February 2010 Florida Pharmacy Today by Florida Pharmacy Today

FEB. 2010

HAITI Pharmacists Respond to Tragedy

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florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint 7 Executive Insight 14 26 Call for Resolutions 27 Poster Abstracts 28 Buyer’s Guide

VOL. 73 | NO. 2 FEBRUARY 2010 the official publication of the florida pharmacy association

Features

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Pharmacists Respond to Tragedy Pharmacists, Funds Still Needed for Haiti Relief Efforts

FPA Press Release: Tampa Pharmacist Slated to Lead FPA

Florida Pharmacists Legislative Days and Health Fair 120th Annual Convention and Meeting Marco Island Marriott Resort, Golf Club & Spa Marco Island, FL June 30 - July 4, 2010

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FPA Calendar 2010

FEBRUARY 24

Advisory Council on Pharmacy Practice - Florida Pharmacy Council conference call

Florida Legislative Session Begins

10 - 11 2010 NACDS FlyinWashington, DC Washington, D.C. 12 -15 APhA annual meeting Washington, D.C. 15

Deadline to submit resolutions for FPA House of Delegates

Florida Pharmacists Health Fair

27 - 28 FPA Committee and Council meetings and Board of Directors APRIL 2

FPA Office Closed (Good Friday)

Legislative session ends MAY

2-4

NASPA Leadership Conference Austin, Texas

10 - 12 2010NCPA Legislative Conference Washington, DC 26 - 28 ASCP Midyear Clinical Conference Phoenix, Arizona 31

the

23 - 25 Pharmacy Legislative Day at the Florida Capital 24

Awards nomination deadline March

17-18 FPA Clinical Consultant Conference Tampa Airport Marriott

Memorial Day, FPA Office Closed JUNE

30 - 1 FPA Annual Meeting and Convention, Marco Island Marriott JULY 5

FPA Office Closed

10 - 14 AACP Annual Meeting Seattle, Washington 30

FPA Legislative Committee Meeting Orlando, Florida

For a complete calendar of events go to www.pharmview.com CE CREDITS (CE cycle) The Florida Board of Pharmacy requires 10 hours LIVE Continuing Education as part of the required 30 hours general education needed every license renewal period. Pharmacists should have satisfied all continuing education requirements for this biennial period by September 30, 2011 or prior to licensure renewal. *For Pharmacy Technician Certification Board Application, Exam Information and Study materials, please contact Ranada Simmons in the FPA office. For More Information on CE Programs or Events: Contact the Florida Pharmacy Association at (850) 222-2400 or visit our Web site at www. pharmview.com CONTACTS FPA — Michael Jackson (850) 222-2400 FSHP — Michael McQuone (850) 906-9333 U/F — Dan Robinson (352) 273-6240 FAMU — 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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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 is-

sues 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 Associa-

tion members to secure appropriate advertising to assist the Journal in its goal of self-support.

Advertisers FLORIDA DEPT. of HEALTH............................ 2 Healthcare consultants........................ 3 Kahan ◆ SHIR, P.L.......................................... 13

MEDICAL STAFFING.......................................... 8 PHARMACY PROVIDER SERVICES (PPSC)......................................... 11 philadelphia college................................ 2 Rx RElief.......................................................... 12

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

The President’s Viewpoint Guest Columnist Carol Motycka, Chair, Educational Affairs Council

Education Remains Association Priority

ith this year’s theme of “Collaboration is Key,” the FPA has made a great effort to focus on the many professions in health care that are geared toward the same goal of helping patients. Pharmacists understand the importance of collaborating in every health care setting. By bringing that focus into the education provided to members, the FPA is playing an important role in the evolution of our health care system. Many changes may be taking place in upcoming months in regard to health care, and without a collaborative effort by every profession, it will be difficult to maintain our ultimate objective, which is to ensure the best quality health care possible for our patients. Medication Therapy Management continues to play an important role in a pharmacist’s ability to properly treat patients. It is for this reason that the Educational Affairs Council continues to develop quality programming that includes this focus area. The Annual convention pre-programs will include current trends in Medication Therapy Management offered to those seeking additional education in this continually developing area. The remainder of the conference will include education from various health care providers such as registered nurses, dieticians, physicians, and of course, pharmacists. Their topics will include the areas of geriatrics, infectious disease, neurology, oncology, and endocrinology, and their discussions will include the importance of collaboration in the care of patients, particularly in regard to the pharmacist’s role. The FPA also recognizes concern by pharmacists in regard to federal health

care issues and will include programming on the many potential changes that are forthcoming. Third-party audits can be quite stressful for pharmacists. Therefore, a program focusing on surviving an audit will be included in this year’s program as well. The previous efforts of the FPA have paid off, and registration of pharmacy

Many changes may be taking place in upcoming months in regard to health care, and without a collaborative effort by every profession, it will be difficult to maintain our ultimate objective, which is to ensure the best quality health care possible for our patients. technicians has become a reality. With this milestone comes the realization that pharmacy technicians will also need annual education as a part of their recertification process. The Educational Affairs Council has been charged with stepping up this year to include excellent programming for pharmacy technician education throughout the year as well as a great track at the Annual Convention. One of the important topics presented at the Annual Convention

