December 2021 Florida Pharmacy Today by Florida Pharmacy Today

DEC. 2021

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florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 Presidential Viewpoint

7 Executive Insight

19 Call for Resoutions

VOL. 84 | NO. 12 DECEMBER 2021 THE OFFICIAL PUBLICATION OF THE FLORIDA PHARMACY ASSOCIATION

Features

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2022 FPA Elections

Continuing Education Requirements

FPA Board of Directors

Daniel Buffington......................................... President and Interim Board Chair Carol Motycka...................................................................................President Elect Elias Chahine................................................................................... FSHP President Alexander Pytlarz.................................................................Speaker of the House Verender Brown........................................................................Technician Director William Mincy............................................................................................ Treasurer Kimberly Jones...................................................................................... Vice Speaker Joyanna Wright.............................................................................Region 1 Director Tejas Patel.......................................................................................Region 2 Director Matt Schneller..............................................................Region 3 Director (Interim) Cheryl Rouse.................................................................................Region 4 Director Bob Parrado...................................................................................Region 5 Director Katherine Petsos...........................................................................Region 6 Director Paul Delisser..................................................................................Region 7 Director Carmen Aceves Gordon..............................................................Region 8 Director Goar Alvarez.................................................................................Region 9 Director Michael Jackson......................................................................................EVP & CEO DECEMBER 2021

Mission Statements:

FPA Calendar 2021-2022

Florida Pharmacy Today Journal DECEMBER 31

New Year Holiday observed FPA Office Closed JANUARY

Florida Legislative Session begins

MLK Holiday - FPA Office Closed

18-19 Legislative Days 22-23 FPA Law and Regulatory Conference Via Zoom 31

FPA Election Ballots due FEBRUARY

9-10

Florida Board of Pharmacy Meetings (Subject to approval)

FPA Awards Nominations Due

MARCH 11

Last Day of Legislative Session

FPA Board of Directors Meeting

18 - 21 APhA Annual Meeting San Antonio, Texas APRIL 1-3

FPA CE Conference Grand Hyatt Tampa Florida Board of Pharmacy Meetings (Subject to approval) JUNE

15-16 Florida Board of Pharmacy Meetings (Subject to approval) AUGUST 24 - 25 Florida Board of Pharmacy Meetings (Subject to approval)

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 two-hour CE requirement for pharmacists on the dispensing of controlled substances effective this biennial renewal period. The Reducing Medication Errors course is needed for pharmacists and technicians. Pharmacists should have satisfied all continuing education requirements for this biennial period by Sept. 30, 2023, or prior to licensure renewal. Consultant pharmacists and technicians will need to renew their licenses and registrations by Dec. 31, 2022. For the 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.floridapharmacy.org CONTACTS FPA — Michael Jackson (850) 222-2400

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

FAMU — Dr. Selika Sampson (850) 599-3301

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.

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 APMS................................................................... 11 PQC...................................................................... 20 PHARMACISTS MUTUAL.............................. 12

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

EMAIL YOUR SUGGESTIONS/IDEAS TO dave@fiorecommunications.com

Presidential Viewpoint BY MICHAEL JACKSON, RPH DANIEL E. BUFFINGTON, PHARMD, MBA, FAPHA

Pharmacists Beware: Increased Prevalence and Accessibility of Counterfeit Medications

he U.S. Dr ug En forcement A g e n c y ( D E A) a n d l a w enforcement have reported an increase in the number of counterfeit medications being sold on the internet by illegal vendors and websites. On September 27, 2021, the DEA issued a public safety alert warning of the increase in the number of counterfeit p i l l s c o n t a i n i n g f e n t a nyl a n d methamphetamine across the United States. Previous public notices by the DEA occurred in 2014 and 2015 relating to the surge in synthetic fentanyl and synthetic fentanyl analogs. In 2021, a single DEA sting operation confiscated nearly 2 million fraudulent medications that contained fentanyl and over 1,500 pounds of raw fentanyl. They estimate that nearly 10 million fraudulent pills were confiscated in 2021. Additionally, DEA lab tests revealed that approximately 40% or more of the pills contained quantities of fentanyl capable of producing severe adverse side effects or death. Law enforcement data shows that people attempting to abuse or purchase illicit substances are encountering products from clandestine vendors i n Ch i na a nd Mexico t hat have increasingly tested positive for fentanyl and methamphetamine. These vendors have then sold the products to U.S. citizens attempting to illegally purchase products on websites and social media sites such as Facebook and Snapchat. These social media platforms could be considered accountable if they provided services to t hose vendors while knowing that the services constituted healthcare fraud. The ease with which consumers

were able to illegally shop for and purchase counterfeit pills revealed the magnitude of the problem arising from the ability to circumvent the DEA and other law enforcement. The illegal vendors go to great lengths to make the fake products appear similar (including shape, color, size, and established

Daniel E. Buffington, PharmD, MBA, FAPhA

markings) to legitimate FDA-approved and commercially available products such as benzodiazepines, opioids, and amphetamines (i.e., alprazolam (Xanax®), hydrocodone (Vicodin®), oxycodone (Oxycontin®, Percocet®), h yd r o c o d o n e ( V i c o d i n ®), a n d amphetamines (Adderall®)). It is apparent that the DEA is not doing enough to collaborate with healthcare practitioners and web-based companies to help them understand the public safety risk and methods of distributing fraudulent pharmaceutical substances. The DEA Administrator, Anne Milgram, admitted that the DEA is aware that individuals intent on substance abuse are purchasing illegal substances online every day. Frank Pallone, Jr., the Chairman of the U.S. Energy & Commerce Committee, stated, “These platforms are not passive bystanders - they are knowingly

choosing profits over people, and our country is paying the price.” The House of Representatives, E&C Committee proposed a bill to amend Section 230 to remove legal immunity in cases where social media platforms, in cases where they “knowingly” and “recklessly” promote illegal drug distribution. This creates a significant duty for DEA and other law enforcement to work more directly with healthcare providers, including pharmacists, and social media or other web-based platforms, to protect the public. Many people attempt to circumvent licensed pharmacies (physical or online) by purchasing substances for illicit use from non-licensed vendors. In some cases, legitimate patients may be confused by or unaware of the risks of purchasing medications from nonlicensed online sources. Patients should be educated on the importance of using DECEMBER 2021

