The
Arkansas
Pharmacist
2010 Winter 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
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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 49. 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 CE in Paradise ............................................................................................6 Call for Nominations ..................................................................................6 APA Awards Solicitation ............................................................................7 Special Honor ..........................................................................................15 Wholesale Partners Appreciation ............................................................18 From the Board of Directors ....................................................................20 New to APA’s Board of Directors ............................................................24 Arkansas Pharmacy Foundation Golf Tournament ..................................24 Pharmacy in Arkansas ..............................................................................26 Pharmacy Walkway of Honor ..................................................................27
Departments From the President......................................................................................4 The Executive’s Perspective ......................................................................5 Medicaid Alert ............................................................................................8 Harding Report ..........................................................................................9 Compounders Report................................................................................10 Rx and the Law ........................................................................................13 UAMS Report ..........................................................................................16 Member Classified Advertising................................................................17 Safety Nets................................................................................................22 Calendar of Events ..................................................................................23 AAHP Report ..........................................................................................25 APA Board of Directors Minutes..............................................................28 In Memoriam ............................................................................................30
Index to Advertisers Arkansas Pharmacy Foundation Legacy ................................................11 Logix, Inc.................................................................................................13 Pharmacists Mutual ................................................................................14 Arkansas Pharmacy Support Group ........................................................24 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
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From the President The holiday season has come and gone and I hope that the end of 2009 was a wonderful time for you and your family. As we contemplate beginning another year, many of us make resolutions. Some probably want to lose a few pounds, others may want to stop a bad habit (like smoking), and some will vow to become a better person in 2010. Whatever the particular goal, the end of one year and the start of a new year encourage us to improve ourselves in the future.
Jan Hastings, Pharm.D. Associate Professor UAMS College of Pharmacy
Right around the corner is the dreaded ‘TAX’ time. Once again a time to take stock of last year, but a joyless exercise! Intellectually we realize that paying taxes only means that we earned income and that the two are proportionately linked. However, I know of no one who enjoys paying money to ‘Uncle Sam’. During World War II, a shipyard inspector named James J. Kilroy wrote the words “Kilroy was here” on ships to show that he had inspected their riveting. His words became a battle cry for the troops and inspired a race to see who could write these words on a new battle front first! Kilroy became a sort of ‘super GI’- leading or participating in more combat, training and occupation campaigns than any other real GI in the war. The scribbled cartoon and words showed up everywhere. James Kilroy probably didn’t realize how much of a legacy (and legend) he would leave. It is human nature to want to be remembered – to leave a legacy. We want the world to know that we were here. We want the town where we live, the church where we pray, the school that we attended, the profession that we serve and the world in general to be better because we were here. But how can we accomplish this and move beyond “Kilroy was here” type tactics? The NCPA Annual meeting in New Orleans in October showed me one tangible way to do this. Several members were honored for giving a Legacy Gift to NCPA. These people had provided a gift of life insurance to NCPA. The Arkansas Pharmacy Foundation has a similar program called the Arkansas Pharmacy Legacy Endowment Group. For more information about that program you can call the Association office or Joe Baker at Pharmacists Mutual. There are other ways you can leave a legacy for the profession. You can designate the Association, Harding University or the UAMS College of Pharmacy as a beneficiary in your will. You can allocate a percentage of your residual estate, or specify a one-time donation to be paid from your estate. Another way that you can enrich the profession is by establishing a student scholarship at UAMS or Harding to alleviate economic barriers for students wishing to enter our profession. Contact either College for more nformation on giving to its respective program. Any of these methods will enrich the profession through a philanthropic effort that will live on after we are gone. In addition, deductible gifts provide important tax benefits for the donors. As you contemplate the rewards of 2009 and the ‘pain’ of tax time, consider how you might provide your legacy to the profession of pharmacy in our Great State. And thank you to everyone that continues to provide support to me as I start into the second half of my APA presidential year. Have a wonderful and blessed 2010.
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The Arkansas Pharmacist
The Executive’s Perspective As we embark on a new decade, the reality of the changes in politics, healthcare, and our personal lives since Y2K (remember that acronym) are astounding. From the R’s taking complete control in Washington (House, Senate, and Presidency) in 2000 elections, to a shift back until the D’s are controlling those same offices. The one thing that hasn’t changed is the partisan way in which Congress operates. But that is a major discussion in itself. We have experienced Medicare embracing a prescription drug benefit through Part D which resulted in about 50% of Medicaid patients being shifted to the new benefit. The good news is that even with the problems that we’ve experienced, most have survived and even prospered while millions of seniors have been able to afford medicines through this program. We have seen more growth, control, and huge profits in the PBM industry. It seems that pharmacists, patients, and even payers (due to a lack of education) have had very little say in how prescription drug benefits are crafted. However, we are seeing transparency laws passed at both the state and national level, and the PBM industry is coming under more scrutiny than ever before. And, consumers and payers have sent a clear message to CVS/Caremark that they don’t like the lack of choice promoted by this model (CVS/Caremark lost about $100 million dollars last year). Cell phones have become computers, personal computers have more capability than all of NASA two decades ago, and televisions are razor-thin with gigantic screens and amazing resolution. SUV’s are giving way to “crossovers” (why don’t we just call them station wagons like we did in the 60’s) and all cars are downsizing but have more room inside. Internet, myspace, blogs, facebook, youtube and twitter are just a few terms that define cyperspace.
Mark Riley, Pharm.D. Executive Vice President
The point is that the world is changing and so is our profession. And, while some change is good and some not so good, a couple of things ring true. Change is inevitable and change presents challenge and opportunity. We will continue to fight for a level playing field for local pharmacies and for choice for our patients. I see access as the most critical issue we face in the coming year. The aggressive move to mandatory mail is egregious for both our pharmacies and our patients. As with many of these issues, education is critical and we have plans in place to attack this issue. NCPA has announced that there will be a “mail order czar” hired soon that will dedicate all of his/her energies into solving this issue. The other issue for which we must find an answer is the lack of a reliable, consistent benchmark pricing source for all drugs, including generic. The model that exists today where the processor(PBM) is allowed to set the price for 65-70% of the drugs we dispense (generics) makes no sense and facilitates the deceptive practices that we know inflates prescription drug prices at the expense of payers, patients, and pharmacists. This issue will not be easy to fix. We didn’t get where we are overnight and we will not solve this overnight, but we must begin. Hopefully, we will see some changes in this decade that will restore pharmacists, patients, and payers to a position of greater control as related to prescription drugs. Please help us with any ideas you may have. I wish everyone a Happy New Year and may you have good health. The Arkansas Pharmacist
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Call for Nominations The Arkansas Pharmacy Foundation Presents...
