Roll out the Red Carpet!!!!
ACAP
Drumroll, please!!!
And the winner is …
Do you like it? This name was chosen from all the submissions. It was
suggested by one of ACAP’s long-time members, Bill Garst. To recap (or
recapitulate, if you want to get technical) is to sum up matters. We hope this
easy to access format and will help to sum up all the information, all the
newsletter will help present information to ACAP members in an easy to read, action, all the opportunities that exist for ACAP members. Also, it’s just plain
fun to say “ACAP Recap,” don’t you think?!?!
February 2016 Edition
More winners! ….. Yes, it’s that time of year. There’s talk of Golden Globe Awards, Emmy Awards, Oscar Awards…What about Pharmacy Awards? There are actually a LOT of awards to be given out in our pharmacy community! Here’s a “recap” for you:
In This Issue…
ACAP presents awards to four, sometimes five, individuals each year:
Page 2
President’s Perspective
Page 3
Reading Rx
Page 4
ACAP Awards
Page 5
FPA Awards
Page 6
Committee Corner
Page 7 Page 9
Your ACAP Colleagues Announcements & Calendar
Page 10
Membership Deals & Check Yourself
Page 12 11
Check Yourself Answers
Newsletter Committee: Valli Van Meter, Jessica Gonzalez, Stephanie Samuelson, and Lucia Murphy. Submit your suggestions HERE to improve your newsletter.
1) Bob Atkins Pharmacist of the Year – A cash award and plaque are awarded each year by ACAP to a member pharmacist for meritorious service above and beyond the call of duty, to recognize service to ACAP and the pharmacy profession. 2) ACAP Pharmacy Technician of the Year – A cash award and plaque are awarded each year by ACAP to a member technician for service to ACAP and the pharmacy profession. 3) ACAP Scholarship Award – Up to $1000 awarded to help pay for college education. It may be one $1000 award to a single student or two $500 awards for two students. 4) Vidal Award – This award is given by ACAP to a deserving fourth-year pharmacy student. The student is honored at an awards ceremony at UF
in April and then again at the May ACAP meeting. The recipient receives
a plaque and a one-year membership to ACAP. The Awards Committee oversees selection of the Bob Atkins Pharmacist of the Year and the ACAP Pharmacy Technician of the Year. The Scholarship Committee oversees selection of the scholarship award. The recipient of the Vidal Award is chosen by the University of Florida College of Pharmacy. See page 4 for more information on each of these awards.
2
Hello ACAP Family!
Happy New Year and we are glad to see you again! This January we had a great turn out of our members that teamed up with pharmacists and pharmacy students throughout Florida, the Florida Pharmacy Association and the Florida Society of Health System Pharmacists! We gathered together to advocate for several legislative topics in Tallahassee. A major topic involved “Any willing provider” bills. One bill will open more options to patients, allowing them to choose between mail order services or local pharmacies (SB 780, HB 583). Another bill would require Medicare to open their network to any pharmacy that would be willing to agree with their terms (HB 1093).
Also, be sure to look forward to some socials and member activities this year! Our ACAP board is working to put together activities such as Speed Dating with a Pharmacist (It’s not what you think) in February and an ACAP Picnic in March. Hope to see you at our meetings or at one of our events!
Happy to serve you!
Jennifer Chen
Legislative Days 2016
Alachua County Association of Pharmacists February 2016 Newsletter
3
So many of us like to read…read for pleasure, that is. So, no, we’re NOT talking about reading pharmacy journals or the latest study comparing blood pressure meds. We’re talking about guilty pleasure, curl up with a book on a rainy Saturday afternoon, page-turner, can’t-put-it-down reading! And, have you ever noticed how so many books have some kind of “medical” theme to them? It might be a major theme, if the main character is a medical professional or deals with a disease (think Still Alice about a Harvard professor who is diagnosed with early onset Alzheimer’s disease). Or, it might be a subtle underlying medical theme (think The Martian about the astronaut left behind on Mars who must figure out how to meet his needs for food, water, oxygen & shelter). So, we figure those of us who enjoy reading might be able to recommend books to one another. That brings us to the Reading Rx!
If you’ve enjoyed a book and would recommend it to your peers, please let us know. The only requirement to appear in this column is that the book have some kind of medical interest or medical theme to it. Becky Holt, from the Lake City VA is our first guest reviewer!
