The Official Publication Of The Florida Pharmacy Association DEC. 2017
PHARMACY BILLS FILED FOR THE 2018 LEGISLATIVE SESSION
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FLORIDA PHARMACY TODAY
florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint 7 Executive Insight 12 FPA News & Notes 20 Buyer’s Guide
VOL. 80 | NO. 12 DECEMBER 2017 THE OFFICIAL PUBLICATION OF THE FLORIDA PHARMACY ASSOCIATION
Features
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Pharmacy Bills Filed for the 2018 Legislative Session When a Workers’ Compensation Claim Turns Bad Are Aggressive Efforts to Control Opioid Addiction Fueling an Increase in Pharmacy Crime?
DECEMBER 2017
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Mission Statements:
FPA Calendar 2017-2018
JANUARY 1
New Years Day - FPA Office Closed
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Legislative Session Begins
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Martin Luther King Day FPA Office Closed
17-18 Legislative Days and Health Fair at the Capitol 27-28 Law and Regulatory Conference Destin 31
Last Day to Submit Election Ballots for FPA Officer and Board Director
FEBRUARY 28
Last Day to Submit Award Nominations
of the Florida Pharmacy Today Journal MARCH
16-19 APhA Annual Meeting Nashville, TN 30
Good Friday - FPA Office Closed APRIL
11 - 12 NCPA Fly-In Washington, D.C. 21-22 FPA Clinical Conference Tampa MAY 6-8
NASPA National Leadership Retreat Kansas City, Mo.
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Deadline for the submission of House of Delegates Resolutions
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FPA Leadership Retreat
19-20 FPA CE Conference Jacksonville
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. There is a new 2 hour CE requirement for pharmacists on the dispensing of controlled substances effective this biennial renewal period. Pharmacists should have satisfied all continuing education requirements for this biennial period by September 30, 2019 or prior to licensure renewal. Consultant pharmacists and technicians will need to renew their licenses and registrations by December 31, 2018. For Pharmacy Technician Certification Board Application, Exam Information and Study materials, please contact the FPA office. For more information on CE programs or events, please contact the Florida Pharmacy Association at (850) 222-2400 or visit our website at www.pharmview.com
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.
Advertisers EPIC PHARMACY NETWORK......................... 2 EPIC PHARMACIES, INC................................ 13 KAHAN & ASSOCIATES................................. 11 PHARMACISTS MUTUAL.............................. 17 PQC...................................................................... 15
CONTACTS FPA — Michael Jackson (850) 222-2400 FSHP — Tamekia Bennett (850) 906-9333 UF — Kristin Weitzel (352) 273-5114 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 is 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. 4 |
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E-MAIL YOUR SUGGESTIONS/IDEAS TO dave@fiorecommunications.com
The President’s Viewpoint SUZY WISE, PHARMD/MBA CPH
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‘Tis the Season, Flu Season… How Pharmacists Can Help
s we begin to enter flu season, let’s talk about how pharmacists can further help in the fight against flu and strep. For our patients, coming down with the flu or strep can be very time consuming and costly. For many years, pharmacists have been available to help these patients treat their symptoms and educate them on ways to prevent the spread of these illnesses. But pharmacists can do much more, and are in many states. Currently, a common barrier to detection and treatment is the limited availability of health care providers. Many patients will seek appointments with their primary care physicians, which cannot be accommodated within 48 hours of the onset of symptoms for the influenza to be treated with the oral anti-viral oseltamivir. For strep infections, the recommended time to begin treatment is also within 48 hours of the onset of symptoms. Some patients will not seek the care of a physician or urgent care until their symptoms have significantly impacted their daily activities and spread to family or friends, which is typically outside of the recommended 48-hour window. However, during this initial 48-hour window, most have gone to their local pharmacy in search of symptom relief. When getting over-the-counter recommendations from the pharmacists, the pharmacist is able to identify patients who are exhibiting symptoms of influenza or strep. Point-of-care testing allows the trained pharmacist, who is working within a physician protocol, to test these patients and provide appropriate prescription treatment for a pos-
itive test. This dramatically decreases the duration of infection for the patient and decreases the spread of these infections. Influenza is a highly contagious virus that kills more than 36,000 Americans annually, and is responsible for
Influenza is a highly contagious virus that kills more than 36,000 Americans annually, and is responsible for 114,000 hospitalizations every year. 114,000 hospitalizations every year. The early detection and treatment of influenza infections is key in controlling the severity of annual influenza epidemics. Untreated patients with influenza will exhibit peak viral shedding on the first day of symptom onset. Studies have shown treatment with antiviral medications significantly decreases
Suzy Wise, Pharm.D./MBA CPh 2017-2018 FPA President
the spreading of the virus to others and total viral counts in the patient. Early detection and treatment of influenza reduces the risk of influenza-related complications in high-risk individuals and decreases the risk of transmission to others. Strep A is a highly contagious bacterial infection that can be detected through point-of-care rapid testing by a pharmacist. After screening the patient based on the physician/pharmacist protocol, patients meeting the criteria are swabbed and the Rapid Strep Test performed. Based on this protocol, patients receiving a positive test will be treated with an antibiotic based on the physician protocol. An additional benefit of the test-andtreat programs is a reduction in antibiotic use without confirmation of bacterial infections. The pharmacist can only dispense an antibiotic prescription if the Rapid Strep Test is positive. Pharmacists will also provide the patient DECEMBER 2017
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2017-18 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.
