The Arkansas Pharmacist Winter 2011

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CONTENTS

In This Issue

APA Staff

Board of Directors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 From the President . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 APA Completes Strategic Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Inside the APA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Cover Story. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-9 Rx and the Law . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Compounding Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Safety Nets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-13 In Memoriam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Board Nominations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 AAHP Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Calendar of Events. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 UAMS Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Harding Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-20 Medicaid Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Call for Nominations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Board of Directors Minutes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23-24 Classified Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Board of Directors Photo Directory . . . . . . . . . . . . . . . . . . . . . . 26-27 APA 2011 Annual Convention . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Mark S. Riley, Pharm.D. Executive Vice President mriley@arpharmacists.org Barbara McMillan Director of Administrative Services & Meetings bmcmillan@arpharmacists.org Scott Pace, Pharm.D., J.D. Associate Executive Vice President scott@arpharmacists.org Debra Wolfe Director of Public Affairs dwolfe@arpharmacists.org Eileen Denne Director of Communications edenne@arpharmacists.org Celeste Reid Administrative Assistant creid@arpharmacists.org Office E-mail Address apasupport@arpharmacists.org

Directory of Advertisers Cardinal Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inside front cover Pharmacists Life Insurance Company . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 EPIC Pharmacies, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Arkansas Pharmacy Support Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Arkansas Pharmacy Foundation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Darren O’Quinn PLLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Pace Alliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inside back cover Pharmacy Quality® Commitment . . . . . . . . . . . . . . . . . . . . Outside back cover

About this issue: The Arkansas Pharmacist is in transition and while this issue reflects some changes, the Spring 2011 issue will feature a new logo, design and content.

Cover photo by Ed Harwell Photography.

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

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

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 54. © 2011 Arkansas Pharmacists Association.

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.

Visit us on the web at www.arpharmacists.org Winter 2011

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BOARD OF DIRECTORS

2010 - 2011 Officers

District 1

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

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

District 2 Area Representatives Area 1 (Northwest) . Michael Butler, Pharm.D., Hot Springs Village Area 2 (Northeast) . . . . . Brandon Cooper, Pharm.D., Jonesboro

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

Area 3 (Central) . . . . . Kenny Harrison, Pharm.D., Little Rock Area 4 (Southwest/Southeast) . . . Mike Stover, Pharm.D., Rison

APA’s Academy of Consultant Pharmacists

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

President . . . . . . . . . . . . . . Larry McGinnis, Pharm.D., Searcy President-Elect . . . . . . . . . Muncy Zuber, P.D., Heber Springs

APA’s Academy of Compounding Pharmacists

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

District 6 Stephen Carroll, Pharm.D., MBA Allcare Pharmacy 517 Main St. Arkadelphia, AR 71923

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

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

President . . . . . . . . . . . . . . . Mark Shinabery, P.D., Maumelle

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

President-Elect . . . . . . . . . . . . . . . . . . . . . . To Be Announced

Arkansas Association of Health System Pharmacists

Arkansas State Board of Pharmacy

President . . . . . . . . . . . . . . Rayanne Story, Pharm.D., Searcy

President . . . . . . . . . . . . . . . . . . . . . Benji Post, P.D., Pine Bluff

President-Elect. . . . Jody Smotherman, Pharm.D., Batesville

Vice President . . . . . . . . . . . . . . . . Marilyn Sitzes, P.D., Hope

Past President . . . . . . . . . . Jason Derden, Pharm.D., Benton

Secretary . . . . . . . . . . . . . . . . Ronnie Norris, P.D., McGehee

Executive Director . . . Susan Newton, Pharm.D., Russellville

Member. . . . . . . . . . . . . . . . . . . Steve Bryant, P.D., Batesville

Treasurer . . . . . . . . . . . . Sharon Vire, Pharm.D., Jacksonville

Member . . . . . . . . . . . . . . . Justin Boyd, Pharm.D., Fort Smith

Secretary . . . . . . . . . Marsha Crader, Pharm.D., Jonesboro

Member . . . . . . . . . . . . Lenora Newsome, P.D., Smackover

Member at Large . . . . . Maggie Miller, Pharm.D., Batesville

Sr. Citizen Public Member . . . . . . . Ross Holiman, Little Rock

Member at Large . . . . Jennifer Priest, Pharm.D., Little Rock

Public Member . . . . . . . . . . . . . . . . . . . Larry Ross, Sherwood

Member at Large . . . Andrea Donaldson, Pharm.D., Little Rock

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

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FROM THE PRESIDENT

Think Positively!

By Mike Smets, P.D.

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would like to borrow a theme from APA Past President Jan Hastings. Let’s look for the bright spots in 2011! Things may seem tough in our profession right now and it takes some effort, but, as Jan says, we must stay focused and think positively.

Compared to other industries during the current recession, pharmacy has weathered the economic downturn fairly well. While our sales have not grown at the same rate as the last couple of years (we are flat or slightly down in my store), compared to my friends in the construction industry who are down nearly 80 percent, this downturn has demonstrated that we are fairly recession-proof.

There has been a lot of negativity in the political climate surrounding healthcare reform, and the status of the current healthcare reform law is far from certain, but at least healthcare is still being discussed on a state and national level, and we have a responsibility for pharmacy to make our collective voice heard throughout the upcoming debate.

Mike Smets, P.D.

The Arkansas legislature has changed dramatically since the last legislative session in 2009. In fact, many of our old legislative contacts are now out of the legislature.

However, it is important for you to know that the APA has been working hard to make new contacts and to keep our issues in front of and explained to the new folks. We are confident that the APA’s legislative team will be successful during this year’s session.

The increase in pharmacist graduates from Arkansas’s colleges of pharmacy is now making pharmacist jobs more difficult to find in some areas. However, new graduates can still expect six-figure salaries the first year out of school, and good jobs are still available throughout most of Arkansas. Most importantly, opportunities exist for all pharmacists to We also have been fortunate to have good explore their entrepreneurial spirit and to crefriends in Governor Mike Beebe and Attorney ate their own niche within the profession.

General Dustin McDaniel and in many state Combine these opportunities legislators from both parties. with the fact that we are still Governor Beebe and Attoramong the most respected Let’s look for the ney General McDaniel are professions in the country and very influential and frequently bright spots in 2011! the profession of pharmacy is help us out on big issues. The a great place to be in 2011.

