October 2013 Issue by Georgia Pharmacy Association

October 2013 VOLUME 35, Issue 10

a c i r e Am

s i r e b h t n Octo o M s t s 6 i e c g a a P m e e S n Phar

October 2013 Editor: Jim Bracewell jbracewell@gpha.org

CONTENTS

2 4 5 9 10 12 13 17-19 21-27

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

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

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

Southeast PRN Conference............ .............

.................

Interview with RADM Scott Giberson......

.................

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

.................

Improving Patient Adherance..................

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

Continuing Education

...... ...........

.................

............................

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

• Pharmacists Mutual Insurance Com

American Pharmacists Month American Pharmacists Month is celebrated each October. This month-long observance recognizes the significant contributions to health care and the commitment to patient care by pharmacists in all practice settings from around the country. During this time when health care reform is in the national spotlight, the American Pharmacists Association (APhA) continues to promote the role of the pharmacist as a member of the health care

team. “Your Pharmacist Know and core message of the celebration.

Pamala Marquess GPhA President

your Medicine”

provides the theme

The idea behind this campaign is to educate the public, policy makers and other health professionals about the important contributions pharmacists provide to health care through the safe and effective management of medications. Celebrating and promoting American Pharmacists Month at your pharmacy is easy. And, you don’t need a big budget—or any budget at all—to do it. You have more options than days in the month to promote American Pharmacist Month. Whether you have hours of time to dedicate or just a few minutes a day, promote your profession where you work.

Pam

The Georgia Pharmacy Journal

20th Annual Immunize Georgia Conference

The 20th Annual Immunize Georgia Conference took place on September 12 at Callaway Gardens. From left, Ashley Cole with Mercer University, Jimmy England with Walgreens, Amber Brackett with Kroger, community pharmacist Jonathan Marquess, Liza Chapman with Kroger and Erin Davis with Kroger.

Division of Display Options, Inc.

Compounding Labs Pharmacy Planning & Design

Rx Planning Specialist

Patient Consultation Areas

Roland Thomas

Stocking Lozier Distributor

experience in over 2,000 pharmacies.

Full line of Pharmacy Fixtures Custom Wood Work Professional Installation and Delivery

9517 Monroe Road, Suite A • Charlotte, NC 28270

1-800-321-4344 www� .displayoptions.com � The Georgia Pharmacy Journal

www.displayoptions.com 3

Letâ&#x20AC;&#x2122;s Play Hardball Whose Team Are You On? Would you hire a pharmacist without a GA pharmacy license? Would you hire a pharmacist without a GA Pharmacy Association membership? Both questions are very important. One is a question of law; one is a question of professionalism. One you do because you have to by state law, the other you do because you want to manage your pharmacy with professional standards that protect the present and advance the future of pharmacy.

Jim Bracewell

Executive Vice President

What does it say about your views and value of the professionalism if you offer career positions to pharmacists who do not include supporting the pharmacy profession as part of their career? Do members of GPhA favor pharmacists who support the future of the profession? Or do they equally favor pharmacists who do not feel any obligation to give back to their profession or those who worked to make their career in pharmacy possible? To me it is too simple. I support people who share my values and my views. I have yet to find myself contributing to a political candidate who does not share my views about pharmacy. Then why would I employ pharmacists who do not share my views about the values of a strong pharmacy association? I have a good friend who is an avid Auburn fan. To ask him to contribute to the Alabama football program would be an insult. To advance the career of a pharmacist that does not support their profession is like asking my friend to contribute to the Alabama football fund. I am not sure about you, but I know which team I am on. I am on the GPhA team to make Georgia the best state in the union to practice pharmacy. Which team are you on? Which team do you support? Better yet, ask that nonmember pharmacist why they are not on our team? They can be on the GPhA team for just $14.58 per month. Tear out the membership application in last monthâ&#x20AC;&#x2122;s journal and feel free to attach my article. It is time to play hardball for pharmacy.

Jim

The Georgia Pharmacy Journal

WELCOME New GPhA Members Active Pharmacists Grace Poole Ideal, GA Tim Williams Marietta, GA Bob Peek

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.

Augusta GA Kendra Manigault Atlanta, GA New Sustaining Members Alexis Pruitt Decatur, GA Evelyn Fuller Fairburn, GA

Have you considered GPhAâ&#x20AC;&#x2122;s new Sustaining Membership at $14.58 per month. Never get another renewal notice! Visit gpha.org and sign up today!