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

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

Continuing Education Coordinator Stacey Brooks, ext. 210 Coordinator of Membership Ranada Howard, ext. 110

FLORIDA PHARMACY TODAY BOARD Chair....................David Mackarey, Boynton Beach Vice Chair................................... Matt Schneller, Tampa Treasurer.................................... Eric Jakab, Gainesville Secretary............................. Julie Burger, Pensacola Member.........................Michael Finnick, Jacksonville Member....................... Carol Motycka, Jacksonville Member............................Teresa Tomerlin, Rockledge Member...................................... Greta Pelegrin, Hialeah Technician Member..........Julie Burger, Pensacola Executive Editor.......Michael Jackson, Tallahassee Managing Editor...................Dave Fiore, Tallahassee Journal Reviewer........................... Dr. Melissa Ruble Journal Reviewer....................................Dr. Angela Hill This is a peer-reviewed publication. . ©2021 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 ASSOCIATION

610 N. Adams St. • Tallahassee, FL 32301 850/222-2400 • FAX 850/561-6758 Web address: www.floridapharmacy.org.

only credible licensed pharmacies and how to recognize indicators and characteristics of non-licensed vendors. People should be made more aware that medications purchased from anyone other than a credible licensed pharmacy are dangerous, illegal and potentially life-threatening. In an effort to ensure improved public safety and confidence, the National Association of Boards of Pharmacy (NABP) developed the Verified Pharmacy Program (VPP). VPP is a nationally recognized, mu lt istate, u n i for m i n spec t ion program accepted by state boards of pharmacy across t he nation. VPP Certification processes include documentation of pharmacy licensure, site inspections and data monitoring methods. VPP Certification provides patients, consumers, payers and law enforcement with confidence that the medications are being tracked and dispensed from a credible licensed pharmacy and not an illegal entity. While the future of this proposed legislation is uncertain, the dialogue it stimulated has helped to promote public awareness as to the risks assoc iated w it h pu rc hasi ng or acquiring medications illegally from non-licensed pharmacies. Just like patients develop physician-patient relationships, it is equally important to develop an ongoing pharmacistpatient relationship. Pha r mac i st s a re t he lead i ng healt hcare practitioners trained in clinical pharmacology. Florida law recognizes the importance of the role that pharmacist clinical ser vices provide i n opt im izi ng medication therapy management and patient safet y. Pharmacists should be increasingly aware of the potential for individuals to acquire pharmaceutical substances from legal and illegal external sources including websites, social media platforms, medical clinics, mail-order vendors, automated dispensing systems and pha r maceut ical compa ny-based Patient Assistance Programs (PAP). It is clear, a nd especially i n the current climate of illicit and counterfeit drug use and sales, that

law enforcement agencies should develop open communications and collaborative efforts with healthcare prac t it ioners a nd hea lt hca re organizations to identify individuals who may be illegally acquiring medications from fraudulent sources. Publ ic ser v ice a n nou ncement s, community outreach, and providing detailed reviews of patients’ medical profiles will improve health outcomes and public safety. n REFERENCES: DEA Issues Public Safety Alert on Sharp Increase in Fake Prescription Pills Containing Fentanyl and Meth DEA Warns that International and Domestic Criminal Drug Networks are Flooding the United States with Lethal Counterfeit Pills Sep 27, 2021 https://www.dea.gov/pressreleases/2021/09/27/dea-issues-publicsafety-alert NABP - DEA Takes Action Against Deadly Counterfeit Pills Oct 21, 2021 http://www.leg.state.fl.us/Statutes/ index.cfm?App_mode=Display_ Statute&URL=0400-0499/0465/ Sections/0465.003.html The Justice Against Malicious Algorithms Act Removes Liability Shield When a Platform Knowingly or Recklessly Promotes Harmful Content Oct 14, 2021 https://energycommerce.house.gov/ newsroom/press-releases/ec-leadersannounce-legislation-to-reformsection-230 Florida Pharmacy Practice Act: Chapter 465.003 (13) (Accessed on 12/09/21) http://www.leg.state.fl.us/Statutes/ index.cfm?App_mode=Display_ Statute&URL=0400-0499/0465/ Sections/0465.003.html NABP - Verified Pharmacy Programs (Accessed on 12/05/21) https://nabp.pharmacy/programs/ accreditations-inspections/verifiedpharmacy-program/