APA appreciates the relationship that we have with all of our friends in While it sometimes feels that the insurance inpolitics. Please help us keep these relationships dustry rules the healthcare world, it may not strong by supporting local candidates who forever. I do believe that healthcare reform support our great profession! will force insurers to become more efficient and to focus on partnering with providers in a One of my resolutions this year is to encourage synergistic way to ensure optimal patient outeveryone to not only think positively, but to be comes. It is our challenge as pharmacists to positive. For example, I will resist the urge to demonstrate that we are well positioned to rant about Pharmacy Benefit Managers work with insurers to provide high quality care (PBMs) when dealing with a problem for a in a cost effective manner. patient, and simply make sure that they know that it is me, their local pharmacist, who is One of our greatest strengths as a profession is helping them manage their healthcare. that we see our patients more than any other healthcare professional. Sure, we have so Pharmacy has so much to be thankful for and much volume these days that it feels like there our profession is filled with opportunities to is no time for anything else, but the reality is make a positive impact on our patients. Let’s that we have a chance to talk to our patients grab the opportunity, emphasize our value, and make an impact in their healthcare every and let’s make pharmacy the shining star of time we see them. This is a key strength of the healthcare system. | pharmacists and we should work hard to maintain access to our customers.

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APA Board Completes 2011-2014 Strategic Plan

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orking with an association management consultant last fall, the APA Board of Directors completed a Strategic Plan that incorporates five strategic goals and new mission and vision statements. The Board reviewed the committee structure, income sources and the goals of other pharmacist associations before identify- APA Executive Vice President Mark Riley and President Mike Smets listen to planning ideas at ing the new goals, which may be equated to the August 2010 Board Retreat. “core competencies� of the organization.

Mission Statement: The mission of the Arkansas Pharmacists Association is to advance a professional and business environment for our members to be successful and fulfilled in serving patients.

Vision Statement: The voice of pharmacists as health care providers in Arkansas.

Goals: 1. Membership Involvement and RelevanceProvide programs, services and opportunities that benefit pharmacy professionals in their careers.

2. Advocacy and Government Relations- Protect and advance the practice of pharmacy, reimbursement and professional standing.

3. Professional and Public Awareness of Pharmacy- Promote the value and role of pharmacists in driving cost savings.

4. Pharmacy Practice in Primary Care and Health System Reform- Protect and expand the roles of pharmacists in health care.

5. Association Strength- Maintain a powerful association able to serve the members and protect the profession in Arkansas.

The APA Board will be realigning committees to better fit the new goals in the coming months, as well as continuing its discussion of implementation. |

Consultant Bob Harris walks Board members through creation of new mission and vision statements as part of the strategic planning process.

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INSIDE THE APA

Change = Challenge + Opportunity

By Scott Pace, Pharm.D., J.D.

“Change is the law of life and those who look only to the past or present are certain to miss the future.”

President John F. Kennedy

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he pharmacy world is filled with constant change. There are few people who relish change. Most of us, however, simply deal with change because it is an inevitable fact of life.

Despite its challenges, change forces us to reinvent ourselves and presents opportunities to refocus, reevaluate and make improvements.

The beginning of 2011 brought a major change to the Medicare Part D landscape throughout the country when it was announced that CVS/Caremark was acquiring Universal American, the parent company of the community pharmacy friendly Community CCRx Medicare Part D plan. Assuming Federal Trade Commission approval, the deal is expected to close in the second quarter of 2011.

What does this mean for community pharmacy? It’s too early to tell. We do know this; state and national pharmacy profession leaders immediately reacted to this change by engaging in discussions about partnerships, new plan designs and relationship-building with all potential partners. In short, this change has forced a reevaluation of community pharmacy’s position in the Part D marketplace and we can be confident that a new opportunity will emerge. It is a big challenge, but an even bigger opportunity.

At the state level, the 88th Arkansas General Assembly convened on January 10, and with it came 47 new members of the House of Representatives and 13 new members of the Senate. This is the largest change in the Arkansas legislature in many years.

This change gives pharmacists from all over the state the opportunity to build relationships with their new legislators. During the legislative session, these new members will be presented with up to 3,000 pieces of legislation on topics ranging from highways to prisons to budget to pharmacy, and more. They need a subject matter expert in their home districts that they can rely on when they are presented with a bill that affects the profession of pharmacy.

Now is the opportunity to build that relationship so you can be the subject matter expert for your legisla- Scott Pace, Pharm.D., J.D. tor! Of course, APA will spend countless hours at the state capitol over the next several months and we will continue to nurture relations with these new members, but there is no substitute for a phone call or e-mail from their local pharmacist. Let’s take advantage of this change, seize the opportunity to build a relationship with your new legislators!

Finally, the APA is also experiencing change.

In the fall, the APA Board of Directors initiated a new strategic planning process to refocus and strengthen APA’s efforts for the coming years. The result was the development of a new three-year Strategic Plan and Strategic Goals for the APA. One of the new strategic goals is to “increase the professional and public awareness of the profession of pharmacy.”

To help us achieve this goal, the APA has hired Eileen Denne as our new Director of Communications. Eileen brings years of national trade association experience to the APA, which she will put to use to rebuild our communications department. We are thrilled about the opportunity that the APA now has to reinvent itself through our communications, such as the quarterly magazine, website, e-communications, social media and more. The magazine and website are first on our priority list, and you can expect to see a professionally redesigned magazine in your mailboxes for the Spring 2011 edition and a redesigned website, also this spring.

As we move forward in 2011, we are certain to encounter more change. While it is natural to be apprehensive about change, as APA President Mike Smets reminds us, let us find the hidden opportunities that present themselves. |

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COVER STORY “It is truly an amazing monument to what can happen when a community works together for a noble, Godblessed cause,” Ponder says.

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ountain Home’s Danny Ponder, P.D., says the patients he treats at the Mountain Home Christian Clinic (MHCC) are the “icing on the cake.” Currently the manager of Ponder Health Allcare Pharmacy in Mountain Home, more than ten years ago Ponder helped to organize MHCC. The regional clinic has since served as a model for mentoring, training and initiating dozens of other healthcare clinics in Arkansas and Missouri.

As the pharmacy director for the charitable clinic, leading 14 pharmacists who take turns serving the clinic, Ponder says that the gratitude, tears and hugs from patients make up

for the long hours spent after the pharmacists’ regular work day is over.

“Many of the patients are the working poor; many have also recently been laid off of work.

It is obvious that they swallow their pride to come ask for services,” Ponder says. “We try real hard to make them comfortable and feel welcome and loved. ”The upside of the clinic is that we don’t have to worry about money issues. So many people deal with a choice of whether to buy groceries or medication. It is extremely rewarding to do what we do without causing anxiety over payment.

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in watching anything the Baptists and Methodists were working on together.”

