The Official Publication Of The Florida Pharmacy Association APR. 2012
Drug Disposal The Role of the Pharmacy Profession
Pharmacy Time Capsule 2012 ■■
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1987
1937
Twenty-five years ago:
Seventy-five year ago
Petition requesting recognition of Nutrition Support Pharmacy Practice as a specialty was submitted to the Board of Pharmaceutical Specialties.
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National Cancer Institute was established to conduct and support research relating to the cause, diagnosis, and treatment of cancer.
1962
1912
Fifty years ago
One hundred years ago
New England College of Pharmacy affiliated with Northeastern University The Indian Hospital at Crow Agency, Montana began filing outpatient prescriptions directly from the patient’s medical record. This was eventually adopted throughout the Indian Health Service.
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Public Health and Marine Hospital Service was renamed the Public Health Service (PHS) and the mission was expanded to include communicable diseases field investigations, navigable stream pollution, and information dissemination. APhA House of Delegates was established as a forum for all branches of the profession to have a voice.
By: Dennis B. Worthen Lloyd Scholar, Lloyd Library and Museum, Cincinnati, OH One of a series contributed by the American Institute of the History of Pharmacy, a unique non-profit society dedicated to assuring that the contributions of your profession endure as a part of America’s history. Membership offers the satisfaction of helping continue this work on behalf of pharmacy, and brings five or more historical publications to your door each year. To learn more, check out: www.aihp.org
florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint
VOL. 75 | NO. 4 APRIL 2012 the official publication of the florida pharmacy association
Features
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Drug Disposal: The Role of the Pharmacy Profession
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122nd Annual Meeting and Convention Program
7 Executive Insight 27 Buyer’s Guide
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FPA Calendar 2012
April
28
29-30, May 1 - NASPA Leadership Retreat MAY
Governmental Affairs Committee Meeting Orlando AUGUST
7 - 9
NCPA Legislative Conference Washington, DC
5-8
12
FPA Leadership Retreat Orlando
19
FPA Law and Regulatory Meeting
11 - 14 NABP District III and SE Officers Conference
21-23 ASCP Spring Meeting Anaheim, California 28
Memorial Day - FPA office closed
14 - 15 Board of Pharmacy Meeting Orlando 25 - 26 FPA Committee and Council Meetings SPETEMBER
JUNE 5 - 6
Florida Board of Pharmacy Meeting Boca Raton JULY
2 - 9:
FPA Office Closed - All FPA staff are at convention
4 - 8
122nd Annual Meeting and Convention
29th Annual Southeastern Gatherin
1
Deadline to submit nominations for FPA Office
3
Labor Day - FPA Office Closed
8
FPA Clinical Consultant Conference Fort Lauderdale
For a complete calendar of events go to www.pharmview.com CE CREDITS (CE cycle) The Florida Board of Pharmacy requires 10 hours LIVE Continuing Education as part of the required 30 hours general education needed every license renewal period. Pharmacists should have satisfied all continuing education requirements for this biennial period by September 30, 2013 or prior to licensure renewal. *For Pharmacy Technician Certification Board Application, Exam Information and Study materials, please contact the FPA office. For More Information on CE Programs or Events: Contact the Florida Pharmacy Association at (850) 222-2400 or visit our Web site at www.pharmview.com
Mission Statements: of the Florida Pharmacy Today Journal
The Florida Pharmacy Today Journal is a peer reviewed journal which serves as a medium through which the Florida Pharmacy Association can communicate with the profession on advances in the sciences of pharmacy, socio-economic issues bearing on pharmacy and newsworthy items of interest to the profession. As a self-supported journal, it solicits and accepts advertising congruent with its expressed mission.
of the Florida Pharmacy Today Board of Directors
The mission of the Florida Pharmacy Today Board of Directors is to serve in an advisory capacity to the managing editor and executive editor of the Florida Pharmacy Today Journal in the establishment and interpretation of the Journal’s policies and the management of the Journal’s fiscal responsibilities. The Board of Directors also serves to motivate the Florida Pharmacy Association members to secure appropriate advertising to assist the
Journal in its goal of self-support.
Advertisers EPC........................................................................ 9 Healthcare consultants........................ 3 Kahan ◆ SHIR, P.L............................................ 9 PPSC...................................................................... 9 Rx RElief............................................................ 6
CONTACTS FPA — Michael Jackson (850) 222-2400 FSHP — Michael McQuone (850) 906-9333 U/F — Dan Robinson (352) 273-6240 FAMU — Leola Cleveland (850) 599-3301 NSU — Carsten Evans (954) 262-1300 DISCLAIMER Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered. This information is provided with the understanding that neither Florida Pharmacy Today nor the Florida Pharmacy Association are engaged in rendering legal or other professional services through this publication. If expert assistance or legal advice is required, the services of a competent professional should be sought. The use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers. Information provided by the maker of the product should always be consulted before use.
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E-mail your suggestions/ideas to dave@fiorecommunications.com
The President’s Viewpoint BY GUEST COLUMNIST Dr. Lauri Wright
You Got Questions, We Got Answers
O
ver 24 million Americans have heart disease, nearly 10% have diabetes and two-thirds are overweight or obese. Research has demonstrated that weight loss and good nutrition lead to decreased blood pressure, better glucose control, decreased low-density lipoprotein (LDL) levels, and ultimately, lower medication doses. Pharmacists are in a unique position to educate the public on nutrition and medications simultaneously. Many patients ask pharmacists about various recommendations for weight loss, diabetes and cardiovascular health, as well as nonprescription nutritional products. Below are some common nutrition-related questions that pharmacists receive, as well as their answers. I have heard a lot about HCG for weight loss. What supplements should I take to help me lose weight? HCG has not been approved by the FDA for weight loss. Additionally, diet pills rarely lead to permanent weight loss. The best method for weight loss is the tried-and-true formula of good eating habits and exercise. Using over-thecounter weight loss drugs is a shortterm solution to a long-term problem. Save the money and spend it on nutritious foods. Get in touch with your hunger and appetite instead of relying on supplements that are uncontrolled by the FDA and often have no scientific proof of effectiveness. Experts agree, the best way to lose weight is to get regular physical activity and eat meals made up of foods that satisfy hunger and control appetite. Include a source of lean or low fat protein at all meals along with high-fiber fruit or vegetables, and whole grains. Also remember to include plenty of water to help control appetite.
What nutritional supplements should I be taking? A daily multivitamin/mineral supplement geared for age and gender should take into account the nutrient needs of adult men and women. If you cannot tolerate dairy and do not eat calcium-fortified foods, you may need additional calcium beyond a multivitamin. During child-bearing years, it is important for women to get adequate folic acid and iron in their diet or through supplements. Pregnant and lactating women have increased needs that require a special prenatal supplement during these times. Vegans may need to add supplements depending on the foods excluded in their diets, including vitamin B12 and iron. Smokers require an additional 40 milligrams of vitamin C that can easily be obtained from fruits or vegetables. The doctor just told me I am diabetic. He put me on this pill and told me to follow a “no carbohydrate diet.” I don’t know what to do. Diabetes is a disease of carbohydrate breakdown. Insulin works as a key that allows carbohydrates to enter the cells and give the body energy. In diabetes, the body isn’t making enough insulin or the insulin doesn’t work well. So medicines for diabetes have to be balanced with carbohydrates in the diet. The diet for diabetes is not “no carbohydrates,” it just controls the amount of carbohydrates eaten at one time. Carbohydrates are found in breads, cereals, pasta, milk, fruit, starchy vegetables and sugar. A serving of carbohydrate includes ½ cup of cereals and pasta, 1 cup of milk, ½ cup canned fruit or 1 medium-sized fresh fruit and ½ cup of starchy vegetables such as potatoes. A registered/licensed dietitian can assist
Lauri Wright, PhD, RD, LD Assistant Professor of Nutrition, University of South Florida President-elect, Florida Dietetic Association
with determining how much carbohydrates a person needs based on their weight, weight goals, activity level and medications taken. I am 16 years old, and for the past year I’ve suffered from constipation problems. I literally go about once every two weeks and I have tried laxatives, as well as herbal teas such as Tea Manazul and Ballerina Tea. They helped for a while but now have no effect on my system. What should I do? The best way to treat constipation is through diet and exercise. A regular exercise pattern in addition to a diet high in fiber with plenty of water will improve the movement of food through the body. Foods high in fiber include cereals (>5 grams/serving), whole grain breads, fresh fruit and vegetables, beans and seeds and fiber bars. Chronic use of laxatives can leave the body dependent on the medicine so it APRIL 2012
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FPA Staff
Executive Vice President/CEO Michael Jackson (850) 222-2400, ext. 200
Director of Continuing Education Tian Merren-Owens, ext. 120 Controller Wanda Hall , ext. 211
Educational Services Office Assistant Stacey Brooks , ext. 210 Coordinator of Membership Christopher Heil ext. 110
Florida Pharmacy Today Board Chair............................................. Jennifer Pytlarz, Brandon Vice Chair...................Don Bergemann, Tarpon Springs Treasurer...............................Stephen Grabowski, Tampa Secretary.........................Stuart Ulrich, Boynton Beach Member..................................... Joseph Koptowsky, Miami Member..............................Rebecca Poston, Tallahassee Member........................Carol Motycka, Saint Augustine Member.................................Christina Medina, Hollywood Member................................. Norman Tomaka, Melbourne Member..............................Verender Gail Brown, Orlando Executive Editor.........Michael Jackson, Tallahassee Managing Editor.........................Dave Fiore, Tallahassee
This is a peer reviewed publication. ©2012, 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.
