The Official Publication Of The Florida Pharmacy Association OCT. 2015
HUMAN PAPILLOMAVIRUS:
To vaccinate or not to vaccinate
A Pharmacist And A Lawyer Board of Pharmacy Licensure Disciplinary Proceedings Compounding Violations, DEA Investigations Mergers and Acquisitions Pharmacy Risk Assessment/Management Evaluations KAHAN â—† HEIMBERG, PLC
Pharmacist Attorney Brian A. Kahan, R.Ph., J.D. Licensed Florida Pharmacist and Attorney
STATEWIDE REPRESENTATION 561-392-9000 bkahan@kahanlaw.com 2300 N.W. Corporate Blvd., Suite 123 Boca Raton, FL 33431 The hiring of a lawyer is an important decision that should not be based solely upon advertisements. Before you decide, ask us to send you free written information about our qualifications and experience.
SAVE THE DATE 126TH ANNUAL MEETING AND CONVENTION OF THE FLORIDA PHARMACY ASSOCIATION Marriott Harbor Beach 3030 Holiday Drive Fort Lauderdale, Florida 33316 June 30 - July 3, 2016
florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint 7 Executive Insight 18 New Members 19 News & Notes
VOL. 78 | NO. 10 OCTOBER 2015 THE OFFICIAL PUBLICATION OF THE FLORIDA PHARMACY ASSOCIATION
Features
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HUMAN PAPILLOMAVIRUS: To vaccinate or not to vaccinate Speaker of the House Delegates Report
25 Buyer’s Guide
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Mission Statements:
FPA Calendar 2015-16
NOVEMBER 14-15 FPA Council and Committee Meetings Orlando 11
Veterans Day (FPA Office Closed)
26-27 Thanksgiving Holiday (FPA Office Closed) DECEMBER 5-6
FPA Regulatory and Law Conference Sarasota
24-25 Christmas Holidays (FPA Office Closed)
23-24 Law Conference Sandestin 31
New Year’s Day (FPA Office Closed)
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2016 Legislative Session Begins
19-20 Florida Pharmacist Legislative Days Event 23 - 24 FPA Law and Regulatory Conference
Last day to submit election ballots FEBRUARY
28 - Awards Nomination Due MARCH 4 - 7
APhA Annual Meeting Baltimore, MD
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Legislative Session ends
19-20 FPA Committee and Council Meetings Orlando MAY
JANUARY 1
of the Florida Pharmacy Today Journal
1 - 3
NASPA Leadership Retreat
6
Deadline for FPA Resolutions
6
Deadline for Vice Speaker and Director nominations
21-22 FPA CE Conference Jacksonville
For a complete calendar of events go to www.pharmview.com Events calendar subject to change
CE CREDITS (CE cycle) The Florida Board of Pharmacy requires 10 hours’ LIVE Continuing Education as part of the required 30 hours’ general education needed every license renewal period. Pharmacists should have satisfied all continuing education requirements for this biennial period by September 30, 2017 or prior to licensure renewal. Consultant pharmacists and technicians will need to review their licenses and registrations by December 31, 2016. For Pharmacy Technician Certification Board Application, Exam Information and Study materials, please contact the FPA office. For more information on CE programs or events, please contact the Florida Pharmacy Association at (850) 222-2400 or visit our website at www.pharmview.com
The Florida Pharmacy Today Journal is a peer-reviewed journal which serves as a medium through which the Florida Pharmacy Association can communicate with the profession on advances in the sciences of pharmacy, socio-economic issues bearing on pharmacy and newsworthy items of interest to the profession. As a self-supported journal, it solicits and accepts advertising congruent with its expressed mission.
of the Florida Pharmacy Today Board of Directors
The mission of the Florida Pharmacy Today Board of Directors is to serve in an advisory capacity to the managing editor and executive editor of the Florida Pharmacy Today Journal in the establishment and interpretation of the Journal’s policies and the management of the Journal’s fiscal responsibilities. The Board of Directors also serves to motivate the Florida Pharmacy Association members to secure appropriate advertising to assist the Journal in its goal of self-support.
Advertisers THE HEALTH LAW FIRM............................... 27 KAHAN HEIMBERG, PLC................................. 9 PHARMACISTS MUTUAL.............................. 11 PPSC....................................................................... 9
CONTACTS FPA — Michael Jackson (850) 222-2400 FSHP — Tamekia Bennett (850) 906-9333 U/F — Art Wharton (352) 273-6240 FAMU — Leola Cleveland (850) 599-3301 NSU — Carsten Evans (954) 262-1300 DISCLAIMER Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered. This information is provided with the understanding that neither Florida Pharmacy Today nor the Florida Pharmacy Association is engaged in rendering legal or other professional services through this publication. If expert assistance or legal advice is required, the services of a competent professional should be sought. The use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers. Information provided by the maker of the product should always be consulted before use.
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E-MAIL YOUR SUGGESTIONS/IDEAS TO dave@fiorecommunications.com
The President’s Viewpoint GUEST COLUMNITS: S. MARK HOBBS, CHAIR, FLORIDA PHARMACY POLITICAL COMMITTEE
A Call to Arms President’s Note: The theme during my presidency has been one of all pharmacists and technicians coming together in order to advance our profession. Together, we can identify areas that will enable us to improve patient care. We each need to stand with a united front to ensure that we continue our forward progress. There are several ways that each and every one of you can contribute to the fight. Being an FPA member is just the beginning. You need to become aware of the issues we face and the path that we should take for their resolution. Perhaps one of the most important things we do is to affect the legislation that often leads us to our goals. FPA’s lobbying efforts, which make our views and positions known, come at a price. That is why I have asked Mark Hobbs, chairman of the Florida Pharmacy Political Committee, to weigh in with his thoughts and tell us what we can do to help. Please read his article and consider joining the fight for a better healthcare system and profession. Thanks, Tim Rogers, RPh FPA President
Never in our history has there been greater need for pharmacists to unite in the halls of our political institutions. From Tallahassee to Washington D.C., the future of our profession is being decided, and our voices must be heard! We need your voice and your financial support to get our message to the members of our legislative bodies. The Florida Pharmacy Political Committee (FPPC) was created to raise funds for political action that is critical to the future of pharmacy practice in Florida. We have been very busy in the legislative process over the past few years, and we have scored a number of significant wins. New laws on immunization and MAC reform were passed this past year, and we have an aggressive agenda for the coming session. In our last fiscal year, we contributed $39,000 to candidates who are friendly to pharmacy and our issues. As I am sure all are aware, the next election cycle will be for national, state and local offices. Therefore, we need to increase our fundraising activities. The committee has an ambitious goal to raise $75,000 for the coming year. ALL pharmacists have a vested interest in the political process. As the NCPA mantra goes, “Get in to politics or get out of pharmacy!” You should know your local representatives. Visit with them, and tell them what you can do to help with wellness in your community.
S. Mark Hobbs, Chair Florida Pharmacy Political Committee
Make a contribution to the FPPC! It’s as easy as visiting the FPA website (www.pharmview.com) or speaking to one of your fellow pharmacists on the 2014-15 FPPC: Vice Chair Kimberly Jones, Treasurer Theresa Tolle, FPA President-Elect Scott Tomberlin, FPA Governmental Affairs Chair William Garst, Preston McDonald, Humberto Matinez, Tom Cuomo, Indira DupoteyRubi and Kathy Petsos. We ask for your support, and remember: If every Florida pharmacist gave $5 to the FPPC, we could raise over $100,000! We need the support of all Florida pharmacists!
ALL pharmacists have a vested interest in the political process. As the NCPA mantra goes, “Get in to politics or get out of pharmacy!” OCTOBER 2015
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2015-16 FPA Board of Directors The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work diligently all year long on behalf of our members.
