September 2013 Florida Pharmacy Journal

The Official Publication Of The Florida Pharmacy Association SEP. 2013

THE 2013 ANNUAL CONVENTION

Walgreens pharmacy technician, Arlene Valante, helps patients get, stay and live well by promoting a culture of wellness in the pharmacy. Walgreens gives her an opportunity to

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florida PHARMACY TODAY

VOL. 76 | NO. 9 SEPTEMBER 2013 THE OFFICIAL PUBLICATION OF THE FLORIDA PHARMACY ASSOCIATION

Features

Departments

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4 Calendar 4 Advertisers 5 President’s Viewpoint 7 Executive Insight 21 Member Profile 23 Buyer’s Guide

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Thank You to Our Sponsors The 123rd Annual Meeting and Convention was a huge success – due in large part to the sponsors who contributed and made it possible. The FPA thanks the sponsors who participated.

Florida Pharmacy Association’s 123rd Annual Meeting and Convention 2014 FPA Legislative Advocacy Program, Priorities and Strategic Plan Networking Opens Doors at Convention

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FPA Calendar 2013

OCTOBER 5-6

2013 FPA Midyear Clinical Conference Orlando

8-9

Board of Pharmacy Meeting Panama City

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28-29 Thanksgiving Holiday FPA Office Closed DECEMBER 3-4

APhA Diabetes Certificate Program Orlando

Florida Board of Pharmacy Meeting Gainesville

7-8

APhA Immunization Certificate Program Orlando

FPA Regulatory and Law Conference Sarasota

25-26 Holidays - FPA Office Closed

12-16 NCPA Annual Meeting 22

20-22 ASCP Annual Meeting Seattle, Washington

NOVEMBER 1

Advisory Council on Pharmacy Practice

2-3

FPA Committee, Council and Board meetings Orlando

11

Veterans Day - FPA Office Closed

JANUARY 1

FPA Office Closed

20

Martin Luther King Day FPA Office Closed

25

FPA Law and Regulatory Conference Sandestin, Florida

31

Last day to submit election ballots

For a complete calendar of events go to www.pharmview.com

Mission Statements: of the Florida Pharmacy Today Journal

The Florida Pharmacy Today Journal is a peer reviewed journal which serves as a medium through which the Florida Pharmacy Association can communicate with the profession on advances in the sciences of pharmacy, socio-economic issues bearing on pharmacy and newsworthy items of interest to the profession. As a self-supported journal, it solicits and accepts advertising congruent with its expressed mission.

of the Florida Pharmacy Today Board of Directors

The mission of the Florida Pharmacy Today Board of Directors is to serve in an advisory capacity to the managing editor and executive editor of the Florida Pharmacy Today Journal in the establishment and interpretation of the Journal’s policies and the management of the Journal’s fiscal responsibilities.

The Board of Directors also serves to motivate the Florida Pharmacy Association members to secure appropriate advertising to assist the

Journal in its goal of self-support.

Events calendar subject to change

CE CREDITS (CE cycle) The Florida Board of Pharmacy requires 10 hours LIVE Continuing Education as part of the required 30 hours general education needed every license renewal period.

Pharmacists should have satisfied all continuing education requirements for this biennial period by September 30, 2013 or prior to licensure renewal. Technicians will need to renew their registration by December 31, 2014.

For Pharmacy Technician Certification Board Application, Exam Information and Study materials, please contact the FPA office.

For More Information on CE Programs or Events: Contact the Florida Pharmacy Association at (850) 222-2400 or visit our Web site at www.pharmview.com

Advertisers EPC........................................................................ 9 HCC...................................................................... 3 KAHAN HEIMBERG, PLC............................... 9 PPSC...................................................................... 9 Rx OWNERSHIP............................................... 24 WALGREENS...................................................... 2

CONTACTS FPA — Michael Jackson (850) 222-2400 FSHP — (850) 906-9333 U/F — Dan Robinson (352) 273-6240 FAMU — Leola Cleveland (850) 599-3301 NSU — Carsten Evans (954) 262-1300 DISCLAIMER Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered. This information is provided with the understanding that neither Florida Pharmacy Today nor the Florida Pharmacy Association are engaged in rendering legal or other professional services through this publication.

If expert assistance or legal advice is required, the services of a competent professional should be sought. The use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers. Information provided by the maker of the product should always be consulted before use.

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FLORIDA PHARMACY TODAY

E-MAIL YOUR SUGGESTIONS/IDEAS TO dave@fiorecommunications.com

The President’s Viewpoint TERRY GUBBINS , FPA PRESIDENT

Y

Transforming and Uniting Pharmacy

our Florida Pharmacy Association leadership has already started preparing for the 2014 legislative year. Our Governmental Affairs Committee (GAC), chaired by Shannon Wedekind, met on August 9, 2013, to plan and set our legislative priorities. Shannon presented the GAC’s recommendations to our Board of Directors on August 25, 2013, and all priorities were approved by the Board.