is advised to follow a high-fiber, high-fluid diet instead. Additionally, some laxatives and teas cause the body to lose fluid and important minerals. A registered/ licensed dietitian can individualize a diet that will help treat and prevent constipation. I have high blood pressure and since I am taking medication, do I still need to watch my sodium intake? Sodium, potassium and magnesium are minerals all involved in blood pressure. We know that high sodium intake especially in “salt sensitive” people can raise blood pressure. Blood pressure medications work better if the person is following a low sodium diet. Sodium makes up one of two major parts of salt so foods preserved with salt are high in sodium such as canned vegetables and foods that have had salt added to the cooking are also high in sodium. Other high-sodium foods include luncheon meats, ham and hot dogs, salted snacks, cheese and processed foods such as seasoned rice. So even if a person is taking high blood pressure medication, it is important for them to decrease the highsodium foods in their diet. Additionally, increasing potassium and magnesium intake can help lower blood pressure. Potassium-rich foods include oranges and orange juice, meat, bananas, potatoes, milk and tomatoes. Magnesium-rich foods include whole grains, squash, seeds and nuts. In summary, a diet low in sodium while eating fresh fruits and vegetables, whole grains, lean meats and will provide adequate potassium and magnesium to help control blood pressure. The Florida Dietetic Association (FDA) and its 3,300+ members are dedicated to protecting the health of Floridians through evidence-based, cost-effective nutrition care. To find Registered/Licensed dietitians in your area use the “Find-ADietitian” link at www.eatright.org website OR contact Christine Stapell at cstapell@eatrightflorida.org. Wouldn’t it be great if every pharmacist had a trusted dietitian to call when needed? FDA is committed to working with the FPA to break barriers to quality nutrition care in Florida. n
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610 N. Adams St. • Tallahassee, FL 32301 850/222-2400 • FAX 850/561-6758 Web http://www.pharmview.com 6 Address: | Flori d a P h ar m a c y T o d aY 04480 Hensley/RX Relief
Executive Insight By Michael Jackson, FPA Executive by michael jackson,Vice RPhPresident/CEO
D
FPA Supports Million Hearts Campaign
o you know what the Million Hearts™ campaign is? Well, if not, be on notice that your association has signed up as a supporter of its mission. According to information published on the Centers for Disease Control (CDC) website, heart disease and stroke are the nation’s leading killers, together causing one of every three deaths. More than 2 million heart attacks and strokes occur every year, and treatment for these conditions accounts for approximately 1 of every 6 healthcare dollars. Cardiovascular disease accounts for the largest single portion of racial disparities in U.S. life expectancy. The Million Hearts™ campaign, through the CDC, is designed to stimulate public discussion and provider awareness on the need to prevent heart attacks and stroke. As health care providers on the front lines, we are the best messengers to achieve the goals set out by Million Hearts™. This Health and Human Services (HHS) initiative seeks to prevent 1 million heart attacks and strokes over the next five years by empowering Americans to make heart-healthy lifestyle choices, and improve care for those needing treatment. Announced on September 13, 2011, Million Hearts™ is co-led by the CDC and the Centers for Medicare and Medicaid Services (CMS). Pharmacy organizations such as the National Alliance of State Pharmacy Associations, National Community Pharmacists Association, American Pharmacists Association and Walgreens are listed as partners of the program. The FPA is doing its part through the presentation of a comprehensive phar-
macist consultant continuing-education conference in Tampa, Florida, April 21 – 22, 2012, focused on managing cardiovascular diseases in pharmacy practice. Subjects covered included cardiovascular wellness and prevention, hypertension, hyperlipidemia, MTM of patients with cardiovascular diseases, atrial fibrillation, adverse drug reactions and anticoagulation therapy. This confer-
Cardiovascular disease accounts for the largest single portion of racial disparities in U.S. life expectancy. ence drilled into every aspect of these diseases with a goal toward quality and improved outcomes. We have found the best experts in their fields to help prepare pharmacists to manage patient drug therapy and apply principles to prevent strokes and heart attacks. With the plan of the Million Hearts™ campaign to prevent 1 million heart attacks and strokes by 2017, pharmacists can be involved in several ways. Many of our members have taken
Michael Jackson, B.Pharm
smoking cessation training programs. Use your experience and training to help Floridians make healthy choices such as eliminating and preventing tobacco use. Advocate for the reduction of sodium and trans fat consumption. This can help reduce the number of people who need medical treatment such as blood pressure or cholesterol medications to prevent heart attacks and strokes. Improve care for people who do need treatment by encouraging adherence to the “ABCS” heart attack and stroke prevention program. Aspirin for people at risk Cholesterol management Blood pressure control Smoking cessation
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2012 FPA Board of Directors The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work deligently all year long on behalf of our members.
Humberto Martinez............................................................. Chairman of the Board Robert Parrado .........................................................................................FPA President Goar Alvarez............................................................................................... President Elect Betty Harris ............................................................................................................Treasurer Suzanne Wise............................................Speaker of the House of Delegates Eric Alvarez.....................................Vice Speaker of the House of Delegates Preston McDonald, Director............................................................................ Region 1 Marcus Dodd-o, Director .................................................................................Region 2 Eva Sunell, Director ..............................................................................................Region 3 Raul N. Correa, Director ...................................................................................Region 4 Jeffrey Parrado, Director ...............................................................................Region 5 Chris Lent, Director...............................................................................................Region 6 Paul Rohrbaugh, Director.................................................................................. Region 7 Raul Gallo, Director.................................................................................................Region 8 Paul Elias, Director.................................................................................................Region 9 Venessa Price.......................................................................................... President FSHP Michael Jackson........................................Executive Vice President and CEO
Florida Pharmacy Today Journal Board Chair......................................................Jennifer Pytlarz, jlc_rxdoc@hotmail.com Vice Chair......................................................... Don Bergemann, don@bceinfo.com Treasurer....................Stephen Grabowski, sgrabowski@seniormmc.com Secretary...................................................................Stuart Ulrich, Stuarx@aol.com Member.................................................Joseph Koptowsky, docjik1215@aol.com Member........................Rebecca Poston, rebecca_poston@doh.state.fl.us Member....................................................... Carol Motycka, motycka@cop.ufl.edu Member.....................................................Christina Medina, cmmedina@cvs.com Member................................................................Norman Tomaka, FLRX9@aol.com Member................... Verender Gail Brown, brownvgrx4304@hotmail.com Executive Editor................Michael Jackson, mjackson@pharmview.com Managing Editor...................Dave Fiore, dave@fiorecommunications.com
These tools help address the major risk factors for cardiovascular disease and can help prevent heart attacks and strokes. Remember, as a provider it is critical that any interventions you do to promote and increase adherence to therapy should be well documented.
Remember, as a provider it is critical that any interventions you do to promote and increase adherence to therapy should be well documented. The FPA is pleased to be a supporter of Million Hearts™ and we hope that you, too, take time out of your busy schedules to get the word out. For more information, go to http://millionhearts. hhs.gov/index.html.
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Drug Disposal: The Role of the Pharmacy Profession Abstract Jennifer A. Fass, Pharm.D., C.Ph. Clinical Assistant Professor Department of Pharmacy Practice Nova Southeastern University College of Pharmacy Center for Consumer Health Informatics Research (CCHIR) 3200 South University Drive Ft. Lauderdale, FL 33328 Phone: 954-262-3169 Fax: 954-262-3170 E-mail: fass@nova.edu Andrea D. Fass, Pharm.D. Assistant Professor Department of Pharmacy Practice Arnold & Marie Schwartz, College of Pharmacy & Health Sciences, Long Island University Clinical Pharmacy Manager, Ambulatory Care:Â Montefiore Medical Group Comprehensive Family Care Center 1621 Eastchester Road Bronx, NY 10461 Phone: 718-405-8040 ext 2356 E-mail: Andrea.Fass@liu.edu Pusoon Chun, Pharm.D. Inje University South Korea E-mail: pc523@nova.edu Kojo Quansah, Pharm.D. Nova Southeastern University College of Pharmacy 3200 South University Drive Ft. Lauderdale, FL 33328 kq16@nova.edu
Address Correspondence To: Jennifer Fass, Pharm.D., C.Ph. Clinical Assistant Professor Nova Southeastern University Health Professions Division College of Pharmacy 3200 South University Drive Ft. Lauderdale, FL 33328 Ph: 954-262-3169 Fax: 954-262-3170 fass@nova.edu
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Objective:
To review the role of the pharmacy profession in drug disposal in the United States. Methods:
A literature search was conducted through MEDLINE (1950-January 2012), PubMed (1966-January 2012) and International Pharmaceutical Abstracts (1970-January 2012) using the search terms drug disposal, drug take back, pharmacist and student pharmacist. The Drug Enforcement Administration (DEA) and Food and Drug Administration (FDA) websites were also searched to locate laws and guidance on appropriate drug disposal. Cross-sectional studies, practice reports, laws and guidance documents were evaluated. Results:
Limited available evidence suggests that pharmacists and student pharmacists can play an important role in appropriate drug disposal in collaboration with law enforcement. The DEA and FDA provide educational materials that pharmacists can utilize at the point of care. Conclusions:
Appropriate drug disposal is extremely important to prevent prescription drug abuse and protect the environment. The pharmacy profession can play an integral role in drug disposal throughout the country. The authors hope to study the local impacts of pharmacy involvement in drug take-back programs in the future.
