March 2012 Florida Pharmacy Journal by Florida Pharmacy Today

The Official Publication Of The Florida Pharmacy Association MAR. 2012

2012 Legislative Session Had Little Impact on Practice of Pharmacy

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Ngozi Benyard expands her role by providing expert, compassionate pharmacy care to people living with HIV/AIDS. Many of her patients want to stop wondering and start knowing. • Face-to-face consultation on therapy management • Discuss side effects to improve adherence and outcomes • Answers to medication questions • Evaluate comorbidity treatment options Transforming community pharmacy – one patient at a time – with more than 90 Centers of Excellence for HIV/AIDS throughout Florida.

florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint 7 Executive Insight 21 Buyer’s Guide

VOL. 75 | NO. 3 MARCH 2012 the official publication of the florida pharmacy association

Features

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CDC Launches Tobacco Education Campaign Status Quo 2012 Legislative Session Had Little Impact on Practice of Pharmacy

122nd Annual Meeting and Convention Program

MARCH 2012

FPA Calendar 2012

March 9-12

APhA Meeting New Orleans, Louisiana

Deadline to submit Resolutions

24-25 FPA Council, Committee and Board meetings

MAY 19

FPA Law and Regulatory Meeting

21-23 ASCP Spring Meeting Anaheim, California 28

Memorial Day - FPA office closed JUNE

April 6

Good Friday, FPA Office Closed

10-11 Florida Board of Pharmacy Meeting Tampa 14

FPA Leadership Retreat

21-22 FPA Clinical Consultant Conference Tampa

5 - 6

Florida Board of Pharmacy Meeting Boca Raton JULY

4 - 8

122nd Annual Meeting and Convention

Governmental Affairs Committee Meeting Orlando

29-30, May 1 - NASPA Leadership Retreat

AUGUST 5-8

29th Annual Southeastern Gatherin

11-14 NABP District III and SE Officers Conference 14 - 15 Board of Pharmacy Meeting Orlando

For a complete calendar of events go to www.pharmview.com CE CREDITS (CE cycle) The Florida Board of Pharmacy requires 10 hours LIVE Continuing Education as part of the required 30 hours general education needed every license renewal period. Pharmacists should have satisfied all continuing education requirements for this biennial period by September 30, 2011 or prior to licensure renewal. *For Pharmacy Technician Certification Board Application, Exam Information and Study materials, please contact the FPA office. For More Information on CE Programs or Events: Contact the Florida Pharmacy Association at (850) 222-2400 or visit our Web site at www.pharmview.com CONTACTS FPA — Michael Jackson (850) 222-2400 FSHP — Michael McQuone (850) 906-9333 U/F — Dan Robinson (352) 273-6240 FAMU — Leola Cleveland (850) 599-3301 NSU — Carsten Evans (954) 262-1300 DISCLAIMER Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered. This information is provided with the understanding that neither Florida Pharmacy Today nor the Florida Pharmacy Association are engaged in rendering legal or other professional services through this publication. If expert assistance or legal advice is required, the services of a competent professional should be sought. The use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers. Information provided by the maker of the product should always be consulted before use.

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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 ABBOTT.............................................................. 24 EPC........................................................................ 9 Healthcare consultants........................ 3 Kahan ◆ SHIR, P.L............................................ 9 PPSC...................................................................... 9 Rx OWNERSHIP................................................. 23 Rx RElief............................................................ 6 Walgreens....................................................... 2

