Florida Pharmacy Today April 2019 by Florida Pharmacy Today

The Official Publication Of The Florida Pharmacy Association APRIL 2019

HEALTH FAIR/ LEGISLATIVE DAY

“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

florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint

7 Executive Insight

28 Buyer's Guide

VOL. 82 | NO. 4 APRIL 2019 THE OFFICIAL PUBLICATION OF THE FLORIDA PHARMACY ASSOCIATION

Features

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Ready or Not, Changes are Coming. Will You Be on Board? 19th Annual Florida Pharmacists’ Health Fair and Legislative Days Report Be on the Lookout for These New Drugs Why Advanced Roles and Pharmacy Technician Leadership Matters

APRIL 2019

Mission Statements:

FPA Calendar 2019

Florida Pharmacy Today Journal JULY

MAY 3

Last Day of Legislative Session

Last Day to Submit Resolutions for Consideration by the 2019 House of Delegates

House of Delegates Board of Directors meeting

Independence Day FPA Office Closed

10-14 129th Annual FPA Meeting and Convention Ft. Lauderdale] AUGUST

18-19 FPA Clinical Conference Jacksonville

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19-21 NASPA Leadership Retreat

36th Annual Southeastern Gatherin' Destin

5-6

Florida Board of Pharmacy Meeting Tampa

Memorial Day - FPA Office Closed JUNE

FPA Leadership Retreat

Last Day to Submit Items of New Business for the 2019 House of Delegates

18-19 Board of Pharmacy Meeting Orlando

16-17 Southeastern Officers Conference Atlanta 24-25 FPA Councils and Committee Meetings; FPA Board of Directors Meeting

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, 2020. 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 CONTACTS FPA — Michael Jackson (850) 222-2400

FSHP — Tamekia Bennett (850) 906-9333 UF — Emely McKitrick (352) 273-5169

FAMU — Leola Cleveland (850) 599-3301 NSU — Carsten Evans (954) 262-1300

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.

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 KAHAN & ASSOCIATES................................. 15 PQC........................................................................ 2 PHARMACISTS MUTUAL.............................. 27

Note: The views of the authors do not necessarily represent the views or opinions of the Florida Pharmacy Association, Florida Pharmacy Today or any related entities.

DISCLAIMER Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered. This information is provided with the understanding that neither Florida Pharmacy Today nor the Florida Pharmacy Association is engaged in rendering legal or other professional services through this publication. If expert assistance or legal advice is required, the services of a competent professional should be sought. The use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers. Information provided by the maker of the product should always be consulted before use.

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

The President’s Viewpoint ANGELA S. GARCIA, PHARMD/MPH, CPH

Fostering the Pipeline of Leadership

hen we consider what it takes to be a strong leader, it’s never surprising how different people have strong opinions and ideas of what makes a good leader, a strong leader and an effective leader. Most of us can reflect on trainings or workshops where we learned our personality type and leadership styles, and how very different those two can be. We have heard about the foundational constructs necessary to cultivate leadership in ourselves and similarly in others. What does a person need to begin a journey into leadership? What is needed for a person to envision himself or herself as a servant leader, not an entitled leader? We need to cultivate a place where we develop and support mentors, resilience and accountability, a desire for transparency to build trust, as well as access to resources (people, programs, tools, etc.) and opportunities to thrive. The strongest leaders have even had the opportunity to fail, grow and learn how to overcome adversity. However, when we only reinvest our time, attention and friendship into the same pool, or pull from within the same group, it creates a self-limiting, short-sighted effort at creating a pipeline and legacy of leadership. To have a genuine legacy of strong leadership as an Association, it requires more than high titles and positions. We need to break open the small circles to create a channel through which we are investing in new talent, new faces and new names. To break away from the “old boys club” thinking and approaches to leadership, we must seek out and invest our efforts on broadening the areas of practice we are drawing from, and the new thinking and priorities of younger and younger

pharmacist members. As we seek to elevate the profession, we must also elevate everyone in the profession. It’s time to ask how we are promoting the talents of the techni-

We need to cultivate a place where we develop and support mentors, resilience and accountability, a desire for transparency to build trust, as well as access to resources (people, programs, tools, etc.) and opportunities to thrive. cians who are crucial to our team, and how we are raising our expectations and opportunities for them. We need to think about the fact that we have nearly 700 graduating students every year. What can be done to reach them and get them to raise their stakes of engagement as they move from FPA student-member to practicing pharmacist? What can we do to keep them showing up to the annual Legislative Days and

Angela S. Garcia, PharmD, MPH, CPh

Health Fair events? How do we become so valuable serving as their voice that they are compelled to retain and renew their membership as pharmacists? What do we need to do to reach the 30,000 pharmacists that are licensed in the state to ask, “What would it take to get you to join?” We’re at a slow trickle, and it’s a lot of work to keep the members we have let alone to get new members to join. Anyone who has served in leadership – keyword being served – knows it takes quite a bit of time and energy to invest in others. It’s easy to stay in your safe haven group, not having to personally invest but waiting for them to run to you to “tag along.” But to invest in someone takes personal time, sacrifice and often some level of frustration because you’re not always going to get what you put into it. You’re taking a chance in another person – another busy, pulled-in-many-directions, personal-demands-competing person, See President’s Viewpoint, continued on page 6 APRIL 2019

2018-19 FPA Board of Directors The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work diligently all year long on behalf of our members.

Suzanne Wise.....................................................................................................Board Chair Angela Garcia...............................................................................................FPA President Ashley Huff.................................................................................................... FPA Treasurer David Mackarey.......................................................................................President-Elect Jeanette Connelly...................................................................Speaker of the House Gary Koesten..................................................................Vice Speaker of the House Sandy Estrada......................................................................................... FSHP President Joyanna Wright................................................................................... Region 1 Director Neil Barnett............................................................................................Region 2 Director Dean Pedalino.......................................................................................Region 3 Director Cheryl Rouse.........................................................................................Region 4 Director Melissa Ruble........................................................................................Region 5 Director Barbara Beadle...................................................................................Region 6 Director Paul Delisser.......................................................................................... Region 7 Director Ramy Gabriel.........................................................................................Region 8 Director Mitchell Fingerhut.............................................................................Region 9 Director Julie Burger........................................................................................Technician Member

Florida Pharmacy Today Journal Board Chair.............................................................. Carol Motycka, motycka@cop.ufl.edu Vice Chair....................................................Cristina Medina, cmmedina@cvs.com Treasurer.........................................................Eric Jakab, ericjakab@hotmail.com Member.................................................. Michael Finnick, michaelfinnick@ufl.edu Member.......................................................Matt Schneller, schnem18@gmail.com Member..........................................Teresa Tomerlin, teresapharmd@cfl.rr.com Member............................................Greta Pelegrin, gretapelegrin@yahoo.com Technician Member........................Julie Burger, julieburger133@gmail.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

and it can end up not being what you expected. That’s also the beauty of investing in others. You plant seeds, wait for them to take root, continue to nurture them, prune them, leave them to flourish and be there on the cusp for support. If we foster entitled or title-based leaders, we run dry. We allow the thinning that they are someone because of their title, and not the battles and service it takes to challenge the status quo, seek out what others need, and to commit to serving those needs instead of your own. When you get to the place where you say, “I am here to serve the needs of others,” instead of “this is my power to do” – you

To take on the responsibility that it’s not all play, that a lot of time, it’s sweat and even tears, means that you have embraced the responsibility in which you have been entrusted. have transformed your leadership into something meaningful. To take on the responsibility that it’s not all play, that a lot of time, it’s sweat and even tears, means that you have embraced the responsibility in which you have been entrusted. Sound familiar? It should – it’s part of our oath. If when we made the decision for taking on a position of leadership we reflected on the position and read what the duties were, maybe we would be moved into a different approach and spirit of leadership. To serve the Association and its members, rather than a “sure, why not” approach thinking I have a certain power now. As we continue to move forward in our Strategic Plan, we see what things See President’s Viewpoint, continued on page 8

