistant Professor of Pharmacy & Medicine Arkansas Children’s Hospital Supported by: AAHP Clinical Pearls 0004-9999-10-007-L01-P....(0.10 CEU) Speakers: Melonie Clayborn, Pharm.D. Clinical Pharmacists, Northwest VA ; Jennifer West, Pharm.D. Pharmacy Practice Resident, CAVHS; Lorie Crawford, Pharm.D. Pharmacy Practice Resident, CAVHS 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.

CONTINUING EDUCATION SESSION APA Academy of Compounding Pharmacists Gary Butler, P.D., Presiding 1:30 p.m. - 3:00 p.m. Pharmacy Compounding Update 0004-9999-10-008-L04-P ..(0.15 CEUs) Speaker: Tom Murry, Pharm.D., Esq Executive Director, Pharmacy Compounding Accreditation Board CONTINUING EDUCATION SESSION APA Academy of Consultant Pharmacists James Griggs, P.D., Presiding 3:00 p.m. - 4:30 p.m. What the Doctor Thinks: The Cognitive Psychology of Prescribing 0004-9999-10-009-L04-P. (0.15 CEUs) Speaker: Richard Miles, M.D. 4:00 p.m. - 5:00 p.m.

Past Presidents’ Council/Arkansas Foundation Board Meeting

Friday, June 25, 2010

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

7:30 a.m. - 11:00 a.m.

Registration

7:45 a.m. - 8:30 a.m.

Continental Breakfast

FIRST GENERAL SESSION President Jan Hastings, Presiding 8:30 a.m. - 12:00 noon Current Issues in Anticoagulation 0004-9999-10-010-L01-P. (0.15 CEUs) Speaker: Ashley Stinnett, Pharm.D. Assistant Professor UAMS College of Pharmacy

Registration

The Arkansas Pharmacist

Hypertension: Review of Guidelines and Principles of Antihypertensive Therapy 0004-9999-10-011-L01-P ..(0.15 CEU) Speaker: Leslie Mooney, Pharm.D. Research Fellow UAMS College of Pharmacy 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

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

Registration

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

SECOND GENERAL SESSION President Mike Smets, Presiding 8:00 a.m. - 12:00 noon Immunization Update 0004-9999-10-015-L01-P. (0.15 CEUs) Speakers: Eric Crumbaugh, Pharm.D. Clinical Coordinator Kroger Pharmacy 9:30 a.m. - 10:30 a.m.

Pharmacy Law Update 0004-9999-10-013-L03-P....(0.10 CEU) Speaker: John Kirtley, Pharm.D. Assistant Director Arkansas State Board of Pharmacy OTCs: Review and Update 0004-9999-10-014-L01-P ..(0.15 CEUs) Speaker: Erin Beth Hays, Pharm.D. Pharmacy Resident White River Medical Center 5:30 p.m. - 6:00 p.m.

Presidents’ Reception (all attendees invited)

6:00 p.m.

An Evening with the Presidents

Awards Ceremony OTC Self Care Championship: Harding vs. UAMS 0004-9999-10-016-L01-P (0.15 CEUs) Speaker: Jan Hastings, Pharm.D. Associate Professor UAMS College of Pharmacy Supported by: NASPA and Proctor & Gamble

CONTINUING EDUCATION SESSION President Jan Hastings, Presiding 1:00 p.m. - 4:30 p.m. FEATURED SPEAKER The Value of Medicines: Introducing the Triple Solution for a Healthier America 0004-9999-10-012-L04-P ..(0.10 CEU) Speaker: Dan Weston Director of External Advocacy GlaxoSmithKline Supported by: GlaxoSmithKline

Continental Breakfast

12:00 noon - 1:30 p.m. AP-PAC Luncheon Speaker: The Honorable John Boozman Supported by: AP-PAC (Special ticket purchase required.) AP-PAC Board of Directors Meeting directly following the luncheon. CONTINUING EDUCATION SESSION President Mike Smets, Presiding Collaborative Practice Certification Session 1:30 p.m. - 4:30 p.m. Retooling for the future: Pharmacist Credentialling for Disease State Management 0004-0000-09-059-L04-P ..(0.30 CEUs) Speaker: Jeremy Thomas, Pharm.D. Assistant Professor UAMS College of Pharmacy and Eric Schneider, Pharm.D. Associate Dean UAMS College of Pharmacy Supported by: UAMS College of Pharmacy

Special Entertainment by: The Drugstore Cowboys Dessert Extravaganza President’s Farewell Reception

Saturday, June 26, 2010 7:30 a.m. - 1:30 p.m.

Registration The Arkansas Pharmacist

Hyperglycemic Crisis Presented by: Eric Schneider, Pharm.D. This CE activity will be Application based.

Where’s the Plumber? Overflowing Resistance with a Dripping Pipeline Presented by: Holly Maples, Pharm.D. This CE activity will be Knowledge based.

Upon completion of this lecture, the participant should be able to: • Compare and contrast the pathophysiology of DKA and HHS. • List the complications of DKA and HHS and explain their prevention. • Explain the role of insulin, fluids, potassium, bicarbonate, and phosphorus in the management of hyperglycemic crisis. • Outline a treatment plan for an adult patient with hyperglycemic crisis.

Upon completion of this lecture, the participant should be able to: • Recognize emerging resistance in community and health care-associated infections. • Appreciate the history of antimicrobial development and the future pipeline. • Apply strategies to optimize detection and surveillance while improving clinical outcomes.

