12316 september gpha journal web by Georgia Pharmacy Association

September 2013 VOLUME 35, Issue 9

Twelve Fall Region Meetings Coming To A City Near YOU!

Association Plans Are DIFFERENT (between ordinary and extraordinary)

Georgia Pharmacy Association proudly sponsors Meadowbrook Insurance Group for your Worker’s Compensation insurance needs.

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Editor: Jim Bracewell jbracewell@gpha.org

CONTENTS

Managing Editor: Kim McNeely kmcneely@gpha.org

Message From Pamala Marquess.........................................

September 2013

The Georgia Pharmacy Journal® (GPJ) is the official publication of the Georgia Pharmacy Association, Inc. (GPhA). Copyright © 2012, Georgia Pharmacy Association, Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical including by photocopy, recording or information storage retrieval systems, without prior written permission from the publisher and managing editor. All views expressed in bylined articles are the opinions of the author and do not necessarily express the views or policies of the editors, officers or members of the Georgia Pharmacy Association. Articles and Artwork Those interested in writing for this publication are encouraged to request the official “GPJ Guidelines for Writers.” Artists or photographers wishing to submit artwork for use on the cover should call, write or email jbracewell@gpha.org. Subscriptions and Change of Address The Georgia Pharmacy Journal® (GPJ) (ISSN 1075-6965) is distributed as a regular membership service, paid for through allocation of membership dues. Subscription rate for non-members is $50.00 per year domestic and $10.00 per single copy; international rates $65.00 per year and $20.00 single copy. Subscriptions are not available for non-GPhA member pharmacists licensed and practicing in Georgia. The Georgia Pharmacy Journal® (GPJ) (ISSN 1075-6965) is published monthly by the GPhA, 50 Lenox Pointe, NE, Atlanta, GA 30324. Periodicals postage paid at Atlanta, GA and additional offices. POSTMASTER: Send address changes to The Georgia Pharmacy Journal®, 50 Lenox Pointe, NE, Atlanta, GA 30324. Advertising Advertising copy deadline and rates are available upon request. All advertising and production orders should be sent to the GPhA headquarters at jbracewell@gpha.org. GPhA Headquarters 50 Lenox Pointe, NE Atlanta, Georgia 30324 t 404-231-5074 f 404-237-8435

gpha.org

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Message From Jim Bracewell.................................................

Welcome New GPhA Members..............................................

Congressman Doug Collins..

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Fall Region Meetings............................

Pharm PAC.............................

Continuing Education

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Save The Date!

Southeast PRN Conference November 8-10 Earn up to 10 hours of CE! Visit gpha.org for more details! 1

“Inches Make a Champion!”

Pamala Marquess GPhA President

Are you ready for Immunization Time in Georgia?? The flu shot season is kicking off early this fall. I know many of you have changed your practice to accommodate for vaccine services. Some of you began this change 20 years ago when GPhA first offered the immunization training program. What are the facilitators of practice change? Practice change is hard. There is not much out there in the literature to help pharmacists recognize and act on factors that facilitate practice change. I did come across one article from Australia that identified factors that affected practice change and developed and validated an instrument that could quantify these facilitators of change.(1) The following seven facilitators of practice change were identified: 1. Relationship with physicians: Building rapport with physicians influences the success of clinical services implementation. 2. Remuneration: Reimbursement for providing clinical services. 3. Pharmacy layout: A designated area to provide patient care services. 4. Patient expectation: Importance of patient expectations and demand for clinical services. 5. Manpower: Sufficient staff to provide clinical services. 6. Communications/teamwork: Good ongoing communication with pharmacy staff regarding practice expectations and implementation of clinical services. 7. External support/assistance: An external support system to help with practice change and access to expert advisors. This is only a glimpse of the article but it does give pharmacists a starting point and some concrete concepts to ponder. Some of these factors are more challenging than others. We need the entire profession to speak with one voice for pharmacist provider status. How many opportunities have you missed because you were not aware of the possibilities that would occur if you applied a small amount of effort beyond what you normally do? Make the extra contact each day…..a sales call…..a customer…..a brief discussion with a colleague…..an encouraging talk with a member of your team. With contact comes opportunity. At the end of the year; you’ll have opened more than 200 additional doors of possibility! I challenge you to find the opportunities in your practice! Remember, Vince Lombardi’s famous quote, “Inches make a Champion!” I know there is a Champion in each of you!

