Pennsylvania Pharmacist July/August 2018

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PHARMACIST July/August 2018 • Volume 99 • Issue 4

FIGHTING FOR FAIR RxEIMBURSEMENT

THE OFFICIAL PUBLICATION OF THE

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CONTENTS PPA BOARD OF DIRECTORS PPA OFFICERS President: Lauren Simko, PharmD President Elect: Richard Demers, MS, RPh, FASHP Vice President: Chuck Kray, RPh Immediate Past President: Nicholas Leon, PharmD, BCPS, BCACP REGIONAL DIRECTORS Central Region: Deron Shultz, RPh Northeast Region: Vick Shah, PharmD, BCPS Northwest Region: Nickolas Kernich, PharmD Southeast Region: David Stone, PharmD Southwest Region: Brian Sidone, PharmD PRACTICE DIRECTORS Academia: Nicole Pezzino, PharmD, CDE Chain Pharmacists: Renee Richardson, PharmD Community Independent: Shawn Nairn, RPh Community Independent: Christopher Antypas, PharmD Health System Pharmacists: Darryle Tillman Jr., RPh MCO/Industry/Government/Other: John Barrett, MBA, RPh Associates: Pat Lavella, RPh STUDENT DIRECTORS Student Director East: Dylan Fox Student Director West: Shannon Ye PPA OFFICE STAFF CEO: Patricia A. Epple, CAE pepple@papharmacists.com | Ext. 3 Conference and CE Manager: Linsley Gentile lgentile@papharmacists.com | Ext. 2 Government Relations Manager: Angela Zaydon azaydon@papharmacists.com | Ext. 6 Membership and Marketing Coordinator: Victoria Madonna vmadonna@papharmacists.com | Ext. 5 Membership and Program Coordinator: Rachel Stall rstall@paharmacists.com | Ext. 1 Bookkeeper: Michele Dibble mdibble@papharmacists.com | Ext. 4 PPCN Executive Manager: Stephanie McGrath, PharmD smcgrath@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 Hershey S. Bell, M.D.,M.S.,FAAFP Kim Coley, FCCP, PharmD, RPh, Chair Michael Gionfriddo, PharmD, PhD Yardlee Kauffman, PharmD, MPH, BCACP Jinsun Paek, PharmD, BCPS Associate Editor: Victoria Madonna Editor/Manager: Pat Epple PUBLISHED BY GRAPHTECH Alexis Kierce, Publications Manager (717) 238-5751 x119 alexis@thinkgraphtech.com For Advertising Information: Kristen Bergmaier, Account Manager (717) 238-5751 x124 kristen@thinkgraphtech.com DESIGNED BY GRAPHTECH 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: August 14, 2018 October 2, 2018 November 27, 2018 January 8, 2019

ON THE COVER: FIGHTING FOR FAIR RxEIMBURSEMENT On April 16, more than 300 pharmacists and pharmacy students from all across Pennsylvania converged on the Capitol in Harrisburg to advocate on behalf of the profession and show how pharmacists are fighting for fair reimbursement!

DEPARTMENTS 5

Calendar of Events

7

President’s Message

8

Campus Checkup

11

Welcome! New Members

13 Member News 14 Affiliated Member News

FEATURES 16 Student Member Profiles 17 Member Profile 18 Legislative Profiles 20 Pharmacy Spotlight 22 Working Every Angle for Fair Reimbursemen

28 Meet the 2018–2019 Student Advisory Board!

29 PPA’s Affiliated Counties Announce Their 2018–2019 Board of Directors 29 Introducing the 2018 Committee Chair Volunteers 32 Pennsylvania Pharmacy Legislative Day: “Fighting for Fair Reimbursement” 34 Congratulations to the 2018 Recipients of the PPA Outstanding Student Award!

36 2017 Recipients of the PPA Outstanding Student Award: Where Are They Now? 38 Celebrating 140th Anniversary

ASSOCIATION NEWS

40 Our Presidents Reminisce Continues

26 PPCN Update

INDUSTRY NEWS

27 Meet the 2018–2019 PPA Board of Directors

42 Rx and the Law: Death with Dignity

OUR VISION Pennsylvania pharmacists will be recognized, engaged, and fairly compensated as health-care 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.

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Calendar of Events

Advertisers Index

July 10 • 12–1pm

Smith Drug Company

CE Webinar — “Living on a Prayer” A Health System Response to the Opioid Epidemic

Pharmacists Mutual

12 • 1–2:30pm CE Webinar – Quieting Down Opioid Prescribing

16 • 5–6pm CE Webinar – Hit Me With Your Best Shot: Update on Immunizations

RDC

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PRS Staffing EPIC

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6

10

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Value Drug Company

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25

Keystone

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21-25

Amerisource

American Association of College of Pharmacy Annual Meeting — Boston, MA

Jefferson College of Pharmacy EPIC

August 25-27 NACDS Total Store Expo – Denver, CO

September 23–25 American College of Clinical Pharmacology Annual Meeting – Bethesda, MD

33

Beekan

37

Hayslip & Zost FrogDog IPBG

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40

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R.J. Hedges & Associates

Back Cover

October 6–10 National Community Pharmacists Association Annual Conference – Boston, MA

18–21 PPA 2018 Annual Conference – Lancaster, PA

21 • 9:30am PPA Board of Directors Meeting – Lancaster, PA

22–25 Academy of Managed Care Pharmacy Nexus Conference – Orlando, FL

For additional events including webinars, CE opportunities, and PPA committee meetings, be sure to see our Calendar of Events on the PPA website! www.papharmacists.com 5

President’s Message I’m often asked why I feel it necessary to be as involved as I am in so many activities. Besides being a full-time working mom, I also run a charity based out of Pittsburgh, PA, and am the new President of PPA. Those of you that see me can feel free to ask me about my children and my charity when you see me, and I’ll reserve this space to talk about why I feel the need to be involved in PPA. My hope is that by the time my term is over, you’ll join me in being an active member of PPA. I also hope if you are reading this, that you share this magazine with a friend or colleague to get them interested in PPA and all we have to offer!

Friends often have a strong impact on your life. Chosen correctly, friends can help rise you up and bring you to places you never thought you’d be. My story is about a friend named Donna Hazel.

Donna and I became friends years ago. She is a mentor, but also a trusted confidant. Donna told me I should get involved in our local county chapter ACPA, and our state pharmacy association chapter, PPA. I went to a few meetings, and next thing I knew, I was President of ACPA. Donna encouraged me to run for a Board of Directors seat at PPA. I served two terms as Southwest Director, and then was elected for my four more years, bringing me to my term as President.

Meet Your PPA President

Lauren Simko, PharmD PPA President 2018–2019

PPA has offered me the opportunity to meet people I otherwise never would have met. I’ve made friendships along the way, and I’ve met pharmacists who are entrepreneurs, Deans of schools, clinicians, retailers, educators, and countless others who make my life easier and more abundant because of their personalities and professional careers.

What is the most important thing you would like to see accomplished in your term? There are so many important goals and accomplishments that PPA is working toward. As president, I want to strengthen our goal of working as one voice of pharmacy throughout Pennsylvania, continue our active legislative work, and continue our membership growth.

I have made connections all over the state. But more importantly, I have made friendships across the state. I have a voice for pharmacy in the State of Pennsylvania. I feel the pressure that pharmacy is under.

I see the articles about reimbursement, I watch the news about high costs of prescription medications, and I too get phone calls from my friend’s aunt’s brother who was prescribed a medication but isn’t sure how to take it, and can I please help? We all know those phone calls! But, I also know the feeling of helping, of learning, of advancing myself so I can be a better pharmacist, and in advancing myself, my patients become healthier as a result. PPA provides that for me.

Why did you decide to study pharmacy? My Dad established a friendship with his pharmacist while I was in middle school. They became friends, and my Dad would leave newspaper clippings and articles around the house about pharmacy. I loved science, so this seemed a natural fit. I began looking into pharmacy and knew by the time I was 13 that I wanted to be a pharmacist. I saw the friendship my Dad developed with his pharmacist, and knew I wanted to know my patients that same way.

My point is … if you are a pharmacist in Pennsylvania, being active in PPA is more than just a professional experience. It is a personal improvement in your overall life. Whether you are happy in your chosen company or looking for a change, PPA has the support you need. Maybe you need CE, or maybe you are interested in learning more about pharmacogenomics (as I was!), or maybe you are just frustrated at your bottom line. Are you looking to add to your professional goals and finances through PPCN? Are you looking to learn more about what is occurring with PBMs in Pennsylvania and how you can help? Attending Legislative Day, joining a committee, or even attending our Annual Conference can improve your career and your friendships, just as it did mine.

I want to congratulate Nick Leon for his success during his Presidential Term and thank him in advance for his support to me this upcoming year. As we at PPA celebrate our 140th Anniversary, I hope you’ll join me in attending our Annual Conference October 18-21, 2018 at the DoubleTree Resort by Hilton Lancaster. I encourage you to find me and let’s talk about how I can best serve you as President of PPA.

What do you like most about being a pharmacist? My passion for helping others is fulfilled in both my career and my personal life. I manage a charity for volunteer work, and I take care of patients in my career. I love being a pharmacist because I can be there to help others when they are sick and sometimes unsure where to turn or what to do.

When did you join PPA & why? I was becoming more active in ACPA (Allegheny County Pharmacists Association), and my friend Donna Hazel kept encouraging me to do more, so PPA was the logical progression. I joined PPA because I felt I owed it to my profession. You can’t be a pharmacist without realizing all the decisions being made that impact our career. Being a member of PPA allows me to have a stronger voice and impact in decisions made for pharmacy in Pennsylvania.

When you are not working, what can you be found doing? I’m a mom to two amazing teenagers, Kealie and Layne. They are both active kids, so I am often found on the golf course or at the swimming pool cheering them on. I am co-founder and co-Director of The Pittsburgh Melanoma Foundation, a 501c3 charity which honors my Dad and so many others. I also love to read and craft, and currently I have some household projects I’m working on.

I like to be busy!

www.papharmacists.com 7

Campus Checkup Pharmacy Students Making An Impact on Hypertension The Pennsylvania Pharmacists Association (PPA) received a grant from the Pennsylvania Department of Health to address hypertension. As part of that grant, PPA offered each Pennsylvania School/ College of Pharmacy the opportunity to receive funds to do two (2) public hypertension screening initiatives during the 2017/2018 school year. Thank you to all for making an impact in hypertension!

Here are some of their stories ...

Philadelphia College of Pharmacy Event Date: October 21st, 2017 Time: 10am–2pm We had students from Philadelphia College of Pharmacy, Temple University, Jefferson University, and Rutgers University come together to hold a health fair at the Art Museum in Philadelphia, PA. We offered a variety of services such as opportunities to get immunized, blood glucose screenings, and blood pressure screenings.

Collectively, we were able to screen 41 people for their blood pressures from 10 am to 2 pm. This event was open to the public and anyone was able to get there blood pressure taken as long as they signed the consent form. The day was broken into two shifts- 10am–12pm and 12pm– 2pm. Per shift, we had about 3–4 students represent their university chapters. From Philadelphia College of Pharmacy, we had 1–2 students represent Operation Heart itself per shift. As we Operation Heart had collaborated with our PPA chapter, we had our PPA members perform blood pressure screenings as well.

