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Trevor Miller – Director of Insurance Services 404.419.8107 or email at tmiller@gpha.org Georgia Pharmacy Association Members Take Advantage of Premium Discounts Up to 30% on Individual Disability Insurance Have you protected your most valuable asset? Many people realize the need to insure personal belongings like cars and homes, but often they neglect to insure what provides their lifestyle and financial well-being - their income! The risk of disability exists and the financial impact of a long-term disability (90 days or more) can have a devastating impact on individuals, families and businesses. During the course of your career, you are 3½ times more likely to be injured and need disability coverage than you are to die. (Health Insurance Association of America, 2000) As a member of the Georgia Pharmacy Association, you can help protect your most valuable asset and receive premium discounts up to 30% on high-quality Individual Disability Income Insurance from Principal Life Insurance Company.
For more information visit www.gphainsurance.com. * Association Program subject to state approval. Policy forms HH 750, HH 702, HH 703. This is a general summary only. Additional guidelines apply. Disability insurance has limitations and exclusions. For costs and details of coverage, contact your Principal Life financial representative.
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Departments
On the Road Again Fall Region Meetings October 6, 13, 15 & 27, 2009 FEATURE ARTICLES
12 15 18 19 19 21
Keep Jobs in Georgia Reagan Home Care Pharmacy Celebrates 50th Anniversary Foundation Scholarship Recipients Say “Thank You”
5 13 14 20 30
New Members Pharm PAC Contribution Card GPhA Member News University News GPhA Board of Directors
Advertisers 2 2 6 11 11 16 18 21 31
The Insurance Trust Principal Financial Group Pharmacists Mutual Companies PharmStaff Toliver & Gainer AIP Melvin M. Goldstein, P.C. Michael T. Tarrant Southeastern “Girls of Pharmacy” Leadership Weekend 32 The Insurance Trust
Pharmacies are Negatively Impacted by “as directed” Prescriptions PA Signature Line Change CPE Opportunity: Advancing Pharmacy Practice Though Performance Measurement: Future Implications
COLUMNS
4 7
President’s Message Editorial
For an uptodate calendar of events, log onto
www.gpha.org.
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October 2009
PRESIDENT’S MESSAGE Eddie M. Madden, R.Ph. GPhA President
Flu Season is Upon Us s I traveled around the State making our region meetings, I have asked the audience how many immunizing pharmacists were in attendance. Much to my surprise they were in the minority. I have been an immunizer since March 2001. My experience with offering immunizations in my community has been very rewarding. I have had many new faces enter my pharmacy and have also had a lot of previous patients return. I started being bombarded with calls in late August wanting to know when the flu shots would be available. I am amazed at how my community has become aware of my pharmacy being a source for flu immunizations. This year is a new year for Georgia pharmacists wishing to give immunizations. During the last calendar year and this year’s legislative session, our Association has been working with the Medical Association of Georgia crafting legislative language that will permit Georgia pharmacists to give influenza vaccinations under protocol. There are new legal requirements for pharmacists to provide influenza vaccinations under a protocol. These new requirements invalidate our previous use of a protocol, which was deemed illegal, to give mass immunizations.
approved template protocol agreement is available on the Georgia Composite Medical Board’s website. If you do not use the pre-approved template then your protocol must be submitted to and approved by the Board. This agreement must be executed between the pharmacist and an active physician located in a county or contiguous county for non-chain pharmacists or within a state health district for chain pharmacists and it must be filed with the Georgia Composite Medical Board. Both the pharmacy and the physician’s practice must be registered with GRITS, a Georgia immunization registry designed to collect and maintain accurate and complete vaccination records which are required to be used by Georgia law. The pharmacist immunizer must also complete an approved course on the administration of vaccines, one of which is the APHA’s Immunization Delivery Program. I am currently preparing to take the APHA Immunization Class to meet the legal requirements. While I have administered more than a thousand vaccinations, I am finding that this program has given me a more in depth understanding of the basics of immunology and the importance of vaccine preventable diseases. The completion of Basic Cardiac Life Support is also a new requirement increasing the level of training above CPR.
To utilize a protocol agreement for influenza vaccination, specific requirements must be met. An
October is the prime time for administering flu vaccinations. If you are not an immunizing pharmacist, I
A
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urge you to consider expanding your scope of practice to include this vital activity. As our profession struggles to offer opportunities to expand our scope of practice, it is up to you to take advantage of the fruits of our efforts. By offering immunizations, you have the opportunity to raise the public’s awareness of the increasing role the pharmacist can play as part of the healthcare team and heightens our statute in the community and among other healthcare providers. The process to establish an immunization program in your pharmacy will take several months. Begin now for next year’s flu season.
registered with GRITS and have the facilities to store vaccine and the training to give vaccinations. Our Association has also made efforts to contact and identify pharmacies and pharmacists from throughout the state that would be willing to participate in a pandemic emergency not only providing vaccinations, but also dispensing government stockpiles of Tamiflu. If you have not been contacted and would like to participate, please notify the Association so we can assist you in becoming involved. Pharmacists are the most accessible and underutilized members of the healthcare team. Pharmacists can make significant contributions to improving immunization rates in their communities. We can easily identify specific people who need vaccines on the basis of age and medical histories. We owe it to our communities and patients to be an advocate for vaccine preventable diseases. With over 40,000 pharmacists and future pharmacists now having completed certificate training in immunizations, momentum is rapidly moving pharmacy-based immunizations to become the standard of practice throughout the United States. The train is leaving the station. Be sure you and your practice are on board!!!