Reviewer: Becky Holt, Clinical Pharmacy Specialist, Lake City VA Medical Center Title: One Thousand Porches Author: Julie Dewey Genre: Historical Fiction Medical Aspect: The underlying theme is Tuberculosis and TB treatment in sanatoriums in the midlate 1800’s Why I recommend this book: This book is a fascinating and enlightening tale regarding the prevalence and devastation of tuberculosis before the development of antibiotics. It is interesting not only from the medical perspective (what they thought caused the disease and how to treat it back then), but also from the human interest perspective. That is, how this disease tore apart families and its impact on individuals. Summary: One Thousand Porches is an engrossing tale of a variety of TB victims from all ages and walks of life who end up in a sanatorium in the Adirondack Mountains of New York. The story is set in the mid to late 19th century at a time when TB, commonly called consumption, was one of the most fatal diseases known to man, affecting 1 in 4 people worldwide. The disease was poorly understood, thus theories and treatments abounded. One Thousand Porches focuses on the TB sanatorium and what life was like for patients residing there. It is a heartbreaking, yet uplifting, book portraying the journey of the main characters and the hope the sanatorium gave them. While the patients in the story are fictional, the sanatorium in Seneca Falls, NY and the physician who ran it, were real. I also recommend To Comfort Always: An Autobiography by Dr. Edward Livingston Trudeau, the physician who founded the sanatorium in the book.
If you have a book to recommend for the next Reading Rx, click HERE and we’ll get in touch with you! Alachua County Association of Pharmacists February 2016 Newsletter
4
So, who are Bob Atkins and
giving and gentle man who
How does someone apply
Vidal and why do they have
was loved by all who knew
for the ACAP Scholarship?
him.
This award to available to
The Vidal award is named for
ACAP members or dependents.
Pharmacy School around 1941. After practicing for a few
Albert Pierre Vidal who was
It is also available to full-time
born and raised in Gainesville.
students recommended by an
months he enlisted in the army, served as a paratrooper in the Pacific during WWII and
He served as a Navy bomber
active ACAP member. There is
pilot in WWII and then returned
an application which must be
home to attend UF Pharmacy
submitted to the Scholarship
eventually attained the rank of Colonel. He also served in Vietnam and was a
School. He graduated in 1948
Committee by March 31, 2016.
and joined the family
Applicants are evaluated based
pharmacy business in
on GPA and extra-curricular
commandant for the UF Army
Gainesville. Even after selling
activities, among other things.
ROTC in the 1960’s & 70’s.
the family business in 1987,
Preference is given to
Then he worked locally as a
Pierre worked as a pharmacist
pharmacy students, but other
into his mid-80’s! He passed
fields of study are eligible as
away in 2007.
well.
awards named after them?
Bob Atkins graduated from UF
pharmacist for Gresham Drugs
and then for UF Infirmary. Our own Tim Rogers (ACAP CE
Director and current FPA
How does someone get
President) recalls Bob as “the
glue that kept ACAP together and the force that kept us
going” back in the 70’s, the
nominated for the
Click HERE to get more
pharmacist or technician
information about the ACAP
awards?
Awards.
Both the Bob Atkins Pharmacist
early years of ACAP. Bob Atkins was president of ACAP
of the Year and the ACAP
in the early 1980’s and passed away in the early 1990’s. The first Colonel Bob Atkins Award
Year awards are presented to
was bestowed on Tim in 1999. It states: With deep gratitude from The Association for
Selection is supervised by the
meritorious service above and beyond the call of duty in honor of the memory of one
ACAP members is deserving of
of its dedicated leaders.” Tim
nominate that person!
Pharmacy Technician of the ACAP members and must by
Would you like to nominate a pharmacist or a technician?
