IPA Journal Apr/May/Jun 2021 by Iowa Pharmacy Association

A Peer-Reviewed Journal | Vol. LXXVI, No. 2 | APR.MAY.JUN. 2021

LANDMARK RULING FOR PHARMACY: RUTLEDGE V. PCMA INSIDE:

Rutledge v. PCMA Annual Meeting 2021 Board of Trustees Election

TABLE OF CONTENTS 8515 Douglas Avenue, Suite 16, Des Moines, IA 50322 Phone: 515.270.0713 Fax: 515.270.2979 Email: ipa@iarx.org | www.iarx.org

PUBLICATION STAFF Allison Hale, Managing Editor Kate Gainer, PharmD Anthony Pudlo, PharmD, MBA Casey Ficek, JD Sharmi Patel, PharmD, MBA

COVER STORY Rutledge v. PCMA pg. 6

OFFICERS CHAIRMAN Connie Connolly, RPh, BCACP – DeWitt PRESIDENT Diane Reist, PharmD, RPh – Cedar Rapids PRESIDENT-ELECT Christopher Clayton, PharmD, MBA – Manchester TREASURER CoraLynn Trewet, PharmD – Des Moines SPEAKER OF THE HOUSE Kristin Meyer, PharmD, CGP, CACP, FASCP – Marshalltown VICE SPEAKER OF THE HOUSE Deanna McDanel, PharmD, BCPS, BCACP – Coralville

TRUSTEES REGION #1 Wes Pilkington, PharmD – Waterloo REGION #2 Shane Madsen, PharmD, BCPS – North Liberty REGION #3 Candace Jordan, PharmD, BCPS, MBA – Winterset REGION #4 Gary Maly, PharmD – Sioux City AT LARGE Emily Beckett, PharmD, BCPS – Johnston Nancy Bell, PharmD – West Des Moines Bill Doucette, PhD, RPh – Iowa City John Hamiel, PharmD – Waterloo HONORARY PRESIDENT Dan Murphy, RPh – Davenport PHARMACY TECHNICIAN Tammy Sharp-Becker, CPhT, CSPT – Des Moines STUDENT PHARMACISTS Courtney Temple – Drake University Alexis Clouse – University of Iowa The Journal of the Iowa Pharmacy Association is a peer reviewed publication. Authors are encouraged to submit manuscripts to be considered for publication in the Journal. For author guidelines, see www.iarx.org/journal. “The Journal of the Iowa Pharmacy Association” (ISSN 1525-7894) publishes 4 issues per year: January/February/March issue; April/ May/June issue; July/August/September issue; and October/November/December issue by the Iowa Pharmacy Association, 8515 Douglas Avenue, Suite 16, Des Moines, Iowa 50322. Periodicals postage paid at Des Moines, Iowa and additional mailing offices. POSTMASTER: Send address changes to: The Journal of the Iowa Pharmacy Association, 8515 Douglas Ave., Suite 16, Des Moines, IA 50322. Published quarterly, The Journal is distributed to members as a regular membership service paid for through allocation of membership dues. Subscription rates are $100 per year, single copies are $30. Printed by ColorFx; Graphic design done by the Iowa Pharmacy Association.

Annual Meeting 2021 pg. 9

Board of Trustees Election pg. 12

FEATURES

Governor Reynolds' COVID-19 Vaccine . . . . . . . . . . . . . . . . . . 5 Vaccine Hesitancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 2021 Legislative Session Recap . . . . . . . . . . . . . . . . . . . . . . . . . . 18 25th Annual Bill Burke Conference . . . . . . . . . . . . . . . . . . . . . . 27 STEP, CYCLE, SWING Fundraiser . . . . . . . . . . . . . . . . . . . . . . 29 2021 Outcomes Grants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

IN EVERY ISSUE

President’s Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Student Column . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Health Care Hot Topics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Practice Advancement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Public Affairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Technician Corner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 IPA Foundation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Members Section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 IPA in Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Calendar of Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Pharmacy Time Capsule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Mission Statement The Iowa Pharmacy Association empowers the pharmacy profession to improve the health of our communities. APR.MAY.JUN. |

PRESIDENT’S PAGE

“CHANGE IS GOOD, CHANGE IS OUR FRIEND”

“

Diane Reist, PharmD, RPh IPA President Cedar Rapids

can’t stand one more change!” “Why does everything have to change all the time? “They went and changed the ____ (insert your change of the day here) on me again!”

Does anyone ever feel like the changes just keep coming at you, and you haven’t even learned to live with the last one? Welcome to life in healthcare! (Or any aspect of life for that matter). The Greek philosopher, Heraclitus, 2,500 years ago said, “Change is the only constant in life.” When I get frustrated with yet another change being thrust upon me, I try to reflect on Heraclitus’ wisdom. Embrace the change, make it your own, and look for the positives that come from change. A recent quote from Guy Kawasaki, author of Wise Guy: “If you’re in a game that you cannot win – when the odds are stacked against you – change the game!” In my last article, we talked of making lemonade from the lemons that roll our way! Add some sugar, orange juice or maybe even some spirits to the lemonade to make that change work for your patients and you. We have proven to ourselves time and again through the pandemic that we can embrace change. Change is rarely easy; wearing masks, staying away from our patients while helping them, and organizing vaccination clinics have not been a walk in the park. But because of the masks, social distancing, and vaccinations, we are bringing COVID numbers down. We have learned new ways of doing things, telemedicine can reach farther than we could before, and providers and patients see us as a valuable resource on their care team. One of the best changes I’ve heard was from Emma, a student pharmacist, who said, “For the first time since I’ve worked in a pharmacy, patients are stopping to say ‘Thank you for all you do!’” Do we get to this acceptance of change without changing the game? Not often. We must put work into that change to make it right. Do we have to do it alone? No. We have each other to help change the game. As I am writing this, I am thinking about the learners graduating and moving on to some of the biggest changes of their lives! I am sad to say good-bye to the newly minted doctors that I have worked with in our interdisciplinary Upstream Clinic (students from medicine, pharmacy, public health, nursing, health administration, and more who volunteer their limited time to help patients address the social factors that prevent them from achieving positive health outcomes). I know that working hand in hand with other disciplines to achieve

| The Journal of the Iowa Pharmacy Association

positive changes for patients will help to mold future changes in a collaborative way. I am sad to say goodbye to the bright and talented new pharmacists whose education I have been a part of. They will make fantastic colleagues for all of us as we navigate changes together. The association is there to help with these changes through the Bill Burke Student Pharmacist Leadership Conference for students, NAPLEX-MPJE review sessions for new grads, and the Research & Innovation Conference for residents. I am also thinking about the changes to take place in our association as we say good-bye to colleagues; Anthony Pudlo, VP of Professional Affairs, as he moves on to become Executive Director of the Tennessee Pharmacists Association; Amanda Abdulbaki, Director of Membership, as she takes on family medical changes; and Sharmi Patel, Executive Fellow, as she moves on to Seattle Genetics and an Oncology Regulatory Affairs fellowship. Oh no! More changes that seem too much to handle! Although we are sad to see them move on, we are supportive of their change journeys. We will truly miss them. However, working together we will embrace these changes for positives as well. I think of successful legislative changes in December when SCOTUS unanimously upheld Rutledge v. PCMA, which gives states regulatory authority of PBMs. We supported Arkansas in the national fight and are fighting hard to turn it into a positive change in Iowa. I think of the Iowa law changes signed by the Governor in May, expanding patient access to pharmacy services, point of care testing and treatment, and collaborative pharmacy practices. The Board of Pharmacy’s legislation to broaden pharmacists’ ability to delegate duties to pharmacy technicians and allowing the Board to approve innovative pilot projects for patient care. Also, Medicaid’s approval of updated fees and the speed in which they are implemented. All changes that could be viewed by some as scary and overwhelming. However, through the collaboration, education and grit of colleagues and programming by our association we will turn these changes into sweet, sweet lemonade. The sugar being our collaborative efforts with APhA & ASHP, Insight to Advocacy updates from Casey Ficek, VP of Public Affairs, and IPA Office Hours for Medicaid Provider Enrollment help. I think of changes for us as individual practitioners to learn more, do more, expand our scope of practice and protect our mental wellbeing. Embrace the Mental Health resources on our IPA’s webpage and social media posts, podcasts from our partner CEimpact, Emerging Leaders Program in collaboration with the Pharmacy Society of Wisconsin, BPS Study groups, and Member

GOVERNOR'S VACCINE Forums that bring together likeminded practitioners, who may even be competitors, to create a sharing of ideas for the good of patients. I recently spoke with one of the Flip the Pharmacy coaches: “Flip the Pharmacy focuses on promoting medication synchronization and utilizing an appointment-based model to manage pharmacy workflow and give the pharmacist time to focus on their patient's overall healthcare picture...there is a focus on developing advanced roles for non-pharmacist staff and improving bidirectional communication with prescribers.”

are truly progress not just a progression of useless data collection that is not utilized, drop down boxes that are stale and create robotic, unhelpful documentation, safety checks that end up creating unsafe workflows, etc. So many times over my career as a pharmacist, a supervisor, a clinical coordinator, a director, a transitional care coordinator, I have told co-workers, staff, and patients: “Change is good, Change is our friend – keep telling yourself that and embrace it!” ■

Embrace the change but keep in mind, there can be a very fine line between Progress and Progression! Make sure the changes you embrace

IPA MEMBER ADMINISTERS COVID-19 VACCINE TO GOVERNOR REYNOLDS On Wednesday, March 3, Governor Kim Reynolds and Iowa Department of Human Services (DHS) Director Kelly Garcia received the Johnson & Johnson (Janssen) COVID-19 vaccine during a weekly press conference. “Is she done? Wow, OK,” said Governor Reynolds after receiving her vaccine. The pharmacist who administered the quick and painless shot was IPA member Jane Allen of Ankeny. Jane Allen, PharmD, MBA, is an active member of the Iowa Pharmacy Association and a pharmacist at Hy-Vee. When asked about the opportunity, Jane stated, “It was an honor for me and a great moment for Hy-Vee.” IPA is proud of the massive efforts made by pharmacists, student pharmacists, and pharmacy technicians to vaccinate patients across the state of Iowa, whether hosting large vaccine clinics, scheduling daily appointments, or standing-by ready for the opportunity. The association continues to advocate on behalf of our members with the overarching goal of collaborating with the entire public health team to vaccinate as many Iowans as safely and efficiently as possible.

Pictured left to right: Iowa DHS Director Kelly Garcia, Jane Allen, Kevin Reynolds, Governor Kim Reynolds

#MEMBERSINTHEMEDIA

IPA has been sharing the great coverage our members have received by media outlets throughout the pandemic. Watch for these continued posts on our social media with the hashtag #MembersInTheMedia. Additional photos of the press conference are available on the Des Moines Register website.