Another important aspect of being an immunizing pharmacist is the opportunity to play a vital role in the case of a pandemic flu. The emergence of the H1N1 flu has gotten international attention. Every state is working on plans to handle a pandemic flu event. With the chance of tens of thousands of more deaths, our current health systems will become inundated with patients seeking medical treatment and immunizations. The State is currently trying to identify pharmacies and pharmacists that can provide an expanded network to take care of this pandemic threat. To participate in this year’s H1N1 flu program, an immunizing pharmacist must contact their district health department and fill out an application to be approved for receiving and administering this vaccine. You will be required to have
Welcome to GPhA! The following is a list of new members who have joined Georgia’s premier professional pharmacy association! Hagar Badawy, Savannah Tara R. Bennett, Savannah Timothy Scott Costyn, Athens Karen Melissa Da Cruz, Atlanta Amy Elhamshary, Savannah William M. Harper, OD, Tifton Kimberly Ann Jameson, C.Ph.T., Woodstock Jesica Aileen Lipcsei, Savannah Phung Kim Mach, Duluth Kayleigh Marx, Athens Henry McGill, R.Ph., Hahira The Georgia Pharmacy Journal
Kristen Leigh Motlow, Martinez Gerald J. Prchal, Albany Erin Sage Rodems, Savannah Stephen E. Schock, OD, Marietta Jason Paul Sneed, Pharm.D., Sugar Valley Ben Stanley, Pharm.D., Gordon Heather Angelica Tidwell, Savannah Zachary Tomberlin, Savannah Erica Nicole Williams, Savannah Weldon Williams, Jr., Pharm.D., Savannah
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EXECUTIVE VICE PRESIDENT’S EDITORIAL Jim Bracewell Executive Vice President / CEO
Caution: Sit Down Before You Read This Article he following is taken directly from the August 2009 communication to State of Georgia retirees from the Department of Community Health.
1. The Pharmacy Benefit Manager (PBM) contracted by the State of Georgia sets the terms and conditions for all pharmacies including the mail order pharmacy owned by the PBM. Specifically how many co-pays the retiree must pay each pharmacy.
T
Georgia Department of Community Health to State Retirees: “The mail order option means that you either: 1. Pay 3 co-pays for a 90-day supply at your retail pharmacy OR 2. Reduce your out-of-pocket cost and pay only 2 co-pays for a 90 day supply if you choose to get your prescriptions through the mail.”
2. The State has allowed this PBM to implement a contract that penalizes a retired state employee by requiring the retiree through the health plan contract to pay an additional prescription drug co-payment for a 90-day prescription if they fill their 90-day prescriptions at a Georgia community pharmacy.
This mandate to charge each retiree an extra co-pay to fill their prescriptions at their home town pharmacy or charge the retiree a co-pay less to go to an out of state mail order pharmacy which is owned by the company that is administering the contract for the State of Georgia is almost too much to believe. The only increased cost involved is to the retiree for using a local Georgia pharmacy.
3. This PBM is allowed to charge one less co-pay on 90 day prescriptions if the prescription is filled at their PBM owned mail order pharmacy in another state. Currently we are told the PBM by contract terms will not allow Georgia pharmacies to offer the same two co-pay program. “Why go to your local chamber of commerce with this issue?” you ask.
“What can you do?” you ask. Because the state of Georgia has 171 local chambers of commerce and collectively they have much more clout on economic issues than all of the pharmacy community put continued on page 8
These are three statements you need to provide personally to your local chamber of commerce president.
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together. The local chamber president knows that if this can happen to a local pharmacy it can happen to any business that contracts with the state of Georgia. As taxpayers and as representatives of business, especially small business they ought to be outraged by this action.
See the article in the Atlanta Journal Constitution by State Representative Buddy Carter on page 12. How do you reach your local chamber of commerce? If you do not find them quickly in the phone book then go to www.gachamber.com/directory?localchambers for a full listing.
Do not let a slick reply from the insurance company or PBM representative distract you from the issue of these three statements. Stay focused on this issue, no state retiree should be financially penalized for purchasing their prescription drugs from the community pharmacy in their home town.
When you contact your local chamber, please fax me at 404 237-8435 or email me at jbracewell@gpha.org about your contact and I will follow up with a personal letter to the local chamber thanking them for their interest and support.
It is egregious that the Department of Community Health who handles these benefits would allow such an action to take place.
Will this effort work? Will this cause a change in the state to change the contract? It is for sure nothing will happen if you do not let your local chamber know and ask for their help.
See the letter to Governor Perdue from President Eddie Madden on page 9.
The State Health Plan takes effect January 1, 2010. Let's plan on a happy 2010 by keeping Georgia tax dollars in Georgia.
See the letter to Commissioner Dr. Medows from President Eddie Madden on page 10.