Overall, most of the people we screened were between the ages of 25–50. A lot of the blood pressures were normal <120/80. We had a 2–3 people who had a blood pressure of >140/80 either because they had

8 Pennsylvania Pharmacist — Jul/Aug 2018

hypertension along with another comorbidity or they had caffeine/exercised out in the sun throughout the day. However, we did not encounter any blood pressures that were out of the extraordinary or alarming for this event. We also had 1–2 faculty members/preceptors who represented each school throughout our time there.

Lake Erie College of Osteopathic Medicine (LECOM) School of Pharmacy Event Date: February 10th, 2018 Time: 9am–12pm Over the course of 3 hours, 1 pharmacist, 15 pharmacy students, and 12 D.O. students passed out literature about the importance of being an active participant in personal health care related to hypertension, diabetes, and smoking cessation. We also added in elements of the CORE challenge for organ donation. Over the 3 hours, 30 patients had their blood pressures taken and were given counseling on the use of their medications. ~82% of patients were at goal, by previous standards of previous guidelines.

Event Date: January 10th, 2018 Time: 9:30am–11:30am and 12:30pm– 2:30pm Over the course of 2 separate shifts, 1 pharmacist and 6 pharmacy students passed out literature about the importance of being an active participant in personal health care related to hypertension, diabetes, and smoking

cessation. Over the course of the day, over 40 people had their blood pressure taken and only `~50% of patients were at goal. These patients then has counseling with the pharmacists about medication adherence and talking to their physicians about getting potentially additional medications. All people that stopped by, regardless of getting BP take, received literature on hypertension, staying healthy, and, on request, smoking cessation.

Thomas Jefferson University — Jefferson College of Pharmacy Event Date: June 16th, 2018 Time: 8:30am We are expecting anywhere from 100–300 people in this initial year of the 5K Run. There will be a health fair run

by PPA at the finish line where we will offer free blood screening and education to all runners and spectators potentially reaching 500 people.

Wilkes University Nesbitt School of Pharmacy Event Date: January 30th, 2018 Time: 10am–2pm Wilkes PPA provided blood pressure screenings to 100 CVS Caremark Mail Order Facility employees. CVS Caremark employees approximately 300 employees at their facility, and we provided volunteers with blood pressure screenings, pulse readings, record cards to track their blood pressure and share the information with their healthcare providers, and healthy snacks/hand sanitizer to stay healthy and encourage good habits! We had 35 pharmacy students participate in the event throughout the day.

www.papharmacists.com 9

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Welcome! New Members PPA Welcomes the following New Members who joined the association on April 2, 2018–June 1, 2018. Please make these new members feel welcome and part of Pennsylvania pharmacy!

PHARMACISTS Andrew Behm, McCracken Pharmacy Robert Bennett, Tonawanda, NY, Lebanon Veterans Affairs Medical Center Kelly Brunk, Kansas City, MO, Thomas Jefferson University Hospital Rachael Cardinal, Depew, NY Ann Clark, Fair Haven, NJ, Genetech Cara Coladonato, Beaver Falls, ExpressMed Laura Coppula, Lancaster, UPMC Pinnacle Amanda DeFrain, Bethel Park, Jeffrey’s Drug Store Philip DenBleyker, Pittsburgh, Allergen, PLC Grace Earl, Haddon Township, NJ, University of Sciences Roberta Farrah, Pittsburgh, University of Pittsburgh Medical Center Matthew Fricker, Perkasie Alana Grabigel, Pittsburgh, West Penn Hospital Pamela Grisnik, Grove City, PPG Script, Inc

Shafkat Hussain, King of Prussia, Walgreens Boots Alliance Eugene Jho, Pittsburgh, Allegheny General Hospital Thayilparampil John, Allentown, New Liberty Pharmacy Dana LaCarte, Belle Vernon Kaitlin Landolf, Buffalo NY, University of Pittsburgh Medical Center Amber Lapping, Waynesburg, University of Pittsburgh School of Pharmacy Robert Ortiz, Clinton, Allegheny General Hospital Adam Rice, Clairton, Spartan Pharmacy Gregory Simpson, Mechanicsburg, D2 Consulting Monica Skomo, Duquesne University School of Pharmacy Frank Sroka, Pittsburgh, Aetna Arlene St Laurent, South Salem, NY Spero Stefanis, New Castle, Hyde Drug Store Alexis Stober, Gibsonia, UPMC Passavant

Connie Suen, Philadelphia, Hospital of the University of Pennsylvania Giulia Tomassini, Pittsburgh, Allegheny General Hospital Chaehui Tong, Huntingdon Valley Joseph Volgraf, Lafayette Hill, CVS Pharmacy Heather Walker, Bridgeville, Giant Eagle Pharmacy Lisa Yamegishi, Pittsburgh, Duquesne University School of Pharmacy

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Erin Allen, Pittsburgh, Marcus & Shapira, LLP STUDENTS

West Virginia University Anna Baughman, West Newton

California Health Sciences University Sarah Audi, Irvine, CA

Wilkes University Nesbitt School of Pharmacy Christy Taylor, Wayne, NJ Christopher Van Hook, Lincoln Park, NY

Duquesne University School of Pharmacy Sean Eberly, Chambersburg Sydney Keremes, Canonsburg Dakota Miller, Greencastle

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Member News Pitt Pharmacy awarded APhAASP Contributed Poster Award for “innovative Practice” Kelsey Hake, Sophia Cothrel, David Nesmith, Ashley Blazewick, Katelyn Rudzik, Melissa Somma McGivney, Lucas Berenbrok, Joni Carroll, Kim Coley, Melinda Kozminski, and Brandon Antinopoulos were awarded the APhA-ASP Contributed Poster Award for “innovative Practice” for conducting PPCN outreach calls and presenting their poster on Utilizing Rapid-Cycle Problem Solving during Initial Implementation of Patient Care Services within Independent Community Pharmacies participating in a Statewide Pharmacy Care Network in Nashville. There were 8 poster awards presented (for 542 posters), and our PittPharmacy team received 3 of those awards.

PC2 Kicks Off With a Kicked-Back Retreat On April 2 and 3, a “think Tank” of invited pharmacists met at the Hufman Lodge in Somerset, PA to discuss the formation and activity around primary care and physician/ pharmacist collaboration. A lively and engaging discussion ensued with some ideas around mission and vision and what they would like to accomplish discussed and put to paper. The group also discussed folding into PPA and that process is happening. The actual name of the group is Pennsylvania Primary Care Pharmacist Consortium (PC2), pharmacists partnering with physicians in communities statewide and is accepting interested members. The group intends to hold forums at the PPA conferences starting with the Annual in October. The group is being led by Trish Klatt, PharmD, BCPS

PCP Professor Elected to Board of Directors for the Pediatric Pharmacy Association Congratulations to the Chair of the Department of Pharmacy Practice and Pharmacy Administration, Associate Dean of Interprofessional Education, and Professor of Clinical Pharmacy, Dr. Cathy Poon, PharmD, from the Philadelphia College of Pharmacy! She was elected to the board of directors of the Pediatric Pharmacy Association. She will serve as their treasurer-elect in 2018–19 and treasurer in 2019–21.

Kristeller Named Department Chair of Pharmacy Practice at Wilkes Congratulating Judith Kristeller, PharmD, BCPS, Associate Professor, as she has been named the new Department Chair of Pharmacy Practice at Wilkes University! Judy joined Wilkes University in 2002 and has practiced and precepted in Internal Medicine at Moses Taylor Hospital for the past several years. Prior to Wilkes, she worked as a clinical hospital pharmacist for five years and then as a critical care pharmacy specialist for another five years.

Foote Receives Carpenter Award for Teaching Edward Foote, department chair and professor of pharmacy practice, received the Carpenter Award for Teaching. The award, considered Wilkes’ highest honor for teaching, recognizes an outstanding member of the faculty and includes a $1,000 award and framed certificate.

The name of the recipient is also inscribed on a permanent plaque on campus. The awardee is nominated by his or her full-time colleagues and must have been a full-time employee for at least three years.

The End of an (Amazing) Era The 2017–2018 school year marked PPA Past President and PCP professor Daniel Hussar’s last year of teaching before heading to retirement. Hussar leaves PCP with other 50 years of service to the profession. Congratulations Dan! We wish you a happy retirement and thank you for all of your years of service!

SHARE YOUR NEWS WITH US Send all snippets of achievements and honor to PPA’s Membership and Marketing Coordinator — Victoria Madonna at vmadonna@papharmacists.com

www.papharmacists.com 13

Affiliated Member News LVPA Update It has been a fun and exciting two months for Lehigh Valley Pharmacists Association! We attended an Iron Pigs baseball game where we had incredible seats on a covered, private balcony. The night concluded with an awesome firework display! Then, pharmacy legend, Terry Talbott, presented “PA State Board of Pharmacy Review & Update” where LVPA members learned about necessary updates to maintaining their pharmacy license as well as had there numerous questions regarding the legal process answered!

A big congratulations to the newly elected members of the LVPA board: President Elect: Kristen Hartzell; Treasurer: Gary Fields; Secretary: Nicole Pezzino; Director: Leslie Johnson. We look forward to the impact they leave on our county!

Coming up next month, Pat Epple, the CEO of PPA, will be coming to The Bayou in Easton, PA for the annual Pennsylvania Pharmacy Update from PPA! You still have time to register for this popular event. To register and not miss out on future events... LVPA is social, please “Like” our page: www.facebook.com/ LehighValleyPharmacistsAssociation for more updates on events and CE opportunities!

ACPA Update The Allegheny County Pharmacists Association would like to thank all of its members for another great year!

Over the past month, ACPA has welcomed its new Board for the 20182019 year. We are excited for what the year has in store and thank all of our outgoing board members for their contributions over the past year.

Throughout May and June, ACPA helped at the Pittsburgh Food Bank and members volunteered at the Mission of Mercy Dental Clinic.

Additionally, we hosted our Annual President’s Dinner where we honored

14 Pennsylvania Pharmacist — Jul/Aug 2018

the outgoing officers and welcomed the incoming board.

As we look to the new ACPA year, keep your eyes open for more information on our kick-off event, the Back-to-School Picnic. The Picnic is tentatively scheduled for September 12th, 2018 in Schenley Park. We will circulate invites and registration information once it is officially scheduled.

Again, thank you to all who made 2017–18 a great year!

LCPA Update LCPA finished out its regular Spring session with a presentation by Pharmacists from the local CURE dispensary. Paul Gockley shared the process of patients obtaining medical Cannabis and the conditions for treatment as well as the creation of Pharmacist role in counseling for medical Cannabis.

LCPA’s Independent Pharmacists passed the 300 mark for distributing Medical Lock Boxes to interested patients receiving opioid medications.

The Lock Boxes are provided at no charge through the District Attorney’s office. These items offer

the Pharmacist another chance to engage patients regarding safety and use of Opioids, including Narcan.

LCPA is actively represented with the local South Central Pennsylvania Opioid Awareness Coalition and the central PA Joining Forces initiatives.

These organizations bring both clinical aspects as well as public awareness of Opioid use/abuse in the community, and seek collaboration to resolve many of the related issues.