Carol Motycka

will focus on technicians and what can and cannot be done according to the law. It is well understood that an organization cannot flourish without new members. With the addition of our latest College of Pharmacy, LECOM, our member base will continue to grow and become stronger. It is with our voices that we can have the greatest impact, and the number of voices continues to grow stronger. The FPA continues to recognize the importance of our student pharmacists and the Educational Affairs Council continues to assist in the development of the numerous programs and events held during the Annual Convention. Aside from the student track of programming, a student mentorship program, student game show, student poster presentations, and student patient counseling competition continue to be an important part of the Annual Convention. Many pharmacist members have had F E B R U ARY 2 0 1 0

2009/2010 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 deligently all year long on behalf of our members.

Norman Tomaka.....................................Chairman of the Board of Directors Karen Whalen...............................................................................................FPA President Don Bergemann.....................................................................................................Treasurer Alexander Pytlarz..................................Speaker of the House of Delegates Dean William Riffee...................Vice Speaker of the House of Delegates Alexander Pytlarz................................................................................................... Speaker Preston McDonald, Director............................................................................ Region 1 Marcus Dodd-o, Director .................................................................................Region 2 Al Tower, Director ..................................................................................................Region 3 Raul N. Correa, Interim Director ................................................................Region 4 John Noriega, Director ......................................................................................Region 5 Chris Lent, Director...............................................................................................Region 6 Kim Murray, Director............................................................................................ Region 7 Joy Marcus, Director...........................................................................................Region 8 Ayala Fishel, Director...........................................................................................Region 9 Peter Iafrate............................................................................................. President FSHP Michael Jackson........................................Executive Vice President and CEO

Florida Pharmacy Today Journal Board Chair Designate....................................... Betty Harris, beejpharm@gmail.com Treasurer....................Stephen Grabowski, sgrabowski@seniormmc.com Secretary...................................................................Stuart Ulrich, Stuarx@aol.com Member............................................................. Don Bergemann, don@bceinfo.com Member.................................................Joseph Koptowsky, docjik1215@aol.com Member...............................................Jennifer Pytlarz, jlc_rxdoc@hotmail.com Executive Editor................Michael Jackson, mjackson@pharmview.com Managing Editor...................Dave Fiore, dave@fiorecommunications.com

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the opportunity to view or assist in these events and have found them to be extremely enlightening. The student pharmacists are also very grateful for the interaction they receive from member pharmacists. One of the most important methods the Educational Affairs Council utilizes in maintaining excellent programming is by ensuring top-notch speakers are invited to present. With the assistance of excellent FPA staff members including Tian Merren-Owens, PharmD, the Educational Affairs Council has been charged with continuing to locate experts who will present the most upto-date information in a manner conducive to learning. These experts are included in the FPA’s Speaker’s Bureau and are invited to speak when a topic in their area of expertise is of particular interest to members for an upcoming meeting. The Educational Affairs Council is always eager to hear from its members on topics or speakers that may be of particular interest and encourages this information be brought forward to the council or through evaluations at meetings or conventions. It is the FPA’s goal through the Educational Affairs Council to provide education on the latest and most pertinent topics presented by the experts in their field. Once again, the Council has achieved this goal and is proud to say that 20092010 may be the best year for education thus far. n

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

2010: Another Important Session for Pharmacy

n the horizon is the beginning of Florida’s 60-day legislative session firestorm. Each session has its own unique personality, and issues relevant to the practice and the business of pharmacy. Last year, it was Florida’s efforts to monitor controlled-substance dispensing with the passage of Senate Bill 462. During the 2008 legislative session, we saw new laws written that began regulating pharmacy technicians with Senate Bill 1360. In 2007, the focus was on House Bill 543, with a major revision to the pharmacy practice act allowing for immunizations to be provided by Florida licensed pharmacists. The year 2006 was primarily a defensive year where a number of unfriendly issues were circulating throughout the two-month legislative calendar. The FPA advocated against certain provisions in the proposed pharmacy common database law that would have created significant liability for pharmacists involved in load-leveling dispensing programs. That year we also argued successfully against a proposed law that would have required pharmacists to consult a sexual predator database prior to dispensing erectile dysfunction drugs. It is truly incredible that with all the bill proposals introduced and the hoards of advocacy organizations fighting over an ever-decreasing portion of state budget dollars, that anything of relevance gets done. With over 3,000 bills introduced, barely 10 percent ever get signed into law by the governor. In looking back at the past years, it is simply amazing that your professional organization has been successful in getting good policy written into law and bad policy pushed out the back

door. Still, there is a continuing effort to erode the autonomy of this profession through marginalizing pharmacy services and restrictions on practice standards. Lost in all this intense work to preserve the profession and business of pharmacy are our front-line practitio-