“It is a huge thrill to be able to see the sparkle come back into these patients’ eyes when they know they can get their heart and diabetes medication.”

What began as an idea following a 1999 medical mission trip to Brazil has become one of the premier charitable clinics in the state.

After the Brazil trip, Paul Wilbur, M.D., a local physician, pharmacist Ponder and registered nurse Ellen Kilgore sat down and shared their dreams of helping the poor and indigent in their area, focusing mostly on Baxter and Marion counties. Even with a large retirement population, both counties have many residents who fall below the national poverty level.

Hoping to generate interest in helping to manage a clinic, Wilbur, Ponder and Kilgore publicized a town meeting expecting a dozen folks to show up. Much to their surprise and delight, more than 300 people attended. Following a visit to the newly-opened Hot Springs Christian Clinic, and much planning, by April 2000 MHCC was off and running.

MHCC is a 501(c) 3 organization whose mission is to provide medical care and spiritual support to all persons not covered through private insurance, Medicare or Medicaid, and who are financially eligible based on the Federal Poverty Guidelines. Board members include members of the two sponsoring churches: East Side Baptist and First United Methodist.

Ponder also serves on the Board.

According to Ponder, “We were convinced that the town would become very interested 8

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With the motto “The Love of Jesus at Work,” the clinic began meeting twice a month in three buildings. The Methodist church offered the use of its facility for intake, triage, pharmacy, optometry, and physical therapy services. Their kitchen served beautifully as different churches offered to feed the volunteers before they went to work at the clinic since most of them came directly from their day jobs. The county gave the clinic a green light to use the Health Department building for patient exam rooms. The county also owned a vacant American Legion building which served as a dental facility with most of the equipment donated.

In 2003 MHCC purchased an abandoned factory for $100,000 and currently owes around $50,000 on the mortgage. They received more than $500,000 in donations to make it possible to expand and move into a state-of-the-art, 19,000-square-foot facility that includes waiting rooms, eight medical exam rooms, a threechair dental clinic, optometry clinic, computerized pharmacy, office, chapel, dining room and kitchen. Donations of labor and materials resulted in minimal debt.

“It is truly an amazing monument to what can happen when a community works together for a noble, God-blessed cause,” Ponder says.

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The clinic is dependent on donations which have continued to roll in. Donors include individuals, businesses, civic groups, and over 70 churches contribute funds and volunteers.

Golf tournaments and special events regularly list the Mountain Home Christian Clinic as the recipient of their proceeds.

Ponder finds the interaction with other pharmacists and those in the medical profession very gratifying. The other pharmacists who serve include: Michelle Webb, Leo Zibert, Gary Fancher, Kim Harrison, Eddie Harrison, Wendy Barr, Eddie Avants, Anne Harris, Scott Bryant, Mike Recktenwald, Brenda Ward, Mike Heldenbrand and Dawn Clontz. There are also 24 pharmacy techs who volunteer for the clinic.

“One of neatest parts of serving in an organization such as this is the opportunity to get to know so many wonderful people of our area who we would otherwise never cross paths with. We have 14 pharmacists who take a rotation at the clinic with at least three of us working together at each clinic. We’re friendly competitors during the day and on clinic night we’re brothers and sisters working for the common good of mankind and having a lot of fun at the same time. Plus there are up to 100 other wonderful folks volunteering on any given clinic night, some professional, some just big hearted lay persons, whom you come to love dearly,” says Ponder.

MHCC’s 10-year record is impressive: • 10,238 individual persons have come to the MHCC for assistance of various kinds from 25 counties • 26,000 patient visits have occurred • $16 million in medications have been dispensed at wholesale value • 5,000 teeth have been extracted • 700 persons have received eyeglasses • 400 persons are actively involved as volunteers • Thousands have received spiritual and emotional support as a pastor is available at each clinic for spiritual counseling.

•

MHCC has inspired seven other charitable clinics in Batesville, Blytheville, Dardanelle, Eureka Springs, Harrison, Morrilton, Newport, and Paragould.

Even with the uncertainty of the nation’s healthcare system, Ponder said MHCC is confident it will be able to continue to help care for the underserved of their area for many years to come. He added that they are available to help and mentor anyone who might be interested in starting a clinic in their area. Contact Danny Ponder at dnponder@ suddenlink.net or 870-404-1255. |

About Danny Ponder: Ponder has lived in Mountain Home since 1978; he purchased the pharmacy there in 1979. In 2006, Ponder Health added a nutritional prevention department, remodeled the store and changed its name. In 2008, Ponder sold the store to Allcare Pharmacy but stayed on as its manager. His new role gives him the flexibility to be involved in MHCC. Like so many pharmacists, Ponder says, he got into the profession because it is a people-helping profession. It incorporates tangible products to help people feel better and get better.

A big influence and help in being able to help start work like this, he says, has been family support. His has been tremendous. His family consists of his wife, Nell; three grown children: Ben, Jacob, and Beth Ann Davenport, who is pharmacist manager of the new Target pharmacy in Little Rock, four grandchildren and two teenage foster sons. Ponder currently serves on the APA Board of Directors as District 3 President.

Story photos by Ed Harwell Photography

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RX AND THE LAW PHARMACY MARKETING GROUP, INC

AND THE LAW

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

CAN YOU FILL IN ON SATURDAY? Joe, the owner of Town Drugs, called and asked his friend Sandy to fill in next Saturday so Joe could attend a wedding. Joe and Sandy’s friendship goes back many years, so Sandy agreed. Sandy has filled in for Joe maybe two to three times per year and Joe sends Sandy an IRS form 1099 at the end of the year. Unfortunately, Sandy misfilled a prescription on that Saturday and the patient was injured. Joe and Sandy had not contemplated what they would do in the event that an error occurred.

What are the ramifications for this lack of planning?

From the owner’s perspective: Joe has had a regular patient injured and he feels terrible about it.

The patient may or may not want to transfer their prescriptions. Does Joe’s store insurance policy cover this claim? It depends on Sandy’s status.

Joe’s store policy covers his employees, but clearly Sandy is not an employee here. Joes isn’t making any withholdings and isn’t giving Sandy a W-2 at the end of the year. Other types of workers may be covered under the store’s policy. They include temporary workers, leased workers and volunteer workers. Sandy is most likely an independent contractor, but Joe didn’t check his liability policy before the loss to see if his store’s policy covers independent contractors. If not, the store’s policy won’t cover this claim.

From the relief pharmacist’s perspective: Sandy filled in at Joe’s assuming that Joe’s store policy would cover her while working there. More than likely, the policy covering Sandy’s regular employer will not cover Sandy while she is working at Joe’s. So, very easily Sandy could wind up with neither policy covering her. Sandy could have purchased her own policy, but didn’t think it was necessary since she was only filling in two or three times per year.