The Georgia Pharmacy Journal

Combatting Prescription Drug Abuse

Georgia’s New Prescription Drug Monitoring System True or False: - Prescription drug abuse accounts for 30% of all drug abuse in the United States. - There were 584 prescription drug overdose deaths in Georgia in 2009, according to records from the GBI Medical Examiner’s Office. By comparison, there were 86 deaths from illegal drug overdoses. - The estimated cost to public and private medical insurers of diversion and abuse of controlled prescription drugs is $72.5 billion a year. - Prescription drug abuse has led to increased crime in our state by creating a high street value for controlled prescription drugs. - The controlled drug supply normally provided to Georgia citizens for legitimate medical problems is being depleted by abusers, causing some pharmacies to run out of these drugs and being unable to fill prescriptions for their regular, legitimate need patientsincluding terminally ill patients. - “Pill mills,” rogue doctors or clinics that prescribe or dispense painkillers inappropriately or for non-medical purposes to addicts and drug dealers have proliferated in Georgia. - Georgia is one of the last states to implement a Prescription Drug Monitoring Program (PDMP) If you answered true to all of these questions, you are correct. As a practicing pharmacist and a state legislator, I have a unique perspective of prescription drug abuse in our state. In my practice of pharmacy, I see firsthand not only the need and benefit of controlled prescription drugs, but also the abuse of these important medications. That’s why I am happy to report that, after years in the making, the Georgia Prescription Drug Monitoring Program (GPDMP) is up and running in our state. The GPDMP is a program that records and monitors the dispensing

The Georgia Pharmacy Journal

of controlled prescription drugs in our state. After years of trying to pass legislation creating a PDMP in our state, we finally passed SB 36, a bill establishing the GPDMP that I sponsored in 2011. The program works like this- each week pharmacies are required to transmit all controlled prescriptions that they have dispensed to a secure database that is accessible by pharmacists and doctors only. Included in the information submitted to the database are the patient’s name, address and date of birth, drug dispensed, quantity dispensed, date dispensed, and the prescribing physician. Once the submitted information is formatted onto the database, physicians and pharmacists are allowed to access only the information for their own patients. Physicians and pharmacists are given their own secure passwords and are not allowed to share them with anyone else, including office personnel. Great efforts were taken with SB 36 to make certain that patient information is protected in the GPDMP. Aside from following all HIPPA regulations, fines and even imprisonment are called for in cases where an individual negligently uses, releases or discloses information from the database. For instance, in the case of any person knowingly obtaining or disclosing information from the GPDMP under false pretenses, the penalty is a felony punishable by a fine up to $100,000, by imprisonment up to five years, or by both. Using the information for commercial advantage, personal gain, or malicious harm also constitutes a felony and is punishable by a fine not to exceed $250,000, by imprisonment for not more than ten years, or by both. In the few weeks that the GPDMP has been up and running, huge dividends have already been seen. Patients seeing multiple doctors and using multiple pharmacies have been identified

Senator Buddy Carter by doctors and pharmacists, and appropriate action taken. Controlled prescription drugs are an important part of medical care for legitimate patients and provide a great resource for their therapy. We are fortunate to have these drugs available and, when used properly, they offer patients the ability to function and improve their quality of life. However, the abuse of these drugs is a growing problem in our state and in our nation. While the GPDMP may not be the silver bullet to resolve this issue entirely, it will be a useful tool in combating this epidemic. https://www.facebook.com/ BuddyCarterforCongress Buddy Carter State Senator District 1 18 Capitol Square, SW Atlanta, GA 30334 404-656-5109 404-657-3217 Fax

To contact us please email news@ buddycarterforcongress.com

Upcoming Association Events

November 2013

The Georgia Pharmacy Journal

Save The Date!! Southeast PRN Conference Looking at Addiction From All Points Of View Do You Have the Right Tools?

November 8-10

Earn up to 10 hours of CE! The Lodge at Simpsonwood Conference and Retreat Center 4511 Jones Bridge Circle NW Norcross, GA 30092 Phone: 770-441-1111 Room Rates:

Single Occupancy - $129.00 Double Occupancy - $174.00

Triple Occupancy - $229.00 Quad Occupancy - $284.00

Room Reservation Cut-off: Friday, October 18, 2013 New this year - you may call The Lodge at Simpsonwood directly at 770-441-1111 and reference group name “GA Pharmacy” and Reservation # 74481 to book your room.