The authors do not have any conflicts of interest, and did not receive funding for this article.
Background Medicines information requests regarding appropriate drug disposal and the author’s involvement in drug take-back programs in Florida prompted this article to motivate pharmacists and student pharmacists to play an active role in this process. The Obama Administration issued the 2011 Prescription Drug Abuse Prevention Plan, and one of the four major focuses was proper medication disposal.1 Evidence also demonstrates that pharmaceuticals affect the ecological system. And the ef fec t s on hu ma n s t h rough t he dri n king water is unknown. 2 Additionally, education and awareness regarding drug disposal is lacking. In 2007, the American Pharmacists Association created a policy on appropriate medication disposal to encourage the pharmacy profession to play an active role in guideline development and to serve as a public resource. The federal Controlled Substances Act currently does not offer guidance to individuals desiring to dispose of controlled substances. 4 The Secure and Responsible Drug Disposal Act of 2010 encourages the establishment of controlled substance disposal methods for consumers including drug take-back programs and amends the Controlled Substances Act.5 The final revisions to the Controlled Substances Act have not yet been published.6 After passage of the Secure and Responsible Drug Disposal Act of 2010, a public meeting was held on January 19, 2011 to
discuss the importance of appropriate drug disposal with recognition of the pharmacist’s role in this process.7 Literature Review A literature search was conducted through MEDLINE (1950-January 2012), PubMed (1966-January 2012) and International Pharmaceutical Abstracts (1970-January 2012) using the search
terms drug disposal, drug take back, pharmacist and student pharmacist. The purpose of this section is to evaluate pharmacy involvement in drug disposal. The DEA and FDA websites were also searched to locate laws and guidance on appropriate drug disposal methods.
Cross-Sectional Studies Abrons et al conducted a cross-sectional study and surveyed 242 pharmacy patients before and after an educational intervention conducted by student pharmacists on appropriate medication disposal.8 The study objectives were to ascertain consumers’ current drug disposal methods, assess knowledge of the environmental impact of inappropriate medication disposal, detect whether education by student pharmacists enhances consumer knowledge of safe medication disposal, and identify a role for student pharmacists as drug disposal educators. Student pharmacists received an orientation on safe medication disposal practices. The sample size was calculated to be 85 participants, and each student was instructed to complete 20 educational sessions and surveys. The patient preeducation survey consisted of seven questions, which included current drug disposal methods. Furthermore, the posteducation survey consisted of five questions which included Likert-type on willingness to change disposal methods, environmental impact and student pharmacists as a resource. Prior to student pharmacist education, 12.8% of study participants disposed of medications appropriately. Only 23.9% of participants had previously received advice regarding drug disposal. However, previous advice did not correlate with knowledge of appropriate drug disposal methods during the pre-education survey (p = 0.565). At baseline, a majority of individuals flushed medications down the toilet (27.2%) or threw drugs in the trash (34.6%). Post-education, study participants who indicated inappro-
The Obama Administration issued the 2011 Prescription Drug Abuse Prevention Plan, and one of the four major focuses was proper medication disposal.1 APRIL 2012 |
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priate disposal methods at baseline changed their response to an appropriate method post-education (p < 0.05). Approximately 63% of participants indicated they would pour the medication in kitty litter or coffee grounds post education. Additionally, the change from baseline to post-education on inappropriate drug disposal being an environmental problem and the perceptions of student pharmacists as a public health resource increased (p < 0.05). A majority of participants (59.7%) believe that student pharmacists are a good resource for information on ap-
A majority of participants (59.7%) believe that student pharmacists are a good resource for information on appropriate drug disposal methods. propriate drug disposal methods. This study provides motivation for student pharmacist involvement in safe and appropriate drug disposal. The pre- and post-surveys were extremely beneficial to further promote the use of student pharmacist education. An appropriate number of participants were surveyed; however, the use of a convenience sample led to biased results. Additionally, participants were not surveyed on disposal of controlled verses noncontrolled medications. The FDA offers guidance on medications that can be flushed down the toilet, which includes many Schedule II drugs. Therefore, these medications would not be disposed by mixing with kitty litter or coffee grounds.8 Jarvis et al evaluated the effect of an educational intervention on pharmacists’ attitudes and knowledge regarding drug disposal.9 A pre-survey was mailed to 488 registered pharmacists two months prior to the educational intervention, and 223 pharmacists (47% response rate) completed this survey. The 223 respondents received 12
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a newsletter containing an article on proper drug disposal, and a post-survey was sent three months after this intervention. A total of 158 pharmacists (32% response rate) completed both the pre- and post-surveys. Survey respondents believing that inappropriate drug disposal is an environmental problem increased from 47% to 57% after the intervention (P=0.03). The study also found that survey respondents incorrectly indicating that medication should be washed down the sink decreased from 19% to 5.6% post-intervention (P < 0.01). The use of a pre- and post-survey to assess drug disposal attitudes and knowledge was well designed. However, pharmacists may have obtained knowledge from other resources besides the newsletter.9 Practice Report Johnson describes a Minnesota community pharmacy’s experience with establishing a drug disposal program and provides guidance to pharmacists.10 Motivation for the project included patients expressing an interest in a drug disposal program for unused medications and an increase in prescription drug abuse among teens. The pharmacy received approval from the Minnesota Board of Pharmacy to host the event after submitting a policy and procedures manual. The police department co-sponsored the event by providing an officer free of charge and disposing of all narcotics. The police officer logged all controlled substances, and the staff documented all non-controlled medications. The internet was utilized to identify medications that were not labeled. At following events, the pharmacy accepted only non-controlled substances due to policy changes. Patients were educated at the events regarding appropriate drug disposal. The program enhanced consumer knowledge of proper drug
disposal. The article provides a beneficial stepwise approach to creating a drug disposal program including event planning, law enforcement and policies and procedures, and demonstrates that pharmacists can play an active role in the process. This information can be utilized as the groundwork for a crosssectional study on attitudes toward the drug disposal program.10 Gray-Winnett et al describes the collaboration of student pharmacists with public officials in a medication takeback program in Knoxville, Tennessee.11 The program objectives were to decrease pharmaceuticals in the water supply, reduce abuse and accidental medication ingestion, and increase public awareness of proper drug disposal. Student pharmacists assisted in medication collection and program advertising. There were 93 pounds of medications collected at the first event, followed by 250 pounds at the next. Also, a medication drop box was implemented at the police building as a convenient method for consumers to dispose of medications, with a collection of 170.8 pounds over eight months. This program demonstrates the important role that student pharmacists can play in drug disposal programs. Postevent survey results that were published only included information on consumers’ knowledge of the events. 48% of surveyed individuals learned of the program through television/news.11 Pharmacist Resources and Patient Counseling Pharmacists have the opportunity to play an important role in educating consumers on appropriate drug disposal methods. The FDA has provided guidance for consumers on appropriate drug disposal.12 They encourage the use of drug take- back programs. However, if they are not locally available, then there is a list of 32 controlled
Student pharmacists assisted in medication collection and program advertising. There were 93 pounds of medications collected at the first event, followed by 250 pounds at the next.