Let us know click here
nominated by ACAP members. Awards Committee. So, if you believe that one of your fellow recognition for service to the profession, then, by all means
February 2016
recalls Bob as a very kind,
Alachua County Association of Pharmacists February 2016 Newsletter
5
The Florida Pharmacy Association (FPA) recognizes individuals with awards commemorating many
achievements, including:
Mentorship of pharmacy students
Advancement of pharmacy technician practice
Innovations in pharmacy practice
Achievements in pharmaceutical public relations
Achievements in consultant pharmacy
Community service in pharmacy
Excellence in community-based prescription drug abuse prevention
Most of the FPA awards are restricted to members of FPA and some of our local ACAP members have been honored with an FPA award in the past. Pharmacy awards and honors are not limited only to individuals. The FPA also celebrates the achievements of the various pharmacy associations with what are called “Unit Association Recognition Awards.” These are awards for local associations such as ACAP. There are 11 local associations in the state, mostly associated with the various major metropolitan areas such as
Duval County, Dade County, Palm Beach County, etc. Some of the FPA Unit Association Recognition Awards are for the following categories: Continuing Education
Legislative Involvement
Public Relations
Community Service
Association Involvement
Membership
Our association applies for these awards, similar to an individual applying for a scholarship. We
submit documentation of various projects and services in which ACAP members have
participated. So, there’s a bit of “friendly competition” with our sister organizations in Central Florida, Jacksonville, Ft. Lauderdale, etc. Our own ACAP has “walked the red carpet” numerous
times, being recognized for our service to our community and to our profession. Let’s give
ourselves a round of applause!!
Want more details visit the FPA website Would you like to nominate anyone for a ACAP or FPA Award? Let us know click here. Alachua County Association of Pharmacists February 2016 Newsletter
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The Awards Committee is responsible for reviewing nominations for ACAP awards and for submitting applications for awards to the Florida Pharmacy Association (FPA). Our bylaws call for at least three people to serve on this committee. Only the chairperson of the Awards Committee must be a member of the Board of Directors, all the other committee positions are open to any ACAP member. There are three of us now, but we'd LOVE to have additional members on our committee to broaden our perspective and help choose deserving pharmacists and technicians for the ACAP awards. Membership involves occasional committee meetings, most especially in the
springtime as we near the time to review the nominations and choose the award recipients. If you'd like to talk with someone about joining the Awards Committee, click HERE and we'll get in
touch with you!
Jennifer Chen
Joy Wright
Jessica Gonzalez
B.S. in Food Science and Human Nutrition at the University of Florida in 2009
Bachelors in Pharmacy, University of Toronto in 1993
BA in Chemistry concentrated in Biochemistry from Florida International University in 2008.
Pharm.D. at the University of Florida College of Pharmacy in 2013 Staff Pharmacist at Walgreens in Ocala, FL
Pharm.D. from Shenandoah University, 2001 Board Certified Pharmacotherapy Specialist, PCCA certified compounding pharmacist, CPh, Tobacco Treatment Specialist Work - UFHealth Shands Hospital, Clinical Pharmacy Specialist (Outpatient)
PharmD from the University of Florida (UF) in 2015. CPh; A fellow in a twoyear Healthcare Quality and Medication Safety program at UF’s College of Pharmacy and University of Florida Health Physicians
We know you have talents beyond the
mortar & pestle. Please share your talents with your ACAP community.
Other committees in ACAP: Scholarship, Education, Budget & Financial, By-laws, Public Relations, Awards, Resolutions, Membership
Alachua County Association of Pharmacists February 2016 Newsletter
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We truly have some AMAZING members in our organization! You met two in the last edition
(Pharmacist Lauren Wise and Pharmacy Technician Dawn Peisel). Now meet two more members!
