June 2008 Florida Pharmacy Journal by Florida Pharmacy Today

JUNE 2008

2008 Legislative Recap Aggressive Advocacy Efforts Help Advance Pharmacy Profession

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florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint 7 Executive Insight 23 Buyer’s Guide

VOL. 71 | NO. JUNE 2008 the official publication of the florida pharmacy association

Features

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2008 Legislative Recap Aggressive Advocacy Efforts Help Advance Pharmacy Profession

118th FPA Annual Meeting and Convention Schedule & Registration Information

JUNE 2008

FPA Calendar 2008

June 21 27

Room Reservation deadline for Annual Convention Convention registration deadline July

4 Independence Day, FPA Office Closed 9-13

118th Annual FPA Meeting and Conference Orlando, Florida

11 Gatherin Hotel Registration Ends 18 Last day to register for the 25th Annual SE Gatherin 20-23 AACP Annual Meeting Chicago, Illinois 31 - 8/3 FSHP Annual Meeting

August 1-3 Southeastern Officer's Conference Biloxi, MS 3-6 Southeastern Gatherin Sandestin, Florida 8 FPA Legislative Committee Meeting Orlando, Florida 12 - 13 Florida Board of Pharmacy Meeting Orlando, Florida 17 - 19 NABP Regional Meeting Sandestin, Florida 23 - 24 FPA Committee and Council MeetingsHilton Orlando North SEPTEMBER 1 Labor Day - FPA Office Closed 20 - 21 FPA Clinical Consultant Conference Hyatt BonaventureWeston, Florida

Mission Statements: of the Florida Pharmacy Today Journal The Florida Pharmacy Today Journal is a peer reviewed journal which serves as a medium through which the Florida Pharmacy Association can communicate with the profession on advances in the sciences of pharmacy, socio-economic issues bearing on pharmacy and newsworthy items of interest to the profession. As a self-supported journal, it solicits and accepts advertising congruent with its expressed mission.

of the Florida Pharmacy Today Board of Directors The mission of the Florida Pharmacy Today Board of Directors is to serve in an advisory capacity to the managing editor and executive editor of the Florida Pharmacy Today

Journal in the establishment and interpretation of the Journal’s policies and the management of the Journal’s fiscal responsibilities. The Board of Directors also serves to motivate the Florida Pharmacy Association members

For a complete calendar of events go to www.pharmview.com CE CREDITS (CE cycle) The Florida Board of Pharmacy requires 10 hours LIVE Continuing Education as part of the required 30 hours general education needed every license renewal period. Pharmacists should have satisfied all continuing education requirements for this biennial period by September 30, 2009 or prior to licensure renewal. *For Pharmacy Technician Certification Board Application, Exam Information and Study materials, please contact Ranada Simmons in the FPA office. For More Information on CE Programs or Events: Contact the Florida Pharmacy Association at (850) 222-2400 or visit our Web site at www.pharmview.com CONTACTS FPA — Michael Jackson (850) 222-2400 FSHP — Michael McQuone (850) 906-9333 U/F — Dan Robinson (352) 273-6240 FAMU — Otis Kirksey (850) 599-3301 NSU — Carsten Evans (954) 262-1300 DISCLAIMER Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered. This information is provided with the understanding that neither Florida Pharmacy Today nor the Florida Pharmacy Association are engaged in rendering legal or other professional services through this publication. If expert assistance or legal advice is required, the services of a competent professional should be sought. The use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers. Information provided by the maker of the product should always be consulted before use.

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to secure appropriate advertising to assist the

Journal in its goal of self-support.

Advertisers DR. PATRICK OJO.............................................. 2 FLORIDA DEPARTMENT OF HEALTH....... 14 HAYSLIP & ZOST............................................. 14 Healthcare consultants................... 12 Kahan ◆ SHIR, P.L......................................... 12 medical staffing...................................... 18 PHARMACY PROVIDER SERVICES (PPSC).......................................... 2 Pharmacy Max........................................... 11 Rx RElief.......................................................... 14

E-mail your suggestions/ideas to dave@fiorecommunications.com

The President’s Viewpoint by MAYRA GONZALEZ-ABREU Guest Columnist

Getting Out of the Box…

y name is Mayra GonzalezAbreu, and I have been a practicing pharmacist for 15 years. I also have served as the Chair of the Public Affairs Council. During my career, I have not only experienced firsthand some of the issues that as pharmacists we face every day, but also have become extremely involved in finding solutions. I do that in my daily interactions with my pharmacy team and in my participation with pharmacy organizations, where I have held several offices in the past. The Florida Pharmacy Association is our strongest voice to help bring unity within our profession, to promote change and to implement solutions. I believe in the strength of empowerment. This is the reason why I have been involved in getting additional certifications that expand my ability as a pharmacist. We also need to be empowered as pharmacists, through education, advocacy and in showing our communities the value that we can bring through our expertise. Every stage in life has its beginning and end, or a new beginning or transformation. As we approach the end of the era of President Don Bergemann, we will start a President Norman Tomaka period. Both are very committed individuals who have shown tremendous dedication and service to our profession. They both should be recognized for their outstanding service and dedication to the association, pharmacists, and public in general. I just want to share with you all my personal story of “getting out of the box.” When I decided to become a pharmacist, it was my junior year in high school; I wanted to be a pharmacist to become a “bridge” between doctors and patients. To be able, in some

way, to help them improve their quality of life. Little did I know at that time the seriousness of the commitment I was making. As pharmacists we have a responsibility for the health, welfare and safety of the patient. We must always remember that the health of our patients depends on our personal commitment, our continuous professional development and our involvement in local as well as state associations. It was 1994 when I moved to Miami with just a year of experience. And in just a few months, I was already participating in the local association, InterAmerican Pharmacy Association (IPA). It was Art Diaz who one day at work started talking to me about being involved and encouraged me to start going to the continuing-education programs. It was there that I met my most influential mentors; Humberto “Bert” Martinez, Carl “Fritz” Hayes, and my “godfather,” Dr. Eric Alvarez. I would need to agree with Past President Theresa Tolle, when approximately four years ago she was thanking her mentors for being such an influence in her life, and somehow being responsible for awakening the passion we have inside, and sometimes don’t let out. Well, now I would like to take this opportunity to thank my wise and faithful guides who besides being close friends have been wise counselors in my life. They have always supported me and believed in me, even at my darkest hours when I did not believe in myself. They were the ones who were waiting for me when I lost my way like the “prodigal son.” They were the ones who helped me to see the importance of being involved, of sacrificing some of our own private time to make a difference in our profession and our community. It was especially Eric, who

Mayra Gonzalez-Abreu

was the one to first show me the importance of being involved in the FPA. I started going voluntarily to the council meetings to see what it was all about and why he was so passionate about it. At that point I would think, is this guy crazy? Why would I want to spend a weekend in a boring meeting, trying to save the world, when I could be in Key West having fun? Eric has been awarded numerous leadership and recognition of excellence awards from local, state and national pharmacy associations. He has held different positions at the local and state levels. Well, he was right. He has been working most of his professional life for the betterment of the profession and the welfare of the patients. Eric showed me through his example, that we really can make a difference. It has been almost 10 years since I attended my first Executive Committee meeting with him as an observer. I now remember being in an Executive Committee meeting of the FPA, now as a member, when Michael Jackson said if we realJUNE 2008

2007/2008 FPA Executive Committee The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work deligently all year long on behalf of our members.

Chair................................................................................................................. Leo "Lee" Fallon President.....................................................................................................Don Bergemann President Elect.......................................................................................Norman Tomaka Treasurer....................................................................................................Michael A. Mone’ APP Chair.......................................................................................................Suzanne Kelley HOD Speaker.................................................................................................... Goar Alvarez HOD Vice Speaker...................................................................................Suzanne Kelley Region 1 Rep.......................................................................................................Darrell Miller Region 2 Rep.......................................................................................Allison Underwood Region 3 Rep............................................................................................ Anita Thompson Region 4 Rep........................................................................................................ Tim Rogers Region 5 Rep................................................................................................ Alice McNeese Region 6 Rep........................................................................................................Kim Murray Region 7 Rep...............................................................................Sharon Smith-Wollner Region 8 Rep........................................................................................................Tom Cuomo Region 9 Rep.............................................................................................Robert J. Renna Region 10 Rep.....................................................................................................Ayala Fishel Region 11 Rep.............................................................................................................Bob Hoye Region 12 Rep...................................................................................... John "Dolph" Cone Region 13 Rep...........................................................................................Alan Oberlender Region 14 Rep........................................................................................................ Karen Bills FSHP President.............................................................................. Christine Gegeckas Dean FAMU..................................................................................Henry Lewis, Pharm D Dean LECOM................................................................................... Gary Levin, Pharm D Dean NOVA SE.....................................................................Andres Malave, Pharm D Dean PBAC...................................................................................... Dan Brown, Pharm D Dean UF................................................................................................ William Riffee, Ph.D. ASP President FAMU...................................................................................Erin Gaffney ASP President NOVA SE..................................................................Kimberly Lamas ASP President PBAC.......................................................................................Paul Young ASP President UF..........................................................................................Jennifer Kim Educational Affairs Chair...................................Carmen Aceves-Blumenthal Organizational Affairs Chair.................................................................. Alex Pytlarz Professional Affairs Chair................................................................Don Thibodeau Public Affairs Chair............................................................. Mayra Gonazlez-Abreu Journal Board Chair..................................................................... Peggyann Zaenger Foundation Executive Vice President..................................... Patsey Powers Executive Vice President and CEO........................................Michael Jackson