Suzanne Kelley..................................................................................................Board Chair Timothy Rogers..........................................................................................FPA President Alexander Pytlarz.................................................................................... FPA Treasurer Scott Tomerlin...........................................................................................President-Elect Jackie Donovan........................................................................Speaker of the House Carol Motycka................................................................Vice Speaker of the House Thomas Johns......................................................................................... FSHP President Jennifer Raquipo................................................................................. Region 1 Director Michael Hebb.........................................................................................Region 2 Director Tom Cuomo.............................................................................................Region 3 Director Linda Lazuka.........................................................................................Region 4 Director Robert Parrado...................................................................................Region 5 Director Luther Laite IV.....................................................................................Region 6 Director David Mackarey.................................................................................. Region 7 Director Humberto Martinez..........................................................................Region 8 Director Mitchell Fingerhut.............................................................................Region 9 Director
Florida Pharmacy Today Journal Board Chair.............................................................. Carol Motycka, motycka@cop.ufl.edu Vice Chair....................................................Cristina Medina, cmmedina@cvs.com Treasurer....................Stephen Grabowski, sgrabowski@seniormmc.com Secretary.............. Verender Gail Brown, brownvgrx4304@hotmail.com Member.................................................Joseph Koptowsky, docjik1215@aol.com Member.............................. Rebecca Poston, Rebecca.Poston@flhealth.gov Member.................................................Patricia Nguebo, notablep@hotmail.com Member................................................................Norman Tomaka, FLRX9@aol.com Member........................................................................Stuart Ulrich, Stuarx@aol.com Member............................................................. Don Bergemann, don@bceinfo.com Executive Editor................Michael Jackson, mjackson@pharmview.com Managing Editor...................Dave Fiore, dave@fiorecommunications.com Journal Reviewer....................... Dr. Melissa Ruble, mruble@health.usf.edu Journal Reviewer....................................Dr. Angela Hill, ahill2@health.usf.edu
FPA STAFF Executive Vice President/CEO Michael Jackson (850) 222-2400, ext. 200
Director of Continuing Education Tian Merren-Owens, ext. 120 Controller Wanda Hall, ext. 211
Educational Services Office Assistant Stacey Brooks, ext. 210 Coordinator of Membership Christopher Heil, ext. 110
FLORIDA PHARMACY TODAY BOARD Chair..................................... Carol Motycka, St. Augustine Vice Chair................................Cristina Medina, Hollywood Treasurer...............................Stephen Grabowski, Tampa Secretary.........................Verender Gail Brown, Orlando Member..................................... Joseph Koptowsky, Miami Member..............................Rebecca Poston, Tallahassee Member.............................................. Patricia Nguebo, Ocala Member................................. Norman Tomaka, Melbourne Member..............................Stuart Ulrich, Boynton Beach Member.......................Don Bergemann, Tarpon Springs Executive Editor.........Michael Jackson, Tallahassee Managing Editor.........................Dave Fiore, Tallahassee
This is a peer-reviewed publication. ©2015, FLORIDA PHARMACY JOURNAL, INC. ARTICLE ACCEPTANCE: The Florida Pharmacy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy. All articles are subject to review by the Publication Review Committee, editors and other outside referees. Submitted articles are received with the understanding that they are not being considered by another publication. All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today. The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today. The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion, politics or any other subject the editors/ publishers deem unsuitable for the readership of this journal. In addition, The Journal does not accept advertising material from persons who are running for office in the association. The editors reserve the right to edit all materials submitted for publication. Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board. FLORIDA PHARMACY TODAY, Annual subscription - United States and foreign, Individual $36; Institution $70/year; $5.00 single copies. Florida residents add 7% sales tax. FLORIDA PHARMACY ASSOCIATION
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610 N. Adams St. • Tallahassee, FL 32301 850/222-2400 • FAX 850/561-6758 Web Address: http://www.pharmview.com
Executive Insight BY MICHAEL JACKSON, RPH MICHAEL JACKSON, BPHARM, EVP & CEO, FLORIDA PHARMACY ASSOCIATION
FPA Member Services and Value Value Statement for Our Nonmember Stakeholders The FPA is the go-to source for current, reliable information on the legal and regulatory issues that affect YOU in your professional practice. We provide you with valuable educational tools and networking opportunities. We are your voice in protecting your profession at the state and national levels. JOIN TODAY and be a part of that voice.
W
e all know that becoming a member of an organization involves the payment of dues in exchange for something. In years past, it may have been the satisfaction that a stakeholder was a member of their professional organization and relied on their society to share relevant information to help stay current on their business or their profession. However, within the last 10 years or so, member dynamics have changed significantly. Information has value; however, that value has a different price tag today. Our member stakeholders want a different value for their dues. While membership may have been considered an investment in the profession, the Association may now need to consider a relationship that provides a value to the individual. It’s the “what’s in it for me?” proposition that drives pharmacists, students, pharmacy owners, managers and technicians. The FPA has not been content with sitting on the back porch in a rocking chair, watching the world spin around us. We are working hard to maintain the support of the members and demonstrate to our other colleagues the advantages of being a part of the Association team. This includes finding ways to create a diverse FPA experience. There are many who value our information services and our advocacy. However, there are others who are looking for something different, unique and new. Let’s open the FPA package and see what is inside. Information Services – This is the flagship benefit provided by your organization and is the most popular of our many programs and offerings. Information flows through the FPA pub-
Michael Jackson, B.Pharm
lishing machine through various tools. This includes Florida Pharmacy Today, which has a Board of Directors working to ensure that you receive monthly updates on emerging issues related to the practice and business of pharmacy as well as important events of our member stakeholders. This is also an opportunity for our members to write articles that the Journal may consider for publication. We also have an electronic newsletter entitled “Stat News” that informs members through email messaging of timely and relevant changes in the pharmacy landscape. The FPA website, www.pharmview.com, is teeming with information and practice tools including (but not limited to) a section of pharmacy laws and rules, links to national and state governmental entities that regulate the profession of pharmacy, upcoming FPA educational programs and published newsletters and press releases. There is even a tool that
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launches fast-breaking news for members who set their emailenabled smart phones and devices to receive up-to-the-minute information. That tool is located on the FPA home page labeled “FPA Breaking News.” Social Media – The use of social media has taken center stage in looking at what is going on in the pharmacy universe. It is probably a safe presumption that the majority of our members have, at some point in time, connected with Facebook or Twitter. The Florida Pharmacy Association has active accounts in both networks, and you are invited to visit with us in both areas. We also had a new tool launched during the month of September called Pharmacist Nation TV Network. FPA member stakeholders in Florida have their own television network with programming for pharmacists and the pharmacy profession. We have included in that online TV network 15 specialty channels to meet the needs of all of our members. This includes everything from the student channel to the advanced practice channel. Members can use this tool to demonstrate the value of their services and to message their patients.
Member Rewards – You asked, and we got it for you. This is a member service and value that returns your membership benefit and then some. For a small fee that can only be paid by our members, you gain access to thousands of discounts from a wide variety of companies such as movie theaters, cellular services, resorts, attractions, restaurants and department stores. These are places that you go to all the time, and with the use of your member rewards benefits your savings will more than cover the dues you pay to the FPA. Remember that you must have an active membership in the FPA to take advantage of this benefit, and you must enroll as a Member Rewards beneficiary. When you sign into your FPA member profile on pharmview.com you will see at the top of your profile page an invitation to join the Member Rewards program. Select that, and see a small sample of what is available. Continuing Education – The Florida Pharmacy Association is one of Florida’s largest providers of continuing education for both pharmacists and technicians of all practice settings. The FPA is registered as a Florida Department of Health-approved continuing education provider and reports directly to CEBroker on behalf of those who complete our continuing education offerings. The FPA also has full accreditation through the Accreditation Council on Pharmacy Education and reports to the national database, CPE Monitor. In addition, you will have access to all of your continuing education records that you get from the FPA published in your member profile on pharmview.com. The Association, through a review committee of the Educational Affairs Council and 8 |
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a dedicated staff, works to bring to you the best in unbiased and relevant continuing education programs with a focus on helping our industry to navigate rough seas and expand services. The continuing education offerings are available at a greatly reduced cost for active FPA members. Member Connectivity – Sometimes there is interest in members networking with other members. Believe it or not, there is a tool on pharmview.com that will facilitate that kind of interaction. This can have value, particularly if you are looking for an FPA member who is a graduate from the same pharmacy school, and you can use the advanced search features in our database to make your connection. After you sign into your profile, select the “Message” Link and then select the “Message a Member” option. You will see a “Basic Search” tab and also an “Advanced Search” tab. With the Advanced Search option, you will be able to find FPA members who included in their member profile that they attended the same school you did. Member Involvement – The FPA has a unique problem in that we do not run out of opportunities for member involvement. We have more things that need to be done than people available in a volunteer pool. We need authors to write articles for our Journal. We need candidates to step up and serve in an FPA office. Advocates are needed to storm the Florida Capitol on legislative day. Committee members are needed to serve on the leadership team of incoming FPA presidents. Supporters are needed to help raise funds for the FPA’s political committee. Donations are needed for the Florida Pharmacy Foundation so that they can support the mission of helping students. If you have a leadership skill (or would like to develop one), the FPA has a long history of building health care industry titans. FPA Member Partners – The Association has a long list of relationship partners that can provide an array of services not available directly through the FPA. This includes insurance products such as professional and business liability through Pharmacist Mutual Insurance Company. Pharmacist Mutual is also a supporter of the FPA’s Distinguished Young Pharmacist Award. Our technician members have a host of services, including certification through the FPA partner Pharmacy Technician Certification Board and training through our relationship with Passassured, which is providing the web-based portion of technician training utilized by pharmacies. We are also partnering with an agency that can assist with cost-effective loans for members who qualify. Watch future FPA messaging for more information.