CE in Paradise
2010 Hawaii Island Hopping July 16th - 25th
Space is limited. Reserve your cabin now. Visit the APA website for more information. www.arpharmacists.org
CALL FOR NOMINATIONS Nominations are invited for each of the following positions on the Arkansas Pharmacists Association Board of Directors. Vice President APA District 7 President Statewide Western District (Two year term) (Term - One year VP - Four years Board Member) Western Counties: Crawford, Franklin, Logan, Polk, Scott, and Sebastian Area I Representative APA Board Member District 8 President Northwest - Districts - 3, 6, & 7 (Four year term) White River District (Two year term) Area I Counties: Baxter, Benton, Boone, Carroll, Clark, White River Counties: Cleburne, Fulton, Independence, Conway, Crawford, Franklin, Garland, Hot Springs, Izard, Jackson, Sharp, Stone, Van Buren, White, and Johnson, Logan, Madison, Marion, Montgomery, Newton, Woodruff Perry, Pike, Polk, Pope, Searcy, Sebastian, Scott, APA OFFICERS AND BOARD OF DIRECTORS Washington, and Yell The requirements for nominees of the APA Officers are as District 3 President follows: Arkansas licensed pharmacist who has been a Northwest District (Two year term) member of this Association in good standing for the past three (3) consecutive years. No elected member of the Northwest Counties: Baxter, Benton, Boone, Carroll, Madison, Marion, Newton, Searcy, and Washington APA Board of Direstors shall serve for more than eight (8) consecutive years or more than two (2) consecutive terms District 6 President in the same capacity. West Central District (Two year term) West Central Counties: Clark, Conway, Garland, Hot Springs, Johnson, Montgomery, Perry, Pike, Pope, and Yell NOMINATIONS WILL CLOSE AT NOON, MARCH 31, 2010 6
The Arkansas Pharmacist
Awards Solicitation
APA Awards Solicitation Award Nominations Each year APA asks the membership to submit the names of individuals who are deserving of special recognition for their professional activities during the past year. Any active APA member is eligible to nominate a person for the awards. Award recipients are chosen by an APA committee following a review of all nominees. Nominations are now being accepted for the following annual awards to be presented by the Association. Please mark your nomination with an X. If you have more than one nomination, please feel free to photocopy this form. Pharmacist of the Year The Pharmacist of the Year Award is given to recognize the pharmacist for his/her outstanding contributions to the profession of pharmacy and activities in the advancement of pharmacy during the year. Young Pharmacist of the Year Nominee must have an entry degree in Pharmacy, received nine or less years ago, and be a member of the APA. Nominee must be in the active practice of pharmacy in the year selected, and actively involved in the profession of pharmacy, displaying an interest in the future of the profession. APA Community Service Award and Bowl of Hygeia Award This award was established by the A.H. Robbins Company to honor pharmacists who have contributed to the progress of their community. Criteria include: 1) Pharmacist licensed in the State of Arkansas; 2) Recipient must be living and must not be previous recipient of award; 3) Recipient must not be currently serving, nor has he/she served within the immediate past two years, as an officer of the APA in other than an ex-officio capacity or on its awards committee; 4) Recipient must have compiled an outstanding record of community service, which, apart from his/her specific identification as a pharmacist, reflects well on the profession. Innovative Pharmacy Practice Award This award was established in 1993 by the APA in cooperation with the National Council of State Pharmacy, Association Executives and DuPont Pharmaceuticals to recognize, annually, apharmacist who has demonstrated a prominent spirit of innovation and entrepreneurship in the practice of pharmacy. Name of Nominee Address City/State/Zip Phone Reasons for selecting nominee
Nominator’s Name Phone
Date
Attach resume if available
Return to: Awards Committee, Arkansas Pharmacists Association, 417 South Victory, Little Rock, AR 72201 NOMINATIONS WILL CLOSE AT NOON APRIL 15, 2010 The Arkansas Pharmacist
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Medicaid Alert Singulair® Edits and the Medicaid Pharmacy Program The Arkansas Medicaid Pharmacy Program implemented clinical edits on 8/11/09 on the Leukotriene inhibitors, including Singulair®, for both allergic rhinitis and asthma patients. These edits support both the allergic rhinitis guidelines discussed below and the NHLBI 2007 Guidelines for the Diagnosis and Management of Asthma the Expert Panel1. The Medicaid point-of-sale clinical edits for allergic rhinitis require a periodic trial of either an intranasal corticosteroid or a nonsedating antihistamine. The intent of the edit was to allow a sufficient length of therapy to provide relief of symptoms before adding to or switching therapy to Singulair® for treatment of allergic rhinitis. Since implementing the clinical edits, paid claims data are showing large numbers of claims with only a 7-day supply of loratadine (Claritin) immediately preceding a Singulair® claim. This course of action may not be beneficial to patients as this does not support the allergic rhinitis guidelines or the asthma treatment guidelines. An excerpt taken from the AHRQ Allergic Rhinitis Guidelines2 provide the following information regarding the best treatment of allergic rhinitis: 1. Avoidance of allergens is the first step in this process. If avoidance fails: 2. The over-the-counter (OTC), non-sedating antihistamine loratadine (example Claritin®) should be tried initially, as it will provide relief in most cases. If symptoms persist, consider the following options: 3. Prescribed medications: • Intranasal corticosteroids are considered the most potent medications available for treating allergic rhinitis [A]. They control itching, sneezing, rhinorrhea, and stuffiness in most patients, but do not alleviate ocular symptoms. They have a relatively good long-term safety profile. • Oral, non-sedating antihistamines prevent and relieve itching, sneezing, and rhinorrhea, but tend to be less effective for nasal congestion [A]. • Leukotriene inhibitors are less effective than intranasal corticosteroids [A] but may be considered for patients that cannot tolerate the first line agents or have co-morbid asthma. Levels of evidence reflect the best available literature in support of an intervention or test: A=randomized controlled trials; B=controlled trials, no randomization; C=observational trials; D=opinion of expert panel.