Florida Pharmacy Today Journal Board Chairman................................................Peggyann Zaenger, pzaenger@fdn.com Vice Chair................................................................Gary Dalin, HOSPRx50@aol.com Secretary/Treasurer....................................... Patsy Powers, Editor Emeritus ppowers@pharmview.com Member............................................Greta Pelegrin, gretapelegrin@yahoo.com Member............................................................... Dick Witas, witas@moffitt.usf.edu Member.................................................Joseph Koptowsky, docjik1215@aol.com Member........................................................................Stuart Ulrich, Stuarx@aol.com Member........................Stephen Grabowski, sgrabowski@seniormmc.com Executive Editor................Michael Jackson, mjackson@pharmview.com Managing Editor...................Dave Fiore, dave@fiorecommunications.com 6 |

Flo r i d a P ha r m a c y To d aY

ly wanted to help with the Immunization Bill, we needed to be in Tallahassee the following Tuesday. When I got home that Sunday night, I booked a flight, and I was there – no hesitations whatsoever. I feel very proud of being there the day that the Immunization Bill passed! We need to serve as mentors to pharmacy students and our fellow colleagues and help them understand that we need to be proactive. Pharmacists need to be involved and make a difference in how we practice pharmacy. Positive changes will not happen by themselves. We need to make them happen! Pharmacists are one of the most trusted and respected health professionals. We need to show our patients they are our primary focus. We need to educate them and help them understand how much we care about their health, and improve their medication management. The other day, one of my best friends, more like a sister, Dr. Francienid Morales, shared a story with me of a cellular salesman, Paul Potts, from England, who participated in and won the talent show, “Britain Got Talent.” He was just a simple man, with a dream to sing opera as a tenor. He sang Nessun dorma and when you listen to him it is like listening to Bocelli or Pavarotti. It is a tribute to persistence and following your dream and the strength of the human spirit. The lesson of this story being that when there is a will there is a way. We need to fight for what we believe. We need to show our patients we care and that we can make a difference in their lives. We have that opportunity every day in our practice, our social lives and in our day-to-day interactions. Our value, our public image, our future is in your hands; you decide each day whether change will be positive or not. Let’s get out of the box and fight for our profession, and for the welfare of our patients! “All’alba vincerò! Vincerò! Vincerò!” n

Executive Insight by michael jackson, RPhPresident/CEO AND By Michael Jackson, FPA Executive Vice

FPA Member’s Crusade for the Truth: Are We Getting Correct Information on Expiration Dating?

veryone has a passion in life whether we choose to accept it or not. Sometimes that passion changes as life prepares us for different adventures. For example, we all remember what our motivating factor was while we were in pharmacy school. The one mission in life was to find a way to successfully progress through a very challenging and comprehensive academic curriculum. Every book that we read had something to do with pharmacy or health care written on the cover. We thought of nothing else until the day that we were handed our degrees. Our next passion was to spend countless hours reviewing material in preparation for the licensure examination. Our focus did not change until we received that thin envelope from the Board of Pharmacy in the mail letting us know that we had successfully passed the licensure exam and we could now claim the status of Florida licensed pharmacist. Of course, if the package was a thick envelope we knew that the focus was not changing because the message from the board included instructions on how to reapply for the next test due to a low score. The Florida Pharmacy Association has one such member whose passion we would like to share with you. Gerald Murphy of Ormond Beach, Florida has made it a personal mission and crusade to educate the health care community and public policymakers on issues surrounding expiration dating of prescription drugs. I can recall many years ago that it was quite uncommon for prescription drugs to have an expi-

ration date on the label. Some manufacturers voluntarily placed these “beyond use” dates on their labeling during the 1960s. The FDA began requiring manufacturers to place expiration dates on prescription drug labeling in 1979 for purposes of facilitating uniform testing and reporting guidelines. In theory, the purpose of establishing an expira-

In theory, the purpose of establishing an expiration date is to draw a line on a perpetual calendar that defines whether or not a drug product is likely to be clinically effective at a given point in time. tion date is to draw a line on a perpetual calendar that defines whether or not a drug product is likely to be clinically effective at a given point in time. Mr. Murphy (and to some degree this editor) has strong beliefs that a number of prescription drug products have viable clinical use significantly beyond the published date of expiration on the label. For example, if a prescription drug product expires at midnight on June 30, 2008, does it mean that at 12:01 a.m. on July 1, 2008, that the product no longer is any good and should

Michael Jackson

be discarded? This is particularly interesting when consumers and health plans pay high prices for prescription drugs that are not always used. What is even more troublesome is that there is such significant waste that municipalities are seeing trace amounts of prescription drugs in the drinking water. Some of this may be coming from medications flushed down toilets, washed down sink drains or even unmetabolized drug excreted into city and county water treatment systems and escaping through their filtration process. Florida statutes 465.0255 require community pharmacists and dispensing practitioners to place the manufacturer’s, repackager or distributor’s product expiration date on the dispensing label for medications that are dispensed to patients. The pharmacist may by option select an earlier beyonduse date provided that it is not more JUNE 2008

FPA Staff

Executive Vice President/CEO Michael Jackson (850) 222-2400, ext. 200

Director of Pharmacy Services Tian Merren, ext. 120 Director of Membership Gillian Nolden. ext. 110 Controller Wanda Hall , ext. 211 Pharmacy Services Admin. Asst. Ranada Simmons , ext. 121 Pharmacy Services Office Asst. Stacey Brooks , ext. 122 Communication Services Admin. Asst. Leroy Smith , ext. 220 Receptionist/Meeting Planner Catherine Walker , ext. 230 Florida Pharmacy Today Board Chairman....................Peggyann Zaenger, Jacksonville Vice Chair..................................... Gary Dalin, Delray Beach Secretary/Treasurer...................................Patsy Powers, Editor Emeritus, Tallahassee Member................................................. Greta Pelegrin, Miami Member...................................................... Dick Witas, Odessa Member..................................... Joseph Koptowsky, Miami Executive Editor.........Michael Jackson, Tallahassee Managing Editor.........................Dave Fiore, Tallahassee Member..............................Stuart Ulrich, Boynton Beach Member...................................Stephen Grabowski, Tampa

This is a peer reviewed publication. ©2008, FLORIDA PHARMACY JOURNAL, INC. ARTICLE ACCEPTANCE: The Florida Pharmacy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy. All articles are subject to review by the Publication Review Committee, editors and other outside referees. Submitted articles are received with the understanding that they are not being considered by another publication. All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today. The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today. The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion, politics or any other subject the editors/ publishers deem unsuitable for the readership of this journal. In addition, The Journal does not accept advertising material from persons who are running for office in the association. The editors reserve the right to edit all materials submitted for publication. Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board. FLORIDA PHARMACY TODAY, Annual subscription - United States and foreign, Individual $36; Institution $70/year; $5.00 single copies. Florida residents add 7% sales tax. Florida Pharmacy Association

610 N. Adams St. • Tallahassee, FL 32301 850/222-2400 • FAX 850/561-6758 Web Address: http://www.pharmview.com

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Flo r i d a P ha r m a c y To d aY

than one year. The pharmacist must be prepared to answer questions from the patient regarding the expiration date. There also are a significant number of Board of Pharmacy rules that require expiration dates on unit dose packaging. The questions raised by Gerald Murphy repeatedly have been how can pharmacists and dispensing practitioners be comfortable with publishing

is it? Gerald Murphy’s passion is well known among FPA leadership, the Board of Pharmacy as well as state and federal government. He has written numerous letters questioning the validity of the current expiration dating system and has challenged policymakers to look into this issue. You can even find information on his Web site www.expirationdates.info. While not

The questions raised by Gerald Murphy repeatedly have been how can pharmacists and dispensing practitioners be comfortable with publishing an expiration date on a prescription label when it is possible that these drugs are quite effective beyond the manufacturer’s date of expiration? an expiration date on a prescription label when it is possible that these drugs are quite effective beyond the manufacturer’s date of expiration? Indeed, it is highly possible that testing and compliance with good manufacturing practices only establishes a requirement for viable effectiveness of a prescription drug product for up to two years. It is possible that some drugs may be good beyond that time period though we do not know which ones. There are also issues surrounding the capacity for consumers to understand optimal storage requirements of certain drugs. Still, Mr. Murphy raises an interesting question. Just think about Aunt Sarah who had her drug therapy changed shortly after receiving a 90-day supply from her mailorder pharmacy. (Aunt Sarah has a master’s degree in drug therapy design and three PhD’s in medicinal chemistry and should understand drug stability). Three years later, Aunt Sarah sees her physician and was placed back on the original medication with the same dosing instructions that are printed on the prescription label on the bottle still in her medicine cabinet. Unfortunately, the medication is labeled as expired and in theory would not be effective. Or

all may be in agreement with Gerald, I for one will rise and applaud him for his devotion to his passion and his tenacity to advocate for an issue. We can all learn from Gerald’s commitment and apply his resolve to many issues facing our profession. There are more than 24,000 Florida licensed pharmacists. I get chill bumps thinking about the many things the FPA could accomplish if all of these pharmacists rallied behind an issue like Gerald has on his crusade. n