(See Shannon’s article in this month’s Journal for more information.)

Our top priority is for pharmacists to gain provider status. This is not an easy topic because it raises many questions. What exactly does it mean to gain provider status? Why do we want it?

And, why is it our top priority?

As we all know, the profession of pharmacy is transforming. Over the years, we have grown from being dispensers of pills and capsules, to dispensers of knowledge and services. Pharmacists today do medication therapy management, chronic disease management, diabetes education, prevention and wellness services and other patient- education services. As the reimbursement rates for the dispensing of medications have declined, we have expanded our profession to include these services and to utilize our education. We have seen better patient care as a result. The problem is we are not recognized as providers by the federal government.

Pharmacists, and the patient care services that we provide, are not included in key sections of the Social Security Act, which determines eligibility for health care programs such as Medicare Part B. The omission of pharmacists as listed providers limits Medi-

care beneficiaries’ access to the services I listed above. Other health care professionals who are on the list include physicians, physicians’ assistants, certified nurse practitioners, qualified psychologists, clinical social workers, certified

Over the years, we have grown from being dispensers of pills and capsules, to dispensers of knowledge and services.

Pharmacists today do medication therapy management, chronic disease management, diabetes education, prevention and wellness services and other patient-education services. nurse midwives and certified nurse anesthetists. Because pharmacists are not included on the Social Security Act list of providers, many states and private health plans also do not pay for our clinical services.

Why is gaining provider status our No. 1 objective? So that we can be paid

Terry Gubbins 2013-2014 FPA President

for the clinical services we provide.

With only a few months before the Affordable Care Act provides health care coverage to millions of Americans, we will see not only our profession continue to transform, but also healthcare in Florida and the other 49 states.

As pharmacists, we have seen how the services we provide improve quality of life and health outcomes in a cost-effective manner. We can provide substantial savings throughout the health care system just with the medication adherence programs that we provide. There have been many studies done that show the savings impact achieved by our clinical services.

So, why would any legislator be opposed to pharmacists being providers?

They see us as another expense, not as a profession that can help decrease healthcare costs in America. This is OUR challenge: We have to show our legislators the value of our clinical serSEPTEMBER 2013

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2013 FPA Board of Directors The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work diligently all year long on behalf of our members.

Goar Alvarez............................................................................. Chairman of the Board Terry Gubbins...............................................................................................FPA President Suzanne Kelley......................................................................................... President Elect Alexander Pytlarz................................................................................................Treasurer Gary Koesten.............................................Speaker of the House of Delegates Bob Parrado....................................Vice Speaker of the House of Delegates Tim Rodgers, Director........................................................................................... Region 1 Michael Hebb, Director ......................................................................................Region 2 Stephen Grabowski, Director .......................................................................Region 3 Raul N. Correa, Director ...................................................................................Region 4 Jason Beattie, Director ....................................................................................Region 5 Scott Tomerlin, Director.....................................................................................Region 6 Kimberly Jones, Interim Director................................................................ Region 7 Raul Gallo, Director.................................................................................................Region 8 Nadine Seabest, Interim Director...............................................................Region 9 Richard Kessler...................................................................................... President FSHP Michael Jackson........................................Executive Vice President and CEO

Florida Pharmacy Today Journal Board Chair......................................................Jennifer Pytlarz, jlc_rxdoc@hotmail.com Vice Chair......................................................... Don Bergemann, don@bceinfo.com Treasurer....................Stephen Grabowski, sgrabowski@seniormmc.com Secretary...................................................................Stuart Ulrich, Stuarx@aol.com Member.................................................Joseph Koptowsky, docjik1215@aol.com Member........................Rebecca Poston, rebecca_poston@doh.state.fl.us Member....................................................... Carol Motycka, motycka@cop.ufl.edu Member........................................................Cristina Medina, cmmedina@cvs.com Member................................................................Norman Tomaka, FLRX9@aol.com Member................... Verender Gail Brown, brownvgrx4304@hotmail.com Executive Editor................Michael Jackson, mjackson@pharmview.com Managing Editor...................Dave Fiore, dave@fiorecommunications.com

See "Viewpoint", continued on page 6 6 |

FLORIDA PHARMACY TODAY

vices. We have to show them how we can decrease the cost of healthcare in Florida and the United States, and we have to show them that we improve the quality of life for our patients.

Healthcare is transforming.

