October 2010 Florida Pharmacy Journal by Florida Pharmacy Today

The Official Publication Of The Florida Pharmacy Association OCT. 2010

October is American Pharmacists Month

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 24 Buyer’s Guide

VOL. 73 | NO. 10 OCTOBER 2010 the official publication of the florida pharmacy association

Features

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American Pharmacists Month Planning Guide Good Neighbor Pharmacy® Announces National Award Winner in Orlando Lois Adams, RPh, CPh, MBA of Freedom Pharmacy & Wellness Center Named Pharmacist of the Year

The Florida Pharmacy Association 2010 Resolutions

OCTOBER 2010

FPA Calendar 2010-2011

October 23 – 27 NCPA Annual Meeting Philadelphia, Pennsylvania

November 6 - 7

FPA Committee and Council and Board Meetings

10 - 12 ASCP Senior Care Pharmacy Meeting Orlando, Florida 11

Veterans Day FPA Office Closed

Florida Pharmacy Council Meeting Orlando, Florida

25 – 26 Thanksgiving Day Holiday FPA Office Closed

of the Florida Pharmacy Today Journal December

4 – 5

FPA Law and Regulatory Conference Hyatt Regency Sarasota Sarasota, Florida

5 – 9

ASHP Midyear Clinical Meeting Anaheim, California

14-15 Board of Pharmacy Meeting Gainesville, Florida 24 - 27 Christmas Holiday FPA Office Closed

JANUARY 2011 17

Mission Statements:

Martin Luther King Birthday FPA Office closed

29 - 30 FPA Consultant Conference Sandestin, FL 31

Election Ballots Due

Awards Nominations Due

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.

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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Advertisers Healthcare consultants........................ 3 Kahan ◆ SHIR, P.L............................................ 9 Langley Medical........................................ 11 PPSC.................................................................... 10 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 HUMBERTO MARTINEZ, FPA President

Larger Membership is Key to Increased Clout

ctober is American Pharmacists Month, a time in which the country honors its pharmacists. Pharmacists are still one of the most respected professions, according to consumer polls. As pharmacists, we are on the front lines of health care for our patients, and are more accessible and are always available to give advice for the health and welfare of the citizens of this state. Governor Charlie Christ recognized the valued role of the pharmacist and recently issued a proclamation recognizing October as American Pharmacist Month in Florida. He urges Floridians to acknowledge the value of the pharmacist to the citizens of this state. You can check out our website at pharmview.com to see a copy of this proclamation. We are the most respected profession, and our actions speak for themselves in the eyes of our patients. As our population ages, many of our patients are coming to the pharmacist for advice on what vitamins and supplements are best to take to keep them healthy. I would encourage all pharmacists to keep up to date on the latest information on the top 12 vitamins and supplements. According to Jeffrey Blumberg, of the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University in Boston, these are the top 12. ■■ Vitamin B6: aids in the formation of red blood cells and strengthens the immune system. ■■ Vitamin B12: essential for keeping nerves and red blood cells healthy. ■■ Vitamin C: important for wound healing, boosts immune system, required for growth and repair of tissues in all parts of the body.

■■

Vitamin D: helps the body absorb calcium, may protect against heart disease, cancer, diabetes, and several autoimmune diseases. Vitamin E: helps protect cells from damage, may reduce the risk of cancer, heart disease and other chronic ailments, but further research is needed. Folic Acid: this B vitamin helps form red blood cells and helps produce DNA. Vitamin K: helps blood clot properly and helps maintain strong bones in older men and women. Calcium: helps form and maintain healthy teeth and bones, needed for normal heartbeat and helps with blood clotting. Magnesium: supports a healthy immune system, helps keep bones strong and regulates heart rhythm. Omega-3: important for blood clotting, cell division and muscle function. Potassium: crucial for heart, kidney, muscle, nerve function, important in controlling blood pressure and works with sodium to maintain the body’s water balance. Selenium: help make special proteins that play a role in preventing cell damage.

I just touched on some of the uses of these vitamins and supplements, and there is even more recent research on their benefits. As pharmacists, we will be asked more information on these and I know that we will give the best advice to our patients. I have seen a lot more prescriptions written for Vitamin D than ever before. As we age, it becomes harder for the body to make this

Humberto Martinez, 2010-2011 FPA President

vitamin from sunlight. Also, we tend to stay inside more, shielding ourselves from the sun and failing to eat foods rich in Vitamin D. More physicians are realizing the health benefits of these supplements and are writing more prescriptions for them. My theme for the year of my presidency is “A strong foundation for positive outcomes.” In order to maintain this strong foundation for the FPA, we need to keep our current membership and encourage more to join. All of our councils are working hard on behalf of the members of this association. And our leadership works for all of our members. We listen to our members and the direction that they want our association to go. There are over 25,000 pharmacists in the state of Florida and only a little over 3,000 are members of the FPA. How can we represent Florida pharmacists when so few are members? OCTOBER 2010

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 Ayala Fishel, 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

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Flor i d a P h a r m a c y T o d a Y

Every year, we go to the Legislature and advocate for the issues that our members tell us that they need. Sometimes we canâ&#x20AC;&#x2122;t stop new bills that will adversely affect pharmacists when the legislators see how many members we represent. I have pharmacists throughout the state asking me why we let a law adversely affecting pharmacists get passed in Congress. I can only say that if we had more members, then this may not have happened. There is strength in numbers and to be able to advocate successfully for our members, we need these new member numbers. I encourage every member of this association to talk to at least one other pharmacist and try to get them more involved in the FPA. If you get 10 members to join, then you will be a member of our #1 Club and get free registration at our annual convention. You will also receive a distinctive red jacket to wear at all FPA events and a plaque honoring your endeavors to increase our membership. Members of this #1 Club are the cheerleaders of our association and can tell you the benefits of their membership. If you see a member in a red jacket at one of our events, feel free to ask them about the FPA and how we can help you with your issues in pharmacy. We work for our membership and with more members we can know more of the issues that affect our pharmacist in this state. And for our current members, I would like to thank them for being a part of this great organization -one of the oldest pharmacy associations in the country. With your help, we can make the FPA a strong foundation for all pharmacists and members of this association. I am here to serve the membership and will do so to the best of my abilities. n

