Florida Pharmacy Today October 2017 by Florida Pharmacy Today

The Official Publication Of The Florida Pharmacy Association OCT. 2017

t s

a is

r e

s e

k i r

t S

LONGTIME FPA LEADER AND FIRST RESPONDER HUMBERTO MARTINEZ SERVES HIS COMMUNITY IN MANY WAYS

Dedicated to Our Members since 1909.

phmic.com

Our Mission To help our customers attain peace of mind through specialized insurance products, risk management solutions, and superior personal service.

2 |

FLORIDA PHARMACY TODAY

florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint 7 Executive Insight 9 FPA News & Notes 32 Buyer’s Guide

VOL. 80 | NO. 10 OCTOBER 2017 THE OFFICIAL PUBLICATION OF THE FLORIDA PHARMACY ASSOCIATION

Features

10 15 16 18

Disaster Strikes Are You Ready to Help Your Community?

Welcome, New FPA Members

Why Be an FPA Member?

House of Delegates Report

OCTOBER 2017

FPA Calendar 2017-2018

NOVEMBER 10

FPA Office Closed for Veterans Day

Budget and Finance Committee Web Conference Call

FPA Board of Directors Web Conference Call

JANUARY 17-18 Legislative Days and Health Fair at the Capitol 27-28 Law and Regulatory Conference Destin

23-24 Thanksgiving, FPA Office Closed DECEMBER 9-10

Regulatory & Law Conference Sarasota

12-13 Florida Board of Pharmacy Meeting 25-26 Christmas Holiday, FPA Office Closed

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. There is a new 2 hour CE requirement for pharmacists on the dispensing of controlled substances effective this biennial renewal period. Pharmacists should have satisfied all continuing education requirements for this biennial period by September 30, 2019 or prior to licensure renewal. Consultant pharmacists and technicians will need to renew their licenses and registrations by December 31, 2018. 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

Mission Statements: of the Florida Pharmacy Today Journal

The Florida Pharmacy Today Journal is a peer-reviewed journal which serves as a medium through which the Florida Pharmacy Association can communicate with the profession on advances in the sciences of pharmacy, socio-economic issues bearing on pharmacy and newsworthy items of interest to the profession. As a self-supported journal, it solicits and accepts advertising congruent with its expressed mission.

of the Florida Pharmacy Today Board of Directors

The mission of the Florida Pharmacy Today Board of Directors is to serve in an advisory capacity to the managing editor and executive editor of the Florida Pharmacy Today Journal in the establishment and interpretation of the Journal’s policies and the management of the Journal’s fiscal responsibilities. The Board of Directors also serves to motivate the Florida Pharmacy Association members to secure appropriate advertising to assist the Journal in its goal of self-support.

Advertisers EPIC..................................................................... 30 KAHAN & ASSOCIATES................................. 17 PHARMACISTS BROKERS................................ 9 PHARMACISTS MUTUAL................................ 2 PQC...................................................................... 14

CONTACTS FPA — Michael Jackson (850) 222-2400 FSHP — Tamekia Bennett (850) 906-9333 UF — Kristin Weitzel (352) 273-5114 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. 4 |

FLORIDA PHARMACY TODAY

E-MAIL YOUR SUGGESTIONS/IDEAS TO dave@fiorecommunications.com

The Presidentâ&#x20AC;&#x2122;s Viewpoint SUZY WISE, PHARMD/MBA CPH

Celebrating American Pharmacists Month

ctober is a great month to celebrate pharmacists! It is a great time to celebrate and highlight the important role pharmacists play in our communities. Pharmacists are committed to ensuring the best pharmaceutical care to the patients they serve. Many pharmacists are involved in innovative models of patient care across the country and right here in Florida. While pharmacists are the most accessible health care professionals, many patients are unaware of the knowledge and services available from their pharmacist. Most patients are aware of the counseling and medication therapy management services, but many pharmacists are providing even more services. Our pharmacists are providing individualized compounding, hormone replacement testing, genetic screening for pharmacogenomics, diabetes education, infectious disease education, travel vaccinations and many other services. Pharmacists are uniquely positioned to help patients get the most out of their medications through appropriate use and reducing medicationrelated problems. Each year, improper use of prescription medications costs approximately $177 billion. Most importantly, pharmacists are working with patients, physicians, nurses and other health care providers to improve patient outcomes. One of the best ways to celebrate American Pharmacists Month (and every month) is through sharing with your community what pharmacists can and are doing to improve health care. Invite community groups to tour your pharmacy or attend community

meetings and discuss the services your pharmacy can provide for patients and their families. Schedule special events such as flu shot clinics, brown bags or Medicare enrollment sessions. Sign up to speak to local schools about ca-

Pharmacists are uniquely positioned to help patients get the most out of their medications through appropriate use and reducing medicationrelated problems. reers in pharmacy. Meet with local legislators to discuss the issues related to health care. I encourage pharmacies that are providing enhanced patient care services to invite your local legislators to your pharmacy. Having our elected officials see firsthand the services pharmacists can provide to patients is the best way to shape future legislation.

Suzy Wise, Pharm.D./MBA CPh 2017-2018 FPA President

Itâ&#x20AC;&#x2122;s exciting to see all the new and emerging ways pharmacists are practicing at the top of their licenses and connecting with other health care providers to improve outcomes. The Florida Pharmacy Association will be showcasing pharmacists in Florida who are practicing innovative health models. The public affairs committee has been interviewing Florida pharmacists around the state to learn more about their practice settings. Each month, a new video interview will be available on the FPA website. I invite you to check the FPA website and watch the videos to learn more about these great pharmacists and their practices. n

OCTOBER 2017

2017-18 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.

Scott Tomerlin....................................................................................................Board Chair Suzanne Wise...............................................................................................FPA President Ashley Huff.................................................................................................... FPA Treasurer Angela Garcia............................................................................................President-Elect David Mackarey........................................................................Speaker of the House Jeanette Connelly.......................................................Vice Speaker of the House Charzetta James.................................................................................. FSHP President Joyanna Wright................................................................................... Region 1 Director Neil Barnett............................................................................................Region 2 Director Dean Pedalino.......................................................................................Region 3 Director Linda Lazuka.........................................................................................Region 4 Director Melissa Ruble........................................................................................Region 5 Director Luther Laite IV.....................................................................................Region 6 Director Paul Delisser.......................................................................................... 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...............................Don Bergemann, don.bergemann@verizon.net Secretary................................................................... Stuart Ulrich, stuarx@aol.com Member.............................. Rebecca Poston, Rebecca.Poston@flhealth.gov Member.................................................Patricia Nguebo, notablep@hotmail.com Member................................................................Norman Tomaka, FLRX9@aol.com Member............................................Greta Pelegrin, gretapelegrin@yahoo.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

6 |

FLORIDA PHARMACY TODAY

JOIN TODAY!

Executive Insight BY MICHAEL JACKSON, RPH MICHAEL JACKSON, BPHARM, EVP & CEO, FLORIDA PHARMACY ASSOCIATION

What is All the Fuss about Pharmacist – Prescriber Collaboration?

his year a coalition of pharmacy organizations are working to advance legislation that will allow pharmacists and prescribers to collaborate with each other in the care of patients. This is not rocket science and is actually consistent with the new pharmacist education models in today’s pharmacy school curriculum. There is too much research out there that shows positive outcomes when physician services and pharmacy services are integrated. Don’t be shocked when it is revealed that such services can exist in the community pharmacy settings, as well as in inpatient settings. You may not even realize this but you are probably engaging in some form of limited collaborative practice yourself. Do you want an example? You have several diabetic patients you are working with who seem to have challenges with maintaining their blood sugar. Their prescribing practitioner they are seeing every six months is making dramatic changes in their therapy, based upon incomplete or irregular information. Now bring on board the pharmacist who will see these patients every month. You set up a system in which these patients can come in regularly for blood glucose testing and counseling. You work with them on their nutrition issues and in some ways end up being their health coach. While you are working with these patients, you begin to see the patterns that result in treatment failures and you recommend lifestyle changes to correct these problems. You share what you have discovered with the patient’s physician, who will now make “informed” decisions on any therapy changes.