Visit gpha.org for more details! The Georgia Pharmacy Journal

RADM Giberson Speaks On Pharmacy And Future of Profession In an inspiring development for the profession of pharmacy, RADM Scott Giberson, BSPharm, PhC, NCPS-PP, MPH, U.S. Public Health Service (USPHS), was named Acting Deputy U.S. Surgeon General and RADM Boris D. Lushniak, MD, MPH, USPHS, was named Acting U.S. Surgeon General after Regina Benjamin, MD, MBA, the 18th Surgeon General, stepped down July 16. Giberson is the primary author of the USPHS report Improving Patient and Health System Outcomes through Advanced Pharmacy Practice: A Report to the Surgeon General 2011, which Benjamin backed in a letter of support. He was presented with the APhA Distinguished Federal Pharmacist Award at the 2013 APhA Annual Meeting & Exposition in Los Angeles. At APhA2012,in New Orleans, Giberson and Lushniak keynoted the Second General Session. Following is an e-mail interview with Giberson: Could you describe your new role and responsibilities? I support the Acting Surgeon General in communicating the best available scientific information to the public regarding ways to improve personal health and the health of the nation. In addition, I help oversee the operations of the Commissioned Corps, which include more than 6,700 uniformed health officers who serve in locations around the world to promote, protect, and advance the health and safety of our nation. What are your thoughts on working with Benjamin? Dr. Benjamin and I worked closely on multiple public health initiatives and the operational oversight of the Commissioned Corps. We also worked specifically on multiple pharmacyrelated topics, including the Report on Advanced Pharmacy Practice. During her tenure, she was an advocate for pharmacists serving as essential members of the health care team. With every leader whom I have had the privilege to serve with, I was able to learn and develop additional

Scott Giberson’s Provider Status Elevator Speech We might agree that the majority of health care in the United States statistically continues to be post diagnosis. Over 76% of physician visits are chronic care. It can also be said the primary treatment method in the nation is likely through the use of medications. This incurs many costs. Keep that in mind as decision makers think about potential solutions to improve the health of the nation: -Pharmacists are the second most highly trained health care professional (behind only physicians) based on years of formal education. -The focus of our curriculum is mainly “postdiagnosis” including treatment of multiple chronic conditions where medications are the primary form of treatment. RADM Scott Giberson -We are a primary key to cost containment and we have demonstrated an average return on investment of 4:1 over the last 2 decades. -We are accessible just about everywhere; 270 million people visit a pharmacy each week. We are on every street corner in every town, city, and state across the nation. -We have decades of factual evidence demonstrating we perform when given the opportunity to expand our scope. -There is far less evidence that refutes this data or that expanded scopes are ineffective. Yet pharmacists are likely the most underutilized health care providers in the nation. We may be missing an opportunity to improve and advance the health of the nation with one of our most capable professions.

perspectives on how to lead and Dr. Benjamin was no exception. From a personal perspective, she is a compassionate professional who truly cares about the people she serves. What are your thoughts on the push for pharmacist provider status? As stated in the Report on Advanced Pharmacy Practice, pharmacists provide care to patients in many settings and serve as one of the primary access points to address many health issues. Pharmacists are highly educated, understand the treatment of chronic conditions, build trust and rapport in the communities and with the patients they serve, and work in collaboration with physicians in many health systems to improve quality and access to care. There are many evidence-based models that exist (and have existed for decades) in which pharmacists successfully function in these expanded roles. Anything else?

Throughout my career as a Commissioned Corps officer, I have utilized the education and training we receive as pharmacists to improve the health of the people we serve. We are highly trained to communicate, collaborate, prevent complications, and solve problems. Some of the best leaders I have ever known—regardless of profession—have been trained as pharmacists. I encourage everyone to be confident that you have the ability to improve care and solve problems. However, you also have the ability to become great leaders outside your more traditional roles. I look forward to the challenges and experiences in this acting position and hope to represent our profession as best possible. Diana Yap Senior Assistant Editor hubonpolicyandadvocacy

The Georgia Pharmacy Journal

Number 20, Fred Barber RPh was a letterman on the UGA Football Team. Today he is a star player in his patient’s healthcare in Blackshear, GA.

Gridiron Glory to Home Town Pharmacist From a pigskin to pills, Fred Barber has the right prescription. He was a winner on the field at UGA and he has been a winner with his patients in Blackshear, GA. Two things Fred Barber has known the most about in his life are football and pharmacy and he credits these two things as factors that have moved his life forward. When he was ten years old, he punctured his lung from a fall on his bicycle and his early football career was on hiatus when he was taken to Emory University for the removal of the bottom half of his right lung. Barber played high school football at Bainbridge High School in Bainbridge, Ga and earned many accolades including All State Fullback in 1959 and 1960 and player on many all-star teams. Barber also participated in baseball and track while in high school. When Barber signed with The University of Georgia, his parents sat beside him, and standing behind him were Mr. and Mrs. Johnny Grimsley, his local pharmacist, who had been a huge supporter of Barber. Barber attended UGA on a full athletic scholarship as a pre-dental major. His greatest memories were playing for

The Georgia Pharmacy Journal

Vince Dooley his first year coaching at Georgia. Barber scored Vince Dooley’s first touchdown against Florida that year and set up Georgia’s only touchdown in the Sun Bowl for the win. After football season, Barber was working off his frustration of what to do after football by playing racquetball with Joe Bill Dickerson, professor of pharmacy at UGA’s School of Pharmacy. He listened to Barber’s story and said, “Come to pharmacy school. You will love it.” The next day, Barber was sitting in Dean Kenneth Waters office and his life moved forward again in another direction other than football. After graduating from pharmacy school, Barber chose to practice independent pharmacy in Blackshear, Georgia. This is where he discovered that his education mattered to other people and that a pharmacist’s opinion is always valued by his clientele. After a day of filling prescriptions, he found himself outside his store teaching football techniques or meeting an athlete at the YMCA to teach the “work out” routine. Barber truly hopes that his time and talent has moved someone forward in their life.