Pam

Reference (1) Roberts AS et al. Practice change in community pharmacy: quantification of facilitators. Ann Pharmacother 2008; 42:861-8.

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Membership Milestones OBITUARY Frances Davis, grandmother of President-Elect Moody

Mrs. Francis Marion Salisbury Davis, 92, of Sylvester died July 25, 2013.

MISSION WORK First Vice President Tommy Whitworth traveled to Honduras in July for a medical mission trip.

First Vice President Tommy Whitworth

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“Dirty Pigs” - A Model For A Better Future In Pharmacy During the hot Georgia summer on my Granddaddy’s farm, my Granddaddy would mix up a concoction of ingredients into a large bucket that I was never quite sure about. He explained that the formula was a wonderful remedy for the pigs that helped keep off fleas, ticks and various other parasites. After mixing it to his liking, he then wanted us boys to catch all his pigs on the farm and paint the yucky substance all over their bodies.

Jim Bracewell

Executive Vice President

He started off by saying “I know you probably will not be able to catch every pig, so for the ones you do catch, be sure to smear a large portion of this stuff on them”. “Why?,” I asked. “Because, eventually the pigs will get together,” he replied. “They will mingle with each other as they feed and move about. Then the magic will happen. The painted pigs you caught will rub off on the pigs you did not catch. That daily contact with the smeared pigs will improve the health of the whole herd. In the end we will have a healthier herd of pigs and they will mature into strong full bodied pigs great for market.” We at GPhA will never reach all the pharmacists in Georgia. As a GPhA member however - one that cares about your profession, one that cares about your career you will rub off on those pharmacists who just come to work each day only for their paycheck. You may think you do not have an impact on your friends in the profession but you really do. They may never verbalize it but they know that GPhA members like you continue to grow the health of the pharmacy profession, advocate for their professional standing and assist to secure a positive economic future for them through your membership. Where would the profession of pharmacy in Georgia be without the Georgia Pharmacy Association? You probably don’t even want to think about that. I have a great idea. Share this journal with a pharmacy friend that is not a GPhA member. Maybe they will read this article and realize the biggest thing holding pharmacy back today from being all it should be is the apathy of the pharmacists who never give back to their profession. Rub up against them and see if our herd doesn’t get healthier. Our new GPhA Sustaining Membership is only $14.58 per month. What a small investment in your career!

“Pharmacists committed in a unified voice to improve public health and advance the profession”

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WELCOME New GPhA Members Active Pharmacists James Bloodworth Hawkinsville, GA Ken Trapnell Grovetown, GA Jimmy Atkinson

About GPhA

Pharmacists committed in a unified voice to improve public health and advance the profession The members of GPhA would like to welcome all our new members and encourage them to take advantage of all the benefits membership offers.

Douglas, GA Vick Parag Johns Creek, GA Thomas Jusu Atlanta, GA Joint Membership Melissa and Yancy Witt Fayetteville, GA First Year Pharmacists Laura Briscoe Richmond Hill Elizabeth Lim Atlanta, GA

Have you considered GPhAâ&#x20AC;&#x2122;s new Sustaining Membership at $14.58 per month. Never get another renewal notice. Questions? Contact Kim McNeely at 404-419- 8105 or at kmcneely@gpha.org

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Representative Doug Collins Speaks at House On Pharmacy Earlier this summer, several Congressmen took to the floor of the US House of Representatives for nearly 30 minutes to talk about the crucial services pharmacists offer to so many patients. One of the main leaders of this effort was Congressman Doug Collins.