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

Bringing the FPA Ship Into Port

wenty-five years ago, I had the honor of being asked to serve as administrator of the Florida Pharmacy Association. It was a call to service that I took seriously and worked with our great leadership team to continue the sustained growth of our organization. Of course, transitioning from managing pharmacies to being CEO of a very active, state-wide professional pharmacy association is the equivalent of being accustomed to sipping water through a shot glass and then having to learn how to drink from a high-pressure water hose. The learning curve was steep and the need to pivot quickly on the issues was both exciting and fascinating. I took an inventory of the issues that we have engaged with over the years and discovered that we have been an extremely busy and effective organization. We have advocated on your behalf before the Florida House and Senate, the Governor’s office, the Attorney General’s office, t he Depart ment of Management Services, t he Agency for Healt h Care Administration including, but not limited to, the Florida Board of Pharmacy. There was even an opport u n it y to appear before a Congressional Committee to share commentary on the distribution of prescription drugs. The pa ssi ng of leg i slat ion i s a very complex and challenging pr o c e s s; howe ve r, o u r h i s t or y has shown evidence of successful advocacy campaigns on multiple issues of benefit to the profession and business of pharmacy. This is one of the key functions of your pharmacy association. Historically, the engagement of our volunteer leaders has been instrumental in the adoption

of good public policy and the growth of our profession. Getting legislation under the Governor’s ink pen is nearly an impossible task in Florida with, on average, less than 8 percent of legislation filed actually completing the sausagemaking process. Every year we are able to file legislative reports to members citing bills that were adopted by the House and Senate and approved by the Governor of Florida. This is a

The passing of legislation is a very complex and challenging process; however, our history has shown evidence of successful advocacy campaigns on multiple issues of benefit to the profession and business of pharmacy. testament to the hard work of your leadership and your lobby team. It’s no secret that the FPA is the training ground for leadership. A number of our members have gone on to serve our national organizations on committees, councils and workgroups or in senior leadership on national boards. Three pharmacists from Florida have served as president of the

Michael Jackson, B.Pharm

American Pharmacists Association and I am pleased to share with the members that two of the three launched their service during my tenure here at 610 North Adams Street. The FPA is financially stable with adequate cash reserves to address any unforeseen circumstances. We are essentially debt free with a positive net worth balance sheet. We are very thankful for a dedicated, hardworking staff and an engaged and fiscally conservative leadership who became committed stewards of our organization’s resources. This is being shared with our members to assure that the FPA is in good hands. I have helped in some small way to steer our organization through both smooth and rough seas. Together we have navigated through change and reimagining of our practice from the development of drug therapy management rules to collaborative practice and testing and treating of Executive Insight, continued on page 15

DECEMBER 2021 |

2022 FPA CANDIDATES

2022 Election Information The 2022 FPA election is underway. Casting your vote for President-elect, Technician and Regional Director (if applicable) is simple and will only take a few minutes. All you have to do is make your selection for President-elect using your smart phone, tablet or computer device. An email is being sent to you with instructions on how to vote. Your membership must be current to participate. FPA members whose dues are current as of November 1, 2021 and through January 31, 2022, are eligible to participate in the election. After a comprehensive review of our governing documents, we will not be including a write in option for this year’s election as a process to do so is not articulated in our bylaws or published procedures. If you live in Regions 2, 4, 6 or 8, make your selection for your regional director. You will only be able to vote for the regional director in the area where you reside as published in your member record. If you don’t reside in Regions 2, 4, 6 or 8, you will not see an option to elect a regional director. Remember that the system will allow you to vote only one time. The results will be tallied by the canvassing committee appointed by the president of the Florida Pharmacy Association according to FPA bylaws. The last day to vote will be January 31, 2022.

CANDIDATE FOR FPA PRESIDENT Jeanette Connelly FPA Member Since 2010 STATEMENT OF INTENT

My name is Jeanette Connelly, and I’m asking for your vote to be the next FPA President-elect. I’ve been an FPA member since my first year of pharmacy school, and over the years, it has been a privilege to serve in numerous leadership and advocacy roles. I take pride in the contributions I’ve made to the FPA, and will continue to do so as your President-elect. I’ll rely on skills I’ve developed as a servant leader to keep the FPA moving forward, and will collaborate with our Board and committees to foster membership growth. I believe in our Association and will lead us in the right direction. POSITION STATEMENT

The Florida Pharmacy Association has been a constant in my life for the last 11 years, and during that time, I have never doubted that the Association was there to support and lift up our profession. From the very beginning of my journey as a student pharmacist, I felt compelled to be involved with the process. I quickly discovered my passion for advocacy and began to share it with every pharmacist, student, and legislator I met. If selected as your next President-elect, my goal is to energize our pharmacists and student pharmacists to get involved and become members of the Association. Our fuel for change is in numbers and to be heard in Tallahassee, we need active members. I will work with our current members, local units, and colleges of pharmacy to drive an increase in our membership and continue to move our profession forward. 8 |

FLORIDA PHARMACY TODAY

BIOGRAPHICAL INFORMATION

Jeanette Connelly, PharmD, is a managed care clinical pharmacist at Healthesystems in Tampa. Jeanette supports a variety of clients by optimizing drug therapy via evaluation of evidence-based medicine, providing education training on relevant emerging drug trends, and completing drug information requests. Additionally, Jeanette is the Speaker for the Pharmacy & Therapeutics Committee as well as the Site Coordinator for APPE rotation students. Jeanette is also a Regional Coordinator for the University of Florida College of Pharmacy. Jeanette has served on numerous committees for the Florida Pharmacy Association. She is a past Speaker of the House of Delegates and is currently a Director of the House of Delegates Board of Directors. Jeanette is a former president of the Pinellas County Pharmacy Association, where she was actively involved with advocacy and membership outreach. She has a longstanding passion for pharmacy policy and advocacy, and has received multiple awards and recognitions for her efforts. Jeanette has been involved in the Florida Pharmacists Legislative Day & Health Fair for the last 10 years, holding various roles in this event ranging from student volunteer to Co-Coordinator of the Health Fair. Jeanette received her PharmD from the University of Florida and has experience in both the managed care and community retail pharmacy practice settings.