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

Knowing Your Patients May Keep Your Patients as Pharmacy Clients

any of you have heard that state of Florida employees will need to get their maintenance medications filled through the mail after the third refill. The FPA shared this with the membership in the end of session reports in the “Stat News” as well as the June 2010 issue of “Florida Pharmacy Today.” This issue had been inserted into the budget in the last few weeks of the session without public input and voted favorably along party lines. Members of the Florida Legislature believe that there is considerable savings by creating a requirement for state employees to use “exclusively” mail service providers rather than community pharmacies. Mail order pharmacy services have been growing over the years, generating increased market share. In some cases, patients may not be aware of their benefit plan changes until their pharmacy processes a claim and it is rejected as mail order requirement. In other cases, patients may receive a letter from their prescription benefits plan coordinator informing them of the policy change. Indeed, many mail order providers have been marketing their services as being lower cost to patients by charging only a single co-pay for a 90-day supply of prescription medications versus having to pay three copays for the same supply through the local community pharmacy provider. What consumers may not be aware of is that their benefit plan achieves this advantage by restricting the community pharmacy providers from dispensing more than a 30-day supply. This results in a tremendous unleveling of the pharmacy market by favoring one

pharmacy business model over another. A February 15, 2005, “Wall Street Journal” article suggested that mail order prescription costs were higher for some generics than what was available through local community pharmacies. What is interesting, though, are some comments that I overheard at a non-pharmacy meeting that I attended where there was casual conversation related to pharmacy services by mail. What I found shocking was the observation by meeting participants favoring mail order because of a perceived lack of value and inconvenience from community pharmacy services. Still, I am encouraged by a recent report from J. D. Power and Associates. This report, which was based upon customer satisfaction surveys, rated community pharmacy services (in particular franchised independent pharmacy) higher than mail order. What this means is that we must be ever diligent in making sure that the patients who use pharmacy services, regardless of the pharmacy provider type, personally know their pharmacist. This month is American Pharmacists Month. We should use this opportunity to encourage a healthy and vibrant relationship with those who depend on our skills as health care practitioners. It is very likely that patients who know their pharmacist are less likely to have negative outcomes related to prescription drug therapy. Also, your clients would be less likely to allow anything to come between you and their interest in retaining you as their medication therapy management expert. It is also critical that those of you reading this article share your concerns with

Michael Jackson, B.Pharm

members of the Florida House and Senate. It is they who are, in many cases, the architects of health care policy that we as providers must live under. This month, take a few minutes to welcome patients to your pharmacy and invite them to celebrate American Pharmacists Month (APhM) with you. The Florida Pharmacy Association has been successful in getting the Governor of Florida to declare October 2010 as American Pharmacists Month. n

OCTOBER 2010 |

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 8 |

Flor i d a P h a r m a c y T o d a Y

American Pharmacists Month Planning Guide Source: American Pharmacists Association

American Pharmacists Month is your time to shine. Every practice setting is different- so use these ideas as a launching pad for creating unique celebrations in your local community. Be creative and receptive to providing a wide range of activities. The American Pharmacists Month Planning Guide will help you increase community consciousness about the care provided by pharmacists. Use this guide to plan promotions during American Pharmacists Month in October and throughout the year.

Ideas for Pharmacists in Community Settings ❑❑

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Schedule special health events that encourage patients with the message of “talk to your pharmacist today.” Examples include a flu shot clinic or health screening day (e.g., cholesterol, diabetes, osteoporosis screening). Hold one or more “Medication Check-Ups.” Invite your patients to bring all their medications- prescription and nonprescription- to the pharmacy, so pharmacists can examine them for expiration dates, potential drug interactions and other problems. Conduct “OTC tours” geared toward the needs of specific groups- parents of young children, older adults, athletes and others. Help each group understand how to select appropriate products for the conditions most likely to affect them. Emphasie the importance of reading product labels, knowing the active ingredients in certain medications and consulting with the pharmacist when questions arise. Provide Medicare counseling to the seniors in your community. List information about your Medicare events in the local newspaper or send the information to the local radio station. You can also provide personalized counseling in your area by contacting your local office on aging. For the telephone number, visit www.eldercare.gov.

Ideas for Pharmacy Technicians ❑❑

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Help decorate the pharmacy with banners, posters and balloons announcing American Pharmacists Month. Assist with special health events planned for American Pharmacists Month. Conduct blood pressure screenings and encourage patients to take advantage of other pharmacy-based patient care services.

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Co-host a party for the public! Pick one or more days during American Pharmacists Month to offer cake or other treats. Hand out patient education brochures and small promotional items, like magnets, tote bags and pens. Volunteer during the event by welcoming patients and demonstrating the prescription-filling process. Show them how your crucial role in the pharmacy impacts their positive experience in improving their medication use. Encourage the pharmacist to replace your usual bags with American Pharmacists Month plastic bags, or put American Pharmacists Month stickers on pharmacy bags and purchases. Use a special message promoting American Pharmacists Month when you answer your telephones and on your voicemail: “Hello, this is Main Street Pharmacy, where we’re celebrating American Pharmacists Month. How may I assist you?”

cation brochures and small American Pharmacists Monththemed giveaways, like magnets, pens, tote bags, etc. ❑❑

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Ideas for Pharmacists in Hospital Settings ❑❑

Visit patients in their hospital rooms. Introduce yourself and answer any questions they may have about pharmacy services or drug therapy. Provide patient edu-

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Talk to your administrator(s). Explain the goals and the patient education benefits of American Pharmacists Month to help build a sense of teamwork within the health system. Be sure to invite them to participate in the month’s activities. Create a lobby display. Use it to promote the pharmacy department. Include information about pharmacy services and photos of the pharmacy staff. If your facility is large, consider changing the display weekly to focus on a different pharmacy activity or function. Make the display colorful and fun, with eye-catching elements like red and white streamers or American Pharmacists Month balloons and banners. Set a goal. Choose activities that will best help you meet your needs. For instance, if you’d like to focus on educating patients about safe medication use, a “medication check-up” or a brown bag workshop would be a great choice. Schedule an “open house.” Invite all hospital employees to visit the pharmacy. Conduct brief tours that showcase daily pharmacy operation, and describe how medications move from the initial physician order to the patient. Dem-

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onstrating how a pharmacy really operates could prove to be a real draw! ❑❑

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Get the word out. Tell people about American Pharmacists Month and the activities you have planned. Use bulletin boards and internal email systems to communicate with hospital staff. Spread the word to patients using notes on meal trays, announcements on the public address system or with personal room visits. Hold a community event. Be sure to publicize your event like a health fair at least four weeks in advance with notices at libraries and grocery stores and announcements in local papers. Host a visit for your senator or representative. Provide your legislators with an invaluable view of the contemporary roles of pharmacists. Be sure they see a pharmacist in your facility conducting valued patient care services that warrant compensation, such as drug therapy management, participation in patient education and wellness activities, and other clinical activities.

