March 2014 Florida Pharmacy Journal by Florida Pharmacy Today

The Official Publication Of The Florida Pharmacy Association MAR. 2014

2014 SUMMER

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florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint 7 Executive Insight 22 FPA Member Profile 23 Buyer’s Guide

VOL. 77 | NO. 3 MARCH 2014 THE OFFICIAL PUBLICATION OF THE FLORIDA PHARMACY ASSOCIATION

Features

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2014 Florida Pharmacists Legislative Days and Health Fair FPA 124th Annual Meeting and Convention

FPA Officer and Director Nominations

MARCH 2014

FPA Calendar 2014

MARCH 22-23 FPA Council and Committee Meetings/Board of Directors Meeting 28-31 APhA Annual Meeting Orlando APRIL 4-6

Florida Board of Pharmacy meeting Tampa

4-6

FPA CE Tampa

5-6

FPA Clinical Conference Tampa

Good Friday, FPA Office Closed

MAY 2

Legislative Session ends

7-8

NCPA Legislative Conference Washington, DC

17-18 FPA Law and Clinical Conference Jacksonville 26

Memorial Day, FPA Office Closed

31 - 1 FPA Leadership Retreat

20 Easter 25

APhA Diabetes Certificate Program Miami

For a complete calendar of events go to www.pharmview.com Events calendar subject to change 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, 2015 or prior to licensure renewal. Consultant pharmacists and technicians will need to review their licenses and registrations by December 31, 2014. For Pharmacy Technician Certification Board Application, Exam Information and Study materials, please contact 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 — (850) 906-9333 U/F — Dan Robinson (352) 273-6240 FAMU — Leola Cleveland (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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FLORIDA PHARMACY TODAY

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 to secure appropriate advertising to assist the

Journal in its goal of self-support.

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The President’s Viewpoint TERRY GUBBINS , FPA PRESIDENT

Three Years of FPA Themes were Demonstrated at 2014 Legislative Days and Health Fair

’m proud to say that our 2014 Florida Pharmacists Legislative Days and Health Fair was a huge success. Held in Tallahassee on March 10 and 11, well over 400 Florida Pharmacy Association/Florida Society of Health System Pharmacists members attended. One pleasant surprise for everyone present was that we were provided with two beautiful, warm, sunny days in our state capital. This year’s event really demonstrated the themes of FPA for the last three years. During Bob Parado’s presidency, Bob encouraged us to “Catch the Advocacy Fever.” I would say we had a high temperature with over 400 pharmacy advocates in attendance. It was exciting to see the hunger and knowledge the students had for issues this year. During Goar Alvarez’s presidency, Goar encouraged us to “Join the Evolution Revolution.” We have a high number of pharmacy-related bills in the Florida Legislature this year, many of which would help to transform the profession of pharmacy. The Evolution Revolution continues. And this year’s theme, “Unite Pharmacy,” was well illustrated at the Health Policy Committee meeting on Tuesday, March 11. With many of the pharmacists and pharmacy students at the meeting, Senate Bill 278 on the technician ratio was heard. An amendment was introduced to the bill. The Florida Pharmacy Association, the Florida Society of Health System Pharmacists, the Florida Independent Pharmacy Network and the pharmacy industry ALL stood up and voiced support. It truly demonstrated “Unite Pharmacy.” The bill, as amended, passed unanimously. We had pharmacy advocacy, evolu-

tion and uniting all at one committee meeting! We had a special guest speaker attend this year: Dr. Celeste Philip, Deputy Secretary for Health and Deputy State Health Officer for Children’s Medical Services, Florida Department of Health. Dr. Philip shared with us various programs and initiatives of the

Held in Tallahassee on March 10 and 11, well over 400 Florida Pharmacy Association/ Florida Society of Health System Pharmacists members attended. Department of Health. She also encouraged the students to stay active advocating for pharmacy once they graduate and become pharmacists. Many students were able to visit the Chambers of the House of Representatives. Here, students were able to sit in the chairs of our representatives and learn how a bill is introduced and processed. We got to push the green or red buttons and vote on a couple of mock bills. We learned about the various mu-

Terry Gubbins 2013-2014 FPA President

rals on the walls of the chamber, and a lot of pictures were taken during our 90-minute visit. I had the pleasure of presenting our first FPA Student Leadership Award to Ashley Rowand from the University of Florida. Ashley received a plaque and a $1,000 scholarship. Ashley has shown many leadership qualities as a student, and has demonstrated “Catch the Advocacy Fever” and “Unite Pharmacy.” Since April of 2013, she has been the Chair of the FPA Student PAC Fundraising ad hoc committee. The committee has members from all six Florida Pharmacy schools. When not raising money for our PAC, the committee assists us on other student activities. Ashley is also active with FSHP, being a Residency Showcase Chair and a member of the Student Affairs Council. She is also a past chapter president of Phi Lambda Sigma. Congratulations again, Ashley! MARCH 2014

2013 FPA Board of Directors The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work diligently all year long on behalf of our members.