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The Honorable Sonny Perdue Governor of Georgia The Office of the Governor State of Georgia 203 State Capitol Atlanta, Georgia 30334 Dear Governor Perdue: This letter is offered to serve as the Georgia Pharmacy Association’s response to the two co-pay, mail-order incentive for State Health Benefit retirees. As pharmacists we believe the best patient care can only be achieved through a system that allows the patient to have access to the pharmacist. A pharmacist is an important factor in medication therapy management because of their superior knowledge of pharmacology. A pharmacist has the ability and knowledge to intercede effectively if they see a mistake made during the prescribing or dispensing process. In a mail-order system there are no checks and balances to assure the medication is properly prescribed, stored and shipped to the patient. In a time when many state agencies are asking patients to seek a “medical home,” other Georgia state agencies are telling patients thatfrom where and from whom they receive their medications is not important to their overall health. When a state agency has the ability to assign a dollar value to the healthcare of Georgia’s citizens, the patients ultimately suffer. We are allowing our citizens’ level of care to be determined by publicly traded companies that have no interest in the welfare of our state much less the welfare of our citizens’ health. The pharmacists who have been educated in Georgia, built businesses in Georgia and paid taxes in Georgia have a vested interest in the welfare of their communities. The Georgia pharmacists are willing to come to the table to help with the deep budget cuts currently being enacted. We are asking that the Department of Community Health allow Georgia pharmacists to participate in the same two co-pay incentive. This is not a popular choice, but our pharmacists are willing to do what is necessary to help their communities and patients in the time of need. Please help create a level playing field so our citizens can make choices that are best for their healthcare, not only their wallets. Do not put our state’s healthcare in the hands of corporate entities that have no vested interest in the welfare of our citizens. Sincerely,
Eddie Madden, R.Ph. Madden’s Pharmacy, Elberton, GA President, GPhA Board of Directors
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Dr. Rhonda Medows Commissioner Department of Community Health 2 Peachtree Street, NW Atlanta, GA 30303 Dear Dr. Medows: This letter is offered to serve as the Georgia Pharmacy Association’s response to the two co-pay, mail-order incentive for State Health Benefit retirees. As pharmacists we believe the best patient care can only be achieved through a system that allows the patient to have access to the pharmacist. A pharmacist is an important factor in medication therapy management because of their superior knowledge of pharmacology. A pharmacist has the ability and knowledge to intercede effectively if they see a mistake made during the prescribing or dispensing process. In a mail-order system there are no checks and balances to assure the medication is properly prescribed, stored and shipped to the patient. In a time when many state agencies are asking patients to seek a “medical home,” other Georgia state agencies are telling patients thatfrom where and from whom they receive their medications is not important to their overall health. When a state agency has the ability to assign a dollar value to the healthcare of Georgia’s citizens, the patients ultimately suffer. We are allowing our citizens’ level of care to be determined by publicly traded companies that have no interest in the welfare of our state much less the welfare of our citizens’ health. The pharmacists who have been educated in Georgia, built businesses in Georgia and paid taxes in Georgia have a vested interest in the welfare of their communities. The Georgia pharmacists are willing to come to the table to help with the deep budget cuts currently being enacted. We are asking that the Department of Community Health allow Georgia pharmacists to participate in the same two co-pay incentive. This is not a popular choice, but our pharmacists are willing to do what is necessary to help their communities and patients in the time of need. Please help create a level playing field so our citizens can make choices that are best for their healthcare, not only their wallets. Do not put our state’s healthcare in the hands of corporate entities that have no vested interest in the welfare of our citizens. Sincerely,
Eddie Madden, R.Ph. Madden’s Pharmacy, Elberton, GA President, GPhA Board of Directors
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PHARMACY NEWS Buddy Carter, R.Ph. Candidate for State Senate
Keep Jobs in Georgia ome of my fondest memories growing up are of vacations my family and I spent at a Georgia State Park- camping at Elijah Clark State Park near Lincolnton.
In other words, DCH is encouraging and offering incentives for Georgia citizens to send their prescription business out of the state.
S
What’s going on here? Why are we sending business out of our state when revenues are down and unemployment is up?
Throughout the years, my family and I have continued this vacation tradition and always look forward to our yearly summer pilgrimage.
Georgia’s main budget revenue sources are income, corporate and sales taxes. Out of state workers and companies pay no income tax, no corporate tax and no sales taxes- so why do we send jobs and business out of our state?
Imagine our surprise when we called last year to make a reservation and reached a call center in Maryland. That’s right- to make a reservation for a Georgia State Park you have to call Maryland. If you want to buy a Georgia hunting or fishing license guess where you call? You got it- out of state.
In July, Georgia’s unemployment rate topped 10 percent for the second month in a row. The national unemployment rate for July was 9.4 percent, making July the 21st consecutive month in which the state unemployment rate topped the national rate.
Recently the Georgia Department of Community Health (DCH) announced a new policy that requires all State Health Benefit Plan (SHBP) retirees and covered dependents to enroll in an insurance plan that offers a huge incentive to use mail order pharmacies located out of state instead of your local retail pharmacy.
The Georgia Pharmacy Journal
According to the Labor Department there were 493,748 unemployed Georgians looking for work in July, which is an increase of 63.6 percent from July of 2008.
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Recently, Georgia State University’s chief economic forecaster predicted that Georgia’s job losses will continue through 2010 before seeing any significant jobs added in 2011. While some economists are suggesting that the recession may have bottomed out, many are still concerned that without an increase in jobs, Georgia’s high unemployment rate will continue to have a negative impact on the budget. After all, job losses not only mean less income, corporate and sales tax revenues going into the budget, it also means more pressure on social programs such as food stamps, Medicaid and Peachcare coming out of the budget. So why would a state such as Georgia, that has worked so hard to be viewed as being” business friendly,” offering tax credits for major economic development projects as well as other financial incentives for companies to bring jobs to our state, send jobs out of the state? Some critics point to budget cuts ordered by the Governor to be made by department and agency heads as being the problem. Had the Legislature been more involved and a special session been called, this probably would not have happened, they say. After all, they point out, the Legislature has passed numerous bills to help create and keep jobs in our state and even created the “Made in Georgia” program that promotes goods and products manufactured in Georgia. http://georgiamadegeorgiagrown.com Regardless of the reason for this oversight, these wrongs need to be righted. We shouldn’t have to call another state to make reservations in a Georgia State Park or purchase a Georgia hunting or fishing license. And State Health retirees shouldn’t have to use an out of state mail order pharmacy to get their medications.