Pharmacy is transforming. We will need to transform, be politically active and have our collective voice heard in Washington, D.C. Since provider status depends on us being added to the list of providers in the Social Security Act, we will have to focus on our federal legislators. We are still analyzing the need to address our priority with our state legislators, but what we do know is that we will need your support! Calls and visits to your legislators will help us gain provider status. We will need everybody’s support.

Healthcare is transforming. Pharmacy is transforming. We will need to transform, be politically active and have our collective voice heard in Washington, D.C. It is time to unite Pharmacy and advance our profession. n

Executive Insight

BY MICHAEL JACKSON, RPH MICHAEL JACKSON, BPHARM, EVP & CEO, FLORIDA PHARMACY ASSOCIATION

A

Things Have Changed...

Especially These Days!

fter writing nearly 200 articles for Florida Pharmacy Today and the hundreds of newsletters and action messages I have sent to the membership, you would think that I would have said everything there is to say about pharmacy in Florida. Well, believe or not, there is always something new, and if there isn’t, issues and topics from years ago become interesting once again.

While digging through the FPA Journal archives doing some research for one of our members, I ran across an article on Lilly’s Digest. Some of our more “seasoned” members may recall the data published in those reports. The November 1976 issue of Florida Pharmaceutical Journal published the Digest’s 1975 survey of 1,710 pharmacies. Total average sales for that year (including front end and prescriptions) were $293,785.

The cost of goods sold was $189,624 for a gross margin of 35.5 percent, if my math is correct. Net profit for pharmacies was about 3.7 percent with average annual prescription volume around 27,572, or about 530 new and refilled prescriptions processed each week. The average prescription charge was $5.18 (including brand and generic).

I suppose it would be interesting to gather together a few of our retired members, some of our colleagues who have been in the field for a while and are still in practice, a few of our new practitioners and several pharmacy interns, place them in a room and listen to the conversation about what I just shared. We would probably hear things like, “Back in the day we used a Bates Stamper to generate prescription numbers.” Or you might hear something

like, “We did third-party prescriptions, but I only saw one or two a day.” You may even hear, “I bought an IBM Selectric III typewriter with the autocorrecting ribbon for my pharmacy and had the hottest technology in town.” The pharmacy interns in the room would probably be staring at each other in disbelief and wonder how a pharmacist would be able to survive in today’s fast-

To put things in perspective, you could buy an automobile for around $5,000 to $6,000, and gasoline was about $.57/gallon in 1975. paced practice world with an annual salary of about $23,000.

To put things in perspective, you could buy an automobile for around $5,000 to $6,000, and gasoline was about $.57/gallon in 1975. There were not many third-party transaction fees to deal with, and compounding was what every pharmacy did. Prior authorization, maximum allowable costs, federal upper limits and tiered copays were yet to be introduced.

Automation and technology is grow-

Michael Jackson, B.Pharm

ing all around us. Pharmacists are providing immunization, medication therapy management and other valueadded services. Even the role and expectations of pharmacy technicians continue to evolve. The profession is on the threshold of a major shift in focus and scope likely to be driven both by cost containment and a drive toward increasing quality and patient outcomes. At the same time, we are seeing new challenges with pharmacy manpower needs. According to www.pharmacymanpower.com, the demand for pharmacists and the available applicant pool appear to be synchronized in Florida; for every pharmacy position there is one pharmacist. This means that we have to continue to press for opportunities for pharmacist services.

Beginning this fall, various provisions of the Affordable Care Act will be implemented, such as the insurSEPTEMBER 2013 |

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FPA STAFF

Executive Vice President/CEO Michael Jackson (850) 222-2400, ext. 200

Director of Continuing Education Tian Merren-Owens, ext. 120 Controller Wanda Hall, ext. 211

Educational Services Office Assistant Stacey Brooks, ext. 210 Coordinator of Membership Christopher Heil, ext. 110

FLORIDA PHARMACY TODAY BOARD Chair............................................. Jennifer Pytlarz, Brandon Vice Chair...................Don Bergemann, Tarpon Springs Treasurer...............................Stephen Grabowski, Tampa Secretary.........................Stuart Ulrich, Boynton Beach Member..................................... Joseph Koptowsky, Miami Member..............................Rebecca Poston, Tallahassee Member.............................. Carol Motycka, St. Augustine Member....................................Cristina Medina, Hollywood Member................................. Norman Tomaka, Melbourne Member..............................Verender Gail Brown, Orlando Executive Editor.........Michael Jackson, Tallahassee Managing Editor.........................Dave Fiore, Tallahassee

This is a peer reviewed publication. ©2013, FLORIDA PHARMACY JOURNAL, INC. ARTICLE ACCEPTANCE: The Florida Pharmacy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy. All articles are subject to review by the Publication Review Committee, editors and other outside referees. Submitted articles are received with the understanding that they are not being considered by another publication. All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today.