E-mail your suggestions/ideas to dave@fiorecommunications.com

The President’s Viewpoint BOB PARRADO, FPA President

Advocacy Fever Spreads Across the South (And Beyond)

he fever began in Aventura, Fla., in July 2011. It then spread to Tallahassee and has slowly worked its way to New Orleans, La. Let me explain what happened. The advocacy fever began as a sniffle at the Turnberry Resort during the FPA Annual Convention. The fever was a challenge to get everyone present to advocate for pharmacy by explaining to our colleagues the value of membership in our professional association and to sign up a minimum of one new member this year. Our goal was to go to Tallahassee with one voice for the profession of pharmacy. By January 2012, the fever was beginning to spread amongst pharmacists, but quickly became an epidemic in the hallowed halls of academia. The students, led by their academic advisors, saw the value of this fever and decided to connect with their fellow students from the other colleges of pharmacy to advocate for more fever in Tallahassee. On January 24 and 25 of this year, the Capitol Rotunda was awash with hundreds of pharmacists and student pharmacists in white coats. The fever was being spread to the legislators who regulate the profession and business of pharmacy. One message of the fever was the positive health care outcomes pharmacists would be able to deliver if given the opportunity to immunize the public against pneumonia. The importance of this message is that this is just the beginning of what we need to do to transform the practice of pharmacy for the needs of the future. A few short weeks later, I found myself at the APhA Annual Convention in New Orleans. The advocacy

fever seemed to have spread across state lines by the time the Florida contingent had arrived. The theme of the APhA convention was “Driving Connections, Transforming Patient Care.” Once again, we heard the message that the future of pharmacy is going to be much different than what it is today. We have to transform how we practice

On January 24 and 25 of this year, the Capitol Rotunda was awash with hundreds of pharmacists and student pharmacists in white coats. The fever was being spread to the legislators who regulate the profession and business of pharmacy. to meet the needs of society in only a few short years. It was shown that by 2020 to 2025 there will be a shortage of primary care physicians in the range of 85,000 to 200,000 practitioners. Pharmacists have the education, training and experience to step up and help meet the primary care needs of millions of new patients who will be placed on to Medicare and Medicaid rolls. Our two keynote speakers, U. S. Assistant Surgeon General and Chief Pharmacy Officer for the U.S. Public Health Service Rear

Bob Parrado, 2011-2012 FPA President

Admiral Scott Giberson, BSPharm., MPH, and U.S. Deputy Surgeon General Rear Admiral Boris Lushniak, M.D., spoke about “Improving Patient and Health System Outcomes through Advanced Pharmacy Practice.” (The fever seems to have reached Washington). The advocacy fever they spoke about contends that for pharmacists to continue to improve patient and health systems outcomes as well as sustain an important role in the delivery of health care, we must be recognized as health care providers by statute and compensated in a fashion that is commensurate with the level of services we provide. Of all the health-related professions, we are the least utilized yet are the most accessible. We provide health care regardless of what our legislators and our colleagues in medicine think pharmacists do. They spoke to the need for all pharmacists to advocate for their profession and transform what we do and MARCH 2012

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.

how we do it. This advocacy fever is reaching pandemic proportion amongst our pharmacy students. They are energized and spreading the word as fast as they can to others in the academic arena. Pharmacists of all ages need to become as energized as the students to continue to spread the advocacy fever to the legislators who govern us and the stakeholders who need to collaborate with us. We need to transform pharmacy into the health care providers we will need to be in order to serve the needs of our patients. This fever should be the energy that drives us to connect with our legislators now while they are in their home districts. The United States Public Health Service has shown that recognizing pharmacists as health care providers and utilizing their education and training has improved health outcomes and lowered costs. We need to drive this message home as we connect with our colleagues and our legislators in our home districts now. We should be preparing to bring this advocacy fever to a new and much higher level as we prepare for the Florida Pharmacists Association Annual Convention in Marco Island beginning on July 4. Ed Hamilton, past president of both the FPA and APhA, challenged everyone attending the Political Leadership Breakfast at the APhA meeting to raise the level of donations from the previous year’s convention. I am proud to say that this challenge raised $22,000. The proudest part of this challenge was that Florida pharmacists accounted for $11,500! More than half of the money raised at this great event came from Floridians who have shown they are catching the “Advocacy Fever.” My challenge to you is to come to Marco Island energized and ready to advocate for the future of pharmacy. n See you there, Bob

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

Should Our Profession be Part of Health Information Networks?