Goar Alvarez............................................................................. Chairman of the Board Terry Gubbins...............................................................................................FPA President Suzanne Kelley......................................................................................... President Elect Alexander Pytlarz................................................................................................Treasurer Gary Koesten.............................................Speaker of the House of Delegates Bob Parrado....................................Vice Speaker of the House of Delegates Tim Rodgers, Director........................................................................................... Region 1 Michael Hebb, Director ......................................................................................Region 2 Stephen Grabowski, Director .......................................................................Region 3 Raul N. Correa, Director ...................................................................................Region 4 Jason Beattie, Director ....................................................................................Region 5 Scott Tomerlin, Director.....................................................................................Region 6 Kimberly Jones, Interim Director................................................................ Region 7 Raul Gallo, Director.................................................................................................Region 8 Nadine Sebest, Interim Director..................................................................Region 9 Richard Kessler...................................................................................... President FSHP Michael Jackson........................................Executive Vice President and CEO

Florida Pharmacy Today Journal Board Chair......................................................Jennifer Pytlarz, jlc_rxdoc@hotmail.com Vice Chair......................................................... Don Bergemann, don@bceinfo.com Treasurer....................Stephen Grabowski, sgrabowski@seniormmc.com Secretary...................................................................Stuart Ulrich, Stuarx@aol.com Member.................................................Joseph Koptowsky, docjik1215@aol.com Member........................Rebecca Poston, rebecca_poston@doh.state.fl.us Member....................................................... Carol Motycka, motycka@cop.ufl.edu Member........................................................Cristina Medina, cmmedina@cvs.com Member................................................................Norman Tomaka, FLRX9@aol.com Member................... Verender Gail Brown, brownvgrx4304@hotmail.com Executive Editor................Michael Jackson, mjackson@pharmview.com Managing Editor...................Dave Fiore, dave@fiorecommunications.com Journal Reviewer....................... Dr. Melissa Ruble, mruble@health.usf.edu Journal Reviewer....................................Dr. Angela Hill, ahill2@health.usf.edu

On the second day of Legislative Days, we had another successful Health Fair. Conducted in the rotunda of the Capitol, visitors and legislators were able to have a comprehensive health screening by pharmacy students. Many of our pharmacist members provided assistance at the Health Fair by overseeing the students and discussing the analysis of the test results. Thanks to all who participated!

I also want to thank those who made Legislative Days a success: Angela Garcia, Suzanne Kelley, Preston McDonald, and the staffs at FPA and FSHP. These people prepare all year long to make the event a success. THANK YOU! I also want to thank those who made Legislative Days a success: Angela Garcia, Suzanne Kelley, Preston McDonald, and the staffs at FPA and FSHP. These people prepare all year long to make the event a success. THANK YOU! Legislative Days were two very busy days. In between all of the events, pharmacists and pharmacy students were able to meet with legislators to discuss pharmacy issues, and to ask for their support. We learned together. We worked together. We shared good times together. We United Pharmacy. n

Executive Insight BY MICHAEL JACKSON, RPH MICHAEL JACKSON, BPHARM, EVP & CEO, FLORIDA PHARMACY ASSOCIATION

Membership Advocacy Is Needed Now More Than Ever

allahassee is in full swing with another legislative session as members of the Florida House and Senate have begun debating a number of issues related to health care. The Florida Pharmacy Association is no stranger to this process, having expended a considerable amount of resources and effort to make sure that those you elect make good decisions. This year we are starting our policy advocacy campaign with the support of our lobbyist team at Adams Street Advocates. In a few short months since coming on board, they have facilitated numerous meetings with key members of the Florida House and Senate in anticipation of the movement of various health care issues that will be shared with you in this article. A final report of the legislative session will be provided to those attending the annual meeting of the Florida Pharmacy Association at the Marriott Harbor Beach in Ft. Lauderdale, Florida this summer. Let’s take a look at what is ahead for this session. PDMP PROGRAM FUNDING (SB862, SB866) – Current Florida requirements do not allow for the use of state funds to support the costs of the prescription drug monitoring program. This program houses data related to controlled substances provided by certain dispensing practitioners and all dispensing pharmacies. Resources for this program come primarily from the fundraising efforts of the nonprofit direct support organization. During the 2013 session, the Legislature had to infuse $500,000 of one-time state funds to keep the program going. FPA leadership has taken the position that this program needs more sus-

tainable and reoccurring support and has advocated for the use of excess licensure fee trust funds. Also included in SB862 is a provision that requires a court order for law enforcement to receive a report from PDMP. Data reported to PDMP could be considered a pub-

This year we are starting our policy advocacy campaign with the support of our lobbyist team at Adams Street Advocates. In a few short months since coming on board, they have facilitated numerous meetings with key members of the Florida House and Senate in anticipation of the movement of various health care issues that will be shared with you in this article. lic record so there are provisions in Florida laws that exclude this information from the public domain. These provisions must be renewed by the Florida Legislature this year, which is the reason for the companion bill SB866. THE FLORIDA PHARMACY ASSOCIA-

