The Official Publication Of The Florida Pharmacy Association NOV. 2010
Florida Pharmacy Technician Registrations Expiring Dec. 31, 2010
THE WALKWAY OF RECOGNITION
FPA OFFICE
YOUR NAME HERE
Have you been searching for just the right gift or thought of placing your name in perpetuity? If so, then consider purchasing an engraved brick for you or someone else. The main sidewalk at the Florida Pharmacy Association needs replacing. The Florida Pharmacy Foundation has undertaken the project to repair and beautify the sidewalk with engraved personal bricks purchased by pharmacists or friends of pharmacy. Engraved 4x8 bricks can be purchased for $250.00 each with the donor’s name engraved (3 lines available) or you could also purchase an engraved brick for someone you feel should be honored or remembered. The monies earned from this project will be used to fulfill the goals and future of the Foundation. There are a limited number of bricks available – so, it is first come first served.
ORDER FORM
The Walkway of Recognition
❑ YES, I want to order _______ concrete brick/s at $250.00 each. (Please copy form for additional inscriptions). PLEASE PRINT INSCRIPTION
The concrete bricks are 4x8 and can be engraved with up to 14 characters per line, three lines available, spaces and punctuation count as one character. Please find enclosed my check for $_________ for _________ bricks. PLEASE PRINT: Please charge my
❑ Master Card
CARD #
Contributions to the Florida Pharmacy Foundation are tax deductible as a charitable contribution for federal income tax purposes. Consult your CPA for complete details. Fed Emp. I.D. #59-2190074
❑ Visa EXP. DATE
AUTHORIZED SIGNATURE NAME ADDRESS CITY
STATE
PHONE (W)
(H)
Send to Florida Pharmacy Foundation, 610 N. Adams St., Tallahassee, FL 32301, or fax to (850) 561-6758.
ZIP
A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE.
florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint 7 Executive Insight 23 Buyer’s Guide
VOL. 73 | NO. 11 NOVEMBER 2010 the official publication of the florida pharmacy association
Features
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Making a 340B-Line to Lower Drug Prices: More Entities Eligible Under ACA FPA Official Ballot Election 2011 Open Letter to Florida’s Registered Pharmacy Technicians and Pharmacists
NOVEMBER 2010
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FPA Calendar 2010-2011
November 25 – 26 Thanksgiving Day Holiday FPA Office Closed December 4 – 5
5 – 9
FPA Law and Regulatory Conference Hyatt Regency Sarasota Sarasota, Florida ASHP Midyear Clinical Meeting Anaheim, California
14-15 Board of Pharmacy Meeting Gainesville, Florida 24 - 27 Christmas Holiday FPA Office Closed 31
FPA Office Closed for New Year JANUARY 2011
17
Martin Luther King Birthday FPA Office closed
of the Florida Pharmacy Today Journal FEBRUARY
8 - 9
Board of Pharmacy Meeting Location TBA
28
Awards Nomination Due MARCH
8
Legislative Session Begins
9 - 10 NACDS RxIMPACT Washington, DC 15
Last day to submit resolutions
15 - 16 Pharmacist Days at the Legislature 16
Pharmacists Health Fair at Florida's Capitol
19 - 20 FPA Council and Committee Meetings 25 - 28 APhA Annual Meeting Seattle, Washington
29 - 30 FPA Consultant Conference Sandestin, FL 31
Election Ballots Due
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: 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 Boardof 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 Healthcare consultants........................ 3 Kahan ◆ SHIR, P.L............................................ 9 PPSC.................................................................... 11 Rx RElief............................................................ 9
Change in Journal Printing Schedule Due to the importance and timeliness of the immunization study released last month, the Journal board decided to print the August issue in addition to posting it online as scheduled. This schedule change will result in the October, November and December issues of the Florida Pharmacy Journal being posted online and not printed. The next printed journal will be January 2011.
E-mail your suggestions/ideas to dave@fiorecommunications.com
The President’s Viewpoint GUEST COLUMNIST: Eric Alvarez, Professional Affairs Council Chair
G
Professional Affairs Council End of Year Report
ood day members. I hope your holidays will be happy ones. President Martinez has asked me to give you an update of our activities. For that, I’m both grateful and honored. As we look forward to the New Year we also begin a new set of challenges. I will discuss these issues toward the end of this report. More presently, it is important to recognize your team at the Professional Affairs Council, their dedication and communications with each other and me has made my job as Chair very easy indeed. The composition of our Council is as follows: pharmacists, educators, administrators, students and pharmacy technicians. Our first and only meeting (it was decided not to hold any meetings that were not face-to-face), was August 28, 2010. At the time, there seemed to be confusion on what was really expected of our team, therefore, the following clarifications were made. ■■ We, as well as all the other Councils, exist as “think-tanks” of the FPA. It was not our purpose to agree or disagree with House of Delegates or presidential directives. Our job was to find the most economic, professional, ethical and simplest way to carry those directives out. ■■ A definition of MTM needed to be clarified; it sounded “too much” like the old terms Cognitive Services and Pharmaceutical Care initiatives that were placed into motion some years ago. Although very beneficial to the profession, it did not form part of our “Practice Standards.” ■■ It was decided that continuity of charges is important, therefore a
■■
complete study and reassessment of this Council’s activities in 2009 and pending issues were addressed and acted upon. Tasks were defined and assigned to members of the team to report back to our next face-to-face meeting scheduled for March of 2011. Open communications between members and myself were kept open and remain an on-going event in a very successful manner.
As of today, the team has gone and represented the FPA in Tallahassee in front of the Board of Pharmacy and successfully advocated for a reduction in the number of hours a prescription department must be open from 40 hours to 20 hours. A completed set of minutes is included with this report. I hope that with the above explanation of direction, you, the membership, will appreciate how these minutes were conceived.
Eric Alvarez, Professional Affairs Council Chair
ACCOMPLISHMENTS: As of today, the team has gone and represented the FPA in Tallahassee in front of the Board of Pharmacy and successfully advocated for a reduction in the number of hours a prescription department must be open from 40 hours to 20 hours. The Florida Board of Pharmacy has opened rule development based upon our recommendations. We plan to continue to work with Broward County Pharmacy Association and the Board of Pharmacy to further reduce or completely repeal this Rule. One of our presidential directives was “To make Pharmacists INDISPENSABLE.” Our Council, wisely enough, understood and approved a monumental project, which will most surely bring this dream into a reality. Our Council proposes a set of “Pharmacist only” duties linked to the NPI of the individual pharmacist. We colNOVEMBER 2010
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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.
