The Official Publication Of The Florida Pharmacy Association FEB. 2015
FLORIDA PHARMACIST LEGISLATIVE DAY AND HEALTH FAIR MARCH 9-10, 2015
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VOL. 78 | NO. 2 FEBRUARY 2015 THE OFFICIAL PUBLICATION OF THE FLORIDA PHARMACY ASSOCIATION
Features
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5 President’s Viewpoint 7 Executive Insight 12 Campus Corner 13 Member Profile 26 Buyer’s Guide
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Florida Pharmacist Legislative Day and Health Fair Each year, hundreds of Florida pharmacists and pharmacy students descend on the Florida Capitol to showcase the types of services available in today’s contemporary pharmacy practice.
Warn Patients about Risks of Prescription Drug Side Effects, Sleeping with Infants Knowing What to Do: Improve Health
Call for FPA Award Nominations
FEBRUARY 2015
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FPA Calendar 2014-2015
FEBRUARY 28
Awards nominations due MARCH
3
Legislative session begins
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Continuing Education Tallahassee
9-10
Pharmacist Legislative Days and Health Fair Tallahassee
21-22 FPA Committee and Council Meetings 25-26 RxImpact Day Washington DC 27-30 APhA Annual Meeting San Diego, California
APRIL 3
Good Friday, FPA Office Closed
18-19 FPA Regulatory and Law Conference - Tampa Airport Marriott Tampa 24
Last day to submit resolutions MAY
10-12 Pharmacist Mutual Leadership Conference Rockville, Maryland 12-13 NCPA Legislative Conference Arlington, VA 16-17 FPA Clinical Conference Jacksonville 25
Memorial Day, FPA Office Closed JUNE
24-28 125th Annual Meeting and Convention St. Augustine
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 — Tamekia Bennett (850) 906-9333 U/F — Art Wharton (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.
Advertisers CARDINAL HEALTH FOUNDATION......... 17 THE HEALTH LAW FIRM.............................. 25 KAHAN HEIMBERG, PLC................................ 2 PPSC...................................................................... 2 PHARMACISTS MUTUAL............................. 14 PHARMACY BROKERS.................................. 25
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The President’s Viewpoint GUEST COLUMNIST, ABDULLAH ISLAMI
The Importance of Achieving Provider Status
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harmacists are getting closer to obtaining provider status in the United States. On January 28, the reintroduction of H.R. 592 into the U.S. House of Representatives occurred while the U.S. Senate introduced an identical bill, S.314, on January 29.1,2 These bills, titled The Pharmacy and Medically Underserved Areas Enhancement Act, would enable pharmacists to provide health care services and be reimbursed by Medicare Part B for patients in underserved communities through the amendment of Title XVIII of the Social Security Act. This is not the first time provider status for pharmacists has been discussed, as H.R. 4190 was introduced on February 8, 2013, and was referred to the Subcommittee on Health, House Ways and Means and the Energy and Commerce Committees.1 The bill eventually failed due to not being able to garner passage through the U.S. Senate and died in the previous congressional session. In order for a bill to become a law, there are numerous steps that must occur. These steps include: introduction of the bill and referral to a committee; committee hearings and mark-ups; floor debate and voting; referral to other chamber; conference on the bill; and presidential approval or veto.3 Both H.R. 592 and S.314 are currently at the introductory stage in both chambers of the U.S. Congress. These bills come at a time when the United States faces a shortage of primary care physicians, but an increased number of insured patients, along with an aging population. According to the American Society of Health-System Pharmacists (ASHP), the number of Medicare patients will increase by 36% by 2020, and currently every Medicare patient takes between five to nine med-
ications on average.4 A 2014 study by the Association of American Medical Colleges (AAMC) found that by 2020 there will be a shortage of 45,000 primary care physicians.5
A 2014 study by the Association of American Medical Colleges (AAMC) found that by 2020 there will be a shortage of 45,000 primary care physicians. The physician population is also seeing an increase in age: A 2012 survey by the Physicians Foundation found that 72% of physicians were 40 years or older, with an average age of 49 years.6 According to the U.S. Department of Health and Human Services’ Physician Supply Model (PSM), by 2020 the annual retirement of physicians will reach 20,000 per year, which would be a 60% increase from 2008.7 In 2012, physicians saw 16.6% fewer patients than in 2008.6 In the United States, issues with medications, such as non-adherence, cost approximately $300 million, and medications for chronic diseases such as diabetes, hypertension, hypercholesterolemia and more make up 91% of all
Abdullah Islami
prescriptions.4 According to the Bureau of Labor Statistics, there were 286,400 licensed pharmacists in 2012.8 Pharmacists are qualified health care professionals that are being overlooked and underutilized. What classifies as an “underserved area?” This is a question many may have when reading about the proposed bills, which is answered in Section 322 (a)(1)(A) and Section 330 (a)(3)(A) of the Public Health Service Act. It states that designated areas are identified by the secretary upon receiving advice from the state level. Qualities and factors that define an underserved area include: urban area, rural area, seasonal agricultural works, homeless population and public housing residents. The bill would allow pharmacists to assist in providing basic primary health services.9 Simpson SH found that in diabetic patients, 54% achieved a goal blood pressure with a pharmacist’s intervention compared to only 30% of control patients (p=0.003).10 AccordFEBRUARY 2015
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2014 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.