Michael Jackson, B.Pharm

TION IS SUPPORTING THESE BILLS. ASSISTED LIVING FACILITIES (SB186, SB248) – Senate Bill 186, filed by Senator Hays, clarifies how assistance can be provided for the self-administration of medications in assisted living facilities (ALFs). One process may include the self-administration of insulin syringes that are prefilled with the proper dose by a pharmacist and insulin pens that are prefilled by the manufacturer. Other items that residents in ALFs can be assisted with include nebulizers, glucometers, antiembolism stockings and the use of colostomy bags. Some assistance with the use of continuous positive airway pressure devices and the measuring of vital signs are permitted in this bill. FPA IS MONITORING THESE BILLS. There are a large number of provisions in SB248 including, but not limitMARCH 2014 |

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

Director of Continuing Education Tian Merren-Owens, ext. 120 Controller Wanda Hall, ext. 211

Educational Services Office Assistant Stacey Brooks, ext. 210 Coordinator of Membership Christopher Heil, ext. 110

FLORIDA PHARMACY TODAY BOARD Chair............................................. Jennifer Pytlarz, Brandon Vice Chair...................Don Bergemann, Tarpon Springs Treasurer...............................Stephen Grabowski, Tampa Secretary.........................Stuart Ulrich, Boynton Beach Member..................................... Joseph Koptowsky, Miami Member..............................Rebecca Poston, Tallahassee Member.............................. Carol Motycka, St. Augustine Member....................................Cristina Medina, Hollywood Member................................. Norman Tomaka, Melbourne Member..............................Verender Gail Brown, Orlando Executive Editor.........Michael Jackson, Tallahassee Managing Editor.........................Dave Fiore, Tallahassee

This is a peer reviewed publication. ©2014, 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 8 Address: | F L O Rhttp://www.pharmview.com IDA PHARMACY TODAY

ed to, the strengthening of the enforcement of current regulations for ALFs through revision of fines imposed for licensure violations, clarifying existing enforcement tools and requiring additional inspection for facilities having significant violations. Of interest to the membership are duplicate provisions found in SB186 related to assistance with medications that are also included in this bill. PHARMACIST TO TECHNICIAN RATIO (SB278, HB323) – These bills, if passed into law, would increase the ratio of pharmacists to pharmacy technicians from the current maximum of 3:1 to 6:1, or higher if the pharmacy follows guidelines adopted by the Board of Pharmacy. The House version of the bill has additional language that clarifies certain information that must be on the face of the prescription. FPA IS OPPOSING THESE BILLS; HOWEVER, COMPROMISE LANGUAGE IS BEING DISCUSSED WITH ALL PARTIES. SEN T ENCI NG FOR CONTROLLED SUBSTANCE VIOLATIONS (CS/SB360, H99) – These bills are attempting to modify the sentencing guidelines for the trafficking of controlled substances by altering the weight threshold for possessing these drugs. For example, the current threshold for trafficking oxycodone or hydrocodone is 4 grams. This bill increases the threshold for oxycodone to 7 grams and hydocodone to 14 grams. FPA IS MONITORING THESE BILLS. R EV ISIONS TO T H E CON TROLLED SUBSTANCE ACT (CS/ SB780, HB697) - In 2011, 2012 and 2013, numerous synthetic cannabinoids, cathinones and phenethylamines were added to Schedule I of Florida’s controlled substances schedules. Since the 2013 legislative session, new formulas of synthetic cannabinoids and phenethylamines have been developed that are made up of chemicals not covered by current law. In October of 2013 the Florida Attorney General filed an emergency order temporarily scheduling these new chemical formulas.

These bills seek to add these formulas to the Schedule I section of the Florida controlled substance act. FPA IS MONITORING THESE BILLS. PHARMACY AUDITS (SB702, HB745) - These bills seek to take the current language that describes auditing standards for pharmacies servicing Medicaid patients and expand it to managed care entities, insurance companies, third-party payors, pharmacy benefit managers or other related entities. FPA IS SUPPORTING THESE BILLS. PHARMACY BENEFIT MANAGERS (SB1014, BH765) – These bills, if signed into law by Governor Scott, would place into the pharmacy practice act the term “pharmacy benefit manager.” These bills also attempt to define what a maximum allowable cost is and define the basis of MAC pricing. The pricing information will need to be updated every seven calendar days along with proper notification to network pharmacies. Products will either need to be eliminated from the MAC list or modified consistent with changes in the market. The bill requires certain disclosures, such as the difference between the amount paid to a pharmacy and the amount charged to a plan sponsor. PBM contracts will need to have a process for appealing issues. FPA IS SUPPORTING THESE BILLS. STATE EMPLOYEE MAIL ORDER PROGRAM (SB1266, HB1361) – For the past several years, state employees have been forced to receive their maintenance medications through the mail as a result of language inserted into the budget. This year, Senator Montford of Leon County, whose district includes a large number of state employees, has taken an interest in this issue and filed SB1266 to try to level the playing field between community pharmacy providers and mail-order services. The House companion to this bill is HB1361. This bill sets the pharmacy dispensing fee at $4.28 for retail and $4.22 for prescriptions filled at mail order providers or by a specialty pharmacy. The bill also