Karen Whalen.......................................................................... Chairman of the Board Humberto Martinez..................................................................................FPA President Robert Parrado........................................................................................ President Elect Don Bergemann.....................................................................................................Treasurer William Riffee.............................................Speaker of the House of Delegates Suzanne Wise............ Vice Speaker of the House of DelegatesPreston Preston McDonald, Director............................................................................ Region 1 Marcus Dodd-o, Director .................................................................................Region 2 Al Tower, Director ..................................................................................................Region 3 Raul N. Correa, Director ...................................................................................Region 4 John Noriega, Director ......................................................................................Region 5 Chris Lent, Director...............................................................................................Region 6 Kim Murray, Director............................................................................................ Region 7 Raul Gallo, Director.................................................................................................Region 8 Zachary Eisenman, Interim Director........................................................Region 9 Alissa Fuller................................................................................................ President FSHP Michael Jackson........................................Executive Vice President and CEO
Florida Pharmacy Today Journal Board Chair................................................................. Betty Harris, beejpharm@gmail.com Vice Chair...........................................Jennifer Pytlarz, jlc_rxdoc@hotmail.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 Executive Editor................Michael Jackson, mjackson@pharmview.com Managing Editor...................Dave Fiore, dave@fiorecommunications.com
lectively believe that if your NPI number (not the pharmacy’s) is included in certain key activities, then you will not only assume responsibility, you will also be indispensable. Duties such as billing, MTM, (too late for immunizations, it has already become a “product”, not a professional activity), lab interpretation, CLIA related activities such as finger stick blood testing for hyperlipoedemia, diabetes, urinalysis, protein through hair samples, etc. We feel a “New World” of Cognitive Services, oops!, Pharmaceutical Care, oops!, I mean, Medication Therapy Management, should surface as a new frontier for Pharmacists to explore. In our vision, Pharmacists, payors and employers would “partner” in bringing these new and not-so-innovative services to our patients. We are anxious to see that these services do, not form part of an elaborate product-oriented marketing service. Pharmacists, payors and employers must learn when and how to divide the professional vs. the product. As Chair, I have been asked and selected by the APhA to do a series of radio messages in our area that will continue to enhance and bring Pharmacy into the spotlight in a positive way in our region of the state. Carmen Aceves from our Council was gracious enough to allow me. CHALLENGES: ■■ Draft language from the Department of Health (DOH), which opens the door to increased regulation, additional training for Prescription Dept. Manager, removing health care decisions from pharmacists in what to dispense, increased probabilities of fines and disciplines. ■■ Government employees been mandated where to acquire their medications disregarding the “any willing provider” proviso in the Rules.
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Executive Insight By S. Garcia, PharmD byAngela michael jackson, RPh FPA Member and Assistant Professor, Nova Southeastern University
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Legislative Events: Impacting Student Pharmacists
t is difficult to recreate the magic from the Pharmacists 2010 Legislative Days and Health Fair for members who were not able to attend this year; even more of a challenge to do so for student pharmacists who have never attended a grassroots legislative event before. The plan is to attend and impact those who make decisions on our profession; but the reality is we walk away with an impression of how our profession is perceived by others. Nova Southeastern University (NSU) students joined their student colleagues from other Colleges of Pharmacy in Florida (Florida A&M, UF, Palm Beach Atlantic, and LECOM) again this year and from what they shared after returning home, walked away with much more than they anticipated.
in a health fair for legislators and members of the community. Although all the NSU students had prior experience in patient-care projects providing screenings in the community, none of them had actively participated in the legislative process, or clearly understood what their roles would entail once “on the hill.” Many students prepared themselves by learning key terminology, the structure of legislation and legislative process, and discussed these issues during the 11-hour drive to Tallahassee. Still, many of these concepts were abstract and had no direct personal meaning or application until the moment they walked into the offices of the legislators. “After attending FPA Legislative Days and Health Fair, I was inspired and overwhelmed with appreciation and pride in the profession of pharmacy. I saw how essential it is for every pharmacy practitioner and student to stand up for the rights and privileges we work so hard to sustain.”
“What you do not realize as a pharmacy student is the impact that legislators may have on the way you practice as a licensed pharmacist. By attending this event in Tallahassee last March, we finally realized the importance of being an active member of the — V e ro n i c a Z o l o t u s h k i n a Florida Pharmacy Association. As students, we were proud to stand in our white coats that day, not representing a specific college “This was my first time being exposed to but instead a thriving profession.” politics. I was extremely overwhelmed and – Gi na Pet t in EO was very nervous. It was an eye-opening experience for me. It made me realThe student grapevine (a most curi- ize that changes are made daily, and if we ous means of highly effective commu- are not aware of these changes, our career nication from upper classman to low- that we’ve worked so hard for may be taker classman) prepared the students for en away.” some of the tasks that lied ahead: or– Y vo n n e P h a n ganizing themselves from missing lecture, participation in training sessions Indeed, the students have their own for screening equipment and traveling “small government” in the form of Stufrom South Florida by car to participate dent Government Associations and var-
Angela S. Garcia, PharmD
ious student organizations, and have an idea of making decisions, establishing rules and coming to a sense of collective representation. However, trying to understand the basics of legislation at the state level, and in terms of the profession of pharmacy, were almost too abstract for the students to initially grasp. I would be willing to bet a good amount of money that none of them were prepared to walk away with the “gift of awareness.” Self-awareness, professional competence awareness, awareness created during the education of legislators of what clinical services and patient care means to the new era of pharmacists, and unfortunately, the lack of awareness of what seems “everyday practice” for pharmacists and student pharmacists by just about everyone else around them.
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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
Membership Coordinator Ranada Simmons , ext. 110
Educational Services Office Assistant Stacey Brooks , ext. 210 Florida Pharmacy Today Board Chair..................................Betty Harris, Lighthouse Point Vice Chair.................................. Jennifer Pytlarz, Brandon Treasurer...............................Stephen Grabowski, Tampa Secretary.........................Stuart Ulrich, Boynton Beach Member................. Don Bergemann, don@bceinfo.com Member..................................... Joseph Koptowsky, Miami 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. Florida Pharmacy Association
610 N. Adams St. • Tallahassee, FL 32301 850/222-2400 • FAX 850/561-6758 Web Address: http://www.pharmview.com
“I discovered the impact that knowledge shared with our legislative leaders can have. I also learned that similar to most people, legislators only know what they are being told. If we don’t express to them the importance of our position then there is a good chance they will not be aware of it.”
Flor i d a P h a rm a c y To d a Y
– T e j a l Pat e l
– K e n n e t h H ug h e s
“Even though we got a chance to speak to the representatives, I wish we had more individualized conversations. This will allow the student the opportunity to begin to formulate a compelling argument about why the issue is important and will feel more comfortable when communicating these ideas to their representative.”