It is truly incredible that with all the bill proposals introduced and the hoards of advocacy organizations fighting over an ever-decreasing portion of state budget dollars, that anything of relevance gets done. ners who spend from eight to 14 hours daily trudging through muddy bogs of prescription drug benefit policies and business practices that clearly have limited value. Members have told us consistently of how patients stabilized on a prescription must now change to a preferred drug. Those patients have no knowledge of why this was done other than learning of claim denial from their prescription drug plan. It also is astonishing that a pharmacy will sub-

Michael Jackson, BPharm

mit a prescription claim to a plan on behalf of a patient who has patronized that business for years only to discover that the patient received a letter several days afterward from the plan with instructions to go to a competitor provider. Can you imagine any other business entity that has to deal with something like this? How aggravating do you think consumers would become if every time they attempted to fill their automobile gas tank and paid with a credit card that they got a letter or a message that they must purchase their gasoline at a competitor station. Remember the five coldest days in January? Let us imagine that you were filling your empty tank with gasoline and it suddenly stopped flowing when your tank became one-third full. A digital message on the pump screen instructed you to go across town to the “preferred” gasoline vendor. Don’t know about our friends in South Florida, but it got mighty cold here in Tallahassee. I F E B R U ARY 2 0 1 0

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

Membership Coordinator Ranada Simmons , ext. 110

Educational Services Office Assistant Stacey Brooks , ext. 210 Florida Pharmacy Today Board Chair Designate........Betty Harris, Lighthouse Point Treasurer...............................Stephen Grabowski, Tampa Secretary.........................Stuart Ulrich, Boynton Beach Member................. Don Bergemann, don@bceinfo.com Member..................................... Joseph Koptowsky, Miami Member...................................... Jennifer Pytlarz, Brandon Executive Editor.........Michael Jackson, Tallahassee Managing Editor.........................Dave Fiore, Tallahassee

This is a peer reviewed publication. ©2010, 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.

would hate to have to run across town in the cold just to get the top of my gas tank wet. The sad part is our members have to spend precious time try to explaining to their own customers why their health plan is doing things like this. Perhaps it is time to tell policymakers what in the world is happening in the current, contemporary practice and business of pharmacy. We hear your horror stories every day and share them with members of the Florida Legislature and Board of Pharmacy. What we need are more personal conversations between you and your state legislator. This dialog is the main piece of the advocacy puzzle that is missing. The FPA can build the bomb and light the fuse, but you can make it go BOOM! Plan to come to Tallahassee March 23 – 25, 2010, and be an advocate for your profession during our Legislative Day activities. n

We hear your horror stories every day and share them with members of the Florida Legislature and Board of Pharmacy. What we need are more personal conversations between you and your state legislator.

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Haiti

Pharmacists Respond to Tragedy Pharmacists, Funds Still Needed for Haiti Relief Efforts Source: American Pharmacists Association

Note: Within 72 hours of APhA’s call to action, more than 2500 pharmacist communications regarding offers to help refugees of the Haitian earthquake were received. Because of this overwhelmingly positive response from the pharmacy community, the organizers have asked that individuals be patient given the situation in Haiti and the need to rebuild systems in that country. This will be a long term effort and the names of volunteers will be shared with organizations seeking pharmacists’ assistance. If you would like to have your name added to the list (and have not done so already) you can submit your information via the Haiti Relief Volunteer Response form. If you are a member of a local disaster assistance team let your team know of your interest as well. Those wishing to help the people of Haiti at this time should also consider donating to the American Red Cross or one of the other relief agencies responding to the crisis.Pharmacists are needed (2-week stints are preferred but may not be required) at aid centers being set up in the Dominican Republic and Haiti that will serve refugees and victims of this week’s earthquake in Haiti. For those unable to commit that amount of time away from home, financial contributions to organizations such as the Red Cross are an excellent means of immediately helping those affected by this disaster.

he Dominican Republic, the second largest Caribbean nation after Cuba, shares the island of Hispaniola with Haiti. American relief efforts within Haiti are being coordinated by the U.S. Departments of State and Health and Human Services. Many of those displaced by the earthquakes are fleeing to the Dominican Republic, and teams of health professionals are arriving to provide acute care to earthquake victims and maintenance medications to refugees fleeing the disaster in Haiti and its capital, Port-AuPrince. The United Nations is coordinating the relief efforts. JetBlue and Spirit Airline are transporting teams of health professionals from New York City and other U.S. airports. Pharmacists and physicians are already on the ground in Haiti and the Dominican Republic. More pharmacists will be needed to assist the relief efforts, which are expected to last 6 to 9 months or longer. The organization representing the United Nations in coordinating the identification and placement of pharmacists and physicians was overwhelmed by the response received from pharmacists and asked for APhA’s assistance in coordinating the information from pharmacists. APhA has compiled a database with the information submitted by volunteers and has created an online form to streamline the submission by new volunteers. The information collected will be made available to organizations such as the UN and HHS, which are seeking