Scott Tomerlin....................................................................................................Board Chair Suzanne Wise...............................................................................................FPA President Ashley Huff.................................................................................................... FPA Treasurer Angela Garcia............................................................................................President-Elect David Mackarey........................................................................Speaker of the House Jeanette Connelly.......................................................Vice Speaker of the House Charzetta James.................................................................................. FSHP President Joyanna Wright................................................................................... Region 1 Director Neil Barnett............................................................................................Region 2 Director Dean Pedalino.......................................................................................Region 3 Director Linda Lazuka.........................................................................................Region 4 Director Melissa Ruble........................................................................................Region 5 Director Luther Laite IV.....................................................................................Region 6 Director Paul Delisser.......................................................................................... Region 7 Director Humberto Martinez..........................................................................Region 8 Director Mitchell Fingerhut.............................................................................Region 9 Director
Florida Pharmacy Today Journal Board Chair.............................................................. Carol Motycka, motycka@cop.ufl.edu Vice Chair....................................................Cristina Medina, cmmedina@cvs.com Treasurer...............................Don Bergemann, don.bergemann@verizon.net Secretary................................................................... Stuart Ulrich, stuarx@aol.com Member.............................. Rebecca Poston, Rebecca.Poston@flhealth.gov Member.................................................Patricia Nguebo, notablep@hotmail.com Member................................................................Norman Tomaka, FLRX9@aol.com Member............................................Greta Pelegrin, gretapelegrin@yahoo.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
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with education and counseling, which are services pharmacists provide every day. For a patient testing negative, the pharmacist may suggest over-the-counter items to help with symptom management. Patients are instructed to seek their physicians for further evaluation if their symptoms do not subside or worsen, which is the standard of care with any treatment for strep. The point-of-care testing equipment that trained pharmacists use is the same point-of-care testing equipment used in physicians’ offices, urgent care centers and even some emergency rooms. By increasing access to strep and influenza testing and treatment, patients will have additional options outside of going to an urgent care center or the emergency department. This reduces several burdens on the currently stretched health care system. By allowing pharmacists to screen for these infections in the pharmacy setting, we can reduce the number of patients waiting in emergency rooms and allow emergency physicians more time to care for complex emergency patients. It also helps to decrease the exposure of these highly contagious infections to severely ill patients who are being seen in emergency departments. By decreasing the spread of influenza and strep, pharmacists allow physicians and nurse practitioners to focus on providing care to patients with more complex conditions. Point-of-care testing in the pharmacy setting allows for specially trained pharmacists to increase patient access to testing and treatment of influenza and strep infections. Being one of the most accessible health care providers, pharmacists are able to provide patients the opportunity for early detection and treatment. Currently, there is legislation in Florida to allow pharmacists to provide these services to our patients and protect the health of Floridians. Please urge your local representatives and senators to support H.B. 431 and S.B. 524.
