IPA Journal Jul/Aug/Sep 2023

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

Emmeline Paintsil, PharmD, MSLD, BCPS

Mikayla Tice-Harris, PharmD

Kellie Staiert, MPA

Seth Brown, JD

OFFICERS

CHAIRMAN

Cheri Schmit, RPh – Ames

PRESIDENT

John Hamiel, PharmD – Evansdale

PRESIDENT-ELECT

Jim Hoehns, PharmD, BCPS, FCCP – Cedar Falls

TREASURER

Kristin Meyer, PharmD, BCGP, CACP, FASCP – Marshalltown

SPEAKER OF THE HOUSE

Wes Pilkington, PharmD – Waterloo

VICE SPEAKER OF THE HOUSE

Laura Knockel, PharmD, BCACP

TRUSTEES

REGION #1

Robert Nichols, PharmD, BCPS – Waterloo

REGION #2

Natalie Hunter, PharmD – Cedar Falls

REGION #3

John L'Estrange, PharmD, RPh, BCACP – Des Moines

REGION #4

Wendy Kinne, PharmD – Boone

AT LARGE

Micaela Maeyaert, PharmD, BCPS, DPLA – Spirit Lake

Morgan Herring, PharmD, BCPS, FAPhA – West Des Moines

Brett Faine, PharmD, MS – Iowa City

Cory Garvin, PharmD – Wilton

HONORARY PRESIDENT

Marilyn Osterhaus, RPh – Maquoketa

PHARMACY TECHNICIAN

Connie Bentrott, CPhT – Ames

STUDENT PHARMACISTS

Kayla Batdorf – Drake University

Rebecca Scribano – 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 Mittera; Graphic design done by the Iowa Pharmacy Association.

My First Steps pg. 4

FEATURES

IN EVERY ISSUE

Mission

MY FIRST STEPS

2023 PRESIDENTIAL ADDRESS

Often the hardest part of a journey is the first step. That was certainly true of composing this inaugural speech. There are so many things that I would like to share, people to thank, and things that I knew I should not forget to say. I have researched, drafted, stopped, started, and restarted this speech so many times.

Gratitude: To my coworkers, who teach me much more than I them. Some of whom are Dan Cullinan, Jim Van Winkle, Jon Beyer, and Arlene Wright.

John Hamiel, PharmD Regional Director of Pharmacy, MercyOne Northeast Iowa

IPA President

Through all the edits and revisions, four words repeatedly kept popping into my mind as I contemplated my life’s path.

Gratitude, Challenge, Vision, and Faith.

Gratitude is my first word.

As I look out over the audience today, I see so many friends, mentors, pharmacy legends, students, and IPA members who will help me walk the path of President. I am humbled, and your presence fills my heart with gratitude.

Gratitude: For my family, teachers, coaches, and friends as I grew up in the small(ish) Eastern Iowa town of Tipton. They taught me that you need to work, study, and run your butt off to catch opportunities in life. Tipton was also home to DeKock Drug and Reeve Drug, which, surprisingly, were diagonally across the street from each other. My first exposure to pharmacy was the calm and intelligent Bob DeKock.

Gratitude: For Doug Wrenn at North Dodge Hy-Vee in Iowa City, who has been a longtime friend, preceptor, and mentor. Doug’s diligence also caught an overdose on a prescription, saving one of my children’s lives.

Gratitude: For all of the professors and staff at the University of Iowa College of Pharmacy who gave me and others the opportunity to find our calling in this profession. Especially, Pat McCormick who, like so many other wayward souls, took me under her wing. Without her inspiration and support, I would not be here today. In addition to Pat, Lloyd Matheson routinely offered his sage wisdom and always gave his time to listen. I am also grateful for my classmates, Andy Weis, Denise Frank, Kim Spading, Michelle Graves, Nicola Sarrazin and Brian Kuehl, who banded together as a non-traditional student study (support) group to make it through Dr. Parrott’s exams, among others.

Gratitude: To my pharmacist bosses who put faith and trust in me and taught me leadership lessons, including giving people a chance. They are Bob Sample, J.R. Fikuart, and Doug Wrenn.

Gratitude: For the tremendous work that Tom, Kate, Anthony, and Emmeline have done to make Iowa Pharmacy the best in the country. They have opened so many doors for me and others to take that first step in organizational involvement and professional advancement. I especially have gratitude for my wife, Susie, as well as my children and grandchildren, who still let me play ‘pharmacy.’ Their love and support are unconditional and never-ending.

Challenge is my second word.

Challenges and change often appear to us as a confusing blizzard, clouding our path forward. I want to share with you the metaphor of the bison and cows to show the difference it can make when you decide which direction to take your first step.

Imagine a blizzard brewing on the horizon, coming, coming fast—a storm that represents the obstacles, changes, and uncertainties that we encounter in our professional and personal lives. Now, picture a herd of cows in the face of this storm. Their instinct is to take a first step, turn and flee, running away from danger. They seek only safety and shelter, avoiding the discomfort and potential harm the storm of change may bring, but they end up separating, extending their inevitable exposure, and often freezing to death.

Now, let us shift our focus to the bison—the Lakota people’s symbol of strength, resilience, and courage. When confronted with that same storm, the bison herd does not retreat in fear. Instead, the unified herd takes its first steps and charges headfirst into the blizzard, running directly at the challenge. The bison understands that by facing the storm head on and together, it can minimize the impact and emerge stronger on the other side.

This metaphor holds valuable lessons for pharmacy, as we are confronted with a blizzard of the evolving healthcare landscape, technological advancements, shifting patient needs, security threats, DIR Fees, PBMs, underwater reimbursement, drug shortages, staffing shortages, decreased student enrollment, burnout, legislative setbacks, and ever-changing regulations. These storms of change are intimidating, but we must not allow fear to guide our first step. We must harness the strength within us, the knowledge we have acquired, and the collaborative power of our association to navigate these challenges successfully.

For far too long, we in pharmacy have acted like cows,

ruminating and only traveling familiar paths. To survive, we must be bison, forging ahead, unafraid of the unknown, and embracing the opportunities that lie within the storms of change and challenge. By moving together as a cohesive herd with a single voice, we can be the ones to determine our first step. We can be the ones to choose how to shape the future path of pharmacy, influence healthcare policy, improve patient outcomes, and contribute to the well-being of our communities.

We have always believed that what is good for the patient is good for pharmacy! Let us continue to use Bob O’s mantra as we face the challenges of the future.

Vision is my third word.

To take our first step, vision is necessary.

As we take our first steps throughout our careers, we need to have a steady hand and words of encouragement to keep moving ahead. Just as older bison teach the calves how to navigate the prairie and strengthen the herd, involvement in mentoring gives vision and purpose to both ends of a career. Mentoring can steady the first professional steps and give purpose to those of us approaching the end of our careers.

I challenge the grey hairs, like me, to find someone starting on their journey, help them see the path, and share each other’s vision. We need to share our strength of wisdom and teach those who share their excitement and energy.

I challenge all of us to share our vision with those outside of pharmacy.

We must share the vision of why we need to update our Pharmacy Practice Act to allow us to adapt to the future and practice at the top of our training.

We must share the vision that decreasing reimbursement to pharmacies worsens healthcare and adds to costs, not lessens them.