to place volunteers in the relief efforts. Those interested in volunteering for the relief effort (who have not done so already) should fill out the Haiti Relief Volunteer Response form. The relief coordinators ask pharmacist volunteers to be patient as the infrastructure for placing additional volunteers is being developed. The goal of the organizers is to maximize resources and safeguard the assets (address the safety of human and material resources). Pharmacists wishing to contribute financially to the relief effort have several options: ■■ To contribute $10 to the American Red Cross using your cell phone, text HAITI to 90999. ■■ Access the American Red Cross or InterAction websites and make donations there. ■■ Individuals or companies with goods (pharmaceuticals or medical supplies) or services (transportation, storage) to donate should access the Center for International Disaster Information website and/or contact federal officials at cip@hhs.gov. Consider providing that information to alerts@rxresponse.org as well. Do not use the Centers for International Disaster site if you wish to volunteer your service (instead, complete the Haiti Relief Volunteer Response form). ■■ Click here for the latest information on Haiti relief efforts from HHS. F E B R U ARY 2 0 1 0

Haiti

Haiti Diary: Pharmacy Perspective #2 Pharmacist finds rescue work challenging physically and emotionally. January 20, 2010 Hello everyone, I apologize for not updating you sooner. I’ve been and am a little tired. My work day has been averaging between 16 and 20 hours a day. This morning, while working in the U.S. Embassy, we got hit with a 6.1 earthquake, apparently. I know the earthquake hit; I just didn’t know it was a 6.1. Since our command center is on the 2nd floor and my cubical is near an outside wall, it was a very interesting feeling when the whole building started to move. Some things fell over, but no one was hurt. We understand some more damage occurred in the city. Many people have been working very hard to get care to the people out in the city and countryside. It is an enormous challenge in a country that had minimal infrastructure before the event. Many people have been thrown here with minimal preparation. A lot of my work for the past several days has been making sure everyone under our command is properly protected from malaria. This requires taking doxycycline. Additionally, immunizations need to be updated to include typhoid, hepatitis A, and tetanus. Now they want everyone to receive the H1N1 vaccine because of an apparent breakout in the country. I am finding that some of the military personnel who arrived in country quickly are without some basic comfort meds or any of the malaria prophylaxis. I was able to explain to my commander that we need to help and support everyone in this effort. So I’ve been playing pharmacist to many very appreciative Marines and Airforce, Army, and Navy personnel. The appreciation in the eyes of these young men and women is unbelievable. Many of them have recently returned from combat tours in Iraq and Afghanistan. And they tell me “Thanks for being here”!!! I don’t think they understand how much we all appreciate that they are now here, guarding us, and protecting us when we go out into the city. They are unbelievable members of our armed services, and they do it without blinking. Our teams are staged in several sites in the city. There are numerous other medical care sites being provided by other countries and groups; however, it does not seem to be enough. As I stated in one of my other e-mails, this country 10

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was in bad health care shape before; now it almost does not exist except for the groups that are now in country because of the earthquake. They don’t want us to drive, so we have to use local drivers for everything. Based on how that goes, I’m actually glad I’m not driving. Some of the biggest challenges are the people who are coming down here to help, but end up being part of the people in need. They come down unprepared, pampered by the life in the United States, and when they show up here and there is no 7 Eleven, everything falls apart. We have seen several of these people who have had to then be rescued. This is nothing like a domestic disaster, where at least you can drive a distance and then at least the world is somewhat normal. NOTHING down here is even near normal to life in the U.S. That has been very humbling. For example, we had a group of five Haitian men who came up to us at our Airfield Logistics base. That is where we are storing most of our supplies that have been delivered in country to support out operation. We needed some trucks loaded and some pallets unloaded and moved. The only payment they asked for was food and water. After they worked for awhile we made them take a break and get some water and gave them an MRE (Meal Ready to Eat) that the military uses for their troops. We noticed they only ate about half or less of the meals. So we asked them weren’t they hungry?? They told us that they didn’t want to eat it all and that they were saving it for some of their family members. Needless to say that they left with multiple MREs each and as much water as they could carry. Truthfully, water and food are more important than money. Now comes the emotionally challenging part. When taking the break we were talking with them. Four of the five had family members crushed and killed in the earthquake. One man lost his whole family, wife, and three children. One man lost his youngest son. You could see they grieved and probably needed to grieve more, but they had to think about their family members who are alive. Right now, at this moment, that is the most important thing ... staying alive. Working for our food and water was the best thing that had happened to them for the past week. We told them to come back tomorrow and we can see if we can put them to work. Several of us have agreed to give up most of our MREs for them while we are here. We are allowed three per day and I can barely eat one at this time.