The point-of-sale approval criteria for asthma monotherapy using Singulair® support the NHLBI 2007 Guidelines for the Diagnosis and Management of Asthma3 and are based on whether the patient achieves asthma control using Singulair® as an alternative controller medication. Patients who are able to control asthma symptoms using Singulair® as monotherapy, without over-utilizing Short-Acting Beta2 Agonists (SABA), such as an albuterol inhaler, or oral steroids, will be able to continue having Medicaid pay the Singulair® claims without a prior approval. For poorly controlled asthma patients who have had more than two SABA claims in 365 days or more than one oral steroid in 183 days, the point-of-sale edits will reject the Singulair® claim if it is being used as controller monotherapy, i.e., if there are no inhaled corticosteroids on the patient’s profile in the previous 45 days. Prescribers should consider adding an inhaled corticosteroid to the patient’s asthma medication therapy when the patient’s asthma is poorly controlled.4
1
National Heart, Lung, and Blood Institute (NHLBI). National Asthma Education and Prevention Program (NAEPP). Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Full Report 2007. §3, Component 4: Medications. Retrieved ovember 14, 2008 from http://www.nhlbi.nih.gov-guidelines-asthma-asthgdln.pdf.url. 2 Allergic Rhinitis, Guidelines for Clinical Care; Allergic Rhinitis Guideline Team, University of Michigan Health System. Allergic Rhinitis. Ann Arbor (MI): University of Michigan Health System (UMHS); 2007 Oct. 12. 3 National Heart, Lung, and Blood Institute (NHLBI). National Asthma Education and Prevention Program (NAEPP). Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Full Report 2007. §3, Component 4: Medications. (Pg 213). Retrieved November 14, 2008 from http://www.nhlbi.nih.gov-guidelines-asthma-asthgdln.pdf.url. 4 National Heart, Lung, and Blood Institute (NHLBI). National Asthma Education and Prevention Program (NAEPP). Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. Full Report 2007. §4, Stepwise Approach for Managing Asthma (pgs 305, 206, 343). Retrieved November 14, 2008 from http://www.nhlbi.nih.gov-guidelines-asthma-asthgdln.pdf.url .
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The Arkansas Pharmacist
Harding Report Harding University College of Pharmacy has been fortunate to recruit numerous talented faculty members dedicated to sharing their expertise with our student pharmacists. Two of these are Dr. Catherine Willmore and Dr. Rayanne Story. Both are pharmacists but they have pursued very different paths in their professional lives. Dr. Catherine Willmore earned her B.S. in pharmacy from the University of Connecticut in 1984 and worked for 10 years as a community pharmacist before returning to school to earn her Ph.D. in Pharmacology and Toxicology from the Medical College of Virginia. Dr. Willmore then pursued post-doctoral training and held pharmacy faculty positions at both the University of Maryland and Ohio Northern University. During that time, Dr. Willmore began contributing to technologies emergent in the area of polygraph, or lie detection testing. In 2002, Catherine developed software that interfaces the Lafayette Instrument
left to right – Cobbina Benson-Adjei (student), Dr Catherine Willmore (author of database to adjust polygraph waveforms for drugs), Dr Carol Atkinson (polygraph scienctist, published author and avid researcher), Cleve Backster (developed accepted polygraph chart scoring systems), Dan Sosnowski (President of the American Polygraph Association)
Corporation (LIC) polygraph instrument to a drug library. LIC is presently the world's leading manufacturer of polygraph instrumentation and Dr. Willmore’s software has helped bolster this market lead. Three distinct devices on the LIC polygraph monitor cardiac physiology (cardiograph), the rate and depth of respiration (pneumograph), and galvanic skin response (GSR) while an individual is being interrogated. A Certified Polygraph Examiner interprets the cardiograph, pneumograph, and GSR charts to render an opinion on whether or not deception is occurring, reconciling the heart rate, breathing, and skin activity data utilizing Dr. Willmore’s software to correct for potentially confounding drug effects. To remain abreast of new trends in polygraph science, Dr Willmore traveled to San Diego in December 2009 accompanied by Cobbina (Coby) Benson-Adjei, a first professional year (P1) student pharmacist at Harding, to attend an annual symposium at the Backster School of Lie Detection (BSLD). BSLD is reputed to be one of the world’s best polygraph schools. The
school’s founder, Cleve Backster, developed a universally accepted procedure for deciding deception through objective polygraph chart analysis. During the BSLD conference, Coby spoke on cardiograph and pneumograph test algorithms, while Dr. Willmore presented galvanic skin response information. Dr. Rayanne Story has lived in Arkansas her entire life. She received both her B.S. in pharmacy and Pharm.D. from the University of Arkansas for Medical Sciences College of Pharmacy. She lives in Searcy with her husband, Mark, and their three daughters. Rayanne has an extensive history of working in both community and health-system pharDr. Rayanne Story macy in Arkansas. She has fulfilled many President Elect pharmacy roles from staff pharmacist to comAAHP puter system administrator to director of pharmacy at institutions such as Washington Regional Medical Center in Fayetteville to Northwest Medical Center in Bentonville. After moving to Searcy in 2007, Dr. Story was the first director of pharmacy and clinical pharmacist at the Long Term Acute Care Advanced Care Hospital of White County. Dr. Story joined the Harding University College of Pharmacy as an Assistant Professor in the Department of Pharmacy Practice in February 2009. She coordinates the Pharmacy Management class and serves as a co-advisor for the Student Society of Health-System Pharmacists (SSHP). Currently, she maintains a practice in the emergency room at White County Medical Center. Working together with SSHP chapter officers Matt Jones (P2) and Diana Park (P2), Dr. Story assisted in securing a seed grant from ASHP and in the chapter being officially recognized by ASHP. Dr. Story accompanied three second professional year student pharmacists, Mallory Garfield, Janice McKean, and Diana Park to the ASHP Midyear Clinical Meeting in Las Vegas in December 2009. Mallory and Janice represented Harding in the Clinical Skills Competition and Diana presented a poster during the Student Society Showcase. At the October 2009 meeting of the Arkansas Association of Health-System Pharmacists, Dr. Story was inducted as the President-elect. We are very excited to have one of our faculty members serving at the state level in this leadership capacity. Dr. Story has also been named as one of the “20 to Watch in 2010” by the Three Rivers Edition of the Arkansas Democrat-Gazette. She will be recognized for this accomplishment at a luncheon for the honorees on January 15. We feel very blessed to have such talented individuals teaching and mentoring our student pharmacists at Harding and look forward to many successes in the future as a result of the varying backgrounds our faculty and students bring.