ost of our journal readers and subscribers are somewhat familiar with the development of health information exchanges, health information networks and electronic health records. After all, no other health care provider that I am aware of has the experience that we have with electronic records. We have recorded health information on computers since the early 1980s. I fondly remember the first computer I ever owned. It was an IBM PS/2 Model 50z with dual 1.44 megabyte 3.5-inch floppy disk drives. Back then, that computer was considered state-of-the art technology and lightening fast with its 486 microprocessor and 50 megabyte hard disk drive. Today, I have 100 times more computing power in my Blackberry cell phone. If I downloaded one photograph from my digital camera in that old IBM, it would crash and burn, never to be revived. So let’s get to our question of whether or not our profession should be part of health information networks. The answer is quite simple. ABSOLUTELY! Your association has a seat at the table where the health information superhighway is under construction. What is being built is a huge infrastructure designed to allow the seamless interchange of patient health information. There are significant federal dollars and state efforts to build huge networks designed to allow physician providers to “exchange” patient health information. The FPA’s concern is that this highway is being built with no off ramps or on ramps designed for pharmacists to participate. The Health Information Exchange Coordinating Committee (HIECC) was

organized by the Florida Agency for Health Care Administration (AHCA) during the fall of 2007 to advise and support the Agency in developing and implementing a strategy to establish a privacy-protected, secure and integrated statewide network for the exchange of electronic health records among authorized physicians. In July 2009, Governor Charlie Crist designated the

It is my hope and dream that our efforts to advocate for access this developing patient information superhighway are highly utilized by our member stakeholders.

HIECC to lead the stimulus-funded health information technology initiatives. The Florida Pharmacy Association has a seat at that table and has actively advocated for pharmacists to be connected in these exchanges. After all, having access to patient health records is a key ingredient to a successful medication therapy management practice. Through our work, the HIECC has begun seriously looking at adopting an expansion of access to a newly created program called Direct Secure Messaging (DSM). This system is a secure

Michael Jackson, B.Pharm

email service that allows participants to push encrypted health information to other participants. A second tool that is being created is something called patient look-up. Patient look-up and delivery services allow clinicians to query for and retrieve individual patient records from participating sources as needed for patient care. Should pharmacists have access to this system? That answer is also very simple. ABSOLUTELY! After all, imagine what you could do with comprehensive patient health information when attempting to answer patients’ questions about their medications or trying to solve medication-related problems. Patient records can be a valuable tool. It will also give you a secure way of sharing prescription information with a treating provider. It is my hope and dream that our efforts to advocate for access this developing patient information superhighway are highly utilized by our member MARCH 2012 |

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

stakeholders. Too often I hear from our members who feel that that their professional skills are underutilized and underappreciated. This may be a way to change all that. This is not an effort that is unique to Florida; it is part of a nationwide initiative to find ways to help pharmacists practice at the highest level of their training. We are also working with the National Alliance of State Pharmacy Associations as part of the Pharmacy e-Health Information Collaborative. It is through this collaborative work of the national associations that we can then define the professionâ&#x20AC;&#x2122;s HIT needs and functionality to provide, document and bill for pharmacist-provided, patient-care services in all care settings. Should our profession be part of health information networks? You better believe that we should, and the FPA is working hard to make sure of that.

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

JOIN TODAY! Florida Pharmacy Association

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CDC Launches Tobacco Education Campaign Source: Centers for Disease Control and Prevention