Haiti As for food, I haven’t had a hot meal in more than 7 days. Nothing stronger than bottled water for the same amount of time. I assure you I can afford to miss some calories, but a hot meal does sound so good at this time. Tomorrow looks to be a big day. A lot going on--our team will be engaging in some of the most challenging areas. We are not allowed to travel at night any longer, and I’m ok with that. We had, let’s say, a challenging ride the other night. Thanks for the continued e-mails of support, comments, and prayer for me and my family. I appreciate that . Until next time, take care and goodbye from the U.S. Embassy in Port au Prince, Haiti. Bill William C. Drake, PharmD Chief Pharmacist, IRCT Haiti, U.S. Embassy-Haiti U.S. Humanitarian Medical Mission to Haiti Earthquake

Medical Supplies, Drugs Needed for Haitian Relief Efforts WHO Issues List Of Specific Items The World Health Organization has issued a list of the health supplies most needed in earthquake-stricken Haiti. Those considering donations of drugs and medical supplies should consult the list to see what is needed before contacting authorities to arrange transfers. The January 12 earthquake caused extensive damage to the Haitian capital of Port-au-Prince. Some estimates are that one-third of the 3 million people living in the city are affected by the quake. The WHO document contains a few specific medications but mostly comprises Foley catheters, IV equipment, and surgical supplies. WHO wants to be sure that supplies shipped to Haiti match local needs, as otherwise those trying to provide care there would waste valuable time sorting through unneeded items. Further information about making cash and in-kind donations is available on the ReliefWeb site and on the WHO website. Related resources on www.pharmacist.com

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In today’s business environment, getting your message in front of key decision makers in the community pharmacy industry is a challenge. PPSC has found that The Florida Pharmacy Journal is an effective way for PPSC to advertise directly to Florida pharmacists and pharmacy owners. It’s a key component of our strategy to inform existing and future pharmacy owners about how PPSC helps Florida pharmacy owners improve profitability, attract customers and sharpen their competitive edge. Thanks, Florida Pharmacy Today! – Bill Mincy, RPh DIRECTOR OF BUSINESS DEVELOPMENT PHARMACY PROVIDER SERVICES CORPORATION

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FLORIDA PHARMACY ASSOCIATION

Florida Pharmacists United to Improve Public Health and Patient Care

PRESS RELEASE Tampa Pharmacist Slated to Lead FPA Robert Parrado selected as President Elect of the Florida Pharmacy Association

Tuesday, February 16, 2010: Robert Parrado, BPharm of Tampa, Florida has been selected by the members of the Florida Pharmacy Association as its president elect. Parrado has been a registered pharmacist in Florida for 39 years and was a previous officer of the Hillsborough County Pharmacists Association. He was appointed to the Florida Board of Pharmacy by Governor Jeb Bush in December of 2000 and ended his term in 2009. He received the R. Q. Richards Award for Outstanding Achievement in the field of pharmaceutical public relations. Mr. Parrado has presented various topics related to drug abuse and misuse counterfeiting and internet diversion sponsored by Florida Pharmacists Association, National Association of Boards of Pharmacy, National Association of Chain Drug Stores, and The Federation of State Medical Boards. Mr. Parrado will be installed in office at the annual meeting of the FPA at the Marco Island Marriott, July, 4, 2010. CONTACT INFORMATION | MICHAEL JACKSON, BPHARM EXECUTIVE VICE PRESIDENT AND CEO 610 NORTH ADAMS STREET TALLAHASSEE, FLORIDA 32301 (850) 222-2400 PHONE (850) 561-6758 FAX WWW.PHARMVIEW.COM

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Florida Pharmacists Legislative Days and Health Fair

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Florida Pharmacists Legislative Days and Health Fair

Florida Pharmacy TodaY

Florida Pharmacists Legislative Days and Health Fair

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Florida Pharmacy Association

n o i t a r o b olla

120th Annual Meeting and Convention Marco Island Marriott Resort, Golf Club & Spa Marco Island, FL

June 30 - July 4, 2010 18

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Mark Your Calendar!

Collaboration is a process where two or more people or organizations work together in an intersection of common goals. Pharmacists collaborate with healthcare professionals in order to provide optimal patient care. Pharmacists are an integral part of the healthcare delivery system and make a powerful impact on improving patient’s quality of life. FPA would like to educate, equip and enhance pharmacists’ therapeutic knowledge with practical tools as they collaborate with other healthcare professionals and make a difference in patient care. FPA’s mission is to “serve, represent and assist pharmacists and pharmacy technicians to advance the profession and practice of pharmacy.” This year’s convention will offer a variety of important topics that will be applicable to your pharmacy practice setting. We are offering consultant and general continuing education hours, in addition to a pre-convention conference on Current Trends in Medication Therapy Management. Come and Collaborate at FPA’s 120th Annual Meeting and Convention!

FPA 120th Annual Meeting and Convention Schedule June 30-July 4, 2010

• Schedule is subject to change.