– K i r k L at i b e au di e r e *
“I hope seeing the training and services we provided, above the common assumption of the pharmacy job description, will help the representatives and senators appreciate and consider utilizing pharmacy more effectively when considering a cost effective and safe alternative of providing healthcare to the community. It was disappointing to see how little was known about the pharmacy profession and how underutilized our services are.”
– O l g a R e d k i n a W ydn e r
The students were challenged by their limited knowledge of the legislative process, and of the meaning behind the “talking points.” As a member of the FPA and a faculty advisor, I try to lead students to the place I want them to go, but I allow them to take in the experience for themselves. I would much rather say, “Believe this; think this; do this” and leave out growing pains, frustration and valuable lessons to learn along the way. However, if it doesn’t belong to them, it dies the day we leave the hill instead of becoming a part of them, and they themselves becoming a true part of their profession. “I went to Tallassee not knowing what to expect; I found my niche in pharmacy school. For the past three years, I have been won-
“I was nervous and stuttering, but I tried to get my point across the best I could. I honestly believe I would not be as aware of the issues that revolve around pharmacy if I did not attend this event.”
– Ann Tran
For the students to believe, think and do, they must experience it on their own terms. They must be pure of heart, naïve to influence and humble in their existence. Although they received mentorship, not only from the faculty advisors who attended the trip with them, but some key FPA members who reached out, perhaps the most profound impact was from direct conversation with members of the Senate and House. “[FPA] mentors were very influential to us by enhancing our experience and inspiring us to get involved. The most empowering experience is when lawmakers asked some of us how we felt about the legislation. That is when you finally realize the impact you have on your profession.”
– Gi na Pet t in eo
“Having the opportunity to talk to different representatives in the state of Florida and being able to express concerns about the new laws that may affect me as a future pharmacist and within the community I will practice, was a wonderful experience that has opened my eyes. I learned more about the laws affecting pharmacy and was able to show my concern as a student.”
– B i n a l Pat e l
All of the NSU students were given the opportunity for reflection upon their return from the FPA legislative event. They were able to specifical-
*EDITOR'S NOTE: The Florida Pharmacy Association was pleased to have Kirk with us for a 4 week intern rotation in September and October.
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dering what I would do when I graduate, and after being in a legislative environment for the first time, I found what I love to do. It was intriguing to see how laws that impact our profession are made, and who is making them.”
ly identify the moments they felt most eas, although we were the smallest group.” connected to their profession. Many – Dav e n Saw h students became acutely aware of how they serve the profession now and how they can continue to influence how the “If we take our profession for granted and profession is practiced in the state of do not fight to move it forward, we will be Florida for years to come. Still for others, reversing all the progressive strides made it was finding a voice and becoming an by pharmacy leaders in the past, as well as advocate for the first time. opening the door for others to decide how we practice. That is why we must share our experiences with others and become men“One highlight for me was the ability to see tors that will lead the way for future leaders firsthand the action in the House and Senand loud voices for our profession.” ate and how effective our contributions – V e ro n i c a Z o l o t u s h k i n a can be (i.e. speaking with congressmen and women. We made an impact and opened eyes in the capital” “At NSU, we came back and spoke to our – J u li a nna C r ain classmates. We shared our experiences and the impact that the FPA made on us. Our hope is that every graduating student could “Pharmacists have a legislative role, and we experience this event in order to underare still very under-represented as a professtand the significance of lobbying for your sion. As students representing NSU, I saw profession.” that we were very knowledgeable in all ar– Gi na Pet t in eo
JOIN TODAY! Florida Pharmacy Association EDITOR'S NOTE: The leadership of the Florida
Pharmacy Association encourages members to participate in the 2011 Pharmacist Day at the Legislature on March 15 - 16, 2010. There will be 1.5 hours of
continuing education offered and a chance to visit the Capitol where health care lawmaking takes place.
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NOVEMBER 2010
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Making a 340B-Line to Lower Drug Prices: More Entities Eligible Under ACA Before Lisa Scholz, PharmD, MBA, was Vice President of the Health Resources and Services Administration (HRSA) Pharmacy Services Support Center (PSSC) at APhA, she was Administrative Director of Pharmacy Operations for the Harris County Hospital District in Houston. She’s seen firsthand the human impact of the 340B Drug Pricing Program. “People had medicines that normally they wouldn’t be able to get,” Scholz told Pharmacy Today. “People were excited that there was a place they could go to get medications. This program gave them hope.”
in other words, more than one contract pharmacy—effective April 5. Entities qualified for 340B pricing save an average of 25% to 50% on outpatient drugs, according to HRSA’s Office of Pharmacy Affairs (OPA). Savings from the program are used to reduce drug prices for patients or to pay for clinical pharmacy services by showing the health-system administration, “Here’s the savings, and we’d like to add a clinical pharmacist [to the interdisciplinary team] because there are even more savings that can be realized when a patient has comprehensive care provided,” Scholz said.