One possible result is that neither pharmacist has insurance coverage for this incident. Joe’s pharmacy will be held liable for this error because it was the pharmacy that dispensed the errant 10

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medication. Sandy is liable because she is the pharmacist who misfilled the prescription. Joe and Sandy could end up fighting about who is going to take care of the injured patient and their long friendship could dissolve. Now, what should Joe and Sandy have done?

Planning for the unexpected takes a little time, but it is crucial in the event that something bad happens. Joe and Sandy should have been working under a written contract. The contract should clearly state Sandy’s status with Joe’s store (i.e., independent contractor, temporary worker, employee, volunteer, etc.). Depending on the agreed upon status, Joe should review his policy to verify coverage for Sandy’s activities. Joe should also make sure that Sandy has her own insurance policy as a fail-safe measure, regardless of whether he believes that his policy will cover her.

Sandy would want to do this for her own peace of mind also. Joe and Sandy can also allocate risk in their contract and decide ahead of time who will be responsible should an error occur. This might have saved their friendship. Many times, such an allocation of risk could be covered under Joe’s policy if it meets the definition of a covered contract. This is more likely to be true when the contract deals with the conduct of Joe’s business.

Which it does in this case.

Many pharmacists view requests to fill in as minor, friendly exchanges. No one expects bad things to happen. Unfortunately, lack of planning could result in them being a stressful, life-changing event.

Take some time and plan ahead. © 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.

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COMPOUNDING REPORT

Opportunities

By Mark Shinabery, P.D., President, APA Compounding Academy

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inter is upon us and I hope all is well with everyone. Did you know Board of Pharmacy regulations allow compounding of Commercial Drug Shortages? There are always products recalled or discontinued that may offer compounders an opportunity to formulate.

The Federal Drug Administration has a website link listing drug shortages, recalls or discontinued drugs: www.FDA.gov/drugs/drug safety/drug shortages/default.htm.

If you are a member of Professional Compounding Centers of America, they have a news alert of commercial drug shortages. The opportunities are there; you just have to search for them!

Let me remind you that Compounders on Capitol Hill will meet in Washington, D.C., on June 11-14. This is an excellent opportunity to lobby your legislators and educate Mark Shinabery, P.D. them about serving your patients’ special needs. Compounding is our unique specialty, but there are those who would like to eliminate it. We must be constantly vigilant in our efforts to protect this skill. |

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SAFETY NETS

Safety Nets All pharmacists must use extreme caution when presented with prescriptions for insulin products. This is illustrated by the following intervention reported by a pharmacist from South Central Arkansas. Thank you for your continued support of this column.

By Eddie Dunn, Pharm.D. and Jonathan Wolfe, Ph.D., UAMS College of Pharmacy

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pharmacy technician in Figure One South Central Arkansas received the original prescription illustrated in Figure One. The technician entered the prescription information into the computer as Lantus® (insulin glargine [rDNA origin] injection), quantity 10 mL, with directions to the patient of “inject 115 units subcutaneously every morning”. This same technician filled the prescription and placed it in line for pharmacist verification and counseling. While checking the prescription for accuracy, the pharmacist became concerned about the prescribed number of insulin units the patient was directed to administer.

The pharmacist had previously received prescriptions instructing patients to administer up to 80 units of Lantus® daily, but never one for such a large amount. The pharmacist asked the patient if she knew how many units of Lantus® she was to administer per dose. The patient responded that her physician instructed her to administer 65 units every morning. While reexamining the prescription a second time, the pharmacist realized the number of units prescribed could be interpreted as either 65 units or 115 units. A call to the prescriber verified the number of units to administer was 65 – not 115. After this, a corrected prescription label was generated and the patient was appropriately counseled.

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All pharmacists must use extreme caution when presented prescriptions for insulin. Any medication error involving an insulin order could result in immediate and serious patient harm. There is simply no room for error. The Institute for Safe Medication Practices (ISMP) has included all insulin products in its list of “high alert medications”, a list of medications having an increased risk of causing significant patient harm – including death - when used in error.

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The pharmacist in this case is to be compatient, a caregiver from another profession, or a lay caregiver (such as a family member). mended. He took the time necessary to treat They each rely on us just as we rely on drug this order as a unique entity, rather than simply filling it in a robotic fashion without questioning manufacturers for accuracy in labeling. If we its appropriateness for this patient. If the pharuse a vial that states “Heparin Sodium, USP macist had not questioned 10,000 units/mL”, that defines how we judge whether the number of units to the product is proper, and administer, the patient’s Patients trust the prescription label would how we employ it in cominformation on their have instructed her to pounding. The reality is that administer a nearly two-fold few patients or other endmedication labels. insulin overdose. Even users question our labeling. though the patient stated When counseling, we enshe knew the correct number of units to inject, courage patients to contact us if any element of a prescription is even slightly the incorrect prescription label might have confusing. We know that most users never caused her to question her knowledge. Patients trust the information on their medication even conceive that a label is incorrect. This labels. In this particular case, that trust could Safety Net reminds us of the careful, thoughthave resulted in tragedy. ful approach to dispensing that is the hallmark of our profession. We are indebted to The final matter is a fact that all pharmacists the pharmacist who detected and corrected know. The end-user of our labeling may be a this error, and who shared this report. |

In Memoriam

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ommy O’Donnell, age 76, of Morrilton, passed away Oct. 25, 2010. O’Donnell graduated from Griffith High School and the University of Arkansas where he completed Pharmacy School. He began his pharmacy career in 1958 at Lyons Drug Store in Lonoke then opened O’Donnell’s Pharmacy in 1965 in Morrilton until his retirement in 1999. During his career he served as the president of the Arkansas Pharmacists Association and on the Board of Admissions for the School of Pharmacy at the University of Arkansas. |

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erry Harper Cole, 79, of Sallisaw, Oklahoma, died Oct. 27, 2010. Cole graduated from Malvern High school and from pharmacy school at the College of the Ozarks in Clarksville. He earned his BS degree from the University of Arkansas at Fayetteville. He owned and operated Oak Park Drugs in Pine Bluff from 1957 until 2001. Cole received an award from the Arkansas Pharmacists Association for serving 50 years as a pharmacist. | Winter 2011

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BOARD NOMINATIONS

Board Nominations Open for 2011-2012

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ake advantage of the opportunity to give back by serving on the Arkansas State Board of Pharmacy or the APA Board of Directors. We are seeking nominations for enthusiastic and energetic individuals who want to make an important contribution to the pharmacy profession.