Executive Insight BY MICHAEL JACKSON, RPH MICHAEL JACKSON, BPHARM, EVP & CEO, FLORIDA PHARMACY ASSOCIATION
Mullins Extends a Tradition of National Leadership Thank you, DeAnn. As we say goodbye to 2017, we look back at all of the things that followed us to the end of a great year. Just think that it was 130 years ago that the Constitution of the State of Florida, drawn up by the Constitutional Convention, which met in Tallahassee in 1885, was adopted by popular vote in 1887. It was also a significant milestone in the history of pharmacy for Florida, where the initial steps began in May of 1887 to begin the formation of a permanent organization for pharmacy. A meeting in Duval County started the pathway taken by the members. For 13 decades, the volunteer members and leaders of the FPA paved the way toward the contemporary practice of pharmacy that we see today. It’s not just here in Florida, but our volunteer leaders are using the skills they honed at the FPA and giving their
talents to national associations. Consider some of our recent FPA members serving as leaders of national organizations, such as Jeffrey Delafuente, David Kazarian, Brian Kahan, Dan Buffington, Theresa Tolle, Ed Hamilton and others. Supporting the work of our national pharmacy asso-
Supporting the work of our national pharmacy associations is a huge commitment in personal time and resources. If you know a pharmacist who is involved nationally, they are giving back to the profession in a big way. ciations is a huge commitment in personal time and resources. If you know a pharmacist who is involved nationally, they are giving back to the profession in a big way. Most recently, we shared with you the commitment of DeAnn Mullins, a Florida pharmacist from Lynn Haven, who just finished her term of office as president of the National Community Pharmacists Association. She is only the second Floridian to have served in that post. Several FPA past presidents have engaged in a campaign to send an offering of support through contributions to
Michael Jackson, B.Pharm
a fundraising effort. This special message is dedicated to those who donated to the cause. Our many thanks to past presidents Paul Ackerman, Betty Harris, Mark Hobbs, James Koivisto, Rebecca Poston, Theresa Tolle and Scott Tomerlin for their involvement and support of this campaign. Theresa Tolle attended the NCPA meeting in Kissimmee and provided sincere words of thanks and a commendation for a job well done during the NCPA Presidents Reception. These former leaders of the Florida Pharmacy Association acknowledge that history has been made, and through their contributions are telling a story of leadership comradery. All funds raised will be sent to NCPA to help offset the costs of the Presidents Reception. Thank you, DeAnn, and we are looking forward to your leadership back here in Florida. DECEMBER 2017 |
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FPA STAFF Executive Vice President/CEO Michael Jackson (850) 222-2400, ext. 200
Director of Continuing Education Tian Merren-Owens, ext. 120
Educational Services Office Assistant Stacey Brooks, ext. 210 Coordinator of Membership Christopher Heil, ext. 110 Accounting Coordinator Ashley Gandy ext. 211
FLORIDA PHARMACY TODAY BOARD Chair..................................... Carol Motycka, St. Augustine Vice Chair................................Cristina Medina, Hollywood Treasurer...................Don Bergemann, Tarpon Springs Secretary.........................Stuart Ulrich, Boynton Beach Member..............................Rebecca Poston, Tallahassee Member.............................................. Patricia Nguebo, Ocala Member................................. Norman Tomaka, Melbourne Member..............................................Greta Pelegrin, Hialeah Executive Editor.........Michael Jackson, Tallahassee Managing Editor.........................Dave Fiore, Tallahassee
This is a peer-reviewed publication. ©2017, 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 8Web | Address: F L O R I D http://www.pharmview.com A PHARMACY TODAY
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Pharmacy Bills Filed for the 2018 Legislative Session
By: Michael Jackson, BPHARM, EVP & CEO, Florida Pharmacy Association
The Florida Pharmacy Association will be monitoring a number of bills for the 2018 Legislative Session. Detailed information on these bills can be found on the FPA website in our legislative action center. A few of the key bills of interest include: PHARMACY PRACTICE BLLS Pharmacist Collaborative Practice (H.B. 689, S.B. 914) – Creates a pathway for collaborative practice agreements between a prescriber and a consultant pharmacist. Will allow a consultant pharmacist to initiate, modify or discontinue medications if allowed in the collaborative agreements. Will allow for expanded abilities to order and evaluate laboratory testing. Supported by the FPA. Remote Dispensing Pharmacies (S.B. 848, H.B. 679) – Authorizes registered pharmacy technicians to compound and dispense medications in a pharmacy without a pharmacist being present. Creates a pathway for the supervision of a pharmacy technician to be done remotely, and allows a prescription drug manager to supervise more than one remote dispensing site pharmacy. Not supported by the FPA. Testing and Treating for Influenza and Stretococcus (H.B. 431, S.B. 524) – Allows pharmacists who have completed training to test patients for presence of influenza and streptococcal infections and to treat these patients. Supported by the FPA. Expansion of Cancer Drug Donation Program (S.B. 710, H.B. 291) – Renaming the Cancer Drug Donation Program as the Prescription Drug Donation Program; authorizing the donation of prescription drugs, including cancer drugs, and supplies to eligible patients; authorizing nursing home facilities to participate in the program. FPA is monitoring these bills.