“People had medicines that normally they wouldn’t be able to get,” Scholz told Pharmacy Today. “People were excited that there was a place they could go to get medications. This program gave them hope.” The 340B program, established by federal law in 1992, reduces the cost of drugs for covered entities through discounts from manufacturers who also participate in Medicaid. Recent reform of the program, under both the health care reform law and separate but related regulations, increases patient access to the discounted drugs. In the Affordable Care Act (ACA), sections 7101, 7102, and 7103 expand 340B participation to four new types of covered entities, improve 340B integrity, and require a study by the Government Accountability Office (GAO) to recommend improvements to 340B, respectively. Elsewhere in ACA, 340B prices are affected. In addition, not long before the law was passed, HRSA issued a regulation permitting covered entities to have multiple contract pharmacies— 10
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Expanding participation Under ACA, four new types of entities are now eligible to enroll in 340B: freestanding cancer centers, critical access hospitals, sole community hospitals, and rural referral centers (see page 64 of the September 2010 Today). On September 1, 2009, children’s hospitals became eligible, although they are listed as new covered entities in the health care reform law. According to a controversial provision in ACA, the new covered entities will not be able to receive discounts on approximately 350 orphan drugs— drugs used to treat rare, or orphan, diseases. The following previously eligible entities will still receive discounts on orphan drugs: consolidated health centers; federally qualified health centers (FQHC) or FQHC look-alikes; family
planning projects (Title X); Ryan White Care Act Parts A, B, C, and D programs; black lung clinics; comprehensive hemophilia diagnostic treatment centers; native Hawaiian health centers; urban Indian organizations; certified tuberculosis clinics; certain disproportionate share hospitals (DSH); and certified sexually transmitted disease clinics. Because the new covered entities won’t receive discounts on orphan drugs, they have “a more complex decision on how or whether to participate,” Christopher Hatwig, MS, BPharm, FASHP, Vice President of Apexus, the Prime Vendor Program (PVP) contractor for HRSA, told Today. PVP works with manufacturers to provide what can be another 15% reduction in price below the 340B price on critical drugs that are widely used. “You need to be careful in reviewing what savings opportunities are there before making the decision to go through the process of joining” 340B, Hatwig said. “If you can’t buy orphan drugs at 340B pricing, you need a separate account to buy products through a GPO [group purchasing organization]—an alternative arrangement for orphan drugs at some kind of discount if you can.” In Congress, there’s bipartisan support to restore orphan drug 340B discounts for children’s hospitals, Ted Slafsky, MPP, Executive Director of Safety Net Hospitals for Pharmaceutical Access (SNHPA), told Today. Senator Scott Brown (R-MA) introduced such a bill with other Republican senators. Meanwhile, Senator Sherrod Brown (D-OH) and a number of Democrats wrote a letter to Senate Majority Leader Harry Reid (D-NV) “saying please let’s get this thing fixed,” Slafsky said. The argument is that children’s hospitals became eligible before ACA and so did not technically become a newly covered enti-
ty in the law. The House of Representatives has twice passed legislation that would amend the law, according to an August 5 article in the Hill. As for rural hospitals, Slafsky said, SNHPA and the National Rural Health Association sent a letter October 12 to Department of Health and Human Services (HHS) Secretary Kathleen Sebelius urging HHS to play an active role in helping to remove the orphan drug ban for these facilities, too. Medicare DSH adjustment percentage criteria are another aspect of eligibility for the newly covered entities. According to SNHPA’s website, sole community hospitals and rural referral centers now require a percentage of 8% to qualify for outpatient 340B discounts, while the minimum percentage for other hospitals currently eligible for the discount, including freestanding cancer hospitals and children’s hospitals, will remain at 11.75%. Critical access hospitals don’t need a DSH percentage, and therefore most are eligible for 340B. More than 14,000 covered entities participated in 340B before ACA; ap-
proximately 11,000 of those participated in PVP, Hatwig said. “Several hundred new covered entities will be eligible for outpatient discounts” after ACA, according to SNHPA’s website. Currently, more than 2,500 contract pharmacies participate in 340B, Scholz said. But not everyone is pleased by the increased access. The expansion of the program is “seen as positive by the new stakeholder covered entities and organizations that advocate for them,” Scholz said. “Likewise, since the program expanded, it requires the manufacturers to pass along savings to hospitals that did not participate in the past.” 340B Prices The 340B price, also known as the ceiling price, is the most that a covered entity can pay for a covered drug purchased through the 340B program, according to PVP’s website. Drug companies calculate 340B discounts quarterly. Discounts are determined by a statutory formula in which the Medicaid unit rebate amount is subtracted from the average manufacturer price (AMP), ac-
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cording to OPA. ACA changes both the Medicaid unit rebate amount and AMP, which affects 340B prices—“the main concern for DSH hospitals,” Scholz said. PVP will know what the net impact on 340B prices will be after the 340B pricing is analyzed once manufacturers have fully implemented their changes to the AMP calculation later this year, Hatwig said. The changes to the mandatory rebates lowered pricing by 9.4%, and the increase to AMPs is expected to have an opposing effect on the ceiling pricing. Drug manufacturers must report their unit rebates and AMPs to CMS, and are asked to voluntarily supply this data to OPA. In the 340B integrity provisions, ACA requires that the government publish 340B prices on the OPA website, according to SNHPA’s website. Integrity in the 340B program will ensure that both manufacturers and covered entities are protected, Scholz said. “The manufacturer sometimes miscalculates the price charged to 340B covered entities, and when it is retrospectively discovered, a refund is nec-
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essary. This is not uncommon. We have also seen a case where the covered entity wrongfully utilized the 340B medications. Integrity provisions will ensure” that if a covered entity is owed a refund it is paid, and that if a 340B entity should not use 340B, the manufacturer is refunded. Under ACA, HHS must develop a system to ensure accurate pricing by manufacturers in the program. HHS must issue regulations to establish a formal dispute resolution process for overcharges by manufacturers to covered entities and must establish a refund process when there is an overcharge. In addition, under ACA, covered entities can be held accountable for inappropriate use of 340B medications, including reimbursement to manufacturers, or even disenrollment from the program, if they knowingly don’t follow the law. Other issues The GAO study required by ACA will address the role of the 340B program after health reform, among other questions, according to Slafsky; SNHPA believes 340B should be expanded. As for pharmacy’s perspective, Scholz said, “there is limited information on what pharmacy hopes GAO will suggest, but pharmacy organizations across the spectrum have been supportive of the program.” Meanwhile, the impact of the April 5 guideline allowing multiple contract pharmacies is huge. “I think there will be many hospitals that ran their own internal pharmacies that will elect to outsource to a chain or even an independent,” Hatwig said. “It’s going to improve access for all the entities for 340B drugs,” especially for patients who don’t live near the hospital’s pharmacy. Slafsky added that health care providers will be able to capture more revenue because contracting with an outside pharmacy or pharmacies will enable them to benefit financially from patients who previously would have left the hospital with the prescription. “It’s also an opportunity for [community] pharmacies because they will get paid by the health care provider to provide pharmaceutical services to these patients,” he said. 12
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In conclusion, 340B reform affects pharmacists, Scholz said. Pharmacists who work in a health system may be in one of the newly covered entities. Pharmacy leaders must determine if 340B will lead to savings, and then how to ensure compliance with the regulations. Other pharmacists may work with vendors affected by ACA. For pharmacists who run their own pharmacy or work in a community setting, patients also use 340B in those environments. “It’s a way for pharmacists to give back to their community by providing comprehensive services and improving health outcomes to our nation’s underserved,” she said. —Diana Yap HCR/regulatory scorecard: What is happening NOW! Proposed regulations receiving public comments: ■■ HHS: Comments due by November 12 on an interim final rule to remove two electronic health records implementation specifications that it erroneously adopted ■■ FDA/CMS: Comments due by December 16 on establishing a process for parallel review of medical products ■■ FDA: Comments related to a November 2–3 public hearing on the implementation of the Biologics Price Competition and Innovation Act of 2009, which establishes an abbreviated approval pathway for therapeutically equivalent generic versions of biologic drug products, due by December 31 Regulation for which comment period has closed: ■■ HHS: Development of a National Health Care Quality Strategy and Plan ■■ FDA: Development and distribution of a single document for patient medication information ■■ HHS: Proposed rules to help fight fraud, waste, and abuse in Medicare, Medicaid, and the Children’s Health Insurance Program
Etc: ■■ Secure and Responsible Drug Disposal Act of 2010: President Barack Obama signed S. 3397 into law on October 12, allowing patients who lawfully obtain controlled substances to transfer them to a government or private entity for disposal ■■ Survey of seniors: 84% of 1,243 Medicare beneficiaries were satisfied with their Part D prescription drug coverage, according to a survey conducted by KRC Research and commissioned by the Medicare Today coalition. Reprinted with permission from the Hub on Health Care Reform column in the [November 2010] issue of Pharmacy Today (www.pharmacytoday.org). For more information about the Affordable Care Act and pharmacy’s role in shaping the outcomes of this law, access the Government Affairs section of APhA’s website, www.pharmacist.com. Copyright © 2010, American Pharmacists Association. All rights reserved.