allows retail pharmacies to fill a 90-day supply of prescription medications. Senate Bill 1384 has been filed to revise Florida Statues 641 relating to HMOs. This bill attempts to modify the terms and conditions of HMO contracts by clarifying the mail-order provisions. The bill seeks to create parity between the mail-order market and community pharmacy. FPA IS SUPPORTING THESE LEGISLATIVE PROPOSALS. MEDICAL GRADE MARIJUANA AND CANNABIS (HB857, HB843, HB859, SB1030, SB962) – These bills, in various forms, are attempting to revise Florida laws allowing for the medical use of certain versions of cannabis. Some of the bills are simply efforts to decriminalize cannabis that is possessed in certain concentrations. In recent months, a particular strain of cannabis has gained national attention as a way to treat certain seizure disorders in children. This strain of marijuana is high in cannabidiol (CBD), a non-psychoactive ingredient known for treating seizures, and low in tetrahydrocannabinol (THC), which causes cannabis smokers to feel “high.” House Bill 843 that is on the move simply decriminalizes the amounts of cannabis in the Charlotte’s Web formula. Senate Bill 1030 appears to do the same thing; however, this bill creates a dispensing organization that does not fall under Florida Statutes 465. WHILE THE FPA IS MONITORING THIS LEGISLATION, FPA LEADERSHIP, THROUGH THE GOVERNMENTAL AFFAIRS COUNCIL, HAS TAKEN THE POSITION THAT THE PRESCRIBING AND DISPENSING TO PATIENTS IS BEST MONITORED BY A FLORIDA-LICENSED PHARMACIST. FREEDOM OF CHOICE (HB1091) – This bill, filed in the Florida House, would have would have required certain health benefit plans to allow licensed or permitted pharmacists or pharmacies that agree to specified conditions to serve as participating pharmacy providers for Medicaid patients. This bill also specifies rulemaking would not be required. Unfortunately, there was no Senate sponsor found for

this bill so the House sponsor withdrew the bill from further consideration. TELEMEDICINE (SB70, SB1646, HB167, HB751) – These bills primarily focus on physicians’ practices, where a provider could be reimbursed when servicing patients from remote locations. At least 20 states and the District of Columbia have mandated that private insurance plans cover telemedicine services at reimbursement rates equal to in-person consultations. The debate that we are hearing at the Capitol is over whether the telemedicine provider must be Florida licensed. THE FPA IS MONITORING THESE BILLS. ARNP PRESCRIBING OF CONTROLLED SUBSTANCES (SB1352, HB7071) – Each year there are efforts by the ARNP coalition to revise Florida laws to allow for the prescribing of controlled substances. The FPA has been supportive of these efforts to improve access by consumers who cannot get to a primary care provider. SB1352 sponsored by Senator Grimsley would grant advance practice registered nurses controlled substance prescribing authority. HB7071 creates a new classification of independent nurse provider called “Independent Advance Practice Registered Nurse.” THE FPA IS MONITORING THESE BILLS.

The above information does not represent the final outcome of the 2014 legislative session, rather it is a preliminary report of a number of active bills that are being monitored by the FPA. Any of these provisions could be revised during the debate in the Florida House and Senate. If you have an interest in any of these provisions, visit the FPA legislative action center on Pharmview.com or go to http://www.leg. state.fl.us/Welcome/index.cfm to get the latest information on these proposals. Your involvement as member stakeholders on these issues and guidance by the FPA can help to make this a successful session. A final report will be provided at the FPA annual meeting and convention in Fort Lauderdale this July. This year there are a lot of pharmacy items on the policymaking menu. Our profession and industry must be fully united on these issues if we are to facilitate change. n

REGU LATION OF NONRES I DEN T PH A R M AC I ES (SB6 62 , HB7077) – Late in 2012, there was an outbreak of meningitis nationwide due to contaminated sterile products shipped from a New England compounding pharmacy. The Florida Department of Health facilitated a mandatory survey of Florida pharmacies to gauge the extent of sterile compounding within our state. A new sterile compounding permit was required and rulemaking is underway for those pharmacies that are involved in this practice. The Legislature has introduced SB662 and HB7077, which seeks to grant additional authority for the Florida Department of Health to regulate nonresident pharmacies that are shipping product into this state. THE FPA IS SUPPORTING THESE BILLS. MARCH 2014

