Pennsylvania Pharmacist March/April 2017

Pennsylvania March/April 2017 z Volume 98 z Issue 2

201

The official publication of the Pennsylvania Pharmacists Association

170

Pharmacists in Attendance

Students in Attendance

1

Exciting Tailgate Themed Party

30

CE Sessions

42.75 CE Hours

45

+

Volunteers

39

$6,000

Raised for the Educational Foundation!

Poster Evaluators

53

45

Items available in the Foundation Auction and Raffle

Student Poster Presentations

5

Grant Presentations

2017 MID-YEAR CONFERENCE “Pharmacists Delivering Solutions�

(By The Numbers)

Save The Date: Pharmacy Legislative Day Wednesday, April 19th!

CONTENTS

dule of Activities

.m.

On the Cover 2017 MID-YEAR CONFERENCE

380

Pharmacists Delivering ation begins— Solutions

ng Rotunda, Capitol Thank you to everyone who

.m.

Individuals in Attendance

attended “Pharmacists Delivering Solutions” at the Eden Resort Suites in Lancaster from -and 2:30 p.m.

January 27th to 29th!

ive appointments as ed with ors or DEPARTMENTS staffers 5 Calendar of Events 7 President’s Message 8 Welcome! New Members 10 Campus Checkup

9:30 a.m.

ntal breakfast for features 12 Keystone Pharmacy Purchasing es, invited Alliance — A Group Purchasing Organization ors and staffers— 14 Member Profile

15 Student Member Profiles ng Rotunda

association news

14 PPA Foundation Grant 15 PPA Welcomes Jeff Stuby 16 2017 Mid-Year Conference Highlights 20 Member News 22 PPA Educational Foundation Grant — Final Report 23 PPA Pharmacy Legislative Day

.m. - 2:30 p.m.

ngs and informational presented by schools macy—

Our Vision Pennsylvania pharmacists will be recognized, engaged, and fairly compensated as healthcare providers.

Our Mission The Pennsylvania Pharmacists Association, as the leading voice of pharmacy, promotes the profession through advocacy, education, and communication to enhance patient care and public health.

24 2016 PharmPAC Report 26 PPA Educational Foundation 2016 Annual Report 32 Affiliated County News 32 Pre-Residency Excellence Program 42 PA Pharmacists Care Network Update DUSTRY news IN 30 Pharmacy Medication Drug Take-Back Program Expansion – Memo to Pharmacists 35 Rx and the Law: The Learned Intermediary Doctrine 36 Financial Forum: Are GEN Xers Planning for Retirement the Right Way? 38 Small Doses 40 How to Survive a DEA Inspection Series: Why Your Supplier Wants Your Prescribers Information?

23

ng Rotunda

PPA Board of Directors

.m. - 1:00 p.m.

PPA Officers President: Eric Pusey, RPh President Elect: Nicholas Leon, PharmD, BCPS, BCACP Vice President: Lauren Simko, PharmD Immediate Past President: Donna Hazel, RPh

meetings being Regional Directors !

Central Region: Robert Killoran, RPh

Northeast Region: Thomas Franko, PharmD, BCACP Northwest Region: Nickolas Kernich, PharmD Southeast Region: Mark Lawson, PharmD, MBA Southwest Region: Cory Krebs, RPh

a.m. – 11:00 a.m.

Practice Directors

Academia: Roshni Patel, PharmD cy Rally— Community-Independent/LTC: Stephanie Smith Cooney, PharmD

otunda

Community Independent/LTC: Chuck Kray, RPh Chain Pharmacists: Stephen Pfeiffer PharmD, MBA Health System Pharmacists: Richard Demers, RPh, MS, FASHP Managed Care/Government/Industry and Other: Julene Vidic, RPh Associates: Greg Drew, RPh

provide you with iefings, background and leave-behind for the major ve issues affecting cy.

The Pennsylvania Pharmacists Association hosting its annual Legislative Day in Harrisb Wednesday, April 19, 2017. Come to Harris and meet with your state Representative Senator on the issues that affect you as pharmacist, pharmacy technician and/or st pharmacist and the patients you serve Student Directors East: Rachel Von Vital West: Marissa Badzik

PPA Office Staff CEO: Patricia A. Epple, CAE pepple@papharmacists.com | Ext. 3 Program Manager: Sara Powers spowers@papharmacists.com | Ext. 2 Government Relations Manager: Jeff Stuby jstuby@papharmacists.com | Ext. 6 Communications Coordinator: Danielle Adams dadams@papharmacists.com | Ext. 1 Membership Coordinator: Ashley Robbins arobbins@papharmacists.com | Ext. 5 Bookkeeper: Michele Dibble mdibble@papharmacists.com | Ext. 4 PPCN Executive Manager: Mindy Kozminski, PharmD, BCACP mkozminski@papharmacists.com PPCN Trainer: Brandon Antinopoulos, PharmD ppcntrainer@papharmacists.com

Pennsylvania Pharmacists Association (PPA) 508 North Third Street, Harrisburg, PA 17101 (717) 234-6151 Fax: (717) 236-1618 www.papharmacists.com | ppa@papharmacists.com

Pennsylvania Pharmacist (ISSN 0031-4633) is the official publication of the Pennsylvania Pharmaceutical Association d/b/a Pennsylvania Pharmacists Association and is published every other month, six times per year. Annual subscription is $100 for non-members; for members it is included in the annual dues. Editorial information should be addressed to the PPA address listed above. Peer reviewed articles accepted according to the stated guidelines available from PPA. Editorial Board Olufunmilola Abraham, PhD, MS, BPharm Hershey S. Bell, MD, MS, FAAFP Kim Coley , FCCP, PharmD, RPh Bernard Graham, PhD Michael Gionfriddo, PharmD, Ph.D Associate Editor: Danielle Adams Editor/Manager: Pat Epple

Designed and Published

by Graphtech Sarah DiCello, Publications Manager (717) 238-5751 x118 sarah@thinkgraphtech.com For Advertising Information: Alexis Kierce, Account Manager (717) 238-5751 x119 alexis@thinkgraphtech.com

Pharmacist State Board of Pharmacy Members Institutional: Gayle Cotchen, BSPharm., PharmD., MBA Independent Community: Rob Frankil, RPh Chain Community: Janet Hart, RPh Chain Community: Theresa M. Talbott, RPh Independent Community: Mark J. Zilner, RPh Board of Pharmacy Meeting Dates: March 7, 2017 April 18, 2017 May 31, 2017 July 11, 2017

We need you to be here to speak out for future of pharmacy and for your patien Pennsylvania

MAGAZINE

papharmacists.com | ppa@papharmacists.com |

Join us in Harrisburg on Wednesday, Apr

Dedicated to Our Members since 1909. phmic.com 800.247.5930

Our Mission To help our customers attain peace of mind through specialized insurance products, risk management solutions, and superior personal service.

CALENDAR OF EVENTS | ADVERTISERS INDEX

MARCH

27

24–27 APhA Annual Meeting San Francisco, CA 26

Pennsylvania Reception San Francisco, CA

APRIL 19

22

Pharmacy Legislative Day Harrisburg, PA Pharmacy Law Review Duquesne University

PPA Board of Directors Meeting Harrisburg, PA

MAY 22

Pharmacy Law Review Philadelphia College of Pharmacy

20-23 National Association of Boards of Pharmacy Annual Meeting Orlando, FL

JUNE 3-7

ASHP Summer Meeting Minneapolis, MN

JUly 11-12 PPA Board of Directors Retreat TBD 15-19 AACP Annual Meeting Nashville, TN

For additional events including webinars, CE opportunities, and PPA committee meetings, be sure to see our Calendar of Events on the PPA website! 

ADVERTISERS INDEX PRS Pharmacy Services – 2 Pharmacists Mutual – 4 LECOM – 6 Thomas Jefferson University Jefferson College of Pharmacy – 9 Hayslip & Zost – 11 The Keystone Pharmacy Purchasing Alliance – 13 SDSRx – 31 Independent Pharmacy Buying Group – 33 Value Drug Company – 34 RJ Hedges & Associates – 37 Amerisource Bergen – 39 S&L Solutions LLC –41 RDC – Back Cover 

www.papharmacists.com • 5

IT’S TIME TO HAVE THE TALK WITH YOUR FUTURE PHARMACISTS. As a pharmacist, you may know someone in your family or at work who’s thinking about becoming a pharmacist.

Let them know pharmacy is a well-paying, patient-centered profession with a major role in health care.

Then tell them about the LECOM School of Pharmacy and our innovative, affordable student-centered pathways.

Tell them how the Erie three-year accelerated program can save as much as $70,000 or more* in tuition compared with more expensive, private four-year programs.

Tell them how the LECOM Distance Education program allows students to learn from home without the expense or burden of moving to another city.

Tell them how they can also choose the equally affordable four-year program at our beautiful state-of-the art campus in Bradenton.

Tell them to choose the Lake Erie College of Osteopathic Medicine School of Pharmacy.

Welcome to LECOM. Visit LECOM.edu *LECOM, PA 3-year tuition = $76,470; LECOM, FL 4-year tuition (out of state) = $101,960; LECOM Distance Education Pathway = $100,120; National Average tuitions range from $149,064 for a 3-year program to $145,500 for a 4-year program. (Source: American Association of Colleges of Pharmacy).

| LECOM.edu @1LECOM @1LECOM

College of Osteopathic Medicine • School of Pharmacy • School of Dental Medicine School of Graduate Studies • Masters/Post Baccalaureate

PA Pharm Journal ad rev.indd 1

9/16/16 4:36 PM

PRESIDENT’S MESSAGE

Change or Opportunity?

The start of the new year, 2017 has been anything but boring. We obviously have a new President, new state Representatives and Senators as well as new members of Congress on the national level. There has already been a whirlwind of new presidential executive orders and a flurry of new bills being introduced almost daily.

We have seen the usual yearly changes in insurance plans and formularies. Our patients have seen new larger deductibles and higher copays. I have used the word NEW now eight times already to try to make the point that that we are in the midst of dramatic change in the profession of pharmacy. Change can be at times stressful but also could be looked at as a tremendous opportunity.

There is no doubt that the ACA, a.k.a.

Obamacare will be changed, modified or repealed over the next several months and this will again affect all areas of pharmacy practice. We all will be impacted by the

changes and pharmacy must be ready and willing to sit at the table, to be involved in process and let our voices be heard.

The PPA Mid-Year Conference held in Lancaster during January was a tremendous success. Some of the key areas discussed involved the ongoing opioid crisis, medical marijuana regulations and implementation, Naloxone utilization and legislative issues.

I personally moved my community pharmacy to a new location in January and discovered firsthand the challenges that many small and large pharmacy operations face with local, state and federal regulations. There were challenges with suppliers, licensing and the logistics of moving. We overcame these challenges.

The challenges became opportunities to find better ways to serve our patients, to become more efficient in operations and most importantly, take better care of our patients and customers.