Take the above scenario and create a healthcare delivery system in which the prescribing practitioner grants you authority to make minor changes to patient prescription drug therapy based upon your assessments, knowledge and skillsets. That is the one piece we are missing in our practice act here in Florida. I know that when I practiced pharmacy, it was not uncommon for me to

Don’t be shocked when it is revealed that such services can exist in the community pharmacy settings, as well as in inpatient settings. You may not even realize this but you are probably engaging in some form of limited collaborative practice yourself.

call a prescribing practitioner and suggest a change in therapy that I knew would be accepted without objection. Just think of the time that we could save in health care services if we just had a little more discretion added to the daily tasks that we must perform. How many telephone calls do you have to make

Michael Jackson, B.Pharm

and how many messages have you left for simple matters that could have been resolved simply by using your expertise, granted by a little more discretion in our practice act? The 2018 legislative session will see a proposed bill that would allow trained pharmacists to initiate, modify or discontinue prescription drug therapy if they have a collaborative agreement with a prescribing practitioner. According to a presentation at the October 2017 Board of Pharmacy meeting, there were 48 states with collaborative practice laws. Thirty-six states allow for the initiation of medications in outpatient settings. Florida’s laws are rather restrictive in this area, and with some changes, pharmacists will be able to use skillsets learned and make a difference in health care quality. Many physician practices have already integrated a OCTOBER 2017 |

FPA STAFF Executive Vice President/CEO Michael Jackson (850) 222-2400, ext. 200

Director of Continuing Education Tian Merren-Owens, ext. 120

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...................Don Bergemann, Tarpon Springs Secretary.........................Stuart Ulrich, Boynton Beach Member..............................Rebecca Poston, Tallahassee Member.............................................. Patricia Nguebo, Ocala Member................................. Norman Tomaka, Melbourne Member..............................................Greta Pelegrin, Hialeah Executive Editor.........Michael Jackson, Tallahassee Managing Editor.........................Dave Fiore, Tallahassee

This is a peer-reviewed publication. ©2017, 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 |

FLORIDA PHARMACY TODAY

pharmacist into their patient care services and discovered the missing link to quality. So what is the push and the reason behind advocating for these changes? Why should our professional associations fight for something like this? It may have a lot to do with the changing dynamics of health care. Our traditional role has been in the provision

adopting such policy, considering the adoption of such policy or are implementing test programs. Not to fear, because in our profession there are certain things that cannot be automated. For example, in this state a pharmacy technician is not authorized to immunize patients. To open a freestanding pharmacy, staffed only by technicians and remotely supervised

Be aware that technology is advancing rapidly. Artificial intelligence (AI) is becoming more intuitive and will continue to evolve. of prescription medications to patients through dispensing. We are beginning to see more efforts underway that seek to automate the dispensing process. While such efforts to automate will not be totally divorced from pharmacist intervention, it changes the role from a direct hands-on interaction to simple validation of a process. This issue is not a unique to pharmacy. There was an interesting report on CBS News on October 10 that talked about how automation will be affecting jobs. In their report, it was suggested that there were efforts underway to automate tasks not seemed possible, such as the services provided by cooks, warehouse workers and truck drivers. It was amazing to see in the CBS report an 18-wheeler truck rolling down a highway in traffic with no driver behind the steering wheel. Even nurses were considered at risk for automation, though their job tasks were lower risk, likely because of the high level of patient contact that profession has. In pharmacy, we are already seeing proposals here in Florida that would allow a pharmacy to operate without a registered pharmacist being present. There are several states that are either

by pharmacists, means that certain “touch point” services such as immunizations could not be provided at that location. Be aware that technology is advancing rapidly. Artificial intelligence (AI) is becoming more intuitive and will continue to evolve. For the moment, a collaborative health care provider network is not something that can easily be replicated in a digital world. It requires a thoughtful process with a lot of moving parts that are not easily coded in programming. It is here where we can continue to validate the important role of the pharmacist. n

FPA News & Notes Oakland Park Proclamation Oakland Park, Fla. phar mac ist Aneesh Lak han i, owner and head pharmacist at Garden Drug and Medical Supply, received a proclamation from Oakland Park Mayor John Adornato III on Oct. 18, 2017 recognizing pharmacists in honor of American Pharmacists Month. Garden Drug and Medical Supply is a family-owned and operated pharmacy that has been helping customers in Broward County and the Ft. Lauderdale area for more than 50 years.

a diabetes wellness and education program based in her family pharmacy in Bay County. Together with her husband Ken, the Mullins family has cared for patients in their community since 1972. During the first general session of the NCPA convention, DeAnn delivered a powerful and inspiration-filled message on the transition of pharmacy to HealthCare 3.0. This included a call to all pharmacists to make their practices more patient focused. “DeAnn truly is an energy force when it comes to pharmacist care services,” said Michael Jackson, executive vice president and CEO of the Florida Pharmacy Association. “She has dedicated her life to pharmacy and is a true ambassador representing the state of Florida”. The Florida Pharmacy Association congratulates DeAnn Mullins on a great leadership year, which is ending in American Pharmacist Month.

FPA Congratulates Lynn Haven Pharmacist Completing Term of National Office

SELLING YOUR PHARMACY? Pharmacybrokers.com has contact with hundreds of pharmacy owners and buyers. We observe, follow and analyze the market and know where to find the best opportunities. If you are interested in purchasing or selling a pharmacy, ours is the brokerage firm best suited to meet your needs.

Lynn Haven, Fla. resident DeAnn Mullins entered the history books in Florida as the second pharmacist from our state to serve as president of the National Community Pharmacists Association. DeAnn completed her term of office with NCPA at the close of their 2017 annual meeting and convention in Kissimmee. The former Florida Board of Pharmacy member has been active in NCPA for many years and is an advocate for pharmacist patient care services. She is the creator of WeCare –

CONTACT US TODAY! David Owji | Broker-Owner | 877-955-4447 info@pharmacybrokers.com | www.pharmacybrokers.com OCTOBER 2017

Disaster Strikes

Are You Ready to Help Your Community? Twenty-five years ago, Hurricane Andrew cut a swath of destruction through south Florida, leveling homes and turning entire neighborhoods into rubble. As dawn broke the following day, Humberto “Bert” Martinez, CPh, learned that the Category 5 storm had ripped off the roof of the Walgreen’s where he worked. Along with a team of other pharmacists, Martinez went to the site to salvage what could still be used, and although the phone lines were down and the roads were nearly impassable, they were able to tap into Walgreen’s satellite system, obtain a trailer and a generator, and open a temporary pharmacy. Once word got out, people began to slog through the mud, debris, and Florida heat to get there. The plight of the desperate struck a chord in Martinez. “We were the only pharmacy in town, there was no transportation, and people were walking 5 miles to get their diabetes medications. I saw what the hurricane did to people, and I got interested in how you can help your community when everything is destroyed.” Since then, Martinez has obtained certification as a First Responder in Disaster Response, joined a Community Emergency Response Team (CERT), and become a Medical Reserve Corps (MRC) volunteer for the Miami-Dade County Public Health Department as well as a Skywarn Storm Spotter for the National Weather Service. He’s also certified in mass antibiotic dispensing, disaster behavioral health training, and mass radiological event training. Act Locally Opportunities abound for community pharmacists to participate in disaster preparedness, and a great place to start is right in your own neighborhood, said Nicolette Louissaint, PhD, interim executive director of Healthcare Ready, in Wash-

“WE WERE THE ONLY PHARMACY IN TOWN, THERE WAS NO TRANSPORTATION, AND PEOPLE WERE WALKING 5 MILES TO GET THEIR DIABETES MEDICATIONS. I SAW WHAT THE HURRICANE DID TO PEOPLE, AND I GOT INTERESTED IN HOW YOU CAN HELP YOUR COMMUNITY WHEN EVERYTHING IS DESTROYED.” 10