New Class III Institutional Pharmacy (H.B. 675) – Revises membership of Board of Pharmacy; establishes Class III institutional pharmacies; provides requirements for such pharmacies; revises notice requirements; authorizes distribution of medicinal drugs and prepackaged drug products without specified permit under certain conditions; removes provision exempting certain drug repackagers from specified permit requirements. FPA is monitoring this bill. PHARMACY INSURANCE AND PBMRELATED BILLS Regulation of PBMs (H.B. 351) – PBM contracts with plans would prevent PBMs from requiring patients to use a pharmacy that the PBM has an ownership interest in. Requires the PBM to update MAC pricing. Creates a transparent methodology for pricing drugs for reimbursement purposes. Creates an appeal process for pharmacies to dispute PBM methodology and makes the PBM subject to the Florida Deceptive and Unfair Trade Practices Act. Supported by the FPA. Patients Choice of Providers (S.B. 714, H.B. 143) - Prohibits a health insurer from excluding a willing and qualified health care provider from participating in the health insurer’s provider network under certain circumstances. Supported by the FPA.
Mandatory Mail Order Restrictions (S.B. 492, H.B. 289) - Prohibiting certain health insurance policies and health maintenance contracts from requiring insureds and subscribers to obtain certain prescription drugs exclusively from mail-order pharmacies for the treatment of specified chronic illnesses; requiring certain health maintenance organizations to include specified disclosures in their outlines of coverage regarding such prescription drugs. Supported by the FPA. Controlled Substance Prescribing and Dispensing (S.B. 458, S.B. 8, H.B. 21) Requires practitioners to complete a specified board-approved continuing education course to prescribe controlled substances; defines “acute pain;” provides for adoption of standards of practice for treatment of acute pain; limits prescribing of opioids for acute pain in certain circumstances. The FPA is monitoring this legislation. The above bills and more will be published in the FPA legislative action center, along with any needed action alerts that our stakeholders need to act on. Members are encouraged to begin conversations with your state representatives and senators on these issues. Watch for Stat News notices and our Facebook page for emerging issues.
Consumer Protection from Nonmedical Changes to Prescription Drug Formularies (S.B. 360, H.B. 229) – Limits changes to a health insurance policy’s prescription drug formulary during policy year; requires small employer carriers to limit changes to prescription drug formularies. Supported by the FPA.
DECEMBER 2017
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SAVE
THE DATE
128th Annual Meeting and Convention Hyatt Regency Coconut Point July 12 - July 15, 2018 5001 Coconut Rd., Bonita Springs, Florida 34134
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When a Workers’ Compensation Claim Turns Bad By Michael Warren, Risk Manager, ARM, OHST On a busy Monday morning, a pharmacy technician tells you he injured his hand carrying a tote. You think to yourself, the last thing you need is another workers’ compensation claim and maybe it would be best to handle it out of pocket. You tell the employee to go to the doctor and figure if the injury is worse than expected, you can let your insurer know later. The employee does not come back to work the next day, but leaves a voice mail message that the doctor sent him to an orthopedic surgeon for an evaluation. The employee also said he had to provide his health insurance information, even though you had said you would take care of it. You try to reach the employee with no success. Next thing you know, he is upset because bills are coming to his home. His health insurer is denying payments, and he needs more treatment. He threatens to report the injury to OSHA and then you receive a letter that he is now represented by an attorney. Time to contact your insurer. Most employees injured on the job have never reported a work related injury. They do not understand that the rules are different. Faced with uncertainty, things can spiral out of control quickly. ■■ Even an apparent minor injury can turn into discovery of an underlying physical problem associated with comorbidities and complicated treatment. Obesity, diabetes, and previous injuries can represent significant challenges for recovery. Without the correct treatment plan and proper monitoring, costs escalate. ■■ Doctors want to be paid. If necessary, they will bill the employee. ■■ The employer can easily lose track of treatment progress. ■■ The employee may reach out to friends and family when bills come to the home, when they don’t understand the treatment, or when they feel they are not getting better and when they fear for their job. ■■ Uncertainty leads to getting attorneys involved, which can mean significant increases in costs without necessarily translating to a better outcome for the employee. ■■ Once an attorney is involved, both the employer and the insurance company are limited in what they can do to control the situation. The best way to control workers’ compensation costs is to prevent the injuries from happening in the first place. If an injury does occur, use these tips to keep them in check: ■■ Let your insurer know right away when an employee is injured on the job, particularly when a doctor’s visit is required. ■■ Accompany the injured employee to the doctor or emergency room. ■■ Tell the medical provider this is a workers’ compensation claim, and you will provide a claim number when re-
ceived from your insurer. ■■ Cooperate with the adjuster when they reach out to you. ■■ Stay in contact with the injured worker. If they have concerns, let the adjuster know. ■■ Keep the focus on getting the employee back to work. Remember: there is a reason workers’ compensation attorneys advertise during the day – to target injured employees who are sitting at home. When an employee is injured on the job, their experience with the workers’ compensation system can be confusing and frustrating. Fear and advice from friends and family can lead them to hiring an attorney when one is not needed. When an attorney is hired, costs increase significantly. When treatment is delayed or the employee is not focused on returning to work, both the employee and employer may lose. This article was reprinted with permission from Pharmacists Mutual.