In June, LCPA held interviews for Pharmacy Student Scholarships.

Students from multiple Pharmacy Schools are interviewed by LCPA members and scored on academics, volunteer activities, professionalism, and overall presentation. Over the past two decades, and through the generosity of several established Pharmacy/non-Pharmacy scholarship donors and LCPA, the association awarded between 7 and 9 $1500 scholarships, in hopes that as future pharmacists, some of these award winners will return to Lancaster County for at least some of their professional careers.

LCPA is looking forward to the PPA Annual meeting being held “At Home” here in Lancaster in October.

Finally, a BIG THANK YOU to Pat and staff for all of their assistance in coordinating LCPA as an affiliate of PPA. We’re still working through some details, but we are proudly flying our new affiliate logo!

BucksMont Pharmacists Association Spring Social Event The BucksMont Pharmacists Association hosted a spring social event to promote interaction amongst BMPA members and other guests as part of an ongoing effort to introduce our organization and mission to local pharmacists and other health care professionals. The event was well attended by many of our officers and board directors along with over 20 members and guests. The new BMPA flyers, developed by board director John Barrett, were available for those

interested in learning more about our organization.

Attendees were presented with an excellent private room venue along with generous portions of delicious hors d’oeuvres and soft drinks served from 6-9 PM which permitted plenty of time for networking and discussion of timely pharmacy-related topics.

BMPA member and incoming PPA president-elect Rick Demers participated in discussions regarding PPA’s Pharmacist Patient Care Network (PPCN). Jefferson pharmacy student and BMPA member Matthew McGuire was proud to inform us of his graduation on April 27. We look forward to Matthew’s continued involvement with BMPA. New PPA/ BMPA member Kimberly Miller, a Temple alumna and pharmacist working for Omnicare in King of Prussia, was very enthusiastic about

attending her first meeting and enjoyed interacting with many of our attendees. Chris Pino, owner and recent cofounder of Small Town Pharmacy, with stores in Norristown and Quakertown, was very pleased to learn about the many benefits of BMPA membership and much appreciated the friendly offers of assistance and advice from veteran BMPA members. Tierra Ryan (medical science liaison in Teva’s oncology division), and Temple alumna, enjoyed the event and offered information about the upcoming informational dinner meeting on Biosimilars, sponsored by Teva and presented

by Tierra. This event is scheduled for June 28 at the Villa Barolo in Warminster.

BMPA president Steve Pfeiffer organized this social event and invited entrepreneur Zack Hill, representing The Pharmacist’s Friend, to attend as a guest. Zack displayed his interesting innovative pharmacy Spatula/Marker tool, which proved to be of much interest to pharmacists since this device will facilitate pill counting needs and minimize loss of marking pens, which frequently seem to disappear from pharmacy desk countertops.

In conclusion, the BMPA social event was a huge success and everyone departed with a favorable feeling about BMPA and thoroughly enjoyed the evening. We are confident that our upcoming June dinner will be of high interest and also a wellattended event.

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Student Member Profiles

Cody Morcom

Scott Township, PA Wilkes University Nesbitt School of Pharmacy PharmD Candidate 2020 How did you hear about PPA? In my sophomore year of college at Wilkes, I was introduced to PPA through Anthony Fanucci (current P4 and Alexandra Grudeski (current P3), two people who have become my biggest influences regarding school and life.

They claimed that PPA was one of the best clubs to join in pharmacy school, and that claim could not have been truer.

Favorite drug name to pronounce?

Atovaquone-proguanil (Malarone) Flashback to your first year of pharmacy school; what advice would you give yourself knowing what you know now?

Partake in every opportunity that arises as you never know what amazing results are possible, whether it be a lasting friendship, career opportunity, or the discovery of a skill you never knew you possessed.

Why did you choose to become involved in PPA? The culture surrounding PPA here at Wilkes is unmatched and deeply influenced me. As the

biggest club on campus now, the stimulus of the club reaches nearly every student in the School of Pharmacy. Plus, the passion our faculty members have through their own exploits within the organization disseminates down to students, reinforcing the fact that no matter your school’s breadth or size, you can become a leader in any environment.

find, along with helping any student who he interacts with. My personal favorite food creation of his has to be the tuna wraps, made fresh every day.

Have any professors influenced you since you have starting down this career path?

Absolutely. Drs. Pezzino, Franko, and K. Ference have all shown students here that taking an active role within state and national organizations is extremely important in advanc­­ing our profession as well as inspiring the next generation of pharmacists (students) to pick up the torch and carry the movement forward.

Jefferson Hills, PA

Where do you think you’ll be in 5 years?

I hope to be at the tailend of my journey as a community pharmacist and beginning my transition into a strategic leadership role within CVS/pharmacy.

This would include a career in field management or within the corporate office in Woonsocket, RI. Favorite food you have eaten on campus?

At Wilkes University, there is a renowned Food Services employee nicknamed “Tony the Grill Guy” or “Tony the Deli Guy” who makes the finest panini, wraps, and sandwiches that you can

16 Pennsylvania Pharmacist — Jul/Aug 2018

Rebecca Wytiaz University of Pittsburgh School of Pharmacy PharmD Candidate 2018 How did you hear about PPA? My older brother, Nick, was very involved with PPA as a student pharmacist and during his practice as a pharmacist. He spoke very highly of the countless opportunities to get involved at both a local and state level, even starting as early as my first year as a student pharmacist. I took his advice and joined PPA during my first week of pharmacy school, and I haven’t looked back since!

Favorite drug name to pronounce?

Levetiracetam Flashback to your first year of pharmacy school; what advice would you give yourself knowing what you know now?

I would assure myself that you can do it, no matter how much stress you may encounter over the years, you will succeed. I found myself becoming stressed out about the tiniest things and constantly worried if I was doing enough to make

my experience in pharmacy school meaningful and to advance myself as a future practitioner. Looking back, all this stress was for nothing! During my time at PittPharmacy, I was able to get involved in so many unique experiences and seize numerous opportunities that helped me personalize my education and experience.

This 100% made my years in pharmacy meaningful and helped me to achieve all my goals; I have no doubt that this drive to seize every opportunity will continue with me as I practice as a pharmacist!

Why did you choose to become involved in PPA? I chose to become involved in PPA because of the opportunities that were available to me, even as a first-year student. In my first year as a student pharmacist, I was able to present a poster at the PPA Midyear Meeting, which was such an incredible experience, especially so early on in my career. I loved interacting with the practicing pharmacists, fellow students, and other attendees at the Meeting, and I could tell they were genuinely interested in the topic of my poster. This genuine interest, friendliness and approachability of the members, and opportunities to get involved so early solidified my interest in PPA and enticed me to get more involved in the sequential years.

Have any professors influenced you since you have starting down this career path?

My research mentor, Dr. Abraham, left a strong impact on me as a student pharmacist. When I first met with her during my first year as a student pharmacist to review my “portfolio,” she noticed my interest in pediatrics and invited me to collaborate with her on a pediatric- and healthcare technologyfocused research project.

Once joining her research team, Dr. Abraham continued to share every opportunity that aligned with my interests and goals with me, and she always imparted her belief in me with each opportunity she presented.

Her constant support and encouragement pushed me to achieve my goals, and I am confident that I would not have been as successful as I have been without her help.

Where do you think you’ll be in 5 years?

In 5 years, I see myself earning my board certification in pediatrics and practicing direct patient care on a specialized unit in a pediatric hospital. I also hope to be delivering a few lectures at a local school of pharmacy and hopefully working my way to becoming adjunct faculty.

I aspire to also be working towards having a pharmacy leadership position at the

hospital, hopefully having a lot of interactions with the residents. Outside of pharmacy, I would love to perfect my cooking and baking skills (trying to make the perfect cheesecake!) and hopefully have a halfmarathon (or multiple) under my belt!

that” that could make all the difference.

North Carolina, and Oklahoma before coming to Pennsylvania and each state is so unique when it comes to pharmacy. Some states are more progressive than others, some states are more open-minded to different issues such as non-prescription syringes and needle exchange programs.

Favorite food you have eaten on campus?

Any flavor of ice cream at Dave and Andy’s!

Member Profile

Jeannie Ong, PharmD, AAHIVP Clinical Pharmacist

LVHN – AIDS Activities Office (AAO) Midwestern University — Chicago College of Pharmacy What is the most important piece of advice you would give a newly licensed pharmacist on their first day of work?

It’s okay to be nervous and intimidated your first day. Be ready to be openminded, ready to learn, meet new people, and find your own workflow.

Thankfully, the first day is usually orientation so don’t worry if you feel a little rusty. Be humble and ask for help!

How has becoming a member of PPA made you grow professionally?

I recently moved to Pennsylvania from Oklahoma City, OK after my residency. PPA has allowed me to network with other pharmacists and learn about what issues the state is interested in addressing. Additionally, PPA has provided me with a wealth of information in the form of CEs. The Mid-Year Conference was extremely educational!

Name the number 1 reason why you became a pharmacist?

To be an advocate for my patients. As an HIV Pharmacist, my patients have different battles and it could be against socioeconomic and psychological barriers, the fear of stigma, and/or various types of trauma.

Sometimes it can be too overwhelming for someone enduring some or all of those battles and it just takes someone to say, “Hey, I can help you with

Is there anyone in your professional career that helped shape you into the Pharmacist you are today?

Absolutely! Many of my professors and preceptors have inspired and motivated me into the professional Pharmacist today. They challenged me out of my comfort zone and to think outside the box. My patients, past and current, inspire me about what I’m doing on a daily basis as a Pharmacist. They teach me that every day is a battle and we can’t give up so easily.

Out of anywhere in the world, if you had to choose a different place to live and practice pharmacy where would it be and why?

If I had to choose where to practice pharmacy, it would probably be in Japan, but it would really just because I love ramen, yakitori, and sushi. I’ve lived in California, Illinois,

Best thing you ever ate?

Where do I begin?!

Korean fried chicken from Bonchon (national chain). Shio ramen from Santouka Ramen (national chain). Chicago deep dish pizza from Giordanno’s Pizza in Chicago. Monkey bread pizookie from BJ’s Restaurant (national chain). Crème Brulee cupcake from Molly’s Cupcakes (Chicago/NY).

Crème brulee anything.

Lengua tacos from any local taco shop. Carne asada fries from anywhere in San Diego, CA. Lobster mac and cheese from Wegman’s.

www.papharmacists.com 17

Legislative Profiles Sen. Richard Alloway, II What are the key issues you would like to see addressed in this session?

I will be introducing legislation addressing the inadequate reimbursement rates for community pharmacies as well as the lack of transparency in Medicaid Managed Sen. Richard Care contracts. Those managedAlloway, II care companies then contract with R-33 pharmacy benefit managers (PBMs) to decide which drugs will be covered and how much to reimburse the pharmacies that fill the prescriptions. PBMs operate largely unregulated in the much regulated sphere of health care. The manufacturer, wholesaler, prescriber, pharmacist and insurer are all very highly regulated while there is no oversight and very little transparency in the PBM’s operations and I am especially concerned when it involves Medicaid and taxpayer dollars.

I understand the frustration that the pharmacies and pharmacists face with unfair reimbursement rates and how this directly affects our communities. If reimbursement rates continue to diminish and pharmacies continue to operate substantially below cost, they will have to close their doors and patient care will suffer.