FLORIDA PHARMACY TODAY

Martinez discusses disaster preparedness plans with Troy Johnson, MPH, MEP, emergency management coordinator in the Miami-Dade Fire Rescue Office of Emergency Management.

ington, DC. “Because pharmacies are placed inside of the community, community pharmacists will know what their patients need and what ailments and potential vulnerabilities their patients have. During an unforeseen event, they will have a better idea on the ground than [other] providers and emergency response teams,” Louissaint said. Martinez can attest to that. “In CERT, they want us to respond in the community to help the community and our neighbors. It takes federal responders up to 3 days to get here in a natural disaster, and they want us to be here to help, keep people calm, and let responders know what is going on when they get here.” The MRC operates locally, as well. Martinez has been tapped for service with the MRC twice, once as part of a team to provide mass H1N1 influenza immunizations and once in response to the Zika outbreak. For Zika, the team went out into the community to try to find the origin of the outbreak, collecting urine samples and asking residents about recent travel. If training to be a responder in an official capacity isn’t an option, becoming part of a health care coalition is another helpful way to participate, Louissaint said. “Health care coalitions reflect a major cross-section of the types of entities that would be critical in an event, and that should include pharmacists. They can feed into the coalition what their patients actually need.” Pharmacists can also provide input to the coalition about the unique characteristics of the neighborhoods they serve, Louissaint added. She pointed to the civil unrest that erupted in Baltimore in 2015 and how several pharmacies were destroyed, leaving patients with few options. A handful of committed pharmacists helped alleviate the crisis by providing medications through small windows in the pharmacies that

Seeing his community struggle in the aftermath of Hurricane Andrew spurred Humberto “Bert” Martinez, CPh, toward action in disaster preparedness and emergency response.

PHOTO CREDIT: MATIAS OCNER/ICDA

OCTOBER 2017 |

weren’t completely looted. “It was one of those events with very little notice that required a specific type of health care response for patients in vulnerable, resource-poor communities that don’t have a lot of pharmacies. When things like this happen, our immediate thought is ‘Where is the next closest pharmacy?’ but that’s not going to be in reachable distance for these communities.” Louissaint noted how important pharmacists would be during an outbreak of infectious disease. “They would be managing chronic diseases so patients aren’t relying on hospitals to get the care they could have gotten at pharmacies or other external facilities. We don’t want to fill prescriptions for things like heart medications in the same emergency room as patients who are infectious.” Throughout an event of any kind, locals will rely on pharmacists for information, so pharmacists should be prepared, Louissaint said. “There’s a lot of data that shows that people trust pharmacists to provide medical information more than any other health professional. It’s because patients see their pharmacists more often and have a relationship with them. Pharmacists can do a lot in advance to make sure that patients have everything in place, including emergency refills and medications.” Mind the Pharmacy While some pharmacists participate as first responders, others will either hold down the pharmacy, as in Baltimore, or create a mobile one, as Martinez and his colleagues did in Florida. To that end, pharmacies need to have their own disaster plans, said Louissaint. “First and most important is a strong business continuity plan. They can’t help their communities if they aren’t open and there themselves, so they should make sure they have plans for back-up power, storage of medicines, taking care of their own staff, and making sure personnel can get into the pharmacy,” Louissaint said. “There is data [suggesting] that 75% of pharmacies that don’t have continuity plans in place during an event do not open their doors again, even a year later.” Lisa Schwartz, PharmD, RPh, senior director of professional affairs at the National Community Pharmacists Association in Alexandria, VA, noted that independent pharmacies have a unique set of challenges in disaster preparedness. “The own-

er might wear the hat of the CEO, pharmacist in charge, and emergency response operator. It all falls on the owner if they haven’t delegated responsibilities ahead of time to someone else, or if there isn’t someone else who is interested and capable.” Yet independent pharmacies share some of the same concerns as large chains, such as the value and perishability of their inventory, Schwartz added. “It’s not only that they had to pay purchase price to wholesalers, there’s also street value, so having a secure pharmacy is important. You can also lose inventory if you can’t show the correct temperature was maintained. Then you have to figure out how to dispose of that, then replace it and put it on shelves. There’s a lot of time invested in that.” Schwartz said that regulations have brought pharmacies toward formal plans. “Some of it came out of HIPAA when it passed security rules. One of the compliance notes is that pharmacies need to have contingency and disaster recovery plans, and the plans need to be available and on paper for any inspector who comes to the pharmacy.” Pharmacists who work in chain drug stores will receive guidance, and often training, from within the company, said Chris Krese, senior vice president of marketing, communications, and media relations at the National Association of Chain Drug Stores in Arlington, VA. He noted that while the specifics vary from company to company, the plans share commonalities. “The plans generally seek to mitigate risk to employees and customers, mitigate impact to operations, and address the diverse emergency needs of impacted communities,” Krese said. He added that plans may flow from a dedicated team of representatives from departments across the organization, with input from employees in the field and corporate headquarters whose functions include pharmacy operations, corporate communications, government relations, and community relations. Yet each region has its own needs. A pharmacy in Kansas most likely wouldn’t worry about a hurricane, and a pharmacy on Long Island wouldn’t anticipate an earthquake. To that end, individual stores and pharmacy managers in a chain may have latitude to use their professional judgment to adapt and make decisions as necessary, Krese said.

“IT WAS ONE OF THOSE EVENTS WITH VERY LITTLE NOTICE THAT REQUIRED A SPECIFIC TYPE OF HEALTH CARE RESPONSE FOR PATIENTS IN VULNERABLE, RESOURCE-POOR COMMUNITIES THAT DON’T HAVE A LOT OF PHARMACIES. WHEN THINGS LIKE THIS HAPPEN, OUR IMMEDIATE THOUGHT IS ‘WHERE IS THE NEXT CLOSEST PHARMACY?’ BUT THAT’S NOT GOING TO BE IN REACHABLE DISTANCE FOR THESE COMMUNITIES.” 12

FLORIDA PHARMACY TODAY

“In these instances, an emphasis remains on ensuring compliance with federal, state, and local regulations. Companies also emphasize working closely with vendors, law enforcement, pharmacy boards, and others to address issues and needs that arise,” Krese said. Statewide In the event of a disaster, governors may call upon health professionals to expand upon their roles and work outside their usual parameters of authority. In Washington State, pharmacies and local jurisdictions may sign a statewide memorandum of understanding for public health events like pandemic influenza, an agreement that Jenny Arnold, PharmD, BCPS, director of practice development at Washington State Pharmacy Association in Renton, describes as a “contract of support.” “During a pandemic, in the acute phase pharmacists may identify cases of the flu, perform triage, refer patients who have severe symptoms like pneumonia, and prescribe antiviral medications for patients who meet the criteria,” Arnold said. “Some pharmacists have prescriptive protocols to do this normally, but during a major flu event we could have more pharmacists to do it. They can use diagnostic criteria, not just rapid-flu testing.” The state also has plans for engaging pharmacists and pharmacies in response to terrorism and bioterrorism, Arnold said. “There are plans for distribution of stockpile medications and countermeasures throughout the state. We have nerve agent antidotes in health-system pharmacies to stock and maintain as well as distribute. We have plans in community pharmacies to distribute the antidotes and plans to get medications near affected areas, to dispense the medications, and to assist with any vaccinations needed.” Arnold said pharmacists’ liability for their expanded roles is covered under the emergency worker liability by the state, and the memorandum of understanding outlines the support that local health agencies will give pharmacies for reporting the number of medications and vaccinations they give away and how to pay for them. Stay Connected Whether an independent pharmacy or chain, first responder or guardian, the experts agree that all pharmacists should make an effort to stay connected to all stakeholders in disaster preparedness—their communities, colleagues, state and local authorities, and entities who could affect the supply chain. “At least know your colleagues across town and whether they’re able to help someone very quickly. Introduce yourself to the pharmacy manager, especially if that person has a different wholesaler,” said Schwartz. “If there is a problem with one distribution center, chances are another one can fulfill. If a medical countermeasure is needed in great volume, you