Pharm PAC would like to encourage you to make a contribution today and help pharmacy look forward to a bright future in the state of Georgia. Name: __________________________________________ Address: __________________________________________ __________________________________________ Phone Number: __________________________________________ Email Address: __________________________________________ Pledge: $___________________________________ (Circle the Pledge Level to which you wish to belong.) $1 - $250 - Patriot $251 - $500 - Representative $501 - $1000 - Senator $1001+ - Governor’s Circle
Sustainers Circle: When you check this box and provide valid credit card information you are making a 5 year commitment to make the same contribution for the next 5 years. Your credit card will automatically be charged annually on the date of your initial contribution. Contributions or gifts to Pharm PAC are not deductible as charitable contributions for Federal income tax purposes. Name on the Credit Card: __________________________________________ Credit Card Number: __________________________________________ CSV#: ________ Expiration Date: _________________ Signature: __________________________________ Detach this form and complete it and return it to:
Pharm PAC, 50 Lenox Pointe, NE Atlanta, GA 30324 You may also donate online.
Let’s be smart about the cuts we make and keep Georgia tax dollars in Georgia.
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October 2009
GPHA MEMBER NEWS Ashish A. Advani, Pharm.D., clinical assistant professor at Mercer University, was awarded a $50,678 grant for the Drug Information Residency program from Alaven Pharmaceuticals, LLC. Michael W. Jann, Pharm.D., professor at Mercer University, co-authored “Cholinesterase Inhibitors” in COMPREHENSIVE TEXTBOOK OF PSYCHIATRY. Heather DeBellis, Pharm.D., Assistant Professor of Pharmacy Practice (Community Care) at South University received the Mortar and Pestle Award from the class of 2009 Andrea L. McKeever, Pharm.D., BCPS, Assistant Professor of Pharmacy Practice (Drug Information) & Director, Drug Information Center at South University received the Mortar and Pestle Award from the class of 2009 and 2010 Michael A. Crouch, Pharm.D., BCPS, Professor and Chair (Cardiology) at South University co-authored “A costeffectiveness analysis of anticoagulation strategies in non-ST-elevation acute coronary syndromes.” in THE ANNALS OF PHARMACOTHERAPY 2009. C. Scott Lancaster, Pharm.D., Assistant Professor of Pharmacy Practice (Ambulatory Care) at South University co-authored “Diabetes-Related Medication-Induced Hypoglycemia.” published in the JOURNAL OF PHARMACY PRACTICE 2009. Pamela F. Hite, Pharm.D., Assistant Professor of Pharmacy Practice (Internal Medicine) and Heather DeBellis, Pharm.D., Assistant Professor of Pharmacy Practice (Community Care) at South University co-authored Diabetic Kidney Disease: A ReninAngiotensin-Aldosterone System Focused Review” published in the
The Georgia Pharmacy Journal
JOURNAL OF PHARMACY PRACTICE 2009. James W. Fetterman, Jr., Pharm.D., Associate Professor and Experiential Education Coordinator at South University co-authored “The therapeutic potential of n-3 polyunsaturated fatty acids in disease published” in the AMERICAN JOURNAL OF HEALTH-SYSTEMS PHARMACY 2009.
Mack of Hephzibah; Iraida Vega of Athens, and Phillip Lorenza Mohorn, Jr of Statesboro. UGA’s CVS Scholarships went to Amber Lauren Jenkins of Bonaire, Kristina S. Yacoub of Marietta, Selena Hina Mehmood of Lawrenceville, Roxanne Atkins Hotz of Woodstock and Willian Burt Wrenn of Watkinsville.
University of Georgia’s Albertson’s, LLC Scholarship went to Leann Walton of Lincolnton, and Phillip Tyler Mayotte of Marietta.
UGA’s Georgia Pharmacy Association Regina Baird Memorial Fellowships went to Melissa Gay Weaver of Smyrna, and Jetta Marie Sartwell of Ellaville.
UGA’s Alpha Iota Chapter of Phi Delta Chi (Brian Eastmead Memorial Scholarship) went to Rejena Azad of Covington.
UGA’s Georgia Pharmacy Association Carlton Henderson Fellowship went to Rafael Rocha Felippi of Cumming.
UGA’s Alumni Scholarships went to Laura Leigh Guillebeau of Albany, Mansi Tushar Sheth of Chattanooga, Jennifer Louise Cribb of Stockbridge, Alina Maylene Kuo of Douglasville, Rola Mousa Franks of Demorest, Shuang Ouyang of Kennesaw, and Bryan James Green of Douglasville. UGA’s AmerisourceBergen Corporation Scholarship went Lydia Elisabeth Cronic of Newnan. UGA’s Howard C. Ansel Scholarship went to Lora K. Yim of Acworth, and Kimberly Renee Ward of Senoia. UGA’s Pamela Beth Goldman Block Memorial Scholarship went to Samantha Ruth English of Dudley, and Molly Elizabeth Keaton of Belton, S.C. UGA’s Broadrick Family Endowed Student Scholarship went to Jennifer Ann Boykin of Richmond Hill and John Anthony Galdo of Marietta.