APR.MAY.JUN. |

RUTLEDGE V. PCMA

UNANIMOUS DECISION REVERSING EIGHTH CIRCUIT: RUTLEDGE V. PCMA One-Pager from the National Community Pharmacists Association (NCPA)

he Supreme Court of the United States on Dec. 10, 2020 issued a unanimous decision in Rutledge v. PCMA, No. 18-540, holding that a federal law, the Employee Retirement Income Security Act of 1974 (ERISA), does not prevent states from enacting laws regulating the abusive payment practices of pharmacy benefit managers, the controversial middlemen that manage prescription drug benefits for health insurers, Medicare Part D drug plans, and large employers. The 8-0 decision (Justice Barrett did not participate) is a resounding victory for patients and community pharmacies, which have been fighting for years to regulate PBMs. The Pharmaceutical Care Management Association, the lobbying arm of the PBM industry, had argued that ERISA preempts Act 900, an Arkansas law that includes rate regulation and enforcement provisions to ensure that PBMs compensate pharmacists fairly for the medications they dispense to patients. In her opinion for the Court, Justice Sotomayor explained that nothing in ERISA prevents states from enacting laws that regulate the rates that PBMs pay pharmacies: “Act 900 is merely a form of cost regulation. It requires PBMs to reimburse pharmacies for prescription drugs at a rate equal to or higher than the pharmacy’s acquisition cost. PBMs may well pass those increased costs on to plans . . . . But ‘cost uniformity was almost certainly not an object of [ERISA] pre-emption.’” Op. at 6. The Court also rejected PCMA’s arguments that Act 900’s enforcement mechanisms were impermissible because they affect how PBMs administer benefits on behalf of ERISA plans. As Justice Sotomayor explained, Act 900’s enforcement mechanisms “do not require [ERISA] plan administrators to structure their benefit plans in any particular manner, nor do they lead to anything more than potential operational inefficiencies” for PBMs. Op. at 7-8. Moreover, if Arkansas’s enforcement mechanisms were deemed preempted, the state would have no way

| The Journal of the Iowa Pharmacy Association

to ensure “compliance with Act 900’s cost regulation.” Op. at 8 n.3. The Supreme Court’s decision is the culmination of a years-long effort led by the Arkansas Pharmacists Association and the National Community Pharmacists Association to hold PBMs accountable for their abusive practices, which have needlessly restricted patient access to life-saving medications and added billions of dollars annually in unnecessary costs that are ultimately borne by hard-working Americans. APA helped secure passage of the Arkansas law that the Supreme Court reviewed, and APA and NCPA provided support to the state throughout the litigation — at the trial court, the intermediate appellate court, and then the Supreme Court. APA and NCPA also filed an amici curiae (“friends of the Court”) brief — along with the American Pharmacists Association, the National Alliance of State Pharmacy Associations, and all state pharmacist associations — educating the Court on abusive PBM practices. APA and NCPA were joined by a diverse coalition of other amici curiae filing their own briefs defending Arkansas’s law, including the United States government, forty-five other states, the American Medical Association, and the AARP. For all these reasons, it is no surprise that nearly every state — red and blue — has enacted laws regulating PBMs. It is also why the federal government and nearly every state — from Texas to California — argued in defense of Arkansas’ law in the Supreme Court. PBMs are middlemen who have secretly put their own interests and record-breaking profits above the patients and plans that they are supposed to serve. The Supreme Court just cleared the way for state laws like Arkansas to police PBMs’ abusive behavior and protect patient access to affordable medications. This is a historic victory for pharmacists and their patients.

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STUDENT COLUMN

A SEAT AT THE TABLE: A STUDENT REPRESENTATIVE'S PERSPECTIVE

have had the great pleasure of working closely with the Iowa Pharmacy Association (IPA) throughout my time as a student pharmacist at the University of Iowa. I knew I wanted to be involved in IPA as early as my P1 year, and my interest has only grown after experiencing it first-hand.

Alexis Clouse

PharmD Candidate 2022 University of Iowa IPA Board of Trustees

As a student, it can be intimidating to sit at a table (or on Zoom) with the leaders in Iowa pharmacy, but in my experience, the student’s perspective is always valued. Students are encouraged to be involved in any manner. Whether you are attending events, such as Annual Meeting or Legislative Day, or actively serving on a committee, you have a place. The decisions made today can impact our careers, so we need to be a part of those discussions. We are the future of pharmacy.

My time on the Board of Trustees has not been “normal,” but productive and inspiring nonetheless. I witnessed the power of collaboration as we navigated through the great challenge of administering COVID-19 vaccines to our communities. Pharmacy technicians Beyond the advocacy component of IPA is networking. played a crucial role in helping administer vaccines, The relationships I have built through my involvement which allowed pharmacies all across Iowa to vaccinate with IPA are priceless. I have connected with pharmathousands of Iowans. Most recently, we reached an cists all over Iowa that I would not have had the chance exciting milestone with the signing of SF 296. This bill to without IPA. The mentorship has granted me multi- will allow pharmacists to test ple exciting opportunities and for flu, strep, or COVID-19 fostered confidence in my and provide treatment follow abilities as a clinician. "The decisions made today ing a positive test. Ultimately, can impact our careers, so pharmacy is being recognized When we work together to for the essential role it plays achieve a common goal, great we need to be a part of in the healthcare field. things happen. We have room those discussions. We are for improvement, but that is the future of pharmacy." The state of Iowa is a leader in why we show up every day the pharmacy profession pushing for legislation that because we have an organi will expand access to healthzation like IPA that unites pharmacists’ voices and care, lower drug costs, and bridge health disparities. We advocates on their behalf. In doing so, pharmacists can are our patients' advocates, so we need to continue the focus their time and energy on caring for their patients. momentum to secure a better future for our profession The Board of Trustees and various committees are and our patients. ■ strategically composed of students, technicians, and pharmacists from different settings to ensure that all perspectives are heard.

Virtual Board of Trustees installation during the 2020 Annual Meeting in September

| The Journal of the Iowa Pharmacy Association

ANNUAL MEETING 2021

#IPAANNUALMEETING21

SAVE THE DATE THURSDAY, SEPT. 23 FRIDAY, SEPT. 24 DOWNTOWN DES MOINES HILTON Additional Pre-Meeting Opportunities Monday-Wednesday, September 20-22

THURSDAY 8:00 AM 8:00 AM 9:30 AM 12 NOON 1:00 PM 2:30 PM 3:00 PM 6:00 PM 9:00 PM

Registration Opens Coffee, Co-Working & Networking Keynote and House of Delegates – Session 1 Board Installation & Lunch Exhibit Hall, Poster Presentations, and Roundtable Discussions CPESN-IA Meeting Residency Showcase President’s Reception & Annual Banquet IPA Foundation Silent Auction

FRIDAY 6:30 AM 7:00 AM 8:30 AM 11:45 AM 1:00 PM 2:30 PM

FUN Run/Registration Opens Coffee, Co-Working & Networking Keynote and House of Delegates – Session 2 Lunch & Industry Symposium Iowa's Pharmacy Practice Act Task Force IPPAC Pie-in-the-Face

iarx.org/ipaannualmtg 9 JAN.FEB.MAR. |

Congratulations 2021 Scholarship Winners Pharmacists Mutual is proud to support students who are interested in serving in an independent or small chain community pharmacy or an underserved geographic or cultural community. Each student listed received a $2,500 scholarship. Brianna O’Gary North Dakota State University

Madison Yoakum Ohio Northern University

Catherine Hayes University of Illinois at Chicago

Olivia Denny University at Buffalo,

Colin Collery University of Illinois at Chicago

The State University of New York

Ganiat Asuni Philadelphia College

Matthew Brock Medical University of South Carolina

of Osteopathic Medicine

Megan Breier Ohio Northern University

Hayden Wooldridge University of Mississippi

Marlee Clements Mercer University

Hassan Khatib Wayne State University

Megan Hardy South Dakota State University

Kristian Tan Keck Graduate Institute

Morgan Rambo Samford University

Kayla Lucas Virginia Commonwealth University

Sarah Erlingheuser University of Connecticut

Kensey Hunt St. Louis College of Pharmacy

Steven Kramer St. Louis College of Pharmacy

Kinsey McClure University of South Carolina

Sarah Lankford Presbyterian College

HEALTHCARE HOT TOPICS

J&J COVID-19 VACCINE ISSUED EUA

In February, Johnson & Johnson (Janssen) announced their single-dose COVID-19 vaccine had been issued Emergency Use Authorization (EUA) for individuals 18 years and older. The EUA was introduced following Phase III of the ENSEMBLE trial which showed the vaccine to be 85% effective against severe disease. The trial also demonstrated effectiveness against hospitalization and death beginning 28 days after vaccine administration.

UNITED KINGDOM COVID-19 VARIANT DISCOVERED IN IOWA

COVID-19 variants began emerging in the United States toward the end of January, and by February, the B.1.1.7. strain was reported in Iowa. This strain first emerged in the U.K. and is thought to spread more efficiently than the previous version that swept across the state. However, preliminary study results show that current vaccines likely offer some protection from the variant. Through continued research, scientists will better understand the variant and strategies to provide protection from it.

ARTHRITIS DRUGS DEMONSTRATE IMPROVED OUTCOMES IN COVID-19 PATIENTS

In February, the results of the REMAP-CAP study were published. REMAP-CAP was a randomized, adaptive platform, open label trial that looked at the efficacy of interleukin-6 receptor antagonists in COVID-19 ICU patients requiring organ support. Tocilizumab and sarilumab, the IL-6 antagonists evaluated in the study, have anti-inflammatory properties and are commonly used in arthritis. However, this study showed their broader use by demonstrating improved outcomes, including survival when used for treatment in patients with COVID-19.

SENATE CONFIRMS XAVIER BECERRA AS HHS SECRETARY

In March, the United States Senate confirmed California Attorney General Xavier Becerra as President Joe Biden’s health secretary, filling a key position in the administration’s coronavirus response and its ambitious push to lower drug costs, expand insurance coverage, and eliminate racial disparities in medical care. He will be the first Latino to head the Department of Health and Human Services.

PRESCRIPTION OPIOID MISUSE AMONGST HIGH SCHOOLERS ASSOCIATED WITH HIGHER SUICIDAL-RELATED BEHAVIORS

According to data published in the Journal of Pediatrics, there was a correlation found between adolescents reporting previous or current prescription opioid misuse (POM) and suicide risk behaviors and experiences through analysis of the 2019 National Youth Risk Behavior Survey. These findings suggest the need for comprehensive prevention approaches that acknowledge the intersections between suicide and POM and provide a promising path forward for addressing these public health challenges among youth.

REPORT AIMS TO EXPLORE SOLUTIONS AND NOVEL IMMUNOTHERAPIES TO ADDRESS RACIAL DISPARITIES IN PROSTATE CANCER African American men are more likely to be diagnosed with and die from prostate cancer. These differences can be attributed to socioeconomic status, access to healthcare, and the biology of the tumor. A recent review published in Cancer Reports evaluated biological differences in the development of prostate cancer among ethnicities and suggested several actionable ideas to address underlying issues such as increasing outreach and prevention, as well as including African American men in prostate cancer clinical trials to advance integration of clinical and genomic data to improve treatment and outcomes.

USDA AND HHS RELEASE UPDATED DIETARY GUIDELINES FOR AMERICANS

The 2020-2025 Dietary Guidelines for Americans are the first set of guidelines that provide guidance for healthy dietary patterns by life stage from birth through older adulthood, including pregnant and lactating women. Changes made to the updated version include emphasis that everyone, regardless of health status, can benefit from changing food and beverage choices to follow healthier diet patterns. In addition, the guidance stresses the importance of a long-term, overall healthy dietary pattern, rather than focusing on individual nutrients, foods, or food groups in isolation.

APR.MAY.JUN. |

2021 BOARD ELECTION

2021 IPA BOARD OF TRUSTEES ELECTION Congratulations and welcome to the newly elected members of the IPA Board of Trustees! The following individuals will be installed at the 2021 Annual Meeting, September 23-24 in Des Moines. In addition, Christopher Clayton, PharmD, MBA, IPA's current president-elect from Manchester, Iowa, will be installed as the association's 143rd president at the Annual Meeting.