Tell our members a little about your background and why you are a legislator.

Prior to my election to the Senate, I served as a magisterial district judge for four years. I am currently in my third term in the Senate. I am a strong advocate for smaller state government and support fiscally responsible state budgets.

I serve as a member of the Senate Republican leadership team as Majority Caucus Secretary, where I am responsible for overseeing and careful review of all executive nominations submitted to the Senate for confirmation. I previously served as Senate Majority Caucus Administrator and as Chairman of the Senate Game and Fisheries Committee, where I authored several laws to protect sportsmen and promote outdoor activities.

How do you see pharmacy and its role in health care evolving in the future?

The community pharmacist has been and will continue to be a place where customers can receive personalized, quality care from pharmacists who take the time to get to know them. Unfortunately, increasing competition from large, chain stores threatens the ability for our community pharmacists to provide this essential service. This is why I am committed to leveling the playing field by increasing transparency in how pharmacy benefit managers do business. As the market continues to change and health care becomes increasingly complex, we need to update our laws to ensure that unfair business practices are not tolerated and loopholes are closed.

Advice for pharmacists about the political process?

Simply stated, engage your elected officials. We cannot be experts on every subject and you know better than we do on how to best combat outdated and unnecessary regulations, increase transparency, lower costs to patients, and improve access to care. Don’t be afraid to let your voice and opinions be heard and tell us how we can best help you.

What do you do for relaxation or enjoyment?

I’m an outdoorsman. I grew up hunting and fishing and find the greatest relaxation in the woods or alongside a stream.

Rep. Judy Ward What are the key issues you would like to see addressed this session?

Rising pharmacy costs - In an effort to help our patients manage their drug costs, we must address the issue of “gag clauses” with PBM’s so pharmacists can save their patients money on their pharmacy costs.

Rep. Judy Ward

Mental health of our young people R-80 – One of our greatest concerns is the rise of mental health issues in our young people. I have introduced a bill with my colleague Rep. Dan Miller that will suggest that parents have a mental health screening when they have their mandated state physicals in 6th and 11th grades. Parents may choose to opt-out of this but it is a good time to have the conversation with their physician.

The results will not be shared with the school—only the physician and parents.

Tell our members a little about your background and why you are a legislator?

I have been a Registered Nurse for over 30 years having worked in a hospital for over 20 years. I also worked in nonprofits as well as our family business doing wellness. Those of us in the medical profession primarily do so to serve others. That is why I ran for office—I enjoy being able to help and serve others.

How do you see pharmacy and its role in health care evolving in the in the future?

Pharmacy customers need an advocate and the pharmacist filling their script can be that advocate for them. The ability to give customers choices to save them money on their prescriptions is a game changer for many people.

Advice for pharmacists about the political process?

Work with Pennsylvania Pharmacists Association and BE PATIENT!

What do you do for relaxation or enjoyment?

Read James Patterson novels (on the beach is preferred).

18 Pennsylvania Pharmacist — Jul/Aug 2018

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Pharmacy Spotlight: ACME Sav-On Pharmacy

By PPA Staff Gates drawn up. The smell of coffee brewing in the air. A quick white coat collar adjustment. 1 Counting tray in place with a spatula in hand. A deep breath in. 5, 10, 15, 20…

For PGY1 Resident Bethany Abrahams, the above is only the start to great day at ACME Sav-On Pharmacy. A native of Gloucester Township, NJ and a former Science teacher, Bethany started her pharmacy career out as a technician in an independent pharmacy. “I fell in love the first time I counted to 30 by 5’s. I spent the next two years completing pre-requisite courses for pharmacy school at Farmingdale State College and eventually earned my PharmD in 2017 from the Creighton University School of Pharmacy and Health Professions”.

ACME got its beginning a little differently than Bethany.

Two friends, Samuel Robinson and Robert Crawford, opened a small neighborhood grocery store at Second and Fernon Streets in South Philadelphia that emphasized quality products, low prices and friendly service. It was not until the late 1980’s that the first pharmacy appeared in an ACME. Today, there are over 100 ACME pharmacies operating in the Albertsons Companies family of stores across New York, Pennsylvania, New Jersey, Delaware, and Maryland. Albertsons Companies is one of the largest food and drug retailers in the United States and operates stores and pharmacies across 35 states and the District

20 Pennsylvania Pharmacist — Jul/Aug 2018

of Columbia under 20 well-known banners. In addition to its traditional grocery store pharmacies, Albertsons Companies also operates a specialty pharmacy and a compounding pharmacy.

What makes ACME so unique is their Patient Care Services Team, consisting of one patient care services manager, 2 residents, and 8 Patient Care Pharmacists (PCPs). The PCPs are responsible for ensuring the store teams have the training and resources needed to perform clinical services within workflow, prepare comprehensive medication reviews, as well as engage in community education, health fairs, and immunization clinics. The PCPs also perform appointment-based services for travel health, diabetes, and disease state management.

Albertsons recently launched a pharmacogenomics testing service to patients across its banners, including two ACME locations in Pennsylvania (Flourtown and Media), through their partner Genomind. The test offers patients a genetic test designed to help clinicians optimize treatment decisions for their patients dealing with mental health issues. The test specifically looks at the way an individual’s gene expression affects both pharmacokinetic and pharmacodynamic properties of medications.

The pharmacy’s goal is to help patients identify which medications are likely to be the most efficacious and carry

“Pharmacists must begin to think about each prescription they fill in the larger picture of that patient’s care and not be afraid to discuss better options with patients and prescribers.”

— Bethany Abrahams PGY1 Resident

the least risk of side effects. Patients wishing to participate in the service may have a cheek swab performed at the pharmacy, which is then sent directly to Genomind, who in turn analyzes it and sends the results to ACME’s specially trained PCPs to discuss with the patient. The service is expected to roll out to other stores as the program develops.

With that in mind, Pharmacy is changing at different places and paces. “I see community based pharmacists being responsible for optimal therapy selection and medication management. The current practice landscape is not adequately preparing our pharmacists for this responsibility.” Bethany stated. “Pharmacists must begin to think about each prescription they fill in the larger picture of that patient’s care and not be afraid to discuss better options with patients and prescribers”.

When they aren’t counseling patients, ACME sends Bethany and her co-workers out into the community to attend health fairs to offer and provide educational programs and immunization clinics. “I attended many community events this year, but two of my favorite events were the Granite Run YMCA Healthy Kids Day and the Art of Health Fair. At the Healthy Kids Day, I talked with parents and children about medication safety and everyone had the chance to practice reading a medicine label and measure a liquid medication. The Art of Health Fair was a wellness fair held at the base of the steps to the Philadelphia Art Museum. It was organized by the combined efforts of the local pharmacy schools who invited ACME to host an immunization station.”

If there’s one challenge of working for a large chain pharmacy in an ever changing profession, Bethany finds that you do feel limited in your ability to affect change for the patient or the way your store operates due to company

expectations and an approval process. However, she emphasizes that Albertsons Companies’ management encourages innovation and the thrill of trying to find solutions for a healthier community makes the effort worth it. In fact, Bethany believes that whenever a practicing law is set in place, that the ACME team will have already been trained to offer the service and is ready to see patients that same day till end of shift.

Gates cranked down. A quick trip to the supply shelf. The sound of key jiggling to lock. A deep breath out. www.papharmacists.com 21

Working Every Angle for Fair Reimbursement

By Angela Zaydon, Government Relations Manager The Gag Clause and Fair Reimbursement issue with the Pharmacy Benefit Managers (PBM’s), most notably CVS/ Caremark, over the last several months is gaining national attention. Not only has there been a sweep across the nation for individual states to take action and put an end to these bad practices, but President Trump brought the issue to the forefront in his American Patients First initiative aimed at lowering the price of prescription drugs for the American people.

The Department of Health and Human Services, Centers for Medicare and Medicaid Services issued a memo that states in part “an important step in putting patients first and lowering out-of-pocket costs is addressing “gag clauses” that some health plans and pharmacy benefit managers include in their contracts with pharmacies. Gag clauses are contracting terms and conditions that prevent pharmacies from telling customers about the availability of lower cash prices. Specifically they prevent pharmacies from sharing with customers that their copay is more than the total cost of the drug and that they could pay less out-of-pocket by not using insurance.” They also stated that CMS finds any form of ‘gag clauses’ unacceptable and contrary to our efforts to promote drug price transparency and lower drug prices. (DHHS, CMS memo from Seema Verma — 5/17/18) In keeping with the momentum across the nation, the Pennsylvania Pharmacist Association, in conjunction and collaboration with Ron Raymond, lobbyist for Value Drug and The Keystone Pharmacy Purchasing Alliance (KPPA), has been right in the mix, working every angle and leaving no branch of government unturned. We have worked with Representative Judy Ward (R-80) to introduce House Bill 2211, and Senator Ryan Aument (R-36) to introduce Senate Bill 1110, legislation that would prohibit gag clauses in PBM contracts. We have also worked with Representative Doyle Heffley (R-122) and Senator Richard Alloway (R-32) to introduce legislation for fair reimbursement in Medicaid contracts.

In keeping with the momentum across the nation, the Pennsylvania Pharmacist Association, in conjunction and collaboration with Ron Raymond, lobbyist for Value Drug and The Keystone Pharmacy Purchasing Alliance (KPPA), has been right in the mix, working every angle and leaving no branch of government unturned.

22 Pennsylvania Pharmacist — Jul/Aug 2018

In addition, we have taken this issue to the Auditor General, Eugene DePasquale. The Pennsylvania Department of the Auditor General is the chief fiscal watchdog of the commonwealth. It is responsible for using audits to ensure that all state money is spent legally and properly. The mission of the Department of the Auditor General is to serve the people of Pennsylvania by improving government accountability, transparency, and the effective use of taxpayer dollars. We believe that CVS/Caremark is essentially keeping taxpayer money that has been allocated for Medicaid prescriptions.

They reimburse the pharmacy in some cases below the pharmacy’s cost of the drug, then bill the MCO five to twenty times the cost of the drug, in some cases. So, where is the money? We would all like to thank Pat Lavella for his knowledge of the issue and his ability to explain the problem and provide examples to the Auditor General and his executive staff. His continuous efforts and trips to Harrisburg have been essential in these meetings. Every Pennsylvania Taxpayer should be asking the same question the PPA has been asking — where’s the taxpayer money?

The Auditor General is currently reviewing the issue and looking into that exact question.

We have also had several meetings with the Attorney General’s office and posed the same question — where’s the money? Again, Pat Lavella’s extensive examples of the below cost reimbursement by the CVS/ Caremark and the over inflated charges to the MCO and the Department of Health for the same transaction put the issues into perspective. This firsthand knowledge provided the Attorney General’s senior staff with information needed to get the ball rolling. While we are able to discuss the problem and offer the solutions, only our members can discuss the negative effects on patients, the effects these practices have on a small business and the negative effects they have on communities across the Commonwealth. The Attorney General’s office top officials are currently reviewing the information and looking into the matter.