might deplete a distribution center, so it helps to know another pharmacy that has a different wholesaler with a different distribution center.” Arnold stressed the importance of being visible to authorities. “If you don’t know the public health officials in your county and city, call them up and reach out to them. They don’t know pharmacy is a resource until they hear from you and can put a face to your name.” Pharmacists should maintain updated contact information in more than one place for those they would reach out to in an emergency, Arnold added. “Keep the numbers of employees and coworkers to see who can work and support the pharmacy, who in your county knows where the warehouses are, who knows when the power will come back on, your state board of pharmacy, your wholesalers, the DEA, and your insurance company.” Martinez encourages pharmacists who wish to jump into the fray of emergency response to get training. “Go to your local health department, take the basic training, and participate in the drills, especially as immunizers. The training as immunizers is important because the health department can rely on pharmacists for that a lot,” Martinez said. He added that pharmacists who volunteer are protected by Good Samaritan laws. “As volunteers, we’re obligated to help within our training and capacity, but we’re also protected from fault. You’re free of liability because you’re documented as first responders.” The training requires a commitment: Martinez’s CERT training included 3 days of training in fire suppression, first aid, and light search and rescue. Each year he participates in drills for the MRC for antiviral and antibiotic drugs, where participants must meet a standard for how many vaccinations they can provide per hour while wearing a protective suit. Responding to a disaster or public health crisis is hard, emotionally challenging work, but it’s something that will stay with pharmacists for years to come, Martinez said, reflecting back on his involvement in the wake of Hurricane Andrew. “When you see people lose their houses and they tell you they’re sleeping in tents, it really hits you, and you’re glad to be of service to them.” Terri D’Arrigo, reporter Reprinted from the August 2017 issue of Pharmacy Today with permission from the American Pharmacists Association. Available at http://www.pharmacytoday.org/article/S10420991(17)31057-5/fulltext. © 2017 American Pharmacists Association. Published by Elsevier Inc. All rights reserved.

OCTOBER 2017

“I’M ALWAYS WATCHING OUT FOR MY PATIENTS, BUT WHO’S WATCHING OUT FOR ME?”

WE ARE. We are the Alliance for Patient Medication Safety (APMS), a federally listed Patient Safety Organization. Our Pharmacy Quality Commitment (PQC) program: • • • •

Helps you implement and maintain a continuous quality improvement program Offers federal protection for your patient safety data and your quality improvement work Assists with quality assurance requirements found in network contracts, Medicare Part D, and state regulations Provides tools, training and support to keep your pharmacy running efficiently and your patients safe

Call toll free (866) 365-7472 or visit www.pqc.net PQC IS BROUGHT TO YOU BY YOUR STATE PHARMACY ASSOCIATION 14

FLORIDA PHARMACY TODAY

Welcome, New FPA Members The Florida Pharmacy Association would like to recognize the following members who joined the association between January 2017 and June 2017. Carly Acquaviva Verel Ahye David Amato Hailey Amlott Shawn Anderson Emma Applebaum Jessica Arizmendi Meghan Arwood Mixson Asia Samantha Axelrod Melissa Bailey Ana Baird Miryia Baldridge Cheryl BargeSeabrooks Kayla Barnett Cody Bates John Batten Michael Bellizzi Amy Beshai Lauren Bhalai Nikesh Bhika Nicholas Bockovich Danielle Bohrer David Bohunicky Michael Boutros Barry Boyd Evans Branch Jacqueline Branson Jeff Broxson Randy Budhram Brian Bulfer Jazz-Lynn Butler Fortunata Calorigero Quynh Cao Abigail Capito Alyssa Carbonaro John Paul Carlisle Dani Carlson Jessica Cashwell Kassandra Castro Melissa Catalano Sheila Chandler Hao Yu Chen Min Choi Reyna Chon Erlin Clement Emilie Collongette Samuel Comandari Alyson Compton Paige Cooke Kristie Coots Alcides Cordoba Ramon Cortes Hanna Coumans Isra Craven Hector Cruz Stacey Curl Ruth Dailey

Griff Danheim Binoy Daniel Thomas Daniel Susan Daniels Maria Datcu Christie DeBruhl Judy Del Toro Peter Del Toro Nakul Desai Rosa Deschamps Sushma Dey Marcos Dias Darlene Dudley Connie Dugan Lana Dunn Issa Elajame Icy Eley Kasem Elhajji Jennifer Ellis Kristina Etheridge William Evans Uchenna Ezenwa Fang Fang Rachel Fanti Adebola Fatimilehin Mary Fedak Sharon French Stephanie Fields Leo Fields Clay Fischer Brittany Fisher Kathryn Fletcher Ian Floresta Joyce Fohtung Denise Foley Angela Forest Estefania Franco William French Mary Jane Fries Christopher Fung-On Lea Gaber Adreana Gaines Jasmin Ghada Laroux Sandra Ghaly Philip Giordano James Giordano Maia Goldenberg David Gomez Patricio R. Gonzalez Brian Goodwin Corinne Gorant Darian Graham Michael Graves Sajan Green Jennifer Green Katherine Grieser Robert Grieser Doris Grimaldi Tina Hamilton

Dana Harshman Carol Hassler Charles Hauswald Caroline Haver Spencer Heath Daniel Henry Angelica Hernandez Sima Hernandez Victoria Herrmann Shashala Heslop Ingrid Hessey Crystal Hilaire Rose Hines Tien Hoang Dennis Holm Marlon Honeywell Amber Hubbard Mackenzie Huhn Dieu Huynh Mindy Huynh Anthony Inyang John Irish Saneeya Islam Sarah Jacob Joel John Sean Johnston Sarah Jones Christine Khan Lily KhodadoostKamvar Tram Kieu Gail King Paige Klingensmtih Yesenia Kulko Daimy La Rosa Borges Tara La Salle Anthony LaBriola Alodimary Lahoz Hillary Landers Luc Le Eleisha Lee Katelynn Lekhram Jacob Leonard Matthew Lerret Jeff Lewis Tammy Li Jessica Liao Alejandro Lizano Nida Lo Auquila Locke Lisaine Lopez Rehenakhanu Madhani Saskia Madison Carlos Madruga Alexander Maki Lorraine Malave-Rosa John Maneno Denise ManeraShanos

Christina Marlowe Javier Martiney Jennifer Marvin Anupha Mathew David McBreen Felicity McCoy Max McDaniel Ashley McKenzie Mishal Mehta Camilo Melendez Lisa Meloche Laysa Mena Nicholas Micciche Amanda Miller Mymoona Mohsin Luis Molina Jan Monley Angela Morris Natasha Mussenden Jaimie Myers Brenda Myers Venan Nanakumo Tracy Nguyen Daniel Ninh Ashley Nixon Lelei Nohr John Noriega James Norkus Jeremy Obordo Yunjae Oh Carlos Ojeda Joyce Ojo Christopher Oliva Albert Ormaza Damarys Padilla Kaley Pagan Brandon Panichello Raghu Parvatikar Pushpa Patel Nitin Patel Manishkumar Patel Amanda Pelliccioni Casey Perticone Tu Phan Walter Pierre Enxhi Plaku Gaia Pollard Reno Pollock Lorenzo Porras Christopher Prendergast Don Pullin Jeanne Marie Querubin Luis Ramos Victoria Reams Simone Reid Marlene Rhyne Richard Richter Yaritza Rivera

Monica Rizkalla Travis Robertson Tom Robertson Audrey Robinson Tharon Robinson Ivon Roman Paul Ross Jasmine Ruff Eva Rus-Biason James Rybacki Susan Saleeb Rafael Sanchez Raegen Sanders Isabel Sandoval Janet Schmittgen Derek Schulz Taty Severe Kayla Sheffield Heta Sheth Trish Short Marcus Silio Edith Vanessa Sims Rebecca Singha Gwendolyn Skari Melster Slone Brianna Smith Kathryn Smith Donald Smith Joel Smith Steve Snyder Takaila Spence Jeannette Steer Douglas Stewart Antonio Suarez Roselynn Surdan Molly Swango Keisha Sweeney Julia Tam Yingjie Tan Cecily Tart Liz Tav John Taylor Kaitlyn Thiessen Patricia Thomas Taylor Thompson Rachhanil Thong Kristina Tibbitts Perry Torres Isabella Torres Paul Touchton Michelle Tran Lydia Tyson Kristal Urena Amar Vala Ngon Van Kristen Vargas Camilo Varona Ashley Vaughn Maurice Vega