PRESIDENT-ELECT Cheri Schmit, BS Pharm Ames, Iowa

"As we look back on and take stock of 2020, a lot of things stand out. There are certainly negatives but there are some silver linings and lessons learned too. I think one of the big positives is that the pandemic has reminded individuals, businesses, payers and government leaders of the important role that pharmacists play. From day one, we stepped up and put our patients first and did whatever needed to be done. As COVID vaccine is rolling out, pharmacists are once again on the frontline and reaching the nooks and crannies of the state where we already have existing relationships and processes in place. Pharmacists are often the solution to every problem, and this has been proven time and again through the pandemic. I think one of the other things that 2020 has taught is to “have your house in order” so to speak and to be prepared. The pharmacies that I see not just surviving but thriving amidst the pandemic are the ones that were prepared and created the workflow, capacity and relationships long ago to be ready for this moment...Pharmacists are part of a CARE TEAM, and it has never been more evident than now. We have an opportunity! We can capitalize on the momentum of the day to make real change legislatively and within our daily practices to truly be equal partners with provider status on a care team. This is my goal and my wish for every pharmacist!"

TRUSTEE REGION 2 Pamela Wiltfang, PharmD, MPH, BA, CHES North Liberty, Iowa

"Since I started at the University of Iowa College of Pharmacy, the Iowa Pharmacy Association has made such a positive impact on me personally and my pharmacy career. IPA has always been ahead of the curve in advocating for expanding pharmacy roles and enhanced practice standards that benefit pharmacists, pharmacy technicians and the pharmacy profession. I’ve witnessed this first hand, many times over, working for NuCara Pharmacy, participating in many of the advanced pharmacy programs, including the new pharmacy practice model (tech-check-tech), telepharmacy practice, and Flip the Pharmacy (FtP). I would be honored to serve on the Board of Trustees to help ensure that we 1) continue to advance our profession as essential providers on the healthcare team; 2) improve communication methods between all health care providers on the team; and 3) continue to support research and education for Iowa pharmacists, student pharmacists, and pharmacy technicians to provide quality clinical services so they can practice at the highest level in an interprofessional environment...As a member of the Board of Trustees, I will proudly and positively represent IPA and share with others my passion for Iowa pharmacy. There is no other place I would rather call my pharmacy home."

| The Journal of the Iowa Pharmacy Association

TRUSTEE REGION 4 Grant Houselog, PharmD, CSPI Sergeant Bluff, Iowa

"Due to my position as Assistant Director of the Iowa Poison Control Center, I can offer a unique perspective into patient care that is different from nearly any other area of pharmacy practice. Also, as a young alumni, I am able to offer perspective into what “real life” is like immediately after leaving pharmacy school. I’ve also had the fortune to practice as a pharmacy technician in both community pharmacy and hospital pharmacy and can appreciate areas of advancement for pharmacy technicians in these practice sites as well. While I may not currently practice in one of the more traditional pharmacy settings, I’m able to keep a real-time pulse on many of the triumphs and challenges of community pharmacy thanks to my wife also being a pharmacist in a local pharmacy. I can appreciate the challenges many of you are facing with the COVID-19 vaccines in addition to all of the other services your pharmacies are offering. Our communities depend on pharmacists and pharmacies to be the most accessible members of the healthcare team. You are there, day in and day out, for your teams and your resilience deserves to be celebrated. Thank you for all you continue to do, now and always."

TRUSTEE AT LARGE Jackie Gravert, PharmD, MPH Cedar Rapids, Iowa

"My pharmacy journey started in high school at an independent, 3rd-generation family owned pharmacy in my small, rural hometown. There, I learned about the unique and positive impacts pharmacists can have on the lives of their patients and the wellness of their community. During college, I transitioned to working in hospital pharmacies, first as a technician in a 100-bed community hospital and then in a critical access hospital. My early hospital pharmacy experiences sparked an interest in clinical pharmacy and sterile compounding, and I gained an appreciation for the way pharmacists supported patients transitioning into and out of our settings. During and after residency, my roles in large, academic medical centers have allowed me to see a broad array of ways pharmacists and technicians can enhance and deliver care to patients at both individual and macro levels. As a member of IPA, I have come to appreciate the excellent work, strong relationships, and advocacy for the profession this organization fosters by representing the interests of every pharmacy professional in Iowa...If selected for this role, I would work to impart my experience and organizational leadership skills to contribute to IPA’s legacy of supporting and advancing the profession."

TRUSTEE AT LARGE Angie Spannagel, PharmD, BCACP Maquoketa, Iowa

"IPA has had a very important role this last year in keeping pharmacy up-to-date with the rapidly changing guidelines of COVID-19...Although the challenges brought from COVID-19 are far from over, we are starting to see the light at the end of the tunnel. It has never been more important to continue to engage our current and future members to work together to support each other and the interests of our pharmacy profession. The conversations and work started on burnout, social determinants of health, and opioid addiction continue to be topics in need of attention as the pandemic has had strong effects in these areas. I am honored to be nominated for the IPA Board of Trustees and pleased to be able to continue to support IPA and its members through these quickly changing times. My experiences and involvement with IPA over the past 15 years have given me a good understanding of the goals and mission of the association. IPA’s dedication to assisting members in enhancing the profession of pharmacy, improving medication use, and advancing patient care closely align with my professional priorities." APR.MAY.JUN. |

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www.ipcrx.com 800.755.1531

PRACTICE ADVANCEMENT RURAL COMMUNITIES OPIOID RESPONSE PROGRAM (RCORP) UPDATE

As a part of a multi-year partnership with the Health Resources and Services Administration (HRSA) and Iowa Healthcare Collaborative (IHC), IPA is supporting community and hospital pharmacies in three high-risk Iowa counties, Wayne, Lucas, and Appanoose, to enhance residents’ ability to access opioid and substance use disorder treatment and move towards recovery. This support includes awareness and educational messaging for the community, healthcare provider training on pain management, polysubstance use and medication-assisted treatment, medication disposal resources, overdose prevention training, and increased community access to naloxone.

HIV PROJECT UPDATE

In collaboration with the Iowa Department of Public Health’s Bureau of HIV, STD and Hepatitis, IPA has been managing a multi-year project implementing HIV screenings in community pharmacies. Since January 2019, 11 community pharmacies from across the state have been offering free HIV screenings for their communities. In the Fall of 2020, a pilot site was identified to offer free HCV screenings. CDC estimates that 50% of persons living with HCV are undiagnosed. HIV and HCV cases within the state have been steadily climbing since 2009; HCV diagnoses have tripled since 2009. The Bureau recently worked with the Bureau of Substance Use to conduct a vulnerability study and assess the risk of HIV and HCV outbreaks. The study also assessed the risk of opioid overdoses. The full report is available on IDPH’s website. Based on this vulnerability study, the project will be strategic about identifying locations for HCV testing.

1815 UPDATE

As a part of a multi-year partnership with IDPH and CDC, IPA continues to work with pharmacies across the state to implement innovative MTM services and facilitate support and referrals for enrollment and retention of participants in evidence-based treatment programs such as Diabetes Self-Management Education and Support (DSMES) and Diabetes Prevention Program (DPP). In February, IPA hosted a discussion with participating pharmacies to share best practices and challenges brought on by advancing such diabetes initiatives. Despite the pandemic, pharmacists involved have been utilizing COVID-19 vaccinations as an opportunity to discuss treatment regimens and lifestyle management with their patients.

IPA is working to add additional pharmacies to both the HCV and HIV project. With the goal of 40 sites, IPA is looking to gain more interest in offering HIV testing in the following counties: Palo Alto, Pocahontas, Calhoun, Webster, Humboldt, Kossuth, Clarke, Decatur, Wayne, Lucas, Monroe, Appanoose, Lee, Wapello. These are areas of the state the Iowa Department of Public Health considers focus areas based on their epidemiology reporting. To participate in the project or to learn more, please contact Kellie Staiert, IPA’s Lead Project & Partner Manager, at kstaiert@iarx.org.

APR.MAY.JUN. |

VACCINE HESITANCY

ADDRESSING VACCINE HESITANCY OUTLINE

I. What is vaccine hesitancy? II. Populations most affected III. What can we do about it as pharmacists?

SUMMARY

Vaccine hesitancy is becoming a more pronounced concern within healthcare and public health as COVID-19 immunization becomes more readily available and information (or misinformation) is spread rapidly through social media. Vaccine hesitancy has been of issue in previous years regarding annual influenza immunizations, as well as other readily available immunizations including MMR, Shingrix, and Tdap, to name a few. Hesitancy can be attributed to personal patient beliefs, information provided, lack of trust in public health, lack of information available about the vaccine, and coincidental relationships to health outcomes.1 Hesitancy can also be enhanced with the use of novel mechanisms such as mRNA technology and new vaccine availability. Alongside individual concern regarding COVID-19, vaccine hesitancy could also prolong pandemic restrictions for the general population. While vaccine hesitancy is prevalent across many populations, there are several that healthcare professionals should be aware of to provide the best possible care. In Iowa, although minority groups are also hesitant, the dominant population includes those living in rural communities. This makes up approximately 43% of the total state population. Healthcare professionals should be aware of the implications for vaccine hesitancy and make efforts for the vaccine to be available at locations that reach individuals living in rural communities, where barriers in accessing a vaccine may contribute to the concern. Other populations at greater risk for COVID-19, such as those with comorbid conditions and elderly persons, should also be considered at a high level for risk of vaccine hesitancy. The CDC recommends the following actions to build confidence in vaccines, specifically the COVID-19 immunization3:

| The Journal of the Iowa Pharmacy Association

1. Encourage leaders in your family, community, or organizations to be vaccine champions. 2. Have discussions with your friends and family about vaccinations to understand their perspective and encourage their decision to get vaccinated. 3. Share key messages through multiple channels that people trust and that promote action. 4. Help educate people about COVID-19 vaccines, how they are developed and monitored for safety, and how individuals can talk to others about the vaccines. 5. Learn more about finding credible vaccine information. When you come across COVID-19 information, cross-check with CDC.gov and learn how to respond to misinformation you encounter. 6. When a vaccine is offered to you, make your decision to get vaccinated visible and celebrate it! Concerns may be rising due to the pause in distribution and administration of the Johnson & Johnson vaccine due to reports of an extremely rare disorder involving blood clots in combination with low platelets observed in a small number of individuals following vaccination. IPA continues to collaborate with several national organizations, including ASHP and APhA, to develop and distribute resources to aid in having conversations with patients regarding vaccine hesitancy. Iowa pharmacists are well-equipped to have these conversations with their patients with an aim to decrease the number of illnesses, hospitalizations, and deaths associated with COVID-19. SOURCES:

1. Salmon DA, Dudley MZ, Glanz JM, Omer SB. Vaccine hesitancy: Causes, consequences, and a call to action. Vaccine. 2015;33 Suppl 4:D66-D71. doi:10.1016/j. vaccine.2015.09.035 2. https://cc.readytalk.com/cc/playback/Playback.do?id=3lj71 3. https://www.cdc.gov/vaccines/covid-19/vaccinate-with-confidence.html

PUBLIC AFFAIRS

2021

LEGISLATIVE SESSION RECAP IMPACT FOR PHARMACISTS

The 2021 Legislative Session, and first year of the 889th General Assembly, is currently winding down and will likely have ended by the time this update is published. So far this session, IPA has been able to help secure major pro-pharmacy policies, including significant expansion of the authority of pharmacists.