The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today.

The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion, politics or any other subject the editors/ publishers deem unsuitable for the readership of this journal. In addition, The Journal does not accept advertising material from persons who are running for office in the association. The editors reserve the right to edit all materials submitted for publication. Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board.

FLORIDA PHARMACY TODAY, Annual subscription - United States and foreign, Individual $36; Institution $70/year; $5.00 single copies. Florida residents add 7% sales tax.

FLORIDA PHARMACY ASSOCIATION

610 N. Adams St. • Tallahassee, FL 32301 850/222-2400 • FAX 850/561-6758 Web 8 Address: | F L O Rhttp://www.pharmview.com IDA PHARMACY TODAY

ance market place, bringing a significant number of the uninsured into the health care services market. Of course some of the provisions are having their deadlines extended so the effect will not be immediate. While this article is not being prepared to debate ACA, (I will leave that up to the politicians and the politicos of the world) I can say that the demand and strain on the health care community will be felt across all practice sectors. Florida simply has got to find a way to engage our many qualified pharmacist practitioners and get us onto the health care playing field. This may mean some changes and modifications to Florida laws and rules defining contemporary pharmacy practice.

A number of our young graduates are eager to put their quality training

from America’s finest institutions of higher education to use. Your Association is also preparing its advocacy plan for 2013-2014, and I must say that it is ambitious. When the call comes, all of our members need to get heavily involved and be prepared to unite to change the practice so that we can help our communities get healthy and stay healthy. If successful, our efforts should rebalance the need for pharmacist services and create more opportunities for career growth.

Don’t forget to mark your calendars for March 10-11, 2014, to be with us during our Legislative Days and the Florida Capitol Health Fair here in Tallahassee. It will be an experience that will remain with you forever. n

JOIN TODAY! Florida Pharmacy Association

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FROM THE 123RD FPA CONVENTION

Thank You to Our Sponsors FPA would like to thank our sponsors for helping to make the 123rd Annual Meeting and Convention such a great success!

2013 Convention Sponsors & Contributors

Silver Sponsor

Empire Pharmacy Consultants Walgreens BRONZE

SUPPORT SPONSORS

Broward County Pharmacy Association Cardinal Health

Dade County Pharmacy Association

InterAmerican Pharmacy Association

Central Florida Pharmacy Association CVS Caremark Target

Advanced Naturals Advanced Solutions Consulting Group American Associated Pharmacies AmerisourceBergen Corp Beach Organics Skin Care Cardinal Health CVS/Caremark Dr. Comfort Empire Pharmacy Consultants Florida/Caribbean AIDS Education & Training Center Florida Department of Health Florida Pharmacy Foundation Florida Poison Information Center Forest Pharmaceuticals Freedom Pharmaceuticals H.D. Smith Healthcare Consultants iMedicare 10

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FLORIDA PHARMACY TODAY

LexiComp

Rx Systems, Inc

Wolters Kluwer Health

Exhibitors Integral Solutions Group LifeScan, Inc. & Animas Corporation, Part of the Johnson & Johnson Family of Companies LECOM McKesson – Rx Ownership Medicares Limited Income – NET Program Merck Merck – Vaccines Medical Technology Associates, Inc National Community Pharmacist Association Novo Nordisk, Inc Nutramax Laboratories, Inc. PassAssured, LLC PBA Health PCCA Pharmaceutical Specialties PioneerRx

Port Medical Products Inc PPSC Publix QS/1 Scimera BioScience ScriptPro Sigma Tau Pharmaceuticals TEC Laboratories TherapeuticsMD University of Florida College of Pharmacy University of Florida Online MS in Pharmaceutical Outcomes & Policy U.S. FDA Center for Drugs Evaluation and Research Walgreens Walmart Stores, Inc. / Sam’s Club

FROM THE 123RD FPA CONVENTION

Join the Evolution Revolution Florida Pharmacy Association’s 123rd Annual Meeting and Convention July 10-14, 2013

Top: Former FPA presidents gather for their annual convention photo.

Bottom Left: Kim Jones and David Mackarey ~ Bottom Right: (Left to right) Jonathan Muniz, Shawna Cargill and fellow student

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FROM THE 123RD FPA CONVENTION

Convention

2013 Awards Recipients Each year the FLORIDA PHARMACY ASSOCIATION recognizes individuals who have shown their commitment to pharmacy in many exceptional ways. These award recipients continue to strive for excellence in their profession, meeting

The following awards were presented during the 123rd Annual Meeting and Convention at the JW Marriot Orlando Grande Lakes, Orlando, Florida.

challenges and opportunities while demonstrating their commitment to their respective communities.

Frank Toback Consultant Award presented by Suzanne Kelley to Stephen Grabowski.