2 0 1 1 F P A CA N DIDAT E S
FPA Official Ballot Election 2011 CANDIDATE FOR PRESIDENT-ELECT Goar Alvarez ■■ Currently Director of Pharmacy Services, Assistant Professor – Sociobehavioral and Administrative Sciences, Ft. Lauderdale, Florida ■■ Director of Pharmacy South Florida State Hospital, Pembroke Pines, Florida ■■ Consultant Pharmacist PharmaKonsults, Miami, Florida FPA Member Since: 1976 State Association Activities: ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■
Florida Pharmacy Association House of Delegates – Director of HOD (2008-2009) House of Delegates – Speaker (2007-2008) House of Delegates – Vice Speaker (2006-2007) Educational Affairs Council – Chair (2006-2007) Budget & Finance Committee (2006,2007,2008) Convention Planning Committee (2006,2007,2008) President’s Committee (2006,2007,2008) Legislative Committee (2006,2007,2008) Professional Affairs Council – Chair (2005-2006) Professional Affairs Council – Chair (2004-2005) James H. Beal Award Committee – Chair (2005) Nominations Committee (2003-2004, 2004-2005) James H. Beal Award Committee (2003, 2004) Executive Committee - member (1997-1999, 2002-2008) House of Delegates – Dade County delegate (1996-2006) House of Delegates – NSU College of Pharmacy delegate (2007-present) Educational Affairs Council – (2003-2004) Educational Affairs Council – Chair (2002-2003) Public Affairs Council – member (2000-2003) Public Affairs Council – Chair (1999-2000)
Local Association Activities: ■■ ■■ ■■ ■■
Talks to high school students “career day”; Participation in community based health fairs and events Osteoporosis Awareness Day (Eckerd Corp) – Ft. Lauderdale, Fl (2000) Diabetes Awareness Day (community service) – Ft. Lauderdale, Fl (2000) Diabetes Awareness Day (community service) – Miami, Fl (2000)
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*Broward County Health Fair – Ft. Lauderdale, Fl (2000); NSU Women’s Health Center – Ft. Lauderdale, Fl (2001); *Health fair @ Parkway Regional Medical Center – Miami, Fl (2001); *Health fair @ Aventura Mall – Ft. Lauderdale, Fl (2001); NSU Health & Fitness fair – Ft. Lauderdale, Fl (2001); *Health Fair – New Birth Baptist Church – North Miami, Fl (2001); *Health Fair – NACDS conference, Miami Beach, Fl (2001); *Senior Citizens Health & Education Fair – North Miami Beach, Fl (2001) *San Lazaro Catholic Church “brown bag”– Hialeah, Fl (2001) *Town of Davie Police Dept.- Ft. Lauderdale, Fl (2001) *Dade County Pharmacy Assoc. (Publix Phcy) – diabetes screenings, pharmacotherapy information (2001) *Florida Pharmacy Association –Legislative Health Fair (2002) Florida Dept. of Health – Miami-Dade County Health Dept. –volunteer (2002); *Dade County Pharmacy Assoc. – Diabetes Awareness Month Event (2002) Inter-American Pharmacists Association • Historian (2008-present) • Secretary (1982-1984) Member 1982-present • Dade County Pharmacists Association • Executive Committee – member (1992-present) • Executive Committee – Chair (1998-1999) • Continuing Education Committee – Chair (1993-1996) • President Elect (1996-1997) • President (1997-1998) • Membership Committee – Chair (1999-2001) • Legislative Committee (2002-2003, 2003-2004) • Broward County Health Department • Pharmacy Network Committee – member (1999-2010)
Pharmacy Related Activities: ■■ ■■ ■■
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University Special Projects Assessment of patients at risk for falls project (2003-2004) ICUBA – Independent Colleges and Universities Board: Reviewed the pharmacy component of the health insurance plan and provided opinions and suggestions to the ICUBA Board (2003-2004) Identified/recommended changes to our pharmacy benefits plan resulting in a $450k/yr savings (rebates) plus an approx. $1M savings (therapeutic strategies) over the course of the 04-05 FY ICUBA - Independent Colleges and Universities Board: Providing consultative services for the formation of provision of Pharmacy Services as a component of health benefits for the employees of 13 member institutions. SerNOVEMBER 2010
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vices to include Medication Therapy Management Services as well as Diabetes Disease State Management (20062008) Implementation of changes to pharmacy benefits for ICUBA members 90 day medication supply at outpatient/retail (similar to mail). Implemented in 2009. Medication Therapy Management Services by pharmacists (pilot program). Implemented in May 2010. Department of Children and Families: Developed curriculum to train unlicensed caregivers in medication administration skills as well as providing them with basic knowledge of pharmaceuticals used in mental health (2004-2006) Hospital Pharmacy & Therapeutics committee, Infection Control committee, Medication Error committee, Senior Management committee Medical Staff committee
Local Association Activities: ■■ ■■
Pharmacy Related Activities: ■■
CANDIDATES FOR TREASURER Betty Harris, Pharm.D. FASCP, FAPhA A Nova Southeastern University, College of Pharmacy Assistant Dean, Experiential Education and Student Services Assistant Professor of Pharmacy Practice FPA Member Since: 1978 State Association Activities: ■■
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2009-2010 Chair, Editorial Council Florida Pharmacy, 2009-2010, Member, FPA Organizational Affairs Council, 2007-2008 Treasurer, American Council on Pharmacy Education 2002-2008 Council Member, American Council on Pharmacy Education, 1999-2002 Trustee, APhA Board of Trustees, 1998-1999 Speaker, APhA House of Delegates, 1998-1999 President, Florida Pharmacy Association Foundation, 1997-1998 Trustee, Florida Pharmacy Association Foundation, 1997-1998 Speaker-elect, APhA House of Delegates, 1996-1997 President, Florida Pharmacy Association Foundation, 1995-1996 Member, FPA Legislative Committee, 1995-1996 Trustee, Florida Pharmacy Association Foundation, 1994-1995 Member, FPA Legislative Committee, 1994-1995 Member, FPA Budget and Finance Committee, 1994-1996 Trustee, Florida Pharmacy Association Foundation
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Broward County Pharmacists Association, Adjunct Professor, Nova SEU – Doctor of Pharmacy APPE, Lambda Kappa Sigma Professional Pharmacy Fraternity