Pharmacy Resources – Does your pharmacy need a continuous quality improvement program solution? The FPA has partnered with the Alliance for Patient Medication Safety and Pharmacy Quality Commitment to bring our members a solution to medication errors. Pharmacy Quality Commitment (PQC™) is a continuous quality improvement program that helps you comply with quality assurance requirements found in network contracts, Medicare Part D, and Florida regulations. The Alliance for Patient Medication Safety (APMS) is a federally listed Patient Safety Organization (PSO). Together, these tools can be used to share and study information about trends and best practices associated with dispensing errors and other medication errors with absolute confidentiality and insulation from discovery. The FPA also has included in the online store a host of other products, including (but not limited to) pharmacy signs, technician training manuals and workbooks, controlled substance inventory books, and fraud waste and abuse compliance manuals. Nearly everything in our inventory is available at a reduced cost to FPA members.
#1 Club, established in 1985, recognizes those members who demonstrate extraordinary commitment to increasing membership in the FPA. You are challenged to become one of the select few who achieve #1 Club membership. All you have to do is recruit 10 active regular members in the FPA and participate in one retention program. For your efforts, we will place on your shoulders a new blazer with the special #1 Club emblem, provide you with a plaque, and induct you into the #1 Club at the annual meeting. We will also cover the cost of your convention registration fee valued at $320. That more than covers your $195 membership dues. So what is the value of membership? It is probably safe to presume that by using just a small number of FPA programs and services, the FPA member is returned a greater benefit than the $195 cost of membership. $195 for an annual membership is equal to $3.75 per week. You can’t get a cup of specialty java from your local barista for that. I’ll close this message with the chart below to sum up this article.
#1 Club Benefits – Members may not be aware that they have access to our popular #1 Club member recruitment program. Those of you who are reading this article are supporting members, but how about your colleagues who are not on the “information superhighway”? The prestigious
FPA Membership Cost: $195 (less employer contributions)
What you get (direct benefits) ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■
Subscription to Florida Pharmacy Today Free electronic newsletter via Stat News Access to members-only section of pharmview.com Free access to laws and rules Discount on car rentals Discount on hotel stays Discount on continuing education fees Discount on FPA publications General assistance with regulatory issues #1 Club Benefits Member Rewards Program
Estimated value: $725
What you get (indirect benefits) ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■ ■■
Representation before Board of Pharmacy Representation before Florida Legislature Representation before AHCA Representation before the media Representation before National Pharmacy Societies and Associations Support for pharmacy education Support for demonstration projects Support for Recovering Pharmacists Network Support for Florida Pharmacist Political Committee (FPPC) Developing coalitions with other health care organizations
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HUMAN PAPILLOMAVIRUS: To vaccinate or not to vaccinate Note: This article represents the views of its authors and does not necessarily represent the views or opinions of the Florida Pharmacy Association, Florida Pharmacy Today or any related entities. HPV vaccination is an important topic worthy of discussion, but the FPA does not take an official position or offer specific recommendations on this subject.
Primary Author: Antonio Carrion, PharmD, MPH Assistant Professor of Pharmacy Practice Florida Agricultural and Mechanical University College of Pharmacy and Pharmaceutical Sciences Tallahassee, Florida antonio.carrion@famu.edu 850-412-7376 Campus Office Corresponding Author: Crystal Parke, PharmD Assistant Professor of Pharmacy Practice Florida Agricultural and Mechanical University College of Pharmacy and Pharmaceutical Sciences Tampa, Florida crystal.parke@famu.edu 813-975-6500 Campus Office
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Human papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the U.S. that can infect the genital areas of males and females (Centers for Disease Control and Prevention, 2009). More than 20 million Americans are currently infected with HPV and another 6 million become newly infected every year (Centers for Disease Control and Prevention, 2009). HPV affects at least 50% of sexually active individuals at some point in their lives (Centers for Disease Control and Prevention, 2009). HPV has shown to cause cervical cancer in women and approximately 12,000 women in the U.S. are affected each year (Centers for Disease Control and Prevention, 2009). In response, Merck & Co. developed the first HPV vaccine, Gardasil, which addresses the growing prevalence of HPV types 6, 11, 16, and 18 associated with cervical cancer and genital warts. Within the same month, the Advisory Committee on Immunization Practices (ACIP) voted to add the vaccine to the national adolescent immunization schedule. Since June 2006, states have been considering whether the HPV vaccine recommendation warrants state policy changes and are deliberating policies that will mandate the HPV vaccine for school entry among sixth grade girls (Food and Drug Administration, 2006). There is a massive amount of controversy surrounding the prospective state regulation and some states may not have funding options to address the associated costs of mandating Gardasil. Therefore, these states are debating whether the mandatory HPV vaccination would be viable, due to the additional funding needed, contiguous controversy, vaccine safety,
and other issues coupled with the ongoing proposition. Implications of Cost In promoting adolescent health, immunization is usually a cost-effective intervention method that not only advances the functioning and opportunities of adolescents themselves, but will ultimately improve the quality of their adult lives (Rothman, S.M., 2009). Merck & Co. believes Gardasil might achieve these goals and is possibly the most expensive pediatric vaccine ever approved and licensed by the FDA. Worldwide sales for Gardasil in 2008 were $1.4 billion, and in the United States, 25 percent of girls ages 13 to 17 have received at least one of three recommended doses (Rothman, S.M., 2009). The retail cost of each Gardasil injection is $120, and a complete series (three doses) of the vaccination would cost $360 (Smith, C.M., 2008). If a booster is necessary, however, the additional expense could be another $120 (Smith, C. M., 2008). Due to its cost, many suspect this expense places a burden on American families and would “place a significant burden on state public health budgets” (Onder, R.E., 2008). Acquiring the HPV vaccination directive’s associated costs plays a major part in the recommendation of some that the vaccine not be mandated. Assistance for HPV Use Although this vaccination is expensive, vaccines recommended by the ACIP are automatically included in the Vaccines for Children program through the CDC (Markowitz et al., 2007). Families who qualify for the program are able to obtain the vaccines for a small
administration fee. Those families that may meet the criteria include Medicaideligible families, those without insurance, American Indians, and Alaskan Natives (Markowitz et al., 2007). The fee varies from state to state, averaging about $15 to $20 per injection (Markowitz et al., 2007). Many private insurance companies typically cover vaccines recommended by the ACIP, but interested parents and guardians should verify with their insurance to be sure. Merck has provided Gardasil to the Vaccines for Children program at a reduced cost, and although not helpful to younger teens, offers the vaccination free to uninsured or low-income women age 19 years or older (Merck, 2007). Enrollment into these programs provided through the manufacturer and government may aid in the push for state regulation of the vaccine and persuade more individuals to utilize the prevention drug. Mandatory Immunization Since Gardasil has gained FDA approval, approximately 20 states have sought to mandate the vaccine for school entry. Texas (by executive order) and Virginia made HPV vaccine mandatory for girls entering sixth grade. However, the Texas Legislature voted to overturn the governor’s order and Virginia granted parents generous “opt-out” provisions (Saul, S., 2007). A primary argument is that mandating Gardasil is a violation of parental rights (Smith, C. M., 2008). Many groups support availability of the HPV vaccine, but do not support mandating vaccination as a prerequisite to school entry. Making the HPV vaccine mandatory increases parental concerns about the safety of school-based vaccinations (Gostin, L. O., 2007). Therefore, the use of force and compulsion could have the unintentional outcome of elevating parental and public apprehensions about
childhood vaccinations (Gostin, L. O., 2007). Furthermore, this shift wouldn’t offer generous religious and conscientious exemptions for HPV vaccination because legislators may extend these requirements to other childhood vaccinations (Gostin, L. O., 2007). Promiscuous Behavior A central concern in mandating the HPV vaccine is the question of whether the vaccine promotes permission for adolescents and teenagers to engage in
More than 20 million Americans are currently infected with HPV and another 6 million become newly infected every year (Centers for Disease Control and Prevention, 2009).