2008 Legislative Recap

Aggressive Advocacy Efforts Help Advance Pharmacy Profession A significant portion of FPA resources are allocated toward a very comprehensive and robust advocacy program. This includes the contracting and management of legislative consultants, publication of advocacy efforts, grassroots involvement and communication, and maintaining the viability of our political action committee. Of the dues paid by member pharmacists, the majority is used to offset the costs to manage this program. The Association is pleased to report that our efforts have again been successful with the passage of several bills favorable to the profession of pharmacy and the successful defense of harmful legislation. The Association worked with a number of organizations including the Florida Society of Health System Pharmacists on a number of bills and initiatives affecting the profession and business of pharmacy. Please note the following legislative issues:

Legislation that Passed Regulating Pharmacy Technicians SB1360 Requires the Board of Pharmacy to adopt rules on registration. ■■ Requires registered technicians to be 17 years old. ■■ Requires 20 hours of CE (4 hours live, 2 hours med errors). ■■ Registration must be available to the public as well as board inspectors. ■■ Pharmacy interns exempt from registration. ■■ Technician students exempt from registration. ■■ Pharmacist with discipline not eligible to register as technician. ■■ By January 1, 2011, Registered Technicians must have ●● Completed a Board approved training program or ●● Have completed a certification program approved by NCCA or ●● Have worked a minimum of 1,500 under a licensed RPh ■■ SB1360 also removes the 12-year requirement for pharmacists to have to take NAPLEX requirement if transferring their licenses to Florida. ■■ Currently waiting on the Governor's signature ■■

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two. Wholesaler not required to open a sealed medical convenience kit to authenticate a pedigree. Exempts out of state manufacturers from having to get a permit if shipping to a licensed instate manufacturer for research and development purposes. Creates the following two new permits: ●● Logistics Warehousing Permit ●● Physician group practice purchasing permit Signed into law by Governor Crist

Orthotics, Prosthetics and Pedorthics HB607 Revises Orthotics, Prosthetics and Pedorthics practice act created in 1997. ■■ Pharmacists have been exempted from having to register under this act. ■■ Draft bill could have removed the grandfather clause and affected those pharmacies providing this service. ■■ The FPA was successful in advocating for the retention of the exemption for pharmacies that provide certain O & P services. ■■ Signed into law by Governor Crist ■■

Revisions to Pedigree Laws HB7049 ■■ Revises and clarifies Florida wholesaling laws. ■■ Increases allowable intercompany transfers from one to JUNE 2008

Impaired Practitioner Treatment Programs SB2598 ■■ Authorizes Department of Health to contract with the physicians’ recovery network (PRN) consultants to provide treatment programs for medical students. ■■ The original bill was designed to allow impaired medical and nursing school students to be referred to PRN, however the legislation did not include pharmacy. ■■ FPA advocates worked with bill sponsors to include pharmacy school students. ■■ Signed into law by Governor Crist

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Mandatory Insurance Coverage for Autism SB2654 ■■ Requires insurance companies to cover up to $36,000 annually in treatment benefits for behavioral analysis and speech therapy. ■■ Includes a lifetime benefit of $200,000. ■■ Coverage becomes mandatory in 2 years. ■■ Signed into law by Governor Crist Health Insurance Claims Payments SB1012 Revises laws related to health insurance benefits payments. ■■ Requires insurance plans to pay licensed hospitals, physicians, dentists and licensed ambulance providers regardless of whether or not they are part of a network. ■■ The Florida Pharmacy Association was interested in this bill and how pharmacy could be a part of the plan to help with restricting plans from recouping overpayments from several years back. ■■ Claims of overpayment by insurers for certain provider groups have been limited to 12 months. ■■ While we were not successful in getting pharmacy written into this bill, we did secure a commitment from the House sponsor to assist us with PBM issues for 2009. ■■ Currently waiting on Governor's signature ■■

Medicaid Appropriations HB5001 Lowers pharmacy reimbursement by 1%. ■■ Increases discount off AWP from AWP-15.4% to AWP-16.4%. ■■ Decreases WAC + percentage from WAC+5.75% to WAC+4.75%. ■■ A number of health care programs have been cut due to declining state revenues. ■■ Pharmacy cuts have not been as severe as reductions to other health care provider groups. ■■ Signed into law by Governor Crist ■■

Health and Human Services Conference Report Issues ■■ Department of Health was directed to study pharmacy practice act requirements for drug substitution. ■■ Study panel consists of the following: 10

Flo r i d a P ha r m a c y To d aY

Board of Medicine appointee Florida Academy of Family Physicians appointee ●● Florida Kidney Foundation appointee ●● Florida Epilepsy Foundation appointee ●● Florida Board of Pharmacy appointee Study should include a review of the current pharmacist substitution laws related to patient safety and physician notification. The Association has concluded that the makeup of the study panel is unbalanced resulting in a biased conclusion. Approved by Governor Crist ●●

Other items included in the 2008 budget Funding for a satellite pharmacy school program in Crestview, Florida. ■■ Funding for Florida residents enrolled at Nova Southeastern and Lake Erie Colleges of Pharmacy. ■■ Funding to renovate and update existing pharmacy buildings on FAMU’s campus. ■■ Approved by Governor Crist ■■

Physician Assistants Prescribing HB989 Expands prescribing authority of physician assistants. ■■ Removes parenteral preparations and antipsychotics from the list of drugs PAs are prohibited from prescribing. ■■ Grants authority of the physician assistant council to change the PA formulary. ■■ Does not mandate that the council change the formulary. ■■ Signed into law by Governor Crist ■■

Legislation that did not pass Pharmacist Licensure by Endorsement SB334 ■■ Originally filed to change laws on licensure transfer and technician regulation. ■■ Technician regulation language removed early in the session. ■■ Passed by the full Senate. ■■ This issue was not taken up by the Florida House. Reproductive Services and Family Planning (SB780, HB385) ■■ Would have required pharmacists to provide emergency contraceptives. ■■ Would have required pharmacies to ensure that employees did not mistreat customers requesting EC services. ■■ FPA was successful in amending the bill to include a conscience belief statement. ■■ FPA also advocated that the provision of such services be done pursuant to the presentation of a valid prescription.

Organ Donation – Immunosuppressant Drugs (SB2242, HB673) ■■ Originally filed to require written or oral authorization of prescriber prior to interchanging medications used for transplant patients. ■■ FPA worked with a coalition to oppose legislation. ■■ Similar legislation passed 2007 legislature but was vetoed by Governor Crist. Restriction on Substitution of Epilepsy Drugs (HB811, SB2414) ■■ Would have prohibited pharmacists from interchanging medications without prior written authorization from both prescriber and patient. ■■ Similar legislation was heard during the 2007 legislature. ■■ Bill was never heard in committee. Controlled Substance Monitoring Database HB1011, SB1550 ■■ Would have required the Department of Health to design and implement an electronic system that monitors the prescribing and dispensing of controlled substances. ■■ Initially planned as a pilot project in Broward and Palm Beach counties. ■■ Exempted certain facilities from having to comply. Compounding for Office Use HB1129, SB2588 Would have allowed pharmacists to compound medications for use in physician offices. ■■ Would have allowed special parenteral or enteral extended scope pharmacies to distribute compounded and prepackaged products to institutional pharmacies or dispensing practitioners. ■■ Bills did not get a hearing due to manufacturer opposition.

Expansion of Cancer Drug Donation Program (HB7063) ■■ Designed to expand the use of donated prescription drugs from just cancer drugs to all prescription drugs. ■■ Controlled drugs would not have been included. ■■ The bill appears to expand the participating pharmacy to all permits as well as dispensing practitioners. ■■ The bill passed the House with no objections but was not taken up by the Senate. ■■ There was no Senate companion bill.

Since July of 2007, the Florida Pharmacy Association has delivered 38,405 messages to FPA network members. Members have used these messages and the tools provided by the FPA to reach out to legislators and ask for their support or opposition to the various issues that affect our profession. Advocacy programs help policy makers from enacting laws and regulations that create barriers to good patient care. On behalf of the members of the Legislative Committee and the leadership of the Florida Pharmacy Association, we thank you for your support.

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Regulation of the Sale of Ephedrine and Related Compounds (S1388) ■■ Would have required a retailer to maintain a written or electronic log of the sale of ephedrine products. ■■ Would have directed the Department of Health (subject to funding) to provide no cost access to the electronic logbook. ■■ Access to electronic records would be allowed by law enforcement. ■■ There was no House companion bill. Florida Saves On Rx Program SB 1542 Would have directed the Agency for Health Care Administration (AHCA) Secretary to contract for a system to purchase prescription medications from authorized pharmacies. ■■ Pharmacies could be either within or outside the United States. ■■ There was no House companion bill. ■■

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Are you “In the Loop?” Don’t miss the next issue of the all-new StatNews, the FPA’s official e-mail newsletter. Open it. Read it. Know it. StatNews is a member service of the Florida Pharmacy Association. For membership information, contact gnolden@pharmview.com or call 850-222-2400 and ask for Gillian.