The Centers for Disease Control and Prevention (CDC) has just launched a national mass media campaign to educate the public about the harmful effects of smoking and to encourage quitting. The campaign is called “Tips From Former Smokers” and features real people who have experienced a variety of illnesses stemming from tobacco use, including cancer, heart attack, stroke, asthma and Buerger’s disease. The ads not only show the toll that these smoking-related illnesses have taken on these individuals’ lives—e.g., losing one’s natural voice, experiencing paralysis, having a lung removed or limbs amputated—but they also provide encouragement to quit and information on how to access free help. Personal Stories Provide Unique Perspective on Damage from Smoking The “Tips From Former Smokers” campaign provides a unique and compelling perspective on the significant damage smoking causes to individuals—a perspective not often captured in statistics about the hundreds of thousands of deaths and the illnesses caused by tobacco. None of the individuals featured in the ads are actors. They are real people who used to smoke and became sick as a result. Most of them were diagnosed with smoking-related illnesses when they were relatively young—many in their 30s and 40s; one was only 18. They speak from experience, and all have volunteered to share their stories to send a single, powerful message: Quit smoking now. Or better yet—don’t start. The ads provide firsthand accounts of the health consequences of smoking. For example, Shane, from Wisconsin, was only in his 30s when he developed cancer of the esophagus and had to have his larynx removed. Brandon, a young man from North Dakota, had both his legs amputated in his early 20s as a result of Buerger’s disease, a condition that cuts off blood flow primarily to the hands and feet and is strongly linked to cigarette smoking. Suzy, one of the women featured in the ads, is partially paralyzed after suffering a stroke caused by smoking and is dependent on caregivers, one of whom is her 23-year-old son. These and other 10

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stories in the “Tips From Former Smokers” campaign provide stark evidence of how damage from smoking can impact quality of life—for the rest of one’s life. The people featured in this campaign showed incredible courage and commitment when telling their story, and all shared a common goal of inspiring and motivating others to take steps to quit smoking. An Investment in Health For the past 30 years, there has been no federally funded, comprehensive, mass-media campaign effort (i.e., that includes TV, radio, billboard, magazine, newspaper, theater, and online placements) to educate the public about the harmful effects of smoking and to encourage quitting. This has been detrimental to tobacco control and prevention efforts, particularly given the slowed decline in cigarette smoking rates over the past decade. To compound matters, states and communities currently are experiencing diminishing resources to conduct tobacco education campaigns. The “Tips From Former Smokers” campaign is an important and valuable step in countering the efforts of the tobacco industry, whose expenditures for marketing and promoting cigarettes exceed $1 million an hour—more than $27 million a day—in the United States. Evidence-Based Strategy to Reduce Smoking Scientific evidence indicates that

hard-hitting, graphic, and emotionally impactful campaigns work. The most effective smoking-cessation advertisements depict the health risks and emotional impact of long-term tobacco use, encourage smokers to quit, and provide information on how to quit. For example, one of the ads gives voice to three former smokers who provide tips on how they successfully quit. Each tip, such as throwing away their cigarettes and ashtrays, exercising, identifying a strong reason to quit, and “just keep trying,” has been shown to help. All of the ads contain a very clear and encouraging message to smokers that they CAN quit and that free resources are available by calling 1-800-QUITNOW or accessing www.smokefree. gov. Smoking Persists as a Serious Public Health Problem It has been nearly 50 years since the release of the first Surgeon General’s report on the health risks of smoking. Smoking continues to be the leading cause of preventable death and illness in the United States and costs our nation billions of dollars every year. Despite the known dangers of tobacco use, nearly one in five adults in the United States still smokes, and each day, about 1,000 people younger than 18 years of age begin smoking on a daily basis. The health and financial consequences are staggering: ■■ Each day, more than 1,200 people in this country die due to smoking.

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Each year, an estimated 443,000 people die prematurely from smoking, and an estimated 49,000 of these smoking-related deaths are a result of secondhand smoke exposure. For every person who dies from a smoking-related disease, 20 more people suffer with at least one serious illness from smoking. Each year, cigarette smoking costs the United States more than $193 billion (i.e., $97 billion in lost productivity plus $96 billion in health care expenditures).

A new CDC national tobacco education campaign called “Tips From Former Smokers” features real people who are suffering from smoking-related diseases.