We must share the vision that PBMs and not pharmacy need more regulation.

We must share the vision for the need to ever expand technology and opportunities to better serve our diverse patients’ needs.

We must share the vision with the brightest students that our profession continues growing and is worth investing in as a career.

Faith is my fourth word.

Without faith all the gratitude, challenge, and vision will do nothing to help us take our first steps. Faith is what we need as we step into the unknown. Faith is what we need to trust that there is a path ahead. We must have faith that our coworkers, friends, and loved ones will be there when we stumble. We must all put our faith in a profession that puts serving people’s needs at its core.

I am putting my faith in all of you to help make IPA and the pharmacy profession stronger, more resilient, and more inclusive than it has ever been.

Let us all take our first step together. Let us all have gratitude for all the gifts given to us, empower and support each other as we face challenges, shape a brighter vision for the future of pharmacy in Iowa, and have faith that we will not fall.

Thank you all so much for your commitment, passion, and dedication to our profession and our patients. ■

Scan the QR code to watch President Hamiel’s introductory video!

CELEBRATING PROFESSIONAL ACHIEVEMENTS

In June, IPA welcomed over 250 pharmacists, pharmacy technicians, student pharmacists, and pharmacy friends for the 2023 IPA Annual Meeting in Des Moines. During three House of Delegates sessions, one virtual and two live, the IPA House of Delegates debated and adopted policy regarding pharmacoequity; pharmacist prescriptive authority; professional identity formation; PIC designation, compliance roles and responsibilities; harm reduction strategies; and pharmacist professional standards (see Final Adopted Policies on pg. 14). 2023 keynotes were presented by Vipul Bhatt, PharmD, MBA of Deloitte Consulting on “Pharmacy of the Future” and Liz Nead of Nead Inspiration on “Active Leadership.”

2023 IPA Professional Awards were presented on June 15, recognizing contributions of leadership, patient care, professional involvement and public service by Iowa pharmacy professionals. In addition, IPA Board members and our 145th President, John Hamiel, PharmD, were installed over a Leadership Luncheon. New this year, IPA offered two resident presentation sessions, allowing Iowa pharmacy residents to present their final research projects to leaders of our profession. IPA members enjoyed two action-packed days of meaningful connection and policy adoption at this year’s Annual Meeting!

THANK YOU SPONSORS

This event would not be possible without the support of the following sponsors:

IPA President John Hamiel delivering his Presidential Address

BOARD OF TRUSTEES

THANK YOU

Christopher Clayton, PharmD, MBA Chairman of the Board

CoraLynn Trewet, PharmD Treasurer

Heather Ourth, PharmD, BCPS, BCGP Speaker of the House

Pamela Wiltfang, PharmD, MPH, BA, CHES Trustee – Region #2

Grant Houselog, PharmD, CSPI Trustee – Region #4

Jackie Gravert, PharmD, MPH Trustee At-Large

Angie Spannagel, PharmD, BCACP Trustee At-Large

Tammy Sharp-Becker, CPhT, CSPT Pharmacy Technician

Betty Grinde, RPh Honorary President

Nirjan Bhattarai Student Pharmacist, Drake

Sidney Vancil Student Pharmacist, Iowa

WELCOME

John Hamiel, PharmD President

Jim Hoehns, PharmD, BCPS, FCCP President-Elect

Kristin Meyer, PharmD, BCGP, CACP, FASCP Treasurer

Wes Pilkington, PharmD Speaker of the House

Laura Knockel, PharmD, BCACP Vice Speaker of the House

Natalie Hunter, PharmD Trustee – Region #2

Wendy Kinne, PharmD Trustee – Region #4

Brett Faine, PharmD, MS Trustee At-Large

Cory Garvin, PharmD Trustee At-Large

Connie Bentrott, CPhT Pharmacy Technician

Marilyn Osterhaus, RPh Honorary President

Kayla Batdorf Student Pharmacist, Drake

Rebecca Scribano Student Pharmacist, Iowa

Newly installed Board members; Left to Right: Natalie Hunter, Wendy Kinne, Connie Bentrott, Brett Faine, Rebecca Scribano, Jim Hoehns, Wes Pilkington, Kristin Meyer, Marilyn Osterhaus

2022-2023 IPA President Cheri Schmit being recognized

Keynote Vipul Bhatt Keynote Liz Nead

NOW IS THE TIME

During the COVID-19 pandemic, my parents lived with us to facilitate online school (four children in kindergarten through 4th grade) while Bob and I worked remotely. It. Was. A. Lot. – A lot of extreme challenges and a lot of wonderful memories. One of the positive memories was that my mom and I started doing yoga. We began with a three-week online yoga course. It took us nearly 10 months to finish the three-week course!

One instructor started class with the very first yoga sutra, or teaching. This yoga teaching translates to “now is the time for yoga.” Her words stuck with me and motivated me. She shared:

It doesn’t matter if you are flexible or not. If you have a yoga body or not. If your mind is present or wandering. If this is your first yoga class or eight hundredth class. Now is the time for yoga.

I recently did this online yoga class again. (Yes, I am still doing beginner classes!) And again, this yoga teaching resonated with me on many levels.

Now is the time.

For yoga – I am not flexible, nor great at yoga. However, I truly enjoy it, and I always feel better.

For my daily life – with juggling a family, a home, a marriage, friendships and a career, I try to be present and focus on what is in front of me. When I am working, I set a timer to focus on work and block out anything else. And when I am with my family, I try my best to not think about work. I have learned that when I’m focused on what is in front of me, I always feel better.

As I reflected on the yoga instructor’s teaching of “now is the time,” I easily applied this to IPA and the engagement of pharmacy professionals across the state.

Members of IPA cover a wide spectrum of the profession:

• Some in their first year; some in their sixtieth year.

• Some in their dream job; some feeling burned out or in-between positions.

• Some that have experience in advocacy; some that do not care about politics.

• Some new to Iowa; some that have never left the state.

• Some uncomfortable in new settings; some that thrive on meeting other pharmacy professionals.

• Some working for a past-president of IPA; some working where not a single colleague is a member.

• Some who can’t attend in-person meetings; some who show up every chance they can.

And for each of these IPA members, now is the time. They have shared with me that when they are active in IPA, they always feel better.

Engagement with a professional association—at any level—provides support and fulfillment.

Now is the time.

To feel better.

To feel professionally engaged.

To feel connected with others.

I will likely never do an inversion (headstand) or be very flexible. Similarly, IPA may not solve every problem facing our members this year. That doesn’t change the immediate benefits of practicing yoga or joining IPA.

Just as the right yoga class is welcoming to anyone trying yoga for the first time, the Iowa Pharmacy Association is an organization that welcomes all pharmacy professionals. If you know someone who needs encouragement to take their first step in professional engagement, share this article with them. Better yet, share your personal experience.

Now is the time for all pharmacy professionals to be professionally involved. ■

Executive Vice President & CEO, IPA

Kate Gainer, PharmD

IPA PROFESSIONAL AWARDS

The Iowa Pharmacy Association takes great pride in recognizing individuals for their contributions of leadership, patient care, professional involvement, and public service. The following awards were presented at IPA’s 2023 Annual Meeting on Thursday, June 15th.