Pharmacists have the opportunity to play an important role in educating consumers on appropriate drug disposal substance medications that can be flushed due to the risk of consumption. All other medications not included on this list should be mixed with an unpalatable substance such as kitty litter or coffee grounds and placed in a sealed bag in the household trash. Additionally, all protected health information should be removed.12 The DEA began National Prescription Drug Take Back Day September 2010 and has collected and destroyed 995,185 pounds of pills at these successful events since its inception.13 These nationwide programs are hosted twice per year, and individuals can find their local collection site at www.dea.gov.13 The Drug Take-Back Network is a helpful online resource for starting a drug take-back program and includes a nationwide map of programs, which can be found at the following link: http://www.takebacknetwork.com/.14 Discussion There are limited studies evaluating the role of the pharmacy profession in drug disposal. However, this review describes surveys and practice reports demonstrating that pharmacists and student pharmacists can play an important role in consumer education and can assist law enforcement in drug disposal. Additionally, there are various resources that pharmacists have at the point of care including the Drug TakeBack Network, the DEA, and the FDA for patient education. Summary Appropriate drug disposal is extremely important to prevent prescription drug abuse and protect the environment. The pharmacy profession can play an integral role in drug disposal throughout the country. The authors
hope to study the local impacts of pharmacy involvement in drug take-back programs in the future. References: 1. Fass JA. Prescription drug take-back programs. Am J Health Syst Pharm 2011;68:567-70. 2. Epidemic: responding to America’s prescription drug abuse crisis. Office of National Drug Control Policy. http://www.whitehouse.gov/sites/ default/files/ondcp/issues-content/ prescription-drugs/rx_abuse_plan_0. pdf (accessed 2012 Jan 17). 3. Leal JE, Thompson AN, Brzezinski. Pharmaceuticals in drinking water: local analysis of the problem and finding a solution through awareness. J Am Pharm Assoc 2010;50:600-3. 4. Weitzel K, Farley JF, Anderson JJ, et al. APhA 2007 House of Delegates: improving practice today, preparing for and protecting the profession’s future. J Am Pharm Assoc 2007;47:54862. 5. Procedures for the surrender of unwanted controlled substances by ultimate users. Notice of meeting. [Federal Register: December 22, 2010 (Volume 75, Number 245)]. http:// www.deadiversion.usdoj.gov/ fed_regs/notices/2010/fr1222.htm (accessed 2012 Jan 17). 6. Secure and Responsible Drug Disposal Act of 2010. One Hundred Eleventh Congress of the United States. http:// www.deadiversion.usdoj.gov/drug_ disposal/non_registrant/s_3397.pdf (accessed 2012 Jan 17). 7. Nonregistrant drug disposal. Public meeting on drug disposal. U.S. Department of Justice. http:// www.deadiversion.usdoj.gov/ drug_disposal/non_registrant/ meeting_010511.htm (accessed 2012 Jan 17). 8. Abrons J, Vadala T, Miller S, et al. Encouraging safe medication disposal through student pharmacist intervention. J Am Pharm Assoc 2010;50:169-73. 9. Jarvis CI, Seed SM, Silva M, et al. Educational campaign for proper medication disposal. J Am Pharm Assoc 2009;49:65-8. 10. Johnson MG. Tools based on experiences of a community pharmacy providing destruction services for unwanted medications. J Am Pharm Assoc 2010;50:388-93. 11. Gray-Winnet MD, Davis CS, Yokley SG, et al. From dispensing
to disposal: the role of student pharmacists in medication disposal and the implementation of a takeback program. J Am Pharm Assoc 2010;50:613-18. 12. Disposal of unused medicines: what you should know. U.S. Food and Drug Administration. http://www.fda.gov/ Drugs/ResourcesForYou/Consumers/ BuyingUsingM edicineSafely/ EnsuringSafeUseofMedicine/ SafeDisposalofMedicines/ucm186187. htm (accessed 2012 Jan 12). 13. National take-back initiative. U.S. Department of Justice. http:// www.deadiversion.usdoj.gov/ drug_disposal/takeback/index.html (accessed 2012 Jan 6). 14. The drug take-back network. Product Stewardship Institute. http://www. takebacknetwork.com/ (accessed 2012 Jan 12).
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2012 Summer Conferences Registration Information
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e h t h c t Ca y c a c o v d A Fever 122nd Annual Meeting and Convention
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July 4 - 8, 2012 Marco Island Marriott Resort, Golf Club & Spa 400 South Collier Boulevard â&#x20AC;˘ Marco Island, FL 34145
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FPA 122nd Annual Meeting and Convention
Schedule *Schedule is subject to change
Wednesday, July 4, 2012 5 hrs GCE 10:00am
Registration Desk Opens
10:30am
Welcome and Introductory Remarks
10:45am-4:00pm Education: 5 hrs GCE Pharmacy Leadership Boot Camp
The FPA Pharmacy Leadership Boot Camp workshop is a short course that will enhance the leadership skills of new and aspiring pharmacy leaders. Instructional presentations and team-based projects are used to learn leadership principles and how to apply them to practical situations. It is designed for new and aspiring pharmacy leaders, managers, directors and clinical pharmacy leaders who are interested in developing the skills necessary to lead people as well as advance new services and programs within their organizations. Leaders will also gain knowledge of essential management tools and techniques.
10:45am -11:45am Education: 1 hr GCE/TECH Lead From the Front
Wayne Cheatum, MS, RPh, CPh, Colonel (Ret), USAF, BSC Reginal Harris, PharmD, RPh, CPh, President and Senior Consultant, Infosource Communications LLC Gail Brown, BS, RPhT, CPhT, MTM Pharmacy Technician, FPG Pharmacy Services Upon completion of this activity, pharmacists will be able to: Define the roles and responsibilities of a Pharmacist Leader; Identify how to apply the methods and means of obtaining success as a pharmacy leader; Discuss how to successfully lead a pharmacy organization. UAN: 0165-0000-12-029-L04-P* Upon completion of this activity, technicians will be able to: Define the roles and responsibilities of a Technician Leader; Identify how to apply the methods and means of obtaining success as a pharmacy leader; Discuss how to successfully lead a pharmacy organization. UAN: 0165-0000-12-029-L04-T*
11:45am-12:45pm Education: 1 hr GCE/TECH Communicate Like You Mean It
Reginal Harris, PharmD, RPh, CPh Gail Brown, BS, RPhT, CPhT Upon completion of this activity, pharmacists will be able to: Discuss barriers to communication in the workplace and know how to overcome them; Identify and apply methods of effective communication that will improve your ability to communicate with your patients, staff, physicians, nurses, and bosses; Describe effective communication strategies to establish superior customer service in your pharmacy; Recognize how to empower personnel to accomplish duties, tasks and responsibilities. UAN: 0165-0000-12-030-L04-P*
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Upon completion of this activity, technicians will be able to: Discuss barriers to communication in the workplace and know how to overcome them; Identify and apply methods of effective communication that will improve your ability to communicate with patients, staff, physicians, nurses, and bosses; Describe effective communication strategies to establish superior customer service in the pharmacy; Recognize how to empower personnel to accomplish duties, tasks and responsibilities UAN: 0165-0000-12-030-L04-T* 12:45pm-1:00pm
Break
1:00pm-2:00pm Education: 1 hr GCE/TECH Employ RESPECT When Dealing With Difficult People (Patients, Staff and Bosses)
Colonel Wayne Cheatum, MS, RPh, CPh Gail Brown, BS, RPhT, CPhT Upon completion of this activity, pharmacists will be able to: Describe how to establish an environment in the pharmacy where respect and fairness are central to effective human relations; Identify techniques and methods of dealing with difficult people; Describe how to apply the methods of turning a problem patient into a healthcare partner. UAN: 0165-0000-12-031-L04-P* Upon completion of this activity, technicians will be able to: Describe how to establish an environment in the pharmacy where respect and fairness are central to effective human relations; Identify techniques and methods of dealing with difficult people; Describe how to apply the methods of turning a problem patient into a healthcare partner. UAN: 0165-0000-12-031-L04-T*
2:00pm-3:00pm Education: 1 hr GCE/TECH Patient Safety Is Job 1
Colonel Wayne Cheatum, MS, RPh, CPh Reginal Harris, PharmD, RPh, CPh Upon completion of this activity, pharmacists and technicians will be able to: Define the critical aspects of patient safety as they relate to the pharmacy workplace; Discuss strategies for ensuring the continuation of high quality pharmacy services; Demonstrate how to effectively incorporate Continuous Quality Improvement (CQI) into daily operations; Identify how to institute new services through staff empowerment and effective personnel management. UAN: 0000-0165-12-032-L04-P* Upon completion of this activity, pharmacists and technicians will be able to: Define the critical aspects of patient safety as they relate to the pharmacy workplace; Discuss strategies for ensuring the continuation of high quality pharmacy services; Demonstrate how to effectively incorporate Continuous Quality Improvement (CQI) into daily operations; Identify how to institute new services through staff empowerment and effective personnel management. UAN: 0165-0000-12-032-L04-T*
Schedule 3:00pm-4:00pm Education: 1 hr GCE/TECH Strategic Pharmacy Leadership
Colonel Wayne Cheatum, MS, RPh, CPh Reginal Harris, PharmD, RPh, CPh Gail Brown, BS, RPhT, CPhT Upon completion of this activity, pharmacists will be able to: Identify what it takes to be an effective Pharmacist or Technician Leader; Discuss methods of monitoring success in your pharmacy; Discuss strategies a new leader could use when assuming the leadership of a pharmacy and describe what the new leader should do first. UAN: 0165-0000-12-033-L04-P* Upon completion of this activity, technicians will be able to: Identify what it takes to be an effective Pharmacist or Technician Leader; Discuss methods of monitoring success in your pharmacy; Discuss strategies a new leader could use when assuming the leadership of a pharmacy and describe what the new leader should do first. UAN: 0165-0000-12-033-L04-T* 4:00pm-5:00pm
HOD Board of Directors Meeting
5:00pm-6:00pm
Florida Pharmacy PACCE Meeting
6:00pm-7:00pm
Budget & Finance Committee Meeting
7:30pm-9:00pm
Florida Pharmacy Association Officer’s Meeting
7:30pm
Florida Pharmacy Foundation Annual Meeting
Thursday, July 5, 2012 6 hrs of GCE or 4 hrs RC 7:00am
Registration Desk Opens
DISASTER PLANNING CONSULTANT TRACK
What would you have done if you were in Japan for the nuclear accident in the aftermath of the earthquake and tsunami? What would you have done if you were in New Orleans during Hurricane Katrina or present at any other natural disaster? Would you have known what to tell your patients about radiation exposure, medication safety, or where to go for that information? Your patients see you as an extremely credible source of health information, but where do you turn when there has been an event that you haven’t dealt with before - such as a chemical, biological, or radiological exposure? This session will discuss the pharmacists’ role in response to low probability but high consequence events of concern.