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

We Are Still Talking About This

wrote about metrics being used in pharmacy practice back in September of last year and it continues to be an ongoing problem. It’s like a sore back that won’t get better. What am I talking about here? Simply, it’s the use of performance measures in pharmacy practices based upon time standards. If you have not read that article, you can find it at Pharmview.com in the September issue of Florida Pharmacy Today. You can also find it in the member forum on the FPA website. Take a moment to read the article first before you continue with this month’s message. So why are we still talking about this issue? That is because there is no evidence that the position taken by the FPA House of Delegates last summer – for reference, see the September 2018 article published in Florida Pharmacy Today, the policy statements adopted at APhA 2018 or new policies adopted by APhA 2019 – has resulted in a change in behavior by those in senior management. The appeals for change by rank and file pharmacists is overwhelming. The measures that are continuing to be used today are now causing pharmacists to connect this issue to concerns over patient safety, and that is a serious problem. We are still talking about this because it is troublesome that those who are in decision-making roles are not taking proactive measures to change what is going on. If so, then we would not continue to hear about the problem of the use of metrics as a performance measure. The ongoing dialog related to pharmacist work/life balance would not be the No. 1 topic of conversation among our pharmacist colleagues. We are still talking about this because unless the inappropriate use of metrics gets fixed, we will never be able

to advance this profession to where it needs to go. Take for example the intense effort by the FPA to fight for changes to the pharmacist practice act to take advantages of the skills of to-

We are still talking about this because unless the inappropriate use of metrics gets fixed, we will never be able to advance this profession to where it needs to go. Take for example the intense effort by the FPA to fight for changes to the pharmacist practice act to take advantages of the skills of today’s contemporary pharmacist. day’s contemporary pharmacist. These changes are necessary to keep our profession as an essential part of the health care team, yet the use of performance metrics does nothing but create barriers to the delivery of that advanced care. Pharmacists want to provide advanced patient-care services, and those

Michael Jackson, B.Pharm

who do are highly satisfied with their practice. But pharmacists are unwilling to support and advocate for these changes if performance metrics continue to be used in the way that they are. We have members of the legislature who are fighting for us on issues such as collaborative practice and testing and treating, from influenza and streptococcus, but they are hearing from constituent pharmacists that their proposed legislation is not well received because of the metrics that they are being held accountable for. Our regulatory board is attempting to recraft rules to advance technician practices to relieve the basic tasks that pharmacists must perform. This includes but is not limited to increasing ratios, redefining direct supervision by allowing registered technicians to work remotely and engaging in policies that allow technicians to check other technicians. Very little of those conversations include whether technicians could or See Executive Insight, continued on page 8 APRIL 2019 |

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 Accounting Coordinator Ashley Gandy ext. 211

FLORIDA PHARMACY TODAY BOARD Chair..................................... Carol Motycka, St. Augustine Vice Chair................................Cristina Medina, Hollywood Treasurer...........................................Eric Jakab, Gainesville Member............................... Michael Finnick, Jacksonville Member...............................................Matt Schneller, Tampa Member...................................Teresa Tomerlin, Rockledge Member..............................................Greta Pelegrin, Hialeah Technician Member.................Julie Burger, Pensacola Executive Editor.........Michael Jackson, Tallahassee Managing Editor.........................Dave Fiore, Tallahassee

This is a peer-reviewed publication. ©2019 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

President’s Viewpoint, continued from page 6

Executive insight, continued from page 7

we are changing to help make visible the new approach to leadership the Association is embracing. It’s never ever been out with the old and in with the new. It’s been about a new spirit and focus … are we serving ourselves or the purpose of our members. As leaders, we should build others up, so we can step away and no one notices because the great things are deeply rooted and flourish without us “in the way.” For anyone confused, take time to review that Strategic Plan, read the new vision, mission and core values statements. Take a long hard look at some of the transformation that has happened within the Councils and Committees. Changes, timely changes, are happening and it’s waking up the pharmacists, technicians and student-pharmacists in this state. It takes more than a title to be an effective leader; it takes time, energy and effort to invest in making others better than yourself. There is nothing more amazing than facilitating the development of skills based on an individual’s passion and watching it drive them to higher and higher levels of personal and professional success. I love the saying, “If you’re the biggest one in the room (or you tout to be), then you’re in the wrong room.” Similarly, if you are in the front and you’re trying to bring attention to yourself or your “power,” then you’re missing the point of leadership. However, if you are leading from behind, putting others before yourself and supporting those around you, then you’re able to provide perspective, oversight, encouragement, guidance and direction. You open the pipeline and help recruit a new kind of momentum in the leadership. To sustain these leadership practices and to truly invest in others takes a lot of commitment and time. But if you’re serious about leadership and being a new kind of leader, you know the investment is not about immediate return. It’s planting those seeds, waiting for the seeds to grow and knowing when to harvest. n

should be held accountable for tasks that may not be done correctly. It ultimately falls on the pharmacist when there is a service failure. I came across an article that listed the professions with the least stress and included in the title was pharmacy as one of those professions. That article title caught my attention because I wanted to discover the basis of the author’s conclusion. In reading the article, it was revealed that the subject was written about the pharmacy technician and not the pharmacist, which partially makes sense. Again, when things go wrong, it is the pharmacist that must be answerable and responsible. Perhaps that stress level would change once rules are revised that shift the accountability (and liability) of activity in a pharmacy to registered technicians. The Board of Pharmacy has opened a number of rules related to pharmacy technicians with a goal toward implementing a change in their practices. For now, pharmacists are very protective of their technicians. It’s not that they don’t have faith in their skills and abilities. Rather, my colleagues are very sensitive to the delegation of certain professional responsibilities to their technician staff. We all want them to succeed. That thinking will change in the future as the profession grows, but for now the use of metrics has to change if this profession is going to advance. There are many issues that can be written about and published in Florida Pharmacy Today, but this one must continue to be an ongoing topic until “measurable” change in the use of metrics becomes obvious. n

Ready or Not, Changes are Coming. Will You Be on Board? By David “Chachi” Mackarey, BPharm, AAHIVP | Owner/Founder, 3DPMhealthcare LLC 2018-2019 FPA President-Elect | 2019-2020 FPA President When I was first starting out as an intern about 35 years ago, pharmacy was a lot different back then from the way it is today – some for the better, some not so much. During that time in the early 1980s, prescription labels were mainly done by the use of typewriters (millennials can Google what these are), refills were recorded on index cards, and patient profiles were created/ stored with a pen, paper and alphabetized manila folders. Computers were just being introduced and only affordable by the big chain pharmacies. Most of us were hesitant, intimidated and resistant to this new pharmacy tool, as we were happy and comfortable with what we had been using for many years, with no problems. Why change something that works just fine with no problems? Now jump ahead to today, 2019, and not one pharmacy personnel would give up his or her computer or printer for even one hour. For goodness sake, we have a panic attack when either of these crash, freeze or jam for just a few minutes. So, the lesson learned here is to not be so afraid of change, but to be open to it. Sure, you can approach it slowly until you become comfortable, but don’t become stuck doing the same thing, the same way, day after day, thinking that it’s great that way and it can’t be improved with a different way. Another important thing to remember is that we may not necessarily want these changes to occur or be directly involved with the decision-making process regarding these changes, but know for sure that any changes will have a direct impact on your job satisfaction, happiness and success. Thus, one needs to be aware of and anticipate what changes may be looming right around the corner and be not afraid of it, but use it to your advantage and make the best of it. Who knows, it may even make your job/life even better than you ever thought, like the example above when computers were first introduced into pharmacy. So where is all this leading to, you ask? I intend to apply the previous words of wisdom to your everyday life … mainly your pharmacy career. My first 20 years of pharmacy practice was working for the big retail chain stores, as that’s where I was most comfortable, content and satisfied, or so I thought. So, then I went to work in specialty pharmacy, where at first I was intimidated and scared, but quickly learned to love it. But corporate mergers and downsizing occurred, and I then found myself working in the long-term care pharmacy setting, which also led to unforeseen changes. I now realized that I had to be creative and find an opportunity in pharmacy,