Wednesday, June 30, 2010 6 hrs GCE/TECH) 8:00am

Registration and Check In

8:45am

Welcome and Introductory Remarks

9:00am-4:00pm

Current Trends in Medication Therapy Management (MTM)

4:00pm-5:00pm

HOD Board of Directors Meeting

5:00pm-6:00pm

Florida Pharmacy PACCE Meeting

6:00pm-7:00pm

Budget & Finance Committee Meeting

6:00pm-8:00pm

Florida Pharmacy Foundation Annual Meeting

7:30pm-9:00pm

Officer’s Dinner

11:20am-12:20pm Education: 1 hr GCE/TECH Medication Therapy Management: A Call to Collaborate 11:20am-1:20pm

CE Provider Workshop

12:20pm-1:20pm

Lunch (Attendees on their own)

12:20pm-1:20pm

Annual Business Meeting

1:25pm-2:25pm

Education: 1 hr GCE/TECH/STC Keynote Address: Answering the Medication Use Crisis through Health Care Reform by Tom Menighan, Executive Vice President and CEO of APhA

2:30pm-6:00pm

Exhibit Hall Grand Opening

2:30pm-6:30pm

Journal Board Meeting

4:30pm-6:00pm

Adopt-A-Student and Mentor Social

7:00pm-8:00pm

Foundation Reception Social

Thursday, July 1, 2010

Friday, July 2, 2010

6 hrs of GCE/TECH or 3 hrs RC

8 hrs of GCE/TECH or 4.5 hrs RC

6:00am

Registration Desk Open

6:00am

Registration Desk Open

7:00am-8:30am

Education: 1.5 hrs GCE/TECH/RC Diabetes Management and Nutrition

6:30am-7:00am

Golf Tournament Practice

6:30am-7:30am

Christian Pharmacist Fellowship International Breakfast

7:30am

PACCE Golf Tournament

7:00am-8:30am

Education: 1.5 hrs GCE/TECH/RC Pharmacological Management of Atrial Fibrillation and Overview of Novel Anticoagulants

8:00am-10:00am

Education: 2 hrs GCE/TECH/STC NASPA/NMA Game Show

8:35am-10:05am

Education: 1.5 hrs GCE/TECH/RC Diabetes Management/How to Apply to Specialized Practice

10:05am-10:15am Break 10:15am-11:15am Education: 1 hr GCE/TECH Regulatory and Legislative Update

Consultant Track CODE KEY:

GCE = General Continuing Education

RC = Recertification Consultant

TECH = Technician

STC = Student Continuing Education F E B R U ARY 2 0 1 0

8:35am-10:05am

Education: 1.5 hrs GCE/TECH/RC Management of Atrial Fibrillation from the Electrophysiologist’s Perspective

Saturday, July 3, 2010 7 hrs of GCE/TECH or 6 hrs RC

10:00am-12:00pm Delegate Registration

6:00am

Registration Desk Open

10:05am-10:15am Break

7:00am-8:30am

10:15am-11:15am Education: 1 hr GCE/TECH/STC Health Care Reform: Wins, Losses, and Opportunities for Pharmacy

Education: 1.5 hrs GCE/TECH/RC The Collaboration of Medications in Treating Parkinson’s Disease

8:35am-10:05am

Education: 1.5 hrs GCE/TECH/RC Update and Review of the Pharmacological Treatment of Alzheimer’s Disease and Other Dementias

9:00am-11:00am

Pharmacy Career Forum

10:15am-11:45am Education: 1.5 hrs GCE/TECH/RC Principles of Geriatric Pharmacotherapy 11:15am-3:00pm

Student Patient Counseling Competition

11:20am-12:20pm Education: 1 hr GCE/TECH/STC Pharmacist Survival: 3rd Party Audits

10:05am-10:15am Break 10:20am-11:50am Education: 1.5 hrs GCE/TECH/RC Whose Job is it Anyway? Taking Care of HIV-infected Patient through Collaborative Practice: Part I

12:20pm-1:00pm

Lunch Break

1:00pm-2:00pm

Education: 1 hr GCE/STC How to Stay in the PHARMACY and Out of the COURTROOM

11:15am-1:00pm

Student Banquet/Awards/Scholarships

12:00N-1:00pm

Lunch Break

Education: 2 hrs GCE/TECH Reducing Medication Errors through Implementing a Continuous Quality Improvement Program

12:00N-1:00pm

Education: 1 hr GCE/TECH Board of Pharmacy Update

1:00pm-2: 30pm

Education: 1.5 hrs GCE/TECH/RC Whose Job is it Anyway? Taking Care of HIV-infected Patient through Collaborative Practice: Part II

1:00pm-3:00pm

Local Unit Leaders Meeting

2:00pm-3:00pm

Education: 1 hr GCE/TECH What Technicians Can and Cannot Do Under Florida Law

1:00pm-2:30pm

Education: 1.5 hrs GCE/TECH/STC Lead, Follow, or Get Out of the Way

2:00pm-3:00pm

Education: 1 hr STC The Clinical Pearls of Testing

1:00pm-2:30pm

Delegate Registration

3:00pm-5:00pm

FPA House of Delegates Education: 1 hr GCE/TECH/STC Issue Presentation (3:10pm-4:10pm)

2:30pm-4:30pm

House of Delegates Reconvenes

5:00pm-6:30pm

Past Presidents Reception (Invitation Only)

6:00pm-10:00pm

Awards Ceremony Reception THEME: AN EVENING IN MARGARITAVILLE Dress Code: Resort Wear Casual/ Evening Beach Attire