Arayoan Vergara Mojica Madeline Vey Kathleen Vieson Maria Vonburg Anne Weaver Alexis Weber Kaytie Weierstahl Samuel Wells Mitchell West Mia Whitehead Chardae Whitner Latoya Wilcox Stephanie Wills Cecil David Wilson Juanita Wilson Ashley Wilt Nada Yassein Waqar Younas Thomas Young Robert Zagorsky Zulma Zamot Jacqueline Zembron Li Zhang Tayler Zocco

OCTOBER 2017

Why Be an FPA Member? An editorial by Michael Jackson, B.Pharm, and FPA Member This is an extremely valid question worthy of all organizations that accept dues from industry stakeholders. Of course, the answers are as diverse as American society with its melting pot of cultural and gender diversity. Those of you reading this article are already members and have found the benefits of being in the FPA network of value, however, what about the other 25,000 Florida-licensed pharmacists and the other 45,000 Florida-registered pharmacy technicians you talk to and see every day? They are not engaged as members, yet they depend heavily on your professional organization that you support to look out for their interests. There must be a scientific explanation why the majority of our stakeholders are not FPA members. It is very likely because, unlike you as readers of this journal, they do not know what the FPA is or does on their behalf. Let us take a look at some examples. Pharmacy Technicians They now have a clear career pathway that creates a license and recognizes their training and trade experience. That pathway was created through the advocacy of the Florida Pharmacy Association before the Legislature. Prior to passage of that law, all one had to do to be a technician was wear a name badge. It also assured that those working as technicians in this state had at least minimal training and experience. Restrictions on Pharmacist Dispensing You may not remember this, but several years ago the Legislature was entertaining proposals that would restrict the ability of pharmacies and pharmacists to purchase and dispense controlled substances. The FPA was there to fight back that effort. Mandatory Mail Order Our industry is surrounded by efforts to require consumers to use mail order over their traditional community pharmacy practice setting. The FPA is swinging for the fences against these commerce restrictions on our industry. We were instrumental in working with the state employee plan to roll back many of the mail order requirement restrictions and prevented several efforts for a mandatory mail order program for Florida Medicaid. While there are successes, we see daily efforts to continue advancing programs that take away patient choice.

FLORIDA PHARMACY TODAY

Pharmacist Immunization Services FPA was on the frontlines of changing Florida laws to allow pharmacists to administer vaccines to adults. This is a patient care touch point that has a tremendous benefit downstream to the professional practice of pharmacy. For example, are you aware that there are efforts underway to facilitate dispensing pharmacies that are staffed without pharmacists having to be present? Such a plan will not work for patients who come to a pharmacy for a flu shot and cannot get one if the pharmacist is not there. Collaborative Practice Advocacy The practice of pharmacy is a changing profession, with our training and expertise far outpacing the laws that enable pharmacist services. We have the ability to do a lot of things in the provision of patient care services, but regulatory barriers and payment challenges get in the way. The FPA is advocating for changes in Florida and federal laws that recognize the value of pharmacist services and is fighting to make those changes happen. Pharmacy Audit Laws Pharmacies are regularly assaulted by aggressive PBM auditors using strange and unusual tactics to find ways to extract money from pharmacy providers. Do you remember extrapolation and how it was used to force repayment of pharmacy claims? The FPA exposed this faulty method of prescription claims recoupment and included restrictions for its use by PBM auditors as part of the Pharmacy Practice Act. Continuing Education Offerings The FPA has a huge library of continuing education offerings that include high quality clinical programs. We also deliver these programs both through the Internet via home study and live conferences across the state of Florida. Members enjoy up to a 65 percent discount on the costs of their continuing education. Member Rewards Program If you are an FPA member, you have access to our popular member rewards program, in which you receive substantial discounts on everyday goods and services. If you regularly go to movies, why pay the full price when discounts are available? Our members save an average of $3,106 when purchasing a vehicle through our member rewards auto buying program.

Student Loan Benefit Even student members or those members who have outstanding student loans can benefit from being an FPA member. Apply through our partnership with SoFi and applicants can get an automatic $300 bonus, as well as an average savings of $22,359 on the cost of refinancing their student loans. These are just a few of the benefits of FPA membership, but let us go deeper into this issue. We are living in the age of information. Those who have the right information are those who are advantaged in today’s fast-paced marketplace. The FPA works hard every day to ensure that our members have access to important issues that affect their practices. We get this information through direct monitoring and advocacy of the decisions by the Florida Legislature, the Board of Pharmacy, the Agency for Health Care Administration, Congress, and many other policy-making bodies of government. Many of these decisions affect your relationship with your patients, and in some cases your livelihood. As a dues-paying member of the FPA, I know firsthand the value of FPA membership because the information that I received helped my career and kept me ahead of the howling wolves seeking to derail my health care service goals. There is a generational factor that plays a role in a decision to become a member. Articles I have read on the subject suggest that Millennials, Generation X and Baby Boomers have different reasons to join an organization like the Florida Pharmacy Association. This is important to keep in mind when talking to the 25,000 pharmacists who are not members of the FPA. Generations by birth year:

Baby Boomers

Generation X

Millennials

1946 – 1964

1965 – 1979

1980 and Later

I believe that across all generations, the main reason that a pharmacist or a technician joins an organization is for the information that it provides that may not be available from readily accessible resources. While the age of the Internet creates greater access, the issue is whether that information can be relied upon as accurate, current and from a credible source familiar with our industry and our emerging needs. The differences seen between generations that are clearly apparent, comparing the Baby Boomers to the Millennials is more along the lines of giving back to the profession versus the WIIFM (What’s in it for me?) standard. I will avoid classifying this standard by generation and instead go to other reasons. Volunteerism is in the nature of American society. A member of an organization wants to belong to show the community what they are involved in, and that they are contributing to society and making a difference. This is where the volunteer member takes on a role that results in a positive outcome (see the above list of issues in this article). Of course there are generational differences here, such as

that Baby Boomers and some Gen X members navigate the committee and council infrastructure of organizations with ease. Our Millennial professionals view volunteerism much differently, seeking to be assigned to a task, delegated responsibilities and resources; and when finished, released to do other things or to be available when called upon again. The FPA is working to bridge the needs of our various stakeholders through our numerous volunteer programs. Finally, our pharmacy schools play a very important role in the membership of the FPA. Pharmacy schools that graduate students are preparing them to either go on to advanced studies or in many cases prepare for the practice of pharmacy. As it stands now, our profession is governed by the state Legislature and regulations are adopted by the Board of Pharmacy. These are the key advocacy areas and domain of state pharmacy associations, which means that our efforts are critical to ensuring a pathway of sustained employment. Schools are taking notice of this and having students participate with us on legislative day activities and leadership visits to campuses. It would be safe to say that the FPA is instrumental in helping schools to improve the employment marketplace for their graduates. Their involvement in the FPA is critical to their success in graduate placement within the profession. So has the question, “Why be an FPA member” been answered? I think the comments in the article could clearly answer that question and many more like it.

A Pharmacist And A Lawyer Licensure Disciplinary Proceedings Insurance Company/PBM Audits and Appeals Purchase & Sales of Pharmacies Regulatory Compliance Consultants Business Operations Consultants KAHAN & ASSOCIATES, PLLC

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.