A Pharmacist And A Lawyer Licensure Disciplinary Proceedings Insurance Company/PBM Audits and Appeals Purchase & Sales of Pharmacies Regulatory Compliance Consultants Business Operations Consultants KAHAN & ASSOCIATES, PLLC
Pharmacist Attorney Brian A. Kahan, R.Ph., J.D. Licensed Florida Pharmacist and Attorney
STATEWIDE REPRESENTATION 561-392-9000 bkahan@kahanlaw.com 7000 West Palmetto Park Road, Suite 210 Boca Raton, FL 33433 The hiring of a lawyer is an important decision that should not be based solely upon advertisements. Before you decide, ask us to send you free written information about our qualifications and experience.
DECEMBER 2017 |
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FPA News & Notes Board Rule Changes A number of rules that were being revised have now taken effect. Periodically, the Board will review its rules for relevancy, or to make changes to comply with changes in Florida or federal laws. The following is a list of rules that had been in development and are now changed. Rule Number
Rule Title
Effective Date
64B16-27.100
Display of Current License, Pharmacist, Registered Pharmacy Intern and Registered Pharmacy Technician
11/7/2017
64B16-28.118
Unit Dose and Customized Patient Medication Package Returns by In-patients
9/18/2017
64B16-28.301
Destruction of Controlled Substances – Institutional Class I Pharmacies (Nursing Homes)
11/5/2017
64B16-28.501
Institutional Permit – Consultant Pharmacist of Record
11/5/2017
64B16-28.608
Automated Filling Systems within a Pharmacy
11/5/2017
64B16-28.802
Special Sterile Compounding Permits for Pharmacies and Outsourcing Facilities
11/5/2017
64B16-30.002
Minor Violations
11/7/2017
A comprehensive resource on pharmacy laws and rules are available on the FPA web site. Continue the Push for Federal Provider Status The pharmacy profession continues to advocate for a fair hearing for H.R. 592 and S. 109, which is federal legislation to recognize pharmacists as health care providers. As of the publishing of this journal, there are 239 cosponsors in the House and 49 Senate cosponsors. Members of the Florida Congressional delegation that have signed on as cosponsors include Rep. Tom Rooney, Rep. Gus Bilirakis, Rep. Daniel Webster, Rep. Ted Yoho, Rep. Alcee Hastings, Rep. Ron DeSantis, Rep. Al Lawson, Rep. John Rutherford, Rep. Darren Soto, Rep. Debbie WassermanSchultz, Rep. Charlie Crist, Rep. Carlos Curbelo, Rep. Dennis Ross, Rep. Val Butler Demings and Rep. Kathy Castor. The following Florida congressmen and congresswomen have not to date signed on as a cosponsor: ■■ Rep. Ted Deutch (past sponsor) ■■ Rep. Lois Frankel (past sponsor) ■■ Rep. Stephanie Murray ■■ Rep. Neal Dunn ■■ Rep. Matt Gaetz ■■ Rep. Francis Rooney
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■■ ■■ ■■ ■■ ■■ ■■ ■■
Rep. Brian Mast Rep. Bill Posey Rep. Frederica Wilson Rep. Ileana Ros-Lehtinen Rep. Mario Diaz-Balart Rep. Vern Buchanan Senator Marco Rubio (S. 109)
If your representative is on this list, please take a moment to reach out to them and ask for their support of H.R. 592. Contact Senator Marco Rubio’s office and ask him to support S. 109. Do you need some talking points? Visit this website for more information. Not sure who your representative is? This web link will help you find them and their contact information. Florida is second behind California with the number of House sponsors to the bill. Let’s work to get all of our representatives engaged. Ask that these bills get an opportunity for a fair hearing. Enter the Drawing for a Complimentary Cabin for the 2018 FPA CE at SEA Join or renew your membership with the FPA or extend your existing membership by one year and become eligible for a drawing for a free cabin on the 2018 FPA CE at SEA. Drawing will close soon so act today. Learn more here. Expedited Licensure for Evacuees from Puerto Rico The Board of Pharmacy is working to assist evacuee pharmacists, pharmacy interns and pharmacy technicians to become licensed in the state of Florida. Information is available on the Board’s website here. FPA Members Appointed to Florida Board of Pharmacy Dr. Jonathan Hickman, regional account manager for AstraZeneca has been appointed to serve a four-year term on the Florida Board of Pharmacy. Dr. Hickman is a 1999 graduate of the Florida A&M University College of Pharmacy and Pharmaceutical Sciences, and was formerly a manager for Walgreens. His term lasts until Oct. 31, 2021. Fort Pierce pharmacist David Wright was appointed to a two-year term on the Board of Pharmacy. David is the owner of Butterfield Pharmacy and Medical Supplies
Pictured (L to R): Erica White, Blanca Rivera, David Wright, David Bisaillon, Richard Montgomery, Mark Mikhael, Jonathan Hickman, Jeffrey Mesaros, Gavin Meshad and Jeenu Phillip.