Victories: INCREASING ACCESS THROUGH PHARMACISTS

IPA’s bill (SF 296/HF 794) to create a statewide protocol for test and treat and establish broad collaborative practice authority passed both the Senate and the House and is awaiting the Governor’s signature. The new law will allow pharmacists to not only test for strep, flu, and COVID-19, but also prescribe necessary treatment following a positive test result. The bill also establishes broad collaborative practice authority, ensuring that a pharmacist can enter into a CPA with any prescriber to treat any patient population in the state of Iowa. The legislation becomes effective July 1, and IPA is currently working with the Board of Pharmacy to ensure smooth implementation of this major step forward.

PHARMACIST DELEGATION/PILOT PROJECT AUTHORITY

IPA also supported the Board of Pharmacy’s legislation that was enacted into law this session. The law will broaden the ability of a pharmacist to delegate duties to a pharmacy technician using their professional judgment. The bill also expands the ability of the Board to approve innovative pilot projects to help improve patient care in Iowa.

MEDICAID REIMBURSEMENT

The last outstanding issue of the 2021 session impacting pharmacy is ensuring Medicaid reimbursement remains fair and transparent. Every year, the Health and Human Services budget bill contains language that determines how pharmacies are reimbursed under Medicaid.

| The Journal of the Iowa Pharmacy Association

The language requires pharmacies be reimbursed for products according to average acquisition cost, plus a dispensing fee based on a bi-annual survey. In the fall of 2020, Iowa Medicaid indicated they did not intend to implement the latest survey, setting the dispensing fee at $10.38. This has previously never been the case following completion of the cost of dispensing survey. IPA was successful in amending the House HHS budget to ensure the increase to $10.38 was implemented. The amended language also ensures that every future increase will be implemented by IME immediately.

Where Work Remains… While these pieces are all positive, much work remains to reign in PBM practices that threaten the viability of pharmacies to continue serving patients. IPA’s PBM bill cleared the House Commerce Committee but failed to advance past the second funnel deadline. The bill remains eligible for consideration next year, and we intend to begin working immediately to see passage of that bill and relief for pharmacies next session. The road to a successful 2022 Legislative Session starts right now. Here’s how to help: Hosting a legislator at your practice site, sitting down for a meeting to discuss pharmacy, or donating to the Iowa Pharmacy Political Action Committee are essential components to passing meaningful legislation next year. Additionally, if you are interested in the political process and pharmacy advocacy, consider signing up for IPA’s Champion Advocate program. Please contact IPA’s Director of Public Affairs, Casey Ficek, at cficek@iarx.org to learn more about how you can get involved in IPA’s advocacy efforts this year.

PUBLIC AFFAIRS

BOARD OF PHARMACY: REGULATORY UPDATE The Iowa Board of Pharmacy convened for virtual open session on March 10 to discuss multiple requests, reports, and several proposed rules.

ADOPTED REGULATIONS Pharmacy Technicians

The Board voted to adopt a proposed rule-making that is the result of an overall five-year review as required by Iowa Code section 17A.7(2) to update IAC Chapter 3, “Pharmacy Technicians.” The amendments require technicians to be registered prior to commencing employment in a pharmacy or as part of a technician training program (beginning July 1). The rule also modifies the renewal period for certified pharmacy technicians to match their national certification period and to align with the renewal process for other licenses and registrations. They also provide broader language relating to the delegation of nonclinical pharmacy functions to a pharmacy technician beyond those related solely to dispensing.

Pharmacist-Interns

The Board voted to adopt a proposed rule to amend Chapter 4, “Pharmacist-Interns,” in response to a five-year review of the chapter conducted by the Board of Pharmacy. The rule update includes changes in the experiential training required of pharmacist-interns who are graduates of pharmacy programs in the United States and

foreign pharmacy program graduates who are candidates for licensure in Iowa, simplification of the subrule relating to delegated functions of a pharmacist-intern, and submission of a $15 fee for verification of a pharmacist-intern registration or certification of hours.

Pharmacy Support Persons

The Board also voted to adopt a proposed notice of intended action to amend Chapter 5, “Pharmacy Support Persons,” Iowa Administrative Code. Like the changes to the pharmacy technician rules, the proposed amendments require pharmacy support persons to be registered prior to commencing employment in a pharmacy (beginning July 1). The changes also allow the Board to assess a $15 fee for written verification of a registration and provide broader language relating to the delegation of nontechnical pharmacy functions to a pharmacy support person beyond those related solely to dispensing.

PMP Changes

The Board approved changes to Chapter 37, “Iowa Prescription Monitoring Program,” Iowa Administrative Code. The amendments implement changes made to the Iowa Code during the 2020 Legislative Session, including the reporting of Schedule V controlled substances to the database and veterinarian access to program data, and revise the definition of “health care professional.”

LEGISLATOR OUTREACH FOR 2021 SESSION While this year has certainly presented challenges for meeting with legislators face to face, IPA staff and members have still had success finding creative ways to pass along our message.

Pharmacy Visits

There were still a few legislator and candidate visits that were held safely during the spring, including from Congresswoman Marianette Miller-Meeks and Senator Joni Ernst. Congresswoman Miller-Meeks visited both Wester Drug in Muscatine and Medicap Pharmacy in Newton to help promote and encourage Iowans to receive the coronavirus vaccine. (Top) Senator Ernst visited the Medicap Pharmacy in Audubon to learn about vaccine distribution hurdles and successes, as well as discuss the need for PBM reform. (Bottom)

APR.MAY.JUN. |

Help Advance IPA’s Legislative Agenda... Become a Champion Advocate!

Are you interested in becoming an important partner in helping IPA advance its legislative and regulatory agenda throughout the year? IPA is looking for Champion Advocates across the state of Iowa to build relationships with their elected officials. Help us designate a Champion Advocate in every House and Senate district! Our goal is to establish trust and familiarity with legislators. As you work to educate your legislators on key issues facing pharmacy, we can help build their understanding of our concerns regarding patient care and the roles of pharmacists and pharmacy technicians. By volunteering as a Champion Advocate, you would be kept up-to-date on the latest information relating to IPA’s advocacy agenda and would be ready to answer the call when IPA needs to make a grassroots push.

What Do Champion Advocates Do? •

Build relationships outside of the legislative session by hosting pharmacy visits with legislators and delivering PAC contributions when needed

•

Contact legislators during session to explain how pending legislation would affect their pharmacy practice

•

Relay personal experiences to help legislators understand the important roles that today’s pharmacists and pharmacy technicians play in enhancing the health care of Iowans

•

Stay informed with bill tracking/IPA legislative priorities and participate in bi-weekly update calls

Interested? Contact Casey Ficek, IPA’s Vice President of Public Affairs, at cficek@iarx.org or 515-270-0713. He’ll help you identify your senator and representative and get started with setting up a pharmacy visit.

PUBLIC AFFAIRS VIRTUAL 2021 NACDS RxIMPACT DAY

In March, IPA staff and three key chain pharmacy partners participated virtually in the National Association of Chain Drug Stores (NACDS) RxIMPACT Day on Capitol Hill. Meetings were held with two U.S. senators, Joni Ernst and Chuck Grassley, as well as two representatives, Randy Feenstra and Mariannette Miller-Meeks. The group discussed two pressing pro-patient and pro-pharmacy issues highlighted by the pandemic, including direct and indirect remuneration (DIR) fee reform legislation and requests to extend the PREP act and expand the federal retail pharmacy program. The need for continued support and enhancement of pharmacy’s role in pandemic response was emphasized as the nation continues to address COVID-19.

DUR COMMISSION MEETING UPDATE

The Iowa Medicaid Drug Utilization Review (DUR) Commission met in March and had made recommendations for prior authorization (PA) updates and changes on several therapies including those for Binge Eating Disorder, Multiple Sclerosis and IL-5 antagonists, risdiplam (Evrysdi), isotretinoin, NSAIDs, and extended-release alpha-2 agonists. Currently, IPA is asking the Community/Ambulatory Care and Health-System advisory committees for comments for the DUR commission’s recommendations.

MCO UPDATE

With the state of Iowa (Medicaid and its managed care organizations) announcing that they would be paying for COVID-19 vaccine administration fees through medical billing only and CMS’ announcement of an increase in the Medicare payment amount for administering the COVID-19 vaccine to $40 for each dose, IPA has continued to communicate each week, often daily, with payers and medical billing platforms. In March, Medicaid had announced that they would match the Medicare rate but formal announcement from other payers, like Wellmark, is yet to come. IPA will continue to develop resources and help make the connections for our members to be most successful and to ensure pharmacies can start to successfully submit claims and be appropriately paid for the vaccine administration fees for COVID vaccinations.

Tune in to IPA’s BOP: What, Why & How podcast following each Iowa Board of Pharmacy meeting to recap the board’s actions and earn Pharmacy Law CE! Each episode will focus on WHAT actions were taken by the Board of Pharmacy, WHY the BOP took the actions it did, and HOW BOP action will impact practice in Iowa.

IARX.ORG/BOP_PODCAST

APR.MAY.JUN. |

NOW AVAILABLE

Pharmacy Technician Professional Liability Insurance

Are You Covered?

WHAT IF you provide COVID-19 testing or immunizations?

WHAT IF your scope of practice as a Pharmacy Technician exposes you to liability claims?

WHAT IF you were named individually in a lawsuit?

LEARN MORE AT: phmic.com/pharmacy-technician-professional-liability Professional | Commercial | Personal | Life & Disability

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Policy terms and conditions control. Coverage may not be available in all states and territories. Life and disability insurance are written through PMC Advantage Insurance Services, Inc., a wholly-owned subsidiary of Pharmacists Mutual Insurance Company.

TECHNICIAN CORNER

TECHNICIAN SPOTLIGHT: MICHELLE GARVIN, MA, CRC, CPHT

ester Drug in Muscatine, Iowa, has been a part of evolving pharmacy practice throughout its lifetime and has been especially active in COVID-19 immunization efforts. A key player in these efforts is Certified Pharmacy Technician (CPhT), Vice President and co-owner, Michelle Garvin. As technicians evolve in their roles and become immunizers in a much-needed time, Garvin has been a resource for the pharmacy and for patients to enhance patient care.

According to Garvin, the biggest impact the pharmacy has had on the community is giving people a sense of hope throughout the pandemic. While there are many discussions about a “new normal” or “when the pandemic is over,” immunizations give the community hope for an end to the craziness and anxiousness experienced during the COVID-19 pandemic. Whether it’s vaccinating frontline workers or a teacher who has been unable to enter a classroom for close to a year, giving hope matters.

Michelle Garvin began her pharmacy journey with her husband, Corey Garvin, PharmD, at a chain pharmacy in Ohio in 1998. Her background in mental health has had influence on her career as a technician and passions for evolving pharmacy practice. In addition to her involvement with IPA, Garvin is a member of the Pharmacy Technician Certification Board (PTCB) and currently serves on the stakeholder advisory council.

Moving forward as a technician, Garvin hopes to receive Advanced Certified Pharmacy Technician (CPhT-Adv) certification. To be eligible, candidates must hold active PTCB CPhT Certification and complete the following: at least 3 years of work experience as a pharmacy technician within the past 8 years, and at least four PTCB Assessment-Based Certificate Programs, or three Certificate Programs and the Compounded Sterile Preparation Technician® (CPST®) Certification. Programs such as advanced certification are one way that Garvin sees the role of pharmacy technicians evolving.