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Lecturer, 2009, Consulting Practice in Skilled Nursing Homes and Assisted Living Facilities, Coordinator, Initial Consulting Certification Program 10/09, Lecturer, 2009, Consulting Practice in Skilled Nursing Homes and Assisted Living Facilities, Coordinator, Initial Consulting Certification Program 2/09, Lecturer, 2008, Consulting Practice in Skilled Nursing Homes and Assisted Living Facilities, Coordinator, Initial Consulting Certification Program 10/08, Lecturer, 2008, Consulting Practice in Skilled Nursing Homes and Assisted Living Facilities, Coordinator, Initial Consulting Certification Program 2/08, Lecturer, 2007, Consulting Practice in the Assisted Living Facility, NSU, Coordinator, Initial Consulting Certification Program, 10/07, Lecturer, 2002 FSHP Spring Meeting, Treatment of COPD: Focus on the Elderly, 3/24/02, Faculty, 1996-2003Nova Southeastern University College of Pharmacy, Clinical Geriatric Rotation, Faculty, University of Arkansas College of Pharmacy, Clinical Geriatric Rotation, 2001, Speaker, Nova Southeastern College of Pharmacy, P2, Practice Ethics 10/98, Speaker, Phi Lambda Sigma, Nova SE, Pharmacy Organization Involvement 10/98 Speaker, District VII Florida Health Care Association, New Changes in OBRA and Psycho-active Drugs, 5/96, West Palm Beach, FL. Speaker, South Palm Beach County Dental Association, Drug Interactions and Dentistry, 3/96, Delray Beach, FL. Speaker, ASCP Midyear Meeting, Providing Pharmacy Services in Assisted Living Facilities, 5/95, San Diego, CA., Speaker, ASCP Midyear Meeting, Consulting in SubAcute Care Units, 5/95, San Diego, CA., Faculty, FPA Consultant Update, 9/94, St. Petersburg, Florida Medication Awareness Test, 8/94, Horizon Club, Boca Raton, Florida, Faculty, FPA Consultant Update, 5/93, Ft. Lauderdale, Florida, Interpersonal Skills for Pharmacists, 5/93, Pinellas CPA, Tampa, Florida, Medication Awareness Test, 5/93, Margate Women’s Club, Margate, Florida, Faculty, FPA Consultant Update, 10/93, Orlando, Florida, Faculty, FPA Consultant Update, 4/93, Boca Raton, Florida, Faculty, FPA Consultant Updates, 1/93, Destin, Florida, Speaker, Knoll Pharmaceuticals, 3/31/93 Decubitus Symposium, Boca Raton, FL, Faculty, Nova-Southeastern University, Geriatric Clerkships, 1990-1994, Boynton Beach, Faculty, University of Florida, Geriatric Clerkship, 1991-1994, Boynton Beach, FL, Marion Merrell Dow Inc, Leadership Training Conference 1991, St. Louis, MO, Speaker, WTVX Prescription Drug Use, 1991, WPB, FL
2 0 1 1 F P A CA N DIDAT E S Alex Pytlarz, PharmD
CANDIDATES FOR REGIONAL DIRECTOR
Currently working as Director of Pharmacy, Hoye’s Pharmacy. Formerly I worked at Vanguard Advanced Pharmacy Systems as the Director of Pharmacy. I have also worked as an Executive Resident for the American Society of Consultant Pharmacists in Alexandria, VA.
CANDIDATES FOR REGION 1 Preston McDonald, BPharm Pharmacist Manager – Winn-Dixie #0498, Pensacola, FL
FPA Member Since: 2002
FPA Member Since: 2001
State Association Activities: ■■
Florida Pharmacy Association, member, House of Delegates, Board Chair 2010 – 2011, House of Delegates, Speaker 2009 – 2010, President’s Committee, member 2008 – 2010, Board of Directors, member 2008 – 2010, House of Delegates, Speaker-elect, 2008 – 2009, Budget & Finance Committee, member 2008 – 2010, Legislative Committee, chair, 2006 – 2009, PACCE Board of Directors, member 2006 – 2010, Organization Affairs, chair, 2007 – 2008, Organizational Affairs Committee, member, 2005 – 2007, Ad Hoc Committee on FPA Constitution & By-Laws, member 2005 – 2006, House of Delegates Board of Directors House, Director, 2005 – 2008, Budget & Finance Committee, member, 2004 – 2006, Legislative Committee, member, 2004 – 2006, Ad Hoc Committee on APP Structure, member, 2004, Academy of Pharmacy Practice, Clinical Committee Chair, 2003 – 2004, Ad Hoc Committee on Organizational Structure, member 2003
Local Association Activities: Pharmacy Related Activities: ■■ ■■ ■■ ■■ ■■ ■■
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2005 – 2008 Hickory Woods Homeowners Association Board of Directors Treasurer ACC Chair, 2004 – 2008 Big Brothers Big Sisters of the Sun Coast, Inc., Bradenton, FL Big Brother Volunteer 1998 – 2000 University of Pittsburgh School of Pharmacy Alumni Weekend Seven Springs, PA Assisted staff 2000 Frick School Pittsburgh, PA Educated elementary students about drug awareness 1999 Operation Immunization Pittsburgh, PA Promoted and supported APhA-ASP Operation Immunization program 1998 University of Pittsburgh School of Pharmacy Web Page Pittsburgh, PA Assisted in the creation and update of the school of pharmacy virtual museum 1998 University of Pittsburgh Alumni Association Pittsburgh, PA Retrieved extensive history of Jonas Salk for Salk
State Association Activities:
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■■ Member – APhA, Delegate (Escambia County Pharmacy Association) - House of Delegates and Student Mentor - Adopt-A-Student Program = FPA Annual Convention 2006, 2007, 2008, 2009, and 2010, Budget & Finance Committee - member at large – 2008 – present Board of Directors – Region 1 representative – 2008 – present, Participate – 2010 FPA Annual Legislative Days – State Capital - Tallahassee
Local Association Activities: ■■
Member – Escambia County Pharmacy Association, Newsletter Editor/Communications - Escambia County Pharmacy Association - 2007-present; Vice-President – 2010: organized/directed ECPA booth - Gulf Coast Health Expo – Pensacola
President Goals and Objectives: ■■
My name is Preston McDonald and I am running for reelection as Director of Region 1 of the Florida Pharmacy Association (FPA). Having served on the inaugural Board of Directors of FPA, I have faithfully served such, and have not missed a meeting in the last 2 years. I have been a licensed Florida pharmacist since 1998, and have been a member of APhA, FPA, and our local pharmacist organization in Pensacola, Fl – Escambia County Pharmacy Association (ECPA) – for the past several years. As most of you have observed and know that the practice of community pharmacy has changed tremendously over the past 10 years, and I believe it is up to our professional associations to help pharmacist in this transition. We have been warned in the past that changes were coming to our profession; and we all are now finding out that changes are here. And unfortunately, things will not get any better for community pharmacists, as we are constantly being asked to do more - with less. The professional associations should be advocates for our profession, not just for preservation, but for the advancement of our profession as we transform to recognized health care providers – not just only “drug dispensers”. That is where and NOVEMBER 2010