I am asking all pharmacists, technicians and pharmacy personnel to become aware of the changes and challenges facing us on the local, state and national levels, get involved, make the calls to our legislators and remember that these changing times are wonderful OPPORTUNITIES to make a positive difference in our pharmacy profession. Please also remember to “HELP KEEP PHARMACY GREAT AGAIN!”  Eric M. Pusey, R.Ph, CDE PPA President 2016–2017

www.papharmacists.com • 7

WELCOME! NEW MEMBERS

PPA Welcomes the following New Members who joined the association on November 17, 2016 – February 1, 2017. Please make these new members feel welcome and part of Pennsylvania pharmacy!

Pharmacists Christopher Heasley, Dubois Darren Mensch, Reading, Penn State Health St. Joseph Brian Sesack, Pittsburgh, UPMC Hillman Cancer Center James Caputo, Erie, Rite Aid Pharmacy Myrna Bella, Pittsburgh Julie Bartlett, Harborcreek, Pharmacy Innovations Jennifer Tuttle, Fairview, CVS Pharmacy Evan White, Philadelphia, Walgreens Boots Alliance Mahesh Paladugu, Allentown, Express Care Pharmacy Amy Fritz, Somerset, Medicine Shoppe #1468 Steven Kheloussi, Wilkes-Barre, Wilkes University – Nesbitt College of Pharmacy Kathleen Olesh, Coopersburg, Kmart Pharmacy Michael Nan, Coraopolis, Ohio Valley Hospital Josephine Parncutt, Coatesville Abigail Aponte, Stroudsburg Nathaniel Iloanusi, Morgantown, RPH on the Go Patti Kujas, Macungie, Dorneyville Pharmacy Crystal Osunde, Lewisburg, Weis Markets Kelly Gerard, Harrisburg, Penn State Milton S. Hershey Medical Center Erica Kaehler, Hanover, Choice Health Services Brandon Matthews, Glenside, My Rx Home Maryann Walaski, Mayfield, Express-Scripts Tina Cushey, Curtis Pharmacy Michelle Swarrow, Curtis Pharmacy Conni Rinsem, Curtis Pharmacy Catherine Ealy, Curtis Pharmacy Bill Barringer, Curtis Pharmacy Marie Carbonetto, Bethlehem Linju John, Churchville, Rite Aid Corinne Hoke, Nothumberland, Custom Care Pharmacy

8 • Pennsylvania Pharmacist • March/April 2017

Pharmacy Technicians ToVanna Vasser, Pittsburgh, Walgreens Specialty Pharmacy Wayne Brown, Washington, Curtis Pharmacy

LECOM School of Pharmacy Lydia Obeisun, Copell

Associates Robert Foster, State College, Value Drug Company Andrew Tsapatsaris, Hixson, PCA Pharmacy Greg Roscoe, Pittsburgh, A and R Solutions

University of Pittsburgh Kelly Jenniches, Natrona Heights Austin Pegg, Pittsburgh Ashley Kamp, Windsor Martha Ndungu, Pittsburgh Liam Callejas, Archabald Josh Zimardo, York Josh McEntee, Dallas Casey Rowe, Orland Park Meghan McLinden, Bethel Park Jessica Chmielinski, Marlton Jamie Cekada, Johnstown Robert Aikman, Dauphin Shrey Parekh, Pittsburgh Amanda Li, Lancaster Madeline Kreider, Lebanon Rachel Young, Bath Megan Dunlop, Superior Connor Kelley, Middletown Christopher Randall, Gilbertsville Emily Craine, Mechanicsburg Marissa Angino, Pittsburgh Jia Gao, Pittsburgh Jordan Serio, Pittsburgh Angela Li, Johnston Miranda Steinkopf, Elizabeth Megan Sybeldon, Pittsburgh Vincent Shaffer, Sharon Luke Jennings, Pittsburgh Paul Wherry, Canonsburg Bianca Bisegna, Moon Twp. Abdul Alvi, Pittsburgh Meghan McElligott, Rexford Maria Langas, Pittsburgh Simona Avramovska, Shelby Twp. Andrew Atterbury, Pittsburgh Jessica Marini, Chadds Ford Morgan Casal, Pittsburgh Connar Jan, Bellingham

Students Duquesne University – Mylan School of Pharmacy Brianna Enderby, South Park Matthew Muzzio, Branchburg Kelsey Daisley, Kittanning Brittany Pfoutz, Pittsburgh Brandon Ross, Wheeling Johnathan Kloss, Pittsburgh Alaina Pericolaso, Lumberton Kelsey Murgas, Duncansville Michael Milligan, Pennsburg Choniece Phillips, Warren Tracy Eckenrode, Loretto Alyssa Linden, Erie Branden Kline, Bethlehem Jacob Grmek, Greensburg Tiffany McClain, Monaca James Stover, Pittsburgh Melanie Renninger, Coraopolis Jenny Fung, Connellsville Erika Castaneda, Pittsburgh Brittany Yu, Pittsburgh Michelle Turro, Ocean View Kiana Motto, Paxinos Jefferson School of Pharmacy Huda Eldabbas, Broomall Patrick Pauls, Jackson Danielle Vallandingham, Mullica Hill Nancy Tang, Philadelphia

Temple University Mohammed Aboulela, Nesquehoning

WELCOME! NEW MEMBERS continued

Barbara Grden, West Newton Kyle Wilson, Abington Michelle Miller, Pittsburgh Jacob Boice, Lima Erika LeBakken, Pittsburgh Jenna Borowski, Pittsburgh Adam Greenfield, Yardley Alison Manjerovic, Pittsburgh Dana Jenkins, Old Forge Niha Idrees, Batavia Neha Poladi, Bear Carly Gabriel, New Castle Casey Dubrawka, Pittsburgh Ryan Pasquarette, Pittsburgh Joanna DeAngelis, Pittsburgh Andrea Bejjani, Pittsburgh Richard Dong, Pittsburgh Victoria Lauver, Monroeville Paul Stangl, Pittsburgh

Philadelphia College of Pharmacy Rachel Boardman, Wyckoff Natasha Stroedecke, Rutherford Amanda Meisel, Budd Lake Jacob Gambo, Covington Township

Alyssa Pagliaro, Lansdale Katelyn Rudzik, Sewickley Oluwafunmito Babalola, Grand Prairie Carly Schaechter, Flanders Brittany Steiner, Lancaster Julianna Slomer, Butler Divya Patel, Galloway Cameron Karnick, Browndale Victoria Blake, Glastonbury Eric Schneider, Lancaster Sam Gundling, Hudson Duy To, Lancaster Thomas Szeltner, Palmyra Dylan McNulty, Pittsburgh Lauren Albert, Warrington Raymond Vellky, Pittsburgh Alexander Snyder, Cranberry Twp.

University of Rhode Island Rebecca Tenaglia, Bethlehem Wilkes University Michael Venditto, Pittstown Collin Strunk, Blakeslee Justine Maley, Trucksville Bradley Moore, Dimock Briana Blaisure, Wilkes-Barre Meghan Kisela, Schuylkill Haven Heath Dresch, Annville Shyann Barrett, Danville 

ELEMENTS of Success Re

Af

Cn

Lo

Reputation

Affiliation

Connections

Location

Jefferson College of Pharmacy is recognized as an emerging force in the future of Pharmacy education. We prepare students to be leaders, as demonstrated by victories in ASHP, APhA and ACCP student pharmacy competitions. Our grads have an aboveaverage pass rate among all who take national boards. And, it’s happening just steps from the best Center City Philly has to offer. These are contributing elements to our success.

explore.Jefferson.edu/Pharmacy

www.papharmacists.com • 9

CAMPUS CHECKUP

Duquesne University Contributed by: Danielle Taciuch, Communication Ambassador Duquesne has started the semester off strong with numerous events and activities to get student pharmacists involved! Duquense PPA started off with their local OTC competition in January and the winning team represented Duquesne at Mid-Year. We had a great turnout for the Mid-Year Conference and were even able to recruit more students who were interested. First year students had the opportunity of attending a chemical dependency seminar in January where they were able to learn the neuroscience behind dependence and hear from guest speakers. The pharmacy Greeks have been busy recruiting more members with “Meet the Greeks” and other events.

All Pharmacy organizations participated in Pharmacy Preview Day in February to inform incoming students on how to get involved and what our school has to offer. Now, Duquesne PPA is busy organizing another event at a local YMCA to talk about healthy lifestyle choices and spreading the word about Legislative Day, which is quickly approaching!

LECOM Contributed by: Ashley Freeman, Communication Ambassador Our PPA members have been busy planning and communicating with local organizations to hold upcoming events for the next couple months. Some of our primary events include naloxone training, blood pressure awareness, a health fair at the Erie Otter’s hockey game, and a vaccination clinic.

The naloxone training has been incorporated into the curriculum for all second year pharmacy students at LECOM. This training is an essential tool in educating students about the seriousness of the current opioid crisis. With this training, we will also be teaching future pharmacists and healthcare providers how they can make a difference in the prevention of opioid overdoses. LECOM is spreading awareness of this crisis and has opened the naloxone training to the entire school.

LECOM recently received a grant to work with the American Heart Association on their “Check. Change. Control.” program. It is a community-based initiative to eliminate high blood pressure as a health disparity among Americans. It works to provide information and awareness to Americans about this disease. LECOM pharmacy students will work alongside medical and dental students to educate patients about the importance of monitoring and controlling high blood pressure at nine clinics in the Erie area. This program will operate for approximately four months and will specifically reach out to African-Americans in the local community.

LECOM pharmacy students have scheduled a health fair event at the Erie Otters hockey game. The health fair will showcase the initiatives – diabetes awareness, heart health, immunization awareness, drug abuse prevention, and over the counter medication safety. There will be an added focus to medication adherence and we are hoping to reach a lot of patients.

10 • Pennsylvania Pharmacist • March/April 2017

Finally, LECOM is also working with the Erie County Department of Health to hold a vaccination clinic. Pharmacy students will gain the opportunity to observe the nurses working with refugees and other patients from diverse backgrounds. The nurses prep the vaccines, interact with patients, use translators and administer the vaccines. We are excited to work together with other healthcare professionals at this clinic to prevent future diseases.

Ohio Northern University Contributed by: Foud Bahamdain, Communication Ambassador Spring semester is a busy time for pharmacy organizations at ONU. Many groups partner for special awareness weeks in the spring including organ donation week, women’s health week, pharmacy week, mental health week, and fall prevention week just to name a few. Further, on March 26th, our ASP chapter is organizing a Spanish health fair in Columbus in collaboration with nearly every pharmacy organization. CPNP and SSHP have also been busy with their new partnership with CVS through the One Choice program to educate high school students about the dangers of prescription drug abuse, ONU is the first school in the country to share this partnership.

Students will also keep busy working on the Script Your Future Medication Adherence Challenge. Fifth year students, finishing their time on campus, had the opportunity to create a group business plan and complete a poster presentation of their business for faculty and visiting pharmacists. Finally, the Pennsylvania Pharmacists Association chapter at Ohio Northern University was honored to have Donna Hazel speak on campus on February 22nd to kick off our official recognition on campus and allow all students to learn more about PPA. ONU PPA is thrilled to have joined a group of strong student pharmacy organizations at ONU this year!