for someone my age, with limited previous experience. While doing some networking with fellow members from the Florida Pharmacy Association, I found myself collaborating with some new and old pharmacy colleagues, leading to the creation of my business, 3DPMhealthcare LLC. It began with the main focus of business being “chronic care management,” or CCM, which is a program that was created by CMS, Centers for Medicare & Medicaid Services. It’s been around for a few short years and is highly promoted by CMS, as it helps patients achieve better health outcomes, allows collaboration between physicians and pharmacists, helps reduce health care costs, which reduce hospital re-admittances, and creates additional revenue for many health care professionals. Of course I was nervous at first, doing something that I’ve never done prior, starting a new business at my age in an area that I wasn’t very familiar with, and not knowing many other pharmacists doing this service to ask for advice or to gauge how successful they’ve been themselves. Years ago, we didn’t have all these options or opportunities available like there are today, mostly because the pharmacy profession has changed greatly since I graduated 30 years ago. But I decided to take advantage of these new changes, use them to my best abilities and have multiple opportunities that I would have missed if it wasn’t for change, and my decision to ignore my fears and hesitations. I’m not saying it wasn’t without hard work, but nothing worth having ever comes easy. Possibilities come in many different forms, some you may have never seen or heard of before, and some that need to be created by yourself, adapting to your specific wants and needs. You also can look at what others are doing and bring it to the next level, making improvements, expanding and even reinventing something old into something newly creative with modern technology, making it more worthwhile, valuable and successful. It doesn’t have to be that complex or supernatural. Just know that our pharmacy profession is constantly changing and you need to be prepared and be able to adapt in order to survive. Other suggestions I have to offer to better help you adapt to changes are to be informed; keep up to date with pharmacy news; become members of local, state and national professional pharmacy associations and organizations; know that networking among colleagues is priceless; ask others in our profession for help or advice; stay educated and keep up with certifications, as they can give you an advantage to certain opportunities not available to others; know that you are never to old, or young, to do anything in pharmacy; and always be professional and proud in everything you do, as your name and reputation lasts a lifetime and beyond. APRIL 2019

19th Annual Florida Pharmacistsâ&#x20AC;&#x2122; Health Fair and Legislative Days Report By Angela S. Garcia, Pharm.D., M.P.H., C.Ph. We would like to thank our 2019 Health Fair Team: Tenim Novoa (Health Fair coordinator), Bert Martinez, Genevieve Hale, Joseph Shoyoye, Yesinia Prados, Matt Schneller, Olga Wydner, Joy Wright, Sandi Buck-Camp and Angela Garcia, and students on the FPA Student Affairs Council representing all seven of our pharmacy programs and multiple pharmacy practice settings. Last month had been an extremely busy month for our Association and members of the leadership, as we hosted our 19th Annual Florida Pharmacistsâ&#x20AC;&#x2122; Legislative Days and Health Fair again in Tallahassee at the Florida Capitol, March 11- 13. Our Health Fair was hosted on Tuesday March 12, which was different than years past when it was held on Wednesday, allowing us to promote it during our first day of lobbying. However, the organization and

FLORIDA PHARMACY TODAY

provision of care and education by our students, Health Fair Team and supervising faculty and pharmacists allows us to deliver an excellent event on behalf of the FPA and FSHP. We also implemented some major changes to the structure and process of the event, to reduce congestion in the 2nd floor rotunda where the health fair is held and to focus on the clinical services most commonly provided in ambulatory and community pharmacy-based settings. In addition, we extend our gratitude for the time invested by Dr. Tenim Novoa in coordinating all seven schools and colleges of pharmacy and for the time and support that Publix Pharmacy provided, allowing her to help us execute a phenomenal event. Her duties included serving as a liaison to the Student Affairs

Council, communicating with faculty and ensuring all students were appropriately credentialed and all stations were supervised in required pharmacist to student ratios. This year we had an incredible sponsor through Quidel, which allowed us to provide specific education on the rapid point of care testing equipment (Sophia 2), which aligned with one of our priority legislative agenda items HB 111/SB 300 Test and Treat. Their generosity was greatly appreciated and encouraged our students to be confident knowing what the equipment looked like as well as its ease of function when advocating with legislators. Their financial support provided for supplies and resources needed to execute one of our strongest health fair events to date. Additional major sponsors for this event were the Brevard County Pharmacy Association, Broward County Pharmacy Association, Walgreens, FSHP, Interamerican Pharmacists Association, Baptist Medical Center, Dade County Pharmacy Association, Dr. Angela Garcia, 2018-2019 FPA president, and Publix Pharmacy. In order to provide a health fair at the Capitol, we depend on the donations and contributions of our members and supporters and extend our thanks in allowing us to continue to provide this event annually. This unique opportunity to provide care to members of the legislature and community in Tallahassee as well as to other people across the state by lobbying and advocating at the Capitol is something not all students or pharmacists have

done in their careers or while in school. We use the students in several capacities, including for registration, as navigators (personal attendants for participants to access each point of care service) and in point of care testing in cholesterol, blood pressure, glucose and obesity/BMI. This year, we re-

duced our stations but enhanced the level of care and education provided. Dr. Garcia and her APPE student, Andres Brito, developed a new poster series that matched our point of care testing stations, â&#x20AC;&#x153;Return on Investment when a Pharmacist Manages â&#x20AC;Ś,â&#x20AC;? and focused on the same four disease states, hypercholesterolemia, hypertension, diabetes and metabolic syndrome/obesity.

The poster series provided education to the participants on the terms, burden of disease, incidence and prevalence across the U.S. and Florida, impact on various populations and how pharmacists and pharmacy services affect the finances and quality of life of patients and the health-care system in profound ways. During the health fair, our students and pharmacists demonstrate the enhanced clinical skills and training they have and why we fight for recognition as a billing health care provider, collaborative partner in clinical care, patient advocate and as health care businesses that increase access to care and provide preventive services and chronic disease management to those most in need. Students and schools completed training on the technical procedures as well as the education necessary to ensure health literacy was optimized by those receiving services. Their records were entered into their Passport to Health, a journal that the participants can keep or share with their pharmacist or primary care provider in their own communities. In the Passport to Health journal, our

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donors have advertisements, we have statements about the profession of pharmacy, a copy of the Oath of a Pharmacist and the Pledge of Professionalism (from the American Pharmacists Association) so the participants understand the seriousness and commitment we have in serving as healthcare providers. We include our priority legislation, so as they access services and receive education, they understand why we are fighting for our profession and that they can contact their legislators to support our legislative goals. There are descriptions and background on the focused clinical areas, so they 12

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understand the goals, normal ranges and what can be done to help get them to the goals. Each year, we update the information so the approaches to care and information align with the current practice guidelines for each of the prioritized disease states, which demonstrates the highest levels of excellence and professionalism with regard to health care and health care outcomes. There were almost 400 students and 29 faculty representing all seven of our pharmacy schools and colleges (University of Florida, Florida A&M, University of South Florida, Palm Beach Atlantic, LECOM, Larking and Nova Southeastern University). In addition, we had another 21 pharmacists from institutional, consulting, specialty, ambulatory, independent, consulting and retail community pharmacy practice settings. We had 137 pharmacists and student phar-

macists attend the annual Pizza and Policy Night, where we begin our conversations about the latest updates to the legislative priorities and elevate our advocacy team members from across the state. It serves as our pep rally to the legislative and health fair events and gives our students and pharmacists the opportunity to network and meet each other before embarking on one of the most important activities of their careers â&#x20AC;&#x201C; advocating for the profession of pharmacy. This year, we provided a total of 268 point of care screenings and 190 counseling sessions to 165 health fair participants. The breakdown for the point of care testing was the provision of 64 glucose, 78 cholesterol, 55 blood pressure and 71 BMI services. We provided equally high counseling and educational sessions, including 59 glucose, 78 cholesterol, 18 blood pressure and 34 BMI. Our students were enthusiastic, engaged and represented excellent care for those who attended the health

fair as participants. Very few pharmacists attend the Health Fair and Legislative Days and our students typically outnumber them 4 o4 5 to one. Students have historically led the way in demonstrating clinical pharmacy services and legislative advocacy during the event, and we are working diligently to retain these students as new practitioners who will return every year and fight to advance our profession. For those pharmacists not associated with our colleges and schools who attend the event, we humbly thank you for setting the example for the rest of the profession and being actively engaged in advocacy. A very special thank you goes to the FPA chair of the Governmental Affairs Committee (GAC), Eric Larson, for his guidance and relentless efforts that allowed our Association to come into the legislative session with incredible passion and strong support for the priorities our independent pharmacists and pharmacy businesses are facing. We thank our lobbying team at Ad-

ams Street Advocates for their communication and behind the scenes efforts working with our members of the GAC and our EVP Michael Jackson, to ensure our 20182019 legislative priorities made it into the legislative session. We cannot thank the FSHP leadership enough for their support and contributions to our events and for their commitment to promoting this yearâ&#x20AC;&#x2122;s event to pharmacists and student pharmacists across the state. Our shared engagement as Association leaders and partners in advocacy, along with the liaisons from the Florida Pharmacy Coalition, provided a visible infrastructure and common ground among other key stakeholders. We thank Dr. Early and the FAMU College of Pharmacy once again for their hospitality during our annual Pizza and Policy Night and Legislative Update CE events. Without this incredible team and all the concerted efforts, we

would no t h ave b e e n able to overcome so many barriers. WE are so much more effective at elevating our profession when WE are working with a united voice. This is how we carry out The Power of WE in advocacy.