Arkansas State Board of Pharmacy Elections APA Bylaws: Article IV- Nominee and Delegates Section 1: BOARD OF PHARMACY NOMINEES. Only Arkansas registered pharmacists primarily engaged in an active practice of profession in Arkansas for the past five (5) years and who for the past five (5) years shall have been an active member in good standing in the Arkansas Pharmacists Association shall be eligible as a candidate for Association nomination to the Arkansas State Board of Pharmacy for a six (6)-year term. Candidates for the State Board election shall be nominated from the statewide APA membership and elections for each position shall be on a statewide basis.

APA will submit the names of the three nominees receiving the most votes to the Governor for his consideration. Governor Beebe will evaluate the nominees recommended by APA and make the appointment to the Arkansas State Board of Pharmacy.

APA Call for Nominations Nominations are invited for each of the following positions on the Arkansas Pharmacists Association Board of Directors.

Vice President APA Statewide (Term – one year as Vice President, four total years as Board Member) Area IV Representative APA Board Member Area IV counties include those in Districts 4 and 5.

District 1 President Central District (Two-year term) Central counties: Faulkner, Lonoke, Prairie, Saline, Pulaski and Monroe District 2 President Eastern District (Two-year term) Eastern counties: Clay, Craighead, Crittenden, Cross, Green, Lawrence, Lee, Mississippi, Phillips, Poinsett, Randolph and St. Francis District 4 President Southwest District (Two-year term) Southwest counties: Crawford, Franklin, Logan, Polk, Scott and Sebastian District 5 President Southeast District (Two-year term) Southeast counties: Arkansas, Ashley, Bradley, Chicot, Cleveland, Desha, Drew, Grant, Jefferson and Lincoln

Nominations will close at Noon, March 15, 2011.

APA Officers and Board of Directors The requirements for nominees of the APA Officers are as follows: Arkansas licensed pharmacist who has been a member of this Association in good standing for the past three (3) consecutive years. No elected member of the APA Board of Directors shall serve for more than eight (8) consecutive years or more than two (2) consecutive terms in the same capacity.

Nominations will close at noon, March 31, 2011 If interested in nominating yourself or another individual, please contact APA Executive Vice President Mark Riley (mriley@arpharmacists.org) at 501-372-5250

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AAHP REPORT

Arkansas Association of Health-System Pharmacists

By Rayanne Story, Pharm.D., Searcy, President

AAHP 2010 Annual Fall Seminar

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he Arkansas Association of Health-System Pharmacists (AAHP) hosted its 44th Annual Fall Seminar October 7-8, 2010, at the Holiday Inn Airport Conference Center in Little Rock, Arkansas. AAHP offered over 10 hours of live ACPE-accredited continuing education. The program included an exhibitor session, pharmacy technician and student sessions, poster presentations, awards luncheon and more.

Mike Parr, Director of Pharmacy at UAMS, AAHP Executive Director Susan Newton and ASHP Past President Lynnae Mahaney, touring the new UAMS Oncology Clinic.

Our special guest was Lynnae Mahaney, past president of the American Society of HealthSystem Pharmacists (ASHP). She spent three days in Arkansas visiting area hospitals and both colleges of pharmacy. Lynnae gave our keynote speech and participated in the Residency Taskforce Seminar and the Directors roundtable. This year’s seminar focused on expanding clinical services and the importance of advanced training. Our fall seminar attendance continues to grow. We had over 200 pharmacists, technicians, and pharmacy students participate this year and we hope that attendance will continue to grow.

New AAHP Officers

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ongratulations to Jody Smotherman who was selected by our membership to be president-elect for the 2010-2011 year. Jody will be installed as president at the Fall Seminar in October 2011. Jody is co-director of pharmacy at White River Medical Center in Batesville.

Sharon Vire will remain as our treasurer. Maggie Miller was voted in as Board Member at Large. |

New AAHP President Rayanne Story with flowers from the Harding University College of Pharmacy SSHP students. The students are(L to R) Sam Hubler, Jared Fletcher, Diana Park, Rami Beiram, Mandy Young and Tanyon Reeves.

AAHP 2010 Award Recipients Technician of the Year Freda Keener Washington Regional Medical Center New Practitioner of the Year Lanita Shaverd Central Arkansas V.A. Staff Pharmacist of the Year Michelle Pohlkamp Arkansas Children’s Hospital

Lanita Shaverd from CAVHS accepting the AAHP New Practitioner of the Year award from Jason Derden, AAHP Past President.

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Pharmacist Clinician of the Year Marsha Crade Saint Bernard’s Medical Center Clinical Pharmacy Manager of the Year Shannon Hays White County Medical Center

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CALENDAR OF EVENTS

2011 Calendar of Events MARCH March 1, 2011 APA Legislative Reception 6:30 – 8:30 p.m.

Trapnall Hall Little Rock, AR March 13 , 2011 APA Board of Directors Meeting Lester E. Hosto Conference Center 417 South Victory Little Rock, AR

March 25-28, 2011 APhA Annual Meeting & Exposition Seattle, WA

APRIL April 14, 2011 Arkansas Pharmacy Foundation Annual Golf Tournament Mountain Ranch Golf Club Fairfield Bay, AR JUNE June 8-11, 2011 APA Annual Convention Peabody Hotel Little Rock, AR

OCTOBER October 8-12, 2011 National Community Pharmacists Association Annual Convention Opryland Resort Nashville, TN DECEMBER December 4-8, 2011 American Society of Health-System Pharmacists Midyear Clinical Meeting New Orleans, LA Winter 2011

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UAMS REPORT

UAMS College of Pharmacy Report

By Stephanie Gardner, Pharm.D., Ed.D., Dean, College of Pharmacy

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s I write this column, the end of January is approaching.

It is the time of year for making resolutions and resolving to make things a little better as we move Stephanie Gardner, forward. It reminds Pharm.D., Ed.D. me of how much I’ve always enjoyed opportunities for new beginnings.

While some people might think resolutions are only made to be broken, I don’t hesitate to share with you a handful of the resolutions the faculty, staff, and students at the UAMS College of Pharmacy will be steadfastly working toward accomplishing in 2011.

As you know, we’ve made the establishment of pharmacy education at UAMS Northwest a major priority since the idea was floated in 2005.

While much has already been accomplished, we aim to continue that trend this year by: • Having P3 students complete didactic coursework on the northwest campus beginning Fall 2011; • Recruiting two additional faculty members in the northwest region to be based on the Washington Regional Medical Center and Fayetteville VA campuses; • Developing interprofessional coursework for pharmacy, medical, nursing, and allied health students.