Pharmacy Compounding Update Presented by: Tom Murry, Pharm.D., Esq This CE activity will be Knowledge based.

Clinical Pearls Presented by: Melonie Clayborn, Pharm.D., Jennifer West, Pharm.D., and Lorie Crawford, Pharm.D. This CE activity will be Application based. Upon completion of this lecture, the participant should be able to: • Describe how to apply pharmacotherapy to unique circumstances and clinical presentations. • List commonly used medications that should be avoided in geriatric patients. • Discuss the prevention of herpes zoster (shingles) with the zoster vaccine. • Identify alternative treatments for Clostridium difficile when vancomycin and metronidazole fail.

Upon completion of this lecture, the participant should be able to: • Identify current regulatory issues facing compounding pharmacy. • Describe recent court decisions and their impact on compounding. • Discuss regional conflicts of law pertaining to compounding pharmacy. • Review upcoming compounding issues.

What the Doctor Thinks: The Congnitive Psychology of Prescribing Presented by: Richard Miles, M.D. This CE activity will be Knowledge based. Upon completion of this lecture, the participant should be able to: • Describe the extreme reactions that may be elicited from sound treatment recommendations. • Identify methods to assist physicians in changing long-held treatment regimes. • List the intellectual reaction that occurs as described by James Reason. • Provide insight into the psychological discomfort experienced by physicians when provided with recommendations for treatment changes.

F Current Issues in Anticoagulation Presented by: Ashley Stinnett, Pharm.D. This CE activity will be Application based. Upon completion of this lecture, the participant should be able to: • Review current guideline recommendations for anticoagulation. • Describe the pharmacology of current anticoagulants. • Compare and contrast anticoagulants in development to those currently in use.

Hypertension: Review of Guidelines and Principles of Antihypertensive Therapy Presented by: Leslie Mooney, Pharm.D. This CE activity will be Application based. Upon completion of this lecture, the participant should be able to: • Describe the difference between essential and secondary hypertension and explain the pathophysiology associated with the development of hypertension. • Classify a patient’s hypertension. • Discuss the non-pharmacologic approach to hypertension, when it is indicated, and the blood pressure reduction expected with each approach. • Compare the mechanism of action, dosing, side effects, and counseling information for the different classes of antihypertensive agents. • Apply current guidelines to individual patients.

The Value of Medicines: Introducing the Triple Solution for a Healthier America Presented by: Dan Weston This CE activity will be Knowledge based. Upon Completion of this lecture, the participant should be able to: • Distinguish how prevention and intervention are critical to controlling disease and the cost of healthcare, while helping people feel better: the Asheville project and Pitney Bowes are just two examples of this investment in wellness. • Describe how innovation brings new medicines that provide hope and a future for those living with disease. • State how the pharmaceutical industry continues to show that it cares about patient access to medicines by providing free, or nearly free, medicines to those without insurance.

Pharmacy Law Update Presented by: John Kirtley, Pharm.D. This CE activity will be Knowledge based. Upon completion of this lecture, the participant should be able to: • Analyze recent changes in pharmacy regulations in Arkansas. • Discuss the reasoning behind changes to pharmacy regulation. • Have particiants demonstrate understanding of recent pharmacy regulatory changes and challenges.

OTCs: Review and Update Presented by: Erin Beth Hays, Pharm.D. This CE activity will be Knowledge based. Upon completion of this lecture, the participant should be able to: • Explain the reasons for recent over-the-counter (OTC) changes by FDA. • Make appropriate OTC recommendations specific to each individual patient for common indications. • Teach patients how to properly read an OTC label.

Immunization Update Presented by: Eric Crumbaugh, Pharm.D. This CE activity will be Knowledge based. Upon completion of this lecture, the participant should be able to: • Using the adult immunization schedule, determine a patient’s indication for routine vaccinations. • Recognize contraindications and precautions associated with routine and travel immunizations. • Differentiate between required and recommended immunizations. • Counsel patients on pharmacological and non-pharmacological protective measures when traveling abroad.

OTC Self Care Championship: Harding vs. UAMS Presented by: Jan Hastings, Pharm.D. This CE activity will be Knowledge based. Upon completion of this lecture, the participant should be able to: • Identify and explain aspects of the effective and safe practice of pharmacy self-care treatments by means of an interactive learning experience. • Analyze the usage and effectiveness of over the counter medications. • Classify different groups of over the counter medications based on drug treatment class. • Apply effective counseling techniques for use with self-care patients.

Retooling for the future: Pharmacist Credentialing for Disease State Management Presented by: Jeremy Thomas, Pharm.D. and Eric Schneider, Pharm.D. This CE activity will be Knowledge based. Upon completion of this lecture, the participant should be able to: • List the essential components of a "written protocol" as described in the ASBP Disease State Management Regulation 9. • Describe appropriate documentation procedures for Disease State Management as outlined by the ASBP. • Develop a written protocol for a specific Disease State Management scenario. • Create a documentation record of a patient encounter. • Assess a given set of patient data and choose an appropriate course of action according to a written protocol.

4 - MAN SCRAMBLE GOLF TOURNAMENT

Wednesday, June 23, 2010 1:30 p.m. Hardscrabble Country Club

5211 Cliff Dr, Fort Smith, AR

Registration Fee: $65.00 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)