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Compounders Report Pharmacy Compounding Subject to FDA Approval? The Facts Just Don’t Fit, Part Four A continuation of the fact that show why the FDA should not have jurisdiction over Compounding Pharmacists. by: Gary Butler, President, APA Compounding Academy
Fact: Compounding remains ubiquitous in the retail setting, in hospitals, and elsewhere. There is no disputing even by FDA itself that compounding is medically essential. Under FDA’s theory, compounding pharmacists who perform this essential, life-supporting service have been criminals since 1938, protected from prosecution only by FDA’s willingness to exercise its enforcement discretion. Fact: Until relatively recently, FDA did not take the position that all compounded drugs were unapproved new drugs, and therefore illegal. If, as FDA now argues, the plain language of the statute makes it crystal clear that every compounded drug is illegal, one would have expected FDA to have articulated this theory well before a half century elapsed. In fact, evidence discovered during the Midland case proves that FDA acknowledged internally in 1989 that this novel theory was a break with tradition. In a memo dated August 2, 1989, the FDA’s Office of the General Counsel wrote that its new legal theory on compounding, among other things: “is a departure from the traditional approach we have taken;” “would likely face a variety of practical problems, including jurisdictional issues;” “would require the establishment of new legal precedents;” and “leaves pharmacists in the objectional [sic] position of ‘living in sin.’” FDA has no facts to support its position, as evidenced by its recent loss in Midland, Texas. When Congress passed the FDC Act in 1938, nobody Congress, pharmacists, states legislatures, state Boards of Pharmacy, USP, the U.S. military, or FDA thought that Congress had banned compounding. Nobody said a word about this dramatic shift in health policy. It was not until 50 years later that FDA reinterpreted the law to say that a linchpin of the health care system was a criminal act. The utter silence regarding any intent to ban compounding, combined with massive accumulation of facts rebutting the FDA’s newly minted theory, shows that FDA’s interpretation is simply wrong and would keep millions of patients from receiving essential treatment. For these patients with unique needs that are unmet by of-the-shelf pharmaceuticals, compounded medications— prescribed or ordered by licensed physicians and mixed by trained, licensed compounding pharmacists—are the safest and most effective way to better health. Update: It looks like that none of the parties in the Midland case intend to take the case to the Supreme Court. The pharmacists that under that federal court’s jurisdiction (Texas, Louisiana, and Mississippi) are not interested and I can’t blame them. They got what wanted, that compounds are not illegal and not subject to FDA regulations. The FDA has announced that they will abide by the ruling it those states. The FDA is not interested because if the lose in the Supreme Court, the ruling would extend to the rest of the U.S. pharmacists. The FDA as announced that they will enforce their jurisdiction over compounding in the rest of the states. It looks like the rest of us will have to appeal our case to the United States Congress. IACP is working on legislation to do just that. Hopefully the “facts” will win out.
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The Arkansas Pharmacist
Rx and the Law
PHARMACY MARKETING GROUP, INC
AND THE LAW By Allison Seiwert And 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.
IMPACT OF STATE PRESCRIPTION DRUG MONITORING PROGRAMS Overview of Programs Prescription drug monitoring programs are helping states address prescription drug abuse, addiction and diversion. As of July 2009, a total of forty states have laws allowing for a prescription drug monitoring program (PDMP)1. Thirty-three states have PDMPs in place and six more have legislation enacted but are not yet operational. Washington’s program has been suspended due to lack of funding. PDMPs are not a new idea; Texas began collecting data in July 1982 for Schedule II prescriptions and recently expanded the program to also cover Schedules III, IV and V. Pennsylvania passed legislation in 1972, but the program was not operational until 20022. PDMPs gather information that may include: patient name, date of birth, address; drug name, strength, and quantity; doctor name and DEA; and other prescription information, date written, refills, and day supply3. States vary in the information gathered as well as the drugs monitored. Thirty-six states have the authority to monitor Schedule II, III and IV prescriptions. Twenty states also monitor Schedule V substances1. Nine states are allowed to monitor non-controlled substances (drugs of concern or have demonstrated a potential for abuse). For example, Ohio, Washington and North Dakota have authority to monitor drugs containing tramadol or carisoprodol1. A major goal of PDMPs is to support legitimate use of prescriptions while minimizing illicit use. The information obtained by the PDMP is accessible to prescribers and dispensers. However, there is little guidance about what a practitioner should do with the information at hand. It’s up to the individual practitioner to utilize the PDMP to ensure legitimate medical use of
controlled substance prescriptions. Some state programs will notify prescribers and/or dispensers about patients receiving multiple prescriptions in the same class from multiple prescribers. In sixteen states, the PDMP laws do not require the practitioners to utilize this information. These states include: Alabama, Alaska, Arizona, Florida, Idaho, Illinois, Indiana, Iowa, Kansas, Minnesota, North Dakota, Ohio, Oklahoma, Oregon, South Carolina and Wyoming. However, not all of the states protect practitioners from civil liability if they don’t use the information in the program. Of the sixteen states, Alabama and Wyoming do not provide civil immunity. Idaho and Illinois provide protection when information is accessed and used negligently but do not provide immunity for failing to access the program at all. Indiana’s statute does not specifically include dispensers in the immunity provisions. Prescribers are encouraged to use data provided by PDMP in order to optimize appropriate use. Nevada mandates review by prescribers under certain circumstances to assess the medical necessity of a prescription4. In summary, PDMP are in place in the majority of states across the US. The programs vary based on type information gathered and how it’s used. Overall, the goal is the same: reduce drug abuse by compiling data into a single source accessible to prescribers and dispensers. The following case highlights how several pharmacies failed to use information provided by Nevada’s PDMP. The district court dismissed the pharmacies from the case, but the plaintiff has appealed to the Nevada Supreme Court for further review.
1 . Green, Sherry. Prescription Drug Monitoring Programs: A Brief Overview. National Alliance for Model State Drug Laws (NAMSDL) August 2009. Available at: http://namsdl.org/documents/PDMPsBriefOverview7-31-09.pdf Accessed October 29, 2009.