Philadelphia College of Pharmacy Contributed by: Sara Coulter, Communication Ambassador The Philadelphia College of Pharmacy’s PPA chapter began this semester by coordinating a relaxing night out with our fellow Philadelphia pharmacy schools, Jefferson and Temple, at Dilworth Park’s Wintergarden in Center City. The night was filled with friends, food, and a fun ice-skating experience enjoyed by both students and faculty. We then joined our other pharmacy schools at this year’s Mid-Year Conference in Lancaster. PCP had a wonderful time with everyone and enjoyed competing in the OTC and Know Pain, Know Gain competitions. In February we reached out to all PCP students and encouraged everyone to get involved with the GRASP program to get ready for Legislative Day. We are very excited to see you all in Harrisburg next month!

University of Pittsburgh Contributed by: Nicolette Diehl, Communication Ambassador The Pitt PPA Chapter ended last semester with the annual Christmas toy drive for Matilda Thesis, a Federally Qualified Health Center in Pittsburgh. Student pharmacists were encouraged to donate toys during the last weeks of the semester, which were distributed to the parents at the clinic the week before Christmas. Together we donated over 100 toys to over 30 families in the Pittsburgh region. The classes had a friendly competition to see which class could donate the most toys, which the P3 students won!

On January 11th, the Pitt E-board hosted the annual local OTC competition. Eight teams of P2 and P3 students competed to win the local title and move onto the state level. A team of P2’s including Luke Jennings, Michelle Miller, and Dana Jenkins prevailed and competed in the annual statewide competition at the Mid-Year Conference in January to defend Pitt’s title.

This semester our Pitt chapter welcomed Dr. Brandon Antinopoulos as our new faculty advisor! We are happy to have him on board and are excited to work with him during this upcoming semester as we prepare for Legislative Day on April 19th.

the Spelling Bee with our Wilkes APhA-ASP chapter. This event is something we do every year and involves students spelling various medications, medical-related terms and even some of our Wilkes professors’ names!

Wilkes University Contributed by: Kayla Bardzel, Communication Ambassador Wilkes PPA started out the spring semester with the Mid-Year Conference with over 50 student and faculty members in attendance to participate in the OTC competition, Pain competition and a variety of poster and CE presentations. In December, we held a mini-OTC competition to determine that Jimmy Steigerwalt, Allie Grudeski and Taylor Hodle would represent us at the Conference!

Through all our events, we have been using our Facebook page as much as we can. With our page, we give current updates on our chapter activity to promote outreach to the community and students on PPA’s activity. We have been using it as a key source to promote our members’ accomplishments and highlight how incredible PPA is as an organization. It has been a helpful tool to communicate to our members.

Our chapter is already preparing for Legislative Day and has more members joining the GRASP program. We also are planning to finish off the semester with another chapter social, fundraiser and even some community service! We are already preparing for Annual Conference and have Alex Ponce, Dylan Fox, and Aaron Knopp as our representatives in the Achieving Independence Competition. 

We are continuing with our Katy’s Kids enthusiasm and have participated in multiple events in January and February. We are so thrilled we could expand the program this year and are definitely putting it to good use! Everywhere we present is in love with the program and we have gotten great feedback across the board with it.

On Wilkes campus, PPA was active in the annual Pharmacy Week at Wilkes which occurred February 13th-18th. Wilkes PPA co-hosted www.papharmacists.com • 11

FEATURE ARTICLE

Keystone Pharmacy Purchasing Alliance — A Group Purchasing Organization

By Christine Trusky, PharmD, PGY1 Resident Lebanon VAMC This article was contributed while Christine was on rotation with PPA. Mel Brodsky* has been a pharmacist for over 50 years.

That is quite a bit of experience in the pharmacy profession.

His pharmacy career began at Temple School of Pharmacy, where he graduated in 1966.

After graduation, he moved to Chicago to work for a small chain pharmacy called May’s Drugs until August of 1968.

After working in Chicago, he decided to return to his family and friends in Philadelphia with the hope of opening his own independent pharmacy.

In January of 1969, he opened his own pharmacy, Parkway Drugs Inc., in Philadelphia.

This pharmacy provided both retail and long term care services, specializing in the care of mentally disabled patients in nursing homes, as well as in Community Living Arrangements throughout the Philadelphia area. In 1997, Parkway Drugs Inc. was sold to Omnicare. Mr. Brodsky started Keystone Pharmacy Purchasing Alliance in 1996, and at that time, Keystone was partnered with PPA. In 1997, Keystone moved away from PPA and is now owned by PARD. Most recently, Mr. Brodsky served as the CEO of Keystone Pharmacy Purchasing Alliance, and currently serves as the Executive Director of the NonProfit PARD, an Association of Community Pharmacies.

PARD stands for Philadelphia Association of Retail Druggists.

It is a non-profit organization that has pharmacy members across five counties in Southeastern Pennsylvania.

This organization works with community pharmacies to help keep them updated on

legislation, current events, CE opportunities, and other important information that may benefit their members’ pharmacy practice sites.

Keystone Pharmacy Purchasing Alliance is a for-profit organization which works with pharmacies to help them negotiate prices better than an individual store would be able to do on their own. Keystone has about 350 members which allows them to have more of an advantage when it comes to price negotiation. They help pharmacies purchase just about any supplies and merchandise that they may need for their practice, from scotch tape to specialty drugs. Keystone has over 60 contracts with vendors, and their primary contracts are with three medication wholesalers. At this time, Keystone has three sales representatives, two of which are pharmacists, and four inside administrator assistants.

These sales representatives visit community pharmacies to present new vendors and programs that are available through Keystone.

Along with supporting PARD, Keystone also helps to support PPA. Keystone works with PPA almost daily on legislative issues, and they work with pharmacies to encourage them to become involved with PPA and other state organizations.

Mr. Brodsky has been a member of PPA since he opened his own independent pharmacy in 1969. He has learned a lot about what is happening legislatively through his membership with PPA, and by working with PPA on regulations and legislation.

One of the many benefits of

12 • Pennsylvania Pharmacist • March/April 2017

being a member of Keystone is that Keystone pays for its members to join PPA, because they believe it is so important for pharmacists to get involved with PPA. Keystone also pays for its members to join NCPA. Mr. Brodsky believes that getting involved with state organizations is imperative, and it can have many benefits for both pharmacists and the pharmacies they own or work in. 

* Mel Brodsky stepped down from his role as CEO of Keystone on January 1, 2017 and currently serves as the Executive Director of PARD. Chris Casey currently serves as the CEO for Keystone.

Keystone Pharmacy Purchasing Alliance is a for-profit organization which works with pharmacies to help them negotiate prices. Keystone pays for its members to join PPA because they believe it is important for pharmacists to get involved with PPA.

THE KEYSTONE The only true transparent buying group in the region. Operiating as a Cooperative, where members share in the profits. over 75 contracts available

WE OFFER CHOICE Over 100 Years experience! Affiliation with Major Suppliers Honest advice about the benefits and problems with pharmacy ownership. Over $16.5 Million disbursed to participating members in 2016. Checks are sent out monthly - No credit slips Compliance is the KEY in Keystone

WE LISTEN AND ACT

Our management doesn’t just talk about it.

WE WORK WITH YOU! Honesty + Transparency = Success!

OWNED AND SUPPORTED BY THE

PARD, AN ASSOCIATION OF COMMUNITY PHARMACIES

FEATURE ARTICLE

MEMBER PROFILE • Jennifer Andres, PharmD, BCPS What made you choose the profession of pharmacy?

I had a part-time job at a community pharmacy during college. I loved the way the pharmacists interacted with their patients, technicians, and other health care providers. It seemed like a perfect career. Once I started pharmacy school, I was exposed to even more career opportunities with pharmacy with avenues for direct patient care. I was hooked!

What do you like most about being a pharmacist?

Jennifer Andres, PharmD, BCPS, Clinical Assistant Professor of Pharmacy Practice Temple University School of Pharmacy Clinics • Stroke Prevention • Clinic Hepatitis C

I love the daily change in my job — from seeing patients in clinic to working with students. Every day brings a new challenge and opportunity to improve someones life.

When you are not working, where can you be found?

What made you decide to join PPA? I was a member of PPA as a student and really enjoyed the experience and networking opportunities it provided. Once I moved back to Pennsylvania, I was given the opportunity to be Temple’s faculty liaison for the student chapter at the school. As a faculty member, I love that PPA includes the students in so many aspects of the organization.

Where would you like to see the profession to go in 10 years?

Pharmacists should be a part of the patient-care team and should take a leadership role with any medicationrelated issues, regardless of practice setting. I would like to see pharmacists taking more advanced roles in patient management and practice. Additionally, pharmacists should be recognized as providers. 

I love being active, so I play field hockey year round with a club team in the Philadelphia area, run, bike, and take other fitness classes.

ASSOCIATION 2017 FOUNDATION GRANT NEWS RECIPIENTS ANNOUNCED The Educational Foundation is pleased to announce the recipients of the 2017 Foundation grant! Grants may be used for projects which are targeted towards patient care by pharmacists and innovative activity around pharmacy practice.

• Joni Carroll, PharmD Pharmacy Practice Development Fellow University of Pittsburgh and Gatti Pharmacy Utilizing Prescription Dispensing Data to Engage Prescribers in Collaborative Care with Community Pharmacists.

She received $900 • Angela DiPaola, PharmD, PGY1 Community Pharmacy Resident ACME Sav-on Pharmacy Patients’ Perceptions of Barriers to Opioid Safety Counseling in a Grocery Store Pharmacy.

She received $1,000.

• Nicole Handlow Duquesne University PharmD Candidate 2017 Effect of pharmacist intervention and education on adults with diabetes mellitus in a patient-centered medical home.

She received $1,000

14 • Pennsylvania Pharmacist • March/April 2017

• Karen Hoang, PharmD, PGY1 Community Pharmacy Practice Resident University of Pittsburgh and Rite Aid Corporation Patient Preferences for Engagement in a Community Pharmacy-Based Diabetes Self-Management Education Program.

She received $400 • Mara Rubin University of Pittsburgh PharmD Candidate 2018 High Prevalence of STIs Among Female Adolescents and Young Adults: Perspectives on the Role of Pharmacist Engagement and Interventions.

She received $1,000. 

FEATURE ARTICLE

STUDENT MEMBER PROFILES Kaitlin Bova

Kaitlin Bova, Ohio Northern University PharmD Candidate, 2018

Why did you choose to become involved in PPA?

Why did you originally join PPA?

I was excited to be part of the first student PPA chapter at ONU and work closely with ONU students from Pennsylvania as we become involved in our home state.

PPA at Wilkes is a close knit family in which they participate in a diverse amount of activities while also advocating for our profession. For me, I wanted to join an organize that not only improves our communities, but can change the way we practice each and every day.

What was the best advice you ever got, and who did you get it from?

“Perfection ain’t perfect.” Tom Kier (2016 ONU Commencement Address) What is your favorite experience you have had since studying pharmacy?

My favorite experiences have been watching open heart surgery during my hospital IPPE and traveling to the Dominican Republic for medical mission trips.

If you weren’t in pharmacy school, what would you be doing?

I would go sailing every day in the summer and skiing all winter.

Kristen Lopatofsky, Wilkes University PharmD Candidate 2017

Kristen Lopatofsky

“Perfection ain’t perfect.”

— Tom Kier

ASSOCIATION NEWS

Where do you see yourself in five years?