Esther Adele Blair has been a pharmacy technician since 1982! She currently works part time at Wise’s 4th Avenue pharmacy where she completed a course in diabetes education. She also works fulltime at the University of Florida Veterinary Hospital Pharmacy where she has been recognized twice as “Support Personnel of the Year.” In addition, Esther has received a University of Florida “Superior Accomplishment Award!” She can’t designate a favorite workplace because they are both so unique and she has had great experiences in each. Esther started working as a clerk in a pharmacy when she was in high school and followed a natural path to become a pharmacy technician. Here’s more about Esther…
AGE FAMILY HOBBIES IF I COULD HAVE LUNCH WITH ANYONE IN THE WORLD, PAST OR PRESENT, IT WOULD BE OUTSIDE OF MY PHARMACY-ASSOCIATED WORK, I AM MOST PROUD OF MY FAVORITE THING ABOUT BEING A PHARMACY TECHNICIAN IS
THE PERSONAL CHARACTERISTICS THAT HAVE BEEN THE MOST HELPFUL TO ME IN MY CAREER ARE A FACT ABOUT ME THAT MOST ACAP MEMBERS DO NOT KNOW THOUGHTS I’D LIKE TO SHARE ABOUT PHARMACY OR ACAP: MY MOST MEMORABLE EXPERIENCE AS A PHARMACY TECHNICIAN WAS
56 years old Two sons, two daughters-in-law, my husband and my dogs Roonie & Ming. Reading, exercising, bike riding & listening to live music my grandparents on my father’s side because I never met any of them and I would love to know more about my ancestors. They were Russian immigrants who moved to New York in the late 1800s. my kids, being a non-smoker for over 6 years & and maintaining my 40 pound weight loss for the past two years! being directly involved in helping patients take care of their health. Also, being on my feet, not at a desk all day, makes me very happy! My most favorite thing of all is making a rejected claim adjudicate (my fellow pharmacy techs out there would understand!). being outgoing, having a good sense of humor and not being afraid to ask questions! is that I am addicted to popcorn! Also, I do Crossfit three days a week and I can deadlift 165 pounds! I love crossword puzzles…on paper, NOT on computer! Let’s keep fighting the good fight and keep being our patients’ number one advocates! in the veterinary hospital where I see crocodiles, elephants, snakes, monkeys, manatees, owls, turtles, llamas, goats, horses, cats and dogs. One time, I was walking through the halls of the hospital and they needed an extra hand in transporting a Gharial crocodile (Google it to see what they look like!)….I put my Crossfit skills to work! (Editor’s note: Yes, you really should google this thing! Let’s just say, we checked to be sure that Esther had all her body parts after handling this reptile!)
Alachua County Association of Pharmacists February 2016 Newsletter
Daniel H. Zambrano has been a pharmacist for a year and is currently a post-doctoral fellow at the University of Florida College of Pharmacy where he is involved both in research (especially in psychiatric outcomes and in pharmacogenomics work on pediatric congenital heart disease) and teaching (lecturing &/or coordinating classes for Law & Ethics, Skills Lab, Pharmacotherapy and the Interdisciplinary Family Health Experience). Daniel’s favorite professional experiences so far have been his work in psychiatry, both research and patient care. But, he also sites teaching as incredibly rewarding. Prior to going to pharmacy school, Daniel obtained a master’s degree in toxicology and he says this, plus his genuine interest in patient care and research, evolved into the idea of becoming a pharmacist. Here’s more about Daniel…
AGE HOBBIES IF I COULD HAVE LUNCH WITH ANYONE IN THE WORLD, PAST OR PRESENT, IT WOULD BE OUTSIDE OF MY PHARMACY-ASSOCIATED WORK, I AM MOST PROUD OF MY FAVORITE THING ABOUT BEING A PHARMACIST IS THE PERSONAL CHARACTERISTICS THAT HAVE BEEN THE MOST HELPFUL TO ME IN MY CAREER ARE A FACT ABOUT ME THAT MOST ACAP MEMBERS DO NOT KNOW THOUGHTS I’D LIKE TO SHARE ABOUT PHARMACY OR ACAP:
MY MOST MEMORABLE EXPERIENCE AS A PHARMACIST WAS
30 years old Cooking and the outdoors Marcus Aurelius because his teachings have always been a tenant of my logic and approach to everything in life. I find it incredible that his views are still relevant after over 1800 years. I would love to pick his mind and learn first-hand from him. my active involvement in narrowing the gap on healthcare inequality through global health mission trips. the ability to contribute to patient care, research and healthcare policy from a new perspective. is perseverance because it is crucial in order to excel in pharmacy training, patient care and research. Without it, it would be unfeasible to get over the many challenges and roadblocks in a career in the healthcare field. is that I have a fascination with animals. I love any and all interaction with them and love studying every single detail I possibly can about them! A pharmacy career is an incredibly satisfying endeavor. Our role as pharmacists in the healthcare field has become a pillar of safety and quality in patient care. The future of our ever- evolving profession has never looked better as we have increased the reach in our scope of practice and involvement in the healthcare system. I can’t wait to see what time has to offer for this great profession the first day I got to teach in the same pharmacy school which I had attended. It was exhilarating and nostalgic at the same time to be in the same classroom that I once sat in, except this time I was passing along knowledge to a new generation of pharmacists. It almost felt like going backward and forward in time all at once! I will always remember that experience.
Fun Fact
Dante Alighieri, the author of “the Devine Comedy”, studied to become a pharmacist.