The greatest challenge of his career came as a result of his chemistry degree. He was asked to lead a group of Pierce County citizens against the state of Georgia to stop a hazardous waste plant from coming to their county. The people that he turned to first were pharmacists from across the nation, because they knew firsthand what happened to pregnant women, babies and senior citizens in their communities when they breathed dioxides from hazardous materials, not to mention the increase of cancer to everyone. It was an ugly fight, Barber says, but the group stopped it. His greatest honor in his pharmacy career was serving on the State of Georgia Board of Pharmacy for ten years. “Testing pharmacy students, helping cognitive pharmacists and chairing the board have been rewarding experiences for me.” As a past board member, he helped the board with testing three times a year. At present, he serves on the EPIC Pharmacies, Inc Board, a national corporation, helping a network of independently owned pharmacies enhance their businesses and services through networking and dissemination of international materials.

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

October 22 Region 11- Augusta Region 1- Savannah President Kalen Manasco President Krista Stone kmanasco@georgiahealth.edu 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 Moody sherri07@yahoo.com

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

Region 9 – Blue Ridge President Amanda Westbrooks 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

Simple Methods to Improve Patient Medication Adherence By David D. Pope, PharmD, CDE Did you know that a patient living with diabetes visits the pharmacy 48 percent more than the average customer?* As independent pharmacists, we have a huge opportunity (and responsibility) to assist our diabetes patients in improving adherence with taking their medications. At Barney’s Pharmacy in Augusta, Ga., we use several methods to improve medication adherence. Quality counseling at the time of the first dispensed prescription is one of the keys to success. For example, if a pharmacist effectively explains to a patient that metformin may cause stomach upset and that it usually improves with time, how do you think that patient will react once those symptoms occur? I would submit that the patient would be much more likely to stay the course and trust the pharmacist in continuing to take the medication instead of reducing the scheduled doses. Patients living with diabetes may also struggle with keeping up with multiple medications. Try creating a simple “My Meds” form, in which a member of your staff writes down an overview of their current medications. At a minimum, the My Meds form should include the name of each medication (brand and generic preferred), the usual directions, and the time of day they should take the medication. Encourage your patients to use this form when ordering refills to ensure they aren’t overlooking any essential medications. Also attempt to get the patients’ refills on a once-monthly schedule. Many patients will neglect to refill their medications if they have to take multiple trips to the pharmacy each month. Finally, consider using a prescription packaging system (such as blister packages) or medication timers for elderly patients living alone. From the improved outcomes of the patients to an improved bottom line of the pharmacy, adherence is worth your investment of time and energy. Pharmacies that do so will set themselves apart from the competition and will begin competing on a different playing field! *NielsenHealth Ailment Panels Reprinted with permission from National Community Pharmacists Association in the November 2010 issue of America’s Pharmacist. For more information about NCPA, visit www.ncpanet.org.

The Georgia Pharmacy Journal

Pharmacies can not only improve patient care, but can set themselves apart from competitors by investing time in medication adherence with their patients.

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, CFP® Speaker & Author PharmPAC Supporter Creating Real Financial Planning for over 20 Years

1117 Perimeter Center West, Suite N-307 Atlanta, GA 30338 • 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.

Academy News AEP NEWS

Which Flu Vaccine is Right for My Patient? By Tracie D. Lunde, PharmD Academy of Employee Pharmacists – Vice Chair Walgreens District 178 Immunization Program Manager

The 2013-2014 flu vaccine season is upon us and this year there are more choices than ever when it comes to protection against influenza. The 2013-2014 trivalent formulation includes two A strains of virus, an H1N1 Strain and an H3N2 strain and one B strain, B/Massachusetts/2/2012 strain. The quadrivalent vaccine protects against those 3 but adds an additional B strain, B/Brisbane/60/2008 virus. FluMist is the only live, attenuated flu vaccine and is quadrivalent. It should only be administered to healthy, non-pregnant patients ages 2-49.