Terry Gubbins.......................................................................... Chairman of the Board Suzanne Kelly...............................................................................................FPA President Tim Rogers................................................................................................... President Elect Alexander Pytlarz................................................................................................Treasurer Bob Parrado................................................Speaker of the House of Delegates Jackie Donovan...........................Vice Speaker of the House of Delegates Jennifer Raquipo..............................................................Interim Director, Region 1 Michael Hebb........................................................................................ Director, Region 2 Stephen Grabowski........................................................................ Director, Region 3 Linda Lazuka........................................................................................ Director, Region 4 Jason Beattie...................................................................................... Director, Region 5 Luther Laite IV.................................................................................... Director, Region 6 Kimberly Jones................................................................Interim Director, Region 7 Humberto Martinez......................................................................., Director, Region 8 Mitchell Fingerhut......................................................... Interim Director, Region 9 Christine Gegeckas............................................................................. President FSHP Michael Jackson........................................Executive Vice President and CEO
Florida Pharmacy Today Journal Board Chair.............................................................. Carol Motycka, motycka@cop.ufl.edu Vice Chair...........................................Jennifer Pytlarz, jlc_rxdoc@hotmail.com Treasurer....................Stephen Grabowski, sgrabowski@seniormmc.com Secretary.............. Verender Gail Brown, brownvgrx4304@hotmail.com Member.................................................Joseph Koptowsky, docjik1215@aol.com Member........................Rebecca Poston, rebecca_poston@doh.state.fl.us Member........................................................Cristina Medina, cmmedina@cvs.com Member................................................................Norman Tomaka, FLRX9@aol.com Member........................................................................Stuart Ulrich, Stuarx@aol.com Member............................................................. Don Bergemann, don@bceinfo.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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ing to ASHP, 30 of Florida’s 67 counties qualify as being underserved.4 These counties would benefit from the services that pharmacists can provide. Although a large population of patients would benefit from pharmacistprovided services, a common question that arises is, “What falls under the scope of pharmacy practice as a healthcare provider?” This bill will allow reimbursements through the federally based Medicare Part B, but it will defer to each individual state regarding the scope of practice pharmacists would be authorized to provide. Although pharmacists are currently known to be primarily “drug experts” as most patient interactions regard information for prescribed medications, they are qualified to complete many more services such as medication therapy management, chronic disease management, health and wellness pointof-care testing, immunizations and working with recently discharged patients to decrease the rates of hospital readmissions. The U.S. Department of Veterans Affairs and Indian Health Services have recognized pharmacists as health care providers for over 40 years, and the impact pharmacists make on those two health care systems has been wide reaching. According to ASHP, 48 states and the District of Colombia currently allow for pharmacists to have collaborative practice agreements (CPAs) with physicians. There are only 35 states that allow for the initiation of new medications by a pharmacist in a CPA with a physician. Pharmacists in 21 states are allowed to enter a CPA with mid-level practitioners, such as nurse practitioners or physician assistants.11 According to the Centers for Disease Control (CDC), Florida statutes 465 and rule 64B16 allow for pharmacists to develop a CPA with physicians in the form of providing drug therapy management for health conditions that follow written protocol by the provider, but cannot initiate or modify medications without permission.12 According to ASHP, 83% of patients believe pharmacists are capable of providing more services than just filling prescriptions.4 Although patients support pharmacists’ efforts to gain proViewpoint, continued on p. 8
FLORIDA PHARMACY TODAY
Executive Insight BY MICHAEL JACKSON, RPH MICHAEL JACKSON, BPHARM, EVP & CEO, FLORIDA PHARMACY ASSOCIATION
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MAC Pricing Clarity Needed
rescription drug pricing is not a new issue within our industry. It is a subject of discussion in a number of articles published in this Journal and in publications of other organizations. To help our readers understand the leading title of this month’s message, let’s examine what MAC means. The term MAC, or Maximum Allowable Cost, would tell our readers that there is a ceiling on what the price of a particular drug product needs to be. The best way to learn what is happening here is to ask questions and suggest possible answers. Who is setting that ceiling price and why is it necessary to do so? Many years ago, a pharmacy would establish what the consumer price of a prescription drug should be. That price was affected by general market prices and related to the purchasing cost of the pharmacy. That was prior to the growth and development of third-party program administrators, or what we call pharmacy benefit managers (PBMs) today. The pharmacy would receive revenue from the difference between what the drug would cost (minus possible discounts from the supplier) and the selling price to the consumer. There may have been additional revenue received from established professional dispensing fees set by the pharmacy. Today, the price consumers pay for prescription medications is no longer determined by traditional market and/ or the relationships between the pharmacist and patient. Patients now have a relationship with an insurance provider that may either contract with or be a PBM. The PBM could have its own pharmacy that could compete with the patient’s selected community pharma-
cy. The PBM’s responsibility is to represent its client (the patient’s insurance plan). In theory, PBMs have access to prescription drug cost information and will set into contract what their network pharmacies are going to accept. On the
Today, the price consumers pay for prescription medications is no longer determined by traditional market and/or the relationships between the pharmacist and patient. other side, the insurance entity may pay the PBM for their services and may also provide the payment to the PBM for the cost of prescription drug claims by pharmacies. While the Association does not have access to this information, our members are suggesting that the actual cost of a prescription drug as determined by the PBM may be different from what is available in the market. PBMs may look at their drug pricing data and determine that a prescription drug price should be set at a certain level. This is what we call maximum allowable cost, or MAC price. The problem is that the purchase cost for some prescription drugs is never in stasis and will fluctuate considerably. The pharmacy may get paid for a prescription claim what the PBM has determined a prescription drug should cost, but what the phar-
Michael Jackson, B.Pharm
macy is invoiced by their supplier and paid for the drug could be much higher. There is no established process of relief for the pharmacy. What is the problem with MAC pricing? It is a mystery to pharmacies how MAC pricing is determined and set by the PBMs. This information may not always be disclosed to the pharmacy. The pharmacy may discover what they will be reimbursed only after they have purchased the drug and Aunt Martha brings in her prescription to be filled and billed by the pharmacy. MAC pricing lists are not being updated and synchronized with changes in market drug prices. For example: Today there may be two very similar drugs prescribed by the physician that can be interchanged. Tomorrow one of those drugs distributed by a manufacturer may be in short supExecutive Insight continued on p. 9 FEBRUARY 2015 |
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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 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..................................... Carol Motycka, St. Augustine Vice Chair.........................Jennifer Pytlarz, Herndon, Va. Treasurer...............................Stephen Grabowski, Tampa Secretary.........................Verender Gail Brown, Orlando Member..................................... Joseph Koptowsky, Miami Member..............................Rebecca Poston, Tallahassee Member....................................Cristina Medina, Hollywood Member................................. Norman Tomaka, Melbourne Member..............................Stuart Ulrich, Boynton Beach Member.......................Don Bergemann, Tarpon Springs Executive Editor.........Michael Jackson, Tallahassee Managing Editor.........................Dave Fiore, Tallahassee
This is a peer reviewed publication. ©2015, 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
Viewpoint, continued from p. 6
vider status, there is still some concern regarding what it would mean for the cost of medications.13 Patients are asking if costs would increase if pharmacists gain provider status. Pharmacists also have concerns regarding provider status approval. In the community setting, some pharmacists are concerned about an increased work load and fear a lack of consideration regarding restructuring of the community pharmacy model. Some pharmacists feel that the professional organizations have been focused on provider status, while decreased quality in the community work environment has received a lack of attention.14 Even with these concerns, a majority of community pharmacists believe obtaining provider status is important for the profession’s progression as dispensing medications continues to decrease in profitability. What can a pharmacist or student pharmacist do regarding provider status? The first thing is to increase public support through changing patients’ perspectives of pharmacy services. Public support is an important factor in having these bills pass into law. The second action that can be taken includes sending letters of concern and thanks to your Florida representatives and senators. Supporters can also join grassroots efforts such as “Pharmacists Provide Care,” to enhance attention regarding provider status. In order to stay abreast regarding the bills, follow updates from ASHP and the Florida Pharmacy Association. Advocacy tools are also available on the Florida Pharmacy Association website to help get the message to our Florida congressional representatives. n Abdullah Islami is a fourth-year professional Pharm.D. candidate from Florida A&M University. He is originally from New Smyrna Beach, Fla., and is a first generation Albanian-American. His goal is to obtain a pharmacy residency post-graduation. References
“H.R. 592.” Tracking the U.S. Congress. N.p., 28 Jan. 2015. Web. 10 Feb. 2015.