7:45am-9:15am Education: 1.5 hrs GCE/TECH/RC Natural Disaster Preparedness for Pharmacists Michael Nash, PharmD, AACC, BCPS, Clinical Coordinator, Memorial Regional Hospital Upon completion of this activity, pharmacists will be able to:
Discuss the frequency of natural disasters; Recognize how a major natural disaster could impact personal & professional responsibilities; Discuss how natural disasters impact healthcare; Explain how to be better prepared for disasters; Describe how disaster response is coordinated. UAN: 0165-0000-12-034-L04 -P* Upon completion of this activity, technicians will be able to: Recognize the frequency of natural disasters; Identify the effects of a natural disaster; List ways to be better prepared for natural disasters. UAN: 0165-0000-12-034-L04 -T* 8:00am-10:00am
Delegate Registration
9:00am-10:30am Non CE Program CE Provider Workshop for Florida Department of Health Providers
Jeffrey Mesaros, PharmD, Florida Department of Health, Board of Pharmacy; Tripartite Committee Chair Carl “Fritz” Hayes, RPh, Past Member-Florida Board of Pharmacy; Past Chair-Tripartite Committee Marcia Mann, CE Broker Representative Upon completion of this activity, participants will be able to: Identify and understand Florida rules and regulatory updates regarding: Continuing education requirements for Florida licensed Pharmacists; Continuing education requirements for Florida registered Technicians; Responsibilities for approved provider program administrators; Record keeping requirements and audit information for providers; CPE Monitor requirements for all pharmacists and technicians.
9:20am-10:50am Education: 1.5 hrs GCE/TECH/RC What Pharmacists Should Know about Weapons of Mass Destruction
Erin Mullen, RPh, PhD, CEM Assistant Vice President, Rx Response for the Pharmaceutical Researchers and Manufacturers of America (PhRMA) Upon completion of this activity, pharmacists will be able to: Describe chemical, biological, and radiological/nuclear (CBRN) agents of concern; Identify medication therapies utilized in response to CBRN events; Identify credible information sources to assist in medication therapy and patient counseling after a CBRN event. UAN: 0165-0000-12-035-L04-P* Upon completion of this activity, technicians will be able to: Define CBRN agents; List medications used in CBRN events; List sources to contact after a CBRN event. UAN: 0165-0000-12-035-L04-T*
10:55am-11:55am Education: 1 hr GCE/TECH/RC Planning Considerations for Pharmaceutical Response and Recovery
Brandon E. Brantley, PharmD, CPh, LSS GB, Public Health Preparedness, Pharmacy Program Manager, Florida Department of Health Bureau of Statewide Pharmaceutical Services APRIL 2012
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Schedule Upon completion of this activity, pharmacists will be able to: Explain all laws pertaining to emergency prescription refills; Compare rules pertaining to exemption to wholesale distribution; Review labeling requirements for prescription drugs; Identify challenges to maintaining pharmaceutical supply; Apply allocation and apportionment protocols; Support the recovery of pre-positioned medical assets; Assess the requirements of recordkeeping for prescription drugs; Review basic rules of inventory management. UAN: 0165-0000-12-036-L04-P* Upon completion of this activity, technicians will be able to: Identify laws pertaining to emergency prescription refills; Recognize challenges that may occur in your pharmacy; Review basic rules of inventory management. UAN: 0165-0000-12-036-L04-T* 11:00am-1:00pm
FPA House of Delegates and Annual Business Meeting
12:00pm-1:00pm
Lunch (Attendees on their own)
12:30pm-1:30pm
Independent Pharmacist Luncheon (Invitation Only)
1:00pm-2:00pm Education: 1 hr GCE/TECH Improving Transitions of Care: Reducing Patient Readmissions
Stefanie Cribb, PharmD, Area Medical Manager, Sanofi-Aventis Upon completion of this activity, pharmacists will be able to: Define transitions of care; Evaluate the risk factors and predictors of poor outcomes related to transitions of care; Evaluate key transitions of care issues related to diabetes; Identify guiding principles necessary to improve transitions of care and resource organizations. UAN: 0165-0000-12-037-L04-P* Upon completion of this activity, technicians will be able to: Define transitions of care; List some risk factors of poor outcomes related to transition of care; Recognize organizations and guidelines that improve transition of care. UAN: 0165-0000-12-037-L04-T*
2:00pm-3:00pm Education: 1 hr GCE/TECH/STC Keynote Address: Uncle Sam Update—National Issues Changing Pharmacy Practice
B. Douglas Hoey, RPh, MBA, Executive Vice President and Chief Executive Officer, National Community Pharmacists Association (NCPA) Upon completion of this activity, pharmacists will be able to: Compare the role of government in pharmacy today with past and future involvement; Discuss the motivation and trend of the government’s role in healthcare; Provide an overview of the community pharmacy marketplace including demographic, economic, and patient care services offered; Describe the value of individual responsibility for pharmacists to use political advocacy to positively influence their profession and patients in a meaningful way; Discuss why pharmacists must ‘own’ medication adherence and tactics they can employ to affect this outcome. UAN: 0165-0000-12-039-L04-P*
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Upon completion of this activity, technicians will be able to: Recognize the government’s role in the practice of pharmacy; List patient care services offered in the community pharmacy marketplace; Identify the value of political advocacy to positively influence the profession of pharmacy. UAN: 0165-0000-12-039-L04-T* 3:00pm-5:00pm
House of Delegates Reconvenes
6:00pm-7:00pm
Adopt-A-Student and Mentor Social
7:00pm-10:00pm
Florida Pharmacy Foundation “RED, WHITE & BLUE FAMILY FUN NIGHT” Cost: 12 yrs & Up-$60; 5-11 yrs-$25; 4 yrs & Under-Free Cost includes: Food, Games, Prizes, Live Band, & FireCracker the Mechanical Bull
Friday, July 6, 2012 6 hrs of GCE/TECH/RC 7:00am
Registration Desk Opens
6:45am-7:45am
Christian Pharmacist Fellowship International Breakfast
7:45am-9:15am Education: 1.5 hrs GCE/TECH/RC Identifying Medication Related Problems in the Geriatric Population Angela Hill, PharmD, BCPP, Professor and Chair, University of South Florida College of Pharmacy Upon completion of this activity, pharmacists will be able to: Discuss medication use practices in the geriatric population; Describe the various types of medication-related problems observed in the geriatric population; Explain the psychosocial and medical consequences of medication related problems in the geriatric population; Compare and contrast criteria for determining inappropriate use of medications in the geriatric population; Discuss strategies to resolve medication-related problems in the geriatric population; Demonstrate the ability to identify medication-related problems in the geriatric population. UAN: 0165-0000-12-011-L01-P* Upon completion of this activity, technicians will be able to: Identify medication use practices in the geriatric population; List different types of medication-related problems among geriatrics; Recognize the effects of certain medications used among geriatrics. UAN: 0165-0000-12-011-L01-T*
Consultant Track
Schedule 9:00am-10:30am Education: 1.5 hrs GCE/TECH/STC NASPA/NMA Game Show
Tian Merren Owens, MS, PharmD, Director of Continuing Education, Florida Pharmacy Association Upon completion of this activity, pharmacists will be able to: Identify and explain aspects of the effective and safe practice of pharmacy self care treatments through a process of answering a selected group of questions similar to a national board exam; Analyze the usage and effectiveness of over-the-counter medications; Classify different groups of over-the-counter medications based on drug treatment classes. UAN: 0165-0000-12-038-L04-P* Upon completion of this activity, technicians will be able to: Identify the use of over-the-counter medications; List the classes of various OTC products; Identify proper storage and handling techniques of OTC products. UAN: 0165-0000-12-038-L04-T* 9:00am-11:00am
Journal Board Meeting
9:20am-10:50am Education: 1.5 hrs GCE/TECH/RC Opportunities for Pharmacists to Provide Geriatric Services
Angela Hill, PharmD, BCPP, Professor and Chair, University of South Florida College of Pharmacy Upon completion of this activity, pharmacists will be able to: Discuss medication use practices in the geriatric population; Describe clinical models of medication therapy management services being provided to the geriatric population; Explain credentialing opportunities for pharmacists interested in providing services to the geriatric population; Demonstrate the ability to provide a medication therapy consultation for a patient in the geriatric population. UAN: 0165-0000-12-013-L01-P* Upon completion of this activity, technicians will be able to: Define medication therapy management; Recognize the importance of medication therapy management among the geriatric population; List services that can be used for geriatrics. UAN: 0165-0000-12-013-L01-T* 11:00am-1:00pm
Exhibit Hall Grand Opening
11:00am-1:00pm
Student Poster Presentations
12:00pm-1:00pm
Lunch (Attendees on their own)
12:30pm-2:30pm
Local Unit Leaders Meeting
1:00pm-2:30pm Education: 1.5 hrs GCE/TECH/RC 2012 New Psychotropic Update and the “Me Too” Drug Phenomenon
Jose Rey, MS, PharmD, BCPP, Associate Professor of Pharmaceutical Sciences, Nova Southeastern University, College of Pharmacy