Nevada Case The Nevada Supreme Court is expected to rule by the end of the year on whether seven chain pharmacy owners and one independent owner were rightfully dismissed from the civil case, Sanchez v. Wal-Mart Stores, et al5. The case arises from a June
2 . Questions and Answers: State Prescription Drug Monitoring Programs. November 2008. Available at: http://www.deadiversion.usdoj.gov/faq/rx_monitor.htm#14. Accessed October 29, 2009.
3. State Statutory and Regulatory Prescription Monitoring Program Data Elements Required for Transmission to the Central Repository. January 2005. Available at: http://namsdl.org/resources/Chart%20of%20PMP%20Data%20Elements%20 Jan05.pdf Accessed October 29, 2009.
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The Arkansas Pharmacist
2004 car accident caused by Patricia Copening. While under the influence of prescription medications, she was driving along a busy Nevada highway. The accident killed one man, Gregory Sanchez, Jr. and injured another, Robert Martinez.
duty to act upon information received from the task force warning of a patient’s potential drug abuse? Time will tell. An update will follow when the Nevada Supreme Court releases its opinion.
Prior to the accident, in June 2003, the Nevada controlled substance task force sent letters to 14 Las Vegas area pharmacies informing them that Copening may be abusing drugs. It is not clear at this time what information was contained in the letter, but there is no documentation to show that it was considered prior to dispensing future prescriptions to the patient. Yet she continued to receive multiple prescriptions for hydrocodone-acetaminophen and carisoprodol. One year later, the accident occurred and she was found to have hydrocodone in her system. She appeared confused and the police found prescription bottles and loose tablets in the vehicle. 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 as Nevada law does not specify the action to be taken by the pharmacies when notified of a potential drug abuser. Therefore, the district court found the pharmacies did not have a legal obligation to refuse to fill Copening’s prescriptions. This case of first impression may have an impact on how practitioners use information obtained from PDMPs.
5 . Merrick, Amy. “Case Spurs Pharmacies’ Fears of Lawsuits Over Drug Abuse.” The Wall Street Journal. 28 Oct. 2009.
© Allison Seiwert and Don R. McGuire. Allison is a PharmD Candidate 2010, JD Candidate 2012 from Drake University on rotation at Pharmacists Mutual Insurance Company. 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 question of the case becomes: did the pharmacies have a 4 . Kelsey, Sarah. Immunity for Failing to Access & Requirements to Access PMP Data. August 2009. Available at: http://namsdl.org/documents/August2009DoctorImmunityForFailuretoAccessData_000.pdf Accessed November 3, 2009.
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Special Honor Contact: Dagmar Climo (800) 331-2498 or (281) 933-6948
PCCA Names Eddie Glover, P.D., Pharmacist of the Year HOUSTON (October 15, 2009): Professional Compounding Centers of America (PCCA) has named Eddie Glover, P.D., of US Compounding in Conway, Ark., as its Dr. M. George Webber Compounding Pharmacist of the Year, an award which is presented annually to an independent pharmacist who has demonstrated service excellence to patients, healthcare providers and pharmacy colleagues. Compounding is the pharmacy method of preparing customized medications to meet each prescriber’s and patient’s unique needs. The late Dr. Webber, for whom the award is named, was a long-time professor with the University of Houston College of Pharmacy, and was instrumental in the formation of PCCA in 1981. L. David Sparks, PCCA’s president/CEO, presented the award to Glover on October 9, 2009, during a ceremony at the company’s International Seminar, held in Houston. Glover “has contributed significant time and effort to ensure that compounding remains a viable and healthy profession, for now and for the future,” Sparks declared. “Active in many organizations, he can be counted upon to visit his state representatives during IACP’s Compounders on Capitol Hill. He’s been a consistent contributor to the NCPA Foundation and currently serves as a State Pharmacy Association District President. Aware that future pharmacists are key to our profession’s success, he helped to establish an endowed scholarship at the University of Arkansas for Medical Sciences College of Pharmacy, and has served for several years as a preceptor there. US Compounding’s daily motto is, ‘Feel good again,’ and he has helped to instill a contagious enthusiasm among his staff for helping patients do exactly that.” Glover graduated from the University of Oklahoma in 1975 with a Doctor of Pharmacy degree. He has worked in community pharmacy for 31 years, and presently owns pharmacies in Marshall, Clinton and Conway, Arkansas. He presently owns and operates Arkansas Home Medical; Marshall Medic; Harvest Foods; and US Compounding, which was formed to provide compounded pharmaceuticals and sterile compounded pharmaceuticals. Glover was named PCCA’s January 2006 Pharmacist of the Month, and served as an inaugural member of PCCA’s Advisory Council, giving generously of his time and helping to shape the future for the company and its membership. Serving compounding pharmacists since 1981, Houston, Texas-headquartered PCCA provides the fine chemicals, equipment, devices, Accreditation Council on Pharmacy Education (ACPE)-accredited training courses and seminars, and technical consulting assistance necessary to allow compounding pharmacists the ability to compound unique dosage forms according to the patient’s individualized medication needs and the physician’s prescription. PCCA currently has more than 3,600 pharmacist members throughout the United States, Canada and Australia. For more information, please call Dagmar Climo/PCCA Communications at 800/331-2498, ext 1239. ### The Arkansas Pharmacist
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UAMS Report In November of 2008, our faculty reviewed and updated our mission statement, making it more clear and precise. We stated that we will improve the health of a culturally diverse population by striving to: • Educate pharmacy leaders to address community health needs • Advance scientific discovery to produce innovations in health care • Foster progressive pharmacy practice through service to the profession These goals are communicated to our students beginning the moment they reach campus. One way we do this through support of extracurricular student activities, clubs and organizations. Professional organizations provide students with the opportunity to learn about the profession’s past and allow them to better grasp the issues and ethics that shape the profession. Active participation in student organizations helps them to acquire a clearer understanding of their roles as members of the pharmacy profession. Our students’ successful efforts to embrace the College’s mission were recognized when the UAMS Charles M. West Chapter of the National Community Pharmacists Association (NCPA) was named Chapter of the Year at its 111th Annual convention in October. A large contingent of students and faculty was on hand to cheer and celebrate, and now I want to share the news with the entire APA