2022 FPA CANDIDATES

CANDIDATES FOR TECHNICIAN DIRECTOR Julie Burger FPA Member Since 2016 STATEMENT OF INTENT

I have had the pleasure of serving as a delegate for both FPA and APHA House of Delegates. These experiences have demonstrated how important technician leadership is and I would like to continue representing technicians in the State of Florida. I am passionate about the impact professional organizations have on technician roles and responsibilities. Our contributions to the profession of pharmacy have been evolving quickly. I would like to advocate for ensuring a quality technician workforce and consistency in training. POSITION STATEMENT

I joined the Florida Pharmacy Association in 2016 to connect with other pharmacy professionals throughout the State. In 2017, I began participating in the Educational Affairs Council and I seek to further my contribution to this organization. FPA is important to me because it provides valuable information and guidance on issues related to pharmacy practice specific to Florida. Ensuring my community has pharmacy technicians that are competent, qualified, and passionate about their chosen profession is how I choose to make an impact in my local community. I would like to extend this impact by contributing my time and efforts with the FPA Board of Directors. Florida leads the way in many regulatory and ethical issues in pharmacy and I would like to contribute my voice as a technician. Pharmacy requires being a flexible and dedicated lifelong learner. Advancing roles for technicians becomes more relevant as pharmacists seek provider status. Ensuring a trained workforce is prepared to assist pharmacists is crucial to the success of the profession and public health. BIOGRAPHICAL INFORMTION

Julie is a Certified Pharmacy Technician (CPhT) and is currently the Pharmacy Technician Program Director at Pensacola State College. She has 10-plus years of combined experience in clinical trial, compounding, and hospital pharmacy. She became a CPhT in 2000 while continuing to work toward her Bachelor of Science degree in Health Science Education and Chemistry from the University of Arizona, which she received in 2006. Julie also gained a strong background in public service since completing her Master of Public Health in 2013. Prior to her current position, Julie served in public health after volunteering with AmeriCorps for one year. During her tenure in public health, Julie served as the Public Health Emergency Management Planner,

Emergency Support Function (ESF 8) leader, and Medical Reserve Corps Coordinator in Escambia County. Julie was also the health assessment leader for the Florida Department of Health in Escambia County. Publications include the “2015 Community Health Assessment for Escambia County” and a chapter titled “Pharmacies and Preparedness” in the second edition of “Emergency Preparedness and Disasters for Health Professionals” (2017) published by Paradigm. As a military spouse, the pharmacy profession has afforded her the flexibility to work in a range of settings in Arizona, Colorado, Florida, and Pennsylvania. This variety of roles and responsibilities as a pharmacy technician has led to a passion for education, mentorship, and leadership in the field of pharmacy. In addition to her CPhT, Julie is Certified in Public Health (CPH), a Certified Health Education Specialist (CHES), and has taught at the secondary and post-secondary levels. Julie has been a member of the Pharmacy Technician Educators Council since 2007 and was awarded Adjunct Faculty of the Year at Pikes Peak Community College, 20092010. Julie Burger was also the Florida Pharmacy Association Technician of the Year in 2019. Verender Gail Brown Member Since 1997 STATEMENT OF INTENT

It has been a privilege to serve as BOD Technician Member since 2020. Due to the pandemic’s effect on the organization, and the ongoing need for technician support, I wish to continue serving. In my opinion, the Technician Board Member position is a platform to introduce and/or support matters advancing the role and value of Florida’s technicians in supporting pharmacist care and service to our patients. I believe my national and statewide pharmacy and education stakeholder contacts, my passion, over 40 years in the industry, and more contribute to my ability to fulfill this position well. POSITION STATEMENT

I wish to remain the Board of Directors Technician Member. The role affords a platform to advance and support technician initiatives. With the pandemic, there was not time to successfully do this. Pharmacy technicians are the backbone of pharmacy, as evidenced by the statewide shortages. Work remains to attract and keep educated technicians to support pharmacists in providing safe, effective, and cost-saving patient care services. To my passion for geriatric care, commitment to patient safety and to accuracy, add a BS degree in Biology (Eckerd College), a FL Professional Educators certificate, appointment to the Advisory Council on Pharmacy Practice, certificate training in APhA’s Delivering Medication Management DECEMBER 2021

2022 FPA CANDIDATES

Services and PowerPak’s MTM Certificate Program for Pharmacy Technicians. I served in capacities including Albertsons Long Term Care Accounts Manager, providing accurate insurance billing for 450-plus patients in 50 facilities, collaboration on corporate long-term care policy and procedure manual development, and the Florida State Guardianship program completion. I was Policy and Procedure Writer and Compliance Officer for two independent pharmacies’ HIPAA training and CQI each. Hired as MTM Coordinator/Educator for a physician’s office practice, a CMS ACO with 27 clinics across the state, I helped develop and implement an MTM program for 4500-plus patients, having 10 years of APhA Collaborative Practice CE long before MTM was promoted. Duties expanded to include patient cost savings assistance and tracking MTM encounters for special conditions. I analyzed team data to present to the MD owner. I believe: Pharmacy technicians are mandated by Florida rule to be educated and trained in Board of Pharmacy-approved programs. Educated pharmacy technicians serve in advanced roles that alleviate strain on our healthcare system. Nationwide pharmacy technicians have served successfully in advanced roles for years. Florida, a retirement state, should not lag. BIOGRAPHICAL INFORMATION