Andy Freeman Director of Government Affairs

“I have a little pharmacy I go to. We have several, but one of the main ones I go to is Woody’s Pharmacy, Kevin Woody. And I go in there and I know that when I ask him about the drugs for myself, for my wife, my kids, he gives me answers. He helps me know why they interact, what goes on. We’ve got pharmacists in all kinds of settings that do that every day for folks. But our local pharmacies, and especially our community pharmacies, right now are under attack,” began Rep. Collins. Collins continued “It’s a tough enough task to survive in this economy, and the overregulation by the administration is only making it more difficult. I am committed to working with my colleagues … to promote legislation that will provide consumers with greater choice of pharmacies, require fair standards for PBM pharmacies, support access to diabetes testing supplies, protect traditional pharmacy compounding, and ensure that our military families can enjoy the many benefits that community pharmacies provide. In many cases, independent and community pharmacists have dedicated their careers to providing quality patient care. However, they’ve been continuously cut by unfair reimbursements, overbearing audits, and a take-it-or-leave-it approach to contracts.” For nearly 30 minutes Representative Doug Collins made the pharmacists of his District and the rest of the State proud as he attacked low reimbursement rates of Medicare on diabetic testing strips, MAC pricing, unfair auditing procedures by PBMs and other issues that pharmacists face daily. Rep. Collins ended his presentation with, “When we are looking at a health care situation and an aging population, our community pharmacists need to be a vital player in that market, making sure that our health and our well-being are taken care of in a kind and caring and compassionate way.”

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Congressman Doug Collins Is A Friend of Pharmacy “…[O]ur local pharmacies, and especially our community pharmacies, right now are under attack,” “Local pharmacists play a vital role in America’s neighborhoods and communities…. They provide unparalleled guidance, assistance, and resources for families, including my own.” “One of the things that they also help us do, and community pharmacists do, is provide that preventive care that keeps us from getting into these long-term illnesses which drive up the health care costs….”

Representative Doug Collins spoke from the floor of the House of Representatives on July 24. Collins addressed the important role of pharmacy in healthcare.

“Now, pharmacists have to choose between keeping their business open or giving their patients the supplies and care they need. This isn’t a choice they should be forced to make.”

Representative Doug Collins speaks with GPhA member and pharmacist Laird Miller at a recent visit to Gainesville in the spring.

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“PBMs are actually one of the least regulated segments of the health care market, yet they are the cause of numerous frivolous audits that local pharmacies are subjected to.” 7

Upcoming Association Events

October 2013

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GPhA Executive Committee Attends 43rd Annual Southeast Pharmacy Officers Conference in Nashville, Visit Pharmacies

The state of Georgia was represented well at the conference by President Pam Marquess, President Elect BobbyMoody, First Vice President Tommy Whitworth, Second Vice President Lance Boles, Chairman Robert Hatton and GPhA EVP Jim Bracewell.

On the way to Nashville, the Executive Committee visited several pharmacies. One stop was at Whiteâ&#x20AC;&#x2122;s Pharmacy in Dalton, Georgia. From left to right, Whitworth, Marquess, Moody, Chris Sams of Whiteâ&#x20AC;&#x2122;s Pharmacy, Hatton and Boles.

The Executive Committee also visited Rep Bruce Broadrick at his store. Broadrick, center, works at Walgreens in Dalton.

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Be A Membership Ambassador in GPhA! Georgia Pharmacy Association

Pharmacists committed in a unified voice to improve public health and advance the profession. Name:

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Please mail your application to: Georgia Pharmacy Association – 50 Lenox Pointe, NE – Atlanta, Georgia – 30324 or fax to 404-237-8435 or email to Kim McNeely at kmcneely@gpha.org.

Unless you have reoccurring payments for your Active Pharmacist monthly billing, your credit card will only be used for one transaction and will not be retained by our accounting department.

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Is Your Pharmacy Ready?