Upon completion of this activity, pharmacists will be able to: Identify with the names, pharmacology, pharmacokinetics, and indications of the newer psychotropics recently approved by the FDA; Compare and contrast the newer psychotropics from the older, established agents with respect to their advantages and disadvantages, including cost considerations and patient specific issues; Discuss the trends influencing the pharmaceutical industry and psychotropic drug development and the potential directions of future drug development; Recognize the historical practice and types of new drug development using established compounds; Discuss the advantages and disadvantages that ‘active metabolites’ and other ‘drug derivatives’ may offer over their parent/original compounds; Provide examples of ‘me too’ psychotropics and discuss their role in treating mental illness; Discuss the role that changes in formulations have in the potential for improvement in adherence and tolerability of selected medications. UAN: 0165-0000-12-014-L01-P* Upon completion of this activity, technicians will be able to: Define “me too” drug phenomenon; List examples of “me too” agents; Recognize the differences in the newer agents from the older agents. UAN: 0165-0000-12-014-L01-T*
1:00pm-2:30pm Education: 1.5 hrs STC The Real World After Graduation
Ramy Gabriel, PharmD, Pharmacy Manager, CVS Pharmacy Upon completion of this activity, students will be able to: Compare expectations before graduation with experiences gained working as a pharmacist; Prepare for the transition from pharmacy student to pharmacist; Reset expectations and shift focus on to areas that will be beneficial once new graduates begin their practice. 1:15pm-4:15pm
Student Patient Counseling Competition
1:30pm-2:00pm
Golf Tournament Practice
2:00pm
PACCE Golf Tournament
2:35pm-4:05pm Education: 1.5 hr GCE/TECH/RC Black Box Warnings and Other Concerns with Psychotropic Medications
Tatiana Yero, PharmD, BCPP, Assistant Professor of Pharmacy, LECOM University Upon completion of this activity, pharmacists will be able to: Review black box warnings of psychotropic medications and their implications; Review selected psychotropic drug interactions of concern; Discuss special populations (geriatrics, hepatic impairment, etc) and concerns with the use of psychotropic medications. UAN: 0165-0000-12-015-L01-P* Upon completion of this activity, technicians will be able to: Define psychotropic; Recognize black box warnings for psychotropic agents; Identify special populations affected by psychotropic medications. UAN: 0165-0000-12-015-L01-T*
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Schedule 2:35pm-4:05pm Education: 1.5 hrs GCE/TECH/STC Preparing Yourself for a Pharmacy Career-A Focus on Interviewing Skills and Resume Development
Jennifer Pytlarz, PharmD, Clinical Coordinator, Publix Inc. Upon completion of this activity, pharmacists will be able to: Describe different job search strategies; Explain the difference between a resume and CV; Provide tips on how to build a resume and CV; Discuss how to prepare for an interview; Review the interview process including questions to ask and questions to be prepared to answer. UAN: 0165-0000-12-016-L04-P* Upon completion of this activity, students and technicians will be able to: Describe different job search strategies; Explain the difference between a resume and CV; Provide tips on how to build a resume and CV; Discuss how to prepare for an interview; Review the interview process including questions to ask and questions to be prepared to answer. UAN: 0165-0000-12-016-L04-T* 5:00pm-6:30pm
PACCE Reception
7:00pm-8:30pm
University Alumni Receptions
Saturday, July 7, 2012 6 hrs of GCE/TECH/RC 6:30am
Incorporating Health & Fitness FUN RUN/WALK ALONG THE BEACH Sponsored by Walgreens Attendees will receive a Walk with Walgreens Kit. Group will meet in lobby at 6:15am.
7:00am
Registration Desk Opens
7:45am-9:15am Education: 1.5 hrs GCE/TECH/RC Managing Tobacco Dependence in a Pharmacy Setting
Amy Henneman, PharmD, BCPS, Assistant Professor of Pharmacy Practice, Palm Beach Atlantic University, School of Pharmacy Jacintha Cauffield, PharmD, BCPS, Associate Professor of Pharmacy Practice, Palm Beach Atlantic University, School of Pharmacy Upon completion of this activity, pharmacists will be able to: Describe the physiological, psychological and cultural factors that influence nicotine addiction; Discuss strategies for assessing tobacco use in the pharmacy setting; Discuss the role of behavioral modification in the management of nicotine addiction; Discuss the role of pharmacotherapy including appropriateness of therapy, use in special populations and the role of combination therapy in the management of tobacco dependence; Develop a treatment plan for a tobacco dependent patient that includes behavioral and pharmacological strategies. UAN: 0165-0000-12-017-L01-P**
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Upon completion of this activity, technicians will be able to: List factors that influence nicotine addiction; Recognize the importance of behavioral modification; Identify the negative effects of nicotine addiction.UAN: 0165-0000-12-017-L01-T**
7:45am-9:15am Education 1.5 hrs GCE/TECH PBMs: Whoâ&#x20AC;&#x2122;s on First?
Zachary French, Vice President PBM Transparency Initiatives, National Community Pharmacists Association (NCPA) Upon completion of this activity, pharmacists will be able to: Discuss the perspective of the plan manager on mail order prescription plans; Evaluate the logic behind differential MAC tables; Identify decision making points for the plan in selecting a PBM; Outline tools that can be used with NCPA or state association on anti-mail strategies for your community pharmacy; Describe how to put together information to present to local employers to make the case for your community pharmacy business. UAN: 0165-0000-12-018-L04-P* Upon completion of this activity, technicians will be able to: Define PBMs; Identify the purpose of PBMs; List tools that can be used with NCPA or state associations on anti-mail strategies. UAN: 0165-0000-12-018-L04-T*
9:00am-11:00am Education: 2 hrs GCE/TECH/STC Pharmacy Career Forum
Jim Powers, BPharm - Facilitator; Presenters: Theresa Tolle, BPharmIndependent Pharmacy; Bob Fishman, BPharm-Pharmacy Nutrition; Don Thibodeau, PharmD-MTM Pharmacy; Bob Hoye, BPharm-Compounding Pharmacy; Stephen Reeder, BPharm-Hospice Practice Upon completion of this activity, pharmacists will be able to: Recognize various practices of pharmacy and opportunities available to pharmacists; Describe the practice setting that best suit the individual skills and abilities; Identify personal strengths and weaknesses to consider when contemplating career choices. UAN: 0165-0000-12-019-L04-P* Upon completion of this activity, technicians will be able to: Recognize various practices of pharmacy; Identify the practice setting that best suit the individual needs and abilities; Identify personal strengths and weaknesses to consider when contemplating career choices. UAN: 0165-0000-12-019-L04-T*
9:20am-10:50am Education: 1.5 hrs GCE/TECH/RC Physician Directed Self Management of Asthma
Leslie Hendeles, PharmD, Professor of Pharmacy, University of Florida College of Pharmacy Upon completion of this activity, pharmacists will be able to: Identify what to teach patients about use of short-acting bronchodilators; Determine when a patient needs a short course of oral steroids; List the benefits of regular use of inhaled steroids; Describe differences in valved holding chambers for asthma inhalers. UAN: 0165-0000-12-020-L01-P** Upon completion of this activity, technicians will be able to: Define asthma; List medications used to treat
Schedule asthma; Recognize the benefits of using inhaled steroids. UAN: 0165-0000-12-020-L01-T**
9:20am-10:50am Education 1.5 hrs GCE/TECH Legal Considerations When Facing and Responding to an Audit
Brian Kahan, Esq., RPh, Managing Member, KahanSHIR, P.L. Upon completion of this activity, pharmacists will be able to: Establish protocols for preparation, completion and consequences of a Prescription Audit ; Identify the importance of a properly completed claim: exact NDC number, day supply, prescriber NPI and DEA numbers; Summarize the essentials of a clean prescription claim; Recognize basic concepts of contract law; Put into practice adjusting to realistic expectations. UAN: 0165-0000-12-021-L04-P* Upon completion of this activity, technicians will be able to: Recognize the purpose of pharmacy audits; Identify the importance of properly completed claims; List items that are necessary to report on a claim. UAN: 0165-0000-12-021-L04-T* 11:00am-1:00pm
Exhibit Hall Opens
12:00pm
Golf Winners Announced in Exhibit Hall
12:00pm-1:00pm
Lunch (Attendees on their own)
1:00pm-2:30pm
Student Luncheon
1:00pm-2:30pm Education: 1.5 hrs GCE/TECH/RC A General Overview of Obesity
Marvin Scott, PharmD, Professor of Pharmacy, Florida A&M University Upon completion of this activity, pharmacists will be able to: Discuss the epidemiology and incidence of trends in obesity; Identify risk factors which are common causes of weight gain and obesity; Explain the role of genetics in obesity; Discuss how to assess and diagnose obesity; Describe the complications of obesity. UAN: 0165-0000-12-022-L01-P* Upon completion of this activity, technicians will be able to: Define obesity; List common causes of obesity; List the complications of obesity. UAN: 0165-0000-12-022-L01-T*
1:00pm-2:30pm Education: 1.5 hrs GCE/TECH Finding Additional Revenues in Your Pharmacy Practice
Clarence W. Lea, RPh, Vice President &Chief Marketing Officer, Marketing & Industry Relations, HCC Pharmacy Solutions Upon completion of this activity, pharmacists will be able to: List at least 3 types of hidden or overlooked revenue opportunities in the typical pharmacy practice; Discuss how these revenue opportunities may be converted to enhanced profitability; Create and analyze reporting to monitor revenue opportunities; Recognize how to enhance patient care and service while increasing revenues; Discover how social media can