Another resolution for 2011 will be to increase the number of pharmacy students participating in postgraduate work. New pharmacy residency programs are being developed in areas such as ambulatory care, community pharmacy, geriatrics, transplant, pediatrics, and association leadership (at the APA). We are pleased that more opportunities will exist within Arkansas for students to continue their pharmacy education.

We’ve been working hard to establish a strong research component within the College of Pharmacy. It’s been wildly successful with renowned researcher Martin Hauer-Jensen, Ph.D., leading the program that last year also 18

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attracted Daohong Zhou, M.D. On January 18th, Dr. Zhou was invested as the inaugural recipient of the Winthrop Rockefeller Endowed Chair for Leukemia and Lymphoma Research at the University of Arkansas for Medical Sciences (UAMS). I also was pleased today to be able to announce the appointment of our next Chair of the Department of Pharmaceutical Sciences, Dr. Peter Crooks, Ph.D. Dr. Crooks is an accomplished teacher and scholar. His expertise in drug discovery and the team that he will lead in this area will be a great asset to the UAMS campus. He will also be leading the development of a graduate program in Pharmaceutical Sciences. We look forward to having him join our faculty in July.

Schwanda Flowers, Pharm.D., has successfully strengthened the College’s experiential education curriculum, and in 2011 we aim to go to the next level. The faculty is currently considering implementation of longitudinal assessment, a method of assessment that will allow progressive evaluation of skills acquisition.

And, finally, we’d like to enhance faculty service to the community and the profession.

We have instituted a goal of having one service activity each month that involves the participation of faculty and staff volunteers.

Our January activity was a deconstruction project with Habitat for Humanity. I personally enjoyed the opportunity to hammer a few nails instead of a keyboard! In February, we will be helping at the Arkansas Rice Depot.

While those are just five resolutions on a list of many, you can see we’ll have our hands full this year in continuing to find innovative and scholarly ways to meet the state’s pharmacy education needs.

A final resolution that goes beyond the UAMS College of Pharmacy comes from Mike Smets, P.D., president of the Arkansas Pharmacists Association. As you may know, he’s made it a point to challenge those of us in the profession to stay active, fit and strive to be a healthy representative. As a recreational cyclist, I accept that challenge and extend it to those we reach at UAMS, where we’ll be busy in 2011 with our newest resolutions. |

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HARDING REPORT

Harding College of Pharmacy Report

By Julie Hixson-Wallace, Pharm.D. BCPS, Dean and Professor, College of Pharmacy

First Annual Scholarship Luncheon

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arding University College of Pharmacy recently awarded scholarships totaling $25,000 to 20 students within the College. An Honors, Awards and Scholarship Banquet was held on September 16, 2010, to recognize both student recipients and the donors who made these scholarships available.

The scholarship banquet provided an opportunity to thank donors for their generous support, and to remind students that their work ethic and scholastic achievements are valued by the College. A Dean’s Scholarship was awarded to the academic top 10 percent of each class. Recipients of the Dean’s Scholarship in the second professional year (P2) class were: William Doles of Fort Valley, GA; Logan Jean of Black Rock, AR; Tiffany Karch of Mount Zion, IL; Emily Roberts of Jefferson, IN; and Ashley Sowers of Springfield, MO. Third professional year (P3) class recipients were: Mallory Garfield of Kingman, AZ; SeRyoung Kim of Framingham, MA; Janice McKean of Searcy, AR; Blake Miller of Searcy, AR; Lee Reed of Corpus Christi, TX; and Sarah Shelton of Searcy, AR. Other organizations offering scholarships and their recipients included: • CVS – Shervin Izadian (P2) of San Jose, CA; Linda Lee (P2) of Dallas, TX; BK Mthongana (P2) of Zimbabwe; Lee Reed (P3) of Corpus Christi, TX; and Kaci Rood (P2) of Pottsville, AR

• Lilly Achievement Award – Rami Beiram (P3) of Dahlonega, GA • National Associa- Julie Hixson-Wallace, Pharm.D. BCPS tion of Chain Drug Stores – Cody Littlefield (P2) of Lehi, UT; Aakash Patel (P3) of Cartersville, GA; Candice Simmons (P3) of Conway, AR; and Candy Still (P2) of Springdale, AR • Pharmacists Mutual – Terra Fagala (P3) of Little Rock, AR • Richie’s Specialty Pharmacy – Brian Knoske (P1) of Warren, OH • St. Bernards Medical Center – Brian Grace (P3) of Searcy, AR • U.S. Public Health Service Excellence in Pharmacy Practice Award – Pamela Obah (P3) of Las Vegas, NV • Walgreens Diversity Scholarship -- Diana Park (P3) of San Diego, CA Scholarship recipients were seated at tables with representatives from each organization, giving students an opportunity to offer their appreciation for the support they were receiving.

In addition to these scholarships, two additional awards were presented at the banquet.

Dean Julie Hixson-Wallace with Dean’s Scholarship recipients Janice McKean, Mallory Garfield, Logan Jean, SeRyoung Kim, Lee Reed, Sarah Shelton, and Blake Miller.

U.S. Public Health Service Excellence in Pharmacy Practice Award presented to Pamela Obah by Commander William Myers.

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The Board of Visitors, an external advisory group to the Dean, has established a student scholarship which was awarded for the first time this year. The first recipient was Celia Proctor (P3) of Conway, AR. The faculty and staff of the College have also established a student scholarship which was awarded for the first time this year. The Faculty-Staff Scholarship was awarded to Sam Hubler (P3) of Tulsa, OK.

The College of Pharmacy would like to increase the number of scholarships and awards to be disbursed in the coming years.

For more information about making an annual scholarship available or establishing an endowed scholarship for the College of Pharmacy, please contact the Dean’s office at 501-279-5205, or email jahixson@harding.edu. |

Faculty-Staff Scholarship presented to Sam Hubler

by Dr. Bill Yates, chair of the Department of Pharmaceutical Sciences.

Board of Visitors Scholarship presented to Celia Proctor

by Board of Visitors member, Eric Shoffner.

MEDICAID REPORT

Arkansas Medicaid Pharmacy Program Winter Report

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etermining the appropriate amount of medication to dispense based on the prescriber’s instructions is important in many ways.

If too little medication is dispensed, the patient could go without needed therapy. If too much medication is dispensed, there could be wasted medication. The prescriber should be contacted to clarify any issues with the prescription, including vague directions such as “Use as directed”, to insure that the proper quantity is dispensed. Arkansas Medicaid pays for up to a 31-day supply and that can be hard to calculate with directions that aren’t specific. In addition, an incorrect quantity can become a problem when Medicaid criteria requires compliance with therapy and looks for a previous claim in history and the patient’s prescription has lasted 60 days or more. The RDUR letters are also generated based on a patient’s compliance, which looks at the days’ supply of the submitted claim.