Ideas for Pharmacists in Managed Care Settings ❑❑

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Schedule special health events. Use this time to encourage patients with the message of “talk to your pharmacist today.” Examples include a flu shot clinic or health screening day (e.g., cholesterol, diabetes, osteoporosis screening.) Hold one or more “medication check-ups” or “brown bags.” Invite patients to bring all their medications- prescription and nonprescription- to the pharmacy. Pharmacists can examine them for expiration dates, potential drug interactions and other problems. Highlight your pharmacy technicians. Get technicians involved by recognizing their contributions to your operation. Post their photos in the lobby. Give them a “thank you” luncheon complete with a cake. Purchase tokens to distribute on National Pharmacy Technician Day. Purchase children’s activity books for your facility. While parents are waiting, the kids will have something to keep them busy.

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Flor i d a P h a r m a c y T o d a Y

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Develop a calendar of events. Laminate your calendar and distribute it to your staff. Arrange “curbside consultations” for patients and caregivers. Encourage them to talk with pharmacists about medication therapy issues. Hold the sessions in a conference room or other relatively private area, and allot from 5 to 10 minutes per person.

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Decorate ambulatory care pharmacies. American Pharmacists Month banners, posters and balloons are great ways to publicize your events.

Ideas for Pharmacists in Long-Term Care Settings ❑❑

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Invite residents and their guests to a special American Pharmacists Month party. Try holding an ice cream social, afternoon tea or other fun event. Make the atmosphere festive by decorating the designated areas with streamers and American Pharmacists Month balloons, banners and posters. Provide patient education brochures and small themed giveaways, like magnets, pens, etc.

❑❑

Visit individual patients in their rooms and give them your full attention. Introduce yourself and answer any questions they may have about pharmacy services or drug therapy. Schedule informational programs for residents and/or their families. Possible topics include the pharmacist’s role in medication regimen review, the ten most common and/or hazardous drug interactions among older patients and basic medication safety. If possible, use this opportunity to explore launching a long-term monitoring program for residents. Develop lunch tray tent cards. Explain the goals of the pharmacy and the services that you offer to the residents. If they have questions about their medication, encourage them to ask to speak with a pharmacist. Don’t be shy! Invite your local newspaper or television reporter to the party. You just might end up with some valuable publicity! Download news release templates and additional information about using the media to tell your story.

Full Time Pharmacist Wanted Thomas Langley Medical Center located in Sumter County is looking for a full time Pharmacist. We are a Federally Qualified Community Health Center which offers an excellent opportunity to the Pharmacist who desires to advance and spend more time with their family. Benefits include 8 am to 5 pm working hours, five days a week, no weekends, a good retirement program, liberal holidays and paid time off, and a competitive salary. We provide Professional Liability insurance and excellent working conditions in a brand new Pharmacy. Some management experience desired, but this can be off set with a good work ethic and a desire to advance. References and pre-employment drug test required. Florida License in good standing necessary. Pharmacist is a member of the Senior Management team and will chair the Pharmacy and Therapeutic committee. Must have working knowledge of the Rx 30 software system or be a quick learner.

E-mail or fax CV to jpike@telmedical.com or (352) 793-6269. For more information call Judy Pike, HR manager, at (352) 569-2942.

OCTOBER 2010 |

Good Neighbor Pharmacy® Announces National Award Winner in Orlando Lois Adams, RPh, CPh, MBA of Freedom Pharmacy & Wellness Center Named Pharmacist of the Year Good Neighbor Phar macy Recognition Awa r d s we r e presented to customers at their National Healthcare Conferences held in various locations across the country. The LOIS ADAMS awards recognize the achievements of Good Neighbor Pharmacy stores in several categories, including the Pharmacist of the Year. All award winners were selected from the Good Neighbor Pharmacy network of more than 3,600 independent pharmacies nationwide. This year’s recognition award for the national Pharmacist of the Year is: Lois Adams, R. Ph, C. Ph, M.B.A., Freedom Pharmacy & Wellness Center in Orlando, FL. The Pharmacist of the Year award is bestowed to a pharmacist who is supremely dedicated to improving the quality of life of the people and towns he or she serves. Since 1984, Adams has served as President and CEO of Freedom Pharmacy, with the vision and mission to affect positive change for patients and the community at large. “We have been privileged to witness her dedication to pharmacy, her advocacy on behalf of so many causes and her remarkable achievements first hand,” noted Joe Short, regional vice president, AmerisourceBergen. Adams received her Bachelor of Science degree in Pharmacy from the University of Florida, did post-graduate work at Rollins College and received her Master’s Degree in Business Administration from the University of Central Florida, where she has been in12

Flor i d a P h a r m a c y T o d a Y

ducted into the “Hall of Fame” for her many achievements and service to the community. She is also a candidate for her doctorate degree in health care administration. Adams began her advocacy work as a student member of the American Pharmacist Association at the University of Florida at Gainesville. There, she learned the wisdom of becoming actively involved in the issues of the day, and how a pharmacist, acting in concert with others, could affect positive change for patients and the community at large. Adams is a founding member of the home health section of the Florida Pharmacy Association and the Independent Pharmacy Network of Florida testifying on pharmacy/patient issues before the U.S. House Judiciary committee, and before both the Florida House and Senate. She is considered an expert on pharmacy issues for the purposes of court testimony and is often asked to intervene on patients’ behalf with insurance companies and investigates cases of abuse and wrongful deaths in the industry. She is also past President and Treasurer of the Central Florida Pharmacy Association where she helped to develop the legislative network. She has also served as the Honorary Chairman of the Republican Congressional Committee’s Business Advisory Council and State Delegation to Washington. She recently traveled to the Capital to evaluate the effects of chemical warfare and post traumatic stress on soldiers returning from the Gulf War. Lois, along with Ross Perot, was able to shed light on this serious problem to members of Congress and get the wheels of government moving to address it. As a dedicated pharmacist, Adams invites patients to make appointments

with her outside of regular business hours and she hosts free glucose screenings for diabetes and provides free colorectal cancer screening kits. Adams is also an advocate for medication therapy management (MTM), which assists patients who may have issues in over-medicating, especially those with memory disorders. In addition to advocating for MTM, Adams has been actively involved in several causes such as Breast Cancer Awareness, the American Diabetes Association, American Cancer Society and the Leukemia Society. Her impact in the pharmaceutical industry and her community does not go unnoticed. She became the first woman in Florida to win the “Wyeth - Bowl of Hygeia Award” from the FPA in 2006; awarded an “Innovative Pharmacy Practice Award” in 2004; and named the “Businessman of the Year” by the National Republican Congressional Committee in 2003. Adams also served as a pharmaceutical consultant to U.S. Congressman Bill McCollum for Project Hope. About Good Neighbor Pharmacy Good Neighbor Pharmacy, an AmerisourceBergen program, is a network of more than 3,600 independently owned and operated community pharmacies. AmerisourceBergen is one of the world’s largest pharmaceutical services companies serving the United States, Canada and selected global markets. For more information about Good Neighbor Pharmacy, visit www.goodneighborpharmacy.com