In five years, I see myself loving my career each day and finding new challenges with each task. Mentoring has become a passion of mine and after seeing the love my professors at Wilkes have for their profession each day, I hope in the future to precept students or eventually teach. I hope where I go, I am improving medication safety in any career that I take on.

When you aren’t working or studying, where can you be found?

I can be found either dancing at the Live Love Dance studio in Wilkes Barre or working on classic cars with my family.

What advice would you give to first year What advice would you give to first year pharmacy students?

Take every opportunity that comes your way! Work hard and do things that keep you motivated and humble in this profession. Throughout pharmacy school you will face some challenges; however, the most stressful times will help you strive to be the best pharmacist you can be! 

PPA WELCOMES JEFF STUBY

Jeff Stuby joined PPA in the role of Government Relations Manager in January. He graduated from Penn State University in 2012 with a B.A. in Political Science and a B.A. in History, and from Johns Hopkins University in 2014 with a M.S. in Education.

He comes to PPA with a diverse professional background including work in government relations, education, electronic medical record development, and cybersecurity.

In his free time, Jeff enjoys reading, running, and spending time with his family and friends. 

www.papharmacists.com • 15

ASSOCIATION NEWS

MID-YEAR HIGHLIGHTS

2017 MID-YEAR CONFERENCE HIGHLIGHTS Thank you to everyone who attended “Pharmacists Delivering Solutions” at the Eden Resort and Suites in Lancaster from January 27th to 29th!

Special Thank Yous!

PPA sends a special thank you to the 2017 Conference Committee for all of their hard work and dedication. Committee members include: Jennifer Malinowski (Chair), Kayla Bardzel, Ann Campagna, Jenna Carmichael, Tanya Dougherty, Scott Himler, Alysha Lopez, Jamie McConaha, Barbara McNeal, Jerome Musheno, Ellen Nastase, Julie Olenak, Eric Pusey and Jamie Shepherd.

Thank You Sponsors!

PPA thanks our Annual Corporate Partners and Conference Sponsors! The funding and support they provide allows PPA to provide conference attendees with a remarkable experience. We thank them for their generosity to PPA! Silver Level: AmerisourceBergen, HD Saturday Breakfast: Amarin Pharma, Inc. Annual Corporate Sponsors Smith, McKesson Diamond Level: Independent Pharmacy Saturday Lunch: recoveryas.com Buying Group, Pharmacists Mutual Bronze Level: R.J. Hedges & Associates Sunday Breakfast: Lancaster County Companies, Rochester Drug Pharmacists Association Conference Sponsors Cooperative, Inc. Soda Break: Lancaster County Premier Conference Sponsors: Keystone Platinum Level: Value Drug Company Pharmacists Association and National Pharmacy Purchasing Alliance and Gold Level: Keystone Pharmacy Association of Chain Drug Stores Rite Aid Purchasing Alliance 16 • Pennsylvania Pharmacist • March/April 2017

OTC Competition

Know Pain, Know Gain Competition

Played very similar to Jeopardy, the OTC Competition was once again a signature event of Mid-Year Conference! Teams from LECOM, the Philadelphia College of Pharmacy, Duquesne University, Jefferson School of Pharmacy, the University of Pittsburgh, Temple University and Wilkes University competed and Temple University took home the 2017 traveling plaque! Team members of the winning team included: Derek O’Neill, Brian Landi and Hallie Kinecki.

Contestants competed in a rapid-fire Q&A session on pain management, followed by the top three finalists competing in a patient counseling session.

Congratulations to the Temple Tylenowls!

Congratulations to this year’s Know Pain, Know Gain Competition winner: Colleen D’Amico, Philadelphia College of Pharmacy, who received a cash prize of $75.

The other two finalists were: Ashley Robold, Wilkes University and Terra Landis, Wilkes University, who each received $25.

Other competitors included: Keri Diehl, Jennifer Fever, Mary Kimmel, Carly Malivuk, Matthew McGuire, Felicia Snyder and Rebecca Wytiaz.

A big thank you to our competition moderator, Coleen Kayden; our competition judges: Maria Foy, Michele Musheno and Tanya Uritsky and Tom Franko, who posed as our pain patient for the counseling portion.

From Top: Maria Foy explains the correct answer to the patient counseling session Competition moderator, Coleen Kayden, asking pain questions to competitors.

From Top: Expert, Brandon Antinopoulos, provides his expertise and knowledge to the University of Pittsburgh as they use their lifeline.

Competition winner, Colleen D’Amico.

Wilkes University supporting their team ‘Cough, Drop and Roll’ Temple Alumni and PPA President, Eric Pusey, presents the traveling plaque to the ‘Temple Tylenowls’

Continued on next page

www.papharmacists.com • 17

ASSOCIATION NEWS

MID-YEAR HIGHLIGHTS

Student Poster Presentations A total of 45 posters were presented on Saturday evening at Mid-Year. The theme for posters was “Pharmacists Delivering Solutions”. Those who attended earned CE credit by learning from each student about their work. Thank you to the multitude of pharmacists who evaluated these student posters — we appreciate your interest and support!

Educational Foundation Fundraisers

Congratulations and thank you to all who donated, placed bids, and bought raffle tickets and mugs! We raised over $6,000.00 from the auction, raffle, mug contributions and Sunnyside Up breakfast tickets!

Mugs $60 Raffle: $2,312 Breakfast: $462 Auction: $2,868 Total: $5,882 The Foundation hosted its annual Sunnyside Up Breakfast on Sunday, January 29th, which included presentations on the Foundation and five reports from the grants that were awarded in 2016. By showing up for breakfast and learning more about the great things the Foundation does throughout the year, each attendee made a contribution, through their registration, to the Foundation. Special Sunnyside Up coffee mugs were also provided to anyone who chose to make a separate $10 contribution.

Above Photos: Pharmacists earning CE credit interact and ask questions to student pharmacists showing off their hard work.

Five 2016 grant recipients reported on their findings.

Pharmacists provided feedback for pharmacy students posters.

Attendees received CE credit for attending the Sunnyside Up Breakfast.

18 • Pennsylvania Pharmacist • March/April 2017

PharmPAC Bowl MMXVII: Tailgate for Pharmacy Conference attendees celebrated the recent legislative successes at PharmPAC Bowl MMXVII: Tailgate for Pharmacy! The celebration included backyard games, organized by the pharmacy schools, and music from John DeJames & Hear to Please. Nicole Pezzino, Tom Franko, and Brandon Antinopoulos did “on the street” interviews asking attendees both serious and fun questions — be on the watch for a video later this year!

John DeJames and son, Zac, provided the music for the celebration!

PPA’s Board of Directors having fun at the tailgate.

Nicole, Tom, and Brandon interviewing PJ Ortmann.

Pharmacy students show their support for PharmPAC.

Wilkes University students compete in Connect Four.

Pharmacy students enjoying the photo booth. www.papharmacists.com • 19

ASSOCIATION NEWS

MID-YEAR HIGHLIGHTS

Other Activities

Attendees attended a live naloxone training session.

Student pharmacists attend a special presentation on Medical Marijuana.

Attendees at the special Medical Marijuana programming.

Ken Dickinson presents a special presentation at Saturday breakfast.

MEMBER NEWS 2017 Remington Honor Medal Awarded Daniel A. Hussar, Ph.D., of Newtown Square, PA, is the recipient of the 2017 Remington Honor Medal, the profession’s highest honor awarded by the American Pharmacists Association (APhA). Dr. Hussar was selected in recognition of his numerous contributions to, and impact on, the pharmacy profession and patient care.

2017 Student Scholarship Program Recipients Announced

Andrew Gaiser Placed in Top 10 of National-Level Clinical Skills Competition

The American Pharmacists Association (APhA) Foundation announced the recipients of its 2017 Student Scholarship Program.

The student scholarships are awarded to recognize exceptional leadership skills and academic achievement through active involvement in the APhA Academy of Student Pharmacists (APhAASP). Congratulations to our PPA members who received this honor!

Duquesne University School of Pharmacy student pharmacist, Andrew Gaiser, placed in the top ten of the national-level American Society of Health-System Pharmacists (ASHP) Clinical Skills Competition at the organization’s Midyear Meeting in Las Vegas earlier this month. Gaiser is a PY4 student. 

Kaitlin Bova Ohio Northern University Raabe College of Pharmacy Gloria Francke Scholarship Ashley Maister Thomas Jefferson University Jefferson College of Pharmacy Mary Louise Andersen Scholarship 20 • Pennsylvania Pharmacist • March/April 2017

www.papharmacists.com • 21

ASSOCIATION NEWS

PPA Educational Foundation Grant – Final Report

By Danielle Mayer, PharmD Increasing childhood influenza vaccinations at the community pharmacy: what factors are most important to parents?

D. Mayer, PharmD1,2; M. Belli, PharmD1,2; P. Melissen, BSPharm1; D. Yu, PhD3; J. Podberesky, BSPharm1; N. Patel-Shori, PharmD2 Acme Sav-On Pharmacy1, Temple University School of Pharmacy2 Lewis Katz School of Medicine Department of Clinical Sciences at Temple University3 Funding: This work was supported by the American Pharmacists Association Incentive Grant and Pennsylvania Pharmacists Association Educational Foundation Grant.

This study and report was made possible in part through a grant provided by the PPA Educational Foundation grant in 2016. This report was not submitted through the peer review process and is presented as a report only. The full report may be found under the Foundation Section – Programs — Grant Program — 2016. http://www.papharmacists.com/FBOD_Grants16

Introduction Infection with the influenza virus is a dangerous and costly epidemic that is responsible for substantial morbidity and mortality every year. One study completed

by Molinari et al. determined that on average five to twenty percent of the US population is infected with the flu annually, which costs an estimated $10.4 billion a year in direct medical expenses and an additional $16.3 billion in lost earnings.7 It causes hundreds of deaths each year and contributes to significant healthcare complications in the most vulnerable populations including younger and older persons, as well as those who are pregnant or have chronic diseases.3,7 Protection from this virus became part of the national agenda when metrics for preventative vaccination were included in the Healthy People 2020 ten year agenda for improving the health of the nation.

Even several years after the launch of this campaign, the rates of seasonal influenza vaccinations for children ages six months through seventeen years of age are still well below the Healthy People 2020 goal of 70%.4 For the 2014–2015 influenza season, the average rate of vaccination for children over six months of age was reported to be 59.3% by the CDC.3 Specifically in Pennsylvania, when broken down by age group, the highest rate of vaccination was seen in children six months to four years of age (74.7%) and the lowest rate was in children thirteen to seventeen years of age (48.2%). There was no reported increase in vaccination rates between the 2013–2014 influenza and 2014–2015 influenza seasons indicating that more interventions need to be created to reach the 70% vaccination rate goal by 2020.3 Community pharmacists are highly accessible 22 • Pennsylvania Pharmacist • March/April 2017

healthcare providers who are trained to provide immunization services in their communities. Pharmacists in many states are now expanding their immunization practices to include providing routine vaccinations to children. In June 2015, the Governor of Pennsylvania passed an act that allows licensed, trained pharmacists to provide the influenza vaccine to children nine years of age and older with parental consent. Effective August 25, 2015, licensed pharmacists in Pennsylvania were able to administer influenza vaccine to this population without a prescription through a vaccine protocol.1 Pennsylvania was the forty-fourth state to lower administration age restrictions on any vaccine.2 Additionally, several small studies have been published analyzing parent perceptions of pharmacists as immunization providers with an overall positive impression.5,6 Even with the expansion of immunization services into an extremely accessible environment and the general positive impression of pharmacists as immunization providers, vaccination rates are still well below our national goal.