“S.314.” Tracking the U.S. Congress. N.p., 29 Jan. 2015. Web. 10 Feb. 2015. “The House Explained.” United States House of Representatives. N.p., n.d. Web. 11 Feb. 2015. “Get The Facts.” Http://www. pharmacistsprovidecare.com/facts. ASHP, n.d. Web. 11 Feb. 2015. Gallegos, Alicia. “Medical Experts Say Physician Shortage Goes Beyond Primary Care - February 2014 - AAMC Reporter - Newsroom - AAMC.” Medical Experts Say Physician Shortage Goes Beyond Primary Care - February 2014 - AAMC Reporter - Newsroom AAMC. AAMC, Feb. 2014. Web. 11 Feb. 2015. Hawkins M. A Survey of America’s Physicians: Practice Patterns and Perspectives. The Physician’s Foundation. Sep 2012 The Physician Workforce: Projections and Research into Current Issues Affecting Supply and Demand. U.S. Department of Health and Human Services. December 2008 Bureau of Labor Statistics. U.S. Department of Labor. Occupational Outlook Handbook. 8 Jan. 2014. Web. http://www.bls.gov/ooh/healthcare/ pharmacists.htm. 11 Feb. 2015 “Authorizing Legislation.” Health Resources and Services Administration. U.S. Department of Health and Human Services, n.d. Web. 14 Feb. 2015. Simpson SH. Majumdar SR, Tsuyuki RT. et al. Effect of Adding Pharmacists to Primary Care Teams on Blood Pressure Control in Patients with Type 2 Diabetes. Diabetes Care. 2011; 34(1) 20-26 Weaver, Krystalyn. “Policy 101: Collaborative Practice Empowers Pharmacists to Practice as Providers.” American Pharmacist Association. N.p., 01 Oct. 2014. Web. 11 Feb. 2015. Select Features of State Pharmacist Collaborative Practice Laws. Center for Disease Control. Web. www.cdc. gov/dhdsp/pubs/policy_resources. htm. Dec 2012. McDonough, Randy. “How Are You Perceived by Patients and the General Public?” American Pharmacists Association. How Are You Perceived by Patients and the General Public?, 22 Aug. 2014. Web. 12 Feb. 2015. Talsma, Julia. “Pharmacists Face Tougher 2014.” Drug Topic. Advanstar Communications Inc., 10 Dec. 2013. Web. 12 Feb. 2015.
Executive Insight, continued from p. 7
ply or, worse yet, discontinued by that manufacturer for any number of reasons. The remaining drug will then become a single-source product, which means, absent any competition, the price to the pharmacy will likely increase dramatically. The pharmacy cannot pass on that increase to the PBM, the plan sponsor or the patient, all of whom are held harmless to market changes in the cost of prescription drugs. How are consumers affected by this issue? You don’t have to be an economist to realize that routinely receiving payments for services that are provided routinely below cost does not make good business sense. Pharmacies caught in the MAC pricing squeeze may simply elect to not dispense or stock that particular drug product, resulting in access and availability issues. Why can’t pharmacies simply buy drugs below the MAC price? This question assumes that a pharmacy can shop for and purchase drugs from many sources and be lucky enough to find a drug product at the MAC price. Remember that the pharmacy does not know what that MAC reimbursement price is because it is not chasing the market cost of drugs. Also, a drug that is available for purchase in one region may not be available in all regions. What is an example of this behavior? Imagine that you are one of six local building contractors bidding on a project. The project involves construction of an educational center for a local middle school. You are contracting with a broker and not the school system. You are given the building specifications that include plumbing, fixtures, windows, framing, masonry, etc. You are paid for your labor, however, you are not told what you will be paid for materials until the job is done. When the building is finished, you discover that what you have been paid for materials is one third of what they cost you, but you must accept the lower payment. This is the problem with MAC pricing.
What is being done about this? House Bill 555 has been filed and is sponsored by Representative Matt Gaetz (R – Shalimar). This bill is very similar to language that was debated in the Florida Senate and nearly made it to the Senate floor during the 2014 legislative session. HB 555, if signed into law by Governor Scott, would require a contract between a pharmacy and PBM to: ■■ Define what a contracted pharmacy, MAC, PBM or plan sponsor would be ■■ Require a PBM to update MAC pricing every seven days and notify the contracted pharmacy with pricing updates ■■ Maintain a procedure to remain consistent with pricing changes in the marketplace by promptly modifying the MAC pricing information or, if necessary, eliminating products from the cost pricing list within three calendar days after a change if such products no longer meet the requirements ■■ PBMs also would have obligations in the proposed legislation when making a decision to add a drug to the MAC price list. This would include ensuring that drugs on the MAC list have at least three or more nationally available, therapeutically equivalent and multiple-source generic equivalents and: ■■ Have a significant cost difference; ■■ Are listed as therapeutically and pharmaceutically equivalent or “A-” or “B-rated” in the most recent version of Orange Book; ■■ Are available for purchase from national or regional wholesalers without limitation by all pharmacies in the state; and ■■ Are not obsolete or temporarily unavailable The contract between the PBM and the plan sponsor will also have some disclosure requirements identified in the law and include: ■■ An obligation to disclose the basis of the methodology and sources used to establish applicable MAC pricing ■■ Requirements to promptly update MAC pricing lists and provide the plan sponsor with those updated
■■
■■
lists if there were price changes An obligation to inform the plan sponsor if there were different MAC lists for mail and retail pharmacies (PBMs would be required to disclose this within 21 business days if this practice is adopted after a contract is executed) A disclosure that there is an identical MAC list used to bill the plan sponsor and pharmacy provider. If different MAC lists are used between plan sponsors and pharmacy providers, the differences between what the plan sponsor is billed and the pharmacy is paid will need to be disclosed to the pharmacy providers
There must also be an appeal process in the pharmacy’s contract with the PBM when there is a dispute related to MAC pricing. ■■ That appeal process should be limited to 90 calendar days after the claim is filed by the pharmacy ■■ Investigation and resolution of the dispute must be done within seven days after the appeal is received by the PBM ■■ The PBM must provide the pharmacy with a telephone number regarding the appeal ■■ If the appeal is denied, the PBM must provide the pharmacy with the reason for the denial and provide the NDC number of the product of the prescription drug that can be purchased at the price which is at or below the disputed MAC price ■■ If the appeal is upheld by the PBM, the prices paid to the pharmacy for the claim must be retroactively adjusted as well as claims by other similarly contracted pharmacies This language brings clarity to the mystery of how pharmacies are being paid. This bill is supported by the Florida Pharmacy Association. Members are encouraged to talk to their Florida state representative and ask for their support of HB 555. SB860 is the Senate companion bill sponsored by Senator Rene Garcia (R - Hialeah). n
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2015 Florida Pharmacist Legislative Day a Since 2002, volunteer pharmacists have been facilitating the Florida Pharmacist Legislative Day and Health Fair rally at the Florida Capitol in Tallahassee. The concept behind this event came from FPA leadership who realized that there were no longer any pharmacists serving in the Florida Legislature. Representative Everett Kelly (R– Tavares), who was first elected to the House in 1978 and whose term ended in 2000, was the last pharmacist to serve. This created an information desert on pharmacy issues. FPA leadership was not convinced that policymakers had a grasp on the contributions that pharmacists could make to society, which is crucial during floor debates on pharmacy issues. The answer from Florida leadership was to bring pharmacy services to the Florida Capitol where decisions on pharmacy issues could be made after seeing how our stakeholders can make a difference. Over the years, pharmacists and pharmacy students have taken time away from work and their studies to showcase the types of services available in today’s contemporary pharmacy practice. The Florida Pharmacist Legislative Day and Health Fair event is facilitated primarily by our state’s volunteers with some assistance from FPA and FSHP staff and leadership. Hundreds of health screenings are performed including, but not limited to, blood pressure, bone density, medication review, cholesterol/blood glucose and body composition analysis. The event is always open to the general public. Participants also experience how health care issues are discussed at the Florida Capitol and learn how advocacy groups debate legislative bills. It becomes clear to many that changing pharmacy laws is not an easy process and requires a tremendous amount of effort by our stakeholders. We are beginning to see many participants return annually. It has actually become a ritual for some and has fostered a real appreciation for the need for advocacy. This year’s Florida Pharmacists Legislative Day and Health Fair event will be March 9 – 10. More information is available on the FPA web site: www.pharmview.com.