As a pharmacy technician for over 40 years, with a BS in Biology, 14 years as an educator, and over 23 years PTCB certified, patient safety through medication preparation and data analysis are Gail’s passion. She is compelled to share her experiences with technician students to educate them well, impacting the lives of the patients they will ultimately serve. She has served on national, state, and local advisory boards including the FPA Board of Directors, FPA Advisory Council on Pharmacy Practice, Florida Pharmacy Today Journal Board, Journal of Pharmacy Technician Editorial Advisory Board, Florida Department of Education Pharmacy Technician Curriculum Review Committee, APhA Books and Electronic Products Editorial Advisory Board as national and state pharmacy technician organization officer, national and state CE presenter and APhA CE webinar collaborator, curriculum writer and reviewer, published textbook reviewer, How to Manage Your Medications webinar cohost, and with the Black Men’s Health and Wellness Expo. Honors include 2018 Inaugural Teacher of the Year for Osceola Technical College, housed on three campuses; 2015 National Next-Generation Pharmacist Technician of the Year (from “Pharmacy Times” and Parata Systems); 2008 Florida Pharmacy Association’s Inaugural Technician of the Year award recipient in the then 118-year history (2008); And, three years later, the Florida Society of Health-Systems Pharmacists Technician of the Year award, making her the first technician in Florida to hold the title for both state organizations. Geriatric care relating to MTM 10

FLORIDA PHARMACY TODAY

has been her 20-plus year focus, beginning with CE topics covering Collaborative Care Practice (late 1990s and early 2000s). Having helped develop and implement an MTM program, she now teaches it, preparing students to assist their pharmacists and the collaborative care team across the continuum of care, from Medication Reconciliation to CMR preparation. Her end-of-year project is to teach students to use an EHR platform.

CANDIDATE FOR REGION 2 DIRECTOR You will make this selection if you reside in Nassau, Duval, Marion, Volusia, Flagler, Putnam, St. Johns and Clay Counties. Eric Jakab FPA Member Since 2005 STATEMENT OF INTENT

I would like to run for Region 2 Director. I look forward to collaborating with fellow board members and reenergizing the organization to overcome the pandemic setbacks. A key factor will be brainstorming innovative ideas to increase membership. I’d like to work closer with each local unit association to create more open lines of communication to support one another. POSITION STATEMENT

As President of DCPA, I would be willing to help the region as a director. I want to expand the scope of pharmacy practice beyond the current set of regulations and work at the top of our license. I want to work together with organizations that have a common interest in promoting pharmacists. BIOGRAPHICAL INFORMATION

Eric graduated from The University of Florida College of Pharmacy in 2006 and works as a retail pharmacist where he helps precept numerous second- and fourth-year pharmacy students. In addition, he helps teach the University of Florida College of Pharmacy pharmaceutical skills lab. He is the president of the Duval County Pharmacy Association and the treasurer of the FPA journal board. In his spare time, he enjoys traveling, playing ice hockey, soccer, and spearfishing.

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2022 FPA CANDIDATES

CANDIDATES FOR REGION 4 DIRECTOR You will make this selection if you reside in Lake, Sumter, Seminole, Orange and Osceola Counties. Dustin Williams FPA Member Since 2017 STATEMENT OF INTENT

As a recent graduate who was heavily involved in FPA as a student pharmacist, I am looking for a way to stay involved and use my experiences to be a voice for pharmacists. As Region 4 Director, I will be able to do just that. I would love to be able to serve Region 4 and be the voice of hundreds, if not thousands, of pharmacists. POSITION STATEMENT

I have been a member of FPA for four years and served as chair for SAOT and liaison to GAC, coordinating legislative visits during the legislative sessions from 2018 to 2020. I understand the importance of active engagement in the legislative arena for small businesses and the professional of pharmacy and actively look for ways to promote patient care and improve patient care outcomes. I’m a graduate of USF Taneja College of Pharmacy and currently practice in the independent pharmacy setting in Osceola County. I’m looking for the opportunity to serve the local membership as a Regional Director and connect members of the pharmacy practice community in central Florida. BIOGRAPHICAL INFORMATION

Dustin currently resides in Lake County and works in Osceola County. He has worked in the independent pharmacy setting for four years now. Being involved in FPA as a student pharmacist gave him the experience to be able to take on such a crucial role as a new pharmacist. James Alcorn FPA Member Since 2013 STATEMENT OF INTENT

It is with great pleasure I submit my intent in seeking the Region 4 Director position for the Florida Pharmacy Association. It is my intention to represent the pharmacists and technicians of Central Florida with integrity to advance the profession of pharmacy into the next generation while honoring the strong work of those leaders who have paved the way to our success thus far.

POSITION STATEMENT

As a pharmacist practicing in several settings over the course of my career, I understand the disconnect that exists between different facets of pharmacy practice. I also have directly experienced the amazing opportunities that await people who join the FPA. Considering the need for membership and organizational engagement, especially from historically less-represented areas of pharmacy practice, I feel the FPA is uniquely positioned to provide professional development, advocacy, and address the needs and concerns of every pharmacist and technician across our great state, regardless of practice setting. I bring to this position my deep understanding of the issues facing our wonderful organization, relationships with many leaders in the profession and our association that exemplify our rich history, as well as a passion to ensure the continued success of our group and the advancement of our profession. My priority as Regional Director will be to bring a local voice back to the pharmacists and technicians in my area through collaboration between local units, individual members, and our great state organization. BIOGRAPHICAL INFORMATION

James Alcorn, a lifelong Floridian born and raised in Lakeland, has a strong passion for advancing the profession and holds the unique experience of a long-time pharmacytechnician-turned-pharmacist-intern-turned-pharmacist. After completing his undergraduate work at the University of South Florida and Master of Pharmacy concentrating in Clinical Toxicology at the University of Florida, Dr. Alcorn completed his professional studies at the University of Florida College of Pharmacy’s Saint Petersburg campus. Since graduating, James has continued his commitment to advocating for the pharmacy profession through active participation in the Florida Pharmacy Association and Florida Society of Health-System Pharmacists while maintaining membership in several national professional organizations. James has served the FPA in several roles including active membership on the Organizational Affairs Council for many years and as a regional director. James completed his PGY-1 Pharmacy Practice Residency at BayCare Winter Haven Hospital. He has served as a Clinical Pharmacist specializing in Emergency Medicine and as a community pharmacy manager. He currently practices as a consultant pharmacist and faculty member at Lake Erie College of Osteopathic Medicine. He maintains board certification as a Pharmacotherapy Specialist (BCPS) and as an HIV Pharmacist through the American Academy of HIV Medicine. He lives in Lakeland with his wife Haili, son Elliott, and daughter Madeline.