R.Q. Richards Pharmacy Public Realtions Award presented by Angela Garcia to Dr. Goar Alvarez.

DCPA Sidney Simkowitz Pharmacy Involvement Award presented by Preston McDonald to Tim Rogers.

President’s Awards of Excellence presented by Dr. Goar Alvarez to Eric Alvarez, Paul Eger, Robert Fishman, Angela Garcia, Constance Hogrefe and Preston Mcdonald.

NASPA/APhA Bowl of Hygeia presented to Dr. Judy Riffee by Boehringer Ingelheim representative Laura Macione.

NASPA-Upsher Smith Excellence In Innovation Award presented by Gary Koesten to Sonia Martinez.

Interamerican Pharmacist Association’s (IPA) Roman Maximo Corrons Inspiration & Motivation Award presented by Dr. Goar Alvarez to Raul Gallo.

Michael Mone announces the Cardinal Health Generation Rx Champions Award winner: Dr. Richard Finkel.

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Jean Lamberti Mentorship Award presented by Dr. Goar Alvarez to Dr. Angela Garcia.

Cardinal Healthy Generation Rx Champions Award recipient was Dr. Richard Finkel. It was presented

by Cardinal Health representatives Jim Kilborn and Bebra Linaweaver to Dr. Goar Alvarez, who accepted the award on behalf of Dr. Finkel.

Alton Tower Philanthropy Award presented to Roger Lapp by Foundation Trustee Al Tower.

Pharmacists Mutual Companies Distinguished Young Pharmacist Award presented by Bob Parrado to Olga Wydner.

FROM THE 123RD FPA CONVENTION

n Scrapbook

Photography courtesy of Carol Porter, Stu Ulrich and Michael Jackson

Cardinal Health representatives Jim Kilborn and Debra Linaweaver present the Cardinal Health Generation Rx Champions Award, accepted by Dr. Goar Alvarez on behalf of Dr. Richard Finkel.

NASPA-Upshur Smith Excellence in Innovation Award is presented by House of Delegates Speaker Gary Koesten to Miami pharmacist Sonia Martinez.

APhA-NASPA Bowl of Hygeia is presented to Judy Rifee by Boehringer Ingelheim representative Laura Macione.

Poster Presentation Awards 1st Place - Danielle Padgett (NSU) 2nd Place - Carriette Elusma/Quyen Trinh (NSU) 3rd Place - Natalie Ciccone (PBAU)

Student Patient Counseling Competition 1st Place - Sarah Reeg (PBAU) 2nd - Rachel Manno (UF) 3rd - Danielle Padgett (NSU)

National Alliance of State Pharmacy Association Nonprescriptions Medicines Academy Game Show 1st Place - University of South Florida

#1 Club New Member Certificates presented to Jackie Donovan (St. Petersburg), Rafael Garcia (Longwood), Thomas Isbon (Riverview) and Hugh Morrow (Arcadia) by Alexander Pytlarz.

Technician of the Year Award presented by Zipporah Darvi Redding to Mary Sue Adams.

Pharmacists Mate Award presented by Michael Jackson to Alina Alvarez.

James H. Beal “Pharmacist of the Year� Award presented by Dr. Goar Alvarez to Humberto Martinez.

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FROM THE 123RD FPA CONVENTION

123rd Annual Meeting and Convention

Foundation Trustee Al Tower, left, presents the Alton Tower Philanthropy Award to Roger Lapp.

Bob Parrado presents the Pharmacist Mutual Distinguished Young Pharmacist Award to Olga Wydner.

FPA Treasurer Alexander Pytlarz (center) presents the #1 Club certificates to new members (left to right) Jackie Donovan, Rafael Garcia and Hugh Morrow. Not pictured: #1 Club inductee Thomas Isbon

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Preston McDonald, right, presents the DCPA Sidney Simkowitz Pharmacy Involvement Award to Tim Rogers.

Zipporah Darvi Redding, right, presents the Technician of the Year Award to Mary Sue Adams of Lynn Haven, Florida.

FROM THE 123RD FPA CONVENTION The Pharmacist Mate Award is presented to Alina Alvarez, wife of FPA President Dr. Goar Alvarez, by Michael Jackson.

Rubiel Alvarez with students Ashley MacWhinnie and Lena Charafi.

Bob and Linda Miller from Healthcare Consultants Pharmacy Staffing

PPSC Vice President Bill Mincy

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FROM THE 123RD FPA CONVENTION

123rd Annual Meeting and Convention

Roman Maximo Corrons Inspiration and Motivation Award is presented to Raul Gallo by Dr. Goar Alvarez.

Angela Garcia presents Dr. Goar Alvarez with the R.Q Richards Pharmacy Public Relations Award.