We also met with the Department of Health and Human Services. This was an important meeting because the department was unaware of the fact that the PBM’s, mainly CVS/ Caremark, were reimbursing the

The PPA is lobbying the House and Senate on a daily basis. We have met with the Chairman of the House and Senate Health Committees and with their staff. We have also met with many private interested parties, other insurance companies, and interested associations. We are working with the Department of Health and Human Services, the Auditor General and the Attorney General to keep them apprised of the PBM’s questionable business practices and how those business practices affect our community pharmacies. pharmacies below the cost of the drug and then charging the MCO several times the cost of the drug. The Depart­ ment was not happy to find out that the taxpayer dollars, allocated to them for Medicaid, were being used so hap­ hazardly. Again, with the help of Tom McDermott and Bob Ekiert from Hometown Pharmacy who were willing to travel to Harrisburg and provide examples and firsthand knowledge of the problem, we were able to work this issue from every angle. A huge thank you to both of them!

Thank you to all of our members who attended Legislative Day to discuss these important issues, contacted their legislators, written letters and made phone calls. Working these issues from every angle is very important and it is the only way to make progress. Together we have made a difference and we will continue to make progress and put a stop to the bad business practices of the PBM’s.

www.papharmacists.com 23

growing our FUTURE . 2018 a n d C o u.n t i n g rs aCONFERENCe e ANNUAL 140 Y October 18-21, 2018 . Lancaster, Pa

Registration now open 2018 Annual Conference double tree Resort by Hilton Join us for the following:

PPCN Innovation & Payer Forum (by invitation only)

Opioid/Substance abuse Ce’s Health System Track Residency Showcase Special medical Cannabis Program Leadership & Awards Dinner 24 Pennsylvania Pharmacist — Jul/Aug 2018

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Over 75 negotiated contracts with wholesalers, pharmacy ops, FOS merch

PROFITABLE Negotiating generic pricing on your behalf with wholesalers

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Text: KPPARX to 267-482-0227

General Questions: Info@kpparx.com Questions on Generics or to send Pricing: Generics@kpparx.com

Operating for over 25 years with Honesty, Integrity, and Transparency www.papharmacists.com 25

The Pennsylvania Pharmacists Care Network has undergone some exciting changes this spring! All PPCN pharmacies are now members of CPESN USA, the national community pharmacy enhanced services network.

CPESN USA brings us an extensive legal infrastructure that allows our pharmacies to be clinically integrated, in addition to marketing and enhanced service development. PPCN is proud to announce that we have reached our member goal which will enable us to have a voting seat on the CPESN USA Board of Managers and will have an even greater impact on decisions made at the national level.

Through this growth, PPCN partnered with Value Drug Company who is subsidizing PPCN and CPESN USA participation fees for their primary accounts. We truly appreciate Value Drug’s innovative drive and their support of PPCN. We will be hosting our next CMMC training at the Value Drug Expo June 22nd and will have a booth at the expo- hope to see many of you there!

NATIONAL RECOGNITION PPCN received national recognition this spring as students and faculty at the University of Pittsburgh School of Pharmacy were selected to receive a prestigious award from the American Pharmacists Association for their poster titled, Utilizing RapidCycle Problem Solving during Initial Implementation of Patient Care Services within Independent Community Pharmacies participating in a Statewide Pharmacy Care Network. As part of PPCN’s quality assurance initiative, student pharmacists contacted PPCN pharmacists participating in the Gateway contract in 2017 to help support the network. It was an incredible learning experience for both students and pharmacists, and a novel model that we were pleased to have the opportunity to share nationally.

PPCN and CPESN USA Luminary Chris Antypas, PharmD and Asti’s Pharmacy were recognized in

April’s issue of Drug Topics. The article highlights how Asti’s leverages its extensive delivery service to expand the patient care services it provides to patients in communities across the Pittsburgh area.

Asti’s Pharmacy provides many enhanced patient care services including compounding, medication adherence packaging and a growing medication synchronization program. They have a diverse, energetic team who is passionate about patient care.

Check out the article here: http://www.drugtopics. com/community-practice/how-one-pharmacydelivering-better-care .

STRAND Clinical Technologies (formerly Creative Pharmacist), PPCN’s partner for the documentation and billing of patient care services launched an initiative this spring to assist community pharmacies in billing for immunizations. This was a need identified by our network and echoed by pharmacies across the country. The team at STRAND is actively working with PPCN pharmacies to assist them in getting credentialed and contracted with health plans for immunization services. With flu vaccine season around the corner, our pharmacies are eager for this new opportunity to expand the care they provide and add to their business model.

As you can see, we have many reasons to be proud of our network and partners! As we are about to launch a new contract with Gateway Health, we look forward to having even more exciting updates to share later this year.

To learn more about the PPCN, visit www.papharmacistsnetwork.com or contact Stephanie McGrath, PharmD, PPCN Executive Manager at smcgrath@papharmacists.com.

26 Pennsylvania Pharmacist — Jul/Aug 2018

Meet the 2018â&#x20AC;&#x201C;2019 PPA Board of Directors Elections for the 2018-2019 Board of Directors were held in the spring of 2018, and new Officers and Directors will assume their position on July 1, 2018. Officers and Directors will be formally installed during the Annual Business Meeting on Saturday, September 23rd at the 2018 Annual Conference. PPA would also like to thank the 2017â&#x20AC;&#x201C;2018 Officers and Directors for their hard work and dedication over the past year! Specifically the following who are leaving Board service: Eric Pusey, Amandeep (Amni) Kaur, Tina Schuler, Tom Franko, Greg Drew, Rick Seipp, Cory Krebs, and Steve Pfeiffer.

Immediate Past President: Nicholas Leon, PharmD, BCPS, BCACP

Academia: Nicole Pezzino, PharmD, CDE

Chain Pharmacists: Renee Richardson, PharmD

Health System Pharmacists: Darryle Tillman Jr., RPh

MCO/Industry/ Government/Other: John Barrett, MBA, RPh

Associates: Pat Lavella, RPh

Student Director East: Dylan Fox

Northwest Region: Nickolas Kernich, PharmD

Southeast Region: David Stone, PharmD

Southwest Region: Brian Sidone, PharmD

Central Region: Deron Shultz, RPh

President: Lauren Simko, PharmD

Vice President: President Elect: Richard Demers, MS, Chuck Kray, RPh RPh, FASHP

Community Independent: Shawn Nairn, RPh

Community Independent: Christopher Antypas, PharmD

Student Director West: Shannon Ye

Northeast Region: Vick Shah, PharmD, BCPS

www.papharmacists.com 27

Meet the 2018-2019 Student Advisory Board!

Director East – Dylan Fox

Director West – Shannon Ye

Vice Chair – Jamie Celento

Foundation Director – Victoria Blake

Corresponding Secretary – Jose Fernandez

Chair – Amanda Schwenk

Recording Secretary – Shannon Haberman

Each school of pharmacy is entitled to have one student representative and one student alternate serve on the Student Advisory Board. Additionally, each school has a Communications Ambassador, Government Relations Ambassador, and Membership Ambassador, which work to promote and plan events in their area.

SCHOOL DIRECTOR ALTERNATE

Duquesne Jefferson LECOM Ohio Northern PCP Pitt Temple Wilkes

Elizabeth Leonard Shannan Street Erica Jackson Mimi Jakes Andrej Quatrone Abigail Kois JJ Lapin Dylan Fox

Sydney Keremes Harry Kim Ryan Waldschmidt Brooke Witmer Hailey Mook Kevin Nguyen Nicole Hughes

SCHOOL

COMMUNICATIONS

GOVERNMENT RELATIONS

MEMBERSHIP

Duquesne Jefferson LECOM Ohio Northern PCP Pitt Temple Wilkes

Dakota Miller Nicole Leshko Maria Peluso Katie Platt Kayla Askey Emily Dell JJ Lapin Rachel Wood

Elizabeth Leonard Brandi Steady Debbie Nye Chelsea Travis Daniel Leehan Kiana Green Kevin Nguyen Michael Bulkley

Saed Al-Olimat Jaclyn O’Connor Erica Jackson Carrie Freed Samantha Frear Megha Patel Feliz Otti Kara Cooper

28 Pennsylvania Pharmacist — Jul/Aug 2018

PPA’s Affiliated Counties Announce Their 2018–2019 Board of Directors Allegheny County Pharmacists Association President: Angelo (AJ) Greco, PharmD President- Elect: Amy Woods, PharmD Vice President: Nicholas Wytiaz, PharmD Secretary: Ashley Firm, PharmD Treasurer: Renee Richardson, PharmD Director: Elizabeth Bunk, PharmD Director: John DeJames, RPh Director: Amy Haver, PharmD Director: Michele Hebda, PharmD, TTS Director: Ravi Patel, PharmD Director: Katie Sulkowski, PharmD BucksMont Pharmacists Association President: Stephen Pfeiffer, PharmD, MBA Vice- President: Robert Frankil, RPh Treasurer: David Cunningham, RPh Secretary: D Scott Himler, RPh Event Manager: Carla Herling-Tomlinson Montgomery County Director: Chanel Epstein Montgomery County Director: John Gatto, RPh Montgomery County Director: Jan Kitzen, RPh, PhD Bucks County Director: Michael Brown, RPh Bucks County Director: Ashely Robold, PharmD Bucks County Director: Alan Vogenberg, RPh

Lancaster County Pharmacists Association President: PJ Ortman, MBA, RPh President- Elect: Denise Alexander, PharmD Treasurer: Jay Rhodes, RPh Secretary: Kelly White, PharmD Chair of the Board: Scott Hershey, PharmD Advisor: Coleen Kayden, RPh Director: Bob Kayden, RPh Director: Todd Grove, PharmD Director: Emalee Hribick, PharmD, BCPS Director: Vasili Ioannidis, PharmD Director: Shaina Kulp, PharmD Director: Bri Polito, PharmD, BCGP Lehigh Valley Pharmacists Association President: Howard Cook, RPh, BCNSP, FASHP President- Elect: Kristen Hartzell, PharmD, BCACP Treasurer: Gary Fields, RPh Secretary: Nicole Pezzino, PharmD, CDE Director: Vacant Director: Leslie Johnson, PharmD Director: Jim Reed, RPh Director: Pauline Vargo, RPh

Introducing the 2018 Committee Chair Volunteers PPA would like to thank the following individuals for volunteering to serve as committee chairs for 2018-2019.

These committees are vital to the success of our organization! If you are interested in serving on a PPA committee, please contact ppa@papharmacists.com to express interest.

COMMITTEE NAME Awards Committee 2018 Conference Committee Constitution and Bylaws Education Committee Finance Committee Health Policy Independent — Legislative Committee

CHAIR FOR 2018–19 Missy Krause Brandon Antinopoulos Michele Musheno Pat Keys Chuck Kray Jim Reed Eric Esterbrook

COMMITTEE NAME Pharmacy Advocacy Committee Membership Committee Nominations Independent Forum Health System Forum

CHAIR FOR 2018–19 Joe Millward Tom Franko Eric Pusey Brian Sidone Jenna Carmichael

www.papharmacists.com 29

Dare 2B Tick Aware In Your Community!