APRIL 2019

Be on the Lookout for These New Drugs Rucha Acharya, Pharm.D. Community-based Pharmacy Practice Resident, NSU College of Pharmacy

Drug Name: Ontruzant (trastuzumab-dttb) Approval Date: January 18, 2019 Drug Class: HER2/neu receptor antagon ist, biosim ilar to Hercept i n (trastuzumab) Formulation: Injection, for intravenous use Indication: ■■ Treatment of HER2-overexpressing breast cancer ■■ Treatment of HER2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma Adverse Drug Reactions: headache, neutropenia, diarrhea Drug Name: Tosymra (sumatriptan) Approval Date: January 25, 2019 Drug Class: Selective 5-HT1B/1D receptor agonist Formulation: Nasal spray Indication: Acute treatment of migraine with or without aura in adults Adverse Drug Reactions: Tingling, dizziness, warm/hot sensation Drug Name: Gloperba (colchicine) Approval Date: January 30, 2019 Drug Class: Antigout agent Formulation: Oral solution Indication: Prophylaxis of gout flares in adults Adverse Drug Reactions: Diarrhea, nausea, vomiting Drug Name: Wixela Inhub (fluticasone propionate/ salmeterol) - 1st approved generic version of Advair Approval Date: January 30, 2019 Drug Class: Corticosteroid/long-acting beta2-adrenergic agonist (LABA) Formulation: Oral inhalation use Indication: ■■ Twice daily treatment of asthma in patients aged 4 years and older ■■ Maintenance treatment of airflow obstruction and reducing exacerbations in patients with chronic obstructive pulmonary disease (COPD) Adverse Drug Reactions: Upper respiratory tract infection or inflammation, pneumonia, oral candidiasis

FLORIDA PHARMACY TODAY

Drug Name: Jeuveau (prabotulinumtoxinA-xvfs) Approval Date: February 1, 2019 Drug Class: Acetylcholine release inhibitor and a neuromuscular blocking agent Formulation: Injection, for intramuscular use Indication: The temporary improvement in the appearance of moderate to severe glabellar lines associated with corrugator and/or procerus muscle activity in adult patients Adverse Drug Reactions: Headache, eyelid ptosis, upper respiratory tract infection, Drug Name: Cablivi (caplacizumab-yhdp) Approval Date: February 6, 2019 Drug Class: Non Willebrand factor (vWF)-directed antibody fragment Formulation: Injection, for intravenous or subcutaneous use Indication: Treatment of adult patients with acquired thrombotic thrombocytopenic purpura, in combination with plasma exchange and immunosuppressive therapy Adverse Drug Reactions: Epistaxis, headache, gingival bleeding Drug Name: Egaten (triclabendazole) Approval Date: February 13, 2019 Drug Class: Anthelmintic Formulation: Tablets, for oral use Indication: Treatment of fascioliasis in patients 6 years of age and older Adverse Drug Reactions: Abdominal pain, hyperhidrosis, nausea Drug Name: Esperoct [antihemophilic factor (recombinant), glycopegylated-exei] Approval Date: February 19, 2019 Drug Class: Coagulation Factor VIII concentrate Formulation: Lyophilized powder for solution, for intravenous use Indication: For use in adults and children with hemophilia A for: ■■ On-demand treatment and control of bleeding episodes ■■ Perioperative management of bleeding ■■ Routine prophylaxis to reduce the frequency of bleeding episodes Adverse Drug Reactions: Rash, redness, itching Drug Name: Adhansia XR (methylphenidate hydrochloride), CII *** on drugs.com*** Approval Date: February 27, 2019 Drug Class: Central nervous system stimulant Formulation: Extended-release capsules, for oral use

Indication: Treatment of attention deficit hyperactivity disorder in patients 6 years and older Adverse Drug Reactions: Insomnia, dry mouth, decreased appetite Drug Name: Herceptin Hylecta (trastuzumab and hyaluronidase-oysk) Approval Date: February 28, 2019 Drug Class: HER2/neu receptor antagonist/endoglycosidase Formulation: Injection, for subcutaneous administration Indication: Treatment of Her2-overexpressing breast cancer Adverse Drug Reactions: Fatigue, arthralgia, diarrhea Drug Name: Spravato (esketamine), CIII Approval Date: March 5, 2019 Drug Class: Non-competitive N-methyl D-aspartate (NMDA) receptor antagonist Formulation: Nasal spray Indication: In conjunction with an oral antidepressant, for the treatment of treatment-resistant depression in adults Adverse Drug Reactions: Dissociation, dizziness, nausea Drug Name: Tecentriq (atezolizumab) ***not on drugs.com list*** Approval Date: March 8, 2019 Drug Class: Programmed death-ligand 1 (PD-L1) blocking antibody Formulation: Injection, for intravenous administration Indication: Treatment of patients with locally advanced or metastatic urothelial carcinoma who: ■■ Have disease progression during or following platinumcontaining chemotherapy ■■ Have disease progression within 12 months of neoadjuvant or adjuvant treatment with platinum-containing chemotherapy Adverse Drug Reactions: Fatigue, decreased appetite, nausea Drug Name: Trazimera (trastuzumab qyyp) injection ***on drugs.com list*** Approval Date: March 11, 2019 Drug Class: HER2/neu receptor antagonist, biosimilar to Herceptin (trastuzumab) Formulation: Injection, for intravenous use Indication: ■■ Treatment of HER2-overexpressing breast cancer ■■ Treatment of HER2-overexpressing metastatic gastric or gastroesophageal junction adenocarcinoma Adverse Drug Reactions: Headache, fever, neutropenia Drug Name: Rocklatan (netarsudil and latanoprost ophthalmic solution) Approval Date: March 12, 2019 Drug Class: Rho-kinase inhibitor and prostaglandin F2a analogue Formulation: Solution, for topical ophthalmic use Indication: Reduction of elevated intraocular pressure in patients with open-angle glaucoma or ocular hypertension

Adverse Drug Reactions: Conjunctival hyperemia, instillation site pain, corneal verticillata Drug Name: Zulresso (brexanolone) Approval Date: March 19, 2019 Drug Class: Neuroactive steroid gamma-aminobutyric acid (GABA) A receptor positive modulator Formulation: Injection, for intravenous use Indication: Treatment of postpartum depression in adults Adverse Drug Reactions: Sedation/somnolence, dry mouth, loss of consciousness Drug Name: Sunosi (solriamfetol) Approval Date: March 20, 2019 Drug Class: Dopamine and norepinephrine reuptake inhibitor (DNRI) Formulation: Tablets, for oral use Indication: Improve wakefulness in adult patients with excessive daytime sleepiness associated with narcolepsy or obstructive sleep apnea Adverse Drug Reactions: Headache, nausea, decreased appetite Resources https://www.accessdata.fda.gov/ https://www.drugs.com/newdrugs.html https://www.centerwatch.com/drug-information/fda-approved-drugs/

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.