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FLORIDA PHARMACY FOUNDATION Scholarship Endowment Fundraiser

WE NEED YOUR HELP…AND CONTRIBUTIONS Donation to the Endowment Fund Gets You Support Your $100 a Ticket for the Annual Drawing at Hyatt Regency Scholarship Grand-Cypress, Orlando, FL – July 11, 2008 Program One Winner at $10,000*

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One Winner at $3,000* Two Winners at $1,000* Ten Winners at $500*

Fourteen chances to win. You do not need to be present to win

Our Goal is a $300,000 Endowment FUND *Assuming the receipt of 600 entries. In the event 600 entries are not received, prizes will be reduced proportionally. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE.

TICKET SALE

You can make multiple ticket sale forms by duplicating this form. Multiple forms can be mailed in one envelope.

Endowment Fundraiser Hyatt Regency Grand-Cypress, Orlando, FL July 11, 2008 Please Print

Please Charge My Credit Card: q MasterCard q VISA q Discover

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Enclosed is my check in the amount of $_____________ Make Your Check Payable to: Florida Pharmacy Foundation Endowment Fund 610 North Adams St , Tallahassee, FL, 32301

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Y o u r D o n a t i o n i s T a x De d u c t i b l e

H MRC units are community-based and function as a way to locally organize and utilize volunteers-medical professionals and

others-who want to donate their time and expertise to augment public health activities throughout the year and to prepare for and respond to emergencies. MRC volunteers become part of a system to supplement existing local emergency and public health resources.

H MRC volunteers include health care professionals such as physicians, nurses, pharmacists, dentists, veterinarians, and

epidemiologists. Other community members such as interpreters, chaplains, office workers, and legal advisors can fill other vital support positions.

MRC Can Enhance Public Health By:

MRC Emergency Preparedness Volunteers:

H Supplementing public health preparedness & response H Improving health literacy H Eliminating health disparities H Enhancing public health preparedness H Helping at community health events

H Bolster public health and emergency response

infrastructures by providing supplemental personnel

H Train with local emergency response partners H Enable communities to meet specific health needs

Log on to - www.servfl.com - or contact the Florida Medical Reserve Corps at: 850-245-4746

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Florida Pharmacy Association 610 North Adams St Tallahassee, Florida 32301

“Florida's Premiere Continuing Pharmacy Education Provider”

PRST STD U.S. POSTAGE PAID TALLAHASSEE, FL PERMIT # 801

Florida Pharmacy Association’s

118TH Annual Convention and Meeting Hyatt Regency Grand Cypress One Grand Cypress Blvd. Orlando, Florida 32836 July 9-13, 2008

Florida Ph 118TH A a Florida Pharmacy Association’s Hyatt Reg 118TH Annual Convention One Gr and Meeting Hyatt Regency Grand CypressOrlan One Grand Cypress Blvd. Orlando, Florida 32836

July 9-13, 2008

CONSULTANT PHARMACISTS HOSPITAL PHAR CONSULTANT PHARMACISTS ~ HOSPITAL PHARMACISTS ~ PHARMACY~ TECHNICIANS COMMUNITY PHARMACISTS ~ PRESCRIPTION DRUG WHOLESALER DISTRIBUTORS COMMUNITY PHARMACISTS ~ PRESCRIPTION D LONG TERM CARE PHARMACISTS ~ PHARMACY STUDENTS

LONG TERM CARE PHARMACISTS ~

WEDNESDAY, JULY 9, 2008 PRE - CONVENTION EDUATIONAL PROGRAMS M O R N I N G

7:00AM 8:00AM – 8:15AM

REGISTRATION DESK OPEN WELCOME and INTRODUCTORY REMARKS

8 HRS GCE

Facilitator: Suzanne Kelley, RPh, CPh, Covenant Hospice 8:15AM – 8:30AM

Program Objectives and Self-Study Review 8:30AM – 9:40AM

Immunization Certificate Program Conference

8:00AM – 8:50AM Wholesale Industry Perspective on Pedigree Requirements Speaker: Elizabeth A. Gallenagh, Esq., Director, State Government Affairs, HDMA ACPE# 165-000-08-10-L04-P

Immunization Certificate Program Conference

8:50AM – 10:20AM Compliance with Florida Wholesaler Regulations and Laws Speaker: Greg Jones, RPh., Compliance Manager, Florida Department of Health ACPE# 165-000-08-11-L04-P

Immunization Certificate Program Conference

10:20AM-10:30AM BREAK

9:40AM – 10:15AM

A F T E R N O O N

FPA REGULATORY AND LAW WHOLESALER CONFERENCE 8 HRS GCE

IMMUNIZATION CERTIFICATION PROGRAM

10:15AM – 10:30AM 10:30AM – 12:00PM

BREAK

12:15PM – 1:15PM 1:15PM – 3:30PM

LUNCH

3:30PM – 3:45PM BREAK 3:45PM – 4:45PM Immunization Certificate Program Conference 4:45PM – 5:00PM Immunization Certificate Program Conference Wrap 5:00PM – 6:00PM Immunization Certificate Program Examination ACPE # 202-165-06-118-H01 (Home Study) ACPE # 202-165-06-111-L01 (Live Presentation) THE FLORIDA PHARMACY ASSOCIATION AND THE AMERICAN PHARMACISTS ASSOCIATION ARE ACCREDITED BY THE ACCREDITATION COUNCIL FOR PHARMACY EDUCATION AS A PROVIDER OF CONTINUING PHARMACY EDUCATION.

(SEATING FOR THIS PROGRAM IS LIMITED)

E V 5:00PM – 6:00PM E 6:00PM – 7:00PM N I 6:00PM – 8:00PM N G 7:30PM – 9:30PM

1.5 hrs GCE/TECH

10:30AM – 11:20AM NABP Perspective on Wholesale Drug Distribution 1 hr. GCE/TECH Speaker: Joshua M. Bolin, Board Liaison, National Association of Boards of Pharmacy ACPE# 165-000-08-12-L04-P

Immunization Certificate Program Conference

4:00PM – 5:00PM

1 hr. GCE/TECH

HOUSE OF DELEGATES (HOD) BOARD OF DIRECTORS MEETING FPA PACCE MEETING BUDGET AND FINANCE COMMITTEE MEETING FLORIDA PHARMACY FOUNDATION ANNUAL MEETING OFFICER’S DINNER

11:20AM – 12:20 PM LUNCH SYMPOSIUM / Certified Designated Representative Speaker: Valeria Williams, Regulatory Supervisor, Florida Department of Health ACPE# 165-000-08-13-L04-P 12:20PM – 1:10PM Examining the Impact of Amphetamine and Methamphetamine Precursor Division and Why It Affects The Pharmaceutical Industry Speaker:: John Mudri, Mudri Associates Incorporated, ADEA Consultancy ACPE# 165-000-08-14-L04-P

1 hr. GCE/TECH

1:10PM – 1:50PM Inspector’s Perspective and Evaluation Criteria for Florida 1 hr. GCE/TECH Speaker: Richard Sands, Statewide Inspection Manager, Florida Department of Health ACPE# 165-000-08-15-L03-P 1:50PM-2:00PM

BREAK

2:00PM – 3:30PM Panel Discussion: Federal and State Pedigree Requirements Facilitator: Becky Poston Panel Members: Gregg Jones, Elizabeth A. Gallenagh, Joshua M. Bolin, Valeria Williams, John Mudri and Richard Sands ACPE# 165-000-08-16-L03-P

1.5 hrs. GCE/TECH

The Pharmacy Technician Certification Board accepts many ACPE accredited programs for Pharmacy Technician Certification renewal. Technician Objectives for this program appear in red and are designated by (*) for each individual course. Courses that do not have red objectives contain course material applicable to Pharmacists and Technicians.