Billing for the accurate amount of medication that has been dispensed is also important. The quantity should be billed to Medicaid exactly

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as it appears on the package. Decimal package sizes should not be rounded, as Medicaid’s system accepts decimals. Some pharmacies have a multiplier set up in their system for unit of use dispensed medications. Please make sure that all of your staff is aware of this function, as incorrect quantities billed for those medications are usually exponentially higher than they should have been! Incorrect billing will also result in an overpayment to the pharmacy.

Finally, Arkansas Medicaid wanted to clarify that under no circumstances is someone else’s Medicaid ID number supposed to be used to fill a patient’s prescription. This is true for mother and newborn, father and son, or sister and brother. Each recipient needs his or her own prescription for medication to be filled under his or her own state-issued Medicaid ID number.

Children have unlimited slots and there would be no reason to fill multiple sibling’s medications under only one person. The history and information for a patient as seen by Arkansas Medicaid staff is only as good as what has been billed using their unique Medicaid ID number. |

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CALL FOR NOMINATIONS

2011 APA Awards Solicitation Award Nominations Each year APA encourages members 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.

Nominations will close at Noon, April 15, 2011.

Please mark your nomination with an X. If you have more than one nomination, please feel free to copy this form.

J 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.

J Young Pharmacist of the Year Nominee must have an entry degree in Pharmacy, received nine or fewer 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.

J APA 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 a 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.

J Percy Malone Public Service Award This award was established in 2009 by the Arkansas Pharmacists Association. The recipient must have made a contribution to public service by being elected to any public office and by displaying an interest in the people of Arkansas.

J 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, a pharmacist 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: Attach one page with a description of reasons and/or the individual nominee’s resume.

Nominator’s Name: ___________________________________________________________________________ Phone __________________________________________________

Date ______________________________

Fax or email written nomination form and material to: Awards Committee, Arkansas Pharmacists Association; bmcmillan@arpharmacists.org; Fax 501-372-0546.

Please submit by Noon, April 15, 2011.

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BOARD OF DIRECTORS MINUTES

Minutes Arkansas Pharmacists Association Board of Directors August 12 & 13, 2010 Rockwall Hilton, Rockwall, Texas Members Dr. Mike Smets, Presiding Dr. Kenny Harrison Dr. Gary Bass Dr. Danny Ponder Dr. Julie Hixson-Wallace Dr. Dennis Moore Dr. Eddie Gloverembers Dr. Larry McGinnis

Members Dr. Brent Pannick Dr. John Vinson Dr. Stephen Carroll Dr. Brandon Cooper Dr. Michael Butler Dr. Jan Hastings Dr. Mark Riley Dr. Cindy Stowe

Consent Items President Smets called the meeting to order at 4:40 p.m.

President Smets introduced the new board members and issued the oath of office.

President Smets asked Dr. Richard Hanry to give the invocation.

Discussion Items Meeting Updates Barbara McMillan welcomed everyone to the Hilton Rockwall for the 2010 Board Retreat.

She also reported that the APA CE in Paradise was a success. The trip was a Hawaiian Cruise. The next CE in Paradise will be in October of 2012 and will be a trip to Ireland.

Ms. McMillan also presented possible locations for the 2012 APA Annual Convention including Rockwall, TX; Hot Springs, AR; Tunica, MS; or Rogers, AR.

Golden CE Program Dr. Scott Pace reported that the 2010 Golden CE will be held on Thursday, October 14 at UAMS. The program is open to all pharmacists who have been licensed by the Arkansas State Board of Pharmacy for 50 years or longer.

Guests Dr. Richard Hanry, Treasurer Harold Simpson, Legal Counsel Dr. Paul Holifield Dr. Stan Chester Mr. Paul Spann Staff Dr. Scott Pace Barbara McMillan Debra Wolfe

UAMS College of Pharmacy Report Dr. Cindy Stowe reported that UAMS will top $2 million in NIH funding for 2010. Additionally, the Class of 2014 began classes on August 9.

Harding College of Pharmacy Report Dr. Julie Hixson-Wallace reported that the Class of 2014 will begin classes on August 16.

Dr. Mark Riley will be the keynote speaker at the Class of 2014 White Coat Ceremony.

Consultant Pharmacy Academy Dr. Larry McGinnis reported that he has been training more consultant pharmacists on the CMS consultant guidelines. He suggested that the Colleges consider adding a lecture on these CMS guidelines to their curriculum.

District Meeting Update Dr. Mark Riley reported that the 2010 District Meetings will have a new format. There will be the traditional business meeting, but the main CE program will be a Pharmacy Open Door Forum where pharmacists are able to interact with representatives from the APA, the State Board, and both Colleges of Pharmacy.

Healthcare Reform Update Dr. Scott Pace provided a brief update on some of the changes approaching with healthcare reform, including changes to Health Savings Accounts, 1099 Reporting Requirements and W2 Reporting Requirements.

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State Worker’s Comp Dr. Riley reported that the APA continues to work with the Insurance Department to revamp their Worker’s Comp program.

TriCare Issues Dr. Riley reported that there have been numerous complaints about dramatic reductions in reimbursement in the TriCare program. Dr. Riley has been working with NCPA and the Department of Defense to address this problem.

Legislative Possibilities President Smets opened discussion about the APA’s 2011 Legislative Agenda. Dr. Riley presented several legislative options and opened it up with the Board for discussion.

Pseudoephedrine Scheduling Dr. Riley reported that the State Board of Pharmacy has issued a recommendation that pseudoephedrine be placed moved to Schedule III. Some states, such as Mississippi and Oregon, have placed pseudo in Schedule III and have seen dramatic decreases in methamphetamine production and usage in their states.

Miscellaneous Dr. Pace reported that the APA is nearing completion of a new database.

President Smets discussed the next two days of the retreat and what he expects from the Board. Additionally, he mentioned that the Board will meet in October to refine Board governance and strategic planning.

Action Items Financial Report Dr. Richard Hanry reported on the financials of the APA. He reported that the APA is working within the budget and all the financials are looking on target. Dr. Hanry submitted the financials for approval. There was a motion and a second. The motion carried.

Adjournment A motion was made and seconded to adjourn the meeting at 6:00 p.m. The motion passed.

The Board was called back into session on Friday, August 13 at 2:30 p.m. by President Mike Smets.