APRIL 2019

Why Advanced Roles and Pharmacy Technician Leadership Matters By Julie Burger

If you have been following the exciting year in pharmacy policy, you will note there have been many changes for pharmacy technicians in the past three months. So far in 2019, the Florida Board of Pharmacy has modified the language for Rule 64B16-27.4001 allowing pharmacy technicians to be indirectly supervised utilizing an unspecified method of technology, while also increasing the pharmacist to technician ratio. In January of 2019, ASHP and ACPE, the organizations responsible for accrediting pharmacy technician training programs, implemented new training standards for technician education, delineating requirements for entry-level technicians and advanced-level technicians. In March of 2019, PTCB, the first organization to provide a competency-based certification exam for pharmacy technicians, announced five new advanced certifications. These new assessment-based certificate programs will add the CPhT-Adv credential to designate this new competency. If you were not paying attention to the workforce development changes both in Florida and on the national level, you have most certainly missed quite a bit. National organizations are paving the way for career development for pharmacy technicians. Pharmacy technicians are currently the only allied health profession without mandatory national standards for support staff preparation. The length of education also differs greatly. Allied Health Position

Training

Clinical Lab Technician

2-4 years

Dental Hygienist

2-6 years

Dental Assistant

1-2 years

Dietetic Technician

3-4 years

Medical Assistant

1-2 years

Occupational Therapy Assistant

2 years

Pharmacy Technician

Entry level - >= 8 weeks Advanced level - >= 15 weeks

Physical Therapy Assistant Surgical Technologist

2 years 1-2 years

EMT

2 years

Veterinary Tech

2 years

FLORIDA PHARMACY TODAY

The outcomes-based evidence shows that patient safety is not compromised with qualified and appropriately trained support staff. Elevating the entire pharmacy profession allows pharmacists to practice to the fullest extent of their capabilities. Appropriately trained and credentialed support staff are needed in order for this to efficiently take place. It is clear that progress needs to be made in the state of Florida to ensure patient safety is maintained. The career ladder, sometimes referred to as a â&#x20AC;&#x153;career latticeâ&#x20AC;? because of the often lateral advancement opportunities, is important to retaining passionate and qualified pharmacy technicians. Requiring a competency-based exam and certifications will identify committed and qualified technician leaders in your workforce. These technicians know what is needed to assist the pharmacists every day, and they are an important piece of your business. Identify the leaders in your place of business and support their advancement. In addition to the professional accrediting body standards, programs in Florida that fall under the Department of Education accreditation standard also must follow the Framework.

HELP SUPPORT THE ADOPT-A-STUDENT PROGRAM Florida Pharmacy Association (FPA) 129th Annual Meeting & Convention July 10-14, 2019 Marriott Harbor Beach Resort & Spa – Ft. Lauderdale, Florida

Again this year, students from Florida Colleges of Pharmacy will be “Adopted” for the FPA Annual Meeting and Convention. Pharmacy students will benefit from the interaction with practicing pharmacists, learn first hand how FPA actually operates and how they can become involved in their chosen profession. As you remember, college students are on a tight budget and most of them cannot afford to attend convention. Here is how you can help! Be a Bronze, Silver or Gold Sponsor! The donation amounts are Bronze ($150), Silver ($250), and Gold ($500) Level Mentor Sponsors and will help offset the costs of the AAS program. You also have the option to give any amount you prefer. The FPA offer Adopted students complimentary registration, which includes admission to the AAS Mentor Social, Exhibit Hall and Student Awards Event. FPA’s programs and services are keys to our success in advocating for our profession, supporting our pharmacy students and promoting quality patient care services. Thank you for giving back to your profession. Make a contribution yourself, ask your local unit association or get together with friends to Adopt-A-Student. Remember…..these are the future leaders of pharmacy! Mentor Program. Each of the adopted students will be assigned a pharmacist who may invite them to attend meetings, CE programs, and share their knowledge and pharmacy experience with them. If you plan to attend the convention and would like to be a mentor, please contact the FPA office. Please donate online at the Foundation’s website, www.flpharmfound.org, or complete the form below and fax or mail with your check to: Florida Pharmacy Foundation 610 North Adams Street Tallahassee, FL 32301 Fax: (850) 561-6758 Please make your check payable to the Florida Pharmacy Foundation Sponsor Name: _________________________________________________________________________ Address: ______________________________________________________________________________ City: _______________________________________ State: __________ Zip: _______________________ Phone: ____________________________________ Amount of Contribution: _______________________ Charge to the following:

! AMEX

! DISCOVER

! MASTERCARD

! VISA

Account #:_____________________________________Security Code: ________ Exp. Date: __________ Signature: _____________________________________________________________________________ ! Yes, I would like to serve as a Mentor. ! Contact me with more information on Mentoring. Contributions to the Florida Pharmacy Foundation are tax deductible as a charitable contribution for federal income tax purposes. Consult your CPA for complete details.

APRIL 2019

CALL FOR ABSTRACTS FOR POSTER PRESENTATIONS FLORIDA PHARMACY ASSOCIATION 129th ANNUAL MEETING AND CONVENTION

July 10-14, 2019 Marriott Harbor Beach Resort & Spa ♦ Ft. Lauderdale, Florida Poster Session: Friday, July 12, 2019 ♦ 11:00AM-1:00PM COST $25 PER POSTER The FPA Poster Presentations are open to PHARMACY STUDENTS ONLY. Complete and submit this COVERSHEET for each abstract submission. Submissions must be received no later than Friday, May 3, 2019. Abstracts will NOT be accepted after this date. Mail or E-mail this application along with the abstract submission to:

PLEASE TYPE

Tian Merren Owens, MS, PharmD, Director of Continuing Education Florida Pharmacy Association 610 N. Adams Street Tallahassee, FL 32301 tmerren@pharmview.com

Contact Information: Presenter's Name (MUST BE A STUDENT):________________________________________________________________

□Entry Level Pharm.D.

□ Post B.S. Pharm.D.

Address: ________________________________________________________________________________________ City, State, Zip: ___________________________________________________________________________________ Telephone No: _____________________E-Mail Address: _________________________________________________ College of Pharmacy: _____________________________________________________________________________ Abstract Title: ____________________________________________________________________________________ Poster Type:

□Clinical Research □Basic Science Research □Translational Research (Basic Science and Clinical Research)

Primary Author: __________________________________________________________________________________ (Students must be listed first to be considered for the Award. Presenter will be notified by mail of acceptance). Co-Author(s): _________________________________________________________ Student Awards:

□YES □NO

Posters will be eligible for 1 , 2 , and 3 place prizes to be presented at Convention. (Only one prize is given for each winning poster)

ABSTRACT FORMAT The abstract form submitted should be the equivalent of one page. The abstract should include: Title (Include authors’ names and name of College of Pharmacy), Purpose, Methods, Results, and Conclusions. Abstracts will not be accepted if it is not in this format. Do not include figures or graphs.

Please direct all questions and concerns to: Tian Merren Owens ♦ (850) 222-2400 ext. 120 ♦ tmerren@pharmview.com DEADLINE DATE: FRIDAY, MAY 3, 2019 18

FLORIDA PHARMACY TODAY

CALL FOR RESOLUTIONS TO THE 2019 HOUSE OF DELEGATES The House of Delegates Board of Directors will meet in May 2019 to review and approve resolutions for the Annual Meeting. The deadline for submitting resolutions is May 10, 2019! PLEASE NOTE THIS DEADLINE. The last day to submit items of new business is June 7, 2019. If you need further information on how to submit your resolution or information about the FPA House of Delegates, please visit this link: https://www.pharmview.com/members/group. aspx?id=116319 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

APRIL 2019

129th Annual Meeting and Convention JULY 10â&#x20AC;&#x201C;14, 2019 Marriott Harbor Beach Resort and Spa Fort Lauderdale, FL

Keynote Speaker Norman â&#x20AC;&#x153;Hootâ&#x20AC;? Hooten Dr. Hooten is a 20-year veteran of the U.S. Army. He has more than 20 years of experience training military special operations and law enforcement personnel and 14 years of experience in Counter-Terrorism operations while serving in the U.S. Army Delta Force. Dr. Hooten has a distinguished service history in joint, combined, interagency and international operations. He was a key contributor to the success of Operation Just Cause in Panama as well as operations in Lebanon, the Balkans, and Operation Restore Hope in Mogadishu, Somalia. As a DELTA Force Assault Team Leader in Somalia he and his teammates played a critical role in the rescue and recovery of the crew members of the Black Hawk helicopter that crashed on October 3rd, 1993. The incident was later the subject of the feature film known as