Administered as a nasal spray and offers a great alternative to injectable vaccines in qualified patients. Fluarix and Fluzone offer quadrivalent, inactivated formulation of the injectable vaccine. Fluarix is approved in patients 3 years and older while Fluzone is approved for 6 months and older. In addition to the quadrivalent formulation, Fluzone also offers an intradermal trivalent vaccine which is administered just under the skin and is approved for patients 18-64 years old and High Dose vaccine for patients 65 and older. Flucelvax is unique in that it is a cell culture-based vaccine instead of eggbased production. It is recommended for patients 18 years and older. ACIP suggests that trace amounts of egg albumin can be found in the vaccine and

therefore should not be administered to patients with severe egg allergy. Patients with severe egg allergy are recommended to use a newly approve vaccine called FluBlok which is approved for patients age 18-49. Afluria, Fluarix, Fluvirin, and Fluzone all offer preservative-free single dose syringes which can be administered to any patient who prefers preservativefree but specifically those with preservative allergies and pregnant patients. There are also several available standard flu vaccine available this year including, Afluria, Fluarix, Fluvirin and Fluzone. As pharmacists, being knowledgeable about the available vaccines for this flu season will help your patients make an educated decision about which vaccine to choose.

ASP NEWS

Student Chapter at Mercer University Gives Report By Tyler Bryant, Chapter President Mercer University APhA-ASP The Mercer University APhA-ASP chapter is energized and excited about the upcoming year! The chapter is making major strides this year in two main areas: advocating for the profession of pharmacy and improving and extending patient care. The chapter is especially excited about the many ways that Mercer student pharmacists have been working to advocate for the profession. Not only have students been participating in letter writing campaigns and submitting resolutions at both the regional and national levels, but they have also been highly active in the promotion of “Very Involved Pharmacist Day” (VIP Day) at the Georgia capitol. The chapter’s policy committee is working

hard to promote the 2014 VIP Day and encourages students to be well informed and ready to engage with the legislators. The chapter is thrilled to announce that Mercer had the most students in attendance at the 2013 VIP Day and hopes to do so again this year! The chapter has also been actively developing its patient care program to involve more student pharmacists and provide more public health care. The patient care program has already hosted several health fairs and has no intention of stopping! Through these health fairs, more student pharmacists than ever are getting hands-on experience applying the clinical and communication skills they have learned in the Mercer University classrooms to the patient care setting. The chapter hosted one such health fair at the Capitol this past February in connection with VIP Day,

where students provided free blood pressure, blood glucose, heartburn, BMI, memory, and cholesterol screenings for legislators and staff. With the help of Andy Freeman, GPhA Director of Government Affairs, and Johnathan Hamrick, pharmacist at Kenmar Pharmacy, the chapter plans to hold two more health screenings at the Capitol in October and February. In addition to the plans to promote advocacy and patient care, the Mercer University APhA-ASP Chapter is looking forward to putting on many more health screenings, flu shot clinics, and educational workshops throughout the coming year. The chapter is always looking to involve new faces and welcomes all interested pharmacists to contact us for more information at MercerASP@gmail.com.

The Georgia Pharmacy Journal

AIP NEWS

Beware of Curveballs in Work and Life By Drew Miller Chair, AIP Quite a bit has gone on in the month of August. We have ups and downs in our lives and our profession. I can’t imagine what life would be like if we didn’t get thrown a curveball when we are looking for the fastball sometimes. I have three things of importance to go over, so I’ll not keep you waiting. We left the convention with information on the new website, RXSentry that we can gather information on narcotic use with our patients. It isn’t that hard to use and if you haven’t set it up yet, you should. And yes, we have found a few surprises (the curveball) since getting on the site. How we handle this information is the key. We have been told that this information is for us as individuals to use to determine whether to fill a prescription for someone or not. I have mixed feelings about the responsibilities we have been given and the lack of a handbook on using this information properly. My approach will be that we educate our Doctors about the website and have someone on their staff make decisions about narcotic usage before it ever gets to us. I urge you to have conversations with your local Physicians about this information and work as a team to slow down getting narcotics into the hands

of people that lack diseases that need them. I am not a detective or a gossip. I want good outcomes and I want to be able to pay my employees, so I think that being on a team with the Doctors is our best approach. Of course by now you are aware that RXAlly has closed shop. AIP put a lot of effort to work with them from their beginning and we all hoped it would evolve into something special for all of us. A lot of money and time went into the effort. In Pharmacy, there are never any guarantees and this concept that banded us together across the country showed promise, but now we are back to square one. Do we have a Plan B is the question ? I can assure you that your Board has all ready begun formulating a Plan B. Does this make coming to the Fall meeting more important than ever ? Yes, it does. We should have some good ideas on rates among Part D plans by then and I bet there will be like minded Pharmacists that will have some creative ideas on directions to go in. I haven’t lost faith, I just assume that this is another curveball that we can’t seem to avoid. Lastly, we are all part of GPHA. We don’t exist without them. And it could be said that they don’t exist without us either. I like to think of the last two statements as positive words. We are asked to nominate members for GPHA

Standing Committees, which include, Continuing Education, Governmental Affairs, Public Affairs, Student and Academic Relations and finally Third Party Policies. Last year we only had a few volunteers, but we need to have our leadership present on these committees. It can be a staff member or your Junior Partner that you now have. It doesn’t have to be you. They are meeting in September, but will meet again. Do you want your voice heard ? Then send me your names and two choices of which committee you want to serve on. I’ll get the names to GPHA and they will be in touch. With our presence in these groups, we may be able to avoid the curve more often. To conclude this months letter, my mother passed away on August 25th. My wife pointed out to me that my Mothers vital core of friends were now down to one. She used a phrase from a childhood song, The Farmer in the Dell. In the end,” the Cheese stands alone.” That’s how we feel sometimes in our profession. I think we should lock arms and stand tall, together as one voice. Mom’s friend showed me that it’s not time to quit or hang our head. I plan on seeing all of you next to me when I stand up to face the next curveball. I hope we all know that AIP will keep fighting for each of it’s members no matter what we have coming up next.