Wester Drug is an independent pharmacy involved with IPA, NCPA and CPESN-IA, as well as an active participant in Flip the Pharmacy. In its involvement with CPESN and Flip the Pharmacy, Wester Drug places a focus on clinical-based services, including a clinical CPAP program, nutrition counseling, and professional consultation on vitamins and minerals. The pharmacy has been administering immunizations for several years, but expanded immunization authority given to technicians during the COVID-19 pandemic allowed Garvin to become certified as a CPhT. She took full advantage of the opportunity to become an immunizer, and having an extra immunizer on site or at clinics was a major benefit for the pharmacy. This meant that more immunizations could be administered, and pharmacists could spend more time having meaningful discussions with patients. As a tenured technician, Garvin stated the certification process was smooth. However, more inexperienced technicians might take longer to digest the required coursework for certification.

Michelle Garvin, MA, CRC, CPhT Pharmacy Technician Wester Drug

As the role of pharmacy technicians evolves, Garvin emphasizes her views on provider status for pharmacists, an effort that has been central to IPA. As pharmacists become more involved in clinical roles, technicians can better support patient care. Technicians playing more active and expanded roles in clinical support and working with pharmacists on patient care creates more opportunities for meaningful interventions on the pharmacist’s side of care and gives more time for pharmacist-patient education. Technicians have had significant roles in immunizing for COVID-19. Garvin is passionate about maintaining immunizer status for technicians in the coming flu season. Thank you, Michelle, for all of your hard work at the pharmacy and for the profession, especially during the COVID-19 pandemic! ■

FREE TECHNICIAN CPE IPA Pharmacy Technician members receive a FREE subscription to CEimpact’s Pharmacy Technician CE Service with access to 1 hour of learning each month on various topics needed for recertification. Log in to your IPA account at www.iarx.org/cei_libraries to take advantage of your membership benefit and ACTIVATE your subscription.

APR.MAY.JUN. |

TECHNICIAN CORNER

HCAHPS: WHY IT IS IMPORTANT TO HOSPITALS From IPA’s February 2021 Tech Tidbits newsletter The Hospital Consumer Assessment of Healthcare Providers and Systems survey (HCAHPS) is a national survey that serves as a standard of hospital experiences for patients. It is a survey for both recipients and non-recipients of Medicare. Often referred to as “Star Ratings,” the HCAHPS survey helps to assess the patients’ view of their hospital care. This allows for hospitals to be compared to each other on a local, regional and national level. Hospitals work hard to receive a high score on these surveys because they receive reimbursements based on how satisfied the patients are with their time within the hospital. If they do not receive a certain score, they can also be penalized. The role of all pharmacy professionals is key on making patients satisfied during their stay, especially as the pharmacy department play more significant roles with medication review and discharge counseling. In some hospitals, pharmacy technicians deliver the discharge medications to the patient in their room before they leave. Some hospitals also have video links where the pharmacist can counsel the patient via the web. Pharmacy staff have been shown to help improve medication-related scores while contributing to less hospital readmissions.

The scores of the HCAHPS survey are important because the amount that hospitals are reimbursed is based on the score or rating that the hospital receives. Also, if a hospital does not have adequate scores, they may have a poor reputation. Essentially, if hospitals do not receive appropriate reimbursement and/or if they have a poor reputation, they may have less funding for the employees at the hospital. This could increase the likelihood of furloughs or layoffs. All positions are at risk including, but not limited to, pharmacists and pharmacy technicians. It is the duty of everyone in the healthcare system, including pharmacy technicians, to ensure that patients are being properly cared for at the hospital and that they are satisfied with their experience. SOURCES:

1. HCAHPS: Patients’ Perspectives of Care Survey. Center for Medicare & Medicaid Services. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS 2. Pharmacists Help Hospitals Improve Patient Satisfaction. Pharmacy Times. https:// www.pharmacytimes.com/news/Pharmacists-Help-Hospitals-Improve-Patient-Satisfaction-Scores 3. Survey says: Pharmacists Affect Patient Satisfaction. American Pharmacy Association. https://www.pharmacist.com/survey-says-pharmacists-affect-patient-satisfaction

BILLING FOR CHRONIC CARE MANAGEMENT From IPA’s March 2021 Tech Tidbits newsletter Medicare started reimbursing qualified providers for providing Chronic Care Management (CCM) services on January 1, 2015.

will continue to play a vital role in the billing and documentation processes of the pharmacist.

CCM services include five core activities: • Recording structured data in patient’s health record • Maintaining a comprehensive care plan for each patient • Providing 24/7 access to care • Comprehensive care management • Transitional care management

The Pharmacy Technician Certification Board currently offers a Billing and Reimbursement Certificate. In the $89 course, you will get access to the education and training program and the certification exam. This certificate program puts you one step closer to becoming an Advanced CPhT. It is important to stay ahead of the changing pharmacy landscape. The PTCB is a great source of resources that will help you practice at the top of your technician license. APhA and ASHP have additional resources on CCM within their websites.

Eligible Medicare beneficiaries must have two or more chronic health conditions that are expected to last at least 12 months or until the death of the patient. These conditions must place the patient at significant risk of poor health outcomes. Current payment for CCM is based on the amount of time spent providing the service to the patient on a monthly basis. Pharmacists are not eligible to bill the Centers for Medicare and Medicaid Services (CMS) directly. However, pharmacists can form collaborative partnerships with Qualified Healthcare Professionals (QHPs) to coordinate CCM for a single patient on a monthly basis. Pharmacy technicians

| The Journal of the Iowa Pharmacy Association

SOURCES:

1. Pharmacist Billing/Coding Quick Reference Sheet For Services Provided in Physician-Based Clinics, ASHP, https://www.ashp.org/-/media/assets/pharmacy-practice/resource-centers/ambulatory-care/billing-quick-reference-sheet.ashx?la=en&hash=8074CF55F7B84C0741CD0E73A64F47CB22CFF4AE 2. Chronic Care Management (CCM): An Overview for Pharmacists, https://www.pharmacist.com/sites/default/files/CCM-An-Overview-for-Pharmacists-FINAL.pdf 3. Billing and Reimbursement Certificate PTCB, https://www.ptcb.org/credentials/ billing-and-reimbursement-certificate#:~:text=To%20be%20eligible%2C%20you%20 must,to%20pharmacy%20billing%20and%20reimbursement

TECHNICIAN CORNER

NEWLY CERTIFIED IOWA TECHNICIANS JANUARY 1, 2021 – MARCH 31, 2021 Congratulations to the following pharmacy technicians on becoming PTCB-certified! Jerrica Anderson Gideon Asare Nadia Bahnsen Justine Baker Carly Baker Emma Brightwell Hue Bui Jessica Burge Drew Engebretson Hunter French Paul Gilbaugh Saleena Gooch Andrea Hanse Caitlin Heine Samantha Hill

Kianne Holland-Hoffert Amanda Hussman Kirk Jackman Amy Jeglum Hadzira Jukic Renee Kautz Mallory Keech Tracy Kielman Morgan Knoup Kathryn Knutsen Aubrey Kooima Anika Mantel Gillian Marbury Karli Michael Kimberly Miller

Lindsay Mulder Samantha Nissen Jessica OKeeffe Cynthia Pellegrini Jenna Peterson Levi Rowe Cynthia Sanchez Armin Sarajlija Christina Schell Shyanne Schnitzler Sydney Sears Lauryn Sheriff Mallory Sherrard Madelynn Slade Ashley Snyder

Ellen Sullivan Timothy Terranova Stephanie Thorne Dat Tran Jason Wacht Taylor Wagner Leah Watson Kailee Wells Joseph Willson

Patient safety. Professional practice. Community impact.

PTCB’s Certified Pharmacy Technician (CPhT) Program is fundamental across pharmacy practice and is the foundation for all PTCB specialty and advanced credentials.

Assessment-Based Certificates

State pharmacy associations like ours work with PTCB because PTCB chooses excellence. Advanced Certifications

Build your team with confidence. Employers who rely on PTCB consistently report improved employee performance, greater efficiency, lower turnover, and reduced time and expense to train and advance pharmacy technicians.

Choose PTCB. Choose Excellence. View PTCB’s full suite at ptcb.org/credentials

Compounded Sterile Preparation Technician® (CSPT®) Certification

Advanced Certified Pharmacy Technician (CPhT-Adv) Certification

IPA FOUNDATION IPA HOSTS 25TH ANNUAL BILL BURKE CONFERENCE

positions, including becoming trained in Youth Mental Health First Aid. Elizabeth was selected based on her demonstrated leadership potential, knowledge of the profession, and vision for the future of pharmacy practice.

WELCOME KEATON HIGGINS, IPA’S 2021 EXECUTIVE INTERN The Iowa Pharmacy Association would like to welcome Keaton Higgins, ATC, as the association’s 2021 Max W. Eggleston Executive Intern in Association Management. During his 12-week internship, Keaton will be actively involved in several association initiatives and events. IPA, in collaboration with Drake University College of Pharmacy & Health Sciences and the University of Iowa College of Pharmacy, hosted the 25th Annual Bill Burke Student Pharmacist Leadership Conference on April 9-10 in Brooklyn, Iowa. On Friday evening, the thirty selected student pharmacists, Dean Letendre, Mike Pursel, and IPA staff gathered virtually for an evening of networking and introductions. Saturday’s programming took place in-person at the Michael J Manatt-Community Center. After a breakfast and networking hour, Sarah Ennis of SparkPoint, Inc. began programming with ways to improve upon your leadership skills and build collaborative workplace cultures. In the afternoon, IPA staff Anthony Pudlo and Sharmi Patel presented on ways the association works to problem-solve today’s healthcare issues. The conference ended with time for reflection, networking, and yard games. This event was made possible with contributions from Main at Locust Pharmacy, Drake University College of Pharmacy & Health Sciences, and the University of Iowa College of Pharmacy.

WELCOME ELIZABETH ORPUT, IPA’S 2021-2022 EXECUTIVE FELLOW IPA welcomes Elizabeth Orput as the association’s 2021-2022 Executive Fellow. As the IPA fellow, Elizabeth will be immersed in the day-to-day activities of the association and work closely with IPA staff to continue advancing IPA’s mission. She will work to expand IPA’s clinical initiatives, attend state and national pharmacy meetings, gain exposure to all aspects of association work, and provide insight and assistance to the association. Elizabeth will officially start with IPA in July 2021.

From Belmond, IA, Keaton is a second-year student pharmacist at the University of Iowa College of Pharmacy. He received his bachelor’s degree in Athletic Training from the University of Northern Iowa. Currently, he holds leadership positions in several student organizations including serving as CEO of the Healthcare Business Leadership program, Treasurer of the Phi Lambda Sigma Pharmacy Leadership Society chapter, Political Advocacy Chair for NCPA, and co-founder of the Industry Pharmacists Organization.

RAGBRAI XLVIII UPDATE

RAGBRAI XLVIII will take place July 25-31, 2021, starting in Le Mars and ending in Clinton. Due to uncertainties in the summer ahead, IPA will not host a RAGBRAI team in 2021. We wish all riders a safe and successful ride!

SUPPORT THE IPA FOUNDATION BY DONATING TO THE SILENT AUCTION!

If you or your pharmacy would like to donate to the IPAF Silent Auction taking place during IPA’s 2021 Annual Meeting, please email ipa@iarx.org with a short description and approximate value (if available) of the item(s) you plan to donate. While items will be accepted through the week of Annual Meeting (September 23-24, 2021), please notify IPA prior to September 3 to have your item listed in the silent auction catalog.