promiscuous sexual activity. Many believe the HPV vaccine will encourage sexual activity among teenagers providing young girls a false sense of security, possibly leading to risky sexual behavior that would not have occurred had the threat of cervical cancer been present (Smith, C.M., 2008). This concern may be valid because not every teenager wants their parents to be informed of their sexual behavior and won’t need parental consent for the vaccine (Smith, C.M., 2008). Additionally, only 7 percent of teenage girls in a national survey cited not wanting to contract an STI as their reason for being abstinent (Saslow et al., 2007). Contrarily, existing studies on the availability of contraception, condoms and emergency contraception items have not displayed an increase in sexual activity and behavioral patterns among teenagers and OCTOBER 2015 |
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college women (Saslow et al., 2007). Vaccination Safety & Efficacy The data regarding the efficacy of Gardasil comes from two vaccine trials: Females United to Unilaterally Reduce Endo/Ectocervical Disease (FUTURE) I and II. In the FUTURE II trial, Gardasil proved to only have an efficacy of 17 percent and covers only four types of HPV (Onder, R.E., 2008). The reason for the poor efficacy begins with the fact that there are more than 30 oncogenic types of HPV (Onder, R.E., 2008). An-
sion, the case for HPV vaccine mandates is very weak in many ways. Such a requirement is potentially very lucrative for the manufacturer, and therefore, lacks the traditional justification for vaccine mandates, representing a groundless vindication. HPV is not highly transmissible in the school setting, so there is no compelling justification for requiring all preteen girls to be vaccinated as a condition of school admission and inhibit their right of entry. Parents, after consultation with
HPV is not highly transmissible in the school setting, so there is no compelling justification for requiring all preteen girls to be vaccinated as a condition of school admission and inhibit their right of entry. other concern is that the duration of immunity produced by HPV vaccination has not been documented. Thus, it is difficult to conclude that vaccinating 11or-12 year-old girls will prevent an infection that is generally acquired in females in their late teens or 20s (Onder, R.E., 2008). Inherently, trials of Gardasil did not look at vaccine efficacy in this age group at all (Onder, R.E., 2008). Clearly, more data about the long-term safety and efficacy of this vaccine is necessary before consideration of a mandate. Moreover, Gardasil may not be safe, citing deaths and more than 3,500 adverse effects (including pain, redness, swelling, or itching at the injection site, or mild to moderate fever) (Smith, C.M., 2008). The Vaccine Adverse Event Reporting Systems (VAERS) reported that 1,763 potential side effects had been reported, including four deaths (Smith, C.M., 2008). A careful look at the data shows that the majority of adverse effects and problems associated with the vaccine are not avoidable and should be taken in account. Conclusion While many states are seriously considering requiring vaccination as a pre-requisite for middle school admis12
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their pediatricians or family physicians, should decide if the HPV vaccination is appropriate for their daughters. Likewise, serious questions still remain as to whether the vaccine is effective in preventing cervical cancer and if its effects will last after five years (requiring an additional booster). Given the uncertainties surrounding the vaccine, the absence of traditional public health rationalization, and the low efficacy of the vaccine, mandating Gardasil vaccination in this group is difficult to justify. Consequently, we should approach the idea of the HPV vaccination mandate with supreme caution and solemnly contemplate if such an action will be conducive to public health. References
Centers for Disease Control and Prevention. (2009). Sexually Transmitted Disease Surveillance. Genital HPV Infection - CDC Fact Sheet, 2009. Atlanta, GA: U.S. Department of Health and Human Services. Food and Drug Administration, The. (2006, June 8). FDA licenses new vaccine for prevention of cervical cancer and other diseases in females caused by human papillomavirus. (Press Release). Retrieved March 2, 2010, from http://www.fda.gov/bbs/
topics/NEWS/2006/NEW01385.html Gostin, L. O., DeAngelis, C. D. (2007). Mandatory HPV Vaccination: Public Health vs Public Wealth. Journal of American Medical Association, 297, 19211923. Markowitz, L. E., Dunne, E. F., Saraiya, M., Lawson, H. W., Chesson, H., Unger, E. R., et al. (2007). Quadrivalent human papillomavirus vaccine: Recommendations of the advisory committee on immunization practices (ACIP). Morbidity and Mortality Weekly Report, 56, 1–24. Merck. (2007). Merck Vaccine Patient Assistance Program. Retrieved March 14, 2010, from http://www.merck. com/merckhelps/vaccines/home.html Onder, Robert E. (2008). HPV Vaccine Mandates: Just Say ‘No’ to the ‘Great Big Public Health Experiment. Missouri Medicine, 105, 8-11. Rothman, S.M., Rothman, D. J. (2009). Marketing HPV Vaccine: Implications for Adolescent Health and Medical Professionalism. Journal of American Medical Association, 302, 781-786. Saslow, D., Castle, P. E., Cox, J.T., Davey, D. D., Einstein, M. H., Ferris, D.G., et al. (2007). American Cancer Society guidelines for human papillomavirus (HPV) vaccine use to prevent cervical cancer and its precursors. Cancer Journal for Clinicians, 57, 7–28. Saul, S., Pollack, A. (2007). Furor on rush to require cervical cancer vaccine. New York Times. February 17, 2007:A1. Smith, Christy M. (2008). Mandating HPV Vaccination: What are the arguments? Journal of Clinical Nursing, 25, 75-80.