in Fort Pierce. He’s a graduate of the University of Kentucky. His term lasts until Oct. 31, 2019. Richard Montgomery, a pharmacist for Adventist Health System in Orlando was also newly appointed to the Board of Pharmacy. Reappointed to the Board of Pharmacy were Jeenu Philip of St. Johns, Mark Mikhael of Orlando and Jeff Mesaros, senior legal counsel of pharmacy practice for CVS Health.
New PDMP Reporting Requirements to Take Effect Jan. 1 One of the current issues that FPA members need to be aware of is changes to the prescription drug monitoring program that would require the reporting of dispensed controlled substances. Under the current law, these reports have to be provided every seven days. With passage of H.B. 577 during the 2017 legislative session, the PDMP program will have to receive these reports by the next business day beginning Jan. 1, 2018. The PDMP’s March 2017 report stated that 5,878 pharmacies out of 6,286 pharmacy permits (93.5 percent) were found to be in compliance with reporting requirements. The purpose and intent of the daily reporting requirements are to give prescribers and dispensers of controlled substances more current information. Read the article on “Opioid Epidemic and Pharmacy’s Solution” in the November issue of Florida Pharmacy Today, now available on the FPA website.
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Are Aggressive Efforts to Control Opioid Addiction Fueling an Increase in Pharmacy Crime? By Michael Warren, Risk Manager, ARM, OHST
While the country faces an uphill battle to manage an existing problem, the criminal element does whatever it can to keep demand high. An illustration is the length taken to introduce powerful narcotics to the country. In August 2016, the CDC announced that hundreds of thousands of Fentanyllaced counterfeit pills labeled as Oxycodone, Xanex, and Norcol entered the U.S. last year. High addiction rates keep criminals employed and guarantee high margins.
The rate of opioid addiction in the United States that was flagged by the CDC in 2010 continues at an alarming rate, despite aggressive measures to control the problem. ■■ An estimated 15 million Americans abuse prescription drugs each year (National Institute on Drug Addiction, NIDA 2015) ■■ Opioid deaths have quadrupled since 1999 (CDC) ■■ Medical emergencies from prescription opioid abuse increased by 183% over the past 7 years (Center for Lawful Access and Abuse Deterrence) ■■ Heroin deaths reached 12,900 in 2015, but prescription narcotic overdose deaths reached 20,101 Since 2010 we have seen new prescribing guidelines, significantly greater use of prescription drug monitoring programs, more physician education, drug take back initiatives, tighter controls on emergency room prescriptions for narcotics, and a multitude of other initiatives. In 2017 the DEA is restricting the amount of almost every Schedule II opiate and opioid medication that may be manufactured by an average of 25%. Hydrocodone will be limited to 66% of 2016 levels. At the same time, while we justifiably fight addiction, we face emerging problems in efforts to keep drug dependence in check, and challenges in treating addiction itself. While recidivism rates for drug treatment programs are high, treatment can be effective with close monitoring and the ability to influence psychological and psychosocial triggers. Unfortunately, treatment is expensive. 14
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What Does This Mean for Pharmacy Crime? Pharmacists Mutual saw an increase of 62% in burglary and robbery frequency, and the costs of these crimes have more than doubled since 2012. High numbers of addicts continue to seek drugs, as does organized crime. A recent trend involves professional thieves targeting pharmacies in remote areas, then sending the drugs to areas where the demand is high. Because of the extent of the problem, issues with funding and the complexity of effective treatment programs, curbing dependency and addiction will require a long-term effort. Measures that have been taken to limit abuse, such as Prescription Drug Monitoring, revised treatment guidelines and physician education may have created an unintended consequence. Where drug seekers cannot acquire narcotics by fraud or deceit, indications are that they are committing more pharmacy burglaries and robberies. Chain stores are studying the problem and implementing new security measures, including time delay safes, tracking devices, and advanced technologies for visual surveillance and facial recognition. As chain stores add protective measures, criminals may be turning increasingly to independent pharmacies as an easier target. What Can You Do? 1. Focus on the basics. Add strong doors and locks, protect front windows from smash and grabs and use reliable alarms and safes. Make sure your staff knows how to react if confronted by an armed robber. 2. Educate yourself and your staff. Learn how criminals act and train your staff how to react in a robbery. Review the Pharmacists Mutual Crime Report at www.phmic.com. This article was reprinted with permission from Pharmacists Mutual.