MAKE AN IMPACT TODAY

Make a donation or join the IPA Foundation Institute with your sustained gift. Your donation to the IPA Foundation supports initiatives to build strong leaders, invest in innovative practice advancements and secure high-quality education for tomorrow’s practitioners. Visit www.iarx.org/ipafoundation.

A Des Moines native, Elizabeth will graduate this spring from Drake University College of Pharmacy & Health Sciences. She has worked in community pharmacy for several years and continues to be exposed to the vast opportunities for pharmacists through her advanced practice pharmacy experiences in central Iowa. She held several leadership

APR.MAY.JUN. |

IPA FOUNDATION

SUMMARY REPORT Community Pharmacist and Family Medicine Physician Pre-Visit Collaboration for Patients Receiving Chronic Care Management Services Jim Hoehns, PharmD, BCPS, FCCP, Northeast Iowa Family Practice Center 2020 Outcomes Innovative Pharmacy Grant Recipient Pre-visit planning includes anticipating tasks necessary to support a patient’s clinic visit and proactively completing them in advance (e.g. medication review). Pre-visit preparation is a key component of the Patient-Centered Medical Home (PCMH) guidelines. This project entailed having pharmacists at Greenwood Pharmacy (GPh) perform pre-visit medication reviews for a group of Medicare patients at Northeast Iowa Family Practice Center (NEIFPC). These patients were enrolled in the Chronic Care Management (CCM) program at NEIFPC and received their prescriptions from GPh. A business agreement was created between NEIFPC and GPh. Pharmacists at GPh were granted access to the NEIFPC electronic health record (EHR) for enrolled subjects. NEIFPC submitted CCM claims to insurers for reimbursement. Net CCM funds were prorated and distributed between each party according to the number of billable minutes for each submitted claim. Each week NEIFPC provided GPh a list of enrolled subjects who had a physician visit at NEIFPC the following week. Pharmacists at GPh would review their pharmacy records and the clinic EHR and document drug therapy recommendations (DTRs) in the EHR “Prep Note” section for the scheduled patient encounter. NEIFPC physicians would review the DTRs at the beginning of the patient encounter. Time tracking software in the EHR captured GPh and clinic staff time performing CCM services. During the 8-month project, 95 of 145 eligible patients received at least one pre-visit medication review by GPh. Overall, GPh completed 129 pre-visit reviews. This resulted in 169 DTRs from GwPh and 76.3% were accepted by NEIFPC physicians. Time requirements were met to submit 92 CCM claims. Total net CCM revenue was $3306 (as of 4/28/21). Prorated distributions were: $1632 (NEIFPC) and $1674 (GwPh). This project was successful in leveraging the community pharmacist’s expertise to make drug therapy recommendations for patients in advance of the physician-patient encounter. It also provided a mechanism for the community pharmacist to receive revenue for the service provided.

STEP, CYCLE, SWING August 1-31, 2021 IPA will host a STEP, CYCLE, SWING for Student Scholarships fundraiser in 2021! Get active however you enjoy – whether running, biking, golfing, or performing any other activity – to raise money for student scholarships!

JUNE 15

Registration Opens

LATE JULY

T-Shirts Mailed

AUGUST 1-31

STEP, CYCLE, SWING

AUGUST 21

Step Up for Students

SEPTEMBER 1

Impact & Winners Announced

• Sign up to participate with a $50 donation to the IPA Foundation. ($10 for students!) • Receive a newly-designed (and SUPER soft) t-shirt for this year’s fundraiser. • Wearing your t-shirt, get active and post a picture on social media with the event hashtags. Each post is an entry in a drawing for a $100 Visa giftcard! • An additional one-day fundraising event! Pharmacists are paired with a student pharmacist and pledge to donate $0.01 for each step taken by the student during the 24-hour period.

APR.MAY.JUN. |

OUTCOMES GRANT

2021 OUTCOMES INNOVATIVE PHARMACY GRANTS AWARDED Every year, the IPA Foundation helps to support the Outcomes Innovative Pharmacy Grant, established to provide financial support for research, education, and promotion of innovative pharmacy practice initiatives within the state of Iowa. This year, four individuals were selected for their initiatives ranging across pharmacy’s role in immunizations, mental health, diabetes, and more.

Congratulations to the following individuals awarded in 2021, and thank you for your contributions to the profession! Wendy Mobley-Bukstein, PharmD, BCACP, CDCES, CHWC, FAPhA Drake University College of Pharmacy & Health Science

Logan Murry, PharmD University of Iowa College of Pharmacy

Casey Villhauer, PharmD, BCGP VaxiTaxi.com

Matthew Witry, PharmD, PhD University of Iowa College of Pharmacy

FreeStyle Libre Pro Use for Improved Control of Blood Sugars in Patients with Diabetes

$6,149

Patient Preferences and Willingness-to-Pay for Medicare Part D Consultations Offered in a Community Pharmacy Setting

$10,000

VaxiTaxi.com Provider Pilot

$15,000

Iowa Pharmacists Experiences and Perspectives Related to Expanding Their Role in Mental Health Intervention and Referral in Iowa

$10,390

SAVE THE DATE August 26, 2021 Copper Creek Golf Course, Pleasant Hill, IA

www.iarx.org/eggolfclassic

| The Journal of the Iowa Pharmacy Association

IPA FOUNDATION

2020 IPAF SCHOLARSHIPS The IPA Foundation provides scholarships each year to student pharmacists from both Drake University and the University of Iowa. The Foundation works with each college to determine recipients that exude the values of the Foundation and the best of the profession.

Congratulations to the 2020 IPA Foundation scholarship recipients!

DRAKE UNIVERSITY 2020-2021 Academic Year

IPAF Eggleston-Granberg Scholarships Jacob Drettwan Robert Schroeder

IPAF Mike & Terry Pursel Scholarship Christopher Karch

Robert Schroeder

Jacob Drettwan

“It helped me realize the value our profession instills in its students and future. I cannot wait to be able to pay to forward and motivate the next generation of pharmacists!”

“The IPA Foundation Eggleston-Granberg scholarship is a highly valued and generous contribution to my education at Drake University as I continue to fulfill my academic and professional goals.”

Lauren Zimmerman

Brittani Weichman

“I am honored to have received this scholarship, and it has aided me while furthering my didactic and experiential learning. Thank you for your generosity!”

“This scholarship will not only help me fulfill both my academic and professional goals, but I was able to make a connection to Russell Johnson who knew my grandfather as a child working the paper route together.”

Drake University

IPAF Russell E. Johnson Jr. & Lucille Johnson Scholarship Brittani Weichman

IPAF General Scholarships Nicholas Driscoll Carissa Popp Mariah Trapp Lauren Zimmerman

THE UNIVERSITY OF IOWA

Drake University

2020-2021 Academic Year

IPAF Eggleston-Granberg Scholarships Megan Castellano Ashley Duda

IPAF General Scholarships Benjamin Fox Alison Urbanski

Ashley Duda

University of Iowa “I’m very thankful for your generosity. This scholarship will allow me to focus on growing academically and professionally in the coming year.”

Alison Urbanski University of Iowa

“From my first day of pharmacy school and white coat ceremony, IPA has propelled my education, advocacy interests, and future goals of leadership. Thank you!”

APR.MAY.JUN. |

MEMBERS SECTION

PHARMACIST SPOTLIGHT: JOSHUA DAVIS, PHARMD, BCACP

A Joshua Davis, PharmD, BCACP Clinical Pharmacist Your Neighborhood Pharmacy

Pictured left to right: Deb Nadarevic, Sheena Pershy, Marguerite Rardin, Michele McVey, Josh Davis, Jen Goben, Jim Rardin, Mallory Sherrard, Sue Henderson, Jamie McDanolds

n alarm goes off in southern Iowa before the sun rises, and Josh Davis begins his day. After growing up in Chariton, Josh went on to attend college at the University of Iowa, receiving his PharmD in 2006. Upon graduation, he began serving as the pharmacy manager at Walmart, where he worked as a pharmacy intern throughout school. During his time as manager, Walmart implemented immunization services that Josh had long been a proponent for. This eagerness allowed him the opportunity to train other locations in billing, procedures, workflow, and most importantly, how to administer an immunization. After twelve years as pharmacy manager, Josh went on to become the clinical services manager at Walmart, overseeing eleven stores. After two years in this role, he decided to take advantage of a new opportunity. Wayne County Hospital wanted to open an outpatient community pharmacy, and in August of 2020, the doors of Your Neighborhood Pharmacy opened with Josh Davis at the helm. He then obtained his Board Certification in Ambulatory Care Pharmacy (BCACP) and is currently the only pharmacist practicing in southern Iowa with this certification. Today, Josh is a clinical pharmacist at Your Neighborhood Pharmacy in Corydon. With it being a brand-new practice, Josh’s main focus is laying the groundwork in

the areas of DME billing, network inclusion, entering contracts and more. All four pharmacists and six technicians on staff are ready to act on the potential the new pharmacy has. Going forward, Josh is looking to expand the services provided at Your Neighborhood Pharmacy to include testing for HIV through a CLIA waiver, expanding the DME line of services, developing a Meds-to-Beds service to aid in transitional care, establishing chronic care management practice at the clinic settings, and establishing Your Neighborhood Pharmacy as a rotation site for both Drake and University of Iowa student pharmacists. Although he is busier than ever, Josh wants to make sure his involvement in IPA remains a priority. When asked to give advice to other practitioners on building their practice site, he spoke on a two-fold approach: certification and engagement. Board certification in your area of interest and engagement outside of your workplace is helpful for professional development. To Josh, engaging in the profession is a reminder that no pharmacist acts in a vacuum. Staying engaged keeps the bigger picture in mind and allows for pharmacists to see past their counters. Thank you, Josh, for continuing to serve as a member of IPA and serving patients on the frontlines! ■

MEMBER TIP: IPA Communications IPA utilizes social media and email to communicate the latest news regarding pharmacy practice with our members. Here’s how to make sure you get these updates: • Add IPA (iarx.org) to your Safe Senders email list. Do a quick internet search for stepby-step instructions for your specific email provider. • Follow IPA on your preferred social media platforms – Facebook (@iowapharmacy), Twitter (@IowaPharmacyIPA), Instagram (@iowapharmacyipa), and LinkedIn (www.linkedin.com/company/iowa-pharmacy-association)

| The Journal of the Iowa Pharmacy Association

MEMBERS SECTION

WELCOME NEW IPA MEMBERS! JANUARY 1, 2021 – MARCH 31, 2021 Amber Ahlf Imad Ahmad Shahbaz Ahmad Alexander Albrecht Ethan Albrecht Jamie Albrecht Rachel Almon Saira Amreen Crystal Anderson Ike Appleton Jessica Ashcraft Paula Attleson Garima Avasthi Sadmira Babic Lyzet Bahena Karen Bandy Emilie Bartley Tiffany Bechen Nicole Becker Olivia Beelendorf Spencer Behning Michelle Bennett Allison Berens Billie Birge Shawn Bjorndal Crystal Blades Jocee Bloyer Christine Blumer Logan Boerner Alyson Boes Barbara Bowers Miranda Bowers Mary Braida Katie Breidert Amy Brisel Molly Bruner Paulina Cabrera Genev Calek Scott Caron Victoria Carroll Marta Casado Gulab Chandra Olivia Chiodo Mary Cirkl Logan Clark Ann Cody Sarah Collins Sara Connor Alexis Consunji Jolene Conz Joi Cooper Tiffany Cotten Mahanaim Crampton Marlene Cuauhtenango Peyton Cuddeback Laura De Penning