2014 Florida Pharmacists Legislative Days and Health Fair By Angela Garcia, Natalie Ciccone and Alexis Jurick PHOTOGRAPHY BY DANIEL MORLEY, UNIVERSITY OF FLORIDA COLLEGE OF PHARMACY

The Florida Pharmacists Legislative Days and Health Fair was coordinated again by the efforts of Health Fair CoCoordinators Suzanne Kelley, BPharm, CPh; Angela S. Garcia, PharmD, MPH, CPh; and the Legislative Coordinator Preston McDonald, BPharm. Legislative Activities This year’s kickoff event for students, Pizza & Policy Discussion, was held Sunday, March 9, and was organized by University of Florida (UF) 2014 Health Fair and Legislative Liaisons Ashley Rowand and Jeanette Connelly. “Students went the extra mile and showed their leadership and commitment to their profession by coming out to the first annual Pizza & Policy night to talk about the issues, ask questions and socialize with other students from all over the state,” said Ashley Rowand, UF PharmD Candidate, 2015. This event was hosted by Florida A&M University (FAMU) through coordination of their liaisons Sonja Thompson and Ashton Cobb and Dean Michael Thompson. Every opportunity established to engage students more

“We would like to recognize the outstanding efforts of the student liaisons for our health fair and legislative activities, and express our appreciation of the faculty liaisons for their support of and communication with us as the 2014 Health Fair and Legislative Days Coordinators. We worked under the direction of the FPA Board of Directors and Health Fair Committee to bring this amazing experience to light for our students and pharmacists across the state.” — Suzanne Kelley, Angela S. Garcia, and Preston McDonald than exceeded the expectations of the Health Fair and Legislative Days Committee and FPA leadership. Pharmacy interns were given updates to the Pharmacists Health Fair and Legislative Days Events and had opportunities to interact with the leadership of the FPA including Michael Jackson, Goar Alvarez, Bert Martinez and Co-Coordinators of the Health Fair and Legislative Days events: Suzanne Kelley, Angela S. Garcia and Preston McDonald. FPA Legislative Coordinator Pres-

ton McDonald presented on the ‘Priority Issues’ and key bills being supported by the FPA, which included Pharmacy Benefits Managers (PBM) and Pharmacy Audits, Medical Marijuana and Dispensing, Pharmacist to Pharmacy Technician Ratio, National Provider Identification, and Mail-Order issues for state employees. “I have seen again the sacrifices the students made to be able to participate in this event,” Preston said. “We also had several first-time pharmacists participate.”

Florida School and College of Pharmacy Student Interns attending the 2014 Pizza & Policy Discussion Sunday, March 9 at FAMU College of Pharmacy 10

FLORIDA PHARMACY TODAY

One of the central points of discussion was pharmacists gaining healthcare provider status and the impact that students can make in changing the practice privileges of pharmacists in the state of Florida. Talking points for students to refer to during legislative visits were addressed, as well as how students could respond to legislators when there were differences in agendas that may have been presented. The goal was to present a united front regarding issues of patient safety, continuity of care and practice privileges that were reflective of the best that pharmacists could do for the care of their patients in order to be consistent with the message representing the membership from both pharmacy organizations. Correcting misinformation that other healthcare providers and lobbyists may have communicated was another point of discussion that raised a lot of questions about how to communicate professionally. It gave opportunities for interns who have attended in the past to contribute based on their own personal experiences. Several students, including Kevin Klein (USF 2015 PharmD Candidate) reported how they have taken the initiative prior to the Legislative Days to visit their legislators and discuss key issues relative to pharmacy practice and pharmacy interns. On Monday, March 10, participa-

tion from all six Florida Schools and Colleges of Pharmacy occurred during our Florida Pharmacists Legislative Days activities and events. Participants lobbied with Adams Street Advocates and key members of the FPA and FSHP leadership with the support of pharmacists and intern members of both the FPA and FSHP. “Students confidently discussed pharmacy-friendly bills and their impact on the overall health and safety of Floridians,” Jeanette Connelly (UF 2014 PharmD Candidate) said. “Many state legislators gained insight on our great profession this week.” Thanks to the support from the FPA staff, we acquired the total number of volunteers and attendees for the event; there were 360 pre-registered participants (53 pharmacists, 306 interns and

one technician) plus 39 additional pharmacists and interns who registered onsite. Two legislative activities were held to provide the FPA and FSHP members a firsthand experience of legislative activities that occur during the 60 days of legislative session every year. One activity was held in the House Chambers and one was held in the Leon County Civic Center in order to accommodate over 300 members who attended the events on Monday, March 10. The House Chambers staff facilitated a House Chambers Educational Session, where 75 pharmacists and student interns were given the opportunity to sit in the seats of the Florida House of Representatives, participate in a debate and cast their vote utilizing the electronic voting system. Deliberations followed Robert’s Rules of Order to demonstrate how language would be presented and amendments would be introduced similar to a legitimate House session. In addition to those sitting on the House Chambers floor, 80 students and pharmacists observed the mock proceedings from the House Gallery (overlooking from the balcony to see and hear the actions below). Members were able to see how the factor of time can become an issue, and the passion of one person can sway a room of people to make a decision, whether it is based on fact or not. This gave insight to students on the importance of communicating with legislators in advance of Legislative Days by visiting them at home. “I saw first-hand how student pharmacists make an impact on their legislators [and the importance of doing so year round],” Connelly said. MARCH 2014 |