membership. We work closely with the APA leadership and with many community pharmacists throughout the state and appreciate the part you played in this award. The selection process was highly competitive among the 81 NCPA student chapters in the country, with more than 4,000 student members. The award criteria included commitment to community service, adding new members, promoting independent community pharmacy, and advocating legislative action. Our students excelled in all these areas to win the award. This is a major accomplishment, and one for which I am pleased to recognize them. Not only did the whole chapter excel, but two students were specifically recognized. Sarah Griffin, a fourth-year student from Bryant, was awarded one of only seven 2009 Partners in Pharmacy Scholarships recognizing her academic achievement, community service, and a demonstrated interest in independent community pharmacy. Kenna Cassat, a fourth-year student from Van Buren, was named as one of 33 NCPA Student Chapter Members of the Year. Her award was determined by her fellow students and the faculty based on involvement with independent community pharmacy activities and the encouragement they give to others to get involved in this more patient-friendly and entrepreneurial side of pharmacy. A major goal of our student chapter, led by Anne Pace, Pharm.D., Assistant Professor of Pharmacy Practice, is to increase student awareness of pharmacy ownership and the entrepreneurial opportunities in pharmacy. We have been successful in this and have been pleased with the renewed interest among community pharmacists, who want to partner with our students and to teach them about the advantages of independent ownership. Some highlights of the outstanding work done by our student chapter that helped win the award include: • Partnered with local independent pharmacies to hold 20 community health screenings for nearly 600 patients • Spoke to hundreds of children at local elementary schools about the dangers of drugs and alcohol • Grew to more than 100 local members and 80 national members, bringing our membership to the largest in the College’s history • Held monthly meetings with key local and national speakers to share their experiences • Participated in the NCPA Pruitt-Schutte Student Business Plan Competition • Promoted the vital cause of getting involved in the political process • Attended national NCPA meetings Being named the outstanding NCPA chapter in the nation isn’t necessarily the goal of our chapter, but it is certainly nice to be recognized for the hard work and dedication of our faculty and students. We share this success with the members of the Arkansas Pharmacists Association and pledge that we will continue to foster the development of tomorrow’s community pharmacists. 16
The Arkansas Pharmacist
Member Classifieds 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. Need a Relief Pharmacist?? Call Don at 479-667-5949 or 479-667-7989, licensed in Arkansas and willing to work Mon-Sat. 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. Part Time Pharmacist Needed Part time pharmacist needed at LR independent. Call Becky at 501-664-6161. Donations Needed Shepherds Hope Neighborhood Health Center Pharmacy- in need of donations of pharmacy shelving and counter. This is a non profit organization and can provide you with a tax deductible receipt. Please contact Bren May at 501-993-0729 or brenmay@sbcglobal.net. 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. If interested in selling your pharmacy, please contact Vance at 870-897-1204 or via e-mail at VanPark@aol.com. 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.
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! 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. 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. 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
The Arkansas Pharmacist
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APA App
Our Wholes
ppreciates
sale Partners
Happy New Year
President Jan Hastings, Pharm.D. Benton
President-Elect Mike Smets, P.D. Fort Smith
District 1 President Eddie Glover, P.D. Conway
District 2 President Brent Panneck, Pharm.D. Lake City
District 3 President Danny Ponder, P.D. Mountain Home
District 4 President Laura Beth Martin, Pharm.D. Hope
Area 1 Representative Gary “Buzz� Garner, P.D. Mena
Area 2 Representative Dennis Moore, Pharm.D. Batesville
Area 3 Representative Kenny Harrison, Pharm.D. Little Rock
Area 4 Representative Mike Stover, Pharm.D. Pine Bluff
UAMS College of Pharmacy Dean Stephanie Gardner Little Rock 20
Treasurer Harding College of Pharmacy Richard Hanry, P.D. Dean Julie Hixson-Wallace El Dorado Searcy The Arkansas Pharmacist
Legal Counsel Harold Simpson Little Rock
From the APA Board of Directors
Vice President Gary Bass, Pharm.D. Little Rock
Past President Paul Holifield, Pharm.D. Batesville
APA Executive Director Mark Riley, Pharm.D. Little Rock
AR State Board of Pharmacy Charles, Campbell, Pharm.D. Little Rock
District 5 President Lynn Crouse, Pharm.D. Eudora
District 6 President Michael Butler, Pharm.D. Hot Springs
District 7 President John Vinson, Pharm.D. Fort Smith
District 8 President Christy Campbell, P.D. Searcy
Consultant Academy President James “Jim� Griggs, P.D. Springdale
Hospital Academy President Jason Derden, Pharm.D. Benton
Compounding Academy President Gary Butler, P.D. Hot Springs
Board of Health Member John Page, P.D. Fayetteville
ASP President - UAMS ASP President - Harding Collin Ward Celia Proctor Little Rock Little Rock The Arkansas Pharmacist
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Safety Nets
Safety Nets A patient presented the original prescription illustrated in Figure One to a pharmacy technician. After obtaining the reFigure One quired patient information, the technician began entering the prescription information in to the pharmacy computer. The technician was unable to complete order entry, however, because he was unsure of the meaning of the abbreviation “HBO”. The pharmacists on duty were also unfamiliar with this abbreviation. At this point, the pharmacist explained the problem to the patient and inquired why the patient had been prescribed Xanax® (alprazolam). The patient stated that he was being treated for a brown recluse spider bite. Part of his therapy required him to be placed into a hyperbaric oxygen chamber. The patient went on to say that he was prescribed Xanax® due to his extreme claustrophobia. After this, the technician completed the orderentry process by entering the sig. as “take one to one and one-half tablets by mouth prior to hyperbaric oxygen. Finally, the fill prescription was verified for accuracy by the pharmacist who then provided appropriate patient counseling.
Dr. Jon Wolfe
Dr. Eddie Dunn
four times daily dosing interval for Ambien® was excessive. Upon examining the original prescription, the pharmacist realized the technician had interpreted the poorly written prescription abbreviation “Q HS” as “QID” or four times daily. This sig. clearly would generate genuine concern for the patient’s safety. The written instruction absolutely appears to be “QID”. Ambien® is only official for bedtime use. Any other sig. calls for immediate clarification. The patient in this case was fortunate to be cared for by a diligent pharmacist. We are all fortunate that the example was shared with us all.