Pennsylvania has led the nation in new cases of Lyme disease for years. Make no mistake, tick-

borne diseases are a significant risk to all in PA. Lyme can be serious if not diagnosed and treated early. A recent PA Environmental Protection study found that ticks that carry Lyme disease are a state-wide risk, establishing risk of Lyme and other tick-borne diseases in all 67 counties. Each year, more than 100,000 of the 300,000+ cases reported in the US come from Pennsylvania.

PA launches the Dare 2B Tick Aware program:

How Tick Aware Are You? 1. What’s the best way to remove a tick? a. squash it as soon as possible b. stun it with nail polish c. use pointy tweezers to pull it straight out d. use a twister to twist tick out 2. What step offers you the most protection from ticks? a. tuck socks into long pants b. spray your skin with DEET c. wear clothes treated with Permethrin spray d. wear shoes and socks treated with Permethrin 3. What % of ticks in PA carry multiple tick diseases? a. None b. 10-50% c. 80-90% d. 100% 4. What % of Lyme cases result in persistent symptoms? a. 0-5% b. 10-15% c. 20-40% d. 80% Answers: 1-c, 2-d, 3-b, 4-c

Want to learn more? Book a prevention seminar!

PA Lyme Resource Network (PALRN) was funded by the Pennsylvania Department of Health to implement a statewide, community-based Lyme and Tick-borne disease prevention program. The goal is to motivate the public to take prevention action, to reduce tick bites, and improve early disease recognition. This program is based on the most current research and standardizes prevention information across the state. The program includes seminars, printed materials, webinars, and public service announcements. Stay tuned for future programs including school and health care practitioner programs.

Tickborne diseases are preventable and awareness is the first step. Learn how to prevent

tick bites and Lyme/tick-borne diseases. Bring this workshop to your communities. Certified PALRN Lyme Faculty can provide a 1 hour seminar, a 30 minute short program, or a customized, more advanced seminar. These cover: • Being aware of ticks • Knowing what diseases ticks carry • Preventing tick bites • Acting if bitten by a tick • Recognizing early symptoms • Seeking help if you get sick • And much more For more information or to schedule a free seminar contact: info@palyme.org. Businesses interested in seminar details/fees should email info@palyme.org.

This project is funded by the Pennsylvania Department of Health through the Preventive Health and Health Services Block Grant.

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Since 1995, the Pharmacy Technician Certification Board (PTCB) has certified over 400,000 technicians nationwide and is the only pharmacy technician certification program endorsed by the American Pharmacists Association, the American Society of HealthSystem Pharmacists, and the National Association of Boards of Pharmacy.

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—Jeanie Barkett, RPh, Long Term Care Pharmacy Lead Pharmacist, Providence Specialty Pharmacy Services, Portland, OR

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Jefferson College of Pharmacy Gina Bellottie, PharmD Associate Professor of Pharmacy Practice

love being able to observe and provide individual “Ifeedback to our students when we have classes in our Pharmacy Practice Simulation Center. Through hands-on activities and simulations, our students take what they are learning in the classroom and put that knowledge into action, ensuring they are practice ready.

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Advantages of being a Jefferson student include: • Individual attention toward learning • Individual career mentoring • Immediate patient care experiences Outcomes are demonstrated in our NAPLEX scores and postgraduate match rates. Learn more at Jefferson.edu/PharmDOutcomes

Pennsylvania Pharmacy Legislative Day: “Fighting for Fair Reimbursement” On April 16, more than 300 pharmacists and pharmacy students from all across Pennsylvania converged on the Capitol in Harrisburg to advocate on behalf of the profession and show how pharmacists are fighting for fair reimbursement! Attendees held over 150 meetings with legislators and staff, armed with the message to oppose cuts to pharmacy reimbursement in both the PACE and Medicaid programs. Additionally, pharmacists asked their legislators to support expanding pharmacist-provided immunization opportunities, medication synchronization, and pharmacy technician registration.

Duquesne University School of Pharmacy

The day began with a continental breakfast in the East Wing of the Capitol that also included screenings, displays, and information provided by Pennsylvania’s schools of pharmacy. Students offered guidance on overall wellness and better medication management while providing free health screenings to legislators, staffers, and the public: • Duquesne University School of Pharmacy: Carbon Monoxide and Body Composition Screenings • Jefferson University College of Pharmacy: Naloxone Training Kits • University of Pittsburgh School of Pharmacy: Script Your Future, Operation Immunization, and “Get Smart” Outreach Projects

Jefferson University College of Pharmacy

• USciences/Philadelphia College of Pharmacy: Hypertension Assessment • Wilkes University Nesbitt College of Pharmacy: Drug Take Back Programs In addition to meetings with legislators or staff, several special meetings were scheduled for small groups of attendees at the PPA office. These informal meetings included presentations and discussions with: Megna Patel, from the Pennsylvania Department of Health: Prescription Drug Monitoring Program, spoke about the current status of the program, anticipated enhancements, and other initiatives.

Stephen Forzato is the Deputy Chief of Statewide Drug Initiatives from the Pennsylvania’s Attorney General’s office, who spoke on efforts within his department to combat the opioid epidemic.

Eugene Depasquale, Auditor General, who addressed our concerns with Medicaid and CVS Caremark.

Later in the day, attendees filled the grand staircase in the Main Rotunda for the “Fighting for Fair Reimbursement” rally and press conference. There were three key issues discussed during the rally: Expanding the potential for pharmacists to deliver preventative vaccines to patients, prescription reimbursement policies that pharmacists believe may be unnecessarily driving up Medicaid costs for taxpayers while squeezing them out of business and 32 Pennsylvania Pharmacist — Jul/Aug 2018

University of Pittsburgh School of Pharmacy eliminating the so-called “gag order” clauses in their Medicaid and other pharmacy provider contracts which prevent pharmacists from advising patients on how to reduce their out-of-pocket cost for prescriptions.

Pat Epple, PPA’s CEO discussed the need for expanding vaccines to patients. Since pharmacists first began offering vaccinations, rates of immunizations for the flu and other diseases have increased in Pennsylvania. We asked the legislature to help us continue to be able to help our patients and expand our powerful impact on increasing immunization rates and disease eradication.

Pat Lavella, Manager of Pharmacy Compliance for Value Drug Company, alerted the public and state officials to costly, mandated prescription reimbursement policies that we believe are driving up the cost of the Medicaid Program for patients and taxpayers. Many states are investigating whether CVS Caremark is overcharging state taxpayers for Medicaid prescriptions and whether they are unfairly paying more for prescriptions filled by their own CVS pharmacies while reimbursing community pharmacies significantly less and in many cases at amounts below the actual cost of prescription drugs that community pharmacies buy. Thanks to our efforts and the efforts of our members during legislative day, Pennsylvania is now investigating this issue as well.

USciences/Philadelphia College of Pharmacy

Angela Zaydon, the Government Relations Manager for PPA, discussed the need to prevent gag clauses in PBM contracts so that our pharmacists can freely discuss with their patients how to reduce their out-of-pocket cost for prescription drugs.

In less than eight hours, we made a huge impact in on legislators and staff. In addition, Auditor General Eugene DePasquale issued a press release stating that he will look into concerns that inequitable pharmacy reimbursements might be increasing prescription drug costs for consumers.

Wilkes University Nesbitt College of Pharmacy

PPA thanks everyone who took the time to travel to Harrisburg for Pennsylvania Pharmacy Legislative Day. We hope you will consider adding your voice to the more than 300 pharmacists and student pharmacists next year!

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Congratulations to the 2018 Recipients of the PPA Outstanding Student Award!

This award honors and recognizes one graduating student at each school of pharmacy in Pennsylvania who has been most active in PPA during his/her academic years!

LECOM School of Pharmacy: Sally Habusta Thank you PPA for awarding me with the 2018 Outstanding Student Award. I am truly grateful for this meaningful award and am honored to receive it. Involvement with PPA has been very important to me, as it has offered many opportunities for me to become involved with the pharmacy profession through advocacy and leadership. I am thankful that I became active with PPA my first year at LECOM because PPA has provided me with a valuable introduction to the practice of pharmacy, improved my communication and advocacy skills with the GRASP program, provided networking opportunities, and informative lectures at conferences. This association cares about its student members and does a great job keeping students up to date on current issues while providing them with the background information needed to understand these issues. Following graduation, I am excited to start working as the Clinical Documentation Fellow at Sanofi with the Rutgers Pharmaceutical Industry Fellowship Program. I plan on continuing my membership with PPA and look forward to attending PPA conferences, advocating for pharmacy, and networking with other PPA members and students.

Wilkes University Nesbitt School of Pharmacy: Anthony Fanucci PPA is the organization for those that want to make a difference and it has been a privilege to work and advocate with so many incredible students, faculty and pharmacists.

My passion for PPA has be unmatched by that for any other group and it was a tremendous honor to be recognized as the Outstanding Student of the Year. I am extremely grateful for the leadership put forth by our remarkable advisors, Dr. Kimberly Ference and Dr. Judith Kristeller, and for the dedication exhibited by our chapter members.

Our pharmacy program at Wilkes is small but our impact is substantial. I am proud to be a Colonel and cannot wait to see the progress that our PPA chapter continues to make.

34 Pennsylvania Pharmacist â&#x20AC;&#x201D; Jul/Aug 2018

Beginning this Fall, I will be attending Penn State Dickinson Law in pursuit of my JD. It has been a dream of mine for many years to improve our healthcare system and the treatment that patients receive, from the unique perspective as a pharmacist attorney.

My journey is still in its infancy, just as is my involvement with PPA. I am looking forward towards my future with this organization and am enthusiastic about the difference that can be made by the extraordinary men and women that advocate for our profession and for our patients.

Temple University School of Pharmacy: Lin Tran I am extremely honored to receive this award and to join a recipient group of strong and accomplished leaders of pharmacy. Advocating for the advancement of pharmacy has always been a passion of mine, and PPA has provided me with endless support since my involvement began during my P1 year.

Next year, I will be a PGY-1 Resident at the Corporal Michael J. Crescenz VA Medical Center in Philadelphia, PA. Iâ&#x20AC;&#x2122;m excited to continue my involvement in PPA by mentoring future pharmacists and continuing to advocate for my profession as a new practitioner.

Philadelphia College of Pharmacy: Colleen D’Amico

Jefferson College of Pharmacy: Matthew McGuire

I feel so incredibly honored to receive the Pennsylvania Pharmacists Association Outstanding Pharmacy Student Award! My plans for this upcoming year are to complete an Ambulatory Care-Focused PGY-1 pharmacy residency at the Yakama Indian Health Center on the Yakama Indian Reservation in Toppenish, Washington. I also plan to stay involved with PPA during my residency year! Even though I will be 2,745 miles away (but who’s counting?!), I look forward to keeping up with PPA as a new practitioner member on the West Coast. I would not be where I am today if it were not for all of the pharmacy leadership, advocacy, and networking opportunities that PPA provided me with over the past four years. PPA has given me so much - I cannot wait until I can start giving back! Thank you from the bottom of my heart for recognizing me with this award!

I am humbly honored with this recognition; it is with great appreciation that I accept this award.

Duquesne University School of Pharmacy: Brittany Carney I am honored and humbled to be named Pennsylvania Pharmacist Association’s Outstanding Student of the Year for Duquesne University’s 2018 Graduating Class. During my time as a student member, I was able to develop skills in advocacy and leadership in the pharmacy profession.