The Florida Pharmacy Association (FPA) is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. See individual program descriptions for the Universal Program Numbers and number of CEUs. A statement of Continuing Pharmacy Education Credit will be provided within six weeks of the conclusion of the event to all paid registrants who attend the entire program. Please complete the program evaluation sheets and submit them with your attendance sheets prior to exiting the meeting location. The FPA is also a Florida Department of Health approved provider of continuing education and will be reporting the course completion of all Florida licensed medical professionals to CE Broker. Contact the Florida Pharmacy Association if you need reasonable accommodations as defined by the Americans with Disabilities Act

Acronym Key GCE = General Continuing Education

TECH = Technician

THURSDAY, JULY 10, 2008 “MEDICATION THERAPY MANAGEMENT TOOLKIT FOR PHARMACISTS” 7:00AM

REGISTRATION DESK OPEN

1:30PM-2:30PM

“Laughter: A Healthy Influence”

8:00AM – 8:50AM History of Medicare Modernization Act (MMA) 1 hr. GCE/TECH Speaker: Goar Alvarez, PharmD, FASCP Assistant Dean for Pharmacy Services, Director of Pharmacy Operations, Nova Southeastern University ACPE# 165-000-08-021-L04-P ACPE# 165-000-08-021-L04-T Upon completion of this program participants should be able to: Describe the history leading up to the MMA; Examine the laws outlined in the MMA; Discuss the relationship between MMA and Medicare Part D; Examine who pays for MMA; Examine who receives payment for MMA * Describe the history leading up to the MMA; Define the laws detailed in the MMA; Discuss how the MMA affects health care

M O R N I N G

8:50AM – 9:40AM 1 hr. GCE/TECH The MTMS Business Plan and Dealing With Legal and Billing Issues Speaker: Dan Buffington, President and Chief Executive Officer, Clinical Pharmacology Services, Inc ACPE# 165-000-08-022-L04-P ACPE# 165-000-08-022-L04-T Upon completion of this program participants should be able to: Identify effective sources for business plan models; Differentiate between a service and product based business plan; Assess MTMS malpractice insurance and how it differs from traditional pharmacist liability insurance; Identify malpractice software *Identify a business plan to initiate MTMS; Recognize the legal issues involved in billing for MTMS; Illustrate methods to handle MTMS legal and billing issues 9:40AM – 9:50AM

BREAK

Besides being a well-known Southern artist, Larry Wamble is also one of the most sought-after professional speakers and humorists in America today.

A F T E R N O O N

9:50AM – 10:40AM 1 hr. GCE/TECH MTMS Documentation Speaker: Don Thibodeau, Clinical Pharmacists and CEO, The PillHelp Co., ACPE# 165-000-08-023-L04-P ACPE# 165-000-08-023-L04-T Upon completion of this program participants should be able to: Evaluate evolving MTMS documentation models and programs; Incorporate MTMS Core Standards into practice; Understand the value of effective documentation; Evaluate documentation tools and select tools that fits your professional needs as a Pharmacists *List necessary elements needed for MTMS documentation; Identify where to locate and retrieve the appropriate paperwork; Prepare a record keeping system of MTMS documentation 10:40AM – 11:.30AM 1 hr. GCE/TECH Delivering MTMS To The Senior Population Speaker: Jeff Delafuente, Associate Dean for Professional Education, Professor and Director of Geriatric Programs, Virginia Commonwealth University ACPE# 165-000-08-027-L04-P ACPE# 165-000-08-027-L04-T Upon completion of this program participants should be able to: Upon completion of this program participants should be able to: Identify unusual presentations of adverse drug events in older patients; Describe unique aspects of delivering MTM to a senior population; Discuss risk factors that predispose elderly people to experience adverse drug events and how MTM can decrease the risk; Identify sources of MTM referrals for the senior population * Explain the MTM process to the senior population; Describe techniques to provide MTMS to the senior population; Define unique aspects of delivering MTMS to seniors.

A F T E R N O O N

11:30AM – 11:40AM

BREAK

11:40PM-12:30PM 1 hr. GCE/TECH Overcoming the Barriers to MTMS Implementation Speaker: Richard Marasco, BS Pharm., FASCP, CGP, HRM ACPE# 165-000-08-024-L04-P ACPE# 165-000-08-024-L04-T Upon completion of this program participants should be able to: List personal and professional barriers to the implementation of MTMS; Perform an analysis of the resources, both currently available and those missing needed to implement MTMS in your practice; Describe program and strategies that may be employed o overcome identified barriers in the implementation of MTMS * List barriers to implementing MTMS; Identify how barriers affect MTMS in detail

KEYNOTE ADDRESS

Larry was a practicing retail pharmacist, successful businessman and dedicated civic leader for over twenty years, serving along the way as a city councilman, justice of the peace, bank director, professional association president, national advisory board member, political fund-raiser and an advisory board member to a major university. Larry Wamble His diversified background and the qualities that allow him to entertain his audiences are very evident in his art. He simply makes people feel good. Larry's artwork, along with his original slogans, are definitely "feel goods," allowing the viewer to recall good times with cherished friends, to relish a lighthearted, yet thought-provoking experience. Upon completion of this program participants should be able to: Describe the importance of developing and maintaining rewarding individual relationships in professional and private settings; Explore the positive effects of humor in dealing with everyday situations in the workplace and as a tool in building patient confidence; Learn the value of personal attitude in dealing with stress in the professional setting and improving an individual’s positive and creative outlook of the future; Explore the basics of human nature and how they affect occupational events and personal actions; Reveal the healthy influence of laughter as it relates to a positive mental attitude as well as to physical well-being. ACPE# 165-000-08-046-L04-P

ACPE# 165-000-08-046-L04-T

2:30PM-6:30PM EXHIBIT HALL GRAND OPENING 2:30PM-6:30PM JOURNAL BOARD MEETING E V E N I N G

4:00PM-6:00PM FPA PACCE MEETING ADOPT-A-STUDENT and MENTOR SOCIAL 6:30PM-7:30PM FLORIDA PHARMACY FOUNDATION RECEPTION SOCIAL 7:30PM—9:30PM 12—STEP RECOVERY MEETING (Open to all attendees and spouses)

2 hrs. GCE/TECH

Facilitators: David Templeman, PharmD, Clinical Pharmacist Bertfish Medical Center and Nelson Naiman, RPh, Staff Pharmacist, Rxperts ACPE #. 165-000-07-019-L04-P ACPE #. 165-000-07-019-L04-T Upon completion of this program participants should be able to: Understand the disease state of addiction with a brief overview of the topic; Describe the signs and symptoms of chemical dependency, intervention, treatment and monitoring; Evaluate and educational example of a 12 step recovery and explain how it works

12:30PM – 1:30PM

ANNUAL BUSINESS MEETING AND LEGISLATIVE UPDATE LUNCH AVAILABLE FOR PURCHASE 12:30PM-2:30PM 12:30PM-1:30PM

CE PROVIDER WORKSHOP LUNCH

Acronym Key: GCE = General Continuing Education RC = Consultant Recertification TECH/ * = Pharmacy Technician INVT = Invitation Only STC = Student Education

FRIDAY, JULY 11, 2008 “MEDICATION THERAPY MANAGEMENT TOOLKIT FOR PHARMACISTS” 6:30-7:30AM 7:00AM 8:00AM 7:30AM 8:00AM -9:45AM

M O R N I N G

CHRISTIAN RPH BREAKFAST REGISTRATION DESK OPEN TENNIS TOURNAMENT GOLF TOURNAMENT LOCAL UNITS LEADERSHIP MEETINGS

8:00AM – 8:50AM Opportunities in Employer Based Health Care 1 hr . GCE/TECH Speaker: Katherine Heller, Assistant Professor of Pharmacy Practice, Palm Beach Atlantic University ACPE# 165-000-08-028-L04-P ACPE# 165-000-08-028-L04-T Upon completion of this program participants should be able to: Define employer-based health care (EBHC); Briefly overview the economics driving employer-based health benefits decisions ; Discuss recent trends in EBHC; Identify MTMS opportunities for pharmacists in EBHC; Introduce working models of RPH-directed EBHC initiatives * Define Employer based health care system; Define possible challenges with MTMS in the health care system 8:50AM – 9:40AM Clinical and Patient Documentation / 1 hr. GCE/TECH Examining the Patient Chart Speaker: Richard Finkel, PharmD, Assistant Professor, Pharmaceutical Studies, Nova Southeastern University ACPE# 165-000-08-029-L04-P ACPE# 165-000-08-029-L04-T Upon completion of this program participants should be able to: Manage the patient’s overall medication-related health issues utilizing the five core elements of Community Pharmacy MTMS; Examine patients history, labs and total medication list along with personal interview to solve or prevent medication and health problems; Create a plan of action based on the patient’s personal medication record to optimize medical outcomes and improve quality of life; Practice Documentation of Services for evaluating progress and billing Issues * Express the importance of documentation; Collect information for clinical and patient documentation; Interpret information from a patient chart 9:40AM – 9:50AM

9:50AM-10:40AM The Expanding World of Electronic Prescribing 1 hr. GEN/TECH Speaker: Ken Whittemore, Jr., R.Ph., MBA, Senior VP, Clinical Practice Integration, SureScripts ACPE# 165-000-08-031-L04-P ACPE# 165-000-08-031-L04-T Upon completion of this program participants should be able to: Define what is meant by true electronic prescribing connectivity and briefly describe its bidirectional nature; List three potential benefits of e-prescribing connectivity to patients , pharmacists, prescribes, and other important stakeholders * Define e-prescribe and explain when e-prescribing is appropriate 9:00AM-10:50AM 2 hr. GEN/TECH/STC National Alliance of State Pharmacy Association (NASPA) and Non Prescription Medicines Academy (NMA) Facilitator: Tian Merren, PharmD., Director of Pharmacy Services, FPA ACPE# 165-000-08-10-L04-P ACPE# 165-000-08-10-L04-T Upon completion of this program participants should be able to: Identify and explain aspects of the effective and safe practice of pharmacy self-care treatments through the process of answering a selected group of questions similar to what one would experience on a national board exam; Analyze the usage and effectiveness of over the counter medications; Classify different groups of over the counter medications based on drug treatment classes. Acronym Key: GCE = General Continuing Education