be used to improve revenues. UAN: 0165-0000-12-023-L04-P* Upon completion of this activity, technicians will be able to: Recognize hidden areas of revenue opportunities in the pharmacy; Identify areas in pharmacy that produce profit loss; List ways social media can be used to increase income. UAN: 0165-0000-12-023-L04-T*
2:35pm-4:05pm Education: 1.5 hrs GCE/TECH/RC Pharmacological Management of Obesity and Weight Loss
Jose Rey, MS, PharmD, BCPP, Associate Professor of Pharmaceutical Sciences, Nova Southeastern University, College of Pharmacy Upon completion of this activity, pharmacists will be able to: Identify strategies utilized to aid in weight loss; Discuss the pharmacology of various therapeutic agents used in weight management; Review over the counter products used for weight loss; Identify the role of the pharmacist in the management of obesity and weight loss. UAN: 0165-0000-12-024-L01-P* Upon completion of this activity, technicians will be able: Identify medications that cause weight gain; List over-the-counter weight loss supplements; List the herbal medications used in weight management. UAN: 0165-0000-12-024-L01-T*
2:35pm-4:05pm Education: 1.5 hrs GCE/TECH Inspecting Pharmacies for Compliance to Florida Laws
Jeane P. Clyne, Chief, Florida Department of Health, MQA Investigative Services Upon completion of this activity, pharmacists will be able to: Describe the role of Department of Health Inspectors; List the steps necessary for pharmacies to take to ensure a compliant inspection; Explain common issues that Department inspectors encounter when visiting a pharmacy; Identify the responsibilities of pharmacy staff during a routine inspection. UAN: 0165-0000-12-025-L04-P* Upon completion of this activity, technicians will be able to: Describe the role of Department of Health Inspectors; List the steps necessary for pharmacies to take to ensure a compliant inspection; Explain common issues that Department inspectors encounter when visiting a pharmacy; Identify the responsibilities of pharmacy staff during a routine inspection. UAN: 0165-0000-12-025-L04-T* 2:35pm-4:05pm
Pharmacy Student Summit
5:00pm-6:30pm
Past Presidents Reception (Invitation Only)
7:00pm-10:00pm
Awards Ceremony Reception Theme: COOL CARIBBEAN NIGHTS Attire: Caribbean Wear
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Schedule Sunday, July 8, 2012 5 hrs of GCE/TECH 7:00am
Registration Desk Opens
7:00am-8:30am
President’s Breakfast and Installation of Officers
7:30am-8:30am Education: 1 hr GCE/TECH Registered Pharmacy Technicians And The Law: What Your Pharmacy Staff Needs to Know to Stay Compliant?
Zipporah-Darvi Redding, AS, RPhT, CPhT, Senior Pharmacy Technician, One Source Pharmacy Upon completion of this activity, pharmacists will be able to: Discuss the requirements for registered pharmacy technicians to maintain Florida Registration and National Certification; Describe the responsibilities of a registered pharmacy technician; Review how to verify an active or null/void registered pharmacy technician; Practice ways to make sure registered pharmacy technicians are in compliance. UAN: 0165-0000-12-026-L03-P* Upon completion of this activity, technicians will be able to: Define the difference between Florida Registration and National Certification; List the requirements to maintain Florida Registration and National Certification; Recognize the severity if Florida Registration is not maintained; Identify how to obtain an NAPB number; Recognize the “-T” designation in the Universal Activity Number (UAN) and its requirement by Florida; List resources to find continuing education credits; Distinguish between judgmental and non-judgmental tasks in the pharmacy. UAN: 0165-0000-12-026-L03-T*
8:35am-10:35am 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 Upon completion of this activity, pharmacists should be able to: Define elements of a Continuous Quality Improvement (CQI) Program; Restructure a pharmacy practice to address quality related events; Analyze some common causes of quality related events; Implement an action plan to address quality of care in pharmacies with a goal towards error reduction and prevention; Recite quality improvement regulations for Florida pharmacies. UAN: 0165-0000-12-027-L05-P* Upon completion of this activity, technicians should be able to: Define CQI; List most common medication errors; Employ techniques to reduce medication errors by using CQI. UAN: 0165-0000-12-027-L05-T* 10:35am-10:50am
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Break
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10:50am-11:50am Education: 1 hr GCE/TECH HIV/AIDS Update
Michael Thompson, PharmD, BCNSP, Professor of Pharmacy Practice, Florida A&M University Upon completion of this activity, pharmacists will be able to: Review current modes of transmission; Identify high risk behaviors; Discuss the pharmacist role in providing care for HIV infected patients; Describe the mechanism of actions of antivirals; Describe the rationale behind combination therapies; Interpret current Florida law on HIV/ AIDS. UAN: 0165-0000-12-010-L02-P* Upon completion technicians will be able to: Define HIV and AIDS; List methods of transmission of HIV/AIDS; Identify high risk behaviors. UAN: 0165-0000-12-010-L02-T*
11:55am-12:55pm Education: 1 hr GCE/TECH Legislative and Regulatory Update
Michael Jackson, BPharm, CPh, Executive Vice President and CEO, Florida Pharmacy Association Upon completion of this activity, pharmacists will be able to: Recite recent changes in pharmacy laws which affect the practice of pharmacy in Florida; Describe issues of state and national interest to the profession of pharmacy; Identify recent statutory changes that affect the role of pharmacy technicians. UAN: 0165-0000-12-028-L03-P* Upon completion of this activity, technicians will be able to: Identify recent changes in pharmacy laws which affect the practice of pharmacy in Florida; Describe issues of state and national interest to the profession of pharmacy; Recognize recent statutory changes that affect the role of pharmacy technicians. UAN: 0165-0000-12-028-L03-T*
The Florida Pharmacy Association (FPA) is accredited by the Accreditation Council for Pharmacy Education as a provider of Continuing Pharmacy Education. Up to 28 contact hours are available upon successful completion of attendance and evaluation forms. The Wednesday pre-convention program offers 5 contact hours. A total of 23 contact hours may be obtained from Thursday through Sunday for General (GCE) or Technician (TECH) continuing education. Sixteen of the offered 23 hours may be used for Consultant Re-certification (RC). Statements of continuing pharmacy education credit will be mailed six weeks after the meeting. The FPA is also a Florida Department of Health approved provider of continuing education for pharmacists. This is an ACPE knowledge based (*) activity and an ACPE application based (**) activity.
General Info Room Rates: $149 based upon single/double occupancy. The room reservation deadline is Friday, June 15, 2012, or when room block is full. Thereafter, reservations may be taken on a space available or rate available basis.Please be sure to ask for the Florida Pharmacy Association group rate. The check-in time is after 4:00pm and the checkout time is before 11:00 am. Room reservations can be made by calling (800) 438-4373 or (239) 394-2511. Valet parking is $18 per car per day. Guest self parking is $10 per car per day. Keynote Speaker: B. Douglas Hoey, RPh, MBA, is Chief Executive Officer of the National Community Pharmacists Association. NCPA represents the 23,000 community pharmacies and their pharmacists. He has spent 20+ years working in and representing community pharmacies. In 2005, Hoey was named COO and helped lead the NCPA team that scored legislative victories requiring prompt pay of Part D claims, winning a court injunction to delay AMP that saved community pharmacies over $2 billion dollars, and NCPA membership has increased by 20 percent over the past two years. He is a licensed pharmacist in Oklahoma, Virginia, and Texas and practiced for 5 years in community and Long Term Care settings contributing to the development of expansions into durable medical equipment and home infusion. For five years, Hoey also developed and taught pharmacology courses at George Washington University and Marymount Universities. He is also a member of the Board of Directors for SureScripts, Mirixa, Pharmacy e-Health Information Technology, the Pharmacy Compounding Accreditation Board, and the Community Pharmacy Financial. He is a graduate of the University of Oklahoma College of Pharmacy and the Oklahoma City University business graduate school.
to educate pharmacists on a wide variety of important topics pertaining to the profession of pharmacy practice. Specific courses being offered are Reducing Medication Errors, HIV/AIDS, and the Florida Board of Pharmacy Update. Also, there will be continuing educational courses on pharmacy business management. Consultant Education Track Thursday- Saturday The consultant education track will provide pharmacists with the most current information available on various topics. The specific topics being offered include Geriatric Medicine, Mental Health, Pulmonary Disorders, Weight Management and Disaster Planning. There are 16 hours available for consultant pharmacists. Student and Technician Track Thursday â&#x20AC;&#x201C; 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 initial registration renewal: Medication Errors, HIV/AIDS, and Pharmacy Law. The student track consists of several hours of fun and exciting continuing education, such as The Career Forum and the NASPA/ NMA Game Show. Students will also have an opportunity to participate in the Patient Counseling Competition and showcase their Poster Presentations.