“I’M ALWAYS WATCHING OUT FOR MY PATIENTS, BUT WHO’S WATCHING OUT FOR ME?”
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Call toll free (866) 365-7472 or visit www.pqc.net PQC IS BROUGHT TO YOU BY YOUR STATE PHARMACY ASSOCIATION DECEMBER 2017
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CALL FOR RESOLUTIONS TO THE 2018 HOUSE OF DELEGATES The House of Delegates Board of Directors will meet in May 2018 to review and approve resolutions for the Annual Meeting. The deadline for submitting resolutions is May 11, 2018! PLEASE NOTE THIS DEADLINE. The last day to submit items of new business is June 8, 2018.
The following information will be needed when submitting resolutions: 1. Name of organization: The name of the organization submitting the resolutions(s); 2. Name and telephone number of individuals: A contact in the event clarification or further information is needed; 3. Problem: A statement of the problem addressed by the resolution; 4. Intent: A statement of what passage of the resolution will accomplish; 5. Resolution Format: Please type and use double spacing. TITLE OF RESOLUTION NAME OF ORGANIZATION WHEREAS , AND
WHEREAS :
THEREFORE BE IT RESOLVED (THAT THE FPA OR SUBDIVISION OF FPA)
CONTACT NAME AND PHONE #: PROBLEM: INTENT:
Return this form to: Membership Coordinator, Florida Pharmacy Association, 610 North Adams Street, Tallahassee, Florida 32301 or fax (850) 561-6758
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See what our tomorrow looks like at: phmic.com/tomorrow2
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C A L L
F O R
APhA Foundation and NASPA Bowl of Hygeia Awarded to a pharmacist for outstanding community service above and beyond professional duties. The use of the following selection criteria is required: ■■ The recipient must be a Florida licensed pharmacist and a member of FPA. ■■ ■■ T recipient has not previously received the award. ■■ two on its award committee or an officer of the association other than in an ex officio capacity. ■■ has compiled an outstanding record of community service, which, apart from his/her specific identification as a pharmacist, reflects well on the profession. James H. Beal Award Awarded to the “Pharmacist of the Year.” Criteria: ■■ must be a Florida registered pharmacist and a member of the FPA. ■■ has rendered outstanding service to pharmacy within the past five years. Technician of the Year Award Awarded annually to a Florida pharmacy technician who is recognized for his/her outstanding performance and achievement during his/her career. Criteria: ■■ Candidate must be a member of the Florida Pharmacy Association for at least two years. ■■ Candidate must have demonstrated contributions and dedication to the advancement of pharmacy technician practice. ■■ Candidate must have demonstrated contributions to the Florida Pharmacy Association and/or other pharmacy organizations. ■■ Candidate must have demonstrated
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N O M I N A T I O N S commitment to community service.
■■ Candidate is not a past recipient of
this award.
R.Q. Richards Award This award is based on outstanding achievement in the field of pharmaceutical public relations in Florida. Criteria: ■■ recipient must be a Florida registered pharmacist and a member of the FPA. ■■ has displayed outstanding achievement in the field of pharmaceutical public relations in Florida. Frank Toback/AZO Consultant Pharmacist Award Criteria: ■■ Candidate must be an FPA member, registered with the Florida Board of Pharmacy as a consultant pharmacist in good standing. ■■ Candidate should be selected based on their outstanding achievements in the field of consultant pharmacy. DCPA Sidney Simkowitz Pharmacy Involvement Award Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profession of pharmacy in Florida. Criteria: ■■ A minimum of five years of active involvement in and contributions to the local association and FPA. ■■ Candidate must have held office at local level pharmacy association. ■■ Member in good standing for a period of at least five years in the FPA and must have served as a member or chairman of a committee of the association. ■■ Candidate must have been actively involved in a project that has or could potentially be of benefit to members of the profession.