Simultaneously, in the Leon County Civic Center, a Mock Legislative Session was facilitated between the “House” and “Senate” which was comprised of pharmacy interns and pharmacists. Their charge: to debate issues related to Intern Immunization Practices. Michael Jackson served as the activity MC and Alexis Jurick (Walgreens Pharmacist, Fort Myers) and Mohammed Abdulwahhab (LECOM 2015 PharmD Candidate) facilitated the 90-minute activity. We utilized a video recording from a 2013 committee debate serving as an example and background for

intern under the supervision of a pharmacist may administer the following vaccines to an adult within the framework of an established protocol under a licensed physician. The Mock Senate Bill was presented as: In accordance with guidelines of the CDC for each recommended immunization or vaccine, a licensed pharmacist intern under the direct supervision of a licensed immunizing pharmacist with written patient consent may administer nonlive vaccines. Each side addressed their bill, sent it to the opposition for further debate and an acceptance or disapprov-

the mock legislative session activity. Twenty-two interns served as “Legislators and Health Committee Members” (11 for the House and 11 for the Senate) and worked with their “constituents” (all other attending interns and pharmacists) to determine the language for the mock House and Senate bills. David Dakwa (PBA 2017 PharmD Candidate) served as the “Speaker of House” and Rashard Hanna (FAMU 2015 PharmD Candidate) served as the “President of the Senate.” The two groups were actively engaged working against the clock to come to an agreement on the language of their legislative bills. The Mock House Bill was presented as: In accordance with the guidelines of the CDC for each recommended immunization or vaccine, a pharmacist or pharmacy

al vote. Amendments were made to try to improve the language and generate a compromise among both parties. Similar to what happens in the House and Senate during the legislative session, the discussion of the bill became a very heated exchange. The end result: No consensus could be made and the Intern Immunization Practices Bill died!

FLORIDA PHARMACY TODAY

Advocacy and Leadership Recognitions This year, there was a student initiative to engage in a friendly competition of raising funds for the FPA Political Action Committee, similar to what happens nationally through APhAASP Chapter challenges. Teresa Tolle and Ashley Rowand (UF Student Intern) presented awards and certificates to the participating schools. A total of

$1,600 was raised by students across the state for this event, and the challenge has already been placed to surpass this amount next year. Palm Beach Atlantic and University of Florida received first and second place plaques (respectively) and Certificates of Participation were awarded to USF and LECOM. Celeste Philip, MD, MPH, Deputy Secretary for Health and Deputy State Health Officer for Children’s Medical Services (CMS) for the Florida Department of Health, addressed the membership and made a special comment to the students noting the number of white coats and the importance of advocacy for their profession and for the patients of Florida. The first statewide-recognized Student Intern Proclamation (authored by Angela S. Garcia, PharmD, MPH, CPh, and 2015 NSU PharmD Candidates Sheila Montalvo and Elizabeth Lessmann) was signed by Senator Eleanor Sobel in January of this year. This proclamation was on display during the legislative activities. This process is encouraged to be a statewide venture for all schools and colleges by the 2015 Florida Pharmacists Health Fair and Legislative Days events. A copy was presented to Michael Jackson during a February CE event he attended for Broward County Pharmacy Association and is proudly hanging on display in the FPA Offices in Tallahassee. 2014 FPA President Terry Gubbins (Walgreens Pharmacist and Marketing Director Tampa and Orlando Regions) presented the inaugural FPA Student Leadership Award to Ashley Rowand (University of Florida 2015 PharmD Candidate) for her innovative participation in legislation, advocacy and leadership on behalf of the profession. Another student recognized for his commitment to advocacy and community-based engagement was Mohammed Abdulwahhab (LECOM 2015 PharmD Candidate). He spoke about the importance of partnering with county leadership and coalitions to help move the state’s recognition of provider status for pharmacists, as was the case in California. He also spoke about the involvement of pharmacy students in medical missions stating: “That was my

proudest moment as an advocate for the pharmacy profession,” referring to the osteopathic physicians and students recognition of the value in utilizing a pharmacist for their drug knowledge during outreach. Health Fair Activities Although the Health Fair began promptly at 9:00 on Tuesday morning, pharmacists and interns awoke early to set up stations on the third floor rotunda of the state Capitol. The third floor is a high-traffic area centered between the House and Senate and is a crossroad for state workers and visitors to pass through to reach either the Senate or House of Representatives Chambers. The strategic placement of our interns and pharmacists was key to delivering our message, maximizing our exposure and showcasing the capabilities of pharmacists and pharmacy interns to the community and our lawmakers. “I was enthralled to see how much excitement there was among the students and faculty as they were setting up and preparing for the screenings at the health fair,” said Suzanne Kelley. “They were delivering the services, and proudly providing care for the participants of the health fair.” Two changes were implemented this year, as compared to systems previous-