AEP Academy Briefs If you missed the GPHA convention this year in Amelia Island you missed a great time! Plenty of CE, tennis, golf, pool and beach time during the day and seeing old friends and meeting new ones at night. This year our emphasis is on increasing membership in GPHA and the academy of your choice. We have academies for retail pharmacists, independents, consultants, hospital pharmacists and even technicians. There is a place for everyone in GPHA. Upcoming opportunities for involvement:

The Georgia Pharmacy Journal

- Fall regional meetings in October and November - AEP spring networking dinner in February - Very Involved Pharmacists day at the capitol February 27th - Convention in Panama City On June 26th through June 29th Our association is only as strong as you make it—join today! Is this the year you get involved in YOUR profession?

Parris Pharmacy Earns Retail Pharmacy Accreditation By Mark Parris In August I made what I believe to be an important decision for my pharmacy, Parris Pharmacy, located in Blue Ridge, Georgia. Parris Pharmacy is now the first independent pharmacy in Georgia with Retail Pharmacy Accreditation. Our pharmacy sells Durable Medical Equipment, so we have had DMEPOS accreditation since 2012 through the Board of Certification/Accreditation (BOC), one of ten deemed accrediting organizations for Medicare. BOC has decades of experience in accreditation, including DMEPOS accreditation for independent pharmacies. Their roots are in pharmacy. Donald O. Fedder, DrPH, MPH, BSP, FAPhA, founded BOC after a successful career as a pharmacist, and they were located at the University of Maryland School of Pharmacy when they opened in 1984. As Member-At-Large of the BOC Board of Directors, I had the opportunity to help launch the BOC

Pharmacy Accreditation Program, a voluntary accreditation that helps pharmacies become more efficient and effective businesses. By following guidelines established in the BOC Pharmacy Accreditation Standards Guide, a pharmacy demonstrates adherence to guidelines established by the Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), Drug Enforcement Agency (DEA), Food and Drug Administration (FDA), and the Georgia Board of Pharmacy. It covers the safe operation of retail, long-termcare, and specialty pharmacies under Medicare Part D and the Patient Safety Act. Retail Pharmacy Accreditation lets patients know we care about their safety and are providing the appropriate medication delivery and instruction. It raises the overall awareness of our services by demonstrating

our compliance with the highest professional standards. Recently, the pharmacy industry has seen a shift from simply dispensing medication to a much greater goal of improving patient outcomes. That’s what we’re all about at Parris Pharmacy, and that’s why we’re thrilled to be the first in Georgia with this type of accreditation. Parris Pharmacy is a member of the Georgia Pharmacy Association and the Professional Compounding Centers of America. “Consumer Reports” ranked independently-owned pharmacies #1 in Customer Service. For more information on Parris Pharmacy, visit http://www. parrispharmacy.com. For information on BOC Pharmacy Accreditation, visit www.bocusa.org/ pharmacy.

The Georgia Pharmacy Journal

• Pharmacists Mutual Insurance Company • Pharmacists Life Insurance Company • Pro Advantage Services®, Inc.

let our experts

d/b/a Pharmacists Insurance Agency (in California) CA License No. 0G22035

do the math

Now more than ever, pharmacists are learning just how important it is to have not only proper insurance coverage, but the right amount of insurance. We understand the risks involved in operating a pharmacy practice and have coverage designed to ensure that you and your business are protected. We even provide policies specifically designed for practices that offer specialty services such as compounding or home medical equipment. Trust the experts - our representatives can help you determine the right coverage for you. We offer products to meet all your needs; everything from business and personal insurance to life and investments. We’re proud to be your single source for insurance protection.

Hutton Madden

800.247.5930 ext. 7149 404.375.7209

800.247.5930 www.phmic.com

Find us on Social Media:

The Georgia Pharmacy Journal

Not licensed to sell all products in all states.

Thanks To All Our Supporters Diamond Level

$4,800 minimum pledge Cynthia K. Moon Scott Meeks, R.Ph. Fred F. Sharpe, R.Ph.