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and Health Fair at the Capitol
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Campus Corner BY MICHAELOFJACKSON, RPH PHARMACY STUDENT BY NATHAN SELIGSON, UNIVERSITY SOUTH FLORIDA
Non-Traditional Internships Provide Unique Career Preparation Upon my matriculation at the University of South Florida College of Pharmacy, I found that I was a bit different from my classmates based on my specific career interests. I pursued an education in pharmacy because I wanted to be involved in the clinical implementation of pharmacogenomics, kinetics and metabolomics, concepts that were introduced to me in a number of courses during my undergraduate study at the University of Central Florida. Because of the specific vision I had for my career path, my internships during pharmacy school contrasted with those of my contemporaries. While my classmates were working in retail pharmacies and hospitals, I worked in laboratories, biotech startups and consulting firms. These experiences helped to mold me into the person I am today and also taught me skills that I may not have had the opportunity to gain otherwise. My first position while in pharmacy school was in the Clinical Pharmacokinetics, Pharmacodynamics and Pharmacogenomics Laboratory at the University of South Florida. While this opportunity was perfect for me given my career interests, the laboratory had only recently been opened. The experience of opening and beginning to run a lab was something that I had not seen previously and one that improved my skills in protocol development and submitting regulatory documents to university and federal administrators. The accurate navigation of red tape is an incredibly valuable skill for a pharmacist and one I encountered often in this position. As I approached the summer following my first year of pharmacy school, I was left wondering what opportunity I should take to further my pharmacy knowledge and grow as a professional. As fortune would have it, I met an individual who knew two Ph.D.’s, Dr. Philip Arlen and Dr. Melissa Kuchma, who were working at a small genome analytics startup, Revolution Medicine (formerly known as Pandora Genomics), in Orlando. After a brief introduction to these researchers through email, I asked to visit their facility to learn more about what they do. After thoroughly researching the company on the internet, I attended the meeting with the goal of convincing them that they needed an individual with a background in pharmacy to help them get the company off the ground. After seeing the company that Revolution Medicine had 12
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grown into, I pitched them the idea of hiring me as an intern. Fortunately, they both had positive experiences with pharmacists in the past and decided to hire me as an unpaid intern with the possibility of payment after I proved my value to the company. This was just the opportunity I was hoping for and I soon was working on pharmacoeconomic studies, clinicianoriented reports, studies to evaluate the effectiveness of their product and training new pharmacy interns. I truly believe that I could not have had a similar experience anywhere else and my time there strengthened my ability to work on a team, conduct independent research, design innovative products and be an expert within a company in my specialized area. My final internship consisted of assisting Dr. Daniel Buffington of Clinical Pharmacology Services in Tampa, Florida, in a few of the numerous services he offers as part of his practice. This was an eye-opening experience for me as I was able to see and assist with work in areas of pharmacy practice that I did not know existed. From working with insurers, to developing expert witness testimony in toxicology, to generating training materials for biotechnology companies, my work there forced me to grow as a pharmacist in many ways. Many of my tasks required me to solve complicated problems in both therapeutic and legal areas. Often these tasks required me to hone skills in data interpretation and the synthesis of clinical opinions where the answers were neither simple nor obvious, helping me to develop as a specialist in clinical pharmacology. Through the non-traditional internships I have been part of during my pharmacy training, I have been able to cultivate a diverse skill set that I believe has prepared me for my future career and would also have been well-served for other pharmacy students entering any area of practice. While the skills gained from participating in traditional internships are surely useful in the growth of a pharmacist, it is in less-common positions pharmacy students may be able to gain valuable and unique skills. As the definition of what the role of a pharmacist is continues to evolve, the skills of practitioners will need to reflect these changes and, in many ways, exceed them. My advice to pharmacy students and practicing pharmacists alike is to look beyond traditional career paths to the numerous areas of practice where a pharmacist is greatly needed. The skills gained in non-traditional positions are valuable to individuals as they develop as diversely proficient practitioners to employers who require highly skilled employees and to patients who desire care by well-rounded clinicians.
FPA Member Profile Melody Thompson
THE STATS Hometown: Baker, Florida Employer: Owner, Health Smart Pharmacy What do you value most about your FPA membership?
My FPA membership has always been of great value to me because the Association helps keep me informed on the current issues facing the practice of pharmacy. It’s so easy to stay in your own little practice setting and be totally unaware of upcoming issues and new information vital to our profession. The FPA educates and informs its membership of new legislation and pharmacy information that otherwise we might not be aware of.
What are some thoughts that you have on pharmacy as a profession right now?
Even though pharmacy is constantly facing decreasing reimbursements from third-party payors and increased regulations, I still remain optimistic about the practice of pharmacy. I enjoy counseling opportunities and sharing my experiences with students and future pharmacists. I truly believe that, in our current health care environment and with the shortage of providers, pharmacists will remain a vital part in providing information and help to patients.
What are you most excited about regarding the future of pharmacy?
I know in my small area we have had a recent decrease in medical providers and patients are the first ones to feel this deficit. They are lost in a quickly changing health care environment and have no idea where to turn or what to do. Pharmacists are still the most accessible health care provider and I enjoy this aspect. We can share vital information and really meet the needs of our patients.