Angela Dobbins Megan Dominick Erika Driesen Margaret Ehlert Mackenzie Eldridge Sandra Falcon Jamie Fast Sarah Feddersen Grace Fehlhafer Colton Forck Saira Foster Danielle Frank Karen Franz Katelyn Fritz Heather Gates Levi Gates Jennifer Gau Cristin Gienapp Elizabeth Giesking Bobbi Gilliam Lynsea Gordon Alixzander Gradin Brianna Grant Alexa Grimm Leanna Gryz Kassidy Guihan Matthew Guy Michelle Haacke Caley Hager Deborah Hammes Chen Hardi Chasity Hargrave Marina Harris Jessica Harrison Veronica Harvey Samuel Hazlewood Megan Healy Susan Hecker Shimaa Hefny Suzanne Heller Jacob Herbold Poua Herr Leroy Hill Shane Himmerich Steven Holkesvik Cally Holtrop Shanda Hoyle Brooke Huegli Laney Hufendick Jane Hugley Nermina Huskic Amanda Hussman Neelam Iqbal Gretchen Ites Carley Jeanes Yaquelin Jimenez

Marie Johansen Scott Johnson Vanessa Johnson Jeff Jorgensen Jana Kane Kylee Kane Ally Kinsey Angela Kirchner Lisa Klees Jessica Klingaman Carlie Knoll Jenna Kopatich Nicole Kramer Justice Krier Manish Kumar Nitish Kumar Haley Langford-Buckalew Irina Latkova Olivia Lenz Bayleih Lewis Samantha Lindsey Gabriella Liviero Tate Lobeck Melissa Loneman Amanda Lopez Emily Luu Pramod Mahajan Kaitlyn Mahany Darby Manternach Shelbee Mathes Reece Mattson Kristine McCall Sydney McFarland Alexa McLaughlin Cylie McNeal Mitch McNulty Abebe Mengesha Elizabeth Mensing Morgan Meyer Margaret Meyers Robert Miranda Jane Moeller Tyler Moeller Rohit Mohan Hunter Morgan Mary Jo Morgan Stacey Mortensen Chad Moser Jill Mouw Juliette Munoz Shankar Munusamy Mischma Mystere Walter Mystere Ariba Naeem Jessica Neal Willie Nealy

Lacey Newsom Hoang Nguyen Nguyen Nguyen Sophia Nguyen Thanh Nguyen James Nicholson Amit Nigam Margareta Nikic Tabitha Nuss Becky Offerman Emra Oglecevac Grace Panneck Tony Pape Krishn Patel Jeri Pearson Alexander Penk Felissa Perrone Casey Phelps Amanda Phillips Jean Phipps Bryce Plower Carla Porter Nicole Pulley Axel Ramirez Mary Reber Stephanie Rhodd Tori Richardson Joseph Riebe Shelby Riebeling Adam Robbins Christian Robinson Ranina Robinson Matthew Rose Anne Roth Hamza Saadiq James Sacco Kiley Sain Joshua Sandholm Cynthia Sanow Chelsea Schaefer Karen Schell Hannah Schmidt Ashley Schmidtke Susan Schrodt Hannah Schroer Rachel Scott Megan Seiler Kaylee Shearer Alina Sheeba Erin Sherman Arpita Singh Jayant Singh Jayant Singh Rohit Singh Diana Six Ann Slater

Riley Smith Victoria Smith Gavin Soppe Allison Sorenson Amanda Spies Amit Srivastava Garrett Steffen Isabella Steinhauer Diane Steinkamp Alexandra Stine Jennifer Strange Taylor Sullivan Nicole Thatcher Holly Theilen Adam Thiel Phillip Thiel Kali Thoma Theresa Thomson Salil Tiwari Ron Torry Annie Tran Lessly Trevino Hannah Tucker Vi Tucker Nancy Turner Shaylee Udas Ceaira Unternahrer Elysia Valerio Brynn Van Eldik Toua Vang Victoria Varo Jeannine Vaske Asha Verma Rachel Vincent Jamie Volz Allison Vopava Kayla Waits Emily Walsh Allison Warming Dylan Waters Diana Webb Elizabeth Webb Carrie Weber Abigail Weedman Lucas Westphal Savannah Whatcott Alyssa White Frances Williams Sondra Williams Brenda Wilson Meagan Winger Craige Wrenn Taylor Wyss Madison Yauslin

APR.MAY.JUN. |

MEMBERS SECTION

STUDENT SPOTLIGHTS:

rom Carpentersville, Illinois, Brittany Traut is a P4 student at Drake University College of Pharmacy & Health Sciences. After a high school internship, she fell in love with pharmacy and couldn’t imagine following any other career path.

Following her passion of working with older adults, Brittany is currently involved with the American Society of Consultant Pharmacists. With the help of her peers, she was able to help bring the organization to Drake University’s campus. Here, Brittany served as the first president of the student chapter.

Brittany Traut

PharmD Candidate 2021 Drake University College of Pharmacy & Health Sciences

After graduation, Brittany will begin her career with CVS Pharmacy. She aims to become a pharmacy manager in the future. Outside of pharmacy, she enjoys baking, spending time with her two golden retrievers, and helping her fiancé on the farm. When asked for a fun fact about herself, Brittany said she took a one-week road trip last year, covering 13 states! ■

auren Reist, a Cedar Rapids native, is a P3 student at the University of Iowa College of Pharmacy. With two pharmacist parents, Lauren has been surrounded by pharmacy all her life.

Before attending pharmacy school, she received a BS in Human Physiology and MS in Clinical Exercise Physiology. For two years, Lauren worked as a Clinical Exercise Specialist on research studies. While getting her master’s degree, she learned she loved teaching and getting to work with patients. Pharmacy, she realized, would allow her to pursue all of her passions.

Lauren Reist

PharmD Candidate 2022 University of Iowa College of Pharmacy

At the University of Iowa, Lauren is involved in many student organizations both on campus and at the national level. She is a member of the Kappa Psi Pharmaceutical Fraternity, Phi Lambda Sigma: Pharmacy Leadership Society, APhA-ASP, UI-SSHP, AACP, and (of course) IPA! Lauren has held multiple leadership positions within these organizations. In UI-SSHP, she served as the IPA Student Liaison for two years. She served as the pledge trainer for Kappa Psi for one year and is currently finishing her one-year chaplain position. Lauren also served as president-elect of Phi Lambda Sigma, where she is now the current president. After graduating, Lauren wants to pursue a PGY1 or PGY2 residency in clinical pharmacy. She also wants her passion for teaching and research to follow her into her career. In her free time, she enjoys baking, cooking, and reading mysteries. Lauren and her boyfriend also tend a fruit orchard and honey bee farm at their home previously owned by her grandparents and great-grandparents. ■

UPGRADE YOUR MEMBERSHIP Wanting more out of your IPA Pharmacist membership? Upgrade today! To upgrade your membership to ENGAGED, login to your IPA account at www.iarx.org, click on ‘Account Details’, and select the ‘Mid-Year Membership Upgrade’ option. Call IPA at 515-270-0713 for assistance.

| The Journal of the Iowa Pharmacy Association

COMMITTEES

2021 POLICY & ADVISORY COMMITTEES THE POLICY COMMITTEE ON PUBLIC AFFAIRS Andy Stessman – Chair Laura Knockel – Vice Chair Dena Dillon – Past Chair Lisa Lambi Grant Houselog Tyson Ketelsen Wendy Mobley-Bukstein Alisha Eggers Karmen Jorgensen Alma Michelson Katherine Waack Nick Lund Nic Lehman Namaro Kone Madison McDonald Meredith Frey Annika Meyers Mitchell DeKeyrel Lucy Ernst Alison Urbanski

THE POLICY COMMITTEE ON PROFESSIONAL AFFAIRS Sarah Sougstad – Chair Emma Kraayenbrink – Vice Chair Wes Pilkington – Past Chair Randi Beranek Jamie Pitlick Kyle Hilsabeck Alicia Lynn Bridget Jermeland Michael Schnackenberg Leslie Noty Brian Seifert Brian Benson

Jessica Nesheim Amy Van Gorp Eric Mueller Emma McDonald Alexis Cosatino Junior Rodriguez Tanner Frey

LEGISLATIVE ADVISORY COMMITTEE Casey Ficek – Chair Erik Maki Jen Goings-Morris Mike Fuller Robert Greenwood Michael Brownlee

HEALTH-SYSTEM ADVISORY COMMITTEE Anthony Pudlo – Chair Micaela Maeyaert Brian Seifert Emily Muehling David Weetman DeeAnn Wedemeyer-Oleson

COMMUNITY & AMBULATORY CARE PHARMACY ADVISORY COMMITTEE Anthony Pudlo – Chair Robert Nichols Emily Neddermeyer Marshall Sanders Stevie Veach Jessica Frank

SENIOR CARE ADVISORY COMMITTEE Anthony Pudlo – Chair Mark McMullen Justin Rash Mark Branum Rachel Otting David Scott

EDUCATION ADVISORY COMMITTEE Anthony Pudlo – Chair Pamela Wiltfang Nancee Waterbury Ryan Jacobsen Sara Wiedenfeld Carrie Koenigsfeld

PHARMACY TECHNICIAN ADVISORY COMMITTEE Anthony Pudlo – Chair Amanda West Lori Foster Macey Calderwood Jessica Burge Meg Finn

STUDENT ADVISORY COMMITTEE Sharmi Patel – Chair Courtney Temple Alexis Clouse Isabelle Tharp Brittany Traut Lauren Reist

Learn more about IPA committees at www.iarx.org/committeestaskforces APR.MAY.JUN. |

MEMBERS SECTION

MEMBER MILESTONES Bill Doucette, PhD, received the Paul R. Dawson Award for Excellence in Patient Care Research from AACP. This award recognizes his innovative and impactful research in the areas of patient care and collaboration between pharmacists and other healthcare providers. Congratulations, Bill, on this honor!

Congratulations to DeeAnn WedemeyerOleson, PharmD, MHA, for being one of four pharmacists in the country selected to receive the 2021 Master Preceptor Award from the American Association of Colleges of Pharmacy (AACP)!

Congratulations to Wendy Mobley-Bukstein, PharmD, BCACP, CDCES, CHWC, FAPhA, for being installed as President of the American Pharmacists Association Academy of Pharmacy Practice and Management (APhA-APPM) during APhA’s virtual Annual Conference!

Congratulations to Kate Gainer, PharmD, for being installed as the National Alliance of State Pharmacy Association’s (NASPA) 2021-2022 President-Elect!

Susan Winckler, RPh, Esq, received the APhA Foundation’s 2021 Jacob W. Miller Award. The award recognizes individuals who help to advance the Foundation’s mission through their involvement and leadership in longstanding programs and new initiatives. Congratulations, Susan, on this honor!

Congratulations to Ben Miskel as he starts in his new role as Pharmacy Specialist in Psychiatry at the University of Iowa Hospitals and Clinics!

Best of luck to Tim and Nora Wright as they’ve left the state and moved to Irvine, California!

Congratulations to Greg Young in his new position as Pharmacist Surveyor with the Joint Commission!

IN MEMORIAM It is with a heavy heart that we announce the passing of previous IPA Honorary President David Carew. Dr. Carew joined the University of Iowa College of Pharmacy faculty in 1957, later becoming Assistant Dean for Undergraduate Affairs, Acting Dean, and Director of Alumni Relations. His 35-year tenure with the College included countless achievements in science and an unwavering commitment to students.