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Introducing Our Newest Florida Sales Team Member
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OCTOBER 2015
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Speaker of the House Delegates Report Presented to the House of Delegates Greetings Members of the Florida Pharmacy Association: Each year, organizations entitled to representation in the FPA House of Delegates send members to meet together to review and debate policy and advocacy statements for consideration as official FPA positions. For our 125th Annual Meeting, we gathered at the Renaissance Resort at World Golf Village in St. Augustine. I would like to acknowledge and thank Theresa Tolle for filling in as Parliamentarian in Michael Mone’s absence. She did a wonderful job of helping us abide by the formal rules and procedures that govern the House of Delegates session. There were eight resolutions that were presented to the House of Delegates for their consideration. Two were adopted as introduced, two were referred to various FPA Committees/Councils for further review, three were withdrawn by the sponsor, and one was submitted after the deadline requiring special handling by the House of Delegates. There were also proposed Bylaw changes for the House to consider. In this report are the details of how each resolution and Bylaws change was handled, to include which FPA Committee or Council will review and take the appropriate action moving forward. The House also approved the updated policy manual that included adopted resolutions from the previous year. Also, congratulations to the Alachua County Pharmacy Association and the Duval County Pharmacy Association for their receipt of the FPA’s unit association recognition awards. My Spring report will provide an update on the 2015 resolutions, with a final report providing the outcome of each resolution to be submitted to the House of Delegates within three years as defined by Association policy. I want to encourage you as individual pharmacists, and as local unit associations, to get more involved in the policy and advocacy process by submitting a resolution for our 2016 convention in Ft. Lauderdale. This is an opportunity for you to not only have input on how the Florida Pharmacy Association responds to issues, but also to help shape the future of our practice. With only eight resolutions submitted for our last session (three of which were withdrawn by their sponsor), we need to have bet-
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ter and more resolutions. We need to work together to stimulate ideas that are patient-focused. Again, I feel that unit associations are key here. I challenge each of you to begin discussing this now, in advance of our next session. It will be here before we know it! Please note that at least one of the resolution sponsors must be present at the House of Delegates session to introduce their resolution by reading. The deadline for submission of resolutions is Friday, May 6, 2016. Additionally, if you need assistance with how to draft a resolution, please reach out to us via the FPA Office. A resolution form is included in this issue of Florida Pharmacy Today. I would like to introduce the 2015-2016 FPA House of Delegates Board of Directors: Chairman of the House Board of Directors.......................Bob Parrado Vice Speaker................................................ Carol Motycka Director................................................. Preston McDonald Director.............................................................. David Pino Director............................................................ Eric Alvarez Parliamentarian.....................................Michael A. Mone’ FPA President Elect and Ex Officio Member............................... Scott Tomerlin Secretary of the House.............................Michael Jackson Please begin considering members for nomination for the 2016-2017 Vice Speaker and Director positions. The responsibility of developing new leaders within our Association lies with all of us. Future candidates should submit their intention to run for either of these positions by Friday, May 6, 2016. Lastly, based on feedback from members and delegates, I have appointed a committee to examine ways in which we can be more efficient during future House of Delegates sessions. I am a firm believer that we have to change to stay relevant, both for our members and for our practice. I look forward to updating you on the outcomes from this committee in my spring report. Thank you for allowing me to serve as your 2015-2016 House of Delegates Speaker. Best wishes as we approach the upcoming Holiday season. Regards, Jackie Donovan
Withdrawn by the sponsor as this issue was introduced as a proposed bylaw amendment.
2015 ACTION ON FPA RESOLUTIONS
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2015-1 FPA Hall of Fame Contact: Thomas Cuomo tcrx0720@hotmail.com, Al Tower Be it resolved, that the FPA establish a HALL OF FAME recognition program for our current and former FPA members. ACTION ON RESOLUTION:
2015-5 Third party payer updating of MAC Pricing Contact: Eric Alvarez, eric072950@aol.com Be it resolved, that the FPA resurrect and resubmit to the legislature SB 1014 previously introduced by Senator Garcia, mandating all third party payers to update their reimbursements prices every seven days.
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Resolution Introduced Motion to refer to Organizational Affairs Council Motion to refer to Organizational Affairs Council adopted Organizational Affairs Council to review this issue and report back to the House of Delegates at the next annual meeting
2015-2 Retire Restricted Health Fair Fund Account Contact: Alexander Pytlarz, FPA Treasurer, ampytlarz@ gmail.com Be it resolved, that the Florida Pharmacy Association retire the restricted health fair account and Also Be it resolved, that any remaining funds be reviewed and transferred as recommended by the Budget and Finance Committee for approval by FPA Board of Directors. ACTION ON RESOLUTION: ■■ ■■ ■■
Resolution introduced Resolution adopted Referred to the Budget and Finance Committee
2015-3 Board of Director Term Limits Contact: FPA Board of Directors, Terry Gubbins, Chair, Gubbins@prodigy.net Be it resolved, that the Organizational Affairs Council review the FPA Constitution and Bylaws and recommend revisions that define and limit terms for members of the FPA Board of Directors. ACTION ON RESOLUTION: ■■
Withdrawn by the sponsor
2015-4 (Substitute Resolution) Clarification of Nomination Process Contact: FPA Board of Directors, Terry Gubbins, Chair, Gubbins@prodigy.net Be it resolved, that Article XIII, Section 1 of the FPA bylaws be amended that adds September 1 of each year as a date certain on when the appointment of the Nominating Committee shall take place. ACTION ON RESOLUTION:
ACTION ON RESOLUTION:
Withdrawn by the sponsor as a bill was passed during the 2015 legislative session that accomplishes this action item. FPA staff has met with the Board of Pharmacy to discuss enforcement authority. Currently, the Board does not have that authority and additional legislative changes may be necessary.
2015-6 Consumer Copayment Relief Contact: Mitchell Fingerhut Pharm. D. mitchellf13@hotmail. com Be it resolved, that the Florida Pharmacy Association support legislation and or rule development that gives pharmacists more flexibility to alter dispensing quantities for long term therapy maintenance medications. ACTION ON RESOLUTION: ■■ ■■ ■■ ■■
Initially withdrawn by the sponsor but then introduced later on the agenda for consideration by the House Motion to refer to the Professional Affairs Council Motion to refer adopted. The Professional Affairs Council will need to review this issue and report back to the House of Delegates at the next annual meeting.
2015-7 Continuation of Maintenance Medication Therapy: Refill Authorization by the Pharmacist Contact: Preston McDonald, BPharm, preston@ensleypharmacy.us Escambia County Pharmacy Association Be it resolved, that the Florida Pharmacy Association advocate and support changes to Florida laws and Board of Pharmacy rules to allow a pharmacist to continue to dispense chronic medication(s) to a known patient beyond the 72 hour limit and up to a 30 day limit to prevent the interruption of maintenance medication therapy thereby preventing harm to the patient when normal means of medication therapy continuation are not available to the patient or have not been responded to by the prescriber. ACTION ON RESOLUTION: ■■ ■■ ■■
Resolution introduced Resolution adopted Referred to the Government Affairs Committee OCTOBER 2015
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RESOLUTION SUBMITTED AFTER THE DEADLINE AND CONSIDERED AS NEW BUSINESS 2015-8 Designation of Patients by Board of Pharmacy Contact: Robert Fishman (954) 559-9305 Be it resolved, that the FPA seek clarification from the Florida Board of Pharmacy that a consumer of pharmacy services is a patient of the pharmacist in the same manner that a consumer of medical, dental or optometric services, etc are likewise patients (and addressed as such) of these professional disciplines. ACTION ON RESOLUTION: ■■ ■■ ■■ ■■
Motion to suspend the rules to consider an item of new business Motion to suspend the rules adopted Resolution introduced Resolution not adopted
CHANGES TO THE FPA BYLAWS APPROVED BY THE HOUSE OF DELEGATES During the House of Delegates meeting in St. Augustine this summer, three sections of the FPA bylaws were amended. There were proposed changes to Article VII, Section 5, Article VII, Section 6 and Article XIII, Section 1. All three proposed changes were adopted by the House of Delegates. Article XIII, Section 2 was referred to the Organizational Affairs Council on a standing count. Article X of the FPA bylaws state that amendments must be approved by the FPA Board of Directors and proposed to the House of Delegates. It is the House of Delegates that can approve the changes provided that there is a two-thirds majority vote of those voting members present. The changed bylaw language is as follows: Article VII, Section 5 (G) - A student Affairs Council shall be formed to promote and encourage student involvement in the FPA, and to serve as a liaison between the FPA and Florida Colleges of Pharmacy. – (This change creates the Student Affairs Council as one of the standing councils of the FPA and was approved by the House of Delegates) Article VII, Section 6 (A) –With the exception of the Advisory Council on Pharmacy Practice and the Student Affairs Council, standing councils shall be composed of seven (7) members, one of shall be the chairman and one shall be a Pharmacy Technician. The term of office for each council 16
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member shall be for two (2) years. The terms of membership shall be staggered so that at least three (3) members will be appointed each year. In addition to the above, there will be no more than three (3) invited Student representatives from Florida schools/colleges of Pharmacy for a one year term. The chairman, members and invited Student representative shall be selected by the President. – (This change creates an exception to the Student Affairs Council membership. This proposed change was approved by the House of Delegates) Article VII, Section 6 (C) - The Student Affairs Council shall be composed of the following: 1. Two (2) students from each Florida College of Pharmacy (to include the student chair). 2. Three (3) pharmacists (to include the pharmacist co-chair). 3. The term of office for each council member shall be for two (2) years. 4. The terms of membership shall be staggered so that at least one student from each school is appointed each year. 5. P4 students serving on the council would be encouraged to serve as a pharmacist on the council for the next year. 6. The chairman, co-chair, and council members shall be selected by the FPA President. (This change defines the makeup of the Student Affairs Council. This proposed change was approved by the House of Delegates) Article XIII, Section 1 - A Nominating Committee will be appointed by the President by September 1st of each year. The committee will consist of the immediate Past Chairman of the Board of Directors, who will serve as Chairman, and a representative from each FPA standing council. No member serving on the committee shall be eligible to run for office. The committee will establish guidelines. Subdivisions or any FPA member in good standing may nominate one person for the office of President-Elect and one person for the office of Treasurer and one person for the office of Regional Director and one person for the office of Student Director. The Treasurer shall serve a two year term and may succeed to one consecutive term of office in that capacity. With the exception of the Student Director, a nominee must be a Florida registered pharmacist. The Student Director must be a licensed Florida Pharmacy Intern. All nominees must be in good standing with the Florida Pharmacy Association and the Florida Board of Pharmacy. A Board of Canvassers composed of three (3) Past Presidents of the Florida Pharmacy Association appointed by the President, together with the Executive Vice President, shall open and tally the mail ballots.