EXCELLENCE IN INNOVATION

Ben Miskle, PharmD

DISTINGUISHED YOUNG PHARMACIST OF THE YEAR

Rob Nichols, PharmD, BCPS

HEALTH-SYSTEM

PHARMACIST OF THE YEAR

Lisa Lambi, PharmD, BCPS

PATIENT CARE PARTNER AWARD

Story County Medical Center

CORPORATE APPRECIATION AWARD

Janssen Pharmaceuticals, Inc.

INDIVIDUAL APPRECIATION AWARD

Cathy Temple

PHARMACY TECHNICIAN OF THE YEAR

Shannon Hahn, CPhT

IPA FOUNDATION POSTER PRESENTATION AWARD

KARBELING LEADERSHIP AWARD

Nirjan Bhattarai, Drake

Sidney Vancil, Iowa

“Patient Satisfaction with Pharmacist Involvement in an MAT Clinic” – Emma Piehl, PharmD; Matthew J. Witry; Linnea A. Polgreen; Stevie R. Veach; Rachel I. Otting; Amanda A. Powers; Jess P. Smith

BOWL OF HYGEIA Wendy Kinne, PharmD

ROBERT G. GIBBS DISTINGUISHED PHARMACIST William (Bill) Drilling, RPh

THOMAS R. TEMPLE MENTORSHIP AWARD CoraLynn Trewet, MS, PharmD, BCPS, CDE

HONORARY PRESIDENT Betty Grinde, RPh

MAY WE FORGE AHEAD

2023 SPEAKER’S ADDRESS

Heather Ourth, PharmD, BCPS, BCGP Assistant Chief Consultant for Clinical Pharmacy Practice, Outcomes, Analytics, Legislation and Compensation, Department of Veterans Affairs (VA)

Thank you, Vice Speaker Pilkington. Good morning fellow delegates, student attendees, and all others in attendance. Being here with all of you, with the IPA Annual Meeting back in June and in person again, is absolutely wonderful. It is with great honor and privilege that I stand before you today as the Speaker of the House, representing the collective voice of this esteemed association. I would like to extend my deepest gratitude to each and every one of you for your dedication and commitment to the pharmacy profession, and for being here today to shape the future of pharmacy practice in our great state.

The Iowa Pharmacy Association has always been at the forefront of advancing patient care, advocating for our profession, and fostering innovation. Our pharmacists have been pillars of strength in our communities, ensuring the safe and effective use of medications while delivering essential healthcare services to those in need. Each of you rose up and answered the call during the pandemic and continue to provide care each day to your patients. In the words of Brene Brown, “Sometimes the bravest and most important thing you can do is just show up.”

Thank you for continuing to show up, and for tackling issues related to practitioner resilience, digital and telehealth, and health and social disparities in healthcare. During our House of Delegates sessions over the next two days, we will be determining policy on pharmacoequity, which aims to ensure access to appropriate medications for all.

In the face of evolving healthcare landscapes, it is crucial for us to adapt and lead the way forward. The challenges we face are immense, from predatory PBM practices to the opioid epidemic, from expanding roles of pharmacists to the integration of technology in healthcare delivery. However, with each challenge, there lies an opportunity for growth and progress.

We must continue to combat the opioid epidemic that plagues our communities. This crisis has taken far too many lives and shattered countless families. Pharmacists play a pivotal role in preventing opioid abuse, ensuring appropriate prescribing practices, and providing education and resources to both patients and healthcare professionals. Let us strive to enhance collaborations, implement evidence-based strategies, and support initiatives that promote responsible opioid use, prevention, and treatment. We will be deliberating and

IPA Speaker of the House

“

“[Iowa] pharmacists have been pillars of strength in our communities, ensuring the safe and effective use of medications while delivering essential healthcare services to those in need.”

determining IPA policy on harm reduction strategies during the House sessions of this meeting.

As the healthcare landscape continues to evolve, so does the role of pharmacists. We are no longer confined to the traditional dispensing of medications; rather we have emerged as integral members of the healthcare team, contributing our expertise in medication management, chronic disease management, immunizations, and much more. Let us seize the opportunity to expand our scope of practice, to be recognized as providers, and to fully utilize our knowledge and skills to improve patient outcomes.

Over the past 14 months, I found myself in a role within our healthcare system I was not that familiar with. And that role was as a patient. One of the things that struck me through my journey as a cancer patient, and now survivor, was the thought of how patients who have no healthcare training or knowledge navigate the system, especially as it relates to medication management.

I’ve been blessed to have an exceptional team of physicians, nurses, and support staff that have provided outstanding care. But with the exception of the community pharmacy where I filled my outpatient prescriptions, I didn’t have a pharmacist that I interacted with as part of my care team. I was able to advocate and double-check things for myself, but what about patients without that training? It reaffirmed my belief that all care teams need a pharmacist as an essential member of the team. When progressing towards that reality, I have found that it is best not to wait to be invited, but crash the party if you have to. Make a seat for pharmacy at the table. We will be considering policy which addresses the issue of pharmacist professional standards and pharmacist prescriptive authority during this House of Delegates session. This will serve as a valuable tool for advocacy efforts to update the Pharmacy Practice Act.

Moreover, we cannot overlook the transformative power of technology in healthcare. The digital revolution has opened up new avenues for patient care, medication management, and communication. We must embrace these advancements, while also addressing the challenges they bring, such as patient privacy and data security. By harnessing the power of technology, we can enhance patient safety, improve medication adherence, and promote seamless coordination of care.

I would like to extend gratitude to the IPA staff, the Board of Trustees, and the Executive Team for their engagement and support over the last two years. These truly exceptional professionals have exhibited tremendous dedication to serving IPA, and it has been my honor to work closely with them. I would also like to thank our policy committee members and chairs for their time, service, and expertise to prepare the policies that will be brought before you over the next two days. I look forward to a thoughtful and lively debate of the IPA House of Delegates.

In conclusion, we are at a pivotal moment in the history of pharmacy. The decisions we make today will shape the future of our profession, the health of our communities, and the lives of countless individuals. Let us stand united in our commitment to excellence, our pursuit of equitable access to healthcare, and our dedication to patient-centered care.

I have faith in our collective ability to rise to the challenges that lie ahead. Together, we can achieve great things, drive positive change, and make a lasting impact. Let us continue to advocate, to innovate, and to lead, ensuring that pharmacy remains a cornerstone of healthcare in the great state of Iowa. Thank you, and may we forge ahead with unwavering determination and boundless enthusiasm. ■

“Let us stand united in our commitment to excellence, our pursuit of equitable access to healthcare, and our dedication to patient-centered care.”

IPA HOUSE OF DELEGATES FINALIZED POLICIES

23-U1: PIC DESIGNATION, COMPLIANCE ROLES AND RESPONSIBILITIES

1. IPA affirms the responsibility of each licensed pharmacy to determine policies and procedures that ensure compliance with pertinent laws and regulations.

2. IPA supports pharmacy licensure by the Iowa Board of Pharmacy without designation of a pharmacist-in-charge.

23-U2: HARM REDUCTION STRATEGIES

1. IPA recognizes harm reduction strategies as a key measure of public health efforts.

2. IPA supports legislative, regulatory, and private sector efforts to improve access to harm reduction strategies to reduce overdose, death, spread of infectious diseases, and other harms resulting from drug use and misuse.