Titanium Level

$2,400 minimum pledge Ralph W. Balchin, R.Ph. T.M. Bridges, R.Ph. Ben Cravey, R.Ph. Michael E. Farmer, R.Ph. David B. Graves, R.Ph. Raymond G Hickman, R.Ph. Ted M. Hunt, R.Ph. Robert A. Ledbetter, R.Ph. Brandall S. Lovvorn, Pharm.D. Marvin O. McCord, R.Ph. Loren B. Pierce, R.Ph. Jeff Sikes, R.Ph. Dean Stone, R.Ph., CDM Tommy Whitworth, R.Ph.,CDM

Platinum Level

$1,200 minimum pledge Jim R. Bracewell Larry L. Braden, R. Ph. Bruce L. Broadrick, Sr., R.Ph. William G. Cagle, R.Ph. Hugh M. Chancy, R.Ph. Keith E. Chapman, R.Ph. Dale M. Coker, R.Ph., FIACP Billy Conley R.Ph. Al Dixon Jr R.Ph. Ashley Dukes, R.Ph. Jack Dunn, Jr. R.Ph. Neal Florence, R.Ph. Andy Freeman Robert M. Hatton, Pharm.D. Ted Hunt, R.Ph. 18

Alan M. Jones, R.Ph. Ira Katz, R.Ph. Hal M. Kemp, Pharm.D. Eddie M. Madden, R.Ph. Jonathan Marquess, Pharm.D., Pam Marquess, Pharm.D. Kenneth A. McCarthy, R.Ph. Ivey Brogdon McCurdy Pharm. D Drew Miller, R.Ph., CDM Laird Miller, R.Ph. Jay Mosley, R.Ph. Sujal Patel Pharm D Mark Parris, Pharm.D. Allen Partridge, R.Ph. Robert Ledbetter, R. Ph. Jeff L. Lurey, R.Ph. Houston Lee Rogers, Pharm.D., Tim Short, R.Ph. Benjamin Stanley, Pharm.D. Danny Toth, R.Ph. Christopher Thurmond, Pharm.D. Alex Tucker Pharm D

Gold Level

$600 minimum pledge James Bartling, Pharm.D., William F. Brewster, R.Ph. Liza G. Chapman, Pharm.D. Carter Clements, Pharm. D. Craig W. Cocke, R.Ph. Mahlon Davidson, R.Ph., CDM Benjamin Keith Dupree, Sr., R.Ph Stewart Flanagin R.Ph. Kevin M. Florence, Pharm.D. Kerry A. Griffin, R.Ph. Michael Iteogu R.Ph. James Jordan, Pharm.D. Ed Kalvelage R.Ph. John D. Kalvelage R.Ph. Steve D. Kalvelage R.Ph.

Willie Latch, R. Ph. John W. McKinnon, Jr., R.Ph. Sheila Miller, Pharm D Robert B. Moody, R.Ph. Sherri S. Moody, Pharm.D. William A. Moye, R.Ph. Anthony Boyd Ray, R.Ph. Jeffrey Grady Richardson, R.Ph. Andy Rogers, R.Ph. Daniel C. Royal, Jr., R.Ph. John Thomas Sherrer, R.Ph. Sharon Mills Sherrer, Pharm.D. Michael T. Tarrant James Thomas R.Ph. Mark H. White, R.Ph. Charles W. Wilson, Jr., R.Ph. William Wolfe R.Ph.

Silver Level

$300 minimum pledge Renee D. Adamson, Pharm.D. Larry L Batten, R. Ph. Lance P. Boles, R.Ph. Laura Coker, Pharm D Patrick M. Cook, Pharm.D. Rabun Deckle R. Ph. Ed Stevens Dozier, R.Ph. Greg Drake, R. Ph. Terry Dunn, R.Ph. Charles Alan Earnest, R.Ph. Stewart Flanagin Jr R.Ph Kevin Florence R. Ph. Marshall L. Frost, Pharm.D. Amanda Gaddy, R. Ph. Kerry Griffin, R. Ph Larry Harkelroad, R. Ph. Johnathan Hamrick, Pharm.D. James A. Harris, Jr., R.Ph. Michael O. Iteogu, Pharm.D. Joshua D. Kinsey, Pharm.D. Willie O. Latch, R.Ph. The Georgia Pharmacy Journal

Highlight denotes new and increased contributors.

Hilary Mbadugha Kalen Manasco, Pharm.D. William J. McLeer, R.Ph. Sheri D. Mills, C.Ph.T. Albert Nichols Richard Noell, R.Ph. Bill Prather, R.Ph. Kristy Pucylowski, Pharm.D. Anthony Ray, R. Ph. Edward Reynolds, R.Ph. Jeffrey Richardson R.Ph. Ashley Rickard, Pharm D. Brian Rickard, Pharm D Andy Rogers, R. Ph. Sukhmani Sarao, Pharm.D. James Thomas, R. Ph. Alex S. Tucker, Pharm.D. Walter Alan White, R.Ph. Steve Wilson, Pharm.D. William T. Wolfe, R.Ph. Sharon Zerillo, R.Ph.