Figure 1

ly in place. For the past several years, Dr. Garcia would utilize FPA and local pharmacy equipment to engage in a mobile health fair training to reach as many campuses as possible prior to attending the Health Fair events. We had amazing support from the student leadership of the APhA-ASP chapters and faculty advisors to ensure all students meet the basic criteria for participation. Due to issues with scheduling, the Health Fair Committee needed to find

a means to confirm that all pharmacy interns were credentialed to perform the point-of-care testing and education of Health Fair participants. Although this requirement has been effective for the past three years, changes in the mobile training schedule limited the external support and involvement available from the Health Fair Committee. Under the direction of the Board of Directors, we needed to confirm a standard level of proficiency that would allow interns

MARCH 2014

to demonstrate the best services possible from the pharmacy profession to key members of the Legislature that would be attending our Health Fair screening. Last year, the FPA Health Fair Committee requisitioned a team of trainers to join together under the direction of Dr. Garcia and facilitated a grand-scale training in Tallahassee utilizing the FAMU College of Pharmacy classroom auditoriums for educational presentations and the Patient Care Lab classroom for trainings and credentialing. The feedback from the students and faculty who participated has been positive; however, we will be re-instituting the mobile trainings again and continuing to work with FAMU to host student-centered events as educational and social benefits to interns and pharmacists attending the 2015 Legislative and Health Fair events in Tallahassee. The second change implemented by the Health Fair Committee was the institution of the Health Fair Navigators, which offered personalized attention to Health Fair participants by guiding them through each of the screenings offered during the Health Fair and directing pa-

FLORIDA PHARMACY TODAY

tients through the often-crowded hallways, to experience all services offered at the event. We hoped to demonstrate how transitional care between services could maximize health outcomes, while ensuring direct contact at all times with a healthcare provider. Students enjoyed having sustained contact with their Health Fair participant and felt more connected by the time their participant had to leave. Florida Pharmacists Health Fair volunteers included 189 students and 18 faculty, residents and fellows from the Schools and Colleges of Pharmacy at UF, USF, FAMU, LECOM and PBA -- all trained to provide point-of-care screenings and patient education. In addition, practicing community pharmacists provided additional supervision during the health fair, representing the knowledge and expertise of practicing community pharmacists from retail pharmacies (e.g. Walgreens, CVS, and Publix) and several independent pharmacies across the state (e.g. Bay Street Pharmacy). In total, there were 224 participants in the Health Fair this year, with 589 point-ofcare screenings performed and 291 education and counseling sessions provided, for a total of 880 pharmacist and intern-related points of contact for pharmacy-related services. (See Figure 1) Screening and education/counseling services included Bone Health, Body Composition, Glucose, Blood Pressure, Cholesterol and Lung Function. Student

posters covered topics ship roles at the local, state and nationsuch as Men’s and Womal levels, so they can help shape the proen’s Health, Safe Medifession,” Suzanne Kelley said. “Even cation Disposal, SmokSenator Evers pushed the students to ing Cessation, Diabetes acknowledge themselves as future Management and Heart health care providers, not just future Health. Legislators, legispharmacists.” lative aides, Capitol emWe hope these and other initiatives ployees, members of the across the state support lawmaker’s decommunity and the Surcision to pass legislation of provider stageon General Joh n H tus among pharmacists. Our interns are Armstrong, MD, FACS, even more excited to return next year were among the particiwith more experience under their belt pants who attended the and more pride in their white coats than Health Fair. The Florida before they arrived this week. We can all Pharmacists Health Fair agree that’s how we truly make an improvided an opportunipact to change the profession’s standards ty for these participants and raise the expectations for pharmacy and key decision makpractice in the great state of Florida. ers to observe the impact About the Authors:Angela S. Garcia, that pharmacists and inPharmD, MPH, CPh, is an Assistant Proterns have on prevention, maintenance fessor of Public Health College of Osteopathand detection of health-related issues, as ic Medicine in Fort Lauderdale; Natalie Cicwell as the ability to provide transitional cone, is a PharmD Candidate at Palm Beach services and continuity of care throughAtlantic University, and an FPA APPE Roout the health system. tation Intern in Stuart; and Alexis Jurick, “I am humbled to be a part of this PharmD, is a Community Pharmacist at large, well-attended event,” Preston McWalgreens District #119 in Fort Myers. Donald said. “The people at the Capitol working during the legislative session have come to expect us each year and respect what we are trying to do.” Our efforts were recognized by those who attended the Health Fair for screenExplore more than just the ballroom when you i ng a nd education services. The meet at Fort Lauderdale Marriott Harbor Beach event also demonResort & Spa. Offering a private beach, full-service strated to each of spa, water sports, delicious dining and more, us how collaborathere’s no limit to how great your stay can be. tive practices and