Pre-Convention Education Wednesday Only Our traditional Wednesday program will focus on Pharmacy Leadership. The FPA Pharmacy Leadership Boot Camp workshop is a short course that will enhance the leadership skills of new and aspiring pharmacy leaders. Instructional presentations and team-based projects are used to learn leadership principles and how to apply them to practical situations. It is designed for new and aspiring pharmacy leaders, managers, directors and clinical pharmacy leaders who are interested in developing the skills necessary to lead people as well as advance new services and programs within their organizations. Leaders will also gain knowledge of essential management tools and techniques. A separate registration fee is required for the pre-convention program.
Special Events Exhibits: Participate in our grand opening reception in the exhibit hall! Poster Presentations: Browse submissions from pharmacy students. Contact the FPA office for more information if you would like to submit a poster presentation. Awards Ceremony Reception entitled, Cool Caribbean Nights: Honor outstanding practitioners during the awards presentation. The attire is Caribbean style. Presidentâ&#x20AC;&#x2122;s Breakfast: Attend the Sunday morning installation of new officers. Receptions: Enjoy catching up with your colleagues as the Universities entertain their alumni and friends, and as the FPA Foundation hosts the RED, WHITE & BLUE Event. House of Delegates: Be a delegate or observer and see how important member participation is to the direction of the Association. Student Events: Students will benefit from interacting with practicing pharmacists, attending student focused continuing education programs and learning first hand about the FPA and how involvement can improve their chosen profession. Call the FPA office and offer to mentor or sponsor a student. PharmPACCE Reception: Purchase a ticket to this reception to support your Political Action Committee. PACCE Golf Tournament: Join us Friday for the PACCE Golf Tournament. Please register early to reserve your space.
General Education Track Thursday - Sunday The general education track will offer courses designed
Consultant Re-certification: To receive consultant re-certification credit for your Florida consultant pharmacist license, you must complete a minimum of 3 APRIL 2012
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General Info hour blocks courses marked RC for partial credit. The RC courses are offered on Thursday through Saturday. There are 4 RC hours on Thursday, 6 RC hours on Friday, and 6 RC hours on Saturday. Florida Board of Pharmacy Consultant Approval Number pending. Disclosures: Financial support, if provided, for educational activities will be listed in program. Faculty disclosures will be announced to participants at the beginning of each activity. Handouts: FPA will provide each participant a CD of handouts to help preserve natural resources. Printed booklets of the handouts are available for purchase. Handouts are also posted on our website, www.pharmview.com, for you to print and bring with you to the meeting. 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 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.
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. 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 or service valid for one year.
Marco Island Marriott Resort, Golf Club & Spa
C
ome kick off your shoes and explore paradise found at this one-of-a-kind Florida resort, now celebrating the completion of a $225 million renovation and redesign that has infused every moment here with the spirit of Balinese beauty, hospitality and well-being - and added even more wondrous experiences to this already acclaimed destination. Nestled on three miles of pristine Southwest Florida beaches, the Marco Island Marriott Beach Resort Golf Club and Spa is the perfect destination for a family vacation, a romantic retreat, a memorable meeting or an unforgettable wedding. With several renowned restaurants, championship golf, a world-class spa and a wide range of activities and amenities, Marco Island Marriott Beach Resort Golf Club and Spa now offers even more - including upscale shops for men and women, a free-form fantasy pool with views of the Florida Gulf, new dining options and completely redesigned and redecorated guest rooms. For travel and transportation information, please visit www.marcoisland.org.
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FPA Officer and Director Nominations Although we have just finished the election for a president-elect and directors for the even numbered regions to be installed at the 2012 annual meeting, it is time to start thinking about nominees for the 2013 election since the nomination deadline is September 1 of this year (9/1/12). As the form below indicates, this year we will need candidates for president-elect, treasurer, and directors for the odd numbered regions. Please note that you may nominate yourself. CALL FOR FPA OFFICER AND DIRECTOR NOMINATIONS for 2013 Elections The FPA By-Laws specify that any subdivision or any member in good standing may nominate one person for the office of President-Elect and one person for the office of Treasurer. A President-Elect shall be elected every year and shall assume the duties of the President on the last day of the annual meeting of the year following election as President-Elect. The treasurer shall serve a two year term and may succeed to one consecutive term of office in that capacity. Nominees must be Florida registered pharmacists in good standing with the Florida Pharmacy Association and the Florida Board of Pharmacy. Nominees for president-elect should have a good understanding of how the Association functions and should be current on the issues impacting pharmacy. Nominees for treasurer should have good analytical skills and experience and ability in financial management and budget preparation. There are nine regional Board Directors who shall serve two year terms. Nominees must be a Florida registered pharmacist in good standing with the Florida Pharmacy Association and the Florida Board of Pharmacy. Additionally, Board Directors must be a member of at least one the FPA Unit Associations within their region. Board Directors terms are staggered such that even numbered regions shall be elected in even numbered years and odd numbered regions shall be elected in odd numbered years. All newly elected Board of Directors Regional Directors shall take office on the last day of the annual meeting, and shall continue in office until the last day of annual meeting of the second ensuing year.
FPA CANDIDATE NOMINATION FORM I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION: NAME: ADDRESS:
FOR THE FOLLOWING OFFICE:
(Nomination Deadline September 1, 2012)
q President-Elect q Treasurer q Board Director Region 1 Region 3 Region 5 Region 7 Region 9 NOMINATED BY: NAME: DATE SUBMITTED: SIGNATURE:
MAIL NOMINATIONS TO: Election Nominations, Florida Pharmacy Association, 610 N. Adams St., Tallahassee, FL 32301 (850) 222-2400 FAX (850) 561-6758 DEADLINE FOR NOMINATIONS IS SEPTEMBER 1, 2012
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Buyer’s Guide florida PHARMACY TODAY
ADVERTISERS: This is a special section designed to give your company more exposure and to act as an easy reference for the pharmacist.
PHARMACY RESOURCES Abbott Diabetes Care Michael J. Forker (239) 839-3313 Cerner Etreby Pharmacy Management Systems (800) 292-5590 PPSC Retail Pharmacy Purchasing Program (888) 778-9909
PHARMACY CONSULTANTS HCC Pharmacy Business Solutions Dean Pedalino (800) 642-1652 Mobile: (727) 460-1855 Empire Pharmacy Consultants Michael Chen PharmD., CPh President/CEO (786) 556-7825 Mobile (305) 374-1029 Office
PHarmaceutical WHOLESALER McKesson Drug Company Jim Springer (800) 804-4590 FAX: (863) 616-2953
TEMPORARY PHARMACISTs – STAFFING HealthCare Consultants Pharmacy Staffing Bob Miller (800) 642-1652 Empire Pharmacy Consultants Michael Chen PharmD., CPh President/CEO (305) 374-1029 Office Rx Relief (800) RXRELIEF
LEGAL ASSISTANCE Kahan ◆ Shir, P.L. Brian A. Kahan, R.Ph., and Attorney at Law (561) 999-5999
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.
FREQUENTLY CALLED NUMBERS AHCA MEDICAID PHARMACY SERVICES 2727 Mahan Drive Tallahassee, FL 32308 (850) 487-4441 www.fdhc.state.fl.us/medicaid/ pharmacy AMERICAN PHARMACISTS ASSOCIATION (APhA) Washington, D.C. (800) 237-2742 www.pharmacist.com AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS Bethesda, MD (301) 657-3000 www.ashp.com/main.htm Drug Information Center Palm Beach Atlantic University (561) 803-2728 druginfocenter@pba.edu FLORIDA BOARD OF PHARMACY 4052 Bald Cypress Way Bin #C04 Tallahassee, FL 32399-3254 (850) 245-4292 www.doh.state.fl.us/mqa FLORIDA POISON INFORMATION CENTER NETWORK (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 Pharmacy Technician Certification Board 2215 Constitution Avenue NW Washington, DC 20037 (800) 363-8012 www.ptcb.org contact@ptcb.org Recovering Pharmacists Network of Florida (407) 257-6606 “Pharmacists Helping Pharmacists” APRIL 2012
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