HIPAA Has New Rule Changes Effective September 23, 2013 There are several changes to the HIPAA Rules that go into effective September 23rd. Pharmacies need to take action now to avoid repercussions of noncompliance. All pharmacies should review, revise and/or replace their existing HIPAA Compliance Program. Who do the Changes Affect? HIPAA business associates, including a wide range of vendors who contract with pharmacies and access protected health information (PHI). So if you do business with an organization that comes into contact with Personal Health Information from your pharmacy, make sure you have a business associate agreement on file! What Action is Required? So, if your pharmacy cannot locate your HIPAA Manual or Procedures, or if these procedures have never been reviewed or revised, they need to be updated now to be compliant. At a minimum: -Revise Business Associate Agreements and have them on file with any entity your pharmacy does business with that may handle PHI; -Revise HIPAA Policies and Procedures, including modifications to address response to potential breaches involving unsecured PHI; -Update and redistribute Notices of Privacy Practices; -Train employees on updated obligations. Key Changes impacting Pharmacies: The Omnibus Rule expands the definition of business associate to include: any downstream subcontractor that creates, receives, maintains, or transmits PHI on behalf of the business associate, even if they have an indirect relationship with a covered entity; Health information organizations,

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Several changes to the HIPAA Rules go into effect September 23rd. Make sure you are compliant. e-prescribing gateways, or other persons that provide data transmission services to a covered entity that require routine access to PHI; and any person that offers a personal health record to individuals on behalf of a covered entity.

compromised by the unauthorized use or disclosure.

The Rule expands the liability and obligations of business associates and their subcontractors making them directly liable for compliance with the HIPAA Privacy and Security Rules,

Enforcement will now be proactive and no longer just in response to complaints. The Office of Civil Rights (OCR) is hiring enforcement officers to visit facilities to conduct compliance audits. The HIPAA Police will be out there! Ignorance will not work as an excuse. HHS may impose civil monetary penalties up to $1.5 million for all violations of an identical HIPAA requirement in a calendar year. The exception under the previous rule that shielded pharmacies and other covered entities from civil penalties stemming from the conduct of their business associates has been eliminated. So, Pharmacies and business associates are liable for the acts of their respective business associate agents.

The Rule eliminates the “significant risk of harm” standard as the threshold for breach notification. Under the previous rule, breaches were not required to be reported unless they posed a “significant risk of reputational, financial or other harm” to individuals. The new standard reverses the standard and presumes that a reportable breach has occurred unless the covered entity or business associate, through the use of a multi-factor risk assessment, determines that there is a low probability that the PHI has been

Pharmacies need to ensure that business partners do not sell or market any PHI. How will this be Enforced?

Get compliant today! http://prspharmacyservices.com/hipaa/

Fall Region Meetings October Region 10 – Athens President Flynn Warren fwarren@rx.uga.edu

October 22 Region 11- Augusta President Kalen Manasco kmanasco@georgiahealth.edu

Region 1- Savannah President Krista Stone ugarxgirl@gmail.com

Region 2 – Tifton President Ed Dozier eddozier@mediacombb.net

October 29 Region 4- Griffin President Nicholas Bland blandn112@gmail.net

Region 7- Kennesaw President Tyler Mayotte tylermtt@gmail.com

November November 5 Region 6-Macon President Sherri Moodyi sherri07@yahoo.com

Region 8- Waycross President Michael Lewis mikelewrph@gmail.com

Region 9 – Blue Ridge President Amanda Paisley mandy.paisley@gmail.com

November 12 Region 12 – Dublin President Ken Eiland Kenton.eiland@va.gov

Region 3 – Columbus President Renee Adamson radamson@ eldercarepharmacy.org

Region 5- Norcross President Shelby Biagi sgbiagi@aol.com

Visit gpha.org for more information 12

The Georgia Pharmacy Journal

The Georgia Pharmacy Association and the Cardinal Health Foundation congratulate James W. Bartling as the recipient of the 2013 Cardinal Health GenerationRx Champions Award!