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President Smets led the Board in a discussion about potential legislative changes to the pharmacy practice act that would codify the current process of pharmacist appointments to the Board of Pharmacy. The Board heard from general counsel Harold Simpson to discuss potential options.

A motion was made and seconded to insert language to require the advice and consent of the Arkansas Pharmacists Association prior to the Governor making an appointment to the Board of Pharmacy. This motion passed, and would simply serve to codify the practice that has been ongoing between the Governor’s office and the APA for the past 25 years.

President Smets then opened the floor for discussions about making the current laws pertaining to pseudoephedrine-containing products stricter. After lengthy discussion, Dr. Jan Hastings made a motion that the APA adopt a position that the APA help fight the methamphetamine problem in Arkansas by strengthening the restrictions on pseudoephedrine, up to and including reclassification and dispensation of pseudoephedrinecontaining products. Larry McGinnis seconded the motion. The motion passed.

The Board continued with additional business.

Dr. Mark Riley discussed with the Board the possibility of creating a residency position at the APA. Dr. Jan Hastings provided an update on the future of ACPE accredited CE. A motion was made and seconded for the Board to adjourn. The motion passed and the Board adjourned at 3:45 p.m. |

APA Foundation Board August 12, 2010 Dr. Mike Smets convened the Foundation Board at 6:05 p.m. on August 12, 2010.

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

A motion was made to adjourn the meeting at 6:15 p.m.; the motion passed. |

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CLASSIFIED ADVERTISING Opening for Full-Time Pharmacist A leading community pharmacy in NW Arkansas focused on personalized service to individual patients and assisted living environments is seeking a careeroriented individual who must enjoy working with people. The opportunity includes medical/ dental insurance, paid vacations and holidays and a SIMPLE IRA retirement program. Interested pharmacists may submit their resumes to dbastian@ cox-internet.com.

Arkansas Pharmacists, CPTS Needed The Arkansas-1 Disaster Medical Assistance Team (DMAT) is actively recruiting pharmacists and certified pharmacy technicians to join the National Disaster Medical System. By doing so, you could be able to deploy and help during the next natural disaster. AR-1 is one of more than 60 nationwide federal teams of medical professionals.

AR-1 has deployed to multiple hurricanes including the superdome during Katrina and the Twin Towers after September 11.

Recently two AR-1 members deployed as part of the federal response to the Haiti earthquake. Members of AR-1 enjoy job protection under USERRA as a uniformed reservist and only deploy voluntarily for up to two weeks at a time. Pharmacists and CPTs who are interested are invited to visit http://ar-1dmat .com/ for more information.

Interested parties should also contact the AR-1 planning section chief Rick Pavick at rick.pavick@vzw.blackberry.net.

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 email @ VanPark@aol.com.

Volunteer Pharmacists 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 2402 Tyler Street (behind Oak Forrest). The hours of operation are 6:00 p.m. to 8:30 p.m. every Tuesday and Thursday night. Current needs are pharmacists willing to volunteer every 4 weeks. If you are available to volunteer to help with the ministry, please contact Bren May at 501-993-0729.

IVANRX4U, Inc. Pharmacist Relief Services, Career Placements Relief Pharmacists needed – FT or PR. 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 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 through Friday from 9:00 a.m. to 6:00 p.m. Contact Alan Twedell at 870-931-2881 or send resume to: Country Mart Pharmacy; 208 Lincoln Drive; Fredericktown, MO 63645. Positions to be billed in SE Missouri.

STAFF RPH, Inc. Pharmacists and Technician Relief Services We provide quality pharmacists and technicians that you can trust for all your staffing needs.

Our current service area includes AR, TXC, 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. Familyowned with exceptional reputation in dynamic community.

Excellent schools, recreational and 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 complete and new treatment, diagnostic and emergency facility; b) next door to ophthalmologist and optometrist. Contact Mike Sprague at 512-799-5265.

Clinical Specialist Needed Full or part-time position for residency trained pharmacist with BCPS or comparable experience. Contact Ramona McLean, Washington Regional Medical Center, 479-463-1102.

Wooden Shelving for Sale Four 13-foot shelves, two 16-foot shelves and two 8-foot shelves and a variety of countertops.

Contact Wayne Padgett at Woodard Drug in Glenwood at 870-356-2193.

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APA 2010 - 2011

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President Mike Smets, P.D. Fort Smith

President-Elect Gary Bass, Pharm.D. Little Rock

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 Michael Butler, Pharm.D. Hot Springs Village

Area 2 Representative Brandon Cooper, Pharm.D. Jonesboro

Area 3 Representative Kenny Harrison, Pharm.D. Little Rock

Area 4 Representative Mike Stover, Pharm.D. Rison

UAMS College of Pharmacy Stephanie Gardner, Pharm.D. Ed.D. Little Rock

Harding College of Pharmacy Julie Hixson-Wallace, Pharm.D. Searcy

Treasurer Richard Hanry, P.D. El Dorado

Legal Counsel Harold Simpson Little Rock

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BOARD OF DIRECTORS

Vice President Dennis Moore, Pharm.D. Batesville

Past President Jan Hastings, Pharm.D. Benton

APA Exec Vice President 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 Stephen Carroll, Pharm.D. Arkadelphia

District 7 President John Vinson, Pharm.D. Fort Smith

District 8 President Christy Campbell, P.D. Searcy

Consulting Academy President Larry McGinnis, Pharm.D. Searcy

Hospital Academy President Rayanne Story, Pharm.D. Searcy

Compounding Academy President Mark Shinabery, P.D. Maumelle

Board of Health Member John Page, P.D. Fayetteville

ASP President - UAMS Daniel Price Little Rock

ASP President - Harding Celia Proctor Little Rock

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APA 2011 Annual Convention Coming Up June 9-11 in Little Rock Join your colleagues at the 129th Annual Arkansas Pharmacists Association Convention as we hit the ball out of the park!

The Annual Convention will be held June 9 – 11 at the Peabody Hotel in Little Rock. Convention programs will promote the professional development of pharmacists through educational sessions and networking. Participants will have the opportunity to meet with exhibitors who will be showcasing new products and working to maintain and strengthen relationships with their customers.

Social events will help members reconnect and renew old friendships, including the annual golf tournament on Wednesday, June 8, 2011. On Thursday we’ll have a fun evening at Dickey-Stephens Park, home of the Arkansas Travelers, who will be playing Northwest Arkansas Naturals.

Check the website to register online soon.

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PSRT STD US Postage

PAID Arkansas Pharmacists Association 417 South Victory Little Rock, AR 72201

Little Rock, AR Permit No. 700