For these reasons, it is important that the healthcare community understands what would motivate a parent to get their child or children vaccinated.

Objectives The primary objective of this study was to identify the motivating factors that guide the decision of parents, guardians, or caregivers to have their child or children vaccinated at a grocery store chain community pharmacy.

The secondary objective is to determine participants’ confidence in community pharmacists as immunization providers for children. 

influenza by the numbers

10.4

$

BILLION ESTIMATED YEARLY COST IN DIRECT MEDICAL EXPENSES

16.3

$

BILLION ESTIMATED ADDITIONAL AMOUNT OF LOST REVENUE

100s OF DEATHS ANNUALLY

74.7%

RATE OF VACCINATION IN AGES SIX MONTHS TO FOUR YEARS OF AGE (HIGHEST RATE)

PUTTING PATIENTS FIRST

Advance Webinar briefings: Webinars to help you prepare for the issues will be held.

Dial-in: 641-552-9167 Access Code: 689318 Pharmacists: Wednesday, April 12th 2:00 – 2:30 PM Students: Wednesday, April 12th 12:00 – 12:30 PM * Webinars will be recorded for those unable to participate.

ASSOCIATION NEWS

2016 PharmPAC REPORT

A special thank you is in order to all 2016 PharmPAC donors…

2016 marked another successful year for PharmPAC! PharmPAC raised nearly a total of $45,000 — and personal contributions from our members gave us with the resources needed to deliver real and meaningful results! We are aiming to raise $55,000 in 2017 — and it’s a goal we can and NEED to reach. Please consider making a personal contribution today to help us reach our 2017 goal; or donate monthly via our regular credit card charge program.

Congressional Club ($1,000+)

Richard Williams

Mathew P. Slakoper

P.J. Ortmann

Gregory Drew

Robert Frankil Robert A. Steele Darrin W. Silbaugh John F. Hinkle, Jr. Centre County Pharmacists Association

John A. Pavis Shawn R. Nairn Carmen DiCello Jeanette Young

Keystone Club ($500+)

David M. Smith Pat Epple Coleen Kayden Charles Lebegern John J. Pavis Stephanie Smith Cooney Richard Ost

Dave Cippel Donna Hazel Robert Kayden Bethany Miller Eric Pusey Joseph DiMatteo Theodore Stoklosa

David Cunningham D. Scott Himler Patrick F. Lavella J. Scott Miskovsky Robert S. Schreiber Thomas Silvonek Gilbert Zilner

Capitol Club ($250+)

Loc Dao Thomas Boswer Mel Brodsky Bob Killoran David F. Ostrow Amy Baloh Dennis Fowler Christianna Martynowski

William Sherman David B Lutz Jon & Kim Ference Nick Leon Stan Camson Robert Cohen Robert Kasisky Joseph E. Millward

Phillip Arlia Michael Fapore Janet Hart Jeffrey Moskowitz Nickolas Kernich William T Ferri Martin Kendra Susan Schropp

Patriot’s Club ($100+)

Walter Cwieniewicz

Ellen Nastase Jacqueline Klootwyk Lucey

John Gatto

Lauren Simko

Joseph Bechtel

Russell Daniels

Andrew Irons

Shawn Lynch

Bethany Miller

Fadeke Salako

24 • Pennsylvania Pharmacist • March/April 2017

Sherri Ann Lee Brandon Antinopoulos George R McAlanis Robert Maher Alexander Achildi Michael Brown Gary V. Fields Ron Kline John McClellan Michele Musheno Thomas Stonesifer

Donald Smith Michael Depanfilis Vogenberg Family Enid C. McClung Lawrence Barnes Edward T. Casey Dominic Fino Charles Kray Kyle McCormick Andrea Pugh Rhoads Pharmacy & Gift Shop

Ross A. Bevevino Gregg S. Teitel Megan Weigand Roshni S. Patel Edward T. Bechtel Yoshimi Clark John & Eileen Gans Mark Lawson Cheryl Meek William S Wagner

Sustaining Members ($50+)

Craig Lehrman Douglas Allen Tamre Joyce David Mateer

Melissa Sherer Krause Gayle Cotchen Joseph Breton James Dillon John Kearns Judith Kristeller Thomas F. Olcese Maria Osborne Frederick J. Weissberger

Joseph Paul Albert Tanya Dougherty James Loyer Shawn Parekh

Contributors ($25+)

George R Haynes Joseph G. Bettinger Deborah Clark Gregg S Teitel John Luckovich Karen Pater James Schiffer

John Bowen Leah Adewale Robert Bimeal Frederick J. Bonchosky Henrietta Cole Anthony Difilippo Robert Hartzell Walter Lane Stephanie McGrath Cheryl Meek Betsy Potteiger Richard A. Reed Jared M. Shayka Marvin Sheffler Kathryn Grandizio-Stephens

Ralph N. Bertolino Richard J. Bronstein Ed Foote Alysha Nicole Lopez Edward T. Millward, Jr. Christine Roussel Michael Taglianetti

Donors ($10+)

Janet Astle Atilla Mihalik

Bruce Sigman Charles Obeid

J. Richard Brown Thomas F. Olcese

Donald S. Deibler,II Timothy Porter

James Hanlon Daniel Wagner

1878 Society Members (Student-Only)

Dana Achenbach Anthony Fanucci Rebecca Goetz Kristen Lopatofsky

Jaime Celento Dominika Foltyn Alexandra Grudeski Rayann Seager

Keri Diehl Dylan Fox Sally Habusta Jennifer Smith

Sara DiLascio Ashley Freeman Joelle Kaminsky Erik Whyne

Kaitlin Fairlamb Christian Giovanni Tyler Liebegott

Student Chapter Fundraisers

LECOM

Wilkes University

The University of Pittsburgh

ASSOCIATION NEWS

January 2017

Mission

To foster research, education, and practice models that advance patient care.

2016 Foundation Board of Directors President—Nish Kasbekar, BS, PharmD, FASHP Vice President— Maria Osborne, PharmD, BCACP, CDE Secretary/Treasurer—Pat Epple, CAE Immediate Past President—Jon Ference, PharmD, BCPS Ed Bechtel, RPh John DeJames, RPh Bill Ferri, RPh Julie Gerhart-Rothholz, RPh, MS Sarah Krahe Dombrowski, PharmD, BCACP Michele Hebda, PharmD, TTS Melissa Krause, PharmD Kyle McCormick, PharmD Karla Moschella PJ Ortmann, RPh, MBA Stephanie Smith Cooney, PharmD Megan Weigand Nick Wytiaz, PharmD Student Director: Jennifer Smith / Rebecca Wytiaz

Inside this issue: Message from the President

2

Committee Chairs for 2017

2

Meet the New Board Members

3

Contribution Honor Roll

4

Financial Report

4

PPA Educational Foundation 2016 Annual Report Pharmacists….Advancing patient care!

2016: A Year In Review January

   

38 student posters were presented at Mid- Year Another successful Sunnyside Up Breakfast Pain Competition Mug sale

February

 

The income was totaled up from Mid-Year and thanked all who participated Monthly contributions were promoted and increased



The LEAD Program was promoted and the first class of participants were obtained



The opening session at Annual Conference was planned to be around the opioid epidemic and bringing in Physical General and DDAP Secretary Tennis



Foundation Board held its biennial planning session at the PPA office and revamped their organization

June



Kicked off the 2017 grant applications

July



Summer break for the Foundation Board of Directors!

August



Announced LEAD participants for 2016 and 2017

September

  

T-shirt sale at Annual Conference Golf outing at Annual Conference benefitting the Foundation LEAD program kicks-off

October



Planned Poster Presentations for 2017 Mid-Year

November



Planned Pain Competition for 2017 Mid-Year

December



Five grants were awarded for 2017

March April May

26 • Pennsylvania Pharmacist • March/April 2017

Message From the 2015 –17 President

PPA Educational Foundation 2016 Annual Report

Nishaminy Kasbekar, BS, PharmD, FASHP Corporate Director of Pharmacy - University of Pennsylvania Health System Director of Pharmacy - Penn Presbyterian Medical Center Thank you for allowing me to serve as President of the PPA Educational Foundation this past year. The Foundation continues to be on the cutting edge of advancing pharmacy practice and the Midyear meeting is a great way to get to know the Foundation and allow us to showcase some of our efforts.

This year the Foundation continued initiatives that would support our strategic plan. We are currently in our third year of our plan where our goals included building and developing a strong portfolio that would benefit pharmacists, and our community as well as increase awareness of the foundation. We are also very interested in increasing our contributions so we can continue to support practice advancement in our state. Our strategic plan is available on our website if you would like a more detailed view: http://www.papharmacists.com/ FoundationInfo The foundation continues to support high quality programming at each meeting including focused attention on the opioid epidemic and finding ways for pharmacists to be part of the solution. We also continue to support popular programs such as the Pain competition and Student Posters which continue to have more participants each year.

This year we will also be showcasing our 2016 Grant recipients at the Sunnyside Up Breakfast and see how their work innovates, advances pharmacist practice roles and achieves successful outcomes.

This year we were very excited to kick off the First Leadership Excellence and Advocacy Development (LEAD) program with 4 enthusiastic candidates. The LEAD program is a one year longitudinal program consisting of pharmacy leader developed presentations combined with networking opportunities, skill development and selflearning and reflection. The LEAD details are also available on our website and I welcome any suggestions or thoughts you may have on this wonderful program.

As a Foundation member for the past 6 years, I have witnessed the growth and impact the foundation has on the community and pharmacy practice. The biggest factor to the success of our programs is your member contributions. These contributions are tax deductible and monthly contribution of any amount is simple, easy and greatly helps our cause. We also have ways that you can contribute while you shop at sites such as Amazon Smile, IGive.com. Every little bit helps, so please consider contributing if you haven’t already or accept our sincere appreciation if you are already a contributor.

I would like to thank the 18 members of the Foundation Board for their voluntary and tireless commitment to continuing to grow the Foundation and create unique opportunities for our pharmacy members. Please also join me in thanking our outgoing members, Bill Ferri and Jennifer Smith, for their service.

Have a great meeting!