The Florida Pharmacy Association 2010 Resolutions Presented to the House of Delegates Greetings members of the Florida Pharmacy Association It has been a pleasure so far serving the profession in my capacity as the grassroots spokesperson on the FPA Board of Directors. Members of the FPA may not be aware of the true function and mission of the House of Delegates. It is that entity within the association that gathers on an annual basis to discuss emerging and relevant issues facing the business, practice and profession of pharmacy. The FPA establishes policy based upon mutual consent and support for resolutions that either direct the association to do something, not do something, support something or oppose something. We are all aware that not all members have the ability to attend and participate in debate at the annual meeting. So that all Florida pharmacists have the ability to have input into FPA policymaking, each local unit association, invited organization or other interested groups, are given an opportunity to send a representative to the annual meeting to listen to, provide input and debate the issues that we as pharmacists may grapple with on a day-to-day basis. The only requirement is that representative needs to be a member of the Florida Pharmacy Association. These issues are sent to the FPA office prior to March 15 of each year of the annual meeting for purposes of placing on the discussion agenda for the House of Delegates. The House traditionally has met for two days at the annual meeting to thoroughly review and understand what tasks the Association will be asked to do to advance the practice and advocate for quality patient care. An example of our work is the immunization law that passed several years ago. The gestation for this new law in Florida came directly from the deliberations of the FPA House of Delegates whose end result is a new patient care service that Florida licensed pharmacists have been authorized by our stateâ&#x20AC;&#x2122;s Legislature to provide. Published in this issue of Florida Pharmacy Today are the results of those discussions and final decisions of the 2010 House of Delegates. We have also included for your review the current status of those resolutions. Of course, if you are interested in follow-up on the progress of these issues you are encouraged to reach out to the respective regional director for your geographic area or contact the FPA office in Tallahassee. Finally, let me introduce to you the other members of the House of Delegates Board of Directors who are as follows: Alexander Pytlarz ...................................................................................................... Chairman of the House Board of Directors Suzanne Wise ................................................................................................................................................................... Vice Speaker Shannon Zandy .........................................................................................................................................................................Director Caridad Ferree ...........................................................................................................................................................................Director Kimberly Murray ......................................................................................................................................................................Director Michael A. MonĂŠ .......................................................................................................................................................... Parlimentarian Bob Parrado ..................................................................FPA President Elect and Ex Officio member of the Board of Directors Michael Jackson . ............................................................................................................................................ Secretary of the House At the annual meeting in Aventura, Florida, we will be providing to you a final report on the progress of the 2010 resolutions. I hope that you will be able to attend with me and get involved in the future growth of our profession. With kindest regards, William Riffee 2010-2011 Speaker of the House of Delegates

OCTOBER 2010

only.

Dade County Pharmacy Association Pharmacist-only responsibilities

Motion to refer to Professional Affairs Council Motion passed Professional Affairs Council members Eric Alvarez and Kathy Petsos appeared before the Florida Board of Pharmacy in October asking that consideration be given to revision of rules related to drug therapy management

Intent Statement: To develop a unique definition of the pharmacists’ role, responsibilities and activities that should be provided to the public exclusively by pharmacists. Problem Statement: The Profession of Pharmacy has been traditionally responsible for the safe keeping and safe use of “Pharmakons” (i.e., poisons and medications)...and pharmacists continue to be overregulated and to allow other health care related groups to engage in the duties traditionally defined in law to be under the purview and responsibility of the pharmacist. Furthermore, pharmacists have been in the enviable position of uncovering and monitoring healthcare abuse and misuse (i.e. overprescribing, over use, overbilling, etc.) Whereas many pharmacist responsibilities (i.e. patient education on medication, side effects, use and misuse) have been assumed by other professions; And whereas, pharmacists should take ownership of pharmacist-only activities and assume the vital role needed to ensure appropriate medication use; BE IT RESOLVED that the Florida Pharmacy Association review and expand the definition of the Pharmacists’ role in health care, looking toward expansion of pharmacist-only responsibilities. Be it Further Resolved that regular and periodic progress reports be given to the leadership of the Florida Pharmacy Association with the understanding that the purpose would be to retain pharmacists’ privileges and to attempt to gain ground, legislatively, to solidify these privileges under the control of the pharmacist 14

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Contact: Eric Alvarez, PharmD Staff Analysis: The pharmacist’s role in health care is included in the definitions published under 465.003. In recent years the Association has been successful in adding language that defined other pharmaceutical services as well as promote the ability for the licensees to administer influenza immunizations. That statute allowed for the creation of rules under drug therapy management where pharmacists could assist patients with their medications under a prescriber care plan. In expanding the definition of the pharmacist role in health care the Association may need to consider further revisions to the scope of practice under F.S. 465 through a legislative campaign. Proposals of this nature have been heavily objected to by other medical associations citing limitations to education and training and liability. Politically such a campaign would require significant advocacy resources such as a committed and dedicated grassroots campaign and considerable support for key members of the legislature willing to advance this issue. There would also be a need for patient advocates who would be the recipient of the new pharmacist role to be willing to share their views on the issue. Possible success may also be evident with the identification of physician advocates who are passionate about the new pharmacist role and who also would be willing to state so on the record. The first resolve in the draft resolution in its current form may need some clarification as it does not define the

specific task that the Association is asked to undertake. 2 Dade County Pharmacy Association Minor Infractions’ statute of limitations and expunging of infractions. Problem Statement: Infractions issued to a pharmacist licensed in the State of Florida always appear in his/ her record regardless of the severity and patient harm of the infraction. The Board of Pharmacy’s license look up lists whether or not the license has or does not have discipline on file also without specifying the nature of the discipline. Intent Statement: The intention is to provide greater transparency and clarity on what constitutes discipline that affects the public and eliminates the notation of “discipline” when the infraction are not for patient-care related activities (i.e. continuing education, renewals, etc). Whereas discipline, regardless of the severity and patient harm are listed on the pharmacists’ license in perpetuity and Whereas infractions are not subdivided into categories of severity, Be it resolved that the Florida Pharmacy Association introduce legislation that allows the Board of Pharmacy to establish time limits (i.e. statute of limitations) for minor infractions of the Rules and Regulations pertaining to the practice of pharmacy and that do not cause patient harm, to a set time period such that a pharmacist or technician can request that their licensure record can be expunged of these minor infractions. Be it further resolved that the Florida Pharmacy Association support Board of Pharmacy efforts to categorize pharmacist infractions into Minor and