Bronze Level

$150 minimum pledge Sylvia Ann Davis Adams,R.Ph. Shane Bentley, Student Julie Wickman Bierster, Pharm.D. Nicholas O. Bland, Pharm.D. William Crowley, R.Ph. Ashley Faulk, Pharm.D. James W. Fetterman, Jr., Pharm.D. Charles C. Gass, R.Ph. Kimberly Grubbs R.Ph. Larry Harkleroad R.Ph. Winton C. Harris, Jr., R.Ph. Amy Grimsley, Pharm. D Thomas Jeter R.Ph., CGP Brenton Lake, R.Ph. Tracie D. Lunde, Pharm.D. Michael Lewis, Pharm.D. Ashley Sherwood London The Georgia Pharmacy Journal

Max A. Mason, R.Ph. Susan W. McLeer, R.Ph. Sheri Mills, R.Ph. Judson Mullican R.Ph. Natalie Nielsen R.Ph. Mark Niday R. Ph. Brian Robinson, R. Ph. Amanda Rose Paisley, Pharm.D. Rose Pinkstaff, R.Ph. Alex Pinkston IV R.Ph Don K. Richie, R.Ph. Corey Rieck Laurence Neil Ryan, Pharm.D. Olivia Santoso, Student Benjamin Lake Stanley, Pharm.D. Dana E. Strickland, R.Ph. Shad Jason Sutherland Archie Thompson, Jr., R.Ph. G.H. Thurmond, R.Ph. Tommy Tolbert R. Ph. William Turner Austin Tull, Student Charles Wilson R.Ph. Christy Zwygart, Pharm.D.

Members

No minimum pledge Monica Ali- Warren, R.Ph. Robert C. Ault, R.Ph. James Bartling, R. Ph, Claude Bates, R.Ph Winston Brock, R.Ph. David Carver R.Ph. Marshall Curtis John Drew, R. Ph. James England, R. Ph. Martin Grizzard, R.Ph. Christopher Gurley, R. Ph Winton Harris, R. Ph. Ted Hunt R.Ph. Marsha Kapiloff, R.Ph. Charles Kovarik, R. Ph. J. Thomas Lindsay, R. Ph.

Lance LoRusso Ashley Love, R. Ph. Carroll Lowery, R. Ph. Ralph K. Marett, R.Ph.,M.S. Kenneth McCarthy William Prather, R. Ph. Michael Reagan, R. Ph Ola Reffell R.Ph. Leonard Reynolds, R. Ph. Houston Rogers Victor Serafy Terry Donald Shaw, Pharm.D. Harry Shurley, R.Ph Amanda Stankiewicz Benjamin Stanley, R.Ph Krista Stone, R. Ph William Thompson Carey Austin Vaughan, Pharm.D. Lindsay Walker, R. Ph. Flynn Warren, R. Ph. Jonathon Williams R. Ph

If you have not done so already, please take some time to update your credit card information in our new system. For assistance, please call Andy Freeman at 404-419-8118.

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

Golf / Tennis CPE Programs General Session Exhibit Hall PharmPAC Reception

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

Book Your Room Today!

Room Rate: Run of House (1 King Bed OR 2 Double Beds) $189/night + tax with no resort fee Reservation Line: (866) 269-9165 Visit gpha.org for more information! 20

The Georgia Pharmacy Journal

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 Westbrooks Flynn Warren Kalen Manasco Ken Von Eiland Ted Hunt 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

It’s more than just investing. We’re pleased to partner with GPhA to bring our comprehensive services to members as the endorsed wealth management provider for the association. Through the UBS/Georgia Pharmacy relationship, GPhA members have exclusive access to financial services resources through the Wile Consulting Group. This group relationship enables members to leverage the vast scale of products and services at UBS. We distinguish ourselves with a robust service model, comprehensive benefits, diligent research, quality performance and competitive pricing.

Member benefits include – Complimentary financial planning (a $5k–$10k value)

Please contact us today to start exploring your options.

– Brand new 401(k) retirement savings plan designed exclusively for GPhA members at a group discount rate

Harris Gignilliat, CRPS® Vice President–Wealth Management 3455 Peachtree Road NE, Suite 1700 Atlanta, GA 30326 404-760-3301 harris.gignilliat@ubs.com

– Advisory and investment program offered at group discount rate – Retirement planning guidance, including a retirement income replacement system – Lending capabilities with competitive interest rates – Free access to UBS global investment research

Visit us online: ubs.com/team/wile

Ed Wile named to Barron’s Top 1,000 Financial Advisors for 2013 and the Wile Consulting Group named one of the top 100 Retirement Plan Advisors for 2013 by Planadvisor.

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

8.5 x 11” cmyk