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2 0 1 1 F P A CA N DIDAT E S now is the time we need leadership and volunteers within our profession, and the best place I know of to maximize benefit to our profession is in service with our professional associations. If re-elected, I will continue to be faithful as a Director of FPA. And I will continue to be available for communication with all pharmacists within Region 1 for concerns, advice, and opinions. Please vote for me as I endeavor to serve you. Thank you for being a part of FPA! Pharmacy Related Activities: N/A
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Wayne Cheatum MS, RPh Currently Pharmacy Consultant, Public Health Preparedness, Bureau of Statewide Pharmacy Services, Florida Department of Health, Tallahassee, FL FPA Member Since: 2009 State Association Activities: N/A Local Association Activities: N/A Pharmacy Related Activities:
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Retired Air Force Colonel (O6) Pharmacist, Past Commander of Pharmacy Squadron and Chairman of the Department of Pharmacy at Wilford Hall Medical Center, Lackland AFB, San Antonio, TX. Supervised 143 personnel in 12 Pharmacies (8 outpatients, 3 inpatient and a robotic refill center) in a 250+ bed facility. Broad experience in pharmacy automation, Deployed Commander, 332d Medical Operations Squadron, Balad Air Base, Iraq. Led 135-member team: Surgery, Emergency Room, ICU, and Wards, Former Pharmacy Consultant for two Air Force Command Surgeons and over 20 pharmacy facilities, Former Chairman of San Antonio Multi-Market Pharmacy Board of Directors. Let two military medical treatments teams to provide public health and medical care to indigent citizens in Central and South America, Director of Pharmacy in 7 hospital and clinic pharmacies over 28 years, Excellent to Outstanding Joint Commission and IG results every inspection, Extensive experience in a wide variety of leadership and management positions within and outside of pharmacy including TRICARE, budget office, logistics, information systems, ancillary services (laboratory, radiology), policy making, and readiness, Oversaw acquisition/installation of pharmacy outpatient automation devices, Inspector on Staff Assistance Visits: assessed compliance with inspection standards, narcotics control, process improvement and implementation, workflow and staffing efficiencies, Planned, organized, guided three major pharmacy renovations including a $150,000 pharmacy wall-to-wall renovation. Executed lock, stock and barrel move to bare|
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bones site without a safety incident or disturbance to customers. Unit liaison for $12M military construction project. Primary planner and coordinator for the relocation of 6 departments and laboratories to the new facility in minimal time with no safety mishaps. Oversaw and evaluated unit safety programs and operational risk management. Expert evaluator of medical functions and emergency medical responses to man-made and natural disasters. Extensive experience in managing antibiotic and vaccine issues (Anthrax, Malaria, Plague, Tick-borne Encephalitis, Venezuela Equine Encephalitis, etc.) as well as numerous preventive medicine and therapeutic issues. Trained and experienced in Chemical and Biological Warfare response.
CANDIDATES FOR REGION 3 Eva Sunell, Pharmt.D. R.Ph, a Staff Pharmacist Nights Walgreens Pharmacy 2007 – Present, St. Petersburg, FL Pharmacy Manager 2006 - 2007 Staff Pharmacist 2000 - 2006 FPA Member Since: 2010 State Association Activities: ■■
Member of Florida Pharmacy Association
Local Association Activities: ■■
Pinellas Pharmacy Association, 2001 – Present, President, 2009 – Present, President-Elect, 2008-2009, Volunteer Neonatal Intensive Care Unit, 2008 - Present, All Children’s Hospital, St. Petersburg, FL
Pharmacy Related Activities: ■■ ■■ ■■ ■■ ■■ ■■ ■■
Pharmacist License - PS35422 (2000) Florida State Board of Pharmacy Pharmacist License - 0202205127 (2001) Virginia State Board of Pharmacy Pharmacist License - 18711 (2008) Maryland State Board of Pharmacy Certified Pharmacy-Based Immunizer (2009) American Pharmacists Association Red Cross Blood borne Pathogens Training (2009) American Red Cross Adult and Child CPR (2009) American Red Cross Diabetes Training Program (2008) Walgreens
2 0 1 1 F P A CA N DIDAT E S
CANDIDATES FOR REGION 5
CANDIDATES FOR REGION 9
Jeff Parrado: Paul Elias pharmacist at the Prescription Pad Pharmacy in Plantation, FL. A University of Florida graduate and a active pharmacist for 38 years.
candidate information not received at the time of publication
CANDIDATES FOR REGION 7 Paul Rohrbaugh, PharmD I have been a registered pharmacist and FPA member since 1981. I have practiced for half my career as an independent operator, and in the corporate environment for the other half. FPA Member Since: 1981 State Association Activities: N/A Local Association Activities: N/A Pharmacy Related Activities:
I am committed to being involved in the FPA as the District 7 representative, as I have learned in those 29 years that “no pharmacist is an island”. As the profession moves further into the 21st century it is imperative that all parameters of pharmacy practice are controlled by PHARMACISTS. Allowing the insurance giants and corporate magnates to predicate the terms of our avocation is simply askew from the true meaning of practicing pharmacy. Pharmacists are the drug experts. Period.
FPA Member Since: 2004 State Association Activities: ■■ Member of the Florida Pharmacy Association
Local Association Activities: ■■
Past President of the Broward County Association, Member of Broward County Association
Pharmacy Related Activities: ■■
Served as a Delegate of the FPA Annual Convention, I am now the historian and serves on many committees as well as a board member of the Association.