Major Categories, and that infractions in the Minor Category do not cause patient harm. Be it further resolved that the Florida Pharmacy Association supports a statute of limitations on Minor infractions such that they can be expunged from the public pharmacists’ or technician’s record upon request. The ability to expunge should be allowed to be requested for any minor infractions cited prior to this process. Be it further resolved that the Florida Pharmacy Association support the ability of the pharmacist or pharmacy technician to petition the state board of pharmacy to apply the statute of limitation on any citation received for a minor infractions and that they can have their record expunged. Motion to amend Amendment accepted Resolution passed as amended Referred to Legislative Committee who discussed this issue at their July 2011 meeting in Orlando. Recommendation to the Board of Directors as part of the 2011 legislative advocacy program to look for opportunities to expunge disciplinary records for minor violations through relying on the FPA lobbyist to assess the viability of successful advocation of this program. Legislative consultant suggests that such a campaign would be challenging as Florida is considered an open records state and operates in the sunshine. Consumers will take issue with efforts to seal disciplinary records. Also referred to the Professional Affairs Council Contact: Eric Alvarez, PharmD Staff Analysis: Florida laws currently label disciplinary action as public records and as such can make them available upon request. Parties with an interest in disciplinary records may include but not limited to employers, patients, media, law enforcement, other state agencies, etc. FPA staff is

aware that there have been a number of attempts by health care provider groups to revise these laws with very limited success. Included is one of the many open records laws that may need to be modified. 456.014 Public inspection of information required from applicants; exceptions; examination hearing.-(1) All information required by the department of any applicant shall be a public record and shall be open to public inspection pursuant to s. 119.07, except financial information, medical information, school transcripts, examination questions, answers, papers, grades, and grading keys, which are confidential and exempt from s. 119.07(1) and shall not be discussed with or made accessible to anyone except members of the board, the department, and staff thereof, who have a bona fide need to know such information. Any information supplied to the department by any other agency which is exempt from the provisions of chapter 119 or is confidential shall remain exempt or confidential pursuant to applicable law while in the custody of the department or the agency 3 Broward County Pharmacist Association Freedom of Choice and Standardized Reimbursement Whereas, Prescription drugs account for nearly 15% of America’s healthcare costs. Yet while Congress has spent the last year debating healthcare reforms, discussion on reforming pharmacy has been nonexistent. Whereas, it is a hardship on all Retail Pharmacy practices that the re-reimbursements decline and the PBM’s have gone uncontrolled with no transparency in their actions and recouping claims on odd technicalities which will eventually erode the public ability, and trust to have “Their Personal” Pharmacist.

Be it Resolved, that the FPA work to support and endorse H.R. 4199 sponsored by Representive Butterfield Tagged in the House of Representatives as the Pharmacy Bill. Be it further resolved that FPA shall address in their legislative committee to find a receptive members of the Florida House and Senate to create compatible Florida bills mimicking the Federal proposed bill H.R. 4199 Motion to refer to an appropriate council Motion to end the debate on the motion to refer Division of the House called for on the vote for motion to end the debate Motion to end the debate defeated on standing count Motion to refer defeated Resolution passed Referred to Legislative Committee who discussed this issue at their July 2010 meeting. The Committee is recommending that the FPA advocate for PBM transparency which is part of the provisions in H.R. 4199. Intent: To address main concerns facing Pharmacy today, H.R. 4199 reflects major needs of pharmacy. Equal access for the patient to go to the pharmacy of their choice. Establishes at the Federal level Pharmacists being recognized as Healthcare Providers. Carries manufactures’ rebates directly back to the Federal Program not to the PBM. Establishes a fairer pharmacy reimbursement structure. Broward County Pharmacist Assoc Daniel P. Sweet RPh Past President, Board Member 954-232-8202 Staff Analysis: FPA staff found on the Association of Community Pharmacists Congressional Network OCTOBER 2010

web site the following information on HR4199: The PHARMACY Bill” will remove hidden waste and inefficiency in the drug delivery supply chain, provide patients with more choices to fill their prescriptions, and generate new revenues to pay for health care coverage. Section 1 (Title): Patient Health and Real Medication Access Cost Savings Act of 2009 Section 2 (Patient Choice): Allows patients to choose their pharmacy. Section 3 (Competition, Efficiency, and Transparency): • Incentives: Prevents Pharmacy Benefit Managers (PBMs) from offering incentives to use mail order or specific pharmacies unless the same benefits are offered to all pharmacies in the plan’s network. • Mandates: Prevents PBMs from referring, coercing, or mandating patients to use specific pharmacies the PBM owns or has a financial interest in. • Networks: Prevents PBMs from excluding willing pharmacies as long as the pharmacies agree to the terms of contracts, meet state and federal requirements, and owners of the pharmacies have not been convicted of a crime related to the operations of a pharmacy. • Generic Drug Use: Requires patients to pay a 20% co-pay for brand name drugs, not to exceed $150 per prescription. These amounts are to be updated annually by the CPI. • Payment to Pharmacies: Plans that use federal funds shall reimburse pharmacies at least 107% average wholesale cost of brand name drugs plus $4.25 dispensing fee, and 190% of the Federal Upper Limit for a generic drug plus $8.50 dispensing fee, and any professional service fee set by HHS. The fees are to be updated annually by the CPI. • Payments and Charges: PBMs shall be paid by plan sponsors for adjudicating claims. PBMs cannot charge plans more for drugs or dispensing fees than they pay pharmacies for reimbursement of the 16

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drugs and dispensing fees. • Rebates: Drug manufacturers shall pay rebates to plan sponsors, not to the PBMs. • Negotiation: PBMs may negotiate rebates on behalf of plan sponsors. • Drug Cost Information for Doctors: Sponsors of any plan paid for in any part by federal, state, or local government must provide a list of wholesale acquisition costs of the top 500 most commonly prescribed drugs to physicians who prescribe drugs and treat enrollees of the plan. • Health Care Provider Status: Pharmacists are designated as health care providers.

Whereas: The Physician dispensing rule was originally created to address patient access to medications in rural areas and limited practice setting for the patient to be monitored. The rule has been utilized in some practice setting to promote the unregulated expansion of controlled substances.

Section 4: (Access and Taxpayer Cost Containment): • Access Program: The HHS Secretary shall establish a program to provide affordable access to prescription drugs. • Fees: Pharmacies shall remit to HHS $.50 for each brand name drug dispensed and $1.00 for each generic drug dispensed. These fees are to be updated annually by the CPI. • Professional Dispensing Fees: The dispensing fee paid to pharmacies by a plan shall increase by $.50 for each brand name dispensed and $1.00 for each generic dispensed. • Use of Funds: The funds remitted to HHS shall help pay for access to medications for low-income citizens.