3. IPA recognizes the pharmacy professionals’ role in supporting and increasing access to harm reduction strategies including but not limited to opioid reversal agents and testing methods to identify substances of harm.

4. IPA affirms that discrimination and stigma should not impact a patient’s access to harm reduction strategies.

23-U3: PHARMACIST PROFESSIONAL STANDARDS

1. IPA reaffirms 22-U2.

2. IPA supports stakeholder collaboration in the development of resources and professional standards for pharmacists practicing in a standard of care model.

3. IPA supports professional standards for pharmacists based on education, training, and experience for their practice setting.

23-R1: PHARMACOEQUITY

1. IPA supports principles of pharmacoequity that promote access to and affordability of evidence-supported therapeutics and pharmacy services to achieve optimal outcomes for all patients, including underserved and underrepresented populations.

2. IPA recognizes barriers to pharmacoequity may include health literacy, geographic location, age, disability, race, religion, ethnicity, sex, gender identity, socioeconomic status, and insurance status.

3. IPA supports education and programs that help pharmacy professionals promote and achieve pharmacoequity.

23-R2: PHARMACIST PRESCRIPTIVE AUTHORITY

1. IPA supports pharmacist prescriptive authority commensurate with their training and education and in accordance with the standard of care.

2. IPA recognizes that pharmacist prescriptive authority improves access to healthcare services for all patients to achieve optimal outcomes.

23-NBI-1: PATIENT CARE DECISIONS

1. IPA opposes legislation that removes patient shared decision making in accessing medication therapy based on discrimination.

The following policy was adopted by the IPA House of Delegates during the 2023 Annual Meeting, June 15-16 in Des Moines.

DRAKE UNIVERSITY

Drake University College of Pharmacy and Health Sciences (CPHS) held the annual Professional Hooding and Commencement Ceremony for professional program students on May 12, 2023. The 63 Bachelor of Science in Health Sciences undergraduate students participated in the University Undergraduate Commencement Ceremony held on May 13.

Receiving their degrees and doctoral hoods during the CPHS Hooding and Commencement Ceremony were:

• 45 Occupational Therapy Doctoral (OTD) students

• 66 Doctor of Pharmacy (PharmD) students

• 4 Master of Athletic Training (MAT) graduates

• 9 Master of Health Informatics and Analytics (MS HIA) graduates

In addition to the doctoral and master’s degrees, many of the graduating students also received additional degrees or designations.

The Hooding and Commencement Ceremony included reflections from three of the graduating class student government representatives. Corby Roush (MAT), Sarah Brokus (OTD), and Jamie Rusan (PharmD) reflected on their experiences from the time they stepped foot on Drake’s campus to graduation and provided words of encouragement for the graduates as they start their careers. These students also led their classes through the Oath of an Athletic Trainer, the Oath of an Occupational Therapist, and the Oath of a Pharmacist.

Drake University President Marty Martin provided remarks on the important impact these graduates will have on the future of health care. CoraLynn Trewet, PH’03, Senior Medical Science Liaison with Bristol Meyer Squibb and chair of the College’s National Advisory Council, welcomed the graduates into the Drake CPHS alumni network.

Of the 2023 PharmD graduates, 31 are pursuing residencies. Other PharmD graduates are pursuing fellowships, community pharmacy, and other specialized pharmacy positions. The 2023 OTD graduates are pursuing positions in pediatrics, mental health, and geriatric therapy. The 2023 MAT graduates are pursuing clinic positions and post-graduate education. The 2023 Health Sciences graduates are pursuing post-graduate education or positions in health care administration, public health, and medical sales.

“We congratulate all of our 2022-2023 graduates and are confident that they will have many accomplishments during their careers,” said Renae Chesnut, Dean and Professor. “They are proof that we are fulfilling our mission to prepare today’s learners to be tomorrow’s health care leaders.”

Pharmacy graduate awards announced during the ceremony included:

• Adam Butzler – Viatris Excellence in Pharmacy Award

• Ashlie Bunten – Wolters Kluwer Clinical Drug Information Award of Excellence in Clinical Communication

• Sneha Cyriac – APhA Senior Recognition Certificate

• Grace Dahlen – Russell Johnson Outstanding Community Practice Graduate Award

• Ellie Hodapp – Merck Royal Society of Chemistry Certificate of Excellence

• Jamie Rusan – Jerry L. Karbeling Memorial Leadership Award

Credit: Drake University College of Pharmacy & Health Sciences

THE UNIVERSITY OF IOWA

Years of hard work culminated in graduation on May 11 for University of Iowa (UI) College of Pharmacy Doctor of Pharmacy (PharmD) students. Hundreds of family members, friends, faculty, staff, and alumni gathered at Hancher Auditorium in Iowa City to hear the word “doctor” precede the name of 104 young professionals for the first time.

RESILIENCE

During their time at the College, the Class of 2023 underwent two major events: COVID-19 restrictions and transitioning into a brand-new building—the last cohort to have studied in both facilities. Dean Donald Letendre reflected on this in his remarks, stating the group will always be P3s in his mind, representing the pandemic, perseverance, and pride.

Class President Hoyt DeVolder echoed those sentiments. “Our class is the most resilient class (the College of Pharmacy) has seen in many years,” he said. DeVolder went on to liken what lies ahead of the graduates to holding a newborn baby, something he had recently done, in that it’s scary and yet exciting.

Guest speaker Charlie Tobler, ’90 BSPh, Executive Vice President with TerSera Therapeutics, continued that theme by telling graduates that stages in life are like a chapter book: they start, are written, and then they end. “As you leave here, you are going to start writing the first chapter of your postgraduate life,” said Tobler. “You are extraordinary people. I believe you all are going to have to get uncomfortable. There can be risks, but also rewards. If you feel queasy, that’s a good thing. Always give yourself time to consider options, because this degree is so versatile.”

PHARMACY FAMILY

Tobler ended his speech by encouraging the class to stay in touch with the College. “Don’t let this (connectedness) fade, no matter how far away you are,” he said. Additional commencement participants included Marty Scholtz, UI Vice President for Research; Susan Vos, Associate Dean and Clinical Professor; and Nancy Dunkel, Board of Regents.

In his closing comments, Dean Letendre told the graduates that they are now members of a distinct community called pharmacy. “Henceforth, you will be called pharmacists and are about to enter a special covenant with the public, those you have been entrusted to serve,” he said.

Prior to commencement, a recognition event was held on May 10 in the College’s first-floor auditorium and lobby for graduating students and their families. Vos announced individuals receiving dual degrees, certificates, recognition cords and more, while Dean Letendre introduced and presented the commencement speaker’s medallion to Tobler. IPA's Director of Professional Affairs, Emmeline Paintsil, was also on hand and congratulated the graduates on joining a dedicated group of professionals.

AWARDS

• Academic Excellence Awards: Emma Erner, Nicole Hanna, Morgan Koenen, Kaitlyn Mulder, Ara Wiese

• United States Public Health Service Award: Ayah Taha

• Center for Inclusive Academic Excellence Dean’s Achievement Award: Keitasha Arnold

SAYING ‘YES’ TO NEW OPPORTUNITIES

Iam so excited for the year ahead. Pursuing a career in association management has been a goal of mine since deciding to go to pharmacy school, and I know the knowledge and experiences I gain throughout my year as the Executive Fellow will be invaluable. Some of my earliest memories growing up include spending time on Drake University’s campus, where my parents taught at the College of Pharmacy, and attending conferences wanting to be just like the grown-ups in attendance. Little did I know then how those experiences were shaping who I would become and the impact they would have years later.