OCTOBER 2017

Speaker of the House Delegates Report Presented to the House of Delegates Hello, Florida Pharmacy Association members. It is my honor and privilege to present to you the 2017 FPA Annual Speaker of the House Report. Each year during the convention, local unit organizations, faculty and students from Florida pharmacy schools and other invited members entitled to be represenDavid Mackarey tative delegates in the FPA House of Delegates gather to review and debate policy and advocacy statements for consideration as official FPA positions. This year marked the 127th Annual Convention, which took place at the beautiful J.W. Marriott Orlando Grande Lakes from July 13-16, 2017. We had 18 resolutions that were presented to the House of Delegates for consideration this year. Out of those resolutions, nine resolutions were adopted, two resolutions were referred for further review, one was withdrawn by the sponsor and five were not adopted. We also had one resolution that was not introduced by the sponsor. Also in this report are specific details of how each resolution and bylaw change was acted upon, including which FPA Committee or Council will review and take the appropriate action moving forward. Congratulations to the winners of the FPA’s unit association recognition awards recipients. Alachua County Association of Pharmacists won both the Legislative Involvement and Continuing Education Awards; Palm Beach County Pharmacy Association won the Membership Award; the Duval County Pharmacy Association won both the Public Relations and Association Involvement Awards; and Brevard County Pharmacy Association won the Community Service Award. In the spring of 2018, I will further update the 2017 resolutions, with a final report providing the outcome of each resolution that was submitted to the House of Delegates and also an update of the resolutions from 2016 and 2015 as defined by association policy. I emphatically and sincerely encourage pharmacists, technicians, students, educators and local unit associations to get more involved in the policy and advocacy process by submitting a resolution for our 2018 convention in Bonita Springs. It’s an opportunity to have input on how the FPA responds to issues, but also helps shape the future of our practice. The number of resolutions submitted have increased from the last few years, showing a positive trend, but we need to continue to work together to keep this extremely

FLORIDA PHARMACY TODAY

important activity moving forward, as it is vital for the future of the pharmacy profession. It is a way for you, the member of the FPA, to have a voice in the direction of our profession. I challenge each reader to begin discussing this now in your unit association, well in advance of our next session, allowing enough time for topics to be discussed, written, presented properly and rewritten, if needed, prior to the deadline. Please note that at least one of the resolution sponsors must be present at the House of Delegates session to introduce their resolution. The deadline to submit resolutions is Friday, May 11, 2018. If help is needed drafting resolutions, please contact the FPA Office. A resolution form is included in this issue of Florida Pharmacy Today or on the website. The deadline for submission for new business items is June 8, 2018. I would like to proudly introduce to you the 2017-2018 FPA House of Delegates Board of Directors: Chair of the House Board...............................Carol Motycka Vice Speaker................................................ Jeanette Connelly Director...................................................... Matthew Schneller Director........................................................Damien Simmons Director.................................................................. Eric Alvarez Parliamentarian........................................... Michael A. Moné FPA President Elect...........................................Angela Garcia Secretary of the House................................. Michael Jackson I sincerely thank each and every one above for their dedication, determination and participation for this year’s success, as it’s only due to their hard work that all was possible. Thus, to continue this professional activity, I ask each of you to please consider members for nomination for the 2018-2019 vice speaker and director positions. The responsibility of developing new FPA leaders begin with all of us. Recent graduates should strongly consider running for a position, as we seek to further develop and grow the leaders in our profession. Future candidates should submit their intention to run for either of these positions by Friday, June 8, 2018. I thank you for allowing me to serve as your 2017- 2018 FPA House of Delegates speaker, as it was truly an honor and privilege to serve such a great group of members that I proudly refer to as friends and colleagues. I wish all of you a very happy, safe and enjoyable holiday season with family and friends. Sincerely and Respectfully, David “Chachi” Mackarey

2017 Acted Resolutions

David “Chachi” Mackarey, Speaker; House of Delegates Jeanette Connelly, Vice Speaker Directors Damien Simmons (2020), Eric Alvarez (2018) and Matt Schneller (2019) Carol Motycka, Chair and Immediate Past Speaker Angela Garcia, FPA President Elect Michael Jackson, Secretary of the House

OCTOBER 2017

2017-1 Prior Authorization Contact: Duyen Luu, alexjennyluu@gmail.com THEREFORE BE IT RESOLVED, that the Florida Pharmacy Association or subdivision support

legislation that physicians should receive prior authorizations from insurance companies before issuing prescriptions to patients. Action: Referred to the Professional Affairs Council 2017-2 OBRA 90 Modification Contact: Duyen Luu, alexjennyluu@gmail.com THEREFORE BE IT RESOLVED, that the Florida Pharmacy Association or subdivision of the FPA encourages the use of open-ended; non-leading questions by pharmacists and pharmacy staff when making an offer to counsel. Action: Resolution Adopted-Referred to Public Affairs Council 2017-3 Provision of complete and up-to-date Medication Therapy Contact: Duyen Luu, alexjennyluu@gmail.com THEREFORE BE IT RESOLVED, that the Florida Pharmacy Association or subdivision of the FPA encourages pharmacists to provide their patients with an optional current list of medications on a Prescription Medication Drug card. Action: Resolution not adopted 2017-4 Immunizing pharmacists continuing education opportunities Contact: Barbara Beadle, bab83168@aol.com, Brevard County Pharmacy Association Teresa Tomerlin, teresapharmd@cfl.rr.com, Brevard County Pharmacy Association THEREFORE BE IT RESOLVED, that the FPA seek legislation that would allow for Florida pharmacists to seek immunization continuing education credit for recertification from any ACPE approved program. Action: Resolution Adopted-Referred to Government Affairs Committee 2017-5 Proper Identification of Central Fill Pharmacies Contact: Ronald G. Haines Sr., Pasco Hernando Pharmacy Association- rxman@tampabay.rr.com, 727858-8779 THEREFORE BE IT RESOLVED, that the FPA undertake whatever action is necessary with the appropriate governmental body (board, agency, department or legislature) to educate, investigate and enforce existing requirements that centralized pharmacy call centers properly identify themselves to patients and prescribers as call centers.. Action: Resolution adopted-Referred to Governmental Affairs Committee

FLORIDA PHARMACY TODAY

2017-6 Pharmacist Administration of Naloxone containing products Contact: Norm Tomaka, flrx9@aol.com, Brevard County Pharmacy Association Barbara Beadle, bab83168@aol.com, Brevard County Pharmacy Association THEREFORE, BE IT RESOLVED That the FPA advocate for legislative change to FS 381.887 to allow pharmacists the authority to administer Naloxone containing products, consistent with the authority granted to other health care providers. Action: Resolution adopted- Referred to Governmental Affairs Committee 2017-7 Resolution to create ONE Governmental-Legal and Regulatory Council between all Florida Pharmacy Associations Contact: Kathy Baldwin, kathleen.baldwin@bmcjax.com Scott Tomerlin, stomerlin@cfl.rr.com THEREFORE, BE IT RESOLVED, that the Florida Pharmacy Association, join the Florida Pharmacy Coalition to collaborate on all pharmacy legislative issues. Action: Adopted-Referred to Organizational Affairs Council 2017-8 Form ONE Political Action Committee between all Florida Pharmacy Associations Contact: Kathy Baldwin, kathleen.baldwin@bmcjax.com Scott Tomerlin, Stomerlin@cfl.rr.com THEREFORE BE IT RESOLVED, that the Florida Pharmacy Association direct the association to implement the formation of ONE Political Action Committee comprised of the Florida Pharmacy Association, Florida Society of Health Systems Pharmacists and the Florida Independent Pharmacists Network, if said implementation is agreed to by the other sister organizations; and BE IT FURTHER RESOLVED, that said committee, formed by representative members of each of the sister organizations, develop priority issues to be brought to the legislature that represents the interests of the Profession as a whole and help identify “friends of pharmacy” in the legislature or prospective “friends of pharmacy” that the profession as a whole can help support; and BE IT FURTHER RESOLVED, that since this is an item of some urgency, that said implementation plan be completed by a time certain (i.e. – six months from date of adoption) Action: Withdrawn by sponsor 2017-9 Pharmacy Technician Representation on the Florida Board of Pharmacy Contact: William Garst wgarst1025@cox.net THEREFORE, BE IT RESOLVED that the FPA or a subdivision thereof support the inclusion of a Florida Registered Technician on the Florida Board of Pharmacy.