Pharmacist sisters Theresa Tolle and Carla Barber

Adopt-A-Student The Florida Pharmacy Association would like to thank the following Contributors to this year’s Adopt-A-Student Program

Julie Brown, Dr. Angela Clauson and Sarah Reeg enjoy the conference.

Paul Ackerman

Ivoone Mansour

Goar Alvarez

Preston McDonald

Carla Barber

Michael Mone

Cheryl Ganzer

John Noriega

Terry Gubbins

Bob Parrado

Ed Hamilton

Kathy Petsos

Rosamond Pappy

Robert Renna

Betty Harris

Theresa Tolle

Carl “Fritz” Hayes

Norman Tomaka

Michael Jackson

Alachua County Association of Pharmacists

Alexis Jurick David Mackarey Cindy Maggio

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FROM THE 123RD FPA CONVENTION

2 0 1 3 F PA 5 0 -Y E A R P H A R M A C I S T S 50-Year Pharmacists Honored TOP LEFT State Senator Denise Grimsley talks at the FPA Political Committee Function at convention TOP RIGHT Students pause for a picture at breakfast. Standing left to right: Danyelle Williams, Raven Harris. Seated center: Lotoya T. Hibbert from FAMU and friends.

BOTTOM LEFT President-elect Terry Gubbins addresses students at convention.

BOTTOM RIGHT Cristina Medina (left) poses with new friend Ayala Fishel.

Those who have served our profession as pharmacists for a half-century were honored at the 123rd Annual Meeting and Convention. We are grateful for these pioneers who have seen our profession evolve over five decades and have played such an important role in making pharmacy what it is today.

RE Allen David Barr Marlys Breckle John Brewster Ralph Bryan Sandra Cartwright William Connors Samuel Fenn Warren Fletcher Hugh Jones David Keyser Howard Kichler

James Koivisto Ronald Miller Donald Parmer Bradley Piercy Frances Sarcone Robert Savel John Shea Phillip Sherrod Grady Stephens Gwendolyn Wade James Williams William Yarbrough SEPTEMBER 2012

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FROM THE 123RD FPA CONVENTION FPA members try their luck on Casino night.

Jim Powers celebrates Mardi Gras in Florida.

FPA RECOGNIZES THOSE WE LOST IN 2012-13 During the 123rd Annual Meeting and Convention in Orlando, the Florida Pharmacy Association recognized the passing of the following FPA members.

We are grateful for their contributions and remember them with fondness and respect.

IN MEMORIAM* Lucien Watson Richard Harris Kay Camp Thomas Nelson Keithenia Crumbie Allen Freeman Gloria Withers *This list is believed to be accurate as of the convention. If any names were omitted, please contact the FPA office.

MIDDLE OF PAGE: Pharmacy students in the poster presentation area.

ABOVE: Natalie Ciccone of Palm Beach Atlantic University at her poster presentation.

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FROM THE 123RD FPA CONVENTION Verender Gail Brown and Jennifer Raquipo

President Alvarez addresses a university social.

Volunteers help the Florida Pharmacy Foundation with their fundraising efforts.

Keynote Speaker Rear Admiral Scott Guiberson

Raven Harris from FAMU receives her Academy of Students of Pharmacy President plaque.

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2014 FPA Legislative Advocacy Program, Priorities and Strategic Plan

By Shannon Wedekind Governmental Affairs Committee Chair vocate for standalone legislation, Advocate for if opportunity presented and Monitor. The priorities within each category are equally weighted in our advocacy efforts by the FPA. The advocacy program as adopted by our Board of Directors is as follows:

Shannon Wedekind Government Affairs Committee Chair

It is with great excitement that I lead the Governmental Affairs Committee (GAC). The GAC has been steadily working to represent all pharmacists in Florida on important legislative actions.

During the 123rd FPA Annual Meeting and Convention, our House of Delegates passed several resolutions for the Governmental Affairs committee to review in our strategic plan. During our August 9, 2013 GAC meeting, we also reviewed any previous years’ resolutions that are still of high legislative importance. The Board of Directors approved the GAC recommended legislative plan on August 25, 2013.

Since that time, the GAC has been developing position papers and talking points for your support in discussions with your local Representatives. Once these documents are available, we encourage each of you to actively engage in support of our standalone legislative strategic plan.

We have categorized our advocacy efforts into three main categories: Ad20

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FLORIDA PHARMACY TODAY

Advocate for Standalone Legislation ■■ Pharmacists to be recognized as health care providers ■■ Remove “On the Face of Prescription” language found in 893.04 and in F.S. 456 ■■ Support efforts to advocate for funding of the prescription drug monitoring program. This includes collaborating with other groups.

■■ Remove mandatory mail order prescription requirements for state employees. Collaborate with the Florida Retail Federation.