UGA’s College of Pharmacy Faculty Scholarship went to Matthew Miles
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UGA’s Georgia Pharmacy Foundation Neil L. Pruitt Sr. Scholarship went to Maria Miller Thurston of Athens. UGA’s Harvey’s Endowed Student Scholarship went to Lindsey Ann Jackson of LaGrange. UGA’s Dione Mavis Johnston Scholarship went to Natalie Dianne Johnson of Lexington. UGA’s Albert W. Jowdy Scholarships went to Bryan Pinckney White of Statesboro, Kimberly Ann Millward of Martinez, Kelly Lynn Thornburg of Warner Robins, Sametria R. Glass of Warner Robins, Abigail Sara Hobbs of Watkinsville, Jacob David Hampton of Ringgold, Kathleen McManus of Gainesville, Lilly Lien Hilding of Fortson, Cecilia JoAnn Inhulsen of Montezuma, Jamie Leigh Huckaby of Conyers, and Olubusola Opeoluwa Oluyemi of Kennesaw. UGA’s Jun Family Achievement Scholarship went to Michael Louis Thiman of Buford and Megan Amy Gettis of Lawrenceville.
October 2009
GPHA MEMBER NEWS UGA’s Reagan Roland Lykins Memorial Scholarship went to Lucyna Anne Webb of Ringgold and Dominique Akeem Gardner of Athens. UGA’s Alhaja Sekinat Mumuney Memorial Scholarship went to Anthony Carlos Scott of Lawrenceville and Manisha Patel of Buford. UGA’s Publix Scholarships went to Leigh Anne Dye of Powder Springs, Kristen Leigh Motlow of Evans, Lauren Rachel Biehle of Marietta, and Marissa Ann Meiring of Loganville. UGA’s Randolph-Mercer Memorial Scholarship went to Ryan Augustus Markham of Duluth and Abbie Johnson Scarborough of Jesup.
UGA’s Adetoun (Rita) Thompson Alumni Memorial Scholarship went to Phung Kim (Michelle) Mach of Duluth. UGA’s Youngblood Scholarship went to Elizabeth Hutto Brown of Claxton. Sally Huston, Ph.D., Assistant Professor at The University of Georgia published “Decision-making about the use of hormone therapy among perimenopausal women” in the BRITISH JOURNAL OF HEALTH PSYCHOLOGY, also available online. Beth Phillips, Pharm.D., BCPS, Clinical Associate Professor Presented “Developing Clerkship Student and Resident Learning Experiences” at the Teaching Certificate Program for Residents and Preceptors in Athens.
In Remembrance Paul Bowen passed away on August 27, 2009, at the age of 85. He graduated from Southern College of Pharmacy in 1953 and was Past President of the Mercer University College of Pharmacy and Health Sciences Alumni Association Board of Directors. If you have an item that you would like included in the GPhA Member News section of THE GEORGIA PHARMACY JOURNAL please email the news to Kelly McLendon at kmclendon@gpha.org or fax it to her attention at 404.237.8435.
Reagan Home Care Pharmacy Celebrates 50th Anniversary On August 27, 2009, Reagan Home Care Pharmacy celebrated its 50th Anniversary with the opening of its new location at 1600 Milstead Road in Conyers, Georgia. The celebration began with a ribbon cutting at 11:30 a.m. and continued until August 28 with Customer Appreciation Refreshments, a “Celebration Sale” and the introduction of a $5 Generic Drug Program called RxCares. Roland Reagan opened the pharmacy in 1959 under the name “Reagan’s Pharmacy” which was located in the Medical Arts Building next to the old Rockdale Hospital. In 1965 “Reagan’s Pharmacy” moved to Conyers in order to group and became “Reagan Home Care Pharmacy.” Roland and his sons, Mike and Jeff, ran the pharmacy and expanded to home medical equipment and home oxygen. In 1984, Mike and Jeff purchased the store from their father. In 199,0 Reagan’s became the first pharmacy in Conyers to offer home medical I.V. services. Through it all the Reagan family has serviced their patients in Conyers and continued to innovate their pharmacy to fit the changing health care environment. Congratulations to them. The Georgia Pharmacy Journal
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Roland Reagan, R.Ph., receiving his 50 years in pharmacy award at the opening of the new location of Reagan Home Care Pharmacy and the celebration of Reagan’s 50th Anniversary.
October 2009
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Schedule of Fall 2009 Region Meetings: Save the Date For additional information and to RSVP go to www.gpha.org. Speakers will be : Robert Bowles, R.Ph., CDM, CFts, Chairman of the Board, 2009-2010 Eddie Madden, R.Ph., President, 2009-2010 Dale Coker, R.Ph., President-Elect, 2009-2010 Jack Dunn, R.Ph., First Vice President, 2009-2010 Robert Hatton, Pharm.D., Second Vice President, 2009-2010 Jim Bracewell, Executive Vice President October 6, 2009 October 6, 2009 October 6, 2009 October 13, 2009 October 13, 2009 October 13, 2009 October 15, 2009 October 15, 2009 October 15, 2009 October 27, 2009 October 27, 2009 October 27, 2009
6:30-9:30 p.m. 6:30-9:00 p.m. 6:30-9:00 p.m. 6:30-9:30 p.m. 7:00-9:30 p.m. 6:00-9:00 p.m. 6:30-9:00 p.m. 6:00-9:00 p.m. 6:00-8:00 p.m. 6:00-9:00 p.m. 6:30-9:00 p.m. 6:30-9:00 p.m.