Alachua County Association of Pharmacists February 2016 Newsletter
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Sadly, the pharmacy community lost pharmacist John Fugate this past December. John graduated from UF College of Pharmacy in 1975 and worked for Sunshine Drugs in Williston for seven years before joining Munroe Regional Medical Center in Ocala where he served for the rest of his life. • Unfortunately in October, we lost Peggy Gresham, wife of pharmacist Marvin Gresham. The two worked together at Gresham Drugs in downtown Gainesville for many years, he as pharmacist and she taking care of the books. Peggy is remembered as an extremely kind & caring person by her friends and family. • Interested in joining the ACAP e-board? Positions are open. To learn more click here. • April Meeting is "Bring-a-Friend Special!" See more details on page 10 • May Meeting is "Membership Special!" See more details on page 10 • ACAP Member George McColskey recently retired from the Lake City VA Hospital where he worked for many years as a clinical pharmacist and a certified diabetes educator. He specialized in helping patients with smoking cessation, diabetes and cholesterol. Now he says he plans to specialize in relaxing and putting his feet up! Congratulations, George! • Barnes HealthCare in Gainesville has pharmacy technician assistant positions open at this time. Certification is helpful but not necessary. We are willing to train and support you should you wish to become a certified pharmacy technician. Background in IV therapy, insurance plans/billing, chemotherapy preparation is helpful, but not required. Small, friendly working environment with regular daytime business hours. Contact Matthew Owens at 352-333-2525. Do you have an announcement to share? New baby, job promotion, job opportunity, weddings, etc? Click HERE to send in an announcement for the next issue. Be sure to include a phone number and email in case we need to contact you! •
• • • • • • •
Tues, Mar. 8, ACAP meeting – Eye Need to Understand Ocular Medications Tues, Mar. 22, ACAP Board Meeting Thurs, Mar. 31, Deadline for application for ACAP Scholarship Tues, Apr, 12, ACAP meeting – Navigating Opioid & Benzodiazepine Use: Pros, Cons & Deal Breakers, “Bring a Friend Special” Tues, Apr. 26, ACAP Board Meeting Tues, May 10, ACAP meeting – Legislative Update, “Membership Deal” Tues, May 24, ACAP Board Meeting
*Note: Topic subject to change without notice. Look for your monthly email notification with the most current details.
• •
Board meetings are open to see behind the scenes of ACAP. If you are interested in attending a board meeting, please contact us HERE Would you have a speaker to suggest or a CE topic suggestion you would like to see? Please let us know HERE.
Alachua County Association of Pharmacists February 2016 Newsletter
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What a Deal!! This spring ACAP has two special offers for pharmacists, technicians and students. April is our Bring-aFriend meeting. Bring a pharmacist, technician or student with you to the meeting. The guest will receive dinner and two hours of CE at no charge! The guest should bring his/her license so that we can report the CE. And, when you RSVP for yourself, you'll need to RSVP for your guest as well so that we can order enough food for everyone...Then the May meeting is our Membership Special meeting. If you are a new member joining in May, you'll get one free meeting. Think of it as ten meetings for the price of nine! Returning members are encouraged to renew their memberships in May as well. It will cut down on the rush-n-fuss of signing up at the September meeting next fall.
The following questions are drawn from the Continuing Education presentations from the past four ACAP meetings: • October 2015 – Dr. Leslie Hendeles, UF, Pharmacotherapy of Common Cold & New Respiratory Inhaler Operation • November 2015 – Dr. Katie Vogel Anderson, UF, Review of Atrial Fibrillation & Dr. Shawn Anderson, VA, Review of new medicines for Heart Failure • December 2015 – Dr. Christopher Richter, Shands, Review of Novel Anticoagulants • January 2016 – Mr. Dustin Arceneaux, Planned Parenthood, Review of STIs
1) Which statement is FALSE? a) In a 2012 study of approximately 4000 patients on inhaler use over 70% were “mis-users,” many times due to improper hand/mouth coordination. b) Second generation antihistamines, such as loratadine, cetirizine & fexofenadine, are helpful not only for allergies, but also for sinus congestion from the common cold.
c) Nasal decongestants such as oxymetolazine are more helpful than antihistamines for nasal congestion from the common cold, but should be limited to 3-5 days to avoid rebound congestion. d) In relieving congestion from the common cold, pseudoephedrine (Sudafed) has been proven effective, while phenylephrine (Sudafed-PE) is nearly identical to placebo.