Foundation Chairs for 2017

Program Leads

Fundraising and Development - Michele Hebda

Grant Review - Julie Gerhart- Rothholz

Corporate Fundraising - John DeJames

Poster Competition - Maria Osborne & Nick Wytiaz

PR & Awareness - Melissa Krause

Pain Competition - Coleen Kayden

Program/ AOAA Liaison - Coleen Kayden

LEAD - Jon Ference & Coleen Kayden www.papharmacists.com • 27

ASSOCIATION NEWS

Meet the New PPA Educational Foundation Board Members for 2017 AJ Greco, PharmD

AJ Greco received his Doctor of Pharmacy degree from the Duquesne University Mylan School of Pharmacy in 2007. Prior to joining Duquesne and Giant Eagle Pharmacy, he completed a PGY1 Pharmacy Practice residency at UPMC Mercy Hospital in Pittsburgh, PA and PGY2 Community Pharmacy and Academia residency at the University of North Carolina Eshelman School of Pharmacy and Kerr Drug in Chapel Hill, NC. Dr. AJ Greco is an Assistant Professor of Pharmacy Practice at Duquesne University and practices as a clinical pharmacist at Giant Eagle Pharmacy delivering patient care services such as medication therapy management (MTM), immunization delivery, diabetes education, and wellness screenings. He serves as director of the Duquesne University and Giant Eagle Community Pharmacy Residency Program and as preceptor to student pharmacists taking his advanced community pharmacy experiential rotation. His research interests focus on implementing clinical services in the community pharmacy setting, delivering medication therapy management, and pharmacogenomics.

Student Director: Rebecca Wytiaz, PharmD Candidate

Rebecca is a student pharmacist at the University of Pittsburgh, anticipating graduation in 2018. She is an active member of PPA at both the school and state level, currently serving as the Student Advisory Board Foundation Director. In the past, Rebecca has served on the Public Relations Committee for PPA, and she also is the current recipient of a PPA Educational Foundation Grant. Outside of her PPA efforts, Rebecca serves as the Finance Vice President for the Pitt APhA-ASP chapter, the president of RxAmbassadors (student tour guides for PittPharmacy), and a class representative on the Dean's Advisory Board. Rebecca is also an active member of Phi Lambda Sigma, Lambda Kappa Sigma, and the Allegheny County Pharmacists Association.

Be sure to visit the Foundation online at http://www.papharmacists.com/FoundationInfo Learn more about who we are and what we do to benefit your pharmacy profession!

Don’t Forget to Use These Contribution Tools Help the Foundation raise money by simply doing what you might do anyway - shop online! It’s simple and easy step to set up accounts and then simply shop your favorite sites through these pages, and the Foundation will get money!

Amazon Smile: When you shop at smile.amazon.com Amazon will donate to the PPA Educational Foundation. Support us every time you shop.

goodsearch: The simple act, combined with those of the millions of other people on Goodsearch, can make a big difference

in the world -- Helping your Foundation can be something you do every day -- not only when you have time to volunteer or extra money to donate. This is what Goodsearch is all about. We give you the ability to turn your everyday actions into simple ways to support and raise funds for your favorite cause. Go to goodsearch.com and set up your account, then search for and select the PPA Educational Foundation.

iGive: iGive is a free service where shopping at any of 1478 stores like Travelocity, Overstock, and more can mean a donation to the PPA Educational Foundation. Go to iGive.com and set up your account and search and select the PPA Educational Foundation.

28 • Pennsylvania Pharmacist • March/April 2017

2016 Contribution Honor Roll Over $45,000 Raised in 2016. Help us exceed $50,000 in 2017!

Mortar and Pestle Club ($1,000) RDC*

George McAlanis

Gregory Drew

David Smith

Robert Lefkowitz

Lancaster Pharmaceutical Association

Wiley Pharmacy

LCPA for Ortmann Scholarship

Williams Apothecary

Royer’s Pharmacy

Gerald & Suzanne Ganse Family Foundation/ Bonadio/ Hunter Busanksy

Rx Club ($500—$999) Coleen Kayden*

Donna Hazel*

Joseph Miskovsky*

Robert Kayden*

APMS/ Ed Christifano

George Downs

Nick Leon*

Pat Epple*

Kristen Hartzell

Nick & Phyllis Wytiaz* NCPA William Ferri

Mitchel & Julie Rothholz

Cornerstone Club ($250—$499) Darrin/Debra Silbaugh*

Dave Cunningham*

Ellen Nastase*

Eric Pusey*

Jerry/Michele Musheno*

Jonathan/Kim Ference*

PJ Ortmann*

Kathy Grandizio

Rob Frankil/ Sellersville Pharmacy*

Century Club ($100—$249) Ben Beidel*

Howard Cook*

Sarah Dombrowski*

Don Smith*

Lauren Simko*

John DeJames

Sherri Lee*

Bernard Graham

Sharon Abayasekara*

Charles Kray

Melissa McGivney*

Gayle Cotchen

Edward Bechtel

Fino’s Pharmacy LLC

Jaqueline Klootwyk Lucey*

Frank Lombardo

Gary Fields

Gale Garmong

Janet Hart

Joseph Bechtel

Stephanie Smith Cooney

Michael Fapore

Laney Jones

Megan Weigand

Peter Kreckel

Nishaminy Kasbekar

Karla Moschella

Thomas Stonesifer

Patron of Pharmacy ($50—$99) Kyle McCormick*

Nickolas Kernich*

Terry Talbott*

Maria Osborne*

Michele Hebda*

John Barrett

Lucas Berenbrok

Melissa Krause* Robert Maher, Sr.

Andrew Irons

Daniel Wagner

Gladys Duenas

J. Mark Doyle

John Kearns

Katherine Sulkowski

Ravi Patel

Tanya Dougherty

Stephanie Harriman McGrath

Mary Ellen Mitchell

Donors Karleen Melody*

Erin Burke*

George Haynes

Harold Brog

Antonio DiFilippo

Brian Walker

Charles Obeid, Sr.

Henrietta Cole

J. Richard Brown

Joseph Bettinger

James Schiffer

Cheryl Meek

Donald Deibler II

John Luckovich

Jeffery Eshelman

Leah Adewale

Mark Taglianetti

Ralph Bertolino

Jamie Celento

Janet Astle

Jennifer Smith

Richard Bronstein

Richard Reed

Robert Ingoldsby

John Paone

Ashley Firm

Bruce Martin

Robert Hartzell, Jr.

David Mateer/Saltsburg Pharmacy

*-Monthly Contributor Please consider becoming a monthly contributor!

Foundation Financial Report for 2016 Balance Sheet—December 31, 2016 ASSETS Current Assets $169,873 TOTAL

S 169,873

Profit and Loss – Jan. 2016—Dec. 2016

Unrealized Loss/ Gain

$-5,663.00

Income Contributions Fundraising Interest & Dividend Earned

Realized Gain/ Loss

$-75.00

Total Income

LIABILITIES & EQUITY Opening Bal Equity Unrestrict (retained earnings) Net Income

$5,465 $153,164 $11,243

TOTAL LIABILITIES & EQUITY

$ 169,873

$35,539 $8,571 $2,321 $46,434

Expense Fundraising Expenses $442.00 Grants Awarded $3,358.00 LCPA Scholarships Provided $13,500.00 Administrative Expense $233.00 Program Expense $752.00 Total Expense $12,548.00

* For reporting purposes, we have rounded the cents

www.papharmacists.com • 29

INDUSTRY NEWS

pennsylvania

DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS

Date: To: From:

December 28, 2016 Pennsylvania Pharmacists Secretary Gary Tennis, Pennsylvania Department of Drug and Alcohol Programs

Subject:

Pharmacy Medication Drug Take-Back Program Expansion

One way to help fight this epidemic is to encourage people to get rid of unwanted or unused prescription medications. The Pennsylvania Department of Drug and Alcohol Programs has been diligently promoting medication drug take-back boxes in local law enforcement facilities. More than 500 such drug take-back boxes are now located in police stations around the Commonwealth. We've collected more than 150,000 pounds of prescription drugs. But we need to do more.

We would like to expand our effort by asking pharmacies across the Commonwealth to consider purchasing a drug take-back box. New Drug Enforcement Administration (DEA) regulations now allow retail pharmacies, among others, to collect controlled and non-controlled pharmaceutical drugs by using mail-back programs.

There are a number of mail back program products that can be used in pharmacies to collect both noncontrolled and controlled substances in a standard, safe and cost-effective manner that rids homes and medicine cabinets of potentially harmful drugs. Please join us in this fight against prescription drug abuse by offering a drug take-back box in your pharmacy for disposal of unwanted and expired medicines.

The Department recommends that pharmacies: •

•

Go to the DEA website at https://www.deadiversion.usdoj.gov/drug_disposal/ , click “Register for Disposal of Controlled Substances” and then proceed to modify eligible DEA registration to collect pharmaceutical controlled substances from ultimate users and purchase your own take-back box (i.e. MedSafe) that can be utilized by your customers Stock and/or supply drug deactivation packets such as the Deterra Drug Deactivation System or Disposa-Script to make available to your customers

If you are interested in purchasing a drug disposal option, there are two possibilities DDAP is aware of, among others that may be appropriate for your facility: •

MedSafe -- The Sharps Compliance Corp. and MedReturn, LLC have joined forces to launch a program called MedSafe™ (http://www.sharpsinc.com/medsafe/). Pharmacies can purchase MedSafe, a collection receptacle with a removable prepaid ship back inner liner manufactured by MedReturn, LLC. The medications collected in that receptacle are then mailed in the prepaid inner liner back to Sharps Compliance, Inc. for disposal via incineration.

•

Drug deactivation products such as: o Deterra Drug Deactivation Kit - http://deterrasystem.com/ o Disposa-Script -- http://hh-solutions.com/disposascript/

If you decide to purchase and maintain your own take-back box at your location, please contact George Reitz, drug and alcohol prevention program analyst with DDAP, at 717-736-7469 so he can add your collection site to the DDAP website listing at www.ddap.pa.gov.

Thank you in advance for your help. Together, we can reduce the potential misuse and abuse of prescription medicines.

02 Kline Village

30 • Pennsylvania Pharmacist • March/April 2017

I

Harrisburg, PA

17104

I 717-783-8200 I www .dda p.pa.qov

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ASSOCIATION AFFILIATED NEWS COUNTY NEWS

Allegheny County Pharmacists Association We hope everyone had a rewarding Mid-year Meeting in Lancaster — full of networking, competition, and sharing of ideas. If you didn’t attend, we hope you’ll consider attending one of next year’s meetings. We also had a successful County meeting and presentation from the Consumer Health Coalition in early February, highlighting the ever-changing landscape of healthcare law.

New practitioners, not-yet members, and anyone promoting the Association — great news! PPA has made an investment in newcomers to the profession by lowering dues. This more gradual dues structure also affects ACPA membership rates. If you are not yet a member or know someone who has yet to join, now is the time!

As we look to upcoming events, be sure to mark your calendars for the 2017 Legislative Updates Presentation. The event is tentatively scheduled for March 2nd, with a location TBD. We look forward to seeing everyone and learning about recent and upcoming legislative changes.

Special Announcement for student members: Be sure to submit an application for the ACPA scholarship. This is a $500 scholarship, with one presented to a student from Pitt and one to Duquesne. More details can be found on PPA’s website.

32 • Pennsylvania Pharmacist • March/April 2017

in memoriAm It is with deep regret to announce the passing of two-term ACPA President and long-time ACPA member William Liepack on December 31, 2016.

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Value Drug and CP Specialty allowed us to provide a service for our customer, who otherwise would have had to use mail order or some other option they were not comfortable with. We were very unfamiliar with the product as well as the process to be able to provide the medication our patient needed. Eric Fromhart walked us thru the step by step application process, enrolled our pharmacy, and made sure we were being taken care of. All we had to do was gather patient info, physician info, and the prescription, send it to CP Pharmacy, and they did the rest. Within a day, we were able to bill, order and process the prescription for our patient.