Most smokers—nearly 70%—say they plan to quit, and half make a serious attempt for a day or longer each year. The “Tips From Former Smokers” campaign was designed to create a sense of immediacy about the damage smoking causes to encourage people to stop smoking now or not to start. Campaign Rollout The campaign ads will run nationally for 12 weeks beginning Monday, March 19, and include television, radio, billboard, magazine, newspaper, theater, and online placements. Facebook, Twitter, YouTube, and other channels will help spread the campaign’s messages more broadly, particularly among younger audiences. For more information about the “Tips From Former Smokers” campaign, including profiles of the former smokers, other campaign resources, and links to the ads, visit www.cdc. gov/quitting/tips. Support to Quit Fo r f r e e q u it s up p o r t , c a l l 1- 8 0 0 - Q U I T- N OW (1- 8 0 0 -7 8 4 8669; TTY 1-800-332-8615). This service provides free support and advice from experienced counselors, a personalized quit plan, self-help materials, the latest information about cessation medications, and more.

The ads provide firsthand accounts of the health consequences of smoking. For example, Shane, from Wisconsin, was only in his 30s when he developed cancer of the esophagus and had to have his larynx removed.

MARCH 2012 |

Status Quo 2012 Legislative Session had Little Impact on Practice of Pharmacy By Michael Jackson, FPA Executive Vice President/CEO As a member of the Florida Pharmacy Association and a stakeholder in public policymaking, weighing in on health care at the Florida Capitol is more critical now than ever before. The viability of our profession and business is decided by the 160 members of the Florida House and Senate, none of whom are licensed pharmacists. This means that the work of the Florida Pharmacy Association, its leadership and members must engage fully on the issues to make sure that legislation makes good sense and does not harm our community of providers. This year’s session will be remembered not for what was accomplished, but rather what little got done. The vast majority of bills filed either were never heard in committee or failed to navigate successfully through both legislative chambers. This year, the focus was on the state’s budget as well as efforts to modify the voting districts, which must take place every 10 years, after the census of our state’s population. The district maps will change every 10 years from increases (or decreases) in population in various communities. While all that debate went on, some pharmacy issues actually did surface. You can be sure that FPA was there watching, providing input and testifying. Below is a summary of health issues in which our members may be interested. We were successful in defeating a number of bills harmful to our profession, practice and business, however those are not published in this report. The FPA did, however, work hard on several audit relief bills, but this year’s Legislature did not have an interest in those issues. We are still doing an analysis on the 2012 session, and a full report will be filed at the annual meeting of the FPA in Marco Island.

While all that debate went on, some pharmacy issues actually did surface. You can be sure that FPA was there watching, providing input and testifying.

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Blood Establishments CS for SB 364 (Approved by Legislature) ■■ Adds mobile units to the definition of blood establishments (can collect blood or blood components for purposes of transfusions) ■■ Defines a “volunteer donor” ■■ Prohibits local governments from restricting access to the use of public facilities for collection of blood or blood components from volunteer donors ■■ Fees for blood or blood components provided by volunteers to blood establishments cannot be based on purchasing entity’s for-profit status ■■ Blood establishments collecting from volunteers must make certain disclosures on a website (hospitals collecting blood or components for in-house use are exempt) ■■ Failure to make disclosures will result in a civil penalty ■■ Exempts certain blood establishments from having to be permitted as a prescription drug manufacturer ■■ Grants a restricted prescription drug distributor permit to blood establishments that collect blood or blood components from volunteers ■■ May allow for blood establishments to wholesale certain non-blood products to closed pharmacies including • Prescription drugs for bleeding or clotting disorders or anemia • Blood collection containers • Drugs that are blood derivatives or a synthetic form of derivative • Prescription drugs identified by the Department of Business and Professional Regulation (DBPR) rules that are essential to blood establishment services Pharmacy Vaccines – HB 509 (Approved by Legislature) ■■ Included pneumococcal and varicella zoster vaccines in addition to the current influenza vaccines that pharmacists could administer under specified conditions ■■ The original language as filed allowed registered pharmacy interns under the supervision of a certified immunizing pharmacist to immunize patients, however this was rejected by the Legislature ■■ Authorizes administration of an epinephrine auto-injection under certain circumstances ■■ Heavily opposed by organized medicine as an unnecessary and dangerous expansion of the scope of practice.