Balloting will be by mail according to the following time schedule. (This change to Article XIII, Section 1 creates a date certain of September 1 for the President to appoint a nominating committee. The second paragraph also allows subdivisions or any member to nominate a student to be slated on the FPA Board of Directors. The student director candidate must have a registration as a Florida intern. The student director language will only take affect if proposed changes to the FPA constitution approved during the annual business meeting are adopted by the membership during the fall ballot.) Article XIII, Section 1 (D) - With the exception of the Student Director, by the end of February, the Board of Canvassers shall open and tally the ballots. The nominees receiving the majority of the votes shall be declared elected. (This change creates an exception for students to appear on the election ballots for the general membership. This will only take effect if proposed changes to the FPA constitution approved during the annual business meeting are adopted by the membership during the fall ballot.) Article XIII, Section 1 (E) - By the end of February, the Board of Canvassers shall open and tally the ballots submitted by students from each Florida College of Pharmacy. Each College of Pharmacy will have one collective vote for the Student Director as determined by majority vote from each respective school. In the event a nominee does not receive the majority of votes, the Student Affairs Council will make a recommendation to the FPA President to cast the tie-breaking vote after the ballots were counted. (This change creates the process for the student election to the FPA Board of Directors. This will only take effect if proposed changes to the FPA constitution approved during the annual business meeting are adopted by the membership during the fall ballot.) Article XIII, Section 2 – Board members may serve a maximum of 7 consecutive years. Board members that are term limited may be elected to serve after a 3 year absence from the Board of Directors. (This proposed addition to the FPA bylaws was not adopted but instead referred to the Organizational Affairs Council on a standing vote.)
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OCTOBER 2015
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Welcome, New FPA Members The Florida Pharmacy Association would like to recognize the following members who joined the Association between May 2015 and August 2015. Patricia Acosta
Jennifer Dempsey
Karrie Lester
Shannon Stittsworth
Mary Agrawal
Liana Derringer
Gena Linger
Kellie Stonesifer
Syed Ahmad
Jeff Dixon
Tatiana Lopez
Dijana Struthers
Anitta Aickareth
Thomas Dobry
Matthew Lum
Ky Trac
Zahraa Alalag
Sharmain Edginton
Kristine Macaya
Nhung Tran
Ahlam Alghamdi
Megan Eide
Austin Maronel
Thong Tran
Moses Allen
Jeffery Evans
Dainelys Martinez
Dennis Trautman
Magali Amann
Kathi Evans
Dick Maurice
Jennifer Vazquez
Natalie Amaya
Adam Feiler
Taylor McAdams
Mileidys Vazquez
Michael Aquino
Michael Finnick
Joshua McBride
Tapan Vora
Lillian Arce De Malave
Hyla Fritsch
Trista Merritt
Dang-Khoa Vu
Leonard Arteaga
Kristy Gall
James Meyer
Damaal Walker
Susan Askey
Parastou Ghazvini
Keandra Minor
Beata Warchol
Shirley Baez
Taylor Gish
Jackeline Mojica
Charles Ward
Elma Baltodano
April Glasper
Irvin MolinaI
Donald Weber
Belinda Banuchi
Mary Ann Godlewski
Bobby Nipper
Kristen Whiddon
Christopher Barnett
Christina Gonzalez
Yanitza Ortiz
Jack Whitmer
Shalon Barnett
Adrian Goram
Elizabeth Osmon
Charles Wilkinson
Alvin Barney
Tonya Graham
Maria Paredes Oliver
Benjamin Wood
Samia Barsoum
Scott Grassel
Ektaa Patel
Suzette Wood
Lenin Beltre
Jacquelyn Gray
Bharat Patel
Charles Woodyard
Choretta Bennett-Dickens
Jessica Greenwood
Rodney Pawich
Gilda-Jo Youngblood
Travis Berninger
Scott Grigas
Tiffany Perez
Justin Yount
Tara Boulos
Caroline Griggs
Bradley Phillips
Evan Zettwoch
Alexander Branton
David Harris
Ramona Pramedass
Christine Zhang
Madelein Bronner
Khai Ho
Greg Primuth
Dana Brown
Brian Hoag
Christine Ramirez
Joseph Cammilleri
Cassie Ice
Karen Rav-Marathe
Thu Cao
Jerry Jacobson
Jose Rey
Timothy Carbone
Naima Jahan
Abigail richardson
Kristie Carevic
Melissa Johnson
Vivian Ripak
Arielle Cartwright
Lakeisha Jordan
John Rivera
Ana Castillo
Eric Kastango
Marianela Robainas
Helene Chhim
Delia Kelly
Howeida McMillan
Elizabeth Clausell
Caroline Kennedy
Brittney Roy
Ilsa Corredeira-Subias
Morgan Keough
Youssef Saleeb
Alexander Cosimano
Erald Kola
Benjamin Sardinas
Kenneth Court
Jennifer Kraatz
Zoie Schwartz
Christopher Currie
Irina La Hoz Bejerano
Cynthia Shaffer
Celia Curtis
Joseph Lam
Seung Shin
Carl Dawson
Savannah Lang
Brandon Silva
Jeffrey Delafuente
Manuel J Leal
David Stimson
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FPA News & Notes Provider Status Update A majority of the members of the U.S. House of Representatives have signed on as cosponsors of H.R. 592, entitled the Pharmacy and Medically Underserved Areas Enhancement Act. As this message is being sent to you, there are 223 cosponsors that have signed this bill. Florida is second to California with 16 cosponsors. There is rare bipartisan support for this legislation with 126 Republicans and 97 Democrats signing as cosponsors. The Senate has 33 cosponsors; however, Senators Marco Rubio and Bill Nelson have yet endorse S.314. For more info, please view the APhA press release. What are DIR Fees? The term “DIR” originated within the Center for Medicare and Medicaid Services (CMS) and was related to the Medicare Part D program. The Plans/PBMs are required to submit an annual report to CMS, which is used with prescription drug event data to “true up” what is paid to a Medicare Part D plan by CMS. So, what does this have to do with pharmacy? Some PBMs may be collecting these fees from pharmacies because they are unable to determine costs through point of sale. NCPA has a list of FAQ’s on the issue at this link. Board Rule on Red Flags You have undoubtedly heard in the news recently about the issues surrounding patient access to pain medications. The media has reported on a regular basis problems in which Florida citizens have struggled to get prescriptions filled. In many of these reports, the media found that patients suffering with cancer or other debilitating illnesses were turned away by pharmacists. The Board of Pharmacy has filed a notice of intent to revise rule 64B16-27.831 in an attempt to update the standards for the dispensation of controlled substances. An open letter was sent to memberships by email from President Tim Rogers and FPA Board Chair Suzanne Kelley in preparation for this issue. You can view that letter in the member forum on pharmview.com. The notice and the draft rule revision can be found at this link. CE Requirements Changing Generally, pharmacists are doing everything they can to help patients get their medications. The FPA is convinced that members, especially those receiving our newsletters with updates and those who regularly attend our continuing education programs, are knowledgeable of emerging practice standards, rules and regulations. Included in the Board of Pharmacy’s proposed
draft rule revision on red flags (noted above) is a new requirement for two hours of continuing education that pharmacists will need to complete each biennium, starting with the current one ending September 30, 2017. The two hours can be included in the 30 hours of CE that a pharmacist must take. This means that there are no additional hours that pharmacists will have to complete to renew licenses. This CE draft rule includes the following language: Mandatory Continuing Education All pharmacists shall complete a Board-approved twohour continuing education course on the validation of prescriptions for controlled substances. The course content shall include the following proposed elements: (a) Ensuring access to controlled substances for all patients with a valid prescription(b) Use of the Prescription Drug Monitoring Database (PDMP)(c) Assessment of prescriptions for appropriate therapeutic value(d) Detection of prescriptions without a legitimate medical purpose(e) The laws and rules related to the prescribing and dispensing of controlled substances. When adopted by the Board of Pharmacy, all licensed pharmacists will need to complete the required course during the biennium ending on September 30, 2017. A two-hour course shall be taken every biennium thereafter. The course shall count towards the mandatory 30 hours of CE required for licensure renewal. All newly-licensed pharmacists must complete the required course before the end of the first biennial renewal period. Rulemaking by state agencies requires a number of steps, so the effective date is not known at this time. Lynn Haven Pharmacist Installed as NCPA President Elect The FPA is pleased to announce that FPA member a nd Ly n n Haven, Florida, pharmacy owner DeAnn Mullins was installed as president-elect of the National Community Pharmacists Association (NCPA) at the recent annual meeting in Washington, D.C. Mullins will likely be installed as the NCPA president at their annual meeting in New Orleans next October. The FPA is aware of only one other Floridian (former FPA president John White) who has served as President of NCPA. Congratulations, DeAnn. The NCPA also adopt-