IPA MEMBER BENEFIT Have You Accessed Your FREE Continuing Education Beneﬁts Yet? WWW.IARX.ORG/ACCESSCPE IPA ENGAGED Pharmacist and Pharmacy Technician members receive a FREE subscription to CEimpact’s Pharmacist or Pharmacy Technician Course Catalog, which includes all required CPE for pharmacist relicensure and pharmacy technician recertification for FREE.

IPA IN ACTION PHARMACY STAKEHOLDER MEETING

The Iowa Pharmacy Stakeholder group convened on January 26, 2021, which included leaders from Iowa’s colleges of pharmacy, CPESNIA, the Board of Pharmacy, and CEimpact. The discussion included updates on IPA’s bills introduced during the legislative session and the Practice Act Taskforce, as well as COVID-19’s impact on the perception of the pharmacy profession as pharmacy school enrollment and applications continue to decline. The importance of all pharmacy organizations taking ownership to positively impact the profession was emphasized, including the need for media to showcase the profession’s valuable role. Many of the stakeholders shared their direct contributions to addressing the pandemic, including vaccine distribution efforts, ongoing collaboration with local public health departments, and implementation of immunization training. The stakeholder group is scheduled to convene again in May.

DIABETES STATEWIDE STRATEGY MEETING

Hosted by IDPH, the Diabetes Statewide Strategy Meeting serves as a method for implementing unifying goals and actions to address diabetes as a priority health issue. With the goal of improving diabetes outcomes in quality, patient safety, patient experience and cost, IPA regularly attends to share examples of innovative work in the pharmacy profession and upcoming opportunities, as well as to engage others in discussion of successes and challenges. The group met in January to discuss resources for Diabetes Prevention Programs (DPP) and Diabetes Self-Management Education and Support (DSMES), including a series of educational webinars and a virtual platform for support. Additionally, a new data source, PLACES, was discussed as a means to better understand the burden and geographic distribution of health-related outcomes in Iowa’s counties for assistance with planning public health interventions.

IOWA PHARMACIST WORKFORCE REPORT RELEASED

In February, the Iowa Pharmacist Tracking System Advisory Committee convened to review the newest report from the Iowa Health Professions Tracking Center. Representatives on this advisory committee include IPA, the Board of Pharmacy, and representatives from each college of pharmacy. The report summarized the Iowa pharmacist workforce trends through the end of 2019. Some key points highlighted in the report, include: • A total of 2,955 working pharmacists in Iowa, which is a net loss of 32 pharmacists from 2018 • 66% have a PharmD degree, and 65% are female • 11 counties have 50% of practicing pharmacists over the age of 55

FALLS PREVENTION MEETING

In March, IPA met with the Iowa Falls Prevention Coalition, a network of health care organizations with a mission to foster collaboration among state, community, and health care system partners to reduce falls by building awareness and providing education about falls. At the March meeting, representatives from the Brain Injury Alliance of Iowa (BIAIA) and the Iowa Department of Public Health presented on “Approaching Brain Injury as a Health Outcome from Intimate Partner Violence.” Sharmi Patel, Executive Fellow at IPA, and Payton Augustine, fourth-year pharmacy student at the University of Iowa and current IPA pharmacy student intern, presented on the role of medications in falls prevention and recent pharmacy initiatives that address fall risk, including the Rural Community Opioid Response

Program (RCORP). IPA looks forward to contributing to the Iowa Falls Prevention Coalition in the future through educational opportunities and pharmacy-related initiatives. The charter continues to meet every other month via a virtual platform.

APhA VIRTUAL 2021 ANNUAL MEETING

From March 12-15, the American Pharmacists Assocation (APhA) hosted their Annual Meeting in a virtual format to help showcase that “Pharmacy’s Future Starts Here.” APhA welcomed keynote speakers Janet Woodcock, MD, the Acting Commission of Food and Drugs at the FDA, and Dan Schneider, the pharmacist spotlighted in the Netflix series entitled The Pharmacist, to speak and engage with attendees throughout the weekend event. In addition, the APhA House of Delegates convened and debated topics related to health inequities, harassment, and national organization unity. This year, IPA celebrated the installment of Wendy Mobley-Bukstein as the president for the APhA Academy of Pharmacy Practice & Management (APPM). She will serve in this role for one year. Congratulations, Wendy!

IDAC MEETING: IPA HELPS GUIDE COVID-19 VACCINE DISTRIBUTION

Given the limited federal distribution of FDA-approved COVID-19 vaccines, the Iowa Department of Public Health (IDPH) convened a team of appointed external and internal subject matter experts, known collectively as the Infectious Disease Advisory Council (IDAC), in December 2020 and January 2021. This council assisted the IDPH Director and Medical Director in developing COVID-19 vaccine distribution guidance and prioritization of populations for early in the vaccination response when vaccine supply was limited. IPA CEO Kate Gainer was invited to participate on this advisory council that brought together clinical and ethical expertise from across the state, including university leadership, infectious disease specialists, local public health agencies, key provider associations that represent vulnerable populations, and IDPH along with other state agency representatives. IDAC developed recommendations for vaccine prioritization within the critical populations of healthcare personnel, critical infrastructure workers, and people at increased risk for severe COVID-19 illness and developed priority subset groups that promote public health and enable social and economic activity. These priority recommendations recognized the importance of treating individuals fairly and promoting social equity, by addressing racial and ethnic disparities in COVID-19 mortality, and by recognizing the contributions of critical infrastructure workers. IDAC submitted the vaccine priority recommendations and priority subsets to the Director of IDPH for consideration and approval. The approved recommendations served a critical purpose throughout the early days of the COVID-19 vaccine distribution. This wasn’t the first state-based advisory group for the profession to assist in the managing the pandemic in Iowa. In June 2020, several IPA members with infectious disease expertise served on the Remdesivir Advisory Committee. In September and October 2020, IPA staff served on the Vaccine Planning & Distribution Workgroup.

APR.MAY.JUN. |

CALENDAR OF EVENTS

UPCOMING IPA EVENTS Find additional details to these events and more at www.iarx.org. Click on “Calendar of Events” under the Events tab.

JUNE 2021 2

Emerging Leaders Program: Growth Mindset

2-3

Research & Innovation Conference

2/2/2: Innovative Diabetes Practice

IPA Independent and Community Pharmacy Practice Forum

Insight to Advocacy Webinar Series: Action Across the States – State Pharmacy Legislation

JULY 2021 13

Summer/Fall BPS Study Group begins

Insight to Advocacy Webinar Series: Updates from Congress – Hear from a member of Iowa’s Congressional Delegation

AUGUST 2021

1-31 STEP, CYCLE, SWING for Student Scholarships

Eggleston-Granberg Golf Classic

Currently scheduled events are subject to change. Please continue to watch IPA communications regarding any updates.

| The Journal of the Iowa Pharmacy Association

IPA MEMBER FORUMS

On May 19, IPA hosted its Specialty Pharmacy Forum, welcoming speakers from national organizations and over 20 pharmacists, pharmacy technicians and student pharmacists in attendance. After opening remarks, Brad Trom, Owner of Brad Trom Rx Consulting and Vice Chair of Charitable Pharmacies of America, Melissa Smith, Specialty Pharmacy Technician Supervisor at the University of Iowa Health Care, and Amanda Rosmann, Staff Pharmacist at Optum Specialty Pharmacy, spoke on the barriers to patient access of specialty medications. Afterwards, Brad Trom, Alex Mersch, Specialty Pharmacy Manager at the University of Iowa Hospitals and Clinics, Tara Kelley, Executive Director of Specialty Pharmacy Services at Vanderbilt University Medical Center, and Sheila Arquette, President & CEO of the National Association of Specialty Pharmacy, provided pearls for building a specialty care model. Attendees then selected a breakout group to continue these discussions. Lastly, Steven Donnelly, Registered Manager of Specialty Pharmacy Operations at Walgreens, Jacqueline Cicchese, Clinical Pharmacy Specialist at the University of Iowa Hospitals and Clinics, and Ryan Jacobsen, Ambulatory Care Clinical Pharmacy Specialist at the University of Iowa Hospitals and Clinics, concluded the morning’s programming discussing student opportunities in the specialty pharmacy field. Make sure to save the date for our upcoming Member Forums! Register and learn more at www.iarx.org/forums.

INDEPENDENT AND COMMUNITY PHARMACY PRACTICE FORUM June 16, 2021

HEALTH-SYSTEM LEADERSHIP FORUM October 20, 2021

PHARMACY TECHNICIAN FORUM November 10, 2021

PHARMACY TIME CAPSULE

19 89

Issues & events that have shaped Iowa pharmacy (or are fun to remember!)

FEBRUARY:

Randal McDonough won a 1989 Ford Tempo GL sports sedan in a nationwide sweepstakes sponsored by Percogesic analgesic.

MAY:

Governor Branstad released his 1990-91 budget with a recommendation to freeze reimbursement for both drug product cost and medical supplies. After extensive discussion between IPA officials and representatives of the Governor’s office, Department of Management, and Department of Human Services, the Governor amended his budget to provide inflationary increases in the cost of drug products, durable medical equipment, and medical supplies. After months of debate, the joint Senate/House Appropriations Subcommittee released proposed funding for the bill. The Medicaid Appropriations bill was signed by the Governor in May with the following changes: • Maintenance of AWP as the drug product cost reimbursement standard • A 2.25% increase in the pharmacist’s professional fee ($3.78 – $3.87) • Maintenance of the additional 1 cent/dose reimbursement policy for unit dose dispensing • A $100,000 expansion in pharmacy’s drug utilization review program; and • Restoration of full reimbursement for medical supplies and durable medical equipment which had previously been frozen at 1985 levels) The University of Iowa College of Pharmacy was allocated $11.2 million from the capitol contingency fund to support major renovation/addition to the current building.

FUN FACT:

In 1989, there were only 74 colleges and schools of pharmacy in the U.S., compared to 144 as of July 2019!

JUNE:

IPA’s 109th president, Jerry Karbeling, gave his inaugural address at the Annual Meeting in Okoboji. Karbeling’s speech, entitled “Reaching Out,” encouraged all active members to reach out to those non-member, non-participating pharmacists and encourage their support for the profession. At the time, Karbeling noted membership was at nearly 70%. Karbeling noted, “we can find dozens of reasons to encourage [non-members] to be involved.”

JULY:

Matt Osterhaus was awarded the Young Pharmacist of the Year award. Testing of the Pharmacy NETWORK’s new online claims submission began on July 11.

OCTOBER:

Lloyd Jessen was named Executive Secretary of the Iowa Board of Pharmacy Examiners. Jessen replaced Norman C. Johnson, who announced his retirement from the Board in April 1989 after serving as chief executive for more than 12 years. Jessen assumed his position as Executive Secretary on January 1, 1990.

Lloyd Jessen

The Iowa Pharmacy Association Foundation is committed to the preservation of the rich heritage of pharmacy practice in Iowa. By honoring and remembering the past, we are reminded of the strong tradition we have to build upon for a prosperous future for the profession.

APR.MAY.JUN. |

IPA Journal Apr/May/Jun 2021

Articles inside

STEP, CYCLE, SWING Fundraiser

Governor Reynolds' COVID-19 Vaccine

President’s Page

Vaccine Hesitancy

Pharmacy Time Capsule

IPA in Action

Technician Corner

Practice Advancement