RC = Consultant ReTECH/ * = Pharmacy Technician INVT = Invitation Only

STC = Student Education

10:00AM-12:00PM

DELEGATE REGISTRATION

11:00AM – 11:50AM North American Board of Pharmacy 1 hr. STC License Examination (NAPLEX) Review Speaker: Dell Robertson, PharmD, MBA, Assistant Professor, Pharmacy Practice, Florida A&M University Upon completion of this program participants should be able to: Review the fundamental areas of competence: managing drug therapy, safety and accuracy, preparing and dispensing medications and providing drug information and promoting public health 10:40AM-11:30AM Resources Available for MTMS 1 hr. GEN/STC/TECH Speaker: Jennifer Pytlarz, PharmD., Clinical Coordinator, Publix Supermarkets, Inc ACPE# 165-000-08-033-L04-P ACPE# 165-000-08-033-L04-T Upon completion of this program participants should be able to: Discuss common MTMS platforms to help facilitate initiating an MTM service; Identify various MTMS resources for documenting, billing and marketing MTM services; Describe various strategies to stay current with information on therapeutics, evidence-based medicine and clinical practice guidelines;* Review the resource tools available to enhance MTM

MTMS TRACK BREAK

8:50AM – 10:30AM Reducing Medication Errors Through 2 hrs. GCE/TECH Implementing a Continuous Quality Improvement Program Speaker: Michael Jackson, Florida Pharmacy Association Executive Vice President and Chief Executive Officer ACPE# 165-000-08-030-L03-P ACPE# 165-000-08-030-L03-T Upon completion of this program participants should be able to: Define elements of a Continuous Quality Improvement (CQI) Program; Restructure a pharmacy practice to address quality related events; Analyze some common causes of quality related events; Implement an action plan to address quality of care in pharmacies with a goal towards error reduction and prevention; Recite quality improvement regulations for Florida pharmacies * Define CQI; List most common medication errors; Employ techniques to reduce medication errors by using CQI

certification

M O R N I N G

10:00AM – 12:50PM Ordering and Evaluation Laboratory Data 3 hrs. GCE/TECH To Improve Patient Outcomes Initial Lab Certification// Recertification Facilitator: A.J. Jackson, Manager, RPh, Strategic Projects-Inland Empire ACPE# 165-000-08-032-L04-P ACPE# 165-000-08-032-L04-T Upon completion of this program participants should be able to: Select appropriate laboratory tests for patient care; Identify and avoid common problems associated with the use, ordering and interpretation of lab tests; Interpret laboratory values to monitor and improve pharmacotherapy; Discuss the legal aspects, restrictions and requirements for order and evaluation of lab studies; Document pharmaceutical care inventions

11:30AM-1:00PM

A F T E R N O O N

LUNCH

1:00PM – 2:40PM Over-The-Counter (OTC) Medications 2 hrs. GEN/TECH/STC Speaker: Reginald Harris, PharmD, MBA, RPh, President and Founder, InfoSource Communications, LLC ACPE# 165-000-08-047-L04-P ACPE# 165-000-08-047-L04-T Upon completion of this program participants should be able to: List reasons why some products may be sold OTC; Understand the dangers of OTC medications; List general safety tips and common interactions; Interpret a drug label; Discuss alternative medicines; Identify reasons vitamins may not always be safe medications 1:00PM-3:00PM MTMS Panel Discussion 2 hrs. GCE/TECH Facilitator: Don Thibodeau Panel Members: Dan Buffington, Goar Alvarez and Richard Finkel ACPE# 165-000-08-049-L04-P ACPE# 165-000-08-049-L04-T Upon completion of this program participants should be able to: Give a brief overview of the economic conditions driving EBHC; Discuss creation and implementation of a plan of action to based on participants medication records; Identify types of malpractice and advantages and disadvantages to use 3:00PM-5:00PM 3:00PM-3:50PM

E V E N I N G

HOUSE OF DELEGATES Issues Presentation: PTCB Certification 1 hr.GCE/TECH/STC Speaker: Melissa Murer Corrigan, Executive Director and CEO, PTCB ACPE# 165-000-08-10-L04-P ACPE# 165-000-08-10-L04-T Upon completion of this program participants should be able to: Examine advances made for the workforce and the Certified Pharmacy Technician; Review snapshot of technicians in FL; Discuss PCTB and NCCA standards 4:30PM-6:00PM

Poster Presentations

4:30PM—7:00PM 5:30PM 6:00PM-7:30PM

EXHIBIT HALL RE-OPENS Golf Winners Announced Past Presidents, Unit Assoc. and Student Leadership Reception (INVT Only) University Receptions #1 Club Reception (INVT Only)

7:00PM-9:00PM 8:00PM-9:00PM

SATURDAY, JULY 12, 2008 “ALZHEIMER’S AND THE PHARMACIST” 7:00AM

REGISTRATION DESK OPEN

11:00AM – 11:50AM Understanding Cognitive Loss and How it 1 hr. GCE/TECH/RC Affects Patients with Alzheimer’s Speaker: Eileen Poiley, Director of Education, University of South Florida, Suncoast Alzheimer’s and Gerontology Center ACPE# 165-000-08-038-L04-P ACPE# 165-000-08-038-L04-T Upon completion of this program participants should be able to: Specify the mental processes lost due to cognitive decline; State the effect of cognitive losses on behaviors and communication; Describe the changes in memory and language of the dementia patient; Discuss the implications for the caregivers as the cognitive functions decline * Define cognitive loss; Explain the progression of cognitive injury to patients and their families; Recognize signs of cognitive loss in Alzheimer’s patients

8:00AM – 8:50AM Diagnosis and Treatment of 1 hr. GCE/TECH/RC Alzheimer’s Disease Speaker: Angela Massey Hill, PharmD., BCPP, RPh, Professor, Director of Pharmacy Practice, Florida A&M University ACPE# 165-000-08-035-L04-P ACPE# 165-000-08-035-L04-T Upon completion of this program participants should be able to: Describe the symptoms of Alzheimer’s disease; Discuss the diagnostic measures used to evaluate Alzheimer’s disease; Describe the role of the Pharmacist in diagnosing Alzheimer’s disease; Compare and contrast treatment options used to treat Alzheimer’s disease; Describe the role of various imaging techniques used to augment the diagnosis and treatment of Alzheimer’s * Recognize the signs and symptoms of Alzheimer’s; Describe the progression of Alzheimer’s; List various treatment options to manage Alzheimer’s

M O R N I N G

8:50AM – 9:40AM New Directions in Alzheimer’s Research 1 hr. GCE/TECH/ RC Speaker: Amanda G. Smith, MD, University of South Florida Suncoast Alzheimer’s & Gerontology Center ACPE# 165-000-08-036-L04-P ACPE# 165-000-08-036-L04-T Upon completion of this program participants should be able to: Identify facts about Alzheimer’s including risk factors, basic pathology, symptoms and course; Discuss current treatments available for Alzheimer’s and state their limitations; List and explain the commonly used medications for treating behavioral problems associated with Alzheimer’s and other dementias; Review treatment options * Compare standard treatment options for cognitive and behavioral symptoms; List alternative therapies for Alzheimer’s; Identify clinical studies in the Alzheimer’s field 9:40AM – 10:10AM

A F T E R N O O N

BREAK

10:10AM –11:00AM Non Alzheimer’s Dementias 1 hr. GCE/TECH/RC Speaker: Kristin Fargher, MD, University of South Florida, Suncoast Alzheimer’s and Gerontology Center ACPE# 165-000-08-037-L04-P ACPE# 165-000-08-037-L04-T Upon completion of this program participants should be able to: Discuss the epidemiology of the various types of dementias; Discuss clinical characteristics of non-Alzheimer’s dementias syndromes; Analyze pharmacological options and challenges in treating non-Alzheimer’s dementia syndromes * Define non-Alzheimer’s dementia; Recognize signs and symptoms of dementia; Discuss disease states that lead to dementias other than Alzheimer’s 10:10AM-11:50AM 2 hr. GEN/TECH/STC The Pharmacy Career Forum Facilitator: James B. Powers, RPh., Past President; FPA Speakers: Bob Fishman, Hollywood-Bio-Equivalent Hormone Replacement Therapy; Carsten Evans, Ph.D, Assistant Dean for Continuing Education and Professional Affairs, Nova Southeastern University; Lois Adams, Wellness Practice; DeAnn Mullins, RPh, CDE and Stuart Shipe, RPh, D.O.M., Dipl. Ac& CH ACPE# 165-000-07-022-L04-P ACPE# 165-000-07-022-L04-T Upon completion of this program participants should be able to: Describe the difference between residency and fellowship; Examine different career options available to pharmacists; List personal strengths and weaknesses to consider when contemplating career choices; Describe practice setting that best suits the individuals skills and abilities Acronym Key: GCE = General Continuing Education RC = Consultant Recertification TECH/ * = Pharmacy Technician STC = Student Education INVT = Invitation Only