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ed new resolutions during their annual meeting. Some of the policy statements include, but are not limited to, such items as value-based reimbursement and freedom for physicians and pharmacists to collaborate on PBM issues. Enter here for more information. Orlando Pharmacist Honored for 50 Years of Service The FPA is pleased to announce that Orlando pharmacist and FPA member Les Slesnick was presented his life certificate during the recent FPA Midyear Clinical Conference in Kissimmee, Florida. Life membership is presented to members who achieve lifetime status through the Board of Pharmacy and have been active members of the Florida Pharmacy Association. Florida statutes 465.008 state that any person licensed as a pharmacist in Florida for 50 years or more is exempt from having to pay renewal or delinquent fees, and the Department of Health shall issue a lifetime license to such a person. Lifetime pharmacists will still need to renew their licenses and complete continuing education. Lifetime FPA members will still need to renew their membership each year, but no fees are due. Congratulations Mr. Slesnick. Track and Trace Enforcement Pending The Drug Supply Chain Security Act was signed into law in late 2013, creating a Florida type tracking system on a nationwide scale. Our members are familiar with Florida’s pedigree laws related to drug distribution. While this new federal law is now the new standard which preempts current Florida laws, the FPA has not received any guidance from the Florida Division of Drugs, Devices and Cosmetics (DDC), which regulates prescription drug wholesaling. The DDC is an agency within the Florida Department of Business and Professional Regulation. The new federal regulations will require some compliance from pharmacies with enforcement discretion beginning on November 1, 2015. There are three recordkeeping elements that pharmacies will need to maintain to comply with this federal standard: 1. Transaction information (TI) 2. Transaction History (TH) 3. Transaction Statement (TS) Your pharmacy wholesaler may be capturing that information and storing that for you. However, it is recom-
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mended that you have a written agreement in place. To be compliant, the storage of this information will need to be for six (6) years. This will become critical, should your pharmacy consider changing wholesale suppliers. The FPA is talking with a solution provider that may be able to assist pharmacies with this compliance issue. For more information, download this fact sheet from NCPA. Report on Tweet-A-Thon Thank you to those of you who participated in the third annual #pharmacist Tweet-A-Thon, which took place on October 1, 2015. While it did not beat last year’s record of 11,100 tweets, we did come close to the number of total impressions made (18,749,422 in 2014). According to symplur.com the metrics on this Twitter event, as of October 5th, were as follows: ■■ 16,781,367 Impressions ■■ 6,128 Tweets ■■ 982 Participants ■■ 255 Average Tweets/Hour ■■ 6 Average Tweets/Participant ■■ #1 trending health care hashtag on symplur.com (Oct. 1, 2015) ■■ 62 pharmacy organizations/entities/schools participated 2016 Legislative Days Mark your calendars for January 19– 20, 2016, for Florida Pharmacists Legislative Days. We will be meeting in Tallahassee beginning on Tuesday, January 19th, for policy briefings, student presentations from each of the schools and a special awards presentation. There is a planned, evening welcome reception, with activity at the Florida Capitol on Wednesday, January 20th. Watch pharmview. com for more information. Immunization Survey The FPA has been asked to invite members to complete a survey to determine the views of pharmacists on interns providing immunization services as part of their training. This study is being conducted by faculty and fourth year Doctor of Pharmacy students of Florida Agricultural and Mechanical University’s College of Pharmacy and Pharmaceutical Sciences as part of a research project. Enter here to begin the survey.
Visit Pharmacist Nation TV Network The Florida Pharmacy Association has launched our Pharmacist Nation TV Network and invite you to tour this new technology. We previewed this program during our annual meeting in St. Augustine and at our weekend conferences in Ft. Lauderdale and Kissimmee. The popularity of Pharmacist Nation is swinging into high gear with a lot of interest in the project. Select this link and learn more.
FLORIDA PHARMACY FOUNDATION
FPA 2016 Advocacy Program Underway The FPA Board of Directors has approved the 2016 advocacy program, addresses wholesaling limits in F.S. 499, enforcement issues with MAC pricing, revisions to the current pharmacy laws that would best reflect what pharmacists are doing today to assist patients with health and wellness issues, and supporting national provider status initiatives, among other things. A full report has been published in the September issue of Florida Pharmacy Today, available online at pharmview.com. Look for the message from President Tim Rogers.
Florida Pharmacy Foundation Announces Winner of New Car Escambia County Pharmacy Association Attends Senior Expo Stakeholders with the Escambia County Pharmacy Association participated in the 2015 Senior Expo on Saturday, October 17th, at the Bayview Senior Center in Pensacola, Florida. This was all part of the American Pharmacist Month outreach by one of our local affiliated organizations. Participating in the event were Mary Ann Godlewski, Suzanne Kelley, Anna Jernigan, Christina Larid, Cara Iacobellis and Max Greenlee.
Congratulations to our lucky raffle winner Melissa Greenwell of Brandon, Florida, who won the 2015 Honda Fit. We would like to thank everyone who supported the Florida Pharmacy Foundation fundraiser by purchasing tickets, as well as Proctor Honda of Tallahassee, who provided the winning vehicle.
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C A L L
F O R
APhA Foundation and NASPA Bowl of Hygeia Awarded to a pharmacist for outstanding community service above and beyond professional duties. The use of the following selection criteria is required: ■■ The recipient must be a Florida licensed pharmacist and a member of FPA. ■■ ■■ T recipient has not previously received the award. ■■ two on its award committee or an officer of the association in other than an ex officio capacity. ■■ has compiled an outstanding record of community service, which, apart from his/her specific identification as a pharmacist, reflects well on the profession. James H. Beal Award Awarded to the "Pharmacist of the Year." The criteria established for this award is that the recipient be a Florida registered pharmacist and a member of FPA, who has rendered outstanding service to pharmacy within the past five years. Criteria: ■■ must be a Florida registered pharmacist and a member of the FPA. ■■ has rendered outstanding service to pharmacy within the past five years. Technician of the Year Award Awarded annually to a Florida pharmacy technician who is recognized for his/her outstanding performance and achievement during his/her career. Criteria: ■■ Candidate must be a member of the Florida Pharmacy Association for at least two years. ■■ Candidate must have demonstrated contributions and dedication to the advancement of pharmacy technician practice.