Throughout pharmacy school at Lipscomb University College of Pharmacy, I was an active member in many organizations including APhA, Tennessee Pharmacists Association (TPA), Kappa Psi, and Phi Lambda Sigma. One of the biggest lessons shared with me has been to be open to opportunities and say ‘yes’ when they are presented

In my first year of pharmacy school, I wanted to find ways to gain experience in association management to learn if that was still the path I wanted to take. This led me to a conversation with Micah Cost, PharmD, MS, CAE, previous Executive Director of TPA, where we discussed a summer internship opportunity. That summer was right after the COIVD-19 pandemic started, which presented a new set of challenges for everyone.

Due to the new environment, that summer was the first virtual Summer Meeting for TPA, and I had the opportunity to create the virtual awards ceremony. It was a quick lesson in learning on the job and stepping outside of my comfort zone. Not only did I gain many new skills over that summer, but it confirmed my passion for the work associations do for members and advancing the profession.

While continuing to find ways to learn more about a career in association management, I landed on applying for fellowship positions that would extend my knowledge and experience in the field. As I am originally from Iowa, I had stayed in tune with all that IPA and, especially, Iowa pharmacists do for the profession, and I knew it would be the perfect place for me to not only learn and develop myself but also use my skills to contribute to the future of the profession. After being here for a month, I have no doubt this is exactly where I am meant to be, and I cannot wait for all that is in store for the rest of the year.

Outside of pharmacy, my husband, Tyler, and I have been married for almost two years. In our free time, we enjoy watching Netflix shows together, trying new restaurants and coffee shops, and, most recently, participating in a pickleball league! ■

2023-2024 Executive Fellow, IPA

Mikayla Tice-Harris, PharmD

“One of the biggest lessons shared with me has been to be open to opportunities and say ‘yes’ when they are presented.”

Back L-R: Kellie Staiert, Laura Miller, Emmeline Paintsil, Allison Hale, Dawn Morse, Mindy Pertzborn; Front L-R: Intern Stephen Presti, Mikayla Tice-Harris, Kate Gainer, Intern Kaitlyn Thomas, Seth Brown

IPA staff attend 2023 Lincoln Dinner to discuss PBM reform with presidential candidates; photographed with Nikki Haley

2023 NAPLEX-MPJE REVIEW COURSE

In May, IPA partnered with Drake University College of Pharmacy and Health Sciences and the University of Iowa College of Pharmacy to host the 2023 NAPLEX-MPJE Review Course. Each year, IPA brings together various faculty and pharmacy experts to best prepare test-takers and help them succeed in passing their exams. In the morning, faculty reviewed key areas of focus for the federal and state law components of the MPJE. In the afternoon, the greatest areas of interest and concern for the NAPLEX, including infectious diseases, psychology, oncology, cardiology, calculations, and biostatistics, were reviewed. Over 100 students and residents attended the virtual course. Thank you to all Drake and Iowa faculty presenters who helped prepare the P4 students and residents for their MPJE and NAPLEX exams.

RESPIRATORY SYNCYTIAL VIRUS GRANT

In July, IPA submitted a proposal in response to a Pfizer Independent Medical Education RFP for Updates on Respiratory Syncytial Virus (RSV) in Older Adults for Pharmacists. Earlier this year, the FDA approved two RSV vaccines for older adults, however, few resources have been developed to educate pharmacy professionals and facilitate their involvement in RSV vaccine efforts. If awarded the RFP, IPA will collaborate with education partner CEimpact to provide comprehensive education to pharmacy professionals to increase their confidence and understanding of the RSV vaccine, thereby supporting public health efforts in preventing RSV among older adults. Within this proposal, IPA’s goals are to educate, empower, and support the profession. A summary of the proposed activities and deliverables can be found in Table 1. To stay up to date and learn more about this project, contact Emmeline Paintsil at epaintsil@iarx.org.

STOP HIV IOWA & HIV TESTING DAY

2023 marks the fifth year IPA has collaborated with the Iowa HHS Bureau of HIV, STDs and Hepatitis in offering free HIV and HCV testing in select community pharmacies across the state.

Stop HIV Iowa is an organization made up of stakeholders from across the state, including people living with HIV and individuals from local and state health agencies. Stop HIV Iowa has been working diligently over the last year on a strategic plan to end the HIV epidemic in Iowa. This strategic plan is the organization’s roadmap to a historical goal of reducing the number of HIV diagnoses in Iowa by 75% by 2025 and 90% by 2030. Based on reporting data, that means reducing HIV diagnoses from approximately 100 in 2020 to fewer than 10 by 2030—with pharmacy playing a major role!

National HIV Testing Day is observed each year on June 27th to emphasize the importance of getting tested and know your status. IPA partnered with Learfield Radio to broadcast ad campaigns on local radio and Spotify stations, promoting pharmacists’ role in getting every Iowan to know their HIV status. These ads ran during the month of June in areas of the state where, based on epidemiology data from the state, access to testing is limited.

To learn more about Stop HIV Iowa, visit stophiviowa.org. To learn more about the testing project, contact Kellie Staiert, IPA’s Lead Project Manager, at kstaiert@iarx.org.

Table 1. Summary of Project Design

STUDENT SPOTLIGHTS: IPA BOARD REPRESENTATIVES

I’m Kayla Batdorf, a third-year pharmacy student at Drake University minoring in Spanish and psychology, and I am this year’s DRxUGS IPA Liaison!

Additionally, I serve on Phi Delta Chi’s Executive Counsel and am a member of the American Association of Pharmaceutical Scientists. Along with these positions, I work with Drake’s College of Pharmacy and Health Sciences to give tours to incoming CPHS students.

I strive to continue learning from my peers, faculty, practicing pharmacists, and patients to grow my knowledge of healthcare and to better serve my community.

Working at both retail and hospital pharmacy settings, I believe that listening and acting for patients is vital to provide the best care possible. I am excited to gain a new perspective on pharmacy while working as this year’s IPA Liaison.

Outside of school, I enjoy spending time with my friends, reading, painting (despite my lack of artistic abilities), and frequenting local coffee shops. I also love attending as many Drake and pharmacy events as possible.

I look forward to bringing my enthusiasm and passion for pharmacy to my role as Drake’s student representative on the IPA Board of Trustees this year. I am excited to expand my knowledge with IPA and help bridge the connection between student pharmacists and pharmacy practice!

My name is Rebecca Scribano, and I am a third-year pharmacy student at the University of Iowa College of Pharmacy (UICOP).

I chose pharmacy because pharmacists play a crucial role in patient care and ensuring the safe and effective use of medications; their expertise can positively impact people's lives. The evolving field of pharmacy also offers opportunities for personal and professional growth, as well as the chance to be at the forefront of advancements in healthcare and pharmaceuticals.