Intent: With the advent of Pain Management Clinics with Dispensaries, Patient safety and control is lost by not having a Pharmacist to oversee the patient therapeutic management within the guidelines of the FDA and Controlled Substance Abuse. By adopting this resolution it will allow the Patient to obtain a full dispensing by in a pharmacy. Also allowing the Pharmacist to further evaluate and counsel the Patient.

It is very likely that advocacy efforts to get similar laws adopted by the Florida legislature will result in considerable objection by the managed care industry as well as opposition from pharmacy benefit managers. Politically such a campaign would require significant advocacy resources such as a committed and dedicated grassroots campaign and considerable support for key members of the legislature willing to advance this issue.

Staff Analysis: This resolution is similar to resolution 09-3 passed by the 2009 House of Delegates. FPA staff is pleased to inform the members of the House of Delegates that the Florida House and Senate have passed a related bill which has been signed into law by the Governor. A detailed analysis is available in the 2009 – 2010 annual report to the membership of the Florida Pharmacy Association as well as the May 10, 2010 issue of Stat News and June 2010 issue of Florida Pharmacy Today.

4 Broward County Pharmacist Association Physician Dispensing – Limiting Scope as Pertains to Controlled Substances

Be it Resolved that, The FPA work with the respective pharmacy and medical board’s to limit the in office dispensing of controlled substances to a maximum of a 3 day supply. Withdrawn by the sponsor

Broward County Pharmacist Assoc Daniel P. Sweet RPh Past President, Board Member 954-232-8202

5 Broward County Pharmacist Association Dispensing Provider

Whereas, Physician offices that utilize the ability for their Physician to dispense is not standardized.

any violation of these laws or rules must be addressed by the dispensing practitionerâ&#x20AC;&#x2122;s licensing board.

Whereas, the Board of Pharmacy has no direct control on the Boards of Medicine, and the interest of the public dispensing practices in accordance with Florida Chapter 465, Florida Chapter 893 and DOH Rules 64B-16 need to be upheld.

If there is a need to revise 465.0276 then a bill will need to be filed along with support from key members of the Florida House and Senate. There will likely be considerable objection from the dispensing practitioner community to such a change.

Be it Resolved that: A Dispensing Physician Permit is to be created under the direct authority of the Board of Pharmacy. The duly licensed practitioner shall be granted a Limited Dispensing Pharmacist Permit which allows them to dispense to their own patients. The requirements for a dispensing physician shall be the same as for a dispensing pharmacist, a Policy and Procedures manual shall be created outlining adherence to all Statues and Rules. Be it further resolved that the FPA requests to be placed on their agenda for a Florida Board of Pharmacy meeting, to present a language for proposed Rule to reflect the intent of the Resolution. Withdrawn by the sponsor Intent: Currently dispensing authority is monitored by respective medical boards Broward County Pharmacist Assoc Daniel P. Sweet RPh Past President, Board Member 954-232-8202 Staff Analysis: It is possible that the Florida Board of Pharmacy may lack the legislative authority to require a dispensing practitioner licensed under other statutes to obtain a pharmacy permit under F.S. 465. If this authority is not present then there may need to be a revisi0n of 465.0276 related to dispensing practitioner. It is the understanding of FPA staff that the Department of Health currently has inspection authority over dispensing practitioners who are not dispensing samples only. Dispensing practitioners currently are required to comply with most aspects of F.S. 465 and the administrative rules however

6 Revise Resolution Format Pasco-Hernando Pharmacy Association Whereas, the FPA has limited financial resources, and Whereas, resolutions passed by the FPA House of Delegates often require the FPA to undertake some action, and Whereas, there may be a cost associated with the action requested: Therefore be it Resolved, that a Fiscal Impact Statement be added to the required House of Delegates resolution format as listed below, and be it further Resolved, that the fiscal impact statement should be projected by the House of Delegates Board of Directors when the resolution is reviewed prior to the House of Delegates. The impact statement should address the anticipated costs and benefits that will be derived should the resolution be passed. Motion to amend Amendment passed Resolution passed as amended Resolution Format: 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:_________________________ Fiscal Impact:___________________ Contact: Don Bergemann, 727-9427491 Problem: Resolutions calling for some action by the FPA are often submitted without consideration being given to the costs versus and benefits. Intent: Passage of this resolution will require the submitters to give some thought to the costs versus benefits of what they are requesting. Fiscal Impact: There is no direct fiscal impact to the FPA if this resolution passes. It requires resolution submitters to give consideration to the costs versus benefits of the action requested. Staff Analysis: FPA staff and leadership will need to be prepared to respond to inquiries from the resolution author on how the proposed policy statement will affect the association fiscally. The House of Delegates Board of Directors will need to review submitted resolutions to ensure that they are not only in proper form but also contain this statement. Resolutions submitted as items of new business will need to also include this statement. It is possible that should a presented resolution be substantially amended on the floor of the House that the proponents may need to be prepared to respond to questions from other delegations or the FPAâ&#x20AC;&#x2122;s elected treasurer on what the fiscal impact statement may be. The following Resolutions were received after the March 15, 2010 deadline. In order for the House of Delegate to consider these Resolutions the house must suspend the rules for the March 15, 2010 deadline for submission of resolutions. This suspension of rules requires a 2/3 majority vote of the house. Failure to achieve the 2/3 majority vote of the house means that the OCTOBER 2010

rules have not been suspended and the late submitted resolutions will not be considered. A suspension of the rules is required for each late filed resolution.

And whereas APhA-ASP recognizes that there is a critical need for student pharmacists to be permitted to immunize under the direct supervision of a certified immunizing pharmacist after proper training,

Therefore it be resolved that the FPA supports the necessary legislative and regulatory changes to permit intern pharmacists to provide immunization services supervised by certified immunizing pharmacists. Motion to end debate passed. Resolution carried unanimously. Referred to the Legislative Affairs Committee who discussed this issue at their July 2010 meeting. The committee is recommending to the FPA Board of Directors that this issue be placed as the primary advocacy goal for 2011. The FPA Board of Directors met in August and approved the plan as the number one priority for the 2011 legislative session.