Advocate For if Opportunity Presented ■■ FPA to oppose any changes to current pharmacist-to-pharmacy-technician ratio. Recommended for the FPA Board of Directors to invite interested principles on this issue for dialog during a Board of Directors meeting.

■■ FPA to support efforts to change the pharmacy practice act that will allow registered pharmacy interns under the supervision of a licensed pharmacist to administer immunizations as part of their training program. FPA to recommend to all Florida pharmacy schools that the immunization training program be included in the basic curriculum.

This can help advocacy efforts.

■■ FPA to support efforts for the removal of minor infractions and ex-

■■

■■

punging of disciplinary records for minor violations. It is recommended that minor violations should be removed after two biennial renewal periods.

FPA to support any efforts to expand pharmacist immunization services with a goal toward allowing all immunizations that follow CDC guidelines. This can help advocacy efforts so that FPA can support efforts to change the pharmacy practice act that will allow registered pharmacy interns under the supervision of a licensed pharmacist to administer immunizations as part of their training program.

FPA to support efforts that revise auditing standards for all plans to be consistent with current Medicaid auditing standards.

Monitor ■■ FPA to monitor efforts that limit or expand physician scope of practice expansion into dispensing.

■■ FPA to monitor for any changes to pain clinic legislation Your Government Affairs Committee members look forward to working with you to Unite Pharmacy and continue to lead our profession through active participation in the political process. Thank you in advance for your active participation in a successful 2014 legislative year.

FPA Member Profile Marsha Mallett

THE STATS Hometown: Miami Contact information: marshamallett@hotmail.com

What do you value most about your FPA membership?

I value the ability to stay current with the latest information regarding the pharmacy profession. The pharmacy industry is constantly changing, and FPA is always on the “pulse” of that change.

What are some thoughts you have on pharmacy as a profession right now?

Pharmacy is my second career. I believe it is one of the best professions to pursue, especially if you enjoy helping others. As a pharmacist, we affect people’s lives daily. When our patients are sick, we help them to feel better; we save lives. We help to extend the lives of others, as well as impact the overall quality of life either directly or indirectly.

I also believe opening new pharmacy schools should cease for a few years, until the supply has caught up with the demand. The profession can then continue to elevate in quality, and not in quantity.

What are you most excited about regarding the future of pharmacy?

There are many dynamics to pharmacy, and our role is being expanded as healthcare providers, i.e. MTM, vaccinations, etc. It’s equally exciting that the pharmacy profession is being increasingly recognized and strongly valued in the healthcare community.

What do you wish everybody knew about pharmacy?

Pharmacists are more clinical than ever. We are primarily drug experts and do not simply “count pills.”

Our knowledge base is extensive from knowing disease states, dosing, side effects, etc. Not only do we advise and consult with our patients, but we often advise and consult with their doctors as well on an on-going basis.

Who got you interested in pharmacy?

I became interested in pharmacy when I was a middle-school teacher in the Miami-Dade Public School System. On Career Day, I invited a pharmacist, Leslie Granberry, to come speak to my class. I found his presentation to be very intriguing; I raised my hand more times than my students to ask questions. To add, my career choice was influenced by health challenges experienced by a family member. Quite simply, by the end of the day, I decided I wanted to go to become a pharmacist. The following year, I was accepted and enrolled into Nova Southeastern University and became the first doctor of pharmacy graduate in my family.

What do you think your patients would say about you and your practice?

My patients would say that I am a very caring, helpful, compassionate and personable pharmacist. I believe in my profession. As healthcare practitioners, I truly believe that we should extend an “extra arm” to help our patients feel better.

We must treat people, no matter their economic status, the same as we would want to be treated ourselves.

SEPTEMBER 2013

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Networking Opens Doors at Convention

By Rizwan Khaliq, Pharmacist Candidate, LECOM School of Pharmacy The amount of work that a pharmacy school student has on his or her respective shoulders is, without question, substantial. The responsibility of a pharmacy student during a typical week can include attending several hours of lecture each weekday with an equivalent amount of work to take home and complete, working as a pharmacy intern, attending student organization meetings and volunteering in the community.

It may be tempting to put participating in pharmacy-related activities on pause and overlook important events and conventions taking place in the summer, such as the Florida Pharmacy Association’s (FPA) Annual Meeting and Convention.

The 2013 FPA Annual Meeting and Convention was the first I’ve ever attended, but I know it will not be my last. It is a great experience that I highly recommend to all Florida pharmacy students. From start to finish, I could not have had a better experience.

When I arrived at the J.W. Marriott Hotel where the FPA convention was hosted, I was greeted by the beautiful summer weather, a large golf course and a scenic swimming pool. Needless to say, the FPA likes to travel in style, but the valuable information I learned and the convention activities were even better than the hotel amenities.