Black Hawk Down. In August of 2001, Dr. Hooten retired from active duty. He briefly attended Pharmacy School at Campbell University in Buies Creek North Carolina. On September 11th, 2001, Dr. Hooten was recalled from pharmacy school to active service in the US Army. He subsequently played a critical role in the national effort to establish aviation security protocols and served as the National Supervisory Training Coordinator for the Federal Air Marshal Service Global Response Team. In February of 2009 he assumed duties as the Deputy Director of the King Abdullah Special Operations Training Center (KASOTC) in Amman, Jordan where he led an international team of subject matter experts in the design and development of protocols, tactics, techniques, and procedures for international counter terrorism operations. He served in this capacity for 3 years. During his Army career, Dr. Hooten realized the impact that pharmacists could have with active duty military and Veterans; he subsequently returned to pharmacy school at Palm Beach Atlantic University in West Palm Beach, Florida where he graduated in 2016. Upon graduation, he completed a Postgraduate Year One (PGY1) pharmacy residency at the Orlando Veterans Affairs Medical Center followed by a Postgraduate Year Two (PGY2) psychiatric pharmacy resident at the West Palm Beach Veterans Affairs Medical Center. Dr. Hooten has a passion for the role pharmacists can play in the management of pain and substance use disorders in Veterans and is committed to having a positive impact in this area of pharmacy practice. After completing his residency training, Dr. Hooten wished to continue to find ways to give back to the Veteran community that has given so much to our great nation. He currently practices at the Orlando Veterans Affairs Medical Center where his primary area of interest is working with Veterans who suffer with chronic service related pain and substance abuse.

The Florida Pharmacy Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Up to 23 contact hours are available upon successful completion of attendance and evaluation from Thursday-Sunday. Statements of continuing pharmacy education credit will available for you to download and print in four weeks. The FPA is also a Florida Department of Health approved provider of continuing education. This is an ACPE knowledge based activity. Speakers have no relevant financial relationship to the activities.

Wednesday, July 10, 2019

3:15pm-4:15pm

Education: 1 hr GCE/TECH/STU

2:00pm-4:00pm

FPA Registration Desk Opens

Keynote Address:

4:00pm-5:00pm

HOD Board of Directors Meeting

5:00pm-6:00pm

Florida Pharmacist Political Committee (FPPC) Meeting

Pharmacists – Warriors in the Battle Against Opioids

6:00pm-7:00pm

Budget & Finance Committee Meeting

5:00pm-6:00pm

FPPC Reception

7:00pm

Florida Pharmacy Foundation Annual Meeting

9:30pm

Recognition of FPPC Donors

7:30pm

Florida Pharmacy Association Oﬃcer’s Meeting

Thursday, July 11, 2019

Norman Hooten, PharmD, Clinical Pharmacy Specialist, Orlando Veterans Affairs Medical Center

Friday, July 12, 2019 6 hrs of GCE/TECH/RC 6:30am-7:30am

Westshore Financial Group Breakfast (RSVP Required, Seating Limited)

7:00am

Registration Desk Opens

7:00am-8:00am

Christian Pharmacist Fellowship

7:00am-8:00am

Delegate Registration

6 hrs of GCE/TECH 7:00am

Registration Desk Opens

7:30am

Welcome and Introductions

7:45am-9:15am Education: 1.5 hrs GCE/TECH Cultural Sensitivity in the Pharmacy Julie J. Wilkinson, Pharm.D., MS, BCPS, Professor of Pharmacy Practice and Revika Matuknauth, PharmD, Assistant Professor of Pharmacy Practice, LECOM School of Pharmacy 9:00am-10:30am Education: 1.5 hrs (Non CE) CE Provider Workshop for Florida Department of Health Providers Marcia Mann, CE Broker Representative

7:45am-9:15am Education: 1.5 hrs GCE/TECH/RC “MACRA and MIPS, OH MY!!” How Performance Measures Can Help Your Pharmacy Jonathan Marquess, PharmD, CDE, FAPhA, President/CEO, The Institute for Wellness and Education 8:00am-10:00am

FPA House of Delegates and Annual Business Meeting

9:20am-10:50am Education: 1.5 hrs GCE/TECH Transforming Health Care with Telecommunications Christopher Sullivan, PhD, Image Research, LLC.

9:20am-10:50am Education: 1.5 hrs GCE/TECH/RC Healthy Patients, Healthy Business – A Review of New Diabetes Guidelines and Medications Jonathan Marquess, PharmD, CDE, FAPhA, President/CEO, The Institute for Wellness and Education

11:00am-12:30pm

Journal Board Meeting

11:00am-1:00pm

Exhibit Hall Grand Opening

12:00pm-4:00pm

Delegate Registration

11:00am-1:00pm

Student Poster Presentations

1:00pm-2:30pm

Local Unit Leaders Meeting

12:00pm-1:00pm

Lunch On Your Own

12:00pm-1:00pm

Lunch On Your Own

1:00pm-2:00pm Education: 1 hr GCE/TECH New Education Standards for Technicians and Operational Support Roles Julie Burger MPH, CPH, CHES, CPhT, Pharmacy Technician Program Director, Pensacola State College and Verender Gail Brown, BS, CPhT, RPhT, Pharmacy Technician Instructor, Osceola Technical College 2:05pm-3:05pm Education: 1 hr GCE/TECH Legislative Update 2019 Michael Jackson, BPharm, CPh, Executive Vice President and CEO, Florida Pharmacy Association

1:00pm-2:30pm Education: 1.5 hrs GCE/TECH/RC How Are We Doing Fighting the Most Common Cancers in Adults? Kenneth S. Bauer Jr, PharmD, PhD, Professor of Pharmacy Practice and Pharmaceutical Sciences, Director of PharmD Curriculum, LECOM School of Pharmacy 1:00pm-2:30pm Education: 1.5 hrs GCE/TECH/STU NASPA/NMA Game Show Tian Merren Owens, MS, PharmD, Director of Continuing Education, Florida Pharmacy Association 2:35pm-4:05pm Education: 1.5 hrs GCE/TECH/RC Decoding Pharmacogenetic Results for Your Patient Teresa Ho, PharmD, BCPS, Assistant Professor, Department of Pharmacotherapeutics & Clinical Research, University of South Florida, College of Pharmacy 2:40pm-3:10pm Education: .5 hrs STU (Non CE) Florida Pharmacy Law Review (MPJE) Part 1 Suzy Wise, PharmD/MBA, CPh, Pharmacy Operations Manager, Westminister Pharmacy Services

CONTINUING EDUCATION CODE KEY: GCE = General RC = Recertification Consultant TECH = Technician STU = Student

3:15pm-5:15pm

House of Delegates Reconvenes

5:30pm-7:00pm

University Alumni Receptions

7:00pm-8:00pm

Adopt-A-Student and Mentor Social

9:00pm

The FPA Friday Night Karaoke Fundraiser

Saturday, July 13, 2019 6 hrs of GCE/TECH/RC 6:30am

5K FUN RUN WALK

6:30am-7:30am

ABBVIE Breakfast (RSVP Required, Seating Limited)

7:00am

Registration Desk Opens

7:45am-9:15am Education: 1.5 hrs GCE/TECH/RC Clostridioides difficile: New Name, New Guidelines Elias B. Chahine, PharmD, FCCP, BCPS (AQ-ID), Associate Professor of Pharmacy Practice, Lloyd L. Gregory School of Pharmacy, Palm Beach Atlantic University 7:45am-9:15am Education 1.5 hrs GCE/TECH Collaborative Practice Agreements: What the Practicing Pharmacist Needs to Know John G. Gums, PharmD, FCCP, Associate Dean for Clinical and Administrative Affairs, Professor of Pharmacy and Medicine, College of Pharmacy, University of Florida and Eric Dietrich, PharmD, BCPS, BCACP, CPC-A, CEMC Clinical Assistant Professor, University of Florida College of Pharmacy 8:00am-11:00am