DECEMBER 2021

2022 FPA CANDIDATES

CANDIDATE FOR REGION 6 DIRECTOR

CANDIDATE FOR REGION 8 DIRECTOR

You will make this selection if you reside in Brevard, Manatee, Hardee, Okeechobee, Highlands, Desoto, Sarasota, Charlotte, Glades, Martin, St. Lucie, Indian River Counties.

You will make this selection if you reside in Collier, Monroe, and Dade Counties.

Katherine Petsos FPA Member Since 1985 STATEMENT OF INTENT

To represent the pharmacists and technicians in Region 6 and bring their issues to the Board of Directors. POSITION STATEMENT

Because we lost a full year of representation with the Board of Directors and work to promote the profession of Pharmacy, I would like to continue for another two years to help make up for the lost time. We need to work for PBM Reform, elimination of DIR fees and Pharmacist Provider Status. We also need to get serious about addressing the issues faced by employee pharmacists and what measures we can take to alleviate these issues. BIOGRAPHICAL INFORMATION

Katherine Petsos is a 1979 graduate of the University of Florida College of Pharmacy. She is a long-time member of FPA and APhA. As a member of FPA, Kathy has held the offices of Speaker of the House of Delegates, President-elect, President, and Chair of the Executive Committee as well as being a Delegate to the FPA House of Delegates for Brevard County and Past Presidents. She has also been Chair of the Public Affairs Council, the Professional Affairs Council and the Membership Council. Her activities with APhA include being a long time Delegate for Florida to the APhA House of Delegates, Nomination Committee for the APhA House of Delegates, Chair of the APhA Policy Committee and she has been inducted as an APhA Fellow. Awards for FPA include R.Q. Richards, James H. Beale Pharmacist of the Year, Bowl of Hygeia, Jean Lamberti Mentorship and the IPA Roman Maximo Corrons Inspiration and Motivation Award.

FLORIDA PHARMACY TODAY

Jacob Johnson FPA Member Since 2018 STATEMENT OF INTENT

I am writing to express my interest in representing Region 8 in collaboration with the Florida Pharmacy Association. While I am only a recent pharmacist graduate, I had extensive experience as a pharmacy student as an FPA Liaison with NSU’s chapter of APhA and worked regularly with legislative efforts as well. I hope to advance the profession of pharmacy in Florida and represent Region 8 to the best of my ability. POSITION STATEMENT

As the Region 8 Director, my goal is to wholly represent all pharmacists and technicians in Region 8 while keeping the local associations informed of new developments in pharmacy law and FPA practices. BIOGRAPHICAL INFORMATION

Jacob Johnson is a South Florida native and recent graduate from Nova Southeastern University’s PharmD and MBA programs. He currently works as a Clinical Pharmacist at South Miami Hospital where he regularly advocates for better patient outcomes.

Executive Insight, continued from page 7

patients with non-chronic diseases. Our goal was to transform our profession and hold true to our vision statement of being the trusted resource in optimizing patient outcomes through unifying, educating and guiding pharmacy practitioners in changing the healthcare landscape. Like every good book, there is a front cover and a back cover. For a quarter of a century, I have turned the pages of this career with the FPA and learned as much as I taught. My mission and goal were to be able to help our members become successful and turn the keys of our organization over to the next administrator in excellent shape. Having come to the back cover of this book called the FPA, I will begin the transition into retirement and work with FPA leadership on a smooth and uneventful handoff. T h i s h a s b e e n a wo n d e r f u l experience and to be honest, I believe that I had the best job in the world work i ng wit h stakeholders who were passionate and dedicated to

This has been a wonderful experience and to be honest, I believe that I had the best job in the world working with stakeholders who were passionate and dedicated to their profession and the FPA.

uneventful and assure our members that the FPA will continue its valueadded services that you have become so accustomed to. We are blessed with the finest staff on the planet and they will make sure that your needs are taken care of. I hope that I will be able to meet you at a future FPA meeting and take a moment to simply shake your hand and say thank you for your continued support of the FPA. n

their profession and the FPA. I will be sailing the FPA into port and will welcome on board its new administer. Your Board of Directors has named a search committee and their efforts are underway to bring in a candidate that will guide us into the future. I anticipate that the transition will be smooth and

Interested in How the Florida Pharmacy Association Works? Members can access the FPA Articles of Incorporation, Constitution and Bylaws anytime on the association website. Visit https://www.floridapharmacy.org/page/Organiz-govern-docs or simply go to www.floridapharamcy.org and from the menu go to "About FPA" - "Leadership and Governance" - then select "Constitution, Bylaws, Policies & Procedures.”

We encourage members to get familiar with FPA governance – especially if it prompts you to get more involved!

DECEMBER 2021

HANDBOOK OF ASSOCIATION INFORMATION Information you need to participate and take advantage of your FPA membership.