Action: Resolution not adopted

OCTOBER 2017

2017-10 Pharmacist Prescribing Authority for Prescription Drug Delivery Aids, Devices or Accessories Contact: William Garst wgarst1025@cox.net THEREFORE, BE IT RESOLVED the FPA support amending F.S. Chapter 465, Rule 64, and/or related legislative areas to give pharmacists prescribing authority for drug delivery aids, devices or accessories. Action: Resolution adopted-Referred to Governmental Affairs Committee 2017-11 Online Continuing Education Contact: Terry V. Gubbins, Gubbins@prodigy.net THEREFORE, BE IT RESOLVED, the FPA provide online continuing education using webinar or similar technology by July 1, 2019

Action: Referred to the Continuing Education Council 2017-12 Transformation in the structure of leadership for the FPA Contact: Tom Cuomo, tcrx0720@hotmail.com THEREFORE, BE IT RESOLVED that this resolution of electing a president and vice-president together as new leadership of the FPA be voted on by the House of Delegates to take effect with the 2018 FPA elections. We so move. Action: Resolution not adopted 2017-13 Citizenâ&#x20AC;&#x2122;s CPR for Communities Contact: Michael Carulli, mcarulli@health.usf.edu, Sarah Haley, sarahghaley@gmail.com THEREFORE BE IT RESOLVED that the FPA support the implementation of Citizenâ&#x20AC;&#x2122;s CPR training within communities in order to promote awareness, readiness, and preparedness in potentially lifethreatening situations. BE IT FURTHER RESOLVED that the FPA support and/or seek out opportunities for pharmacists and student pharmacists to provide this training. Action: Resolution not adopted 2017-14 Rollover of Continuing Education Contact: Joshua Eisenman, rxjoshua@gmail.com THEREFORE BE IT RESOLVED, The FPA advocate for changes to Florida Statutes 465.009 to allow Board of Pharmacy rulemaking discretion for the use of excess earned continuing education credits during a biennial renewal period to be allowed for use within the next sequential licensure renewal period and, THEREFORE BE IT ALSO RESOLVED , Upon passage of a change to Florida statutes 465.009 allowing for use of excess continuing education the FPA petition the Florida Board of Pharmacy for rulemaking allowing the rollover of continuing excess education credits for the renewal of a Pharmacist license.

FLORIDA PHARMACY TODAY

Action: Resolution not adopted 2017-15 Review of Cannabis Therapy Contact: Matt Schneller, schnem18@gmail.com THEREFORE BE IT RESOLVED, the FPA supports the dispensing process of cannabis to include pharmacist services. Action: Resolution adopted- Referred to Governmental Affairs Committee 2017-16 Amending (Collaborative Practice Agreement (97-23)) Contact: Matt Schneller, schnem18@gmail.com THEREFORE BE RESOLVED: the FPA amend existing resolution COLLABORATIVE PRACTICE AGREEMENTS (97-23) to read: The FPA seek legislation to authorize pharmacists to initiate, modify or discontinue medication therapy, order and interpret laboratory test results, and administer medications pursuant to a protocol or collaborative agreement with a physician or group, and the FPA shall cooperate with the FSHP to draft language for introduction by the Legislature. SUBSTITUTE LANGUAGE: The FPA collaborate with the Florida Pharmacy coalition to seek legislation that authorizes consultant or board certified pharmacists to initiate, modify or discontinue medication therapy, order and interpret laboratory tests and administer medications. Action: Substitute resolution adopted- Referred to Governmental Affairs Committee

2017-17 Consumer Availability for Cost Effective Prescription Drugs Contact: Barry Paraizo, ferrbp@bellsouth.net THEREFORE BE IT RESOLVED, that the FPA support H. R. 749 being considered by Congress to allow the FDA to prioritize the review of generic drug applications. Action: Resolution not introduced into business

2017-18 Pharmacists Notification of Dispensed Medical Cannabis for Patients Under Direct Care Submitting Organization: Coalition of Concerned Pharmacists and Citizens, Inc. Contact: Kwame Fosu at 863-874-4834 or email polkcitysunshinepharmacy@gmail.com THEREFORE BE IT RESOLVED, that Florida Pharmacy Association along with any affiliated organizations support requirements for dispensing organizations regulated under the Florida Office of Medical Marijuana Use to report to the Florida prescription drug monitoring program the same manner as pharmacies are required to report when patients under a pharmacistâ&#x20AC;&#x2122;s direct care will be dispensed medicinal cannabis. Action: Referred to Professional Affairs Committee

OCTOBER 2017

2017 House of Delegates Bylaws Passed: ARTICLE III Section 1. Officers and Qualifications - The officers of the House of Delegates shall be a speaker, vice-speaker, secretary three directors, and immediate past speaker. The FPA President-Elect shall serve as an ex-officio member of the Board.

A. Each person elected as vice-speaker by the House of Delegates must meet the same qualifications of membership in the FPA as required of the delegates to the House of Delegates and must either a. be a Florida licensed pharmacist in good standing with Florida Board of Pharmacy and b. be actively involved in the pharmacy profession in Florida and be a resident of the State of Florida. B. Each person elected as a director by the House of Delegates must meet the same qualifications of membership in the FPA as required of the delegates to the House of Delegates. Section 2. Selection of Officers - The Chairperson of the Board of Directors will be the immediate past speaker of the House of Delegates. The Executive Vice President of the Florida Pharmacy Association will assume the office of secretary of the House of Delegates. The vice-speaker and one director will be elected each year at the annual meeting of the House of Delegates, by plurality vote of the delegates present.

Section 3. Term of office - The usual term of office of the speaker shall be for one year and coincide with the usual term of the office of the President of the Florida Pharmacy Association. The usual term of office for the vice-speaker shall be for one year and coincide with the usual term of the office of the president-elect of the Florida Pharmacy Association. The usual term of office for the director shall be three years. The term of office for each director shall be such that one director will finish his term of office each year and one director elected each year.

Section 4. Assumption of Office - All newly elected officers shall take office at the last session of the House of Delegates Annual Meeting. The vice-speaker shall assume the duties of the speaker at the end of the last session of the House of Delegates of the year following election as vice speaker.

FLORIDA PHARMACY TODAY

Section 5. Duties of Officers

The chairperson shall preside over all meetings of the Board of directors and such other duties as are normally incident to such office.

The speaker shall preside over all the meetings of the House of Delegates and all meetings of the Board of Directors in the absence of the chairperson. The speaker shall be the spokesperson for the House of Delegates and shall advocate all positions adopted by the House before the Executive Committee. The speaker shall appoint any committee needed to carry on the work of the House of Delegates and shall function as an ex-officio member of each committee. The speaker shall perform all other duties normally incident to such office. The speaker has the ability to select a parliamentarian.

The vice-speaker shall preside at the meetings of the House of Delegates in the absence or inability of the speaker. The vice-speaker shall perform all other duties normally incident to such office.

The secretary shall keep a record of the minutes of the meetings of the House of Delegates, a roll of all delegates, and a record of all information and applications from organizations applying for representation in the House of Delegates. The secretary shall keep a record of any funds of the House of Delegates and shall keep any other records and perform such other duties as are normally incident to such an office.

The directors shall attend all sessions of the House of Delegates unless excused by the Speaker. The directors shall be responsible for monitoring progress on all adopted directives of the House of Delegates; shall assist in the development of policy/position statements of the Florida Pharmacy Association; shall supervise the annual maintenance of the Policy Manual of the House of Delegates; shall oversee the dissemination of all materials relevant to the business of the House of Delegates and other duties as specified by the speaker of the House of Delegates.

The directors shall meet before the Annual Meeting to accept, accept with modifications, or return the proposed resolutions: 1.) proposed resolutions accepted with modifications by the directors shall be sent to the sponsors(s). The sponsor(s) shall have thirty days within which to respond whether they disagree with the modifications. The sponsor(s), should they disagree with the modification shall indicate in writing their disagreement where upon the proposed resolution as originally submitted shall be introduced. Should the

OCTOBER 2017

sponsor(s) fail to respond the proposed resolution as modified by the board of directors shall be introduced. 2) proposed resolutions returned by the directors to the sponsors shall state the reasons for such return and shall not include such resolution on the House agenda item on the consideration of resolutions. Notwithstanding such return the sponsor(s) may introduce the resolution as new business. Items of new business require the consent of a 2/3 majority of the House of Delegates.