Zachary Eisenman: candidate information not received at the time of publication
NOVEMBER 2010
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To: Florida’s Registered Pharmacy Technicians and Pharmacists From: Gail Brown, BS, RPhT, CPhT – FSHP Technician Division Council Chair ’09-’11, FPA’s Inaugural Technician of the Year Award Recipient – ’07-‘08 Greetings Fellow Registered Pharmacy Technicians! At the beginning of October 2010, we completed our first year of Florida pharmacy technician registration! Congratulations on taking the first step in advancing your career! Hopefully, you appreciate the action Governor Charlie Crist took on June 23, 2008, to establish standards for our profession. This historic move helps Floridians and the nation recognize the value of technician efforts as a major component of the healthcare team, assisting in the improvement of patient medication outcomes, which increases our patient’s health, safety and welfare. We, as Registered Pharmacy Technicians, are faced with the immediate and urgent need to take the second and very critical step of ensuring our registration process is completed before December 31, 2010. Please check your proof of pharmacy technician registration, which is required to be on display in your pharmacy (FL Rule 64B16-27.100). http://www.doh.state.fl.us/mqa/pharmacy/index.html According to the Board of Pharmacy, as of Friday, November 12, 2010, there were 34,766 Florida Registered Pharmacy Technicians. Approximately 23,000 of those have full registrations that expire 12/31/12. Kudos to you all! There are, however, approximately 11,000 of these registrants who will have their registrations expire on 12/31/10! What this may mean to you and your technician colleagues is that it will be unlawful for you to perform the duties of a registered pharmacy technician effective 1/1/11! You will not be allowed to work as a registered pharmacy technician until you have completed a training program that is approved by the FL Board of Pharmacy, after which you must reapply for registration – fee and all! This is part of Florida Statute 465.014 which explains the registration requirements for pharmacy technicians in Florida. http://www.leg.state.fl.us/statutes/index.cfm?App_ mode=Display_Statute&Search_String=&URL=Ch0465/ SEC014.HTM&Title=->2009->Ch0465->Section%20 014#0465.014
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If you applied for registration with the Florida Department of Health and the Board of Pharmacy based on your experience (you worked under the direct supervision of a licensed pharmacist for at least 1500 hours, roughly 9 months of full-time pharmacy technician experience) or if you registered based on being nationally certified by PTCB or ICPT you must submit proof that this is true before 12/31/10. It will be unlawful for you to work as a registered pharmacy technician after this time. If you enjoy the career you have chosen act now! Go to the following link and scroll to the bottom of the page for Board of Pharmacy information on what you/ you and your pharmacist must do to ensure your employability. It is your responsibility to protect your chosen career! http://www.doh.state.fl.us/mqa/pharmacy/index.html It is urgent that you contact the Board of Pharmacy now (do not wait)! There is no wiggle room, no further “grandfather” clause! After 12/31/10 it will no longer matter that you are certified, or that you had worked at least 1500 hours in the field already. Do not through away all that you have worked for! Pharmacists, what this means to you is that if these 11,000 or so pharmacy technicians’ registrations lapse you are looking at entering the busiest time of the year with less help and less experienced help! Snowbirds will flock to the state in droves as usual; more Baby Boomers are now of retirement and Medicare eligibility age (which will only increase over the next 10-20 years); many are on Medicare Part D which may have significant changes and confusion; new (higher?) deductibles will have to be met for the new year (much agitation at your pharmacy counters) as patients do not remember it is a new year; your experienced “grandfathered” registered pharmacy technicians will not be available to assist you; and you will have new graduates of training programs attempting to handle the needs of the masses. There will be fewer pharmacy staff and increased workloads at the busiest time of year, until your “new” registered pharmacy technician staff has sufficient time on the job to adequately replace your more senior/lead technicians currently employed. Error rates increase when trained staff shortages occur,
causing workload to increase. Year-end until after tax season in April, more patients, sadly, turn into more frustrated patients than at other times of year. Florida’s winter population will require more time, patience and training to serve. Far more CQI documentation is likely to be needed to record Quality Related Events. As a pharmacist you will work harder to accomplish what you more easily did with well trained, experienced staff. How good will all this be for your clientele and public relations? Please be aware, you will have newly educated graduates who are trying hard. Overall, however they will not initially know how to handle the workflow of your business as efficiently and professionally as you have been accustomed to for this time of year. Please urge all registered pharmacy technicians with registrations which expire the end of next month that before 12/31/10 they must submit proof of one of the following. Please allow at least 30 days for processing. Proper form to verify completion of 1500 hours of work as
a pharmacy technician under a licensed pharmacist (multiple signatures may be needed to vouch for several jobs). See DOH MQA website for the appropriate form. ■■ A copy of their valid, in-date certification from either PTCB or ICPT (no other certifying agency is acceptable in FL) or ■■ A valid certificate of completion from a Florida Board of Pharmacy approved pharmacy technician training program. Again, if this is not provided to the Board of Pharmacy before year end your registered pharmacy technicians will be working unlawfully on and after January 1, 2011 if they are performing the duties of a registered pharmacy technician and/or representing themselves as such. We would like to think all 11,000 or so registered pharmacy technicians with expiring registrations will submit their proof to the Board before the end of the year. Will they? What if they do not? What do you think? Why should you care?
TAKE THIS VERY SERIOUSLY!
YOU WOULD BE WISE TO CHECK VERY CAREFULLY ALL MEDICATIONS FILLED AFTER 1/1/11. THE WORK LOAD WILL INCREASE IN JANUARY - THE ERROR RATE WILL RISE!
I am not a “naysayer”, just speaking from 30 years of active field duty. If you foresee a better outcome, please share it!
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C a ll
f or
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:
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N om i n a t i on s ■■
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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
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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:
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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, 2011 F P A A W ARDS N O MI N ATI O N F O RM I am pleased to submit the following nomination:
Nominated by:
Name:
Name:
Address:
Date Submitted: Signature:
For the following Award: (Nomination Deadline February 28, 2011) 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, 2011
NOVEMBER 2010
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CALL FOR RESOLUTIONS TO THE 2011 HOUSE OF DELEGATES The House of Delegates Board of Directors will meet in March 2011 to review and approve resolutions for the Annual Meeting. The deadline for submitting resolutions is March 15, 2011! 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:
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Flor i d a P h a rm a c y To d a Y
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.
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
PROFESSIONAL REFERRAL WANTED Registered Pharmacist for independent retail prescription store. 30 years at same location. Hours: Monday through Thursday 8:30 a.m. - 5:30 p.m.; No nights or weekends. Location: St. Petersburg, FL. Ideal working conditions, friendly environment. All replies strictly confidential. Cell: 727-418-7431; Evening: 727-595-2567
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. NOVEMBER 2010
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