What do you wish everybody knew about pharmacy?
I wish people knew the extensive training we go through and medical information we have. I also wish they knew the attention to detail we give to each and every patient, and even though we are more than
willing to help with their third party or insurance information, that is not our primary concern. We are part of their medical team and sometimes that may be overlooked.
What got you interested in pharmacy in the first place?
I had a close family friend who was an independent pharmacist. I watched him and the way he helped people in our area and his relationships with his patients. I worked with him in high school and in college. As I learned more about the profession of pharmacy and the various career opportunities, I knew it was the place for me. I have never regretted my decision to become a pharmacist and I’m thankful for the opportunities it has afforded me. Pharmacy has been and continues to be a very personally rewarding profession.
What do you think your patients would say about your practice?
I think they would say we try to provide good pharmacy services and go above and beyond to try to help our patients in any way possible. We offer immunizations and individualized compounded prescriptions as part of our regular pharmacy practice. I think they would say we are always striving to give them the best quality service concerning their medications.
What is the funniest thing that ever happened to you?
I was working with a very experienced veteran pharmacist when a woman approached the counter and asked about the various vaginal douche products. He suggested that she get one of the “oil and vinegar” douche products. Of course it took all I could do not to burst out in laughter. After the patient stepped away from the pharmacy counter, the other pharmacist turned to me and said, “Oh my goodness! Did I just recommend for that patient to douche with salad dressing?” Needless to say, that’s one counselling session I will never forget.
FEBRUARY 2015
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FLORIDA PHARMACY TODAY
Professional Liability | Business Protection Workers Compensation
Warn Patients about Risks of Prescription Drug Side Effects, Sleeping with Infants By Mike Carroll | Secretary, Florida Department of Children and Families In your work, you improve lives by ensuring prescriptions are prepared and dispersed correctly, as well as by counseling patients about how to take their medications correctly and safely. You know many medications have side effects – even deadly ones. One of those deadly side effects is child fatalities due to unsafe sleep, many times as a consequence of one or both parents taking sedating prescription drugs, mixing them with alcohol and sharing a bed or sleeping space with their young child. In 2013, 112 Florida infants died as a result of unsafe sleep. Not all of these deaths were the result of prescription drug use, but these deaths are perhaps the most preventable as we continue to educate parents – against a tide of common generational advice – about the very real dangers of unsafe sleep practices. First, the American Academy of Pediatrics recommends that all babies sleep alone, on their backs and in a crib with no toys, blankets, pillows, bumper pads or other items. Second, parents and caregivers must be vehemently warned about risks associated with certain prescription medications, especially when taken with alcoholic beverages. This combination is a clear recipe for disaster and could result in a finding of parental neglect, criminal charges and removal of children from the home. The death of a child is always a tragedy. When parents have to wrestle with the reality that their decisions and actions caused it, it’s a double tragedy. Here is an illustration, based on actual cases, of how an unsafe sleeping death can occur. Cindy, like many new mothers, was experiencing fatigue and had been prescribed Zoloft and Klonopin to treat her post-partum depression. One night when her exhaustion had peaked, Cin-
Your relationship with patients gives you the unique opportunity to educate them about the dangers of unsafe sleep practices, especially while they are taking certain prescription medications. Please consider counseling new parents when they pick up the following medications: Opioid pain medications including: Fentanyl (Duragesic®) Hydrocodone (Vicodin®) Oxycodone (OxyContin®) Percocet (Oxycodone with Acetaminophen) Oxymorphone (Opana®) Hydromorphone (Dilaudid®) Meperidine (Demerol®)
Central nervous system depressants including: Pentobarbital sodium (Nembutal®) Diazepam (Valium®) Alprazolam (Xanax®) Pregabalin (Lyrica®) Sleep aids including: Zolpidem (Ambien®) Temazepam (Dalmane®) Eszopiclone (Lunesta®)
dy took her medication with a glass of wine. Her husband had “night duty” with the baby, so she decided to have her son go to sleep with her, knowing her husband would get up and feed and change the baby then put him in his crib. When her husband came to change the baby, he found him caught up in bed sheets and motionless. Cindy had fallen into such a deep sleep that she never felt the baby there. The death was ruled an accident. Cindy’s baby’s death is another tragic yet preventable statistic. In response to such deaths, the Florida Department of Children and Families launched the Safe Sleep Campaign in collaboration with numerous state and local organizations including the Florida Medical Association, the Florida Obstetric and Gynecologic Society and the Florida Chapter of the American Academy of Pediatrics. The campaign offers educational materials and coordinates the donation of Pack‘N Plays for families in need. You can help by educating your pa-
Over-the-counter medications and alcohol may also increase risks. Disclaimer: This list is not inclusive of all medications that pose potential sedating risks.
tients about the dangers of unsafe sleep, especially when they have been prescribed a sedating medication. As a trusted medical professional, your advice and counsel could save a life. To learn more about unsafe sleep fatalities that have occurred in Florida, log on to the Child Fatality Prevention website where you can review five years’ worth of unsafe sleep cases reported to the Florida Abuse Hotline. You can search by county and use the information to work with your community to identify and develop more resources to reach parents with life-saving information and support. More information about the Safe Sleep Campaign and related resources are available at www.myflfamilies.com/ safesleep. Your profession presents you opportunities to make a difference every day for so many, and this information can help you go even further in protecting your patients and the smallest – and most vulnerable – members of their families.
FEBRUARY 2015
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Knowing What to Do: Improve Health Literacy By M. Jill Odom, PharmD
By now we’ve all heard the staggering statistics on the consequences of medication non‐adherence: 125,000 deaths per year and roughly $300 billion annually in direct and indirect health care costs. It has been reported that patients with chronic diseases are, at best, only adherent to their medications about half the time. In the midst of all those facts and figures, it can become easy to tune them out. But a surprising figure, something you probably don’t think about too often, should cause you to pause: according to the most recent national literacy surveys, 11 million Americans are illiterate, possibly due to language barriers or lack of education. Seeing this literacy deficit, it is easy to understand that a quick conversation educating the patient about diabetes or how metformin works is not as straightforward as pharmacists may think. Many of our patients can follow a direct instruction, such as “take one tablet twice daily,” but their understanding of these words may not be what the pharmacist assumes. Being in health care, it is easy to forget that not everyone knows what “sublingual” or “glucose” means. The solution comes from finding out the best way to communicate with patients in the short amount of time available for counseling. Before you engage in those conversations with patients, it might be helpful to know what information that patients are most interested in, and therefore likely to remember, include drug name, indication, potential benefits followed by potential risks, or adverse effects. Keeping in mind that the current national reading level is that of an eighth grader, pharmacists should be conscious of the terms they use. Additionally, it may be beneficial to have picture representations of common drug or
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disease mechanisms available for counseling purposes. Maintain patient preference and privacy at all times, but whenever possible, attempt to include family members or caregivers during counseling. This creates a system of support extending beyond the counseling booth. After counseling a patient, ask them to repeat back to you specific information that you covered to see how they interpreted your instructions. An essential component of empowering our patients to take charge of their personal health care is meeting them on their level. These are some simple steps pharmacists may take to achieve this goal and prevent medication non‐adherence.