Continuing Education Requirements

for Florida Pharmacists and Pharmacy Technicians General Continuing Education Requirements Florida licensed pharmacists are required to obtain thirty (30) hours of approved courses of continued professional pharmaceutical education during the 24-month period prior to the expiration date of the license. For example, approved continuing education courses will need to be completed between October 1, 2021 and September 30, 2023 before the “PS” license expires on September 30, 2023. (64B1626.103) Ten (10) of the thirty (30) hours of approved courses of continued professional pharmaceutical education must be LIVE continuing education hours. LIVE continuing education is defined as either a live seminar, a live video teleconference, or through an interactive computer based application. (64B1626.103) Medication Error Continuing Education Requirements As a part of the biennial renewal, pharmacists are required to complete a two (2) hour Florida Board of Pharmacy approved course on Medication Errors. The course must contain the following components: (a) root-cause analysis; (b) error reduction and prevention; (c) patient safety. The twohour program may be applied toward the 30-hour continuing education requirement. (64B16-26.103) Validation and Counseling of Prescriptions for Controlled Substances and Opioids Requirements As a part of the biennial renewal, pharmacists are required to complete a two (2) hour Florida Board of Pharmacy approved course on Validation of Controlled Substance Prescriptions. The course must contain the following components: (a) Ensuring access to controlled substances for all patients with a valid prescription; (b) Use of the Prescription Drug Monitoring Programs Database; (c) Assessment of prescriptions for appropriate therapeutic value; (d) Detection of prescriptions not based on a legitimate medical purpose; (e) The laws and rules related to the prescribing and dispensing of controlled substances; (f) proper patient storage and disposal of controlled substances; (g) Protocols for addressing and resolving problems recognized during the drug utilization review to include but not limited to the following: 1. Drug/drug interactions; 2. Side effects; 3. High dose/low dose guidelines; (h) Education on the provision of section 381.887, F.S., Emergency treatment for suspected opioid overdoses and on the State Surgeon General’s Statewide Standing Order for Naloxone (eff. May 19, 2017) for as long as the Order is valid and effective; (i) 16

FLORIDA PHARMACY TODAY

Pharmacist initiated counseling of patients with opioid prescriptions; and (j) Available treatment resources for opioid physical dependence, addiction, misuse, or abuse. The two-hour program may be applied towards the 30-hour continuing education requirement. (64B16-27.831 F.A.C.) HIV/AIDS Continuing Education Requirements Effective July 1, 2006, applicants for licensure are no longer required by Chapter 456, FS, to show proof of a course on HIV/AIDS as part of the initial licensure process. You will, however, be required by Chapter 456, FS, to take an HIV/ AIDS course approved by the board for your first renewal. This includes pharmacy technicians as well. As of July 1, 2006, licensees will no longer be required by Chapter 456, FS, to take an HIV/AIDS course for each renewal. Human Trafficking Continuing Education Requirements Effective July 1, 2019, Pharmacists and pharmacy technicians were required to complete a one-hour continuing education course on human trafficking that has been specifically approved by the FL Board of Pharmacy. The course should have been completed by January 1, 2021. The bill does not require this course to be taken again for future renewal cycles. Consultant Re-Certification Continuing Education Requirements Florida licensed consultant pharmacists must complete no less than 24 hours of Board approved consultant continuing education (see rule 64B16-26.302) with in the 24-month period prior to the expiration date of the consultant license (see 64B16-26.103). For example, Florida approved consultant CE programs must be completed between January 1, 2021 and December 31, 2022 for consultant licenses that expires December 31, 2022. Course content for consultant recertification programs must consist of at least three (3) hours of training in specified subjects. Duplicated courses are not acceptable. (See rule 64B16-26.302). Ordering and Evaluation of Laboratory Tests Florida Consultant pharmacists and pharmacists holding the Doctor of Pharmacy degree that wish to order and evaluate laboratory tests and who are practicing under the provisions of Florida Statute 465.0125* are required to complete at least a three (3) hour initial certification course and at least a one (1) hour recertification course. Successful

HANDBOOK OF ASSOCIATION INFORMATION Information you need to participate and take advantage of your FPA membership.

completion of the course will certify the pharmacist for this practice for two (2) years from the date of completion. (64B1626.320) *Florida Statute 465.0125 defines practice settings as nursing homes or licensed home health agencies for Consultant Pharmacists and only licensed home health agencies for the Doctor of Pharmacy. Collaborative Practice (HB599) Florida consultant pharmacists are allowed to order and evaluate laboratory tests. Current limits on ordering and evaluating lab tests have been removed. HB599 creates a pathway for collaborative practice agreements and allows for the modifying, discontinuing or administration of medications by consultant pharmacists. It is limited to health care facilities licensed under certain statutes and requires additional consultant pharmacist training approved by the Board of Pharmacy. Test and Treat - Collaborative Practice (HB389) Florida Pharmacist who are PharmD or BPharm with five years’ experience may enter collaborative practice agreement with MD or DO for chronic health conditions. Pharmacists must complete a 20-hour course approved by the Board in consultation with the Board of Medicine and the Board of Osteopathic Medicine. Pharmacists must complete 8-hour CE on issues related to collaborative practice each biennial renewal period. (F.S.465.1895) Florida pharmacists may test or screen patients for minor, nonchronic health conditions within the framework of an established written protocol. Pharmacists must complete a training program approved by the Board of Pharmacy in consultation with the Board of Medicine and Osteopathic Medicine. Pharmacists must complete a 3-hour CE course approved by the Board addressing issues related to nonchronic health conditions each biennial renewal period. Nuclear Pharmacy Continuing Education Requirements Florida Nuclear Pharmacists must complete no less than twenty-four (24) additional hours of coursework each twoyear period designed to provide in-depth treatment of nuclear pharmacy practice. (64B16-26.304)