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N O M I N A T I O N S ■■ Candidate must have demonstrated
contributions to the Florida Pharmacy Association and/or other pharmacy organizations. ■■ Candidate must have demonstrated commitment to community service. ■■ Candidate is not a past recipient of this award. R.Q. Richards Award This award is based on outstanding achievement in the field of pharmaceutical public relations in Florida. Criteria: ■■ recipient must be a Florida registered pharmacist and a member of the FPA. ■■ has displayed outstanding achievement in the field of pharmaceutical public relations in Florida. Frank Toback/AZO Consultant Pharmacist Award Criteria: ■■ Candidate must be an FPA member, registered with the Florida Board of Pharmacy as a consultant pharmacist in good standing. ■■ Candidate should be selected based on their outstanding achievements in the field of consultant pharmacy. DCPA Sidney Simkowitz Pharmacy Involvement Award Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profession of pharmacy in Florida. Criteria: ■■ A minimum of five years of active involvement in and contributions to the local association and FPA. ■■ Candidate must have held office at local level pharmacy association. ■■ Member in good standing for a period of at least five years in the FPA and must have served as a member or chairman of a committee of the association. ■■ Candidate must have been actively involved in a project that has or could potentially be of benefit to members of the profession.
F P A
Pharmacists Mutual Companies Distinguished Young Pharmacist Award Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacy. Criteria: ■■ Licensed to practice for nine years or fewer. ■■ Licensed to practice in the state in which selected. ■■ Participation in national pharmacy association, professional programs, and/or community service. IPA Roman Maximo Corrons Inspiration & Motivation Award Interamerican Pharmacists Association created this award to honor the memory of Roman M. Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession. Roman was always there with guidance and support that motivated pharmacists and encouraged visionary leadership, approachable active membership and succession planning. This award recognizes the motivators among us who inspire others to continue to advance the profession. Criteria: ■■ The recipient must be a Florida Licensed Pharmacist and a member of the FPA. ■■ Candidate should motivate others to excel within the profession by encouraging them to be leaders. ■■ Candidate is not necessarily an association officer, but guides, supports and/or inspires others. A brief description on the candidate’s motivational/inspirational skills must accompany the nomination. The Jean Lamberti Mentorship Award The Jean Lamberti Mentorship Award was established in 1998 to honor those pharmacists who have taken time to share their knowledge and experience with pharmacist candidates. The award is named in honor of long time FPA member Jean Lamberti for her effort in working with pharmacy students.
A W A R D S
2 0 1 5 - 2 0 1 6
Criteria: ■■ The recipient must be an FPA member. ■■ The recipient must serve as a role model for the profession of pharmacy. Upsher Smith Excellence in Innovation Award Awarded to honor practicing pharmacists who have demonstrated innovation in pharmacy practice that has resulted in improved patient care. Criteria: ■■ The recipient has demonstrated innovative pharmacy practice resulting in improved patient care. ■■ The recipient should be a practicing pharmacist within the geographic area represented by the presenting Association.
Qualified Nominee: A pharmacist practicing within the geographic area represented by the presenting Association. Cardinal Generation Rx Award The Cardinal Health Generation Rx Champions Award recognizes a pharmacist who has demonstrated excellence in community-based prescription drug abuse prevention. The award is intended to recognize outstanding efforts within the pharmacy community to raise awareness of this serious public health problem. It is also intended to encourage educational prevention efforts aimed at patients, youth and other members of the community. The nominee must be a pharmacist who is a member of the state association. Self-nominations are allowed. Applica-
tions will be evaluated based upon the following criteria: ■■ Commitment to community-based educational prevention efforts aimed at prescription drug abuse ■■ Involvement of other community groups in the planning and implementation of prevention programs ■■ Innovation and creativity in the creation and implementation of prevention activities ■■ Scope/magnitude of prescription drug abuse efforts ■■ Demonstrated impact of prescription drug abuse prevention efforts
DEADLINE FOR NOMINATIONS: FEBRUARY 28, 2016 FPA AWARDS NOMINATION FORM I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION:
NOMINATED BY:
Name:
Name:
Address:
Date Submitted: Signature:
FOR THE FOLLOWING AWARD: (Nomination Deadline February 28, 2016) APhA Foundation and NASPA Bowl of Hygeia James H. Beal Award
Please describe briefly below the nominee's accomplishments, indicating why you feel he or she should receive this award. (Attach additional sheets if necessary.)
R.Q. Richards Award Frank Toback/AZO Consultant Pharmacist Award DCPA Sydney Simkowitz Award Pharmacists Mutual Co. Distinguished Young Pharmacist Award IPA Roman Maximo Corrons Inspiration & Motivation Award The Jean Lamberti Mentorship Award Upsher Smith Excellence in Innovation Award Cardinal Generation Rx Award
MAIL NOMINATONS TO: Annual Awards, Florida Pharmacy Association, 610 N. Adams St., Tallahassee, FL 32301 (850) 222-2400 FAX (850) 561-6758 DEADLINE FOR NOMINATIONS IS FEBRUARY 28, 2016
OCTOBER 2015
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CALL FOR RESOLUTIONS TO THE 2016 HOUSE OF DELEGATES The House of Delegates Board of Directors will meet in May 2016 to review and approve resolutions for the Annual Meeting. The deadline for submitting resolutions is May 6, 2016! 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:
Return this form to: Membership Coordinator, Florida Pharmacy Association, 610 North Adams Street, Tallahassee, Florida 32301 or fax (850) 561-6758
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FLORIDA PHARMACY TODAY
florida BUYER’S GUIDE PHARMACY TODAY
ADVERTISERS: This is a special section designed to give your company more exposure and to act as an easy reference for the pharmacist.
PHARMACY RESOURCES PPSC Retail Pharmacy Purchasing Program (888) 778-9909
LEGAL ASSISTANCE Kahan ◆ Heimberg, PLC Brian A. Kahan, R.Ph., Attorney at Law (561) 392-9000 The Health Law Firm George F. Indest III, J.D., M.P.A., LL.M. (407) 331-6620
PHARMACEUTICAL WHOLESALER McKesson Drug Company Jim Springer (800) 804-4590 FAX: (863) 616-2953
FREQUENTLY CALLED NUMBERS AHCA MEDICAID PHARMACY SERVICES 2727 Mahan Drive Tallahassee, FL 32308 (850) 412-4166 www.fdhc.state.fl.us/medicaid/ pharmacy AMERICAN PHARMACISTS ASSOCIATION (APhA) Washington, D.C. (800) 237-2742 www.pharmacist.com AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS Bethesda, MD (301) 657-3000 www.ashp.com/main.htm DRUG INFORMATION CENTER Palm Beach Atlantic University (561) 803-2728 druginfocenter@pba.edu FLORIDA BOARD OF PHARMACY 4052 Bald Cypress Way Bin #C04 Tallahassee, FL 32399-3254 (850) 245-4292 www.doh.state.fl.us/mqa FLORIDA POISON INFORMATION CENTER NETWORK (800) 222-1222 www.fpicn.org NATIONAL COMMUNITY PHARMACISTS ASSOCIATION 100 Daingerfield Road Alexandria, VA 22314 (703) 683-8200 (703) 683-3619 fax info@ncpanet.org
Advertising in Florida Pharmacy Today Display Advertising: please call (850) 264-5111 for a media kit and rate sheet. Buyers’ Guide: A signed insertion of at least 3X per year, 1/3 page or larger display ad, earns a placement in the Buyers’ Guide. A screened ad is furnished at additional cost to the advertiser. Professional Referral Ads: FPA Members: $50 per 50 words; Non‑members: $100 per 50 words; No discounts for advertising agencies. All Professional Referral ads must be paid in advance, at the time of ad receipt.
RECOVERING PHARMACISTS NETWORK OF FLORIDA (407) 257-6606 “Pharmacists Helping Pharmacists”