At the UICOP, I am passionate about being involved in various student organizations. I currently serve as president of the Student Leadership Council, a delegate for the Graduate and Professional Student Government, and a volunteer coordinator on the Engagement Committee. I have also enjoyed attending various professional meetings such as the APhA Annual Meeting, Zada Cooper Leadership Symposium, and Pharmacist Day on the Hill.

Outside of school, I work at Towncrest Pharmacy. Working here has given me the opportunity to engage in direct patient interaction and continue to build strong relationships within my community.

In my free time, I enjoy spending time with friends and family, trying new coffee shops, and cooking!

I am very excited to be joining the IPA Board of Trustees as the University of Iowa’s student representative, and I am looking forward to a great year ahead of influencing policy and advocating for our profession!

Y o u N e e d a

Q I P r o g r a m

Mistakes happen. Risky processes become normalized and your operations can shift slightly with staffing changes, new products, and new procedures.

The APMS Patient Safety Organization (PSO) provides Pharmacy Quality Commitment+ (PQC+) Compounding, a confidential, highly secure, continuous quality improvement program. Track and analyze how, when, and where the risk in your workflow occurs so you can reduce Rx corrections and operational costs.

Our program includes:

A web-based reporting portal to collect patient safety events

Tools to chart, graph, and analyze data

Expert advice, tips, and safe practices

Resources to help you meet accreditation and quality improvement requirements

Support to build a just culture of safety

QA Continuing Education and training opportunities

Patient Safety Organizations (PSOs) provide a safe space for members to conduct patient safety work. When you partner with our PSO for your Quality Improvement activities, the collection of quality assurance data and patient safety work is in a protected environment.

We are passionate about medication safety in community pharmacy and are here to walk you through the entire process. Our customer service team has years of experience in pharmacy and is excited to help.

IOWA BOARD OF PHARMACY: REGULATORY UPDATE

On April 4, 2023, Iowa Governor Kim Reynolds signed legislation (SF 514) consolidating the executive branch of Iowa's State government from 37 to 16 cabinet-level agencies. As a result of that legislation, program areas previously under the jurisdiction of the Department of Health and Human Services and three other agencies joined an expanded Iowa Department of Inspections, Appeals, and Licensing (DIAL).

The Iowa Board of Pharmacy made this transition on July 1, 2023, along with the Board of Medicine, Board of Nursing, and Dental Board. DIAL representatives have shared in public forums that the various tasks formerly conducted independently by each independent

health board will be shared across boards.

Four categories have been created to share these functional tasks—Inspections and Investigations, Board Support, Licensing, and Monitoring. For example, the Iowa Monitoring Program for Pharmacy Professionals (IMP3) will now be located under the Monitoring ‘bucket’ of DIAL, along with the Board of Medicine’s Iowa Physician Health Program (IPHP). DIAL has indicated entities being aligned within the agency conduct similar regulatory operations with the goal of improving efficiency, cost saving, and quality of service.

LEARN MORE: dia.iowa.gov/state-government-realignment

FEDERAL UPDATE & PHARMACY VISITS

PBM REFORM

PBM reform has been a hot topic the last two weeks in Congress as two congressional committees advanced separate legislative packages aimed at lowering drug prices and increasing transparency for PBMs.

The Senate Finance Committee considered a bill (Modernizing and Ensuring PBM Accountability Act) that bans spread pricing in the Medicaid program by implementing a pass-through pricing model for covered outpatient drugs. The legislation also delinks PBM income from prescription drug prices to disincentivize PBMs from including more expensive drugs on formulary lists and requires community pharmacies to participate in the National Average Drug Acquisition Cost (NADAC) survey. The bill advanced out of Committee on a 26-1 vote, with Iowa Senator Chuck Grassley voting in support. In the opposite chamber, the House Ways and Means Committee passed a separate package (H.R. 4822) that would increase transparency and reporting requirements for PBMs. PBM reform has also been advanced by the House Committee on Energy and Commerce and the Committee on Education and the Workforce this spring. Every congressional committee focused on healthcare has now passed proposals to increase oversight of PBMs.

PROVIDER STATUS

Two separate provider status bills are currently alive in the House and Senate. Iowa Senator Chuck Grassley reintroduced the Pharmacy and Medically Underserved Areas Enhancement Act (S. 1362) in the Senate. This bill provides Medicare Part D coverage and payment for certain pharmacist services that are furnished by a pharmacist in a health-professional shortage area.

The Equitable Community Access to Pharmacist Services Act, or ‘ECAPS,’ has been introduced in the House (H.R. 7213) and now in the Senate as S. 2477. This legislation provides permanent Medicare Part B coverage for certain services provided by a pharmacist, including incidental services and supplies related to testing, drug regimens, and vaccines for COVID-19, influenza, and certain other respiratory illnesses.

PHARMACY VISITS

Over the summer, IPA has facilitated the following pharmacy visits or interacted with the following candidates:

• Governor Kim Reynolds at Sioux Center Health in Sioux Center

• Iowa Attorney General Brenna Bird and state Representative David Sieck at Penn Drug in Sidney

• U.S. Senator Chuck Grassley and state Senator Mark Costello at Penn Drug in Sidney

• U.S. Senator Chuck Grassley, state Representative Devon Wood, and state Senator Tom Shipley at a community public health roundtable in Bedford

• U.S. Representative Randy Feenstra at Lewis Drug in Ida Grove

• Former-Ambassador to the United Nations Nikki Haley and Representative Austin Harris in Moravia

• Senate Minority Leader Pam Jochum, Senator Mike Klimesh, Representative Mike Bergan, Representative Shannon Lundgren in northeast Iowa

In addition, IPA staff and members of the Board of Trustees attended the GOP Lincoln Dinner to educate Republican presidential candidates on PBM reform.

The “off-season,” or interim between legislative sessions, offers the best opportunity to establish ongoing relationships with your legislators. If you are interested in hosting a legislator or candidate, please contact Seth Brown at sbrown@iarx.org for more information.

Each episode will focus on WHAT actions were taken by the Board, WHY the Board took the actions it did, and HOW Board action will impact practice in Iowa.

AUDIT TARGET: PRE-FILLED INJECTABLE PENS & SYRINGES

By Trenton Thiede, PharmD, MBA, President, PAAS National®

Pre-filled injectable medication such as insulin, Invega®, Humira®, Enbrel®, and Ozempic® remain a big target for audit risk due to their high cost and potential billing pitfalls. One claim error can cost you thousands of dollars. PAAS National® often sees prescriptions for pre-filled injectable medications flagged for recoupment due to one or more of the following reasons:

1. Missing a unit of measure (UOM) or written for a UOM that does not make sense

2. Missing dosage or quantity to inject

3. Missing the route of administration (ROA)

4. Missing calculable instructions/frequency

PAAS TIPS:

Here is a Humira prescription example:

The quantity of #1 could be interpreted as 1 pen when the box comes as a kit and contains 2 pens.

There is no UOM, so does the prescriber want 1 box, 1 mL, 1 pen, 1 kit?

The SIG does not contain calculable instructions = how much to inject, where to inject (ROA) or how often to inject.

• If the pharmacy received this prescription and did not clarify any elements, it would be marked discrepant upon audit.

• Upon receiving this prescription, ideally, the pharmacy would clarify the following elements with the prescriber’s office and make a clinical notation.