Immunizing Pharmacists Pharmacists wishing to provide immunizations must take a Board approved immunization training program. The program must be at least 20 hours in length and include a review of immunization laws and CPR training. (64B1626.1031). During the 2012 legislative session, House bill 509 passed that created a new requirement for pharmacists who wish to maintain their immunization registry. Those requirements include the following: The three-hour CE program must be done once each biennial renewal period ending September 30 and must be offered by a Florida statewide professional association of physicians; The statewide association must be accredited to provide AMA PRA Category I CME; The program must cover the safe and effective administration of vaccines and epinephrine auto-injection; A distance learning format allowed for the three-hour CE program; The three hours required to meet immunization “recertification” can be included within the 30 hour CE biennial requirement for pharmacists; Failure to get the recertification CE will result in the pharmacist’s immunization registry being revoked. Registered Pharmacy Technician Beginning January 1, 2011 technicians interested in working in Florida permitted pharmacies will need to complete a Florida Board of Pharmacy approved training program. Upon successful completion of that program, technicians can then submit an application to the Board for full registration status. Registered pharmacy technicians must complete 20 hours of appropriate CE (four hours live, two hours med errors and one hour HIV for initial renewal) by December 31, 2022. See rule 64B16-26.355 and Florida Statutes 465.014. Cred it for a ny Cont i nu i ng Educ at ion Cou r s e may not be used more than once in any given year. The above information should only be used as a guide and cannot be considered advice. This information is subject to change. Revised 11/30/2021

DECEMBER 2021

HANDBOOK OF ASSOCIATION INFORMATION Information you need to participate and take advantage of your FPA membership.

2022 Live Continuing Education Calendar JANUARY 22-23, 2022 REGULATORY AND LAW CONFERENCE ZOOM WEBINAR 16 HRS TOTAL GCE OF WHICH 12 HRS FOR RC PLUS 2 HOUR MED ERROR & CS CE COMFORTS OF HOME, USA APRIL 1, 2022 POINT OF CARE TEST & TREAT CONFERENCE GRAND HYATT TAMPA BAY ROOM RATE $179 PLUS TAX CALL (877) 803-7534 20 HRS TOTAL GCE TAMPA, FLORIDA APRIL 2-3, 2022 CLINICAL CONFERENCE GRAND HYATT TAMPA BAY ROOM RATE $179 PLUS TAX CALL (877) 803-7534 16 HRS TOTAL GCE OF WHICH 12 HRS FOR RC PLUS 2 HOUR MED ERROR & CS CE TAMPA, FLORIDA MAY 21-22, 2022 REGULATORY AND LAW CONFERENCE ZOOM WEBINAR 16 HRS TOTAL GCE OF WHICH 12 HRS FOR RC PLUS 2 HOUR MED ERROR & CS COMFORTS OF HOME, USA JULY 6-10, 2022 132ND ANNUAL MEETING & CONVENTION MARRIOTT HARBOR BEACH RESORT & SPA ROOM RATE $195 AND UP PLUS TAX CALL (954) 525-4000 BY JUNE 17, 2022 POINT OF CARE TEST & TREAT PROGRAM GENERAL & CONSULTANT RECERTIFICATION PLUS MED ERROR, HIV AND CONTROLLED SUBSTANCE EXHIBIT AND SPONSORSHIP OPPORTUNITIES FT. LAUDERDALE, FLORIDA

FLORIDA PHARMACY TODAY

JULY 31-AUGUST 3, 2022 39TH ANNUAL SOUTHEASTERN GATHERIN’ THE HENDERSON BEACH & SPA RESORT ROOM RATE: $265 AND UP PLUS TAX CALL (855) 741-2777 BY JULY 8, 2022 GENERAL & CONSULTANT RECERTIFICATION CREDIT AVAILABLE PLUS 2 HR MED ERROR AND CS EXHIBIT AND SPONSORSHIP OPPORTUNITIES DESTIN, FLORIDA SEPTEMBER 10-11, 2022 CLINICAL CONFERENCE ZOOM WEBINAR 16 HRS TOTAL GCE OF WHICH 12 HRS FOR RC PLUS 2 HOUR MED ERROR & CS COMFORTS OF HOME, USA OCTOBER 2022 MIDYEAR NUCLEAR CONFERENCE ZOOM WEBINAR 12 HRS NUCLEAR EDUCATION COMFORTS OF HOME, USA OCTOBER 2022 MIDYEAR CLINICAL CONFERENCE HOTEL TBD POINT OF CARE TEST & TREAT PROGRAM 16 HRS TOTAL GCE OF WHICH 12 HRS FOR RC PLUS 2 HOUR MED ERROR & CS ORLANDO, FL DECEMBER 3-4, 2022 REGULATORY & LAW CONFERENCE ZOOM WEBINAR 16 HRS TOTAL GCE; 12 HRS FOR RC 2 HOUR MED ERROR & CONTROL SUB CE COMFORTS OF HOME, USA ONLINE HOME STUDY COURSES 3 HOUR CONSULTANT CREDITS DIABETES, HEART FAILURE, HEPATITIS HYPERTENSION, HYPERLIPIDEMIA, IBS/IBD, IMMUNIZATION/VACCINES UPDATE, MENTAL HEALTH, PAIN, AND SEXUALLY TRANSMITTED DISEASES 3 HOUR IMMUNIZATION AMA PR1 COURSE 1 HOUR BOARD-APPROVED HIV/AIDS UPDATE 1 HOUR BOARD-APPROVED HUMAN TRAFFICKING 2 HOUR BOARD-APPROVED MEDICATION ERRORS 2 HOUR BOARD-APPROVED VALIDATION OF CS 8 HOUR BOARD-APPROVED PHARMACY ERRORS 12 HOUR BOARD-APPROVED LAWS & RULES

CALL FOR RESOLUTIONS TO THE 2022 HOUSE OF DELEGATES The House of Delegates is now accepting resolutions for 2022. The last day to submit resolutions is May 11, 2022. 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

DECEMBER 2021

“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

December 2021 Florida Pharmacy Today

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Executive Insight

Presidential Viewpoint