Reprinted with permission from National Community Pharmacists Association in the March 2012 issue of America’s Pharmacist. For more information about NCPA, visit www.ncpanet.org.
FEBRUARY 2015
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CALL FOR ABSTRACTS FOR POSTER PRESENTATIONS For Florida Pharmacy Students
FLORIDA PHARMACY ASSOCIATION 125th ANNUAL MEETING AND CONVENTION
June 24-28, 2015 Renaissance World Golf Village Resort ♦ St. Augustine, Florida Poster Session: Friday, June 26, 2015 ♦ 11:00AM-1:00PM
The FPA Poster Presentations are open to PHARMACY STUDENTS ONLY. Complete and submit this COVERSHEET for each abstract submission. Submissions must be received no later than Friday, May 1, 2015. Abstracts will NOT be accepted after this date. Mail or E-mail this application along with the abstract submission to: Tian Merren Owens, MS, PharmD, Director of Continuing Education Florida Pharmacy Association 610 N. Adams Street Tallahassee, FL 32301 tmerren@pharmview.com
PLEASE TYPE
Contact Information: Presenter's Name (MUST BE A STUDENT):________________________________________________________________
□Entry Level Pharm.D. □ Post B.S. Pharm.D. Address: ________________________________________________________________________________________
City, State, Zip: ___________________________________________________________________________________ Telephone No: _____________________E-Mail Address: _________________________________________________ Abstract Title: ____________________________________________________________________________________ Poster Type:
□Clinical Research □Basic Science Research □Translational Research (Basic Science and Clinical Research)
Primary Author: __________________________________________________________________________________ (Students must be listed first to be considered for the Award. Presenter will be notified by mail of acceptance). Co-Author(s): _________________________________________________________ Student
□YES □NO
Awards:
Posters will be eligible for 1st, 2nd, and 3rd place prizes to be presented at Convention. (Only one prize is given for each winning poster)
Free Registration:
Three entry level students from each Florida College of Pharmacy will be eligible for a complimentary Florida Pharmacy Association Convention Student registration. (Student Registration does not include CE or hotel accommodations) I am interested in being considered for this registration:
College:
□YES
□NO
_____________________________________________________________________________
ABSTRACT FORMAT The abstract form submitted should be the equivalent of one page. The abstract should include: Title (Include authors’ names and name of College of Pharmacy), Purpose, Methods, Results, and Conclusions. Abstracts will not be accepted if it is not in this format. Do not include figures or graphs.
Please direct all questions and concerns to:
Tian Merren Owens ♦ (850) 222-2400 ext. 120 ♦ tmerren@pharmview.com DEADLINE DATE: FRIDAY, MAY 1, 2015 18
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FLORIDA PHARMACY TODAY
FLORIDA PHARMACY FOUNDATION
FUNDRAISER 2015 Honda Fit WHEN: WHERE: TIME: COST:
*Picture for illustration purposes only.
June 27, 2015 Florida Pharmacy Association Annual Meeting Renaissance Resort at World Golf Village 500 Legacy Trail • St. Augustine, Florida 32092 7:00 PM - 10:00 PM $100.00 per ticket (You must be 18 years or older to purchase)
The proceeds will benefit the mission of the Florida Pharmacy Foundation, which provides scholarships and other resources to pharmacy students and pharmacists throughout the state.
PAYMENT INFORMATION 2015 Honda Fit: $100 Per Ticket Check enclosed for _____ tickets, in the amount of $_________, made payable to the Florida Pharmacy Foundation. Please charge my: Visa MasterCard
______ Tickets, in the amount of $_____________________
Card Number __________________________________________ Exp. Date ___________ Security Code _______ Signature ______________________________________________________________________________________ Signature Printed ________________________________________________________________________________ Name __________________________________________________________________________________________ Address ________________________________________________________________________________________ City ____________________________________________ State _______________ Zip _____________________ Email ___________________________________________ Fax ___________________________________________ Work Phone _____________________________________ Home Phone ___________________________________ This event is sponsored by the Florida Pharmacy Foundation to benefit the Florida Pharmacy Foundation. Picture for illustration purposes only. All tickets as described below will be entered into the drawing for the 2015 Honda Fit no later than 4:00 p.m. June 27, 2015 at Renaissance Resort at World Golf Village, 500 Legacy Trail, St. Augustine, FL 32092. All entrants must be 18 years of age or older. Entry ticket holders need not be present to win; a winner who is not present will be notified by mail, phone and/or email. The Florida Pharmacy Foundation will receive any contributions in excess of the wholesale cost of the Honda. All taxes are the responsibility of the prize winner. Odds of winning depend on the number of entries received. The winner will be selected at random from eligible ticket entries. The drawing is governed by Florida law. The Florida Pharmacy Foundation reserves the right to limit the number of tickets distributed to each drawing entrant. The drawing is not conditioned upon disbursing a minimum number of tickets or on receiving a minimum amount of contributions. Neither the Florida Pharmacy Foundation nor Proctor | Honda of Tallahassee has any responsibility for incorrect, incomplete or illegible information on tickets; if a winner cannot be readily identified or located (as determined by the Florida Pharmacy Foundation), an alternative entry ticket will be drawn within 30 days of the initial drawing. By accepting a prize, the winner consents to the publication of his or her name and likeness as the winner of the prize. Winner is responsible for all state and local fees including tax and title. According to federal law, the price of the entry ticket is not tax deductible. Applicable federal income tax must be paid in order to receive the prize. No substitutions allowed. Void where prohibited or restricted by law. No purchase or contribution is necessary to win; such tickets may be obtained by written request only, stating “No Contribution - Florida Pharmacy Foundation Fundraiser,” mailed along with a stamped, addressed, business sized return envelope to 610 North Adams Street, Tallahassee FL 32301, and limited to one ticket per person. The individual in whose name entry is to be made must make the request; requests by one individual for another for “no contribution” entries are not eligible. “No contribution” tickets must be completed and received before Entry Cutoff. “Entry Cutoff” is three (3) hours before the drawing on the day of the drawing. All entries must contain name, mailing address, and phone number and must meet the criteria described above to be valid. The prize has been derived, in part, from donations to the Florida Pharmacy Foundation. A copy of the official registration and financial information may be obtained from the Division of Consumer Services by calling 1-800-435-7352, toll-free within the State of Florida. Registration does not imply endorsement, Approval, or recommendation by the State of Florida.