4:30pm-6:00pm

Student Poster Presentations

4:30pm-7:00pm

Exhibit Hall Opens

5:30pm

Golf Winners Announced in Exhibit Hall

7:00pm-8:30pm

PACCE Wine and Cheese Reception

8:00pm-9:30pm

University Alumni Receptions

CODE KEY: 20

GCE = General Continuing Education Florida Pharmacy TodaY

RC = Recertification Consultant

TECH = Technician

STC = Student Continuing Education

Sunday, July 4, 2010

9:35am-11:05am

4.5 hrs of GCE/TECH/RC

Education: 1.5 hrs GCE/TECH/RC Hospice and Palliative Care

11:05am-11:20am Break

6:00am

Registration Desk Open

6:30am-8:00am

President’s Breakfast and Installation of Officers

8:00am-9:30am

Education: 1.5 hrs GCE/TECH/RC The Pharmacist Role in Managing Acute and Chronic Pain

11:20am-12:50pm Education: 1.5 hrs GCE/TECH/RC Management of Febrile Neutropenia

WHO SHOULD ATTEND

Marco Island Marriott Resort, Golf Club & Spa 400 South Collier Boulevard Marco Island, FL 34145 (239) 394-2511 or (800) 438-4373 Room Rate: $149

• Community Pharmacists • Hospital Pharmacists • Consultant Pharmacists • Long Term Care Pharmacists • Oncology Pharmacists • Pharmacy Students • Pharmacy Technicians • Mail Service Pharmacists • Managed Care Pharmacists

ome kick off your shoes and explore paradise found at this one-of-a-kind Florida resort, now celebrating the completion of a $187 million renovation and redesign that has infused every moment here with the spirit of Balinese beauty, hospitality and well-being - and added even more wondrous experiences to this already acclaimed destination. Nestled on three miles of pristine Southwest Florida beaches, the Marco Island Marriott Beach Resort Golf Club and Spa is the perfect destination for a family vacation, a romantic retreat, a memorable meeting or an unforgettable wedding. With several renowned restaurants, championship golf, a world-class spa and a wide range of activities and amenities, Marco Island Marriott Beach Resort Golf Club and Spa now offers even more - including upscale shops for men and women, a freeform fantasy pool with views of the Florida Gulf, new dining options and completely redesigned and redecorated guest rooms.

F E B R U ARY 2 0 1 0

General Information General Information Room Rates

$149 (rate cut off date is Friday, June 11, 2010) The special Florida Pharmacy Association Group room rate is $149 single/double occupancy plus tax per night. Please be sure to ask for the Florida Pharmacy Association group rate. The check-in time is after 4:00pm and the checkout time is before 11:00am. Room reservations can be made by calling (800) 438-4373 or calling (239) 394-2511. Valet parking is $18 per car per day. Guest self parking is $12 per car per day.

Keynote Speaker

Tom E. Menighan, is Executive Vice President and Chief Executive Officer of APhA, a position he assumed July 2009. Mr. Menighan received his Bachelor of Science in Pharmacy from West Virginia University School of Pharmacy and a Masters in Business from Averett College. He represents and is the chief spokesman for the American Pharmacists Association. Throughout his career, Menighan has served volunteer roles within the profession of pharmacy, including president of APhA from 2001 to 2002 and a member of the APhA Board of Trustees between 1995 and 2003. Also, he was a senior staff member of APhA from 1987 to 1992.

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, Third Party audits, and a Board of Pharmacy Update as well as the always-popular offerings of Florida Regulatory and Legislative Update.

Florida Pharmacy TodaY

Consultant Education Track

Thursday- Sunday The consultant education track will provide pharmacists with the most current information available on various disease states and focus on collaboration with other healthcare professionals. Some specific therapeutic topics being offered include Diabetes Management, HIV/AIDS, Cardiovascular Disease, Neurological Disorders, and Oncology. There are 18 hours available for consultant pharmacists.

Student and Technician Track

Thursday â&#x20AC;&#x201C; 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 a course on What Technicians Can and Cannot Do in Pharmacy. The student track consists of 10 hours of fun and exciting continuing education. Some specific courses being offered include Pharmacy Law, The Career Forum, and the NASPA/NMA Game Show.

Reception entitled An Evening in Margarita Ville: Honor outstanding practitioners during the awards presentation. The dress code is resort wear casual or evening beach attire. Presidentâ&#x20AC;&#x2122;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 thank their supporters at a reception. House of Delegates: Be a delegate or observer and see how important member participation is to the direction of the Association. Student Events: 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. PharmPACCE Wine and Cheese Reception: Purchase a ticket to this reception to support your Political Action Committee. Golf Tournament: Join us Friday morning for the PACCE Golf Tournament. Please register early to save your space.