Alachua County Association of Pharmacists February 2016 Newsletter
2) Which statement is FALSE? a) Entresto is a new heart failure medication, whose possible side effects include low blood pressure and elevated potassium. b) Entresto is a combination of sacubitril, a neprilysin inhibitor, and valsartan, an angiotensin II receptor blocker (ARB). c) Entresto did better than enalapril in reducing risk of death & hospitalizations for heart failure patients. d) Ivabradine blocks the “funny” channel, resulting in a decrease in heart rate and also lowers the sense of humor in most patients. 3) Which statement is TRUE? a) There are five classifications of atrial fibrillation/flutter: paroxysmal AF (lasts 48 hrs – 7 days), persistent AF (last >7 days), long-standing persistent AF (lasts up to 12 months), permanent AF (permanent) & psychosomatic AF (only occurs when the patient thinks about it) b) Only AF patients with symptoms need to be anticoagulated to reduce their risk of dementia. c) Dabigatran (Pradexa) is a Direct Thrombin Inhibitor, while apixaban (Eliquis), rivaroxaban (Xarelto) and edoxaban (Savaysa) are Factor Xa Inhibitors. d) In a study comparing warfarin patient and dabigatran patients, after six months the dabigatran patients reported a much high quality of life due to few diet restrictions and less need to regular blood draws.
4) Which of the following is NOT the correct “translation” and score for the CHA2DS2VASc acronym: a) C = Chronic Heart Failure à 1 point b) H = Hypertension à 1 point c) A2 = Age > 75 years à 2 points d) D = Dementia à 1 point e) S2 = Stroke history à 2 points f) V = Vascular Disease (prior heart attack, coronary artery disease, venous thromboembolism &/or others) à 1 point g) A = Age 65 – 74 years à 1 point h) Sc = Sex category of Female à 1 point
5) Which of the following is TRUE? a) Nationally, the age group with the highest risk of contracting a Sexually Transmitted Infection (STI) is age 20-24 years of age, but here in Florida, the age group with the highest risk is senior citizens age > 65 years. b) Due to the low rate of alcohol use and high levels of education, Alachua County has had the lowest rate of STIs in the state of Florida for the last three years. c) The following are examples of STI prevention measures: condoms, vaccine, Truvada, not sharing sex toys, not sharing needles, hygiene. d) The goal of a Values Clarification Exercise regarding human sexuality and sexual behavior is to help healthcare providers clarify their own values so that they can try to only treat patients who embrace the same values.
Alachua County Association of Pharmacists February 2016 Newsletter
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1) Letter B is FALSE. Second generation antihistamines are helpful for allergic rhinitis, but not for “runny” or “stuffy” nose from a cold. Benadryl (diphenhydramine), a first generation antihistamine can be helpful, but it is due to the anticholinergic side effects, not the antihistaminic effect. 2) Letter D is FALSE. Ivabradine works on the I-f channel, also known as the funny channel, but is not known to effect one’s sense of humor. 3) Letter C is TRUE. A is false because there are only four types of Afib/flutter. There is no “psychosomatic AF.” B is false because all AF patients, even patients who are asymptomatic, are at risk of stroke & need to be anticoagulated to reduce the risk of stroke, not dementia. D is false because the study showed no difference in reported quality of life after six months. 4) Letter D is incorrect. The D stands for diabetes, not dementia. 5) Letter C is TRUE. All examples are helpful in lowering risk for one or more STIs. A is false because Florida’s statistics mirror the national stats for the age at greatest risk for STIs. Greatest risk is for age 20-24 years. Adolescents age 15-19 years are the second greatest at-risk group. B is false because for the past three years, Alachua County has been first in state for gonorrhea rate of infection and third in the state for the number of chlamydia cases. D is false because the goal of the Values Clarification Exercise for healthcare providers is to clarify one’s own values in order to examine one’s potential biases towards patients with sexual practices that are different and to appreciate the ways in which one’s personal attitudes and beliefs can affect patient care.
Have a laugh: A pharmacist looks out the front of the store and sees a woman holding a bottle jumping up and down in the parking lot. The pharmacist walks out to the parking lot and asks the woman what’s the matter. She replies " I saw it said 'Shake Well' after I took it".
Alachua County Association of Pharmacists February 2016 Newsletter