Florida Pharmacy Foundation | 610 N. Adams St, Tallahassee, FL 32301 | (850) 222-2400 | Fax (850) 561-6758
C A L L 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 in other than 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." The criteria established for this award is that the recipient be a Florida registered pharmacist and a member of FPA, who has rendered outstanding service to pharmacy within the past five years. 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.
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FLORIDA PHARMACY TODAY
F O R
N O M I N A T I O N S
■■ Candidate must have demonstrated
contributions to the Florida Pharmacy Association and/or other pharmacy organizations. ■■ Candidate must have demonstrated 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.
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 less. ■■ 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.
F P A
A W A R D S
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.
2 0 1 4 - 2 0 1 5
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. Applications 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, 2015 FPA AWARDS NOMINATION FORM I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION:
NOMINATED BY:
Name:
Name:
Address:
Date Submitted:
FOR THE FOLLOWING AWARD: (Nomination Deadline February 28, 2015) APhA Foundation and NASPA Bowl of Hygeia James H. Beal Award Technician of the Year Award
Signature: 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, 2015
FEBRUARY 2015
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S AV E
T H E D AT E — J U N E
24-28, 2015
125th Annual Meeting and Convention of the Florida Pharmacy Association Renaissance World Golf Village Resort
500 South Legacy Trail St. Augustine, Florida 32092 For room reservations call (800) 468-3571
JUNE 24-28, 2015 Florida Pharmacy Association 610 North Adams Street Tallahassee, Florida 32301
Phone: (850) 222-2400 Fax: (561) 6758 www.pharmview.com
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FLORIDA PHARMACY TODAY
NETWORK WITH COLLEAGUES
The Florida Pharmacy Association (FPA) is accredited by the Accreditation Council of Pharmacy Education as a provider of continuing education. The FPA is also a Florida Department of Health approved provider of continuing education and reports to CEBroker
Florida Pharmacy Association’s 125 ANNUAL MEETING AND CONVENTION Renaissance World Golf Village Resort, St. Augustine, FL June 24-28, 2015 th
Room Rates: $129 single/double occupancy for standard deluxe room. The room reservation deadline is Monday, June 1, 2015 or when room block is full. Thereafter, reservations may be taken on a space available or rate available basis. Please be sure to ask for the Florida Pharmacy Association group rate. All reservations must be accompanied by a first night room deposit or guaranteed with a major credit card. A deposit is refundable only if Hotel receives cancellation at least 72 hours prior to arrival. The check-in time is 4:00pm and the checkout time is 11:00 am. Room reservations can be made by calling (800) 266-9432. Guest self parking is complimentary. Valet parking is $10 per day/night.
Keynote Speaker:
JOHN H. ARMSTRONG, MD, FACS, was appointed by Governor Rick Scott as Surgeon General and Secretary of Health for the State of Florida on April 27, 2012. A graduate of Princeton University, the University of Virginia School of Medicine and the US Army Command and General Staff College, Dr. Armstrong believes that education and training are drivers for change. Dr. Armstrong came to the Florida Department of Health having previously served as the Chief Medical Officer of the USF Health Center for Advanced Medical Learning and Simulation in Tampa, where he worked to bring health care professionals together through hands-on team training. General Education Track Thursday - Sunday The general education track will offer courses designed to educate pharmacists on a wide variety of important topics pertaining to the profession of pharmacy practice. Specific courses being offered are Reducing Medication Errors, HIV/AIDS, and the always-popular offering of Florida Legislative Update. There will also be a New Drug Update course which focuses on the most recently FDA approved drugs introduced into the market. Consultant Education Track Thursday- Saturday The consultant education track will provide pharmacists with the most current information available on various topics that pharmacists encounter in the profession of pharmacy. The specific topics being offered include Nutrition, Pain Management and Autoimmune Disorders. There are 15 hours available for consultant pharmacists. Student and Technician Track Thursday – Sunday Students and Technicians will benefit from interacting with practicing pharmacists and attending student and technician focused continuing education programs. The technician track offers several hours of continuing education on a variety of topics, including the required courses for Florida registration and PTCB renewal: Medication Errors, Pharmacy Law and HIV/AIDS for initial renewal. The student track consists of several hours of fun and exciting continuing education, such as The Career Forum and the NASPA/NMA Game Show. Students will also have an opportunity to participate in the Patient Counseling Competition and showcase their Poster Presentations. Pre-Convention Education Wednesday Only Our traditional Wednesday program will focus on Pulmonary Disorders. Pulmonary disease affects all age groups. Pharmacists play a vital role in the management and patient education of pulmonary disorders. The hands on program will focus on the most current information evolving in the area of pulmonary disorders. The program will offer 7 hours of live continuing education credit. Register for this outstanding program and walk away with valuable knowledge for you and your patients with pulmonary disorders. A separate registration fee is required for the pre-convention program. Special Events Exhibits: Participate in our grand opening reception in the exhibit hall! Poster Presentations: Browse submissions from pharmacy students. Contact the FPA office for more information if you would like to submit a poster presentation. Awards Ceremony Reception: Honor outstanding practitioners during the awards presentation. President’s Breakfast: Attend the Sunday morning installation of new officers. Receptions: Enjoy catching up with your colleagues as the Universities entertain their alumni and friends, and as the FPA Foundation host its Speedway Tailgater. House of Delegates: Be a delegate or observer and see how important member participation is to the direction of the Association. Student Events: Participate in the Adopt-A-Student Mentor Social and Volleyball Tournament. Students will benefit from interacting with practicing pharmacists, attending student focused continuing education programs and learning first hand about the FPA and how involvement can improve their chosen profession. Call the FPA office and offer to mentor or sponsor a student. FPPC Reception: Attend this reception to support your Political Action Committee. 5K FUN RUN/WALK: Exercise is good for the soul. Incorporate health and fitness while at the FPA convention. FPA Golf Event: Join us Friday for the FPA Golf Event. Please register early to reserve your space.
FPA 125h ANNUAL MEETING & CONVENTION June 24-28, 2015 INFO (850) 222-2400 FEBRUARY 2015
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FPA 125th Annual Meeting and Convention June 24-28, 2015 St. Augustine, FL
1
5 Pre Convention -
Participant Participant Information Information
Name: _____________________________________________________ Name: _______________________________________________ Mailing Address: _____________________________________ Badge Name: _______________________________________________ City, State, Zip: _______________________________________ Mailing Address: ____________________________________________ Phone: (W)Zip: _____________________________________________ __(H)___________________ City, State, Email: _____________________________________________ (H)_______________________ Phone: (W) License: PS______________ PU _____________RPT_________ Fax: ______________________________________________________ NABP License:e-profile#____________________ PS________________ PU_________DOB Other(MM/DD)_______ State___________
Full____________________________________________________ Package Registration—Excludes Box 5 2Email: Full package registration includes Educational Programs (ThursExhibit Hall, Awards Reception and President’s Breakfast. 2 Sun), Handbooks are not included in full package registration.