Section 6. Replacement of Directors â&#x20AC;&#x201C; In the event of vacancy due to death, resignation, or lapse of FPA membership the unexpired term of a directorship shall be filled by election at the next annual meeting of the House of Delegates. The unexpired term of a directorship may also be filled by election upon the recommendation of the House of Delegates Board of Directors for an unexcused absence from a session or sessions of the House of Delegates and approval by the House of Delegates or by interim appointment by the Speaker of the House until the next annual meeting of the Delegates. ARTICLE IV House Rules: 1. A resolution may be withdrawn without reading of the resolution into business. 2. The reading of the resolution does not require a second. 3. A motion to refer is debatable. 4. No motion to table will be entertained at the final session of the House. 5. The recognition of non-delegates to speak before the House will be at the discretion of the speaker. 6. Candidates for House Board of Directors seats and Vice-Speaker will be given two minutes to "introduce' themselves to the House before voting at the final session of the House. 7. If unit associations or affiliated organizations do not notify the FPA of the number of their membership in order to determine the number of delegates no later than one month before the annual meeting only two

FLORIDA PHARMACY TODAY

delegates will be seated. 7.8.

All delegates must register for the House of Delegates at least 30 days prior to the meeting start date.

8.9.

Amendments must be presented in writing to the Speaker. There are no friendly amendments.

9.10.

Sponsors of items of New Business shall provide copies of the new business item in sufficient quantities for distribution to each delegation of the House prior to the last day of the session.

10.11.

A motion “To Call the Question” will be considered a “vote” unless someone objects. If there is an objection, the motion will be voted on and will require a 2/3 vote to pass.

2017 FPA Bylaws Passed: Article XII Expulsion or Removal of Members or Officers Any member may be expelled from membership or removed from office for conduct which adversely affects the pharmacy profession, the Association or the professional standing of a colleague, or for violating the Constitution or Bylaws. Any officer may be removed from office for non-residence, inability or unwillingness to perform his duties of office. No person shall be expelled or removed except by a two-thirds vote of all members of the Board of Directors present at a regular meeting or a special meeting called for such purpose and after he shall be given an opportunity to be heard in his own defense.

Article XIII Nominations & Election Section 1 - Procedure for Nomination and Election. 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

OCTOBER 2017

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 and one person for the office of Technician 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 and Technician Director, a nominee must be a Florida registered licensed pharmacist. The Student Director must be a licensed Florida Pharmacy Intern. The Technician Director must be a registered Florida Pharmacy Technician. All nominees must be in good standing with the Florida Pharmacy Association and the Florida Board of Pharmacy. The election process will be conducted by mail or electronic balloting. 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.

A. Nominations shall be received at the Association headquarters not later than September 1st of each year together with a biographical sketch and a picture.

Section 2 â&#x20AC;&#x201C; Procedures for Election

B. With the exception of Student Director, The the Executive Vice President of the Association shall determine every active member of the Association who, as defined in the Constitution, is qualified to vote by November 30, and shall mail issue to every active voting member a ballot which will contain the names of the nominees for President-Elect, Treasurer, and Regional Directors, and Technician Director together with a biographical sketch and a picture, no later than January 1. The ballot for the position of Student Director shall be issued to every active Florida College of Pharmacy student FPA voting member.

C.A. The qualified membership shall submit an electronic ballot or mark, seal and mail the a paper ballot to the address specified on the ballot by January 31.

D.B. 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. If no single nominee shall receive a majority of the votes cast for the

FLORIDA PHARMACY TODAY

office, a run-off election shall be held between the nominees receiving the two highest number of votes for each office in the following manner.

(1) A second ballot shall be prepared containing the names of the nominees receiving the two highest number of votes for each office affected, together with biographical sketch and a picture. The Executive Vice President shall mail issue these ballots to every active member of the Association who is qualified to vote, at least thirty (30) days in advance of the annual meeting. (2) The active qualified membership shall submit an electronic ballot or mark, seal and mail this an approved paper ballot to the address specified on the ballot by seven (7) days prior to the annual meeting. (3) The ballots cast in the run-off election shall be opened and tallied no later than the close of the first general session of the annual meeting by the Board of Canvassers. The nominee receiving the majority of votes shall be declared elected. (4) If a tie vote should occur in the run-off election, a general election will be held at the last general session of the annual meeting with a majority vote deciding the winner. E.C. For the position of Student Director By 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.

Section 2 3 - Elections of Board of Directors Regional Directors. Nine Board of Directors shall be elected according to regional requirements and shall serve a two-year staggered term. A Nominee must be a Florida registered licensed pharmacist in good standing with the Florida Pharmacy Association and the Florida Board of Pharmacy. In the event that the Board of Directors Regional Director cannot fulfill the duties of the office, the President will appoint a replacement with the approval of the Board of Directors to complete the Directorâ&#x20AC;&#x2122;s term of office or until an election is held. Elections for regional directors shall be held such that directors representing even numbered regions shall be elected in even number years, and directors representing odd numbered regions shall be elected in odd number years. All newly elected Board of Directors Regional Directors shall take office on the last day of the annual meeting and shall continue in office until the last day of the annual meeting of the second ensuing year.

OCTOBER 2017

Section 4 - Elections of Student Director - The Student Director shall be elected according to Article VIII Section 2 Subsection C requirements and shall serve a two-year term. A Nominee must be a Florida licensed pharmacy intern in good standing with the Florida Pharmacy Association and the Florida Board of Pharmacy.

Section 5 - Elections of Technician Director - The Technician Director shall be elected according to Article VIII Section 2 Subsection B requirements and shall serve a two-year term. A Nominee must be a Florida Licensed Pharmacy Technician in good standing with the Florida Pharmacy Association and the Florida Board of Pharmacy.

Section 3 6 - Assumption of Office - All newly elected officers shall take office on the last day of the annual meeting, and shall continue in office until the last day of the annual meeting of the next ensuing year. All newly elected Board of Directors Regional Directors shall take office on the last day of the annual meeting, and shall continue in office until the last day of annual meeting of the second ensuing year. The President-Elect shall assume the duties of the President on the last day of the annual meeting of the year following his election as PresidentElect.

We Deliver Solutions for a Healthier Bottom Line EPIC Pharmacies, Inc. provides more than 1,500 independent member pharmacies across the U.S. with the group buying power and managed care solutions essential to delivering quality patient care. Membership offers: • Group volume purchasing power • Aggressive wholesaler pricing programs • Successful rebate program - $60.8 million returned to members in 2016 • EPIC Pharmacy Network, Inc. (EPN) membership fee included at no cost – access to third-party contracts • Clinical services tools, including expert assistance from our in-house pharmacist and access to custom PrescribeWellness offerings and EQuIPP •

PUT THE POWER OF A NETWORK BEHIND YOU

800-965-EPIC | EPICRX.COM 30

•

– free third-party claims reconciliation program and automated reimbursements below cost system – Web-based solution for pharmacy regulatory and compliance management

EPIC Half Page Ad - 7”W x 4.875”H, CMYK, 300dpi. Rev. 01.31.17 FLORIDA PHARMACY TODAY

CALL FOR RESOLUTIONS TO THE 2018 HOUSE OF DELEGATES The House of Delegates Board of Directors will meet in May 2018 to review and approve resolutions for the Annual Meeting. The deadline for submitting resolutions is May 11, 2018! PLEASE NOTE THIS DEADLINE. The last day to submit items of new business is June 8, 2018. 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

OCTOBER 2017

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 & Associates, PLLC 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. 32

FLORIDA PHARMACY TODAY

RECOVERING PHARMACISTS NETWORK OF FLORIDA (407) 257-6606 “Pharmacists Helping Pharmacists”