Old Mill Restaurant Region 7 Ryan’s Steakhouse Region 11 Deano’s Italian Restaurant Region 12 Healy Pointe Country Club Region 6 Holiday Inn Region 8 Provino’s Italian Restaurant Region 9 Love’s Seafood Region 1 Canongate at Flat Creek Region 4 Mercer University Region 5 Sunset Country Club Region 2 Columbus Regional Region 3 Logan’s Roadhouse Region 10
Acworth Augusta Dublin Macon Waycross Canton Savannah
Mike Crooks Marshall Frost Ken Eiland Bobby Moody Larry Batten Jason Rich Heather DeBellis Peachtree City Bill McLeer Atlanta Shobhna Butler Moultrie Tony Singletary Columbus John Drew Athens Chris Thurmond
For details about the Continuing Education Program at the Fall Region Meetings please visit www.gpha.org or call GPhA at 404.231.5074. The Georgia Pharmacy Association is accredited by the Accreditation Council of Pharmacy eduction as a provider of continuing pharmacy education.
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GPHA MEMBER NEWS
Foundation Scholarship Recipients Say Thank You Georgia Pharmacy Foundation,
students and although the hike was a challenge, the view from the top made it well worth it. We were also able to travel around Salt Lake City and visit the Mormon Temple, and the nearby shopping malls. The whole week was an incredible experience.
Thank you for your help in funding our trip to the University of Utah School of Alcoholism and Other Drug Dependencies. The experience was eye opening and we learned a tremendous amount. We look forward to sharing our knowledge with the students at our school and throughout Georgia.
It allowed us to meet some extraordinary people from all over the country. The experience also allowed us to appreciate our lives. It taught us that life is a gift and should not be taken for granted. We ended each day in Utah by saying the serenity prayer, “God, grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference.� This prayer has now become part of our daily lives. We strongly encourage those who are interested to attend the conference next year. For more information regarding The University of Utah School of Alcoholism and other Drug Dependencies, visit: www.usaprn.org.
Thanks again, Darshin Jani and Raina Penkar Mercer University College of Pharmacy & Health Sciences Doctor of Pharmacy Candidates, 2011 This is their first hand account: This summer, we attended the University of Utah’s School of Alcoholism and Other Drug Dependencies. We truly enjoyed the experience and learned a tremendous amount. The school, which is recognized, offers seminars that focus on increasing awareness of the health and social problems of alcoholism and other drug dependencies. The conference was divided into multiple sections. During the day time we attended seminars specifically for the pharmacy section. These sessions were informative and also served as a networking opportunity. At these seminars we touched on the pathphysiology of the disease and how drugs and alcohol affect the brain. Many of the pharmacists who attended were in recovery and made an effort to serve as mentors to the students and new pharmacists in recovery. It was interesting to see the close-knit community amongst those in recovery and how they leaned on each other for help and support. We also heard the touching stories of those affected by substance abuse during several Alcoholics Anonymous, Narcotics Anonymous and Al-Anon meetings. This showed us how addiction not only impacts the abuser, but their families as well.
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We also had several informative lectures on the recovery process of this disease. Once we finished with the seminars, we had the rest of the day to explore beautiful Salt Lake City. In the evening we were able to take a hike on a nearby mountain as a group. It was a great bonding experience for us
The Georgia Pharmacy Journal
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October 2009
PHARMACY NEWS
Pharmacies are Negatively Impacted by “as directed” Prescriptions Amanda Gaddy, R.Ph. Georgia Pharmacy Association Audit Staff
n the last few years, the number of pharmacy audits performed by Pharmacy Benefit Managers (PBMs) has increased tremendously. While the core goal professed by PBMs is to reduce fraud and waste, the pharmacies have often been hit financially by accepting certain prescriptions that prescribers may not know are unacceptable by the PBM.
documentation where the pharmacy clarified the directions or the maximum dosage per day, then the pharmacy will have to pay the entire amount back to the PBM, which can often be thousands of dollars. Another instance is just writing “sliding scale” for insulin. Using this language will result in the pharmacy having to return payment to the PBM if they haven’t documented on the prescription the maximum amount used per day.
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For instance, most PBMs do not allow as directed (UD) prescriptions because it is impossible to determine the correct days supply. Pharmacies must submit the claim with an accurate days supply based on prescriber’s directions and the quantity dispensed. If the prescription just states “as directed” there is no way to calculate the days supply unless the pharmacy contacts the prescriber’s office for clarification. The pharmacy may be paid initially but if the PBM audits the prescription and there isn’t
Including the specific directions on the prescription is beneficial for prescriber, patient and pharmacist. The pharmacist will not have to make any unnecessary calls to the prescriber while the patient waits. Also, the pharmacist can reinforce and instruct the patient on the proper use of the medication during the counseling session. And finally, the pharmacy will not be penalized financially for accepting an ‘as directed’ prescription.