I was able to work with wonderful student members and friends to accomplish our goal of increasing membership of our PPA chapter! I have had a wonderful experience as a student member of PPA and plan to continue being a member as a pharmacist.

After graduation, I will be a resident pharmacist at Mainline Pharmacy, completing the PGY-1 Independent Pharmacy Ownership Residency, in partnership with the University of North Carolina Eshelman School of Pharmacy. I am grateful for my previous experiences in PPA and am excited for what the future has in store.

Thank you to Pat Epple and the rest of the hard working PPA staff who keep this organization thriving and beneficial. Thank you to Dr. Nicholas Leon for opening my eyes to the ocean of opportunities that exist. Thank you to Robert Frankil, John Gatto, and PJ Ortman who have always made time to positively influence students, such as myself, through activities and scholarships with BMPA and the PPA Educational Foundation. Lastly, thank you to all the great PPA members who make this organization the organization it is today. As I embark on my journey as a pharmacist, I will begin my career as a Health System Pharmacy Administration Resident (HSPA PGY1/2) at Cleveland Clinic Akron General while completing an MS program in Health System Pharmacy Administration at the Northeast Ohio Medical University (NEOMED). I recognize that outliers are those who have been given opportunities and had the strength and determination to seize them; for those opportunities and the support during the experiences, I am thankful. My roots run deep within Pennsylvania and I plan to remain as active as possible within PPA. I look forward to joining you as a colleague and for the chance to help the next generation of student pharmacists as a member of PPA.

University of Pittsburgh School of Pharmacy: Brandon Barry To be named Outstanding Student of the year was a true honor. This award deserves to be shared with my talented and dedicated executive board members and advisors during my time as the Pitt Chapter President.

Without their hard work and passion for moving the profession forward, we could not have achieved all of our legislative, membership, and charitable successes throughout my years at Pitt Pharmacy. My future plans include completing a fellowship at PANTHERx Specialty Pharmacy in Pittsburgh PA. I hope to bring all of the knowledge I will accrue over the next year to PPA members from across the state through professional networking and live education sessions at future PPA conferences. www.papharmacists.com 35

2017 Recipients of the PPA Outstanding Student Award: Where Are They Now? LECOM School of Pharmacy: Emily Petrak

After graduation from LECOM, I decided to pursue residency in the community pharmacy setting. I am currently wrapping up my PGY-1 year with Barney’s Pharmacy in Augusta, GA and University of South Carolina. I’ve learned so much about ownership, patient care, and quality improvement in the past year, and I look forward to taking the skills and knowledge I’ve obtained forward with me in my career. My goals for the future include working in independent community pharmacy where I can improve patient outcomes, help owners adapt and grow with the practice of pharmacy, and build collaborative relationships with local practitioners.

Award in 2017. After graduating from Wilkes last May, I worked as a staff pharmacist for CVS Health in New Cumberland, PA. In January, I switched career paths and accepted a position with Geisinger-Holy Spirit in Mechanicsburg, PA. I am working as a Clinical Pharmacist in a Chronic Pain Management MTM Clinic. Although there are certainly challenging days, I have truly enjoyed the job so far. I have been able to build great relationships with the providers that I work with. One of the most rewarding parts of the job is when I am able to have meaningful, one-on-one conversations with patients to help them better understand their pain and build a plan for managing their pain. I am very much looking forward to what the future holds for my career as well as my involvement in PPA.

Temple University School of Pharmacy: Hamad Juboori

Wilkes University Nesbitt School of Pharmacy: Jennifer Smith

Thank you, PPA, for awarding me the Pennsylvania Pharmacists Association Outstanding Student 36 Pennsylvania Pharmacist — Jul/Aug 2018

Since graduating from Temple University School of Pharmacy, I have nearly completed a PGY-1 Managed Care pharmacy residency at PerformRx. During my time at PerformRx, I learned a great deal about both the clinical and business side of pharmacy and the pharmacist’s role in this distinctive healthcare setting. Utilizing my clinical knowledge to help make macro-level decisions that can positively impact millions of lives is incredibly rewarding. I have accepted

a position at PerformRx as a Clinical Market Intelligence pharmacist and am excited to begin my career in Managed Care pharmacy.

Philadelphia College of Pharmacy: Nirali Patel

I am currently working as a pharmacy resident at Shore Medical Center in Somers Point, NJ (Atlantic country region). SMC has a longstanding history of clinical trial involvement and embraces a culture of empowerment, trusting in accountability and integrity every day.

My passion lies in applying the skill sets developed towards the trialing of new cancer therapies for patients with unmet medical needs. Through my institutional training, I am involved with the development of disease specific care models and protocols including approvals, declinations, and amendments to these processes which include process improvement and quality assessments. After residency completion, I plan to work as an investigational drug service clinical pharmacist at Yale New Haven Hospital, Smilow Cancer Hospital in New Haven, CT. I am eager for the prospect of working crossfunctionally with a high-caliber team that marries my interests in research, innovation, and solution development for the care of our patients.

Duquesne University School of Pharmacy: Rachael Richter

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Congratulations to all the 2018 Pennsylvania Pharmacists Association Outstanding Student Award recipients! Since graduating Duquesne University School of Pharmacy, I moved to Montana to start my career as a pharmacist with the Indian Health Service. I have multiple responsibilities within the small community hospital to provide both inpatient and outpatient services. Along with dispensing roles, I manage the pharmacist-run Coumadin clinic as well as provide chronic disease management appointments within the outpatient offices. Serving an underserved community is very rewarding — not only do you act as an advocate for a deserving community but also for pharmacists in expanding our scope of practice.

Jefferson College of Pharmacy: RJ LaCoursiere

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had wonderful opportunities to complete challenging clinical rotations with a wide variety of high acuity patients along with gaining valuable practical experience in our central pharmacy. Through these rotations, I have discovered my passion for emergency and pediatric pharmacy practice, and I am currently assessing several employment opportunities where I can continue to make a positive impact on the health and wellness of my patients.

University of Pittsburgh School of Pharmacy: Jennifer Fever Since graduating from Jefferson College of Pharmacy, I have been completing my PGY1 residency at Thomas Jefferson University Hospital. Over the past year I have

Receiving the Pennsylvania Pharmacists Association Outstanding Student Award in 2017 was such an honor. I have had an excellent year since graduating from the University

of Pittsburgh last April. I have been completing my PGY-1 residency at Auburn University with a focus in ambulatory care. It has been a wonderful experience and has taught me so much about myself and pharmacy! I am excited to continue my learning experiences next year while completing a PGY-2 program in ambulatory care at UW Health in Madison, WI.

www.papharmacists.com 37

Association News

1960 – 1979 Pharmacy Progressing and the State Board Takes on a Larger Role The involvement of the salesmen from various pharmaceutical com­ panies was very prominent and PPA had a Traveling Mens Auxiliary (TMA) in addition to the Ladies Auxiliary.

County Associations were continuing to be very active and Allegheny was recognized for a highly successful public campaign in the early 60s.

Dues were $30 for owners and $15 for others. PPA also had an organization the Pennsylvania Institute for the Advancement of Pharmacy.

PRESIDENTS DURING THIS PERIOD: Joseph F. Palchak . . . . . . . . . 1959-1960 Frank C. Falchek . . . . . . . . . . 1960-1961 Lester S. Saylor . . . . . . . . . . . . 1961-1962 Edwin S. Roswe, Jr. . . . . . . . . 1962-1963 Webster B. Canning, Sr. . . . 1963-1964 Roger H. Shultz . . . . . . . . . . . 1964-1965 Henry E. G. Burhenn . . . . . . 1965-1966 Bernard J. Schiller . . . . . . . . . 1966-1967 Reynold R. Clouse . . . . . . . . 1967-1968 Philip Seltzer . . . . . . . . . . . . . . 1968-1969 Charles L. Sellars . . . . . . . . . . 1969-1970 James B. Leedy . . . . . . . . . . . 1970-1971 LaRue Lunger . . . . . . . . . . . . . 1971-1972 David P. Rosenfield . . . . . . . 1972-1973 Carmen A. DiCello . . . . . . . . 1973-1974 George S. Maggio . . . . . . . . . 1974-1975 Daniel A. Hussar . . . . . . . . . . 1975-1976 David M. King . . . . . . . . . . . . . 1976-1977 Irwin Reich . . . . . . . . . . . . . . . . 1977-1978 Charles D. Ditchfield . . . . . . 1978-1979

The State minimum wage issue was a hot topic. In 1963, the PA Drug, Device and Cosmetic Act required registration for all persons operating in the state as manufacturers, whole­ salers and retailers of drugs or devices.

A few interesting observations during this time frame include that the then phone number of PPA was Harrisburg Cedar 4-6151 (or 234-6151) — the same number used today. In 1961, there were 20 committees listed. PPA had legal counsel in the name of Ron Katzman. Many ads in the magazines of the day were from pharmaceutical or OTC products. The State Board ran a regular report in the magazine which listed new pharmacies and changes in ownerships or titles.

In 1965, in order to meet rapidly changing practices, the Association held its first program of continuing education in conjunction with the schools of pharmacy. Also in 1965, all four schools of pharmacy graduated a full complement of students partici­ pat­ing in the five year program. In 1966-67, the State Board of Pharm­ acy granted 208 certificates by examination and noted that there were 108 qualified assistants practicing in the Commonwealth.

In 1967, the Pennsylvania Pharmacy Exhibit was dedicated at the William Penn Museum in Harrisburg. Members were addressed on the topic of the 1.85 initial dispensing fee for DPA (Dept. of Public Assistance) prescriptions.

Sometime in this era, PPA hired an Executive Secretary Morris Blatman continued on next page

38 Pennsylvania Pharmacist — Jul/Aug 2018

IMPORTANT EVENTS 1960 Senator John Kennedy is elected President and the Camelot era begins 1961 President Kennedy announces the plan to put a man on the moon by the end of the decade 1962 John Glenn becomes first US astronaut to orbit the earth/Vietnam crisis is looming 1963 Alcatraz prison closed Martin Luther King leads the Civil Rights march in DC with “I Have a Dream” speech – President Kennedy in assassinated 1965 Continuous bombing of North Vietnam ordered – Watts riot in LA 1966 Medicare is launched 1967 First Super Bowl is held 1968 Martin Luther King is assassinated/So is Presidential candidate Robert Kennedy 1969 The Internet, called Arpanet during its initial development, is invented by the Advanced Research Projects Agency at the U.S. Department of Defense. continued on next page

and there was initial discussion and movement to affiliate with APhA and have all billing for state and county dues come through APA.

In 1976 , Stan Singer was selected as the new Executive Director for PPA. The Traveling Mens Auxilliary became the Pharmacy Industry Associates.

1971 marked considerable panic with the Supreme Court decision making it illegal to ban prescription price advertising. The Association filed an appeal.

In 1978, the Association celebrated its 100th Anniversary.

IMPORTANT EVENTS continued 1970 First Erath Day celebrated — Kent State Riots rock Vietnam protests 1971 Ban on TV advertisements of cigarettes goes into effect/Walt Disney World in Florida opens

In addition to the monthly maga­zine, a newsletter was started. A Pennsylvania historical marker was placed on the campus of the Phila­ delphia College of Pharmacy by the PA Historical and Museum Commission. During the mid-70’s spot color began to appear in the magazine.