This award recognizes a pharmacist who has demonstrated excellence in community-based prescription drug abuse prevention. We celebrate Jamesâ&#x20AC;&#x2122; outstanding efforts and commitment to raising awareness of the dangers of prescription drug abuse among the general public and among the pharmacy community. For more information about the award, visit cardinalhealth.com/GenerationRx

Jim Bartling was president of GPhA in 1992-1993 ÂŠ 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO, and EssENTIAL TO CARE are trademarks or registered trademarks of Cardinal Health. All other marks are the property of their respective owners. Lit. No. 5CR11959_GA (06/2013)

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cardinalhealth.com/GenerationRx

Pharmacists Recognized by Health and Human Services and Centers for Disease Control for Immunization Contributions

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Long Term Care - Some Important Questions

Long Term Care. Much is being written and said about those three words. You may have questions as to whether or not you should do anything about this matter. You may have questions about how to secure LTC coverage and may need clarification on the carriers themselves. You probably have questions as to funding strategies and carriers. With any financial related matter, education is paramount. Most find that there is a way of being educated that resonates with them, whether it is going to a specific website or conducting research and exploration on the web or speaking to someone directly for the purposes of getting their questions answered. Effective Long Term Care planning on the front end There are many questions about long term care that can really involves the following three steps and subsequent be answered by a professional. agreements: 1.

Is it my expectation to live a long life?

If I do live a long life, is it reasonable to assume that the longer I live, the greater the likelihood that I could need LTC and the accompanying services at some point?

IF YES, THEN---

IF YES, THEN-When the Long Term Care issue and its associated challenges present themselves to you and your family, do you realize that it is no longer about you? (It is about the impact that delivering your care will have on your family if you do not have a formal LTC plan and the affect that the accompanying costs will have on your finances)

Have you had a prior experience with Long Term Care? If the answer is yes you may already understand these three steps. You may wish to consider getting further educated on this matter in a manner that is comfortable for you. For more information, please contact Ruth Ann McGehee at rmcgehee@ gpha.org or call 404-419-8173.

Real Financial Planning. No Generics. It means having real strategies for all your financial issues, not just insurance and investments. It means working with a real planner who is experienced with the needs of pharmacists, their families, and their practices. It means working with an independent firm you can trust. For more information view our video at www.fnaplanners.com.

Michael T. Tarrant, CFPÂŽ Speaker & Author PharmPAC Supporter Creating Real Financial Planning for over 20 Years

1117 Perimeter Center West, Suite N-307 Atlanta, GA 30338 â&#x20AC;˘ 770-350-2455 mike@fnaplanners.com www.fnaplanners.com Securities, certain advisory services and insurance products are offered through INVEST Financial Corporation (INVEST), member FINRA/SIPC, a federally registered Investment Adviser, and affiliated insurance agencies. INVEST is not affiliated with Financial Network Associates, Inc. Other advisory services may be offered through Financial Network Associates, Inc., a registered investment adviser.

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139th GPhA Convention Wyndham Bay Point Resort Panama City Beach, FL Schedule of Events June 26-29, 2014 Wednesday, June 25, 2014 Certificate Program 2013-2014 Board of Directors Meeting Council of President’s Reception

Thursday, June 26, 2014 CPE Programs General Session Exhibit Hall featuring Student/Sponsor VIP Lounge Alumni Dinners

Friday, June 27, 2014

Saturday, June 28, 2014 Georgia Pharmacy Coalition Meeting CPE Programs General Session Academy Luncheons Election Closes Tellers Committee Resolutions Committee President’s Reception & Banquet

Sunday, June 29, 2014

Sunrise Service Annual Meeting 2014-2015 Board of Directors Meeting

Golf / Tennis CPE Programs General Session Exhibit Hall PharmPAC Reception

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Georgia Pharmacy Association