1:00pm-2:30pm Education 1.5 hrs GCE/TECH The POINT of Care: Indispensable Services to Expand your Practice Erin Dorval, PharmD, Director Community Pharmacy Residency Program, Assistant Professor of Pharmacy Practice, Palm Beach Atlantic University 1:00pm-3:00pm Education: 2 hrs STU (Non CE) Pharmacy Career Forum Theresa Tolle, BPharm, FAPhA, Owner, Bay Street Pharmacy, Inc. - Facilitator 2:35pm-4:05pm Education: 1.5 hrs GCE/TECH/RC The War on Resistance - The Importance of Antimicrobial Stewardship Calvin Tucker, PharmD, FCCM, BCPS, BCCCP, Coordinator of Acute Care Surgery Pharmacy Services, UF Health Shands Gainesville 2:35pm-4:05pm Education 1.5 hrs GCE/TECH Disruptive Innovation in Pharmacy Damien Simmons, PharmD, Owner, Atlantis Pharmacy and Erin Dorval, PharmD, Director Community Pharmacy Residency Program, Assistant Professor of Pharmacy Practice, Palm Beach Atlantic University. 3:05pm-4:05pm Education: 1 hr STU (Non CE) Florida Pharmacy Law Review (MPJE) Part 2 Suzy Wise, PharmD/MBA, CPh, Pharmacy Operations Manager, Westminister Pharmacy Services 5:00pm-6:30pm

Past Presidents Reception (Invitation Only)

7:00pm-10:00pm

Awards Event Attire: Business Casual

Student Patient Counseling Competition

9:00am-11:00am Education: 2 hrs GCE/TECH/STU Leadership and the Profession of Pharmacy Christopher Lynch, PharmD, MEd, CPh, Commander, MSC, U.S. Navy (retired), Pharmacy Supervisor, New Port Richey VA Outpatient Clinic

Sunday, July 14, 2019 5 hrs of GCE/TECH 7:00am

Registration Desk Opens

9:20am-10:50am Education: 1.5 hrs GCE/TECH/RC Introduction to Hepatitis C Treatment Elizabeth Sherman, PharmD, AAHIVP, Associate Professor, NOVA Southeastern University

7:45am-9:45am Education: 2 hrs GCE/TECH Reducing Medication Errors through Implementing a Continuous Quality Improvement Program Michael Jackson, BPharm, CPh, Executive Vice President and CEO, Florida Pharmacy Association

9:20am-10:50am Education 1.5 hrs GCE/TECH Follow the Money: The Importance of Metrics in Clinical Practice William Ballough, PharmD, MBA, Pharmacy Manager Publix Pharmacy

8:00am-9:30am Education: 1.5 hrs STU (Non CE) Making a Good First Impression Through Your CV and Interview Jennifer Pytlarz, PharmD,BCACP, Senior Director, Clinical Pharmacy Services

11:00am-1:00pm

Exhibit Hall Opens

12:00pm-1:00pm

Lunch On Your Own

12:00pm-1:00pm

Student Awards Event

9:50am-10:50am Education: 1 hr GCE/TECH HIV/AIDS Update Antonio Carrion, PharmD, MPh, Assistant Professor, Florida A & M University, College of Pharmacy

12:00pm-1:00pm

Florida Independent Pharmacy Owner Luncheon RSVP 850-656-0100

1:00pm-2:30pm Education: 1.5 hrs GCE/TECH/RC Pharmacists Calling the Shots: Florida Immunization Review 2019 Paul Boylan, PharmD, BCPS, Assistant Professor, Larkin University College of Pharmacy

10:00am-1:00pm

Student Interviews (RSVP Required)

10:55am-11:15am

Installation of Oï¬&#x192;cers

11:15am-11:25am

Break

11:30am-1:30pm Education: 2 hrs GCE/TECH The Pharmacists Role in the Dispensing of Controlled Substances Brittany Johnson, PharmD, Pain and Palliative Care Stewardship Pharmacist, UF Health Jacksonville

CONTINUING EDUCATION CODE KEY: GCE = General RC = Recertification Consultant TECH = Technician STU = Student

Target Audience: FPA’s educational activities are designed for pharmacists and pharmacy technicians from all practice settings. • Courses appropriate for pharmacists are designated by an ACPE UAN ending in the letter “P”. • Courses appropriate for pharmacy technicians are designated by an ACPE UAN ending in the letter “T”. Contact Hours: Florida Pharmacy Association is offering a total of 23 contact hours during Convention. Each course identifies the amount of credit which can be received. A total of 23 contact hours may be obtained from Thursday through Sunday for General (GCE) or Technician (TECH) continuing education. HIV/AIDS, Reducing Medication Errors, and Controlled Substances are Florida Board approved courses. Twelve of the offered 23 hours may be used for Consultant Re-certification (RC). Please see the paragraph below for further information regarding Consultant Re-certification. Consultant Re-certification: To receive consultant re-certification credit for your Florida consultant pharmacist license, you must complete a minimum of 3 hour blocks courses marked RC for partial credit. The RC courses are offered on Friday and Saturday. There are 6 RC hours on Friday and 6 RC hours on Saturday. Florida Board of Pharmacy Consultant Approval Number is pending. Disclosures: Financial support, if provided, for educational activities will be listed in program. Speakers have no relevant financial relationship to the activities. Handouts: Printed booklets of the handouts are available for purchase. Handouts will be posted on our website, www.pharmview.com, the week of the conference for you to download, print and bring to the meeting. CPE Requirements: To earn a statement of credit, participants must complete the necessary information, which includes name, license number, NABP number, date of birth, voucher code and evaluation. Statements of credit will be available for you to download and print four weeks following the meeting. • CE Broker: FPA will upload courses to CE Broker, the continuing education system for the Florida Department of Health. It is the responsibility of the participant to provide the correct pharmacist license number or pharmacy technician registration number. CE Broker offers a reduced subscription rate to FPA members per license cycle. • CPE Monitor: FPA will upload courses to CPE Monitor, which allows you to electronically keep track of CPE credits from ACPE-accredited providers. Visit www.mycpemonitor. net to obtain your e-profile. It is the responsibility of the participant to provide the correct e-profile number and date of birth (MM/DD) prior to the upload. FPA will NOT re-upload data once upload is complete. Cancellation Policy: If cancellation is made in writing 30 days prior to the program a refund will be made less a $10 service charge. If cancellation is made 29-10 days prior to the program, a refund will be made, less a $50 service charge. Cancellation requested in writing after that date will result in credit for another FPA CE program valid for one year. Partial Credit Policy: FPA does not offer partial credit for any CPE activity. Participants must attend the session in its entirety. Temperature: Please have a sweater or jacket available during the meetings as temperature may vary. Children: Children under the age of 18 are not permitted in the educational programs at anytime due to insurance liability issues. This includes children in strollers and carriers. ADA Regulations: The FPA complies with ADA requirements. Please contact the office in advance of the meeting for any needed technical assistance. FPA Policy on Industry Support: FPA adheres to the US Food & Drug Administration’s policy on industry supported educational activities. The FDA policy requires, among other things, that we conduct the educational program supported by any corporate educational grants independently and without control by the grantor of the program’s planning, content or execution. Furthermore, the programs must be free of commercial bias for or against any product. Waiver of Liability: Each individual attending FPA’s Annual Meeting assumes all risks associated with his/her attendance and participation in all on-and off-site activities that occur during this time. By registering for this meeting, you agree to indemnify and hold harmless, FPA and its governing bodies, officers and employees from all loss, damage or liability arising out of or related to your attendance and participation at FPA’s Annual Meeting.

General Education Track THURSDAY – SUNDAY The general education track will offer courses designed to educate pharmacists on a wide variety of important topics pertaining to the profession of pharmacy practice. Specific required Florida Board Approved courses being offered are Reducing Medication Errors, HIV/AIDS, and the Validation of Controlled Substances. There will also be courses on Collaborative Agreements, Appropriate Use of Metrics, Point of Care Services, Innovative Pharmacy Practice and the always popular, Legislative Update!

Consultant Education Track FRIDAY – SATURDAY The consultant education track will provide pharmacists with the most current information available on various topics that pharmacists encounter in the profession of pharmacy. The consultant track will focus on Infectious Diseases and Innovations in Pharmacy. The specific topics being offered include Clostridium difficile, Hepatitis, Immunizations, Antibiotic Stewardship, MACRA and MIPS, Diabetes, Oncology and Pharmacogenomics. There are 12 hours available for consultant pharmacists.