1972 Watergate crisis begins/ Secretariat wins the Triple Crown 1974 Nixon resigns the office of Presidency 1975 South Vietnam surrenders

The Federal Government in the mid 70’s began publishing a maximum allowable cost (MAC) reimbursement list for drugs covered under Federal Health Programs.

1976 United States Bicentennial — 29 People die mysteriously at American Legion Convention and the eventually identified bacterium becomes Legionnaires disease

The PPA House of Delegates as a form of governance started in 1973. In 1975, PPA had an Executive Director, Arnon H. Lear, and Dan Hussar was President. In March of 1976, APhA held the first meeting of the Board of Pharmaceutical Specialties. PPA meanwhile filed a protest with then Governor Shapp for cutback measures which effectively shutting down State Board operations for several months.

1977 New York City blackout occurs for 25 hours 1978 Pope John Paul II becomes Pope 1979 Three Mile Island nuclear almost total disaster occurs

ANNUAL MEETINGS 1979 Mount Pocono, PA, Mount Airy Lodge 1978 White Haven, PA, Pocono Hershey Resort

1972 Lancaster, PA, Host Corral 1971 Carlisle, PA, Embers Quality Motel

1977 Erie, PA, Erie Hilton Hotel

1970 Champion, PA, Seven Springs Mountain Resort

1976 King of Prussia, PA, Sheraton Valley Forge

1969 Bushkill, PA, Tamiment-inthe-Poconos

1975 Hershey, PA, Hershey Lodge

1968 Pocono Manor, Pocono Manor Inn

1974 Gettysburg, PA, Gettysburg Sheraton Inn 1973 Champion, PA, Seven Springs Mountain Resort

1967 Pittsburgh, PA, Pittsburgh Hilton

1965 Bushkill, PA, Tamiment-inthe-Poconos 1964 Bushkill, PA, Tamiment-inthe-Poconos 1963 Erie, PA, Hotel Lawrence 1962 Wernersville, PA, Galen Hall 1961 Atlantic City, NJ, Ambassador Hotel 1960 Pittsburgh, PA, Pittsburgh Hilton

1966 Bedford, PA, Bedford Springs Hotel

www.papharmacists.com 39

Our Presidents Reminisce Continues We continue our lookback and the happenings of certain years in PPA’s history by reviewing the recollections of some additional Past Presidents Ed Bechtel, RPh. 1996-1997 The most memorable achievement for PPA during my year as President was the development and introduction of a new Pharmacy Practice Act. In November, PPA hosted a retreat with representatives of PPA, PSHP, PACDS, PARD, the PA Chapter of ASCP, the (then) five schools of pharmacy in the state, SARPH, and the State Board of Pharmacy. Bringing this diverse group together to work toward a common goal was, at the time, momentous. The bill that was drafted as a result of this cooperative effort was introduced early in 1997

and was the focus of Legislative Day that April. Although we were unable to get the bill passed in that legislative session, key components of the bill which survived the legislative process, were enacted as Act 102 of 2002.

In another collaborative effort, PPA joined with the Delaware Pharmacists Society and the New Jersey Pharmacists Association to host a Tri-State Young Pharmacists Leadership Conference. Patterned after a conference that had been existence in the mid-west for several years, we sought to develop future leaders for our organizations. Sharon Abayasekara, who attended as a member of the Delaware Pharmacists Society, went on to serve as President of DPS, and after moving to Camp

Hill, served as President of PPA. The planning for the conference was done by the Presidents of the three associations (myself, Pat CarrollGrant of DPS and Steve Zlotnick of NJPhA) without a lot of input from the professional staff of our respective organizations. We were able to secure funding through an unrestricted grant from Merck. The conference was repeated the following year; however, without ever getting real buy-in of the state executives of the associations, it didn’t continue.

When my year was over, I figured I had spent, on average, a week out of each month away from the pharmacy on PPA related activities. I could not have done so without the support of both my family and my staff. My dad, Joseph G. Bechtel picked up most of the slack and I often think my year as President contributed to his decision to retire from the full time practice of pharmacy at the end of 1997 at the age of 62. I appreciate all he has done for me, not only in my Presidential year, but always.

Coleen Kayden, R.Ph. 2002-2003 I was elected President of PPA at a time of great transition for our Association. The start of my term coincided with the hiring of our venerable Executive Director, Pat Epple. I remember that year as being one of great challenges but more importantly, great opportunities.

Our country was still reeling from the tragedy of September 11th, 2001 and that somber countenance seemed to envelop our Association, too. It was time to envision a bold future for PPA. In concert with Pat’s enthusiasm and hard work, the dedication of staff, and the tremendous support of my Board of Directors, we embarked on an initiative that was of great importance to me – re-engaging the schools

40 Pennsylvania Pharmacist — Jul/Aug 2018

of pharmacy and their students to become active, vital members of PPA. We held Board meetings on various campuses across the state, we encouraged long-standing members to mentor students, and we sought out meaningful participation of deans and their faculty in our Annual and Mid-Year Conferences. With Pat’s leadership and the support of the Board, along with my many friends and colleagues in PPA, we created a strategic plan that helped restructure our operations and enhance the conference experience for practitioners and students alike. So, when I see the genuine enthusiasm of our students and young pharmacists, whether it is at a meeting or Legislative Day, I am proud to know that PPA’s future is in good hands.

Joseph Scott MisKovsky, RPh. 2013-2014 I want to start by saying that it has been a distinct pleasure to have served for PPA and represented

the pharmacists of Pennsylvania.

Community pharmacy has been my love and passion since I first worked in the “drug store” over 50 years ago with my Dad. I can honestly say that I was excited to go to work every day and that feeling continues to this day. As your pharmacy profession progresses and evolves, I wish you the same enthusiasm I have enjoyed over the years. I would encourage everyone to become proactive and participate to the best of your ability in a pharmacy organization of your choice. I can attest that my participation has been both professionally and personally rewarding…

A few flashbacks from PPA are: Serious meetings with Adam Welch and Rob Frankil.

Board meetings with long agendas.

Annual meetings — always nice.

Mid Years’ — always cold and snowy.

NCPA — I enjoyed with fellow Community pharmacists.

APhA didn’t interest me as much.

Legislative Day is a must for all.

CE’s are great always.

Working with PPA staff.

Drink tickets!! Only 2.

Golfing with Larry Doud and Al Emmans. Memo — bring more golf balls!

Lifetime friends AND COLLEAGUES I have made.

Family fun at Gettysburg.

Driving I-81 in the fog.

Driving I-81 in the rain.

Driviing I-81 in the snow.

Driving I-81 on a sunny day. Once.

And of course a special thanks to Pat Epple for her support, encouragement and superior leadership of PPA. Best wishes to all…

www.papharmacists.com 41

Rx and the Law: Animal Patients

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.

The pharmacist at Anytown Pharmacy had prepared prescriptions for two pets and placed them in the refrigerator awaiting pickup. When Butch’s owner came in to pick up his prescription, the owner was given another dog’s prescription. Upon administration, the dog became lethargic and Butch’s owner took him to the vet.

Unfortunately, Butch’s symptoms couldn’t be reversed and he died as a result of the incorrect drug’s effects. Butch’s owner subsequently made a claim for damages against the pharmacy.

What damages is Butch’s owner entitled to recover? In the majority of states, pets and other animals are considered personal property. As such, the owner is not entitled to recover damages for emotional pain and suffering or mental anguish, no matter how close the owner is to the pet or how much a part of their family they consider the pet to be. This can make these types of claims difficult to settle because the owner feels that the bond with their pet is not being considered. Under the law, they are correct. The bond with their pet is not compensable.

What is compensable is the market value of the animal and other costs resulting from the incident. These other costs could be the cost of treatment by a vet or in extreme cases, the cost of burial or cremation of the animal. The market value of an animal includes a number of factors, such as the original purchase price, the cost of replacement, and other elements that can enhance the animal’s value. For example, if the animal patient is a prize-winning race horse, the owner would be entitled to recover lost stud fees and other income derived from the horse’s performances. The cost to replace a winning race horse can also be substantial.

The potential vet bills for an injured pet could also be substantial. Because of the bond with their pet, the distraught owner might be willing to try any treatment, even those with only a small chance of success. It would not be unusual for vet bills to exceed the market value of an animal.

Because animals are considered property under the law, some states may have different procedures for these types of claims. States that have damage caps in medical negligence cases may not apply them here. These caps are generally applied to the injured patient’s damages for pain and suffering. Because animal claims are property claims and there are no emotional damages, these caps do not apply. Also, because these claims are property claims, they may not be eligible for the Medical Review Panel process if that is in place in your state. In the Medical Review Panel process, the negligence claim is reviewed and evaluated by

42 Pennsylvania Pharmacist — Jul/Aug 2018

All patients deserve the same processes and safeguards. As with any aspect of their practices, pharmacists should be well informed of the standards and risks for any activity undertaken. a panel of practitioners before the case can go to court. The case then only goes to court if one of the parties disagrees with the panel’s decision.

Pharmacists may not think much about the financial risks from an animal claim because there are no damages for emotional distress. While this is true, the other exposures can still be significant. Market values for race horses that have died as the result of prescription errors can reach six figure settlements. This can be multiplied if more than one animal is killed or injured. A case in Florida in 2009 resulted in the deaths of 21 polo ponies from a compounded nutritional supplement. A jury awarded the owners of the horses $2.5 million.

Pharmacists are health care providers because they want to help their patients. This is true whether the patient is human or an animal. The differences in the law for damages as the result of an error should not influence the way that a pharmacist approaches the care that they provide. There are groups advocating in several states for changes in these laws to allow for the owner to recover emotional damages.

Pharmacists will need to verify the law in their state. All patients deserve the same processes and safeguards. As with any aspect of their practices, pharmacists should be well informed of the standards and risks for any activity undertaken.

CITATIONS 1 Montana’s authority is based on a decision by the Montana Supreme Court rather than by legislation. © 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.

Independent Pharmacy Buying Group 21 years of giving Independent Pharmacists the ability to grow their business and bottom lines while making their professional lives easier Now in eight states!!

Founded by pharmacists who still work in their own stores.

Special pricing from AmerisourceBergen exclusive to IPBG. Fantastic “first to shelf” generics program.

Up to $1,200 rebate for attending AmerisourceBergen’s ThoughSpot

PPA, NCPA, PAAS, and DEALookUp 100% paid dues for compliant members. No deduction from your account.

Members kept informed on all important issues.

Member of Federation of Pharmacy Networks— 100% of rebates paid to you. $100 Lifetime processing fee—NO other charges or deductions.

The only way to really know what we’re about is to talk with us.

There is so much more we have to offer ….

Visit our website www.IPBGRx.com Independent Pharmacy Buying Group The Lafayette Building - 103 Chesley Dr. Media, PA 19063 Toll Free 866.910.IPBG (4724)

Home & Renters

Tomorrow.

Imagine That.

Pharmacists Mutual Insurance Company | 808 Highway 18 W | PO Box 370 | Algona, Iowa 50511 P. 800.247.5930 | F. 515.295.9306 | info@phmic.com

phmic.com

All products may not be available in all states and territories.