2013-2014 BOARD OF DIRECTORS Name

Position

Robert M. Hatton Pamala S. Marquess Robert B. Moody Thomas H. Whitworth Lance P Boles Liza Chapman Terry Forshee David Graves Joshua D. Kinsey Eddie Madden Laird Miller Chris Thurmond Krista Stone Ed S. Dozier Renee D. Adamson Nicholas O. Bland Shelby Biagi Sherri S. Moody Tyler Mayotte Michael Lewis Amanda Paisley Flynn Warren Kalen Manasco Ken Von Eiland Thomas R. Jeter Sharon B. Zerillo John Drew Drew Miller Michelle Hunt Leah Stowers John T. Sherrer Michael E. Farmer Al McConnell Megan Freeman Amy C. Grimsley Rusty Fetterman Lindsey Welch Tyler Bryant Tiffany Galloway Jessica Kupstas Jim Bracewell

Chair of the Board President President-Elect First Vice President Second Vice President State At Large State At Large State At Large State At Large State At Large State At Large State At Large 1st Region President 2nd Region President 3rd Region President 4th Region President 5th Region President 6th Region President 7th Region President 8th Region President 9th Region President 10th Region President 11th Region President 12th Region President ACP Chair AEP Chair AHP Chair AIP Chair APT Chair ASA Chair Foundation Chair Insurance Trust Chair Board of Pharmacy Chair GSHP President Mercer Faculty Representative South Faculty Representative UGA Faculty Representative ASP, Mercer University ASP, South University ASP, UGA Executive Vice President

Melvin M. Goldstein, P.C. A T T O R N E___ Y AT L AW 248 Roswell Street Marietta, Georgia 30060 Telephone 770/427-7004 Fax 770/426-9584 www.melvinmgoldstein.com

n Private practitioner with an emphasis on representing healthcare professionals in administrative cases as well as other legal matters n Former Assistant Attorney General for the State of Georgia and Counsel for professional licensing boards including the Georgia Board of Pharmacy and the Georgia Drugs and Narcotics Agency n Former Administrative Law Judge for the Office of State Administrative Hearings

The Georgia Pharmacy Journal

Keeping Independents Independent Dear Jeff, Jennie and I want to thank you for your recent intervention to help us retire and to keep our pharmacy independent. When we made our decision to sell Warwick Drugs, you were our first contact. You

Is it time to sell your pharmacy?

acted quickly and professionally to find a buyer in 5 days! We joined AIP at its inception. We

Do you want to own your own pharmacy or buy another pharmacy?

have participated in its programs, utilized the extensive information network and treasured our relationships with exceptional people, like you. We wish the best for all of you and the role you all play in our healthcare future. If we can ever be of assistance, please call on us. Thanks again; our best regards to all. Sincerely yours, Cliff Hilliard, RPH, PHD

Call Jeff Lurey, R.Ph. AIP Director 404-419-8103 jlurey@gpha.org

The Georgia Pharmacy Journal

Georgia Pharmacy Association

50 Lenox Point NE Atlanta, GA 30324

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Chartered Retirement Plans SpecialistSM and CRPS® are registered service marks of the College for Financial Planning®. Neither UBS Financial Services Inc. nor any of its employees provides legal or tax advice. You should consult with your personal legal or tax advisor regarding your personal circumstances. As a firm providing wealth management services to clients, we offer both investment advisory and brokerage services. These services are separate and distinct, differ in material ways and are governed by different laws and separate contracts. For more information on the distinctions between our brokerage and investment advisory services, please speak with your Financial Advisor, the Wile Consulting Group, or visit our website at ubs.com/workingwithus. Financial Planning services are provided in our capacity as a registered investment adviser. As a firm providing wealth management services to clients in the U.S., we offer both investment advisory and brokerage services. These services are separate and distinct, differ in material ways and are governed by different laws and separate contracts. ©UBS 2013. All rights reserved. UBS Financial Services Inc. is a subsidiary of UBS AG. Member SIPC. 7.00_8.5x8_AX0313_WilE 0313150 exp3/22/15

7.00_8.5x8_AX0313_WilE Created

03/13/13

Dimensions Inks Publication Insertion date(s)

8.5 x 11” cmyk n/a n/a