APhA-ASP Nova Southeastern University Advocating for Student Immunizing Note: It has been determined that this resolution was received on time and could be considered by the House without having to suspend the rules. The resolution as presented is a substitute resolution. Name and Telephone of Individuals: Gina Pettineo 954-829-6031 Tejal Patel 941-284-0287 Angela Garcia, PharmD 954-8737395 Problem: In all fifty states pharmacists can now immunize, in thirty states student pharmacists can now immunize under the direct supervision of a pharmacist. Over the past thirteen years APhA-ASP has documented over 1 million vaccines given by over 8,000 student pharmacists. APhA supports the practice of student pharmacists immunizing. Intent: To include student pharmacists into the scope of training and immunizing in the same capacity as pharmacists in Florida. Resolution: Title: Advocating for Student Immunizing Name of Organization: APhA-ASP Nova Southeastern University Whereas Florida Pharmacy Association represents the interests of pharmacists and student pharmacists in the state of Florida, And whereas the purpose of this resolution is to represent all student pharmacists in the state of Florida in regards to the ability of student pharmacists to immunize,

Flor i d a P h a r m a c y T o d a Y

Staff Analysis: During the 2007 legislative session the FPA was successful in advocating for the Kevin Coit Memorial act. This new law revised the pharmacy practice act allowing Florida licensed pharmacists to administer influenza injections. Key provisions of the law include the following: ■■ Pharmacist must enter into a collaborative protocol arrangement with a supervisory physician licensed under chapter 458 or 459. ■■ Pharmacist must maintain $200,000 professional liability insurance ■■ Shall maintain confidential patient records ■■ Employee pharmacists must get authorization from the employer prior to providing these services ■■ Immunization records must be forwarded to the state for inclusion in the state’s registry ■■ Pharmacists must complete Board approved immunization certification training ■■ Collaborative protocol arrangements must contain minimum standards

The law as passed does not facilitate authorization for pharmacy students to administer influenza injections. This may create an issue as we have a state law authorizing a pharmacist provided service yet there is no opportunity for interns training under the guidance of a Florida licensed pharmacist to be mentored consistent with their training in other practice areas of the profession. The resolution as published directs the FPA to support any policy change that would permit pharmacy students in training to administer influenza injections. 8 Pinellas Pharmacy Association Preventing pharmacists from being confronted with fraudulent prescriptions for controlled prescription drugs. RESOLUTION: Preventing pharmacists from being confronted with fraudulent prescriptions for controlled prescription drugs. ORGANIZATION: Pinellas Pharmacy Association WHEREAS, the diversion of prescription drugs has become the second biggest drug problem in the United States today; and WHEREAS, in Florida, an average of nine individuals die every day as a result of the diversion and abuse of controlled prescription drugs WHEREAS, traditional prescription drug-monitoring programs do not transmit data in real-time WHEREAS, biometric prescription drug-monitoring programs use realtime data WHEREAS, biometric prescription drug-monitoring programs stop prescription fraud and drug diversion THEREFORE IT BE RESOLVED that the Florida Pharmacy Association supports the use of biometric identifiers in prescription drug-monitoring programs to avert

fraudulent prescriptions for controlled prescription drugs from pharmacists Rules suspended to hear resolution passed. Resolution withdrawn by the sponsor. CONTACT: Eva A. Sunell (727) 3412712 PROBLEM: The diversion and abuse of controlled prescription drugs through fraudulent prescriptions makes pharmacists liable. INTENT: Protecting pharmacists by using biometric prescription drug-monitoring programs. Staff Analysis: A similar program was introduced during the 2008 legislative session that was opposed by the FPA. That proposal required pharmacies to obtain biometric equipment and subscribe to a data management service. There was no state funding allocated for this program. This proposed resolution establishes as policy a position statement on biometric prescription drug monitoring programs. 9 “RPhT” be recognized and accepted as the official abbreviation of a “Registered Pharmacy Technician” in Florida Verender Gail Brown, BS, CPhT, Registered Pharmacy Technician WHEREAS, SB 1360, the legislation requiring the registration and training of pharmacy technicians was signed into law by Gov. Charlie Crist on Monday, June23, 2008; and WHEREAS, said legislation focuses on increasing public safety and reducing medication errors by requiring appropriately educated, trained, and registered pharmacy technicians; and WHEREAS, SB 1360 passed by the Florida Legislature requires the Florida Board of Pharmacy to adopt rules establishing the registration of

pharmacy technicians by 2010; and WHEREAS, the NABPLAW database finds that states reference the designation of RPhT as a registered pharmacy technician and CPhT as a certified pharmacy technician; and WHEREAS, the Division of Medical Quality Assurance has assigned the prefix of “RPT” for the database of pharmacy technician registrants in the same manner that it has assigned the prefix “PS” to Pharmacist and “PU” to Consultant Pharmacist; and WHEREAS, all registered pharmacy technicians shall identify themselves as registered pharmacy technicians by wearing a type of identification badge that is clearly visible which specifically identifies the employee by name and by status as a “registered pharmacy technician.” Now, therefore BE IT RESOLVED BY THE House of Delegates of FPA and FSHP THAT: “RPhT” be recognized and accepted as the official abbreviation of registered pharmacy technicians in Florida. Said proposal submitted on 4/24/10 by Verender Gail Brown, BS, CPhT, and Registered Pharmacy Technician. Motion to suspend rules to hear resolution passed. Motion to call question passed. Resolution fails. Staff Analysis: This proposed resolution establishes a policy statement of the FPA however it also includes FSHP as part of that state statement. FPA staff believes that it is unlikely that a policy of the Florida Pharmacy Association through its House of Delegates would be binding on other organizations. 10 Pharmacist Authority to Prescribe Vitamins Broward County Pharmacy Association

WHEREAS pharmacists are highly sought after for their knowledge on vitamins and nutritional products and WHEREAS the pharmacist is in the position of helping the most amount of people with nutritional expertise and counseling and WHEREAS pharmacists in the hospital setting take a lead role in nutritional counseling and advising physicians on TPN and other vitamin deficiencies, BE IT RESOLVED THAT the FPA see legislative authorization to broaden the pharmacist prescribing act to include vitamins, minerals, homeopathic, antioxidants, amino acids, medicinal foods and whole food supplements. AND BE IT FURTHER RESOLVED that the FPA support legislation to broaden the role of the pharmacist to provide nutritional counseling. PROBLEM STATEMENT: Recently the FDA has asked B6 to be placed on prescription, and Congress has introduced legislation to make herbs, vitamins, minerals, homeopathic, medicinal foods and whole food supplements prescription items. INTENT: The intention is to broaden the pharmacists’ roles and responsibilities to include writing prescriptions for herbs, vitamins, minerals, homeopathic, medicinal foods and whole food supplements. BACKGROUND INFORMATION: Pharmacists already can prescribe certain items and have had the position of recommending over the counter vitamins, herbs and supplements. Motion to waive rules on introduction carried. Resolution passes.This issue was referred to the Legislative Committee who discussed this at their July 2010 meeting. The Committee is recommending to the FPA Board of Directors that we should monitor for opportunities to revise the self care consultant act which would allow the prescribing of vitamins, OCTOBER 2010

minerals etc. by pharmacists if the federal laws change. The Committee is also recommending that the Association work with the naturopathic associations. The Board of Directors is recommending that we monitor this issue for opportunities. Action on this issue will depend upon how quickly other more pressing issues can be resolved.