• Quantity of 1 = 1 kit or 2 pens

• SIG – Inject 40 mg subcutaneously once a week – this clarifies how much to inject, the ROA and how often to inject.

• Pay special attention to pre-filled injectable pens and syringes to avoid thousands of dollars of chargebacks upon an audit.

PAAS National® is committed to serving community pharmacies and helping keep hard-earned money where it belongs. Contact PAAS today at (608) 873-1342 or info@ paasnational.com to see why PAAS Audit Assistance membership might be right for you.

CALL FOR NEW COMMITTEE MEMBERS

The Iowa Monitoring Program for Pharmacy Professionals (IMP3) is seeking new committee members. IMP3 is a confidential, supportive monitoring program for pharmacy professionals that may be struggling with substance use, mental health conditions, and/or physical disabilities. IMP3 provides monitoring for pharmacy professionals and assists with referrals for evaluations, treatment, therapy, psychiatry, etc. The goal of IMP3 is to support the professional while they seek assistance for recovery from substance use, mental health conditions, and/or physical disabilitiess, with the hope that the professional is able to continue practicing safely.

Committee members shall be appointed for three-year terms, expiring on December 31st of the third year of the term.

If you are interested in being considered for this voluntary opportunity, scan the QR code to complete the application.

Please contact Becky Carlson at Rebecca.Carlson@iowa.gov with any questions. LEARN

IPAF SILENT AUCTION

At IPA Annual Meeting 2023, the IPA Foundation Silent Auction featured 65 items up for bid—and some friendly competition on several hot items. In addition to bidding on a fantastic array of silent auction items, the evening included the Red Envelope Challenge and wine ring toss. The IPA Foundation thanks everyone who donated items, placed winning bids, threw rings, and accepted a Red Envelope Challenge. This year’s silent auction raised over $12,000 to support student pharmacists, leadership development, and practice advancement across the state.

$12,000 RAISED

TECHNICIAN CORNER

TECHNICIAN SPOTLIGHT: SHANNON HAHN, CPHT

Shannon Hahn is a Certified Pharmacy Technician at NuCara Pharmacy in Nevada. Her journey at NuCara and as a pharmacy technician started about 12 years ago. However, she would have never thought she would be a pharmacy technician!

Shannon was born in Dike and graduated high school in 1994. She went on to Hawkeye Community College, majoring in photojournalism and portrait photography. Following graduation, she started a part-time portrait photography business. Around this time, she worked at a few different places until she landed at Heartland Senior Services. While working at this job, she saw a posting for a technician position at NuCara. Shannon realized it was closer to her house, so she decided ‘why not?’ She has been at Nucara ever since.

In addition to her technician role, Shannon is the Assistant Pharmacy Manager at her Nucara location. She works the early shift and comes in before the pharmacy opens to prepare for the day. This includes starting to run and fill prescriptions, performing administrative

responsibilities, as well as cleaning before the day starts. Shannon’s days also includes administering vaccinations and weekly medication packs for patients.

When asked about her favorite part of being a pharmacy technician, Shannon says it’s helping patients. She spoke about her career being a challenging one in many ways, but she feels rewarded by the appreciation of her patients. She also admires the pharmacy profession for continuously moving forward and creating new opportunities. At NuCara specifically, Shannon and her colleagues are working towards implementing Tech Check Tech, launching point-of-care testing, and streamlining their autofill system.

Shannon currently lives in Nevada with her husband of 14 years, daughter (19 years old), son (13 years old), and 3 dogs (2 Siberian huskies and a Pomsky).

Thank you, Shannon, for your dedication to your patients and the profession! ■

NEWLY CERTIFIED IOWA PHARMACY TECHNICIANS | APRIL

Lily Ades

Jhamil Arnold

Hannah Banchak

Bobby Barker

Melissa Bishop

Jenny Boevers

Lori Brosdahl

Carter Brouwer

Sandra Bryant

Megan Callahan

Lyly Cam

Samantha Campbell

Molly Cavanaugh

Brandon Chahine

YanTing Chen

Lauren Crawford

Kelsey DeVore

Jayden Dorenkamp

Olivia Dundore

Emily Eyheralde

Creana Farley

Haylee Fishburn

Jenny Fisher

Kimberly Flaherty

Marisol Garcia

Emily Gardewine

Savannah Geist

Lauren Gibbs

Joyce Githui

Maggie Gomez

Jaclyn Guttenfelder

Jordan Hamann

Bobbie Hansel-Franzen

Jayden Hansen

Natasha Harnden

Andrea Henkes

Brennan Hergenreter

Ross Jung

Kelly Kinser

Mark Koehler

Abby Landon

Kristy Lawrence

Scout Lenhart

Phyllis Lich

Smitha Lingala

Noa Logan

Carlie Mallicoat

Bradley Metsale

Jacob Miller

Katherine Miller

Adriana Moad

Izabelle Moores

Stephanie Moreno Perez

Kennedy Neff

Vicki Nicholas

Rachel Noble

Jakki Olson

Jacqueline Orozco

Emily Paulson

Kara Peters

1-JUNE 30

Julia Peterson

Shelley Rath

Ashley Reiter

Shantal Rincon

Emma Riordan

Angelica Roller

Alyssa Rus

Luna Ryu

Isabel Schrader

Eden Schroeder

Sydnie Slocum

Elysia Smith

Vickie Smith

Regan Stagg

Kimberley Steines

Cameryn Stephens

Rebecca Summers

Ethan Thompson

Olivia Tomka

Juanita Vivian

Isabelle Vos

Rebecca White

Samantha Wilson

Andrew Woodford

Zoe Worple

Caleb Yoder

Julie Zierke-Clark

Assistant Pharmacy Manager, NuCara

Shannon Hahn, CPhT

Shannon Hahn, 2023 Pharmacy Technician of the Year

TIKTOK BENADRYL CHALLENGE

June 2023 Tech Tidbit Newsletter

A trend that originated on the social media platform TikTok has now taken the lives of two teenagers since it began in 2020. Termed the “Benadryl Challenge,” viewers are encouraged to take potentially lethal doses of the over-the-counter drug, diphenhydramine (Benadryl). Unfortunately, this is not the first time that an over-the-counter drug has been misused. Being aware and knowing the dangers of this challenge will be crucial for pharmacy technicians as they work on the frontline to promote patient safety.

WHAT IS THE BENADRYL CHALLENGE?

Diphenhydramine, commonly sold under the brand name Benadryl, is a first-generation antihistamine that is most often used to relieve allergic symptoms caused by histamine release, such as nasal allergies, allergic dermatosis, and anaphylaxis.

The challenge advises participants to take 12-14 tablets of Benadryl, or as many tablets as it takes, to induce hallucinations. They are to record their whole experience, post it on TikTok, and challenge their viewers to do the same. The usual recommended dose of Benadryl for adults and children 12 years and older is 1 to 2 tablets every 4 to 6 hours.

DANGERS OF THE BENADRYL CHALLENGE

In addition to claiming two lives, the Benadryl Challenge has caused numerous hospitalizations. Taking higher than the recommended dose of diphenhydramine can cause complications such as:

• Sedation

• Blurred vision

• Rapid heart rate

• Prolonged QT interval

• Seizures

• Coma

• Death

Patients should always read and follow the Drug Facts Label on all OTC products. Health care professionals should be aware of the Benadryl Challenge and be able to recognize symptoms of potential overdose. Pharmacy technicians have exceptionally close relationships with their patients and are uniquely positioned to promote safe medication use.