WANT TO JOIN THE FLORIDA PHARMACY ASSOCIATION? CONTACT THE FPA MAIN OFFICE AT 850850-222222-2400 or VIEW OUR MEMBERSHIP INFO ON THE NET AND REGISTER ONLINE AT www.pharmview.com “SEE ANY MEMBER OF THE FPA STAFF FOR ASSISTANCE”

12:00PM-1:00PM

LUNCH

1:00PM-2:30PM

DELEGATE REGISTRATION

1:00PM – 1:50PM New Drug Update 1 hr. GCE/TECH/STC Speaker: Dan Hussar, PhD, Remington Professor of Pharmacy ACPE# 165-000-08-039-L04-P ACPE# 165-000-08-039-L04-T Upon completion of this program participants should be able to: Discuss the aspects of some of the new drugs: Approved and off-label indications; contradictions; clinical pharmacology and pharmacokinetics; instructions for uses; additional counseling information; Potential drug interactions 1:00PM – 1:50PM Understanding the Role of the Caregiver 1 hr. GCE/TECH/RC and Strategies to Cope with Caregiver Stress Speaker: Angela Massey Hill, PharmD., BCPP, RPh, Professor, Director of Pharmacy Practice, Florida A&M University ACPE# 165-000-08-040-L04-P ACPE# 165-000-08-040-L04-T Upon completion of this program participants should be able to: Identify responsibilities of caregivers in dealing with patients with Alzheimer’s disease; Review challenges in dealing with patients with Alzheimer’s disease; Describe strategies for caregivers to handle the stress associated with Alzheimer’s disease *Discuss the role of the care giver; Understand the physical and mental strain on the care giver; Recognize coping strategies for care giver stress 1:50PM-2:40PM Communication and Behavior 1 hr. GCE/TECH/RC Management Strategies Speaker: Eileen Poiley, Director of Education, University of South Florida Suncoast Alzheimer’s and Gerontology Center ACPE# 165-000-08-041-L04-P ACPE# 165-000-08-041-L04-T Upon completion of this program participants should be able to: Describe strategies for effectively communicating with the Alzheimer’s patient to prevent behavior problems and maximize quality of life; Examine non-pharmacological approaches to managing difficult behaviors; Differentiate between primary symptoms and behaviors in the Alzheimer’s individual; Identify common misperceptions, ineffective approaches and behavioral concerns of care givers * Understand the effects communication and behavior change in the course of Alzheimer’s disease; Identify ways to manage communication difficulties; List strategies to cope with memory and behavioral loss

2:40PM-4:30PM

E V E N I N G

HOUSE OF DELEGATES RECONVENES

The New 118th ANNUAL AWARDS PRESENTATION AND JAZZ CAFÉ 6:00PM-10:00PM We are thrilled to bring singer, songwriter and saxaphonist Stacey Knights to the stage as the star of the Jazz Café and Award’s reception. She is a native of Massachusettes but currently resides in southwest Florida. Audiences have come to love and admire her blend of Adult Contemporary and pop-jazz influenced sound. The attire for the Jazz Café and Awards Presentation is Business Casual in “Shades of Black and Grey”. Come help the Florida Phamacy Assocation recognize the best in the profession of pharmacy in beautiful Orlando, Florida.

SUNDAY, JULY 13, 2008 “ALZHEIMER’S AND THE PHARMACIST” CONT. 7:00AM

REGISTRATION DESK OPEN

11:30AM –12:30PM

7:30AM-9:00AM PRESIDENT’S BREAKFAST AND INSTALLATION OF 2008-2009 OFFICERS

M O R N I N G

9:00AM-9:50AM Pharmacist’s Screening in 1 hr. GCE/TECH/RC the Community Speaker: Suzanne Kelley, RPh, CPh, Covenant Hospice ACPE# 165-000-08-042-L04-P ACPE# 165-000-08-042-L04-T Upon completion for this program participants should be able to: Identify the 10 warnings signs of Alzheimer’s disease; Understand the difference between Alzheimer’s diseases and other types of dementia; Describe the stages of the diseases and the “treatment”; List the causes and risk factors; Suggest “tips” to caregiver; Know when and where to refer * Recognize the 10 warning signs of Alzheimer’s diseases; Differentiate other types of dementia and Alzheimer’s disease; Understand that the different stages of the disease; Know the various risk factors and possible causes; Recommend “caregiver tips”: List groups, agencies and websites and other “support” to the caregiver 9:50AM-10:40AM Hospice and Palliative Care 1 hr. GCE/TECH/RC Speaker: Suzanne Kelley, RPh, CPh, Covenant Hospice ACPE# 165-000-08-043-L04-P ACPE# 165-000-08-043-L04-T Upon completion of this program participants should be able to: Compare the definition of hospice care and palliative care; Know the history of hospice and its “modern” movement; Identity the members of the interdisciplinary team (IDT) and their importance in the patient’s care; Describe the six constituents of EOL care; Understand the vital of the pharmacists in the care of the “terminal patient”; Realize th4e IMPORTANCE of symptoms management in the hospice patient * Define hospice care and palliative care; Understand the hospice history and how it came to the United States; Identify the hospice interdisciplinary team (IDT) members and their role in caring for the patient 9:50AM-10:40AM HIV/AIDS Update 1 hr. GCE/TECH Speaker: Michael Thompson, PharmD., BCNSP, FAMU Professor of Pharmacy Practice ACPE# 165-000-08-044-L04-P ACPE# 165-000-08-044-L04-T Upon completion of this program participants should be able to: Review current modes of transmission and prevention of HIV; Identify risk behaviors; Discuss the role of the pharmacist is providing care for the HIV infected patient; Describe the rationale behind combination therapies; Discuss Florida laws related to the care of patients with HIV/AIDS * List methods of transmission of HIV/AIDS; Identify high risk behaviors 10:40AM-11:30AM The Pharmacists and Cognitive Impairment 1 hr. GCE/TECH/RC and the Treatment of Contributing Factors Speaker: Michael Franz Raab, M.D. ACPE# 165-000-08-000-L04-P ACPE# 165-000-08-000-L04-T Upon completion of this program participants should be able to: Understand the role of homocysteine as a risk factor for Alzheimer’s disease; Discuss the metabolic pathways relating to homocysteine; Examine the impact of Vitamins B12, B6 and Folate on homocysteine * Define homocysteine; Examine the relationship between homocysteine and Alzheimer's disease

The Florida Pharmacy Association is the largest and oldest organization representing the profession of pharmacy in Florida. The Association represents members on issues of economics, political action, and public relations in the interest of pharmacy. The FPA promotes, supports and provides education and research for the enhancement of professional, management and leadership development. It establishes and promotes standards of practice and ethics for the delivery of pharmaceutical care. The FPA also identifies, evaluates and responds to trends and events that impact pharmacy and health care delivery. The Association takes pride in providing effective communications between pharmacists, healthcare organizations and the public.

LUNCH

12:30PM-1:20PM Planning for Care and Community Resources 1 hr . GCE/TECH/RC Speaker: Sandra Mutolo, MSW, LSCW, University of South Florida, Suncoast Alzheimer’s and Gerontology Clinic ACPE# 165-000-08-045-L04-P ACPE# 165-000-08-045-L04-T

A F T E R N O O N

Upon completion of this program participants should be able to: List and discuss the six keys to success caregiving; Recognize “Caregiver Burnout” and list five warning signs that a caregiver needs assistance; State three legal issues every caregiver should address ASAP; Describe community resources available to family caregivers * Compare various facilities for patient care settings; Access the financial aspect of different residential care options; Identify community resources for patients, their family and caregivers 1:20PM – 2:10PM Trionoamine Modulators: A New Doorway to the Treatment of Depression 1 hr. GCE/TECH/ RC Facilitator: Leonard Lado, MD ACPE# 165-000-08-034-L04-P ACPE# 165-000-08-034-L04-T Upon completion of this program participants should be able to: Discuss the current treatment options for mood disorders; Describe the current standard treatment of achieving full remission; Explain the role of Gaba Modulator in the treatment of mood disorders; Define the treatment approach using Timonoamine Modulators; * Discuss the current treatment options for mood disorders; Describe the current standard of achieving full remission 2:10PM – 3:00PM The Patient and the Caregiver: Sharing Life’s Experiences Facilitator: TBD ACPE# 165-000-08-036-L04-P

1 hr . GCE/TECH/RC ACPE# 165-000-08-036-L04-T

Upon completion of this program participants should be able to: Recognize issues that caregivers face when managing the health and welfare of patients with Alzheimer’s disease; Use empathy and patience as a tool to encourage a healthy caregiver-patient relationship; Propose pharmacist initiated caregiver support groups.

We are your premier continuing pharmacy education provider and we have already begun the planning of the 119th FPA Annual Meeting and Convention at the Renaissance Resort at World Golf Village! 500 South Legacy Trail St. Augustine, Florida 32092 July 8-12, 2009

See an FPA staff member for details.