Student & Technician Education Track THURSDAY – SUNDAY Students and Technicians will benefit from interacting with practicing pharmacists and attending student and technician focused continuing education programs. The technician track offers several hours of continuing education on a variety of topics, including the required courses for Florida registration and PTCB renewal: Medication Errors, HIV/AIDS, and Law. The student track consists of several hours of fun and exciting continuing education, such as The Career Forum, the NASPA/NMA Game Show and Leadership Courses. Students will also have an opportunity to participate in the Patient Counseling Competition and showcase their Poster Presentations.

Marriott Harbor Beach Resort & Spa

3030 Holiday Drive • Ft. Lauderale, FL 33316 (800) 222-6543 or (954) 525-4000

ROOM RATES: $189 plus tax based on single/ double occupancy. The room reservation deadline is Friday, June 21, 2019 or when room block is full. Thereafter, reservations may be taken on a space available or rate available basis. There is an optional resort fee. Self-parking is discounted to $12 per day. Please be sure to ask for the Florida Pharmacy Association group rate. All reservations must be accompanied by a first night room deposit or guaranteed with a major credit card. The check-in time is 4:00pm and the checkout time is 11:00 am. Room reservations can be made by calling (800) 222-6543 or (954) 525-4000.

Accommodations Special Events FPPC RECEPTION: Attend this reception to support your Political Action Committee. HOUSE OF DELEGATES: Be a delegate or observer and see how important member participation is to the direction of the Association. RECOGNITION OF FPPC DONORS: Contribute to the FPPC and be invited to a private reception. EXHIBITS: Participate in the grand opening reception in the exhibit hall! Visit with exhibitors, introduce yourself, shake their hands, tell them you appreciate them and invite them back next year! The exhibitors are a very important part of FPA’s convention. Companies send their representatives to educate you about their products and services at great expense. Please show them your appreciation! POSTER PRESENTATIONS: Browse submissions from pharmacy students. Contact the FPA office for more information if you would like to submit a poster presentation. RECEPTIONS: Enjoy catching up with your colleagues as the Universities entertain their alumni and friends followed by a night of Karaoke Fun! STUDENT EVENTS: Participate in the Adopt-A-Student Mentor Social. Students will benefit from interacting with practicing pharmacists, attending student focused continuing education programs and learning firsthand about the FPA and how involvement can improve their chosen profession. Call the FPA office and offer to mentor or sponsor a student. FUN RUN WALK: Exercise is good for the soul. Incorporate health and fitness while at the FPA convention. Please register early to reserve your space. AWARDS EVENT: Honor outstanding practitioners during the awards presentation. INSTALLATION OF OFFICERS: Attend the installation of NEW officers on Sunday morning!

Save the Date! 130th Annual Convention JW Marriott

Marco Island Beach Resort

Thank You For Attending the

129th Annual Meeting & Convention! See You Next Year!

Marco Island, FL

July 8 – 12, 2020

FPA 129th Annual Meeting and Convention July 10-14, 2019 Ft. Lauderdale, FL

55Daily Education Registration

Participant Information Participant Information

Daily registration does not include admittance to functions or handbooks. Handouts will be posted on our website July 10.

Name: _____________________________________________________ Name _______________________________________________ Address______________________________________________ Badge Name: _______________________________________________ City, State, Zip_________________________________________ Mailing Address: ____________________________________________ Phone___ ________________________ City, State, Zip: _____________________________________________ Email________________________________________________ Phone: (W) (H)_______________________ Practice Setting________________________________________ License: PS______________ PU _____________RPT_________ Fax: ______________________________________________________ NABP Date of Birth___________ License:e-profile#__________________ PS________________ PU_________ Other State________ Emergency Contact Name/Number_________________________

Full Package Registration

Full package registration includes Educational Programs Thursday-Sunday, House of Delegates on Friday, Exhibit Hall Friday and Saturday, and Awards Event on Saturday. Handbooks are not included in full package registration. Handouts will be available the week of the convention on our website, www.pharmview.com. Before June 21

Onsite

Amount_

$345

$430

$_______

Non Member

$525

$610

$_______

Pharmacist BEST Value

$540

$625

$_______

Member Technician

$155

$185

$_______

Non Member Technician

$175

$210

$_______

Technician BEST Value

3Student

Handbooks

$185

$220

$_______

$150

$170

$_______

$40

N/A

$_______

(BEST Value includes Registration & Membership) Please indicate below which functions you will attend. Tickets will be provided upon request during the pre-registration process and placed in your packet. If no boxes are selected, we will assume you will not attend any of the events listed below and tickets will not be available onsite. Please see box 6 for additional tickets.



House of Delegates (Friday)



Exhibit Hall (Friday and/or Saturday)



Awards Event (Saturday)



I will not attend any of these functions.

House of Delegates

House of Delegates (Non-convention registrants)

Onsite

Amount

FPA Member

$165

$185

$_______

Non Member

$215

$235

$_______

Member Technician

$65

$85

$_______

Non Member Technician

$90

$110

$_______

Handbooks

$40

N/A

$_______

Please select the day(s) you will attend: Thursday

2FPA Member

Before

June 21

Friday

Saturday

Sunday

Additional Tickets

The following events are included in the Full Registration Package if requested. However, you must purchase additional tickets for guests who are NOT registered. Price

Amount

Exhibit Hall

Quantity

@ $30

$______

Awards Event

@ $80

$______

Special Events Registration

The events listed below must be purchased individually and are not included in any other registration packages. Quantity

Price

Amount

FPPC Reception _________ @ N/C (Complimentary event, indicate if attending)

$_____

Christian Fellowship

$_____

_________

@ N/C

(Complimentary event, indicate if attending) Poster Presenter

_________

@ $25

$_____

Student Awards Event

_________

@ $50

$_____

FPA Polo Shirt (Deadline is June 7, 2019) Quantity Price 

Yes

______ @ $35

Payment

M/F ______

Size ______

Amount $_______

Total Enclosed: $______

Check (To: FPA) AMEX Discover MasterCard Visa Account # ____________________________________________ Security Code _________________ Expiration Date __________

Before June 12

Amount

$165

______

Billing Address ________________________________________ Signature ____________________________________________

Four Ways to Register

Mail: FPA, 610 North Adams Street, Tallahassee, FL 32301 Phone: 850-222-2400 Fax: 850-561-6758 Web: www.pharmview.com

Schedule Subject to Change

CONGRATULATIONS! - TO OUR -

2019 SCHOLARSHIP WINNERS Pharmacists Mutual is proud to support students who are interested in serving in an independent or small chain community pharmacy or an underserved geographic or cultural community. Each student listed received a $2,500 scholarship.

ABIGAIL SCOTT - University of Oklahoma ALEXIS DAYTON - Ohio Northern University ALLIE TAYLOR - Samford University BRYAN QUINN - University at Buffalo The State University of New York CARLY HUFFMAN - University of Montana CYNTHIA SMITH - Auburn University DAVID LU - Northeastern University ELIZABETH CRONAN - Mercer University HEATHER HEMBREE - University of South Carolina JACOB LOMAX - Ohio Northern University JONATHAN LITTLE - University of Oklahoma JORDYN NORDE - St. Louis College of Pharmacy LACY EPPERSON - University of Missouriâ&#x20AC;&#x201C;Kansas City MATTHEW JOLLEY - University of Utah MEGAN BAKER - Washington State University SAMANTHA HOPPE - South Dakota State University SEAN VINH - East Tennessee State University SHELLEY MUELLER - Southwestern Oklahoma State University TIFFANY CHAN - University of the Pacific TIFFANY SMITH - South University

ACCEPTING APPLICATIONS FOR 2020 SCHOLARSHIP October 1, 2019 - December 1, 2019 https://www.phmic.com/scholarship/

Pharmacists Mutual Insurance Company 808 Highway 18 W | PO Box 370 | Algona, Iowa 50511 P. 800.247.5930 | F. 515.295.9306 | E. info@phmic.com

phmic.com

florida PHARMACY TODAY

FREQUENTLY CALLED NUMBERS

BUYER’S GUIDE

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

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

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. 28

FLORIDA PHARMACY TODAY

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