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INDUSTRY Rx AND NEWS THE LAW

THE LEARNED INTERMEDIARY DOCTRINE

By Don. R. McGuire Jr., R.Ph., J.D. This series, Pharmacy and the Law, is presented by Pharmacists Mutual Insurance Company and your State Pharmacy Association through Pharmacy Marketing Group, Inc., a company dedicated to providing quality products and services to the pharmacy community.

It is almost impossible to attend a pharmacy law conference and not have a discussion about the Learned Intermediary Doctrine.

The Doctrine was first expressed in a lawsuit against a drug manufacturer in 1966.1 The Doctrine states that a drug manufacturer has no duty to warn a patient about the risks of a drug. The manufacturer’s duty is fulfilled by informing the prescriber (the “Learned Intermediary”) of the drugs risks and benefits.

The prescriber then has the responsibility of choosing the appropriate therapy because the prescriber has knowledge of the patient’s medical condition.

Through the years, the Learned Intermediary Doctrine was expanded to include pharma­ cists. This was done through court decisions, by statute, or other procedural means.

Specifically, courts held that pharmacists had no duty to warn patients of the risks of a particular drug. The Learned Intermediary Doctrine put that responsibility on the physician. There was fear that the pharmacist would somehow interfere in the physicianpatient relationship. Under the Doctrine, the pharmacist discharged their duty by correctly filling the physician’s prescription for the patient.

As the different states have looked at the Learned Intermediary Doctrine, they have taken different approaches to it; some adopted it, some rejected it, and some created exceptions to it. And as things usually go in the law, the different states didn’t agree on the exceptions. So what is a practicing pharmacist supposed to do?

This is where I give you a different answer depending on whether I’m wearing my lawyer hat or my pharmacist hat. A common exception to the Learned Intermediary Doctrine in states that have adopted it is situations where the pharmacist has specific information about the patient’s condition (e.g., she is pregnant or he is allergic to penicillin). My advice as a lawyer in these situations would be to advise my pharmacist clients to know as little about their patients as possible. That way you can fall under the protection of the Learned Intermediary Doctrine. As a pharmacist, this advice is contrary to the direction that the pharmacy profession is headed. We are trying to

“The better option is for the pharmacists to use their training, experience, and expertise for the benefit of the patient. Protecting patients from harm is a strategy within the pharmacist’s control. Intervene when you see something that raises a red flag. Protecting your patients ultimately protects you. Additionally, utilizing our expertise and making a positive impact on patient outcomes is a more persuasive way of convincing payers, patients, and regulators that pharmacists are a vital part of the health care team. Let’s move into the 21st Century.”

— Don R. McGuire, Jr. become more involved in patient care, not less.

At these same conferences, there are also many discussions about gaining provider status. How can pharmacists make a case to be considered health care providers and hide behind the Learned Intermediary Doctrine at the same time? Cases rejecting the Learned Intermediary Doctrine state that pharmacists are not merely order-fillers and want to discourage robotic compliance with the physician’s order.

So what is the pharmacist to do? Relying on the Learned Intermediary Doctrine is

not necessarily a good strategy. The courts have not consistently applied the Learned Intermediary Doctrine. My review of cases leads me to conclude that courts really don’t understand what pharmacists can and are supposed to do. For example, one case reached the right answer for the wrong reason.2 There are exceptions to it and you don’t want your case to be the one in which the court creates another exception.

Many of the cases were decided before OBRA ’903 and its resulting regulations were implemented. Few discussions today talk about OBRA’s impact on the Learned Intermediary Doctrine, but I believe that it is underestimated. It is beyond the scope of this article to recite a detailed history of these decisions. Suffice it to say that relying on the Doctrine is a risky strategy because it is too difficult to predict the court’s outcome.

The better option is for the pharmacists to use their training, experience, and expertise for the benefit of the patient. Protecting patients from harm is a strategy within the pharmacist’s control. Intervene when you see something that raises a red flag.

Protecting your patients ultimately protects you. Additionally, utilizing our expertise and making a positive impact on patient outcomes is a more persuasive way of convincing payers, patients, and regulators that pharmacists are a vital part of the health care team. Let’s move into the 21st Century.

RESOURCES 1 Sterling Drug, Inc. v. Cornish, 370 F.2d 82 (8th Cir., 1966) 2 Morgan v. Wal-Mart Stores, Inc., 30 S.W. 3d 455 (Tex. App.-Austin, Aug. 10, 2000) 3 Budget Reconciliation Act of 1990, Pub. L. No. 101-508, 104 Stat. 1388. © Don R. McGuire Jr., R.Ph., J.D., is General Counsel, Senior Vice President, Risk Management & Compliance at Pharmacists Mutual Insurance Company.

This article discusses general principles of law and risk management. It is not intended as legal advice.

Pharmacists should consult their own attorneys and insurance companies for specific advice. Pharmacists should be familiar with policies and procedures of their employers and insurance companies, and act accordingly. 

www.papharmacists.com • 35

INDUSTRY FINANCIAL NEWS FORUM

ARE GEN xers PLANNING FOR RETIREMENT THE RIGHT WAY? Some are planning wisely but others are beset by mistakes

This series, Financial Forum, is presented by PRISM Wealth Advisors, LLC and your State Pharmacy Association through Pharmacy Marketing Group, Inc., a company dedicated to providing quality products and services to the pharmacy community.

Generation X has become the new “sandwich” generation. Many Americans born during the years 1965–80 are finding themselves caring for aging parents and growing kids at once, with little time to devote to their personal finances or their retirement planning. Broadly speaking, that time shortage has hindered their retirement saving and planning efforts. Some members of Gen X are on track to reach their retirement money goals; others are making mistakes that may greatly undermine their progress. What kind of mistakes, specifically?

Procrastination. In a recent survey of 36- to 49-year-olds commissioned by the Transamerica Center for Retirement Studies, 39% of respondents said they would prefer to tackle retirement investing when they were nearer to retirement age.1 If you are in your thirties or forties, this is a mistake you cannot afford to make. When it comes to retirement saving, time is your friend — perhaps the best friend you have — and the earlier you start, the more years of compounding your invested assets can receive. That is not to say all hope is lost if you start saving and investing at forty, however. You just have to save considerably more per month or year to catch up. A very simple compounding example bears this out. Let us take a 25-yearold, a 35-year-old, and a 45-year-old. From this day forward, each will contribute $1,000 a month for a 10-year period to a retirement account yielding 7% annually. At the end of those ten years, they will stop contributing to those accounts and merely watch that money grow until they turn 65 (not recommended, but again this is a simple example). Under these conditions, the person who saved for just ten years starting at age 25 has $1,444,969 at 65. The person who saved for ten years starting at 35 has but $734,549, the person who saved for ten years starting at 45 only $373,407.2 Raiding the retirement fund. Think of your retirement fund as your financial future, or at least a large part of it. Many instances may tempt you to draw it down: your children’s education expenses, student loan debt, eldercare costs. Refrain if at all possible.

Work on creating an emergency fund so you can avoid this (if you already have one, great). Every loan you take from a workplace 36 • Pennsylvania Pharmacist • March/April 2017

The good news? Gen Xers are making a solid effort to save.

83% of Gen X respondents said they were building up a retirement fund, and 20% of them had amassed more than $250,000 in retirement savings prior to age 50.1 retirement account leaves you with fewer invested dollars, fewer dollars that may grow and compound faster than inflation via the equities markets. Your forties, in particular, represent a prime time to ramp up your saving effort as your salary and/or compensation presumably increase.

Undervaluing catch-up contributions.

Beginning in the calendar year you turn 50, you are permitted to contribute an extra $1,000 to your IRA per year, and an extra $6,000 per year to a typical 401(k), 403(b) or 457 plan. An extra $1,000–$6,000 per year may not sound like much, but if you have both an IRA and a workplace retirement plan, this gives you a chance to save an additional $50,000–$100,000 (or more) for retirement between now and when you presumably wrap up your career. Those dollars can benefit from compounding as well. Even the opportunity to direct an additional $1,000 into an IRA each year should not be dismissed. Sadly, some savers will enter their fifties not knowing about catch-up contributions or not valuing them enough — but you will consistently make them, right?3 Not planning with the “end” in mind. Many Gen Xers are saving for retirement without defined financial objectives. They do not yet know how large their nest egg needs to be in order to generate worthwhile retirement income. They have not really thought about what they want their money to accomplish.

Even using a free online retirement calculator (there are some really good ones) might yield some food for thought.

Foregoing consultations with financial professionals. One of the demerits of DIY investing is the learning curve. Investing for retirement without any help is akin to trying to find a street address without help from a map: you might get close, you might get there, but most of the time you may not know how close or far away you are from your goal. A meeting with a financial professional can lead to an overview of where you stand, and give you a firm idea of what you need to do as you pursue your retirement goals further.

The good news? Gen Xers are making a solid effort to save. In the aforementioned Transamerica survey, 83% of Gen X respondents said they were building up a retirement fund, and 20% of them had amassed more than $250,000 in retirement savings prior to age 50.1 CITATIONS 1 forbes.com/sites/nextavenue/2014/08/28/7retirement-mistakes-gen-x-is-making/print/ [8/28/14] 2 moneyunder30.com/power-of-compoundinterest [2/27/15] 3 shrm.org/hrdisciplines/benefits/articles/ pages/2016-irs-401k-contribution-limits.aspx [10/22/15] Pat Reding and Bo Schnurr may be reached at 800-288-6669 or pbh@berthelrep.com. Registered Representative of and securities and investment advisory services offered through Berthel Fisher & Company Financial Services, Inc. Member FINRA/ SIPC. PRISM Wealth Advisors LLC is independent of Berthel Fisher & Company Financial Services Inc. This material was prepared by MarketingLibrary.

Net Inc., and does not necessarily represent the views of the presenting party, nor their affiliates.

All information is believed to be from reliable sources; however we make no representation as to its completeness or accuracy. Please note — investing involves risk, and past performance is no guarantee of future results. The publisher is not engaged in rendering legal, accounting or other professional services. If assistance is needed, the reader is advised to engage the services of a competent professional. This information should not be construed as investment, tax or legal advice and may not be relied on for the purpose of avoiding any Federal tax penalty. This is neither a solicitation nor recommendation to purchase or sell any investment or insurance product or service, and should not be relied upon as such. All indices are unmanaged and are not illustrative of any particular investment. 

INDUSTRY NEWS

Small Doses State Flexibility to Facilitate Timely Access to Drug Therapy by Expanding the Scope of Pharmacy Practice Using Collaborative Practice Agreements, Standing Orders or Other Predetermined Protocols A new guidance from the Centers for Medicare and Medicaid Services (CMS) addresses flexibilities that states may have to facilitate timely access to specific drugs by expanding the scope of practice and services that can be provided by pharmacists, including dispensing drugs based on their own independently initiated prescriptions, collaborative practice agreements (CPA) with other licensed prescribing healthcare providers like physicians, “standing orders” issued by the state, or other predetermined protocols. These practices can facilitate easier access to medically necessary and time-sensitive drugs for Medicaid beneficiaries.