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The legislation was designed to address “gap” in number of eligible patients who are not immunized. Local opposition countered by national trends in which immunizations by pharmacists are well accepted. Included in this bill are the following: • Pharmacists can immunize “adult” patients for influenza and pneumonia • Immunizations are by protocol • Pharmacists can immunize shingles vaccine under the following conditions ◊ Pursuant to a written prescription AND physician protocol ◊ According to CDC guidelines Protocols limited to only those physicians licensed under 458 and 459 Allows pharmacists to administer epinephrine using an autoinjector for unforeseen allergic reactions within the framework of a practitioner protocol Initial training requirement for Florida licensed pharmacists in existing laws continue There is a new three-hour CE course required to retain immunization certification This three-hour CE program must be completed once each biennial renewal period 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 autoinjection A distance learning format is 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

Background Screening – HB 943 Pharmacy Permit Applicants (Approved by the Legislature) ■■ Requires the submission of electronic fingerprints to the Florida Department of Law Enforcement (FDLE) ■■ Fingerprints will be bounced off of a national database ■■ Board renewals direct the Department of Health (DOH) to have FDLE resubmit retained fingerprints through national database ■■ DOH will be required to notify FDLE when a person no longer licensed ■■ The bill requires licensee to bear the costs related to background screenings State Employee Health Benefit – HB 5009 (Approved by Legislature) ■■ Grants authority for the University of Florida to self-insure its employees ■■ Permits the Department of Management Services (DMS) to implement a 90-day supply limit for certain maintenance drugs

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The 90-day supply can come from participating retail pharmacies (FPA supported language) DMS is granted the authority to determine if this program is in the best financial interest of the state

Immunity from Prosecution – SB 278 (Approved by the Legislature) ■■ Entitled the 911 Good Samaritan Act ■■ Related to crimes in which individuals could be charged with possession of controlled substances ■■ Persons who seek medical attention for someone with a drug-related overdose may be immune from prosecution ■■ Persons experiencing a drug-related overdose and are seeking medical assistance may be immune from prosecution ■■ The “Immunity from Prosecution” clause in this bill cannot be used to suppress other criminal prosecutions ■■ Must be making a good faith effort to obtain or provide medical assistance USF Pharmacy School Location – SB 1994 (Approved by the Legislature) ■■ Clarifies that the USF College of Pharmacy be located on the University of South Florida Campus instead of the Florida Polytechnic University campus in Lakeland Regulation of Physician Assistants – CS/CS/CS/HB 363 (Approved by the Legislature) ■■ Changes physician assistant “prescribing license” to “prescribing authority” ■■ Removes requirement for three classroom hours of CME on prescriptive practice ■■ The prescribing authority for physician assistants can be granted by the presentation of a copy of a PA training program transcript that includes course content on pharmacotherapy Florida Discount Drug Card Program – HB 5003 (Implementing bill approved by the Legislature) ■■ Creates the competitive bidding of a discount program through a network of retail pharmacies ■■ The bill language can also include “a” mail order pharmacy to participate in the program ■■ Discounts must be offered to Florida residents regardless of income ■■ Patient enrollment must be available online or by text messaging without charge ■■ Any revenue from the discount card program contract must be deposited into the Agency for Health Care Administration’s (AHCA) Grants and Donations Trust Fund ■■ The revenue is to be used to offset the costs of Medicaid pharmacy purchases

MARCH 2012

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For complete and updated information on the convention schedule, accommodations and other details, visit the FPA website at www.pharmview.com.

We look forward to seeing you in Marco Island in July! MARCH 2012

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MARCH 2012

Flor i d a Pharmac y To d aY

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

MARCH 2012

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YES, I want to order tickets! 12 YEARS & UP

PLEASE PRINT:

Please charge my: q Master Card q Visa Or pay online via PayPal at www.FlPharmFound.org CARD #

# of Tickets:

x $60

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ADDRESS CITY

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A COPY OF THE OFFICIAL REGISRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.