Physician’s Assistant Signature Line Change C. Richard “Rick” Allen, R.Ph. Deputy Director Georgia Drugs and Narcotics
new law is now in effect which eliminates the need for a Physician Assistant to have to utilize the traditional special PA signature line language on their prescription. This new law allows PA prescriptions to have a traditional prescription signature line, the same as the ones already used by physicians and APRNs. The old language that was done away with is as follows:
prescription. The name of the PA's supervising physician still has to be at the top of the prescription, along with the physician's address and telephone number. Nor has anything changed which will authorize a PA to write a prescription for a C-II Controlled Substance. For text of this bill visit: www.legis.state.ga.us/legis/2009_10/pdf/hb509.pdf.
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"This prescription authorized through: (M.D. or D.O.) by (the physician's assistant) PHYSICIAN'S ASSISTANT." Nothing else has changed about the requirements for a PA
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Pharmacy School News
Mercer University: White Coat Ceremony Held in Atlanta he Class of 2013 for the Mercer School of Medicine and the Doctor of Pharmacy students at the College of Pharmacy and Health Sciences were officially introduced to their Mercer education at white coat ceremonies on August 20, 2009. Pharmacy students participated in their ceremony in Atlanta. The students also took their professional oaths for the first time at the ceremonies.
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One hundred forty-eight students entering the Doctor of Pharmacy program received their white coats in a ceremony at the Sheffield Education Center on the Cecil B. Day Campus in Atlanta. Keynote speaker was Liza Guy Chapman, Pharm.D., a 2002 graduate of the Mercer Pharmacy School. She is a clinical coordinator with Kroger.
Liza G. Chapman, Pharm.D. being honored for her role as speaker that the Mercer University White Coat Ceremony for class of 2013 by Dean Hewitt “Ted” Matthews, Ph.D.
University of Georgia: Largest Class Enrolled at College of Pharmacy he Class of 2013 at the University of Georgia College of Pharmacy has a record number of 138 students enrolled in the four-year Doctor of Pharmacy curriculum. They are also the first pharmacy students to begin their academic careers in the new 93,288 square foot Pharmacy South addition.
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The new class, which is 62 percent female, has a 3.64 grade point average and an average Pharmacy College Admission Test (PCAT) composite score in the 83rd percentile. Minorities represent 26 percent of the class; one percent are out-of-state students and 26 percent have a previous bachelor of science degree or higher. The beginning of their pharmacy careers was commemorated with a White Coat ceremony where each student received a white lab coat as a symbol of entry into the pharmacy profession. The annual ceremony featured Neil Wohlford (‘95), president of the College’s Alumni Council, as keynote speaker. Alumnus Rick Allen (‘74), deputy director of Georgia Drugs and Narcotics Agency, gave opening remarks and was among the five members of the College’s Alumni Council to welcome the incoming students. Kroger Pharmacy sponsored the event. The Georgia Pharmacy Journal
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October 2009
Journal CPE Update Jim Bracewell Executive Vice President / CEO
Attention Users of GPhA Home Study Continuing Education s I reported to you earlier in April 2009, the Association’s long standing provider of many years for continuing education home study programs with a short notice discontinued that service. The Georgia Pharmacy Association has searched diligently for a new acceptable and quality vendor for this service. We have concluded that the most viable option is for GPhA to engage itself in the development of it own home study programs to assure the service continues be available to our membership. The Association is presently in the process of developing a series of these programs. In the mean time so our members will not go another month with a home study program we partnered with The Collaborative Education Institute (CEI) this month to provide you a two hour (.2 CEU) credit course for this month for a cost of only $5.00. You will see when you visit their website their normal charge is $25.00 for a home study course from CEI.
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The arrangement is for this month only as GPhA plans to have its own home study courses available beginning next month. If you do not have access to a computer to complete the answer sheets please feel free to contact GPhA toll free at 404-231-5074 and we will make arrangements for you to complete the answer and evaluation. To the best of our knowledge the Georgia Pharmacy Association (GPhA) is the only state pharmacy association in America that prints a monthly journal with a home study CE course for its members. This has been a member benefit for a long time at GPhA and current leadership is committed to keeping this service for our members. If I or the staff can help you in any manner please do not hesitate to give us a call. Jim Bracewell Executive Vice President The Georgia Pharmacy Journal
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2009 - 2010 GPhA BOARD OF DIRECTORS
The Georgia Pharmacy Journal Editor:
Jim Bracewell jbracewell@gpha.org
Managing Editor & Designer:
Kelly McLendon kmclendon@gpha.org
The Georgia Pharmacy Journal® (GPJ) is the official publication of the Georgia Pharmacy Association, Inc. (GPhA). Copyright © 2009, 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 who are 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 e-mail the editorial offices as listed above.
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 at www.gpha.org upon request. All advertising and production orders should be sent to the GPhA headquarters as listed above.