Visit this link to view this guidance: http://www.papharmacists.com/ CurrentHotTopics.

Naloxone Pharmacy Directory Helps to Fight Drug Addiction We’ve had a big year for opioid and heroin overdoses in the United States and we’re currently facing one of the most major public health crisis’ of our time. According to the *CDC, 16,000 deaths in the United States involved opioids and over 8,000 of which involved heroin. Cities like Cincinnati saw record numbers of overdoses with almost 200 overdoses in just a few days.

Thankfully, Naloxone, an opioid reversal medication, arrived on the scene and has since saved thousands of lives. We watched as Naloxone became more available and more professionals were trained on how to administer it. In many counties statewide, the life-saving overdose reversal medication is now available without a prescription.

Some communities are even making the overdose kits available to the public free of charge.

As it becomes more readily available, it is our duty as healthcare professionals to educate the public on what it is, how it can help them, and most importantly, where they can find it.

In an effort to reach more people and save more lives, Recovery Addiction Services has added a new directory, in addition to their existing addiction treatment directories, specifically for Naloxone. The directory will help people to find pharmacies in their area that carry Naloxone and in turn help to save more lives that are currently being claimed by the growing heroin epidemic.

As one of the largest growing online addiction and recovery directories, it is our mission to supply as many people as we can with the tools that they need to navigate addiction. By joining our directory, you will be not only helping us accomplish this, you will be saving lives and bringing more customers to your pharmacy.

List your pharmacy on our directory today at https://recovery addictionservices.com/add-listing/ and let’s help save more lives. *Source: http://www.cdc.gov/media/releases/2015/p0424-naloxone. html

38 • Pennsylvania Pharmacist • March/April 2017

Prescription Requirement Under Section 503A of the Federal Food, Drug, and Cosmetic Act Guidance for Industry Section 503A of the FDA Act is the section that addresses compounding by pharmacies — retail and institutional pharmacies.

The guidance addresses compounding pursuant to a Rx order or in anticipation of a Rx order. Compounding drug product in anticipation of the pharmacy receiving an order for a pt must be based on a history of receiving orders for the compound drug product. For anticipatory compounding prior to receipt of orders for identified individual patients, the pharmacy needs to track and keep record documenting the highest number of valid Rx orders received for identified individual patients in a 30-day period over the past year for each compounded drug product. That 30-day supply is the maximum the pharmacy can keep for distribution prior to receiving valid Rx orders. This applies to sterile drugs as well as non-sterile drugs.

The pharmacy must receive the patient specific Rx order before the compounded drug product can be distributed. In contrast, outsourcing facilities may compound and distribute non-patient specific sterile and non-sterile specific compounded drug products to physicians, clinics or hospitals for office use. 

PPA Needs You! PPA offers a number of opportunities for you to become connected, involved and engaged in our mission and vision, as well as boost your resume. There is a volunteer opportunity for everyone!

Committees Below is a listing of active PPA committees, descriptions can be found at: http://www.papharmacists.com/ Committees • Pharmacists Advocacy • 140th Anniversary • Independent Owners • Conference Advisory • Education • Health Policy • Awards • Addressing Opioid • Website Content Addiction and Abuse Task Finance Force • Constitution and Bylaws • Partnership for Individual Recruitment & Retention • Nominations (PiR2)

Conferences CE Presenter: PPA is always looking for qualified, dynamic speakers to present CE programs at our conferences.

CE Moderator: Moderate a CE presentation and earn CE credit at the same time!

Ticket Collector: Help PPA collect tickets and greet your peers and fellow members.

Achieving Independence Judge: Support PPA’s student pharmacists as they present their innovative concepts.

Legislative Pharmacist Advocacy Team: PPA puts together teams of five to seven pharmacists from across the state. Each team hits the halls of the state Capitol for half a day to advocate our legislative priorities and, hopefully, nudge Pennsylvania lawmakers toward the interests of pharmacists and their patients.

Pharmacy Visit for Elected Officials: Hosting your elected officials for a pharmacy visit is a great way to develop a relationship with them or their staff. It also is an effective method to impact policies and make a difference for pharmacy.

Journal Journal Authors: PPA is now accepting articles for the peer review process Peer Reviewers: Use your knowledge and edit articles for the Pennsylvania Pharmacist. http://www. papharmacists.com/Peer

www.papharmacists.com • 39

INDUSTRY NEWS

How to Survive a DEA Inspection Series: Why Your Supplier Wants Your Prescribers Information?

Contributed by: Carlos M. Aquino, Consultant & Founder, PharmaDiversion LLC This question is asked of me every day by pharmacists. The answer is very simple. The Drug Enforcement Administration (“DEA”) has placed so much emphasis on the “Due Diligence” responsibility of a pharmacy and it is very clear in the federal regulations that the prescriber and pharmacist have “Corresponding Responsibilities” (21CFR1306.04) when prescribing and fulfilling a prescription for a Schedule II to V controlled substance prescription. The DEA Offices through their Office of Diversion Control (“Diversion”) and their local U.S. Attorney’s Office have been very aggressive in developing both criminal and civil cases against practitioners who prescribe Schedule II narcotics without a legitimate medical purpose and against pharmacists who fill such prescriptions. The Due Diligence responsibility has also been extended to a DEA registered Pharmaceutical Wholesalers/ Suppliers/Distributor who provides those controlled substances to their pharmacy customers who in turn dispense these drugs to their patients.

Today, suppliers are more interested in what pharmacies do with controlled substances and whose prescriptions the pharmacy are fulfilling especially those Schedule II narcotics. DEA has an unwritten rule that suppliers should know “their customer’s customers” and DEA will want to know the suppliers “Due Diligence” policies to prevent the diversion of those drugs sold to the pharmacy. In most cases, the supplier may send their consultants to perform an on-site compliance review of your pharmacy.

There are two reports that may be asked for you to provide to the consultant. One is the top ten prescribers with the number of prescriptions written and filled for controlled substances. This information will provide your supplier a better picture of whose prescriptions you are filling and the quantities of those prescriptions. The second report that may be asked of a pharmacist is the number of dosage units that a pharmacy dispense for each specific drug, their strength, and NDC number. Once this information is provided, the supplier will use the information to evaluate the risk level of the pharmacy which will rate the Due Diligence of a pharmacy from a LOW RISK to HIGH RISK. In some cases, the supplier 40 • Pennsylvania Pharmacist • March/April 2017

will notify the pharmacy customer that their controlled drug ordering privileges would be suspended because of the findings.

It is essential for pharmacists to clearly understand the “Corresponding Responsibili­ ties” placed on them by DEA and many State regulatory entities. What is important for a pharmacy is not to place itself in the “High Risk” level where their suppliers will terminate their privileges to purchase controlled substances because of the “Due Diligence” responsibilities placed by DEA on those distributors of controlled substances.

Providing a “Due Diligence Program” will, in most cases, bring your status as “Low Risk” status.

So, let’s look at your situation once the supplier gets that information. If you provide a list of the top ten prescribers, your supplier will perform a full review, through the various State regulatory websites, of those prescribers and determine their education, their board certification, where they practice, who is associated with them and review any disciplinary action taken by DEA, any other federal agency or any State regulatory entity.

The supplier will perform an analysis of those controlled substances dispensed by the pharmacy. The drugs that will be their focus are the following: All forms of the Oxycodone family especially the 30mg and 15mg

tablets, Methadone 10mg and 5mg tablets, Hydromorphone 8mg and 4mg tablets, Methadone 10mg, Morphine Sulfate IR 30mg and 15mg tablets, and the Hydrocodone family especially the 10mg tablets. Recently, DEA has been looking at the dispensing of Subsys products.

So, you ask what steps can I take to prevent from being a “HIGH-RISK”? First, you need to produce your own list of the top ten prescribers and take the time to look at their board certification, education and disciplinary actions taken by a regulatory entity for each prescriber especially those prescribers who are pain management practitioners. The internet has numerous websites that will provide you that information especially the State medical boards. Recently, a pediatrician was the target of an investigation for allegedly prescribing Schedule II narcotics without a legitimate medical purpose.

Second, you need to provide yourself a dispensing report of those aforementioned controlled substances that are dispensed for pain management. Look at the quantity dispensed for each of their strengths with the method of payment, and especially of concern is CASH paying patients.

Third, you need to look at the number of prescriptions a patient brings with them.

Look at patients bringing prescriptions for two opioids that were written as part of the patient’s pain management plan. Also a pharmacist should look at prescriptions for depressant and a stimulant prescribed for the same patient.

It is essential for pharmacists to clearly understand the “Corresponding Responsibili­ ties” placed on them by DEA and many State regulatory entities. What is important for a pharmacy is not to place itself in the “High Risk” level where their suppliers will terminate their privileges to purchase controlled substances because of the “Due Diligence” responsibilities placed by DEA on those distributors of controlled substances.

Providing a “Due Diligence Program” will, in most cases, bring your status as “Low Risk” status. © 2013 Carlos Aquino, PharmDiversion LLC

ASSOCIATION Congratulations PPCN and PPA! NEWS

Update

PPCN has been making great progress and we want to keep you informed withbythe latest al identity (logo) developed PPO&S for the information!

Pennsylvania Pharmacists Care Network was

d with a Certificate of Excellence in the 2016 American Graphic Design Awards. This national Current Happenings etition is sponsored by Graphic Design USA, a leading visual communications trade publication.

• PPA recently launched the latest Toolkit mpetition, focused now inonitsimmunizations 53rd year, available recognizes outstanding work across all mediums for creative on Nearly 10,000 entriesThe were submitted thisis year by design firms, ad agencies, corporations, non their website.

Mentor Collaborative currently working on a Smoking Cessation stitutions, freelancers, and students from across the country, with a only a highly selective 15 toolkit to be launched next. Please visit percent receiving awards.

PPA’s website under Pharmacists Care Network — click “Patient Care Toolkits.”

• PPCN recently launched their very own website in addition to it’s presence on PPA’s! We are very excited to have this tool to help us further market PPCN to payers, providers, pharmacies, and patients! Visit us at www. papharmacistsnetwork.com • PPCN is committed to supporting the pharmacists within our network. Visit PPA’s website under Pharmacists Care Network — click “Get Involved” to access free training and CE for both technicians and pharmacists focused on getting technicians more involved in patient care services!

PPCN Growth PPCN currently has 149 individual pharmacies that have submitted the Community Pharmacy Participation Agreement! This is made up of 126 independent pharmacies, seven Weis Markets, and 16 Giant Eagle Pharmacies.

The map below depicts the current coverage of the PPCN — each star represents an individual pharmacy.

Contract Update We are in discussions with multiple payers interested in partnering with PPCN to contract for clinical services aimed at improving quality outcomes, clinical outcomes, and reducing total cost of care. I hope to have more specific details to share in the coming months! 

Find Out More Visit our newly launched website! www.papharmacistsnetwork.com Sign up for Patient Care Training Program: http://www.papharmacists.com/page/ CMMC Contact our PPCN Executive Manager, Mindy Kozminski, with questions or feedback at: mkozminski@papharmacists.com

42 • Pennsylvania Pharmacist • March/April 2017

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