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” MARCH 2012

HELP SUPPORT THE ADOPT-A-STUDENT PROGRAM Florida Pharmacy Association 122nd Annual Meeting & Convention July 4-8, 2012 The Marco Island Marriott Resort, Golf Club & Spa – Marco Island, Florida

Again this year, students from Florida Colleges of Pharmacy will be “Adopted” for the FPA Annual Meeting and Convention. Pharmacy students will benefit from the interaction with practicing pharmacists, learn first hand how FPA actually operates and how they can become involved in their chosen profession. As you remember, college students are on a tight budget and most of them cannot afford to attend convention. Here is how you can help! The cost to register/sponsor one student is $110.00. They also have travel, room and food expenses. Adopted students will receive complimentary registration, hotel accommodations and be able to attend special programs designed for them. If enough money is raised, FPA will also be able to include additional support for meals. Make a contribution yourself! Ask your local unit association or get together with friends to Adopt-AStudent. Remember…..these are the future leaders of pharmacy! Mentor Program. Each of the adopted students will be assigned a pharmacist who will invite them to attend meetings, CE programs, and share their knowledge and pharmacy experience with them. If you plan to attend the convention and would like to be a mentor, please contact the FPA office. Please fill out the form below and fax or mail with your check to: Florida Pharmacy Association 610 North Adams Street Tallahassee, FL 32301 Fax: (850)561-6758 Please make your check payable to the Florida Pharmacy Foundation Sponsor Name:_________________________________________________________________________ Address: ______________________________________________________________________________ City: _______________________________________ State: __________ Zip:_______________________ Phone: ________________________________ Amount of Contribution:___________________________ Charge to the following (please circle):

VISA

MASTERCARD

DISCOVER

AMEX

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

Flor i d a Pharmac y To d aY

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FreeStyle Lite & Precision Xtra Formulary Coverage ®

Florida Health Plan

FreeStyle Lite®

Precision Xtra™

Aetna

Preferred

TRICARE

Preferred

Health First Health Plans

Preferred

Sole Preferred

WellCare - Medicare Advantage Plan

Preferred

Staywell Health Plan

Preferred

Healthease Health Plan

Preferred

Childrens Medical Services

Preferred

Florida Medicaid

Open

Medicare Part B

Open

Preferred Care Partners, Inc. -Medicare Advantage Plan

Source: Formulary Compass Database as of April 2011.

™

The FreeStyle Promise Program is a FREE benefit that provides patients with the knowledge and support they need to better manage their diabetes ®

Save up to

For In Vitro Diagnostic Use.

$ per 600 year*

Blood Glucose & Ketone Monitoring System

8 out of 10 FreeStyle Promise program members with private insurance pay only $15 per month for program-eligible test strips, even if their plan changes* ®

Sole Preferred – Preferred brand covered at the lowest co-pay. Preferred – Where products are physically listed on a formulary, searchable site or PDL at an approved, tier 2 or on PDL designation, including where competitors may be listed at the same level (T2/A/PDL) or higher. Covered – Status is less favorable than a competitor, unless competitors require additional restrictions such as PA, SE, etc. Prior Authorization – Covered after plan authorization; actual co-pay may vary by plan benefit. Open – Test strips are at the same reimbursement level as all other test strips offered by the plan. Customer is ultimately responsible for determining the appropriate codes and payment policies for individual patients. Abbott Diabetes Care Inc. does not guarantee third-party coverage or payment for Abbott Diabetes Care products or reimburse customers for claims that are denied by third-party payers.

FreeStyle Lite Blood Glucose Test Strips are intended to be used with FreeStyle Lite and FreeStyle Freedom Lite meters only. ®

* You are responsible for the first $15 of each co-pay under your insurance coverage. Persons on high co-pay plans may have additional responsibility, but 8 out of 10 eligible patients pay just $15 co-pay per month for test strips through the FreeStyle Promise program. Void where prohibited. Co-pay assistance is not valid for prescriptions covered under Federal (e.g., Medicare) or similar State programs, and is not available for residents of the State of Massachusetts. Abbott can modify or rescind this offer without notice. ®

Flor i d a Pharmac y To d aY