F P A
Pharmacists Mutual Companies Distinguished Young Pharmacist Award Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacy. Criteria: ■■ Licensed to practice for nine years or fewer. ■■ Licensed to practice in the state in which selected. ■■ Participation in national pharmacy association, professional programs, and/or community service. IPA Roman Maximo Corrons Inspiration & Motivation Award Interamerican Pharmacists Association created this award to honor the memory of Roman M. Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession. Roman was always there with guidance and support that motivated pharmacists and encouraged visionary leadership, approachable active membership and succession planning. This award recognizes the motivators among us who inspire others to continue to advance the profession. Criteria: ■■ The recipient must be a Florida Licensed Pharmacist and a member of the FPA. ■■ Candidate should motivate others to excel within the profession by encouraging them to be leaders. ■■ Candidate is not necessarily an association officer, but guides, supports and/or inspires others. A brief description on the candidate’s motivational/inspirational skills must accompany the nomination. The Jean Lamberti Mentorship Award The Jean Lamberti Mentorship Award was established in 1998 to honor those pharmacists who have taken time to share their knowledge and experience with pharmacist candidates. The award is named in honor of long time FPA member Jean Lamberti for her effort in working with pharmacy students.
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Criteria: ■■ The recipient must be an FPA member. ■■ The recipient must serve as a role model for the profession of pharmacy. Upsher Smith Excellence in Innovation Award Awarded to honor practicing pharmacists who have demonstrated innovation in pharmacy practice that has resulted in improved patient care. Criteria: ■■ The recipient has demonstrated innovative pharmacy practice resulting in improved patient care. ■■ The recipient should be a practicing pharmacist within the geographic area represented by the presenting Association.
Qualified Nominee: A pharmacist practicing within the geographic area represented by the presenting Association. Cardinal Generation Rx Award The Cardinal Health Generation Rx Champions Award recognizes a pharmacist who has demonstrated excellence in community-based prescription drug abuse prevention. The award is intended to recognize outstanding efforts within the pharmacy community to raise awareness of this serious public health problem. It is also intended to encourage educational prevention efforts aimed at patients, youth and other members of the community. The nominee must be a pharmacist who is a member of the state association. Self-nominations are allowed. Applica-
tions will be evaluated based upon the following criteria: ■■ Commitment to community-based educational prevention efforts aimed at prescription drug abuse ■■ Involvement of other community groups in the planning and implementation of prevention programs ■■ Innovation and creativity in the creation and implementation of prevention activities ■■ Scope/magnitude of prescription drug abuse efforts ■■ Demonstrated impact of prescription drug abuse prevention efforts
DEADLINE FOR NOMINATIONS: FEBRUARY 28, 2018 FPA AWARDS NOMINATION FORM I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION:
NOMINATED BY:
Name:
Name:
Address:
Date Submitted: Signature:
FOR THE FOLLOWING AWARD: (Nomination Deadline February 28, 2018) APhA Foundation and NASPA Bowl of Hygeia James H. Beal Award
Please describe briefly below the nominee's accomplishments, indicating why you feel he or she should receive this award. (Attach additional sheets if necessary.)
R.Q. Richards Award Frank Toback/AZO Consultant Pharmacist Award DCPA Sydney Simkowitz Award Pharmacists Mutual Co. Distinguished Young Pharmacist Award IPA Roman Maximo Corrons Inspiration & Motivation Award The Jean Lamberti Mentorship Award Upsher Smith Excellence in Innovation Award Cardinal Generation Rx Award
MAIL NOMINATONS TO: Annual Awards, Florida Pharmacy Association, 610 N. Adams St., Tallahassee, FL 32301 (850) 222-2400 FAX (850) 561-6758 DEADLINE FOR NOMINATIONS IS FEBRUARY 28, 2018
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florida BUYER’S GUIDE 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.
PHARMACY RESOURCES PPSC Retail Pharmacy Purchasing Program (888) 778-9909
LEGAL ASSISTANCE Kahan & Associates, PLLC Brian A. Kahan, R.Ph., Attorney at Law (561) 392-9000 The Health Law Firm George F. Indest III, J.D., M.P.A., LL.M. (407) 331-6620
PHARMACEUTICAL WHOLESALER McKesson Drug Company Jim Springer (800) 804-4590 FAX: (863) 616-2953
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
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. 20
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RECOVERING PHARMACISTS NETWORK OF FLORIDA (407) 257-6606 “Pharmacists Helping Pharmacists”