GPhA HEADQUARTERS 50 Lenox Pointe, NE Atlanta, Georgia 30324 Office: 404.231.5074 Fax: 404.237.8435
Position
Robert Bowles Eddie Madden Dale Coker Jack Dunn Robert Hatton Jim Bracewell Hugh Chancy Ashley Dukes Keith Herist Jonathan Marquess Sharon Sherrer Andy Rogers Alex Tucker Heather DeBellis Tony Singletary John Drew Bill McLeer Shobhna Butler Bobby Moody Mike Crooks Larry Batten Jason Rich Chris Thurmond Marshall Frost Ken Eiland Renee Adamson Liza Chapman Burnis Breland Tim Short DeAnna Flores Rick Wilhoit John T. Sherrer Michael Farmer Fred Barber
Chairman of the Board President President-Elect First Vice President Second Vice President Executive Vice President/CEO State-at-Large State-at-Large State-at-Large State-at-Large State-at-Large State-at-Large State-at-Large Region One President Region Two President Region Three President Region Four President Region Five President Region Six President Region Seven President Region Eight President Region Nine President Region Ten President Region Eleven President Region Twelve President ACP Chairman AEP Chairman AHP Chairman AIP Chairman APT Chairman ASA Chairman Foundation Chairman Insurance Trust Chairman Ex Officio - President, GA Board of Pharmacy Ex Officio - Chairman, GSHP EX Officio Mercer Ex Officio Mercer ASP Ex Officio South Ex Officio South ASP Ex Officio UGA Ex Officio UGA ASP
Don Davis Gina Ryan Johnson Meagan Spencer Barbee Rusty Fetterman Garrick Schenck Daniel Forrister Kyle Burcher
www.gpha.org
Print: Star Printing - 770.974.6195
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Southeasttern “Girls off Pharmacyâ€? Southeastern Phaarrmacyâ€?yâ€? January ary 15-17, 2010 Leadershipip Weekendd Grove ParkJanua Leadershi Inn; Innn; Asheville, NC Gather your girlfrie girlfriends ends for a weekend of fun, fun n, facts, and facials! With the t growing demand of this this popular event, space is limited. Register R y Southeastern “Girls of Pharmacyâ€? Pharmacyâ€? Leadership today to ensure your spot at the 2010 Southeastern Weekend. W eekend Full re eekend. registration egistration includes: CE programming, p programming event materials, materrials, rials two breakfasts, breakfasts and one o dinner rere included ception with includ ded drink ticket. Saturdayy only registration includes: includess: CE programming, event even nt materials, and one breakfast. Extra Exxtra reception tickets can be b purchased separately. separately. (Men - Don’t be shy! You You ou can attend too!) available Rooms are availab ble at the Grove Park Inn for $136 per night. Call (800) (8 800) 438-5800 to book your yo our room today. today. must Spa appointmentss will be made available for fo or reservation through the Grove Park Inn. You You o mus st be registered make www.spaweekend.org appoin for the event to ma ake reservations through SCPhA’s SCPhA A’s reserved appointment ntment times. Visit Visit www .sspaweekend.org for more details. (Those ( already registered - watch your email!) attend If you wish to atten nd the Southeastern “Girlss of Pharmacyâ€? Leadership Leadershiip Weekend Weekend 2010, visit www.scrx.org ww ww.scrx.org to UHJLVWHU RQOLQH RU Âż ÂżOO RXW WKH IRUP EHORZ DQG UHWXUQ WR 6&3K$ % %URZQLQJ 5RDG &ROXPELD 6& RU UHJLVWHU RQOLQH RU ÂżOO RXW WKH IRUP EHORZ DQG UHWXUQ WR 6&3K$ %URZQLQJ 5RDG &ROXPELD 6& RU ID[ WR )RU TXHVWLRQV SOHDVH FDOO ID[ WR )RU TXHVWLRQV SOHDVH H FDOO South Carolina Pharmacy Ph harmacyy Association is accredited accredited byy the Accreditat tion Council for Pharmacyy Education Accreditation DV D SURYLGHU RI FR LG I RQWLQXLQJ SKDUPDF\ HGXFD \ G DWLRQ WL 7KLV DFWLYLW\ LV HOLJLE EO I $&3( EOH IRU $&3( FUHGLW VHH Âż WL L J SK 7KL WL LW L OL LE GLW ¿¿QDO &3( O &3( DV D SURYLGHU RI FRQWLQXLQJ SKDUPDF\ HGXFDWLRQ 7KLV DFWLYLW\ LV HOLJLEOH IRU $&3( FUHGLW VHH ÂżQDO &3( DFWLYLW\ DQQRXQFHP WL LW PHQW IRU VSHFLÂżF GHWDLOV WI LÂż G W LO DFWLYLW\ DQQRXQFHPHQW IRU VSHFLÂżF GHWDLOV Yes! Y es! I wou e would ld like to register for the 2010 2010 Southeastern “Girls of Pharmacyâ€? Pha armacyâ€? Leadership Weekend. Weeken nd. REGISTRATION REGISTRA ATION T DEADLINE: Januaryy 5, 2010 1DPHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB Ć‘ 53K Ć‘ 7HFKQLFLDQ /LF 5HJ BBBBBB 1DPHBBBB BBBBBBBBBBBBBBBBBBBBBBB BBBBBBBBBBBBBBBBBBBB Ć‘ 53K Ć‘ 7HFKQLFLDQ /LF 5HJ H BBBBBB Address_____________________________________________________________________________ Address__ _______________________ _______________________ _______________________ __________ City,, State, City State, Zip________________________________________________________________________ Zip___________________ _______________________ _______________________ __________ Phone__________________ Phone____ _______________ Email______________________________________________________ Email__ _______________________ _______________________ _________ Registratio Registration on Fees (Guest registrations DO NOT T include CE but do cover meal function costs): Ć‘ )XOO 3DUWLFLSDWLQJ 6WDWH $VVRFLDWLRQ 0HPEHU Z &( Ć‘ )XOO 3DUW ) OO 3 WWLFLSDWLQJ 6WDWH WL L WL 6W W $VVRFLDWLRQ 0 $ L WL 0 0HPEHU Z &(
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