Continued use of These two cases illustrate that prescription abbreviations continue to be a source of confusion obsolete and/or medication error. Their use continues in spite of mounting evidence of their danger to prescription patient safety. In the first case, the prescriber abbreviations does used the unusual abbreviation “HBO” for hyperbaric oxygen. While this abbreviation was not promote patient unlikely to result in error or patient harm, it was a distraction to the pharmacy staff and intersafety. rupted the normal prescription workflow. The
In the second case, a patient presented the original prescription illustrated in Figure Two to a pharmacy technician. The technician entered the prescription information into the computer as Ambien® Figure Two (zolpidem) 10 mg Tablets, quantity 15, with directions to the patient of “take one tablet by mouth four times daily as needed”. The same technician filled the prescription and placed it in line for pharmacist verification and patient counseling. As the pharmacist was examining the filled prescription for accuracy, she immediately realized the 22
abbreviation used in the second prescription is more sinister. In this case, the poorly written abbreviation “Q HS” was misinterpreted by the technician as “QID”. Fortunately this error was detected by the pharmacist before the medication reached the patient. Continued use of obsolete prescription abbreviations does not promote patient safety. The best practice is to legibly write out the information to be conveyed, avoiding the use of abbreviations entirely.
The Arkansas Pharmacist
Calendar of Events
Calendar of Events March
April
June
July
March 5 - 7, 2010 Luxury, Laughing, and Learning Female Focused Ce Weekend Embassy Suites Rogers, AR
April 22 , 2010 Arkansas Pharmacy Foundation Annual Golf Tournament Tannenbaum Golf Course Drasco, AR
June 24 - 26, 2010 APA Annual Convantion Fort Smith Holiday Inn Fort Smith, AR
July 16 - 25, 2010 2010 CE in Paradise Hawaii Island Hopping
2010 APA Annual Convention June 24 - 26, 2010 Fort Smith Holiday Inn and Convention Center
Plan now attend the 128th APA Annual Convention The Arkansas Pharmacist
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Arkansas Pharmacy Foundation FOUR PLAYER SCRAMBLE Thursday April 22, 2010 Tannenbaum Golf Course Drasco, AR
Dr. Jason Derden Joins the APA Board of Directors
Dr. Jason Derden took office as President of the Arkansas Academy of Health-System Pharmacists (AAHP) at the groups fall seminar in October. Dr. Derden studied pre-pharmacy at the University of Central Arkansas from 1990 - 1992 and earned his Doctor of Pharmacy degree at the UAMS College of Pharmacy in 1996. He is a member of AAHP and ASHP.
Proceeds will be used to endow a UAMS College of Pharmacy Scholarship and present the Charles M. West Leadership Award
Corporate Sponsor...
He is currently employed by HP Enterprise Services (EDS) in Little Rock. He was named AAHP Clinical Pharmacist of the Year in 2006. Jason and his wife Sondra reside in Benton and have one son. 24
The Arkansas Pharmacist
AAHP Report
AAHP Report By: Jason Derden, President Membership As Health-System Pharmacists, we have become accustomed to overcoming challenges and adapting to change. Health care will change over the next few years and as a profession we need to become proactive in deciding its direction. One factor that has not changed is the commitment and dedication of our professional organizations. The state and national organizations act as the voice of the profession. The larger the membership, the louder the voice. The more involved members, the louder the voice. AAHP would like to extend an invitation to the Pharmacist across the state to become a member and become involved, so that we will not be a whisper in the ear of health care, but rather a shout. For more information on membership opportunities or involvement, please contact Jason Derden at jsw3derden@sbcglobal.net . Executive Director After many years, Dr. Dennis Moore has decided to step down from his position as Executive Director. AAHP was privileged to have such instrumental and committed professional lead our organization. Dr. Moore will continue to remain a key resource and a voice for AAHP and our profession. AAHP would like to welcome Dr. Susan Newton as the new Executive Director. Dr. Susan Newton graduated with a B.S. from UAMS College of Pharmacy in 1987. She received her Pharm.D. from UAMS in 2007. She is the Assistant Director/Clinical Coordinator at Saint Mary’s Regional Medical Center in Russellville, AR. Dr. Newton is a past President and Chairman of the Fall Seminar for AAHP. She currently is a member of the Hospital Advisory Committee and a Board Member at Large. Dr. Newton is a member of ASHP and is an active Preceptor. AAHP looks forward to the experience that Dr. Susan Newton will bring to this position. 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 .
Arkansas Association of Health-System Pharmacists
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Pharmacy in Arkansas On June 7, 1990, the Arkansas Pharmacists Association Board of Directors commissioned an oil painting to be created by artist Judith Boody of Little Rock. The painting was planned to express both the nostalgic reminiscence of Pharmacy and a feeling of the present, combined with a unique feeling of Arkansas Pharmacy. Only 1,000 limited edition lithographs (paper size: 22” x 28” – image size: 18 1/4 x 23”) will be available. All are hand-numbered and signed by the artist. Please use the form below when ordering. Quantity __________
Price plus Shipping/Handling $35.00 + $4.00
Name ______________________________________ Address ____________________________________ City_____________________State______Zip ______ Make checks payable to: Arkansas Pharmacists Association
Net Price $39.00
Total _______________
Great Gift Idea
Mail to: Arkansas Pharmacists Association 417 South Victory Little Rock, Arkansas 72201
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The Arkansas Pharmacist
Show your pride on the The Arkansas Pharmacy Foundation is pleased to announce the beginning of our Pharmacy Walkway of Honor. The walkway will be composed of bricks on which the names of pharmacists, pharmacies, and other business-related companies (i.e. wholesale, drug, design, computer, etc.) can be placed to show appreciation for the profession of pharmacy. The walkway will be located outside the entrance to the Lester E. Hosto Conference Center. The Foundation will place the first brick in memory of Dr. Lester Hosto. Please use the form below to personalize your brick(s). Make copies as necessary. Print the name and other information as you would like it to appear on your brick. You have a maximum of three lines per brick with up to 18 characters per line, including spaces. Please use the ampersand (&) instead of “and� and omit periods.