RADM Scott Giberson, a pharmacist, has recently been appointed Deputy Assistant Surgeon General of the United States. In 2011, he released a comprehensive study that statistically shows the significant impact of using pharmacists as part of the healthcare team. As part of his duties, he oversees the operations of 12 different health professions.

He spoke about how pharmacists 22

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FLORIDA PHARMACY TODAY

have been stifled in advancing their professional practice because we do more in terms of our services yet do not push to ask to be compensated for our time. He shared some eye-opening statistics with us at the convention: 76 percent of physician visits, 81 percent of hospital visits, 91 percent of prescriptions and 97 percent of Medicare spending are for chronic conditions.

Chronic illnesses are what pharmacists can manage through expertise of medications. Diagnosis is only a fraction of the healthcare process for a patient. Diagnosis is where other healthcare professionals who have greater experience in this realm, such as physicians, would come into the picture.

Admiral Giberson emphasized how it is important for pharmacists to be listed as healthcare providers under Medicare Part B, so that we are reimbursed for our services. Changing the language on Medicare Part B is a federal issue, which we can influence as an advocacy organization by seeking provider status within the state of Florida. This is part of the FPA’s advocacy plan for this upcoming year.

The student summit was quite an enjoyable event. FPA leaders, such as Dr. Goar Alvarez and Mr. Terry Gubbins, moderated the discussion and guided us by answering our questions and concerns with their experience and knowledge. The purpose of this summit was to allow students to share their thoughts on the current status of pharmacy.

One topic raised by students was the push for pharmacists to be listed as health care providers at the state level in Florida. The focus of students was creating a unified voice. Dividing barriers need to be eliminated; we are all going to be pharmacists regardless of what institution we attend. It is important to fight for causes together, and this can be encouraged by attending a chapter’s event or meeting to show support.

For example, an event held by LECOM APhA-ASP could extend an open invitation to local pharmacy colleges such as University of South Florida, FAMU (satellite campus) and University of Florida (satellite campus).

There were a lot of important topics discussed at the convention regarding the field of pharmacy and its future.

However, the social aspect of the convention is just as important, though easily overlooked. Some of the best interactions can occur at a moment when you least expect it.

You may casually encounter one of your professors at a local restaurant or lounging by the pool, and have a conversation that can lead to a mentorship, something that may never happen in a more formal setting. Being able to take a break from lengthy textbook reading assignments, PowerPoint presentations and office appointments with professors can bring forth a feeling of freedom that allows one to be at ease and form genuine personal connections with others.

These features of the FPA convention are just a slight peek into what you may encounter if you do attend this upcoming summer. At Convention, you can expect to see pharmacists in attendance to complete their continuing education at one of many informative presentations, opportunities to network with pharmacists at networking events, casual sporting events, dancing and much more. The next FPA Annual Meeting and Convention is in Ft. Lauderdale, less than a year away. I hope to see many new faces next year in South Florida!

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FREQUENTLY CALLED NUMBERS AHCA MEDICAID PHARMACY SERVICES 2727 Mahan Drive Tallahassee, FL 32308 (850) 412-4166 www.fdhc.state.fl.us/medicaid/ pharmacy AMERICAN PHARMACISTS ASSOCIATION (APhA) Washington, D.C. (800) 237-2742 www.pharmacist.com AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS Bethesda, MD (301) 657-3000 www.ashp.com/main.htm DRUG INFORMATION CENTER Palm Beach Atlantic University (561) 803-2728 druginfocenter@pba.edu FLORIDA BOARD OF PHARMACY 4052 Bald Cypress Way Bin #C04 Tallahassee, FL 32399-3254 (850) 245-4292 www.doh.state.fl.us/mqa FLORIDA POISON INFORMATION CENTER NETWORK (800) 222-1222 www.fpicn.org NATIONAL COMMUNITY PHARMACISTS ASSOCIATION 100 Daingerfield Road Alexandria, VA 22314 703.683.8200 703.683.3619 fax info@ncpanet.org RECOVERING PHARMACISTS NETWORK OF FLORIDA (407) 257-6606 “Pharmacists Helping Pharmacists”

Advertising in Florida Pharmacy Today Display Advertising: please call (850) 264-5111 for a media kit and rate sheet. Buyers’ Guide: A signed insertion of at least 3X per year, 1/3 page or larger display ad, earns a placement in the Buyers’ Guide. A screened ad is furnished at additional cost to the advertiser. Professional Referral Ads: FPA Members: $50 per 50 words; Non‑members: $100 per 50 words; No discounts for advertising agencies. All Professional Referral ads must be paid in advance, at the time of ad receipt.

SEPTEMBER 2013

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