Motion to suspend rules for purposes of hear the resolution Motion to suspend the rules passes. Motion to call question made and carries. Resolution passes unanimously. Referred to the Professional Affairs Council

Contact: Bob Fishman (954) 9896524 postehast@netside.net

11 Introductory Pharmacy Practice Experience (IPPE) Standard Competencies Suzy Wise, Chair, Professional Affairs Council WHEREAS, FPA supports a collaborative effort amongst stakeholders (professional pharmacy organizations, deans, faculty, preceptors and student pharmacists) to develop and implement a standardized statewide defined set of competencies to assess the successful completion of introductory pharmacy practice experiences (IPPEs). Now, therefore, BE IT RESOLVED BY THE House of Delegates of FPA that this collaborative effort will be accomplished through an FPA mediated panel consisting of FPA facilitators (one from the Professional Affairs Council and one from the Educational Affairs Council), experiential faculty member and dean (or representative) from each college of pharmacy, two preceptors from different practice settings and three student pharmacists. AND BE IT FURTHER RESOLVED that these competencies should reflect the professional knowledge and skills necessary for entry into advanced pharmacy practice experiences (APPEs). Said proposal submitted on 7/3/2010 by Suzy Wise, Chair, Professional Affairs Council.

Flor i d a P h a r m a c y T o d a Y

Elimination of Transfer Coupons Suzy Wise, Chair, Professional Affairs Council WHEREAS, patient harvesting using confidential patient data received in the claims administration process is predatory of patient privacy and free market competition; and WHEREAS, the use of coupons, rebates, discounts and other pricing incentives are subject to price undercutting and price fixing and gives an unfair competitive advantage to larger pharmacy providers, Now, therefore, BE IT RESOLVED BY THE House of Delegates of FPA that the FPA advocate for the elimination of coupons, rebates, discounts and other incentives provided to patients that promote the transfer of prescriptions between competitors. Said proposal submitted on 7/3/2010 by Suzy Wise, Chair, Professional Affairs Council. Motion to suspend rules for purposes of hearing resolution Motion to suspend the rules passes. Resolution fails. 13 Jurisdiction & Regulation of Pharmacies, Pharmacists & Pharmaceuticals Under the Florida Department of Health Bob Parrado, Representative of Nigerian Pharmacy Association WHEREAS, the regulation and oversight of prescription drugs,

including but not limited to the manufacturing, distributing, marketing, dispensing, delivery, prescribing and administering of such prescription drugs, should be under the jurisdiction of a single state agency; and WHEREAS, the Florida Department of Health is uniquely qualified to oversee and regulate pharmacy, pharmacists and pharmaceuticals for purposes of assuring patient safety, proper provider licensure and regulation and prescription drug safety and integrity; NOW THEREFORE BE IT RESOLVED BY THE HOUSE OF DELEGATES OF THE FPA that the FPA advocate for and support the regulation and oversight of pharmacists, pharmacies, dispensing practitioners and prescription drugs by the Florida Department of Health. Motion to suspend rules for purposes of hearing resolution Motion to suspend the rules passes Resolution passed unanimously Referred to the Legislative Committee

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:

OCTOBER 2010

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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:

Flor i d a P h a r m a c y T o d a Y

N o m i n a t i on s ■■

■■

Candidate must be a member of the Florida Pharmacy Association for at least 2 years. Candidate must have demonstrated contributions and dedication to the advancement of pharmacy technician practice. Candidate must have demonstrated contributions to the Florida Pharmacy Association and/or other pharmacy organizations. Candidate must have demonstrated commitment to community service. Candidate is not a past recipient of this award.

R.Q. Richards Award This award is based on outstanding achievement in the field of pharmaceutical public relations in Florida.

Criteria:

■■  recipient must be a Florida reg-

istered pharmacist and a member of the FPA. ■■   has displayed outstanding achievement in the field of pharmaceutical public relations in Florida. Frank Toback/AZO Consultant Pharmacist Award

Criteria:

■■ Candidate must be an FPA member,

registered with the Florida Board of Pharmacy as a consultant pharmacist in good standing. ■■ Candidate should be selected based on their outstanding achievements in the field of consultant pharmacy. DCPA Sidney Simkowitz Pharmacy Involvement Award

Presented annually to a Florida pharmacist who has been active at the local and state pharmacy association level in advancement of the profession of pharmacy in Florida.

F P A

Criteria:

■■ A minimum of five years of active

involvement in and contributions to the local association and FPA. ■■ Candidate must have held office at local level pharmacy association. ■■ Member in good standing for a period of at least five years in the FPA and must have served as a member or chairman of a committee of the association. ■■ Candidate must have been actively involved in a project that has or could potentially be of benefit to members of the profession. Pharmacists Mutual Companies Distinguished Young Pharmacist Award Awarded to a young pharmacist for their involvement and dedication to the practice of pharmacy. Criteria: ■■ Licensed to practice for nine (9) years or less. ■■ Licensed to practice in the state in which selected. ■■ Participation in national pharmacy association, professional programs, and/or community service. IPA Roman Maximo Corrons Inspiration & Motivation Award Interamerican Pharmacists Association created this award to honor the memory of Roman M. Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their profession. Roman was always there with guidance and support that motivated pharmacists and encouraged visionary leadership, approachable active membership and succession planning. This award recognizes the motivators among us who inspire others to continue to advance the profession. Criteria:

A W ARDS

2 0 1 0 - 2 0 1 1

The recipient must be a Florida Licensed Pharmacist and a member of the FPA. ■■ Candidate should motivate others to excel within the profession by encouraging them to be leaders. ■■ Candidate is not necessarily an association officer, but guides, supports and/or inspires others. A brief description on the candidate’s motivational/inspirational skills must accompany the nomination.

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

The Jean Lamberti Mentorship Award

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

■■

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

■■ The recipient must be an FPA mem-

ber.

■■ The recipient must serve as a role

model for the profession of pharmacy.

vative pharmacy practice resulting in improved patient care. ■■ The recipient should be a practicing pharmacist within the geographic area represented by the presenting Association. Qualified Nominee: A pharmacist practicing within the geographic area represented by the presenting Association.

Innovative Pharmacy Practice Award

■■ The recipient has demonstrated inno-

Deadline FOR NOMINATIONS: February 28, 2011 F P A A W ARDS N O MINA T I O N F O RM I am pleased to submit the following nomination:

Nominated by:

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

OCTOBER 2010

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

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. 24

Flor i d a P h a r m a c y T o d a Y

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”