References:

1. Center for Drug Evaluation and Research. Taking too much of the allergy medicine benadryl is dangerous. U.S. Food and Drug Administration. https://www.fda.gov/ drugs/drug-safety-and-availability/fda-warns-about-serious-problems-high-doses-allergy-medicine-diphenhydramine-benadryl. Published September 24, 2020. Accessed April 26, 2023.

2. Diphenhydramine. Lexi-Comp, Inc. (Lexi-Drugs Online). Lexicomp, Inc; Updated April 22, 2023. Accessed April 23, 2023.

3. McHardy M. What is the Benadryl Challenge? New Tiktok Challenge that's left 13-year-old deadM. The Independent. https://www.independent.co.uk/news/long_ reads/world/tiktok-benadryl-challenge-death-13-year-old-b2325133.html. Published April 23, 2023. Accessed April 26, 2023.

PHARMACIST SPOTLIGHT: NIC LEHMAN, PHARMD, BCACP

German philosopher Friedrich Nietzsche said, “Invisible threads are the strongest ties.” Pharmacist Nic Lehman knows how important the invisible threads of connections are to the profession and his personal life. Nic strives to connect himself with these invisible threads to patients, students, and his community.

Nic is a Board-Certified Ambulatory Care Clinical Pharmacist at the UnityPoint Internal and Family Medicine Clinic in West Des Moines. One of Nic’s roles is to meet with patients to discuss diabetes and anticoagulation management. Watching Nic interact with his patients is a reminder of how important patient-provider relationships are. Nic hears about patients' highs and lows, not just about their health. To them, he is someone that they can trust and rely on.

Nic has worked at Drake University since 2011 and is currently an Associate Professor of Pharmacy Practice. He also precepts P4 APPE and P3 IPPE students from Drake, as well as medical students from the University of Iowa Carver College of Medicine completing their outpatient medicine rotations in Des Moines. Needless to say, Nic enjoys working with students.

Nic appreciates how students keep him up to date on clinical topics. He is always happy to entertain conversation around guideline updates, disease states, and patient cases that occur at his rotation site. He hopes to continue working with students throughout his career

regardless of what his job may be, as he truly enjoys seeing how students grow in their clinical skills during the APPE and IPPE rotations.

Nic is also an active member of IPA, serving as the most recent Chair of the Policy Committee on Public Affairs. Nic thinks being involved in IPA is a great way to direct change and help shape policy throughout the state. IPA is also a way to connect with pharmacists in the state who are in similar or different practice settings to help improve patient care in his own clinic.

Public and global health have always been of interest to Nic, and he’s taken the opportunity to precept Drake students at Hillside Health Center in Punta Gorda, Belize twice. Nic finds it incredibly rewarding to be able to see how students adapt to different environments and cultures. The pandemic reminded Nic how important healthcare is for individuals. A disease outbreak is just a plane ride away, and Nic recognizes that pharmacists have the abilities and education to provide patient care services when opportunities arise.

When Nic isn’t teaching at Drake or working in the clinic, you can find him connecting with his family at his children’s extracurricular activities or trying new restaurants in Des Moines.

Thank you, Nic, for your commitment to your patients, student mentees, and community! ■

Ambulatory Care Clinical Pharmacist, UnityPoint

Nic Lehman, PharmD, BCACP

Nic Lehman serving as Chair of the Policy Committee on Public Affairs at IPA Annual Meeting 2023

Congratulations and best of luck to Cheryl Clarke, EdD, RPh, FAPh, as she completes her role as Assistant Dean for Clinical Affairs and Director of Experiential Education at Drake University College of Pharmacy and Health Sciences (CPHS). After 10 years as Assistant Dean, Clarke will complete a one-year sabbatical exploring precepting models.

Congratulations to Morgan Herring, PharmD, BCPS, FAPhA, who received the University of Iowa College of Pharmacy’s Collegiate Teacher of the Year Award! This award recognizes an outstanding faculty member with a sustained commitment to student learning outcomes in and out of the classroom.

Congratulations to Erik Maki, PharmD, Associate Professor at Drake University CPHS, who was selected to serve as Vice Chair of the American Association of Colleges of Pharmacy (AACP) Practice Mentorship Committee for 2023-2024!

Congratulations to Pamela Wiltfang, PharmD, MPH, BA, CHES, Director of Clinical Services at NuCara Pharmacy, who was appointed by Governor Reynolds to serve a three-year term on the Iowa Board of Physician Assistants!

Congratulations to Andrew Miesner, PharmD, BCPS, Professor of Pharmacy Practice at Drake University, who is celebrating his 15-year work anniversary with the college!

Best of luck to Jessica Rosenhamer, PharmD, as she takes over as Pharmacy Director at Pella Regional Health Center! Previously, Rosenhamer served as Manager of Pharmacy Operations at MercyOne Medical Center in Des Moines.

MEMBER MILESTONES

Congratulations to Eliza Dy-Boarman, PharmD, BCPS, who was recently installed as Secretary of Knowledge Management Designate for AACP. In addition, Dy-Boarman has succeeded Cheryl Clarke as Assistant Dean for Clinical Affairs and Director of Experiential Education at Drake University CPHS.

Congratulations to Anisa Hansen, PharmD, Professor of Pharmacy Practice at Drake University, who was accepted into the 20th cohort of the AACP Academic Leadership Fellows program for 2023-2024! Hansen is the fifth faculty member at the CPHS to be accepted into the program.

Congratulations to Jim Hoehns, PharmD, BCPS, FCCP, who was named Faculty Teacher of the Year by the MercyOne Northeast Iowa Family Medicine Residency Program! Dr. Hoehns serves as a Clinical Associate Professor at the University of Iowa and is IPA’s current President-Elect.

Congratulations to Shankar Munusamy, PhD, Professor at Drake University, for completing Academic Leadership Fellow certification from AACP!

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19

Issues & Events That Have Shaped Iowa Pharmacy (Or Are Fun to Remember!) 85

FEBRUARY:

The American Society of Health-System Pharmacists (ASHP) held their 1985 Hilton Head Conference in South Carolina. This meeting resulted in consensus within the profession that pharmacy is inherently a clinical profession.

MARCH:

The U.S. Food and Drug Administration approved the first-ever test to screen blood donors for exposure to HIV.

JUNE:

Sue Yeakel is elected as the first female president of the Iowa Pharmacy Association.

JULY:

The Iowa Department of Human Services adopted and implemented the Iowa Medicaid OTC Rule. This ruling allowed Medicaid coverage of certain over-the-counter products like aspirin, acetaminophen, and ferrous sulfate.

SEPTEMBER:

The Iowa Board of Health approved a proposed amendment to rules that required the inclusion of a pharmacist in all outpatient diabetes education programs. IPA’s legislative efforts greatly contributed to the approval of this amendment.

DECEMBER:

The U.S. Food and Drug Administration approves Wellbutrin (bupropion) for the treatment of depression.

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.

Hilton Head, Credit: ASHP

Sue Yeakel

Wellbutrin