GENERAL INFORMATION Meeting Site Location:

Hyatt Regency Grand Cypress One Grand Cypress Boulevard Orlando, Florida 32386 (407) 239-1234 or (888) 421-1442 Room Rate: $129 + Taxes and Resort Service Fee of $7.00 Deadline: June 16, 2008 The Florida Pharmacy Association celebrates our 118th Annual Meeting and Convention at the Hyatt Regency Grand Cypress. The hotel is located just 20 minutes from the Orlando International Airport and a short drive from all the Central Florida attractions. The Hyatt Regency Grand Cypress offers transportation to the Walt Disney World, Universal Studios and Sea World theme parks. The 1,500 acre resort includes a 45 –hole Jack Nicklaus golf course, a 12 acre Lake Windsong which is perfect for sailing, rowboats, paddleboats and canoes. The Hyatt Regency is the perfect Rx for FPA members and pharmacists throughout the state of Florida! Room Rates: (FPA Room Rate cut off date is Monday, June 16, 2008): The Florida Pharmacy Association room rate is $129.00 per night plus tax and resort service fee for either single or double occupancy rooms. Please be sure to ask for the FPA group rate. The CheckIn time is 4:00PM and Checkout time is 12:00PM. For room reservations please call (407) 239-1234 0r 888-421-1442. General Education Track: We have assembled an All-Star Cast of professionals that will give you most current news in the area of Medication Therapy Management Systems. The general education track will also offer courses designed to educate pharmacists is a wide variety of important topics pertaining to their pharmacy practice. Specific courses being offered are HIV/AIDS Update, New Drug Update and Reducing Medication Errors. Consultant Education Track: The Pharmacist and Alzheimer’s Disease: Alzheimer’s remains one of the hottest topics in all Medical professions. We have the information you need to be ready to administer care for the Alzheimer’s patient. We are also taking a look at Policy of industry support: The FPA adheres to all United States Food and the effects of caring for patients with Alzheimer’s on the Pharmacist. Drug Administration (FDA) polices and procedures for educational activities. The FDA requires that we conduct educational programs funded by corporate FPA Annual Business Meeting: Participate in the Annual Business Meeting. Meet your grants independently of and without control of the granter of the program’s plancurrent FPA leadership and participate in the development of Association policy. ning, content or execution. Furthermore, all programs must be free of commercial bias for or against any product. APhA/FPA Co-Sponsored Immunization Program: Pharmacy Based Immunization Delivery is an innovative and interactive training program that provides pharmacists with skills Cancellation Policy: Cancellation request made in writing within 30 days prior necessary to become a Primary source of vaccine advocacy, education, and administration. to a continuing education program will be made minus a charge of a $10 dollar The program teaches immunology and focuses on practice implementation and legal/ service fee. Cancellation requests made in writing 10-29 days prior to a CE proregulatory issues. The goals of the program are to: Provide comprehensive immunization gram a refund will be made minus a $50 service fee. Cancellation requested made education and training; Provide pharmacists with the skills, resources, and materials neces- after that date will result in a credit towards a future CE program. The transfer of sary to establish and promote a successful immunization service; Train pharmacists to iden- credit is redeemable for up to 12 moths from the date of cancellation. tify at-risk populations needing immunizations; Train pharmacists to maintain necessary immunization records. Pharmacy Based Immunization Delivery is conducted in 2 parts. The 2008 Continuing Education Calendar first part is a self-study learning component designed to ensure that all participants have a (Schedule Subject to Change) solid understanding of the role of pharmacists as vaccine advocates. Successful completion of the self-study learning component results in 12 hours of continuing pharmacy education 25th Annual Southeastern Gatherin credit. The second part of the program is a live training seminar which involves an active August 3-6, 2008 at The Village at Baytowne Wharf learning experience. An additional 8 hours of continuing pharmacy education credit is Destin, Florida granted for attending and completing the live training seminar. A Certificate of Achievement Title: The Pharmacist Role in the Management of Obesity is awarded to participants who complete all program requirements. The Certificate of and Infectious Diseases Achievement is invalid, however, without written proof current CPR or BCLS certification. 12 hrs. GCE or 12hrs. RC Student and Pharmacy Education: Friday-Sunday: Student and Pharmacy Technicians will benefit from the interacting with practicing pharmacists, attending student and technician focused Continuing Education programs. The student track will offer 12 hours of challenging and exciting interactive education. House of Delegates: Be a delegate or an observer and see the importance of your Florida Pharmacy Association is the state capital and on the national stage. Get a first hand look at the direction of the FPA and the profession of Pharmacy as a whole. FPA PACCE Reception: Purchase a ticket and support the future of pharmacy by mentoring a pharmacy candidate. Get involved with your Political Actions Committee. Special Thanks: The Florida Pharmacy Association would like to thank Carmen Aceves Blumenthal, Chair, Educational Affairs and the members of her committee for their dedication and service in the development and implementation of continuing education programming in the areas of general, consultant and nuclear pharmacy. Dee Dugan Darrell Miller Kira Munger Jennifer Pytlarz

Jim Powers Kimberly Lamas (Nova Student) David Laven Kattie Donahue (UF Student) Aubrey Wilkerson Matt Sech (PBA Student) Lisa Devonick (Tech)

Fall Consultant CE Conference September 20-21, 2008 at the Hyatt Regency Bonaventure Fort Lauderdale, Florida Title: TBD 12 hrs. GCE or 12hrs. RC 2008 Mid-Year Clinical Conference October 18-19, 2008 at the Sheraton Orlando North Title: “The Pharmacists Use of Technology In the Management of the Elderly patient” Orlando, Florida 12 hrs. NCE or 12 hrs. RC or 15hrs. GCE The December Regulatory and Law Conference December 6-7, 2008 at the Hyatt Sarasota Bay Title: The 2008-2009 Regulatory and Law Conference Sarasota, Florida Featuring the Florida Wholesaler’s Regulatory and Law Conference 2008 Please see a member of the FPA staff, log on to our website at www.pharmview.com or call the office at 850-222-2400 for more details. See you at one of our beautiful locations!

Flo r i d a P ha r m a c y To d aY

Buyer’s Guide florida PHARMACY TODAY

ADVERTISERS: This is a special section designed to give your company more exposure and to act as an easy reference for the pharmacist.

Support Our Advertisers! Use the “Buyer’s Guide” PHARMACY RESOURCES

PHarmaceutical WHOLESALER

PPSC Retail Pharmacy Purchasing Program (888) 778-9909

McKesson Drug Company Jim Springer (800) 804-4590 FAX: (863) 616-2953

PHARMACY CONSULTANTS HCC Pharmacy Business Solutions Bob Miller (800) 642-1652 Hayslip and Zost Pharmacy Brokers LLC (713) 829-7570 (727) 415-3659

TEMPORARY PHARMACISTs – STAFFING HealthCare Consultants Pharmacy Staffing Bob Miller (800) 642-1652 Medical Staffing Network (800) 359-1234

INSURANCE Meadowbrook Workers Comp Insurance Endorsed by FPA (800) 825-9489

Rx Relief (800) RXRELIEF PharmacyMax Inc. Professional Staffing Solutions (800) 889-8737

LEGAL ASSISTANCE Kahan ◆ Shir, P.L. Brian A. Kahan, R.Ph., and Attorney at Law (561) 999-5999 Kenneth J. Metzger Attorney at Law (850) 681-0847

FREQUENTLY CALLED NUMBERS AHCA MEDICAID PHARMACY SERVICES 2727 Mahan Drive Tallahassee, FL 32308 (850) 487-4441 www.fdhc.state.fl.us/medicaid/ pharmacy AMERICAN PHARMACISTS ASSOCIATION (APhA) Washington, D.C. (800) 237-2742 www.aphanet.org AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS Bethesda, MD (301) 657-3000 www.ashp.com/main.htm Drug Information Center Palm Beach Atlantic University (561) 803-2728 druginfocenter@pba.edu DRUG INFORMATION CENTER Florida A&M University College of Pharmacy (800) 451-3181 UF College of Pharmacy Gainesville, FL (352) 395-0408 www.cop.ufl.edu/vdis FLORIDA BOARD OF PHARMACY 4052 Bald Cypress Way Bin #C04 Tallahassee, FL 32399-3254 (850) 245-4292 www.doh.state.fl.us/mqa FLORIDA POISON INFORMATION CENTER NETWORK 1-800-282-3171 http://ora.umc.ufl.edu/ pcc/fpicjax.htm National Community Pharmacists Association 100 Daingerfield Road Alexandria, VA 22314 703.683.8200 703.683.3619 fax info@ncpanet.org

Advertising in Florida Pharmacy Today Display Advertising: please call (850) 264-5111 for a media kit and rate sheet. Buyers’ Guide: A signed insertion of at least 3X per year, 1/3 page or larger display ad, earns a placement in the Buyers’ Guide. A screened ad is furnished at additional cost to the advertiser. Professional Referral Ads: FPA Members: $50 per 50 words; Non‑members: $100 per 50 words; No discounts for advertising agencies. All Professional Referral ads must be paid in advance, at the time of ad receipt.

Recovering Pharmacists Network of Florida (407) 257-6606 “Pharmacists Helping Pharmacists”

JUNE 2008