Handouts will be available on our website, www.pharmview.com, the week of June 22, 2015. Before May 29 After May 29 Amount_ $_______
Wednesday, June 24, 2015
PULMONARY DISORDERS
Before May 29 � FPA Member with Full Registration $75 � FPA Member $140 � Non Member with Full Registration $100 � Non Member $190
After May 29 $95 $160 $120 $210
Pulmonary disease affects all age groups. Pharmacists play a vital role in the management and patient education of pulmonary disorders. The hands on program will focus on the most current information evolving in the area of pulmonary disorders. Total Amount: $__________
6
Special Events Registration
The events listed below must be purchased individually and are not included in any other registration packages.
House of Delegates
(Non-convention registrants)
Quantity
Price
Amount
_________
@ $25
$_______
Reception _________ Special Events Registration 6FPPC (Complimentary event, indicate if attending)
@ N/C
FPA Member
$320
$405
Non Member
$500
$585
$_______
The events listed below must be purchased individually and are not Golf Event in any other registration _________ $_______ included packages. @ $150
Pharmacist BEST Value
$515
$600
$_______
Christian RPh Breakfast
Quantity _________
Price @ $40
Amount $_______
Member Technician
$145
$180
$_______
PharmPACCE Luncheon Student Luncheon
_________
@@$60 $45
$_______ $_______
Non Member Technician
$165
$200
$_______
Technician BEST Value
$175
$210
$_______
Student
$135
$135
$_______
Guest (no CE)
$150
$150
$_______
$40
N/A
$_______
Guest Name: Handbooks
3(BEST Value includes Registration & Membership) indicate below which functions you will attend. These 3 Please functions are included in the Full Package. If no boxes are
selected, we will assume you will not attend any of the events listed below. Full registration package includes one ticket to each of these events. Please see box 7 for additional tickets.
House of Delegates (Thursday)
Exhibit Hall (Friday and/or Saturday)
#
Awards Reception (Saturday)
4
#_______
Before After President’s Breakfast (Sunday) June 27 June 27 I will not attend any of these functions. FPA Member $140 $150
# Amount
Non MemberEducation Daily
$_______
4
$195 $225 Registration
________
7
Total Amount: $
_____
Additional Tickets
The following events ARE included in the Full Registration Package. However, you must purchase additional tickets for guests who are NOT registered. Quantity Price Amount
Additional Tickets 7Exhibit Hall
@ $30 $_______ The following events ARE included in the Full Registration Package. Awards Ceremony @for $80 However, you must purchase additional tickets guests who$_______ are NOT registered.Breakfast President’s @ $50 $_______ Quantity Price A_______ Total Amount: $_______ _____
8
Contributions (Make
Foundation).
check payable to FL Pharmacy
Adopt-A-Student Program
Foundation
8 9
$_______
Daily registration include admittance$60 to functions or Member Technician does not $40 $_______ handbooks. Handouts will be posted on our website June 22. Non Member Technician $55 $75 $_______ Before After May 29 May 29 Amount Handouts $30 N/A $_______ Please select the day(s) you will attend: FPA Member $165 $185 $_______ Thursday Friday Saturday Sunday Non Member $220 $240 $_______
___________
Amount: $_______ Total Amount: $
Convention Polo Shirt (Deadline is May 29, 2015) Quantity
Yes
Price
______ @ $35
Payment Payment Check (To: FPA)
9
Amount: $_______
Discover
M/F
______
Size
______
Amount $_______
Total Enclosed: $______ Enclosed:$Visa Total MasterCard
Check#(To: FPA) MasterCard Visa AMEX Discover Account _______________________________________________ Account # ________________________________________________ Security Code _________________ Expiration Date ______________
Member Technician
$85
$105
$_______
SecurityAddress Code _________________ Expiration Date _______________ Billing ___________________________________________
Non Member Technician
$100
$120
$_______
Billing Address _____________________________________________ Signature _______________________________________________
Handbooks
$40
N/A
$_______
Please select the day(s) you will attend: Friday Saturday Thursday
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FLORIDA PHARMACY TODAY
Sunday
Four Ways to Register
Mail: FPA, 610 North Adams Street, Tallahassee, FL 32301 Phone: 850-222-2400 Fax: 850-561-6758 Web: www.pharmview.com
SELLING YOUR PHARMACY? Pharmacybrokers.com has contact with hundreds of pharmacy owners and buyers. We observe, follow and analyze the market and know where to find the best opportunities. If you are interested in purchasing or selling a pharmacy, ours is the brokerage firm best suited to meet your needs.
Representing Pharmacists, Pharmacies and Health Providers throughout Florida & the U.S. • • • • • • • •
DEA Hearings Contract Review DOH Investigations Disciplinary Matters Sale of Pharmacy Administrative Hearings Licensure Problems Forfeiture Defense
• • • • • • • •
Investigations NPDB Reports Board Hearings Civil Litigation Corporate Work DEA Defense Medicaid Audits Medicare Defense
George F. Indest III, J.D., M.P.A., LL.M. Retired JAGG officer, licensed in Florida, Louisiana, and Washington, D.C., Board Certified by the Florida Bar 30+ Years of experience, LL.M. from G.W.U.
The healTh law Firm
CONTACT US TODAY!
Main Office: 1101 Douglas Ave., Altamonte Springs, FL 32714 Phone: (407) 331-6620 • Fax: (407) 331-3030 Website: www.TheHealthLawFirm.com Branch Offices in Orlando and Pensacola
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David Owji | Broker-Owner | 877-955-4447 info@pharmacybrokers.com | www.pharmacybrokers.com
We accept HPSO insurance.
FLORIDA PHARMACY ASSOCIATION 125TH ANNUAL MEETING AND CONVENTION Renaissance Resort at World Golf Village St. Augustine, Florida
SAVE THE DATE: June 24- 28, 2015 FEBRUARY 2015
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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 Abbott Diabetes Care Hernan Castellon (305) 220-0414 PPSC Retail Pharmacy Purchasing Program (888) 778-9909
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
PHARMACEUTICAL WHOLESALER
PHARMACY CONSULTANTS HCC Pharmacy Business Solutions Bob Miller, BPharm, CPH (800) 642-1652 Empire Pharmacy Consultants Michael Chen PharmD., CPH President (855) 374-1029
TEMPORARY PHARMACISTS – STAFFING HealthCare Consultants Pharmacy Staffing Bob Miller (800) 642-1652 Empire Pharmacy Consultants Michael Chen PharmD., CPH President (855) 374-1029 Rx Relief (800) RXRELIEF
McKesson Drug Company Jim Springer (800) 804-4590 FAX: (863) 616-2953
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. 26
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FLORIDA PHARMACY TODAY
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”