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services raise the awareness of the pharmacist and intern as major contributors to t he health outcomes for patients. “Students need to stay active in leader-

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MARCH 2014

FPA Officer and Director Nominations Although we have just finished the election for a President-Elect and Directors for the even numbered regions to be installed at the 2014 annual meeting, it is time to start thinking about nominees for the 2015 election since the nomination deadline is September 1 of this year (9/1/14). As the form below indicates, this year we will need candidates for President-Elect, Treasurer and Directors for the odd numbered regions. Please note that you may nominate yourself. CALL FOR FPA OFFICER AND DIRECTOR NOMINATIONS for 2015 Elections The FPA By-Laws specify that any subdivision or any member in good standing may nominate one person for the office of President-Elect and one person for the office of Treasurer. A President-Elect shall be elected every year and shall assume the duties of the President on the last day of the annual meeting of the year following election as President-Elect. The Treasurer shall serve a two year term and may succeed to one consecutive term of office in that capacity. Nominees must be Florida registered pharmacists in good standing with the Florida Pharmacy Association and the Florida Board of Pharmacy. Nominees for president-elect should have a good understanding of how the Association functions and should be current on the issues impacting pharmacy. Nominees for Treasurer should have good analytical skills and experience and ability in financial management and budget preparation. There are nine regional Board Directors who shall serve two year terms. Nominees must be a Florida registered pharmacist in good standing with the Florida Pharmacy Association and the Florida Board of Pharmacy. Additionally, Board Directors must be a member of at least one the FPA Unit Associations within their region. Board Directors terms are staggered such that even numbered regions shall be elected in even numbered years and odd numbered regions shall be elected in odd numbered years. All newly elected Board of Directors Regional Directors shall take office on the last day of the annual meeting, and shall continue in office until the last day of annual meeting of the second ensuing year.

FPA CANDIDATE NOMINATION FORM I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION: NAME: ADDRESS:

FOR THE FOLLOWING OFFICE:

(Nomination Deadline September 1, 2014)

q President-Elect q Treasurer q Board Director Region 1 Region 3 Region 5 Region 7 Region 9 NOMINATED BY: NAME: DATE SUBMITTED: SIGNATURE:

MAIL NOMINATIONS TO: Election Nominations, Florida Pharmacy Association, 610 N. Adams St., Tallahassee, FL 32301 (850) 222-2400 FAX (850) 561-6758 DEADLINE FOR NOMINATIONS IS SEPTEMBER 1, 2014

MARCH 2014

FPA Member Profile Terrance L. Massey

THE STATS Hometown: Quincy, Florida Employer: President, Massey Drugs, Inc.

What do you value most about your FPA Membership?

FPA keeps me abreast of the current issues affecting my Florida community pharmacy practice. This includes regulatory, legislative, business and professional opportunities. Also, FPA is a strong and effective voice articulating the current and future role of pharmacy practice with the general public, state government and third-party payers.

What are some thoughts you have on pharmacy as a profession right now?

More than ever before, we are in the midst of many new professional practice opportunities coming to fruition.

What are you most excited about regarding the future of pharmacy?

We are being recognized as major players within the health care delivery system.

What do you wish everybody knew about pharmacy? This is an extremely rewarding profession.

FLORIDA PHARMACY TODAY

What got you interested in pharmacy in the first place?

I am a third-generation pharmacist and I practice in a community pharmacy opened by my grandfather almost 100 years ago.

What do you think your patients would say about you and your practice? I am passionate about what I do and am an invaluable part of their health care team.

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LEGAL ASSISTANCE Kahan ◆ Heimberg, PLC Brian A. Kahan, R.Ph., Attorney at Law 561-392-9000 Fried Law Office, P.A. Dennis A. Fried, M.D., J.D. (407) 476-1427 The Health Law Firm George F. Indest III, J.D., M.P.A., LL.M. (407) 331-6620

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FREQUENTLY CALLED NUMBERS AHCA MEDICAID PHARMACY SERVICES 2727 Mahan Drive Tallahassee, FL 32308 (850) 412-4166 www.fdhc.state.fl.us/medicaid/ pharmacy AMERICAN PHARMACISTS ASSOCIATION (APhA) Washington, D.C. (800) 237-2742 www.pharmacist.com 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 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 (800) 222-1222 www.fpicn.org NATIONAL COMMUNITY PHARMACISTS ASSOCIATION 100 Daingerfield Road Alexandria, VA 22314 703.683.8200 703.683.3619 fax info@ncpanet.org RECOVERING PHARMACISTS NETWORK OF FLORIDA (407) 257-6606 “Pharmacists Helping Pharmacists”

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.

MARCH 2014

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