Personalize your brick here. 1 2 3 Name: ___________________________________________________________________ Address __________________________________________________________________ City ______________________ State ____________________ Zip _________________ Phone (_______)___________________________________________________________ I wish to order ________________ bricks @ $125.00 each for a total of $ ______________ Method of Payment _____ Check, payable to APF _____ Visa ______ Mastercard
_____ Discover _____American Express
Credit card number _____________________________________________________ Expiration Date _______________
Signature ____________________________________________
Your support is sincerely appreciated. Please mail to APF, 417 South Victory, Little Rock, AR 72201 or fax to 501-372-0546 or visit www.arpharmacists.org to order. Proceeds will help provide funds to sponsor, support and conduct educational programs, thereby promoting the Foundation to efficiently perform the objectives for which it is organized.
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APA Board of Directors Minutes Minutes Arkansas Pharmacists Association Board of Directors August 6, 2009 Mt. Magazine Resort Paris, AR Members Dr. Jan Hastings – presiding Dr. Mike Smets Dr. Paul Holifield Dr. Kenny Harrison Dr. John Vinson Dr. Danny Ponder Dr. Christy Campbell Dr. Maggie Miller Dr. John Page Dr. Mark Riley
Dr. Gary Bass Dr. Brent Pannick Dr. Michael Butler Dr. Eddie Glover Dr. Jim Griggs Dr. Lynn Crouse Dr. Julie Hixon-Wallace Dr. Dennis Moore Dr. Mike Stover
Guests and Staff Dr. Richard Hanry - treasurer Harold Simpson – legal counsel Dr. Steve Bryant Dr. Scott Pace Barbara McMillan Debra Wolfe Randy Kassissieh
CONSENT ITEMS President Jan Hastings called the meeting to order at 4:20 p.m. President Hastings asked Dr. Eddie Glover to lead the invocation. President Hastings led the Board in introductions. President Hastings asked the APA Board to review the minutes from the June 10th meeting. A motion was made and seconded to approve the minutes as amended. The motion passed. President Hastings reviewed the APA Conflict of Interest and Antitrust policies with the Board. DISCUSSION ITEMS Meeting Updates Barbara McMillan reported that APA had a successful convention in Little Rock. The 2010 APA Convention will be held in Fort Smith at the new Convention Center June 24th-26th. The Golden CE program will be held Thursday, October 22nd at the UAMS College of Public Health. The program will offer 6 hours of CE to pharmacists who have had their license for 50 years or more. The Arkansas Pharmacy Foundation is planning a 2010 CE in Paradise. The trip will be an 8-day island-hopping cruise in Hawaii. There will be 8 hours of CE on the trip. Harding College of Pharmacy Report Dean Julie Hixson-Wallace reported that Harding received their ACPE Candidate Status. Harding will remain in Candidate Status until they graduate their first class in 2012. There will be 62 students in the incoming class and will they have a White Coat Ceremony on Friday, August 21st to welcome the new students into the College. Dean Hixson-Wallace also noted that the College has established its first residency program with the White River Rural Health program. Arkansas Association of Health-System Pharmacists Report Dr. Maggie Miller reported that the AAHP Fall Seminar will take place October 8th and 9th at the Airport Holiday Inn in Little Rock. There will be 13 hours of CE available at the meeting. 28
The Arkansas Pharmacist
AAHP is also working on creating a residency task force section of their website to help provide students with information about residencies in Arkansas Arkansas State Board of Pharmacy Report Dr. Steve Bryant reported that the Board of Pharmacy is in the process of revising the outdated disease state management regulations. The updated regulations will continue to help facilitate collaborative practice with other providers. Dr. Bryant also reported that the new law that prevents “doctors of oriental medicine” from prescribing legend drugs is now in effect. Arkansas Board of Health Report Dr. John Page reported that the Department of Health has ordered 600,000 doses of flu vaccine for this flu season. The Department will offer school-based clinics to immunize children this season. Dr. Page reported that there would be a vaccine for the H1N1 flu available this fall. To date, there have been 131 H1N1 cases reported in Arkansas. Arkansas will receive 400,000 doses of the H1N1 vaccine. Dental/Medical Dispensing Update Dr. Mark Riley reported that the Arkansas State Board of Dentistry is now applying the new regulations that they adopted last year that prevents dentists from dispensing prescription medications in their office unless they can demonstrate a “need” for dispensing. The new regulations do not prevent dentists from administering medications in their practices. Health Care Reform Dr. Scott Pace reported that Health Care Reform continues to be a hot topic issue. There are three issues that affect the profession of pharmacy in the current health care reform bill: an exemption for DME accreditation, recalculation of Average Manufacturers Price, and a grant program to establish new Medication Therapy Management (MTM) programs. HR 6331/DMEPOS Accreditation Exemption Dr. Riley reported that DMEPOS Accreditation Exemption language has been incorporated into the current health care reform bills being discussed by Congress. Discussion of Potential New Academy Dr. Riley reported that he received a suggestion from a member for the Board to discuss the possibility of creating a new academy specifically for chain pharmacists. Worker’s Compensation Program Dr. Riley reported that the State is taking a look at how they administer their Worker’s Comp program. Dr. Riley suggested that the APA should work with the State to help them make appropriate changes to their program. UAMS College of Pharmacy Report Dean Stephanie Gardner reported that the College has admitted the new class for the Fall of 2009 and will have a White Coat Ceremony on Sunday, August 16th to welcome the new class into the College. Dean Gardner stated that the average GPA of the new class was 3.60 and the average PCAT was 73. Dean Gardner also read a Resolution from the UAMS Faculty thanking the APA Board of Directors for their donation to the Dean’s Endowed Chair. Dean Gardner also reported a number of new hires by the College, including new hires at the Northwest Campus in Fayetteville. In addition, the Dean also stated that a number of new residency positions have been created in Jonesboro and Batesville.
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ACTION ITEMS Financial Report Dr. Hanry reported on the financials of the APA. Dr. Hanry stated that the APA was operating smoothly and is operating within the budget. A motion was made and seconded to accept the financials as presented. The motion was approved. Adjournment A motion was made and seconded to adjourn the meeting at 8:25pm. The motion passed.
APA Foundation Board August 6, 2009 Dr. Jan Hastings convened the members of the Foundation at 8:30 p.m. on August 6, 2009. The members made a motion to accept the actions of the Foundation Board. The motion was passed. A motion was made to adjourn the meeting at 8:35 p.m., motion passed.
In Memoriam
30
Dr. Phil Buck Glenwood, AR
Dr. Gary Beasley Booneville, AR
Dr. Larry Bottoms Parks, AR
Dr. Willis Campbell Van Buren, AR
The Arkansas Pharmacist