Pre-Convention Education

Wednesday Only Our traditional Wednesday program will discuss current trends in Medication Therapy Management (MTM). This outstanding MTM Program will offer 6 hours of live continuing education credit. Register for these programs and walk away with valuable information for your pharmacy practice. 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 students. Contact Tian Merren Owens in the FPA office for more information if you would like to submit a poster presentation. Awards Ceremony

The Florida Pharmacy Association is accredited by the Accreditation Council for Pharmacy Education as a provider of Continuing Pharmacy Education. Up to 31.5 contact hours are available upon successful completion of the program through attendance and submission of completed attendance forms. Statements of continuing pharmacy education will be mailed six weeks after the meeting. The Florida Pharmacy is also a Florida Department of Health approved provider of continuing education for pharmacists. This is an ACPE application based activity.

F E B R U ARY 2 0 1 0

C a l l

f o r

Pfizer 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. ■■                 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 reg-

istered 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:

Florida Pharmacy TodaY

N o m i n a t i o n s ■■

■■

Candidate must be a member of the Florida Pharmacy Association for at least 2 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 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 reg-

istered 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.

F P A

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 (9) 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:

A W ARDS

2 0 0 9 - 2 0 1 0

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.

perience with pharmacist candidates. The award is named in honor of long time FPA member Jean Lamberti for her effort in working with pharmacy students. Criteria

The Jean Lamberti Mentorship Award

Awarded to honor practicing pharmacists who have demonstrated innovation in pharmacy practice that has resulted in improved patient care. Criteria:

■■

The Jean Lamberti Mentorship Award was established in 1998 to honor those pharmacists who have taken time to share their knowledge and ex-

■■ The recipient must be an FPA mem-

ber.

■■ The recipient must serve as a role

model for the profession of pharmacy.

vative 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.

Innovative Pharmacy Practice Award

■■ The recipient has demonstrated inno-

Deadline FOR NOMINATIONS: February 28, 2010 F P A A W ARDS NOMINATION F ORM I am pleased to submit the following nomination:

Nominated by:

Name:

Address:

Date Submitted: Signature:

For the following Award: (Nomination Deadline February 28, 2010)  Bowl of Hygeia Award  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  Academy of Pharmacy Practice Practitioner Merit Award  The Jean Lamberti Mentorship Award  IPA Roman Maximo Corrons Inspiration & Motivation Award  Innovative Pharmacy Practice Award  Technician of the Year 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, 2010

F E B R U ARY 2 0 1 0

CALL FOR RESOLUTIONS TO THE 2010 HOUSE OF DELEGATES The House of Delegates Board of Directors will meet in March 2010 to review and approve resolutions for the Annual Meeting. The deadline for submitting resolutions is March 15, 2010! PLEASE NOTE THIS DEADLINE.

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:

Florida Pharmacy TodaY

CALL FOR ABSTRACTS FOR POSTER PRESENTATIONS For Florida Pharmacy Students

FLORIDA PHARMACY ASSOCIATION 120TH ANNUAL MEETING AND CONVENTION

June 30 - July 4, 2010 Marco Island Marriott Resort, Golf Club & Spa ♦ Marco Island, Florida Poster Session: Friday, July 1, 2010, 4:30-6:00PM

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 Monday, May 3, 2010. 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: MONDAY, MAY 3, 2010 F E B R U ARY 2 0 1 0

Buyer’s Guide florida PHARMACY TODAY

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

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

PHarmaceutical WHOLESALER

PPSC Retail Pharmacy Purchasing Program (888) 778-9909

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

PHARMACY CONSULTANTS HCC Pharmacy Business Solutions Dean Pedalino (800) 642-1652 Mobile: (727) 460-1855

TEMPORARY PHARMACISTs – STAFFING

INSURANCE

Medical Staffing Network (800) 359-1234

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

HealthCare Consultants Pharmacy Staffing Bob Miller (800) 642-1652

Rx Relief (800) RXRELIEF

LEGAL ASSISTANCE Kahan ◆ Shir, P.L. Brian A. Kahan, R.Ph., and Attorney at Law (561) 999-5999

FREQUENTLY CALLED NUMBERS AHCA MEDICAID PHARMACY SERVICES 2727 Mahan Drive Tallahassee, FL 32308 (850) 487-4441 www.fdhc.state.fl.us/medicaid/ pharmacy AMERICAN PHARMACISTS ASSOCIATION (APhA) Washington, D.C. (800) 237-2742 www.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 1-800-282-3171 http://ora.umc.ufl.edu/ pcc/fpicjax.htm National Community Pharmacists Association 100 Daingerfield Road Alexandria, VA 22314 703.683.8200 703.683.3619 fax info@ncpanet.org Recovering Pharmacists Network of Florida (407) 257-6606 “Pharmacists Helping Pharmacists”

Advertising in Florida Pharmacy Today Display Advertising: please call (850) 264-5111 for a media kit and rate sheet. Buyers’ Guide: A signed insertion of at least 3X per year, 1/3 page or larger display ad, earns a placement in the Buyers’ Guide. A screened ad is furnished at additional cost to the advertiser. Professional Referral Ads: FPA Members: $50 per 50 words; Non‑members: $100 per 50 words; No discounts for advertising agencies. All Professional Referral ads must be paid in advance, at the time of ad receipt. 28

Florida Pharmacy TodaY